bluuebunny/crossref_metadata_2025 huggingface dataset:
Efficiency of a new complex rehabilitation method using mechano- and kinesiotherapy for balance disorders correction in patients with osteoporotic compression vertebral fractures
Authors: Makarova E.V. , Marchenkova L.A. , Eremushkin M.A. , Styazhkina E.M. , Razvalyaeva D.V.
Published: August 2020

The aim of the study: Evaluate the impact of physical rehabilitation complex on balance function in patients with osteoporosis (OP) and vertebral compression fractures (VCFs).
Materials and methods: A prospective controlled study of 40-80 years old men and women with OP and VCFs was conducted. Patients were divided into two groups by simple randomization. The intervention group (1) received an intensive rehabilitation course. The control group (2) received therapeutic exercise using the Gorinevska-Dreving method. Before rehabilitation all patients were tested: 1) stabilometry; 2) Tests: single leg stand, Fukuda test). Re-examination after rehabilitation and one month after the course.
Results:The study enrolled 90 people (65.4±9.1 years). In group №1 after the course of rehabilitation there was a significant improvement in indicators: balance function coefficient (BFC) with open and closed eyes (84.1±8.6%, p=0.01 and 73.8±9.6%, p=0.01); frontal shifts (FS) (1.9 [0.7; 2,4], p=0,01), the area of statokinesiogram (ASKG) (131,9±210,4 mm2, p=0,04); center of pressure velocity (CPV) (12,2±10,1 mm/sec, p=0,001); in the Fukuda test the displacement in degrees has decreased (32.8±14.5, p=0.03), in the test «Single leg stand» the time for right and left leg with open eyes has improved (17.8±31.8 sec, p=0.001, 17.1±30.1 respectively). In group №2 there was an improvement in CPV (2.1 [1.9;5.2], p=0.001); FS movement rate (10.1±3.9 mm/sec, p=0.05). After a month in group №1 the positive dynamics by parameters was preserved: BFC with open and closed eyes, FS, CPV movement speed, SKG area, displacement in meters and degrees in the Fukuda test, standing time on the right and left legs with open and closed eyes.
Conclusions: A physical rehabilitation complex aimed at training back muscles and coordination has improved balance function in patients who have experienced OP and VCFs. Pathological shift of CPV forward in frontal area was corrected and stability was improved. Stabilometry and coordination tests served as reliable methods to evaluate balance function in this group of patients.
Nеw tесhniquеs for physiсal rеhabilitation of powеr sports athlеtеs with artеrial hypеrtеnsion: a randomizеd сontrollеd trial
Authors: Miroshnikov A.B. , Smolеnskiy A.V. , Formеnov A.D.
Published: August 2020

Essential hypertension is a frequent diagnosis in power sports athletes, heavy weight categories. The aim of the study: To evaluate the impact of high-intensity aerobic work on blood pressure and oxidative abilities of hypertensive athletes of power sports, heavy weight categories. Rеsеarсh mеthods: Examination and physical rehabilitation were conducted in 55 hypertensive representatives of power sports, heavy weight categories comparable in age, sex and main clinical manifestations. Athletes were randomized into two groups: the main group (n=35) and the control group (n=20). Athletes of the main group were trained for 180 days (3 times a week) on an ergometer using a high-intensity interval protocol, while the control group participants were trained for 180 days (3 times a week) using their traditional power protocol. The tasks were performed using the following methods: examination, polling, gasometric analysis, triple blood pressure measurement, muscle tissue oxygenation level measurement and mathematical statistics methods. Rеsults: After 180 days of physical rehabilitation, the participants in the main group had a 148% reduction in oxygen oxygenation, an increase in capacity and working time at maximum oxygen consumption, and a reliable decrease in blood pressure: systolic blood pressure by 8.0%, diastolic blood pressure by 10.8%. Сonсlusion: Our protocol for physical rehabilitation of power sports athletes allows us to effectively and safely influence the oxidative capacity of working muscles and blood pressure.
HUBUNGAN DISMENOREA DENGAN AKTIVITAS BELAJAR MAHASISWI AKADEMI KEBIDANAN DELIMA PERSADA GRESIK 2018
Authors: Hanum Diyana Faricha
Published: August 2020

Tujuan penelitian ini untuk menganalisis hubungan antara disminorea dengan aktivitas belajar mahasiswi akademi kebidanan Delima Persada Gresik. Penelitian ini menggunakan analitik observasional dengan pendekatan Chi-Square. Subjek penelitian ini adalah mahasiswi akademi kebidanan Delima Persada Gresik dengan teknik  Random Sampling. Teknik pengumpulan data menggunakan kuesioner dan dianalisis menggunakan Analisis bivariat. Dari hasil analisis menunjukkan bahwa jika Asymp.Sig. (2-sided) <0,05 maka ada hubungan antara dismenorea dengan aktivitas belajar. Pengetahuan dan penanganan masalah dismenore yang tepat diperlukan oleh mahasiswa, agar tidak mengganggu aktivitas belajar bahkan aktivitas sehari-hari sehingga nilai prestasi dalam belajar terus meningkat.
PENGURANGAN NYERI PERSALINAN DENGAN KOMPRES HANGAT PADA IBU INPARTU DI RUMAH SAKIT MUHAMMADIYAH GRESIK
Authors: Hamidah Siti
Published: August 2020

Pengalaman nyeri persalinan, dapat menyebabkan ditress pada ibu yang serius yaitu dapat terjadi depresi pasca melahirkan. Dengan demikian nyeri pada persalian harus dilakukan ntervensi, dan banyak intervensi yang dapat dilakukan, antara lain dengn kompres hangat. Tujuan penelitian ini adalah mengidentifikasi pengurangan nyeri persalinan dengan nafas dalam/panjang, pemijatan, kompers hangat, dan pendapat ibu setelah diberikan kompres hangat, di RS Muhammadiyah Gresik.Metode yang dilakukan adalah deskriptif. Populasi seluruh ibu bersalin normal bulan Juni 2018 sebanyak 119 orang, dengan Purposive (Snowball sampling) dan jumlah sampel sebanyak 60 orang. Instrumen penelitian adalah lembar observasi dan kuesioner.Hasilnya adalah Seluruh ibu inpartu sebelum diberi pengurangan rasa nyeri persalinan mengalami sangat nyeri (16,6% mengalami nyeri sangat berat), pengurangan nyeri dengan nafas dalam dan panjang, 61,6% cukup mengurang nyeri dan 28,4% sangat mengurangi nyeri, pengurangan nyeri dengan pemijatan, 61,6% cukup mengurang nyeri, 35,1% sangat mengurangi nyeri. (4) pengurangan nyeri dengan kompres hangat, 61,6% cukup mengurangi nyeri, 38,4% sangat mengurangi nyeri. (5) pendapat ibu setelah diberikan kompres hangat, hampir seluruhnya (93,3), sangat bermanfaat dan nyeri berkurang.Penerimaan nyeri persalinan pada setiap individu berbeda-beda. Secara umum, individu berbeda secara bio, psiko, sosial, spiritual, cultural. Sehingga dalam penerimaan nyeri persalinan juga berbeda-beda. Dari hasil penelitian diatas, ketiga intervensi pengurangan nyeri persalinan hampir sama, sehingga petugas harus banyak tahu dengan intervensi non farmakologi untuk dapat memberikan intervensi yang bervariasi sesuai dengan keinginan ibu.
EVALUASI PENYIMPANAN OBAT DI INSTALASI FARMASI RSI NASHRUL UMMAH LAMONGAN BERDASARKAN STANDART NASIONAL AKREDITASI RS
Authors: Octavia Devi Ristian
Published: August 2020

Proses akreditasi sebagian besar dipandang sebagai proses penjaminan kualitas, yang sering diartikan sebagai kegiatan peningkatan kualitas jika umpan balik sejalan dengan prioritas Institusi. Penyimpanan harus dapat menjamin kualitas dan keamanan Sediaan Farmasi, Alat Kesehatan, dan Bahan Medis Habis Pakai sesuai dengan persyaratan kefarmasian. Penelitian ini bertujuan untuk mengetahui seberapa besar kesesuaian sistem penyimpanan obat berdasarkan Standar Akreditasi Nasional Rumah Sakit (SNARS). Penelitian ini dilakukan dengan cara mengobservasi langsung sistem penyimpanan di ruang penyimpanan obat RS tersebut. Observasi langsung dilakukan dengan sistem check list menggunakan tabel pengamatan, kemudian dihitung persentase kesesuaian sistem penyimpanan berdasarkan SNARS. Hasil penelitian menunjukkan bahwa kesesuaian dokumen Standar Operasional Prosedur Penyimpanan sebesar 100% (Sangat baik), Sarana dan Prasarana Penyimpanan kesesuaian sebesar 77,8% (Baik) dan Pengaturan penyimpanan obat kesesuaian sebesar 79,2% (Baik).
Pengaruh Penyuluhan Berbasis Video Whatsapp tentang Persalinan Terhadap Pengetahuan dan Sikap Ibu Hamil Trimester III di Puskesmas Klabang Kabupaten Bondowoso
Authors: Kholisotin Kholisotin , Agustin Yuana Dwi , Prasetyo Agung Dwi
Published: August 2020

Background: Pertolongan persalinan merupakan faktor penting dalam upaya menurunkan angka kematian ibu dan anak. Di Indonesia pemanfaatan pertolongan persalinan oleh tenaga kesehatan yang kompeten masih kurang dibandingkan target yang diharapkan, termasuk di Kecamatan Klabang Kabupaten Bondowoso pada tahun 2018 hanya mencapai 86,10%.Objectives: Penelitian ini bertujuan untuk menganalisis pengaruh penyuluhan berbasis video whatsapp tentang persalinan terhadap pengetahuan dan sikap ibu hamil trimester III di Puskesmas Klabang Kabupaten Bondowoso.Design: Penelitian ini menggunakan desain One Group Pretest-Posttest. Populasi penelitian ini adalah semua ibu hamil Trimester III di wilayah kerja Puskesmas Klabang yang diperkirakan melahirkan pada bulan Mei-Juni tahun 2019, dengan jumlah sampel sebesar 33 orang. Analisis data menggunakan uji Wilcoxon dengan nilai signifikansi sebelum dan setelah penyuluhan sebesar 0,000 < 0,005.Results: dari 33 responden, 20 responden menunjukkan adanya peningkatan sikap yang positif setelah diberikan eksperimen. Hasil analisa statistik dengan uji Wilcoxon diperoleh nilai p- value 0,000 (p<0,05), artinya terdapat pengaruhartinya terdapat perbedaan sikap sebelum dan sesudah dilakukan penyuluhan berbasis video whatsapp tentang persalinan. Sehingga H0 ditolak yang berarti bahwa ada perbedaan atau hipotesa peneliti diterima.Conclusions: Disimpulkan bahwa ada pengaruh penyuluhan berbasis video whatsapp tentang persalinan terhadap pengetahuan dan sikap ibu hamil trimester III di Puskesmas Klabang Kabupaten Bondowoso.
Hubungan Peran Keluarga Dengan Pemeriksaan Pap Smear pada Wanita Usia Subur di Dusun Bulu Desa Mantup Kecamatan Mantup Kabupaten Lamongan
Authors: Rahmawati Nahardian Vica
Published: August 2020

Background: Pemeriksaan Pap Smear sangat penting dilakukan oleh WUS untuk deteksi dini abnormalitas dalam serviks sebelum sel-sel tersebut menjadi kanker. Berdasarkan survey awal yang dilakukan oleh peneliti dengan 10 orang WUS didapatkan hasil bahwa  2 orang (20%) yang melakukan pemeriksaan pap smear hanya sekali. Dan sisanya 8 orang (80%) belum pernah melakukan pemeriksaan pap smear. Data di atas menunjukkan hampir semua WUS tidak melakukan pemeriksaan pap smear.Objectives: Tujuan penelitian adalah untuk mengetahui hubungan peran keluarga dengan pemeriksaan pap smear pada WUS.Design: Desain penelitian menggunakan Analitik dengan pendekatan cross sectional. Menggunakan populasi seluruh WUS yang berjumlah 50 orang dengan menggunakan teknik simple random sampling dan didapatkan 45 responden. Pengumpulan data menggunakan kuesioner tertutup kemudian pengolahan data menggunakan editing, coding, scoring, tabulating kemudian dianalisa dengan uji koefisien kontingensi dengan α = 0,05.Results: Hasil penelitian ini didapatkan nilai ρ = 0,000 dimana ρ < α.. Hal ini menunjukkan bahwa H0 ditolak dan H1 diterima yang berarti ada hubungan antara peran keluarga dengan pemeriksaan pap smear pada WUS.Conclusions: Kurangnya peran keluarga pada WUS terhadap pentingnya pemeriksaan pap smear, maka akan semakin besar kemungkinan wanita usia subur tidak melakukan pemeriksaan pap smear karena tidak adanya dorongan dari keluarga. Maka peran keluarga sangat dibutuhkan dalam memberi dukungan untuk melakukan pemeriksaan pap smear. Upaya yang dilakukan yaitu dengan memberikan promosi kesehatan tentang kanker serviks dan deteksi dini yang berupa pemeriksaan pap smear.
Analisis Hubungan Beban Kerja terhadap Gangguan Muskuloskeletal pada Pekerja PT Kerta Rajasa Raya Sidoarjo
Authors: Abdillah Okky Zubairi
Published: August 2020

Background: Gangguan muskuloskeletal merupakan penyakit akibat kerja yang sering diderita oleh para pekerja. Gejalanya dapat berupa nyeri, bengkak bahkan mati rasa. Daya tahan jantung paru juga memberi peran penting terhadap terjadinya gangguan muskuloskeletal. Semakin berat suatu pekerjaan maka semakin banyak pula oksigen yang dibutuhkan oleh tubuh untuk melakukan oksidasi dan makin banyak pula aliran darah yang membawa oksigen. Pada orang dengan beban kerja berat aktivitas pemompaan jantung menjadi berubah, sehingga saat orang tersebut bekerja transport oksigen ke otot menjadi terganggu.Objectives: Tujuan dari penelitian ini adalah untuk mengetahui hubungan beban kerja dengan keluhan musculoskeletal pada pekerja di PT. Kerta Rajasa Raya Sidoarjo.Design: Desain penilitian dengan pendekatan cross sectional. Jumlah sampel yang diperoleh sebanyak 43 orang responden pada 2 divisi kerja yaitu divisi extruder, dan ABM. Beban kerja responden diukur berdasarkan cardiovascular load (CVL) dan keluhan gangguan musculoskeletal diukur dengan menggunakan Nordic Body Map ( NBM).Results: Hasil uji korelasi pearson, didapatkan nilai p=0,002 dimana p<0,05. Dari hasil uji statistic tersebut dinyatakan ada hubungan positif antara beban kerja dengan keluhan musculoskeletal.Conclusions: Berdasarkan hasil penelitian maka disarakan pada perusahaan untuk mengurangi beban kerja sehingga dapat menurunkan terjadinya keluhan gangguan muskuloskeletal.
PERKEMBANGAN ELEKTRONIK LOGBOOK KEPERAWATAN DI AREA PELAYAN KESEHATAN : LITERATUR REVIEW
Authors: Zaharany Tsania Ayu
Published: August 2020

Upaya dalam mengurangi dampak kekosogan logbook serta memudahkan keperawatan dalam berdokumentasi pada era industry 4.0 telah dikembangan dengan elcetronic logbook (E-logbook) yang digunakan untuk dokumentasi  lebih akurat dan menilai kinerja berbasis pencapaian utilitas aktivitas secara individu. Elcetronic logbook (E-logbook) terus dikembangkan untuk mempermudah dalam pencatatan secara kuantitatif aktivitas setiap staf klinis sesuai dengan rincian kewenangan klinis. Elcetronic logbook (E-logbook) perawat dirancang menjadi sebuah dokumentasi yang berisi catatan pencapaian aktivitas, ketrampilan-ketrampilan perawat, dan memperbarui semua kegiatan, seperti Continous Professional Development (CPD), serta digunakan dalam melakukan penilaian terhadap perilaku pegawai selama 1 (satu) tahun. Metode literature review dilakukan dengan membuat ringkasan dan analisis dari artikel . Metode pencarian artikel dalam literatur review menggunakan beberapa database elektronik, yakni Google Scholar, PubMed, JHA Science Direct,CINAHL, dan ProQuest dengan kata kunci electronic logbook nursing. Dampak dari Elcetronic logbook pada penilaian kinerja individu yang mencerminkan kompetensi dan kinerja staf serta dilaksanakan secara obyektif dan transparan sehingga berpotensi pula meningkatkan motivasi staf klinis yang dapat mengakibatkan peningkatan produktivitas dan mutu layanan kesehatan
DAMPAK PENERAPAN SISTEM PENCATATAN KEPERAWATAN ELEKTRONIK: LITERATUR REVIEW
Authors: Dewi Asra
Published: August 2020

Catatan keperawatan adalah suatu laporan baik komunikasi secara lisan, tertulis maupun melalui komputer untuk menyampaikan informasi kepada orang lain. Perkembangan teknologi informasi digital yang sangat cepat dalam dunia kesehatan, membawa dampak pada kemajuan yang cukup berarti dalam bidang keperawatan. Catatan keperawatan dari yang sebelumnya manual, bergeser menjadi komputerisasi. Tujuan penulisan ini  untuk melihat dampak penerapan sistem pencatatan keperawatan elektronik. Metode yang digunakan adalah literature review, pencarian menggunakan beberapa database elektronik, yakni Google Scholar, ProQuest, SpringerLink, CINAHL dan ScienceDirect dengan menggunakan kata kunci the impact of electronic nursing recording systems, information technology. Hasil telaah ditemukan bahwa penerapan sistem pencatatan keperawatan elektronik ini memberikan dampak terhadap peningkatan kualitas asuhan keperawatan, efisiensi dan keamanan data pasien. Kesimpulannya diperlukan dukungan manajer dan keterlibatan perawat dalam pengembangan desain sistem, agar perawat terus menggunakannya untuk meningkatkan mutu dan keselamatan pasien.
KAJIAN FAKTOR PEMBERIAN ASI EKSKLUSIF, RIWAYAT BERAT BADAN LAHIR DAN EKONOMI KELUARGA TERHADAP KEJADIAN BALITA STUNTING
Authors: Aini Nurul
Published: August 2020

Abstract One form of physical growth failure in children is the "stunting" condition. Stunting is a form of growth disorder characterized by a child having a height that is less appropriate for his age, which is caused by chronic malnutrition since pregnancy. The incidence of Stunting toddlers is worth watching out for, because the danger of stunting can lead to generations who are not smart and sick. WHO set stunting tolerance limits (short stature) a maximum of 20 percent or one fifth of the total number of children under five. Meanwhile, in Indonesia, 7.8 million out of 23 million children under five were stunted or around 35.6 percent. As many as 18.5 percent are very short categories and 17.1 percent are short categories. In 2018, in East Java 2.1 percent of children under five were stunted from the total number of children under five. Experts explain that the main cause of stunting is due to the problem of chronic malnutrition since pregnancy. This research was conducted on community groups that have toddlers with an age range of 2 to 5 years in the working area of puskesmas in Kota Batu. The purpose of this study is to examine several factors that influence the occurrence of Stunting in Toddlers. The study design used probability sampling as a data collection technique, by taking a sample of 106 respondents. The results of the analysis of research data using a linear regression test obtained Economic factors (X3) with a significance value of 0.002 <0.005 and t arithmetic 3.182> t table 2.262, so it can be concluded that X3 influences Y. Thus it can be concluded that economic factors become the dominant factor among factors causing stunting  Key word: causative factors, toddlers, stunting
Tingkat Pengetahuan Masyarakat Tentang Swamedikasi yang Rasional di Lamongan
Authors: Octavia Devi Ristian
Published: August 2020

Background: Pemakaian obat disebut rasional apabila pasien mendapatkan obat yang_tepat untuk kebutuhan_klinis, dengan dosis_yang sesuai kebutuhan dalam jangka waktu_yang cukup, juga dengan biaya_yang terjangkau_baik untuk individu ataupun masyarakat.Objectives: Dalam pelaksanaannya, swamedikasi yang kurang tepat selain menimbulkan beban bagi pasien, juga menimbulkan masalah kesehatan tertentu yang tidak menguntungkan seperti resistensi obat, efek samping, interaksi obat, termasuk kematian.Design: Desain penelitian yang digunakan pada penelitian ini adalah deskriptif Penelitian ini dilaksanakan pada bulan Februari sampai Juni 2019 di desa Sukodadi Kecamatan Sukodadi Kabupaten Lamongan.Populasi yang digunakan dalam penelitian adalah seluruh ibu di desa Sukodadi Kecamatan Sukodadi Kabupaten Lamongan, sedangkan metode pengambilan sampel yang digunakan adalah Simple Random Sampling, sehingga sampel yang digunakan_dalam penelitian_ini adalah sebagian ibu yang masuk kriteria inklusi, yakni 59 ibu.Data Sources : Pengumpulan_data dilakukan menggunakan alat obervasi berupa quetioner. Pertanyaan yang dituangkan dalam quetioner merupakan close ended quetion, dimana untuk jawaban yang benar diberi skor 1 dan jawaban yang salah skor 0, kemudian dihitung persentase pengetahuan.Results: Hasil penelitian menunjukkan bahwa lebih dari sebagian masyarakat di desa Sukodadi kabupaten Lamongan memiliki pengetahuan yang baik tentang swamedikasi obat rasional.Conclusions: Pengobatan yang rasional harus selalu di perhatikan oleh masyarakat agar mendapatkan efek terapi yang optimal.
Pengaruh Metode Bibilioterapi terhadap pengetahuan Hygiene Menstruasi pada Remaja putri di pondok Pesantren AL _miozan Muhammadiyah Lamongan
Authors: Ekawati Heny
Published: August 2020

Background:Pengetahuan hygiene menstruasi merupakan hal penting yang perlu diketahui dengan benar oleh remaja putri. Praktik hygiene yang buruk dapat beresiko terhadap Infeksi Saluran Reproduksi (ISR). Salah satu upaya untuk meningkatkan pengetahuan tersebut dengan metode biblioterapi, yaitu teknik membaca menggunakan literatur seperti buku untuk membentuk konsep diri yang positif.Objectives: ini untuk mengetahui pengaruh metode biblioterapi terhadap pengetahuan hygiene menstruasi pada remaja putri di Pondok Pesantren Al Mizan Muhammadiyah Lamongan.Design:yang digunakan adalah pre eksperimental dengan pendekatan one group pre test dan post test. Teknik sampling menggunakan total sampling dengan jumlah sampel 30 responden. Data dikumpulkan dengan kuesioner tertutup dan diuji dengan uji t berpasangan.Results: Hasil pre test menunjukkan nilai rata-rata yang didapatkan responden sebesar 34,10. Hasil post test menunjukkan nilai rata-rata yang didapatkan responden sebesar 38,97. Hasil uji statistik antara pre test dan post test memiliki nilai p=0,000 (p<0,05) yang berarti metode biblioterapi berpengaruh terhadap hygiene menstruasi remaja putri.Conclusions:Metode biblioterapi cukup efektif dalam meningkatkan pengetahuan, sehingga metode ini perlu dikembangan dan diterapkan untuk proses pembelajaran khususnya pada remaja putri. Kata Kunci: Biblioterapi, Hygiene Menstruasi, Remaja
A Multiwavelength Study of the γ-Ray Binary Candidate HESS J1832–093
Authors: Tam Pak-Hin Thomas , Lee K. K. , Cui Yudong , Hu C. P. , Kong A. K. H. , Li K. L. , Tudor Vlad , He Xinbo , Pal Partha S.
Published: August 2020

We investigate the nature of the unidentified very-high-energy γ-ray object, HESS J1832–093, in a multiwavelength context. Based on X-ray variability and spectral index (

), and its broadband spectrum, which was remarkably similar to that of HESS J0632+057—a confirmed γ-ray binary—HESS J1832–093 has been considered a strong γ-ray binary candidate in previous works. In this work, we provide further evidence for this scenario. We obtained a spectrum of its IR counterpart using Gemini/Flamingo, finding absorption lines that are usually seen in massive stars, in particular O stars. We also obtained a rather steep ATCA spectrum (

), which is consistent with a γ-ray binary. Based on spatial-spectral analysis and variability search, we found that 4FGL J1832.9-0913 is possibly associated with SNR G22.7-0.2 rather than with HESS J1832–093 only.
The Electromagnetic Signature of Outward Propagating Ion-scale Waves
Authors: Bowen Trevor A. , Bale Stuart D. , Bonnell J. W. , Larson Davin , Mallet Alfred , McManus Michael D. , Mozer Forrest S. , Pulupa Marc , Vasko Ivan Y. , Verniero J. L. ,   (The PSP/FIELDS and PSP/SWEAP Teams)
Published: August 2020

First results from the Parker Solar Probe (PSP) mission have revealed ubiquitous coherent ion-scale waves in the inner heliosphere, which are signatures of kinetic wave–particle interactions and fluid instabilities. However, initial studies of the circularly polarized ion-scale waves observed by PSP have only thoroughly analyzed magnetic field signatures, precluding a determination of solar wind frame propagation direction and intrinsic wave polarization. A comprehensive determination of wave properties requires measurements of both electric and magnetic fields. Here, we use full capabilities of the PSP/FIELDS instrument suite to measure both the electric and magnetic components of circularly polarized waves. Comparing spacecraft frame magnetic field measurements with the Doppler-shifted cold plasma dispersion relation for parallel transverse waves constrains allowable plasma frame polarizations and wavevectors. We demonstrate that the Doppler-shifted cold plasma dispersion has a maximum spacecraft frequency

for which intrinsically right-handed fast-magnetosonic waves propagating sunwards can appear left-handed in the spacecraft frame. Observations of left-handed waves with

are uniquely explained by intrinsically left-handed, ion-cyclotron waves (ICWs). We demonstrate that electric field measurements for waves with

are consistent with ICWs propagating away from the Sun, verifying the measured electric field. Applying the verified electric field measurements to the full distribution of waves suggests that, in the solar wind frame, the vast majority of waves propagate away from the Sun, indicating that the observed population of coherent ion-scale waves contains both intrinsically left- and right-hand polarized modes.
Impact Experiment on Asteroid (162173) Ryugu: Structure beneath the Impact Point Revealed by In Situ Observations of the Ejecta Curtain
Authors: Kadono Toshihiko , Arakawa Masahiko , Honda Rie , Ishibashi Ko , Ogawa Kazunori , Sakatani Naoya , Sawada Hirotaka , Shimaki Yuri , Shirai Kei , Sugita Seiji , Wada Koji
Published: August 2020

An impact experiment was performed on the surface of the C-type asteroid (162173) Ryugu using an instrument called the Small Carry-on Impactor (SCI) carried by the Japan Aerospace Exploration Agency spacecraft Hayabusa2. Using a small camera separated from the spacecraft, we observed the development of the ejecta curtain formed by the SCI impact in situ. Based on the patterns appearing in the ejecta curtain, we evaluated the physical properties of large boulders and regolith grains on Ryugu. We found that the large boulders on the surface near the SCI impact point had a compressive strength consistent with the previous estimation of a tensile strength based on low thermal inertia observed for boulders on Ryugu. Furthermore, the ejecta curtain consisted of the boulders with a maximum size of several decimeters. Moreover, the filament structure was formed in the SCI ejecta curtain, strongly suggesting that the SCI impact ejecta curtain particles had a size range greater than one order of magnitude; a characteristic size of the regolith grains in the curtain was estimated to be several centimeters. These regolith grains primarily originated from the subsurface layer. We propose three different hypotheses for the geological process that formed the subsurface structure at the SCI impact point consistent with the above observations. Because these hypotheses have different predictions for materials in SCI ejecta, the samples obtained from the second touchdown will be able to constrain which hypothesis is the most likely.
Le meurtre conjugal comme tentative d’appropriation subjective des expériences traumatiques familiales
Authors: Beuvelet Kathleen , Vavassori David , Harrati Sonia
Published: August 2020

Les auteurs de cet article interrogent le meurtre conjugal à la lumière de la psychologie clinique, selon le référentiel psychanalytique. À partir d’un cas clinique, ils montrent en quoi la scène conjugale apparaît comme un autre lieu de répétition de l’expérience traumatique. Plus précisément, ils discutent l’hypothèse selon laquelle la violence et le meurtre conjugal constituent une tentative de réappropriation subjective des expériences traumatiques familiales. Les résultats de leur analyse permettent de confirmer cette hypothèse et d’apporter de nouvelles pistes de réflexion pour la recherche.
Lexique et classement en parties du discours dans ORFÉO
Authors: Deulofeu José , Valli André
Published: August 2020

L’article présente les principes et les critères qui ont présidé à l’élaboration de la table des parties du discours et à l’organisation du lexique correspondante, mis en œuvre dans l’analyse syntaxique automatique du corpus orféo . La comparaison est établie avec le Lexique des Formes Fléchies du Français ( lefff ) utilisé dans d’autres outils de traitement automatique du langage. Les enjeux linguistiques et informatiques sont abordés. Un développement particulier est consacré au traitement des locutions ou expressions multi-mots. Des perspectives d’amélioration sont envisagées.
Improving Report Generation and Delivery System of Microbiological Investigations at MRI – Sri Lanka with Concern to Turn-Around-Time, An Intervention Study
Authors: Adikari Pamila , De Alwis Sunil , Karunanayake Lilani
Published: August 2020

Background: Clinical Bacteriology Laboratory (CBL) of the Medical Research Institute (MRI) is a National Reference Laboratory in Sri Lanka. The service improvement research project aimed at improving the report generation and delivery system. Methods: The mixed-method applied to study the process. Gap identification and designing of the intervention used a qualitative approach. Quantitative methods measured the effectiveness of the improvements. A package of interventions based on total quality management (TQM) principles designed with all stakeholder participation. Results: Delay in sample transport resulted from poor communication, lack of established mechanism and weak coordination between the transport unit and wards. The paper-based report generation process was disorganized, unreliable and error-prone. Additionally, the report delivery to Hospitals revolved on the incoming ambulance or government postal service a tied-up, poorly coordinated system. The interventions promoted coordinated communication. WHONET, a free windows based Laboratory Information System and database software, developed by the World Health Organization for microbiology laboratories installed to generate reliable and accurate automated reports. Reports in PDF format delivered to end-users by secured email. Timeliness, accuracy, quality and uniformity of reports improved. Improvement in post-intervention turn-around-time was statistically significant (p<0.05). Conclusion: The interventions based on TQM principles improved the process of report generation and delivery. Laboratory automation is a feasible and effective solution in the local setting. The end-user satisfaction perceived to be high on the improvements.
Comparison of LEACH and PEGASIS Hierarchical Routing Protocols in WSN
Authors: El Ouadi Mohammed Réda , Hasbi Abderrahim
Published: August 2020

Wireless Sensor Networks is a group of sensor nodes dispatched in a geographical area for a defined objective. These sensor nodes are characterized by limited capacity of communicating, computing and especially of energy. The performance of these WSN is resting on a good routing protocol, hence the need to choose the routing protocol able to satisfy the wsn's objectives, and to satisfy the common challenge to prolong network life time.Several routing concepts have been proposed for the WSN, hierarchical routing is one of the most used concepts. It is divided into 3 types: cluster based routing, grid based routing and chain based protocol. In this paper, we are interested to Study, analyse and compare two popular routing protocols for Wireless sensor networks (WSNs), Low-Energy Adaptive Clustering Hierarchy (LEACH) using clusters based concept and Power-Efficient Gathering in Sensor Information System (PEGASIS) with chain based concept. The both protocols are simulated with Matlab simulator, in order to evaluate its performances against the different users and the WSNs objectives defined.
Liver Segmentation: A Weakly End-to-End Supervised Model
Authors: Ouassit Youssef , Moulouki Reda , El Ghoumari Mohammed Yassine , Azzouazi Mohamed , Ardchir Soufiane
Published: August 2020

Liver segmentation in CT images has multiple clinical applications and is expanding in scope. Clinicians can employ segmentation for pathological diagnosis of liver disease, surgical planning, visualization and volumetric assessment to select the appropriate treatment. However, segmentation of the liver is still a challenging task due to the low contrast in medical images, tissue similarity with neighbor abdominal organs and high scale and shape variability. Recently, deep learning models are the state of art in many natural images processing tasks such as detection, classification, and segmentation due to the availability of annotated data. In the medical field, labeled data is limited due to privacy, expert need, and a time-consuming labeling process. In this paper, we present an efficient model combining a selective pre-processing, augmentation, post-processing and an improved SegCaps network. Our proposed model is an end-to-end learning, fully automatic with a good generalization score on such limited amount of training data. The model has been validated on two 3D liver segmentation datasets and have obtained competitive segmentation results.
Towards an Ontology Proposal Model in Data Lake for Real-time COVID-19 Cases Prevention
Authors: Kachaoui Jabrane , Larioui Jihane , Belangour Abdessamad
Published: August 2020

Globally, the coronavirus epidemic has now hit lives of millions and thousands of people around the world. The growing threat of this virus continues rising as new cases appear every day. Yet, affected countries by coronavirus are currently taking important measures to remedy it by using artificial intelligence (AI) and Big Data technologies. According to the World Health Organization (WHO), AI and Big Data have performed an important role in China's response to COVID-19, the genetic mutation name for coronavirus. Predicting an epidemic emergence, from the corona virus appearance to a person's predisposition to develop it, is fundamental to combating it. In this battle, Big Data is on the front line. However, Big Data cannot provide all of the expected insights and derive value from manipulated data. This is why we propose a semantic approach to facilitate the use of these data. In this paper, we present a novel approach that combines between the Semantic Web Services (SWS) and the Big Data characteristics in order to extract a significant information from multiple Data sources that can be exploitable for generating real-time statistics and reports.
Rhinovirus Infection Promotes Eosinophilic Airway Inflammation after Prior Exposure to House Dust Mite Allergen
Authors: Mehta Amit K , Croft Michael
Published: August 2020

Respiratory virus infection normally drives neutrophil-dominated airway inflammation, yet some viral infections result in an eosinophil-dominated response in individuals such as allergic asthmatics. One idea is that viral infection simply exacerbates an ongoing type 2 response to allergen. However, prior exposure to allergen might alter the virus-induced innate response such that type 2–like eosinophilic inflammation can be induced. To test this, mice were sensitized intranasally with house dust mite allergen and then at later times exposed to rhinovirus RV1B via the airways. RV1B infection of naive mice led to the expected neutrophilic lung inflammatory response with no eosinophils or mucus production. In contrast, if mice were exposed to RV1B 1–4 wk after house dust mite inhalation, when the allergen response had subsided, infection led to eosinophilia and mucus production and a much stronger lymphocyte response that were partially or fully steroid resistant. In accordance, RV1B infection resulted in elevated expression of several inflammatory factors in allergen–pre-exposed mice, specifically those associated with type 2 immunity, namely CCL17, CXCL1, CCL2, IL-33, and IL-13. In vitro studies further showed that RV infection led to greater production of chemokines and cytokines in human bronchial epithelial cells that were previously stimulated with allergen, reinforcing the notion of an altered virus response after allergen exposure. In conclusion, we report that prior allergen exposure can modify responsiveness of cells in the lungs such that a qualitatively and quantitatively different inflammatory activity results following virus infection that is biased toward type 2–like airway disease.
Phase II Study of Pemetrexed as a Salvage Chemotherapy for Thymidylate Synthase–Low Squamous Cell Lung Cancer
Authors: Choi Mihong , Kim Heung Tae , Han Ji-Youn , Lee Geon Kook , Lee Soo-Hyun , Lim Kun Young , Joo Jungnam , Won Hye Jin , Lee Jin Soo , Lee Youngjoo
Published: August 2020

PurposeSquamous cell carcinomas (SqCC) of the lung often express high levels of thymidylate synthase (TS), which is associated with primary resistance to pemetrexed. We explored the efficacy of pemetrexed in a selected population of patients with lung SqCC with low TS expression. Materials and MethodsIn this single-arm phase II trial, we enrolled 32 previously-treated patients with advanced lung SqCC exhibiting low immunohistochemical staining for TS (i.e., in 10% or less of tumor cells). The primary endpoint was 12-week progression-free survival (PFS) rate. ResultsOf 32 patients, eight patients (25%) had an Eastern Cooperative Oncology Group performance status of 2, and seven patients (22%) had previously received three or more lines of chemotherapy. The disease control rate from pemetrexed treatment was 30%, and no objective response was observed. The 12-week PFS rate was 24.5% (95% confidence interval [CI], 13.0 to 46.1). Median PFS was 1.3 months (95% CI, 1.3 to 2.7), and median overall survival was 11.8 months (95% CI, 8.1 to not applicable). Most of adverse events were grade 1 or 2.ConclusionPemetrexed demonstrated modest activity as a salvage chemotherapy in patients with advanced lung SqCC with low TS expression, although its toxicity was generally manageable.
Management of hepatocellular carcinoma: SASL expert opinion statement
Authors: Goossens Nicolas , Toso Christian , Heim Markus H.
Published: August 2020

Hepatocellular carcinoma (HCC) is the most frequent primary malignancy of the liver. HCC is characterised by a heterogeneous clinical presentation. Liver cirrhosis is the most important risk factor for HCC. Regular surveillance with ultrasound examinations allows detection of HCC at an early stage, where curative treatment options such as surgical resection, liver transplantation and local ablative therapies can be applied. More advanced tumours are treated with transarterial chemo- or radiotherapy, and with systemic treatments including immunotherapies. Treatment decisions are based on tumour staging and liver function, and should be made in specialised interdisciplinary tumour boards. This expert opinion statement by the Swiss Association for the Study of the Liver reviews the current state of HCC management and provides recommendations adapted to the health care environment in Switzerland.
Absence of cross-modality analogical transfer in perceptual
categorization
Authors: Edmunds C.E.R. , Inkster A.B. , Jones P.M. , Milton F. , Wills A.J.
Published: August 2020

Analogical transfer has been previously reported to occur between rule-based, but not information-integration, perceptual category structures (Casale, Roeder, & Ashby, 2012). The current study investigated whether a similar pattern of results would be observed in cross-modality transfer. Participants were trained on either a rule-based structure, or an information-integration structure, using visual stimuli. They were then tested on auditory stimuli that had the same underlying abstract category structure. Transfer performance was assessed relative to a control group who did not receive training on the visual stimuli. No cross-modality transfer was found, irrespective of the category structure employed.
Kültürel Bellekten Elektronik Ortama: Kültür Aktörlerinin Yeni Varlık Alanı Olarak Hazır Mesajlar
Authors: AYMAZ Ufuk
Published: August 2020

Cep telefonu ile internet kullanımının yaygınlaşması geleneksel iletişim biçimlerinde değişikliklere yol açmış, telefon ve internet üzerinden gerçekleştirilen iletişimi cazip ve yaygın hale getirmiştir. Bu da elektronik kültür ortamını, sözlü ve yazılı kültür ortamları karşısında çok daha baskın bir konuma taşımıştır. Elektronik kültür ortamında yaygın kullanılan iletişim araçlarından biri de hazır mesajlardır. Belirli gün ve haftalarda elektronik ortamda yazılı, sesli ve görsel olarak iletilip alınan tebrik ve taziye içeriklerini kapsayan hazır mesajlar, kişiler arası iletişimde oldukça rağbet görmektedir. Bu içeriklerin çoğu, sözlü ve yazılı gelenekten el alınarak oluşturulmakta, bu sayede içeriklerin etki gücü arttırılmaktadır. Hazır mesaj içerikleri, kültürel bellekte yer etmiş birçok isim için varlıklarını devam ettirebildikleri yeni bir mekân olmuştur. İletişim teknolojilerindeki gelişmelerin etkilerinin üst düzeyde yaşandığı günümüzde, nerdeyse tüm kültürel ögeler varlıklarını devam ettirebilmelerine katkı sunmak adına elektronik kültür ortamına aktarılmıştır. Bu çalışmada Türk kültür belleğinde yer etmiş Nasreddin Hoca, Yunus Emre, Hacı Bektaş Veli, Mevlana, Dede Korkut, Hoca Ahmed Yesevi, Karacaoğlan gibi isimlerin hazır mesaj içeriklerinde yer alış nedenleri, bu isimlerin yer aldıkları içeriklerde korunan ve yeniden yorumlanan özellikleri ve söz konusu içeriklerin işlevleri tespit edilip değerlendirilmiştir. Folklordan etkilenen, folkloru etkileyen ve nihayet folklorun bir parçası olma yolunda ilerleyen hazır mesaj içeriklerinin çok boyutlu bir etkileşim sürecinin bir sonucu olduğu, kültürel belleğin bugüne taşınmasında yeni ve etkili bir araç görevi gördüğü tespit edilmiştir.
História oral: abordagem teórico-metodológica, conceitual e contextual
Authors: Xavier Antônio Roberto , Muniz Karla Renata De Aguiar , Santana José Rogério , Carneiro Daniel Luis Madeira
Published: August 2020

Compreender a importância da história oral e seu emprego nos distintos gêneros de pesquisas acadêmico-científicas, foi o fio condutor para o questionamento sobre o que é, para que serve, quando e como utilizar a história oral no processo investigativo das pesquisas? Diante desta inquietação, visou-se proporcionar às devidas respostas e compreender mais além sobre a história oral, suas diversas abordagens, bem como suas múltiplas serventias no âmbito das pesquisas, sobretudo na seara das ciências humanas e sociais. Usa-se o método de pesquisa exploratório-descritiva com abordagem qualitativa. Utilizou-se o método bibliográfico. Para as análises empregou-se o discurso dialético critico contextual. Os resultados, a priori, demonstram que a história oral, suas múltiplas serventias, a depender do gênero da pesquisa, funciona como seiva vital, inspiradora e potente para identificação, voz e vez de sujeitos sociais que foram banidos, ofuscados, destituídos ou destruídos do processo histórico pelas diretrizes dominantes.
Intervención farmacéutica y administración de carica papaya para reducir síntomas gastroesófágicos en estudiantes preuniversitarios en la Universidad Privada De Huancayo – Perú.
Authors: Junchaya      Yllescas Vilma Amparo , Andamayo  Flores Diana Esmeralda , Camposano Córdova Yda Flor , Valderrama Sueldo Martha Raquel
Published: August 2020

El ardor de estómago frecuente después de las comidas es habitual en las personas que padecen de algunos síntomas gastroesofágicos, y si no son tratados a tiempo pueden ocasionar problemas que van desde un sangrado, hasta una inﬂamación y úlcera. En el Perú  estos síntomas son frecuentes   en edades tempranas de la vida, y no  hay diferencias entre las poblaciones de la Costa,  Sierra y    Selva del Perú. Por lo tanto la presente investigación  se realizó con la ﬁnalidad de determinar el  efecto que produce la aplicación de la  Intervención farmacéutica  y administración de    Carica papaya, para contribuir    a reducir algunos síntomas gastroesofágicos; realizado en e l  c o n s u l t o r i o  m é d i c o    y  l a b o r a t o r i o  d e investigación de la UPH en 30 estudiantes de muestra intencionada de la CEPRE, con diseño cuasiexperimental, dividido en dos grupos. Donde el grupo experimento recibió  500 ml de Jugo de Carica papaya inmaduro por 30 días, asociado a la intervención farmacéutica basada en el empleo de a l g u n a s  ﬁ c h a s  c o m o :  d e  r e c o m e n d a c i ó n farmacéutica, de   código no lingüístico y de dosiﬁcación   tanto   visuales como escritas; concluyéndose que las regurgitaciones, la diﬁcultad para deglutir y eructos como síntomas gastroesofágicos disminuyeron notablemente    a diferencia que en el grupo control no hubo cambios signiﬁcativos.
La satisfacción del cliente y su incidencia en la fidelización de clientes, en las empresas de hospedaje no clasificadas de la localidad de Huancayo–Perú.
Authors: Bernaldo Sabuco Lorenzo
Published: August 2020

En la presente investigación de tipo aplicada y nivel explicativo, partiendo del objetivo general: determinar la incidencia d e l a satisfacción del cliente en la fidelización de las em p r e s a s d e hospedaje de la localidad de Huancayo y siguiendo los procedimientos del método cientíﬁco y otros especíﬁcos como el inductivo-deductivo y el analítico-sintético, además de la aplicación de una encuesta a una muestra de 170 clientes extraída de 67 centros de hospedaje de la localidad se ha determinado que la satisfacción del cliente incide de manera positiva y signiﬁcativa en la ﬁdelización de las empresas de hospedaje de la localidad de Huancayo con un 95% de conﬁanza. La fuerza de la incidencia es del 63,6% lo cual se considera como alta. Dentro de la variable independiente se estudiaron independientemente los atributos tangibilidad, ﬁabilidad, capacidad de respuesta, p r o f e s i o n a l i s m o , c o r t e s í a , s e g u r i d a d , credibilidad/accesibilidad y comprensión con el cliente; por otro lado dentro de la variable dependiente se estudió el atributo ﬁdelización; ﬁnalmente se relacionaron ambas variables se concluyó que existe fuerte relación entre ambas.
Factores de riesgo relacionados al intento de suicidio en adolecentes atendidos en el hospital regional docente clínico quirúrgico Daniel Alcides Carrión de la ciudad de huancayo en el año 2012
Authors: Andamayo Flores Diana Esmeralda , Chuquillanqui Galarza Rosario Mercedes
Published: August 2020

Actualmente el intento de suicidio en los adolescentes es una realidad ocupando un lugar entre las tres primeras causas de muerte en la mayoría de los países y en algunos, sólo lo supera otro tipo de muerte violenta: los accidentes de vehículos de motor. Y lo peor es que la tendencia es a incrementarse los sui- cidios en los adolescentes, según los estimados de la Organización Mundial de la Salud (OMS). OBJETIVO: Identificar los factores de riesgo relacionados al intento de suicidio en adolescentes que son atendidos en el Hospital Regional Docente Clínico Quirúrgico “Daniel Alcides Carrión” de la ciudad de Huancayo el año 2012. METODO: La investigación que se realizo es el Descriptivo, la que nos permitió describir o medir con mayor precisión posible y de manera independiente las variables o conceptos considerados en la presen- te investigación, se tomó una muestra de 80 adoles- centes, se aplicó las encuestas que nos permitió de- terminar los factores de riesgos de la investigación, los datos recopilados fueron analizados estadísticamente para elaborar los gráficos, y de esta manera comprobar la Hipótesis de la Investigación planteada. RESULTADOS: Al obtener estos resultados concluimos que el intento suicida entre estos dos grupos nos muestra que el cuándo se hizo daño fue con el fin de quitarse la vida esto nos muestra que no es un factor de riesgo importante ya que solo al 16.2 % de los jóvenes que cometieron intento de suicido cuando se hizo daño fue con el fin de quitarse la vida esto significa que este factor no afecto a la toma de decisión a cometer este intento de suicidio.