bluuebunny/crossref_metadata_2025 huggingface dataset:
A Night Float System in Nephrology Fellowship: A Mixed Methods Evaluation
Authors: Plotkin Jennifer B. , Xu Eric J. , Fine Derek M. , Knicely Daphne H. , Sperati C. John , Sozio Stephen M.
Published: May 2020

Background

Johns Hopkins was an early adopter of an in-house nephrology fellowship night float to improve work-life balance. Our study aimed to elucidate attitudes to guide fellowship structuring.

Methods

We performed a mixed-methods study surveying Johns Hopkins fellows, alumni, and faculty and conducting one focus group of current fellows. Surveys were developed through literature review, queried on a five-point Likert scale, and analyzed with t and ANOVA tests. The focus group transcript was analyzed by two independent reviewers.

Results

Survey response rates were 14 (100%) fellows, 32 (91%) alumni, and 17 (94%) faculty. All groups felt quality of patient care was good to excellent with no significant differences among groups (range of means [SD], 4.1 [0.7]–4.6 [0.7]; P=0.12), although fellows had a statistically significantly more positive view than faculty on autonomy (4.6 [0.5] versus 4.1 [0.3]; P=0.006). Fellows perceived a positive effect across all domains of night float on the day team experience (range, 4.2 [0.8]–4.6 [0.6]; P<0.001 compared with neutral effect). Focus group themes included patient care, care continuity, professional development, wellness, and structural components. One fellow said, “…my bias is that every program would switch to a night float system if they could.” All groups were satisfied with night float with 4.7 [0.5], 4.2 [0.8], and 4.0 [0.9] for fellows, faculty, and alumni, respectively; fellows were most enthusiastic (P=0.03). All three groups preferred night float, and fellows did so unanimously.

Conclusions

Night float was well liked and enhanced the perceived daytime fellow experience. Alumni and faculty were positive about night float, although less so, possibly due to concerns for adequate preparation to handle overnight calls after graduation. Night float implementation at other nephrology programs should be considered based on program resources; such changes should be assessed by similar methods.
Interactions between FGF23 and Genotype in Autosomal Dominant Polycystic Kidney Disease
Authors: Grau Laura , Gitomer Berenice , McNair Bryan , Wolf Myles , Harris Peter , Brosnahan Godela , Torres Vicente , Steinman Theodore , Yu Alan , Chapman Arlene , Chonchol Michel , Nowak Kristen L.
Published: May 2020

Background

Higher serum intact fibroblast growth factor 23 (iFGF23) was associated with disease progression in participants with autosomal dominant polycystic kidney disease (ADPKD) in the HALT-PKD Studies. PKD mutation is also an important determinant of progression. We hypothesized that serum levels of iFGF23 and vitamin D metabolites (1,25-dihydroxyvitamin D [1,25(OH)2D] and 25-hydroxyvitamin D [25[OH]D]) differ according to ADPKD mutation and differentially predict clinical end points according to genotype (significant interaction between genotype and mineral metabolites).

Methods

A total of 864 individuals with ADPKD who participated in the HALT-PKD Study A or B and had measurements of mineral metabolites (1,25[OH]2D, 25[OH]D, iFGF23) were categorized by PKD mutation (PKD1 truncating, PKD1 nontruncating, PKD2, or no mutation detected [NMD]). The association of the interactions of genotype × iFGF23, genotype × 1,25(OH)2D, and genotype × 25(OH)D with (1) annualized change in eGFR; (2) mean annualized percentage change in height-corrected total kidney volume (Study A only); and (3) time to a composite of 50% reduction in eGFR, ESKD, or death were evaluated using linear regression and Cox proportional hazards regression.

Results

Median (interquartile range) iFGF23 differed (PKD1 truncating, 55.8 [40.7–76.8]; PKD1 nontruncating, 49.9 [37.7–71.0]; PKD2, 49.0 [33.8–70.5]; NMD, 50.3 [39.7–67.4] pg/ml; P=0.03) and mean±SD 1,25(OH)2D differed (PKD1 truncating, 32.8±12.8; PKD1 nontruncating, 33.4±12.5; PKD2, 34.1±13.1; NMD, 38.0±14.6 pg/ml; P=0.02) according to PKD genotype. There was a significant interaction between iFGF23 and genotype (P=0.02) for the composite end point in fully adjusted models, but no significant interaction between 1,25(OH)2D or 25(OH)D and genotype for clinical end points.

Conclusions

ADPKD genotype interacts significantly with FGF23 to influence clinical end points. Whereas the worst outcomes were in individuals with a PKD1-truncating or -nontruncating mutation and the highest iFGF23 tertile, risk of the composite end point differed according to iFGF23 the most in the PKD1-nontruncating and PKD2 groups.
Socio-Eonomic Status of Online Shoppers and its Associated Factors in Bangladesh
Authors: Kamruzzaman A H M , Rahman Shahnaz , Islam Md. Kariul , Mostafizur Rahman Dr. Mohammad , Alam Md. Mahamudul , Ali Dr. Md. Shukur , Rahman Akanda SAM Ziaur
Published: May 2020

Background: Now a day,online shopping became easy and most suitable mode for shoppers. The internet has changed the way of consumers store and has rapidly developed into a global perspective.Online shopping has started in Bangladesh, but consumers are not much familiar with the term yet to go online shopping frequently.We have not enough data regarding the socio-economic status and behavior of online shoppers of Bangladesh.

Aim of the study: This study was conducted to evaluate the socio-economic status and behavior of online shoppers in Bangladesh.

Methods: Data from 200 population segments of the Bangladeshi consumers was collected by self-administrated and structured questionnaire. We employed factor analyses,along with other Exploratory Data Evaluation methods to explain the variance in response.
Biogeography of Medically Important Insects using Quantitative Analysis
Authors: Shen Qi , You Zhixing , Ma Xiaojing , Shen Xiaocheng
Published: May 2020

We summarized distributional information of medically important insects from 76 families and 4531 genera occurring worldwide. The continents were divided into 67 basic geographical units. Using a new similarity formula and a new clustering method for quantitative analysis, 67 basic geographical units were clustered into 7 large unit groups and 20 small unit groups. The results were superior to the traditional single linkage method, average group linkage method, or sum of squares method. The cluster results were similar with the result of mainly phytophagous insects 104,344 genera in the world, but were different from the Wallace’s mammal geographical division scheme. Based on these seemingly contradictory results, we infer that animals, insect and plants may have the same distribution pattern and that it is necessary to conduct precise quantitative analysis for animals and plants worldwide.
Performance of Avian Influenza Surveillance System, Ogun State Nigeria, 2015-2019
Authors: Shorunke Folajimi. O. , Usman Aisha , Olanrewaju Tade Adeniyi , Waziri Ndadilnasiya Endie , Grace S. N.
Published: May 2020

Background: In 2019, two Highly pathogenic avian influenza (HPAI) A(H5N8) outbreaks in poultry establishments in Bulgaria, two of wild birds in Denmark and one low pathogenic avian influenza (LPAI) A(H5N3) in captive birds in the Netherlands were reported. Nigeria recorded the first outbreak of Highly Pathogenic Avian Influenza (HPAI) in February 2006 in a commercial poultry farm. Nigerian Pandemic Preparedness and Action Plan for Avian Influenza were then used to respond. Although influenza sentinel surveillance has been established in several African countries including Nigeria, data about the performance of established surveillance systems are limited on the continent. We described the avian influenza (AI) surveillance system in Ogun State, accessed veterinary health workers and farmers knowledge, evaluated all its attributes and made recommendations to improve the AI surveillance system.
Methods: We adopted 2001 CDC Updated Guidelines for Evaluating Public Health Surveillance Systems. We reviewed and analyzed passive surveillance data from Ogun State Ministry of Agric, key informant interviews were conducted for relevant stakeholders at the state level and Local Government divisional veterinary clinics and farms to obtain additional information on the operations of the system.
Analysis of Weibull and Poisson Distribution use in Medium Voltage Circuit Breakers RUL Assessment
Authors: Stevanovic Dragan
Published: May 2020

In this paper, Weibull and Poisson distribution calculation are carried out with new data to conclude a conclusion are they suitable for circuit breakers remaining useful life assessment (RUL). Old data are covering a 10 years period consisting of measured voltage drop on CB contacts and number of tripped short circuit faults. In this paper, new data, from the last 3 years, would be used to make a comparison with old data and make conclusions have been probability distributions correctly chosen.
Failure Prediction of Induction Motors: A Case Study using CSLGH900/6-214, 5.8 MW, 11 kV/3ph/50 Hz Sag Mill Motor at Goldfields, Damang Mine
Authors: Amuzuvi C. K. , Warden H.
Published: May 2020

This paper proposes a generalised feed-forward artificial neural network model that fulfils the failure prediction of a three phase 5.8MW, 11 kV Slip-Ring SAG Mill Induction Motor at Goldfields Ghana Limited, Damang Mine. It provides a general understanding of three phase induction motors,faults associated with induction motors and also emphasizes the use of intelligent systems, particularly artificial neural network, a modern failure prediction technology of induction motors. Site analysis and motor data (Current, Power and Winding Temperatures) collection were conducted at the Damang Mine. Simulation results are presented using MATLAB software (2017a) package to develop the fault prediction model. The proposed feed-forward neural network used the Levenberg-Marquardt and Bayesian Regularisation in training.
A Regression Analysis on the Covid-19 Transmission
Authors: L. Light Gregory
Published: May 2020

This note applies least-squares regression to a cross-section comparison of the total infection numbers of COVID-19 as of a particular date among the fifty states of America to investigate any underlying factors; we also check the Gaussian normality of the time progression of the infection rate.
Impulse Delay in the Cardiac Conduction System
Authors: F. E Nzerem , H. C Ugorji
Published: May 2020

The physiology or otherwise of blood circulation is predicated on the electrical conduction of the heart. As a rule electrical impulse suffusing the cardiac cells, just like all time-dependent phenomena, transmits with a modicum of time delay. Such delay may be physiological (benign) or pathological; the later is seen as a cardiac liability. This paper treated impulse conduction delay in the cardiac system. A set of matrices resulting from the graph theoretic description of the conduction system was generated and fitted into a continuous time invariant state-space delay equation, and a state-transition matrix solution was sought. An input control-based minimization scheme by which ensuing deleteriousness of pathological delay could be assuaged was proposed.
Analysis of geometrical layout of tram tracks based on the railway methods
Authors: Szmagliński Jacek
Published: May 2020

The paper describes problems occurring during travelling by trams over curves. It was determined that stong jerks occur as a result of the lack of analysis of kinematic parameters on curves and changes in the construction scheme of trams. A proposal for a computational methodology has been given. Calculations of kinematic parameters were carried out for typical geometric layouts in accordance with the Polish Guidelines.
The analysis of the rail accessibility to the health resorts in the Dolnośląskie and Malopolskie voivodships
Authors: Grzegorek Michal
Published: May 2020

The article concerns railway access to spas of two voivodeships in the southern part of Poland. The author conducted surveys in spas to identify traits that in the eyes of the patients are developmental factors of the railway. The content of railway timetables in terms of travel time to spas and frequency of connections was also analyzed. The idea of an original typology of health resorts is being developed in terms of accessibility by rail. Four types of spas were distinguished: neighborly communication, poor reachability, unused opportunity and tourist expansion.
Dangerous materials in intermodal transport
Authors: Zielaskiewicz Henryk
Published: May 2020

The article presents issues related to the transport of hazardous materials in intermodal transport. Attention has been paid to intermodal units used for mass transport of liquid goods with various modes of transport, which are mostly considered as hazardous materials. Next, the state of intermodal terminals in Poland was discussed, and then the legal status and applicable regulations were referred to. Current trends and perspectives in the development of the transport of hazardous materials in intermodal transport were indicated.
Two-way Hertzian spring in numerical analysis of coupled train-track system vibrations
Authors: Bryja Danuta , Chojnacki Wojciech
Published: May 2020

The paper presents and compares two methods for simulation the train-track system vibrations, differing in the wheel-rail contact model used. In the first method, two-way Hertzian spring is used, in the second – a non-deformable constraint. In both methods, a flat computational model is assumed, consisting of an Euler-Bernoulli beam resting on a Winkler-type elastic foundation with damping and a set of rail vehicles modeled by dynamic systems with ten degrees of freedom. The results of numerical analysis are presented, in order to determine an influence of the contact constraints’ deformability on the vibration simulations. It is found that the replacement of non-deformable contact constraints by two-way Hertzian springs has no significant effect on track vibration simulations and has a little effect on vibration simulations of vehicle body and bogie. The developed simulation method can be used for numerical studies of the phenomenon of instantaneous detachments of wheels from rails, after minor modifications directed to introduce one-way Hertzian springs (i.e. not carrying tensile forces) being a more accurate contact model.
Response of short span bridges under mooving high-speed train
Authors: Podworna Monika
Published: May 2020

The paper presents a comparison of dynamic responses of bridges with different dynamic characteristics to a quasi-real mobile load. Different bridge – track – train (moving at high speed) systems were analyzed. The system is ballasted monotrack. The model of the bridge is a 15-meter beam simple-supported with a steel structure. The load model is represented by the Shinkansen train. The results are compared with very simplified load models, such as streams of concentrated forces, concentrated masses, one-mass oscillators and two-mass oscillators.
Dynamic systems for the analysis of the behavior of geosynthetics in railway engineering structures
Authors: Mieloszyk Eligiusz , Milewska Anita , Grulkowski Slawomir
Published: May 2020

While interacting with the elements of the engineering structures, geosynthetics can be treated as elastic membranes or shells placed on different types of foundation. Modeling of the real system takes into account the most important properties of the system and its elements. We will develop a physical and mathematical model in a form of generalized dynamic system. The mathematical description will use different operators leading to a continuous distributed system. The modeling will be further modified by development of discrete dynamic systems, which is enabled by the theory of generalized dynamic systems. This approach allows for the analysis of the problem with continuous and discrete signals. The results will show the response of the analyzed systems with analytic, numerical or hybrid methods.
Vibrations of the plate with elastic core resting on the Winkler foundation caused by a moving oscillator
Authors: Ataman Magdalena , Szczesniak Waclaw
Published: May 2020

In the paper a structure consisting of two Kirchhoff plates connected by an elastic Winkler layer is considered. The structure rests on the Winkler foundation and is subjected to a one-mass visco-elastic oscillator, moving at a constant speed on the upper plate, parallel to one of the plate sides. Forced and free vibrations of the plates and the oscillator are analysed. In the case of such a complex system vibration of the plates is described by two coupled differential equations, or one differential equation with elevated order. In addition, due to the nature of the moving load (inertial load), these equations have variable, time-dependent coefficients. The solutions are illustrated by numerical examples.
Change of constraints in rope articulated structures
Authors: Szczesniak Waclaw , Ataman Magdalena
Published: May 2020

In the paper four examples of two-dimensional and three-dimensional material systems, in which some of constraints were suddenly removed, are analyzed. A simple structure consisting of two ropes and a particle, a spatial structure consisting of three weightless ropes and a particle, and a beam suspended on two ropes and a circular shield, also suspended on two ropes, were analyzed. In all cases one of the ropes was suddenly cut. Solutions were obtained by the analytical method, using the properties of the instantaneous center of acceleration. The obtained results are illustrated by diagrams of accelerations, angular accelerations and forces acting in the considered systems.
Developing a sustainable urban transport policy in the & eld of supply in the face of the latest challenges
Authors: Matusiewicz Maria
Published: May 2020

Transport of urban goods has a signifi cant impact on the lives of residents and the functioning of the local economy. At the same time, it creates numerous problems related to the impact on the environment and the surroundings. Thus, the distribution of goods in the city has a signifi cant impact on the lives of residents and tourists' impressions. Due to the fact that 25 percent EU emissions from transport come from urban areas, cities play a key role in mitigating the negative eff ects of transport. Many cities are currently implementing Sustainable Urban Mobility Plan (SUMP) that focus on people's mobility. In most cases, the distribution of goods is not mentioned in the SUMP or is mentioned briefl y. In the absence of clear guidelines for resolving urban transport issues, some cities have adopted various strategic documents and measures. In the absence of standardization of documents, it is diffi cult to compare them and determine the level of city advancement in the implementation of urban logistics measures. To overcome this problem, the EC initiated the concept of Sustainable Urban Logistics Plan (SULP). The article presents the structure and plan of implementing SULP.
Development of intermodal transport in the Kujawsko-Pomorskie Region on the example of construction of the intermodal terminal in Emilianowo
Authors: Szacillo Lucyna , Zielaskiewicz Henryk
Published: May 2020

Ones of the most important drivers of the country-wide logistics service performance are the number, quality and functionality of intermodal terminals. A systemic operational cooperation between node elements in the net of such facilities is crucial for the efficiency and environmental friendliness of the national logistic system. Moreover, looking from the perspective of national economy sustainable development, there is also a need to provide intermodal reloading services all over the county so creation of appropriate facilities in regions where they are missing is especially important. The Kujawsko-Pomorskie Region has favourable conditions for placement of logistic service infrastructure. Enterprise strategies should assume increased freight diversification as according to the EU transport policy 30% of long distance inland surface transport should be done with usage of environmentally friendly modes. Vast majority of freight is transported by roads. Construction of a new railway infrastructure, including intermodal terminals, should create new possibilities in the field of organization of physical distribution flows.
Electronic safety systems used on a vast railway area – operational problems
Authors: Dyduch Janusz , Pas Jacek , Jakubowski Krzysztof
Published: May 2020

The article presents issues related to the use of electronic security systems (ESB) on a vast railway area. These systems are operated in very different environmental conditions. Due to the fact that electrical and electronic systems coexist on the extensive railway area for various purposes - e.g. power supply systems for railway traction, rail traffic control systems (SRK), electronic security systems - fire alarm system (SSP), CCTV system (CCTV), access control system (SKD), a significant operational problem in addition to environmental changes in which the above-mentioned technical facilities are used, there is also the issue of electromagnetic compatibility. Depending on the area extent of the railway area, construction, technical configuration, way of alarming, safety classes of these systems may be different. In SSP there is another factor that affects the configuration of these systems, namely the so-called fire scenario and how to notify the State Fire Service (PSP) about an existing fire risk or damage. There are several different ESB structures - focused, distributed and mixed. The type of ESB used in a given railway facility - construction or open area is conditioned by its cubic capacity [m3], terrain extent [m2 or km2] and the number of supervised facilities. The use of a given type of ESB to ensure safety and fire protection in a given railway area also depends on the requirements of legal provisions for the object(s), the fire scenario that must be implemented by the system, legal requirements for the given protected area, the accepted scope of protection and the reliability and operational requirements to be met by these installations. The article presents basic issues related to ESB operation that are used in the selected railway area. The review of technical solutions of selected ESBs and the methodology of conducting the analysis for the purposes of developing, e.g. fire scenario or hazard analysis, presented in the article, will enable railway facility designers to properly develop design assumptions.
Developing Digital Rubrics of Six Tasks of KKNI IR 4.0-Based For TEFL Subject
Authors: Dewi Nora Ronita , Siregar Masitowarni , Saragih Anggraini Thesisia
Published: May 2020

This study is aimed at developing rubrics of six tasks of Teaching English as a Foreign Language (TEFL) the subject of the KKNI Industrial Revolution 4.0-based of an English Education Study Program at UNIMED. The objectives of this research are to analyze the rubrics of TEFL subject used at the 3rd semester of English Education Study Program and develop the appropriate KKNI rubrics based on the studentsâ€™ needs. This study is mainly focused on developing Critical Book Report, Critical Journal Report, Engineering Ideas, Mini Research, and Projects rubrics. Research and Development applied in this research and the results show that the rubrics used in the 3rd semester at English Education Study Program is developed through implementing the simplification of R&D. The rubrics indicated low competency for the students after analyzing the questionnaires given. New rubrics are designed to answer the needs of the students. Generally, the existing TEFL rubrics are less relevant for the needs of 3rd semester students. In terms of descriptor rubrics, they are not suitable with the needs of the Lesson Plan and the tasks of TEFL rubrics needed by the students are irrelevant for their needs where the topics or contents used in the course book are useful in the learning outcome of this subject.
Maintenance of Hokkien Language by Its Speakers in Medan
Authors: Wijaya Linda , Saragih Amrin , Zainuddin Zainuddin
Published: May 2020

Indonesia is famous for various culture that attracts many tourists from several part of the world to have a visit. Besides having numerous culture, Indonesia is flourished with different ethnics, too, such as the Javanese, the Bataknese, the Indian and the Chinese. Every ethnic speak with different language, but formally the national language is Indonesian language. In this study, the researcher, who derives from Chinese ethnic and resides in Medan, has taken interest in preserving her mother tongue which is Hokkien language. Hokkien language is an informal language which is used by the Hokkien speakers to communicate with one another. In maintaining language, the researcher focuses on the phenomena that happens lately, the researcher feels that Hokkien language is not important for some of the young family in Medan, they teach their children the other language that develops immensely throughout people life. Even though some still maintain Hokkien language, the researcher feels that children do not put any interest in speaking their mother tongue. This will give negative impact to the language existence. The problem in this study is concerned with factors influencing the preservation of Hokkien language. The presentation of the data described in qualitative descriptive method and this study conducted through field survey with interviews and observation. The findings revealed that there are two kinds of language maintenance between young speakers and old speakers. The former has lesser effort in maintaining the language, while the latter has stronger effort. Despite the difference, all of Hokkien speakers still make use of the language in their daily activities. Other factors are the language status of Hokkien language as the mother tongue as well as the identity of Hokkien ethnic, the pride of the culture, and the solidary among Hokkien speakers.
Language Attitude of Indonesian Workers in Cruise Ship Holland America Line
Authors: Williandani Mega , Ningsih Rahayu , Silalahi Mey Ramenawati
Published: May 2020

The term of language attitude is the feeling how people can respond to another language. This research explored the language attitude of Indonesian workers in Cruise Ship Holland America Line (HAL). It was aimed to investigate the characteristic of language attitude by Indonesian workersâ€™ especially in food and beverage department. The research use theory fromÂ GarvinÂ andÂ MathiotÂ (1968) there have three characteristics of language attitudes, language loyalty, pride of language, awareness of the language norm. This research conducted with descriptive qualitative research. The data of this study are the utterances of Indonesian workers in Cruise Ship Holland America Line (HAL). The source of data of this study was ten Indonesian workers at the food and beverage department. Interview was used to obtain the data. The result found that from ten participants, eight Indonesian workers showed negative language attitudes. The others have positive toward the Indonesian language. Realization of positive language attitudes influenced by friendship and place domain. Meanwhile, there were loyal to the Indonesian language by an informal situation to avoid negative thinking and respect each other among workers.
Local Wisdom on the Use of Minangkabau Proverbs Meaning Satire by the Minangkabau Community in Medan
Authors: Bahri Syamsul
Published: May 2020

The objective of this research is to know more aboutÂ  the complete description of Local Wisdom on the Use of the Minangkabu Proverb Meaning Satire by the Minangkabau Community in Medan. This research uses descriptive qualitative method which can be interpreted as a problem solving procedure that is investigated by describing the state of the object of research at the present time based on the facts that appear or as they are.The sample of this research limitedÂ  to 8 (eight) Minangkabau informants from the four Kotamatsum Kelurahan. After conducting this research, it was found that the use of the Minangkabau Proverb having meaningful satire by the Minangkabau Society in Medan was more dominant in the Social and Cultural context. This shows that the Minangkabau Society in social interaction with each other always uses a sentence that is decorated, especially the use of the proverbial Minangkabau meaning satire which aims at providing input, criticism and advice in accordance with religious aspects, customs and tradition which are held firmly by the Minangkabau community.
Students' Translation Use in English Foreign Language (EFL) Learning
Authors: Siregar Masitowani
Published: May 2020

The study was conducted to describe the studentsâ€™ translation use in English Foreign Language Learning (EFL). The subject of the study was 100 students English Educational Study Program Languages and Arts Faculty, Universitas Negeri Medan. 40 Students were selected as the sample. The instruments used to collect data were questionnaire and interview. The data analysis indicated that English Department Students as foreign language learners used translation activities during their learning process such as, to comprehend reading text, to write English texts, to speak English, to understand vocabularies, to understand English grammar, to understand idioms and phrases and to understand the instructions of teachers.Â  More attention should be given than to help the studentsâ€™ skills and understanding through the translation process.
Modifikasi Bola Plastik sebagai Media Pembelajaran Bola Voli
Authors: Yono Topo , Sodikin Fatraul Ali
Published: May 2020

Tujuan pendidikan membutuhkan fasilitas atau media pembelajaran sebagai alat pendukung dalam kegiatan belajar mengajar. Kurangnya bola voli membuat belajar kurang efektif dan efisien karena bola voli tidak seimbang dalam jumlah dengan siswa. Jadi, banyak siswa yang menganggur dan harus menunggu giliran mereka untuk belajar bola voli. Penelitian ini untuk mengetahui bagaimana membuat modifikasi bola plastik sebagai sarana pendukung media pembelajaran bola voli. Bola plastik yang dimodifikasi dengan berat 185 gram, ukuran bola 4, reflektifitas 83 cm dari 120 cm disediakan sebagai media solusi untuk pembelajaran voli. Metode yang digunakan adalah persiapan, implementasi, dan evaluasi. Belajar menggunakan media modifikasi bola plastik sangat membantu belajar dalam hal menyeimbangkan jumlah bola dengan siswa, bola mudah dimainkan menurut siswa sekolah dasar, dan sebagai alat pendukung pembelajaran.
Kebugaran Jasmani Mahasiswa Program Studi Pendidikan Olahraga Angkatan Pertama Universitas Muhammadiyah Jember
Authors: Sulaiman Ahmad
Published: May 2020

Tujuan penelitian ini untuk mengetahui tingkat kebugaran mahasiswa Program Studi Pendidikan Olahraga angkatan pertama Universitas Muhammadiyah Jember. Penelitian ini menggunakan pendekatan kuantitatif kategori non eksperimen dan termasuk jenis penelitian deskriptif. Teknik pengumpulan data kebugaran mahasiswa melalui Multistage Fitness Test (MFT) untuk mengetahui nilai VO2Max. Populasi dalam penelitian ini adalah mahasiswa aktif program studi Pendidikan Olahraga angkatan pertama Universitas Muhammadiyah Jember  berjumlah 27 mahasiswa. Teknik sampling yang digunakan total sampling. Teknik analisis data menggunakan prosentase berdasarkan norma kebugaran jasmani dari Davis dkk. Hasil penelitian menunjukkan bahwa tingkat kebugaran jasmani mahasiswa Program Studi Pendidikan Olahraga  angkatan pertama Universitas Muhammadiyah Jember termasuk kategori sedang.
Hubungan antara Daya Ledak Otot Lengan dan Daya Tahan Otot Lengan dengan Keterampilan Tolak Peluru Gaya Menyamping pada Peserta Didik Ekstrakurikuler SMP Muhammadiyah Pangkalpinang
Authors: Naviri Sinta , Firdausi Dzihan Khilmi Ayu , Oktarina Oktarina
Published: May 2020

Penelitian ini dilatar belakangi oleh hasil keterampilan tolak peluru gaya menyamoung pada peserta didik ekstrkurikuler SMP Muhammadiyah Pangkalpinang. Penelitian ini bertujuan untuk mengetahui ada tidaknya hubungan daya ledak otot lengan dan daya tahan otot lengan dengan keterampilan tolak peluru gaya menyamping pada peserta didik ekstrakurikuler SMP Muhammadiyah Pangkalpinang. Penelitian ini merupakan penelitian kuantitatif korelasional dengan instrumen tes dan pengukuran sampel dalam penelitian ini berjumlah 20 orang dan menggunakan sampling jenuh. Pengumpulan data daya ledak otot lengan menggunakan instrumen medicine ball, daya tahan otot lengan menggunakan push up, keterampilan tolak peluru gaya menyamping menggunakan tolak peluru. Teknik analisis data penelitian inni menggunakan uji normalitas, linieritas dan uji korelasi menggunakan product moment dengan taraf signifikan 5%. Berdasarksn hasil analisis data penelitian ini mengungkapkan bahwa ada hubungan yang signifikan antara daya ledak otot lengan dengan keterampilan tolak peluru gaya menyamping  (rhitung = 0,693 > rtabel =0,444), ada hubungan yang signifikan antara daya tahan otot lengan dengan keterampilan tolak peluru gaya menyamping (rhitung = 0,680 > rtabel = 0,444), ada hubungan yang signifikan antara daya ledak otot lengan dan daya tahan otot lengan  dengan keterampilan tolak peluru gaya menyamping  (rhitung = 0,760 > rtabel = 0,444).
PENINGKATAN PEMAHAMAN RISIKO PENYAKIT TIDAK MENULAR PADA REMAJA MELALUI DETEKSI DINI DENGAN PEMERIKSAAN KOMPOSISI TUBUH DI SMK PGRI 2 SURAKARTA
Authors: Setyaningsih Aryanti , Cinintya Nurzihan Nastitie
Published: May 2020

Abstrak

Remaja merupakan kelompok kesehatan prima namun rentan karena mengalami perubahan perilaku berisiko sehingga akan menentukan status kesehatan pada saat dewasa. Salah satu permasalahan kesehatan yang meningkat pada remaja adalah meningkatnya penyakit tidak menular pada remaja, misalnya obesitas, hipertensi, diabetes dan hiperkolesterolemia. Remaja perlu mendapatkan pemaparan mengenai penyakit tidak menular perlu diberikan kepada remaja guna meningkatkan kesadaran dan pemahaman remaja mengenai risiko, dampak, dan deteksi dini penyakit tidak menular pada remaja. Oleh karena itu, perlu diberikan pendidikan kesehatan sebagai dasar penerapan hidup sehat dan cara deteksi dini yang dapat dilakukan oleh remaja guna pencegahan penyakit tidak menular pada remaja. Kegiatan ini dilaksanakan di di SMK 2 PGRI Surakarta yang dilakukan selama 2 hari pada Bulan Juli 2019. Metode kegiatan adalah pendidikan kesehatan dan pemeriksaan komposisi tubuh dengan pengukuran indeks massa tubuh. Tiga puluh dua siswa mengikuti kegiatan ini. Hasil evaluasi menunjukkan peningkatan pengetahuan penyakit tidak menular dan kemampuan siswa dalam memahami status gizi mereka melalui pengukuran komposisi tubuh sebagai bagian dari deteksi dini penyakit tidak menular. Dengan demikian, dapat disimpulkan bahwa terdapat peningkatan pengetahuan dan kesadaran peserta kegiatan dalam melakukan pencegahan terhadap penyakit tidak menular remaja.

Abstract

Adolescents are a prime health group but are vulnerable because they experience changes in risky behavior that will determine their health status as adults. One of the increasing health problems in adolescents is the increase in non-communicable diseases in adolescents, such as obesity, hypertension, diabetes, and hypercholesterolemia. Adolescents need to get exposure to non-communicable diseases to increase awareness and understanding of the risks, impacts, and early detection of non-communicable diseases in adolescents. Therefore, it is necessary to provide health education as a basis for implementing a healthy lifestyle and early detection that can be done by adolescents to prevent non-communicable diseases in adolescents. This activity was carried out at SMK 2 PGRI Surakarta which was conducted for 2 days in July 2019. The method of the activity was health education and examination of body composition by measuring body mass index. Thirty-two students participated in this activity. Evaluation results show an increase in knowledge of non-communicable diseases and the ability of students to understand their nutritional status thro   ugh measurement of body composition as part of early detection of non-communicable diseases. Thus, it can be concluded that there is an increase in the knowledge and awareness of participant activities in the prevention of adolescent non-communicable diseases.
STRATEGI PENANGGULANGAN BAHAYA MEROKOK
Authors: Widyawati Sigit Ambar
Published: May 2020

Abstrak

Merokok merupakan kegiatan membakar tembakau kemudian asapnya diihisap.  Kecanduan rokok bisa terjadi pada berbagai kelompok usia. konsumsi rokok di Indonesia meningkat tujuh kali lipat dari 33 milyar batang menjadi 217 milyar batang. Perokok biasanya mulai merokok sejak usia remaja. Salah satu pencegahan penyakit akibat rokok adalah pencegahan merokok pada usia muda. Kegiatan pengabdian pada masyarakat ini bertujuan untuk melakukan strategi penanggulangan bahaya merokok. Metode pelaksanaan pengabdian masyarakat ini  menggunakan  metode pendekatan Probem Solving atau gambaran mengenai kesehatan pada masyarakat dan faktor-faktor yang berpengaruh terhdap kesehatan masyarakat setempat baik secara kuantitatif maupun kualitatif. Hasil dalam pemberdayaan yaitu tercapainya penerapan program ktr di lingkungan kelurahan, lomba poster tema bahaya merokok, gerakan rumah bebas asap rokok “gerumbesar”, pembentukan remaja siaga rokok. Kesimpulan meningkatkan prokduktivitas kerja yang optimal, mewujudkan kualitas udara yang sehat dan bersih, bebas dari asap rokok, menurunkan angka perokok dan mencegah perokok pemula, dan mewujudkan generasi yang sehat.

Abstract

Smoking is an activity to burn tobacco and then smoke. Cigarette addiction can occur in various age groups. Cigarette consumption in Indonesia has increased seven times from 33 billion cigarettes to 217 billion cigarettes. Smokers usually start smoking since their teens. One of the prevention of diseases caused by smoking is the prevention of smoking at a young age. Community service activities aim to carry out smoking prevention strategies. This method of implementing community service uses the Probem Solving approach or a description of the health of the community and the factors that affect the health of the local community both quantitatively and qualitatively. The results in empowerment were the achievement of the implementation of the KTR program in the neighborhood, the poster competition with the theme of the dangers of smoking, the "big bang" smoke-free house movement, the formation of teen smoking standby. Conclusions improve optimal work productivity, realize healthy and clean air quality, free of cigarette smoke, reduce the number of smokers and prevent novice smokers, and create a healthy generation.
Reading and Connecting: Using Social Annotation in Online Classes
Authors: Zhu Xinran , Chen Bodong , Avadhanam Rukmini , Shui Hong , Zhang Raymond
Published: May 2020

The COVID-19 pandemic has forced many instructors to rapidly shift to online/distance teaching. With a narrow preparation window, many instructors are at a loss of strategies that are both effective in responding to the crisis and compatible with their professional practices. This article presents a systematic literature review of the use of web annotation to support reading and discussion activities in formal education. As a genre of information systems, web annotation allows users to socially engage with web resources and is used in education to support social reading, argumentation, group inquiry, and community building. From this review we identified five types of social annotation activity design: processing domain-specific knowledge; supporting argumentation and inquiry; improving literacy skills; supporting instructor or peer assessment, and connecting online learning spaces. Practical recommendations for incorporating social annotation in online/distance classes are provided.
Revista Científica do Hospital Santa Izabel da Santa Casa de Misericódia da Bahia – A Expectativa de um Novo Desafio
Authors: Soares Feitosa Gilson
Published: May 2020

Completados os 5 anos iniciais de funcionamento adequado do projeto da Revista Científica do Hospital Santa Izabel (HSI), inicialmente, nos primeiros 3 anos, denominada de Revista de Saúde do HSI, e, nos últimos 2 anos, de Revista Científica do HSI, surge-nos um importante desafio, o de torná-la abrangente e fonte de referência mais ampla. Foram 20 edições de uma revista trimestral, publicada sem um único atraso, com extensa e variada participação de múltiplos setores, vinculada fortemente ao nosso programa de residência médica, tendo nos supervisores de programas, ou seus representantes, o seu principal corpo editorial e com um grupo de revisores extenso e participativo. Este impulso se dará sob a forma de uma mudança da característica, de sua concepção endogênica inicial, para uma em que a relação científica com vários outros órgãos ou veículos de comunicação será bem vinda e estimulada, assim como o compromisso agora possível de publicação de trabalhos científicos originais, de produção no HSI ou em outras instituições, desde que julgados por pares como de qualidade adequada.
The Use of Pedometer as a Stimulus to the Physical Activity in the Hypertensive Patients with Difficult-to- Control Hypertension: A Controlled Randomized Study
Authors: Pilar Moraes Alves de Souza Isabela , Sampaio Jamerson , Lesquives Vieira Mariana , Alcântara Viana Patrícia , Freitas Feitosa Gustavo , Soares Feitosa Gilson
Published: May 2020

Regular physical activity contributes to better control of hypertension in addition to other dietary measures and medications. The practice of physical activity and long term adherence to it is not consistently observed in a hypertensive population. We evaluated the possible role of the use of a pedometer as a stimulus to enhance the physical activity in a selected hypertensive population.We performed a prospective, randomized trial in a difficult-to-control hypertensive population that had been followed in the hypertensive clinic of the Hospital Santa Izabel of Santa Casa de Misericórdia da Bahia. This study compared two groups: Pedometer Group, which uses a pocket digital pedometer (Omron HJ-321) in addition to the usual medical recommendation; and Control Group, which was submitted to the regular medical recommendation without a pedometer. The performance was analyzed by the number of steps during 12 weeks observation period with the primary endpoint at first week. Forty-two patients were studied. Patients had largely low-income and low-education characteristics. Their initial number of steps at week 1 were: 6,191.7 (667.3), and 5,249.1 (549.5) for the Control and Pedometer Groups (p=0.28), respectively. At the end of a 12-week observation, the results were: 6,097.6 (547.0), and 5,913.0 (730.6) (p=0.84) for the Control and Pedometer Groups, respectively. In a population of difficult-to-control hypertension, which already had a relatively high number of steps to perform its regular activities of day-life at the beginning of the study, the use of a pedometer does not seem to enhance the level of physical activity beyond what is accomplished by the structured information that is provided in the hypertension clinic.
Imunoterapia do Câncer: Uma Nova Era
Authors: Mota Augusto
Published: May 2020

A imuno-oncologia contemporânea é separada atualmente em quatro grandes categorias: estimulação imune não específica, terapia imune celular, imunização ativa e tratamento com anticorpos monoclonais. Esta revisão tem como escopo principal trazer o estado da arte no uso de anticorpos monoclonais que atuam como inibidores dos pontos de checagem imunológica (IPCI). São sete os IPCIs atualmente em uso clínico: um inibidor do CTLA-4 (ipilimumabe), três inibidores do PD-1 (pembrolizumabe, nivolumabe e cemiplimabe) e três inibidores do PD-L1 (atezolizumabe, avelumabe, durvalumabe). Os dados compilados sugerem que a imunoterapia é efetiva em inúmeros tumores, em diferentes cenários (primeira, segunda ou terceira linhas de tratamento), bem como quando comparado a diferentes regimes terapêuticos (quimioterapia com droga única, quimioterapia com mais de uma droga, inibidores de tirosina cinase e placebo). Em relação aos efeitos adversos associados ao uso dos inibidores dos pontos de checagem imunológica, há muita variação nos estudos clínicos publicados até o presente momento. A imunoterapia do câncer ainda deve responder a inúmeras questões como melhor droga e dose a ser empregada, qual melhor combinação a ser usada, duração ideal dos tratamentos e, por fim, quais são os pacientes que têm maior probabilidade de se beneficiarem do tratamento.
Baixa Dose de Prednisona de Liberação Modificada em Espondiloartrite Axial: Eficácia e Tolerabilidade de Três Meses
Authors: Bandinelli Francesca , Scazzariello Francesco , Pimenta da Fonseca Emanuela , Barreto Santiago Mittermayer , Marcassa Claudio , Nacci Francesca , Matucci Cerinic Marco
Published: May 2020

Os glicocorticoides orais (GCs) demonstraram ser eficazes na redução dos sintomas inflamatórios da artrite reumatoide, mas seu uso não é apoiado por evidências científicas nas espondiloartrites (SpA). A prednisona oral de liberação modificada (LM) feita na hora de dormir tem se mostrado mais eficaz do que a prednisona de liberação imediata tomada pela manhã. Este estudo de coorte unicêntrico avaliou, retrospectivamente, a eficácia e a segurança de prednisona de LM em baixas doses, por 12 semanas (5 mg ao dia, administração ao deitar) em 57 pacientes adultos com SpA axial. Destes, 41 apresentavam doença ativa (BASDAI ≥ 4) no início do estudo. Uma melhoria de 50% do BASDAI ou um BASDAI menor que 4 no final do estudo foi o desfecho primário. A prednisona de LM reduziu significativamente o BASDAI (de 5,5 ± 2,6 para 3,0 ± 2,8; p< 0,001), assim como sintomas inflamatórios, dor, fadiga e rigidez matinal. No total, sete pacientes (11,8%) tiveram reações adversas não graves após a prednisona de LM. Em pacientes com SpA sintomática, o uso de baixa dose de prednisonade LM reduziu os sintomas e os índices clínicos de atividade da doença, além de mostrar um perfil de segurança positivo.
Interrupção do Arco Aórtico: Tratamento Cirúrgico no Adulto em um Centro de Referência de Cardiopatia
Authors: Da Costa Rocha Bruno , Soares Wanderley Breno , Góes Costa Anabel
Published: May 2020

A interrupção do arco aórtico (IAA) é uma condição extremamente rara, caracterizada pela interrupção luminal segmentar ou focal. O diagnóstico pormenorizado é realizado por angiotomografia computadorizada (AngioTC) ou ressonância nuclear magnética (RNM) e o tratamento e eminentemente cirúrgico. Entre 2013 e início de 2019, 4 pacientes adultos foram submetidos à cirurgia para tratamento de IAA tipo A no Hospital Santa Izabel (HSI) através da interposição cirúrgica de enxerto por via extra-anatômica, entre a aorta torácica ascendente e descendente, por via mediana. A mediana de permanência dos pacientes na Unidade de Terapia Intensiva (UTI) foi de 3 dias, hospitalar de 7 dias, tempo de acompanhamento médio de 31,2 meses ± 25,3, não havendo nenhuma complicação hemodinâmica, infecciosa ou óbito. Em comparação com outros centros de referência, como o Texas Heart Institute (USA), a técnica de tratamento cirúrgica aplicada no HSI demonstrou-se segura, sem mortalidade e com resultados a médio prazo adequados e compatíveis com a literatura.
Infiltrado Pulmonar Difuso em Paciente Oncológico
Authors: Sousa Melo Laís Cibele , Carvalho Paim Figueira Santos Natália , Bueno Valença Loana , Souza Antenor Ricardo , Alves Rocha Filho José , Moura Marinho Jamocyr
Published: May 2020

A toxicidade pulmonar costuma ocorrer em 10% dos indivíduos submetidos à quimioterapia antineoplásica. O presente caso apresentou paciente do sexo feminino, 77 anos, portadora de neoplasia maligna de Mama (EC II) e comorbidades, em uso de Paclitaxel para a neoplasia, que cursou inicialmente com tênue infiltrado pulmonar bilateral difuso para pneumonia bacteriana severa, e com diagnóstico final de dano alveolar difuso secundário à toxicidade pulmonar pelo Paclitaxel. Este relato de caso demonstra a importância para a toxicidade pulmonar causada por quimioterápicos, quando houver sintomas respiratórios e achados tomográficos que não havia antes do início do tratamento antineoplásico.