bluuebunny/crossref_metadata_2025 huggingface dataset:
E-learning Development Strategy through Massive Open Online Course (MOOC) In Clinical Rotation Nursing Education
Authors: Harjanto Totok , Sumunar Dimas S.E.W. , . Oktavin , Imallah Rosiana Nur , Kusumawardani Sri Suning
Published: July 2021

Background: E-learning as a new learning method influences process of transforming conventional education into a digital basis. Massive Open Online Course (MOOC) is used as an e-learning management system that disseminates nursing institution partners' knowledge. An E-learning system provides highly configurable and integrated features in electronic books, journals, and web services. This system quickly, effectively, and economically distributes educational content toward students without any time or learning space limitation. E-learning has been implemented in various learning subjects, including nursing, but remains limited in clinical rotation nursing education. It has not been implemented widely, even though it is proven to support the learning process. Aim: The study aims to describe the process of developing an E-learning system in clinical rotation nursing education. Methods: The course subject was nursing management by involving two education institution partners. School of Nursing, Faculty of Medicine, Public Health, and Nursing (FKKMK) UniversitasGadjahMada (UGM) designed clinical learning innovation for clinical rotation nursing students in blended learning. It involved the institution’s partner students as the learning participants. Results: The process of developing E-learning in the clinical rotation nursing was by building partnership with education institutions passed through several phases: curriculum development, instructional design, and teaching media development, program evaluation methods, utilization of Learning Management System (LMS) as well as student learning outcomes evaluation. System design and development followed student needs resulting in the high score of participants' learning outcomes in clinical rotation nursing education. Conclusion: Appropriate E-learning system development strategy benefits student learning processes during nursing management practice in clinical rotation nursing education program. Keywords: Clinical Rotation Nursing Education, Education Institutions Partners, E-learning, Management Nursing Practice MOOC
The Effect of Speos Method on the Quality of Postpartum Mother life at Mertoyudan I and Mertoyudan 2 Primary Health Center in 2018
Authors: Wulandari Risky Puji , . Mufdillah
Published: July 2021

Background: Postpartum mothers are potentially susceptible to postpartum care complications, such as postpartum blues and depression. SPEOS is a combination of endorphin massage techniques, oxytocin massage, and positive suggestions to improve life quality after childbirth. Aim: This study aimed to prove the SPEOS method's effectiveness on postpartum mothers' quality of life. Methods: This research was a quasi-experiment with a pretest-posttest control group design. The research was conducted in Mertoyudan I Primary Health Center and Mertoyudan II Health Center. The research subjects were 22 postpartum mothers taken using a simple random sampling technique. The independent variable in this study was the SPEOS method, and the dependent variable was the quality of life. The instrument used was the PQOL questionnaire. The data were analyzed using Wilcoxon and Mann-Whitney tests. Results: The quality of postpartum mothers life scores increased (mean = 177.55 to 182.45, CI = 95%, p = 0.000), SPEOS method was more effective in improving the quality of life of post partum mothers (mean difference = 4.9, CI = 95%, p = 0,000). Conclusion: The SPEOS method affects improving the quality of life of Postpartum mothers. Keywords: SPEOS, quality of life, postpartum, breastfeeding mothers
Failure of Lactational Amenorrhea Method (LAM) in Yogyakarta
Authors: Dari Johan Reza Bintang , . Mufdlilah
Published: July 2021

Background: The lactational amenorrhea method (LAM) is modern contraceptives that rely on exclusive breastfeeding for six months without additional food or beverage. The mother is in a state of amenorrhea and delays arranging birth to a quality family. Aim: The study aimed to determine the cause of the failure of LAM. Method: Study design with the cross-sectional analytic survey, conducted on mothers who have babies 6-24 months of age as 79 respondents. The sampling technique using purposive sampling, data analysis chi-square, and logistic regression. Result: This study showed parity (OR = 4.861; 95% CI = 0.991 - 23.852), education (OR = 0.525; 95% CI 0.073 - 3.758), work (OR = 2.087; 95% CI = 0.241 - 18.064), knowledge (OR = 20.481; 95% CI = 2.459 – 170.608), additional contraception other than LAM (OR = 2.894; 95% CI = 0.365 – 22.965), menstruation before six months (OR = 10.265; 95% CI = 1.283 – 82.150), breast pump ( OR = 1.843; 95% CI = 0.189 – 17.990) and socio-economic (OR = 9.843; 95% CI = 1.029 – 94.134). Conclusion: In conclusion, all variables influenced LAM's failure, but the most influential was knowledge, menstruation before six months, and social-economic. Keyword: LAM, breastfeeding, failure
The Relationship Between Parents and Children In Influencing Adolescents’ Sexual Behavior
Authors: . Sarwinanti , Chandra Inesty
Published: July 2021

Background: The survey result ofSDKI (Basic Survey of Indonesian Demography and Health) in 2012 on KRR (Adolescents’ reproductive health) shows that approximately 9.3% or 3.7 million adolescents have had sexual intercourse, while the result of SKRRI (Survey of Adolescents’ Reproductive Health) shows that approximately 7% or 3 million adolescents have had sexual intercourse. One of the environmental factors on adolescents’ reproductive behavior is the family factor. Adolescents who have had premarital sexual intercourse mostly come from broken homes, which has many conflicts and problems. Aim: The study investigates the correlation between parents and children relationship and adolescents’ sexual behavior at Bantul. Method: The study used a cross-sectional approach and analytical correlation. The total sampling technique was used to draw 81 respondents as the samples. The data were analyzed using Chi-square statistical test. Result: The chi-square statistical test result showed that 34 respondents had a good relationship with their parents (42), and 16 respondents had a lack of relationship with their parents. Forty-seven respondents (58%) showed negative sexual behavior. P-value was 0.015 (p<0,05), meaning a correlation between parents’ close relationship and adolescents’ sexual behavior at senior high school in Bantul. Conclusion: There is a correlation between parents and children relationship and adolescents’ sexual behavior at senior highs schools in Bantul. Adolescents and parents should be more open to each other in discussing their problems, especially their reproductive health because it is one of the ways to build a good relationship between parents and adolescents Keywords: relationship, adolescents’ sexual behavior, parents and children
Mental Health Literacy in Iranian Adolescents
Authors: . Arezoo , . Behbood , . Alireza , . Salehi , . Hossein , Vardanjani Molavi
Published: July 2021

Background: Mental health literacy (MHL) is a relatively ignored determinant of community mental health in Iran, in which its level and determinants should be addressed. Aim: To investigate MHL and its components among Iranian adolescents. Methods: A cross-sectional study was conducted. After multistage cluster random sampling, 500 high school students were enrolled. Previously validated Persian version of theMHL Scale (MHLS) was used for data collection. In addition, data on socio-demographic variables were also collected. Adolescents with an MHL score of less than 60% of the achievable score were considered as at-risk of mental health illiteracy. Relevant statistical analyses were used to determine the MHL level and its association with sociodemographic variables. Results: Overall prevalence of being at-risk of mental health illiteracy was estimated at 71.5 % (95% CI: 67.1, 75.6). Prevalence of being at-risk of stigmatization, inadequate self-help knowledge, and information seeking was 91.2 (95% CI: 88.3, 93.7), 60.3 (95% CI: 59.8, 60.8), and 36.6 (95% CI: 36.1, 37.1), respectively. Having religious beliefs was associated with the stigmatization component (adjusted OR= 2.66, 95% CI: 1.27-5.59). Conclusions: Prevalence of being at-risk of mental health illiteracy is high among Iranian adolescents. Mental disorders are highly stigmatized in Iran. Keywords: Mental Health Literacy, Health Literacy, Adolescent, Iran, Mental Disorder
The Relationship of Knowledge Level of Installation and Maintenance with the Successful Use of Soft Contact Lens in Myopia patients
Authors: Wahyudi Didik , Dahjono J , Suparman Untung
Published: July 2021

Background: Refractive errors have occurred in many parts of the world, including in Indonesia, with different types of abnormalities, one of which is myopia which can be corrected with glasses and spherical contact lenses. Aim: To determine the relationship between the level of knowledge of the installation and care of soft contact lenses in myopic patients. Methods: This research method is Cross Sectional at Optik Metro, the number of samples is the total population, the research instrument is a questionnaire, the independent variable of this research is the level of knowledge while the dependent variable is the attitude and behavior of Care and Installation with Successful Use of Contact Lenses. This research has been approved by the Widya Husada STIKES Ethics Commission. Results: The results of the study based on the number of sufferers and the distribution of refractive errors at Optik Metro from March 15-20, 2021, showed that the number of myopia patients who came was 13.0% with the type of treatment using soft contact lenses as much as 2.2%. There is a relationship between knowledge and attitudes of respondents with maintenance and installation behavior with successful use of LK with a significance value of 0.000 (p < 0.05). Conclusion: It was concluded that the toric soft contact lens installation procedure was carried out in the right way by taking into account a good fitting assessment. It is necessary to provide education to increase knowledge and education on Care and Installation of Contact Lenses for all customers. Keywords: Knowledge, Attitude, Soft LK, Myopia
The Effect of Eight-Weeks Coordinatıon Training on Tennis and Motor Skills Performance on 8-10 Years Children
Authors: Gül Mine , Çelik Doğukan
Published: July 2021

Aim: To examine the effects of coordination applied to 8-10 years old female athletes on tennis and some motor skills. Metodology: The athletes were randomly divided into experiment and control groups by applying Dewitt-Dugan tennis test, standing long jump, vertical jump, 20m speed, T test and square test. In the study, while the control group only participated in club training for 8 weeks, 5 days a week and 60 min.and the experimental group added coordination training education. Data was collected and entered in SPSS 22.0. Results: There was a significant difference (p<0.05) in the parameters of all measurements of the experimental group in the standing long jump, vertical jump, 20m speed, t test and Dewitt-Dugan parameters and no significant change in the square test results (p>0.05). Among the final measurement values of the experimental and control groups, significant differences were found in favor of the experimental group in the values of standing long jump, vertical jump, 20m speed and Dewitt-Dugan parameters, except for the T test and the square test (p<0.05). Conclusion: It can be said that the 8-week coordination training applied to the experimental group has a positive effect on the motor characteristics and tennis skill, and specific coordination movements added to each unit training can be beneficial for the athletes. Keywords:Racket Sports, coordination, skill development, training, drills.
The Prevalence of Violence against Healthcare Workers in Turkey and Employee Job Satisfaction
Authors: Dursun Salih , Aytac Sevinc Serpil
Published: July 2021

Aim: To reveal the different dimensions of workplace violence that healthcare workers are exposed to, and to evaluate the impact of exposure to violence on the job satisfaction of healthcare workers. Methods: The study sample comprises 169 people working in different positions in the hospital (doctor, nurse, secretary, assistant staff, etc.). The Workplace Violence Questionnaire and Job Satisfaction Scale were used to collect the study data. The questionnaire forms were distributed in closed envelopes according to the random sampling method, and were filled out by the volunteer participants themselves. Descriptive statistics and t-test were used to analyze the study data. Results: The results of the study show that more than half of the hospital staff (57.5%) had been exposed to violence in the last year; 54.8% of participants were exposed to verbal violence, 26% were exposed to physical violence, and 5.4% were exposed to sexual harassment. In addition, it was found that the job satisfaction levels of those individuals who were exposed to violence (16.71) were lower than the job satisfaction level of those who were not exposed to violence (18.59) (t = -2.793, p-value = 0.006). Conclusion: The study results show that healthcare workers are at serious risk of violence in the workplace. In addition, it is observed that exposure to violence negatively affects job satisfaction, which is important in regarding workplace attitude. Keywords: Health Workers, Workplace Violence, Job Satisfaction.
QUEM SABE A TELA SEJA O LUGAR PARA UM CAVALEIRO ANDANTE? CONSIDERAÇÕES SOBRE O FILME DON QUIJOTE DE ORSON WELLES
Authors: Fontes Ferraz Bruna , Duarte Pena Eduarda , Gonçalves Coelho Silva Joana
Published: July 2021

O presente artigo almeja analisar o contexto singular da adaptação cinematográfica Don Quijote, do diretor norte-americano Orson Welles, que deixou esse trabalho, gravado durante mais de 30 anos, inconcluso. Coube, assim, ao diretor espanhol Jesús Franco a responsabilidade de finalizar o Don Quijote de Orson Welles, montagem realizada para a exposição Sevilha em 1992. Para isso, tomaremos como operadores de leitura a metalinguagem, o anacronismo e as inversões de dicotomias calcificadas na sociedade ocidental, analisando algumas cenas do filme, com o objetivo de investigar como Welles se apropria de algumas características de Miguel de Cervantes para constituir sua adaptação cinematográfica e como Franco propõe finalizar a obra inacabada.
Forage source (alfalfa hay vs wheat straw) and rumen undegradable to degradable protein ratio: Effects on growth performance, microbial protein yield, digestibility, blood metabolites, and behavior of Holstein dairy calves
Authors: Mohammadzadeh Milad , Kazemi-Bonchenari Mehdi , HosseinYazdi Mehdi , Mirzaei Mehdi
Published: July 2021

Aim of the study: The effects of forage source (alfalfa hay; AH vs. wheat straw; WS) with rumen undegradable to degradable protein ratio [low ratio (LR) = 28:72; high ratio (HR) = 36:64] were evaluated in young dairy calves.Area of study: Arak, Iran.Material and methods: Forty-eight 3-d old female Holstein dairy calves (44.5 kg of BW) were allocated in four treatments: (1) AH with low dietary RUP:RDP ratio (AH-LR); (2) AH with high dietary RUP:RDP ratio (AH-HR); (3) WS with low dietary RUP:RDP ratio (WS-LR); and (4) WS with high dietary RUP:RDP ratio (WS-HR), being RDP and RUP rumen degradable and undegradable proteins, respectively. The calves weaned on d 53 of the experiment and remained in the study until d 73 of age.Main results: The average daily gain and feed efficiency were improved in dairy calves receiving HR diets compared to LR diets during the post-weaning period (p<0.05). The fecal score (p=0.03) and neutral detergent fiber digestibility (p=0.04) were improved when calves fed WS diets compared to AH diets. Feeding HR diets increased allantoin (p=0.04) and microbial protein yield, and reduced blood urea nitrogen concentration (p=0.03) compared to LR diets. Assessing the interaction effects of the experimental factors resulted that the greatest BW, wither height, and blood beta-hydroxybutyrate, and the lowest urinary N concentration were observed in the WS-HR treatment (p<0.05).Research highlights: Feeding WS with high RUP:RDP ratio is recommendable in dairy calves due to the improvement in gain and N efficiency.
The relationship between indulgence and vanity in the consumption intention
Authors: Ruffatto Juliane , Pauli Jandir , Basso Kenny
Published: July 2021

Objetivo – Analisar a emergência do mercado da estética masculina com base em variáveis comportamentais, com o objetivo de descrever a relação entre indulgência, vaidade, suscetibilidade à influência interpessoal e a necessidade de pertencimento social com a intenção de consumir produtos estéticos masculinos.Método – Foi realizado um estudo quantitativo, do tipo survey, com indivíduos do sexo masculino. Para a análise dos dados, foi utilizada a regressão, com base em testes de moderação.Resultados – Os resultados apontam para as variáveis indulgência e vaidade como importantes para a formação do mercado da estética masculina. Além disso, a suscetibilidade à influência interpessoal e a necessidade de pertencer, testadas como variáveis moderadoras entre indulgência e intenção de consumo e entre vaidade e intenção de consumo, foram significativas, uma vez que ambas enfraquecem a relação entre os principais relacionamentos, pois são variáveis que se referem ao senso coletivo, enquanto que indulgência e vaidade, ao sentido mais intrínseco e subjetivo do indivíduo.Originalidade/valor – Este estudo discute a formação do consumo intencional com base no contexto brasileiro, utilizando um modelo que leva em consideração a integração entre diferentes variáveis estabelecidas na literatura, mostrando como os fatores individuais, culturais e simbólicos interagem na formação da intenção de consumo. A análise dos dados revela que a necessidade de pertencer e a influência interpessoal são variáveis moderadoras entre indulgência e intenção de consumo e entre vaidade e intenção de consumo.Contribuições teóricas/metodológicas – Validação de um modelo teórico, o que ocorreu com suporte estatístico e teórico.
To be or not to be happy? That is the question of consumption in social behaviors
Authors: Mota Marcio , Botelho Delane
Published: July 2021

Objetivo do estudo:  Examinar e avaliar as funções moderadoras dos comportamentos sociais e do consumo na felicidade.Metodologia/abordagem: Foi realizada uma pesquisa do tipo survey com 197 consumidores reais. Foram utilizadas, para as análises dos dados, análise fatorial confirmatória e modelo de regressão linear com moderação incluindo a técnica de Johnson-Neyman.Principais resultados: O hedonismo amplifica a relação positiva entre felicidade e frugalidade; a ansiedade social amplifica a relação negativa entre felicidade e materialismo; a conspicuidade enfraquece a relação positiva entre felicidade e aceitação social.Contribuições teóricas: O estudo adiciona à literatura de felicidade, sob a perspectiva de um país emergente, a elucidação dos papéis moderadores da ansiedade social, hedonismo e conspicuidade no relacionamento entre materialismo, aceitação social, frugalidade e felicidade, os quais ainda há inconsistências na academia.Relevância/originalidade: Até o presente momento, não há pesquisas sobre os efeitos simultâneos da felicidade no consumo e nos comportamentos sociais. O estudo testou os papéis moderadores da ansiedade social, hedonismo e conspicuidade na relação entre consumo, comportamentos sociais e felicidade.Implicações para a gestão ou sociais: As empresas podem garantir que os consumidores reajam a diferentes níveis desses comportamentos sociais, pois, enquanto consomem marcas ou produtos, podem, ao mesmo tempo, (1) realizar esforços para criar laços sociais com os envolvidos; (2) permitir que os consumidores experienciem felicidade e (3) atrair novos clientes.
UNESCO-Weltdokumentenerbe in der Kulturellen Bildung
Authors: Völker Susanne
Published: July 2021

The personal copies of ‘Children’s and Household Tales’ by the Brothers Grimm, which are kept in Kassel, are part of UNESCO’s Memory of the World Programme and, thus, the globally recognised cultural memory. Moreover, there are storytelling traditions throughout the entire world, which makes them an ideal starting point for communication and understanding on an equal level. To this end, the pilot scheme ERZÄHL MIR DEINE GESCHICHTE/N (TELL ME YOUR STORY/-IES) has developed multifaceted teaching and artistic materials through a narrative approach which enables reciprocal storytelling that transcends language and cultural barriers. This publication presents that project and places it in the contexts of participation, education, World Heritage Education and cultural policy developments.
Emergency Absentee Voting for Hospitalized Patients and Voting During COVID-19: A 50-State Study
Authors: Tang Oliver , Wong Kelly , Ganguli Reetam , Zahiri Keyana , Burns Nicole , Paracha Saba , Kozel Giovanni , Tang Kevin , Schuur Jeremiah
Published: July 2021

Introduction: Voters facing illness or disability are disproportionately under-represented in terms of voter turnout. Earlier research has indicated that enfranchisement of these populations may reinforce the implementation of policies improving health outcomes and equity. Due to the confluence of the coronavirus 2019 (COVID-19) pandemic and the 2020 election, we aimed to assess emergency absentee voting processes, which allow voters hospitalized after regular absentee deadlines to still obtain an absentee ballot, and election changes due to COVID-19 in all 50 states.

Methods: We performed a cross-sectional study collecting 34 variables pertaining to emergency voting processes and COVID-19-related election changes, including deadlines, methods of submission for applications and ballots, and specialized services for patients. Data were obtained from, in order of priority, state boards of elections websites, poll worker manuals, application forms, and state legislation. We verified all data through direct correspondence with state boards of elections.

Results: Emergency absentee voting processes are in place in 39 states, with the remaining states having universal vote-by-mail (n = 5) or extended regular absentee voting deadlines (n = 6). The emergency absentee period most commonly began within 24 hours following the normal absentee application deadline, which was often seven days before an election (n = 11). Unique aspects of emergency voting processes included patients designating an “authorized agent” to deliver their applications and ballots (n = 38), electronic ballot delivery (n = 5), and in-person teams that deliver ballots directly to patients (n = 18). Documented barriers in these processes nationwide include unavailable online information (n = 11), restrictions mandating agents to be family members (n = 7), physician affidavits or signatures (n = 9), and notary or witness signature requirements (n = 15). For the November 2020 presidential election, 12 states expanded absentee eligibility to allow COVID-19 as a reason to request an absentee ballot, and 18 states mailed absentee ballot applications or absentee ballots to all registered voters.

Conclusion: While 39 states operate emergency absentee voting processes for hospitalized voters, there are considerable areas for improvement and heterogeneity in guidelines for these protocols. For future election cycles, information on emergency voting and broader election reforms due to COVID-19 may be useful for emergency providers and patients alike to improve the democratic participation of voters experiencing illness.
Surgical Timing in Left Mild-to-Moderate Congenital Diaphragmatic Hernia
Authors: Liu Qianli , Hong Chun , Li Xiaohui , Jiang Haiping , Tang Jing
Published: July 2021

Background: The optimal timing of surgery for left-sided mild-to-moderate congenital diaphragmatic hernia (CDH) remains unknown. Objectives: To determine the optimal timing of surgery for left-sided mild-to-moderate CDH. Methods: Thirty newborns were randomly divided into emergency (EAR) and delayed (DEL) surgery groups. Thoracoscopic repair of CDH was performed within 48 hours after birth in the EAR group and then in the DEL group. Next, the baseline data, primary and secondary endpoints, and adverse reactions were assessed. Results: Differences between the two groups were not significant in terms of the measured lung-to-head ratio (LHR), preoperative pulmonary artery hypertension (PAH)-free/mild PAH ratio, surgery duration, duration of postoperative mechanical ventilation, incidence of postoperative moderate-to-severe PAH, postoperative mortality, and recurrence rate in the follow-up (P > 0.05 for all). Meanwhile, age at surgery (P = 0.001), duration of fasting (P = 0.001), and hospital stay (P = 0.032) were significantly different between the two groups. Conclusions: Timing of thoracoscopy, performed within 85 hours of birth for left-sided CDH repair, does not affect the therapeutic outcomes of children with left-sided mild-to-moderate CDH.
Effect of N-Acetylcysteine on hsCRP in Patients on Continues Ambulatory Peritoneal Dialysis: A Quasi-Experimental Study
Authors: Najafi Farzaneh , Mousavi-Roknabadi Razieh Sadat , Pirdehghan Azar , Rahimian Masoud , Nourimajalan Nader
Published: July 2021

Background: Inflammatory processes are proved in patients with chronic kidney disease (CKD) as one of the leading causes of mortality and morbidity. N-acetylcysteine (NAC) is known as an antioxidant drug with anti-inflammatory effects. Objectives: This study aimed to evaluate the effects of NAC on hsCRP in CKD patients on peritoneal dialysis. Methods: This quasi-experimental self-controlled study examined adult CKD patients on peritoneal dialysis referred to the peritoneal dialysis clinic. The participants were assigned into two groups (A: CRP of 5 - 15 mg/L and B: CRP < 5 mg/L), and both groups were treated with oral NAC 600mg twice a day for eight weeks. First, the hsCRP was measured before and after the intervention, and then all the collected data were analyzed. Results: Forty patients (n = 24 in the group A and n = 26 in the group B) participated in this study. NAC decreased the hsCRP level in both groups (P = 0.001 in the group A vs. P = 0.002 in group B); however, the decrease was more prominent in the group A (P = 0.013). The hsCRP decrease was more significant in women (P = 0.002) in general and women in the group B (P = 0.02) in particular. The hsCRP variation had a significant relationship with the underlying disease (P = 0.009). There was no significant correlation between the hsCRP variation with age (r = -0.173, P = 0.285) and the duration of dialysis. Conclusions: The administration of NAC (600 mg, twice a day for eight weeks) significantly decreased the level of hsCRP in patients on peritoneal dialysis, especially in those with CRP = 5 - 15 mh/L. The decrease has no relationship with age and duration of dialysis; however, it was more highlighted in women.
Evolution of the Clinical, Dermoscopic and Pathologic Diagnosis of Melanoma
Authors: Kittler Harald
Published: July 2021

The conventional narrative states that the steadily rising incidence of melanoma among fair-skinned Caucasian populations during the last decades is caused by excessive UV-exposure. There is, however, no doubt that other factors had a significant impact on the rising incidence of melanoma. Pre-1980s the clinical diagnosis of melanoma was based on gross criteria such as ulceration or bleeding. Melanomas were often diagnosed in advanced stages when the prognosis was grim. In the mid-1980s education campaigns such as the propagation of the ABCD criteria, which addressed health care professionals and the public alike, shifted the focus towards early recognition. Dermatoscopy, which became increasingly popular in the mid-1990s, improved the accuracy for the diagnosis of melanoma in comparison to inspection with the unaided eye, especially for flat and small lesions lacking ABCD criteria. At the same time, pathologists began to lower their thresholds, particularly for the diagnosis of melanoma in situ. The melanoma epidemic that followed was mainly driven by an increase in the number of in situ or microinvasive melanomas. In a few decades, the landscape shifted from an undercalling to an overcalling of melanomas, a development that is now met with increased criticism. The gold standard of melanoma diagnosis is still conventional pathology, which is faced with low to moderate interobserver agreement. New insights in the molecular landscape of melanoma did not translate into techniques for the reliable diagnosis of gray zone lesions including small lesions. The aim of this review is to put our current view of melanoma diagnosis in historical context and to provide a narrative synthesis of its evolution. Based on this narrative I will provide suggestions on how to rebuild the trust in melanoma diagnosis accuracy and in the benefit of early recognition.
Interpreting research in South Africa: A bibliometric study
Authors: Kotzé Herculene
Published: July 2021

After South Africa’s transition to democracy in 1994, there was an expectation that problems related to translation services would receive more attention, especially given the fact that 11 languages received official status after 1994 (Lubbe 2002:78). In addition, the call to transform and decolonize South Africa has led to widespread discussion regarding which steps need to be taken to strengthen the African perspective in higher education. Kotzé and Wallmach (forthcoming) offer an in-depth look at research trends on interpreting in South Africa for the period 2006 to 2016. They highlight that, in order to transform South African interpreting studies, it is essential to know what has already been researched and, going forward, what we can learn from publication trends on interpreting. By using a systematic literature review (Fink 2005), this bibliometric study investigates the trends of interpreting research done in South Africa, from the first publication found in 1968, through to 2017. The findings from this study will be of value to current and future interpreting researchers in that they will highlight current trends and shortcomings in South African interpreting research, and contribute to understanding and solving issues of transformation within this specific field.
Revision of the cricket genus Nisitrus Saussure (Orthoptera: Gryllidae: Eneopterinae) and descriptions of five new species
Authors: Tan Ming Kai , Wahab Rodzay bin Haji Abdul , Japir Razy , Chung Authur Y.C. , Robillard Tony
Published: July 2021

Nisitrus Saussure, 1878 is a diurnal and monophyletic group of eneopterine crickets found in parts of Southeast Asia. Species often have vivid colourations which make them charismatic photograph subjects among macro photographers. However, their taxonomy has not been revised since their original descriptions, whereas there are also species awaiting to be discovered and described. A synoptic revision is therefore needed prior to studying the phylogenetic relationships of the genus, and before undertaking more precise studies on biogeography and evolution of traits. By holistically incorporating information about general morphology, male and female genitalia, and bioacoustics, we revise the taxonomy of these crickets and recognise 10 valid species of Nisitrus. Five new species are described: N. crucius Robillard & Tan sp. nov. from Borneo; N. danum Robillard & Tan sp. nov. from Borneo; N. hughtani Robillard & Tan sp. nov. from Sumatra; N. malaya Robillard & Tan sp. nov. from Malay Peninsula; and N. rindu Robillard & Tan sp. nov. from Borneo. We redescribe N. brunnerianus and N. insignis; describe the calls of N. malaya sp. nov., N. musicus and N. vittatus. We consider N. sumatrensis as a junior synonym of N. insignis; and N. marginata as a junior synonym of N. vittatus. Nisitrus hyalinus requires further revision. We also consider N. maculosus as a dubious name.
Recensión: Francisco Linares Martínez, Sociología y Teoría Social Analíticas. La ciencia de las consecuencias inintencionadas de la acción, Madrid: Alianza Editorial, 2018 (270 págs.)
Authors: Gutiérrez Palacios Ramón Antonio
Published: July 2021

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Colorectal carcinoma and chronic inflammatory demyelinating polyneuropathy: is there a possible paraneoplastic association?
Authors: Malik Adnan , Inayat Faisal , Goraya Muhammad Hassan Naeem , Nawaz Gul , Mehran Ahmad , Aziz Atif , Saleem Saad
Published: July 2021

A plethora of paraneoplastic syndromes have been reported as remote effects of colorectal carcinoma (CRC). However, there is a dearth of data pertaining to the association of this cancer with demyelinating neuropathies. Herein, we describe the case of a young woman diagnosed with chronic inflammatory demyelinating polyneuropathy (CIDP). Treatment with intravenous immunoglobulins and prednisone did not improve her condition, and her neurological symptoms worsened. Subsequently, she was readmitted with exertional dyspnea, lightheadedness, malaise, and black stools. Colonoscopy revealed a necrotic mass in the ascending colon, which directly invaded the second part of the duodenum. Pathologic results confirmed the diagnosis of locally advanced CRC. Upon surgical resection of the cancer, her CIDP showed dramatic resolution without any additional therapy. Patients with CRC may develop CIDP as a type of paraneoplastic syndrome. Clinicians should remain cognizant of this potential association, as it is of paramount importance for the necessary holistic clinical management.
An Interpretive Scheme for Analyzing the Identities That Students Develop in Mathematics Classrooms
Authors: Cobb Paul , Gresalfi Melissa , Hodge Lynn Liao
Published: July 2021

Our primary purpose in this article is to propose an interpretive scheme for analyzing the identities that students develop in mathematics classrooms that can inform instructional design and teaching. We first introduce the key constructs of normative identity and personal identity, and then illustrate how they can be used to conduct empirical analyses. The case on which the sample analysis focuses concerns a single group of middle school students who were members of two contrasting classrooms in which what it meant to know and do mathematics differed significantly. The resulting analyses document the forms of agency that students can legitimately exercise in particular classrooms, together with how authority is distributed and thus to whom students are accountable, and what they are accountable for mathematically. In the final section of the article, we clarify the relation of the interpretive scheme to other current work on the identities that students are developing in mathematics classrooms.
Facilitating the Transition from Empirical Arguments to Proof
Authors: Stylianides Gabriel J. , Stylianides Andreas J.
Published: July 2021

Although students of all levels of education face serious difficulties with proof, there is limited research knowledge about how instruction can help students overcome these difficulties. In this article, we discuss the theoretical foundation and implementation of an instructional sequence that aimed to help students begin to realize the limitations of empirical arguments as methods for validating mathematical generalizations and see an intellectual need to learn about secure methods for validation (i.e., proofs). The development of the instructional sequence was part of a 4-year design experiment that we conducted in an undergraduate mathematics course, prerequisite for admission to an elementary (Grades K–6) teaching certification program. We focus on the implementation of the instructional sequence in the last of 5 research cycles of our design experiment to exemplify our theoretical framework (in which cognitive conflict played a major role) and to discuss the promise of the sequence to support the intended learning goals.
Aluminum Applications to Naval Ship Design and Shipbuilding
Authors: Lamb Thomas , Beavers Nathaniel
Published: July 2021

In an earlier paper, the authors conducted an analysis of the difference in acquisition and total ownership costs of steel and aluminum equivalent naval ship designs. It was shown that an aluminum ship can be built within just 7.5% of the acquisition cost of an equivalent steel ship. This is possible because of the cascading benefits of the aluminum ship’s significantly lighter weight. The aluminum ship was also shown to have operational and total ownership cost advantages. This paper reports on additional design effort conducted by the authors that validates the structural and fire insulation weight estimates used for both ship designs in the earlier paper.
Implications of Performing Tugboat Stability Analysis with Fixed Trim Assumptions
Authors: Foster W. J. , Powell T. B.
Published: July 2021

Tugboat and towboat stability analysis may be performed with either “fixed trim” or “free to trim” methodologies under the current Code of Federal Regulations (CFR). The “fixed trim” method allows the vessel’s draft to change with increasing heel angle, while maintaining constant trim until the trimming moment is zero. The “free to trim” method is representative of how the vessel will behave, allowing the vessel to trim until the trimming moment is zero, with no restrictions on draft or trim. The use of the fixed trim method originally simplified the calculations performed by naval architects and produced accurate results for traditional model bow tugboats that were predominant. However, as tug styles and computers have evolved, the methodology is no longer as relevant or necessary. The paper quantifies what affect the fixed trim method has on the calculated righting energy at large angles of heel and determines when the method is no longer valid. The analysis looks at tugboats currently in operation representing a range of design characteristics and ages. The results show that the fixed trim method may provide a reasonably accurate righting arm curve for traditional model bow tugboats in some loading conditions. However, the fixed trim method can result in unrealistic and exaggerated righting arm curves for many foc’sle bow tugboat designs particularly in the intermediate and load line conditions. As older tugs are modified and new design trends evolve, it is important that naval architects understand the underlying reasoning behind the regulations that are applied to these vessels. The issue has become particularly relevant as older Load Line tugs are being repowered, modernized and, in many cases, converted into modern articulated tug and barge (ATB) units. These older tugs were not originally designed to the current stability standards and it is often a challenge for these vessels to comply.
Real Time Local Sea State Measurement using Wave Radar and Ship Motions
Authors: Thornhill E. M. , Stredulinsky D. C.
Published: July 2021

The Canadian Navy is exploring operator guidance systems designed to promote safer and more efficient operations in a seaway. These systems require accurate real time information on the local sea state. Recent sea trials with a wave radar system, which can produce directional wave spectra from the back scatter produced by conventional navigational radar, have generated good direction and frequency measurements, but wave height was found to be less reliable. However, by combining the wave radar measurements with ship motions, these wave height measurements are greatly improved. This paper presents some background of at-sea wave measurement, a description of the combined wave radar / ship motions procedure, and the results from several sea trials.
Entrevista con Andreu Belsunces
Authors: Belsunces Andreu
Published: July 2021

Entrevista con Andreu Belsunces, sociólogo del diseño y la tecnología, cuya investigación se centra en cómo la industria tecnológica, política pública, finanzas e infraestructuras se enredan con las expectativas sociales para producir determinadas formas de conocimiento y visiones colectivas del futuro.
NirD curtails the stringent response by inhibiting RelA activity in Escherichia coli
Authors: Léger Loïc , Byrne Deborah , Guiraud Paul , Germain Elsa , Maisonneuve Etienne
Published: July 2021

Bacteria regulate their metabolism to adapt and survive adverse conditions, in particular to stressful downshifts in nutrient availability. These shifts trigger the so-called stringent response, coordinated by the signaling molecules guanosine tetra and pentaphosphate collectively referred to as (p)ppGpp. In Escherichia coli, accumulation of theses alarmones depends on the (p)ppGpp synthetase RelA and the bifunctional (p)ppGpp synthetase/hydrolase SpoT. A tight regulation of these intracellular activities is therefore crucial to rapidly adjust the (p)ppGpp levels in response to environmental stresses but also to avoid toxic consequences of (p)ppGpp over-accumulation. In this study, we show that the small protein NirD restrains RelA-dependent accumulation of (p)ppGpp and can inhibit the stringent response in E. coli. Mechanistically, our in vivo and in vitro studies reveal that NirD directly binds the catalytic domains of RelA to balance (p)ppGpp accumulation. Finally, we show that NirD can control RelA activity by directly inhibiting the rate of (p)ppGpp synthesis.
Comparative development and ocular histology between epigean and subterranean salamanders (Eurycea) from central Texas
Authors: Tovar Ruben U. , Cantu Valentin , Fremaux Brian , Gonzalez Jr Pedro , Spikes Amanda , García Dana M.
Published: July 2021

The salamander clade Eurycea from the karst regions of central Texas provides an ideal platform for comparing divergent nervous and sensory systems since some species exhibit extreme phenotypes thought to be associated with inhabiting a subterranean environment, including highly reduced eyes, while others retain an ancestral ocular phenotype appropriate for life above ground. We describe ocular morphology, comparing three salamander species representing two phenotypes—the surface-dwelling Barton Springs salamander (E. sosorum) and San Marcos salamander (E. nana) and the obligate subterranean Texas blind salamander (E. rathbuni) - in terms of structure and size of their eyes. Eyes were examined using confocal microscopy and measurements were made using ImageJ. Statistical analysis of data was carried out using R. We also provide a developmental series and track eye development and immunolocalization of Pax6 in E. sosorum and E. rathbuni. Adult histology of the surface-dwelling San Marcos salamander (E. nana) shows similarities to E. sosorum. The eyes of adults of the epigean species E. nana and E. sosorum appear fully developed with all the histological features of a fully functional eye. In contrast, the eyes of E. rathbuni adults have fewer layers, lack lenses and other features associated with vision as has been reported previously. However, in early developmental stages eye morphology did not differ significantly between E. rathbuni and E. sosorum. Parallel development is observed between the two phenotypes in terms of morphology; however, Pax6 labeling seems to decrease in the latter stages of development in E.rathbuni. We test for immunolabeling of the visual pigment proteins opsin and rhodopsin and observe immunolocalization around photoreceptor disks in E. nana and E. sosorum, but not in the subterranean E. rathbuni. Our results from examining developing salamanders suggest a combination of underdevelopment and degeneration contribute to the reduced eyes of adult E. rathbuni.
Zonas de sacrificio: Tú amarás, de Pablo Manzi
Authors:   Pontificia Universidad Católica de Chile, Opazo Cristian
Published: July 2021

A partir del texto dramático Tú amarás (2018), de Pablo Manzi (Santiago, 1988), este artículo analiza de qué manera el discurso políticamente correcto, diseminado desde circuitos académicos y organizaciones gubernamentales, genera zonas de sacrificio: tramas discursivas que, en nombre de las agendas disciplinares de las élites intelectuales, “exotizan”, “esencializan” o fijan las identidades de sujetos y comunidades que habitan espacios residuales.
El Génesis. Fernanda Martínez Varela. Santiago: Castor y Pólux, 2019. ISBN 978-956-9872-13-6. 66 pp.
Authors:   Cornell University, Ibáñez Roberto
Published: July 2021

Publicado hace dos años, El Génesis (Cástor y Pólux, 2019), de Fernanda Martínez Varela, continúa explorando a través de la poesía los temas que la obsesionan: las relaciones familiares y amorosas, la religión, el género, la violencia y el lenguaje. Estos estaban ya presentes en su publicación anterior, La Sagrada Familia (Libros del Perro Negro, 2015). Esta, tercera publicación de la autora, se destaca, sin embargo, por hacer el esfuerzo de condensar la escritura, incluso por momentos llegando a entregar una imagen única por página. Digo esfuerzo porque leo el texto como una serie de aperturas y cierres, como si se tratara de una respiración inquieta. La fuerza y el motor de este libro se hallan en la lucha de concentrar grandes temas en un uso y una plasticidad del lenguaje y darles así cauce y sentido en un régimen de afectos personales.
“Allá abajo, en los pliegues harapientos de su sol”: merodeos y recovecos en Fanon City Meu, de Jaime Huenún
Authors:   Universidad de Playa Ancha (Chile), Said Samir
Published: July 2021

A partir de la lectura del poemario Fanon City Meu este estudio pretende elaborar una reflexión en torno a la lógica que rige el espacio distópico ideado por Jaime Luis Huenún en el libro y, así mismo, corroborar de qué manera el imaginario subvertido en el poemario es representativo en su condición cronotópica con respecto a la realidad contemporánea en Latinoamérica y Chile. Por lo tanto, se interpreta la misma obra como un elemento literario que impulsa una mirada crítica no sólo centrada en el discurso indígena, sino capaz de ser referente de una realidad subalterna glocal, y de proyectar un tránsito entre un espacio micro a un espacio más macro.
Sesgos de las historias de la literatura: tres géneros narrativos populares en español y sus fuentes
Authors:   Universidad Nacional Autónoma de México, Gutiérrez Daniel
Published: July 2021

Este trabajo trata sobre la presencia y presentación de tres géneros populares en las historias de la literatura latinoamericana y española que se remontan, por lo menos, al siglo XIX y continúan en la actualidad: el gótico, la fantasía y la ciencia ficción. En particular, se revisa la tendencia a omitir o minimizar dichos géneros; en contraste con la información obtenida de las fuentes primarias, la cual demuestra una importante presencia de estos tres géneros en la literatura escrita en español.