bluuebunny/crossref_metadata_2025 huggingface dataset:
"Menendus"
Authors: Méndez Pidal Ramón
Published: September 2017

En este número no se incluyeron resúmenes ni palabras clave.
Otra controvertida relación maestro-discípulo: Pierre Bourdieu y Luc Boltanski
Authors: Nardacchione Gabriel , Tovillas Pablo
Published: September 2017

Este artículo analiza las obras de P. Bourdieu y de L. Boltanski, dando cuenta de una de las escisiones más sonadas de la sociología francesa de fin de siglo XX. Mucho se ha dicho sobre el estructuralismo-genético de P. Bourdieu y la sociología pragmática que L. Boltanski ayudó a fundar. En este caso trataremos de evitar conclusiones extremas, dando lugar tanto a una hipótesis de continuidad entre ambas obras, así como a mostrar sus diferencias. En este sentido, luego de describir sus trayectorias académicas, analizaremos dos aspectos centrales de sus obras: el rol del investigador en el trabajo sociológico y la relación entre lo subjetivo y lo objetivo.
Sociologías pragmatistas: continuidades entre postulados teóricos y operaciones metodológicas
Authors: Balerdi Soledad , Boix Ornela , Iuliano Rodolfo , Welschinger Nicolás
Published: September 2017

Este articulo interroga sobre la relación entre teoría y metodología en las corrientes pragmático-pragmatistas. En particular, analiza las propuestas metodológicas que un conjunto de autores filiados a la sociología pragmatista, Michel Callon, Antoine Hennion y Bruno Latour, despliegan en sus investigaciones, en torno a tres principios teórico-epistemológicos centrales: el principio de “seguir a los actores”, el de “la acción haciéndose” y el “principio de simetría” o de “no detenerse en lo social”. Más que atender a la novedad metodológica declarada en las obras abordadas, se procuran reconstruir los usos y aplicaciones de técnicas establecidas en el campo metodológico para interpretar en qué medida es el uso y la perspectiva teórica desde la que se la usa, aquello que desplaza los sentidos naturalizados de un conjunto de operaciones técnicas en la investigación social.
Reseña del libro Enigmas y complots. Una investigación sobre las investigaciones, de Luc Boltanski
Authors: Urtasun Martín , Lio Vanesa
Published: September 2017

Reseña
IT Governance Analysis and Design of Microfinance Institution Using COBIT 5 Framework Evaluate, Direct, Monitor (EDM) and Align, Plan, and Organize (APO) Domains (Case Study: PT Sarana Jabar Ventura)
Authors: Jonathan Fernaldi , Mulyana Rahmat , Prasetyo Yuli Adam
Published: September 2017

A microfinance institute (LKM/ Lembaga Keuangan Mikro) is a company that focuses in providing funds to small, early-stage, and emerging firms or small medium enterprises. A company that is engaged in financial sector and works under the surveillance of OJK/ FSA (Financial Service Authority) always has some questions whether this company really needs to implement IT Governance best practices or to what extent it does. The research in PT Sarana Jabar Ventura as one of the microfinance institutes using COBIT 5 framework for the domain of EDM (Evaluate-Direct-Monitor) & APO (Align-Plan-Organize) has shown that the existing practice is not adequate enough to align the business to IT and to manage its risk optimally so the IT solution will be beneficial for the business. Therefore, it is necessary to design the IT governance practice here, based on the seven enablers of COBIT 5 which are categorized into 3 aspects: process, people, and technology. The results of this research are design recommendations as follows: IT policy, procedures, organization structure, job description and the supporting tools and technology. It is expected that the company will implement the results in the near future.
PENGEMBANGAN MODUL LELANG PADA SIAPSIAPNIKAH.COM MENGGUNAKAN METODE EXTREME PROGRAMMING DAN KONSEP CROWDSOURCING
Authors: Wiharni Fitasari , Prasetyo Yuli Adam , Adi Taufik Nur
Published: September 2017

Wedding organizer adalah bisnis yang menyediakan produk atau jasa mengenai upacara pernikahan dan mengatur jalannya upacara. Wedding organizer mulai menggunakan internet sebagai media untuk mengiklankan dan mempromosikan produk dan jasanya. Selain itu, penduduk Indonesia lebih mudah menggunakan internet untuk mendapatkan informasi mengenai wedding organizer. Pada faktanya, harga adalah prioritas tertinggi ketika pelanggan mencari dan memilih wedding organizer. Selain mencari paket yang disediakan oleh wedding organizer, pelanggan seringkali menginginkan produk dan jasa diluar paket dan sesuai dengan anggaran. Dari fakta tersebut, penelitian ini membahas pengembangan modul lelang pada aplikasi website siapsiapnikah.com. Pada pengembangan modul sistem lelang digunakan sebagai solusi untuk mencari harga produk dan jasa pernikahan yang sesuai. Untuk mengimplementasikan sistem lelang pada website dengan baik, digunakan konsep crowdsourcing untuk mendapatkan banyak harga dari banyak wedding organizer berdasarkan kebutuhan pelanggan. Selain itu, peneliti menggunakan Extreme Programming sebagai metode pengembangan software dan Codeigniter sebagai framework. Hasil dari penelitian ini adalah aplikasi website yang memiliki sistem lelang untuk membantu pelanggan dalam mencari wedding organizer dan harga yang sesuai. Pelanggan akan mendapatkan banyak pilihan harga dari banyak wedding organizer berdasarkan kebutuhan pernikahannya.
RANCANGAN PERBAIKAN PADA PROSES PRODUKSI RUBBER STEP ASPIRA BELAKANG MENGGUNAKAN 5-S SYSTEM DENGAN PENDEKATAN LEAN MANUFACTURING UNTUK MEMINIMASI WASTE MOTION (STUDI KASUS: DIVISI INDUSTRI TEKNIK KARET PT AGRONESIA)
Authors: Anestasia Maya , Poeri Pratya , Rahayu Mira
Published: September 2017

PT Agronesia (Divisi Industri Teknik Karet) merupakan perusahaan yang bergerak di bidang manufaktur yang memproduksi beberapa jenis produk berbahan baku karet baik sintesis maupun alami, salah satu produk yang dihasilkan adalah produk rubber step aspira belakang. Pada proses produksi rubber step aspira belakang masih terdapat beberapa aktivitas yang tidak memberikan nilai tambah, salah satunya adalah adanya pergerakan yang tidak diperlukan atau dapat disebut waste motion. Dalam upaya meminimasi waste motion tersebut maka dilakukan pendekatan lean manufacturing. Langkah awal yang dilakukan adalah mengumpulkan data primer yang diolah dalam current state mapping melalui value stream activity dan process activity mapping untuk memetakan aliran proses yang terjadi dan diketahui bahwa waktu dari aktivitas non value added sebesar 394,21 detik. Tahap selanjutnya mencari penyebab terjadinya waste dengan menggunakan fishbone diagram dan mencari akar penyebab terjadinya waste dengan menggunakan 5 why. Berdasarkan analisis menggunakan tools tersebut, dilakukan tahap perancangan usulan perbaikan dengan menggunakan 5-S System sehingga dapat meminimasi waste motion dan mengurangi nilai serta presentase dari value added time.
Perancangan Enterprise Architecture Pada Fungsi Sumber Daya Manusia (SDM) Di Universitas Telkom Menggunakan Togaf ADM
Authors: Murti Devi Nindya , Prasetyo Yuli Adam , Fajrillah Asti Amalia Nur
Published: September 2017

Universitas Telkom merupakan lembaga pendidikan yang berada di bawah badan penyelenggara Yayasan Pendidikan Telkom (YPT) yang memfokuskan program studinya di bidang “Information and Communications Technologies, Management and Creative Industries” dalam mengembangakan ilmu dan seni yang didasarkan pada teknologi informasi. Pada era globalisasi saat ini Universitas Telkom harus mampu menghadapi kemajuan sistem informasi dan teknologi informasi untuk bersaing dalam dunia pendidikan. Dalam meningkatkan pelayanan di bidang pendidikan yang didukung dengan adanya perkembangan teknologi yang semakin pesat, Universitas Telkom harus mampu menyelaraskan antara strategi bisnis dengan teknologi informasi, khususnya pada fungsi Sumber Daya Manusia (SDM) yang berfokus pada perencanaan, pengembangan, pelayanan, dan evaluasi SDM. Enterprise architecture merupakan metode yang dapat digunakan untuk menyelaraskan antara strategi bisnis dengan teknologi informasi. Dalam melakukan perancangan EA dibutuhkan sebuah framework arsitektur untuk mengembangkan lingkup pembahasan secara luas dari arsitektur-arsitektur yang berbeda meliputi bisnis, data, aplikasi, dan teknologi. Framework yang digunakan pada penelitian ini adalah TOGAF ADM yang terdiri dari 9 fase, namun fase-fase yang dilakukan untuk merancang enterprise architecture pada penelitian ini hanya 7 fase yaitu preliminary phase, architecture vision, business architecture, information system architecture, technology architecture, opportunities and solutions, serta migration planning. Dari penelitian ini akan dihasilkan output berupa blueprint dari rancangan enterprise architecture pada fungsi Sumber Daya Manusia (SDM). Enterprise Architecture yang diharapkan dapat mempermudah pencapaian tujuan strategis yang sesuai dengan Fungsi SDM di Universitas Telkom dalam hal peningkatan fungsi bisnis, sistem informasi, dan teknologi informasi yang digunakan.
In Vitro and In Vivo Evaluation of Taste Masked Chlorhexidine-Releasing Oral Films
Authors: P. Palekar – Shanbhag , S. Belatikar , C. Sahane
Published: September 2017

The present investigation was undertaken with the objective of formulating chlorhexidine diacetate containing fast dissolving oral films to serve as superior alternative to mouthwash, aiming at consumer compliance. Various film forming agents, plasticizers and taste masking agents were evaluated for optimizing the composition of fast dissolving oral films. The potential of arginine hydrochloride as taste masking agent for fast dissolving oral films containing hydroxypropylmethylcellulose E5 (HPMC E5), propylene glycol and sucralose were formulated. Fast dissolving oral films of chlorhexidine diacetate were evaluated for the in vitro dissolution profile and in vitro microbiological assay. Oral films exhibited satisfactory in vitro dissolution profile and in vitro antimicrobial activity. Effect of incorporation of eugenol on the in vivo performance of oral films was evaluated in human volunteers. Arginine hydrochloride and eugenol containing oral films improved effectiveness and acceptability of films with respect to taste masking, mouth feel and mouth freshening without compromising the in vivo dissolution time.
Isolation and Characterisation of Andrographolide from Andrographispaniculata (Burm. F) Wall. Ex Nees and Its Total Flavonoid Effects from Kemaman, Malaysia
Authors: Sani Yahaya Najib , Haque Mainul , Suryati Khamsah , Mohd Khairul Wan , Khan Anam
Published: September 2017

Background: Many medicinal plants have wide range of applications from food and aesthetic materials to pharmacological effect on various disease conditions. Traditionally, these plantshave been used to treat many diseases including diabetes, inflammation, upper respiratory tract infections and diarrhoea either in single or combined form with other plant parts or materials. Objective: This study investigated the isolation and characterisation of andrographolide from Andrographispaniculata (Burm. f) Wall. ex Nees. Methodology: The isolation of the constituents was done using column total flavonoid conducted while the analysis was done using ultraviolet, infrared spectrum analysis (UV, IR), melting point and elemental analysis. Also, proton and carbon nuclear magnetic resonance (1H and 13C NMR) of the isolated compound was performed using different equipment. Results: Although, the total flavonoid content was low, ethyl acetate extract indicated the highest total flavonoids content and it’s statistically different from methanol, ethanol: water (1:1 v/v) and aqueous extracts. The compound obtained is colorless solid with melting point range of 228oC-238oC. This was further supported by 13C NMR spectral analysis, which displayed 20 signals for all carbon atoms and is like standard compound Andrographolide. Also, the ultraviolet analysis suggesting α, β-unsaturated lactone ring similar andrographolide while the elemental analysis shows the different elements present. Conclusion: Different extracts of A. paniculata exhibit multiple pharmacological effects. However, due to the much similarities with the isolated compound and Andrographolide the compound is suggested to be Andrographolide.
Acoruscalamus: Parts used, Insecticidal, Anti-Fungal, Antitumour and Anti-Inflammatory Activity: A Review
Authors: Kamil Shireen Sabah , Hameed ImadHadi , Hamza Lena Fadhil
Published: September 2017

Acoruscalamusis a herb used for the appetite and as an aid to the digestion. It is used for fevers, stomach cramps and cholic. Their rhizomes were used for toothache and powdered rhizome for congestion. The rhizome part is also used to treat several diseases like asthma and bronchitis and as sedative. Native tribes treated cough by making a decoction of the plant as a carminative and also for cholic. It is a main medhya drug, which has the property of improving the memory power and intellect. Acoruscalamusis used in the conditions of vata and kapha, stomatopathy, hoarseness, flatulence, dyspepsia, helminthiasis, amenorrhea, dysmenorrheal, nephropathy, calculi, stragury.Acoruscalamusleaves, rhizomes and its essential oil has many biological activities16 like antispasmodic, carminative and also used for treatment of epilepsy, mental ailments, chronic diarrhea, dysentery, bronchial catarrh, intermittent and tumors. It also has the insecticidal, antifungal, antibacterial, tranquilizing, antidiarrhoeal, antidyslipidemic, neuroprotective, antioxidant, anticholinesterase, spasmolytic, vascular modulator activities. The parts used in most of the experimental studies are the leaves, roots and stem of the plant. The dry rhizome contains some of the yellow aromatic oil, calamus oil that are responsible for their medicinal and insecticidal properties. Studies were also done on their rhizome part and in its oils in order to identify the active constituents and its medicinal values.
The Antibacterial Activity of Gentamicin Sulphate in NaCl and Dextrose-NaCl Infusion against Escherichia coli Atcc 25922 and Staphylococcus aureus Atcc 29213
Authors: . Sulistiyaningsih , S. Kurniawansyah I. , D. Anugrah S.
Published: September 2017

Gentamicin sulphate mixed into the fluid infusion of NaCl and dextrose-NaCl is the process of intravenous admixtures, where knowledge about sterility, physicochemistry and stability properties of drugs, incompatible of drugs and the risk of exposure are matter to be considered. An already reconstituted drug has a time limit of stability and the long-time mixing will decrease its activity in inhibiting bacteria. The study aims was to determined the antibacterial effect of the infusion of 0.9% NaCl and 5% dextrose-0.225% NaCl against Escherichia coli and Staphylococcus aureus, the influence of time variation of the use of gentamicin sulphate injection, and the effect of interaction of infusion and time of use towards its activity on bacteria. The laboratory experiment research method was done, which included mixing sterile preparation of gentamicin sulphate injection into NaCl and dextrose-NaCl infusion in LAF, tested antibacterial activity against Escherichia coli and Staphylococcus aureus and data analyzed with ANOVA. The results showed that the type of fluid infusion was only influential as antibacterial activity against Staphylococcus aureus but not against Escherichia coli. On the other hand, the use of time variation was effective on gentamicin sulphate activity against both bacteria. Also, the interaction of fluid infusion with time of use has no effect on its activity on bacteria.
Workshops in Healing for Senior Medical Students: A 5 Year Experience
Authors: Kearsley John Henry , Lobb Elizabeth
Published: September 2017

Objectives:  To provide a 5-year (2008-2012) overview and appraisal of a novel course for senior undergraduate medical students (Workshops in Healing) at the University of New South Wales, Sydney, Australia within the context of a traditional 6-year curriculum.  In these innovative workshops, 8-12 self-selected students per year participate over 6 hours in two sessions, several days apart.  The sessions use artwork and other evocative images, poetry, music, statues and classic/contemporary literature to illustrate points of discussion relating to suffering, healing and the doctor-patient relationship. Methods: A written open-ended reflection was requested from 48 students in the final year of their 6-year medical course within a few weeks of the second workshop.  The study employed an emergent qualitative design.  Open coding involved repeated reading of the sections of the student’s feedback and a line-by-line analysis of this data.  Selective coding was then used to link data together and develop the themes.Results:  Students identified the following benefits from the workshops:  1)  the opportunity to re-affirm their commitment to their chosen career path;  2)  the value of listening to other students share their stories;  3)  the importance of the timing of the Workshops to occur after exams;  4)  the use of various mediums such as art,  music and literature to present concepts of suffering and healing;  and 5) the creation of a safe and confidential space.Conclusions:  Students reported that the workshops gave them a renewed sense of drive and enthusiasm for their chosen career.  They highlighted the importance of addressing an aspect of Medicine (healing) not covered in the traditional medical curriculum.  For many students the workshops provided a broader understanding of the meaning of concepts such as suffering and healing, and helped them to rediscover a deeper meaning to Medicine, and their roles as healthcare professionals.
When One is Sick and Two Need Help: Caring for the Caregiver
Authors: Law Susan
Published: September 2017

Objectives: To increase public and professional understanding of caregiving experiences of people who care for adults with chronic physical illness; to promote the use of caregivers’ lived experiences in the education of healthcare professionals.Methods: Part 1: 40 qualitative audio/video recorded interviews were conducted with adult caregivers in a maximum variation sample from across Canada. Data collection and analysis is via rigorous qualitative research. 25 topics or themes are identified reflective of the participants’ concerns, meanings and priorities.Results including video, audio or text clips, and evidence-informed resources are published on www.healthexperiences.ca. The methods are adopted from the award-winning website (www.healthtalkonline.org) from Oxford University, UK.Part 2: collaboration with healthcare professionals, educational experts, researchers and caregivers to design educational modules to be piloted in University setting for healthcare professional education.Results: Caregivers described their experiences with the healthcare system as part of their role. They provide advice to health care professionals about issues such as access to information and services, attitude and behaviours, the impact of caregiving on their own well-being , and reflections on their role. Participants emphasize the importance of recognition for their role as part of the care team for patients with chronic physical illnesses. Some described the need for the healthcare system to consider caregivers as an important component in the ‘a circle of care’ around the patient. If caregivers suffer physical or mental illness, burn-out or lack of resources, the support system for the patient falls away. Educational modules featuring video and audio clips of caregivers’ stories are powerful educational tools in developing healthcare professional sensitivity to these issues in patient care.Conclusion: The www.healthexperiences.ca / www.experiencessante.ca sites are unique in Canada in the field of patient experiences and healthcare communication. It is a great resource to educate health care professionals about the caregivers’ perspective on caring for adults with chronic physical illness.
Enduring Witness - The Inner Journey of a Compassionate Doctor
Authors: Koppe Hilton
Published: September 2017

“Enduring witness” is a 30 minute DVD produced in Australia. It traces the fictional relationship between a family practitioner (Geoff) and one of his female patients (Lisa) as she make the transition from adolescence to adulthood, through snippets from consultations about contraception, marriage, pregnancy and caring for her young children. Lisa then develops breast cancer, and we watch how Geoff manages breaking the news, assisting her with treatment, remission, relapse and palliative care. Issues relating to after care for Lisa’s family are covered at the end.Some of Geoff’s “qualities” as a doctor (empathy, openness, patient-centredness) are the very same factors which put him at risk of burn out and compassion fatigue. The story is told primarily through the eyes of the doctor, and we gain access to some of his “hidden thoughts”.The primary goal of the DVD is to promote discussion about preventing burnout and compassion fatigue which can occur from managing emotionally draining situations in clinical practice. There is further opportunity to explore issues such as breaking bad new, support for colleagues, boundary issues and surviving the ups and downs of working with people at the end of their lives.The DVD will be shown at the start of the workshop. This will then be followed by a facilitated discussion between participants. Discussion will focus on both personal responses of participants to the DVD, and also on how as practitioners we can best deal with the emotional challenges that arise in clinical practice.
Making Sense of Collaborative Practices: Practice as a Social and Scientific Phenomenon
Authors: Briggs Marion
Published: September 2017

Workshop Description (objectives, methods, results, conclusions): The concept of “practice” has received little attention in healthcare literature. This is an important oversight as practitioners tend to equate the dominant scientific discourse with practice. This covers over the social nature of individual and team-based practices. Social theorists argue that human nature is ‘helplessly’ social and interdependent. This failure to recognize the social construction of knowledge and knowing influences our ability to engage in collaborative practice and provide whole person care.  We cannot see where “hidden practices” (the practice equivalent to 'hidden curriculum') influence what we can see and what remains hidden, what we can say and what we must keep silent about, or which actions are encouraged and which are constrained. We will explore the paradox of the co-existence of rational science and social constructionist views of knowledge and knowing and propose that practices are complex, responsive, processes of relating that are informed by, and in turn, challenge and further inform science. Using a mix of presentation, personal reflection, and case studies in small groups, this 90 minute workshop we will explore the social nature of practice, the theory/practice (science/experience) paradox, and consider how this “two-eyed” understanding could facilitate the provision of whole person care.Specific Objectives: Participants will be able to:1. Define collaborative practice2. Elaborate and understand their own experience of collaborative practice3. Differentiate between social and scientific paradigms and explain the differences and implications4. Explain the concept and implications of the practices of particular communities and of first- and second-order breakdowns5. Understand the nature of collaboration and distinguish it from included and related concepts of communication, coordination, cooperation, and co-location6. Articulate personal definitions of and strategies for and identify personal commitments to collaborative practice related to whole person care.
Electronic Health Record (EHR) Training in Undergraduate Medical Education: Theory-Informed Development of a Longitudinal Curriculum for Empowering Patient- and Relationship-Centered Care in the Computerized Setting
Authors: Sharpless Joanna J , George Paul , Reis Shnuel P , Scott Taylor Julie , Wald Hedy S
Published: September 2017

Objectives: While electronic health record (EHR) use is becoming state-of-the-art, formal teaching of Health Care Information Technology (HCIT) competencies is not keeping pace with burgeoning use. Medical students require training to become skilled users of HCIT but formal pedagogy is sparse. Fundamental challenges include preserving and fostering effective health care provider-patient communication skills in the computerized setting to preserve patient and relationship-centered care and facilitate reciprocity within whole person care. Thus, curriculum innovation with overarching goal of empowering undergraduate medical students’ patient- and relationship-centered interviewing skills, information mastery, electronic documentation skills, and HCIT-supported patient education is needed.Methods: The authors describe innovative, systematic curriculum development for EHR training within a series of clinical skills courses at their institution, informed by Kern et al.’s framework, narrative medicine, and reflective practice. Initially, a didactic and an observed standardized patient encounter were piloted in Year 3. Subsequent surveys of participating faculty both validated the session’s educational value and identified the need for additional practice opportunities.Results: In addition to the existing presentation and individualized practice, second iteration revisions include reflective readings and exercises, relevant “introductory” skills presented in grid format, and opportunities for direct observation of and by mentor physicians in clinical settings. The behavior grid was then expanded to include “advanced” Year 4 skills, i.e. patient participation for chart building, patient education/information sharing, shared decision-making, and sending information to the interprofessional health care team.Conclusions:  Effective triangulation of physician-patient-computer may be optimized with medical education curriculum developing competencies of effective EHR use preserving patient-and relationship-centered care, reflection, and narrative medicine. Systematic, longitudinal monitoring of learners' skill development by faculty, standardized patient, self-assessment, and reflective writing will inform our innovative multi-faceted, longitudinal, transferable curriculum presented herein. Further research is needed on formal pedagogy for EHR use by learners.
Creating Significant Life Rituals in Neuro-Palliative Care
Authors: McGeary Lana Kim
Published: September 2017

Ritual can be described as an act which helps make sense of life, “there is what many people recognize as a spiritual quality to life, which in suffering, confronts people with questions and possibilities that reach beyond the immediate dilemmas of physical insult.” (Cobb and Robshaw, 1998); in this vein, ritual serves as a vehicle to navigate the inherent moments of sorrow and suffering in our lives. Fred Bird describes ritual as something which allows for communication, representation, meaning making, validation and relationing. (Bird, 1995)This presentation explores the ways in which creating accessible and significant contemporary rituals, within a hospital setting, may serve as a means to crystallize our deepest sensitivities for life, and living. It looks at some of the ways rituals can serve as a bridge to wholing and healing, within the patient, with family members and with health care professionals interacting with patient. Through examples from spiritual care counseling, within a multidisciplinary team setting, in neuro-palliative care, a path is set for some simple ways to ritually nurture quality of life issues, as part of a whole person care health protocol.
Reiki for Whole Person Care: Case Studies in Oncology Patients, a Preliminary Report
Authors: Gomez Martha , Gonzom Maddalena
Published: September 2017

Objective: Reiki has been introduced as part of the complementary therapy program for oncology patients in two major university hospitals to which our institution is affiliated, with the objective to provide whole person care. Reiki is a deep relaxation technique that promotes balance, healing and harmony in all aspects of the person – body, mind, emotions and spirit. A Reiki session is given using very light or no touch on a fully clothed individual, sitting or lying down. Reiki is best understood by actually experiencing a session.The objective of this preliminary study is to document how Reiki can support and benefit oncology patients in facing the day-to-day challenges related to their illness.Methodology: Weekly Reiki sessions lasting from 20 to 60 minutes have been conducted with adult patients. Inclusion criteria: any patient living with cancer: all stages, from pre-diagnosis to diagnosis, ongoing treatment (in and out-patients), post-treatment and palliative care. Data has been collected using a questionnaire and a symptom scale, before and after sessions, as applicable. Qualitative experiences from palliative care patients will also be obtained from staff and family caregivers.Results: Preliminary results after each session indicate a significant reduction of anxiety and stress, in addition to improving regulation of pain, fatigue, emotional state, and digestive issues. Patients commonly express a feeling of serenity, calmness, and peace. Qualitative results will be presented.Conclusion: Data collected so far suggests that Reiki as a complementary therapy, improves overall quality of life for patients. A more relaxed and less anxious patient facilitates the intervention of medical staff and lightens the efforts of caregivers and family. Closer communication between the medical and complementary therapies staff can manifestly enrich the whole person care.
Attitudinal Changes of Health Sciences Students Participating in an Interprofessional Education (IPE) Course Enriched with Complementary and Alternative Medicine (CAM) Education and CAM Fair – A Two Year Study
Authors: Kutt Anastasia , Vohra Sunita
Published: September 2017

Objectives: Whole person care is ideally provided by a high functioning team, knowledgeable about all the therapies a patient has available to them (conventional or complementary), who coordinates efforts to efficiently meet all of a patient’s health care needs.  Therefore, health sciences students at Canadian universities require team skills, and basic knowledge about complementary and alternative medicine (CAM).  This project evaluates the attitudinal changes of health sciences students participating in a teaching intervention combining interprofessional education (IPE) and complementary and alternative medicine (CAM) education.Methods: At our university, “IntD410 Interprofessional Health Team Development” is a mandatory 10-week, 30-hour IPE course for all undergraduate health sciences students including medicine, nursing, pharmacy, physical therapy, and occupational therapy.  The CAM-stream was developed by adding: (i) several didactic lectures; (ii) large group learning provided by CAM providers (i.e. Qi Gong, Mindfulness Meditation); (iii) small group work solving discovery-style cases; and (iv) the CAM Fair, providing one-on-one interactions with CAM providers. The CAM-stream was offered in 2012 (N=71) and 2013(N=120). Quantitative data was collected via pre/post validated questionnaires testing student attitudes towards CAM, interprofessional learning, and collaboration. Qualitative feedback was collected via reflective assignments and course evaluations.Results: Quantitative assessment revealed that the CAM-stream’s CAM beliefs increased, as did their recognition of the need for interprofessional learning. Qualitatively, initial reflections revealed that many students did not know what each other’s professions entailed, and they had misconceptions about CAM.  Final reflections revealed the students felt more comfortable evaluating CAM practices, and recognized the value in collaboration. The CAM Fair was cited as the most impactful part of the curriculum.Conclusions: IPE and CAM education are urgently needed in Canadian universities to overcome biases and misconceptions, to develop team skills, and to provide coordinated whole person care.  They are effectively taught concurrently.
The Information Senses of Whole Person Care: A PatientsLikeMe.com Case Study
Authors: Douglas Ferguson Robert
Published: September 2017

Objectives: Whole Person Care (WPC) situates the act of curing within a larger framework of healing, in which meeting psychological and social needs of patients during times of illness are also considered integral to patient outcomes and wellbeing. That is, WPC entails greater attention to how information behaviors can balance competing biological, psychological, and social dimensions of patient care within the therapeutic relationship (Hutchinson, 2011; Kaslow et al., 2007; Donadio, 2005, Mount, 2003). But what role does documentation play in patient-provider communication and meeting the biopsychosocial needs of patients via WPC? This poster visually represents a content analysis of data collected from PatientsLikeMe.com using Marchionini’s (2010) Information Sense Framework to reflect upon the role of personal health information management in WPC.Methods: Over an 8-month period starting in September 2010, the researcher engaged in participant-observation within PLM’s Mood Disorder Community, a social networking site and research platform for patients. Grounded Theory (Charmez, 2006; Strauss and Corbin, 1987) was used to analyze site members’ virtual interactions and evaluate the subjective impact of maintaining and sharing a public personal health record (PHR) with off-website care providers.Results: Observations confirm Information Senses is viable for interpreting the WPC functions of PHR. Site members described online PHR as effective self-management tools, by helping patients visualize, track, and understand changes in their health between visits; and enhancing the subjective quality of provider-patient relationships and communication during visits.Conclusions: Maximizing potential benefits entails reconceptualization of medical documentation beyond diagnostic, care-coordination, and audit functions for care providers exclusively. PHR also serve communicative and reminding functions that are underexploited. Leveraging documentation to enhance the quality of communication and trust between patients and care providers, through patient-accessibility health records for example, offers a viable route towards the realization of WPC and meeting biopsychosocial needs efficiently.
Spirituality in Medicine
Authors: Aung Steven
Published: September 2017

Objectives: Spirituality is a vital component of whole person care; healing always involves body, mind, and spirit. We can anticipate the resolution of health problems holistically by providing correct physical, mental, and spiritual alignment to our dear patients. Alignment is accomplished both through the patients’ awareness of relaxation and self-care, and the harmonization and purification of the healing energy of the practitioner. Therefore, the patient and practitioner engage upon a healing journey through spiritual connection that vitalizes the process of medicine.Methods: Traditional Chinese Medicine has employed a physical, mental, and spiritual approach for thousands of years. Enhancing spirituality in medicine involved strengthening exercises of the body, mind, and spirit. Patients are encouraged to increase their awareness of themselves on each level. Practitioners should learn to cultivate positive healing energy that will enhance their medical practice. Qi Gong posture, breathing, phonation, and visualization exercises will be demonstrated to introduce Traditional Chinese Medical philosophy and practice.Results: Session participants will receive a general orientation to Traditional Chinese Medicine and learn specific skills in Qi Gong. Patients will learn greater attention to physical, mental, and spiritual alignment. Practitioners will learn to engage themselves for whole person healing, by understanding the relationship between patient and the practitioner.Conclusions: Spirituality is vitally important in medicine to enhance the quality of both its preventive and healing aspects. Treatment is a two way relationship. Practitioners must treat patients with good intentions. Patients must prepare for a healing process that engages them on the physical, mental, and spiritual levels. Practitioners and patients, therefore, must work hand in hand, heart to heart, towards the goal of health and well-being.
Whole Person Care: Where clinical excellence and patient service meet
Authors: Kearsley John H.
Published: September 2017

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Stories at Work: Writing to Learn, Care, and Collaborate in Radiation Therapy
Authors: Whyte Sarah , Damelin Ariella , Peacock Marnie , Williams Gail , Osmar Kari
Published: September 2017

Narrative writing has shown potential to foster skilled, compassionate care among health professionals. We describe the process and effects of a project that introduced experiential narrative writing to professionals and students at a large Canadian cancer centre. Four 90-minute introductory workshops in experiential narrative writing were offered to radiation therapy students (9), radiation therapists (28), and oncology nurses (1). These workshops were followed by an in-depth narrative writing course consisting of four 60-minute sessions. The course was offered twice with a total of 11 participants (all radiation therapists). Participants were prompted to write about their experiences, share their writing, and respond to each other’s writing. Writing was not focused on professional experiences. All sessions were led by an experienced facilitator and researcher. In order to describe the process and effects of these courses, we used a combination of observations, reflective writing, ongoing dialogue with participants, and follow-up interviews (8 radiation therapists and 3 students). We describe five “active elements” of the narrative writing sessions: stories at (but not about) work, challenge, trust, quality of engagement, and continuity. We then discuss perceived effects of the narrative writing sessions, which we have termed pleasure, perspective, community, presence, craft, and collective artwork. These findings suggest potential for narrative writing to support the work, well-being, and community of health professionals in radiation therapy.
Being Human in Medicine: Beyond Hierarchy
Authors: Dobkin Patricia Lynn , Bagnis Corinne I , Spodenkiewicz Michel
Published: September 2017

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On Teaching the Sum While Paying Attention to the Parts: Whole Person Care through Ethnography in Medical Education
Authors: Rahimzadeh Vasiliki Nataly , Lessard David , Nugus Peter
Published: September 2017

Objective—This article provides a reflection on medical teaching opportunities for whole person care based on our experiences mentoring 2nd-year medical students through an Ethnography Practicum at a Canadian university.                                                                  Background—The Ethnography Practicum is a new addition to the Family Medicine Transition to Clinical Practice (TCP) curriculum introduced in the second year of medical school at McGill University. It involves 30 hours of instruction (6 hours in lectures with an instructor, and 24 hours in small-group tutorials with the authors), and 9 hours of fieldwork observations in various community health settings across Montreal, QC. The primary aims of the Practicum converge with those of the TCP generally in two important ways: to inculcate in students the concepts of patient centered care, and to promote family medicine as both an academic discipline and career option.                    Results and Discussion— Our experiences illustrate two tensions that shape students’ expectations and experiences throughout their involvement in the Practicum and, in turn, highlight the implications for teaching whole-person care. First, ethnography as a combination of different methods has itself been the locus of tensions between positivist and critical traditions in the three last decades. Second, the Practicum is situated precisely at the crossroads of key moments on the professional identity formation continuum for our students. Such a crossroads is disruptive to the status quo of medical traineeship characteristic of the first two years in medical school, and thus reorients professional identity formation. The above tensions reveal how ethnography is not only a revered research tradition in the humanities, but can also be a conduit to whole person care-inspired clinical practice.Conclusion—As instructors and mentors involved in this Ethnography Practicum, we are continually forging a new relevance for organizational ethnography in medical training, where medical students can reflect and act on competencies beyond clinical ones. The Practicum provides a space for students to wrestle with alternative epistemologies to understanding the social world in which medicine is embedded. We lastly provide pragmatic ways to better address these tensions in an effort to support students as they proceed through the (multifaceted) development of their professional identities as future physicians.
Touching the compassionate heart: the ground of healing
Authors: Monshat Kaveh
Published: September 2017

I am a psychiatrist, psychotherapist, secular mindfulness teacher and former university lecturer. Having conducted research in fields varying from laboratory molecular medicine to clinical applications of mindfulness, I took a two year sabbatical to focus on an inner search and healing. It was spent mostly spent in Plum Village: a Buddhist monastery in France in the tradition of Thich Nhat Hanh. I have recently returned to clinical work.I found that it was not until I took a compassionate view of myself that I truly began to heal; and that following my heart was the only way I could negotiate the uncertainties of the path.
Advanced Inversion Techniques for Ground Penetrating Radar
Authors: Fedeli Alessandro , Pastorino Matteo , Randazzo Andrea
Published: September 2017

Ground Penetrating Radar (GPR) systems arenowadays standard inspection tools in several application areas, such as subsurface prospecting, civil engineering and cultural heritage monitoring. Usually, the raw output of GPR isprovided as a B-scan, which has to be further processed inorder to extract the needed information about the inspectedscene. In this framework, inversescattering-based approachesare gaining an ever-increasing interest, thanks to their capabil-ities of directly providing images of the physical and dielectricproperties of the investigated areas. In this paper, some advances in the development of such inversion techniques in theGPR field are revised and discussed.
A Photonic-Crystal Selective Filter
Authors: Pajewski Lara , Schettini Giuseppe
Published: September 2017

A highly selective filter is designed, working at 1.55 μm and having a 3-dB bandwidth narrower than 0.4 nm, as is required in Dense Wavelength Division Multiplexed systems. Different solutions are proposed, involving photonic crystals made rectangular- or circular-section dielectric rods, or else of holes drilled in a dielectric bulk. The polarization and frequency selective properties are achieved by introducing a defect in the periodic structure. The device is studied by using in-house codes implementing the full-wave Fourier Modal Method. Practical guidelines about advantages and limits of the investigated solutions are given.
Experimental Analysis of a Directive Antenna with a 3D-EBG Superstrate
Authors: Pajewski Lara , Frezza Fabrizio , Marciniak Marian , Piuzzi Emanuele , Rossi Giorgia V.
Published: September 2017

A three-dimensional electromagnetic crystal is employed as a directivity-enhancing superstrate for planar antennas. The crystal is a woodpile made of alumina rods. In a shielded anechoic chamber, the performance of a patch antenna covered with the woodpile is measured. The superstrate is positioned at different distances from the antenna and its orientation is varied in the 8–12 GHz frequency range. The return loss, gain and radiation pattern in the E- and H-planes are measured. The electromagnetic behavior of Fabry-Perot cavities with woodpile mirrors, equivalent to the compound radiator, is also studied. The main effect of the crystal on the antenna performance is an enhancement of about 10 dB in maximum gain. A rather complete series of experiments is presented, highlighting the role of the periodic structure in the directivity enhancement and allowing a deeper understanding of the electromagnetic phenomena involved in EBG resonator antennas. Benefits and disadvantages of this kind of antennas are discussed and ideas for future research are given.
Development of Data Processing Tools for the Analysis of Radargrams in Utility Detection Using Ground Penetrating Radar
Authors: Sagnard Florence
Published: September 2017

The extraction of quantitative information from Ground Penetrating Radar (GPR) data sets (radargrams) to detect and map underground utility pipelines is a challenging task. This study proposes several algorithms included in the main stages of a data processing chain associated with radargrams. It comprises preprocessing, hyperbola enhancing, hyperbola detection and localization, and parameter extraction. Additional parameters related to the GPR system such as the frequency band and the polarization bring data sets additional information that need to be exploited. Presently, the algorithms have been applied step by step on synthetic and experimental data. The results help to guide future developments in signal processing for quantitative parameter estimation.
Improving the GPR Detectability Using a Novel Loop Bowtie Antenna
Authors: Ajith K.K. , Bhattacharya Amitabha
Published: September 2017

The Ground Penetrating Radar (GPR) technique finds immense applications in civil engineering today, as the most suitable approach for non-destructive testing of pavements, highways, concrete structures, and more. The major challenge in carrying out a GPR evaluation is that the properties of the probed medium are usually unknown. The permittivity and conductivity of the medium may vary from those of air to water. The electromagnetic waves also have a frequency dependent attenuation. The ability of GPR to detect signals reflected and scattered by the targets largely depends upon the antenna performance. This paper studies a novel 11:1 wideband loop bowtie antenna with very good radiation properties in the entire operating bandwidth. Synthetic and experimental results are presented for the return loss and gain of the antenna. Furthermore, experimental results are presented for the radiation patterns in the E- and H-plane. We also used the antenna to measure B-scans over two different pipes, a bamboo, and a reinforced concrete structure. All results obtained with the proposed antenna have been compared with results obtained by using a RC loaded antenna. It has been found that the loop bowtie antenna has excellent detection capability and produces less clutter. The loop loading technique can be applied to existing antennas for improved GPR imaging. This will improve the detectability of GPR by improving the target return signal.