bluuebunny/crossref_metadata_2025 huggingface dataset:
Providing Better Care for Patients with Complex Needs in Acute Medicine
Authors:   Morningside Medical Practice, Crosswaite AG , Mearns Nicola ,   Royal Infirmary of Edinburgh, Bell Derek ,   Chelsea and Westminster Hospital Imperial College London Fulham Road London, Jones Matthew ,   Salford Royal Foundation Trust, Duguid I ,   Royal Infirmary of Edinburgh, Dougall H ,   Royal Infirmary of Edinburgh
Published: June 2021

Patients with complex needs are commonly admitted on the acute medical take and comprise a significant proportion of the workload for an acute physician. An innovative multi-professional approach to the assessment of this group of patients has been developed in Edinburgh; this paper summarises the results of a 4 week review of data collected on patients assessed by the multiprofessional team on the Medical Assessment Unit at Edinburgh Royal Infirmary.
Melanomatous Leptomeningeal Carcinomatosis masquerading as Guillain-Barré Syndrome
Authors:   Department of Medicine, Milton Keynes General Hospital, Noake James R , Shepherd Andrew ,   Department of Medicine, Milton Keynes General Hospital, Smith William R ,   Rheumatology, Department of Medicine, Milton Keynes General Hospital
Published: June 2021

A 49 year old man presented with rapid onset paraparesis, evidence of lower motor neurone features and sensory impairment following a respiratory tract infection. Initially he was treated with intravenous immunoglobulins for suspected Guillain-Barré syndrome (GBS). Subsequent cerebrospinal fluid (CSF) analysis identified unexpectedly high protein levels (attributable to Froin’s syndrome1) and magnetic resonance imaging (MRI) was highly suggestive of leptomeningeal carcinomatosis and cerebral metastases secondary to disseminated malignant melanoma. The disease progressed with rapid deterioration despite high dose corticosteroids and the patient died 12 days after admission. This case brings several key points to the attention of the acute physician, in particular the need to give serious consideration to the differential diagnosis of cancer in a patient presenting with lower limb weakness.
Angioedema caused by bupropion treatment
Authors: Bhella Randeep , Southgate Jo
Published: June 2021

Reports of urticaria and rash with bupropion are common, with an estimated incidence of 1-4%. Serious adverse reactions, including seizures and angioedema occur less commonly, but may be dose related. Rarely patients present with fever, arthralgia and myalgia resembling a serumsickness reaction. A case of a 30 year-old man presenting with a rash, angioedema, and arthralgia 19 days after commencing bupropion treatment to aid smoking cessation is described. Treatment with antihistamines and steroids, resulted in improvement within 3 hours, and complete resolution after 3 days. Management also included identifying and discontinuing the causative agent. Recent concerns over neuropsychiatric side effects of bupropion are highlighted. The literature is reviewed and recommendations for safer prescribing discussed.
Journal Watch
Authors: Zahid Mohammed
Published: June 2021

The aim of this study was to look at the association between new onset atrial fibrillation (AF) and mortality as well as the influence of cardiovascular co-morbidities on risk in middle-aged women without cardiovascular disease at baseline. This large study demonstrated that those women who developed AF had an increased risk of all-cause, cardiovascular, and non-cardiovascular mortality compared with women who did not develop AF. Excess mortality associated with AF appears attributable to the occurrence of nonfatal cardiovascular events prior to death. It would seem that cardiovascular risk factors should be managed aggressively in patients with AF to try to reduce these deaths. Conen D, et al. JAMA 2011 May 25; 2080 – 87
Using a Local Early Warning Scoring System as a Model for the Introduction of a National System
Authors:   St George’s, University of London, Austen Charlotte , Patterson Caroline ,   Imperial College, London, Poots Alan ,   NIHR CLAHRC, Northwest London, Green Stuart ,   NIHR CLAHRC, Northwest London, Weldring Theresa ,   Chelsea and Westminster Hospital, Bell Derek ,   Department of Acute Medicine, NIHR CLAHRC, Northwest London, Chelsea and Westminster Hospital, Imperial College London, Fulham Road, London
Published: June 2021

Background: Chelsea and Westminster Hospital introduced the Chelsea Early Warning Score (CEWS) in 2007 to aid the recognition of acutely unwell patients. The Royal College of Physicians subsequently recommended a National Early Warning Score (NEWS) for implementation across the NHS. The aim of this study was to evaluate local adherence to CEWS to identify potential obstacles to the consistent implementation of NEWS. Method: Emergency Department (ED) and Acute Assessment Unit (AAU) notes were retrospectively reviewed for a convenience sample of 102 patients admitted to the AAU. Outcome measures were completeness of documentation of CEWS parameters, documentation and accuracy of aggregate CEWS scores. Aggregate NEWS scores were calculated from the documented observations and the calculated CEWS and NEWS scores were compared. Results: Physiological observations were documented for all patients attending the ED and AAU. Heart rate, blood pressure, respiratory rate, oxygen saturation and conscious level were documented in over 95% of ED and AAU patients. Urine output was recorded for only 48% of ED and 69% of AAU patients. Aggregate CEWS scores were documented for 66% of ED and 84% of AAU patients. These were calculated accurately in 73% of ED and 79% of AAU patients. Calculation errors were eleven times more likely to result in under-scoring than over-scoring. NEWS scores were significantly higher than CEWS for the same observations and would have resulted in a 71% increase in patients requiring escalation of care in the ED and a 116% increase in AAU. Conclusion: Concerns highlighted with CEWS were the incomplete and inaccurate recording of aggregate scores, with underscoring resulting in the potential failure to recognise deteriorating patients. It is anticipated that NEWS will be accompanied by standardised documentation and training across the NHS which will support more complete and accurate recording of physiological data. Furthermore, NEWS appears from this study to be more sensitive than CEWS, thereby minimising the chance of missed deterioration.
The Balance Model in Russian and Chinese Culture: Preliminary Study and Comparative Analysis
Authors: Ilina Tatyana
Published: June 2021

This article focuses on the transcultural aspects of the Peseschkian Balance Model. The goal was to conduct a preliminary study of the balance models of Russian and Chinese respondents, to carry out quantitative characteristics of the balance model of the two groups and to compare out quantitative characteristics of the balance model of the Russian and Chinese sample group. Object of research: settlements in Russia and China according to N. Peseschkian ‘s balance model. Objectives: to form two control groups for the study; create a questionnaire in Russian and Chinese for conducting research; study the population model of China (Group 1) using a questionnaire; study the model of the population of Russia (Group 2) using a questionnaire; to carry out a comparative analysis of quantitative indicators of Group 1 and Group 2 in four areas of the balance model N. Peseschkian. It was measured the quantitative parameters of the four spheres of the balance model of Group 1 and Group 2 and compared the quantitative parameters. It was found that the sphere of meanings and the sphere of contacts are quantitatively differ little in Group 1 and Group 2, and in the spheres of activity and the sphere of the body there are significant quantitative differences Group 1 and Group 2. Detailed results of the study were displayed in tables and diagrams.
Preliminary Study of the “Separation Anxiety” Phenomenon Through the Eyes of the Method of Positive and Transcultural Psychotherapy
Authors: Drazheva Elena
Published: June 2021

The article presents the results of a preliminary study which forms part of the preparation of a dissertation titled: “Influence of parental behavior on separation anxiety in children aged 1.5 to 5 years.” This article discusses the relationship between the symptoms and problems of children manifesting separation anxiety when starting to attend kindergarten and the experiences of their parents. The preliminary study included 38 parents and their children manifesting anxiety upon separation. The study used the tools of Positive psychotherapy, which offers the opportunity to diagnose parent-child relationships and supportive intervention.
Развитие первичных способностей у дошкольников с помощью методов экологической арт-терапии (на примере коррекционной программы по снижению уровня тревожности)
Authors: Бендь Геля
Published: June 2021

Данная статья посвящена исследованию воздействия методов экологической арт-терапии в коррекции тревожности у детей старшего дошкольного возраста и в развитии первичных способностей. Выявление эмоциональных проблем у дошкольников, их коррекция и профилактика способствует гармоничному развитию детей, поддержанию их психологического здоровья. Применение средств арт-терапии подходит для этих целей – занятия экспрессивными искусствами в сочетании с положительным влиянием природной среды могут помочь детям отреагировать свои эмоции, снять эмоциональное напряжение, развить уверенность. В частном дошкольном образовательном учреждении «Дебора» ( г.Шеньчжень, КНР) была реализована программа занятий, направленная на снижение уровня тревожности с помощью методов арт-терапии в экологическом подходе.
Family Dynamics in Psychotherapy in Adolescents with Anorexia
Authors: Ivanova Veronika
Published: June 2021

The article represents the question of the relationship between family dynamics and the emergence, development and treatment of eating disorders in adolescents, through the eyes of the psychodynamic and positive approaches in psychotherapy. The main conclusion is that without taking into account the dynamics of family relations, the function of the symptom cannot be understood.
To Be or Not to Be – Hamlet and the Psychotherapeutic Technique: About Therapeutic Alliance, Growth and Effective Therapy
Authors: Remmers Arno
Published: June 2021

It is possible to construct a helping alliance for the best results in therapy by keeping in mind this helpful process of therapy, starting with building an attachment which will be needed for the interactive differentiation of the therapy contract, goals, and the client’s own activity between the sessions, and finally using feedback at the end of each session. The therapeutic alliance will grow by changes, in crisis situations and thresholds within therapy. It is essential that we know the partners of the clients and let them know about us, in order to facilitate our clients’ growth and to lessen side effects, and that we include the interaction with the social environment of the clients, and finish with the feedback about the therapy process.
Adolescent Between the Two Shores. Presenting Case of Psychotherapeutic Practice
Authors: Tomcheva Stefanka
Published: June 2021

A case of psychotherapeutic practice for an adolescent between identity, symptom and balance. Individual identity is essential for mental health. Identity development is a basis of self-acceptance and good self-esteem. As Erikson (2013) pointed out, subjective sense of identity must continue to be rediscovered and developed in a never-ending process. Erikson emphasizes that the term of identity has different but generally interrelated meanings. In many situations it can be attributed to a conscious sense of individual identity, in the others – to “an unconscious battle” for continuity between tradition and individuality, in the third – to the stability of the self, and in the fourth – as a mechanism for maintaining internal balance with group (traditional) ideals and group (traditional) identity.
Modelo para la continuidad de la formación de grado en posgrado: UNAN-Managua
Authors: Escobar Soriano Álvaro Antonio , De Armas Roberto
Published: June 2021

La continuidad de la formación de grado en posgrado tiene la meta de integrar los procesos de formación, investigación y extensión universitaria en una secuencia coherente, de mayor alcance de continuidad de competencias de grado hacia posgrado, que permita la vinculación y el desarrollo efectivo de las líneas de investigación en ambos niveles. Por tanto, para alcanzarlo es necesaria una metodología de trabajo constructiva, recursiva, sistemática y de participación inclusiva de los actores involucrados.

Para ello, la construcción de un modelo para la continuidad de la formación de grado en posgrado explique cómo se puede vincular la formación de grado y posgrado tiene sus bases en diferentes fundamentos. Entre estas se encuentran: la metodología para construir modelos teóricos, el marco legal del país, la misión, visión y valores de la institución de educación superior, además en conceptos y teorías relacionados con modelos curriculares que favorecen el desarrollo integral de los aprendizajes, de los procesos de investigación y de extensión.

Los diferentes niveles de integración (nivel de integración en la carrera de grado, nivel de integración en el eje integrador, proyectos de investigación (de intervención) y nivel de integración y vinculación con posgrado), dan coherencia al proceso de continuidad en el que se vinculan la formación, la investigación y la extensión. No obstante, el modelo se concretiza finalmente en una serie de acciones que culminan con la mejora de la formación de los programas de posgrado, tomando como base el modelo para desarrollar competencias.
Elaboración y validación de estrategias para la enseñanza y el aprendizaje de español como lengua materna
Authors: Sandoval Armando José , Escobar Soriano Álvaro
Published: June 2021

En el presente artículo se abordan los detalles sobre el proceso de investigación del proyecto titulado: Elaboración y validación de estrategias para la enseñanza y el aprendizaje de español como lengua materna, trabajo que se realizó con estudiantes de la carrera de Lengua y Literatura Hispánicas. Esto inició con el análisis de trabajos didácticos resguardado en el Centro de Documentación del departamento de español (CEDOC), se encontraron un total de 45 trabajos, divididos entre las diferentes macrohabilidades de la lengua materna. Por lo tanto, los estudiantes se dividieron en equipo para trabajar: escritura, expresión oral, comprensión lectora, gramática y literatura. Se continuó con la capacitación sobre el modelo de aprendizaje por esquema (Escobar, 2016). La etapa concluye con la utilización del modelo para reestructurar los trabajos y elaborar una nueva secuencia didáctica, de los cuales se obtuvieron cinco trabajos transformados con base en el modelo. Con el proceso se está fortaleciendo la competencia didáctica y de investigación en los estudiantes.
COVID-19: acciones para atenuar las emociones negativas desde los ambientes de aprendizaje
Authors: Stynze Gómez Harly Onelly
Published: June 2021

El presente artículo se realiza a partir de la indagación en varios estudios de investigación en: China, México, España y Reino Unido fundamentalmente. Los resultados de dichos escritos apuntan a los efectos causados por la Covid-19 desde varias esferas psicosociales que conducen a efectos negativos que se manifiestan en ansiedad, depresión, estrés y miedo desde los jóvenes hasta los adultos mayores. Según varios expertos los problemas de salud mental y emocional no se han abordado, con el rigor que merecen, como temas de importancia en el proceso de cambio o adaptación en los ambientes de aprendizaje.

Considerando nuestra esfera de actuación profesional nos centramos en un abordaje de cómo la pandemia ha afectado psicosocialmente a los estudiantes universitarios y las posibles consecuencias que puedan generarse, tanto desde el presente en su vida personal como en el futuro en su vida laboral se realizan acciones que pueden contribuir a sobrellevar los efectos psicosociales desde los ambientes de aprendizaje, sean presenciales, virtuales o mixtos en la búsqueda de evitar la deserción de los estudiantes universitarios.
Aplicación de las TIC y la Micro Robótica Educativa para el fortalecimiento de los procesos de educación formal y no formal de la FAREM-Carazo, UNAN-Managua. ROBOTIC 1.0
Authors: Mejía Quiroz Álvaro Antonio , Gutiérrez Marcenaro Harold Ramiro , Iglesias José Antonio , Ledezma Agapito
Published: June 2021

El proyecto ROBO-TIC 1.0, adjudicado en la XI Convocatoria de Ayudas para Proyectos de Cooperación de la UC3M, ejecutado por la Unidad de Investigación y Desarrollo Tecnológico (UIDT) de la UNAN-Managua, FAREM-Carazo en conjunto con el grupo e-cud, promoviendo la Micro Robótica Educativa (MRE) y las Tecnología de la Información y la Comunicación (TIC), como disciplinas potenciadoras de procesos educativos: integradores, inclusivos, pertinentes y contextualizados que contemplaron la innovación, el emprendimiento, la creatividad y la multidisciplinariedad, en el marco de la primera cohorte del Diplomado en Micro Robótica Educativa, relacionado con el Internet de las Cosas (IoT) y la Domótica, contextualizando a otras áreas del conocimiento. Se estableció sinergia con temas desarrollados de manera paralela de proyectos de cooperación, la Educación Inclusiva desde un enfoque de Intervención Socio-Educativa y que, por medio de la MRE y otras TIC, atender a sectores vulnerables y grupos en riesgo de exclusión social.
Estructura de las comunidades de diatomeas de los sedimentos del lago Cocibolca y su relación con eventos naturales y antropogénicos
Authors: Hernández González Silvia Elena
Published: June 2021

Con la finalidad de identificar las diatomeas y su comportamiento en un perfil de sedimento y su relación a eventos naturales y antropogénicos, se realizó un muestreo en el lago Cocibolca. Un total de 46 taxa fueron identificadas con la mayor diversidad en el sitio PLN I (41 taxa) y menor en el sitio PLN II (24 taxa). Los géneros más representativos en el PLN I fueron: Aulacoseira (12,20%), Fragilaria (7%), Navicula (12,20%), Nitzschia (7,32%), Pseudostaurosira (12,20%), y Surirella (9,76%). En el sitio PLN II fueron: Aulacoseira (20,83%), Nitzschia (12,50%), Pseudostaurosira (12,50%), Surirella (8,33%), Cyclotella (8,33%) y Synedra (8,33%). Dentro del género Aulacoseira la especie A. muzzanensis mostró ser la más dominante (44%; PLN I) y (64,58% PLN II).

De las especies encontradas, cuatro de ellas (Aulacoseira ambigua, A. subartica, Discotella stelligera y Stephanodiscus) presentan oscilaciones significativas como es el reemplazo de una especie por otra que depende de los cambios ambientales en el medio acuático. El sitio PLN I muestra más evidencia de los cambios que tuvo el cuerpo de agua en algún tiempo, que se ve reflejado en la dominancia que presenta una especie que al desaparecer es reemplazada por otra. Es de suponer que por un tiempo las condiciones del lago fueron variandas, observándose mejor en este sitio.

La aplicación de los indices de Shannon y Simpson muestran que el sitio PLN I es donde se observan los valores más altos calculados, 1,081 y 2,412 bit respectivamente
Informar a los pobladores de El Descanso (Breña Tres), sobre la calidad física, química y microbiológica de sus fuentes de agua, Nandaime, Granada, 2016
Authors: Rojas Cerda Kathia Vanessa , Altamirano Espinoza Maximina
Published: June 2021

Este estudio se realizó en la comunidad El Descanso (Breñas Tres), la cual cuenta con una población de 140 habitantes, siendo la agricultura la principal actividad económica. La fuente de abastecimiento de agua es subterránea, constituyendo la agricultura un riesgo potencial de contaminación del acuífero por agroquímicos empleados. Esto a su vez, es un peligro latente para la salud de la población, ya que desconocen la calidad del agua. La ONU estableció en el 2010 como derecho fundamental del ser humano el acceso al agua; sin embargo, no basta con suplir suficiente cantidad de agua, sino que también es necesario que sea de buena calidad para asegurar la salud humana; de modo que el presente estudio evaluó las condiciones fisicoquímicas y bacteriológicas de los pozos de esta zona; a la vez se analizó la persistencia de los plaguicidas organoclorados y organofosforados en medios hídricos. A partir del 2011, el gobierno estableció como requisito para todo pozo el análisis de arsénico total para hacer uso del agua, de ahí que también este análisis fuera incluido en esta investigación. Se monitorearon once pozos excavados y un pozo perforado. Como resultados analíticos obtenidos se muestra que las aguas tienen buena calidad respecto a los parámetros fisicoquímicos, plaguicidas y arsénico total para consumo humano de acuerdo a las normas de calidad utilizadas; sin embargo, su calidad en cuanto a los indicadores de contaminación microbiológica no es apta para consumo humano ya que se detectaron concentraciones de Coliformes Totales y Escherichia Coli en las tres fuentes monitoreadas.
Perceived Life-Readiness from Real-World Curriculum Experiences of Alumni
Authors: Azzarello Caterina Belle , Arakawa Lee , Edi Daniel , Sutton Madasyn , Larkins Randy
Published: June 2021

Students pursue college degrees expecting to learn skills necessary to navigate adult life. While this is the expectation of most students, there is a lack of research examining the perceived effectiveness of real-world applicability in undergraduate degrees.Objective. The purpose of this phenomenological and constructivist study was to explore how college alumni perceive their educational experiences in terms of real-world preparedness.Methods. Eight participants in their mid-twenties (5 females, 3 males) were selected using purposeful sampling. Participants participated in informal, semi-structured, one-on-one Zoom interviews and demographic questionnaire responses.Results. Emerging themes indicated that alumni felt the relationships formed had a greater contribution to their life-readiness compared to their real-world curriculum. Other emerging themes revealed alumni believed they developed valuable skills through hands-on experience and group work. Recommendations were made by alumni for curriculum changes, including smaller class sizes and inclusion of more practical courses.Conclusions. Based on these findings, future research should aim to replicate this study using a broader range of alumni to further investigate this phenomenon, as well as studies that investigate various college types and student experiences.
A mulher negra e a formação em Psicologia. Quais as barreiras existentes?
Authors: Santos Aline Souza Rosa dos , Emílio Solange Aparecida
Published: June 2021

O presente estudo é resultado de uma pesquisa que buscou verificar questões relacionadas à associação entre gênero e raça que podem interferir na formação da mulher negra em Psicologia. Buscou-se encontrar elementos para reflexão sobre possíveis barreiras enfrentadas em sua formação. A referida pesquisa teve, como instrumento de coletas de dados, um questionário e entrevistas semiestruturadas. Em um primeiro momento, foi disponibilizado na internet um questionário on-line respondido por 115 mulheres. Para a segunda etapa da coleta, foram sorteadas dez mulheres que se disponibilizaram no primeiro momento da pesquisa a participar da entrevista semiestruturada de caráter qualitativo. Os dados dos questionários foram analisados de forma quantitativa, com o levantamento das respostas mais prevalentes. Então, foram relidas as entrevistas semiestruturadas, para a identificação de temas emergentes nos relatos. Cada um deles foi destacado para a realização da triangulação com os resultados quantitativos e o embasamento teórico, havendo comparação, também, com estudos anteriores. Este artigo aponta para maior necessidade de discussão sobre o tema, inclusive das relações raciais, para a necessidade de maior representatividade de autores e professores negros nas instituições que ofertam o curso de Psicologia e para a necessidade de um esforço coletivo para a identificação e eliminação das barreiras existentes na formação de mulheres negras em Psicologia.
A memória nacional lusitana em O vento assobiando nas gruas, de Lídia Jorge
Authors: Ribeiro Clenir da Conceição , Tolentino Eliana da Conceição
Published: June 2021

Este trabalho tem como objetivo um estudo da obra O vento assobiando nas gruas (2007), da escritora portuguesa Lídia Jorge. O romance metaforiza, por meio da protagonista Milene Leandro, a nação lusitana, pós Revolução dos Cravos (1974), que oscila entre a grandiosidade do império e as transformações decorrentes desse acontecimento. Milene, diagnosticada com oligofrenia- doença que consiste na interrupção do desenvolvimento da inteligência- pode simbolizar uma nação com memória fantasiosa que lida mal com o passado beirando o esquecimento. Além disso, em um diálogo com a história do período colonial português, intentamos um estudo da memória nacional e seus desdobramentos com a descolonização. Para a efetivação da pesquisa, recorreremos a teóricos, como Beatriz Sarlo (2007), Jacques Le Goff (2003) e Pierre Nora (1993) para problematizar a relação entre história e memória. Maurice Halbwachs (1990) para visitar a memória coletiva, bem como a Benedict Anderson (2005), Ernest Renan (2005), Bhabha (1998) e Wander Melo Miranda (2010) para abordar nação e Eduardo Lourenço (1998) para situar o contexto português pós-74.
Entre o deliberativo e o agonístico: algumas notas sobre democracia e feminismo em Mouffe e Benhabib
Authors: Marino Rafael , Pereira Daniela Costanzo de Assis
Published: June 2021

Pretendemos, com este trabalho, mostrar distinções importantes entre as compreensões que Chantal Mouffe e Seyla Benhabib teriam a respeito de questões como democracia, feminismo, poder, legitimidade, lutas democráticas e a constituição de sujeitos políticos. Sugerimos que estas diferenças estão vinculadas à compreensão agonística que Mouffe teria da política e da sociedade e à compreensão deliberativa de Benhabib sobre tais esferas. Com isto, não queremos esgotar o debate, mas, tão somente, levantar distinções importantes para pensarmos a produção de tais autoras. Tendo isso em vista, pretendemos lançar mão de alguns textos escritos por estas autoras de modo que possamos cumprir as seguintes etapas de trabalho: 1) mostrar alguns pressupostos teóricos que norteiam suas formulações; 2) mostrar alguns desenvolvimentos intelectuais destes pressupostos; 3) fazer uma breve comparação entre os argumentos destacados no ponto anterior na tentativa de indicar algumas conclusões.
A interpretação de relatos em Fazes-me falta - Inês Pedrosa
Authors: Silva Valéria Cardoso da
Published: June 2021

O romance português contemporâneo Fazes-me falta, da escritora Inês Pedrosa, traz à baila a memória imaginária de relatos confessionais sobre a História da Humanidade. O artigo trata de um diálogo de ficção entre dois protagonistas: uma mulher e um homem. Mas, ela está morta e ele está vivo e ambos convergem e divergem sobre diversos temas.
A mitologia do mundo colonial português em decomposição na prosa romanesca de António Lobo Antunes
Authors: Bezerra Ana Cristina Pinto
Published: June 2021

A imagística colonial de um grande império luso torna-se o material revisitado pelo singular narrador do romance Os cus de Judas (1979), de António Lobo Antunes, uma vez que são retomadas as reminiscências trágicas da guerra colonial vivida por aquele em solo angolano. Nesse retorno fatídico, o narrador projeta uma imagem destrutiva dos valores que fizeram parte de sua formação como o “ser português esperado”, de maneira que, ao desmobilizar tais pensamentos, o sujeito encontra um outro caminho para olhar o passado sem que, necessariamente, tenha que lhe render homenagens. Por consequência, na narração são desenvolvidas estratégias específicas para que a mitologia que arregimentou a narrativa do mundo colonial lusitano seja posta em decomposição. São essas estratégias que caracterizam o foco da escrita aqui empreendida, de modo a analisar de que forma um dado modelo de epos nacional é alvo de questionamento e, assim, recebe um novo acento dentro da narrativa antuniana em foco. Para tanto, as concepções de Eduardo Lourenço (2001, 2016) sobre o desencanto cultivado no cenário português e a teorização de Bakhtin (1993, 1997) sobre as características da epicidade fazem parte do referencial teórico deste artigo.
O fio tênue e áspero da poesia de Ana Marques Gastão
Authors: Amorim Claudia
Published: June 2021

O artigo propõe uma leitura crítica da obra da poeta Ana Marques Gastão, a partir da imagem da(s) mão(s), presente no processo da escrita e no exercício indagativo do sujeito em sua relação com o mundo. Dentro de tal proposta, consideramos também o diálogo com outras artes, como a música, a dança e a pintura.
Intersecções históricas em A ilustre casa de Ramires: o romance e a revista
Authors: Bravo Cintia
Published: June 2021

A valorização de Portugal proposta por Eça de Queirós ao publicar o romance A ilustre casa de Ramires nas páginas da Revista Moderna é o enfoque desta pesquisa. Ao analisarmos o romance dentro da revista, podemos também perceber que existem perspectivas históricas que se complementam e se distanciam. À medida que observamos a oposição entre as personagens principais deste romance, também podemos compreender as diferenças entre o passado e o presente de Portugal na visão queirosiana. Ao escrever um romance histórico, dentro de um romance histórico, talvez, Eça queira mostrar a Portugal do final do século XIX que ficar preso ao passado, enaltecendo uma glória que jamais ressurgirá, não poderia ajudar seu país a se reconstruir. Para Eça, se faz necessário que homens olhem para o passado, na intenção de construir uma nova História e sim, que decidam através dessa construção, mudar o presente e projetar um futuro melhor.
Desalento, descrença, desencanto e desesperança: o perfil poético do emigrado português em terras brasileiras
Authors: Pereira Maria Clara Costa
Published: June 2021

Este artigo busca imergir por entre as expressões poéticas publicadas no jornal carioca A Saudade (1855- 1857 e 1861-1862) sobre sentimentos de desalento, descrença, desencanto e desesperança em relação ao presente e futuro, investigando formas de construção de uma sensibilidade e um perfil literário melancólicos. Assim como estas enunciações estão em relação com um estilo artístico próprio deste contexto histórico, também, é por meio delas que uma experiência particular, do grupo de portugueses emigrados no Rio de Janeiro, de afastamento e saudade é significada e apropriada como forma de identificação e conforto existencial e social. O jornal funciona, nesse sentido, como obra a partir da qual determinadas construções, sentimentais e artísticas, ganham visibilidade. Periódico do Grêmio Literário Português, este órgão é enunciado enquanto representante da associação e vincula projetos sob o signo da literatura e instrução, funcionando como meio de construção de uma ethos sensível do português emigrado em meio aos embates sociais da sociedade brasileira oitocentista.
Factors Influencing Press Ganey Ambulatory Surgery Scores in Patients Undergoing Upper Extremity Procedures
Authors: Weir Tristan B. , Zhang Tina , Jauregui Julio J. , Aneizi Ali , Sajak Patrick M.J. , Schneider Matheus B. , Gilotra Mohit N. , Abzug Joshua M. , Henn R. Frank , Akabudike Ngozi M.
Published: June 2021

Introduction:

We sought to determine whether patient and surgical factors are associated with the Press Ganey Ambulatory Surgery Survey (PGAS) satisfaction scores in patients undergoing outpatient upper extremity procedures.

Methods:

A retrospective review of a single academic urban hospital's Press Ganey database was performed for patients undergoing upper extremity procedures. PGAS scores above an a priori threshold were considered satisfied. Logistic regression analyses for the PGAS Total and Provider Scores were performed to determine the predictors of patient satisfaction.

Results:

Of the 198 patients included, the mean age was 49.6 ± 17.1 years and 55% were men. For the Total Score, multivariable analysis showed significantly less satisfaction with continuous catheter peripheral brachial plexus nerve blocks (CC-PNBs) (odds ratio [OR], 0.37; P = 0.008) and internet surveys (OR, 0.39; P = 0.007), but smokers had surprisingly more satisfaction (OR, 4.90; P = 0.016). For the Provider Score, a multivariable analysis showed less satisfaction with CC-PNBs (OR, 0.45; P = 0.035), internet surveys (OR, 0.46; P = 0.026), and geographic location (OR, 0.40; P = 0.005). Preoperative Patient-Reported Outcomes Measurement Information System scores were not associated with the PGAS scores.

Discussion:

Factors influencing satisfaction in patients undergoing upper extremity procedures may be modifiable (CC-PNBs and survey administration method) or nonmodifiable (geographic location) and may influence future reimbursement.
Intramedullary Fixation With a Short Nail in a Young Patient Presenting With a Pathological Proximal Femur Fracture
Authors: Roberto González Marcos , Bryce-Alberti Mayte , Subhawong Ty , Hakim Muhammad , Rosenberg Andrew , Pretell-Mazzini Juan
Published: June 2021

An 18-year-old man presented with a pathological fracture of the right proximal femur. Desmoplastic fibroma was diagnosed through histological studies. Surgical management involved extended intralesional curettage and fracture stabilization by open reduction with intramedullary nailing, using a short Gamma nail. At 42-month follow-up, the patient presented no limitations or recurrence. Internal fixation after prior intralesional curettage is a valid treatment strategy for pathological fractures in young patients. A short nail was chosen to prevent direct tumor cell seeding throughout the femur and future recurrence. Fracture consolidation was achieved because of the healing potential of a young patient.
A Descriptive Study on Risk Factors for Common Non-Communicable Diseases among the Students of a Nursing Training School Attached To a Tertiary Care Hospital of West Bengal
Authors: Das Kamalika , Das Palash
Published: June 2021

Introduction: Several risk factors would be the predominant cause of non-communicable diseases among the young adolescents girls life style modification maybe the methodology for health promotion & prevention of such non-communicable disease prevalence.

Objectives: To identify the several predisposing factors responsible for non-communicable health problems among the young adolescence.

Materials & Methods: Sample size was 212 and sampling technique was complete enumeration. A descriptive study was conducted where data analyzed through statistical methods like, chi square test.

Result: Study shows majority of the adolescent less than 20yers old and mostly from rural origin and non vegetarian. Most of them had the habit of vegetable & fruit intake though there was no case of addiction but only 56% were habituated with exercise.

Conclusion: Unhealthy diet pattern, lack of regular exercise would be the predominant cause of different non-communicable disease pattern where LSM is the best way to rectify the situation.
Effectiveness of Telemedicine Interventions In Diabetes Management At Primary Care Settings In Asia: A Systematic Review Protocol
Authors: Das Amity , Kaushal Pawna , Agarwal Disha , Sharma Megha
Published: June 2021

Background: This systematic review will focus on the effectiveness of Telemedicine interventions on diabetic management at primary care settings in Asia. The objectives of this systematic review and meta-analysis are to synthesize the clinical effectiveness and to compare the effectiveness of Telemedicine interventions in the diabetes management in Asia.

Methodology: The conducting and reporting of this review will adhere to the PRISMA guidelines. The search strategy will include MeSH terms related to Diabetes, Telemedicine, Diabetic management, Primary Healthcare, Effectiveness, and Asia to find relevant studies. Other synonymous words will be searched using Boolean operator “AND”/”OR” on PUBMED, EMBASE, SCOPUS, COCHRANE. Randomized controlled trials examining the effectiveness of telemedicine interventions in the management of Diabetes Mellitus patients at Primary Care settings in Asia will be included. A random effects meta-analysis will be conducted with the REVMAN software version 5.3.5. Cumulative and comparative meta-analysis will be done with STATA software version SE16.

Discussion: This review and meta-analysis will be among the first to give an extensive purview on the effectiveness of telemedicine in diabetes management at Primary Care settings in Asian population.

Systematic review registration: The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO registration number: 42021210002).
Planning for resilience of water networks under earthquake hazard
Authors: Uma S R , Scheele Finn , Abbott Elizabeth , Moratalla Jose
Published: June 2021

Water networks are vulnerable to earthquakes and failures of network components can result in a lack of availability of services, sometimes leading to relocation of the community. In New Zealand, there are statutory requirements for the water network providers to address the resilience of infrastructure assets. This is done by identifying and managing risks related to natural hazards and planning for appropriate financial provision to manage those risks. In addition to this, the impact from the Canterbury region earthquakes has accelerated the need for understanding the potential risk to critical infrastructure networks to minimise socio-economic impact. As such, there is a need for developing pragmatic approaches to deliver appropriate hazard and risk information to the stakeholders.
Within the context of improving resilience for water networks, this study presents a transparent and staged approach to risk assessment by adopting three significant steps: (i) to define an earthquake hazard scenario for which the impact needs to be assessed and managed; (ii) to identify vulnerable parts of the network components; and (iii) to estimate likely outage time of services in the areas of interest. The above process is illustrated through a case study with water supply and wastewater networks of Rotorua Lakes Council by estimating ground motion intensities, damage identification and outage modelling affected by number of crews and preferred repair strategies.
This case study sets an example by which other councils and/or water network managers could undertake risk assessment studies underpinned by science models and develop resilience management plans.
Characterisation of transport resilience and measures to enhance resilience in the recovery after the 2016 Kaikōura earthquake
Authors: Mason Dougal , Brabhaharan Pathmanathan
Published: June 2021

The Ward to Cheviot section of State Highway 1 is a key lifeline transport route that runs through the Kaikōura township.  It is a strategically important link in the national state highway network, connecting the North Island via the Wellington-Picton ferry to the city of Christchurch in the South Island.  Its strategic importance and vulnerable location between the mountainous Kaikōura range and the Pacific Ocean make it a critical transportation route in the national transport network.  The route has been a focus for understanding the resilience of transport networks from as far back as 2000, when this section was used as a pilot study in early research into transport resilience.  A further resilience assessment of this section was completed as part of a national state highway resilience study in mid-2016.  Subsequently, the Mw 7.8 Kaikōura earthquake struck the northeast of the South Island on 14 November 2016, triggering thousands of large landslides and causing severe disruption to the transport network.  The damage and disruption caused by the earthquake was comparable to that assessed in pre-earthquake studies of the resilience of the state highway.  Landslides and embankment failures caused the most damage and disruption to the transport infrastructure, with the Main North Line railway closed for over 9 months and State Highway 1 closed for over a year.  Post-earthquake landslides and debris flows triggered by storms caused additional damage and disruption during the recovery phase. Post-earthquake assessment of the corridor resilience was carried out to identify measures to enhance resilience as part of the recovery works.  These measures included realigning the road and rail away from the steep hillsides, engineered works to reduce the potential for slope failure, and engineered works to reduce the potential for inundation of the corridor.  The resilience assessments also enabled tactical and operational measures to be put in place to ensure safety while allowing the recovery operations to proceed in the context of enhanced risk associated with storm events and potential aftershocks.
Strengthening heritage tunnels to enhance the resilience of Wellington’s transport network
Authors: Gkeli Eleni , Brabhaharan Pathmanathan , Novakov Dejan , Arumugam Siva , Mookaiya Gunasekaran
Published: June 2021

Wellington city is characterised by steep hilly terrain, and as such several tunnels have been constructed since the beginning of the last century to provide critical transport access in the city. These tunnels are still used today as part of the city’s transport routes, while also being an integral part of the city’s history and heritage.

Wellington is among the most seismically active areas in New Zealand. Three major active faults located within the Wellington Region and the proximity to the subduction zone are the main contributors to the high seismicity. The aging tunnels were designed and constructed prior to the advent of earthquake design standards and are subject to deterioration. Hence, they require maintenance and strengthening to ensure operational integrity and resilience to earthquake and other hazard events. Authorities have been supported by the authors in managing the risk through identifying key vulnerabilities, and prioritisation and implementation of strengthening measures. Best practice investigation and strengthening techniques have been applied through the process to ensure resilience and cost effectiveness.

The paper presents case histories that highlight the value of investigations and assessment in understanding the risks, and novel strengthening measures developed to enhance resilience while preserving the heritage of the tunnels. Case histories include the seismic strengthening of the Hataitai Bus Tunnel, the Northland and Seatoun road tunnels and the investigation and assessment of the iconic Wellington Cable Car tunnels.
Augmentation on Heat Transfer and Friction Factor in Three Sides Solar Air Heaters Having an Arrangement of Multi-V and Transverse Wire Roughness on the Absorber Plate
Authors: KUMAR Dhananjay , PRASAD Laljee
Published: June 2021

This paper present the experimental inquiry on heat transfer and friction features enrichment adopting new-fangled of three side’s synthetically rugged rectangular duct solar air heaters (SAHs). The roughened rectangular SAH ducts has been an arrangement of multi-v and transverse wire (top wall multi-v and two side walls transverse) covered with glass on three sides. It has various appliances such as crop drying, seasoning of timber, space heating, industrial purpose, etc. The rectangular duct used has a width to height ratio, W/H, equal to 8, relative raggedness pitch, P/e, wide-ranging from 10 - 25, relative raggedness height, e/D, varied from 0.018 – 0.042 and flow Reynolds number, Re, occupied from 3500 – 12,000 for fixed values of relative raggedness width, W/w, of 6 and an angle of attack, 𝛼, equal to 60°. The heat transmission and friction features of this roughened duct is compared with plane ones under identical working conditions. The maximum augmentation in heat transmission and friction feature is identified to be 6.42 and 6.44 times over the smooth duct respectively. The enhancement in air temperature streaming under three side’s synthetically rugged SAH duct is found to be 54.47% more than that of the smooth one. Three side’s artificially rugged rectangular duct SAHs are preferable over plane ones collectively and tentatively
REMARKS ON SOME RESULTS OF ALZER, YANG AND TENG
Authors: PECARIC JOSIP
Published: June 2021

REMARKS ON SOME RESULTS OF ALZER, YANG AND TENG
ON THE CLASSIFICATION OF SINGULAR AUTOMORPHIC DIFFERENTIAL EQUATIONS AND FLOW S ON THE RIEMANN SPHERE
Authors: KUIKEN K. F. , MASTERSON J. T.
Published: June 2021

In this paper, parameterizations are constructed for spaces of automor­ phic second order differential equations on certam subsets of $\hat C$. These equations have coefficients with a countable number of regular singular points on fundamen­ tal domains for bimeromorphic deformations of Kleiman groups. The equations considered are generalizations of classically-considered equations, including the hy­ pergeometric and Heun's equations, or have singular points on fam1hes of curves, including lines, conic sections, Joukowski airfoils or biconformal images of these curves. Global fluid flows associate with these equations are constructed and classified.
ON A CLASS OF MEROMORPHIC STARLIKE FUNCTIONS WITH NEGATIVE COEFFICIENTS
Authors: DIXIT K. K. , PAL S. K.
Published: June 2021

Let $T^*_M(A, B, z_0)$ denote the class of functions
\[f(z)=\frac{a}{z}-\sum_{n=1}^\infty a_nz^n, a\ge 1, a_n\ge 0\]

regular and univalent in unit disc $U'=\{z:0<|z|<1\}$,

satisfying the condition
\[-z\frac{f'(z)}{f(z)}=\frac{1+Aw(z)}{1+Bw(z)}, \quad \text{ for } z\in U' \text{ and } w\in E\]

(where $E$ is the class of analytic functions $w$ with $w(0) = 0$ and $|w(z)| \le 1$), where $-1\le A < B \le 1$, $0\le B \le 1$ and $f(z_0) =1/z_0$ ($0<z_0<1$). In this paper sharp coefficient estimates, distortion properties and radius of meromorphic convexity for functions in $T^*_M(A, B, z_0)$ have been obtained. We also study integral transforms of functions in $T^*_M(A, B, z_0)$. In the last, it is proved that the class $T^*_M(A, B, z_0)$ is closed under convex linear combinations.
¿Varía la masa de la Tierra? Modelizando a partir de un experimento mental
Authors: Oliva José Mª , Aragón Méndez María del Mar , Soto Mancera Francisco , Vicente Martorell Juan José , Matos Delgado Jesús , Marín Barrios Rubén , Franco-Mariscal Rosario
Published: June 2021

El artículo analiza el efecto de la resolución de problemas cualitativos mediante experimentos mentales, en el uso de la idea de conservación de la masa. Se trata de identificar los modelos expresados por los estudiantes y cómo estos se ajustan y autorregulan a partir del trabajo en el aula. Para ello se realiza un estudio de casos múltiples con estudiantes de secundaria obligatoria, empleando métodos cualitativos de análisis de datos. A lo largo del experimento mental, los estudiantes empezaron movilizando modelos ingenuos y simples, basados en la no conservación de la materia, y más de la mitad terminó formulando otros que integraban el principio de conservación de la masa y la idea de Tierra como sistema abierto. Ello sugiere el papel de los experimentos mentales como escenarios propicios para favorecer procesos de modelización en ciencias.
El aprendizaje de la reacción química: el uso de modelos en el laboratorio
Authors: Reyes-Cárdenas Flor , Ruiz-Herrera Brenda , Llano Lomas Mercedes , Lechuga Uribe Patricia , Mena Zepeda Margarita
Published: June 2021

El objetivo de este trabajo de investigación es documentar, caracterizar y analizar los modelos desarrollados por los estudiantes del primer año de licenciatura, al implementar el protocolo experimental «Reacción Química». Este estudio cualitativo muestra que, con la guía adecuada, los estudiantes son capaces de generar modelos de los conceptos implicados en los tres niveles de representación: simbólico, microscópico y macroscópico. Los resultados muestran que el uso de modelos pone en evidencia el nivel de comprensión sobre los conceptos involucrados en el trabajo experimental. Recomendamos la incorporación progresiva de modelos principalmente porque, en la licenciatura, los estudiantes deben integrar un gran número de conceptos y transitar simultáneamente entre los tres niveles de representación.