bluuebunny/crossref_metadata_2025 huggingface dataset:
Zeynep Kamil Hastanesi Tarihinden Efemeralar
Authors: GÜRSU Türkan , GÜRSÜ Şükrü Sarper
Published: September 2020

Efemera sözcüğü, kelime anlamı olarak ''ıvır-zıvır'' olarak tanımlanabilir. Bir mektup, bilet, fotoğraf, kitap ya da broşür; efemera olabilecek objeler arasındadır. Zaman içerisinde efemeracılık bir kolleksiyonerlik alt grubu olarak kabul görmeye başlamış ve daha tematik efemera koleksiyonları ortaya çıkmıştır.
Zeynep Kamil Hastanesi, ülkemizin en eski hastanelerinden biri olmasının yanı sıra, Kadın ve Çocuk Hastalıkları ile Doğum konularında en yetkin ve köklü kurumlarından birisidir. Hastanenin oldukça zengin ve renkli bir geçmişi olup; bu geçmişten kesitler sunan çok çeşitli efemeralar bulmak mümkündür.
Bu çalışmamızda; tamamı yazarların kendi kişisel koleksiyonlarında bulunan çeşitli Zeynep Kamil Hastanesi Efemeraları sunularak, hastanenin zengin geçmişinden kesitler sunulmaya çalışılmıştır.
Is Autonomy Always Beneficial for Work Engagement? A Six-year Four-Wave Follow-Up Study
Authors: Seppälä Piia , Mäkikangas Anne , Hakanen Jari J. , Tolvanen Asko , Feldt Taru
Published: September 2020

Work engagement is expected to result from job resources such as autonomy. However, previous results have yielded that the autonomy–work engagement relationship is not always particularly strong. Whereas previous longitudinal studies have examined this relationship as an average at a specific point in time, this study examined whether this relationship is different within individuals from one time to another over the years. Furthermore, experiences of work engagement are expected to affect how employees benefit from autonomy, but no studies have so far investigated whether the initial level of work engagement affects the autonomy–work engagement relationship. This study aimed to first identify the different kinds of longitudinal relationship patterns between autonomy and work engagement, and then to investigate whether the identified relationship patterns differ in terms of the initial mean level of work engagement. The four-wave study was conducted among Finnish managers (n = 329) over a period of six years. Multilevel regression mixture analysis identified five relationship patterns. Four of the patterns showed a positive predictive relationship between autonomy and work engagement. However, the relationship was statistically significant in only one of these patterns. Furthermore, when the initial mean level of work engagement was high, autonomy related more strongly to work engagement. However, an atypical pattern was identified that showed a negative association between autonomy and work engagement. In this pattern, the mean level of work engagement was low. Consequently, autonomy may not always enhance work engagement; sometimes this relationship may even be negative.
PHONEMIC INTERFERENCE AND OVERREGULARIZATION IN THE /S/ AND /∫/ PHONEMES REALIZATION IN FRENCH
Authors: Permana Bagas Anugrah , Laksman-Huntley Myrna
Published: September 2020

One of the problems in foreign language learning is interference, a rearrangement of patterns resulting from the presence of foreign elements in the language domain (Weinreich, 2010). This research shows how and why phonemic interference of /s/ and /∫/ phonemes occur from Indonesian and English although both phonemes exist in all three languages. Some interference begins from lexeme and then to phonemic level. Other faults are overregularization which is the application of regular grammatical patterns to irregular cases. This seems to support the Logical Problem of Language Acquisition which states that a student cannot correct his/her mistakes without explicit feedback from the linguistic environment (Pinker, 2004).The results of this research indicate that foreign language learning requires knowledge of non-structural elements that are outside of the language, not only following phonological, syntactic, morphological, or lexical rules (structural elements). For example, students' foreign language knowledge and cultural content in teaching materials.
Sosyal Bilimler Alanında Yapılmış Dönüştürülmüş Sınıf Araştırmalarının İçerik Analizi
Authors: PEHLİVAN Fatma , ARABACIOĞLU Taner
Published: September 2020

Çalışmada, ülkemizde yapılan dönüştürülmüş sınıf araştırmalarının konu alanı ve yıllarına göre dağılımı, ağırlıklı olarak kullanılan yöntemler, hangi desenler üzerinde yoğunlaşıldığı, hangi veri toplama araçları yaygın olarak kullanıldığı, örneklem özellikleri, yaygın olarak kullanılan veri analiz yöntemleri ve sonuçlarının dağılımına yönelik genel bir çerçeve ortaya çıkarılması amaçlanmaktadır. Bu amaç doğrultusunda 2010-2018 yılları arasında dönüştürülmüş sınıf modelini esas alan Tr dizin Sosyal ve Beşeri Bilimler veri tabanı dergi listesindeki makaleler ve YÖK tez merkezindeki tezler incelenmiştir. “Flipped” arama kriteri doğrultusunda ulaşılan 16 makale ve 57 tez içerik analizi yöntemi kullanılarak analiz edilmiştir. Araştırma sonuçlarına göre ülkemizde dönüştürülmüş sınıf modelini kullanan ilk çalışmaların 2014 yılında başladığı ve ilerleyen yıllarda arttığını söylenebilir. Dönüştürülmüş sınıf modelinin, yabancı dil eğitiminde yoğun olarak kullanıldığı görülmektedir. Ayrıca yapılan çalışmaların ağırlıklı olarak karma deseni işe koşan araştırmalar olduğu ve örneklem düzeyinin çoğunlukla Eğitim Fakültesi öğrencilerinden oluştuğu ifade edilebilir. Veri toplama aracı olarak yarı yapılandırılmış görüşmeler ve başarı testlerinin sıklıkla kullanıldığı görülmektedir. Kullanılan çevrimiçi ortamlar açısından, Web 2.0 araçları sıklıkla kullanılmaktadır. İncelenen makale ve tezlerin sonuçlarına göre dönüştürülmüş sınıf modelinin akademik başarıya, öz kontrol becerisine, iletişim, derse aktif katılım, motivasyon, kalıcılığa ve özgüvene olumu etkisi rapor edilmiştir. Bunun yanında öğretmenin yapması gereken hazırlık, iyi hazırlanmamış videolar ve öğrencilerin teknik altyapı eksikliği dikkat edilmesi gereken noktalar olarak dile getirilmiştir. Yapılacak olan araştırmalarda sistem kayıtlarının incelenmesi öneri olarak ifade edilebilir.
Ortak Bilgi Yapılandırma Modeline Dayalı Fen Öğretiminin Sekizinci Sınıf Öğrencilerinin Sosyobilimsel Konular Hakkındaki Görüşlerine Yansımasının İncelenmesi
Authors: YILDIRIM İlke , BAKIRCI Hasan
Published: September 2020

Bu araştırmanın amacı, Ortak Bilgi Yapılandırma Modeli (OBYM)’ne dayalı fen öğretiminin sekizinci sınıf öğrencilerinin sosyobilmsel konular hakkındaki görüşlerine yansımasını incelemektir. Bu araştırmada, nitel araştırma yaklaşımlarından özel durum yöntemi kullanılmıştır. Araştırma, 2017-2018 eğitim-öğretim yılında ortaokul sekizinci sınıfta öğrenim gören 25 öğrenci ile yürütülmüştür. Çalışma grubu içinde belli kriterlere göre seçilen altı öğrenci ile uygulama öncesi ve sonrasında görüşmeler yapılmıştır. Araştırmada veriler, Sosyobilimsel Konular İle İlgili Yarı Yapılandırılmış Mülakat (SOBMÜ) formu ile toplanmıştır. Betimsel ve içerik analiz yöntemi kullanılarak veriler analiz edilmiştir. Uygulama öncesinde öğrencilerin antibiyotik kullanımı, grip aşıları, zayıflama hapları, aile planlaması ve Genetiği Değiştirilmiş Organizmalar (GDO) konusunda yeterli düzeyde bilimsel bilgiye sahip olmadıkları tespit edilmiştir. Uygulamadan sonra öğrencilerin sosyobilmsel konularda bilimsel açıklamalar yaptığı görülmüştür. Öğrenciler uygulama öncesinde zayıflama haplarını kullanarak zayıflayacakları yönünde görüş beyan ederken, uygulamadan sonra zayıflama haplarını kullanmayacakları ifade etmişlerdir. Öğrenciler, uzmanların önerdiği doğal yollarla zayıflamanın sağlık açısından daha uygun olduğunu belirtmişlerdir. OBYM’ ye dayalı fen öğretiminin sosyobilmsel konular üzerinde etkisinin daha net olarak görülebilmesi için farklı öğretim kademelerinde öğrenim gören öğrenciler ile nicel temelli çalışmaların yapılması önerilmektedir.
Sınıf Öğretmenlerinin E-portfolyo Hakkındaki Görüşleri
Authors: GÖK Bilge , BAS Ozlem , AYAZ Mahmut
Published: September 2020

Araştırmada sınıf öğretmenlerinin elektronik portfolyoya yönelik görüşlerinin incelenmesi amaçlanmıştır. Araştırmanın amacı doğrultusunda, “sınıf öğretmenlerinin e-portfolyo hakkındaki farkındalıkları nasıldır?”, “sınıf öğretmenlerinin e-portfolyonun işlevleri hakkındaki görüşleri nelerdir?” ve “sınıf öğretmenlerinin e-portfolyonun çıktılarına yönelik görüşleri nelerdir?” araştırma sorularına yanıt aranmıştır. Araştırmada nitel araştırma yöntemlerinden biri olan “durum çalışması” kullanılmıştır. Araştırmada katılımcıların belirlenmesinde amaçlı örnekleme yöntemlerinden tipik durum örnekleme yöntemi kullanılmıştır. Tipik durum örneklemesine dayalı olarak Ankara ve İstanbul’da şehir merkezinde bulunan ve sıra dışı bir özellik göstermeyen okullardaki sınıf öğretmenlerinden gönüllük esasına dayalı olarak 20 öğretmen araştırmaya katılmıştır. Araştırmanın verilerini toplamak amacıyla yarı yapılandırılmış bir görüşme formu hazırlanmıştır. Araştırmada 15 adet görüşme sorusu kullanılmıştır. Verilerin analizinde nitel araştırmada yaygın kullanılan yöntemlerden biri olan içerik analizi esas alınmıştır. Bununla birlikte çalışmanın objektifliği ve okuyucunun gözünde canlanması açısından katılımcıların ifadeleri alıntılanmıştır. Sonuç olarak, öğretmenlerin e-portfolyoyu kullanma konusundaki farkındalığı teması altında ortaya çıkan kodlar incelendiğinde, öğretmenlerin farkındalıklarının yüksek olduğu fakat bir kısmının bu konuda bilgi sahibi olmadığı ve kendini yeterli görmediği, e-portfolyonun işlevleri hakkındaki görüşleri ve bu görüşler altında ortaya çıkan kodlar incelendiğinde, e-portfolyonun diğer yöntemlerden farklı pek çok yönünün olduğunu, avantajlarının dezavantajlarından fazla olduğu düşünmeleri, son olarak ise e-portfolyonun çıktıları hakkındaki görüşleri ve görüşler altındaki kodlar incelendiğinde pek çok boyutta ve alanda öğrenciye katkısının olacağını düşündükleri görülmüştür. Bu durum genel olarak öğretmenlerin e-portfolyo kullanımına yönelik bakış açılarının olumlu olduğunu ve yeterli alt yapı ve donanıma sahip olduklarında kullanmalarının önünde herhangi bir engel olmadığını göstermektedir.
EXECUTIVE PROCEEDINGS AS THE FINAL STAGE OF THE TRIAL IN LIGHT OF ECHR PRACTICE AND ANTI-VIOLATION OF EXECUTIVE PROCEEDINGS PARTICIPANTS' PROCEDURAL RIGHTS
Authors: Kravtsov S.
Published: September 2020

The paper explores the issues on the enforcement of judgments and its effectiveness, as well as the access to justice in civil cases. Based on the materials analyzed, the nature of the execution of civil decisions and enforcement proceedings in general is clarified. The abuse of law in the execution of court decisions is investigated. Based on the above analysis, the following types are distinguished: abuse by the claimant of the right to choose the place of enforcement proceedings commencing, the registration by the debtor at his place of residence (which is the sole property of the debtor that can be recovered) of a minor child, the cancellation of the results of electronic bidding through formal technical mistakes of the electronic auction organizer, abuse of the debtor's right to privacy, the initiation of parallel litigation by the debtor on the results of electronic bid- ding while the new owner sues the court to remove obstacles to the use of the premises and evictions, contemptuous attitude of enforcement pro- ceedings participants to the executor while the complaint against the executor's actions is under the court's consideration. The availability of justice in civil cases and the effectiveness of the mechanism for the protection of rights, freedoms and interests are directly linked to the observance of the requirement for irrevocable implementation of court decisions at the level of national law and the existence of effective enforcement mechanisms. The question of the nature of enforcement proceedings and their place in the legal system remains debatable in the civil procedural literature. As a rule, consideration of abuse of procedural rights is conducted in two directions, which do not exclude each other – from the point of view of the evaluation of abuse as a negative procedural phenomenon oranalysis of certain forms of abuse of procedural rights. There are also studies that deny the legitimacy of the design abuse of procedural rights.
ITALY: NO COUNTRY FOR ARBITRATORS?
Authors: Silvestri E.
Published: September 2020

The title of my presentation, besides being a play on the title of the Coen brothers film, makes it clear that Italy is not exactly the most hospitable environment when it comes to the popularity of arbitration. It is true that statistical data, when available, concern essentially institutional arbitration (the empirical data are not really updated. The only comprehensive survey of ADR in Italy concerns 2016; in that year the total number of arbitration procedures carried out by private and public institutions was 708 (784 in 2015) and can be considered misleading, at least to a certain degree, since nothing is officially known of the phenomenon of ad hoc arbitration, which, apparently, is very popular but escapes survey. In any event, my purpose here is to sketch out some of the reasons why arbitration is still an elitist method for resolving disputes, in general – as we will see – commercial disputes.
Synnemasporellaceae: A New Family Record for Turkish Ascomycota
Authors: ERDOĞDU Makbule , DOĞAN Gökhan , AKATA İlgaz , SULUDERE Zekiye
Published: September 2020

The current study was carried out based on fungi specimens collected from Rhus coriaria in Bolu province in July 2018. As a result of field and laboratory studies, Synnemasporella aculeans (Schwein.) X.L. Fan & J.D.P. Bezerra (Synnemasporellaceae) was reported for the first time from Turkey at species, genus and family level and Rhus coriaria was represented as a new host species for S. aculeans. Description of this species was provided together with its photographs and scanning electron microscope (SEM) images related to macro and micromorphologies and discussed briefly.
Who Am I and What Do I Do?
Authors: Rishel Carrie W. , Guthrie Sara K. , Hartnett Helen P.
Published: September 2020

The purpose of this study is to examine social work professional identity development through interprofessional education and practice. The Integrated Mental and Behavioral Health Training Program (IMBTP) was developed to prepare students for collaborative practice in integrated behavioral health settings. Interprofessional education and training was a core component of the IMBTP. At the conclusion of five cohorts (graduating 2014-2018), 61 MSW students had completed the training program. Content analysis of qualitative evaluation data revealed professional identity development as a recurring theme across multiple domains. Results demonstrate that providing opportunities for social work students to participate in interprofessional education and training allows for a greater understanding of other professional roles and perspectives, while at the same time helping to solidify the role and identity of a social worker. Social work education programs should consider including interprofessional education experiences for all students.
Interprofessional Learning Opportunity Regarding Pain and the Opioid Epidemic
Authors: Stoddard-Dare Patricia , DeBoth Kelle K. , Wendland Madalynn , Suder Ryan , Niederriter Joan , Bowen Rebecca , Dugan Sara , Tedor Miyuki
Published: September 2020

An interprofessional response is needed to mitigate the deleterious effects of the opioid epidemic. Here we describe an interprofessional workshop for n=307 students from social work, pharmacy, medicine, nursing, occupational therapy, physical therapy, and speech-language pathology designed to help prepare professionals to work competently in interprofessional teams while serving clients impacted by substance misuse. A total of n=201 participants provided informed consent and completed a pre- and post-test electronic survey to measure the influence of the interprofessional workshop. Findings from a paired sample t-test reveal statistically significant differences at post-test regarding participant’s self-described confidence 1) identifying their values and beliefs as they relate to substance misuse, 2) responding appropriately when interacting with someone with problematic substance use, 3) quickly finding local harm reduction resources, and 4) quickly finding local, available treatment resources for a person struggling with addiction. These findings suggest this educational curriculum is valuable in achieving its stated goals. Although future research is needed, findings from this study may be useful to health education systems across the country. This interprofessional education program can be emulated to aid in developing confidence in students and seasoned professionals in the healthcare workforce.
Michigan State University’s Chance at Childhood Program
Authors: Kozakiewicz Joe , Pope Delanie , Battjes Kimberly
Published: September 2020

A key component of all graduate level social work programs is the field-based educational experience designed to provide students the opportunity to practice while under the supervision of both a field-based mentor and a faculty member within the school. Social work programs must develop and maintain ties with organizations and agencies within the community to facilitate a wide variety of options for students. Separately, social work schools are increasingly developing relationships with other professional schools, most often with law schools, to allow students to study from an interprofessional perspective. In this article, the authors review existing literature regarding social work interprofessional education, focusing on law and social work. The authors will describe Michigan State University’s School of Social Work Chance at Childhood Program, designed to train future social workers and lawyers from an interprofessional perspective in the classroom, in the field, and in a variety of community-based advocacy projects. Finally, the authors will discuss the results of preliminary research efforts designed to measure the program's effectiveness at achieving the program goals set forth in the program’s logic model.
Creation of a Human Trafficking Course
Authors: Lucio Robert , Rapp-McCall Lisa , Campion Patricia
Published: September 2020

Human Trafficking is a serious global crime, particularly catastrophic in Africa. An asynchronous, online, interprofessional course on Human Trafficking was developed to educate interprofessional Catholic sisters in Africa who are attempting to intervene in the crisis. This article describes an interprofessional university team’s development, work processes, course product, and the initial impacts of the utilization of the interprofessional skills by the students. Specific elements deemed essential for success in creating and implementing IPE are delineated, including commitment from departments and colleges, respect for other professionals/disciplines, library support, time allowances, technology and learning design, and community relationships. Challenges and recommendations in the process as well as suggestions for future research are also discussed.
Educating the Next Generation of Human Rights Advocates and Defenders
Authors: Deluca-Acconi Robin , Velazquez Suzanne L. , Rabeno Stephen , Graham Warren
Published: September 2020

Defending human rights requires professionals to be unrelenting in the pursuit of systemic change. It requires the collaboration of varied professions bringing together their expertise to challenge the system of domination that has led to subjugation. Interprofessional education and collaborative practice (IPE) is a powerful tool where human rights defenders and advocates from different disciplines can learn from each other and advocate for change. This is an overview of an innovative collaboration between Robert F. Kennedy (RFK) Human Rights and Stony Brook University School of Social Welfare (SBUSSW) BSW Program. It will illustrate the way the RFK Human Rights’ human rights education program, Speak Truth To Power (STTP) is being adapted to baccalaureate social work education. Included is the method that the SBUSSW incorporates the Council on Social Work Education (CSWE) and Interprofessional Education Collaborative (IPEC) competencies in a human rights context through the partnership with RFK Human Rights
Social Workers and Public Libraries
Authors: Soska Tracy M. , Navarro Adria
Published: September 2020

A growing interprofessional collaboration between social work and library professionals has fueled the emergence of library social workers and the exploration of libraries as a setting for social work. This exciting partnership evolves from common historic roots, a strong alignment of values, and effectively addresses changing community needs that aligns with both professions. Social work and public libraries are both products of the Progressive Era along with the rise of charitable organizations and settlement houses. In examining the evolution of libraries in the wake of changing technology and patron populations, social workers are critical community allies to respond to diverse community needs. Social workers, human service providers, and funders also now see public libraries as community centers and civic hubs, as well as even settlement houses for the 21st Century. Libraries serve as civic hubs that are essential connectors of information, education, resources, and access that addresses human needs. This commentary’s aim in exploring library social worker practice encourages community-university partnerships between our public libraries and the academic programs of social work and library science that strengthen civic and community engagement. Social work practitioners and educators are encouraged to spend more time at their public libraries through interprofessional internships, class projects, applied research, and dual-degree curricular development that can prepare next generation practitioner to work and lead in these community centers.
Features of the exchange of connective tissue and certain microelements in pregnant women with a risk of postterm pregnancy
Authors: І. А. Жабченко  , І. С. Ліщенко  , В. В. Буран
Published: September 2020

Purpose of the study: to investigate the serum content of certain trace elements and synthesis markers (Total P1NP) and collagen resorption (β-CrossLaps) in pregnant women with a risk of postterm pregnancy and their role in this pathology.Materials and methods. Main group included 80 pregnant women with a risk of postterm pregnancy. Control group consisted of 34 pregnant women without a risk of postterm pregnancy demostrating physiologic cervical maturation. Enzyme immunoassay was used for measurement of synthesis markers (Total P1NP - N-terminal propeptide of type I collagen), connective tissue resorption (ß-CrossLaps), and trace elements - Na, K, Mg, P, total and ionized Ca.Results. Significant decrease in the concentration of Total P1NP was noted In pregnant women with a risk of postterm pregnancy compared with the control group (50.90 ± 4.27 ng/ml, p <0.05). The average value of connective tissue resorption marker β-CrossLaps in pregnant women of the main group was significantly higher than in the control ones (0.420 ± 0.02 ng/ml and 0.300 ± 0.02 ng/ml respectively). The total Ca was 1.98 ± 0.03 mmol/L that is 7.9% and 10.4% less than the lower limit of the physiological norm and in the control group (2.21 ± 0.04 mmol/l, p < 0.05) respectively. Mg in the main group was 0.68 ± 0.02 mmol/L, that is at the lower limit of the norm, and 20.9% less than in the control group (0.86 ± 0.03 mmol/L; < 0.05). The total serum vitamin D in pregnant women of the main group was 25.4% less than in the control group (23.62 ± 1.61 ng/ml, p <0.05).Conclusions. An imbalance of the most microelements significant for the normal functioning of connective tissue and processes of transmission of nervous excitation in combination with a deficiency of vitamin D contributes to a cascade of reactions that inhibit the timely restructuring of the cervix structure before childbirth. Pregnant women with a risk of overexposure are characterized by a predominance of type I collagen resorption processes over its synthesis processes, which is probably one of the reasons for the insufficient maturation of the cervix on the eve of childbirth.
Modern treatment of endometrial local hyperplastic processes from positions of the pathogenic approach
Authors: Benyuk V. O. , Kravchenko Y. V. , Kovaliuk T. V. , Beniuk S. V. , Usevych I. A.
Published: September 2020

Purpose of research: to improve the treatment effectiveness of patients with endometrial local hyperplasia by use of endoscopic technologies and pathogenetical postoperative therapy.Materials and methods. 66 women whose treatment algorithm included 4 stages (hysteroscopic polyp ablation followed by the morphological study, hormonal therapy aimed at the endometrium suppression, hormonal status optimization and dispensary observation within 5 years) were the subject of the study. After complex examination and histological verification of endometrial polyposis diagnosis patients were divided into two groups: A (n = 34) with the immune corrective therapy and B (n = 32). Examination algorithm included the endometrial immune histochemical examination with its immune histochemical profile definition.Study results. Histological screening of endometrium state resulted that 9 (26.5%) patients in the A group had the chronic endometritis features. The corresponding index for the B group stood for 15 patients (46.9%) that is 20.4% higher compared to the A group. Estrogen receptors expression with the background of progestogen treatment indicated the 1.2 times lowering for both groups. The viral and bacterial complex screening indicated the endometrial pathogenic contamination dramatic decrease. Study of tumor necrosis factor’s level determined the straightforward tendency with the CD 138 index dynamics. In a year term the complete treatment effect in A group was observed among 29 patients (85.2%), and the endometrial polyposis recurrence was observed among 5 (14.8%) patients.Conclusions. It is necessary to take into account the woman’s age, joint genital and somatic pathology’s presence and the immune histochemical profile of hyperplastic endometrial while determining the endometrial pathology differentiated treatment tactics. Additional immune corrective therapy with the antibacterial treatment determines the receptor phenotype restoration, normalization of tumor necrosis factor-α lever and increases the endometrial polyposis treatment effectiveness up to 22.7%.
Lactate concentration in amniotic liquid and in venous blood of maternity women with dystocia
Authors: О. В. Грищенко  , С. Ш. Мамедова
Published: September 2020

Objective of the study: to investigate the lactic acid value in the blood of women in labor and in the amniotic fluid and possibility of using these indicators to predict dystocia development or progression.Material and methods. A prospective clinical and laboratory study of 136 women in labor with a single-term full-term pregnancy with cephalic presentation of fetus, without a scar on uterus was performed in the Kharkіv Сity Perinatal Center during 2018–2019. Dystocia was diagnosed in 50 women, of whom 33 gave birth by caesarean section, 17 – naturally. In 86 women dystocia was not detected, 17 of them gave birth by caesarean section for other indications, 69 – in a natural way. In addition to the standard examination, the lactate content in the amniotic fluid and in the venous blood was additionally studied by photometric method using a semi-automatic analyzer. Results are analyzed using descriptive statistics and data comparison with nonparametric methods.Results. In women with dystocia the lactate value in the amniotic fluid is slightly higher compared to women in labor without dystocia (p >0.05), and in venous blood at the beginning of labor practically does not differ between groups. Upon repeated analysis in the blood, the concentration of lactate increased in both groups (p <0.05) with a more significant increase in women in labor with dystocia, especially in women undergoing a cesarean section.Conclusions. Lactate value in the amniotic fluid is very variable with a tendency to increase in women with dystocia. The relative increase in lactate value in the venous blood during childbirth is most significant in women with labor by caesarean section with dystocia. A significant increase in the lactate value in the venous blood during childbirth in women with dystocia is a sign of depletion of the contractile function of the uterus and may be an additional argument in favor of cesarean section, the absence of a significant increase indicates the possibility of continued delivery in a natural way.
Menopause: focus on additional therapy opportunities. Literature review
Authors: О. О. Єфіменко  , О. В. Занько
Published: September 2020

About 10% of the world's populations are menopausal women. This period coincides with the most active social and professional activities of almost every woman. In addition to typical manifestations, this age stage is characterized by menopausal metabolic syndrome, which is caused by estrogen deficiency and is found in 35–49% of women in older age groups.Modern approaches to the treatment and prevention of menopausal disorders include following principles: lifestyle changes, menopausal hormone therapy (MHT), non-hormonal therapy (drugs with hormone-like effects, phytoestrogens, selective modulators of estrogen receptors, β-alanine, sedatives, tranquilizers, and antidepressants), non-drug correction methods.According to the International Menopause Society recommendations (2016), MHT is a gold standard for prevention and treatment of menopausal disorders. However, the choice of MHT as a therapeutic standard is not always unambiguous and acceptable, because hormone therapy is associated with a number of side effects. In addition, there are a number of absolute contraindications for MHT. Therefore, the task of a gynecologist is to choose personalized (individual) therapy for menopausal disorders for each patient. Factors that must be considered when choosing between MHT and non-hormonal drugs include: severity and duration of menopause syndrome, presence of absolute and relative contraindications for MHT, patient’s desire, tolerance of the chosen method.Phytoestrogens (selective modulators of plant-derived estrogen receptors, which are structurally similar to endogenous estrogens) are well-researched among the means of non-hormonal therapy of menopausal patients. Due to their weak estrogenic action, they reduce the severity of menopausal syndrome without affecting the proliferative processes in the endometrium. Phytoestrogens are used by gynecologists in many countries for mild climacteric complaints and/or if there are absolute contraindications for MHT. One of these drugs is Climona® that is contains biologically active components of plant origin (hop cones, cimicifuga root, dioscorea root, vitamin D, α-lipoic acid), which have been shown to be effective in decrease of menopause manifestations and reducing menopausal metabolic syndrome
Chromosomal causes of hypergonadotropic hypogonadism in women and men. Literature review
Authors: О. А. Бурка  , Л. П. Кузьмук  , Г.О. Ісламова  , С. В. Овчаренко
Published: September 2020

Despite the relatively small portion in the structure of the infertility causes, hypergonadotropic hypogonadism (HH) is one of the greatest challenges in reproductive medicine. Diagnosis of HH chromosomal causes often occurs with a significant delay. This is due to the widespread stereotype of the necessary presence of typical phenotypic characters (eunuchoid habitus, pterygoid folds on the neck). This review deals with clinical recommendations for diagnosis of the most common chromosomal causes of HH in women (Turner syndrome (TS)) and in men (Klinefelter syndrome (KS)).TS is a chromosomal pathology associated with the complete or partial absence of one X chromosome accompanied by one or more specific phenotypic features and comorbidities. Persons with suspected TS need to have karyotyping of at least 20 cells (venous blood material). This allows determining the karyotype 45,X, structural anomalies of X chromosome and mosaicism if it is present in more than 10% of the cells. If the mosaic form of TS is suspected but not diagnosed with standard karyotyping, options for investigating more cells or fluorescence hybridization in situ (FISH) are possible. It is important to verify the mosaic forms, especially in cases of a clone with Y chromosome in TS, since such a karyotype carries an increased risk of gonadoblastoma. FISH increases the diagnostic rate of mosaic forms of aneuploidy. Primary hypogonadism in men is the insufficiency of testosterone synthesis and spermatogenesis failure due to the pathology of gonads. Chromosomal causes of primary hypogonadism and nonobstructive azoospermia account for about 15% and are included in the mandatory list of diagnostic examinations. The variants of karyotypes in KS and their clinical manifestations are considered. KS is much more often diagnosed with delay compared to TS. The main diagnostic method for KS is karyotyping and using FISH to detect mosaic forms.Thus, cytogenetic testing (karyotyping) is the first line of examination for women and men with primary (non-iatrogenic) HH; the use of FISH increases the diagnostics efficiency of mosaic forms of sex chromosome aneuploidy.
O Papel da gestão colaborativa nos festivais criativos: o caso da produção do carnaval em Vitória-ES
Authors: Rosa Alexandre Reis , Lima Ilane Coutinho Duarte , Aguiar Mirelle Simões de
Published: September 2020

O Carnaval, apesar de ser como um tipo um tipo de festival de celebração cultural, tem sido visto como uma importante atividade econômica e turística que movimenta uma extensa cadeia produtiva. Embora os festivais ocorram em quase todo o mundo, e o Carnaval em particular nas diversas regiões brasileiras, eles são pouco estudados do ponto de vista da sua organização e gestão. Usando como exemplo o Carnaval de Vitória-ES, o objetivo deste artigo consiste em analisar e compreender como ocorre o processo de colaboração interorganizacional inerente à produção do desfile das escolas de samba. Para isso realizamos um estudo qualitativo com aplicação do método de estudo de caso, entrevistas em profundidade e análise documental. Os resultados mostram que a compreensão do processo colaborativo é importante para o próprio desenvolvimento do festival, tendo em vista que as pesquisas na área de gestão de eventos e de festivais mostram que parte significativa do sucesso e fracasso neste campo depende sobretudo de uma gestão adequada dos stakeholders. Ou seja, da dinâmica de relacionamento entre os múltiplos atores que fazem o espetáculo acontecer.Palavras chave: Festivais Criativos; Gestão Colaborativa; Carnaval; Vila Velha-ES.
Observatório de turismo e lazer da Região Turística Baixada Verde: experiência e resultados
Authors: Fogaça Isabela Fátima , Mendonça Teresa Cristina De Miranda , Costa Maria Angélica Maciel , Catramby Teresa Cristina Viveiros
Published: September 2020

Historicamente, a Baixada Fluminense, localizada na região metropolitana do estado do Rio de Janeiro, é conhecida pela segregação político-territorial, o que atua na autoestima de sua população e a retira do imaginário turístico do estado mais visitado do Brasil. A partir de 2017, ações de política pública vêm sendo desenvolvidas para mudar a conotação daquele território, tendo como foco a riqueza natural ali presente. Este artigo buscou discutir a importância do intercâmbio de conhecimento entre Academia e a Sociedade na área do Turismo e do Lazer, a partir da experiência do Observatório de Turismo e Lazer da Região Turística Baixada Verde, sediado na UFRRJ, criado a partir desse novo contexto regional. De natureza descritiva e qualitativa, valeu-se da pesquisa documental e bibliográfica e do relato de experiências. Como resultado, em dois anos de atuação do Observatório, a inventariação da oferta turística de seis municípios, a atualização do inventário de um município e pesquisas junto aos moradores já permitem análises e considerações, e repercussão positiva do trabalho que vem sendo feito, tendo como base a nova imagem que se quer construir para a região.Palavras chave: Desenvolvimento Regional do Turismo; Baixada Fluminense; Baixada Verde; Observatório de Turismo; Estado do Rio de Janeiro.
Inventário da oferta turística: reflexões teóricas para o planejamento e ordenamento do espaço turístico
Authors: Fratucci Aguinaldo César , Moraes Claudia Corrêa de Almeida
Published: September 2020

Entre as ações para o planejamento e o ordenamento dos espaços apropriados para o turismo está o conhecimento dos elementos que o compõem. Uma das metodologias para se obter este conhecimento é a do Inventário da Oferta Turística (IOT). Este artigo se propõe a descortinar o uso desta metodologia na obtenção de conhecimentos que possibilitem auxiliar o desenvolvimento de etapas e de intervenções no território por meio do planejamento turístico. A pesquisa utilizou dados coletados em fontes selecionadas, tanto bibliográficas como documentais, referentes ao tema e de quatro décadas de experiência profissional dos autores em projetos vinculados a elaboração e implementação de IOTs em diversos destinos turísticos brasileiros. O resultado reconfirmou a importância da metodologia do IOT para o planejamento e ordenamento do território, porém notou-se que esta percepção não é comungada por todos os agentes sociais do turismo, seja pela sua desatualização frente às necessidades contemporâneas e/ou pela inexistência ou pela inventariação insuficiente em muitos destinos turísticos. Também se observou que as políticas públicas demonstraram pouca relevância à metodologia ou a deturparam ao tratá-la apenas como um banco de dados.Palavras chave: Planejamento Turístico, Inventário da Oferta Turística, Espaço turístico; IOT-RJ.
Prawda kontrolerska
Authors: Murat Leszek
Published: September 2020

Odkrywanie prawdy to niezbywalna cecha każdej praworządnej kontroli i wyraża się poprzez dążenie do urzeczywistnienia prawdy materialnej. Niemniej jednak ustalanie stanu faktycznego częstokroć odbiega od ideału i wiąże się z pewnego rodzaju kreacją rzeczywistości, którą autor nazywa prawdą kontrolerską. W artykule opisuje charakterystykę owej prawdy, która jak dotąd nie doczekała się naukowego zbadania. Oto dokonywane w trakcie kontroli ustalenia stanu faktycznego tworzą własną rzeczywistość funkcjonującą w przestrzeni normatywno-semantycznej. Prawda kontrolerska jest w mniejszym lub większym stopniu prawdą subiektywną, niepewną, przybliżoną i uproszczoną, co bynajmniej nie oznacza automatycznie jej kłamliwości. Niedoskonałość obrazu faktów to coś nieodzownego i musi zostać zaakceptowane, choć jednocześnie domaga się zachowania poprawności poznania i opisu. Odpowiednią przestrzenią badawczą do podejmowania elementarnych rozważań o granicach kontrolerskiego poznania prawdy jest filozofia kontroli.
Susceptibility Pattern of Neisseria gonorrhoeae towards Cefixime and Ceftriaxone using Kirby-Bauer Method in Dr. Saiful Anwar General Hospital Malang
Authors: Setyowatie Lita , SHW Tantari , Yulian Inneke
Published: September 2020

Background: Gonorrhea remains the second most common sexually transmitted infection (STI) in the world with an increasing number of cases. Oral cefixime and IM ceftriaxone are still the mainstay therapy for gonorrhea in Indonesia. However, previous studies suggested possible resistance to ceftriaxone and cefixime, which are the first-line treatment of gonorrhea. To date, there are no data available regarding the susceptibility of these antibiotics for the treatment of gonorrhea in Dr. Saiful Anwar General Hospital (RSSA) Malang. Purpose: Determine susceptibility pattern of Neisseria gonorrhoeaetowards cefixime and ceftriaxone in RSSA Malang. Methods: The samples were patients of the Outpatient Clinic of Dermatology and Venereology Department with a symptom of discharge which contained Gram-negative diplococcus after Gram staining and had a positive culture of Neisseria gonorrhoeae. Susceptibility testing for cefixime and ceftriaxone antibiotics were performed using the Kirby-Bauer method. The data are presented in percentages. Result: Antibiotic susceptibility test results showed that 80.77% of Neisseria gonorrhoeaeisolates were still susceptible to cefixime, and 80.77% of isolates were still susceptible to ceftriaxone. Conclusion: Cefixime and ceftriaxone are still effective as gonorrhea therapy in RSSA Malang.
The Profile of Bacterial Vaginosis in Academic Hospital Surabaya: A Retrospective Study
Authors: Manuputty Amanda Gracia , Matodiharjo Sunarko
Published: September 2020

Background: Bacterial vaginosis (BV) is a lower genital tract infection, which occur as a result of vaginal microbiome dysbiosis. This vaginal infection can lead to symptoms such as vaginal discharge, malodor and irritation. It is the most common condition occurred in reproductive age but may give 50–75% of asymptomatic signs. Purpose: To overview new BV patients at the Sexually Transmitted Infection Division of Dermatology and Venereology Outpatient Clinic Dr. Soetomo General Hospital Surabaya in 2015–2017. Methods: A retrospective study was performed by evaluating medical records of new BV patients, including identity, history taking, examination, diagnosis, treatment, follow up and counselling. Result: The number of new BV cases was 35 (1,38%). The most infected age group was 25–44 years old (51%), and 65.7% of them were married. The most common chief complaint was vaginal discharge without subjective complaints (74.3%), the most common type of complaint was recurrence (48.6%), the most partner roles which affected by BV patients were husbands (51.4%), history of vaginal douching (34.2%), and the most vaginal discharges were severe (75.8%). The whiff test showed positive results and pH > 4.5 in 48.6% of patients. All microscopical preparations showed clue cells. The most prescribed drug was metronidazole. Conclusion: The overview new BV cases showed a small incidence with commonly occurred among women in childbearing age and were asymptomatic. A routine high vaginal swab helps the proper diagnosis and management to prevent the recurrence and complication of BV.
Long Term Effects of Combination of Metabolite Product Amniotic Membrane Stem Cell (MP-AMSC) and Vitamin C after Fractional CO2 Laser for Photoaging Treatment
Authors: Adiningtyas Vidyani , Listiawan Muhammad Yulianto , Astari Linda
Published: September 2020

Background: Metabolite Products Amniotic Membrane Stem Cell (MP-AMSC) originating from the amniotic membrane has a skin rejuvenation effect by stimulating collagen synthesis. Vitamin C functions as an antioxidant in photoaging treatment. It is expected that the application of a combination of MP-AMSC and vitamin C after fractional CO2 laser treatment as Laser-Assisted Drug Delivery (LADD) to provide better long-term effects on clinical improvement of photoaged skin. As the drug penetration reaching the target, long-term effects and no side effects are expected. This promises as an option for photoaging therapy in the future. Purpose: This study aimed to evaluate the long-term effects of a combination of topical MP-AMSC mixtures and vitamin C after fractional CO2 laser treatment on wrinkles, spots, pores, and skin tones. Methods: Thirty adult women with photoaged skins were selected as samples, and were observed for wrinkles, spots, pores, and skin tones examination. The observation involved computer-simulated photographic devices, Facial Skin Scope System Janus-II for three months after the topical administration of MP-AMSC mixture and vitamin C, three times fractional CO2 laser, tretinoin 0.025% cream, and sun protection factor (SPF) 30 sunscreen as maintenance therapy. Result: The data analysis result was not statistically significant (p>0.05). Conclusion: There was a long-term effect of the application of a mixture of topical MP-AMSC and vitamin C after fractional CO2 laser treatment, and no side effect was observed.
Retrospective Study of Self Esteem in Patients with Pityriasis Versicolor
Authors: Suropati Bagus Meurah , Koendhori Eko Budi , Sawitri Sawitri , Ervianti Evy
Published: September 2020

Background: Pityriasis Versicolor (PV) is a fungal infection of the skin, caused by the Malassezia sp., a genus of fungi. Patients commonly present with bordered skin patches of white, grey, and sometimes brown on their skin surface. The prominent changing of skin colour in exposed areas of the skin may cause feelings of insecurity to the patients and become limelight for other people, impacting their self esteem. Purpose: To evaluate the self esteem profile in PV patients at the dermatovenereology outpatient clinic of Dr. Soetomo General Academic Teaching Hospital Surabaya. Methods: This was a retrospective descriptive study based on medical records of the dermatovenereology outpatient clinic of Dr. Soetomo General Academic Teaching Hospital Surabaya. The data were collected from June 2018 to May 2019. This research evaluates PV patients's profiles by age, sex, education level, occupation, residential environment, site of infection, duration of the infection, and self esteem. The patient's self esteem was assessed using the Rosenberg Self Esteem Scale (RSES). Result: Fiftythree PV patient’s self esteem values were successfully recorded. Of the 53 patients, the score was low in 3 people (5.67%), the normal score in 50 people (94.33%), and no one had a high score. Of the 3 people with low self esteem scores, 2 of them were men, consisting of 1 teenager and 2 adults, having basic education levels, who were students and housewives. The three patients had the infection for more than 3 months and they resided in Tambaksari, Wonocolo, and outside Surabaya. Conclusion: The majority of PV patients at the dermato-venereology outpatient clinic of Dr. Soetomo General Academic Teaching Hospital have normal self esteem scores.
The Form of Social Interaction of Cempaka Diamond Miners as a Learning Resources on Social Studies
Authors: Maulana Ahmad , Subiyakto Bambang , Mutiani Mutiani
Published: September 2020

Interaksi sosial terbagi menjadi interaksi sosial asosiatif dan disosiatif. Interaksi sosial asosiatif sifatnya mengarah kepada kegiatan positif, sedangkan disosiatif sifatnya lebih kepada pertentangan. Penelitian ini bertujuan mendeskripsikan interaksi sosial penambang intan Cempaka Banjarbaru sebagai sumber belajar IPS. Penelitian ini menggunakan metode deskriptif dengan teknik mendapatkan data melalui observasi, wawancara dan dokumentasi. Data yang didapat direduksi, disajikan dalam bentuk narasi yang dilengkapi gambar dan tabel analisis materi yang selanjutnya ditarik kesimpulan. Keabsahan data melalui triangulasi waktu, sumber dan teknik. Hasil penelitian menunjukkan bahwa interaksi yang terjadi antara penambang dan pembelantik bentuk interaksi berupa berupa Kerjasama (usaha bersama), Akomodasi (toleransi), Kerjasama (tawar-menawar). Hal ini sejalan dengan materi IPS kelas VII tema dua mengenai interaksi sosial dan bisa dimasukkan sebagai sumber belajar IPS.
The Lesson Planning of Social Studies Learning in SMPN 1 Banjarbaru
Authors: Mardiana Dina , Abbas Ersis Warmansyah , Mutiani Mutiani
Published: September 2020

Perencanaan pembelajaran erat kaitannya dalam upaya peningkatan keberhasilan pembelajaran yang dilakukan guru mengacu kepada kurikulum berbasis kebutuhan peserta didik. Penelitian ini bertujuan untuk mendeskripsikan perencanaan pembelajaran pada mata pelajaran IPS dalam kerangka kurikulum 2013. Lokasi penelitian di SMPN 1 Banjarbaru. Penelitian ini menggunakan metode deskriptif dengan melakukan observasi, wawancara dan dokumentasi untuk mendapatkan data. Analisis data melalui reduksi data, penyajian data, dan verifikasi sebagai penarikan kesimpulan. Keabsahan data didapat melalui triangulasi sumber dan teknik, perpanjangan pengamatan, serta menggunakan bahan referensi. Hasil penelitian menunjukkan bahwa guru dalam penyusunan perencanaan pembelajaran terdokumentasi dalam RPP yang dibuat dengan acuan silabus Kurikulum 2013. Implementasi RPP pada pembelajaran IPS di SMPN 1 Banjarbaru dilakukan di kelas IX I dalam tahap kegiatan pendahuluan, inti, dan penutup dimana guru melaksanakan perannya sebagai pengajar, pembimbing, fasilitator, dan evaluator. Tetapi, terdapat beberapa kendala saat pembelajaran dimana pemanfaatan konteks lokal kurang dieksplorasi, serta pemaparan materi yang berkaitan dengan pemanfaatan sumber belajar dan media belajar kurang maksimal.