bluuebunny/crossref_metadata_2025 huggingface dataset:
Monitoring Nilai Kritis Tekanan Sistolik Dan Diastolik Pada Asuhan Keperawatan Gagal Ginjal Kronik Yang Dilakukan Hemodialisis Jenis Arteriovena Shunt Cimino Dan Akses Femoral Cephalica
Authors: Martono Martono
Published: January 2020

Abstract: Systolic Pressure, Diastolic, Hemodialysis. Renal function at a more serious stage of the remnants of the metabolism could not be removed from the body, besides that, however, the kidneys can no longer change K / H for Na that resulted in an increase in the amount of potassium that machine that later can be triggered the interruption the heart. Hemodialysis is one of the alternative solutions that can be done when the kidneys experiencing the inability to mengekresikan debris from the remnants of the metabolism of the body. This research aims to clarify the picture changes critical value systolic pressure and diastolic pressure that done arteriovenous Cimino shunt type of hemodialysis and femoral access cephalic nursing nursery on chronic renal failure. This is the explanatory research design research with cross-sectional approach. A sample of this research is to patients with chronic renal failure undergoing hemodialysis which numbered 44 samples with sampling techniques using purposive sampling. This research statistics tests using descriptive test with the level of the significance of 95 %. The results of the study showed that the patients who performed hemodialysis aged candidates are age ≥51 about 59 percent and the age of the youngest 29 years and oldest 77 years, which dominated gender male.57 percent patients who do good hemodialysis AV Shunt or dialysis access Cephalica Femoral most no change in systolic pressure and diastolic pressure or settled.
Pengaruh Pijat Refleksi Terhadap Penurunan Nyeri Haid Pada Wanita Di Panti Yatim Putri Daerah Klaten Tahun 2016
Authors: Paryono Paryono , Prihati Dwi Retna
Published: January 2020

Abstract : Reflexology, Decreased Menstrual Pain. The purpose of this study was to determine the effect of reflexology massage on the decrease of menstrual pain (Dysmenorrhea) in women at the Aisyiyah Putri Orphanage Klaten District. The design used in this research is the experiment with the design of Time series design. The sampling technique used Cluster sampling approach. Samples taken on women who have menstrual and experienced menstrual pain (disminore) as many as 30 people. conclusions Menstrual pain (desminore) was felt before reflexology in women at the 2016 Women's Orphanage at Klaten Region was classified as mild disturbing pain (scale 3.4 measured through Visual Analog Scale). Menstrual pain (desminore) was felt after a reflexology treatment in women at the Putri Panti Putri Klaten Tahun 2016 was classified as a mild pain (1.63 scale measured through Visual Analog Scale)
Analisa Faktor Yang Berhubungan Dengan Status Gizi Balita Di Kabupaten Sragen
Authors: Nurhayati Isnani , Hidayat Anas Rahmad
Published: January 2020

Background: Nutrition problems in Indonesia are a major problem in human development because nutritional status reflects the quality of the nation itself. Monitoring of Nutritional Status in 2015 showed that toddlers according to the weight index per age obtained 79.7% good nutrition; 14.9% malnutrition and 3.8% malnutrition and 1.5% over nutrition. The data shows that the presence of children under five has a status of poor or poor nutrition. Kalijambe Subdistrict, Sragen Regency in 2012 there were still under-fives with one status of malnutrition with 29 toddlers (30%) out of a total of 3,452 toddlers. Method: Type of study was analytic descriptive with approach Cross-Sectional. The population was all mothers of children under five, the sampling technique with probability sampling is the number of respondents 50 mothers of children under five. Data analysis using chi-square. Results: There was a significant relationship between the education of mothers of children under five with the nutritional status of children (p = 0.0001 <0.05). There was a significant relationship between maternal knowledge of children under five and the nutritional status of children under five (p = 0.035 <0.05). Conclusion: There was no relationship between the number of children under five with the nutritional status of children (p = 0.49) and there was no relationship between the number of families with the nutritional status of children (p = 0.85). So that the factors that affect toddler nutrition in Jetiskarangpung Village, Sragen is education and mother's knowledge.
Pengaruh Senam Terhadap Keluhan Muskuloskeletal Pada Lansia
Authors: Kurnia Rina
Published: January 2020

Background: The elderly group is a high risk group that experiences various health problems, especially degenerative diseases. Elderly people tend to experience a decrease in the musculoskeletal system. Decreases in the musculoskeletal system can cause disruption to physical mobility in the elderly. Methods: The purpose of this study was to determine the effect of gymnastic on musculoskeletal disorders.  The study was quantitative research with experimental one group pre-test post-test design. It was conducted at  the Posyandu in Nggaren, Pandeyan Village, Ngemplak, Boyolali. Sampling was done by total sampling technique with a total of 48 respondents . Analysis of data using Wilcoxon. Results: p-value = 0.001 (p <0.005). Conclusion: there is an effect of gymnastic on musculoskeletal disorders in the elderly at the Posyandu in Nggaren, Pandeyan Village, Ngemplak, Boyolali.
Estimasi Proporsi Kesalahan Fonologi Pada Anak Pendidikan Anak Usia Dini (PAUD) Usia 3-5 Tahun Di Surakarta
Authors: Soesyasmoro R Asto , Putri Anggi Resina
Published: January 2020

Background: In providing education about everything a child should have from an early age does not have to do with the way parents are educating. It is related to her parents in everyday life and the background factors that color children's parents, whether related to the environment of her family, religion, culture, economics or the background of the education of the elderly. From the explanation it is obvious that parents play a very important role in the formation of child social behavior.The purpose of this research aims to determine the relationship of parental education level with the ability of phonology articulation in children aged 4-5 years in TK Sri Juwita Hanum Surakarta. Methods: Uses quantitative research with a correlational descriptive design. The research population is parents and students of TK Sri Juwita Hanum Surakarta with 30 samples of research samples. Data collection techniques by filling out questionnaires. Variable-free research i.e. the level of parental education and bound variables is the ability of phonological articulation in children aged (4-5 years). The statistical test used was Chi Square correlation test. Result:  there is a positive and significant relationship between the level of parental education and the ability of phonology articulation in children aged 4-5 years in TK Sri Juwita Hanum Surakarta. Things his show with a p value of 0.013.Conclusion: of parental education affects the development of articulation in preschool age children (4-5 years old). A positive relationship means the higher the parent's education, the greater the influence on its phonological articulation ability. When children grow and develop both physically and mentally.
Latihan Peningkatan Kemampuan Biomotor (Kelincahan, Kecepatan, Keseimbangan Dan Fleksibilitas) Dengan Teknik Lari (Shuttle Run, Zig-Zag, Formasi 8) Pada Pesilat
Authors: Trisnowiyanto Bambang
Published: January 2020

Abstract : Biomotor Components (Agility, Speed, Flexibilty, Balance), Pencak Silat Athlete. Biomotor such as agility is one of components must had had been own by athlete as physical condition indicator for exellence performance in competition. Agility perform with abilty change of direction and body position in fast and exact at movement without lossing balance and conscious of body position. The purpose of the study was to know influence of agility exercise model for agility, speed, flexibilty and balance in pencak silat athlete. Also to know whereas the efective model of agility exercise can improve physical ability of pencak silat athlete. This research is quantitative research, with quasi experiment design three treatment counterbalance-balance. Data analyses uses Wilcoxon test and Kruskal Wallis test. For measure improvement uses mean different. The significance satandart is p=0.05 (5%). Research result are : There is significant comparation between shutle run, zig-zag run, zig-zag combine 8 numeral run, for agilty and speed (p<0.05), shutle run useful for improve balance and speed, zig-zag run useful for improve agility and zig-zag combine 8 numeral run usefull for improve flexibility.
Efektifitas Peran Guru Pada Deteksi Dini Suspect Flatfoot Di Sekolah Dasar Kecamatan Ngemplak
Authors: Zubaidi Alfan , Pudjiastuti Sri Surini
Published: January 2020

Abstract : The role of teacher, Flatfoot, Dynamic Balance. Children are growing well of motoric and sensoric activities. Their activities always use of lowerlimbs (legs). A problem which often rise on foot is flat foot. The purpose of this research is to know the effectiveness of the role of teachers in early detection of suspect flatfoot. this study is quasi experiment, with one gruop pre and post test design, variable in this study consists of the role of teacher effectiveness and early detection of flatfoot. This study was conducted in SDN Giriroto I, SDN Sindon I, and SDN III Manggung. Subjec of this study 32 teacher and 32 students (ages 6 – 8 years). Instrument in this study are Foot print and stopwatch. Data analysis using linear Regression and T tests. There was the influence of the teacher's role by administering the intervention (p value 0.000 < 0.05). There is the influence of dynamic balance by administering the intervention (p value 0.000 < 0.05). Linear regression test results obtained niali ρ = 0.016 indicates that there is a significant influence on the effectiveness of the role of the teacher towards early detection of flat foot. The effectiveness of the role of teachers affected by the grant of training on early detection of flat foot.
Hubungan Risiko Jatuh Dengan Takut Jatuh Pada Lansia Di Panti Werdha Surabaya
Authors: Anggaran Anastasia Putu Martha , Djoar Raditya Kurniawan
Published: January 2020

Abstract Background: Fear of fall will result in reduced equilibrium control and reduced confidence to prevent falls, which will further increase the incidence of falls in the elderly. One effort that can be done to reduce the fear of fall which is the trigger of the incidence of fall is to make preventive efforts that analyze the risk factors, but currently the risk factors associated with fear of falling in the elderly in Indonesia has not been analyzed. The purpose of this study is to analyze the risk relationship falls with the incidence of falling afraid of the elderly living in Panti Werdha Surabaya. Method: The research design was analytic observational with cross sectional approach involving 155 elderly living in Panti Werdha Surabaya. Sampling technique using proportional random sampling method. Existing data were analyzed using Contingency Coefficient Test with significant level of 0.05. Results : The result of the statistical test showed that there was a falling risk relationship with the fear of falling with the correlation value of 0.355 with the significant level of 0.000 (p <0.05), the positive direction indicated by the value of B = 1.425. Conclusion: The risk of falling has a very meaningful relationship with the fear of falling elderly at Panti Werdha Surabaya.
Hubungan Antara Pes Planus Dengan Keseimbangan Dinamis Pada Murid MI Nurul Karim Colomadu
Authors: Nugroho Agus Setyo , Nurulita Fadhila Firma
Published: January 2020

Background: The ability to balance children at the age of development is very important to be reviewed, both in terms of balance sitting, standing, and walking. One of the factors that can cause balance disorders in children is musculoskeletal disorders in the form of deformity of the soles of the feet. The shape of the human foot is divided into three types, namely normal foot, pes planus and cavus foot according to the arcus structure or arches on the soles of the feet. Normally the arch is formed from the first 5 years with a 2-6 year age range. The critical period for arch formation is the age of 6 years (Campbell, 2012). In the early age of school there were 28% - 35% of children experiencing deformity of pes planus, 80% of which were categorized as "moderate". Methods: This research is a type of correlational research with a cross sectional design which aims to determine the relationship between pes planus and the dynamic balance in MI Nurul Karim Colomadu's students. The subjects used were grade 1-5 students with the condition of pes planus at MI Nurul Karim Colomadu, who had determined the inclusion and exclusion criteria. The number of subjects was 40 people with male and female sex from a total population of 92 people. Result: Using the Spearman Correlation Test Based on the table above, it is known that the value of p = 0.869 shows that there is no significant relationship between sex and dynamic balance. The value of r = 0.27 indicates the strength of the weak correlation. While the value of p = 0,000 shows there is a significant relationship between pes planus and dynamic balance. The value of r = -0,599 shows the strength of the medium correlation. Conclusion: One conclusion is 1. The prevalence of pes planus in girls is greater than that of boys, ie 16 boys and 24 girls have Pes Planus.
Pengaruh Penggunaan Meja Kursi Ergonomi Terhadap Kemampuan Koordinasi Motorik Anak Kelas 3 SD Alam Aqila Wonosari Klaten
Authors: Sutopo Haris , Nurhayati Iffah
Published: January 2020

Background: The effect of the use of ergonomic chair table, Motoric coordination, 3rd grade Elementary School.The purpose of the study was to determine the effect of the use of ergonomic chair tables on motoric coordination ability of grade 3 students at SD Alam Aqila Wonosari Klaten. Method: Data analysis was carried out through quantitative analysis with paired sample t-test and data compatibility test in both groups before treatment using parametric test (independent sample t-test), from the results of examination using VMI Beery, mean before use ergonomic chair table at 19.13 and after the use of ergonomic chair desk for 23.31. Result: The effect of using ergonomic chair table can be seen by comparing the data before and after using the ergonomics chair table using paired sample t-test. the value obtained with a 95% confidence level is -6,330 to -2,045. Conclusion: Use of Ergonomic Chair Tables can improve motoric coordination ability of grade 3 SD Alam Aqila Wonosari Klaten.
Dinamika “Occupations” Dalam Perspektif Ibu-Ibu Yang Merawat Anak Dengan Autisme Dan Dampaknya Terhadap Kualitas Hidup (Life Quality) Sehari-Hari
Authors: Sumaryanto Eko , Aziz Gandes Mutiara
Published: January 2020

Background : As the challenges arise in raising children with autism, mothers experience changes with their occupations and also on how they define them. This later alters the overall wellbeing both psychosocially and physically as changing on health status determines the life quality. Parents, particularly mothers with autistic children may encounter dynamic to their life quality as they discover adjustment on meanings of occupations while fostering their children. Research purposes of the study are to discover and to explore the mothers interpretations on their current occupations related to their role as main caregivers of their autistic children. Methods: This is a qualitative study with phenomology approach to discover and to explore the meaning of occupations and the dynamic of perceived-life quality as the meanings of occupations might shifting along the nurturing processes. This study had selected four people as research participants. The data were then collected through in-depth interviews and followed with thematic analysis. Results: Based on the analysis process, this study highlighted three main themes as follow, the general changes in life, the values of roles, and the perceived-life quality. Mothers who foster their autistic children had reported various changes in their daily occupations and how they perceived the meanings of these occupations as the diagnoses have altered the familial hierarchy within their domestic environments; this later also has significant impacts on their perceived-quality of life while fulfilling their role as the main house keepers. Thus, all these changes enforce the mothers to always strive on their best as this effort will eventually deliver positive meanings, such as self-confidence, greater responsibilities related to the roles as a mother and the possitive supports received from their support systems. Conclusion: The respondents reported the overwhelming perceived-satisfactions when talking about their quality of life. This is the result from personal beliefs over the ability to devote their life for the children and the family despite the perceptions that they are still unable to enjoy their general life ideally.
Pengaruh Phonophoresis Untuk Menurunkan Nyeri Pasien Osteoarthritis Lutut
Authors: Zuhri Saifudin
Published: January 2020

Background: In everyday life activities human beings need prime conditions to create functional motion. One factor that interferes with functional motion is pain. The goal of physiotherapy for people with pain is to relieve pain. Many of the physiotherapy modalities recommended for reducing pain include phonophoresis. But the phonophoresis modality has not been widely implemented in Indonesia. Objective: To determine the effect of phonophoresis on reducing knee pain in patients with knee osteoarthritis. Methods: This study was a pure experiment with a pre-test and post-test with control group design. The study subjects were patients with knee osteoarthritis who met the inclusion and exclusion criteria. From the number of patients who came to the physiotherapy polyclinic of Dr Moewardi Hospital Surakarta, they would be randomized to the experimental group and the control group. The experimental group will get standard therapy at Dr Moewardi Hospital Surakarta plus phonophoresis, while the control group only gets standard therapy from the hospital. The independent variable is the administration of phonophoresis and the dependent variable is a decrease in knee pain. Statistical analysis using t-test. Results: Of Phonophoresis and standard therapy can reduce knee pain. More pain occurs in phonophoresis. Conclusion: Phonophoresis can be selected as a therapy to reduce pain in people with osteoarthritis
Pengaruh Menonton VCD Tentang Cidera Kepala Terhadap Kepatuhan Menggunakan Helm Siswa SMK Pengendara Sepeda Motor Di Kota Surakarta
Authors: Suyanto Suyanto , Hartono Hartono
Published: January 2020

Background: Various efforts have been made to reduce the risk of head injury due to motorcycle accident. But the effort has not succeeded that looks still high head injury rate so that it enters in 10 diseases most in Surakarta. Police records, motorcycle accidents in the Surakarta region ranks the highest compared to five other Central Java areas which tend to increase. An effort to reduce the risk of head injury is to increase knowledge about head injury. Especially in the vocational school students who use motorcycles for their groups at high risk of accidents and head injuries. The study wanted to see the effect of watching videos on knowledge and compliance using helmets of motorcycling students in Surakarta. Method: The design of this study was quasi experiment using pre-post test approach on population of vocational students in Surakarta with 343 samples using a knowledge questionnaire observation and compliance observation sheets using a helmet. Research data were analyzed using Chi Square Test. Result: The results showed that there was a significant difference in knowledge of vocational students about head injuries before and after watching video. As for the helmet there are significant differences. Conclusion: Researchers suggest student knowledge about head injury and compliance using a helmet.
Pengaruh Multiple Mikro Nutrien (MMN) Terhadap Berat Badan Bayi Baru Lahir Di Desa Pandes Klaten
Authors: Prihati Dwi Retna , Kostania Gita
Published: January 2020

Abstract: MMN, Newborn Baby Weight. During pregnancy food is required with good quality and quantity to meet the nutritional needs of mother and baby. The low nutritional status of pregnant women during pregnancy can lead to various adverse effects for mothers and infants, such as those born with Low Birth Weight (LBW). LBW babies have a 10 to 20 times greater chance of dying than babies born with enough birth weight. Multiple Micro Nutrient (MMN) contains 15 types of vitamins and minerals most important for pregnant women, including vitamin A, vitamin E, vitamin D, vitamin B1, vitamin B2, niacin, Vitamin B6, vitamin B12, folic acid, vitamin C, Fe , folic acid, Zink, Copper, Selenium, and Iodine. MMN is one of the nutrients to prevent the occurrence of anemia because in MMN there are factors forming Hemoglobin ie Fe, Vitamin B12 and folic acid. The availability of adequate hemoglobin makes the metabolic system work well. Lack of hemoglobin not only affects the health of the mother but also affects the health of the fetus it contains, including the growth of the fetal inhibition (such as weight, body length). The purpose of this study was to prove the effect of MMN on newborn weight in Pandes Klaten village. This type of research is arestrospective study with cross sectional design. The subjects of this study were BBL (newborn) whose mother consumed MMN during pregnancy. Different test sing Independent T-test to compare control group and treatment group. Significant value in this study was p <0.05. The results of this study were no significant difference between birth weight between control group and MMN treatment group (P = 0.879). In conclusion MMN has no significant effect on newborn weight gain.
Penerapan Cognitif Behavior Therapi (CBT) Pada Ibu Nifas Sebagai Upaya Pencegahan Depresi Post Partum Di Kabupaten Klaten
Authors: Murwati Murwati , Suroso Suroso
Published: January 2020

Abstract: Cognitive Behavior Teraphi, Postpartum Depression. Postpartum mothers who are unable to adjust to their new role may experience psychological disorders such as postpartum depression. In Klaten found 36.7% postpartum experienced postpartum depression (Imaninditya, Murwati, 2014). Family support and good health care proved to have an effect on the postpartum depression (Wahyuni, et al, 2014). In addition, cognitive intervention is needed that can overcome the condition of the post-partum mother. This research design is quasi experiment type post test control group design, sample is normal postpartum mother day to 10 - 40, BPM working area of health office of Klaten regency, the sample size is 25 treatment group and 25 control group with Purposive consequtive sampling technique . The act of using CBT(Cognitive Behavior therapy)-based Cognitive Counseling Guidelines and for measuring DPP using EPDS (Edinburg postnatal Depression Scale). The study found 16% depression syndrome in the treatment group and 52% in the control group. The value of p = 0.014, the application of CBT in the postpartum mother can prevent the occurrence of postpartum depression.
DESIGN AND INVESTIGATION OF RESISTOR MATRIX FOR ACTIVE ANALOG RC FILTERS
Authors: Kladovščikov Leonid , Navickas Romualdas
Published: January 2020

Resistor matrixes are widely used in active RC filters as well as in self-tuning systems. Using self-tuning systems for active RC filters, it is possible to automatically tune various parameters of filter – cut-off frequency, gain and quality of filter. Most recent multiband transceivers employ higher order filters for fine bandpass filtering, thus number of passive components increases. In this work, a novel resistor matrix structure and design method is proposed. Proposed resistor matrix structure compensates both integrated circuit process variations and temperature change. Proposed resistor matrix is designed using 0.18 μm TSMC CMOS technology node and investigated using Cadence Virtuoso software. For most accurate comparison of different resistor matrices, all of them were designed in same technology node using design techniques described in other authors’ works.
Obscuring Fraction of Active Galactic Nuclei Implied by Supernova and Radiative Feedbacks
Authors: Kawakatu Nozomu , Wada Keiichi , Ichikawa Kohei
Published: January 2020

We study the obscuring structure of circumnuclear disks (CNDs) by considering supernova (SN) feedbacks from nuclear starburst and the effect of anisotropic radiative pressure from active galactic nuclei (AGNs). We suppose that the mass accretion onto a central supermassive black hole (SMBH) is triggered by SN-driven turbulence within CNDs, and we explore how the structures of CNDs depend on the BH mass (M
BH) and AGN luminosity (L
AGN). We find that the obscuring fraction (f
obs) peaks at ∼10% of the Eddington luminosity (L
Edd), and its maximal value is f
obs ∼ 0.6 for less massive SMBHs (e.g., M
BH < 108
M
⊙). This is because the scale height of CNDs is determined by the SN-driven accretion for a smaller L
AGN, while the dusty molecular gas in CNDs is blown away by the radiation pressure from AGNs beyond the critical luminosity. On the other hand, for massive SMBHs (e.g., M
BH > 108
M
⊙), f
obs is always smaller than 0.2, and it is almost independent of L
AGN because the scale height of CNDs is mainly controlled by the maximal star formation efficiency (

) in CNDs. In comparison with the obscuring fractions suggested from the mid-infrared observations of nearby AGNs, the SN plus radiative feedback model with

reproduces the observations for M
BH = 108
M
⊙ well. We also find that the intense starburst or the existence of dust-free absorbers inside CNDs are necessary for explaining X-ray observations.
Flame Acceleration in SN Ia Induced by the Burning of Local Unreacted Islands
Authors: Shu Tao , Gao Yang , Law Chung K.
Published: January 2020

The mechanism of type Ia supernova explosions is still unsolved due to the uncertainties in the processes of flame acceleration and the associated deflagration to detonation transition. In carbon–oxygen (C–O) white dwarfs, due to the well known Rayleigh–Taylor (R-T) instability and turbulent vortices in the R-T fingers, there exist unburned islands embedded in the downstream of the main flame front. The burning of such islands can be modeled by the spherical inward-propagating two-step C–O flame, which will accelerate while propagating inward due to the stretch effect and the Zel’Dovich mechanism. In turbulent flows under proper conditions, such acceleration can be further strengthened by turbulent mixing, possibly making the burning of these islands speed up to be supersonic. The supersonic burning of the embedded islands is then a source of heating that speeds up the main flame. Here we derive the relationship between the flame’s spontaneous inward-propagating speed and the flame radius in consuming the unburned islands based on the Zel’Dovich mechanism in both laminar and turbulent flows. The calculation results show that, in suitable turbulent situation, i.e., for a C–O white dwarf with density 3.5 × 107 g cm−3, Reynolds number 1.0 × 1013, and integral scale 110 km, the island flame speed reaches the sound speed when the flame radius is 1.5 times the flame thickness, and then remains supersonic. Such supersonic combustion generates shock waves, which heat and speed up the main flame, and possibly lead to the initiation of global detonation.
Rôle du discours épistolaire dans l’expérience postréanimation du patient et du proche
Authors: Garric Nathalie , Thuault Elena
Published: January 2020

Nous étudions dans le cadre de l’éthique du care et d’une analyse de discours interdisciplinaire des lettres produites par des patients ou des proches à l’issue d’une expérience en réanimation. L’objectif est d’interroger l’apport et le rôle de ces écrits dans la compréhension de la relation de soin établie en réanimation, dans la relation postréanimation et dans le parcours de soin au long terme. Nous montrons que l’acte du remerciement est détourné vers des stratégies de traitement de la vulnérabilité, ces lettres donnant à lire un parcours affectif, allant de ces remerciements initiaux à la gestion d’un indicible, avec une mise en scène de soi ou un hommage rendu aux proches décédés. Cette contribution convoque l’apport singulier des études littéraires en analysant certaines des caractéristiques de ces courriers à la lumière de l’élégie, de l’élégie funèbre et de l’épitaphe dont ils se rapprochent par une intentionnalité intemporelle.
Construction sémantico-discursive et polyfonctionnalité identitaire de REMERCIER dans les lettres des patients d’un service de réanimation
Authors: Galatanu Olga
Published: January 2020

La recherche qui fait l’objet de cet article s’inscrit dans un espace d’interfaces de champs disciplinaires (sémantique – pragmatique des (inter) actions verbales, analyse linguistique – analyse des pratiques) et de champs de pratiques ( soigner [ cure ]  – prendre soin [ care ]). Dans la perspective théorique d’une sémantique de l’ (inter) action verbale, nous nous proposons de présenter, argumenter et illustrer par l’analyse d’un corpus de lettres de remerciements de patients d’un service de réanimation, la polyfonctionnalité identitaire de ces lettres, fondée sur la complexité modale de l’acte REMERCIER. Le remerciement est appréhendé comme un macro-acte illocutionnaire susceptible d’ajouter à sa fonction sociale d’acte expressif et phatique des fonctions identitaires, de présentation et de reconstruction de soi et de renforcement des images identitaires (professionnelles et humaines) de son destinataire et de proposer une intersubjectivité régénérée entre patients et soignants, au-delà de la pratique des soins. L’analyse fait apparaître l’impact que ce discours épistolaire hors normes peut avoir finalement sur les pratiques dans le domaine de la santé.
L’explication du diabète dans une séance d’éducation thérapeutique : une activité discursive contribuant au développement professionnel des soignants
Authors: Dos Santos Mamed Marcelo , Grossen Michèle , Cauderay Michel
Published: January 2020

Croisant la psychologie socioculturelle, la clinique de l’activité et l’analyse du discours, cette étude porte sur une séance d’éducation thérapeutique du patient (ETP) réunissant une infirmière, Inès, et un adolescent vivant avec le diabète. Elle vise d’une part, à analyser les mécanismes d’intercompréhension et d’ajustement mutuel en jeu dans l’explication, d’autre part à susciter le développement professionnel. Elle analyse une séquence explicative puis recourt à une méthode qui confronte la professionnelle à son activité (méthode d’autoconfrontation simple et croisée). Les résultats montrent que dans la séance d’ETP, le discours médical qui émerge instaure une forte asymétrie entre les interactants et laisse planer le doute sur la compréhension du patient. Alors que dans l’autoconfrontation simple, Inès s’interroge sur la compréhension et l’état émotionnel du patient, dans l’autoconfrontation croisée, les commentaires de sa collègue l’amènent à se souvenir d’une situation professionnelle précédente et à s’interroger sur ses propres états émotionnels et interprétations. La méthode d’autoconfrontation semble apte à saisir les mécanismes psychologiques sous-jacents aux explications fournies par les professionnels et à susciter une forme de développement professionnel.
La mise à l’épreuve des trajectoires et normes parentales : le cas des enfants sans vie
Authors: Charrier Philippe , Clavandier Gaëlle
Published: January 2020

L’évolution de la prise en charge des décès périnataux en milieu hospitalier depuis les années 1990 a eu pour effet de redéfinir les dispositifs d’accompagnement à l’égard des parturientes confrontées à une fausse couche tardive, une IMG ou une mort fœtale à partir de 15 SA. Ces femmes ont en commun d’avoir accouché, de pouvoir déclarer un « enfant sans vie » à l’état civil, le prénommer et organiser ses obsèques. Ces dispositifs médicaux et administratifs sont fréquemment présentés comme des supports au deuil périnatal. Or, il s’avère qu’ils génèrent de nouvelles normes pouvant amener la femme qui accouche et son éventuel partenaire à se présenter comme « parent » d’un « enfant décédé ». Cet article, fondé sur une étude par entretiens, montre qu’outre la nécessité de se positionner face à une série de choix qui préexistent à la situation en question, une partie de ces femmes s’inscrivent dans une démarche parentale. Dès lors, ce n’est plus simplement en termes de deuil que s’élaborent ces trajectoires, mais en termes d’entrée en parentalité. L’étude de la manière de se nommer et de nommer le fœtus (né vivant mais non viable) ou le mort-né est significative des déplacements actuels, d’où des ajustements et incompréhensions, notamment quand il s’agit d’intégrer cet « enfant » à la famille élargie.
Parcours de vie des personnes âgées à faibles revenus
Authors: Thelin Angelika , Van Regenmortel Sofie
Published: January 2020

Cet article examine le parcours de vie des personnes âgées à faibles revenus en Suède et en Belgique, selon une approche comparative des politiques sociales de ces deux pays. L’étude porte sur les conditions de vie actuelles de ces personnes âgées, ainsi que sur les événements et parcours à l’origine de leur faible niveau de ressources. Une analyse secondaire qualitative de 49 récits de vie a permis d’identifier cinq parcours menant à un faible niveau de revenus, signe de la relation complexe entre parcours de vie et précarité économique. Les divers événements de la vie interagissent fortement entre eux, soulignant la nécessité de développer les interventions sociales afin d’apporter un soutien coordonné aux personnes confrontées à de multiples difficultés tout au long de leur vie et dans différents contextes sociaux. Les conclusions de l’étude soulignent également la nécessité de pousser plus avant les recherches sur les processus sociaux responsables des situations de faibles revenus chez les personnes âgées dans différents types d’État-providence.
Le roi neutre et la domination technique du vide
Authors: Marzo Pier Luca
Published: January 2020

L’article présenté ici tire son origine d’une question : si les métanarrations n’existent plus, pourquoi n’en est-il pas autant du social ? La notion de “roi secret”, élaborée par Simmel dans Le conflit de la culture moderne , est le périmètre réfléchi où cette question sera développée. Après avoir considéré cette notion comme le centre de rotation de l’imaginaire social, l’hypothèse que nous tenterons d’argumenter est destinée à identifier dans la contemporanéité la présence d’un nouveau monarque sans qualités métanarratives. Son règne n’est pas légitimé par une vision du monde dotée de sens mais, au contraire, par la neutralisation de tous les sens ; c’est pour cette raison qu’on nommera ce souverain, né du conflit de la culture post-moderne, le Roi neutre . C’est ce nouveau roi secret qui nous place, pour la première fois, à l’intérieur d’une sphère vide de sens, capable, de contenir et de métamorphoser l’hétérogénéité des imaginaires sociaux contemporains dans son royaume réticulaire reproduit de manière numérique.
Saccharomyces cerevisiae (YT001) supplementation for the control of Haemonchus contortus and modulation of the immune response of sheep
Authors: Pinto N.B. , Gaspar E.B. , Minho A.P. , Domingues R. , de Moura M.Q. , Junior A.S. Varela , Capella G.A. , dos Santos P.A. , da Costa C.M. , Leite F.P. Leivas
Published: January 2020

Studies aiming at the development and evaluation of alternative methods to minimise losses caused by the gastrointestinal nematode Haemonchus contortus are extremely important. Such research is essential, given the high morbidity rates among sheep and the significant mortality rates of lambs, allied to the low efficacy of commercial products for the control of this parasite. The purpose of this study was to evaluate the effect of the Saccharomyces cerevisiae (YT001 – YEASTECH) on the control of H. contortus and its modulation of the immune response in experimentally infected sheep. Eighteen sheep were divided into two groups. Group 1, the control group, comprised animals infected with H. contortus and supplemented with distilled water, while Group 2, the treated group, consisted of animals infected and supplemented with S. cerevisiae (400 million cfu/day of suspension for 49 days). The following parasitological parameters were evaluated: number of eggs per gram of faeces, number of infective larvae (L3) recovered per faecal culture, and parasitic load of the abomasum. The following immunological parameters were quantified: immunoglobulin (Ig)A in the mucous secretions and serum IgG; cytokines interleukin (IL)-4, IL-5 and IL-10; number of eosinophils in the abomasal mucosa and groups of cells positive for the markers: MHCII, CD4+CD25+, CD5+CD8+, WC4, CD5+CD4+, CD8+CD11b+ and CD5+WC1 by whole blood flow cytometry. The results revealed a significant decrease (P<0.05) in the number of larvae and significantly higher serum IgG levels (P<0.05) in the group supplemented with S. cerevisiae. The supplemented animals showed significantly larger numbers of eosinophils (P<0.05), as well as more cells positive for MHCII, CD4+CD25+, CD5+CD8+ than the control animals. This study confirmed the beneficial action of S. cerevisiae on the host immune response to H. contortus, as evidenced mainly by the smaller number of L3 recovered from the faeces of sheep supplemented with S. cerevisiae.

Graphical abstract - Nematode control and sheep immunomodulation with Saccharomyces cerevisiae.
Navigating Recurrent Abdominal Pain: Through Clinical Clues, Red Flags, and Initial Testing
Authors: Noe Joshua D. , Li B U.K.
Published: January 2020

CME Educational Objectives

1.

Define a five-step approach for the child with abdominal pain.

2.

Review the historical components of a child with abdominal pain, which would indicate the need for further evaluation.

3.

List specific diagnostic testing that may be of value in the evaluation of the child with abdominal pain.
The Multi Role Combatant - Jack of All Trades, Master or None?
Authors: Andrews D
Published: January 2020

For naval vessels Modularity is essentially a design style choice adopted to achieve both aspects of multi-role capability, namely, Flexibility (in deployment) and Adaptability (through life). This paper largely focuses on the second of these, which has been seen to be an attractive objective in Western naval vessel acquisition since the end of the Cold War. A paper to one of this series of warship conferences produced by the author a decade after the collapse of the Warsaw Pact was entitled “Adaptability – the Key to Modern Warship Design”. It particularly drew on the difficulties the author had experienced in establishing the case for the Future Surface Combatant (the precursor of the Type 26 Frigate), where the primary capability of this first post-Cold War combatant as a globally deployable class of warship was to demonstrate that Adaptability would be good value for money in an uncertain geopolitical environment.

The current paper commences by revisiting the case for Adaptability nearly two decades on from that first consideration and whether the same drivers for Adaptability and advances in Modularity have made the case for multi-role combatants more convincing or whether they are still prone, if they are not truly “First Rate” designs, to be “Jacks of all trades, yet Masters of none?” Next the paper reviews past warship designs that have been inherently adaptable, leading on to consideration of "margins", the traditional way naval ship designers have been able to incorporate a measure of adaptability. However, non-ship design aware procurement authorities, have continued to squeeze seemingly generous margins as a short sighted means of achieving "savings" in the procurement element of defence budgets. There are of course other features, necessary to achieve Adaptability. Thus the paper explores how an adequate consideration of the ship architecture might provide an adaptable design and, specifically, how adopting Modularity to achieve this, can be explored early in ship design. Finally, leading on from the exploration of Adaptability, the paper concludes by a considering the Trimaran configuration. This configuration remains a highly attractive overall Style and ship configuration choice for future warships, precisely because it readily provides so many of the features that are seen to be appropriate in an Adaptable Multi-role Warship, which can be configured to avoid the Second-Rate “master of none” trap.
Machine Learning in 5G Multimedia Communications
Authors: Milovanovic Dragorad A. , Bojkovic Zoran S. , Kukolj Dragan D.
Published: January 2020

Machine learning (ML) has evolved to the point that this technique enhances communications and enables fifth-generation (5G) wireless networks. ML is great to get insights about complex networks that use large amounts of data, and for predictive and proactive adaptation to dynamic wireless environments. ML has become a crucial technology for mobile broadband communication. Special case goes to deep learning (DL) in immersive media. Through this chapter, the goal is to present open research challenges and applications of ML. An exploration of the potential of ML-based solution approaches in the context of 5G primary eMBB, mMTC, and uHSLLC services is presented, evaluating at the same time open issues for future research, including standardization activities of algorithms and data formats.
Overview of Machine Learners in Classifying of Speech Signals
Authors: Palo Hemanta Kumar , Sarangi Lokanath
Published: January 2020

Machine learning (ML) remains a buzzword during the last few decades due to the requirement of a huge amount of data for adequate processing, the continuously surfacing of better innovative and efficient algorithms, and the advent of powerful computers with enormous computation power. The ML algorithms are mostly based on data mining, clustering, classification, and regression approaches for efficient utilization. Many vivid application domains in the field of speech and image signal processing, market forecast, biomedical signal processing, robotics, trend analysis of data, banking and finance sectors, etc. benefits from such techniques. Among these modules, the classification of speech and speaker identification has been a predominant area of research as it has been alone medium of communication via phone. This has made the author to provide an overview of a few state-of-art ML algorithms, their advantages and limitations, including the advancement to enhance the application domain in this field.
Social Big Data Mining
Authors: Rodrigues Anisha P. , Chiplunkar Niranjan N. , Fernandes Roshan
Published: January 2020

Social media is used to share the data or information among the large group of people. Numerous forums, blogs, social networks, news reports, e-commerce websites, and many more online media play a role in sharing individual opinions. The data generated from these sources is huge and in unstructured format. Big data is a term used for data sets that are large or complex and that cannot be processed by traditional processing system. Sentimental analysis is one of the major data analytics applied on big data. It is a task of natural language processing to determine whether a text contains subjective information and what information it expresses. It helps in achieving various goals like the measurement of customer satisfaction, observing public mood on political movement, movie sales prediction, market intelligence, and many more. In this chapter, the authors present various techniques used for sentimental analysis and related work using these techniques. The chapter also presents open issues and challenges in sentimental analysis landscape.
Enabling and Empowering Inclusion Through Partnerships With Families, School, and Community
Authors: Jowallah Rohan James
Published: January 2020

The chapter offers an innovative insight into several strategies that can be implemented to enable and empower inclusion within the context of family, school, and community. The chapter also highlights various theories and frameworks that can be operationalized to lead to greater inclusion within an educational context. The author focuses on the need for policymakers to consider rights-based approaches for inclusion within a framework for parents and students to be self-advocates. The approaches suggested will require a team-based approach for enabling and empowering inclusion.
Inclusivity and the Education of Children of Defence Forces Personnel
Authors: Baumann Ros , van Rensburg Henriette
Published: January 2020

Australian Defence Force (ADF) members' children present as a unique subpopulation of students. These students often experience schooling interruption as a result of posting (relocation) mobility inherent within the service requirements of their ADF parents. This chapter explores the impact of such mobility and interrupted schooling on educational achievement. Educational achievement consists of two key aspects: Social-emotional outcomes and Academic outcomes. Social-emotional outcomes are currently supported through the Defence Support Mentor (DSM) program. Academic outcomes are examined through the lens of Reading/Literacy testing results and Mathematics testing results. Academic achievement for ADF children impacted by mobility and schooling interruption remains largely unexplored within the Australian context. A conceptual framework is presented, which identifies potential causes of negative impacts upon ADF students' academic achievement.
The Lost Art of Reading for Pleasure
Authors: Sanderson Tracey
Published: January 2020

Diving into a book and losing yourself in a world peopled by your imagination is a joy that lovers of literature have reveled in for as long as there have been stories. Whether people seek to be excited, terrified, challenged, entertained, or informed, it begins with the pleasure of reading a book. Learning to read is a cornerstone of educational achievement. How to encourage a passion for reading so children want to engage is poorly understood. The role parents play and how support is offered to parents to ensure inclusive, respectful, and responsive strategies that support all families requires investigation. The “read to your child every night” call is no longer enough. Teachers need the support of parents to look to innovative solutions. This chapter investigates how teachers can support parents by asking five diverse and geographically remote parents what works for them.
Monitoring CNT-Based Composite Laminates under Monotonic and Cyclic Flexural Loading
Authors: Wang Meng , Wang Gong Dong , Li Nan
Published: January 2020

The application of composite components in the load-carrying structure boosts the booming of health monitoring techniques so that the crucial damages information inside the composite can be perceived to ensure the secure state of the whole composite. This paper presents a promising self-sensing nanocomposite equipped with carbon nanotube buckypaper sensor to realize the health monitoring function. The CNT-based composite laminates with different contents were compared under monotonic and cyclic flexural loading. The sensor with lesser content of CNT proved to be more qualified for strain monitoring and damage prediction with high sensitivity, stability, and durability.