bluuebunny/crossref_metadata_2025_split huggingface dataset:
MODEL PEMBERDAYAAN MASYARAKAT TERINTEGRASI DENGAN KEARIFAN DAN NILAI BUDAYA LOKAL MELALUI PENDEKATAN SOSIAL ENTREPRENEURSHIP
Authors: Karwati Lilis , Mustakim Mustakim 
Published: June 2019

The local wisdom describes the way to behave, to act, and to quickly respond towards the physical or cultural communityâ€™s environmental changes. The study was conducted in January-March 2017 in the area of a traditional village at kampong Naga Nagaratengah, Neglasari, Salawu, Tasikmalaya, West Java Province. The integrated community empowerment model with the wisdom and local cultural values aimed to increase the productivity, income and quality of life which was mutually beneficial. In this empowerment model, the research method employed was a qualitative approach with the descriptive method, and the techniques of data collection were the study of literature, observation, interviews, and documentation. The finding described the role of the community as one of the bases of the local wisdom role improvement that possessed by the Naga village community environment. Through the social entrepreneurship activities, a handy-craft was not only measured by its profit only, moreover it was viewed as a social cooperation between members of the community as well as providing the largest understanding to the community about the importance of the natural and cultural conservations for the survival of the kampong Naga community. The obedience and cultural inheritance in the form of values, norms, customs, and social roles continuously transpired from generation to generation. They become a unity in the social cultural environment and one of the tourism potential of the area.

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Imperforate Larger Benthic Foraminifera from Shallow-water Carbonate Facies (middle and Late Eocene), Zagros Mountains, Iran
Authors: Nafarieh Elham , Boix Carme , Cruz-Abad Erzika , Ghasemi-Nejad Ebrahim , Tahmasbi Alireza , Caus Esmeralda 
Published: June 2019

AbstractWe studied the architecture and biostratigraphical distribution of the imperforate larger benthic foraminifera from the upper part of the Jarhum Formation in the Fars Interior (Zagros, Iran) and identified 15 taxa belonging to the families Coskinolinidae, Orbitolinidae, Austrillinidae, Praerhapydioninidae and Soritidae. This foraminiferal assemblage indicates deposition in warm, shallow (upper photic zone), relatively oligotrophic conditions compatible with an inner-ramp setting. The age attributed to the assemblage is Bartonian-earliest Priabonian.
The Effects of Selected Heavy Metal Elements (arsenic, Cadmium, Nickel, Zinc) On Experimentally Grown Foraminiferal Assemblages from Sapelo Island, Georgia and Little Duck Key, Florida, U.S.A.
Authors: Smith Christopher W. , Goldstein Susan T. 
Published: June 2019

Abstract
Benthic foraminifera are valuable environmental indicators of heavy metal contaminants in marine environments. To broaden their effectiveness as bioindicators, this study compares individually the effects of selected heavy metal contaminants, including both metabolically essential and non-essential elements, on temperate rotalids and subtropical miliolids, as well as associated monothalamid foraminifera. To accomplish these aims, assemblages of foraminifera were grown experimentally from propagules (small juveniles) collected from two coastal sites: Sapelo Island, Georgia, and Little Duck Key, Florida, that provide an effective comparison between environments and types of foraminifera. Surface sediment was collected from both locations and sieved immediately after collection. Using the propagule method, assemblages of foraminifera were grown in the laboratory from propagules in the sediment samples. Two metabolically essential trace elements, nickel, and zinc, and two non-essential elements, arsenic and cadmium were used to represent both types of heavy metal. Experimental conditions were held constant while varying only the metal concentrations.
In treatments from both origins, increasing concentrations of cadmium, nickel, and zinc led to decreases in abundance and diversity for the foraminifera. In addition, zinc, and to a lesser extent cadmium and nickel above certain concentrations, resulted in an increase of deformed tests among the foraminifera. Deformities occurred amongst the most common calcareous species from Sapelo island: Ammonia tepida and Haynesina germanica. Fewer deformities were observed in common calcareous species from Little Duck Key, the miliolids Quinqueloculina sabulosa and Quinqueloculina bosciana featured few deformities. Notably, monothalamid species such as Psammophaga sapela remained present at high metal concentrations. These results support previous research and reinforce the usefulness of rotalids such as A. tepida and H. germanica as bioindicators of heavy metal contamination as well as suggesting a possible use of monothalamids such as P. sapela in this manner.
An observation of a hysteroscopy teaching program for standardized training of obstetrics and gynecology residents
Authors: Ye Yang , Li Li Yan , Bin Yang Yong , Ping Zhu Ya , Sufang Wu , Wei Bao 
Published: June 2019

Abstract
Background: Standardized training for resident (STR) program in China is an important link for continuing education and clinical work training for students who graduated from medical college. Bedside teaching rounds (TR) has a valuable educational merit for residents. Hysteroscopic surgery (HS) is a single-person operation which is difficult for beginners. The purpose of our study was to enable educators to maintain effectiveness of hysteroscopy surgery teaching techniques though teaching rounds for practical training in hysteroscopy surgery in order to train the residents to acquire the theoretical and surgical operations skills.
Methods: From August 2017 to August 2018, a total of four attending gynecologic surgeons, seven junior residents, and five senior residents of the Department of Obstetrics and gynecology, Shanghai General Hospital were invited to complete an observation of a hysteroscopy teaching program, which included TR and HS, under the guidance of instructors. TR mainly consisted of video-based education and problem-based learning (PBL) discussion. Data of retrospective analysis were collected from 112 patients who participated in the program. We generated evaluation and theoretical tests and open-ended questions based on TR and HS to observe the mastery degree of students.
RESULTS: Residents learned effectively through the teaching round, which met the demands of different developmental strategies for trainees. There were statistically significant differences in the whole operation time (21.00±0.92 min vs. 30.56±1.08 min, respectively, P<0.05) and the volume of distension fluid used (480.00±14.76 ml vs. 642.74±14.82 ml, respectively, P<0.05) between junior and senior residents. We observed residents participated more TR before they finished their HS program conducted more skilled hysteroscopic operation. All the residents believed TR could help improve their surgical skills in HS though open-ended questions survey.
CONCLUSIONS: It is important to improve the theoretical knowledge of resident physicians in the surgical department before the actual operation. The purpose of this retrospective study is to assess the teaching role in TR and practical hysteroscopic training program to help trainees gain professional and clinical skills, as well as enable teachers to formulate educational techniques.
Cognitive Impairment is Correlated with Motor Speech Disorder in Parkinson’s Disease
Authors: Liu Ying , Gui Yuchang , Hu Jincui , Liang Shanshan , Mo Sixia , Zhou Yuanfang , Li Yujian , Zhou Fengkun , Xu Jianwen 
Published: June 2019

Abstract
Background

The mechanisms underlying the online modulation of motor speech in Parkinson’s disease (PD) have not been determined. Moreover, medical and rehabilitation interventions for PD-associated motor speech disorder (MSD) have a poor long-term prognosis.

Methods

To compare risk factors in PD patients with MSD to those without MSD (non-MSD) and determine predictive independent risk factors correlated with the MSD phenotype, we enrolled 314 PD patients, including 250 with and 64 without MSD. We compared demographic, characteristic data, as well as PD-associated evaluations between the MSD group and non-MSD group.

Results

Univariate analysis showed that demographic characteristics, including occupation, educational level, and monthly income; clinical characteristics, including lesions in the frontal and temporal lobes, and concurrent dysphagia; and PD-associated evaluations, including the activity of daily living (ADL) score, non-motor symptoms scale (NMSS) domain 4 score (perceptual problem), and NMSS domain 5 score (attention/memory) were all significantly different between the MSD and non-MSD group (all P < 0.05). Multivariate logistic regression analysis showed that educational level, frontal lesions, and NMSS domain 5 score (attention/memory) were independent risk factors for PD-associated MSD (all P < 0.005).

Conclusions

We determined an association between MSD phenotype and cognitive impairment, reflected by low-level education, weak language ability, and related clinical profiles. Moreover, attention and memory dysfunction may play key roles in the progression of MSD in PD patients. Further studies are required to detail the mechanism underlying abnormal speech motor modulation in PD patients. Early cognitive intervention may enhance rehabilitation management and motor speech function in patients with PD-associated MSD.
Use of patients’ unsolicited correspondence to a family doctor to describe and understand valued components of a doctor-patient relationship: A Hermeneutics approach
Authors: Yaffe Mark J. , Hovey Richard B. , Rodriguez Charo 
Published: June 2019

Abstract
Background

Positive doctor-patient relationship have been linked to some good patient outcomes. Different modalities have been used to study communication and behaviors within such encounters. Unsolicited writings from patients to doctors has rarely been reported on in this context; therefore this paper aimed to explore the content of such correspondence sent to a single family physician over a 4 decade period.

Methods

107 of 140 pieces of correspondence contained content necessary to permit studying three research questions: (1) using univariate analyses, which patients or family members wrote personalized notes to the family doctor, when, and in what fashion; (2) using Hermeneutic exploration of each note, what words or sentiments were used to describe encounters with, and care received, from the doctor; (3) with similar Hermeneutic exploration, what words or phrases provided insight into the apparent motivations underlying the writing of the notes.

Results

The notes were mostly handwritten, predominantly by women, and frequently around personally relevant life span events. An iterative process generated six themes which summarized appreciated physician or relational attributes: (1) quality care; and physician (2) competence; (3) physical presence; (4) positive personal traits; (5) provision of emotional support; and (6) spiritual impact. A similar process identified six motivations for writing, which were to: (1) express appreciation for an established relationship; (2) acknowledge value / benefit experienced from continuity of care; (3) seek catharsis, emotional relief or closure; (4) reflect on termination of care; (5) validate care that extended beyond the Hippocratic tradition into that of Asklepian healing [17] ; and (6) share personal reflection, experience, or impact.

Conclusions

Unsolicited writings to a doctor provide a personalized, direct link from patient to physician that seems to allow for expression of thoughts difficult to convey face to face. They provide unique, real life testimonials that offer potential as a teaching tool on doctor-patient relationships. These particular patients seemed to value considerate, competent, quality care that was given in continuity fashion, with support for emotional and spiritual needs. In some communities this suggests that good care needs to go beyond rapid accessibility.
A PRÁTICA FÍSICA E DESPORTIVA NO 1º CICLO DO ENSINO BÁSICO: FALANDO DE MODELOS SUSTENTÁVEIS PARA A EDUCAÇÃO E SAÚDE
Authors: Condessa Maria Isabel 
Published: June 2019

O início da Educação Básica é um momento fulcral na educação para a atividade física (AF), e embora desde cedo se preveja a oferta na escola de um conjunto de práticas físicas, lúdicas e desportivas relevantes para as necessidades das crianças e jovens, nem sempre essa intenção se concretiza nas escolas. Nesta comunicação pretendemos realçar a importância de uma educação/formação desenvolvida em dois modelos complementares: com a Educação Física, lecionada em horário curricular pelo professor especialista de Educação Física (EF) e, algumas vezes, pelo professor titular de turma; com um Programa de Desporto Escolar, em práticas que decorrem em atividades extra-curriculares, propondo uma oferta em animação e iniciação à prática física e desportiva (AFD) em várias modalidades significantes para a criança e a cultura da região em que vive. Sugerimos aqui uma análise desta realidade, de um modelo de práticas sustentáveis para as escolas do 1.ºciclo, que têm permanecido “em parte” do todo nacional, mesmo após as fortes mudanças da última década. Esta é uma oportunidade de refletir a partir destes modelos de prática EF e AFD, que de uma forma sustentada se propõem criar melhores condições de vida às crianças, assegurando-lhes uma equidade de oportunidades – criação de hábitos de mais saudável e comportamentos mais ativos.
COLONIALISMO DO SABER E SUAS IMPLICAÇÕES PARA A APLICAÇÃO DA LEI Nº 10.639/2003 NAS ESCOLAS PÚBLICAS
Authors: Lima Joyce De Sena , Carneiro Rosalvo Nobre 
Published: June 2019

RESUMO
Enxergar novas possibilidades de alcance da implementação da Lei nº 10.639/2003, implica na desconstrução de saberes eurocentrados, na visibilidade de novas culturas e, principalmente, no reconhecimento de Si e do Outro. Partindo dessa ideia, é possível compreender que a implementação da Lei traz consigo complexidades relacionada ao que foi imposto a séculos de dominação colonial e na construção de identidades. Cabe, portanto, problematizar as implicações do discurso colonizador nesse processo; das formas como este argumento foi prerrogativa para a exploração do trabalho, criação de estereótipos e depreciação da imagem da população negra. Com o objetivo de refletir sobre o ensino das relações étnico raciais na educação básica de ensino e seus desafios epistemológicos para implementação da Lei, além de pensar sobre possibilidades de enegrecer os planos de aulas, o texto traduz-se em inquietações sobre o direito do educando de conhecer uma África desestiguimatizada e valorizada. De cunho bibliográfico, embasado em Anibal Quijano, Sandra Pettit, e Jurgen Habermas, busca-se contribuir para uma análise sobre a necessidade de reconhecimento étnico de professores e professoras como forma de desconstrução de saberes eurocentrados para a construção de novos paradigmas inclusivos.

Palavras-chaves: Colonialismo do saber. Lei 10639/2003. Ensino das relações étnicos raciais.
Estimated burden of disease from arsenic in drinking water supplied by domestic wells in the United States
Authors: Greco Susan Lavinia , Belova Anna , Haskell Jacqueline , Backer Lorraine 
Published: June 2019

Abstract
Well water around the world can be contaminated with arsenic, a naturally occurring geological element that has been associated with myriad adverse health effects. Persons obtaining their drinking water from private wells are often responsible for well testing and water treatment. High levels of arsenic have been reported in well water-supplied areas of the United States. We quantified – in cases and dollars – the potential burden of disease associated with the ingestion of arsenic through private well drinking water supplies in the United States. To estimate cancer and cardiovascular disease burden, we developed a Monte Carlo model integrating three input streams: (1) regional concentrations of arsenic in drinking water wells across the United States; (2) dose–response relationships in the form of cancer slope factors and hazard ratios; and (3) economic cost estimates developed for morbidity endpoints using ‘cost-of-illness’ methods and for mortality using ‘value per statistical life’ estimates. Exposure to arsenic in drinking water from U.S. domestic wells is modeled to contribute 500 annual premature deaths from ischemic heart disease and 1,000 annual cancer cases (half of them fatal), monetized at $10.9 billion (2017 USD) annually. These considerable public health burden estimates can be compared with the burdens of other priority public health issues to assist in decision-making.
Evaluating the effect of different operational strategies on the carbon footprint of wastewater treatment plants – case studies from northern Poland
Authors: Maktabifard M. , Zaborowska E. , Makinia J. 
Published: June 2019

Abstract
Nowadays, low greenhouse gas (GHG) emission is expected at wastewater treatment plants (WWTPs). However, emission quantification and evaluation still faces difficulties related to data availability and uncertainty. The objective of this study was to perform carbon footprint (CF) analysis for two municipal WWTPs located in northern Poland. Slupsk WWTP is a large biological nutrient removal (BNR) facility (250,000 PE) which benefits from on-site electricity production from biogas. The other studied plant is a medium-size BNR facility in Starogard (60,000 PE). In this WWTP, all the required electricity was provided from the grid. Both wastewater systems were composed of activated sludge, with differences in the nutrient removal efficiency and sludge treatment line. The CF calculations were based on empirical models considering various categories of input parameters, afterwards summing up the emissions expressed in CO2 equivalents (CO2e). After sensitivity analysis, significant contributors to GHG emissions were identified. The total specific CF of the Slupsk and the Starogard WWTP was 17.3 and 38.8 CO2e per population equivalent (PE), respectively. In both cases, sludge management, electricity consumption and direct emissions from wastewater treatment were found to significantly influence the CF. A substantial share of the total CF originated from indirect emissions, primarily caused by the energy consumption. This negative impact can be partially overcome by increasing the share of renewable energy sources. Reduction of over 30% in the total CF could be achieved while applying energy recovery from biogas by combined heat and power plants. Farmland and farmland after composting were found to be the most appropriate strategies for sludge management. They could create a CF credit (8% of the total CF) as a result of substituting a synthetic fertilizer. Reliable full-scale measurements of N2O emissions from wastewater treatment are recommended due to high uncertainty in CF estimation based on fixed emission factors (EFs). While applying the lowest and the highest N2O EFs reported in the literature, the total CF would change even by 2–3 times.
La eficacia del acto administrativo
Authors: Camacho Cépeda Gladys 
Published: June 2019

<p>La presente investigación centra su análisis en las condiciones en las que las decisiones de los órganos de la Administración se concretan bien ajustadas a Derecho y por tanto ello habilita su ejecución así como en el caso que se produce el desajuste con el Ordenamiento jurídico que habilita su revisión.</p><div> </div>
La tutela y la curatela: mecanismos de tuición a los incapaces y discapacitados en el ordenamiento jurídico ecuatoriano
Authors: Galiano Maritan Grisel 
Published: June 2019

<p>El presente trabajo tiene como objetivo valorar el régimen jurídico de la tutela y la curatela en el ordenamiento jurídico ecuatoriano como instituciones de guarda y cuidado para los menores de edad y las personas con discapacidad. Para su realización se parte de la distinción que existe entre los términos discapacidad, incapacidad e incapacitación, cuya precisión es necesaria a los efectos de garantizar una mayor protección a este sector de personas vulnerables. Se realiza un estudio de estas instituciones desde la regulación de la normativa del Código Civil.</p><div> </div>
Análisis de la Tesis jurisprudencial “Derechos humanos. El control de convencionalidad ex officio que están obligados a realizar los juzgadores, no llega al extremo de analizar expresamente y en abstracto en cada resolución, todos los derechos humanos que
Authors: Patiño Manffer Ruperto 
Published: June 2019

Análisis de la Tesis de Jurisprudencia del Primer Tribunal Colegiado en Materia Administrativa del Sexto Circuito, publicada en Gaceta del Semanario Judicial de la Federación; Décima Época; Registro 2017668; Libro 57, agosto de 2018, Tomo III. Tesis: VI.1º. A. J/18 (10a), p. 2438.
The rabbit as a surgical model for early training stages of the laparoscopic Nissen fundoplication technique
Authors: Rodriguez-Alarcon Carlos Arturo , Rivera-Barreno Ramón , Staines-Orozco Hugo Salvador , Cataño-Calatayud Rafael , Juárez José Luis , Usón-Casaús Jesús María , Pérez-Merino Eva María , Hernández-Pérez Alfredo , Beristain-Ruiz Diana Marcela 
Published: June 2019

This study describes the advantages and disadvantages of using the rabbit as an animal model for surgical training in the Nissen laparoscopic fundoplication technique. Six New Zealand rabbits weighing between 2.5 and 3.5 kg were used. Nissen fundoplication was performed successfully in five out of six animals. Average procedure time was 47 minutes, with a maximum of 80 minutes for the first surgery and a minimum of 30 minutes for the last. Main advantages of the rabbit model are ease of animal restrain and low cost. The rabbit allows for the recreation of the human surgical environment, albeit showing a lower degree of difficulty. We thus consider this surgical model to be valuable only for skill development on basic stages of the laparoscopic Nissen fundoplication technique. For advanced stages of this surgical procedure, use of other animal models with further anatomical similarities to humans, such as the swine model, are recommended.