bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tip 1 ve Tip 2 Diyabetli Hastaların Diyabet Tutumlarının Değerlendirilmesi
Authors: RASHİDİ Mahruk , GENÇ Asli 
Published: April 2020

Amaç: Bu çalışma diyabetli hastaların diyabet tutumlarını belirlemek için planlanan tanımlayıcı tipte bir araştırmadır.Yöntem: İstanbul’da bir devlet hastanesinin Endokrinoloji Anabilim Dalı Diyabet Polikliniğinde ayaktan tedavi gören en az ortaokul mezunu 120 diyabetli hasta ile gerçekleştirilmiştir. Çalışmada veri toplamak için Hasta Tanıtıcı Bilgi Formu ve Diyabet Tutum Ölçeği (DTÖ) kullanılmıştır. Yüz yüze görüşme yöntemi kullanıldı. Verilerin değerlendirilmesinde tanımlayıcı istatistikler (aritmetik ortalama± standart sapma, frekans ve yüzde değerleri), t testi, tek yönlü varyans analizi, Kruskall Wallis testi ve Mann Whitney U testi kullanılmıştır.Bulgular: Hastaların 60’ı Tip 1, 60’ı ise Tip 2 diyabetliydi. Hastaların %50’si kadın ve %50’si erkektir. DTÖ toplam puanı 3.85±0.33 olarak bulunmuştur ve bu sonuç hastaların düşük düzeyde pozitif tutum sergilediğini göstermiştir. Hastaların DTÖ alt boyut puanları değerlendirildiğinde ise en iyi pozitif tutumun “Özel Eğitim gereksinimi” alt boyutunda, en zayıf pozitif tutumun ise “Tip 2 Diyabetin Ciddiyeti” alt boyutunda bulunduğu dikkat çekmektedir. Erkek hastaların, Tip 1 diyabetlilerin, ailesinde diyabet hastası olan, medikal tedaviye uyumu iyi olan, diyete uyumu orta derecede olan, egzersiz yapan hastaların daha pozitif tutumlu olduğu bulunmuştur. Sonuç: Tip 1 ve Tip 2 diyabetli hastaların düşük düzeyde pozitif tutum sergilediği, hastaların diyabete karşı tutumlarının tedavi ve bakıma uyumu etkilediği ve bu nedenle negatif tutumları düzeltmek amacıyla düzenli eğitim programlarının düzenlenmesi gerektiği sonucuna varılmıştır.
Pandangan Etika Kristen tentang Berbusana bagi Wanita Kristen
Authors: Prasti Evi 
Published: April 2020

In dressed placement there are special situations that require the wearer to dress in formal situations, namely government agencies, schools, offices and worship. In a semi-formal or causal situation that is a semi-formal situation but there is a limit of politeness also in non-formal situations such as in the market, at home. This situation has no rules that bind it from the three situations we must be able to choose clothing according to the provisions of the event we are going to attend. Christian women's clothing must be different, because it manifests the person of the Lord Jesus the Great and holy so that the appearance of dressed in Christianity especially prioritizes God rather than appearance. Because God is holy and holy, in practice daily life glorifies God through our bodies. In a position as a student, the clothes that are used are dress that is polite, not sexy, does not wear a T-shirt, does not wear a tight shirt, mini skirt, transparent clothes but can choose clothes that are reasonable and appropriate in the campus situation. AbstrakDalam penempatan berbusana ada situasi khusus yang menuntut si pemakai berbusana sapan dalam situasi formal yaitu instansi pemerintahan, sekolah, kantor dan beribadah. Dalam situasi semi formal atau causal yaitu situasi setengah formal tetapi ada batas kesopanan juga dalam situasi non formal seperti di pasar, dirumah. Situasi ini tidak ada peraturan yang mengikatnya dari ketiga situasi tersebut kita harus dapat memilih busana sesuai ketentuan acara yang kita akan hadiri. Busana wanita Kristen harus berbeda, karena mewujudkan pribadi Tuhan Yesus yang Agung dan kudus sehingga penampilan dalam berbusana orang Kristen terlebih mengutamakan Tuhan dari pada penampilan. Sebab tuhan adalah suci dan kudus maka dalam praktek kehidupan sehari hari memuliakan Tuhan melalui tubuh kita. Dalam posisi sebagai mahasiswa maka busana yang dipakai adalah busana yang sopan, tidak seksi, tidak memakai kaos oblong,tidak memakai kaos ketat,rok mini, baju transparan melainkan dapat memilih busana yang wajar dan pantas dalam situasi kampus.
Aspek Teologis dan Aplikatif Dasa Titah
Authors: Runturambi Rully Solomon 
Published: April 2020

Believers today are eager to explore the Bible, especially the New Testament, because they believed that the Old Testament is no longer valid in the lives of believers. The discussion in this paper examines the importance of the Decalogue and its application to believers in the present. The Ten Commandments are the culmination (climax) of all the books, centers and themes of the extraordinary book that ever existed. The Ten Commandments are the basis of all Bible themes. The Ten Commandments are the highest foundation of God's law. Many verses in the Bible (Old and New Testaments) are citation extensions of the Ten Commandments. God's command is a measure that enables us to know whether we are on the path that is in accordance with His desires or we are deviating. As John warned in 1 John 3: 4 "Everyone who sins, also violates God's law, because sin is a violation of God's law." From the discussion it is known that the Ten Commandments of God are good news delivered to Israel and also to the Christian nowadays. The Ten Commandments are the good news that God has given us to do. What is meant by the good news is that the Ten Commandments, most of which are in the form of prohibitions or negative things, but behind that all God has good intentions, which are only shown to us believers today.AbstrakOrang percaya pada masa kini cukup bersemangat mendalami Alkitab, dan pada umumnya yang dipelajari adalah Perjanjian Baru, karena berpandangan bahwa Perjanjian Lama tidak lagi berlaku dalam kehidupan orang percaya. Pembahasan dalam tulisan ini mengupas pentingnya Dasa Titah dan aplikasinya bagi orang percaya pada masa kini. Sepuluh Perintah merupakan puncak (klimaks) dari seluruh kitab, pusat dan tema kitab yang sangat luar biasa yang pernah ada dan merupakan hasil dari yang kemudian dan tambahan-tambahannya. Sepuluh Perintah adalah merupakan dasar dari seluruh tema Alkitab. Sepuluh Perintah adalah dasar hukum Allah yang tertinggi. Banyak ayat-ayat dalam Alkitab (Perjanjian Lama dan Baru) merupakan perluasan kutipan dari Sepuluh Perintah. Perintah Allah adalah merupakan suatu ukuran yang memampukan kita untuk mengetahui apakah kita berada di jalan yang sesuai dengan keinginan-Nya atau kita sedang menyimpang. Sebagaimana yang diperingatkan oleh Yohanes di dalam 1 Yohanes 3:4 ” Setiap orang yang berbuat dosa, melanggar juga hukum Allah, sebab dosa ialah pelanggaran hukum Allah.” Dari pembahasan diketahui bahwa sepuluh perintah Allah adalah merupakan kabar baik yang disampaikan bagi Israel dan juga bagi orang percaya. Sepuluh Perintah Allah merupakan kabar baik yang Allah telah berikan kepada kita untuk dilaksanakan. Yang dimaksudkan dengan kabar baik adalah bahwa Sepuluh Perintah, yang sebagian besar di dalam setiap perintahnya berupa larangan atau hal yang negatif namun dibalik itu semua Allah mempunyai maksud yang baik, yang hanya ditujukkan bagi kita orang percaya pada masa kini.
Pengembangan Media Pembelajaran Powerpoint Untuk Meningkatkan Kognitif dan Kemampuan Sosial Anak Usia Dini
Authors: Anggara Adi Putra 
Published: April 2020

Learning media that are used to improve students' abilities increase children's cognitive skills to gain and build their knowledge through finding their knowledge and discussing with peers in their language style. The research aims to develop and utilize technology using powerpoint media that is feasible and effective in the learning process as well as how the effectiveness of powerpoint media improves cognitive development and social abilities of early childhood. Learning media products form powerpoints, usage manuals, and teacher handbooks. The effectiveness of Powerpoint learning media can be known from the analysis using the formula t. Calculation of experimental results using pre test and posttest one group design. From the calculation obtained t = 41.17%> 88.23% to achieve the completeness criteria. Research can improve the cognitive development of children in learning, as the beginning of the child's ability to socialize, new methods of teaching that are not monotonous in children catching faster, and also in terms of behavior, learn to play roles and develop social attitudes that deserve to be accepted by others. Abstrak: Media belajar yang digunakan untuk meningkatkan kemampuan peserta didik, meningkatakan kemampuan kognitif anak untuk memperoleh dan membangun pengetahuan mereka melalui cara menemukan sendiri pengetahuan dan berdiskusi bersama teman sebaya dengan gaya bahasa mereka sendiri. Penelitian bertujuan mengembangkan maupun memanfaatkan teknologi penggunaan media powerpoint yang layak dan efektif dalam proses pembelajaran serta bagaimana keefektifan media powerpoint meningkatkan perkembangan kognitif dan kemampuan sosial anak usia dini. Produk media belajar bentuk powerpoint, buku pedoman penggunaan, dan buku pegangan guru. Keefektifan media pembelajaran Powerpoint dapat diketahui dari analisis dengan menggunakan rumus t. Perhitungan hasil eksperimen menggunakan pre test dan posttest one group design. Dari perhitungan diperoleh t = 41,17% > 88,23% untuk mencapai kriteria ketuntasan. Hasil penelitian ini menunjukkan adanya perkembangan kognitif anak dalam belajar, sebagai awal kemampuan anak dalam bersosialisasi, metode baru pengajaran yang tidak monoton anak lebih cepat menangkap, dan juga dalam hal tingkah laku, belajar memainkan peran dan mengembangkan sikap sosial yang layak diterima oleh orang lain. Kata kunci:
Retour à Jonas : Le défi éthico-politique des générations futures dans la pensée environnementale
Authors: Whiteside Kerry H. 
Published: April 2020

La notion de devoirs envers les « générations futures » est devenue omniprésente dans les discours environnementaux. Cependant, on mesure mal la gravité du défi éthique créé par cette préoccupation morale si on ignore les oeuvres de Hans Jonas. Son influence a pourtant été limitée par ses spéculations ontologiques et politiques hautement discutables. Cet article souligne néanmoins la pertinence actuelle de Jonas à trois niveaux. 1) Mieux que maints autres philosophes de l’environnement, Jonas analyse les tensions entre les présupposés de nos éthiques les plus répandues et la structure inédite des problèmes environnementaux : leur complexité, leurs effets à long terme, et leur origine dans l'emballement de nos choix technologiques. 2) Ses spéculations ontologiques font ressortir une autre facette troublante de nos références aux « générations futures » : personne ne peut prétendre les connaître. Aucune consultation ne nous permet de vérifier leurs préférences. Nous sommes alors obligés de philosopher sur les conditions et valeurs qui seront importantes pour elles. De ce fait, une démarche essentialiste devient incontournable. 3) Jonas comprend qu’une nouvelle éthique environnementale exige un volet politique. Le but est d'influer sur le monde physique et biologique, pas simplement de garder la pureté de nos belles âmes. Mais pouvons-nous concevoir nos responsabilités envers les générations futures sans tomber dans l'autoritarisme? Pour légitimer une politique protectrice des générations futures, certaines formes de consultation populaires sont non seulement possibles, mais nécessaires. Ces formes seraient plus inspirées par la théorie de la démocratie délibérative que par la démocratie représentative.
L’expérience vécue de la nature : un levier pour transformer le politique dans un monde fini
Authors: Lejeune Caroline , Hess Gérald 
Published: April 2020

Les éthiques environnementales et la théorie politique environnementale (TPE) ont eu pour projet de réfuter la conception anthropocentrée de l’éthique classique et de la théorie politique. Elles ont considéré que, seule, la reconnaissance de l’existence d’une valeur intrinsèque de la nature pouvait, entre autres, guider l’agir politique et déterminer les conditions d’une société définitivement soutenable et donc située dans les limites environnementales. Dans cet article, nous souhaitons explorer plus avant le recoupement entre les éthiques environnementales écocentrées et la TPE sur ce point précis que constitue la valeur intrinsèque de la nature. Notre hypothèse est que l’expérience vécue de la nature peut être un levier politique permettant de dépasser les dualismes traditionnels dans les systèmes de participation politique.
Global One Health Case Competition: Building Capacity for Addressing Infectious Threats
Authors: Porta Carolyn M. , Kibuuka Robert , Rwego Innocent B. , Nyatanyi Thierry , Mindje Mapendo , Ndayambaje Benjamin , Alemu Besufekad 
Published: April 2020

Extracurricular inter-professional activities advance pre-service student skills and confidence before joining the workforce. This article describes an extracurricular model, whereby students engaged in experiential learning, and had the opportunity to challenge themselves in interprofessional groups guided by faculty and inspired by professionals in their respective fields. The Global One Health Case Competition involved students from the University of Rwanda in collaboration with the University of Minnesota, and required students in teams to address an Ebola outbreak containment and response scenario. Forty students, seven faculty coaches, and five judges participated in this event. Students gained collaborative teamwork skills as they developed comprehensive strategies for managing a response to a zoonotic disease outbreak, considering political, financial, logistical, and other factors. Faculty strengthened skills in writing complex case studies for a competition model, and in mentoring of multidisciplinary student groups. Case competition is an effective educational mechanism for building the outbreak response capacity of our future workforce before they are in their real-world professional roles responding to actual zoonotic and other infectious disease threats.
Effects of Different Organic Manures on Early Seedling Growth of Massularia acuminata (G. Don) Bullock Ex Hoyle
Authors: Majolagbe M. O. , Awotedu B. F. , Ajekigbe J. M. , Banjo T. A. , Onifade A. O. 
Published: April 2020

Aims: Selection of suitable soil amendment is a very crucial attempt for improving seedling production and growth of Massularia acuminata as a forest nursery plants on a sustainable basis can be enhanced over a given period of time.
Study Design: Comparative effects of different organic manures on the seedlings growth of Massularia acuminate.
Place and Duration of Study: Forestry Research Institute of Nigeria, between February, 2019 and August 2019.
Methodology: Various concentrations of different types of organic manures; poultry manure, cow dung and horse dung were mixed with the topsoil separately to raise the seedlings of Massularia acuminata, comparative seedlings height growth, the stem diameter growth and the number of leaves per seedlings were examined to determine the development of the seedlings.
Results: The results revealed that, organic manure application generally enhanced the growth of the seedlings, improved seedlings height, number of leaves and collar diameter. Also, with increasing rate of application of organic manures from 0 g to 50 g per seedlings, all seedlings growth parameters were improved. 10 g and 30 g manure had significant effects on plant growth with seedlings height 15.29 cm and 15.10 cm, number of leaves per seedlings (19.80 and 19.43) and collar diameter (6.58 mm and 6.57 mm) with Q2 and Q3 respectively as compared with the control (5.18 mm). Highest seedling growth was observed in poultry application with seedlings height 14.42 cm, number of leaves (19.63) and collar diameter (6.31 mm).
Conclusion: The use of poultry manure and cattle dung at increased concentrations of 10 g and 30 g are recommended to be beneficial for sustainable healthy seedling production.
Water Hyacinths–biomass Production Potential at a Waste Water Treatment Plant
Authors: Dölle K. , Tong J. , Wang Q. 
Published: April 2020

The growth of Eichhornia crassipes under outdoor conditions was examined during a 42-day test in a wastewater treatment plants primary clarifier, trickling filter and secondary clarifier using municipal residential wastewater as the chosen supplier of nutrients.
Test results showed that Eichhorn crassipes plants gained a significant amount of biomass in a short period. Plants could increase their biomass 15.1-fold from the initial weight of 457.6 g to 6898.8 g for the primary clarifier and 12.6-fold from the initial weight of 288.2 g to 3635.0 g for the secondary clarifier. Plant growth in the trickling filter was limited by factors such has as observed bird picking, Cladophra algae growth in the trickling filter and on the roots of Eichhorn crassipes, and intermittent exposure to nutrients contained in the municipal residential wastewater.
Deep learning with diffusion basis spectrum imaging for classification of multiple sclerosis lesions
Authors: Ye Zezhong , George Ajit , Wu Anthony T. , Niu Xuan , Lin Joshua , Adusumilli Gautam , Naismith Robert T. , Cross Anne H. , Sun Peng , Song Sheng‐Kwei 
Published: April 2020

AbstractObjectiveMultiple sclerosis (MS) lesions are heterogeneous with regard to inflammation, demyelination, axonal injury, and neuronal loss. We previously developed a diffusion basis spectrum imaging (DBSI) technique to better address MS lesion heterogeneity. We hypothesized that the profiles of multiple DBSI metrics can identify lesion‐defining patterns. Here we test this hypothesis by combining a deep learning algorithm using deep neural network (DNN) with DBSI and other imaging methods.MethodsThirty‐eight MS patients were scanned with diffusion‐weighted imaging, magnetization transfer imaging, and standard conventional MRI sequences (cMRI). A total of 499 regions of interest were identified on standard MRI and labeled as persistent black holes (PBH), persistent gray holes (PGH), acute black holes (ABH), acute gray holes (AGH), nonblack or gray holes (NBH), and normal appearing white matter (NAWM). DBSI, diffusion tensor imaging (DTI), and magnetization transfer ratio (MTR) were applied to the 43,261 imaging voxels extracted from these ROIs. The optimized DNN with 10 fully connected hidden layers was trained using the imaging metrics of the lesion subtypes and NAWM.ResultsConcordance, sensitivity, specificity, and accuracy were determined for the different imaging methods. DBSI‐DNN derived lesion classification achieved 93.4% overall concordance with predetermined lesion types, compared with 80.2% for DTI‐DNN model, 78.3% for MTR‐DNN model, and 74.2% for cMRI‐DNN model. DBSI‐DNN also produced the highest specificity, sensitivity, and accuracy.ConclusionsDBSI‐DNN improves the classification of different MS lesion subtypes, which could aid clinical decision making. The efficacy and efficiency of DBSI‐DNN shows great promise for clinical applications in automatic MS lesion detection and classification.
Cortical hyperexcitability evolves with disease progression in ALS
Authors: Menon Parvathi , Higashihara Mana , van den Bos Mehdi , Geevasinga Nimeshan , Kiernan Matthew C. , Vucic Steve 
Published: April 2020

AbstractObjectiveCortical hyperexcitability has been established as an early feature of amyotrophic lateral sclerosis (ALS). The evolution of cortical hyperexcitability with ALS progression remains to be fully elucidated. This study aims to investigate changes in cortical function in ALS with disease progression.MethodsCortical function assessed by threshold tracking transcranial magnetic stimulation (TMS) along with clinical phenotyping was prospectively undertaken on 444 patients presenting with suspected ALS (345 ALS; 99 neuromuscular mimics). Disease stage was defined as follows: (1) King’s clinical staging system and (2) proportion of disease duration statistically categorized into tertials.ResultsCortical hyperexcitability was evident across all ALS stages, being more prominent in later stages of ALS as indicated by increased motor‐evoked potential amplitude (P < 0.05), as well as longer disease duration as reflected by reduced short‐interval intracortical inhibition (P < 0.05). Prolonged central motor conduction time was evident with disease progression. These changes were accompanied by reduction in neurophysiological index (P < 0.001) and compound muscle action potential amplitude (P < 0.01), progressive muscle weakness (P < 0.001), and decline in the ALS functional rating scale (P < 0.001).InterpretationThis study established an increase in cortical hyperexcitability with increased disease duration in ALS, mediated by cortical disinhibition and direct increase in corticomotoneuronal excitability.
Using Observation to Determine Teachable Moments Within a Serious Game: A GridlockED as Medical Education (GAME) Study
Authors: Brar Gurmun , Lambert Sam , Huang Simon , Dang Rebecca , Chan Teresa M. 
Published: April 2020

AbstractBackgroundThe use of serious games as an educational tool may be an effective strategy to improve knowledge and skill among health care trainees. GridlockED is a serious board game designed to simulate a shift in the emergency department (ED) that incorporates concepts such as prioritization in a multipatient environment and stewardship of finite resources. Serious games can present concepts to learners that are not easily accessible through other teaching methods. GridlockED was designed to demonstrate the principles behind ED flow and how to prioritize in a complex multipatient environment. The objective of this study was to identify teaching points to which learners are exposed while playing the GridlockED game.MethodsWe conducted a prospective, observational study from May to August 2017. Practicing emergency physicians, residents, and nurses were recruited as participants to play GridlockED. Participants were instructed on how to play the game and then engaged in playing GridlockED, during which their gameplay was video recorded. The videos of the play sessions were qualitatively analyzed using an interpretive description technique. All teaching points explicitly stated by players or implicitly observed by researchers were recorded.ResultsTeaching points were identified in the GridlockED play sessions centered around the concepts of patient prioritization and staff placement. Major themes present in gameplay, as well as deviations from reality and frequent misconceptions about emergency care, were also identified.ConclusionObservations of experienced ED practitioners reveal that the GridlockED board game creates opportunities for engaging medical learners in systems‐level teaching. Our findings will help create the basis for future education modules, but further study is required to ensure that junior trainees actually learn when playing the game.