bluuebunny/crossref_metadata_2025 huggingface dataset:
La transformación espacial de las iglesias católicas en la segunda mitad del siglo XX en México
Authors: Santa-Ana Lozada Lucía , Santa-Ana Lozada Perla
Published: May 2019

A lo largo de la segunda mitad del s. XX, los arquitectos mexicanos —aún antes de la clausura del Concilio Vaticano II— buscan una nueva expresión para las obras eclesiásticas que se están realizando en el país. Gracias a nuevos materiales y tecnologías constructivas —como el uso de superficies regladas—, se construyen obras con una nueva expresión plástica y que, al mismo tiempo, permiten el desarrollo litúrgico establecido por el concilio. Un ejemplo de la adaptación a estos lineamientos es la iglesia de la Santa Cruz del Pedregal, en donde el arquitecto Antonio Attolini Lack transforma un proyecto planteado a la antigua usanza en un templo contemporáneo.
El espacio sagrado después del Concilio Vaticano II
Authors: León Alvarado Leticia Selene
Published: May 2019

En el tema de arquitectura religiosa del siglo XX, el Concilio Vaticano II provocó una mayor producción de trabajos, investigaciones y reflexiones sobre cómo se adaptó el espacio arquitectónico a sus preceptos.Sin embargo, en lo referente a los casos de estudio, la balanza se ha inclinado hacia los templos que responden favorablemente a dichos preceptos, que surgen de una profunda reflexión teórica y simbólica, o proyectados por algunos arquitectos e ingenieros de prestigio. No obstante, en una realidad nacional, estos casos son los menos y el cumplimiento de los preceptos no tan favorecedor.Ante este panorama y en el entendido de los distintos tipos de personajes que toman decisiones de diseño en la materialización del templo, se propone la necesidad imperiosa de elaborar un documento que contenga algunas directrices de diseño que sean generales y flexibles para que pueda adaptarse a las distintas particularidades de cada sitio.
¿Trascendiendo la arquitectura o arquitectura trascendente?
Authors: Bermúdez Julio
Published: May 2019

En esta ponencia se consideran las oportunidades y riesgos de obras arquitectónicas que buscan la trascendencia. Tras una corta discusión sobre cómo lograr la trascendencia a través de un acercamiento ético o estético de la arquitectura, la conversación es dirigida hacia la ambigüedad del término trascender. Esto permite una reflexión sutil y profunda al hacer que nos preguntemos: ¿qué o quién está realizando la trascendencia?; y exactamente, ¿qué es lo que está siendo trascendido? Quizá esta vaguedad no sea sólo algo semántico, sino que se apoye en la realidad (al menos fenomenológica) de las experiencias arquitectónicas trascendentes. Ciertamente, esta línea de estudio prohibe toda conclusión, asegura la humildad y nos anima a encontrar nuevas interpretaciones, incluso de las ya interpretadas. La presente comunicación es una reelaboración del capítulo introductorio al libro Transcending Architecture. Contemporary Views on Sacred Space, editado por el autor y publicado por la CUA Press (Washington DC, 2015).
Las nuevas construcciones religiosas y el Concilio Vaticano II
Authors: Chávez de la Mora Fray Gabriel
Published: May 2019

El presente texto ofrece algunos principios y criterios para la realización de las nuevas construcciones que deberán cobijar las actividades de la Iglesia Católica. Hay una enorme variedad de construcciones que necesita la Iglesia, desde catedrales hasta cementerios. Para los fines del presente análisis, me centraré en el tema de una parroquia urbana. Considero que el centro parroquial podría considerarse como un centro de promoción humana integral, puesto que toma en cuenta todas las actividades del hombre considerado de forma integral: «cuerpo, alma y espíritu», como propone san Pablo en 1Tes 5:23. El tratamiento del tema, lógicamente, exige un enfoque tanto religioso como arquitectónico. Por lo tanto, el análisis está estructurado a partir de la metodología del arquitecto; pero cada paso de esta metodología se fundamenta en la visión de fe que origina y alienta la construcción de cualquier centro parroquial.
Transnational Spaces of Identity Recognition in Jhumpa Lahiri’s "Interpreter of Maladies"
Authors: Escobar Sevilla Jesús
Published: May 2019

The object of this study is to explore the relation between identity and space in Jhumpa Lahiri’s collection of short stories Interpreter of Maladies (1999). I will gauge how subjects adjust to their environments and to which means they resort to conserve, negate meaning. It appears that through the perusal of border consciousness subjects negotiate their identities, which leads them to understand the Other and, by extension, themselves. In fact, as the sense of belonging operates on the multi-layered and deterritorialised location of home, I will thus illustrate that whilst some subjects are hindered by forces of dislocation, cultural hybridity, others reassert a sense of transnational belonging in a third space. I shall include an introductory note on the theoretical framework and a section on food adding to the more detailed literature discussion of identity negotiation at stake.
AVALIAÇÃO DA QUALIDADE DE SEDIMENTOS FLUVIAIS NO ENTORNO DA MINA DE URÂNIO DE CALDAS
Authors: Oliveira Priscila Emerenciana da Silva de , Carvalho Filho Carlos Alberto de , Moreira Rubens Martins , Ramos Maria Eduarda Alves Ferreira , Silva Nivaldo Carlos da
Published: May 2019

Uma avaliação da qualidade dos sedimentos fluviais foi realizada no entorno da mina de urânio de Caldas (Minas Gerais). O objetivo do trabalho foi verificar se os sedimentos em corpos d’água a jusante da mina foram impactados por efluentes oriundos da pilha de rejeitos ou bota-fora 4 (BF4) e da Barragem de Rejeitos (BR). Doze estações de amostragem foram estabelecidas: uma no interior da bacia que recebe efluentes do BF4, e outra na que recebe os efluentes da BR; as demais estão situadas a montante (quatro) e jusante (seis) da Mina. Foram realizadas quatro campanhas de amostragem entre 2010 e 2011. As amostras foram analisadas para metais, metalóides e radionuclídeos, por meio de espectrometria de massa por plasma indutivamente acoplado (ICP-MS), espectrometria de emissão atômica por plasma indutivamente acoplado (ICP-AES), espectroscopia ultravioleta-visível (UV-Vis) e espectrometria de radiação gama. Os resultados sugerem que os efluentes oriundos do BF4 e da BR estariam causando, nos sedimentos a jusante, incrementos nas concentrações de As, B, Ba, Mn, Mo, Pb, Zn, 238U, 226Ra, 210Pb e 228Ra. Considerando a classificação de qualidade de sedimentos, proposta pela Companhia Ambiental do Estado de São Paulo (CETESB), os elementos As, Pb e Zn foram os mais críticos do ponto de vista ambiental, responsáveis por sedimentos com classe de qualidade REGULAR e RUIM. Todos os radionuclídeos analisados apresentaram atividades abaixo dos níveis nos quais são esperados efeitos nocivos sobre organismos que vivem nos sedimentos em água doce. Recomenda-se a elaboração de um plano de remediação ambiental para as áreas impactadas em função de interferências causadas pela mina.

Palavras Chave: Avaliação da qualidade de sedimentos; mina de urânio; drenagem ácida de minas; barragem de rejeito
‘SILAT OLAHRAGA’ MODULE FRAMEWORK FOR PRIMARY SCHOOL TOWARD STUDENTS COMPETENCY IN SILAT
Authors: Puddin Azli , Ibrahim Badaruddin
Published: May 2019

Purpose of Study: Silat is one of the primary school co-curricular activities. This co-curricular activity is informal in nature and learned outside school hours. Normally these silat activities are taught by the association of silat which is within the confines of the community. In this regard, the syllabus taught is non-standard because it could not assess the level of competency of students for their psychomotor, cognitive and affective domain.

Methodology: This study is to establish a curriculum module silatolahraga in primary school by using development curriculum (DACUM) approach

Results: This study developed a curriculum module that can be used in primary school that capable of measuring student competency in ‘silatolahraga’.

Implications/Applications: The formation of this module considered the establishment of effective content and meeting the competency of primary school students mainly in terms of psychomotor, affective and cognitive.
INTEGRATING LEARNING THROUGH CHILDREN GAME: "GALAH ASIN", ONE PLAY, SEVERAL DISCIPLINES
Authors: Amalia Nur
Published: May 2019

Purpose of Study: Indonesia, with it's multi-culture and multi-ethnic, has many varieties of the traditional game for children. However, it is quite rare to find primary teachers adopting those games for students learning. Most primary teachers encounter creativity and professional challenges in embracing traditional games as a student-oriented pedagogy. Therefore, this paper discusses the possible implementation of traditional games in primary learning. Specifically, it focuses on GalahAsin as game-based primary teaching and learning. This research further investigates the integration of various primary subjects into GalahAsin through trials and simulations. Six groups of students of PGSD UniversitasMuhammadiyah Surakarta participated in an in-depth qualitative study that investigated their understanding of GalahAsin, S.W.O.T analysis of the game, and the making processes in implementing it into primary learning.

Methodology: The research gathered students’ framing and reframing of game’s modification, presentation, simulation and reflection through discussions and class observations. The findings discover the possible model of integrated learning incorporating GalahAsin. The structure of the game enables students to modify it into extensive puzzle-based learning models.

Results: The findings demonstrate how the integration of GalahAsin into primary teaching has boundless potential to become holistic learning.

Implications/Applications: In recent years, active, meaningful and fun learning has magnetized researchers to consider it as a subject area of importance in primary education. In this investigation, we also interested in how the pedagogical gap between two fields of education might be addressed so that the content knowledge is able to be aligned with active, meaningful and fun learning through traditional game-based teaching model.
RATIO ANALYSIS OF FINANCIAL PERFORMANCE OF COMPANIESL Q45 INDEX LISTED
Authors: Wulan Sari Dian
Published: May 2019

Purpose of Study: This study was conducted with the aim to examine the effect of CR, DAR, DER, ROE, GPM, OPM, and NPM simultaneously to financial performance (ROA) and the effect of CR, DAR, DER, ROE, GPM, OPM, and NPM partially toward financial performance (ROA). Methodology: The sample of companies used in this study as many as 16 companies from 45 companies listed in the LQ45 Index period 2012-2016 with Purposive Sampling Technique. The independent variables used are Current Ratio (CR), Debt to Assets Ratio (DAR), Return on Equity (ROE), Gross Profit Margin (GPM), Operating Profit Margin (OPM), and Net Profit Margin (NPM) while the dependent variable is Return on Assets (ROA) as an indicator of Financial Performance. The analysis used in this research is the Multiple Regression Analysis. Results: The results show that CR, DAR, DER, ROE, GPM, OPM, and NPM have an effect toward ROA; CR, DAR, DER have no significant partial effect on ROA; and ROE, GPM, OPM, NPM have a partially significant effect on ROA. Implications/Applications: Regression test results ROE, GPM, OPM, and NPM partially indicate that the independent variables studied have a significant influence on ROA.
Confecção e tentativa de inserção da luva terapêutica em contexto hospitalar: relato de caso
Authors: Corrêa Fabiana Silva Alves , Zanni Karina Piccin , Tosta Luana Rodrigues Oliveira
Published: May 2019

O objetivo deste estudo é apresentar a construção, experiência e tentativa de inserção do recurso da luva terapêutica em contexto hospitalar com recém nascido pré-termo. Trata-se da descrição de uma experiência desenvolvida em contexto hospitalar, no período de abril a dezembro do ano de 2016. A narrativa tem o enfoque de descrever o início dos testes das luvas com os recém nascido pré-termo, destacando os resultados iniciais em um hospital publico. A luva terapêutica é um dispositivo de posicionamento que, aliado ao aroma materno, tem seu efeito terapêutico potencializado. Nos testes inicias desta experiência, foi possível observar a mudança comportamental do bebê após se aconchegar na luva terapêutica, mesmo sem a introdução do aroma materno, bem como a diversidade de posicionamentos presumíveis com o uso da luva terapêutica. Por sua vez, verificou-se dificuldade de inserção de novas alternativas terapêuticas em contexto hospitalar.
Sífilis congênita: características epidemiológicas do binômio mãe/filho atendidos em um hospital público de ensino
Authors: Nasciutti Lorena Araújo , Vasconcelos Rayana Beatriz Silva de , Rocha Bruna Batista Oliveira , Contim Divanice , Amaral Jesislei Bonolo do
Published: May 2019

O presente estudo teve como objetivo identificar os casos de Sífilis Congênita e caracterizar as mães e os recém-nascidos no período de janeiro de 2010 a dezembro de 2015, realizado em 2016. Estudo descritivo, retrospectivo, com dados do Núcleo de Vigilância Epidemiológica do Hospital de Clínicas da Universidade Federal do Triângulo Mineiro de Uberaba-MG. Identificou-se 70 casos de sífilis congênita. As mães com idade entre 20 a 29 anos (51,3%), com baixa escolaridade (48,6%), solteiras (48,6%), diagnosticadas no pré-natal (70%), sendo o tratamento inadequado ou inexistente (80%). Os recém-nascidos eram do sexo masculino (54,3%), com idade gestacional média de 37 semanas, eram sintomáticos (51,4%), foram tratados (97,3%) e receberam alta hospitalar (95,4%). O número de casos elevou-se de 5,7% em 2010 para 58,6% em 2014. Os achados desse estudo são relevantes à medida que evidencia um aumento significante de casos de sífilis congênita, alta taxa de tratamento inadequado das gestantes e não adesão do parceiro ao mesmo, em especial por déficit na atenção primária à saúde.
Cuidado de enfermagem na ótica das gestantes de alto risco
Authors: Ferreira Samuel Vareira , Soares Marilu Correa , Cecagno Susana , Alves Camila Neumaier , Soares Tatiane Machado , Braga Luiza Rocha
Published: May 2019

O presente estudo tem como objetivo conhecer a percepção das gestantes de alto risco quanto à assistência de enfermagem de um hospital de ensino. Trata-se de um estudo qualitativo e descritivo realizado  em novembro de 2016 por meio de entrevista semiestruturada, individual e gravada com nove mulheres internadas, cuja análise foi realiza conforme proposta operativa de Minayo. Os dados foram agrupados em duas categorias: assistência de enfermagem na visão de mulheres que vivenciam a gestação de alto risco; e, sentimentos vivenciados pelas gestantes de alto risco. Os resultados apontam para a importância dos profissionais de enfermagem na assistência às gestantes, por proporcionarem apoio e atenção a suas demandas. A assistência de enfermagem neste hospital mostrou-se satisfatória diante do conceito daquelas gestantes, sendo percebido como de qualidade e humanizado, proporcionando respeito e a valorização diante das necessidades emanadas na internação.
Prevalência de lombalgia e fatores associados em profissionais de enfermagem
Authors: Ribeiro Camilla Rivera , Meneguci Joilson , Garcia-Meneguci Cíntia Aparecida
Published: May 2019

O objetivo do estudo foi verificar a prevalência de lombalgia e fatores associados em profissionais de enfermagem. Estudo transversal, envolvendo 81 profissionais da equipe de enfermagem do Hospital Regional Antônio Dias, Patos de Minas-MG, de maio a agosto de 2017, avaliados por meio de questionários sociodemográfico, de condições de trabalho e de saúde, Questionário Nórdico de Sintomas Osteomusculares, Questionário de Incapacidade Roland Morris e Questionário Internacional de Atividade Física (versão curta). Utilizou-se teste de Qui-quadrado de Pearson, p ≤ 0,05. A idade média dos profissionais foi de 39,8±8,8 anos, sendo encontrada prevalência de lombalgia em 71,6%. Quando analisada a associação das condições de saúde e trabalho em relação a lombalgia, não foram encontradas diferenças significativas. Dos profissionais com lombalgia, 62,1% eram insuficientemente ativos (p<0,001) e 34,5% despendiam ≥445,00 min/dia em comportamento sedentário. Sugere-se criar estratégias para aumentar o nível de atividade física e diminuir o comportamento sedentário nesta população.
Study on the Synthesis and Characterization of Antibacterial Polystyrenes
Authors: ACİK Gokhan
Published: May 2019

In the present work,
a series of quaternized antibacterial polystyrenes (Anti-PSts) with various
molecular weights are synthesized and characterized. Initially, ω-bromo end functional
polystyrenes with different molecular
weights (PSt-Br-1, PSt-Br-2 and PSt-Br-2) are synthesized by atom transfer
radical polymerization (ATRP). Then, the ω–bromo functionalities of obtained PSt-Brs
are reacted with trimethylamine (TEA) to achieve corresponding antibacterial
properties. PSt-Brs and Anti-PSts produced are structurally characterized by Fourier
transform infrared spectroscopy (FT-IR), proton nuclear magnetic resonance
spectroscopy (1H-NMR), and gel permeation chromatography (GPC) at
various stages. Glass transition temperatures (Tg) of PSt-Brs and Anti-PSts are determined by differential
scanning calorimetry (DSC) analysis. Water contact angle measurement (WCA) is
employed for the wettability characterization studies of Anti-PSts. In addition,
antibacterial activity of final products against to Gram-positive (Staphylococcus aureus) and Gram-negative
(Escherichia coli) bacteria is elucidated
in terms of molecular weight and quaternization reaction time.
A Strategy to Eliminate Instantaneous Active Power Oscillations and Reduce High Currents in the DFIG During Asymmetric Voltage Sags
Authors: Dantas Joacillo L. , Lima Francisco K. de A. , Silva Paulo H. P. , Fonseca Jean M. L. , Branco Carlos G. C.
Published: May 2019

Wind turbines are widespread around the globe, and the number of windfarms connected to the grid is continually increasing. The Doubly-Fed Induction Generator (DFIG) plays an important role, since it is one of the most used configurations for wind power generation. DFIG-based wind plants, however, are very sensitive to grid disturbances, specially to voltage sags, as these machines have their stator circuit directly connected to the grid. Voltage sags can result in oscillations in active power, torque and DC link voltage, as well as damage the machine and the back-to-back converter due to high currents that arise in such type of contingency. This work proposes a control strategy applied to the rotor-side converter (RSC) of the DFIG, in order to protect the machine and the back-to-back converter during voltage sags. The aim of the control strategy is to reduce the machine currents and also to remove the oscillating active power caused by unbalanced voltage sags.
Unfair practices in the insurance market: describing unfair clauses
Authors: Wieteska Stanisław
Published: May 2019

In a market economy, the protection of consumer rights is an extremely important issue. This also applies to the insurance market where these issues are generally understood as ones related to the conclusion and execution of insurance contracts. The insured person is exposed to many dangers, being the weaker party in the insurance market, since insurance companies, as professionals, can easily impose convenient transaction terms. The article aims to identify market practices including unfair terms imposed by insurance companies. It provides examples of such unfair terms and conditions in the form of so-called abusive clauses in insurance contracts and points to the consequences of their use.
PROFITABILITY AND LEVERAGE, AND THE IMPLICATION ON THE DIVIDEND POLICY OF JAKARTA ISLAMIC INDEX
Authors: Dewantara Anaz Bima , Siswanto Siswanto , Rizqi Achmad Maulana
Published: May 2019

The aim of this study is to analyze the influence of leverage and profitability to dividend policy reinforced by liquidity and cash adequacy. Liquidity and cash sufficiency was assumed as moderation variable. This research used moderated regression analysis. Data obtained from secondary data that is company's financial report registered at Jakarta Islamic Index in period 2012-2016. The results show that profitability and leverage had no effect on dividend policy. Otherwise, liquidity is not able to moderate profitability and leverage to dividend policy. Therefore, cash variable and cash equivalents variable are able to moderate the relationship between ROA and dividend policy, but those can’t moderate ROE, DER, and DAR to dividend policy.
ANALISIS KEPEMILIKAN INSTITUSIONAL, RETURN ON EQUITY (ROE), DEBT TO EQUITY RASIO (DER), DAN UKURAN PERUSAHAAN TERHADAP NILAI PERUSAHAAN PADA SAHAM PERUSAHAAN SEKTOR PROPERTI PERIODE TAHUN 2013-2017
Authors: Arrafi Muhamad Faiz
Published: May 2019

This research was conducted to analyze the effect of institutional ownership, profitability, capital structure, and firm size on firm value. The data used in this study were obtained from the financial statements of property and real estate companies listed in the Indonesian Syariah Stock Index (ISSI) in 2013-2017. This study uses panel data analysis. The results of the study show that simultaneously institutional ownership, profitability, capital structure and firm size variables have a positive effect on firm value. While partially institutional ownership and profitability variables have a significant positive effect on firm value. Capital structure has a negative and significant effect on firm value. While the variable size of the company does not affect the value of the company.
On the improvement of computational accuracy during the construction of transportation lines
Authors: Indeykin Andrey , Kuranova Olga , Chernykh Andrey , Chanturiya Georgiy
Published: May 2019

Objective: To obtain analytic dependences for proﬁle cubage volume calculation of subgrades (side hill ﬁlls), ditch cuts (side hill cuts), as well as borrow pits, soil banks, drainage ditches and other structures. Methods: Integral calculus and stereometry was applied. Results: New analytic dependencies for proﬁle cubage volume calculation of subgrades (side hill ﬁlls), ditch cuts (side hill cuts), borrow pits, soil banks and drainage ditches were deducted. Relative errors of calculating the given proﬁle cubage volume were determined in comparison with conventional methods for calculating the values in question. Mathematical demonstration of the given analytic dependencies, as well as the analysis of the latter was carried out. Practical importance: Computational accuracy of proﬁle cubage volume of subgrades (side hill ﬁlls), ditch cuts (side hill cuts), borrow pits, soil banks and drainage ditches may be improved based on the examined dependencies. Research results may be applied in the design of information systems. The latter promptly implement the introduced analytic dependencies of more effective calculation indices and test planning of large earthwork volumes.
The specificities of power loss calculation in electric traction network with allowance for movement of power consuming devices
Authors: Agunov Alexander , Varentsov Valeriy , Sokolov Denis
Published: May 2019

Summary Objective: To study the speciﬁcities of average currents and power loss calculation in electric traction networks in conditions of constantly changing load. Methods: Probabilistic methods of calculation were applied. Results: Occurrence probability of a certain number of trains in an inter-substation zone was calculated on the basis of train schedule analysis. Calculations of currents and power loss in different elements of a traction energy system with a ﬁxed number of trains in an inter-substation zone were given. It was found that the obtained values of currents and power loss correspond with their occurrence probability depending on the number of trains in an inter-substation zone. For reasons given, a conclusion was made that average values of currents and power loss in traction network elements may be considered as expectation values. Due to the presence of trains with different weight in an inter-substation zone, the method of reducing the currents of these trains to averaged values based on occurrence probabilities of the currents in question was shown for trains with relevant weight range as well as their expectation values. Practical importance: Due to constant electric traction load displacement in an inter-substation zone, and uneven current consumption as well as the presence of a different number of trains, the conducted calculations based on probabilistic methods are the most applicable for determination of energy consumption and power loss in traction energy systems.
Increasing the efficiency of series D49 diesel engines by transfer to gas engine fuel
Authors: Muratov Alexey , Balakin Andrey , Bardin Denis , Tselikovskaya Valentina , Kurmanova Leyla
Published: May 2019

Objective: Studying the effect of diesel locomotives on the use of natural gas as motor fuel. Identification of the main advantages of using natural gas in internal combustion engines. Analysis of the effect of gas engine fuel on the performance of diesel locomotive power plants. Methods: Simulation of the working process of two engines: the first – on diesel fuel, the second – on the gas mixture. Adjustment of the mathematical model according to the real parameters of 1А-5Д49-2 diesel engine, taken during the rheostat tests of 2ТЭ116 diesel locomotive. Conducting calculation and experimental studies to assess the effect of the complete replacement of diesel fuel with natural gas on the operation of the locomotive power plant; accumulation of computational and experimental data, their systematization and statistical analysis. Theoretical dependences of the change in the specific effective fuel consumption of a diesel engine operating on natural gas through the gas cycle on the position of the driver’s controller, as well as dependences of the change in the effective performance of a diesel engine have been discussed. The calculated values are compared for the diesel engine operating on natural gas and the diesel engine operating on diesel fuel. Results: The calculated dependencies of the performance of Series 1А-5Д49-2 (16ЧН26/26) diesel engine of 2ТЭ116 diesel locomotive with the use of gas engine fuel have been obtained. The obtained data has been analyzed allowing carrying out theoretical estimation of efficiency of natural gas used as gas engine fuel throughout the entire operating range of 1А-5Д49-2 (16ЧН26/26) diesel engine of 2ТЭ116 diesel locomotive. A conclusion was confirmed about the expediency and efficiency of using natural gas in railway transport, particularly diesel locomotives. The influence of replacement of diesel fuel with natural gas on the performance indicators of diesel locomotives has been determined. Practical importance: The obtained dependencies will help in forecasting and in the theoretical evaluation of the feasibility of using natural gas as a motor fuel for locomotive power plants.
QuantiFERON-TB Gold Versus Tuberculin Screening and Care Retention Among Persons Experiencing Homelessness: Georgia, 2015–2017
Authors: Collins Jeffrey M. , Onwubiko Udodirim , Holland David P.
Published: May 2019

Objectives. To characterize the cascade of care for latent tuberculosis infection (LTBI) in persons experiencing homelessness (PEH) and evaluate the effect of screening by QuantiFERON-TB Gold (QFT) versus tuberculin skin test (TST).

Methods. We performed a retrospective cohort study of all PEH screened for LTBI by QFT and TST from May 2015 to April 2017 in Fulton County, Georgia.

Results. There were 3504 PEH screened by QFT and 5509 by TST, with 2925 TSTs administered on site at community shelters and 2584 at the health department. More valid test results were obtained in those screened by QFT (99.0% vs 69.0%; P < .001) because of low return rates for reading in both TST arms. For tests administered on site, testing by QFT versus TST improved retention in care with significantly more estimated LTBI cases following up for a medical examination (67.8% vs 51.0%; P < .001) and starting LTBI treatment (58.4% vs 39.8%; P < .001).

Conclusions. A QFT-based screening strategy in PEH improved diagnosis and retention in care for new LTBI cases compared with TST and may be an effective strategy to limit progression to active tuberculosis.
Impact of Health Aid Investments on Public Opinion of the United States: Analysis of Global Attitude Surveys From 45 Countries, 2002–2016
Authors: Jakubowski Aleksandra , Mai Don , Asch Steven M. , Bendavid Eran
Published: May 2019

Objectives. To assess whether increasing health aid investments affected public opinion of the United States in recipient populations.

Methods. We linked health aid data from the United States to nationally representative opinion poll surveys from 45 countries conducted between 2002 and 2016. We exploited the abrupt and substantial increase in health aid when the US President’s Emergency Plan for AIDS Relief (PEPFAR) and President’s Malaria Initiative (PMI) were launched to assess unique changes in opinions of the United States following program onset. We also ascertained increased exposure to health aid from the United States by systematically searching for mentions of US health aid programs in popular press.

Results. Favorability ratings of the United States increased within countries in proportion to health aid and were significantly higher after implementation of PEPFAR and PMI. Higher US health aid was associated with more references to that aid in the popular press.

Conclusions. Our study was the first, to our knowledge, to show that US investments in health aid improved the United States’ image abroad.

Public Health Implications. Sustained global health investments may offer important returns to the United States as well as to the recipient populations.
Preoperative Radiographic Osteoarthritis Severity Modifies the Effect of Preoperative Pain on Pain/Function After Total Knee Arthroplasty
Authors: van de Water Ricky B. , Leichtenberg Claudia S. , Nelissen Rob G.H.H. , Kroon Herman M. , Kaptijn Herman H. , Onstenk Ron , Verdegaal Suzan H.M. , Vliet Vlieland Thea P.M. , Gademan Maaike G.J. ,   on behalf of the Longitudinal Leiden Orthopaedics Outcomes of Osteoarthritis Study (LOAS) Group
Published: May 2019

Background:

Osteoarthritis (OA) severity as demonstrated by preoperative radiographs and preoperative pain play an important role in the indication for total knee arthroplasty (TKA). We investigated whether preoperative radiographic evidence of OA severity modified the effect of preoperative self-reported pain on postoperative pain and function 1 and 2 years after TKA for OA.

Methods:

Data from the Longitudinal Leiden Orthopaedics Outcomes of Osteoarthritis Study (LOAS), a multicenter cohort study on outcomes after TKA, were used. OA severity was assessed radiographically with the Kellgren and Lawrence (KL) score (range, 0 to 4). Pain and function were evaluated with the Knee injury and Osteoarthritis Outcome Score (KOOS). After adjustment for body mass index (BMI), age, sex, and the Mental Component Summary scores from the Short Form-12, multivariate linear regression analyses with an interaction term between the preoperative KL score and preoperative pain were performed.

Results:

The study included 559 patients. The preoperative KL score was independently associated with 1-year postoperative pain and function (β = 5.4, 95% confidence interval [CI] = 1.4 to 9.4, and β = 7.7, 95% CI = 3.2 to 12.2), while preoperative pain was associated only with postoperative pain (β = 0.3, 95% CI = 0.1 to 0.6) and not with postoperative function (β = 0.2, 95% CI = −0.2 to 0.5). Comparable associations were found between 2-year postoperative pain and KL score (β = 8.0, 95% CI = 3.2 to 12.7) and preoperative pain (β = 0.5, 95% CI = 0.1 to 0.8) and between 2-year postoperative function and KL score (β = 7.7, 95% CI = 3.2 to 12.2). The study showed a trend toward the KL score modifying the effect of preoperative pain on 1-year postoperative pain (β = −0.1, 95% CI = −0.1 to 0.0) and 2-year postoperative pain (β = −0.1, 95% CI = −0.2 to 0.0) and on 1 and 2-year function (β = −0.1, 95% CI = −0.2 to 0.0 for both), with the effect of preoperative pain on postoperative pain and function seeming to become less important when there was radiographic evidence of greater preoperative OA severity.

Conclusions:

Patients with less pain and higher KL grades preoperatively had better function and pain outcomes 1 and 2 years after TKA. However, the effect of preoperative pain on the postoperative outcomes seems to become less important when the patient has radiographic evidence of more severe OA. We believe that analysis of the severity of preoperative pain is an important proxy for optimal postoperative patient outcome.

Level of Evidence:

Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
The Feasibility of a Randomized Controlled Trial for Open Tibial Fractures at a Regional Hospital in Uganda
Authors: Kisitu Daniel K. , Stockton David J. , O’Hara Nathan N. , Slobogean Gerard P. , Howe Andrea L. , Marinos Dimitrius , Peck Connor , Blachut Piotr A. , O’Brien Peter J.
Published: May 2019

Background:

The inclusion of low and middle-income country (LMIC) hospitals in multicenter orthopaedic trials expands the pool of eligible patients and improves the external validity of the evidence. Furthermore, promoting studies in LMIC hospitals defines the optimal treatments for low-resource settings, the conditions under which the majority of musculoskeletal injuries are treated. The objective of this study was to determine the feasibility of a randomized controlled trial comparing external fixation with intramedullary (IM) nailing in patients with an isolated open tibial fracture who presented to a regional hospital in Uganda.

Methods:

From July 2016 to July 2017, skeletally mature patients who presented to a Ugandan regional hospital with an isolated Gustilo-Anderson type-II or IIIA open fracture of the tibial shaft were eligible for inclusion. The primary feasibility outcomes were the enrollment rate, the recruitment rate, and the 3 and 12-month follow-up rates. The secondary outcomes included a comparison of 3 and 12-month follow-up rates between the treatment arms and a qualitative assessment of barriers to enrollment, timely treatment, and missed follow-up.

Results:

During the 12-month enrollment period, 37.5% (30 of 80) of eligible patients were successfully enrolled and operatively treated on the basis of their random allocation, with an enrollment rate of 2.5 patients per month. Of the 30 enrolled patients, 53% completed their 3-month follow-up appointment, and 40% completed their 1-year follow-up appointment. Rates of 1-year follow-up were significantly higher for patients receiving IM nails than for those receiving external fixation (absolute difference, 52%; 95% confidence interval [CI], 21 to 83, p < 0.01). The main reasons that patients declined to participate in the trial were preferences for treatment by traditional bonesetters and prehospital delays that were related to a disorganized referral system. Barriers to follow-up included prohibitive transportation costs and community pressure to turn to traditional forms of treatment.

Conclusions:

A regional hospital in Uganda can successfully enroll, randomize, and operatively treat multiple patients with an open tibial fracture each month. Patient follow-up presents substantial concerns over trial feasibility in this setting. Cultural pressure to utilize traditional treatments remains a particularly common barrier to study-participant enrollment and retention.
Markers for Malnutrition and BMI Status in Total Joint Arthroplasty and Pharmaconutrient Therapy
Authors: Sayeed Zain , Anoushiravani Afshin A. , Simha Siddartha , Padela Muhammad Talha , Schafer Patrick , Awad Mohamed E. , Darwiche Hussein F. , Saleh Khaled J.
Published: May 2019

» Evaluating the nutritional status of an orthopaedic patient prior to total joint arthroplasty can offer insight into potential postoperative outcomes.

» Laboratory values, such as total lymphocyte count, serum albumin, and serum prealbumin, anthropometric measurements, and screening tools are all important resources in assessing nutritional status.

» Using body mass index (BMI) in conjunction with laboratory values and other resources to adequately assess nutritional status can be effective in predicting outcomes after total joint arthroplasty.
Developing Social Media-Based Textbook for Speaking Class in English Study Program
Authors: Marleni Lusi , Asilestari Putri
Published: May 2019

Lack of reference, guidelines, facilities, time and place of practice English become the problems of this research. This study aims to develop textbook based on social media which is used in Speaking Class at English Study Program. The research adapted some steps of the development by Ploomp which included Need Analysis, Self-Evaluation, Expert Review, Small Group Evaluation, Field Test, and assessment phase. The product of this research is a textbook which consisted of fourteen chapters. Each chapter applied speaking activities through social media. The materials written based on social media and taught by using social media included; Facebook, Whatsapp, Instagram, and Youtube. The textbook is developed and implemented based on social media in accordance with the competency standards set in the curriculum of department. The training materials and activities by using social media strongly guide students to practice English and provide a different atmosphere in the learning process.
An Analysis of English Textbook Entitled "Bahasa Inggris SMA/MA SMK/MAK Kelas X"
Authors: Tyas Peptia Asrining , Safitri Mega
Published: May 2019

A textbook plays an important factor in teaching and learning processes. Thus, this study attempted to analyze an English textbook entitled Bahasa Inggris Bahasa Inggris SMA/MA SMK/MAK Kelas X which is used by almost teachers in secondary level education. This study used qualitative study by using Biocchi’s (2000) coursebook evaluation and interview which was adopted open-ended questions from Biocchi’s (2000) coursebook evaluation. The analysis encircled the contents, grammar, levels of the material, kind of the materials, and the methodology used in the textbook. The results revealed that this textbook was well designed and encouraged students’ autonomy to learn and use the language. Besides, this textbook achieved Biocchi’s (2000) coursebook evaluation (contents, grammar focus, level, material, and methodology) well. Although this book is good enough, there is a weakness; it is not provided by CD for listening activity, so the teachers have to find and create their own audio.
Exploring the Manifestation of Critical Thinking in the Moroccan Textbooks of English: The Case of "Ticket 2 English"
Authors: Jebbour Mohsine
Published: May 2019

The purpose of this study was to explore whether Ticket 2 English, a Moroccan textbook of English, includes elements of critical thinking, which refers to the skill and disposition to select, collect, analyze, and evaluate information effectively. Descriptive analysis was employed to document instructions and activities that support the inclusion of critical thinking (CT) elements in the textbook. Results suggest that Ticket 2 English includes most of the skills found in Bloom’s taxonomy, important critical thinking dispositions, and some activities for teaching critical thinking. Yet, textbook designers need to supplement textbooks of English with additional activities, and high school teachers of English need to implement new teaching materials and practices to help enhance students’ level of critical thinking.
The Effect of Video in Teaching Writing Skill across Different Personality
Authors: Faridha Noor
Published: May 2019

This research aims to investigate: firstly, whether there is the effect of videos as the authentic materials on the student’s achievement writing recount paragraph between two groups. Secondly, conducted to know whether there is different in the achievement writing recount paragraph of students’ introvert and extrovert and the thirdly, the basic interaction form of learning tough using video and students personality in writing recount paragraph. This study uses quasi-experimental research design. The population of the research was the eighth grade students of PLUS ISYHAR Junior High. The students of class 8-1 consist of 30 students as the experimental group, and the students of class 8-3 consist of 32 students as the control group. The result of the research showed several results. First, there is significant difference in the students’ writing recount paragraph taught by using video as the authentic materials and conventional technique. Second, the result of the research showed that extrovert and introvert students’ had the same result of writing paragraph recount. Third, there is no interaction between students taught using video and students’ personality in writing recount paragraph.
A Study on 21st Century Skills Integration in the English Textbook for Senior High School
Authors: Rakhmawati Ditta Mustika , Priyana Joko
Published: May 2019

To help students successful in global future, 21stcentury skills have become important aspects to enable them to function appropriately and effectively within a global community of English language speakers. Students have to be facilitated with learning materials that are suitable with this demand. This study aims to reveal the 21stcentury skills that are integrated in the English textbook and to find out how those skills are integrated. The data were gathered using checklists and analyzed by calculating the number of occurrences of each skill of 21stcentury and identifying the strategies used in its integration. The results showed that there are 11 skills integrated in the textbook namely critical thinking and problem solving, communication, collaboration, creativity and innovation, information and communication technology (ICT), media literacy, leadership and responsibility, productivity and accountability, social and cross-cultural, initiative and self-direction, and flexibility and adaptability. Those skills are integrated through Nunan’s task components namely goals, inputs, procedures, teacher roles, learner roles, settings, and other strategies including notes, quotes, and points to ponder.
Pengembangan Perangkat Pembelajaran Bahasa Indonesia Bermodel JOSUA untuk Meningkatkan Keterampilan Menulis dan Berbicara Siswa Kelas IV Sekolah Dasar
Authors: Jayanto Didit Dwi
Published: May 2019

Inaccuracy in the use of the model will cause saturation for students and students to be passive in learning. For that need to design more innovative learning, one of the selected learning model is JOSUA learning model that can increase activity in student learning activities and student learning outcomes. This research uses 4-D development model (Four D) which develops a learning device using JOSUA model. Data analysis in this research is done by using quantitative descriptive analysis. The results of this study indicate that, the activities of students during the learning activities show active. Student responses to the JOSUA model (network, observation, simulation, and final repetition) show a good response. And there is an increase in the ability to write and speak students during the implementation of learning learning JOSUA Indonesian language (network, observation, simulation, and final repetition) can be said to increase.
Relationship Between Technology Leadership, ICT Facility, Competency, Commitments Towards Effectiveness of School Mangement Tasks in Schools
Authors: Raman Arumugam , Shariff Som binti
Published: May 2019

Previous studies more engaged to the level of technology leadership and the characteristics of technological leadership practiced by leaders in the school, while the factors of a more comprehensive which include facilities for ICT, competence, and commitment of teachers in the practices of applying ICT in the management which contributes a great impact on the management duties of teachers in schools has not been studied in Malaysia. The purpose of this study is to identify whether there is a positive relationship between technology leadership, ICT facilities, competence, commitment and practice of applying ICT teachers with effective management duties of teachers in schools using ICT. This quantitative study involves 370 teachers in secondary schools in the Kedah state which were selected randomly. The findings from the analysis of the study using the smartPLS show that there is a significant relationship between the leadership of technology by principals in school and the effectiveness of teacher-management tasks using computers in management tasks. Leadership that practices high technology leadership features will have a positive impact on the effectiveness of ICT integration within the organization. Further study can be conducted with integrating UTAUT model to identify critical factors that contributing technology leadership in schools.
Pengembangan Perangkat Pembelajaran IPA Berbasis Keterampilan Proses untuk Meningkatkan Keterampilan Berpikir Kritis Siswa SD
Authors: Yusuf Mochamad
Published: May 2019

The purpose of this research is to develop a learning package for Sciences Subject that can improve the critical thinking skill of the Elementary School Students. Therefore, in general, it can be categorized into a research and development. It can be done because of learning material with process skill to practice it not available. The learning package was developed by using 4-D model; defining, designing, developing, distributing. The subject in this study was learning material that will be tested in student of SD Raden Patah Surabaya. The result showed that learning material was valid, enforceability get good category with 100%. Student activites by using process get good too.  The improvement of students’ critical thinking is consistent on 3 classes (IVA, IVB, and IVC), the significant and high improvement with the average of N-Gain of 0,75. The data of students’ responses showed that most of students (98,09%) are happy to the process skill based learning. Based on the results and findings of the research, it can be concluded that the developed learning package can be stated as a valid, practical, and effective learning package. The implication of the research is that the process skill based Sciences learning can improve students’ critical thinking skill.
Pengembangan Bahan Ajar Mata Kuliah Pendidikan Pancasila dengan Menggunakan Saintifik Approach Untuk Meningkatkan Kemampuan Berpikir Kiritis
Authors: Surahman Harry
Published: May 2019

The purpose of this study was to produce textbook products for Pancasila education subjects with a scientific approach. The development model adopted is the 4D model which consists of the stages of define, design, develop, and disseminate. The define phase is a needs analysis for the purposes of preparing an initial draft of textbooks; the design stage is the selection of formats and the preparation of the initial design of textbooks; the develop phase contains textbook validation phase, revision phase 1, individual and small group test, revision phase 2, and real class test through Class Action Research. The variables that will be examined for improvement are increasing the ability to think critically in students. CAR is held for one semester which is divided into two cycles. The process of reporting research results is carried out after the CAR phase and data analysis is complete. Based on the analysis results obtained (1) Development of teaching materials for Pancasila education courses using the Scientific Approach (Scientific Approach) to improve the ability to think critically on students of Indonesian Language Education Study Program, IKIP Budi Utomo Malang has increased. The results of the research in cycle I obtained an average grade of 76.5 included in the good category. Cycle II, obtained an average grade of 83.4 included in the good category. The conclusion of this study is that there is an increase in the average value from cycle I to cycle II of 6.9%.