bluuebunny/crossref_metadata_2025 huggingface dataset:
Hypernatremia in Hospitalized Patients: A Large Population-Based Study
Authors: Arzhan Soraya , Roumelioti Maria-Eleni , Litvinovich Igor , Bologa Cristian G. , Myers Orrin B. , Unruh Mark L.
Published: May 2022

Key Points

Hypernatremia has been studied less than hyponatremia and may serve as an important predictor of outcomes among hospitalized patients.

This work addresses a key gap regarding outcomes of hypernatremia by assessing the relationship of hypernatremia to outcomes by eGFR or age groups.

Hypernatremia was significantly associated with in-hospital mortality and discharge to a hospice or nursing facility.

Background

Hypernatremia is a frequently encountered electrolyte disorder in hospitalized patients. Controversies still exist over the relationship between hypernatremia and its outcomes in hospitalized patients. This study examines the relationship of hypernatremia to outcomes among hospitalized patients and the extent to which this relationship varies by kidney function and age.

Methods

We conducted an observational study to investigate the association between hypernatremia, eGFR, and age at hospital admission and in-hospital mortality, and discharge dispositions. We analyzed the data of 1.9 million patients extracted from the Cerner Health Facts databases (2000–2018). Adjusted multinomial regression models were used to estimate the relationship of hypernatremia to outcomes of hospitalized patients.

Results

Of all hospitalized patients, 3% had serum sodium (Na) >145 mEq/L at hospital admission. Incidence of in-hospital mortality was 12% and 2% in hyper- and normonatremic patients, respectively. The risk of all outcomes increased significantly for Na >155 mEq/L compared with the reference interval of Na=135–145 mEq/L. Odds ratios (95% confidence intervals) for in-hospital mortality and discharge to a hospice or nursing facility were 34.41 (30.59–38.71), 21.14 (17.53–25.5), and 12.21 (10.95–13.61), respectively (all P<0.001). In adjusted models, we found that the association between Na and disposition was modified by eGFR (P<0.001) and by age (P<0.001). Sensitivity analyses were performed using the eGFR equation without race as a covariate, and the inferences did not substantially change. In all hypernatremic groups, patients aged 76–89 and ≥90 had higher odds of in-hospital mortality compared with younger patients (all P<0.001).

Conclusions

Hypernatremia was significantly associated with in-hospital mortality and discharge to a hospice or nursing facility. The risk of in-hospital mortality and other outcomes was highest among those with Na >155 mEq/L. This work demonstrates that hypernatremia is an important factor related to discharge disposition and supports the need to study whether protocolized treatment of hypernatremia improves outcomes.
OPTIMASI FORMULA PAKAN SAPI PERAH DENGAN LINIER PROGRAMMING UNTUK MINIMASI BIAYA BAHAN BAKU DI KOPERASI XYZ JAWA TENGAH
Authors: Risyahadi Sazli Tutur
Published: May 2022

Formulasi pakan di Koperasi XYZ masih menggunakan proses trial and error sehingga dapat mempengaruhi biaya bahan yang tinggi dan tidak dapat memenuhi standar kualitas. Penelitian ini dilakukan untuk mengoptimalkan formula dengan Linear Programming sehingga koperasi dapat memperoleh biaya material yang minimum dan memenuhi persyaratan standar. Langkah-langkah perumusan adalah mengidentifikasi tujuan minimasi biaya dan menentukan batasan-batasan yang berfungsi untuk merepresentasikan standar nutrisi sapi perah. Batasan  meliputi kebutuhan bahan kering (BK), protein kasar (PK), Lemak Kasar (LK), Total Digestible Nutrition (TDN), Kalsium dan Pospor. Optimasi dihitung dengan menggunakan pendekatan program linier. Software yang digunakan adalah solver yang terdapat pada MS Excel. Hasil optimasi menunjukkan bahwa formulasi pakan yang paling layak digunakan untuk produk SP132 30% dedak, 31,7 ampas singkong, 13,7% bungkil inti sawit, 6,02% Hi Pro, 8,32% kulit kacang tanah , 7% molases dan 3% Slaz dan untuk SP134 20% dedak, 37% tumpukan singkong., 2% Golden pro, 10% Hi Pro, 7% cangkang kopi, 6% Kulit Kacang, 15% molase dan 3% Slaz. Optimalisasi ini juga dapat menekan biaya SP 132 dari 2500 rupiah menjadi 1948 rupiah dan untuk SP134 dari 2800 rupiah menjadi 2682 rupiah. Berdasarkan hasil optimasi, terjadi pengurangan biaya dan peningkatan kualitas ransum sapi perah
El desarrollo de habilidades en la competencia oral en la enseñanza del inglés como lengua extranjera a través de la implementación de herramientas web en grado noveno de cinco colegios públicos de Colombia
Authors:   , Gómez Bustamante Genny
Published: May 2022

El propósito de esta investigación es indagar por los procesos del desarrollo de habilidades en la competencia oral en la enseñanza del inglés como lengua extranjera a través de la implementación de herramientas web en cinco colegios públicos de Colombia. Para ello en un estudio de caso de carácter mixto, se observaron las prácticas pedagógicas de los docentes en tiempos de pandemia y se determinaron las dificultades de los estudiantes en esta destreza oral.
SOCIAL AND ECONOMIC FACTORS THAT IMPACT CRYPTOCURRENCY
Authors: Sharma Shambhavi , Mathur Kanika
Published: May 2022

This research paper revolves around several factors that affect cryptocurrency and its efciency shortly. Many great
scholars have talked differently about this concept. To nd where cryptocurrency is bound to be, a survey was conducted
with necessary questions and a total of 200 responses were received which in turn, helped us to analyze and interpret various economic and social
factors impacting its standing in the business sector. Certain limitations and suggestions were generated at the end of the research analysis,
followed by the conclusion. It also explores the users' condence in dealing with cryptocurrency in a time when the usage of such virtual cash was
not fully managed and regulated. Besides, the paper is aimed to measure the spread of cryptocurrency use to have a clear photo from the practical
view. The paper additionally analyses how certain remarkable international locations have responded in terms of recommendations.
A CASE REPORT ON ANTENATAL MOTHER – THE HEMOPHILIA CARRIER
Authors: Rajakumar Shery Angel
Published: May 2022

BACKGROUND Hemophilia is a rare bleeding disorder which is due to the deciency of a coagulation protein- the most
important factor VIII.The incidence of Hemophilia- A is 1 in 5000 male births. This is a case report on an antenatal mother,
who is a known case of Hemophilia-A, carrier admitted for safe connement. CASE PRESENTATION : We report a case of 37-year-old
G4P2L1A1 at 38 weeks and 4 days period of gestation, a Hemophilia- A carrier was admitted for safe connement.She had family history of
Hemophilia-A. All her three off-springs had Hemophilia-A. The patient was taken up for an Elective Caesarian section and she delivered an aliveterm boy baby. The baby was advised by the Paediatric Hematologist to review at the age of 6 months for factor VIII assay. In CONCLUSION:
some parts of developing countries like India reducing the mortality rate of Hemophilia is still a hindrance due to the scarce availability of
healthcare facilities and poor follow-up. When we diagnose Hemophilia, we should include the family history, active carrier status, clinical
manifestations as well as laboratory testing. There should be equal coordination between the Obstetrician, Hematologist, Immunologist, Genetics
department, and Psychologist.
A PROSPECTIVE LONGITUDINAL OBSERVATIONAL STUDY ON ACUTE PANCREATITIS: FACTORS INFLUENCING MORBIDITY AND MORTALITY
Authors: Mandal Shivaji , Chowdhury Debayan
Published: May 2022

Background: Acute pancreatitis presents a broad clinical spectrum ranging from cases so mild that symptoms abate
before the diagnosis is actively pursued, to cases which progress rapidly to multisystem failure and eventual demise of
patient despite current mode of therapy.
Aims And Objectives: To determine factors related to disease severity, mortality and morbidity in acute pancreatitis.
Materials And Methods: Study design: A prospective longitudinal observational study. Study area: Ramakrishna Mission Seva Pratishthan
Hospital, Kolkata. Study period: April 2017 to March 2018 Sample size: 76 patients diagnosed with acute pancreatitis after admission. All
patients were subjected to a thorough history taking, clinical examination, routine blood tests and imaging and monitoring of vitals. Patients with
complications like sepsis, shock or organ failure was treated in ICU, with invasive and non-invasive monitoring. Thorough IV uid resuscitation
and appropriate analgesics were used with conservative management. Initially put in NPM, started with enteral feeding when ileus subsided or
parenteral feeding at appropriate time if clinically unstable. ERCP was done followed by open/laparoscopic cholecystectomy in gallstone
pancreatitis patients.
Results: The overall mortality for the study group was 11.8 % and the morbidity rate was 31.5 %. The mortality for male was greater than that for
female. The mortality for patients over 50 years of age was greater than that of patients below 50 years of age. The mean duration of
hospitalization for the total study group was 14 days and it was found to be higher in male (18 days) than for female (10 days). The mortality for
this idiopathic group(n=4, 16.67%) was found to be higher than that for the alcoholic group(n=3, 13.6%) and those with biliary tract disease(n=2,
6.67%), whereas morbidity of the alcoholic group(n=12, 40%) was found higher than the idiopathic group(n=8, 33.3%) and biliary disease
group(n=4, 18.1%). Mortality rate in patients with pseudocyst was 10%, 50% in pancreatic abscess, 42.8% in circulatory failure patients, 50% in
renal failure patients and 75% in respiratory failure patients.
Conclusion: Despite earlier recognition and appropriate care the morbidity and mortality rates have remained quite high in cases of severe attack
of acute pancreatitis
COMPARISON OF A 'FREEZE-ALL' STRATEGY VERSUS A 'FRESH TRANSFER' STRATEGY AMONG POOR RESPONDERS IN ASSISTED REPRODUCTIVE TECHNOLOGY (ART)
Authors: rakholia Sudhir , Tyagi Manvi
Published: May 2022

Background: The standard procedure in ART is the use of fresh embryo transfer (FET) which has stood the test of time.
But in recent years, frozen embryo transfer has also been used by many quite successfully and it may be a viable
alternative to FET. Aim and Objective: The main aim of the study is to nd out if the clinical pregnancy rate per randomized patient after the rst
good quality blastocyst transfer is superior in a freeze-all as compared with same cycle transfer strategy in poor responders. The main objective of
present study is to compare the 'freeze-all' strategy with same cycle transfer strategy among poor responders in articial conception technology.
Methods: An observational, prospective, cohort study was conducted between August 2018 and January 2019. In total, 102 poor responder
patients (as per Poseidon criteria) were taken for COS with GnRH antagonist stimulation protocol and blastocyst stage embryo transfer was
performed. Clinical pregnancy rate and ongoing pregnancy rate were signicantly higher in frozen em Results: bryo transfer group than fresh
embryo transfer group. Conclusion: In poor responder group of patients, IVF outcomes can be improved by implementing freeze all policy. Major
concern in poor responder patients is reduced oocyte competence due to availability of lesser oocyte. Therefore, better outcomes could be
achieved with the help of Pre implantation genetic screening synchronized with latest endometrium receptivity markers which is only possible
with freeze all policy.
PHARMACO-THERAPEUTIC REVIEW OF PIPPALYADI AGADA FROM YOGARATNAKAR
Authors: Y. Gatfane Rupali , R. Patil Smita
Published: May 2022

Agadtantra is one of the eight branches of Ayurveda which deals with the study of Visha with respect to its types, signs &
symptoms, treatment as well as various Agada Kalpas (Medicinal preparations for Visha).
Pippalyadi Agada is one of them explained by Yogaratnakara. It is the combination of herbs like, Pippali (Piper longum), Dhanyaka (Coriandrum
sativum), Jatamansi (Nardostachys Jatamansi), Lodhra (Symplocos racemosa), Sukshmaela (Elleteria cardimomum), Bruhadela (Amomum
subulatum), Maricha (Piper nigrum), Balakam (Valeriana Wallichii) & minerals like, Suwarchika (Salt petre /Potassium nitrate) & Suvarna
Gairika (Red oxide of iron) mixed with Honey. It is used in Dushivisha Chikitsa which is a kind of chronic cumulative or residual toxicity.
Apart from its anti-toxic nature, ingredients of Pippalyadi Agada have anti-inammatory, anti-oxidant, antifungal, antimicrobial,
hepatoprotective and immune-stimulatory properties.
So, in this review, pharmacological & therapeutic actions as well as anti-toxic properties of Pippalyadi Agada were discussed.
KNOWLEDGE AND ATTITUDE ASSESSMENT AMONG MARRIED MEN TOWARDS VASECTOMY IN SELECTED RURAL AND URBAN AREAS OF EAST KHASI HILLS DISTRICT, MEGHALAYA
Authors: B. Manners Stepmon , Myrthong Madam C.E
Published: May 2022

The researcher adopted a cross sectional study to assess knowledge and attitude regarding vasectomy among married
men residing in selected rural and urban areas, East Khasi Hills District Meghalaya. The aim of the study was to assess
the knowledge and attitude of married men regarding vasectomy. Married men who full the inclusion criteria are the samples for the study with
sample size 172. Non -probability purposive sample technique was used using structured knowledge questionnaire and a Five Point Likert Scale
was used for attitude assessment. Data was collected using self-administered structured questionnaire through door to door survey for a duration
of 15-20 minutes which was continued for a period of one month. Analysis was done using IBM SPSS Statistics Version 23. The results indicates
that out of total 172 respondents , 135 respondents have heard about vasectomy. Majority 45% received the information from the media and 36%
received information from health workers. Out of 122 ( 90.37%) of the respondents had inadequate knowledge and 91 (67.40%) had a negative
attitude towards vasectomy. Chi square test was used to nd out the association of level of knowledge and attitude with the selected demographic
variables. The variable found to be signicant at 5% level (p<0.05). There was a weak positive correlation between knowledge and attitude
(r=0.344). Hence, the research hypothesis was accepted and null hypothesis was rejected. That there was a signicant association between
knowledge and attitude with selected demographic variable and there was also a signicant relationship between knowledge and attitude.
A CLINICAL STUDY OF TRACHEOSTOMY IN TERTIARY CARE HOSPITAL
Authors: B Gujrathi Atishkumar , G Zade Prashant , P Gadpayale Nishikant
Published: May 2022

The study was carried out in Dr. Shankarrao Chavan Government medical college, Nanded at the department of
Otorhinolaryngology for a period of 18 months from Jan 2020 to June 2021, was a prospective evaluation of 65 patients of
all ages and both gender presenting in the emergency ward or Intensive Care Unit (ICU) or in ENT Out Patient Department for whom
tracheostomy was done for various indications. The study aimed to nd out the different indications for tracheostomy, the microbiological study
of secretions of tracheostomy stoma or tracheal secretions, and intra and postoperative complications in patients undergoing tracheostomy. The
study shows the most common indication for tracheostomy was patients admitted to ICU for prolonged ventilatory support 43% followed by
stridor patients presented in the emergency ward about 28% patients. Similarly, the most common complication was haemorrhage followed by
stoma infection. This study shows most common organism cultured from tracheal secretion was pseudomonas aeruginosa followed by
Acinetobacili barmanni, staphylococcus aureus, Klebsiella pneumoniae, Escherichia coli.
A Deep Transfer Learning Approach on Identifying Glitch Wave-form in Gravitational Wave Data
Authors: Mesuga Reymond , Bayanay Brian James
Published: May 2022

LIGO interferometer is considered the most sensitive and complicated gravitational experimental equipment ever built. Its main objective is to detect the gravitational wave from the strongest events in the universe by observing if the length of its 4-kilometer arms change by a distance 10,000 times smaller than the diameter of a proton. Due to its sensitivity, interferometer is prone to the disturbance of external noises which affects the data being collected to detect the gravitational wave. These noises are commonly called by the gravitational-wave community as glitches. This study focuses on identifying those glitches using different deep transfer learning algorithms. The extensive experiment shows that algorithm with architecture VGG19 recorded the highest AUC-ROC among other experimented algorithm with 0.9898. While all of the experimented algorithm achieved a considerably high AUC-ROC, some of the algorithm suffered from class imbalance of the dataset which has a detrimental effect when identifying other classes.
ANALYTICAL CALCULATION OF DEFORMATIONS AND KINEMATIC ANALYSISOF A FLAT TRUSS WITH AN ARBITRARY NUMBER OF PANELS
Authors: Kirsanov M. N. , Vorob'ev O. V.
Published: May 2022

Statement of the problem. Analytical dependences of the deflection and displacement of the support of a flat lattice truss on the number of panels are being sought. The truss has a double lattice, a rectilinear lower belt and an upper belt raised in the middle part.Results. For two types of loading, according to the Maxwell-Mohr formula, analytical dependences of the deflections of the structure on the load, dimensions and number of panels are obtained. To generalize a series of particular solutions for trusses with different numbersof panels for an arbitrary case, the induction method and the analytical capabilities of the Maple computer mathematics system were used. For some solutions, asymptotic approximations are obtained. The distribution of forces in the rods of the structure is shown. Conclusions. The obtained formulas can be used in optimization problems and as test ones for evaluating approximate numerical solutions. Cases of geometric variability of the truss with the number of panels being a multiple of three are revealed. An algorithm for identifying the corresponding distribution of possible velocities of the joints is presented.
ELECTRONIC PROPERTIES OF A SEMICONDUCTOR TWO-BARRIER STRUCTURE
Authors: Voxob Rustamovich Rasulov  , Rustam Yavkachovich Rasulov  , Mamatova Mahliyo Adhamovna  , Nurillo Ubaydullo o’g’li Kodirov
Published: May 2022

The dependence of the transmission coefficient for an electron with energy E tunneling through a potential barrier of finite height and thickness in a two-barrier semiconductor structure is calculated, and it is shown that this dependence has an oscillatory character.
On the basis of the continuity equation, the energy dependence of the frequency of electron collisions with the walls of the size-quantized potential is analyzed.
KEY WORDS: transmission coefficient, two-barrier semiconductor structure, size quantization, energy spectrum, potential well.
THE IMPACT OF INFORMATION TECHNOLOGY ON THE PERFORMANCE OF BANKS IN PUNE CITY: A COMPARATIVE STUDY
Authors: Dr. Amol Mane
Published: May 2022

Advent of ICT has brought transformational changes in the Indian Banking Industry. Liberalisation, privatization and globalization policy and the recommendations of various committees paves the way for use of ICT in the Indian Banking sector. ICT has made the banking more easy, convenient and user friendly. It has changed the way the banks provide the services to their customers. It has also impacted the performance of the banks in all respects. The present study is modest attempt to study the impact of IT on the performance of banks operating in Pune City. The researcher has selected 5 branches each of 2 Public Sector Banks, 2 Private Sector Banks, and 2 Co-operative Sector Banks operating in Pune City and the impact of information technology on core operational areas as well as secondary operational areas. Total sample size is 1950 which includes bank customers, employees and managers/officers. The study reveals that the private banks lag behind in several aspects as compared to the nationalized and cooperative banks and there is a lot of improvement required in several areas. One cannot clearly distinguish the nationalized banks as the best performers or the cooperative banks is the best performers because there are issues that need to be taken care of in nationalized and cooperative banks also. What the study would conclude is that, for a bank to be successful there should be a proper commitment of the top-level management and at the same time the IT staff who takes care of the hardware and software infrastructure within the bank must work in harmony with the banking staff.
KEY WORDS: Information Technology, E-banking, online banking, e-banking service quality, customer satisfaction, CRM
Discount and Its Place in the Pricing Policy of the Enterprise
Authors: Rusudan Kutateladze Rusudan Kutateladze , Lia Motskobili Lia Motskobili
Published: May 2022

The article is dedicated to the pricing policy of the enterprise and its characteristic features. The authors believe that pricing policy is the activity of the management of an organization or enterprise to set, maintain and change the prices of goods for sale, which are aimed at achieving the goals and objectives of the company. The authors believe that when determining the price of certain products, it is necessary to take into account a number of factors in the marketing strategy of the enterprise, and among these factors, they consider the pricing policy to be the most important. In the same article, they discuss discounts in detail as a key element of a company's pricing policy.
Keywords: Pricing policy, Discount, Price maintenance
Stability of ice wedges in Alaska's Arctic National Parks, 1951-2019
Authors: Swanson David
Published: May 2022

Ice-wedge polygons are a striking and widespread feature of the arctic landscape. Ice wedges are vulnerable to thaw because they are nearly pure ice bodies near the surface, with little insulating overlying material. Ice-wedge polygon monitoring is a part of the permafrost monitoring program for the National Park Services Arctic Inventory and Monitoring Network (ARCN, the five National Park units in northern Alaska). The present report is a re-analysis of ice-wedge condition in three study areas, based on satellite images taken in 2019 and 2020 (sampling episode 3). Results are compared to previous analyses based on aerial photographs from 1950-51 (episode 1) and satellite images from 2006-2009 (episode 2). Significant ice-wedge degradation occurred between sampling episodes 1 and 2 in one of the study areas (in Kobuk Valley National Park, KOVA). Sampling episode 3 revealed relatively minor changes from episode 2 in all three areas. This is somewhat surprising given the record warm temperatures that occurred between sampling episodes 2 and 3. Apparently the recent warming did not cross any thresholds that would trigger immediate and widespread visible changes in ice wedges, or insufficient time has elapsed since the recent onset of warmer temperatures in 2014. However, the effects of previous ice-wedge degradation continued to be manifested in new drainage channels that formed by linkage of pits from previous ice-wedge degradation. The Noatak National Preserve (NOAT) study area was affected by wildfires in 1977 and 2010, and comparison of burned to unburned areas in subsequent sampling episodes failed to show significant new ice-wedge degradation brought about by these fires.
Les rivières atmosphériques de l'Antarctique
Authors: Favier Vincent , Wille Jonathan , Agosta Cécile , Amory Charles , Barthélémy Léonard , Codron Francis , Fourré Élise , Gorodetskaya Irina , Krinner Gerhard , Pohl Benjamin
Published: May 2022

Sur une grande partie de l'Antarctique, le bilan de masse (c'est-à-dire de neige) de surface est dominé par quelques événements de précipitations extrêmes. Ces événements dépendent d'intrusions de masses d'air très humide associées à des phénomènes dénommés rivières atmosphériques en provenance de l'océan Austral. Ces rivières atmosphériques influencent fortement le climat ; pourtant, les caractéristiques, les mécanismes et les impacts associés restent mal connus en Antarctique. Nous résumons ici l'état des connaissances sur la mise en place de ces événements extrêmes et leurs impacts à la fois sur l'accumulation de neige, le réchauffement et la fonte en surface de la calotte.

Over much of Antarctica, the surface mass balance (i.e. the resultant of snow fluxes at the surface of the ice sheet) is dominated by a few extreme precipitation events. It has recently been shown that these events are linked to intrusions of highly humid air masses related with atmospheric rivers traversing the Southern Ocean. These atmospheric rivers strongly influence the climate, yet their meteorological characterization and associated impacts remain poorly understood in Antarctica. We summarize here the latest research regarding the development of these extreme events and their impacts on snow accumulation, warming, and surface melt on the Antarctic ice sheet.
Retos de la educación virtual peruana en tiempos de la COVID-19
Authors: Cajandilay-Díaz Eduardo , Edquén-Collantes Evelin , Cruz-Galvez Edi Alberto
Published: May 2022

La educación ha sido uno de los sectores en que más duramente ha impactado la pandemia. A la fecha, se ha realizado una cantidad importante de investigaciones sobre las variables COVID-19 y educación, contribuciones que aportan en la toma de decisiones y en el saber actuar pertinente en contextos complejos. En este marco, se ha consultado, seleccionado y analizado un corpus de investigaciones relevantes, difundidas en diversas fuentes, acerca de las condiciones previas, impacto y respuestas creativas frente a la pandemia, más los retos de la educación virtual en tiempos del COVID-19. La investigación se centra en la educación básica e indica que un adecuado acompañamiento en educación virtual exige conocer los contextos específicos de los estudiantes, urge potenciar la inversión en educación pública con repercusiones en la calidad de los aprendizajes y se debe promover la innovación e investigación docente para responder propositivamente a los retos de los diversos contextos.
Dolor cervical e índice de discapacidad en estudiantes de una institución educativa en tiempos COVID-19
Authors: Santiago-Bazan Cristhian , Ccoscco-Huamacto Wendy Mirella
Published: May 2022

Objetivo: Relacionar el dolor cervical e índice de discapacidad en estudiantes mujeres de una institución educativa en tiempos de COVID-19. Material y métodos: Estudio descriptivo, transversal, y correlacional. La muestra estuvo conformada por 352 estudiantes mujeres de educación secundaria ubicado en Lurigancho- Chosica de la institución educativa particular Nuestra Señora de la Sabiduría. La técnica de muestreo empleada fue probabilístico. Se utilizó el Cuestionario de dolor cervical en estudiantes de educación secundaria en el contexto de la crisis COVID-19 (Dcees/ COVID-19) y el índice de Discapacidad Cervical modificado y adaptado a la población de estudiantes secundarios en el contexto de la crisis COVID-19. Resultados: Se obtuvo una relación estadísticamente significativa entre el dolor cervical y el índice de discapacidad (p<0,001. Asimismo, se evidenció presencia de dolor cervical 233 (66,2%) y sin dolor 119 (33,8%). El índice discapacidad cervical presentó una significancia con la edad y año de escolaridad (p<0,001). Conclusión: El dolor cervical tiene relación con el índice de discapacidad en los escolares. Este problema conlleva a una limitación funcional el cual podría prevenirse gestionando programas de salud en las instituciones educativas con el apoyo del equipo multidisciplinario.
A Quest for eternity. A documentary about the historical and political aspects of Theo Angelopoulos’s work.
Authors: Panagopoulos Iakovos
Published: May 2022

The research documentary A Quest for Eternity (2020) is dealing with four different chapters of Theo Angelopoulos’ form and style. The first chapter focuses on the historical and political aspects of Theo Angelopoulos’ films, especially on the film shot during his first period up until Alexander the Great. The second chapter emphasizes on the connection between Theo Angelopoulos’ work with the estrangement techniques of Bertolt Brecht. This chapter reshapes our knowledge regarding this connection and elaborates on the debate between the traditional Brechtian approach of Angelopoulos’ work and the post-Brechtian approach. The third chapter stresses the importance of the Greek coffeeshop (kafeneion) as an ideal location in Theo Angelopoulos’ films, while the last chapter talks about the birth of the Greek Weird Wave movement in the contemporary Greek cinema, as well as how this new gaze could be influenced by Theo Angelopoulos’ work.
Envisioning Change: An Empirical Test of the Social Psychological Model of Utopian Thinking and Collective Action
Authors: Badaan Vivienne , Akil Carla , Zebian Yara , Jost John T.
Published: May 2022

This article provides the first empirical evidence of the theoretical model by Badaan et al. (2020) that proposes social psychological mechanisms whereby utopian thinking, which activates the social imagination, could enhance collective action intentions geared toward progressive social change. We anticipated that imagining better societies via utopian thinking would (a) increase social hope, (b) promote an abstract mindset that bridges psychological distance between the status quo in the present and the imagined, better future, (c) attenuate system justification motives, and (d) enhance social change-oriented collective action intentions. Using a structural equation modeling approach, our study provides preliminary support for some postulates of the theoretical model, paving the way for future research to further disentangle the psychological mechanisms by which utopian thinking influences collective action geared toward social change.
Insights into Positive Approaches to Parent Partnership Working in UK Nursery Schools
Authors: Solvason Carla , Watson Nicola
Published: May 2022

In this article, we share interviews with Maintained Nursery School (MNS) leaders in deprived areas of the West Midlands of England. This constructivist research was carried out to better understand the 'why' and 'how' of parent partnership in early years settings. During our conversations with leaders, they explained how they establish and maintain positive relationships with parents, and in this article, we highlight examples of tangible benefits to the lives of children and families resulting from their partnerships. Our data identify a moral imperative felt by practitioners to 'fill the gap', resulting from the demise of public services in the area. Our interviews reveal the intrinsic satisfaction these leaders experience in 'making a difference'; but we question a system which relies upon goodwill, and represents a largely invisible and unrecognised public service, attempting to mitigate the impacts of growing deprivation and adversity.
Pengembangan Media Wayang Fantasi Untuk Mengembangkan Kemampuan Bercerita Anak Usia 5-6 Tahun
Authors: Pangestika Regita Pramesti  , Epritha Kurnia Wati  , Anik Lestariningrum
Published: May 2022

Penelitian ini dilatarbelakangi hasil pengamatan peneliti terkait pemanfaatan media pembelajaran yang digunakan dalam mengembangkan kemampuan bercerita anak masih banyak menggunakan bahan dari pembelian pabrik, serta boneka yang ada disekolah saja. Hal ini menjadi bahan kajian peneliti ingin mengembangkan media yang lebih menarik berdasarkan kebutuhan anak sehingga anak tidak bosan. Tujuan penelitian ini mengembangkan media pembelajaran wayang fantasi untuk mengembangkan kemampuan bercerita anak usia 5-6 tahun. Jenis penelitian ini adalah Research and Development  mengacu pada prosedur penelitian milik Borg and Gall dengan tahapan yang dipilih oleh peneliti empat tahapan yaitu; (1) potensi dan masalah, (2) pengumpulan data, (3) desain produk, (4) validasi desain. Penyusunan instrument merupakan pengembangan validasi materi dan validasi ahli dimana subjek yang digunakan dalam penelitian di TK Labschool UNP Kediri.  Analisis data pada penelitian pengembangan ini menggunakan rumus Aiken untuk menentukan kelayakan dan kemenarikan produk hasil pengembangan yakni berupa wayang fantasi, kemudian dianalisis kuantitatif dan kualitatif. Kesimpulan yang diperoleh adalah hasil validasi desain media wayang fantasi   dinyatakan layak dengan hasil nilai 97,6%. Rekomendasi yang diberikan berdasarkan masukan validator sebaiknya diujicobakan produk untuk bisa melihat lagi tahapan keefektifan langsung pada anak usia dini.
Peningkatan Kemampuan Berbicara Bahasa Inggris Anak Pra-Sekolah Melalui Puzzle Geometri
Authors: Ratnadi Ni Nyoman Ari
Published: May 2022

Tujuan penelitian ini menganalisis Pengaruh Permainan Puzzle Geometri terhadap Peningkatan Kemampuan Berbicara Bahasa Inggris Anak Prasekolah di TK Wisata Kumara Barat Lovina. Desain penelitian menggunakan pra-eksperimental dengan rancangan one group pre-post test design. Populasi yang digunakan adalah anak usia 3-4 tahun di TK Wisata Kumara Barat Lovina dengan sampel 40 responden yang dipilih menggunakan teknik total sampling. Penelitian menggunakan statistik parametrik uji Paired t-test dengan taraf signifikan α=0,05. Didapatkan rata-rata (mean) pre-test adalah 59,00 dan rata-rata (mean) post-test adalah 75,00. Hasil uji statistik parametrik menggunakan uji Paired T-test didapatkan hasil pre dan post (0,000)<α (0,05), yang berarti H0 ditolak dan Ha diterima. Hal ini berarti terdapat Pengaruh Permainan Puzzle Geometri terhadap Peningkatan Kemampuan Berbicara Bahasa Inggris Anak Usia 3-5 Tahun di TK Wisata Kumara Barat Lovina. Oleh karena itu, diharapkan bagi TK Wisata Kumara Barat Lovina agar menerapkan puzzle geometri dalam aktifitas pembelajaran di kelas.
Analysis of the Role of the Provincial Cooperatives and UKM Office in Improving Community Welfare
Authors: Puspita Yena , Marliyah Marliyah
Published: May 2022

The title of the research is analyzing the role of Cooperative Services and UKM of North Sumatera Provincies in improving society welfare. Training of the research is to know the strategies and programs had done by cooperative service and UKM of North Sumatera Province in improving society wilfare. One of the conclusion of UKM research is: firstly, giving training and briefing of capital procurement, secondly, giving an egression to get business capital, thirdly, giving training and briefing in improving goods production. Furthermore, the role of cooperative service and ukm in improring society welfare. The role has dime thy cooperative service and UKM of North Sumatera Province to safe the society by conducting seminars or counseling and training for the society to get beculinary able to create micro business or create the cooperatives to improve the economy both in terms of the family economy and the country’s economy so that there are not many people who are poor and also unemployed. And also improve the society welfare by providing capital loans or for members of the cooperative by means saving first and then brrowing for members who have joined the cooperative. The research method is a qualitative mothod, the words are writen or spoken from the the people or subjecs are being observed. And this data is obtained from literature studies, interviews and observations to determine the analysis the role of the cooperative service and UKM for improving the society welfare..
Strategy of the Department of Cooperatives and Small Business of North Sumatra Province in the Development of Cooperatives in North Sumatera
Authors: Pohan Saidah Ulfah , Marliyah Marliyah
Published: May 2022

The development of cooperatives is in accordance with the identical development of the people's economy. The welfare of the wider community and together is the basis of the development of Indonesian cooperatives. This research method is a descriptive method, which is an attempt to reveal the actual facts faced by cooperative actors in the North Sumatra region. Cooperatives are developed to realize economic democracy which, among other things, is manifested in the distribution of income in the community through the growth of healthy cooperatives. Cooperatives are driven so that the distribution of ownership of assets (wealth) and business opportunities in society is improved functionally and continuously. Even some experts say that cooperatives are a movement that plays a role in accelerating the process of capital ownership reform.
Analysis of the Distribution of Zakat Infaq and Shadaqah (ZIS) to the Community in the Baznas of Tebing Tinggi City
Authors: Tambunan Lisa Chintiya , Arif Muhammad
Published: May 2022

The distribution of zakat is an activity carried out to accelerate and facilitate the distribution of zakat funds (including infaq and shadaqoh) from muzakki to mustahik. This makes zakat funds can be distributed according to what is intended and good and correct distribution will have the impact of reducing social inequality in society. The purpose of this study is to find out how the distribution of Zakat, Infaq, and Shadaqoh (ZIS) is and how it plays a role for the community in Baznas, Tebing Tinggi City. This study uses a qualitative approach. The results of this study are that the Tebing Tinggi City Baznas collects zakat maal, zakat fitrah, professional zakat, infaq, shadaqah, and so on assisted by the Zakat Collection Unit (UPZ) and directly from muzakki or through accounts with records of muzakki reporting zakat received will be submitted by filling out a signed deposit receipt and submitting it to the Tebing Tinggi City Baznas, in the case of zakat collection, muzakki also perform their own calculations of their zakat obligations and if needed the Tebing Tinggi City Baznas will help, and Tebing Tinggi City Baznas are required to provide proof of zakat deposit to every muzakki who has paid. Zakat, Infaq, and Sadaqah (ZIS) socialization activities are also very necessary and important to do. This can foster scientific insight about Zakat, Infaq, and Sadaqah (ZIS) for the community.
No ka Haʻiʻōlelo Kuʻuna: He Hoʻōla Kākāʻōlelo
Authors: Perreira Hiapokeikikāne Kichie
Published: May 2022

The scope of this paper, based on our previous article regarding the constitutional makeup of Hawaiian writing (see Perreira 2013), centers on the further development and application of such writing conventions in Hawaiian speechmaking. This article provides a simple outline from which one can create rhetorical flourish, along with examples of speeches for further consideration.
Helu Hawaiʻi: A Critical Ethnomathematics Perspective
Authors: Kukahiko Eōmaikalani Keonaonalikookalehua
Published: May 2022

This article is a recapturing of our Hawaiian numerical moʻolelo through historical Hawaiian language texts. While curricular trends in Hawaiʻi's public educational settings (and nationwide) aim to normalize a narrow, standardized Western worldview of mathematics education, this critical ethnomathematic interrogation of foundational Hawaiian language texts engages new perspectives and reaffirms our genealogical connections to rich cultural traditions of Helu Hawaiʻi.
Welina Mānoa: A Hawaiian Language Curriculum That Exposes Acts of Settler Colonial Erasure and Reveals Stories of ʻŌiwi Survivance
Authors: Saffrey Maya L. Kawailanaokeawaiki
Published: May 2022

Kānaka Hawaiʻi have been dealing with settler colonial erasures for centuries, from changes to our landscape and our presence on it to our virtual elimination from school curricula. This article features a curriculum titled Welina Mānoa, which brings these erasures into full view while also revealing stories of survivance and resurgence by ʻŌiwi of Mānoa and Waikīkī who refuse to be silenced and forgotten. Led by a team of Kānaka Hawaiʻi, this curriculum initiative is dedicated to developing learning experiences for Hawaiʻi's students based on the language, living practices, and genealogies of the land and Native people of Hawaiʻi. Furthermore, its development is a statement of survivance in and of itself—challenging the many curricula that are imposed on our students in Hawaiʻi, which continue to contribute to our Native erasure and elimination.
Hei, Hawaiian String Figures: Spiritual Connections, Learning, and Research
Authors: Akana Kalani
Published: May 2022

This article describes my discoveries as a Hawaiian researcher with hei (string figures) as the media of recovery. String and string figures have helped me connect back to my ancestors and their ways of knowing and doing and have reminded me of the importance of kuleana (responsibility) and haʻahaʻa (humility), some of the values that have sustained my people with health and wholeness for generations. By connecting to the moʻokūʻauhau (genealogy), moʻolelo (stories), and mele (chants) of my kūpuna (ancestors), I have been able to align my Indigenous research methodology with a more Hawaiian way of conducting research.
Kū ka ‘Ōhi‘a i ka ‘A‘ā—‘Ōhi‘a That Stands amid the Lava Fields
Authors: Mokuau Noreen , Crabbe Kamanaʻopono , Fox Kealoha
Published: May 2022

With haliʻa aloha and sincere gratitude, a few of us sat together to share personal reflections about Kekuni Blaisdell, a beloved man who had mentored and nurtured us for many years. The gathering was reminiscent of previous afternoons in Nuʻuanu when Kekuni had welcomed haumāna to his home—a kīpuka where kapa hung on the wall and conversations flowed freely. Memories of these precious times together were still vivid: Kekuni’s dark red ink pen to correct our manuscripts, perhaps a camera to capture a moment in time, his reclaiming of the phrase Kānaka Maoli to describe the first peoples, his persistent reminder that Hawaiʻi is the “mainland” and, most significantly, his leadership in establishing strong pilina that connect the lähui and will continue to unite us. The essay that follows is our expression of profound aloha, respect, and appreciation for Kekuni Blaisdell.
Are identity leadership and shared social identity associated with the highly reliable behaviour of military personnel? Protocol for a systematic review.
Authors:   The University of Queensland, Knox Sally , Way Kïrsten , Haslam Alex
Published: May 2022

Review question / Objective: Are identity leadership and shared social identity associated with the highly reliable behaviour of military personnel? Information sources: Searches will be conducted in the following databases: PsychInfo, Web of Sciences, Proquest Social Science Database, PTSDpubs, PubMed, Business Source Complete, and SCOPUS. To ensure literature saturation, the eligible papers and reviews identified through the search will be used for reference mining. A bibliography of the eligible papers will be circulated to the systematic review team and social identity experts identified by the team to ensure all relevant material has been captured.
Efficacy of internet-based Self-Management Interventions for Depression in German: Protocol for a systematic Review and Meta-Analysis
Authors:   Universität zu Lübeck, Vock Pia , Wächtershäuser Nikolaj
Published: May 2022

Review question / Objective: The aim of this systematic review and meta-analysis is to examine the effectiveness of internet-based self-management interventions for depressive symptoms in adults, which are available in German and have been tested via randomized controlled trials. The interventions must be either available for free or covered by public health insurance. Information sources: The electronic database PubMed will be used for systematic literature search. Additionally, the “DiGA-Verzeichnis” of the “Bundesinstitut für Arzneimittel und Medizinprodukte” as well as the manufacturers' websites of the identified interventions will be searched for relevant studies. The knowledge of an expert on digital interventions for mental disorders also serves as a source of information.
Wolność religijna w miejscu pracy
Authors: Kruszyński Rafał J.
Published: May 2022

Artykuł dotyczy zagadnienia wolności religijnej w perspektywie relacji pracownik-pracodawca. Omawia istotne orzeczenia Europejskiego Trybunału Praw Człowieka dotyczące wolności religijnej w miejscu pracy, ukazując często subtelne różnice w podejściu orzeczniczym, zależne choćby od tego, czy pracownik jest zatrudniony w sektorze publicznym czy prywatnym. Skupia się jednak nie tylko na zagadnieniach szczegółowych, ale wprowadza do dyskursu istotne elementy natury ogólnej. Analizując normatywną konstrukcję (wolność myśli, sumienia i wyznania), ukazuje stan, w którym ta sama wolność może chronić zarówno działania religijne, jak i areligijne czy wręcz antyreligijne. Wskazuje również na możliwą konfrontację wartości transcendentnych (wynikających z wolności religijnej) z doczesnymi (często zwyczajnie majątkowymi), przedstawiając argumenty umożliwiające obronę tych pierwszych.
Eficacia y seguridad de la tibolona, en mujeres posmenopáusicas: revisión sistemática de la literatura
Authors: Espitia De La Hoz Franklin José
Published: May 2022

Introducción: la tibolona ha demostrado franca mejoría de las molestias del climaterio, sin afectar el grosor endometrial, el perfil lipídico, la glucemia o el sistema cardiovascular. El objetivo fue evaluar la eficacia y seguridad de la tibolona en mujeres posmenopáusicas, comparado con estrógenos conjugados de origen equino, 17 beta-estradiol 2 mg / acetato de noretisterona 1 mg, valerato de estradiol, estradiol transdérmico y placebo.

Materiales y métodos: se hizo una búsqueda sistemática de la literatura médica mediante las siguientes bases de datos: Medline vía PubMed, Central, CINAHL, entre otras. La búsqueda se limitó a ensayos clínicos aleatorizados, metaanálisis y revisiones bibliográficas, que tuvieran disponible el texto completo, en inglés y español; publicados entre 1980 y 2021. Los desenlaces evaluados incluyeron alivio del síndrome climatérico, mejora de la actividad y gratificación sexual, proporción de cáncer de mama y eventos adversos.

 

Resultados: se incluyeron sesenta y uno estudios. La tibolona demostró diferencias significativas frente al placebo, en el alivio del síndrome climatérico. Mostró mayor mejoría de la actividad y gratificación sexual, y menor proporción de eventos adversos que los estrógenos, las combinaciones de 17 beta-estradiol 2 mg / acetato de noretisterona 1 mg, y el estradiol transdérmico.

Conclusiones: tibolona tiene una eficacia similar para mejorar el síndrome vasomotor con otros comparadores, con ventajas frente a los estrógenos en la mejoría de la actividad y gratificación sexual: y frente a las combinaciones de 17 beta-estradiol 2 mg / acetato de noretisterona 1 mg y estradiol transdérmico y en eventos adversos.
Dinámica de la pobreza multidimensional subnacional en los países en desarrollo: los casos de Ecuador y Uruguay
Authors: Obaco Moisés , Pontarollo Nicola , Mendieta Muñoz Rodrigo
Published: May 2022

This paper studies deprivation dynamics at the subnational level, introducing a Local Multidimensional Poverty Index (LMPI), and focusing on multidimensional poverty in Ecuador and Uruguay between the last two available censuses, 1990–2010 and 1996–2011, respectively. As a first step, we construct the LMPI at the municipal level using microdata from both counties. Subsequently, we explore spatial and temporal dynamics through a set of tools such as the salter graph, Moran’s I, Moran scatterplot, and spatial transition matrix. The results indicate that compared to Ecuador, Uruguay was initially in a better position in terms of the LMPI. However, Ecuador achieved a generalized reduction of the LMPI during the period of analysis, reaching levels close to that of Uruguay. Nevertheless, spatial persistence in the LMPI is observed.
La Cohesión en Europa
Authors: Royuela Vicente
Published: May 2022

En esta nota se resumen los aspectos más destacados del octavo informe sobre la cohesión económica, social y territorial de la Unión Europea, que recientemente ha visto la luz.