bluuebunny/crossref_metadata_2025_split huggingface dataset:
A study of diffusion tensor imaging of median nerve in diabetic peripheral neuropathy
Authors: Edward Ramy , Abdelalim Ahmed M. , Ashour Amal S. , Afifi Lamia , Al-Athwari Aussan 
Published: April 2020

Abstract
Objective
To evaluate the role of diffusion tensor imaging (DTI) in the evaluation of diabetic peripheral neuropathy (DPN) compared to clinical scores and nerve conduction studies (NCS).

Patients and methods
We included 30 patients with diabetes mellitus complaining of neuropathy symptoms and 15 healthy volunteers. All subjects underwent evaluation using 1.5-T DTI of median nerves and NCS. Patients underwent clinical evaluation using the Neuropathy Deficit Score (NDS), Neuropathy Impairment Score in the Lower Limbs (NIS-LL), and Diabetic Neuropathy Examination (DNE) score.

Results
We found statistically significant differences between healthy volunteers and patients in fractional anisotropy (FA) of the distal segment (P = 0.016) and whole median nerve (P = 0.024), apparent diffusion coefficient (ADC) of proximal (P = 0.027) and distal (P < 0.001) segments, and whole median nerve (P = 0.019). Distal segment FA was significantly correlated with NDS (P = 0.003), DNEs (P = 0.003), sensory amplitude (P = 0.048), and motor CV (P = 0.020). Distal segment ADC was significantly correlated with NDS (P = 0.007), NIS-LL (P = 0.003), DNEs (P = 0.01), and sensory amplitude (P = 0.032). The best cut-off value of distal segment for FA was 0.45 (87% sensitivity, 80% specificity) and of distal segment ADC was 1.217 (80% sensitivity and specificity).

Conclusions
Our results suggest that 1.5-T DTI examination of the median nerve can provide useful non-invasive information in patients with DPN.

Trial registration
ClinicalTrials.gov, NCT03934970. Registered on May 1, 2019
Physical Inactivity among Ghanaians in Ghana and Ghanaian Migrants in Europe
Authors: AFRIFA-ANANE ERNEST , DE-GRAFT AIKINS AMA , A. C. MEEKS KARLIJN , BEUNE ERIK , ADDO JULIET , SMEETH LIAM , BAHENDEKA SILVER , STRONKS KARIEN , AGYEMANG CHARLES 
Published: April 2020

ABSTRACT

Purpose
There is a paucity of data on physical activity (PA) among migrants from sub-Saharan Africa, yet physical inactivity is a key risk factor for noncommunicable diseases. We examined the levels of physical inactivity and its determinants among Ghanaians in different geographical locations.

Methods
We used the Research on Obesity and Diabetes among African Migrants data of Ghanaian adults (n = 4760) age 25–70 yr in rural and urban Ghana and three European cities (Amsterdam, London, and Berlin). Using total physical activity metabolic equivalent of task, physical inactivity was defined as total physical activity metabolic equivalent of task minutes per week less than 600. Logistic regression was used to examine the differences in the levels and the determinants of physical inactivity across sites.

Results
Physical inactivity was higher among Ghanaian migrants (14.6% in Amsterdam, 24.1% in Berlin, and 36.6% in London) and urban Ghanaians (29.0%) compared with rural Ghanaians (11.2%). After adjustment for covariates (age, sex, education, health status, smoking status, body mass index, and social network) using rural Ghanaians as the comparator group, the odds ratios for physical inactivity in men ranged from 3.67 (95% confidence interval, 2.19–6.16) in urban Ghanaians to 10.37 (5.96–18.02) in London Ghanaians, and from 3.27 (2.46–4.35) in urban Ghanaians to 4.41 (3.12–6.22) in London Ghanaians in women. Migrants in London and Berlin had higher odds of physical inactivity compared with Amsterdam. Increased age, university education, and overweight/obesity were positively associated with physical inactivity, whereas social support was inversely associated with physical inactivity with variability across sites.

Conclusions
Findings indicate high prevalence of physical inactivity among Ghanaians in all sites, particularly among Ghanaians in Europe. Hence, there is the need to take local context into account to improve PA.
La imagen del mundo hispánico en Polonia: hispanismo, relaciones hispanopolacas y su reflejo en la enseñanza del español a través de los manuales de ELE
Authors: González Sepúlveda Paola 
Published: April 2020

The Image of the Hispanic World in Poland: Hispanicism, Spanish-Polish Relations and Their Reflection in the Teaching of Spanish through the ELE Manuals
There is evidence of medieval Polish pilgrimages to (place) and the first Polish writings about Latin America date back to the 16th century. Since then the Hispanic World has raised the interest of the Polish population and its perception has been reflected not only in literary works but also in Spanish teaching books. This paper aims to approach the concept of country image, and it will reflect on the first trips of Polish citizens to Spain and Latin America and the first writings, treatises and bilateral relationships between these countries. It will also reflect on the beginnings of the teaching of Spanish as a Second Language in Poland and the use of the first teaching methods in the country. An analysis of the image of the Hispanic world in the manual Język hiszpański dla lektoratów (1971) by Oskar Perlin and the interpretation of some examples from the manual will follow.
Zmiany klimatu jako zagrożenie dla bezpieczeństwa narodowego w świetle dokumentów administracji amerykańskiej XXI wieku
Authors: Hacaga Maciej 
Published: April 2020

Climate Change as National Security Threat in the 21st Century as Seen from the US Strategic Documents Perspective
The issue of climate change has started to be implemented in official strategic documents of the United States (US) in the first decade of the 21st century. This paper describes briefly the hierarchy of the US national security documents and climate change-related definitions. In the main part it makes an analysis of how climate change-related issues were introduced into the US national security strategic documents by the three 21st century American presidents. The paper comes to a conclusion, that climate change is treated as a national security threat and therefore reflected in a number of the US strategic documents.
Spór wokół programu gospodarczego w rządzie Tadeusza Mazowieckiego
Authors: Dudek Antoni 
Published: April 2020

The Dispute over the Economic Program in the Government of Tadeusz Mazowiecki
The article analyzes the discussions and disputes at the end of 1989 in the government of Tadeusz Mazowiecki over the final shape of the stabilisation programme of the economy. The function of foreign advisers as well as the process of negotiations with the International Monetary Fund have been analyzed. The course of the conflict between Prime Minister Tadeusz Mazowiecki and the Minister of Finance Leszek Balcerowicz was also reconstructed, as well as the role played by the Minister of Labor Jacek Kuroń in settling this dispute.
Perception of risk and prevention of gestational diabetes mellitus among pregnant women in Ibadan, Nigeria
Authors: Akinwaare Margaret Omowaleola , Ejimofor Nelly Oluchi , Ojewale Lucia Yetunde 
Published: April 2020

Background/AimsAn increasing prevalence rate of gestational diabetes mellitus has been recorded in developing countries including Nigeria, yet it is largely a preventable condition. There is a lack of literature on the perception of risk and prevention of gestational diabetes among pregnant women in Ibadan, Nigeria. The aim of this study was to determine perception of risk and knowledge of preventative measures among pregnant women in Ibadan, Nigeria. This will inform health professionals on possible improvements to the education available on diabetes and preventive measures.MethodsA descriptive survey was used to study 182 purposively selected pregnant women. A self-administered questionnaire was used to collect data on participants' knowledge of diabetes and their perception of the risk of developing diabetes. The chi-squared test was used to test the association between knowledge of diabetes and perception of risk.ResultsThe majority (56%) of participants had poor knowledge of gestational diabetes. The majority (55.5%) of respondents thought themselves to be at low risk of developing gestational diabetes. The majority (59.9%) of pregnant women also had poor knowledge of preventive measures against gestational diabetes. There was a significant association between knowledge of gestational diabetes and perception of increased risk (P<0.000). There was a significant association between education level and knowledge of preventive measures for gestational diabetes (P=0.030).ConclusionsThere is poor knowledge of diabetes and preventive measures against it among pregnant women in Ibadan, Nigeria. Health professionals should improve women's knowledge of gestational diabetes, predisposing factors, risks and preventive measures against gestational diabetes by including education on this subject in the antenatal education provided.
Honouring the Strength of Indian Women: Plays, Stories, Poetry, Michelle Coupal, Deanna Reder, Joanne Arnott and Emalene A. Manuel (eds), Vera Manuel Kulilu Paŧki (2019)
Authors: Lee Soon Rachel K. M. 
Published: April 2020

Review of: Honouring the Strength of Indian Women: Plays, Stories, Poetry, Michelle Coupal, Deanna Reder, Joanne Arnott and Emalene A. Manuel (eds), Vera Manuel Kulilu Paŧki (2019)
Winnipeg: University of Manitoba Press, 391 pp.,
ISBN 978-0-88755-836-8, p/bk, USD 24.95
ISBN 978-0-88755-574-9, epub, USD 25.00
Impaired Motor Recycling during Action Selection in Parkinson’s Disease
Authors: Fritsche Matthias , van der Wel Robrecht P. R. D. , Smit Robin , Bloem Bastiaan R. , Toni Ivan , Helmich Rick C. 
Published: April 2020

AbstractBehavioral studies have shown that the human motor system recycles motor parameters of previous actions, such as movement amplitude, when programming new actions. Shifting motor plans toward a new action forms a particularly severe problem for patients with Parkinson’s disease (PD), a disorder that, in its early stage, is dominated by basal ganglia dysfunction. Here, we test whether this action selection deficit in Parkinson’s patients arises from an impaired ability to recycle motor parameters shared across subsequent actions. Parkinson’s patients off dopaminergic medication (n = 16) and matched healthy controls (n = 16) performed a task that involved moving a handheld dowel over an obstacle in the context of a sequence of aiming movements. Consistent with previous research, healthy participants continued making unnecessarily large hand movements after clearing the obstacle (defined as “hand path priming effect”), even after switching movements between hands. In contrast, Parkinson’s patients showed a reduced hand path priming effect, i.e., they performed biomechanically more efficient movements than controls, but only when switching movements between hands. This effect correlated with disease severity, such that patients with more severe motor symptoms had a smaller hand path priming effect. We propose that the basal ganglia mediate recycling of movement parameters across subsequent actions.
PENGEMBANGAN MEDIA POP-UP BOOK BERMUATAN NILAI BUDAYA PESISIR PADA PEMBELAJARAN TEKS FABEL UNTUK PESERTA DIDIK SMP
Authors: Lestari Anggar Tri , Subyantoro Subyantoro , Syaifudin Ahmad 
Published: April 2020

Abstrak
Teks fabel merupakan salah satu jenis teks yang banyak mengandung pesan moral bagi pembaca. Hampir setiap cerita fabel memiliki nilai-nilai yang dapat diterapkan dalam kehidupan sehari-hari. Permasalahan dalam penelitian ini adalah pengembangan media pop-up book pada pembelajaran teks fabel untuk peserta didik SMP. Tujuan dari penelitian ini adalah menghasilkan sebuah produk prototipe media pop-up book bermuatan nilai budaya pesisir pada pembelajaran teks fabel. Penelitian ini dilakukan dengan menggunakan desain penelitian research and development (R&D). Prototipe media berdasarkan struktur isi meliputi bagian awal media pop-up book, lembar kegiatan peserta didik, bagian berbentuk tiga dimensi yang terdiri atas pengantar, materi teks fabel, teks fabel, serta berdasarkan struktur penyajian meliputi bentuk, kebahasaan, penulisan, tampilan/visual, dan grafika. Hasil penilaian ahli memeroleh skor 71,23 dengan kategori baik.
Kata Kunci: fabel, pengembangan media pop-up book, nilai budaya pesisir.
Fable text is one type of text that contains many moral messages for readers. Almost every fable story has values ​​that can be applied in everyday life. The problem in this study is the development of pop-up book media in fable text learning for middle school students. The purpose of this study is to produce a pop-up book media prototype product containing coastal cultural values ​​in fable text learning. The design of the study uses Research and Development (R&D). Media prototypes based on content structure include the initial part of the pop-up book media, student activity sheets, three-dimensional sections consisting of introductory material, fable text material, fable text, and based on the presentation structure including form, language, writing, display/visual, and graphics. The results of the expert assessment obtained a score of 71.23 in the good category.
Keefektifan Model Quantum Teaching dengan Media Video Animasi dalam Ketrampilan Menulis Teks Cerita Pendek pada Siswa Kelas XI SMA Negeri 5 Purwokerto
Authors: Mukaromah Azizah , Doyin Mukh 
Published: April 2020

Tujuan penelitian ini adalah 1) mendeskripsikan keefektifan model quantum teaching dengan media video animasi pada kelompok eksperimen dalam keterampilan menulis cerpen siswa kelas XI, 2) mendeskripsikan keefektifan model konvensional dengan media video animasi pada kelompok kontrol dalam keterampilan menulis cerpen siswa kelas XI. Desain penelitian yang digunakan dalam penelitian ini yaitu desain Nonequivalent Control Group dengan metode eksperimen semu. Sampel penelitian ini yaitu siswa kelas XI MIPA 4 dan siswa kelas XI MIPA 5 di SMA Negeri 5 Purwokerto. Data yang digunakan dalam peneliian ini yaitu pretest dan posttest masing-masing kelas. Hasil menunjukkan bahwa 1) model quantum teaching dengan media video animasi efektif digunakan dalam keterampilan menulis cerpen dengan sig. 0,000 <0,05, 2) model konvensional dengan media video animasi efektif digunakan dalam keterampilan menulis cerpen dengan sig. 0,097 >0,05. Media video animasi lebih efektif digunakan apabila bersamaan dengan model quantum teaching karena menunjukkan signifikansi 0,000 < 0,05 yang berarti Ha diterima, Ho ditolak terdapat perbedaan.
Kata kunci: keterampilan menulis, teks cerpen, model quantum teaching, media video animasi.

ABSTRACT
This study is aimed to 1) describe the effectiveness of quantum teaching model by using animation video as media to experiment group in the writing skill of creating short story for students grade XI, 2) to describe the effectiveness of conventional model by using animation video to control group in the writing skill of creating short story for students grade XI. The present study was categorized as quasi-experiment with Nonequivalent Control Group. The sample of the study was the students of grade XI MIPA 4 and students of grade XI MIPA 5 in SMA Negeri 5 Purwokerto. The data employed in the study was the score of pre-test and post-test of each class. The result showed that 1) Quantum teaching model by using animation video was effective to be used on writing short story by sig. 0.000 <0.05, 2) Conventional teaching model by using animation video was effective on writing short story by sig. 0.097 >0.05, 2. Animation video as media is more effective when it is used along with quantum teaching model for it shows the significance of 0.000 < 0.05 which means that Ha is accepted and Ho is rejected.
Keywords: writing skill, short story text, quantum teaching, animation video.
PENGEMBANGAN BUKU KOMIK KEBUDAYAAN SEBAGAI MEDIA MENGIDENTIFIKASI NILAI DAN ISI CERITA HIKAYAT
Authors: Aini Irmayanti Nur , Nuryatin Agus 
Published: April 2020

Media merupakan perantara untuk membantu proses pembelajaran di kelas. Media pembelajaran berfungsi sebagai alat menyampaikan materi, mengatasi keterbatasan indera, ruang dan waktu, serta menambah motivasi belajar siswa. Buku komik dapat digunakan sebagai alternatif media pembelajaran di kelas. Hal ini disebabkan ilustrasi dalam komik dapat meningkatkan pemahaman mengenai peristiwa yang pernah terjadi dan belum tentu dapat dipahami jika dibaca menggunakan buku teks biasa. Buku komik yang dikembangkan tidak hanya berfokus pada materi saja, tapi terdapat muatan nilai kebudayaan dalam masing-masing cerita. Sehingga diharapkan tujuan pendidikan yang didapatkan tidak hanya berupa pengetahuan saja tetapi pendidikan moral. Penelitian ini menggunakan penelitian pengembangan. Penelitian ini menggunakan langkah-langkah Borg and Gall yang direduksi menjadi lima tahapan, yaitu (1) potensi masalah, (2) pengumpulan informasi, (3) desain produk, (4) validasi desain, (5) revisi desain. Tahapan tersebut akhirnya dapat menghasilkan buku komik sebagai media mengidentifikasi nilai-nilai dan isi cerita hikayat untuk kelas X SMA.
Kata Kunci: buku komik, cerita hikayat, nilai kebudayaan
Abstrack: Media is used to help the learning process in the classroom. The learning media function as a means of conveying material, overcoming the limitations of sense, space and time, and increasing students motivation. Comic books can be used as an alternative media for learning in the classroom. Because illustration in comics can increase understanding of events that have occured and may not be understood if it was read using ordinary textbooks. The comics books developed are not only focused on the material, but loads of cultural values in each story. So it is hoped that the educational goals got by students will not only knowledge but moral education. This research uses research and development method. This study uses Borg and Gall steps which are reduced to five stages, here are (1) potential problems, (2) collection of information, (3) product design, (4) design validation, (5) design revision. They are finally able to produce comic books as media to identify the values and contents of storybooks for 10 grade.
Keyword: comic books, storybooks, cultural value
Viabilidad de electromovilidad náutica en el distrito de Cartagena-Colombia
Authors: Ascencio Medina Irma Isabel , Católico Castillo Sandra Marcela , Pasqualino Jorgelina Cecilia , Díaz Mendoza Claudia 
Published: April 2020

Objetivo: Evaluar la viabilidad de la aplicación de la electromovilidad náutica en diferentes escenarios de la ciudad, determinando cargas ambientales y proponiendo soluciones energéticas. Metodología: Se comparó el uso de motores eléctricos de 8 HP con 2 baterías y el motor de gasolina convencional de 2 tiempos y 15 HP, en su uso en transporte de pasajeros entre Cartagena y la isla de Tierra bomba, mediante la metodología de Análisis de Ciclo de Vida, utilizando 10 indicadores ambientales. Resultados: Se presentó la comparación en términos carga ambiental por pasajero, por kilómetro y por trayecto para el transporte de personas en la zona de estudio. Además se determinó la viabilidad de la utilización de motores eléctricos en los trayectos estudiados, teniendo en cuenta también la implementación de una estación de carga fotovoltaica y un sistema híbrido para la obtención de energía eléctrica. Conclusiones: Se aportó al sector químico y a la comunidad científica una estructura de evaluación de la eficiencia financiera y de ventas apoyada en Seis Sigma.
Kajian Penerapan Rekayasa Sosial Dengan Pendekatan Berbasis Masyarakat Terhadap Rencana Pembangunan RDNK
Authors: - Mudjiono - 
Published: April 2020

Reaktor Daya Non Komersial (RDNK) yang direncanakan dibangun di Kawasan Puspiptek Serpong, akan berdampak bagi masyarakat sekitar kawasan. Untuk meminimalkan masalah sosial perlu dilakukan penerapan rekayasa sosial dengan pendekatan berbasis masyarakat. Rekayasa sosial dilakukan dengan pemberian informasi dan peningkatan pemahaman teknologi nuklir, rencana pembangunan RDNK serta pemanfaatannya kepada masyarakat. Tujuan penelitian adalah membentuk kelompok masyarakat melalui pendekatan yang sesuai untuk meningkatkan penerimaan masyarakat dengan pelibatan aktif dalam kegiatan diseminasi. Metodologi yang digunakan melalui tinjauan pustaka, pelibatan aktif dari masyarakat melalui wawancara dan diskusi kelompok stakeholder di beberapa kelurahan sekitar Kawasan Puspiptek Serpong, selanjutnya dilakukan analisis. Hasil penelitian menunjukkan bahwa pendekatan komunikasi interpersonal akan meningkatkan kesadaran masyarakat terhadap pentingnya pemanfaatan iptek nuklir. Terdapat perubahan positif dari masyarakat terhadap pemahaman iptek nuklir sebelum dan sesudah edukasi. Pemahaman ini dimengerti oleh masyarakat dengan usia bervariasi yaitu 30-70 tahun, sebagian besar berpendidikan SLTA ke atas dan memiliki pekerjaan di luar pemerintah. Dalam penelitian ini juga diperoleh kelompok masyarakat yang bersedia terlibat dalam kegiatan diseminasi yang tersebar di 8 kelurahan yaitu Setu, Muncul, Kademangan, Keranggan, Cibogo, Bakti Jaya, Pengasinan, Pabuaran.
Práticas de enfermeiras na assistência ao parto no Brasil: revisão de literatura
Authors: Bispo Laís da Silva , Novaes Fernanda Sampaio , Pérez Bárbara Angélica Gómez 
Published: April 2020

OBJETIVO: Descrever e discutir a produção científica acerca da prática de enfermeiras na assistência ao parto. MÉTODO: Foi realizada uma revisão de literatura integrativa utilizando publicações disponíveis. A busca dos artigos ocorreu nas bases de dados LILACS, BDENF, Portal de periódicos CAPES, Biblioteca Eletrônica Científica Online SCIELO no período de 2014 a 2019, sendo selecionados e analisados 14 estudos. Para pesquisa foi utilizado os descritores “saúde da mulher”, “parto humanizado”, “parto normal”, “enfermeiras obstétricas”, “humanização da assistência” com o operador booleano AND no final de cada descritor. Os critérios de inclusão utilizados foram artigos originais e de revisão, publicados na íntegra, na língua portuguesa em periódicos nacionais. RESULTADOS: Emergiram duas categorias de análise: Prática das enfermeiras acerca das boas práticas da assistência ao parto e nascimento e fatores que interferem no trabalho de parto das parturientes. CONSIDERAÇÕES FINAIS: Verificou-se uma adesão às boas práticas de atenção ao parto e nascimento, como o uso de métodos não farmacológicos no manejo da dor, presença do acompanhante, dentre outros. No entanto, também foi observado que as mulheres são colocadas em um lugar passivo e ficam expostas devido a uma estrutura inadequada e a falta de recursos materiais.
PENGARUH CAPITAL STRUCTURE DAN WORKING CAPITAL MANAGEMENT TERHADAP PROFITABILITAS
Authors: Dintha IZFS Ratu , Surachim Ahim 
Published: April 2020

This research was intended to know the impact of capital structure and working capital management on the profitability of PT. Indosat Tbk in the period of 2005-2014. This research applied descriptive and verification method concluded in time series design. The statistic analysis that was used in this study was doubled linear regression at 5% significance level. Based on the findings, it was provable that regression statistic model could applied in noticing the effect of capital structure and working capital structure on profitability through F-test. Moreover, T-test showed that capital structure negatively affected the profitability in significant manner. Lastly, working capital management was identified to be a factor that did not affect the profitability. Keyword : Capital Structure, Debt to Equity Ratio (DER), Working Capital Management, Working Capital Turnover (WCT), Profitability, Return on Equity (ROE).