bluuebunny/crossref_metadata_2025 huggingface dataset:
Fotografía de Jorge Ameal. Viaje a la memoria
Authors: Ameal Jorge
Published: September 2021

Me propuse, este año, recorrer la totalidad de mi ya voluminoso archivo fotográfico, enriquecido a través de treinta y tres años de práctica constante. Descubrí que es una experiencia apasionante, llena de sorpresas, donde aparecen, también, sentimientos contradictorios. Momentos de alegría, y de tristeza. En repetidas oportunidades, por fortuna y por goce interior, nace el asombro ante el descubrimiento de una imagen que nunca había retenido, o la revalorización de otra que con el tiempo ha tomado mayor importancia. También se produce la bronca —o el llamado a la realidad— en aquella secuencia de una situación fantástica, en que justo faltó la foto, y el reconocimiento del error en el momento decisivo. Recorro para adelante y para atrás mi vida de fotógrafo, y me surge una gran pregunta: ¿mi archivo fotográfico es mi memoria?
KONSEP KREATIF PENDEKATAN PARODI DALAM IKLAN TELEVISI DJARUM 76
Authors: Suryanto Suryanto
Published: September 2021

Konsep kreatif pendekatan parodi merupakan konsep kreatif yang efektif apabila diterapkan dalam sebuah iklan di televisi. Dua unsur televisi adalah audio dan visualnya yang mampu menumbuhkan empati dan simpati dari pemirsanya. Konsep ini memiliki sense of homour, mengandung kritikan atau ejekan, visual yang hiperbola, dan mengimitasi tokoh terkenal. Konsep kreatif pendekatan parodi dalam iklan Djarum 76 versi trilogi kontes jin dengan slogan “saya kasih satu permintaan” yang diimplementasikan dalam bahasa verbal yang memuat kritikan, ejekan terhadap kebiasaan masyarakat. Sedangkan implementasinya terdapat pada aspek visual yang berlebihan, mengandung ironi, penggunaan talent yang mengimitasi kebiasaan masyarakat, menghilangkan benda-benda secara cepat, budaya masyarakat serta permasalahan politik.
RESPON MASYARAKAT TERHADAP JAMAAH TABLIGH: STUDI KASUS VILLAGE JAMIATUN ULAMA, LAM ILIE TEUNGOH, ACEH BESAR
Authors: Nurlaila Nurlaila , Liata Nofal
Published: September 2021

Jamaah tabligh is an organization that was originally pioneered by Maulana Muhammad Ilyas, an 'alim who lives in the north of the Indian capital, New Delhi. In Indonesia, the tabligh congregation began to enter estimated in 1952. The tabligh congregation has genuine motivation, is passionate and has high dedication and sincerity in carrying out Islamic da'wah in society. Tablighi congregations are able to set a good example and even earnestly practice the Sunnah of the Prophet Saw in their daily life. The people of Jamiatul Ulama Village, Indrapuri District, Aceh Besar District have different views on the existence of the tabligh congregation. This study aims to determine how the views of the people of Jamiatul Ulama Village towards the tabligh congregation and the influence of the teachings of the tabligh congregation on the morals of the Jamiatul Ulama Village community. In this study the authors used field research methods (field research) with a qualitative approach that collected data through observation, interviews, documentation. The results showed that the view of the community towards the tabligh congregation was different, there were those who accepted it actively, passively and there were those who did not accept it. The reason they accept it is because of its excellent preaching, morals, and the growing presence of the tabligh congregation in the mosque. The reason for those who do not accept it is because the community views the tabligh congregation as new teachings, lazy to work. With the existence of the community's morality tabligh congregation, a lot has changed, the community is increasingly fond of performing acts of worship, congregational prayers are increasingly living in mosques, and an increasing number of congregations at mosques. However, social activities between the tabligh congregation and the community in Jamiatul Ulama Village are less well-connected.
Analysis of American Medical Students’ Knowledge of Physical Activity Recommendations
Authors: Adedokun Candace A. , Curles Wesley G. , DeMaio Emily L. , Asif Irfan M.
Published: September 2021

Introduction: The benefits of physical activity (PA) are widely recognized; American medical schools have begun to emphasize PA, but the effectiveness of these changes is unclear.
Methods: We performed a cross-sectional analysis of medical students enrolled in US osteopathic and allopathic medical schools between August 2019 and May 2020. All participants completed an electronic survey about PA instruction across the 4 years of medical school. Objective information including hours and format of PA instruction was collected. Subjectively, participants reported their relative comfort discussing various aspects of PA education with patients.
Results: A total of 480 medical students completed the survey, representing 82 of the 192 US medical schools (69 allopathic, 13 osteopathic). Students are more comfortable discussing overall exercise benefits than exercise testing, exercise prescription, and exercise physiology (P<.0001). They also report more exposure to general PA guidelines related to overall PA duration than strength training (P<.0001). Students at allopathic and osteopathic schools reported similar outcomes regarding PA education, while students with class sizes under 200 reported increased familiarity with National Physical Activity Guidelines regarding PA duration (P<.0001) and strength training (P=.01). 
Conclusion: Despite recent efforts to improve PA education in medical school, students feel unprepared to apply their knowledge in a clinical setting and remain unaware of national PA guidelines. Future studies should determine how to practically integrate PA education longitudinally into curricula to change PA education from an afterthought to an essential component of medical school education.
Modelo comercial de apropiación de la telesalud para Empresas Sociales del Estado - E.S.E.
Authors: Cruz Suarez Magda Gioanna , Alvis Duffó Paola , Torres Pérez Myriam Leonor
Published: September 2021

Este modelo aplica para la negociación y contratación de la venta de servicios de salud con las Entidades Promotoras de Salud y demás empresas responsables de pago. Inicia con la definición y elaboración del plan operativo de contratación de servicios de salud y termina con el registro, parametrización y notificación de las nuevas tarifas y contratos en el software institucional. Este modelo se elabora basado en ejes programáticos como el Modelo de Atención Integral en salud (MIAS) y el nuevo marco operacional Modelo de Acción Integral Territorial (MAITE), de igual forma tiene en cuenta información departamental como el documento de redes y Análisis de Situación en Salud reportados al Ministerio de Salud y Protección Social. De igual forma, el modelo fue socializado en el “Primer Encuentro de Apropiación de Telesalud en zonas de frontera” ejecutado el día 11 de junio de 2019. El modelo describe un conjunto de acciones que promueven y facilitan la atención oportuna, eficiente y eficaz, que van dirigidas a las personas, consideradas seres íntegros física y mentalmente, que además son seres sociales que pertenecen a una familia, que se encuentran en constante proceso de integración y adaptación a su medio ambiente físico, social y cultural.
Consumo de alimentos en comederos ambulantes como factor de riesgo para síntomas dispépticos en estudiantes de medicina
Authors: Mejia Christian R. , Cruz Brigith , Vargas Mariela , Verastegui Diaz Luz Araseli
Published: September 2021

Introducción: los estudiantes universitarios muchas veces realizan su alimentación en comederos ambulantes, lo que puede ser causa de sintomatología digestiva, pero esto no se ha evidenciado en estudios en dicha población.

Objetivo: determinar si el consumo de alimentos en comederos ambulantes está asociado con síntomas dispépticos en los estudiantes de medicina peruanos.

Material y métodos: se realizó un estudio multicéntrico de datos secundarios, del encuestado de 1797 estudiantes de medicina en ocho facultades de medicina, se calculó una potencia estadística del 93 %. El padecimiento de síntomas dispépticos se asoció con el antecedente de consumo de alimentos en comederos ambulantes. Se obtuvo estadísticas de asociación con modelos bivariados y multivariados.

Resultados: El rango de dispepsia funcional varió entre el 9 % y el 28 % y el de consumo de alimentos en comederos ambulantes, entre 1 % y 5 %. En el análisis multivariado, consumir alimentos en comederos ambulantes era un factor asociado con la mayor frecuencia de padecer dispepsia funcional (razón de prevalencia ajustada [RPa]: 1,45; intervalo de confianza [IC] 95 %: 1,09-1,94; p = 0,010); además, otras variables que resultaron significativas fueron el sexo femenino (RPa: 1,40; IC 95 %: 1,15-1,71; p = 0,001) y los que comían en horarios similares (RPa: 0,76; IC 95 %: 0,61-0,94; p = 0,012), ajustadas por la edad y el semestre académico que cursaban.

Conclusiones: Los estudiantes que consumían sus alimentos en comederos ambulantes tenían mayor frecuencia de padecer síntomas dispépticos, esto debe ser vigilado por las autoridades sanitarias y universitarias, ya que puede generar repercusiones a corto y largo plazo.
Migración de la malla a la unión gastroesofágica: una complicación infrecuente de la reparación de una hernia hiatal gigante
Authors: Salazar García Andrés Felipe , Cuevas López Liliana , Metke Jimenez Ricardo
Published: September 2021

El reparo de la hernia hiatal es un tema de debate debido a las posibles complicaciones asociadas que han cambiado a través de los años. En la literatura se reportan complicaciones asociadas al procedimiento hasta en un 30 % de los casos. Las complicaciones diferentes a la recurrencia y a largo plazo son infrecuentes, reportadas en menos del 9 % de los casos. La inclusión de la malla protésica en el esófago es una rara complicación y solo se han reportado pocos casos sobre esta. Entre los factores asociados a este desenlace se encuentran descritos: el material protésico, la técnica quirúrgica y la tensión de la malla sobre el tejido intervenido; sin embargo, es difícil establecer asociaciones directas de cada factor dado que la literatura actual solo cuenta con reportes de casos.

A continuación, se muestra el caso clínico de un paciente, quien, después de una reparación de hernia hiatal con malla, presenta la inclusión de material protésico en el esófago; se aborda el diagnóstico y el manejo de la misma.
Effects of Metabolic Factors, Race-Ethnicity, and Sex on the Development of Nephropathy in Adolescents and Young Adults With Type 2 Diabetes: Results From the TODAY Study
Authors: Bjornstad Petter , ghormli Laure El , Hughan Kara S. , Laffel Lori M. , Nadeau Kristen J. , Rayas Maria , Tesfaldet Bereket , Tollefsen Sherida E. , Willi Steven M. , Lynch Jane , Group The TODAY Study
Published: September 2021

Objective: To describe the
longitudinal effects of sex, race-ethnicity, and metabolic factors on the risk
of developing diabetic kidney disease (DKD) in the Treatment Options for Type 2
Diabetes in Adolescents and Youth (TODAY) cohort.

ResearchDesignandMethods: Urine albumin-to-creatinine ratio (UACR) and
estimated glomerular filtration rate (eGFR) by serum creatinine and cystatin C
were assessed annually for up to 15 years after study entry. Markers of DKD
included micro- and macroalbuminuria (UACR ≥30 mg/g and ≥300 mg/g,
respectively), hyperfiltration (eGFR ≥135 ml/min/1.73m2), and rapid eGFR annual
decline (>3 ml/min/1.73m2, and/or ≥3.3%). The relationships between risk
factors and DKD were evaluated longitudinally using time-to-event models.

Results: Data were available on 677 participants, average age at baseline 14
years, with a mean follow-up of 10.2 ± 4.5 years. Each 1% increment in HbA1c
conferred higher risk of microalbuminuria (HR: 1.24, 95% CI [1.18, 1.30]),
macroalbuminuria (1.22, [1.11, 1.34]), hyperfiltration (1.11, [1.05, 1.17]),
and rapid eGFR decline (1.12, [1.04, 1.20]). Higher SBP and baseline serum uric
acid, and lower indices of β-cell function (C-peptide index and oral
disposition index [oDI]), increased the risk of microalbuminuria, while higher
triglycerides increased risk of micro- and macroalbuminuria. Lower oDI levels,
female sex, and Hispanic ethnicity were associated with higher risk of
hyperfiltration.

Conclusions: Elevated HbA1c was a shared risk factor among all phenotypes of
DKD in this longitudinal cohort of adolescents and young adults with
youth-onset type 2 diabetes. Other risk factors included elevated blood
pressure, triglycerides, serum uric acid and β-cell dysfunction.
Development and Progression of Diabetic Retinopathy in Adolescents and Young Adults With Type 2 Diabetes: Results From the TODAY Study
Authors: Gubitosi-Klug Rose , Libman Ingrid , Drews Kimberly L. , Uschner Diane , Blodi Barbara A. , Laffel Lori , Levitsky Lynne L. , Mititelu Mihai , Willi Steven M. , White Neil H. , Zeitler Phil
Published: September 2021

Objective:
The Treatment Options for type 2 Diabetes in Adolescents and Youth (TODAY)
trial reported a 13.9% prevalence of diabetic retinopathy (DR) in youth with an
average 4.9 ± 1.5 years of type 2 diabetes duration.
After seven years of additional follow up, we report the risk factors for
progression of DR in the TODAY cohort.

Research
Design and Methods: Retinal photographs (n = 517) were
obtained in 2010-2011 and again in 2017-18 (n = 420) with seven
standard stereoscopic field digital fundus photography. Photographs were
graded centrally using the Early Treatment Diabetic Retinopathy Study (ETDRS)
scale. Three hundred sixty-seven patients with gradable fundus
photographs in at least one eye at both assessments were included in analyses
of progression of diabetic retinopathy, defined as an increase of three or more steps on the ETDRS
scale.

Results:
With mean age of 25.4 ± 2.5 years and diabetes duration of 12.0 ± 1.5 years, participants
had a 49% prevalence of any diabetic retinopathy. Prevalence by DR stage
included: 39% very mild or mild non-proliferative diabetic retinopathy (NPDR);
6% moderate to severe NPDR; and 3.8% proliferative diabetic retinopathy. Compared
with non-progressors, participants who progressed three or more steps had significantly
lower BMI, higher HbA1c, higher blood pressure, increased triglycerides,
decreased C-peptide, and higher prevalence of other comorbidities. Multivariate
analysis demonstrated that HbA1c was the dominant factor impacting DR
progression.

Conclusions:
Poor glycemic control of youth-onset type 2 diabetes imparts a high risk for progression
of DR, including advanced, sight-threatening disease by young adulthood.
Covid-19 Sürecinde Mevcut Hastanelerde Mekanik Sistemlerinde Alınması Gereken Önlemler Ve Tecrübeler
Authors: YİLMAZOGLU Zeki , DEMİRCAN Ahmet
Published: September 2021

SARS-CoV-2 (Covid-19) pandemisi hız kesmeden devam etmekte ve her geçen gün artan vaka sayıları ile karşılaşmaktayız. Bu süreçte bulaş riskinin kapalı alanlarda olması özellikle bu alanlardaki iklimlendirme sistemlerine dikkat çekmiştir. Mevcut durumda virüse karşı elimizdeki en iyi silahlar maske, fiziksel mesafe ve hijyendir. Ancak, kapalı alanlarda havalandırma ve iklimlendirme sistemleri ile bulaş riskinin azaltılması söz konusudur. Virüsün boyutları dikkate alındığında filtrasyon ve de UV-C lambaların kullanımı ve kapalı alandaki taze hava debisinin artırılması virüsün bulaş riskini oldukça azalttığını göstermiştir. Hastaneler, doğası gereği virüs yükünün en yoğun olduğu binalardır. Her ne kadar hastane içindeki mahallerin merkezi bir iklimlendirme sistemi olsa da bu süreçte bazı tedbirlerin alınması ve pandemi senaryoları düşünülmeden tasarlanmış olan bu cihazların da bulaş riskini minimize edecek biçimde çalıştırılması gerekmektedir. Özellikle negatif basınçlı odalar için geçici çözümler, yoğun bakımlarda basınçlandırmanın nasıl sağlanabileceği, klima santrallerinde alınabilecek önlemler, tesisat sisteminde dikkat edilmesi gereken konular vb. birçok önlem bu çalışmada ele alınmıştır. Ek olarak, pandemi senaryosuna göre çalıştırılması düşünülen bir yoğun bakım ünitesinde egzoz menfezinin gerektiğinde hastanın başının arkasına nasıl alınabileceği ile ilgili tasarım detayları da ele alınmıştır. Kapalı bir alanda Covid-19 enfeksiyon riski hesaplama aracının örnekler ile gösterimi de verilmiştir. UV-C sistemlerin uygulanmasında dikkat edilmesi gereken hususlar belirtilmiştir.
Improving Student Learning Outcomes Through Physics Learning Media Using Macromedia Flash
Authors: Amelia Rini , Salamah Ummi , Abrar M , Desnita Desnita , Usmeldi Usmeldi
Published: September 2021

In the process of learning physics, teachers can still not develop ICT-based learning media using Macromedia flash software that is effective and efficient. It is necessary to analyze articles from the results of previous studies to understand the right media for learning physics. This research was conducted to know what types of research have been carried out in the development of physics learning media using Macromedia flash software and to analyze the effect size of the influence of physics learning media using Macromedia flash software in terms of student learning outcomes based on education level, type of media developed and learning materials. The type of research used is a meta-analysis study. The subjects of this research are 21 articles on the development of physics learning media using Macromedia flash software in terms of student learning outcomes that have been tested in class published in 2011-2020. The data used in this study is a quantitative analysis by calculating the effect size using statistical parameters. The result of the research is that the best effectiveness of physics learning media using Macromedia flash software in terms of student learning outcomes based on education level is in Higher Education. The best effectiveness of the media in terms of student learning outcomes based on the type of media developed is multimedia. The best effectiveness of physics learning media in student learning outcomes based on learning materials is on motion material. It can be concluded that Multimedia that uses Macromedia flash software is a medium that can help students in learning.
Hacia una evaluación docente universitaria por competencias
Authors: Sapién Aguilar Alma Lilia , Piñón Howlet Laura Cristina , Aguirre Espino Silvia Patricia , Molina Corral Luis Antonio
Published: September 2021

La evaluación de competencias docentes es un proceso necesario para mejorar la calidad educativa de nivel superior. El objetivo de la presente investigación fue analizar las competencias docentes de la plantilla de profesores de la Facultad de Contaduría y Administración (FCA) de la Universidad Autónoma de Chihuahua (UACH). La investigación fue de naturaleza cuantitativa; el diseño fue no experimental, transeccional descriptivo, y el muestreo fue probabilístico. Para ello, además, se realizaron consultas bibliográficas e investigación de campo. Así, con una muestra de 230 docentes, se describió y analizó la situación actual de las competencias docentes en la FCA. Los principales resultados señalan la necesidad de implementar programas de capacitación adecuados a los docentes, ya que se cuenta con áreas de oportunidad que se deben fortalecer, así como tomar en cuenta la influencia que ejercen la edad y la situación laboral de los docentes.
CT Score as a Mainstay of Tocilizumab Treatment in COVID-19
Authors: Terkes Vedrana , Tolic Anela , Morovic Miro
Published: September 2021

Background: After one year of numerous clinical trials, the position of tocilizumab in the treatment of COVOD-19 patients is not yet stable. Methods: In this small prospective observational study, we recruited patients with severe and critical COVID-19 with a rapid deterioration of their clinical status. Demographic, clinical, CT findings and laboratory data were collected prior to the decision to administer tocilizmab. Results: 33 patients were included between March 2020 and February 2021 11 (33.3%) of patients died, with the median of 22.5 (9-35) days (p<0.05). Compared with the survivors, the patients who died were significantly older, with the mean age of 72.5 years vs 61.3 years, respectively. Also, the mean CT scores in the patients who died were significantly higher than in the survivors, with the mean value of 22.7 vs 17.3 (p<0.05). In addition, there was also a difference in the mean values of inflammatory parameters, which were generally higher in non-survivors. Conclusion: In this small exploratory analysis of 33 patients with severe or critical COVID-19, treated with tocilizumab we did not obtain neither a significant reduction of ICU admission neither of mortality. The high CT grade of lung damage has shown to be the only independent prognostic factor of clinical outcome, regardless of administration time or criteria of tocilizumab use.
Prevalence of Low Back Pain and its Impact on Quality of Life among Taif University Students
Authors: Ahmad Ayman Abdelbaky , Althobaiti Turki Abdulmuin , Alsofiany Mohammed Saleem , Altowairqi Moayad Abed , Aljuaid Omar Eid , Althobaiti Muhammad Abdullah , Alamri Faris Mohammed
Published: September 2021

Background: Lower back pain (LBP) is associated with increased pain intensity, physical and psychological disability, and increased dependence on pain medications causing adverse effects on the day-to-day quality of life (QOL). The study aimed to assess the prevalence of LBP among Taif University students and its impact on quality of life. Methods: A pretested self-administered questionnaire was distributed randomly and electronically to all students who gave consent to participated. The questionnaire was be divided into three parts. The first part included demographic details; the second part assessed the prevalence of Low back pain and associated data that was recorded using the LBP section of Standardized Nordic Musculoskeletal Questionnaire (SNMA); the third part consisted of the RAND 36-Item Short-Form Health Survey (SF-36) for assessing the quality of life. Result: In our study majority of the participants were females (87.3%), and 55.3% belonged to the 20-25 years age group. The fixed orthodontic related history showed 59.8% had undergone the treatment for 1 to 3 years and 31.6% of the participants reported that they had removed the fixed braces for more than five years. Among these participants, 89.5% (n=34) reported that the fascia (space) closed between the upper frontal teeth after Frenectomy, and 65.8% (n=25) agreed that spaced between the two upper front teeth still closed after removing the retainer. Conclusion: The lifetime prevalence, annual prevalence, and point prevalence of LBP were found to be 57.9%, 73.1%, and 47.1%, respectively. The point prevalence was statistically higher among female students than male students (p=0.003). There were statistically significant differences seen in lifetime and point prevalence of LBP between different colleges. A linear regression model showed that the annual prevalence of LBP had a significant impact on the students' quality of life.
TÉCNICA DE INYECCIÓN-CORROSIÓN DE PIEZAS ANATÓMICA CON CAUCHO DE SILICONA LÍQUIDA.
Authors: Cuevas Ribera Aylin , Saucedo Saldaña R. Ruth , Livino de Alencar Denismar , Veizaga Córdova Maria Julia
Published: September 2021

Introducción: La preocupación con el estado de conservación de las piezas anatómicas ha sido un tema de mucha apreciación, desde el siglo XVI aparece con fines didácticos y académicos. La procura por encontrar métodos que ayuden a la conservación, preservación y visualización de los órganos se basa en tres pilares que se encargan de mantener al órgano semejante a un órgano fresco: fijación, conservación y preservación. Objetivo: Demonstrar que la inyección – corrosión con caucho de silicona líquida es menos nociva y cumple con la función de conservar, preservar y visualizar las piezas anatómicas. Métodos: Se trata un estudio experimental de característica explorativa y descriptiva. Realizado en la Universidad Cristiana de Bolivia en septiembre de 2018 con una muestra no probabilística de 120 órganos de scrofa. Se utilizó un polímero de la familia “Q” para construcción de las piezas anatómicas. Resultados: obtuvimos una nueva técnica de inyección corrosión ya que utilizamos una familia especifica de los polímeros que no se había aplicado antes, la cual nos permitió llegar a la visualización de la angioarquitecturas de los diferentes órganos jamás vistos en piezas anatómicas.Conclusión: que la técnica creada contribuye para el estudio de piezas anatómicas con menor toxicidad, función ecológica, capaz de contribuir y aumentar el interés de los alumnos por el aprendizaje en remodelación vascular de las piezas anatómicas.
Vasectomía como estrategia de planificación familiar: La percepción de estudiantes de medicina Colombianos.
Authors: Blanco Betancur Mariana
Published: September 2021

Introducción: La planificación familiar es un componente fundamental del cuidado de la salud sexual y reproductiva. Actualmente, se disponen diferentes métodos anticonceptivos para mujeres y hombres, la vasectomía es uno seguro, eficaz y permanente. Es de interés para la salud pública el conocer los aspectos asociados a los diferentes métodos de planificación, lo cual evidencia la relevancia de describir la percepción de jóvenes estudiantes de medicina de las diferentes universidades del país, sobre el papel de la vasectomía como método de planificación.

Objetivo: Describir la percepción de los estudiantes de medicina de las diferentes universidades del país, sobre el papel de la vasectomía como estrategia de planificación familiar.

Materiales y métodos: Estudio descriptivo de corte transversal. Se incluyeron estudiantes de Medicina de diferentes departamentos de Colombia, quienes resolvieron un cuestionario diseñado por los investigadores. Los análisis estadísticos se realizaron en el paquete estadístico STATA.

Resultados: Se incluyeron 217 participantes de 13 departamentos Colombianos. El 51,61% fue de sexo femenino. La edad media fue de 20,86 años. El 68,20% se encontraban solteros. El 90,78% usa algún método de planificación. 46,19% planifica con métodos hormonales femeninos, 38,58% con condón. Sólo 3,81% de la población masculina incluida en el estudio se ha realizado vasectomía. El 69,52% afirmó que consideraría realizarse una vasectomía.

Conclusiones: Se evidencia un profundo desconocimiento sobre la vasectomía como método de planificación masculina.
Interventions To Decrease Hospital Length of Stay
Authors: Tipton Kelley , Leas Brian F. , Mull Nikhil K. , Siddique Shazia M. , Greysen S. Ryan , Lane-Fall Meghan B. , Tsou Amy Y.
Published: September 2021

Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.
Advokasi Pembentukan Forum Anak Nagari
Authors: Wahyuni Nila , Helmi Rahmadhona Fitri , Akmal Artha Dini
Published: September 2021

Salah satu hak anak yang jarang terpenuhi adalah hak untuk berpartisipasi. Anak tidak hanya dilibatkan dalam proses pengambilan keputusan dalam keluarga tetapi juga harus berperan aktif dalam aspek pembanunan. Forum anak merupakan jembatan komunikasi antara anak dan pemerintah untuk berpartisipasi dalam pembangunan Nagari Layak Anak. Nagari Tabek dan Nagari Sawah Tangah di Kecamatan Pariangan, Kabupaten Tanah Datar, mitra pengabdian kami masih belum memiliki forum anak. Hal ini disebabkan beberapa hal: 1) tidak semua anak memahami fungsi dan perannya dalam pembangunan nagari; 2) anak kurang percaya diri dalam menyuarakan aspirasinya; 3) pemangku kepentingan belum menjadikan partisipasi anak sebagai hal yang penting dalam kebijakan pemerintahan nagari. Tujuan dari kegiatan pengabdian ini adalah untuk menyuarakan kepentingan Pengarusutamaan Hak Anak (PUHA) dan menginiasasi lahirnya forum anak nagari. Kegiatan ini dilakukan dengan menggunakan metode pelatihan partisipatif dan kolaboratif. Hasil kegiatan pengabdian menunjukkan bahwa, adanya peningkatan pemahaman stakeholders tentang Pengarusutamaan Hak Anak dan peran forum anak, peningkatan kemampuan anak berbicara di depan umum dalam menyuarakan aspirasi dan kepentingannya, terbentuk komitmen antar stakeholders dengan menginisiasi pembentukan forum anak nagari.
Upaya Sekuritisasi Pemerintah Bangladesh Terhadap Keberadaan Pengungsi Rohingya
Authors: Pertiwi Yuliana Indra
Published: September 2021

The prolong existence of Rohingya Refugees in Bangladesh had caused several problems and threatened its national security and people of Bangladesh. Bangladesh Government as securitizing actor take securitization act to protect its national security and people of Bangladesh based on policies made. This research use securitization theory or Copenhagen School to enlightened Bangladesh Government actions to securitize its national security and people of Bangladesh upon the problem caused by the existence of Rohingya refugees in Bangladesh. This research uses qualitative methods with books and journal articles related as data sources. The result of this research shows Bangladesh government actions to securitize its national security and people of Bangladesh based on its policies is the best way for both parties to repress the broadening of existing problem.
Ukrainian sculpture of the 20th century: main ideological and plastic transformations
Authors: Odrekhivskyi Volodymyr , Odrekhivskyi Vasyl , Odrekhivskyi Roman
Published: September 2021

In this article we attempt at demonstrating the inseparability of Ukrainian sculpture from global culture creating process despite cultural and political isolation as a component republic of the Soviet Union for over 70 years of the 20th century. There is a considerable difference in the character of creativity of Ukrainian sculptors, who lived and worked within the borders of the Soviet Union, and those, who migrated to Western Europe or America and had an opportunity to freely experiment with shape and ideas. In this article, particular attention is dedicated to those personalities that have made the most significant ideological and plastic transformations in the 20th-century sculpture with respect to the previous epochs, i.e., to the sculpture of avant-garde and modernism. The last decade of the 20th century was marked by the end of the Soviet-era cultural isolation from the democratic world, when a powerful stream of information penetrated the artistic arena of already independent and open Ukraine, and simultaneously the examples of various conceptual trends and styles appeared – from pop art and installation to performance art, which influenced the development of sculpture.
THE EFFECT OF TECHNOLOGICAL AND BEHAVIORAL ON THE ADOPTION OF THE SHOPEEPAY MOBILE PAYMENT
Authors: Novika Fitri , Halim Renofia Desia , Setyawan Antonius Budhiman
Published: September 2021

This study aims to examine the effect of technological and behavioral attributes on the adoption attributes of the ShopeePay mobile payment application in Indonesia. The application is known as financial technology (fintech), which combines information technology and financial systems. The approach used in this research is a quantitative approach that was processed using SPSS and AMOS. Data collection in this research was done by distributing online questionnaires using a google form to ShopeePay users who used the application in the past month. The results of this study indicate that behavioral intention and social influence variables have an effect on actual use, perceived usefulness and perceived ease of use have an effect on behavioral intention, perceived ease of use and responsiveness have a positive effect on perceived usefulness, and responsiveness and security variables have a positive effect on perceived ease of use, also has a positive effect on social influence.
Bonus Payments within the New Zealand Financial Services Sector
Authors: Easton Paul , Brougham David
Published: September 2021

Some major corporate scandals have shown that bonuses have been put above basic client needs. As a result, organisations within the financial services sector have been advised to move away from paying bonuses. However, bonus payments are an expected part of the current remuneration package in this sector, which poses an interesting challenge for the employment relationship between employees and organisations. The present study gained employee insights into their bonuses by looking at performance and other factors. Qualitative interviews were undertaken within the financial services sector. Alternatives for bonuses and implications are discussed to manage remuneration and the employer/employee relationship.
How good are jobs in New Zealand?
Authors: Amankwah Majoreen , Boxall Peter , Huo Meng-Long
Published: September 2021

Based on an analysis of the New Zealand data in the Work Orientation module of the International Social Survey Programme (ISSP) across three rounds (1997, 2005 and 2015), this paper examines how workers in New Zealand perceive their job quality. These surveys imply that New Zealanders have relatively good jobs, as shown in healthy levels of job quality and job satisfaction. They rate highly the quality of their collegial relationships at work and typically perceive the intrinsic quality of their job as better than the extrinsic quality. A key issue in relation to the latter is that they generally do not rate their advancement opportunities as high. While men, full-timers and graduates have some advantages over women, part-timers and non-graduates in extrinsic job quality, the intrinsic quality of work is more evenly experienced. In terms of intrinsic issues, the rising level of stress from 2005 to 2015 poses a concern and there is no evidence that graduates enjoy any kind of premium in the intrinsic quality of work apart from a lower level of hard physical effort.
Experimental Study of Ways to Improve the Efficiency of Pulsed Flaw Detection Technology for Condition Monitoring of High Voltage Transformer Windings
Authors:   Krylov State Scientific Center, LAVRINOVICH Valeriy A. , LAVRINOVICH Alexey V. ,   Tomsk Research and Design Institute of Oil and Gas, MYTNIKOV Alexey V. ,   National Research Tomsk Polytechnic University
Published: September 2021

The energy efficiency and reliability of electric power systems depends in many respects on the condition of high-voltage transformer equipment. Defective condition of one transformer unit is often the cause of a sudden emergency stoppage of the entire technological chain of an integral production process. To prevent such situations, an efficient technology for monitoring the condition of transformer windings is necessary. Standard methods show poor efficiency in detection of winding defects at their early development stages. An approach to a winding defect diagnosing methodology based on the use of a nanosecond probing pulse with a steep front is proposed. It is shown that by probing the windings with a pulse of 100 ns duration and a front of about 20 ns it is possible to reveal both mechanical and electrical defects. Experiments performed on a power transformer physical model have shown that the proposed method has the necessary sensitivity to minor changes in capacitive elements caused by defects at their initial development stage. It has been established that the nanosecond pulse method sensitivity increases significantly with decreasing the probing pulse duration and increasing its front steepness.
How do the officials sleep? The assessment of sleep of the public administration workers using objective and subjective methods
Authors: Lau Karolina , Zembala-John Joanna , Jośko-Ochojska Jadwiga , Biernacki Krzysztof , Świętochowska Elżbieta
Published: September 2021

Sleep impacts our functioning, both on a physical and mental level. This study aimed to assess the officials’ sleep using objective (actigraphic examination) and subjective evalutation methods (self-administered questionnaire and sleep diary).

The analysis revealed that among the officials, sleep deprivation was common. The average actual sleep time in this group was 1-hour shorter than recommended. Officials holding managerial positions more frequently presented worse sleep outcomes affecting their sleep efficiency than lower-level office workers. Workplace stress was associated with reduced sleeping hours and household stress with more frequent night waking.
Students’ perceptions with different CEFR levels on foreign teachers using L1 in EFL instruction
Authors: Anggoro Kiki Juli , Nguyen Ahn Nguyet
Published: September 2021

The demand for foreign teachers of English as a Foreign Language (EFL) has been high in non-English speaking countries, including Thailand. As foreigners have resided in the country for several years, they picked up students’ first language (L1) competence. Several foreign teachers, to some extent, utilized this mastery of L1 to assist the English instruction. This research aimed to explore how students with different Common European Framework of Reference for Languages (CEFR) levels perceive foreign English teachers’ use of L1. Three hundred twenty students from Walailak University participated in the survey. A quantitative survey and qualitative interview were used to collect data. Descriptive and inferential statistics were performed to analyze quantitative data, while content analysis was administered to investigate the qualitative data. The quantitative findings revealed a significant difference in students’ perceptions, Welch’s F(2,68.42)=11.304, p .05. The qualitative findings exposed that students in level A1 had significantly different perceptions compared to those in levels A2 and B1. Students who supported L1 integration disclosed that it ameliorated communication, enhanced learning motivation, and improved academic achievement. Additionally, students who opposed L1 expressed that English’s full usage developed their learning motivation and academic accomplishment.
Synchronous web-based collaborative writing: Attitudes of learners toward working in pairs and small groups
Authors: Ubaldo Emil Fermin
Published: September 2021

This study explored learners’ attitudes toward collaborative writing in pairs and small groups (fours and sixes) in a synchronous web-based environment. Sophomore pre-service teachers in one intact class in the Philippines (n=31) completed the same collaborative writing tasks using Google Docs. In three separate out-of-class sessions, they first worked in pairs, and then they were assigned to either groups of four or groups of six in the succeeding two sessions. After completing the tasks, they were asked to complete a post-task questionnaire. The learners had an overall positive attitude toward peer collaborative writing in a web-based synchronous environment as it helps them to develop the content better, find appropriate vocabulary, and improve the grammatical and mechanical accuracy of the texts they produced. Students highly appreciated working in pairs and groups of four. In pairs, they felt that it is easier to manage text-chat deliberation, resolve concerns, and attend to each other’s suggestions. In groups of four, they acknowledged the increase of peer resources for knowledge sharing and in ensuring the accuracy of their language use. Hence, the majority complained that a group of six is not that conducive in a real-time text-chat environment. When asked about their preference, most students would prefer to work in a similar task and environment in pairs. These findings on learners’ attitudes toward collaborative writing concur with the previous literature in face-to-face educational settings and open new insights on synchronous web-based collaborative writing via text-chat.
Problematisierung des Fremden in der direkten Demokratie (E-Book)
Authors: Eisenegger Mark , Oetiker Sibylle , Schranz Mario
Published: September 2021

Ausländer und ethnische Minderheiten werden in der öffentlichen Kommunikation der Schweiz immer wieder zum Problem gemacht. Diese Vertiefungsstudie analysiert u.a. die Qualität der Medienberichterstattung zu den beiden Vorlagen Minarett- und Ausschaffungsinitiative. Folgende Fragen werden beantwortet: Qualitätsaspekte: Wie gehen die Medien mit politischen Kampagnen um? Wie stark ist die Berichterstattung durch die Kampagnenstrategien von politischen Akteuren mit grossen Ressourcen geprägt? Zeigt sich ein sogenannter Horse-Race-Journalismus? Zu welchen Anteilen liefern die analysierten Medien Hintergrundinformationen zu den beiden Sachvorlagen und ordnen diese damit in einen breiteren Kontext ein? Langzeitvergleich: Was sind Gründe dafür, dass die Problematisierung des Fremden auf starke Resonanz in den Medien stösst? Welche Entwicklungen zeigen sich seit den 1960er Jahren? Hauptbefunde: Defizite in der Qualität der Berichterstattung zeigen sich in erster Linie bei den Gratiszeitungen und dem Magazin Weltwoche. Der Horse-Race-Journalismus der Gratispresse und partiell auch der Boulevardpresse sorgt dafür, dass ein Konflikt zwischen der SVP und den (betroffenen) Minderheiten sowie nicht etablierten Akteuren konstruiert und dramatisiert wird. Diese Studie ist – neben weiteren Vertiefungsanalysen – bereits im Jahrbuch 2011 Qualität der Medien publiziert worden (fög – Forschungsbereich Öffentlichkeit und Gesellschaft / Universität Zürich [Hg.]: Jahrbuch 2011 Qualität der Medien. Schweiz – Suisse – Svizzera. Basel: Schwabe, S. 377–407).
Schopenhauer on the Metaphysics of the Unconscious
Authors: Jacquette Dale
Published: September 2021

Schopenhauer’s metaphysics of the unconscious in its relation to consciousness is contrasted with later psychoanalytic concepts of individual and collective unconscious influences on conscious thought, causally affecting behavior and the physical expression of cognitive and emotional states. Schopenhauer seals off consciousness from penetration by unconscious elements, while Freud and Jung consider the possibility of unconscious desires, fears, hopes, and the like surfacing perhaps therapeutically into a subject’s awareness. The similarities and differences between Schopenhauer’s metaphysics and Freud’s and Jung’s assumptions about the relation between consciousness and the unconscious are critically considered. Schopenhauer’s metaphysics of the unconscious conditions but denies the logical possibility of unconscious elements emerging from behind the curtain into consciousness. Freud and Jung in the psychoanalytic tradition are theoretically committed on the contrary to the causal possibility of an unconscious element emerging with its identity intact into an individual conscious thinker’s subjective streaming moments of consciousness.
Nietzschean Meditations - Untimely Thoughts at the Dawn of the Transhuman Era
Authors: Fuller Steve
Published: September 2021

Nietzschean Meditations takes its inspiration from the version of Nietzsche that was popular before the Second World War, which stressed the ‘Zarathustrian’ elements of his thought as the harbinger of a new sort of being – the Übermensch. The book updates the image of this creature to present a version of ‘transhumanism’ that breaks with the more precautionary and pessimistic approaches of humanity’s future in contemporary ‘posthumanist’ thought. Fuller follows Nietzsche in discussing deeply and frankly the challenging issues that aspiring transhumanists face. They include their philosophical and especially theological roots, the implications of transhumanism for matters of life and death, and whether any traces of classical humanity will remain in the ‘transhuman’ being.
Berufung zum Engagement? - Die Genossenschafterin und religiöse Sozialistin Dora Staudinger (1886–1964)
Authors: Ammann Ruth
Published: September 2021

Dora Staudinger war im Zürich der 1910er- und 1920er-Jahre eine bekannte Frau: Die Feministin und Sozialistin gestaltete die Politik der Allgemeinen Baugenossenschaft (ABZ), war im Lebensmittelverein und in der Schweizerischen Frauen- und Friedensbewegung aktiv. Sie war eine Pionierin in der Erwachsenenbildung, Teil des religiös-sozialen Settlements «Gartenhof» und Expertin für kommunale Wohnbaupolitik. Als Fürsorgerin stellte sie sich Kindswegnahmen und Zwangssterilisationen entgegen.
Die Biografie beleuchtet erstmals Arbeit und Wirken der bisher wenig beachteten Genossenschafterin und religiösen Sozialistin. Sie beschreibt die politischen und privaten Auseinandersetzungen rund um das öffentliche Engagement von Frauen und offenbart ein heute kaum mehr bekanntes weibliches politisches Selbstverständnis, in dem sich Religiosität und Mutterschaft nicht als Hemmschuh erweisen, sondern als Antrieb für linkes politisches Handeln.
Kooperation, Konfrontation, Disruption - Frühneuzeitliche Herrschaft in der alten Eidgenossenschaft vor und während des Leventiner Protestes von 1754/55
Authors: Polli-Schönborn Marco
Published: September 2021

Dieses Buch untersucht soziale und wirtschaftliche Kohäsionskräfte des langlebigen frühneuzeitlichen Herrschaftssystems in der alten Eidgenossenschaft. Es zeigt, wie ein gesteigertes Souveränitätsbewusstsein der Landesherren dieses Verhältnis im 18. Jahrhundert zunehmend störte. Von den zahlreichen Protestbewegungen, welche auf diese Entwicklung folgten, war der Leventiner Protest von 1754/55 als Konfrontation zwischen der Nord- und der Südschweiz einzigartig. Die vielschichtigen Ursachen dieses Protestes sowie dessen Verlauf und Folgen werden auf Basis lokaler Quellen von beiden Seiten des Gotthard detailgenau und präzise analysiert. Der Autor arbeitet die Geschichte des Leventiner Protestes im Kontext der Widerstandsbewegungen der Alpensüdseite neu auf und macht sie auch einer deutschsprachigen Leserschaft zugänglich.