bluuebunny/crossref_metadata_2025 huggingface dataset:
Health of intraoral soft tissues in children with cerebral palsy and associated factors
Authors: TUNALI Esra , KARAÇAY Şeniz , TABANCALI Arda , İMAMOĞLU Büşra Seda , YILDIRIM Ersin , ARIK Turgay
Published: June 2021

Background Cerebral palsy (CP) is a movement and posture disorder caused by damage to the immature brain. Oral health and functions are affected due to developmental disorders in the neuromuscular system of children with CP. The main ones are the hard and soft tissues in the mouth and chewing and swallowing functions.
Objective The aim of our study is to determine the condition of the oral soft tissues and associated factors
in children diagnosed with CP in the growth and development period and to lead studies to prevent possible
problems.
Methods Fifty-one children who receive service from Metin Sabancı units were included in the study. Diseases concomitant with CP, dietary habits, medications, and medical history forms, including the family status of the children were prepared. Physical examination of tonsillitis according to Brodsky Grading Scale, drooling with Balasco method, swallowing with clinical examination, gingival inflammation according to Modified Gingival Index (MGI) Classification, nutritional status and findings of reflux complaint were performed through face-to face interviews with parents.
Results 62.7% of children with CP included in our study were boys and 37.3% were girls. The mean age of the
children was 9.63 ± 2.40 years. Nutritional disorders were found in 45% of the children, mouth breathing in 57% and gastroesophageal reflux disease in 19%. The rate of children with CP with incorrect swallowing was 63% and the rate of those with drooling was 45%. A significant relationship was found between drooling and incorrect swallowing. 45% of the examined children with CP use medication due to the complaint of epilepsy. In 12% of children, the tonsillar tissue covers 50-75% of the airway patency. In 78% of the children, the MGI value was one and above and gingival enlargement was observed in 37%.
Conclusion Providing effective oral hygiene in children with CP is important in terms of preventing gingival
inflammation and enlargement. Interdisciplinary studies on mouth breathing, incorrect swallowing and
drooling treatments are important. In order to improve oral health, it is necessary to examine the associated
factors and administer treatments.
FUNCTIONAL HEALTH ASSESSMENT AS THE DETERMINANT OF SOCIAL CARE MANAGEMENT
Authors: Bem Agnieszka , Ucieklak-Jeż Paulina
Published: June 2021

The aim of this study is to assess the functional state of health for elderly residents in Poland. The analysis has been using the data from the survey “Social Diagnosis” carried out in 2013, in Poland. The research concentrates on subjective measures, used to assess the population’s state of health, based both on mortality and disability studies, while disability is defined as reduced ability to carry out daily activities. The authors have evaluated the health status of the elderly in Poland in 2013, using measures of health function (ADL) and activity restrictions (IADL). The results show, that functional health of older people in Poland is significantly correlated with age and sex of respondents. The interpretation and the conceptualization of desirable directions of changes should lead to active life style’s promoting, adjusted, accordingly, to health state and age. It also provides important information for social care managers, by defining needed form of interventions.
Key words: healthy aging, social care management, Life expectancy without self-care activity restrictions (ADL), Life expectancy without instrumental activity restrictions (IADL)
Psychological Problems of Athletes in Undergoing Independent Training Programs During the Pandemic Covid-19
Authors: Tutur Jatmiko , Suryanto  , Priambodo Anung
Published: June 2021

The global pandemic caused by the Covid-19 virus reduces human activities in various aspects of life, including sporting events. Restrictions on activities on a large scale make sporting events that have the potential to gather large numbers of people prohibited from being held to prevent the transmission and spread of this virus. In addition to sporting events, preparatory exercises for sporting events must also be carried out independently in their respective homes. The implementation of independent training in the long term with supervision through online media has an influence on athletes in physical, technical, tactical and psychological performance. The purposes of this study are (1) to describe the psychological problems of athletes carrying out independent training programs during the covid-19 pandemic, (2) to explore the causes of psychological problems, (3) to explore the strategies chosen by athletes in overcoming psychological problems. The method used in this research is descriptive qualitative with a case study approach through in-depth closed interviews with sports athletes who run an independent training program during covid 19. Data analysis was carried out using the step of grouping problematic data that occurred and presented in the form of percentages and discussion The results of this study show Independent exercise programs at home have a psychological impact on athletes in the form of anxiety, boredom, stress, and obsession. Suggestions from the results of this study should be exercise in quarantine involving athletes and coaches in one camp equipped with training facilities and a recreational situation.
Editorial Vol.12(2)
Authors: Talukder Md Humayun Kabir
Published: June 2021

Abstract not available

Bangladesh Journal of Medical Education Vol.12(2) July 2021: 1-3
Surgical Outcome of Right Ventricular Outflow Tract Reconstruction Using Bicuspid Pulmonary Valve in Tetralogy of Fallot Repair: A Single Centre Experience
Authors: Rokonujjaman Mohammad , Islam SM Shaheedul , Siraj Nawshin , Ghafoor Nusrat , Ahmad Syed Tanvir , Rahman Md Atiqur , Khalilullah Md Ibrahim , Shoyeb Abdullah Al , Begum Mahfuza , Saklayen Md Golam
Published: June 2021

Background: Tetralogy of Fallot (TOF) is one of the most common congenital cardiac defect. In patients with small PV annulus, it has to be augmented to certain diameter by cutting annulus. In these cases, transannular patch is used free PR is inevitable. Free PR with transannular patch ultimately leads to RV dilatation, dysfunction, arrhythmia and failure with time. Monocuspid reconstruction of PV is commonly practiced in many centers but its long-term outcome is poor though it helps to achieve a less stormy ICU course. Modified monocusp or bicuspid PV reconstruction is a good choice where 0.1mm PTFE patch is used.

Objectives: We are presenting the results of bicuspid PV reconstruction using a 0.1mm PTFE patch as a method of RVOT reconstruction in repair of TOF with transannular patch.

Methods: A total, 42 patients diagnosed as TOF were treated from January 2016 to October 2020. Age range 18 months to 35 years, weighing 10 kg to 70 kg. 38 patients had TOF, 4 had DORV with PS. The transannular patch was followed by implantation of a 0.1-mm PTFE modified monocusp valve using posterior fixation.

Results: Among total patients 28 were male and 14 were female. Mean age 9.58±5.6 yrs. Bypass time was 187±31 min, cross-clamp time 123.63±25.42 min. Out of 42 patients, PR gradient was trivial in 7(16.67%), mild in 31(73.1%), moderate in 4(9.52%) patients. First, a follow-up echocardiogram revealed no significant deterioration of PR gradient. ICU stay was 89±32.6 hours and mean hospital stay 11.48±2.1 days.

Conclusion: Initial results using a transannular patch with a modified monocusp valve to repair the outflow tract in cases of Tetralogy of Fallot were excellent. There were only a slight pressure gradient and mild regurgitation in most of the cases.

DS (Child) H J 2020; 36(2): 114-119
Treatment Failure with IVIG in a Case of Multisystem Inflammatory Syndrome in Children Managed by Tocilizumab
Authors: Zabeen Fahmida , Hassan M Quamrul , Nessa Badrun , Khan Sadia , Ferdouse Jannatul
Published: June 2021

Abstract not available

DS (Child) H J 2020; 36(2): 152-159
A Boy with COVID-19 Associated Severe AKI
Authors: Bappy Sawrav Deb , Quader Mohammed Maruf Ul , Chowdhury Dhiman , Mahmud Tanvir , Islam Syed Mahtab Ul
Published: June 2021

Abstract not available

DS (Child) H J 2020; 36(2): 160-162
Acute Promyelocytic Leukemia (APML) in A Four Year Old Child: A Case Report
Authors: Sonia Sheikh Farjana , Choudhury Ahmed Murtaza
Published: June 2021

Abstract not available

DS (Child) H J 2020; 36(2): 166-169
Tetanus - Still a Major Health Problem
Authors: Azad Khan Abul Kalam
Published: June 2021

Abstract not available

J Bangladesh Coll Phys Surg 2021; 39(3): 152-153
Outcome of Surgical Site Infection in General Surgical Practice in a District Hospital
Authors: Rahman Ashrafur , Joty Fahmida Sharmin
Published: June 2021

Background: Surgical site infection (SSI) can affect the surgical procedures in the peripheral hospital adversely and adequate data can help in the management of this unwanted complication.

Aim & Objective: The study was conducted with the aim to identify the outcome of surgical site infection (SSI) in a secondary level district hospital.

Materials & Methods: A total of 192 patients, underwent general surgical procedures in the 100-bedded district hospital, Shariatpur, Bangladesh from January to December, 2016. All were observed for development of SSI for a period of 30 days after their surgical procedure. SSI cases were identified according to National Healthcare Safety Network (CDC/NHSN) guideline and Southampton wound scoring system. Univariate and multivariate analysis was done to identify significant risk factors for development of SSI.

Results: Overall incidence of SSI was 20.31%. Significant risk factors for development of SSI were age, BMI, ASA grade, wound classification, diabetes, type of surgery, duration of surgery and perioperative transfusion (p<0.05). Among them, BMI (OR=1.434), diabetes (OR=8.126), type of surgery (routine/emergency) (OR=6.097), duration of surgery (OR=1.023) and perioperative transfusion (OR=2.130) were determined as independent risk factors on logistic regression.

Conclusion: SSI has a relatively high incidence in rural surgical practice. Identification and control of predictable risk factors would help to reduce the incidence of SSI.

J Bangladesh Coll Phys Surg 2021; 39(3): 171-177
Tracheal Stenosis Presenting as Asthma Following Short-term Intubation
Authors: Sarkar Nirmal Kanti , Kibria Anwarul Anam
Published: June 2021

Among different causes of acquired tracheal stenosis, endotracheal intubation is the commonest one. Though usually occurs after prolonged intubation or tracheostomy, tracheal stenosis may even develop following short duration of intubation. Patients commonly present with cough, wheeze, breathlessness and stridor which often mimics bronchial asthma, hence leads to a delay in diagnosis, as features may appear months to year after the procedure or even patients may remain undiagnosed especially when history is misleading. In this report we present a 28-year-old lady having an untold history of endotracheal intubation with asthma-like features who was getting treatment accordingly. With a gradually deteriorating clinical condition, she underwent our consultation. Repeated history, review of previous medical records, and necessary investigations made us establishing the confirmatory diagnosis. Prompt intervention relieved her symptoms.

J Bangladesh Coll Phys Surg 2021; 39(3): 205-208
From the desk of Editor-in-Chief Vol.10(2)
Authors: Khan Md Aminul Haque
Published: June 2021

Abstract not available

J Enam Med Col 2020; 10(2): 63
Prevalence of Overweight and Obesity among Medical Students of Enam Medical College, Savar, Dhaka
Authors: Begum Noortaj , Shila Jakia Sultana , Mohtarin Sabreena , Sultana Sharmin , Parvin Rukhsana , Khan Md Aminul Haque
Published: June 2021

Background: Overweight and obesity are recognized as “escalating epidemics” affecting both developed and developing countries. Of the factors contributing to obesity, stress seems to be particularly important as stressful condition leads to irregularity in diet, lack of exercise and addiction. Medical students are exposed to a lot of stress throughout their education. Hence, this study was undertaken to find out the prevalence of overweight and obesity among undergraduate medical students.

Objectives: The present cross-sectional study was intended to find out the prevalence of overweight/obesity among medical students of Enam Medical College and its association with their sociodemographic and life-style pattern.

Materials and Methods: This cross- sectional study was conducted among medical students in Enam Medical College, Savar, Dhaka from March to July 2017. A total of 283 1st and 2nd year MBBS students were included in the study. After getting permission from college authority and concerned Ethical Committee data were collected using a semi-structured questionnaire containing the variables of interest. Blood pressure and anthropometric measurements (weight and height) were noted. Data were analysed using SPSS (Statistical Package for Social Sciences) version 16.0.

Results: In the present study, the prevalence of overweight and obesity was 21.2% and 6.0% respectively. Males were found more overweight or obese (70.1%) compared to females (29.9%) (p=0.041). No other sociodemographic variables were found associated with overweight or obesity. Family history of obesity was observed for evaluation of overweight/obesity among the respondents (p=0.018) although family history of hypertension and/or diabetes did not influence the overweight/ obesity. Systolic and diastolic blood pressures of the overweight/obese group were higher than their normal counterparts (p=0.003 and p=0.002). There was no association between BMI and behavioral variables such as exercise, sleep, entertainment and food behavior.

Conclusion: More than one-quarter of the undergraduate medical students are overweight or obese and overweight or obesity are more predominant in males. Overweight and obese students generally have family history of overweight or obesity. Behavioural factors such as taking exercise, time spent on sleep and entertainment and food habit are not associated with BMI.

J Enam Med Col 2020; 10(2): 86-92
Study on Menorrhagia: Correlation with Fibroids
Authors: Nupur Rokshana Parvin , Begum Masuda , Shabnam Farhana , Sultana Fahmida , Rupom Touhid Uddin
Published: June 2021

Background: Excessive menstrual bleeding called menorrhagia is a common presentation of females seeking medical attention. Normally there is considerable variation in menstrual cycle length, duration and flow.

Objective: To find out the assocation of fibroids in patients presenting with menorrhagia.

Materials and Methods: This cross-sectional prospective study was done from January to June 2013 among the female patients admitted in the department of Gynaecology & Obstetrics in Dhaka Medical College & Hospital. Patients presented with the complaints of menorrhagia and treated by surgical management were included.

Results: Total 96 patients were included. The age range was 28–49 years with mean age 41.08 ± 5.174 years. In 92 (46.5%) patients excessive per vaginal bleeding was noted. Pain during menstruation was another major complaint (45, 46.5%). Lower abdominal heaviness was reported in 32 patients (16.2%). In about half of the patients (49%) uterine fibroid was diagnosed. In 29 patients (30.2%) adenomyosis was the finding. Out of 47 fibroid cases 39 (83%) had per vaginal bleeding history. Only 10 patients without fibroid experienced pervaginal bleeding. Chi-squared test was done to see whether there was any association between these two variables and the result was highly significant (p<0.001).

Conclusion: As medical treatment is disappointing and surgery is the mainstay of treatment of menorrhagia caused by fibroids, diagnosis should be confirmed by different imaging techniques. Advancement in the field of imaging like saline infusion sonohysterography and hysteroscopy helps greatly to diagnose submucous fibroids and save patients from undue prolongation of medical treatment.

J Enam Med Col 2020; 10(2): 99-103
Rare Scar Sarcoidosis: A Dermatologic Masquerader
Authors: Gomes Richmond Ronald , Hasan Md Rashidul , Majumder Athai , Akter Kazi Tamanna
Published: June 2021

Infiltration of sarcoid granuloma in old cutaneous scars is one of the uncommon cutaneous manifestations of sarcoidosis. Here we report the case of a 32-year-old female who presented with swelling and irritation in a 9-month-old appendicectomy scar. An incisional scar biopsy was done and it revealed non-caseating granuloma. On query she had inflammatory polyarthritis and persistent dry cough for last two months. High resolution CT (HRCT) revealed right paratracheal, both hilar, paraaortic, and subcarinal lymphadenopathy with pulmonary nodular densities in both lung fields. FNAC from mediastinal node revealed non-caseating granuloma consistent with sarcoidosis. Successful regression of cutaneous inflammation was achieved using a course of oral steroids, hydroxychloroquine and methotrexate. The incidence of scar sarcoidosis is rare and therefore not well-understood. However, inflammatory alterations in preexisting scars may be important indicators of disease onset.

J Enam Med Col 2020; 10(2): 122-125
Identifikasi Mineral Lempung pada Formasi Warukin di Daerah Kandangan, Provinsi Kalimantan Selatan Berdasarkan Data Pengujian ASDngan, Provinsi Kalimantan Selatan Berdasarkan Data Pengujian ASD
Authors: Jamal Jamal , Rijani Sonia , Maryanto Sigit , Cita Akbar
Published: June 2021

Penelitian ini dilakukan untuk mengetahui jenis mineral lempung yang terkandung pada batulemung penyusun Formasi Warukin yang dijumpai di daerah Kandangan, Kalimantan Selatan. Sejumlah 10 sampel batulempung telah diambil untuk analisis laboratorium metode ASD. Peralatan pengujian metode ASD di Pusat Survei Geologi dapat digunakan untuk menentukan jenis mineral lempung yang tidak terekam pada pengamatan petrografi. Jenis mineral lempung yang dijumpai terdiri atas kaolinit dan illit, dan mineral bukan-lempung yang teridentifikasi adalah klinoklor, silika dan mineral Fe+3. Batuan sumber formasi ini adalah batuan kaya feldspar atau batuan granitik pada lingkungan tektonik orogenesa yang terdaur-ulang.Katakunci: Formasi Warukin, batulempunng, kaolinit, illit, granitik.
Aplikasi Geostatistik dalam Estimasi Nilai Sebaran Anomali Gayaberat: Studi Kasus Pemetaan Gayaberat Pulau Biak, Papua Barat
Authors: Supriyana, M.Si. Eddy , Padmawidjaja Tatang
Published: June 2021

Uji geostatistik telah dilakukan untuk mengurangi tingkat kesalahan pada data anomali gayaberat yang mempunyai multivariabel, seperti variabel medan gayaberat, jarak dan parameter fisika batuan. Survei gayaberat yang akan digunakan untuk pemetaan gayaberat secara sistematik diperlukan adanya distribusi random atau distribusi Poisson, yaitu uji uniformitas (x2) dan analisis data terdekat. Hasil pengukuran gayaberat di Pulau Biak memperlihatkan adanya distribusi data yang tidak seragam sehingga menunjukan nilai test uniformitas lebih besar, sedangkan analisis data terdekat menunjukkan kerapatan titik data yang cukup baik. Hasil analisis berdasarkan uji uniformitas ini diharapkan akan membuat resolusi lebih baik sehingga mempermudah analisis data gayaberat untuk eksplorasi lebih lanjutKatakunci: Biak, medan gayaberat, analisis tetangga terdekat, uji uniformitas.
EĞİTİMDE MOBİL ÖĞRENMEYE YÖNELİK YAPILAN ARAŞTIRMALARIN İNCELENMESİ: BİR İÇERİK ANALİZİ
Authors: KALINKARA Yusuf
Published: June 2021

Mobil teknolojilerin birçok alanda hayatımızda yer alması neticesinde mobil öğrenme kavramı araştırmacıların daha fazla ilgilendiği bir alan olarak karşımıza çıkmaktadır. Bu araştırmada 2010-2020 yılları arasında YÖK Tez Merkezinde mobil öğrenme konusunda yayınlanmış olan yüksek lisans ve doktora tezleri incelenmiştir. Çalışmalar araştırmanın künyesi, yapıldığı üniversite ve anabilim dalı, araştırmanın türü, yayınlandığı yıl, araştırmanın konusu, anahtar kelimeler, araştırma yöntemi, örneklem büyüklüğü, örneklem düzeyi, örneklem seçme yöntemi, veri toplama araçları ve değişkenler açısından incelenmiştir. Ayrıca tezlerde örneklem düzeyi ilköğretim olan, dezavantajlı gruplar ile yapılan ya da uzaktan eğitim ile mobil öğrenmeyi araştıran çalışmalar da incelenmiştir. Verileri toplamada yayın sınıflama formu kullanılmıştır. Elde edilen sonuçlar incelendiğinde bazı alanlarda mobil öğrenme çalışmalarının daha fazla olduğu görülmüştür. Bunun yanında uzaktan eğitim, dezavantajlı grupların öğrenimi gibi konu başlıklarında fazla çalışma olduğu görülmüştür. Söz konusu çalışmalar incelendiğinde çalışmaların bazı örneklem gruplarında daha fazla olduğu sonucuna ulaşılmıştır. Uzaktan eğitimin daha fazla önem kazandığı günümüz şartlarında mobil öğrenmenin örgün eğitimin birçok kademesinde nasıl kullanıldığının lisansüstü tezler kapsamında incelenmesi, bunun yanında tez çalışmalarının dezavantajlı gruplar açısından incelenmesi önem arz etmektedir.
An insight into black cutworm (Agrotis ipsilon): A glimpse on globally important crop pest
Authors: Rodingpuia Christopher , Lalthanzara H
Published: June 2021

Many agricultural pests create problems for farmers leading to production loss. Since agriculture plays an important role in the economy of a nation, controlling and management of such pests is of great importance. Cutworms are notorious agricultural pests infesting a wide variety of crops leading to production loss. Cutworms are distributed worldwide and many species of cutworms have also been reported feeding on all kinds of crops. Agrotis ipsilon is one of the most common cutworm species prevailing in different continents. Understanding the biology and management of these pests will be of great use for farmers. In this article, brief information on cutworms; specifically A. ipsilon species is highlighted. A brief description of host, migration, control and management of A. ipsilon are also highlighted.
PERAN MEDIA SOSIAL DALAM MEMBANGUN KESADARAN MARITIM PADA GENERASI X, MILENIAL, DAN Z DI ERA DIGITAL
Authors: - Isamuddin , Riana Muhammad Harry , Fathun Laode Muhamad
Published: June 2021

Kebijakan Kelautan Indonesia (KKI) terdiri atas tujuh pilar yang terbagi kedalam lima kluster program prioritas, salah satunya adalah membangun kembali budaya maritim Indonesia. Untuk membangun kembali budaya maritim bukanlah sebuah perkara yang mudah dan cepat, namun butuh upaya dan proses yang memakan waktu cukup panjang. Sehingga dibutuhkan sebuah metode yang tepat dan efektif agar upaya yang dilakukan oleh pemerintah dapat membuahkan hasil sebagai mana yang diharapkan. Metode yang digunakan dalam penelitian ini yaitu metode penelitian deskriptif. Penelitian ini ingin menggambarkan fenomena-fenomena yang ada, yang berlangsung pada saat ini. Hasil Peneliian ini dengan adanya kemajuan teknologi di era digital seperti sekarang ini, membuat segala sesuatu menjadi lebih mudah dan cepat begitu juga saat digunakan untuk menyebarkan informasi dan pengaruh di tengah masyarakat. Generasi X, Milenial dan Z yang begitu melekat dengan teknologi memiliki ketergantungan yang sangat tinggi akan penggunaan jejaring internet dan media sosial. Hal ini harus dapat dimanfaatkan dengan gencar oleh pemerintah yang tengah berupaya keras membangun kembali budaya maritim masyarakat Indonesia dengan cara memberi pengaruh kesadaran (awareness) akan domain maritim khususnya di kedua generasi tersebut. Sehingga dengan harapan kemajuan teknologi digital yang diiringi dengan pertumbuhan positif jumlah pengguna internet di tanah air dapat membawa dampak positf dalam membangun kembali budaya maritim masyarakat guna mendukung terwujudnya Indonesia sebagai negara maritim besar.
Persistence of the yield advantage of perennial ryegrass cultivars: concept, evidence and implications
Authors: Chapman David , Ludemann Cameron , Griffiths Wendy , Rossi Laura , Waugh Deanne , Kuhn-Sherlock Barbara
Published: June 2021

Pasture persistence can be defined several ways, but a key outcome for farmers is that the yield advantage of a new pasture compared to the pasture it replaced persists for several years after sowing. The concept of persistence of the yield advantage can also be applied to genetic evaluation of cultivars in species such as perennial ryegrass to determine the true value of pasture renewal and cultivar selection. We analysed 8 years of yield and tiller density data from pastures sown to four perennial ryegrass cultivars representing different functional types at two locations, Waikato (non-irrigated) and Canterbury (irrigated). ‘Grasslands Nui’ SE (Nui) was designated as the baseline cultivar. A significant yield advantage over Nui was observed for two cultivars (Alto AR37 and Halo AR37). Peak yield advantage occurred 4 or 5 years post-sowing, then declined by approximately 50% and became nonsignificant by Year 8. The pattern was very similar at both locations. Tiller density data indicated a shift in sward structure over time consistent with size-density trade-offs in the diploid cultivar Alto AR37 but not in the tetraploid cultivar Halo AR37. The implications for economic evaluation systems such as the DairyNZ Forage Value Index are discussed.
Understanding Obesity: How and Why?
Authors: Tham Kwang Wei , Lam Benjamin Chih Chiang
Published: June 2021

Obesity is now recognised as a chronic disease which needs chronic treatment to treat or prevent obesity related complications. This article discusses the biology of weight regulation as a basis to understanding obesity as a disease, and to appreciate the complex and multifactorial nature of the obesity problem. Finally, the article highlights the dietary approaches as part of the multi-pronged approach to treating obesity and gives a brief update on intermittent fasting.
A Practical Approach to the Patient with Obesity
Authors: Lim Yuan Ling Amanda
Published: June 2021

The prevalence of obesity and obesity-related comorbidities is rising. Primary care physicians are the frontline of healthcare and play a central role in the management of obesity. In this article, we discuss the 5As framework (Ask, Assess, Advise, Agree, and Assist) as a practical framework for obesity counselling, focusing on initiating the conversation and assessing the person with obesity. The assessment includes taking a weight history, excluding secondary causes, understanding lifestyle factors contributing to weight gain and assessing for complications of obesity. This assessment then makes it possible for subsequent patient engagement, including advising, agreeing (goal setting), and assisting the patient on an individualised care plan.
Intensifying Treatment: Bariatric Surgery
Authors: Pasupathy Shanker
Published: June 2021

Obesity is a chronic disease increasing at epidemic rates worldwide. Diet and lifestyle intervention form the basis of healthy weight management but are not effective in promoting substantial weight loss in morbidly obese individuals. Bariatric surgery appears to be the only intervention that produces not only profound and sustainable weight loss but also excellent control of attendant comorbidities, particularly type 2 diabetes mellitus, in this group. However, fears and concerns regarding the safety and aggressiveness of surgery is limiting the acceptance of bariatric surgery as a viable treatment option. Newer, less invasive procedures hold promise to fill the gap between conservative and surgical therapies for weight loss.
Особенности устройства уплотненных песчаных оснований зданий при замещении газогенерирующих грунтов
Authors: АБЕЛЕВ Марк Юрьевич , ЧУНЮК Дмитрий Юрьевич , КАРАЛЛИ Дарья Львовна , БАХРОНОВ Рустам Рамазонович
Published: June 2021

В статье изложены проблемы проектирования и строительства зданий на территориях с газогенерирующими грунтами. Отмечено, что многие вопросы, связанные с качественным устройством уплотненных песчаных оснований зданий, одновременно являющихся средством удаления грунтовых газов, поступающих в основание здания из окружающего массива грунта, не решены. В нормативных документах не полностью даны необходимые значения физико-механических характеристик уплотненных оснований. В последнее время для строительства часто отводятся площадки, которые ранее считались непригодными с точки зрения эффективности строительства. Это территории бывших свалок бытовых отходов, отходов промышленности и т. д. Для обеспечения безопасности строящихся на таких территориях зданий проведены исследования способов защиты объектов от проникания в них биогаза. В статье приведены результаты исследований технологий устройства уплотненных песчаных оснований зданий, полученные значения физико-механических характеристик уплотненного песка. Указан состав комплекса исследований для разработки мероприятий по биогазовой защите объектов.
Устройство полых буронабивных свай
Authors: ГОНЧАРОВ Анатолий Артемьевич
Published: June 2021

В статье обоснована целесообразность применения полых буронабивных свай при устройстве фундаментов в слабых грунтах c использованием высокопрочных бетонов. Представлены предлагаемые в нашей стране способы устройства пустотелых свай, а также основные технологические особенности, преимущества и недостатки различных методов устройства. Наиболее подробно изложена технология с использованием метода радиального проката. Приведен пример внедрения и определены условия, необходимые для эффективного применения данного метода. Предложен новый способ устройства пустотелых свай с использованием метода виброгидропрессования, применяемого для изготовления высоконапорных железобетонных труб. Выполненными экспериментами доказана возможность использования данного метода и определены основные технологические параметры при устройстве пустотелых свай в различных грунтовых условиях. Сделан вывод о том, что при внедрении рассмотренного метода технологические параметры будут определяться и корректироваться в ходе выполнения работ на конкретном строительном объекте.
Учет упругих свойств основания при расчетах сейсмостойких зданий
Authors: ТОКАРСКИЙ Александр Владимирович , СЕМЕНОВ Владимир Сергеевич , ТОКАРСКАЯ Татьяна Вячеславовна
Published: June 2021

Рассмотрены положения актуализированных норм по сейсмостойкому строительству России и Кыргызской Республики в части учета упругих характеристик оснований при расчетах зданий и сооружений на сейсмические нагрузки. Отмечаются особенности практического применения новых методик определения эквивалентной упругой жесткости оснований с использованием данных о скоростях распространения упругих волн в слоях грунта площадки строительства по нормам Кыргызстана. В нормативах приведены альтернативные способы определения упругих свойств оснований с использованием данных об их статической жесткости. Однако в широко используемых программных комплексах семейства ЛИРА жесткость основания задается не модулем упругости, а коэффициентами постели. В результате анализа различных моделей основания сделан вывод, что наиболее корректным в настоящее время для применения в практических расчетах на сейсмические нагрузки с помощью ЛИРА-САПР представляется способ определения жесткости основания с использованием коэффициента упругого равномерного сжатия грунта. Предварительные расчеты этого коэффициента для нескольких строительных площадок показали, что данный способ определения упругих характеристик основания позволяет довольно точно выйти на значения жесткости грунтов, вычисленных на основании экспериментальных данных о скоростях распространения в них упругих волн. Учитывая это, высказываются предложения, направленные на модернизацию норм (правил) проектирования в сейсмических районах и программных комплексов ЛИРА-САПР.
Стеновые панели из таумалита для зданий различного назначения
Authors: ГРАНОВСКИЙ Аркадий Вульфович , ЧАДОВ Юрий Николаевич , ЛЫСКОВ Владимир Михайлович , ПОПОВ Михаил Витальевич
Published: June 2021

Рассматриваются конструкции наружных стеновых панелей, изготовленных с использованием гипсосодержащих вяжущих. Анализируется эффективность влияния таумалита - быстротвердеющего композита на основе гипсоцементного вяжущего и органического наполнителя - на прочностные и деформативные характеристики стеновых панелей. Дан краткий обзор исследований по повышению эксплуатационных характеристик конструкций на основе гипсосодержащих вяжущих за счет дисперсного армирования неорганическими и органическими волокнами. Показана высокая экологичность таумалитовых панелей. Приведены данные по звукоизоляционным и теплотехническим характеристикам одно-, двух- и трехслойных панелей, полученные по результатам экспериментальных исследований. Отмечается, что рассматриваемые в статье конструкции панелей отвечают требованиям действующих норм в части обеспечения необходимого уровня тепло- и звукоизоляции помещений. Представлены результаты испытаний стеновых многослойных таумалитовых панелей на сдвиг слоев относительно друг друга и внецентренное приложение нагрузки при сжатии. Проанализированы эффективность применения и влияние органических добавок при изготовлении таумалитовых панелей на экологичность производственного процесса (в частности, использование отходов целлюлозной промышленности).
Расчет радиационной температуры окружающей среды территории двора при реновации
Authors: СУМЕРКИН Юрий Алексеевич
Published: June 2021

Реновация жилищного фонда должна предоставить горожанам не только комфортное жилье, но и принципиально новую среду обитания. Одна из важнейших задач реновации - улучшение экологической обстановки городской среды. Радиационная температура окружающей среды в качестве показателя микроклимата территории двора определяет комфортные и безопасные условия для пребывания людей. Методика расчета радиационной температуры, основанная на установлении коэффициентов облученности с поверхности шарового термометра на окружающие приведенные площадки ограждений воображаемого пространства (параллелепипеда) двора с учетом их поверхностных температур, позволяет управлять тепловой нагрузкой среды. Выполнен ряд вычислений, с помощью которых сделан количественный и качественный анализ для теплого времени года изменения показателей микроклимата дворовой территории после реновации и значительного увеличения плотности застройки. Показано, что с увеличением плотности застройки возрастает тепловая нагрузка окружающей среды пространства двора. Эти значения могут создавать небезопасные условия для пребывания жителей во дворе в теплое время года. Использование светлых материалов в отделке фасадов и устройство газонов в покрытии двора способствуют значительному снижению тепловой нагрузки. Расчет радиационной температуры окружающей среды показывает, что дворы зданий башенного типа имеют меньшую тепловую нагрузку, чем дворы-колодцы.
Empirical Validation of Personal and Situational Traits in Usage of Transactional e-Government Services
Authors: Kim Jongheon , Ang* David , Kim Gang-hoon
Published: June 2021

With technology advanced and the flourishing of wired or wireless networks in our daily life, privacy and trustability of transaction media have become highly cherished value. Individuals often make choices in which they surrender a certain degree of privacy in exchange for outcomes or convenience that are perceived to be worthy of the risk of information disclosure. This research attempts to facilitate understandings of the utility of the Technology Acceptance Model (TAM) which is a strongly supported and well-established vehicle in information research and incorporates privacy, risk, and trust factor that are previously regarded as separate research areas from TAM. In addition, it also suggests individual dispositions as precursory factors and examines how they affect users’ risk and trust perception in using transactional e-government services.
The proposed model was tested using data gathered from 309 respondents from an internet survey. Structural equation modeling (SEM) using Mplus was employed to validate measurement and structural model. Based on this outcome, the measurements were redefined as composite scores, and subsequent path analysis was conducted to test the proposed hypotheses. The findings provide the structural or causal model of the proposed model attainable, but it requires the development of reliable and valid measurement scales.
The Effect of Workload, Leadership Style, And Communication On Employee Work Effectiveness
Authors: Perkasa Didin Hikmah , Martin Harry
Published: June 2021

The main purpose is to determine the relationship among workload, leadership style, and communication on employee work effectiveness used a quantitative descriptive approach. The data in the study were obtained from 55 respondents who were employees of PT. XYZ. Data analysis in this study used an alternative method of structural equation modeling (SEM), namely partial least squares (PLS). The first stage in this research is to test the validity of each variable's questions along with their reliability. The second stage examines the relationship between workload, leadership style, and communication on work effectiveness. The results of this study indicate that the variables of workload, leadership, and communication have a positive and significant effect on work effectiveness.
Analysis of the physico-chemical efficiency of the bioceramic silers application in endodontic practice
Authors: Khabadze Z. S. , Generalova Yu. A. , Negorelova Ya. A. , Ismailov F. R. , Shilyaeva E. S.
Published: June 2021

The purpose of this systematic review of the literature is to detail the main physical, chemical, biological, operational, and other significant properties of bioceramic materials used in endodontic practice ю Фccording to the studied literature, we can say that bioceramic endodontic materials have satisfactory performance properties, are characterized by antimicrobial action and alkaline pH, have optimal biocompatibility and bioactivity, which indicates the feasibility of their use in the clinical practice of a dentist-endodontist.
Analysis of the Factors Affecting the Choice of Support Policies Applied in Cotton Production by Analytical Hierarchy Process: The Case of ‘Kahramanmaraş’ Province
Authors: CANDEMİR Serhan
Published: June 2021

In this study, it was aimed to determine the importance level of the factors that are effective in the choice of alternative support policies applied to cotton and to calculate the preference degrees according to each criterion of the cotton producers in Kahramanmaraş. In the study, the results of a face-to-face survey with 67 producers in Kahramanmaraş province were used. Within the scope of the research, the producers were asked to rate the difference in payment support, input support, direct payment support, and target price support policies, taking into account high yield, quality product, timely payment, and ease of marketing. It was determined that they would prefer the policy option that enables them to make the most profit when the factors to be taken into consideration by the producers while evaluating the support policies are examined. It has been seen that the most important criterion among the agricultural production aims of the producers is “raising the standard of living”, the most important factor they will consider to increase production is “good price”, and the most important factor they will consider in a policy to be implemented is “giving a good price”. Producers have been found to prefer payment preferences with different priorities; difference payment and direct payment support in terms of providing a high yield, input support for providing quality products, and paying target price support at the appropriate time. Considering all supports, it has been determined that the producers prefer difference payment support first and input support second.
Naratif Puteri Santubong dan Puteri Sejinjang Mempertalikan Politik Tempatan: Analisis Pragmatik
Authors: Daud Muhammad Zaid , Subet Mary Fatimah
Published: June 2021

Kajian ini bertujuan untuk menganalisis implikatur (makna tersirat) dalam sastera rakyat Melayu Sarawak, iaitu naratif Puteri Santubong dan Puteri Sejinjang dengan mempertalikan politik tempatan. Pengkaji telah mentafsirkan implikatur yang terkandung dalam naratif tersebut berpandukan analisis pragmatik iaitu Teori Relevans (TR) oleh Sperber dan Wilson. Dapatan kajian menunjukkan bahawa eksplikatur seperti “Puteri Santubong”, “Puteri Sejinjang”, “kisah lama, zaman mensia maya”, “penjaga”, “manis”,  “anak dak dewa turun kayangan”, “bertenun kain”, “malam”, “menumbuk padi” dan “siang” sebenarnya mempunyai implikatur yang dapat diasosiasikan dengan konteks semasa. Hal ini selaras dengan peranan sastera rakyat yang begitu sarat dengan unsur nasihat dan sindiran secara halus supaya masyarakat kini tidak mengulangi kesilapan yang berlaku dalam naratif Puteri Santubong dan Puteri Sejinjang ini. Rumusannya, berbekalkan konteks, kesan kognitif dan usaha memproses maklumat, mesej secara tersirat dalam naratif ini dapat mengalami peluasan makna berdasarkan keadaan politik tempatan.
Pembinaan, Pelaksanaan dan Kesan Modul Tatabahasa Bahasa Tamil Berpandukan Teori Interaksional, Teori Konstruktivisme dan Strategi Dekonstruktivisme dalam Kalangan Pelajar Tingkatan Empat
Authors: Chew Fong Peng , Shanmugama Rathidevi , Ramasamy Mohanadass
Published: June 2021

Dalam pembelajaran bahasa Tamil, para pelajar sering menghadapi masalah untuk menguasai kata kerja dalam pembelajaran tatabahasa bahasa Tamil dengan baik. Penggunaan modul tatabahasa dengan Strategi Dekonstruktivisme sebagai bahan bantu mengajar dalam pengajaran akan membantu pengajaran dan pembelajaran kata kerja bahasa Tamil. Justeru kajian ini dijalankan untuk membina modul pengajaran tatabahasa Bahasa Tamil dengan meninjau pendapat 10 orang panel pakar, dan seterusnya menganalisis pencapaian pelajar sebelum dan selepas penggunaan modul dalam pengajaran dan pembelajaran tatabahasa kata kerja bahasa Tamil. Teori Konstruktivisme dan Teori Interaksionalisme diaplikasikan dalam pembinaan modul tatabahasa kata kerja bahasa Tamil. Dalam kajian ini, 70 orang pelajar Tingkatan 4 dipilih sebagai kumpulan eksperimen dan pencapaian pelajar diukur sebelum dan selepas menggunakan modul dalam pengajaran dan pembelajaran kata kerja bahasa Tamil. Dapatan kajian menunjukkan bahawa pengajaran dan pembelajaran kata kerja bahasa Tamil yang menggunakan modul dapat meningkatkan pencapaian pelajar secara signifikan.
Peer Interaction in the L2 Classroom: A Study among Malaysian ESL Learners
Authors: Nikitina Larisa , Soh Siak Bie , Tam Shu Sim
Published: June 2021

Adopting a cognitive-interactionist perspective, this study focused on peer interaction in the L2 classroom. It explored types of peer interaction in terms of Negotiation of Meaning (NoM), Language-related Episodes (LRE) and Uptake of Recast that tend to prevail during task discussions in the L2 classroom. This study also assessed whether task complexity and task condition influenced L2 peer interaction. Thirty-six (N=36) Malaysian university students learning English as a second language participated in this study. The tasks were designed at two levels of cognitive complexity, namely, simple tasks with two causal reasoning demands and complex tasks with six causal reasoning demands. Each participant was involved in peer discussion sessions of simple and complex tasks in dyadic and triadic groupings. The findings revealed that clarification requests during the NoM were the most prominent feature of the peer interaction. A paired sample t-test showed that statistically significant difference was detected between the dyadic and triadic settings for the comprehension check feature (NoM), the incorrectly resolved episodes (LRE) and the unmodified uptake of recast. The article concludes with a discussion of theoretical and pedagogical implications from these findings.
Saiz Kosa Kata dan Pengetahuan Kolokasi Bahasa Arab dalam Kalangan Pelajar Sijil Tinggi Agama Malaysia (STAM)
Authors: ABDUL WAHAB URAIDAH , PA MAT TAIB , ASBULAH LILY HANEFAREZAN
Published: June 2021

Saiz dan kedalaman kosa kata merupakan dua disiplin ilmu yang mempunyai perkaitan. Keterbatasan kosa kata adalah antara punca kegagalan pelajar menguasai teks bacaan, berkomunikasi dan menghasilkan penulisan yang baik. Kajian ini bertujuan mengkaji hubungan antara saiz kosa kata dan pengetahuan kolokasi bahasa Arab. Dua set ujian iaitu; ujian saiz kosa kata dan ujian kolokasi bahasa Arab telah diedarkan kepada pelajar tingkatan enam yang mengambil subjek bahasa Arab di sekolah menengah agama di Malaysia. Kajian ini menggunakan persampelan bertujuan dengan memilih seramai 150 orang pelajar yang sedang mengikuti kurikulum Sijil Tinggi Agama Malaysia (STAM) dari empat buah Sekolah Agama Bantuan Kerajaan (SABK) di Perak. Dapatan kajian menunjukkan hubungan antara saiz kosa kata dan pengetahuan kolokasi bahasa Arab berkorelasi secara signifikan (r = .76, p < .01) bahkan perhubungan positif yang kuat. Namun, hasil nilai varians r² membuktikan bahawa hanya 57.7 peratus corak peningkatan faktor pengetahuan kolokasi bahasa Arab dijelaskan oleh perubahan corak saiz kosa kata, selebihnya oleh faktor lain yang tidak dapat dikesan. Penemuan kajian ini berjaya menonjolkan dapatan baharu bahawa peningkatan pengetahuan kolokasi bahasa Arab bukan diperoleh sepenuhnya melalui penguasaan saiz kosa kata. , Pelajar dan guru perlu memanfaatkan kepelbagaian strategi, pendekatan dan teknik dalam meningkatkan pengetahuan kolokasi bahasa Arab
Family Language Policy, Language Maintenance and Language Shift: Perspectives from Ethnic Chinese Single Mothers in Malaysia
Authors: Ong Teresa Wai See
Published: June 2021

Family language policy comprises three components, namely, ideology, practice, and management. Using the conceptual framework of family language policy, this study draws on data from semi-structured interviews and participant observation to explore the role of mothers in the process of language maintenance and language shift in Malaysia. First, it investigates the language choices and ideologies of four Chinese single mothers from Penang that lead to speaking heritage languages and/or dominant languages with their children. Second, it examines the strategies for heritage culture maintenance adopted by these mothers. The study found that two of the mothers speak Chinese heritage languages with their children to reinforce emotional attachment and family cohesion. Conversely, two other mothers face socioeconomic and educational pressures in relation to maintaining Chinese heritage languages, which trigger a shift to using dominant languages such as Mandarin Chinese and English with their children. Nevertheless, all four mothers made efforts in exposing their children to ethnic Chinese cultures. The findings indicate that maintaining heritage languages in the current era has become a challenge for many families in Malaysia while speaking dominant languages is becoming a necessity.