bluuebunny/crossref_metadata_2025 huggingface dataset:
Conforto térmico em trabalhadores de aviários
Authors: Ferreira Ana , Simões Hélder , Figueiredo João Paulo , Paixão Susana , Simões Costa Lúcia , Seco Silvia , Loureiro António
Published: July 2021

Enquadramento: podendo existir vulnerabilidade dos trabalhadores avícolas face às temperaturas do interior dos aviários em comparação com as do exterior é importante analisar a sua exposição ocupacional em termos de conforto térmico. Objetivos: avaliar o conforto térmico em trabalhadores do setor avícola no ambiente interior e exterior dos aviários e analisar a sua possível relação com a fase de desenvolvimento do frango. Metodologia: o estudo efetuado foi observacional, transversal, com uma amostra por conveniência de 6 trabalhadores de 8 aviários. A recolha de dados foi realizada através de um questionário dirigido a todos os trabalhadores seguida da medição dos valores de Predicted Mean Vote (PMV) e Predicted Percentage of Dissatisfied (PPD). Resultados: em aviários de frangos com 8 dias de idade verificou-se uma total concordância entre os valores de PMV e PPD, nos de 35 dias uma concordância significativa e nos de 85 dias uma considerável concordância. Conclusão: existe desconforto térmico nos trabalhadores avaliados, especialmente nos que trabalham em aviários para frangos com 8 e 35 dias de idade. O desconforto térmico foi pior nos aviários de frangos com 8 dias, revelando assim a relação entre o índice de conforto térmico e a fase de desenvolvimento do frango.
Maximum permissible inelastic deformations of hybrid rectangular plates during intense explosions
Authors: Немировский Юрий Владимирович
Published: July 2021

Для гибридных прямоугольных слоистых пластин из произвольных наборов изотропных конструкционных материалов с симметричной структурой расположения слоев относительно отчетной (нейтральной) поверхности получены аналитические формулы оценок допустимой остаточной повреждаемости при воздействии интенсивных нагрузок взрывного типа. Закрепления контура предусматривают любую комбинацию из жестких или шарнирных условий отдельных сторон прямоугольного контура. В основе рассмотренной модели использованы традиционные кинематические гипотезы Кирхгофа, деформационная теория А.А. Ильюшина, принцип слабейшего звена для используемых материалов и деформационный критерий предразрушения для всех используемых фазовых материалов. Использован наиболее распространенный в практике закон изменения во времени давления на фронте взрывной волны.

For hybrid rectangular layered plates from arbitrary sets of isotropic structural materials with a symmetric structure of the arrangement of layers relative to the reporting (neutral) surface, analytical formulas for assessing the permissible residual damage under the action of intense explosive loads are obtained. Contour anchors provide for any combination of rigid or hinge conditions of individual sides of a rectangular contour. The considered model is based on the traditional kinematic hypotheses of Kirchhoff, the deformation theory A.A. Ilyushin, the principle of the weakest link for the materials used and the deformation criterion for pre-fracture for all used phase materials. The most widespread law of time variation of pressure at the front of a blast wave is used.
Tìm hiểu mối liên quan giữa lâm sàng với hình ảnh học não của động kinh cục bộ trẻ em
Authors: Ton Nu Van Anh
Published: July 2021

Đặt vấn đề: Động kinh là một rối loạn thần kinh trầm trọng, đứng hàng thứ hai trong các bệnh lý thần kinh ở trẻ em tại Việt Nam. Trong đó, động kinh cục bộ chiếm khoảng 40%. Chỉ khoảng 60% bệnh nhân động kinh hết cơn mặc dù điều trị đầy đủ, phần còn lại hầu hết là động kinh cục bộ. EEG và hình ảnh học chẩn đoán là chỉ định cần thiết trong chẩn đoán, điều trị và theo dõi động kinh cục bộ.

Mục tiêu: Tìm hiểu mối liên quan giữa đặc điểm lâm sàng với hình ảnh học não.

Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang. Cỡ mẫu thuận tiện gồm 38 trẻ động kinh cục bộ được điều trị tại Trung tâm Nhi khoa, bệnh viện Trung Ương Huế từ tháng 02/2020 đến tháng 3/2021.

Kết quả: Nghiên cứu bao gồm 38 trẻ động kinh cục bộ với tuổi trung bình 5,4 ± 3,8 tuổi. Trẻ nam chiếm 63,2%. 7,9% trẻ có tiền sử gia đình có người bị động kinh. Tuổi khởi phát động kinh cao nhất ở nhóm 2-5 tuổi. Động kinh cục bộ có suy giảm ý thức chiếm tỷ lệ cao nhất với 57,8%, tiếp đến là cơn cục bộ thành co cứng - co giật 2 bên 29,0%, động kinh cục bộ còn ý thức 13,2%. Hầu hết cơn động kinh cục bộ có khởi phát vận động. EEG có sóng động kinh ở 68,4%. Có 31,6% phát hiện bất thường trên MRI. Không có mối liên quan giữa tuổi, giới, tần suất cơn, loại cơn với bất thường trên điện não đồ. Có mối liên quan giữa tuổi, chậm phát triển tinh thần vận động, tần suất cơn với bất thường trên MRI, trong khi không có mối liên quan giữa giới, tiền sử gia đình, loại cơn với bất thường trên MRI.

Kết luận: Cơn động kinh suy giảm ý thức chiếm tỷ lệ cao nhất. Có 68,4% trường hợp phát hiện được sóng động kinh trên EEG. Tỷ lệ phát hiện tổn thương trên hình ảnh học não không cao với 31,6%. Có mối liên quan giữa tuổi, chậm phát triển tinh thần vận động, tần suất cơn động kinh với tổn thương não trên MRI.
Nghiên cứu mối tương quan của các yếu tố nguy cơ tim mạch với thang điểm CHA2DS2-VASC ở bệnh nhân đột quỵ có rung nhĩ không do bệnh van tim
Authors: Ho Anh Binh
Published: July 2021

Đặt vấn đề: Điểm CHA 2DS2-VASc càng cao thì nguy cơ đột quỵ càng gia tăng. Tuy vậy, trong thực hành lâm sàng hàng ngày có một tỷ lệ không nhỏ bệnh nhân đột quỵ do rung nhĩ nhưng lại có điểm CHA2DS2- VASc = 0 và 1, thuộc nhóm nguy cơ thấp đến trung bình. Nghiên cứu nhằm mục đích nghiên cứu yếu tố nguy cơ (YTNC) nào hoặc nhóm YTNC nào thường gặp trên bệnh nhân đột quỵ. Chúng tôi tiến hành nghiên cứu đề tài với 2 mục tiêu: Thứ nhất, đánh giá các yếu tố nguy cơ của bệnh nhân đột quỵ có rung nhĩ không do bệnh van tim. Thứ hai, nghiên cứu mối tuơng quan của yếu tố nguy cơ với thang điểm CHA2DS2-VASc.

Đối tượng, phương pháp: Nghiên cứu mô tả cắt ngang trên bệnh nhân được chẩn đoán đột quỵ có rung nhĩ không do bệnh lý van tim.

Kết quả: Phối hợp 1 YTNC chiếm 13,2%, trong đó bệnh mạch máu chiếm 7,7%. Phối hợp 2 YTNC (40,7%), trong đó tăng huyết áp + bệnh mạch máu chiếm 28,6%. Phối hợp 3 YTNC (26,4%), trong đó Suy tim + Tăng huyết áp + bệnh mạch máu chiếm 14,3%. Phối hợp 4 YTNC (18,7%), trong đó Suy tim + Tăng huyết áp + Đột quỵ và bệnh mạch máu chiếm 11,0%.Đa số các nhóm YTNC có điểm CHA2DS2-VASc ≥ 6 chiếm tỷ lệ cao hơn 2 nhóm điểm CHA2DS2-VASc = 2-3 điểm và CHA2DS2-VASc 4-5 điểm.Điểm CHA2DS2- VASC trung bình tăng dần theo số các YTNC và CHA2DS2-VASc tương quan thuận với tuổi với phương trình hồi quy tuyến tính y = 0,084x-1,662 và hệ số tương quan là r=0,485.

Kết luận: Số YTNC tương quan tỷ lệ thuận với điểm số CHA 2DS2-VASc.
Hành vi chế độ ăn lành mạnh và một số yếu tố liên quan trong nhóm vị thành niên tại Việt Nam năm 2019
Authors:   Hanoi Uiniversity of Public Health, Bui Thi My Anh , Pham Quynh Anh , Nguyen Thi Thanh Hoa , Tran Thi Huyen Trang , Tran Thi Hoa
Published: July 2021

Unhealthy diet behavior contributed to a risk factor for the reasons of non-comunicable diseases. Increasing in unhealthy eating habits among adolecenses such as skipping breakfast, consumption of soft drinks and fast food can cause for the situation of obesity in young people group that is a concerning problem nowadays. Objectives: the study aim to describe the situation of unhealthy diet behaviors and its related factors among adolecenses in Hanoi in 2019. Methods: a cross-sectional study design was conducted from July 2019 to May 2020. A total of 1770 adolescenses aged from 16 to 18 at 15 high schools in 5 districts in Hanoi were selected in this study. Results: The results showed that a half of participants in this study had a reasonable and healthy diet. Approximately one fouth of adolecenses had a behaviors of drinking milk 4 times per week, only 45% of adolecenses had a daily breakfast. Gender and smoking behaviour were found a significant related to healthy diet behaviour among adolecense. Conclusions: In order to maintain a healthy diet behaviour in young people group, it is necessary to enhance the IEC campaign for adolecenses to follow and keep a reasonable and health diet such as having a daily breakfast, eating vegetables, reducing salty and fatty in their meals. Keywords: Risk behaviour, healthy/unhealthy diet, adolecenses, Vietnam…
Một số chỉ số sức khỏe, hành vi nguy cơ và sử dụng dịch vụ y tế ở trẻ vị thành niên dân tộc Chăm tại An Giang năm 2019
Authors:   An Giang Medical College, Le Hoang An , Nguyen Thanh , Hoang Van
Published: July 2021

In order to improve the quality of healthcare services for Cham adolescents in the coming time, the study describes some health indicators, risk behaviors and using of healthcare services, basing on these, factors relating to healthcare services use are analyzed. This study is part of the state-level study project "Basic and urgent solutions for ethnic minority healthcare in our country at present", The study applied cross-sectional research methodology with the combination of quantitative and qualitative analysis. The author used data collected from 96 participants who are Cham adolescents in An Giang from the original study and analyzed data in both male and female groups, from April 2018 to October 2020. The result shows that the rate of adolescents with diseases within 03 months prior the study is 87.5%; within 12 months prior the study is 1.04% for chronic illness; 2.08% for risk behaviors due to injury; feeling bored, losing concentration in studying and working accounting for 7.29%; the proportion of sick adolescents that take recent medical services is 13%; with no treatment is 20.3%. Basing on this, it is recommended for families and schools to have immediate encouragement and share when they show the signs of boredom, to avoid negative effects on their studies, parents and adolescents should go to medical clinics for treatment to when sick, not treating themseves at home. Key words: Adolescent, health, health services, risk behavior, An Giang, Cham ethnicity.
Vai trò của người chồng và mối liên quan với sàng lọc ung thư cổ tử cung của người vợ tại huyện Thanh Bình, tỉnh Đồng Tháp năm 2020
Authors:   Thanh Binh Medical Center, Huynh Thi My Loan , Tran Huu Bich
Published: July 2021

Objective: Describe cervical cancer screening practice for married women aged 30-50 years and the relationship between husband support and wife screening. Research method: Cross-section design with 255 couples living in Thanh Binh district, Dong Thap province from March to July 2020. Results: The proportion of women who had cervical cancer screening was 24.2%. Married women who do not regularly help their wives with housework, spend money on their wives to see health checks and encourage their wives to get screened have a 1.37, 1.31 and 1.35 times higher rate of non-screening. (p <0.05) compared with women with regular supportive husbands. Conclusion: Cervical cancer screening practices are low. The husband's support is related to the wife's cervical cancer screening. The role of the husband should continue to research to provide information for the cervical cancer screening program to be implemented more effectively. Key words: Cervical cancer, screening for cervical / cervical cancer, husband's role.
Thực trạng và một số yếu tố ảnh hưởng đến văn hóa an toàn người bệnh của nhân viên y tế Bệnh viện Hữu Nghị Việt Nam – Cu Ba năm 2020
Authors:   Vietnam – Cuba Friendship Hospital, Nguyen Thi Huong , Pham Thi Mai , Ha Van Nhu
Published: July 2021

Objective: To describe the situation and analyze some related factors on the patient safety culture of health workers at Vietnam - Cuba Friendship Hospital in 2020 Methods: This is a cross-sectional study that combines qualitative and quantitative methods, conducted at Vietnam - Cuba Friendship Hospital, from February to November 2020. The quantitative research was using HSOPSC toolkit to consult 165 doctors, nurses/technicians; and conducting 12 in-depth interviews. Quantitative data were analyzed by using SPSS software and the qualitative one was recorded, analyzed, and synthesized with each group of influencing factors. Main findings: The overall positive response rate with patient safety culture is 73.9%. The highest positive response rate is 94.2% with “Teamwork within units” dimension and the lowest rated dimension was 50.1% with “Nonpunitive response to error” dimension. The low and middle-income group rated the level of internal safety higher than the high-income group (p = 0.001), and positively response rate to patient safety culture of health workers at Internal Medicine Department is higher than that at Surgery and Subclinical Departments (p <0.05). In-depth interviews showed management concerns, process/regulation systems, patient safety training, adverse event reporting systems, punishment mechanism and monitoring activities are factors affecting patient safety culture. Conclusions and recommendation: Communication about medical adverse event management for all health staff of the hospital and application of the patient safety culture should be improved. Keywords: patient safety culture, impacting factors, Vietnam – Cuba Friendship Hospital
Thực trạng tiêm chủng đầy đủ, đúng lịch cho trẻ dưới 1 tuổi và một số yếu tố ảnh hưởng tại phường Tân Lợi, thành phố Buôn Ma Thuột, năm 2020
Authors:   Medical station in Tan Loi ward, Buon Ma Thuot city, Ho Thi Ly Lan , Phung Thanh Hung
Published: July 2021

A cross-sectional descriptive study combining quantitative and qualitative methods is conducted with the objectives: 1/ Describe timely immunization completion for children under one year old and 2/ Analayze some factors affecting timely immunization completion for children under one year old in Tan Loi ward, Buon Ma Thuot city in 2020. The results indicated that timely immunization completion reached 95%, the rate of timely immunization completion was only 43.1%, the highest rate of vaccination against tuberculosis was 96.3%; The lowest rate was the 5-in-1 vaccination schedule for four-month-old children with 43.1%. The study found associations between occupation, educational level and ehenic (OR = 1.5-5, p<0,05). Two negative factors affecting the full and on schedule vaccination rate in the study area are the lack of attention and coordination of local authorities to participate in the immunization program, leading to some mothers, delaying or refusing to vaccinate their children Keywords: Immunization, Children under one year old, full, timely.
Ứng dụng Lean Six Sigma cho quy trình khám chữa bệnh ngoại trú có BHYT tại một số bệnh viện thành phố Hồ Chí Minh
Authors:   University of Medicine and Pharmacy at Ho Chi Minh City, Truong Van Dat , Hua Thi Hong An , Le Dang Tu Nguyen , Nguyen Thi Hai Yen
Published: July 2021

Objects: Evaluate the current state of the quality of insured outpatient services (clinical time, patient satisfaction) and evaluate the effectiveness of the LSS improvement in some steps in the process. Methods: Lean Six Sigma applied research is conducted through five steps: Define-Measure-Analyze-Improve-Control from March 2017 to June 2017 in the outpatient care with health insurance in some Ho Chi Minh city hospitals. A survey on 166 outpatients with health insurance was conducted by direct interviews of pre- and post-admission and in consultation with 10 health staff members. Result: 32 causes of ineffective activities were identified in two screening procedures. Then corrective measures were suggested. The goal of improving survey process timing and patient satisfaction is 20%. After improvements in the Lean Six Sigma model, positive results on the timing of the two procedures were obtained, including the expected length of the registration process (<40 minutes) was improved by 13.8%, the expected length of dosage regimen (<20 minutes) was improved by 22.9%, and the satisfaction level of patients was improved by 11.5%. Conclusion: The Lean Six Sigma model is valued for identifying root causes for non-performance activities in the two above-mentioned screening procedures. It is recommended to apply this model to other procedures and other departments in the hospital, to propose remedies or eliminations from the process based on identified causes. Keyword: Lean, process of outpatients treatment
Thực trạng tuân thủ vệ sinh tay thường quy của nhân viên y tế trung tâm y tế Cư Jút, Đắk Nông và một số yếu tố ảnh hưởng năm 2020
Authors:   Cu Jut Medical Center, Dak Nong district, Pham Ba , Tran Thi Tuyet
Published: July 2021

Background: Hand hygiene is a great way to ensure safety for health staff and prevent infections in hospital. Objective: The study aimed to determine the rate of compliance with routine hand hygiene and to analyze some factors affecting hand hygiene compliance routine of medical staff. Method: A study that describes a cross-sectional study, a study that combines both quantitative and qualitative methods through the observation by a checklist of 92 health-care workers who perform a procedure on 368 hand-hygiene opportunities and gather information through burns. interviewed 92 medical staff, conducted 04 in-depth interviews and 02 group discussions, and collected from March to the end of June 2020. Research Using Epidata 3.1 software to input data and manage data; Stata 14.0 software for data analysis. Results show that the percentage of health staffs who complied with routine hand hygiene was 14.13%, and the knowledge and attitudes of hospital staffs were related to routine hand hygiene compliance, with p<0.05. Inspection and supervision, regulations on emulation and commendation; training and accessibility solutions were related withhand hygiene of health staffs. Conclusion: Hospital staffs' hand hygiene compliance rate was relatively low, which was related to knowledge and attitudes. Keywords: Routine hand hygiene, medical staff, influencing factors.
The relationship between T-CD4 recovery and HIV disclosure status among HIV-infected patients on first-line antiretroviral therapy at the Hospital for Tropical Diseases in Ho Chi Minh City
Authors:   Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh city, Dieu Minh Nhat , Vo Van Tam , Tran Dang Khoa , Tran Thi Kim Ngan , Nguyen Viet Thinh , Cao Ngoc Nga
Published: July 2021

Objective: Establishes a relationship between T-CD4 recovery and patient’s HIV disclosure status. Methods: Cross-section and clinical record review study on 151 HIV-infected patients who were 18 years old or above on first-line antiretroviral therapy (1) for 18 to 36 months at the Hospital for Tropical Diseases in Ho Chi Minh city (HCMC) in 2019. Participants are selected by convenient method. Research conducted face-to-face interviewing participants by structured questionnaire and collected data directly from each participant's respective medical record, including duration of ART, number of T-CD4 at the beginning of ART, number of current T-CD4. Results: The results showed that within patients who revealed HIV infection to other people, the patients who revealed to their brothers and sisters recovered T-CD4 were 1.45 times more effective (95% CI: 1.09 – 1.93) compared with patients who did not disclose to siblings (p = 0.010). Conclusion: Family members, especially siblings need to care and share so that HIV-infected patients can disclose their status. In particular, wife, husband or partners need to help and motivate patients more to make the patient's treatment better. Keywords: ART, T-CD4, recovery, HIV, disclosure.
Cost-effectiveness of interventions for people with dementia without caregiver: A Systematic Review
Authors:   Hanoi Medical University, Vu Thi Hue , Bui Bich Huong , Pham Hai Thanh , Nguyen Huu Thang
Published: July 2021

Objective: This study was conducted to answer the three questions: 1- What intervention with no caregiver to increase cost-effectiveness in patients with dementia have been implemented? 2- How has disease progression changed in these interventions? 3- How has cost effectiveness changed in these interventions? Methods: The databases were searched from PubMed, Cochrane and Science Direct. Studies on cost-effectiveness of interventions for people with dementia without caregiver published from 2010 to 2020 have been filtered. Systematic review was carried out according to the Cochrane Collaboration methodology. Search for documents based on PICOTS standards: Population - Patients with dementia, regardless of disease severity; Intervention - Intervention with no-caregiver for dementia patients; Comparison - The intervention group and the control group; Outcome measure - Disease progression and Cost effectiveness; Time - Studies published from January to January 2020. Study design: A randomized controlled trial. Study subjects are not age restricted. Results: 2163 documents were found, of which, there are 15 documents satisfy the criteria. (1) Modes of intervention: There are 3 studies on exercise interventions, 2 studies on drug treatment, the rest are different treatment programs. In which, the START program has done the most studies with 3 studies. (2) Disease progression: Out of the 15 studies, 14 found the difference between the intervention group and the control group. The intervention group mostly had higher QALYs and had better disease progression. (3) Cost-effectiveness: There are 11 out of 15 studies showing the cost-effectiveness of the intervention group compared with the usual care group. 4 remaining studies did not show a cost-effectiveness and there is no evidence of cost-effectiveness unless the service user is willing to pay certain amount for that intervention. Conclusion: This study shows evidence of no-caregiver interventions that improve dementia and increase the cost-effectiveness of treatment. Keywords: dementia, cost-effectiveness, no-caregiver, review.
Commentary: A Significant Transition of Mode of Teaching and Studying to meet the Covid-19 challenges in an university in Vietnam
Authors:   Hanoi University of Publich Health, Le Minh Thi
Published: July 2021

Since the coronavirus outbreak in January, many schools and universities in Vietnam have almost entirely closed for nearly three months as a means of social distancing. The Ministry of Education has requested institutions to shift to online teaching to ensure students are kept up with their study progress while staying at home, and millions of students have been using different digital online learning approaches to satisfy their home-based learning needs. This paper is to comment on the change and challenges of students and lecturers in adapting training strategies response to Covid 19. Although the social distancing lasted only 3 months and there were some concerns regarding the disadvantages of digital and online way of studying, the training strategies in the Universities have changed significantly. Covid -19 also brings an opportunity in rebuild our education system carefully and adaptably in this sensitive world. Keywords: Covid-19, university, training, opportunity, challenges, Vietnam
The cost of HIV testing at five district health facilities intervented poct model to confirmation HIV detected
Authors:   Vietnam Administration HIV/AIDS Control, Ministry of Health, Nguyen Viet Nga , Ho Thi Hien , Nguyen Thanh Long
Published: July 2021

Objective: HIV testing is the only method to confirm people infected with HIV. There are many models providing HIV testing services. HIV testing cost is an important component for the investment and strategic direction of policies and programs on HIV. This paper describes HIV testing costs of HIV confirmatory testing by using three rapid diagnostic tests at district level (POCT- Point of Care testing). Methods: cross-sectional study design was employed, costs are calculated using the cost-allocation method based on the proportion of resources used for the personnel, investment such as infrastructure and equipments, routine operational costs including test kits and consumable supplies, administration and training, fuel costs using for HIV testing in the laboratory, transporting the sample to province for HIV positived confirmation and HIV confirmatory test at the province. Five district health centers (DHC) thực hiện mô hình can thiệp POCT HIV were studied, HIV tests were conducted for 4,636 clients in 2016. Results : 201 HIV positive cases were detected; after implementing the POCT model to confirm HIV status at these five DHCs, the cost per HIV screening test case is 7,4 USD on average; and cost per an HIV comfirmatory test is 206,8 USD. Conclusion: Applying the POCT model of HIV helps reducethe cost of HIV testing because of saving cost for sample transportion and implementing confirm HIV detected more in provincal standard laboratory. It should be expanded to use especially limitted resource settings in Vietnam Keywords: HIV, HIV test, POCT, cost
Cuidados direcionados às práticas de educação física escolar para crianças com diabetes tipo I / Care directed to school physical education practices for children with type I diabetes
Authors: De Almeida Kimberlym Ozorio , Toniatti Dourado Leonardo , Zampim Rafaela da Silva , Martelli Anderson , Bertelli-Costa Taiguara , Delbim Lucas
Published: July 2021

Diabetes é uma das maiores emergências de saúde global do século XXI. A Diabetes Mellitus (DM) tipo I é uma doença autoimune onde o próprio sistema imunológico destrói as células ? pancreáticas que sintetizam e liberam insulina no organismo para controle de glicemia na corrente sanguínea. Assim, este estudo objetivou abordar os efeitos da atividade física no tratamento não medicamentoso e controle do DM tipo I em crianças. A pesquisa foi realizada a partir de uma revisão da literatura especializada, sendo consultados artigos científicos publicados entre os anos de 1999 até o mais atual 2020. A prática de atividade física apresenta uma contribuição positiva no tratamento desta patologia atuando no aumento da sensibilidade à insulina, controle do nível de glicose circulante, prevenção de doenças cardiovasculares, controle metabólico e aumento da autoestima. Assim, no âmbito escolar os profissionais de educação física devem ter um conhecimento amplo sobre essas doenças visando uma melhor prescrição da atividade física. As crianças precisam ser observadas antes, durante e depois desta prática observando possíveis quadros de hipoglicemia e prescritos de acordo com a especificidade da patologia e da individualidade de cada criança.
Investigating otolith mass asymmetry in six benthic and pelagic fish species (Actinopterygii) from the Gulf of Tunis
Authors: Bouriga Nawzet , Mejri Marwa , Dekhil Monia , Bejaoui Safa , Quignard Jean-Pierre , Trabelsi Monia
Published: July 2021

Otolith mass asymmetry can significantly affect the vestibular system functionalities; usually, the X values of mass asymmetry vary between −0.2 and + 0.2 (−0.2 < X < + 0.2). These values can change during a fish life and therefore they are not related to the fish total length. We collected a total of 404 fish specimens from the Gulf of Tunis, including three pelagic species: Sardina pilchardus (Walbaum, 1792) (74 otolith pairs), Trachurus mediterraneus (Steindachner, 1868) (66 otolith pairs), and Chelon auratus (Risso, 1810) (60 otolith pairs) and three benthic species: Gobius niger Linnaeus, 1758 (77 otolith pairs), Mullus barbatus Linnaeus, 1758 (60 otolith pairs), and Trachinus draco Linnaeus, 1758 (67 otolith pairs). The relation between the total length and the otolith mass asymmetry was first calculated and compared, and then was evaluated. The comparison of the otolith mass asymmetry between benthic and pelagic species showed a significant difference (P < 0.05), where the absolute mean value of X does not exceed the critical value (0.2) for all the studied species. No relation has been found between the magnitude of the otolith mass asymmetry and the length in both benthic and pelagic specimens. Environmental factors have an indirect effect on somatic growth and otolith accretion. The significant difference found in this study can be due to the difference between the benthic and pelagic environments.
Lire les corps au combat
Authors: Marly Mathieu , Soubrier Stéphanie
Published: July 2021

La race est-elle une catégorie pertinente pour saisir la manière dont les officiers français lisent les corps au combat avant 1914 ? Pour répondre à cette question, cet article propose de discuter cette assignation dans les modalités de lecture des corps combattants qui conduisent les officiers à produire ces archives durant la campagne du Maroc entre 1912 et 1913. L’étude, à la fois quantitative et qualitative, de deux ensembles documentaires distincts permet de cerner une forme plus complexe de classement des corps combattants dans les écrits des officiers, où s’entrecroisent des assignations de classe et de race sous l’uniforme sans que ces catégories n’interviennent avec la même force et pour les mêmes raisons selon les contextes d’énonciation et les angles d’observation de l’archive.
De la relation à l’alliance thérapeutique auprès d’adolescents et jeunes adultes présentant un risque de transition psychotique : le point de vue de professionnels de santé mentale. Une étude exploratoire
Authors: de Blaine Vanessa , Morvillers Jean-Manuel
Published: July 2021

Introduction : les troubles psychotiques débutent généralement entre l’adolescence et le début de la vie adulte. Dans leur phase prodromique, les premiers symptômes sont dits atténués. Il est essentiel de les repérer et d’initier un suivi le plus précocement possible pour limiter la sévérité des symptômes. Il reste néanmoins une incertitude sur leur évolution. L’objectif de cette étude exploratoire a été de montrer les difficultés qui entourent la construction de l’alliance thérapeutique dans ce contexte. Méthodologie : la méthode retenue a été celle de l’enquête de terrain. Résultats : l’incertitude sur l’évolution des troubles et leur aggravation, et le fait que ces derniers sont évalués par une appréciation des fléchissements fonctionnels amènent les professionnels à développer un relationnel basé sur un savoir acquis empiriquement et qui s’inscrit dans une approche phénoménologique. Ainsi, les professionnels mobilisent des techniques de communication dynamiques et interactives pour essayer de développer une alliance thérapeutique. Conclusion : il a été montré que l’alliance thérapeutique avec les jeunes présentant une incertitude d’évolution vers une psychose cherchait à être construite sur une logique phénoménologique, personnalisée et pragmatique.
Évolution du discours anti-immigration des populistes de droite radicale : le cas du Parti des Finlandais
Authors: Cazes Marie
Published: July 2021

Cet article vise à analyser, à travers les différents programmes électoraux des Perussuomalaiset, comment se forme la rhétorique anti-immigration et comment elle a évolué des années 1990 jusqu’aux élections parlementaires de 2019. Une attention particulière sera donnée à l’évolution de ces deux thèmes après la crise des réfugiés de 2015 et la scission du parti de juin 2017, évènements ayant contribué à transformer le parti de façon plus radicale sur ces questions, notamment lors de la campagne pour les élections parlementaires d’avril 2019.
Game Design as Part of Disciplinary Curriculum on Pedagogy
Authors: Silveira Guaracy
Published: July 2021

Guided by the principles of digital game design, the author proposes a reformulation of the pedagogical objectives and focuses of the pedagogical graduate courses, especially in relation to internship and training stages, in a problem-solving model based on digital games intending to shift the formation of future teachers from an abstract model to a real-life-based problem, thus proposing guidelines for an interdisciplinary project. The chapter summaries this proposal enlisting the necessary structural changes needed to achieve this goal to guide those wishing to adjust their pedagogical projects in a way to insert the digital games as educational devices in their courses without having to remodel the entire existing course. An introduction to the problem is made, its theorical background presented, followed by a contextualization of the Brazilian educational area with the proposition delineated and a conclusion.
The Advancing Cybersecurity Ecosystem of Israel
Authors: Szolnoki Szabolcs , Papp-Váry Árpád Ferenc
Published: July 2021

True to its nickname ‘cyber nation', the country of Israel is seen as a kind of role model in terms of intelligence and defence capabilities by many countries. The present study aims to provide a comprehensive but far from a complete picture of the cyber defence ecosystem of Israel, a country with more than 430 start-ups and unicorns valued at billions of US dollars. The authors outline the major incidents of the recent period, as well as current challenges and threats. The purpose of the chapter is to introduce good practices and cooperation for opportunities to policymakers and cybersecurity experts as well.
Advancing Cybersecurity for Business Transformation and Enterprise Architecture Projects
Authors: Trad Antoine
Published: July 2021

In this chapter, the author bases his research project on his authentic mixed multidisciplinary applied mathematical model for transformation projects. His mathematical model, named the applied holistic mathematical model for projects (AHMM4P), is supported by a tree-based heuristics structure. The AHMM4P is similar to the human empirical decision-making process and is applicable to any type of project; it is aimed to support the evolution of organisational, national, or enterprise transformation initiatives. The AHMM4P can be used for the development of the cybersecurity subsystems, enterprise information systems, and their decision-making systems, based on artificial intelligence, data sciences, enterprise architecture, big data, deep learning, and machine learning. The author attempts to prove that an AHMM4P-based action research approach can unify the currently frequently-used siloed MLI4P and DLI4P trends.
The Nation Brand Image:
Authors: Piscitelli Manuela
Published: July 2021

The chapter proposes an analysis of the phenomenon of nation branding from the point of view of the attribution of an identity to places and the consequent development of a collective imagination related to them. The starting point for this analysis is a historical excursus concerning the formation of a collective imaginary of places. Nation branding is a recent phenomenon, which takes up the legacy of other historical phenomena to propose an imaginary linked to the identity aspects of a nation, synthesising it in a few graphic signs through a brand. The chapter describes this process of the construction of the identity of a place and its visual expression through a brand image. The analysis is limited to the nation recognizability as a tourism destination and does not take under consideration the nation products and economy. The considerations are supported by the analysis of some emblematic case studies of brand image classified according to their graphic characteristics.
National Branding Shifting to City Branding
Authors: Dimitriou Dimitrios , Sartzetaki Maria
Published: July 2021

In asset management, the impact of national branding is linked with the capital leverage and the development of resilient and sustain business. Therefore, national branding impacts essential project financing, mainly acting as a driver of interest premium for private market invested capitals. The key objective of this chapter is to present the linkage of national branding with the assets development in critical infrastructures, distribution systems, and large assets such those in transport and energy sector. Adopting a system of system approach, the key areas of the added value to critical infrastructure and assets are presented, and the methodology framework to assess the impact of national branding on assets is depicted. By examples and references to case studies, the need is illustrated to consciously develop world-class brands as part of the overall economic growth and development on a regional scale.
The Science of Archaeology in Secondary Education as a Gateway for Cultural Approach Amongst EU Students
Authors: Christodoulou Stavros
Published: July 2021

The main research question of this chapter focuses on how archaeology as a science in secondary education could work as a doorway for cultural approach between the European students. How can the archeological practices conduce to the promotion and understanding of archeological culture and heritage among students in Europe? This subject is examined in the case study of the archaeological park of Archeon in Alphen aan de Rijn in the Netherlands. Under the perspectives of community archaeology and the context of Archeon, the research presents a short analysis of its school programs and their intentions, addressing educational and cultural purposes as an example of community archaeology in order to approach the public and its cultural awareness. Hence, the main aim of this chapter is to explore the possibilities of a more collaborative archaeology in the Netherlands and to promote suggestions for future approaches.
NLP for Chatbot Application
Authors: Nithyanandam Shyamala Devi , Kasinathan Sharmila , Radhakrishnan Devi , Jebapandian Jebathangam
Published: July 2021

The chatbot is one of the increasing number applications in the era of conversational series. It is a virtual application that can efficiently interact with any human being using the deep natural language processing skills. In NLP, for chatbot application, the various techniques needed for chatbot using NLTK tool are explained and implemented. The process of converting the text to numerical value is called text embedding. In NLTK tool, various text embedding tools are available such as TF-IDF vectorization and bag of words. Deep NLP is an efficient way to implement the chatbot. Thus the chatbot is implemented with sequence-to-sequence networks.
Deep NLP in the Healthcare Industry
Authors: K. C. Krishnachalitha , Priya C.
Published: July 2021

A reliable provocative issue which impacts the joints by harming the body's tissue is called rheumatoid arthritis. The ID of rheumatoid arthritis by hand, particularly during its unanticipated turn of events or pre-expressive stages, requires an extraordinary construction analysis. The standard end technique for rheumatoid arthritis (RA) calls for the assessment of hands and feet radiographs. Still, for clinical experts, it winds up being an unconventional endeavor considering the way that regularly the right completion of the disease relies on the exposure of unfathomably subtle changes for the typical eye. In this work, the authors built a design using convolutional neural networks (CNN) and reinforcement learning technique for detecting RA from hand and wrist MRI. For this, they took 564 cases (real information) which provided a precision of 100%. Compared to the existing system, the system showed a high performance with very good results. This model is highly recommended to detect rheumatoid arthritis automatically without human intervention.
Empathy First
Authors: Korn Randi
Published: July 2021

This chapter describes how the promotion of empathy in an academic support unit at a higher education institution enabled the design thinking process to generate programs designed around student retention. Empathy empowered staff to understand retention as a complex construct called a “wicked problem,” which is a deep, structural, and pervasive issue. Priority was placed on the development of empathy among the team members to build cohesion and trust and develop deeper understanding of the complexity within the student experience in the first year of university. The results of the process were improved team cohesion, stronger commitment to student success, and reorganization of the academic support unit.
Using Design Thinking to Develop and Guide Institutional Strategy
Authors: Peck Adam , Antonen Jessica , Preston Michael
Published: July 2021

Strategic planning is a routine activity for institutions of higher education. However, these processes do not always result in strategy that reflects the complexity of these organizations or the challenges that they face. By applying design thinking to the challenge of creating robust strategy, the authors put forward a method they called “Four Dimensional Design” that can be readily applied to helping these institutions create strategy with strong buy-in from internal and external stakeholders, innovative solutions, clear expectations for scope and scale, as well as a sense of how new initiatives can be systematized to approach challenges across time.
Testing Assessments of Integrated Experiential Learning
Authors: Heinrich William F. , Ludwig Patrice M. , McCarthy Seán R. , Lewis Erica J. , Swayne Nick , Louson Eleanor
Published: July 2021

Design thinking is a powerful platform that provides the structure and process to measure integrated experiential learning (IEL). IEL situates the activities of experiential learning in an interdisciplinary setting that facilitates learning through reflection on experiences that engage deep knowledge in broad applications and span co-curricular and curricular environments. Using courses developed at two institutions as case studies, the authors describe pedagogy, instruction, and assessment methods, and focus the data types, collection, analysis, and implications of three assessment approaches (reflections, networks, and deliverables). They show how design thinking is essential to the assessment of IEL in courses and across institutional stakeholders, including student and academic affairs, alumni relations, employers and local businesses, and those focused on data for improvement in design (e.g., institutional research and legislators). Moreover, they show that the assessment phase of design thinking is essential to sustainability, scalability, and rigor of design thinking IEL projects.
Law Enforcement Challenges to Gathering Intelligence in the Street
Authors: Budd Joseph R. , Littrell Michael W.
Published: July 2021

Intelligence gathering by law enforcement officers has been used in the conviction of criminals for many years in the United States. Law enforcement officers must ensure that the information gathered and seized does not violate the Fourth Amendment of the United States Constitution. However, officers, even though acting in the spirit of the law, may not be in legal compliance. This chapter identifies and discusses the requirements of a search warrant, the legally accepted exceptions to the search warrant requirements in the United States, and reviews several historical and modern United States Supreme Court cases on the gathering of intelligence by officers.
Countering Radicalization in the 21st Century
Authors: de Silva Eugenie
Published: July 2021

The aim of this work is to provide a discussion of radicalization, especially as it has been presented in existing literature. This chapter begins with a focus on how radicalization is defined and how debates surrounding the definition of the term could have pragmatic and theoretical consequences. Further, this work highlights current discourse on the radicalization process. The work also includes a review of the risk factors that may typically lead one to radicalization. To do this, the three main overarching themes, including push, pull, and personal factors, are spotlighted. Finally, the work concludes with a three-pronged course of action (COA) to prevent the radicalization process, mitigate the violence carried by those who have already been radicalized, and also rehabilitate those who have undergone the radicalization process.
Do Spanish Family SMEs Make Appropriate Use of Their Organizational Websites?
Authors: Martínez-Alonso Rubén , Martínez-Romero María J. , Rodríguez-Rodríguez Daniel
Published: July 2021

The aim of this chapter is to analyse how family SMEs use digital media, particularly organizational websites, to disseminate information about their products, services, history, etc. To this end, the authors perform a descriptive analysis of 32 organizational websites from privately owned family SMEs located in the region of Andalusia (Southern Spain), emphasizing two differentiating strategies: promotion of the family firm brand and website quality level. On the one hand, the findings show that family firms are to some degree reluctant to promote their family firm brand on their organizational websites, with the indicator of being a family firm as the most communicated. On the other hand, the findings reveal that family firms tend to develop organizational websites with an adequate quality level; however, the inclusion of components, such as FAQ or help sections or a bilingual option, need to be considered in the future.
Slow Education and Cognitive Agility
Authors: Knox Benjamin James , Lugo Ricardo G , Helkala Kirsi , Sütterlin Stefan
Published: July 2021

Governance of cyberpower from a military perspective are focused on the efforts to control and influence events occurring in cyberspace. For the Norwegian Defence, this means educating cyber engineers, responsible for governing cyberpower effects, beyond technical skills and competencies. To match the complexity of modern warfighting necessitates adaptive high-order thinking skills. Building on earlier cognitive engineering and human factors research in cyber defence this article suggests how Slow Education has the potential to improve cognitive performance among cyber cadets. Slow techniques were applied to 37 cyber cadets during a three-year bachelor programme at the Norwegian Defence Cyber Academy. The quantitative data for this study was gathered during a two-week Cyber Defence Exercise. Combining and applying a novel pedagogic method with psychological techniques suggests reflective pondering, self-regulation and metacognition as being associated with cognitive agility. This study helps develop and make metrics available that are suitable to evaluate human performance in cyber defence.
U.S. Army Trainers
Authors: Schmidt Steven W.
Published: July 2021

Training in the U.S. military has evolved, and it has taken on new significance and priority as key in helping the military move forward. While the topic of training in the military has been discussed extensively in many different publications, there has not been as much discussion regarding those who are actually involved in that training, including curriculum designers and trainers. This chapter focuses on the experiences and identities of those who do that training. It discusses the experiences of civilian (non-enlisted) Army trainers (or educators), including how they got involved with training in the Army, their experiences in learning how to be a trainer, and their professional identities as trainers for the Army.
Ethics and Education
Authors: Ledwith Matthew C. , Jackson Ross A. , Reboulet Amanda M. , Talafuse Thomas P.
Published: July 2021

Education is a frequent area of concern when attempting to improve organizational performance. In this paper, absorbing Markov chains were used to assess education levels of civil servants within Air Force Materiel Command (AFMC). The results suggest that AFMC will have 47% of its workforce with an advanced, college degree by the year 2030. Given an increasingly educated workforce within AFMC, ethical implications for management strategy were explored. Specifically, the authors examined the ethics of managing a highly-educated workforce in ways which are procedurally similar to those used for a workforce which was historically less educated. Through a thematic bifurcation, ethical solutions were presented which will either provide more autonomy for the highly-educated workforce or attempt to change the internal credentialing process so that the current management strategies are aligned to a more appropriately-educated workforce.