bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neuromuscular electrical stimulation and exercises effect on functional exercise performance and quality of life in cases of liver cirrhosis
Authors: Youssef Manal K. 
Published: May 2022

IntroductionPatients with cirrhosis experience severe physical deconditioning, sarcopenia, physical frailty, fatigue, and malnutrition. Exercise capacity is limited owing to inactivity, bed rest, obesity, or cachexia. Limb muscle dysfunction has important consequences for patients with liver cirrhosis because it contributes to exercise limitation and reduces daily activities and social life, leading to a quality of life (QOL) impairment, greater utilization of social and health resources, and a worse prognosis. The study purpose was to compare the effect of neuromuscular electrical stimulation (NMES) and exercises on treatment of patients with liver cirrhosis.MethodsA total of 60 patients (41 males and 19 females) with liver cirrhosis, aged 35–59 years, were randomly assigned to 2 groups: an NMES group (<i>n</i> = 30) and exercises group (<i>n</i> = 30). The intervention was implemented 3 times per week for 3 months. Exercise performance and QOL were measured before and after the intervention.ResultsBefore treatment, there was no significant difference in exercise performance or QOL between the 2 groups; however, after 3 months of intervention, a significant difference in exercise performance was observed between the 2 groups (<i>p</i> = 0.001). Both groups improved their QOL (<i>p</i> = 0.001), but the NMES group improved more than the exercise group.ConclusionsNMES is an important technique to increase exercise performance and QOL in patients with liver cirrhosis.
TRANH DÂN GIAN LÀNG SÌNH VÀ HOA GIẤY THANH TIÊN - MỘT SỐ VẤN ĐỀ VỀ PHÁT TRIỂN DU LỊCH VÀ BẢO TỒN VĂN HÓA Ở HUẾ
Authors: Trần Thị Hoài Diễm 
Published: May 2022

Cùng với sự phát triển của xã hội, thì vấn đề lưu giữ bản sản văn hóa – tâm linh trong một số loại hình du lịch chính là cầu nối để nâng cao giá trị tinh thần con người trong đời sống .Hiện nay mô hình du lịch văn hóa - tâm linh đang rất được du khách trong nước và quốc tế tìm đến bởi những giá trị lịch sử, văn hóa tâm linh mang đậm nét văn hóa truyền thống Việt như một sự kết nối giữa quá khứ và hiện tại - nơi còn lưu giữ những giá trị văn hóa nghệ thuật truyền thống độc đáo, quý giá. Ở Thừa Thiên Huế- nơi từng là thủ phủ xứ Đàng Trong và kinh đô triều Nguyễn còn lưu giữ nhiều giá trị văn hóa nghệ thuật đặc trưng.
Xã Phú Mậu, huyện Phú Vang, tỉnh Thừa Thiên là một địa điểm có tiềm năng khả quan để hình thành và phát triển loại hình du lịch này khi nơi đây có 2 làng nghề truyền thống là tranh dân gian Sình và làng hoa giấy cổ Thanh Tiên.
Meade at Gettysburg
Authors: Brown Kent Masterson 
Published: May 2022

Although he took command of the Army of the Potomac only three days before the first shots were fired at Gettysburg, Union general George G. Meade guided his forces to victory in the Civil War's most pivotal battle. Commentators often dismiss Meade when discussing the great leaders of the Civil War. But in this long-anticipated book, Kent Masterson Brown draws on an expansive archive to reappraise Meade's leadership during the Battle of Gettysburg. Using Meade's published and unpublished papers alongside diaries, letters, and memoirs of fellow officers and enlisted men, Brown highlights how Meade's rapid advance of the army to Gettysburg on July 1, his tactical control and coordination of the army in the desperate fighting on July 2, and his determination to hold his positions on July 3 insured victory.
Brown argues that supply deficiencies, brought about by the army's unexpected need to advance to Gettysburg, were crippling. In spite of that, Meade pursued Lee's retreating army rapidly, and his decision not to blindly attack Lee's formidable defenses near Williamsport on July 13 was entirely correct in spite of subsequent harsh criticism. Combining compelling narrative with incisive analysis, this finely rendered work of military history deepens our understanding of the Army of the Potomac as well as the machinations of the Gettysburg Campaign, restoring Meade to his rightful place in the Gettysburg narrative.
Event controls on intermittent streamflow in a temperate climate
Authors: Kaplan Nils Hinrich , Blume Theresa , Weiler Markus 
Published: May 2022

Abstract. Intermittent streams represent a substantial part of the total stream network, and their occurrence is expected to increase due to climate change. Thus, it is of high relevance to provide detailed information on the temporal and spatial controls of streamflow intermittency to support management decisions. This study presents an event-based analysis of streamflow responses in intermittent streams in a mesoscale catchment with a temperate climate. Based on the streamflow responses, precipitation events were classified into flow or no-flow classes. Response controls like precipitation, soil moisture, and temperature were used as predictors in a random forest model to identify the temporally changing factors that explain streamflow intermittency at the event scale. Soil moisture was the most important predictor, but the predictor importance varied with the geology in the catchment. Streamflow responses in the slate geology were controlled by soil moisture in the shallow and deep soil layers, while streamflow in the marl geology was primarily controlled by soil moisture in the upper soil layer. Streamflow responses in catchments underlain by both marl and sandstone were dependent on soil moisture, whereas streamflow in the only catchment with a pure sandstone geology depended on precipitation characteristics. In all slate and marl catchments, streamflow intermittency also varied with soil temperature, which is probably a proxy for seasonal changes in evapotranspiration and an indicator of freezing conditions. Our findings underline the importance of using high temporal resolution data and tailored event definitions that account for the fast changes between flow/no flow in intermittent streams to identify streamflow controls at the event scale.
Abordagem nutricional na doença de Alzheimer: uma revisão de literatura
Authors: Almeida Luísa Simões , Zupi Amanda Pupe 
Published: May 2022

Introdução: A doença de Alzheimer (DA) é caracterizada como uma doença neurodegenerativa, sendo que ainda não existe cura clínica para essa doença, que com o passar do tempo, vai progredindo. Porém, muitos estudos relatam e comprovam que por meio da alimentação, podemos prevenir e/ou amenizar a sintomatologia da DA. Objetivo: Elucidar os nutrientes e padrões alimentares que podem auxiliar na prevenção e no tratamento da doença de Alzheimer. Metodologia: Este estudo consistiu em uma revisão narrativa da literatura e foram selecionados 30 artigos científicos para essa revisão. Entre os critérios de inclusão, foram selecionados artigos dos anos de 2014 a 2021, em domínio público, pesquisas originais de periódicos científicos, monografias, tese, dissertação e artigos. Os critérios de exclusão foram artigos não condizentes com o tema, estudos feitos em animais, pesquisas feitas com outras doenças neurodegenerativas e estudos feitos com pessoas menores de 30 anos. Resultados: Associados ao retardo do declínio cognitivo, os nutrientes provenientes do ômega 3, vitaminas do complexo B, vitaminas C, flavonóides e polifenóis mostraram resultados positivos em relação a essa doença. Conclusão: A inclusão de nutrientes, atividades físicas e exercícios para a função cognitiva, são relevantes para contribuir com a redução da incidência da Doença de Alzheimer.
Use of Feminist Literary Theory in Developing a Critical Language for Hypertext
Authors: Comte Annette 
Published: May 2022

The Writing 2000 Conference highlighted an urgency for discussion of the role that contemporary critical theory will play in the acceptance of hypertext narratives. The modernist view of the importance of the permanence of fixed recording in black and white and the predominance of an heroic narrative structure conflicts with the concept of hypertext as a text that is never fixed with the possibility of infinite versions. The question that needs to be addressed is, whether this infinite flexibility is a problem for the writer/reader of hyperfiction or if it could offer possibilities that recorded, fixed, linear print cannot.
The Art and Craft of the Honours Thesis: A rhetorical enterprise
Authors: Woods Claire 
Published: May 2022

In this paper I explore the possibilities of multi-genre/hybrid texts as part of undergraduate, including Honours, writing programs. In particular, I am interested in how students develop the skills and confidence to undertake research projects or theses which push the boundaries in terms of multi-genre and/or multi- modal writing. The intersections between fiction and non-fiction, between the creative impulses of the student who is both writer (poet, novelist, essayist) and researcher, and the tensions between the requirements for critical-theoretical writing and creative writing (including creative non-fiction writing), will be discussed. I consider ways of teaching to allow students to develop knowledge, skills and understanding of the possibilities of moving across disciplines, across genres, across modes as they explore ideas, worlds, and issues as researchers and writers. The paper is informed by the work of a student who completed Honours in professional writing and communication.
Persepsi Pengguna OVO Terhadap Kepercayaan Pengguna Mobile Payment
Authors: Ellysabeth  , Harris Ibnu 
Published: May 2022

Tujuan, - Penelitian ini bertujuan untuk menganalisis dan menguji secara empiris pengaruh persepsi kemudahan, persepsi manfaat, persepsi keamanan, dan persepsi reputasi terhadap kepercayaan dalam menggunakan mobile payment OVO pada kalangan pekerja di Kota Batam.
Desain/Methodologi/Pendekatan - Penelitian ini menggunakan pendekatan kuantitatif dengan metode survei sebagai cara pengambilan sampel yang dipilih menggunakan non-probability sampling dengan teknik purposive sampling.
Temuan penelitian - Hasil penelitian ini menyatakan bahwa variabel persepsi kemudahan, persepsi manfaat, persepsi keamanan, dan persepsi reputasi berpengaruh signifikan terhadap kepercayaan penggunaan mobile payment OVO pada kalangan pekerja di Kota Batam.
Orisinalitas/nilai – Hasil penelitian ini memberikan pandangan bahwa persepsi reputasi memberikan pengaruh signifikan selain faktor dari komponen TAM yang sudah lama menjadi alasan seseorang untuk mau mengadopsi sebuah teknologi.
Analisis Dampak Mediasi Kepuasan Kerja Berbasis Job Insecurity Terhadap Turnover Intention
Authors: Ranti Tia Oktama , Hermawati Adya , Hastuti Tuti 
Published: May 2022

Tujuan, -Penelitian ini bertujuan untuk menganalisis efek dari job insecurity terhadap turnover intention yang dimediasi kepuasan kerja di PLN ULP Tumpang UP3 Malang.
Desain/Metodologi/Pendekatan, -Penelitian ini menggunakan metode explanatory research dan Populasi dalam penelitian ini menggunakan sampel sebanyak 66 karyawan outsourcing. Teknik pengambilan sampelnya dengan menggunakan teknik sampel jenuh, atau semua populasi dijadikan sebagai sampel penelitian.
Temuan Penelitian, -Hasil penelitian ini menunjukkan bahwa semakin tinggi atau rendah tingkat kepuasan kerja yang dirasakan oleh karyawan tidak mempengaruhi niat karyawan tersebut untuk meninggalkan perusahaan. Hal ini mengindikasikan apabila karyawan hendak meninggalkan perusahaan atau telah memiliki niat untuk meninggalkan perusahaan tidak akan melihat apakah karyawan tersebut telah merasa puas atau tidak akan pekerjaan yang di lakukannya, melainkan karena ada faktor lain yang mempengaruhi niat karyawan untuk meninggalkan perusahaan seperti persaingan kerja yang begitu kompleks, gaji diluar perusahaan yang lebih relate dengan kebutuhan sehari-hari.
Orisinalitas/Nilai, -Hasil penelitian ini memlikiki nilai tambah karena kepuasan kerja karyawan yang ternyata tidak berpengaruh terhadap turnover intention
AESTHETIC DEVELOPMENT OF PHYSICAL CULTURE OF PERSONALITY IN CONDITIONS OF TERMINALIZATION OF HEALTHY LIFESTYLE VALUE
Authors: Ляушева Светлана Аслановна , Нехай Вячеслав Нурбиевич , Самсоненко Татьяна Александровна , Хакунов Нурбий Хасанбиевич , Хунагов Рашид Думаличевич 
Published: May 2022

В статье рассматриваются особенности влияния физической культуры на формирование и развитие эстетических ценностей человека. Анализируются основные теоретические подходы к определению места и роли физической культуры в формировании социально-этических, деятельностных и эстетических характеристик личности. Отмечается, что эстетическое воспитание в значительной степени расширило перфекционистско-прагматическую направленность занятий физическими упражнениями посредством культивирования эстетических идеалов, эстетических вкусов/потребностей и встраивания в структуру тренировочного процесса эстетических знаний. Принципы олимпизма, усиливающие мотивационный ресурс физической культуры и спорта, ориентируют личность на диалектическое понимание эстетики тела и духа. На основе обобщения результатов социологического исследования, проведенного Всероссийским центром изучения общественного мнения (ВЦИОМ) в 2021 г., делается вывод о том, что в современном обществе потребность в использовании и дальнейшем внедрении эстетического воспитания становится основанием для приобщения к занятиям физической культурой. Оставаясь встроенной в соционормативную природу личности, система физического воспитания провозглашает здоровый образ жизни (ЗОЖ) этическим и виталистическим императивом общественного развития и транслирует его как терминальную ценность современности.
The paper considers the peculiarities of the influence of physical culture on the formation and development of aesthetic values of a person. Basic theoretical approaches to determination of place and role of physical culture in formation of socio-ethical, activity and aesthetic characteristics of personality are analyzed. Aesthetic education has greatly expanded the perfectionist-pragmatic orientation of exercise through the cultivation of aesthetic ideals, aesthetic tastes/needs and the incorporation of aesthetic knowledge into the structure of the training process. The principles of Olympism, which strengthen the motivational resource of physical culture and sports, direct the person to a dialectical understanding of the aesthetics of the body and spirit. Based on the generalization of the results of a sociological study conducted by the All-Russian Center for the Study of Public Opinion in 2021, it is concluded that in modern society the need for the use and further introduction of aesthetic education becomes the basis for inclusion in physical education. Remaining built in the social normative nature of the personality, the system of physical training proclaims the healthy lifestyle (HL) an ethical and vitalistic imperative of social development and translates it as the terminal value of the present.
Comparative study of hearing assessment in normal and high risk infants by newborn hearing screening methods in a tertiary care institute
Authors: Nayak Sushma , Bhanuprakash P N , Shariff Mudassar Ahmed , Nivedita Nivedita 
Published: May 2022

Background: Hearing plays an important role for children in development of speech and language and socialization. Hearing impairment can have a negative impact on an individual’s social, educational, and emotional life. If not detected early, it can affect the speech and language development. Early diagnosis by newborn hearing screening methods and protocols helps in prevention of hearing impairment. Objective: The primary objective of this study was to find the incidence of hearing loss in normal and high risk neonates. Materials and Methods: The study was carried out in a tertiary care teaching hospital over a period of 12 months. A total of 1200 babies including 810 normal and 390 high risk babies were enrolled into the study. All neonates underwent otoacoustic emission (OAE) test within first 3 days of birth. Those who failed in this test underwent repeat OAE after 2 weeks, followed by brain stem evoked response audiometry (BERA), when the neonates fail in second OAE. Results: Of 810 normal babies and 390 high risk babies, 65 and 103 babies showed absent OAE respectively on initial screening. On follow up, 10 and 21 babies still showed absent OAE in normal and high risk group respectively.
Knowledge and attitude of nursing students towards objective structure clinical evaluation
Authors: Geetha K. , Rajalakshmi S. , Cheran K. 
Published: May 2022

Ronald Harden introduced OSCE (Objective structured clinical examination) for the first time in medical education in 1975 at the Dundee University, Scot J and to assess the skills and clinical performance of students. Now, it is used in other branches of health sciences including nursing, dentistry and pharmacy OSCE has become a popular tool for assessing competence in clinical nursing It has been used in medical schools for both formative and summative assessment to validate clinical skills by using standardized patients”.In the last two decades, rapid and extensive changes happened in student assessment methods of medical education. Many of the assessment methods have been developed and mainly concentrated on clinical procedural ability, conveying skills and Professionalism The OSCE is defined as "an approach to the assessment of clinical competence in which the components of competence are assessed well planned or structured way with attention being paid to objectivity”. The OSCE is becoming or prevalent within healthcare education programmes because it is regarded as a useful method for meaning skills and underpinning knowledge required for practice During the OSCE examination, students rotate around a circuit of stations on a timed basis.
Correlation of size of tympanic membrane perforation & degree of hearing loss and frequency specific hearing gain following tympanoplasty
Authors: Bhukar Sandeep , Kumari Manisha , Goel Ashiya 
Published: May 2022

Introduction: The tympanic membrane (TM) serves as a key component of the tympano-ossicular system. Chronic otitis media is known to cause mild to moderate conductive hearing loss. Material & Methods: The proposed study was conducted on 50 patients of either sex in age group of 15-50 years having unilateral or bilateral chronic inactive (mucosal) otitis media after obtaining their consent. Pure tone audiogram was done to confirm the degree, type and frequency specific hearing loss from frequency 250Hz to 8000Hz for air conduction and 250Hz to 4000Hz for bone conduction. TM perforations were divided into Group I (small), II (medium), III (Large) according to size of perforation. Results: Average Hearing loss in Group I, II, & III was 33.86, 43.84 & 46.75 dB respectively. Hearing improvement following tympanoplasty at 250, 500, 1000, 2000, 4000, 8000 Hz was 20.50, 18.1, 16.7, 14.3, 12.0, 1.6 dB respectively. Conclusion: Hearing threshold level depends on size of the tympanic membrane perforation. Hearing improvement following tympanoplasty is frequency-dependent also.
Paso a la esfera digital. Televisión pública y social en México
Authors: Toussaint Alcaráz Florence 
Published: May 2022

El presente artículo constituye un resumen actualizado de una investigación sobre el tránsito de la televisión pública a lo digital, así como del surgimiento de las emisoras que corresponden a la nueva figura legal de “concesión de uso social” creada a partir de la Ley Federal de Telecomunicaciones y Radiodifusión. Las cifras que ofrecemos revelan el aumento en el número de televisoras tanto privadas como públicas; sin embargo, los porcentajes son similares a los consignados en la etapa anterior a 2014. Consideramos que el tránsito de lo analógico a lo digital, contrariamente a lo que quiere establecer el Instituto Federal de Telecomunicaciones, tiene implicaciones más allá de lo numérico, incluso de la ampliación del mercado y de la supuesta competencia. El cambio implica modificaciones en la concepción del tiempo y el espacio, en la manera de comunicarnos y en la conformación de las industrias culturales transformadas en industrias creativas. Lo digital implica una nueva forma de acumular riqueza, de explotar ya no sólo al trabajador asalariado, también al usuario al utilizar su “huella”, o sea sus datos, para comercializarlos. Iniciamos con una reflexión teórica sobre la digitalización para abordar luego el tránsito de la televisión a lo digital privada y pública.
Asuhan Keperawatan Jiwa Dengan Isolasi Sosial
Authors: Safitri Aisyah , Agustina Marisca , Ghanesia Hari 
Published: May 2022

Latar Belakang: Skizofrenia adalah salah satu diagnosa medis gangguan jiwa berat dan sering terjadi di Indonesia. salah satu faktor pasien skizofrenia mengalami gangguan fungsi sosial, isolasi sosial atau menarik diri. Isolasi sosial adalah kondisi kesendirian yang di alami oleh individu sebagai kondisi yang negatif dan mengancam, kondisi ini merupakan ketidakmampuan dalam mengungkapkan perasaan.
Metode: Desain penelitian menggunakan case study dengan pendekatan proses keperawatan. Tehnik pengambilan sampling yang digunakan adalah convenience sampling. Sampel pada penelitian ini adalah Tn. S Usia 33 tahun. Penelitian dilakukan di lingkungan rusun korem 051 jatiwarna, Bekasi pada tanggal 28 September 2021 sampai 01 Oktober 2021. Pengumpulan data dilakukan dengan wawancara, observasi, dan studi dokumentasi. Instrumen penelitian adalah format asuhan keperawatan Jiwa.
Hasil: Setelah dilakukan asuhan keperawatan selama 4 hari dari tanggal 28 September 2021 sampai 01 Oktober 2021 didapatkan hasil klien mampu mengenal penyebab isolasi sosial, keuntungan berhubungan dan kerugian tidak berhubungan dengan orang lain, melatih berkenalan secara bertahap
Kesimpulan: Kerja sama antar warga rusun dan klien/keluarga sangat diperlukan untuk keberhasilan asuhan keperawatan klien, komunikasi terapeutik dapat mendorong klien lebih kooperatif, pemanfaatan waktu secara optimal dan dukungan keluarga sangat penting dalam proses keperawatan klien dengan isolasi sosial menarik diri.
Asuhan Keperawatan Jiwa Pada Pasien Diabetes Melitus Dengan Ansietas
Authors: Shifa Nurul Ainul , Sarwili Indri , Rizal Ahmad 
Published: May 2022

Latar Belakang: Dampak psikis pada klien diabetes melitus dapat terjadi cemas jika tidak dilakukan intervensi untuk mengatasi cemas. Intervensi yang dilakukan untuk mengatasi cemas dengan metode hipnosis lima jari. Hipnosis lima jari merupakan suatu teknik relaksasi yang merupakan terapi generalis yang dapat menimbulkan efek relaksasi dan menenangkan dengan cara mengingat kembali.
Metode: Desain penelitian menggunakan case study dengan pendekatan proses keperawatan. Teknik pengambilan sampling yang digunakan adalah convenience sampling. Sampel pada penelitian ini adalah Ny.S Usia 65 tahun. Penelitian dilakukan di Ciawi-Bogor pada bulan Oktober 2021. Pengumpulan data dilakukan dengan wawancara, observasi, dan studi dokumentasi. Instrumen penelitian adalah format asuhan keperawatan Jiwa.
Hasil: Hasil asuhan keperawatan pada Ny. S didapatkan klien pernah mengalami penyakit diabetes melitus kurang lebih selama 2 tahun, pasien sering merasa cemas akan penyakitnya dan pasien sering merasa pusing, klien tidak nafsu makan, sulit tidur, tampak tegang
Kesimpulan: Masalah keperawatan prioritas pada klien adalah Ansietas, tindakan asuhan keperawatan yang dilakukan adalah Hipnosis 5 jari. Sehingga ansietas yang dialami oleh pasien menurun secara perlahan-lahan.