bluuebunny/crossref_metadata_2025 huggingface dataset:
Development of the Attitudes toward Infertility Scale (ATIS): validity and reliability study
Authors: Siyez Diğdem Müge , Esen Erol , Baran Bahar , Seymenler Seçil , Kağnıcı Dilek Yelda , Siyez Ender
Published: September 2018

Purpose: The purpose of the study was to develop both a valid and reliable scale to determine the attitudes of university students towards infertility. Materials and Methods: This study was conducted in two phases, Study 1 (n = 443) and Study 2 (n = 309), with university students. Item analysis, exploratory factor analysis, discriminant validity, and internal reliability were calculated in Study 1. Confirmatory factor analysis and internal reliability were calculated in Study 2. Results: The result of exploratory factor analysis showed that the scale has a single factor structure with 12 items and confirmatory factor analysis indicated a good fit of the model for Attitudes Toward Infertility Scale. Cronbach’s alpha coefficients were .85 and .83 for two studies.Conclusion: The findings of this study demonstrate that the Attitudes toward Infertility Scale is a reliable and valid instrument.
Correlation between decompression period and initial volume of large cystic lesions of the mandible: a retrospective CBCT Study
Authors: ULU Murat , KELEBEK Seyfi , KALABALIK Fahrettin , AKÇAY Hüseyin
Published: September 2018

Purpose: The aim of this retrospective study was to evaluate the outcomes of the decompression of large cystic lesions of the mandible and to analyze the correlation between decompression period and the cone-beam computed tomography (CBCT) volume of initial lesions.Materials and Methods: The retrospective study included 13 patients who underwent decompression due to single cystic lesions. All the cystic lesions were localized in the mandible, between the anterior region and the ramus region. All the lesions recovered completely via decompression alone. Volume of the lesions was measured with CBCT and decompression was conducted with a customized acrylic resin stent inserted in the cystic cavity. Decompression period and initial CBCT volume were compared.Results: Mean age of the patients was 39.85 years, mean decompression periods was 12.38 months, mean follow-up period was 20.15 months, and mean initial CBCT volume was 7076.81 mm3. A positive correlation was found between the volume of the cystic lesions and the decompression period.Conclusion: Decompression can provide useful outcomes in the treatment of large cystic lesions in compatible cases since it provides numerous advantages such as noninvasive surgery, low risk of morbidity and severe complications such as bone fracture and inferior alveolar nerve injury. However, in aggressive cystic lesions such as odontogenic keratocyst  and ameloblastoma, subsequent definitive surgery following decompression is recommended.
Incidence of post-infectious glomerulonephritis: single center results
Authors: ATMIŞ Bahriye , KARABAY BAYAZIT Aysun , MELEK Engin , ÇAĞLI Çağla , ANARAT Ali
Published: September 2018

Purpose: The aim of this study was to retrospectively evaluate the incidence of post-infectious glomerulonephritis (PIGN) in department of Pediatric Nephrology at Cukurova University  between November-December 2016. Materials and Methods: The clinical and laboratory datas of 13 children with PIGN who were seen in our clinic between November-December 2016, and their follow-up results were evaluated retrospectively.Results: Thirteen children who diagnosed PIGN were evaluated with the mean age of 9 (3-15) years. All of the patients had history of throat or gastrointestinal infections. Symptoms of the patients at admission were edema (100%), oliguria (38.5%), macroscopic hematuria (23%), hypertension (15.3%), dispnea (15.3%), respectively. Serum complement C3 was low in all patients while one patient had both low serum complement C3 and C4. The patient who had hypocomplementemia (both C3 and C4) also had severe proteinuria and acute kidney injury. Renal biopsy was performed to this patient and diagnosed diffuse proliferative glomerulonephritis after renal biopsy.Conclusion: PIGN is observed with higher incidence in the developing countries in current era.  We detected an increase in the number of PIGN patients in a short period and we aimed to draw attention of pediatricians about PIGN patients with different clinical presentations.
Özel yetenek sınavına giren adayların çizim başarısı ile el anatomisi arasındaki ilişki
Authors: KABAKCI Ayse Gül , NARİN Handan , YÜCEL Ahmet Hilmi
Published: September 2018

Amaç: Bu çalışma, Resim-İş Eğitimi özel yetenek sınavına giren adayların el anatomisinin (parmak uzunlukları, el bileği çap, çevre ve hareket genişliği ölçümleri) desen sınavında aldıkları puan ile ilişkisi olup olmadığını ortaya koymayı amaçlamaktadır.Gereç ve Yöntem: Türkiye’deki bir üniversitenin Eğitim Fakültesi Güzel Sanatlar Eğitimi Bölümü Resim-İş Eğitimi Anabilim Dalı Özel Yetenek Sınavı’na giren adaylar çalışmaya dahil edilmiştir. Öğrencilerin dijital kaliper, esnek olmayan mezura ve dijital inklinometre kullanılarak parmak uzunlukları, el bileği çapı, çevresi ve hareket genişlikleri ölçülmüştür. Bulgular: Çalışmamıza 18-25 yaş arası 161 öğrenci (60 erkek, 101 kız öğrenci) dahil edilmiştir. Desen sınavında elli ve üzerinde puan alan 49 kız, 35 erkek öğrenci, kırk dokuz ve altında puan alan 52 kız, 25 erkek öğrenci bulunmaktadır. Çizim başarısı puanı elli ve üzerinde olan ile kırk dokuz ve altında olanların antropometrik özellikleri karşılaştırıldığında anlamlı fark elde edilememiştir. Sonuç: Bu çalışma, çizim becerisine etki eden pek çok unsurun olduğu ve tek başına antropometrik standartlarla çizim başarısı arasındaki ilişkinin ifade edilmesinin zor olduğunu göstermiştir.
A Novel Landscape for Understanding Physical and Mental Health: Body Mapping Research with Youth Experiencing Psychosis
Authors: Boydell Katherine M. , Ball Jeffrey , Curtis Jackie , De Jager Adèle , Kalucy Megan , Lappin Julia , Rosenbaum Simon , Tewson Anna , Vaughan Priya , Ward Philip B. , Watkins Andrew
Published: September 2018

Estimates indicate the lifespan of individuals with psychotic illness is reduced by approximately 15-20 years. Consequently there is a need to address the physical health of those who live with a mental illness, like psychosis. The Bondi Centre provides an integrated model of care to young people with a first episode of psychosis. The Keeping the Body In Mind program focuses on prevention and early intervention of physical health issues and is offered alongside treatment for mental health and social issues as part of routine care. We used body mapping, an arts-based research method, to explore the complexity of this physical health intervention. Our aim was to develop an in-depth understanding of experiences of young clients of the early intervention centre, with a particular focus on the embodied relationship between physical and mental health. Six young people engaged in creating life-sized body maps depicting their experience of the physical intervention program over four 3-hour sessions, followed by an in-depth interview. Analysis of our body maps drew on thematic analysis and narrative inquiry. The narrative trope was one of recovery, highlighting the importance of the link between body and mind, individual and community, and the balance between light and darkness. There was an emphasis on developing feelings of connectedness (to self and others), hope and optimism for the future, a sense of having an identity, and a sense of meaning and empowerment. Recovery was conceptualised as an ongoing process rather than an end product or fixed state. Involvement in the body mapping process was consistently identified as therapeutic, offering an opportunity for reflection on the journey to recovery with a focus on past, present and imagined storylines of the future.
Pengaruh Religious Commitment Terhadap Penyesuaian Diri Mahasiswa
Authors: Sakdiah Halimatus , Afawiyah Rabiatul , Abbas Muhammad Husaini
Published: September 2018

The self-adjustment ability on campus is an important requirement of studenteducation success. Therefore students should have good adjustment skills. This study aims to determine the adjustment ability and religious commitment of students in the campus IAIN Antasari, and to know the influence of religious commitment to student self-adjustment. The method used is quantitative method, with simple linear regression analysis. The research subjects were IAIN Antasari students in each faculty, and 236 students were selected as samples. The results showed that there was a significant positive religious commitment influence on the students' self adjustment at IAIN Antasari (R = 0.699 (r = 0.000)). Each dimension of religious commitment also has a significant positive effect on students' self-adjustment. The influence of religious belief dimension (R = 0.484 (r = 0.000)), religious practice dimension (R = 0.596 (r = 0.000)), religious knowledge dimension (R = 0.613 = 0.000)), and religious effect dimension (R = 0.689 (r = 0.000)) on students’ self-adjustment. It shows that the higher the religious commitment of the students, the better the students' self-adjustment. Therefore, the religious commitment of students is very important to be improved so that the students' self-adjustment will be better.
Perbedaan Keterampilan Berpikir Kritis Siswa yang Berbantuan Media Audio Visual dan LKS Cetak Sebagai Panduan Percobaan pada Metode Eksperimen dengan Pendekatan Verifikasi Kelas XI Semester 2 SMA Negeri 1 Sewon
Authors: Suryandari Suryandari
Published: September 2018

This research purposed to know the differences of student cognitive critical thinking and psychomotor skills, along with knowing where was the better group between audio visual media and paper sheet in  student cognitive critical thinking and psychomotor skills as experiment guidelines . Critical thinking skills that analyzed were belonged to  priority, analyzed, synthesis, and evaluation aspects.This research was an quasi-experiment with the static pretest posttest group design. The populate was belonged to all student of XI IPA 1, XI IPA 3, and XI IPA 5. The sample was  given by cluster random sampling, and the result is XI IPA 1 as the group help by audio visual media, XI IPA 5 as paper sheet. The instruments  were  10 questions of critical thinking skill and psychomotor observation  sheet. Data were obtained  from posttest and psychomotor observation  scores. Data analyzing used independent sample T-test and different populate average estimation test.The results showed that there were differences of  student  cognitive critical thinking and psychomotor skills between of  the group that helped by audio visual media and paper sheet, along with the student cognitive critical thinking and psychomotor skills of audio visual media group are better than paper sheet, it was  because of the ranges of  different average populate estimation in cognitive aspect  was ranging from 0,1246 9,2313 and psychomotor was 7,752 12,906   for each α = 5%
Investigation of whole body extract metabolites of Lucilia sericata larvae and potential antibacterial effects
Authors: Sig Ali Korhan , Koru Ozgur , Araz Engin
Published: September 2018

Aim:
Complementary medicinal techniques have gainedfocus by modern medicine,
recently. Maggot Debridement Therapy is a widely-used method worldwide. It is
especially recommended for chronic wounds, and has serious advantages such as
low cost, easily-applicability and rare adverse effects, but its effect
mechanisms remains unclear. The aim of this study is to detect components and
to investigate potential antibacterial effects of whole body extract
metabolites of Lucilia sericata
larvae.Material anf Methods:
Due to potential antibacterial effects, agar well diffusion and flowcytometry
methods were used against Staphylococcus
aureus, Pseudomonas aeruginosa, Escherichia coli and Enterococcus faecalis to do evaluation
on whole body extracts of previously-cloned maggots in specialized climate
room. After this antibacterial effect evaluation, 2-D PAGE analysis was done
for protein investigation. Results:
Inhibition zones were observed for S.aureus
(16mm), E.coli (22mm) and E.faecalis (14mm), but for P.aeruginosa, the extract could not
provide any inhibiton zone. In flow cytometry, different killing rates were
detected in different extract dilutions, and for the lowest (1/64) dilution,
killing rates were 51.9%, 75%, 80% and 98.7% for P.aeruginosa, E.faecalis, E.coli and S.aureus, respectively. 2-D PAGE showed various proteins with
different molercular mass (<10-260kDa) and pI (3-9).

Conclusion:
Antibacterial effects of maggot whole body extracts on tested strains are
obviously detected. Many protein spots with widely variable molecular mass and
isoelectric points were observed. As a result, this antibacterial effects may
be caused by these proteins, but it is necessary that these proteins must be
further evaluated via mass spectrometry and protein databases.
Morfometri Limpa Berkaitan dengan Produksi Radikal Bebas dan Antioksidan pada Kelelawar Pemakan Buah Codot Krawar (Cynopterus brachyotis)
Authors: Hanadhita Desrayni , Prawira Andhika Yudha , Rahma Anisa , Satyaningtijas Aryani Sismin , Agungpriyono Srihadi
Published: September 2018

Fruit bats have been reported as the natural reservoir of many emerging and re-emerging zoonotic diseases. Infected bats usually do not show any clinical symptoms and are infected persistently. This unique characters indicate that bats have high immune activity to combat viruses even in its physiological state. High immune activity will affect the size of lymphoid organ and produce high level of reactive oxygen species (ROS). Spleen is one of the important lymphoid organ which have a strategic function in elimination of blood borne pathogens. This study was undertaken to provide information on the normal size of spleen and to analyze malonaldehyde (MDA) and super oxide dismutase (SOD) levels of free range fruit bats (Cynopterus brachyotis). The ratio of body weight/spleen was 0.4% and there were no significance differences between the male and female bats. The spleen MDA levels which represent ROS generation was higher than those of the liver. Male bats with higher levels of MDA tend to have bigger spleen size than the female which has lower MDA levels. High levels of MDA might indicate a high immune activity inside the spleen. Despite the negative effect of ROS to genetic material, high level of ROS can be advantageous to support the bats immune system as a viral reservoir. High levels of MDA are generally accompanied by high levels of SOD which might reduce the negative impact of oxidative stress in the C. brachyotis.
ANTIULCER ACTIVITY OF DINITRATE 2-PHENYL-9DIETHYLAMINOETHYLAMINE[1,2-A]BENZIMIDAZOLE WITH HELICOBACTER PYLORI-LIKE DAMAGE OF GASTRIC MUCOSA
Authors: Chernikov M. V. , Oganova M. A. , Gerasimenko A. S. , Artemyev E. A.
Published: September 2018

The search for new drugs providing effective and safe therapy of acid-dependent diseases of the gastrointestinal tract, continues to be an actual problem of modern pharmacotherapy. One of the most significant pathogenetic mechanisms of these diseases is associated with Helicobacter pylori damage to the gastric mucosa.

The aim of this study is the experimental investigation of the antiulcer effect of 2-phenyl-9-diethylaminoethylamine [1,2-a] benzimidazole substance (hereinafter a Benzimidazole derivative substance) on the model of Helicobacter pylori-like gastric mucosal injury in combination with immobilization stress (a restraint).

Materials and methods. For modeling a mucous membrane damage to experimental animals (white Wistar male rats), they were injected 120 mmol/l ammonia solution after a 24-hour immobilization stress (restraint). As reference drugs, the following officinal anti-ulcer drugs widely used in clinical practice, had been chosen: Rranitidine (30 mg/kg, 10 mg/kg and 3 mg/kg) and Omeprazole (3 mg/kg, 1 mg/kg and 0.3 mg/kg). The study substance was used in the doses of 30 mg/kg, 10 mg/kg and 3 mg/kg. The maximum doses of the reference drugs were calculated on the basis of maximum daily doses for humans, taking into consideration the interspecies conversion factor. The maximum dose of the substance under study was selected experimentally. The logarithmic dose range was used for the convenience of further calculations of the ED50 value. All the studied objects were introduced intragastrically through a non-traumatic tube.

Results and discussion. It has been established that the studied substance significantly reduced the area of mucosal damage relative to the control values in modeling Helicobacter pylori-like gastric mucosal injury provoked by the administration of ammonia solution against the background of gastric mucosal ischemia after a 24-hour restraint. At the same time, the inhibition of ulceration reached 78%, while in the groups receiving Ranitidine and Omeprazole, it reached 66% and 50%, respectively. The calculated ED50 values were the following: for the substance under study – 16.03 mg/kg, and for Ranitidine – 15.99 mg/kg.

Conclusion. The gained results indicate that the studied Benzimidazole derivative is superior to analogs in its ability to suppress gastric mucosal ulceration provoked by Helicobacter pylori-like gastric mucosal injury, which confirms the relevance of further study of anti-ulcer activity and the development of the pharmaceutical dosage form based on it.
Critères de choix et de réforme des reproducteurs mâles et femelles dans les élevages de porcs des départements de l’Ouémé et du Plateau au Bénin
Authors: Dotché Ignace Ogoudanan , Ahounou Serge Gbênagnon , Salifou Chakirath Folakè Arikè , Biobou Rodrigue , Kiki Pascal Sègbégnon , Govoeyi Benoit , Antoine-Moussiaux Nicolas , Dehoux Jean-Paul , Mensah Guy Apollinaire , Farougou Souaïbou , Thilmant Pierre , Youssao Abdou Karim Issaka , Koutinhouin Benoît
Published: September 2018

L’objectif de l’étude a été de décrire les critères de choix et de réforme des reproducteurs porcins au Bénin. Une enquête a été réalisée auprès de 65 éleveurs porcins. L’analyse factorielle des correspondances a été utilisée pour identifier des groupes d’éleveurs en fonction de leurs pratiques au niveau de chaque sexe. Le groupe 1 était composé en majorité de personnes non scolarisées élevant principalement des porcs locaux en liberté. Le groupe 2 était composé majoritairement d’éleveurs de niveau du primaire ou du secondaire. Le groupe 3 comprenait des éleveurs non scolarisés et de niveau du secondaire. Les éleveurs des groupes 2 et 3 utilisaient des races améliorées et des animaux croisés, en claustration. Les critères les plus utilisés pour le choix des mâles dans les élevages ont été l’état de santé, la conformation et les testicules très développés, le nombre de tétines, l’absence de défaut génétique, et la croissance. L’absence de défaut génétique a été plus utilisée dans les groupes 2 et 3, puis les testicules développés dans le groupe 1. Les critères les plus utilisés pour le choix des femelles dans les trois groupes ont été l’état de santé, la taille de la portée, les liens de parenté et la croissance des porcelets. La plupart de ces critères ont été moins utilisés dans le groupe 1. Les critères les plus utilisés pour la réforme des verrats ont été l’âge et la perte de libido. Les principaux critères de réforme des femelles âgées dans tous les groupes ont été le rang de portée et la baisse de la taille de la portée. Cette dernière a été plus utilisée dans les groupes 2 et 3. Pour conclure, les éleveurs disposaient de bons critères de choix et de réforme des reproducteurs qu’il faudrait améliorer afin d’augmenter leur productivité.
Detection of Erysipelothrix rhusiopathiae in naturally infected pigs in Kamuli District, Uganda
Authors: Musewa Angella , Roesel Kristina , Grace Delia , Dione Michel , Erume Joseph
Published: September 2018

Swine erysipelas is an economically significant disease affecting all stages of pork production. The biggest losses may occur in growers-finishers because of sudden death or acute septicemia. Survivors often suffer from chronic lameness, arthritis and endocarditis leading to poor body growth. The causative agent is the ubiquitous bacterium Erysipelothrix (E.) rhusiopathiae, which is also able to enter the skin of people handling infected animals and meat and cause infection. In order to show the presence of E. rhusiopathiae in pigs, serum samples from 426 randomly selected pigs were collected in four subcounties (Bugulumbya, Butansi, Kitayunwa and Namwendwa) in Kamuli District in Uganda, as part of a multipathogen survey conducted by the International Livestock Research Institute in 2013. Subsequently, 100 samples of fresh pork were collected from all 67-pork slaughterhouses operating in the same subcounties for isolation and bacterial culture. Overall, 308/460 (67%) of the pig sera carried antibodies against E. rhusiopathiae and 45/100 (45%) of the fresh pork samples were contaminated with E. rhusiopathiae. This is the first ever report of E. rhusiopathiae in pigs and pork in Uganda.
Valorisation des tourteaux d’amandes d’hévéa et d’anacarde chez le porc en postsevrage et en croissance
Authors: Kouakou N'Goran David Vincent , Angbo-Kouakou Cho Euphrasie Monique , Koné Gningnini Alain , Kouame Kouadio Bertin , Yéboué François de Paul , Kouba Maryline
Published: September 2018

La valorisation du tourteau détoxiqué d’amandes d’hévéa (Hevea brasiliensis) (TH) et du tourteau d’amandes déclassées de cajou (Anacardium occidentale) (TA) dans l’alimentation animale a été étudiée chez les porcs croisés de 28 jours (sevrage) à 180 jours. Ces animaux, répartis au sevrage en cinq lots, ont reçu soit un régime témoin (RT), soit un des quatre régimes expérimentaux contenant 7,5 % ou 15 % de TH (TH7,5 et TH15) ou de TA (TA7,5 et TA15). Les croissances journalières ont été de 246 ± 26, 198 ± 41, 191 ± 31, 154 ± 20 et 153 ± 31 g.j-1 de 29 à 89 jours d’âge, et de 511 ± 84, 456 ± 74, 463 ± 140, 460 ± 53 et 504 ± 48 g.j-1 de 90 à 180 jours d’âge, respectivement pour les régimes TH7,5, TH15, TA7,5, TA15 et RT. Les poids vifs à 180 jours ont été de 74 ± 6, 71 ± 10, 65 ± 12, 61 ± 5 et 65 ± 5 kg respectivement pour les mêmes régimes. Les résultats suggèrent que le TH et le TA peuvent être incorporés à 15 % sans effet néfaste dans la ration alimentaire des porcs locaux en postsevrage et en croissance en milieu tropical. Aussi, l’utilisation de ces tourteaux dans l’alimentation des porcs permettrait à la Côte d’Ivoire de réduire sa dépendance vis-à-vis de certaines matières premières importées comme le tourteau de soja.
Appearance of Nurses and Perceived Professionalism
Authors: Wills Nikki L. , Wilson Brittany , Woodcock Eva B. , Abraham Samuel P. , Gillum Deborah R.
Published: September 2018

Background: After completing a literature review on the topic of appearance and professionalism a knowledge gap was identified, relating to how individuals perceive professionalism based on appearance. First impressions are how patients form opinions of their nurses. Professionalism is influenced by many variables, such as hair, make-up, uniform, behavior, and image. Purpose: The purpose of this study was to explore perceptions of a nurse’s appearance and projected professionalism. Method: A total of 120 students volunteered to participate in the study. The research question was: “How do college students perceive the professional appearance of the nurse?” This was a quantitative, cross-sectional, non-experimental study with a descriptive design. A qualitative question was also asked to complement the quantitative data. The survey contained 3 demographic questions and 18 items based on the participant’s perception of the perceived professionalism using the given images. The data collected were analyzed using descriptive statistics. Orem’s theory of self-care was used to guide this study. Results: The results confirmed the complex nature of the nursing image. Participants perceived a nurse who took extra time to improve appearance to be professional, trustworthy and least lazy. A not so prepared nurse was perceived to lack confidence and also to be less compassionate.
Comparison of wavelet-based hybrid models for the estimation of daily reference evapotranspiration in different climates
Authors: Araghi Alireza , Adamowski Jan , Martinez Christopher J.
Published: September 2018

Reference evapotranspiration (ETo) is one of the most important factors in the hydrologic cycle and water balance studies. In this study, the performance of three simple and three wavelet hybrid models were compared to estimate ETo in three different climates in Iran, based on different combinations of input variables. It was found that the wavelet-artificial neural network was the best model, and multiple linear regression (MLR) was the worst model in most cases, although the performance of the models was related to the climate and the input variables used for modeling. Overall, it was found that all models had good accuracy in terms of estimating daily ETo. Also, it was found in this study that large numbers of decomposition levels via the wavelet transform had noticeable negative effects on the performance of the wavelet-based models, especially for the wavelet-adaptive network-based fuzzy inference system and wavelet-MLR, but in contrast, the type of db wavelet function did not have a detectable effect on the performance of the wavelet-based models.
Neumann’s Tumor - A Rare Neonatal Tumor
Authors: Sahin Ceyhan , Akış yıldız Zeliha , Kaymakcı Aytekin , Gergin tinay Ozgül
Published: September 2018

Neumann’s tumor, also known as congenital granular cell tumor, congenital myoblastoma, congenital epulis, was first described by Neumann in 1871. It’s a rare cause of newborn’s intraoral masses. they are usually on the maxilla and soliter , they can rarely  be seen on the mandibula and multiple. Even if it is not clinically symptomatic, surgical resection is performed because of its cosmetic appearance, negative psychological effect on the family , differential diagnosis and treatment. Neumann’s tumor is fully cured by surgical resection because it does not show recurrence or metastasis after excision.
Online Positive Affect Journaling in the Improvement of Mental Distress and Well-Being in General Medical Patients With Elevated Anxiety Symptoms: A Preliminary Randomized Controlled Trial
Authors: Smyth Joshua M , Johnson Jillian A , Auer Brandon J , Lehman Erik , Talamo Giampaolo , Sciamanna Christopher N
Published: September 2018

Background

Positive affect journaling (PAJ), an emotion-focused self-regulation intervention, has been associated with positive outcomes among medical populations. It may be adapted for Web-based dissemination to address a need for scalable, evidence-based psychosocial interventions among distressed patients with medical conditions.

Objective

This study aimed to examine the impact of a 12-week Web-based PAJ intervention on psychological distress and quality of life in general medical patients.

Methods

A total of 70 adults with various medical conditions and elevated anxiety symptoms were recruited from local clinics and randomly assigned to a Web-based PAJ intervention (n=35) or usual care (n=35). The intervention group completed 15-min Web-based PAJ sessions on 3 days each week for 12 weeks. At baseline and the end of months 1 through 3, surveys of psychological, interpersonal, and physical well-being were completed.

Results

Patients evidenced moderate sustained adherence to Web-based intervention. PAJ was associated with decreased mental distress and increased well-being relative to baseline. PAJ was also associated with less depressive symptoms and anxiety after 1 month and greater resilience after the first and second month, relative to usual care.

Conclusions

Web-based PAJ may serve as an effective intervention for mitigating mental distress, increasing well-being, and enhancing physical functioning among medical populations. PAJ may be integrated into routine medical care to improve quality of life.

Trial Registration

ClinicalTrials.gov NCT01873599; https://clinicaltrials.gov/ct2/show/NCT01873599 (Archived by WebCite at http://www.webcitation.org/73ZGFzD2Z)
The Use of Information Communication Technologies Among Children With Autism Spectrum Disorders: Descriptive Qualitative Study (Preprint)
Authors: Ntalindwa Theoneste , Soron Tanjir Rashid , Nduwingoma Mathias , Karangwa Evariste , White Rebecca
Published: September 2018

BACKGROUND

The prevalence of Autism Spectrum Disorder (ASD) appears to be increasing globally due to the complex interaction of multiple biopsychosocial and environmental factors. Mobile phones, tablets, and other electronic gadgets have transformed our means of communication, and have also changed both healthcare and how we learn. These technological enhancements may have a positive impact on the lives of children, but there is currently a global scarcity of information on how information technology influences the education of children with ASD.

OBJECTIVE

This study was conducted in Rwandan schools and communities, and aimed to understand the perceptions of students with ASD, their parents, and their teachers, on the use of Information and Communication Technology (ICT) in the education of those with ASD.

METHODS

This qualitative descriptive study was conducted from December 2017 to July 2018. Researchers conducted four focus group discussions (FGDs) with 54 participants from different backgrounds: teachers, parents, and students with ASD. Each of the FGDs took approximately two and a half hours. A predefined set of open-ended questions were selected to discover people’s perceptions regarding assistive technologies used in ASD, their effectiveness, the scope of using them in their context, and upcoming challenges during implementation. The interviews were recorded, transcribed, and analyzed.

RESULTS

The findings of the study revealed seven key themes: (1) the use of ICT for the education of children with ASD; (2) existing augmentative facilities for learning; (3) current patterns of use of ICT in education; (4) preferred areas of learning for ASD students; (5) integration of ICT into educational programs; (6) areas of interest outside the classroom; and (7) future opportunities and challenges in Rwanda. We found most of the study participants assumed that appropriate technology and related innovations might solve the challenges faced by learners with ASD in classrooms. Moreover, they thought that children with ASD more so enjoyed watching television, playing digital games, and drawing objects using gadgets than interacting with people or playing with other children.

CONCLUSIONS

The use of various low-cost technical devices can aid with teaching and the education of children with autism in Rwanda. However, this area requires further research to discover the impact ICT can have on the education of children with ASD, so this study may become a starting point for further research in the area.
A Mobile App With Optical Imaging for the Self-Management of Hand Rheumatoid Arthritis: Pilot Study (Preprint)
Authors: Mollard Elizabeth , Michaud Kaleb
Published: September 2018

BACKGROUND

Patient outcomes are improved and the burden to the health care system is reduced when individuals are active self-managers of their own health. There is a need for technology that facilitates self-management of rheumatoid arthritis (RA) and can reduce the number of patient visits, promptly identify treatment needs, and reduce the costs associated with poor RA management. A mobile app named LiveWith Arthritis (eTreatMD, Vancouver, BC) has been developed that allows patients with RA to use their mobile device to regularly collect self-management data and to take objective measurements of the impact of RA on their finger joints using optical imaging technology.

OBJECTIVE

The objectives of this pilot study were to (1) gather preliminary data as to whether a mobile app with hand optical imaging capabilities improves self-management behaviors (self-efficacy in managing symptoms and patient activation), (2) determine if app use shows promise in improving health outcomes (Pain, Health Assessment Questionnaire-II [HAQ-II]), and (3) determine barriers to using the mobile app in adults with RA.

METHODS

This pilot study used a mixed-methods design. The quantitative portion was a traditional 2-group experimental design, and the qualitative portion was a follow-up telephone interview for intervention participants who did not complete the study. Measures of self-management included the Patient-Reported Outcomes Measurement Information System (PROMIS) self-efficacy in managing symptoms (P-SEMS) and Patient Activation Measure (PAM). Health outcomes included pain by Visual Analog Scale and disability by HAQ-II.

RESULTS

The final sample consisted of 21 intervention participants and 15 controls. There was a statistically significant improvement in P-SEMS and promising trends for improvement in PAM, HAQ-II, and pain scores for participants who used the app. Of the intervention participants who did not complete the study, 12 completed the qualitative interview on barriers to use. Qualitative content analysis revealed 3 themes for barriers to using the app, including (1) frustration with technology, (2) RA made the app difficult to use, and (3) satisfaction with current self-management system.

CONCLUSIONS

The LiveWith Arthritis app shows promise for improving self-management behaviors and health outcomes in adults with RA. Future study with a larger sample size is required to confirm findings. Initial app experience is important for adoption and continual use of the app. Individuals with significant disability to the hand would benefit from voice-activated app features. Participants who already have a system of managing their RA may not feel compelled to switch methods, even when a novel optical imaging feature is available.
FAKTOR-FAKTOR YANG MEMPENGARUHI TINGKAT PERILAKU HIDUP BERSIH DAN SEHAT PADA TATANAN RUMAH TANGGA DI WILAYAH KERJA PUSKESMAS PONED X
Authors: Prihanti Gita Sekar , A. Lista D. , R Habibi , I. Arsinta I. , P. Hanggara S. , P. Galih R. , F. Sinta
Published: September 2018

Latar Belakang: PHBS merupakan salah satu strategi pemerintah untuk mencapai tujuan pembangunan kesehaatan. Faktorfaktoryang mempengaruhi perilaku hidup sehat yaitu faktor predisposisi, faktor pemungkin dan Faktor penguat. Laporantahunan pada tahun 2015 di puskesmas X, didapatkan data cakupan rumah tangga yang melakukan kegiatan Perilaku HidupBersih dan Sehat (PHBS) di wilayah kerja puskesmas poned X sekitar 48,2% masih belum mencapai target nasional padatahun 2014 sebesar 70%Metode: Desain penelitian cross sectional. Pengambilan sampel dengan teknik purposive sampling.Jumlah sampel 380 orang. Pelaksanaan penelitian dilakukan di 5 kelurahan di wilayah kerja puskesmas X. HasilPenelitian:Berdasarkan hasil kuesioner didapatkan jumlah responden yang tidak berprilaku PHBS rumah tangga sebanyak227 orang (59.7%), sedangkan jumlah berprilaku PHBS rumah tangga sebanyak 153 orang (40.3%). Hasil analisis multivariateregresi logistik didapatkan hubungan yang signifikan antara usia dengan tingkat perilaku PHBS rumah tangga (p =0,003)serta tingkat pengetahuan dengan tingkat perilaku PHBS rumah tangga (p =0,000), dan tidak didapatkan hubungan yangsignifikan antara pendidikandengan tingkat perilaku PHBS rumah tangga(p = 0,206). Kesimpulan: Terdapat hubunganantara usia dan tingkat pengetahuan dengan perilaku PHBS rumah tangga, sedangkan tidak terdapat hubungan antarapendidikandengan perilaku PHBS rumah tangga.Kata Kunci : PHBS rumah tangga, usia, pengetahuan, pendidikan
Factors associated with pre-hospital delay before reperfusion therapy in patients with ST-segment elevation myocardial infarction
Authors: Kafle Ram Chandra , Paudel Navaraj , Jha Girija Shankar , Sharma Dibya , Alurkar Vijay Madhav
Published: September 2018

Introduction: Cardiovascular disease remains the main cause of death in the world, and myocardial infarction represents the main contributor to this mortality. Timely restoration of myocardial blood flow with reperfusion therapy is crucial. Pre-hospital delay is a major obstacle for early reperfusion therapy and has negative impact on mortality and left ventricle function.

Methods: A prospective study was carried in cardiology unit of a medical college from August 2013 to December 2017. Cases of acute ST segment elevation myocardial infarction that have undergone thrombolysis were recruited.

Results: Out of 450 patients with ST Elevation Myocardial Infection (STEMI), delayed presentation was seen in 288 (64%) for >6 hrs and 108 (24%) patients for >12 hrs. The duration from onset of symptoms to the presentation in the emergency room (pre-hospital delay) was 12.66 hrs (SD=14.19, range = 30 min to 72 hrs). The door to needle time was 54 min (SD=24) The major factors for pre-hospital delay were misinterpretation of symptoms (59%) and transportation problems (31%).

Conclusion: Misinterpretation of symptoms remain the most common cause of delayed presentation. Health education for public awareness can reduce the delay. Extension of thrombolytic therapy to district hospital and primary health center level after basic training for medical officer with checklist and collaboration in form of telemedicine with referral cardiac center may have major impact on morbidity and mortality reduction in acute STEMI patients with early reperfusion therapy.
Dokumenttielokuva mediakasvatuksen työkaluna
Authors: Rajala Anne Lill
Published: September 2018

Dokumenttielokuva genrenä sijoittuu usein ihmisten mielikuvissa jonnekin uutisten ja fiktioelokuvien välimaastoon. Joillekin se saattaa olla todellisuuden taltiointia ja näyttämistä suoraan ja sellaisenaan. Toisille se on elokuvantekijän subjektiivinen näkökulma tai kokemus maailmasta. Kolmansille taas elokuva itsessään muovaa todellisuutta – oli se faktaa tai fiktiota. Yhteistä on kuitenkin ajatus dokumenttielokuvan erityisestä suhteesta todellisuuden kanssa. Katsauksessa dokumenttielokuvaa käsitellään mediakasvatuksen työkaluna, jonka avulla voi kehittää kriittistä medialukutaitoa, kriittistä ajattelua ja itsetuntemusta.
HADIS GADIR KHUM DALAM PANDANGAN SYIAH DAN SUNNAH
Authors: Washil Izzuddin , Fata Ahmad Khoirul
Published: September 2018

Hadis Gadir Khum yang menjadi titik tolak perpisahan mazhab Sunni dan Syiah juga terdapat dalam kitab-kitab hadis utama kaum Sunni. Seperti kaum Syiah, para ulama Sunnah juga mengakui keabsahan derajat hadis-hadis tersebut. Bahkan hadis-hadis itu dianggap mutawatir. Namun demikian, antara kaum Syiah dan Sunni memiliki pemahaman yang berbeda terhadap hadis-hadis tersebut. Perbedaan terjadi dalam memahami kata mawlā. Sunni berpendapat bahwa kata itu bermakna pelindung/penolong, sementara Syiah berpendapat bahwa kata itu bermakna khalifah/pemimpin. Perbedaan pemahaman ini membawa kedua kelompok tersebut terlibat dalam pertengkaran sepanjang sejarah Islam. Namun demikian, banyak kalangan di Sunni dan Syiah yang berupaya membangun hubungan harmonis dengan mencari hal-hal yang sama di antara keduanya. Semata-mata untuk kepentingan ukhuwwah Islāmiyyah dan kejayaan umat Islam.
Multimedia Pembelajaran Matematika Interaktif Berbasis Komputer
Authors: Kusuma Rahmat Diyanto Fitri Dwi , Nasution Sri Purwanti , Anggoro Bambang Sri
Published: September 2018

This research has two goals that are to produce a product in the form of interactive computer-based mathematics learning media on linear equations system of two variables and to know the effectiveness of the product that has been developed. This research method is done by using 7 steps as a step to produce the product based on Borg and Gall development model that modified by Sugiyono. Based on the data analysis obtained from material experts and media experts stated that the interactive computer-based mathematics learning media is appropriate to be used based on the validator's validation indicator in which the validator indicator by the material expert is the quality of the content, the accuracy of coverage, language and feasibility of presentation, while the assessment indicator from media experts include visual communications, language, implementation, and software engineering. based on data analysis obtained from learners stated that multimedia learning interactions very good. This means that multimedia interactive computer-based learning that has been developed by researchers can be used as one of the learning resources of students of SMP / MTs class VIII.
Trace elements and REE enrichment at Seboah Hill, SW Egypt
Authors: Hassan Kamaleldin M.
Published: September 2018

Seboah Hill - a small body of peralkaline granite (< 0.1 km2) in south-western Egypt containing aegirine minerals ± magnesiohornblende ± riebeckite, cut by dikes of riebeckite-aegirine rhyolite, and exhibiting high radioactivity in veins of K-feldspar-aegirine-chalcedony-quartz ± trace hematite ± trace goethite was sampled and analyzed using inductively coupled plasma methods. Whole-rock chemical compositions of 5 granite, 3-rhyolitedike and 10 radioactive vein samples are presented. Of special significance is the enrichment of trace elements and rare earth elements (REE) in the radioactive veins. These include up to 6081 ppm Zr, 4252 ppm Ce, 1514 ppm Nd, 1433 ppm La, 1233 ppm Nb, 875 ppm Y, 388 ppm Pr, 350 ppm Th, 222 ppm Sm, 189 ppm Gd, 159 ppm Dy, 153 ppm Hf, 83 ppm Er, 76 ppm Yb and 58 ppm U. The chondrite-normalized patterns of REE in all samples show only limited variation and have negative europium (Eu) anomalies. These findings suggest that the sources of the REE are genetically related. Values of the Eu anomalies vary from 0.38-0.41 for the radioactive veins, 0.39-0.53 for the granite and 0.31-0.44 for the rhyolite dikes. Eu variations are consistent for different paragentic stages.
Medico-Legal Implications of C1 Vertebral Fractures. Case Report
Authors: Iov Tatiana , Bulgaru-Iliescu Diana , Damian Simona , Knieling A. , Diac Mădălina Maria , Tabian D. , David Sofia
Published: September 2018

Introduction: The upper C1-C2 column is the subject of several erroneous diagnostics. The most common mechanisms of injuries include fall from high-impact skulls, car accidents, etc. Vertebra C1 can also be injured by mild trauma. The Japanese show that atlas fractures occur in about 2-13% of the cervical spine fractures and about 1.3% of the total spinal cord injuries. It is underlined that CT examination is the most useful diagnostic method. The Czechs show that the atlas lesions appear in 1-2% of the cervical spine lesions. Americans reported fracture of the atlas in 7% of the cervical spine fractures. Even if CT has shown its value, lateral radiography is recommended in C1-C2 fractures. When victims are children or people injured in high-speed car crashes, the reported mechanisms were the fall from a high level and the impact on the tip of the flexed skull. The Italians mention that the C1-C2 area is the most exposed diagnostic area with errors. Material and methods: given the difficulty of establishing a diagnosis of C1 type fractures, we present in this paper such a case. We highlight the value of a CT scan. The victim is a 26-year-old woman with a trauma from the wall. The main issue in this case is that the diagnosis made by the radiologist seems to be wrong, the electronic and imprinted copies are of inferior quality. A second opinion revealed a very fine fracture that seemed to come from an older date than the date when the victim claimed she was assaulted. The better the lesions, the more misleading the interpretations. Any imaginary imaging lesion, especially if it is obvious in electronic reconstructions, must be brought to the attention of the physician if they are taken into account by "image". The axial CT sections may omit some lesions under certain conditions, for example at the upper and lower poles of a spherical, ovoid or cubic structure, such as the atlas lateral mass. Conclusions: the diagnostic solution in this case is the reconstruction of the axial sections in several planes. The crack can be highlighted, in the case of a reconstructed image, only after stacking the axial images. The mechanism could be through sudden compression, during a sudden head movement, uninitiated and uncontrolled by the neck muscles, when a movement occurs over the degree of elasticity of the occiput-atlas joint, the occipital condyles compressing abruptly, unilaterally one of the atlas masses. In such clinical cases, we experience pain, muscle contraction and torticollis, on a normal neurological background.
Sporadic Hemangioblastoma of the Filum Terminale: Case Report and Review of Literature
Authors: Gade Prashant S. , Velho Vernon , Naik Harish , Bhople Laxmikant
Published: September 2018

Hemangioblatomas are low grade, highly vascular tumors usually associated with VHL syndrome and most commonly occurs in the cerebellum. They very rarely occur in the spinal nerve roots and an origin in the filum terminale is exceptionl. A 47 year old man presented with low back pain, paresthesias and stiffness of the both lower limbs. He also had urinary retention and constipation. MRI showed an enhancing mass at the L5 vertebral level with multiple dilated and tortuous vessels at both poles of the tumor. Digital subtraction angiogram showed the tumor to be supplied by the anterior spinal artery and dural branches of lumbar arteries. At surgery, a well-defined tumor with orange red hue was found to be arising from the filum terminale. The tumor was excised en bloc. Histopathological examination showed hemangioblastoma which was confirmed with immunohistochemistry. Clinical symptoms improved significantly after surgery. A sporadic hemangioblastoma arising from the filum terminale should be considered as a rare cause of back pain and sciatica. Total excision of the tumor usually cures the patient.
Interpretation of shear modulus degradation tests
Authors: Srokosz Piotr , Dyka Ireneusz , Bujko Marcin
Published: September 2018

The problem is a continuation of the research conducted at the University of Warmia and Mazury in Olsztyn, Institute of Building Engineering. It concerns the development of methods for the interpretation of the shear modulus measurements based on the tests conducted on a torsional shear (TS) apparatus. The issue has significant importance in determining the deformation parameters, essential to perform numerical simulations of the interaction between a geotechnical structure and the subsoil. The purpose of this study was to conduct a comparative analysis of the various methods of interpretation of research results based on direct and reverse analysis, as well as automated classification of the first cycle of the relationship between the shear stress and the shear strain components obtained from the TS test. The methodology for verification of the presented interpretative methods consists in carrying out a series of laboratory tests on non-cohesive and cohesive samples of different granulation and state parameters. The course of the research includes the following steps: elaboration of the granulometric composition of several samples of soil, determination of soil index properties and execution of TS tests. Various methods of interpretation of obtained results were taken into account, in addition to conducting a comparative analysis. The study used a non-standard interpretation approach consisting of analysing one-fourth of the hysteresis loop of the first load–unload cycle of the tested samples. The obtained results confirmed the hypothesis that it is possible to estimate the degradation value of the shear modulus based on a part of the TS test results carried out under quasi-monotonic load conditions. The proposed methods of interpreting test results have confirmed their high usefulness, which is devoid of the uncertainty associated with standardised resonant column/TS testing.