bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Primary Care Provider’s Guide to Pain After Spinal Cord Injury: Screening and Management
Authors: Varghese Jithin , Anderson Kim D. , Widerström-Noga Eva , Mehan Upender 
Published: November 2020

Abstract
Individuals with spinal cord injury (SCI) often experience chronic pain as a secondary complication. It can significantly impair mental health, sleep, mood, and overall quality of life. It is important for providers within a primary care setting to recognize the different types of pain such as nociceptive and neuropathic. Various assessment tools are available to guide proper classification and subsequent management. Providers need to have a good knowledge base, structure, and patient focus when managing care. Nonpharmacological interventions are just as important and should be explored prior to or along with pharmacological interventions. Treatment modalities such as physical therapy, exercise, acupuncture, and cognitive behavioral therapy should be tailored to the individual to the greatest extent possible. Gabapentin, pregabalin, and amitriptyline have been studied extensively and are the first-line pharmacological agents for neuropathic pain. It is important to involve patients as equal stakeholders in any pain intervention with adequate lifelong follow-up. The aim of this article is to offer an overview of pain assessment, information, patient interaction, and treatment options available. Although chronic pain has remained difficult to treat successfully, primary care providers can play an integral role in delivering evidence-based and patient-centered care for managing chronic pain among individuals with SCI.
A Primary Care Provider’s Guide to Sexual Health for Individuals With Spinal Cord Injury
Authors: Hough Sigmund , Cordes Colleen Clemency , Goetz Lance L. , Kuemmel Angela , Lieberman Jesse A. , Mona Linda R. , Tepper Mitchell S. , Varghese Jithin G. 
Published: November 2020

Abstract
The collaboration with individuals regarding their sexual health is an important component of patient-centered health care. However, talking about sexual health in primary care settings is an area not fully addressed as a result of time limitations, medical task prioritization, awareness or knowledge deficit, and discomfort with the topic of sexuality. A critical shift in professional focus from disease and medical illness to the promotion of health and wellness is a prerequisite to address sexual health in the primary care setting. This article provides guidance for practitioners in primary care settings who are caring for persons with spinal cord injury. Clinicians should seize the opportunity during the encounter to reframe the experience of disability as a social construct status, moving away from the narrow view of medical condition and “find it, fix it” to a broader understanding that provides increased access to care for sexual health and sexual pleasure.
A Primary Care Provider’s Guide to Neurogenic Bowel Dysfunction in Spinal Cord Injury
Authors: Durney Philip , Stillman Michael , Montero Wilda , Goetz Lance 
Published: November 2020

Abstract
Spinal cord injury (SCI) affects the gastrointestinal (GI) tract in several ways, most notably by causing impairment of colonic motility and sphincter dysfunction. Altered GI function in the setting of neurological injury—also known as “neurogenic bowel dysfunction” (NBD) —strongly impacts the quality of life (QOL) of individuals living with SCI. Characterizing the severity of NBD, its impact on an individual’s QOL, and which interventions have been successful or ineffective is integral to the routine care of people living with SCI. Treatment of NBD is generally multimodal and includes attention to diet, pharmacologic and mechanical stimulation, and possibly surgery. This article discusses the pathophysiology of NBD and specific approaches to its management.
Learning about Sustainable Development Goals through English Language Teaching
Authors: Bekteshi Edita , Xhaferi Brikena 
Published: November 2020

The purpose of this paper is to introduce the concept of Sustainable Development (SD) and its goals to the students of the Faculty of Education, future teachers, in order to become skilled and knowledgeable and then introduce these Sustainable Development Goals (SDGs) to their students. As such, this study tries to link the concept of English Language Learning (ELL), English Language Teaching (ELT), and the SDGs as a type of all-inclusiveness within the “3 Ps”: Planet, People, and Profit. The instrument used for the purpose of this study was an online questionnaire sent to the students of the Faculty of Education in Kosovo. The total number of participants was 89. The students’ responses revealed that 60 percent of the future teachers are aware of the SD concept; however, the results indicate that not all “3 Ps” are hit upon by the future teachers. Based on the results, the most common areas of interest and societal needs of learning about SDGs are related to education, gender equality, good health and well-being, alleviation of poverty, and decent work and economics. These same goals are also hit upon in ELT classes. The study concludes that Kosovo’s future teachers are more concerned about issues related to social issues—“P-People”—followed by goals related to “P-Profit,” while goals related to “P-Planet,” the environment, are left behind. Future teachers’ knowledge about SDGs is vital, for there is a significant direct impact of learning about specific SDGs in higher education institutions, and the application of SDG topics in English language classes can infuse the SD concepts.
Formulasi dan Evaluasi Sifat Fisik Tablet Hisap Kombinasi Ekstrak Daun Bakau Hitam (Rhizophora Mucronata) dan Vitamin C sebagai Antioksidan
Authors: Marwati Ade Dwi , Yulianto Asep Nurrahman , Setiyabudi Lulu 
Published: November 2020

Daun bakau hitam Rhizophora mucronata merupakan salah satu tanaman bakau yang berpotensi sebagai sumber antioksidan alami. Vitamin C merupakan antioksidan kuat yang mengikat dan menghilangkan radikal bebas berbahaya dari tubuh. Penelitian ini bertujuan untuk mengetahui formulasi, evaluasi sediaan dan efektivitas antioksidan tablet hisap dari kombinasi ekstrak daun bakau hitam (Rhizophora mucronata) dan vitamin C dengan metode granulasi basah yang tepat. Formulasi tablet hisap dibuat dengan variasi konsentrasi PVP 3% (F1), 4% (F2), dan 5% (F3). Kombinasi ekstrak daun bakau hitam dan vitamin C dalam perbandingan 1:6. Evaluasi sediaan tablet hisap meliputi uji organoleptis, uji keseragaman bobot, uji kerapuhan yang dianalisis secara deskriptif dan uji waktu alir, sudut diam dan uji kekerasan tablet yang di analisis menggunakan one way ANOVA. Aktivitas antioksidan diuji menggunakan metode DPPH (1,1-Diphenyl-2-Picrylhidrazil). Hasil penelitian menunjukkan bahwa F3 adalah formula terbaik dengan hasil waktu alir granul 6,14 detik, sudut diam 27,310, indexs pemampatan 0,88% dan tingkat kekerasan tablet rata-rata 12,7 kg/cm2, kerapuhan 0,8 %, waktu hancur 13 menit 22 detik, waktu larut 9 menit 32 detik, dan nilai IC50 sebesar 125,27 μg/mL yang termasuk antioksidan sedang. Data one way ANOVA variasi pvp berpengaruh signifikan terhadap kekerasan tablet dan tidak berpengaruh terhadap waktu alir dan sudut diam granul.
Uji Efektivitas Sediaan Krim Kombinasi Ekstrak Daun Bakau Hitam (Rhizophora Mucronata) dan Jeruk Purut (Citrus Hystrix) terhadap Bakteri Staphylococcus Aureus
Authors: Kurnianingsih Dewi , Setiyabudi Lulu , Tajudin Tatang 
Published: November 2020

Senyawa alkaloid, flavonoid dan tanin yang terdapat dalam daun bakau (R. mucronata) dan minyak atsiri dari jeruk purut (C. hystrix) telah terbukti memiliki aktivitas sebagai antibakteri S. aureus. Penelitian ini merupakan pengembangan dari potensi aktivitas antibakteri S. aureus tersebut. Dimana ekstrak R. mucronata dan minyak atsiri C. hystrix dibuat menjadi sediaan krim tipe M/A. Formula krim dibuat dengan tiga variasi konsentrasi ekstrak yaitu 5%, 10%, dan 15% dengan konsentrasi minyak atsiri C. hystrix masing-masingsebesar 5%. Evaluasi sediaan krim dilakukan dengan stabilitas cycling test dan uji aktivitas antibakteri terhadap S. aureus. Data yang diperoleh dianalisis menggunakan One Way ANOVA dengan taraf kepercayaan 95%. Hasil penelitian menunjukkan bahwa formulasi sediaan krim kombinasi R. mucronata dan minyak atsiri C. hystrix memiliki karakteristik fisik yang baik, akan tetapi mengalami penurunan kestabilan setelah dilakukan uji stabilitas cycling test. Penurunan kestabilan ini tidak berpengaruh secara signifikan pada karakteristik fisik sediaan krim. Hasil uji zona hambat bakteri pada konsentrasi 5% memiliki efek antibakteri sedang, sedangkan pada konsentrasi 10% dan 15% memiliki efek antibakteri kuat. Hasil analisis statistik pada kosnsentrasi 10% dan 15% tidak terdapat perbedaan yang signifikan dalam menghambat bakteri S. aureus. Formulasi krim kombinasi R. mucronata dan minyak atsiri C. hystrix dengan konsentrasi ekstrak sebesar 10% adalah formula yang memiliki aktivitas antibakteri yang paling optimal.
Modelo logístico para determinar la velocidad máxima y tiempo de fermentación láctica en residuos sólidos de pescado
Authors: Terry Calderón Víctor M. , Candela Díaz José 
Published: November 2020

En el presente trabajo de investigación se plantea dentro de la transformación de los residuos sólidos provenientes de las mesas de fileteo de pescado, la vía fermentación láctica, utilizar el Modelo Logístico y de su primera derivada, para determinar la velocidad máxima (Vmax) de producción dentro del proceso y tiempo del proceso. Se aplicaron los parámetros tecnológicos de concentración de sustrato (S), inóculo (MO), temperatura (T) y pH. En este este primer estadio se aplicaron los siguientes parámetros: Concentración de sustrato: melaza 10%, residuos sólidos: 87,0%, el inoculo compuesto de bacterias lácticas (3,0 %), temperatura de trabajo: 30,0ºC, pH inicial 6,80, pH final 3,37 como promedio en 96 horas. Se obtuvo un rendimiento del 113 % y una velocidad máxima en un rango de 20 a 40 horas. El conocimiento de la velocidad máxima (Vmax) de generación de ácido láctico y el punto final del proceso de biotransformación está en relación directa con la temperatura.
Metodología 5S, alternativa viable en la mejora de procesos de la industria alimentaria
Authors: Salazar Sandoval Carlos Augusto , Johao Ore Quiroz Harold Pawel , Benavides Alvarado Brenda Jackeline , Delgado Calderón Yenifer Alexandra , Pantoja-Tirado Lucia 
Published: November 2020

Excelencia en base a calidad es prioritario en la empresa moderna. La filosofía Kaizen, aplicada por la Toyota, es el caso de éxito mundial más emblemático y demuestra que con esta metodología es posible elevar los estándares de productividad en las empresas. En Latinoamérica y sobre todo en el Perú, aún estas técnicas son poco conocidas. El objetivo de esta investigación fue divulgar la efectividad de la estrategia base para el Kaizen: la metodología de las 5S. Partiendo de la premisa Kaizen “que todo cuanto existe se puede mejorar”, las 5S son fundamentales en los procesos de mejora continua representando una alternativa en las empresas, para lograr efectos considerablemente positivos; sin embargo, por muy fácil y de bajo costo que parezca su implementación, esta demanda de mucho compromiso, desde la alta gerencia hasta el empleado del último orden jerárquico de la empresa.
Comparativo de la capacidad del desarrollo embrionario de Bos indicus y Bos taurus en embriones producidos in vitro
Authors: Bustamante S Giovana , Alayo A. Erika , Alvarado B. Maricelia , Mesia  L. Iván , Ramírez S. Julia 
Published: November 2020

La aplicación de la biotecnología permite aumentar la eficiencia reproductiva y el progreso genético del ganado vacuno. La presente investigación tuvo como objetivo comparar la capacidad de desarrollo de embriones producidos in vitro provenientes de Bos indicus y Bos taurus. Se evaluaron ovocitos colectados en los mismos periodos y épocas del año de estas subespecies; las donadoras estuvieron bajo las mismas condiciones de manejo, tanto sanitarias como nutricionales y sin estimulo hormonal. Se aplicó la prueba de Fisher para comparar el porcentaje de ovocitos viables y el porcentaje de embriones producidos por ambas subespecies y prueba t-student con nivel de significancia p:<0.05. Hubo diferencias estadísticamente significativas en la producción de embriones (28.6 % vs 38.6 %) para Bos taurus y Bos indicus, respectivamente. Se concluye a partir de los resultados obtenidos, que la subespecie Bos indicus tienen mayor capacidad de producción de embriones en comparación con la subespecie Bos Taurus.
Everolimus-eluting bioresorbablecoronary scaffold in Asian patients; a 2-yearfollow-up
Authors: Muhammad Abdul Salam Azad  , Uzma Gul  , Asim Javed  
Published: November 2020

Abstract
Indo-Pakistan population has one of the highest risk of coronary artery disease(CAD) in the world.1Percutaneous interventions with the use of stents has been the mainstay of treatment for CAD, evolving from balloon angioplasty to bare metal stents and then to drug eluting stents. However, there are a few drawbacks related to the metal implant in the coronary, leading to the development of bio-resorbable vascular scaffolds(BVS). This case series studies the implantation techniques and 24 month clinical outcome of bioresorbable stent Absorb at Rawalpindi Institute of Cardiology. From November 1, 2013 till June 30, 2018. Fifty patients undergoing angioplasty with Absorb BVS as elective or primary PCI were enrolled. Case selection was at the discretion of the operator. Patients were followed up clinically. Repeat angiogram was conducted if clinically indicated. Continuous...
Introducción del sistema de advertencias al consumidor basado en octógonos y el consumo de alimentos procesados excesivos en nutrientes
Authors: Alférez Murias Muriel , Alférez Murias Sebastián , Cartagena Cutipa Raul 
Published: November 2020

La investigación tuvo como objetivo determinar efectos potenciales en la introducción del sistema de advertencias al consumidor basado en “octógonos” en el consumo de alimentos procesados excesivos en nutrientes. La investigación es de tipo no experimental y transversal.se uso la encuesta como técnica, aplicando un cuestionario a población de 15 a 64 años provenientes de los cinco distritos más poblados de la provincia de Tacna: Coronel Gregorio Albarracín, Tacna, Alto de la Alianza, Ciudad Nueva y Pocollay. Para el procesamiento y analistas de datos se aplicó el procedimiento de “Tablas cruzadas” y “Chi – Cuadrado”. Los resultados indican que los “Panes y productos horneados” son los alimentos excesivos en nutrientes que más consume la población tacneña. La mayor parte de los encuestados desconoce la Ley de Promoción de la Alimentación Saludable para Niños, Niñas y Adolescentes N° 30021, por lo que un porcentaje elevado de esta asegura que generará un impacto positivo en la población, estando en “Total acuerdo” respecto al uso de rótulos octogonales y entendiendo mejor el etiquetado de octógonos. Se concluye que el sistema de advertencias al consumidor basado en octógonos genera efectos, tanto positivos como negativos en los hábitos de consumo de alimentos procesados excesivos en nutrientes críticos
AKTIVITAS MEDIASI DALAM MENANGGULANGI KASUS PERCERAIAN DI PENGADILAN AGAMA BANDUNG
Authors: Guntara Yudi 
Published: November 2020

Penelitian ini bertujuan untuk mengetahui proses mediasi, hasil yang dicapai dalam proses mediasi serta untuk mengetahui faktor penghambat dan pendorongnya yang dilakukan di Pengadilan Agama Bandung dalam menanggulangi kasus perceraian. Metode yang digunakan dalam penelitian ini adalah metode deskriptif dengan alasan untuk melihat proses medisi di Pengadilan Agama Bandung akan lebih mendalam jika menggunakan pendekata kualitatif. Peneltian ini dilakukan dengan menempuh langkah-langkah: menentukan lokasi penelitian, menentukan metode penelitian, menetukan jenis dan sumber data dan akhirnya mengolah dan menganalisis data. Hasil penelitian menunjukan bahwa proses mediasi di Pengadilan Agama Bandung adalah mediasi awal ligitasi dan mediasi selama ligitasi, hasil mediasi yang dicapai dari tahun 2009-2010 dari 585 perkara yang berhasil di mediasi hanya 69 perkara (15,0 persen) dan yang gagal 497 perkara (85,0), kemudia faktor penyebab kegagalan mediasi adalah aspek perkara, aspek mediator, aspek para pihak, aspek advokat dan aspek tempat mediasi, sedangkan faktor penyebab keberhasilan mediasi adalah aspek mediator, aspek para pihak, aspek perkara, aspek sarana.
Tiên lượng rối loạn nhịp tim nguy hiểm sau phẫu thuật tứ chứng fallot bằng kết hợp điện thế muộn và biến thiên nhịp tim
Authors: Tiến Hoàng Anh , Thắng Đoàn Chí 
Published: November 2020

74 bệnh nhân> 15 tuổi mắc tứ chứng Fallot đã được phẫu thuật sửa chữa hoàn toàn và theo dõi rối loạn nhịp tim nguy hiểm trong vòng 3 năm. Bệnh nhân được đo Holter 24 giờ và điện thế muộn, dùng đường cong ROC đánh giá độ nhạy và độ đặc hiệu của điện thế muộn và biến thiên nhịp tim trong tiên lượng rối loạn nhịp nguy hiểm. Dùng OR so sánh giá trị kết hợp biến thiên nhịp tim và điện thế muộn. Điểm cắt tốt nhất của HFQRSd trong tiên lượng rối loạn nhịp thất là lớn hơn 151ms; AUC= 0,783; Độ nhạy: 86,4%; Độ đặc hiệu: 63,5 %. Điểm cắt tốt nhất của HFLA trong tiên lượng rối loạn nhịp thất là lớn hơn 47ms; AUC= 0,654; Độ nhạy: 50%; Độ đặc hiệu: 88,5 %. Điểm cắt tốt nhất của RMS trong tiên lượng rối loạn nhịp thất là nhỏ hơn hoặc bằng 21μV; AUC= 0,633; Độ nhạy: 59,1%; Độ đặc hiệu: 71,2 %.Bệnh nhân có ĐTM(+) và giảm BTNT thì dự báo khả năng rối loạn nhịp tim cao gấp 13,14 lần (OR=13,14) so với nhóm bệnh nhân có ĐTM (-) và BTNT không giảm, với p<0,05.
Kết hợp điện thế muộn và biến thiên nhịp tim cho giá trị cao nhất dự báo rối loạn nhịp tim nguy hiểm.
Is Africa Capable of Achieving the Sustainable Development Goals in the 2020-2030 Decade of Programming?
Authors: Muswere Austin 
Published: November 2020

The capabilities, efficiency and effectiveness of the outcomes of the African Regional Forum on Sustainable Development demands a lot of analytical work from an African perspective towards its commitment on achieving the Sustainable Development Goals in the 2020-2030 decade. This paper provides an analytical framework questioning the forum`s outcomes and the African capabilities. The framework interrogates the feasibility of the approaches of the forum used as alternatives towards the achievement of the 17 sustainable development goals, 169 targets and 304 indicators. The analysis is made together with the outlook of the African aspirations as defined in the Agenda 2063. An analytical framework based on advocacy research and desk review of literature available was used. The framework provided a balanced analysis of both the progress made so far and the challenges that Africa is facing today. Africa does not have effective strategies that make her ready to meet the sustainable development goals by 2030. Africa is recommended to prioritise on investment, build strong partnerships and coalitions as a critical discernment of the different African initiatives propagated through the 2030 Agenda and 2063 Agenda.
Pædagogiske bestræbelser og ambivalenser i overgangen mellem børnehave og skole
Authors: Christensen Kira Saaby , Johansen Lone 
Published: November 2020

ResuméMed afsæt i empiri produceret i forbindelse med forskningsprojektet ’Læring for Alle’, UCC (Christensen & Kornerup, 2014 & 2015, Kornerup, 2016) undersøges det, hvordan pædagoger i børnehaver og børnehaveklasser oplever arbejdet med at understøtte børns overgang til skolen, hvilke pædagogiske bestræbelser, der arbejdes ud fra og hvilke udfordringer de professionelle oplever i forbindelse med dette arbejde. Artiklen viser, at pædagoger i såvel børnehaver som i børnehaveklasser oplever sig splittet mellem forskellige pædagogiske og politiske dagsordner og ambitioner. Disse udfordrer til tider det pædagogiske arbejde på måder, som kan skabe ambivalens hos pædagogerne og til tider medfører en pædagogisk praksis, som virker modsat de pædagogiske bestræbelser om at understøtte børns læring, trivsel og nysgerrighed i overgangen mellem dagtilbud og skole. AbstractBased on data produced in the research project ‘Learning for All’, UCC (Christensen & Kornerup, 2014 & 2015 Kornerup, 2016) it will be investigated how pedagogues in kindergartens and kindergarten classes experience their work with the children’s transitions to school, what kind of pedagogical values the work is based on and what kind of challenges the professionals experience in relation to their work. The article shows that pedagogues in kindergartens and in kindergarten classes experience a division between different pedagogical and political agendas and ambitions. Sometimes this challenges the pedagogical work in ways that create ambivalence among the pedagogues and sometimes result in a pedagogical practice which is counterproductive to the pedagogical intentions to support children’s learning, well-being and curiosity in the transition between kindergarten and kindergarten class.
Det almene myndighedsbegreb
Authors: Nielsen Carsten Fogh 
Published: November 2020

ResuméDenne artikel argumenterer for, at en adækvat forståelse af den pædagogiske fagpersons myndighedsudøvelse involverer tre distinkte, men tæt sammenknyttede, myndighedsbegreber: Et formelt eller juridisk begreb der forstår myndighed som en grundlæggende juridisk og retslig kategori; et fagligt eller professionelt begreb der knytter myndighed til den pædagogiske fagpersons faglige kompetencer, og endelig et alment begreb der vedrører den pædagogiske fagpersons evne til forsvarligt at kunne forvalte asymmetriske magtrelationer. Den nuværende pædagogiske diskussion om myndighed har primært fokuseret på de to første begreber, mens det tredje begreb er blevet systematisk overset. Dette betyder, at der er væsentlige aspekter ved den pædagogiske praksis, som debatten og forskningen har svært ved at få greb og reflektere over. Artiklen ekspliciterer det almene myndighedsbegreb gennem en diskussion af BUPLs ”Etisk grundlag for pædagoger” og argumenterer for, at dette grundlag både understreger behovet for og giver et bestemt, substantielt indhold til det almene myndighedsbegreb. Artiklen afsluttes med en kort diskussion af Rasmus Willigs analyse af umyndiggørelsesprocesser i århusianske daginstitutioner ud fra og i lyset af det almene myndighedsbegreb. AbstractThis paper discusses different aspects of the authority possessed by professional educators and caretakers and argues for the theoretical need and empirical relevance of adopting a threefold distinction between legal authority, professional authority and general authority. The first two forms of authority have featured prominently in recent educational debates in Denmark whereas the third has been systematically overlooked. The paper argues that this neglect biases our understanding of the obligations and responsibilities of professional educators and caretakers. To explicate the significance and content of the general concept of authority the paper then looks at the professional code of ethics developed by BUPL, the Danish Union of Early Childhood and Youth Educators. The paper argues that this code both illustrates the relevance of and gives a particular content to the general concept. The paper concludes by briefly using the general concept of authority to examine and elucidate Rasmus Willig’s critical analysis of the structural processes through which the authority and the criticisms of professional caretakers from day care institutions in the municipality of Aarhus are undermined and disabled.