bluuebunny/crossref_metadata_2025 huggingface dataset:
Harnessing mobile technology to develop a sustainable on the go learning resource for junior doctors
Authors:   Division of Obstetrics and Gynaecology, KK Women’s and Children’s Hospital, Singapore, Mok Zhun Wei , Lee Jill Cheng Sim ,   Division of Obstetrics and Gynaecology, KK Women’s and Children’s Hospital, Singapore, Mathur Manisha ,   Division of Obstetrics and Gynaecology, KK Women’s and Children’s Hospital, Singapore
Published: April 2019

Introduction: At KK Women’s and Children’s Hospital’s (KKWCH) Department of Obstetrics and Gynaecology (O&G), a junior doctor’s handbook exists to guide safe practice. A challenge remains in ensuring relevant, current, and readily accessible content. The onus of re-editing is left to senior clinicians with heavy clinical and supervisory roles, leading to a lack of sustainability. Mobile applications (apps) can be a sustainable ‘just-in-time’ learning resource for junior doctors as they balance new responsibilities with relative inexperience. Methods: The app was developed in-house with the Residency’s EduTech Office. A focus group comprising junior doctors identified content deemed useful. The alpha version was launched in August 2017 and trialled amongst the wider junior doctor population. Data on usefulness were collected through serial focus groups and analysed using grounded theory. Results: An online survey disseminated to all 100 junior doctors showed that 100% owned a smartphone. 97.1% supported this new resource. Consultative discussions recommended inclusion of (i) Procedural and consent information; (ii) Risk calculators; and (iii) Clinical pathways and management algorithms. Mobile learning apps entreat the user to immediately reflect and conceptualise their concrete experiences, and actively experiment with the content to build on his/her current knowledge. Learners become stakeholders in creating their own learning material. Qualitative feedback indicated a continued interest to contribute, underscoring the app’s sustainability potential. Conclusions: Apps can be a sustainable on-the-go resource developed by junior doctors, for junior doctors. Learners become stakeholders in creating their own learning material through continued reflection, conceptualisation and active experimentation. This can be scaled for wider clinical use.
Indigenous Child Welfare in Canada
Authors: Zukowski Christian
Published: April 2019

This paper is primarily a case study of the Canadian Human Rights Tribunal case Caring Society v Canada and seeks to accomplish three things. First, create a theoretical foundation built upon historic instances of discriminatory/assimilationist policies based upon theoretical understandings of social reproduction, biopolitics, and neoliberalism. Second, to situate Caring Society within said theoretical framework for the purpose of determining the context in which it occurs and the role of the case's context in producing discriminatory/assimilationist policy. Third is the application of both the theoretical framework as well as Caring Society to determine how the Canadian state engages in nation building through processes of othering and framing Indigenous peoples as a foreign threat to the security of the Canadian identity. In doing so, I not only argue that Indigenous child welfare is the perpetuation of residential schools, but that it systematically breaks down Indigenous children and Indigenous communities in response to their perceived threat through processes of othering and nation-building.
The Métis and the Courts: Interrogating Métis-Focused Supreme Court Decisions in Canada
Authors: Feth Thomas
Published: April 2019

This paper is broadly concerned with the politics of the Canadian constitution, with its primary focus being the relationship between the Métis and the Supreme Court of Canada. The Métis are one of three Aboriginal groups in Canada that are officially recognized in the Constitution Act, 1982, along with the First Nations and the Inuit. The Act sparked a new era of Canadian jurisprudence and Indigenous activism through the courts. Despite the hopes of the Métis, major Supreme Court decisions vis-à-vis Métis issues since 1982 have been questionable if not problematic. This paper discusses Métis identity, jurisdiction, equality rights, and the question of Métis title in relation to four Supreme Court decisions. The paper aims to provide an overview of the most pertinent issues and cases in Métis constitutional law, while arguing that Métis-focused Supreme Court decisions have done little to improve the position and status of the Métis people in Canadian society, while some judgements have even undermined them.
Anafilaxia en lactante alérgica a la proteína de la leche de vaca
Authors: Calle Ana , Chinchilla Carlos , Cardona Ricardo
Published: April 2019

Antecedentes: La alergia a la proteína de la leche de vaca es un problema frecuente en los niños. Las manifestaciones clínicas de las reacciones mediadas por IgE son variadas y las reacciones anafilácticas pueden poner en riesgo la vida.Caso clínico: Niña que a los cuatro meses y medio de edad, después de cinco minutos de consumir cereal preparado con leche de vaca, presentó erupciones periorales y lesiones micropapulares generalizadas, pruriginosas, asociadas con vómito y estridor inspiratorio. Recibió adrenalina intramuscular y antihistamínicos intravenosos. Fue evaluada por primera vez en un servicio de alergología a los seis meses y 20 días de edad. Los resultados de la inmunoglobulina E específica fueron positivos. Se inició tratamiento con fórmula hidrolizada de arroz y alimentación complementaria.Conclusión: La anafilaxia puede ser la primera y última manifestación de una alergia alimentaria. La educación adecuada a los padres acerca de evitar estrictamente el alimento desencadentante de la reacción alérgica y el entrenamiento en el uso de la adrenalina intramuscular puede traducirse en un mejor pronóstico para los pacientes.
Asma de difícil control relacionada con tromboembolismo pulmonar y aspergilosis broncopulmonar
Authors: Guevara-Saldaña Liliana , Díez-Zuluaga Libia Susana , Gómez-Henao Catalina María , Cardona Ricardo
Published: April 2019

Antecedentes: La inflamación ocasionada por las enfermedades crónicas y el uso recurrente de corticosteroides sistémicos podrían asociarse con mayor incidencia de enfermedad tromboembólica venosa.Caso clínico: Hombre de 47 años con asma severa de difícil control y aspergilosis broncopulmonar alérgica, quien a pesar de óptimo tratamiento continuaba con exacerbaciones recurrentes y necesidad de corticosteroides sistémicos. Presentó edema y en pierna izquierda. Mediante ecografía Doppler venosa se confirmó trombosis venosa profunda; por las imágenes del gammagrama V/Q pulmonar se sospechó tromboembolismo pulmonar crónico. Se prescribieron 5 mg de apixaban cada 12 horas; en menos de dos meses se logró el control de los síntomas, sin necesidad de hospitalizaciones, corticosteroides sistémicos o beta2-agonistas de acción corta. Se comenzó el retiro gradual del omalizumab, con buena tolerancia.Conclusiones: La disminución importante de los síntomas bronquiales con el anticoagulante confirmó la sospecha de que el tromboembolismo pulmonar crónico causaba las exacerbaciones.
Evaluación de los conceptos diagnósticos y de manejo de la anafilaxia en médicos no alergólogos de Colombia
Authors: Londoño Julian Esteban , Raigosa María , Vasquez Maria Clara , Calvo Víctor , Cardona Ricardo , Sánchez Jorge
Published: April 2019

Antecedentes: Varios reportes evidencian la necesidad de mayor conocimiento de los médicos acerca de los criterios diagnósticos y de manejo de la anafilaxia, condición que puede tener consecuencias fatales.Objetivo: Evaluar en Colombia los conocimientos de los médicos no alergólogos, acerca de los aspectos fundamentales de la anafilaxia en el diagnóstico oportuno y el tratamiento.Métodos: Estudio transversal realizado mediante una encuesta de 11 preguntas relativas a aspectos clínicos de la anafilaxia, dirigida a médicos generales y especialistas residentes en Colombia. El análisis de los resultados se hizo con base en las respuestas correctas. El corte de aprobación se estableció en > 70 %.Resultados: Se incluyeron 447 médicos no alergólogos, de los cuales solo 110 (24.6 %) aprobaron el cuestionario tanto en los aspectos diagnóstico como terapéuticos. Entre los factores asociados con reprobar la encuesta se identificó mayor edad (p < 0.01) y trabajar en el primer nivel de atención (p < 0.01).Conclusiones: Similar a lo reportado en otros estudios, el conocimiento en el diagnóstico y tratamiento de la anafilaxia fue deficiente entre los médicos colombianos. Los factores asociados con estos resultados son potencialmente modificables.
Pericarditis y derrame pericárdico como presentación inicial de lupus eritematoso sistémico. Reporte de caso
Authors: Gerardo-Morales Vilma , Llausás-Magaña Eduardo , León-Ramírez Angel Rito , Carreón-Guerrero Juan Manuel , Quibrera José , Pérez-Gaxiola Giordano , García-Dominguez Miguel
Published: April 2019

Antecedentes: La pericarditis aguda es poco frecuente en los niños; puede evolucionar a derrame o taponamiento cardiaco. Los principales agentes infecciosos son virus y bacterias. El tratamiento farmacológico es con antiinflamatorios no esteroideos; pocos pacientes requieren pericardiocentesis.Caso clínico: Paciente escolar hospitalizada por dolor torácico en zona precordial, quien fue diagnosticada con pericarditis aguda y derrame pericárdico, sin otra sintomatologia clínica. El cuadro progresó a tos seca, dolor abdominal epigástrico opresivo, vómitos gastroalimentarios y fiebre. Por mala respuesta al tratamiento inicial se solicitaron estudios inmunológicos. Se encontró positividad a los autoanticuerpos antinucleares, anti-ADN de doble cadena, Coombs directo y anticardiolipinas; también se encontró hipocomplementemia con linfopenia, indicativos de lupus eritematoso sistémico.Conclusiones: La evolución tórpida o recurrencia de la pericarditis debe orientar a descartar entidades neoplásicas o autoinmunes. Las manifestaciones cardiovasculares se presentan de forma inicial en pocos pacientes con lupus eritematoso sistémico.
Extractos dializados de leucocitos para el tratamiento de infecciones recurrentes y severas en pacientes pediátricos con inmunodeficiencia celular: 15 años de experiencia
Authors: Ayala María del Carmen , González Nancy María , Palacios Gerardo , Rivera-Morales Lydia Guadalupe , Rodríguez-Padilla Cristina
Published: April 2019

Antecedentes: Los extractos dializados de leucocitos (EDL) han sido utilizados en el tratamiento de diversos defectos de la inmunidad celular.Objetivo: Revisar la experiencia en el uso de EDL para tratar infecciones recurrentes o severas en niños con inmunodeficiencia celular adquirida no debida a virus de la inmunodeficiencia oportuna.Métodos: Se revisaron expedientes de niños tratados con EDL humano o bovino entre 1986 y 2000, por infecciones recurrentes o severas sin respuesta a antimicrobianos y con déficit en la respuesta inmune celular. La dosis se ajustó por el porcentaje de poblaciones de linfocitos T. En el seguimiento a cinco años, la respuesta inmune se evaluó por subpoblaciones de linfocitos, intradermorreacción e inhibición de la migración de leucocitos (LIF) a PPD, coccidioidina, varidasa y candidina.Resultados: 150 niños recibieron EDL, edad 7.0 ± 5.9 años. Las indicaciones más frecuentes incluyeron infección respiratoria superior (71 %), respiratoria inferior (43 %), gastrointestinal (15 %), urinaria (15 %), neuroinfección (4 %) y coccidioidomicosis (3 %). Se incrementaron los linfocitos T, el LIF a PPD y varidasa (> 20 %), así como la induración en pruebas de intradermorreacción (p < 0.001). Se resolvieron las infecciones que se presentaron (4 %). No se reportaron efectos adversos.Conclusiones: El uso de EDL mejoró los parámetros inmunológicos y la evolución clínica en niños con déficit inmune celular.
Sensibilidad y especificidad de la prueba epicutánea modificada en el diagnóstico de alergia respiratoria a Dermatophagoides pteronyssinus
Authors: Rosales Alexis , López-García Aída Inés , Rivero-Yeverino Daniela , Arana-Muñoz Oswaldo , Papaqui-Tapia José Sergio , Caballero-López Chrystopherson Gengyny , Ortega-López Lorena , Cruz-Hernández Armando , Ruiz-Márquez Israel Pablo , Valle-Rodríguez Francisco
Published: April 2019

Antecedentes: La prueba por punción cutánea es el estándar de oro en el diagnóstico específico de alergia.Objetivo: Determinar sensibilidad y especificidad de la prueba epicutánea modificada para el diagnóstico de alergia respiratoria a Dermatophagoides pteronyssinus.Métodos: Estudio observacional, interpretativo, prolectivo y transversal. Se incluyeron pacientes de seis a 49 años de edad, con cuadro clínico de alergia respiratoria, en quienes se realizó punción cutánea con técnica europea y prueba epicutánea con la variante de escarificación previa a la aplicación del antígeno y posterior homogenización del mismo con aplicador de madera. Se calculó sensibilidad, especificidad, influencia de la prevalencia, valores predictivos positivo y negativo.Resultados: Se incluyeron 104 pacientes, 72 (69.2 %) del sexo femenino. La edad fue de 24 ± 11.3 años, 78.9 % tuvo diagnóstico de rinitis alérgica, 1.9 % de asma y 19.2 % de rinitis y asma. La prevalencia de alergia respiratoria a Dermatophagoides pteronyssinus fue de 62.5 %; 94.23 % estaba correctamente diagnosticado. La sensibilidad y especificidad de la prueba fue de 93.85 y 94.87 %, los valores predictivos positivo y negativo de 96.83 y 90.24 % y los cocientes de probabilidades positivo y negativo de 18.30 y 0.91.Conclusiones: La prueba epicutánea modificada fue altamente sensible y específica, disminuyó el riesgo de contaminación por arrastre de alérgenos y los costos en el material utilizado.
MASK (Mobile Airways Sentinel Network). La solución integral de ARIA por app móvil para la multimorbilidad de rinitis alérgica y asma
Authors: Larenas-Linnemann Désirée , Mullol Joaquim , Ivancevich Juan Carlos , Antó Josep , Cardona Victoria , Dedeu Toni , Rodríguez-González Mónica , Huerta Yunuen , Neffen Hugo , Fuentes-Pérez José Miguel , Rodríguez-Zagal Eréndira , Valero Antonio , Zernotti Mario , Bartra Joan , Alobid Isam , Castillo-Vizuete José Antonio , Dordal Teresa , Hijano Rafael , Picado César , Sastre Joaquín , Blua Ariel Eduardo , Jares Edgardo , Lavrut Alberto Jorge , Máspero Jorge , Bedolla-Barajas Martín , Burguete María , Costa María del Carmen , Domínguez-Silva Margarita , Espinoza-Contreras Jesús Guillermo , Gálvez-Romero José Luis , García-Cobas Cecilia Yvonne , García-Cruz María de la Luz Hortensia , Hernández-Velázquez Luiana , Luna-Pech Jorge , Matta Juan José , Mogica-Martínez María Dolores , Rivero-Yeverino Daniela , Ruiz-Segura Lucy Tania , Del Río-Navarro Blanca , Gómez Javier , Macías-Weinmann Alejandra , Murray Ruth , Onorato Gabrielle , Laune Daniel , Bedbrook Anna , Bousquet Jean
Published: April 2019

La mayoría de los pacientes con rinitis alérgica no recibe el manejo idóneo, sino que se automedica. MASK (Mobile Airways Sentinel Network) forma parte integral de un proyecto apoyado por la Unión Europea contra las enfermedades crónicas y enfocado al envejecimiento activo y saludable. Constituye la tercera fase de ARIA (Allergic Rhinitis and its Impact on Asthma), en la cual mediante una aplicación móvil en un dispositivo inteligente se intenta guiar al paciente en el control de su multimorbilidad, rinitis o conjuntivitis alérgicas o asma. La aplicación Diario de Alergia por MACVIA-ARIA es gratuita y está disponible para Android e iOS. Al descargarla al celular del paciente, a este se le piden datos de su perfil, patologías alérgicas y medicación; posteriormente, mediante una escala visual analógica se le invita a determinar el grado de afectación en nariz, ojos y bronquios y su influencia sobre su productividad laboral/escolar. Con los datos del Diario de Alergia se observa que existe un nuevo patrón de presentación: rinitis alérgica + conjuntivitis alérgica + asma, con mayor afectación, así como un alto nivel de automedicación: en general, el paciente toma medicación cuando presenta síntomas. La app se ha desplegado en 23 países, incluyendo varios países hispanohablantes.
El protocolo de investigación VIII. La ética de la investigación en seres humanos
Authors: Miranda-Novales María Guadalupe , Villasís-Keever Miguel Ángel
Published: April 2019

La investigación en seres humanos no puede llevarse a cabo sin cumplir con los principios éticos de autonomía, beneficencia y justicia. Los antecedentes históricos que destacaron la necesidad de contar con documentos para guiar la conducta de los investigadores señalan hechos lamentables para la humanidad. Aun cuando desde hace más de 50 años se publicaron las primeras recomendaciones en la Declaración de Helsinki, se pueden encontrar ejemplos de investigaciones que se han llevado a cabo sin respetar dichos principios. La aprobación por un comité de ética es un requisito de ley para todas las investigaciones en seres humanos. En la actualidad, prácticamente todas las revistas científicas solicitan el comprobante de la aprobación y evalúan si los riesgos a los que se sometieron los participantes de los estudios eran necesarios y los beneficios obtenidos de la investigación justificaron su realización. Cumplir con los requisitos que se solicitan para conducir éticamente un estudio no debe considerarse como una imposición, sino como un compromiso moral que se establece entre el investigador y los participantes del estudio.
Quality of life, health and environment in older adults
Authors: Purnomo Hari , Apsari Ayudyah Eka , Hadyanawati Anindya Agripina
Published: April 2019

There are 20.24 million elderly in Indonesia or 8.03% of the total population. Increasing age will cause a decline in psychic, physical abilities and suffer from various diseases. The speed of the aging process depends on heredity and external factors that damage the fitness and health of the body. Some perceptions assume that the age of the elderly is the age of labile moments indicated by perceptions that include hope, feeling control and emotional responses. Based on these elderly problems. The subjects and objects of this study were elderly who lived in nursing homes in Central Java and Yogyakarta with an age range of 60-90 years. The research data was obtained participatory by distributing questionnaires and open interviews conducted to caregivers, administrators, and the elderly themselves. The results showed that the environmental conditions, health conditions, and quality of life of the elderly had a significant influence on stress aging. But different things happen when viewed from each variable. The quality of life of the elderly has a significant effect on the significance value of 0.001. Environmental conditions and health conditions do not affect the level of stress with the significance value of 0.203 and 0.813.
METHODS FOR CALCULATING THE ECONOMIC DAMAGE OF A COTTON CONDUCTED BY PESTS FOR THE VEGETATION PERIOD
Authors: Shamshetova Dilyara Sarsenovna , Khushmatov N.
Published: April 2019

The authors in this article set forth their judgments on the assessment of the level of danger of pests for the cotton industry and offer a method of economic assessment of the damage inflicted by a cotton bug in the cotton growing season in cotton-growing zones in Uzbekistan.
TUGAS 2 Teknologi E-Bisnis
Authors: wahyuni erniza dwi
Published: April 2019

Perkembangan teknologi informasi menjadi sebuah faktor pendorong bisnis berbasise-business. Internet merupakan jaringan global yang menyatukan seluruh jaringan komputer, sehingga memungkinkan terjalinnya komunikasi dan interaksi antara satu dengan yang lain diseluruh dunia. Sebuah perusahaan yang menggunakan jaringan internet dapat menjalin hubungan dengan rekan bisnis atau konsumen secara lebih efisien. Sampai saat ini internet merupakan infrastruktur yang ideal untuk menjalankan bisnis berbasise-businessse hingga istilah e-businesspun menjadi identik dengan menjalankan bisnis di internet.
A global assessment of street network sprawl
Authors: Barrington-Leigh Christopher Paul , Millard-Ball Adam
Published: April 2019

Disconnected urban street networks, which we call “street-network sprawl,” are strongly associated with increased vehicle travel, energy use and CO_{2} emissions, as shown by previous research in Europe and North America. In this paper, we provide the first systematic and globally commensurable measures of street-network sprawl based on graph-theoretic and geographic concepts. Using data on all 46 million km of mapped streets worldwide, we compute these measures for the entire Earth at the highest possible resolution. We generate a summary scalar measure for street-network sprawl, the Street-Network Disconnectedness index (SNDi), as well as a data-driven multidimensional classification that identifies eight empirical street-network types that span the spectrum of connectivity, from gridiron to dendritic (tree-like) and circuitous networks. Our qualitative validation shows that both the scalar and multidimensional measures are meaningfully comparable within and across countries, and successfully capture varied dimensions of walkability and urban development. We further show that in select high-income countries, our measures explain cross-sectional variation in household transportation decisions, and a one standard-deviation increase in SNDi is associated with an extra 0.25 cars owned per household. We aggregate our measures to the scale of countries, cities, and smaller geographies and describe patterns in street-network sprawl around the world. Latin America, Japan, South Korea, much of Europe and North Africa stand out for their low levels of street-network sprawl, while the highest levels are found in south-east Asia, the United States and the British Isles.
Tugas I Manajemen Sains
Authors: Kawuri Ratna
Published: April 2019

Penggunaan teknologi sistem informasi ini sudah banyak pula digunakan hampir di seluruh instansi baik pemerintah maupun swasta, termasuk di rumah sakit, namun pemrosesan data di rumah sakit untuk hasil validasi, pengkodean, alih bentuk, dan transform data masih belum berjalan dengan baik, salah satunya adalah masalah laporan keuangan dan nama kunjungan pasien yang belum tertata rapi. Penelitian yang bersifat kualitatif ini dilaksanakan di Ruang Rekam Medik Rumah Sakit Bhayangkara Kota Manado selama 6 (enam) bulan terhadap 5 informan yang terdiri dari 1 Kepala Rumah Sakit (Direktur), 1 Kepala Urusan Sistem Informasi Manajemen dan Rekam Medik, 1 Kepala Perawat Pelaksana, dan 2 tenaga pelaksana informasi kesehatan
Tugas 1 Blanja.com
Authors: Setiawan M. Agus
Published: April 2019

AbstrackPenulisan bertujuan untuk mengetahui penerapan blanja.com sebagai media jual beli online. Blanja.com merupakan sebuah Joint-venture antara Telkom Indonesia dan eBay. Memiliki konsep sebagai Online-Marketplace, blanja.com memiliki lebih dari ribuan merchant yang menawarkan jutaan produk dari berbagai kategori yang terjamin orisinalitas dan kualitasnya. Blanja.com memiliki hubungan kerjasama dengan sejumlah bank terdepan di tanah air seperti Mandiri, BNI, BCA, BRI, BTN, Mega, Niaga, ANZ, BII, dan lain sebagainya. Penulis menggunakan metode deskriptif, yaitu suatu metode yang menyimpulkan, menyajikan, dan menganalisis data sehingga menghasilkan gambaran yang cukup jelas atas penulisan ini. Hasil penelitian menunjukkan bahwa Blanja.com memiliki produk yang variatif, fitur belanja yang menarik, memiliki metode pembayaran yang bervariasi, dan dapat memperbaiki layanan kedepannya.Kata Kunci : Produk Terlengkap dan Terpercaya
upaya peningkatan mutu pendidikan di indonesia melalui supervisi pendidikan
Authors: lusi winda pitri
Published: April 2019

Mutu pendidikan harus sejalan dengan berkembangnya ilmu pengetahuan, teknologi, sosial, dan budaya,guna meningkatkan prestasi belajar siswa. Di Indonesia saat ini, mutu pendidikan masih tergolong rendah jika dibandingkan dengan negara- negara tetangga lainnya. Oleh karena itu perlu adanya pemerataan fasilitas, sarana, dan prasarana. Jika tidak dilakukan pemerataan fasilitas,sarana, dan prasarana dalam proses pendidikan atau belajar mengajar, maka akan berdampak pada prestasi belajar siswa, yang bisa menurunkan minat dan semangat belajar siswa, sehingga potensi yang dimiliki oleh siswa tersebut tidak tersalurkan dan dikembangkan sebagaimana mestinya. Oleh karena itu, dengan teknik supervisi pendidikan, nantinya bisa meningkatkkan kualitas pendidik atau guru, menghasilkan pendidik yang kreatif dan inovatif, yang bisa membimbing siswanya dengaan tujuan meningkatkan prestasi belajar belajar siswa. Sehingga melalui supervisi pendidikan, bisa meningkatkan mutu pendidikan di Indonesia. Untuk menanggulangi itu semua perlu adanya kegiatan pengembangan keprofesionalan seorang guru dalam mendidik siwa agar tujuan pembelajaran yang sebenarnya dapat tercapai, serta dapat meningkatkan mutu pendidikan. Maka disinilah peran supervisi pendidikan yaitu dalam upaya melakukan pembinaan,pengawasan dan bimbingan terhadap pencapaian standar mutu yang telah ditetapkan demi sebuah proses yang ideal.
MEDIA PEMBELAJARAN SAINS TERPADU (Rancang Bangun Media Pembelajaran Sains Berbantuan Komputer)
Authors: HIJRIANI DWI
Published: April 2019

Pendidikan adalah suatu proses. Proses perubahan tingkah laku melalui interksi antara individu dan lingkungan. Dalam suatu proses belajar mengajar, dua unsur yang amat penting adalah metode mengajar dan media pembelajaran. Sains berkaitan dengan cara mencari tahu tentang alam secara sistemis dan dengan kaidah-kaidah tertentu. Pemanfaatan komputer untuk pendidikan yang dikenal sering dinamakan pembelajaran berbantuan komputer (CAI) dikembangkan dalam beberapa format. Ada empat bentuk atau jenis perangkat lunak pembelajaran dengan bantuan komputer, yaitu latihan dan praktik (drill and practice), tutorial, simulasi, dan pengajaran dengan instruksi komputer (Computer Managed Instruction). Metode penelitian yang digunakan adalah metode Penelitian dan Pengembangan (Research and Development).
UJI GETAH DAUN BITADIN DALAM MENYEMBUHKAN LUKA PADA KULIT
Authors: putra ilham malindo
Published: April 2019

Studi ini bertujuan untuk membuat getah daun bitadin yang digunakan untuk mengobati luka yang terjadi pada kulit. Metode yang dilakukan adalah eksperimen dan uji aktifitas katalik secara lansung.Tahapan pertama dilakukan dengan pembuatan getah daun bitadin. Uji aktifitas lansung dilakukan dengan variasi tetesan-tetesan getah yang ditetesi kepada kulit yang terluka. Proses penyembuhan lebih kurang 2 hari untuk proses pengeringan. Untuk sembuh total diperkirakan selama 5 hari tergantung lebar luka pada kulit. Dipakai cukup 1 kali saja bagi luka dengan kondisi yang ringan. Bagi luka yang lumayan lebar pemakaian dalam 1 hari 2 kali pemakaian. Hasil dari eksperimen membuktikan bahwa getah daun bitadin dapat menyembuhkan luka. Kondisi optinum getah iyalah menyembuhkan luka tercapai pada (2-6 )hari penyembuhan ini diduga karna aktivitas katalik getah daun bitadin terhadap luka yang dialami.
KECERDASAN GLOBAL DALAM PERSPEKTIF GEOGRAFI UNTUK PENGUATAN LITERASI GEOMARITIM
Authors: Sholeh Muh
Published: April 2019

Two-thirds of Indonesia is water, but the development community's lifestyle and more focused land, forgetting that the sea stretches wait managed. Attitude back to the sea resulting in the abandonment of maritime management. As a result, many foreign fishing vessels can freely steal fish and other marine products. Sea has not been considered a blessing. The Government is gradually trying to shift the focus of development from the mainland towards the sea, but it was not enough. It required a change of mind maritime community through educational efforts, an increase in maritime-based development facility, and increased attention to put the sea as a source of social welfare. Schools, particularly geography subjects responsible for implementing learning services that promote the establishment of a global intelligence from a geographical perspective as part of efforts to raise awareness of the younger generation to improve literacy geomaritime. Strengthening literacy geomaritime the younger generation is expected to be one way to love Indonesian archipelago.Keywords: Global Intelligence, literacy geomaritime
Human handedness: A meta-analysis
Authors: Papadatou-Pastou Marietta , Ntolka Eleni , Schmitz Judith , Martin Maryanne , Munafo Marcus Robert , Ocklenburg Sebastian , Paracchini Silvia
Published: April 2019

Across time and place, right hand preference has been the norm, but what is the precise prevalence of left- and right-handedness? Frequency of left-handedness has shaped and underpinned different fields of research, from cognitive neuroscience to human evolution, but reliable distributional estimates are still lacking. While hundreds of empirical studies have assessed handedness, a large-scale, comprehensive review of the prevalence of handedness and the factors which moderate it, is currently missing. Here, we report five meta-analyses on hand preference for different manual tasks and show that left-handedness prevalence lies between 9.3% (using the most stringent criterion of left-handedness) to 18.1% (using the most lenient criterion of non-right-handedness), with the best overall estimate being 10.6% (10.4% when excluding studies assessing elite athletes’ handedness). Handedness variability depends on (a) study characteristics, namely year of publication and ways to measure and classify handedness, and (b) participant characteristics, namely sex and ancestry. Our analysis identifies the role of moderators which require taking into account in future studies on handedness and hemispheric asymmetries. We argue that the same evolutionary mechanisms should apply across geographical regions to maintain the roughly 1:10 ratio, while cultural factors, such as pressure against left-hand use, moderate the magnitude of the prevalence of left-handedness. Although handedness appears as a straightforward trait, there is no universal agreement on how to assess it. Therefore, we urge researchers to fully report study and participant characteristics as well as the detailed procedure by which handedness was assessed and make raw data publicly available.
Medical students’ perception regarding objective structured clinical examination in Medical College, Chitwan
Authors: Jaiswal Pratima , Mehta Raj Kumar
Published: April 2019

Background: Objective Structured Clinical Examination (OSCE) has been globally recognized as gold standard of performance based assessment that aids in evaluating the clinical competency of medical undergraduate students. Hence, it increases the confidence of students in their learning ability by helping them to identify areas of weakness and gaps in their competencies. This study was conducted to identify perception towards OSCE among medical students.

Methods: A descriptive cross-sectional study design was adopted and a total 173 respondents were selected from MBBS 4th and 5th year of Chitwan Medical College by using probability stratified proportionate random sampling technique. Self-administered questionnaire with 5-point likert scale were used to collect the data. Descriptive and inferential statistics was used to analyze data.

Results: About half of the Bachelor of Medicine and Bachelor of Surgery (MBBS) students had positive perception toward OSCE. There is significant association between the level of perception towards OSCE and year of study (p=0.002), choice of study MBBS (p=0.045) and evidenced based learning (p=0.041).

Conclusions: Thus, optimum emphasis should be given on formulating OSCE guideline and orienting student about it and also organization should create environment to facilitate actual objective structured clinical examination in order to increase positive perception in our context.
Training workshop on performance-based assessment: feedback of the participants faculty
Authors: Piryani Rano Mal , Piryani Suneel
Published: April 2019

Background: Performance-based assessment (PBA) concentrate on “Does” level of Miller’s Triangle Model of assessment and assess the ability of healthcare professionals to practice safely in different situations and context. It is essential to train faculty members how to conduct PBA.

Methods: One-day training workshop on PBA was organized at Liaquat Uni­versity of Medical & Health Sciences Jamshoro, Sindh Pakistan in November 08, 2017 with objective “participants learn to apply PBA tools in practice”. There were two sessions of training; session one covered basics, levels and tools of assessment and blueprinting for assessment and session two PBA and its tools. Tutorial, brainstorming and activity based small group work were methods utilized for the training. Feedback of the participants was taken on semi-structured questionnaire. Descriptive analysis was done using SPSS.

Results: Twenty-two participants selected from basic, clinical, and dental sciences and nursing faculty. The participants rated workshop on scale of 1-10 (1=poor, 10=excellent) for usefulness of training (8.64 ± 1.62), content of training (8.27 ± 1.52), relevance of training & content (8.59 ± 1.40), facilitation of training (8.77 ± 1.34) and overall (8.77 ± 1.38). After training participants were very confident in developing blueprint for assessment (3.91±0.61), using mini-CEX (3.64±0.58), and confident using DOPS (3.63±0.73), MSF (3.55±0.74) and Portfolio (3.68±0.84). More than one third of the partici­pants recommended to arrange more training workshop on different aspects of medical education.

Conclusions: It was observed from feedback that participants realize the importance of PBA training and stress to have trainings for various aspects of health profession education.
Fetal hepatic hemangioma: a case report
Authors: Shresth Manindra , Bajracharya Nishma , Parajuli Ashish , Gorkhali Amritee , Shrestha Amir , Dangal Ganesh
Published: April 2019

Fetal liver tumors represent approximately 5% of all congenital tumors and hemangiomas account for approximately 15% of all fetal liver tumors. Hemangioma and hemangioendothelioma are benign vascular tumors but they are associated with a significant morbidity and mortality due to high output congestive heart failure and arteriovenous shunting. Ultrasound features of hepatic hemangioma can overlap with arteriovenous malformation. This is a case report of fetal hepatic hemangioma with aretriovenous shunting detected on routine anomaly scan at 20 weeks of gestation in 22 years old Nepalese women who was asymptomatic. Prenatally, a 3.2cm x 2.8cm multicystic mass was seen in the left hypochondrium of the fetal abdomen displacing the stomach. On color Doppler examination, the mass showed internal color flow and multiple tortuous dilated vessels noted around the lesion. After counseling regarding the lesion to the mother and her family; decision to abort the fetus was made. Autopsy was done for the final diagnosis of the lesion, which showed vascular mass in the left lobe of liver insinuating between stomach and spleen.
Nepalese National Formulary (NNF) 2018
Authors: Shankar Pathiyil Ravi , Piryani Rano Mal , Piryani Suneel
Published: April 2019

No abstract available.
Mineral chemistry of eclogites to investigate the evolutionary metamorphic history of UHP rocks from Tso-Morari region, Ladakh, India
Authors: Rao Rameshwar , Rai Hakim
Published: April 2019

Micro textures of metabasics from the Tso-Morari region, Ladakh were studied in order to understand the evolutionary metamorphic history of eclogites. The mineral chemistry, paragenesis of mineral inclusions in garnet, and zoning in omphacite, garnet and amphibole suggest three main metamorphic stages: (i) an eclogite stage with late blueschist facies metamorphism, (ii) a medium-pressure amphibolite facies stage, and (iii) a low-pressure amphibolite to greenschist facies stage. The high Si content in phengite, presence of rutile besides almandine-rich garnet and omphacite in eclogites indicate the attainment of high pressures. Also, the textural features and composition of amphiboles indicate that blueschist facies conditions represented by growth of glaucophane at high pressure and low temperature were followed by a lower-pressure stage of metamorphism represented by partial and in some cases complete reaction of glaucophane to calcic green amphibole such as magnesio-hornblende. The relationships define a clock-wise P-T path with the involvement of an isothermal uplift path for the eclogites and associated garnet-amphibolites of Tso-Morari region.
Linguistic Variations across Disciplines: A Multidimensional Analysis of Pakistani Research Articles
Authors: Rashid Aniqa , Asim Mahmood Muhammad
Published: April 2019

The current research explores the linguistic identity of Pakistani Academic writing register of Research Articles. Previous quantitative works on Pakistani academic writing have been insufficient due to unrepresentative data and lack of internal and external comparison. This study discovers the language of Pakistani research articles as an academic writing register by investigating the statistically significant linguistic variation among the disciplines of Pakistani Research articles, using Biber’s (1988) five textual dimensions. The results of the study exhibit Pakistani academic research articles language as highly impersonal, non-persuasive, explicit, nonnarrative and informational.
Servant Leadership and Enhancement of Organizational Performance
Authors: Hashim Muhammad , Azizullah Khan Muhammad , Adnan Saqib
Published: April 2019

The Servant Leader Model is a theory that advances administration, supports trust, coordinates effort, future-arranges and utilizes moral capacity to engage others, focusing on good ethical practices. This study inspects the faculty of public and private universities in Peshawar for elements of servant leader behavior (wisdom, emotional healing and persuasive mapping) and effect on performance. Drawing on information from 95 teaching faculty members from different universities, we discovered help for the immediate impact of the all elements of servant leader behavior administration on universities performance. The findings add to servant leadership practices, in like manner to values-based administration, which conceivably may include novel literature regarding the relationship between servant leadership and performance of universities teachers. Implications form the last part of the paper.
Environment and Literary Landscape: An Ecological Criticism of Louise Erdrich’s Novel Tracks
Authors: Tariq Sana , Shah Bahramand
Published: April 2019

Connecting the environment with societies’ cultures through literature has created a new awareness of environmental issues. The current environmental crisis is a product of modern human culture. The thought of using land as a commodity and disregard for environmental ethics has worsened the ecological crisis. The paper focuses issues of environment highlighted in Native American literature. The anthropocentric behavior of Euro-Americans is contrary to Native American idea of biocentrism. For American Indians, land is considered not merely a stage on which the act is played but also as an active participant in the drama with major role to play in the lives of the characters. This article applies Ecocriticism theory on Louise Erdrich’s fiction Tracks to generate an ecological criticism of the text. This paper highlights new ways of treating the natural world, putting responsibility on humans to see how their cultures are affecting environment.
Absence de décision. Examen de quelques récits brefs des XIIe et XIIIe siècles
Authors: Gęsicka Anna
Published: April 2019

The absence of decision making is one of the aspects of the issues of will and choices in short French court narratives of the XII and XIII centuries. The paper focuses on two executions that present this motif. Protagonists facing numerous options – or, on the contrary, being faced with dramatic turning points in the plot that restrict their choices – feel a kind of decision deadlock. In the analysed texts, the absence of decision – short or long term – is shown in the narratives with ‘ne set que faire’ formula (“does not know, what to do”) and a reference to advice needed by the indecisive protagonist.
L’absence chez Michel Butor. L’Emploi du temps et Degrés
Authors: Mrozowicki Michał
Published: April 2019

Michel Butor, born in 1926, one of the leaders of the French New Novel movement, has written only four novels between 1954 and 1960. The most famous of them is La Modification (Second thoughts), published in 1957. The author of the paper analyzes two other Butor’s novels: L’Emploi du temps (Passing time) – 1956, and Degrés (Degrees) – 1960. The theme of absence is crucial in both of them. In the former, the novel, presented as the diary of Jacques Revel, a young Frenchman spending a year in Bleston (a fictitious English city vaguely similar to Manchester), describes the narrator’s struggle to survive in a double – spatial and temporal – labyrinth. The first of them, formed by Bleston’s streets, squares and parks, is symbolized by the City plan. During his one year sojourn in the city, using its plan, Revel learns patiently how to move in its different districts, and in its strange labyrinth – strange because devoid any centre – that at the end stops annoying him. The other, the temporal one, symbolized by the diary itself, the labyrinth of the human memory, discovered by the narrator rather lately, somewhere in the middle of the year passed in Bleston, becomes, by contrast, more and more dense and complex, which is reflected by an increasinly complex narration used to describe the past. However, at the moment Revel is leaving the city, he is still unable to recall and to describe the events of the 29th of February 1952. This gap, this absence, symbolizes his defeat as the narrator, and, in the same time, the human memory’s limits.

In Degrees temporal and spatial structures are also very important. This time round, however, the problems of the narration itself, become predominant. Considered from this point of view, the novel announces Gerard Genette’s work Narrative Discourse and his theoretical discussion of two narratological categories: narrative voice and narrative mode. Having transgressed his narrative competences, Pierre Vernier, the narrator of the first and the second parts of the novel, who, taking as a starting point, a complete account of one hour at school, tries to describe the whole world and various aspects of the human civilization for the benefit of his nephew, Pierre Eller, must fail and disappear, as the narrator, from the third part, which is narrated by another narrator, less audacious and more credible.
La présence et le fonctionnement de l’absence dans le Nouveau Roman
Authors: Grzesiak Czesław
Published: April 2019

The French nouveau roman is characterised by lack of numerous elements typical of the traditional, commonly called Balzacian, novel. This lack involves the rejection of plot, omniscient narrator, psychological, moral and ideological factors, social and political engagement, the decomposition of character, the indeterminacy and gradual implosion of time and space as well as the text generation based on some lack or void. The aim of the article is to present these missing elements of the represented world and to discuss their functions in the works of leading practitioners of the nouveau roman, such as Samuel Beckett (predecessor), Michel Butor, Marguerite Duras, Robert Pinget, Alain Robbe-Grillet, Nathalie Sarraute and Claude Simon.
Investigating the Effect of Blended Learning Activity in Teaching Reading at Second Grade Senior High School
Authors: Humaira Humaira , Asbah Asbah
Published: April 2019

Blended learning has been growing in popularity as it has proved to be an effective approach for accommodating an increasingly diverse student population while adding value to the learning environment through the incorporation of online teaching resources. This study aims to investigate the effects of The use of blended learning techniques in teaching reading at the second-grade students of Man 2 Model Mataram In Academic Year 2017/2018. The purpose of the study is to know the effect of using Blended Learning technique in teaching reading at the second-grade student of Man 2 Model Mataram. The research method was quasi-experimental research with nonequivalent control group design. The population of the research was of the conducted of two classes as the sample; Experimental group (XI IS 2) and control group ( XI IS 1 ). XI IS 2 was taught by using Blended learning technique of reading while XI IS 1 was taught without Blended learning technique of reading. The researcher gave reading the test to gather the data. The formula that used to analyze the data was t-test. It is supposed to know the significant difference between students’ score in the experimental group and control group. Based on the computation of the t-test formula, it was found that the mean score of the experimental group was 14,21 and the mean score of the control group was 8,42 after analyzing the data,
Improving Students’ Reading Skill Through Think-Pair-Share (TPS) Technique
Authors: Hudri Muhammad , Irwandi Irwandi
Published: April 2019

This study aims at investigating how the Think-Pair-Share (TPS) technique can improve the students’ reading skill at the English Language Department, FKIP, Muhammadiyah University of Mataram. The problem found in the fourth-semester students is that they have low ability in comprehending the text. The TPS technique is offered by the researcher to solve the problem. Later on, the design of this research was classroom action research adopted from Kemmis & McTaggart which goes through a cycle that consists of four stages namely planning, acting, observing, and reflecting. At the cycle 1, the students failed to meet the criteria of success because only 14 (fourteen) out of 30 (thirty) or 47% students who got the minimum passing grade 75 (seventy-five) and the average score was 67. It meant that the study must be continued to the next cycle. At last, in the cycle 2 met the criteria of success in which 67% students or 20 (twenty) out of 30 (thirty) students met the minimum passing grade 75 and the average score was 72. Beside gaining improvement in the reading score, the students also seemed enthusiastic in thinking, pairing and sharing their ideas. They stated that this technique could encourage and motivate them in thinking, exploring and sharing their opinion and ideas. This technique is also good to enhance cooperation with other people. Finally, TPS technique also able to increase the students’ confidence to share their ideas in front of many people.
THE USE OF COMMUNITY LANGUAGE LEARNING (CLL) IN TEACHING SPEAKING
Authors: Irwandi Irwandi
Published: April 2019

The purpose of this research is to find out the effectiveness of using CLL in teaching speaking at the first grade students of SMP N 18 Mataram in academic year 2014 / 2015. This is kind of quantitative research with quasi experimental method. The population of this research involved 67 students’ from the first grade in SMPN 18 Mataram. The reseacher took 44 students as a sample that divided into two groups, 22 students belong to the experimental group and 22 students belong to the control group. To find out the differences of x and y, the writer used pre- test and post- test to collect the data. The data collected was analized by t-test formula. Therefore, the writer gave different treatment to prove that CLL is better than conventional method. After the writer gave the treatment, it showed that the mean of post test of experimental group is higher than control group. After that, the result of mean score of Experimental and group is proved by the t-test and compared with t-table, so the result in t-test is 3,8 and t-table (0,05%) is 2,02 and (0,01 %) is 2,70. In addition, the result of the t-test is higher than t-table (3,8 > 2.02 > 2,70). This means that there is significant different between experimental and control group. From the explanation above, the writer concludes that Community Language Learning (CLL) was effective in teaching speaking for the first grade students of SMP N 18 Mataram in academic year of 2014/2015.