bluuebunny/crossref_metadata_2025_split huggingface dataset:
Elit Tekvandocularda Durumluk ve Sürekli Kaygının Araştırılması
Authors: Öntürk Yavuz , İmamoğlu Osman , KARACABEY Kürşat 
Published: October 2019

Amaç:
Bu araştırmada, Tekvandocuların müsabaka öncesi durumluk ve sürekli kaygı
düzeylerinin belirlenmesi amaçlanmıştır. Yöntem:
Araştırmanın örneklemini 748 tekvandocu oluşturmaktadır. Araştırmada kişisel
bilgi formu ile Spielberger’in Sürekli-Durumluk Kaygı Envanteri
kullanılmıştır. İstatistiksel işlemlerde
t testi, tek yönlü varyans analizi ve LSD testleri kullanılmıştır. Bulgular ve tartışma: Araştırmada
Tekvandocuların durumluk kaygı düzey erkeklerde 62,83 ve kadınlarda 63,61 iken
süreklilik kaygı düzeyi ise erkeklerde 35,50 ve kadınlarda 35,38 puan
ortalamasında oldukları tespit edilmiştir. Cinsiyete göre durumluk kaygı
puanları arasındaki fark istatistiksel olarak anlamlıdır (p&lt;0,05). Eğitim
durumuna göre süreklilik puanlarında bir farklılık bulunmazken durumluk
puanlarında fark olması anlamlıdır (p&lt;0,05). Spor yaşına göre süreklik kaygı
puanlarında anlamlı farklılık varken (p&lt;0,05), durumluk kaygı puanlarında anlamlı bir
farklılık bulunmamıştır (p&gt;0,05). Sonuç:
Tekvandocularda müsabakalar öncesi durumluk kaygı düzeylerinin yüksek ve
süreklilik kaygı düzeylerinin ise düşük düzeyde olduğu tespit edilmiştir. Tekvandoculara durumluk kaygıyı azaltıcı çalışmalar
yapılmalıdır.
Immunohistochemical Study on Hormone Receptors and HER2 Status in Invasive Breast Carcinoma and its Therapeutic Implications
Authors: Karim Md Iqbal , Islam Md Tarikul , Nargis Nazlima 
Published: October 2019

Background: Immunohistochemistry (IHC) has become an integral part of histopathology in the diagnosis of biopsysample. Although haematoxylin and eosin (H & E) stain remains the fundamental basis for diagnostic pathology of thebreast, IHC stains provide useful and sometimes vital information. Moreover, the role of hormonal therapy in hormonereceptor–positive breast tumours, as well as targeted chemotherapeutic agents for human epidermal growth factorreceptor-2 (HER2) positive cases, IHC studies represent a major part of workups.
Objective: The study was carried out to identify the common immunohistochemical markers in invasive breastcarcinoma and to find out the relationship between hormonal receptor status and HER2 over expression with the gradeof tumour and its therapeutic implications.
Method: In the present study, immunohistochemical assay of total seventy-two blocks of breast carcinoma patients wasperformed to know the hormone receptors and HER2 status as well as histological examination.
Result: 72 samples were grouped to study hormonal status and their relation with clinicopathological factors. Outcomeof this study documented 58.33 %, 44.44% and 25 % expression rate of estrogen receptor (ER), progesterone receptor(PR) and human epidermal growth factor receptor-2 (HER2) respectively. The negative expression of HER2 receptorsfound higher (75%) than ER & PR. The ER, PR negative and HER2 Positive cases found in high grade breast cancer(Grade-3). An inverse correlation of HER2 expression with ER and PR expression was observed (p=0.001).
Conclusion: The role of hormone receptors and HER2 repression as a prognostic and therapeutic tool in breast canceris widely accepted and effective for patients.
Bangladesh Crit Care J September 2019; 7(2): 95-98
Acquired Melanonychia and Mucocutaneous Hyper pigmentation with Hydroxyurea Therapy for the Treatment of Blast Crisis of Chronic Myeloid Leukaemia: A Case Report
Authors: Md Atiquzzaman - , Taher Md Abu , Bhattacharyya PK , Begum Momtaz , Islam Tayef Md Tahlil , Alam Shahidul , Akhtar Farzana , Sohan - Md Ashikuzzaman 
Published: October 2019

Hydroxyurea is an antineoplastic agent used to treat chronic myeloid leukaemia (especially in accelerated phaseand blast crisis). We report this unique case of a 60 year old lady who was diagnosed case of chronic-phase ofchronic myeloid leukaemia was getting imatinib and well suited. As a consequence of imatinib noncompliance,she developed blast crisis and was subsequently hydroxyurea initiated. At her 3rdmonth follow-up she presentedwith blackening of her exposed parts of the body, all three mucocutaneous areas especially skin of her hands, feet,fingernails, toenails and oral mucosa in some extent.Hydroxyurea-induced melanonychia and mucocutaneous hyperpigmentation is rarely reported. To the best of ourknowledge, this is one of the few published reports of hydroxyurea induced mucocutaneous hyperpigmentationand melanonychia involving all 20 nails. The mainstays of treatment are withdrawal of the drug andsun-avoidance; laser therapy is a hope for cure in small percentage of permanent cases. A correct diagnosis isessential to prevent undue fears in the patient. Proper advice to the patient regarding adverse reactions ofparticular agent and close monitoring after prescribing should be ensured to prevent harm to patients. Alwaysshould remember, drugs not only save life, but can even take it.
Bangladesh Crit Care J September 2019; 7(2): 106-108
A case of Leaking Abdominal Aortic Aneurysm
Authors: Haque Rashedul , Faruq Mohammad Omar , Sultana Amina , Rahman Mir Atiqur , Shamarukh Karishma , Hasan S M Razibul 
Published: October 2019

Abstract not available
Bangladesh Crit Care J September 2019; 7(2): 116-117
HUBUNGAN DARI MOTIVASI DAN LINGKUNGAN KERJA TERHADAP KINERJA KARYAWAN PT GENERASI KREATIF MUDA INDONESIA
Authors: Desya Calista Sarah 
Published: October 2019

This research about the relationship from motivation and work environmental to the perfomance of employee PT Generasi Kreatif Muda Indonesia. This research is a knowledge to know whether there is correlation of motivation and work environmental to the employeeâ€™s perfomance. The method of the research used is quantitaive method and used the set of a questionnaire. Population and sample of the research are 34 people. The questionnaire was given to the sample. After data was collected, then it was analyzed, and after that finding was drawn, the finding there is correlation of motivate and work environmental to employeeâ€™s perfomance. In order to maintain and improve employeeâ€™s perfomance, motivation and work environment PT Generasi Kreatif Muda Indonesia are important element that needs to more concern.
Keywords: Motivation, Work Environment, and Employee Perfomance
KONFIGURASI JALUR PEDESTRIAN YANG PERMEABLE DI DALAM AREA BARRIER ANTARA KAWASAN BANGKITAN DAN TARIKAN
Authors: Wafirul Aqli Wafirul 
Published: October 2019

The MH Thamrin Central Jakarta road area is an office area adjacent to residential areas in all its socio-economic levels. With the configuration of access to the existing road spaces, office blocks become barrier for residential areas as generated when they are related to the MRT station as pulled of movement. This problem is the background of this research, so that a solution that is found to be effective in making this office block more permeable to access existing MRT stations. In walking activities, shorter travel times and increased mobility can be obtained by the existence of environmental permeability to the movement actors who in this case are pedestrians themselves. Environmental permeability is created from factors such as connectivity and accessibility. Based on the theory, and with the space syntax simulation method using the DepthmapX application, this study was designed to identify accessibility condition of the area being the case study, and also to find a more permeable configuration from the generated area to the pulled area through the barrier.
PENGEMBANGAN MODEL RESIPROCAL, EXAMPLE NON EXAMPLE, DAN MIND MAPPING (REXMIND) UNTUK MENGOPTIMALISASI HASIL PEMBELAJARAN ILMU PENGETAHUAN SOSIAL (IPS) DI KELAS VII
Authors: Sariningsih Sri , Yusuf Adi E , Sutisna Entis , Laihad Griet Helena 
Published: October 2019

Tujuan penelitian ini untuk mengoptimalisasi hasil pembelajaran ilmu pengetahuan sosial (ips) di kelas VII melalui pengembangan model resiprocal, example non example, dan mindmapping (rexmind). Penelitian ini digolongkan ke dalam penelitian Research and Development (R&#38;D) dengan menggabungkan Model pembelajaran Reciprocal, Example Non-Example, dan Mind Mapping. Uji coba terbatas dilaksanakan di SMPN 1 Cireunghas dengan 36 SISWA, dan uji coba luas di SMPN 1 Nyalindung dengan 36 siswa dan SMPN 3 Nyalindung dengan 23 siswa. Metode yang digunakan adalah metode survey dan teknik pengumpulan data kualitatif dan kuantitatif. Penilaian hasil belajar siswa pada uji coba terbatas pada ranah kognitif adalah 91.67 %, afektif adalah 87 %, psikomotor 88 % dan antusiasme siswa 88.7% dengan KKM 70. Penilaian hasil belajar siswa pada uji coba luas pada ranah kognitif adalah 94.44 %, afektif adalah 89 %, psikomotor 91 % dan antusiasme siswa 92% dengan KKM 70. Penilaian hasil belajar siswa pada uji coba luas pada ranah kognitif adalah 91.3 %, afektif 85 %, psikomotor 86 % dan antusiasme siswa 92.50 % dengan KKM 70. Penelitian ini merekomendasikan bahwa Pengembangan Model REXMIND pada Mata Pelajaran IPS Se-Komisariat Sukaraja (Reciprocal, Example Non-Example, dan Mind Mapping) berhasil meningkatkan hasil belajar baik secara kognitif, afektif, psikomotorik dan antusiasme siswa . Penelitian Research and Development (R &#38; D) ini menghasilkan model pembelajaran baru yang terekomendasi yaitu Model REXMIND (Reciprocal, Example Non-Example, dan Mind Mapping).
Role of primary care in supporting older adults who self-harm: a qualitative study in England
Authors: Troya M Isabela , Chew-Graham Carolyn A , Babatunde Opeyemi , Bartlam Bernadette , Mughal Faraz , Dikomitis Lisa 
Published: October 2019

BackgroundSelf-harm and suicide are major public health concerns. Self-harm is the strongest risk factor for suicide, with the highest suicide rates reported in older populations. Little is known about how older adults access care following self-harm, but they are in frequent contact with primary care.AimTo identify and explore barriers and facilitators to accessing care within primary care for older adults who self-harm.Design and settingAn exploratory qualitative methods study using semi-structured interviews with older adults and third-sector workers in England. Older adults were invited to participate in one follow-up interview.MethodInterviews occurred between September 2017 and September 2018. These were audio-recorded, transcribed verbatim, and data analysed thematically. A patient and public involvement and engagement group contributed to the study design, data analysis, and interpretation.ResultsA total of 24 interviews with nine older adults and seven support workers, including eight follow-up interviews with older adults, were conducted. Three themes emerged: help-seeking decision factors; sources of support; and barriers and facilitators to accessing primary care.ConclusionDespite older adults’ frequent contact with GPs, barriers to primary care existed, which included stigma, previous negative experiences, and practical barriers such as mobility restrictions. Older adults’ help-seeking behaviour was facilitated by previous positive experiences. Primary care is a potential avenue for delivering effective self-harm support, management, and suicide prevention in older adults. Given the complex nature of self-harm, there is a need for primary care to work with other sectors to provide comprehensive support to older adults who self-harm.
Educational intervention to optimise serum immunoglobulin test use in Irish primary care: an interrupted time series with segmented regression analysis
Authors: Cadogan Sharon L , Browne John P , Bradley Colin P , Fitzgerald Anthony P , Cahill Mary R 
Published: October 2019

BackgroundImplementation science experts recommend that theory-based strategies, developed in collaboration with healthcare professionals, have greater chance of success.AimThis study evaluated the impact of a theory-based strategy for optimising the use of serum immunoglobulin testing in primary care.Design and settingAn interrupted time series with segmented regression analysis in the Cork–Kerry region, Ireland. An intervention was devised comprising a guideline and educational messages-based strategy targeting previously identified GP concerns relevant to testing for serum immunoglobulins.MethodInterrupted time series with segmented regression analysis was conducted to evaluate the intervention, using routine laboratory data from January 2012 to October 2016. Data were organised into fortnightly segments (96 time points pre-intervention and 26 post-intervention) and analysed using incidence rate ratios with their corresponding 95% confidence intervals.ResultsIn the most parsimonious model, the change in trend before and after the introduction of the intervention was statistically significant. In the 1-year period following the implementation of the strategy, test orders were falling at a rate of 0.42% per fortnight (P<0.001), with an absolute reduction of 0.59% per fortnight, corresponding to a reduction of 14.5% over the 12-month study period.ConclusionThe authors’ tailored guideline combined with educational messages reduced serum immunoglobulin test ordering in primary care over a 1-year period. Given the rarity of the conditions for which the test is utilised and the fact that the researchers had only population-level data, further investigation is required to examine the clinical implications of this change in test-ordering patterns.
Tecnologia do Mosaico: posições de sujeito disponibilizadas pelos currículos do MST
Authors: Ribeiro Vândiner , Paraíso Marlucy Alves 
Published: October 2019

Apresenta-se aqui a tecnologia do mosaico. Ela caracteriza-se por disponibilizar posições de sujeito de linhas fluidas, com infinitas possibilidades de contorno, mas que vez ou outra tenta aprisionar tais posições, em contornos demandados pelo Movimento dos Trabalhadores Rurais Sem Terra (MST) e por discursos de campos diversos. O argumento desenvolvido é o de que no currículo da nomeada escola diferente do MST aciona-se a tecnologia do mosaico disponibilizando diversas posições de sujeito que sãoimportantes para a divulgação da escola diferente do MST. Essa tecnologia, por meio das técnicas da coletividade e do campesinamento coloca em funcionamento práticas e exercícios que disponibilizam modos de ser, de agir e de pensar às/aos Sem Terra. Tem-se como aporte teórico os estudos de Michel Foucault, como base metodológica procedimentos da etnografia, como a convivência cotidiana com o grupo investigado, anotações em diário de campo e entrevistas e elementos da análise do discurso de inspiração foucaultiana para as análises das informações. A fluidez da tecnologia do mosaico mostra que as posições de sujeito disponibilizadas nos currículos investigados podem ser flutuantes, justapostas e constantemente recriadas. Há, assim, um processo de criação de si que disponibiliza um modo particular de ser Sem Terra e de ser do campo, um modo de particular de compreender e estar no mundo, de maneira que as pessoas que vivem no campo acabam negociando a sua própria existência.
Neoliberalismo, Ambiente e o Papel dos Educadores : entre a Reprodução e a Autonomia
Authors: Lima Gustavo Ferreira da Costa 
Published: October 2019

O presente ensaio visa discutir as relações entre os contextos globais contemporâneos, seus impactos sobre o meio ambiente e reflexos sobre a prática dos educadores, em geral, e, em especial, dos que se voltam à educação ambiental. Para nortear essa reflexão, elegeram-se três grandes eixos temáticos e problemáticos que têm ameaçado a qualidade de vida humana e não humana que são o neoliberalismo, a crise climática e a aceleração temporal dos processos e relações sociais, decorrentes de mudanças econômicas e tecnológicas nos sistemas e relações de produção vigentes. Para problematizar os temas sugeridos, propõe-se um diálogo com a literatura referente às temáticas consideradas, com o instrumental da Ecologia Política, com a Teoria da Complexidade e com a Educação ambiental crítica. A reflexão empreendida, considera que o desenvolvimento recente do capitalismo global tem produzido um conjunto de crises que ameaça a integridade da biosfera, a possibilidade da democracia, como pacto mediador dos conflitos e das relações socioambientais e o exercício de um pensamento e conhecimento críticos, capazes de emancipar os indivíduos e as coletividades das múltiplas formas de opressão que se abatem sobre eles. Diante desses contextos adversos, as alternativas que se colocam apontam para a resistência, a renovação dos laços de solidariedade e a construção de ações afirmativas de defesa dos direitos e da vida humana e não-humana.
O Papel da Educação Ambiental e da Gestão de Risco de Desastres no Desenvolvimento de Cidades Sustentáveis e Resilientes
Authors: Carniatto Irene , Fiedler Lígia , Ottaviano Schennia 
Published: October 2019

A fim de nortear a humanidade na busca por soluções para problemas econômicos e sociais, em 2015, dezessete objetivos foram preconizados durante a Cúpula das Nações Unidas para o Desenvolvimento Sustentável. Dentre os Objetivos do Desenvolvimento Sustentável, o de número 11 visa tornar as cidades e os assentamentos humanos inclusivos, seguros, resilientes e sustentáveis. Haja vista a maioria da população viver em áreas urbanas, faz-se necessário que as cidades sejam pensadas de forma a minimizar as vulnerabilidades tanto ambientais como sociais dos habitantes. A Educação Ambiental também é considerada em sua pluralidade como uma grandealiada para ajudar na resolução de problemas ocorridos nas localidades, seja por causa de fatores naturais, culturais, educacionais, econômicos. Ademais, pode ser estratégica nos grandes centros urbanos ou em áreas rurais, como também nas periferias de qualquer região do País. Nesse sentido, são apresentados os cases do Centro Universitário de Estudos e Pesquisas sobre Desastres (CEPED/UNIOESTE – Universidade Estadual do Oeste do Paraná) e do programa de Formação de Educadores Ambientais, desenvolvidos pela Itaipu Binacional em parceria com a Unioeste e outras instituições. Alguns projetos de excelência e referência vêm sendo desenvolvidos no estado doParaná, com resultados positivos em que a educação ambiental e a gestão de risco se ou interagem. Na estruturação dos programas, tem-se como um dos pressupostos o fato de que a Educação Ambiental não pode ocorrer a partir de atividades pontuais, mas por processos educativos que almejam mudanças de paradigmas que exigem reflexão contínua do cidadão e da comunidade participante.
Tondano watershed and Plastic Waste Elimination Activities
Authors: Pangkey Henneke , Sambali Hariyani 
Published: October 2019

The role of Tondano watershed is very important for the people of North Sulawesi. It can be said as the heart of the economy for the people who live suround it. One of them is the existence of aquaculture business activities in the form of fixed cage. It was found that Tondano watershed has shown an alarming decline in function. There are several causes, one of which is the increasing volume of plastic waste. The house wife group is important in its role in maintaining the sustainability of Tondano watershed. This group is believed to be one of the leaders for removing plastic waste in Tondano watershed.Keyword: Tondano watershed, plastic waste, housewife group, sustainability ABSTRAKWilayah DAS Tondano sangat penting peranannya bagi masyarakat Sulawesi Utara. Dapat dikatakan sebagai jantungnya perekonomian bagi masyarakat yang hidup di sekitarnya. Salah satu di antaranya adalah adanya kegiatan usaha akuakultur dalam bentuk karamba jaring tancap. Ditemukan fungsi DAS Tondano telah menunjukkan adanya penurunan yang mengkuatirkan. Ada beberapa penyebab, salah satunya adalah meningkatnya volume limbah plastik. Kelompok ibu RT penting dalam perannya menjaga keberlanjutan DAS Tondano. Kelompok ini dipercaya dapat menjadi salah satu ujung tombak untuk mengentas limbah plastik di DAS Tondano.Keyword: DAS Tondano, limbah plastik, kelompok ibu RT, keberlanjutan
Multi-Criteria Analysis (MCA) For Fisheries Management In Marine Conservation Area, Kapoposang Islands
Authors: Yonvitner Yonvitner , Faisol Lukman , Yasir Yasir , Ilham Ilham 
Published: October 2019

Multi-criteria analysis has been used widely in the conservation project, especially in the assessment of coastal zones and small islands. In its application to the conservation area, Kapoposang was developing a multi-criteria approach to determine the no-take zone, utilization zone, and sustainable fisheries zone. The multi-criteria approach in Kapoposang constructed by biophysics, ecology, economy and social aspect. Decisions were taken after aggregate analysis of all criteria (Brawn et al 2001) done. The results obtained that the suitable island for the no-take zone is Kapoposang and Suranti Island. Tambakulu Island and Pemangangan were selected as a buffer zone. Finally, the sustainable fisheries zones are Papandangan and Gondongbali island. The spatial analysis of all regional boundaries determined by the three zones reached a total area of 50011.35 ha. Thus the conservation management plan design in each zone were characteristic by different function and management system.Keyword: Zonation, Multi Criteria, Conservation Are, Kapoposang Island, Management plan ABSTRAKAnalisis multi kriteria secara umum sudah sangat luas penggunaanya dalam penelitian konservasi, khusuny untuk penilaian di wilayah pesisir dan pulau-pulau kecil. Dalam hal ini, untuk wilayah konservasi perairan laut Kapoposang, penelitian ini mengujikan pendekatan multi kriteria untuk menentukan kawasan inti, kawasan pemanfaatan dan zona perikanan perikanan berkelanjutan. Pendekatan multi kriteria di kapoposang disusun dari aspek biofisik, ekologi, ekonomi dan social. Keputusan akan diambil setelah analisis agregat dari semua kriteria menurut (Brawn et al 2001) didapatkan. Hasil yang diperoleh menunjukan bahwa pulau cocok untuk kawasan zona inti adalah pulau Kapoposang dan Suranti. PulauTambakulu dan Pemanggangan terpilih sebagai kawasan penyangga. Kemudian zona perikanan berkelanjutan adalah pulau Papandangan dan Gondongbali. Analisis spasial dari semua semua wilayah dikaji tercatat total luas wilayah mencapai 50011.35 ha. Sehingga kemudin rencana aksi konservasi dirancang ditiap zon sesuai dengan perbedaan karakternya serta fungsi.Kata kunci : Zonasi, Multi Kriteria, Konservasi, Kepulauan Kapoposang, Rencana Pengelolaan
Updated Strategy of the state national policy of the Russian Federation: advantages and disadvantages
Authors: Заметина Тамара , Zametina Tamara 
Published: October 2019

The article is devoted to the analysis of the new version of the Strategy of the state national policy. The content of this document is considered in systemic connection with the Constitution of the Russian Federation in
1993	and other acts in the field of national relations. The advantages of the new version of the Strategy, as well as gaps and shortcomings of legal regulation are identified, some proposals for its improvement are made.