bluuebunny/crossref_metadata_2025 huggingface dataset:
Use of group discussion as an educational strategy during nursing appointments for patient undergoing bariatric surgery
Authors: Barros Lívia Moreira , Albuquerque Brandão Maria Girlane Sousa , Barbosa Amanda de Oliveira , Nascimento Ludmila Alves do , Ximenes Lorena Barbosa , Caetano Joselany Áfio
Published: July 2018

Objective: The purpose of this study was to describe a health education meeting based on group discussion during a nursing appointment with patients who are waiting to perform bariatric surgery.Methods: This is an exploratory study with a qualitative approach performed in July 2017 at a referral hospital in the State of Ceará-Brazil in the performance of bariatric surgeries. Twelve subjects participated and the data collection took place through self-completion of a semi-structured interview. Data analysis was performed according to the content analysis proposed by Bardin (2009).Results: It was observed that the participants considered that the group discussion allows interaction among the group and favors the construction of common knowledge.Conclusions: It was concluded that group discussion is a favorable methodology to be used during health education in nursing appointments, because it allows the sharing of doubts and experiences among the participants.
Prevalence of Undiagnosed Type 2 Diabetes Mellitus and Its Associated Factors Among the Malaysian Population: The 2015 National Health and Morbidity Survey, Malaysia
Authors: Ismail Hasimah , Omar Mohd Azahadi , Saminathan Thamil Arasu , Muhammad Yusof Muhammad Fadhli , Mohd Zaki Nor Azian , Lim Kuang Kuay , Aris Tahir
Published: July 2018

BACKGROUND: The prevalence of diabetes has increased dramatically in the last decade. Compounding the problem are undiagnosed cases of type 2 diabetes mellitus. These respondents are those who do not know that they have the disease. Undiagnosed cases have substantial implications as they are at more risk to develope fatal complications. This study aims to determine the prevalence of undiagnosed T2DM and to identify its associated factors in Malaysia.METHODS: A nationwide cross-sectional study was conducted involving 19,935 respondents. Two-stage stratified sampling design was used to select a representative sample of the Malaysian adult population. Face-to-face interviews using structured, validated questionnaires were used to obtain data from the respondents. Respondents who claimed that they were not diagnosed with diabetes before were asked to undergo a finger-prick test.RESULTS: The overall prevalence of T2DM was 17.5% while the prevalence of undiagnosed T2DM was 9.2% (n=2103). Respondents aged 60 years old & above had the highest percentage of undiagnosed T2DM at about 13.6 %, followed by those with no formal educational at 12.9%, among Indians were 11.9%, among female at 9.2%, among non-working citizen at 9.8%, widowed/divorced (12.0%), smokers (9.5%), obesity (13.6%) and hypertensive (12.8%). Multivariable analyses revealed that age group, ethnicity, education level, marital status, obesity and hypertensive were more likely to have undiagnosed T2DM.CONCLUSION: This study showed a high prevalence of undiagnosed T2DM in Malaysia. Factors associated with undiagnosed diabetes mellitus were obesity, age, ethnicity, educational level and hypertension. Screening is essential among adults aged 30 to 60 year old to enable early intervention and prevent development of serious complications of this disease.
Results on Existence and Uniqueness of Solution Of Impulsive Neutral Integro-Differential System
Authors: Dodi K Igobi, , Jackson E Ante,
Published: July 2018

In this work, the solution of the impulsive neutral integro-differential system is analysed. The Du Bois–Reymond’s assumptions on solution variation of piecewise smooth functions are used to establish the existence of only the impulsive term as a solution of the system at the points of discontinuity. The theories of infinitesimal generator of a strongly continuous compact semigroup is used to formulate theorems on existence and uniqueness of system solution, and proves are provided using an approximate piecewise continuous, compact operator and a continuous positive non decreasing function . Results obtained are improvement on the qualitative analysis of impulsive neutral integro-differential system
Comparison on Turn Costs in Accessibility Models. Case Study: Manizales, Colombia
Authors: Cardona Santiago , Escobar Diego , Moncada Carlos
Published: July 2018

The transport models have taken great relevance in the last decades because they help to make big urban planning decisions. In this sense, supply models, such as global average accessibility, seek to approach more and more to reality in order to represent it in the best possible way. In this research article, we compare the different penalties for turns used in the global average accessibility models in the city of Manizales, being compared with the preliminary results of a research thesis in which the penalties for turns were calculated by means of an empirical methodology that analyzes different road intersections in the city. At the end, the savings gradient method is used to measure the differences between the different calculated scenarios.
Cultural Self-Identification within the Millennial Market: A Qualitative Examination
Authors: D.B.A. Lori M. Thanos, , Clark, Ph.D. Sylvia D.
Published: July 2018

The goal of this study was to examine the degree of cultural self-identification among a sample of U.S. Millennials attending a New York City community college. A case study technique using personal interviews was employed, based on input from twelve Millennials in attendance at a large, public community college in New York City. The object was to explore participants’ knowledge regarding their cultural affiliations’ effects on ethnic food purchases and consumption. Results showed Millennials’ cultural self-identification with cultures differing from their original family background, as well as their knowledge of cultural pluralism. Participants tended to select ethnic foods from one culture above all other cultures. Findings from the present study buttress cultural pluralism as a segmentation method and can assist in development of marketing stratagem, while also furnishing an invaluable contribution to current literature.
The Margin of Appreciation in the ECtHR’s Case Law
Authors: Lemmens Koen
Published: July 2018

The Margin of Appreciation in the ECtHR’s Case Law: A European Version of the Levels of Scrutiny Doctrine?

Although the American doctrine of levels of scrutiny and the European concept of margin of appreciation are regularly compared as typical instances of deferential judicial decision-making, this article argues that owing to the institutional setting in which they operate, the differences between the two are notable. It is also argued that the social consequences of the application of the two concepts may even be radically opposed.
La representación del acento en escritores principiantes muy jóvenes
Authors: Soni Limón Paulina , Vernon Sofía A.
Published: July 2018

Esta investigación tuvo como objetivo indagar sobre los recursos gráficos de niños pre-alfabéticos y alfabéticos iniciales para marcar la diferencia entre pares de palabras que se diferenciaban por la posición de la tilde (por ejemplo, jugo/jugó). Se entrevistaron 77 niños de 4 a 7 años de la ciudad de Querétaro, México. Se dieron dos tareas: en la primera se les daba una palabra de cada par mínimo para que escribieran la otra. En la segunda, los niños elegían la palabra objetivo de entre dos palabras escritas, también pares mínimos. Los resultados obtenidos sugieren que: a) los niños mostraron diferentes maneras para diferenciar la posición de la tilde; a mayor nivel de escritura y nivel escolar, los recursos gráficos utilizados para diferenciar entre las palabras de los pares se van acercando a la convencionalidad; b) la comprensión de qué es la tilde aumenta conforme aumenta el nivel de escritura y la escolaridad.
Fabrication and Characterization of Photochromic Spirooxazine/Polyvinylidene Fluoride Fiber Membranes via Electrospinning
Authors: Peng Linghui , Guo Ronghui , Lan Jianwu , Jiang Shouxiang
Published: July 2018

In this study, photochromic spirooxazine material of N-methyl-3,3-dimethyl-9’-hydroxy-spiro [2H-indole-2-[3H] naphtho [2,1-b] [1,4] oxazine] was synthesised. Spirooxazine/PVDF fiber (SPF) membranes with different contents of spirooxazine were successfully prepared by electrospinning. The SPF membranes were characterised by FTIR and SEM. The photochromic properties and contact angle of the SPF membranes were evaluated. The results show that the SPF membranes change from colorless to blue when exposed to UV light, but they revert to their original colour after the UV light disappears. The colour difference and contact angle of the SPF membranes firstly increase and then decrease with a rise in the content of spirooxazine.
Designing Seamless Compression Products Supporting the Process of External Treatment on Numerically Controlled Flat Knitting Machines
Authors: Kowalski Krzysztof , Karbowski Krzysztof , Kłonowska Magdalena , Prążyńska Aleksandra , Sujka Witold , Kowalski Tomasz Marek Kowalski
Published: July 2018

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Different Approaches in Bathrobe Manufacturing: New Concept Pestemal Bathrobes, an Irreplaceable Element of Hammam Culture
Authors: Kalkanci Mihriban
Published: July 2018

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Evaluation of the Elastomeric Composite Self-repair Process for the Construction of Protective Gloves
Authors: Adamus-Włodarczyk Agnieszka , Bacciarelli-Ulacha Anna , Irzmańska Emilia , Strąkowska Anna , Masłowski Marcin
Published: July 2018

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Effect of Microwave Irradiation on the Physical Properties and Structure of Silk Fibre
Authors: Zhao Xue
Published: July 2018

Microwaves are high frequency radio waves which are capable of penetrating many materials and causing heat to be generated in the process. To investigate the effect of microwave irradiation on the physical properties as well as the chemical , surface morphological and fine structure of silk fabric, silk fabric was treated with microwave irradiation under a variety of conditions in terms of the power and time of microwave treatment. The breaking strength, elongation at break, and whiteness of the treated silk fabric in a wet state were investigated. The structures of the untreated and treated silk were investigated with Fourier transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), differential scanning calorimetry (DSC) and X-ray diffraction (XRD). The results show that the physical properties of the treated silk fabrics were changed with the microwave irradiation time. The chemical and surface morphological structure as well as the decomposition temperature and crystallinity of the treated silk were changed.
The Global Teacher and the Legacy of Janusz Korczak. An Online Course at Haifa University (2017-2018)
Authors: Shner Moshe
Published: July 2018

The paper presents new technological possibility to disseminate the pedagogy of Janusz Korczak, which is very useful in terms of needs that modern world demands from teachers and students: citizenship and engagement. The roots of humanistic education are tested in the global network environment. It is an experimental and quite a novel way to engage international audience in participating in academic and non-academic courses online. The paper describes the course content, the process of tuition and the outcomes, including students' and lecturers' reflections. It may become a baseline for international cooperation in dissemination of Janusz Korczak's heritage and beyond
Using Technology to Prevent Peer (Cyber)bullying and Antisocial Behavior
Authors: Tłuściak-Deliowska Aleksandra
Published: July 2018

This paper explores the possibilities created by modern technologies to prevent bullying and antisocial behaviors. The live of modern generations is inseparable from the mass media and advanced ICT. In this context, anti-social and pro-social behavior of young people was shown and defined. Then, a review was made how new technologies can be used in (cyber)bullying prevention and interventions strategies. Technology-based solutions were divided into two groups: (1) preventative solutions and therefore applicable before bullying occurs and (2) reactive solutions, which are aimed at helping victim, bystanders and others to deal with bullying. Some of presented activities are an extension of the activities already known in the field of peer violence prevention from the face to face context to the online environment. The examples of technology-based solutions presented in the text have a different degree of complexity. In some cases, they boil down to one simple operation, in another they mean long-term conduct. Based on the information presented in this article, the conclusion is that new technologies may be used in raising awareness about bullying phenomenon, for developing socio-emotional skills and some bullying preventative and reactive solutions. However, these strategies need to be combined with others in a way to build a thoughtful and comprehensive program, as well as more research is needed in this area to verify their real effects
Literary Heredity and Variation in Selected Facebook Poems of Veralyn Chinenye And Her Collaborative Authors
Authors: Onuoha Onyekachi Peter
Published: July 2018

Facebook has become one of the mediums of creativity and criticism of works of art as a result of the nature of its blended writing. At the “completion” of a composition, Facebook poems maintain a certain degree of the static form, which is a characteristic of print literature. Facebook poetry coalesces the oral and print into a “new” form of poetry and extends the boundaries of oral and print literature. Using Bolter and Grusin concept of Remediation as a theoretical framework, this paper examines literary heredity and variation in selected Facebook poems of Veralyn Chinenye and her collaborative authors and participants. The paper further examines the characteristics and criticism of Facebook poetry and explicates the functionality of “Emoji”, “Comments”, “Share”, and intertextuality in the on-going creation and criticism of Facebook poetry that is different from the conventional perception and practice of literary creativity and criticism. Through the examples of poetry analysed in this paper, our findings show that digital literature is, to an extent, fluid and shares identical characteristics with oral literature in terms of artist and audience participation, occasion of performance
Women at the top leadership positions. Obstacles, possibilities and the chimera of segregation
Authors: Takacs Izolda
Published: July 2018

The paper takes into account the general characteristics of workplace organization, the organizational atmosphere relevant to gender and prejudices based on binary oppositions identified by women in leadership positions, which still limit their opportunities and choices.
Career paths of women are at the focus of the study, especially in academia and science, including the difficulties faced by women when they move up in the organizational hierarchy, if they pursue career in science and if they aim for the leadership position
Characteristic of creating methodology of correction of the semantic field of words
Authors: Tkach Oxana
Published: July 2018

The article is devoted to the description of the methods of correction of the semantic fields of words. We defined its main tasks, linguistic material and conditions of its use, substantiated the principles of the division of material into educational directions, specified the aims of this choice, defined the criteria for selecting the material (thematic principle, linguistic, morphological, frequency, hierarchical, etc.). These principles enabled us to form pivotal vocabulary groups for secondary school children, taking into account their linguistic experience and the curricula requirements for children with severe speech disorders.
We described three main stages of the implementation of the remedial program, their purpose and directions of work, namely, the actualization of the existing knowledge of the child, the expansion of the lexical meaning through the accumulation of new words and the use of semantic ties to integrate them into existing semantic fields. The most critical and most important was the stage of harmonization, structuring and repolarization of semantic fields, in which conditions for independent construction and modification of semantic fields were created, as it provided for independent, competent work of children in selecting, processing and using the information obtained from different sources and branches of knowledge, as well as acquiring skills by one’s own choice or instruction to transform existing semantic fields.
The article gives a list of practical tasks offered to children at different stages of remedy for individual and group work. Students worked with ready-made graphic structures of expressions and dynamic models. In order to visualize the process of forming semantic fields, in addition to the generally accepted models (associative chains), we proposed some projective models (“the snowball tree cluster", “the sundial", “the associative bush", and the “ multi-stage pyramid", which allowed to study quantitative and qualitative characteristics of semantic fields.
When more is more? The impact of breadth and depth of information disclosure on attributional confidence about and interpersonal attraction to a social network site profile owner
Authors: Baruh Lemi , Cemalcılar Zeynep
Published: July 2018

Social network sites (SNSs) provide users with ample opportunity to share information about themselves and to engage in social browsing to learn about others. This article reports results from two experiments (with participants from the U.S.) that investigate the impacts of breadth and depth of information disclosed in a profile on viewers’ attributional confidence about and interpersonal attraction to the profile owner. In the first experiment (n = 320), participants viewed a profile containing either low or high breadth of information. Analyses indicated that, higher breadth of information shared in the profile increased interpersonal attraction and that attributional confidence mediated this relationship. The second experiment (n = 537) tested the respective influences of breadth (low vs. high) and depth of disclosure (low vs. high) in a profile on perceivers’ attributional confidence and interpersonal attraction. Analyses indicated that, while increasing the breadth of information had a positive impact on interpersonal attraction to profile owners, increasing the depth of information reduced attraction. Additionally, there was a significant interaction between breadth and depth of information in predicting attributional confidence; increasing the depth of information shared in an SNS profile enhanced attributional confidence only when the breadth of information shared was low.
The effect of virtual avatar experience on body image discrepancy, body satisfaction and weight regulation intention
Authors: Park Juyeon
Published: July 2018

This experimental study aimed to investigate the effect of having a virtual avatar experience on health outcomes in the context of body image and weight regulation. Ninety-three U.S. non-clinical participants (51 men and 42 women) were recruited, who were 18 years and older and had no history of chronic health problems or mental illnesses. Each experiment consisted of the three data collection phases, including the pre-experiment survey, an experience session of a virtual self-avatar, and the post-experiment survey. For the development of the virtual avatar protocol, this study employed 3D body scanning to create a participant’s virtual body model based on accurate anthropometric data, to simulate a virtual avatar closely matched with the participant’s actual physique. Overall, the data indicated an increase in perceived body image discrepancy and a decrease in body satisfaction after participating in a virtual avatar session, and those who showed higher body dissatisfaction exhibited a stronger intention regulated for weight control. Specifically in gender, the statistical results were generally intensified in the female group, but the male group showed a stronger intention to be involved in exercising after virtual avatar experience. The insights gained from this study suggested future directions for research and program development, and urged that practical applications of the virtual avatar approach must be implemented with caution when it uses clinical samples, because its risk-benefit assessment has not been sufficiently investigated yet.
The relationship between online gaming motivation, self-concept clarity and tendency toward problematic gaming
Authors: Šporčić Berislav , Glavak-Tkalić Renata
Published: July 2018

The aim of this study was to explore the relationship between online gaming motivation, self-concept clarity and problematic online gaming. More specifically, the study investigated the mediating role of gaming motives between self-concept clarity and problematic online gaming. Data from 509 young adult (M = 23.14, SD = 4.66) video game players from Croatia were analyzed. Problematic online gaming was positively correlated with social, competition, coping, fantasy and escape motives for playing online video games, and negatively with self-concept clarity. Hierarchical regression analyses revealed that escape motives and self-concept clarity were significant predictors of problematic online gaming after controlling for age and weekly gaming time. The results of the mediation model showed that self-concept clarity was both directly and indirectly (via escape motive) associated with problematic online gaming. The discussion addresses the issue of escapism in relation to self-concept clarity and as a factor in predicting problematic online gaming.
Threatened individuals prefer positive information during Internet search: An experimental laboratory study
Authors: Greving Hannah , Sassenberg Kai
Published: July 2018

The Internet is the main source for information search and it is increasingly used in the health domain. Such self-relevant Internet searches are most probably accompanied by affective states such as threat (e.g., being afraid of a serious illness). Thus, threat can influence the entire Internet search process. Threat is known to elicit a preference for positive information. This positive bias has recently been shown for separate steps of the Internet search process (i.e., selection of links, scanning of webpages, and recall of information). To extend this research, the present study aimed at investigating the influence of threat across the Internet search process. We expected that threatened individuals similarly prefer positive information during this process. An experimental laboratory study was conducted with undergraduate students (N = 114) enrolled in a broad range of majors. In this study, threat was manipulated and then participants were to complete a preprogrammed, realistic Internet search task which was used to assess selection of links, scanning of webpages, and recall of information. The results supported our hypothesis and revealed that, during the Internet search task, threatened individuals directed more attention to positive information (i.e., selected more positive links and scanned positive webpages longer) and, as a consequence, also recalled more positive information than non-threatened individuals. Thus, our study shows that not only separate steps but also the Internet search process as such is susceptible to being influenced by affective states such as threat.
The metaphysical identity of beings and a gaze into the starry sky
Authors: Barboza Jair
Published: July 2018

Este texto apresenta o personagem machadiano Quincas Borba, o cachorro, e o filósofo Kant como o mesmo puro sujeito do conhecimento.
De "Voluntas: Estudos sobre Schopenhauer" a "Voluntas: Revista Internacional de Filosofia": continuidades e mudanças
Authors: Debona Vilmar
Published: July 2018

Se quiséssemos nos expressar em termos schopenhauerianos e com algum toque de ironia, diríamos que a Voluntas - a Vontade, o Wille - é perene, permanece, só mudando o seu fenômeno! Penso que a leitora e o leitor poderão logo constatar que isso vale também para o caso desta revista a partir do presente volume - edição 17, Volume 9, número 1, referente ao primeiro semestre de 2018. Se observados simultaneamente, o antigo e o novo título do periódico podem indicar, de imediato, tanto a continuidade quanto a mudança. Em verdade, o que muda é o subtítulo, mas de tal forma que, com ele, mudam também importantes aspectos e políticas editoriais. Um breve passeio pela aba “Sobre” da nova página, disponível em seis idiomas em https://periodicos.ufsm.br/voluntas, permitirá conhecer as dimensões das novas configurações da revista. Elas foram longamente pensadas, discutidas e planejadas pela Comissão Editorial e por alguns professores do Conselho Editorial.
Um caminho filosófico com Schopenhauer
Authors: Cacciola Maria Lúcia
Published: July 2018

Em vez de apresentar uma análise conceitual da filosofia de Schopenhauer ou de algum conceito de sua filosofia e do seu filosofar, permito-me, desta vez, relatar minha experiência pessoal no campo da Filosofia, sobretudo a partir da filosofia desse autor, ligada a eventos pessoais acontecidos no campo da vida política brasileira, numa costura frouxa, contingente, sem relações de causa e efeito entre esses âmbitos.
Análise ambiental da Bacia do Arroio Cadena, município de Santa Maria - RS: Vila Urlândia
Authors: Cristo Sandro S. Vargas de , Robaina Luís Eduardo de S. , Benger Marcos G.
Published: July 2018

The Urlândia village is situated in the Cadena stream basin and it is an area of the city of Santa Maria vulnerable to geologic risk, mainly flood and mass-asting on stream margin. The building, predominant are simple houses with srnall area and made up with diversity material. The street does not have paviment and sewerage. The domestic sewer and waste deposition direct in streams are factors causing of environmental degradation. The flood is principal risk in area. Another process of risk occurs because of the landslide of margin originate from stream flux and draining of water raining.
Une approche comportementale des rôles du dirigeant de PME dans le développement des innovations durables
Authors: Aka Kadia Georges , Labelle François , Trépanier Michel
Published: July 2018

Les enjeux de la durabilité offrent des possibilités considérables d’innovations durables (ID) aux entreprises. Pour en profiter, les dirigeants peuvent s’impliquer dans le développement de ces innovations en exerçant trois rôles essentiels : champion durable, entrepreneur durable et leader durable. L’approche par les traits utilisée pour révéler ces rôles est insuffisante pour comprendre comment les dirigeants parviennent à développer des ID dans différents contextes. Nous proposons une approche comportementale pour répondre à cette question tout en insistant sur la relation complémentaire entre les trois rôles. Au terme de l’exploration de deux cas d’ID développées par des PME, nos résultats montrent que pour réaliser ces innovations, les dirigeants de PME jouent les trois rôles et les intègrent en se comportant comme des observateurs actifs, des bricoleurs et des réseauteurs ainsi qu’en composant avec les événements constitutifs des contextes dans lesquels ils évoluent. Notre étude conclut en suggérant un modèle intégré qui présente les trois rôles et les comportements par lesquels ils sont activés comme les dimensions constituantes d’un construit unique : l’éco-innovateur.
L’expérience migratoire est-elle une source de potentialités pour l’entrepreneur ? Le cas marocain
Authors: Dokou Gérard Akrikpan Kokou , Philippart Pascal , Karbouai Khalid
Published: July 2018

L’objectif de cet article est de situer le niveau des potentialités de l’entrepreneur migrant de retour par rapport à celles de son homologue local. Une synthèse des principaux travaux relatifs aux paradigmes des traits et des faits de l’entrepreneur a permis d’asseoir le concept de potentialités entrepreneuriales. Le corpus théorique obtenu est complété par l’approche basée sur les ressources, étendue au modèle de l’entrepreneur effectuel.

Ce corpus théorique est relayé par le questionnaire adapté de Gasse qui a été administré à un échantillon de 393 entrepreneurs marocains MRE (40 %) et locaux (60 %). Les MRE sont les Marocains résidents à l’étranger revenus au Maroc pour créer leur entreprise. Les locaux sont ceux qui résident depuis toujours au Maroc et qui sont entrepreneurs. Les 393 questionnaires sont soumis aux techniques multidimensionnelles d’analyse de données approfondies. Les résultats obtenus confirment notre hypothèse initiale : le niveau des potentialités de l’entrepreneur migrant de retour est plus élevé que celui de l’entrepreneur local. De tels résultats font émerger des leviers originaux pouvant alimenter les dispositifs d’accompagnement endogènes. Ces mêmes résultats conduisent à la constitution d’une approche intégrative de l’entrepreneuriat de l’émigration de retour associant les paradigmes des traits, des faits et des processus.
L’entrepreneur responsable en développement durable : un cadre conceptuel intégrateur
Authors: Bon Véronique , Van Der Yeught Corinne
Published: July 2018

Selon Schumpeter (1935), la fonction entrepreneuriale est par essence, le véhicule d’une transformation continuelle de l’économie. L’entrepreneur responsable n’est-il pas cet acteur, capable d’engager la révolution économique nécessaire pour qu’advienne un monde plus équitable et plus soutenable ? Comment cet entrepreneur parvient-il à combiner sa liberté d’entreprendre et sa créativité au bénéfice d’autrui ? Dans cette contribution, nous partons à la recherche de cet entrepreneur responsable. Il s’agit de mettre en évidence les capacités éthiques nécessaires à son action et de questionner la façon, dont elle se traduit au regard des quatre paradigmes de l’entrepreneuriat mis en exergue par Verstraete et Fayolle (2005) : à savoir la création de valeur, les opportunités d’affaires, l’innovation et la création d’organisation(s). Deux principales figures émergent de ces investigations : l’entrepreneur économique en DD et l’entrepreneur responsable en DD. Concernant ce dernier, un cadre conceptuel synthétique et intégrateur est proposé pour caractériser son action, les fondements de cette action et l’ensemble des capacités qu’il doit mobiliser.
Intrusion of deciduous and permanent teeth: Causes, clinical characteristics and outcome
Authors: Šipovac Milica , Galović Jelena , Pavlović-Trifunović Ljubica , Perin Mirjana , Petrović Bojan
Published: July 2018

Introduction. Tooth injuries are very common in children. They occur during intense physical and mental development, which complicates the clinical presentation, diagnosis, therapy and prognosis of the injured teeth. Tooth intrusion (Intrusion dentis) is an injury to the surrounding tissue characterized by axial tooth movement towards the jawbone tissue followed by serious damage to the periodontium. The aim of the paper is to determine the etiological factors, clinical presentation and outcomes of tooth intrusion with the aim of making prognosis based on the previous data. Methods. The examination was based on the medical records of patients diagnosed with tooth intrusion from 2006 to 2016. It included 17 females and 37 males, aged 1 to 15 years. Using clinical and radiographic data obtained from medical records, 51 decidious and 35 permanent intruded teeth were analyzed. The degree of intrusion was estimated as the following: mild intrusion (less than 3mm), moderate intrusion (3-7 mm) and severe intrusion (greater than 7 mm). The medical records held data on complications and the outcome of tooth intrusion. Results. In most cases, tooth intrusion occurred as a result of falling while running (45.59%). In addition to tooth intrusion, the injuries of dental hard tissue, the soft tissue of lip, cavity and maxilla, and, where the injuries to the adjacent teeth were concerned, crown fracture (15%), avulsion (13%) and luxation (13%) were diagnosed. There was a statistically significant difference in the time passed until complete re-eruption of both decidious (p = 0.007) and permanent (p = 0.001) teeth occurred. The most favorable outcome was evaluated in mildly intruded teeth. Complications occurred irrespective of the degree of intrusion. Conclusion. Spontaneous re-eruption without complications usually occurs in mildly intruded teeth. Complications arise as a result of mechanical trauma.
Effect of use of insulin pump with low glucose suspend feature on metabolic control in children with type 1 diabetes
Authors: Miljković Vesna
Published: July 2018

Introduction. The automatic suspension of the insulin pump and discontinuation of insulin delivery in case of hypoglycemia is one of the features of Veo insulin pump when it is connected with the sensor used for continuous monitoring of glycemia (CGM). This type of therapy is currently considered to be the best one for achieving a good metabolic control in children with type 1 diabetes mellitus. The objective of the study was to check whether the use of an option for automatic suspension in case of hypoglycemia and combined bolus affects the metabolic control in children with type 1 diabetes mellitus using the insulin pump for a three-month period. Methods. The study included 25 participants (13 girls and 12 boys), aged 7 to 15 years with average age 11.88 ± 3.15 years and average diabetes duration of 6.12 ± 2.5 years. On average, the participants have already been using the insulin pump Paradigm Veo TM MMT-754 for 3.08 ± 1.73 years. The measurements of HbA1c were done at the beginning of the study, then after three and six months. Results. The percentage of glucose serum levels above 7.8 mmol/L insignificantly increased, while the percentage of glucose serum levels below 3.9 mmol/L decreased during the three-month period of CGM wearing. The initial HbA1c was 7.53 ± 0.87%. After three months of wearing, CGM HbA1c showed a slight decrease to 7.48 ± 0.73%, while at the follow-up after another three months without CGM HbA1c increased to 7.57 ± 0.98%. Conclusion. This study shows that the use of an insulin pump with the option of automatic suspension in case of hypoglycemia and combined bolus is only associated with a certain improvement in the metabolic control after three months of continuous wearing without increasing the risk of hypoglycemia.
Correlation between workplace stressogenic factors and sociodemographic characteristics of employees in primary and secondary health care in Doboj region
Authors: Božić Dragana
Published: July 2018

Introduction. This paper is concerned with a comparative analysis of sociodemographic characteristics of the employees and workplace stressogenic factors in both primary and secondary health care. The assessment of the connection of stress factors, as well as subjective feelings of health workers, to their workplace was carried out. Methods. The study included 300 respondents, out of which 42.33% worked in primary and 57.67% in secondary health care. The data were collected from May to June 2016 by means of the survey conducted in the health care institutions in Doboj region. Results. The comparison of employees in primary and secundary health care, respectively, showed that there was no statistically significant difference in gender, age and total work experience in the health care institutions, while the differences in levels of education (p=0.044); the sector in which the working status is based (p<0.000); total work experience (p=0.002) and job positions (p=0.020) were statistically significant. The analysis of answers provided by the respondents showed a statistically significant difference in the distribution of respondents working in primary and secondary health care according to the answers to 76% of questions related to workplace stressors, 86% of questions related to the impact of workplace on the health status, and 40% of questions related to workplace position issues. The correlational analysis between sociodemographic characteristics of respondents and their answers concerning workplace stressogenic factors demonstrated that the employment sector (public/private sector jobs) correlated highly with the majority of stressogenic factors, followed by total work experience, total work experience in the current health care institution, age and marital status. There was the highest correlation between employment sector, as well as work experience, and the answers to the questions concerning the effect of workplace on the health status. Conclusion. Workplace stressors have varying intensity and influence on the employees in primary and secondary health care. Secondary health care respondents experience a higher degree of stress and estimate that the job has a greater negative impact on their health in comparison with primary health care respondents.
Characteristics of urinary tract infections in children up to 7 years of age
Authors: Kulić Vojo , Šupić Veselinka
Published: July 2018

Urinary tract infection (UTI) is defined as a presence of significant bacteriuria in a properly collected urine sample, followed by various clinical manifestations - from asymptomatic bacteriuria to acute pyelonephritis. It is most common in infancy and particularly in females. There is a higher risk of UTI in children with underlying urological anomalies, voiding dysfunction and constipation. The subsequent long-term complications such as hypertension and chronic renal insufficiency might arise in children with recurrent pyelonephritis due to renal scarring. The early and proper diagnosis of UTI needs to be based on the recognition of clinical signs and symptoms of UTI, microscopic examination of urine sediment, urine culture and radiological findings. The objective of various medical imaging studies, including kidney and bladder ultrasound, voiding cystourethrography and technetium-99m-dimercaptosuccinic acid renal scintigraphy, is to identify urinary tract abnormalities, as well as risk factors for recurrent infections. The UTI that has been diagnosed requires a 7-14-day course of antimicrobial therapy in symptomatic and especially febrile children. In most children, the early diagnosis and treatment of recurrent UTI is of utmost importance. In this way the development of permanent kidney damage, as well as permanent consequences will be prevented.
Geriatrics: According to professional and educational standards
Authors: Petrović Mirko
Published: July 2018

Geriatrics is a subspecialization of internal medicine concerned with the health and care of aged persons. It is characterized by comprehesive geriatric assessment of the health conditions of older people, which is consider to be the key to successful preventive, dignostic and therapeutic approach. Geriatricians possess specific knowledge and skills within the field of their expertise necessary for achieving high professional standards in the domain of both acute and chronic care and rehabilitation of older people. The paradigm of both undergraduate and postgraduate education and training within the field of geriatrics is discussed in this paper.
Chronological age, biological age, and individual variation in the stress response in the European starling: A follow-up study
Authors: Gott Annie , Andrews Clare , Larriva Hormigos Maria , Spencer Karen , Bateson Melissa , Nettle Daniel
Published: July 2018

The responsiveness of the avian stress system declines with age. A recently published study of European starlings (Sturnus vulgaris) found that a marker of biological age predicted stress responsiveness even in individuals of the same chronological age. Specifically, birds that had experienced greater developmental telomere attrition showed a lower peak corticosterone response to an acute stressor, and more rapid recovery of corticosterone levels towards baseline. Here, we performed a follow-up study using the same capture-restraint-handling stressor in a separate cohort of 27 starlings. Unlike the original study, we measured the response at two different age points (4 and 18 months). We did not replicate the associations with developmental telomere attrition observed in the previous study at either age point. However, a meta-analysis of the present results combined with those of the earlier study still lent some support to the conclusions of the earlier paper. Estimates of familial influence on stress responsiveness differed across the two age points. We found little evidence of individual consistency in stress responsiveness between 4 and 18 months. Peak corticosterone was significantly lower at the second age point than the first, though interpretation of this as age-related decline is problematic due to the samples having been analysed at different times.
The Construction of Physician-patient Trust. A Case Report of an Oncologist’s Consults in Palliative Care
Authors: Sylvain Maria Dieltjens  , Priscilla Clarisse Heynderickx
Published: July 2018

The term bioethics generally refers to the study of the ways in which science and more particularly medicine influence our lives and our environment. It is fundamentally concerned with issues relating to the beginning and the end of human lives. This contribution describes an analysis of medical discourse in a palliative context, and more in particular it shows how trust is constructed between an oncologist and his terminal patients during follow-up visits in the academic hospital of Nijmegen in the Netherlands.
Scientific Knowledge and Legislative Drafting: Focus on Surrogacy Laws
Authors: Giuliana Elena Garzone
Published: July 2018

This article discusses how sensitive bioethical issues are addressed in legislation, using as a starting point the analysis of a corpus of normative texts relating to Assisted Reproduction Technologies (ARTs), and in particular surrogacy, enacted in various English-speaking countries. In the investigation, special special attention is given to the re-elaboration and presentation of scientific knowledge in legal discourse with a view to detecting any possible slant or changes, and the reasons thereof. Another important object of investigation is the redefinition of certain well established categories of kinship because of the disruptive effects of biomediacal advances, and ARTs in particular, on family-based social relations. The analysis will focus on legal definitions, which are crucial in this domain considering that advances in the modern technosciences have brought about the need to categorize and name new medical practices and the situations they contribute to bringing about. The focus will be on how definitions are used in normative texts, functioning as initiators of a dynamic process generating discourses that acquire their meaning in the social and communicative contexts they are embedded in. Special attention will be devoted to the way in which specialised scientific, and especially medical, terminology and concepts, are dealt with in bioethically relevant legal discourse.
Research Themes in Bioethically-relevant Discourse: An Overview
Authors: Kim Grego  , Priscilla Clarisse Heynderickx
Published: July 2018

Editorial
LCA/LCC analysis of starting-lighting-ignition lead-acid battery in China
Authors: Ma Yongxi , Yu Shuao , Wang Juanli , Yu Wei
Published: July 2018

Background

China has the largest lead–acid battery (LAB) industry and market around the world, and this situation causes unavoidable emissions of Pb and other pollutants.

Methods

On the basis of a field survey on a starting–lighting–ignition (SLI) LAB plant in Zhejiang Province, this study applies life cycle assessment (LCA) and life cycle costing (LCC) methods to assess the environmental impacts and environment-related costs derived from the LAB industry during the life phases, including material preparation, battery assembly, transportation, and regeneration of the plant.

Results

Material preparation and regeneration phases contribute 3.4 and 42.2 g to Pb emission, respectively, and result in 3.29 × 108 CHY of environmental cost for each function unit (1 KVA h LAB capacity). The material preparation phase is the largest mass contributor to global warming potential (GWP, 97%), photo-chemical oxidation potential (POCP, 88.9%), and eutrophication potential (EP, 82.5%) and produces 2.68 × 108 CHY of environmental cost.

Discussion

Decision makers in the Chinese LAB industry should replace the pyrogenic process in smelting with the use of clean energy, increase the lead recovery rate while producing the same capacity of LABs, and develop new technologies to reduce heavy metal emission, especially in the regeneration phase.
Climate-induced phenological shift of apple trees has diverse effects on pollinators, herbivores and natural enemies
Authors: Kőrösi Ádám , Markó Viktor , Kovács-Hostyánszki Anikó , Somay László , Varga Ákos , Elek Zoltán , Boreux Virginie , Klein Alexandra-Maria , Földesi Rita , Báldi András
Published: July 2018

Climate change is altering the phenology of trophically linked organisms, leading to increased asynchrony between species with unknown consequences for ecosystem services. Although phenological mismatches are reported from several ecosystems, experimental evidence for altering multiple ecosystem services is hardly available. We examined how the phenological shift of apple trees affected the abundance and diversity of pollinators, generalist and specialist herbivores and predatory arthropods. We stored potted apple trees in the greenhouse or cold store in early spring before transferring them into orchards to cause mismatches and sampled arthropods on the trees repeatedly. Assemblages of pollinators on the manipulated and control trees differed markedly, but their overall abundance was similar indicating a potential insurance effect of wild bee diversity to ensure fruit set in flower-pollinator mismatch conditions. Specialized herbivores were almost absent from manipulated trees, while less-specialized ones showed diverse responses, confirming the expectation that more specialized interactions are more vulnerable to phenological mismatch. Natural enemies also responded to shifted apple tree phenology and the abundance of their prey. While arthropod abundances either declined or increased, species diversity tended to be lower on apple trees with shifted phenology. Our study indicates novel results on the role of biodiversity and specialization in plant-insect mismatch situations.
Neonicotinoids with a 6‐chloropyridinyl group (e.g. imidacloprid, acetamiprid, thiacloprid, nitenpyram, boscalid) – Determination of 6‐chloronicotinic acid in urine by GC‐MS [Biomonitoring Methods, 2018]
Authors: Gries W. , Leng G. , Hoppe H.‐W. , Göen T. , Hartwig A. ,   MAK Commission
Published: July 2018

The working group „Analyses in Biological Materials“ of the Permanent Senate Commission for the Investigation of Health Hazards of Chemical Compounds in the Work Area verified the presented biomonitoring method.

Neonicotinoids with a 6‐chloropyridinyl structure are metabolised in warm‐blooded organisms to 6‐chloronicotinic acid that is excreted in urine. This analytical method permits the specific quantification of 6‐chloronicotinic acid in urine. For determination, 2 mL of a urine sample are hydrolysed using 500 µL concentrated hydrochloric acid to cleave the conjugates, which are subsequently extracted with methyl tert‐butyl ether. The solvent is evaporated to dryness under a stream of nitrogen and the residue is dissolved in acetonitrile. Then 6‐chloronicotinic acid is derivatised with hexafluoroisopropanol (HFIP) in the presence of diisopropylcarbodiimide. In a subsequent washing and extraction step, the formed HFIP ester is extracted using isooctane and an aliquot is injected in the GC‐MS system for quantitative analysis. Calibration is performed using calibration standards that are prepared in pooled urine and processed in the same way as the samples to be analysed.

The method was extensively validated and the reliability data were confirmed by an independent laboratory, which has established and cross‐checked the whole procedure.