bluuebunny/crossref_metadata_2025 huggingface dataset:
Frequency of relevant back pain two years after trauma and the effect on health-related quality of life
Authors: Kaske Sigune , Tjardes Thorsten , Lefering Rolf , Bouillon Bertil , Maegele Marc
Published: September 2022

BACKGROUND: Persisting back pain is a frequent consequence after severe trauma including injury to the spine. Reports on the incidence and relevance of back pain in severely injured patients in the absence of direct injury to the spine are scarce. OBJECTIVE: To assess the frequency of relevant back pain and its effect on health-related quality of life (HRQoL) in trauma patients with spine injury compared to patients without direct impact to spine postdischarge and two years after trauma within an observational study. METHODS: A two-year follow-up survey by using the Polytrauma Outcome Chart (PoloChart) and a set of specific questionnaires on socioeconomic and other HRQoL aspects was conducted among adult patients that had been treated for severe traumatic injuries (ISS ⩾ 9) at a German level 1 trauma center between 2008 and 2017. Patient subgroups included patients with relevant (VAS ⩾ 3) versus non-relevant back pain (VAS < 3) stratified by visual analogue scale (VAS 0–10). Patients with relevant back pain were separated into patients with (AIS spine ⩾ 1) and without spine injury (AIS spine = 0) according to the Abbreviated Injury Score (AIS). RESULTS: 543/1010 questionnaires were returned yielding a response rate of 54%. Patients were predominantly male (n= 383/543; 71%) with a mean age 45 ± 19 years, mostly blunt trauma (n= 524/543; 97%) and a mean ISS 18 ± 12 points. 32.4% of patients had sustained a spine injury defined by an AIS spine ⩾ 1 (n= 176/543). Half of these patients suffered from relevant back pain two years after trauma (n= 90/176; 51.1%); in contrast, in non-spine injured patients one in three patients reported relevant back pain (n= 127/367; 34.6%). Patients with relevant back pain reported significantly lower HRQoL as measured by the 36-Item Short Form Health Survey and the Trauma Outcome Profile. The use of pain medication after discharge and at two years after trauma was significantly higher in patients with relevant back pain (n= 183/211; 86.7% vs. n= 214/318; 75.8%; p< 0.001; pain medication 2 years after trauma: n= 113/210, 53.8% vs. 68/317, 21.5%, p< 0.001). CONCLUSION: Persisting back pain is frequent at two years after trauma independent of presence or absence of initial injury to the spine and associated with lower HRQoL in almost every dimension including physical, mental and social domains.
Home-based rehabilitation improves functional capacity and quality of life in women with systemic sclerosis: A preliminary study
Authors: de Alegria Samantha Gomes , Azevedo Beatriz Luiza Pinheiro Alves , Oliveira Jéssica Gabriela Messias , da Silva Matheus Mello , Gardel Damara Guedes , Mafort Thiago Thomaz , Lopes Agnaldo José
Published: September 2022

BACKGROUND: Recent initiatives, such as earlier diagnosis and treatment, have enhanced the survival of patients with systemic sclerosis (SSc). Despite these initiatives, there is extreme variability in rehabilitation strategies for these patients. In 2006, the Glittre-ADL test (TGlittre) was developed to evaluate functional capacity using multiple tasks similar to the activities of daily living (ADLs). OBJECTIVES: To evaluate the impact of therapist-oriented home rehabilitation (TOHR) on functional capacity using TGlittre and to examine the effects of TOHR on physical function, hand function, and quality of life (QoL) among women with SSc. METHODS: This quasi-experimental and longitudinal study included 12 women with SSc who underwent TOHR 3 times per week for 12 weeks. Before and after TOHR, functional capacity was assessed using TGlittre, physical function was examined by the Health Assessment Questionnaire Disability Index (HAQ-DI), hand function was evaluated using the Cochin Hand Functional Scale (CHFS) and handgrip strength (HGS), and QoL was evaluated using the Short Form-36 Health Survey Questionnaire (SF-36). RESULTS: When comparing the pre- and post-TOHR values of TGlittre, a significant reduction was found in total time (p= 0.002) and manual time (p= 0.010). There was a nonsignificant decrease in HAQ-DI scores between pre- and post-TOHR (p= 0.07). Regarding hand function, there was a significant reduction in the CHFS between pre- and post-TOHR (p= 0.036), although no significant difference was observed in HGS between pre- and post-TOHR (p= 0.08). Regarding QoL, there was an increase in all SF-36 categories, although physical function was the only category that was significantly increased (p= 0.008). CONCLUSION: After TOHR, patients with SSc are able to more quickly perform TGlittre tasks when considering both total and manual times. TOHR also positively affects manual skills and QoL.
An information asset priority evaluation method with analytic network process
Authors: Liu Yixian , Mu Dejun
Published: September 2022

IT infrastructures are indispensable parts of today’s organizations, and keeping them secure is very important for successfully running the business. Due to the complexity of information infrastructure and network topology, traditional security measures no longer meet the security needs of current enterprises. Therefore, the holistic information security management analysis method has received extensive attention. An important task of these holistic security analysis methods is to analyze the value of assets so that IT managers can effectively allocate resources to protect the information infrastructure. Most of the current asset valuation methods are based on analyzing the dependencies between assets. In some cases, the dependencies are not easy to find, which makes the evaluation results inaccurate. Therefore, we propose model with analytic network process network (ANP) to evaluate the value of assets. This method not only considers the security factors and considers the importance of the assets to the business as well. It can evaluate the value of the assets and prioritize them, which can help the system administrator in making the decision for security enhancement.
Does scientific collaboration pay off? A novel bibliometrics study of the impact of international collaboration on scientific publications over time
Authors: Sommer Daniel , Tunger Dirk
Published: September 2022

This research investigates recent trends and developments in the scope and impact of international collaboration in research publications. A number of prior studies in the field of Research & Development (R&D) have outlined the factors influencing an increasing internationalization in R&D. We transfer these findings in a complete sample of publication data from the years 2008–2015 in order to find out and describe how researchers in the two academic fields Health Care/Clinical Medicine and Business & Economics collaborate with foreign-based colleagues. We analyze how this research by international teams performs in terms of received citations, compared to their national counterparts. We find that international teams generally receive more citations than national ones. Furthermore, we outline how the number of countries with relevant publication numbers has grown and diversified over the last years, and author teams generally became larger and more international. In a last step, we show how emerging countries built up competence and knowledge over time, as an increase in received publication citations follows at a delayed pace to an increase in publication numbers. While there are some differences between the two academic fields Health Care/Clinical Medicine and Economics & Business, with, for example the former having approximately around ten times more publications per year, than the latter, the major structural trends and developments are similar in both fields, outlining the robustness of our analysis.
Persistent Failure to Recover from Proactive Semantic Interference on the Cognitive Stress Test Differentiates Between Amnestic Mild Cognitive Impairment, Pre-Mild Cognitive Impairment, and Cognitively Unimpaired Older Adults
Authors: Loewenstein David A. , Curiel Cid Rosie E. , Kitaigorodsky Marcela , Ortega Alexandra , Hincapie Diana , Zheng D. Diane , Amaya Alexandra , Gallardo Liz , Manso Leslie , Sosa Jaylene , Crocco Elizabeth A.
Published: September 2022

Background: Susceptibility to proactive semantic interference (PSI) and the inability to ameliorate these difficulties with one additional learning trial have repeatedly been implicated as early features of incipient Alzheimer’s disease (AD). Unfortunately, persistent failure to recover from PSI (frPSI) after repeated learning trials, are not captured by existing memory measures, or been examined in pre-mild cognitive impairment (PreMCI). Objective: A novel Cognitive Stress Test (CST) was employed to measure the impact of PSI, initial failure to recover from PSI and persistent effects of PSI, despite multiple learning trials of the new to-be-remembered material (pfrPSI). We hypothesized that PSI deficits on the CST would persist in both PreMCI and amnestic MCI (aMCI) groups over repeated learning trials when compared to cognitively unimpaired (CU) older adults. Methods: One hundred fifty older adults (69 CU, 31 PreMCI, and 50 aMCI) underwent a standardized clinical and neuropsychological evaluation. The CST was independent of diagnostic classification. Results: Even after adjusting for strength of initial learning, aMCI and PreMCI groups demonstrated greater persistent PSI (pfrPSI) relative to the CU group despite repeated learning trials of List B. Further, the aMCI group made a higher number of semantic intrusion errors relative to the PreMCI and CU groups on all List B Cued Recall trials. Conclusion: Persistent PSI appears to be a common feature of aMCI and PreMCI. The possible theoretical mechanisms and empirical implications of these new findings are discussed.
Sex Differences in Resilience and Resistance to Brain Pathology and Dysfunction Moderated by Cerebrovascular Response to Exercise and Genetic Risk for Alzheimer’s Disease
Authors: Palmer Jacqueline A. , Kaufman Carolyn S. , Vidoni Eric D. , Honea Robyn A. , Burns Jeffrey M. , Billinger Sandra A.
Published: September 2022

Sex as a biological variable appears to contribute to the multifactorial etiology of Alzheimer’s disease. We tested sex-based interactions between cerebrovascular function and APOE4 genotype on resistance and resilience to brain pathology and cognitive executive dysfunction in cognitively-normal older adults. Female APOE4 carriers had higher amyloid-β deposition yet achieved similar cognitive performance to males and female noncarriers. Further, female APOE4 carriers with robust cerebrovascular responses to exercise possessed lower amyloid-β. These results suggest a unique cognitive resilience and identify cerebrovascular function as a key mechanism for resistance to age-related brain pathology in females with high genetic vulnerability to Alzheimer’s disease.
Disentangling Clinical Profiles of Apathy in Behavioral Variant Frontotemporal Dementia
Authors: Godefroy Valérie , Batrancourt Bénédicte , Charron Sylvain , Bouzigues Arabella , Sezer Idil , Bendetowicz David , Carle Guilhem , Rametti-Lacroux Armelle , Bombois Stéphanie , Cognat Emmanuel , Migliaccio Raffaella , Levy Richard
Published: September 2022

Background: Apathy is highly frequent in behavioral variant frontotemporal dementia (bvFTD). It is presumed to involve different pathophysiological mechanisms and neuroanatomical regions. Objective: We explored the hypothesis that subgroups showing distinct profiles of apathy and distinct patterns of atrophy within frontal lobes could be disentangled in bvFTD. Methods: Using data-driven clustering applied to 20 bvFTD patients, we isolated subgroups according to their profiles on the three subscales of the Dimensional Apathy Scale (DAS). We explored their apathy profiles and atrophy patterns. Apathy profiles were characterized through both subjective measures of apathy by questionnaires and measures including objective behavioral metrics. Atrophy patterns were obtained by voxel-based morphometry, contrasting each bvFTD subgroup with healthy controls (N = 16). Results: By clustering based on DAS dimensions, we disentangled three subgroups of bvFTD patients, with distinct apathy profiles and atrophy patterns. One subgroup, which presented the smallest pattern of atrophy (including orbitofrontal cortex) with a right asymmetry, was characterized by high self-reported emotional and initiation apathy and by a self-initiation deficit reversible by external guidance. In other subgroups showing more diffuse bilateral atrophies extending to lateral prefrontal cortex, apathy was not reversible by external guidance and more difficulty to focus on goal-management was observed, especially in the subgroup with the largest atrophy and highest levels of executive apathy. Conclusion: Distinct clinical profiles of apathy, corresponding to distinct anatomical subtypes of bvFTD, were identified. These findings have implications for clinicians in a perspective of precision medicine as they could contribute to personalize treatments of apathy.
Dementia Research on Facebook and Twitter: Current Practice and Challenges
Authors: Hrincu Viorica , An Zijian , Joseph Kenneth , Jiang Yu Fei , Robillard Julie M.
Published: September 2022

Background: Social media is a powerful tool for engaging diverse audiences in dementia research. However, there is little data summarizing current content exchange in this context. Objective: To inform ethical dementia research engagement on social media, we characterized current practices by analyzing public social media posts. Methods: We retrieved Facebook (2-year period, N = 7,896) and Twitter (1-year period, N = 9,323) posts containing dementia research-related keywords using manual and machine learning-based search strategies. We performed qualitative and quantitative content and sentiment analyses on random samples (10%) of the posts. Results: Top Facebook users were advocacy (45%) and health organizations (25%). On Twitter, academics/researchers were the largest user group. Prevention was the most frequently coded theme (Facebook 30%; Twitter 26%), followed by treatment (Facebook 15%; Twitter 18%). Diagnostics had the highest Facebook engagement. Sharing knowledge was the primary form of content exchange (Facebook 63%; Twitter 80%). Most shared journal articles were peer-reviewed and open access. Emotional tone was overall more positive on Facebook. Justice was a prominent ethics topic regarding inequalities related to identity and intersecting modes of marginalization in dementia research. Conclusion: The findings indicate the importance of social media as an engagement tool of current topics in health research and reveal areas of potential for increased engagement. These data can inform consensus-based best practices for ethical social media application in dementia research.
Clinical Decision Trees to Guide Physical Therapy Management of Persons with Huntington’s Disease
Authors: Fritz Nora E. , Kegelmeyer Deb A. , Rao Ashwini K. , Quinn Lori , Kloos Anne D.
Published: September 2022

Background: In 2020, our group published physical therapy clinical practice guidelines (CPG) for people with Huntington’s disease (HD). The guideline recommendations were categorized according to six primary movement impairment classifications. Objective: To facilitate implementation of this CPG, we have developed guideline-based algorithms for physical therapy assessments and interventions and recommendations for therapists to overcome barriers to CPG implementation for people with HD. Methods: We conducted a literature review of papers that evaluated physical therapy interventions in individuals with HD (n = 26) to identify assessments for each of the primary movement impairment classifications, and then searched for papers (n = 28) that reported their clinometric/psychometric properties in HD. Assessments were evaluated using modified Movement Disorder Society Committee on Rating Scales criteria and other relevant criteria. Results: We identified a “core set” of physical therapy assessments for persons with HD, including the Six Minute Walk Test, Timed Up and Go Test, Berg Balance Scale, and the Medical Outcomes Study Short Form 36 (SF-36). We then developed guideline-based decision trees to assist in decision making and implementation of the CPG into practice for persons with HD across the continuum of care. Finally, we developed strategies for overcoming barriers to implementation, such as seeking specialized training in HD, engaging caretakers or family members to help the person with HD to exercise, and establishing clinical pathways that support early physical therapy referrals. Conclusion: Knowledge translation documents such as this are essential to promoting implementation of the physical therapy CPGs into clinical practice.
Fully homomorphic encryption: A case study
Authors: Rauthan J.S.
Published: September 2022

Fully Homomorphic Encryption (FHE) is the holy grail of encrypted communications. It opens the door to several advanced functionalities to overcome the security and trust issues of the IT world. After 2009, once Craig Gentry had shown that FHE could be achieved, a study in this field boomed, and significant improvement was made in identifying more efficient and realistic programs. FHE is primitive cryptography that enables arbitrary functions to be calculated via encrypted data. These systems are applicable in different ways since they permit users to encrypt their private information securely while still outsourcing the processing of protected data without fearing disclosing the real data. In 2012, LTV12 presented the first multi-key FHE system and demonstrated the possibility of using multi-key systems in somewhat homomorphic encryption (SHE). Like in the one key context, there have been many advances in the field, but no effort has been made to develop the multi-key methods. This paper presents a discussion of FHE and MKFHE with a specific focus on the current techniques and three implementations, comprising the first in the multi-key setups, to the extent of our understanding.
Uncertainty-based decision support system for gaming applications
Authors: Jagtap Vinayak , Kulkarni Parag , Joshi Pallavi
Published: September 2022

A dynamic world has different uncertainties. These uncertainties always impact adversely while making decisions. Existing systems sometimes fail as they are trained without considering uncertainty inclusion due to the dynamic nature of the problem. This is quite observed in gaming, which is most dynamic and contributes adversely while deciding for the next move. Strategic games have fewer uncertainties rather than ground sports. Many types of factors add uncertainty to the system. There is a need of handling the required uncertainty which will help in making the decision. Also while finding similarities between games or matches, player and playing style results don’t depict exact similarities between them. There is a need to measure uncertainty-based similarities as it helps in deciding the situation of the game or player. Here Uncertainty based decision support system is proposed which takes uncertainty as input rather than only considering patterns of input. Patterns always help if the system is more static while considering a dynamic system where we need to consider patterns and uncertainties in the scenarios. Results are shown on limited types of moves in game data and how uncertainty-based similarity and next move selection are improved.
An efficient hybrid MPA-MOA control approach based on DC microgrid connected constant power loads
Authors: Karthika J. , Rajkumar M. , Vishnupriyan J.
Published: September 2022

The increased use of DC microgrid for complex application leads to the need for advanced control design for stable operation of the system. Loads connected to a DC microgrid are controlled by power electronic devices and exhibit constant power load (CPL) behavior, which is a serious challenge for stability as it enhances nonlinearity and reduces effective damping. This manuscript proposes an effective hybrid approach based on DC micro grid (MG) connected constant power loads. The proposed control approach is the consolidation of Marine Predators Algorithm (MPA) and mayfly optimization algorithm (MOA), hence it is named as hybrid MPA-MOA approach. The DC microgrid system contains the sources, like two photovoltaic (PV), two wind turbine (WT), grid, battery. The major objective of the proposed approach is “to find the problems while interfacing the sources of the microgrid and increase the security of the system”. The proposed approach contains two controllers, they are primary and secondary. The primary controller is based on droop controller that shares the current and limits the oscillations because of the constant power loads (CPL). The secondary controller is used to regulate the voltage of the system from a single area. The secondary control is executed using the proposed MPA-MOA method. The proposed method is executed on MATLAB/Simulink platform; its performance is analyzed with the existing methods. The THD (%), efficiency (%) and Eigen value of the proposed technique achieves 1.4%, 92% and -9.3541±j2.4209.
Short and Long-Term Cognitive Effects of Subthalamic Deep Brain Stimulation in Parkinson’s Disease and Identification of Relevant Factors
Authors: Jahanshahi Marjan , Leimbach Friederike , Rawji Vishal
Published: September 2022

Background:

Subthalamic nucleus deep brain stimulation (STN-DBS) successfully controls the motor symptoms of Parkinson’s disease (PD) but has associated cognitive side-effects.

Objective:

Establish the short- and long-term cognitive effects of STN-DBS in PD.

Methods:

Both the short-term and long-term effects of STN-DBS on cognition were examined through evaluation of the controlled studies that compared patients with STN-DBS to unoperated PD patients, thus controlling for illness progression. We also reviewed the literature to identify the factors that influence cognitive outcome of STN-DBS in PD.

Results:

The meta-analysis of the short-term cognitive effects of STN-DBS revealed moderate effect sizes for semantic and phonemic verbal fluency and small effect sizes for psychomotor speed and language, indicating greater decline in the STN-DBS operated than the unoperated patients in these cognitive domains. The longer-term STN-DBS results from controlled studies indicated rates of cognitive decline/dementia up to 32%; which are no different from the rates from the natural progression of PD. Greater executive dysfunction and poorer memory pre-operatively, older age, higher pre-operative doses of levodopa, and greater axial involvement are some of the factors associated with worse cognition after STN-DBS in PD.

Conclusion:

This evidence can be used to inform patients and their families about the short-term and long-term risks of cognitive decline following STN-DBS surgery and aid the team in selection of suitable candidates for surgery.
COVID-19 via intrauterine transmission in a critically ill preterm infant: A case report
Authors: Hisey J.C. , Patterson B.M. , Tsai A.J. , Khan A.M.
Published: September 2022

A preterm infant was born emergently at 29 weeks gestation to a mother with active coronavirus disease 2019 (COVID-19). Clinical presentation and evaluation were consistent with in utero transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The neonate experienced progressive, refractory respiratory failure and catastrophic intracranial hemorrhage which ultimately led to limitation of care.
Projeto Homem Virtual e ambiente de aprendizado interativo: novos modelos educativos em saúde
Authors: Miranda Diogo Julien , Wen Chao Lung
Published: September 2022

O presente artigo busca demonstrar a aplicabilidade de novas arquiteturas pedagógicas em um modelo de sucesso desenvolvido pela Disciplina de Telemedicina da Faculdade de Medicina da USP para educação em saúde. A partir dos espaços desenvolvidos para o Museu Catavento Cultural e Educacional, apresentamos novos conceitos de interatividade para serem absorvidos pelo formato convencional de comunicação e educação em saúde. A possibilidade de aproximação do indivíduo à sua realidade não apenas pela razão, mas também pelo sentimento, trazendo a comunidade para perto do indivíduo.
Resultados de la encuesta de percepción sobre el uso de los instrumentos, para los pagos habituales en Colombia - 2022
Authors:   Departamento de Seguimiento a la Infraestructura Financiera DSIF
Published: September 2022

Cada dos años la Subgerencia Industrial del Banco de la República, con la asesoría metodológica de la Subgerencia de Estudios Económicos, realiza la encuesta nacional sobre provisión de los billetes y monedas e instrumentos de pago (Epbmip). El propósito principal de esta encuesta es conocer la percepción de las personas naturales (público general) y jurídicas (comerciantes) respecto a la provisión del efectivo (monedas y billetes) en la economía. El Departamento de Seguimiento a la Infraestructura Financiera (DSIF) del BR incorpora en un módulo de esta encuesta una serie de preguntas dirigidas a examinar aspectos relacionados con las preferencias de dicha población frente al uso de instrumentos de pago (efectivo, tarjetas, cheques y transferencias), cuando realiza la compra de bienes y servicios habituales mensuales, es decir, los pagos relacionados con la compra de alimentos, bebidas, vestuario, y pagos por servicios públicos, así como los de transporte y vivienda. De forma que las mediciones que se capturan en este módulo de la encuesta no incluyen los pagos relativos a bienes y servicios suntuarios, durables, los generados en el mercado de activos financieros (i.e. el pago por electrodomésticos, compra de vehículos, obligaciones financieras diferentes a créditos hipotecarios o compra de acciones o títulos de deuda pública).
Atomerőművek fejlődése a generációváltások tükrében
Authors: Barina Balázs
Published: September 2022

A villamos energia előállítása világszinten igen változatosan, különböző típusú erőművek által történik,  hazánkban a nukleáris energiatermelés a  legmeghatározóbb. Az atomreaktorok fejlődése az elmúlt  közel nyolc évtizedben szinte töretlen volt, és napjainkban  is folytatódik. Felhasználásuk messze túlmutat a lakossági  energiaellátás biztosításán, de ez az egyik  legmeghatározóbb feladatuk. Az első generációs atomerőművek megjelenése óta nagy ívű technológiai és  biztonságtechnikai fejlesztések történtek, amelyek  meghatározzák napjainkban az üzembiztonságot és a  termelésfolytonosságot. A jelenleg is fejlesztés alatt álló  negyedik generációs nukleáris erőművek megjelenése  további élettartam-növekedést és jelentős biztonsági fejlődést hozhat.
A Study on the Shape and Dimensional Accuracy of Additively Manufactured Titanium Lattice Structures for Orthopedic Purposes
Authors: Alkentar Rashwan , Mankovits Tamás
Published: September 2022

The deviation between the designed lattice structures and the 3D-printed ones has been studied in this research. Three types of lattice structures were designed using the SpaceClaim application in the ANSYS software and then fabricated using Direct Metal Laser Sintering (DMLS) via EOS M 290 3D printer. Considering the orthopedic application, Ti6Al4V alloy of grade 23 was selected as a material for all samples of the structures. A thorough comparison was done on the volume, mass, and porosity to effectively map the possible deviations between the designed and the printed version. The shape accuracy of the 3D printing process was discussed during the study. As the complexity of the shape of the unit cell increases, the accuracy of the printing process becomes lower. Dimensional accuracy in the XY plane is higher than accuracy in the Z plane. Simple unit cell shape was proven to be more accurate in the 3D printing process.
Investigation of the Individual Characteristics that Predict Academic Resilience
Authors: AVCI Süleyman
Published: September 2022

The percentage of students who have lower academic achievement than their peers due to their socio-economical disadvantages is globally accepted as an indicator of inequality. Some students, despite their disadvantages, are as successful as their advantaged peers. The family and individual characteristics, as well as academic experiences, of these students, who are referred to as academically resilient, provide useful information to the institutions that work to increase the academic success levels of other disadvantaged students. Accordingly, this study aims to determine the individual characteristics of academically resilient students with a focus on the PISA Turkey results. In line with the OECD criteria, an equal number of academically resilient (N = 214) and academically disadvantaged students participated in the study. Students who’s economic, social, and cultural index values are amongst the bottom 25% were considered to be disadvantaged, and those who performed level 3 and above in reading proficiency were regarded to be successful. Eighteen individual characteristics measured within the scope of PISA research were included in the study as independent variables. Binary logistic regression analysis was used in the analysis of the data. The regression model created in line with the findings was found to predict 67 percent of the variance in academic resilience and make an accurate classification of 85 percent. The predictors of academic resilience, in order of their power, are grade repetition, use of metacognitive learning strategies (understanding, summarizing, evaluating credibility), reading for enjoyment, attitude towards academic competition, self-efficacy, and the desired occupation.
Developing Writing Skills, Writing Attitudes and Motivation through Educational Games: Action Research
Authors: GENÇ ERSOY Berrin , GÖL DEDE Derya
Published: September 2022

This study aimed to improve elementary school students’ writing skills, attitudes towards writing and writing motivations through educational games. The study was designed within the scope of cooperative action research, and criterion sampling was used for the sample selection. The data collection tools included Writing Attitude Scale, Writing Motivation Scale, Analytical Rubric for Assessing Writing, interview forms, educational games and action plans. The qualitative and quantitative data were analyzed using a series of data analysis techniques. The quantitative results showed that the participants’ post-test mean scores in such dimensions of the use of educational games as attitude, motivation and writing skill development in the writing teaching process were higher than their pre-test mean scores. The qualitative results revealed that the educational games could be used as an effective technique in teaching writing in terms of developing participants’ positive attitudes towards writing, increasing their motivation, improving their writing skills and eliminating writing problems. Based on the results, it could be stated that different techniques such as educational games should take place more in the process by considering the affective factors in teaching writing.
Három az egyben
Authors: Torma Tamás
Published: September 2022

Primarily a purpose-orientated machine in built form to express ideas of office space, headquarters and on a philosophical level the ideals of a company. Located in a suburban, predominantly residential district of Budapest, this development is domestic in scale yet industrial in aesthetic, crossing the borders between a place of employment and free time. Eventually this building will fade into the landscape due its use of vegetation redefining the link between landscape architecture and the built form.
Results of long-term tectonomagnetic research in the Akademik Vernadsky station region, the West Coast of the Antarctic Peninsula
Authors:   Carpathian Branch of Subbotin Institute of Geophysics, National Academy of Sciences of Ukraine, Lviv, 79060, Ukraine, Maksymchuk V. , Chobotok І. ,   Carpathian Branch of Subbotin Institute of Geophysics, National Academy of Sciences of Ukraine, Lviv, 79060, Ukraine, Kuderavets R. ,   Carpathian Branch of Subbotin Institute of Geophysics, National Academy of Sciences of Ukraine, Lviv, 79060, Ukraine, Nakalov Ye. ,   Carpathian Branch of Subbotin Institute of Geophysics, National Academy of Sciences of Ukraine, Lviv, 79060, Ukraine, Pyrizhok N. ,   Carpathian Branch of Subbotin Institute of Geophysics, National Academy of Sciences of Ukraine, Lviv, 79060, Ukraine, Pavlyuk O. ,   Carpathian Branch of Subbotin Institute of Geophysics, National Academy of Sciences of Ukraine, Lviv, 79060, Ukraine, Yanush L. ,   Carpathian Branch of Subbotin Institute of Geophysics, National Academy of Sciences of Ukraine, Lviv, 79060, Ukraine
Published: September 2022

The study aims to analyze the results of long-term tectonomagnetic observations on the Antarctic tectonomagnetic polygon in the region of the Akademik Vernadsky station to investigate the current geodynamics at the West Coast of the Antarctic Peninsula. The data (1998—2020) were collected as regular discrete geomagnetic measurements. They were used to study the temporal changes of the local magnetic field between the observation epochs and tectonomagnetic anomalies. We create a temporal series of the changes in the local magnetic field for every point of the observation network on the polygon and provide the map of tectonomagnetic anomalies over different observation periods. The tectonomagnetic anomalies of 2.0—2.8 nT · year–1 were found in the Argentine Islands region. The anomalies’ spatial structure agrees with elements of the tectonic structure of the Earth crust. We studied the spatial-temporal connection of the tectonomagnetic anomalies with the region seismicity and estimated the values of tectonic stresses in the lithosphere within the piezomagnetic mechanism. The spatial-temporal structure of tectonomagnetic anomalies in the region shows the response of the geological environment to the change in the tectonic stresses in the local crust. Based on the theoretical calculations and other geological and geophysical data, we conclude that a piezomagnetic effect causes the anomalies under the action of stretching tectonic stresses (~1 bar · year–1) in the sub-latitudinal direction. Given the urgency of discovering the seismotectonic processes and current regional dynamics, the tectonomagnetic observations on the polygon should be continued as a yearly monitoring program, including other methods of geophysics and geodesy.
4 Star Complementary Food Menu Recommendation System Using the Mobile-Based Fuzzy Multiple Attribute Decision Making (FMADM) Method
Authors: Rahmaddeni  , Zoromi Fransiskus , Saputra Wijaya Yansyah , Anam M. Khairul
Published: September 2022

Toddler in the age category of six to twenty-four months should be ready to be given complementary food. In order to fulfill the nutritional needs for the toddler's growth, complementary foods must be sufficient for the kid according to their age while still paying attention to the continuity of breastfeeding. One thing that must be considered in choosing complementary foods is the Recommended Dietary Allowances (RDA) which is categorized by age, weight, and food texture, which is adjusted to the toddler age category. In terms of fulfilling all aspects of choosing complementary foods, this study proposes the design of a 4-star daily menu recommendation system for toddlers which refers to the intake of daily calorie needs for toddlers, namely carbohydrates, animal protein, vegetable protein, and vitamins/minerals using the FMADM method (Fuzzy Multiple Attribute Decision Making). The FMADM method used is the Electre method. In this study, the authors succeeded in building the desired recommendation system using the Electre method which produces a daily menu based on the number of mealtimes, based on the age and weight of toddlers by observing the user's tendency to the texture and composition of food and its nutritional content in the recommendation system that is built, so that can be accessed via mobile devices owned by the user.
Penerapan Model Iteratif pada Animasi Edukatif Pengenalan Aksara Mandailing sebagai Pelestarian Warisan Budaya Bangsa
Authors: Lubis Baginda Oloan , Ghofar Taufiq  , Agus Salim  , Budi Santoso
Published: September 2022

Aksara etnis Mandailing merupakan warisan leluhur yang sangat berharga dalam kebudayaan bangsa kita, warisan leluhur ini semakin lama semakain punah dikarenakan kurangnya minat dari generasi milenial saat ini untuk mempelajari kembali aksara etnis Mandailing ini yang sering disebut “surat batak Mandailing”. Untuk menghindari warisan leluhur ini tergerus oleh zaman, yang dapat menyebabkan generasi berikutnya tidak mengenal lagi aksara mandailing serta demi melestarikan kembali budaya bangsa ini, penelitian ini mencoba memaparkan atau menyajikan apa yang didapat dari referensi yang ada. Penulisan ini dituangkan dalam karya animasi edukatif yang dirancang dengan Macromadia flash. Metode pengembangan sistem yang digunakan dalam penelitian ini dengan Model Iteratif (Iterative model). Penerapan animasi interaktif ini diharapakan dapat membantu dalam mensosialisakan aksara etnis Mandailing ini kembali di lingkungan sekolah (dunia pendidikan) maupun kepada masyarakat khususnya masyarakat Mandailing. Diharapakan juga aplikasi ini dapat dimasukkan kedalam playstore dan ios untuk memudahkan masyarakat mempelajari dan menggunakannya.
Clinical Outcomes Associated with Degree of Hypernatremia in Neurocritically Ill Patients
Authors: Lee Yun Im , Ahn Joonghyun , Ryu Jeong-Am
Published: September 2022

Objective : Hypernatremia is a common complication encountered during the treatment of neurocritically ill patients. However, it is unclear whether clinical outcomes correlate with the severity of hypernatremia in such patients. Therefore, we investigated the impact of hypernatremia on mortality of these patients, depending on the degree of hypernatremia.Methods : Among neurosurgical patients admitted to the intensive care unit (ICU) in a tertiary hospital from January 2013 to December 2019, patients who were hospitalized in the ICU for more than 5 days and whose serum sodium levels were obtained during ICU admission were included. Hypernatremia was defined as the highest serum sodium level exceeding 150 mEq/L observed. We classified the patients into four subgroups according to the severity of hypernatremia and performed propensity score matching analysis.Results : Among 1146 patients, 353 patients (30.8%) showed hypernatremia. Based on propensity score matching, 290 pairs were included in the analysis. The hypernatremia group had higher rates of in-hospital mortality and 28-day mortality in both overall and matched population (both p<0.001 and p=0.001, respectively). In multivariable analysis of propensity score-matched population, moderate and severe hypernatremia were significantly associated with in-hospital mortality (adjusted odds ratio [OR], 4.58; 95% confidence interval [CI], 2.15–9.75 and adjusted OR, 6.93; 95% CI, 3.46–13.90, respectively) and 28-day mortality (adjusted OR, 3.51; 95% CI, 1.54–7.98 and adjusted OR, 10.60; 95% CI, 5.10–21.90, respectively) compared with the absence of hypernatremia. However, clinical outcomes, including in-hospital mortality and 28-day mortality, were not significantly different between the group without hypernatremia and the group with mild hypernatremia (p=0.720 and p=0.690, respectively). The mortality rates of patients with moderate and severe hypernatremia were significantly higher in both overall and matched population. Interestingly, the mild hypernatremia group of matched population showed the best survival rate.Conclusion : Moderate and severe hypernatremia were associated with poor clinical outcomes in neurocritically ill patients. However, the prognosis of patients with mild hypernatremia was similar with that of patients without hypernatremia. Therefore, mild hypernatremia may be allowed during treatment of intracranial hypertension using hyperosmolar therapy.
Ropa interior sintética y el riesgo de amenaza de parto prematuro
Authors: Prado Herrera María Fernanda
Published: September 2022

La ropa interior sintética no permite una adecuada ventilación y su uso prolongado aumentada la temperatura y humedad de la zona genital. El medio caluroso favorece el crecimiento de bacterias y gérmenes; por otro lado, la humedad produce variaciones en el pH vaginal. Es de suma importancia conocer el material de la ropa interior, ya que, sumado a malos hábitos de higiene en la zona genital, puede ocasionar la aparición de vaginosis bacteriana e ITU, las cuales se asocian a la amenaza de parto pretérmino.
Influencia del periodo intergenésico largo en el riesgo de preeclampsia
Authors: Ayala Peralta Félix Dasio , Moreno Reyes Katherin Faviola , Valdivieso Oliva Vanessa , Morales Alvarado Sabrina
Published: September 2022

Objetivo. Determinar la influencia del periodo intergenésico largo como factor de riesgo asociado a preeclampsia en gestantes atendidas en el Instituto Nacional Materno Perinatal durante el periodo enero a diciembre 2019. Materiales y métodos. Fue un estudio observacional, casos y controles, analítica. Se enrolaron 52 mujeres con diagnóstico de preeclampsia (casos) y 272 mujeres sin preeclampsia (controles), que cumplieron los criterios de inclusión de presentar el intervalo intergenésico largo (60 a más meses) y edad materna avanzada (gestantes de 35 a más años de edad). Se recopiló la información de las historias clínicas de egresos maternos atendidas en el Instituto Nacional Materno perinatal (INMP) durante el periodo enero a diciembre de 2019. Las variables de estudio fueron edad materna avanzada (35 a más años), antecedentes de preeclampsia y periodo intergenésico largo (PIL). Para determinar el grado de asociación se utilizó regresión logística. El procesamiento de la información se realizó en el paquete estadístico IBM-SPSS versión 22,0. El proyecto fue aprobado por el comité institucional de ética en investigación de la Universidad Norbert Wiener y del INMP. Resultados. La media de edad materna avanzada fue 38,0±2,6 años. La determinación de Odds ratio (OR) crudos con sus respectivos intervalos de confianza al 95% muestran que tener una edad de 35 años a más presentaron OR=1,92, antecedente de preeclampsia OR=9,21 y periodo intergenésico largo de 60 a más meses un OR=3,34, todas ellas relacionadas con la preeclampsia. Asimismo, la determinación de OR ajustados (ORa) para el modelo 1 que conforman edad materna avanzada (Ora=2,02) y antecedente de preeclampsia (ORa=9,82) que fueron significativos, cuya área bajo la curva ROC estimada fue de 64% (55%-73%); y para el modelo 2 que incluyen a edad materna avanzada (ORa=1,87), antecedente de preeclampsia (ORa=9,01) y PIL (ORa=2,84) cuya área bajo la curva ROC estimada fue de 69% (61% - 78%). Ambas estimaciones de curva ROC fueron significativas. Conclusiones. Podemos concluir que existe una asociación significativa entre periodo intergenésico largo con la aparición de preeclampsia, sobre todo en edad materna avanzada.
Measurement of environmental indicators in recovered springs of the Igarapé D'Alincourt
Authors: Souza Lindomar Alves de , Tronco Kenia Michele de Quadros , Rocha Karen Janones da , Biazatti Scheila Cristina , Sccoti Marta Silvana Volpato , Magesky Riziely Moreira , Ribeiro Sylviane Beck , Moreto Renan Fernandes , Silva José Mauro Santana da , Pinã-Rodrigues Fatima C. M.
Published: September 2022

To measure the efficiency of Area Recovery Programs, several environmental indicators can be used. Therefore, the objective was to evaluate, through environmental indicators, the recovery in springs of the Igarapé D'Alincourt. The study was carried out in the municipality of Rolim de Moura, on line 180 on the south side, in four springs, and the selection criterion was the realization of the recovery in the springs in the year 2008 to 2011. For the evaluation, an on-site visit was carried out and the potential macroscopic parameters for field surveys were verified. There was a quantification of the macroscopic environmental indicators present in the APP's areas, and values were assigned: the closer to 5 maximum grade for the indicator group, the greater the quality of the evaluated and more preserved spring. The interaction matrix that attributes value to the indicator was used, being Good (6), Regular (3), Bad (1). The best performances for macroscopic indicators were found in springs N3, N1, N2 and N4, in descending order. The best environmental indicators of ecosystem recovery were found in N3, N1 and N2, with the lowest score being in N4. The studied springs N1 and N3 have good macroscopic and ecosystem recovery indicators, on the other hand, N2 and N4 have the lowest environmental indicators, which suggests an intervention to improve their environmental indicators of recovery.
Validação de protocolo para assistência ao paciente com hipertensão pulmonar
Authors: Machado Regimar Carla , Cogo Bruna Perroni , Jakitsch Camila Bomfim von , Branco João Nelson Rodrigues , Riera Rachel
Published: September 2022

Introdução: A hipertensão pulmonar (HP) é uma doença grave definida pelo aumento da pressão dos vasos pulmonares. Trata-se de uma síndrome clínica, devido ao aumento da resistência vascular pulmonar, que ocorre por vasoconstrição e/ou degeneração do leito vascular dos pulmões causando perda progressiva da capacidade de trocas gasosas. Aponta-se a necessidade da elaboração e validação de um protocolo de cuidados ao paciente com hipertensão pulmonar internado em Unidades de Terapia Intensivas (UTIs) por meio da avaliação, por especialistas, de itens os quais se acredita serem pertinentes. Objetivo: Elaborar e validar um protocolo assistencial de cuidados ao paciente com hipertensão pulmonar na unidade de terapia intensiva. Método: Trata-se de estudo metodológico, de validação do conteúdo de um protocolo assistencial de cuidados ao paciente com hipertensão pulmonar, por meio da aplicação da técnica Delphi baseado no referencial teórico de Spínola. Resultados: Foram convidados 20 profissionais para participarem da avaliação do instrumento, dos quais 13 aceitaram participar, no entanto, 09 avaliadores participaram da primeira Rodada de Delphi. O constructo final permaneceu com 04 tópicos e 23 itens e não teve nenhum item retirado após avaliação dos experts. Conclusão: O protocolo para assistência ao paciente com hipertensão pulmonar é um instrumento prático e visa garantir a segurança do paciente e a qualidade da assistência prestada articulada aos avanços tecnológicos. Acredita-se que o protocolo contribuirá para que a equipe multiprofissional promova uma assistência segura, precisa e eficiente ao paciente com hipertensão pulmonar nas unidades de terapia intensivas.