bluuebunny/crossref_metadata_2025 huggingface dataset:
Developing an Information Literacy Workshop to Foster Evidence-Based Practice Among Nurse Practitioner Students
Authors: Smart Antiqua N. , Carter-Templeton Heather D. , Brown Sandra C.
Published: June 2017

The increased autonomy and responsibility associated with the nurse practitioner (NP) role compounded with the plethora of electronic health information requires advanced practice registered nursing (APRN) students to possess information literacy (IL) skills associated with identifying, locating, and evaluating the quality of health-related literature (Majid, Chaudhry, & Xue, 2008). Without the proper IL skills needed to select high-quality clinical practice guidelines (CPGs) for decision making when developing treatment plans, NP students will be ill-equipped to perform evidence-based practice (EBP) during their clinical practicum experiences. The incorporation of IL skills training in NP educational programs is paramount for the actualization of EBP in clinical nursing (Majid et al., 2008). However, few studies have discussed IL skills and EBP as they relate to NP students’ abilities to critically appraise CPGs and make EBP clinical decisions. This article discusses the development of a 4-hr IL workshop to enhance NP students’ abilities to effectively search and critically appraise evidence-based research to make well-informed clinical decisions as advanced practice nurses.
A Description of How Advanced Practice Nurses Screen for Osteoporosis in Maryland
Authors: Reddish Walton
Published: June 2017

Osteoporosis is a major health problem in the United States, yet the evidence suggests that practitioners often fail to screen for osteoporosis risk and, as a result, underdiagnose and fail to treat the disease. Because little is known about how well advanced practice nurses (APNs) evaluate osteoporotic risk, determining the extent to which they screen may enhance our understanding of the scope of APN diagnostic practice. The purpose of this study was 3-fold: (a) to determine if APNs routinely screen for osteoporotic risks, (b) to ascertain how they screen, and (c) to identify barriers that influence osteoporosis screening. Survey methods were used to poll members of the Nurse Practitioner Association of Maryland (n = 357) who identified themselves as adult, family, geriatric, and women’s health nurse practitioners. The results suggest that master’s-prepared APNs screen for osteoporosis more so than APNs with doctor of nursing practice (DNP) degrees. In addition, adult APN screened more often than family APNs and APNs in urban areas screened more frequently than rural-based APNs. Logistic regression failed to predict which APNs were likely to screen for osteoporosis.
School-Based Psychiatric Mental Health Nurse Practitioners to Decrease Inappropriate Psychiatric Pediatric Emergency Rooms Presentations
Authors: Hanson Latisha Marie
Published: June 2017

An alarming number of children are being referred to pediatric emergency rooms for disruptive behavior disorders (DBDs) such as attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorders. Although presenting symptoms of an exacerbation of disruptive behaviors may be urgent, often they do not require emergency care and could have been efficiently handled through outpatient care. Inappropriate emergency room (ER) referrals have been linked to inadequate school, family, or self-referrals. This article proposes using psychiatric mental health nurse practitioners, known in some states as advanced practice registered nurses, in school-based mental health programs as an intervention with the greatest potential to decrease disparities in access to child psychiatric health care and to offer the psychoeducation and support necessary to prevent inappropriate ER presentations for DBDs.
The Role of Spirituality in Coping With Chronic Illness: What Health Care Providers Need to Know for Advance Directive Decision Making
Authors: Lewis Mary
Published: June 2017

Spirituality is recognized by health care providers as having a significant influence on an individual’s ability to cope. The role of spirituality in coping with chronic illness as well as what providers need to know about spirituality in advance directive decision making (ADDM), however, are poorly understood phenomena. With the growing population of people with chronic illness combined with escalating costs and disease burden, providers must understand and use the role of spirituality in the care of their patients who have demanding states of health and illness. Research has demonstrated the power of spirituality in managing chronic illness as well as the importance of spirituality during end-of-life care planning. The purpose of this case study is to illustrate the necessity of recognizing and understanding an individual’s spiritual beliefs and values during chronic illness and how this knowledge, or lack of knowledge, affects ADDM.
Establishing the Content Validity of an Early Extubation Protocol: A Quality Improvement Project for Improving Early Extubation of Coronary Artery Bypass Graft Patients
Authors: Williams Alicia , Murphy Lyn Stankiewicz
Published: June 2017

Introduction:Patients undergoing coronary artery bypass graft surgery will require intubation and the use of mechanical ventilation during and after surgery. It is well accepted that early extubation is associated with not only positive patient outcomes but also organizational outcomes as well. Patients who are not extubated early are at risk for complications associated with prolonged intubation. The literature supports the use of protocol aid with early extubation. The goal and expected outcome of this project is to establish the usability of an early extubation protocol by assessing its appropriateness for use in the postoperative cardiac surgical adult patient.Methods:For the purpose of establishing content validity of an early extubation protocol, 2 protocols were chosen from the literature. Fifteen cardiac surgery experts were invited to select the protocol they felt was most appropriate for use in this patient population. These reviewers were then asked to further analyze the protocol based on a 5-question survey. Their response was used to calculate a scale-content validity index (S-CVI) and an item-content validity index (I-CVI).Results:Twelve of 15 experts participated in the project. The content validity was estimated using (a) interrater agreement for relevance for each item (I-CVI) and (b) S-CVI. The means were established for each item. Content validity was estimated using (a) interrater agreement for relevance for each item (I-CVI: 0.75–1.00); and the S-CVI/average = 0.92. Cronbach’s alpha was estimated to establish reliability (0.972).Conclusion:Selecting an appropriate protocol to be used in this patient population is the first step in implementing an effective early extubation process. The results highly suggest that the content of this protocol is quite relevant in this patient population. It is hoped that this will set the stage for early extubation in postoperative cardiac surgery patients.
The Relationship between Compulsions, Worry, and Academic Performance among United Arab Emirates University Students
Authors: Hamid Abdalla A. M.
Published: June 2017

The cognitive approaches of obsessive-compulsive disorder consider negative appraisal of beliefs and thoughts to be the core factor for the onset of this disorder. The present study was aimed at investigating the relationship between compulsions and worries (anxious thoughts), and between compulsions and academic performance in a sample of 461 university students aged between 18 and 30 years (mean age=21.2 years). Male participants represented 31.2% of the total sample while female participants represented 68.8% of the sample. The Anxious Thoughts Inventory and the Compulsion Checklist were administered. Results showed that worries were positively related to compulsions. Meta-worry was the strongest predictor of compulsions. First-degree relatives of individuals with history of obsessive-compulsive symptoms significantly reported more symptoms of compulsions compared to their counterparts. Academic performance (GPA) was not related to compulsion but it was related to worry. Further, older participants expressed less social worry and less compulsive symptoms compared to younger ones. The results were discussed in relation to relevant theoretical framework and in light of findings of previous studies. This study will provide researchers, practitioners and readers with an understanding of the relationship between worry, academic performance and compulsions in this part of the world.
Keywords: Compulsions, Meta-worry, Social Worry, Health Worry, Academic Performance
Transportes (processos): 5 anos de otimização
Authors: Oliveira Alexandre Carlos
Published: June 2017

Ao longo dos seus 50 anos, a UNICAMP cresceu exponencialmente em tamanho e em complexidade quando nos referimos aos processos administrativos. As particularidades de cada área/departamento tornam complexa a aquisição e/ou o desenvolvimento de sistemas computacionais de gestão. Consequentemente, os índices de erros, improvisações e "retrabalhos" tornaram-se elevados, com a inevitável perda de esforços, recursos e tempo. A impossibilidade e/ou inviabilidade de aquisição/implementação de soluções personalizadas para atender as necessidades específicas do Setor de Transportes da Diretoria Geral de Administração (DGA), em curto/médio prazo, foi o "alicerce" deste trabalho, que demonstra o sucesso na otimização de processos relacionados à administração dos serviços de transportes da Universidade através da aplicação de algoritmos/recursos avançados e combinados às principais ferramentas computacionais disponibilizadas no ambiente administrativo desta Diretoria (como as suítes de aplicativos Microsoft Office e LibreOffice, por exemplo). Os dados coletados e processados ao longo dos últimos 5 (cinco) anos deram origem a modelos consolidados/unificados para análise, controle e validação dos processos administrativos relacionados à frota oficial e serviços terceirizados de transportes, com grande êxito na redução do tempo gasto em cada etapa dos processos; dos índices de erros e da "redundância" de informações registradas em controles de contratos, demonstrativos mensais de gastos/ressarcimentos, faturas e demais documentos/relatórios administrativos. Este trabalho contempla uma abordagem prática e viável para a aplicação de modelos similares em outros setores administrativos da Universidade.
High availability em firewall utilizando o pfsense
Authors: Godoy Henri Alves
Published: June 2017

A alta disponibilidade (High Availability – HA) tem se tornado cada vez mais importante visto a necessidade em mantermos os sistemas computacionais disponíveis e sem interrupções, através da utilização de recursos redundantes de software e hardware, eliminando os pontos únicos de falha. Neste contexto esse trabalho relata a implantação na Faculdade de Ciências Aplicadas – FCA, de um hardware confiável (Server-U) junto ao software livre pfSense de forma a oferecer uma solução que contemple uma HA no firewall da unidade. A implantação foi realizada ativando o protocolo CARP com sincronia de estados e IP flutuante na rede WAN e LAN. Todo trabalho exigiu uma reformulação no design do core da rede proporcionando também um ambiente com alta disponibilidade para serviços internos prestados e conexões de rede como a telefonia IP, Wi-Fi, Câmeras IP e Servidores Virtualizados KVM. Com isso foi possível oferecer um equipamento redundante de firewall na rede para continuar prestando um serviço de alta qualidade e disponibilidade a toda comunidade da FCA.
Acolhimento ao estagiário universitário
Authors: Grassi Dulce Mara Bertoluci
Published: June 2017

A DEdIC - Divisão de Educação Infantil e Complementar - tem como Missão proporcionar às crianças e aos adolescentes da comunidade na Unicamp, espaços e tempos para Educar, Cuidar e Brincar, por meio de experiências nas múltiplas linguagens. Considerando que um dos objetivos desta Divisão é fortalecer o vínculo entre Família, Escola e Comunidade Universitária, destacamos neste trabalho o projeto “Acolhimento ao Estagiário Universitário”, que está vinculado a um plano maior de ação, o Projeto de Acolhimento e Adaptação: Um Alicerce para Educação Social do Serviço Socioeducativo. O acolhimento ao estagiário visa melhor organizar, encaminhar e facilitar o conhecimento e a vivência do estagiário dentro das unidades da DEdIC (CAS,CECI e PRODECAD), que são espaços de socialização, interação e produção de cultura. Acreditamos que o período de estágio, por proporcionar a vivência inicial da prática pedagógica, é o momento oportuno para que o aluno de licenciatura (Graduação), tanto no estágio obrigatório quanto no de iniciação científica, possa refletir sobre a teoria e prática, os limites e desafios existentes entre elas, daí a importância de registrar, orientar e proporcionar momentos de interação durante o processo de estágio. Pensamos que acolher com sensibilidade e respeitar as singularidades motivam os envolvidos a um crescimento pessoal e coletivo, uma vez que sempre haverá troca de experiência provocando um enriquecimento no processo pedagógico de todos.
Análise ergonômica no estudo de desenvolvimento virtual de um laboratório de metrologia utilizando o software catia
Authors: Correr Adilson Roberto
Published: June 2017

Trabalho de Conclusão de Curso apresentado como requisito parcial para obtenção do título de Especialista em Projeto, Manufatura e Análise de Engenharia Auxiliados por Computador (CAD/CAM/CAE). Tem como objetivo estudar a contribuição do software de engenharia, CATIA, na formação de um laboratório de Metrologia. Através de uma base teórica dos conceitos e parâmetros necessários para a elaboração do laboratório, definição do escopo e estabelecendo a integração da tecnologia CAD ao processo desse projeto. Desenvolvendo equipamentos, mobiliário e instrumentos necessários para sua montagem, por meio das ferramentas e ambientes do software CATIA. Conduzindo a formação do laboratório virtual que proporcionará uma análise de formação de seu layout e uma análise ergonômica do trabalho com foco no método RULA. Sem experimentar o ambiente real, o laboratório virtual de Metrologia, hipotético aplicado na fase de planejamento, muito antes de existir no real, contribuirá significativamente para esclarecimentos sólidos de formação e atuação. O que antes estava condicionado a esboços preliminares e separado por áreas e departamentos, agora, através do CATIA, estará concentrado em forma virtual possibilitando todas as análises necessárias em um só conjunto de projeto. A construção de todas as partes e componentes do laboratório proporcionará um aprimoramento da pratica em manuseio do software, dos “n” ambientes e ferramentas para cumprir o proposto de formação e analises. Além de contribuir para as soluções das dificuldades de traços, formas, simetria e montagem dos conjuntos, ambientes e ergonomia. Gerando uma constante possibilidade de atualizações e de economia de custo e tempo. Para a Unidade em formação, FCA, significou em avanços no desenvolvimento do projeto de seu laboratório Metrologia.
Cooperativa de consumo farmacia assistencial "nova medicarium"
Authors: Migliaccio Silvana Pinheiro , Granja Silvia
Published: June 2017

O projeto Nova Medicarium da Universidade Estadual de Campinas, teve início após estudo de viabilidade (Out/2013 a Jan/2014), e designação de um Grupo de Trabalho (Portaria GR008/2015) para implantação de um novo modelo de farmácia - Cooperativa Lei 5764-71, que garantisse a aquisição ágil de medicamentos, e demais produtos farmacêuticos a preços abaixo dos de mercado para toda a comunidade da Unicamp e seus dependentes diretos, inclusive Aposentados e funcionários da FUNCAMP, obedecendo aos aspectos legais e oferecendo atendimento humanizado, conforme a lei 13.024/2014, que entende a Farmácia como uma extensão da saúde. Importante mencionar que o projeto Medicarium funcionou de forma exitosa na Universidade entre Set/2003 e Jun/2011, porém problemas legais à época justificaram o seu encerramento. Sua importância está na contribuição direta na missão da UNICAMP, através da atenção a linhas de ação nas cinco áreas de seu Planejamento Estratégico: Ensino, Pesquisa, Extensão, Administração/Gestão e Qualidade de Vida. Para o desenvolvimento e implantação do projeto foi empregada a metodologia GEPRO. O projeto permitiu a valorização dos diversos saberes, o fortalecimento do trabalho em equipe, a oficialização de parcerias na indústria farmacêutica e o envolvimento de toda a comunidade. Permite ainda à Faculdade de Ciências Farmacêuticas da Unicamp o cumprimento de estágios de Gestão e Técnico aos alunos de graduação, desenvolvimento de pesquisas diversas e cursos de extensão universitária.
Registro hospitalar de câncer
Authors: Nogueira Mauricio , Oliveira Vanda de Fátima Fulgêncio
Published: June 2017

Em 1967, um grupo de professores da Faculdade de Medicina da Universidade de São Paulo criou o Centro de Oncologia (CEON), para incentivar e coordenar estudos e atividades na área de oncologia, ou seja, a Fundação Oncocentro de São Paulo – FOSP. Apresentar o trabalho realizado no Hospital da Mulher Prof. Dr. Aristodemo Pinotti – Centro de Atenção Integral à Saúde da Mulher – CAISM/UNICAMP, por uma equipe multidisciplinar formada por médicos oncologistas e técnicos do Serviço de Arquivo Médico e Estatística – SAME. Método: descrever a prática da equipe, que desde de 2000, registra os casos de câncer e mantém atualizado o banco de dados, com informações de casos novos e seu segmento anual, sendo que, após o primeiro atendimento o paciente é incluído no RHC – Registro Hospitalar de Câncer tendo seu tratamento acompanhado ao longo do tempo. Alcançar os objetivos da FOSP que é de realizar estudos e pesquisas em cancerologia; promover a formação de cancerologistas e o treinamento de técnicos especializados; pesquisar novos métodos de prevenção, diagnóstico e tratamento do câncer e de doenças correlatas; desenvolver esforços visando a identificação e prevenção de fatores cancerígenos de natureza química, física ou biológica. A manutenção do banco de dados atualizado com informações precisas é fundamental para empreender estudos epidemiológicos, ensinamentos essenciais sobre cancerologia; e para fins de pesquisa, ensino e assistência em cancerologia possibilitando ainda a cooperação técnica e administrativa com entidades públicas e particulares.
Internacionalização de periódicos científicos: a experiência da RDBCI – revista digital de biblioteconomia e ciência da informação do sistema de bibliotecas da UNICAMP
Authors: Ferreira Danielle Thiago , Santos Gildenir Carolino
Published: June 2017

Incentivos à produção cientifica e ao acesso aberto a informação vem estimulando o crescimento da publicação científica brasileira. Mas ao mesmo tempo, a publicação científica que é parte essencial do processo de produção de conhecimento, encontra-se hoje em um momento de grandes mudanças e forte pressão de inserção no âmbito internacional. O objetivo deste trabalho é detalhar as ações e mudanças pelas quais a RDBCI: Revista Digital de Biblioteconomia e Ciência da Informação, vinculada ao Sistema de Bibliotecas da UNICAMP (SBU), vem passando para sua internacionalização e profissionalização, qualidades tão almejadas hoje por periódicos científicos nacionais. Neste sentido abordaremos através de levantamento, a atual situação dos periódicos científicos da área de Biblioteconomia e Ciência da Informação e o impacto desses periódicos na comunidade. Esta experiência da RDBCI nos seus 14 anos de existência, pode ser o caminho de outras revistas da área ou mesmo até de periódicos de outras áreas, como por exemplo, os periódicos que fazem parte do Portal de Periódicos Eletrônicos Científicos da UNICAMP. Conclui-se que, para atingir aos requisitos da comunidade nacional cientifica, e atender as exigências estabelecidas pelos órgãos avaliadores, é necessário que a revista cumpra seu papel dando visibilidade aos seus conteúdos tanto na língua materna (português) quanto na língua inglesa.
Monitoramento do desempenho de instrumento de medição analítica através de cartas controle
Authors: Souza Ana Paula Ferreira , Rodrigues Nadia Regina , Pagliarini Felipe Santos
Published: June 2017

O sistema de gestão da qualidade baseado nos princípios das boas práticas de laboratório (BPL) implementado no laboratório da Divisão Química Analítica prevê a manutenção e verificação periódica dos instrumentos de medição utilizados nos estudos. As cartas controle são ferramentas que ajudam, visualmente através de gráficos, o monitoramento e controle do funcionamento desses equipamentos. Existem diversos modelos de carta controle, sendo o modelo do Ciclo de Shewhart o mais conhecido. Neste modelo utiliza-se dos valores médios e os resultados devem se mostrar aleatórios em torno da média, não apresentando tendências. No laboratório as verificações foram feitas para balanças analíticas modelos AB 204 S e HR 31 ambas fabricadas pela Mettler, utilizando-se peso padrão de 10 mg, mediante verificações semanais ao longo de um ano. O valor da incerteza do peso padrão corresponde à incerteza expandida utilizado corresponde à 95% de confiança (fator de abrangência =2). Após as medições foram elaboradas as cartas controle X-bar, como também são conhecidas, e tiveram seu acesso livre aos analistas, proporcionando tomada de decisões mais eficazes.
Movimentação e alocação na UFRJ: novas práticas
Authors: Vasconcelos Madelon Moura , Paiva Marcio Neves
Published: June 2017

O presente trabalho trata de apresentar as mudanças na forma de trabalho da Divisão de Movimentação e Alocação (DVMA) da Universidade Federal do Rio de Janeiro. A DVMA é uma Divisão da Pró-Reitoria de Pessoal (PR-4) que trata, entre outras coisas, do processo de remoção de servidores. Sobre as mudanças no presente processo que este trabalho trata. A remoção de servidores na UFRJ ainda acontece sem um dimensionamento de nossa força de trabalho. Atualmente há um esforço em otimizar os recursos humanos disponíveis fazendo um trabalho inicial de dimensionamento que precisa ser aprimorado com ajuda de todos os chefes de seção de pessoal. A metodologia utilizada nesse trabalho de dimensionamento ainda está sendo estudada para aplicação em nossa IFES. O objetivo final da presente participação é mostrar a importância, para todos os membros de nossa comunidade acadêmica, da gestão eficiente de recursos humanos e também conhecer novas formas de dimensionamento utilizadas em outras IFES.
O uso do PDF/a em documentos digitalizados: um estudo de caso no arquivo central/SIARQ com os relatórios de atividades docente - RAD’s
Authors: Souza Rodrigo Lizardi
Published: June 2017

O Arquivo Central do Sistema de Arquivos (SIARQ) vem desenvolvendo o Projeto de Digitalização dos Relatórios de Atividades Docente (RAD) no contexto do Projeto de Desenvolvimento do Sistema RAD, coordenado pela Pró-Reitoria de Desenvolvimetno Universitário. O formato PDF/A (Portable Document Format / Archive - ISO 19005-1:2005 Document management -- Electronic document file format for long-term preservation) está sendo utilizado como opção de guarda e acesso dos documentos digitalizados neste projeto, incluindo o uso do ABBYY FineReader (OCR). Os relatórios são digitalizados e as imagens convertidas em PDF/A cujos arquivos são armazenados em diretórios identificáveis e capturados pelo Sistema Informatizado de Gestão de Documentos (SIGAD-UNICAMP), que contém os metadados referentes aos Dossiês específicos dos docentes: nome, número de documento de identificação, matrícula, classificação, assunto, procedência. Os relatórios digitalizados já constituem repositório e podem ser consultados pelos usuários credenciados para esse tipo de acesso por meio do SIGAD-UNICAMP. Como resultados inicias deste projeto destaca-se: que a opção (formato e o software de OCR) permite pesquisa de conteúdo do documento o que facilita a localização de assuntos tratados; que por meio do SIGAD-UNICAMP os usuários podem visualizar os documentos e fazer download de acordo com suas necessidades; que a equipe do SIARQ-UNICAMP pode desenvolver e testar a captura de documentos digitalizados para o SIGAD-UNICAMP, aprovando sua viabilidade. Verificou-se que o uso do PDF/A na conversão de documentos digitalizados (originalmente em formato imagem) está sendo viável para as finalidades do projeto, cujo próximo passo será a interoperação com o Sistema RAD/PRDU.
Beyond ɅCDM: A Viable Alternative?
Authors: Gough Paul
Published: June 2017

We are encouraged to look beyond ɅCDM as there are no satisfactory explanations for either dark energy or dark matter. A data centred phenomenological approach supports an explanation where dark energy is Holographic Dark Information Energy, HDIE. HDIE explains many effects attributed separately to Ʌ and CDM. HDIE mimics Ʌ with sufficient energy and an equation of state parameter, w= -1.03±0.05 at redshifts z<1.35 to account for accelerating expansion. HDIE is clumped around galaxies at densities that distort space-time, explaining many CDM attributed effects. The present ratio of HDIE/baryons ~2.15, required for the observed expansion history, is equivalent to a dark matter fraction ~68%, consistent with many galaxies. The HDIE/baryon model is based largely on proven physics, provides a common explanation for dark energy and dark matter, and solves the cosmological coincidence problem. At earlier times, z > ~1.35, HDIE was phantom, w = -1.82±0.08, enabling the model to be falsified. HDIE fits Planck dark energy wo-wa plots at least as well as Ʌ, and is consistent with other results that suggest dark energy was phantom at earlier times. A new w-parameterisation is proposed, as the usual CPL parameterisation is biased and unsuitable for distinguishing between HDIE/baryon and ɅCDM models.
Work Motivation among Secondary School Teachers
Authors: Kumar Aneet
Published: June 2017

The purpose of the study was to explore the work motivation among secondary school teachers. The table revealed that 23.67% secondary school teachers have low level of work motivation, 47% secondary school teachers have average level of work motivation and 29.33% secondary school teachers have high level of work motivation. 20% female teachers have low level of work motivation, 48% female teachers have average level of work motivation and 32% female secondary school teachers have high level of work motivation. Similarly 27.33% male secondary school teachers have low level of work motivation, 46% male secondary school teachers have average level of work motivation and 26.67% male secondary school teachers have high level of work motivation. 12% government secondary school teachers have low level of work motivation, 49.33% government secondary school teachers have average level of work motivation and 16% government secondary school teachers have high level of work motivation. Similarly 35.33% private secondary school teachers have low level of work motivation, 44.67% private secondary school teachers have average level of work motivation and 20% private secondary school teachers have high level of work motivation. There was no significant difference in the work motivation of male and female secondary school teachers. There was significant difference in the work motivation of government and private secondary school teachers.
Medicine, Performing Arts, and Science—-Dancing to the Same Tune
Authors: Ackermann Bronwen J
Published: June 2017

A substantial period of time has been spent developing rigorous quantitative scientific approaches to inform medical practice (evidence-based practice). While this process has been important for many medical breakthroughs, and continues to play a critical role in medical and scientific
research, it was felt to cause a medical shift away from the individual patient, as practitioners focussed more on the method of practice than the person themselves. However, following this period when a preponderance of attention was paid to quantitative studies, the tide has now turned back
to integrating this knowledge with the clinical skills and expertise of medical practitioners. This is very important in the practice of performing arts medicine, whereby approaches to treating the performing artist using the most up-to-date scientific evidence need to be tempered with tailoring
interventions to the particular demands of the individual within the context of their profession. Such integrated approaches to health and medical practice for performing artists have seen an increase in varied methodological strategies to understanding or managing the diverse range of health
conditions that can affect performers. Qualitative, quantitative, and mixed-method research designs are allowing a greater range of approaches to find the best way to answer a research question.
Optimized Energy Efficient Trust Aware System in Wireless Sensor Networks
Authors: Aggarwal Palak , Kumar Santosh , Garg Neha , Singh Sumeshwar
Published: June 2017

Energy and security are very important issues in Wireless Sensor Networks (WSN) which need to be handled. These issues are interrelated because of limited energy there are some restrictions on implementation of security. Insider packet drop attack is one of the dangerous attacks for wireless sensor network that causes a heavy damage to WSN functionalities by dropping packets. It becomes necessary to identify such attack for secure routing of data in WSN. To detect this attack, trust mechanism has been proven as a successful technique. In this mechanism, each node verifies the trustworthiness of its neighbor node before packet transmission so that packets can only be transmitted to trustworthy nodes. But there is a problem of False Alarm with such trust-aware scheme. False alarm occurs when a good node’s trust value goes down due to natural packet dropping and being eliminated from the routing paths. This wastes network’s resources that further shortens network lifetime. In this paper, we have proposed a system for identification and recovery of false alarms (IRFA) which is the optimization of existing trust based system. But security solution needs to be energy efficient due to scarcity of energy resources in WSN. To provide energy efficiency, we have implemented proposed IRFA system in cluster based environment which detects insider packet drop attackers in an energy efficient manner. We have conducted OMNET++ simulation and results demonstrate that the proposed system performance is better than existing trust-based system in terms of packet delivery rate and energy efficiency which improves network lifetime.
Analytic Approach of Internet Pricing Scheme Model Based on function of Bandwidth Diminished with Increasing Bandwidth
Authors: Hartati Hartati , Puspita Fitri Maya , Indrawati Indrawati
Published: June 2017

Along with the changing times, the internet is becoming essential for everyday life. As the internet service providers, ISPs are required to provide a good service so as to give satisfaction to consumers at a low price. However, ISPs are expected to not only take into account customer satisfaction, but also take into account the advantages gained by considering all the factors that exist. Therefore, ISPs are given the option of pricing schemes, namely flat fee, usage-based, and two part tariff pricing schemes to be applied to the utility function as a function of bandwidth decreases with increasing bandwidth to maximize the benefits ISPs with regard to the level of user satisfaction. This study analyzed the two types of customers, namely homogeneous and heterogeneous consumers. Consumers are divided into heterogeneous consumer of willingness to pay (high end and low end) and with different consumption levels (high demand and low demand).In the case of consumers with homogeneous and heterogeneous consumer of willingness to pay (high end and low end), optimal pricing scheme is obtained if the ISP uses a flat fee and a two-part tariff schemes. As for heterogeneous consumers with different consumption levels (high demand and low demand), the scheme of two part tariff is the optimal scheme to generate maximum profits.
Investigations of wall effect on permeability through porous media at low flow rates
Authors: Kango Rajat , Alam M. A. , Shankar Vijay
Published: June 2017

The study of percolation of fluids through permeable subsoil strata has always been a subject of great significance from engineering point of view. The permeability depends upon both material properties and fluid characteristics. Previous studies are concentrated on the influence of regularly shaped particles on permeability, whereas the present study aims to analyse its variation due to natural randomly shaped particles. Seepage velocity of the fluid and hydraulic gradient of the soil bed materials are evaluated with the help of discharge and pressure measurements in a constant head permeameter. Specific gravity tests are conducted on different materials in order to calculate their porosities. The dependence of permeability on Dp/dg (i.e. ratio of permeameter size (Dp) to particle size (dg)) for various wall effect conditions is analysed through standard experimental procedures. The present study examines the effect of relative resistance of permeameter wall (i.e. the ratio of permeability of confined to unconfined bed) on Dp/dg. The results reveal that the aquifer confinement i.e. the distance up to which the region of randomly packing occurs directly influences the measure of permeability at lower values of Dp/dg. This effect decreases with increasing values of Dp/dg and becomes negligible at values 120 and above.
Gas composition of sludge residue profiles in a sludge treatment reed bed between loadings
Authors: Larsen Julie D. , Nielsen Steen M. , Scheutz Charlotte
Published: June 2017

Treatment of sludge in sludge treatment reed bed systems includes dewatering and mineralization. The mineralization process, which is driven by microorganisms, produces different gas species as by-products. The pore space composition of the gas species provides useful information on the biological processes occurring in the sludge residue. In this study, we measured the change in composition of gas species in the pore space at different depth levels in vertical sludge residue profiles during a resting period of 32 days. The gas composition of the pore space in the sludge residue changed during the resting period. As the resting period proceeded, atmospheric air re-entered the pore space at all depth levels. The methane (CH4) concentration was at its highest during the first part of the resting period, and then declined as the sludge residue became more dewatered and thereby aerated. In the pore space, the concentration of CH4 often exceeded the concentration of carbon dioxide (CO2). However, the total emission of CO2 from the surface of the sludge residue exceeded the total emission of CH4, suggesting that CO2 was mainly produced in the layer of newly applied sludge and/or that CO2 was emitted from the sludge residue more readily compared to CH4.
Creating an enabling environment for WR&R implementation
Authors: Stathatou P.-M. , Kampragou E. , Grigoropoulou H. , Assimacopoulos D. , Karavitis C. , Gironás J.
Published: June 2017

Reclaimed water is receiving growing attention worldwide as an effective solution for alleviating the growing water scarcity in many areas. Despite the various benefits associated with reclaimed water, water recycling and reuse (WR&R) practices are not widely applied around the world. This is mostly due to complex and inadequate local legal and institutional frameworks and socio-economic structures, which pose barriers to wider WR&R implementation. An integrated approach is therefore needed while planning the implementation of WR&R schemes, considering all the potential barriers, and aiming to develop favourable conditions for enhancing reclaimed water use. This paper proposes a comprehensive methodology supporting the development of an enabling environment for WR&R implementation. The political, economic, social, technical, legal and institutional factors that may influence positively (drivers) or negatively (barriers) WR&R implementation in the regional water systems are identified, through the mapping of local stakeholder perceptions. The identified barriers are further analysed, following a Cross-Impact/System analysis, to recognize the most significant barriers inhibiting system transition, and to prioritize the enabling instruments and arrangements that are needed to boost WR&R implementation. The proposed methodology was applied in the Copiapó River Basin in Chile, which faces severe water scarcity. Through the analysis, it was observed that barriers outweigh drivers for the implementation of WR&R schemes in the Copiapó River Basin, while the key barriers which could be useful for policy formulation towards an enabling environment in the area concern the unclear legal framework regarding the ownership of treated wastewater, the lack of environmental policies focusing on pollution control, the limited integration of reclaimed water use in current land use and development policies, the limited public awareness on WR&R, and the limited availability of governmental funding sources for WR&R.
STATUS PIRATÓW W ŚWIETLE RZYMSKIEGO PRAWA PUBLICZNEGO I IUS GENTIUM
Authors: Tarwacka Anna
Published: June 2017

The Status of the Pirates in the Light of the Roman Public Law and ius gentiumSummaryThe Roman law of war was extremely strict and formal. To declare a war (bellum iustum) it was necessary to perform a certain ceremony traditionally conducted by the fetiales.According to Cicero, a campaign against the pirates was not considered bellum iustum due to the fact that they could not be called hostes legitimi. The reason for such opinion was that their community could not be defined as a state. Cicero claims that the pirates were enemies of all mankind (communis hostis omnium). The jurists of the classical period (Pomponius, Ulpianus) shared this view calling those, who did not fulfill the conditions of gaining the status of hostes legitimi, simply bandits - latrunculi. Accordingly, a general who won a campaign against the pirates could not celebrate a triumph, which was a ceremony reserved for more splendid victories.Roman classical law considered people captured by the pirates free. They did not lose any of their rights and did not need to use ius postliminii to regain their status.
PRAWNE SKUTKI PRZEJAWÓW DEMORALIZACJI NIELETNICH NA PODSTAWIE BADAŃ AKT SĄDOWYCH
Authors: Kosek Mirosław , Łazuga Waldemar
Published: June 2017

Legal Consequences of Demoralization of Minors on the Basis of the Analysis of Court FilesSummaryThe article discusses the results of the research performed by Waldemar Łazuga and presented in the master thesis entitled „The expressions of the demoralization of the minors in the context of the Act on the proceedings against the minors” written under a supervision of Prof. dr hab. Wanda Stojanowska in the Academy of Special Pedagogy in Warsaw in academic year 2001/2002 regarding the demoralization of minors and its complex context. The results were also analyzed and the conclusions on theirs basis were drawn.
ZRZECZENIE SIĘ PRAWA DO WNIESIENIA APELACJI W POSTĘPOWANIU UPROSZCZONYM
Authors: Kincbok Agnieszka
Published: June 2017

Renunciation of the Right of Appeal in the Simplified ProcedureSummaryThis aticle concerns the institution of renunciation of the right of appeal, which is regulated by article 5058 § 3 of the Act of 17 November 1964 - Civil Proceedings Code (CPC).Renunciation of the right of appeal, which was introduced to the Polish civil procedure by an amendment to the CPC of 24 May 2000, functions only in the simplified procedure. In consequence it is impossible to renounce the right of appeal both in the standard procedure based on the general regulations and in the remaining types of procedures under CPC.This paper addresses the questions of who is authorized to renounce ius appellandi, when and in what form this can be done.Moreover this article discusses whether under article 5058 § 3 of CPC the judge is authorized to decide that renunciation of appeal is unacceptable for reasons specified in articles 203 § 4, 469 and 47913 of the CPC. The author of the article argues that on the ground of the currently binding regulations the judge does not have this kind of prerogative.The article also discusses procedural effects of the renunciation, which are different depending on the party making such declaration.Finally, this article looks into the widely disputed issue whether it is possible to cancel the declaration of renunciation of ius appellandi.
USTAWA JULIJSKA O PRZEMOCY PUBLICZNEJ. 6 TYTUŁ 48 KSIĘGI DIGESTÓW. TEKST - TŁUMACZENIE - KOMENTARZ
Authors: Loska Elżbieta
Published: June 2017

USTAWA JULIJSKA O PRZEMOCY PUBLICZNEJ. 6 TYTUŁ 48 KSIĘGI DIGESTÓW. TEKST - TŁUMACZENIE - KOMENTARZ
O ACTIO REI UXORIAE PRZEKSZTAŁCONEJ W ACTIO EX STIPULATU I O NATURZE NADANEJ POSAGOM. 13 TYTUŁ 5 KSIĘGI KODEKSU JUSTYNIAŃSKIEGO. TEKST - TŁUMACZENIE - KOMENTARZ
Authors: Stępkowska Agnieszka
Published: June 2017

O ACTIO REI UXORIAE PRZEKSZTAŁCONEJ W ACTIO EX STIPULATU I O NATURZE NADANEJ POSAGOM. 13 TYTUŁ 5 KSIĘGI KODEKSU JUSTYNIAŃSKIEGO. TEKST - TŁUMACZENIE - KOMENTARZ
Midterm eGFR and Adverse Pregnancy Outcomes: The Clinical Significance of Gestational Hyperfiltration
Authors: Park Sehoon , Lee Seung Mi , Park Joong Shin , Hong Joon-Seok , Chin Ho Jun , Na Ki Young , Kim Dong Ki , Oh Kook-Hwan , Joo Kwon Wook , Kim Yon Su , Lee Hajeong
Published: June 2017

Background and objectives

Although hemodynamic adaptation plays a crucial role in maintaining gestation, the clinical significance of midterm renal hyperfiltration (MRH) on pregnancy outcomes is unknown.

Design, setting, participants, & measurements

This was an observational cohort study. Women with a singleton pregnancy and a serum creatinine measurement during their second trimester were followed at two university hospitals in Korea between 2001 and 2015. Those with substantial renal function impairment or who delivered during the second trimester were not considered. MRH was represented by the highest eGFR, which was calculated using the Chronic Kidney Disease Epidemiology Collaboration method. An adverse pregnancy event was defined by the composition of preterm birth (gestational age <37 weeks), low birth weight (<2.5 kg), and preeclampsia.

Results

Data from 1931 pregnancies were included. The relationship between midterm eGFR and adverse pregnancy outcomes, which occurred in 538 mothers, was defined by a nonlinear U-shaped curve. The adjusted odds ratio and associated 95% confidence interval (95% CI) of an adverse pregnancy outcome for eGFR levels below and above the reference level of 120–150 ml/min per 1.73 m2 were 1.97 (95% CI, 1.34 to 2.89; P<0.001) for ≥150 ml/min per 1.73 m2; 1.57 (95% CI, 1.23 to 2.00; P<0.001) for 90–120 ml/min per 1.73 m2; and 4.93 (95% CI, 1.97 to 12.31; P<0.001) for 60–90 ml/min per 1.73 m2. Moreover, among mothers without baseline CKD, women with adverse pregnancy outcomes had less prominent MRH than those without (P<0.001).

Conclusions

We identified a unique U-shaped relationship between midterm eGFR and adverse pregnancy outcomes, and the optimal range of midterm eGFR levels was 120–150 ml/min per 1.73 m2. In those without evident functional renal impairment, the absence of prominent MRH might be a significant risk factor for poor pregnancy outcomes.
PENGARUH PEREMAJAAN DENGAN KLON UNGGUL BARU TERHADAP KELAYAKAN INVESTASI BUDIDAYA KARET
Authors: Agustina Dwi Shinta , Herlinawati Eva
Published: June 2017

AbstractIn condition of low rubber price currently, the planting of old rubber clone such as GT 1 should be replaced by the new high yielding clones. If smallholders replant their old rubber tree with new high yielding clone, the income could be increased and the return of investment could be shortened. This paper was aimed to present the feasibility of rubber investment of GT1 and PB260 clones at various rubber prices and economic life of the plant. From the analysis known that the planting of PB260 was more feasible compared to GT1 if tapping was conducted properly based on the recommended tapping system.Keywords: Hevea brasiliensis, high yielding clone, feasibility, replanting, price, rubber, investment AbstrakDengan kondisi harga saat ini, penanaman karet dengan klon-klon lama (seperti GT1) sudah harus digantikan dengan klon-klon unggul baru yang produksinya lebih tinggi. Apabila petani meremajakan kebun karet tuanya dengan tanaman karet klon unggul, pendapatan yang diterima dapat lebih baik dibandingkan dengan produksi yang diperoleh dari kebun karet tua rusak serta serta pengembalian biaya investasi lebih cepat.. Tulisan ini menampilkan kelayakan investasi tanaman karet dengan klon GT 1 dan PB260 pada berbagai tingkat harga dan umur ekonomis tanaman. Melalui informasi ini diharapkan petani dapat memperbaiki sistem sadap yang selama ini mereka lakukan. Dari hasil analisis diketahui bahwa pengusahaan klon PB260 adalah lebih menguntungkan dibandingkan dengan pengusahaan klon GT1 apabila dilakukan sesuai dengan rekomendasi teknis yang dianjurkan.Kata kunci: Hevea brasiliensis, klon unggul, kelayakan, peremajaan, harga, karet, investasi
Challenges to corporate governance practices: Case study of Libyan commercial banks
Authors: Iswaissi Hashem , Falahati Kazem
Published: June 2017

The purpose of this study is to investigate corporate governance (CG) practices in Libyan Commercial Banks (LCBs) in order to find out any essential challenges that are associated with the process of adopting CG in the LCBs which became mandatory implementation in late 2010 in Libya. This study adopts a qualitative approach by conducting semi-structured interviews to collect the required data within the framework of stakeholder and new institutional theories of CG. Five LCBs are selected as units of case studies, as well as Central Bank of Libya (CBL). The results of the findings reveal that the implementation of CG code 2010 at LCBs is still in the early stages. The weakness of supervision and absence of training, as well as a lack of knowledge and political instability; are the main challenges to LCBs in complying with good CG practices and overcoming the problems of the political economics of CG. The outcome of this study will contribute to research knowledge on CG, especially in Libyan banks, by using stakeholder and new institutional theories as a theoretical framework.
Gram stain and Giemsa stain as a rapid diagnostic tool for diagnosis of vaginal infections” in Western Nepal
Authors: Bajracharya Kishor , Kaur Narinder , Pant Sushama Suresh
Published: June 2017

Abstract:

Introduction: Infective vaginitis accounts for about 90% of all the cases of vaginal discharge in the women of reproductive age group. This includes triad of bacterial vaginosis, candidiasis and trichomoniasis.

Method: The study was carried out in Lumbini Medical College and Teaching Hospital, Palpa, Nepal for a time period of 4 months. Total 125 high vaginal swabs from posterior fornix of vagina were collected from November 2014 to February 2015 in the department of Obstetrics and Gynecology, in the patients complaining of vaginal discharge. PH of the vaginal discharge was also determined by using litmus paper. Gram’s and Giemsa stain of vaginal swab smear were done to diagnose Bacterial vaginosis, Candidiasis and Trichomoniasis. Age, parity and pregnancy status of the patients were noted.

Result: Out of 125 patient, bacterial vaginosis was found in 16% and candidiasis in 37%.Candidiasis and bacterial vaginosis were observed in child bearing sexually active women. Surprisingly bacterial vaginosis was not observed in pregnant women. Trichomoniasis infection was present in one case (0.8%) while severe invasive Candidiasis was observed in one woman.

Conclusion: A definitive diagnosis can easily be made by Gram’s and Giemsa stain and microscopic examination of high vaginal swab. This may help in specific treatment and  prevent associated morbidity and  recurrence.

Key words: Bacterial vaginosis, candidiasis, high vaginal swab, Gram’s stain, Giemsa stain.