bluuebunny/crossref_metadata_2025 huggingface dataset:
Työurien vakaus ja taantuma: yksityisen sektorin työntekijöiden työurapolut 2007–2015
Authors: Järvinen Katri-Maria , Pyöriä Pasi , Ojala Satu , Lipiäinen Liudmila , Saari Tiina
Published: June 2020

Tarkastelemme tutkimuksessamme yksityisissä yrityksissä vuonna 2007 työskennelleiden 30–50-vuotiaiden suomalaisten työuria vuosina 2007–2015. Analysoimme Tilastokeskuksen työntekijä–työnantaja-aineiston (FLEED-FOLK) ja siihen yhdistetyn tilinpäätöspaneelin avulla yksilö-, perhe- ja yritystekijöiden, erityisesti yritysten kannattavuuden (käyttökate), yhteyttä työuriin. Työuria mittaamme vuotuisilla työssäolokuukausilla. Ensiksi tutkimme trajektorianalyysilla, miten työurat eriytyvät erilaisiksi työurapoluiksi. Toiseksi tutkimme multinomiaalisella logistisella regressiolla, miten eri yksilö-, perhe- ja yritystekijät ennakoivat eri polkuryhmiin sijoittumista. Trajektorianalyysi tuotti kuusi erilaista työurapolkutyyppiä. Tutkimusperiodille ajoittuneesta taantumasta huolimatta neljä viidestä työntekijästä sijoittui joko vakaalle tai seurannan aikana vakautuvalle työurapolulle. Korkeampi koulutusaste yhdistyi vakaampiin urapolkuihin. Lasten syntymä eriytti voimakkaasti naisten työuria, mutta ei juurikaan miesten. Parisuhde ennusti vakaata työuraa, ja eroaminen ja yksin eläminen vaihtelevia työuria. Myös parisuhteen muodostuminen seurantajaksolla liittyi epävakaampiin työuriin. Yritystekijöistä vakain urapolku oli niillä, jotka työskentelivät kannattavuudeltaan stabiileilla toimipaikoilla. Kannattavuudeltaan vaihtelevien samoin kuin laskevien yritysten toimipaikoissa työskentelevillä oli epävakaimmat työurat. Tulostemme mukaan työurat olivat enemmistöllä vakaita myös finanssikriisin aiheuttaman taloudellisen taantuman aikana. Tulos koskee niitä yksityisen sektorin työntekijöitä, jotka olivat työssä finanssikriisiä edeltävänä vuonna 2007.
Miten autenttisuus ilmenee johtajien eettisessä päätöksenteossa?
Authors: Niemi Marjut , Vänskä Eveliina , Huhtala Mari
Published: June 2020

Autenttinen johtajuus on itsensä tuntemiseen pohjautuva positiivinen johtajuuden muoto, jossa yksilö pyrkii toimimaan siten, että hän on aito ja rehellinen itselleen. Autenttisessa päätöksenteossa taas korostuvat eettisyys ja omien arvojen mukainen toiminta. Tässä tutkimuksessa selvitettiin, miten autenttinen johtajuus ilmenee esimiesten kohtaamissa eettisissä ristiriitatilanteissa ja miten tilanteiden ratkaisuissa näkyy autenttisen päätöksentekoprosessin vaiheita. Tutkittavat esimiehet (n = 25) työskentelivät sekä yksityisissä että julkisissa organisaatioissa, eri johtotasoilla ja eri toimialoilla. Puolistrukturoiduilla haastatteluilla kerättyä aineistoa analysoitiin teoriaohjaavan sisällönanalyysin avulla. Tulokset osoittivat, että autenttisen johtajuuden osa-alueet (itsetietoisuus, läpinäkyvyys, tasapuolinen tiedonkäsittely, sisäistetty moraali) ja autenttisen päätöksentekoprosessin vaiheet (eettisen ristiriidan tunnistaminen, vaihtoehtojen läpinäkyvä arviointi, aikomus toimia autenttisesti) olivat tunnistettavissa eettisessä päätöksenteossa. Kuitenkin vain alle puolet esimiehistä päätyi käytännössä omien arvojensa mukaiseen toimintaan. Erot aikomusten siirtymisessä toimintaan liittyivät yksilön ominaisuuksiin sekä ympäristön olosuhteisiin. Autenttisuutta johtajien eettisessä päätöksenteossa näyttääkin lisäävän se, että esimiehen yksilölliset ominaisuudet (esim. työkokemus ja reflektiokyky) ja työpaikan olosuhteet (esim. sosiaaliset suhteet) tukevat esimiehen vapautta, kykenevyyttä ja rohkeutta toimia omien arvojensa mukaisesti.
ENVIRONMENTAL IMPACT OF COAL MINING
Authors: Бойко Наталья Алексеевна , Ромашева Наталья Владимировна
Published: June 2020

Представлена характеристика угольной отрасли России по таким направлениям как организационная структура, объем и регионы добычи, потребители угля. Выявлены положительные тенденции, определены проблемы в развитии угольной промышленности. Исследованы негативное воздействие угольного производство на такие компоненты окружающей среды, как атмосферный воздух, водные ресурсы, земная поверхность.

The characteristic of the Russian coal industry in such areas as the organizational structure, volume and regions of production, coal consumers has been presented. Positive trends and problems in the development of the coal industry have been identified. The negative impact of coal production on environmental components such as atmospheric air, water, the earth’s surface has been investigated.
ENERGY-EFFICIENT ELECTRIC DRIVE ON THE BASIS OF A SYNCHRONOUS MOTOR WITH PERMANENT MAGNETS
Authors: Бухтуев Вадим Юрьевич
Published: June 2020

Использование синхронного двигателя с постоянными магнитами позволяет повысить надежность электропривода, снизить затраты на эксплуатацию и ремонт, увеличить энергоэфективность технологического процесса. Целью работы является построение системы управления синхронного двигателя с постоянными магнитами на ленточном конвейере, обеспечивающей требуемые динами-ческие показатели. В статье представлено сравнение трех систем управления и результаты моделирование в MATLAB R2019a.

The use of a permanent magnet synchronous motor makes it possible to increase the reliability of an electric drive, reduce operating and repair costs, and increase the energy efficiency of the process. The aim of the work is to build a control system for a synchronous permanent magnet motor on a conveyor belt that provides the required dynamic performance. The article presents a comparison of three control systems and simulation results in MATLAB R2019a.
PSYCHOCORRECTIONAL ASSISTANCE TO THE PARENTS OF CHILDREN WITH DISABILITIES
Authors: Чистякова Наталья Викторовна , Сидельникова Вероника Вячеславовна
Published: June 2020

Адаптивный характер системы детско-родительских отношений в структуре семей с детьми-инвалидами зависит от уровня психологической готовности родителей к социальной реадаптации. Специфика организации психокоррекционной помощи определяется эффективностью системы взаимодействия «ребенок - родитель - специалист» с целью достижения социальной интеграции путем актуализации ресурсного потенциала семьи.

The adaptive nature of parent-child relationships in the structure of children with disabilities families depends on the level of parents’ psychological readiness to a social readaptation. Organization specifics of the psycho-correctional assistance is determined by the effectiveness of “child-parent-specialist” interaction system to achieve a social integration by updating family’s resource potential.
GAS FILTRATION MODEL IN COAL SEAM
Authors: Чаплина Татьяна Олеговна
Published: June 2020

В статье рассматривается модель процесса фильтрации в угольном пласте. Исследуется, как меняются фильтрационные свойства первоначально сжатого до горного давления угля, содержащего газонаполненные поры, при уменьшении сжимающих напряжений. В зависимости от степени и характера разгрузки, а также от прочностных свойств материала, определённым образом меняется структура материала и в соответствии с этим его фильтрационные свойства.

The article discusses a model of the filtration process in a coal seam. Change of the filtration properties of gas-filled coal initially compressed to rock pressure with a decrease in compressive stresses is studying. Depending on the degree and pattern of unloading, as well as on the strength properties of the material, its structure and filtration properties change in a certain way.
Descriptive Exploratory Study of Individuals' Use of Pulsed Electromagnetic Fields, the Micro-Pulse, for Pain Relief
Authors: Ravid Stacey
Published: June 2020

Pain has caused innumerable suffering to countless individuals and has impacted their lives in profound ways. There are many detrimental effects of pain including decreased ability to work, depression, isolation, increased pharmaceutical use, and addiction. Pain, on a worldwide scale, remains ineffectively treated and alternative solutions for managing pain are needed. Pain is conventionally treated with pharmaceuticals, primarily narcotics. Continuation of medications for these painful conditions often causes dependence and addiction. The pain and narcotics cycle contributes to the opioid epidemic. The cost in human lives is immense.

Pulsed Electromagnetic Field (PEMF) is a holistic modality used for various ailments. This exploratory descriptive research study focused on the experience of individuals using the Micro-Pulse, PEMF, for pain relief. The mind/body connection was a foundation of the holistic theoretical framework for this study. The theoretical grounding for this study was Watson’s (2018) theory of human caring, which is based on a foundation of holistic healing incorporating mind, emotional body, physical body, and spirit for treatment of pain. Understanding an individual’s experience of pain relief will potentially raise awareness and promote the exploration of holistic therapeutic approaches for patients in pain.
Reversal of Renal Insufficiency in an Aging Cat: A 5-year Multi-Crossover Case Study
Authors: Dennis Robert , Dennis John
Published: June 2020

Renal failure is a leading cause of suffering and death in domestic cats, with approximately 1 in 3 cats affected.  Current standard-of-care treatment usually involves palliative care, diets restricted in protein and phosphorus, plenty of fluids, and sometimes vitamin D and Omega-3.  But even with early detection, which is difficult, treatment options are limited and often are not very effective.  Dietary restrictions and palliative care are often the best that can be offered, but the creatinine levels tend to inexorably creep upward toward eventual kidney failure and death.  We report the effectiveness of the use of a low-frequency, low-intensity, non-invasive treatment using Pulsed Electro-Magnetic Fields, specifically tuned to inductively generate micro-electric currents in deep tissues (ICES®-PEMF).  This report chronicles the return to normal and then reversion to renal insufficiency in a single cat, when ICES®-PEMF was applied, then withheld, then applied again, over three cycles of application and non-application, over a 5-year period. A return to normal creatinine levels, with a subsequent return to renal insufficiency as indicated by loss of control of creatinine, correlated precisely with the application and non-application of ICES®-PEMF.  The pattern observed during each cycle was as follows:  when applied 2 to 3 times weekly for 20-60 minutes each treatment, creatinine levels declined to normal range within 2-3 months.  During periods when treatment was discontinued, creatinine levels began to climb to high levels again.  We suggest the further study and potential use of ICES®-PEMF as an effective, inexpensive, safe, non-invasive treatment for feline kidney disease.
A Redshift for the First Einstein Ring, MG 1131+0456
Authors: Stern Daniel , Walton Dominic J.
Published: June 2020

MG 1131+0456 is a radio-selected gravitational lens, and is the first known Einstein ring. Discovered in 1988, the system consists of a bright (S
74 MHz = 3.7 Jy) radio source imaged into a ring and two compact, flat-spectrum components separated by 2.″1. The ring is optically faint (R = 23.3), rising steeply into the near- and mid-infrared (K = 17.8; W2 = 13.4). The system has been intensively studied in the intervening years, including high-resolution radio imaging, radio monitoring, and near-infrared imaging with Hubble and Keck. The lensing galaxy is at z

l
 = 0.844. However, to date, no spectroscopic redshift had been reported for the lensed source. Using archival Keck data from 1997, we report the robust detection of a single narrow emission line at 5438 Å, which we associate with C iii] λ1909 Å from a type-2 quasar at z

s
 = 1.849. Support for this redshift identification comes from weaker emission associated with C iv λ1549 Å and He ii λ1640 Å, typical of type-2 quasars, as well as the lack of emission lines in archival near-infrared Keck spectroscopy. We also present, for the first time, Cycle 1 Chandra observations of MG 1131+0456, which clearly resolves into two point sources with a combined flux of ∼10−13 erg cm−2 s−1 and a best-fit column density of ∼3 × 1022 cm−2. We suggest a new method to identify candidate lensed active galactic nuclei from low-resolution X-ray surveys such as eROSITA by targeting sources that have anomalously high X-ray luminosity given their mid-infrared luminosity.
Factors Influencing Hair Lamivudine Concentration among People Living with HIV in Guangxi, China
Authors: Zhang Quan , Li Xiaoming , Qiao Shan , Shen Zhiyong , Zhou Yuejiao
Published: June 2020

Background

Hair antiretroviral concentration has served as an innovative and objective measure of antiretroviral adherence. However, some factors (for example, pharma-cokinetics and hair characteristics) may contribute to the variability of hair antiretroviral concentration that may threaten the validity and reliability of the hair measure as a biomarker of adherence. This study aimed to examine the potential factors that may influence the measure of hair antiretroviral concentration.

Methods

Hair samples from a cohort of 372 people living with HIV (PLHIV) receiving lamivudine (300 mg/day) in Guangxi, China. Lamivudine concentration was analysed using liquid chromatography-tandem mass spectrometry. Multivariable linear regression was used to evaluate the associations of hair lamivudine concentration with age, sex, ethnicity, height, weight, body mass index, duration of HIV diagnosis, duration of current regimen, dosing schedule, concomitant antiretroviral medications, frequency of hair washing, hair care products use, hair cosmetic treatment and self-reported adherence.

Results

Multivariable models revealed that frequency of hair washing (β=-0.221, P=0.001), dosing schedule (β=0.141, P=0.036) and self-reported adherence (β=0.160, P=0.002) were associated with hair lamivudine concentration.

Conclusions

We observed that, among those potential factors, hair lamivudine concentration was influenced by frequency of hair washing and dosing schedule. Therefore, frequency of hair washing and dosing schedule should be considered in future research using hair lamivudine concentration as a measure of lamivudine exposure and bio-marker of adherence.
« Une petite douceur vaut bien quelques sous » : friandises et sociabilité dans l’Amérique portugaise
Authors: Algranti Leila Mezan
Published: June 2020

Cet article étudie les origines de la canne à sucre et son utilisation dans la cuisine de l’Amérique portugaise, afin de connaître les fonctions remplies par la confiserie dans la sociabilité et l’art de recevoir à la fin de l’époque coloniale. L’auteure s’appuie sur des inventaires après décès et sur des récits de voyageurs étrangers, pour essayer de savoir comment les confiseries étaient préparées et consommées, en s’attachant aussi aux accessoires utilisés à cet effet. La confiserie traduit un aspect important des échanges culturels entre le Portugal et le Brésil, mais les pratiques et les savoir-faire n’ont pas été transposés strictement à l’identique. En effet, les produits locaux ont été incorporés aux recettes d’origine, ce qui engendre de nouvelles saveurs, et donc, de nouvelles variétés de confiseries.
Métissage et « race historique » : la formation de la cuisine brésilienne expliquée par des théories extra-culinaires
Authors: Dória Carlos Alberto , Aguiar Viviane Soares
Published: June 2020

Partant de l’héritage théorique de la sociologie de l’alimentation brésilienne, notamment des travaux de Gilberto Freyre et Câmara Cascudo, cet article montre comment, grâce à celui-ci, s’est constitué un cadre « national » permettant de penser une culture culinaire en cours de formation, à une époque où l’épithète de « national » semblait particulièrement importante. Aujourd’hui, la mondialisation favorise (voire impose) une révision critique de ces catégories.
Des boissons fermentées amérindiennes à la cachaça et au café : une brève histoire des boissons au Brésil, de l’époque coloniale à la République
Authors: Carneiro Henrique
Published: June 2020

Cet article passe en revue la bibliographie historique sur les boissons fermentées traditionnelles, qui tenaient une place considérable dans la plupart des cultures amérindiennes, mais qui ne sont plus consommées aujourd’hui au Brésil, à la différence des autres pays d’Amérique latine. Cependant, d'autres boissons autochtones, comme le mate et le guaraná, ont subsisté et se sont adaptées. Le café et la cachaça – distillat alcoolique de la canne à sucre – sont devenus les boissons les plus emblématiques de la culture brésilienne, bien que leurs usages respectifs remplissent des fonctions opposées.
Privacy in Cloud-Based Computing
Authors: Ahmed Monjur , Sarkar Nurul I.
Published: June 2020

Cloud computing, internet of things (IoT), edge computing, and fog computing are gaining attention as emerging research topics and computing approaches in recent years. These computing approaches are rather conceptual and contextual strategies rather than being computing technologies themselves, and in practice, they often overlap. For example, an IoT architecture may incorporate cloud computing and fog computing. Cloud computing is a significant concept in contemporary computing and being adopted in almost every means of computing. All computing architectures incorporating cloud computing are termed as cloud-based computing (CbC) in general. However, cloud computing itself is the basis of CbC because it significantly depends on resources that are remote, and the remote resources are often under third-party ownership where the privacy of sensitive data is a big concern. This chapter investigates various privacy issues associated with CbC. The data privacy issues and possible solutions within the context of cloud computing, IoT, edge computing, and fog computing are also explored.
Privacy Preserving in Digital Health
Authors: El Ouazzani Zakariae , El Bakkali Hanan , Sadki Souad
Published: June 2020

Recently, digital health solutions are taking advantage of recent advances in information and communication technologies. In this context, patients' health data are shared with other stakeholders. Moreover, it's now easier to collect massive health data due to the rising use of connected sensors in the health sector. However, the sensitivity of this shared healthcare data related to patients may increase the risks of privacy violation. Therefore, healthcare-related data need robust security measurements to prevent its disclosure and preserve patients' privacy. However, in order to make well-informed decisions, it is often necessary to allow more permissive security policies for healthcare organizations even without the consent of patients or against their preferences. The authors of this chapter concentrate on highlighting these challenging issues related to patient privacy and presenting some of the most significant privacy preserving approaches in the context of digital health.
Professional Learning and Change Through Social Networks and Social Capital
Authors: Mowrey Sascha C.
Published: June 2020

This chapter considers how leaders in early childhood education can use social networks and social capital to promote professional learning and change. First, the author explores the ways in which effective leadership and social relationships are inextricably linked, through distributed leadership and collective work. Drawing on social capital theory, the author includes the importance of identifying the knowledge, skills, and resources (social capital) among the members of the school community, developing or maintaining formal and informal networks, and providing support for collaboration within and across those networks to support individual and collective goals. The affordances and constraints of intra- and inter-organizational networks are examined.
Leadership for Teaching and Learning Practice
Authors: Wilson Kimberly
Published: June 2020

Qualitative and quantitative research provide evidence that leadership can impact student learning and outcomes; however, research examining leadership models in early childhood education settings is scant and in its infancy. One promising leadership model that aligns seemingly naturally with the underpinnings and core constructs in early childhood education is that of pedagogical leadership. Pedagogical leaders shift the focus from administrative/managerial roles to those essential in supporting and focusing on teaching and learning. This chapter explores leadership in educational settings and, specifically, early childhood education. It also defines pedagogical leadership, provides information regarding key constructs within pedagogical leadership, and concludes with best practices for effective pedagogical leaders within an early childhood setting.
From A to Zinn
Authors: Logan Stephanie R.
Published: June 2020

Scholars have presented a number of challenges to elementary pre-service teachers gaining content mastery specifically in social studies methods courses. One of those challenges relates to the selection of what social studies content should be mastered by pre-service teachers. Scholars encouraged elementary social studies teacher educators to engage their students in new, challenging, critical, and complex topics, rather than redundant, simple, and general content the students already agree with. In response, this endeavor presents an instructional framework rooted in social justice teaching designed to inspire elementary pre-service teachers with the necessity of teaching social studies for social justice and the content knowledge and skills to do so. The chapter author shares how she supported students in conducting macro-to-micro content analyses of critical and challenging sociological issues of race, economic status, and gender in the development of the United States while sharing the methods for teaching elementary social studies that represented diverse ideas and perspectives.
Incorporating Social Justice Into Science Teacher Education Courses
Authors: Rivera Seema , Ibourk Amal
Published: June 2020

In this chapter, the authors cover the importance and challenges of incorporating teaching for social justice in science teacher education courses. The chapter starts by providing an overview of the literature on social justice, specifically in science education, and define the terms social justice, equity, and diversity. Then, the authors, who are teacher educators from under-represented groups, share their own experiences about what led them to do social justice work. In addition, the authors present examples from their courses with their preservice teachers and instructional strategies they used. The chapter concludes with recommendations of ways in which we might consider implementing social justice practices in teacher preparation courses.
Role of Nurses in a University Hospital During Mass Casualty Events
Authors: Liebergall Michal H. , Braverman Nava , Shapira Shmuel C. , Rotem Orly Picker , Soudry Irene , Mor-Yosef Shlomo
Published: June 2020

Mass casualty events due to terror attacks have escalated throughout Israel since September 2000, with a high proportion of these events occurring in the Jerusalem area. Immediately after news of a large-scale terror attack is received, family/public information centers are set up in all local hospitals to meet the needs of members of the public who call or arrive at hospitals anxious to obtain information about relatives who may have been at the site of the attack. The most urgent task facing these centers is the quick and accurate identification of victims whose identity is in question. To date, some 3000 casualties have been treated at Hadassah Hebrew University Medical Center (Hadassah), a level I trauma center. This number accounts for nearly half of Israel’s total number of casualties from terror attacks during this period. Extensive experience has led the hospital to develop a unique organizational model for its family/public information center; in this model, members of the nursing staff identify casualties. The experience and knowledge gained in dealing with terror events also can be applied to other types of mass casualty events, such as major road or work accidents.
Hyperinsulinemic Euglycemia Therapy for Verapamil Poisoning: Case Report
Authors: Patel Nirav P. , Pugh Meredith E. , Goldberg Steven , Eiger Glenn
Published: June 2020

A 49-year-old woman was brought to the emergency department because of an intentional overdose of sustained-release verapamil along with captopril and glyburide. The estimated interval between ingestion and the time she was found was several hours. Initial findings were blood pressure 72/39 mm Hg, heart rate 32/min, and a score of 9 on the Glasgow Coma Scale. She was intubated and given intravenous fluid and vasopressor support. Decontamination with activated charcoal was instituted. Administration of dopamine and norepinephrine, atropine, sodium bicarbonate, and calcium chloride did not yield significant clinical improvement. Hyperinsulinemic euglycemia therapy was started: a bolus of regular insulin then infusions of insulin and 10% dextrose. After 24 hours of therapy, the bradycardia resolved and the patient’s hemodynamic condition stabilized with normalization of cardiac indices. On day 5 the patient was transferred to the medical unit, and on day 8 she was discharged to psychiatric care.
Systematic Literature Review of Oral Hygiene Practices for Intensive Care Patients Receiving Mechanical Ventilation
Authors: Berry Angela M. , Davidson Patricia M. , Masters Janet , Rolls Kaye
Published: June 2020

Background Oropharyngeal colonization with pathogenic organisms contributes to the development of ventilator-associated pneumonia in intensive care units. Although considered basic and potentially nonessential nursing care, oral hygiene has been proposed as a key intervention for reducing ventilator-associated pneumonia. Nevertheless, evidence from randomized controlled trials that could inform best practice is limited.

Objective To appraise the peer-reviewed literature to determine the best available evidence for providing oral care to intensive care patients receiving mechanical ventilation and to document a research agenda for this important activity in optimizing patients’ outcomes.

Methods Articles published from 1985 to 2006 in English and indexed in the CINAHL, MEDLINE, Joanna Briggs Institute, Cochrane Library, EMBASE, and DARE databases were searched by using the key terms oral hygiene, oral hygiene practices, oral care, mouth care, mouth hygiene, intubated, mechanically ventilated, intensive care, and critical care. Reference lists of retrieved journal articles were searched for publications missed during the primary search. Finally, the Google search engine was used to do a comprehensive search of the World Wide Web to ensure completeness of the search. The search strategy was verified by a health librarian.

Results The search yielded 55 articles: 11 prospective controlled trials, 20 observational studies, and 24 descriptive reports. Methodological issues and the heterogeneity of samples precluded meta-analysis.

Conclusions Despite the importance of providing oral hygiene to intensive care patients receiving mechanical ventilation, high-level evidence from rigorous randomized controlled trials or high-quality systematic reviews that could inform clinical practice is scarce.
Critical Care Nurses’ Knowledge of Evidence-Based Guidelines for Preventing Infections Associated With Central Venous Catheters: An Evaluation Questionnaire
Authors: Labeau S. , Vereecke A. , Vandijck D.M. , Claes B. , Blot S.I.
Published: June 2020

Background Lack of adherence to recommended evidence-based guidelines for preventing infections associated with use of central venous catheters may be due to nurses’ lack of knowledge of the guidelines.

Objective To develop a reliable and valid questionnaire for evaluating critical care nurses’ knowledge of evidence-based guidelines for preventing infections associated with central venous catheters.

Methods A total of 10 nursing-related strategies were identified from current evidence-based guidelines for preventing infections associated with use of central venous catheters. Face and content validation were determined for selected interventions and multiple-choice questions (1 question per intervention). The test results of 762 critical care nurses were evaluated for item difficulty, item discrimination, and quality of the response alternatives or options for answers (possible responses).

Results All 10 items had face and content validity. Values for item difficulty ranged from 0.1 to 0.9. Values for item discrimination ranged from 0.05 to 0.41. The quality of the response alternatives (0.0–0.8) indicated widespread misconceptions among the critical care nurses in the sample.

Conclusion The questionnaire is reliable and has face and content validity. Findings from surveys in which this questionnaire is used can lead to better educational programs for critical care nurses on infections associated with use of central venous catheters.
Outcomes Associated With a Nurse-Driven Palliative Care Screening Tool in the Intensive Care Unit
Authors: Martz Kim , Alderden Jenny , Bassett Rick , Swick Dawn
Published: June 2020

Background

Access to specialty palliative care delivery in the intensive care unit is inconsistent across institutions. The intensive care unit at the study institution uses a screening tool to identify patients likely to benefit from specialty palliative care, yet little is known about outcomes associated with the use of screening tools.

Objective

To identify outcomes associated with specialty palliative care referral among patients with critical illness.

Methods

Records of 112 patients with positive results on palliative care screening were retrospectively reviewed to compare outcomes between patients who received a specialty palliative care consult and those who did not. Primary outcome measures were length of stay, discharge disposition, and escalation of care.

Results

Sixty-five patients (58%) did not receive a palliative care consult. No significant differences were found in length of hospital or intensive care unit stay. Most patients who experienced mechanical ventilation did not receive a palliative care consultation (χ2 = 5.14, P = .02). Patients who were discharged to home were also less likely to receive a consult (χ2 = 4.1, P = .04), whereas patients who were discharged to hospice were more likely to receive a consult (χ2 = 19.39, P < .001).

Conclusions

Unmet needs exist for specialty palliative care. Understanding the methods of identifying patients for specialty palliative care and providing them with such care is critically important. Future research is needed to elucidate the factors providers use in their decisions to order or defer specialty palliative care consultation.
Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice
Authors: Ost Kristina , Blalock Casey , Fagan Mary , Sweeney Kathleen M. , Miller-Hoover Suzan R.
Published: June 2020

Standardized nursing practice based on the foundations of evidence-based practice leads to high-quality patient care and optimal outcomes. Despite knowing the benefits of evidence-based practice, health care organizations do not consistently make it the standard of care; thus, implementation of evidence-based practice at the system level continues to be challenging. This article describes the process adopted by a facility in the Southwest that took on the challenge of changing the organizational culture to incorporate evidence-based practice. The organization met the challenges by identifying perceived and actual barriers to successful implementation of evidence-based practice. The lack of standardized practice was addressed by developing a group of stakeholders including organizational leaders, clinical experts, and bedside providers. Changing the culture required a comprehensive process of document selection and development, education, and outcome evaluation. The ultimate aim was to implement an integrated system to develop practices and documents based on the best evidence to support patient outcomes.
Assessment of Disease-Associated Missense Variants in RYR2 on Transcript Splicing
Authors: Olubando Damilola , Thomas Huw , Horie Minoru , O’Keefe Raymond , Venetucci Luigi , Newman William
Published: June 2020

Heterozygous RYR2 missense variants cause catecholaminergic polymorphic ventricular tachycardia. Rarely, loss of function variants can result in ventricular arrhythmias. We used splice prediction tools and an ex vivo splicing assay to investigate whether RYR2 missense variants result in altered splicing. Ten RYR2 variants were consistently predicted to disrupt splicing, however none altered splicing in the splicing assay. In summary, missense RYR2 variants are unlikely to cause disease by altered splicing.
New records on some Tetrastichinae (Hymenoptera: Eulophidae) from Italy, with description of a new species of Aprostocetus
Authors: Viggiani G.
Published: June 2020

New records of Tetrastichinae from Italy are given. The Italian species of Aprostocetus (Ootetrastichus) are revised, a new species is described, and a key to their identification is given.
Chronic cerebrospinal venous insufficiency, ten years after. New headlights on a venous disease that enriched the vascular world
Authors: Bavera Pietro Maria
Published: June 2020

Two very recent scientific papers have re-opened a debate on a vascular issue, chronic cerebrospinal venous insufficiency (CCSVI), that apparently was sent in a corner by other trials and some Editorial hasty conclusions. The never-ending debate is still open and, perhaps, a one-year truce helped to calm waters and sort out, as by means of a sandbox, the situation from the vascular point of view. Before discussing why these recent papers have widened the path for CCSVI, some mind refreshing is mandatory, since the opinions are spread in all directions and a concise summary may help for those that are newcomers in this issue...
Siirt Florasında Bulunan Thymbra spicata L. var. spicata Bitkisinin Morfolojik Özelliklerinin İncelenmesi
Authors: Emine ASLAN  , Doğan ARSLAN
Published: June 2020

Bu çalışma Siirt Florası’nda bulunan Thymbra spicata L. var. spicata bitkisinin morfolojik özelliklerinin belirlenmesi amacıyla 2016 yılında yürütülmüştür. Bitkinin farklı bakılarda (kuzey, güney, doğu, batı) ve farklı gelişme dönemlerinde ki (çiçeklenme öncesi, tam çiçeklenme ve çiçeklenme sonrası) morfolojik özellikleri belirlenmiştir. Bitki örnekleri Tesadüf Bloklarında Bölünmüş Parseller Deneme Desenine göre 4 tekrarlamalı olarak alınmıştır. Çalışmada farklı bakılar (kuzey, güney, doğu, batı) ana parselleri ve bitkinin farklı gelişme dönemleri de (çiçeklenme öncesi, tam çiçeklenme ve çiçeklenme sonrası) alt parselleri oluşturmuştur. Araştırmada, farkı bakı ve gelişme dönemlerinin yaprak eni üzerine etkileri istatistiki olarak önemli bulunmazken; bitki boyu, gövde taban kalınlığı, çiçek sayısı, kaliks boyu, petal boyu ve pedisel uzunluğu üzerine etkisi istatistiki olarak önemli bulunmuştur. Sonuç olarak da benzer çalışmaların hem bu bitkide hem de doğadan toplanan ekonomik değere sahip diğer bitkilerde yapılmasının yararlı olacağı düşünülmektedir.
Siirt Fıstığı Yetiştiriciliğinde Üretici Davranışları
Authors: Abdullah AKBOĞA  , Mine PAKYÜREK
Published: June 2020

Siirt fıstığı, antepfıstığı meyvesinin yöreye has bir çeşididir. Yöredeki birçok ailenin geçim kaynağı olan bu meyvenin üretim faaliyetlerinin nasıl yürütüldüğü büyük önem taşımaktadır. Bu çalışma, Siirt ilinde bulunan antepfıstığı üreticilerinin sahadaki üretim davranışlarını araştırmak amacıyla yürütülmüştür. Çiftçi Kayıt Sisteminde (ÇKS) kayıtlı olan fıstık üreticisi sayısı baz alınarak 99 üretici ile anket çalışması yapılmıştır. Üreticilerin eğitim durumu, sahip oldukları arazi varlığı, aile nüfusu, borçlanma durumları, toprak işleme teknikleri, toprak verimliliği durumu, sulama durumu, yetiştiriciliği yapılan çeşitler ve bahçelerde kullanılan tozlayıcı çeşitler gibi fıstık yetiştiriciliğinde uygulanan tüm işlemlerin nasıl yapıldığı ile ilgili temel sorular sorularak üreticilerin geleneksel hale gelmiş mevcut üretim alışkanlıkları tespit edilmeye çalışılmıştır. Çalışmamıza katılan üreticilerin, %30.3’ünün 30-39 yaş aralığında olduğu, %26.26’sının lise mezunu olduğu, %61.62 oranında ailede tarım dışında çalışanların olduğu, ortalama %24.4 dekar (da) alanda sulu tarım yapıldığı,  ortalama ağaç yaşının 8.02 olduğu, ortalama %39.05 dekar (da) alanda kuru tarım yapıldığı belirlenmiştir. Ayrıca üreticilerin %61.6’sının borcunun olduğu, %75.5’inin toprak analizi yaptırmadığı, %63.3 oranında arazi verimliliğinin normal olduğu, üreticilerin %37.8’inin tozlayıcı çeşit kullanmadığı ve yine üreticilerin %73.7’sinin yapay tozlama uygulaması yapmadığı belirlenmiştir.
Civility and Shared Fate: Social Studies Teaching as Teaching for Belonging
Authors: Ritter Martha J.
Published: June 2020

In response to the violence of our era and the vast movement of people around the globe, the author argues that effective social studies education should include an understanding ourselves within communities of shared fate collectively building strategies of civility. Through conceptual analysis, the paper supports arguments that citizenship education should be grounded in communities of fate, rather than a sense of shared identity as a member of a particular country. Shared fate is the idea that our lives are intertwined with others in ways we perceive and ways we cannot. Civility is elaborated as concrete strategies that support or make possible broad participation in the demos. Looking at citizenship through the lens of communities of shared fate changes how we think about belonging and our responsibilities to one another in our shared world. The author provides examples of early career educators’ moral commitment to teaching from a perspective of shared fate and as well as their concerns to link the conceptual work to concrete practices within elementary school classrooms.
El séptimo criterio constitucional y su incidencia al Gobierno Autónomo Descentralizado Parroquial Rural Los Andes.
Authors: Olga Germania Arciniegas Paspuel  , Miriam Janneth Pantoja Burbano  , Jenny Fernanda Enriquez Chugá  , Martha Janeth Ortega Pérez.
Published: June 2020

El presente estudio tiene por objeto analizar la incidencia del séptimo criterio constitucional en el GAD Parroquial Rural Los Andes, logrando establecer el efecto que puede ocasionar al presupuesto de inversión para el año 2018, así como también armonizar los objetivos estratégicos del Plan Nacional del Buen Vivir y el Plan Nacional Toda una Vida. La metodología aplicada se basó en un enfoque complejo para el acercamiento a los referentes jurídicos, financieros y al contexto social.
Dinámica del estado psicoemocional y características psicológicas individuales de los estudiantes en el proceso de clases de educación física.
Authors: Grygoriy Griban  , Оlena Kuznіetsova  , Dmytro Dzenzeliuk  , Igor Malynskyi  , Zoia Dikhtiarenko  , Eduard Yeromenko  , Olena Otravenko  , Andrii Lytvynenko  , Nina Lyhun  , Ivan Okhrimenko  , Kostiantyn Prontenko.
Published: June 2020

El artículo presenta los resultados de la investigación de la dinámica del estado psicoemocional y las características psicológicas individuales de los estudiantes durante la educación física. 60 estudiantes participan en la investigación. El nivel de extraversión, la estabilidad emocional y el tipo de temperamento se determinaron de acuerdo con la metodología de H. Eysenck. La evaluación del bienestar, la actividad y el estado de ánimo se realizó mediante la prueba WAM. La diferenciación de las clases de educación física, aplicando ejercicios físicos de acuerdo con el temperamento de los estudiantes, está determinada a influir positivamente en su estado emocional y sus características psicológicas individuales. Los estudiantes de los grupos experimentales definen tener mejores indicadores de bienestar, actividad, estado de ánimo, extraversión e introversión, y neuroticismo que los estudiantes de los grupos de control al final del experimento.
ANALISA TURUNNYA KUALITAS STERILISASI PADA ULTRAVIOLET WATER STERILIZER DI MT. DRAGONARIA DENGAN METODE FAULT TREE ANALYSIS
Authors: Aditya Arin Sasongko  , Abdi Seno  , Andy Wahyu Hermanto
Published: June 2020

Ultraviolet water sterilizer is a long cylindrical device used for the sterilization of water into  drinkable water. Ultraviolet water sterilizer has two main parts: an adapter and UV tubes. The  adapter serves to drain ration electricity in accordance with the voltage and current required by  ultraviolet water sterilizer. Tubes UV is containing lamps germicides where light is equipment  major unruk make the water drinkable and the water will flow along the ultraviolet rays, so that the  water flowing in the tube is passed through the sterilization process with ultraviolet rays so that the  water unfit for consumption. The problems that the authors take in this study are the factors that  affect the declining quality of sterilization, the impact of what happens when the quality of  sterilization decreased, and what efforts made to keep the quality of sterilization is not decreased.  The method used is the method of fault tree analysis, a method to find the root of the problem  by using a fault tree and simple logic gates to help determine the basic problem. Fault tree analysis  method consists of a top event, intermediate event, and basic event where all three events are  interrelated to form the fault tree that can be seen cause and effect. Data collected through  observation, interviews, and literature directly to the subject related to the factors, the impact, as  well as the efforts of the decline in the sterilization process to the sterilizer in order to improve the  quality of drinking water.  The cause of the decline to the sterilizer sterilization process in order to improve the quality  of drinking water in MT. Dragonaria that dirty filters, dirty water tubes, and the dirty germicidal  lamp or berdampaknya resulting in less fresh water, complaint against the company, as well as the  ship operational cost is reduced. Therefore made some efforts to improve the quality of the results  of sterilization including cleaning filters, cleaning water tubes, and also clean the germicidal lamp,  as well as auxiliary engine checks periodically so that the quality of sterilization can be increased.
PENYEBAB PECAHNYA CYLINDER LINER PADA GENERATOR ENGINE DI MT. MARTHA OPTION
Authors: A. Y. Prasetya  , Tri Kismantoro
Published: June 2020

Generator Engine merupakan mesin penghasil daya listrik utama di kapal, mesin ini  harus mendapat perhatian dan perawatan secara intensif, salah satunya adalah pada  cylinder liner karena cylinder liner adalah bagian dari ruang bakar mesin diesel yang  penting sebagai tempat terjadinya pembakaran bahan bakar dengan udara dan juga alur  gerak bolak-balik piston. Akibat gerakan tersebut akan terjadi gesekan antara cylinder liner  dan cincin piston yang menyebabkan keausan pada dinding cylinder liner. Kondisi cylinder  liner yang telah aus dan tekanan air pendingin yang kurang adalah faktor utama penyebab  pecahnya pada cylinder liner. Upaya untuk mencegah pecahnya cylinder liner adalah  perawatan dan perhatian pada sistim pelumasan dan pendinginannya. Perawatan dan  perbaikan terhadap cylinder liner dilakukan sesuai jam kerja yang telah ditentukan sesuai  manual book, dengan adanya perawatan yang rutin maka pecahnya cylinder liner dapat  diminimalisir dan generator engine dapat bekerja normal.
PENANGANAN FLAT RACK CONTAINER GUNA MENCEGAH TERJADINYA KERUSAKAN MUATAN DI KAPAL MV. MERATUS KALABAHI
Authors: A. Kurniawan  , Tri Kismantoro
Published: June 2020

Semakin beragamnya permintaan dari konsumen maka muncul muatan yang tidak  beraturan yaitu lebar dan tinggi muatan melebihi batas kemampuan muat container biasa yang  membutuhkan penanganan khusus di atas flat rack container. Dari hasil penelitian penulis  menemukan adanya kendala koordinasi pihak kapal dengan pihak darat (planner), dalam hal ini  adalah perencanaan pemuatan dan pembongkaran. Selain itu petugas jaga tidak melakukan  pengecekan pada saat bongkar muat sehingga tidak mengetahui ada muatan yang belum dilashing.  Berdasarkan uraian di atas dapat disimpulkan bahwa penanganan muatan flat rack  container di kapal MV. Meratus Kalabahi masih belum optimal. Untuk itu sebelum kapal  melakukan bongkar muat diadakan komunikasi antara pihak kapal dengan pihak darat dalam hal  prosedur penanganan muatan yang benar, serta adanya kerjasama yang baik pada waktu bongkar  muat dan melakukan pengecekan secara berkala selama di pelabuhan antara Mualim dan crew  kapal yang bertugas, sehingga kualitas muatan tetap terjaga hingga pelabuhan bongkar.
ANALISIS PENGARUH KARAKTERISTIK INDIVIDU TERHADAP PRESTASI KERJA (STUDI PADA PEGAWAI POLITEKNIK ILMU PELAYARAN SEMARANG)
Authors: Firdaus Sitepu  , Janny Adriani Djari
Published: June 2020

This research aim to know individual characteristic influence to labour capacity Politeknik  Ilmu Pelayaran Semarang. Research regarding do individual characteristic influence  intervening motivation and work characteristic to labour capacity take population officer of  Politeknik Ilmu Pelayaran Semarang amounting to 218 people. Intake of sample with sampling  random technique representing technique intake of sample at random with determination of is  amount of sampel used by slovin formula obtained by 142 responder. As for data obtained with  kuesioner with data analysis use linear regression.  Pursuant to research which have been done by hence can be obtained by the following  conclusion is existence of positive influence and signifikan between individual characteristic to  labour capacity.
OPTIMALISASI PERAWATAN ALAT-ALAT KESELAMATAN SEBAGAI PENUNJANG KESELAMATAN AWAK KAPAL DI KN. BIMA SAKTI
Authors: Firdaus Sitepu
Published: June 2020

As for target of writing of this handing out is to know optimalization treatment of safety  appliance as supporter safety of crew man in KN. Bima Sakti. Pursuant to the target, hence this  handing out take title " Optimalization Treatment of Appliance Safety As Supporter Safety of  Crew Man In Kn. Bima Sakti".  Method weared by writer in writing this handing out is descriptive method. As for research  obyek is KN. Bima Sakti.

Method data collecting use field study, Bibliography study (research  library) and documentation. 

Pursuant to result of research which have been conducted, hence can be taken by some  conclusion that is things causing safety appliance do not function in an optimal fashion moment  used in training in KN Bima Sakti is because lack of the understanding of hitting procedure  treatment of real correct safety appliance pursuant to regulation of treatment of safety appliance  according to Solas (Safety Of Life Sea at) and because lack of facility equipments of treatment to  safety appliance given by company so that activity of treatment become less maximal. Things  related to execution to be is optimal of treatment of safety appliance better in KN Bima Sakti is  with treatment of lifeboat, benefactor raft ( liferaft), benefactor float ( lifebuoy), benefactor  clothes ( jacket life) executed by inspection periodical to safety appliance like weekly periodic  inspection, monthly and annual according to procedure regulation of Solas (Safety Of Life Sea  at), and also inspection of equipments of safety appliance is also checked by the parts of the  safety appliance accurately and detail as according to tables of checklist inspection of safety  appliance. method Treatment of safety appliance, because method treatment of safety appliance  as base from make-up of efficiency in is optimal of activity from safety appliance on board so  that the safety appliance can be used in an optimal fashion by all crew man if happened  emergency on board.