bluuebunny/crossref_metadata_2025 huggingface dataset:
Millaisilla palveluilla enintään keskivaikeasti oireilevat muistisairautta sairastavat henkilöt pärjäävät kotona?
Authors: Heikkilä Rauha , Mäkelä Matti , Noro Anja , Lammintakanen Johanna , Laulainen Sanna
Published: June 2020

Tässä tutkimuksessa selvitettiin kotona asuvien enintään keskivaikeasti oireilevien muistisairautta sairastavien henkilöiden palveluprofiili. Lisäksi selvitettiin millaiset tilapäiset palvelut tukevat kotona asumista sekä millaisiin palveluihin henkilöt ohjautuivat seitsemän kuukauden kuluttua palvelutarpeen arvioinnista. Kotona asuvat henkilöt jaettiin säännöllisiä palveluja vasta hakeviin ja säännöllistä kotihoitoa saaviin. Säännöllisiä palveluja vasta hakevien palveluprofiili: melkein joka toinen muistisairas oli erittäin suuren palvelutarpeen tarvesegmentissä Kognitiovaje ja suuri ADL-avun tarve. Noin joka toisella muistisairaalla ei ollut säännöllisiä palveluja.  Säännöllisen kotihoidon saajien palveluprofiili: noin joka kolmas muistisairas oli suuren palvelutarpeen tarvesegmentissä Rajattu kognitiovaje. Heidän pääpalveluna oli kotihoito ja hyvin vähän muiden palvelujen käyttöä. Puolen vuoden seuranta-aikana säännöllisiä palveluita vasta hakevista noin joka kolmannella tapahtui muutosta palveluissa, säännöllisen kotihoidon saajista noin joka viidennellä. Muistisairaiden kotona asumista tuki läheisapu sekä lyhyet sairaalahoidon ja ympärivuorokautisen hoivan jaksot.
Vartoomista, korpeentumista, rämpimistä - palvelutalossa asuvien kokemuksia yksinäisyydestä
Authors: Jansson Anu , Karisto Antti , Pitkälä Kaisu
Published: June 2020

Tutkimuksen tarkoituksena oli ruotia palvelutalossa asuvien iäkkäiden ihmisten yksinäisyyttä: miten itse yksinäisyys koetaan ja ilmaistaan sekä miten se kontekstualisoituu ajallisesti ja paikallisesti. Aineisto kerättiin paljolti etnografisen tutkimuksen antaman mallin mukaisesti yksilö- ja ryhmähaastatteluin sekä havainnoimalla. Analysointi tapahtui abduktiivista päättelyä hyödyntäen sekä Grounded Theorylle tyypillistä kategorisointia soveltaen.

Asukkaat kuvasivat yksinäisyyden kokemuksiaan vaihtelevasti ja rikkaasti. Yksinäisyys osoittautui hyvin yksilölliseksi, mutta samalla aikaan ja paikkaan sidoksissa olevaksi kokemukseksi. Palvelutaloympäristölle tyypillinen elämänrytmi ja toimintakäytänteet heijastuivat kokemuksiin. Yksinäisten aika oli jokseenkin tapahtumaköyhää, jonkin odottamista. Yksinäisyys oli sidoksissa vuorokaudenaikaan, viikonpäiviin ja vuodenaikoihin. Yksinäisyys kumpusi siitä, että palvelutaloasuntoa ei pidetty omana kotina, ei välttämättä edes kodinomaisena. Siellä jouduttiin viettämään pitkiä aikoja yksin eikä ulos päästy niin usein kuin olisi haluttu. Vuorovaikutus talon toisten asukkaiden kanssa oli toivottua vähäisempää, ja osa asukkaista koki itsensäkin näkymättömäksi.

Aikaan ja paikkaan sidotut yksinäisyyskokemukset ovat tärkeitä signaaleja, jotka tulisi ottaa huomioon palvelutaloasumisen viihtyvyyttä ja toimintaa suunniteltaessa. Yksinäisyyden ennaltaehkäisy ja interventiot ovat olennaisia.
Modalitas Kemenangan Alkisman Pada Pemilu Legislatif DPRD di Kabupaten Pesisir Selatan
Authors: Malasari Fit , Putra Eka Vidya
Published: June 2020

Penelitian ini dilatarbelakangi oleh modalitas yang dimilki oleh kandidat dalam pemilu legislatif untuk medapatkan dukungan masyarakat pada pemilu legislatif DPRD Kabupaten Pesisir Selatan, dimana penelitian ini beranjak dari sedikitnya perolehan suara yang diperoleh kandidat di daerah basis suaranya padahal memiliki akumulasi modal yang besar. Teori yang peneliti gunakan adalah teori modalitas Pierre Bourdieu. Pendekatan yang digunakan dalam penelitian ini yaitu pendekatan kualitatif tipe studi kasus. Teknik pemilihan informan dalam penelitian ini adalah purposive sampling. Hasil penelitian yang dilakukan ini menunjukkan terjadinya defisit dalam perolehan suara yang diperoleh kandidat di daerah basisnya. Hal tersebut disebabkan adanya politik uang yang dilakukan kandidat luar, adanya kecemburuan sosial, pecahnya suara masyarakat golongan tua dengan golongan muda dan latar belakang partai yang mengusung kandidat. Oleh karena itu pentingnya penyadaran masyarakat untuk menjadi pemilih yang rasional.
Dukungan Keluarga Bagi Orang Lanjut Usia di Kelurahan Parupuk Tabing Kecamatan Koto Tangah Kota Padang
Authors: Adawia Rabiatul , Hasmira Mira Hasti
Published: June 2020

Kehidupan masa tua sering kali dipersepsikan secara negatif sebagai beban keluarga. Kehidupan lansia memang mengalami perubahan kondisi fisik dan seharusnya kehidupannya lebih diperhatikan oleh keluarga dan lingkungan di sekitarnya. Salah satu wadah yang sangat berpengaruh terhadap terciptanya kesuksesan hidup pada lansia adalah keluarga. Secara informal, keluarga memainkan peran sebagai motivator, edukator, dan fasilitator bagi lansia. Penelitian ini merupakan penelitian tentang sosiologi keluarga, yang menfokuskan pada peran keluarga bagi kualitas hidup lansia. Penelitian kualitatif adalah penelitian yang bermaksud untuk memahami fenomena tentang apa yang dialami oleh subjek penelitian misalnya perilaku, persepsi, motivasi, tindakan dan lain-lain secara holistik, dan dengan cara deskripsi dalam bentuk kata-kata dan Bahasa. Hasil penelitian ini mengungkapkan. Bentuk dukungan yang diberikan oleh keluarga adalah; (1) dukungan emosional, seperti memberikan rasa kepedulian terhadap orang tua. (2) dukungan penghargaan, seperti memberikan perayaan ulang tahun atau memberikan mereka pujia. (3) dukungan informasi seperti selalu menginggatkan dan menasehati mereka. (4) dan dukungan instrumental seperti melengkapi fasilitas kebutuhan kepada mereka.
Novel m-PSO-SVM based Interface Controller Design for Haptic System
Authors: Kumar Naveen , Ohri Jyoti
Published: June 2020

The haptic system has two key performance issues: stability and transparency. A haptic interface controller (HIC) is designed to address these issues. Addressing these issues becomes a complex problem as both are complementary to each other. Here, when transparency of the system is increased, its stability degrades and vice-versa. To overcome this problem, intelligent optimized solutions are used in this paper to design a HIC controller for the haptic system. SVM and NN techniques have been employed to identify the performance of the controller, ensuring stability and transparency both. The disadvantages of NN in terms of the number of neurons and hidden layers are overcome by SVM. Further, the performance of SVM is highly dependent upon the selection of free parameters. So, further, a modified PSO technique is employed for the optimal selection of these parameters to enhance the performance of SVM. Hence, this novel proposed hybrid technique of m-PSO optimized SVM is applied for the optimal design of the HIC to find out an optimal solution between trade-off the transparency and stability of the haptic device simultaneously. To appreciate the efficacy of the proposed technique, the result obtained with this is compared with HIC design using neural network and conventional ZN method also. This designed controller ensures stability as well as transparency, even under the presence of uncertainty, delay, and quantization error.
DESEKURITISASI ISU PERUBAHAN IKLIM AMERIKA SERIKAT MELALUI KEBIJAKAN PENARIKAN DIRI DARI PARIS AGREEMENT 2015
Authors: Shinta Fardha Dewi
Published: June 2020

Masalah perubahan iklim dalam kebijakan luar negeri A.S. telah mengalami proses yang panjang. Mulai dari tahun 1980 Amerika Serikat melakukan sekuritisasi selama masa pemerintahan Ronald Reagan, George H. W Bush, Bill Clinton dan Barack Obama. Tetapi pada masa pemerintahan George W. Bush dan Donald Trump, Amerika Serikat menghapuskan masalah perubahan iklim. Penelitian ini menganalisis upaya desecuritisasi isu perubahan iklim yang dilakukan oleh pemerintah Donald Trump dari 2017 hingga 2020. Teknik analisis data dalam penelitian ini berupa pengelompokan dan pengumpulan data terkait dan kemudian diklarifikasi setelah proses pengeditan data. Penelitian ini menemukan bahwa upaya desecuritization dilakukan oleh pemerintah Donald Trump, melalui pernyataan untuk menstabilkan masalah perubahan iklim, dan masalah itu digantikan dengan masalah lain yang lebih mengancam seperti masalah ekonomi, imigran, dan teroris.
Brugada Pattern Mimicking Myocardial Acute Infarct
Authors: Castro Junior Ricardo L. De , Lima Neiberg de Alcantara , Vitorino Stela Sampaio
Published: June 2020

Brugada syndrome (BrS) has been described as an arrhythmic disorder characterized by ST elevation with successive negative T wave in the right precordial leads. Patients are at risk for sudden cardiac death (SCD) due to ventricular fibrillation (VF). This specific electrocardiogram (ECG) pattern can sometimes be confused with ST elevation myocardial ischemia. This report shows a patient who presented with chest pain and had an ECG compatible with Brugada. An ischemic workup was performed, and acute coronary syndrome was ruled out. He had a final diagnosis of BrS and was discharged home after the placement of an automatic defibrillator.
Autoestima y estrategias de afrontamiento al estrés en adolescentes
Authors: Huapaya Condor Yovanna Edith
Published: June 2020

Objetivo: Determinar la relación entre autoestima y estrategias de afrontamiento al estrés adoptadas por adolescentes de 10 y 19 años de una institución educativa estatal del distrito de San Martín de Porres en Lima - Perú.Metodología: Estudio descriptivo, correlacional de diseño no experimental y corte transversal, cuya muestra estuvo conformada por 240 escolares. La técnica utilizada fue la encuesta y como los instrumentos la escala de autoestima de Rosemberg y escala de afrontamiento frente al estrés (ACS).Resultados: 66.3% de adolescentes presentó autoestima alta y 77.5% utilizaba estrategias de afrontamiento enfocadas a resolver el problema. Respecto a la relación de variables el resultado muestra un p: 0,000 (<0.05), afirmándose la relación.Conclusiones: Existe relación significativa entre grado de autoestima y las estrategias de afrontamiento frente al estrés adoptadas por los adolescentes.
Can public intervention improve local public sector economic performance? The analysis of Special Economic Zones in Poland
Authors: Kopczewska Katarzyna
Published: June 2020

Boosting the local economic growth and cohesion policy may be supported by using the public intervention. The local governments may benefit directly and indirectly from the place-based policy implemented as Special Economic Zones (SEZ). SEZ directly increase the employment and the number of firms, while, indirectly, they can raise the local public sector financial performance in the long run by increasing revenues from personal and corporate income taxes. This article assesses the efficiency of this policy at the local level in the context of an institutional environment and inter-agent local diffusion. It also uses the statistical methodology based on the comparison of the empirical density distributions of the economic and financial indicators within the institutional groups to detect the global shift or divergence or convergence patterns. This article examines the Polish experience of public intervention in 1995–2016 with 14 SEZ located in more than 350 different locations. It proves that in general, the financial and economic situation of the municipalities with SEZ did not improve. An institutional analysis of the SEZ operating conditions indicates that the weak operating requirements for SEZ firms together with a poor location cannot constitute a catalyst for local development.
Factoring Size into the Equation: Media studies, politics, and small states
Authors: Ólafsson Jón Gunnar
Published: June 2020

In this article, I discuss how the world's smallest states, including Iceland, are routinely absent in research and comparative studies concerning media and politics. Size has up until now mostly been ignored as a possible factor in understanding media systems and the relationship between media and politics on the national level. Existing research from other academic fields, such as public administration and economics, has revealed an important finding: small states have unique characteristics that differentiate them from larger states. They can therefore not simply be viewed as smaller versions of large states that have been central in knowledge production. Arguably, a Nordic perspective in media research needs to incorporate the size variable into the research agenda. This article illustrates how this expanded agenda will enrich our understanding of media and politics in the Nordic countries and open up new areas of study on small and large states more generally.
Together, not alongside! Strategies for the development of inter-municipal cooperation in the Stadtregion,of Vienna
Authors: Görgl Peter , Döringer Stefanie , Herburger Johannes
Published: June 2020

The urban region of Vienna (Stadtregion+) is among the most dynamic growth regions in Europe. The management of the population growth poses extensive challenges for the city and its hinterland requiring a common and coordinated procedure. The urban regional cooperation structures are currently weakly institutionalised and barely defined. Against this background, this paper aims at presenting recommendations for the development of informal-cooperative spatial development processes in city regions on an analytical and instrumental level. The theoretical framework is based on a combination of the concept of strategic planning and the approach of soft spaces. The methods include the analysis of functional interconnections, a network analysis as well as the calculation of an interconnection index. By means of the “paradox of interconnection and cooperation” the totally different structures of the city-regional functional interconnections and the inter-municipal cooperation are shown on an analytical level. On an instrumental level, the planning principle of “flexible regionalisation” is presented, which draws upon and further develops the idea of spatial and temporal flexibility in strategic planning. A central element of this principle is the identification of “urban-regional focus areas” defined as specific areas within the urban region. These focus areas are characterised as soft planning spaces, in which to work on common planning and development challenges in an inter-municipal, cooperative and implementation-oriented manner. The applied methods and its findings are critically reflected and discussed, before deriving Vienna-specific and general policy recommendations.
Petroglyphs that Have Become Extinct: Rock-Art of Makau
Authors: Komissarov Sergei A. , Cheremisin Dmitry V.
Published: June 2020

The article represents petroglyphs of Macau (Aomen). This site with engravings was lost and gone forever (because of industrial pollution), but we have some copies and descriptions of it. Though it was quiet restricted in dimensions, but contained not only interlacement of lines and geometric figures, but also images of two big boats as well, with quiet developed construction: with upper deck, long bowsprit and, possibly, with portable mast. The same ships but engraved more clearly one can see in petroglyphs of Zhuhai at the site with rock-art closest to Macau. These ships seem to have some additional details such as side ports, helm and anchor. These observations confirm a high level in shipbuilding and navigation among peoples of Wu and Yue kingdoms known to us due to historical records. For petroglyphs of Eastern and Southern China we have another figurative line in order to compare with, i. e. engravings on bronze implements and, first of all, bronze drums. The war-boats engraved on drums have some similarities in construction with boats engraved on rocky surface. Due to these resemblance petroglyphs of Macau (and Zhuhai) could be attributed to Dongson-Dian civilization because bronze drums served as indicator for this super unity. On the basis of this resemblance we can previously date petroglyphs of Macau with the last ages BC or the first ages AD. The creators of rock-art galleries in the region of Zhujiang River estuary were very probably connected with migration of one of the Boyue tribes.
Central Asia: The Current Security Issues
Authors: Plastun Vladimir N.
Published: June 2020

The article discusses the security problems of the Central Asian region, closely related to the ongoing war in Afghanistan. The author sets out his understanding of the term “state security”, which includes the problems of the armed forces and security agencies, primarily responsible for the fight against terrorism and separatism. However, there is also an understanding of the current state of the economy, interethnic relations, the preservation of natural resources, and the balance of interests in international relations. In particular, an assessment is given of the mutual relations between the countries of Central Asia and China in connection with the implementation of the project “One belt – one way”. The situation in the region is characterized by a high degree of tension in neighboring Afghanistan, where armed conflicts continue between various local opposing forces, as well as American troops and the Taliban. Fighting in Afghanistan is an immediate threat to neighboring Central Asian states. In connection with the dangerous insecurity in Afghanistan, which negatively affects the situation in the entire Central Asian region, it is necessary to note the positive role of the Chinese leadership in its attempts to contribute to the settlement of the conflict. Beijing, interested in implementing its various infrastructure projects, provides its own platform for meetings between representatives of the warring parties, promoting mutual understanding.
On the Beginning of Ethnology at Taiwan (Book Review)
Authors: Azarenko Iuliia A. , Komissarov Sergey A.
Published: June 2020

The review assesses the recently published book by V. T. Golovachev, dedicated to the ethnographic expedition of Russian naval officer and researcher Paul (Pavel Ivanovich) Ibis to Taiwan in early 1875. This expedition laid the foundation for scientific study of the material and spiritual culture of the island natives, from the Paleolithic era to ethnographical time. A thorough study of the book was conducted, as it contains all currently available archival and published materials. As a result of the work of V. T. Golovachev, Russia's priority in the study of Taiwan's ethnology can be considered conclusively proven.
Re-evaluation of Chinese Socialist Realism’s Value Directions in Zhang Wei’s “Ancient Ship”
Authors: Sidorenko Andrei Yu.
Published: June 2020

The article conducts a re-evaluation of values of Chinese socialist realism using Zhang Wei's novel “Ancient Ship” (1986) as an example. The novel’s key characters are analyzed in detail, while taking into consideration the values and semantic structures of earlier Chinese novels, the so-called “Red classics” of the 1950s. The narrative’s land reform taking place in rural China is used as a significant example of the re-evaluation of socialist realism’s values and their direction, in comparison with Ding Ling’s “The Sun Shines over the Sanggan River” (1948). Using specific examples, the article reveals that the main directions of the re-evaluation of socialist realism’s values are the author’s critique of the so-called “revolutionary history”, which is demonstrated as being inseparable from violence, chaos, and pursuing personal and clan interests. Zhang Wei achieves this through a series of narrative and descriptive creative strategies. The findings presented in the article are aimed at demonstrating that the “revolutionary history” is not only an important topic in contemporary Chinese literature, but also serves as a way for writers to deal with “revolutionary history” changes alongside new developments in Chinese literature.
Northern and Western Europe in “Illustrated Tributaries of the Qing Empire”
Authors: Maiatskii Dmitry I.
Published: June 2020

This paper explores features of the visual images and descriptions of the inhabitants of four European states (Sweden, Great Britain, the Netherlands and Switzerland), found in “Huang Qing Zhi Gong Tu” (“Tributaries of the ruling Qing dynasty”) – a Chinese historical and ethnographic book compiled by Fu Heng in the middle of the 18th century. The book is stored in the collection of rare Oriental books at St. Petersburg State University. Eight xylographic illustrations of the inhabitants of the European states are selected and analyzed. The attached explanatory texts are also translated. They contain information about the geographical location of the countries mentioned, as well as the history of their contacts with China and some notes about the inhabitants of these countries, including an anthropological portrait, a description of costumes, customs, occupations and so on. The interpretation is carried out in accordance with the principles of scientific translation used by academician Vasiliy M. Alekseev (1881–1951). In case of need the translations are supplemented with textological, historiographic and culturological commentaries. An analysis of the drawings and texts aids in recreating the picture of the perception by the Chinese of the mid-18th century of the four European states. The archaic names of countries and peoples used by compilers are analyzed. Misconceptions and stereotypes of Chinese compilers are revealed. Attempts are being made to explain their possible origins. The author of the paper found out that the compilers sometimes relied upon a method of explanation of the phenomena unknown to the Chinese by rethinking similar facts from the history and culture of China.
Illustrated Editions and Popular Woodblock Prints nianhua Featuring Short Stories by Pu Songling.
Authors: Zavidovskaia Ekaterina A.
Published: June 2020

The paper studies connections between the illustrated lithographic edition of Pu Songling’s 蒲松齡 (1640–1715) “Strange Stories from a Chinese Studio with annotations, poems, and illustrations” (詳註聊齋誌異圖詠Xiangzhu liaozhai zhiyi tuyong, 1886), a collection of illustrations by Shanghai publishing house Tongwenshuju 同文書局 and several popular woodblock prints 年畫 nianhua found in Russian collections (Peter the Great Museum of Ethnography and Anthropology of the Russian Academy of Sciences, State Hermitage, Geographic Society) in order to learn how Pu Songling’s stories circulated in the society of late Qing China, and the perception of literature written in classical language by the wider public. The conclusions are that the aforementioned illustrated lithographic edition may have prompted creation of woodblock prints based on Pu Songling’s stories, where nianhua artists borrowed poetic inscriptions and composition of the lithographic illustrations. The small amount of such prints in comparison with those illustrating classical Ming-Qing novels such as Romance of The Three Kingdoms 三國演義, Journey to the West 西遊記, Dream of the Red Chamber 紅樓夢 allows to suggest that novels remained the favourite among the literati, while illiterate consumers of popular prints could appreciate their auspicious meaning more than the story. The fact that majority of the discovered nianhua pictures were produced at the oldest and largest printing shops in Yangliqing 楊柳青 – Dai lianzeng 戴廉增 and Qi jianlong 齊健隆 famous for their fine artistic quality proves that their customer base was mostly comprised of wealthier and more literate public.
Rationale Based Selection and Prioritization of Antiviral Drugs for COVID-19 Management
Authors: Joshi Rakesh , Giri Ashok P. , Kulkarni Mahesh J. , gupta mahesh , Verma Savita , Chaudhary Dhruva , Deshmukh Narendra , Chugh Anita
Published: June 2020

Infection with SARS-CoV-2 has resulted in COVID-19 pandemic and infected more than 5million individuals with around 0.35 million deaths worldwide till May 2020 end. Severalefforts are on in search of therapeutic interventions, but the preferred way is drugrepurposing due to the feasibility and urgency of the situation. To select and prioritizeapproved antiviral drugs and drug combinations for COVID-19, 61 antiviral drugs havingproven safety profile in humans were subjected to virtual screening for binding to threeselect targets namely human angiotensin-converting enzyme receptor-2 receptor-bindingdomain (hACE-2) involved in virus entry, SARS-CoV-2 RNA dependent RNA polymerase(RdRp) responsible for viral RNA replication and SARS-CoV-2 main protease (MPro) causingproteolytic processing of viral polyprotein slab. Targeting multiple ‘disease pathogenesisspecific proteins’ within a close network of interaction or having dependent functionality canprovide effective intervention. Ledipasvir, Daclatasvir, Elbasvir, Paritaprevir, Rilpivirine andIndinavir were identified as candidate drugs of interest for COVID-19 based on a derivedcombined activity score, pharmacokinetic and pharmacodynamic parameters. Ledipasvir andDaclatasvir and their approved marketed combination with Sofosbuvir emerged as leadingcandidate drugs/drug combinations for SARS-CoV-2. These candidates have the potentialfor the antiviral activity for SARS-CoV-2 infection better than the investigational drugRemdesivir and other antiviral drugs/drug combinations being evaluated. Thesedrugs/combinations merit systematic fast track preclinical and clinical evaluation for COVID-19 management. The present work brings back attention to the potential usefulness ofapproved antiviral drugs/drug combinations, commonly available with established safetyprofile, currently not in focus for COVID-19. It provides a rationale based approach for theselection of drugs with potential antiviral activity against SARS-CoV-2 highlighting thedesired properties.
Screening for Haemoglobinopathies- Better prevent than regret - A Tip of the iceberg experience in a Tertiary Care Hospital in Chennai
Authors: Yogalakshmi E  , Hemamalini NV  , Chitra S
Published: June 2020

Hemoglobinopathies are single-gene disorders with autosomal recessive inheritance constituting an important cause of morbidity and mortality, imposing a heavy psychological and economical burden on the affected families. The prevalence of Thalassemia and Haemoglobinopathies had been low previously, but now it is found increasing at a rapid pace, because of the migrant population. Since Our Hospital is located in a unique demographic location, in the outskirts of Chennai, the capital city of Tamil Nadu state, populated by multi-ethnic and multi-linguistic residents of varying socio-economic status, we decided to instigate a random sampling study to unearth the presence of Haemoglobinopathies and Thalassemia syndromes among the patients attending our hospital, for various ailments. Hence a prospective study is conducted to screen the variants of haemoglobin by using the High-Performance Liquid Chromatography (HPLC) technology in Saveetha Medical College Hospital, Chennai, for a period of 18 months from May 2018 to October 2019. Out of 305 patients screened, 119 patients were identified to have Thalassemia traits/hemoglobinopathy. Among the 119 positive patients identified, most of them were unaware of the fact, that they are having a blood related genetic disorder, which could be passed on to their next generation. The major barrier in the implementation of the carrier screening programme, is the lack of knowledge about the genetic transmission of these diseases and the advantages of the carrier screening are preventing the birth of a genetically defective child. Creating awareness about the carrier screening among the reproductive population, becomes the key factor in the reduction of the prevalence of Thalassemia and Haemoglobinopathies. This study discusses an Analytical approach for Screening Thalassemia and Haemoglobinopathies and also insists on a flowchart depicting the action plans to be taken to reduce the prevalence of Thalassemia and Haemoglobinopathies.
浅析中职学生青春期存在的心理问题及处理对策
Authors: 李 官华
Published: June 2020

中等职业学生是中国教育发展当中非常重要的组成部分。由于这些学生学习成绩比较差，最终才进入中等职业学校进行学习。除此之外，中等职业学生青春期的心理问题和其他教学阶段的学生相比，是非常高的。因此，为了保障中职生在学校当中可以更好的完成学习，研究中职生青春期存在的具体心理问题是非常有必要的，寻找比较有效的解决措施对于中职生来讲非常重要。
循证护理干预在急性肺栓塞患者中的应用疗效评价
Authors: 王 俊敏 , 李 偲源 , 芦 琬婷
Published: June 2020

目的： 研究急性肺栓塞患者采用循证护理干预的效果。 方法： 选取 2017.1-2019.9 我院接收的 72 例急性肺栓塞患者为研究对象，采纳随机数字表法分观察组（循证护理干预）与对照组（常规护理）各 36 例，比较两组生活质量、满意度及并发症。 结果：与对照组比较，观察组躯体领域、情感限制、角色功能及物质生活评分高；满意率高；并发症率低，P ＜ 0.05。 结论： 循证护理干预能提高急性肺栓塞患者整体疗效且改善预后，便于控制疾病进展。
探讨善释D10补片与善释网塞修补腹股沟疝的效果对比
Authors: 蔡 正冬
Published: June 2020

目的： 观察善释 D10 补片与善释网塞修补腹股沟疝的效果。 方法： 我院 2018 年 10 月 -2019 年 10 月收治的 50 例腹外疝修补术患者为本次研究对象，按照双色球随机法将患者分为对照组（ 25 例：善释 D10 补片无张力疝修补术）与实验组（ 25 例：善释网塞无张力上修补术），比较两组患者预后情况。 结果： 实验组平均手术时间、引流量以及住院时间均少于对照组，数据差异不明显（P>0.05）。实验组术后并发症发生率（ 8.10%）低于对照组，且实验组甲级手术切口愈合率（ 72.97%）比对照组高，数据差异明显（P<0.05）。 结论： 腹外疝修补术患者应用善释 D10 补片行无张力疝修补术有利于手术切口愈合。
激光技术在泌尿系统肿瘤治疗中的合理应用
Authors: 贾 建华
Published: June 2020

激光有良好的方向性，而且强度非常大，物体被激光照射之后，1/1000 秒内就可以产生高温，达到几千度。物体在这样的温度环境中可以短时间被汽化。将激光用于泌尿系统肿瘤治疗，对恶性肿瘤进行汽化处理、切割或者热凝，可以起到良好的癌症治疗效果。论文着重于研究激光技术在泌尿系统肿瘤治疗中的合理应用策略。
How LGBT+ Young People Use the Internet in Relation to Their Mental Health and Envisage the Use of e-Therapy: Exploratory Study
Authors: Lucassen Mathijs , Samra Rajvinder , Iacovides Ioanna , Fleming Theresa , Shepherd Matthew , Stasiak Karolina , Wallace Louise
Published: June 2020

BACKGROUND: Lesbian, gay, bisexual, and transgender (LGBT) youth and other young people diverse in terms of their sexuality and gender (LGBT+) are at an elevated risk of mental health problems such as depression. Factors such as isolation and stigma mean that accessing mental health services can be particularly challenging for LGBT+ young people, and previous studies have highlighted that many prefer to access psychological support on the Web. Research from New Zealand has demonstrated promising effectiveness and acceptability for an LGBT+ focused, serious game-based, computerized cognitive behavioral therapy program, Rainbow Smart, Positive, Active, Realistic, X-factor thoughts (SPARX). However, there has been limited research conducted in the area of electronic therapy (e-therapy) for LGBT+ people. OBJECTIVE: This study aimed to explore how and why LGBT+ young people use the internet to support their mental health. This study also sought to explore LGBT+ young people's and professionals' views about e-therapies, drawing on the example of Rainbow SPARX. METHODS: A total of 3 focus groups and 5 semistructured interviews were conducted with 21 LGBT+ young people (aged 15-22 years) and 6 professionals (4 health and social care practitioners and 2 National Health Service commissioners) in England and Wales. A general inductive approach was used to analyze data. RESULTS: LGBT+ youth participants considered that the use of the internet was ubiquitous, and it was valuable for support and information. However, they also thought that internet use could be problematic, and they highlighted certain internet safety and personal security considerations. They drew on a range of gaming experiences and expectations to inform their feedback about Rainbow SPARX. Their responses focused on the need for this e-therapy program to be updated and refined. LGBT+ young people experienced challenges related to stigma and mistreatment, and they suggested that strategies addressing their common challenges should be included in e-therapy content. Professional study participants also emphasized the need to update and refine Rainbow SPARX. Moreover, professionals highlighted some of the issues associated with e-therapies needing to demonstrate effectiveness and challenges associated with health service commissioning processes. CONCLUSIONS: LGBT+ young people use the internet to obtain support and access information, including information related to their mental health. They are interested in LGBT-specific e-therapies; however, these must be in a contemporary format, engaging, and adequately acknowledge the experiences of LGBT+ young people.
Hospital Universitário da Universidade Federal do Piauí (HU-UFPI): breve histórico do seu início até o momento atual, e rumo ao futuro
Authors: Parente José Miguel Luz
Published: June 2020

Os primeiros cursos da área de saúde Universidade Federal do Piauí (UFPI) foram implantados nos anos de 1970, mas por várias décadas não havia hospital da própria instituição para atender as demandas acadêmicas desses cursos. Naquela época, e por várias décadas, a comunidade universitária ressentia-se muito desta situação deficitária, posto que este fato comprometia as práticas de ensino e, consequentemente, a formação profissional de seus alunos, bem como o desenvolvimento de atividades de pesquisa e extensão.
Validação do índice prognóstico SAPS 3 em pacientes internados na UTI de um hospital terciário de Teresina (PI)
Authors: Leão Frankeline Gonçalves de Arêa , Marques Igor Denizarde Bacelar , Mello Patrícia Machado Veiga de Carvalho
Published: June 2020

INTRODUÇÃO: A avaliação do nível de gravidade dos pacientes admitidos em UTI pode ser realizada através de sistemas de escore prognóstico,como o SAPS3,que prediz a mortalidade hospitalar, permitindo avaliar a qualidade do serviço prestado e comparar resultados com os de outros centros com pacientes de gravidade semelhante. OBJETIVOS:Avaliar o poder discriminatório do escore SAPS3 em pacientes internados em uma UTI geral de um hospital terciário de Teresina(PI) com relação à mortalidade hospitalar. METODOLOGIA:Estudo de coorte retrospectiva, observacional, de análise de prontuários dos pacientes internados no período de setembro a novembro de 2017. Os dados referentes à primeira hora de admissão na UTI foram utilizados para o cálculo do SAPS3.A validação foi calculada pelo método Hosmer-Lemeshow e a discriminação obtida através da curva ROC. Estudo aprovado pelo comitê de ética em pesquisa da instituição. RESULTADOS:Foram incluídos no estudo 107 pacientes, com idade média 60±17 anos. Admissões cirúrgicas foram responsáveis por 49% das internações. O grupo dos não-sobreviventes apresentou maiores tempos de internação hospitalar antes da admissão(p=0,017) e de internação na UTI (0,023). A calibração mostrou c2=20,34 (p=0,0024). O menor valor do SAPS3 foi 29 e o maior 121(mediana 58). O valor do SAPS3 com maior poder discriminatório foi 58 (S80%, E86%; AUROC 0,8936). A mortalidade observada foi 34%, menor que a estimada pelo SAPS3 (49±32%). A razão de mortalidade padronizada (SMR) foi 0,68 (IC95% 0,90-0,46). CONCLUSÃO:O índice prognóstico SAPS3 apresentou bom poder discriminatório, porém superestimou a mortalidade, quando utilizada a equação adaptada para a América do Sul.
Relationship of Achievement Goal Orientation of University Teachers with their Qualification at Work Engagement and Organizational Commitment
Authors: Sittar Khadija , Munawar Sumaira
Published: June 2020

The study was exploring the relationship between achievement goal with teachers’ qualifications at work engagement and organizational commitment. Correlation research design was adopted along with quantitative approach. Participants of the study were selected from universities located in central Punjab from two districts (Lahore and Faisalabad). Sample of the current study was taken 159 public and private university teachers through stratified sampling technique. Pearson r, one-way ANOVA was used to analyse the data. The findings of the study indicated that there was a moderate positive correlation between male and female teachers qualification. Qualification wise difference was existed between public and private university teachers regarding work engagement and organizational commitment in terms of their qualification was found.
Perceptions of Male and Female Teachers About Organizational Culture of Paragon City Schools System Lahore
Authors: Sumaira Munawar  , Khadija Sittar  , Misbah Malik
Published: June 2020

The study was aimed to investigate the perceptions of male and female teachers about organizational culture of Paragon City School System Lahore. Teachers who were taught students of grade 4-12 were the population of this study. Sample was comprised of 171 teachers selected through census sampling technique. 43 teachers were male and 128 teachers were female in the sample. A Likert type instrument was developed in which 13 statements were related to tacit assumption, 10 statements with values and 9 statements were relevant to the norms. Reliability of the instrument items was 0.818 which showed that the questionnaire was accurate. Findings of the study indicated that male and female teachers have differences of opinions regarding human nature, human relationships, openness, intimacy, teamwork, support colleagues, and students’ help, is being valued in DHA school system in Lahore. Whereas no significant difference regarding truth and reality, trust, cooperation, criticism on principal, and handling discipline, between male and female teachers. It is recommended that principal would create a school culture where discipline handling, criticism on principal, cooperation and trust between teachers may develop.
Desain dan Implementasi Data Logger untuk Pengukuran Daya Keluaran Panel Surya dan Iradiasi Matahari
Authors: PUDIN APIP , MARDIYANTO IGNATIUS RIYADI
Published: June 2020

ABSTRAKInformasi mengenai daya keluaran panel surya dan intensitas radiasi matahari diperlukan dalam sistem PLTS guna mengetahui karakteristik potensi daya yang dibangkitkan panel dan estimasi besarnya beban yang terpasang. Dalam penelitian ini, telah dirancang perangkat data logger berbasis Arduino Uno dengan media penyimpan data berupa kartu MicroSD dan format data MS Excel. Parameter daya diperoleh menggunakan modul sensor tegangan dengan prinsip pembagi tegangan dan sensor arus dengan resistor shunt. Intensitas radiasi diperoleh dari sensor Solar Power Meter menggunakan interface kabel RS232 to TTL. Hasil menunjukan nilai rata-rata error tegangan sebesar 36 mV atau inakurasi 0,41% untuk rentang pengukuran dari 0,7 V sampai 24 V, sedangkan rata-rata error arus sebesar 10 mA atau inakurasi 0,42% untuk pengukuran dari 0,3 A sampai 7,5 A. Nilai inakurasi ini masih dibawah nilai rata-rata alat ukur standar yang ada di pasaran sekitar 1%, sehingga hasil rancangan ini bisa digunakan untuk keperluan pengukuran.Kata kunci: tegangan, arus, daya, iradiasi matahari, Arduino ABSTRACTInformation about the output power of solar panels and the intensity of solar radiation are needed in the PV system to determine the characteristics of the power generated by the panel and the estimated amount of installed load. In this research, an Arduino-based data logger has been designed with a MicroSD card data storage media and a MS Excel data format. Power parameters are obtained using a voltage sensor module with the principle of a voltage divider and a current sensor with a shunt resistor. The radiation intensity is obtained from the Solar Power Meter sensor using a RS232 to TTL cable interface. The results show the average of voltage error is 36 mV or inaccuracy is 0.41% for the measurement range from 0.7 V to 24 V, while the average of current error is 10 mA or inaccuracy is 0.42% for the measurement from 0.3 A to 7.5 A. This inaccuracy value is still below the average value of standard measurement tools on the market about 1%, so the results of this design can be used for the purpose of measurements.Keywords: voltage, current, power, solar irradiation, Arduino
APPLICATION EFFICIENCY ASSESSMENT OF FORMS, METHODS, MEANS AND TYPES OF TRAINING IN CHORAL CONDUCTING LESSONS
Authors: Teriaieva Larisa
Published: June 2020

Ukraine's entry into the European and world educational and information space requires the development and implementation of an innovative concept of education that should take into account world and domestic pedagogical and national traditions in the training of future teachers.
At present stage, the formation of methodological competence of future music teachers in choral conducting has its own peculiarities, namely: ensuring interdisciplinary links of choral conducting with other professional disciplines; use of a personal approach; organization of methodological work with students; use of information technologies and computer music programs; development of personal qualities of future music teachers.
Our analysis of the interdisciplinary links of choral conducting with musical disciplines showed that choral conducting has direct links with the main musical instrument, choral class, voice production, harmony, analysis of musical forms and auxiliary links with the orchestral class, additional musical instrument.
The results of the scientific research confirmed that the effective methods in choral conducting are motivational, educational, practical, problem-seeking, interactive, creative and methods of control and self-control; forms of training - individual, group, practical classes, independent work, competitions of conductors, creative music competitions, pedagogical practice; effective types of training are modular, interactive, problematic, distance, programmable, and modern training means - software and methodological support of computer technologies, multimedia tools, didactic materials. Other methods, types, forms of training and aids in studying the course "Choral Conducting" are secondary and not entirely relevant.
CONCEPTUAL PROVISIONS OF THE FORMATION OF THE EXECUTIVE CULTURE OF FUTURE MUSIC TEACHERS WITH THE MEANS OF THE UKRAINIAN FORTOPIAN
Authors: Mihalyuk Alla
Published: June 2020

The article is devoted to the problem of forming the performing culture in the instrumental preparation of future music teachers. The urgency of developing this problem is exacerbated by a number of existing contradictions, namely: between the increasing demands for the cultural orientation of performing arts teachers of the future and the insufficient level of formation of their performing culture; between the powerful educational potential of Ukrainian piano art and its underutilization in the process of forming the performing culture of future music teachers. Of particular importance is the Ukrainian piano art in the formation of the performing culture of future music teachers.
LITERARY EDUCATION OF SCHOOLCHILDREN IN THE CHALLENGES OF COMPETENCE LEARNING
Authors: Sytchenko Anatolii
Published: June 2020

The article covers the issues of practical implementation of competency learning of Ukrainian literature. Philosophical and pedagogical developments on the problem are analyzed, modern possibilities of modeled learning are highlighted, an important form of which is educational technologies, which are quite relevant in the process of literary education.
Improving the effectiveness of learning literature in condition of technological pedagogical process is connected in the study with the formation of ways of mental work that allow pupils independently critically comprehend the works they have read, interpret them with arguments not only perceive the author, but also produce their own meanings, which makes their actions personal significant. The procedural aspect of the problem of competence learning of literature, aimed at the formation of a knowledgeable and skilled, cultural pupil-reader, his value orientations is emphasized.
It is argued that the peculiarities of fiction and its study in school cause a positive impact on the balance of technocratic and humanistic factors of modern education, as works of art of word have not only competence potential, but also aesthetic qualities and capabilities, moral and ethical patterns of human behavior.
At the same time, the article points out certain risks associated with a number of difficulties that arise in reforming the modern school on the basis of a competency-based approach. The author draws attention to the contradictions between competence and morality; developments in domestic pedagogy and the introduction of foreign models of education; knowledge and skills and ideas and beliefs, the subjective experience of pupils and their educational activities, which exacerbate the problems of school reform, the implementation of a competency-based approach, personality-oriented learning, convince of the need for technologicalization of education.
It is first of all about the need to balance the business qualities of a competent specialist with his moral qualities; conditions for transferring foreign educational ideas and projects to the national base; achieving the unity of knowledge, skills and beliefs of the subject of activity; coordination of the content of competencies with the process of their practical implementation.
The article is intended for teachers, scientists and students.
Pendampingan Pembuatan Desain Kawasan Pariwisata Berbasis CBT (Community Based Tourism) Bagi Pokdarwis Di Kawasan Danau Gedang Kabupaten Bengkulu Tengah
Authors: Oktavallyan Dwi , Bahri Samsul , Yundrismein Recky
Published: June 2020

One of the tourist attractions which is loved Bengkulu local tourists is The Gedang Lake Tourist Area. The Gedang Lake is located in Padang Betuah Village, Pondo Kelapa District, Bengkulu Tengah Regency. Gedang Lake has been a tourism potential which is quite interesting. This lake offering views is not found in another place because of the specialty of this lake directly opposite the Indian Ocean Coast. But the amazing lake not directly proportional tothe facilities offered. Supporting facilities in a tour that is located on the lake is still relatively minimal. Kelompok Sadar Wisata (POKDARWIS) started the first step to arrange this area but it's still not optimal. For the manufacture mentoring activities Designing CBT (Community Based Tourism) Facilities for POKDARWIS in The Gedang Lake Tourist Area need to be done. The methods used were counseling, discuss, observation, and manufacture mentoring activities Designing CBT. Produced output is layout from lake tourism facilities and one of the models artificial attraction in Gedang Lake Tourism. This activity is expected to be able to facilitate tourism development in Gedang Lake and to given information about tourism for Tourism Aware Groups and can encourage increasing numbers of tourists.
Estado de excepción por coronavirus en Colombia: Entre la colaboración armónica y la descentralización
Authors: Sánchez-Gómez Juan Sebastián
Published: June 2020

La Organización Mundial de la Salud declaró el Coronavirus como Emergencia de Salud Pública de Importancia Internacional, afirmando además que traspasa las fronteras geográficas a través de la transmisión de persona a persona entre viajeros infectados. Esta contingencia fue afrontada por el presidente Iván Duque, a través de 12 decretos presidenciales que expidió días después del primer caso de Coronavirus en Colombia. Sin embargo, la declaración de estado de emergencia y los mandatos presidenciales sobre orden público, entraron en conflicto con decretos departamentales y municipales expedidos previamente. Para dirimir este conflicto, el presente artículo es producto de una investigación cualitativa que hace una interpretación sistémica los 12 decretos presidenciales, con el fin de verificar el cumplimiento del principio de legalidad de las atribuciones presidenciales y el marco jurídico de los estados de excepción. Para tal fin, se aplicó el método de hermenéutica jurídica, con la técnica de análisis documental. Esta investigación evidenció que los decretos presidenciales promovieron la colaboración armónica entre todos los niveles de gobierno (municipal, departamental y nacional), y concluyó que esta facultad presidencial ha sido esencial para enfrentar la contingencia del Coronavirus, ante la ausencia de acciones del poder legislativo y judicial.