Psychometric properties of the Care Dependency Scale in stroke survivors in Indonesian hospitals

Purpose: This study aimed to evaluate the psychometric properties of the Indonesian version of the Care Dependency Scale (CDS) among stroke survivors.Methods: The study was undertaken in four hospitals.We analysed datasets obtained from 109 stroke survivors on inpatient wards and in outpatient clinics,who were rated by nurses to determine the CDS reliability coefficients.The Cronbach's α and Cohen's kappa coefficients were applied.Concurrent validity was conducted for the data on care dependency,which werecollected from 49 of these 109 participants on inpatient wards by nurses using the CDS and the Barthel Index.A Spearman's rank correlation analysis was conducted to measure the association between the CDS and the Barthel Index results.Results: An analysis of the results of the CDS tested on the inpatient ward and in the outpatient clinic revealed a high level of internal consistency.The reliability analysis yielded the same Cronbach's α coefficient of 0.98 for both the inpatient and outpatient data.A significant,moderate correlation was observed between the CDS and Barthel Index results.Conclusion: The CDS can be recommended for use as a tool for the assessment and evaluation of stroke survivors who are receiving acute or long-term care.

Medical decision making for older adults： an international perspective comparing the United States and India

There has been a significant decline in cardiovascular morbidity and mortality amidst pervasive advances in care, including percutane- ous revascularization, mechanical circulatory support, and transcatheter valvular therapies. While advancing therapies may add significant longevity, they also bring about new end-of-life decision-making challenges for patients and their families who also must weigh the advan- tages of reduced mortality to the possibility of longer lives consisting of high morbidity, frailty, pain, and poor quality of living. Advance care entails options of withholding or withdrawing therapies, and has become a familiar part of cardiovascular care for older patients in Western countries. However, as advanced cardiovascular practices extend to developing countries, the interrelated concept of advance care is rarely straight forward as it is affected by local cultural traditions and mores, and can lead to very different inferences and use. This paper discusses the concepts of advance care planning, surrogate decision-making, orders for resuscitation and futility in patients with cardiac dis- ease with comparisons of West to East, focusing particularly on the United States versus India.

Psychotherapy with American Indians

American Indians are a substantial minority in both the United States and Canada and present with a disproportionate share of mental health and behavioral health problems. While a large proportion of the native population resides on reservations that are self-managed and have few non-Indian residents, professional health services are mostly provided by clinicians from the dominant culture. The essay tries to highlight specific historical, sociological, and cultural variables the clinician must be aware of to work effectively in this setting. Particular emphasis is placed on using a flexible, eclectic approach, and a case vignette is included to illustrate the principle.

China–Sri Lanka Joint Center for Education and Research for the 21st Century Maritime Silk Road

The China–Sri Lanka Joint Center for Education and Research for the 21 st Century Maritime Silk Road（CSL-CER） was established in August 2015. The Joint Center is an overseas science and education platform established by Chinese Academy of Sciences. CSL-CER has conducted a series of research activities, including an annual scientific expedition to the eastern Indian Ocean, with many kinds of instruments installed for monsoon and ocean observation. The ‘Numerical Forecast System for the Surrounding Area of Sri Lanka,＇ which was developed by the Joint Center, can provide rapid mapping on multiple scales and at multiple resolutions for numerical forecast products serving local society. The annual China–Sri Lanka Joint Workshop on Monsoon Climate and Ocean Environment was successfully held in 2015 and 2016. According to the Memorandum of Understanding（MOU） on joint Master＇s degrees, 15 new Master＇s students were accepted by University of Chinese Academy of Sciences（UCAS） in 2015.

Non-contact ECG Monitoring Based on Capacitive Electrodes

Recent interest in mobile-based heahhcare has driven significant demands on researching non-contact electrodes for electrocardiogram （ECG） measurement. While the conductive gel achieves the requirement in making a good contact between the electrodes and skin, several problems appear. A gel-free, non-contact electrode based on capacitive coupling theory was provided in this paper, which was integrated on the print circuit board （PCB）. The experimental results showed that clear ECG signals could be acquired in the laboratory conditions by coupling the electrodes to the chest of patients through cotton belts.

Psychological and Philosophical Readings of the Spectatorship of Bollywood and Indian Tamil Film in Sri Lanka

The objective of this study is to explore the psychic, moral, ethical and logical significances in the spectatorship of Bollywood and Tamil film in the Sri Lanka. Bollywood and Tamil film has been taking a very popular cultural performance in Sri Lanka. The original Indian spectatorship of these film traditions has been diverted by the cultural and political psychology of Sri Lanka. Hence, this local orientation of the Indian cinema remains a quite metamorphosis and deconstruction in its appreciation and screening in terms of the social, cultural and political features that deeply-rooted in Sri Lankan history, culture and geographical limitations. For this study, several film texts, which include typical Bollywood and Tamil film characteristic features were used and observed on how they have been absorbed in the Sri Lankan cultural society. And on the other hand, some audience surveys specific to different film appreciation contexts were conducted. They included urban slums, semi-rural Muslim societies, north and east areas of Tamil villages, Colombo urban society, Tamil state areas and Kandyan Sinhala rural villages. In the textual analysis of the film content, implicit psychological narrations and their social and aesthetic interpretations were revealed in the analytical explanations. Using the audience surveys, many different opinions that can be traditionally filtered in the screening and appreciation of these film traditions specific to their living cultural settings were also identified. In conclusion, perception in Sinhala film has been considerably designed by the experience of Bollywood and Tamil film spectatorship is deducted by this study. Hence, not only this social trend affected to the appreciation of film in local general audience but also in all the facets of film production （script writing, shooting, acting, dialoguing, music and choreography and screening） has also significantly being influenced by the Bollywood and Tamil film. As a result of this evolution of local film culture, most recent trend in Sinhala film noir is also being followed by the early subjective consequences of Bollywood and Tamil film culture in Sri Lanka.

The Model of Open and Distance Learning for Teaching Indonesian Through Socio-Cultural Approach and Psychological Aspects to Students of Indonesian for Foreign

This study aims to find out the effect of the model of ODL （Open and Distance Learning） for teaching Indonesian for foreign and whether this model of ODL implements socio-cultural and psychological approaches. The students＇ learning of Indonesian for foreign is in so many aspects that it must be considered from both psychological aspects of students＇ language and cultural aspects. The research was carried out on foreign students＇ studying Indonesian language. The research method used action research. ODL model developed this concerning how the students are anxious in foreign language learning and language use in accordance with Indonesian culture. The model of ODL for teaching foreign Indonesian uses the Internet facilities such as email, Skype, VolP, Google Talk, circulating document with comments, chat, forum, CD, audio-video, stream media player, and e-learning system. Based on the results of this study which is that students study the model ODL for teaching Indonesian through socio-cultural approach and psychological aspects and students of Indonesian for foreign improve their ability to use the Indonesian language, students are able to converse fluently in Indonesian in accordance with Indonesian culture

Multiple Vulnerabilities of the Elderly People in Indonesia： Ethical Considerations

A closer look to the state of affairs of the elderly in Indonesia has disclosed the fact that the Indonesian elderly facing what this paper is coined as ＂multiple vulnerabilities.＂ On the one hand, Indonesian demographic is showing that the Indonesian people are getting old. The fertility rate has significantly decreased since 1970 when the total fertility rate decreases from 5.0 to 2.1 in 2025. This alone gives rise to various problems of the elderly, among whom are the dependency ratio, aging index, potential support ratio, and the feminization of aging. These problems show the level of vulnerability of the Indonesian elderly. From the perspective of the dependency ratio, for example, the number of people under the age of 15 and above 65 who depend on the labor force （15-64 years） has increased since 1970, from 7.0 to 29.0 in 2050. Again, this shows the high level of vulnerability of Indonesian elderly given that the dependency ratio itself has influenced on health care, living arrangements and family support, and so on. Aside from that, the economic burden will be very visible in the workforce. On the other hand, the policies on the elderly are still far from maximum realization. Law on the Welfare of the Elderly （13/1998） has recommended that every hospital must have geriatrics and gerontology section, yet only 8 hospitals fulfill the requirement. The situation is worsened due to the lack of adequate medical staff at the health center, which can serve elderly patients in a professional and humane way. Again, this brings forth the other side of the state of the elderly in Indonesia, which indicates the high level of their vulnerability. In this paper I will analyze the state of vulnerability of the elderly people in Indonesia from the perspective of ethics of vulnerability and personalism. I consider these two approaches as representing all ethical discussion about the ethical treatment of the elderly due to their characters of valuing the elderly as persons with dignity. Thus, this paper will show that the elderly in Indonesia is in danger of not being treated humanely.

Impact of Workspace Design in Indian Context on Occupant＇s Behavior, to Enhance Efficiency and Comfort

The environmental psychology ofa workspace is a rich and diverse field of study that is growing fast and gaining popularity. The indoor environmental factors in workspaces should follow functional as well as behavioral requirements as the spaces are designed as per the user＇s requirements, needs and aspirations. These play a major role in achieving behavioral impact on the user, as sense of well-being in the environment and physical comfort in the space enhances the productivity and efficiency of the user of the space. The slow and gradual importance of this issue in workspace design with Indian context, post occupancy evaluation can be adjudged as a permanent tool for improving indoor environment in buildings. Occupants should be used as a benchmark of evaluation, showing correlation of physical measurements and subjective parameters. It also suggests recommendations to improve quality of indoor environment in office buildings with analytical study, an important step in post occupancy evaluation. The objective of the paper is to inquire how people experience environmental psychology of the workspace as the determinants are efficiency, productivity and comfort. The success of any design depends upon the degree to which it creates an interface between the user and the environment.

安丘张氏家族印学成就考——以山东博物馆藏品为据

清初山东安丘名士张贞所形成的"安丘印派",成就斐然,传承有绪,有独到的理论体系,在中国篆刻史上也具有一定的影响力。张贞引导和带动了山东篆刻的发展,其后人克绍箕裘,使"安丘印派"的影响力突破齐鲁地域,进而辐射全国,在主流印坛也具有一席之地。本文就张氏印学及其传承问题展开探讨,揭示"安丘印派"在齐鲁印学融入主流印风中所起的作用。

为谁治印,向谁的艺术风格靠一靠

我刻印多为自用或应朋友之托。原来给朋友刻印,没太留心这事。等印章刻完了,朋友一用的时候,发现印章的风格与朋友的艺术风格不协调,看上去很別扭。印章在整个书画创作中的份量是很重的,一幅好的作品,再配上一方风格协调的印章,能起到画龙点睛的作用。相反,如果用的印章不协调。

茶的修行

当她行茶时,我与她相距不过一盏茶的距离,呼吸之声可闻。——是不是肉体的距离近了,心灵的距离也容易靠近呢?佛说,茶,可以印心.她素衣玄服,梳着整齐的发髻,鬓角已经斑白,清瘦的脸颊上镶嵌着一对黑曜石般深邃的眼睛,嘴角噙着淡淡的微笑——全身上下,除了手腕上绕着的一条佛珠串,别无装饰。

Eplerenone inhibits atrial fibrosis in mutant TGF-β1 transgenic mices..

The purpose of the present study was to study the impacts of eplerenone （EPL）, an antagonist of mineralocorticoid receptors （MR）, on atrial fibrosis in a mouse model with selective fibrosis in the atrium, and to explore the possible mechanisms. Using mutant TGF-β1 transgenic （Tx） mice, we first demonstrated that EPL inhibited atrial fibrosis specifically and decreased mac- rophage accumulation in the atria of these mice. Results from immunohistochemistry and western blotting showed that EPL attenuated protein expression of fibrosis-related molecules such as connective tissue growth factor （CTGF） and fibronectin in the atria of Tx mice. In culture, EPL inhibited gene expression of fibrosis-related molecules such as fibronectin, ct-SMA, and CTGF in TGF-β1-stimulated atrial fibroblasts, Finally, using a co-culture system, we showed that TGF-β1 stimulated atrial fi- broblasts induced migration of macrophages and this was blocked by EPL. EPL also blocked TGF-β1 induced gene expression of intedeukin-6 （IL-6） in atrial fibroblasts. Therefore, we conclude that EPL attenuated atrial fibrosis and macrophage infiltra- tion in Tx mice. TGF-I31 and IL-6 were involved in the impacts of EPL on activation of atrial fibroblasts and interactions be- tween fibroblasts and macrophages.

Effects of Different Right Ventricular Pacing Sites on QRS Duration in Patients Receiving Permanent Dual Chamber Pacemakers

ObjectiveTo explore the effects of exposure to aluminum（Al） on long-term potentiation（LTP） and AMPA receptor subunits in rats in vivo. 〈br〉 MethodsDifferent dosages of aluminum-maltolate complex[Al（mal）3] were given to rats via acute intracerebroventricular （i.c.v.）injection and subchronic intraperitoneal （i.p.） injection. Following Al exposure, the hippocampal LTP were recorded by field potentiation techniquein vivo and the expression of AMPAR subunit proteins （GluR1 and GluR2） in both total and membrane-enriched extracts from the CA1 area of rat hippocampus were detected by Western blot assay. 〈br〉 ResultsAcute Al treatment produced dose-dependent suppression of LTP in the rat hippocampus and dose-dependent decreases of GluR1and GluR2in membrane extracts; however, no similar changes were found in the total cell extracts, which suggests decreased trafficking of AMPA receptor subunits from intracellular pools to synaptic sites in the hippocampus. Thedose-dependent suppressive effects on LTP and the expression of AMPA receptor subunits both in the membrane and in total extracts were found after subchronic Al treatment, indicating a decrease in AMPA receptor subunit trafficking from intracellular poolsto synaptic sites and an additional reduction in the expression of the subunits. 〈br〉 ConclusionAl（mal）3obviously and dose-dependently suppressed LTP in the rat hippocampal CA1 region in vivo, and this suppression may be related to both trafficking and decreases in the expression of AMPA receptor subunit proteins. However, the mechanisms underlying these observations need further investigation.

Steric paper based ratio-type electrochemical biosensor with hollow-channel for sensitive detection of Zn2+

The construction of flexible platform possessing the functions of immobilizing, separating, rinsing, and high-throughput analysis plays a significant role in biological and clinical research. Herein, hollow- channel technique was integrated with lab-on-paper for the simultaneous determination of two different concentrations of Zn2＋ based on the origami principle, in which microfiuidic channels were first patterned on a cellulose paper using commercial solid-state wax printer. Hollow-channels were created by laser cutting method as the role of both injecting ending and reaction tank. After screen printing three elec- trodes system, the resulting planar paper sheets were then folded into steric structures and functional- ized by in-situ synthesized reduced graphene oxide. As a proof-of-concept, such lab-on-paper device was employed in the ratiometric electrochemical monitoring of zinc ion from the environment and HepG2 cells extract, by combining with co-catalysis of porous metal-organic frameworks and hemin/ G-quadruplex toward H202 in the linear range of 0.1-7,000 nmol/L. The results indicated that integrating hollow-channel with steric lab-on-paper offered a new methodological approach for the development of metal ions monitoring research. It is believed that it could be useful for various point-of-care related research fields, such as, on-site environmental monitoring, food safety, and disease diagnosis.

The Physical and Psychological Mechanisms of Educational Inequality and Intervention Strategies: The Case of Migrant Workers' Children

Using multiple methods including questionnaires, in-depth interviews, participant observation and field experiments, we have identified two social-psychological mechanisms in educational inequality： the self-fulfilling prophecy ofparentaI expectations at home and the threat of stereotyping encountered at school. The physical mechanism of educational inequality is manifested in the poor health of migrant workers＇ children and their devalued behavior. Targeting these physical and psychological mechanisms, we have designed two simple but effective intervention strategies to raise the children＇s academic achievement： passing on the incremental theory of intelligence and establishing a multiple assessment system. These intervention strategies effectively improved the children＇s academic performance, increased their identification with learning, and lowered the stereotype threat. It is hoped that these strategies can be applied to the new generation of migrant workers entering the labor market.