bluuebunny/crossref_metadata_2025 huggingface dataset:
Dysfunction of the Pisotriquetral Joint: Degenerative Arthritis Treated By Excision of the Pisiform
Authors: Gómez Claudia Lamas , Renart Ignasi Proubasta , Pujals Joan Itarte , Palou Enric Cáceres , Busquets Romà Curell
Published: January 2020

abstract

From 1995 to 2000, 21 patients (14 women and 7 men) with a mean age of 42 were treated with excision of the pisiform for a dysfunction of the pisotriquetral joint. Follow-up ranged from 6 to 36 months (average: 30 months). The diagnoses included degenerative arthritis of the pisotriquetral joint (15 patients), degenerative arthritis associated with a ganglion (3 patients), and calcifications caused by flexor carpi ulnaris tendinopathy (3 patients). All patients had pain secondary to direct pressure on the pisiform. Side- to-side passive motion of the pisiform occasionally led to pain and crepitus. Degenerative arthritis and calcifications in the pisotriquetral joint were confirmed by a wrist radiograph (lateral view in 30° supination). In five patients, local injection with anesthetic temporarily resolved the symptoms. Excision of the pisiform resulted in complete relief of pain without functional deficit.
Storytelling as an Educational Strategy for Older Adults with Chronic Illness
Authors: Cangelosi Pamela R. , Sorrell Jeanne M.
Published: January 2020

As the population of older adults with chronic illness continues to increase, it is imperative to implement patient education strategies that are designed to elicit information and help health practitioners understand the world of the older adult. This article describes how storytelling, grounded in the basic principles of gerogogy, serves as an effective teaching and learning patient education strategy for older adults with—or without—chronic disease.
The Effect of Exercise on Psychological & Physical Health Outcomes: Preliminary Results from a Norwegian Forensic Hospital
Authors: Tetlie Trine , Eik-Nes Norgils , Palmstierna Tom , Callaghan Patrick , Nøttestad Jim A.
Published: January 2020

People with mental illness are more likely to experience physical health problems and die prematurely than are comparable populations. This study evaluated whether exercise, when offered as part of routine treatment, affects the psychological and physical health of patients in a high-secure forensic unit in Norway. Thirteen patients completed a structured exercise program lasting 8 to 12 weeks. After completion of the program, resting heart rate and systolic blood pressure after treadmill testing were significantly improved. In addition, patients' subjective feelings of well-being and safety improved significantly. This study shows that structured exercise is possible to perform with noticeable improvements and low attrition among patients with complex conditions. Implications for future studies and practice are discussed.
Assessment and Management of Hospitalized Suicidal Patients
Authors: Lynch Mark Anthony , Howard Patricia B. , El-Mallakh Peggy , Matthews Joanne M.
Published: January 2020

Suicide in inpatient psychiatric settings is a critical problem. A comprehensive literature review was performed to determine risk factors for inpatient suicide, instruments for assessing suicide, and treatment of hospitalized suicidal patients. Findings suggested that root causes of inpatient suicide were factors related to the treatment environment, failure to assess patient behavioral contracts. Recommendations include assessing suicide risk regularly throughout hospitalization, including on admission, during changes in a patient's mental or physical status, after a change in observation level, and before discharge. Orientation and inservice education for all staff and additional research on the psychometric properties of available suicide assessment instruments characteristics, and staff reliance on no-suicide are also essential.
An Intervention to Decrease Benzodiazepine Prescribing by Providers in an Urban Clinic
Authors: Platt Lois , Savage Teresa A. , Rajagopal Nimmi
Published: January 2020

The objective of this quality improvement project was to decrease the amount of benzodiazepines (BZDs) prescribed by providers at a Midwestern university outpatient clinic. Clinic providers participated in a brief, live educational intervention combining academic detailing (i.e., the provision of current evidence about BZD) and pharmaceutical detailing (i.e., a sales technique borrowed from pharmaceutical companies). A 1% decrease in BZD prescribing was set as the measure of success. Using data from the electronic medical record, the monthly average of BZD prescriptions written within calendar year 2017 (before project launch) was compared to the number written 30 days after the intervention. Following the intervention, an 80% reduction in BZD prescribing was calculated. Combined academic and pharmaceutical detailing could be an effective way to change prescribing behavior in this provider population. Further investigation is needed to ascertain whether the change in prescribing behavior can be sustained, and that no harm is being done to patients who are currently dependent on BZD medications. [
Journal of Psychosocial Nursing and Mental Health Services, 58
(1), 39–45.]
Advances in the Reduction of the Costs Inherent to Fossil Fuel Biodesulfurization Towards Its Potential Industrial Applications
Authors: Paixão Susana M. , Silva Tiago P. , Arez Bruno F. , Alves Luís
Published: January 2020

The biodesulfurization (BDS) process consists of the use of microorganisms for the removal of sulfur from fossil fuels. Through BDS it is possible to treat most of the organosulfur compounds recalcitrant to the conventional hydrodesulfurization (HDS), the petroleum industry's solution, at mild operating conditions, without the need for molecular hydrogen or metal catalysts. This technique results in lower emissions, smaller residue production, and less energy consumption, which makes BDS an eco-friendly process that can complement HDS making it more efficient. BDS has been extensively studied and much is already known about the process. Clearly, BDS presents advantages as a complementary technique to HDS; however, its commercial use has been delayed by several limitations both upstream and downstream the process. This study will comprehensively review and discuss key issues, like reduction of the BDS costs, advances, and/or challenges for a competitive BDS towards its potential industrial application aiming ultra-low sulfur fuels.
A New Approach to Generate Hospital Data Warehouse Schema
Authors: Arfaoui Nouha , Akaichi Jalel
Published: January 2020

The healthcare industry generates huge amount of data underused for decision making needs because of the absence of specific design mastered by healthcare actors and the lack of collaboration and information exchange between the institutions. In this work, a new approach is proposed to design the schema of a Hospital Data Warehouse (HDW). It starts by generating the schemas of the Hospital Data Mart (HDM) one for each department taking into consideration the requirements of the healthcare staffs and the existing data sources. Then, it merges them to build the schema of HDW. The bottom-up approach is suitable because the healthcare departments are separately. To merge the schemas, a new schema integration methodology is used. It starts by extracting the similar elements of the schemas and the conflicts and presents them as mapping rules. Then, it transforms the rules into queries and applies them to merge the schemas.
An Online Neonatal Intensive-Care Unit Monitoring System for Hospitals in Nigeria
Authors: Idowu Peter Adebayo , Asahiah Franklin Oladiipo , Balogun Jeremiah Ademola , Olusanya Olayinka Olufunmilayo
Published: January 2020

This paper presents an online monitoring system for the storage and retrieval of physiological data from neonates admitted into the Neonatal intensive care units (NICU) of Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria. In order to develop this system, the requirements of the proposed system were identified and analyzed as system and user requirements independently and the requirements were designed using the Unified Modeling Language (UML) tools. The system was implemented using Web 2.0 technologies such as, the hypertext markup language (HTML), the cascading styling sheets (CSS), PHP and MySQL. With the system, storage and retrieval of information by the nurses and any authorized users will be easy.
Managing Emergency Units Applying Queueing Theory
Authors: Hernández-González Salvador , Hernández-Ripalda Manuel Dario , González-Pérez Anakaren , Tapia-Esquivias Moises , Luna-González Alicia
Published: January 2020

Today managers of health systems must manage the resources at their disposal to ensure that service quality is adequate, this leads at the same time making decisions to ensure that these resources are managed efficiently and effectively. The decision process in healthcare systems is not trivial given the complexity of these systems. The application of tools (like queueing theory) for decision making in hospital systems is an area of opportunity because of the increasing financial pressure and the growing demand for care. This document shows how queueing theory can be applied for analyzing the performance of an Emergency Unit under different capacity scenarios. The analysis shows that increasing the number of servers required to maintain constant congestion(emphasis on efficiency)is more expensive than adding servers to maintain constant the probability that a patient has to wait (emphasis on quality and efficiency). The paper ends with recommendations for future research.
Radio Frequency Identification Technology in an Australian Regional Hospital
Authors: Unnithan Chandana , Tatnall Arthur
Published: January 2020

Australian hospitals had begun exploring Radio Frequency Identification, a wireless automatic identification and data capture technology for improving the quality of their services towards the end of 2000s. After many an unsuccessful pilots, a breakthrough for large hospitals came in 2010, with a key learning rendered by a large regional hospital that not only experimented with the technology, but also have made it all pervasive in their operations. In this chapter, we present the case study, through an innovation translation perspective, focusing on the socio-technical factors captured through elements of Actor-Network Theory.
Operations Project and Management in Trauma Centers
Authors: Spiegel Thais , Assad Daniel Bouzon Nagem
Published: January 2020

Topic of discussions over the last decades, the literature related to the care of patients suffering from poly-trauma, under the assistance point of view, is sufficiently consolidated concerning to the adoption of best practices, what, usually are conducted and disseminated by accrediting organizations. However, expanding the search frontier beyond the assistance dimension, it's noticed the divergences between the recent researches or theoretical shortcomings regarding to the design and management of these operations. In face of this finding, noticed from a literature review in the most important bases of operations management and health, it's adopted a conceptual model which covers relevant elements of the project of an operation, such as: strategy, capacity, human resources, incentive systems, organizational structure and decision making; in order to systematize the current stage of the field, highlighting the differences between recent studies and proposing a set of practices and premises, which are necessary for the operationalization of the proposed model.
TQM Practices in Public Sector
Authors: Ajmal Mian M. , Tuomi Ville , Helo Petri T. , Sandhu Maqsood Ahmad
Published: January 2020

This study aims to discuss the evolution, principles, and stages of total quality management (TQM) in public health care organizations. It also makes a comparison that how case organizations think about quality and TQM along with its applicability within public sector. The study can be categorized as qualitative research. The data is collected from semi structural interviews of the informants and the concerning documents, which consist of strategy, policy papers and audit reports of the case organizations. Altogether there are two case organizations. Furthermore, data is analyzed with the help of content analysis. Most vital issues in TQM practices are its comprehensiveness, and its application in such a way which is appropriate for the organization, with a logical way of operation and the participation of management and personnel. Training, guidance, teamwork, involvement and learning are imperative for achieving a continuous improvement culture and are vital elements when adopting TQM. Managers should learn from the experience of TQM implementers by studying expected challenges and pitfalls. They should also pay more attention to the crucial role of all stakeholders in the TQM implementation. The study could be quite valuable from a strategic perspective in providing guidelines to build up a proper plan for TQM practices more promptly. The paper also manages to shed light on TQM practices of public service organizations by comparing their current approaches to quality.
Estimating Key Performance Indicators of a New Emergency Department Model
Authors: Oueida Soraia , Kadry Seifedine , Ionescu Sorin
Published: January 2020

In this article, a real-life Emergency Department (ED) is studied and analyzed in order to propose areas for improvement in its operations and patient flow. EDs are in native very busy and complex systems where medical facility treatments are provided to arriving patients without any prior appointment. ED, a 24/7 open facility, interacts with the majority of other departments of the healthcare system. Due to this complexity and unplanned nature of patient surge, simulation modeling is proven to be very effective in order to study the necessary changes needed for better performance. As a consequence of these challenges, the patient LoS (Length of Stay) and the human-resource utilization rates are increased and thus leading to staff and customer dissatisfaction which need to be addressed for better performance. An emergency department of a hospital in Lebanon is chosen for simulation using Arena software where a model is designed to match the real system. This model is then verified, validated and enhanced by proposing some modifications in the resource allocation levels. These improvements are achieved by running different scenarios using Arena Process Analyzer and suggesting an optimal solution using Arena OptQuest tool without the need of interrupting the real system.
Land and Soil in the Religious Culture of Kôyasan in Medieval and Early Modern Japan
Authors: Ôkawa Eiji
Published: January 2020

In traditional worldviews, the natural environment was replete with sacred powers. With a holistic worldview, people interacted with nature and sacred manifestations through ritual practices, and organized their lives in spaces suffused with supranormal beings. Nowhere is this more evident than in the religious cultures that developed at sacred mountains. Yet due partly to the sway of the normative analytical model that privileges doctrinal and ideological dimensions of religious phenomena, little attempt has been made to explore the rich relationships between nature and the sacred in the religious cultures of sacred mountains. By examining legendary narratives, rituals, and the landscape of Kôyasan Buddhist monastery in Japan, the paper investigates how elements of nature, in particular land and soil, were infused with symbolic meanings, and played vital roles in the production of a local political space and trans-local religious culture in medieval and early modern periods.
Catholic Pilgrimage in Europe
Authors: Liutikas Darius
Published: January 2020

The chapter deals with the historic and contemporary Catholic pilgrimages in Europe. Modern religious practices of European pilgrims are presented. Author applies different typologies to classify European pilgrimage sites. Catholic sacred places divided into categories related with Virgin Mary, Jesus and saints. Analysis includes historic background, and contemporary challenges of pilgrimage traditions in relation to the themes of valuistic journeys, globalization, virtualization and development of modern tourism. Author identifies and analyzes the six most important religious practices performed at the pilgrimage places (participation at the Holy Mass and receiving indulgence, praying, processions and the Way of Cross, usage of water, leaving votive amulets, and buying souvenirs and devotionalias). Chapter also presents significance of values and identity in traveling. Valuistic journeys could help to express lifestyle and manifest values of the individuals. The chapter tries to answer the question – what are the challenges of pilgrimage traditions in Europe?
The Electric Soul
Authors: Cline Benjamin J.
Published: January 2020

This chapter will use media ecology, and rhetorical theories of ideology construction and social intervention to look at the ways that contemporary digital media interact with religious and spiritual practices in order to inform and create identities. This chapter will examine the ideology construction that occurs in the Crosswire.org applications, specifically PocketSword designed for the iPhone/iPad and AndBible designed for Android devices. This chapter will also look at the ideology construction and identity creation in the English language section of onislam.net, a website designed to help English-speaking Muslims live out their faith. Finally the chapter will consider Osel Shen Phen Ling, a website designed for “Practicing Buddhadharma in the Tibetan Gelugpa Tradition”.
ISIS Rhetoric for the Creation of the Ummah
Authors: Georges Amaryllis Maria
Published: January 2020

I intend to examine the linguistic strategy used by ISIS as a means through which it creates the concept of the Muslim Ummah, which seeks to emphasize the unity of an international Muslim community based off the power of Islam. I apply a Critical Discourse Analysis for the study of Baghdadi's sermon on 4 July 2014 where he declared the establishment of the Caliphate and himself as the Caliph. Baghdadi's discourse creates a new communal identity from a Muslim populace who may have felt marginalized due to their religion in their countries of residence. It is through this discourse that he structures the Ummah loyal to the Caliphate in two ways: a) by summoning Islam to create a singular global Muslim body and the establishment of a Caliphate; and b) the structuring of an indiscriminate opponent, one that conflicts with the “camp of Islam”. The method of convincing and generating consent – of institutionalizing jihad - goes beyond propaganda; it necessitates the formation of an entirely novel lexicon, a narrative that fosters support while concurrently quashing any singular qualms.
The Amplification of the Sunni-Shia Divide Through Contemporary Communications Technology
Authors: Stairs George A.
Published: January 2020

The Sunni-Shia divide has once more returned to the global popular lexicon. However, this contemporary form of the allegedly age-old schism within Islam in fact differs significantly from historical cases. It has primarily come to the fore again as various actors have invoked it, and the fear it brings, in order to frame the conflicts they currently wage both overtly and covertly in more favourable terms. The purpose of this chapter is to examine this phenomenon, with particular focus on the Syrian Civil War, and the wider regional struggles for hegemony. It will further look at how modern communication technologies have permitted actors to spread their narratives much more effectively than ever before, and how the international community might arrest the exacerbation of this divide, and slow the sectarian violence currently plaguing the region.
How Does Bank Competition Affect Systemic Banking Crises?
Authors: Bandaranayake Samangi
Published: January 2020

Literature present conflicting views on the effect of bank competition on financial stability. Some argue that competition increases adverse shocks in the financial system while others argue that it reduces the likelihood of such events. The purpose of this study is to further examine this relationship using a more recent systemic banking crises database of Laeven and Valencia (2018). There are 61 countries which had experienced systemic crises during 1996-2017. This study used Lerner index and Boone indicator as proxy measures of competition and three estimation techniques to estimate the relationship. The results indicate that the effect of competition on financial stability varies with estimation techniques and proxy measures of competition and stability. Lerner index indicates that competition increases financial instability while Boone indicator shows the opposite. Thus, this study concludes with mixed evidence on the relationship between bank competition and financial stability.
Perspective Paper - The Fallacy of Marketing to Millennials: Why Sri Lankan Marketers Should Discard Generational Labels
Authors: Ikram S. M. M. , Tajbhoy Murtaza A. , Hassanally Sarah , Perera Surani
Published: January 2020

This article is a critique of the application of generational labels in marketing, beginning with a review of the concept of cohorts and generations from sociology, followed by an appraisal of contemporary scholarship and thought leadership critical of generational obsession. Using this as the foundation, the validity of applying generational labels, particularly the label of millennials, within the Sri Lankan context is questioned by illustrating how the reference points and shared experiences that define the social generations in the United States (US) are not relevant to the same birth cohorts in Sri Lanka. We recommend discarding these generational labels and propose two alternative ways forward. The marketing fraternity could initiate a broader conversation involving the academics in social sciences in defining social generations for Sri Lanka or move beyond vague terminology such as millennials and engage in robust segmentation and targeting.
Clinical evaluation of a self-etch and an etch-and-rinse adhesive system in class V noncarious composite restorations
Authors: Balbinot Carlos Eduardo Agostini , Antoniazzi Raquel Pippi , Parode Juliana Tabim , Farias Luciana d'Avila , Zamboni Camila , Skupien Jovito Adiel
Published: January 2020

Context: Adhesive restorations in cervical, noncarious, and nonretentive cavities are used as a clinical model for the evaluation of adhesive systems. Aim: The aim of this study is to evaluate restorations made by dental students of the last year of dentistry made with a self-etching and etching-and-rinse adhesive system. Materials and Methods: Eighty-two noncarious cervical lesions Class V cavities were restored after randomly be allocated into two adhesive groups: self-etch (AdheSe self-etch) or an etch-and-rinse (Tetric N-Bond). Operators were two well-trained students of the last year of dental school and the restorations were evaluated using a single examiner, specialist in restorative dentistry, blinded and calibrated using the criteria according to the modified United States Public Health Service. Descriptive analysis, Chi-square test to evaluate associations, and survival analysis by the Kaplan–Meier were used for statistical analysis. Results: There was no statistically significant difference in the evaluation of adhesive systems in Class V restorations (P = 0.160). There was also no statistically difference (P = 0.751) in the assessment of the existence of occlusal interference on lateral movement and loss of restorations. The survival rate calculated for the total restorations was 89%. The survival rate of the restorations when used etch-and-rinse adhesive systems was 92.7% while with the self-etching of 85.4%. Nine restorations were classified as lost, and one restoration cannot be assessed due to the patient having it replaced before evaluation, and the other eight restorations were lost getting the score Charlie for retention. Conclusions: Class V dental restorations had a satisfactory survival rate irrespective of the adhesive system.
Assessment of root canal morphology of mandibular incisors using cone-beam computed tomography among residents of Al-Madinah Al-Munawara Region, Saudi Arabia
Authors: Ghabbani Hani M. , Marghalani Asma A. , Alabiri Hala R.
Published: January 2020

Objectives: This study investigates the root configuration and prevalence of multiple canals in mandibular incisors among a Saudi subpopulation in the Al-Madinah Al-Munawara region using cone-beam computed tomography (CBCT). Materials and Methods: The study included imaging data from 929 CBCT scans. All scans were obtained using a CBCT device (Carestream SM 749, Rochester, NY, USA). Each scan was analyzed in two orthogonal planes (axial and sagittal) to explore information regarding tooth identification, the number of roots, and the internal morphology of the mandibular incisors. Vertucci’s classification was used to categorize the canal configuration of the mandibular incisors. Statistical Analysis: Data interpretation was performed using SPSS software. Chi-square and one-way analysis of variance tests were applied for data analysis (P < 0.05). Results: Five hundred and twenty-three CBCT scans were excluded according to the set criteria. A total of 1624 mandibular incisors were inspected from 406 CBCT scans. In females, 275 (64.8%) teeth showed Type I configurations, and 125 (29.4%) showed Type III configurations. In males, 563 (46.9%) teeth showed Type III configurations, and 543 (45.2%) showed Type I configurations. In terms of the number of roots, all samples showed single-rooted mandibular incisors. Conclusion: All participants’ mandibular incisors had single roots with a high incidence of single-canal configurations. The root canal configuration of the majority of lower incisors showed bilateral symmetry.
Maryja „typus Ecclesiae” i ewangelizacja
Authors: Królikowski Janusz
Published: January 2020

W nauczaniu II Soboru Watykańskiego zostało wyraźnie podkreślone, że teologia i życie Kościoła potrzebują stałego odniesienia do Maryi. W szczególny sposób wyraża tę potrzebę zastosowane do Maryi miano typus Ecclesiae, którym określali Ją już ojcowie Kościoła. Niniejszy artykuł stanowi próbę odniesienia tego określenia do ewangelizacji w Kościele, aby nadać jej także maryjny charakter. Wydaje się, że można do Maryi zastosować miano „typ ewangelizacji”, ponieważ w Jej wierze i w wynikających z niej kluczowych postawach znajdujemy takie elementy, które pozwalają nadać ewangelizacji bardzo określoną strukturę. Można więc także zasadnie postulować, aby ewangelizacja w Kościele była prowadzona w oparciu o maryjną strukturę.

Mary „typus Ecclesiae” and the evangelisation

The teaching of Second Vatican Council clearly emphasised that theology and the life of the Church are in need of constant reference to Mary. This need is especially manifested in the name typus Ecclesiae applied to Mary, which was already used by the Church Fathers. This article attempts to apply this name to the evangelisation in the Church, in order to make it Marian in character as well. It seems that the notion of „the type of evangelisation” can be applied to Mary, since in Her faith and in the key attitudes resulting from it we can find such elements which allow us to shape evangelisation according to a strictly defined structure. Therefore, it is justifiedto say that the evangelisation in the Church should be conducted according to Marian structure.
Postmodernizm – nowe wyzwania ewangelizacyjne
Authors: Majkowski Władysław
Published: January 2020

Chrześcijaństwo ma swoje źródło w fakcie Bożej miłości do człowieka. „Tak bowiem Bóg umiłował świat, że Syna swego Jednorodzonego dał, aby każdy, kto w Niego wierzy, nie zginął, ale miał życie wieczne. Albowiem Bóg nie posłał swego Syna na świat po to, aby świat potępił, ale po to, by świat został przez Niego zbawiony” (J 3,16-17). Ta „Dobra Nowina” o zbawieniu dokonanym w Osobie Jezusa Chrystusa jest skierowana do każdego człowieka, aby przywrócić pierwotną perspektywę jego życiu. Dobra Nowina dociera do człowieka przez jej głoszenie tym, którzy jeszcze jej nie przyjęli, ale też i tym, którzy – z jakiegokolwiek powodu – od niej odeszli.

W Europie, począwszy od Oświecenia, zaczęła się powolna dechrystianizacja społeczeństw. Racjonalizm powoli wypierał religijne postawy, a pragmatyzm parł w kierunku urządzania królestwa ziemskiego, wyłączając perspektywę eschatologiczną. W tym samym kierunku zadziałały dwie ateistyczne ideologie: marksizmu i nazizmu. W konsekwencji społeczeństwa europejskie zaczęły odchodzić od chrześcijaństwa, przyjmując sposób życia bez Boga. Do tego stylu życia włączona została nowa perspektywa – postmodernizm, której sednem jest kryzys epistemologiczny i kryzys wartości. Te ostatnie zmiany stawiają przed chrześcijaństwem nowe, dotąd nieznane, wyzwania. Chodzi o nowe formy dotarcia z przesłaniem ewangelicznym do tych, którzy żyjąc w nowym świecie społeczno-kulturowym, ulegli dechrystianizacji.

Postmodernism – the new challenges of evangelization

Christianity has its source in the fact of God’s love for Man. „For God so loved the world that he gave his only Son, so that everyone who believes in him might not perish but have eternal life. For God did not sent his Son into the world to condemn the world, but that the world might be saved through him” (Jn 3,16-17). This „Good News” about the salvation accomplished in the Person of Jesus Christ is addressed to every human being to restore his original perspective. The Good News reaches people through its preaching to those who have not yet received it, but also to those who, for whatever reason, have departed from it.

In Europe, starting from the Enlightenment, slow de-Christianization of societies began. Rationalism slowly began to supplant religious attitudes, and pragmatism moved towards the organization of the earthly kingdom, excluding the eschatological perspective. Two atheistic ideologies worked in the same direction: Marxism and Nazism. As a consequence, European societies began to move away from Christianity, adopting a way of life without God. A new perspective of postmodernism has been included in this lifestyle, the essence of which is the epistemological crisis and the crisis of values. These recent changes pose new, previously unknown challenges to Christianity. As a result, a need arises for new forms of preaching the Gospel to these people.
Zagadnienie zgorszenia w kontekście poszanowania życia. Prawo a moralność
Authors: Gryz Krzysztof
Published: January 2020

Jan Paweł II, mówiąc o wielorakich zagrożeniach dla życia człowieka, wprowadził do swojego magisterium wyrażenie „kultura śmierci” lub „cywilizacja śmierci”. Wyraża się ona nie tylko poprzez określone działania zagrażające bezpośrednio życiu człowieka, ale ma swoje głębsze korzenie w duchowej sferze człowieka i jego sumieniu, której przyczyną może być zgorszenie. I odwrotnie, niemoralne działanie, naruszające podstawowe zasady etyczne, może owocować zgorszeniem innych. Artykuł analizuje moralną naukę na temat zgorszenia zawartą w Katechizmie Kościoła katolickiego, który sytuuje je w ramach piątego przykazania jako to, co powoduje śmierć duchową. Szczególną uwagę koncentruje na niesprawiedliwym i niemoralnym prawie jako możliwej przyczynie zgorszenia.

The problem of scandal in the context of respect for life. Law and morality

John Paul II, speaking about the multiple threats to the human life, introduced to his teaching the expression of the „culture of death” or „civilization of death”. It is expressed not only through the specific actions threatening directly human life, but has its deeper roots in the spiritual sphere of man and his conscience, which may be caused by scandal. And vice versa, an immoral action that violates basic ethical principles can cause in the scandal of others. The article analyzes the moral teaching on the topic of scandal contained in the Catechism of the Catholic Church, which places it in the section of the fifth commandment as that which causes the spiritual death. Particular attention is focused on the unjust and immoral law as a possible cause of scandal.
Biskup Konstantyn Dominik (1870-1942) – święty kapłan
Authors: Galanciak Dawid
Published: January 2020

Człowiek potrzebuje świadków wiary na drodze ku świętości. Jednym z nich jest żyjący w latach 1870-1942 Konstantyn Dominik, biskup chełmiński. Postać Biskupa, który jest kandydatem na ołtarze, została ukazana w artykule w kontekście jego związków ze Swarzewem, Pelplinem, Chełmnem i Gdańskiem. Trudne czasy drugiej wojny światowej, na które przypada posługa biskupia Konstantyna, ukazują go jako prawdziwego świadka wiary. Chrystologiczno-maryjny aspekt kapłańskiej i biskupiej posługi, jego prostota i zwyczajność oraz jego droga na ołtarze są pięknym świadectwem świętości osiąganej przez realizowanie życia zgodnie z zamysłem Boga.

Bishop Konstantyn Dominik (1870-1942) – the holy priest
A human being needs to meet witnesses of faith on the way to achieving holiness. One of them can be Bishop Konstantyn Dominik (1870-1942) – the Bishop of Chełmno. The figure of Bishop, who is a candidate for canonisation, was shown in the article in the context of his relations with Swarzewo, Pelplin, Chełmno and Gdańsk. The difficult time of the Second World War during which the Bishop served, present him as a real witness of faith. Christological and Marian aspects of Konstantyn’s pristly and episcopal service, his simplicity and commonness, as well as his path to sanctification, create a beautiful testimony that can be achieved by living one’s life according to God’s vision.
A tentação populista segue viva
Authors: Barros Ana Tereza Duarte Lima de
Published: January 2020

Com a ascensão ao poder de Donald Trump, nos Estados Unidos; a reaparição de líderes ultranacionalistas, na Europa; e a possível candidatura do militar da reserva Jair Bolsonaro, no Brasil, o tema “populismo” se encontra em alta, sendo recorrente nas colunas de opinião dos grandes jornais, pelos quais se observa que cada autor parece possuir seu próprio conceito do que seja o populismo – o que também ocorre dentro das Ciências Sociais –, e a obra “La tentación populista. Una vía al poder en América Latina”, da cientista política Flavia Freidenberg, trata da questão com maestria. Ainda que o libro tenha sido publicado em 2007, em 2018, com o aparecimento de novas lideranças populistas no cenário mundial, a temática do populismo se encontra em um de seus auges.
Experiências memoráveis na vivência acadêmica em cursos de administração: um estudo à luz das “experiências em serviços”
Authors: Cechinel Eduardo , Santos Aline Regina
Published: January 2020

Ao recorrer à abordagem das experiências no contexto dos serviços educacionais, especificamente no ensino superior, este estudo teve o propósito de lançar um novo olhar sobre o segmento, tendo como objetivo propor um framework conceitual para caracterizar as experiências memoráveis vivenciadas por egressos de cursos de graduação em administração, considerando as principais interações na vivência acadêmica. Para alcançá-lo, foi realizada uma pesquisa qualitativa mediante entrevista em profundidade com 11 egressos de instituições universitárias públicas da cidade de Florianópolis/SC, seguida de observação não participante realizada nos pontos de contato advindos das narrativas dos entrevistados. Os resultados indicaram que as experiências memoráveis sofrem influências de fatores individuais, situam-se em quatro dimensões (interação professor e aluno, interação e identificação social, atividades extracurriculares e formatura) e manifestam-se em comportamentos e atitudes dos alunos. A repercussão da pesquisa tem implicações gerenciais e acadêmicas por possibilitar que gestores de instituições de ensino pública reconheçam a importância de um olhar sistêmico sobre os diferentes aspectos que impactam a experiência dos alunos, e que pesquisadores se sintam encorajados a utilizar a abordagem das experiências aplicada a diversos segmentos serviços.
A teoria da aprendizagem significativa e a estratégia de ensino método do caso: um estudo no ensino superior de contabilidade introdutória
Authors: Vendramin Elisabeth de Oliveira , Araujo Adriana Maria Procópio de
Published: January 2020

O objetivo do presente artigo é analisar, com base nos pressupostos da aprendizagem significativa de Ausubel (1968), a aplicação da estratégia de ensino método do caso na disciplina de Contabilidade Introdutória. Para tal adotou-se a abordagem qualitativa e a estratégia de pesquisa estudo de caso único, sendo tal caso uma disciplina de contabilidade introdutória lecionada para séries iniciais de cursos de graduação. Verificou-se que a estratégia de ensino método do caso atende aos três fatores exigidos pela teoria para que a aprendizagem seja significativa. A existência de conhecimento prévio é feita com base no que o aluno já sabe e no que é ensinado nas aulas teóricas. O material é potencialmente significativo, já que os casos são reais, de empresas próximas ao cotidiano dos alunos e elaborados de forma a induzir o raciocínio dos mesmos. Por ser uma metodologia ativa de aprendizagem, o método do caso eleva as chances de o aluno se mostrar pré-disposto a aprender de forma significativa. O resultado das análises apresenta que as expectativas iniciais dos professores ao implantar o método do caso, vem sendo superadas. Assim, considera-se o método do caso adequado para a ocorrência da aprendizagem significativa no âmbito do ensino da contabilidade introdutória.
Nurturing the Prepared Mind: Research During Level II Fieldwork
Authors: Richards Tera A. , Clark Sara , Dapice Wong Stephanie J. , Cohen Helen S. , Garber Susan L.
Published: January 2020

Importance: Level II fieldwork is one of the last opportunities for students to learn from clinicians modeling how to gather practice-based data for research before independent practice.

Objective: To identify options for incorporating active research opportunities in the Level II fieldwork experience and the barriers that preclude these opportunities.

Design: Approximately 575 electronic surveys (QuestionPro), consisting of 31 questions, distributed to fieldwork sites.

Participants: A convenience sample of fieldwork educators and clinical fieldwork coordinators recruited from sites in several states.

Outcomes and Measures: We hypothesized that the main obstacles to providing Level II fieldwork students with research experience were a lack of time resulting from productivity pressures and fieldwork educators’ belief that Level II fieldwork should primarily focus on mastering clinical skills.

Results: One hundred thirteen surveys were started, and 95 were completed. Most respondents reported that Level II fieldwork students would benefit from participation in research. However, only two fieldwork sites with occupational therapists involved in research intentionally coordinated Level II fieldwork students in an active research opportunity. Clinical responsibilities and the lack of current experienced investigators at the fieldwork site were the most significant barriers to these opportunities.

Conclusions and Relevance: Fieldwork educators identify ways for Level II fieldwork students to participate in research but typically do not have time or resources to eliminate identified barriers to research participation. Lost opportunities to participate in research in Level II fieldwork must be addressed to promote greater research inquiry in the future occupational therapy clinical workforce.

What This Article Adds: The article adds to the literature describing the barriers to student participation in research activity during Level II Fieldwork and the types of research activity occupational therapy students participated in during a 12-wk rotation.
Occupational Therapy Interventions to Improve Reading Performance of Older Adults With Low Vision: A Systematic Review
Authors: Smallfield Stacy , Kaldenberg Jennifer
Published: January 2020

Importance: Low vision affects many older adults and is expected to significantly increase over the next several decades. It has a significant impact on all aspects of daily life, including the reading required for participation in occupations.

Objective: To determine the effectiveness of interventions within the scope of occupational therapy to improve reading required for the performance of occupations by older adults with low vision.

Data Sources: We conducted a systematic review of literature published in the Cochrane Database of Systematic Reviews, MEDLINE, PsycINFO, CINAHL, and OTseeker databases from 2010 through 2016. The references of retrieved articles were also hand searched.

Study Selection and Data Collection: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to abstract and assess data quality and validity. This review followed the established methodology of the American Occupational Therapy Association Evidence-Based Practice Project.

Findings: Sixteen articles met the inclusion criteria and were categorized into three themes: (1) technology, (2) visual skills training, and (3) multicomponent interventions. Moderate evidence supports stand-based electronic magnification and eccentric viewing training to improve reading outcomes. Strong evidence supports multicomponent interventions.

Conclusions and Relevance: Occupational therapy practitioners working with older adults with low vision are strongly encouraged to integrate stand-based electronic magnification, eccentric viewing training, and comprehensive low vision services into routine care. Further research with larger sample sizes and functional reading outcome measures is needed.

What This Article Adds: This review provides additional support for the use of select occupational therapy interventions (stand-based electronic magnification, eccentric viewing training, and comprehensive low vision services) to support the reading required for occupational performance for older adults with low vision. The findings provide guidance to occupational therapy practitioners for selection and implementation of evidence-based interventions for reading.
Occupational Therapy Interventions for People With Low Vision
Authors: Nastasi Julie Ann
Published: January 2020

The special section in this issue advances research for occupational therapy interventions for people with low vision. Three systematic reviews provide evidence for occupational therapy interventions in the areas of activities of daily living, instrumental activities of daily living, leisure and social participation, and reading. In addition, the special section addresses oculomotor treatment in traumatic brain injury, normative data for the Dynavision, and properties of a ScanCourse.
Traffic-originated nanocluster emission exceeds H2SO4-driven photochemical new particle formation in an urban area
Authors: Olin Miska , Kuuluvainen Heino , Aurela Minna , Kalliokoski Joni , Kuittinen Niina , Isotalo Mia , Timonen Hilkka J. , Niemi Jarkko V. , Rönkkö Topi , Dal Maso Miikka
Published: January 2020

Abstract. Elevated ambient concentrations of sub-3 nm particles (nanocluster aerosol, NCA) are generally related to atmospheric new particle formation events, usually linked with gaseous sulfuric acid (H2SO4) produced via photochemical oxidation of sulfur dioxide. According to our measurement results of H2SO4 and NCA concentrations, traffic density, and solar irradiance at an urban traffic site in Helsinki, Finland, the view of aerosol formation in traffic-influenced environments is updated by presenting two separate and independent pathways of traffic affecting the atmospheric NCA concentrations: by acting as a direct nanocluster source and by influencing the production of H2SO4. As traffic density in many areas is generally correlated with solar radiation, it is likely that the influence of traffic-related nanoclusters has been hidden in the diurnal variation and is thus underestimated because new particle formation events also follow the diurnal cycle of sunlight. Urban aerosol formation studies should, therefore, be updated to include the proposed formation mechanisms. The formation of H2SO4 in urban environments is here separated into two routes: primary H2SO4 is formed in hot vehicle exhaust and is converted rapidly to the particle phase; secondary H2SO4 results from the combined effect of emitted gaseous precursors and available solar radiation. A rough estimation demonstrates that ∼85 % of the total NCA and ∼68 % of the total H2SO4 in urban air at noontime at the measurement site are contributed by traffic, indicating the importance of traffic emissions.
Anthropogenic and volcanic point source SO2 emissions derived from
TROPOMI onboard Sentinel 5 Precursor: first results
Authors: Fioletov Vitali , McLinden Chris A. , Griffin Debora , Theys Nicolas , Loyola Diego G. , Hedelt Pascal , Krotkov Nickolay A. , Li Can
Published: January 2020

Abstract. The paper introduces the first TROPOMI-based sulfur dioxide (SO2) emissions estimates for point sources. A total of about 500 continuously emitting point sources releasing from about 10 kT y−1 to more than 2000 kT y−1 of SO2 per year, previously identified from Ozone Monitoring Instrument (OMI) observations, were analysed using TROPOMI measurements for one full year, from April 2018 to March 2019. The annual emissions from these sources were estimated and compared to similar estimates from OMI and Ozone Mapping Profiling Suite (OMPS) measurements. Note that emissions from many of these 500 sources declined significantly since 2005 making their quantification more challenging. We were able to identify 278 sources where annual emissions are significant and can be reliably estimated from TROPOMI. The standard deviations of TROPOMI vertical column density data, about 1 Dobson Unit (DU, where 1 DU = 2.69 × 1016 molecules/cm2) over tropics and 1.5 DU over high latitudes, are larger than those of OMI (0.6–1 DU) and OMPS (0.3–0.4 DU). Due to its very high spatial resolution, TROPOMI produces 12–20 times more observations over a certain area than OMI and 96 times more than OMPS. Despite higher uncertainties of individual TROPOMI observations, TROPOMI data averaged over a large area have roughly two-three times lower uncertainties compared to OMI and OMPS data. Similarly, TROPOMI annual emissions can be estimated with uncertainties that are 1.5–2 times lower than the uncertainties of annual emissions estimates from OMI. While there are area biases in TROPOMI data over some regions that have to be removed for emission calculations, the absolute magnitude of these are modest, typically within ±0.25 DU, it can be comparable to SO2 values over large sources.