bluuebunny/crossref_metadata_2025 huggingface dataset:
RADIOLOGIC PREDICTIVE FACTORS FOR CUT OUT FAILURE OF PROXIMAL FEMORAL NAIL ANTI-ROTATION IN TREATMENT OF INTERTROCHANTERIC FRACTURES
Authors: Plumarom Yanin , Sirivitmaitree Songwut , Kosiyatrakul Arkaphat , Jirangkul Puripun , Heepthamai Danai , Phruetthiphat Ong-art
Published: February 2022

Background: Proximal femoral fractures are the most common type of fracture among elderly patients. Moreover, half of the fractures are unstable types (AO31A2-A3). The aim of surgical treatments of these fractures is to achieve stable fracture fixation allowing early weight-bearing and returning to pre-fracture functional status. Even though the Tip Apex Distance (TAD) less than 25mm has been used to identify the appropriate position of the lag screw, little data has demonstrated the optimized TAD using a helical blade.Objectives: The study aimed to identify radiologic factors influencing fixation failure using a  newly designed Proximal Femoral Nail Anti-rotation (PFNA)Methods: A total o 400 cases of low energy intertrochanteric fractures undergoing PFNA fixation were reviewed. Of these, 10 cases of fixation failure were further investigated determining the exact cause. Of 390 patients with successful outcomes treated using PFNA fixation, 20 cases were randomized as a control group. A comparative study was conducted between those with fixation failure group and control group.Results: The displacement in lateral view and sum of displacement between AP and lateral view of radiographs were noted to have significant differences between the group (p=0.002 and 0.015). No significant differences were found between the groups in terms of Neck Shaft Angle (NSA) and Tip Apex Distance (TAD) including migration of the PFNA blade in the Cleveland zone. Additionally, the cutoff point was determined as less than 0.91 using the sum of the distance of displacement of AP with specificity of 95% and sensitivity of 80%. Moreover, the lateral view of the radiographs was less than 1.42 with specificity of 80% and sensitivity of 80%.Conclusion: This study demonstrated that the displacement in lateral hip view and sum of the displacement in both AP and lateral hip view were alternative parameters measured to decrease failure rate in PFNA. These parameters may be useful as an alternative to decrease the mechanical failure of PFNA fixation.
PREVALENCE OF ABNORMAL GLUCOSE METABOLISM AMONG THAI OVERWEIGHT AND OBESE CHILDERN AND ADOLESCENTS
Authors: Mungklarat Pacharin , Juttuporn Anothai , Suphaphimon Wiphakorn , Sanor Warissara , Kooanantkul Chula , Numbenjapon Nawaporn , Phatarakijinirund Voraluck
Published: February 2022

Background: The prevalence of childhood obesity is in creasingly worldwide. Abnormal glucose metabolism (ASM) including impaired fasting glucose (IFG), impaired glucose tolerance (IGT) and type 2 diabetes (T2DM) is a common endocrine complication among overweight and obese children and adolescents. Few studies of AGM are available in Thailand.Objectives: The study aimed to establish the prevalence of AGM and identify associated complications among overweight and obese children and adolescents.Methods: Data of overweight and obese children and adolescents, aged 6 to 18 years, undergoing oral glucose tolerance test (OGTT) at phramongkutklao Hospital were reviewed retrospectively. Fasting blood sugar, Hemoglobin Ale (HbA1c). fasting insulin, triglyceride, high-density lipoprotein, low-density lipoprotein, aspartate transaminase and alanine aminotransferase were derived from fasting measurement. Homeostatic model assessment was calculated to represent the insulin resistance.Result: A total of 204 children and adolescents (122 males) were included. Mean age was 12.1 ± 2.6 years and percent weight for height was 168.8 ± 25.4% The overall prevalence of AGM was 20.6%, 1 % had T2DM, 0.5% had IFG, 36% had IGT and 1.5% had combined IFG/IGT. Among the AGM, IGT was the most frequent subtype representing 92.8% (39/42 cases) but only 2 cases of T2DM were diagnosed in our study. The AGM group had significantly higher FPG (p=0.034), HbA1c (p=0.006) and cholesterol levels (p=0.043) than those of the nonabnormal glucose metabolism (NGM) groupConclusion: Prevalences of AGM among overweight and obese children and adolescents were high. IGT was the most frequent group.
EFFICACY OF DOUBLE DOSE VERSUS STANDARD DOSE ERGOCALCIFEROL ON VITAMIN D STATUS AMONG PATIENTS WITH CHRONIC KIDNEY DISEASE
Authors: Areepong Siwimon , Ouppatham Ouppatham , Satirapoj Bancha
Published: February 2022

Background: Patients with chronic kidney disease (CKD) have an exceptionally high rate of 25-hydroxyvitamin D (25-OHD) deficiency. Modest supplementation with ergocalciferol to raise serum 25-OH-D levels might improve bone and mineral disorders in CKD. Limited evidence is available regarding dosage of ergocalciferol supplement in CKD populations.

Objectives: The study aimed to examine the effectiveness of double-dose ergocalciferol on serum 25-OHD, serum intact parathyroid hormone (PTH) levels and mineral and safety profiles compared with standard-dose ergocalciferol among CKD subjects.

Methods: The study employed a 12-week open labeled, randomized, controlled design among patients with CKD at stages III-IV and serum 25-OHD <30 ng/mL. Patients were randomized in 2 groups: standard dose treated with ergocalciferol as recommended by K/DOQI guidelines or double dose of ergocalciferol from recommendations. Serum testing including 25-OHD, intact PTH, phosphate and calcium was performed at baseline and week 12.

Results: Sixty-three patients were included [standard-dose group (N=30) and double-dose group (N=34)]. At the end of the 12 weeks, 20 (58.8%) patients in the double dose ergocalciferol group achieved sufficiency compared with 6 (20%) patients in the standard dose ergocalciferol group (p<0.05). A significant increase in serum 25-OHD levels (13.6±9.9 vs. 8.5±6.8 ng/mL, p=0.030) and decrease in serum PTH level group (-16.8±26.4 vs. -0.3±26.8 pg/mL, p=0.030) was found in the double-dose group compared with the standard-dose group. No adverse effect was associated with the treatment.

Conclusion: The study demonstrated that high dose oral ergocalciferol had higher efficacy to increase serum 25-OHD and decrease serum PTH levels among patients with CKD than standard-dose ergocalciferol after 12 weeks of treatment.
Three Texts, One Applicant—Identities Constructed in Taoci Email Communication
Authors: Xiao Lin
Published: February 2022

This research taps into the identity construction in “Taoci” email, a discursive practice popular among Chinese study-abroad applicants. Following a qualitative approach, we focus on one Chinese student’s emails to the same American professor. English Taoci emails and interviews have been collected as research data. Detailed linguistic analysis has been proceeded with the distinctive linguistic features of pronoun usage, “pronoun+predicate” pattern, evaluative vocabulary, discourse content and speech acts. Three relational identities have been found:  I(maxium) identity, I(to you) identity, and I(and you) identity based on the linguistic features. The interview transcripts are used to scaffold the dynamic discursive building in the emails. It is hoped that this study would contribute to discussion on discourse identity and shed light on intercultural student-faculty email communication in the e-world.
Thiết kế và thực hiện cổng chuyển đổi LoRa - GSM giám sát các nút dựa trên công nghệ LoRa
Authors: Lil Hồ A , Minh Bùi Vũ
Published: February 2022

LoRa (Long Range Radio) là công nghệ không dây truyền dữ liệu tầm xa, tiêu thụ nănglượng thấp cho các ứng dụng M2M và IoT. Nhóm tác giả đã thiết kế và thực hiện cổngchuyển đổi (Gateway) LoRa– GSM (Global System for Mobile Communications) tíchhợp màn hình cảm ứng HMI (Human Machine Interface), để giao tiếp với người vậnhành thay thế cho một máy chủ LoRa. Cổng chuyển đổi sàng lọc và đưa dữ liệu lênmáy chủ IoT thông qua mạng di động GPRS/3G/4G tương thích với mọi địa hình khácnhau. Nút LoRa sử dụng cảm biến không dây dùng pin tiết kiệm năng lượng, đồng bộvới cổng chuyển đổi. Sản phẩm LoRa 433MHz đã được thử nghiệm ở hai vùng địahình: đô thị và nông thôn. Kết quả cho thấy cổng chuyển đổi đảm bảo yêu cầu kiểmsoát và truyền dữ liệu đạt độ tin cậy cao và ra quyết định điều khiển ổn định; có thểđược sử dụng trong công nghiệp, quan trắc môi trường nông nghiệp và y tế.
Do Patents Spur Innovation for Society? Lessons from 3D Printing
Authors: Pazaitis Alex , Giotitsas Chris , Savvides Leandros , Kostakis Vasilis
Published: February 2022

Effective appropriation of new technology has long been considered essential for innovation. Yet, the role of patents and other Intellectual Property tools has been questioned, both for rewarding innovators and serving societal needs. Simultaneously, there is ample empirical evidence of technological advance accelerating under conditions of loose appropriability, for example, when patents expire and cases of innovations based on shared technology and diverse motivations. This paper explores the case of the 3D printing technology, which appears to have found successful commercialization and dynamic market growth after key patents expired. We analyze the role of commons-based peer production practices in forging synergies among different factors and effectuating an alternative innovation pathway and the challenges and contradictions in the process. Finally, we critically assess recent developments of 3D printing technology and draw lessons for innovation policy by incorporating aspects of emerging commons-based innovation paradigms.
Kroniek functioneel verschoningsrecht; belangwekkende uitspraken in coronatijd
Authors: Fanoy N.A.M.E.C. (Nathalie)
Published: February 2022

Kroniek functioneel verschoningsrecht; belangwekkende uitspraken in coronatijd

In deze kroniek becommentarieert de auteur een selectie van recente uitspraken van civiele en strafkamers van de Hoge Raad en de gerechtshoven (en een enkele van de belastingkamer), mede aan de hand van de uit de jurisprudentie voortvloeiende regels over het functionele verschoningsrecht. Onder meer de grondslag en het belang van het verschoningsrecht, de omvang en de reikwijdte van het subject en het object van het verschoningsrecht, het afgeleid verschoningsrecht en ‘corpora et intrumenta delicti’ komen aan de orde. De auteur bespreekt verder twee – met name procedurele – aspecten van het verschoningsrecht die in haar optiek nog niet (volledig) zijn uitgekristalliseerd.
Een nieuw beoordelingskader voor de sanctionering van vormverzuimen: een stap in de goede richting?
Authors: Samadi M. (Mojan)
Published: February 2022

Een nieuw beoordelingskader voor de sanctionering van vormverzuimen: een stap in de goede richting?

Deze bijdrage behandelt het huidige kader van artikel 359a Sv en de mate waarin de door de Hoge Raad in een tweetal standaardarresten uit 2020 aan dit kader aangebrachte wijzigingen ruimte bieden aan de praktijk om vormverzuimen ter discussie te stellen en voor de rechter om daarop te reageren. De auteur bespreekt daartoe onder meer de in de literatuur geuite kritiek op de jurisprudentiële lijn van de Hoge Raad, de meest recente ontwikkelingen in deze discussie, de veranderingen ten opzichte van de situatie voor de hiervoor bedoelde arresten en de praktische implicaties van deze wijzigingen.
The impact of socio-demographic and clinical factors on the quality of life and disease acceptance in patients with Crohn’s disease
Authors: Gawor Anna , Lelek Daria , Ścisło Lucyna , Chrobak-Bień Joanna
Published: February 2022

Introduction: Crohn’s disease (CD) is a chronic inflammatory disorder of the gastrointestinal tract characterized by periodsof remission and exacerbations of varying severity. The symptoms include: abdominal pain, diarrhea, flatulence, nausea, lossof appetite, weight loss, weakness, and changes in body temperature. Treatment is based on a combination of nutritional treatment and pharmacotherapy. Sometimes surgery can be necessary. The quality of life and disease acceptance are essential elements of the functioning of people with CD.

 Aim: The aim of the study is to analyze the factors affecting the quality of life and the level of disease acceptance in patients suffering from Crohn’s disease

  Material and methods: The study was conducted in a group of 46 patients diagnosed with Crohn’s disease. The study was carried out using the proprietary questionnaire, AIS, and WHOQOL-BREF.

 Results: The study group was dominated by young people. The average age of respondents was 34.28. The quality of life and the level of CD patients’ disease acceptance were at an average level. The average score obtained by respondents in the Acceptanceof Illness Scale (AIS) was 28.37. The study revealed a significant impact of disease acceptance level on the respondents’ assessment of quality of life.

  Conclusions: Patients’ quality of life and level of disease acceptance are influenced by demographic factors and the clinical course of disease. Older patients after several surgeries for CD should receive more intensive psychological care. Health educationof patients with CD regarding disease, self-care, and skillful support are key in increasing the assessment of quality of life and the level of disease acceptance. Further research is required in a larger group of patients with CD subject to surgical treatment.
Digitalizacja świata realnego na potrzeby tworzenia wirtualnej rzeczywistości
w architekturze
Authors: Szuliński Tomasz
Published: February 2022

W niniejszym artykule autor stara się odpowiedzieć na pytania dotyczące jak najlepszego sposobu jakościowego realistycznego odtworzenia elementów rzeczywistych, takich jak budynki, małe budynki oraz detale architektoniczne gliwickiego budownictwa. Poruszona została reprezentacja świata wirtualnego jako model 3D. Ponadto wykonywanie modeli architektonicznych autor porównuje z dotychczasowymi metodami studentów w ramach fakultetu na Wydziale Architektury. Ma to na celu poprawę jakości koncepcji i ustalenie metodologii tworzenia modeli do oświetlania modelu w wirtualnie skonstruowanym środowisku. Aplikacje oraz urządzenia będą wykorzystywane przez autora do porównania efektów końcowych.
CRITERIA QUALIFYING A SELF-EMPLOYED PERSON AS A SEMI-DEPENDENT EMPLOYEE. PART 1
Authors: Kobroń-Gąsiorowska Łucja
Published: February 2022

The current legal status protecting only employees within the meaning of Art. 2 of the Labor Code and in a small part of contractors, contributes to the deterioration of the situation of semi-dependent self-employed workers, resulting in effects that are opposite to the intended ones, i.e., the inclusion of the axiology of the protective function into non-employee forms of work. In connection with these doubts, there are demands to increase protection standards and even deregulate in this respect substantially. The author assumes the existence of an intermediate category of the self-employed, who are also economically dependent on their contractors. Therefore, it should be discussed whether they could be classified indirectly as employees, which would result in applying at least some employee rights to them. At present, there is hardly any discussion about the „intermediate category” or the definition of criteria that would qualify such nature of obligations and dependence on the employment relationship
Restoring Functional and Utilitarian Solutions of the Railway Station Building
in Świebodzice
Authors: Gąsowska-Kramarz Agata
Published: February 2022

The aim in separating the architectural space is to create a structure to meet specific functional and aesthetic requirements; the construction of space can be done with the use of various methods and activities. The example of the Railway Station in Świebodzice forms a background for finding oneself in space and shaping the space in a multi-directional way. The author’s aim was to examine the space of the railway station in terms of architectural and non-architectural criteria. Architectural factors were based on the criterion of the qualification of space relating to “activities determining the state of living,” non-architectural factors were based on the criterion of qualifying space in the context of “hyper-reality of state and place.”
The method of logical argumentation was adopted for the research, interpreting reality on a selected example in order to understand the existing conditions.
The result is a graphic presentation of the floor plans layout in the living space with the simultaneous and linear performance of activities determining the condition of the apartment and the formation of forms of living in space in the context of the real and apparent (simulacra) image of the place of living.
The conclusions show the form of simultaneity or linearity in the analyzed architectural space as well as the case of shaping the space reflecting deep reality and the case of feeling the image of a space that distorts and conceals deep reality.
PERMITTED DIGITAL USE FOR EDUCATIONAL INSTITUTIONS – A REGULATION JUST IN TIME?
Authors: Węgiel Ewa
Published: February 2022

This paper is devoted to the issue of permitted digital use for educational institution. The author analyzes changes that have been introduced by Directive 2019/790 on copyright and related rights in the Digital Single Market (DSM) - comparing provisions of the new directive to the provisions of Directive 2001/29 on the harmonisation of certain aspects of copyright and related rights in the information society (INFOSOC). In this work problems of the new act are indicated and the scope of its application is outlined. The new regulation is assessed through the pandemic experience. In the second part of this paper the author examines the provisions of the polish act on copyright and related rights. She indicates to what extent the polish act should be changed in order to implement the provisions of the DSM directive.
CPT-Based Geotechnical Design Manual, Volume 1: CPT Interpretation—Estimation of Soil Properties
Authors: Niazi Fawad
Published: February 2022

This manual provides guidance on how to use the cone penetration test (CPT) for site investigation and foundation design. The manual has been organized into three volumes. Volume 1 covers the execution of CPT-based site investigations and presents a comprehensive literature review of CPT-based soil behavior type (SBT) charts and estimation of soil variables from CPT results. Volume 2 covers the methods and equations needed for CPT data interpretation and foundation design in different soil types, while Volume 3 includes several example problems (based on instrumented case histories) with detailed, step-by-step calculations to demonstrate the application of the design methods. The methods included in the manual are current, reliable, and demonstrably the best available for Indiana geology based on extensive CPT research carried out during the past two decades. The design of shallow and pile foundations in the manual is based on the load and resistance factor design (LRFD) framework. The manual also indicates areas of low reliability and limited knowledge, which can be used as indicators for future research.
Investigating the Influence of Tourism on Economic Growth and Climate Change – The Case of Croatia
Authors: Šverko Grdić Zvonimira , Gregorić Maja , Krstinić Nižić Marinela
Published: February 2022

In Croatia, tourism is one of the most important economic activities, accounting for 2.1% of total tourist flows in the European Union and 18% of the total Croatian gross domestic product. Economic development and tourism flows are influenced by the increasing intensity of climate change, leading to a need to adapt to new business conditions to minimize the negative and maximize the positive effects. The objective of the current study is to empirically research the role of tourism in the Croatian economy for the period 2004-2015 and the impact of climate change on tourist flows. To investigate experts’ opinions on the impact of climate change on Croatian tourism, this study employs a qualitative approach to obtain comprehensive insights into tourism, climate change and scientific research. By conducting in-depth interviews with experts and identifying the challenges posed by the current impact of climate change on Croatian tourism, the authors gain deeper insights into tourism development and climate change that reflect the current situation in Croatia. The results indicate that climate change will not have a negative impact on Croatian tourism in the near future. However, after 2050, a number of adaptation measures will be required to maintain the current tourism status.
Inflation, Inflation Uncertainty, and Growth: Evidence from Ghana
Authors: Njindan Iyke Bernard , Ho Sin-Yu
Published: February 2022

Inflation and inflation uncertainty are critical factors influencing the functioning of markets and thus the efficient flow of economic activities. In this study, we investigated the effects of inflation and inflation uncertainty on growth in Ghana. Unlike the majority of the previous studies, we distinguished the short-run effects of inflation and inflation uncertainty on growth from the long-run effects. Also, unlike the previous studies, we examined whether increases in inflation uncertainty have the same effects on growth as decreases in it. By applying linear and nonlinear specifications to a data set covering the period 1963 to 2015, we found that inflation has both short and long-run negative effects on growth. Inflation uncertainty has a differential short-run effect and a negative long-run effect on growth. Increases in inflation uncertainty hurt growth, while decreases may reverse this pattern, albeit slowly. Both inflation and inflation uncertainty are critical determinants of growth in the country. To promote growth, policymakers should continue to pursue a low inflation target while ensuring minimal inflation uncertainty.
ESPACIALIDADE INFANTIL: ANÁLISE DAS PRÁTICAS ESPACIAIS E DOS VÍNCULOS ENTRE AS CRIANÇAS NA PRAÇA 7 DE SETEMBRO EM CRUZÍLIA – MG
Authors: Ramiro Paloma Pereira , Aguiar Victor Martins de , Maria Yeda Ruiz
Published: February 2022

Public spaces are the main agents for the creation of the most diverse relationships that human beings can establish, especially during early childhood, where the first links responsible for building a memory and belonging to space are established. However, it is increasingly observed the neglect of these spaces, consequently noting the abandonment and distancing of children from the urban environment, due to the lack of infrastructure and the failure to meet the basic demands of culture and leisure aimed at this group. The scientific research aimed to analyze the relationship between children and public spaces and the object of study adopted was Praça 7 de Setembro, inaugurated in 1968 in the city of Cruzília – MG. Through on-site surveys, qualitative and quantitative analyzis were carried out on the infrastructure offered to users, as well as analyzes of the demands and spatial practices of the square. In addition, readings were carried out on urban public policies related to early childhood in the city and on the process of expropriation of a part of the square, in 2011, as a result of the implementation of a pharmacy of the Minas Pharmacy Program, managed by the State Secretariat of Minas Gerais Health (SES/MG). The methodology used in the research, therefore, consisted of conducting bibliographic and documental reviews, on-site surveys and analyzes regarding the object of study, Praça 7 de Setembro, demonstrating the relevance of discussions about public spaces and strengthening the bond of belonging of child versus city.
ASPECTOS GERAIS SOBRE AS RELAÇÕES TRABALHISTAS E O MICROEMPREENDEDOR INDIVIDUAL COMO PRESTADOR DE SERVIÇOS A OUTRA PESSOA JURÍDICA
Authors: Esse Luis Gustavo
Published: February 2022

This article aims to address a very recent phenomenon, which consists of contracting service providers, formalized as Individual Microentrepreneurs (MEI), to carry out core activities of the contracting company, through a service provision contract, entered into between the parties. This phenomenon arises, above all, from the effectiveness of the Outsourcing Law (2017), which consumes the unrestricted outsourcing of all activities performed by the company, causing activities that can only be performed by functions to be outsourced before by outsourcers, who are often individual service providers, formalized as Individual Microentrepreneurs. The objective of the article is to demonstrate what are the legal acts, and consequently, the acts for the management of the company, of the adoption of this type of contract, showing what are its limits and risks for the entrepreneur.
Numerical and Experimental Research on the Influence of Clearance Between Impeller and Cover on the Pump Performance
Authors: PENG Guangjie , HONG Shiming , CHANG Hao , FAN Fengyi , ZHANG Yiyang , SHI Peng
Published: February 2022

Centrifugal pump is widely used and plays an important role in national economy. However, according to plenty of engineering practice and model tests, it indicated that the clearance between the impeller and pump cover is an important parameter for leakage loss and hydraulic efficiency. In this paper, a single stage centrifugal pump was selected to study the influence of clearance between impeller and pump cover on the hydraulic performance through combination of experiment and numerical simulation. Commercial software ANSYS CFX was employed to simulate the internal flow field with a clearance of 0 mm, and the experimental verification was carried out. The results presented that only a small difference was generated between experiment and numerical simulation, the maximum error is less than 4%, which can ensure the accuracy of the numerical calculation. At the same time, by comparing the simulation results with clearance of 0.1 mm, 0.22 mm, 0.42 mm and 0.62 mm, it found that with the increase of clearance, the impact loss at the tongue was significantly improved. In addition, with the increase of clearance, the effect of water flowing out from clearance interferes with the water at impeller inlet gradually improve. Finally, the hydraulic experiment with different clearance were carried out to verify the numerical result. Therefore, this research results have significant guiding effect for the design of clearance between impeller and cover in the future.
Mutter-Vater-Kind-Kuren der GKV
Authors: Braun Bernard , Sommer Jörn , Meyer Stefan
Published: February 2022

Fast zwanzig Prozent aller Mütter, Väter und pflegenden Angehörigen benötigten bereits vor der Pandemie eine Rehabilitations- oder Vorsorgemaßnahme. Zahlreiche Studien zeigen, dass sich dieser Bedarf mit großer Wahrscheinlichkeit durch die Pandemie erheblich erhöhen wird. In Befragungen bewerten Ärzt:innen wie ehemalige Patient:innen die Wirkung der von der GKV angebotenen spezifischen Mutter-Vater-Kind-Maßnahmen zumindest kurz- bis mittelfristig positiv, weisen aber auch auf ihre nicht ausreichende Nachhaltigkeit und zahlreiche Defizite im Bereich der Nachsorge hin. Um dem zukünftigen Bedarf gerecht werden zu können, sind Reformen beim Leistungsangebot, der Organisation und Finanzierung von Nachsorge notwendig.
Der „Pflexit“ – eine Exploration von Begriff, Lage und Gründen
Authors: Taufer Raphael , Fuchs Daniel
Published: February 2022

Angesichts drohender pandemiebedingter Versorgungsengpässe in der Pflege manifestiert sich insbesondere medial der Begriff Pflexit - und damit die Sorge um eine sich ad hoc verschärfende Personalsituation in der Pflege. Der BKK Dachverband hat eine orientierende Literaturrecherche beauftragt, um systematisch aktuelles Wissen hierzu zu bündeln. Im Artikel werden die Erkenntnisse thematisch eingeordnet und auf dieser Grundlage Thesen und Schlussfolgerungen für pflege- und versorgungspolitische Entscheidungen abgeleitet.
Sektorenübergreifende Versorgung – wie schnell ist nichts passiert
Authors: Tophoven Christina
Published: February 2022

Nach dem Koalitionsvertrag plant die Bundesregierung für das Gesundheitssystem eine „Innovationsoffensive“. Ein zentraler Ansatz soll die Förderung sektorenübergreifender Versorgung sein. In diesem Aufsatz werden einige Konzepte vorgestellt, die für die Koalitionsüberlegungen wahrscheinlich prägend waren. Kommunale Gesundheitskonferenzen spielen in vielen Konzepten eine zentrale Rolle. Aber wie und unter welchen Prämissen könnten sie die Aufgabe einer verbindlichen sektorenübergreifenden Versorgungsplanung übernehmen? Soll den örtlichen Akteuren größtmögliche Freiräume nach dem Vorbild der „besonderen Versorgung“ nach § 140a SGB V eingeräumt werden und man sich dafür vom Konzept des Wettbewerbs über Selektivverträge zumindest in ländlichen Regionen verabschieden?
Investigation of Cyclooxygenase-2 Gene Polymorphism in Patients with Gastric Cancer and Healthy Individuals in Northern Iran
Authors: Khajavi Danial , Fozouni Leila
Published: February 2022

Background: Gastric cancer is one of the most common types of cancer in the world. Cyclooxygenase-2 (COX-2) is a pro-inflammatory enzyme and an important mediator of tumor cell proliferation and angiogenesis. Objectives: The aim of this study was to investigate the relationship between COX-2 gene polymorphism and the risk of developing gastric cancer. Methods: This case-control study was carried out on 150 patients with gastric cancer and 150 healthy individuals. Genomic DNA was extracted using a modified method of protein precipitation at high salt concentrations. Polymorphisms of the COX-2 gene were investigated by polymerase chain reaction-restriction fragment length polymorphism analysis. Results: In this study, the frequency of GG genotype and CC genotype was significantly higher in patients with gastric cancer and healthy individuals, respectively (P < 0.05). However, the frequency of CC genotype did not significantly differ between the 2 study groups. Conclusions: We demonstrated that the homozygous GG genotype of COX-2 is significantly more frequent in patients with gastric cancer compared to healthy individuals. This could indicate the possible role of COX-2 in the development or progression of gastric cancer.
The Recognition of Gift
Authors: Marion Jean-Luc , Bozga Adina , Ciocan Cristian ,   Romanian Society for Phenomenology
Published: February 2022

In this article, the author unveils the play between visibility and invisibility as it is captured in a phenomenology of the gift. The first part of the essay explores the tension between the fact of being given and the forgetting of its characters as a gift: its donor and the circumstances of it being given. In the process of becoming autonomous, free of its provenance, the gift loses its character of being given and becomes no more than a simple thing in someone’s possession. Subsequently, the essay draws on the figure of Christ as gift of God, illustrating this interpretation with particular reference to several illuminating passages from the Gospel of John. The central image is the phenomenon of gift as given in the bread and wine of the Eucharist. Finally, this image is used to define the task of a hermeneutical approach to the gift.
Être la vérité
Authors: Hatem Jad ,   Romanian Society for Phenomenology
Published: February 2022

The discourse on truth rarely takes into account the claim made by a few minds of being themselves not only in truth, or expressing the truth, but of being also truth itself. We seek first to demonstrate the phenomenological significance of this proposition. We then examine the divergent meanings this claim undertakes in three prominent figures: Jesus, Çankara and Hallâj. At this occasion, an investigation is conducted on the meaning of the copula in the formula: I am the truth, in dogmatic, philosophical and mystical realms.
Écriture phénoménologique et théologique
Authors: Bassas Vila Javier ,   Romanian Society for Phenomenology
Published: February 2022

This paper intends to identify the functions of the French particle “comme” (“like” in opposition to “as”) and “comme si” (“as if”) in the work of French contemporary philosopher Jean-Luc Marion, especially in L’idole et la distance (American translation: The Idol and Distance), Dieu sans l’être (American translation: God without Being), Étant donné (American translation: Being given) and De surcroît (American translation: In excess). The author of this paper focuses on the relation between phenomenology and theology in order to demonstrate its complexity by an analysis of linguistic phenomenology. At the end of this analysis, the “saturated phenomenon”, as proposed by Jean-Luc Marion, becomes an important notion to understand the boundaries of both disciplines, phenomenology and theology.
Heidegger, l’attente de la parousie et l’être pour la mort
Authors: Ciocan Cristian ,   Romanian Society for Phenomenology
Published: February 2022

At the beginning of his philosophical career (between 1918 and 1921), the young Heidegger analyzed various texts belonging to the field of the religious tradition: the Pauline Epistles, Augustinian writings and texts of the medieval mystics. Through these analyses, Heidegger formalized certain phenomena that we can find, a few years later, in Being and Time, illustrating the “warm” line of the existential analytic, the pathetic level of the ontology of Dasein: anxiety, death, consciousness, and guilt. My paper focuses on this process of ontologization of phenomena belonging to religious life, namely on the awaiting of Parousia which is used to elaborate the futural structure of being towards death. I finally argue that the keyword for the understanding of the phenomenological transfer from the religious life to the ontology of Dasein is the methodological idea of “formal indication”, whose meaning and role must be clarified.
Description of two new species of the genus Chlorogomphus Selys, 1854 (Odonata: Chlorogomphidae) and a new record of Chlorogomphus gracilis Wilson & Reels, 2001 from the Central Highlands of Vietnam
Authors: Phan Quoc Toan , Karube Haruki
Published: February 2022

Two new species of the genus Chlorogomphus are described based on both sexes collected from the Central Highlands of Vietnam. These species are C. hoaian sp. nov. (holotype male from Kon Ka Kinh National Park, 14.3672° N, 108.5368° E, alt. 1000 m) and C. vani sp. nov. (holotype male from Chu Yang Sin National Park, 12.4780° N, 108.4617° E, alt. 749 m). Furthermore, C. gracilis Wilson & Reels, 2001 is recorded from Vietnam for the first time, with notes on its morphology and detailed illustrations of male and female structures.
The effect of natural fiber (banana fiber) on the mechanical properties of self-compacting concrete
Authors: Chairunnisa Nursiah , Nurwidayati Ratni , Muhammad Madani
Published: February 2022

Self-compacting concrete is an innovative concrete technology with higher flowability properties by adding the mineral admixtures such as superplasticizers and not necessary to vibrate concrete. The banana fibers were used in this investigation because banana fiber is an environmentally friendly material with good properties compared to synthetic fiber. The experimental test consisted of two phases of research, i.e., preliminary research, which had the aim to investigate the appropriate percentage of superplasticizer in the mixed composition of self-compacting concrete. The percentages of superplasticizers were 0.7%, 1%, and 1.4%. The second phase of research on the effect of additional banana fiber on self-compacting concrete was carried out, examining workability, compressive strength, and the splitting tensile strength of concrete. In this research, the percentages of fiber were 0.12%, 0.3%, and 0.5% of the cement weight, and evaluated the effect of fiber treatment. The treated fibers mean that the fiber is immersed in NaOH solution or named as a delignification process. The hardened concrete specimen was used for determining the mechanical strengths, such as the compressive strength and split tensile strength tests. The test results found that the optimum value for superplasticizer dosage was 0.7% of cement weight, which can fulfill the whole criteria of fresh concrete and hardened SCC concrete. Furthermore, the specimen with the adding banana fiber of 0.12% by cement weight and treated fiber indicated a decrease in workability. Compared to the control concrete, it inversely increased compressive strength up to 44.36% and tensile strength up to 17.78%.
The Development of a New Generation of Propeller Designs for Workboats
Authors: Platzer Gregory P.
Published: February 2022

This paper describes the development of a series of propeller designs incorporating advanced technology for workboats, which have been found to reduce propeller-induced vibration levels by approximately 50% and increase propeller efficiency by up to 7%, as compared to conventional workboat propeller designs. To date, the New Generation propeller design series has been installed on more than 30 different applications in both open and ducted propeller configurations ranging from 3 to 12 ft (0.9 to 3. 6 m) in diameter.

An analysis of the existing propeller design technology and the poor operating environment typical of these applications is given. A description of the design process used to develop an advanced blade section profile and radial blade geometry distributions optimized for the given operating conditions is given. The results of an analytical study to determine the preferred geometry characteristics to optimize backing performance is presented. Full-scale operating experience is given, including comparisons of measured vibration, bollard thrust, propulsive efficiency and backing characteristics with predicted performance.
Propeller Wake Alignment Models
Authors: Kinnas Spyros A. , Pyo Sangwoo
Published: February 2022

Various wake alignment techniques which have been developed in the past for the analysis of non-cavitating propellers in uniform inflows are reviewed and some of them are extended in the case of cavitating flows subject to inclined inflows. The effect of the inclined trailing wake geometry on the predicted cavities and blade forces is found to be significant. Predicted open flow characteristics and unsteady forces acting on the blades of an inclined shaft propeller are compared to those predicted by other methods, as well as those measured in experiments.
Implementation Intention Strategy to Reduce Salt Intake among Heart Failure Patients: A Randomized Controlled Trial
Authors: Teoli Nunciaroni Andressa , de Freitas Agondi Rúbia , Ceretta Oliveira Henrique , Batista dos Santos Pedrosa Rafaela , Cunha Matheus Rodrigues Roberta , Gallani Maria Cecília
Published: February 2022

Introduction: An Implementation Intention strategy might be effective in transforming a positive intention to reduce salt intake into effective action among heart-failure patients. Objective: To assess the potential efficacy of an Implementation Intention intervention to reduce salt intake among heart-failure patients. Methods: Randomized controlled trial. The 60 heart-failure patients recruited were first randomized into 2 groups: an experimental group (EG) and a control group (CG). The study population was further broken down into 4 groups depending on whether the individuals prepared their own meals: 2 individual groups (EG-Individual and CG-Individual); and 2 collaborative groups, involving the patient and a social referent (EG-Collaborative and CG- Collaborative). The experimental groups developed action and coping plans based on the Implementation Intention. Total salt intake was calculated through discretionary salt, sodium-food frequency questionnaires, and 24-hour recall, obtained at the baseline (T0) and at the 2-month follow-up (T3). Results: 56 patients ended the follow-up. A reduction in the total salt intake was observed in the EGs (Individual and Collaborative) compared to baseline (5.04g/day vs. 12.21g/day for the EG-Individual (p≤0.001); 4.79g/day vs. 11.43g/day for the EG-Collaborative; p≤0.001). The multivariate analysis showed that the 2 EGs had lower salt intake at T3 than the 2 CGs (95% CI 4.19-9.29 for individual groups vs. 95% CI 4.84-10.22 for collaborative groups). There were no differences between the 2 EGs (95% CI –2.77 to 2.41). The total variance explained (R2) by these comparisons was 0.70. Discussion and conclusion: This study suggests that Implementation Intention might be effective in reducing salt intake among heart-failure patients, either individually or collaboratively. Further research testing mediator and moderator effects of the psychosocial variables are recommended.
Violence Prevention Climate Scale: Translation, Adaptation, and Psychometric Assessment of the French Canadian Version
Authors: Goulet Marie-Hélène , Desmarais Michèle , Pariseau-Legault Pierre , Larue Caroline , Jean-Baptiste Francelyne , Turcotte Jean-Sébastien , Crocker Anne G.
Published: February 2022

Introduction: Violence in psychiatric settings has negative consequences on patients, staff, and the institution alike. Efforts to prevent violence cannot currently be assessed due to a lack of suitable indicators. The Violence Prevention Climate Scale (VPC-14) is a validated tool that can be filled out by both staff and patients to assess the violence prevention climate in mental health care units. Objective: This study aimed to conduct the translation and adaptation of the VPC-14 to a French Canadian context, and to assess its psychometric properties in general and forensic psychiatric settings. Methods: This study followed a transcultural approach for validating measuring instruments. Psychometric properties were assessed in 308 patients and staff from 4 mental health and forensic hospitals in Quebec (Canada). Content validity was assessed using a bilingual participant approach. Internal validity was examined through exploratory factor analysis and internal consistency for each care setting using Cronbach’s alpha coefficient analysis. Results: The Échelle modifiée du climat de prévention de la violence [Modified Violence Prevention Climate Scale] (VPC-M-FR) consists of 23 items with a 3-factor structure: 1) staff action, 2) patient action, and 3) the therapeutic environment. Cronbach’s alphas ranging from 0.69 to 0.89 were obtained for the internal consistency of the scale. Discussion and conclusion: The VPC-M-FR has satisfactory psychometric properties for measuring the violence prevention climate in mental health and forensic settings. By measuring the violence prevention climate from the standpoint of patients and staff, targeted preventive measures can be implemented to improve safety for all.
Examining the Concept of Healthcare Trajectories in Older Adults With Major Neurocognitive Disorder Using the ‘6W’ Multidimensional Model of Care Trajectories: A Mixed Methods Systematic Review Protocol
Authors: Dufour Isabelle , Bolster-Foucault Clara , Vedel Isabelle , Quesnel-Vallée Amélie
Published: February 2022

Introduction: The use of healthcare services by older adults with major neurocognitive disorder (MNCD) varies significantly throughout the disease process. The evaluation of healthcare trajectories, defined as the pattern of care use over time, allows for a better understanding of how people move through the healthcare system and facilitates the identification of potentially modifiable risk factors for suboptimal care trajectories. Objectives: The objectives of the review are to: 1) critically appraise and synthesize evidence on how healthcare trajectories of older adults with MNCD are measured and defined, using the ‘6W’ multidimensional model of care trajectories, and 2) examine how socioeconomic factors are considered in studies reporting on healthcare trajectories. Inclusion criteria: This review will consider community-dwelling older adults diagnosed with MNCD. The quantitative component will include studies reporting on healthcare trajectories, including at least 2 different care services and at least 3 time-points. The qualitative component will include studies reporting on healthcare trajectories from the perspective of patients or their informal caregivers. Methods: This review will follow the Joanna Briggs Institute mixed methods review approach. We will search EMBASE, MEDLINE, CINAHL, PsycINFO, and the Web of Science Core Collection for English or French articles. Independent reviewers will identify articles for inclusion, extract data, and assess quality. A convergent integrated approach to synthesis and integration will be used. Discussion and conclusion: The results will help anticipate patients’ needs, improve patient care, service planning and coordination, and understand inequities in MNCD care.
Critical Response to "A Short History of K-12 Public School Spending in British Columbia"
Authors: Laitsch Dan , Malcolmson John , Kuehn Larry
Published: February 2022

In Issue 196 of the Canadian Journal of Educational Administration and Policy (CJEAP), the journal published an article by Jason Ellis, A Short History of K-12 Public School Spending in British Columbia, 1970-2020 that claimed “K-12 public education spending in British Columbia – adjusted for inflation – is 250 percent higher in 2020 than it was in 1970” (Ellis, 2021, p. 102). We illustrate how this claim lacks a theoretical framework, is based on weak data sources, a flawed research method and skewed analysis that results in a misleading understanding of resource allocations in BC. We present alternative ways to understand spending on education in BC in an effort to correct the scholarly and public record.
Incorporating Indigenous Content Into K-12 Curriculum: Supports for Teachers in Provincial and Territorial Policy and Post-Secondary Education Spaces
Authors: Webb Denise , Mashford-Pringle Angela
Published: February 2022

In an era of learning truth and working towards reconciliation with Indigenous peoples, education institutions across Canada are in the midst of decolonizing their education spaces. Fundamental to this process are the Truth and Reconciliation Commission Calls to Action to educate settler teacher candidates to develop culturally appropriate curricula and incorporate Indigenous content into their teaching practices. Little research has reviewed institutional responses to these recommendations. To fill this gap, this study compiles recent efforts to inform Ministries of Education and post-secondary education institutions of effective and culturally safe methods to incorporate Indigenous content in curricula, based on current interventions and the lived experiences of teachers navigating the decolonization process. Two rapid reviews of grey and academic literature are completed. The findings shed light onto course-, professional workshop-, and policy-based interventions to support teachers in teaching Indigenous content. Interventions often prioritize cultural safety to underline teaching practices and focus on addressing settler biases, racism, and harmful stereotypes. Many Bachelor of Education programs offer mandatory courses on how to infuse Indigenous worldviews into curriculum, and emphasize building relationships, challenging positionalities, and establishing safe spaces to ask questions. Many teachers benefit from cultural safety training and resources, however, some continue to face challenges in confronting their roles and responsibilities as settlers within education spaces. As decolonizing education is an ongoing process, this research aims to provide key information to advance its progress. To that end, future research needs to investigate the long-term impacts of existing interventions on teaching practices and curriculum development.