bluuebunny/crossref_metadata_2025 huggingface dataset:
Seizures in Pre-term Infants Less than 29 Weeks: Incidence, Etiology, and Response to Treatment
Authors: Raghuveer Talkad , Zackula Rosey , Gibson Logan , Martin Rebecca , Shah Subhash
Published: October 2020

Introduction. Seizures are neurological emergencies with short- and long-term adverse effects in pre-term infants. They may present with or without abnormal movements (clinical versus subclinical). Thus, the true incidence of seizures may be under-reported. Current research indicates that most seizures occur in the first few days of life, are associated with intraventricular hemorrhage (IVH), and show low response to anticonvulsant drugs. The purpose of this study was to evaluate incidence, etiology, clinical antecedents, mortality, and response to treatment of seizures in extremely pre-term infants.

Methods. This is a retrospective cohort study of pre-term infants < 29 weeks gestation from January 2011 to December 2013. Presence or absence of seizure was the outcome. Data extraction included demographics, medications, co-morbidities, mortality, and details of seizures. A multivariable prediction model was developed to evaluate risk for seizures.

Results. Analysis included 269 pre-term infants. Incidence of EEG-confirmed seizures was 40% (108/269); 49% were clinical and 51% were subclinical. Seizures occurred in 72% of infants ≤ 24 weeks, 57% of those 25-26 weeks, and 23% of those 27-28 weeks. Most seizures (85%) occurred after day eight of life. Mortality was 14% in those with seizures versus 5% in those without (p = 0.019). The model showed seizures were associated significantly with gestational age and medications, while controlling for sex, APGAR score, and co-morbidities, including IVH. At discharge, anticonvulsants were continued in 66% (72/108) of infants with seizures.

Conclusion. The incidence of seizures was highest in infants born most premature. Contrary to previous research, nearly two-thirds of pre-term infants with seizures did not have IVH or cystic periventricular leukomalacia; apnea of prematurity was a common presentation of subclinical seizures; and the majority of treated infants responded to Phenobarbital. These findings need be explored in future research.
Effectiveness of a Pilot Breastfeeding Educational Intervention Targeting High BMI Pregnant Women
Authors: Jacobson Lisette , Zackula Rosalee , Lu Kelsey
Published: October 2020

Introduction. Overweight and obesity during pregnancy are associated with adverse health outcomes leading to increased maternal and neonatal morbidity and mortality. Women with a high body mass index (BMI) also experience low breastfeeding rates. There is limited evidence of effective educational programs that aim to improve length of breastfeeding among this population. The main objective of this pilot educational intervention was to determine knowledge and skills retention at six weeks after completion of a breastfeeding class.

Methods. A two-hour breastfeeding class was offered during the second and third trimester of pregnancy targeting high BMI women. A longitudinal, survey study design was conducted using two data collection points. No comparator group was employed.

Results. Baseline mean age of respondents was 26.6 years (SD = 5.7). Respondents who completed post-intervention surveys were largely white (69.2%) followed by Hispanic (15.4%) and non-Hispanic black (15.4%), some college (57.1%), earned less than $50,000/year (64.3%), had employer-provided insurance (53.8%), and did not receive WIC benefits (78.6%). Most respondents had a pre-pregnancy BMI category of overweight (28.6%) or obese (57.1%). The intervention appeared to have some impact on responses. The following were observed: an increased understanding that baby may be fussy in the evening hours and wants to nurse more often (p < 0.002), how to bring baby to the breast (p = 0.004), knowing what to do if breastfeeding hurts (p = 0.031), and knowing what to do when baby has trouble breastfeeding (p = 0.021).

Conclusion. Consistent with previous findings, all participants in our study reported increased knowledge to breastfeed. Thus, women’s confidence to breastfeed their infant is enhanced through knowledge obtained from breastfeeding education. Additional studies are underway to assess breastfeeding behaviors.
Interactive web-based tool for evaluating the spread of bovine tuberculosis and brucellosis in Colombia
Authors: Arenas Nelson E , Ávila Edier F , Correa Edwin D , Rueda Wendy N , López Gina M , Soto Carlos Y
Published: October 2020

Background: Bovine tuberculosis (BTB) and brucellosis are associated with devastating losses in the livestock sector in Colombia and even in developed countries. Real-time disease surveillance is a key strategy to control and eradicate infectious disease outbreaks. Objective: To design an epidemiological tool for monitoring BTB and brucellosis in Colombia. Methods: An interactive platform for disease mapping of BTB and brucellosis during an observation period between years 2004 and 2019 was designed. Results: Our analysis showed that the provinces of Cundinamarca and Valle del Cauca are regions affected by BTB and brucellosis epidemics, respectively (p<0.001). Furthermore, increased case detection of BTB was reported in 2012 and brucellosis in 2019 (p<0.001). Conclusions: This epidemiological platform allows tracking BTB and tuberculosis hotspots, identifying trends over time, and provides useful information to animal health authorities for designing new strategies in control programs.
Az integráció egy lehetséges formája a művészetoktatásban: dramatikus zenei gyakorlatok
Authors: Pap Gábor
Published: October 2020

Kreatív ének-zene és drámatanárként lassan negyedszázados praxissal rendelkezem hangkeltésre, illetve azok értelmezésére szolgáló improvizatív gyakorlatok tervezésében és vezetésében, melyben vezérelvem mindig az új élmények és tapasztalatok keresése, a körülöttünk lévő jelenségek értelmezése volt. A diákokkal közösen kreált, akciókkal egybekötött hangzó folyamatok sosem pusztán formai célúak, és szándékosan kerülik a „lexikalitást”, a területre vonatkozó intézményes tudást (szolfézs-zeneelmélet). A felfedezés területe a dráma (annak eredeti értelmében vett cselekvés) és a zene jelensége között félúton található. Egy olyan interdiszciplináris mezőről van szó, mely zenei és nem zenei hangok keltése közben azok valós kontextusát keresi: azt az élethelyzetet, mindennapi szituációt, mely jelentést ad a látszólag rendezetlenül sorjázó, beszédből, énekelt hangból, hangutánzásból álló, rögtönzött hangeffektusoknak. Előbb egy rövid történeti áttekintéssel szeretném kontextusba helyezni a Dramatikus zene általam kidolgozott gyakorlatát, majd vázlatosan szót ejtek a módszer főbb jellemzőiről, végül egy konkrét példával mutatom be azt – működése közben.
Digital inventory of the section ‘‘Foreign Asia’’ in I.M. Krasnoborov herbarium collection (NS)
Authors:   Central Siberian Botanical Garden SB RAS, Gatilova Evgeniya A. , Han Irina V. ,   Central Siberian Botanical Garden SB RAS, Kovtonyuk Nataliya K. ,   Central Siberian Botanical Garden SB RAS
Published: October 2020

A digital inventory of the section “Foreign Asia” of the collection of vascular plants of the Krasnoborov herbarium (NS) of the Central Siberian Botanical garden SB RAS was carried out. The workflow of converting a collection to digital form is described. The Scanned material is available in the digital herbarium of the CSBG SB RAS on the Institute’s server at http://herb.csbg.nsc.ru:8081, as well as on the portal GBIF.org. Taxonomic, geographical and historical analyses of collections, as well as a review of leading collectors, was conducted.
Experience with the use of bendamustine (Rozustin®): safety and efficacy
Authors: Semenova A. A. , Arakelyan A. V. , Zeynalova P. A. , Tumyan G. S. , Larionova V. B. , Valiev T. T. , Abbasbeyli F. M. , Timofeeva O. L. , Antipova A. S. , Lopuhova O. A.
Published: October 2020

Background. Bendamustine is one of the main drugs included in the arsenal of cytostatic agents that are used in oncohematology. In Russia, the drug was registered at the end of 2010 under the commercial name Ribomustin (company Astellas). At the end of 2018, two national generics of bendamustine appeared on the Russian market – Rozustin® (Rafarma) and Kovada (Biocad).

Materials and methods. In 2019 the department of hemoblastosis chemotherapy of the N. N. Blokhin National Medical Research Center of Oncology received the drug bendamustin (Rozustin®) (Rafarma, Russia). This article presents the first experience of using Rozustin® in patients with various lymphoproliferative diseases. Most often, the drug was used for relapsed or refractory classical Hodgkin’s lymphoma.

Results and conclusion. The high effectiveness, acceptable toxicity profile compared to alternative “salvage” regimens, ease of implementation, and the possibility of a full collection of hematopoietic stem cells followed by high-dose chemotherapy and autologous stem cell transplant, confirm the good potential of the combined program with the inclusion of the drug bendamustine (Rozustin®).
Pathogenetic and substitution correction of anemia in patients with malignant neoplasms
Authors: Romanenko N. A. , Alborov A. E. , Bessmeltsev S. S. , Shilova E. R. , Voloshin S. V. , Chechetkin A. V.
Published: October 2020

Anemia in patients with malignant neoplasms affects the quality of life of the patient and sometimes limits the timely implementation of antitumor treatment. In the pathogenesis of anemia of the malignant neoplasms the largest role play infiltration of the bone marrow by tumor cells, suppression of hematopoiesis by inflammation cytokines, development of functional iron deficiency, reduction of sensitivity of receptors to erythropoietin or its synthesis. The doctor can prescribe effective pathogenetic therapy after evaluating the mechanisms of anemia development in this category of patients. In the article are described in detail the methods of pathogenetic correction of anemic syndrome using parenteral iron preparations, recombinant erythropoietin, indications for their appointment, effectiveness in patients with cancer, as well as possible side effects and complications of therapy. The mechanisms of action, pharmacokinetics, and features of the use of different erythropoietin adents are described. It is shown the effectiveness of erythropoietin preparations in patients with lymphoproliferative disorders based on the results of our own study. A positive response was observed in 77.3 % of patients with non-Hodgkin’s lymphomas, in 61.8 % – with multiple myeloma and 60.9 % with chronic lymphocytic leukemia. It is presented the prognostic factors for the response to erythropoietin therapy and showed own datum in patients with myelodysplastic syndrome (in case of the serum erythropoietin <500 mMU / ml a positive response was found in 35.6 %, with higher level – no response) and with lymphoproliferative disorders (in case of erythropoietin was <130 mMU / ml, the positive response was 80 %, at 130–499 mMU / ml – 63.6 %, and at ≥500 mMU / ml – 25 %). In the article are described the principles of anemia correction using red blood cells transfusions and features of their use in patients with cancer. Special attention is paid to the study of blood saturation as one of the indicators that allow us to assess the adequacy of the gas transport function of blood during red blood cells transfusions. The algorithm for correcting anemia in malignant neoplasms using red blood cells transfusions and erythropoietin agents are presented. It is shown low blood saturation (<60 %) in 32 % hematological malignancie’s patients with a hemoglobin 8.0 g / dL. This datum suggests presence of tissue hypoxia and gives approval to expand the threshold for red blood cells transfusions
Personalization in education: from programmed to adaptive learning
Authors: Kravchenko D.A. , Bleskina I.A. , Kalyaeva E.N. , Zemlyakova E.A. , Abbakumov D.F.
Published: October 2020

Adaptive learning is a learning service that adapts quickly and continuously to the individual characteristics of students. Our study is a literature review that includes a brief analysis of the history of development, the main modern approaches and methods of implementation, the educational potential of adaptive platforms and the directions of the future development of adaptive learning. The literature review allowed us to describe and analyze the main stages of learning development: from programmable to adaptive. Its results are aimed at helping researchers and developers gain a general and comprehensive understanding of adaptive learning and its development trends.
Risk of conflict situations when organizing interaction of participants in the educational process in the digital educational environment
Authors: Vayndorf-Sysoeva M.E. , Pankina E.V.
Published: October 2020

The events of recent months related to the pandemic have contributed to a rapid transition to distance learning. Despite the existing research in the field of e-learning, the problem of conflicts that arise among participants in the educational process in the digital educational environment has not been sufficiently studied. The article discusses the main models of interaction between participants in the educational process in the digital educational environment, as well as their features. It is argued that personality characteristics, features of the social situation, the level of ICT competence of a teacher and a student can lead to conflict in the electronic information-educational environment. Communication features and technical features of the electronic information and educational environment itself can also provoke conflicts. Forecasting and taking these features into account when designing e-learning courses and organizing interaction can reduce the risk of conflict situations between participants in the learning process.
Social adaptation of children with cancer after prolonged treatment
Authors: Kurtanova Y.E. , Burdukova Y.A. , Shcherbakova A.M. , Shchukina V.D. , Ivanova A.A.
Published: October 2020

The article is an overview of foreign studies on the socialization of children with cancer in medical history. Studies show that the presence of cancer diagnosis is the strongest stress factor for the child, as well as his long-term hospitalization, painful medical procedures, asthenization, emotional deprivation, separation from the usual lifestyle and close relatives. All this negatively affects the psychological state of the child and his reintegration into society after a long-term treatment. Particular attention is paid to publications about the difficulties a child faces when returning to society. They show that children with cancer (cured or in the state of remission) have difficulties in social interaction, learning problems, cognitive difficulties, which can lead to emotional disorders. The studies aimed at assessing the family situation of children with cancer have been analyzed. The article also describes potential strategies aimed at preventing and correcting social maladjustment of children as well as at psychological support of children with cancer and their families.
Mucosa-associated lymphoid tissue lymphoma of the appendix stump: a case report
Authors: Hernandez.Bustos Uraik F. , Salgado-Vives Jonathan , Chavez-Serna Enrique , Saldivar-Vera Dante A. , Hernández-Gómez Elí D. , Alvarado-Bahena Pedro A. , Espinosa de los Monteros-Moranchel Pedro A.
Published: October 2020

Primary lymphomas of the appendix occur in 0.015% of all gastrointestinal lymphomas. The most common manifestation is acute appendicitis secondary to luminal obstruction. The most common is immunophenotype B low-grade non-Hodgkin lymphoma. A 53-year-old male, with a previous three-week surgical history due to acute appendicitis, histopathological report of acute appendicitis and lymphoid hyperplasia. Later, he was admitted, with abdominal pain in the right iliac fossa, an abdominal ultrasound and simple abdominal tomography were performed, with suspicion of residual abscess. Surgical intervention is decided, observing paracecal tumor in the emergency site of the appendix, the tumor is removed. Pathological study that reports an appendicular base infiltrated by mucosa-associated lymphoma. The diagnosis of appendicular tumors is mostly, intraoperatively incidental. It is necessary to have the diagnostic possibility when performing an appendectomy, since it changes the prognosis and treatment of the patient.
Evaluation of platelet indices in patients with acute coronary syndrome and chronic stable angina
Authors: Chowdekar Vijay Sai , Peddi Naveen
Published: October 2020

Background: The objective of the study was to evaluate the levels of platelet indices mean platelet volume (MPV) and platelet distribution width (PDW) in patients with acute coronary syndrome (ACS) and chronic stable angina (CSA) and to study its correlation with the occurrence of disease.Methods: This was a hospital-based, case-control, prospective observational study which included 333 patients who fulfilled inclusion and exclusion criteria. All the patients were divided into three groups after clinical investigations: i) 100 patients in ACS group, ii) 114 patients in CSA group and iii) 119 patients in control group. MPV and PDW levels were estimated in all the patients along with other routine investigations related to coronary artery disease. All the data were analyzed using independent sample t-test, ANOVA and Pearson correlation at 95% level of significance.Results: Troponin levels were significantly higher in ACS group compared to CSA and control group (p<0.0001). Mean MPV levels in ACS (15.57±2.11 fL) and CSA (11.27±1.7 fL) groups were significantly higher (p<0.0001) compared with controls (10.48±1.49 fL). A significant elevation in MPV levels was observed in patients with a greater number of diseased vessels. However, no statistically significant correlation was found between PDW and number of diseased vessels (p=0.246).Conclusions: The study concludes that MPV should be considered as an effective tool in predicting the magnitude of acute events in patients with coronary artery disease. However, larger studies with morphological and functional estimation of platelet indices are required to prove this.
Clinical diagnosis and treatment of spinal cord injury without evidence of abnormality in children: a review
Authors: Alshorman Jamal A. S. , Wang Yulong , Zhu Fengzhao , Zeng Lian , Chen Kaifang , Yao Sheng , Jing Xirui , Guo Xiaodong
Published: October 2020

Spinal cord injury without radiological abnormality (SCIWORA) is a challenging circumstance in all age groups. Symptoms in some children of SCIWORA does not develop at the time of trauma. Different treatment methods (steroid therapy, immobilization, surgery) applied to treat SCIWORA, but with different prognosis. SCIWORA diagnosed when X-rays and computed tomography (CT) normal; however, initial magnetic resonance imaging (MRI) sometimes can be expected. Performing diffusion-weighted imaging (DWI) with early conventional MRI is a gold standard in the diagnosis of SCIWORA. Early MRI and DWI provides a quick diagnosis to facilitate recovery, ensure a superior clinical outcome, and choose a proper treatment method. Although it provides an accurate diagnosis, early immobilization with steroid therapy can present a good prognosis but not in all cases. Durotomy with duraplasty had a good outcome in adult patients, which might be helpful in children. This review explores the current and future methods of diagnosis and treatment of SCIWORA in children.
Grey Relational Analysis Optimization of Input Parameters for Electrochemical Discharge Drilling of Silicon Carbide by Gunmetal Tool Electrode
Authors: Pawar Pravin , Kumar Amaresh , Ballav Raj
Published: October 2020

The electrochemical discharge machining process (ECDM) is a hybrid advanced technology integrated with electrochemical and electro-discharge processes has used for the manufacturing of non-conducting along with conducting materials. The silicon carbide is non-conducting material which has widely used in various fields such as automobile, aviation, medical, nuclear reactor, and missile. The machining of silicon carbide is a challenging task by using non-conventional along with conventional machining processes due to its physical properties. The current research work shows the machining of Silicon carbide material by using fabricated ECDM machine setup with gunmetal tool material. The Taguchi L27 orthogonal array technique is applied for experimental work. The grey relational analysis optimization is applied for the investigation of optimum input factors for better output responses. The input process factors like electrolyte concentration, applied voltage, and rotation of tool and outcome results such as machined depth and the diameter of hole were checked after drilling of silicon carbide material. The experimental results indicate the electrolyte concentration is the leading factor for diameter of hole and depth of machined hole subsequent to voltage and tool rotation.
«Полеты, не обеспеченные в поисково-спасательном отношении, запрещаются…»: к вопросу о боевом применении авиации 40-й армии в Афганистане в 1979–1989 гг.
Authors: Гагин Владимир Владимирович
Published: October 2020

Статья посвящена анализу боевого опыта ВВС СССР в период участия советских войскв войне в Афганистане в 1979–1989 гг. Специфика горно-пустынной местности и климатические условия этой страны свойственны практически всем государствам, с которыми граничит Российская Федерация на юге, начиная от Закавказья и Средней Азии и заканчивая Китаем и Монголией на Дальнем Востоке. Боевой опыт, приобретенный тогда Военно-воздушными силами, сегодня важен не только из-за очень высокой цены, заплаченной в 1979–1989 гг. в Афганистане кровью и жизнями солдат и офицеров, но и своей актуальностью. Техника и вооружение, которые сейчас используются российскими ВКС, во многих своих компонентах остались либо те же, либо в разной степени модернизированные, следовательно, формы и методы работы с ними – эксплуатация, техническое обслуживание, снабжение и т. д. – прежние. Кроме технических вопросов ветераны войны в Афганистане – военачальники и командиры самых разных рангов и уровней – всячески подчеркивают, что особую роль играют вопросы взаимодействия и управления. Во избежание отрицательных факторов в организации и проведении боевых действий из-за слабо поставленноговзаимодействия сухопутных войск и авиации необходимо постоянное совершенствование управления. Подготовленные крупные операции, как правило, проходят без больших потерь, тогда как мелкие неподготовленные часто ведут к поражению. Поэтому опыт организации взаимодействия больших операций необходимо всегда переносить и на малые.
Субъект федерации как канал «мягкой силы» государства (на примере Санкт-Петербурга)
Authors: Гомелаури Ангелина Сергеевна
Published: October 2020

В научном дискурсе феномен «мягкой силы» традиционно рассматривается на уровнегосударств и, соответственно, в рамках межгосударственного взаимовлияния. Однако с ростом глобализации административно-территориальные единицы федераций все более активновзаимодействуют с зарубежными акторами. Такое положение поднимает вопрос влиятельности субъекта федерации как полноценного агента «мягкой силы». В данной статье на примере городафедерального значения Санкт-Петербурга выявлены особенности «мягкой силы» субъекта федерации. Используя такие методы исследования, как кейс-стади, неформализованный анализ научной литературы и официальных документов, автор приходит к выводу, что интегрированные в федеральный внешнеполитический курс субъекты федерации становятся все более активныминосителями «мягкой силы» в области внешнего поля.
Mechanical Properties Of Recycled Paper And Cardboard
Authors: Obradovic Dragan , Mishra Lakshmi Narayan
Published: October 2020

In flotation deinking, the released ink should also be detached from the substrate and dispersed in order to avoid redeposition. However, in flotation deinking the probability of removal of an ink containing particle is driven by a combination of size and surface energy. In flotation deinking a certain amount of agglomeration is preferable as the removal in flotation deinking is dependent on the size of the particle. The optimum size range is often stated to be between 50 and 150 micrometers. Size alone however is not additionally the agglomerates should demonstrate surface energy properties that are more hydrophobic than wash deinking in order to allow for stable attachment and transport by air bubbles. The presence of surfactant in the formulation has a higher value for the result.
Evaluation of simulated drug dispensing and patient counseling in the course of pharmaceutical improvement: 2009 to 2015
Authors: Packeiser Priscila B. , Castro Mauro S.
Published: October 2020

Background: Aiming to facilitate the drug dispensing process and patient counseling, specific professional skills are required. The knowledge, skills and attitudes involved in this process can be improved. From 2012 to 2015, a nationwide course was held, in partnership with the Ministry of Health and the Federal University of Rio Grande do Sul (UFRGS) – Brazil, to train pharmacists working in primary health care through the development of their clinical and communication skills. One of the steps in this process involved the simulation of the drug dispensing process and patient counseling.

Objective: To evaluate the performance of pharmacists in drug dispensing and counseling through patient simulation role-playing held in a face-to-face meeting at the end of a training course.

Methods: A cross-sectional and retrospective study with analysis of patient simulation recordings and data collection using an assessment instrument with scores ranging from 0 to 10 points to assess pharmacist's behavior, skills, and technical knowledge.

Results: Participants presented poor-to-regular performance, with median scores equal to or lower than six. The median time of the drug dispensing simulation was five minutes and the patient counseling was eight minutes. Pharmacists had better scores in the simulation of asthma cases. In drug dispensing, 99.5% of pharmacists had difficulty checking the patient's time availability, 98.5% did not know how to use the devices, and 94.7% did not advise the patient on what to do if they forgot to take a dose. In patient counseling simulation, 1.18% of pharmacists remembered to advise on what do with medication leftovers, and 50.6% asked questions that induced the patient's responses.

Conclusions: The low-to-regular performance showed that pharmacists had difficulties at improving their skills in the performance of complete and effective drug dispensing and patient counseling.
Sequences and scenes of transposition of an unshareable experience. A semiotically released prison.
Authors: Basso Fossali Pierluigi , Thiburce Julien
Published: October 2020

As part of the international and traveling exhibition Prison, coproduced by the International Red Cross Museum (Geneva, Switzerland), the Musée des Confluences (Lyon, France), and the Deutsches Hygiene-Museum (Dresden, Germany), a discourse on prison environment in Western societies questions public opinion about an existential space that is mostly discussed in fictional form. With a view both to inform and affect the audience, a narrative framework is woven by a diversity of mediations that nonetheless tries to escape the double reductionist fate to which prison space is subjected: ‘spectral’ trivialization (tacit invisibility) or spectacular mythification (smug ostentation). This paper deals with the (un)shareable dimension of the prison experience. One key question addressed is how to build, preserve, or restore the bridges between prisons’ inner life and the external social environment surrounding them. Adopting a pragmatic perspective, we will examine how this exhibition achieves, semiotically, releasing prisons, and prisoners from their incarceration and their mediatic banishment. Video recordings of interactions during guided tours allow us to examine how the experiences of prison life are transposed into exhibitions, the exhibitions into the guides’ discourses, the institutional discourses into public enjoyment, public enjoyment into scientific appropriation.
Acquisition of artistic literacy in multimodal learning via intersemiotic translation
Authors: Fadeev Aleksandr
Published: October 2020

The topic of teaching competence in artistic perception in school curricula has been investigated in the fields of education (Kindelan 2012), psychology (Vygotsky 1991), and semiotics (Ojamaa et al. 2019). Previous scholarship emphasizes the need to offer learners the opportunity to develop meaning-making abilities concerning different types of artistic texts. They also emphasized the educational value of establishing communication with and by means of such texts. This paper argues the educational value of acquiring artistic literacy in school education in the context of digital culture. We consider this acquisition process as the development of meaning-making abilities in relation to artistic texts and fostering learners’ ability to use artistic literacy as a symbolic psychological tool (Vygotsky 1978). We address this question by accentuating the role of semiotic mediation of artistic literacy. At the same time, we argue that artistic literacy acquisition can be established through intersemiotic translation among various multimodal artistic texts. In a practical sense, the paper attempts to develop a methodological framework for acquiring artistic literacy, conceptualized in terms of contemporary educational skills and competences. This paper also analyses the process of acquiring artistic literacy in relation to mediation in learning, the representation of texts, artistic work, and educational assessment. The analysis keeps account of the Tartu-Moscow Semiotic school framework and Lev Vygotsky’s theoretical framework, especially in addressing artistic work in education (Vygotsky 1971, 1978, 1991).
Tattooing: Imprinting the Self
Authors: Stylianoudi Lily
Published: October 2020

Τhis is a fine book on modern tattooing and tattoos, looked at through the perspective of Zygmunt Bauman’s theory of liquid modernity as sociological support to enhance the meaning-making potential for the study of social semiotics. The research took place in Canada, and the ethnographic data and socio-cultural context are Canadian. As the author explicitly states at the beginning of Chapter 1, it is “about the cultural resources individuals use as they go about creating and expressing meaning in their everyday lives through body art practices.”
Interview of Paolo Fabbri
Authors: Kourdis Evangelos
Published: October 2020

Professor Paolo Fabbri gave this interview to Evangelos Kourdis, Associate Professor of Semiotics of Τranslation, on Monday, 4 November 2019, at the Aristotle University Laboratory of Semiotics (SemioLab), three days after his plenary speech at the 12th International Conference on Semiotics dedicated to Signs of Europe. The Conference was held in Thessaloniki, Greece, 1-3 November 2019 and organized by the Hellenic Semiotic Society, the School of French Language and Literature, and the Laboratory of Semiotics of Aristotle University of Thessaloniki. Lia Yoka and Gregory Paschalidis edited the transcript.
A Design Study of a Supersonic Air Intake Device in a Wide Range of Main Flow Parameters
Authors: Studennikov E.S. , Ayupov R.S.
Published: October 2020

This paper examines operation modes of a mixed compression air intake with a rectangular cross-section at Mach number 2.0. The perfect gas model was used for the calculation. Calculations were performed for three values of Mach numbers: 1.8, 2.0 and 3.0. k–ε turbulence model was chosen for describing flows with large adverse pressure gradients. Two-dimensional and three-dimensional configurations of the air intake device were examined. Versions of geometry with and without the boundary layer drain system were considered. The influence of the boundary layer drain system on the flow in the air intake and its characteristics was established. Throttle characteristic curves were formed for all the considered modes with regard to the averaged flow parameters. A comparison of the calculation and experimental data showed a good agreement of the results. The obtained results can serve as a basis for further optimization and improvement of the efficiency of the aircraft design layout, increase in the stability margin of air intakes, as well as development of software systems for regulating supersonic input devices.
A Study of Electroerosive Machinability of Heat-Resistant Alloys in Relation to the Technology of Piercing Small Diameter Holes
Authors: Kushnarenko S.B. , Astakhov Y.P. , Fomichev A.O.
Published: October 2020

This article presents a method of obtaining and analyzing a single electroerosion hole for a group of heat-resistant chromium-nickel alloys. The study of the geometric parameters of the hole allows us to calculate experimentally the coefficient of erosion of the workpiece material, which characterizes the efficiency of converting the electrical energy into the fracture work of a solid body. When a single erosion pulse is applied to the interelectrode gap, a single hole is formed on the electrode surface. The geometric parameters of the hole (diameter, depth, height of the collar) depend on many factors: the pulse energy, the composition of the working fluid, the material of the electrodes, the value of the interelectrode gap, etc. This study establishes the dependence of the volume of the removed material on the pulse energy, with other conditions being equal. Experimental studies are conducted in accordance with a well-known method, and photographs of individual holes are obtained for different pulse durations. Ball segment and ellipsoid models are proposed for calculating the volume of the removed metal. It is shown that the ball segment model yields the smallest calculation error. The volume of individual holes is calculated using the selected ball segment model.
Successful surgery for a right ventricle rhabdomyoma in a neonate
Authors: Tarayan M. V. , Efremov E. S. , Bondareva I. O. , Shkarina N. V. , Kavaidin S. N.
Published: October 2020

Primary cardiac tumors are very rare in children. Rhabdomyoma is the most common benign tumor in fetuses and neonates. Most cases do not require any surgical intervention due to absence of clinical symptoms and a high rate of spontaneous regression within the first year of life. However, some neonates can have significant abnormalities of intracardial hemodynamics related to the obstruction of the left and right ventricle outflows; this is an indication to emergency surgery. As a rule, complete or partial resection of the tumor mass provides uneventful postoperative course and is not associated with a relapse of rhabdomyoma in the long-term.

We present a clinical case of a 15-days old neonate who underwent an emergency surgery due to advanced tumor obstruction of the blood flow in the right ventricle outflow tract (RVOT). At preoperative echocardiography, there was a pulmonary artery systolic pressure gradient of 90 mm Hg. Moderate hypoxemia (SaO290%), breathing rate of up to 55 per minute, together with echocardiographic results, indicated the impaired pulmonary blood flow and the need for the tumor resection. The tumor was completely resected through the right ventricle access with cardiopulmonary bypass and cardioplegia, with subsequent autologous pericardium patching of the right ventricle. The postoperative period was uneventful; the patient was extubated at day 2 and discharged at day 11 after surgery. The diagnosis of rhabdomyoma was confirmed histologically. At one month after surgery, no additional tumor masses were found in the heart chambers and septum.

Rhabdomyoma causing severe obstruction of the RVOT in a newborn is a rare life-threatening complication of the natural course of benign heart tumors in children. The presence of dyspnea at rest, moderate desaturation, and echocardiographic data determined the rejection of the conservative management commonly adopted in most cases of cardiac rhabdomyomas, and were indications for an emergency surgery. In the long-term postoperative period, magnetic resonance imaging should be done to exclude tuberous sclerosis.
Early administration of genetically engineered biological agents for immune-mediated inflammatory diseases: opportunities and prospects. An experts’ opinion
Authors: Abdulganieva D. I. , Bakulev A. L. , Belousova E. A. , Veselov A. V. , Korotaeva T. V. , Lila A. M. , Loginova E. Yu. , Sokolovskiy E. V. , Khobeysh M. M. , Shapina M. V. , Shchukina O. B.
Published: October 2020

Psoriasis (Ps), psoriatic arthritis (PsA), and inflammatory bowel diseases (IBDs) are characterized by a  progressive course and commonly result in disability. Therefore, their early diagnosis with the assessment of a  clinical phenotype and unfavorable prognostic factors and the timely initiation of therapy are important. The paper provides the expert consensus on the definition of the early stage of Ps, PsA, and IBDs, their treatment goals and main unfavorable prognostic factors. It also gives the rationale for the early use of biological agents in patients with immune-mediated inflammatory diseases.
Pengaruh Health Coaching Berbasis Teori Health Belief Model Terhadap Tekanan Darah Pada Lansia Dengan Hipertensi
Authors: Hastuti Apriyani Puji , Mufarokhah Hanim
Published: October 2020

Introduction: Most people with hypertension assume that consumption drugs can control their blood pressure. In fact, lifestyle factor such as physical activity contribute to the burden of account for substantial morbidity, mortality, and rising in hypertension, highlighly the much for prevention afford to curb public health epidemic. Health coaching was one way for the nurse to improve motivation and patient’s beliefs concerning their disease so that they would show good compliance behavior. Objective of this study was to analyze the effect of health coaching toward physical activity. Methods: This study used quasi experiment design with pre-post test control group design. Sample collection technique was by purposive sampling. The amount of sample was 26 person for each group. There were two variables, the dependent and independent variables, the dependent variable was physical activity and the independent variable was health coaching. The location in the work Pandanwangi health public care  and the time was April- Juli 2019. Statistical data test used were Mann Whitney and Sign Rank Test Wilcoxon. Result: Health coaching has effect to systolic blood pressure only. Difference test in treatment group using Wilcoxon obtain p value 0,000, while differece test with Mann Whitney obtain p value 0,000 . Discussion : There is blood pressure differences between treatment and control group. It is expected hypertension patients should be always doing use hypertension management to control blood pressure. Keywords: health coaching, hypertension, blood pressure
Faktor-Faktor Yang Mempengaruhi Ruptur Perineum Pada Ibu Bersalin Normal di Rumah Sakit Bhayangkara Mappaouddang Makassar Tahun 2014
Authors: Candrayanti Lilis
Published: October 2020

Background: Perineal rupture is a problem in labor and the second cause of bleeding after uterine atony. According to WHO in 2014 there were 2.7 million cases of Perineal Rupture in maternity mothers. Factors that can cause perineal rupture are parity, distance of birth, baby's weight, birth management is not as it should be, age, extraction, vacuum extraction, and episiotomy. Objective: For Factors Affecting Normal Perineal Rupture. Research Methods: This study is an analytic observational with a "cross sectional study" approach. The population, namely primigravida mothers who were treated in Bhayangkara Mappaouddang Makassar Hospital in 2014, amounted to 230 people. Sampling with purposive sampling technique amounted to 120 samples. Data using Chi-Square statistical test with P value 0.05). Results: There was an effect of maternal age on normal perineal rupture (P-Value = 0.003 0.05), there was an effect of infant birth weight on normal perineal rupture (P-Value = 0.003 0.05) ) and there is an influence of the recommended position to treat normal perineal rupture of primigravida mothers (P-Value = 0.004 0.05). Conclusion: There is an effect of maternal age, birth weight and recommended position with normal perineal rupture. Keywords: maternal age, baby's birth weight, , perineal rupture
The Current Status of EMDR Therapy, Specific Target Areas, and Goals for the Future
Authors: Matthijssen Suzy J. M. A. , Lee Christopher W. , de Roos Carlijn , Barron Ian G. , Jarero Ignacio , Shapiro Elan , Hurley E. C. , Schubert Sarah J. , Baptist Joyce , Amann Benedikt L. , Moreno-Alcázar Ana , Tesarz Jonas , de Jongh Ad
Published: October 2020

While eye movement desensitization and reprocessing (EMDR) is considered an evidence-based treatment for posttraumatic stress disorder (PTSD) in adults, there are differences as to how various international treatment guidelines judge the strength of this evidence base. Furthermore, in areas other than adult PTSD, major guidelines differ even more as to the strength of the evidence base and when to use EMDR. In 2019, the Council of Scholars: The Future of EMDR Therapy Project was initiated. Several working groups were established, with one assigned to the focus area of research. This article is a product of that working group. Firstly the group concluded that there were five areas where there was some base that EMDR was effective, but more data were needed to increase the likelihood that it would be considered in future international treatment guidelines. These areas were PTSD in children and adolescents, early EMDR interventions, combat PTSD, unipolar depression, and chronic pain. In addition, research into cost-effectiveness of EMDR therapy was identified as one of the priorities. A hierarchical system was used for classifying and rating evidence in the focus areas. After assessing the 120 outcome studies pertaining to the focus areas, we conclude that for two of the areas (i.e., PTSD in children and adolescents and EMDR early interventions research) the strength of the evidence is rated at the highest level, whereas the other areas obtain the second highest level. Some general recommendations for improving the quality of future research on the effectiveness of EMDR therapy are formulated.
Application of the Health Belief Model Educational Program to Reduce the Tendency of Cesarean Birth
Authors: Bahri Nasrin , Hesar Fariba Eshaghi , Bahri Narjes
Published: October 2020

BACKGROUND

Pregnant women are an important population in all health systems and they are responsible for making decisions about their delivery mode.

OBJECTIVE

This study aimed to investigate the effects of an educational intervention based on the Health Belief Model (HBM) to reduce the tendency of cesarean section among pregnant women.

METHOD

This field trial was conducted in Mashhad, Iran. 180 primigravida women who had a healthy and uncomplicated pregnancy with 28–32 weeks of gestational age were recruited in the study by the cluster sampling method and randomly allocated to intervention (90 women) and control (90 women) groups. A 6-hour workshop that was designed based on the HBM about delivery modes was conducted for the intervention group. The control group did not receive any intervention. All the participants filled out demographic and reproductive characteristics, knowledge about mode of delivery, and the HBM constructs questionnaires at the beginning of the study and 1 month after the intervention. Analyses were carried out using SPSS 16 software. The level of significance was set at p less than .05.

RESULTS

There was no significant difference between the two groups in terms of knowledge about delivery modes and constructs of the HBM as well as selected delivery mode before the intervention (p > .05), but the results showed a significant difference between the two groups in the mentioned variables 1 month after the intervention (p < .0001). Also, the change of score between 1 month after and before the intervention had a significant difference between the two groups in terms of knowledge about delivery modes (p < .0001) and constructs of the HBM (p < .0001). The two groups were significantly different in terms of selected delivery mode and more participants opted for normal vaginal delivery in the intervention group (p = .025).

CONCLUSIONS

The overall results showed that instruction of delivery modes based on the HBM can lead to more selection of normal delivery by pregnant women. Therefore, it is recommended that this model be used in educational programs during pregnancy.
Evaluation of Psychometric Properties of Professional Quality of Life Scale Among Nurses in Singapore
Authors: Ang Shin Yuh , Hemsworth David , Lim Siew Hoon , Ayre Tracy Carol , Ang Emily , Lopez Violeta
Published: October 2020

Background and Purpose

Nurses experience compassion fatigue (CF), depression, burnout (BO), and even signs of post-traumatic stress disorder. This study aimed to evaluate the psychometric properties of the Professional Quality of Life Scale (ProQOL) among nurses in the Southeast Asia context.

Methods

Psychometric testing of interitem correlations and reliability, and both convergent and discriminant validity, as well as construct validity analyses was conducted among 1,338 nurses from two academic centers in Singapore.

Results

Findings demonstrated significant interconstruct correlations among the three subscales of ProQOL, namely compassion satisfaction (CS), BO, and secondary traumatic stress (STS). ProQOL displayed satisfactory internal consistency and discriminant validity.

Conclusions

Psychometric properties of the CS component were found to be satisfactory. ProQOL may be integrated into strategies in supporting and improving nurses' QoL which could focus to lessen BO and CF at work, as well as improving individual satisfaction in the care of patients.
“Nurses Professional Values Scale-Three”: A Validation Study Among Italian Nurses and Nursing Students
Authors: Dellafiore Federica , Grugnetti Anna Maria , Caruso Rosario , Prinzivalli Giuseppe , Luca Michele , Grugnetti Giuseppina , Belloni Silvia , Magon Arianna , Arrigoni Cristina
Published: October 2020

Background and Purpose

The assessment of nurses’ professional values (NPVs) in Italian nurses and students is undermined by the unavailability of validated measurements. Therefore, this study aimed at providing the validation of the “Nurses Professional Values Scale-Three” (NPVS-3) in its Italian version (I-NPVS-3).

Methods

The study has a multiphase design: (a) cultural and linguistic validation; (b) content and face validity; (c) construct validity.

Results

I-NPVS-3 showed adequate content validity. Confirmatory factor analysis models supported the three-factorial structure of the I-NPVS-3 (i.e., caring, activism, and professionalism) in explaining data obtained from nurses and nursing students. Furthermore, each domain showed adequate internal consistency.

Conclusions

I-NPVS-3 showed evidence of validity and reliability, being useful for assessing NPVs for educational and research purposes among Italian nurses and nursing students.