bluuebunny/crossref_metadata_2025 huggingface dataset:
Bank branches efficiency under management and regulatory constraints
Authors: Ferro Gustavo , Lema Daniel , Schiffrer Francisco
Published: August 2019

The main purpose of this paper is to assess the cost-efficiency of Banco Ciudad de Buenos Aires’s bank branches using a Stochastic Frontier Analysis (SFA). With the results, management can decide on new branching dimension. Also, if some regulatory or managerial limits could be lift, such as closure or opening of new branches without the central bank authorization, or redundant staff reduction, the results could be important for management. We detect best and worst behaved branches. The more cost-efficient branches and the least cost-efficient ones differ in their size and input mix. Nonetheless, they present a similar output mix.
Narratological Approaches to Multimodal Cross-Cultural Comparisons of Global TV Formats
Authors: Larkey Edward
Published: August 2019

This article cross-culturally compares different versions of the Quebec sitcom/sketch comedy television series Un Gars, Une Fille (1997-2002) by examining the various gender roles and family conflict management strategies in a scene in which the heterosexual couple visits the male character’s mother-in-law. The article summarizes similarities and differences in the narrative structure, sequencing and content of several format adaptations by compiling computer-generated quantitative and qualitative data on the length of segments. To accomplish this, I have used the annotation function of Adobe Premiere, and visualized the findings using Microsoft Excel bar graphs and tables. This study applies a multimodal methodology to reveal the textual organization of scenes, shots and sequences which guide viewers toward culturally proxemic interpretations. This article discusses the benefits of applying the notion of discursive proximity suggested by Uribe-Jongbloed and Espinosa-Medina (2014) to gain a more comprehensive and complex understanding of the multimodal nature of cross-cultural comparison of global television format adaptations.
Collective Collecting
Authors: Dang Sarah-Mai , Strohmaier Alena
Published: August 2019

Massive digitization makes histories appear as well as disappear. While digital archives facilitate the access to documents, recordings, films, and other s urces there is the risk that offlin sources get lost. Thus, the question about how digital collections are generated is essential for today’s film and media historians. Which artefacts are getting digitiz d – and which are not? In addition, for what reasons? Who is responsible for preserving historical material? Moreover, how can we access it? How can we make sense of the abundance of audio-visual sources, which are at the same time ephemeral? In this article, we analyse tools and methods useful for coping with digital archives and databases. Presenting a case study on the Syrian Archive, we discuss how concepts of authenticity and provenance relate to current media practices. We argue that besides posing productive research questions, conducting critical online search becomes more and more important in the humanities. Therefore, we examine not only what but also how the use of audio-visual material affects us. Furthermore, we argue that regarding the abundance of material the practice of curating – of selecting, structuring, and providing access – becomes a key activity in digital media practices.
Describing Gender Equality in French Audiovisual Streams with a Deep Learning Approach
Authors: Doukhan David , Poels Géraldine , Rezgui Zohra , Carrive Jean
Published: August 2019

A large-scale description of men and women speaking-time in media is presented, based on the analysis of about 700.000 hours of French audiovisual documents, broadcasted from 2001 to 2018 on 22 TV channels and 21 radio stations. Speaking-time is described using Women Speaking Time Percentage (WSTP), which is estimated using automatic speaker gender detection algorithms, based on acoustic machine learning models. WSTP variations are presented across channels, years, hours, and regions. Results show that men speak twice as much as women on TV and on radio in 2018, and that they used to speak three times longer than women in 2004. We also show only one radio station out of the 43 channels considered is associated to a WSTP larger than 50%. Lastly, we show that WSTP is lower during high-audience time-slots on private channels. This work constitutes a massive gender equality study based on the automatic analysis of audiovisual material and offers concrete perspectives for monitoring gender equality in media.The software used for the analysis has been released in open-source, and the detailed results obtained have been released in open-data.
Avaliação da frequência cardíaca e do gasto energético de um casal de Mestre Sala e Porta Bandeira de uma escola de samba do carnaval de Porto Alegre, RS
Authors: Corrêa Pabline Da Silva , Toigo Adriana Marques
Published: August 2019

Introdução: O casal de Mestre Sala (MS) e Porta Bandeira (PB) carrega a bandeira da agremiação e tem a honra e o respeito de fazê-lo com decoro, leveza e eficiência. Sua movimentação requer equilíbrio estático e dinâmico, agilidade, flexibilidade e resistência tanto aeróbica como anaeróbica. Objetivo: Verificar o comportamento da frequência cardíaca (FC) e o gasto energético (GE) médio de um casal de MS e PB de uma escola de samba do Carnaval de Porto Alegre, RS, durante o desfile oficial de 2017. Método: Participaram voluntariamente dois indivíduos, um do sexo masculino e um do sexo feminino, com idades de 26 e 22 anos, respectivamente. Os dados de FC inicial, média e final foram coletados durante desfile, o qual teve duração total de 55 minutos. O GE médio foi estimado por meio de uma calculadora online, que fornece uma estimativa do GE absoluto durante exercício aeróbico, com base nas variáveis sexo, idade, peso, duração da atividade e FC média.  Resultados e conclusões: Durante o desfile houve alteração da FC dos indivíduos, alcançando as médias de 150bpm (MS) e 162bpm (PB), caracterizando a atividade como um exercício de alta intensidade. O GE durante a atividade foi de 463kcal (MS) e 336kcal (PB).
Exergames como ferramenta pedagógica na Educação Física escolar: uma revisão integrativa
Authors: Nunes Túlio Valêncio , Toigo Adriana Marques , Florentino José Augusto Ayres
Published: August 2019

Introdução: O fato dos videogames estarem presentes na maioria dos lares faz com que essa tecnologia seja conhecida e apreciada pela maioria dos jovens. Por conta disso, o tema do uso de jogos eletrônicos como uma ferramenta pedagógica vem sendo investigado em pesquisas recentes. Objetivo: Revisar na literatura achados anteriores sobre o uso de exergames, que combinam o movimento do corpo com a fascinação pelos jogos digitais como objeto de aprendizagem nas aulas de Educação Física Escolar. Método: revisão integrativa, a qual permitiu a seleção de 7 artigos publicados entre 2010 e 2019 abordando o tema em questão. Resultados e conclusões: Os dados mostraram que os exergames são eficientes para o desenvolvimento de habilidades motoras, bem como da força e da flexibilidade, além de aumentar o gasto calórico durante a prática do jogo digital. Sugere-se que os exergames, em razão de seu potencial motivacional, podem ser usados como complemento nas aulas de Educação Física. Os exergames também apresentaram vantagens como a expansão das possibilidades de ensino dos objetos de aprendizagem a serem abordados, pelo motivo de não necessitarem de materiais e espaço físico específicos de esportes que não fazem parte da cultura brasileira. A partir dos resultados, entende-se que é possível utilizar os exergames como uma ferramenta pedagógica, porém não se deve considerá-los como substitutos das aulas regulares de Educação Física.
Evaluating the Students Assessment in Residency Program Based on Competency Based Approach
Authors: Keshmiri F , Heydari Atefeh Sadat
Published: August 2019

Introduction: The present study aimed to evaluate an assessment system in residency program based on a competency-based approach.
Methods:
The establishment of the assessment as a quality improvement of clinical education has progressed since 1396 in Shahid Sadoughi University of Medical Sciences.  In this study, the evaluation the assessment system was carried out in 6 steps including the formulation of an evaluation plan, the design of tools, information gathering and data analysis, reporting and feedback. The evaluation was conducted through site visite by using a checklist, reviewing the documentation and interviewing the educational managers. Data were analyzed using descriptive tests.
Result:
The student assessment system was evaluated in 16 residenty departments. The status of the establishment of a student assessment system in the "objectives", "structure and organization" axes, is desirable, and in "design and implementation framework" and "quality assurance" is in moderate level. In all of the departments were devlepoded assessment bluprinet to determine the capabilities and tools appropriate for assessing them. The results indicated 83% of the capabilities on average were measured in departments. The most diversity in the assessment of learners' abilities was reported in the written tests (cognitive domain) using three tests (Multi-Choice Questions, Essay and Oral Exam. Also, the status of the formative tests was evaluated in "moderate" level.
Conclusion:  
The results of the evaluation show that although key steps have been taken towards implementing the student evaluation system in the residency departments. But, for the establishment of the system need to plan base on the competency-based assessment at the departments and educational administration levels.
Identifying and Classifying the Mindfulness of Medical Students on Effective Factors on the Effectiveness of a Learning Management System (LMS)
Authors: Kaviani H , Shah Javan M
Published: August 2019

Introduction: Learning management system is one of the most effective methods in teaching and learning The present study aims to identify and categorize effective factors on the effectiveness of this system from students' point of view.
Methods: The present study uses exploratory and '' Q method'. The study participants were Students of Isfahan University of Medical Sciences in academic year 2016-2017. According to the Q methodology, a small sample of participants were selected based on the purposeful sampling method for the interview Accordingly, 42 statements were identified. Then, 25 students were selected for quantitative study based on the targeted method. Content validity was used to assess the validity of the content and to evaluate reliability; Cronbach's alpha test was used. Data were analyzed using SPSS version 20 software.
Result: The results showed that a good learning management system should have 42 characteristics from students' point of view. These characteristics led to the identification of six mental patterns, including; ease of use, accessibility, individual attention, positive attitude, independent learning, and usefulness.
Conclusion: The effectiveness of a learning management system should be continuously evaluated from the point of view of its stakeholders. Therefore the six identified mental models in the present study are suggested as a guide and a model for designing and improving the quality of the learning management system in medical universities.
Barriers to Learning from the viewpoint of Students of Ahvaz University of Medical Sciences
Authors: Torabipoor A , Basim J , Babaei heydarabadi A
Published: August 2019

Introduction: The aim of this study was to investigate the barriers to learning in view of students of Ahvaz University of Medical Sciences (AUMS).
Methods: This descriptive cross-sectional study was conducted on 230 undergraduate and graduate students of AUMS. A 35-item researcher-made questionnaire was used to collect the data.
Result: The mean and standard deviation of the barriers to learning were; obstacles related to the teacher (52.8 ± 4.9), student barriers (44.2± 4.8), and educational barriers (29.2± 3.9) the skills of the teacher (4.8±0.4), considering education ethics by the teacher (including respect for students and fairness) (4.6± 0.5), up to date knowledge of teacher (4.4 ± 0.6) , adequate motivation of teacher for learning to students (4.4 ± 0.7) and students' depression and other mental disorders (4.4 ± 0.6). Learning barriers were significantly different from the viewpoints of different educational groups (P<0.001). In terms of gender and educational level, there was no significant difference in the barriers of learning from the viewpoint of students of different disciplines.
Conclusion: Some of the characteristics of the teachers' teaching including the power of expression, the modernity of the teachers knowledge and the motivation of the student, which reflects teachers' teaching skills, as well as some moral and individual characteristics including fairness and respect for the student, indicating human relationships were found important.
Improving quality of 'health service management' clerkship course using action research
Authors: Azami Aghdash S , Ostad Ahmadi Z , Shahedifar N , Abhari Z , Sajjadi Khasraghi J , Derakhshani N
Published: August 2019

Introduction: Action research is one of the important methods in medical education quality improvement. This study aims to improve quality of 'health service management' student’s clerkship course using action research.
Methods: This action research study used mix method approach and was conducted in Tabriz University of Medical Science in 2018 year using Simon’s six stage model. Qualitative data was collected through in deapth interviews and focus group discussions (FGDs). Quantitative data was collected through a reliable and validated questionnaire. The participants were 17 health service management students (enrolled in 2015-2016) and the control group were 28 health service management students enrolled in 2014-2015). Qualitative data were analysed using content-analysis and quantitative data were analysed using T-test by SPSS-16 software.
Result: Overall, 14 problems were identified and for 11 problems interventions were designed. The most important strengths of clerkship were;a)regular planning, b) appropriate assessment, c)scoring, high level of tutor attendance and d)more attention to management issues. Coordination problems and inappropriate headline of portfolio in some cases were weakness of this action research. The results of quantitative evaluation show that all items of questionnaire were improved. After reseach, %20.6 increase was observed in students' satisfactions level in the intervention groupcompared with the control group (80.7 vs. 60.1) (p>0.05).
Conclusion: This action research significantly improved quality of clerkship course, it’s recommended that in future years same studies with aim to more quality improvement implemented.
Take on Issues and uses of Reflection and Reflective Practice in Nursing Education
Authors: Bagheri M , Haghani F
Published: August 2019

Introduction: In the recent decades, reflection have been introduced as a valuable element in nursing education and a learning tool in improving nursing professional practice. The study of reflection and reflective practice topics and applications in nursing education facsilitates closing the gap between theory and practice and promoting critical thinking. The aim of this study was to evaluate the position and reflective practice is in nursing education.
Methods: In this review article the required content was obtained by searching databases from Persian electronic databases including (Irandoc, SID, Magiran, Iranmedex) and English databases including; (Pubmed, ERIC, Google scholar, Proquest andElsevier). All published paper  between 2019 and 1992 were retrieved. The content of 172 papers were examined and 31 related papers were included.
Result: Utilizing reflection on nursing education is done through various strategies including; a)need of improvement, b) the improvement of professional practice, c) the promotion of critical thinking, and d) placement of the patient at the heart of learning activity.
Conclusion: Reflective practice provides a learning tool which mayto promote essential skills of critical thinking, self-direction , gap reduction between theory and practice and professional development in nursing education.
Application of Portfolio in Nursing Education and Assessment of Learning
Authors: Mardanian Dehkordi L , Ghiyasvandian Sh
Published: August 2019

Introduction: Portfolio is one of the active learning strategies for clinical education. By making portfolio, students present their own projects including clinical learning activities at or near the end of a clinical course. The purpose of this study was to investigate the application of this tool in nursing education in order to know the advantage and limitation of the tool.
Methods: This study reviews the literature published in Farsi and English with the possibility of accessing the full text of the article over the past five years related to the use of portfolio in nursing education. A literature review was done by searching the keywords portfolio and nursing in the databases including; Web of Science, and ProQuest and scientific search engine such as Google Scholar. After removing repetitive and non-related items, 17 articles were selected accordingly.
Result: The review of literature suggests that the portfolio is used in different schools and courses of nursing students with different goals such as assessment, evaluation, training; and performance improvement. Using portfolios has some advantages and limitations that need to be determinate for designing and implementing portfolios. Some benefits of portfolios were development of skills, fostering active learning, improvement of clinical competencies, and satisfaction of students from assessment and academic achievement. Its limitations include the lack of clarity and time constraints for completing it.
Conclusion: The portfolio facilitates the monitoring of nurses' professional development and facilitates knowledge management. Therefore, designing and using this tool is recommended to improve the clinical competence of nursing students in undergraduate, graduate and postgraduate studies in Iran. However, the scope and purpose of using the portfolio should be specified and potential  users should be well aware of the issue and its importance, and to learn the skills necessary to use it.
Which of them should be trained cardiology residents, TEE or eFoCUS?
Authors: hosseinsabet ali
Published: August 2019

The article's abstract is no available.
Dynamic assessment fulfillment via e-Logbook for the medical residents
Authors: Ghelmani S Y , Hajimaghsoudi M , Ehrampush M H , Kalantar S M , Mehrparvar A H , Noori Shadkam M , Dehghan H R , Vahediyan H A , Oulia M B , Soleymani M H , Dastjerdi G h , M R M R , Aghabagheri M
Published: August 2019

The article's abstract is no available.
O DESAFIO DOS GESTORES NA SUPERAÇÃO DOS RISCOS INERENTES À GESTÃO DA TERCEIRIZAÇÃO: ESTUDO DE CASO EM UMA INSTITUIÇÃO FEDERAL DE ENSINO
Authors: Tadeu José Carlos , Guimaraes Eloísa Helena Rodrigues
Published: August 2019

A Administração Pública, não obstante seus princípios e peculiaridades, adota, por vezes, práticas próprias do setor privado como a terceirização. Há que se considerar nesse cenário a distinção entre atividades-meio e atividades-fim. A percepção dessas dualidades e a combinação cruzada dos seus elementos permitem a constatação de quatro circunstâncias da terceirização: atividades-meio na iniciativa privada; atividades-meio na Administração Pública; atividades-fim na iniciativa privada e; atividades-fim na Administração Pública. Esta constatação permitiu a elaboração de um estudo de caso voltado para os riscos do emprego da terceirização pela Administração Púbica, em particular, pelo departamento de logística de uma instituição federal. A superação de tais riscos exige dos gestores conhecimentos, habilidades e atitudes com relação aos contratos, à vasta documentação exigida e aos próprios terceirizados. A metodologia consistiu em entrevistas e questionários aplicados a gestores públicos. Pretendeu-se confirmar a percepção de tais riscos e as formas de enfrentamento pelos gestores, bem como outros fatos relacionados a essa prática de gestão.
UNIDADES DE CONSERVAÇÃO NO SEMIÁRIDO BRASILEIRO: ESTUDO DA GESTÃO DESSES ESPAÇOS PRESERVADOS
Authors: Alves Oliveira Silva José Irivaldo , Lucena Barbosa Elizandra Sarana , Freire da Silva Allan Gustavo , Firmino Nunes Gutyelson Henrik
Published: August 2019

A forma como os recursos naturais são utilizados é uma questão discutida há varias décadas. No entanto, as políticas públicas ambientais e a criação de espaços preservados estão em maior evidencia atualmente devido às crescentes catástrofes ambientais, são questões de interesse coletivo discutidas por cidadãos e por autoridades governamentais. A expressão Unidade de Conservação (UC) trata-se de nomenclatura contemporânea ao que se chamava antes da Lei nº 9.985/2000 de áreas preservadas e/ou regiões protegidas. Deste modo, UC é o termo instituído na lei para designar uma área sob proteção especial do Estado, seja pela União, por um estado da federação, pelo Distrito Federal ou pelo município. Através da presente pesquisa realizada no período 2014/2015 constatamos o modelo de gestão desenvolvido nas Unidades de Conservação do semiárido paraibano a partir de investigação nas seguintes UCs: Parque Estadual Pico do Jabre, Monumento Natural Vale dos Dinossauros, Área de Proteção Ambiental das Onças, Área de Proteção Ambiental do Cariri e o Parque Ecológico Engenheiro Ávidos. Identificou-se que essas UCs sofrem com a falta de investimento em sua manutenção, na ausência de projetos que venham a injetar recursos para manter essas Unidades.  Verificou-se que a manutenção é um dos grandes desafios enfrentados na gestão dessas Unidades, para garantir a preservação e conservação desses espaços.
PERCEPÇÃO DO DINHEIRO NA ESCOLHA DO CURSO DE GRADUAÇÃO
Authors: Buffon Gabriela , Mello Gilmar Ribeiro de , Coltre Sandra Maria
Published: August 2019

O objetivo deste trabalho foi analisar a influência do significado do dinheiro na escolha do curso em ingressantes de uma instituição de ensino superior pública. Para tanto foram entrevistados 294 acadêmicos de graduação matriculados no primeiro ano. Foi utilizado o questionário elaborado e validado por Moreira e Tamayo (1999), que trata da Escala do Significado do Dinheiro (ESD). As técnicas utilizadas foram Análise Fatorial e Regressão Múltipla, esta última foi empregada para as questões acrescentadas sobre a possibilidade de ganhar dinheiro na escolha do curso de graduação e profissões que ganham mais, serem mais valorizadas. Foi constatado que seis fatores positivos influenciam sobre a possibilidade de ganhar dinheiro na escolha do curso de graduação e onze fatores influenciam as profissões que ganham mais serem mais valorizadas. Os resultados apontaram que a influência do significado do dinheiro, ou seja, possibilidade de ganhar dinheiro na escolha do curso de graduação é impactada por Felicidade, Progresso, Autoestima, Prazer, Estabilidade e Estabilidade/Desapego. Entretanto a variável onde profissões que ganham mais são as mais valorizadas, apresentou dois fatores que influenciam negativamente, Preconceito e Cultura.
ANÁLISE COMPORTAMENTAL DOS CUSTOS DE AGÊNCIA EM INSTITUIÇÕES FINANCEIRAS BRASILEIRAS
Authors: Silva Hamylla Haianny Araújo , Oliveira Ádria Tayllo Alves , Melo Lúcia Silva Albuquerque de , Luz Janayna Rodrigues de Morais
Published: August 2019

A Teoria da Agência analisa os conflitos resultantes da dissolução da propriedade, em que a propriedade e o controle são delegados a pessoas distintas, ocasionando os custos de agência. Neste sentido, o presente estudo tem por objetivo analisar os custos de agência em instituições financeiras brasileiras com e sem participação estatal no período de 2011 a 2016. A amostra é composta por instituições financeiras com e sem participação estatal listadas na BM&FBOVESPA. Trata-se de um estudo descritivo com abordagem quanti-qualitativa nas demonstrações financeiras disponibilizadas na BM&FBOVESPA. Para analisar os custos de agência utilizou-se duas variáveis que são baseadas em medidas de desempenho como a variável TRA, que investiga os custos de agência através do giro dos ativos e a variável RDV, que analisa as despesas discricionárias. O estudo dividiu-se em duas etapas, na qual a primeira verificou-se por meio de estatística descritiva e a segunda aplicou-se os testes de médias por meio do teste T-Student. Quando analisado a variável TRA os resultados encontrados evidenciaram igualdade de médias, assim, não se pode inferir quais instituições financeiras possuem maiores ou menores custos de agência. No entanto, quando verificado a variável RDV os resultados demonstram que as instituições financeiras com participação estatal possuem maiores custos de agência.
Socio-Psychological Adaptation of International Students to Learning and Professional Activities
Authors: Biserova Galia Kamilyevna , Shagivaleeva GuzaliaÂ  Rasikhovna
Published: August 2019

It remains well established that international students face a number of challenges when they arrive at a foreign institute to pursue higher education. This research aims to examine the socio-psychological adaptation of international students to learning and professional activities of Elabuga Institute (branch) of Kazan Federal University, Russia. Using a number of socio-psychological adaptation methods of assessment (such as the sense of social security satisfaction, social frustration and psychological adaptation to new life conditions), the research aims to make remedial arrangements to boost the psychosocial adaptation of international students to educational and professional activities.

The findings from the assessment methods were deployed to create an intervention programme,which in turn created the effective adaptation environment for overcoming the psychological inconveniences of language and culture barriers, integrating students into personal and business relations with the native speakers, corporate training of Russian language in conversation clubs, and invitation for participation in mass cultural institute events.
Ways of International Studentsâ€™ Adaptation: Club of International Friendship
Authors: Fayzullina Olga Robertovna
Published: August 2019

The issue of international students' adaptation is being discussed all over the academic world. According to our observations, one of the best ways is to create an experimental platform for the implementation of effective ideas connected with the adaptation. We have called it the Club of International Friendship (CIF) â€œUNITY!â€ For this, 207 international students of our institute took part in the questionnaire. Our Club is aimed at overcoming any difficulties international students may have. Currently, we are analysing the process of co-adaptation, considering it as the critical element of effective inter-cultural integration.
Prime Minister Modi Returns, 2019: New Governance Agenda
Authors: Bhattacharyya Rituparna , Pulla Venkat
Published: August 2019

This editorial reviews the historic mandate of Indiaâ€™s General Election of 2019, preceding nasty campaigns and futurist agenda for Mr Modi's second term.
List of Deep Learning Models
Authors: Mosavi Amir , Faizollahzadeh ardabili Sina , R. Várkonyi-Kóczy Annamária
Published: August 2019

Deep learning (DL) algorithms have recently emerged from machine learning and soft computing techniques. Since then, several deep learning (DL) algorithms have been recently introduced to scientific communities and are applied in various application domains. Today the usage of DL has become essential due to their intelligence, efficient learning, accuracy and robustness in model building. However, in the scientific literature, a comprehensive list of DL algorithms has not been introduced yet. This paper provides a list of the most popular DL algorithms, along with their applications domains.
Japanese Lexical Variation Explained by Historical
Contact Patterns
Authors: Jeszenszky Péter , Hikosaka Yoshinobu , Imamura Satoshi , Yano Keiji
Published: August 2019

We assemble a set of methodologies using theories in variationist linguistic and GIScience, and tools used in historical GIS to analyse spatial variation in Japanese dialectal lexicon.

Based on historical dialect atlas data, we calculate a linguistic distance matrix across survey localities. The linguistic variation expressed through this distance is contrasted with several distance based measurements utilised to estimate the potential of language contact across Japan historically and at present. Besides, administrative boundaries are tested for their separation effect.

Aggregate association measures within linguistic variation can challenge previous notions of dialect area formation. Depending on local geographies in spatial subsets, great circle distance, travel distance and travel times explain a similar proportion of the variance in dialectal variation despite the limitations of the latter two. While they explain the majority, two further contact estimations have lower explanatory power: least cost paths implemented to model contact before the industrial revolution, based on DEM and seafaring, and a linguistic influence index based on the law of gravity. Historical domain boundaries and present day prefecture boundaries are found to have a substantial effect on dialectal variation. However, the interplay of boundaries and distance is yet to be identified. We claim that a similar methodology can address spatial variation in other digital humanities, given a similar spatial and attribute granularity.
Transient Pressure Analysis for Multi-Fractured Horizontal Well with the Use of Multi-Linear Flow Model in Stress Sensitive Shale Gas Reservoir
Authors: Wang Guangdong , Jia Ailin , Wei Yunsheng , Xiao Cong
Published: August 2019

Shale gas reservoirs (SGR) are important replacements for conventional energy resources and have been widely exploited by hydraulic fracturing technologies. On the one hand, due to the inherent ultra-low permeability and porosity, there is stress sensitivity in the reservoirs generally. On the other hand, hydraulic fractures and the stimulated reservoir volume (SRV) generated by the massive hydraulic fracturing operation have contrast properties with the original reservoirs. These two phenomena bring huge challenges in SGR transient pressure analysis.

Although some works in the literatures have been done on the transient pressure analysis of multi-fractured horizontal wells in SGR, unfortunately, none of them has taken the stress sensitivity and spatially varying permeability of SRV zone into consideration simultaneously. To fill this gap, this paper first idealizes the SGR to be four linear composite regions. What’s more, SRV zone is further divided into sub-sections on the basis of non-uniform distribution of proppant within SRV zone which easily yields spatially varying permeability away from the main hydraulic fracture. The stress sensitivity is characterized by the varying permeability depended on the pore pressure. By means of perturbation transformation and Laplace transformation, an analytical multi-linear flow model (MLFM) is obtained and validated by the comparison with the previous model. On the basis of our model, the flow regimes are identified and the sensitivity analysis of critical parameters are conducted to further understand the transient pressure behaviors. The research results provided by this work are of significance for well test interpretation and production performance analysis of SGR.
Pautas de movilidad e impacto de la dispersión urbana: análisis de la provincia de Valencia a partir de nuevas fuentes de datos
Authors: Zornoza Gallego Carmen
Published: August 2019

El trabajo está dedicado a obtener parámetros de movilidad del área urbana de Valencia empleando datos geolocalizados de la red social Twitter. Los objetivos son dos: reconocer la escala de los desplazamientos según la frecuencia de visita y cuantificar el impacto que tiene la dispersión urbana en la longitud de los desplazamientos.  La metodología parte de la detección del lugar de residencia de cada usuario, sobre la cual poder hacer el análisis de los desplazamientos. Una vez establecida la residencia, se clasifican el resto de posiciones de cada usuario en función a la cantidad de veces que se visita un lugar, distinguiendo entre lugares: frecuentes y ocasionales. De esta forma, se obtiene información sobre los espacios de vida habitual, en los que las estrategias de consumo de tiempo se ven reflejadas, y sobre los espacios de vida ocasional, donde los desplazamientos responden a una menor fricción por distancia. Finalmente, el impacto de la dispersión urbana en los desplazamientos se mide a través de las distancias que recorren los usuarios residentes en zonas urbanas continuas en comparación con las discontinuas. Los resultados confirman el impacto que la urbanización discontinua tiene en la movilidad con un aumento medio de 4 Km.
Acute kidney injury in hospitalized patients who underwent percutaneous kidney biopsy for histological diagnosis of their renal disease
Authors: Konigsfeld Henrique Pinheiro , Viana Tatiana Garcia , Pereira Suzy Cristine , Santos Thais Oliveira Claizoni Dos , Kirsztajn Gianna Mastroianni , Tavares Agostinho , Júnior Marcelino de Souza Durão
Published: August 2019

Background Performing a kidney biopsy is necessary to accurately diagnose diseases such as glomerulonephritis and tubulointerstitial nephritis, among other such conditions. These conditions predispose patients to chronic kidney disease, as well as acute kidney injury (AKI). Notably, most epidemiological studies describing AKI have not investigated this patient population. Methods Included patients admitted to the nephrology ward of a tertiary hospital who underwent percutaneous kidney biopsy. AKI was diagnosed based on the Kidney Disease: Improving Global Outcomes criteria. Results Of the 223 patients investigated, 140 (62.8%) showed AKI. Of these, 91 (65%), 19 (13.6%), and 30 (21.4%) presented with AKI classified as stages 1, 2, and 3, respectively. The primary indication for performing biopsy was nephrotic syndrome or nephrotic proteinuria (73 [52.1%] in the AKI vs. 51 [61.4%] in the non-AKI group, p=0.048). Focal segmental glomerulosclerosis was the most prevalent primary disease (24 [17.1%] in the AKI vs. 15 [18.0%] in the non-AKI group, p=0.150). Multivariate analysis of risk factors associated with AKI showed hemoglobin levels (odds ratio [OR] 0.805, 95% confidence interval [CI] 0.681–0.951, p=0.011), serum high-density lipoprotein cholesterol levels (HDL-c, OR 0.970, 95% CI 0.949–0.992, p=0.008), and baseline serum creatinine levels (OR 2.703, 95% CI 1.471–4.968, p=0.001) were significantly associated with AKI. Conclusions We observed a high prevalence of AKI in hospitalized patients who underwent kidney biopsy to investigate their renal disease, particularly glomerulonephritis. Higher levels of hemoglobin and serum HDL-c were associated with a lower risk of AKI.
The diversity between curatively resected pancreatic head and body-tail cancers based on the 8th edition of AJCC staging system: a multicenter cohort study
Authors: Sheng Weiwei , Dong Ming , Wang Guosen , Shi Xiaoyang , Gao Wei , Wang Kewei , Song He , Shi Gang , Tan Xiaodong
Published: August 2019

Background: To our knowledge, there are no studies to systematically compare the detailed clinical significance between curatively resected pancreatic head (ph) and body-tail (pbt) ductal adenocarcinoma based on the new 8th edition of AJCC staging system (8th AJCC stage) that was just applied in clinical practice in 2018.
Methods: 351 patients with curatively resected pancreatic adenocarcinoma (PC) from three center hospitals were entered into this multicenter cohort study.
Results: Increasing tumor size (P<0.001), T stage (T1+T2 vs T3+T4, P=0.003), frequent postoperative liver metastasis (PLM) (P=0.002) and 8th AJCC stage (IA to VI, P<0.001; I+II vs III+IV, P=0.002) were closely associated with the progression of pbt cancers compared with that in ph cancer patients. Moreover, tumor size≥3cm (P=0.012), 8th AJCC stage (III+IV) (P=0.025) and PLM (P=0.010) were identified as independent risk factors in pbt cancers in logistic analysis. Patients with pbt cancers had a significantly worse overall survival compared with ph cancer patients (P=0.007). Moreover, pbt was an independent unfavorable factor in multivariate analysis (P=0.009). In addition to 8th AJCC stage, vascular invasion and PLM, increasing tumor size and advanced T stage were also closely associated with the poor prognosis in 131 cases of pbt cancer patients compared with Ph cancer patients.
Conclusion: Pbt, as an independent unfavorable factor for the prognosis of PC patients, are much more aggressive than that in ph cancers according to 8th AJCC staging system. 8th AJCC staging system are more comprehensive and sensitive to reflect the malignant biology of pbt cancers.
Comparison of the ROI-C cage and Zero-P device used in anterior cervical discectomy and fusion: a minimum 2-year follow-up study
Authors: Wu Penghuan , Yuan Aidong , Min Shaoxiong , Shi Benchao , Jin Anmin
Published: August 2019

Background: Anterior cervical discectomy and fusion (ACDF) has been considered the gold-standard procedure for treating symptomatic cervical spondylosis refractory to conservative management. The aim of this study was to compare the clinical efficacies of anterior cervical discectomy and fusion (ACDF) with Zero-P and ROI-C devices in the treatment of cervical degenerative disc disease (CDDD).
Methods: Between July 2014 and December 2014, 56 patients underwent ACDF with Zero-P or ROI-C. Pre-, intra-, and postoperative clinical and radiographic outcomes were compared between groups.
Results: The visual analogue scale (VAS) pain score, Japanese Orthopaedic Association (JOA) score, neck disability index (NDI) score, cervical range of motion (CROM) angle, C2-7 Cobb angle, and disc height index (DHI) exhibited significant postoperative improvements in both groups (P<0.05). The successful treatment rates in both groups were 76% (P>0.05). In the Zero-P group, the duration for surgeries involving C3-4 or C6-7 was longer than for other surgeries (135.0±19.0 vs. 105.6±17.5 min, P<0.05). The operative time for surgeries involving C3-4 or C6-7 was significantly shorter for ROI-C than for Zero-P (112.2±20.5 min, P<0.05). There were no significant differences in the dyspepsia or cage subsidence rates between the Zero-P and ROI-C groups (P>0.05). The last follow-up Cobb angle in the Zero-P group (24.4±4.5°) was significantly higher than that in the ROI-C group (18.1±2.3°) (P<0.05).
Conclusion: ACDF with ROI-C showed comparable efficacy with the Zero-P device, with a shorter operation time for surgeries involving C3-4 or C6-7. However, ROI-C may cause more Cobb angle loss over time, which may lead to uncomfortable symptoms. Above all, the surgeon should take individual patient context and personal proficiency into consideration when choosing cage devices.
Diagnose-Specific Antibiotic Prescribing Patterns at the Otorhinolaryngology Inpatient Departments of Two Private Healthcare Facilities in Central India: A Five Year Observational Study
Authors: Silfwerbrand Elisabeth , Verma Sumeer , Sjökvist Cora , Lundborg Cecilia Stålsby , Sharma Megha
Published: August 2019

Background

Antibiotics are overprescribed in low-and-middle-income countries where the infection rate is high. The global paucity of standard treatment guidelines and reliable prescription data is a barrier to rationalise antibiotic use and combat antibiotic resistance. Moreover, there is a lack of diagnose-specific prescription data from high infection risk departments such as the otorhinolaryngology (ENT). The purpose of the study was to present diagnose-specific antibiotic prescribing patterns at ENT inpatient departments of a teaching hospital and a non-teaching hospital from Indian private healthcare sector.

Methods

Data of all consecutive inpatients at the department (n=3527) were collected for five years (2008-2013). Analyses were conducted for inpatients aged >15 years (n=2909) using the World Health Organization’s methodologies. Patient records were divided into four diagnoses (indication) groups, i.e., surgical, non-surgical, chronic suppurative otitis media (CSOM) and others.

Results

Of 2909 inpatients, 51% had surgical diagnoses. An average of 83% inpatients in the clean surgery group, 78% in viral infection and 75% in non-infectious groups were prescribed antibiotics. CSOM was the most common diagnosis at both settings (883/2909 inpatients), where nearly 90% inpatients were prescribed antibiotics. Overall, third-generation cephalosporins and fluoroquinolones were most commonly prescribed.

Conclusions

This study highlights prescribing antibiotic to the unindicated diagnosis groups, i.e., clean surgeries, viral infections, and non-infectious diagnoses. Recommended single-prophylactic dose of antibiotic was not prescribed for the majority of clean-contaminated surgeries. Prolonged empirical prescribing and insignificant use of the microbiology laboratory was evident in both settings. A meticulous analysis of clean surgery group highlighted the universal applicability issue of available global guidelines.
Efficacy of switching from dipeptidyl peptidase-4 inhibitors to dulaglutide in patients with type 2 diabetes
Authors: Chiba Koki , Oita Mayuko , Nakamura Hiroyuki , Utsunomiya Ayano , Kosumi Yui , Iesaka Hiroshi , Watanabe Toshiyuki , Horita Tetsuya
Published: August 2019

Background:
Several reports showed that the effects of daily Glucagon-like peptidase-1 (GLP-1) receptor agonists for lowering plasma glucose and body weight are superior to those of dipeptidyl peptidase-4 (DPP-4) inhibitors, while the superiority of weekly GLP-1 receptor agonists, dulaglutide, is still unclear. The aim of this study was to evaluate the efficacy of dulaglutide therapy switching from DPP-4 inhibitors in patients with type 2 diabetes.
Methods:
We retrospectively evaluated the 79 Japanese patients with type 2 diabetes at the Diabetes Outpatient Clinic in Tomakomai City Hospital whose treatment was switched from DPP-4 inhibitors to dulaglutide. We investigated the change of hemoglobin A1c (HbA1c), casual plasma glucose (CPG) levels and body weight 4 weeks, 8 weeks and 12 weeks after switching from DPP-4 inhibitors to dulaglutide. In addition, we defined the group in which HbA1c was improved more than 1% as “improved group” (n = 37) and the group in which HbA1c was improved less than 1% as “non-improved group” (n = 42), and compared the patients’ background in both the groups. The subtraction of HbA1c at each weeks and baseline HbA1c was defined as ⊿HbA1c.
Results:
After switching to dulaglutide, HbA1c showed a significant decrease from 4 weeks later, and the effect was maintained even after 12 weeks. The “improved group” had lower estimated glomerular filtration rate (eGFR) and higher baseline HbA1c than the “non-improved group”. In the “improved group”, ⊿HbA1c showed a significant correlation with eGFR and baseline HbA1c.
Conclusion:
Switching from DPP-4 inhibitors to dulaglutide could improve HbA1c, especially in cases with low eGFR and high HbA1c.
Participation of adults with cognitive, physical, or psychiatric impairments in family of origin and intimate relationships: a grounded theory study
Authors: Pfister Andreas , Georgi-Tscherry Pia , Berger Fabian , Studer Michaela
Published: August 2019

Background

How adults with disabilities perceive participation has received little attention. Our purpose was to formulate a grounded theory on participation, based on the subjective experience of adults with cognitive, physical, or psychiatric impairment(s), and to identify barriers, facilitators, and support needs concerning participation in different areas of life. We aimed to explore whether the United Nations’ Convention on the Rights of Persons with Disabilities (CRPD), ratified by Switzerland in 2014, and its principles are being met. Here we report on the main category and focus on the participation areas ‘family of origin’ and ‘intimate relationships.’

Methods

In a qualitative, grounded theory study, we conducted problem-centered interviews with 23 adults with cognitive, physical, or psychiatric impairments (30­-53 years; 11 men, 12 women), with different housing (on their own, assisted living, with parents) and work situations (primary vs. secondary labor market) in nine German-speaking Swiss cantons.

Results

Participation can be understood as a continuum that extends on a horizontal level (from participation is restricted to participation takes place) and a vertical level (separative setting vs. inclusive setting). In separative as well as in inclusive settings, diverse levels of participation are possible. Many participants were stuck in an ‘in-between’ area between separative and inclusion-oriented settings. In the family of origin, there was a thin line between fulfilling relations that enhance participation and conflictual relations and overprotective parenting that limit participation. In intimate relationships, opportunities for participation were limited overall. Many interviewees were single. Social environment and family of origin (e.g., parents) can enable and facilitate intimate relationships and sexual contacts but can also be an important barrier.

Conclusions

Participation can be understood as a continuum. Participation restrictions exist in separative as well as in inclusive-oriented settings, also in the areas of family of origin and intimate relationships. Participation barriers must be torn down in separative as well as in inclusion-oriented settings. Trajectories to inclusive settings should be facilitated. Families with children with impairment(s) should be accompanied from early on to create the best possible participation possibilities for the (adult) person with impairment(s) and to support the family of origin itself.
Breastfeeding Knowledge, Attitude, and Practice among White-Collar and Blue-Collar Workers in Indonesia
Authors: Basrowi Ray Wagiu , Sulistomo Astrid W , Adi Nuri Purwito , Widyahening Indah S , Vandenplas Yvan
Published: August 2019

Objective

Working status is identified as a major risk factor of poor breastfeeding practices among workers. This study aimed to evaluate the knowledge, attitude, and factors associated to breastfeeding practice among white-collar and blue-collar workers in Indonesia.

Methods

A cross-sectional study was performed in two factories and three government offices in Jakarta from December 2012 to February 2013. Subjects were female workers whose children aged 6 months to 24 years old and actively working in the factory and/or office. The factors studied were selected socio-demographic and occupational characteristics, score on knowledge and attitude and breastfeeding practice during working hours.

Results

From a total of 192 subjects, 73% of white-collar workers had good knowledge on breastfeeding, in contrast with 55% of blue-collar workers who had not good of breastfeeding knowledge (P<0.001). Most of the subjects were conducting breast pumping during working hours, however 15% of white-collar worker and 17% of blue-collar worker were never breastfeed nor breast pumping at work. Working status (P=0.005) and knowledge (P=0.002) were factors associated with breastfeeding practice among workers.

Conclusion

White-collar workers have a better knowledge, attitude, and practice toward breastfeeding. Knowledge improvement related to breastfeeding benefits and supports to working mothers are key priority, however advocacy to employers, manager, and supervisor in providing breastfeeding facilitations and programs support were also critical to successful breastfeeding practice among workers.