bluuebunny/crossref_metadata_2025 huggingface dataset:
Examining the Relationship Between Work Engagement and Career Adaptability Among Health Professionals
Authors: Sahin Cengiz
Published: January 2018

This study investigates the relationship between work engagement and career adaptability among health professionals. The study, which was conducted in a cross-sectional research design, comprised 351 health professionals, including 55 specialist medical doctors, 93 practitioners, 119 nurses and 84 midwives working in various public health institutions. The data were collected by the Utrech Work Engagement Scale and the Career Adaptability Scale, and regression analysis and ANOVA methods were used for analysis. The results indicate a significantly positive relationship between work engagement and career adaptability for all occupational groups, while there were no differences between occupational groups in terms of work engagement. The career adaptability levels were found to be lower among nurses compared to specialists and practitioners. In conclusion, career adaptability can be used as a tool to enhance the work engagement of health professionals. Further research in this area will boost the career adaptability of nurses, in particular. Keywords: Work engagement, career adaptability, health professionals.
The Significance and Effectiveness of Kangaroo Care for Premature Infants
Authors: Kaya Ayla
Published: January 2018

Kangaroo care maintains thermoregulation between infants and their mothers. This technique can also be called the human incubator method, reducing newborn morbidity and mortality at considerably lower costs of infrastructure or safe and reliable practicality for both health professionals and mothers. It has recently been revealed that kangaroo care helps to reduce mortality rates in preterm infants, stabilises heart rate, maintains body temperature, reduces the need for oxygen, positively affects weight gain and sleep duration, and assures early discharge. Kangaroo care also guarantees mother–infant commitment in the postnatal period. Despite the evidence for its reliability and efficiency, its practice still remains limited due to lack of qualified medical personnel and an inadequate care environment. Consequently, it can be suggested that primary care providers in newborn intensive care units promote kangaroo care practices by establishing an efficient care environment in order to improve medical results and enhance the care quality. Keywords: Kangaroo care, premature newborn, neonatal intensive care unit, primary care, providers.
Knowledge and Practice Situations of Nurses on Nonpharmacological Methods and in Pain Management
Authors: Tercan Bahadır
Published: January 2018

This research was carried out to determine the knowledge and practice situations of nurses on non-pharmacological methods of pain management. The research was carried out at Gumushane State Hospital, Kelkit State Hospital and Siran State Hospital between June 2014 and May 2015, together with the Gumushane Public Hospitals Association. It involved 224 nurses, who worked in hospitals connected to Gumushane public hospitals unity. The research was completed with 181 nurses. The data were obtained between December 2014 and January 2015 and on weekdays by the relevant face-to-face interview technique. The number, percentage, arithmetic mean, chi-square, standard deviation, Pearson Chi-square, t-test and Mann Whitney-U test were used for analysis of data. It was determined that 62.4% of the nurses used the pharmacological and non-pharmacological methods together for pain management and were mostly informed about the methods of massage, hot–cold application, nutritional therapy, music therapy and prayer and healing methods. Keywords: Pain management, knowing, nursing, non-drug methods, practice.
Evaluation of self care behaviours, medication and dietary compliance of patients with heart failure
Authors: Akdeniz Sengul
Published: January 2018

In this study, it was aimed to evaluate the self-care behaviors, dietary and medication compliance of patients with heart failure.The study was conducted as a cross-sectional sampling study between April and August 2016. After identifying the clinical diagnosis and treatment, 120 patients who were diagnosed with HF were included in the study. Data were obtained by using personal information form, Turkish versions of the European Heart Failure Self-care Behavior Scale (EHFScBS), Beliefs about Medication Compliance Scale and Beliefs about Dietary Compliance Scale   for patients with HF. The mean score on EHFSc BS was found to be 31.20± 8.05. Benefit and barrier subscale mean scores were found to be 26.11 ± 4.23 and 13.09 ± 3.5 for dietary compliance and 20.44 ± 2.7 and 22.36 ± 3.8 for medication compliance, respectively. According to the results of the study ıt was found that there was a moderate relationship between self-care behaviors and dietary compliance (r=0,538,p<0,05) benefits and medication compliance (r=0,420, p<0,05 )  benefits.  Keywords: The European Heart Failure self care scale; medication compliance; dietary compliance; heart failure.
Web-based health education in pediatric nursing
Authors: Guven Serife Tutar
Published: January 2018

The internet, which provides the access, share and communication information of people worldwide and is regarded as a revolution, has an increasingly important role in health education, research and applications. Health professionals search for new ways to facilitate and improve the provision of effective health education to individuals and communities. The developments in computer and internet technologies and high priority of finance for nursing studies in technological terms lead researchers to develop, use and test different types of web-based initiatives. In addition, a large amount of quality evidence that shows the success of health education attempts carried out on the web draws the attention of health professionals responsible for providing health education. This study aims to analyze web-based health education and provide health professionals with a point of view regarding its use in pediatric nursing.  Keywords: Web-based education; pediatric nursing; health education
Family caregiver's support for Jordanian kidney transplantation recipient
Authors: Mohammed Hussein Jassim
Published: January 2018

This review led to know the impact of home care-giving program for relatives giving consideration to incessantly sick relative customer, to distinguish a few elements that influence mind giving. A semi test configuration was directed on customers who were visit the doctor's facility or wellbeing community for development or taking perpetual prescriptions in Babylon city, form 12 March to 22 May 2014 including an intercession and control bunches. A four-week follow-up appraisal was performed in every gathering. The specimen of study was taken incidentally from (60) families who had endless sickness or more seasoned customers in various financial and instructive level. The mean period of members was (35.2) with SD (6.83) (70.5) percent had just an elementary school level of training, (69.7) per penny were hitched and (76.5) per penny had kids. The members indicated little score with respect to learning around (46.7 percent) and also poor practice they had (41.7 percent). The review prescribes an instructive program for family parental figures are critical to upgrade the capacity of minding outside healing center. The review prescribed to instruct relatives with family guardian program which had exceedingly critical amongst mediation and control bunch after pre-posttest of support for kidney transplant patient.  Keywords: Family caregiver; kidney transplantation.
The effect of mobbing on organizational culture and organizational justice perception of nurses
Authors: Ekici Dilek
Published: January 2018

Feeling of insecurity and restlessness caused by mobbing behaviors, which nurses have faced, create an extremely stressful and tense environment. Therefore, fair behaviors exhibited by nurse managers affects directly culture perception of employees. This cross-sectional and descriptive study was planned to determine the effects of on organizational culture, justice perception and mobbing experienced by nurses working in hospital. Nurses, who were working in two private hospitals in Ankara, were included in the study. After the explanation about the purpose and method of the study, a written application was made to each of the hospitals, where the study would be conducted. After the permissions had been obtained, the data collection process began. The response rate was 74%; the data obtained from 125 nurses of hospital A and 169 of B were included in the analysis. Variables of the study were organizational justice, mobbing at workplace and organizational culture. Causal relationships between variables were tested using Structural Equation Modeling. Critical n-value related to the model was calculated as 162.85.There was a significant negative relationship between mobbing and culture, which were exogenous and endogenous latent variables, respectively (-0.50). Likewise, there was a significant negative relationship between mobbing and justice, which was an endogenous latent variable (-0.34). Also, there was a significant positive relationship between justice perception and organizational culture. Mobbing and justice perception, which were independent latent variables, were found to explain 0.43 of organizational culture, which was the endogenous latent variable. In accordance with structural equation modeling, the theoretical model of the study was found to be within statistically acceptable limits.Mobbing behavior nurses had faced, was found to have adverse effects on organizational culture and justice perception. Attitudes and behaviors of managers at workplace are highly important to ensure a peaceful and fair work environment. Managers should be aware of mobbing behavior exhibited at workplace, and should display the attitudes and behaviors which will prevent mobbing.     Keywords: Mobbing; organizational justice; organizational culture.
The effects of occurrence and frequency of nursing studentsâ€™ confrontation of death on their attitudes towards death
Authors: Danaci Esra
Published: January 2018

This study was conducted as a descriptive study aiming at determining the effects of the facing death situation and frequency of nursing students on their attitudes towards death.The research was carried out between October 10 and October 21, 2016 with the participation of 233 students who were currently studying in the nursing department of the Faculty of Health Sciences. The data were collected by the 25question questionnaire form prepared by the researchers and determined the demographic characteristics of the students and their attitudes towards death using the Death Attitude Profile-Revised (DAP-R) Scale. As the total scores obtained on the scale increased, it is considered that a more negative attitude is developed towards death. For the data assessment, percentile estimation, Levine test, One Way ANOVA, Tukey test, Mann Whitney U test, and Kruskall Wallis test were used. The present study demonstrated that of the students, 46.4% loved their profession, 59.7% preferred their profession willingly, 36.5% lost a first-degree relative previously, 65.7% faced death situation during clinical practices, 60.1% avoided from facing with the relatives of the deceased individual, and only 21.5% found herself/himself sufficient for understanding the patientsâ€™ relatives. The median score of DAP- -161.00), the median score the -72), the median score of the Escape Acceptance subdimension -32), and tha relationship was found amongthe DAP-R scores of the students and their sociodemographic and occupational characteristics and  facing death situations (p <0.05). Considering that a negative attitude toward death was developed as the total score of the scale increased, this study revealed that the students did not develop any negative attitudes towards death.   Keywords: Nursing, student, death, attitude, frequency of facing death.
АНДРИЋ И ЧЕХОВ У НАСТАВИ
Authors: Давидовић Јована Н.
Published: January 2018

Компаративна анализа дела Чехова и Андрића омогућава нову наставну обраду стваралаштва ова два писца. Упознавање ученика са компаративном књижевном анализом уводи их у модерне токове науке о књижевности. Истраживањем библијског подтекста, анализа уводи и методу интертекстуалности. Оваква наставна обрада има за циљ да ученике окрене књизи и тако помогне у превазилажењу кризе читања, засигурно једног од највећих проблема данашњице. Методичка обрада уводи и мултимедијални приступ настави. Упоређивање Чеховљевих и Андрићевих дела пружа могућност да се узајамно осветли лепота и сложеност њихових дела и иновира настава књижевности. Циљ рада је да прикаже компаративне везе у делима Чехова и Андрића, проширујући тако круг писаца са којима Андрићево дело кореспондира.
TEACHING SERBIAN LEARNERS ENGLISH PHRASAL VERBS: THE TRADITIONAL APPROACH VS. THE COGNITIVE LINGUISTIC APPROACH
Authors: Gajdoš Srđan M.
Published: January 2018

This study examines the results obtained by using the traditional and the cognitive approach to teaching phrasal verbs. The control group was taught phrasal verbs using the traditional way i.e. by providing a direct translation into Serbian. In the experimental group the author presented the verbs by explaining the meanings of the very particles and the meanings they develop. Both groups were given a test immediately after they received input. They were also tested on the meanings of untaught phrasal verbs three weeks later. Utilising the cognitive approach helped the students learn the phrasal verbs more successfully. The students who knew various meanings of the particles were able to understand the meanings of the whole phrasal verbs better. The experimental group was able to predict the meanings of the untaught phrasal verbs in the delayed test better than the control group.
THE TEACHER AS THE MOST IMPORTANT MOTIVATIONAL FACTOR IN THE EFL CLASSROOM
Authors: Despotović Vesna O.
Published: January 2018

The goal of this paper is to highlight the issue of motivation in foreign language learning and to focus on the links between students’ motivation and the teacher. By involving students, arousing and maintaining students’ interest and providing effective feedback, teachers can build students’ intrinsic motivation which is a key to learning a foreign language. For example, teachers can motivate students by allowing them to choose more frequently. Teachers may employ various strategies in order to create a positive learning atmosphere that enhances students’ self-esteem and motivation such as cooperative learning techniques/activities, higher-order thinking skills or even games. Finally, by developing students’ language learning strategies teachers can build learner autonomy which leads to sustained motivation in learning. To illustrate the above-mentioned points, examples of self-evaluation, use of games, use of higher-order thinking skills, a written feedback form and a marking rubric have been provided.
ACTIVITÉS LUDIQUES EN CLASSE DE FLE INSPIRÉES DE L’OULIPO
Authors: Prodanovic Gorana M.
Published: January 2018

Cette recherche a pour objectif de proposer des activités ludiques pour la classe de français langue étrangère (ou une autre langue), inspirées des techniques d’écriture créative proposées par l’Oulipo. Ces activités relèvent de la production écrite basée sur une contrainte d’ordre alphabétique, syntaxique, sémantique ou numérique et peuvent avoir n’importe quel texte comme point de départ. Nous présentons ici trois activités: « l’homoconsonantisme », « la traduction antonymique » et « le tireur à la ligne ». Nous avons testé ces activités dans des cours particuliers et à l’IIEF de Strasbourg. Par la suite, elles ont été mises en place par deux enseignantes de FLE dans leurs cours à l’Université de Novi Sad et à l’Institut français de Novi Sad. Nous donnons dans cet article. la description détaillée de ces activités ainsi que leur mise en place. L’enquête et les données statistiques recueillies auprès des enseignantes et des apprenants ont confirmé notre hypothèse que ces acticités avaient de quoi nourrir les pratiques pédagogiques dans l’apprentissage des langues.
АЛГОРИТМИЧЕСКАЯ ГРАММАТИКА: СИНТАКСИЧЕСКОЕ МЕСТО И ЕГО РОЛЬ ПРИ АНАЛИЗЕ НЕМЕЦКОГО ПРЕДЛОЖЕНИЯ
Authors: Чиханова Марина А.
Published: January 2018

Одним из современных подходов в преподавании иностранного языка в условиях ограниченного количества времени является преподавание на основе грамматических алгоритмов. Грамматические алгоритмы построены с учетом формальных признаков различных грамматических явлений, предписывают строгую последовательность выполнения действий и дают возможность быстро извлекать информацию из текста, т.е. работа с текстом идет по пути «от формы к смыслу». Студенты приступают к переводу текста не с поиска значений слов в словаре, а с определения позиций (мест), занимаемых словами в предложении. Однако возникают такие явления, для которых необходимо создание новых алгоритмов. Например, алгоритм, связанный с понятием синтаксического места, центральным для немецкого предложения, или алгоритм, позволяющий определить, занимает ли группа существительного с предлогом «старую» позицию или «новую».
Produzindo o sentido de um nome de cidade
Authors: Guimarães Eduardo
Published: January 2018

Este texto analisa a relação de significação que atribui ao nome próprio Rio de Janeiro o sentido de cidade maravilhosa. Para isso o trabalho analisa a questão da relação apositiva que acaba por apresentar uma história de enunciações a respeito da cidade do Rio. Neste caso o aposto acaba por apresentar-se como um outro nome para a cidade, havendo assim uma sobreposição de dizeres e tempos do sentido. O sentido do nome Rio de Janeiro (primeiro, nome da baía da Guanabara e, depois, nome da cidade, por metonímia), significa um memorável descritivo que articula o nome com sentidos da beleza do lugar e que se desloca para um sentido avaliativo. Este processo se especifica por uma história de enunciações que se pode localizar na passagem do século XIX para o XX. Tanto este aspecto quando o do próprio funcionamento da relação apositiva mostram aspectos muito particulares da constituição do sentido do nome próprio. E neste caso, a relação apositiva faz uma predicação que se apresenta como própria do sentido de Rio de Janeiro, como se fosse algo que o nome significasse de modo fixo e definitivo.
O ritual da mística no processo de identificação e resistência
Authors: Freda Indursky
Published: January 2018

O trabalho examina o ritual da mística em práticas do MST. A mística, designação empregada pelos sem-terra, consiste em acontecimentos sócio-políticos que se manifestam em práticas discursivas e não-discursivas através das quais os sem-terra identificam-se e reidentificam-se com os saberes do MST. Esses rituais simbolizam uma forte economia coletiva do desejo, atualizando a memória de suas lutas em contraposição a saberes-outros, oriundos de campos diferentes e/ou adversos da sociedade.
Petite histoire de la notion d’ambiance
Authors: Thibaud Jean-Paul
Published: January 2018

Une façon d’introduire la notion d’ambiance est de la travailler de l’intérieur, en rendant compte des diverses approches et perspectives qu’elle a suscitées. Il s’agit ici de retracer les multiples usages auxquels elle s’est prêtée depuis un siècle et d’identifier les principales démarches mises en jeu. D’une certaine manière, je propose d’entreprendre ici une ébauche d’archéologie de la connaissance de cette notion. Une telle entreprise s’inscrit donc dans la durée et vise à faire un point provisoire et partiel sur son histoire. L’objectif n’est pas tant d’arriver à une définition de la notion d’ambiance que de mettre en évidence les types de problématique et de questionnement dans lesquels elle s’inscrit.
Textualidade infográfica eletrônica: efeitos de velocidade para a leitura
Authors: Nunes Silvia Regina Nunes
Published: January 2018

Neste trabalho, abordo o modo como a injunção ao clicar produz trajetos de leitura no infográfico eletrônico e como esses trajetos são tecidos por meio da reiteração entre formulações verbal-visual e visual-visual. Apresento o modo como a textualidade infográfica eletrônica produz a estereotipia e a contenção de sentidos ao funcionar sob oNeste trabalho, abordo o modo como a injunção ao clicar produz trajetos de leitura no infográfico eletrônico e como esses trajetos são tecidos por meio da reiteração entre formulações verbal-visual e visual-visual. Apresento o modo como a textualidade infográfica eletrônica produz a estereotipia e a contenção de sentidos ao funcionar sob o efeito de pré-construídos, bem como são produzidos efeitos de velocidade para a leitura. efeito de pré-construídos, bem como são produzidos efeitos de velocidade para a leitura.
A deriva de sentidos de “Terra da luz” no pós-governo mudancista: uma análise do vídeo Ceará, terra da luz
Authors: Bussons Aline Maria Freitas
Published: January 2018

A partir da análise do vídeo Ceará, terra da luz, discutiremos a deriva de sentidos da expressão “terra da luz” após a ascensão do “governo das mudanças” (quando Tasso Jereissati assume o governo do estado do Ceará nos anos de 1987). Como dispositivo de análise, utilizaremos as práticas de leitura da Análise do Discurso Materialista, nas quais, parte-se do pressuposto fundamental de que o sentido não é uma evidência, mas uma determinação das posições ideológicas em jogo num dado momento sócio-histórico (Pêcheux, 2009:146). Neste texto, portanto, buscaremos compreender o funcionamento discursivo de “terra da luz” em suas relações com a imagem de um Ceará paradisíaco construído pelo discurso turístico dos “governos das mudanças”
“Pra tá aqui tem que montar, desmontar e carregar”. Mobilidade, território e cotidiano do trabalho na feira de artesanato da Avenida Beira-mar, Fortaleza (CE)
Authors: Gonçalves Luiz Antonio Araújo
Published: January 2018

Este trabalho teve como objetivo refletir sobre a relação do trabalho informal e a cidade por meio da territorialização e mobilidade do comércio ambulante de artesanato na avenida BeiraMar de Fortaleza (CE). Buscou-se tratar do cotidiano do trabalho na feira de artesanato, denominada “feirinha da Beira-Mar”, a partir da dimensão do território e da mobilidade dos trabalhadores e trabalhadoras na constituição da feira que é montada e desmontada, todos os dias, no calçadão da orla.
Da relação sujeito, religião e estado: o discurso da liberdade e das letras na cidade
Authors: Almeida Eliana de
Published: January 2018

Pela perspectiva teórica da Análise do Discurso (PÊCHEUX, 1988; FOUCAULT, 1995; ORLANDI, 2007) buscaremos compreender, a partir de narrativas e templos cristãos, os modos pelos quais esses materiais projetam sentidos sobre/para a cidade de Iepê-SP, significando-a de um modo particular na história brasileira de fundação das cidades no início do século XX, pela relação entre sujeito, religião e Estado. Iepê-SP encena o contexto desse processo brasileiro de urbanização, implicado à questão da laicização do Estado, conforme suposta pelos ideais republicanos, fazendo intervir sentidos outros para as instituições e para o sujeito brasileiro, em suas relações sociais.
Three-Dimensional Facies Analysis using Object-Based Geobody Modeling: A Case Study for the Farewell Formation, Maui Gas Field, Taranaki Basin, New Zealand
Authors: Haque AKM Eahsanul , Islam Md. Aminul , Shalaby Mohamed Ragab
Published: January 2018

The early-mid Paleocene Farewell Formation is stratigraphically distributed across the southern Taranaki Basin (STB) which is also encountered within the Maui Gas Field. Using available 3D seismic and well log data, a challenging task to delineate the spatial distribution and geobody patterns of the potential reservoir sands of the formation was performed. Object based modeling coupled with sequential indicator simulation were used to analyze the spatial distribution of facies configuration and a conceptual model was developed based on the outputs from the structurally- modeled grids. The facies modeling followed a hierarchical object-based mechanism which was set to perform with constraints like channel geometry and heterogeneity within the formation. The resultant 3D geobody model showed that the distributary channels, mainly braided geobodies flowed from northeast cutting through several regional normal-fault systems to the southwest. Overbank facies was adhered to the fringe of the channels whereas the floodplain facies was at the periphery of the model. Meandering channel-sand facies were mostly observed at the center of the model flowing in a more random manner, occupying major flow directions of northwest to southwest and southeast to northwest within the model.
Surveillance of Groundwater Quality Using Geographical Information System in Kannur District, India
Authors: Arumugam Thangavelu , Krishna Praveen , K Sapna
Published: January 2018

Groundwater is an important role of the environment in natural resources. The major sources of groundwater contamination in this study were open discharges of domestic sewage, inadequate sewerage system, open defecation, septic tanks, soak pits, contaminated water pools, unorganized solid waste dumping and use of fertilizers, pesticides for agriculture deteriorated the condition. In this present study revealed that the physical and chemical characteristics of ground water in different areas of Kannur district in Kerala have been determined different seasons with respect to its suitability for drinking and agricultural purposes. For this study the groundwater samples were collected during pre-monsoon and post-monsoon seasons from 70 wells representing the entire the study area. The groundwater samples were analyzed for Physico-chemical characteristics using standard techniques in laboratory and compared with standards. The samples were analyzed with reference to the WHO and BIS standards. The groundwater quality information of the entire study area have been prepared using statistical and GIS technique for all the parameters. This paper proved in GIS will be helpful for measuring, monitoring and managing the groundwater pollution in the study area and suggested to protect groundwater resources in the environment.
Predicting Cardiovascular Disease from Psychosocial Safety Climate: A Prospective Cohort Study from Australia
Authors: Becher Harry , Dollard Maureen F. , Smith Peter , Li Jian
Published: January 2018

Abstract: Cardiovascular Disease (CVD) is the most prevalent disease worldwide, which has been linked to work stress because of poor job design as explained by the Job Demand-Control (JDC) and the Effort-Reward Imbalance (ERI) models. In this paper we explore for the first time relative impact of a specific aspect of organisational climate, Psychosocial Safety Climate (PSC), on any CVD including angina, myocardial infarction, hypertension, and stroke. We used two waves of interview data from Australia, with an average lag of 5 years (excluding baseline CVD, final n = 1223). Logistic regression was conducted to estimate the prospective associations between PSC at baseline on incident CVD at follow-up. It was found that participants in low PSC environments were 59% more likely to develop new CVD than those in high PSC environments. Logistic regression showed that PSC at baseline predicts lower CVD risk at follow-up (OR = 0.98, 95% CI 0.96-1.00), and this risk remained unchanged even after joint adjustment for measures of ERI and JDC. These results suggest that PSC is an independent risk factor for CVD in Australia. Beyond job design this study implicates organisational climate and prevailing management values regarding worker psychological health as the genesis of CVD.
Well-Posedness and Asymptotic Stability to a Laminated Beam in Thermoelasticity of Type III
Authors: Luan Yue , Liu Wenjun , Li Gang
Published: January 2018

In this paper, we study the well-posedness and asymptotic behaviour of solutions to a laminated beam in thermoelasticity of type III. We first give the well-posedness of the system by using the semigroup method. Then, we show that the system is exponentially stable under the assumption of equal wave speeds. Furthermore, it is proved that the system is lack of exponential stability for case of nonequal wave speeds. In this regard, a polynomial stability result is proved.
Trends in Health Insurance and Type Among Military Veterans: United States, 2000–2016
Authors: Zelaya Carla E. , Nugent Colleen N.
Published: January 2018

Objectives. To describe long-term national trends in health insurance coverage among US veterans from 2000 to 2016 in the context of recent health care reform.

Methods. We used 2000 to 2016 National Health Interview Survey data on veterans aged 18 to 64 years to examine trends in insurance coverage and uninsurance by year, income, and state Medicaid expansion status. We also explored the current proportions of veterans with each type of insurance by age group.

Results. The percentage of veterans with private insurance decreased from 70.8% in 2000 to 56.9% in 2011, whereas between 2000 and 2016 Department of Veterans Affairs (VA) health care coverage (only) almost tripled, Medicaid (without concurrent TRICARE or private coverage) doubled, and TRICARE coverage of any type tripled. After 2011, the percentage of veterans who were uninsured decreased. In 2016, low-income veterans in Medicaid expansion states had double the Medicaid coverage (41.1%) of low-income veterans in nonexpansion states (20.1%).

Conclusions. Our estimates, which are nationally representative of noninstitutionalized veterans, show marked increases in military-related coverage through TRICARE and VA health care. In 2016, only 7.2% of veterans aged 18 to 64 years and 3.7% of all veterans (aged 18 years or older) remained uninsured.
Medicaid Expansion and Infant Mortality in the United States
Authors: Bhatt Chintan B. , Beck-Sagué Consuelo M.
Published: January 2018

Objectives. To explore the effect of Medicaid expansion on US infant mortality rate.

Methods. We examined data from 2010 to 2016 and 2014 to 2016 to compare infant mortality rates in states and Washington, DC, that accepted the Affordable Care Act Medicaid expansion (Medicaid expansion states) and states that did not (non–Medicaid expansion states), stratifying data by race/ethnicity.

Results. Mean infant mortality rate in non–Medicaid expansion states rose (6.4 to 6.5) from 2014 to 2016 but declined in Medicaid expansion states (5.9 to 5.6). Mean difference in infant mortality rate in Medicaid expansion versus non–Medicaid expansion states increased from 0.573 (P = .08) in 2014 to 0.838 in 2016 (P = .006) because of smaller declines in non–Medicaid expansion (11.0%) than in Medicaid expansion (15.2%) states. The 14.5% infant mortality rate decline from 11.7 to 10.0 in African American infants in Medicaid expansion states was more than twice that in non–Medicaid expansion states (6.6%: 12.2 to 11.4; P = .012).

Conclusions. Infant mortality rate decline was greater in Medicaid expansion states, with greater declines among African American infants. Future research should explore what aspects of Medicaid expansion may improve infant survival.
Patients Living Alone Can Be Safely Discharged Directly Home After Total Joint Arthroplasty
Authors: Fleischman Andrew N. , Austin Matthew S. , Purtill James J. , Parvizi Javad , Hozack William J.
Published: January 2018

Background:

Despite the expense and potential hazards of inpatient rehabilitation, there is a prevailing belief that patients living alone cannot be safely discharged directly home after total joint arthroplasty. The purpose of this study was to assess the safety and efficacy of direct home discharge for patients living alone during convalescence after primary total joint arthroplasty.

Methods:

We prospectively studied 910 consecutive patients undergoing primary, unilateral total hip arthroplasty or total knee arthroplasty over an 8-month period. Patients discharged directly home who were living alone for the first 2 weeks after the surgical procedure were identified as the investigational group and those discharged to home and living with others constituted the control group. The primary outcomes were 90-day complications and unplanned clinical events, including readmissions, emergency department or urgent care visits, and office visits. Functional outcomes, patient satisfaction, pain relief, and return to daily function were also assessed.

Results:

During the study period, 874 patients (96%) were discharged directly home and only 36 patients (4%) were discharged to a rehabilitation facility. Of those discharged home, 769 patients were included in the final analysis, including 138 patients living alone and 631 patients living with others, and 105 patients were excluded as they opted not to participate. Patients living alone more commonly stayed an additional night in the hospital and utilized more home health services. There was no increase in complications or unplanned clinical events for patients living alone compared with those living with others. Further, no significant differences in functional outcomes or pain relief were detected, and satisfaction scores were equivalent after 90 days.

Conclusions:

Patients living alone had a safe and manageable recovery when discharged directly home after total joint arthroplasty. Extending the initial hospitalization and providing home health services on a selected basis may be a more cost-effective approach than routine discharge to an inpatient rehabilitation facility.

Level of Evidence:

Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.
MRI Evaluation of Repaired Versus Unrepaired Interportal Capsulotomy in Simultaneous Bilateral Hip Arthroscopy
Authors: Strickland Colin D. , Kraeutler Matthew J. , Brick Matthew J. , Garabekyan Tigran , Woon Jason T.K. , Chadayammuri Vivek , Mei-Dan Omer
Published: January 2018

Background:

Techniques used in hip arthroscopy continue to evolve, and controversy surrounds the need for capsular repair following this surgical intervention. The purpose of this study was to evaluate the magnetic resonance imaging (MRI) appearance of the hip capsule in patients with femoroacetabular impingement (FAI) who underwent simultaneous bilateral hip arthroscopy through an interportal capsulotomy with each hip randomized to undergo capsular repair or not undergo such a repair.

Methods:

This double-blind, randomized controlled trial included 15 patients (30 hips), with a mean age of 29.2 years, who underwent simultaneous bilateral hip arthroscopy utilizing a small (<3-cm) interportal capsulotomy for the treatment of FAI. The first hip treated in each patient was intraoperatively randomized to undergo capsular repair or no capsular repair. The contralateral hip then received the opposite treatment. MRI was performed at 6 and 24 weeks postoperatively, and the scans were analyzed by 2 musculoskeletal radiologists. The patients and the radiologists were blinded to the treatment performed on each hip. Capsular dimensions were measured at the level of the healing capsulotomy site and, for hips with a persistent defect, at locations both proximal and distal to the defect. These values were then analyzed at both time points to assess the rate and extent of capsular healing.

Results:

At 6 weeks postoperatively, a continuous hip capsule (with no apparent capsulotomy defect) was observed in 8 hips treated with capsular repair and 3 hips without such a repair. Of the 19 hips with a discontinuous capsule at 6 weeks, 17 were available for follow-up at 24 weeks postoperatively; all 17 demonstrated progression to healing, with a contiguous appearance without defects and no difference in capsular dimensions between treatment cohorts.

Conclusions:

Arthroscopic repair of a small interportal hip capsulotomy site yields an insignificant increase in the percentage of continuous hip capsules seen on MRI at 6 weeks postoperatively compared with no repair. Repaired and unrepaired capsulotomy sites progressed to healing with a contiguous appearance on MRI by 24 weeks postoperatively.

Level of Evidence:

Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
Potential Sex Bias Exists in Orthopaedic Basic Science and Translational Research
Authors: Bryant Jessica , Yi Paul , Miller Liane , Peek Kacy , Lee Daniel
Published: January 2018

Background:

Potential sex bias has been shown in general surgery basic science and translational research, with unequal representation of male and female specimens. Because basic science research forms the foundation for clinical studies on which patient care is based, it is important that this research equally consider both sexes. The purpose of this study was to determine if potential sex bias exists in the basic science and translational orthopaedic literature.

Methods:

A systematic review was conducted of all articles published in 2014 in The Journal of Bone & Joint Surgery, Clinical Orthopaedics and Related Research, The Bone & Joint Journal, and the Journal of Orthopaedic Research (JOR). All original research articles utilizing animals, cells, or cadavers were included. The data abstracted included study type, sex of specimen studied, and presence of sex-based reporting of data. A second review was performed of all basic science articles published in JOR in 1994, 2004, and 2014 to compare sex bias trends across 3 decades. Distributions of variables were compared using the Fisher exact test, with significance defined as p < 0.05.

Results:

Of 1,693 articles reviewed, 250 (15%) were included: 122 animal-based studies (49%), 71 cell-based studies (28%), and 57 human cadaver-based studies (23%). Overall, authors in 88 studies (35%) did not report the sex of animals, cells, or cadavers used. Of 162 studies in which the authors did report sex, 69 (43%) utilized male only, 40 (25%) utilized female only, and 53 (33%) utilized both sexes. Of those studies that used both sexes, authors in only 7 studies (13%) reported sex-based results. A subanalysis of JOR articles across 3 decades revealed a significant increase in studies specifying sex (p = 0.01) from 2004 to 2014.

Conclusions:

Potential sex bias exists in orthopaedic surgery basic science and translational research, with an overrepresentation of male specimens.

Clinical Relevance:

Inequality in sex representation must be addressed as basic science and translational research creates the foundation for subsequent clinical research, which ultimately informs clinical care.
Venustius est reticulatum. L’evoluzione dell’opera reticolata a Cuma
Authors: Covolan Marina
Published: January 2018

Lo studio di una tecnica costruttiva peculiare del mondo romano, quale l’ope- ra reticolata, e l’individuazione di una sua linea evolutiva portano nuove informa- zioni sulle architetture realizzate con questo tipo di tessitura muraria. Un’analisi metrica e dimensionale, ancorata a contesti datati, permette di incrementare i dati a livello cronologico, che poi possono essere affinati con le altre datazioni desunte dallo studio archeologico di un sito. L’applicazione di questo metodo scientifico, basato sull’analisi autoptica delle murature, ha portato ad individuare una tenden- za di sviluppo dell’opera reticolata, per il centro di Cuma.
Anomalous Solute Transport in Cemented Porous Media: Pore‐scale Simulations
Authors: Hou Yusong , Jiang Jianguo , Wu Jichun
Published: January 2018

Core Ideas

The porous media with higher cementation degree have wider velocity spreads.

The solute transport becomes more anomalous with increasing cementation degree.

It is the changing characteristics of the flow field that lead to more anomalous solute transport.

The pore structure of porous media varies significantly with the change in the degree of cementation among solid grains, and recent studies have shown that pore structure greatly influences anomalous solute transport. Nevertheless, limited effort has been devoted to explore the change in the degree of anomalous solute transport with increasing cementation. In this study, we performed pore‐scale numerical simulations to investigate the anomalous dispersion in computer generated two‐dimensional porous media with different degrees of cementation. The simulated pore‐scale fluid fields show that porous media have wider spreads of velocities when the cementation degree increases. When the percentage of cemented solid grains increases from 0.0 to 57.8%, the stagnant regions' area extends more than 11 times, and preferential flow region increases by a factor of more than 6. These changing characteristics of the flow field as the cementation degree increases make solute transport more anomalous. Therefore, we should be careful when applying an advection–dispersion equation (ADE) to predict solute transport in highly cemented porous media.
Koncepcja zdrowia u młodzieży szkół ponadgimnazjalnych
Authors: Łosiak-Pilch Julia
Published: January 2018

Celem badań było opisanie sposobu rozumienia zdrowia przez młodzież szkół ponadgimnazjalnych, ustalenie, jak młodzież szkół ponadgimnazjalnych ujmuje atrybuty zdrowia, jakie przypisuje mu kryteria oraz jak lokuje zdrowie pośród innych wartości.Grupę badaną stanowiło 276 uczniów liceum ogólnokształcącego oraz technikum w wieku 17–19 lat, 152 kobiety i 124 mężczyzn. Zastosowano skalę ocen typu dyferencjału semantycznego, skalę Lista Kryteriów Zdrowia oraz skalę Lista Wartości Osobistych.Wyniki wskazują na to, że dla młodych osób zdrowie jest podstawowe i osiągalne, ale jednocześnie jest łatwe do utracenia i trudne do odzyskania. Jednocześnie w oparciu o analizę skupień wyodrębniono grupę osób przypisujących zdrowiu stabilność i grupę osób przypisujących zdrowiu niestabilność. W przypadku kryteriów zdrowia okazało się, że dla młodych ludzi bycie zdrowym jest łączone z hedonistycznymi i sprawnościowymi kryteriami zdrowia. Zdrowie jako wartość miało wysoką pozycję w rankingu wartości, ale wyżej stawiane były inne wartości, jak miłość i przyjaźń oraz inteligencja.
Sprawiedliwość społeczna w edukacji globalnej w perspektywie etyki odpowiedzialności globalnej
Authors: Ciążela Helena
Published: January 2018

Zagadnienie sprawiedliwości społecznej stanowi bardzo istotny element edukacji globalnej. Sprawiedliwość społeczna, dotycząca zasady równości w relacjach między wielkimi grupami społecznymi, dotyczy klas i warstw, narodów oraz grup wyznaniowych. Obejmuje ona zarówno przeszłość, teraźniejszość, jak i przyszłość. Ponieważ edukacja globalna nie jest jedynie opisem, ale również propozycją wartościowania, jest więc także nauką o sprawiedliwości społecznej. I zawsze nią była, gdyż żaden program ekspansji gospodarczej, politycznej czy ideowej nie mógł funkcjonować bez aksjologii. Problemem dzisiejszej edukacji globalnej jest nie tylko stworzenie adekwatnego do potrzeb, programu, lecz także rewizja dotychczasowych treści programowych.
Primum non nocere… Uwagi na temat uwarunkowań edukacji filozoficznej/moralnej
Authors: Starnawski Witold
Published: January 2018

Głównym tematem artykułu jest sprawa celów, treści i sposobów realizacji edukacji filozoficzne/moralnej. Autor opiera się na dwu założeniach: 1) kształtowanie filozoficznej i moralnej refleksji jest jednym z najważniejszych wskaźników dojrzałej osobowości; 2) szkoła nie może uchylać się od podejmowania zadań wychowawczych. Realizacja tego rodzaju edukacji może jednak w praktyce powodować trudności, a nawet niebezpieczeństwa dla prawidłowego rozwoju osobowości młodego człowieka. Występują one na poziomie ideologicznym (tu spowodowane są przez skutki kryzysu cywilizacji zachodniej: kwestia prawdy, sceptycyzm) lub dydaktycznym (zbyt trudne i zbyt abstrakcyjne tematy oraz terminologia niedostosowana do młodych ludzi). Propozycja „filozofii szkolnej” (etyki), zdaniem autora, powinna opierać się na następujących założeniach: 1) filozofia (etyka) winna być przedstawiana jako bezinteresowne poznanie i działanie skierowane ku prawdzie i dobru; 2) młodzi ludzie powinni mieć świadomość, że proponuje się im wprowadzenie do filozofii (propedeutykę), a „prawdziwa filozofia” jest ciągle przed nimi; 3) edukacja powinna opierać się w większym stopniu na doświadczeniu niż na wiedzy abstrakcyjnej; 4) należy umacniać przekonanie, że wszelka wiedza powinna być sprawdzalna (weryfikowalna). Ostatnią rozważaną kwestią jest sprawa zaangażowania nauczyciela.
Poczucie własnej skuteczności nauczycieli edukacji wczesnoszkolnej
Authors: Kulawska Ewa
Published: January 2018

Celem artykułu jest empiryczna weryfikacja poczucia własnej skuteczności wśród nauczycieli edukacji wczesnoszkolnej. Przeprowadzono badania metodą sondażu diagnostycznego wśród 44 nauczycieli klas początkowych. Zastosowano kwestionariusz Teacher’s Self Efficacy (TSE) Alberta Bandury w tłumaczeniu autorki. Wyniki badań wskazują na to, że nauczyciele najwyższą skuteczność osiągają w zakresie umiejętności wychowawczych, a najniższą w kontaktach z rodzicami i umiejętnościach tworzenia bezpiecznej, stymulującej atmosfery pracy w relacjach z uczniami, innymi nauczycielami i pracownikami szkoły. Ustalono, że nauczyciele będący w fazie zdobywania kolejnych stopni awansu zawodowego prezentują wyższe poczucie własnej skuteczności niż nauczyciele, którzy osiągnęli status nauczyciela dyplomowanego.
Christian education as humanistic education? Opportunity and challenge within the secularized culture
Authors: Mari Giuseppe
Published: January 2018

There is a strong and original relationship between Christian faith and Humanism, but it is necessary not to reduce the Christian education to Humanism. In fact, it was the Christian faith which gave birth to Humanism, not vice versa. It is necessary to put the distinction in order to avoid the reduction of the Christian education to the generic philanthropy. The Christian faith is, first of all, an encounter with Jesus, not only from the existential point of view, but also as a peculiar knowledge through Christ as God’s Word.
Breaking the DNA Damage Response via Serine/Threonine Kinase Inhibitors to Improve Cancer Treatment
Authors: Rozpędek Wioletta , Pytel Dariusz , Nowak-Zduńczyk Alicja , Lewko Dawid , Wojtczak Radosław , Diehl J. Alan , Majsterek Ireneusz
Published: January 2018

Multiple, both endogenous and exogenous, sources may induce DNA damage and DNA replication stress. Cells have developed DNA damage response (DDR) signaling pathways to maintain genomic stability and effectively detect and repair DNA lesions. Serine/ threonine kinases such as Ataxia-telangiectasia mutated (ATM) and Ataxia-telangiectasia and Rad3-Related (ATR) are the major regulators of DDR, since after sensing stalled DNA replication forks, DNA double- or single-strand breaks, may directly phosphorylate and activate their downstream targets, that play a key role in DNA repair, cell cycle arrest and apoptotic cell death. Interestingly, key components of DDR signaling networks may constitute an attractive target for anti-cancer therapy through two distinct potential approaches: as chemoand radiosensitizers to enhance the effectiveness of currently used genotoxic treatment or as single agents to exploit defects in DDR in cancer cells via synthetic lethal approach. Moreover, the newest data reported that serine/threonine protein kinase R (PKR)-like endoplasmic reticulum kinase (PERK) is also closely associated with cancer development and progression. Thereby, utilization of small-molecule, serine/threonine kinase inhibitors may provide a novel, groundbreaking, anti-cancer treatment strategy. Currently, a range of potent, highlyselective toward ATM, ATR and PERK inhibitors has been discovered, but after foregoing study, additional investigations are necessary for their future clinical use.