bluuebunny/crossref_metadata_2025 huggingface dataset:
A alteração extrajudicial de prenome e gênero de pessoa transgênero à luz da dignidade humana
Authors: Rodrigues Francisco Luciano Lima
Published: November 2020

Analisa o direito a alteração de prenome e gênero de pessoa transgênero à luz do princípio constitucional da dignidade humana. Verifica por meio de teorias sociológicas e antropológicas como a questão de gênero pode ser compreendida como uma construção cultural e social. Apresenta diferentes visões e conceitos, sobre a questão de gênero e qual o seu significado para o indivíduo e para a comunidade. Aborda a evolução doutrinária e jurisprudencial da alteração de prenome e gênero, verificando as teorias e as decisões de tribunais superiores que tratam sobre a referida temática, de forma crítica e construtiva. Trata ainda sobre a crescente tendência de promover o acesso à justiça no âmbito extrajudicial dos cartórios, permitindo que situações concretas sejam solucionadas sem a necessidade do Poder Judiciário. Por fim, estuda o Provimento nº 73/2018, do Conselho Nacional de Justiça, que dispôs sobre o procedimento de averbação da alteração do prenome e do gênero de pessoa transgênero, a ser realizado no âmbito das serventias extrajudiciais.
Phenomenology Study STUDI FENOMENOLOGI PENGALAMAN ORANG TUA DALAM MEMANDIRIKAN ANAK USIA (0-18 TAHUN) DENGAN RETARDASI MENTAL SEDANG DI SLB NEGERI BATULICIN KABUPATEN TANAH BUMBU 2019
Authors: Rahmadayanti Nadia Solehah , Atmaja Bayu Purnama , Udiyani Ritna
Published: November 2020

Latar Belakang: Retardasi mental adalah sebuah keadaan intelegensi yang kurang (subnormal) sejak awal masa perkembangan (sejak lahir atau sejak masa anak). Masalah yang sering terjadi pada anak seperti kelemahan dan keterbatasan dalam kemampuan kemandirian misalnya dalam hal mengurus diri (oral hygiene, mandi, berpakaian), serta kemandirian toileting membutuhkan peran penting dari orang tua. Penelitian ini bertujuan untuk mengeksplorasi pengalaman orang tua dalam memandirikan anak retardasi mental di SLB N Batulicin.

Metode: Penelitian ini merupakan penelitian kualitatif dengan rancangan penelitian menggunakan pendekatan fenomenologi. Sampel penelitian berjumlah 5 orang partisipan. Instrumen penelitian menggunakan pedoman wawancara dan alat perekam berupa handphone.

Hasil: Hasil penelitian berdasarkan pengalaman dari orang tua dalam memandirikan anak retaradasi mental memiliki tiga tema antara lain : reaksi psikologis orang tua, melatih kemandirian anak retardasi mental, dan berbagai dukungan yang di harapkan orang tua.

Kesimpulan dari ketiga tema penelitian tersebut adalah dukungan keluarga memiliki peran paling penting bagi orang tua dalam mengasuh dan mendidik anak dengan retardasi mental, sehingga dapat memberikan efek positif  bagi orang tua untuk menerima dan melatih segala kekurangan pada anak retardasi mental. Disarankan kepada orang tua yang memiliki anak retardasi mental agar dapat meningkatkan kemandirian anak dengan membimbing, memberi contoh dan mengarahkan anak dengan benar dalam melakukan kegiatan aktivitas setiap harinya.

 

Kata kunci    : Memandirikan, Pengalaman orang tua, Retardasi mental
FAKTOR YANG BERKONTRIBUSI TERHADAP MOTIVASI MENJALANI PEMERIKSAAN PAP SMEAR PASIEN KANKER SERVIKS DI POLI KANDUNGAN
Authors: Latifah Latifah , Nurachmah Elly , Hiryadi Hiryadi
Published: November 2020

Latar Belakang: Kanker serviks adalah penyakit keganasan leher rahim dimana setiap harinya ada 40 orang terdiagnosa kanker serviks di Indonesia dan 20 orang diantaranya meninggal dunia. Kalimantan Selatan tahun 2018 tercatat ada 53 orang penderita baru dan 1.877 orang penderita lama. Sekitar 70% penderita baru datang berobat dalam stadium > IIB. Pemeriksaan pap smear adalah cara deteksi dini yang dapat mengurangi angka kejadian dan kematian akibat kanker serviks. Penelitian ini bertujuan untuk mengidentifikasi faktor yang berkontribusi terhadap motivasi menjalani pemeriksaan pap smear pada pasien kanker serviks.

Metode: Penelitian ini menggunakan desain  kuantitatif dengan pendekatan cross sectional, Sampel yang digunakan sebanyak 43 orang dengan teknik purposive sampling. Instrumen yang digunakan adalah kuesioner.

Hasil: Faktor pengetahuan, sikap, dukungan suami dan dukungan petugas kesehatan berkontribusi terhadap motivasi menjalani pemeriksaan pap smear pada pasien kanker serviks. Faktor yang paling berkontribusi terhadap motivasi menjalani pemeriksaan pap smear pada pasien kanker serviks. Lebih meningkatkan motivasi pasien kanker serviks dalam menjalani pemeriksaan pap smear.

Kesimpulan: Promosi kesehatan dalam pemberdayaan masyarakat khususnya tentang pemeriksaan dini untuk meningkatkan motivasi pasien kanker serviks perlu ditingkatkan kembali. Pelayanan kesehatan juga diharapkan dapat mengoptimalkan kegiatan seperti memberikan penyuluhan tentang pemeriksaan dini terhadap wanita usia subur, memberikan informasi tentang penyebab dan pencegahan kanker serviks, serta meningkatkan motivasi pasien kanker serviks dalam melakukan pemeriksaan pap smear.

Kata Kunci : Pengetahuan, Sikap, Dukungan Suami, Dukungan Petugas Kesehatan, Motivasi Pemeriksaan Pap Smear
PENGARUH PELATIHAN TERHADAP KEPATUHAN PERAWAT DALAM PELAKSANAAN PERAWATANWATER SEAL DRAINAGE SESUAI STANDAR PROSEDUR OPERASIONAL
Authors: Murjani Murjani Murjani , Hamzah Hamzah , Muhsinin Muhsinin
Published: November 2020

Latar Belakang: Perawat yang bertanggung jawab dalam perawatan pasien post pemasangan WSD harus memiliki pengetahuan yang baik dalam mengelola sistem drainase dengan benar. Pendidikan dan pelatihan yang tepat diperlukan untuk meningkatkan kepatuhan staf perawat dalam pelaksanan perawatan WSD sesuai SPO. Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan terhadap kepatuhan pelaksanaan perawatan water seal drainage (WSD) sesuai standar prosedur operasional di RSUD Ulin Banjarmasin.

Metode: Penelitian ini menggunakan desain quasi experiment dengan pendekatan one group pre-post test without control group design, sampel yang digunakan adalah perawat Ruang Rawat Inap RSUD Ulin sebanyak 20 orang yang dipilih dengan teknik porposive sampling.

Hasil: Kepatuhan perawat sebelum mendapatkan pelatihan perawatan WSD mean 32,00. Kepatuhan perawat sesudah mendapatkan pelatihan perawatan WSD mean 39,40. Perubahan kepatuhan perawat sebelum dan sesudah mendapatkan pelatihan perawatan WSD dengan Mean Paired Differences yaitu sebesar -7,400 dengan signifikansi 0,000 dapat disimpulkan bahwa terdapat pengaruh pelatihan terhadap kepatuhan pelaksanaan perawatan WSD.

Kesimpulan: Pihak manajemen SDM dan bidang DIKLIT agar dapat meningkatkan kemampuan perawat dengan cara menyelenggarakan pendidikan dan pelatihan secara adil dan merata kepada perawat klinik II
STUDY FENOMENOLOGI: PSIKOLOGIS PASIEN KANKER YANG MENJALANI KEMOTERAPI
Authors: Lestari Agustina , Budiyarti Yuliani , Ilmi Bahrul
Published: November 2020

Latar Belakang: Kanker merupakan penyebab kematian terbanyak terutama di negara berkembang. Penatalaksanaan untuk kanker ada beberapa macam yaitu melalui pembedahan, radioterapi dan kemoterapi. Kemoterapi memiliki dampak dalam berbagai aspek kehidupan antara lain dampak terhadap fisik dan psikologis. Seringkali perawatan pada pasien kanker hanya terfokus pada kondisi fisik saja sedangkan kondisi psikologis terabaikan. Terganggunya kondisi psikologis akan berpengaruh terhadap semakin memburuknya kondisi kesehatan pasien kanker. Tujuan: Untuk mengekplorasi aspek psikologis pasien kanker yang menjalani kemoterapi. Metode: Desain penelitian di rancang menggunakan metode kualitatif dengan pendekatan fenomenologi dimana pengumpulan data dengan melakukan wawancara mendalam (indept interview). Partisipan yang digunakan sebanyak 8 orang yaitu pasien kanker yang menjalani kemoterapi. Hasil:Penelitian menemukan 9 tema yaitu (1) respon psikologis pasien saat terdiagnosa kanker, (2) proses pengambilan keputusan pengobatan pada pasien kanker, (3) faktor yang mempengaruhi proses pengambilan keputusan pengobatan, (4) respon psikologis pasien kanker selama menjalani kemoterapi, (5) dampak yang dialami pasien kanker selama menjalani kemoterapi, (6) upaya dalam menghadapi dampak yang dialami selama menjalani kemoterapi, (7) keyakinan terhadap keberhasilan pengobatan, (8) perubahan yang dirasakan selama menjalani kemoterapi, (9) harapan selama menjalani pengobatan kemoterapi.
HUBUNGAN PELAKSANAAN RANGE OF MOTION DENGAN RISIKO DEKUBITUS PADA PASIEN STROKE
Authors: Maria Insana
Published: November 2020

Latar Belakang : Stroke merupakan pembunuh nomor 3 setelah penyakit jantung dan kanker, stroke biasanya ditandai dengan kelumpuhan anggota gerak pada salah satu sisi anggota tubuh, penatalaksanaan yang dapat dilakukan pada penderita stroke salah satunya yaitu Range Of Motion. Terapi Range Of Motion merupakan salah satu terapi yang membantu memulihkan keadaan penderita stroke yang mengalami kelumpuhan, serta dilakukannya Range Of Motion agar tidak terjadinya risiko dekubitus. Penelitian bertujuan untuk mengetahui Hubungan Pelaksanaan Range Of Motion dengan Risiko Dekubitus Pada Pasien Stroke.

Metode : Penelitian ini menggunakan metode analitik dengan desain penelitian korelasi, penelitian dilaksanakan di Ruang Saraf Rumah Sakit Ratu Zalecha Martapura jumlah populasi pasien stroke sebanyak 168 orang dan sampel sebanyak 118 orang dengan teknik sampling Consecutive Sampling, Instrumen berupa kuesioner dan teknik analisis data menggunakan uji Spearman’s.

Hasil : Hasil dari penelitian ini dengan menggunakan uji Spearman’s diperoleh nilai p = 0,000 yang berarti H0 ditolak dan Ha diterima, yang artinya ada hubungan antara pelaksanaan range of motion dengan risiko dekubitus pada pasien stroke di ruang saraf RSUD Ratu Zalecha Martapura.

Kesimpulan: ada hubungan (significant) antara pelaksanaan range of motion dengan risiko dekubitus pada pasien stroke di ruang saraf RSUD Ratu Zalecha Martapura 2018 dan diharapkan penelitian ini mengoptimalkan latihan rentang gerak pada pasien stroke, karena dengan melaksanakan Range Of Motion dengan baik maka pasien dapat bergerak secara aktif maupun pasif agar terhindar dari risiko dekubitus.

 

Kata Kunci : Range Of Motion, Stroke, Dekubitus
DESKRIPSI KARAKTERISTIK PASIEN SUKU DAYAK MA’ANYAN YANG DIRAWAT DENGAN HIPERTENSI DI RUANG RAWAT INAP RUMAH SAKIT UMUM DAERAH (RSUD) TAMIYANG LAYANG
Authors: Warjiman Warjiman , Lidiawati Sri , Jamini Theresia
Published: November 2020

Latar belakang : Penyakit hipertensi sudah lama dikenal sebagai “silent killer” karena resiko kerusakan yang ditimbulkan pada organ-organ penderitanya. Badan Kesehatan Dunia (WHO) menyatakan bahwa jumlah penderita hipertensi akan terus meningkat seiring dengan jumlah penduduk. Pada tahun 2025 mendatang, diproyeksikan sekitar 29 persen warga dunia akan terkena hipertensi. Provinsi Kalimantan Tengah-Indonesia pada tahun 2016 melaporkan bahwa penyakit hipertensi menempati peringkat ke-2 sebagai penyakit yang banyak diderita oleh masyarakatnya. Kasus hipertensi ini pun dilaporkan sebagai kasus penyakit yang akan terus meningkat kejadiannya setiap tahun.

Tujuan Penelitian: Penelitian ini bertujuan untuk mendeskripsikan karateristik pasien suku dayak Ma’anyan yang dirawat dengan penyakit hipertensi di ruang  Rawat Inap RSUD Tamiang Layang  Kabupaten Barito Timur pada tahun 2019.

Metode : Penelitian ini merupakan penelitian deskriptif kuantitatif, dengan populasi pasien hipertensi dari suku Dayak ma’anyan. Sample diperoleh dengan menggunakan teknik nonprobability sampling yaitu purposive sampling. Sebanyak 30 pasien suku Dayak ikut serta dalam kegiatan penelitian ini dan mengisi kuesioner yang berisi pertanyaan tentang faktor resiko terjadinya hipertensi. Data objektif seperti tinggi badan dan berat badan untuk mengukur indeks massa tubuh diukur oleh peneliti. Hasil penelitian selanjutnya dianalisa statistic deskriptif, lalu disajikan dengan menggunakan table distribusi frekuensi.

Hasil : Penelitian ini menunjukkan bahwa penderita hipertensi dari suku Dayak ma’anyan yang dirawat di ruang rawat inap RSUD Tamiyang layang, mayorits memiliki riwayat keluarga dengan hipertensi (60%, n=18), berjenis kelamin perempuan (60%, n=18), berusia 56-65 tahun (40%, n=12), tidak menderita obesitas (83%, n=25), aktif mengonsumsi makanan asin atau mengandung banyak garam (30%, n=9), tidak merokok (76%, n=23), dan tidak rajin berolahraga (80%, n=24).

Kesimpulan : Penelitian ini menunjukkan bahwa karakteristik penderita hipertensi yang berasal dari suku Dayak ma’anyan mayoritas adalah berjenis kelamin perempuan, berusia 56-65 tahun, aktif mengonsumsi makanan asin atau mengandung banyak garam, tidak rajin berolahraga dan tidak mesti mengalami obesitas atau merokok.

 

Kata Kunci : hipertensi, karakteristik pasien, faktor resiko, ruang rawat inap, RSUD Tamiang Layang.
HUBUNGAN KADAR KOLESTEROL DENGAN DERAJAT HIPERTENSI PADA PASIEN HIPERTENSI DI PUSKESMAS SUNGAI JINGAH
Authors: Solikin Solikin , Muradi Muradi
Published: November 2020

Latar belakang : Kolesterol merupakan masalah kompleks dalam tubuh manusia. Penyempitan serta kakunya dinding pembuluh darah akibat dari penumpukan kolesterol pada pembuluh dapat menyebabkan tekanan darah meningkat. Tujuan penelitian ini untuk mengetahui Hubungan Kadar Kolesterol Dengan Derajat Hipertensi Pada Pasien Hipertensi Di Puskesmas Sungai Jingah Tahun 2019.

Metode : Jenis penelitian menggunakan pendekatan/rancangan dengan model pendekatan/rancangan cross-sectional. Sampel dalam penelitian ini sebanyak 41 responden. Tekanan darah diukur dengan sphygmomanometer pegas, sedangkan kadar kolesterol diukur dari hasil pemeriksaan laboratorium dengan pengambilan sampel menggunakan metode kolorimetrik enzimatik CHOD-PAP. Uji statistik  yang digunakan adalah uji spearman rank.

Hasil : Hasil yang diperoleh pada analisis spearman’s rho menunjukkan bahwa dari 41 responden diperoleh nilai signifikan sebesar 0,004 yang lebih kecil dari 0,1 sebagai taraf yang telah ditentukan sehingga dapat dinyatakan hipotesis diterima yang secara uji statistik terdapat hubungan yang bermakna antara kadar kolesterol darah dengan derajat hipertensi.

Kesimpulan : Dalam mengendalikan kadar kolesterol maka penting bagi pasien untuk menjaga kesehatan dengan cara menjaga gaya hidup sehat dan selalu mengontrol kadar kolesterol dan tekanan darah sehingga terhindar dari komplikasi penyakit akibat tinggi kolesterol dan hipertensi.

Kata Kunci : Derajat Hipertensi, Kadar Kolesterol.
DIGITAL TRANSFORMATION INITIATIVES IN INDIAN HIGHER EDUCATION: A CRITICAL ANALYSIS FROM PEDAGOGIC PERSPECTIVES
Authors: Arbind K.J.
Published: November 2020

COVID-19 pandemic has impacted all aspects of human life including higher education. With the advent of digitalization of educational contents and its surging acceptability in the society of today, there is a tremendous scope to expand education to every nook and corner of the country. The Government of India has taken decisive digital initiatives to carry out large-scale digital reforms in higher education. While technology-enabled initiatives or platforms in line with Massive Open Online Courses such as Swayam have seen the use of technologies and Diksha, a platform that aids teachers with digital and tech-based teaching solutions, the Government is also emphasizing on boosting the use of tools such as virtual lab, a virtual reality enabled classrooms or curated online content for both students and teachers. This paper sincerely depicts and analyses the detailed descriptions of all the major initiatives taken by the Government of India in the ﬁ eld of higher education in a critical perspective keeping in mind the pertinent digital questions in terms of its divide, access, equity, and pedagogy. It also depicts some measures to be taken, purely from the digital pedagogic perspective as pedagogy has not yet become the core of higher education aﬀ airs in India, to materialize the knowledge construction virtually or digitally in higher education institutions.
Inter-Comparison of Thermal-Optical Carbon Measurements by Sunset and DRI
Analyzers Using the IMPROVE_A Protocol
Authors: Zhang Xiaolu , Trzepla Krystyna , White Warren , Raffuse Sean , Hyslop Nicole Pauly
Published: November 2020

Abstract. Thermal-Optical Analysis (TOA) is a class of methods widely used by long-term air quality monitoring networks for determining organic carbon (OC) and elemental carbon (EC) in atmospheric aerosols collected on filters. Results from TOA vary not only with differences in operating protocols for the analysis, but also with details of the instrumentation with which a given protocol is carried out. Three models of TOA carbon analyzers have been used for the IMPROVE_A protocol in the past decade within the Chemical Speciation Network (CSN). This study presents results from inter-comparisons of these three analyzer models using two sets of CSN quartz filter samples, all analyzed with the IMPROVE_A protocol. One comparison was between the Sunset Model 5L (Sunset) analyzers and the Desert Research Institute (DRI) Model 2015 (DRI-2015) analyzers, using 4073 CSN samples collected in 2017. The other comparison was between the Sunset and the DRI Model 2001 (DRI-2001) analyzers, using 303 CSN samples collected in 2007. Both comparisons showed a high degree of inter-model consistency in total carbon (TC) and the major carbon fractions, OC and EC, with mean bias within 5 % for TC and OC, and within 12 % for EC. Relatively larger and diverse inter-model differences (mean biases of 5 %–140 %) were found for thermal subfractions of OC and EC (i.e. OC1-OC4 and EC1-EC3), with better agreement observed for subfractions with higher mass loadings and smaller within-model uncertainties. Optical charring correction was found to be critical in bringing OC and EC measurements by different TOA analyzer models into better agreement. Appreciable inter-model differences in EC between Sunset and DRI-2015 (mean bias ± SD of 21.7 % ± 12.2 %) remained for ~ 5 % of the 2017 CSN samples; examination of these analysis thermograms revealed that the optical measurement (i.e. filter reflectance and transmittance) saturated in the presence of strong absorbing materials on the filter (e.g. EC), with excessive absorption leaving insufficient dynamic range for detection of carbon pyrolysis, thus no optical charring correction. Differences in possible instrument parameters and configuration related to disagreement in OC and EC subfractions are also discussed. Our results provide a basis for future studies of uncertainties associated with the TOA analyzer model transition in assessing long-term trends of CSN carbon data. Further investigations using these data are warranted focusing on the demonstrated inter-model differences in OC and EC subfractions. The within- and inter- model uncertainties are useful for model performance evaluation.
Towards resolving the complex paramagnetic NMR spectrum of small laccase:
Assignments of resonances to residue specific nuclei
Authors: Dasgupta Rubin , Gupta Karthick B. S. S. , de Groot Huub J. M. , Ubbink Marcellus
Published: November 2020

Abstract. Laccases efficiently reduce dioxygen to water in an active site containing a tri-nuclear copper centre (TNC). One reason for its efficiency in catalysis of this complex reaction can be the presence of mobility of active site residues. To probe mobility, NMR spectroscopy is highly suitable. However, several factors complicate the assignment of resonances to active site nuclei in laccases. The paramagnetic nature causes large shifts and line broadening. Furthermore, the presence of slow chemical exchange processes of the imidazole rings of copper ligands result in peak doubling. A third complicating factor is that the enzyme occurs in two states, the native intermediate (NI) and resting oxidized (RO) states, with different paramagnetic properties. The present study aims at resolving the complex paramagnetic NMR spectra of the TNC of Streptomyces coelicolor small laccase (SLAC). With a combination of paramagnetically tailored NMR experiments, all eight His Nδ1 and Hδ1 resonances for the NI state are identified, as well as His Hβ protons for the RO state. With the help of second shell mutagenesis, selective resonances are tentatively assigned to the T2 histidines. This study demonstrates approaches that can be used for sequence specific assignment of the paramagnetic NMR spectra of ligands in the TNC that ultimately may lead to a description of the underlying motions.
Efficacy and safety of ustekinumab in East Asian patients with moderately to severely active ulcerative colitis: a subpopulation analysis of global phase 3 induction and maintenance studies (UNIFI)
Authors: Hisamatsu Tadakazu , Kim Hyo Jong , Motoya Satoshi , Suzuki Yasuo , Ohnishi Yoshifumi , Fujii Noriyuki , Matsushima Nobuko , Zheng Richuan , Marano Colleen W.
Published: November 2020

Background/Aims: We aimed to evaluate the efficacy and safety of ustekinumab (UST) in the East-Asian population with moderate to severely active ulcerative colitis (UC).Methods: This sub-analysis was conducted on data from East-Asian patients included in the UNIFI program (NCT02407236). UNIFI consisted of two double-blind, placebo-controlled trials: an 8-week induction study and a 44-week randomized withdrawal maintenance study.Results: Of 133 East-Asian patients (Japanese: 107, Korean: 26) who underwent randomization, 131 completed induction study and 111 entered maintenance study. In the maintenance study, 78 patients were randomized. Patients who received UST 130 mg and UST 6 mg/kg showed numerically higher clinical remission at week 8 in the induction study (5/44 [11.4%] and 5/45 [11.1%], respectively) compared with those who received placebo (0/44, 0%). The proportion of patients achieved clinical remission at week 44 was numerically higher in the UST 90 mg q12w group (10/21, 47.6%), but similar in the UST 90 mg q8w group (5/26, 19.2%) compared to placebo (7/31, 22.6%). Serious adverse events were reported in 1 patient in UST 130 mg group, but no patient in UST 6 mg/kg group through week 8 in the induction study, and 1 patient in UST 90 mg q12w group and 5 patients in the UST 90 mg q8w group in the maintenance study. No deaths were reported in East-Asian patients throughout the study.Conclusions: UST induction and maintenance treatments were effective in East-Asian patients with moderate to severe UC; the efficacy and safety profiles were consistent with the overall population.
Environmental Management Strategy With a Focus on Sanitary Sewage and Urban Development
Authors: Arenhardt Valeria , Filho Flávio De São Pedro , Oliveira Luciana Rezende Alves de , Leite Wellington Cyro de Almeida , Guimarães Roberto Simplício , Deliza Eduardo Egidio Vicensi
Published: November 2020

The Amazon boasts a great environmental heritage and abundance of water resources, it is in this remarkable biome where the worst rates of access to basic sanitation services and public health indicators are. This research aims to use the SWOT analysis to generate knowledge capable of subsidizing the public manager in the elaboration of strategic planning to implement sanitary sewage according to the National Policy for Basic Sanitation in a municipality of the Brazilian Amazon under development and urban expansion. The practices adopted for this task relate to the concepts of the SWOT matrix, public policies for basic sanitation with a focus on sanitation, urban sprawl and social impacts on human health related to poor sanitation. Identifying in the municipal legal norms the strategic planning to order the development and the urban expansion and the practices foreseen to meet the National Policy for the Basic Sanitation and implantation of the sanitary sewage in the studied municipality. This is a descriptive exploratory research based on document and field research according to legal and environmental norms with qualitative and quantitative results. Despite the result demonstrating that the strategic planning for the implementation of sewage in urban expansion projects results in sustainable urban development, the municipality under study did not meet the legal and environmental standards for the implementation of sewage in new subdivisions causing environmental, social and economic problems.
A Review of Racial Microaggression in Malaysian Educational System and Its Higher Education Institutions
Authors: Muhamad Nasir Noormaizatul Akmar , Yaacob Nurul Husna , Mohd Nor Noraini , Ab Rashid Radzuwan
Published: November 2020

This paper reviews other forms of racial oppression among Malaysian students in the business of their school and campus life day. It begins with a brief demographic background of Malaysia as a pluralistic country together with explanation pertaining to the aspirations of its diverse society. Then, it reviews some literature and findings revealed from previous studies concerning various racial microaggression issues in Malaysia with reference to schools and higher learning institutions. The challenges reviewed in this paper may be relevant to the administrative parties concerned and educational practitioners mandated to manage and train these diverse students. Other than that, this paper also provides insights into the multiracial Malaysians, especially the majority race students concerning the sense of oppression and discontent that their other ethnic peers may feel resulting from the present distinctive practice of ethnic polarisation. This paper argues that microaggression is on the rise among Malaysian youngsters and this problem stems from the environment that shapes their learning landscape.
Hands on!!! Infusing intimate partner violence simulation in nursing education
Authors: Burnett Camille , Rawat Esha , Hudson Ashley , Walker-Atwater Tamia , Schminkey Donna
Published: November 2020

Intimate partner violence (IPV) has a 1 in 4 prevalence for women globally. Nursing programs are positioned to prepare students to address IPV screening and brief counselling policy recommendations within curricula. The purpose of this project was to refine the undergraduate nursing curriculum to better facilitate student comfort with and knowledge of IPV screening and intervention using simulation. Methods: We used a 4-item pre/posttest tool to evaluate nursing students’ comfort level with IPV screening and safety planning before and after an IPV simulation with a standardized patient as part of the formative assessment of the simulation. Results: Close to 80% of students (N = 133) reported feeling more comfortable with discussing IPV, screening for IPV, talking to people about IPV, and safety planning after completing the IPV simulation. Conclusion: Infusing IPV screening and intervention simulation into curricula gives students a hands-on opportunity to practice critical trauma-informed skills before encountering a patient exposed to violence. This exposure enhances student comfort with and increases knowledge of screening and intervening with families exposed to IPV and as a result may help to decrease known barriers to IPV screening and intervening post licensure.
Seismic resistant joints for reinforced concrete structures
Authors: Fenwick R. C.
Published: November 2020

The theory of shear resistance of beam column joints is described and the results of two tests on beam column units in which bond plates were used in the joints are presented. Potential advantages for the use of this form of construction arise from the reduction in reinforcement congestion in the joint zone and the elimination of bond stress limitations on beam reinforcement passing through interior joints. These two factors in some situations allow structural member sizes to be reduced, and simpler reinforcement arrangements to be used as bar sizes are not restricted. A number of tentative recommendations are made for the design of this form of joint.
The Arab Spring and Its Impact on the Concept of Political Participation Among Jordanian University Students
Authors: Al-Katawneh Ahmed Hani , Yamani Abdul Raouf Al , Al-Atnah Ghazi
Published: November 2020

The current study aimed to reveal the impact of the Arab Spring on the concept of political participation among Jordanian university students (Isra University as a model), with different variables (gender, age, and school year), the researchers used the descriptive analytical approach, as a questionnaire was developed for this purpose after reviewing the theoretical literature in this field, and it was applied on a sample of (192) male and female students from Al-Isra University in the second semester of the academic year 2019. By using appropriate statistical analyzes, the results of the study revealed that the effect of the Arab Spring on the concept of political participation among Jordanian university students came with an average degree, as the results showed that there were no statistically significant differences for the impact of the Arab Spring on the concept of political participation among Jordanian university students due to gender and age variables, while a statistically significant difference was observed between the arithmetic averages of the effect of the Arab Spring on the concept of political participation among Jordanian university students due to the variable of the school year in favor of the first, second and third years when compared to the fourth and fifth years.
Identification of Some Research Gaps in Green Human Resource Management
Authors: R. A. Hewapathirana, , H. H. D. N. P. Opatha, , Gamage Prasadini
Published: November 2020

Green Human Resource Management (GHRM) is increasingly considered as a critical branch of Human Resource Management (HRM) and it is still an emerging field of research that is interesting and highly instrumental in creating and enhancing natural environmental sustainability. This research paper is a systematic attempt to find out some research gaps in GHRM in order to carry out future empirical studies through the adoption of desk research strategy. An extensive literature review was done and it resulted in identifying nine research gaps in GHRM. Among the nine research gaps, two gaps are empirical, six gaps are both theoretical and empirical, and one gap is methodological. Future research studies could be designed and carried out in order to fill these identified research gaps.
Agent-based model for simulating households’ self-evacuation decision in high-rise buildings under critical infrastructure failures induced by a slow-onset flood conditions – A case study in Paris
Authors: Edjossan-Sossou Abla Mimi , Vuillet Marc , Mehdizadeh Rasool , Deck Olivier
Published: November 2020

Generating well-informed and reliable predictions for disaster evacuation is a large challenge. Crisis and disaster management policymakers have to deal with poor data quality, a limited understanding of households’ behaviour dynamics, and uncertainty regarding the effects of the various actions/measures in place. Agent-based simulation models are frequently used to support decisions when planning disaster evacuation procedures. However, one of the most important aspects of this issue, which is social influence, is not often considered. Most of existing evacuation models largely overlook the importance of the households’ behaviours and social influences, which leads to oversimplified models. Moreover, it is almost impossible to find models in the literature that focus on the extrinsic decision-making factors of some evacuees, such as compromised lifelines, in the case of catastrophic events. In contrast to the existing evacuation models, this paper suggests a probabilistic agent-based model that relies on theloss of different lifelines as factors affecting evacuees’ decision-making in addition to some intrinsic factors that are used to characterise the propensity of households to evacuate and explicitly allow for social contagion as well as uncertainties to be considered. This model, in which all the variables are considered uncertain and Monte Carlo Simulations are run to estimate the confidence range of the predictions, is tailored to estimate the potential number of inhabitants that have not been evacuated in high-rise buildings in the face of critical infrastructure failures induced by a slow-onset flood and/or the actions taken during the related crisis, considering different uncertainties that may affect the reliability of the prediction. The model has been specifically designed to predict the dynamics of households’ self-evacuations in fourteen residential high-rise buildings located in a flood-prone area in Paris. This paper describes the suggested model and also reports the results of an illustrative case study in which three scenarios are simulated to demonstrate the applicability of the model, to test its effectiveness and to explore the uncertainty regarding some modelling assumptions using sensitivity analysis.
TERRORISM STRATEGIES. AN ATTEMPT AT CONCEPTUALISATION
Authors: Tomasiewicz Jarosław
Published: November 2020

The article is an attempt to create an instrument for evaluating long-term terrorist strategy. The author analyses the categories of terrorist attacks, direct effects, indirect effects and fi nal goals. He also reconstructs some terrorist strategies.
NATIONAL FIRE-FIGHTING AND RESCUE SYSTEM IN
EMERGENCY SITUATIONS
Authors: Lorek Marlena
Published: November 2020

Each country must develop a system to protect the security of its
citizens against the dangers that lie before them and their sense of security. A
threat is any situation in which there is a likelihood of a dangerous condition
for the environment, including people. This article discusses the position of
the national rescue and fi re-fi ghting system in crisis management during the
occurrence of states of emergency.
Fake News Related to the Coronavirus. Case Study
Authors: Urbanek Grzegorz
Published: November 2020

The aim of the article is to analyze fake news related to coronavirus and assign selected examples to the categories of fake news presented in the literature. Various types of fake news disseminated in the Internet in Polish language were analyzed. The study is preceded by a discussion on the origin, specificity, types, and available classifications of fake news obtained from the available literature. On the basis of the analysis, it can be concluded that many fake news items appeared in the media discussion on the threat of coronavirus, differing in terms of sources, form, and content. Their diversity is reflected in the numerousness of fake news categories, distinguished by the creators of the classifications of this phenomenon.
The Role of the Republic of Belarus in Ensuring Regional Security. The Aspect of Minsk Agreements
Authors: Matejuk Mateusz
Published: November 2020

The article deals with the activities of the Republic of Belarus undertaken for the sake of regional security. The analysed aspect are the Minsk Agreements which have been worked out thanks to the country’s significant organizational and diplomatic efforts. The paper discusses the Belarusian security perspective of both the Central and Eastern European region and the Republic itself. Belarus’s neutral attitude towards the armed conflict in Ukraine is presented in the article as well as the issues related to the organization of the peace process as a result of which the Minsk Agreements were adopted. Attention is also paid to the evolution of Belarus’ foreign policy in which, during the last few years, a significant activity in the field of regional security initiatives has been visible, thus creating the country’s image of a mediator. Belarus can play an important role in this aspect, which can be demonstrated by the example of its commitment to the peace process that eventually led to the signing of the Minsk Agreements.
Primary pulmonary meningioma mimicking pulmonary metastasis: A rare case report
Authors: Gürçay Nesrin
Published: November 2020

Primary pulmonary meningiomas are rare and mostly benign tumors. They usually appear as a solid peripheral pulmonary nodule on chest radiography and computed tomography and are frequently diagnosed incidentally. Herein, we report a 55-year-old female case of primary pulmonary meningioma mimicking pulmonary metastasis.
Electrophysiological evaluation of efficacy of clipping in thoracic sympathectomy: An experimental cadaveric study
Authors: Salcı Hakan
Published: November 2020

Background: This study aims to examine the efficacy of clipping in thoracic sympathectomy based on electrophysiological evaluation and to investigate whether nerve conduction can be formed by collateral nerve extensions as a result of the clipping procedure to different levels of sympathetic nerve. Methods: Newly sacrificed six sheep hemithoraces were studied between August 2016 and October 2016. Thoracic sympathectomy was performed by clipping at T2, T3, T4, and T5 sympathetic chain levels and their branches. Electrophysiological studies were performed with an electromyography device and the filter range was 1 Hz with 20 µV/D amplification. Signals were processed digitally; bipolar subdermal needle electrodes were used as stimulation and recording electrodes (Ø 0.75 mm); and the ground electrode was placed in the intercostal muscle where the thoracic sympathectomy procedure would be performed. Results: Electrophysiological evaluations showed that clips placed on the main sympathetic chain branches and sympathetic nerve trunk prevented collateral impulse conduction and stimulated potentials were not recorded. However, sympathetic conduction continued at the same intensity after removal of the clips. Conclusion: Clipping of different regions of the sympathetic nerve provides electrophysiological blockage of the sympathetic nerve, and conduction continues after removal of the clips. However, the short- and long-term postoperative electrophysiological results after removal of the clips over the sympathetic nerve is still a question mark.
The association between pneumothorax onset and meteorological parameters and air pollution
Authors: Yakşi Osman
Published: November 2020

Background: The aim of this study was to investigate the possible relation of meteorological parameters and air pollutant particle concentrations with the incidence of spontaneous pneumothorax in the Bolu region of Turkey. Methods: Between January 2015 and February 2019, a total of 200 patients (175 males, 25 females; mean age 42.5±19.9 years, range, 10 to 88 years) with spontaneous pneumothorax were retrospectively analyzed. For each day, standard weather parameters including daily average temperature, relative humidity, wind speed, actual pressure, and daily total precipitation and concentration of air pollutants (PM10 and SO2) were recorded. Results: During the study period, there were 200 cases with spontaneous pneumothorax within 178 days. The number of days with spontaneous pneumothorax represented 11.8% of the total number of days (1,504 days). In the study, 76.9% of the days with spontaneous pneumothorax were clustered. All meteorological (temperature, humidity, pressure, wind speed, and precipitation) and air pollution parameters (PM10 and SO2) were available for 1,438 days (95.61%) and 853 days (56.71%), respectively. There was a significant relationship between spontaneous pneumothorax and air temperature (r=-0.094, p=0.001), and air pollution (PM10, r=-0.080, p=0.020; SO2, r=-0.067, p=0.045). Conclusion: Our study results show a relationship between spontaneous pneumothorax and air temperature, and air pollution. Preventing air pollution, which is a public health problem, can lead to a reduction in spontaneous pneumothorax.
Complete sternal cleft treatment in a low birth weight patient
Authors: Temur Bahar
Published: November 2020

A complete sternal cleft is a very rare congenital anomaly causing severe respiratory compromise. Surgical reconstruction options are limited, particularly in low birth weight newborns. Herein, we report a case of low birth weight premature newborn with a complete sternal cleft and its surgical treatment.
Effectiveness of intraoperative bimanual palpation in metastatic tumors of lung
Authors: Yenigün Bülent Mustafa
Published: November 2020

Background: In this study, we aimed to compare effectiveness of thoracic computed tomography versus intraoperative bimanual palpation in the detection of number of nodules in patients undergoing thoracotomy. Methods: Between January 2011 and January 2019, a total of 157 patients (63 males, 94 females; mean age: 46.6±11.2 years; range, 13 to 77 years) who underwent pulmonary metastasectomy in our institution were retrospectively analyzed. Metastatic nodules evaluated using thoracic computed tomography were compared with nodules detected by intraoperative palpation. Results: A total of 226 muscle-sparing thoracotomy was performed in 157 patients. The time between the preoperative thoracic computed tomography and operation ranged from 3 to 24 days. Metastasectomy with muscle-sparing thoracotomy was performed in 41 (26%) patients two times, in eight (5%) patients three times, and in four (2.5%) patients four times due to bilateral lung metastasis or re-metastasectomy. The thoracic computed tomography could detect 476 metastatic nodules, while 1,218 nodules were palpated and resected intraoperatively. Of these nodules, 920 were pathologically evaluated as metastatic. Conclusion: Our study results showed that the number of nodules reported as pathologically malignant after resection was 1.9 times higher than those reported by thoracic computed tomography. This finding indicates that intraoperative bimanual examination significantly increases the possibility of complete resection. This situation raises the need for more caution for the thoracoscopic metastasectomy procedure in which there is no possibility of intraoperative bimanual palpation.
Beware: NAT Traversal is a Simple and Efficient Approach to Open Firewall Holes
Authors: Duarte Jr. Elias P. , Cardoso Kleber V. , Mello Micael O.M.C. de , Borges João G.G.
Published: November 2020

NAT traversal techniques allow processes with private, non-routable IP addresses to communicate with other processes outside the network secured limits. Techniques such as UDP Hole Punching have been standardized by the IETF, and using tunnels based on those techniques it is easy to allow application processes on top of any transport protocol, including TCP, to both start and receive packets from the Internet across NAT devices. However, as a side effect those techniques also freely proceed through firewalls. In this work we describe how it is possible to configure any server running on any port (no firewall configuration required) to establish connections initiated at arbitrary Internet clients, making unauthorized services easily available. We also show that the process is lightweight, in particular after the initial setup is concluded, thus virtually supporting any type of unauthorized applications.
Harnessing the Genetic Diversity and Metabolic Potential of Extremophilic Microorganisms through the Integration of Metagenomics and Single-Cell Genomics
Authors: Goyal Deepika , Swaroop Shiv , Pandey Janmejay
Published: November 2020

Microorganisms thriving under extreme environments have proven to be an invaluable resource for metabolic products and processes. While studies carried out on microbial characterization of extremophilic environments during golden era of microbiology adapted a ‘reductionist approach’ and focused on isolation, purification and characterization of individual microbial isolates; the recent studies have implemented a holistic approach using both culture-dependent and culture-independent approaches for characterization of total microbial diversity of the extreme environments. Findings from these studies have unmistakably indicated that microbial diversity within extreme environments is much higher than anticipated. Consequently, unraveling the taxonomic and metabolic characteristics of microbial diversity in extreme environments has emerged as an imposing challenge in the field of microbiology and microbial biotechnology. To a great extent, this challenge has been addressed with inception and advancement of next-generation sequencing and computing methods for NGS data analyses. However, further it has been realized that in order to maximize the exploitation of genetic and metabolic diversity of extremophilic microbial diversity, the metagenomic approaches must be combined synergistically with single-cell genomics. A synergistic approach is expected to provide comprehensions into the biology of extremophilic microorganism, including their metabolic potential, molecular mechanisms of adaptations, unique genomic features including codon reassignments etc.
Nanostructured Transition Metal Compounds as Highly Efficient Electrocatalysts for Dye-Sensitized Solar Cells
Authors: Huang Yi-June , Lee Chuan-Pei
Published: November 2020

Nowadays, the requirement of energy increases every year, however, the major energy resource is fossil fuel, a limiting source. Dye-sensitized solar cells (DSSCs) are a promising renewable energy source, which could be the major power supply for the future. Recently, the transition metal component has been demonstrated as potential material for counter electrode of platinum (Pt)-free DSSCs owing to their excellent electrocatalytic ability and their abundance on earth. Furthermore, the transition metal components exist different special nanostructures, which provide high surface area and various electron transport routs during electrocatalytic reaction. In this chapter, transition metal components with different nanostructures used for the application of electrocatalyst in DSSCs will be introduced; the performance of electrocatalyst between intrinsic heterogeneous rate constant and effective electrocatalytic surface area are also be clarified. Final, the advantages of the electrocatalyst with different dimensions (i.e., one to three dimension structures) used in DSSCs are also summarized in the conclusion.
Secondary Ecological Succession of Mangrove in the 2004 Tsunami Created Wetlands of South Andaman, India
Authors: Shiva Shankar V. , Purti Neelam , Pratap Singh Ravi , A. Khudsar Faiyaz
Published: November 2020

Andaman and Nicobar Islands (ANI’s) being situated in the Tropical zone is the cradle of multi-disasters viz., cyclones, floods, droughts, land degradation, runoff, soil erosion, shallow landslides, epidemics, earthquakes, volcanism, tsunami and storm surges. Mangroves are one of the first visible reciprocators above land and sea surface to cyclonic storms, storm surges, and tsunamis among the coastal wetlands. The Indian Ocean 2004 tsunami was denoted as one of the most catastrophic ever recorded in humankind’s recent history. A mega-earthquake of Magnitude (9.3) near Indonesia ruptured the Andaman-Sunda plate triggered this tsunami. Physical fury, subsidence, upliftment, and prolonged water logging resulted in the massive loss of mangrove vegetation. A decade and half years after the 2004 tsunami, a study was initiated to assess the secondary ecological succession of mangrove in Tsunami Created Wetlands (TCWs) of south Andaman using Landsat satellite data products. Since natural ecological succession is a rather slow process and demands isotope techniques to establish a sequence of events succession. However, secondary ecological succession occurs in a short frame of time after any catastrophic event like a tsunami exemplifying nature’s resilience. Band-5 (before tsunami, 2003) and Band-6 (after tsunami, 2018) of Landsat 7 and Landsat-8 satellite respectively were harnessed to delineate mangrove patches and TCWs in the focus area using ArcMap 10.5, Geographic Information Systems (GIS) software. From the study, it was understood that Fimbrisstylis littoralis is the pioneering key-stone plant followed by Acrostichum aureum and Acanthus ilicifolius facilitating Avicennia spp/Rhizopara spp for ecological succession in the TCWs.