bluuebunny/crossref_metadata_2025 huggingface dataset:
ستراتيجيات ردم الفجوة الرقمية في دول الاسكوا –	مع إشارة خاصة للعراق-
Authors: محمد عمرو هشام
Published: January 2019

إن التغيرات السريعة والبعيدة المدى في تكنولوجيا المعلومات القائمة على أساس الالكترونيات الدقيقة تساعد في حدوث تحول في صورة الاقتصاد العالمي، وكذلك تساعد في تغيير المزايا التنافسية للبلدان، وربط المؤسسات البعيدة ببعضها البعض، ونشر الخدمات المالية على نطاق عالمي، وكذلك إثارة مشكلات جديدة او العكس فتح فرص جديدة أمام تنمية ونمو أفقر البلدان .

وأدت هذه التكنولوجيا الجديدة الى حدوث تغيير أساسي في تكاليف حيازة المعلومات وتجهيزها وتوصيلها، والبدء بتسمية هذا المجال "بالمعلوماتية Informationism " ويسميها البعض بالفضاء المعلوماتي أو الفضاء السيبراني،  والخلاصة تشمل المعلوماتية في جانب العرض (أجهزة الكومبيوتر، والمعدات والمكونات المادية في الاتصالات السلكية واللاسلكية، وبرامجها الجاهزة، والصناعات القائمة على الالكترونيات)، اما في جانب الطلب فتشمل (التطبيقات في مختلف القطاعات، مثل صنع القرار الاقتصادي، وخدمات المعلومات ونظم الادارة، والاتصالات، والنشر الالكتروني، واستخدام الأجهزة الاوتوماتية في الخدمات الصناعية).

مشكلة البحث لا تزال هناك فجوة واسعة بين ما تعد به ثورة "المعلوماتية" وبين استخداماتها الفعلية وانتشارها في الوقت الحالي في البلدان النامية، مما ينعكس سلبا على وتيرة التنمية في هذه البلدان.
An object relations approach to MPD/DID, imaginary companions, and heteronyms: dissociation and creativity
Authors: Clarke Graham S.
Published: January 2019

This is an attempt to further develop an object relations model of multiple personality disorder (MPD)/dissociative identity disorder (DID), that was first developed in 2011/2012 in the pages of this journal. Paul Finnegan and I used a modified version of Fairbairn's theory of endopsychic structure to develop this model and this paper seeks to broaden that model to include imaginary companions (or friends) and heteronyms. This is an attempt to show how this model might be expanded and at the same time how it might throw some light on the relationship between dissociation and creativity.
Working with dissociated aggression in traumatised patients
Authors: Shaw Daniel
Published: January 2019

Our patients whose developmental history was marked by cumulative relational trauma are often left in a state of endless longing for the abusive, depriving parent's love. The withheld love is felt as a fatal impediment to living, and some kind of magical reparation from the abuser is imagined as the only hope of being brought back to life. What is often dissociated by these patients, who present a part of themselves that feels like an eternally ruined victim, is the intense frustrated rage they feel. The author describes his work with a profoundly dissociative patient whose powerful rage emerged, towards herself, towards others, and towards the therapist. The author suggests that it is critical to identify this rage and its destructive impact on the patient, her relationships and on the therapy, for the grip of the fantasy of magic reparation to be released.
TEP Asociado a prótesis infectada con falla multiorgánica.
Authors: Cuadrado María José , Luzuriaga Juan , Garcés Karla
Published: January 2019

Presentamos a una paciente femenina de 66 años, sin APP, que es hospitalizada por una fractura en diáfisis de fémur, permanece encamada durante varios días sin conocerse si recibe profilaxis tromboembólica, es sometida a tratamiento quirúrgico sin complicaciones, y realiza una trombosis venosa profunda, que se complica con un TEP e infección de sitio quirúrgico, ingresa a cuidados intensivos, resultando en sepsis y falla multiorgánica, luego de ser sometida a arteriografía pulmonar, recibir profilaxis tromboembólica, y antibioticoterapia, se recupera egresando sin secuelas.

Describir un caso clínico que inicia como una afección traumatológica y se complica con trombosis e infección.

Conocer la importancia de la profilaxis tromboembólica.
Uso de rt-PA alteplasa intraventricular en hemorragia intraventricular cerebral
Authors: Garcés Karla , Cuadrado María José , Luzuriaga Juan , Martínez Galo
Published: January 2019

La presencia de sangre en el espacio ventricular produce  efecto de masa e hidrocefalia con  posterior   incremento de la presión intracraneal (PIC) y una disminución de la presión de perfusión cerebral (PPC). En  estos casos el tratamiento consiste en la colocación de un drenaje ventricular externo (DVE) que permite regular el exceso de líquido cefalorraquídeo (LCR) y sangre. La presencia continua  de sangre puede implicar obstrucción del  DVE requiriéndose  lavados frecuentes, siendo  el uso de fibrinolíticos a nivel intraventricular una medida coadyuvante para este problema. La lisis del coágulo dentro del ventrículo depende de la conversión de la proteína plasmática plasminógeno a plasmina, una enzima proteolítica capaz de digerir fibrina, fibrinógeno y otras proteínas,  el  compromiso ventricular no depende del estado fibrinolíticos de la circulación sistémica, sino de la actividad en el líquido cefalorraquídeo (LCR), a menudo menos efectivo e incompleto. 

Presentar la experiencia obtenida a partir del caso clínico posterior al uso de  alteplasa intraventricular en  un paciente con diagnóstico de mal  formación arteriovenosa (MAV) complicada con hemorragia intraventricular cerebral  (HIVCE) e hidrocefalia.
Aplicación del proceso de atención de enfermería basado en el modelo teórico de Virginia Henderson, en el centro gereatrico “Amawta Wasi Samay” Guaranda-Bolívar.
Authors: Cabascango Allauca Lourdes Maribel , Hinojosa Chariguamán Ana Gabriela , Remache Agualongo Lourdes Morayma , Olalla García María Humbelina
Published: January 2019

La enfermería es considerada como una disciplina integradora de apoyo al área de la salud, de gran impacto social que constantemente amplía sus funciones para satisfacer las necesidades y mejorar el cuidado del paciente. La presente investigación tiene como objetivo: Aplicar  el Proceso de Atención de Enfermería basado en el modelo teórico de Virginia Henderson, en los adultos mayores del centro hogar “Amawta Wasi Samay”. Método: Es un estudio descriptivo, prospectivo, documental, de campo y de corte transversal, la recolección de la  información se logró a través de una encuesta diagnóstica al personal de enfermería identificando el conocimiento y la aplicación del PAE/modelo de Virginia Henderson; además de 2 fichas de observación una para caracterizar el perfil actual del adulto mayor y otra para determinar que intervenciones de enfermería se realizan en el centro hogar, además de una encuesta para evaluar la percepción de los adultos mayores en relación a los cuidados recibidos. Resultados: El 48% del personal de enfermería conoce el PAE, pero no lo realizan en su trabajo diario, el 60% no identifica el modelo de Henderson. El 42% de personal de enfermería enfocan su cuidado a la satisfacción del componente biológico. El 60% de adultos mayores refieren que se sienten satisfechos con las intervenciones de enfermería. Conclusiones: Se elaboró y aplico el PAE y la guía de valoración y cuidado basado en el Modelo de Virginia Henderson, sirviendo como herramienta de apoyo a la hora de valorar y brindar cuidados al adulto mayor.
Aplicación de redes sociales en competencias de la asignatura de Circuitos Eléctricos en estudiantes de ingeniería.
Authors: Choez Acosta Luis Adrian , Suárez Muñoz Blakeslees Streisand , Navarrete Cornejo Alexandra Aracely , Morán Sanchez Nuvia Lucrecia
Published: January 2019

La materia de Circuitos Eléctricos en la Carrera de Ingeniería en Sistemas de la Universidad de Guayaquil, ha sido históricamente una de las asignaturas con mayor porcentaje de estudiantes reprobados. El presente estudio pretende darle una solución a dicho problema, utilizando las tecnologías de la información. En los últimos años han surgido nuevas aplicaciones, las mismas que son cada vez más participativas. La importancia de este cambio ha llevado a referirse al contexto actual de la Web como la Web 2.0 la misma que multiplica las posibilidades de aprender al facilitar el acceso a todas las personas a través de múltiples dispositivos, permitiendo la participación activa de los usuarios, los cuales pueden compartir contenidos, experiencias y/o conocimientos. Dentro de todo lo gama de herramientas que nos ofrece la web 2.0, tenemos las Redes Sociales, tales como Facebook, Twitter y YouTube por nombrar las más conocida y utilizadas en nuestro país y en el mundo. Los objetivos principales de esta investigación son utilizar las Redes Sociales como instrumento de enseñanza - aprendizaje y desarrollar una Guía Didáctica para la utilización de las Redes Sociales como herramienta andragógica para la asignatura de Circuitos Eléctricos. Los beneficiarios de esta investigación serán principalmente los estudiantes de la Carrera, los docentes, autoridades y comunidad en general.
Estudio exploratorio de estilos de aprendizaje utilizados por estudiantes de UNIACC de las modalidades de dictación semipresencial y online
Authors: Arcos Rocío , Aluicio Anaís , Mundaca Claudia , Ortega Cristian , Peirano Dina
Published: January 2019

Los ambientes virtuales de aprendizaje (AVA) son espacios concebidos para el aprendizaje a distancia.
Por su parte, los estilos de aprendizaje son preferencias de cómo los estudiantes perciben, interactúan y responden a las tareas académicas. Esta investigación explora los estilos de aprendizaje de los estudiantes de cuatro carreras dictadas en modalidad online y semipresencial en UNIACC, a través de un estudio exploratorio y cuantitativo de t ipo transversal, utilizando el Cuestionario de Honey-Alonso de Estilos de Aprendizaje. Los resultados indican que los estudiantes en modalidad online y semipresencial utilizan prioritariamente estilos de aprendizaje reflexivo y teórico, y en menor medida los estilos pragmático y activo. La discusión se centra en la necesidad de que las instituciones consideren estas preferencias en los estudiantes para el desarrollo de estrategias metodológicas que posibiliten el mejor desempeño académico de los mismos y culminen con éxito sus estudios en función del Modelo Educativo Institucional (MEI).
Circuito turístico cultural Santiago industrial y obrero.
Authors: Rojas Luis
Published: January 2019

En el presente trabajo, se describe y analiza un proyecto de gestión cultural aplicado al patrimonio de tres barrios centrales y de la periferia de la ciudad de Santiago de Chil: Barrios Los Carmelitas (comuna de Independencia); San Eugenio (comunas Santiago-Estación Central), y San Bernardo Ferroviario (comuna de San Bernardo). Inicialmente, se describe el concepto de Turismo Cultural, luego se explican las características del proyecto, identificando sus particularidades y alcances en relación con la gestión sostenible del patrimonio cultural, para nalmente, presentar una serie de re exiones y desafíos para la aplicación de este tipo de proyectos en los territorios.
Perfiles del repertorio metacognitivo en Educación Superior y su relación con las modalidades de enseñanza-aprendizaje: un estudio de caso en la Universidad de Artes, Ciencias y Comunicación (UNIACC)
Authors: Santander Eduardo , Osorio Mariela , López Claudio
Published: January 2019

La metacognición es un concepto ampliamente documentado en la literatura en psicología del desarrollo y de la educación, constituyendo una categoría clave para analizar y comprender los procesos de aprendizaje crítico-reflexivo y auto-regulado en los estudiantes. Si bien, ampliamente tematizado en niños y adolescentes, su alcance en estudiantes de educación superior no ha sido su cientemente explotado. Por otro lado, y en el escenario de la penetración de la tecnología como un dispositivo clave de mediación pedagógica, tampoco se sabe cómo el perfil del repertorio metacognitivo variaría según la modalidad de enseñanza-aprendizaje. En este contexto, esta investigación busca comparar el perfil del repertorio metacognitivo de estudiantes de educación superior en tres modalidades formativas de enseñanza: a distancia, presencial y semi-presencial. La Universidad de Artes, Ciencias y Comunicación (UNIACC) ofrece un caso de estudio único, toda vez que es de una de las pocas universidades en el sistema de educación superior chileno que oferta programas de pregrado en estas tres modalidades. El principal hallazgo de esta investigación consiste en que los estudiantes de modalidad a distancia muestran puntuaciones estadísticamente superiores en su capacidad para evaluar la mejor estrategia de aprendizaje signficativo, que sus pares de otras modalidades. Este resultado podría iluminar futuros diseños de perfeccionamiento en el diseño pedagógico y didáctico de los cursos, a través de la implementación de estrategias que profundicen la adquisición de habilidades metacognitivas en los estudiantes.
Fusiones y Adquisiciones (F&A): sus motivaciones, efectos sobre las empresas y las políticas públicas para su fomento
Authors: Casanueva Galvarino
Published: January 2019

Las adquisiciones y/o fusiones constituyen una de las formas más comunes y recurrentes para obtener dimensión y competitividad. Normalmente, este tipo de operaciones empresariales son generadas por surgimiento y la identificación de una amenaza o de una oportunidad en el mercado. Este tipo de operaciones permite abordar una oportunidad para capturar economías de escala de gran alcance y para incrementar a tasas crecientes la capacidad innovadora de la organización económica. Sin embargo, es necesario considerar que las empresas también pueden emplear concentración para incrementar su poder de mercado, dañando a consumidores o usuarios y a la libre competencia , impactando en forma negativa a la innovación, la eficiencia y la productividad. El gran desafío de las políticas públicas debe consistir en facilitar la reestructuración necesaria en los sectores involucrados y el aumento en el tamaño empresarial, protegiendo de este modo y al mismo tiempo la competencia.
From Documentary Realism to Figurative Realism: Igort's The Ukrainian and Russian Notebooks and the Holodomor
Authors: Nayar Pramod K.
Published: January 2019

This essay examines the five stories on the Holodomor in Igort's graphic memoir, The Ukrainian and Russian Notebooks: Life and Death under Soviet Rule (English translation, 2016). It argues that the trauma-aesthetic in Igort's work demonstrates a shift from the documentary realist mode through a participatory documentary mode to a figurative realism. If the first seeks to deliver the tragedy of the Holodomor through a certain distanced objective perspective, the second smoothly undermines it by showing us the subjective mediation, of survivors and Igort. The third complicates the trauma by turning humans into ghosts in what the essay argues is a new trauma-aesthetic.
Authorial Enchantments in the Fictions of Henry James, Philip Roth, and Joshua Cohen
Authors: Mills Adelais
Published: January 2019

Print literature has always existed in an ecosystem of media forms, among which the attention of audiences have been shared. Periodically, however, novelists have expressed concerns for the charms of literature in relation to its competitors. This article explores three interrelated experiments that harness the effects of authorial presence to revive the capacity of literary fiction to detain readers. Henry James's ‘The Death of the Lion’ (1894), Philip Roth's The Ghost Writer (1979) and Joshua Cohen's Book of Numbers (2015) speak to each other by mobilising the trope of the author in ways that probe the fault lines in under-nuanced accounts of the author's coercive role in delimiting the meaning of a literary work. These texts, I offer, reimagine the author not as a disciplining force but as a compelling figure, working in distinctive ways to summon readerly attention.
The Architecture of Evil: H. P. Lovecraft's ‘The Dreams in the Witch House’ and Shirley Jackson'sThe Haunting of Hill House
Authors: Matek Ljubica
Published: January 2019

This paper proposes that H. P. Lovecraft's ‘The Dreams in the Witch House’ (1932) and Shirley Jackson's The Haunting of Hill House (1959) embody the Gothic idea of subversion through their use of space. Specifically, both texts are set in a house that is shaped according to a scale unknown and repulsive to humans, suggesting that the architecture of evil is out of scale literally and metaphorically. Walter Gilman's room in the Witch House is strangely shaped and represents a passage into a parallel world which Gilman, a mathematician firmly set into the world of scale, first believes to exist only in dreams. Similarly, the interior of the Hill House is off centre and disjointed. People get physically lost as the rooms are set in strange concentric circles which defy traditional architecture; more importantly, characters’ subjectivity is consumed and appropriated by the house. By depicting protagonists as scientists deeply invested in the research of the occult, both Jackson and Lovecraft juxtapose science, which is marked by taxonomies, systems, and scales, with entities and rituals that transcend scalable knowledge. As their projects fail, the perceived harmony and knowability of life is revealed as false. The collapse of scale in both texts unsettles the reader, as it suggests that evil refuses to comply and be contained within a specific human-designed system of measurement or value. With this, the texts confirm the Gothic genre's countercultural position within the literary canon.
Amorphous NixCoyP-supported TiO2 nanotube arrays as an efficient hydrogen evolution reaction electrocatalyst in acidic solution
Authors: Li Yong , Yang Peng , Wang Bin , Liu Zhongqing
Published: January 2019

Bimetallic phosphides have been attracting increasing attention due to their synergistic effect for improving the hydrogen evolution reaction as compared to monometallic phosphides. In this work, NiCoP modified hybrid electrodes were fabricated by a one-step electrodeposition process with TiO2 nanotube arrays (TNAs) as a carrier. X-ray diffraction, transmission electron microscopy, UV–vis diffuse reflection spectroscopy, X-ray photoelectron spectroscopy and scanning transmission electron microscopy/energy-dispersive X-ray spectroscopy were used to characterize the physiochemical properties of the samples. The electrochemical performance was investigated by cyclic voltammetry, linear sweep voltammetry, and electrochemical impedance spectroscopy. We show that after incorporating Co into Ni–P, the resulting NixCoyP/TNAs present enhanced electrocatalytic activity due to the improved electron transfer and increased electrochemically active surface area (ECSA). In 0.5 mol L−1 H2SO4 electrolyte, the NixCoyP/TNAs (x = 3.84, y = 0.78) demonstrated an ECSA value of 52.1 mF cm−2, which is 3.8 times that of Ni–P/TNAs (13.7 mF cm−2). In a two-electrode system with a Pt sheet as the anode, the NixCoyP/TNAs presented a bath voltage of 1.92 V at 100 mA cm−2, which is an improvment of 79% over that of 1.07 V at 10 mA cm−2.
Threshold voltage decrease in a thermotropic nematic liquid crystal doped with graphene oxide flakes
Authors: Mrukiewicz Mateusz , Kowiorski Krystian , Perkowski Paweł , Mazur Rafał , Djas Małgorzata
Published: January 2019

We report a threshold voltage decrease in a nematic liquid crystal compound, 4-cyano-4′-pentylbiphenyl (5CB), doped with graphene oxide (GO) flakes at a concentration of 0.05–0.3 wt %. The threshold voltage decrease was observed at the same concentration in electro-optic and dielectric spectroscopy measurements. The effect is related to the disrupted planar alignment due to the strong π–π stacking between the 5CB’s benzene rings and the graphene oxide’s structure. Additionally, we present the GO concentration dependence on the isotropic–nematic phase transition temperature, electric anisotropy, splay elastic constant, switch-on time, and switch-off time. The shape and dimensions of the GO flakes were studied using atomic force microscopy (AFM) and scanning electron microscopy (SEM). The influence of the GO concentration on the physical properties and switching process in the presence of the electric field was discussed.
Dead wood fungi in North America: an insight into research and conservation potential
Authors: Moose Ryan A. , Schigel Dmitry , Kirby Lucas J. , Shumskaya Maria
Published: January 2019

Saproxylic fungi act as keystone species in forest ecosystems because they colonise and decompose dead wood, facilitating colonisation by later species. Here, we review the importance of intact forest ecosystems to dead wood fungi, as well as trends in their diversity research and challenges in conservation. Saproxylic communities are sensitive to transition from virgin forests to managed ecosystems, since the latter often results in reduced tree diversity and the removal of their natural habitat dead wood. The impact of dead wood management can be quite significant since many saproxylic fungi are host-specific. The significance of citizen science and educational programmes for saproxylic mycology is discussed with the emphasis on the North American region. We intend to raise the awareness of the role that dead wood fungi play in forest health in order to support development of corresponding conservational programmes.
Three new species of the genus Zodarion (Araneae, Zodariidae) from China
Authors: Zhang Bao-Shi , Zhang Feng
Published: January 2019

Three new species of the genus Zodarion Walckenaer, 1826, from China, are described as Zodarionapertumsp. n. (♂♀, from Xinjiang), Z.planumsp. n. (♂, from Shaanxi), and Z.ovatumsp. n. (♂♀, from Yunnan).
The first stygobiont species of Coleoptera from Portugal, with a molecular phylogeny of the Siettitia group of genera (Dytiscidae, Hydroporinae, Hydroporini, Siettitiina)
Authors: Ribera Ignacio , Reboleira Ana Sofia P.S.
Published: January 2019

Iberoporusplutosp. n., the first stygobiont beetle from Portugal (Dytiscidae, Hydroporinae), is described from a single female from the cave Soprador do Carvalho (Coimbra). The species is highly troglomorphic, depigmented, blind, and with elongated appendages not adapted for swimming. A molecular phylogeny based on a combination of three mitochondrial and two nuclear genes showed the new species to be sister toI.cermeniusCastro & Delgado, 2001 from Córdoba (south of Spain), within the subtribe Siettitiina of the tribe Hydroporini. Both species are included in a clade withSiettitiaavenionensisGuignot, 1925 (south of France) andRhithrodytesagnusFoster, 1992 andR.argaensisFery & Bilton, 1996 (north of Portugal), in turn sister to the rest of species of genusRhithrodytesBameul, 1989, in what is here considered theSiettitiagroup of genera. We resolve the paraphyly ofRhithrodytesby transferring the two Portuguese species toIberoporusCastro & Delgado, 2001,I.agnus(Foster, 1992),comb. n.andI.argaensis(Fery & Bilton, 1996),comb. n.
An Outcomes Model Prototype: Integrating Continuing Education Learning Into Practice
Authors: Bell Dorothy F , Chelf Jane Harper , Geerdes Patricia
Published: January 2019

ABSTRACT

Background: A method for measuring the downstream effects of a continuing education conference on nursing practice was developed and tested.

Method: In collaboration with conference faculty, the authors developed an assessment of knowledge and nursing experience related to the course content. Knowledge about the conference content was measured before the conference and at its conclusion. Experience was measured before the conference and 3 months after.

Results: Increases were found in both knowledge and experience, indicating that knowledge gained at the conference was integrated into nursing practice.

Conclusion: Based on positive findings from this pilot, the method will be tested further.
Strategy to Assess, Develop, and Evaluate Critical Thinking
Authors: Oermann Marilyn , Truesdell Sandra , Ziolkowski Linda
Published: January 2019

ABSTRACT

Background: To care for patients with complex health problems, nurses need a strong knowledge base and critical thinking skills. Critical thinking enables the nurse to process and analyze information, solve clinical problems, and decide on actions to take. Teaching and evaluation, however, often focus on memorizing facts and details about clinical care rather than on critical thinking.

Method: Context-dependent test items are designed to evaluate critical thinking and may be used in orientation, in competency testing, and by preceptors and others who work with beginning nurses for formative evaluation and discussions with them. A context-dependent item presents introductory material to analyze and determine a course of action. The introductory material may be a clinical scenario, an issue nurses might face in their practice, patient data, graphs or flow sheets, and other types of material for analysis. Carefully planned questions for assessing critical thinking are then asked.

Conclusion: The article describes how to develop and use context-dependent items in nursing continuing education.
Reinvigorating Mandatory Safety Training: A Case Example
Authors: Stokamer Charlene L , Soccio Denise A
Published: January 2019

ABSTRACT

Background: Prior to 1998 the New York Department of Veterans Affairs Medical Center in Manhattan conducted traditional classroom lectures for annual mandatory safety training.

Method: Instead of offering the traditional program, the Nursing Education Department planned and implemented a week-long, theme-based, self-paced, interactive training program that included colorful posters, games, models, and opportunities for manipulation of materials. The program titled "Mandatory Cruise 1998" was offered to all medical center employees.

Results: Posttests and reaction evaluations showed learning was both successful and fun.

Conclusion: This innovative method proved to be a cost-effective time-saver because compliance was accelerated; particularly significant in the current climate of reduced employee resources.
Learning Group: Facilitating the Adaptation of New Nurses to the Specialty Unit
Authors: Wong Frankie W H
Published: January 2019

ABSTRACT

Background: The nursing shortage creates major problems in finding qualified, experienced nurses in the critical care area.

Method: A learning group was formed to expedite the new nurses' acquisition of skills and knowledge needed to care for critical care patients.

Results: After 4 months of continuing education provided in the learning group, all group members had demonstrated their interest in learning. They also had demonstrated they were able to perform different procedures and skills according to the standards listed in the trauma intensive care unit nurses' manual.

Conclusion: The learning group is able to facilitate quicker adaptation and smoother transition of new nurses to the trauma intensive care unit. The continuing education provided by the learning group demonstrated support from the workplace and peers to the new nurses.
Postdiploma Nursing Education: After the Year 2000
Authors: Ellerton Mary-Lou , Curran-Smith Janet
Published: January 2019

ABSTRACT

The emergence of new health care needs related to changing demographics, financial restraints on health care, and increased rates of chronic illness has contributed to the need for nurses with a range of highly specialized skills. Yet traditional education programs for nurses have focused on diploma level preparation for bedside staff positions. This study explores the assessments of 714 clinical nurses with diploma level preparation and 56 nurse managers about the need for postdiploma nursing education. The results reveal a preference for clinically focused university education over noncredit coursework or a generic degree program. Nurses and their managers agree on the necessity for opportunities for more preparation in gerontology and palliative care, as well as the need for all practicing nurses to learn many skills cutting across clinical areas including clinical decision-making, communication, and leadership. Strategies for assisting nurses to access university education including innovative distance education methods are discussed.
Simplified Recordkeeping: Recordkeeping in an Approved Provider Status Unit
Authors: Kingston Francine
Published: January 2019

ABSTRACT

Management of a continuing nursing education (CNE) Approved Provider Status Unit is an important, yet time-consuming process for the CNE Program Administrator. With proper instruction and clear delineation of recordkeeping role responsibilities, the CNE Program Administrator can responsibly delegate specific time-consuming functions to designated clerical personnel.
Development of Human Resources in Nursing: A Collaborative Initiative in CPR
Authors: Rajacich Dale , Khasawneh Jahara , Cameron Sheila , Al-Ma'aitah Rowaida
Published: January 2019

ABSTRACT

Background: An international collaborative project between Jordanian and Canadian University nursing faculty was developed to enhance staff development for practicing nurses in Jordan. A needs assessment indicated a lack of knowledge and performance among staff nurses in emergency situations.

Method: Using the "train-the-trainer" concept, cardiopulmonary resuscitation (CPR) workshops were organized and implemented in three government and one military hospital. University faculty developed and conducted the first workshops when local trainers were prepared to provide the program in their institutions.

Results: Local trainers currently provide CPR workshops on an ongoing basis in their institutions. To date, 10 hospitals and one health center have requested CPR workshops for nursing staff.

Conclusion: The CPR workshops met the needs of the hospital nursing community and strengthened the partnership between the university faculty and local community staff nurses.
Informal Education: A Hidden Element of Clinical Nurse Consultant Practice
Authors: Jannings Wendy , Armitage Sue
Published: January 2019

ABSTRACT

A survey was conducted to investigate the amount of informal education provided by 16 community-based clinical nurse consultants (CNCs) in Sydney, Australia. The survey results indicated that the CNCs spent a substantial amount of time in informal teaching, of which only 3% was recorded as a legitimate educational activity. Findings from the survey support what has been reported in the literature, that skilled knowledge can be gained in the workplace when learners interact with experts. Through the avenue of informal teaching CNCs can positively contribute to quality nursing care by addressing on-the-job learning needs of community nurses.
The Effect of Reading Ability and Response Formats on Patients' Abilities to Respond to a Patient Satisfaction Scale
Authors: Williams Susan A , Swanson Melvin S
Published: January 2019

ABSTRACT

This study investigated the relationship between reading ability and patient satisfaction measured with a 5-point Likert scale, a yes/no/uncertain choice, and a pictorial format. The study sample included 48 patients, 16 patients with third to fifth grade reading levels and 32 patients with reading levels of sixth grade or above. The mean percent agreement among the positively worded items on all three scales exceeded 80% regardless of reading level and response format. All of the patients had difficulty with the negatively worded items in all three formats, with the percent agreement dropping to only 49% between the negative items on the yes/no/uncertain and pictorial formats in the lower reading group.
The State Board of Nursing and Its Role in Continued Competency
Authors: Exstrom Sheila M
Published: January 2019

ABSTRACT

Many agencies and individuals are involved with nurse competency, but within this cooperative effort, state boards of nursing have the unique role of assuring the public, through the issuance of licenses, that nurses are competent. The purpose of the board of nursing, as defined by public lawmakers, is to protect the public. There are public members on most boards. Boards of nursing are involved with nurse competency at the time of the nurse's initial entry into practice, on an ongoing basis at the time of license renewal, when the nurse reenters practice after a time of voluntary absence, and after disciplinary action of the nurse. The participation in continuing education activities is one major method for nurses to meet continued competency requirements.
CobWeb Multidimensional Model and Tag-Cloud Operators for OLAP of Documents
Authors: Khrouf Omar , Khrouf Kais , Feki Jamel
Published: January 2019

There is an explosion in the amount of textual documents that have been generated and stored in recent years. Effective management of these documents is essential for better exploitation in decisional analyses. In this context, the authors propose their CobWeb multidimensional model based on standard facets and dedicated to the OLAP (on-line analytical processing) of XML documents; it aims to provide decision makers with facilities for expressing their analytical queries. Secondly, they suggest new visualization operators for OLAP query results by introducing the concept of Tag clouds as a means to help decision-makers to display OLAP results in an intuitive format and focus on main concepts. The authors have developed a software prototype called MQF (Multidimensional Query based on Facets) to support their proposals and then tested it on documents from the PubMed collection.
Ultrasonographic Assessment of Femoral Cartilage in Individuals With Anterior Cruciate Ligament Reconstruction: A Case-Control Study
Authors: Harkey Matthew S. , Blackburn J. Troy , Nissman Daniel , Davis Hope , Durrington Isaac , Rizk Christina , Kuismanen Alexa , Pietrosimone Brian
Published: January 2019

Context

Developing osteoarthritis is common after anterior cruciate ligament reconstruction (ACLR). Monitoring changes in femoral cartilage size after ACLR may be a way to detect the earliest structural alterations before the radiographic onset of osteoarthritis. Diagnostic ultrasonography (US) offers a clinically accessible and valid method for evaluating anterior femoral cartilage size.

Objective

To compare the US measurements of anterior femoral cross-sectional area and cartilage thickness between limbs in individuals with a unilateral ACLR and between the ACLR limbs of these individuals and the limbs of uninjured control participants.

Design

Case-control study.

Setting

Research laboratory.

Patients or Other Participants

A total of 20 volunteers with an ACLR (37.0 ± 26.6 months after surgery) and 28 uninjured volunteers.

Main Outcome Measure(s)

We used US to assess anterior femoral cartilage cross-sectional area and thickness (ie, medial, lateral, and intercondylar) in the ACLR and contralateral limbs of participants with ACLR and unilaterally in the reference limbs of uninjured participants.

Results

The ACLR limb presented with greater anterior femoral cartilage cross-sectional area (96.68 ± 22.68 mm2) than both the contralateral (85.69 ± 17.57 mm2, t19 = 4.47; P < .001) and uninjured (84.62 ± 15.89 mm2, t46 = 2.17; P = .04) limbs. The ACLR limb presented with greater medial condyle thickness (2.61 ± 0.61 mm) than both the contralateral (2.36 ± 0.47 mm, t19 = 2.78; P = .01) and uninjured limbs (2.22 ± 0.40 mm, t46 = 2.69; P = .01) and greater lateral condyle thickness (2.46 ± 0.65 mm) than the uninjured limb (2.12 ± 0.41 mm, t46 = 2.20; P = .03).

Conclusions

Anterior femoral cartilage cross-sectional area and thickness assessed via US were greater in the ACLR limb than in the contralateral and uninjured limbs. Greater thickness and cross-sectional area may have been due to cartilage swelling or hypertrophy after ACLR, which may affect the long-term health of the joint.
Models of Representations and Langlands Functoriality
Authors: Mitra Arnab , Sayag Eitan
Published: January 2019

In this article we explore the interplay between two generalizations of the Whittaker model, namely the Klyachko models and the degenerate Whittaker models, and two functorial constructions, namely base change and automorphic induction, for the class of unitarizable and ladder representations of the general linear groups.
The surreal numbers as a universal $H$-field
Authors: Aschenbrenner Matthias , van den Dries Lou , van der Hoeven Joris
Published: January 2019

We show that the natural embedding of the differential field of transseries into Conway’s field of surreal numbers with the Berarducci–Mantova derivation is an elementary embedding. We also prove that any Hardy field embeds into the field of surreals with the Berarducci–Mantova derivation.
Global Bifurcation of Positive Solutions of Semi-Linear Elliptic Partial Differential Equations with Indefinite Weight
Authors: Aliyev Ziyatkhan S. , Hasanova Shanay M.
Published: January 2019

In this paper we consider global bifurcation of solutions of nonlinear eigenvalue problems for second order uniformly elliptic equations with an indefinite weight function and the Dirichlet boundary condition. We show the existence of an unbounded continua contained in the classes of positive and negative functions and bifurcating from the points of the line of trivial solutions corresponding to the principal eigenvalues of the linearized problem.
Boundary Regularity under Generalized Growth Conditions
Authors: Harjulehto Petteri , Hästö Peter
Published: January 2019

We study the Dirichlet

\phi

-energy integral with Sobolev boundary values. The function

\phi

has generalized Orlicz growth. Special cases include variable exponent and double phase growths. We show that minimizers are regular at the boundary provided a weak capacity fatness condition is satisfied. This condition is satisfied for instance if the boundary is Lipschitz. The results are new even for Orlicz spaces.
Lyapunov Type Inequality for a Nonlinear Fractional Hybrid Boundary Value Problem
Authors: López Belén , Rocha Juan , Sadarangani Kishin
Published: January 2019

In this paper, we present a Lyapunov type inequality for a nonlinear fractional hybrid boundary value problem. We illustrate the main result through a series of examples.
Conflictos socioambientales y minería a cielo abierto en la Sierra Norte de Puebla, México
Authors: Bastidas-Orrego Lina María , Ramírez-Valverde Benito , Cesín-Vargas Alfredo , Juárez-Sánchez José Pedro , Martínez-Carrera Daniel , Vaquera-Huerta Humberto
Published: January 2019

El artículo presenta un análisis del conflicto generado por los proyectos de minería de oro a cielo abierto de Ixtaca y Espejeras, localizados en los municipios de Ixtacamaxtitlán y Tetela de Ocampo respectivamente, los cuales se encuentran en etapa de exploración y presentan conflictos con la comunidad. El levantamiento de la información se realizó mediante la aplicación de un cuestionario a 141 familias en cuatro comunidades. Como resultados, se muestra un análisis de los conflictos, en los aspectos sociales y ambientales. Además, se presentan las estrategias de las empresas mineras y de los grupos de rechazo a la minería.
Caracterización social y económica de la producción de miel de abeja en el norte del estado de Campeche, México
Authors: Chan Chi José Reymundo , Caamal Cauich Ignacio , Pat Fernández Verna Gricel , Martínez Luis David , Pérez Fernández Alberto
Published: January 2019

El estado de Campeche es uno de los principales productores de miel de abeja en México, en el año 2014 registró una producción de más de siete mil toneladas de miel, con un valor mayor a doscientos veinticinco millones de pesos, alrededor de diecisiete millones de dólares. El objetivo de este trabajo fue realizar la caracterización social y económica de la producción de miel de abeja en el Norte del estado de Campeche, México, con indicadores de educación, tenencia, organización, costos, ingresos y rentabilidad. Los productores de miel de abeja son ejidatarios, mayores de cincuenta años y tienen bajos niveles de educación, más del 75 % no tienen secundaria concluida. Por otro lado, se obtuvo que los costos de producción de los apicultores fueron mayores de ochenta y dos mil pesos, el 78 % representa a los costos variables, principalmente gastos por la compra de azúcar, apistán y mano de obra; y alrededor del 22 % corresponde a los costos fijos, conformado básicamente por la depreciación de los activos fijos. El ingreso promedio obtenido fue mayor a ciento sesenta mil pesos, generando una relación beneficio costo de alrededor de dos, por lo que los productores del Norte del estado de Campeche son eficientes y rentables en la producción de miel de abeja.
Quantifying the direct radiative effect of absorbing aerosols for numerical weather prediction: a case study
Authors: Oyola Mayra I. , Campbell James R. , Xian Peng , Bucholtz Anthony , Ferrare Richard A. , Burton Sharon P. , Kalashnikova Olga , Ruston Benjamin C. , Lolli Simone
Published: January 2019

Abstract. We conceptualize aerosol radiative transfer processes arising from the
hypothetical coupling of a global aerosol transport model and a global
numerical weather prediction model by applying the US Naval Research
Laboratory Navy Aerosol Analysis and Prediction System (NAAPS) and the Navy
Global Environmental Model (NAVGEM) meteorological and surface reflectance
fields. A unique experimental design during the 2013 NASA Studies of
Emissions and Atmospheric Composition, Clouds and Climate Coupling by
Regional Surveys (SEAC4RS) field mission allowed for collocated airborne
sampling by the high spectral resolution Lidar (HSRL), the Airborne
Multi-angle SpectroPolarimetric Imager (AirMSPI), up/down shortwave (SW) and infrared (IR) broadband radiometers, as
well as NASA A-Train support from the Moderate Resolution Imaging
Spectroradiometer (MODIS), to attempt direct aerosol forcing closure. The
results demonstrate the sensitivity of modeled fields to aerosol radiative
fluxes and heating rates, specifically in the SW, as induced in this event
from transported smoke and regional urban aerosols. Limitations are
identified with respect to aerosol attribution, vertical distribution, and
the choice of optical and surface polarimetric properties, which are
discussed within the context of their influence on numerical weather
prediction output that is particularly important as the community propels
forward towards inline aerosol modeling within global forecast systems.
Spatial and temporal variability of snowfall over Greenland from
CloudSat observations
Authors: Bennartz Ralf , Fell Frank , Pettersen Claire , Shupe Matthew D. , Schuettemeyer Dirk
Published: January 2019

Abstract. We use the CloudSat data record 2006–2016 to estimate snowfall over the Greenland Ice Sheet (GrIS). We first evaluate CloudSat snowfall retrievals with respect to remaining ground-clutter issues. Comparing CloudSat observations to the GrIS topography (obtained from airborne altimetry measurements during IceBridge) we find that at the edges of the GrIS spurious high snowfall retrievals caused by ground clutter occasionally affect the operational snowfall product. After correcting for this effect, the height of the lowest valid CloudSat observation is about 1200 meters above the local topography as defined by IceBridge. We then use ground-based Millimeter Wavelength Cloud Radar (MMCR) observations obtained from the Integrated Characterization of Energy, Clouds, Atmospheric state, and Precipitation at Summit, Greenland (ICECAPS) experiment to devise a simple, empirical correction to account for precipitation processes occurring between the height of the observed CloudSat reflectivities and the snowfall near the surface. Using the height-corrected, clutter-cleared CloudSat reflectivities we next evaluate various Z-S relationships in terms of snowfall accumulation at Summit through comparison with weekly stake field observations of snow accumulation available since 2007. Using a set of three Z-S relationships that best agree with the observed accumulation at Summit, we then calculate the annual cycle snowfall over the entire GrIS as well as over different drainage areas and compare the so-derived mean values and annual cycles of snowfall to ERA-Interim reanalysis. We find the annual mean snowfall over the GrIS inferred from CloudSat to be 34 ± 7.5 cm/yr liquid equivalent (where the uncertainty is determined by the range in values between the three different Z-S relationships used). In comparison, the ERA-Interim reanalysis product only yields 30 cm/yr liquid equivalent snowfall, where the majority of the underestimation in the reanalysis appears to occur in the summer months over the higher GrIS and appears to be related to shallow precipitation events. Comparing all available estimates of snowfall accumulation at Summit Station, we find the annually averaged liquid equivalent snowfall from the stake field to be between 20 and 24 cm/yr, depending on the assumed snowpack density, and from CloudSat 23 ± 4.5 cm/yr. The annual cycle at Summit is generally similar between all data sources, with the exception of ERA-Interim reanalysis, which shows the aforementioned under-estimation during summer months.
Seasonal features and origins of carbonaceous aerosols at Syowa
Station, Antarctica
Authors: Hara Keiichiro , Sudo Kengo , Ohnishi Takato , Osada Kazuo , Yabuki Masanori , Shiobara Masataka , Yamanouchi Takashi
Published: January 2019

Abstract. We measured equivalent black carbon (EBC) concentrations at Syowa Station, Antarctica from February 2005 to characterize seasonal features of EBC concentrations and their origins, and to monitor long-range transport of aerosols from mid-latitudes to the Antarctic coast. Results show that EBC concentrations were below the detection limit (0.2 ng m−3) to 63.8 ng m−3 at Syowa Station (median, 1.8 ng m−3; mean, 2.7 ng m−3 during the measurement period). Although seasonal features and year-to-year variations of EBC concentrations were observed, no long-term trend of EBC concentrations was clear during our measurement period. Seasonal features of EBC concentrations showed a spring maximum during September–October at Syowa Station. The absorption Ångström exponent (AAE) was 0.5–1.0 during April–October; it reached its maximum values (1.0–1.5) during summer. The AAE features imply that EBC was mixed internally in the Antarctic troposphere and that organic aerosols engendered high AAE in the summer. To elucidate EBC transport processes, origins, and the potential source area (PSA), we compared EBC data to backward trajectory analysis and model simulation. Results show that EBC might be transported directly to Syowa Station from mid-latitudes mainly via the boundary layer and the lower free troposphere. Some BC was transported to Antarctic regions via the upper free troposphere. Biomass burning in South America and southern Africa is the most dominant PSA for BC transported to Syowa Station. Fossil fuel combustion in South America and southern Africa also have important contributions.