bluuebunny/crossref_metadata_2025 huggingface dataset:
Contribution of the Croatian Academy of Sciences and Arts to the Development of Marine Technology in Croatia
Authors: Senjanović Ivo , Hadžić Neven
Published: February 2019

Contribution of the Croatian Academy of Sciences and Arts to the development of marine technology in Croatia is described in this paper. Intensive research and development of marine technology in Croatia was initiated by Prof. Zlatko Winkler, fellow of the Croatian Academy of Sciences and Arts, in 1979 when the first Conference on Marine Technology was organized. Since 2005 the Conference on Marine Technology is organized by the Scientific Council of Maritime Affairs of the Croatian Academy of Sciences and Arts and the Faculty of Engineering in Rijeka in memory of Zlatko Winkler (1917 – 1996), president of the Scientific Council of Maritime Affairs between 1994 and 1996. Grateful for his contribution to the research and development, the Croatian Academy of Sciences and Arts continuously and generously supports the conference organization. Until today in total seven Conferences on Marine Technology were organized. As pointed out in the paper, the most important contribution of the Academy to development of the marine technology is organization of round tables on this challenging topic.
Application of the State-Of-The Art Engineering Methods in Nautical Archaeology
Authors: Rudan Smiljko , Radić Rossi Irena
Published: February 2019

Modern interdisciplinary projects are connecting researchers from seemingly unrelated fields, like naval engineering and archaeology. However, archaeological remnants of the present days, such as ancient ships and ceramic transport containers, were created by engineers and artisans of the past. It is therefore meaningful to consider their function and construction from an engineering point of view, complementing the archaeological research. One track of the interdisciplinary project Archaeology of Adriatic Shipbuilding and Seafaring (AdriaS), founded by the Croatian Science Foundation, aims at better understanding of structural behaviour of the ancient seaborne structures, made of wood and ceramics. In addition, a reverse engineering method is considered in the analysis of underwater archaeological sites, by the simulation of capsizing of ancient ship. This paper presents the possibilities and limitation of the application of the state-of-the-art engineering methods in nautical archaeology. It focuses on the analysis of wooden and ceramics structures, particularly through the identification of open questions, and exploitation of proper material models. Moreover, it presents the complex fluid-structure interaction analysis of a ship capsizing event as a possible engineering tool for testing hypothesis.
Expert Approach Methodology as Basis for Sailing Boat Outfitting Improvement – Case Study
Authors: Matulja Tin , Hadjina Marko
Published: February 2019

The market conditions demanded the adaptation of exclusively touristic sailing yachts to specific race requirements. The hydrodynamic aspects of this problem have been successfully solved using modern tools for CFD analysis. But, the practical aspects of outfitting such vessels to meet the highest tourist requirements while respecting specific racing requirements for deck equipment required a different methodological approach. In fulfilling these requirements, the author indirectly participates in multi-year cooperation with the prominent European manufacturer of sailboats. For the purpose of cooperation, a special methodology was developed for the improvement of the equipment of the defined sailing boat in four stages. In the first stage, an analysis of the impact of sailing equipment and deck configuration of the existing B40S model on sailing performance is suggested using RaceQs computing application and expert approaches for different sea and wind conditions. In the second stage, the analysis of the collected data is carried out by expert approach towards guidelines for improvement. The third stage impacts on redesigning the existing model by implementing the obtained results. In the fourth stage, the effects on the upgraded new B41S model are analyzed repeating the first stage. The methodology is iterative and converges to the optimal solution for the defined criteria.
PWBS Best Practice Analysis of Two Shipyards
Authors: Brandić Vanda , Kolić Ddamir
Published: February 2019

The product work breakdown structure (PWBS) of a shipyard defines both the interim product breakdown and the work breakdown. Shipyards that have a well defined PWBS can effectively reduce man-hours by applying techniques of group technology and hull block construction method (HBCM). In this paper, a case study of typical double-bottom blocks of both a car carrier and a self-unloading bulker vessel designed in different shipyards, are analyzed. Since each shipyard applies a different interim product breakdown structure (PBS), a best practice tabular comparision demonstrates which PBS is better. The conclusion is that different shipyards under the same corporation should objectively apply best practice methods which recognize and apply what is best from one yard to the other yard and vice-versa. This will raise the competitiveness level of both shipyards.
Offshore Wind Turbines – Research and Development
Authors: Hadžić Neven , Ćatipović Ivan , Tomić Marko , Vladimir Nikola , Kozmar Hrvoje
Published: February 2019

The purpose of the present study is to review the state-of-the-art in research and development of offshore wind turbines in order to address the latest findings and trends in structural design and response analysis. This could enhance a development of sophisticated offshore wind turbines. To complete such a task, a detailed review of offshore wind renewable energy potential, wind, wave and sea current loading as well as structural analysis and design procedures and experimental work are presented.
Prediction of Noise Performance of Ro-Ro Passenger Ship by the Hybrid Statistical Energy Analysi
Authors: Vladimir Nikola , Lončar Ivan , Aničić Ivica , Senjanović Ivo
Published: February 2019

Noise prediction on board Ro-Ro passenger ship with a capacity of 145 cars and 600 passengers has been performed by means of the hybrid Statistical Energy Analysis (SEA). A general commercial noise analysis software Designer-NOISE is used. Basic issues related to noise on board ships are described, with particular emphasis to regulatory framework. An outline of the used software is presented together with ship technical data and noise source overview. Noise model is described in details and results are presented for selected compartments both without and with sound insulation. In addition to standard noise prediction output, a sensitivity analysis of noise levels with respect to some design parameters (wall thickness, insulation type and thickness, etc.) has been performed. Finally, conclusions on noise performance of a ship are drawn.
A comparative study of combination of Myo-inositol and D-chiro-inositol versus Metformin in the management of polycystic ovary syndrome in obese women with infertility
Authors: Thalamati Sujana
Published: February 2019

Background: Polycystic ovary syndrome (PCOS) is a symptom complex associated with increased amounts of circulating androgens in females, increased insulin resistance and obesity. The drugs, Myo-inositol, D-chiro-inositol and Metformin, which are insulin sensitizers, are very helpful in taking care of one of the key components of PCOS that is insulin resistance. This study was done to compare the effects of combination of Myo-inositol and D-chiro-inositol with the use of metformin on clinical and biochemical profile in PCOS.Methods: A prospective, randomized, comparative study was conducted on 200 patients. The patients were randomly assigned into the two groups of 100 each. Group A receiving Tab. Myoinositol 550mg twice daily and Tab. D-chiro-inositol 13.8mg twice daily and Group B receiving Tab. Metformin 500mg thrice daily. The patients were assessed by menstrual cycle regulation, hirsutism score (Ferriman Gallwey), fasting and post prandial glucose and insulin levels, serum DHEA levels, serum free testosterone levels and fasting day 3 serum LH and FSH ratio.Results: In both the groups there was significant improvement in all the above mentioned parameters, however the group with Combination of Myo-inositol and D-chiro-inositol had statistically significant improvement over the Metformin group.Conclusions: Combination of Myo-inositol and D-chiro-inositol and use of metformin, significantly improved insulin sensitivity in PCOS women. But combination of Myo-inositol and D-chiro-inositol was effective in controlling the hormonal profiles (LH/FSH ration and free testosterone) when compared to Metformin.
Graves’ disease and thyroiditis can be differentiated using only free thyroid hormone levels
Authors: SÜMBÜL Hilmi Erdem , ACIBUCU Fettah
Published: February 2019

Objectives: As the treatment approaches of Graves’ disease and thyroiditis are different, differential diagnosis is important. In this study, we analyzed whether it is possible to perform a differential diagnosis for these two conditions by checking the increase ratio of free thyroid hormones.Methods: In total 156 patients were taken into this study of which 29 were thyroiditis (17 had subacute thyroiditis, 6 had post-partum and 6 had silent thyroiditis) and 127 were Graves patients. The age, free T3 (FT3), free T4 (FT4), thyroid stimulating hormone (TSH) levels, FT3 index (FT3/FT3 upper limit of normal (ULN)), FT4 index (FT4/FT4 ULN) and free thyroid hormone index (FTHI) (FT3 index/FT4 index) of all patients were determined.Results: A significant difference was found between the mean TSH, FT3 and FT3 index between Graves’ disease and thyroiditis (p = 0.036, p = 0.001 and  p =0.001, respectively). When the groups were compared in terms of FTHI, the difference was found statistically significant (p = 0.001). FTHI was above 1 in all patients with Graves’ disease whereas it was found below 1 in all patients with thyroiditis. There were no statistically significant difference between the Graves’ disease and the thyroiditis in terms of age, FT4 and FT4 index (p = 0.748, p = 0.389 and p = 0.392, respectively).Conclusion: Based on these results, considering the increases in free thyroid hormone values we can say that it is possible to perform a differential diagnosis of Graves’ disease and thyroiditis, and that this may be used as a practical method to differentiate these two conditions.
Utilizing a Low-Carbohydrate/High-Protein Diet to Improve Metabolic Health in Individuals with Spinal Cord Injury (DISH): study protocol for a randomized controlled trial
Authors: Yarar-Fisher Ceren , Li Jia , McLain Amie , Gower Barbara , Oster Robert , Morrow Casey
Published: February 2019

Background: Metabolic disorders (e.g., impaired glucose tolerance, insulin resistance, and type 2 diabetes) are more prevalent in people with spinal cord injury (SCI) vs. able-bodied individuals. Dietary modification is a more cost-effective treatment option than pharmacological therapies for reducing the risk of metabolic dysfunction. Lowering carbohydrate, increasing protein, and maintaining a proper dietary fat intake are expected to induce favorable adaptations in glucose control, body fat distribution, and the composition of gut microbiome. However, dietary modification has not been rigorously investigated in people with SCI. The purpose of this study is to determine if an 8-week low-carbohydrate/high-protein (LC/HP) dietary intervention will show improvements in clinically important metrics of metabolic function, body composition, the composition of gut bacteria, and quality of life.
Methods: We intend to recruit 100 participants with chronic traumatic SCI (3 years post-injury, C5-L2, AIS A-D, and 18-65 yr) and insulin resistance, impaired glucose tolerance or untreated type 2 diabetes and randomly assign them into an 8-week LC/HP dietary intervention group or a control group. The daily LC/HP dietary intervention includes ~30% total energy as protein (1.6 g/kg per day) with a carbohydrate-to-protein ratio <1.5 and fat intake set at ~30% of the total energy intake. The control group does not receive any dietary intervention and are continuing with their regular daily diets. Glucose tolerance, insulin sensitivity, β-cell function, body composition, gut microbiome composition, and quality of life measures are assessed at Week 1, before starting the LC/HP dietary intervention; and at Week 8, after completion of the LC/HP dietary intervention.
Discussion: New and impactful information to be derived from this project will result in the development of a low-cost, simple, self-administered LC/HP dietary intervention for improving metabolic function in individuals with chronic SCI, improved understanding of the composition of gut bacteria in SCI, and how an LC/HP dietary intervention alters gut bacteria composition. In addition, this project will improve our understanding of the relationship between metabolic function and quality of life in individuals with long-standing SCI.
Trial Registration: ClinicalTrials.gov, NCT03207841. Registered 5 June 2017, https://clinicaltrials.gov/ct2/show/NCT03207841.
Keywords: Spinal cord injury, high-protein diet, low-carbohydrate diet, metabolic disease, insulin sensitivity, diabetes, gut microbiome.
The Ultrasound-guided Proximal Intercostal Block: Anatomical study and clinical correlation to analgesia for breast surgery
Authors: Zinbonyahgoon Nantthasorn , Luksanapruksa Panya , Piyaselakul Sitha , Pangthipampai Pawinee , Lohasammakul Suphalerk , Luansritisakul Choopong , Mali-ong Sunsanee , Sateantantikul Nawaporn , Chueaboonchai Theera , Vlassakov Kamen
Published: February 2019

Background: The ultrasound-guided proximal intercostal block (PICB) is performed at the proximal intercostal space (ICS) between the internal intercostal membrane (IIM) and the endothoracic fascia/parietal pleura (EFPP) complex. Injectate spread may follow several routes and allow for multilevel trunk analgesia. The goal of this study was to examine the anatomical spread of large-volume PICB injections and its relevance to breast surgery analgesia.
Methods: Fifteen two-level PICBs were performed in ten soft-embalmed cadavers. Radiographic contrast mixed with methylene blue was injected at the 2nd(15ml) and 4th(25ml) ICS, respectively. Fluoroscopy and dissection were performed to examine the injectate spread. Additionally, the medical records of 12 patients who had PICB for breast surgery were reviewed for documented dermatomal levels of clinical hypoesthesia. The records of twelve matched patients who had the same operations without PICB were reviewed to compare analgesia and opioid consumption.
Results: Median contrast/dye spread was 4(2-8) and 3(2-5) vertebral segments by fluoroscopy and dissection respectively. Dissection revealed injectate spread to the adjacent paravertebral space, T3 (60%) and T5 (27%), and cranio-caudal spread along the endothoracic fascia (80%). Clinically, the median documented area of hypoesthesia was 5(4-7) dermatomes with 100% and 92% of the injections covering adjacent T3 and T5 dermatomes, respectively. The patients with PICB had significantly lower perioperative opioid consumption and trend towards lower pain scores.
Conclusions: In this anatomical study, PICB at the 2nd and 4th ICS produced lateral spread along the corresponding intercostal space, medial spread to the adjacent paravertebral/epidural space and cranio-caudal spread along the endothoracic fascial plane. Clinically, combined PICBs at the same levels resulted in consistent segmental chest wall analgesia and reduction in perioperative opioid consumption after breast surgery. The incomplete overlap between paravertebral spread in the anatomical study and area of hypoesthesia in our clinical findings, suggests that additional non-paravertebral routes of injectate distribution, such as the endothoracic fascial plane, may play important clinical role in the multi-level coverage provided by this block technique.
Keywords: Nerve block, paravertebral space, intercostal space, intercostal block, breast surgery.
PRIMARY MASTITIS TUBERCULOSIS CLINICALLY MIMICKING FIBROADENOMA MAMMAE
Authors: Dewi Kristin Purnama
Published: February 2019

Introduction: Breast tuberculosis (mastitis TB) is a rare extrapulmonary presentation of tuberculosis that marked pathologily with involvement extensively mamma lobules, which because of infection of Mycobacterium tuberculosis. Many epidemiology studies stated that the incidence of mastitis TB is more common in developing countries than developed countries. Mastitis TB occurs mainly in reproductive woman.

Case: A 32-year-old woman came to Surgery Department with chief complaint right upper quadrant palpable breast lump for 4 months. Mammae dextra physical examination confirmed single nodule, size ± 3cm x 3cm x 2.5cm in superior quadrant, mobile, tender, well defined shape, feel like marble, reddish skin, warm, no skin retraction and no nipple discharge. VAS score 2. Mammosonogram was performed and indicated mastitis in the superior quadrant of mammae dextra. Fine needle aspiration revealed negative malignant cells and granulomatous with suppurative inflammation. The histopathological evaluation from mammae excision confirmed datia langhans cells and indicated granulomatous mastitis. Then patient referred to the Pulmonary Department. On TB pulmonary examination confirmed normal chest x-ray and negative acid fast basil (AFB). Patient was diagnosed with primary mastitis TB. Patient was treated with anti-tuberculosis drug (OAT) and gave good response and no side effects.

Discussion: Based on the International Standards for Tuberculosis Care (ISTC) diagnosis of mastitis TB can be confirm by anamnesis, physical examination, and also some additional diagnostic test such as sonomammographic imaging, fine needle aspiration or surgical specimens for pathology examination and culture or AFB with Ziehl-Neelsen staining. In Indonesian National Guidelines for TB Control, mastitis TB was treated with fixed drug combination (FDC), intensive phase in 2 months using 4 FDC and advanced phase in 4 months using 2 FDC. In case followed up in 2 months, patient recovered very well and advised to continue the treatment.

Conclusions: TB mastitis is rare even in countries with TB endemic. Diagnosis of primary mastitis TB based on clinical, radiological, pathological and microbiological. Treatment of mastitis TB with FDC for 6 months consists of an intensive phase and an advanced phase in this patient gave good outcome.

Keywords: Mastitis tuberculosis, diagnosis, treatment.
CENTRAL VERTIGO SYNDROME AS A CLINICAL MANIFESTATION IN ALCOHOL INTOXICATION
Authors: Pranowo Irfan
Published: February 2019

ABSTRACT

Background : Vertigo syndrome is one of the clinical features in patients with alcohol intoxication. Cerebellar dysfunction (ie, ataxia, sluured speech, and nystagmus) generally occurs in a state of toxicity with greater alcohol concentration, a condition caused by involvement in the brainstem. Among the neurological complications of alcoholism, brainstem lesions are often present in Wernicke-Korsakoff syndrome, cerebellar degeneration, and central pontine myelinolysis.3

Objective: To Describe a central vertigo case in alcohol intoxication patient

Case Description: A 21-year-old male, with a neck complaint that feels left and right pulled, since 1 day before admission. felt appeared 8 times. followed with dizzines, mild-moderate intensity, with symptoms of heartburn and nausea. Patients is an alcohol drinkers since 8 years ago, and active smokers who can spend a day a pack of cigarettes. On examination was found sufficient nutritional status, blood pressure 117/73 mmHg, pulse 80x / minute, respiration 22x / minute, temperature 36,8o C, and scale VVS 2. From physical examination obtained vertical and bidirectional horizontal nystagmus. The results of routine blood laboratory examination found blood leukocyte level 12.12 x103 / uL, others in normal limit Therapy: injection omeprazole 1 amp / 12 hours, flunarizin 5 mg / 12 hours, alprazolam 0.5 mg / 24 hours. After 3 days treatment, he was discharged with clinical improvement.

Conclusions: An Alcohol intoxication patients in the presence of central vertigo syndrome in this case showed clinical improvement after treatment, then patients were advised to routine control.
Flipped Classroom como herramienta para fomentar el trabajo colaborativo y la motivación en el aprendizaje de geología
Authors: De Soto García Isabel Sonsoles
Published: February 2019

Vivimos en una sociedad global y multicultural, lo que hace necesario que el profesorado se adapte a esta nueva realidad y asuma cambios profundos en sus prácticas educativas. En este contexto, las TIC pueden ayudar a los educadores a construir este tipo de sociedad y en concreto las flipped classroom presentan un futuro prometedor. Se ha desarrollado una actividad de flipped classroom en un módulo de Formación Profesional con el fin de facilitar el aprendizaje de la materia de geología. En este estudio se ha observado que esta metodología ha fomentado una actitud activa de los alumnos en el aula, un trabajo colaborativo y la motivación del alumnado lo que permite el desarrollo de competencias clave como trabajo en equipo y gestión de proyectos. Además de aumentar su rendimiento académico.
Gamificación del aprendizaje y motivación en universitarios. Elaboración de una historia interactiva: MOTORIA-X
Authors: Prieto Andreu Joel Manuel
Published: February 2019

El objetivo del estudio consiste en gamificar la asignatura de Actividades Físicas Expresivas y Psicomotoras de Magisterio en Educación Primaria, aplicando diferentes mecánicas y dinámicas de juego mediante la plataforma online Classcraft, observando si se mejora el aprendizaje y la motivación en el alumnado. Se utilizó un cuestionario inicial de opinión para comprobar la motivación y se gamificó la asignatura usando un enfoque de aprendizaje multisensorial y técnicas de trabajo cooperativo, asignándoles diferentes roles de trabajo.

Las conclusiones muestran mejoras en las calificaciones del alumnado, aumentando la motivación por la asignatura y mejorando el aprendizaje del alumnado. Por último, se explica el proceso de elaboración de la aventura gráfica interactiva MOTORIA-X con Twine y su aplicación Android.
Piil Pesenggiri as Peace Culture: A Local Wisdom Based Resolution of Land Conflicts In Mesuji, Lampung
Authors: Syukron Buyung , Rusmadi R
Published: February 2019

The presence of big companies holding the certificate of cultivation right on lands or hak guna usaha in Mesuji, Lampung has triggered numerous land conflicts. Various efforts have been made, but in fact, they have not been able to resolve the conflicts. A new approach in resolving the conflicts is, thus, needed. This article, using descriptive-qualitative research method, tries to present a new model of resolution of land conflicts in Mesuji, Lampung Province, based on local wisdom called piil pesenggiri, the philosophical values of Lampung people. Piil pesenggiri itself is a sense of self-esteem; it is principles the Lampung people must follow in order to live in dignity. The article argues that the values contained in piil pesenggiri can be used to resolve the land conflicts in Mesuji since they have been inherent in the life of Lampung society. The values are such as juluk adek (principles of success), nemuin yimah (principles of respect), nengah nyappur (principles of equality), and sakai sambayan (principles of cooperation). All those values are a manifestation of peace culture that can be used as a medium of conflict resolution.
The Teaching Model on Socio-Cultural Diversity: Learning from Indonesian International Kindergarten
Authors: Sulastri Sri
Published: February 2019

The socio-cultural diversity of Indonesia often leads to conflicts and disputes. Therefore, education on socio-cultural diversity is needed since early childhood. The kids’ understanding of the concept of diversity would make them care about their presence in their diverse socio-cultural environment. The aim of this research is to describe the education model on socio-cultural diversity applied in early childhood education. This research uses the naturalistic qualitative approach and adopts Spradley’s data analysis technique. The data of this research were obtained from the school foundation, headmaster, teachers, students, and parents in the early childhood education Golden Kids School, Surakarta. The data collection techniques used in this study are an in-depth interview, participative observation, and document analysis. The steps of analyzing the data include writing notes and categorizing the preliminary data, categorizing different themes, making matrix forms, and making a conclusion based on the matrix. The results of the study show that the practice of early childhood education that uses socio-cultural diversity approach through learning materials such as local songs, dances, and folktales from different regions, enables the kids to have the concept of knowledge and attitudes that respect diversity and highly uphold tolerance.
Maritime Terrorism Network: Threat and Security in Contemporary Southeast Asia
Authors: Sahrasad Herdi , Chaidar Al , Akmal M. , Ali Saifullah , Amalia Nanda , Quthni Effida Dara
Published: February 2019

Southeast Asia is a region that is vulnerable to terrorism. Of the total terrorism cases that occurred in the world, 50 percents occurred in this region. Mindanao is one of the regions in Southeast Asia that since a long time ago has been the basis of world-class terrorism. This situation is getting worse due to the presence of terrorist groups with a strong tradition of maritime piracy. The nexus between terrorism and piracy makes the issue of maritime terrorism in Southeast Asia a regional security concern. Abu Sayyaf Group is a terrorist group in the Southern Philippines that is very well-known but difficult to map. This makes the Abu Sayyaf a source of prolonged tension in the Southern Philippines in particular and in the Southeast Asia region in general. This study is a field observation that uses descriptive analysis to reveal the details of the Abu Sayyaf and the issue of terrorism in Mindanao.
The Role of Spirituality in the Behavior of Sharia Bank Mobile Banking: Evidence from Indonesia
Authors: Inayah Nur , Agriyanto Ratno , Warno W
Published: February 2019

The purpose of this research is to examine the behavior of sharia bank customers in using mobile banking (using a modified Technology Acceptance Model) with additional spiritual variables. The research population is about one hundred customers of sharia bank in Indonesia. The results of this study indicate that: (1) perceived ease has a positive effect on the attitude of using mobile banking through the use of perceptions, (2) the perception of benefits has a positive effect on the attitude of using mobile banking, (3) expediency has a positive effect on the behavioral interest in using mobile banking, (4) behavioral interest has a positive effect on mobile banking use, and (5) spiritual motivation has a positive effect on mobile banking use.
Performance evaluation and kinetic parameter analysis for static granular bed reactor (SGBR) for treating poultry slaughterhouse wastewater at mesophilic condition
Authors: Basitere M. , Njoya M. , Rinquest Z. , Ntwampe S. K. O. , Sheldon M. S.
Published: February 2019

Poultry slaughterhouses consume a substantial quantity of potable water during processing of live birds. Subsequently, high strength poultry slaughterhouse wastewater (PSW) is generated at different stages during poultry product processing. In this study, a Static Granular Bed Reactor (SGBR) was used to treat the PSW from a poultry processing facility in the Western Cape, South Africa. The performance of the SGBR was primarily evaluated for chemical oxygen demand (tCOD) removal with the kinetics of the treatment process for PSW being evaluated using both the Grau second-order and the modified Stover-Kincannon models to predict the effluent COD. The overall treatment efficiency averaged >80% when the SGBR was operated at steady state for 110 days' experimental trial. On the basis of the experimental results, the predicted values of the tCOD concentration using the Grau second-order and modified Stover Kincannon model were inconsistent with the experimental data indicating an insignificant correlation with predicted tCOD concentration being higher than the experimental data. The high variation between the modelled and experimental data based on both the Grau second order and modified Stover-Kincannon model was observed at higher organic loading rates when the reactor was fed with undiluted influent, phenomena attributed to tCOD entrapped inside the SGBR, especially during periods of clogging caused by the accumulation of suspended solids in the underdrain.
Ecotoxicological study of landfill leachate treated in the ANAMMOX process
Authors: Gamoń Filip , Tomaszewski Mariusz , Ziembińska-Buczyńska Aleksandra
Published: February 2019

The exacerbated production of solid residues represents a major problem in the management and handling of urban wastes. The by-product of stored municipal and industrial solid waste production is landfill leachate. Leachate is characterized by a high concentration of organic compounds, ammonia, and the presence of heavy metals. Because of its composition, this kind of wastewater can cause serious environmental pollution and should be treated to reduce its toxic effects. Increasingly, the interest is directed to the application of the ANAMMOX (anaerobic ammonium oxidation) process for the landfill leachate treatment. In this study, for the first time, the effect of treatment with the ANAMMOX process on the toxicity of leachate was investigated. Based on the research performed in this study, it could be stated that the untreated landfill leachate from the municipal landfill and the influent of the ANAMMOX reactor present phytotoxicity to Lemna minor, due to a correlation of high concentrations of organic compounds, heavy metals, such as Cd2+, Cu2+, Zn2+, and the presence of an unionized form of ammonia (NH3). The results of the Allium cepa test demonstrated that the treatment was not efficient in eliminating the genotoxic substances that are responsible for the mutagenic potential in the effluent.

This article has been made Open Access thanks to the kind support of CAWQ/ACQE (https://www.cawq.ca).
Z troską o Kościele (ludowym) i o Polsce z nim związanej
Authors: Dylus Aniela
Published: February 2019

Artykuł jest poświęcony analizie kondycji i potencjału Kościoła katolickiego w Polsce. Kościół, rozumiany jako Kościół ludowy, był na przestrzeni dziejów nierozerwalnie związany z tożsamością narodową Polaków. Jednakże pojawiające się symptomy sekularyzacji oraz oznaki neopogaństwa w Kościele skłoniły autorkę do podjęcia refleksji nad procesami zachodzącymi w Kościele w Polsce. W artykule poruszone zostały zagadnienia relacji Kościoła i państwa, poprzez omówienie możliwych scenariuszy sekularyzacji państwa polskiego, czynników przyspieszjących odchodzenie wiernych od Kościoła, słabych i mocnych stron Kościoła oddziaływujących na społeczeństwo, których mogła doświadczyć religijność ukształtowana w Kościele ludowym. Aktualne badania statystyczne wskazujące określone tendencje i trendy, stały się przyczynkiem do podjęcia próby odpowiedzi na pytanie dotyczące możliwości zatrzymania negatywnych procesów zachodzących w Kościele. Przedstawiony artykuł analizuje zjawisko spadku dynamiki praktyk religijnych oraz innych symptomów słabnącej pozycji Kościoła.
Rozum polityczny a supozycje z teologii krzyża Josepha Ratzingera
Authors: Węgrzecki Ks. Janusz
Published: February 2019

Autor podejmuje próbę wyprowadzenia supozycji zawartych w teologii krzyża J. Ratzingera dla rozumu politycznego. Podkreśla, że teologia krzyża stanowi klucz interpretacyjny dla wszelkiego typu działania człowieka, w tym także jego działania w obszarze polityki.
Gilbert Keith Chesterton jako prekursor Soboru Watykańskiego II
Authors: Wąs Maciej
Published: February 2019

Artykuł ma na celu przedstawienie Gilberta Keitha Chestertona jakoprekursora Soboru Watykańskiego II. W artykule przyjęto następującą metodologię. Po pierwsze, dziedzictwo Soboru jest „funkcjonalnie” (i przy wykorzystaniu zapisów filozofa Soboru – Jacquesa Maritaina) zredukowane do trzech aspektów: włączenia liberalnej tradycji politycznej do katolickiej struktury, inicjacji procesu dialogu między religiami i poszukiwania specyficznego „świeckiego stylu” chrześcijańskiej duchowości. Po drugie, potwierdza się obecność tych trzech elementów w myśli i pismach Gilberta Keitha Chestertona.
The Process of Land Passenger Transportation by International Bus Crossing Lao and Vietnamese Border Gates
Authors: Nonthapot Sakkarin , Dinh Tho Nguyen , Thuan Yen Truong
Published: February 2019

Aims and Objectives:

The objective of this study is to compare and explain the process and time-cost of passenger transportation by an international bus crossing three border gates between Laos and Vietnam, which are the (1) Nam Phao-Cau Treo (2) Na Phao – Cha Lo and (3) Dansavanh – Lao Bao border gates.

Methods:

The target groups of the research selected by purposive sampling are land passenger transportation service companies and land transport passengers, who, through interviews and observations, are the Key Informants (KIs).

Results:

The results reveal that (1) there are many routes and bus companies that provide local and international passenger services. The main group of passengers is Vietnamese crossing into Laos and linking to Thailand. (2) The international bus service across the Cha Lo-Na Pao border gates is shorter than the other pair border gates (3) The information system for transportation is inefficient (4) The single window system policy at Dansavanh – Lao Bao border gates can reduce the immigration checkpoint process by about 30 - 60 minutes.

Conclusion:

Therefore, the governments of Laos, Vietnam and Thailand should focus on intergrating transportation policy, such as employing one bus from Vietnam to Thailand per day starting in Vietnam and traveling to Thailand, crossing at the Na Phao-Cha Lo border gates and reducing the time at the immigration checkpoint in order to enhance and support economic cooperation in this region.
The Internet Intervention Patient Adherence Scale for Guided Internet-Delivered Behavioral Interventions: Development and Psychometric Evaluation (Preprint)
Authors: Lenhard Fabian , Mitsell Kajsa , Jolstedt Maral , Vigerland Sarah , Wahlund Tove , Nord Martina , Bjureberg Johan , Sahlin Hanna , Andrén Per , Aspvall Kristina , Melin Karin , Mataix-Cols David , Serlachius Eva , Högström Jens
Published: February 2019

BACKGROUND

Patient adherence is defined as the extent to which a patient complies with medical or health advice. At present, there is a lack of reliable and valid measures specifically designed to measure adherence to internet-delivered behavioral interventions.

OBJECTIVE

The objective of this study was to develop and psychometrically evaluate a novel measure of adherence to guided internet-delivered behavioral interventions.

METHODS

In collaboration with experienced clinicians and researchers in the field, a 5-item, clinician-rated internet intervention Patient Adherence Scale (iiPAS) was developed. The initial scale was tested in a sample of children and adolescents (N=50) participating in internet-delivered cognitive behavioral therapy (ICBT) studies. A revised version of the iiPAS was then administered to a larger sample of children and adolescents (N=148) with various behavioral problems participating in ICBT trials. The scale was evaluated according to a classical test theory framework.

RESULTS

The iiPAS demonstrated excellent internal consistency. Factor analyses revealed one underlying factor, explaining about 80% of the variance, suggesting that the scale captures a homogeneous adherence construct. The iiPAS was strongly associated with objective measures of patient activity in ICBT (number of logins, number of written characters, and completed modules). Furthermore, mid- and posttreatment ratings of the iiPAS were significantly correlated with treatment outcomes. By contrast, objective measures of patient activity in the Web-based platform did not correlate with treatment outcomes.

CONCLUSIONS

The iiPAS could be a useful tool to measure adherence in a broad range of internet-delivered behavioral interventions.
Rosacea and Associated Comorbidities: A Google Search Trends Analysis (Preprint)
Authors: Marchitto Mark , Chien Anna
Published: February 2019

BACKGROUND

Rosacea is a common skin condition that affects millions of individuals across the globe. While the pathogenesis of rosacea remains unclear, there is mounting evidence linking rosacea with systemic conditions. In recent years numerous reports have demonstrated correlations between rosacea and gastrointestinal, neurologic, and psychiatric disease. Given the mounting evidence linking rosacea with systemic disease, we sought to assess whether the general public is aware and seeking information regarding these trends.

OBJECTIVE

Our aim was to evaluate whether there exists a correlation between Google searches for rosacea and common comorbid conditions over the time period of January 2004 to February 2018.

METHODS

Using data acquired from Google, we assessed for correlations between search terms involving rosacea and systemic diseases to ascertain whether this is an area of emerging interest in the general public. The search term rosacea along with 24 other search terms for common comorbid conditions were investigated over the time period of January 1, 2004 to February 28, 2018 in the four majority English-speaking countries of US, Canada, UK, and Australia. Search volume index (SVI) data were plotted over time and Pearson correlation coefficients were calculated from search data to assess for correlations between search terms. Statistical analysis was performed using IBM SPSS Statistics version 25.0.

RESULTS

Interest in rosacea was highest in spring months (March, April, May) and lowest in winter months (December, January, February) in the US, Canada, and UK from January 2004 to February 2018. Search trends for gastrointestinal disorders IBS (R = .399, P < .001) and ulcerative colitis (R = .514, P = .032) correlated significantly with rosacea in Canada and the UK respectively. A significant correlation was found between rosacea and depression SVI in the US (R = .481, P < .001), while no significant correlation was found between the two search terms in the UK, Canada, or Australia. A very strong positive correlation between dementia and rosacea SVI was found in the UK (R= .774, P = .011). A robust correlation was found between rosacea and hypothyroidism SVI (R = .752, P < .001) in the UK, while a significant negative correlation was noted between rosacea and hyperthyroidism SVI in Australia (R= -.180, P = .003).

CONCLUSIONS

In light of increasing awareness of links between rosacea and systemic disease, our results demonstrate several strong correlations in public interest of rosacea and comorbid disease. These correlations were strongest for gastrointestinal (IBS and UC), neuropsychiatric (depression and dementia), and metabolic conditions (hypothyroidism, diabetes). Overall, our findings indicate growing interest in the general public regarding rosacea and comorbid diseases, which behooves clinicians to take a more comprehensive approach in managing rosacea patients.
Evaluation of eMentalHealth.ca, a Canadian Mental Health Website Portal: Mixed Methods Assessment (Preprint)
Authors: Jeong Dahn , Cheng Michael , St-Jean Mireille , Jalali Alireza
Published: February 2019

BACKGROUND

Many Canadians have mental health needs, and it can be challenging not knowing where to go for mental health information, services, and support. The website eMentalHealth.ca was created to facilitate and assist Canadians to (1) learn about mental health, (2) screen for common mental health issues, and (3) find mental health services and support.

OBJECTIVE

The aim of this study was to use multiple methods to learn about visitors of eMentalHealth.ca, their perceptions, and their satisfaction with the website.

METHODS

Website analytics (Google Analytics) provided information about the number of unique visits to the website and how the site was used. Web-based self-administered surveys were used to gather additional information on users’ characteristics and to assess their perception of the website and satisfaction with the website.

RESULTS

Web analytic results showed that from January 1 to December 31, 2017, there were 651,107 users, with 1.97 million page views. Users were more often female than male, and the majority of users were aged 35 years and older. Most users were located in Canada (612,806/651,107, 94.12%), and the most common city of origin of users was Toronto (101,473/651,107, 15.58%), followed by Ottawa (76,692/651,107, 11.78%), and Montreal (26,621/651,107, 4.09%). Web-based surveys were completed by a total of 370 respondents from June to December 2017. Overall, the majority of users were satisfied with the website (93.0%, 320 out of 344 responses). Positive feedback was related to the content of the website as a helpful resource, and negative feedback was related to technical difficulties as well as the design of the main page. This analysis will be used to help the team with ongoing improvements to the website, for example, improving technical issues and homepage usability.

CONCLUSIONS

Most visitors reported satisfaction with their use of eMentalHealth.ca to learn about mental health as well as where to find help. Mental health websites such as eMentalHealth.ca are a low-cost way to increase public awareness about mental health.
Artificial Intelligence and the Implementation Challenge (Preprint)
Authors: Shaw James , Rudzicz Frank , Jamieson Trevor , Goldfarb Avi
Published: February 2019

BACKGROUND

Applications of artificial intelligence (AI) in health care have garnered much attention in recent years, but the implementation issues posed by AI have not been substantially addressed.

OBJECTIVE

In this paper, we have focused on machine learning (ML) as a form of AI and have provided a framework for thinking about use cases of ML in health care. We have structured our discussion of challenges in the implementation of ML in comparison with other technologies using the framework of Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies (NASSS).

METHODS

After providing an overview of AI technology, we describe use cases of ML as falling into the categories of decision support and automation. We suggest these use cases apply to clinical, operational, and epidemiological tasks and that the primary function of ML in health care in the near term will be decision support. We then outline unique implementation issues posed by ML initiatives in the categories addressed by the NASSS framework, specifically including meaningful decision support, explainability, privacy, consent, algorithmic bias, security, scalability, the role of corporations, and the changing nature of health care work.

RESULTS

Ultimately, we suggest that the future of ML in health care remains positive but uncertain, as support from patients, the public, and a wide range of health care stakeholders is necessary to enable its meaningful implementation.

CONCLUSIONS

If the implementation science community is to facilitate the adoption of ML in ways that stand to generate widespread benefits, the issues raised in this paper will require substantial attention in the coming years.
Trading in Air Bangis in the 19th Century
Authors: Junaidi Junaidi , Ratna Ratna
Published: February 2019

This study aims to explain trading activities at the Air Bangis harbor during the Dutch Colonial Government. Since the early 19th century, the Dutch Colonial Government had been more ambitious than before to utilize as much forest and agricultural products as possible in the hinterland of the West Coast of Sumatra. This intention was also supported by the improvement of the functions of harbor cities along the West Coast of Sumatra, including Air Bangis. The improvement per se had allowed a small-scale trade to be upgraded to export-oriented free harbors. The high level of trading activity in the Air Bangis harbor was made possible by its hinterland which is rich in export commodities. Among the types of the export commodities were gold, camphor, myrrh, rattan, dammar, coffee and pepper. The Air Bangis harbor had a role in lifting the spirits of the foreign nations, such as Aceh, VOC, English, and the Dutch Colonial Government, to build their influences in the harbor. The competition often caused friction which resulted in a conflict and power overtaking. The winners would take over the power from the losers, established their hegemony and monopolized the trade in the area of Air Bangis. The prosperity of the maritime activities in Air Bangis reached its peak in the first quarter of the 19th century, but it did not last long. In the last quarter of the 19th century, maritime activities in Air Bangis harbor started to decline. Nevertheless, sea voyage and trading activities in Air Bangis harbor had given a specific color to the maritime world in the West Sumatera Coast.
Innatist and Interactionist Learning Approaches of Elementary School Students’ Language Acquisition
Authors: Mulyani Petra Kristi
Published: February 2019

Language acquisition starts in childhood. Oral language is the initial language to learn. Within it, lies norms to make language functional. Children start to function the language through communication. Communication provides an identity that shapes them into different settings. As language acquisition is unique and individual, experts have been studying to interpret it. There are at least three theorists of language acquisition. They are a behaviorist, innatist, and interactionist. Experts are debating on which theory provides the most appropriate approaches for the students. The discussion will compare innatist and interactionist approaches to the students’ first and second language acquisition. It describes how the educational program would be like when using innatist and interactionist learning approaches. There are also critiques on innatist and interactionist approaches. A suggestion is provided to strategically integrate both approaches to understand language acquisition process in both first and second language students.
Ideological Struggles and Identity Construction within the Politics of French Linguistics in Indonesia
Authors: Andriani Merry , Udasmoro Wening , Suhandano Suhandano
Published: February 2019

This article aims to analyse the ideological struggles reflected in the identity construction of French-language users in Indonesia. Using a critical sociolinguistic approach, it examines how Indonesians users, with their ideologies, adapt or adopt the French language and culture, as well as the different patterns and models they use to do so. The informants of this research consist of 9 students in deep interviews, 60 students in class observation, and 15 lecturers at 12 Indonesian universities who have taught the French language and culture for at least two years. Data from the interviews is compared to French instruction books and media discourses using intertextuality and interdiscursivity analysis. This research identifies three models used by French users in Indonesia: to adopt French language and culture, to adapt it, or to abstain from the reproduction of both. Users of the first model completely adopt all aspects of French culture, including in their consumption and style. Meanwhile, users of the second model tend to select and accept only those aspects considered positive within their own value system. Those using the final model tend to ignore many aspects of French culture and language.