bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tıp Eğitiminde İnsani Boyut ve Anlatı Tıbbının İmkânları
Authors: YILDIZ Merve , GÜLPINAR Mehmet Ali 
Published: October 2019

Flexner raporu, biyomedikal görüşün tıp eğitimine yerleşmesi açısından dönüm noktası olur. Flexner sonrası dönemde tıp eğitiminde biyomedikal yaklaşım güçlenir ancak sağlık eğitiminde ve sağlık bakım süreçlerinde insani ve sosyokültürel yön kaybedilir. İnsan ve hasta bireyler biyolojik ve hatta moleküler düzeye indirgenir. İnsanların aynı zamanda anlam odaklı hayat yaşadıkları gözden kaçırılır. Zaman içerisinde “bütünlüğün kaybı” olarak değerlendirilen biyomedikal görüşe karşı anlamlı bir direnç ortaya çıkmaya başlar. Yalnızca hastaların bedenlerini değil aynı zamanda onların psişik yaşamlarını ve sosyal bağlamlarını da dikkate alan bütüncül bir yaklaşım olan “biyopsikososyal perspektif” savunulur. Tıp akademisyenleri, yorumlayıcı paradigma çerçevesinde sosyal ve insani bilimlerin sağlık hizmetlerinde oynayabileceği role dikkat çekerler. Sosyal ve insani bilimlerin tıp eğitimi programlarına entegrasyonu süreç içerisinde hız kazanır ve tıp eğitiminde “tıpta insan bilimleri” bu bağlamsal zeminde gelişir. Tıpta insan bilimleri içerisinde yer alan tıp ve edebiyat çalışmaları, biyopsikososyal yaklaşımla birlikte, doktor-hasta anlatı etkileşimi dâhil olmak üzere, kişilerarası deneyimlerin devreye girmesiyle anlatı tıbbını ortaya çıkarır. Dolayısıyla anlatı tıbbı, tıp eğitiminde biyomedikal perspektifin göz ardı ettiği insanı bütün olarak değerlendirme yaklaşımına karşı tıpta insan bilimlerinin tıp eğitimine entegre edilmesi çalışmalarının bir sonucu olarak gelişir. Tıp ve edebiyat bağlamında anlatı tıbbı, edebiyatın sanatsal söyleminin tıp eğitimine yedirilmesi amacını güder. Hastalık hikâyelerini tanıma, özümseme, yorumlama kapasitesi olarak tanımlanan anlatı tıbbı, tıp eğitiminde bütünlüğün kaybının iyileştirilmesi imkânı doğurur. Yakın/derinlikli okuma ve anlatısal/reflektif yazım gibi eğitim etkinlikleri ile kazanılan anlatı yeterlikleri, insani duyarlılığı artmış daha nitelikli hekimler yetişmesine katkı sağlayabilir. Bu yazıda, tıp ve tıp eğitimi süreçlerine daha insani bir çerçeve sağlanması noktasında anlatı tıbbının imkânları nelerdir sorusu ele alınmış; yurtdışı ve yurtiçi çalışmalarla anlatı tıbbı uygulamalarının tıp eğitimine katkıları değerlendirilmiştir.
The Menace of Moral Degenerations in Nigeria’s Tertiary Institutions: Islamic Universities to the Rescue
Authors: Suraju Saheed Badmus 
Published: October 2019

It is not an overstatement to say that things continue to degenerate everyday in all aspects of human life, especially the social aspect. This social life of man is full of transgression and corruption which have led to moral degeneration in the society. These societal evils have extended their tentacles to educational life of man, the Tertiary Institutions in Nigeria especially the Universities, which are to provide the needed man power, acquisition of skills and refinement of moral for the future leaders of the country, have become the breeding grounds for ignoramus, hoodlums, cheaters, rapists, prostitutes, etc. The study adopted historical, descriptive and phenomenological methods in carrying out the research. The paper revealed some notable immoralities which are the order of the day in the Nigerian Tertiary Institutions and are posing threats to educational developments in the nation. The paper concluded that religious universities are alternatives in controlling the rate at which the immoralities are growing. Thus, it recommended that Islamic Universities should be given licenses as the lasting solution to the menace through their series of programmer which are in consonance with the tenets of Islam.
Imperial Tobacco and Trial Lawyers: An Unstable and Unsuccessful Retreat
Authors: Johnson (Alyn) James 
Published: October 2019

The Supreme Court of Canada established an architectural model of the Constitution through the Reference re Remuneration of Judges of the Provincial Court of Prince Edward Island and the Reference re Secession of Quebec. This model has an informing core of “organizing principles” engaging both written and unwritten rules. These two decisions and earlier landmark rulings have used unwritten principles to reach dramatic conclusions. Yet, the Supreme Court departs from this line of authority in Imperial Tobacco in which a strong textual approach is taken. The author argues this decision led to instability in constitutional doctrine that was further complicated in Trial Lawyers. This article explores the strengths of the Judges Reference and the Secession Reference and the need to uphold the use of unwritten constitutional principles while calling for the Imperial Tobacco case to be set aside.
Pengaruh Konsentrasi Asam Klorida pada Arang Aktif Kulit Kelapa Muda untuk Menurunkan BOD dan DO Limbah Cair Tahu
Authors: Sumardiyono Sumardiyono , Soebiyanto Soebiyanto 
Published: October 2019

Telah dilakukan penelitian pembuatan arang aktif dari kulit kelapa muda dengan aktifvator asam klorida yang akan digunakan sebagai adsorben pada limbah cair tahu. Pembuatan adsorben dari kulit kelapa muda ini dilanjutkan dengan uji kemampuannya untuk mengadsorpsi BOD dan DO pada limbah cair tahu. Pembuatan karbon aktif kulit kelapa muda dilakukan melalui pemilihan pencucian, pengeringan, pengarangan, aktivasi menggunakan asam klorida dengan variabel waktu perendaman. Untuk pengujian BOD dan DO dilakukan dengan metode titrasi. Konsentratrasi asam klorida yang dipergunakan 0,5 N; 1 N; 1,5 N; 2N; dan 2,5 N dengan waktu perendaman masing-masing konsentrasi 0,5 jam, 1 jam, 1,5 jam, 2 jam dan 2,5 jam. Setelah jadi arang aktif kemudian dipergunakan untuk menyerap limbah cair tahu. Hasil percobaan didapatkan hasil yang terbaik adalah pada konsentrasi 2,5 N. Untuk waktu perendaman 0,5 jam besarnya DO 2013 mg/l, efisiensinya 86,91% dan besarnya BOD 284 mg/l efisiensi 87,64 %. Untuk waktu perendaman 1 jam besarnya DO 2015 mg/l efisiensinya 87,64% dan besarnya BOD 267 mg/l efisiensi 88,38%. Untuk waktu perendaman 1,5 jam besarnya DO 2002 mg/l efisiensinya 86,52% dan besarnya BOD 305 mg/l efisiensnyai 86,72%. Untuk waktu perendaman 2 jam besarnya DO 1833 mg/l efisiensinya 86,25% dan besarnya BOD 314 mg/l efisiensinya 86,33%. Untuk waktu perendaman 2,5 jam besarnya DO 1971 mg/l efisiensinya 86,17% dan besarnyaBOD 313 mg/l efisiensinya 86,37% . jadi dapat disimpulkan untuk hasil terbaik BOD yaitu pada konsentrasi asam klorida 2,5 N dengan waktu perendaman 1 jam, besarnya BOD 267 mg/l dengan efisiensi sebesar 88,38% , dan besarnya DO konsentrasi asam klorida 2,5 N waktu perendaman 1 jam besarnya DO 2015 mg/l dengan efisiensi 87,64 %.
Prevalensi Hipertensi pada Pasien Diabetes Melitus di Kelurahan Mojosongo Kota Surakarta
Authors: Prabowo Ratna Herawati 
Published: October 2019

Diabetes Melitus merupakan suatu kelompok penyakit metabolik dengan karakteristik hiperglikemi .Penyakit Diabetes Melitus merupakan penyakit yang tidak dapat disembuhkan tetapi dapat dikendalikan. Tetapi jika penyakit ini tidak ditangani dengan baik akan timbul komplikasi, salah satu komplikasi makroangiopati pada DM adalah hipertensi, sehingga tujuan penelitian ini adalah untuk mengetahui prevalensi hipertensi pada pasien DM di wilayah Mojosongo Surakarta. Penelitian dilakukan di Puskesmas Sibela Surakarta, dengan subyek penelitian pasien DM sebanyak 50 orang. Desain penelitian pendekatancross sectional dengan tehnik purposive sampling . Instrumen penelitian yang digunakan adalah kuesioner dan alat spygnomanometer.Untuk mengetahui prevalensi digunakan pendekatan deskriptif. Pada hasil penelitian didapatkan adanya pasien DM yang juga terdiagnosa hipertensi. Prevalensi Hipertensi pada pasien DM sebanyak 14 orang ( 28 % ) dari 50 sampel, dimana jenis kelamin perempuan lebih banyak dibandingkan laki laki, yaitu sebanyak 11 orang ( 78,6 %). Sedangkan prevalensi berdasarkan umur didapatkan hasil bahwa sebagian besar berumur ≥ 61 tahun, yaitu sebanyak 8 orang ( 57,2 %). Untuk prevalensi berdasarkan lamanya menderita penyakit, didapatkan hasil bahwa sebanyak 9 orang ( 64,3%) telah menderita DM lebih dari 10 tahun. Adanya pasien DM yang disertai dengan hipertensi, dengan prevalensi sebesar 14 orang ( 28 %).
KEPUASAN PERNIKAHAN PADA SUAMI DENGAN ISTRI SEBAGAI PENCARI NAFKAH UTAMA
Authors: Kristanto Daniel P. H. , Setianingrum M. Erna 
Published: October 2019

Kepuasan Pernikahan dianggap sebuah hal yang penting dalam kehidupan. Kepuasan dalam sebuah pernikahan dapat meningkatkan kebahagiaan seseorang yang dapat mempengaruhi banyak aspek dalam hidupnya. Biasanya dalam pernikahan, sosok pria dituntut untuk dapat memberi nafkah utama bagi keluarganya. Karena berbagai macam alasan, bisa saja wanita yang mengambil peran untuk menjadi pencari nafkah utama dalam keluarganya. Kondisi tidak lazim dalam pernikahan bisa saja mempengaruhi kepuasan dalam pernikahan tersebut. Penelitian ini menggunakan metode penelitian kualitatif dengan 2 orang suami sebagai responden penelitian. Teknik pengambilan data dilakukan dengan cara wawancara dan observasi terhadap responden dimana responden memiliki karakteristik seorang suami yang masih memiliki istri dan pendapatan utama keluarga diperoleh dari penghasilan istri. Hasil penelitian gambaran kepuasan pernikahan mengacu pada 10 aspek yang dikemukakan oleh Fowers dan Olsen (1898;1993) ditambah dari beberapa faktor-faktor lain yang memengarhi kepuasan pernikahan. Penelitian ini memperoleh hasil yang menyatakan bahwa kepuasan pernikahan dari responden 1 dan responen 2 berbeda.
DAMPAK METODE DEMONSTRASI TERHADAP PERKEMBANGAN EMOSI ANAK USIA 5-6 TAHUN
Authors: Wardhani Junita Dwi , Khotimah Khusnul 
Published: October 2019

Tujuan penelitian ini adalah untuk mengetahui dampak penggunaan metode demonstrasi terhadap perkembangan emosi anak usia 5-6 tahun. Penelitian ini merupakan penelitian eksperimen dengan jenis One Group Pretest-Posttest Design. Subjek penelitian ini adalah anak usia 5-6 tahun TK ABA Cremo yang berjumlah 23 anak. Teknik pengumpulan data dalam penelitian ini menggunakan observasi, sedangkan teknik analisis datanya menggunakan analisis deskriptif dan analisis inferensial. Analisis deskriptif digunakan untuk mengetahui status perkembangan emosi anak sebelum dan sesudah diberikan eksperimen sedangkan analisis inferensial untuk menguji hipotesis menggunakan uji T dalam program SPSS 16.0 for windows yaitu Paired Sample t-test.

Berdasarkan analisis hasil penelitian menggunakan t-test diperoleh nilai thitung=-24,355 dan -ttabel=-2,074 dengan probabilitas 0,000. Probabilitas 0,000 < ɑ =0,05 maka hipotesis nol (H0) ditolak yang berarti penggunaan metode demonstrasi berdampak terhadap perkembangan emosi anakusia 5-6 tahun.
POSITIVE PSYCHOTHERAPY UNTUK MENGURANGI GEJALA DEPRESI PADA PASIEN GANGGUAN SKIZOFRENIA
Authors: Nisa Walda Isna 
Published: October 2019

Subjek seorang laki-laki berusia 22 tahun yang mengalami gangguan skizofrenia dengan gejala depresi. Studi kasus ini bertujuan mengurangi gejala-gejala depresi pada gangguan skizofren yang dialami oleh subjek. Metode pengumpulan data menggunakan teknik wawancara berupa, autoanamnesa dan alloanamnesa, observasi dan tes psikologi (Tes Grafis, Wartegg, Wais, WWQ, SSCT dan skala BDI-II). Intervensi yang dilakukan menggunakan positive psychotherapy yang terdiri dari 9 sesi dan sesuai dengan teori Learned Helpessness, dimana kepasifan dan perasaan subjek yang merasa tidak mampu bertindak dan mengendalikan hidupnya terbentuk melalui pengalaman yang tidak menyenangkan dan trauma yang tidak berhasil dikendalikan sehingga menimbulkan rasa tidak berdaya yang kemudian memicu depresi. Intervensi tersebut bertujuan untuk menemukan kekuatan-kekuatan positif yang subjek miliki, sehingga subjek mampu memaknai kehidupannya secara positif dan mampu mengenal dirinya untuk mengembangkan potensinya. Setelah dilakukan intervensi subjek sudah mulai mampu melakukan aktivitas sehari-hari, berinteraksi terlibat dalam kegiatan sosial. Hal ini didukung oleh motivasi subjek untuk sembuh namun subjek kurang percaya diri menjalani kehidupannya. Dukungan keluarga dan lingkungan sangat positif sehingga dapat meningkatkan motivasi subjek dalam mengurangi gejala depresi yang dialami.
Characterization Performance of Monocrystalline Silicon Photovoltaic Module Using Experimentally Measured Data
Authors: Mohammed Mena Safaa , Hashim Emad Talib 
Published: October 2019

Solar photovoltaic (PV) system has emerged as one of the most promising technology to generate clean energy. In this work, the performance of monocrystalline silicon photovoltaic module is studied through observing the effect of necessary parameters: solar irradiation and ambient temperature. The single diode model with series resistors is selected to find the characterization of current-voltage (I-V) and power-voltage (P-V) curves by determining the values of five parameters ( ). This model shows a high accuracy in modeling the solar PV module under various weather conditions. The modeling is simulated via using MATLAB/Simulink software. The performance of the selected solar PV module is tested experimentally for different weather data (solar irradiance and ambient temperature) that is gathered from October 2017 to April 2018 in the city of Baghdad. The collected data is recorded for the entire months during the time which is limited between 8:00 AM and 1:00 PM. This work demonstrates that the change in a cell temperature is directly proportional with the PV module current, while it is inversely proportional with the PV module voltage. Additionally, the output power of a PV module increases with decreasing the solar module temperature. Furthermore, the Simulink block diagram is used to evaluate the influence of weather factors on the PV module temperature by connecting to the MATLAB code. The best value from the results of this work was in March when the solar irradiance was equal to 1000 W/m2 and the results were:
Isc,exp=3.015, Isc,mod=3.25 , RE=7.79 and Voc,exp=19.67 ,Voc,mod=19.9 ,RE=1.1
Virus Detection of Pacific White Shrimp (Litopenaeus vannamei) at Fish Quarantine Center, Quality Control, and Security of Fishery Product in Surabaya I
Authors: Azizah Aulia , Budi Darmawan Setia , Fasya Arif Habib , Kenconojati Hapsari , Azhar Muhammad Hanif 
Published: September 2019

Pacific white shrimp (Litopenaeus vannamei) is one of the leading fisheries commodities that have important economic value and are in great demand by consumers in the market. Pacific white shrimp has several advantages, namely rapid growth, able to adapt to a high range of salinity, and can be cultured with a super intensive system, but in recent years the total shrimp production in Indonesia has decreased. In 2012 the total shrimp production decreased from 1.900 tons to 1.025 tons, the virus is thought to be a pathogen that triggers disease in shrimp and causes high mortality. The type of virus that causes disease in pacific white shrimp cultivation is Taura Syndrome Virus (TSV), Infectious Myonecrosis Virus (IMNV), and White Spot Syndrome Virus (WSSV). The purpose of this study is to detect viruses that infected and determine the prevalence of viruses that attack pacific white shrimp. The research was conducted in December 2018 to January 2019 at Fish Quarantine Center, Quality Control and Security of Fishery Product Surabaya I. The material used in the study was 37 post larval samples. Samples extracted using Silica Extraction Kit, then detected molecularly using PCR (Polymerase Chain Reaction). This research was observational, then the data obtained were analyzed descriptively. The results showed that there were 3 positive samples of IMNV and 2 positive samples of WSSV with prevalence values of 8.10% and 5.40%. High and low prevalence values are influenced by the level of virus spread and inappropriate environmental conditions.

Keywords : Pacific white shrimp, PCR (Polymerase Chain Reaction), prevalence, virus.
İzlenim Yönetimi Taktikleri ile Yaşam Doyumu Arasındaki İlişki: Tekstil Sektörü Çalışanları Üzerine Bir Araştırma
Authors: ÖZMEN Mehmet , HASÇELTİK Zübeyde 
Published: October 2019

Bireyler, yaşamları boyunca içinde bulundukları ortam gereği diğer bireylerle etkileşim ve iletişim halindedirler. İçinde bulundukları ortamda da diğer bireylere amaçları doğrultusunda belirli izlenim oluşturmak isterler. Bunun için de izlenim yönetimi taktikleri davranışlarına başvururlar. Bireyler izlenim yönetimi taktiklerine başvurarak aslında maddi veya manevi kazanım elde etmek isterler. Bu bağlamda bireyin belirli taktikler kullanarak örgüt ortamlarında veya sosyal ortamlarda kazandıkları maddi ve manevi kazanımlar yaşamlarıyla yakından ilişkilidir. Bu amaçla çalışma Denizli’de çeşitli tekstil fabrikalarında 392 mavi yakalı çalışan üzerinde gerçekleştirilmiştir. Araştırmada nicel araştırma yöntemleri uygulanmıştır. Kolayda örneklem tekniği ile anket uygulanarak elde edilen verilere fark testleri ve korelasyon analizi uygulanmıştır. Araştırma bulgularına göre, izlenim yönetimi taktikleri alt boyutu olan niteliklerini tanıtarak kendini sevdirmeye çalışma taktiği ile yaşam doyumu arasında anlamlı bir ilişkisi bulunmuştur. Diğer taraftan kendini örnek bir personel gibi göstermeye çalışma, kendi önemini zorla fark ettirmeye çalışma, kendine acındırmaya çalışma taktikleri ile yaşam doyumu arasında anlamlı bir ilişki tespit edilememiştir.
Blunt cerebrovascular injury in pediatric trauma: a national database study
Authors: Harris Dominic A. , Sorte Danielle E. , Lam Sandi K. , Carlson Andrew P. 
Published: October 2019

OBJECTIVEThe incidence of blunt cerebrovascular injury (BCVI) has not been well characterized in the pediatric population. The goal of this study was to describe the incidence, patient characteristics, and risk factors for pediatric patients with cerebrovascular injuries.METHODSThe authors collected data from the Kids’ Inpatient Database (KID), a nationally representative database of pediatric admissions, for years 2000, 2003, 2006, 2009, and 2012.RESULTSAmong an estimated 646,549 admissions for blunt trauma, 2150 were associated with BCVI, an overall incidence of 0.33%. The incidence of BCVI nearly doubled from 0.24% in 2000 to 0.49% in 2012. Patients 4 to 13 years of age were less likely to have BCVI than those in the youngest (0–3 years) and oldest age groups comprising adolescents (14–17 years) and young adults (18–20 years). BCVIs were associated with cervical (adjusted OR [aOR] 4.6, 95% CI 3.8–5.5), skull base (aOR 3.0, 95% CI 2.5–3.6), clavicular (aOR 1.4, 95% CI 1.1–1.8), and facial (aOR 1.2, 95% CI 1.0–1.5) fractures, as well as intracranial hemorrhage (aOR 2.7, 95% CI 2.2–3.2) and traumatic brain injury (aOR 2.0, 95% CI 1.7–2.3). Mechanism of injury was also independently associated with BCVI: motor vehicle collision (aOR 1.7, 95% CI 1.3–2.2) and struck pedestrian (aOR 1.4, 95% CI 1.0–1.9). Among pediatric patients with BCVI, 37.4% had cerebral ischemic infarction with an in-hospital mortality of 12.7%, and patients with stroke had 20% mortality.CONCLUSIONSThe incidence of pediatric BCVI is increasing, likely due to increased use of screening, but remains lower than that in the adult population. Risk factors include the presence of cervical, facial, clavicular, and skull base fractures, similar to that of the adult population. Diagnosed BCVI is associated with a relatively high incidence of stroke with increased morbidity and mortality. The use of adult screening criteria is likely reasonable given the similarity in the risk factors identified in this study. Further studies are needed to investigate the role of treatment with antiplatelet agents or anticoagulation.
Muenke syndrome: long-term outcome of a syndrome-specific treatment protocol
Authors: den Ottelander Bianca K. , de Goederen Robbin , van Veelen Marie-Lise C. , van de Beeten Stephanie D. C. , Lequin Maarten H. , Dremmen Marjolein H. G. , Loudon Sjoukje E. , Telleman Marieke A. J. , de Gier Henriëtte H. W. , Wolvius Eppo B. , Tjoa Stephen T. H. , Versnel Sarah L. , Joosten Koen F. M. , Mathijssen Irene M. J. 
Published: October 2019

OBJECTIVEThe authors evaluated the long-term outcome of their treatment protocol for Muenke syndrome, which includes a single craniofacial procedure.METHODSThis was a prospective observational cohort study of Muenke syndrome patients who underwent surgery for craniosynostosis within the first year of life. Symptoms and determinants of intracranial hypertension were evaluated by longitudinal monitoring of the presence of papilledema (fundoscopy), obstructive sleep apnea (OSA; with polysomnography), cerebellar tonsillar herniation (MRI studies), ventricular size (MRI and CT studies), and skull growth (occipital frontal head circumference [OFC]). Other evaluated factors included hearing, speech, and ophthalmological outcomes.RESULTSThe study included 38 patients; 36 patients underwent fronto-supraorbital advancement. The median age at last follow-up was 13.2 years (range 1.3–24.4 years). Three patients had papilledema, which was related to ophthalmological disorders in 2 patients. Three patients had mild OSA. Three patients had a Chiari I malformation, and tonsillar descent < 5 mm was present in 6 patients. Tonsillar position was unrelated to papilledema, ventricular size, or restricted skull growth. Ten patients had ventriculomegaly, and the OFC growth curve deflected in 3 patients. Twenty-two patients had hearing loss. Refraction anomalies were diagnosed in 14/15 patients measured at ≥ 8 years of age.CONCLUSIONSPatients with Muenke syndrome treated with a single fronto-supraorbital advancement in their first year of life rarely develop signs of intracranial hypertension, in accordance with the very low prevalence of its causative factors (OSA, hydrocephalus, and restricted skull growth). This illustrates that there is no need for a routine second craniofacial procedure. Patient follow-up should focus on visual assessment and speech and hearing outcomes.
Implementing backward design to improve students’ academic performance in EFL classes
Authors: Ontaneda Rea Mónica , Sánchez Román Jorge Luis 
Published: September 2019

This study is based on implementing backward design to improve students’ academic assessment, so public high school students can take part of meaningful contexts where they show what they learned at the end of a class term. Taking in consideration, backward design is a great tool to be applied for public high schools where most of the classes are textbooks centered, provoking students’ frustration due to the lack of English knowledge from schools. There is a high rate of students failing courses because students are placed in English levels where they do not belong to or they come from other institutions where they did not learn English. Backward design lets teachers be creative and use skills and methodologies according to students’ needs and be very reflexive in the way of designing it. In this study, pairedT_Test is applied to compare scores from the same level, but using different ways of testing. In conclusion, the experimental group (G2), in which backward design was applied, got better results than the controlled group (G1), who did not apply it. In this case the independent variable which mean and scores are high. Results show backward design is very meaningful not only for students, but also for teachers. It is true that running appropriate action plans, selecting the best resources and conducting a final assessment through a performance task, gave the opportunity for students to gain more confidence on the language and apply it in a real context.