bluuebunny/crossref_metadata_2025 huggingface dataset:
A “WORLD-SYSTEMIC” FORM OF GLOBALIZATION AND THE DANGER OF SOCIAL DEVELOPMENT “PERIPHERIZATION”
Authors: Subbotin Viatcheslav
Published: March 2019

In modern studies of global social development, it is necessary to integrate the main research approaches in order to create a holistic sociophilosophical and social prognostic model. It should be noted that in the “unified approach” it is considered that globalization “tightens” the national development models along the model that is recognized as the reference model in the dominant social-state and economic- political systems. The “civilization approach” assumes that globalization is so-called “Melting pot”, in which various national models, stereotypes and ideas are mixed with the formation of a socionatural system of universal diversity as the basis of a universal model of development.
THE SCENARIOS OF REINTERGATION OF UKRAINIAN HIGHER EDUCATION: PHILOSOPHICAL ANALYSIS AND EVALUATION OF PERSPECTIVES
Authors: Svyrydenko Denys , Terepyshchyi Serhii
Published: March 2019

Within the article, interviews were conducted with representatives of the six internally displaced universities (Tavrida National V. I. Vernadsky University, Donetsk National University, Luhansk Oblast Institute of Postgraduate Pedagogical Education, etc.). The subsequent summarization of the results of the interviews allowed us to identify the directions of implementation of the strategy of reintegration. Proceeding from the existing state of the Ukrainian educational system divided by the war, the main way of reintegration is to establish effective systems of support for displaced institutions of higher education as well as improving the material, technical, scientific and pedagogical component of their activities.
THE ELEMENTARY SCHOOL EDUCATIONAL PROCESS INNOVATIONS IN UKRAINE (1991-2001)
Authors: Havrylenko Tatiana
Published: March 2019

It is argued that the educational process in elementary school in this period was innovative, namely: in the organization (transition to the semester education system, reducing the school year and increasing the length of the holidays; restructuring the school week, reducing the lesson’s duration to 40 minutes, the opportunity to receive primary education in the individual form of education); in teaching methods (improvement and adaptation of traditional methods to new goals and content of primary education, distribution of the game, testing the method of art projects); in the forms of educating organization (a variety of lessons on the content, structure and methods of activity, the distribution of non-standard lessons, as well as excursions and competitions, the introduction of integrated lessons; the elimination of homework in the 1st class); in monitoring and evaluation (introduction of tests; introduction of final certification at the end of the year and since 2000 - state final certification for pupils of 3 (4) classes; transition to verbal evaluation in 1st class; transfer of all students to the next class regardless of the grades, which made it possible to eliminate the phenomenon of “repetition”; since 2001 - the introduction of a 12-point assessment system; the conclusion of the assessment for the behavior of the category of "mandatory").
Framtidsfantasier
Authors: Sotevik Lena
Published: March 2019

The present article explores how situated queerness takes place in relation to the construction of child and childhood. Lee Edelman (2004) argues that the child is opposed to, and in need of protection from contact with, homosexuality, which means that the queer cannot be part of the political fantasies of the future in which the child is central. In view of this, but unlike Edelman, I argue in this article that the child is part of different future fantasies, where the child is not necessarily separated from queerness. Here, I present contemporary connections between the child and queerness and analyze how possibilities and limitations appear in relation to this. Through two case studies, the article takes on a multi-sited approach (Marcus 1995), following when queerness is introduced on arenas where childhood is constructed. The first case is located to a preschool where the staff recently carried out hbtq-education and -certification and the analyzed data is one group interview with five preschool teachers and their principle. The second case is located in social media and consists of reactions on the presence of lesbian characters in the children’s comic Bamse, where 326 commentary posts around this topic are analyzed. Based on critical perspectives on age and sexuality, this article discuss what normalizations about childhood and heterosexuality are being made, and how these normalizations condition how queer sexuality can be present within the two childhood arenas represented in the material. Conclusions drawn are that both in the preschool and in the adults’ reactions to children’s culture, heterosexuality passes unnoticed, while queerness is made something remarkable. The relationship between queer and childhood can here be understood as both requested and questioned, which I present as conditioned queerness, and the child and childhood as spaces where different discourses about the child’s best and desirable future are negotiated.
Wilful Girliness
Authors: Litzén Sara
Published: March 2019

Through qualitative interviews with eleven people who have investments in girliness, feminism, and fashion, the article centres around the concept of “wilful girliness,” understood as a constructed phenomenon, which focuses on ideas about girliness in relation to consciousness, and in relation to empowerment. This approach to the subject is proposed as a way of moving away from rooting (dis)empowerment within a person’s body, and towards seeing and acknowledging the embodiment of a (feministic) conscious girliness as a historical construction rather than a personal quality. It argues that a wilful girliness is temporarily stabilised through a set of contingent exclusions and should be understood as a consistent site of contest, an active process without origin and end, that takes shape within a specific context, deeply entangled and inseparable from existing power structures. The article highlights the importance of acknowledging the body and its abilities as a crucial starting point in the conditional activity of the negotiation of wilful girliness. It goes on and untangles the responsibility of embodying this fluctuating construction from the girly individual. The article concludes by suggesting the importance of interrogating the mere fact that a wilful girliness is sought after and used as a dominant reference point and criteria in regard to girliness per se and calls for a more varied understanding of girliness.
Hen och jag: Olika nivåer av intimitet
Authors: Lindquist Sara
Published: March 2019

Photographic project with focus on queer/lesbian kinship beyond the boundaries on biology. Exploring photographic norms with sharpness and blurriness within the images and what meaning that gives the images.
Exit: Höger
Authors: Rosenberg Tiina
Published: March 2019

Denna essä handlar om demokratiska fri- och rättigheter i tider av högerpopulism och argumenterar för att hbtq-rättigheter i likhet med andra minoritetsrättigheter ytterst handlar om demokrati, något som varje ny generation får värva på nytt. I essän framhålls det att högerpopulismen inte är ”en åsikt som alla andra” utan ett uttalat och våldsamt hot mot minoriteters existens i våra samhällen. Det är en viktig distinktion. Där högerpopulismen härskar finns det inte utrymme för alla, i synnerhet inte för minoritetsgrupper som hbtq-personer och rasifierade. Europa, varje dag spottar vita människor efter oss på tunnelbanan. De tror på allvar att sittplatserna är deras födslorätt.

Europa, du verkar inte ha återhämtat dig från digerdöden. Europa, det är muslimerna. Det är muslimerna och judarna och romerna och afrikanerna. Och de som ser ut att vara muslimer och afrikaner, men inte är det. Och de som var judar, men gjorde allt för att dölja det. (Athena Farrokhzad, ”Brev till Europa” 2018)
Same Technology, Different Policies: Feminist Perspectives on Assisted Reproduction in a Global Market Place
Authors: Dahl Ulrika
Published: March 2019

No abstract available.
Colonial Life in Conrad’s The Heart of Darkness And Forster’s a Passage to India (A Comparative Based on Sociological Perspective)
Authors: Razak Fauzi
Published: March 2019

The Industrial Revolution was a time of great age throughout the world. It represented major change from 1760 to the period 1820-1840. The movement originated in Great Britain and affected everything from industrial manufacturing processes to the daily life of the average citizen. The main industry at the time was the textile industry. It had the most employees, output value, and invested capital. It was the first to take on new modern production methods. The effects caused by the industrial revolution which has mentioned above, can lead to another impact such as the emergence of where the industry must obtain the availability of raw materials, and the next impact is where the result of the raw material processess by the industry will be marketed. For colonialism itself, generally it is the direct and overall domination of one country by another on the basis of state power being in the hands of a foreign power. Spesifically colonialism has two objectives, they are political domination and the second one is to make possible the exploitation of colonized country. This research aims to find out the colonialisms traits of the characters perform in their respective position, and to reveal the impacts of colonialism on characters.
Applying Systemic Approach to Develop Students’ Vocabulary
Authors: Asdar Andi
Published: March 2019

Systemic approach in teaching vocabulary involved aspects in learning vocabulary. The aims of this research were to observe (1) the extent to which Systemic Approach develops students’ vocabulary of the second semester of Makassar Islamic University; (2) the students’ perceptions on the application of Systemic Approach in vocabulary development. This research was carried out with second semester students of Pharmacy Department, Faculty of Mathematics and Natural Sciences, Makassar Islamic University. The research method was quasi-experimental design with pre-test, eight meetings for treatment, and post-test. Data were collected with 2 instruments: vocabulary test and questionnaire, then analyzed with statistical analysis of sample t-test and  questionnaire frequency. The result of the research indicated that the p value of independent t-test comparing students’ score on post-test was p<0.05. There was a significant difference between the students treated by systemic approach compared to those without systemic approach. The questionnaire analysis indicated that the students’ perceptions on the application of Systemic Approach were positive.
The Analysis of Metaphorical Domain on English “Stab Verb” in Corpora
Authors: Suherman LaOde Achmad
Published: March 2019

Metaphor as part of language is taking special place on Semantics studies which is unique and needs more logical thinking in interpretation. The objective of this research was to ascertain the kinds of metaphorical domains of English stab verb in corpora. The data of this research consist of American English and British English which were mainly taken from two corpora, Corpus of Contemporary American English (COCA) and British National Corpus (BNC).  The result of this research indicated that, there were source domain and target domain that were employed on the semantic construction of English Stab verb. Source domain ascertained from the semantic roles which lied on the construction of stab verb, they are Agent, Target and Manip, while target domain consists of twenty noun phrases they are: eyes, looks, words, voice, question, guilt/ remorse, sadness, anger, pain, memory, fear, panic, light/ flash, ray, dark, air, sound and directions. Most of these nouns were mapped as Manip or stabbing instrument while dark, air, and direction were mapped as the stabbing target.
MODELLING OF QUASI‐CHERENKOV ELECTRON BEAM INSTABILITY IN PERIODICAL STRUCTURES
Authors: Batrakov K. , Sytova S.
Published: March 2019

Nonlinear stage of quasi‐Cherenkov instability of electron beam under conditions of two‐ and three‐dimensional distributed feedback is simulated. The scheme of distributed feedback with two strong coupled waves is considered. Mathematical model of quasi‐Cherenkov electron beam instability is proposed. Numerical method to solve the nonlinear integro‐differential system, describing such instability, is worked out. Results of numerical experiments are discussed.

Modeliuojama elektronu spindulio kvazi‐Cherenkovo nestabilumo netiesine faze su dvimačio ir trimačio paskirstytojo grižtamojo ryšio salyga. Nagrinejama schema su grižtamuoju ryšiu su dviem susietomis stipriomis bangomis. Pateiktas kvazi‐Cherenkovo elektroninio spindulio nestabilumo matematinis modelis. Pasiūlytas veiksmingas skaitinis algoritmas, skirtas netiesinems integro‐diferencialinems lygčiu sistemoms su tokio tipo nestabilumu, spresti. Apžvelgti skaitinio eksperimento rezultai.
STABILITY OF THE SPLINE COLLOCATION METHOD FOR SECOND ORDER VOLTERRA INTEGRO‐DIFFERENTIAL EQUATIONS
Authors: Tarang M.
Published: March 2019

Numerical stability of the spline collocation method for the 2nd order Volterra integro‐differential equation is investigated and connection between this theory and corresponding theory for the 1st order Volterra integro‐differential equation is established. Results of several numerical tests are presented.

Straipsnyje nagrinejamas antros eiles Volteros integro‐diferencialiniu lygčiu splainu kolokaci‐jos metodo skaitinis stabilumas ir nustatytas ryšys tarp šios teorijos ir atitinkamos pirmos eiles Volterra integro‐diferencialiniu lygčiu teorijos. Pateikti keleto skaitiniu eksperimentu rezultatai.
COMPARATIVE ANALYSIS BY MEANS OF FINITE DIFFERENCES AND DM METHODS FOR LINEARIZED PROBLEM OF GYROTRONS
Authors: Cirulis T. , Kalis H. , Lietuvietis O.
Published: March 2019

The problem of Schrödinger equation with complex boundary conditions for modelling a motion of electrons in gyrotrons is considered. Numerical results obtained by using Fourier, Finite Differences (FD) and Degenerate Matrices (DM) methods are compared in the simplest case. For DM methods they are analysed also in more general cases, when FD can not be applied because of fast oscillations of the solution.

Santrauka

Nagrinejamas kraštinis uždavinys Šredingerio lygčiai, aprašantis elektronu judejima girotrone. Darbe lyginami ir analizuojami Furje, baigtiniu skirtumu ir degeneruotu matricu (DM) metodais gauti skaitiniai rezultatai. Aptartas metodo taikymas greitu osciliaciju atveju.
DIFFUSION OF POPULATION UNDER THE INFLUENCE INDUSTRIALIZATION IN A TWIN-CITY ENVIRONMENT
Authors: Dhar J. , Singh H.
Published: March 2019

A mathematical model of a living population in a twin‐city is proposed. Here populations are migrating from one place to another for their resource and settlement under the influence of industrialization. The long term effect of industrialization on the movement of human population is considered in two adjoining cities. It is shown that the steady state distribution of population is positive, continuous, monotonic and the system is stable under certain set of conditions. Further, numerical solution of the steady state distributions of population and industrialization are shown by taking particular values of the parameters.
MATHEMATICAL MODELLING OF WATER FLOW IN PAPER PRESS MACHINES
Authors: Čiegis R. , Meilūnas M. , Štikonas A.
Published: March 2019

In this work, mathematical models of wet pressing of paper are studied. Our goal is to compare two mathematical models, which are developed for simulation of filtration processes in paper press machines. Both models were obtained from the same general model of the compressible porous medium, but different assumptions were used. Modified models are developed that describe water losses at the boundaries of the porous layer and the importance of this factor is investigated. Numerical algorithms are developed for simulation of the liquid movement in the deformable porous media. It is proved that the discrete problem is stable if the time step t satisfies the inequality τ ≤ Ch2 . It follows from the stability analysis that the mathematical model describes an ill-posed problem for some values of parameters used in simulations.
Mass and Mass Scalings of Super-Earths
Authors: Wu Yanqin
Published: March 2019

The majority of the transiting planets discovered by the Kepler mission (called super-Earths here, includes the so-called “sub-Neptunes”) orbit close to their stars. As such, photoevaporation of their hydrogen envelopes etches sharp features in an otherwise bland space spanned by planet radius and orbital period. This, in turn, can be exploited to reveal the mass of these planets, in addition to techniques such as radial velocity and transit-timing-variation. Here, using updated radii for Kepler planet hosts from Gaia DR2, I show that the photoevaporation features shift systematically to larger radii for planets around more massive stars (ranging from M-dwarfs to F-dwarfs), corresponding to a nearly linear scaling between planet mass and its host mass. By modeling planet evolution under photoevaporation, one further deduces that the masses of super-Earths peak narrowly around 8 M
⊕(M
*/M
⊙). When such a stellar mass dependence is scaled out, Kepler planets appear to be a homogeneous population surprisingly uniform in mass, in core composition (likely terrestrial), and in initial mass fraction of their H/He envelope (a couple percent). The masses of these planets do not appear to depend on the metallicity values of their host stars, while they may weakly depend on the orbital separation. Taken together, the simplest interpretation of our results is that super-Earths are at the so-called “thermal mass”, where the planet’s Hill radius is equal to the vertical scale height of the gas disk.
Global Simulations of Protoplanetary Disk Outflows with Coupled Non-ideal Magnetohydrodynamics and Consistent Thermochemistry
Authors: Wang Lile , Bai Xue-Ning , Goodman Jeremy
Published: March 2019

Magnetized winds may be important in dispersing protoplanetary disks and influencing planet formation. We carry out global magnetohydrodynamic simulations in axisymmetry, coupled with ray-tracing radiative transfer, consistent thermochemistry, and non-ideal MHD diffusivities. Magnetized models lacking EUV photons (

) feature warm molecular outflows that have typical poloidal speeds

. When the magnetization is sufficient to drive accretion rates

, the wind mass-loss rate is comparable. Such outflows are driven not centrifugally but by the pressure of toroidal magnetic fields produced by bending the poloidal field. Both the accretion and outflow rates increase with the poloidal field energy density, the former almost linearly. The mass-loss rate is also strongly affected by ionization due to UV and X-ray radiation near the wind base. Adding EUV irradiation to the system heats, ionizes, and accelerates the part of the outflow nearest the symmetry axis, but reduces the overall mass-loss rate by exerting pressure on the wind base. Most of our models are non-turbulent, but some with reduced dust abundance and therefore higher ionization fractions exhibit magnetorotational instabilities near the base of the wind.
Chemical Cartography with APOGEE: Multi-element Abundance Ratios
Authors: Weinberg David H. , Holtzman Jon A. , Hasselquist Sten , Bird Jonathan C. , Johnson Jennifer A. , Shetrone Matthew , Sobeck Jennifer , Allende Prieto Carlos , Bizyaev Dmitry , Carrera Ricardo , Cohen Roger E. , Cunha Katia , Ebelke Garrett , Fernandez-Trincado J. G. , García-Hernández D. A. , Hayes Christian R. , Jönsson Henrik , Lane Richard R. , Majewski Steven R. , Malanushenko Viktor , Mészáros Szabolcs , Nidever David L. , Nitschelm Christian , Pan Kaike , Rix Hans-Walter , Rybizki Jan , Schiavon Ricardo P. , Schneider Donald P. , Wilson John C. , Zamora Olga
Published: March 2019

We map the trends of elemental abundance ratios across the Galactic disk, spanning

R
=
3
–
15

kpc

and midplane distance

∣
Z
∣
=
0
–
2

kpc

, for 15 elements in a sample of 20,485 stars measured by the SDSS/APOGEE survey (O, Na, Mg, Al, Si, P, S, K, Ca, V, Cr, Mn, Fe, Co, Ni). Adopting Mg rather than Fe as our reference element, and separating stars into two populations based on [Fe/Mg], we find that the median trends of [X/Mg] versus [Mg/H] in each population are nearly independent of location in the Galaxy. The full multi-element cartography can be summarized by combining these nearly universal median sequences with our measured metallicity distribution functions and the relative proportions of the low-[Fe/Mg] (high-α) and high-[Fe/Mg] (low-α) populations, which depend strongly on R and

∣
Z
∣

. We interpret the median sequences with a semi-empirical “two-process” model that describes both the ratio of core collapse and Type Ia supernova (SN Ia) contributions to each element and the metallicity dependence of the supernova yields. These observationally inferred trends can provide strong tests of supernova nucleosynthesis calculations. Our results lead to a relatively simple picture of abundance ratio variations in the Milky Way, in which the trends at any location can be described as the sum of two components with relative contributions that change systematically and smoothly across the Galaxy. Deviations from this picture and future extensions to other elements can provide further insights into the physics of stellar nucleosynthesis and unusual events in the Galaxy’s history.
Filament Eruption and Its Reformation Caused by Emerging Magnetic Flux
Authors: Yang Bo , Chen Huadong
Published: March 2019

We present observations of the eruption and then reformation of a filament caused by its nearby emerging magnetic flux. Driven by the emerging magnetic flux, the emerging positive fluxes moved toward and canceled with their nearby negative fluxes, where the negative ends of a filament channel beneath the filament and a bundle of left-skewed coronal loops overlying the filament were anchored. Complemented by the nonlinear force-free field extrapolation, we find that the coronal magnetic field lines associated with the filament channel and the emerging magnetic fields consist of sheared field lines. Prior to the filament eruption, unambiguous observational evidence indicates that multiple interactions occurred between the emerging magnetic fields and the left-skewed coronal loops, implying a tether-weakening reconnection. Specifically, during the final episode of the tether-weakening reconnection, a remarkable sigmoid structure was formed and lifted up together with the filament. Accordingly, we speculate that the tether-weakening reconnection probably destabilized the filament system and triggered its rise. Subsequently, the filament and the sigmoid structure erupted together and produced a coronal mass ejection. After the eruption, the emerging magnetic fields continued to reconnect with the remaining filament channel, leading to the reformation of the filament. This observation strongly supports the idea that emerging magnetic flux plays an important role in triggering the filament to erupt, and the filament is reformed by magnetic reconnection between the emerging magnetic fields and its nearby filament channel.
Realisation of Strategic Analysis from the Point of View of Strategic Documents Elaborators in the Czech Armed Forces
Authors: Richter Jiří , Mašlej Miroslav
Published: March 2019

The article provides partial results of the research Strategic Analysis Methods applicable within the Defence Department of the Czech Republic. This research addresses a low level of use of strategic analysis methods in the development of strategic and conceptual documents of the department. In the years 2017 and 2018, interviews with the processors of these documents were carried out and the problems related to the use of strategic analysis methods in sector planning were analysed. In particular, the article analyses the content and utilization process of stakeholder analysis method, SWOT analysis, future scenarios, benchmarking and GAP analysis.
Exploring the Knowledge, Attitude and Practice Regarding Hepatitis B Infection Among Dental Students in Saudi Arabia: A Cross-Sectional Study
Authors: Saquib Shahabe , Ibrahim Weam , Othman Ali , Assiri Mohammed , Al-Shahri Hamoud , Al-Qarni Ali
Published: March 2019

BACKGROUND: Hepatitis B infection is a universal health problem. Worldwide, 5% of health-care-related injections continued unsafe. Dentist considers being at high-risk group for cross infection. Therefore, their knowledge and practice towards Hepatitis B virus (HBV) positive patients should be at an optimal level.
AIM: The current study is aimed to evaluate and comparison of the knowledge, attitude and practice of Saudi dental students and interns towards HBV infection.
METHODS: A self-explanatory questionnaire comprising of 16 questions was designed to assess and compare students’ knowledge, attitude and risk perception regarding hepatitis B infection among dental students across Saudi Arabia.
RESULTS: The response rate was 91.6% the overall knowledge of the participants was poor. The attitude was fair, with the female show a significant difference in attitude and practice (P-value < 0.05). The overall practice was good, 78.1% was vaccinated against HBV, and 73.2% stated that they regularly use personal protection equipment. The higher levels show a good attitude and practice compared with the lower levels; the difference was significant (P value < 0.05).
CONCLUSION: The overall knowledge was below average, continuous health education courses are mandatory.
Effects of High - Intensity Laser in Treatment of Patients with Chronic Low Back Pain
Authors: Gocevska Marija , Nikolikj-Dimitrova Erieta , Gjerakaroska-Savevska Cvetanka
Published: March 2019

BACKGROUND: Chronic low back pain lasts longer than 12 weeks and is characterised by pain, muscle weakness, reduced functional ability and psychosocial burden.
AIM: To compare the effects of two physical modalities, high-intensity laser against ultrasound therapy in the treatment of patients with chronic low back pain.
MATERIAL AND METHODS: This was a prospective, monocentric, controlled clinical study comprising a group of 54 patients at the age between 25 and 65 years. Patients were divided into two groups: examined group of 27 patients (high-intensity laser and exercises) and a control group of 27 patients (ultrasound therapy and exercises). The results were evaluated by the Numeric Pain Rating Scale, Oswestry Disability Index and Schober’s test. Clinical findings were evaluated at the same time points for all patients, before treatment, at two weeks and three months following treatment. Statistical analyses were made to compare the differences between the results obtained on admission and the two consecutive control check-ups. Statistical significance was defined as a P value < 0.05.
RESULTS: The examined group showed statistically significantly better results than the control group after completion of the treatment (at two weeks) and at follow up after three months.
CONCLUSION: This study has shown that patient with chronic low back pain treated with a high-intensity laser has significantly reduced low back pain, reduced disability and improved range of motion. Its positive effect maintained for three months. It seems to be an effective, safe and useful physical modality in the treatment of a patient with chronic low back pain.
The Relationship of Benzene Exposure to Trans, Trans-Muconic Acid and Blood Profile of Shoe Workers in Romokalisari Surabaya, Indonesia
Authors: Tualeka Abdul Rohim , Pathak Yashwant , Wibrata Dwi Ananto , Ilmi Bahrul , Ahsan Ahsan , Rahmawati Pudji , Russeng Syamsiar S. , Wahyu Atjo , Maspiyah Maspiyah , Sukarmin Sukarmin
Published: March 2019

Benzene is a hazardous ingredient for health. Benzene is used as a latex glue solvent in the shoe industry. The purpose of this study was to analyze the relationship between benzene exposure with trans, trans-muconic acid and the blood profile of shoe workers in Romokalisari Surabaya. This study is a cross-sectional study conducted in the shoe industry in Romokalisari Surabaya with a number of research subjects of 20 shoe workers. Data collection was carried out by measuring benzene levels conducted at 8 measurement points in Surabaya Romokalisari, taking workers' blood, measuring body weight and conducting interviews with respondents. Data were analyzed using correlation tests. The results showed that there was no relationship between benzene levels with t, t-MA (p-value = 0.205), there was no relationship between benzene RQ and t, t-MA (p-value = 0.271) and there was no relationship between the ECR and blood profile of workers in Romokalisari. There is no correlation between benzene levels and t,t-MA, RQ and t,t-MA and there is no relationship between the ECR and all the profile parameters of the blood workers in Romokalisari.
Benzene, Blood Profile, Shoe Worker, t,t-MA
Differences in Brain-Derived Neurotrophic Factor and Matrix Metalloproteinase-9 between Appropriate Neonates between Normal Birth Weight and Intrauterine Growth Restriction
Authors: Ardiani Yessi , Defrin Defrin , Yetti Husna
Published: March 2019

BACKGROUND: Intrauterine Growth Restriction (IUGR) was defined as the growth of the fetus less than its normal potential growth due to genetic and environmental factors. One of the most widely believed causes of IUGR was impaired uteroplacental mechanism from mother to fetus. Furthermore, factor which was thought to affect placental growth was due to the influence of Brain-Derived Neurotrophic Factor (BDNF) and Matrix Metalloproteinase (MMP-9) which play an important role in angiogenesis.
AIM: This study aims to determine differences in Brain-Derived Neurotrophic Factor (BDNF) and moderately mature Matrix Metalloproteinase (MMP-9) between normal birth weight and intrauterine growth restriction.
MATERIAL AND METHODS: The study design was a cross-sectional study at four hospitals in Padang city from August 2017-January 2018. The sample of this study was umbilical cord blood of appropriate gestational age neonate with normal birth weight (31 neonates) and IUGR (31 neonates) by consecutive sampling, samples taken from mothers who meet inclusion criteria. BDNF and MMP-9 levels were analysed by ELISA. The differences between normal birth weight and IUGR test were followed by unpaired T-test.
RESULTS: The results showed that BDNF levels in normal neonates was 1.58 ± 0.23 ng/ml and in IUGR neonates were 1.25 ± 0.35 ng/ml (p = 0.001). MMP-9 levels in normal neonates was 1.09 ± 0.20 ng/ml and in IUGR neonates were 1.25 ± 0.35 (p = 0.03).
CONCLUSION: The conclusion of this study was BDNF of moderately mature neonates was significantly higher in normal birth weight compared to intrauterine growth restriction, and the moderately high MMP-9 neonates were significantly higher in intrauterine growth restriction compared with normal birth weight.
A Comparing of Tp-Te Interval and Tp-Te/Qt Ratio in Patients with Preserved, Mid-Range and Reduced Ejection Fraction Heart Failure
Authors: Son Osman , Boduroglu Yalcin
Published: March 2019

BACKGROUND: Heart failure (HF) is classified in three class: HF with preserved EF (HFpEF); normal or LVEF ≥ 50%, HF with reduced EF (HFrEF); LEVF < 40% and newly HF mid-range EF (HFmrEF); LVEF 40-49%. On Electrocardiography (ECG) T wave, Tpeak-Tend (Tp-Te) interval reflects transmural dispersion of repolarisation (TDR) which of these indexes have been proposed as predictors of risk for ventricular arrhythmia (VA) in many cardiac diseases.
AIM: Aim of this study to asses these indices of TDR among three HF class.
METHODS: Total of 192 patients were included in this study.
RESULTS: Many of indices like Tp-Te, Tp-Te/QT wasn’t different between groups (P > 0.05). But mean Q-Tpeak (QTp), S-Tend (S-Te) and S-Tpeak (S-Tp) were found significantly different between groups (P < 0.05). Again S-Te was found different according to having fragmented QRS (fQRS) on ECG (P = 0.031). Comparing to mitral inflow E/A parameters showed significant differences for Tp-Te, Tp-Tec, Tp-Te/QT, Tp-Te/QTc and Tp-Tec/QTc parameters. Finally, we found correlations between S-Te and white blood cell (WBC) (r = - 0.171; P = 0.037) and S-Tp and WBC (r = - 0.170; P = 0.038) and between S-Te and fQRS (r = 0.158; P = 0.031).
CONCLUSIONS: We didn’t find differences for many of indices of TDR like Tp-Te interval between groups except QTp, S-Te, S-Tp intervals. Also, S-Te and fQRS showed significant correlation. For prediction of ventricular arrhythmia and cardiovascular death newer indexes on ECG are needed to be established in the future which will make us facilitate to distinguish high risk patients.
Multiple Recurrent Acute Ischemic Strokes Treated by Thrombectomy in a Patient with Acute Pulmonary Embolism
Authors: Mai Duy Ton , Vu Dang Luu , Dao Viet Phuong , Nguyen Van Chi , Nguyen Quang Anh , Pham Minh Thong , Nguyen Dat Anh , Thai Lien Nguyen Vu , Nga Vu Thi , Chu Dinh Toi
Published: March 2019

BACKGROUND: Thrombectomy is recommended to treat for an acute ischemic stroke (AIS) patient with anterior large vessel occlusion. However, there were neither detailed guidelines nor systematic reviews of acute ischemic stroke patients having multiple times or re-occluded arteries.
CASE REPORT: In our case report, we struggled a multiple (4-times) AIS patient underwent by one intravenous r-tpA and 3 remaining of endovascular treatment of thrombectomy. Especially, the finding of both pulmonary embolism and cerebral arteries occlusion in this patient made us difficult to decide the appropriate treatment plan. The patient was considered having multiple cardiac thrombi pumping out to the brain and pulmonary vessels even in treatment with NOAC (New Oral Anticoagulant). Our priority, normally, was to recanalize the brain vessels compared to the pulmonary arteries.
CONCLUSION: In conclusion, based on this noticed case study, we want to share our experiences on the diagnosis of ischemic stroke, the strategy in treatment and prevention with anticoagulant therapy.
Comparison of Effectiveness and Patient Satisfaction of Vaginal Versus Oral Misoprostol in Treatment of Missed Miscarriage
Authors: Mohammadi Elham , Jayaprakash Geetha , Shiva Afshin , Motallebzadeh Nader
Published: March 2019

BACKGROUND: In recent years’ medical management with misoprostol is an effective alternative to surgical evacuation. But there is a dearth of evidence to reveal the effectiveness of the different routes of misoprostol and satisfaction rate among the patients treated with these routes.
AIM: This study was conducted to compare the effectiveness and patient’s satisfaction rate of vaginal versus oral misoprostol.
METHODS: It was a prospective non-interventional study. One hundred women of having missed abortion confirmed by ultrasonography examination were enrolled in the trial. Fifty-eight subjects were administered 200 mcg of oral and 42 subjects received 200 mcg of vaginal misoprostol every four hours up to four doses. If complete expulsion did not occur 12 hours after the last dose, the surgical evacuation was done.
RESULTS: There was no significant statistical difference between the effectiveness of treatment with vaginal (78.57%) and oral misoprostol (79.31%) (p = 0.928). The difference between Patients’ satisfaction at the time of discharge for the vaginal group (64.29%) and oral group (65.52%) was not statistically significant (P = 0.991). There was an increase in patients’ satisfaction for both groups at the follow-up session, but still, the difference was not significant (P = 0.897).
CONCLUSION: This study confirms that there is no statistical difference between the effectiveness and patient satisfaction of oral and vaginal misoprostol in the treatment of missed abortion.
Effect of Commercially Available Denture Adhesives on Microhardness of a Flexible Denture Base Material
Authors: Ibraheem Eman Mostafa Ahmed , Hammad Hoda Gaafar Hassan
Published: March 2019

BACKGROUND: Various clinical cases of thermopress denture base materials necessitate the use of denture adhesives to achieve proper retention and stability of the removable prosthesis. Therefore; the microhardness of these flexible materials as surface property and its’ alterations due to the application of various denture adhesives are still crucial issues to be discussed.
AIM: This study aimed to investigate the impact of two commercially available denture adhesives (DAs) on microhardness of a flexible denture base material.
METHODS: A total of 30 duplicate disc specimens (DS) were fabricated from a thermoplastic injection moulded resin (TR). The obtained 30-disc specimens (DS) were stored in distilled water for seven days, and then their microhardness was measured using Knoop Hardness Test (KHN) under a 10 g load for 10 seconds. The denture adhesives were prepared, and 15 DS were immersed in Corega Super Cream, while the other 15 DS were soaked in Fitty Dent Cream. All DS were stored in distilled water at 37°C. After 30 days of immersion in DAs, microhardness of DS was again measured. T-test for paired observation was used to investigate any alterations in microhardness between the baseline and after 30 days of immersion in the DAs. Statistical analysis was performed with SPSS 20®, Graph Pad Prism® and Microsoft Excel 2016 with a significant level set at P ≤ 0.05.
RESULTS: Student`s t-test had revealed a significant difference between both groups after application of denture adhesive as a P value < 0.05. The obtained results showed that DA material type, flexible denture base material and their surface interaction provoke a statistically significant outcome on the mean microhardness.
CONCLUSIONS: DAs were found to affect the microhardness of thermoplastic injection moulded resin (TR); which may jeopardise the durability and serviceability of complete denture and patients’ acceptance and comfortability.
Family Physicians' Awareness of Autism Spectrum Disorder: Results from a Survey Study
Authors: Altay Mengühan Araz
Published: March 2019

AIM: Autism spectrum disorder (ASD) is a common neurodevelopmental disorder in children. Family physicians with the first medical contact of children are among the most frequent physicians with ASD. We aimed to investigate family physicians' awareness of ASD.
METHODS: This study was carried out family physicians in between September 25-October 15, 2018. The questionnaire form on autism awareness prepared by the researcher was delivered to family physicians electronically and in printed form, and it was filled out by volunteers.
RESULTS: Forty-eight family physicians with an average professional experience of 16.9 ± 8.8 years participated in the study. A group of 66.7% of the participants had not previously received education on ASD, and 70.8% of them did not refer any child to child psychiatry with suspected ASD in the last 6 months. The participants stated that the most common clinical features in children with ASD were the inability to make eye contact (72.9%) and repetitive movements (47.9%), and 56.3% of them stated one or more features that are not observed in ASD. The compliance of the participants' answers about the clinical features observed in children with ASD with the DSM-5 criteria was determined to be 54.6 ± 18.4%. Significantly higher compliance rates were observed in the participants with education on autism and those working as a physician below 15 years.
CONCLUSION: In our study, family physicians' awareness of ASD was not found to be adequate. Education programs on autism awareness should be applied to family physicians who are probably the most frequently encountered physicians by children with ASD.
Hospital-Based Study of Maternal, Perinatal and Neonatal Outcomes in Adolescent Pregnancy Compared to Adult Women Pregnancy
Authors: Rexhepi Meral , Besimi Florin , Rufati Nagip , Alili Arian , Bajrami Sani , Ismaili Hysni
Published: March 2019

BACKGROUND: Adolescent pregnancy, defined as a pregnancy in girls aged 10 to 19 years. Adolescent mothers are at high risk for maternal and neonatal complications.
AIM: To compare maternal, perinatal and neonatal outcomes in adolescents and adult women aged 20-24 years.
MATERIAL AND METHODS: This retrospective cohort study included all singleton pregnancies during a three-year period (January 2016-December 2018) who gave birth in a Clinical Hospital in Tetovo, Republic of Macedonia. After exclusion criteria, a total of 932 cases were reviewed and divided into two groups: one of the teenage mothers (< 19 years old) (115 women) and the other of adult mothers (20-24 years old) (817 women).
RESULTS: Of the total number of 5643 births, 128 (2.27%) were from adolescent pregnancies. Of them, nulliparous adolescent women were 115 (2.04%). Adolescents compare to adult mothers had a higher rate of urinary tract infections (33% vs. 22%), increased rate of maternal anemia (26% vs. 15%), preterm birth, small for gestational age newborns (25.2% vs. 17.1%), lower high school attendance (0 vs. 21.9%) and inadequate prenatal care. Spontaneous labour was more common in adolescents (73% vs 63.5%), while Caesarean sections were less common than in women aged 20-24 years (25.2% vs 33.5%). The rate of other perinatal outcomes was not significantly different between the 2 groups.
CONCLUSIONS: The results of the study showed that the frequencies of some maternal, perinatal and neonatal complications were considerably higher in adolescent mothers.
nal and perinatal complications were considerably higher in adolescent mothers.
Comorbidities as Risk Factors for Acute and Recurrent Erysipelas
Authors: Brishkoska-Boshkovski Vesna , Kondova-Topuzovska Irena , Damevska Katerina , Petrov Andrej
Published: March 2019

BACKGROUND: Erysipelas is a common infectious skin disease. A typical feature of erysipelas, especially on the lower limbs, is the tendency to reoccur and the study aimed to define the comorbidities associated with it.
AIM: We aimed to investigate systemic and local comorbidities in patients diagnosed with erysipelas on the lower limbs.
MATERIAL AND METHODS: We conducted a retrospectively-prospective, population-based cohort study which included all patients diagnosed with erysipelas on the lower limbs, during two years. Patients were divided into two groups: patients with first episode and patients with recurrent erysipelas. These two groups were compared, with particular emphasis on systemic and local comorbidities.
RESULTS: The study included 313 patients, of which 187 with the first episode of erysipelas and 126 with a recurrent. Regarding the analyzed systemic risk factors, the recurrent erysipelas was significantly associated with obesity (p < 0.0001), insulin dependent diabetes mellitus (p = 0.0015), history of malignant disease (p = 0.02) and tonsillectomy (p = 0.000001). For a p-value < 0.0001, significantly more frequent finding of peripheral arterial occlusive disease, chronic oedema/lymphoedema, fungal infections of the affected leg and chronic ulcer was confirmed in recurrent erysipelas. Neuropathy had 23% of the recurrent cases and 8.6% in patients without recurrence, and the difference was found to be significant for p = 0.0003. The only dissection of the lymph nodes was found more frequently in recurrent erysipelas (p = 0.017), but no associations with other analysed local surgery on the affected leg. Patients with recurrent erysipelas had ipsilateral coexisting dermatitis p = 0.00003 significantly more frequent. Minor trauma often preceded the first episode of erysipelas p = 0.005.
CONCLUSION: Identification and treatment of modifiable risk factors are expected to reduce the risk of a subsequent episode of erysipelas on the lower limbs
Comparison of the Microwave-Heated Ziehl-Neelsen Stain and Conventional Ziehl-Neelsen Method in the Detection of Acid-Fast Bacilli in Lymph Node Biopsies
Authors: Ahmed Gehan Mohammed , Mohammed Ali Seed Ahmed , Taha Albadawi Abdulbagi , Almatroudi Ahmad , Allemailem Khaled S. , Babiker Ali Yousif , Alsammani Mohamed Alkhatim
Published: March 2019

BACKGROUND: Tuberculosis is a chronic inflammatory disease with lymphadenopathy being the most common extra-pulmonary manifestation. The conventional Ziehl–Neelsen method plays an essential role in the diagnosis of tuberculosis; however, it has a low sensitivity in detecting acid-fast bacilli.
AIM: The present study emphasises the role of the microwave-heated method (modified Ziehl–Neelsen) over conventional Ziehl-Neelsen stain and to set at the best condition for irradiation.
MATERIAL AND METHODS: The study included 90 patients with clinically suspected tuberculous lymphadenopathy who were referred to the Department of Pathology at Omdurman Military Hospital, Sudan. Demographic data such as age, sex, and site of swelling were documented for each patient. Specimens were stained with conventional Ziehl-Neelsen, fluoresce and the modified methods.
RESULTS: Patient’s age ranged from 20 to 70 year. Of the total 90 cases with clinically suspected tuberculous lymphadenopathy, 18 cases were positive for AFB in conventional Ziehl-Neelsen method giving a sensitivity of 13.3%, while in microwave-heated method 82 cases of TB were detected positive for AFB yielded sensitivity and specificity of 97.6% and 85.7%, respectively, and positive and negative predictive values of 98.8% and 75.0% respectively compared to fluorescence methods.
CONCLUSION: In the present study, the microwave-heated Ziehl-Neelsen method, was found to have sensitivity and specificity of 97.6% and 85.7%, respectively which matches the fluorescence technique. It has specificity in detecting lymph node tuberculosis that makes it superior over all other modified methods. However, the availability and cost-effectiveness might limit the use of fluorescence in routine practice. Furthermore, the study set the best staining temperature is provided at power 1 level (60 w) for 1.5 minutes.
Beneficiary, Caregiver, and Case Manager Perspectives on the Medication Therapy Management Program Standardized Format
Authors: Sharma Kriti , Cooke Catherine E. , Howard Amy Kruger , Chater Rebecca , Brandt Nicole J.
Published: March 2019

Plan sponsors of Medicare Part D must provide beneficiaries who receive a comprehensive medication review (CMR) with a written summary using the Medicare Part D Medication Therapy Management Standardized Format (SF). The SF is a means to advance consistency in the CMR program by providing a template of expected content. However, barriers remain with beneficiary use and integration into existing electronic health records. The current study assessed Medicare beneficiary, caregiver, and case manager perceptions of the SF through five focus group interviews with a total of 23 participants. Qualitative analysis found that beneficiaries and case managers preferred a consolidated SF document to share and update their entire health care team. Beneficiaries suggested adding information to the SF on dosage, timing, drug interactions, cost, and less expensive alternatives. Identifying elements of the SF that are perceived as useful to beneficiaries will allow for a more streamlined SF that may enhance interoperability among the health care team. [
Journal of Gerontological Nursing, 45
(4), 7–13.]