bluuebunny/crossref_metadata_2025 huggingface dataset:
USO DE INVARIANTES EN LAAPROPIACIÓN DELCONCEPTO DE FRACCIÓN, EN ALUMNOS
Authors: Delgado Caballero Alejandro Octavio
Published: October 2021

En una evaluación realizada en el área de Matemáticas en todos los niveles de una escuela primaria pública, ubicada en una zona marginada de la Ciudad de México, las mayores dificultades se encontraron en la resolución de problemas y fracciones, en alumnos de quinto y sexto grados.

Con base en estos resultados se aplicó, en un grupo de sexto grado, un programa para la apropiación del concepto de fracción, diseñado a partir tres aspectos de la perspectiva histórico-cultural: las invariantes del concepto de fracción, el trabajo colaborativo y la mediación. Los participantes fueron 33 alumnos (15 niñas y 18 niños), con edades entre los 10 años y 9 meses, y 11 años y 8 meses. Para medir los efectos del programa se empleó una prueba de rendimiento académico del uso de fracciones, aplicada como pretest y postest, encontrando diferencias estadísticamente significativas entre ambas aplicaciones. También se realizó una valoración cualitativa del programa por medio del método de observación y la aplicación de cuestionarios a maestra y alumnos, en la cual se encontraron resultados positivos.
EL PENSAMIENTO DE VÍCTOR GARCÍA HOZ SOBRE LA DIGNIDAD DEL EDUCANDO
Authors: Aguirre Sala Jorge Francisco
Published: October 2021

De la distinción entre la dignidad meramente humana y la dignidad en cuanto persona, se establece la diferencia entre educar para humanizar o para personalizar. De esta última se desprenden, para visualizar su aplicación al educando, cuatro características: singularidad, autonomía, aperturay unidad o integridad. Inspirado en el pensamiento de Víctor García Hoz, se establece cada una como un eje cardinal para la planeación de los programas académicos. La singularidadpara guiar la elaboración de objetivos, toda vez consideradas las capacidades del educando.La autonomíapara promover la motivación y formación de la voluntad. La aperturapara establecer los vínculos con los recursos didácticos tradicionales y aquéllos disponibles en los new media; para diseñar el aprendizaje colaborativo donde los objetivosdeterminen las condiciones de trabajo en grupo; y, finalmente, la unidad o integridad para realizar la evaluación y reconocimiento con miras a la trascendencia del educando.
EVALUACIÓN DIDÁCTICA DE SOFTWARE EDUCATIVO
Authors: Galbán Lozano Sara , Ortega Barba Claudia Fabiola
Published: October 2021

Al ser el campo educativo un ámbito del actuar humano, también se ha visto –y se ve– influenciado por los cambios radicales del mundo. Se le imponen, así, nuevos retos a los cuales responder: la educación a lo largo de toda la vida, la cooperación internacional, la educación multicultural, el manejo de nuevas tecnologías, la revisión constante de los planes y programas de estudio, la evaluación continua de los procesos educativos... Es en este contexto donde se presenta el gran reto de evaluar no sólo los procesos sino los productos creados desde la relación educación-tecnología. En un principio, la tecnología se relacionó sólo con procesos productivos y bélicos; hoy, sin embargo, los adelantos superan estos ámbitos, desbordándose a muchos otros sectores, entre ellos, el de la educación. Tradicionalmente, los procesos educativos formales se han realizado de manera presencial, siendo uno de los recursos predominantes, el libro. Aunque los libros no desaparecerán, no podemos cerrar los ojos frente a los avances que la tecnología provee; es así como se incorporan las herramientas digitales como medios educativos: CD-ROM, DVD y las redes que propician novedosas técnicas de educación no presencial. Lo anterior obliga a los profesores y especialistas en el ámbito de la educación a utilizar estas nuevas herramientas, de manera que la exigencia para el profesor no se reduce ya al mero conocimiento de los libros y materiales impresos de cada especialidad, sino que ahora, además de ese conocimiento, requiere la utilización de las novedades tecnológicas. Así como existen lineamientos para evaluar si un libro cumple o no con los objetivos estipulados en los programas, y si existe coherencia lógica y psicológica entre el material y el destinatario, de la misma manera los materiales digitales deberán evaluarse. Sin embargo, la vertiginosidad del avance tecnológico y la concreción de ésta en diversos tipos de software, ha desbordado el fenómeno de creación, superando su evaluación. En un primer momento esto podría considerarse una deficiencia; no obstante, se presenta más bien como una oportunidad para profundizar en el campo de la evaluación. De esta reflexión se desprende la siguiente propuesta enca-minada a la evaluación de software educativo.
HACIA LA CONFORMACIÓN DE UN ARTE NACIONAL
Authors: Bernal G. María del Carmen
Published: October 2021

El tema de la educación estética en México suscita siemprecontroversias, polémicas y arduas discusiones, debido a que laeducación a lo largo de la historia ha estado sometida a diversosintereses políticos, económicos e ideológicos. Los resultadosobtenidos del estudio realizado sobre este tema, demuestranque la labor de la educación estética ha sido apenas incipientee incierta, llegando a afirmar incluso que es el «rostro másincierto de la cultura nacional. [...] La inadvertencia de su importanciaen los hechos es tal, que viene a ser la eterna ausenteen las teorías educativas y en las historias de la enseñanzamexicana [...]; se trata en verdad de un rostro fragmentado,contenido en las políticas educativas y culturales en unoscuantos textos que dan noticia de ella de manera parcial».
EXPERIENCIAS EDUCATIVAS DE JÓVENES UNIVERSITARIOS CON NETFLIX: UN ESTUDIO MIXTO
Authors: García-Béjar Ligia
Published: October 2021

Este artículo presenta los resultados de la aplicación de la escala de engagement con medios digitales de Davis Merse, Calder y Malthouse, la cual mide los distintos tipos de experiencias que una persona tiene al consumir contenidos en una plataforma digital. Este instrumento se empleó para medir experiencias de consumo con la plataforma Netflix, de 630 jóvenes universitarios mexicanos, entre las cuales resultaron relevantes las que satisfacen experiencias educativas entre este grupo de estudio. En la segunda fase se realizaron 8 grupos focales (46 estudiantes en total), en los cuales se corroboró que esta plataforma satisface necesidades más allá del entretenimiento. En resumen, los estudiantes utilizan Netflix también para aprender, particularmente para conocer cómo se representan distintos tipos de culturas, para obtener más conocimiento y contexto sobre temas de su interés, y para reflexionar sobre situaciones humanas representadas en los contenidos de la plataforma, e incluso usan contenidos de esta OTT como recurso y complemento educativo.
LA ESCUELA: ¿DE LA SUBSIDIARIEDAD A LA SUSTITUCIÓN DE LA FAMILIA?
Authors: López de LLergo Ana Teresa
Published: October 2021

El tema que nos ocupa se refiere a la educación en la escuela, diferenciada según el sexo. Discernir la conveniencia de las instituciones mixtas, o de las exclusivamente femeninas o masculinas. Aunque hay opiniones en pro y en contra, el estudio actual ha de considerar las características sociales que obviamente varían los esquemas tradicionales. La familia sufre las modificaciones del trabajo extradoméstico de la mujer que cambia los roles que tradicionalmente se le asignaban a ella y al varón. Otras veces, influyen políticas demográficas; esto ha reducido la natalidad y la experiencia de convivir con mayor número de personas. Hay deterioro en la fidelidad conyugal, entonces la relación con los progenitores es incompleta. La cultura contemporánea está sustituyendo el tradicional sexo por el género. Se fomenta la permisividad en las relaciones sexuales.

El panorama ofrece más sombras que luces. Sin embargo, aunque es arduo el trabajo, la familia ha de recuperar su papel de primera educadora y la escuela tomar su postura de subsidiariedad. La preparación de los maestros ha de responder a las demandas de los hijos que no cuentan con el apoyo de un buen ambiente familiar.

Es necesario ofrecer diversos tipos de escuelas: femeninas, masculinas y mixtas, para poder elegir la que más convenga a los educandos, previo estudio muy concienzudo de la personalidad y el ambiente en donde se desenvuelven.
RECICLAR EL ENTORNO CULTURAL
Authors: Galbán Lozano Sara Elvira
Published: October 2021

Actualmente se habla mucho de reciclar. En todos los ambientes se escucha esta palabra: reciclar el papel, vidrio, plástico, energía; y en el ámbito empresarial se dice que deben reciclarse los medios humanos y materiales con los que se cuenta.

La cultura del reciclaje surgió como una propuesta de los ecologistas, preocupados por salvar el planeta; pero ahora este término se utiliza de manera habitual al hablar de aprovechar los recursos al máximo.

El reciclaje consiste en reincorporar la materia prima utilizada previamente, para hacer más productos sin la necesidad de utilizar nuevos recursos; usar los materiales –una y otra vez– para realizar nuevos productos, reduciendo en forma significativa la utilización de nuevas materias primas. El reincorporar recursos ya usados en los procesos para la elaboración de nuevos materiales ayuda a conservar recursos y a utilizarlos al máximo.

Este proceso –que cada día adquiere mayor importancia no sólo en la industria, sino en el ambiente laboral en general– cobra también relevancia en el ámbito de la educación, específicamente en el campo de la didáctica, y en particular al tratarse de estrategias para optimizar el proceso de enseñanza aprendizaje.
LA CALIDAD DE LA EDUCACIÓN EN LA SOCIEDAD DEL CONOCIMIENTO
Authors: Iturralde Espejo Gabriela
Published: October 2021

La globalización, y todo lo que ésta implica, ha generado gran cantidad de cambios en las formas de ser, pensar y actuar de las personas y las organizaciones. En la actualidad, el conocimiento proporciona el valor agregado, sin embargo debe acompañarse por una serie de actitudes que permitan actuar de forma responsable y comprometida. La principal fuente de conocimientos y actitudes es la educación. De ahí que, en los últimos años, los esfuerzos en materia educativa han sido encaminados a mejorar la calidad de la misma en todos sus niveles.

A nivel Proceso Enseñanza Aprendizaje (PEA), la calidad se logra cuando: la educación es completa, cumple los objetivos que se plantea y existe coherencia entre los elementos que la conforman, dando respuesta a las demandas de la comunidad en que se lleva a cabo.

A nivel nacional, se alcanza la calidad cuando: se logran los objetivos planteados por el sistema, se satisfacen las necesidades de la sociedad, hay igualdad de oportunidades entre los diferentes sectores de la población, se emplean convenientemente los recursos y existe una adecuada administración de políticas; de este modo se promueve el desarrollo económico, político y social de la nación.

Por su parte, el nivel internacional señala que la educación es de calidad cuando: el alumno aprende a aprender, desarrolla competencias, es capaz de relacionarse con otros y desarrolla su propia personalidad. Contar con una educación de calidad uniforme en todas las naciones, genera un desarrollo equitativo a nivel mundial.

La calidad en todos los niveles es un proceso compuesto por varios pasos: diagnóstico, planeación, implementación y análisis de evidencias. Es un proceso cíclico; cada evidencia representa un nuevo diagnóstico. La calidad sugiere un proceso de mejora continua; nunca se alcanza la calidad total.
LA ACCIÓN EDUCADORA Y POLÍTICA DEL RITO, EN LA ANTIGUA CHINA
Authors: Meza Mejía Mónica del Carmen
Published: October 2021

El sólido hilo que trenzaba –tejiendo– la antigua sociedad china, era el rito. La clase noble custodiaba los valores de la civilización y era el soberano el mediador entre el cielo (máxima deidad china) y el pueblo. Sólo los gobernantes eran hombres divinos: sólo ellos podían ser caballeros.

Contrario a la tradición, Confucio creía que cualquier hombre, si era íntegro, justo y bondadoso, llegaría a ser un caballero. En la ruta que conduce a la adquisición de la virtud y la sabiduría, el rito juega un papel fundamental.

El rito –«li»– es el principio que equilibra armónicamente al «hombre superior». El valor educativo del li en la antigua China, radicaba en el hecho de que el rito manifiesta una representación cuya perfección formal, es reflejo de la unidad armónica entre el interior y el exterior de quien lo realiza. El li es como la síntesis, pues, de todas las virtudes. INTRODUCCIÓN
NUEVOS MODELOS PARA EL RESCATE DEL CAPITAL HUMANO. EL ACUERDO 286
Authors: Medel Bello José O. , Escalante Jarero Osvaldo Edmundo
Published: October 2021

Hoy, el conocimiento y la información son algunos de los principales activos con que cuentan las naciones. El desarrollo de estrategias ágiles e innovadoras que permitan reconocer y recuperar la experiencia, conocimientos y habilidades de quienes han realizado esfuerzos valiosos en su formación –tanto intelectual como laboral–, posibilita rescatar el capital humano e incrementa la competitividad profesional de la sociedad. El Acuerdo secretarial número 286, de la Secretaría de Educación Pública, es una innovación en materia educativa; permite, a todas aquellas personas que hayan obtenido conocimientos de forma autodidacta o a través de la experiencia laboral, acreditar formalmente aquellos que correspondan a cierto nivel educativo o grado escolar.
EVALUACIÓN BASADA EN COMPETENCIAS
Authors: Monzó Arévalo Rosa
Published: October 2021

Cuando se logra comprender la trascendencia personal, profesional y social, la temática de competencias se acepta incondicionalmente. Es innegable que ante la novedad de la Educación Basada en Competencias, surjan diversas interpretaciones. Es necesario estudiar y analizar sus implicaciones y, así, generar propuestas de esclarecimiento en su aspecto teórico y operativo.

El objetivo general de este escrito es mostrar qué se entiende por competencia, para que ésta pueda ser evaluada adecuadamente, teniendo como objetivos particulares:

1. Definir el término competencia.

2. Delimitar claramente el marco de competencias y la educación sustentada en éstas.

3. Reflejar la importancia de la evaluación basada en competencias.
EL LOGRO DE LA MADUREZ EN LA EDAD ADULTA
Authors: Cruz de Galindo Luz María
Published: October 2021

La madurez es un objetivo-tendencia que nunca se alcanza del todo. No obstante, en cada etapa de la vida, el ser humano ha de ir logrando ciertas metas - en su desarrollo personal y su capacidad de resolver problemas - que le permitan llegar a una plenitud, cuyo fruto inmediato es la felicidad. En este camino se presentan dificultades, internas y externa que, muchas veces, impiden la realización del proyecto personal de vida.

El presente estudio describe las características generales de la edad adulta, comprendida entre los 30 y 65 años de edad, y los cambios físicos, psíquicos y sociales que se presentan. Asimismo, ofrece algunas propuestas educativas para vivir mejor esta etapa que representa el período más largo de la existencia humana.

Como la edad adulta es muy amplia, se hará énfasis en lo propio de la mediana edad -40 y 50 años de edad- y en el final de esta etapa, períodos en que, por lo general, se dan cambios bio-psico-sociales significativos.
CERVEJA EGÍPCIA? EDUCAÇÃO PARA AS RELAÇÕES ÉTNICO-RACIAIS (ERER) NA FORMAÇÃO DOCENTE EM QUÍMICA
Authors: Silva Eliete , Camargo Marysson , Benite Anna
Published: October 2021

EGYPTIAN BEER? EDUCATION FOR ETHNIC-RACIAL RELATIONS (ERER) IN TEACHER FORMATION IN CHEMISTRY. This work was carried out in a Higher Education Institution (IES), in the State of Goiás, in the Chemistry Degree course, aiming at the implementation of Law 10639/03. The context discussed herein is the chemical knowledge of African and diasporic matrices from Ancient Egypt in the development and production of beer. In order to subsidize teachers in initial formation with strategies in the classroom for an anti-racist education, taking into account the contribution of African people in the constitution of the country. It is an action research and its development happened through a Pedagogical Intervention (IP) with the theme: Ancient Egypt, Beer and Chemistry. The results were collected through audio recording and analyzed using the Conversation Analysis technique. Our results have shown that it is possible to talk about African history and culture, in a chemistry class in the initial chemistry teacher training course, making an epistemic shift in the curriculum, taking previously silenced knowledge to school, such as the history and culture of African peoples.
Green processes for phospholipid recovery and fractionation
Authors:   Oklahoma State University, Dunford Nurhan
Published: October 2021

Conventional phospholipid (PL) recovery and purification techniques use large volumes of fresh water, organic solvent, and alcohols. Due to diminishing fresh water resources and concerns about the use of organic solvents, the development of more environmentally benign processing techniques is vital to the sustainability of PL production.This article considers three greener alternatives to conventional processing technologies.
Perbandingan Outcome Teknik Spinal Anestesi Dosis Rendah Dibandingkan Dosis Biasa pada Sectio Caesarea Darurat di Rumah Sakit dr. Saiful Anwar
Authors:   Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran Universitas Brawijaya/ RSUD dr. Saiful Anwar, Malang, Indonesia, Sulistyawan Vidya , Isngadi Isngadi ,   Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran Universitas Brawijaya/ RSUD dr. Saiful Anwar, Malang, Indonesia, Laksono Ristiawan Muji ,   Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran Universitas Brawijaya/ RSUD dr. Saiful Anwar, Malang, Indonesia
Published: October 2021

Latar belakang: Sectio caesarea (SC) adalah operasi darurat terbanyak pada obstetrik. Spinal anestesia direkomendasikan untuk section cesarean. Akan tetapi, ffek samping spinal anestesia tersering (hipotensi) dapat menimbulkan efek samping fetomaternal. Spinal anestesia dosis rendah diduga dapat mengurangi efek samping spinal anestesia. Tujuan penelitian ini adalah mengetahui perbandingan outcome spinal anestesia dosis rendah dibanding dosis biasa pada operasi section cesarean darurat. Metode: Penelitian ini merupakan studi retrospektif pada 119 pasien yang menjalani SC dengan spinal anestesia. Kelompok A mendapat bupivacaine heavy 5mg + adjuvant (dosis rendah), kelompok B mendapat bupivacaine heavy 7,5mg + adjuvant (dosis rendah), kelompok C mendapat bupivacaine heavy >8mg + adjuvant (dosis biasa). Outcome diteliti yaitu tekanan darah dan nadi ibu menit ke 0,3,6,9. waktu capai ketinggian blok T10-T6, Bromage score, dan Apgar score bayi. Data penelitian dianalisa statistik menggunakan uji normalisasi dan homogenitas, Korelasi Spearman, One-Way ANOVA, Kruskal wallis dan Mann Whitney dengan p≤0,05. Hasil: Tidak ada beda yang signifikan antara tekanan darah dan nadi pada menit ke 0,3,6, dan 9, waktu capai Bromege 2-3 (p ≥ 0,05), waktu capai T10-T6 (p≥ 0,05) dan Apgar score pada ketiga kelompok penelitian. Akan tetapi waktu kembali Bromage 0 kelompok spinal dosis rendah dan dosis biasa memiliki beda yang signifikan (p ≤0,05). Kesimpulan: Outcome tekanan darah, nadi, waktu capai blok T10-T6, bromege score 2-3, Apgar score tidak berbeda signifikan pada spinal anestesia dosis rendah dibanding dosis biasa. Waktu kembali bromege 0 berbeda signifikan pada spinal anestesia dosis rendah dibandingkan dosis biasa.
Transversus Abdominis Plane Block sebagai Analgesia Post-operatif pada Pasien Sectio Caesarea dengan Stenosis Mitral Berat
Authors:   Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran Universitas Brawijaya/ RSUD dr. Saiful Anwar, Malang, Indonesia, Nofiyanto Eko , Laksono Ristiawan Muji ,   Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran Universitas Brawijaya/ RSUD dr. Saiful Anwar, Malang, Indonesia, Isngadi Isngadi ,   Departemen Anestesiologi dan Terapi Intensif, Fakultas Kedokteran Universitas Brawijaya/ RSUD dr. Saiful Anwar, Malang, Indonesia
Published: October 2021

Latar belakang: Pasien pasca seksio sesarea dapat mengalami nyeri postoperatif dengan rerata skor nyeri 4,7 (skala 10). Komplikasi nyeri postoperatif pada pasien dengan komorbid kardiak dapat mengakibatkan disfungsi organ kardiopulmoner. Transversus abdominis plane block (TAP blok) sebagai blok saraf perifer memberikan analgesia pada dinding abdomen anterior. Studi kasus ini bertujuan untuk mengetahui skala nyeri post operatif, waktu mobilisasi dan lama hari rawat inap serta komplikasi kardiak post operatif pada pasien seksio sesarea dengan komorbid kardiak stenosis mitral berat yang diberikan TAP blok sebagai bagian multimodal analgesia Kasus: Pasien perempuan 31 tahun, kehamilan ke 2, usia kehamilan 34-36 minggu dengan Pre eklampsia berat, stenosis mitral berat, regurgitasi mitral ringan, regurgitasi trikuspid sedang,regurgitasi pulmonal ringan, ejection fraction (EF) 79,11%, hipertensi pulmonal high probability, Gagal jantung stadium B fungsional II. Menjalani tindakan seksio sesarea, dengan regional anestesi Sub Arachnoid Block. Setelah operasi dilakukan TAP blok bilateral dipandu ultrasound dengan regimen Ropivacaine 0,25% total volume 30 cc. Monitoring hemodinamik post operatif dilakukan di ruang rawat intensif. Pasien diamati skala nyeri selama dirawat, waktu mobilisasi dan lama hari rawat inap. Dari hasil pengamatan didapatkan hemodinamik stabil, skala nyeri 0-1 selama di rawat tanpa tambahan analgesia opioid, mobilisasi aktif dimulai hari ke 2, dan lama rawat inap selama 4 hari. Kesimpulan: TAP Blok sebagai bagian dari multimodal analgesia memberikan analgesia yang aman dan efektif pada pasien seksio sesarea dengan komorbid kardiak stenosis mitral berat, mencegah komplikasi kardiak, menurunkan penggunaan opioid, mempercepat waktu mobilisasi dan hari rawat inap sama dengan pasien normal.
Oil Spill Detection Using Satellite Imagery
Authors:   Ocean Mapping Diploma Program, Fisheries and Marine Institute of Memorial University of Newfoundland, St. John’s, NL, Canada, A1C 5R3, Bonnington Amber , Amani Meisam ,   Wood Environment and Infrastructure Solutions, Ottawa, ON, Canada, K2E 7L5, Ebrahimy Hamid ,   Faculty of Earth Sciences, Shahid Beheshti University, Tehran, Iran
Published: October 2021

Since oil exploration began, oil spills have become a serious problem. When drilling for oil, there is always a risk of an oil spill. With the new development of technology over the years, oil spill detection has become much easier making the clean-up of a spill to happen much faster reducing the risk of a large spread. In this study, remote sensing techniques were used to detect the Deep-water Horizon oil spill through a change detection method. The change detection method allows the viewer to determine the difference of an area before and after an oil spill as well as detect the irregular difference on a surface. To confirm the effectiveness of change detection method, two approaches were used each showing the differences in the images before and after the spill allowing the size and shape to be identified. The swipe tool in the ArcGIS software was used to visually show the changes. The difference tool was also used to both visually and statistically to investigate the difference before and after the Deep-water Horizon oil spill event.
Effect of a Mobile Health App on Adherence to Physical Health Treatment: Retrospective Analysis
Authors: Greenstein Jay , Topp Robert , Etnoyer-Slaski Jena , Staelgraeve Michael , McNulty John
Published: October 2021

Background

Adherence to prescribed medical interventions can predict the efficacy of the treatment. In physical health clinics, not adhering to prescribed therapy can take the form of not attending a scheduled clinic visit (no-show appointment) or prematurely terminating treatment against the advice of the provider (self-discharge). A variety of interventions, including mobile phone apps, have been introduced for patients to increase their adherence to attending scheduled clinic visits. Limited research has examined the impact of a mobile phone app among patients attending chiropractic and rehabilitation clinic visits.

Objective

This study aims to compare adherence to prescribed physical health treatment among patients attending a chiropractic and rehabilitation clinic who did and did not choose to adopt a phone-based app to complement their treatment.

Methods

The medical records of new patients who presented for care during 2019 and 2020 at 5 community-based chiropractic and rehabilitation clinics were reviewed for the number of kept and no-show appointments and to determine whether the patient was provider-discharged or self-discharged. During this 24-month study, 36.28% (1497/4126) of patients seen in the targeted clinics had downloaded the Kanvas app on their mobile phone, whereas the remaining patients chose not to download the app (usual care group). The gamification component of the Kanvas app provided the patient with a point every time they attended their visits, which could be redeemed as an incentive.

Results

During both 2019 and 2020, the Kanvas app group was provider-discharged at a greater rate than the usual care group. The Kanvas app group kept a similar number of appointments compared with the usual care group in 2019 but kept significantly more appointments than the usual care group in 2020. During 2019, both groups exhibited a similar number of no-show appointments; however, in 2020, the Kanvas app group demonstrated more no-show appointments than the usual care group. When collapsed across years and self-discharged, the Kanvas app group had a greater number of kept appointments compared with the usual care group. When provider-discharged, both groups exhibited a similar number of kept appointments. The Kanvas app group and the usual care group were similar in the number of no-show appointments when provider-discharged, and when self-discharged, the Kanvas app group had more no-show appointments compared with the usual care group.

Conclusions

Patients who did or did not have access to the Kanvas app and were provider-discharged exhibited a similar number of kept appointments and no-show appointments. When patients were self-discharged and received the Kanvas app, they exhibited 3.2 more kept appointments and 0.94 more no-show appointments than the self-discharged usual care group.
Problems in Coordinating and Accessing Primary Care for Attached and Unattached Patients Exacerbated During the COVID-19 Pandemic Year (the PUPPY Study): Protocol for a Longitudinal Mixed Methods Study (Preprint)
Authors: Marshall Emily Gard , Breton Mylaine , Cossette Benoit , Isenor Jennifer , Mathews Maria , Ayn Caitlyn , Smithman Mélanie Ann , Stock David , Frymire Eliot , Edwards Lynn , Green Michael
Published: October 2021

BACKGROUND

The COVID-19 pandemic has significantly disrupted primary care in Canada, with many walk-in clinics and family practices initially closing or being perceived as inaccessible; pharmacies remaining open with restrictions on patient interactions; rapid uptake of virtual care; and reduced referrals for lab tests, diagnostics, and specialist care.

OBJECTIVE

The PUPPY Study (Problems in Coordinating and Accessing Primary Care for Attached and Unattached Patients Exacerbated During the COVID-19 Pandemic Year) seeks to understand the impact of the COVID-19 pandemic across the quadruple aims of primary care, with particular focus on the effects on patients without attachment to a regular provider and those with chronic health conditions.

METHODS

The PUPPY study builds on an existing research program exploring patients’ access and attachment to a primary care practice, pivoted to adapt to the emerging COVID-19 context. We intend to undertake a longitudinal mixed methods study to understand critical gaps in primary care access and coordination, as well as compare prepandemic and postpandemic data across 3 Canadian provinces (Quebec, Ontario, and Nova Scotia). Multiple data sources will be used such as a policy review; qualitative interviews with primary care policymakers, providers (ie, family physicians, nurse practitioners, and pharmacists), and patients (N=120); and medication prescriptions and health care billing data.

RESULTS

This study has received funding by the Canadian Institutes of Health Research COVID-19 Rapid Funding Opportunity Grant. Ethical approval to conduct this study was granted in Ontario (Queens Health Sciences & Affiliated Teaching Hospitals Research Ethics Board, file 6028052; Western University Health Sciences Research Ethics Board, project 116591; University of Toronto Health Sciences Research Ethics Board, protocol 40335) in November 2020, Québec (Centre intégré universitaire de santé et de services sociaux de l'Estrie, project 2020-3446) in December 2020, and Nova Scotia (Nova Scotia Health Research Ethics Board, file 1024979) in August 2020.

CONCLUSIONS

To our knowledge, this is the first study of its kind to explore the effects of the COVID-19 pandemic on primary care systems, with particular focus on the issues of patient’s attachment and access to primary care. Through a multistakeholder, cross-jurisdictional approach, the findings of the PUPPY study will inform the strengthening of primary care during and beyond the COVID-19 pandemic, as well as have implications for future policy and practice.

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/29984
The Impact of COVID-19 on people living with Major Depressive Disorder: The need for credible, continuous virtual care (Preprint)
Authors: Kukurbra Kolbi , Manafo Elizabeth , Malone Judi , Drebit Emma , Abba-Aji Adam , Oluboka Toba , Grauwiler David , Petermann Lisa
Published: October 2021

UNSTRUCTURED

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Timing and Motivations for Alternative Cancer Therapy With Insights From a Crowdfunding Platform: Cross-sectional Mixed Methods Study (Preprint)
Authors: Peterson John , Wilson Trevor , Gruhl Joshua , Davis Sydney , Olsen Jaxon , Parsons Matthew , Kann Benjamin , Fagerlin Angela , Watt Melissa , Johnson Skyler
Published: October 2021

BACKGROUND

Alternative cancer therapy is associated with increased mortality, but little is known about those who pursue it.

OBJECTIVE

We aimed to describe individuals’ motivations for using alternative cancer therapies and determine whether motivations differ based on individuals’ timing of seeking alternative therapies.

METHODS

We used data from 649 campaigns posted on the website GoFundMe between 2011 and 2019 for beneficiaries with cancer pursuing alternative therapy. The data were analyzed using a mixed methods approach. Campaigns were categorized by timing of alternative therapy (either before or after experiencing conventional therapy). Qualitative analysis identified motivational themes. Chi-square tests of independence and Fisher tests (all 2-sided) determined significant differences in the presence of motivational themes between groups.

RESULTS

The expression of concerns about the efficacy of conventional therapy was significantly more likely in campaigns for individuals who used conventional therapy first than in campaigns for individuals who started with alternative therapy (63.3% vs 41.7%; P<.001). Moreover, on comparing those who started with alternative therapy and those who switched from conventional to alternative therapy, those who started with alternative therapy more often expressed natural and holistic values (49.3% vs 27.0%; P<.001), expressed an unorthodox understanding of cancer (25.5% vs 16.4%; P=.004), referenced religious or spiritual beliefs (15.1% vs 8.9%; P=.01), perceived alternative treatment as efficacious (19.1% vs 10.2%; P=.001), and distrusted pharmaceutical companies (3.2% vs 0.5%; P=.04).

CONCLUSIONS

Individuals sought treatments that reflected their values and beliefs, even if scientifically unfounded. Many individuals who reported prior conventional cancer therapy were motivated to pursue alternative treatments because they perceived the conventional treatments to be ineffective.
Physiology of magnesium metabolism and the use of magnesium in intensive care (literature review with the results of own observations, part 1)
Authors: Kursov S.V. , Nikonov V.V. , Biletskyi O.V. , Fedets O.I. , Homenko V.O.
Published: October 2021

The first part of the review presents data on the content of magnesium in organs and tissues of the human body, the role of magnesium in the implementation of multiple functions, and the peculiarities of its intake and excretion from the body. A significant part of the review is devoted to methods for determining the concentration of magnesium in biological fluids of the human body. The advantages, disadvantages and limitations of various methods are presented. The most common methods for studying the concentration of magnesium in biological fluids of the body, which are used in clinical medicine all over the world, are photometric methods with dyes. The role of the fraction of ionized magnesium in the body, the content of which is determined electrochemically, is still uncertain. Cellular magnesium studies are extremely complex and time-consuming. Cells of different organs and tissues normally contain very different amounts of magnesium. It is not possible to judge about the presence of magnesium deficiency in the body by its concentration in plasma or serum. To detect a decrease in the tissue content of magnesium, tests with magnesium load and the subsequent observation of the rate of its excretion from the body are used. The causes for the development of hypomagnesemia are extremely numerous. The main of them are: any severe stress, restriction of magnesium intake into the body, an increase in its losses through the gastrointestinal tract and the kidneys in various pathological conditions. The formation of hypomagnesemia is facilitated by therapy with numerous medications, which are very widely used in clinical practice, and especially in the intensive care. Studies on the distribution of magnesium in the body after its intravenous administration have shown that, despite the large size of hydrated magnesium ions, they can not only paradoxically quickly spread in the extracellular water space, but most likely are also able to quickly penetrate through cell membranes, spreading in the intracellular water compartment.
The effect of intravenous immunoglobulin on the course of acute respiratory disease COVID-19. Own observations
Authors: Mokina M.V. , Melnyk O.D.
Published: October 2021

The 2019 coronavirus disease (COVID-19) has infected people in many countries around the world. The discovery of an effective treatment for this disease, especially in severe cases, has been the subject of intensive scientific research. Therefore, the aim of this study was to evaluate the effectiveness of intravenous immunoglobulin (IVIG) administration in patients with severe COVID-19 infection. Patients with acute respiratory disease COVID-19 who received intravenous immunoglobulin in the intensive care unit were examined. All patients underwent non-invasive ventilation and all patients had concomitant pathology. Twenty patients participated in the study, 10 patients received an infusion of intravenous immunoglobulin. Patients who received IVIG were on invasive pulmonary ventilation for an average of 7 days, the condition of patients improved by days 2–3. At the time of transfer to adjacent departments (on average, day 14), the dynamics of the disease improved. Respiration rate was 23 per 1 min. SpO2 without O2 was 92 %. All patients presented with lymphopenia and increased transaminases level, the values of which normalized by days 2–3. When ultrasound examination of the lungs, there were no pulmonary consolidations in patients. Mortality in the group of patients who received IVIG was lower compared to patients who did not receive IVIG.
Classification of posterior circulation stroke: a narrative review of terminology and history
Authors: Prokopiv Maria M. , Fartushna Olena Ye.
Published: October 2021

Background. Little is known about the history of classification of posterior circulation stroke. However, it helps in developing secondary prevention and treatment strategies. We purposed to provide a narrative review of terminology and history of classification of posterior circulation stroke. Materials and methods. A comprehensive electronic literature search was performed on Scopus, Web of Science, MEDLINE, ScieLo, PubMed, the Cochrane Library, EMBASE, Global Health, CyberLeninka, RINC databases, and databases of government scientific libraries of Ukraine, European Union, United Kingdom, and the USA for 1900–2021 to identify the articles and books that discussed the classification of posterior circulation stroke and its history. Results. A narrative review of terminology and two approaches to the classification of posterior circulation stroke are presented and discussed. Conclusions. We provided a comprehensive narrative review of terminology and history of classification of posterior circulation stroke.
Concept Generation
Authors: Landau Ben
Published: October 2021

Concept Generation is an event where participants create new innovations from market led criteria and trade this intellectual property for beer and peanuts. This critical and comedic project engages participants with a design process appropriated from surrealist techniques, in order to glibly mine the depths of product and service niches, where creative industries have not yet ventured. This workshop investigates the spectrum between creative industries and aesthetic art practice and asks participants to form their own critical position. The social contract between the host and the participant is transparent – the event is free, but participants must create marketable ideas to pitch to the artist, in order to exchange their concept for a beer. The artist has sole right over the intellectual property. This exchange mirrors the exploitation of precarious creative workers, for whom work and lifestyle blend, where a workshop can also become a party. Concept Generation presents the mutability of work and leisure, of consumption and production, of art practice and creative industry, and of creative thinking and marketing. In a satire of ideation, participants are asked to sell their ridiculous idea, and many get carried away with the farce. Production is the only imperative, and the more ridiculous the ideas are, the more we believe they might actually succeed.
Designing Collective Artist Residencies
Authors: Eernstman Natalia , Pearson Kelli Rose , Wals Arjen Evert Jan , Bjurström Åse Eliason , De Vrieze Anke
Published: October 2021

Starting with an argument for a humanistic approach to climate change, this paper discusses the concept of the ‘Collective Artist Residency’ as a practicable means for engaging with complex socio-ecological issues that require collective answers. Through our analysis of the research project ‘Imaginative Disruptions,’ we propose that there is a need for creative spaces that include artists and non-artists alike, and which engender aimless play, inquisitive making and dialogic contemplation in the face of issues which are too painful, overwhelming and complex to rationally comprehend. We further argue that such residencies can generate comfortable, and even light-hearted, spaces in which people can be uncomfortable together. In other words, environments that feel safe and caring but that also encourage us to challenge status quos and experiment with alternatives via emotional, aesthetic, cognitive, somatic and social processing. The paper closes with five (suggested) guiding principles for designing a Collective Art Residency that supports groups of people to co-reflect upon their fragility whilst re-imagining present and future possibilities for being in the world: deeply participatory, balanced between comfortable / uncomfortable emotions, highly experiential, cross-sectoral and intergenerational, place-based.
‘Thy glass will show thee’. Re-locating voice in Shakespeare's Sonnets by performative speculation
Authors: Michel Modonessi Alfredo
Published: October 2021

Upon the premise that Shakespeare’s sonnets display a variety of voices and therefore, among other things, they cannot be defined exclusively as “lyrical poems” in the modern sense, this paper approaches sonnets 129 and, more pointedly, 73, “re-locating” their poetic voices against the grain of more conventional interpretations, as examples of the inherent performativity of entire collection. The basic ideas are that 129 is far more ambiguous a piece than usually understood, ultimately resolved in ironic, comedic fashion; and that 73 is a reflection upon aging, indeed, but one that literally originates from a reflective surface, from an image in a mirror, and “plays out” as such. To be more precise, 73 is a sonnet in which the speaking voice proceeds as if from the poet’s reflection on the glass. This sonnet might even be said to perform the function of the explanation and motto of the emblem of a mirror reminding the seer of approaching death. In both cases, principles are discussed regarding their potential performance.
Attending (to) class : An intersectional study of COVID-19 adaptation in Canada, Kenya and Sierra Leone Universities : Report on the Carleton University research
Authors: Buss Doris , Rutherford Blair , Edem Ekpedeme , George Sarah , Kumah Cynthia , Racioppo Michael , Kinyanjui Sarah , Ibrahim Aisha
Published: October 2021

This pilot study examines how intersecting differences – in gender, socio-economic status, rural/urban residences, and disability - shaped students’ experience of the shift to distance university education resulting from the COVID-19 pandemic and lockdowns in 2020-2021. Focused on three universities - Carleton University, (Ottawa, Canada), University of Nairobi, (Kenya, Mombasa campus), and University of Sierra Leone (Fourah Bay College, Freetown) - research teams based at each institution conducted surveys, interviews and focus groups with students to explore differences in students’ experience of remote learning.
Ecological features of handling objects of the road construction complex
Authors: Shestakov Nikolay I. , Chertes Konstantin L. , Tupicyna Olga V. , Pystin Vitaliy N.
Published: October 2021

Introduction. The active development of the transport network of highways is one of the areas of construction activities, the environmental safety of which does not fully comply with environmental requirements. The road transport complex has a negative impact on all existing components of ecosystems, but the greatest impact is associated with the formation of waste generated during the reconstruction of highways. To minimize the negative impact of the road construction complex waste management on environmental components, it is necessary to supplement the well-known methods of assessing the created schemes and methods with approaches associated with the analysis of environmental safety.

Materials and methods. Due to the fact that most of the waste generated during the reconstruction of highways is multi-composite, a classification by enlarged types is proposed, depending on their chemical composition and state of aggregation.

Results. For the numerical assessment of the biopositivity parameter in the comparative analysis of various technologies, the method of hierarchy analysis was tested, which is based on the principles of decomposition, pairwise comparisons and synthesis of priorities. In general, the assessment of biopositivity is a hierarchical procedure that includes operations related to the transformation of the scale and its aggregation. The most significant factors reflecting the impact of the technologies under consideration on the environment were selected as the criteria for the assessment.

Conclusions. The presented calculations of the biopositivity parameter for the considered methods of reconstruction of highways in swampy areas showed that the peat technology has the least impact on the environment. The bio-positivity index during peat extraction is 2 times higher than when using geocontainer processing of wetlands.
STAGES OF INTERNATIONAL LEGAL REGULATION IN THE FIELD OF CLIMATE PRESERVATION
Authors:   VK Partners Law Firm, Russia, Putilina M.I.
Published: October 2021

The subject of the article is a chronological analysis of the development of the institutions of international law that regulate the issue of climate preservation. Active international legal cooperation in this area can be seen as a sign of growing attention of the international community to the problem of climate change, its integration into other areas of politics and law. This article provides a periodization of the stages of the process of formation of the main institutions of environmental law in the field of climate preservation from 1972 to the present, considers the most important milestones within the proposed stages, systematizes this information, gives comparative assessments of legal documents, taking into account their effectiveness at all stages as they are adopted. The study revealed the continuity of the process of adapting the adopted agreements to changing perceptions about set goals, quantitative assessments of the fulfillment of their obligations by states, the effectiveness of institutions for the implementation of agreements both at the international and regional or national levels. The author concludes that the United Nations Framework Convention on Climate Change (UNFCCC), the Kyoto Protocol and the Paris Agreement have played a key role in stimulating and guiding international legal efforts to preserve the climate.
POLITICAL REALITIES OF THE COMMON REALITY AND THEIR REFLECTION IN THE PROSE OF V. AKSENOV AND S. DOVLATOV
Authors:   Academician I.G. Petrovskii Bryansk State University (Russia), Sharavin A. V.
Published: October 2021

The article compares the memoirs of dissidents and the prose of V. Aksenov and S. Dovlatov (books "In Search of a Sad Baby", "Craft", "Suitcase"). There is a difference in approaches to the creation of texts. In the memoirs of dissidents, the political and ideological aspects of emigration are reproduced, the stages of departure are described in detail. In the prose of the writers of the third wave, the image of the artist of the word, an exile, forcibly separated from his homeland, is comprehended. V. Aksenov and S. Dovlatov follow the tradition that has developed in literature - images of the power / poet opposition. Writers, like immigrants who are not professional writers, do not strive to document all the nuances of going to the West, their goal is to go beyond comprehending only the socio-political aspects of going abroad. Writers solve aesthetic problems, political realities for them are only a reflection of the entourage of external circumstances. Thus, V. Aksenov establishes successive ties between the creators of the "Silver Age" and the artists of the third wave of words. For the autobiographical hero S. Dovlatov, expulsion from the USSR and "relocation" to the United States is an opportunity to realize himself as a person freed from the ideological component, to comprehend the "particularity" of his existence.