bluuebunny/crossref_metadata_2025 huggingface dataset:
The Establishment of the Cut-off Value of Weight-for-Height for Preschool Children in China and an Empirical Study on the Influence of Overweight and Obesity on Physical Performance
Authors: Tu Chunjing , Tu Yuxuan , Jiang Chongmin , Zhang Sanhua
Published: June 2023

Background: We aimed to establish the cut-off value of weight-for-height for preschool children in China, and to explore the influence of overweight and obesity on the physical performance of preschool children.
Methods: Data from 31 provinces in China monitored in 2010 and 2014, the standard deviation unit curves of WFH were established by using GAMLSS (generalized additive model for location, scale, and shape) method preschool children in China, and then the cut-off values of normal weight, overweight and obesity were divided. The research group tested 5 physical performance indicators of 5154 preschool children from April 2018 to June 2019 in Beijing and Zhejiang in China. We then compared physical performance differences between the normal-weight group and the overweight-obesity group.
Results: A smooth and effective standard deviation unit curve of WFH was established. The overweight and obesity of Chinese preschool children were at a high level. Being overweight and obese reduced preschool children's relative strength, speed, sensitivity, coordination, and balance ability, but did not reduce preschool children's flexibility. In general, the physical performance of preschool children in the normal weight group was better than that in the overweight and obesity group.
Conclusion: It is suggested to use the WFH criteria in this study to evaluate overweight and obesity in Chinese preschool children, and strengthen physical activity and take in energy substances properly of preschool children, to control the spread of overweight and obesity， to improve physical performance level.
The Relationship between Air Pollution and Infant Mortality Rate
Authors: Nazarpour Sima , Shokati Poursani Afshin , Simbar Masoumeh , Yarandi Razieh Bidhendi
Published: June 2023

Background: We aimed to investigate the relationship between air pollution and the Infant mortality rate (IMR) during nearly ten years in Tehran, Iran.
Methods: This study is a retrospective cohort case using time series analysis. Air pollution monitoring data during the study period (2009-2018) were collected from the information of 23 Air Quality Control Centers in different areas of Tehran. For this purpose, the daily measures of PM10, PM2.5, O3, CO, SO2, NO2 were obtained. Data on infant mortality was obtained from the National Statistics Office of Iran and mortality registered in Tehran's main cemetery during the study period. Distributed lag linear and non-linear models were used.
Results: A total of 23,206 infant deaths were reported during the study period. Following an increase of 10 ug/m3 in PM10 in an early day of exposure, the risk of mortality increased significantly (RR=1.003, 95%CI:1.001-1.005). There is a pick on lag 5-10 that shows a very strong and immediate effect of cold temperature which means that cold temperatures increase the risk of mortality at an early time. At cold temperate, (var=0 and lag 0) risk of infant mortality was significantly higher than reference temperature (19˚C) (RR=1.1295, %CI: 1.01-1.25).
Conclusion: The results show the adverse effects of PM10 exposure on infant mortality in Tehran, Iran. Accordingly, a steady decline in PM10 levels in Tehran may have greater benefits in reducing the Infant mortality rate.
Effects of Food Plate Size and Color on Visual Perception of Satiety in Adolescents; a New Strategy toward Weight Management
Authors: Rabiei Samira , Nazari Maryam
Published: June 2023

Background: Adolescence obesity and its health consequent on adulthood is affected by various environmental factors. Recently, dishware size or color is considered as a probable critical point to manage intake and weight. We investigated visual perception effects of plate size and color on fullness sensation regarding the Body Mass Index (BMI) for age percentiles in Tehran, Iran in 2019.
Methods: A cross sectional study conducted on 408 students aged 13-18 year from both sexes with different socioeconomic status through convenience sampling method. Anthropometric characteristics were measured to determine BMI for Age categories based on the WHO protocol. Visual analog scale (VAS) was used to assess participants’ perceived satiety when faced to images of different plate’s size and color with the same food volume. SPSS 21 was used to statistical analyze.
Results: 41.2% of student were on >85th percentile of BMI for age. Mean of score of VAS for medium red plate was significantly lower than medium and large white plates in both sexes (P<0.001), while mean of score of VAS for small white plate was significantly lower than large white plates only in girls (P<0.001). The adolescents who were on >85th percentile of BMI for age, gave higher score to large white plate than medium white plate and to medium white plate than medium red plate, significantly (P<0.001), while the scores given by the adolescent on 5th percentile of BMI, were not significant.
Conclusion: Considering dramatic trend of obesity in adolescents in Iran, there is an urgent need to make supportive policies. Manipulating food containers seems to be an effective and simple approach to control feeling satiety. It may be a cost-effective approach to prevent obesity in adolescents before progressing to adulthood.
Effects of Acute Endurance Exercise at 65% and 85% of VO2max on Markers of Immune Function in Healthy Subjects
Authors: Roh Hee-Tae
Published: June 2023

The Article Abstract is not available.
Comparison of Vaginal and Plasma Fibronectin Concentrations for Prognosis of Preterm Delivery: A Cross-Sectional Study
Authors: Meshkibaf Mohammad Hassan , Moradi Zahra , Jafarzadeh Saeedeh , Dehghan Azizallah , Keshavarzi Ameneh
Published: June 2023

Background & Objective: Prediction of preterm delivery can reduce a large number of its complications. The present study aimed to compare vaginal and plasma fibronectin concentrations in the diagnosis of preterm delivery.Materials & Methods: Serum samples were obtained from 105 women at 24-36 weeks of gestation. However, only 40 women gave permission to collect vaginal samples. Fibronectin concentration was measured using the ELISA technique. Then, plasma and vaginal fibronectin levels were compared in term and preterm deliveries.Results: The mean plasma fibronectin level was 6226.43±7174.97 ng/ml among the mothers with term infants and 7724.01±1143.82 ng/ml among those with preterm infants (p=0.667). The mean fetal fibronectin level was 156.61±126.42 ng/ml among the mothers with term infants and 127.71±43.14 ng/ml among those with preterm infants (p=0.241). The cut-off point of plasma fibronectin level was 1750 ng/ml with a sensitivity of 80.25% and specificity of 85.17%. Additionally, the cut-off point of vaginal fibronectin level was 158.98 ng/ml with a sensitivity of 94.62% and specificity of 22.08%.Conclusion: Plasma fibronectin analysis had lower sensitivity and higher specificity compared to vaginal fibronectin analysis. This implies that plasma testing has lower false-positive cases and can identify a more significant number of true positive cases of preterm delivery.
DEMOCRACIA DELIBERATIVA E CONSELHOS GESTORES
Authors: Juliatti Bruno César , Valle Guilherme Senna Oliveira do , Campos Marilene de Souza
Published: June 2023

Os Conselhos Gestores de Políticas Públicas são importantes ferramentas para a consolidação da Democracia, haja vista que o modelo deliberativo efetiva a participação social e recusa as relações de subordinação. O artigo propõe analisar os conceitos da Democracia Deliberativa aplicada por meio da instituição desses conselhos. Do ponto de vista metodológico, o trabalho se enquadra como uma pesquisa descritiva/qualitativa e aborda a forma como a Democracia Deliberativa e Conselhos Gestores se relacionam. O artigo utiliza o software Harzing’s Publish or Perish a fim de obter as informações necessárias para a análise do perfil bibliométrico da produção científica brasileira sobre o tema, sendo o banco de publicações do Google Acadêmico a fonte de dados consultada. Realiza uma análise sistêmica dos artigos selecionados, cujas discussões apontam para uma série de fissuras quanto à representatividade desses conselhos, bem como para seu incipiente poder de fiscalização sobre os atos do Poder Executivo.
FEDERALISMO E DESCENTRALIZAÇÃO TERRITORIAL
Authors: Arruda Carolinne Paulino , Siqueira Hipólita
Published: June 2023

Em países federativos e com altas desigualdades socioeconômicas regionais, o debate sobre a descentralização territorial é central no que diz respeito à implementação de políticas públicas. Com o objetivo de contextualizar os governos estaduais dentro do pacto federativo brasileiro em termos de competências, distribuição de recursos e autonomia decisória, este artigo faz uma revisão das relações interfederativas e da descentralização territorial desde a Constituição Federal de 1988. A revisão é feita com base em trabalhos de estudiosos do tema no Brasil. Entende-se que, ao olhar para essas questões é possível compreender a construção estrutural das potencialidades e impasses dos governos estaduais para além de suas particularidades recentes
Comparison of in-hospital and long-term mortality and assessment of their predictors in patients with myocardial infarction and unstable angina
Authors: Shchinova Aleksandra M. , Potekhina Alexandra V. , Dolgusheva Yuliya A. , Efremova Yuliya E. , Osokina Anna K. , Filatova Anastasiia Y. , Sorokin Evgeny V. , Shestova Irina I. , Provatorov Sergei I.
Published: June 2023

Background: The extent of myocardial damage largely determines both in-hospital and long-term mortality in patients with acute coronary syndrome. According to the literature, the in-hospital and long-term mortality rates in patients with unstable angina (UA) are lower than those in the patients with myocardial infarction (MI).
Aim: To evaluate the in-hospital and long-term mortality rates and their predictors in patients undergoing in-patient treatment for acute coronary syndrome (MI and UA) in the regional cardiovascular center with the service territory of 1 million persons.
Materials and methods: This retrospective registry study enrolled 1130 patients (715 [63.3%] men, 415 [36.7%] women) who were treated for UA and MI in the regional cardiovascular center in 2019. Based on the discharge diagnosis, the patients were divided into two groups: patients with MI (n = 766) and those with an UA episode (n = 364). The in-hospital and delayed mortality rates, as well as their predictors, were analyzed in both groups. The mean duration of the follow-up was 17.8 3.6 months.
Results: The in-hospital mortality in patients with confirmed MI was 11.1% (85 patients) versus 0.27% (1 patient) in the UA patients (p 0.001). The independent predictors of in-hospital mortality in MI patients were a decreased left ventricular ejection fraction (LV EF) (odds ratio (OR) 0.9021, 95% confidence interval (CI) 0.82090.9914, p = 0.0324), chronic kidney disease C3a and above (OR 9.3205, 95% CI 2.670632.5283, p = 0.0005), and the extension of coronary involvement at coronary angiography (OR 1.3526, 95% CI 1.06670.0127, p = 0.0127). The long-term mortality in MI patients was 10.4% (72 patients) with no significant difference from that in UA patients (9.9%, 36 patients, p = 0.76). The independent predictors of long-term mortality after MI were older age (OR 1.12, 95% CI 1.011.22, p = 0.0052), chronic kidney disease C3a and above (OR 2.3375, 95% CI 1.13924.7963, p = 0.0206), decreased EF (OR 0.8895, 95% CI 0.730.99, p = 0.0364), atrial fibrillation on admission (OR 3.1462, 95% CI 1.35107.3268, p = 0.0079), and diabetes mellitus (OR 2.3163, 95% CI 1.25524.2744, p = 0.0072). In the UA patients, the predictors of the long-term mortality were a decrease in LV EF (OR 0.9139, 95% CI 0.86830.9619, p = 0.0006) and in blood hemoglobin level (OR 0.9729, 95% CI 0.95440.9917, p = 0.0050).
Conclusion: The in-hospital mortality in UA patients is lower than that in MI patients, with comparable long-term mortality. This indicates the need of active follow-up of the patients with past UA, irrespective of the endovascular assessment and intervention.
Identification of Reed-Berezovsky-Sternberg cells in lymphatic nodes in classic Hodgkin's lymphoma by flow cytometry: a clinical case series
Authors: Abbasbeyli Firuza М. , Fedenko Alexandr A. , Zeynalova Pervin A. , Mushkarina Тatyana Y. , Melnikova Anzhelika A. , Grivtsova Lyudmila Y.
Published: June 2023

Despite their B cell origin, Reed-Berezovsky-Sternberg tumor cells (RBS) in classic Hodgkin's lymphoma (cHL) demonstrate an absolutely unique phenotype. Immunohistochemistry of RBS cells is positive for CD15 antigen in most of cases, CD30, PAX-5; they do not express the T cell antigen CD3, В cell CD19, and in most cases are negative for the B cell antigen CD20, as well as for common leukocyte antigen CD45. Taking into account such unequivocal immunophenotype, RBS cells can be identified by multiparameter flow cytometry. Thus, J.R. Fromm et al. (2006, 2014) have convincingly shown the possibility to identify RBS cells in a puncture and/or biopsy sample of lymphatic nodes in cHL and were of the fair opinion that such rather simple and reproducible technique as flow cytometry could be an additional diagnostic instrument in cHL.
We have tested the technique proposed by J.R. Fromm et al. for the assessment of lymphatic node involvement in cHL and used 8 to 10-parameter flow cytometry for detection RBS cells in cHL in 8 biopsy samples of a lymphatic node, and confirmed the feasibility to identify RBS cells by high performance flow cytometry. We also performed morphological and immunohistochemical assessment of the biopsy samples of lymphatic nodes from patients with suspected cHL. The study included clinical cases with immunohistochemically confirmed cHL (n = 8), and the control samples were from those with other diagnoses than Hodgkin's lymphoma. In all cases of cHL we found RBS cells. In future we plan to analyze larger case samples by flow cytometry.
Evaluación de textos escolares desde la perspectiva constructivista
Authors: Stevenson Alejandra
Published: June 2023

El maestro debe asumir una posición crítica frente a los textos que le ofrece el mercado y dedicar algún tiempo a tomar una decisión que lo acompañará a lo largo de uno, dos o más años. De los mecanismos que utilice para hacer una elección lo más libre y profesional posible, los beneficiados serán los estudiantes, el docente mismo y la calidad de la educación. La investigación ha mostrado que hay una correlación directa entre el uso del texto escolar y resultados académicos positivos, también debe existir entre la calidad de los textos adoptados y usados y la calidad de los resultados obtenidos (Martínez Bonafé 1992) Como fruto de una investigación explorativa realizada a docente de diferentes colegios y escuelas, se levantó información valiosa acerca de la importancia que revisten los textos escolares en los procesos de enseñanza y de aprendizaje, la valoración que se tiene de ellos como herramienta fundamental para la medición entre el docente, el contenido y la acción constructiva del estudiante, y cómo estos son, a su vez, una primera e importante concreción del currículum y, por tanto, orientadores de la actividad escolar. A partir de la información recogida se diseñó un instrumento de evaluación de textos escolares situándolos desde la perspectiva del constructivismo, que fuese una herramienta útil para nosotros los docentes, en la obtención de la información necesaria para elegirlos con criterios de pertenencia pedagógica. El estudiante es y debe ser el centro del proceso de aprendizaje, ya que es él quien elabora una presentación personal del contenido y lo reorganiza, es decir, construye y atribuye sentido: aprende. Por lo tanto, el docente en su labor educativa mediadora debe asumir con compromiso y responsabilidad las elecciones que tome sobre los materiales curriculares para que efectivamente ocurra el aprendizaje. La aplicación de un instrumento de evaluación como el que se propone, es uno de los caminos para profesionalizar aún más el trabajo pedagógico.
Development and Validation Process of the Intensive Care Unit Omitted Nursing Care (ICU-ONC) Instrument Among French Canadian Nurses
Authors: Vincelette Christian , D’Aragon Frédérick , Stevens Louis-Mathieu , Rochefort Christian M.
Published: June 2023

Background and Purpose:The purpose of this article is to document the development and validation process of an instrument adapted for French-speaking nurses and to measure the occurrence of omitted nursing care (ONC) in the intensive care unit (ICU).Methods:An electronic Delphi panel, involving ICU nursing experts from the province of Quebec (Canada), was used to develop the intensive care unit omitted nursing care (ICU-ONC) instrument. For the validation process, an electronic cross-sectional survey was conducted.Results:A total of 564 nurses participated in the validation study. Exploratory factor analysis performed on 478 complete observations supports the presence of a single-factor structure for the 22-item ICU-ONC instrument. Coefficient alpha for the scale was .93, 95% confidence interval (CI) was [0.92, 0.94], item–partial total correlations ranged from .49 and .68, and the mean/median interitem correlations were .38 and .37, respectively. Moderate negative correlations were found between the ICU-ONC instrument overall score and two related constructs: nurses’ perception of the quality as well as the safety of care.Conclusions:Our current understanding of ONC in the ICU is based on the results drawn from the administration of generic instruments to ICU nurses. The novel 22-item ICU-ONC instrument can help better estimate the occurrence of the phenomena in the ICU.
Meningoencefalitis bacteriana secundaria a sinusitis causada por fractura de un molar en un equino: Reporte de caso
Authors: Parra Moyano Leonardo Adolfo , Agudelo Acevedo Nicolás , Roldán Castaño Elizabeth , Navarro Lozano Juan José , Gómez Restrepo Felipe , Veloza Angulo Luis Carlos , Estrada Caro Rubén
Published: June 2023

Es remitido al Centro de Veterinaria y Zootecnia de la Universidad CES un equino hembra, de raza silla argentina, de 11 años y 503 kg de peso, por presentar ataxia, disfagia, fiebre e historial de secreción nasal. Cuatro meses atrás se le realizó un procedimiento odontológico donde se intentó extraer el segundo molar superior derecho (110) el cual se fracturó en el borde medial de la corona dentaria, posterior a esto quedó con un resto radicular en el mismo y no fue tratada. Las radiografías de cráneo revelaron un aumento en la radiopacidad en la región esfenopalatina, compatible con un empiema del seno esfenopalatino. Se realizó una punción de la región atlanto-occipital para toma de muestra y posterior análisis del LCR (líquido cefalorraquídeo), dando como diagnóstico presuntivo meningitis bacteriana. El tratamiento se enfocó en la disminución del edema e inflamación encefálica con el uso de antibióticos y antiinflamatorios. Al no evidenciar ninguna mejora significativa, el propietario decidió aplicar la eutanasia compasiva. En la necropsia se evidencia una fístula oronasal a nivel del molar implicado, así como un acumulo de pus a nivel del hipotálamo y la hipófisis en la base del encéfalo. El objetivo de este reporte de caso es describir la evolución, las manifestaciones clínicas, las pruebas diagnósticas y las lesiones macroscópicas y microscópicas; siendo el primer reporte de esta complicación en Colombia.
Reacción adversa a la administración endovenosa de un cristaloide polielectrolítico en dos caninos de raza bulldog francés: reporte de casos
Authors: Gutiérrez Orly Damian , Gallego Rodriguez Renso Sneider , Correa Usma Juanita
Published: June 2023

Las reacciones adversas a los cristaloides son poco frecuentes tanto en medicina humana como veterinaria. Se han reportado algunos casos en los cuales los pacientes cursan con desequilibrios endocrinos, donde es común encontrar pacientes con signos cutáneos, ventilatorios y alteraciones hemodinámicas. El presente reporte de casos incluye dos pacientes caninos de raza bulldog francés de 4 años y 4 meses de edad respectivamente. El caso 1 presenta epifora, entropión y pérdida de la visión. El caso 2 presenta una masa ocular. En ambos pacientes se hace evaluación clínica determinando como conclusión la realización de un procedimiento quirúrgico; durante la preparación quirúrgica de ambos casos se administra terapia de fluidos con solución 90 en dosis de mantenimiento presentando de manera inmediata signos de reacción adversa tales como erupción cutánea, emesis, angioedema e hipertermia. A los pacientes se les trata con dexametasona y difenhidramina y se retira la solución 90 y se cambia a hartmann y cloruro de sodio en el caso 1 y 2, respectivamente. Debido a la presentación de los signos se hace análisis de muestras de los fluidos administrados, confirmando su inocuidad. Por tanto surge la sospecha de una reacción inmunomediada de origen endocrino.
Descripción anatómica comparativa de los segmentos óseos que componen la columna vertebral del gato y el perro
Authors: Saldivia Paredes Manuel Alexis
Published: June 2023

A comparative anatomical study of the different vertebral segments that form part of the vertebral column of the dog (Canis lupus familiaris) and the cat (Felis silvestris catus) was carried out. The spine is a set of bony structures that play an essential role in stabilization, balance and distribution of force in the body. Anatomically, the spinal column is subdivided into five portions: the cervical, the thoracic, the lumbar, the sacral and coccygeal portion. They present various characteristics that even differ between species. The importance of understanding the characteristics of the spine of minor animals is based on the fact that the pets receive the most attention in the veterinary clinic, where it is often necessary to carry out complementary tests or surgical procedures in the presence of an injury or illness. There is a variety of anatomical literature on vertebral segments in smaller animals, but not many authors describe direct comparisons between both species. The results of the current study demonstrated a series of anatomical differences that allow us to understand the particularities of each of these species, and that can be of clinical utility for veterinarians of small animals.
Actividad antimicrobiana in vitro de extractos acuosos de cuatro plantas medicinales sobre Dermatophilus congolensis
Authors: Mavunge Carlos Aires Walter , Benoliel Navalha Jandira Marisa , Monteiro Noel Kialanda Maria , Paixão António Armindo
Published: June 2023

Medicinal plants are used for the prevention, treatment and cure of diseases, being their use one of the oldest forms of healthcare used by humanity. In this study, it was verified the in vitro antimicrobial activity of aqueous extracts of Coffea arabica, Tephrosia vogelii, Prunus persica and Eugenia uniflora, on Dermatophilus congolensis. In order to evaluate the antimicrobial activity, the agar diffusion test was used, using discs impregnated with aqueous dispersions of extracts of the plant. The in vitro results showed that, from the tested extracts, Tephrosiavogelii, Prunuspérsica and Eugenia uniflora showed efficacy in the in vitro inhibition of bacterial growth with halos ≥ 17 mm. It was concluded that the aqueous extracts of three plants analyzed (Tephrosia vogelii, Prunus persica and Eugenia uniflora) demonstrated the presence of antimicrobial activity in vitro against Dermatophilus congolensis.
Levels of Empathy among Turkish Students in Pharmacy and Pharmacy Services Programs
Authors: ULUTAŞ DENİZ Elif , GÜVEN Tuğba , EREN Rumeysa
Published: June 2023

To our knowledge, there is currently no research examining the levels of empathy among students enrolled in pharmacy or pharmacy services programs in Türkiye. The purpose of the present study was to address this gap in the literature by assessing the empathy levels of students enrolled in the pharmacy and pharmacy services programs at Atatürk University using the Turkish version of the Empathy Quotient (EQ-40) measurement tool. The study aims to answer two primary questions: (1) what are the empathy levels of students in the pharmacy services and the pharmacy programs? and (2) are there any differences in empathy levels based on demographic variables such as gender, academic year, and family income? A total of 306 students out of 766 pharmacy program students and 86 students out of 144 students in the pharmacy services program at Atatürk University voluntarily participated in the study. The study utilized a cross-sectional design, administering the Turkish version of the Empathy Quotient to students via a questionnaire delivered through Google Forms. The mean EQ scores for pharmacy and pharmacy services students were 45.8±11.1 and 45.9±12.9, respectively. And there was no statistically significant difference between the empathy scores of two programs. After conducting one-way analysis of variance (ANOVA) test to investigate the difference between academic year and empathy scores, a significant difference was observed in the pharmacy program, but no significant difference was observed in the pharmacy services program. Our findings showed that empathy scores for pharmacy students were slightly above average, fluctuated throughout their education, and were notably low in recent years. Additionally, empathy scores were slightly above average among students enrolled in pharmacy services program. These findings suggest that both programs should incorporate empathy education into their curricula to enhance students' empathy levels, which in turn would ensure that future professionals possess the necessary skills to communicate effectively with patients and provide optimal care.
La retórica al servicio de la alabanza de la dama. Análisis de la hyperbole sacra y la collatio aperta en los decires de loores de Juan de Mena
Authors: Piña Pérez Marucha Claudia
Published: June 2023

Juan de Mena es uno de los poetas españoles más importantes de la poesía de Cancionero del siglo XV; entre sus decires líricos se destacan los decires de loores: “Presumir de vos loar”, “Muy más clara que la luna” y “Guay de aquel hombre que mira”. Estos poemas se caracterizan por la alabanza a la belleza y a la virtud de la amada a través del empleo de recursos de amplificatio, en particular de la collatio aperta. Así, la presente investigación parte del interés de explorar la relación entre este recurso de amplificatio y la hyperbole. Desde el siglo anterior, los investigadores se han interesado por la utilización de la hyperbole sacra en la poesía del cordobés; sin embargo, como se verá, la hyperbole sacra constituye únicamente una de las formas de esta figura de pensamiento, pues, además de la terminología proveniente de la iconografía cristiana, Mena utiliza conceptos de la mitología griega e incluso elementos de la naturaleza en la alabanza y suele recurrir a la comparación, collatio aperta, para su elaboración.
La espada como símbolo del destino en la Vǫlsunga saga
Authors: Fernández Moreno Sergio
Published: June 2023

Si bien el género de las llamadas fornaldarsǫgur (‘sagas de los tiempos antiguos’) aparece en la Escandinavia cristiana de los siglos XII y XIII, lo cierto es que en estas narraciones en prosa los temas y motivos de la mitología y las antiguas leyendas escandinavas ocupan todavía un lugar fundamental. En concreto, la Vǫlsunga saga concede al destino y a la espada una importancia medular en relación con las hazañas e infortunios de los Volsungos, por lo que el propósito de este artículo es dilucidar en qué medida el relato traza una conexión simbólica entre esta arma y el porvenir de dos de sus protagonistas: Sigurðr y Brynhildr. En este sentido, el análisis del funcionamiento del destino en la narración, por un lado, y del significado familiar de la espada volsunga, por otro, permitirá concluir que esta arma funciona, en la saga, como un símbolo de la trágica y violenta separación de la pareja.
Celebridades Transclasse
Authors: Santana Paulo Henrique Basilio , Araújo Gilvan Ferreira de
Published: June 2023

Propomos aqui uma discussão teórico-metodológica que procura aplicar o conceito de sujeito transclasse para as análises sobre celebridades. Tal termo faz relação com a possibilidade de uma pessoa transcender a sua classe social de origem, alcançando um alto posto estrutural socioeconômico. Na tentativa de fazer essa discussão, criamos um breve estado da arte sobre os estudos de celebridades apoiado em alguns autores, como França, Simões, Rojek, entre outros. A partir disso, introduzimos o conceito de sujeito transclasse para além do conceito sociológico de ascensão, bem como algumas possibilidades de aplicação associada às celebridades. No final, propomos uma análise inicial, a partir de um estudo de caso, para entender o conceito aplicado à cantora e apresentadora Jojo Todynho.
Characterization of Polysulfone Membrane with Variation of Ethanol Concentrations in Coagulation Bath for Ultrafiltration Membrane
Authors: Indarti Dwi , Henry Adi Syahputra Sidabutar  , Handayani Wuryanti , Piluharto Bambang
Published: June 2023

The aim of this research is to study influence of ethanol concentrations in coagulation bath to charecteristic of physical properties and polysulfone membrane performance. Ethanol concentrations that used is 0; 40; 50; 60 ; 70; 80; 90 %. Process of making for polysulfone ultrafiltration membrane is prepared with phase inversion technique. Polysulfone membrane is made from polysulfone solved in N,N- dimetilacetamida (DMAc) and additive poly(ethylene glikol) (PEG) 600 in proportion 18 %: 77 %: 5 %. The result showed that increasing ethanol concentrations causes the increasing of density and increase concentrations from 0 - 50 % causes increasing swelling degree, but decreasing swelling degree from concentrations 60 - 90 %. However influence of ethanol concentration in coagulation bath to membrane performance is increasing of water flux, permeability coefficient, and rejection coefficient to dextran. It based on of result that polysulfone membrane with ethanol concentrations 80 dan 90 % included membrane classification ultrafiltration by rejection coefficient value above 90 %.
Program and project management using PMBOK-6: general principles and features of healthcare system standard
Authors: Chernysheva Marta L. , Kalugina Maria G. , Rogachev Dmitry Yu. , Nassif Oubaida
Published: June 2023

Usage of modern management principles in healthcare is necessary. We analyze principles of project management in healthcare, discuss principles of PMI PMBoK (Project Management Institute Project Management Body of Knowledge) management and its application features. Project management is applicable and effective in modern conditions of the healthcare system, as it allows to respond promptly to challenges and changes; PMBOK-6 project management can be successfully adapted for projects of the regional healthcare system and medical organizations; when implementing PMBOK-6 management projects in the healthcare system, it is necessary to take into account the features of the system, its relative inertia, social significance, vulnerability of patients, limited resources. We demonstrate the PMBOK-6 principles dependence on the project status and an effective algorithm for managing the program and its components. Discussed use of PMBOK-6 tools enables to identify priority areas of program planning, including at the regional level. It is pointed out the need to adapt the software tool to healthcare technologies and the real conditions of program planning available in the regions and medical organizations.
Dental education of patients undergoing orthodontic treatment
Authors: Miklaev Stanislav V. , Oleynik Olga I. , Lunina Nataliya A.
Published: June 2023

The most effective method in acquiring a beautiful smile and even dentition is the use of a non-removable orthodontic technique – a bracket system. The number of adult patients using a bracket system as an orthodontic treatment is steadily increasing every year. In the process of long-term orthodontic treatment, various complications may arise, such as decrease in oral hygiene level due to new atypical areas of plaque accumulation and further formation of dental tartar – one of the leading factors of inflammatory diseases of periodontal tissues. We study the hygienic state of the oral cavity and the level of dental education in dynamics among patients undergoing orthodontic treatment. We assess the hygienic condition of the oral cavity in patients undergoing orthodontic treatment and their motivation for proper and successful treatment. We examined 110 patients aged 18 to 35 years. The results showed that the level of hygiene during the year of treatment was unstable and decreased, and therefore it is necessary to pay special attention to the motivation of the patient and the duration of the treatment.
Managerial competencies and small business venture performance: an emerging economies perspective
Authors: Emmanuel Isichei Ejikeme , Rikwentishe Rimamnde , Attayi Igbatigbi Friday
Published: June 2023

Purpose — The challenges faced by most small-scale ventures in developing economies has largely been attributed to not just the environment issues, but also the poor human capacity of most managers to effectively make decisions that will ensure the continued survival of the business over a period. The objective of this research was thus to assess the effect of managerial competency on performance of SMEs.Method — We adopted descriptive survey research design for this study. We used a sample of 394 SMEs managers for the survey, which were selected using convenience sampling technique. This research relied on content validity and internal consistency measure for validity and reliability respectively. We used multiple regression with the aid of SPSSv23 for data analysis. Result — The outcome shows that managerial competencies affect the performance of small-scale enterprises. Also, we found that interpersonal competency of manager of SMEs is low, while the cognitive competency made the strongest unique contribution to explain venture performance. We conclude that to drive improved performance there must be effort targeted towards improving the skills of managers of SMEs in the country.Contribution — This research validates the resource-based view theory and contributes to expand literature on competency and leadership from an emerging economies context.
Fashion engagement and pro-environmental attitudes: drivers of sustainable fashion consumption in Indonesia
Authors: Nuh Ahmad , Munir Muhammad Misbakul , Muhibban Muhibban
Published: June 2023

Purpose — The purpose of this research is to explore the relationship between fashion involvement, pro-environmental attitudes, and consumption of sustainable fashion in the Indonesian market.Method — The research was conducted in the Capital City of Jakarta and satellite cities, involving 236 respondents from three generational groups (Gen X, Gen Y, Gen Z). The study employed surveys to gather data on fashion involvement, pro-environmental attitudes, and sustainable fashion consumption.Result — The findings of the study indicate that both fashion engagement and pro-environmental attitudes have a significant and positive relationship with the consumption of sustainable fashion in the Indonesian market. The research also highlights the importance of social norms and attitudes in influencing sustainable fashion purchasing behavior.Contribution — This research provides valuable insights into the factors driving sustainable fashion consumption in Indonesia through the influence of fashion engagement and pro-environmental attitude variables on three different generational groups, namely gen X, gen Y, and gen Z in Indonesia.
Catechins and Plain Black Tea Parameters Variations in Selected Tea Growing Agro-Ecological Zones in Kenya
Authors: Mose MT , Ochanda SO , Moseti KO , Wanyoko JK , Owuor PO , Kinyua JK , Kariuki D , Magiri EN , Obanda MA
Published: June 2023

Over 60% of tea in Kenya is produced by smallholder tea farmers distributed in the East and West of the Rift Valley. With all smallholder tea farmers using the same production technologies including planting materials, the quality of tea from different agro-ecological zones should be the same. However, black teas attract different prices. This study compared levels of leaf quality, catechins, and polyphenols in green leaf and quality parameters of black tea from twelve factories in three different agro-ecological zones in Kenya and assessed the relationships between the green leaf quality parameters and black tea quality parameters. The catechins contents, the black tea quality parameters, and sensory evaluations changed (p less than or equal to0.05) between the factories and with an agro-ecological zone of production. All black teas had high antioxidant activities, which differed (p less than or equal to0.05) across the factories and zones. Despite the use of same agronomic inputs in the smallholder tea growing zones in Kenya, the quality of resultant black teas was largely influenced by the environmental factors in the different regions. It is therefore not possible to produce black teas of the same quality across the country. Despite the variations, all regions exhibited high levels of black tea quality parameters and sensory evaluation, re-affirming the Kenyan smallholder black teas are of high quality. The high antioxidant activities suggest possible beneficial pharmacological activities from consumption the teas. The green leaf quality (leaf count) were significantly (p less than or equal to0.05) correlated with black tea brightness and all sensory evaluation parameters, demonstrating high benefits from good plucking standards. Green leaf gallic acid, epigallocatechin, epicatechin, epigallocatechin gallate, and total catechins levels were related (p less than or equal to0.05) to black tea total polyphenols and all sensory evaluation parameters. In addition, the green leaf caffeine, epicatechin, epigallocatechin gallate, and total catechins influenced
(p less than or equal to0.05) theaflavins in black tea. These green leaf parameters are therefore key drivers of Kenyan plain black tea quality.
The Assessment of Daily Menus in Nursing Home Residents for Improving Intake and Nutritional Status in Elderly
Authors: Farapti Farapti , Wangi Martina Puspa , Adiningsih Sri
Published: June 2023

Background: Malnutrition has impacted the health condition and life quality of the elderly who live in nursing homes. Unmaximized menu planning can cause this condition.
Objectives: This study aimed to analyze the nutrition content of the menu provided by the nursing home based on recommended dietary allowance (RDA) for older people and to identify the current nutrition status of the elderly
Methods: The food intakes were evaluated by observing all menus during the five days. Nutrient contents were analyzed by calculating all meal nutrition and comparing them to the recommended dietary allowance for the elderly. Body weight was measured using Bio Impedance Analysis (BIA) Tanita, and a stadiometer measured body height. Furthermore, weight and high were measured based on body mass index calculation to measure nutritional status.
Results:  It was found that the mean energy content was 1242.6 ± 193.9 kcal/day, and only 69.03 ± 10.7% fulfilled the recommendation. For protein content, it only met 70.5% of the RDA. Macronutrients such as protein are only 70.5% of the recommended dietary needs for the elderly. From BMI analysis, it was found that 26.23 % of the elderly are undernutrition.
Conclusions: The nutritional content of the menus served for the elderly in nursing homes did not yet meet the daily requirement and is still below that recommended for the elderly, so the nutrient of the menus should be increased to achieve optimum nutritional status.
Communication and Subculture Identity: A Case Study of Transgender Students at a Waria (Transgender) Boarding School Al Fatah Yogyakarta
Authors: Dewi Maya Sandra Rosita
Published: June 2023

Identity has a crucial role in the life of every individual in society. The identity inherent in a person makes it easier for them to understand hidden aspects of themselves. Communication is essential in forming one’s identity because identity consists of the meanings learned and projected to others through communication. Applying the symbolic interactionism perspective, which explains that individuals together with the surrounding community build and shape their world, which is composed of meaningful symbols, this study aims to find out how the role of communication in constructing identity as transgender students at a waria (transgender) boarding school Al-Fatah Yogyakarta. The study shows that transgender students at the Al-Fatah Transgender Islamic boarding school formed their contradictory and ambivalent identities as sinners, confident, polite, and calm. The transgender students expressed such ambivalent identity through two levels of verbal language, the Indonesian language as a general language and a set of unique internal community vocabularies. In addition, they also show up their identity through nonverbal channels, such as dress styles and visual attributes.
Javanese local wisdom values for development from an Islamic perspective
Authors: Sobaya Soya , Pusparini Martini Dwi , Achiria Siti
Published: June 2023

IntroductionJavanese culture was considered rich of values that are in line with Islamic teachings. However, studies on how this culture can contribute to development in Islamic perspective are still limited.ObjectivesThis study analyzes the local wisdom values in Javanses culture that support economic development from an Islamic perspective. The studied values are contained in the traditions of merti dusun, nyadran, and wiwitan. MethodThis study using an ethnographic approach with focus is on three villages in Bantul, Yogyakarta. Interviews, observation, field notes were used to gather data. Three phases were used to complete the analysis: data reduction, reporting, and conclusion-making. ResultsThe findings demonstrate that each ritual in this tradition is infused with religious and social ideals, as well as cooperation, environmental stewardship, responsibility, patience, harmony, and deliberation. It also demonstrates wisdom and social control. ImplicationsThree traditions' emphasis on tolerance should be promoted to help people in their particular communities develop a greater sense of empathy for one another, fostering harmony and peace.Originality/NoveltyThis study highlights unique aspect of development that encompass Javanese culture and Islamic teachings.
Establishing a Consensus Definition of a Knee Fracture-Dislocation (Schenck Knee Dislocation V) Using a Global Modified Delphi Method
Authors: Medvecky Michael J. , Kahan Joseph B. , Richter Dustin L. , McLaughlin William M. , Moran Jay , Islam Wasif , Miller Mark D. , Wascher Daniel C. , Treme Gehron P. , Campos Túlio V.O. , Held Michael , Schenck Robert C. ,   The Knee Fracture-Dislocation Study Group
Published: June 2023

Background:

Knee fracture-dislocations are complex injuries; however, there is no universally accepted definition of what constitutes a fracture-dislocation within the Schenck Knee Dislocation (KD) V subcategory. The purpose of this study was to establish a more precise definition for fracture patterns included within the Schenck KD V subcategory.

Methods:

A series of clinical scenarios encompassing various fracture patterns in association with a bicruciate knee ligament injury was created by a working group of 8 surgeons. Utilizing a modified Delphi technique, 46 surgeons from 18 countries and 6 continents with clinical and academic expertise in multiligamentous knee injuries undertook 3 rounds of online surveys to establish consensus. Consensus was defined as ≥70% agreement with responses of either “strongly agree” or “agree” for a positive consensus or “strongly disagree” or “disagree” for a negative consensus.

Results:

There was a 100% response rate for Rounds 1 and 2 and a 96% response rate for Round 3. A total of 11 fracture patterns reached consensus for inclusion: (1) nondisplaced articular fracture of the femur; (2) displaced articular fracture of the femur; (3) tibial plateau fracture involving the weight-bearing surface (with or without tibial spine involvement); (4) tibial plateau peripheral rim compression fracture; (5) posterolateral tibial plateau compression fracture, Bernholt type IIB; (6) posterolateral tibial plateau compression fracture, Bernholt type IIIA; (7) posterolateral tibial plateau compression fracture, Bernholt type IIIB; (8) Gerdy’s tubercle avulsion fracture with weight-bearing surface involvement; (9) displaced tibial tubercle fracture; (10) displaced patellar body fracture; and (11) displaced patellar inferior pole fracture. Fourteen fracture patterns reached consensus for exclusion from the definition. Two fracture patterns failed to reach consensus for either inclusion or exclusion from the definition.

Conclusions:

Using a modified Delphi technique, this study established consensus for specific fracture patterns to include within or exclude from the Schenck KD V subcategory.

Level of Evidence:

Prognostic Level V. See Instructions for Authors for a complete description of levels of evidence.
Irreducible Tibial Pilon Fracture Treated with Single-Stage Closed Ilizarov Fixation and Gradual Correction
Authors: Gopalan Balachandar
Published: June 2023

Case:

A young polytrauma victim of a road traffic accident was diagnosed with comminuted articular fracture of the left distal tibial pilon and open segmental fracture of the fibula. The comminuted distal tibial metaphysis was translocated into the interosseous space and, hence, was irreducible. He underwent single-stage closed Ilizarov device stabilization and gradual postoperative closed reduction to obtain good functional outcome at 9 months. The lung and scapular injuries were treated conservatively.

Conclusion:

Acute complex irreducible tibial pilon fracture can be treated according to principles of deformity correction with the Ilizarov device.
E-(ternal) grieving: The digitalization and redefining of death and loss on social media
Authors: Khumairoh Izmy
Published: June 2023

The practice of grieving from a socio-cultural perspective is never an impersonal matter. The attachment to different organized values and habits prevents the individual from determining the attitudes and emotions that must be shown when grieving. This fact raises the question of the place of traditional mourning practices in society amidst the invasion of new technologies, i.e. social media. The study uses qualitative methods to analyze some Instagram content related to mourning the loss of several public figures in Indonesia. In the case studies examined, the contribution of big technology gives us autonomy, but it is only a phantasmagorical one. Ultimately, our identities will continue to control what we do in cyberspace and in the natural world. Social media is only an alternative space for the manifestation of correlated socio-cultural values, including the implementation of norms in mourning. Nevertheless, the freshness offered in the practice of mourning on social media is that people can now immerse themselves in a longer liminal period and preserve the communication and social status of the deceased with the available function of perpetual mourning. The results of the study should stimulate further research on how technology can shape society in the digital age.