bluuebunny/crossref_metadata_2025 huggingface dataset:
Trasplante ortotópico de útero. Experimento en modelo ovino, Cali (Colombia)
Authors: Castro-Villegas Felipe , Canaval-Erazo Gustavo Adolfo , Rico-Juri Juan Manuel , Gutiérrez-Montes José Óscar , Vanin-Aguas Anabel , Canaval-Erazo Hoover Orlando
Published: October 2020

Objetivo: se ha recomendado a los profesionales que tengan como proyecto realizar trasplante uterino, hacer previamente trabajos experimentales en animales. Este trabajo describe el procedimiento del trasplante uterino en ovejas y los resultados a corto y mediano plazo. Materiales y métodos: estudio de cirugía experimental en ovejas sometidas a explante y trasplante uterino. A cuatro ovejas de 40-50 kg de peso les fue trasplantado el útero (ortotópico) de cuatro ovejas vivas donantes. Se utilizó técnica de anastomosis vascular término-lateral, la vagina se suturó en un plano y el útero se fijó a la pared pélvica. Se describen las complicaciones y la evolución a 180 días. Resultados: se realizó la cirugía de trasplante en las cuatro ovejas. El tiempo quirúrgico fue de 240 minutos (min) en el primer procedimiento y de 185 min en el último, y el tiempo de isquemia caliente se redujo de 42 a 22 min. Una oveja murió al séptimo día posoperatorio por una complicación intraoperatoria ajena a las anastomosis vasculares. Otra oveja que fue trasplantada desarrolló infección-local vaginal manejada con metronidazol, con evolución satisfactoria. Las tres ovejas no habían presentado rechazo al trasplante a los 6 meses. Conclusiones: el modelo ovino permite entrenamiento quirúrgico en cirugía experimental de trasplante uterino. Para los autores constituyó adquisición de conocimiento y avanzar hacia la realización futura del trasplante uterino en mujeres con infertilidad absoluta por factor uterino en Colombia.
The Role of Philanthropic Studies in Equipping Students to Articulate their Personal and Vocational Purpose
Authors: Nathan Sarah , Shaker Genevieve , Danahey Janin Pat
Published: October 2020

Positioned within the larger discussion regarding the outcomes of a liberal arts education, this qualitative study examined Philanthropic Studies undergraduates’ articulation of purpose. Fifteen majors participated in this grounded theory study, providing insight into the student experience in this new, liberal arts discipline. Findings are expressed in a theoretical framework showing how most students’ articulation of purpose successfully evolved to include and integrate personal and vocational aims. Most of the Philanthropic Studies students held a strong, values-based orientation that underscored their experiences and perspective but was not enough to assure a confident vocational purpose on its own. The framework aligns and complements theories of student development and illuminates a number of personal and programmatic factors that facilitated or hampered the students’ progression. The study suggests that liberal arts-based curricula can do well with a holistic approach that attends closely not just to students’ academic achievements but also to their sense of personal purpose, career interests and vocational concerns, while using experiential learning strategies in generous measure.
Things that Seem Still Are Still Changing: The case of the Nonprofit Leadership Collaborative of the Mid-South
Authors: Nelson Erin
Published: October 2020

This paper describes the longstanding partnership of the Nonprofit Leadership Collaborative of the Mid-South. Now in its 20th year, the university-community partnership has worked to increase the capacity of the local nonprofit sector through building a qualified entry-level workforce. Three key themes emerged when examining the trajectory of the long-standing partnership: strong leadership to champion the cause, the importance of strategy as both guide and buffer, and the realization of benefits beyond the mission of the partnership. The collaborative is now at a critical juncture in its lifecycle, with substantial changes in membership, waning interest, and changes to the external nonprofit environment. It is at this point that the leadership of the collaborative will need to determine whether turnaround or dissolution are the better option moving forward, and what the appropriate leadership composition and strategy will be to accomplish a renewal.
Feasibility of Using Yoga as Problem- and Emotion-Focused Coping For Adults with Intellectual and Developmental Disabilities: A Pilot Study
Authors: Richardson Molly , Crowe Brandi , Van Puymbroeck Marieke , Hawkins Brent
Published: October 2020

Individuals with intellectual and developmental disabilities (IDD) are at a greater risk for experiencing stress, particularly stress associated with negative interpersonal relations, in comparison to individuals without disabilities. The purpose of this study was to: (a) explore whether participation in yoga served as a coping strategy for adults with IDD; and (b) determine the feasibility of researching stress and yoga as coping among individuals with IDD. Using a multi-method research design, participants completed a quantitative assessment before and after the seven-and-a-half week yoga intervention, and a semi-structured interview post-intervention. Qualitative findings suggest that yoga can serve as an emotionfocused coping strategy for adults with IDD, as it may increase participants’ mood and enhance their perceived social support. Future research should evaluate yoga as a form of coping for adults with IDD, and identify best practices for conducting stress and coping-related research with adults with IDD.
The 2019 Therapeutic Recreation Education Survey: A 50-Year Comparison
Authors: Autry Cari , Anderson Stephen , Sklar Sydney
Published: October 2020

Fifty years ago, Stein (1970) conducted a therapeutic recreation (TR) education survey. Ten years later, Anderson and Stewart (1980) conducted a follow-up study that began the longitudinal studies in therapeutic recreation/ recreational therapy (TR/RT) education in the U.S. and Canada for the next four decades, and the results of each survey were published in the Therapeutic Recreation Journal (Anderson et al., 2000; Autry et al., 2010; Stewart & Anderson, 1990). The decennial TR/RT education surveys have included the same items and used the same core instrument since its first implementation in 1969 (Stein, 1970). Although survey content has expanded to include additional questions, this consistency of content was designed to allow the researchers to compare results across each decade and to identify and discuss trends and issues in TR/RT education. The overall findings and discussion were divided among TR/RT curricula, faculty and students and were compared to these same categories over the past 50 years.
Interprofessional Education for Group Processes in Mental/Behavioral Health
Authors: Gray Cara , Baisden Paula
Published: October 2020

As health care organizations, accrediting bodies, and research support and promote interprofessional approaches for treatment programs, an introduction to interprofessional education and practice should occur during pre-professional education for this practice to become habit. This paper looks at applying these principles to pre-professional behavioral health student participants in nursing, recreation therapy, psychology, and social work through an interprofessional simulated group therapy experience. While the main objective of this project was to create an interprofessional experience for mental/behavioral health participants, the study also aimed to build an affinity for working within an interprofessional team and to develop empathy for individuals living with a mental/behavioral health diagnosis. All students acknowledged the benefits of empathy and collaborative affinity for both the team and consumers, and expressed concern about the lack of interprofessional learning within pre-professional programs.
The Selection of the Reinforcement Scheme for a Parabolic Antenna Made of Composite Materials with an Elliptical Aperture Line
Authors: Galinovsky A.L. , Denisov A.V. , Gavrilova E.A. , Gordeev S.A. , Alshina S.A. , Eremin S.A.
Published: October 2020

Being prepared foThe problems of designing and calculating reinforced shells of revolution made of composite materials as constituent elements of parabolic antennas with an elliptical aperture line having a focal parameter value of not more than 0.03 m are examined in this paper. The structural layout schemes of reflectors of the parabolic-type mirror spacecraft antennas are reviewed. A technique for designing a bearing frame for reinforcing the reflector shell using numerical analysis based on the finite element method is presented. The technique is based on the assessment of the stiffness parameters of the structural elements of the reflector located between the annular ribs. It utilizes optimization in order to achieve a constant gradient of changes in the stiffness parameters. The deformability of the reflector design that uses a modern high-modulus composite material is evaluated. A finished product is presented as the result of the application of the technique. An assessment of manufacturing and design errors is performed based on the experimental data. The proposed approach to the design of reflectors with an elliptical aperture line eliminates warping of the molded product and deformation during operation such as twisting in the form of a propeller. The results of the study can be used for designing reflectors of spacecraft mirror antennas with a narrow radiation pattern that meet strict requirements of the accuracy of the reflecting surface geometry as well as mass restrictions.
Do Phaseolus vulgaris Development Stages Influence the Total Rhizospheric Bacterial and the Phytate Utilising Community?
Authors: Maougal R. T. , Kechid M. , Baziz K. , Djekoun A.
Published: October 2020

Background: The occupation of soil by plants is known to induce changes in the soil chemical and physical properties by shoot decomposition and root growth and secretion. Methods: In this study we investigate the degree to which the total and the phytate mineralising rhizospheric communities bacteria are affected by the growth of six Recombinant Inbred Lines (RILs) of common bean (Phaseolus vulgaris). The six RILs tested were contrasted on adaptation to P (phosphorus)-deficiency from sensitive to tolerant. Rhizosphere samples were taken three times during the plant developmental stage and the changes in the density and the phytase activity of those communities relative to the P content were studied. Bacterial community was followed by culturing and measuring total community DNA of soil to allow a cultivation- independent analysis, by amplification of the 16S rRNA gene using real time PCR. Result: Our results showed that successional moves in the rhizosphere bacterial density as plant mature confirmed that plants select their own rhizosphere community. Moves of the bacterial community in the rhizosphere were more pronounced in mature common bean and phytase enzymatic activity confirmed the ability of this plant to mobilise a functional bacterial community when the bean needs high quantities of phosphorus. This study demonstrates that common bean selects a microbial community and its density change in response to plant growth.
Comparative Evaluation of Maize Planters in Conservation Agriculture under Black Cotton Soil of Central India
Authors: Sawant C. P. , Singh K. P. , Singh R. S. , Lakaria Brij Lal , Patel Anurag , Gupta Ajita , Khadatkar Abhijit
Published: October 2020

The present study was conducted at ICAR-Central Institute of Agricultural Engineering, Bhopal research farm to study the effect of no-till planters such as inclined plate planter and broad bed shaper-cum-planter on yield, energetics and economics of maize crop production and compared with conventional practices of maize sowing using seed-cum-fertilizer drill. The maize hybrid variety of DMRH-1303 was sown in kharif season of 2019 using inclined plate planter and broad bed shaper-cum-planter under wheat residue load 8 t/ha (HI-1544). The wheat was harvested by combine harvester and its residue was chaffed using shredder. The actual field capacity and field efficiency of inclined plate planter, broad bed shaper-cum-planter and seed-cum-fertilizer drill were observed as 0.31, 0.32 and 0.39 ha/h and 51.67, 58.18 and 76.47%, respectively. The energy consumption for shredding of wheat straw was 399.31 MJ/ha. The energy consumption was maximum in case of sowing with convention seed drill (1965.30 MJ/ha) including single pass of each cultivator and rotavator, which was followed by broad bed shaper-cum-planter under permanent bed condition (792.39 MJ/ha) and inclined plate planter under permanent bed condition (468.77 MJ/ha). The broad bed shaper-cum-planter and inclined plate planter saved energy consumption by 59.7% and 76.14%, respectively as compared to conventional seed-cum-fertilizer drill.The use of inclined plate planter (Rs. 652 per ha) or broad bed former-cum-planter (Rs. 664 per ha) could save 67% in cost of operation compared to seed-cum-fertilizer drill (Rs. 2017 per ha).
Extension and Advisory Services during Lockdown due to COVID-19: Efforts by KVK in Barmer District of Rajasthan
Authors: Pagaria Pradeep , Choudhary L. R. , Choudhary Haridayal , Ram Ganga , Khan Turfan
Published: October 2020

Coronavirus outbreak was first reported in Wuhan, China on 31 December, 2019. Coronavirus (CoV) is a large family of viruses that causes illness. It ranges from the common cold to more severe diseases like Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV). The novel coronavirus is a new strain of virus that has not been identified in human so far.
Techniques for women empowerment in dairy
Authors: Ponnushami K. , Sabikhee Latha , Meena G S , Sharma Priya
Published: October 2020

Women have great potential to promote agricultural related (secondary agriculture) enterprise. As women play a major role in dairy, they may be motivated for entrepreneurial ventures. Women can be encouraged through local government development organizations for gender sensitization, training, obtaining credit and access to the market. National Dairy Research Institute, Karnal promoted ten women self-help groups in three districts of Haryana under the project of Department of Science and Technology, Ministry of Science and Technology, Government of India. Thus women can become capable of better livelihood through their group activities. The women of the group earn an additional income of between Rs 5000 and Rs 20000 per month.
Midwives' Experience of Providing Continuity of Care in a Pilot Project: Findings of a Prospective Qualitative Research Study
Authors: Lewis Marie
Published: October 2020

INTRODUCTION

There has been a strategic drive for several years in midwifery to improve models of care and enable women to receive care from a known midwife. However over the past decade new models of care to achieve this have not been sustained and some midwives have expressed opinions that such models can never be sustainable for the staff working them. This study was designed to explore the midwives experience of working a continuity of care model, develop understanding of the lived experience of midwives, and provide insight into how such models can be sustainable from the midwives perspective. A local trust initiative to pilot a small team continuity of care model in one geographical area was introduced and a group of midwives interested in working differently were recruited onto the study to share their experiences. This article details the process and themes identified through a small qualitative research study to explore midwives' experiences of working in a new way to provide increased continuity of care for women. The study results are written in response to a local drive for change and within the context of a small group of midwives taking part in a service improvement project. The article specifically identifies themes in the midwives' experiences and lessons learnt for sustainable change in relation to continuity of care within midwifery services.

METHOD

The study was a qualitative descriptive study. The main purpose of the study was to gain further understanding of the personal experiences of midwives. Data was collected over a 12-month period from eight midwives who took part; reflective diaries, notes from team meetings and data from the team's “WhatsApp” group chat were used to capture the data over time. Themes identified were then verified with the participants through one to one semi structured interviews.

FINDINGS

The research data has been organized into four overarching themes related to May's (2009) normalization process theory: Coherence—same difference, cognitive participation—operational workability, collective action—relationships and reflexive monitoring—personal sustainability.

DISCUSSION

A key theme running throughout the data was the importance of autonomy, flexibility, and trust, enabling midwives and women to build effective therapeutic relationships. This is important to note when developing systems for care. Staff needed to feel trusted in order to work flexibly and take control over their own work/life balance. The findings indicate that where staff felt enabled to organize their own workloads they did in fact work harder to meet the needs of the women. A shift in culture in maternity systems would need to be embraced for this level of control to be afforded all midwives. It should be noted that the study was conducted in one specific area and with a small number of midwives. Hence the findings cannot be generalized and will need to be explored further across different cultures.
Bridging the Gap: Supporting the Inclusion of More Fathers in Maternity Centers in Jamaica
Authors: Pitter Cynthia , Emanuel-Frith Mickelle , Pitter Granville , Udoudo Deborah Adedire
Published: October 2020

The 1994 International Conference on Population and Development (ICPD) plan of action called for the equal participation of women and men in all areas of family and household responsibility, including family planning, child-rearing, and household chores. This plan of action admonished government to promote and facilitate such participation. The emerging trend to include fathers in maternal and child health services motivated low- to middle-income countries including Jamaica to sign on to global initiatives such as the ICPD and the Sustainability Development Goals for maternal and paternal involvement in the reduction of maternal mortality rates. However, lack of proper infrastructure in the public health system in countries like Jamaica does not sufficiently accommodate fathers during antenatal, childbirth, and postnatal services, neither does it has far reaching programs targeting fathers. This oversight in maternity care is partially due to the lack of guidelines to lead the process, limited space at clinics, and inadequate privacy on some delivery suites.

Addressing the gaps to involve more fathers in pregnancy and child-rearing is an unexplored opportunity or innovative strategy that could assist Jamaica in meeting its international obligations to reduce infant and maternal mortality rates. This could also lessen the burden of childbearing and child-rearing on women, while changing the narrative of the negative stereotypes of fatherhood to a positive one in Jamaica. Research has also shown that several undesirable situations are preventable if the pregnant woman gets social and psychological backing, not only from excellent maternal and child health care but also by a social system, particularly from the spouse of the pregnant woman (World Health Organization, 2007).
Restorative Justice Approaches to Intimate Partner Violence: A Review of Interventions
Authors: Barocas Briana , Avieli Hila , Shimizu Rei
Published: October 2020

Domestic violence, and specifically, violence against intimate partners, has generated a large research literature in the last few decades, particularly in the area of policy and community response and intervention. However, less attention has been given to the use of more innovative approaches in such situations, namely the use of restorative justice (RJ) interventions for intimate partner violence (IPV). The aim of this review is to provide a general overview of how RJ approaches have been utilized in the context of IPV, systematically examine the available literature on RJ approaches to IPV, describe the interventions that have been developed and empirically tested, and synthesize the findings. This review summarizes existing empirical research and literature on RJ interventions for IPV. APA PsychNet, CINAHL, Criminal Justice Abstracts, Embase, Medline PubMed, PsychInfo, PTSD Publications, SCOPUS, Social Services Abstracts, Social Work Reference Center, SocINDEX, Sociological Abstracts, and Web of Science were systematically searched for English-language publications with no restrictions on the year of publication. As a result, 14 articles and 5 book chapters (empirical studies and reviews) on interventions were included in this review. Synthesized findings highlight the awareness and meaning of RJ, significance of community, goals and outcomes of RJ, timing of program implementation, and what types of IPV cases are best suited for RJ. Additionally, the review describes current research gaps as well as the challenges and barriers of implementing RJ interventions.
Experiences of Jewish and Arab Healthcare Practitioners Treating Terrorists in Israel
Authors: Keshet Yael , Popper-Giveon Ariela
Published: October 2020

The growing number of terror attacks worldwide draws attention to the difficulties that healthcare practitioners experience when they treat terrorists or suspected terrorists. Research literature on the challenges faced by healthcare practitioners treating terrorists in conflict areas is limited. In-depth interviews were conducted during 2016–2017 with 50 Jewish and Arab healthcare practitioners (managers, physicians, and nurses) employed in 11 public hospitals in Israel, who treat Palestinian terrorists and security prisoners, in the context of a prolonged and violent national conflict. Jewish practitioners find it emotionally difficult to treat terrorists and security prisoners. They face an ethical dilemma when called upon to save the lives of those who took life and find themselves identifying with the victims. Arab practitioners identify with both sides of the conflict. Three coping strategies were described: maintaining a humanistic standpoint; adherence to a standard of detached professionalism; and refusal to treat terrorists and security prisoners.
Novas biotecnologias e recuperação de informações
Authors: Rodrigues Luan Christ
Published: October 2020

O trabalho tem como foco estudar a recuperação de informações públicas sobre pesquisas científicas envolvendo a biotecnologia CRISPR/Cas9 financiadas e disponíves na base de dados de agências de fomento, ambicionando pensar em condições para a justificação pública de aplicações biotecnológicas em sociedade. Utilizando-se o método de abordagem hipotético-dedutivo, estuda-se a biotecnologia CRISPR/Cas9 em um plano histórico-evolutivo em face de suas potencialidades à sociedade, englobando a reflexão sobre os aspectos éticos que permeiam seus respectivos riscos; recorre-se à técnica de análise de textos ou dados denominada Mineração de textos, para analisar a evolução de CRISPR/Cas9 no Brasil. Conclui-se que mecanismos como o Serviço de Informação ao Cidadão, regulamentados pela Lei de Acesso à Informação, em alguns casos, podem não ser eficientes para a recuperação de informações disponíveis junto às agências de fomento no Brasil.
A laicidade e o STF
Authors: Silva Filho Edson Vieira da , Barbosa Rodrigo Pedroso
Published: October 2020

A presente pesquisa empírica visa estudar as decisões do Supremo Tribunal Federal quanto a questões religiosas, com ênfase específica no conceito de laicidade e como este integra a fundamentação dos votos dos ministros. Para tanto, será realizada uma pesquisa empírica qualitativa e quantitativa, através da análise dos votos conforme disponibilizados na plataforma de consulta de jurisprudência do site internet do tribunal. Inicialmente, para este fim, serão analisados os votos e, descartando os não relevantes por erros de busca, criando-se uma classificação das decisões conforme critérios quanto à sua fundamentação. Tendo definido tais critérios, os votos serão classificados e, a partir de tal classificação, será analisado o perfil de voto dos ministros. Como hipótese inicial serão utilizados os votos proferidos na ADI 4439 pelos 11 ministros. Realizada tal pesquisa, concluiu-se que os ministros preferencialmente não apresentam esclarecimentos sobre o significado de laicidade em seu votos ou, em segundo lugar, apresenta esclarecimentos baseados em suas próprias convicções. Mais infrequentemente, é utilizado algum referencial para sustentar o significado. Diversos aspectos qualitativos foram identificados nos votos, além dos presentes nos objetivos iniciais, como uma tendência de aumento na frequência do tema da laicidade em ações junto à suprema corte. Quanto aos aspectos quantitativos, devido ao baixo número de ações (11) e votos (30), somente foi possível atingir um grau de confiança de 91,3% (p = 0,087213), relativamente baixo, porém significativo o suficiente para que a hipótese inicial não possa ser descartada.
The deterrent effects of Brazilian child labor law
Authors: Oliveira Cristiano Aguiar de , Machado Gabriel Costeira
Published: October 2020

Brazilian law prohibits all forms of work for children under the age of 14 years old. Therefore, work performed by children under 14 years of age is subject to sanctions that do not apply to work performed by those over 14 years of age. We use this quasi-experiment generated by Brazilian law to test the deterrent effects of such sanctions. For this purpose, we use the 2013 Pesquisa Nacional de Amostra por Domicílios (PNAD) data to estimate the local average treatment effects (LATE) using the regression discontinuity approach. The results indicate that on average, this law results in 88% fewer weekly working hours when individuals living in rural and urban areas are considered. The effects in rural areas are thus inconclusive. The paper concludes that the law has a deterrent effect and reduces child labor in Brazil, but the effects are ambiguous in rural areas, where law enforcement is weaker and more children work.
O núcleo de práticas jurídicas como instrumento de acesso à justiça cível
Authors: Borguezan Danielly , Bazzanella Sandro Luiz , Fernandes Carolina
Published: October 2020

A busca pelo acesso à justiça faz parte das transformações sociais que ocorreram na sociedade, conforme bem descrevem os períodos denominados de “ondas renovatórias”. Contudo, alguns obstáculos são enfrentados no caminho pela busca desta Justiça. Este artigo tem por escopo mostrar a importância do Núcleo de Práticas Jurídicas do curso de direito da Universidade do Contestado para a Comarca de Canoinhas/SC, como instrumento garantidor deste princípio. Neste diapasão, os usuários atendidos pelo núcleo são economicamente carentes e requerem atendimentos na área cível, além de respostas para questões jurídicas a serem sanadas por alunos e um docente advogado, professor orientador. A pesquisa tem o objetivo de coletar informações junto ao NPJ da Universidade do Contestado, campus Canoinhas/SC, o qual atua aproximadamente a 10 anos junto ao Curso de Direito, bem como, averiguar sua atuação e percepção do núcleo frente a comunidade usuária, e sua respectiva contribuição diante da formação dos acadêmicos, futuros operadores do direito. Neste sentido, a pesquisa foi exploratória, quanto a aplicação de questionários para acadêmicos e clientes com o intuito de verificar a atuação bem como confirmar se o NPJ possibilitou a contemplação do acesso a justiça na comunidade local por meio das ações propostas, e ainda, documental no que tange a análise de todos os registros processuais promovidos no decorrer dos anos de 2002 a 2016.
Case Report : Generalized Myasthenia Gravis
Authors: Widjaja Devita , Puspitasari Vivien
Published: October 2020

Generalized myasthenia gravis is a rare case of autoimmune wherein the antibodies destroy the post-sinaptic acetylcholine receptors at skeletal muscle’s neuromuscular junctions. The clinical presentation is specific distributin of motoric deficit without sensoric deficit which diminished with rest and worsens with excessive use. We report a case of a woman 52 yo with symptoms of ptosis, diplopia and dificulty of swallowing. Repetitive nerve stimulation showed >10% decrement and prostigmin test was positive. The patient was treated and showed clinical improvement.
Case Series : Operative vs Non-Operative Management in Grade III Pancreatic Injury
Authors: Irawan Andry , Clinton Clinton , D Sutanto , F Agustina
Published: October 2020

Introduction: Pancreatic injury is a rare case, caused by blunt or sharp trauma. Difficulty in making diagnose on pancreatic trauma cases are associated with high mortality, and the treatment can be either operative or conservatively. However, It is still unclear which treatment is more favorable.

Case: We present 2 cases of Grade III pancreatic injury with stable hemodynamic who suffered bicycle accident. First case, 12-year-old boy complaining severe pain on the upper left abdomen (VAS 9-10) and get worsening by time, with vomiting. The patient underwent distal Pancreatectomy-Splenectomy. Second case, 8-year-old boy complaining of pain on the upper left abdomen (VAS 6-7) without extension on whole abdominal region with vomiting and fever. The patient was treated conservatively. In both cases, patient was discharged with improvement. However, about 3 months later patients who were treated conservatively developed into a pseudocyst.

Conclusion: The selection of management in grade III pancreatic injury can be operative or conservative depending on clinical findings such as hemodynamic condition and the quality of abdominal pain. But the occurrence of pseudocysts pancreas is another surgical challenge.
THE EFFECTIVENESS OF COGNITIVE BEHAVIORAL THERAPY TO REDUCE TUBERCULOSIS SELF-STIGMA: A LITERATURE REVIEW
Authors: Mulyana Rezky
Published: October 2020

Tuberculosis is an infectious disease with severe stigma. It is estimated that half of TBC patients have experienced internalization of stigma due to negative stereotypes from their community. The purpose of this review article review was to determine and to assess the effectiveness of cognitive behavioral therapy in reducing tuberculosis self-stigma. PRISMA flow diagram was used to show papers reviewed. Database used consisted of ProQuest, Science Direct, PubMed, Research Gate, Springer Link, and Google Scholar using keywords: CBT, AND Self Stigma, Cognitive behavioral therapy to reduce self stigma, CBT OR Self Stigma, Self-stigma AND CBT Intervention. articles published in English m 2003 to 2018 discussing HIV-related stigma and discrimination on patients with TB. Out of 15245 articles retrieved, 6% (4 articles) were reviewed. This review article using Downs and Black scale apprised the quality of the selected articles. Analysis method used thematic analysis and found stigma intervention as a theme. The results found four studies about the effectiveness of cognitive behavioral study and one study comparing cognitive behavioral therapy with psychoeducational (PE) found to be more helpful than CBT intervention. In another article showed more than a half of the sample (50%) from studies indicated that cognitive behavioral therapy can reduce self-stigma. Using cognitive behavioral therapy is effective for helping TBC patients to change negative beliefs and reframe their beliefs about their illness and the effect can help to reduce self-stigma.
SELF-CARE AGENCY IMPROVES PERSONAL HYGIENE OF ELDERLY IN A NURSING HOME IN BINJAI [SELF-CARE AGENCY MENINGKATKAN PERSONAL HYGIENE PADA LANSIA DI PANTI WERDA BINJAI]
Authors: Simorangkir Lindawati , Sinaga Endang
Published: October 2020

The Self-Care Agency role is to increase knowledge with changing attitudes in driving the elderly to be more aware of the importance of personal hygiene in their daily lives. One attempt in the prevention of disease in the elderly is by doing personal hygiene so that the elderly can better feel comfort, safety and well-being. This study aimed to determine the effect of Self-Care Agency to the personal hygiene of the elderly in nursing home Binjai. The design study is Quasi-Experimental Design Time Series, with the approach of One Group Pre Post Test Design. Sampling was done by purposive sampling with a sample of 30 respondents. Research results pre intervention personal hygiene less category as much as 73%, and post intervention personal hygiene category of "good" as much as 53.3%. Based on the results of the Wilcoxon test showed that the self-care agency signifikat to improving the personal hygiene of the elderly in Panti Werda Binjai, with p value = 0.001. Low personal hygiene of the elderly in nursing home Binjai due to lack of awareness of the importance of self care. It is necessary innovations in providing nursing interventions, assistance, support and cooperation with the nursing home attendant in improving personal hygiene of the elderly.

BAHASA INDONESIA Self-Care Agency berperan untuk meningkatkan pengetahuan dengan mengubah sikap dalam mengarahkan lansia untuk lebih menyadari pentingnya melakukan personal hygiene didalam kehidupan sehari-harinya. Salah satu usaha pencegahan penyakit pada lansia dengan melakukan personal hygiene sehingga lansia dapat merasakan kenyamanan, keamanan dan kesejahteraan yang lebih baik. Penelitian ini bertujuan untuk mengetahui pengaruh Self-Care Agency terhadap personal hygiene lansia di Panti Werda Binjai. Desain penelitian yang digunakan Quasi Experimental Time Series Design, dengan pendekatan One Group Pre Post Test Design. Pengambilan sampel dilakukan dengan dengan purposive sampling dengan besar sampel 30 responden. Hasil penelitan pre intervensi personal hygiene kategori kurang sebanyak 73%, dan post intervensi personal hygiene kategori “baik” sebanyak 53,3%. Berdasarkan hasil uji Wilcoxon memperlihatkan bahwa Self-care agency signifikan terhadap peningkatan personal hygiene lansia di Panti Werda Binjai, dengan nilai p value = 0,001. Personal hygiene yang rendah pada lansia di Panti werda Binjai disebabkan kurangnya kesadaran pentingnya perawatan diri. Maka perlu inovasi dalam memberikan intervensi keperawatan, pendampingan, dukungan dan kerjasama dengan petugas panti werda dalam meningkatkan personal hygiene lansia.
UTILIZING YOUTUBE TO DEVELOP NURSING STUDENTS’ AUTONOMOUS LEARNING AND LISTENING COMPREHENSION: AN EXPERIMENTAL STUDY
Authors: Recard Michael , Sembel Sandra , Hasibuan Shinta
Published: October 2020

Industrial Revolution (IR) 4.0. is about dealing with digital-native students  and developing autonomous learning. One possible strategy to deal with these issues is using YouTube as a tool for English language learning. There have been some studies discussing the effectiveness of using it, yet we still have niches; for instance, deeper and wider contexts and respondents. Thus, this study aims to examine students’ autonomy over their learning and whether YouTube can develop the listening comprehension skills of nursing students in a Faculty of Nursing in Tangerang. To achieve the first aim, quantitative and qualitative studies were conducted, while for the second aim, an experimental study was used. The experimental study involved an experimental group consisting of 16 students and a control group consisting of 16 students. The result shows that the participants consider YouTube as a useful support to develop their autonomy in learning English and YouTube video has been successful to develop their listening skills.
LITERATURE REVIEW: PERCEPTION AND QUALITY OF WOMEN'S LIFE WITH INFERTILITY [KAJIAN LITERATUR: PERSEPSI DAN KUALITAS HIDUP PEREMPUAN DENGAN INFERTILITAS]
Authors: Ingrit Belet Lydia
Published: October 2020

Infertility is the failure to get a pregnancy after at least one year of sexual intercourse without using contraception. Many efforts that have been made by infertil women to get pregnant but not a few have failed treatment. Perception will affect the adaptation and quality of life of a woman. Therefore the purpose of this literature review is to explore perceptions and quality of life of women with infertility. Research articles were obtained from two databases namely EBSCO and Google Scholar. Literature search uses keywords (Indonesian and English), namely Perception and quality of life of women with infertility with inclusion criteria for research articles from 2009-2019, primary articles, full text and research subjects are infertil women (both primary and secondary). From 464 research articles, six articles were reviewed that met all the inclusion criteria and objectives of this literature review. Six articles obtained were then made critical appraisals which were then analyzed using simplified thematic analysis. The theme that emerged from this literature review was the negative impact, quality of life and handling of infertility. Based on the results of the review of this article, it is necessary to support both social and emotional systems for infertility women to achieve a better quality of life.

BAHASA INDONESIA ABSTRAK: Infertilitas adalah kegagalan untuk mendapatkan kehamilan setelah setidaknya satu tahun berhubungan seksual tanpa menggunakan alat kontrasepsi. Banyak upaya yang sudah dilakukan perempuan infertil untuk bisa hamil namun tidak sedikit yang gagal dalam pengobatan. Persepsi akan memengaruhi adaptasi dan kualitas hidup seorang perempuan. Oleh karena itu tujuan kajian literatur ini adalah untuk menggali persepsi dan kualitas hidup peremuan dengan infertil. Artikel penelitian didapatkan dari dua database yaitu EBSCO dan Google Scholar. Pencarian literatur menggunakan kata kunci (bahasa Indonesia dan bahasa Inggris) yaitu persepsi (Perception) dan kualitas hidup perempuan dengan infertilitas (Quality of life women with infertility) dengan kriteria inklusi artikel penelitian dari tahun 2009-2019, artikel primer, fulltext dan subjek penelitian adalah perempuan infertil (baik primer maupun sekunder). Dari 464 artikel penelitian didapatkan enam artikel yang direview yang memenuhi semua kriteria inklusi dan tujuan dari kajian literatur ini. Enam artikel yang didapatkan kemudian dilakukan penilaian kritis (critical appraisal) yang kemudian dianalisis menggunakan simplified thematic analysis. Tema yang muncul dari kajian literatur ini adalah dampak negatif, kualitas hidup dan penanganan infertilitas. Berdasarkan hasil review artikel ini, dibutuhkan support system baik sosial maupun emosional bagi perempuan infertilitas untuk mencapai kualitas hidup yang lebih baik.

 
EĞİTSEL OYUN, OKUMA-YAZMA-OYUN VE OKUMA-YAZMA-UYGULAMA YÖNTEMLERİNİN ÖĞRENME PROBLEMLERİNİ GİDERMEDEKİ ETKİSİ
Authors: YILDIZ Emre , ŞİMŞEK Ümit
Published: October 2020

Bu araştırmanın amacı, öğrencilerin öğrenme problemleri yaşadıkları “Madde ve Değişim” ünitesinin öğretiminde uygulanan eğitsel oyun, okuma-yazma-oyun, okuma-yazma-uygulama ve programa dayalı öğretim yöntemlerinin öğrencilerin akademik başarı, motivasyon, kaygı ve bilgilerinin kalıcılığına etkisini incelemektir. Araştırmada deneysel desenlerden öntest-sontest kontrol gruplu yarı deneysel desen kullanılmıştır. Araştırmada Erzurum ili merkezinde bir devlet ortaokuluna devam eden 149 beşinci sınıf öğrencisi ile çalışılmıştır. Verilerin toplanmasında önbilgi testi, akademik başarı testi, motivasyon ölçeği, kaygı ölçeği ve kalıcılık testi kullanılmıştır. Verilerin parametrik testlerin uygulanmasına uygun olduğu tespit edildiğinden analizlerde tek yönlü ANOVA kullanılmıştır. Uygulama sonunda öğrencilerin akademik başarıları bakımından eğitsel oyun ve programa dayalı öğretim uygulanan öğrenciler arasında eğitsel oyun yöntemi uygulanan öğrenciler lehine anlamlı farklılığın olduğu belirlenmiştir. Öğrencilerin öğrenme motivasyonları açısından eğitsel oyun, okuma-yazma-oyun ve programa dayalı öğretim uygulanan öğrenciler arasında eğitsel oyun yöntemi uygulanan öğrenciler lehine anlamlı fark olduğu belirlenmiştir. Öğrencilerin öğrenme kaygıları açısından tüm yöntemler arasına eğitsel oyun yöntemi lehine ve okuma-yazma-uygulama ve programa dayalı öğretim uygulanan öğrenciler arasında okuma-yazma-uygulama yöntemi lehine anlamlı fark olduğu belirlenmiştir. Bilgilerin kalıcılığı açısından tüm yöntemler arasında eğitsel oyun yöntemi uygulanan öğrenciler lehine anlamlı fark olduğu tespit edilmiştir. Sonuç olarak eğitsel oyun yönteminin öğrencilerin yaşadıkları öğrenme problemlerinin giderilmesinde daha etkili olduğu belirlenmiştir.
YABANCI DİL SON SINIF ÖĞRENCİLERİNİN OKUMA ALIŞKANLIKLARI ÜZERİNE DURUM TESPİTİ ÇALIŞMASI
Authors: GÖÇERLER Harun
Published: October 2020

Edebiyat fakültesi öğrencilerinden gerek entelektüel gelişimleri açıdan içsel bir faktör olarak, gerekse okudukları bölümün bir gereği olarak belirli düzeyde okuma alışkanlığına sahip olmaları beklenir. Söz konusu olan yabancı dil edebiyat bölümü öğrencileri ise, aynı zamanda yabancı dilde kitap ve metin türlerinin de okunması gerekliliği dil bölümü öğrencilerinden beklentinin bir kat daha arttığı anlamına gelmektedir. Bu görüşlerden yola çıkarak bu çalışmada Alman, Fransız ve İngiliz dili ve edebiyatı bölümü son sınıf öğrencilerinden oluşan 107 katılımcıya gerek ana dillerinde gerekse öğrenimini aldıkları yabancı dildeki okuma alışkanlıkları hakkında fikir edinebilmek amacıyla 12 sorudan oluşan bir anket uygulaması yapılmıştır. Betimleyici tarama modelinin temel alındığı çalışmada sorular nitel ve nicel türde hazırlanmıştır. Anketlerden elde edilen veriler, öğrencilerin hem ana dilde hem de öğrenimini gördükleri yabancı dilde çok okur ve orta seviyede okur kategorisine girdiğini göstermektedir. Fakat ana dilde ve yabancı dilde okunan metin türleri birbirinden farklılık göstermektedir. Öğrenciler ana dilinde daha çok basılı yayın olarak roman okuma eğiliminde iken, yabancı dilde okudukları farklı metin türlerini dijital ortamda okumayı tercih etmektedir. Yabancı dilde okuma yapılmasının en büyük sebeplerinden biri de yabancı dil bilgisini geliştirmektir. Bunun yanında edebiyat bölümü öğrencilerini okumaya en çok teşvik edenin derslerine giren öğretim elemanları olduğu tespit edilmiştir. Anketten elde edilen en önemli sonuçlardan biri de öğrencilerin okuyacakları metni kendilerinin seçmek istemesidir. Ders icabı zorla metin okumaktan zevk almadığını ve bunu gereksiz bulduğunu belirten öğrenci sayısı toplam katılımcıların yarısına yakındır.
Factores de riesgo de depresión post ictus isquémico
Authors: Herrera Mercedes , Lama Jaime , De-la-Cruz Jhony
Published: October 2020

Objetivo: Identificar los factores de riesgo de depresión post ictus isquémico (DPI) en pacientes adultos. Material y métodos: Estudio tipo caso y control no pareado. Se incluyeron 81 casos y 81 controles de pacientes del consultorio externo de neurología del Hospital Santa Rosa de Lima, atendidos entre setiembre y diciembre del 2018. Se registraron variables clínicas y epidemiológicas mediante una ficha de datos. Para el diagnóstico de depresión se empleó la Hamilton Depression Rating Scale (HDRS). Se establecieron asociaciones mediante el cálculo de los Odds Ratio (OR) con intervalos de confianza del 95% (IC). Se compararon los casos y controles usando un análisis multivariado de regresión logística. Resultados: Las variables asociadas con DPI fueron: tabaquismo (OR=4,67; IC95%, 1,99-10,92, p<0,001), lesión localizada en el hemisferio izquierdo (OR=3,11; IC 95%, 1,41-6,84, p=0,005) y deterioro cognitivo (OR=3,18; IC95%, 1,42-7,10, p=0,005). Conclusiones: En pacientes con antecedente de ictus isquémico, el tabaquismo, la localización de la lesión en el hemisferio cerebral izquierdo y el deterioro cognitivo, se asociaron con un mayor riesgo de depresión. Se necesitan estudios adicionales para definir mejor la naturaleza de dichas asociaciones.
Hubungan Kebiasaan Membaca Label Gizi Dengan Kejadian Hipertensi Pada Wanita Usia 40 Tahun
Authors: Fauziyyah Masyita Resti Nur , Ady Dea Dellyana Wahyutia
Published: October 2020

Latar Belakang: Label gizi merupakan salah satu label pangan yang harus dicantumkan pada kemasan produk dengan tujuan untuk melindungi konsumen dalam memilih makanan yang aman. Kebiasaan membaca label gizi dapat mempengaruhi asupan zat gizi. Kebiasaan dalam membaca label gizi lebih banyak diterapkan oleh  wanita, akan tetapi hal ini tidak digunakan untuk memutuskan pemilihan makanan kemasan. Hipertensi banyak terjadi pada wanita usia 40-60 tahun yang disebabkan karena asupan natrium yang berlebih.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan kebiasaan membaca label gizi dengan kejadian hipertensi pada wanita usia 40 tahun.Metode: Penelitian ini merupakan penelitian observasional dengan desain cross sectional dengan. Sampel penelitian ini adalah sebesar 70 orang. Penelitian ini dilakukan selama 3 hari untuk pengisian kuesioner. Pengukuran tekanan darah dilakukan pada hari pertama. Data kebiasaan membaca label gizi didapatkan melalui wawancara frekuensi membaca label gizi. Uji statistik yang dilakukan yaitu uji chi square.Hasil: Hasil penelitian menunjukkan tidak adanya hubungan yang signifikan antara kebiasaan membaca label gizi dengan kejadian hipertensi (p=0,579)Kesimpulan: Kebiasaan membaca label gizi dengan kejadian hipertensi pada wanita usia 40 tahun tidak memiliki hubungan yang sigifikan.ABSTRACTBackground: Nutrition labels are one of the food labels that must be included on product packaging with the aim to protecting consumers to choose safe foods. Reading habit of nutritional labels can affect nutrient intake. Reading habit of nutritional labels usually applied by women, but this is not used to decide on food selection. Incidence of hypertension often occurs in women aged 40-60 years because sodium intake exceeds requirements.Objectives: This purpose of the research was to analyze the connectionsofreading habit of nutritional labels with incidence of hypertension in women aged ≥40 years.Methods: This research was an observational study with a cross sectional design. The sample of this research was 70 people. This research was conducted for 3 days for filling out the questionnaire. Blood pressure measurement is done on the first day. Data reading habit of nutrition label obtained from interviews frequency of reading nutrition labels. The statistical test performed was the chi square test.Results: The results showed there was a correlation between the reading habit of nutritional labels with the incidence of hypertension (p = 0.579)Conclusions: Reading habit of nutritional labels with the incidence of hypertension in women aged ≥40 years does not have a significant relationship.
STUDI FENOMENOLOGI PENGEMUDI OJEK ONLINE PEREMPUAN DI KOTA BANDUNG DALAM KAJIAN FEMINISME
Authors: Verasatiwi Irma , Wulan Roro Retno
Published: October 2020

In today's era of modernization, women prefer to work rather than just housewives, although the workthey choose is not suitable for women. Stereotypes in societies that still assume that women areunsuited for work are increasingly faded by women themselves. They demonstrate the existence andquality of self in order to be accepted in society and to get the recognition that they are worth equallyby men. The development of the world of technology that increasingly facilitate the community indoing all activities to make other aspects of progress as well, including ease in the world oftransportation. Currently, people easily order transportation such as taxis and motorcycles only byusing the application. It is also what motivates women to show the existence and quality of self in theenvironment by doing a profession commonly done by men, which is an online motorcycle taxi driver.Although initially it is considered taboo, but the online motorcycle taxi drivers increasingly prove thatit is not feasible to be a parameter in assessing women.