bluuebunny/crossref_metadata_2025 huggingface dataset:
STUDI FENOMENOLOGI PENGALAMAN PASIEN DALAM PENANGANAN PATAH TULANG DENGAN BA’URUT
Authors: Rachman Aulia , Ilmi Bahrul , Mulyani Yeni
Published: November 2020

ABSTRAK

Latar Belakang : Patah tulang merupakan suatu kejadian yang dapat di alami oleh setiap orang. Berbagai macam aktivitas dapat menimbulkan resiko kejadian patah tulang dengan berbagai penatalaksanaan yang berbagai macam jenisnya. Menurut Riskesdes 2018, Masyarakat Kalimantan Selatan memilih pemanfaatan pelayanan kesehatan tradisional 54,1%, masyarakat memilih pengobatan dengan keterampilan tanpa alat termasuk pijat urut/baurut 83,3%, serta memilih penyehat tradisional 98,9%. Pengobatan yang digunakan untuk kesembuhan patah tulang dapat dipilih sendiri oleh penderita baik medis maupun pengobatan tradisional. Kebanyakan individu menentukan pengobatannya berdasarkan atas kemampuannya baik melalui pilihan sendiri, masukan keluarga atau atas kebiasan pengalaman yang terjadi sekitar individu. Individu dalam memilih pengobatan tradisional Baurut karena pengaruh sosial budaya, pengalaman perilaku seseorang seseorang dalam menentukan pengobatan yaitu kecocokan dan kepercayaan klien dan lebih ekonomis.

Tujuan : Mengekplorasi pengalaman klien dalam penanganan patah tulang dengan Ba’urut di Kalimantan Selatan.

Metode : Desain penelitian dirancang dengan menggunakan metode kualitatif fenomenologi, dengan lima partisipan. Subjek penelitian adalah klien patah tulang dengan pengobatan baurut. Pengambilan sampel dengan tehnik purposive sampling. Instrumen penelitian menggunakan pedoman wawancara mendalam, perekam suara dan catatan lapangan. Analisa data dilakukan menggunakan kualitatif Cresswel.

Hasil penelitian : Terdapat empat tema yang teridentifikasi temuan pengalaman Baurut, yaitu: Alasan ekonomi dan kemudahn pelayanan, proses/metode baurut, dampak fisik setelah Baurut, respon psikologis dari hasil pengobatan Baurut. Hasil penelitian dapat dijadikan dasar pengembangan ilmu pengetahuan dibidang pengobatan tradisional. Saran : keluarga dan tenaga kesehatan harus saling berdampingan, keluarga dalam mengambil keputusan harus memperhatikan dan memahami bagaimana dampak yang ditimbulkan baurut untuk meminimalisasi dampak negatif dari Baurut
Nizozemska istočnoindijska kompanija
Authors: Meržić Omer
Published: November 2020

Nizozemska istočnoindijska kompanija jedna je od najznačajnijih kompanija u povijesti čovječanstva. U njenom višestoljetnom postojanju ona je promijenila dotadašnju ekonomsku praksu, koja i danas postoji. U ovom radu je dat kraći pregled povijesti Nizozemske istočnoindijske kompanije počevši od nastanka Nizozemske i njenog jačanja do te mjere da ta novonastala država može parirati Engleskoj. Predstavljena je kronologija Nizozemske istočnoindijske kompanije od njenog nastanka do njenog gašenja, te su data njena postignuća tijekom postojanja kompanije.
DIGITAL DIPLOMACY VERSUS DOWNFALL. AN AGENDA FOR INTERNATIONAL RELATIONS IN THE GLOBAL AGE
Authors: Wittmann V.
Published: November 2020

There are numerous global challenges facing humanity in this century. Diplomacy has to take these needs into account and contribute with profound expertise to academic and political discussions as well as societal developments. Any single state-related or disciplinary solo effort will not provide adequate answers to how humanity can manage and cope with the global risks of the 21st century. The article deals with the question of digital diplomacy versus downfall by ﬁ rst outlining the global hazards endangering humanity as well as inﬂ uencing world politics and international relations. Thereafter digital diplomacy as a tool to prevent humanity’s downfall is presented. Requirements for diplomats in the global age are highlighted in the following. Furthermore, visionary claims of a global turn in politics are designated and diplomacy’s contribution toward this undertaking are formulated. To close, diplomacy’s most promising way of oﬀ ering humanity its profound expertise in the digital era is set forth.
GLOBAL EDUCATION — VISION OF THE FUTURE
Authors: Vitorovic Z.R. , Hatidza B.
Published: November 2020

COVID-19 pandemic crisis has opened new questions about how to organize working and education processes. Technology has erased and changed borders, and future generations must be ready for the Post COVID-19 New Normal of Global society and possess new multidisciplinary knowledge. In this paper, the authors elaborate on the process of Global Education, which is an active project-based learning process based on the values of solidarity, equality, inclusion, and cooperation, which enables people to achieve a better understanding between Global and Local processes. This paper aims to show how Global education could represent a future where knowledge should connect people of all ages in all parts of the world on an equal basis. The authors especially stress that global Education should provide opportunities for a realistic assessment of contemporary problems in our World without, however, intensifying the negative images of the so-called “inevitably dark and terrible future”.
WHY ARE SOME DEMOCRACIES MORE TARGETED BY TERRORISTS THAN OTHER DEMOCRACIES?
Authors: Kamenskikh A.N.
Published: November 2020

Democracy became one of the most common political regimes that governments of many countries use. It is often being considered as peaceful as it encourages freedom and legal means of expression of discontent. Surprisingly, some democracies turn out to have more terrorist attacks than other democratic countries. If democracies encourage terrorism by their nature, then why only some of them struggle with this phenomenon? This research is concerned with the tendency of rising terrorism in some democratic countries and possible factors that determine its steadiness. The missing connection between democracy and terrorism creates an empirical puzzle that is the main question of this paper: why are some democracies more targeted by terrorists while other democratic countries do not have particular problems with it. Thereby, the main goal of this paper is to understand what factors inﬂ uence the rise of terrorist incidents in some democracies (in the case of the EU countries). The main hypothesis of the paper is that there is a connection between how many migrants a democratic country is ready to accept and its vulnerability to terrorist attacks.
Fractured Lives, Dissenting Voices, Recovering ‘Truth’: Frontiers of Research and Resistance
Authors: Scraton Phil
Published: November 2020

Emerging from critical conferences in the early 1970s involving academic researchers, community-based workers and activists, critical social research challenged the role and legitimacy of mainstream social sciences in their support of social orders fractured by class, ‘race’, sectarianism, gender, sexuality and age. This article opens with a brief reflection on the emergence and consolidation of critical social theory as the foundation and context for research that challenges state-institutionalised power and authority. It draws on long-term, in-depth primary research into the operational policies and practices of policing and incarceration, exploring the profound challenges involved in bearing witness to the ‘pain of others’. Recounting personal testimonies ‘from below’, revealing institutionalised deceit and pursuing ‘truth recovery’, it argues that dissenting voices are the foundation of hope, resistance and transformation.
The Experience of Aboriginal and Torres Strait Islander Participants in Australia’s Coronial Inquest System: Reflections from the Front Line
Authors: Newhouse George , Ghezelbash Daniel , Whittaker Alison
Published: November 2020

This article explains the way that Australian coroners’ courts often fail Aboriginal and Torres Strait Islander peoples. We discuss the gap between the expectations of families of the deceased and the realities of the process of the coroner’s court. The discussion is illustrated with reference to real-life examples, drawn from the authors’ experiences representing the families of the deceased.
Contested Deaths and Coronial Justice in the Digital Age
Authors: Scott Bray Rebecca
Published: November 2020

This article discusses emergent digital mechanisms that are engaging with, analysing and challenging coronial practice and state talk around contested deaths. Drawing on key examples, the article argues that these mechanisms represent and enable a growing, interactive public dialogue around deaths in controversial circumstances, which has the potential to shape how we might understand aspects of death justice and knowledge about the dead and their bereaved in the digital age.
Linking Challenge Stress, Negative Affect, and Work Engagement: The Moderating Effect of Self-Compassion
Authors: RUKUNDO Christophe , BEKA BE NGUEMA Jean-Noel , Atamba Cynthia , Habuba Halima Mohamed , Neku Akorfa
Published: November 2020

Dealing with challenging stressors is unquestionably the cornerstone of work life. On the other hand, challenge stress alters employees' work engagement and makes them feel unsure of their ability to develop careers and perform well. In this study, we tested the mediating effects of negative affect on the negative relationship between challenge stress and work engagement. This relationship was moderated directly by self-compassion. Data from 137 employed professionals enrolled in the Executive MBA in one of the largest Chinese universities were used to test these relationships. Data analysis results show that challenge stress has a significant negative effect on work engagement while negative affect mediated this relationship. The relationship between challenge stressors, negative affect, and work engagement was directly and indirectly moderated by self-compassion. We finished by discussing the theoretical and practical implications.
The Justificatory Argument for Redistribution and Welfare State
Authors: Chen Yixin
Published: November 2020

There is a dispute between welfare liberals and libertarians about whether redistribution of wealth is a rights violation. Welfare liberals believe that a state should redistribute income and wealth. In contrast, libertarians think redistribution is an intervention and a rights violation to the people who earn money in a free market by their inheritance or gifts. In the debate between Rawls and Nozick, there are two main disagreements about the liberty of whom and to what extent natural talents should be considered a shared asset by a state. MacIntyre thinks that Rawls and Nozick’s moral debate is meaningless since there is conceptual incommensurability of the rival arguments in it. His resolution offers a virtue ethics perspective to be a reconciliation, which fails to provide a universal moral principle in a multicultural world. However, a new way to understand the concept of labor seems to give a justificatory argument for redistribution and welfare state.
Reviewer Acknowledgements for English Language and Literature Studies, Vol. 10, No. 4
Authors: Ding Alice
Published: November 2020

Reviewer Acknowledgements for English Language and Literature Studies, Vol. 10, No. 4, 2020.
Saving Peace Education: The Case of Israel
Authors: Basman-Mor Nurit
Published: November 2020

In the divided society of Israel, educators committed to the future and the well-being of young people should incorporate peace education in all the dimensions of doing and learning in the educational system. While the formal educational system does not have a peace education policy, throughout the country, many schools undertake diverse practices of peace education. However, these practices have neither succeeded in changing students’ attitudes and emotions about other groups members, nor have they succeeded in transforming conflictual relationships, between different social-ethnic-religious groups, into relationships of trust, understanding, and reciprocity. In this article, I review the accepted practices of peace education and suggest a potential explanation of the failure of these practices. The main purposes of the article are first to argue that many educators, who engage in peace education, aspire to cultivate tolerant, or even pluralistic relationships among the conflicting groups, while not engendering intercultural relationships that might ’endanger’ group identities. The second purpose is to suggest a possible solution, namely, to use humor. Using humor in peace education - in a way that is cognizant of the different cultural sensitivities - might lead to attentive dialogue among the groups and improve peace education’s effectiveness.
Reviewer acknowledgements for International Journal of Marketing Studies, Vol. 12, No. 4
Authors: Sun Alyssa
Published: November 2020

Reviewer acknowledgements for International Journal of Marketing Studies, Vol. 12, No. 4, 2020.
Reviewer Acknowledgements for International Journal of Psychological Studies, Vol. 12, No. 4
Authors: Sun Barbara
Published: November 2020

Reviewer Acknowledgements for International Journal of Psychological Studies, Vol. 12, No. 4
Completeness of TB notification in Portugal, 2015: an inventory and capture-recapture study
Authors: Carvalho C. , Alba S. , Harris R. , Abubakar I. , Van Hest R. , Correia A. M. , Gonçalves G. , Duarte R.
Published: November 2020

BACKGROUND: Despite the steady decline in the last few decades, Portugal remains the Western European country with the highest TB notification rates. The aim of this study was to estimate the completeness of notification to the National Tuberculosis Programme (NTP) Surveillance
System (SVIG-TB) in 2015.METHODS: We implemented an inventory study and a three-source log-linear capture-recapture analysis using two additional data sources that were deterministic and probabilistically linked: the national notifiable diseases surveillance system (Sistema Nacional
de Vigilância Epidemiológica SINAVE) and the national hospital discharge database (Grupos de Diagnósticos Homogéneos GDH).RESULTS: We identified 2328 unique probable/confirmed TB cases across the three data sources. We found a positive dependency
between SVIG-TB and SINAVE (incidence rate ratio IRR 8.9, 95%CI 6.6–12.0) and between GDH and SINAVE (IRR 2.6, 95%CI 2.0–3.4). After adjusting for these dependencies, we estimated that 266 cases (95%CI 198–358) were not reported, indicating a notification (to SVIG-TB) completeness
rate of 77.0%.CONCLUSION: True incidence rate of TB in Portugal in 2015 could have been as high as 26.1 per 100 000. This could be an overestimation because of false-positive cases recorded in both SINAVE and GDH or on a smaller scale, false non-matches. Studies aimed at
validating potentially false-positive cases should be implemented to address these limitations.
THE CIRCUMSTANCES OF CAR CRIME AND CURRENT
CHANGES IN ITS PROFILE
Authors: Konieczny Marcin K.
Published: November 2020

The article presents the evolution of car crime. It discusses the
causes and conditions of vehicle theft. It also presents an aspect of the professionalisation
of criminals, which was infl uenced by the emergence of modern
anti-theft systems. It has also resulted in the creation of groups, among
which individuals are engaged in a specifi c task involving planning, taking
the vehicle, and then its legalisation and sale. The paper also discusses the
issues of counteracting car crime, including the importance of international
cooperation of police services and cooperation of vehicle manufacturers,
which helps to prevent such criminal acts.
CRIMINAL ABUSE OF POWER – SELECTED CRIMINAL
LAW ISSUES USING THE EXAMPLE OF POLICE
OFFICERS
Authors: Kwasiński Oskar
Published: November 2020

The article features the crucial issues regarding the crime
of abuse of power stipulated in Article 231 of the Polish Penal Code, based
on cases that could be perpetrated by police offi cers. The author briefl y describes
the basic elements of the structure of this crime, as seen through the
eyes of the doctrine of criminal law and the judicatory. The author presents
his own assessments, which shed new light on the questionable meanings
of certain features of the crime in question. The key part of the work focuses
on selected, thoroughly analysed, hypothetical cases of criminal abuse
of power by police offi cers, and in this sense is a kind of case study.
Changes in Polish Strategic Culture in the Context of Challenges and Threats of the 21st Century
Authors: Zarobny Stanisław
Published: November 2020

In the article the author presents the genesis and evolution of the research on strategic culture. He also conducts an analysis of the conditions and factors shaping the Polish strategic culture and the role of the Polish national security strategy in it. Attempts are also made to evaluate the Polish strategic culture, with an emphasis on the perception of the role of military forces in it. The main research problem is as follows: Is strategic culture really present in Poland and what were the conditions for its development? Specific questions to be answered are: What has characterized strategic culture in Poland? What factors have determined the shape of Polish strategic culture? What is its impact on foreign policy and Poland’s security? How are armed forces perceived in Polish strategic culture? The main conclusion is that Poland has its own strategic culture, which has been shaped by historical experience.
Clinical outcomes in the surgical treatment of esophageal leiomyoma: A retrospective evaluation of 13 cases
Authors: Yalçınkaya İrfan
Published: November 2020

Background: In this study, we aimed to evaluate the surgical outcomes after enucleation of esophageal leiomyomas and present the feasibility of enucleation using video-assisted thoracoscopic surgery. Methods: The medical records of 13 patients (8 males, 5 females; mean age 45.9 years; range, 30 to 69 years) who underwent open or thoracoscopic surgery for an esophageal leiomyoma between April 2007 and June 2019 were retrospectively reviewed. The patients were evaluated with regard to age, sex, presenting symptoms, duration of symptoms, size and localization of tumors, diagnostic methods, surgical methods, conversion to open surgery, morbidity and mortality, discharge time, and follow-up period. Results: Of the patients, four were operated via thoracotomy and nine via video-assisted thoracoscopic surgery. Enucleation was successfully completed with thoracoscopy in five patients. Four patients required conversion to thoracotomy. In the early postoperative period, two of these four patients developed complications and underwent re-thoracotomy. A solitary leiomyoma was detected in all, but one patient (multiple). The mean size of the tumors was 68.4 mm. Complications were seen in only one patient during follow-up and no recurrence was observed in any patient. Conclusion: Our study results indicate that thoracoscopic enucleation of esophageal leiomyoma is a safe, feasible, and effective technique in selected patients and conversion to open surgery can be easily done for any reason during the procedure.
Comparison of short-term quality of life in patients undergoing video-assisted thoracoscopic surgery versus thoracotomy
Authors: Cansever Levent
Published: November 2020

Background: This study aims to compare the short-term quality of life of patients undergoing video-assisted thoracoscopic surgery versus thoracotomy. Methods: A total of 96 patients (58 males, 38 females; mean age 58.4±11.7 years; range, 18 to 80 years) who underwent video-assisted thoracoscopic surgery or thoracotomy in our hospital between March 2018 and March 2019 were retrospectively analyzed. Demographic and clinical characteristics and comorbidities of the patients were recorded. Quality of life of the patients was evaluated using the Short Form-36 health survey at the first postoperative month. Results: Of the patients, 43 (44.8%) were treated by video-assisted thoracoscopic surgery and 53 (55.2%) by thoracotomy. Complications occurred in nine (20.9%) patients following video-assisted thoracoscopic surgery and in 12 (22.6%) patients following thoracotomy (p=0.840). At one month postoperatively, the patients in the video-assisted thoracoscopic surgery group had a better quality of life than those in the thoracotomy group (p<0.05). Conclusion: Our study results suggest that both recovery and short-term quality of life seem to be better in patients undergoing video-assisted thoracoscopic surgery than in those treated by thoracotomy.
A comparison of robotically-assisted endoscopic versus sternotomy approach for myxoma excision: A single-center experience
Authors: Kadiroğulları Ersin
Published: November 2020

Background: In this study, we present our single-center experience in robotically-assisted endoscopic surgery versus conventional median sternotomy approach in patients undergoing cardiac myxoma excision. Methods: Between January 2011 and September 2019, a total of 46 patients (24 males, 22 females; mean age 54.1±12.5 years; range, 25 to 79 years) who had a confirmed diagnosis of isolated cardiac myxoma were included in the study. The patients were divided into two groups as those undergoing robotic-assisted surgery (n=16) and those undergoing conventional median sternotomy (n=30). Clinical characteristics, operative, and postoperative outcomes were compared. Robotic approach to right or left-sided tumors and postoperative pain scores were also analyzed. Results: There was no mortality or major complication. No conversion to sternotomy was needed in robotic procedures. The mean cardiopulmonary bypass and aortic cross-clamp times were significantly shorter in the median sternotomy group (p=0.001 for both). The mean ventilation time and the length of hospital stay were significantly shorter in robotic surgery than sternotomy group (p=0.043 and p=0.048, respectively). The mean amount of postoperative blood loss and transfusion rate were significantly lower in robotic surgery patients (p=0.001 and p=0.022, respectively). The mean postoperative pain scores were significantly lower in patients undergoing robotic surgery (p=0.022). Conclusion: Robotic-assisted endoscopic surgery can be performed safely and effectively for cardiac myxoma excision with shorter hospital stay, less pain, and less amount of blood product use, as well as more favorable cosmetic results compared to conventional median sternotomy.
Surgical treatment of bronchiectasis: Our 23 years of experience
Authors: Erkmen Gülhan Selim Şakir
Published: November 2020

Background: In this study, we aimed to evaluate the success of surgery and a complete resection for bronchiectasis treatment and to present our 23 years of surgical experience. Methods: Between January 1991 and December 2013, a total of 1,357 patients (667 males, 690 females; mean age 30.5±14.3 years; range, 3 to 73 years) with the diagnosis of bronchiectasis who underwent pulmonary resection in our clinic were retrospectively analyzed. Demographic and clinical characteristics of the patients, etiologies, symptoms, localizations, surgical procedures, and long-term follow-up results were evaluated. Results: There were 1,394 surgeries, as 37 (2.7%) patients had bilateral disease. The surgical procedures included lobectomy (n=702, 50.3%), pneumonectomy (n=183, 13.1%), segmental resections (n=114, 8.2%), bilobectomy (n=83, 6.0%), and lobectomy + segmentectomy (n=312, 22.4%). During the postoperative period, 1,269 (93.5%) patients were followed at a mean duration of 51.6 (range, 1 to 120) months. After surgery, 774 (61%) patients were asymptomatic, 456 (35.9%) showed an improvement, and 39 (3.1%) had no response or deterioration. Conclusion: The surgical treatment plays an important role in the clinical and symptomatic improvement of patients with bronchiectasis. Surgery reduces the morbidity and mortality rates with careful preoperative preparation and appropriately selected cases.
Robot-assisted lobectomy versus completely portal robotic lobectomy: What is the difference?
Authors: Akkuş Murat
Published: November 2020

Background: This study aims to compare robot-assisted lobectomy versus completely portal robotic lobectomy. Methods: Between January 2014 and December 2019, a total of 41 patients (10 males, 31 females; median age 62 years; range, 50 to 68 years) underwent robotic anatomical pulmonary resection in our institution were retrospectively analyzed. The patients were consecutively divided into two groups: the first 20 (48.8%) patients underwent pulmonary resection by robot-assisted lobectomy technique, while the next 21 (51.2%) patients underwent pulmonary resection by completely portal robotic lobectomy with four arms. Data including age, sex, diagnosis, surgery type and duration, rate of conversion to open surgery, and length of stay of the patients were recorded. The operation time, docking time, console time, and closure duration for each patient were also noted. Results: There was no statistically significant difference in age, sex, comorbidities, complications, length of hospital stay, adequate lymph node staging, or tumor size and side between the two groups (p>0.05). However, the mean console and operation times were statistically significantly shorter in the patients receiving completely portal robotic lobectomy with four arms (p=0.001). Conclusion: The advantage of completely portal robotic lobectomy with four arms is relative, although it significantly shortens the operation time. Based on our experiences, this technique may be preferred in case of inadequate lung deflation, as carbon dioxide insufflation allows sufficient workspace for robotic lung resection.
Percutaneous dilatational tracheostomy in patients with mechanical circulatory support: Is the procedure safe?
Authors: Bektaş Şerife
Published: November 2020

Background: We aimed to investigate the efficacy and safety of percutaneous dilatational tracheostomy procedure following cardiac surgery in patients receiving extracorporeal membrane oxygenation and/or left ventricular assist device. Methods: A total of 42 patients (10 males, 32 females; mean age 51±14.6 years; range, 18 to 77 years) who underwent percutaneous dilatational tracheostomy procedure under extracorporeal membrane oxygenation and/or left ventricular assist device support between January 2017 and January 2019 were retrospectively analyzed. Laboratory data, Simplified Acute Physiology Score-II and Sequential Organ Failure Assessment scores, and major and minor complications were recorded. The 30-day and one-year follow-up outcomes of the patients were reviewed. Results: Of 42 patients, 17 (42.5%), 14 (33.3%), and 11 (26.2%) received left ventricular assist device, extracorporeal membrane oxygenation, and extracorporeal membrane oxygenation + left ventricular assist device, respectively. During percutaneous dilatational tracheostomy, the laboratory values of the patients were as follows: international normalized ratio, 2.3±0.9; partial thromboplastin time, 59.4±19.5 sec; platelet count, 139.2±65.8×109/L, hemoglobin, 8.8±1.0 g/dL, and creatinine, 1.6±1.0 mg/dL. No peri-procedural mortality, major complication, or bleeding was observed. We observed minor complications including localized stomal ooze in four patients (8.3%) and local stomal infection in three patients (6.2%). Conclusion: Our study results suggest that percutaneous dilatational tracheostomy is an effective and safe technique in this patient population.
Building a patient blood management program in a large-volume tertiary hospital setting: Problems and solutions
Authors: Serdar Günaydın Serdar
Published: November 2020

Successful implementation of a patient blood management program necessitates the collaboration of a strong organization and a multidisciplinary approach. We organized a meeting with broad participation in our center to establish a consensus for implementation of a specific patient blood management program. International and domestic experiences were shared, the importance of coordination and execution of different pillars in patient blood management were discussed, and the problems about the blood transfusion system were also investigated with the proposal for solutions. The data obtained from this meeting are presented to be a guide for similar large-volume tertiary hospitals for integration of a patient blood management protocol.
Did blood transfusion increase mortality in patients with diabetes undergoing isolated coronary artery bypass graft surgery? A propensity score-matched analysis of 816 patients
Authors: Koçyiğit Muharrem
Published: November 2020

Background: The aim of this study was to compare clinical outcomes of blood transfusion in patients with diabetes mellitus undergoing isolated on-pump coronary artery bypass grafting. Methods: The medical records of a total of 1,912 patients (1,300 males, 612 females; mean age 60.7±10.0) with diabetes who underwent isolated on-pump coronary artery bypass grafting between January 1999 and June 2019 were retrospectively analyzed. The patients were divided into two groups as patients with and without blood transfusions. The mortality rates were compared between the two groups. Results: The mortality rate was 14 times higher in the patients receiving blood transfusion (odds ratio: 14.80; 95% confidence interval 5.05 to 43.34; p<0.001). However, in the multivariate logistic regression analysis, there were no statistically significant difference in mortality between the patient groups, when diabetes mellitus was a covariate factor (Odds ratio: 8.34; 95% confidence interval 3.94 to 17.66 vs. odds ratio 8.36; 95% confidence interval 3.95 to 17.70). Conclusion: The propensity score-matched analysis of patients with diabetes showed that clinical outcomes were more severely affected by blood transfusion.
Aprendizado de Máquina Fuzzy Incremental para Classificação de Faltas em Sistemas de Potência
Authors: Santana Márcio Wladimir , Leite Daniel Furtado
Published: November 2020

O conceito de Qualidade da Energia está relacionado a um conjunto de alterações que podem ocorrer no sistema elétrico. Tais alterações (distúrbios/faltas) podem ocorrer em várias partes do sistema de energia, sejam nas instalações elétricas dos consumidores ou no sistema supridor da concessionária, causando prejuízos financeiros a ambas as partes. Por isso, é de fundamental importância a detecção e classificação em tempo real desses distúrbios de modo automático. Para reconhecimento e classificação de padrões, são considerados modelos inteligentes evolutivos, ou seja, modelos equipados com algoritmos de aprendizado incrementais online capazes de alterar seus parâmetros e estrutura, conforme novas informações surgem  em um fluxo de dados. Em particular, é considerada a modelagem evolutiva baseada em conjuntos fuzzy (FBeM). Para o pré-processamento dos dados mensurados, e extração de variáveis indicadoras da presença de distúrbios, é considerado o filtro Hodrick-Prescott, a técnica de transformada rápida de Fourier e o valor eficaz da tensão. O modelo desenvolvido neste trabalho tem alcançado um desempenho comparável àqueles de modelos estado da arte na área de qualidade de energia. Detecção e classificação de distúrbios tais como elevação de tensão, sub-harmônico, transitório oscilatório, spikes e notching, ocorrendo de forma simultânea ou não, são alcançadas com acurácia de, aproximadamente, 99%.
Heurísticas de Usabilidade para Aplicativos Móveis Educacionais Infantis
Authors: Abreu Caio Almeida , Rosa Jean C.S. , Matos Ecivaldo de Souza
Published: November 2020

O mercado de aplicativos móveis educacionais apresenta uma gama diversificada de opções destinadas à satisfação de diversos públicos, sobretudo o infantil. Todavia, parte considerável desses aplicativos abrange diversas idades e desconsidera características intrínsecas à educação infantil, em que crianças têm necessidades de interação diferenciadas e necessidades educacionais específicas. No campo dos estudos de informática na educação, encontrou-se apenas um conjunto de heurísticas de usabilidade para aplicativos móveis educacionais (heurísticas genéricas); todavia, essas heurísticas não consideram aspectos específicos da educação infantil. Nesse sentido, este artigo apresenta os resultados de uma pesquisa em que foi desenvolvido e avaliado um conjunto de heurísticas de usabilidade para aplicativos móveis educacionais específicos para o domínio infantil. As novas heurísticas foram avaliadas por professores e pesquisadores da Educação Infantil, especialistas em Interação Humano-Computador e pesquisadores em Informática na Educação. Além disso, a eficácia e a eficiência dessas novas heurísticas foram avaliadas em relação às heurísticas genéricas, por meio de um experimento no qual identificou-se o grau de cobertura das novas heurísticas, as quais se mostraram mais adequadas para avaliação de aplicativos móveis educacionais quando no domínio infantil.
Identifying Evidences of Computer Programming Skills Through Automatic Source Code Evaluation
Authors: Porfirio Andres J. , Pereira Roberto , Maschio Eleandro
Published: November 2020

This research is contextualized in the teaching of computer programming. Continuous assessment of source codes produced by students on time is a challenging task for teachers. The literature presents different methods for automatic evaluation of source code, mostly focusing on technical aspects. This research presents the A-Learn EvId method, having as the main differential the evaluation of high-level skills instead of technical aspects. The following results are highlighted: updating the state of the art through systematic mapping; a set of 37 skills identifiable through 9 automatic source code evaluation strategies; construction of datasets totaling 8651 source codes.
SCAA - Software de Controle de Atendimento ao Aluno
Authors: Giacobo Danilo
Published: November 2020

Nos institutos federais há diversas atividades de apoio ao ensino. Entre elas existe uma denominada de "atendimento de alunos". Nessa atividade os professores disponibilizam quatro horas semanais para atender os alunos em contra turno sanando dúvidas de suas respectivas disciplinas. Atualmente o controle de registros e frequências é feito manualmente. O aplicativo que foi desenvolvido busca auxiliar o docente a ter um registro mais fiel dos alunos que estão em atendimento, gerando relatórios, recebendo e-mails diários e semanais e também dando suporte ao setor pedagógico do campus quando decisões precisam ser tomadas. O pesquisador vem usando o mesmo há um ano e validando este com um conjunto de professores.
Reconhecimento facial para validação de usuário durante um questionário no Moodle
Authors: Silva Daniel Gonçalves da , Zampirolli Francisco de Assis
Published: November 2020

Avaliações online estão cada vez mais presentes. Isso é ainda mais evidente com a grande demanda resultante da pandemia de 2020. No entanto, verificar a autenticidade do avaliado é uma tarefa que ainda precisa de novas soluções. Neste sentido, este trabalho apresenta o plugin Face Verification Quiz para o Moodle, um Sistema de Gestão da Aprendizagem amplamente utilizado nos diversos níveis do ensino. Redes Neurais Convolucionais Profunda pré-treinadas foram usadas para detectar rapidamente o contorno da face através de pixels dos olhos, nariz e boca. Outra rede foi utilizada para o reconhecimento facial, com 128 características. Esse serviço de verificação facial é executado no navegador do cliente ao acessar um questionário no Moodle.
Kaya: plataforma móvel gamificada de apoio à colaboração entre estudantes
Authors: Maia Yves Gabriel Vieira , Souza Leticia Rejane Vidal , Santos Vinicius Costa dos , Barcelos Thiago
Published: November 2020

A colaboração é tida como um aspecto facilitador da aprendizagem em várias teorias pedagógicas. Por outro lado, estratégias baseadas em Aprendizagem Baseada em Jogos (ABJ) e na gamificação de ambientes de aprendizagem têm sido propostas. No entanto, poucas soluções têm sido propostas na comunidade brasileira que incorporem recursos tecnológicos dos dispositivos móveis, tais como a geolocalização, em ambientes gamificados de suporte ao ensino. Dessa forma, o artigo apresenta o desenvolvimento do protótipo da Kaya, uma plataforma gamificada que visa suportar explicitamente a colaboração entre participantes.
Versão móvel do jogo educativo Daphnia World
Authors: Cumpian Matheus , Borges Marcos Augusto Francisco
Published: November 2020

Este projeto visa a criação de uma versão móvel do jogo Daphnia World, um jogo que provê um ensino construtivista de conceitos de ecotoxicologia. O jogo foi desenvolvido no motor gráfico Unity Engine com apoio da linguagem de programação C#, atualmente o jogo tem protótipos lançados para Android e WebGl.
RALibras: um protótipo offline para introduzir o ensino de Libras
Authors: Mottin Guilherme da Silva , Bertagnolli Silvia de Castro
Published: November 2020

Este trabalho relata o desenvolvimento do protótipo de um aplicativo que tem como objetivo auxiliar no ensino da Língua Brasileira de Sinais (Libras), por meio da tecnologia de Realidade Aumentada (RA) o RALibras. Para o seu desenvolvimento, foi realizada uma pesquisa bibliográfica e exploratória. O protótipo, atualmente, exibe o alfabeto em Libras com o auxílio de um marcador, sem a necessidade de conexão com a internet. A ideia original era validar o protótipo na disciplina de Libras, ofertada a diversos cursos do IFRS, no início de 2020. Porém, devido à suspensão das atividades letivas com a pandemia de Covid-19, o aplicativo ainda não pôde ser avaliado pelos usuários reais.
LabEAD: Laboratório Remoto para o Ensino de Engenharia
Authors: Hayashi Victor , Almeida Felipe , Arakaki Reginaldo , Teixeira Julio Carlos , Martins Danilo , Midorikawa Edson , Cugnasca Paulo Sérgio , Canovas Sergio
Published: November 2020

O LabEAD é um projeto de laboratório remoto que busca viabilizar experimentos à distância durante o distanciamento social do COVID-19. Seu protótipo é apresentado em três estudos de caso: apoio a criação de vídeos com bancada remota para disciplina de Eletrônica Analógica; disponibilização de dados reais em portal web para a disciplina de Máquinas Elétricas; execução de experimentos de Eletrônica Digital de forma totalmente remota.
Simulador de Volumetria - Uma Ferramenta para Auxiliar o Ensino Remoto de Conceitos de Titulação
Authors: Silva Isabel Cristina Siqueira da , Silva Rubia Mara Siqueira da
Published: November 2020

Em época de pandemia e quarentena, em que aulas presenciais não podem ser realizadas, as escolas voltam suas atenções para aulas remotas e tecnologias de informação e comunicação. Neste contexto, a Química é uma Ciência caracterizada pela prática em laboratório, na qual a experimentação deve ser trabalhada em paralelo à teoria. O simulador computacional proposto objetiva auxiliar o ensino de conceitos de volumetria (neutralização, precipitação, óxido-redução e complexação) fora do laboratório de Química. Para tanto, o simulador permite trabalhar conceitos relacionados à técnica de titulação, podendo ser utilizado por professores e estudantes em disciplinas do ensino fundamental médio e/ou superior.
Gamification Analytics Model for Teachers
Authors: Tenório Kamilla , Dermeval Diego , Silva Alan Pedro da
Published: November 2020

Despite the growing interest in applying gamification in the technology-enhanced learning context, previous studies have reported unexpected results concerning students' engagement, learning outcomes, and motivation in gamified learning systems. A possible solution to avoid these unexpected outcomes is the use of the gamification analytics approach, that is the data-driven process of monitoring and adapting gamification designs. Therefore, this dissertation proposes a gamification analytics model for teachers. In this model, the teacher defines interaction goals, monitor students' interaction with the learning resources and the gamification elements, and adapt the gamification design through missions for students that are not achieving the goals. A gamification analytics model-based tool, GamAnalytics, was developed, implementing the most well-rated design concepts validated by teachers through a speed dating method. Teachers evaluated the developed tool where perceived usefulness, perceived ease of use, behavioral intention, relevance, perceived enjoyment, and self-efficacy metrics were measured, and results showed a high acceptance and approval of the tool. Furthermore, to investigate the impact of the use of gamification analytics model by teachers through the GamAnalytics tool on students, a case study was conducted. The results suggest an improvement in students engagement, learning outcomes, and a positive effect on students motivation.
A orientação profissional vivenciada a partir da gamificação
Authors: Machado Yane , Oliveira Francisco
Published: November 2020

Este artigo apresenta a pesquisa desenvolvida com o intuito de propor e avaliar a metodologia de orientação profissional apoiada em estratégias de gamificação, desenvolvida com estudantes do ensino médio integrado. A metodologia de pesquisa envolveu coleta de dados através de revisão sistemática de literatura, análise documental, entrevistas, grupo focal e questionários. Como resultados tivemos o desenvolvimento do jogo GamIFique e do manual de utilização da metodologia. Os participantes puderam vivenciar a realidade profissional da área que estudam, mediados através dos desafios do jogo. Assim, essa combinação mostrou-se viável para provocar o comportamento exploratório dos estudantes e ampliar o conhecimento em relação a profissão.
Recomendação de Problemas em Juízes Onlines Utilizando Técnicas de Processamento de Linguagem Natural e Análise Dirigida aos Dados
Authors: Freitas Júnior Hermino Barbosa de , Pereira Filipe Dwan
Published: November 2020

Usuários regularmente apresentam dificuldades para encontrar problemas adequados em juízes online devido ao grande volume de exercícios disponíveis nesses sistemas. Nesse sentido, este estudo propõe e avalia três métodos para recomendação automática de problemas em juízes online, onde as recomendações são realizadas a partir de um problema alvo, resolvido anteriormente pelo aluno. O primeiro método de recomendação utiliza técnicas de processamento de linguagem natural nos enunciados dos exercícios para recomendar itens semanticamente similares e potencialmente do mesmo tópico do problema alvo. O segundo método (baseado no comportamento) usa os logs gerados a partir da interação do aluno com a IDE do juiz online para recomendar problemas que requerem um esforço similar ao do problema alvo. Por fim, foi utilizado como baseline um método com padrão estocástico, que recomenda problemas aleatoriamente a partir de listas de exercícios feitas por instrutores. Para validar os métodos, um total de 324 recomendações foram avaliadas por 15 alunos e 3 professores de programação, utilizando uma abordagem duplamente cega. As recomendações do método baseado no comportamento emétodo baseado no enunciado foram mais adequadas aos alunos em termo de esforço empregado e sucesso obtido (maior taxa de acerto e menor taxa de erro e desistência). Por fim, além dos benefícios aos alunos, acredita-se que os métodos de recomendação podem ser usados para auxiliar professores a criarem listas de exercícios.
Möglichkeiten und Grenzen einer strategischen Vergabe öffentlicher Aufträge
Authors: Gerhardt Helene
Published: November 2020

To what extent can contracting authorities use criteria that go beyond mere price or cost considerations when purchasing goods, infrastructure or services and thus implement objectives in public procurement proceedings that focus on the public interest or sustainability aspects? The work illustrates the potential as well as the limits and implementation hurdles of such strategic control of public procurement from a legal and practical perspective. Beginning with a chronological view of the legal developments in public procurement, the author examines in detail the current German and European legal framework and sheds light on boundaries under international, EU and constitutional law as well as on leeway for contracting authorities.
Implementation of the Nursing Process Based on Betty Neuman Model in Kidney Transplant Patients: A Study in the Field
Authors: Goodarzi Afshin , Borzou Seyed Reza , Cheraghi Fatemeh , Khatiban Mahnaz , Molavi Vardanjani Mehdi
Published: November 2020

Background: Proper use of nursing models and theories is an important step in improving patient care standards and quality of life. The growing trend of kidney failure and subsequent kidney transplantation in the country shows the importance of creating a proper structure in nursing patient care for transplant patients and recognizing the stressors that affect these patients. Objectives: This study aimed to investigate the ability of the Betty Neuman model to provide a comprehensive model for nursing care of clients undergoing kidney transplantation. Methods: This clinical and clinical study was performed on the client of the kidney transplant candidate based on the application of Betty Neuman system theory. During the data collection, the interactions between the client’s five variables were examined and the stressors and resources in the internal, inter, and extra-individual domains were identified. Nursing diagnoses were created in accordance with the North American International Nursing Diagnostics Association (2018 - 2018) classification, and then nursing interventions were designed and implemented at three levels of prevention. Results: The results of the study of physiological, psychological, social, evolutionary, and spiritual variables, as well as interpersonal and extra-individual stressors, were 7 potential and actual nursing diagnoses. Conclusions: Designing and applying a nursing process based on this model is a holistic and systematic attitude toward the client that requires proper, efficient, and evidence-based nursing care but increases the need for nursing human resources.
The Pattern of Medication Use Amongst a Migrant Population Residing in Southern Iran: A Population-Based Study
Authors: Zare Marziyeh , Afifi Saba , Karimzadeh Iman , Salehi-Marzijarani Mohammad , Zarei Leila , Bagheri Lankarani Kamran , Sabzghabaee Alimohammad , Mirjalili Mahtabalsadat , Ahmadizar Fariba , Peymani Payam
Published: November 2020

Background: Iran has welcomed a large population of immigrants and refugees, which has led to new demands and priorities in many aspects of life, such as healthcare services. Objectives: For the first time in Southern Iran, in Shiraz City, population-based research was conducted on the patterns of medication use in native non-Iranian residents. Methods: The present cross-sectional study was conducted amongst Shiraz citizens from 2017 to 2018. The population consisted of 43 migrants. Data were collected using a multipart data form. All statistical analyses were performed using SPSS. Results: A total of 43 Afghan migrants were included in the study. Most of them were female (72.1%), aged under 40 years (67.4%), and homemaker (62.8%) with an education level of non-completed high school diploma (97.7%). The majority of the subjects did not have insurance or family physician coverage (93%), and 85.7% got medications without prescription. The three most common medications used by the subjects were iron supplements, acetaminophen, and cold medicines. Conclusions: Iran is now hosting Afghan nationals as one of the largest population of refugees in the world. The health conditions of the Afghan population need more attention in order to improve the health status of their community in Iran.