bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence of Obstructive Sleep Apnoea Syndrome (OSAS) and Its Association with Hypertension in Jatinangor West Java
Authors: Tiksnadi Badai B. , Taufiqurrohman Arief , Permana Agung D. , Fihaya Faris Y. , Sofiatin Yulia , Wahyudi Kurnia , Akbar M. Rizki , Roesli Rully M.A.
Published: November 2019

Background:

Hypertension is a global health problem, with the prevalence increasing by 30% from 2013 to 2018 in Indonesia. Furthermore, obesity, a major risk factor for hypertension, has also escalated by 50%. Hence, the incidence of Obstructive Sleep Apnoea Syndrome (OSAS), which is strongly associated with hypertension and obesity, is expected to increase. OSAS is part of the complex sleep disorder breathing syndrome, but there is a lack of data regarding its prevalence and association with hypertension.

Objective:

To investigate the prevalence of OSAS and its association with hypertension in Jatinangor, West Java, Indonesia.

Methods:

A cross-sectional study was conducted from September to October 2018 of subjects from two villages in Indonesia selected by purposive sampling. Fifteen neighbourhoods were chosen by the cluster random sampling method, with a total of 1,308 respondents included in this study. Inclusion criteria were age > 17 years old and resident in the village for more than one year. OSAS was determined by a 4-variable screening tool questionnaire (4-V) and hypertension was measured by a standardised method (average of three measurements in each session with a one-minute break using a digital device); both measurements were performed by trained health cadres. All results were statistically analysed using chi-square and logistic regression.

Results:

Of the total of 1308 respondents included in this study, 33 (2.5%) had OSAS and 299 respondents (22.8%) had hypertension. In the population with OSAS, 18 respondents (54.5%) had hypertension, significantly higher (p<0.001) compared to the non-OSAS group (22%). After adjustment for age, gender, and Body Mass Index (BMI), OSAS was still an independent predictor of hypertension (OR = 4.3, p = 0.000).

Conclusion:

The prevalence of OSAS in the Jatinangor district of Indonesia is 2.5% and it is significantly associated with hypertension.
Technological Advancement in PMSG Based Wind Energy Conversion Systems: Issues and Challenges
Authors: Srivastava Puneet Kumar , Tiwari A. N. , Singh S. N.
Published: November 2019

Background:

Since its beginning in 1980, wind energy generation has gained newer heights and emerged as the most promising renewable energy technology at present. Wind turbine rating has increased from few kW to MW and now multi-MW turbines are also available and in operation too. Introduction: Impact of wind turbines on the grid has significantly increased with increased penetration of wind power into the grid. In order to improve the performance characteristics of the wind turbines, and make them suitable for grid integration, more advanced generators, control schemes, and power converters are required. Latest wind energy market trends and research articles reflect the popularity and market capture of Permanent Magnet Synchronous Generator (PMSG) for wind turbine applications.

Method:

The present work is dedicated to important electrical aspects concerning PMSG based wind energy conversion system. Starting with the technological development of wind turbine, state-of-the-art PMS based wind turbine concepts with power electronic converter topologies are discussed.

Result:

A comprehensive analysis of converter topology, grid integration, integration issues, and future research and technology trends are presented.In addition steady state performance analysis of PMSG based wind turbine is presented depicting issues with different control schemes.

Conclusion:

The study presented in this paper envisages help to the researcher in this area by providing them clear insight of various power electronic interfaces, their control complexities and various issues of concern. In addition we are assure that steady state analysis presented in this paper will attract the newcomers in this field of research.
Hartmann’s Procedure for Complicated Diverticulitis: A Critical Reappraisal
Authors: Costantini Raffaele
Published: November 2019

Background:

Complicated diverticulitis in advanced stages (Hinchey III, IV) is an important surgical emergency for which Hartmann’s Procedure (HP) has traditionally represented the gold standard treatment. HP, however, has high mortality and morbidity and a low percentage of reanastomosis rate. Increasing efforts have therefore been made in recent years to propose alternatives.

Objective:

To critically review studies on the outcome of HPvs.alternative procedures for complicated diverticulitis Resection-Anastomosis without [RA] or with [RAS] protective stomia, Laparoscopic Lavage [LL].

Methods:

Literature search in PubMed for original and review papers in the past 20 years (up to July 2019) with keywords: Hartmann’s procedure, complicated diverticulitis.

Results:

Comparative studies on HPvs. RA/RAS overall reveal better outcomes of RA/RAS,i.e., reduced mortality, morbidity and healthcare costs. However, most studies have limitations due to lack of randomization, limited number of patients and significant impact of surgeons’ specialization and hospital setting/organization in the decision of the type of surgery to perform. These factors might induce preferential allocation of the most critical patients (advanced age, hemodynamic instability, numerous comorbidities) to HP rather than RA/RAS. LL shows promising results but has been tested in a too small number of trialsvs. HP to draw definite conclusions.

Conclusion:

Though valid alternatives to HP are being increasingly employed, consensus on the best approach to complicated diverticulitis has not yet been reached. HP is still far from representing an obsolete intervention, rather it appears to be the preferred choice in the most critical patients.
Affective Risk for Problem Drinking: Reciprocal Influences Among Negative Urgency, Affective Lability, and Rumination
Authors: Atkinson Emily A. , Ortiz Anna M.L. , Smith Gregory T.
Published: November 2019

Background:

Affective disturbances have long been implicated in the onset and maintenance
of problematic alcohol use. Affective risk theory for problem drinking has moved beyond
early documentation that negative affect broadly confers risk to models specifying specific affectbased
risk processes.

Objective:

This paper provides a theory-driven review of recent literature on the role of affect-based
factors in the etiology of problematic alcohol use. First, we review recent advances in the understanding
of affect-based risk for problem drinking. Second, we highlight the importance of three
specific affect-based risk factors: urgency, affective lability, and rumination. Third, we offer hypotheses
regarding the reciprocal relationships between specific risk factors and drinking problems.
Finally, we suggest possible avenues for future research.

Conclusion:

Recent advances in the understanding of reciprocal prediction between affect-based
risk factors and problem drinking have set the stage for important new avenues of investigation into
the risk process. Affect-based risk processes appear to influence each otherover time, and they influence
and are influenced by problem drinking. Further understanding of these processes will pave the
way for a new generation of intervention strategies.
Vízrekesztő rétegből történő szennyeződések rediffúziós jelenségének laboratóriumi vizsgálata
Authors: Poczok Noémi , Székely István , Madarász Tamás
Published: November 2019

Számos szerves szennyező anyag antropogén hatások (káros emberi reakciók láncolata) következtében kerül a talajba, és ezzel a felszín alatti vizekbe. Az alacsony áteresztőképességű, vízzáró rétegek (pl.: agyag) ezen szennyeződések útjának elzárásában fontos szerepet játszanak. Viszont a szorpciós és diffúz tulajdonságaik miatt az ilyen vízzáró rétegek hosszútávú szennyeződésforrásként is szolgálhatnak. Ha a réteg egyszer elszennyeződött, már nagyon nehéz rekultiválni, és fennáll a lehetősége, hogy a szennyeződés lassú diffúziós folyamatok által a nagyobb áteresztőképességű rétegekbe is továbbterjed. Ezt a jelenséget úgynevezett rediffúziós folyamatként definiáljuk, amely során a vízrekesztő rétegből szennyeződés visszadiffundál a magasabb permeabilitású rétegbe. Jelen tanulmány célja ennek a rediffúziós folyamatnak a laboratóriumi méretekben történő modellezési lehetőségének bemutatása és a befolyásoló paramétereknek a szennyezőanyag transzportra gyakorolt hatásának számszerűsítése.
Automated static structural FEA environment in MATLAB using Solid Edge and Femap
Authors: Szántó András
Published: November 2019

Nowadays, CAD and FE software are getting integrated to each other. However, these new integrated pieces of software cannot be customized enough to analyze different optimization methods or model behavior. In this paper, a MATLAB environment is developed that connects to C# and VB programs, which use Solid Edge and Femap API functions, in order to automate the geometry modification and the FE model building and solving functions. A simple static structural size optimization problem is solved with the fmincon solver of MATLAB.
Vörösiszap minták titrálási görbéinek vizsgálata
Authors: Váradi Renáta , Székely István
Published: November 2019

A világ alumínium szükséglete egyre csak fokozódik, így az előállítás folyamata során létrejövő vörösiszap mennyisége is folyamatosan nő. A melléktermék gazdaságos feldolgozására már régóta folynak kutatások, de a minden szempontból megfelelő hasznosítási technológia ipari méretű megvalósítása még nem történt meg. A melléktermék felhasználása amellett, hogy csökkentené a környezeti elemek szennyezésének veszélyét, a benne található értékes fémek kinyerése szempontjából is célszerű lehet.
Utilisation and Quality Management of Power Plant Fly Ash
Authors: Ambrus Mária , Szabó Roland , Mucsi Gábor
Published: November 2019

Over the past decades, both the residential and industrial energy demand has increased due to the continuously growing consumption and production. As a large share of the electricity is still produced using fossil fuels, the utilisation of the by-products is a contemporary and pervasive issue. Fly ash is generated in large quantities in coal-fired power plants and has been proven to be an appropriate raw material for various industrial uses. Among others, it is applicable as an additive and lightweight aggregate in the cement and concrete industry, can be used for CO2 sequestration, glass foam production, catalyst production, or as a base material for geopolymers, as well. Geopolymers are inorganic polymers produced via the reaction between solid alumina and silica containing or alkali silicate materials in alkali media. Due to their numerous advantageous properties and wide variety of utilisation possibilities, research on fly ash base geopolymers became widespread topic. The quality of fly ash is determined by technical requirements, and the degree of quality control requirements depends on the final use. In certain fields of applications, standards and regulations have already been created to ensure the consistent quality of the final products made from fly ash, e.g. in the cement and concrete industry. There are various methods for fly ash processing, however, the methods to achieve the necessary properties are not standardised.
Production of Liquid Hydrocarbons from Plastic Wastes
Authors: Dobó Zsolt , Kecsmár Gergő , Jakab Zsófia , Nagy Gábor , Koós Tamás
Published: November 2019

Thermal pyrolysis of HDPE, LDPE, PP and PS plastic wastes were performed in a batch reactor and the yields of pyrolysis oils and liquid transportation fuels prepared by atmospheric distillation were determined. The gasoline fractions were tested in a traditional spark-ignition engine without any modifications or fuel blending. Fuel consumption and exhaust gas emission (NOx, CO) were measured and compared to a commercial fuel (RON = 95). PS generated 70.5% gasoline range hydrocarbons from the solid waste, followed by PP with 42.1%, LDPE with 40.8% and HDPE with 37.3%. The fuel consumption was reduced by 9.1-9.4% in the case of PS compared to reference measurement. Reduction in fuel consumption was noticeable at HDPE, LDPE and PP as well. PS gasoline decreased by 91-96%, while HDPE, LDPE and PP more likely increased the CO emission of the engine compared to commercial gasoline. The results show that pyrolysis of plastic wastes is a promising method to generate value added liquid transportation fuels and reduce the footprint of waste accumulation in landfills.
Geotermikus energia hasznosíthatósági lehetőségei a Bükkalja térségében meddő szénhidrogén termelő kutak átképzésével
Authors: Bretán Dávid , Szűcs Péter , Miklós Rita , Ilyés Csaba
Published: November 2019

Magyarország egy nem aktív vulkáni területen fekvő, ám mind európai,- mind pedig nemzetközi szinten elismert geotermikus potenciállal rendelkező ország. Az ország geotermikus gradiense átlagosan, ~ 45°C/km, míg más országokban ez az érték, ~ 20-30°C/km. Ennek megfelelően a hőmérséklet 1km-en 55-60°C, 2 km mélységben akár a 100-130 °C-ot is elérheti. A geotermikus energia kinyerésének és hasznosításának sok fajtája létezik, melynek egy nagy csoportját képezi az energetikai hőhasznosítás. Ez az irány itthon nem jellemző, így ezt a vonalat érdemes fejleszteni. Az ágazat fejlődése lassú, ennek fő oka a nagy kezdeti befektetési igény valamint a hosszú tervezési szakasz. Kutatásunk célja egyrészt ezen probléma orvoslásának irányában igyekszik lépéseket tenni, egy meddő kút funkcióváltását vizsgálva. A Bükk hegység előterében, peremi területein számos meddő, használaton kívüli szénhidrogén kút van melyeket munkánk energetikai céllal a későbbi hasznosíthatóság tükrében vizsgál. Jelen vizsgálat, Bükkalja, Demjén, Pünkösd-hegy térségében található 13 db felhagyott kútra koncentrál.
Javaslat a zöldfelület jelentőségének növelésére a smart city indikátorok között
Authors: Hancz Gabriella , Kosina Gergő
Published: November 2019

A város zöldfelületi rendszere csak akkor nyújtja a várt ökoszisztéma szolgáltatásokat, ha a zöld infrastruktúra számszerűsített mutatóinak megfelelően kerül kialakításra. A tanulmányban egy debreceni mintaterületen meghatározzuk a smart city és a zöld infrastruktúra módszerének megfelelő indikátorokat, majd azok összehasonlításából vonunk le következtetéseket és teszünk javaslatot annak érdekében, hogy a városi zöld infrastruktúra megfelelő súllyal szerepeljen a korszerű városfejlesztést meghatározó smart city módszertanban.
Staying Employed and Employing Others: Leadership Styles and Management Strategies of Proprietors of Micro Enterprises in Developing Countries
Authors: Akpamah Peter
Published: November 2019

This study sought to find out the leadership style and management strategies of the proprietors of micro enterprises that have enabled them to stay in business this long and offering employment to several others in the midst of unfavourable economic conditions in developing countries. Management strategy and leadership style are complementary in pursuing organizational goal. Though, literature on the subject reveals that not much research has been done on the survival of micro business on the African’s continent regarding owners’ management strategies and the leadership style. We used mix methods in data collection and purposive samplings of thirty (30) micro enterprises’ proprietors were interviewed. The result reveals that owners of micro business practice multistrategies in their organizations. The Study found out that the Laissez Faire or Free Rein Leadership and the Bureaucratic Leadership were not practiced by any of the research participants. However, Authoritarian Leadership with strict instructions dominated Democratic Leadership and appeared to have been very effective and yielded result in most micro businesses.
Structural Analysis of Carbon Fiber-reinforced Thermoset Composite
Authors: Barreiro Larissa , Araújo Paulo , Teles John
Published: November 2019

Materials are usually stronger in fibrous form than in bulk form. Composites are made from bonding two materials, where the reinforcement contributes with the outstanding natural properties and the matrix supports the fibers by transferring the loads between them, besides protecting the fiber from the environment hazards. Consequently, creating a strong composite that can be used in various applications and situations. In this academic work it is going to be analyzed how the composite made from carbon fiber and epoxy thermoset matrix behaves in specific situations, by making them in two different manufacturing methods. In addition, the analysis is going to be made in the laboratories of the university and then compared with computer analysis. So, the first phase of this academic work is being presented and highlighted below.
A tudás iparosítása a Miskolci Egyetemen
Authors: Helmeczi Ágnes , Darabos Éva
Published: November 2019

A „tömegesedés” következtében átalakult az egyetemek élete. A képzés költségei növekedtek, az egyetemek nagy létszámú állományt irányítottak. A gazdálkodás elmozdult a vállalatszerű működés felé. Az egyetem vállalkozói egyetemmé vált, a tudomány tudástermeléssé alakult. A tudománypolitika kezdte kiszolgálni az iparvállalatok igényeit. A tudás iparosítása című cikk Miskolci Egyetem kutatásait, fejlesztéseit és innovációját mutatja be. Az egyetem hazai és nemzetközi projektekben vesz részt, a kutatások hasznát fejlesztésekre fordítja, részt vesz az alapkutatásban, az alkalmazott kutatásban és a kísérleti fejlesztésben egyaránt. Az innováció részeseként segítenek a műszaki fejlesztések bevezetésében, új termékek megalkotásában. Működésük tapasztalatai mindenki számára fontosak.
X-ray fluorescence technique for studying mineral nutrients of Quinoa seed cultivated in Iraq
Authors: Raghdan H. Mohsin , Allami Risala H. , Mouhamad Raghad S.
Published: November 2019

Quinoa (Chenopodium quinoa Wild) is a plant that recently has been successfully grown in Iraq, providing seeds rich in nutrients and bioactive compounds. The distribution of metal composition and amino acid value in the quinoa seed was determined using the X-Ray Fluorescence technique. The present study aimed at the characterization of chemical composition, nutritional value, and amino acid profiles of quinoa seed cultivated in Iraq. Moisture, ash, gross fat, gross protein, gross fiber and carbohydrate contents concerning quinoa seeds were ranged from 9.45 ± 0.22 %, 2.13 ± 0.045 %, 6.4 ± 0.043%, 6.4 ± 0.873 %،3.8 ± 0.044 % to1.67+68.1 % respectively. The current study was undertaken to Detection of active compounds in quinoa seed extract including, alkaline, flavonoids, phenols, glycosides, resins, and tannins, where all the findings were positive. It could be concluded that quinoa seed, cultivated in Iraq are a good source of essential nutrients such as minerals, essential amino acids.
Compositional analysis of malanga (Xanthosoma sagittifolium), Chinese potato (Colocasia esculenta) and potato (Solanum tuberosum) for the utilization in the snack’s elaboration by conventional fried
Authors: Alisson Romero , Byron A. Herrera , Diego D. Moposita , Dayana S. Palacios , Darwin A Núñez , Riveliño E. Ramón , Altuna José , Favián I. Bayas
Published: November 2019

The objective of the present study was to compare the compositional analyze of three types of tubers, like traditional potatoes (Solanum tuberosum) and two of them that come from untraditional like Malanga (Xanthosoma saggitifolium) and papa china (Colocasia esculenta), crops that in Ecuador aren’t used for the snacks making. The evaluated components in the primordial matter and finished material were: protein content, grease, ashes, humidity, fiber, and carbohydrates, all of them were evaluated by official methods of analyze. The experiment was realized three times for each prove. It was used a program SPSS version 23, applying a variance followed by a Tukey test (p<0,05) with the objective of determinate some meaning statistics for deviation of tubers ways of Malanga that has a significant content of protein and carbohydrates and energetic adds were higher in comparison of the traditional snacks, these results are an alternative for the consumer and the development of new products for the food industries.
Implementation of a Digitally Enabled Care Pathway (Part 1): Impact on Clinical Outcomes and Associated Health Care Costs
Authors: Connell Alistair , Raine Rosalind , Martin Peter , Barbosa Estela Capelas , Morris Stephen , Nightingale Claire , Sadeghi-Alavijeh Omid , King Dominic , Karthikesalingam Alan , Hughes Cían , Back Trevor , Ayoub Kareem , Suleyman Mustafa , Jones Gareth , Cross Jennifer , Stanley Sarah , Emerson Mary , Merrick Charles , Rees Geraint , Montgomery Hugh , Laing Christopher
Published: November 2019

Background

The development of acute kidney injury (AKI) in hospitalized patients is associated with adverse outcomes and increased health care costs. Simple automated e-alerts indicating its presence do not appear to improve outcomes, perhaps because of a lack of explicitly defined integration with a clinical response.

Objective

We sought to test this hypothesis by evaluating the impact of a digitally enabled intervention on clinical outcomes and health care costs associated with AKI in hospitalized patients.

Methods

We developed a care pathway comprising automated AKI detection, mobile clinician notification, in-app triage, and a protocolized specialist clinical response. We evaluated its impact by comparing data from pre- and postimplementation phases (May 2016 to January 2017 and May to September 2017, respectively) at the intervention site and another site not receiving the intervention. Clinical outcomes were analyzed using segmented regression analysis. The primary outcome was recovery of renal function to ≤120% of baseline by hospital discharge. Secondary clinical outcomes were mortality within 30 days of alert, progression of AKI stage, transfer to renal/intensive care units, hospital re-admission within 30 days of discharge, dependence on renal replacement therapy 30 days after discharge, and hospital-wide cardiac arrest rate. Time taken for specialist review of AKI alerts was measured. Impact on health care costs as defined by Patient-Level Information and Costing System data was evaluated using difference-in-differences (DID) analysis.

Results

The median time to AKI alert review by a specialist was 14.0 min (interquartile range 1.0-60.0 min). There was no impact on the primary outcome (estimated odds ratio [OR] 1.00, 95% CI 0.58-1.71; P=.99). Although the hospital-wide cardiac arrest rate fell significantly at the intervention site (OR 0.55, 95% CI 0.38-0.76; P<.001), DID analysis with the comparator site was not significant (OR 1.13, 95% CI 0.63-1.99; P=.69). There was no impact on other secondary clinical outcomes. Mean health care costs per patient were reduced by £2123 (95% CI −£4024 to −£222; P=.03), not including costs of providing the technology.

Conclusions

The digitally enabled clinical intervention to detect and treat AKI in hospitalized patients reduced health care costs and possibly reduced cardiac arrest rates. Its impact on other clinical outcomes and identification of the active components of the pathway requires clarification through evaluation across multiple sites.
Spheric radial basis functions in Mahalanobis measuring for displaying local field features
Authors: Neiman Yu.M. , Sugaipova L.S. , Popadyev V.V.
Published: November 2019

As we know the spherical functions are traditionally used in geodesy for modeling the gravitational field of the Earth. But the gravitational field is not stationary either in space or in time (but the latter is beyond the scope of this article) and can change quite strongly in various directions. By its nature, the spherical functions do not fully display the local features of the field. With this in mind it is advisable to use spatially localized basis functions. So it is convenient to divide the region under consideration into segments with a nearly stationary field. The complexity of the field in each segment can be characterized by means of an anisotropic matrix resulting from the covariance analysis of the field. If we approach the modeling in this way there can arise a problem of poor coherence of local models on segments’ borders. To solve the above mentioned problem it is proposed in this article to use new basis functions with Mahalanobis metric instead of the usual Euclidean distance. The Mahalanobis metric and the quadratic form generalizing this metric enables us to take into account the structure of the field when determining the distance between the points and to make the modeling process continuous.
TIC dirigidas a la superación de barreras educativas de las personas con discapacidad
Authors: Arrieta-Casasola Alexia
Published: November 2019

La siguiente revisión bibliográfica tiene como objetivo establecer cuáles Tecnologías de la Información y la Comunicación (TIC) se pueden implementar en los centros educativos para potenciar la superación de barreras de aprendizaje y participación en las personas con discapacidad (PcD), según literatura especializada en el tema. Para ello, se efectúa una revisión bibliográfica en diversas bases de datos que brinden validez y vialidad al tema en estudio; implementando criterios de selección para determinar aquellos documentos que responden mejor al propósito mencionado. A partir de esta pesquisa, se establecen resultados en los que se aprecia cómo el uso de las TIC puede eliminar o disminuir la presencia de barreras que entorpecen el proceso de desarrollo de este colectivo; resaltando la trascendencia de la implementación de la tecnología en los procesos de mediación pedagógica para el logro de la accesibilidad, inclusión y equidad en el entorno formativo. Finalmente, se logran establecer conclusiones relacionadas a la forma en que las TIC son fundamentales para la superación de barreras educativas, resaltando la importancia de que éstas brinden respuesta a las características individuales de cada persona; a su vez, se logra determinar cuál herramienta debe utilizarse de acuerdo con las condiciones de discapacidad intelectual, auditiva, visual y física.
Use of salmon (Oncorhynchus spp.) by Brown Bears (Ursus arctos) in an Arctic, interior, montane environment
Authors: Sorum Mathew S. , Joly Kyle , Cameron Matthew D.
Published: November 2019

Salmon (Oncorhynchus spp.) is a key dietary item for temperate coastal Brown Bears (Ursus arctos) across much of their circumpolar range. Brown Bears living in Arctic, interior, and montane environments without large annual runs of salmon tend to be smaller bodied and occur at much lower densities than coastal populations. We conducted ground and aerial surveys to assess whether Brown Bears fished for salmon above the Arctic Circle, in and around Gates of the Arctic National Park and Preserve. Here, we document the use of salmon by interior Brown Bears in the Arctic mountains of the central Brooks Range of Alaska. We believe our findings could be important for understanding the breadth of the species’ diet across major biomes, as well as visitor safety in the park and Brown Bear conservation in the region.
Roman Snail, Helix pomatia (Mollusca: Helicidae), in Canada
Authors: Forsyth Robert G. , Kamstra James
Published: November 2019

Populations of Roman Snail, Helix pomatia, a large European land snail, are reported for the first time in Canada from disturbed habitats in two distant locations: Sarnia, Ontario and Montrose, British Columbia. As Roman Snail is an edible species subject to international commercial trade, its deliberate, but illegal, introduction into Canada and intentional or unintentional releases are possible sources of these populations.
CHAPTER 2 “The Titanic sails at dawn”: Bob Dylan, “Tempest”, and the Apocalyptic Imagination
Authors: Kvalvaag Robert W.
Published: November 2019

“Tempest” is one of the longest songs Dylan has written. His point of departure is the Titanic disaster, but it soon becomes obvious that Titanic is a meta-phor, pointing to something much bigger than the 1912 disaster. “Tempest” is a rich song in the sense that it contains references to many different sources. My aim is to try to uncover some of these, in order to detect how this vast collage is used to create a new story that transcends the original one. It comes as no great surprise that apocalyptic themes literally come to the surface in the song. In what ways does Dylan express his apocalyptic imagination in “Tempest”, and how is this related to other songs in the Tempest album?
CHAPTER 4 When the Wind is the Answer: The Use of Bob Dylan Songs in Worship Services in Protestant Churches
Authors: Botvar Pål Ketil
Published: November 2019

The songs of Bob Dylan are often used in the worship services of Protestant, and especially Lutheran, churches in Scandinavia. Since the mid-1990s more than 100 so-called Dylan masses have been celebrated in Norway alone. This can be explained partly by the fact that Dylan has been recognized as a major artist in all sections of society, and partly by the fact that the national Lutheran churches have accepted popular music as a natural part of their worship. In this article, I look more closely at the reasons behind the use of Bob Dylan’s music in worship in Scandinavia and examine the discussion around this that has been going on within church communities. My empirical basis consists of interviews with ten ministers and church musicians. The material shows that different types of argumentation are used with regard to the use of Dylan’s music in the church, and that this is related to the respondent’s approach to popular culture in general and the way in which they regard the worship service.
Osteopetrosis maligna: a propósito de un caso
Authors: Rizo Delgado Teresa Maribel , Sánchez Mogrovejo Paquita
Published: November 2019

La osteopetrosis, es una displasia ósea hereditaria ligada al cromosoma X, conocida también como enfermedad de los huesos de mármol o enfermedad de Albers Schonberg, poco frecuente y consiste en la alteración de la resorción ósea por una disminución del número o actividad de los osteoclastos impidiendo la formación correcta de la cavidad medular, como consecuencia existen alteraciones hematológicas, inmunológicas, aumento en la densidad y deformidades óseas muy característica; la forma más severa es la osteopetrosis infantil o maligna de carácter autosómica recesiva; su aparición es precoz en la primera infancia y se caracteriza por una grave insuficiencia de la médula ósea que suele tener un mal pronóstico; el diagnóstico se basa en la valoración clínica y la forma radiológica característica, es la imagen de hueso en el interior del hueso, es confirmada por pruebas genéticas que permiten comprender la historia natural, el tratamiento específico, el asesoramiento en los riesgos de recurrencia y diagnóstico prenatal en las formas graves. El objetivo principal de este artículo es presentar un caso clínico de osteopetrosis, que corresponde a una enfermedad poco frecuente con elevada morbimortalidad. Se presenta el caso clínico de un lactante menor masculino que ingresa por cuadro clínico respiratorio compatible con bronquiolitis; al examen físico llama la atención palidez generalizada, malformaciones craneofaciales, retraso psicomotriz; sus estudios radiográficos evidencian aumento de la densidad ósea imagen sugestiva de osteopetrosis, debido a la similitud clínica de la enfermedad de los huesos de mármol con algunos trastornos hematológicos e inmunológicos, se concluye que debería ser incluida como parte del diagnóstico diferencial, de manera que pueda tener diagnóstico y tratamiento temprano para mejorar la calidad de vida de quienes la padecen.
Abordaje oportuno de colestasis neonatal. reporte de Caso, hospital pediátrico “Dr. Roberto Gilbert Elizalde”
Authors: Zapata Materon Verónica , Pazmiño Arroba Jimmy
Published: November 2019

La atresia de vías biliares es una colangiopatía progresiva, obstructiva y obliterativa, que puede involucrar tanto las vías biliares intrahepáticas como extrahepáticas, la cual representa una de las principales causas de transplante hepático en la población pediátrica. El objetivo es dar a conocer la importancia del diagnóstico oportuno, junto al manejo multidisciplinario de la colestasis neonatal. Se presenta el caso de paciente femenino de 2 meses de edad, con cuadro clínico de 2 semanas de evolución, que presentó acolia, coluria e ictericia, que progresa a insuficiencia hepática; se realiza biopsia cuyo resultado fue atresia de vías biliares. En los días subsecuentes, la paciente evolucionó a insuficiencia hepática y shock séptico hipotensivo refractario, que finalmente la llevó al paro cardiorrespiratorio y la muerte. En el abordaje de la colestasis neonatal, el reconocimiento de los signos semiológicos, son datos claves para su sospecha clínica. Se concluye que el diagnóstico oportuno, dentro de los primeros 45 días de vida de los pacientes con atresia de vías biliares es crucial en el pronóstico del mismo y así evitar el desarrollo de la enfermedad hepática crónica e insuficiencia hepática.
Alcoholización de quiste hepático simple: reporte de caso
Authors: Chungata Peláez Omar Santiago , Abad González John Byron
Published: November 2019

Con el avance de los métodos complementarios de diagnóstico, la patología quística no parasitaria hepática se ha transformado en un motivo frecuente de consulta en la práctica diaria. Dentro de la patología quística no parasitaria del hígado, se encuentran los quistes serosos simples, la enfermedad poliquística del adulto y los pseudoquistes. Los quistes simples de hígado son formaciones quísticas intrahepáticas micro o macroscópicas que tienen su origen en conductos que durante el desarrollo embrionario pierden su comunicación con el árbol biliar, ya sea por obstrucción ductal o por una hiperplasia inflamatoria de los conductos, con la consiguiente retención de líquido en su interior. Se presenta el caso de una paciente con quiste hepático simple a la cual se le realiza alcoholización del mismo como tratamiento definitivo mínimo invasivo. Se realiza una revisión bibliográfica resaltándose las opciones de tratamiento de esta patología.
Resultados Terapéuticos de la Subtalamotomía Unilateral combinada con Campotomía de Forel en Enfermedad de Parkinson. Hospital de la Policía Nacional, Guayaquil
Authors: Alvarado Campoverde Jeniffer , Arévalo Mora Amy , Vásquez Paredes María Lorena
Published: November 2019

Objetivos: evaluar los resultados posquirúrgicos, complicaciones y ventajas de Subtalamotomía Unilateral combinada con Campotomía de Forel en Enfermedad de Parkinson Avanzada. Diseño: estudio observacional retrospectivo, en el hospital de la Policía Nacional de Guayaquil - 2, donde se realizaron consecutivamente 20 subtalamotomías unilaterales combinadas con forelotomías en 17 hombres y 3 mujeres. A todos los pacientes se les realizó una evaluación pre y posoperatoria que incluyó evaluación con Escala UPDRS II (vida cotidiana), UPDRS III (Motor), escala de Hoehn & Yard (estadíos I-V), escala de Schwab & England, para conocer la condición actual del paciente. Evaluación a través de imágenes: TAC y RM para la localización de los blancos quirúrgicos. Estos datos fueron recolectados durante el periodo de 1 de enero de 2008 hasta 31 de diciembre de 2011. Resultados: se valoró la evolución posoperatoria en la primera semana y a los 12 meses, donde se percibió una reducción significativa (p<0.0001) del UPDRS III en el periodo “OFF” (preoperatorio = 66; posoperatorio = 17), con una mejora de 73% y en el "ON" (preoperatorio = 50; posoperatorio = 7), con una mejoría del 85% al año de ser reevaluados los pacientes. Existió además, una reducción de la dosis de levodopa a la mitad, y las disquinesias por ésta mejoraron en un 60%. Asimismo, hubo una mejoría de 50% en la escala de Schwab and England al año de operados. Conclusiones: a pesar que la estimulación profunda del núcleo subtalámico es la técnica quirúrgica más utilizada en la actualidad, la micro lesión por radiofrecuencia combinada de estos dos blancos antes mencionados, ofrece una buena y segura alternativa para algunos pacientes con enfermedad de Parkinson avanzada.
Aprovechamiento escolar en aritmética: Objeto de aprendizaje en lengua de señas mexicana para sordos
Authors: Rodríguez Peña Juan José , Ayala Jiménez Graciela Gerarda , López Torrijo Manuel
Published: November 2019

El objetivo de este trabajo fue obtener evidencia de que se logra y favorece el aprovechamiento escolar, en específico en el área de la aritmética, con el empleo de un objeto de aprendizaje digital en estudiantes sordos que se comunican mediante la lengua de señas mexicana. Esto a través de una investigación de tipo cuantitativo experimental que consideró una muestra de 30 estudiantes de tercer grado de primaria en el municipio de Querétaro, México, quienes se distribuyeron en dos grupos: de control y experimental.

El instrumento y los datos obtenidos se validaron mediante la prueba estadística parametrizada t-Student: el resultado fue de 95 % de intervalo de confianza. Además, se midió la confiabilidad de la prueba previa y la prueba posterior con el coeficiente de correlación de Pearson, y el aprovechamiento escolar se comprobó con el indicador estadístico de la ganancia normalizada de Hake. De esta manera, se concluyó que se favorece el aprovechamiento escolar con el uso de tecnología educativa. Se determinó que en el grupo experimental se observó una mejoría moderada en las operaciones de adición, sustracción, multiplicación y división de la aritmética, en comparación con las reportadas en el grupo de control. Finalmente, se recomienda la participación activa de las personas con déficit auditivo en la educación.
UPAYA MENINGKATKAN KETERAMPILAN MEMBACA PEMAHAMAN MELALUI STRATEGI DIRECTED READING THINGKING ACTIVITY (DRTA) PADA SISWA KELAS V SDN GUDANGKOPI II KECAMATAN SUMEDANG UTARA KABUPATEN SUMEDANG TAHUN PELAJARAN 2015/2016
Authors: Citra Apriliana Anggi , Putri Berlianti Reka
Published: November 2019

This research is motivated by low reading comprehension ability of grade V SDN Gudangkopi II. The purpose of this research is to know the process and result of reading comprehension skill by using Directed Reading Thinking Activity (DRTA) strategy. The method used is PTK. he research design used refers to the Kemmis and MC.Taggart models, which are spiral models that begin with: 1) planning; 2) the implementation of the action; 3) observation; 4) reflection. The subjects of the study were the students of class V SDN Gudang Kopi II which amounted to 16 people, consisting of 6 women and 10 men, Based on the results of research cycle I obtained data that students complete the study amounted to 5 students or reached 31.25%, in cycle II increased to 10 students or reached 75%, in the third cycle increased to 16 students or reached 100% that exceed the value of KKM. Based on these results can be proven that the strategy of Directed Reading Thingking Activity (DRTA) can improve reading comprehension skills in grade V SDN Gudangkopi II.
STRUKTUR NILAI LOKALITAS PAPAREGAN MADURA SEBUAH ALTERNATIF BUDAYA UNTUK SISWA SEKOLAH DASAR
Authors: Sama Sama , Stefany Debrine
Published: November 2019

Madurese people maintain the language and culture of Madura which serves as a symbol of pride, identity and as a means of communication. Madurese language as an oral discourse has a wide coverage area, on the other hand written literature and oral literature. Generally, the contents of paparegan in Sumenep Madura are merely biological but they contain clear values ​​in them. Based on the formulation of the problem, the purpose of this study refers to the description of the paparegan structure used in the District of Bluto. Structure is the relationship between the constituent elements in the overall arrangement. Structural theory addresses two problems, namely ethical and aesthetic problems. The approach used is a qualitative approach. Data collection techniques are carried out in triangulation (combined), data analysis is inductive, and the results of qualitative research emphasize structure rather than assumptions. This study sought to obtain empirical data and conduct a study of paparegan structures in Bluto District. Sumenep. The findings in the field stated that there were 3 forms of paparegan that were preserved, namely Karmina, Talibun and Saloka. Karmina is called paparegan (pantun) lightning because it only consists of 2 rows that render a-a. Talibun is a long type of paparegan with a very abundant number of rows. As for Saloka is paparegan which consists of a number of concurrent stanzas - connected if they are written, muted. Elementary School Students should properly study Paparegan culture which is rich in Madurese locality values ​​for future educational purposes.
PENGARUH PENGGUNAAN BUKU AJAR PENDIDIKAN PANCASILA DAN KEWARGANEGARAAN BERPERSPEKTIF GENDER TERHADAP PENINGKATAN PENGETAHUAN KESETARAAN GENDER PADA SISWA KELAS LIMA SDN KEDOKAN BUNDER 1 KECAMATAN KEDOKAN BUNDER KABUPATEN INDRAMAYU
Authors: Nurjanah Nunung , Dewi Lestyorini Ratna
Published: November 2019

The background of this research is the lack of knowledge of gender equality in elementary school students which raises various attitudes and actions that tend to be discriminatory and unfair to one party, especially female students. The purpose of this study is to determine the effect of using a gender perspective textbook on Pancasila and Civic Education on increasing knowledge of gender equality in fifth grade students of Kedokan Bunder Public Elementary School 1 in Indramayu Regency. The research method used is descriptive qualitative research. With data collection methods used include observation, interviews and tests. The research subjects were the fifth grade students of Kedokan Bunder 1 Elementary School, Indramayu Regency with the number of students 40. The results showed that the textbook on gender education had a gender perspective influencing the gender knowledge of fifth grade students of Kedokan Bunder Public Elementary School 1 Indramayu Regency. This is shown by comparing the results of the pretest on the material about rights and obligations associated with gender equality, the result is that 56% of students answered incorrectly, and 44% answered correctly. after learning the citizenship education subjects by using Pancasila dan Civic Education textbooks with a gender perspective, students 'knowledge increased, this was evident in the posttest results regarding the material on citizens' rights and obligations related to gender equality, showing 87% of students answered correctly, and 13 % answered incorrectly.
ANALISIS UPAYA GURU DALAM MENGATASI KESULITAN BELAJAR SISWA PADA PELAJARAN MATEMATIKA KELAS IV DI SDN II GEGER KECAMATAN SENDANG KABUPATEN TULUNGAGUNG TAHUN PELAJARAN 2017/2018
Authors: Yuliana Sari` Eka , Esti Windari Galih
Published: November 2019

Penelitian ini dilatar belakangi kurangnya minat dan perhatian siswa terhadap pelajaran matematika sehingga siswa kurang menguasai mata pelajaran tersebut dan dampaknya siswa akan kesulitan untuk memahami pelajaran matematika Tujuan penelitian ini adalah untuk mengetahui upaya guru mengatasi kesulitan belajar siswa terhadap pelajaran Matematika pada pokok bahasan FPB dan KPK di SDN 2 Geger Kecamatan Sendang Kabupaten Tulungagung. Jenis penelitian ini adalah penelitian kualitatif dengan pendekatan studi kasus. Subjek dalam penelitian ini adalah siswa kelas IV SDN 2 Geger dan guru kelas. Teknik pengumpulan data mengunakan teknik wawancara, observasi, dan dokumentasi. Analisis data penelitian ini mengunakan Interactive Analysis Model. Dalam memperoleh keabsahan data peneliti melakukan uji credibility dan confirmability.Hasil penelitian ini menunjukkan bahwa upaya yang dilakukan guru untuk mengatasi kesulitan belajar yang dialami siswa adalah guru melakukan pengumpulan data, pengolahan data, diagnosis, prognosis, treatment (perlakuan). Guru juga melakukan kegiatan remedial kepada siswa yang memiliki nilai dibawah KKM. Hal ini ditunjukkan dari nilai rata rata ulangan siswa dibawah KKM yaitu 70,18 sementara KKM yang ditentukan di SDN 2 Geger untuk kelas 4 adalah 72. Terbukti ada 12 orang siswa mendapat nilai dibawah KKM. Setelah diadakan remidi semua siswa sudah mendapatkan nilai diatas KKM dengan rata rata yaitu 78,36.
Detection of Sarcocyst in Meat from Local Markets in Selangor: Highlighting the Use of Crude Sample in PCR
Authors: Muslim Azdayanti , Sharudin Putri Shafinaz , Yunus Atiqah , Omar Norhabsah , Zakaria Alieya , Mohamad Norshafiqah
Published: November 2019

Introduction: Sarcocystis spp. are obligate intracellular protozoan parasites which cause meat-borne parasitic disease. In Malaysia, sarcocystosis is seen as a potential emerging food-borne zoonosis after a series of large outbreak of human infections. Humans acquire infection either by ingestion of cyst in raw or undercooked infected meat or from sporocysts in contaminated food and water. The goal of this study is to identify the presence of sarcocystis parasites in meat of cattle, buffaloes, sheep and goats collected from local markets in Selangor, Malaysia. Methods: A total of 64 skeletal muscles samples (57 cattle, 2 buffaloes, 4 goats and 1 sheep) were collected from local markets. The samples were cut randomly into three pieces, squashed firmly between two glass slides and then examined microscopically for the presence of cysts. Results: Three samples of meat (4.69 %) from cattle (1), buffalo (1) and sheep (1) were found to be positive for cysts. The cysts were confirmed by PCR as sarcocystis sp. Conclusion: The results showed low prevalence of Sarcocystis infection in meat collected from local markets. However, since there is a transmission among the livestock, extra precaution should be taken in consideration to prevent the spreading of sarcocystosis from animals to human.
Invasive Pneumococcal Pneumonia with Massive Empyema: A Case Report
Authors: Latt Tin Nwe , Mohd Nor Noor Shafina
Published: November 2019

Although the use of appropriate antibiotics has significantly improved the outcome of pneumonia, severe complications are still encountered. We report here of a case with invasive pneumococcal pneumonia with massive empyema. A 2-year-4-month old girl presented with fever for 8 days and intermittent cough for 2 weeks. On examination, reduced air entry with dullness on percussion was noted on the left lung. Chest ultrasound revealed moderate to gross pleural effusion with septations, for which left thoraco-centesis with insertion of pigtail tube was performed. Streptococcus pneumoniae was detected via polymerase chain reaction (PCR) test in the pleural fluid. Intravenous (IV) benzylpenicillin and ceftriaxone were given together with one course (5 days) of intrapleural urokinase to breakdown the septations. Timely and appropriate management of pneumonia including the use of thrombolytic agent is vital to ensure optimal outcome and reduce the need of invasive procedures in cases with massive empyema. Public awareness of pneumococcal vaccination is also essential as a part of preventive measures.
JCHS-IQ-01-2017
Authors: Hashim Hilwati
Published: November 2019

A 23-year-old male was referred by his GP to an ENT clinic with a complaint of non-resolving left otalgia for 6 months despite various medications. In addition, he had left ear tinnitus and there was also pain at the left side of his throat. He denied any ear discharge, hearing loss or fever. Examination at the ENT clinic revealed localised tenderness at the region between mastoid tip and angle of mandible. No mass was palpable at that site. Flexible nasolaryngoscopy was entirely normal. Based on the CT images below, what is the most likely diagnosis?