bluuebunny/crossref_metadata_2025 huggingface dataset:
A comparative study of maternal and fetal outcomes following induction of labour versus expectant management in mild gestational hypertension at term
Authors: Alam Anjuman , Choubey Poonam
Published: April 2019

Background: To compare the maternal and neonatal outcomes between planned induction of labour and expectant management in women with mild gestational hypertension at term.Methods: A prospective hospital based observational study. The 120 pregnant women with mild gestational hypertension were randomized in a 1:1 ratio either to receive immediate induction of labour (group A comprising 60 women) or expectant management (group B comprising 60 women). Primary outcomes were incidence of any maternal mortality, renal failure, pulmonary oedema, need for ICU care or post-partum eclampsia and also composite maternal morbidity like severe gestational hypertension, pre-eclampsia, eclampsia, abruption and PPH. Secondary outcomes were mode of delivery, need for antihypertensives and MgSO4.Results: Though there were no maternal death or renal or pulmonary complications in any group, progression to severe hypertension was more in group B (expectant management) compared to group A (immediate induction) (18.33% vs. 3.33%). Increased incidence of pre-eclampsia and eclampsia were noted in group B (15% and 3%) as compared to group A (0%). Incidence of Abruption and PPH was less in group A 1.67% and 5% compared to group B 3.33% and 10 % respectively. Spontaneous vaginal delivery rate was low and caesarean section rates were high in group A (61.67% and 31.67%) compared to group B (68.33% and 25% respectively). Need for antihypertensive and MgSO4 were less in group A (3.33% each) compared to group B (18.33% and 16.66% respectively).Conclusions: Requirement of antihypertensive, progression to severe hypertension, pre-eclampsia, eclampsia, use of MgSO4, incidence of abruption, PPH were less in group A compared to group B. However, induction at completion of 37 weeks may be associated with increased incidence of operative deliveries.
Oral and vaginal route of misoprostol for induction of labour: a comparative study
Authors: Sharma Deepti D. , Chandnani Kavita A.
Published: April 2019

Background: Induction of labour can be defined as “Artificial initiation of uterine contractions before the onset of spontaneous labour, after the period of viability, by any methods, for purpose of vaginal delivery.” The key factor for a successful induction is the status of cervix, its form, consistency and dilatation which is determined by the Bishop score. In case of unfavourable cervix or in the pregnancies remote from the term; prostaglandins are more effective than any other method of induction. Introduction of misoprostol, PGE1 analogue, for the induction of labour in 1993 and its approval for clinical use by ACOG (American College of Obstetrics and Gynecology) in 1999 has been the most significant advancement. It is the latest drug for induction of labour which is cheap and stable at room temperature and is being used worldwide in different doses and by various routes. We compared the most commonly preferred two routes; vaginal and oral in terms of success of induction and noted the adverse events and side effects in both routes.Methods: This was a prospective comparative study carried out at SBKSMIRC (Shrimati Bhikhiben Kanjibhai Shah Medical Institute and Research Centre), Dhiraj general hospital, Vadodara, Gujarat, 200 patients who required induction of labour were recruited after applying inclusion and exclusion criteria and were randomly divided in two groups- Group A meant to receive 50µg oral misoprostol, Group B - meant to receive 25µg vaginal misoprostol repeated 4 hourly up to maximum of five doses. Progress of labour was charted on the partograph. The mean induction delivery interval, mode of delivery, maternal and neonatal outcomes and complications were observed.Results: The mean induction to delivery interval was significantly less in vaginal group than oral (23.3±12.4 hours in oral vs. 17.3±10 hours in vaginal). Vaginal delivery and cesarean section rates were comparable in both groups (76% in Group A vs. 72% in Group B for vaginal delivery, 18% vs. 20% for Cesarean section, respectively). 58% patients in Group A required more than two doses as compared to 39% in group B, though the difference was statistically not significant. Significant number of patients required added oxytocin administration in Group A (72%). No major complications or adverse events were observed. Neonatal hyperbilirubinemia was seen more in Group A.Conclusions: Both Oral misoprostol in a dose of 50μg and vaginal misoprostol 25 μg every four hours, to a maximum of five doses, have the potential to induce labour safely and effectively. The vaginal route however is beneficial in effecting delivery in lesser time with few numbers of doses as compared to oral route.
Large chorangiomas: a seven years study in a tertiary care obstetrics and gynaecology hospital
Authors: V. Balamurugan , M. Revathy , M. P. Kanchana , S. Shobha
Published: April 2019

Background: Chorangioma is a benign vascular placental tumour. It is composed of fetal capillary proliferation within the chorionic villi supported by a variable stroma. Smaller lesions are incidental, are often missed and carry no clinical significance. Larger lesions are associated with feto-maternal complications and are infrequently sent for histopathological examination.Methods: The study was conducted at the department of pathology, at a tertiary care obstetrics and gynaecology hospital. The study was a retrospective study which covered 7 years. Paraffin embedded blocks of placental specimens containing mass were taken up for the study. Sections were stained with haematoxylin and eosin (H and E). The results are compared and correlated with clinicopathologic factors. The statistical data are analysed manually.Results: A total of seven cases were included in the study, 4 cases were primi gravida, 1 case each in second, third and fourth gravida. Pregnancy outcome was intrauterine death in 1 case, dead born in 1 case, alive healthy children in 5 cases, birth weight was normal in 4 children, low birth weight in 2 children and 1 was extremely low birth weight. Of the total of 7 placental specimens 3 showed extraplacental mass and rest 4 showed intraplacental mass. All cases showed solitary lesions and measured > 5cm (large). Histopathological examination of all 7 specimens showed features of chorangioma.Conclusions: Careful inspection of the placenta is necessary following all deliveries. Any suspicious lesions should be documented and evaluated by histopathological examination there by predicting feto maternal complications and help the clinicians in better management of the mother and child accordingly. Meagre documentation of such cases prompted us to present this series of 7 cases of large chorangiomas with a mixed fetal outcome.
Birth preparedness and complication readiness among pregnant and recently delivered women in villages of a block of Ganjam, Odisha, India: a community based cross-sectional study
Authors: Kar Monali , Karmee Nivedita , Satapathy Durga M.
Published: April 2019

Background: Globally approximately 830 women die from pregnancy and child birth every day. Most of deaths can be prevented by proper planning like birth preparedness and complication readiness (BPCR). The aim of study was to assess awareness and practice regarding BPCR among pregnant women and recently delivered women and to identify socio-demographic factors affecting it.Methods: A community based cross sectional study was conducted from September to December 2018 in villages of Chhatrapur block of Ganjam District among pregnant women (completed 24 weeks) and recently delivered women (12 months) regardless of newborn outcome. Sample size was calculated to be 96. Multi stage random sampling was adopted and PPS (Probability proportional to size) method was used. A questionnaire was used which contained socio-demographic information and set of 11 indicators to determine BPCR index. All data were analysed in SPSS.Results: BPCR index was 44.6% and it was higher (61%) in recently delivered women. 26% can be said to be well prepared and 45.8%, 27%, 32.3%, 37.5% knew at least one key danger sign in pregnancy, delivery, post partum and about new born respectively. A significant association was found between maternal education, age and pregnancy with awareness regarding BPCR.Conclusions: BPCR index in study area was low and a low proportion of participants were well prepared. Awareness about danger signs was quite low. So health workers at grassroots level should be encouraged to explain BPCR components to women and educational activities should be carried out to promote women to make plan a priori.
Prediction of severe adverse maternal outcome in women admitted in obstetric ward using physiological and biochemical parameters
Authors: Rani Reena , Meena Sunita Bai , Yadav C. P. , Goswami Deepti , Tripathi Reva , Rathore Asmita M.
Published: April 2019

Background: To study physiological and biochemical parameters to predict serious adverse maternal outcomes and to develop risk score using above parameters.Methods: This prospective study was conducted in 500 high risk pregnant women attending tertiary care teaching hospital. We noted physiological and biochemical parameters as soon as they were available .The primary outcome measures was “severe adverse maternal outcome(SAMO)” in form of one or more among  mortality, near miss morbidity and ICU admissions.Results: Out-off 500 women, severe adverse maternal outcomes were seen in 158 (31.6%) women. Most common cause of near miss maternal morbidity was hypertensive disease of pregnancy (62.7%) followed by major obstetric hemorrhage (18.9%). There were 33(6.6%) ICU admission, 23 (4.6%) maternal death and 153 (30.6%) near miss maternal morbidity. The most common cause of maternal death in our study was obstetric hemorrhage. The significant variables after multivariate analysis [temp, pulse, urine protein] were used  to devise a Maternal early warning score (MEWS) based on physiological parameters at score value of  ≥1/6 was found to have  sensitivity of 70% and specificity of 82% in predicting SAMO with AUROC of 0.76. The significant laboratory parameters after multivariate analysis were blood urea, serum creatinine, serum bilirubin and liver enzymes. The obstetric risk score (Maternal risk prediction score MRPS) which incorporated of these laboratory parameters in addition to physiological parameters has sensitivity of 82% and specificity of 75% with AUROC 0.79 value ≥ 2/18.Conclusions: The addition of laboratotory parameters to physiological variables improves performance of risk score to predict SAMO.
Importance of examination under anaesthesia in adolescent age group for effective diagnosis and treatment in diagnostic dilemma: case series
Authors: Agarwal Shuchi , Solanki Vandana , Singh Urmila , Mehrotra Seema
Published: April 2019

Problems of the adolescent girls like discharge and bleeding per vaginum (BPV) are usually underestimated and under diagnosed and are considered as physiological. Often diagnosis not settled due to incomplete or absent examination. In such situations Examination under anaesthesia (EUA) is an invaluable method in the lower genital tract assessment of adolescent females. The aim of this study was to discuss Importance of EUA in adolescent age group with persistent complain of discharge and bleeding for aiding the diagnosis. Present case series discusses three cases of girls of adolescent age group who presented to tertiary care centre of Northern India over a period of six month with complain of discharge per vaginum and on and off bleeding p/v which was refractory to medical management. After initial examination and investigations they were planned for Examination under Anaesthesia. Gynecological complaints such as vaginal discharge, irregular BPV are common complains in adolescent age group. Many complaints can be dealt with by reassurance, whereas most others respond to medical therapy. To facilitate diagnosis in recurrent or unresponsive patients EUA is recommended. In diagnostic dilemma and in unusual presentation in young age EUA is invaluable.
Thyroidectomy with and without drains: a clinical comparative study
Authors: Emmi Shaileshkumar M. , Amarnath Reddy M.
Published: April 2019

Background: Thyroid surgery is one of the most commonly performed procedures by a general surgeon, and almost every surgeon tends to use closed suction drain at the end of surgery, with an intention of preventing the most dangerous complication i.e., suffocating haematoma, which may be not necessary as suggested by many studies. The objective of the study was to assess the benefit of drain use after thyroidectomy by determining; length of hospital stay, post operative pain and wound sepsis.Methods: This prospective clinical comparative study was undertaken at tertiary care teaching Hospital, for duration of one year from September 2017 to August 2018.Results: A total of 44 patients were evaluated. There were 29 females (65.90%) and 15 males (34.09%). The mean age for the drain group was 35.45 years and 33.79 years for the no drain group. Most participants were female. Mean duration of hospital stay after thyroidectomy was significantly higher among the drain arm as compared with the no drain arm. Seven patients developed complications in the drain group and one developed complication in the no drain group. The mean hospital stay of the drain group was 3.15 days which in the no drain group was 2.51 days.Conclusions: Thyroidectomy without drains causes less discomfort, early discharge, hence has lesser expenses, without increasing the risk of post operative including haemorrhage and hematoma formation. Meticulous haemostasis and an adequate surgical technique are the keys for avoiding haemorrhage and hematoma formation.
Efficacy of low level infrared light therapy on wound healing in patients with chronic diabetic foot ulcers: a randomised control trial
Authors: Sangma Mimamaychet B. , Selvaraju Selvakumaran , Marak Fremingston , Dasiah Simon David
Published: April 2019

Background: A total of 52-patients with Type-2 Diabetes Mellitus having Meggitt-Wagner Grade-I of foot ulcers of at least more than 4-weeks duration, less than 6×6 cm, with negative culture were studied. Diabetic foot ulcers are serious complications of diabetes mellitus and are known to be resistant to conventional treatment. It also causes a significant cause of morbidity, mortality and financial burden. If the ulcer is left untreated they can create a severe complications. This study was designed to examine the effect of infrared radiation on the healing of diabetic foot ulcer.Methods: This clinical trial was performed on 52 patients with diabetic foot ulcer Wagner Grade-I. Patients were classified into 26 control and 26 study group. Electromagnetic radiations in the form of photons are delivered to the ulcer site by infrared light to stimulate healing.Results: Male preponderance was found with ratio of 2:1. Mean age of the patients was 58.82 years in control group and 52.44 years in study group. The mean HbA1C levels in the control groups were 7 (range 6.2-8.3%) and 7.2 (range 7-8%) in the study group, suggesting no biochemical differences between two groups. Mean reduction in the ulcer area was 375.30 mm in the control group and 893.56 mm in the study group and this differences between the two groups was statistically significant (p<0.010).Conclusions: It is shown that using infrared plus routine dressing is more effective than merely routine dressing in diabetic foot ulcers and there was a significant difference in reduction of ulcer size in study group.
A prospective study of fistula in ano with reference to clinicopathology, imaging and management
Authors: Saxena Pradeep , Yadav Sahab Singh
Published: April 2019

Background: The aim was to study and review clinical presentation, pathological aspects & prevalent modalities of investigation and treatment for fistula in ano.Methods: A prospective study of 90 patients of fistula in ano admitted from March 2015 to December 2016 was done. Fistulography was done as a preliminary investigation in 72 cases and MR Fistulography was done for complex and recurrent fistula (16 cases). Patients were operated and histopathology of fistula tract was done. In patients with clinical suspicion of tuberculosis smear examination of pus with ziehl neelsen staining for acid fast bacilli (AFB) and Cartridge Based Nucleic Acid Amplification Test (CBNAAT) on pus/slide was used to find out tuberculosis in patients of anal fistula. The clinical presentation, operation performed, pathological findings were recorded & a descriptive analysis was done.Results: A prospective study of 90 patients of fistula in ano admitted from March 2015 to December 2016 was done. Fistulography was done as a preliminary investigation in 72 cases and MR Fistulography was done for complex and recurrent fistula (16 cases). Patients were operated and histopathology of fistula tract was done. In patients with clinical suspicion of tuberculosis smear examination of pus with ziehl neelsen staining for acid fast bacilli (AFB) and Cartridge Based Nucleic Acid Amplification Test (CBNAAT) on pus/slide was used to find out tuberculosis in patients of anal fistula. The clinical presentation, operation performed, pathological findings were recorded & a descriptive analysis was done.Conclusions: With careful clinical evaluation, appropriate imaging studies and conventional surgical techniques anal fistula can be treated effectively with less morbidity, incontinence and recurrence.
A study on the recurrent laryngeal nerve injuries in thyroid surgeries at PESIMSR, Kuppam
Authors: Sonnepalli Balaji , Francis John M. , S. Shivananda
Published: April 2019

Background: Thyroid surgeries are routinely performed by general surgeons all over India. Although the incidence of recurrent laryngeal nerve (RLN) injury is uncommon, it still carries a significant impact on patient’s quality of life post operatively. Hence this study was done to identify and discuss incidence and various factors involved in RLN injury.Methods: This is a prospective observational study carried out at a rural health care setup at PES Institute of Medical Sciences and Research (PESIMSR), Kuppam. A total of 60 patients who qualified the inclusion and exclusion criteria were studied from December 2016 to June 2018. All the patient data including relevant history, clinical findings, intra operative findings and post-operative follow up were recorded and the results were tabulated. Institutional ethics committee clearance was obtained before the start of the study.Results: Out of 60 patients 51 were females and 9 were males. 30 patients had unilateral involvement and the other 30 patients had bilateral involvement of thyroid lobes on clinical and ultrasound examination. On fine needle aspiration cytology (FNAC), 57 were benign, 2 were malignant and 1 was Hashimoto’s thyroiditis. Surgeries were done according to standard protocol. Intra operatively RLN was identified in 56 patients. In 3 of them there was a structural anomaly. Postoperative hoarseness of voice was seen in 8 patients, however long term vocal cord palsy was seen in 3 patients.Conclusions: This study shows the importance of intra-operative nerve identification, incidence of RLN injury and role of postoperative rehabilitation.
A prospective study of single layer abdominal wall closure in the tertiary care hospital
Authors: Agrawal Sujan Narayan , Singh Kameshwar
Published: April 2019

Background: Despite advances in surgical techniques and material, abdominal wound closure remains challenging. Most abdominal wall incisions are either midline or paramedian. The value of a particular method of closing is determined by the incidence of early and late wound complications. The best abdominal wound closure technique should be, fast, easy, safe and cost effective. It should also prevent or minimize the early and late complications. This study addresses the midline single-layer closure of the abdominal wound.Methods: The purpose of this study is to evaluate the single layer midline abdominal wound closure. The early and late complications associated with this method are studied, and relevant literature reviewed. The study period is from May 2016 to May 2018, i.e. 24 months. The study group comprises of 52 patients, admitted in the department of surgery SBRKM Government medical college Jagdalpur. In all of them, the midline incisions closed in a single layer by a non-absorbable continuous suture. The skin closed separately. The mean age of the patient is 46.5 years. The male to female ratio is 3:1. Emergency laparotomy done in 35 cases and 17 (38.4%) underwent elective surgeries.Results: In this series 20 (38.4%) patients had wound infection. 10 (19.2%) patients had wound gaping. There was no incisional hernia in six months follow-up.Conclusions: Single layer abdominal wall closure has a definite advantage. It is fast, easy and cost-effective. Continuous running suture with non-absorbable material provides enough strength during healing and is better than interrupted sutures. The incidence of early and late complications is also significantly less. The results are comparable to many meta-analyses and RCT did in this field.
Appendicular perforation in a neonate: a case report
Authors: Badhani Akanksha , Singh Santosh Kumar
Published: April 2019

Appendicitis and the consequent appendicular perforation are mostly rare in neonates. It is more common in premature babies though. Presentation therefore may mimic necrotizing enterocolitis although this is usually not so severe. We report a case of appendicular perforation in a term neonate who presented as peritonitis. Diagnosis was made after the exploration. Patient did well after surgery. Although rare, appendicular pathology should be entertained in any case of peritonitis even though the presentation is not the same as in older children due to various anatomical reasons. Primary treatment is surgery.
From Orphan to Sage: The Hero’s Journey as an Assessment Tool for Hip Hop Songs Created in Music Therapy
Authors: Viega Michael
Published: April 2019

The purpose of this article is to detail how Joseph Campbell’s monomyth, the hero’s journey, and Carol Pearson’s archetypical stages of human development have inspired an interpretive clinical assessment to construct meaning from songs created by adolescents who identify with Hip Hop Culture and who have experienced extreme trauma. The history and creative elements of Hip Hop Culture are rich with mythic narratives that reflect the lived social, cultural, and political experience of communities marginalized and underrepresented, and it especially connects with a global adolescent audience. Adolescence, as a developmental stage of human growth, can be viewed through the lens of a hero’s journey in which a child moves through a stage of liminality to enter into adulthood. This perspective can be particularly useful for music therapists when making meaning of songs created by adolescents who have experienced childhood trauma. Three songs, representing different stages and archetypes along each songwriter’s hero’s journey, will be presented to reveal the trials, clinical goals, fears, and rewards contained within the lyrical and musical components.
Music Education’s Hero Collective: More Like the Justice League Than Superman
Authors: Randles Clint
Published: April 2019

This article is the author’s autoethnographic exploration of change in music education (Randles, 2013, 2015a) as illustrative of a hero collective, a term used here to represent a sociocultural explanation of Campbell’s hero’s journey as outlined in The Hero with a Thousand Faces (2008). The hero collective is a term that is inclusive of all individuals working in the field of music education who would like to see much more diversity in offerings and modes of musicianship represented in the curriculum of primary and secondary (K-12), as well as higher education music. Tensions involved in this pursuit are presented as part of the separation-initiation-return cycle of Campbell’s hero’s journey as expressed specifically by Vogler (2007). The hero collective is proposed to be a more realistic explanation of how to conceptualize the hero’s journey, given the current discourse in the creativity literature around sociocultural as opposed to purely individualized notions of creativity (Sawyer, 2012). The author makes the case, in line with previous work, that curriculum development is a creative process, and that the hero’s journey might be used as one way of conceptualizing what the change process might look like in the real world.
From Zero to Hero: A Narrative Amplification of Design Thinking
Authors: Sonnenburg Stephan
Published: April 2019

Since the early 2000s, Design Thinking (DT) has developed into one of the most influential approaches to foster creativity and innovation (Carlgren, Elmquist, & Rauth, 2016b). However, DT’s aspiration to create radical innovation has been called into question by scholars and practitioners. This paper employs a variation of the hero’s journey to afford the DT process new perspectives and insights. The specific vantage point applied in this study helps overcome known shortcomings of DT, like a too rational step-by-step approach as well as thinking and acting in known boxes. “You can’t have creativity unless you leave behind the bounded, the fixed, all the rules.” (Campbell & Moyers, 1991, p. 194) Adopting the hero’s journey perspective, organizations get a better understanding of the team transformation during DT processes. The article is structured as follows: First, the multi-faceted understanding of DT, which is comprised of its mind-set, process and critical reflection, is elaborated. Second, the hero’s journey with its universally transformative potential is discussed as a missing puzzle piece. Third, inspired by narrative insights from the hero’s journey, a re-conceptualized DT process called the heroic DT journey is introduced.
Kecerdasan Emosi Dan Depresi Pada Mahasiswa Yang Sudah Menikah
Authors: Fitriah Azizah
Published: April 2019

Every human being will one day experience a tense period in the short term when facing known problems such as career pressures, family disputes or quarrels, material pressures, and personal despair, and we will think that this is depression, which is not is an important problem because it will resolve itself, but none of these fleeting conditions is depression. Good emotional intelligence can reduce aggression, especially in adolescents. Therefore, if emotions are managed successfully, the individual will be able to entertain themselves when overwritten by sadness, can release anxiety, moodiness or offense and rise quickly again from it all. This research is field research with a correlational approach, exploring the relationship between depression and emotional intelligence in married students. The results of the hypothesis test show that between emotional intelligence and depression in married students has a significant negative relationship (XY = -0.411; sig = 0.014 <0.05). This is in accordance with the data obtained from the SPSS 19 for Windows program, stating that r table 0.334 and r xy (r hit) -0.411, said to be significant if r xy = 0.411> r table = 0.334. In other words, the higher the emotional intelligence of students who are married, the lower the possibility of depression.
Strategi Work-Family Balance pada Perempuan Suku Banjar yang Memiliki Peran Ganda
Authors: Hairina Yulia , Fadhila Mahdia
Published: April 2019

This study aims to determine work-family balance strategies in women who have a dual role especially in Banjar women and to know the factors that influence the achievement of balanced work family. The method used is descriptive qualitative, with interview data collection methods. The research subjects were selected by using purposive sampling technique. The results of the study are related to strategies in balancing work and family that are done by the subject, namely 1) making the best use of time, time management, completing work on time, separating work and family matters, making special schedules to spend with children and other family members every Saturday Sunday or holiday, and prioritize important days for families and children such as child shows and others that indeed our existence becomes important for our families 2) monitor the family while working for example by making a single call to the child to check the situation even there are parents or household assistants who guard them, 3) share roles with husbands. Furthermore, the factors that influence the achievement of balance are 1) partner support 2) commitment at the beginning of marriage 3) the same experience of the husband. The implication of this study is that it can provide an overview related to work-family balance strategies in women who have multiple roles. Work-family balance is important for everyone because if the multiple roles run are not balanced then it is likely to lead to family and work conflicts.
Impact of socio-economic status on food consumption pattern of rural farm women
Authors: Maruthesha A. M. , Vijayalakshmi D. , Jayalaxmi Baddi , Patil Ramappa
Published: April 2019

This study has focused on the functioning of 10 SHG’s located in Venkatahalli and Heggadehalli villages of Bangalore rural district comprising of 200 farm women mainly belonging to marginal and landless category with age group of 18-35 years.
The women members of SHG’s were found to save a portion of their meager income and pool that money for lending among them at an interest decided by the group. A close look at the pattern of lending revealed that large part of the credit was used for
improving the sustainability of their agriculture and economic status as the loans were availed for crop cultivation, purchase of milch animals and sericulture activities. Majority of the rural families were non-vegetarians by habit; animal based
foods were consumed twice a week by 49 per cent of the families. It was observed that majority of the rural families consumed 3 meals per day and only 18 per cent of the rural families consumed 2 meals per day. The diet of the rural families was
monotonous, lacking variety and they care more for bulk rather than quality of the diet. Nutrient intake of rural farm women was compared with Recommended Dietary Allowance (RDA). The intake of all nutrients viz. energy, protein, fat, iron, thiamine,
riboflavin, niacin and â-carotene were low except for calcium. The per cent adequacy of nutrients was inadequate.
PERILAKU SOSIAL BUDAYA POLITIK DAN AKTIVITAS RELIGI MASYARAKAT INDONESIA
Authors: Zuhroh Ni'matuz
Published: April 2019

In order to achieve the authority cannot be separated from political culture in society, political culture according Ranney, there are two main components of political culture, namely cognitive orientations and affective orientations. Meanwhile, Almond and Verba more comprehensive reference on what formulated by Parson and Shils about classification of orientation types, that political culture contains three components as follows: cognitive orientation, affective orientation, and evaluative. In Indonesia also has various religions including Islam, Christian, Hindu, Buddha, and Konghucu. Sometimes, some people believe to witchcraft. Belief /religion of Indonesia people star from the simplest, for example fetishism, animism, pragmatism, and totemism. Belief and religion do not look traditional and modern societies even in Australia, America, and Africa totemism is a system that occupies the position as a religion and become the basis of social organization. J.G. Frezer in Totemism and Exogamy (1910)

Keywords: Political culture, System of Religion, and Witchcraft
Pola Kerjasama Guru dan Orang Tua dalam Meningkatkan Mutu Pendidikan di MIN 2 Kota Palembang
Authors: Nazarudin Mgs
Published: April 2019

Focus of the discussion in this study was the collaboration of parents and MIN 2 teachers in Palembang City in improving the quality of education. The problems that were deliberately raised in this study were: What efforts were made by MIN 2 Palembang in building cooperation between parents and teachers? What is the form of collaboration between student’s parents and teachers in improving the quality of education in MIN 2 Palembang? In line with the formulation of the problem, the purpose of this study is to find out: (1) School efforts to establish cooperation with student’s parents; (2) Form of collaboration between school and student’s parents. This research is a field research using a qualitative descriptive approach. The subject of this study was school MIN 2 Palembang City. Data collection techniques used were interviews and documentation. The researcher is the main instrument in conducting research assisted by interview sheets and documentation guidelines. Sources of data or key information are three people (Head of MIN 2 Palembang City and 2 teachers). The collected data was then analyzed using qualitative descriptive. The results of the study show that: (1) School efforts to establish cooperation with parents of students are by creating a comfortable school climate, making initial communication with parents, and providing opportunities for parents to be involved in school activities; (2) Forms of cooperation carried out include: parenting, communication, volunteers, parental involvement in children's learning at home, and collaboration with community groups.
Indígena e o desafio diferenciado
Authors: Rodrigues Eliene dos Santos
Published: April 2019

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Türkiye’de 2009 ve 2016 yılları arasında adolesan yaş grubunda ölüm nedenlerinin değerlendirilmesi
Authors: ERİK Hanife Ece , ASLAN Dilek , TUNÇ Burak
Published: April 2019

Amaç: Adolesan dönemi sağlık sorunları, ihmal edilen ve sıklıkla önlem alınmayan durumlardır. Bu sorunlar bireylerin şu anki sağlık düzeylerini etkilediği gibi yetişkinlik döneminde meydana gelebilecek hastalıkların da temelini oluşturmaktadır. Bu çalışmada adolesan dönemde 2009 ve 2016 yılları arasında meydana gelen ölüm nedenleri incelenmiş, ölümlerin yıllar içindeki değişimleri değerlendirilmiştir. Gereç ve Yöntem: Türkiye’de 2009-2016 yıllarına ait adolesan ölüm nedenlerini inceleyen tanımlayıcı tipteki bu araştırma için gerekli veriler Türkiye İstatistik Kurumu’ndan yazılı başvuru ile elde edilmiştir. Adolesan dönem ölüm nedenlerinin boyutunu değerlendirmek amacıyla; yaşa-özel ve yaşa-nedene-özel ölüm hızları ile ölüm nedenlerinin tüm ölümler içerisindeki yüzdeleri ölçüt olarak kullanılmıştır. Bulgular: Adolesan yaş grubunda 2009 yılında yüz binde 22.4 olan yaşa-özel ölüm hızı 2016’da yüz binde 29.2’ye çıkmıştır. 2016 yılında adolesan yaş grubunda birinci ölüm nedeni “dışsal yaralanma nedenleri ve zehirlenme kaynaklı ölümler”’dir. Bu nedene bağlı ölüm hızı adolesan yaş grubunda 2009’dan (yüz binde 6.8) 2016 yılına (yüz binde 12.7) artış göstermiştir. Dışsal yaralanma nedenleri ve zehirlenme kaynaklı ölümler içerisinde en büyük paya sahip olan taşıma kazalarına bağlı ölümler de 2009’dan (yüz binde 3.0) 2016 yılına (yüz binde 5.1) artış göstermiştir. Sonuç: Ölüm nedenlerinde meydana gelen değişimlerin düzenli olarak değerlendirilmesi önemlidir. Bu değerlendirmeler alınacak olan önlemleri etkileyebilmektedir. Bu nedenle benzer değerlendirmelerin yapıldığı bilimsel zeminli çalışmaların sürdürülmesi önerilmektedir.
Ankara'da bir üniversite hastanesine başvuranların bir sağlık sorunları olduğunda tutum, davranışları ve buna etki eden faktörler
Authors: GÜVEN Enes Ahmet , AYCAN Sefer
Published: April 2019

Amaç: Bu çalışmada bir üniversite
hastanesinin bazı polikliniklerine başvuran kişilerin sağlık sorunları olması
durumunda gösterdikleri tutumların belirlenmesi, aile hekimliği sistemini şu
anki haliyle kullanma sıklıklarının ve kullanma sıklığına etki eden faktörlerin
belirlenmesi, amaçlanmıştır. Yöntem:
Araştırma kesitsel olarak planlanmıştır. Gazi Üniversitesi Hastanesinin bazı
polikliniklerine başvuran 1302 kişinin katılımıyla yürütülmüştür.  Bulgular:
Katılımcıların %41.3’ü aile hekimine başvurmadan doğrudan diğer sağlık
kuruluşlarına başvurduğunda katkı payı ödediğini bilmemektedir. Katılımcıların
yeni gelişen sağlık şikayetlerinde en çok başvurdukları merkez %33.7 ile devlet
hastaneleridir. Katılımcıların %62.8’i son bir yıl içerisinde aile hekimiyle
görüşmüştür. Katılımcıların mevcut şikayeti için ilk başvurdukları kurum %54.6
ile araştırmanın yürütüldüğü Gazi Üniversitesi Hastanesidir. Yeni gelişen
sağlık şikayeti için önce aile hekimine başvurma ve son bir yılda aile hekimine
başvurmayı; düşük gelir, eve yakın olma, aile hekimini yeterli görme ve katkı
payı ödenmesini bilme anlamlı olarak etkilemektedir. Sonuç: Sağlık kuruluşlarına başvuran kişilerin çoğunlukla katkı
payı ödeme uygulamasını tam olarak bilmedikleri görülmüştür. Toplumun aile sağlığı merkezlerini ilk
başvurulacak sağlık kuruluşu olarak benimsemesi için öncelikle bu konuda
bilgilendirme yapılmalıdır. Kişilerin birinci basamağı atlayarak doğrudan uzman
hekime yönlendiren en önemli sebeplerden biri de aile hekimlerine olan
güvensizliktir. Pratisyen hekimlere karşı toplumdaki yetersizlik algısını
düzeltmek için çalışmalar yapılmalıdır.
Legal Existence of Local Wisdom for Bajo Fishery Tribe on Indonesian Maritime Border
Authors: Haris Oheo Kaimuddin , Syahbudin Syahbudin , Yunus Ahsan
Published: April 2019

This work is aimed at exploring appropriate method in legitimating and admitting toward legal existence for Bajo effort’s local wisdom particularly in maintaining Indonesian’s Border. This effort is importance to maintain sovereignty of Indonesia's maritime boundaries without having to eliminate Bajo’s local wisdom that may exclude sustainable development for Bajo society. This situation has altered their traditions that they just initially and merely fished fishes just for consumption. For that reason, this work offers appropriate values in legitimating and admitting a legal existence for Bajo effort’s local wisdom such as the rights of traditional fisherman community of Bajo tribe in human rights law as indigenous people right based either on National and International Law and; the legal protection of Bajo communal rights in exploiting sea and traditional fisherman criteria after UNCLOS 1982 and MOU BOX 1974 including its amendments. The application of this method may create holistic and traditional manners in keeping and managing collective strategic resources for the greatest benefit for national defend especially for Bajo fishery tribe.
PENGELOLAAN SEKOLAH DASAR BERBASIS PENDIDIKAN KARAKTER MELALUI PERAN SERTA MASYARAKAT DI DKI JAKARTA
Authors: Marini Arita
Published: April 2019

The aim of this study is to know the effectiveness of school management based on character education through community involvement at elementary schools in the Province of DKI Jakarta.  This research used survey method for 145 principals done at 145 elementary schools in Jakarta.  The questionnaires of school management based on character education through community involvement at elementary schools in the Province of DKI Jakarta are related to inviting society to school to give spiritual knowledge, involving society to participate in school security, involving society to participate in deciding school programs containing character values, involving society to solve the school problems related to character education, involving society to get involved in school committees, involving society to give facilities related to character education to school, involving society to help to control the implementation of character education at school, cooperating with health workers to give health service to students, conducting routine meeting between school and societies to solve the problems related to character education, cooperating with society to keep environmental cleanliness at school, involving society to assist traffic security and order surrounding school, involving society to sacrifice animals on Idul Adha Day, involving society in extracurricular activities to find the trainers, involving society to find the cleanliness workers, involving society to participate in creating healthy canteen at school, involving society to participate in controlling the activities at school, involving society to participate in preventing dengue fever outbreak, cooperating with private institution in giving cleanliness service at school, and cooperating with society to conduct art performance at school.  The result of study showed that the effectiveness of school management based on character education through community involvement higher than average scores reached 24.80 % and less than average scores reached 64.90 %.  Effectiveness of school management based on character education through community involvement at 145 elementary schools in the Province of DKI Jakarta reached 75.53 %.  It can be concluded that the effectiveness of school management based on character education through community involvement at 145 elementary schools in the Province of DKI Jakarta hasnâ€™t been optimal so that some improvement and adjustment have to be done.
Changes in choroidal thickness in advanced diabetic retinopathy treated with pan-retinal photocoagulation using a pattern scanning laser versus a conventional laser
Authors: Park Nari , Kim Jee Taek
Published: April 2019

Background: To compare the effect of pan-retinal photocoagulation (PRP) using pattern scanning or conventional laser on subfoveal choroidal thickness (SFChT).
Methods: Thirty-eight patients (64 eyes) with advanced diabetic retinopathy (DR) who underwent PRP using pattern scanning or conventional laser were included. Changes in SFChT were compared with baseline values at 1, 3, 6, and 12 months after PRP using swept-source optical coherence tomography.
Results: The conventional laser group showed statistically significant decrease in SFChT at 1, 3, 6, and 12 month after PRP (P<0.001). SFChT was significantly decreased at 3 (P = 0.025), 6 (P = 0.004), and 12 months (P < 0.001) after treatment in the pattern laser group.
Conclusions: Eyes with advanced DR showed a significant reduction in SFChT over 12 months regardless of the type of laser used; however, the reduction was sooner after conventional laser than after pattern laser.
Many-body localization in a quasiperiodic Fibonacci chain
Authors: Macé Nicolas , Laflorencie Nicolas , Alet Fabien
Published: April 2019

We study the many-body localization (MBL) properties of a chain of
interacting fermions subject to a quasiperiodic potential such that the
non-interacting chain is always delocalized and displays
multifractality. Contrary to naive expectations, adding interactions in
this systems does not enhance delocalization, and a MBL transition is
observed. Due to the local properties of the quasiperiodic potential,
the MBL phase presents specific features, such as additional peaks in
the density distribution. We furthermore investigate the fate of
multifractality in the ergodic phase for low potential values. Our
analysis is based on exact numerical studies of eigenstates and
dynamical properties after a quench.
The Effect of Psychological Support Program on Resilience and Life Satisfaction of Adults with Disabilities
Authors: NAZLI Serap
Published: April 2019

The aim of this study is to examine the impact of a
positive psychology-based psychological support program on the resilience and
life satisfaction of adults with disabilities. 35 adults with disabilities
voluntarily participated in the program designed for the International Day of
Persons with Disabilities. The program lasted 5 days: a 16-hour psychological
support program for the first 4 days and a celebration ceremony on the last
day. Psychological support program was designed as a developmental, abstract
and closed group in psychoeducation format. Brief Resilience Scale,
Satisfaction with Life Scale and Psychoeducation Program Evaluation Form were
the instruments used in the study. For the analysis of the data obtained from
the scales, t-test for dependent groups and frequencies and percentages of the
evaluation form were calculated. Results indicated that the psychological
support program significantly increased resilience and life satisfaction of
adults with disabilities.
Improvement of aqueous solution coexisting with arsenite and arsenate using iron mixed porous clay pellets in batch and fixed-bed column studies
Authors: Thanh Nguyen Chi , Wichitsathian Boonchai , Yossapol Chatpet , Wonglertarak Watcharapol , Te Borano
Published: April 2019

Arsenic-polluted water is a global concern and puts millions of people at risk of developing cancer. The improvement of aqueous solution coexisting with arsenite and arsenate using iron mixed porous clay pellets was investigated in batch and fixed-bed column systems. Batch studies showed that the removal rate occurred in two main phases with an equilibrium time of 52 h. The pseudo-second-order model well described the experimental data. Isotherm data were well fitted by the Langmuir–Freundlich model. The removal efficiency was significantly reduced in alkaline solution and the presence of phosphate ions. The column study revealed that the breakthrough time and saturation time increased with lower feeding flow rate, higher bed height, and lower initial adsorbate concentration. The Thomas model provided good performance for predicting the column experimental data.
Current Status and Future Perspective for Research on Medicinal Plants with Anticancerous Activity and Minimum Cytotoxic Value
Authors: Qamar Hina , Rehman Sumbul , Chauhan D.K.
Published: April 2019

Cancer is the second leading cause of morbidity and mortality worldwide. Although chemotherapy and radiotherapy enhance the survival rate of cancerous patients but they have several acute toxic effects. Therefore, there is a need to search for new anticancer agents having better efficacy and lesser side effects. In this regard, herbal treatment is found to be a safe method for treating and preventing cancer. Here, an attempt has been made to screen some less explored medicinal plants like Ammania baccifera, Asclepias curassavica, Azadarichta indica, Butea monosperma, Croton tiglium, Hedera nepalensis, Jatropha curcas, Momordica charantia, Moringa oleifera, Psidium guajava, etc. having potent anticancer activity with minimum cytotoxic value (IC50 >3μM) and lesser or negligible toxicity. They are rich in active phytochemicals with a wide range of drug targets. In this study, these medicinal plants were evaluated for dose-dependent cytotoxicological studies via in vitro MTT assay and in vivo tumor models along with some more plants which are reported to have IC50 value in the range of 0.019-0.528 mg/ml. The findings indicate that these plants inhibit tumor growth by their antiproliferative, pro-apoptotic, anti-metastatic and anti-angiogenic molecular targets. They are widely used because of their easy availability, affordable price and having no or sometimes minimal side effects. This review provides a baseline for the discovery of anticancer drugs from medicinal plants having minimum cytotoxic value with minimal side effects and establishment of their analogues for the welfare of mankind.
Preparation, Characterization, and Application of Ru-Silica-Ionic Liquid System for CO2 Hydrogenation Reaction
Authors: Gautam Prashant , Upadhyay Praveenkumar Ramprakash , Srivastava Vivek
Published: April 2019

A group of silica-ionic liquid supported Ru-based catalysts was synthesized and further utilized
for CO2 hydrogenation reaction. All the materials were properly analyzed in terms of their physicochemical
properties. The physiochemical impacts of different functionalized and non-functionalized
ionic liquid over the synthesis, size, and stability of Ru NPs along with their effect on the rate of hydrogenation
reaction were investigated. The Ru-[DAMI][NTf2] (1:10)@SiO2 furnished the best catalytic
performance in CO2 conversion to formic acid under high-pressure reaction condition. The results
confirmed the impact of ionic liquids as a repellent to avoid agglomeration and oxidation of the Ru nanoparticles
followed by space resistance and electrostatic protection. Hence, such influence positively
begins the rate of reaction as well as the selectivity of the process. Good physiochemical stability of
catalyst in terms of 7-time catalyst recycling and easy product/catalyst isolation make this protocol
near to the principal of sustainable chemistry.