bluuebunny/crossref_metadata_2025 huggingface dataset:
Predictors and clinical features of methotrexate (MTX) therapy for ectopic pregnancy
Authors: Zhang Jing , Zhang Yu , Gan Lu , Liu Xiao-ying , Du Shan-ping
Published: August 2019

Objective: The aim of this study was to summarize clinical features and identify success predictors of methotrexate (MTX) treatment in ectopic pregnancy. Methods: Retrospective study of 213 ectopic pregnancies (EPs) treated with MTX in the Department of Gynecology of the Shaanxi Provincial People's Hospital from January 2017 to December 2017. Results: Patients were divided into two groups: the successful treatment group (n=166) and the failed treatment group (n=47). The overall success rate of MTX therapy for ectopic pregnancy was 77.93%, and the total cost of MTX therapy ($437.83) was far lower than that of surgical treatment (>$1459.45). The mean initial β-hCG level was significantly lower in the successful treatment group than in the failed treatment group (2538.08 mIU/mL versus 3195.91 mIU/mL, P=0.010). The treatment success rate of the group with an initial β-hCG concentration less than 4000 IU/L was significantly higher than that of the group with an initial β-hCG concentration greater than 4000 IU/L. However, the success rate of the group with an initial β-hCG concentration greater than 4000 IU/L was still relatively high (61.22%). The β-hCG levels were significantly increased on the 4th day in the failed treatment group (P=0.000). Compared to the initial β-hCG level, the day-4 β-hCG level increased by more than 8.21%, indicating that the treatment was effective. The diagnostic sensitivity was 88.6%, the specificity was 74.5%, and the area under the ROC curve was 0.863 (95% CI: 0.805-0.920). Conclusions: MTX therapy as a treatment option is safe, effective and economical for asymptomatic, hemodynamically stable patients with EPs who are keen on fertility preservation, regardless of the serum β-hCG level or adnexal mass size. The change in the β-hCG level between the initial day and the 4th day is an effective and early predictive tool for the MTX therapy of ectopic pregnancy.
Die Macht der Atmosphären
Authors: Langewitz Wolf , Langewitz Helena
Published: August 2019

Kontakti pacijenata s predstavnicima sustava zdravstva obilježeni su određenom atmosferom. Ovdje će biti predstavljena različita izvorišta takvih atmosfera. Arhitektura dviju ustanova za rehabilitaciju pacijenata i pacijentica s povredama mozga i kičmene moždine (Centar za rehabilitaciju u Baselu i Švicarski centar za paraplegičare u Nottwilu) ilustrira nastojanje arhitekata da u djelo provedu projektne ideje korisnika: dok u Baselu prevladava ideja stalnog navođenja na život u kolicima, arhitektura u Nottwilu predočava poletno raspoloženje koje život u kolicima želi osloboditi strahota. I uređenje liječničkih ordinacija oslikava različite namjere da se obilje- ži atmosfera. U drugom dijelu rada razmatra se pitanje kako nastaju atmosfere tijekom susreta kojem na raspolaganju ne stoji potpora estetskim elementima. Kao izvor atmosferskih utjecaja etablira se unutrašnji svijet stručnjaka i pacijenta, a diskutiraju se i trvenja neprihvaćanjem dogme o unutrašnjem svijetu u Novoj fenomenologiji. Kao pretpostavka za nastajanje kompaktnih atmosferskih prostora navodi se stil vođenja razgovora s fokusom na pacijentu i otvoren i radoznao stav, a ovi se onda ilustriraju primjerima.
Aesthetics of nature in contemporary context
Authors: Popović Una
Published: August 2019

U ovom radu estetika prirode predstavlja se u kontekstu njena oživljavanja u suvremenoj filozofiji. Priroda kao objekt estetskog iskustva i vrednovanja uglavnom je pitanje tradicionalne estetike i stoga je njeno oživljavanje u radu prikazano kao problem redefiniranja estetike u suvremenim terminima. Analiza se sastoji od primjera iz suvremene estetike, filozofije i umjetnosti, i usmjerena na otkrivanje ključnih svojstava novog estetičkog razumijevanja prirode. Ta ključna svojstva u zaključku su viđena kao indikacije buduće perspektive u razvoju filozofijske estetike.
Acceso de minorías a la educación superior en Colombia. Urdimbre de posibilidades y dificultades
Authors: Castañeda López Tatiana
Published: August 2019

El presente artículo es producto de una investigación realizada durante los años 2007 y 2008 con el fin de analizar la política pública de acceso a la educación superior de estudiantes indígenas a La Universidad Nacional de Colombia. Se exponen todas las voces que intervienen en el programa desde sus directivas pasando por sus estudiantes y egresados, con el fin de estudiar todos los mecanismos de acceso, permanencia y egreso y de esta manera evidenciar sus alcances, fortalezas y desaciertos.
Política ambiental en Colombia entre la formulación y la implementación
Authors: Cortés Landázury Raúl , Aguilera Prado Marco
Published: August 2019

El presente texto reflexiona sobre los hechos y el camino recorrido por la política pública ambiental en Colombia desde los 70 hasta finales del siglo XX y plantea los retos para el siglo XXI . Se destaca cómo la formulación de la política se ha debatido entre los intereses de los ambientalistas y los productores nacionales, al tiempo que se identifican las tensiones en la implementación que van de la mano de las confusiones conceptuales de la gestión ambiental y la sostenibilidad.
La dignidad humana como valor, principio y derecho en la jurisprudencia constitucional colombiana
Authors: Velasco Gutiérrez Yolanda
Published: August 2019

La eficacia de los valores, principios y derechos consagrados en la Constitución, está ligada a la concepción antropológica del Estado social de Derecho, que surge de la interpretación del enunciado normativo de la dignidad humana, conforme lo expresa la Corte Constitucional en la sentencia T–881 de 2002. Sin embargo, al estudiar los fallos relacionados en la sentencia T–881 del 2002, en los que se apoyó el alto Tribunal para delimitar el alcance del enunciado normativo de la dignidad humana, formulado bajo un triple carácter de valor, principio y derecho, y su estrecha relación con el tercer imperativo kantiano, se advierte que no existe corrección en dicha interpretación.Para examinar la consistencia del argumento, expuesto por la Corte Constitucional en la referida providencia, en esta investigación se hace primero un análisis descriptivo de la misma, luego se revisa cada uno de los fallos, fundamento de las premisas, y, por último, se confrontan estas con las teorías filosóficas correspondientes.
Políticas públicas educativas para la enseñanza del idioma inglés como segunda lengua. Breve estudio comparativo en Colombia, Costa Rica, México y Uruguay
Authors: Mendoza González Ma. De Los Ángeles
Published: August 2019

El idioma Inglés es uno de los más utilizados e importantes en el mundo por lo que es necesario analizar las políticas que tienen implementados los órganos de educación en distintos países para su regulación durante el proceso de enseñanza en el periodo de educación básica, a través de una comparación de las diversas normas, enfoques de enseñanza, evaluación y resultados obtenidos.Este documento de reflexión se efectúa incluyendo la perspectiva de la enseñanza del inglés en México ya que, a diferencia de los otros países que se incluyen como objeto de estudio, el programa de inglés no es obligatorio y por ende se encuentra en etapa de prueba. La finalidad del presente documento es comparar los elementos básicos establecidos y realizar conclusiones que permitan conocer laviabilidad y eficiencia de las políticas implementadas y que pueden ser susceptibles de aplicarse en México y otros países
Drought and climate change assessment using Standardized Precipitation Index (SPI) for Sarawak River Basin
Authors: Bong C. H. J. , Richard J.
Published: August 2019

Severe droughts in the year 1998 and 2014 in Sarawak due to the strong El Niño has impacted the water supply and irrigated agriculture. In this study, the Standardized Precipitation Index (SPI) was used for drought identification and monitoring in Sarawak River Basin. Using monthly precipitation data between the year 1975 and 2016 for 15 rainfall stations in the basin, the drought index values were obtained for the time scale of three, six and nine months. Rainfall trend for the years in study was also assessed using the Mann–Kendall test and Sen's slope estimator and compared with the drought index. Findings showed that generally there was a decreasing trend for the SPI values for the three time scales, indicating a higher tendency of increased drought event throughout the basin. Furthermore, it was observed that there was an increase in the numbers of dry months in the recent decade for most of the rainfall stations as compared to the previous 30 to 40 years, which could be due to climate change. Findings from this study are valuable for the planning and formulating of drought strategies to reduce and mitigate the adverse effects of drought.
Onomastic reflection in works of V. P. Krapivin
Authors: Labunets Natalia V. , Kochneva Natalia S.
Published: August 2019

The subject under research is the relevant, but insufficiently studied phenomenon of onomastic reflection. The aim is to identify the specifics of onomastic reflexives in the space of fairy-tale texts of V.P. Krapivin in the aspect of language game. The works of V.P.  Krapivin (which he himself denoted as Krapivin’s tales) served as the source. Onomastic constructions (more than 1,500 units), included in the reflexive context of the author’s vision of the proper name, became the material of the research. Contextual and component analysis, as well as the techniques of the descriptive method (observation, interpretation, and systematization) are the main research methods. Based on the material of Krapivin’s texts, the heuristic nominativeness, onomastic loading of texts were first examined from the standpoint of the presentation of the estimated information contained in the metalinguistic statements-reflections on the proper name. The specificity of the studied reflexives is that they can be either explicitly or implicitly expressed estimations, coupled with different textual parameters — from the word-onym (quasi-reflexive) through the onomastic phrase to the detailed evaluative characteristic of the onomastic construction. A special feature of Krapivin’s onym is to be found in the author’s desire to show various functional facets of a proper name: onym-nominative — onym-characterizer. The manifestation of the reflective beginning in the text is carried out in various ways: by directly commenting on the proper name using special lexical means, syntactic constructions, as well as through its graphic (orthofraphic), phonetic design, structuring of the component composition. Associative links of the name, manifested through onomastic reflexives, create the effect of onomastic games.
In Defense of Dental Therapy: An Evidence‐Based Workforce Approach to Improving Access to Care
Authors: Catalanotto Frank
Published: August 2019

This article addresses new systems and practice models in community‐based dentistry. Its purpose is twofold: to identify strategies and policies that support health equity and access to care; and to identify promising efforts that serve as new models for change in the dental workforce. Dental therapy meets both of these purposes and is the major focus of this article. The fundamental premises explored are threefold. First, the dental care system in the U.S. is broken for many people who then suffer the consequences of poor oral health; this is especially true for racial and ethnic minorities and lower income populations. Second, dental therapy is a proven, safe, high‐quality, cost‐effective, and ethical way to improve access to oral health care and oral health in general. Third, opposition to dental therapy comes only from the leadership of organized dentistry and is without an evidence base to support objections and criticism. This article reviews each of these three premises in detail. Based on this review, the article concludes that dental therapy is a safe, high‐quality, effective, and ethical approach to improve the oral health workforce, increase access to dental care, and achieve oral health equity.
Integrating Oral and Overall Health Care: Building a Foundation for Interprofessional Education and Collaborative Practice
Authors: Valachovic Richard W.
Published: August 2019

Interprofessional education (IPE) and interprofessional practice (IPP) are game‐changers. They will completely alter the way that health professionals are educated and the way that health care is delivered. The transition from our current silo‐based approach to team‐based education and practice is under way, and there is nothing that can be done to stop them from happening. This article will provide a historical context to the development of IPE in health professions education, identify ways in which the dental professions have addressed these developments, and provide recommendations for opportunities for the dental professions to engage in IPE and IPP, especially for the benefit of the people we serve as patients and current students and learners who will be practicing in a collaborative environment with other health professionals in the future.
Transformational Change as a Function of Scale and Diversity: A Historical Perspective on Academic Leadership as Dynamic Process
Authors: Winston Michael R.
Published: August 2019

This article proposes that while it is widely understood that large‐scale institutions require leadership, there is little consensus as to its definition or how to judge its degree of success or failure. A distinction is drawn between leadership and management. Historical background is provided to indicate change in the scale of academic and professional institutions. Attention is drawn to the impact of demographic changes and the expansion of academic opportunities to formerly underrepresented groups. The article argues that leadership is a dynamic process rather than the application of particular techniques or procedures to problem‐solving or the mobilization of resources. The overall perspective of the article is to shift the focus from the individual as leader to the larger framework of the environments and cultures in institutions as crucial elements of the success of academic leadership.
Case Report of a Program to Enhance Dental Students’ Interest in Academic Dentistry
Authors: Hendricson William D. , Seitz Stefanie , English Dana Kiefer
Published: August 2019

This case report describes a Teaching Honors Program (THP) at the UT Health San Antonio School of Dentistry and presents findings from an outcomes assessment covering the initial 11 years of the program. The program goals are to enhance dental students’ awareness of academic career options, promote student and faculty collaboration on educational development projects, and provide students with training in teacher toolkit skills to increase their readiness for peer teaching during dental school and faculty roles early in their careers. The THP curriculum consists of six core courses and nine electives extending across the four years of dental school. THP graduates receive the academic designation “Distinction in Dental Education” at commencement. Outcomes data are organized by Kirkpatrick's Hierarchy of Educational Outcomes: reaction (participants’ satisfaction with THP), indicators (students’ attitudes and intentions pertinent to teaching and academic careers), learning (changes in knowledge and skills relevant to teachers’ tasks), behavior (students’ ability to apply teaching skills in classrooms, labs, and clinics), and results (changes in the infrastructure and capacity of the school as a consequence of the THP). Positive outcomes were found in multiple layers of the assessment hierarchy. In 2016, 51% of students participated in the THP, and 31 graduated with Distinction in Dental Education; in 2017, 50% participated, and 44 graduated with that honor. THP students provide approximately 1,400 hours of supervised peer teaching annually in the predoctoral curriculum and pre‐matriculation programs, and 21% of the initial 106 THP graduates entered academic dentistry soon after graduation.
Benefits and Challenges of Partner Site Engagement with Community‐Based Dental Education Programs: The Partner Sites’ Perspectives
Authors: Smith Patrick D. , Thullen Matthew , Evans Caswell , Koerber Anne , Weatherspoon Darien
Published: August 2019

The aim of this qualitative study was to examine the perspectives of key personnel at partner sites providing community learning experiences to dental students to gain more understanding of the effects that community‐based programs have on the sites themselves. Fourteen semi‐structured interviews were conducted in 2015 with individuals from nine extramural sites. Interviewees had a range of roles from clinicians to CEOs, with six also reporting they were faculty preceptors. Three of the researchers developed a coding scheme focused on the benefits and challenges that community sites experience from participating in a community‐based dental education (CBDE) program. Each coder then reviewed the interview transcripts independently before final group discussions and recoding to agreement. The main themes related to benefits were recruiting future dentists, staying current with clinical developments, sites’ indirectly improving their missions by exposing students to broader roles of oral health providers, raising awareness regarding the need for dentistry in community settings, and nurturing a positive workplace environment. The main themes related to challenges were balancing education and training for students with clinical demands, communication with the university, and managing distinctive clinical and professional characteristics of students. This study's participants reported that the main benefit of CBDE for partner sites was dentist recruitment. The study also provided insights for both partner sites and dental schools to consider when developing and maintaining these partnerships.
Predoctoral Curricular Revision for Dental Radiographic Interpretation Competence Based on OSCE Results
Authors: Kumar Vandana , Gadbury‐Amyot Cynthia C.
Published: August 2019

Teaching radiographic interpretation skills to predoctoral dental students is challenging. The results of an objective structured clinical examination (OSCE) at one U.S. dental school failed to yield expected outcomes for students' radiographic interpretation skills. The purpose of this article is to describe the development of the radiology OSCE and subsequent curricular revisions based on the outcomes. Examples of curricular changes are a series of self‐assessed radiographic interpretation cases using the university learning management system. Each case contains a set of four intraoral radiographs and a series of questions. In year 4, an OSCE and final radiographic interpretation competency exam are administered; students are required to pass both exams. OSCE outcomes over a period of six years were used to evaluate the effectiveness of the curricular revisions. A questionnaire developed to capture student perceptions of the curricular changes was administered. The pilot OSCE of 2.9% first attempt pass rates initiated curricular revision. The strongest results to date occurred in 2018 with a 73.3% first attempt pass rate. Results from the questionnaire showed that students reported greater confidence in their interpretation skills when it came to recognizing radiographic errors, dental caries, and periodontal disease/pathologies (65%, 64%, and 57%, respectively). The use of the OSCE for programmatic assessment revealed the need for curricular revision in radiology. Students' participation in the newly revised radiology curriculum resulted in improved student performance and outcomes. This article emphasizes the importance of global and programmatic assessment for assessing student competence along with analysis of how assessment and accompanying data can inform curricular decisions.
Number of Pregnant Women at Four Dental Clinics and the Care They Received: A Dental Quality eMeasure Evaluation
Authors: Neumann Ana , Obadan‐Udoh Enihomo , Bangar Suhasini , Kumar Shwetha V. , Tokede Oluwabunmi , Kim Aram , Yansane Alfa , Mertz Elizabeth , Panwar Sapna , Gharpure Arti , Kookal Krisha Kumar , Mullins Joanna , Even Joshua B. , Simmons Kristen , White Joel M. , Walji Muhammad F. , Kalenderian Elsbeth
Published: August 2019

Process‐of‐care quality measure research can be used to identify gaps in the delivery of dental services to pregnant patients. The aim of this study was to evaluate the types of dental services that pregnant patients received in four dental clinics over five years as documented in the electronic health record (EHR). To accomplish this objective, the authors modified and validated a previously published claims‐based dental quality measure for EHR use. After the electronic dental quality measure specifications were defined, the number of pregnant patients was calculated at three academic dental institutions and one large accountable care organization, and the types of dental care services they received over a five‐year period (2013‐17) were determined. Calibrated reviewers at each institution independently reviewed a sub‐sample of patient charts to validate the information obtained from EHR queries, and the concordance between manual chart reviews and EHR query reports was analyzed. Of the 335,078 women aged 15‐44 years who received care at the four clinics for the five reporting years, 3.9% (n=13,026) were pregnant. Among these pregnant patients, 48.9% (n=6,366) received a periodic dental examination; 30.0% (n=3,909) received a comprehensive dental exam; and 21.5% (n=2,799) received additional dental services, irrespective of comprehensive or periodic oral evaluations. Overall, the mean proportion of pregnant patients seeking care in these academic dental and group practice clinics was low, but 78.9% of them received either a periodic or comprehensive oral evaluation. Given the importance of oral health care during pregnancy, these findings suggest a need for curriculum development to incorporate prenatal oral health education in the training of dental students.
Dental Students' Non‐Clinical Learning During Community‐Based Experiences: A Survey of U.S. Dental Schools
Authors: Smith Patrick D. , Mays Keith A.
Published: August 2019

Dental schools use community‐based dental education (CBDE) to ensure students gain experience in treating diverse and underserved patient populations. However, it is unclear to what extent schools utilize CBDE experiences to increase students' knowledge of structural factors impacting access to care. The aim of this study was to determine the level and types of non‐ clinical learning included in CBDE experiences and how that learning is being assessed across U.S. dental schools. This cross‐ sectional analysis used an 18‐item questionnaire distributed to associate deans and CBDE directors at all 66 U.S. dental schools. The questions focused on rotation structure, CBDE objectives, and didactic content for CBDE programs. Representatives from 31 schools—public (71%) and private (29%)—responded, for a 44% response rate. The primary objectives for the community‐based rotations were reported to be demonstrating cultural competence in diverse clinical settings (93.1%), addressing access to care (86.2%), and diagnosing and treating oral diseases (75.9%). Of the respondents, 73% reported that their schools supported clinical experiences with non‐clinical didactic course work, which addressed access to care (95%), professional responsibility (91%), social determinants of health (86%), the U.S. health care system (77%), health policy (73%), practice management (73%), motivational interviewing (50%), and public presentation training (32%). The results suggest that U.S. dental schools are using CBDE rotations to provide didactic content and assessing students on their knowledge of access to care, social determinants of health, interprofessional practice, and oral health policy. These important aspects of students' education provide additional evidence of the value of CBDE in dental education.
Developing an All‐Digital Workflow for Dental Skills Assessment: Part I, Visual Inspection Exhibits Low Precision and Accuracy
Authors: Greany Thomas J. , Yassin Ala , Lewis K. Chase
Published: August 2019

Visual inspection (VI) of dental student “waxups” by faculty has frequently been challenged as subjective and inconsistent. Traditional grading rubrics fail to precisely assess morphology due to coarse detail and inappropriate application of ratio measurement to ordinal data. The aim of this study was to test the hypothesis that VI would be measurably imprecise and inaccurate and to explore development of a superior digital assessment alternative. In fall 2017, six examiners at one U.S. dental school independently evaluated 81 student waxups of tooth #14 using VI. Grades were awarded using a 20‐item rubric, corresponding to discrete morphologic features. After inclusion criteria were met, 67 waxups were subsequently scanned with an intraoral scanner; analyzed using three‐dimensional surface comparison software; and digitally compared to scans of the same typodonts containing the original tooth #14. Examiner precision and accuracy were evaluated using digital inspection of morphologic regions in the VI rubric. Within this study's limitations, VI exhibited low inter‐examiner precision (ICC 0.332) and accuracy (“correctness”), resulting in potentially low‐grade validity. Intra‐examiner precision for three examiners was low, based on computation of statistically different mean grades (single tail paired t‐test), awarded by the same examiners one week apart. One examiner had to leave the study, for whom paired t‐test could not be performed. Independent digital evaluation by two examiners exhibited high inter‐examiner precision (ICC 0.866) and optimal accuracy. These results affirm the possibility that digital assessment techniques offer improvements in visualization, consistently valid student evaluation, and optimal self‐evaluation and self‐correction.
Developing an All‐Digital Workflow for Dental Skills Assessment: Part II, Surface Analysis, Benchmarking, and Grading
Authors: Greany Thomas J. , Yassin Ala , Lewis K. Chase
Published: August 2019

In Part I of this study, evidence was presented that visual inspection (VI) of dental student waxups exhibited low precision (ICC=0.332) and accuracy, resulting in questionable grade validity. VI inappropriately assesses morphology in part due to oversimplified grading rubrics and inappropriate application of ratio measurement to ordinal data. The aim of Part II of this study was to develop, apply, and compare with VI a digital assessment workflow and report the outcomes. After inclusion criteria were met, 67 (83%) student waxups were scanned with an intraoral scanner and analyzed using open source surface comparison software. Each was digitally compared to the homologous standard typodont tooth. Percentage contour variation within a stipulated tolerance was computed. The acceptable tolerance was derived from clinical literature reporting how contour deviations impact the biological and biomechanical stability of teeth and periodontium. Surface roughness of each waxup was also computed and compared with the reference teeth. A formula for digital assessment was developed and applied to each waxup. On average, digital grades exceeded the VI assessments, while correcting individual errors for greater accuracy and precision (ICC=0.866). Students were able to easily apply the digital workflow for visualization and accurate self‐evaluation. In this study, a digital grading workflow was developed that used portable data formats and freely available open source analysis software, so the method could be introduced at any dental school where intraoral scanning is available.
Intraoral Camera Use in a Dental School Clinic: Evaluations by Faculty, Students, and Patients
Authors: Murrell Michael , Marchini Leonardo , Blanchette Derek , Ashida Sato
Published: August 2019

The aims of this study were to assess the perceptions of dental students, faculty members, and patients about the benefits and pitfalls of intraoral camera use and to compare the completion rate of treatment planned posterior crowns with and without intraoral camera use in a predoctoral dental clinic. From July 2016 to June 2017, all 60 fourth‐year dental students at one U.S. dental school were encouraged to use the intraoral camera in treatment planning with patients in the school clinic. Perceptions of the students, their patients, and the faculty members supervising the treatment planning were assessed with a survey at the end of the treatment planning appointment. The completion rate of treatment planned posterior crowns was determined by recalling all posterior teeth that were treatment planned for a single unit crown at a specific period of time compared to the number of the same crowns completed for the same patients at a specific period of time, using the electronic health record, with and without camera use. Of the 60 students, 51 completed 198 surveys (85% response rate); 35 faculty members completed 64 surveys, and 202 patients completed one survey each (response rates for those groups could not be calculated). The survey results suggested that the students, faculty, and patients viewed intraoral camera use in a positive way. However, faculty perceptions were a little lower than those of patients and students, and a significant number of faculty members were neutral. The completion rate of posterior planned crowns was significantly higher (p=0.0005) when intraoral cameras were used to present images to patients than when cameras were not used. In this study, intraoral camera use in a predoctoral clinic was perceived positively by students and patients but more neutrally by faculty, and it increased the completion rate of planned posterior crowns.
Model-driven processing of cardio-respiratory data using dynalet transform (Preprint)
Authors: Demongeot Sr Jacques , Hazgui Sr Hana , Vuillerme Sr Nicolas , Taramasco Carla , Khlaifi Hajer
Published: August 2019

UNSTRUCTURED

This paper proposes a new data processing approach tailored to a model of the complex biological system studied. We will take as example the cardiac system made of a stimulator (represented for the sake of simplicity by the sinoatrial node), controlled by the respiratory oscillator, synchronizing a collection of sinoatrial node myocytes (pacemaker cells) and propose a mathematical model of the global system built from two van der Pol differential systems historically proposed for giving a first approximation of the cardiac and the respiratory activity. Then, we develop the observed cardiac signal on a functional base of approximate analytic solutions of the model. Finally, we propose perspectives to use it in the early detection of the drowsiness.
The Development of a Mobile Health App for Breast Cancer Self-Management Support in Taiwan: Design Thinking Approach (Preprint)
Authors: Hou I-Ching , Lan Min-Fang , Shen Shan-Hsiang , Tsai Pei Yu , Chang King Jen , Tai Hao-Chih , Tsai Ay-Jen , Chang Polun , Wang Tze-Fang , Sheu Shuh-Jen , Dykes Patricia C
Published: August 2019

BACKGROUND

Evidence has shown that breast cancer self-management support from mobile health (mHealth) apps can improve the quality of life of survivors. Although many breast cancer self-management support apps exist, few papers have documented the procedure for the development of a user-friendly app from the patient’s perspective.

OBJECTIVE

This study aimed to investigate the information needs of Taiwanese women with breast cancer to inform the development of a self-management support mHealth app.

METHODS

A 5-step design thinking approach, comprising empathy, define, ideate, prototype, and test steps, was used in the focus groups and individual interviews conducted to collect information on the requirements and expectations of Taiwanese women with breast cancer with respect to the app. A thematic analysis was used to identify information needs.

RESULTS

A total of 8 major themes including treatment, physical activity, diet, emotional support, health records, social resources, experience sharing, and expert consultation were identified. Minor themes included the desire to use the app under professional supervision and a trustworthy app manager to ensure the credibility of information.

CONCLUSIONS

The strengths of the design thinking approach were user-centered design and cultural sensitivity. The results retrieved from each step contributed to the development of the app and reduction of the gap between end users and developers. An mHealth app that addresses these 8 main themes can facilitate disease self-management for Taiwanese women with breast cancer.
Distribution Record of Leptophryne borbonica (Tschudi, 1838) (Anura: Bufonidae) from Malang, East Java: Description, Microhabitat, and Possible Threats
Authors: Erfanda Muhamad Prayogi , Septiadi Luhur , Devi Sandra Rafika , Hanifa Berry Fakhry
Published: August 2019

Bromo Tengger Semeru National Park (TNBTS) which partly located in Malang, East Java, Indonesia holds various kinds of niches that can support the existence of undiscovered amphibian species. We examine a new distribution of the Leptophryne borbonica, Hourglass-toad from an area located on the slopes of the Southwest of Tengger Mountain as well as its ecological implications related to the possibility of habitat threats. The exploration was carried out on January 1st  and March 1st, 2019, with the description of morphology data and collecting abiotic parameters such as temperature, humidity, altitude, and habitat preference. The distribution of the species was marked. Any important notable records of the habitat threats are documented. The results showed that the amphibians found were Leptophryne borbonica, and set as a new record on Malang, East Java. We suggested that the isolated distribution is very susceptible to ecological disturbances, future ecotourism development, and habitat destruction that prone to local extinction. Further research and conservation efforts need to be carried out for the sustainability of this species in the observation site.
Reliability of Lateral Cephalometric Radiographs in the Assessment of the Upper Airway in Children: A Retrospective study
Authors: Savoldi Fabio , Xinyue Gou , McGrath Colman P. , Yang Yanqi , Chow Shiu Cheuk , Tsoi James K. H. , Gu Min
Published: August 2019

Objectives

To test the reliability of Lateral cephalometric radiographs (LCRs) for use in the assessment of the upper airway, hyoid bone, soft palate, and tongue.

Materials and Methods

The records of 57 healthy Chinese children from a nonhospital population (mean age = 12.6 years, SD = 0.5, 28 males and 29 females) who received two consecutive LCRs in the natural head posture were retrospectively analyzed. Fifteen linear, angular, and area measurements were used to describe the airway, hyoid bone, soft palate, and tongue. The reliability between the two LCRs was assessed with the intraclass correlation coefficient (ICC) and F-test. Errors were estimated with the Dahlberg and Bland-Altman method, and intra- and inter-assessor agreements were determined.

Results

Measurements of upper airway and hyoid bone had excellent method reliability, intra-assessor reliability, and inter-assessor reliability (ICC > 0.8). However, the method reliability and the inter-assessor reliability for soft palate and tongue was less favorable (ICC from 0.60 to 0.96). Soft palate area and thickness were the most critical parameters. Intra-assessor reliability was greater than both method reliability and inter-assessor reliability (which were similar).

Conclusions

The measurement of upper airway morphology, defined as the intramural space, and of the hyoid bone position were highly reliable on LCRs of children. However, the limited reliability in the assessment of tongue and soft palate area may compromise the diagnostic application of LCRs to these structures.
Representações de práticas inclusivas: da realidade vivida aos caminhos da inclusão no ensino superior na Amazônia paraense
Authors: Neves Joana d'Arc , Maciel Rogerio , Oliveira Marcos Vinicius
Published: August 2019

Este artigo analisa as representações dos coordenadores de cursos de licenciatura sobre as práticas inclusivas de pessoas com deficiência desenvolvidas no Campus de Bragança da Universidade Federal do Pará (UFPA). Trata-se de pesquisa de abordagem processual, no campo teórico e metodológico das representações sociais, considerando as três dimensões constituidoras: sujeitos, contextos e sentidos. As fontes mobilizadas são documentos regulatórios sobre a inclusão no ensino superior e entrevistas com quatro coordenadores dos cursos de licenciatura em Ciências Biológicas, História, Matemática e Pedagogia. Para tratamento dos dados, utiliza-se análise do discurso do sujeito coletivo. Como resultado, identifica-se que o processo de produção e circulação das representações sociais sobre as práticas inclusivas no ensino superior configura cenários de conflitos, desafios, contradições e avanços. Os sentidos encontrados revelam como eixos potencializadores da inclusão: a) construção de uma consciência inclusiva; b) política de formação continuada; e c) redefinições do papel e das condições de trabalho do educador no ensino superior. São discursos que trazem à tona a imagem de que a inclusão da pessoa com deficiência no ensino superior apenas principiou e ainda há um longo caminho a ser construído no interior das universidades brasileiras, caminho esse que passa pela consolidação das políticas públicas e pela reinvenção do fazer pedagógico.
Educação ambiental: a conscientização sobre o destino de resíduos sólidos, o desperdício de água e o de alimentos no município de Cametá/PA
Authors: Almeida Nayara , Santos Junior Cezário , Nunes Aline , Liz Mariane
Published: August 2019

As questões ambientais têm sido amplamente discutidas na atualidade, em virtude das mudanças no crescimento populacional, que acarretaram desequilíbrio ecológico, deterioração dos ecossistemas e escassez de recursos naturais. Nesse contexto, surge a necessidade da conscientização dos cidadãos por meio da educação ambiental. O objetivo deste estudo foi avaliar o destino de resíduos, o desperdício de água e o de alimentos no município de Cametá, estado do Pará. A pesquisa foi realizada com alunos do 4º e do 5º ano de uma escola da rede municipal de ensino, mediante estudo quali-quantitativo com utilização de questionário. Identificou-se que existem disparidades nas respostas entre os alunos de 4º e 5º ano. Contudo, os dados apresentados demonstram uma realidade comum vivenciada na Amazônia. São observadas dificuldades principalmente quanto ao manejo dos resíduos, à falta de tratamento de esgoto e ao aumento do consumo de alimentos industrializados nas comunidades. Com as atividades de educação ambiental, procurou-se conscientizar sobre o desperdício de alimentos e água, a destinação final dos resíduos e a importância de hábitos saudáveis.
Revista Completa
Authors: Executiva Editoria
Published: August 2019

Revista Completa
PRAKTIK CORPORATE SOCIAL RESPONSIBILITY (CSR) DI INDONESIA
Authors: Nayenggita Gina Bunga , Raharjo Santoso Tri , Resnawaty Risna
Published: August 2019

Dalam berbagai aktivitas membawa dampak nyata bagi kualitas kehidupan, baik bagi individu atau masyarakat. Berbagai permasalahan terjadi di Indonesia, sebagian besar disebabkan oleh ulah manusia itu sendiri atau memang alam yang sudah mulai mengikis. Ulah manusia juga hadir dari beberapa perusahaan yang membuat adanya pencemaran lingkungan, udara dan lain sebagainya. Maka peran-peran manusia atau sebuah organisasi turut andil dalam menangani permasalahan di Indonesia. Dan dari sanalah lahir sebuah gagasan CSR. CSR merupakan merupakan komitmen usaha untuk beroperasi secara legal dan berkontribusi untuk meningkatkan kualitas hidup dan tanggung jawab kemitraan dari karyawan dan keluarganya, pemerintah, perusahaan komunitas lokal, dan komunitas luas. CSR dapat melakukan dengan pemberdayaan masyarakat setempat secara nyata yang dibutuhkan oleh masyarakat sekitar.  In various activities it has a real impact on the quality of life, both for individuals and society. Various problems occur in Indonesia, mostly caused by human behavior itself or indeed nature has begun to erode. Human activities are also present from several companies that make environmental pollution, air and so on. Then the roles of humans or an organization contribute to addressing problems in Indonesia. And from there came the idea of CSR. CSR is CSR is a business commitment to operate legally and contribute to improving the quality of life and responsibility of partnerships from employees and their families, the government, local community companies, and the wider community. CSR can do with the empowerment of local communities that are actually needed by the surrounding community.
PENGGUNAAN METODE TOKEN ECONOMY UNTUK MENINGKATKAN MOTIVASI BELAJAR PADA PENYANDANG TUNANETRA DEMI MERAIH PRESTASI
Authors: Rohmaniar Sholehatun , Krisnani Hetty
Published: August 2019

Tujuan artikel ini membuat motivasi belajar pada penyandang disabilitas netra muncul sedemikian rupa. Motivasi sangat berperan penting dalam mendorong, menggerakkan dan mengarahkan perilaku seseorang. Motivasi yang sudah ada lalu dibantu diinterpretasikan dengan melakukan tindakan yang dapat mendukung ke arah tujuan yang diinginkan dengan menggunakan token economy. Dalam buku Behavior Modification: What It Is and How to Do It, oleh Garry Martin dan Joseph Pear pada tahun 1992, sudah dijelaskan bahwa token economy merupakan metode penguat perilaku yang dapat bertahan lama. Penggunaan token economy ini membantu klien dalam memaksimalkan waktu luangnya dengan melakukan hal-hal yang sekiranya bermanfaat untuk mendukung ia dalam mencapai tujuannya itu. Pada penggunaan token economy ini individu akan menerima token dengan segera setelah menampilkan perilaku yang disenangi, sebaliknya akan mendapat pengurangan token jika menampilkan perilaku yang tidak disukai. Token-token ini dikumpulkan dan kemudian dalam jangka waktu tertentu dapat ditukarkan dengan hadiah atau sesuatu yang mempunyai makna. Dengan kontrol yang ketat, penggunaan token economy dapat memunculkan dan membuat perilaku baru yang diinginkan jauh lebih baik untuk mendorong pencapaian suatu prestasi.  The purpose of this article is to make learning motivation in people with disabilities appear in such a way. Motivation plays an important role in encouraging, moving and directing one's behavior. Existing motivation is then assisted to be interpreted by taking actions that can support the desired goals using the token economy. In the book Behavior Modification: What Is Is and How to Do It, by Garry Martin and Joseph Pear in 1992, it has been explained that token economy is a behavioral reinforcement method that can last long. The use of token economy helps clients maximize their free time by doing things that are useful to support him in achieving his goals. In the use of this token economy, the individual will receive a token immediately after displaying a favored behavior, otherwise it will get a token reduction if it displays an unwelcome behavior. These tokens are collected and then within a certain period of time can be exchanged for gifts or something that has meaning. With strict control, the use of token economy can bring out and make the desired new behavior far better to encourage the achievement of an achievement.
ANALISIS KASUS ANAK PEREMPUAN KORBAN PEMERKOSAAN INSES
Authors: Amanda Amanda , Krisnani Hetty
Published: August 2019

Pada dewasa ini, semakin banyak kasus yang menimpa anak-anak bangsa khusus nya anak perempuan, salah satu kasus yang rentan menimpa anak perempuan pada saat ini adalah kekerasan seksual yang dapat terjadi pada berbagai kelompok umur, status sosial, tempat dan waktu. Kekerasan seksual dapat terjadi tidak hanya pada orang yang tidak dikenal, kekerasan seksual yang menimpa anak perempuan dapat pula terjadi di lingkungan terdekat yaitu keluarga. Pelecehan seksual pada lingkup keluarga termasuk kedalam pemerkosaan inses, dimana hubungan seksual ini terjadi antara kerabat dekat, biasanya antara anggota keluarga. Anak yang menjadi korban inses sangat membutuhkan perlindungan baik dari kerabat yang lain maupun para pekerja sosial, karena korban akan mengalami trauma yang berkepanjangan. Peran pekerja sosial dalam kasus anak perempuan korban inses ini untuk memberikan layanan konseling baik untuk korban dan juga keluarga nya, selain itu pekerja sosial juga dapat membantu dalam pelayanan pendampingan hukum untuk bekerja sama dengan lembaga-lembaga hukum agar membantu korban sebagai klien agar kasus nya di selesaikan secara hukum. Metode yang digunakan dalam penulisan artikel ini menggunakan studi literature. Studi yang mengkaji pemberitaan media massa dan memanfaatkan data dari liputan media dan beberapa literature mengenai anak korban inses seperti buku, jurnal, artikel yang telah dipublikasikan. Nowadays the more cases that afflict the nation's children especially girls, one of the cases that are vulnerable to girls at this time is sexual violence that can occur in various age groups, social status, place and time. Sexual violence can occur not only in people who are not known, sexual violence that befell girls can also occur in the closest environment, namely the family. Sexual abuse in the family sphere is included in incest rape, where sexual relations occur between close relatives, usually between family members. Children who are incest victims desperately need protection from other relatives and social workers, because victims will experience prolonged trauma. The role of social workers in the case of incest victims is to provide counseling services for victims as well as their families, besides that social workers can also assist in legal assistance services to work with legal institutions to help victims as clients so that complete legally. The method used in writing this article uses a literature study. Studies that study mass media coverage and utilize data from media coverage and some literature on incest victims such as books, journals, published articles.
PERGESERAN FUNGSI DAN KEDUDUKAN BADAN PERMUSYAWARATAN DESA MENURUT UNDANG-UNDANG NOMOR 6 TAHUN 2014 TENTANG DESA (STUDI BPD DESA KUNJANG)
Authors: Purnamasari Galuh Candra
Published: August 2019

Penelitian ini membahas pergeseran fungsi dan kedudukan Badan Permusyawaratan Desa menurut Undang-Undang Nomor 6 Tahun 2014 tentang Desa dan pengaruh pergeseran tersebut  khususnya bagi Badan Permusyaratan Desa Kunjang. Metode yang digunakan dalam penelitian ini adalah yuridis normatif dengan pendekatan perundang-undangan dan pendekatan historis. Kesimpulan yang didapatkan dari penelitian ini adalah  pergeseran kedudukan dan fungsi Badan Permusyawaratan Desa memberikan pengaruh kepada Badan Permusyawaratan DesaKunjang  yaitu pertama,  Badan Permusyawaratan Desa Kunjang tidak lagi menjadi unsur penyelenggara pemerintahan desadan sebagai “mitra” kepala desa dalam menyelenggarakan Pemerintahan Desa Kunjang. Kedua, fungsi pengawasan menjadi fungsi utama dari Badan Permusyawaratan Desa Kunjang, berbeda dengan fungsi legislasi yang menjadi tugas dan tanggung jawab utama dari Pemerintah Desa Kunjang dan bukan menjadi tugas dan tanggung jawab utama dari Badan Permusyawaratan Desa Kunjang.
Empirical Mode Decomposition in Discrete Time Signals Denoising
Authors: Germán-Salló Zoltán
Published: August 2019

This study explores the data-driven properties of the empirical mode decomposition (EMD) for signal denoising. EMD is an acknowledged procedure which has been widely used for non-stationary and nonlinear signal processing. The main idea of the EMD method is to decompose the analyzed signal into components without using expansion functions. This is a signal dependent representation and provides intrinsic mode functions (IMFs) as components. These are analyzed, through their Hurst exponent and if they are found being noisy components they will be partially or integrally eliminated. This study presents an EMD decomposition-based filtering procedure applied to test signals, the results are evaluated through signal to noise ratio (SNR) and mean square error (MSE). The obtained results are compared with discrete wavelet transform based filtering results.