bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sustainability Assessment in Housing Building Organizations for the Design of Strategies against Climate Change
Authors: Burciaga Ulises Mercado 
Published: October 2020

One of the biggest problems facing humanity is climate change and the construction industry is one of the sectors causing the greatest impact, therefore, design strategies accompanied by new methodologies is necessary. In this sense, this paper aims to assess sustainability for the design of organizational strategies against climate change, based on a holistic and systemic approach to sustainability development, in order to contribute the decision-making in housing building organizations. The assessment was based on: 1) climate change indicators were selected from a case study; 2) a survey based on climate change indicators was designed and applied to 21% of the total organizations under study and; 3) critical indicators were identified. The result shows that 58% of the climate change indicators are critical and give evidence of the negative outlook that housing building organizations has in in terms of sustainability. The 69% of these indicators belong to the cultural dimension, it demonstrates the lack of knowledge, customs, habits and commitment to implement sustainable strategies against climate change in this organizations. Finally, the results can contribute to designing strategies to promote sustainable building by the local government, and thus achieve more sustainable organizations that contribute to reducing their impact on climate change. Doi: 10.28991/HIJ-2020-01-04-01 Full Text: PDF
Association of Grip Strength with obesity & cortisol; Possible indicators of biological ageing
Authors: Mirza Faizan , Fazal Amaila , Shabbir Khadija , Farooq Hafsa , Ahmed Sadaf 
Published: October 2020

Background: Cortisol has a positive correlation with Obesity, which indicates a relation between obesity and cortisol. Furthermore, there are increased chances of demolished muscle strength up to two times with elevated levels of cortisol. Thus, the aim of the study was to assess the impact of increased cortisol levels on the grip strength and to determine that the grip strength is a possible indicator for accelerated biological ageing.
Methodology: This cross-sectional, purposive sampling study was conducted in Karachi, Pakistan. Overall 412 were recruited to participate in the study, the data for age, gender, BMI, grip strength, and cortisol was collected from the participants. The age-wise correlates of hand grip strength were assessed using Multiple linear regression analysis and the mean decline in the grip strength with advancing age is displayed.
Results: The mean Grip strength of the overall population was 30.75±14.35. It was observed that there was a negative significant correlation between the age and the grip strength (F = 3.57; r= -0.27; p=0.007) i.e. with increasing age a gradual decrease in the grip strength was observed. BMI (Obesity) was also significantly associated with grip strength (p=0.000). Moreover, females were more likely to have weak muscle strength as compared to males (p=0.000). However, no significant association was observed among the grip strength, socioeconomic status & longevity in any of the studied age groups (p>0.05). While a significant correlation was found between Grip strength and Obesity as well as between Obesity and Cortisol.
Conclusion: Thus it can be concluded that obese individuals had increased chances of accelerated biological ageing due to an increase in cortisol, and a weakened grip strength is an indicator of it.
Early and Late complications associated with Open Modified Janeway Gastrostomy, Under Local Anesthesia in patients with Head & Neck Tumors
Authors: Khan Fatima Zehra , Ali Mir Arsalan , Shafiq Ur Rehman  , Ali Shah Syed Mustafa , Nisar Maheen , Abubaker Zohaib Jawed 
Published: October 2020

Background: Percutaneous Endoscopic Gastrostomy (PEG) is the primary modality for patients requiring long-term enteric feeding and stomach decompression, it has the potential for complications. Therefore, an open surgical gastrostomy presents as an appropriate alternative for patients not viable for an endoscopic approach. The purpose of the study was to assess the complications associated with Open Modified Janeway Gastrostomy (OMJG) in patients with head & neck tumors and determine their post-operative pain and satisfaction scores.
Methodology: A cross-sectional study was conducted at Ziauddin Hospital, North Nazimabad Campus, Karachi, from May 2015 and November 2019. Patients undergoing Open Modified Janeway Gastrostomy were included in this study. Patients with over 18 years of age and who had feeding needs extending beyond 30 days were included in this study. Outcomes measured included length of stay, operating time, complications, surgical satisfaction and post-operative pain. Chi-square test, with a 95% confidence interval, was used to evaluate any association of complications with patient demography and post-treatment parameters.
Results: A total of 27 patients participated in this study with the mean age of 56 ± 11.9 years. Complications were not significantly associated with gender, age, mortality or cancer stage. 24 (88.9%) had no post-operative complications, 2 presented with early complications (<14 days post-surgery) and 1 with late complications (>14 days post-surgery). No significant changes were found in activities, sleep or mood. On average, patients reported low pain scores (3.78 ± 1.22), and patient satisfaction was high after opting for OMJG (8.44 ± 0.89).
Conclusion: OMJG was found an effective procedure for the insertion of a feeding tube when endoscopic procedures are not feasible, with minimal complications and post-operative pain. It provides more cumulative benefits than other available methods.
El armonioso imaginario andino de Edgardo Rivera Martínez
Authors: Márquez Ismael P. 
Published: October 2020

La obra de Edgardo Rivera Martínez se imbrica con la del Inca Garcilaso de la Vega en un ejercicio intertextual que va más allá de un simple caso de influencia. En realidad, existe una estrecha correlación entre la de ambos. La crítica literaria coincide en señalar que la escritura de Rivera Martínez se da en la confluencia de dos vertientes: la occidental y la andina en un proceso de mestizaje insólito por su optimismo. Pero al igual que el Inca, en su obra también aflora la armonía de las formas e ideas del clasicismo, la idealización de la naturaleza, y la exaltación del humanismo propias del Renacimiento. Es la lírica exaltación de la armonía inherente del ámbito andino la actitud que informa el imaginario de nuestro autor, actitud que dará cabida a otras y diversas manifestaciones culturales.
Upaya Mencegah Hazard Psikososial
Authors: Silaen Angelica Christine 
Published: October 2020

Upaya pencegahan dan pengendalian bahaya kerja yang dapat menyebabkan terjadinya kecelakaan dan penyakit akibat kerja dapat dilakukan dengan penerapan keselamatan dan kesehatan kerja di tempat kerja. Salah satu hazard atau bahaya yang dapat terjadi dalam lingkungan pekerjaan adalah psikososial para pekerjanya. Psikososial adalah hubungan antara kondisi sosial seseorang atau pekerja dengan kesehatan mental/emosionalnya. Hazard psikososial adalah suatu bentuk bahaya yang dapat mengancam kesehatan mental para pekerja dan risiko penurunan produktifitas pekerja.
A Portrait of English Secondary Teachers in Indonesia in Exploiting Questions Referring to Bloom’s Taxonomy
Authors: Dahnilsyah Dahnilsyah 
Published: October 2020

Abstract This study sheds light on the skill of three secondary school English teachers in Indonesia in making use of questions referring to the Bloom’s Taxonomy to keep students engaged in the course of the lesson. It adopts qualitative content analysis where the stages of decontextualization, recontextualization, categorization, and compilation were conducted. Three YouTube videos which provide the teaching performance of these three teachers had been the data collected in this study. From the findings, it discovers that these three English teachers still preferred applying the lower-order thinking questions to higher-order thinking questions which had been the type of teachers in Asia, including Indonesia. Consequently, students did not get ample chance to develop their critical thinking skills. This study therefore highly recommends that teachers need to get much exposure to the higher-order thinking questions as it is one of the demanding skills needed in the 21 first century.
PENGARUH THINK PAIR SHARE DISERTAI STANDING BANNER TERHADAP HASIL BELAJAR SISWA SMAN 16 PEKANBARU
Authors: Sembiring Al Khudri , Deni Deni 
Published: October 2020

Penelitian ini bertujuan untuk mengetahui pengaruh model pembelajaran Think Pair Share disertai Standing Banner terhadap hasil belajar siswa pada materi sistem pencernaan manusia kelas XI IPA 2 SMA Negeri 16 Pekanbaru tahun pelajaran 2018/2019. Penelitian ini dilaksanakan pada semester ganjil pada bulan November 2018. Desain penelitian yang digunakan adalah kuasi eksperimen metode the matching only pretest-posttest control group designs, sampel penelitian adalah kelas XI IPA 1 dan kelas XI IPA 2 dengan jumlah masing-masing kelas 30 siswa, yang diambil dengan teknik total sampling. Penggumpulan data dilakukan melaui pretest, posttest, lembar observasi guru dan lembar observasi siswa. Teknik analisis data yang digunakan adalah independent 2 samples t-test. Rerata N-gain kelas kontrol 0.54 kategori sedang sedangkan kelas eksperimen 0.68 kategori sedang. Hasil uji-t N-Gain terdapat perbedaan signifikan antara kelas kontrol dan kelas eksperimen. Berdasarkan hasil penelitian dapat disimpulkan bahwa terdapat pengaruh model pembelajaran Think Pair Share disertai Standing Banner terhadap hasil belajar siswa pada materi sistem pencernaan manusia kelas XI IPA 2 SMA Negeri 16 Pekanbaru tahun pelajaran 2018/2019.
PENGARUH MODEL PEMBELAJARAN GALLERY WALK BERBANTUAN TEKA-TEKI SILANG TERHADAP HASIL BELAJAR SISWA
Authors: Awal Raudhah , Sari Devita 
Published: October 2020

Konsep sistem pernapasan manusia merupakan salah satu konsep yang memiliki tingkat kesulitan yang cukup tinggi karena memiliki banyak penjelasan yang bersifat abstrak, sehingga dapat memicu terjadinya hasil belajar. Penelitian ini bertujuan untuk mengetahui pengaruh model pembelajar gallery walk berbantuan teka-teki silang terhadap hasil belajar siswa pada materi sistem pernapasan manusia kelas VIII MTs Negeri 2 Pekanbaru T.P 2018/1019. Penelitian ini dilaksanakan pada semester Genap bulan Januari. Desain penelitian ini yang digunakan adalah Quasi Eksperimen dengan The Metching Only Pretest-Posttest kontrol Group Design. Penelitian ini menggunakan dua kelas sampel. Sampelyang pertama adala kelas eksperimen VIII 3 dengan jumlah 27 siswa dan sampel yang kedua menggunakan kelas kontrol VIII 2 dengan jumlah 27 siswa. Sampel ditentukan dengan menggunakan teknik Purposive Sampling. Pengumpulan data dilakukan melalui Pretest, Posttest dan lembar observasi merupakan aktivitas guru dan siswa. Teknik analisis data menggunakan uji-t Indentpendent Samples Test. Berdasarkan hasil penelitian diketahui Rerata N-Gain pada kelas eksprimen adalah 0,71 kategori tinggi dan pada kelas kontrol adalah 0.37 kategori sedang. Berdasarkan analisis uji-t menunjukkan perbedaan yang signifikan anatar kelas eksperimen dan kelas kontrol. Dari hasil penelitian dapat disimpulkan bahwa terdapat pengaruh model pembelajaran gallery walk berbantuan teka-teki silang terhadap hasil belajar siswa pada materi sistem pernapasan manusia kelas VIII MTs Negeri 2 Pekanbaru T.P 2018/2019
Cardiac presentations mimicking acute coronary syndrome of a giant pheochromocytoma case
Authors: AKHANLI Pınar , UCAN Bekir , HASDEMİR Ahmet , HEPŞEN Sema , ÖZTÜRK ÜNSAL İlknur , FELEKOĞLU Mehmet Ali , ÇAKAL Erman 
Published: October 2020

Pheochromocytomas are benign tumors which originate from adrenal chromaffin cells. The classical triad of the pheochromocytoma includes headache, palpitations, and diaphoresis. Cardiac complications as arrhythmias, cardiomyopathy, ST elevated myocardial infarction, non-ST elevated myocardial infarction and myocardial infarction with non-obstructive coronary arteries (MINOCA) may be seen.
Herein, we present a case of a 28-year-old male patient who admitted to an emergency department with chest pain and tachycardia one year ago. Coronary angiography was performed to diagnose a possible acute coronary syndrome. Urgent cardiac catheterization did not demonstrate an obstructive cardiac artery. Any intervention for revascularization was not needed. Nevertheless, the symptoms of the patient continued in the past year after this admission and he was admitted to the hospital a few times more with similar cardiac symptoms mimicking acute coronary syndrome. When the patient referred to our department, we determined that his plasma and urinary catecholamine levels were elevated. Magnetic resonance imaging (MRI) demonstrated a 167x70 mm sized heterogeneous mass including cystic components in the right adrenal gland, which pushes the right kidney towards inferior. After the pre-medication, a 170 mm in size 990-g weighted mass was successfully removed with open surgery. Histopathological findings confirmed the pheochromocytoma diagnosis. However, we presented a case of an exceptional giant pheochromocytoma mimicking acute coronary syndrome.
Evaluation of the relationship between diastolic dysfunction and interatrial block
Authors: YALIM Zafer , ERSOY İbrahim 
Published: October 2020

Background: The interatrial block is a condition that occurs due to the delay of conduction in the right atrium to the left atrium, and can be partial (pIAB) or advanced (aIAB), and also is associated with atrial arrhythmia. Diastolic dysfunction (DD) is an important condition frequently encountered in most healthy middle-aged individuals and plays a role in the development of many cardiovascular diseases. It is noteworthy that frequent paroxysmal AF (PAF) attacks are observed especially in individuals with DD in clinical life, and its relationship with the presence of interatrial block is still unclear in these patients. Our aim in this study was to evaluate the relationship between the presence of DD and the development of interatrial block and PAF.
Methods: A total of 146; 92 patients with DD and 54 control (proven by echocardiography) were enrolled in this cross-sectional and prospectively study. The properties of the P wave were evaluated in leads D2-3 aVF and V1. Echocardiography and electrocardiography results of the two groups were compared.
Results: The mean age of the DD and the control group was (62.3 ± 0.74 and 61.2 ± 0.61 years, p=0.481) respectively. The frequency of IAB was significantly higher in the DD than the control group (%37-%46.7-%16.3, %77.8-%18.5-%3.7, none-pİAB-aİAB, respectively). In the correlation analysis, there was a strong correlation between the presence of DD and IAB (r: 0.439, p
A rare congenital anomaly of mediastinal vascular structures; isolated retroaortic left brachiocephalic vein
Authors: GÜRÜN Enes , AKDULUM İsmail 
Published: October 2020

Purpose: Retroaortic left brachiocephalic vein (RALBV) is a rare condition and frequently accompanies congenital heart diseases. Isolated retroaortic left brachiocephalic vein anomaly is extremely rare. To emphasize the importance of the embryology and anatomy of the isolated RALBV anomaly and revealing the need to keep in mind before the intervention.
Case Report: A 55-year-old man who underwent lobectomy due to lung adenocarcinoma. The patient had no known cardiac anomaly or heart disease. There was an oval-shaped structure reported as enlarged lymph node in the preaortic area on previous non-contrast CT. In the contrast-enhanced thorax computed tomography performed on the patient, it was seen that the structure previously described as lymph node was the left brachiocephalic vein, which showed a retroaortic course and was opacified with contrast material.
Conclusion: In conclusion, isolated RALBV is an extremely rare anomaly. This anomaly should be known and reported due to increasing cross-sectional examinations. One should be alert before radiological interventional procedures and thoracic surgeries. Also, it is necessary to be careful because misinterpretations can influence the treatment and follow-up of malignant diseases.
Comparing the affective temperament profiles in male patients with chronic obstructive pulmonary disease according to groups
Authors: ARPAĞ Hüseyin , ATİLLA Nurhan , FINDIKLI Ebru 
Published: October 2020

Introduction: The aim of this study was to determine the temperament profiles of male patients with chronic obstructive pulmonary disease (COPD) between the groups.
Material and Method: A total of 80 male patients without any additional disease were included in the study. Patients were staged as group A, group B, group C and group D according to 2019 Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria. The Turkish version of the Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto and the Hospital Anxiety Depression (HAD) Questionnaire scales (HADS) were used to determine the dominant affective temperaments.
Results: Totally 80 COPD patients including 20 from each group were recruited into our study. The majority of COPD patients did not have any dominant temperament (n:28). Depressive temperament was found in 18 patients (22.5%) as the most common dominant affective temperament, followed by anxious temperament in 10 patients (12.5%). When groups were compared anxious temperament was significantly dominant in group A, while there wasn’t any significant difference between groups for depressive temperament. Cyclothymic and irritabl temperaments were found to be more common in group A (Table 1). According to HADS depression was seen significantly higher in group B (Table 2).
Conclusion: Our study demonstrated that there is a negative correlation between COPD severity and incidence of affective temperaments. To cope with the disease better, COPD patients in early stages are in need of psychological support at least patients in advanced stage.
Folic acid supplementation in pregnancy and prevention of fetal neural tube defects
Authors: Wierzejska R , Wojda B 
Published: October 2020

<p><strong>ABSTRACT</strong><br /><strong>INTRODUCTION.</strong> Folic acid deficiency in very early pregnancy significantly increases the risk for neural tube defects in the developing fetus. Due to very high demands for folic acid in pregnancy, adequate supply is not possible without dietary supplements.<br /><strong>AIM OF THE STUDY.</strong> Evaluation of the frequency and adequacy of folic acid supplementation before and during pregnancy among women from the Warsaw region of Poland.<br /><strong>MATERIAL AND METHODS.</strong> The study was conducted among 100 pregnant women using direct interviewing. Chi-square test was used to analyze the relationship between selected parameters and folic acid supplementation.<br /><strong>RESULTS.</strong> Folic acid before pregnancy was supplemented by 42% of the respondents. In pregnancy, the number almost doubled (83%), but most women did not start the supplementation until 5-6 weeks of gestation. Before pregnancy, almost all subjects used single folic acid preparations, whereas during pregnancy they used vitaminmineral preparations for expectant women.<br /><strong>CONCLUSIONS.</strong> The realization of the Primary Prevention Program of Neural Tube Defects leaves much to be desired. Over half of the women do not supplement folic acid before conception, and the supply in pregnancy is initiated too late to meet the assumptions of the prevention program.</p>
<p><strong>STRESZCZENIE</strong><br /><strong>WSTĘP.</strong> Niedobory kwasu foliowego w bardzo wczesnej ciąży zwiększają ryzyko wad cewy nerwowej płodu. Zapotrzebowanie kobiet ciężarnych na ten składnik jest na tyle duże, że bez suplementacji diety nie jest możliwa prawidłowa podaż.<br /><strong>CEL BADANIA.</strong> Ocena częstości i prawidłowości stosowania preparatów kwasu foliowego przed zajściem w ciążę oraz w okresie ciąży, przez kobiety z regionu warszawskiego.<br /><strong>MATERIAŁ I METODY.</strong> Badanie przeprowadzono wśród 100 kobiet ciężarnych, metodą bezpośredniego wywiadu z pacjentką. Związek wybranych cech ze stosowaniem kwasu foliowego analizowano przy pomocy testu chi2.<br /><strong>WYNIKI.</strong> Kwas foliowy przed zajściem w ciążę przyjmowało 42% badanych pacjentek. W okresie ciąży odsetek ten był dwukrotnie wyższy (83%), ale większość kobiet rozpoczęła suplementację dopiero od 5-6 tygodnia ciąży.<br />Przed zajściem w ciążę niemal wszystkie pacjentki zażywały pojedyncze preparaty kwasu foliowego, natomiast w okresie ciąży składnik ten przyjmowany był w postaci preparatów witaminowo-mineralnych, przeznaczonych dla kobiet ciężarnych.<br /><strong>WNIOSKI.</strong> Realizacja Programu Profilaktyki Pierwotnej Wad Cewy Nerwowej nie jest zadowalająca. Ponad połowa kobiet nie zażywa kwasu foliowego w okresie przedkoncepcyjnym, a po zajściu w ciążę podaż preparatu jest na tyle późna, że nie spełnia założeń profilaktyki.</p>
ASSESSMENT OF RESISTANCE AND ADVERSE EFFECTS OF REPEATED ANTIBIOTIC PRESCRIPTION AND ITS CORRELATION WITH HOSPITAL ADMISSION
Authors: Hassan Khaled M. 
Published: October 2020

Background: Infections usually are linked to multi-resistant a germ which is considered a global health problem, repeated antibiotic prescription practices give the chance to assess and establish programs for encouragement of ideal use of antibiotics that help in improvement of quality of care. The major disease which need antibiotic on admission of hospital and need health care are pneumonia, urinary tract infection, and skin and soft tissue infection which need type of antibiotic have resistance so these diseases should be the key pathologies for the programs of antimicrobial management. Material and methods: it is observational, descriptive, cross-sectional study for duration of 3 months with patients admitted to the Pediatric Specialty Hospital with diagnoses of diseases of pneumonia, urinary tract infections and skin infections
Results and conclusions: 127 subjects were eligible. 16.5% of these lacked hospitalization criteria, the choice of empirical antibiotic was in accordance with that recommended by the guidelines in 78.7% of the patients, subjects received prescribed antibiotics at the appropriate doses and intervals. 66.1% were compliant criteria for sequential therapy, it was performed in 7.9% of the cases. The infectious disease recommendations they were followed by the treating physician in 68.7% of the cases. The study points out the importance of establishing programs and strategies within primary care and hospitalization criteria, as well as establishing antibiotic management policies to minimize over side effects and resistance of prescribed antibiotics
Keywords: Antibiotic resistance, repeated prescription of antibiotics, hospital admission, primary care.