bluuebunny/crossref_metadata_2025 huggingface dataset:
Pneumothorax and subcutaneous emphysema in post COVID-19 patients in intensive care settings in a tertiary centre of North India: A retrospective study
Authors: Sharma Anita , Rana Shelly , Sharma Nandini
Published: August 2022

COVID-19 pandemic has been the major cause of mortality around the globe due to highly infectious nature of the virus and its tendency to cause serious manifestations like pneumonia, acute respiratory distress syndrome (ARDS) and ultimately respiratory failure. The incidence of patients developing pneumothorax and subcutaneous emphysema are also on the rise which has further increased the mortality. We conducted a retrospective analysis of COVID-19 patients who turned RT-PCR negative but still required intensive care, to see the incidence of pneumothorax and subcutaneous emphysema in ventilated as well as non-ventilated patients.

: The data was collected from the hospital patient records between October 1, 2020 and May 31, 2021. The hospital medical records were used to furnish the various demographic, clinical and treatment details.

: Out of 102 patients received in intensive care unit (ICU) during the study period, 9 developed pneumo-thorax and 4 of them also developed subcutaneous emphysema. 7 patients were male and 2 were female with median age of 52 years. Right sided pneumothorax was found in 7 patients while left lung was involved in 2 patients. Lab investigations of all these patients revealed raised inflammatory markers. Diagnosis was confirmed by clinical findings and chest X-ray findings. 7 patients had associated comorbidities like diabetes, hypertension etc.

The occurrence of pneumothorax and subcutaneous emphysema in COVID-19 patients indicate the severity of the illness. Other factors like raised inflammatory markers, male gender, associated co-morbidities like diabetes, hypertension and old age have also been linked with increased incidence of pneumothorax and subcutaneous emphysema.
A comparative study of hemodynamic stability through intraoperative fluid administration guided by stroke volume variation assessment versus conventional parameters in terms of inferior vena cava diameter and collapsibility index during spine surgery
Authors: Ghosh Soumik , Mukhopadhyay Salini
Published: August 2022

Stroke volume variation (SVV) is a naturally occurring phenomenon, often used by anesthesiologists for hemodynamic response to intra-operative fluid administration. In a mechanically ventilated patient under general anesthesia, the arterial pulse pressure rises during inspiration and falls during expiration due to changes in intra-thoracic pressure secondary to positive pressure ventilation.

: In this open labelled, parallel group, randomized controlled trial, we investigated the role of using SVV as a marker for optimal intra-operative fluid therapy versus the conventional parameters of hemodynamic monitoring i.e., blood pressure, pulse rate and urine output in patients undergoing major spinal surgery in prone position. It was a single centre study and each group consisted of 35 patients in the age group of 18 – 50 years having ASA grade I status and without any previous comorbidities. SVV was maintained between 10 to 13% and Non-Invasive Blood Pressure (NIBP) and pulse rate maintained within 20% of baseline pre-induction values. Ringer’s lactate solution was chosen as fluid therapy in both groups.

: The study showed that the total amount of fluid infused to either group had no statistically significant difference; however, the change in Inferior vena cava maximum diameter (IVCmax) in patients of the SVV monitored group was significantly lower than the conventional arm, for a given amount of fluid in either group. (Levene’s test for equality of variance F = 45.46, test statistics for equality of means t = 3.86; p = 0.001) Moreover, those patients who were maintained on lower margin of SVV range had a remarkable decrease of collapsibility index of IVC compared to pre-operative values. (Spearman’s rank correlation r = 0.533; p = 0.001)

Thus, SVV proves to be a surrogate marker of administering intravenous fluid per-operatively maintaining euvolemic status as reflected by subsequent IVC collapsibility index (CI) values obtained in patients undergoing spinal surgery.
A randomised comparative study of desflurane and sevoflurane with esmolol to evaluate hemodynamic parameters and recovery characteristics in middle ear surgery
Authors: Arivazhagan J K  , Engineer Smita R
Published: August 2022

To produce a blood less field for middle ear surgery performed with operating microscope, controlled hypotention is essential which achieve by means of Inhalational agents and Esmolol.

The goal of the study was to assess the effects of Desflurane and Sevoflurane vs esmolol in terms of creating controlled hypotension, intraoperative blood loss, surgeon satisfaction with the surgical field, and complications.

From December 2019 to July 2021, a prospective, randomised, double-blind trial was undertaken. A total of 100 patients, ranging in age from 18 to 60 years, were recruited and had elective middle ear procedures in the Department of Oto-rhino-laryngology operating theatre. Simple randomization (computer-generated) was used to divide the patients into two groups: Group S and Group D. Inj. Esmolol 0.5 mg/kg was administered as a loading dose, followed by a continuous infusion, and Propofol 2 mg/kg was used to produce anaesthesia. Inj. Vecuronium (0.1mg/kg) was administered to help with laryngoscopy and intubation. Oxygen, Nitrous oxide, Sevoflurane 1-3 percent (Group S) or Desflurane 3-6 percent (Group D) and intermittent InjVecuronium (0.05 mg/kg) were used to maintain anaesthesia. Intraoperative haemodynamics, six-point bleeding score, surgeon satisfaction, and postoperative Aldrete recovery score were all observed. Microsoft Excel was used to input and evaluate the data.

When comparing Group S to Group D, haemodynamic measures were significantly different (p value 0.05). When comparing Group S to Group D, the six-point bleeding score and surgeon satisfaction score were considerably higher in Group S (p value 0.05). Within 5 minutes of surgery, 100% of patients in Group D and 76% of patients in Group S had achieved an aldrete score of 9,10.

In middle ear surgery, sevoflurane produces more controlled hypotension. When compared to the Desflurane group, the sevoflurane group had superior surgical field vision and a higher surgeon satisfaction score. When compared to the Sevoflurane group, the Desflurane group had a superior post-operative Aldrete recovery score.
Early initiation of slow continuous ultrafiltration (SCUF) in a case of pregnancy induced hypertension (PIH) with acute decompensated heart failure (ADHF) refractory to standard medical therapy: A case report
Authors: Chatterjee Ranajit , Gupta Lalit , Lopa Ahsina Jahan , Kulsrestha Vidushi , Gaur Meenakshi
Published: August 2022

Acute pulmonary edema may occur in approximately 3% of women with pre-eclampsia, with 70% of cases occurring after birth. Acute decompensated heart failure (ADHF) patients with refractory edema unresponsive to diuretic therapy may be considered for ultrafiltration. Judicious use of BiPAP with helmet as interface coupled with meticulous hemodynamic monitoring may be a key to successful outcome.
A portable device based on an electrical conductivity sensor for the detection of monosodium glutamate (MSG) in soupy foods
Authors: Yudhana Anton , Septiyani Retnosyari , Mufandi Ilham , Rosyady Phisca Aditya , Husein Muhammad Fahri , Abdullatif Lutfi Ihza Mahendra
Published: August 2022

In everyday life, food is made with various taste images, including the savory taste obtained from monosodium glutamate (MSG). Although it is allowed as a food ingredient, excessive use of MSG and continuous consumption will have adverse effects on health. The effects of consuming MSG excessively on the body's organs include brain, ovarian, testicular, liver, kidney, heart, and respiratory disorders. MSG detection using technology is needed to control the consumption of MSG in the body. Hence, this study was focused on creating a portable device for detecting monosodium glutamate (MSG) in soupy foods: meatball soup and chicken soup. 3 mg of MSG was applied to each solution sample and four MSG brands, including SS, MW, AM, and MR. The concept of this prototype is based on the conductivity value and total dissolved solids (TDS) in the MSG solution. These solutions can produce an electrolyte because there is a sodium salt content in the MSG solution and water. The electrolyte solution can conduct electricity. An electrical conductivity sensor was installed in this prototype and these sensors included two electrode plates, a positive electrode (anode) and a negative electrode (cathode) with a distance of ± 1 cm. The conductivity sensor begins by starting a sensor into an electrolyte solution and, given an electric voltage input, changes to the value of the electric voltage. The sensor can be read and detect the MSG level in the solution. Then, the data are received and recorded in the DRF analog which is to process the signal from the sensor into analog form, and the data is sent to the Arduino Nano as a microcontroller. From the experiment result, the average conductivity value and TDS value of meatball soup are 21.98 mS and 7.91 Mg/I, while the average conductivity value and TDS value of Chicken Soto are 16.92 mS and 6.08 mg/I. This prototype was successfully created and implemented for the MSG detection in soupy foods.
Авангардний модернізм в сакральній архітектурі Центральної Європи
Authors: Гнатюк Лілія Романівна
Published: August 2022

Проаналізовано знакові храми ХХ ст. — храми Фолькера Гіенке (Церква Айгена, 1990–1992, Еннсталь, Австрія), Йозефа Гочара (костел св. Вацлав, 1926–1927, Прага) та Аладара Аркайа (Церква Пресвятого Серця Ісуса, 1932–1933, Будапешт), які згадуються разом як приклади авангардної модерністської сакральної архітектури Центральної Європи. Представлено антропософську теорію архітектури, яка припускала що світ і людина пронизані різними типами духовних сил, які завдяки формам об’єктів видимого світу можуть бути зміцнені або послаблені. Репрезентовано розуміння гармонії форм у формотворенні сакрального простору, а також використання їх антиіндивідуалістичного потенціалу для відродження соціальних та релігійних спільнот.Розглянуто архітектуру сакральних споруд, зведених за принципом класицистичної архітектури. Визначено, що форми, створені Фолькером Гіенке, Йозефом Гочаром та Аладаром Аркайем, не належать до жодної із «мов» архітектурного виразу, які були створені дотепер.Представлено погляд на таємничу природу з’єднання людей у суспільстві – близький до видів зв’язків, що пов’язують релігійні громади, а також концепція архітектури як мосту між небом і землею, яка також змінила підхід до будівлі як виключно матеріального об’єкта.Проаналізована форми сакральної споруди та способу організації інтер’єрів, що дозволило зробити висновок, що ідеї відродження єдності навколишнього ландшафту, схильність використовувати місцеві матеріали (насамперед камінь), але також більш загальне, філософське ставлення, що дозволяє розглядати архітектуру як елемент, який пов’язує сили космосу з життям людини, що поєднує вірян різних конфесій.Розглянуто використання метафоричної мови архітектури засноване на світі візуальних людських виробів та їх іконографічних відмінних рисах. Виявлено необхідність враховувати взаємозв’язок між певними формами та повідомленнями, що через них передаються у формотворенні сакрального простору.Також представлено спробу адаптувати принципи модернізму до потреб формотворення сакрального простору. З’ясовано, що проблеми формації нового стилю виникли внаслідок змін у самій архітектурі, та труднощі у визначенні його характерних рис — внаслідок змін в історіографії. Виявлено тенденції формотворення сакрального простору у ХХ ст.
FDI and Trade Openness in the Tourism Market in Asian Emerging Market Economies
Authors: Rathnayaka Mudiyanselage Malsha Mayoshi , Epuranb Gheorghe , Tescașiu Bianca
Published: August 2022

FDI and trade openness are considered development tools in all sectors, and the tourism sector is no exception. We examine the impact of inward FDI and trade openness on tourism in selected Asian emerging markets using panel data from the Autoregressive Distributed Lag of the Pooled Mean Group model and examine the direction of the causality of inward foreign direct investment and trade openness on tourism using the Granger causality test for the period 1996-2019. In our research model, we employed the number of tourists’ arrivals as the dependent variable and inward foreign direct investment and trade openness as the main independent variables. The control variables are as follows: GDP growth rate, inflation, mobile telephone subscriptions, and the global financial crisis of 2008. According to the pooled mean group ARDL estimation results, inward FDI, trade openness, GDP growth rate, inflation, and mobile telephone subscription variables had long-run significance in explaining tourism, whereas the global financial crisis dummy variable did not explain tourism arrivals. In the short run, an increase in the GDP growth coefficient attracted more international tourists to Asian EMEs, whereas an increase in inflation reduced tourism arrivals. The study found that there is a unidirectional relationship between FDI inflows and tourism arrivals, with the causality flowing from tourism to FDI. Furthermore, the results of the causality test implied that there were bidirectional connections between tourism and trade openness in Asian emerging markets. The study suggests that emerging economies should also promote short-term policies to increase international tourism by increasing trade openness and foreign direct investment.
Divulgação científica e mídias digitais
Authors: Leite Antônio Carlos , Castro Vianna Sylmara , Colombo Junior Pedro  Donizete
Published: August 2022

Este ensaio apresenta reflexões sobre as temáticas Divulgação Científica (DC) e Mídias Digitais (MD), tendo como foco o ensino de ciência, a partir de análises das discussões realizadas ao longo da disciplina “Educação em espaços não formais e ensino de ciências”, ofertada no primeiro semestre de 2021 pelo Programa de Pós-Graduação em Educação da Universidade Federal do Triângulo Mineiro. Definições do termo DC e o papel das MD na atualidade são trazidas à discussão. Evidenciamos que o conceito de DC e suas implicações na sociedade não é algo unânime entre pesquisadores da área. Outro resultado aponta para as consequências de informações equivocadas sobre ciências nas MD que podem resultar em fenômenos como Fake News e negacionismo da ciência.
Levantamento de teses e dissertações que abordam o Programa Residência Pedagógica na Biblioteca Digital Brasileira de Teses e Dissertações
Authors: Barboza Luciana Caixeta , Maria Prata-Linhares Martha
Published: August 2022

O Programa Residência Pedagógica (PRP), implementado pela Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) em 2018, tem abrangência em uma diversidade considerável de instituições de Educação Básica e de Ensino Superior por meio das ações de residentes, preceptores, orientadores e estudantes da Educação Básica. Este trabalho, de natureza qualitativa, teve por objetivo realizar um levantamento bibliográfico inicial, na Biblioteca Digital Brasileira de Teses e Dissertações (BDTD). Utilizou-se o termo entre aspas “Residência Pedagógica” na BDTD sem limite de data de início e finalizado em janeiro de 2022. Desse levantamento identificou-se 21 pesquisas de mestrado e doutorado que se referiam ao termo “Residência Pedagógica”. Após a leitura dos resumos das teses e dissertações excluiu-se os trabalhos que não tinham o PRP como objeto de pesquisa ou seus participantes, chegando-se a um quantitativo de sete dissertações de mestrado que atendiam aos parâmetros utilizados. Dos sete trabalhos, quatro tiveram como objeto de pesquisa as ações desenvolvidas no Programa e três apenas utilizaram residentes ou preceptores como sujeitos para criação de dados Desse levantamento, conclui-se que o campo de pesquisa sobre o PRP ainda se encontra em fase seminal.
PENERAPAN METODE PEMBELAJARAN DISKUSI DALAM PELATIHAN UNTUK PENINGKATAN BUILDING LEARNING COMMITMENT
Authors: ROSANA RATNA
Published: August 2022

Pelatihan merupakan salah satu bagian dari Pendidikan non formal bagi Pendidikan orang dewasa (andragogi) serta sebagai perwujudan dari proses pembelajaran guna meningkatkan Building Learning Commitment proses pembelajaran dalam suatu pelatihan dapat berjalan secara efektif, maka diperlukan semangat dan sikap aktif dari peserta pelatihan dalam menerima dan memahami materi pembelajaran, dan fasilitator mampu menciptakan suasana pembelajaran yang menyenangkan. Mengingat pelatihan merupakan suatu kegiatan dalam rangka proses pembelajaran, maka keberadaan metode pembelajaran adalah suatu hal yang memegang peranan penting demi tercapainya tujuan pembelajaran dalam pelatihan, sehingga harus ada ketepatan terhadap metode pembelajaran yang diterapkan. Dalam hal ini, diskusi merupakan metode pembelajran yang tepat diterapkan dalam suatu pelatihan. Karena dengan metode pembelajaran diskusi tersebut, baik peserta pelatihan maupun fasilitator sama-sama bersifat aktif, sehingga terjadi interaksi timbal balik dan tukar-menukar pendapat serta informasi)
METODE PENDIDIKAN ISLAM PERSPEKTIF HADITS RIWAYAT ABU HURAIRAH NO 667 DALAM KITAB HADITS SHOHIH MUSLIM
Authors: Juhriansyah Muhammad Riski
Published: August 2022

Abstract: Ineffective methods of islamic education will be an obstacle to the fluency of the teaching process, so that energy and time being wasted. Therefore, a teacher's method ini learning process will be effective only if it is applied to achieve a set educational goal. The question research of the article is: what are methods of islamic education contained in the hadith historied of Abu Hurairah in the book Sahih Muslim number 667 by imam Abu al-Husaini Muslim bin al-Hajjaj al-Qusyairi an-Naisaburi. This article is a literature research. The subject is the hadith narrated by Abu Hurairah. The object is the book of hadith named Sahih Muslim no. 667. The results showed that the method of Islamic education contained in the hadith narrated by Abu Hurairah in the book of hadith Sahih Muslim no. 667: the question and answer method, the mujadalah method (discussion), and the proverbs method (giving parables).Keywords: Methods, Islamic Education, Hadith History of Abu Hurairah, Sahih Muslim Hadith No. 667 Abstrak: Metode Pendidikan Islam yang tidak efektif akan menjadi penghambat kelancaran proses belajar mengajar sehingga banyak tenaga dan waktu yang terbuang sia-sia. Oleh karena itu, metode yang diterapkan seorang guru akan berhasil jika mampu diaplikasikan untuk mencapai tujuan pendidikan yang telah ditetapkan. Pertanyaan inti yang dijawab artikel ini adalah: apa saja metode pendidikan Islam yang terkandung dalam hadis riwayat Abu Hurairah dalam kitab hadis Sahih Muslim nomor 667 karya Imam Abu al-Husaini Muslim bin al-Hajjaj al-Qusyairi an-Naisaburi. Jenis penelitian dalam kajian ini adalah kepustakaan alias studi literatur. Subjeknya adalah matan hadis yang diriwayatkan oleh Abu Hurairah. Objeknya adalah kitab hadis Sahih Muslim no. 667. Hasil penelitian menunjukan bahwa metode pendidikan Islam yang terkandung di dalam hadis riwayat Abu Hurairah dalam kitab hadis sahih Muslim no. 667 adalah: metode hiwar (tanya jawab), metode mujadalah (diskusi), dan metode amtsal (memberikan perumpamaan).Kata Kunci: Metode, Pendidikan Islam, Hadis Riwayat Abu Hurairah, Hadis Sahih Muslim No. 667
A emergência de estudos de política curricular e o potencial de sua base teórico-metodológica
Authors: Oliveira Ozerina Victor de , Silva Celeida Maria Costa de Souza e
Published: August 2022

Este estudo se situa no contexto das políticas de currículo existentes nos anos de 1990 no Brasil. Questionam-se análises que delas são feitas e enfrenta-se o desafio de pensar conexões entre fatores materiais e simbólicos em tendências teórico-metodológicas de pesquisas em política curricular com o objetivo de compreender implicações para a pesquisa no campo do currículo. Em seu desenvolvimento, recorre-se à noção de política de currículo como política cultural, defendida por Macedo (2004) e Oliveira (2008), e aos estudos de Bowe e Ball (1992) e Ball (1997), reconhecendo-os enquanto construção teórico-metodológica capaz de nortear o estudo. Os efeitos de perspectivas teórico-metodológicas se manifestam substantivamente em produções stricto sensu, por isso a decisão em analisar tais perspectivas em dissertações e teses. A seleção destas foi obtida a partir de resumos do banco de dados da Capes, com recorte naquelas defendidas entre 1995 e 2002, chegando a 15 dissertações e 8 teses. Conclui-se pela emergência da política curricular como objeto de estudo, destacando-se o potencial de perspectivas desenvolvidas a partir da cultura.
Epistemologias negras e processos educativos: desdobramentos nas políticas antirracistas
Authors: Reis Maria da Conceição dos , Nunes Cicera
Published: August 2022

Apresentação Seção Temática Epistemologias Negras e Processos Educativos.
Restructured Work and Employees: A Systematic Literature Review on Digital Transformation Skills for Sustainable Employment
Authors:   University of Applied Sciences Utrecht, Utrecht, The Netherlands, Bouwmans Machiel , Nguyen Thuy-Vy ,   University of Applied Sciences Utrecht, Utrecht, The Netherlands, Lub Xander ,   University of Applied Sciences Utrecht, Utrecht, The Netherlands
Published: August 2022

Digital transformations (DT) require investment in organizational learning climates in which sustainable employment is key. The challenge is to identify and develop essential employee skills needed to meet the organizational demands posed by DT. So far, research has focused on digital or specific professional skills, leaving the question unanswered as to which specific DT skills are essential; thus, our objective was to identify these skills and to develop a comprehensive DT skills framework. A systematic literature review was conducted to identify and synthesize DT skills. Through template analysis a DT skills framework was developed consisting of five crucial skill dimensions: (1) Digital working skills, (2) Entrepreneurial skills, (3) Collaboration Skills, (4) Communication Skills, (5) Lifelong learning skills, and (6) Evidence-based working skills. Our framework shows that essential DT skills are a combination of digital or technical skills and adaptive skills, inviting HR professionals to align their strategic talent management with digital transformation.
Enterprise Architecture for Network Organizations: A Research Design to Investigate What Elements of EA Help to Reduce Administrative Burdens in Healthcare
Authors:   University of Twente, Enschedeju, the Nedherlands, Maris Arjen
Published: August 2022

Healthcare organizations operate within a network of governments, insurers, inspection services and other healthcare organizations to provide clients with the best possible care. The parties involved must collaborate and are accountable to each other for the care provided. This has led to a diversity of administrative processes that are supported by a multi-system landscape, resulting in administrative burdens among healthcare professionals. Management methods, such as Enterprise Architecture (EA), should help to develop and manage such landscapes, but they are systematic, while the network of healthcare parties is dynamic. The aim of this research is therefore to develop an EA framework that fits the dynamics of network organizations (such as long-term healthcare). This research proposal outlines the practical and scientific relevance of this research and the proposed method. The current status and next steps are also described.
A Rubric to Guide the Design, Development and Assessment of Mobile Clinical Decision Support Systems
Authors:   Swinburne University of Technology, Hawthorn, Australia, Ulapane Nalika
Published: August 2022

Clinical decision making is vital for healthcare provision. Sound clinical decision support systems (CDSS) have therefore become crucial for healthcare delivery. This research aims to develop a rubric to guide the design, development and assessment of mobile (i.e., Smartphone or Tab-based) CDSS, combining socio-technological factors and decision-making principles.
Determination of science and biology teachers’ ethical sensitivities towards the use of experimental animals
Authors: Ceyhan Busra
Published: August 2022

It is important to determine the ethical sensitivities of teachers who have high potential to work with experimental animals due to their branches. With this purpose the current study aimed to determine science and biology teachers’ ethical opinions about the use of experimental animals. In order to collect data, the Questionnaire of Opinions about the Use of Experimental Animals developed by Yiğit, et al. (2015) was employed. The collected data were analyzed by using descriptive statistics, percentages, frequencies, mean values and t-test (N=70). While the science and biology teachers approached to the sixth item “Animals can be used in experiments in which they experience some pain for the benefits of humanity” with higher ethical sensitivity, the female participants were found to be more sensitive towards the second item “Alternative methods should be the first methods to be employed by researchers”. In light of the findings of the current study, it can be suggested that science and biology teachers who are more likely to be involved in experiments in which animals are used (according to the science and biology course contents published by YÖK) should be subjected to trainings during their pre-service and in-service years to raise their ethical sensitivities about the issue; thus, they can help their students more to recognize the value of animals.

Keywords: Teachers’ sensitivity, ethics, animals, laboratuary experiments
The Role of Executive Functions in Solving Geometry Problems
Authors: Khatin-Zadeh Omid
Published: August 2022

This article discusses the role of the three components of executive functions (EF) in geometric understanding. Discussing several examples of geometry problems, this article shows how EF are actively employed to solve geometry problems. Inhibition as the first component of EF helps the individual to suppress contextually-irrelevant information. This strengthen the degree of focus on what is relevant to the problem being solved. In some geometry problems, the individual needs to rotate or manipulate shapes in her/his mind. Working memory as the second component of EF keeps a mental image of various positions of the rotating shape before rotation, after rotation, and during rotation. Keeping a clear mental image of these positions and comparing them with each other could facilitate the process of relating inferences to each other throughout the process of solving a geometry problem. Cognitive flexibility as the third component of EF helps the individual in the process of shift of attention between various parts of geometric shapes. Finally, it is suggested that the components of EF are in active collaboration with other cognitive resources such as the motor system in the process of solving geometry problems.
Improving Timeliness of Obstetrical Triage Throughput in an Urban Tertiary Care Hospital
Authors: Collins-Fulea Catherine , Jefferson Khara
Published: August 2022

Background

Obstetrical triage units function like emergency departments with unpredictable volumes that affect the timely evaluation and treatment of patients and lead to longer wait times, delays in care, and longer length of stay (LOS).

Objective

The aim of this quality improvement initiative was to decrease the length of stay (LOS) of obstetrical triage patients by 20% through the utilization of nurse-driven orders, improved communication, and patient engagement.

Methods

Rapid cycle quality improvement using four plan-do-study-act cycles was utilized. Primary interventions were a patient decision tool, nurse-driven orders, a hypertension care algorithm, and team huddles. Data were analyzed using run charts to evaluate the impact of interventions on outcomes.

Results

Overall mean LOS for all patients (N = 654) was decreased by 26%. Most patients were satisfied with the patient decision tool (M = 4.45 on a 5-point Likert scale). The utilization of nurse-driven orders facilitated a decrease in mean LOS for hypertensive patients (N = 59) of 12%.

Conclusions

Throughput in obstetrical triage is affected by many factors including availability of test results, practice styles of providers, and availability of beds.

Implications for Nursing

Nurses can influence the length of time a patient remains in triage through the use of nurse-driven orders and improved communication with providers.
Los contornos de la enseñanza de las ciencias económicas en la región oriental de Colombia
Authors: Rodríguez Araujo Edilberto
Published: August 2022

Los programas que forman parte de las ciencias económicas surgieron en Colombia a mediados del siglo XX. El peso relativo de los programas existentes en la oferta académica y la población estudiantil creció en la última década hasta alcanzar en 2020, 16 y 29 %, en promedio. El análisis en este texto se centra en una muestra de 13 programas de ocho universidades con acreditación de alta calidad, pertenecientes a la región oriental del país, integrada por los departamentos de Boyacá, Cundinamarca, Meta, Santander y Norte de Santander. Administración de Empresas, Contaduría Pública y Economía son los tres programas académicos incluidos en este artículo, que ofrecen tanto universidades públicas como privadas, en los que su estructura curricular y duración de la carrera guardan notorias similitudes, pero también visibles diferencias en lo atinente a la ponderación de las diferentes áreas de formación, como básica, profesional, sociohumanística y electivas, así como en el valor de la matrícula. Se observa que el área profesional que tiene mayor participación relativa es Administración de Empresas, lo que se refleja en la orientación del programa, seguido por el programa de Contaduría Pública. Se encontró una menor proporción en Economía. En el caso concreto de Economía, en los últimos años se hado un intenso debate acerca de la formalización matemática y la estandarización curricular, al igual que la formación por resultados, estrategia agenciada por el Ministerio de Educación Nacional.
A Study on High School Students’ Critical Thinking Skills
Authors: ORHAN Ali , TEKİN İnan
Published: August 2022

The aim of this non-experimental quantitative study which employed a survey design was to determine the level of high school students’ CT skills and to investigate if high school students’ critical thinking (CT) skills differ by gender, father and mother’s educational background, age, and grade level. Critical Thinking Skill Test for High School Students was used to collect data in this study carried out with 603 high school students. As a result of the study, it was found out that students had high CT skills in terms of each sub-tests. Also, it was found out that students’ CT skills significantly differed by gender and educational background of their father and mother. Females and students who have a father and mother with higher educational degrees had higher CT skills. However, age and grade level did not significantly affect students’ each sub-test scores and total test scores. These results of the current study were confirmed by the huge body of previous literature.
Indicadores de matrículas do público-alvo da Educação Especial na Educação Superior no Brasil (2008-2018)
Authors: Pereira Ana Paula Escossia Barbosa de Souza , Rebelo Andressa Santos
Published: August 2022

Este artigo é resultado de uma dissertação de mestrado que versa sobre a inclusão de estudantes público-alvo da Educação Especial na Educação Superior. Pretendeu-se analisar os indicadores de matrículas do público-alvo da Educação Especial (PAEE) na Educação Superior no Brasil entre 2008 e 2018. Os procedimentos metodológicos consistiram no levantamento dos resultados disponíveis nos resumos técnicos e microdados do Censo da Educação Superior, publicados pelo Instituto Nacional de Estudos e Pesquisas Educacionais (INEP). Para a leitura dos microdados, utilizou-se o software IBM Statistical Package for the Social Sciences (SPSS). Os dados foram analisados em diálogo com a literatura referente ao processo de inclusão dos estudantes PAEE. Os microdados mostram que, em 2009, o Brasil apresentou 1.122 matrículas de estudantes PAEE na graduação; e, em 2018, registraram-se 62.724 matrículas. Embora a presença de estudantes PAEE na Educação Superior no Brasil tenha, nos últimos anos, aumentado gradativamente, o número de matrículas do PAEE ainda é significativamente inferior às matrículas gerais nesse nível de ensino.
Installation utility monitoring and control system technical guide
Authors: Bush Joseph , Westervelt Eileen , Clark Brian , Schwenk David , Briggs Stephen , Shepard Daniel , Long Michael Cary , Patel Tapan , Johnson Melanie , Lynch Eric
Published: August 2022

Army policy calls for each installation to install a building automation system (aka utility monitoring and control system [UMCS]) to provide for centralized monitoring of buildings and utilities to reduce energy and water commodity and maintenance costs. Typically, the UMCS, including building control systems (BCS), is installed and expanded in piecemeal fashion resulting in intersystem incompatibilities. The integration of multivendor BCSs into a single basewide UMCS, and subsequent UMCS operation, can present technical and administrative challenges due to its complexity and cybersecurity requirements. Open Control Systems technology and open communications protocols, including BACnet, LonWorks, and Niagara Framework, help overcome technical incompatibilities. Additional practical considerations include funding, control systems commissioning, staffing, training, and the need for a commitment to proper operation, use, and sustainment of the UMCS. This document provides guidance to Army installations to help achieve a successful basewide UMCS through its full life cycle based on DoD criteria and technical requirements for Open Control Systems and cybersecurity. It includes institutional knowledge on technical solutions and business processes amassed from decades of collaboration with Army installations and learned from and with their staff. Detailed activities spanning both implementation and sustainment include planning, procurement, installation, integration, cybersecurity authorization, and ongoing management.
Pemanfaatan Teks Media Massa dalam Meningkatkan Penguasaan Kosakata Bahasa Arab
Authors: Hasanah Luthfi Qoriatul
Published: August 2022

Mastery of vocabulary is something that must be done by foreign language learners. The four language skills require mastery of vocabulary. The addition of vocabulary is often carried out independently by students which makes the addition of the vocabulary inconsistent so that an alternative way is needed to increase vocabulary, namely by utilizing online mass media texts to become the object of study in the Qiroah Taudzifiyah course. This study aims to determine the effectiveness of online mass media texts in improving vocabulary mastery. This research includes action research. The subjects of this study were 5th semester students of class 5A in 2021/2022 PBA UIN Raden Mas Said Surakarta, which consisted of 30 students. The data collection technique uses observation and questionnaires and the data analysis method uses qualitative analysis techniques equipped with some quantitative descriptive data. The results showed that use of mass media is effective to improve mastery of Arabic vocabulary. The evidence is the increase in the average pretest and posttest results of students where in the first cycle it increased by 35 points of assessment and in the second cycle increased by 20 points of assessment.

 

Abstrak

Penguasaan kosakata menjadi sebuah hal yang sangat wajib dilakukan oleh seseorang dalam pembelajaran bahasa kedua. Keempat kemahiran bahasa memerlukan adanya penguasaan kosakata. Penambahan kosakata sering kali dilaksanakan secara mandiri oleh mahasiswa yang membuat penambahan kosakata tersebut menjadi tidak konsisten, sehingga diperlukan adanya sebuah cara alternatif untuk melakukan penambahan kosakata, yaitu: dengan memanfaatkan teks media massa online untuk menjadi objek kajian dalam mata kuliah Qiroah Taudzifiyah. Penelitian ini bertujuan untuk mengetahui efektivitas teks media massa online dalam meningkatkan penguasaan mufrodat. yang dilakukan kepada mahasiswa PBA UIN Raden Mas Said Surakarta. Penelitian ini termasuk action research atau penelitian tindakan kelas. Subjek Penelitian ini adalah mahasiswa semester 5 kelas 5A tahun 2021/2022 PBA UIN Raden Mas Said Surakarta, yang terdiri dari 30 mahasiswa. Teknik pengumpulan data menggunakan observasi dan angket dan Metode Analisa data menggunakan Teknik analisis kualitatif dengan dilengkapi dengan beberapa data deskriptif kuantitatif. Hasil penelitian menunjukkan bahwa pemanfaatan media massa efektif untuk meningkatkan penguasaaan kosakata bahasa Arab. Hal ini dibuktikan dengan peningkatan rata-rata hasil pretest dan postest mahasiswa dimana pada siklus I meningkat sebesar 35 poin penilaian dan pada siklus kedua meningkat sebesar 20 poin penilaian.
Ta’tsiir al-Kafaa’at Fii al-Insyaa ‘ala al-Kafaa’at Fii al-Muhaadatsat al-Yaumiyyat li Thullaab al-Fashl al-Tsaalits bi Kulliyyat al-Mu’allimiin al-Islaamiyyat bi Ma’had Daar al-Salaam Gontor al-Haram al-Markaziy
Authors: Abdillah Muhammad Abi , Lubis Rahmat Hidayat
Published: August 2022

This study aims to examine the effect of Insha' competence on daily conversation competence of 3rd grade students of KMI Gontor Ponorogo. The type of research is descriptive quantitative research (Experimental Study) with a population of 442 students, and a sample of 116 students. The researcher used the well-known Statistical Analysis Method, Product Moment to analyze the data at a significance level of 5% and 114 degrees of freedom. The results of this study are: First, the average score for insya’ lesson test of the third grade students of KMI Darussalam Gontor Islamic Institution Central Campus is 6.1. Second, there is an effect between insya' lesson on the muhadatsah ability of third grade students of KMI Darussalam Gontor Islamic Institution Central Campus and the effect is strong. This can be seen from the results of the calculation of rxy = (0.452) which is greater than the value of "r" Product Moment with the meaning of 5% is: (0.1824), the results of each are as follows: The average score for insya’ lesson of the third grade students of KMI Darussalam Gontor Islamic Institution Central Campus is 6.1. The average score for muhadatsah test of the third grade students of KMI Darussalam Gontor Islamic Institution Central Campus is 6.3.

 

ملخص

والهدف من هذا البحث لاختبار تأثير الكفاءة في الانشاء على الكفاءة في المحادثة اليومية لطلاب الفصل الثالث بكلية المعلمين الإسلامية بمعهد دار السلام كونتور الحرم المركزي. ونوع البحث الذي أخذه الباحث هو البحث الميداني الوصفي الكمي (Experimental Research)، وعدد السكان 442 طالبا، وعدد العينة 116 طالبا. واستخدم الباحث في تحليل بطريقة التحليل الإحصائيّ (Statistical Analysis Method)، وذلك من نوعها المشهور الإنتاج اللحظيّ (Product Moment) على مستوى المعنى 5% وبالدرجة الحرية 114. ونتائج هذا البحث هي: أولا، كانت نتيجة الإنشاء للطلاب حصلت على الدرجة المتوسطة حيث وصلت على النتيجة 6,1. وثانيا، يوجد تأثير مادة الإنشاء على الكفاءة في المحادثة اليومية للطلاّب بالتأثير قوي. وذلك يظهر من نتيجة الحساب rxy = (0,452) أكبر من القيمة “r” Product Momentبالمغزى 5% هي: (0,1824)، ونتيجة كل منهما كما يلي: كانت نتيجة الإنشاء للطلاب حصلت على الدرجة المتوسطة بنتيجة 6,1. وكانت النتيجة للمحادثة للطلاب حصلت على الدرجة المتوسطة فهي بنتيجة 6,3.
Establishment Method of Knowledge Graphs for Public Security Cases
Authors: Qiu Mingyue , Xueying Zhang
Published: August 2022

Since the implementation of the police intensifying strategy by science and technology, how to make accurate intelligence analysis based on the modeling of massive multi-modal data has always been a real intricate problem during the applications of public security big data. Knowledge graph technique can fuse and marge multi-modal data in public security business to different intelligence entity elements including person, thing, material, time and position, and reconstruct the deep relations among data in the digital space, which can provide computable and minable data resources with logical hierarchy for intelligence analysis. This study started from the case text data in public security domain, attempted ontology modeling for knowledge mapping in public security domain and explored the establishment mode and application direction of knowledge graphs in public security domain.
Global Energy Conservation Solution for the N − abc Family of Camassa-Holm Type Equation
Authors: ZHANG ZAIYUN , LIU ZHENHAI , DENG YOUJUN
Published: August 2022

In this paper, we investigate the N − abc family of Camassa-Holm type equation with (N + 1)-order nonlinearities. Using both the lower order and the higher order energy conservation laws, as well as the characteristic method, we establish the global existence and uniqueness of the Hölder continuous energy weak solution to the N − abc family of Camassa-Holm type equation in the energy space H 1 (R) × W 1,2N (R). Moreover, we show that a very natural and interesting problem is to study how the regularity of solution changes with respect to N. More precisely, we establish Hölder continuous energy weak solutions with the exponent 1 − 1 2N. This result precisely shows how the regularity of solution changes with respect to the the power of nonlinear wave speed N, and it reveals an intrinsic relation between Camassa-Holm equation (linear wave speed u 1), Novikov equation (quadratic wave speed u 2) and the N − abc family of Camassa-Holm type equation (wave speed u N). This result improves earlier ones in the literatures, such as [1], [8], [45] and [50].
Prognosis of the Course of Chronic Obstructive Pulmonary Disease with Obstructive Sleep Apnea-Hypopnea Syndrome
Authors: Razhabov Kh. S. , Liverko I. V.
Published: August 2022

The objective: to evaluate the prognosis of 4-year survival in patients with chronic obstructive pulmonary disease (COPD) and concomitant obstructive sleep apnea-hypopnea syndrome (OSAHS).

Subjects and Methods. 62 patients with COPD and OSAHS were enrolled in the study, they all had been diagnosed in accordance with the recommendations of GOLD (2017). The clinical and functional examination included assessment of respiratory function parameters and a 6-minute step test, a survey using the validated questionnaire of the dyspnea scale by Medical Research Council (MRC) followed by the calculation of body mass index and the BODE index.

Results. Patients with COPD and concomitant OSAHS demonstrated higher intensity of dyspnea, deterioration of functional obstructive disorders, and lower exercise tolerance. The course of the disease was characterized by multiple exacerbations requiring hospitalization, 77.4% of COPD patients with OSAHS suffered from cardiovascular diseases and 95.2% were obese. Evaluation of the integral BODE index in COPD patients with OSAHS showed that only 35.5% of them had a 4-year survival rate exceeding 57%. A strong inverse correlation was established between the BODE index and the maximum desaturation rate (r = -0.78) and the moderate inverse correlation was established between the BODE index and SaO2 (r = -0.37). As a result of a 12-year follow-up (2008-2019), mortality in COPD patients with OSAHS was established in 22.2% of cases, mainly among COPD patients with severe OSAHS.
Comparative Hemogram Analysis of Smoking Patients with COVID-19 and Acute Coronary Syndrome
Authors: Izmozherova N. V. , Popov A. A. , Tsvetkov A. I. , Kadnikov L. I. , Ispavsky V. E. , Kicha D. I.
Published: August 2022

The objective: to define hemogram parameters in smokers with COVID-19 and acute coronary syndrome when they are admitted to hospital.

Subjects and Methods. 62 male smokers hospitalized due to acute coronary syndrome (ACS) were enrolled into a case-control study. Group 1 (n = 31) had ASC and COVID-19, Group 2 (n = 31) had ACS and no COVID-19. The groups were adjusted by age, body mass index and the date of hospitalisation. According to the current routing procedures, from September to December 2020, the subjects were referred to different hospitals in Sverdlovsk Region depending on COVID-19 status. Inpatient medical records were used to collect the data. Blood parameters were examined by Mindray BC-5150 (China) automatic hematological analyzer performing complete clinical blood count and differentiating 5 leukocyte subpopulations. Statistical processing was performed using Statistica 13.0. The significance of differences was taken at p < 0.05.

Results. Smoking men with COVID-19 and ACS unlike those GOVID-19 negative had a lower level of diastolic blood pressure, significantly more often were diagnosed with low degrees of hypertension, higher BPD with the same frequency of detection and functional characteristics of chronic heart failure and chronic obstructive pulmonary disease. The hemogram showed a lower level of the number of leukocytes, the percentage of neutrophils, erythrocytes, hemoglobin, hematocrit, the average concentration of hemoglobin in the erythrocyte; a higher level of monocytes, erythrocyte sedimentation rate, and average platelet volume. The above changes can be associated with spesific features of the COVID-19 course.
The geostrategy of the African Continental Free Trade Agreement (AFCFTA) and third parties: a focus on China
Authors: Joseph Juliet Eileen
Published: August 2022

The primary objective of this article is to interrogate Sino-Africa Relations and questions if Africa a passive receiver of both Chinese and Western influence? This paper is divided into four sections. The first section of the paper outlines the African Continental Free Trade Agreement. It is followed by a discussion of the political factors, driving Africa's desire for greater integration. The second section explains the potential trade impacts of the AfCFTA on African states and illustrates the rationale and appetite for the AfCFTA. Section three examines bilateral relations with third-parties, with a focus on China, speculating about the future of Sino-African trade relations and the AfCFTA. Finally, section four concludes the study. The discussion and findings suggest the following. Firstly, that African officials perceive the role of China in a positive light, and China is seen as a fellow developing country. Secondly, African leaders laud China for its contribution to the growth of African nations. Thirdly, however, China is criticized for poor working conditions, China is seen to negotiate unfair deals and for some scholars China perpetuates the neo-colonial relationship and, in some countries, there have been violent protests against China. This study encompassed a qualitative, exploratory approach, which relied heavily on both primary and secondary sources of data.