bluuebunny/crossref_metadata_2025_split huggingface dataset:
Utility of Mobility in Post Open-Heart Surgery Patients: A Pilot Trial
Authors: Beck Alan M. , Morgan Dalton 
Published: June 2019

ABSTRACT
Background: As the role of the clinical exercise physiologist expands, early mobility is an area of potential focus. A rural Midwestern intensive care unit began a mobility program alongside its open-heart surgery program. The mobility specialist, who was trained as a clinical exercise physiologist, was tasked to ambulate the open-heart surgery patients. The purpose of this pilot study was to determine the effectiveness of a mobility specialist on ambulation frequency and distance on post open-heart surgery patients.
Methods: Data were collected retrospectively for 1 month on ambulation frequency and distance to determine the mobility specialist's impact on the variables.
Results: Data was collected on 18 patients (15 male, 3 female) over the month. Overall, when the mobility specialist was present, patients ambulated further (M = 421 feet versus 189 feet, P = 0.039) and more often (M = 3.32 versus 1.43 ambulations per day, P &lt; 0.001).
Conclusion: In this study, having a mobility specialist with a background in exercise physiology led to more frequent and distant ambulation. Therefore, a mobility specialist should be considered an integral member of a multidisciplinary clinical team in rural intensive care units.
Trotting down the memory lane
Authors: Lohani Ishwar 
Published: June 2019

Born on 1962 at Kamaladi, Kathmandu, Prof Ishwar Lohani completed School Leaving Certificate from St. Xavier’s School. Lalitpur. followed by Senior Cambridge ‘O’ Level from Cambridge University 1980 and Proficiency Certificate Level from Amrit Science Campus. 1984.
He did B. Muse. (Sangeet Prabhakar) in Tabala from Kalanidhi Sangit Manavidyalaya under Prayag Sangit Samiti, Allahabad. 1983.
He completed M.B.B.S Degree from Madurai Medical College under Madurai Kamaraj University, Madurai, Tamilnadu, India. 1991 and MS General Surgery from PGIMER, Chandigarh, India. 1994.
After completion of M.Ch. Plastic Surgery from PGIMER, Chandigarh, India in 1997, he worked initially as a Senior Medical Officer for few months and later as Senior Resident in the Dept. of Surgery, Chandigarh Medical College. He completed fellowship in Plastic Surgery as PSEF International fellow from University of Southern California, Los Angeles and California Pacific Medical Center, San Francisco May 2001 to Feb 2002 under Dr. Randy Sherman and Dr. Bryant Toth. He later did fellowship in Plastic Surgery through the Scottish Foundation for Surgery in Nepal at St. John’s Hospital, Livingstone and Canniesburn Hospital Glasgow, England from Jan 17, 2003 to Feb 28, 2003 under Dr. Auf Quaba and Dr. David Soutar.
Presently working as Professor and Head of Department, Dept. of Plastic Surgery and Burns at the T.U. Teaching Hospital, Maharajgunj, Kathmandu, Nepal. He has been involved in the training of MBBS, MS (General Surgery) and MCh Plastic surgery graduates at the Maharajgung Medical Campus.
He served as the President of the International College of Surgeons (ICS) Nepal Section; General Secretary of Association of Plastic Surgeons of Nepal (APSON). He has been member of Society of Surgeons of Nepal since 1996 and has contributed a lot in the activities of the society. He has presented in numerous National and International conferences and has numerous publications in international and national journals as well. He served as the Chief Editor of the Journal of Society of Surgeons of Nepal 2008 – 2014.
Morphometric Study of Proximal end of Femur of Nepalese People
Authors: Mukhia Rajeev , Poudel Phanindra Prasad , Bhattarai Chacchu , Timsina Sidharth 
Published: June 2019

Introduction: The femur is the largest and strongest bone of the body that forms the skeleton of the thigh. The morphometry of proximal end of femur are variable between different individuals with different Nationality. The aims and objective of the study is to find out the morphometric measurements- Femur Length, Femur head diameter, Femur neck shaft angle, and Femur neck length, breadth and thickness.
Methods: A total of 75 femurs of both sex were collected from the Department of Anatomy, MCOMS, Pokhara. The parameters on proximal femur were measured manually with the help of measuring scale, thread, protector and vernier calliper. The collected data were analyzed with Microsoft Excel 2007 software and represented graphically.
Results: In the present study, the average femoral length for entire femur was 42±2.81 cm, femoral head diameter was13.05±0.9 cm, femoral neck length was 4.12±0.32 cm, femoral neck breadth was 2.94±0.30 cm, and femoral neck thickness was 2.36±0.42 cm. The femur neck shaft angle of left femur was significantly higher than that of right femur (P-value 0.03). There was no difference between other dimensions of proximal end of right and left femur.
Conclusion: The results of the present study show that the dimensions of proximal femur in Nepalese Population are different as compared to other countries population. The knowledge of different dimensions of proximal femur will be important in anthropological and medico-legal practice for sex determination and as well as to radiologists and orthopaedic surgeons for diagnosis and planning of treatment.
Femmes de l’ennemi ou du Colonisateur?
Authors: Miot Claire 
Published: June 2019

En 1945, l’armée française qui participe à l’invasion de l’Allemagne au sein de la coalition occidentale présente le visage d’une armée coloniale et impériale. En effet, la moitié de ses effectifs est composée de soldats colonisés provenant principalement d’Algérie, Tunisie et du Maroc, mais aussi des colonies françaises d’Afrique subsaharienne. Après l’occupation de la Rhénanie dans les années 1920, par plusieurs milliers de sujets coloniaux, et qui avait provoqué le scandale de la « honte noire », c’est la seconde fois au XXe siècle que l’armée française utilise des soldats colonisés pour occuper des civils allemands. Les relations intimes, consenties ou non, entre colonisés et femmes occupées, sont alors, à nouveau, au centre de toutes les attentions. Croisant les apports des travaux récents sur les sexualités et les relations de genre en guerre, et, d’autre part dans celle des recherches sur les masculinités en situation coloniale, cet article analyse la manière dont l’institution militaire envisage les relations entre soldats colonisés conquérants et des Allemandes vaincues. Il a pour ambition de montrer comment un État colonial en guerre, et plus précisément en sortie de guerre, contrôle la sexualité des Européennes comme celle des colonisés. Il s’agit de comprendre comment la hiérarchie militaire gère de telles relations à un moment d’affaiblissement de la puissance coloniale mais aussi de réaffirmation d’une virilité conquérante des hommes métropolitains après l’humiliation de 1940.
Patient Satisfaction and Body Image Following Mastectomy, Breast-Conserving Therapy, and Mastectomy With Reconstruction: A Study in Iran
Authors: Olfatbakhsh Asiie , Haghighat Shahpar , Tabari Mohammadreza , Hashemi Esmat , Sari Fateme , Kaviani Ahmad 
Published: June 2019

Background: Breast cancer is considered a chronic disease owing to the increases in survival rate. Thus, better body image and patient satisfaction with the surgery have become more important factors to be considered when choosing the surgical approach. The aim of this study was to compare body image and patient satisfaction following three different approaches.
Methods: We evaluated 183 consecutive patients who had undergone three different surgeries including breast-conserving surgery (BCS), mastectomy, or mastectomy followed by reconstruction (M-R). Body image was evaluated using the BICI questionnaire, and patient satisfaction was rated using a multiple-choice question and a scale ranging from 1 to 10.
Results: A significantly better body image was observed in the M-R and BCS groups compared with mastectomy (P = 0.02). In body image subscale analysis, social functioning scores were higher in the M-R and BCS groups than in the mastectomy group (P = 0.01), but no differences were obtained between surgery groups in appearance dissatisfaction subscale. Patients were more satisfied with BCS than the other two surgeries (P = 0.008).
Conclusion: Based on the results of this study, it could be proposed that both oncoplastic BCS and implant reconstruction could provide patients with acceptable body image, while BCS could bring about better satisfaction with the surgery. Reconstruction may be an alternative for the patients to improve body image and satisfaction when BCS is not applicable.
Warfarin Induced Necrosis of The Breast: A Case Report
Authors: Zand Sanaz , Jalili Roghayye , Emami Razavi Seyed Hasan , Najafi Massoome , Kaviani Ahmad 
Published: June 2019

Background: Warfarin induced breast necrosis is a rare complication of oral anticoagulant therapy. Although it can be related to protein C, S, and antithrombin III deficiency; the pathogenesis of necrosis is still unknown.
Case presentation: We report a case of a 38-year-old woman with extensive left breast necrosis after receiving warfarin for treatment of deep vein thrombosis. Simple mastectomy was performed and the wound was closed secondarily with an abdominal advancement flap. Rivaroxaban was prescribed after discontinuation of warfarin.
Conclusion: Although breast necrosis following warfarin usage is uncommon, it should be considered in women presenting with breast symptoms after initiation of warfarin. Early diagnosis and appropriate management are essential to prevent extensive loss of breast tissue.
Penerapan Aspek Kompetensi Administrasi, Transparansi Dan Efisiensi Dalam Restrukturisasi Birokrasi Pemerintah Daerah
Authors: Supriatna Dadang 
Published: June 2019

Abstrack
The implementation of the restructuring of the bureaucracy can be defined as a process of redesigning or rearrangement of the existing bureaucracy. When the dynamics on both internal and external environments that bureaucracy must also adapt these dynamics in order to survive. Adaptation to the dynamics of the causes of bureaucracy must perform in accordance with reality. Restructuring or realignment of bureaucratic organization is essentially an activity to prepare the unit will be assigned the bureaucratic organization of work areas, specific tasks or functions. Government Regulation No. 41 of 2007 is a government regulation governing guidelines for the preparation and control of the regional organization in the overall governance process.
Kata kunci: good governance, bureaucracy restructurization, local government
Peran Satuan Polisi Pamong Praja Dalam Penertiban Pedagang Kaki Lima Di Kota Semarang
Authors: Rukmana Maris Gunawan 
Published: June 2019

Abstrak
Satuan Polisi Pamong Praja merupakan lembaga yang berada di setiap Daerah Propinsi maupun kabupaten dan kota yang bertugas untuk menegakan peraturan daeran/ Perauran Keputusan Daerah, menyelenggarakan penertiban dan menyelenggarakan perlindungan masyarakat. Satuan Polisi Pamong Praja Kota Semarang dihadapkan dengan berbagai permasalahan ketertiban terutama Pedagang Kaki Lima ( PKL ). Kota Semarang sebagai Ibukota Provinsi Jawa Tengah antara lain merupakan daerah yang menjadi tujuan hidup untuk merubah keadaan ekonomi masyarakat antara lain dengan berjualan menjadi PKL Dengan bertambahnya PKL maka beban tanggung jawab Satuan Polisi Pamong Praja semakin berat. Bagaimana peran Satpol Polisi Pamong Praja Kota Semarang dapat mengendalikan PKL dalam upaya menegakan ketertiban, kebersihan dan Keindahan Kota melalui Peraturan Daerah Nomor 11 tahun 2000 tentang Pengaturan dan Pembinaan Pedagang Kaki Lima.
Kata kunci : Peran, Satpol PP, Ketertiban
Ecotourism and Environmental Education: connecting different concepts
Authors: Azeredo Thaís Varandas de , Zaú André Scarambone 
Published: June 2019

Environmental Education bases the learning process in the contact with the environment in everyday life. When this relation is developed alongside with emotions, it becomes more than just an informative education. If developed within a critic vision, this process may act in a behavioral change that could help nature conservation. This form of education may happen in natural areas through guided walks, interpretative trail, informative signs and others. Considering all the concepts in this process it’s important to show nature as something interesting and, as a consequence, to reveal the need of its preservation.

Ecoturismo e Educação Ambiental: conectando diferentes conceitos

RESUMO
A educação ambiental contém em seu leque de possibilidades o aprendizado através da aproximação do ambiente natural com o cotidiano. Nesse contexto, caso estabelecida uma relação afetiva, a educação ambiental se torna mais do que meramente informativa. Ela pode contribuir com mudanças de comportamento, postura e visão crítica. Essa “forma de educação” pode ser realizada em ambientes naturais, através de visitas guiadas, trilhas interpretativas, placas de sinalização, entre outros. Em quaisquer das opções, é importante tornar atrativa a experiência de apreciação e, pelo menos em alguma medida, relevante para o “visitante”, contribuindo desta forma para a internalização da necessidade de conservação, bem como para a divulgação da mesma.

PALAVRAS-CHAVE: Trilhas Interpretativas; Rio+20; Educação Não Formal.
Panorama do Uso Público em Parques Estaduais do Rio Grande do Sul
Authors: Rech Izadora Flores , Perello Luís Fernando Carvalho , Canto-Silva Celson Roberto 
Published: June 2019

O uso público de uma área protegida está associado ao processo de visitação que pode se manifestar em atividades educativas, de lazer, recreativas e de interpretação ambiental, desde que não afetem negativamente os objetivos de conservação da área visitada. No Rio Grande do Sul mais da metade das 23 Unidades de Conservação (UC) estaduais são Parques, categoria que privilegia o uso público. O Programa de Uso Público visa ordenar a presença humana no interior da UC, prevendo turismo, educação e interpretação ambiental. Este trabalho teve por objetivo diagnosticar a realidade dos programas de uso público dos parques estaduais do Rio Grande do Sul, conhecendo a percepção dos gestores dessas áreas quanto às atividades desenvolvidas e a eficácia de cada programa. Oito parques estaduais que já contam com plano de manejo foram estudados. A falta de funcionários é apontada por todos os gestores como sendo o fator responsável pelo fato de sete parques estaduais não receberem visitantes. Mais da metade das ações propostas nos programas de uso público não estavam efetivadas quando da realização do estudo.

An overview on Public Use in State Parks of Rio Grande do Sul (Brazil)

ABSTRACT
The public use of a protected area is associated to the process of visitation that can manifest itself in educational, leisure, recreational and environmental interpretation activities, as long as it does not negatively affect the conservation objectives of the visited area. In Rio Grande do Sul, more than half of the 23 protected areas are Parks, a category that favors public use. The Public Use Program aims to order the human presence inside the protected area, providing for tourism, education and environmental interpretation. This study aimed to diagnose the reality of the public use programs of the state parks of Rio Grande do Sul, knowing the perception of the managers of these areas as to the activities developed and the effectiveness of each program. Eight state parks that already have a management plan were studied. The lack of employees is pointed out by all managers as being the factor responsible for the fact that seven state parks do not receive visitors. More than half of the actions proposed in public use programs were not implemented at the time of the study.

KEYWORDS: Ecotourism; Visitation; Protected Area.
Análise do potencial e da demanda de visitação da Floresta Nacional de Capão Bonito (SP)
Authors: Santos Mariane Thais , Melo Ismail Barra Nova de , Cardoso-Leite Eliana 
Published: June 2019

As Florestas Nacionais tem como objetivo o uso múltiplo dos recursos florestais, pesquisa científica com ênfase em métodos para a exploração sustentável de florestas e permitem a visitação pública. Este estudo teve como objetivo analisar o potencial de Uso Público da Floresta Nacional de Capão Bonito e a existência de demanda por visitação das comunidades do entorno. Como procedimentos metodológicos foram realizadas entrevistas com uma parcela população dos municípios de Capão Bonito e Buri e com a gestora da Flona. Foi também analisada a presença de atrativos turísticos e de infraestrutura necessária para atividades de uso público. Os resultados mostraram que a maioria dos entrevistados, desconhecia até então as estratégias de conservação ambiental e nunca havia visitado a Flona, porém apresentou interesse em visitá-la. A gestão da Flona avaliou que a mesma tem potencial para visitação, porém registrou que esta atividade só deveria acontecer com a publicação do Plano de Manejo da Unidade. Os resultados mostraram também que a Flona de Capão Bonito apresenta atrativos e possui muitos dos itens de infraestrutura considerados mínimos para viabilização de seu Uso Público. Conclui-se que a Floresta Nacional tem potencial de Uso público como patrimônio natural e histórico/cultural e apresenta demanda de visitantes dos municípios do entorno.

Analysis of the potential and demand for visitation in Capão Bonito National Forest (SP, Brazil)

ABSTRACT
The National Forests (“Flona”) aims at multiple use of forest resources, scientific research with emphasis on methods for the sustainable exploitation of forests and permit public visitation. This study aimed to analyze the potential of Public Use of the Capão Bonito National Forest and the existence of demand for visitation of the surrounding communities. As methodological procedures were carried out interviews with a population sample from Capão Bonito and Buri cities and with the Flona’s manager. It also analyzed the presence of tourist attractions and infrastructure necessary for public use activities. The results showed that most of the interviewees were previously unaware of environmental conservation strategies and had never visited Flona, but they had shown interest in visiting it. Flona's manager evaluated that it has potential for visitation but noted that this activity should only happen with the publication of the Management Plan of the Unit. The results also showed that the Flona de Capão Bonito presents attractive and has many of the items of infrastructure considered minimum to enable its Public Use. It is concluded that the National Forest has potential of Public use as natural and historical /cultural patrimony and presents demand of visitors of the surrounding municipalities.

KEYWORDS: Ecotourism; National Forest; Public Use.
Contribuição da Educação Ambiental no âmbito de desenvolvimento de gestão residual no Instituto Agrário Chókwè, Moçambique
Authors: Macorreia Munossiua Efremo 
Published: June 2019

Atualmente a educação ambiental, é o único instrumento que desempenha maior influência na sensibilização nas pessoas no âmbito social, econômico e socioambiental, proporcionando consciência que possibilita contribuir positivamente na construção duma sociedade sustentável que envolve a participação ativa dos munícipes, visando a diminuição da quantidade de matéria orgânica e produtos reutilizáveis ou recicláveis disponível nos resíduos sólidos de origem domiciliar, comercial e industrial. Para o efeito, a pesquisa em causa é qualitativa, com abordagem descritiva, exploratória e empírica Pois, com base desta pesquisa, permitiu o pesquisador fazer a observação, seleção, consolidação, análise documental e a entrevista semi-estruturada através de contacto direto com os formandos, agentes públicos, professores e a comunidade em geral. Assim, foram realizadas entrevistas com 90 formandos do primeiro, segundo e terceiro ano do curso de Agro-Pecuária, com uma amostra de 27 formandos, subdivididas em dois grupos: Sendo 15 homens com 55.6% e 12 mulheres com 44.4%. Todos foram interrogados sobre conteúdos relacionados com a gestão dos resíduos sólidos, visando identificar a quantidade e tipo de resíduo gerado pela escola, na perspetiva de responder a seguinte questão: Quais os níveis de conhecimentos e as práticas educativas que podem ajudar no âmbito escolar para a mitigação e a gestão seletiva dos resíduos sólidos? Assim, O presente estudo tem como objetivo: Analisar a contribuição da educação ambiental na coleta seletiva do lixo, de forma que os aprendizes possam assumir posições significativas com valores referentes ao seu
comportamento no âmbito da gestão dos resíduos sólidos, identificando qual o nível de compreensão em relação ao meio ambiente em seu dia-a-dia. Face a isso, os resultados revelam a existência de carência nos serviços de limpeza pública oferecidos pelo município, o que desestimula os aprendizes a separação dos resíduos, já que não há coleta seletiva.
PREVALENCIA DE ICTERICIA NEONATAL Y FACTORES ASOCIADOS EN RECIÉN NACIDOS A TÉRMINO
Authors: Ñacari-Vera Miguel 
Published: June 2019

Objetivo: Describir la prevalencia y factores asociados a la ictericia neonatal en recién nacidos. Materiales y métodos: Estudio de revisión, descriptivo transversal. Las bases de datos de revistas médicas científicas empleadas principalmente fueron PubMed y Scielo. Resultados: Hasta la actualidad a nivel mundial se reportan casos de hiperbilirrubinemia neonatal. Las últimas prevalencias encontradas en la literatura son 55,2% en Estados Unidos, 29 % en Nepal, 6,7% en Nigeria y en Europa valores que van del 6% al 59%. Mientras que en América del Sur Bolivia y Chile han reportado altas prevalencias de 76,3% y 69,2%, y en Perú alrededor de 7%. Entre los factores de riesgo asociados principalmente se detallan bebé de sexo masculino, grupo sanguíneo del sistema ABO o de factor Rh, defectos de la membrana del eritrocito (esferocitosis hereditaria), deficiencias
enzimáticas (deficiencia de glucosa 6 fosfato deshidrogenasa) y hemoglobinopatías. Conclusiones: La prevalencia de ictericia neonatal es variable a nivel mundial. Los pocos estudios realizados en Perú reportan prevalencia alrededor del 7%. Es necesario que se realicen más estudios para tener datos a nivel nacional que permitan establecer estrategias de control y tratamiento según las necesidades de la región.
SOSIALISASI OLAHRAGA TRADISIONAL UNTUK MENINGKATKAN KEBUGARAN DAN MINAT SISWA SD TERHADAP PEMBELAJARAN OLAHRAGA DI WILAYAH KECAMATAN TAMANSARI
Authors: Permana Rahmat , Nugraha Mohammad Fahmi , Hendrawan Budi , Pratiwi Anggia Suci , Nurfitriani Meiliana , Saleh Yopa Taufik 
Published: June 2019

Pembelajaran olahraga di Sekolah Dasar perlu berorientasi pada minat dan kesenangan dalam melakukan aktivitas fisik, orientasi belajar gerak khusus untuk meningkatkan keterampilan satu kecabangan olahraga tidak bisa dilakukan di Sekolah Dasar. Pelaksanaan keterampilan kecabangan berpotensi menurunkan motivasi dalam bergerak. Olahraga tradisional di indonesia belum terlalu gencar dilaksanakan. khususnya di daerah Tasikmalaya olahraga ini terkadang oleh guru kurang diberi perhatian lebih akibatnya berdampak pada peserta didik yang kehilangan motivasi berolahraga, motivasi bergerak dan kesadaran olahraga secara mandiri belum tercipta. Karena anak tidak pernah mengalami pengalaman belajar gerak yang menyenangkan. Dalam PENGMAS Program Studi PGSD akan menerapkan program pendidikan olahraga berbasis permainan untuk anak SD di kecamatan tamansari kota Tasikmalaya. Adapun metode tersebut merupakan hasil penelitian bahwa permainan tradisional berpengaruh signifikan terhadap pengembangan motorik kasar dan peningkatan level kebugaran jasmani anak pada kategori usia SD. Tujuan dari pengabdian ialah meningkatkan minat terhadap pembelajaran olahraga, meningkatkan level kebugran anak SD di kecamatan tamansari dan memperkenalkan olahraga tradisional sebagai alat untuk melestarikan kebudayaan masyarakat Jawa Barat khususnya kepada generasi penerus bangsa yaitu anak SD. Metode permainan olahraga tradisional dilakukan dengan metode Play-Teach-Play yang disisipkan pada tahap pelaksanaan pemanasan olahraga sebelum masuk ke dalam materi inti.