bluuebunny/crossref_metadata_2025 huggingface dataset:
The Revitalization of Regional Literature as a Strategy to Improve Writing Ability and Reproducing Literature
Authors: Fransori Arinah
Published: January 2021

Along with the times, literature, culture and society are growing steadily. The Three are affected by the speed of movement conditions of social life in the development of modern society lifestyle. The importance of the revitalization process in literature basically is to restore the function of literary works against society. Its main purpose is to describe the influence learning strategy and the revitalization of the regional literary writing activities and reproduce literature. Thus it would be useful both theoretically and practically. It is directly enrich the regional literature as a form of Indonesian literature. The method used in this research is quasi-experimental method (quasi experiment). This study is called an unreal experiment, or also called a mock experiment. After conducting research with the strategy, there are 31 works of literature revitalized through folklore and regional stories that exist in Indonesia. The work then became one and a book entitled Reproduction of Regional Literature R5A. From the experimental results, the groups can be concluded that there is an average score between the experimental group and the control group. Known after consultation on table turns out significant number.
The Role of Digital Technologies in the Education System
Authors: Abdurahimovna Umarova Fotima
Published: January 2021

The purpose of this article is to analyze the introduction and use of information and communication technologies (ICT) in the special disciplines of higher education, to teach teachers how to improve the effectiveness of teaching and learning through information and communication technologies. This article discusses the issues of improving the knowledge and skills of students through the use of modern information and communication technologies in the preparation of specialists, increasing students' interest in the educational process and the ability to apply their knowledge in practice in the future. The focus is on the need to develop appropriate strategies for a new educational role and, in addition, to enhance the role of learners in integrating information and communication technologies into the educational process. The role and perspective of the teachers was very important, highlighting them as key players in the process. The data show that there is a belief that the use of information and communication technologies in the educational process will help increase the effectiveness of education and facilitate the organization of the educational process. In particular, it shows that the contribution of information and communication technologies to the improvement of the educational process in educational institutions, where information and communication technologies is an innovative factor, is high. Achieving this high level means that the educational institution must not only modernize technological means, but also change the models of teaching.
Cadena de suministro en servicios turísticos en Ecuador
Authors: Santamaría Freire Edwin Javier , López Pérez Sonnia de los Angeles , Miranda López Rodrigo Fernando , López Pérez Edwin Vinicio
Published: January 2021

El turismo es una de las actividades que genera ingresos para el país, sin embargo, el proceso de aprovisionamiento dentro de su cadena de suministro limita las acciones del sector. Por ello, se plantea como objetivo caracterizar la cadena de suministros para la prestación de servicios turísticos en Ecuador, teniendo en cuenta que el turismo es una fuente directa de ingresos para la población, además, considerando la composición económica a nivel longitudinal y transversal, de modo que se conozca el desarrollo de las actividades productivas en el destino turístico. El trabajo es orientado desde la perspectiva del desarrollo de la amplitud y longitud, aspectos dentro de la cadena de suministro que no ha sido aplicado a nivel del turismo. La investigación se realiza bajo el enfoque social crítico y cuantitativo; se recopila información apoyados en la búsqueda en bases de datos del estado, y se complementa con la aplicación de 308 encuestas a empresas del sector turísticos. Los resultados muestran que la cadena de suministro desde su amplitud está constituida por agentes turísticos: gastronomía, hotelería, recreación, agencias de viajes y transporte; y desde su longitud a través de canales directos e indirectos. Se concluye que, en el sector turístico, la cadena de suministro requiere 4,8 proveedores por local, a excepción de las agencias de viajes que requiere 8,8 proveedores, la composición indica que los proveedores son principalmente nacionales; de estos, con el direccionamiento de recursos para innovación en productos y/o servicios turísticos se puede incrementar los beneficios en la economía.
Proceso de comercialización y extracción de productos de manglar, San Lorenzo-Ecuador
Authors: Quiñónez Cabeza Manuel Ruvin , Nazareno Veliz Ingrid Tania , Camacho Marín Raúl Alfonso , Cedeño Coveña Marco Vinicio
Published: January 2021

Esta investigación tiene como objetivo estudiar el proceso de comercialización y extracción de la concha (Anadara Tuberculosa y Anadara Similis) y su influencia económica en las familias del cantón San Lorenzo - Ecuador. Se evaluaron las cantidades de conchas provenientes de Ecuador y Colombia extraídas y comercializadas, sus porcentajes en machos y hembras, para identificar beneficios económicos por género. Se representó y analizó la cantidad de canoas y personas que prestan sus servicios en esta actividad y los costos de operaciones durante los procesos de extracción y comercialización en sus diferentes etapas, llevando a establecer márgenes de utilidad, para el conchero recolector (proveedor), intermediarios y bodegueros; generación de empleo e ingresos y beneficios a las familias de la zona. Los resultados obtenidos indican que el 52% de las conchas extraídas y comercializadas corresponden a San Lorenzo y el 48% corresponden a conchas colombianas. Al final del proceso, obtienen ingresos, por debajo del salario básico mensual unificado establecido. Se concluye que el proceso de comercialización de productos del manglar genera un impacto relevante en las familias de San Lorezo-Ecuador.
Innovación y éxito empresarial: algunas reflexiones teóricas
Authors: Vega Ventosilla Violeta , Ferro Cuellar Hugo , Ruiz Choque Mario , Bonomie María
Published: January 2021

La innovación permite anticipar nuevas oportunidades a las organizaciones, beneficiando la solución creativa de problemas, utilizando estrategias que garanticen flexibilidad en condiciones cambiantes. En este sentido, la investigación pretende realizar un estudio documental, el cual persigue abordar teóricamente la innovación como elemento fundamental para el éxito en las organizaciones. Para ello se estudiaran conceptos presentados por autores como: Schumpeter (1939), Drucker (1985), Mandado, Fernández y Dorio (2003), Escorsa y Valls (2003),entre otros. La investigación es descriptiva, no experimental, en la cual se consideran realidades teóricas del objeto de estudio, con un análisis sistémico y organizado. La innovación se presenta como una oportunidad para mejorar y promover estrategias que estimulen a desarrollar una visión integral en la organización, que contribuirán al desarrollo de ventajas competitivas que garanticen el éxito en las organizaciones. La innovación puede desempeñar un papel estratégico en las organizaciones, que puede ser útil en la medida que encuentre a los actores adecuados en su proceso de creación y difusión logrando el éxito en las empresas.
Legitimidad y reputación corporativa: estudio a partir de normas de sistemas de gestión ISO
Authors: Orviz Martínez Natalia , Blanco González Alicia , Del Castillo Feito Cristina
Published: January 2021

El objetivo de este artículo es analizar el impacto de la certificación en las normas de sistemas de gestión ISO 9001 e ISO 14001 y de su implementación en un sistema integrado de gestión (SIG) sobre la legitimidad y la reputación de las organizaciones, así como contrastar la influencia de dichos activos intangibles en el rendimiento financiero. Como complemento a este objetivo se estudió la posible relación bidireccional entre los dos activos intangibles. Para ello se han seleccionado las empresas del IBEX-35, y se ha utilizado una modelización estructural con PLS. Los resultados evidencian una influencia positiva entre la certificación con la legitimidad y con la reputación, entre la integración de los sistemas de gestión con la legitimidad, y entre la legitimidad y la reputación con el rendimiento financiero. Sin embargo, no se ha podido evidenciar la relación entre la integración de los dos sistemas de gestión con la reputación. Se concluye que la implementación en las organizaciones de manera independiente o integrada de normas ISO 9001 e ISO 14001 va a permitir responder a las empresas a las expectativas del entorno y grupos sociales, mejorando tanto su legitimidad como su reputación.
Competitividad y responsabilidad social desde la comunicación de la ciencia
Authors: Mateos Espejel Lourdes , Estrada Rodríguez José Luis , Hernández Ruiz Haydeé Margarita
Published: January 2021

Este artículo analiza la articulación de la comunicación de la ciencia y la responsabilidad social corporativa, como generadora de ventaja competitiva en el mercado de las empresas. La responsabilidad social corporativa, es un es un modelo de negocios autorregulado que apoya a las empresas a ser socialmente responsables respecto a sí mismas y sus grupos de interés; y que impacta en la generación de ventaja competitiva por incidir en el desempeño de la empresa, su reputación e imagen. La metodología utilizada en esta investigación está centrada en la revisión del estado del arte de este tema, poco explorado; así como en las experiencias documentadas de la responsabilidad social corporativa y el impulso a la divulgación científica como mecanismo para agregar un valor público, impactar en las actitudes e intenciones del consumidor o ciudadano y promover ventajas competitivas. Los resultados indican que existe un triángulo virtuoso entre las empresas, la responsabilidad social y la comunicación científica, como condición necesaria para el éxito de las empresas que contienen un diferenciador de utilidad ante la competencia, pudiendo concluir que la comunicación de la ciencia como estrategia de la RSC es un factor que impacta fuertemente en la generación de ventaja competitiva, incide en la reputación e imagen, concretando una actitud positiva del consumidor hacia los productos de las empresas.
Pymes, jóvenes y empleo: Una mirada desde Marruecos
Authors: Lominchar Jiménez José
Published: January 2021

Jóvenes y empleo son preocupaciones a nivel global, el crecimiento sostenido de la creación de pymes se ha visto como alternativa a la problemática. En este sentido el objetivo de esta investigación se centra en describir la oportunidad de empleo en jóvenes y la creación de pymes en Marruecos, siendo este el País del Mundo árabe que ocupa la menor tasa de empleabilidad. Para desarrollar el objetivo planteado se recurrió a la revisión bibliográfica y documental, teniendo como resultado el atractivo de Marruecos como destino de inversión debido al potencial de crecimiento representado por la capacidad transformadora de las pequeñas y medianas empresas, el auge de la economía gig, los acuerdos privilegiados internacionales de Marruecos con Estados Unidos y Europa así como la expansión económica que está llevando en África, lo cual conlleva a la reflexión final de Marruecos como un país atractivo para la inversión.
Prácticas de gobierno corporativo en el desempeño financiero de empresas mexicanas
Authors: Polo Jiménez Sergio Demetrio , Hernández Gracia Tirso Javier , Martín Benítez Daniela
Published: January 2021

La pérdida de confianza en los reportes contables por parte de los inversores en los diferentes mercados internacionales de capital y atendiendo a las iniciativas mundiales, permite que México en 1999, dé a conocer su Código de Mejores Prácticas Corporativas (CMPC), orientado en fortalecer los procesos internos de las empresas que les permita aumentar su competitividad, en este sentido, el principal objetivo del estudio se orienta en identificar hasta qué grado, 101 empresas no financieras listadas en la Bolsa Mexicana de Valores en el periodo 2014- 2017, cumplen con las recomendaciones realizadas por la Comisión Nacional Bancaria y de Valores (CNBV), referentes a las prácticas de Buen Gobierno Corporativo y si dicho cumplimiento condiciona el desempeño financiero (ROE) de las compañías analizadas. Con la construcción de un índice de Gobierno Corporativo y a través de la aplicación de los modelos paramétricos, los resultados alcanzados permiten observar, una relación positiva entre el desempeño financiero y las prácticas de Gobierno Corporativo, lo que significa, que el cumplir con las recomendaciones corporativas, aumenta la rentabilidad financiera.
Grupos de interés y reestructuración del plan de estudios caso empleadores
Authors: Bañuelos García Víctor Hugo , García Martínez Flor de María , Álvarez Diez Rubén , Hernández Ponce Rogelio
Published: January 2021

Hoy en día, la planeación académica debe proporcionar a los nuevos requerimientos sociales la actualización de planes y programas de estudio en las Instituciones de Educación Superior (Camarena & Velarde, 2009). El objetivo de la presente investigación, consistió en analizar cómo se agrupan las características solicitadas por los empleadores en los egresados de los diferentes posgrados ofertados en la Unidad Académica de Contaduría y Administración (UACyA) de la Universidad Autónoma de Zacatecas (UAZ), México. La muestra de estudio estuvo conformada por 34 encuestas de 26 empresas públicas y privadas recopiladas en un encuentro con empleadores en Junio de 2019, encontrando mediante el análisis factorial exploratorio, que predominan tres factores: el primero, detección de problemas, fundamentos teóricos; el segundo, uso de tecnologías de información, iniciativa, trabajo en equipo, manejo de una segunda lengua; el tercero, comunicación, aptitudes intelectuales, liderazgo, entre otros; con un aporte de 31.97%, 12.05% y 8.29% de la varianza total explicada respectivamente. Considerando que son esenciales los estudios de seguimiento de egresados para evaluar, acreditar y actualizar los programas educativos, con el fin de cumplir con las expectativas del mercado laboral.
Nuevas Tecnologías de la Comunicación aplicadas a la Gerencia Universitaria: posibilidades y retos
Authors: Caldevilla Domínguez David , Viñarás Abad Mónica , Rodríguez Terceño José
Published: January 2021

El nuevo panorama gerencial impone un planteamiento coherente y exige una adaptación realista a las nuevas realidades, en tanto la gerencia de organizaciones es un campo diverso de diferentes tecnologías y estructuras administrativas que pueden adecuarse a múltiples ámbitos, incluyendo el universitario, en este sentido, el objetivo del presente trabajo consiste en describir como las nuevas tecnologías de información y comunicación se están presentando en la gestión universitario ante un escenario de pandemia covid-19. La perspectiva metodológica de esta investigación se configura en forma cualitativa de tipo documental, con un enfoque determinantemente histórico-hermenéutico Los resultados precisan que en la presente coyuntura social las sinergias inesperadas, implícitas o explícitas derivadan de las tecnologías de información y comunicación. Las posibilidades que se abren en el campo de la gestión universitaria son numerosas, con nuevos desarrollos tecnológicos y sociales, tales como la tecnología blockchain, o la creciente interconectividad digital, abriendo avenidas no ya de posibilidad, sino de seguridad, en terrenos administrativos y formativos.
Emprendimiento femenino por necesidad en Ecuador
Authors: Delgado Estrada Stephanie Marcela , Carrasco Reyes Rosa Inés , Chabusa Vargas Jorge Luis , Mackay Castro Clarkent Rubén
Published: January 2021

El rol de la mujer en el siglo actual se visualiza con mayor participación en las diferentes áreas de la sociedad; incluso cumpliendo son su rol de madre. Las mujeres en busca de mejorar su calidad de vida, y ante situaciones inminentes del día a día, se ven impulsadas a generar ingresos a través de emprendimientos. En este sentido, se planteó como objetivo de esta investigación describir el emprendimiento femenino por necesidad en Ecuador. La metodología aplicada tiene enfoque descriptivo, desarrollando así una investigación documental y bibliográfica que sirvió de base para obtener los hallazgos. Los resultados determinan que Ecuador es uno de los países más emprendedores de América Latina, liderando la tasa de emprendimiento por necesidad en la región, asimismo, las mujeres ecuatorianas cuentan con el respaldo del Ministerio de Inclusión Económica y Social lo cual sirve como impulso para el surgimiento de emprendimientos femeninos; no obstante, las mujeres en comparación con los hombres siguen teniendo desventajas. Como reflexión final se plantea que existe una tendencia positiva hacia la aceptación de los emprendimientos sociales por necesidad en Ecuador.
Hernia intercostal abdominal con preservación diafragmática de origen desconocido [Abdominal intercostal hernia with diaphragmatic preservation of unknown origin]
Authors: Reoyo Pascual José Felipe , Cartón Hernández Carlos , Cabriada García Guillermo , Zanfaño Palacios Jesús , González Prado Cristina , López Rodríguez Beatriz , Garcia Plata Polo Esther , Valero Cerrato Xandra , Álvarez Rico Miguel
Published: January 2021

Las hernias intercostales son muy poco frecuentes y las que han sido reportadas en la literatura muestran un origen traumático.  Por ello, presentamos un caso insólito al ocurrir en un paciente sin antecedente traumático conocido además de otros datos peculiares como la presencia de  hernia intercostal con preservación diafragmática, asociación muy poco frecuente. El diagnóstico radiológico es fundamental y permite orientar la estrategia terapeútica adecuada. En la mayoría de los casos el tratamiento quirúrgico se basa en la reparación herniaria asociada a la utilización de material protésico que , como en el caso presentado, permiten una buena evolución clínica de los pacientes.

 

ABSTRACT

Intercostal hernias are very rare and those reported in the literature show a traumatic origin.  Therefore, we present an unusual case when occurring in a patient without a traumatic history known in addition to other peculiar data such as the presence of intercostal hernia with diaphragmatic preservation, very rare association. Radiological diagnosis is essential and allows to guide the appropriate therapeutic strategy. In most cases surgical treatment is based on herniary repair associated with the use of prosthetic material which, as in the case presented, allow a good clinical evolution of patients.
HIV Non-Occupational Post-Exposure Prophylaxis Awareness Among Undergraduate Students of a Private University in South-West Nigeria
Authors: Elikwu Charles J , Ajani Tinuade A , Nwadike Victor U , Tayo Babtunde , Okangba Chika C , Shonekan Opeoluwa A , Omeonu Azubuike C , Faluyi Bibitayo , Enyi Blessing I , Nwamannah Faith O , Takon Ekude P , Obaya Fisayo D , Paul Anejodo O , Coker Akitoye O
Published: January 2021

Objectives: The Human Immunodeficiency virus causes an infection of public health importance with about 71% of the global burden in Sub-Saharan Africa. In Nigeria, 3.2 million people are living with HIV, and 838,000 - 1.3 million of the cases are found among youths. Although Non- Occupational Human Immunodeficiency Virus (HIV) post-exposure prophylaxis (nPEP) is a safe and efficacious method of HIV prevention, it remains an underutilized prevention strategy in Nigeria.  This study aimed to determine the awareness level of nPEP after sexual and other non-occupational exposure to HIV among undergraduate students of a private University.
Methods: A descriptive cross-sectional survey was conducted among 395 undergraduates’ students. Data was collected by pre-tested structured self-administered questionnaires. Data obtained from the study were analyzed using the IBM SPSS Statistics version 20 software program and Frequency distribution tables with percentages and cross-tables were used for data description.
Results: About 42.8% were aware of nPEP. Most of the respondents 361 (91.4%) knew that PEP is to be given after HIV exposure risk following sexual intercourse. Although 79.5% of the respondents indicated that they will see their physician after unprotected sexual intercourse and other non-occupational exposure to HIV, the majority neither knows about nPEP initiation time, 247 (62.5%) nor its duration, 286 (72.4%).
Conclusions: A low level of awareness was observed among our study participants, therefore, consistent health education and promotion of nPEP will improve its awareness, uptake, and possibly reduce the prevalence of HIV among our youths.
Knowledge, attitude, and utilization of HIV counseling and testing by female sex workers in Lagos State, Nigeria
Authors: Ogunyemi Doyin , OGUNMEFUN Oluwatoyin Theresa , 3.	OLUWOLE Esther , Ekundayo Adeola
Published: January 2021

Objectives: The Human Immunodeficiency Virus (HIV) epidemic continues to expand among female sex workers (FSWs) who have limited access to and utilization of HIV counseling and testing services (HCT). HCT plays a pivotal role in increasing knowledge and awareness to prevent, treat, and control HIV/AIDS. The study objective was to determine the knowledge, attitude, utilization of HCT among brothel-based FSWs (BBFSWs).
Method: This was a descriptive cross-sectional study among 300 BBFSWs in Lagos State. The respondents were recruited by snowballing after a multistage sampling method was used in the selection of the brothels. The data was collected using an adapted interviewer-administered questionnaire and analyzed using IBM SPSS Statistics version 23. The level of statistical significance was set at p<0.05.
Results: Majority (63.0%) of the respondents were between the ages of 21-30 years and 67.4% had good knowledge of HIV and HCT. About 75.0% had a positive attitude towards HCT and 55.6% of FSWs in this study had utilized an HCT center in the past. The main reason for not taking HIV test was the fear of a positive result (90.6%) while the main reasons given for not visiting any HCT center were lack of confidentiality (13.3%), stigmatization (14.8%), and distance to the HCT center (67.2%).
Conclusion: There was a good knowledge of HCT and a positive attitude towards HCT services by the respondents. The main reasons for not taking the HIV test as indicated by respondents were fear of a positive result. HIV-stigma related issues should be adequately addressed.
Forecasting Techniques for Wheat Production in Sindh Province
Authors: Pirzado Ali Akbar , Jatoi Imran Khan , Shar Muhammad Bux , Qureshi Naeem Ahmed , Peerzado Moula Bux , Khanzada Arman Khan , Rahujo Ishfaque Ahmed , Lakhan Rafique Ahmed
Published: January 2021

The present study is an attempt to forecast the wheat production in Sindh province of Pakistan using sophisticated statistical techniques. The secondary data regarding area, production and yield of wheat crop were collected for the last thirty years (1984-85 to 2013-14) for estimation and forecasting purposes using time series techniques such as moving averages and exponential smoothing. The estimates for three, five and seven-years moving averages for area were found to have a minimum value of 849.87,863.04, and 890.09 hectares and maximum value of 1129.4,1111.58, and 1109.6 hectares respectively. Likewise, for production, these estimates were found as 2065.57, 2117.7, 2154.3 and 3917.50, 3740.8, 3469.4 tons respectively. So, for as the yield is concerned, the above-mentioned estimates for minimum and maximum were found as 2071.7, 2107.8, 2121 and 3574.0, 3520, and 3414 respectively. Based on the findings of the present study, it is concluded that during the last thirty years the area, production and yield under wheat cultivation showed an increasing trend. In case of forecasting, the area and production under wheat cultivation was increase in the coming year, but the yield under wheat cultivation was considerably decreased due to shortage of irrigation waterForecasting
Generación de la huella ecológica en el personal de los 3 sectores de la población de la UAO/UAZ, Zacatecas, México
Authors: Muñoz Ecobedo José Jesús , Hernández Salas Gil Fernando , Gutiérrez Jesús Rivas , Maldonado Tapia Claudia , García Mayorga Elda , Moreno García María Alejandra
Published: January 2021

Es importante reconocer que lo que se  realiza a diario en el  área de trabajo, tiene una relación muy estrecha con la huella ecológica. Un problema grave es el desperdicio de agua y energía eléctrica, cuando a veces no es necesario en el trabajo, ya que son esencial para poder desempeñar las actividades, por eso se necesita tomar conciencia de esto y usar los servicios de luz y agua solo cuando se requiera. El objetivo de este trabajo es determinar la huella ecológica del personal de los tres sectores de la población de la Unidad Académica de Odontología UAZ.  La presente investigación consistió en: Aplicación de encuestas personales al sector alumnos, docentes y trabajadores. Resultados: Respecto al transporte público se determinó que el sector trabajador y alumnos son los que más lo utilizan. En la alimentación un 55% del sector alumnos consume alimentos en su hogar, el 50% del sector docente lo hace en la cafetería escolar y el 48% del sector trabajador en casa. Referente a si se encuentra prendida la luz al inicio de las actividades, los tres sectores mencionan que sí en un gran porcentaje; así mismo un uso inadecuado  del agua.  Se sugiere dentro de lo posible, usar el transporte público y usar el vehículo lo indispensable o colectivamente. Se propone optimizar el uso de equipo y aparatos que requieran consumo de energía, se recomienda utilizar lámparas ahorradoras de energía tipo LED. Siendo indispensable adquirir los conocimientos adecuados sobre la gestión de los RPBI de acuerdo con la NOM-O87ECOL-SSA1-2002.

El riego de los  jardines por las mañanas y tardes. De la misma forma el agua utilizada en lavabos y depósitos de baños, se sustituya por agua reciclada por medio de sistemas de ahorro.

Palabras clave: Generación, huella-ecológica, población, UAO/UAZ.
THE ROLE OF HISTORICAL AND ETHNOGRAPHICAL SOURCES IN THE BAGPIPE REVIVAL IN THE BALTICS
Authors: Muktupāvels Valdis
Published: January 2021

This paper describes how the bagpipe revival process in Estonia, Latvia, and Lithuania, begun in the 1970s, has been influenced by historical and ethnographical sources, ethnomusicological scholarship, and certain personalities. Popular and academic views on the relationship between the instrument and ethnic identity—and contemporary developments in musical life—have undeniably had a considerable impact as well.
CULTURAL AND RELIGIOUS BORDERLAND IN POLISH ETHNOMUSICOLOGY BEFORE AND AFTER 1989 - ON THE EXAMPLE OF THE AREAS INHABITED BY LUTHERANS
Authors: Nawrocka-Wysocka Arleta
Published: January 2021

The topic of the article is the peculiar situation of the researcher on the borderland. The author analyzes musicological studies conducted after 1945 in Masuria and Cieszyn Silesia – areas inhabited by Polish-speaking Lutherans, and tries to answer the questions which elements were emphasized and which were omitted or distorted.
BRAZILIAN MUSIC BETWEEN NATIONAL AND REGIONAL
Authors: Tomazin Andrej
Published: January 2021

After Brazil became independent in 1822, intellectuals and politicians were confronted with the question of how to create a common identity that would connect the vast territory and the communities living there into a single whole. Along with the national identity, regional ones were formed as well, marked by the desire to preserve their own cultural expression within the larger state. Under the influence of the mass media, folk musical expressions contributed to the emergence of popular music, which was also influenced by the elites, who acted as gatekeepers and arbiters.
THE MUSICAL CODE OF ROUND-NUMBER BIRTHDAY CELEBRATIONS FOR SENIORS IN LITHUANIA
Authors: Žičkienė Aušra
Published: January 2021

This article examines round-number birthday celebrations for people in Lithuania using video recordings uploaded to the internet over the past decade. The focus of attention is birthday celebrations for seniors (age fifty and over). The main goal is to use a structural and semantic approach in order to reveal the cultural and social meanings of celebrations through their musical code.
FOOD HERITAGE-MAKING BETWEEN THE ALPS AND THE ADRIATIC
Authors: Ledinek Lozej Špela , Šrimpf Vendramin Katarina
Published: January 2021

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PLENTY OF FISH IN THIS SEA: SIFTING THE PAST IN THE NORTHEASTERN ADRIATIC
Authors: Rogelja Caf Nataša , Janko Spreizer Alenka , Bofulin Martina
Published: January 2021

The paper discusses heritagization, remembering, and past presencing in the North East Adriatic through the four fish species that serve as nodal points in the interplay between the past and the present. Following the selected fish species, the paper explores the diversity of imaginaries that pertain to the mediation of the past in the present in the field of ethnological study in the North East Adriatic.
THE UPPER SAVINJA VALLEY STOMACH SAUSAGE – A NARRATIVE OF SPACE, DIET, AND PEOPLE
Authors: Godina Golija Maja
Published: January 2021

The author discusses the history, methods of production, and use of the Upper Savinja Valley stomach sausage, an excellent dry meat product, which is firmly embedded in economic and ritual practices of the inhabitants of the Savinja Alps. Through the examination of the production, consumption, donation, and promotion of the Upper Savinja Valley stomach sausage, we are acquainted with the lives of the people along the upper reaches of the Savinja River, their connection with food heritage, their values, norms, and social differentiation. The author also aims to answer the question of the role of food beyond its physiological significance and material substance.
BRANDING TOLMIN CHEESE
Authors: Ledinek Lozej Špela
Published: January 2021

The author presents the history of local cheese evaluation, from the commodification at the end of the 19th century to modern qualification instruments, emphasizing the collective trademark and the protected designation of origin. The main actors involved in the branding process, their objectives, effects, and specific features are outlined. In addition to strengthening agricultural production, food processing, and market supply, the branding processes have shaped and consolidated representations of (past) regional cheese production and livestock breeding, and have built locality.
BETWEEN TRADITIONS AND INNOVATIONS
Authors: Topole Maja , Pipan Primož
Published: January 2021

The article presents two good practices in culinary boutique tourism from the Slovenian Mediterranean hinterland. The authors believe that they stand out in terms of content, innovation, organization, and personalized approach. The two tourist farms covered are very successful in networking and cooperation with other local producers and food suppliers. They have received a lot of media attention due to their activities and character. They have also received significant recognition at the national level. They educate visitors in search of unique culinary experiences, in their view, promote the cultural heritage, and increase the visibility of their region. As the authors note, culinary heritage, combined with innovation, is a vital element for the survival of small farms.
ROUTES OF KUÇEDRA
Authors: Gregorič Bon Nataša
Published: January 2021

The article takes the reader along the multitude of entanglements between the social, political, economic, infrastructural, scientific, and mythological meanings of water in Albania. Waterways, along with the routes of the mythical water figure called Kuçedra, continuously bring to the shore the meaning and the relation to authority. The latter used to be an essential part of the unwritten laws or the so-called Kanuns that were managed by the big men of particular patrilines. The article argues that the relation to authority is deeply rooted in the structural terrains of the Albanian society. The changing nature of the water (in similar ways to Kuçedra) always manages to trickle down, permeate, entangle and transgress these ambiguities and generate space-time in contemporary Albania.
Feasibility of a Home-Based Palliative Care Intervention for Elderly Multimorbid Survivors of Critical Illness
Authors: Mayr Florian B. , Plowman Judith L. , Blakowski Sandra , Sell-Shemansky Kimberly , Young Joleene M. , Yende Sachin
Published: January 2021

Background

Elderly patients frequently experience deteriorating health after critical illness, which may threaten their independence and predispose them to unplanned hospital readmissions and premature death.

Objectives

To evaluate the operational feasibility of a 90-day home-based palliative care intervention in multimorbid elderly Veteran survivors of critical illness.

Methods

A multidisciplinary home-based palliative care intervention was provided for multimorbid elderly veterans who were discharged home after admission to the intensive care unit for sepsis, pneumonia, heart failure, or exacerbation of chronic obstructive lung disease.

Results

Fifteen patients enrolled in the study, 11 (73%) of whom completed all visits; thus the prespecified goal of >70% completion was met. Median (interquartile range [IQR]) age of the patients was 76 (69-87) years. Participants had a median (IQR) of 8 (7-8) concurrent chronic health conditions, were moderately debilitated at baseline, and were all male. The median (IQR) time to the first study visit was 8 (5-12) days. Patients had a median (IQR) of 8 (5-11) in-home visits and 6 (3-7) telephone encounters during the 90-day study period. Nurses spent a median (IQR) cumulative time of 330 (240-585) minutes on home visits and 30 (10-70) minutes on telephone visits. The median (IQR) time per home provider visit was 90 (75-90) minutes. We estimated the median (IQR) cost per patient to be $2321 ($1901-$3331).

Conclusion

A comprehensive home-based palliative care intervention is operationally feasible in elderly multi-morbid survivors of critical illness and may result in improved physical functioning and quality of life and fewer unplanned emergency department visits.
Monitor-Watcher Use, Nurses’ Knowledge of Electrocardiographic Monitoring, and Arrhythmia Detection
Authors: Funk Marjorie , Fennie Kristopher P. , Knudson Krista A. , Ruppel Halley
Published: January 2021

Background

Electrocardiographic telemetry monitors are ubiquitous in hospitals. Dedicated monitor watchers, either on the unit or in a centralized location, are often responsible for observing telemetry monitors and responding to their alarms. The impact of use of monitor watchers is not known.

Objectives

To evaluate the association of monitor-watcher use with (1) nurses’ knowledge of electrocardiographic (ECG) monitoring and (2) accuracy of arrhythmia detection.

Methods

Baseline data from 37 non–intensive care unit cardiac patient care areas in 17 hospitals in the Practical Use of the Latest Standards for Electrocardiography trial were analyzed. Nurses’ knowledge (n = 1136 nurses) was measured using a validated, 20-item online test. Accuracy of arrhythmia detection (n = 1189 patients) was assessed for 5 consecutive days by comparing arrhythmias stored in the monitor with nurses’ documentation. Multiple regression was used to evaluate the association of use of monitor watchers with scores on the ECG-monitoring knowledge test. The association of monitor-watcher use with accuracy of arrhythmia detection was examined by χ2 analysis.

Results

Of the 37 units, 13 (35%) had monitor watchers. Use of monitor watchers was not independently associated with ECG-monitoring knowledge (P = .08). The presence of monitor watchers also was not significantly associated with the accuracy of arrhythmia detection (P = .94).

Conclusion

Although the use of monitor watchers was not associated with diminished nurses’ knowledge of ECG monitoring, it also was not associated with more accurate arrhythmia detection. If implementing a monitor-watcher program, critical safety points, such as ensuring closed-loop communication, must be considered.
A Communicative Intervention to Improve the Psychoemotional State of Critical Care Patients Transported by Ambulance
Authors: Arimon Marta Prats , Llobet Montserrat Puig , Roldán-Merino Juan , Moreno-Arroyo Carmen , Blanco Miguel Ángel Hidalgo , Lluch-Canut Teresa
Published: January 2021

Background

Communication is key to understanding the emotional state of critical care patients.

Objective

To analyze the effectiveness of the communicative intervention known as CONECTEM, which incorporates basic communication skills and augmentative alternative communication, in improving pain, anxiety, and posttraumatic stress disorder symptoms in critical care patients transported by ambulance.

Methods

This study had a quasi-experimental design with intervention and control groups. It was carried out at 4 emergency medical centers in northern Spain. One of the centers served as the intervention unit, with the other 3 serving as control units. The nurses at the intervention center underwent training in CONECTEM. Pretest and posttest measurements were obtained using a visual analog scale to measure pain, the short-version State-Trait Anxiety Inventory to measure anxiety, and the Impact of Event Scale to measure posttraumatic stress disorder symptoms.

Results

In the comparative pretest-posttest analysis of the groups, significant differences were found in favor of the intervention group (Pillai multivariate, F2,110 = 57.973, P < .001). The intervention was associated with improvements in pain (mean visual analog scale score, 3.3 pretest vs 1.1 posttest; P < .001) and posttraumatic stress disorder symptoms (mean Impact of Event Scale score, 17.8 pretest vs 11.2 posttest; P < .001). Moreover, the percentage of patients whose anxiety improved was higher in the intervention group than in the control group (62% vs 4%, P < .001).

Conclusion

The communicative intervention CONECTEM was effective in improving psychoemotional state among critical care patients during medical transport.
Bras for Breast Support After Sternotomy: Patient Satisfaction and Wear Compliance
Authors: Bolling Kimberly , Long Takako , Jennings Cathy D. , Dane Francis C. , Carter Kimberly Ferren
Published: January 2021

Background

For women undergoing median sternotomy, especially those with a bra cup size C or larger, breast support can reduce pain, wound breakdown, and infection. This study addressed a gap in research, identifying the best bra after sternotomy in terms of patient satisfaction and wear compliance.

Objectives

To evaluate larger-breasted women’s satisfaction and compliance with wearing 3 commercially available front-closure bras—with a hook-loop closure (the hospital’s standard of care), a zipper closure, or a hook-eye closure—after cardiac surgery.

Methods

This study used a posttest-only, 3-group randomized controlled design. A convenience sample of participants were sized and randomly assigned a product that was placed immediately postoperatively. Participants agreed to wear the bra at least 20 h/d until the provider cleared them for less wear. At inpatient day 5 or discharge, and at the follow-up outpatient visit, subjects completed investigator-developed surveys. Data were analyzed from 60 participants by using the χ2 test and Kruskal-Wallis analysis of variance; also, patterns were identified within written comments.

Results

Participants were most satisfied with the hook-eye front-closure product before (P = .05) and after (P = .02) discharge. Participants recommended the hook-eye and zipper products over the hook-loop bra (H = 8.39, P = .02). Wear compliance was strongest in the group wearing the hook-eye bra.

Conclusions

The hook-eye closure product had the most satisfaction and greatest wear compliance, and it received the highest recommendation. A practice change was made to fit and place the hook-eye bra in the operating room immediately after surgery.
Nurses’ Perceptions of Workload Burden in Pediatric Critical Care
Authors: Lebet Ruth M. , Hasbani Natalie R. , Sisko Martha T. , Agus Michael S. D. , Nadkarni Vinay M. , Wypij David , Curley Martha A. Q.
Published: January 2021

Background

Quantifying nurses’ perceptions of workload burden when managing critically ill patients is essential for designing interventions to ease nurses’ workday.

Objectives

To explore pediatric intensive care unit (PICU) nurses’ perceptions of their workload when caring for critically ill patients and managing protocolized therapies.

Methods

This study was embedded in a multicenter randomized clinical trial where participants were assigned to receive either lower-target or higher-target glucose control. Nurses from 35 participating PICUs completed a baseline survey containing questions about their perceptions of PICU workload in general. They completed an intervention survey after caring for a study patient. Two workload measurement instruments, the Subjective Workload Assessment Technique (SWAT) and the National Aeronautics and Space Administration–Task Load Index (NASA-TLX), were embedded in these surveys.

Results

Baseline surveys were completed by 1476 PICU nurses, predominantly female with a bachelor’s degree and a median (interquartile range) of 6 (3-11) years of nursing experience and 4 (2-9) years of PICU experience. Most nurses (65%) rated time burden as the most important component of their workload, followed by cognitive (22%) or psychological stress (13%) burden. Work performance was selected most often as contributing to workload, followed by cognitive demand, time pressure, effort, and physical demand. Intervention surveys were completed by 73% of enrolled participants (505 of 693). Nurses managing the lower glucose target group reported higher levels of workload burden as measured by the SWAT (P = .002) and NASA-TLX (P < .001).

Conclusions

This study describes the workload burden perceived by PICU nurses when managing critically ill patients in general and when managing protocolized therapies.
Acute Respiratory Distress Syndrome Prediction Score: Derivation and Validation
Authors: Huang Lixue , Song Man , Liu Yan , Zhang Wenmei , Pei Zhenye , Liu Nan , Jia Ming , Hou Xiaotong , Zhang Haibo , Li Jinhua , Cao Xiangrong , Zhu Guangfa
Published: January 2021

Background

Despite advances in treatment strategies, acute respiratory distress syndrome (ARDS) after cardiac surgery remains associated with high morbidity and mortality. A method of screening patients for risk of ARDS after cardiac surgery is needed.

Objectives

To develop and validate an ARDS prediction score designed to identify patients at high risk of ARDS after cardiac or aortic surgery.

Methods

An ARDS prediction score was derived from a retrospective derivation cohort and validated in a prospective cohort. Discrimination and calibration of the score were assessed with area under the receiver operating characteristic curve and the Hosmer-Lemeshow goodness-of-fit test, respectively. A sensitivity analysis was conducted to assess model performance at different cutoff points.

Results

The retrospective derivation cohort consisted of 201 patients with and 602 patients without ARDS who had undergone cardiac or aortic surgery. Nine routinely available clinical variables were included in the ARDS prediction score. In the derivation cohort, the score distinguished patients with versus without ARDS with area under the curve of 0.84 (95% CI, 0.81-0.88; Hosmer-Lemeshow P = .55). In the validation cohort, 46 of 1834 patients (2.5%) had ARDS develop within 7 days after cardiac or aortic surgery. Area under the curve was 0.78 (95% CI, 0.71-0.85), and the score was well calibrated (Hosmer-Lemeshow P = .53).

Conclusions

The ARDS prediction score can be used to identify high-risk patients from the first day after cardiac or aortic surgery. Patients with a score of 3 or greater should be closely monitored. The score requires external validation before clinical use.
Accuracy of Height Measurement in the Inpatient Setting
Authors: Kahn Peter A. , Cartiera Malgorzata , Lindop Walter , Fogerty Robert L.
Published: January 2021

Accurate height measurement is critical for accurate dosing of medications, mechanical ventilation, and nutritional calculations. Prior research has identified inaccuracies with self-reported height, and height is notably important to measure accurately in critically ill patients. In this study, conducted in a large tertiary academic medical center, medical records rarely indicated the method of height measurement, and there were statistically significant variations in measured height across admissions.
Potentila indica (Andr.) nov. (wild strawberry) in Sri Lanka is Restricted to a small Climatic Envelop Urging Strict Conservation
Authors: Ranaweera L. T. , Perera H. A. C. R. , Wijesundara W. W. M. U. K. , Rathnayake R. M. S. K. , Wijesundara W.M.D.A. , Senavirathna H. M. T. N. , Senevirathna R. W. K. M. , Weebadde C. K. , Hancock J. F. , Sooriyapathirana S. D. S. S.
Published: January 2021

Purpose: The nomenclature of the wild strawberries inhabited in Sri Lanka is ambiguous. In Sri Lanka, this species is still named Duchesnea indica which needs a revision. Wild strawberries grow well in natural habitats of upcountry in Sri Lanka. Since the commercial strawberry cultivations gain a popularity in upcountry, the studies on wild strawberry is essential for crop improvement and management.Research Method: In the present study, we conducted extensive field sampling followed by a phylogenetic analysis with the DNA barcoding markers ITS and, trnL-F by using a representative sample of wild strawberry plants in Sri Lanka. The distribution of the species was identified using maximum entropy modeling approaches.Findings: Sri Lankan wild strawberry got placed at subtribe: Potentilla, and clade: Reptans and show a shallow divergence with the species Potentilla indica reported. Thus, we reposition the genus of wild strawberries in Sri Lanka from Duchesnea to Potentilla and hereafter name it as P. indica. The niche model analysis predicted a highly restricted distribution of Sri Lankan wild strawberry in Nuwara-Eliya district over an area of 166.36 km2 in the altitude range of 1546 - 2524 m in a small climatic envelop highlighting the need for urgent conservation measures.Research Limitations: The pop-set for available in literature of P. indica is limited for comparison. Extensive studies based on DNA sequencing is needed for further validation.Originality / Value: Taxonomy, narrow distribution, need of conservation, and phylogenetic distance to Fragaria chiloensis, a progenitor species of cultivated strawberry, are defined for Sri Lankan wild strawberries.