bluuebunny/crossref_metadata_2025_split huggingface dataset:
WURU CAVE: ITS FUNCTION AND TYPE OF UTILIZATION IN THE GUNUNGSEWU PREHISTORIC AREA
Authors: Alifah Alifah 
Published: May 2017

Wuru cave which located in Jetis, Saptosari Gunung Kidul, is one of the horizontal caves that contain archaeological data. This cave have a relatively small room, elongated and curved, but in this cave has many ecofact, some of which indicate the presence of human treatments (burned and trimmed). In the quality of the bone ecofact most have begun to experience the process of fossilization. In addition there is also finded shells, pottery, hazelnut and coal.These findings show evidence that the Wuru cave has potential as a cave who ever used in the past. But what kind of use or functionality of this cave in the surrounding area of Gunung Sewu western part is still unknown. This paper seeks to uncover the environmental approach, the method used is the analysis of artifacts, ecofact, and ecology around the area of the cave.
TRACING SOME FRAGMENTS OF PANDAN INSCRIPTION IN THE LOCAL RESIDENCE (PANDANKRAJAN VILLAGE, KEMLAGI DISTRIC, MOJOKERTO REGENCY)
Authors: Nugroho Aang Pambudi 
Published: May 2017

Not all inscriptions are recovered in a complete condition, several were found only in fragments. One of the inscriptions to have been recovered in a fragmentary condition is the 11 th century A.D. Paṇḍān inscription issued by King Airlangga. This inscription was found in the village of Pandankrajan, Kemlagi Sub-district, Mojokerto Regency. Although the recovery comprises only several fragments, it was of course, formerly complete. It is, therefore, important to analyze the remaining words and sentences that are still visible to try to understand the original meaning of the proclamation.
JAPANESE DEFENSE MODEL IN LUMAJANG AND JEMBER, EAST JAVA: TYPOLOGY AND DIRECTION TARGET
Authors: Chawari Muhammad 
Published: May 2017

This paper is based on research conducted by Yogyakarta Archaeological Center in 2013 with the theme of the Japanese Defense Facilities In The World War II in Lumajang and Jember. The research is an effort to disclose the typology of Japanese defense facilities well astheir coverage in both locations. At both locations have been identified 43 objects from the era of Japanese occupation, consisted of bunker (40 objects), cave (2 objects), and water tank (1 object). Among them, 38 objects commanded the sea traffic, 4 objects commanded land routes, and 1 object is unknown.
JEJAK AUSTRONESIA DI SITUS GUA GEDE, PULAU NUSA PENIDA, BALI
Authors: Hidayah Ati Rati 
Published: May 2017

The spread of Austronesian-speaking people into Southeast Asia and the Pacific Island happened about 3.500- 4.000 years ago through some route. Nusa Penida Island located at the strategic place in the edge between of route western and eastern route, that interesting. The aims of this research tosee the traces of Gua Gede OCCUPY Pottery finding in Gua Gede Site indicated Austronesian was occupied Gua Gede by Austronesian Peoples. Methode of this research using pottery residu analysis and see the context of all findings.Based on pottery analysis, indicate that Austronesian People occupied at 3.051±25 BP. Based on residu analysis there is pemanfaatan plant.Based on pottery residu analysisthere is pemanfaatan plant and there is indikasi the change of subsitence form hunter gatherer become simple agriculture. Penyebaran penutur Austronesia ke wilayah Kepulauan Asia Tenggara dan Kepulauan Pasifik berkisar antara 3.500-4.000 tahun yang lalu melalui beberapa jalur. Pulau Nusa Penida terletak di wilayah yang strategis di ujung perbatasan jalur barat menuju ke timur atau sebaliknya, sehingga menarik untuk diteliti. Penelitian ini untuk melihat adanya jejak penghunian Situs Gua Gede oleh Penutur Austronesia. Metode penelitian menggunakan analisis residu gerabah dan konteks kuantitas temuan secara keseluruhan. Temuan gerabah di Situs Gua Gede mengindikasikan adanya penghunian penutur Austronesia di situs tersebut. Gua Gede dihuni oleh penutur Austronesia pada 3.051±25BP. Berdasarkan dari hasil analisis residu gerabah, telah dilakukan pemanfaatan tumbuhan dan terdapat indikasi perubahan subsistensi dari berburu dan mengumpulkan makanan menjadi bercocoktanam sederhana.
THE EFFECT OF EXERCISE CONSULTATION PROGRAM ON EXERCISE BEHAVIORAL CHANGES IN PATIENTS OF TYPE 2 DM WITH OVERWEIGHT : TRANSTHEORETICAL MODEL APPROACH
Authors: Siregar Rinco , Harefa Karnirius , Hasibuan Eva Kartika 
Published: May 2017

The purpose of this quasi- experimental study was to determine the effect of exercise consultation program based on Transtheoretical Model (TTM) approach on exercise behavioral change, blood glucose and body mass index (BMI) in patients of T2DM with overweight. The two comparison groups, quasi-experimental study were purposively designed for pre-test/post-test procedures; 61 patients of T2DM allocated into the experimental (31 patients) and the control (30 patients) groups. While the experimental group received the exercise consultation for 12 weeks, the control group received routine care. Comparative assessments on differences in exercise behavioral changes, blood glucose and BMI were examined both within and between groups using Chi-Square test and t-test. After receiving exercise consultation program, 54.8 % of participants of the experimental group had progressed to the action stage of change of TTM, while the majority of the participants in the control group (43.3%) remained in the same stages of TTM, and only 3.3 % of the participants had progressed to the maintenance stage. This proportion of exercise behavior change between the groups was significantly statistical different (Chi-Square = 000, p <0.05). Blood glucose significantly decreased in the experimental group (p < .05), but there was no significant difference in the control group.No significant difference of mean scores of BMI of participants between the experimental group and the control group post-intervention of exercise consultation program (p > .05). In conclusion, the exercise consultation program could promote the exercise behaviors. This also improves health outcome on blood glucose among patients of T2DM who.Keywords: transtheoretical model; physical exercise; type 2 diabetes
Biochemical Measurement of Muscle Injury Created by Lumbar Surgery
Authors: Kumbhare Dinesh , Parkinson William , Dunlop Brett , Ryan Eamonn , Denkers Matthew , Shah Ashiq Ali , Bobba Raja , Adachi Jonathan 
Published: May 2017

Purposes: 1. To determine whether lumbar disc surgery (LS) provides a sufficiently detectable rise in serum creatine kinase (CK) concentration to serve as a model to study biochemical measurement of muscle injury, and 2. To use the model to examine the consistency of the time course of CK concentration changes.
Method: The study used a repeated measures design. Six women and six men scheduled for LS were recruited. Blood samples were taken in the pre-operative waiting areas, immediately after surgery, at 6 hour intervals until discharge, and at 2, 4, and 6 to 7 days following surgery. Total serum CK was quantified using the Roche Modular to detect enzyme concentration.
Results: Following LS, mean Total CK increased from a baseline 50 U/L (SD = 53) to a peak 114 U/L (SD = 32) in women (P < 0.001) and from 183 U/L (SD = 69) to a peak 454 U/L (SD = 173) in men (P < 0.05). Baseline to peak changes in CK exceeded subjects’ own baseline fluctuations in all 6 women and all 6 men, and amounted to a mean 6 fold (SD = 4) increase in women and 16 fold (SD = 31) increase in men. While CK concentrations returned to baseline over the observation period in all subjects, time to peak ranged between 9 to 47 hours.
Conclusions: The LS model produced a consistently detectable CK response in both genders. Time to peak is variable indicating a need for multiple serial measures to capture this biochemical injury response.
Homocysteine (Hcy) Follow-Up Study
Authors: Blum Arnon , Hijazi Ihsan , Eizenberg Michal Mashiach , Blum Nava 
Published: May 2017

Background: Hyperhomocysteinemia confers an increased risk of coronary artery disease, stroke, and deep vein thrombosis, and is a strong predictor of mortality among patients with ischemic heart disease.
Purpose: To determne the long term clinical outcome of patients with risk factors to atherosclerosis with high concentrations of homocysteine (Hcy).
Methods: 89 patients with one or more risk factors for atherosclerosis, whose plasma total Hcy concentrations were measured, were followed for 5 years. Patients were interviewed and underwent a clinical examination in the outpatient clinic. Their medical records were reviewed in the last 5 years including smoking habits, medications, other diseases (hypertension, diabetes mellitus, hyperlipidemia) and their management. SPSS was used to describe and explore possible relationships between Hcy concentration, other diseases, medications and the clinical long term outcome.
Results: All men with normal Hcy concentrations (10.76±1.71µmol/L) survived during the 5 years’ follow up, while 5 of the men with high Hcy concentrations (21.27±5.37µmol/L), died (17%) (P< 0.05). In women Hcy concentration did not affect survival. No association was found between diabetes mellitus, hypercholesterolemia, hypertension and Hcy. Long term treatment with Beta Blockers, ACE inhibitors, Calcium Channel blockers, and especially with Aspirin prevented death and changed the natural history of patients with high Hcy concentrations (P < 0.05).
Conclusions – Hyperhomocysteinemia may have an effect on survival in men.
Long term treatment with Beta Blockers, ACE inhibitors, Calcium Channel Blockers, and especially with Aspirin – prevented death and changed the natural history of patients with high Hcy concentrations.
Characteristics and conviction rates of injured alcohol-impaired drivers admitted to a tertiary care Canadian Trauma Centre
Authors: Goecke Michelle E. , Kirkpatrick Andrew W. , Laupland Kevin B. , Bicanic Marija , Findlay Christi 
Published: May 2017

Purpose: Alcohol intoxication is an important factor in motor vehicle crash (MVC) related morbidity and mortality. Despite greater societal attention, medical admission after MVC results in avoidance of legal consequences. We sought to determine characteristics of, and consequences to, injured alcohol-impaired drivers (IAIDs).
Methods: All injured adults [Injury Severity Score (ISS) >12, age>18] entered in a Trauma Centre registry between April 1 1995 to March 31 2003 were reviewed. Legally intoxicated patients who had been drivers involved in a MVC and who had a blood alcohol content (BAC) ≥80 mg/dl were cross-referenced to municipal and federal databases to identify investigations, charges, and legal outcomes.
Results: Of BACs obtained from 1933 (41%) of 4727 patients; 39% (757) were legally intoxicated (BAC ≥80 mg/dl); 185 (24%) were IAIDs. The IAIDs were generally very intoxicated (mean BAC 190 mg/dl); seriously injured (median ISS 22); often in ICU (47%), and had 8% mortality. Charges were laid against 69 (37%) of IAIDs, only 58 (31%) suffered legal consequences; 27 (15%) of impaired driving, and 31 (17%) of other convictions. All IAIDs who caused a fatal injury to another were convicted. A lower severity of injury of the IAIDs, non-fatal injury to another, and occurrence in the more recent years of the study were independently associated with a conviction in multivariable analysis.
Conclusion: Despite increasing convictions over time and among most of those charged, the majority of injured drivers escape legal consequences. Increased BAC testing and reporting of this phenomenon could address this.
Clinical research lags behind biomedical, population-based health, and health services research at multiple levels
Authors: Raghavan Malathi , Sandham J. Dean 
Published: May 2017

Purpose: Concerns regarding a decline in clinical research have been raised internationally. In this study, research initiatives and competitiveness of investigators seeking funding for clinical research were compared with those for three other health research themes in Canada, namely, biomedical, population-based, and health services research.

Methods: A retrospective, multi-level descriptive study was conducted using administrative data from the Canadian Institutes for Health Research (CIHR) research grants program. Annual growth rates in numbers of proposals submitted since year 2000 (level I of comparison), success rates of submissions (level II), and growth rates in funding received since fiscal-year 1999-00 (level III) were compared across themes.

Results:
Proposal submission (Level I): The average annual rate of growth in proposal submissions for biomedical, clinical, population-based and health services research was 11.8%, 6.3%, 105.0% and 43.2%, respectively.
Success rate (Level II) was lower in clinical research (24%; P-value < 0.001) compared with biomedical (34%), population-based (29%), and health services (28%) research.
Funding (Level III) grew at an average rate of 16.1% per year for biomedical, 28.2% for clinical, 65.9% for population-based, and 86.2% for health services research. However, the median amount funded for clinical projects (CAD $154,535) was less (P-value < 0.0001) than that for biomedical projects ($225,346).

Conclusion: The overall growth of research activities in clinical theme was slower than with research in other themes—fewer proposals were submitted and lower proportion of submissions was successful. Smaller amounts of funding were received for clinical projects compared with biomedical projects, but a handful of large-scale clinical projects influenced the growth rate in funding for all clinical research. This report underscores the concern that multi-level problems plague clinical research.
3. Interactive online software documenting and corroborating exposure to CanMEDS Roles
Authors: Lamarche Y. , Perrault L. P. , Beauchamp G. , Renaud J.-F. , Lamarche S. , Carrier M. 
Published: May 2017

Residents are exposed to various situations contributing to the development of their CanMEDS roles. Exposure to different clinical scenarios and teaching situations contributing to the development of the CanMEDS roles could be identified, documented by residents and corroborated by staff supervisors retrospectively. A rapid and thorough method to assess this exposure is not available and could help to monitor a programs strengths and weaknesses.
Daily activities developing specific CanMEDS roles where identified initially by the program director and residents. An internet based automatic survey generator (residentevaluation.com) was built to interrogate residents on a weekly basis on their exposure these clinical activities, linked to the seven CanMEDS roles. The surveys where automatically directed to supervisors for corroboration and comments. Periodic and annual reports where sent to the program director.
The study group was composed of the Université de Montréal cardiac surgical trainees (n=6). Weekly surveys were sent from July 2006 to March 2007 (Ongoing). Participation rose from 42% to 79% in trainees and was 70% among supervisors. Time to fill the weekly survey was less than 1 minute for trainees and supervisors. The majority of residents documented development of all seven CanMEDS roles on a weekly basis. The trainees were exposed on a weekly basis to a reflection on the development of their CanMEDS competences.
Cardiac surgical trainees at Université de Montréal are exposed and develop their CanMEDS roles over their regular training. The residentevaluation.com program allows a rapid weekly assessment and documentation of exposure to CanMEDS roles. The tool provides periodic and annual reports for program directors to quantify this exposure and adjust the program objectives. This software could be used in other programs to assess its efficiency in different cohorts.
Frank, JR, ed. 2005. The CanMEDS 2005 physician competency framework. Better standards. Better physicians. Better care. Ottawa: The Royal College of Physicians and Surgeons of Canada
Frank JR, Jabbour M, Fréchette D, Marks M, Valk N, Bourgeois G, eds. Report of the CanMEDS Phase IV Working Groups. Ottawa: The Royal College of Physicians and Surgeons of Canada. March, 2005.
4. Leadership in postgraduate medicine: Results from the first annual chief resident leadership workshop
Authors: Verma S. , Zulla R. , Mikhael J. , Natsheh A. , Takahashi S. Glover , Muharuma L. , McIlory J. 
Published: May 2017

In the spring of 2006, chief and senior residents were surveyed to determine how they prepared for their senior administrative/leadership role, what topics should be included in a leadership workshop and how this workshop should be delivered. Overall, 32.3% had no prior contact with the previous chief resident. Among those prepared, 46% consulted previous chiefs/seniors and/or program directors. Eighty-five percent agreed that a leadership workshop would be beneficial for future chiefs.
Using the results from this environmental scan, a planning committee was formed to design the First Annual Chief Resident Leadership Workshop, held in August 2006, to identify and develop leadership skills while providing them with the resources to ease their transition into this senior administrative role. Seven sessions were offered: Your Role as Chief Resident, Mentorship, overview of the residents’ work/education contract, Personality Inventory (i.e. Myers-Briggs), Anti-Racism and Harassment, Resident Wellness and Public Speaking. A keynote address on leadership in academic medicine was given by a well-known Canadian clinician leader. To reinforce the experience, a resource binder and handbook was distributed to all participants.
Quality and content of each session was evaluated using on a 5-point Likert scale. Mean scores were calculated. Mentorship scored the highest in terms of quality (4.46) and content (4.47), followed by Leadership in Academic Medicine (4.43 and 4.62, respectively). Over 90 % agreed that a leadership program is necessary. Parallel to our earlier findings, many chief residents use multiple sources to prepare for their role, primarily the pairing of contact with the previous chief resident and the Program Director. The results indicate that a formal, centralized leadership workshop/seminar is valued and should highlight the necessary skills set and provide key resources.
Susman J, Gilbert C. Family practice residency directors’ perceptions of the position of chief resident. Academic Medicine 1992; 67(3):212-213.
Awad JJ, Levenson SM, Osman CH, James S. The impact of a novel resident leadership training curriculum. The American Journal of Surgery 2004; 188:481-484.
Kasuya RT, Nip IL. A retreat on leadership skills for residents. Academic Medicine 2001; 76(5):554.
5. A needs assessment for a CanMEDS-based curriculum in ambulatory care for internal medicine residents in Canada
Authors: Wong R. , Roff S. 
Published: May 2017

In Canada, graduates of internal medicine training programs should be proficient in ambulatory medicine and practice. Before determining how to improve education in ambulatory care, a list of desired learning outcomes must be identified and used as the foundation for the design, implementation and evaluation of instructional events. The Delphi technique is a qualitative-research method that uses a series of questionnaires sent to a group of experts with controlled feedback provided by the researchers after each round of questions. A modified Delphi technique was used to determine the competencies required for an ambulatory care curriculum based on the CanMEDS roles.
Four groups deemed to be critical stakeholders in residency education were invited to take part in this study: 1. Medical educators and planners, 2. Members of the Canadian Society of Internal Medicine (CSIM), 3. Recent Royal College certificants in internal medicine, 4. Residents currently in core internal medicine residency programs. Panelists were sent questionnaires asking them to rate learning outcomes based on their importance to residency training in ambulatory care. Four hundred and nineteen participants completed the round 1 questionnaire that was comprised of 75 topics identified through a literature search. Using predefined criteria for degree of importance and consensus, 19 items were included in the compendium and 9 were excluded after one round. Forty-two items for which the panel that did not reach consensus, as well as 3 new items suggested by the panel were included in the questionnaire for round 2. Two hundred and forty participants completed the round 2 questionnaire; consensus was reached for each of the 45 items.
After two rounds, 21 items were included in the final compendium as very high priority topics (“must be able to”). An additional 26 items were identified as high priority topics (“should be able to”). The overall ratings by each of the four groups were similar and there were no differences between groups that affected the selection of items for the final compendium. To our knowledge this is the first time a Delphi-process has been used to determine the content of an ambulatory care curriculum in internal medicine in Canada. The compendium could potentially be used as the basis to structure training programs in ambulatory care.
Barker LR. Curriculum for Ambulatory Care Training in Medical residency: rationale, attitudes and generic proficiencies. J Gen Intern Med 1990; 5(supp.):S3-S14.
Levinsky NG. A survey of changes in the proportions of ambulatory training in internal medicine clerkships and residencies from 1986-87 to 1996-97. Acad Med 1998; 73:1114-1115.
Linn LS, Brook RH, Clarke VA, Fink A, Kosecoff J. Evaluation of ambulatory care training by graduates of internal medicine residencies. J Med Educ 1986; 61:293-302.
7. Pr&#233;sentation d'un portfolio &#233;lectronique pour la formation et l'&#233;valuation des comp&#233;tences CanMEDS en obst&#233;trique-gyn&#233;cologie
Authors: Dupuis M.-J. , Girardot D. 
Published: May 2017

Bien que les objectifs d’apprentissage et fiches d’évaluation de stage tiennent compte des sept compétences CanMEDS, il est difficile d’intégrer celles ci dans l’apprentissage et l’évaluation. Le portfolio, lorsque utilisé dans une approche réflexive, favorise l’apprentissage des compétences. Le développement et l’utilisation du portfolio visent une meilleure intégration des rôles CanMEDS dans l’apprentissage et une évaluation authentique des compétences.
Notre programme adopte le portfolio comme outil d’apprentissage et d’évaluation. Pour chaque compétence CanMEDS, le portfolio comprend 6 sections : 1) Critères spécifiques pour la compétence, 2) Description par le résident d’une bonne et d’une mauvaise performance, 3) Description d’un incident critique (un par année) ayant transformé sa formation, 4) Auto évaluation, 5) Rétroaction.
A chaque trimestre, le résident rencontre son tuteur et présente son auto évaluation. Celle-ci est comparée à l’évaluation que les superviseurs font du résident, compilée et présentée au résident par son tuteur. Annuellement, le résident fournit la preuve de sa progression pour une compétence donnée. Pour ce faire, il complète son portfolio régulièrement en cours d’année pour documenter l’analyse de sa progression à l’aide d’exemples tirés de son portfolio.
Après une année d’implantation, nous évaluerons l’impact sur la perception de l’intégration des compétences CanMEDS aux niveaux des apprentissages et des évaluations, et le degré de satisfaction des résidents et des tuteurs.
Naccache N, Samson L, Jouquan J. Le portfolio en éducation des sciences de la santé: un outil d’apprentissage, de développement professionnel et d’évaluation. Pédagogie médicale, 2006; 7: 110-27.
Tardif J. L’évaluation des compétences: documenter le parcours de développement, 2006
Kjaer NK, Maagaard R, Wied S. Using an online portfolio in postgraduate training. Medical Teacher, 2006; 8:708-712