bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of Helium Abundance between ICMEs and Solar Wind near 1 au
Authors: Song Hongqiang , Cheng Xin , Li Leping , Zhang Jie , Chen Yao
Published: February 2022

The helium abundance, defined as A
He = n
He/n
H × 100, is ∼8.5 in the photosphere and seldom exceeds 5 in fast solar wind. Previous statistics have demonstrated that A
He in slow solar wind correlates tightly with sunspot number. However, less attention is paid to the solar cycle dependence of A
He within interplanetary coronal mass ejections (ICMEs) and comparing the A
He characteristics of ICMEs and solar wind. In this paper we conduct a statistical comparison of helium abundance between ICMEs and solar wind near 1 au with observations of the Advanced Composition Explorer from 1998 to 2019 and find that the ICME A
He also exhibits the obvious solar cycle dependence. Meanwhile, we find that the A
He is obviously higher within ICMEs compared to solar wind, and the means within 37% and 12% of ICMEs exceed 5 and 8.5, respectively. It is interesting to answer where and how the high helium abundance originates. Our statistics demonstrate that 21% (3%) of ICME (slow wind) A
He data points exceed 8.5 around solar maximum, which decreases dramatically near minimum, while no such high A
He values appear in the fast wind throughout the whole solar cycle. This indicates that the high A
He (e.g., >8.5) emanates from active regions as more ICMEs and slow wind originate from active regions around maximum, and it supports that both active regions and quiet-Sun regions are the sources of slow wind. We suggest that the high A
He from active regions could be explained by means of the magnetic loop confinement model and/or photoionization effect.
Thermal Processing of Solids Encountering a Young Jovian Core
Authors: Barnett Megan N. , Ciesla Fred J.
Published: February 2022

Jupiter’s enhancement in nitrogen relative to hydrogen when compared to the Sun has been interpreted as evidence that its early formation occurred beyond the N2 snow line (∼20–40 au). However, the rapid growth necessary to form Jupiter before the dissipation of the solar nebula would lead to the forming planet’s core reaching very high temperatures (>1000 K), which would lead to it warming its surroundings. Here, we explore the effects of a luminous planetary core on the solids that it ultimately accretes. We find that a critical transition occurs where very hot (rapidly accreting) cores drive off volatiles prior to accretion, while cool cores (slowly accreting) are able to inherit volatile rich solids. Given Jupiter’s nitrogen enrichment, if it formed beyond the N2 snow line, its core could not have accreted solids at a rate above 10−10
M
⊙ yr−1. Our results suggest that either Jupiter formed in more distal regions of the solar nebula, or nitrogen loss was suppressed, either by its incorporation in more refractory carriers or because it was trapped within ices that devolatilized at higher temperatures.
Experimental and Theoretical Radiative Parameters of Highly Excited Levels in Re ii
Authors: Liu Meina , Ma Huiting , Geng Yidan , Palmeri Patrick , Quinet Pascal , Dai Zhenwen
Published: February 2022

Natural radiative lifetimes of 22 odd-parity levels of Re ii in the energy range between 43,937.7 and 65,572.3 cm−1 were measured by the time-resolved laser-induced fluorescence method. To our knowledge, the lifetimes for 18 out of 22 levels were measured for the first time. The theoretical radiative lifetimes and branching fractions (BFs) for these levels were obtained from pseudorelativistic Hartree–Fock calculations including core-polarization effects. By combining the experimental lifetimes and calculated BFs, a set of semiempirical transition probabilities and oscillator strengths for 232 Re ii lines were determined. The radiative parameters obtained in the present work will greatly enrich the atomic database of Re ii and hence are expected to be helpful for astrophysicists in Re abundance evaluation of stars.
Risk Factors for Psychosocial Disorders in Children with Congenital Adrenal Hyperplasia during the COVID-19 Pandemic
Authors: Faizi Muhammad , Rochmah Nur , Irwanto Irwanto , Soelistiyo Irma , Hisbiyah Yuni , Perwitasari Rayi Kurnia
Published: February 2022

Background: Congenital adrenal hyperplasia (CAH) is a chronic disease that requires lifelong medical therapy; thus, it has become a psychosocial stressor associated with mental, emotional, and behavioral disorders in children and adolescents. The COVID-19 pandemic is also an additional stressor in addition to chronic physical illness, biological factors, cognitive factors, environment, age, parental education, parents’ occupations, and family income. Thus, in this study, we aim to analyze the risk factors for psychosocial disorders among children with CAH. Methods: This research was a cross-sectional study conducted from January to April 2021 at the Pediatric Endocrinology Outpatient Clinic in Dr. Soetomo General Hospital in Surabaya. Data were collected through interviews, questionnaires, and medical records and then analyzed via univariate and bivariate analyses using chi-square test (Fisher’s exact test). Result: In total, 30 children were enrolled in this study, among which 8 (26.7%) had emotional disorders, 5 (16.7%) had behavioral disorders, and most (83.3%) did not have hyperactivity/attention disorders. It was found that 8 children (26.7%) had problems with peer relationships, whereas most (83.3%) did not experience prosocial disorders. Family income (p-value = 0.032, CI = 95%) and hyperactivity (p-value = 0.019, CI = 95%) were found to be significantly correlated to conduct problems. Conclusions: Family income, behavioral disorders, and hyperactivity/attention disorders were identified as risk factors for psychosocial disorders in children with CAH during the COVID-19 pandemic.
Studying the Optimal Time for Meals to Circadian Rhythms and Body Health (Application to Hospitality Establishments)
Authors: Shalaby Mohammed Nader , Sakoury Mona Mostafa Abdo , Hussien Sherin , Abdelghani Maaly Fayad
Published: February 2022

Circadian rhythms, metabolism, and nutrition are closely linked, although the effects of meal timing on the human circadian system are poorly understood. The time factor biological of nature is an essential element for the functioning of cosmic systems. In the event of any defect, many problems come out as a result of this imbalance, and here came whether to change the timing of eating diets has to do with the occurrence of illness in the body and the emergence of diseases of this age such as obesity and diseases of the gastrointestinal tract (gallbladder - diseases of the colon, liver, and others). Hence the need to research the effect of timing, eating the three meals, and the body's system to resist disease. The study sample was withdrawn from Egyptian and foreign guests in hospitality establishments in Hurghada, Egypt with 300 forms. SPSS statistical program was used, and the research was focused on the body's sympathetic nervous system and its role in regulating the body processes related to metabolism. The timing of waking up and eating meals reached a set of findings and recommendations. The most important ones are the need to amend the healthy track of food and to increase the awareness of educational health, followed by hotels and resorts’ restaurants and room services offering those meals according to the client’s demand and the time they want to eat the meal. Therefore, it is necessary to direct the food operators in the hospitality establishments to prepare the food at the optimum time and to search for the modification of new food trends in line with the nature and the regularity of the diet to prevent diseases.
Assessing ecosystem services of abandoned agricultural lands: a case study in the forested zone of European Russia
Authors: Anpilogova Daria , Pakina Alla
Published: February 2022

The massive abandonment of arable land in Russia in the 1990s had a heavy impact on the country’s land-use structure. The cessation of cultivation leads to a decrease of provisioning ecosystem services within the landscape, while creating an opportunity to enhance the supply of diverse regulation services. Consideration of this opportunity is increasingly important for environmental management and landscape planning. In this article, we present an approach for assessing the environmental benefits of ecosystems developing on abandoned arable lands in the forested zone of European Russia. The proposed methodology is established on a land-cover based framework – ecosystem services assessment matrix. For assessment purposes, abandoned arable lands at different stages of vegetation recovery succession (ruderal, grassland and small-leaved forest) are considered as different land-cover types. Four classes of regulating ecosystem services are subject to qualitative analysis: regulation of the chemical composition of the atmosphere, control of erosion rates, regulation of soil quality and pollination. An exemplary application of the proposed methodology for the case study area located in the Moscow Region of Russia is presented in the article. The results of the qualitative assessment revealed an association between the stage of vegetation recovery succession which corresponds with the time since land abandonment and the supply of regulating ecosystem services. The recovery of natural vegetation leads to higher levels of carbon sequestration, more effective erosion mitigation, soil recovery and increased pollinator abundance. Cropland was proven to be a recipient of the services provided by natural ecosystems. Thus, the return of all uncultivated fields to agricultural use will cause a substantial decrease in the ecological value of the study area.
Patient Empowerment Among Adults With Arthritis: The Case for Emotional Support
Authors: Carluzzo Kathleen L. , Knight Erin M. , Schifferdecker Karen E. , Butcher Rebecca L. , Eakin Guy S. , Eller Julie A. , Singh Jasvinder A.
Published: February 2022

Objective

This study aimed to identify differences in patient empowerment based on biopsychosocial patient-reported measures, the magnitude of those differences, and which measures best explain differences in patient empowerment.

Methods

This was a cross-sectional observational study of 6918 adults with arthritis in the US. Data were collected from March 2019 to March 2020 through the Arthritis Foundation Live Yes! INSIGHTS program. Patient empowerment, measured by the Health Care Empowerment Questionnaire, included 2 scales: Patient Information Seeking and Healthcare Interaction Results. Patient-reported outcomes were measured using the Patient Reported Outcomes Measurement Information System (PROMIS)-29 and PROMIS emotional support scale. ANOVA assessed differences between groups, and Spearman rank correlation assessed correlations between variables. Hierarchical regression analysis determined the contributions of sociodemographic characteristics, arthritis type, and patient-reported health measures in explaining patient empowerment (α = 0.05).

Results

Empowerment was lower among those who were male, older, less educated, or who had lower income, osteoarthritis, less emotional support, or better physical function, although the effect was small-to-negligible for most of these variables in the final regression models. Empowerment did not differ by race/ethnicity in unadjusted or adjusted analysis. In final regression models, emotional support contributed the most to explaining patient empowerment.

Conclusion

Emotional support is important for patient empowerment. This suggests that programs that seek to improve patient empowerment should target and measure effects on emotional support.
Doppler Signal and Bone Erosions at the Enthesis Are Independently Associated With Ultrasound Joint Erosive Damage in Psoriatic Arthritis
Authors: Smerilli Gianluca , Cipolletta Edoardo , Destro Castaniti Giulia Maria , Di Matteo Andrea , Di Carlo Marco , Moscioni Erica , Francioso Francesca , Mirza Riccardo Mashadi , Grassi Walter , Filippucci Emilio
Published: February 2022

Objective

To explore the association of the Outcome Measures in Rheumatology ultrasound (US) entheseal abnormalities with the presence of US joint bone erosions in psoriatic arthritis (PsA).

Methods

Consecutive patients with PsA were included in this cross-sectional study. Demographic and clinical variables were collected. A bilateral US assessment was carried out at the following entheses: plantar fascia, and the quadriceps, patellar (proximal and distal), and Achilles tendons. The following US entheseal abnormalities were registered: hypoechogenicity, thickening, Doppler signal < 2 mm from the bony cortex, calcification/enthesophyte, and bone erosion. The presence of US joint bone erosions was investigated at the second and fifth metacarpophalangeal joints, ulnar head, and fifth metatarsophalangeal (MTP) joint, bilaterally, as well as at the level of the most inflamed joint on physical examination. Multiple linear regression analysis was performed to identify clinical and/or US variables associated with US-detected joint bone erosions.

Results

A total of 104 patients with PsA were enrolled. At least 1 joint bone erosion was found in 47 of 104 patients (45.2%). Bone erosions were most frequently detected at the fifth MTP joint level (42/208 joints [20.2 %] in 32/104 patients [30.8%]). In the multivariate model, only a power Doppler (PD) signal at the enthesis (P< 0.001, standardized β = 0.51), bone erosions at the enthesis (P= 0.02, standardized β = 0.20), PsA disease duration (P= 0.04, standardized β = 0.17), and greyscale joint synovitis (P= 0.03, standardized β = 0.42) were associated with US-detected joint bone erosions.

Conclusion

PD signal and bone erosions at the enthesis represent sonographic biomarkers of a more severe subset of PsA in terms of US-detected joint erosive damage.
Results From the 2020 Canadian Rheumatology Association’s Workforce and Wellness Survey
Authors: Kulhawy-Wibe Stephanie C. , Widdifield Jessica , Lee Jennifer J.Y. , Thorne J. Carter , Yacyshyn Elaine A. , Batthish Michelle , Jerome Dana , Shupak Rachel , Jilkine Konstantin , Purvis Jane , Shamis Justin , Roberts Janet , Kur Jason , Burt Jennifer E. , Johnson Nicole A. , Barnabe Cheryl , Hartfeld Nicole M.S. , Harrison Mark , Pope Janet E. , Barber Claire E.H.
Published: February 2022

Objective.

The Canadian Rheumatology Association (CRA) launched the Workforce and Wellness Survey to update the Canadian rheumatology workforce characteristics.

Methods.

The survey included demographic and practice information, pandemic effects, and the Mini Z survey to assess burnout. French and English survey versions were distributed to CRA members electronically between October 14, 2020, and March 5, 2021. The number of full-time equivalent (FTE) rheumatologists per 75,000 population was estimated from the median proportion of time in clinical practice multiplied by provincial rheumatologist numbers from the Canadian Medical Association.

Results.

Forty-four percent (183/417) of the estimated practicing rheumatologists (149 adult; 34 pediatric) completed the survey. The median age was 47 years, 62% were female, and 28% planned to retire within the next 5–10 years. Respondents spent a median of 65% of their time in clinical practice. FTE rheumatologists per 75,000 population were 0.62 nationally and ranged between 0.00 and 0.70 in each province/territory. This represents a deficit of 1–78 FTE rheumatologists per province/territory and 194 FTE rheumatologists nationally to meet the CRA’s workforce benchmark. Approximately half of survey respondents reported burnout (51%). Women were more likely to report burnout (OR 2.86, 95% CI 1.42–5.93). Older age was protective against burnout (OR 0.95, 95% CI 0.92–0.99). As a result of the pandemic, 97% of rheumatologists reported spending more time engaged in virtual care.

Conclusion.

There is a shortage of rheumatologists in Canada. This shortage may be compounded by the threat of burnout to workforce retention and productivity. Strategies to address these workforce issues are needed urgently.
The Promise and Perils of Health Internet of Things (HIoT)
Authors: Robert Nancy
Published: February 2022

The Internet of Things (IoT) refers to a physical world where smart devices or things and computers interconnect through wired or wireless networks to share and process information without human intervention. Health Internet of Things (HIoT) refers to a device that collects health related data from an individual. The explosive growth in HIoT to augment the delivery of healthcare is driving changes in clinical practice and patient-centered care, requiring new skills for providers. In this article I provide an overview of HIoT, factors fueling wearable market growth, and HIoT technology and usability challenges. Next, I present collaboration as a key to success in design and implementation of HIoT initiatives, identifying collaboration models useful to healthcare and consumer/patient teams. The discussion includes the technology adoption model (TAM) and associated adoption considerations. Finally, I identify implications for the nursing profession and provide HIoT recommendations for next steps that include engaging healthcare providers in the design and testing of HIoT products.
From Artificial Intelligence to Augmented Intelligence: Practical Guidance for Nurses
Authors: Tiase Victoria , Cato Kenrick
Published: February 2022

Applications using artificial intelligence (AI) have shown potential to assist nurses with patient care activities. Nurses are in a position to influence the judicious use of AI that best supports practice needs in the future by participating in the design, development, testing, and evaluation of solutions. Thus, it is important for nurses at all levels to have a general understanding of the key concepts, potential benefits of AI, and unintended consequences as they consider its adoption in clinical practice. This article includes introductory level discussion about data management and components of AI that include real-world cases in use by nurses and offers implications for nursing practice.
Discrete event modelling for evaluation and optimisation of power utility energy demand
Authors: Munsamy Megashnee , Telukdarie Arnesh
Published: February 2022

Purpose: Current global energy costs, complemented by energy generation environmental impacts highlights the importance of quantifying and optimising business energy utilisation. Determining business electrical energy usage inclusive of core operations and support activities in a singular evaluation protocol is a challenge. The challenge is exasperated by changes in business operation, where every change implies significant rework of the business energy determination. This study develops a holistic energy determination model for the entire business requiring minimum inputs for energy recalculation, when aspects of the business changes.Design/methodology/approach: The research adopts a quantitative approach focusing on Discrete Event Modeling. This includes data collection, model development and configuration, model validation and scenario models for optimization.Findings: A coal fired power generation business, with multiple sites is comprehensively simulated to evaluate the baseline electrical energy demand and associated CO2 emissions. The results are captured at various resolutions of; business; site, functional business level and equipment level. The generation sites operational functions are identified as major electrical energy consumers. The adoption of Industry 4.0 technologies of Internet of Things, Big Data Analytics, mobility and automation demonstrate energy savings of 1% of total site demand. As the Industry 4.0 technologies are applied to a limited number of processes, the results demonstrates the capability of these technologies having a significant impact on electrical energy demand and CO2 emission when applied to a broader spectrum of business processes.Research limitations/implications: The research is limited to a single energy generating company, which is a coal to energy business.Practical implications: The research has significant practical implications, mostly on the mechanisms to evaluate business energy utilisation. The ability to include all areas of the business is a key practical output.Originality/value: The model is unique in that it is system agnostic to any production configuration, most especially changes in configuration.
Standard Competencies in Ambulatory Care: An Urgent Need
Authors: McAteer Mark , Moyer Aislynn
Published: February 2022

The ambulatory setting presents unique challenges for leadership and staff transitioning from other care areas, such as the inpatient environment. Nurses and support staff newly entering the world of ambulatory care may experience challenges acclimating to their new roles as they shift from an environment that provides focused care to achieve a safe discharge to one that focuses on holistic prevention and treatment over long periods. Inpatient hospital care relies on many protocols, orders, and guidelines and a multidisciplinary team of physicians, pharmacists, dieticians, and rehabilitation support to progress the patient through their illness or injury during their hospital admission. Nurses in ambulatory care have increased responsibility and autonomy in patient care. New challenges are encountered, for example, transportation to appointments, socioeconomic challenges, immediate resource needs, and patient support for future success in their own environment. In these situations, the ambulatory nurse is an immediate caregiver and a case manager, providing direct patient care for a short period, but following up over a longer period, in some cases, years.

[
J Contin Educ Nurs.
2022;53(2):59–62.]
Isotretinoin: Risk or Benefit to Mental Health in Youth?
Authors: Ellington Erin
Published: February 2022

Isotretinoin is a medication for severe recalcitrant nodular acne and treatment-resistant forms of acne. Despite its effectiveness, adverse events have required U.S. Food and Drug Administration warning and close monitoring; psychiatric warnings include depression, psychosis, suicidal ideation, and suicide. However, longstanding concerns about psychiatric symptoms associated with isotretinoin have been called into question in recent literature. In addition, risk for psychological effects of acne have been recognized independent of treatment. Proper treatment of acne, coupled with mental health screening, provides the best course of action. [
Journal of Psychosocial Nursing and Mental Health Services, 60
(2), 7–9.]
Visibility as Muslim, Perceived Discrimination and Psychological Distress among Muslim Students in the UK
Authors: Uddin Mohammed Fahim , Williams Amanda , Alcock Katharine
Published: January 2022

Perceived discrimination, a subjective appraisal of disadvantageous treatment on the grounds of identity, is negatively associated with wellbeing. We explored this association among British Muslim students, sampled online, by questions about perceived and experienced discrimination, visibility as a Muslim, symptoms of depression and anxiety, and positivity. Results from 457 respondents showed greater discrimination was experienced by those with more visible signs of Muslim faith, with a small but statistically significant positive correlation between perceived discrimination and psychological distress. Many participants gave examples of discrimination experienced. Implications for educational institutes, policy makers, clinicians, and the wider Muslim community are discussed.
Identification of Interpolated Frames by Motion-Compensated Frame-Interpolation via Measuring Irregularity of Optical Flow
Authors: xiangling ding  , Huang Yanming , Zhang Dengyong , Ouyang Junlin
Published: February 2022

Motion-compensated frame-interpolation (MCFI), synthesize intermediate frames between input frames guided by estimated motion, can be employed to falsify high bit-rate videos or high frame-rate videos with different frame-rates. Although existing MCFI identification methods have obtained satisfactory results, they are seriously degraded by stronger compression. Therefore, to conquer this issue, a blind forensics method is proposed to identify the adopted MCFI methods by considering the irregularities of optical flow produced by various MCFIs. In this paper, a set of compact features are constructed from the motion-aligned frame difference-weighted histogram of local binary pattern on the basis of optical flow (MAFD-WHLBP). Experimental results show that the proposed approach outperforms existing MCFI detectors under stronger compression.
Two-Step Image-in-Image Steganography via GAN
Authors: Wu Guanzhong , Yu Xiangyu , Liang Hui , Li Minting
Published: February 2022

Recently, convolutional neural network has been introduced to information hiding and deep net- work has shown great potential in steganography. However, one drawback of deep network is that it’s sensitive to small fluctuations. In previous works, the encoder-decoder structure is trained end-to-end, but in practice, encoder and decoder should be used separately. Therefore, end-to-end trained steganography networks are vulnerable to fluctuations and the secret decoded from those networks suffers from unpleasant noise. In this work, we present an image-in-image steganog- raphy method called TISGAN to achieve better results, both in image quality and security. In particular, we divide the training process into two parts. Moreover, perceptual loss is applied to encoder, to improve security in our work. We also append a denoising structure to the end of de- coder to achieve better image quality. Finally, the adversarial structure with useful techniques employed is also used in secret revealed process.
An Adaptive Neural-Fuzzy Inference System for Prediction of Muscle Strength of Farmers in India
Authors: Mishra Debesh , Satapathy Suchismita , Jain V. K.
Published: February 2022

In the present study, 13 anthropometric hand dimensions, hand grip strength, push strength, and pull strength of 90 male farmers of Odisha in India were statistically analyzed and then, fuzzy logic toolbox of MATLAB version 2010 was used in order to create the fuzzy inference system (FIS) using ANFIS. The mean hand grip strength with standard deviation was found to be 255.21 N ± 75.46. The average push strength in standing posture for farmers was found to be 193.12 N ± 76.12, whereas pull strength in standing posture was 200.59 N ± 64.02. Very high correlation coefficient i.e. 0.977, 0.994 and 0.990 was obtained between “hand length and hand grip strength”, “hand breadth with thumb and push strength”, and “hand length and pull strength”, respectively. Finally, from the obtained ANFIS models for the prediction of muscle strength, it was concluded that ANFIS could well predict the farmers muscle strength with minimum errors. This will help to evaluate muscle capabilities to avoid musculoskeletal disorders, and in ergonomic design of tools and equipment as a health-care initiative.
Improving Corrected QT Interval Monitoring in Critical Care Units: A Single Center Report
Authors: Schwimer Danielle , Al-Zaiti Salah , Beach Michael
Published: February 2022

Background

Corrected QT (QTc) interval prolongation is a type of ventricular tachyarrhythmia. Recommendations for QTc interval monitoring for critical care nurses are limited and variable.

Local Problem

The intensive care unit at the study institution had no policies for QTc interval monitoring. A quality improvement initiative for identifying and monitoring at-risk patients was begun.

Methods

A QTc interval monitoring protocol was developed according to current recommendations for electrocardiogram monitoring and input from experts. Nursing staff received education on the QTc monitoring protocol. Numbers of patients with indications for monitoring were collected for 60 days before and 60 days after implementation. The rate of protocol adherence was collected for 60 days after implementation. Aknowledge assessment was administered to nurses at baseline, immediately after education, and 4 months after education.

Results

Before protocol implementation, 537 patients had indications for monitoring. No QTc intervals were documented by nurses. After protocol implementation, 544 patients had indications for monitoring. Protocol adherence was higher during day shifts than during night shifts (45.3% and 38.4%, respectively). Of 170 documented QTc prolongation events, 26 (15%) were reported to physicians. Nurses’ knowledge significantly improved after education and was retained 4 months after education (correct responses to assessment questions: 59% at baseline, 96% immediately after education, and 86% at 4 months after education).

Conclusions

This QTc interval monitoring protocol improved nurses’ ability to identify and monitor patients with increased risk of QTc interval prolongation. Adherence was less than desired, suggesting that further protocol revisions are required.
Comunicación oral: Dominio escénico de los estudiantes de la Carrera de Comunicación de la UPSE
Authors: Merchán-Cevallos Johnny Kevin , Molina-Benavides Lilian Susana
Published: February 2022

La comunicación oral tiene un enfoque importante en el proceso de formación académica de los estudiantes de comunicación, medio que permite expresar y transmitir con seguridad un mensaje eficaz, manteniendo un manejo y buen dominio escénico. El artículo tiene como objetivo determinar la forma en que la comunicación oral, incide en el dominio escénico de los estudiantes de formación básica de la Carrera de Comunicación de la UPSE, la investigación fue descriptiva usando el diseño no experimental de corte transversal, la metodología tuvo un enfoque cuanti-cualitativo, la población involucrada en esta investigación fue un total de 494 estudiantes, con un muestreo no probabilístico por conveniencia, determinando una muestra de 216 estudiantes de la población. La técnica e instrumento que se emplean para la obtención de información, es la encuesta y una entrevista, los resultados determinan que la comunicación oral es importante en proceso de formación para mejorar las habilidades de los estudiantes, generando confianza para poder expresarse y controlar el miedo escénico. Recomendando la implementación de técnicas y tácticas de oratoria en los estudiantes de formación básica, ayudando a perfeccionar el dominio escénico y contrarrestar las barreras comunicativas para que los futuros comunicadores puedan desenvolverse y expresarse sin ninguna limitante.

Palabras claves: comunicación oral, dominio escénico, expresar, transmitir, seguridad, estudiantes.
Modalidades de titulación en las carreras universitarias de salud
Authors: Zambrano Santos Roberth Olmedo , Macías Alvia Aida Monserrate , Placencia López Bárbara Miladys
Published: February 2022

Este libro resultó del intercambio de experiencias y saberes de docentes de las Carreras de salud de la provincia de Manabí, en el proceso de evaluación y acreditación por parte del Consejo de Educación Superior (CES), trata temas interesantes para lograr la formación integral de estudiantes de las facultades de Ciencias de la Salud y en especial de profesionales de la salud.
Está estructurado en seis capítulos relacionados con las modalidades de estudio en el proceso de titulación de los estudiantes sobre: los elementos esenciales para concebir el proyecto de titulación, tema, etapas, diseño teórico-metodológico de la investigación, estructura metodológica del proyecto integrador, la sistematización de experiencias de experiencias prácticas y profesionales, valoración de los tipos de artículos y su estructura para la publicación de los resultados, de otras formas de comunicar los resultados a través de los casos clínicos, su metodología y aspectos éticos.
Ruling the Hive: An Interview with Melody Eötvös
Authors: Maurer Simone
Published: February 2022

Melody Eötvös (b. 1984) was born in the Southern Highlands, NSW, Australia. Her work draws on both multimedia and traditional instrumental contexts, and makes substantial extra-musical references to philosophical, biological and ancient topics as well as her sustained interest in late nineteenth-century life and literature…
John Whiteoak. 'Take me to Spain': Australian Imaginings of Spain Through Music and Dance
Authors: Kertesz Elizabeth
Published: February 2022

Writing in the late 1920s, J.B. Trend proclaimed that ‘Spain, as we know it today, seems to be pre-eminently a country of the dance, and no interpreter of Spanish music can make us feel its full beauty or vitality unless he feel those vital dance-rhythms within himself.’ This connection between Spain, dance, and the rhythms of its music has long characterised perceptions of Spanish culture, fostering the enduring popularity of Spanish-styled entertainments. In ‘Take me to Spain’: Australian Imaginings of Spain through Music and Dance, John Whiteoak traces this phenomenon through Australian history, from the early colonial era of the 1820s to the 1970s. His narrative concludes before the major changes caused in local Hispanic culture by mass migration from Latin America, the new policy of multiculturalism, and the emergence of world music…
ACADEMIC EDUCATION IN GEOGRAPHY AND THE LABOR MARKET: BRIEF ANALYSIS FROM THE BRAZILIAN REALITY
Authors:   FEDERAL RURAL UNIVERSITY OF RIO DE JANEIRO, Dias De Oliveira Leandro , José de Lucena Andrews , Soares de Farias Heitor
Published: February 2022

This article aims to briefly present the reality of training in geography in the Brazilian territory. For this purpose, the article was divided into the following parts: (I) Introduction; (II) The horizons of geography training; (III) Geographer: bachelor's training; (IV) Geography Teacher: the degree course; and (V) Conclusion, with the Bibliographic References at the end. The article also discusses the characteristics of training and the difficulties related to the labor market in Brazil.
Environmental Harm
Authors: White Rob
Published: February 2022

A systematic and critical discussion of the nature of environmental harm from an eco-justice perspective, challenging conventional criminological definitions of environmental harm. It features examples and illustrations from many national contexts.
ESTUDIO DE LOS EFECTOS PRODUCIDOS POR LAS CONDICIONES DE TRANSFORMACIÓN EN LA VISCOSIDAD DEL POLIETILENTEREFTALATO (PET) RECICLADO.
Authors: Velázquez-Infante Julio-Cesar , Vega García Arles , Esquivel Figueredo Rosalia , Bárcenas Martínez Sandra , Martínez-Hung Hassan
Published: February 2022

Se estudió el efecto producido por las condiciones de transformación en la viscosidad del polietilentereftalato reciclado. Para ello, se realizó una simulación del procesado en un plastómetro para la determinación del Índice de Fluidez, sobre la base de un diseño de experimentos factorial 22. Como variables independientes se tomaron la temperatura y tiempo de retención del polímero dentro de la cámara de procesamiento, mientras que como variable respuesta se evaluó la viscosidad intrínseca del polietilentereftalato. Mediante un análisis de regresión lineal del diseño experimental se logró obtener por primera vez la ecuación del modelo ajustado para la viscosidad intrínseca, sobre la que los dos factores estudiados (tiempo y temperatura) así como la interacción entre ellos presentaron un efecto significativo con un nivel de confianza de 95 %. En todos los casos ocurrió una disminución de la viscosidad del polietilentereftalato reciclado, encontrándose la mayor incidencia con un 30 % al incrementar la temperatura de 260 a 280 °C. De cara a un proceso de reciclado, se recomienda mantener un perfil de temperaturas que no supere los 260 °C y tiempos de residencia igual o menores a 10 min.
Juridical Analysis of the Development of Copyright Law in Relation to Legal Purposes
Authors:   Head of Civil and Administrative Section of the Civil Service Section at the Batang District Prosecutor's Office, Riyanto Dedi
Published: February 2022

Introduction to the Problem: One example of regulations in the economic field is Intellectual Property Rights (IPR). The Copyright Law has been amended many times, even within a period of approximately twenty years, the relevant law has changed four times. The purpose of the law is justice, legal certainty and expediency, thus giving the desire to review the Copyright Law to be able to realize the legal objectives. Objectives/Study Objectives: This paper aims to determine the Juridical Analysis of the Development of Copyright Law in Relation to Legal Objectives Design/Methodology/Approach: This paper is included in the type of normative legal research which provides a prescriptive on Juridical Analysis of the Development of Copyright Law in Relation to Legal Objectives. The technique of collecting legal materials is carried out by studying literature to collect legal materials by reading laws and regulations, official documents and literature related to problems that must be carried out by the author. The legal material analysis technique is carried out qualitatively Findings: The results show that, the purpose of the law is as a social engineering tool, so that the Intellectual Property Rights Act is also a social engineering tool aimed at making people obey the law in the direction of a law-abiding society in the field of IPR is not yet optimal. The development of the Copyright Law in law with legal objectives can be seen from the legal substance, legal structure, and Indonesian culture.
The Existence of Li and Fa Legal Politics in Chinese Teachings
Authors:   Faculty of Law, Pembangunan Nasional Veteran University of Jakarta, RS. Fatmawati Raya Rd., Pd. Labu, Cilandak District, South Jakarta, Indonesia, Supena Nana
Published: February 2022

This study aims to examine the existence of Li and Fa in the legal system and legal politics that develops in China. This study employs a normative legal approach through a historical approach. The results of the study show that the legal system and legal politics in Chinese highlight the terms Li and Fa. In essence, Li's teachings focus on a set of ethical or moral rules that regulate patterns of human behaviour that must be obeyed and upheld by every human being. Meanwhile, the term Fa is known as a written law that every Chinese citizen must obey. In essence, Fa is a law inherent in a nation, generally applies equally to all human beings, and is formed into statutory regulations. These two terms become the benchmark for the legal system and legal politics that develops in China. Indirectly, China, which adheres to communism, applies the rules of moral ethics and legislation as a guide to life.
Megaapóﬁsis transversa: síndrome de Bertolotti
Authors: Moreno García Marina Soledad , Baltanás Rubio Pablo
Published: February 2022

En la imagen radiológica se aprecia una megaapófisis transversa izquierda (flecha) que ha originado una neoarticulación con el ala sacra. A la presencia de dicha megaapófisis se denomina síndrome de Bertolotti.
Tratamiento de la artritis psoriásica con ustekinumab en diferentes escenarios clínicos
Authors: García Salinas R.N. , Girard Bosch M.P. , Martire M.V. , Magri S.J. , Arturi P. , Arturi A.S.
Published: February 2022

El tratamiento de la Artritis Psoriásica (APs) se basa en suprimir los signos y síntomas en todos los componentes de la enfermedad (articular, piel, entesis, compromiso axial). Dentro de las opciones terapéuticas contamos con los antinﬂamatorios no esteroideos (AI-NEs), corticoides, drogas modiﬁcadoras de la enfermedad (DMARs) entre ellas el metotrexato y leﬂunomida, y los anti-TNF. Estas úl-timas han demostrado actualmente amplia eﬁcacia a largo plazo y buen perﬁl de seguridad. Fueron el único mecanismo de acción para el tratamiento de la APs; sin embargo en el último año fue aprobado en varios países, ustekinumab, un inhibidor de la subu-nidad p40 de la IL12 y 23. Esta revisión presenta una serie de 6 casos clínicos donde hemos utilizado esta opción terapéutica en diferentes escenarios.
Compromiso oral en Esclerosis Sistémica
Authors: Scolnik Marina
Published: February 2022

El tracto gastrointestinal (GI) está afectado en hasta el 90% de los pacientes con Esclerosis Sistémica (ES). Los síntomas son variados de acuerdo al sitio y grado de compromiso. Disfagia, reflujo, náuseas, vómitos, dolor abdominal, diarrea, constipación, incontinencia fecal y pérdida de peso son los síntomas más comúnmente reportados. El compromiso GI afecta severamente la calidad de vida y es una de las mayores causas de morbimortalidad de la enfermedad.
La utilidad de la ultrasonografía como herramienta diagnóstica para detectar artritis psoriásica en pacientes con psoriasis
Authors: Cazenave Tomás , Waimann Christian , Citera Gustavo , Latorre Clara , Ubogui Javier , Saposnik Miriam , Saturansky Ethel , Rosemffet Marcos
Published: February 2022

El objetivo de nuestro estudio fue evaluar la prevalencia de entesopatía subclínica en pacientes con psoriasis cutánea (Ps) utilizando un score ultrasonográﬁco (US) como herramienta diagnóstica en la práctica diaria y evaluar la habilidad de dicho score para discriminar pacientes con Ps y Artritis Psoriásica (APs).
Estudio multicéntrico no intervencional en pacientes con artritis reumatoidea tratados con tocilizumab
Authors: Montoya F. , Moreno J.L.C. , Casado G.C. , Citera G. , Citera G. , Velasco Zamora B.J. , Quinteros A.
Published: February 2022

Introducción: Tocilizumab es un anticuerpo monoclonal humanizado anti-receptor de IL-6 que ha demostrado eficacia y seguridad en artritis reumatoidea (AR).Métodos y objetivos: Estudio observacional de cohorte en pacientes con AR moderada a severa tratados con tocilizumab con 6 meses de seguimiento. El objetivo primario fue establecer la adherencia al tratamiento y secundariamente estudiar la efectividad y seguridad.
Por “Estudio multicéntrico no intervencional en pacientes con artritis reumatoidea tratados con tocilizumab”
Authors: Rosa Javier E.
Published: February 2022

Estimado Editor: uno de los paradigmas en el tratamiento de la Artritis Reumatoidea (AR) ha sido la introducción de los agentes biológicos.
Emergencias y urgencias en Reumatología clínica
Authors: Arturi Alfredo S. , Arturi Valeria , Giacomone Delfor
Published: February 2022

En la presente revisión se analizan los casos de Urgencias y Emergencias en Reumatología y Enfermedades Autoinmunes Sistémicas del adulto y juveniles; las mismas son situaciones que requieren asistencia médica inmediata. Además se mencionan las complicaciones agudas que surgen de las mismas (infección, desorden metabólico, insuficiencia de órgano) y las reacciones adversas que pueden surgir de los tratamientos efectuados. Se destacan las patologías por órgano o sistema y luego por síndrome o enfermedad. La revisión tiene la intención de ser de ayuda al médico joven para un rápido reconocimiento, diagnóstico y tratamiento de las patologías agudas y sus complicaciones en la Reumatología actual.
In God we trust... all others, must show data
Authors: Perandones Carlos E.
Published: February 2022

El frecuente reclamo de datos que pretendemos y a veces exigimos los que creemos que hacemos ciencia, nos enfrenta a menudo a realidades numéricas difíciles de entender o justificar. Pero los datos, son datos, y lo único útil es tratar de analizarlos, y nunca enojarse con ellos. La doctora Scolnik y colaboradores, en el artículo titulado “Manejo de arteritis de células gigantes en Argentina”, publicado en este número de la Revista Argentina de Reumatología, nos comparten los datos de una encuesta online de 10 preguntas enviada a los socios de la Sociedad Argentina de Reumatología (SAR).
Artritis reumatoide en paciente con acromegalia: un reto diagnóstico
Authors: Parra Izquierdo Viviana , Cuervo Francy , Tejada Miguel , Mora Sergio
Published: February 2022

La acromegalia es una enfermedad crónica caracterizada por hipersecreción de la hormona del crecimiento (GH) y, en consecuencia, del factor de crecimiento similar a la insulina tipo 1 (IGF-1). Es frecuente el compromiso articular por acromegalia causando importante morbilidad y discapacidad funcional, dado que la hormona de crecimiento genera directamente destrucción del cartílago y cambios óseos. La asociación de acromegalia con artritis reumatoide es muy rara, siendo para el clínico un verdadero reto su diagnóstico temprano e intervención farmacológica agresiva para evitar secuelas irreversibles propias de la artritis reumatoide. Presentamos el caso de una paciente en la quinta década de la vida con acromegalia de 10 años de evolución, secundario a un adenoma hipofisario productor de hormona de crecimiento y diagnóstico de artritis reumatoide temprana.
Publicar o… publicar
Authors: Scublinsky Darío
Published: February 2022

Desde hace décadas, la mayoría del trabajo académico se publica en artículos de revistas científicas, libros o tesis, y la parte de la producción académica escrita que no se publica formalmente, sino que simplemente se publica en Internet se denomina “literatura gris”. La mayoría de las revistas científicas, y muchos libros académicos, aunque no todos, se basan en alguna forma de revisión por pares o arbitraje editorial para calificar los textos para su publicación. Los estándares de calidad y selectividad de la revisión por pares varían mucho de revista a revista, editor a editor y a veces según la especialidad.
Cinco claves para publicar un artículo científico
Authors: Alarcón Graciela S.
Published: February 2022

Divulgar los resultados de los estudios no es tarea sencilla. Por eso antes de hacerlo se debe tener en cuenta lo siguiente: a) El grupo debe establecer un cronograma para la publicación de estos datos: asignar responsabilidades a los miembros del grupo y acordar quién será el primer autor. b) Para cada manuscrito, ¿cuál es el mensaje que debe transmitirse? ¿Este mensaje es relevante?
Evaluación de tecnología sanitaria: informe de respuesta rápida. Tocilizumab para el tratamiento de la artritis idiopática juvenil poliarticular
Authors: García Munitis Pablo
Published: February 2022

El grupo de las AIJ son afecciones raras con consecuencias sobre la calidad de vida de los pacientes afectados y los costos para los pacientes y los sistemas de salud. El abordaje actual incluye la utilización de corticoides intraarticulares, metotrexato semanal y agentes biológicos.

Objetivo: Evaluar la evidencia disponible acerca de la eficacia y seguridad para el uso de tocilizumab en pacientes con Artritis Idiopática Juvenil poliarticular.
Estudio piloto de validación y adaptación de un cuestionario para evaluar el impacto de la espondiloartritis axial en la sexualidad de los pacientes
Authors: Sommerfleck F.A. , Orozco M.C. , Zamora N. , Landi M.B. , Schneeberger E.E. , Citera G.
Published: February 2022

Introducción: El Qualisex es un cuestionario desarrollado y validado para evaluar la sexualidad en pacientes con artritis reumatoidea. Hasta el momento, según nuestro conocimiento, no se ha desarrollado un cuestionario que evalúe específicamente la sexualidad en pacientes que padecen Espondiloartritis axial (EsPax). Por este motivo, nuestro objetivo fue validar y adaptar el cuestionario Qualisex en pacientes con EsPax y evaluar el impacto de su enfermedad en la sexualidad.