bluuebunny/crossref_metadata_2025 huggingface dataset:
Solar Tracker Platform Development for Energy Efficiency Improvement of Photovoltaic Panels
Authors: Szász Csaba
Published: December 2019

Solar energy systems have emerged over the last decades as the cleanest and most abundant renewable energy resources available worldwide. Solar trackers are devices specially developed to enhance the energy efficiency of solar energy systems. This paper presents the design and implementation stages of a reconfigurable hardware technology-based two-axis solar tracker platform, specially conceived to improve the energy efficiency of photovoltaic (PV) panels. The main module of this platform is the NI-MyRIO ready-to-use development system built upon a high-performance Field Programmable Gate Array (FPGA) processor that controls the entire solar tracker unit. Optimal tracking of the sun movement and obtaining the maximal energy efficiency rate is achieved by simultaneous real-time controlling both the captured sunlight intensity and PV cell temperature magnitudes. In this way, a robust and versatile positioning system has been developed that performs a high precision and accurate tracking pathway. All the control algorithms are implemented there under the LabView graphical programming software toolkit. The final solution boosts in a useful and modularized tracking system that looks useful in a wide range of applications both in industrial and domestic project sites with different power scales.
Sivil Toplum Örgütleri ve Dijital Dönüşümler: Kuzey Kıbrıs Kadın Sivil Toplum Kuruluşları Üzerine Bir İnceleme
Authors: CIFTCI Dilan
Published: December 2019

Günümüzde, neredeyse her alanda hizmet veren kurum ve kuruluşların iletişim
pratiklerinde sosyal medyanın önemli bir araç haline geldiği yadsınamaz bir gerçektir.
Sivil toplum kuruluşlarının iletişim stratejileri ve iletişim süreçlerine bakıldığında
geleneksel medya daha baskın olarak görülmesine rağmen, son dönemlerde sosyal
medyanın sivil toplum kuruluşları için vurgusu belirgin olarak ortaya konmuştur. Sosyal
medyanın içerik üretimi, tüketimi ve yeniden üretimi süreçlerinde çok kanallı yapısının
faydalarının yanında, sivil toplum kuruluşlarının görünürlüğü açısından da olumlu
sonuçlar doğurduğu örneklerle ortaya konulmuştur. Tüm bu gelişmeler, sivil toplum
kuruluşlarının paydaşları ile iletişimindeki önemli bir çalışma kolu olan sosyal medya ile
dönüşen sivil toplum kuruluşları alt başlığında yeni tartışmalara yer açmıştır.
Bu bilgiler ışığında, çalışmada sivil toplum kuruluşlarının sosyal medya kullanım
pratikleri iki aşamada incelenmiştir. Bu bağlamda çalışmanın ilk aşamasında, Kuzey Kıbrıs
Türk Cumhuriyeti’ndeki resmi kayıtlı kadın sivil toplum kuruluşlarının sosyal medya
mecralarındaki (Facebook, Twitter ve Instagram) görünürlükleri ortaya konmuştur.
Çalışmanın ikinci aşamasında ise Kuzey Kıbrıs’taki kadın aktivist hareketlerin ve sivil
toplum kuruluşlarının önde gelen aktif bir örneği olan Mesarya Kadınları İnisiyatifi’nin
resmi Facebook hesabına yönelik 1 Ocak 2019-31 Mart 2019 tarihleri arasında 3 (üç)
aylık içerik analizi uygulanmıştır. Bu yolla, söz konusu paylaşımları üzerinden sosyal
medya kullanım pratiklerinin betimlenmesi amaçlanmaktadır. Kuzey Kıbrıs özelinde,
sivil toplum kuruluşlarına yönelik yapılan çalışmaların sınırlı sayıda olması ve kadın
sivil toplum kuruluşları ile yapılan çalışmaların eksikliği bu çalışmanın özgünlüğünü ve
literatüre katkısını ortaya koymaktadır.
PSYCHOLOGICAL AND PEDAGOGICAL ACCOMPANIMENT OF TOLERANCE FORMING PROCESS OF SERVICEMEN'S CHILDREN IN THE CONDITIONS OF NEW SCHOOL DEVELOPMENT
Authors: Dasiuk J.
Published: December 2019

In the article the modern state of worked out of problem of forming of tolerance of junior schoolchildren and feature of their psychological and pedagogical accompaniment has been analysed in families of servicemen in the conditions of development of new school, essence of that is in the specially organized cooperation of school and family, that is focused on mobilization of internal resources of family members, correction of tolerant relations in it and actualization of tolerant education. Technology of pedagogical accompaniment of domestic influence on forming of tolerance of junior schoolchildren in the conditions of development of new school consists of the successive stages: determination of basic problems or conflicts in mutual relations between members families that prevent forming of tolerance; overcoming of psychological barriers for family members in co-operation with a teacher or social teacher; acceptance and understanding of family problems and forming motivation members on their decision; selection of necessary facilities, forms and methods for overcoming of intolerant situations; joint development of the actions sent to fixing of tolerant relations in family; analysis of results. Key words: tolerance, family of serviceman, midchildhood, psychological and pedagogical accompaniment, new school
Optimisation of Rice Fertiliser Composition using Genetic Algorithms
Authors: Anissa Retno Dewi , Mahmudy Wayan Firdaus , Widodo Agus Wahyu
Published: December 2019

There are so many problems with food scarcity. One of them is not too good rice quality. So, an enhancement in rice production through an optimal fertiliser composition. Genetic algorithm is used to optimise the composition for a more affordable price. The process of genetic algorithm is done by using a representation of a real code chromosome. The reproduction process using a one-cut point crossover and random mutation, while for the selection using binary tournament selection process for each chromosome. The test results showed the optimum results are obtained on the size of the population of 10, the crossover rate of 0.9 and the mutation rate of 0.1. The amount of generation is 10 with the best fitness value is generated is equal to 1,603.
Emprendimiento empresarial y crecimiento económico en Perú
Authors: León-Mendoza Juan Celestino
Published: December 2019

Este artículo tiene como objetivo determinar la influencia del emprendimiento empresarial sobre el crecimiento económico en Perú.  Para ello, con información correspondiente al período 2007-2017 y 24 departamentos peruanos existentes, se efectuaron regresiones múltiples de modelos econométricos irrestrictos y restrictos utilizando el método de los Mínimos Cuadrados Ordinarios. El resultado del modelo restricto, elegido como el mejor mediante el test estadístico del logaritmo de verosimilitud, indica que por cada incremento de 1% en el número de empresas, la tasa de crecimiento del Producto Interno Bruto per cápita departamental aumenta aproximadamente en 0,68%. Esta investigación proporciona una gran evidencia empírica sobre la importancia del emprendimiento de empresas para el logro de una mayor tasa y homogeneidad departamental en el crecimiento económico.
Effect of resveratrol on diabetic neuropathy in wistar albino rats
Authors: Das Smita , Behera Jayanti Prava , Rojaramani Y. , Mohanty Rashmi Ranjan
Published: December 2019

Background: Type 2 diabetes mellitus (DM) is a common chronic disease with increasing prevalence worldwide. Prolonged uncontrolled hyperglycemia, dyslipidemia are major risk factor for its complication like neuropathy. Since there is no definite treatment for diabetic neuropathy, this study aims to evaluate the effect of resveratrol on diabetic neuropathy in high fat diet with low dose streptozotocin induced type-2 DM model in wistar albino rats.Methods: First type 2 diabetic rat model was established. Wistar albino rats, fed with high-fat diet (HFD) rendered diabetic with streptozotocin, were divided into 6 groups, disease control (DC) treated with vehicle, standard control (SC) which received metformin, test groups treated with 5, 10, and 20 mg/kg b.w. of resveratrol and combination of half dose of metformin and resveratrol (10 mg/kg) (TC). A group of six normal animals served as normal control (NC), another six as HFD control. Fasting plasma glucose, lipid profile were measured one week after induction of diabetes. The animals were then treated orally for 2 weeks after which the same parameters were repeated. Behavioral biomarkers for neuropathy are measured in 4 weeks and 6 weeks of treatment. The in-vivo results were analyzed by one way ANOVA followed by Tukey’s multiple comparison test for biochemical parameters and Kruskal Wallis test followed by Dun’s multiple comparison test for behavioral biomarkers.Results: Increase in fasting plasma glucose (FPG), deranged lipid profile, increased neuropathy in DC compared to NC, HFD control while a significant decrease in FBG, improved pain behavior with SC, test groups (p<0.05) as compared to the DC group.Conclusions: Resveratrol prevents diabetic neuropathy.
Awareness, attitude and practice of contraception amongst post-partum women in a rural tertiary care hospital, Telangana, India
Authors: Murty Nabhi V. R. , M. Madhuri , G. Vijayalakshmi , K. Vasantha , K. Kavitha , B. Uma
Published: December 2019

Background: India was the first country in the world to start the National Family Welfare Program in 1951. But population stabilization has been a difficult target to achieve and by the year 2028, our population is expected to surpass that of China. This study was conducted among puerperal women delivered at our hospital to know their awareness about various methods of contraception and willingness to practice any of these methods.Methods: This cross-sectional interview-based study was conducted in the department of obstetrics and gynecology at Bhaskar Medical College and Hospital, Moinabad, Hyderabad from September 2015 to August 2016. The study sample were women who delivered in our hospital and a set questionnaire was used.Results: A total of 502 women in the post-partum period were included in the study.88.85% women were aware of any modern contraceptive. 30.85% of these women were aware of only the surgical method, i.e. sterilization; and another 58% women were aware of temporary methods also. Most of them knew about multiple methods, but tubectomy was the main method was known to the maximum (78%). As the literacy levels rose, awareness about temporary methods and male sterilization also increased. 70% of the study population were not aware of free availability of all these methods at Government hospitals and at our hospital.80.5% of these women were motivated after this study to accept a contraceptive method.Conclusions: There is a great unmet demand for contraception among rural women in India. Proper dissemination of the information about free availability of these methods by rural health workers, hospital staff and making these accessible in the peripheral areas of the country will help these couples. Providing oral, written and visual information to all the pregnant women at each ante-natal visit will be additional methods.
Comparison between intravenous injectable diclofenac and per rectal diclofenac suppository as analgesics in operated per anal and perianal benign pathologies
Authors: Deherkar Juthikaa Abhijit
Published: December 2019

Background: Per anal and perianal surgeries are one of the bread and butter surgeries in a surgeons life, and satisfaction of patient matters a lot. Early miraculous recovery has always been patient’s expectations hence we decided to study standard IV method of diclofenac as analgesic with diclofenac suppository and compared their effects on patients with the help of pain scale of 0 to 10.Methods: 200 common per anal surgeries were considered in the study, and were divided in two groups group A post operatively IV diclofenac was given 12 hourly and in group B cases diclofenac suppository 100 mg was started daily twice and the pain score was noted for a week.Results: Diclofenac suppositories resulted in early pain relief and thus early discharges of these patients. The pain score had decreased to a larger extent by day 3 and was almost negligible by day 5 and a few cases to day 7. The hospital stay reduced as patient could manage suppository at home by themselves. IV site complications like thrombophlebitis leading to pain and fever could be easily avoided.Conclusions: Thus diclofenac suppositories proved to be an effective way to give a pain free satisfaction compared to intravenous painful analgesics, thus decreased their hospital stay and also it was a patient friendly.
Epidemiological and clinical study of sickle cell disease at tertiary care centre in western India
Authors: Patel Varsha P. , Gandhi Archana U. , Shah Chineen
Published: December 2019

Background: Sickle cell disorders are structural hemoglobinopathies, rendering red blood cells sickle shaped, less deformable and sticky leading to microvascular vaso-occlusion and premature red blood cells destruction which leads to varied clinical manifestations. It leads to lifelong morbidity thus affecting quality of life and contributes to early mortality thereby reducing the key national resources- the healthy workforce. This study was done to evaluate epidemiological and clinical profile of sickle cell disease attending the centre.Methods: This study was cross-sectional, observational study conducted at tertiary care hospital in Gujarat. After taking ethical clearance patients were enrolled as per inclusion and exclusion criteria and epidemiological and clinical profile of sickle cell disease patients was studied.Results: Mean age of sickle cell disease was 22.58 years. It was found in tribal communities of Gujarat like Rathwa, Baria, Tadvi etc. Commonest symptom was musculoskeletal pain (86.84%), followed by jaundice (71.05%), fever, dyspnoea, abdominal pain and chest pain. Most common systemic manifestation was pain crises (60.66%), followed by hemolytic anemia (31.15%), acute chest syndrome (30%), consolidation (11.67%), hepatopathy (10%) and avascular necrosis of hip. (6.56%).Conclusions: Sickle cell disease is seen in younger patients. In Gujarat mainly tribal communities are affected. Major systemic manifestations of sickle cell disease include pain crisis followed by hemolytic crisis, acute chest syndrome, hepatopathy and AVN of hip.
Assessment of gonadal functions in women with subclinical hypothyroidism in western Uttar Pradesh, India
Authors: Srivastav Manish , Tiwari Alankar , Kharkwal Nihit , Gupta Keshav Kumar
Published: December 2019

Background: In females, hypothyroidism can cause menstrual disturbances mainly oligomenorrhea. Thyroid dysfunction has also been linked to reduced fertility and pregnancy complications. Several studies have been done to evaluate gonadal dysfunctions in overt hypothyroidism but very few studies are there regarding subclinical hypothyroidism. Present study evaluates the gonadal functions of women with subclinical hypothyroidism.Methods: Total 20 females of age 18 to 35 years with newly diagnosed subclinical hypothyroidism were taken as cases and 20 age and body mass index (BMI) matched healthy females were taken as controls. Both in cases and controls, basal FSH, LH, estradiol were measured on 3rd or 4th day of menstrual cycle at 8 AM on fasting. Thereafter Leuprolide 20 mcg/kg was given subcutaneously on the same day. One hour after injection, LH and estradiol were measured. Basal and stimulated values were compared between both groups.Results: Basal LH was significantly higher in controls (6.63±2.38 m IU/ml) when compared to cases (6.06±2.10 m IU) with a p value 0.01 (<0.05). No significant differences were found between stimulated LH and estradiol in both the groups.Conclusions: In mild thyroidal failure the response of pituitary gonadotrophs to leuprolide is normal in contrast to overt hypothyroidism where the response is sluggish. This is the first study to be done in subclinical hypothyroid subjects to asses both basal and stimulated gonadotropin levels. Further studies are required in large samples to confirm these findings.
Evaluation of admission serum magnesium levels in patients with septic shock and its correlation with outcome
Authors: Khare Akshay R. , Patil Vishwanath C. , Shah Jignesh N. , Iyer Shivakumar S.
Published: December 2019

Background: Admission hypomagnesemia has been linked with an increased risk of septic shock. The purpose of this study was to evaluate admission serum magnesium levels in patients with septic shock and to determine its correlation with the outcomes.Methods: It was a prospective observational study. Total 50 patients fitting the Sepsis-3 definition between time period of June 2017 to November 2018 were included in the study. Patients with suspected infection were identified at the bedside with qSOFA. Admission serum magnesium levels was measured for all patients included. APACHE II scores were calculated at the end of 24 hours after admission. Routine standard of care treatment was provided to all patients. The patients were monitored for organ dysfunctions based on daily SOFA scores, ventilator free days, vasopressors free days, dialysis free days, length of intensive care unit stay, length of hospital stay. The data was analysed using Statistical Package for Social Sciences for MS Windows.Results: In this study hypomagnesemia was prevalent in 18%, normomagnesemia in 62% and hypermagnesemia in 20% of total included patients. The mean vasopressor free days in Hypomagnesemia group (7.11±12.79 days) were higher than those in normomagnesemic patients (5.06±5.51 days) and hypermagnesemia patients (1.70±3.09 days). Out of total 50 patients 18 died and 32 recovered. 11 patients out of 32 who recovered had abnormal admission serum magnesium levels whereas 8 pts out of 18 who died had abnormal admission serum magnesium levels.  SOFA score in hypomagnesemic patients admitted with septic shock compared with those of normomagnesemic and hypermagnesemic patients was statistically significant.Conclusions: Author did not find any statistically significant correlation between admission magnesium levels in septic shock patients and outcomes although SOFA score was higher in hypomagnesemic patients admitted with septic shock compared with those of normomagnesemic and hypermagnesemic patients. Serum magnesium may not truly reflect body’s magnesium status. RBC magnesium may need to be studied to see whether it is a more reliable biomarker.
Clinical correlation between tonsillar hypertrophy and tonsillitis
Authors: Hubballi Ravi Kishore , Nayaka G. S. Shyam Sundar , Koujalagi Shruthi Manohar
Published: December 2019

Background: Tonsillar hypertrophy is a common clinical condition seen by an otorhinolaryngologist. Tonsils undergo hypertrophy due to recurrent infection or as a part of generalized lymphoid hypertrophy. The aim of this study is to clinically correlate the association between tonsillar hypertrophy and acute/chronic tonsillitis.

Methods: 100 patients attending the Oto-Rhino-Laryngology Department at Vijayanagar Institute of Medical Sciences, Ballari, Karnataka with complaints of tonsillitis acute, chronic, acute on chronic, other ENT symptoms and asymptomatic patients were assessed for tonsillar enlargement using Brodsky Tonsillar Grading scale for tonsillar hypertrophy.  

Results: Out of the 100 patients with tonsillar enlargement and the symptoms at presentation we observed a statistically significant (p=0.0001) irrespective of the severity of the infection to the tonsillar hypertrophy graded according to Brodsky tonsillar grade.

Conclusions: It is a common prudence that most of the general public and majority of general physicians are of the opinion that tonsillar grades are related to clinical pathology. Our study reveals tonsillar hypertrophy and severity of clinical disease are not directly proportional hence our study indicates management of acute or chronic tonsillitis cannot be influenced by the grade of tonsillar enlargement. We can consider tonsillar enlargement as a guide for prognostic evaluation. We were unable to find any literature regarding our objective of study. Hence this study can be considered as a stepping stone for further in depth clinical studies.
Enigma in the diagnosis of congenital neck masses: a prospective study
Authors: Havaldar Rajesh Radhakrishna , Singh Anju , Hajare Priti S. , Bellad Shama A. , Mudhol R. S.
Published: December 2019

Background: Head and neck swellings are common in routine otorhinolaryngologic practice. This study was done to assess the incidence and varied presentation of different congenital neck swellings.

Methods: Hospital based prospective study done in the Department of Otorhinolaryngology at a tertiary care hospital from January 2017 to December 2018. A total of 28 patients with slow, progressive neck swellings were selected after excluding thyroid swellings and acute inflammatory neck swellings. All patients had no other complaints. After a thorough clinical examination and investigations like ultrasonography, fine needle aspiration cytology and radiological examination, surgery was done, and specimens obtained were sent for histopathological examination. Patients were followed up to 1 year.  

Results: 28 patients with congenital neck mass were studied. 15 were thyroglossal cysts, 7 were branchial anomalies, 5 were dermoid cysts and 1 was bronchogenic cyst. The most frequent congenital neck mass was thyroglossal duct cyst and fistula (53.57%) followed by, in descending order, cysts and fistulas of the branchial apparatus (25%), dermoid cysts (17.85%) and bronchogenic cyst (3.5%) respectively.

Conclusions: The overall presentation in terms of age group, location, incidence and clinical features of congenital neck swellings is an enigma to the treating surgeon as well as the pathologist. The prevalence varies largely among centres. A knowledge of the varied differential diagnosis of slow progressive masses in the neck should be kept in mind while planning the surgical procedure for total removal of the lesion to avoid recurrence.
A clinical study of evaluation of tympanoplasty with mastoidectomy in mucosal chronic otitis media
Authors: Mahajan Ritesh , Abraham Nidhi , T. M. Nagaraj
Published: December 2019

Background: Chronic suppurative otitis media (CSOM) is one of the most common ear diseases in developing countries with a varying incidence of 3% to 57%. It the disease process is further divided into mucosal type and squamosal type depending on clinical presentation. The mainstay of therapy in CSOM remains surgery which aims at eradication of disease and restoring the hearing mechanism. The main objective of our study was to evaluate the changes and impact of tympanoplasty with mastoidectomy as a surgical treatment modality in mucosal type of CSOM.

Methods: A prospective study was conducted in Rajarajeshwari Medical College and Hospital between November 2015 and June 2017, involving 50 patients with mucosal type of chronic otitis media. These patients, after complete clinical examination and hearing analysis, underwent tympanoplasty with cortical mastoidectomy. Follow-up of the patients was done at one month and three months after the surgery where the parameters recorded preoperatively were assessed.  

Results: The graft uptake three months after the surgery was 94%. Patients reported a subjective improvement in symptoms of ear discharge, decreased hearing, earache and tinnitus to 94%, 70%, 86% and 78% respectively. There was hearing improvement in ears that had discharge preoperatively and those ears that did not.

Conclusions: Chronic suppurative otitis media is a very common problem and it can lead to recurrent ear discharge and hearing problems. Timely intervention is necessary as early diagnosis results in good surgical outcomes and can make an impact on patient’s quality of life.
Diphtheria: a re-emerging public health challenge
Authors: Abubakar Mustapha Y. , Lawal Jamila , Dadi Hassan , Grema Umaru S.
Published: December 2019

Diphtheria is a highly contagious, potentially life threatening bacterial infection caused by Corynebacterium diphteriae. Diphtheria is transmitted from person to person, usually through respiratory droplets and can lead to severe breathing problems, heart failure, blood disorders and death. Diphtheria was basically eliminated after the introduction of the vaccine in the 1940-1950s. However there is presently global concern that diphtheria is reemerging. We herein report nine cases of diphtheria presenting within a period of six months. All cases presented with sore throat, fever, membrane in the oropharynx and bull neck. Eight of the cases had never been immunized against diphtheria. All cases progressed and developed various complications with 8 of the cases dying. None of the cases had diphtheria antitoxin. This cases present the potential for this highly fatal but preventable disease reemerging and the need to be aware of epidemiological features, clinical signs and symptoms of diphtheria so that cases can be promptly diagnosed and treated, and further public health measures can be taken to contain this serious disease.
Oral lichenoid contact reaction to amalgam occurring as a leukoplakia-like lesion: a case report
Authors: Hirota Silvio , Sugaya Norberto , Migliari Dante
Published: December 2019

This article reports a case of oral lichenoid contact reaction (OLCR) in which a bilateral lesion involving the buccal mucosa was observed. Its relevance lies on that the lesions could be misdiagnosed as an oral leukoplakia, since they showed a typical feature of a homogeneous white plaque; however, fortunately, this misjudgement was spared because one of the lesions, on the right-buccal side, was in direct contact with an amalgam filling. Hence, the suspicion of mucosal contact reaction was made and the patient successfully treated by amalgam replacement. Comments on diagnosing of OLCR is also included is this report.
An unusual case of bullae and scars
Authors: Vaidya Tanvi P. , Bhat Ramesh M. , Dandekeri Sukumar
Published: December 2019

The term epidermolysis bullosa (EB) encompasses a group of inherited mechano-bullous disorders, clinically characterized by blisters over skin and mucosae following minor frictional trauma. The diagnosis is predominantly clinical, but further classification is carried out by defining the histological level of the split. Histopathology tends to be ambiguous, as it was in this case. Our case is of a twelve-year-old male child who came with complaints of recurrent painful fluid filled lesions all over the body since 10 days of birth, aggravated by trauma, with exacerbations in the summer, and with a history of similar lesions in the mother and maternal uncle. On examination, there were multiple flaccid bullae, crusted erosions, scars and milia over trauma prone sites, such as the elbows, back, knees, shins and knuckles, with nail dystrophy and pitting of the teeth. The clinical impression as well as histopathology suggested a dominant dystrophic or a junctional EB, but immunofluorescence antigen mapping revealed it to be a case of EB simplex. We must thus bear in mind that histopathology is not definitive in EB, and immunofluorescence antigen mapping or transmission electron microscopy is imperative to correctly diagnose it.
Evaluation for the Anthropocene: Sustainability
Authors: Curry Sean
Published: December 2019

Fellows’ Strand plenary
Evaluation for the Anthropocene: Shaping a sustainability-ready evaluation field
2018 Canadian Evaluation Society Conference
The Reggio Approach in Motion: Documenting Experiences, Reflecting on Practice, and Disseminating the Ideas
Authors: Sorzio Paolo , Campbell-Barr Verity
Published: December 2019

This article offers a cultural analysis of the materialization into cultural texts of a variety of educational experiences, political visions, and pedagogical approaches in order to understand the symbolic construction of the Reggio Emilia approach, highlighting its singularity and the motives of its dissemination. The analysis considers selected texts that refer to specific methods of documenting children’s activities to highlight the symbolic strategies that select, organize, and materialize a constellation of local experiences into a unified educational perspective. Through the innovative analysis of text composition, new dimensions of professionalism have emerged, challenging conventional approaches and promotinga valid alternative to the standardization of early childhood education. The dissemination of the Reggio approach through texts opens up new opportunities for early years practitioners to critically consider participation with families and calls on policymakers to reform the sector. The potential is created for cultural dialogue between families and professionals with different models of children’s growth, thereby enriching the “funds of knowledge” at communities’ disposal to promote children’s approaches to language and symbolism.
Encounters with Reggio Emilia: Relationships, Equality, and Citizenship in Our Early Learning Setting
Authors: Trew Valerie , Squires Kimberly
Published: December 2019

In this paper, we discuss what it has meant for us to be inspired by Reggio Emilia’s pedagogical approach within our licensed child care and laboratory school context in Ontario, Canada. We focus on three aspects of the Reggio Emilia approach—relationships, equality, and citizenship—which we believe are interpretable across many different contexts. We speak about the importance of these aspects and offer narratives of how we have been inspired to reconceptualize our own relationships, use of language, and concept of citizenship to construct new aspirations in the early learning field.
Responding to Reggio Emilia: Researching with Materials to Cultivate an Ecology of Practice in Early Childhood Education
Authors: Boucher Kelly
Published: December 2019

This article traces an artist/pedagogue’s work with materials, children, and educators in response to a Reggio Emilia study tour experience and how this work was understood, positioned, and activated at a children’s service in Australia. Through situated, collaborative, everyday materials practices, a group of educators generated collective responses to colonized, land-based, neoliberal conditions. Artist/pedagogue, educator, and material stories describe how inspiration and ideas were mobilized and reshaped into a context-specific ecology of practice with materials.
Planting Seeds: Fostering Preschool Children’s Interactions with Nature and Enhancing Intergenerational Relationships in a Campus Community Garden
Authors: Gleeson Judy
Published: December 2019

Since 2015, children aged 3–6 years attending a childcare centre on a university campus in western Canada have been part of an intergenerational community gardening initiative called Planting Seeds. This article provides an overview of the project to date and explores the positive outcomes for children who took part, namely, the fostering of intergenerational relationships, an increased understanding of where food comes from, and an enhanced knowledge of planting, nurturing, growing, and consuming plants, including food (herbs, fruits, and vegetables).
Importance of Developing a Local Instrument of Disaster-resilient School: Letter to Editor
Authors: Mirzaei Samaneh , Mohammadinia Leila
Published: December 2019

This article is a Letter to the Editor and does not include an Abstract.
Mediating Role of Attitude towards Betrayal and Marital Conflict in Relation between Using Virtual Social Networks and Emotional Divorce
Authors: Shakeri Seyedeh Sara , Shabani Jafar , Aghamohammadian Sharbaf Hamidreza , Aghili Seyed Mojtaba
Published: December 2019

Introduction: Research results show that unmanaged use of virtual networks is the cause of differences between couples. Accordingly, the present study aimed to determine the mediating role of attitudes toward betrayal and marital conflicts in the relationship between the use of virtual social networks and emotional divorce in married teachers in Mashhad.
Method: The research method was descriptive-correlational and the society included married teachers in seven areas of education in Mashhad city in the academic year of 2017-2018. 375 teachers were selected by quota sampling method and completed questionnaires on social networks, emotional divorce, attitudes toward betrayal and marital conflicts. Data were analyzed using path analysis using Maximum Field Definition (ML). The structural equation modeling was used to analyze data using AMOS software version 25.
Results: Based on the findings, the mediating role of attitude toward betrayal was not significant for predicting emotional divorce based on the use of virtual social networks (β = 0.06). Standardized β coefficient is 0.38 for predicting marital conflicts based on the use of virtual social networks and the coefficient for predicting emotional divorce based on marital conflicts is 0.54. Therefore, the role of conflicting intermediaries is significant for predicting emotional divorce based on the use of virtual social networks. Accordingly, the role of the mediating meanings of marital conflicts along with the non-perceptible role of attitudes toward betrayal, based on the use of virtual social networks, predicts a total of 20% of the variance of emotional divorce. If the direct role of using virtual social networks in predicting emotional divorce along with the role of intermediate variables is considered, 66% of the variance of emotional divorce is predictable. Fit indicators showed the optimal fitness of the model with the collected data. (P <0.05)
Conclusion: The results of this study showed that increasing the use of virtual networks with increasing conflicts increases the incidence of emotional divorce in couples.
The Effect of Startup Pre-surgery Consultation UnitsonWaiting Time before Surgery and Cancellation of Surgery: A Case Study at Farabi Hospital
Authors: Tabibi Seyed Jamalaldin , Maleki Mohammad Reza , Sadeghifar Jamil , Sharifi Reyhaneh
Published: December 2019

Patient preparation process for surgery is one of the strategic control points in hospitals, which can improve the patient satisfaction and increase the quality of provided services. This study aimed to determine the impact of pre-surgery consultation unit startup on waiting time before surgery and cancellation of surgery.
Methods: This cross-sectional and analytical study was conducted in an Eye Hospital in Tehran. The study population included patients hospitalized for cataract surgery at Farabi Hospital in Tehran City, Iran. Data were collected using a researcher-made questionnaire containing information about the participants' gender, age, waiting time, cancellation of surgery, and length of stay. Data were analyzed by SPSS18 using Mann-Whitney and Chi-Square tests.
Results: Pre-surgery consultation unit startup was able to significantly reduce the patient waiting time before surgery (P-value < 0.001). No significant change was observed in cancellation rate and length of stay after the pre-surgery consultation unit startup (P-value > 0.05).
Conclusion: Considering the reduction of patients' waiting time as one of the key indicators in eye surgery, preoperative consultation process and other effective processes should be improved to maximize benefits of establishing a preoperative consultation unit at Farabi Hospital.
Internal Marketing Activities in Educational Hospitals of Yazd, Iran
Authors: Sadat Momahhed Shekoofeh , Bahrami Mohammad Amin , Barati Omid , Moeini Maryam
Published: December 2019

Background: Internal marketing is defined as "the process of attracting, developing, motivating, and retaining the qualified employees through job-products that satisfy their needs". Internal marketing practices in hospital make a positive work environment, which in turn, leads to the provision of higher care quality. This study was aimed to investigate the internal marketing practices in two educational hospitals of Yazd City, Iran
Methods: In this quantitative cross-sectional study, we used a valid questionnaire of internal marketing (Sarah May Lubbe, 2013) in two educational hospitals of Yazd, Iran. A total of 156 clinical and non-clinical employees selected from the studied hospitals participated in the study. Stratified random sampling method was applied and data analysis was done using SPSS19. We used descriptive statistics in data analyses.
Results: The mean score of internal marketing was 2.78 ± 0.60. Furthermore, employee satisfaction and benchmarking obtained the highest and lowest scores among the internal marketing dimensions with 3.22 ± 0.64 and 2.27 ± 0.86 scores, respectively.
Conclusion: Our results showed the weakness of internal marketing practices in educational hospitals, which should be improved. For this, the results of our study should be prioritized to improve the activities.
Factors Affecting Outpatient Consultation Length among Specialists in Tabriz, Iran
Authors: Hajizadeh Alireza , Kakemam Edris , Khodavandi Milad , Khodayari-Zarnaq Rahim
Published: December 2019

Background: Sufficient length of consultations is of utmost importance for improving the quality of care and establishing a good physician-patient relationship. Multiple factors affecting outpatient consultation length were investigated among Sheikh Al-Raisi specialists. Sheikh Al-Raisi is a general medical institute in Tabriz, in 2018.
Methods: This study was a cross-sectional and performed at a specialty clinic in Tabriz. In order to select the samples, random sampling was used. The consultations of 400 patients with 18 specialists were analyzed. Length of Consultation and demographics of patients and physicians were collected in the year 2018. Checklists were used to collect the data and a multiple regression analysis was applied to investigate the association of the variables with consultation length.
Results: The mean and standard deviation consultation time was 6.9 and 2.6 min. In the multivariate model, the consultation time was longer for female patients. Lengthy consultation time was recorded in patients with bachelor's degrees or higher levels of education. The consultation time was longer in patients with gynecology problems (mean = 9.1) compared to those with other problems. In addition, older and female physicians provided longer consultation.
Conclusion: Clinical consultation time in specialists’ practice is estimated as short and is associated with the characteristics of the patients and the doctors and the types of their specialty. The results can be applied to make specialty consultation more effective, which can ultimately result in the delivery of the most optimum consultation period for each and every patient.
Assessment of the ways of Fars Province's residents being informed of holding up the Health Week and its effect on their knowledge about Type 2 Diabetes
Authors: Azadian Fatemeh , Moradian Mohammad Javad , Hemmati Abdulrasool , Karimi Mohammad Reza , Karami Hassan , Shirvani Shiri Maryam
Published: December 2019

Background: Diabetes is currently one of the most prominent causes of mortality and among the intensifying concerns of public health in the world. Education and enhancement of people’s knowledge about this disease can play an effective role in diabetes prevention and control. The present study was aimed at assessment of the effects of the Health week’s programs about diabetes on the citizens of Fars Province.
Methods: In this descriptive-analytical research, carried out interventionally, 501 people participated in the study both before and after the Health week. To define the sample’s volume, we used multi-stage cluster sampling. The study was conducted by using a made questionnaire which consisted of two parts, one part for demographic information and the other part for information about the people’s knowledge level of the Health Week and diabetes. The obtained data was analyzed by using descriptive statistics and Mc Nemar test, Paired t test, and independent sample t test in SPSS19.
Results: The results indicated that holding up the Health Week had significant effect on enhancement of the participants’ knowledge about the disease and the ways of its diagnosis as well as the prevention methods (p-value < .001). In addition, there was a significant change in the frequency of health informational resources in mass media such as TV, radio, social media and internet, pamphlets and poster (p-value < .001), while no significant difference was observed through billboards, Healthcare centers’ staff, etc. before and after the week.
Conclusion: Informing people about the Health week and its programs through mass media can play an effective role in enhancement of people’s health knowledge andlead to prevention of  the disease and proper behavior to fight it.
Pancreas-preserving duodenal resections as a surgery of choice for the isolated form of cystic dystrophy of the duodenal wall (pure form of groove pancreatitis)
Authors: Egorov V. I. , Petrov R. V. , Schegolev A. I. , Dubova E. A. , Vankovich A. N. , Dobriakov A. V. , Schvetz N. A. , Poputchikova E. A.
Published: December 2019

Background:Management of the isolated form of cystic dystrophy of the duodenal wall (CDDW), or pure form of groove pancreatitis, is controversial. Pancreatoduodenectomy is considered to be the most suitable procedure for CDDW. Pancreas-preserving procedures (PPDR) have been described as surgical options for the cases where only the duodenum has been involved. There are no studies comparing pancreas-preserving vs. pancreas-resecting procedures for this disease.

Aim:To analyze the results and outcomes of PPDR and other treatment approaches to CDDW and to review the literature.

Materials and methods:We performed a retrospective analysis of 82 patients with CDDW who received treatment from February 2004 to April 2019. We compared short-term and long-term results of treatment of 15 patients with isolated CDDW after PPDR and 42 patients with CDDW after pancreatoduodenectomy.

Results:The preoperative diagnosis was correct in 81 of the cases (98.8%). The patients experienced abdominal pain (100%), weight loss (76%), vomiting (30%), and jaundice (18%). CT, MRI, and endoUS were the most useful diagnostic modalities. Twelve patients with CDDW took conservative treatment due to rejection of the operation. The other patients underwent cystoenterostomies (8), duodenum-preserving pancreatic head (DPPH) resections (6), pancreatoduodenectomy (42) and PPDR (15) with zero mortality. Full pain control was achieved after PPDR in 93%, after pancreatoduodenectomy in 83%, and after draining procedures in 18% of the cases. Newly onset diabetes mellitus (7) and severe exocrine insufficiency (5) were common after pancreatoduodenectomy and never occurred after DPPH resections and PPDR. Weight gain was significantly higher after pancreatoduodenectomy and PPDR, compared to other treatment modalities.

Conclusion:PPDR is the optimal surgical procedure for the isolated form of CDDW. Early detection of CDDW allows for preservation of the pancreas. The pure form of groove pancreatitis is a disease of the duodenum, and the Whipple procedure should be considered excessive for this disease.
Business performance measurement for mechanical engineering and metalworking companies: case of Latvia
Authors: Mavlutova Inese , Mavlutov Bary
Published: December 2019

Business performance depends on the managerâ€™s competence to take adequate decisions. The professional managerâ€™s decision can improve the financial performance and position of the company. Analysis of business performance gives businesses a framework in which can set goals, measure actual performance in comparing with these goals and develop scenario planning to evaluate alternative action. The purpose of this article is to investigate the present performance of companies in the mechanical engineering and metalworking sector, to prepare proposals for management and financial performance improvement in these companies. As a result of the research, the authors have drawn recommendations in order to carry out business performance measurement.

Keywords: Business performance, business activity, financial analysis, mechanical engineering and metalworking sector.

Jel Codes: D220, D240, M110, O14.
BOLEHKAH JENIS KELAMIN DALAM FORMULIR DONOR?
Authors: Michael Tomy
Published: December 2019

Secara khusus, penelitian ini akan membahas jenis kelamin dalam formulir donor di Unit Transfusi Darah Kota Surabaya (UTDKS) karena dalam formulir ini mencantumkan jenis kelamin pada saat melakukan donor. Sebelum memasuki alur jenis kelamin maka keadilan hukum harus dipahami sejak awal untuk mempermudah telaah penelitian ini. Metode penelitian yang digunakan adalah yuridis normatif dengan menggunakan bahan hukum primer dan sekunder. Rumusan jenis kelamin dalam formulir donor UTDKS adalah tepat secara hukum karena peraturan perundang-undangan memberikan perintah demikian. Jenis kelamin yang kemudian diikuti dengan pilihan laki-laki atau perempuan ini cenderung pada pengecekan data kesehatan bagi pendono yang akan baru atau telah melakukannya.
Kata kunci: jenis kelamin, donor, formulir
НОМИНАЦИЈА КРУШКЕ У РЕЧНИКУ СРПСКОХРВАТСКОГА КЊИЖЕВНОГ ЈЕЗИКА
Authors: Ajdžanović Milan
Published: December 2019

У раду се анализирају различити називи превасходно за плод дрвета крушке, али и за саму биљку, забележени у Речнику српскохрватскога књижевног језика. Од 109 забележених назива за крушку семантичко-деривационој анализи подвргнуто је  њих укупно 106. У анализираној грађи се, међу 29 издвојених суфикса, као најпродуктивнији јављају форманти -ача (25 деривата) и -ка (22), и иначе високофреквентни у творби именица, док су међу особинама које су генерисале извођење најфреквентније оне које се тичу времена дозревања плодова и њихове конзумације те њихове боје. Добијени резултати упоређени су с онима до којих смо раније дошли проучавајући називе за јабуку и шљиву, при чему се показало да се може говорити о својеврсној опозицији међу именовањима за ове три врсте воћа: док су називи за јабуку и крушку у великој мери подударни, у 19 наврата чак и исти, они за шљиву им се супротстављају како употребљеним творбеним моделима тако и продуктивношћу појединих мотивационих импулса.
SUSTENTABILIDADE E ÉTICA: UM DEBATE URGENTE E NECESSÁRIO
Authors: Garcia Denise Schmitt Siqueira
Published: December 2019

A sustentabilidade é um tema vital nas discussões norteadas no mundo quando se fala em manutenção da vida no planeta. Essa sustentabilidade deve ser amparada por suas cinco dimensões, a ambiental, a social, a econômica, a tecnológica e a ética. O presente artigo tratará da dimensão ética que é aquela que analisa a necessária mudança de vida dos seres humanos com a observância de princípios éticos e de virtudes. Essa dimensão nasce pela questão existencial do homem, da garantia da vida, da necessidade de se repensar, refletir, reentender que o ser humano faz parte do biossistema e que dele depende. Para tanto no presente artigo a discussão será prefacialmente sobre a sustentabilidade; sobre a dimensão ética da sustentabilidade e sobre os princípios e virtudes da ética para a sustentabilidade. Seu objetivo geral é analisar o conteúdo da dimensão ética da sustentabilidade e a necessidade de mudança de valores e de atitudes para o alcance dessa dimensão. Para elaboração foi utilizado o método indutivo, com as técnicas do referente, das categorias e do fichamento.
DIREITOS, IDENTIDADE E POVOS CIGANOS: UM ESTUDO SOBRE AS FRONTEIRAS DOS PROCESSOS DE NORMATIZAÇÃO DA CIGANIDADE NO BRASIL
Authors: Silva Phillipe Cupertino Salloum e , Figueira Luiz Eduardo de Vasconcellos
Published: December 2019

Visamos descrever e analisar, neste estudo, a tramitação do projeto de lei n° 248/2015, que propõe a criação do Estatuto do Cigano. A proposição deste marco legal específico perpassa pela discussão acerca da identidade cigana, ou seja, da “ciganidade”, pois esta condição, o “ser cigano”, nos últimos 15 anos, vem possibilitando acionar políticas públicas, reivindicar direitos humanos específicos, assim como ocupar espaços em conselhos, órgãos públicos, participar de reuniões etc. Levantamos a seguinte questão, como problema de pesquisa: como os diferentes entendimentos sobre ciganidade surgem e influenciam no processo de tramitação do projeto de lei nº 248/2015, que propõe a criação de um Estatuto do Cigano? No percurso deste processo legislativo, diferentes formas de fronteiras podem ser percebidas; margens porosas, indefinidas, que tentam normatizar a ciganidade; ao mesmo tempo que este movimento de institucionalização do “ser cigano”, no Congresso Nacional, também se dão nas dobras, percorrem o formal e informal. Trata-se de uma pesquisa de inspiração etnográfica, que exigiu uma observação participante, assim como uma “descrição densa” dos processos investigados.