bluuebunny/crossref_metadata_2025 huggingface dataset:
New markers in predicting the severity of acute pancreatitis in the emergency department
Authors: Bedel C , Korkut M , Selvi F
Published: February 2021

Background:

Acute pancreatitis (AP) may vary in severity, from mild, self-limiting pancreatic inflammation to rapidly progressive life-threatening clinical course. If the severity of AP can be predicted early and treated quickly, it may lead to a decrease in morbidity and mortality rates. There?fore, we aimed to investigate the clinical utility of immature granulocyte count (IGC) and IGC percentage (IG%) in showing the severity of AP in this study.

Methods:

Two hundred and twenty-seven patients who were admitted to our emergency department and diagnosed with AP between March 1 and September 30, 2019, were included in the study. The patients were divided into two groups as mild and severe AP (MAP and SAP) according to the severity of the disease. Demographic characteristics of the patients, disease etiology, disease severity, and inflammation markers [white blood cell count (WBC), IGC, IG%, neutrophil–lymphocyte ratio (NLR), and C-reactive protein (CRP)] were recorded. Differences between the groups were statistically analyzed.

Results:

Of the patients included in the study, 183 (80.7%) were in the MAP group and 44 (19.3%) were in the SAP group. The mean WBC, NLR, CRP, IGC, and IG% levels were significantly higher in the SAP group compared to the MAP group. The power of IGC and IG% in predicting SAP was higher than other inflammation markers (WBC, NLR, and CRP) [(AUC for IGC: 0.902; sensitivity: 78.2%; specificity: 92.8%); (AUC for IG%: 0.843; sensitivity: 72.7%; specificity: 84.6%)].

Conclusion:

IGC and IG% show the severity of AP more effectively than WBC, NLR, and CRP, which are traditional inflammation markers.
Examples and applications of the density of strongly norm attaining Lipschitz maps
Authors: Chiclana Rafael , García-Lirola Luis C. , Martín Miguel , Rueda Zoca Abraham
Published: February 2021

We study the density of the set SNA

(M,Y)

of those Lipschitz maps from a (complete pointed) metric space

M

to a Banach space

Y

which strongly attain their norm (i.e., the supremum defining the Lipschitz norm is actually a maximum). We present new and somehow counterintuitive examples, and we give some applications.

First, we show that SNA

(\mathbb T,Y)

is not dense in Lip

_0(\mathbb T,Y)

for any Banach space

Y

, where

\mathbb T

denotes the unit circle in the Euclidean plane. This provides the first example of a Gromov concave metric space (i.e., every molecule is a strongly exposed point of the unit ball of the Lipschitz-free space) for which the density does not hold.

Next, we construct metric spaces

M

satisfying that SNA

(M,Y)

is dense in Lip

_0(M,Y)

regardless

Y

but which contain isometric copies of

[0,1]

and so the Lipschitz-free space

\mathcal F(M)

fails the Radon–Nikodym property, answering in the negative a question posed by Cascales et al. in 2019 and by Godefroy in 2015. Furthermore, an example of such

M

can be produced failing all the previously known sufficient conditions for the density of strongly norm attaining Lipschitz maps.

Finally, among other applications, we show that if

M

is a boundedly compact metric space for which SNA

(M,\mathbb R)

is dense in Lip

_0(M,\mathbb R)

, then the unit ball of the Lipschitz-free space on

M

is the closed convex hull of its strongly exposed points. Further, we prove that given a compact metric space

M

which does not contain any isometric copy of

[0,1]

and a Banach space

Y

, if SNA

(M,Y)

is dense, then SNA

(M,Y)

actually contains an open dense subset.
The sharp quantitative isocapacitary inequality
Authors: De Philippis Guido , Marini Michele , Mukoseeva Ekaterina
Published: February 2021

We prove a sharp quantitative form of the classical isocapacitary inequality. Namely, we show that the difference between the capacity of a set and that of a ball with the same volume bounds the square of the Fraenkel asymmetry of the set. This provides a positive answer to a conjecture of Hall, Hayman, and Weitsman (J. Analyse Math. ’91).
Comparison of Health-Related Quality of Life in Outpatients with Chagas and Matched Non-Chagas Chronic Heart Failure in Colombia: A Cross-Sectional Analysis
Authors: Olivera Mario J. , Fory Johana A. , Buitrago Giancarlo
Published: February 2021

Chagas disease represents an important cause of heart failure (HF) and affects health-related quality of life (HRQoL). The study aimed to evaluate and compare the HRQoL of patients with chagasic HF and matched non-Chagas controls to identify factors associated with HRQoL. A cross-sectional study with pair-matched controls was conducted in Colombia. From October 2018 to December 2019, a total of 84 HF patients were screened for study subjects. Four were excluded, resulting in 80 patients for the analysis, among whom 40 patients with Chagas were enrolled as cases and 40 gender- and age-matched non-Chagas patients as controls. The Kansas City Cardiomyopathy Questionnaire (KCCQ) and the Minnesota Living with Heart Failure Questionnaire (MLWHFQ) were used to measure HRQoL. Demographic, clinical, and laboratory data were obtained from each subject. Health-related quality of life scores were significantly worse among the Chagas group than among the non-Chagas group in the KCCQ domains of physical functioning and symptoms and in the MLWHFQ scale. In the multivariate analysis, the variables associated with lower HRQoL scores were living alone, obesity, having less than 12 years of education, and an increase in left ventricular diameters in the systole and diastole. Health-related quality of life in patients with chronic HF is impaired across all domains. Chagas patients showed worse HRQoL scores than non-Chagas patients. Six variables, some potentially modifiable, were independently associated with worse HRQoL.
Identification and Characterization of Burkholderia pseudomallei from Localized Pyogenic Infections in Eastern India: A Clinico-Microbiological Study
Authors: Purushotham Prashanth , Mohanty Srujana , Chappity Preetam , Mishra Tushar Subhadarshan , Mahapatra Ashoka
Published: February 2021

Melioidosis, caused by Burkholderia pseudomallei, is increasingly recognized in several regions of the globe. The present study was performed to identify and determine the frequency of B. pseudomallei infection in localized pyogenic lesions in eastern India and describe their clinico-microbiological profile. Pus samples were subjected to standard microbiological techniques for isolation and identification of various bacteria, including B. pseudomallei, which were confirmed by PCR. The clinical and demographic details of patients with melioidosis and antimicrobial susceptibility pattern of B. pseudomallei isolates were analyzed. Of 245 samples, 126 (51.4%) were culture positive, yielding 137 isolates. Staphylococcus aureus was the predominant pathogen accounting for 54 (39.4%) isolates, followed by B. pseudomallei accounting for 34 (24.8%) isolates. The mean age of the patients with melioidosis was 39.1 years, with males (24/34; 70.6%) being affected more than females (10/34; 29.4%). A majority of the patients were laborers (12/34; 35.3), followed by homemakers (8/34; 23.5%). Head and neck abscesses (35.3%) were the most common presentation followed by pyogenic lesions of the musculoskeletal system (32.3%) and deep organ abscesses (23.5%). Clinical resolution of infection was observed in 31 (91.2%) patients, relapse in two (5.9%) patients, and death in one (2.9%) patient, respectively. Susceptibility testing revealed all B. pseudomallei isolates to be completely susceptible to the following antimicrobials: ceftazidime, trimethoprim–sulfamethoxazole, imipenem, and doxycycline, with one (2.9%) resistant to amoxicillin–clavulanic acid. Burkholderia pseudomallei is an emerging etiological agent of localized pyogenic infections in eastern India, affecting a mainly adult male population. An increased vigilance along with appropriate diagnostic techniques helps in accurate diagnosis facilitating appropriate therapy.
Der Witz der Kunst
Authors: Fliescher Mira
Published: February 2021

Kunst und Witz teilen beide eine Reihe von überraschenden Eigenschaften, nicht nur die sprichwörtliche Verknappung, die wie die Ökonomie des Witzes auch oft jene der Kunst ausmacht. Oft sind es Dekontextuierungen, Bedeutungsvertauschungen, Paradoxa und Ungereimtheiten, Chiasmen und Widersprüche, die zu den bevorzugten Mitteln beider gehören. Und wie der Gehalt eines Witzes durch seine Analyse eskamotiert wird, so erdrosselt nicht selten die Interpretation die Kunst, das Werk, sein Ereignis, indem sie diese auf ihre Deutung festlegt. Kein Kunstwerk geht in seiner Hermeneutik auf, wie umgekehrt jede noch so detaillierte Entzifferung der Pointe eben den »Witz« der Sache tilgt. In ihrem viel zu früh unterbrochenen Denken ging es Mira ­Fliescher stets darum, Kunst, ästhetisches Denken, gewitzte ­Inversion und Strenge der dekonstruktiven Arbeit aufeinander zu beziehen und im besten Sinne miteinander »ins Spiel zu bringen«. Die hier versammelten Texte zeugen von der außerordentlichen Kraft eines Denkens, dessen Grundnote das ­anstimmt, was die Welt heute vielleicht am Nötigsten hat: die Unendlichkeit einer kritischen Urteilskraft.
Exploring Air Namibia’s Operational Efficiency: The Interface Between Strategy and the Six Pillars of the Organisation
Authors: Hamatwi Ndapanda Joanna , Govender Krishna  Kistan
Published: February 2021

This study aimed to determine the interface between strategy and the six pillars, namely, structure, people, systems, processes, technology and innovation, in order to establish key factors contributing to the operational challenges being faced by Air Namibia. A qualitative study was conducted among a purposive sample of executives at Air Namibia using an exploratory design. The data was analysed using the thematic method. Exacerbated by the grounding of aircrafts due to the Covid-19 pandemic, Air Namibia’s strategy, resources, processes and systems contributed its operational inefficiency. The leadership of airlines in general and Air Namibia in particular, need to be fully cognizant of the importance of strategic planning and developing structures, systems and processes which will mitigate any micro and macro-economic disruptions on business operations. Since there is no ‘one-size-fits-all’ approach to crisis management, airline boards, executives and managers should consider their unique position and needs in strategizing how to survive and grow following a macro-economic.
Effect of Food Safety and Management Commitment on Customer Choice of Dining Destination in Kenya
Authors: Ondara Robert Orenge , Fwaya Eric , Gesage Bichage
Published: February 2021

This finding challenges the existing view of the glass ceiling and how women should be attempting to shatter it. The purpose of this study was to determine the effects of food safety and moderating effect of management commitment on customer choice of dining destination in Kenya. A cross-sectional research design was used which involved both descriptive and inferential statistic. The study used complete enumeration method to select 27, 4 and 5 Hotels in Kenya. 1080 respondents Managers head chefs and guests were sampled. Guests were sampled based on bed occupancy calculated at 49%. Managers and chefs were Purposively sampled while simple random sampling was used to select the guests. Questionnaires and interview schedules were used to collect data. The hypotheses were tested at 5% level of significance the result indicated that food safety, monitoring and surveillance systems had a significant relationship in determining destination choice (p-values 0.005 and 0.044). For the indirect effects regression analysis, top management commitment was found to have a moderating influence on the relationship between food safety and customer destination choice (p-value = 0.004). The predictor variable explained only 55.4% of the total variations in the choice of dining destinations ( R2 = 0.554). Based on these findings, this study recommends that although this study provided unique insights into the link between food safety, monitoring and top management commitment, its conceptual and empirical setting had a number of limitations. This can be used as a source of future study.
Problem-Based Learning To Improve Concept Understanding and Critical Thinking Ability of Science Education Undergraduate Students
Authors: Uliyandari Mellyta , Emilia Candrawati  , Anna Ayu Herawati  , Nurlia Latipah
Published: February 2021

This reserach was conducted to improve conceptual understanding and critical thinking ability of fourth-semester students of the Science education study program, Bengkulu University by applying  PBL. The research method used in this study is quasi experimental, which in its implementation uses single class or one group pretest-posttest design. The test question was the instrument used in this study. The findings showed that there was an improvement in students‘ conceptual understanding and critical thinking ability of students‘ since implementing problem-based learning models in environmental chemistry courses. This improvement can be seen from the results of the gain test for  each class group on the test of conceptual understanding and critical thinking ability which are in the "medium" category, while the t-test results for concept understanding and critical thinking ability show a significant difference (0.000 <0.05). ), In other words, the implementation of the PBL  learning influences the students‘ conceptual understanding and critical thinking ability. Further the implementation of the problem-based learning model in teaching and learning process presents problems with real conditions so that it can stimulate students to not only think and understand at the rote level but also interpret the problem. Quiet in-depth research on the implementation of problem-based learning models in learning is highly recommended to get more comprehensive results.
Implementation and Impact of Human Resources Development in Improving the Performance of Teachers in Schools (Multi Case Studies)
Authors: Muh Burhanudin Harahap  , Maria Veronika Roesminingsih  , Mudjito
Published: February 2021

This research aims to analyze the implementation and impact of human resource development in improving the performance of students. This research used a qualitative approach with the type of multi-case study research at the Elementary School Muhammadiyah of 1 Jember and the Elementary School Al Baitul Amien of 1 Jember. Data collection was carried out by observation, interviews, and documentation in both schools. The data analysis process was carried out by condensing data, presenting data, drawing conclusions, and verification. Based on the research conducted, it was concluded that the implementation of human resources in Elementary School Muhammadiyah of 1 Jember and Elementary School Al Baitul Amien of 1 Jember, namely 1) The school has fully professional development of educators in the form of training programs and always strives to improve the quality of education through skills improvement programs. 2) The school activity program is always maximized, through habituation in improving the quality of learning through activities, teaching, during the learning process and up to the implementation of quality training so that it is optimal. 3) Programmed school activities program in a clear concept in planning the skills development of educators. 4) Regulations concerning the development of written and straightforward teaching staff and maximized for the program of enhancing the skills of educators which are compiled through the formulation and determination of collective teacher teamwork. Then the impact of the development of human resources in improving the performance of students has a good overall impact on every program implementation of the two schools.
The Readiness of Lecturers in Online Learning During the Covid-19 Pandemic at the Faculty of Information Technology and the Faculty of Economics and Business
Authors: Sunarto M.J. Dewiyani
Published: February 2021

This research  aims to determine the readiness of lecturers in implementing online learning on both faculties at a University in Surabaya during the first semester of the pandemic, especially in terms of (1) the use of synchronous learning mode, (2) the use asynchronous learning mode with e-learning,  (3) the strengths and weaknesses of online learning that have been implemented by lecturers. This research was conducted on 126 lecturers in both faculties with a total of 350 classes. The research instrument used an electronic log from the campus e-learning application, and was analyzed using a descriptive method. The results showed that (1) the use of synchronous learning mode was used by 72% and 64% of the total amount of learning performed at the Faculty of Information Technology and at the Faculty of Business Economics, respectively (2) the use of campus e-learning as the media for asynchronous learning for delivering materials by 94% and 50.01% (3). The strength of online learning for lecturers is the availability of supporting applications and teaching materials which can be used by learners, while the weakness is on the understanding of online philosophy. From the results of this research, it is recommended to increase the readiness of lecturers to perform online learning, in the form of understanding the online philosophy, and institutional support to provide interesting contents for online learning, so it can be carried out in accordance with its philosophy, as asset for future online learning, even though if there will be no Covid-19 Pandemic.
Development of Multi-Representation Test As A Solution to Train High-Order Thinking Skills High School Students in Newton’s Law
Authors: Puspitaningrum Hidayah Zuliana , Wasis  , Tjipto Prastowo
Published: February 2021

This research  aims to develop a multi-representation based test instrument that can be used to measure students' higher-order thinking skills, especially in Newton's law material. development procedures used the Plomp development model, the stages were design, construction/ realization, test, evaluation, revision, and implementation. The subjects in this study were 36 students of class X at one of High School in Surabaya. At the implementation stage, tests were given to students and analysed using Rasch analysis with help of Winstep software. The multi-representation test instrument in question was a question in the form of an essay with a representation model consisted of visual, verbal, and mathematical representations adapted to the cognitive domain of Bloom's taxonomy of higher-order thinking. Data collection techniques were validation of instruments and tests. The results of this study were 9 items of valid test instruments based on logical validity and empirical validity and a reliable instrument based on calculations using the Alpha Cronbach equation. Based on the results of this  research can be concluded that multi-representation test can be train high order thinking skills students. Study with multi-representation test is expected to be able to make students are easier to develop high order thinking skill, in this research students can be categorized as having sufficient high-order thinking skills.
Barreras que enfrentan los estudiantes de la Universidad Autónoma de Chihuahua, al cambiar de la modalidad presencial a la virtual durante la emergencia sanitaria provocada por el Covid-19”.
Authors: Piñón Olivas Roberto , Nevárez Arguijo César René , Jáquez Escárcega José Luis , Ortega Javalera Claudia Esther , Loya Torres Sandra
Published: February 2021

En el presente estudio se describen las barreras que enfrentó el estudiante universitario presencial con motivo de la migración a modalidad virtual. El universo de estudio es la población de la Facultad de Ciencias Políticas y Sociales de la Universidad Autónoma de Chihuahua, de donde se seleccionó una muestra discrecional de 692 alumnos, a quienes se aplicó una encuesta auto administrada mediante la plataforma Formatos de Google durante el mes de Julio del 2020. Los resultados indican que los alumnos no se encontraban preparados para la modalidad virtual (69.5%) y sufrieron de estrés por temor a reducir su desempeño académico (83%), manifestando ausencia de retroalimentación del personal docente (70%), entre otros hallazgos.
La educación para la salud desde la complejidad en la selección de los temas para los exámenes recepcionales en la formación del Licenciado en Educación Física.
Authors: Garduño Durán Jorge
Published: February 2021

En la investigación se presenta el análisis de datos sobre el tratamiento a los temas de los documentos recepcionales de los estudiantes de la generación 2015-2019 de la Licenciatura en Educación Física, Plan de Estudios 2002, de la Escuela Normal de Educación Física “General Ignacio M. Beteta”, con la intención de conocer en qué centran su atención al elegir los temas, si éstos emanan de la realidad, qué estrategias se emplean y su conveniencia, en qué ámbitos ubican sus temas, en qué contenidos curriculares se apoyan y su congruencia con el tema, así como el grado de satisfacción que tienen los estudiantes de la formación que recibieron, el desarrollo de la investigación se orientó bajo la metodología de análisis del contenido.
Tratamiento de los niños con autismo en etapa de 3 a 12 años de edad.
Authors: Urueta González Alejandra
Published: February 2021

El autismo es un trastorno psicológico que se caracteriza por la intensa concentración de una persona en su propio mundo interior y la progresiva pérdida de contacto con la realidad exterior. Es una palabra que hace referencia a una gran variedad de trastornos del desarrollo que algunas personas sufren desde el nacimiento o desarrollan en los primeros años de vida, una persona que sufre afecciones que se incluyen dentro de este espectro tiene trastorno del espectro autista y perdurara a lo largo de todo su ciclo vital. Los datos más recientes que maneja el Centro de Control de Enfermedades de los Estados Unidos revelan que a 1 de cada 68 niños es diagnosticado con algún tipo de Trastorno del Espectro Autista (TEA).
Heritage Language Programs in the Era of English-Only and No Child Left Behind
Authors: Wright Wayne E.
Published: February 2021

There is a growing recognition of the need for Americans who are proficient in languages
other than English; however, there is a great disconnect between these needs, state
English-only education policies, and current federal education policy as realized through
the No Child Left Behind Act (NLCB) of 2001. These policies are moving the country in the opposite direction in terms of the needs for heritage language programs which can
address students' and the country's linguistic needs. Drawing on eight years of research,
this article presents the cases of a variety of in-school and after school Heritage language
programs serving Khmer (Cambodian), Spanish, and Native American heritage language
learners from California, Arizona, and Texas which have been eliminated or substantially
weakened due to current federal and state language and education policies. The article
concludes with a discussion of the implications for needed changes to policy which will
encourage, rather than discourage, quality heritage language programs.
Multiple Schools, Languages, Experiences and Affiliations: Ideological Becomings and Positionings
Authors: Maguire Mary H. , Curdt-Christiansen Xiao Lan
Published: February 2021

This article focuses on the identity accounts of a group of Chinese children who attend a
heritage language school. Bakhtin’s concepts of ideological becoming, and authoritative
and internally persuasive discourse, frame our exploration. Taking a dialogic view of language and learning raises questions about schools as socializing spaces and
ideological environments. The children in this inquiry articulate their own ideological
patterns of alignment. Those patterns, and the children's code switching, seem mostly
determined by their socialization, language affiliations, friendship patterns, family
situations, and legal access to particular schools. Five patterns of ideological becoming
are presented. The children’s articulated preferences indicate that they assert their own
ideological stances towards prevailing authoritative discourses, give voice to their own
sense of agency and internally persuasive discourses, and respond to the ideological
resources that mediate their linguistic repertoires.
Successful Management of Intentional Amlodipine Poisoning: A Survival Experience of Health Care Worker
Authors:   Department of Medicine, Ramakrishnan Mission Sevashram Hospital, Vrindavan, India, Chaitanya Gupta , Amitabh Satsangi ,   Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India, Prashant Nath Gupta ,   Department of Radiodiagnosis, Ramakrishnan Mission Sevashram Hospital, Vrindavan, India
Published: February 2021

Amlodipine is a calcium channel blockers and belongs to class Dihydropyridines and used to reduce systemic vascular resistance and arterial pressure. Nevertheless, they remain the major case of cardiovascular drug overdose that often leads to lethal outcome. We report the case of intoxication with Amlodipine. This caused severe hypotension, in young health care worker. Patient was initially treated in our ICU with leg and elevation, fluids, calcium gluconate, noradrenaline, glucagon.
Coronary Artery Aneurysm Revealed by an Acute Coronary Syndrome in a Patient with Systemic Lupus Erythematosus: A Case Report
Authors:   Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco, Hind Adnane , Saousan Serbout ,   Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco, Benouna El Ghali Med ,   Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco, Drighil Abdenasser ,   Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco, Azzouzi Leila ,   Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco, Habbal Rachida ,   Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco
Published: February 2021

Systemic lupus erythematosus is an autoimmune inflammatory disease of unknown etiology, the coronary lesions are extremely rare, and in particular the coronary aneurysms. We report a case of a coronary aneurysm of a patient diagnosed with Systemic lupus erythematosus who showed up at the emergency department suffering from a retro-sternal pain radiating to the jaws which he reported for 4 hours. An electrocardiogram was performed urgently and showed an offset of 2 mm in the inferior, right, basal and low lateral territories with a mirror V1, V2. The patient underwent coronary angiography which revealed an aneurysmal dilatation of the right coronary artery with multiple atheromatous aneurysms of different sizes without thrombi visualized in the lumen of the arteries. Coronary aneurysms are a fatal and has potentially fatal complications that should be considered in the diagnostic of systemic lupus erythematosus patients with cardiac symptoms as early detection may allow complete healing.
Comparison of Clinical Characteristics and Outcomes in Patients with STEMI in Croatia and Kosovo
Authors:   Department of Cardiology, Regional Hospital Isa Grezda, Gjakova, Kosovo, Rreze Koshi , Maja Strozzi ,   Department of Cardiology, Zagreb University Hospital Center, Zagreb, Croatia, Davor Milicic ,   Department for Cardiovascular Diseases, University Clinical Center of Kosovo, Prishtina, Kosovo, Shpend Elezi ,   Department for Internal Medicine, University of Prishtina, Kosovo
Published: February 2021

INTRODUCTION The aim of our study was to compare clinical characteristics, risk factors, treatment modalities and medium-term outcomes in STEMI patients in two different countries, Croatia and Kosovo. MATERIAL AND METHODS The study included 77 consecutive patients from two regional hospitals, included in the STEMI network of University Clinical Center Zagreb, Croatia (group 1), and 75 STEMI consecutive patients treated in regional Hospital Gjakova, Kosovo (group 2). Standard laboratory tests were performed in both study groups. Patients were treated by the standard protocol of the country and hospital where they were treated. Immediate clinical outcomes and 6 months follow up results regarding MACE were compared. RESULTS There was no significant difference between groups in basic clinical characteristic except for diabetes mellitus, (x2 = 6.96, P = 0.008, P <0.01) and glycaemia control (U’ = 1530, P = 0.013).No significant difference between two groups in laboratory findings. There was a difference in percent of patients treated with primary PCI, 71 in gr 1 and 55 in group 2, reaching statistical significance (x2 test 8,261, p = 0.0045). In patients treated with PCI, there was no difference in “door to balloon time” (DTB) between groups. There was a remarkable difference in proportion of drug eluting stent (DES) implantation (3.5% in group 1, 29.1% in group 2 (x2 test 13.5, P = 0.0002).The difference partly derives from the relatively large number of balloon interventions in group 2. There was 2 deaths in group 1 in early hospital period, both during interventional procedure, one of the patients was in cardiogenic shock. There was no early mortality in group 2. In 6 month clinical follow up there were 3 deaths in group 2, all in patient with no revascularization, and no death in group 1. CONCLUSION We compared the clinical characteristics, treatment strategies and outcomes, in STEMI patients from two countries. After initial mortality, patients from Croatia had a better mid-term survival after recovery from their AMI compared to patients from Kosovo. Use of revascularization procedures was beneficial, but it was less often performed in Kosovo
Radiofrequency Ablation of Ventricular Arrhythmias on Bioprosthetic Valve, a Never Found Case Before
Authors:   Department of Electrophysiology, Razavi Hospital, Imam Reza International University, Mashhad, Iran, Mehdi Taherpour , Farzad Fazeli ,   Department of Anesthesiology, Razavi Hospital, Imam Reza International University Mashhad, Iran, Hossein Nazari Hayanou ,   Department of Echocardiography, Razavi Hospital, Imam Reza International University Mashhad, Iran, Zahra Emkanjoo ,   Department of Electrophysiology, Rajaie Cardiovascular Research and Medical center, Iran University of Medical Sciences, Iran
Published: February 2021

INTRODUCTION Although the catheter ablation of frequent premature ventricular complexes (PVCs) from outflow tracts is reported as a highly successful procedure especially in patients with structurally normal hearts, but some cases create a great challenge. Patients with prosthetic valves often are not considered for radiofrequency ablation (RFA) due to risk of possible fatal and nonfatal complications. CASE SUMMARY We describe a rare experience of performing RFA in this high risk, challenging patient. A 76-years-old man with history of coronary artery bypass graft (CABG) due to previous myocardial infarct (MI) and aortic valve replacement with bioprosthetic valve for his aortic insufficiency was referred to our department due to feeling of suffocation and irregularity of pulse during a flight. RF ablation was scheduled for him due to high PVC burden. PVCs showed LBBB morphology, inferior axis with transition in (V3-V4) leads. After failed attempt of RFA through the right outflow tract (RVOT), PVC was terminated from the left coronary cusp. DISCUSSION This case highlights the fact that efficacy of the radiofrequency ablation in patients with bioprosthetic valves is feasible. It has to be emphasized that in such a challenging case, risk of severe complications should be weighted against its benefit.
Cachaça: Um produto Histórica e Quimicamente Brasileiro
Authors: Luz Angélica Ramos da , Monteriro Filho Elias de Souza , Natale Junior Raul , Ruiz Miguel , Faria João Bosco , München Sinara , Adaime Martha B. , Perazolli Leinig Antonio
Published: February 2021

O início da produção da cachaça remete ao Ciclo do Açúcar, com o processo de destilo das sobras do melaço fermentado de cana. Quando as Antilhas ampliam a produção do açúcar, ocorre a desvalorização do produto brasileiro, o que da início a destilação direta do caldo fermentado. A diferença de matéria prima em relação ao Rum e das madeiras utilizadas para o envelhecimento da bebida permitem concluir que a cachaça é um produto com raízes genuinamente brasileiras.
Desenvolvimento de kit didático para controle de VANT quadrirrotor
Authors: Bezerra Bemielison Gletson da Silva , Lopes Liebson Henrique Bezerra , De Araújo Patrícia Rodrigues , De Sousa Augusto César , Neto André Pedro Fernandes
Published: February 2021

Este trabalho propõe a inserção da Universidade Federal Rural do Semi-Árido – UFERSA no contexto global de pesquisa e desenvolvimento de Veículos Aéreos Não-Tripulados – VANT´s. Assim, foi desenvolvido um protótipo VANT do tipo quadrirrotor de baixo custo para aplicação didática, visando inserir a comunidade acadêmica nessa linha de pesquisa, e também disseminar novas ideias e técnicas que auxiliarão na integração da teoria com a prática, numa relação interdisciplinar, para reforçar o tripé de sustentação da Universidade: ensino, pesquisa e extensão.
Cubo mágico estrátegia para o ensino da matemática
Authors: Da Silva Brenda Lorranny Cerqueira , Campo José Raimundo Almeida , Souza Maria Angélica Santos
Published: February 2021

O presente trabalho trata da importância do uso dos jogos para a aprendizagem de matemática no Ensino Médio, apresentando sugestões práticas de como utilizar os jogos para facilitar o desenvolvimento e o raciocínio lógico dos alunos com dificuldades em aprendizagem. O cubo Mágico é um jogo que de forma dinâmica pode contribuir na aprendizagem matemática do aluno. O objetivo desse trabalho é dinamizar o processo de aprendizagem de matemática através de jogos de raciocínio lógico e desafiar os alunos para provar que os mesmos têm a capacidade de aprender. A matemática é uma disciplina de suma importância em várias situações em nossa vida, se olhar ao nosso redor pode notar sua presença nos contornos, nas formas dos objetos, nas medidas de comprimento,  além de ser usada para medir ou calcular, e utilizado para ensino prático usando jogos com apoio e prática incentivando o aluno a aprender. A metodologia aplicada a esse trabalho deu-se através da adaptação de um cubo mágico com algarismos para efetuar as operações. A finalidade desse jogo é montar o cubo de acordo com a operação adição, fazendo com que todos os números somados de uma face, exceto o que está localizado no meio da face, seja igual ao número central do cubo. Nesse ano de 2015 foi criado um protótipo de um cubo mágico com operações matemáticas para trabalhar o raciocínio lógico. Será apresentado alguns tutoriais para sua montagem, este será etiquetado com números que somados darão o resultado do centro de cada face. A aprendizagem da Matemática depende de uma grande variedade de fatores o que torna o seu ensino bastante complexo. É necessário desenvolver o raciocínio lógico e estimular o pensamento independente, a criatividade e a capacidade de resolver problemas. Neste trabalho começamos por apresentar as vantagens do uso dos jogos no ensino da matemática, tendo em vista a sua importância na aprendizagem da matemática. Espera-se que esse trabalho com o uso de jogos matemáticos possa contribuir de forma articulada para o desenvolvimento  da  aprendizagem matemática.
190 grupo operativo lúdico (GOL): um modelo de trabalho em grupo, com a finalidade psicoterápica, para crianças da saúde pública de Valinhos-SP
Authors: Giglio Joel Sales , Dos Santos Marta Bartira Meirelles
Published: February 2021

Há 10 anos aplicamos na Saúde Pública de Valinhos-SP um modelo de trabalho em grupo denominado Grupo Operativo Lúdico (GOL). Sua aplicabilidade se desenvolveu na área psicoterápica e na área de educação em saúde. Os grupos educativos iniciaram-se com o Sistema de Treinamento e Desenvolvimento da Secretaria da Saúde (1999). Esta forma de trabalho em grupo visa o desenvolvimento das pessoas e de grupos com base nos valores humanos. Ele se caracteriza pelo ensino-aprendizagem em grupo mediado por recursos verbais e não verbais os quais são utilizados de forma sistemática e integrada. Através destes recursos algumas competências básicas comportamentais são reforçadas como autoestima, criatividade e trabalho e convivência em grupo. A intenção final deste modo de trabalho em grupo é sensibilizar as pessoas para a prática da qualidade de vida.
Facticidade e diferença: elementos de filosofia da linguagem e filosofia do direito em habermas e derrida
Authors: Saran Lucas Antonio , Cachichi Rogério Cangussu Dantas
Published: February 2021

Dutra (2013) chama atenção para o fato de que há um claro ponto de discordância entre Habermas e Derrida. Com certeza, Dutra possui razão em sua postura, e, muito provavelmente, uma consulta direta a Habermas acabaria por confirmar a discordância do filosofo alemão com relação ao filósofo francês (Derrida). Apesar disso, esta comunicação possui a pretensão de realizar um esboço de aproximação entre Habermas e Derrida. Deveras, analisadas separadamente a estrutura das reflexões gerais de ambos os autores, observar-se-á que, ao final, a despeito das discordâncias, o filósofo da ação comunicativa e o filósofo da différance possuem, inexoravelmente, pontos de similaridade. Este modesto projeto de correlação entre Habermas e Derrida nasce delimitado pelos campos da filosofia do direito e da filosofia da linguagem. Nessa toada, o texto encontra-se dividido em três momentos centrais: primeiro, alguns elementos do pensamento de Habermas (filosofia da linguagem, facticidade, validade etc) são consignados, especialmente a configuração da modernidade a partir da dualidade entre os sistemas e o mundo da vida, apresentando-se o direito como importante elementos de mediação. Na sequência, focam-se Derrida e suas reflexões sobre a filosofia da linguagem e a filosofia do direito, sobretudo no particular crítica à metafísica da presença levada a efeito em duas importantes obras desse autor, a saber, Gramatologia e Força de lei. Ao final, os dois autores são objeto de aproximação e, como prometido, são apresentadas certas relações entre ambos. Pedimos que nossos leitores entendam que o objetivo nesse desenvolvimento não é desconsiderar as idiossincrasias dos dois autores estudados, mas mostrar que, por assim dizer, não deixa, também, de existir consenso entre eles. Acreditamos que esse tipo de trabalho é lícito e importante: por vezes, tanto os filósofos, quando seus admiradores tomam uma postura demasiado combativa e destrutiva; acreditamos ser uma possível função do historiador da filosofia mostrar até que ponto tal postura (combativa) é razoável e lícita.
Iniciação à docência e desenvolvimento de ações de suporte ao ensino de matemática: subprojeto PIBID/CPPP/Matemática
Authors: Balejo Geovane Soares , Chiquitin José Ramão de Souza , Oliveira Caroline da Silva , Da Silva Vanilda Alves
Published: February 2021

O subprojeto PIBID/CPPP/Matemática tem por objetivo a iniciação à docência dos acadêmicos do curso de licenciatura em Matemática da Universidade Federal de Mato Grosso do Sul - UFMS, em um ambiente bem orientado, com vivência de várias técnicas de ensino e seus efeitos, promovendo a melhoria da qualidade da educação e a integração de acadêmicos da universidade federal com as escolas públicas. O Projeto foi desenvolvido na Escola Estadual João Brembatti Calvoso, e encontrou como dificuldade maior a aprendizagem de conteúdos matemáticos, uma vez que os alunos não conseguem articular o abstrato com a prática e sua aplicabilidade. A Matemática ensinada na sala de aula nem sempre é suficiente para mostrar o quanto ela é interessante, necessária e ambientada no nosso espaço cultural, devido à realidade enfrentada pelos professores, em suas vivências de sala de aula: sala superlotada e uma lista enorme de conteúdos a serem ministrados. Os professores da escola alvo do Projeto solicitaram, aos acadêmicos participantes, a contribuição com novos recursos para apresentar a matemática de forma menos teórica e desinteressante ao estudante, permitindo a compreensão de conteúdos, até então vistos por eles como desnecessários ao seu aprendizado. Desse modo, pesquisamos, elaboramos e desenvolvemos atividades lúdicas como os jogos, envolvendo a Matemática e o desenvolvimento do raciocínio lógico. A partir desses recursos pudemos observar resultados satisfatórios quanto ao desempenho na disciplina, melhor rendimento escolar, não só na disciplina de matemática, mas, sobretudo, no contexto interdisciplinar. Por meio dessas atividades foi possível demonstrar o quanto a Matemática é interessante e importante para o desenvolvimento de uma sociedade e, principalmente, do indivíduo/cidadão que nela se insere.
Dança, jogos e brincadeiras: a infância como lugar de conhecimento
Authors: Figueiredo Valéria Maria Chaves de , Faria Amanda Pathiely Serrânia , Silva Carolina Carneiro e , Miranda Thais Alves
Published: February 2021

No presente artigo, propusemo-nos a escrever de forma reflexiva e crítica sobre o processo vivenciado no Pibid Dança/UFG. Nosso objetivo, desde o princípio foi trazer para a cena discussões sobre a presença e mediações da dança no campo da escola e na sociedade contemporânea, atualizando os conceitos sem recorrer preconceitos ainda tão recorrentes hoje. Preocupados com a complexidade das questões e dos aspectos subjetivos presentes no ambiente escolar, optamos por olhar dialógico e dialético. Buscamos valorizar o reconhecimento da dança dentro do campo escolar como área de conhecimento e de formação humana ressaltando a sua contribuição tanto no desenvolvimento das crianças, bem como comunidades escolares em geral.
O renascer do prazer afectivo aos 83 anos com Alzheimer. Um olhar de dentro para fora!
Authors: Nogueira Gélci
Published: February 2021

Este trabalho demonstra como uma Doente de Alzheimer (DA), redescobre os sentimentos de prazer, partilhando em família. Objectiva identificar as falhas profissionais ocorridas antes e depois do diagnóstico médico, confirmar DA. O método é pesquisa-acção, segundo Valentim (2008), focada na modificação, baseado em um estudo de caso, concretizado in loco. Foram realizadas sessões com Terapias Corporais (Lowen,1985), complementadas com actividades Geriátricas e Nutricionais. Observações e intervenções diárias, com seis horas de duração, cinco dias por semana, por dois anos e meio. Participou desse estudo, idosa, 83 anos com DA a 7 anos, sofrera um AVC. Segundo I.P. (2005), a DA afecta 8 a 15% da população acima de 65 anos, existe no mundo 17 a 25% de pessoas, que representa 70% do conjunto das doenças que afectam idosos. Através desse estudo e das técnicas psicoterápicas, centradas na afectividade, pude perceber as mudanças geradas nessa idosa, envolvendo seu entorno familiar com afecto saudável. Traços obsessivos, queixas generalizadas, segundo Cury (2004), sintomas depressivos: insónia, sudorese, tensões baixa e colesterol alto. Recordações traumáticas. O embasamento teórico-pratico centraliza-se na Teoria Bioenergética, focando a influência e efeitos dos sentimento que mobilizam corpo e mente.
Modelo de calidad para plataformas e-learning basado en normas ISO/IEC 25000
Authors: Figueroa Piscoya Eder Nicanor , Carrión-Barco Gilberto , Sánchez-Chero Manuel-Jesús , Figueroa Alvarado Andrés Heleodoro , Figueroa Neyra Walter Antonio
Published: February 2021

La presente investigación tuvo por objetivo desarrollar un modelo de calidad para plataformas e-learning en centros de entrenamiento superior, basado en estándares ISO/IEC 25000; se utilizó el enfoque cuantitativo con alcance propositivo y con diseño no experimental de tipo transversal; se empleó el cuestionario como instrumento de recolección de datos conformado por 11 reactivos y se aplicó a una muestra de 20 sujetos entre personal administrativo y docente del Centro de Tecnologías de la Información CETI – Chiclayo-Perú. Los resultados indican que la plataforma Blackboard y la plataforma Moodle son las preferidas en la implementación de entornos virtuales de aprendizaje; por su parte El 80% señala que el seguimiento de los avances del estudiante en tiempo real es la característica más importante que incorporarían en la implementación de una plataforma e-learning. Por ello, se propuso un modelo de calidad para plataformas e-learning en centros de entrenamiento superior, basado en estándares ISO/IEC 25000. Como conclusión se precisa que la adopción de una plataforma e-learning en los centros de entrenamiento superior es imprescindible por lo que se hace necesario desarrollar un modelo de calidad para estas plataformas.
Modelo de seguridad informática para un medio de conexión pública
Authors: Carrión-Barco Gilberto , Sánchez-Chero Manuel-Jesús , Del Castillo Castro Consuelo Ivonne , Campos Flores Freddy William , Timaná Alvarez Marcos
Published: February 2021

Hoy en día, las organizaciones hacen todo lo posible para mantener el control y ayudar a proteger sus redes corporativas y su activo de información de las amenazas cibernéticas, es por ello que se hace necesario garantizar la seguridad de los datos mientras viaja por la red pública. Frente a esta situación se circunscribe la presente investigación, teniendo como propósito la elaboración de un modelo de seguridad informática que garantice el intercambio de información académica para un medio de conexión pública entre la Universidad Nacional Pedro Ruiz Gallo y el Centro Pre Universitario de la entidad. El estudio fue de tipo aplicada, con un alcance cuantitativo – explicativo y diseño no experimental de tipo trasversal. La muestra estuvo constituida por un total de 29 técnicos especialistas en tecnologías de la información de las diferentes oficinas de la Universidad, el instrumento utilizado fue el cuestionario, el cual estuvo conformado por 20 reactivos divido en dos dimensiones: conexión de la red y seguridad informática. Como resultado se logró determinar que la conexión de la red y la seguridad informática se encuentran en un nivel bajo y deficiente, respectivamente, por lo que se concluye que la elaboración de un modelo de seguridad informática para VPN permitirá intercambiar información académica de manera segura ente los dos sitios.
Comparación de la higiene oral en niños con y sin discapacidad: importancia de la supervisión
Authors: Triviño Beatriz Romero , Albentosa Margarita Iniesta
Published: February 2021

Objetivo: El objetivo de este estudio fue comparar la salud oral de niños plurideficientes con un grupo control sin discapacidad.

Material y método: se incluyeron en el estudio 50 sujetos (25 en el grupo test y 25 en el grupo control). Las variables analizadas fueron índice de placa (IP), índice de dientes con caries/ausentes/obturados (CAOD), tinción, maloclusión y empleo de aparatología.

Resultados: Con respecto a la media del IP y el CAOD, no se observaron diferencias estadísticamente significativas entre el grupo test y control (p= 0,824 y p= 0,055 respectivamente). La media de dientes ausentes y el porcentaje de tinción y de maloclusión fue mayor en el grupo test (p = 0,012, P = 0,002, p = 0,001, respectivamente); y el índice de restauración fue mayor en el grupo control (p = 0,017).

Conclusión: En este estudio, la prevalencia del IP y el CAOD no difiere entre ambos grupos, lo que podría significar que la supervisión del cepillado de los niños con plurideficiencia, por parte de sus cuidadores, repercute de alguna manera en su salud oral equiparándola a la de la población sin discapacidad.