bluuebunny/crossref_metadata_2025 huggingface dataset:
Acute Internal Medicine Trainee Survey 2015
Authors:   Acute Internal Medicine, Surrey and Sussex NHS Trust, Smallwood Nicholas , Conway Nerys ,   Society for Acute Medicine
Published: June 2021

Objectives: To ascertain current Acute Internal Medicine (AIM) trainees’ opinions on their training programme, practical procedures, specialist skills and AIM as a specialty. This can then be used to feedback to the national training committee to help shape training priorities. Methods: Online survey sent to all AIM Higher Specialty Trainees registered on the Society for Acute Medicine database, and advertised through e-mail communication and social media. Results: The majority of trainees (55.5%) were quite happy or very happy with their training currently, although significant difficulties were highlighted with time off for specialist skill training and difficulty achieving certain procedural skills. The majority of trainees believe ultrasound should form a core component of AIM training (82.3%). A high proportion of trainees would recommend AIM as a specialty despite these difficulties. Conclusions: A number of issues were highlighted causing difficulties within AIM training, despite which the vast majority of trainees would recommend AIM as a career choice. The results were fed back to the training committee in March.
ESIM Winter School 2015, Riga, Latvia
Authors:   Frenchay Hospital, North Bristol NHS Trust (Severn Deanery), Bristol, Lane Nigel , Lovell Ben ,   Acute Medicine, University College London Hospitals, London
Published: June 2021

Of course we were delighted to have ‘won’ something for our efforts although neither of us really new what we had ‘won’. A trip to the ESIM Winter School in Riga, Latvia we were told was our prize courtesy of the Society for Acute Medicine (SAM). But what is ESIM? It stands for the European School of Internal Medicine (ESIM), an educational part of a larger organisation the European Federation of Internal Medicine (EFIM). We both have to confess we knew nothing about either organisation.
Acute General Practice – the 7 year itch
Authors: Jameson Ben
Published: June 2021

The Acute GP Service has operated in Plymouth for the last 7 years. We have a mandate to improve patient care through supporting community GPs and their patients at the point of need for urgent medical assessment. I outline our service design and delivery and make the argument for the use of primary care physicians to help manage the interface between primary and secondary care.
Trainee update Autumn 2015
Authors:   Surrey and Sussex NHS Trust, Smallwood Nicholas , Conway Nerys
Published: June 2021

The time has come to say goodbye and an incredibly big thankyou to Nerys who leaves her post as trainee rep after two years. Nerys’ enthusiasm and energy will be missed and we wish her well for her impending Consultant role (wherever that may be…). Her replacement has been confirmed as Sanjay Krishnamoorthy who many of you will hopefully have met at SAM Manachester, so congratulations Sanjay and welcome to the role.
Neurocysticercosis presenting as a ‘Stroke Mimic’
Authors:   Royal Derby Hospital, Rowe Aimee , Ghasemi Reza ,   Royal Derby Hospital, Shah Rajiv ,   Department of Infectious Diseases Nottingham University Hospitals, Venkatesan Pradhib ,   Department of Infectious Diseases, Nottingham University Hospitals, England Timothy ,   Vascular Medicine School of Medicine Royal Derby Hospital Centre University of Nottingham
Published: June 2021

A 62 year old Nepalese gentleman presented with left sided weakness and sensory loss. Initial brain CT scanning was suggestive of acute infarction but a subsequent MRI scan showed cysts with oedema. Cysticercosis serology was positive and a diagnosis of neurocysticercosis was made. The patient made almost a complete recovery after treatment with albendazole, praziquantel and steroids. Neurocysticercosis should be considered in the differential diagnosis when patients originating from endemic areas present with focal neurological deficit.
Frailsafe: from conception to national breakthrough collaborative
Authors:   Department of Geriatric and Stroke Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Northern General Hospital, Herries Road, Sheffield, Offord Natalie , Wyrko Zoe ,   University Hospitals Birmingham, NHS Foundation Trust, Downes Tom ,   Sheffield Teaching Hospitals, NHS Foundation Trust, Hopper Adrian ,   Guy’s and St Thomas’, NHS Foundation Trust, Harriman Paul ,   Sheffield Teaching Hospitals, NHS Foundation Trust, Gordon Adam L ,   University of Nottingham Derby Teaching Hospitals, NHS Foundation Trust
Published: June 2021

The number of people aged over 60 years worldwide is projected to rise from 605 million in 2000 to almost 2 billion by 2050, while those over 80 years will quadruple to 395 million. Two-thirds of UK acute hospital admissions are over 65, the highest consultation rate in general practice is in those aged 85–89 and the average age of elective surgical patients is increasing. Adjusting medical systems to meet the demographic imperative has been recognised by the World Health Organisation to be the next global healthcare priority and is a key feature of discussions on policy, health services structures, workforce reconfiguration and frontline care delivery.
Acute generalised exanthematous pustulosis (AGEP)-a potential pitfall for the acute physician
Authors: Cranga TA , Simpson MA , Featherstone Peter ,   Acute Medicine, Medical Assessment Unit, Queen Alexandra Hospital
Published: June 2021

Acute generalised exanthematous pustulosis is a rare drug-induced dermatosis with an incidence of 1-5 cases per million cases per year, characterised by the appearance of hundreds of sterile pustules over erythematous and oedematous skin. Fever and neutrophilia are usually present. It has a rapid course and usually resolves following discontinuation of the precipitating drug or as a result of topical corticosteroid treatment. A patient with AGEP, who presented with generalized pustulosis lesions after the use of Flucloxacillin for cellulitis is described, along with the management and differential diagnosis of this condition.
Pheochromocytoma presenting as a mimic of acute coronary syndrome
Authors:   King’s College Hospital, Denmark Hill, London, Hakim Yasmin , Forbes Anna ,   King’s College Hospital, Denmark Hill, London, Khan Momina ,   King’s College Hospital, Denmark Hill, London, Whitelaw Benjamin C ,   King’s College Hospital, London
Published: June 2021

Chest pain with elevated serum troponin is a common clinical presentation and is normally managed as suspected myocardial infarction or acute coronary syndrome (ACS). We report a 49 year old man who presented with central chest pain sweating and breathlessness. He had a significantly elevated serum troponin I level and a subsequent angiogram showed near normal coronary arteries. He was subsequently investigated for fever and found to have a 3cm right sided adrenal mass consistent with a pheochromocytoma. After confirmation and appropriate blockade laparoscopic adrenalectomy was performed. Pheochromocytoma may present as a mimic of acute coronary syndrome but this is often unrecognized and leaves the patient at risk of future pheo crisis events which may be fatal.
https://staging.acutemedjournal.co.uk/hospital-readmissions-independent-predictors-of-30-day-readmissions-derived-from-a-10-year-database/
Authors:   School of Medical Sciences, Bangor University, Bradley-Roberts Elen Marged , Subbe Christian P ,   Respiratory & Critical Care Medicine Bangor University & Ysbyty Gwynedd Hospital Bangor, Wales
Published: June 2021

Recovery from Acute Illness is dependent on severity of illness. We aimed to investigate whether resilience as the ‘ability to bounce back’ might also affect recovery. We conducted a scoping review to identify gaps in the existing literature. We used emergency care, intensive care, critical care and trauma as surrogates for acute illness. We mapped synonyms for resilience and selected ‘resilience’ and ‘robustness’. The search was limited to adult patients admitted to hospitals. We found strong evidence for psychological sequelae of acute illness but no research focusing specifically on the concepts of resilience or robustness and no interventional studies in the acute hospital setting. The concept of resilience might be applicable to unscheduled admissions to hospital. Measurements and potential interventions require further research.
SAM Trainee Report Spring 2017
Authors:   Chelsea and Westminster Hospital, Krishnamoorthy Sanjay , Patel Neil ,   Society for Acute Medicine
Published: June 2021

Our spring conference this year heads to Cardiff. Ex SAM trainee representative and new acute medicine consultant Nerys Conway will be hosting us on May 4th and 5th 2017 at a conference entitled ‘Together Stronger.’ Along with our regular favourites like Cases that changed my practice, we have an exciting trainee session organised including reflections from a past attendee at the EFIM winter school, an update on the Chief Registrars’ program and insight into choosing Neurology as your specialist skill.
Acute Medicine Finishing School: Preparing for the next step
Authors:   University College Hospital, Euston Rd, Fitzrovia, London, NW1 2BU, Khan Tehmeena , Murch Nicholas ,   Royal Free Hospital, Pond Street, London, NW3 2QG
Published: June 2021

The transition from registrar to consultant in medicine is one that trainees feel ill prepared for and can be extremely stressful. We devised the concept of an Acute Medicine “Finishing School” for senior trainees in London training programmes and ran sessions on CV writing, a simulated consultant interview, consultant job planning, responding to complaints and an out of hospital emergency scenario. Our feedback survey indicated that our delegates’ confidence levels in all of the above aspects increased following the sessions. Both formal and informal feedback highlighted the need and appetite for such a course. By ensuring trainees are trained and supported through this transition process, we can ensure the process is a less stressful one.
The prognostic efficacy of beta2-microglobulin in acute pulmonary embolism
Authors:   Pulmonary Department, Evangelismos General Hospital of Athens, Kakavas Sotirios , Papanikolaou Aggeliki ,   Pulmonary Department, Evangelismos General Hospital of Athens, Balis Evangelos ,   Pulmonary Department, Evangelismos General Hospital of Athens, Metaxas Evgenios ,   Pulmonary Department, Evangelismos General Hospital of Athens, Tatsis Georgios ,   Pulmonary Department, Evangelismos General Hospital of Athens
Published: June 2021

Our aim was to prospectively assess the prognostic value of beta2- microglobulin (b2-M) in patients with acute pulmonary embolism (PE). We conducted a prospective study of 109 patients admitted in a pulmonary clinic due to acute PE. A panel of inflammatory markers including b2-M white blood cell (WBC) count and C-reactive protein (CRP) was determined for each patient. In this preliminary study, baseline b2-M levels significantly correlated with the impairment of oxygenation and with all the parameters that are used for the early risk stratification of patients. In multivariate analysis, patients’ age and baseline b2-M levels were significantly associated with an increased risk of death. These findings require further prospective validation.
Acute Medicine Trainee Update Summer 2017
Authors:   Society for Acute Medicine, Patel Neil , Krishnamoorthy Sanjay ,   Chelsea and Westminster Hospital
Published: June 2021

The SAM Cardiff meeting at the Mercure Hotel was well attended and it was great to catch up with many AIM trainees.
Acute Medical Ward for better care coordination of patients admitted with infection – evidence from a tertiary hospital in Singapore
Authors:   Singapore General Hospital, Balakrishnan Tharmmambal , Teo Pek Siang Edmund ,   Singapore General Hospital, Lim Wan Tin ,   Singapore General Hospital, Xin Xiao Hui ,   Singapore General Hospital, Yuen Bi Huan ,   Singapore General Hospital, Wong Kok Seng ,   Singapore General Hospital
Published: June 2021

Coordination and consolidation of care provided in acute care hospitals need reconfiguration and reorganization to meet the demand of large number of acute admissions. We report on the effectiveness of an Acute Medical Ward AMW (AMW) receiving cases that were suspected to have infection related diagnosis on admission by Emergency Department (ED), addressing this in a large tertiary hospital in South East Asia. Mean Length of Stay (LOS) was compared using Gamma Generalized Linear Models with Log-link while odds of readmissions and mortality were compared using logistic regression models. The LOS (mean: 5.8 days, SD: 9.1 days) of all patients admitted to AMW was similar to discharge diagnosis-matched general ward (GW) patients admitted before AMW implementation, readmission rates were lower (15-day: 5.3%, 30-day: 8.1%). Bivariate and multivariate models revealed that mean LOS after AMW implementation was not significantly different from before AMW implementation (Ratio: 0.99, p=0.473). Our AMW had reduced readmission rates for patients with infection but has not made an overall impact on the LOS and readmission rates for the epartment as a whole.
Arkeolojik kalıntıların belgelenmesinde yersel ve İHA fotogrametrisinin birlikte kullanımı
Authors: KAYA Yunus , POLAT Nizar , ŞENOL Halil İbrahim , MEMDUHOĞLU Abdulkadir , ULUKAVAK Mustafa
Published: June 2021

Eski dönemlere ait birçok arkeolojik alanı ve kültürel miras yapılarını içinde barındıran Şanlıurfa, Şuayip Peygamber’in yaşadığı yer olduğuna olan inançtan dolayı Şuayip Şehri olarak bilinen arkeolojik alanı da bünyesinde barındırmaktadır. Arkeolojik alanlar ve bu alanlarda gün yüzüne çıkarılan yapılar hem kültür turizmi açısından hem de bilimsel anlamda önem taşımaktadır. Bu çalışmada yersel fotogrametri ve İnsansız Hava Aracı (İHA) fotogrametrisi kullanılarak Şuayip Şehri’nde bulunan bir yapıya ait üç boyutlu model üretilmiştir. İki farklı veri setinin de kendilerine has dezavantajlarından dolayı birleşik veri setiyle yoğun nokta bulutu ve üç boyutlu model üretimi gerçekleşmiştir. İHA’dan elde edilen fotoğrafların yapının üst kısmını, yerden çekilen fotoğrafların ise yapının cephelerini tam olarak içermesinden dolayı birleşik model münferit kaynaklardan elde edilen modellere göre daha anlamlı oluşturulmuştur. 216 adet yerden ve 26 adet İHA’dan elde edilen fotoğraf ile nokta bulutu üretimi ve modelleme işlemi yapılmıştır. İki farklı veri setindeki koordinat sistemleri farklı olduğu için İteratif En Yakın Nokta (İEYN) yöntemiyle noktalar arasında dönüşüm yapılmıştır. Çalışma sonucunda yerden çekilen fotoğraflardan yaklaşık 7.6 milyon, İHA’dan çekilen fotoğraflardan ise yaklaşık 2.2 milyon nokta üretilmiştir.
Ansattes vurdering av barns trivsel i barnehagen
Authors: Bjørgen Kathrine , Moe Børge
Published: June 2021

Rammeplan for barnehagen vektlegger at barnehagen skal bidra til barns trivsel, men det er uvisst hvordan ansatte i barnehagen vurderer ulike faktorers betydning for barns trivsel. Et spørreskjema ble sendt til 25 norske barnehager for å undersøke hvordan de ansatte vurderte faktorer som påvirker 3–6-åringers trivsel, og hvordan de tilrettelegger for barns trivsel. De 105 respondentene vurderte psykiske, fysiske og sosiale forhold som svært viktig for barns trivsel, samtidig som litt over halvparten vurderte kognitive forhold som viktig. Kognitive forhold med større krav til læring og skoleforberedende aktiviteter kan utfordre den tradisjonelle barnehagepedagogikken som er preget av lek, trygghet og sosiale forhold. Barnehagens utemiljø ble vurdert som bedre tilrettelagt for barns trivsel enn innemiljøet. Ansatte med lengre ansiennitet vurderte at de bedre ivaretar og fremmer barns trivsel sammenliknet med ansatte med kortere ansiennitet. Resultatene viser at ansatte vurderer trivsel ulikt, noe som utfordrer praksisfeltet og barns trivsel i barnehagen.
English abstract
Norwegian ECEC practitioners’ assessments of children’s well-being in kindergarten
The framework plan for Norwegian kindergartens emphasises that the kindergarten shall facilitate children’s well-being, but it has not been established how the practitioners assess the significance of various conditions for well-being. A questionnaire was sent to 25 Norwegian kindergartens to investigate how the practitioners assessed factors that affect 3-6-year olds’ well-being and how they facilitate well-being. The 105 respondents considered psychological, physical, and social conditions as extremely important for children’s well-being, while just over half considered cognitive conditions as important. Cognitive conditions with greater demands on learning and school-preparatory activities may challenge the traditional pedagogy, as characterized by play, security, and social conditions. The outdoor environment was considered to facilitate well-being better than the indoor environment. Practitioners with longer seniority considered themselves to take better care of and promote children’s well-being than practitioners with shorter seniority. This suggests that practitioners assess wellbeing differently, which influence the field of practice and children’s well-being.
Hva er problemet med at medvirkning er individorientert? – medvirkning som en juridisk rettighet og som et pedagogisk fellesskapsanliggende
Authors: Ree Marianne
Published: June 2021

Prøveforelesning avholdt 23.10.20 ved disputas for ph.d.-graden ved Universitetet i Stavanger, Fakultetet for utdanningsvitenskap og humaniora, Institutt for barnehagelærerutdanning. Tema gitt til denne prøveforelesningen er «Hva er problemet med at medvirkning er individorientert? Drøft forholdet mellom medvirkning formulert som en juridisk rettighet og medvirkning formulert som et pedagogisk fellesskapsanliggende».
Saúde bucal de pré-escolares: do processo carioso aos fatores determinantes e moduladores
Authors: SILVA COSMO HELDER FERREIRA DA , CANA IÉ MIRINDA FERNANDO , LIMA KARLOS EDUARDO RODRIGUES , JOAQUIM DAVIDE CARLOS , MELO LEITE ANA CAROLINE ROCHA DE
Published: June 2021

Objetivo: objetivou-se avaliar a experiência de cárie e seus fatores determinantes e moduladores em pré-escolares de um centro de educação infantil localizado no estado do Ceará. Método: trata-se de um estudo exploratório, descritivo e de abordagem quantitativa realizado com crianças do infantil IV e V do Centro de Educação Infantil Francisca Arruda de Pontes (Redenção, CE) e suas mães. Após consentimento, as mães responderam um questionário contendo perguntas desde os aspectos socioeconômicos e acompanhamento pelo serviço de saúde a conhecimento das doenças bucais. Posteriormente, as crianças foram submetidas à avaliação odontológica para registro do índice CEO-D, o qual corresponde à soma do número de dentes decíduos cariados (c), com extração indicada (e) e restaurados (o). Os dados foram tabulados e descritos como frequência relativa e absoluta. Resultados: das mães, 80,75% tinham renda de até 1 salário mínimo, 61,53% utilizavam creme dental na higiene oral de seu filho e 48,07% desconheciam as doenças bucais. Das crianças, 65,38% não eram atendidas pelo cirurgião-dentista e 50,00% consumiam diariamente bolacha doce. Das crianças avaliadas, 52,50% tinham dentes cariados, 70,00% não apresentavam dentes com extração indicada e nenhuma tinha dentes obturados/restaurados. A média do índice CEO-D foi 1,325. Conclusão: conclui-se que as crianças, apesar de terem baixa prevalência de cárie, apresentam, como fatores de risco determinantes, uma dieta cariogênica e, como fatores de risco moduladores, um reduzido conhecimento sobre doenças bucais, higiene oral inadequada, renda familiar insuficiente, baixa escolaridade e limitada procura por serviço de saúde, especialmente o odontológico.
Avaliação do nível de percepção de cirurgiões-dentistas das redes pública e privada de um município do norte do Rio Grande do Sul sobre atenção em saúde a pacientes com necessidades especiais
Authors: Boneti Micheli Nádia , Pensin Moro Fernando Alberto , Tuchtenhagen Simone , Iponema Costa Antônio Augusto
Published: June 2021

Objetivo: identificar a percepção de cirurgiões-dentistas das redes pública e privada do município de Erechim, RS, sobre atenção em saúde a pacientes com necessidades especiais, avaliando conhecimento, preparo e limitações para o atendimento odontológico. Métodos: este estudo de caráter transversal ocorreu no período de março a agosto de 2019, por meio da aplicação de questionário próprio semiestruturado para cirurgiões-dentistas. Resultados: participaram da pesquisa 82 cirurgiões-dentistas, sendo a maioria (58,54%) atuantes na rede privada; 56,10% não cursaram uma disciplina específica em sua graduação sobre cuidados a pacientes com necessidades especiais. Em contrapartida, dos que cursaram, para a maioria, a disciplina era obrigatória e teórico-prática. Conclusão: apesar de somente 42,68% se sentirem muito bem ou bem preparados, somente 10,98% nunca realizaram atendimentos. Mesmo não tendo cursado uma disciplina específica em sua graduação, os cirurgiões-dentistas de Erechim, RS, realizam o atendimento e, quando necessário, o encaminhamento desses pacientes. Por manifestarem o interesse em se manterem atualizados sobre o tema, ações de educação continuada serão de fundamental importância.
Empleo formal en León y Chinandega (2001-2018): una explicación de la producción de la industria manufacturera y del financiamiento al sector agrícola
Authors: Tercero Lola Leuvad
Published: June 2021

Reyes (2013) plantea la “Teoría de desarrollo” (1940-1950) la cual percibe el subdesarrollo como un fenómeno que incide en todas las esferas al interior de las sociedades. La existencia de casos regionales identifica que la industrialización transforma la estructura productiva y proporciona empleo de mayor productividad. Por lo que este estudio explica el empleo formal en occidente del país por el saldo de cartera de crédito agrícola y el valor agregado del sector manufacturero, estimación realizada con datos oficiales del Banco Central de Nicaragua (BCN). Chinandega y León participan en la generación de empleo formal nicaragüense (2018) como el segundo y tercer departamento que mayor aportan a esta variable. La agricultura y la manufactura en comparación a las otras actividades económicas, permite identificar participación al empleo formal a partir de 26.26% en León y 41.09% en Chinandega según datos del Instituto Nacional de Información y Desarrollo (INIDE) (2005; 2006; 2007; 2008; 2009; 2010; 2011; 2012; 2013; 2014; 2015; 2016; 2017; 2018). La evolución de estas variables es creciente a excepción de la inflexión a la baja del 2018 que afectó a los ocupados INSS del occidente del país y al saldo de cartera de crédito al sector agrícola. La estimación econométrica a través de Mínimos Cuadrados Ordinarios generó como resultado que la variable que más aporta al empleo formal del occidente del país es el saldo de cartera de crédito agrícola en millones de córdobas, por lo que en el caso de estos departamentos todavía no se realiza el cambio denominado por Sunkel (1971) como la solución a los problemas del subdesarrollo “la transformación de las sociedades a partir de la modernización de sus sistemas productivos”.
The Performance, Nutrient Digestibility, Aflatoxin B1 Residue, and Histopathological Changes of Broilers Exposed to Dietary Mycosorb
Authors: Nalle C L. , Supit M. A. J. , Angi A. H. , Yuliani N. S.
Published: June 2021

Aflatoxin B1 (AFB1) is the most dangerous type of aflatoxin that can impair poultry productivity even in low concentrations. The harmful effects of AFB1 should be minimized. The present study was conducted to evaluate the performance, nutrient digestibility, AFB1 residue, and histopathological changes of broilers fed AFB1 diets supplemented with mycosorb. Two hundred-forty 1-day old broiler chicks were allocated randomly to 24 pens (10 birds/pen). The experimental design was a 4 x 2 factorial arrangement, with AFB1 level and yeast glucomannan (mycosorb) supplementation as the main factors.  The treatment diets were control diet; control diet + mycosorb; AFB1 diets (10.36 ppb); AFB1 diets (10.36 ppb) + mycosorb; AFB1 diets (26.97 ppb); AFB1 diets (26.97 ppb) + mycosorb; AFB1 diets (61.06 ppb); AFB1 diets (61.06 ppb) + mycosorb. The results showed that there was no interaction effect was found between the level of AFB1 and mycosorb on the performance and nutrient digestibility. The level of AFB1 did not affect dry matter digestibility coefficient but affected (p<0.05) crude fat digestibility coefficient of broilers. Except for proventriculus, level of AFB1 did not affect bird’s gut size. AFB1 residue was not detected in the broiler tissues fed all diets. Mycosorb alone ameliorated (p<0.05) feed conversion ratio (FCR) of growing birds. The birds fed 61.06 ppb AFB1 diets had darker liver than those fed similar diets added with mycosorb. The addition of mycosorb in AFB1 diets did not heal the hemorrhagic intestines of the birds. In conclusion, feeding low level of AFB1 diets added with mycosorb did not improve the bird’s performance, nutrient digestibility, or gut health. Mycosorb alone improved feed efficiency of the experimental birds.
Growth and Biomass Production of Moringa Cultivated in Semiarid Region as Responses to Row Spacing and Cuts
Authors: Santos R. S. , Emerenciano Neto J. V. , Bonfim B. R. S. , Difante G. S. , Bezerra J. D. V. , Lista F. N. , Gurgel A. L. C. , Bezerra M. G. S.
Published: June 2021

The management of the moringa to produce biomass, as it is for other vegetal species, must consider some aspects that foster productivity. Among these aspects, cultivation density is a crucial element. This research aimed to assess the effects of spacing and cuts on the growth of the moringa. The treatments consisted of four spacings: 0.5 x 1.0 m; 0.83 x 1.0 m; 1.25 x 1.0 m; and 1.66 x 1.0 m. The experimental design was a randomized-block design with five repetitions. The standardization cut of the plants was performed at a one-meter height from the ground, fifty days after the seedlings transplantation. The assessments were performed every sixty days, totaling six cuts. Spacing impacted the growth and biomass production but did not affect the height of the plants. The stem diameter, branch number, and the plant’s mass increased at increasing the spacing. On the other side, the total mass and the masses of the stem, the leaflet, and the petiole per hectare decreased at increasing the spacing. Spacing did not affect the ratio between leaf/stem and leaflet/petiole. Plant growth and dry matter production were highest after the first two cuts and decreased significantly from the third cut on. The spacing of 0.5 x 1.0 m should be used for planting Moringa oleifera Lam. because this configuration, even reducing the gain per plant, increased the production of dry matter per unit area.
Espacios y prácticas de las carreras episcopales de patronato regio entre Cataluña y la Italia española (siglos XVI – XVII)
Authors: Cocozza Valeria
Published: June 2021

Poniendo el foco en las relaciones entre la Italia española y Cataluña, el presente artículo ofrece un análisis comparativo de las prácticas de las carreras episcopales de patronato regio. En particular, se estudia la formación y circulación de las élites eclesiásticas en el seno de la red episcopal de patronato regio y de la monarquía ibérica. La emblemática y prestigiosa carrera desarrollada en Cataluña por el napolitano Benet de Tocco evidencia el rol que los eclesiásticos de corte tuvieron, no solo en el gobierno de las diócesis asignadas, sino en las redes de poder de las familias a las que pertenecían. ¿Cuál fue la circulación de eclesiásticos regios en el Mediterráneo moderno y en el sistema imperial español? ¿Quiénes fueron los obispos seleccionados para la asignación de las diócesis de patronato regio? ¿Qué significaba su traslado? El presente artículo procurará dar algunas respuestas a estas preguntas.
Obispos españoles en Sicilia: origen judeoconverso y acción pastoral «tridentina» (siglos XVI-XVII)
Authors: D'Avenia Fabrizio
Published: June 2021

Los reyes de España, entre los siglos XVI y XVII, utilizaron las sedes episcopales del reino de Sicilia como «reserva de caza» en favor de distinguidos prelados españoles de origen judeoconverso. Y eso porque, de hecho, su sangre «manchada» les dificultaba acceder a las sillas ibéricas. Lo que se pretende averiguar es si la condición judeoconversa de esos prelados «influyó» de alguna manera en los matices tridentinos de su actividad pastoral, «radicalizándolos», para demostrar la veracidad de su lealtad a la fe católica, en nombre de la cual habían sido perseguidos sus antepasados. En este ensayo se abordarán los casos del cardenal Luis de Torres, arzobispo de Monreale (1588-1609), y de Juan de Orozco y Covarrubias, obispo de Agrigento (1594-1606), ejemplares pastores y reformadores de sus diócesis. De ambos se analizarán la ascendencia judeoconversa y el entorno familiar, caracterizado por las múltiples carreras eclesiásticas entre España, Roma y Sicilia.
Prelados viajeros y transferencias devocionales. El arzobispo de Cagliari Bernardo de Cariñena (1699-1722) y el culto a la Virgen de la Merced
Authors: Caredda Sara
Published: June 2021

El artículo analiza la tarea de patronazgo de Bernardo de Cariñena, el último arzobispo español de Cagliari (1699-1722). Durante la larga temporada que pasó al frente de su archidiócesis, este personaje se hizo promotor de distintas empresas artísticas, destacando entre ellas la decoración de una capilla dedicada a la Virgen de la Merced. Este espacio de culto presenta una advocación poco habitual en las iglesias catedrales, sirve de ejemplo de la trayectoria personal del personaje y de cómo los obispos contribuían a menudo a afianzar determinados cultos y advocaciones. A partir de fuentes primarias y secundarias, el estudio vincula la capilla con la carrera eclesiástica de su mecenas. Además, la investigación reflexiona también sobre el significado político e identitario de la capilla de la Merced, realizada en un momento histórico en el que la isla de Cerdeña, en plena Guerra de Sucesión española, pasó primero a manos austracistas y posteriormente a la Casa de Saboya.
Callado Estela, Emilio: Vergel de perfectísimas flores. El convento de Corpus Christi de Carcaixent (Valencia, 2020)
Authors: Esponera Cerdán Alfonso
Published: June 2021

Reseña de :CALLADO ESTELA, EmilioVergel de perfectísimas flores. El convento de Corpus Christi de Carcaixent. Valencia: Publicacions Universitat de València, 2020, 321p.
La promoció artística del bisbe de Malta, Tomàs Gargallo († 1614): autoritat, política i devoció
Authors: Canalda Llobet Sílvia
Published: June 2021

L’objectiu de l’article és analitzar el patronatge artístic del bisbe de Malta Tommaso Gargallo (1578-1614) a partir de la capella de la Mare de Déu de Montserrat a l’església representativa de la Corona d'Aragó a Roma. Per això, esdevé necessari reconstruir, per primera vegada, la biografia i la trajectòria del personatge per mitjà de fonts primàries i secundàries de diversos països (Malta, Itàlia i Catalunya). La particularitat del bisbat de Malta, sufragani de la seu de Palerm i subjecte, per tant, a la monarquia hispànica, explica l’itinerari i les tensions polítiques de Gargallo, responsable directe, d’altra banda, de la difusió del culte de la Mare de Déu de Montserrat en aquest punt estratègic de la Mediterrània. Es proposa també una nova interpretació dels frescos de la capella romana, en l’exegesi de la qual hi pogueren intervenir Francisco Peña i Tommaso Gargallo.
Los obispos de la familia Lanfranchi y las sedes de patronato real del Reino de Nápoles después de la revuelta de Masaniello (1648-1675)
Authors: Mauro Ida
Published: June 2021

En el texto se reflexiona sobre la promoción de candidatos a los obispados de Patronato Real del Reino de Nápoles después de la revuelta de Masaniello (1647-1648). La fidelidad a la Corona y la mediación ejercida por parte de algunas familias del Reino de Nápoles próximas al Popolo en la fase final del conflicto favorecieron la promoción de determinados sujetos en los veinte años posteriores a la revuelta y cambios en las dinámicas de atribución de las diócesis regias.En el contexto de la orden teatina, los tres obispos de la familia Lanfranchi representan un caso muy sugestivo. La acción mediadora desarrollada por Girolamo Lanfranchi, obispo de Cava, durante la revuelta y la presencia de sus hermanos Andrea y Vincenzo Lanfranchi en la corte en esos mismos meses, dio lugar a un «juego de equipo» entre hermanos que favoreció la construcción de una identidad familiar, representada en la construcción y decoración del antiguo seminario de Matera, hoy en día conocido como Palazzo Lanfranchi.
High-dose fentanyl dependence: a case report
Authors: Kurek Michał , Kurek Izabela , Nasierowski Tadeusz , Malec-Milewska Małgorzata
Published: June 2021

Usage of opioids in chronic pain may cause many adverse effects. One of them is a risk of addiction. We would like to present a case report of detoxification of a 76-years old patient. She was addicted to high doses of fentanyl (totally 14400 μg fentanyl per day – 400 μg/h in transdermal system and 12 transmucosal pills per day).
Euro, dollar or Swiss franc: which currency had the greatest impact on the Hungarian, Polish and Czech economies during the global financial crisis?
Authors: Kliber Agata , Płuciennik Piotr
Published: June 2021

The article presents an analysis of the impact of foreign currency dynamics on the fundamentals (basic indices of the economic performance) of the Czech Republic, Hungary and Poland during the financial crisis of 2007/2008 and its aftermath until 2017. The subject of the analysis are three currencies: the US dollar, the euro and the Swiss franc. The assessment of their impact on the fundamentals of the three above-mentioned economies is based on the joint volatilities of bond spreads and currencies. A series of copula-GARCH models was estimated. The research demonstrates that the impact of foreign currencies was the strongest in the case of Poland and Hungary, as these two countries were more dependent on loans in foreign currencies than the Czech Republic. Another finding shows that the impact decreased significantly in Hungary after its government introduced loan conversion.
Udział czynników endokrynnych i komórek macierzystych w regeneracji mięśni szkieletowych*
Authors: Morawin Barbara , Zembroń-Łacny Agnieszka
Published: June 2021

Streszczenie

Proces odbudowy uszkodzonych mięśni szkieletowych obejmuje cztery fazy: degeneracji, odpowiedzi zapalnej i immunologicznej, regeneracji oraz reorganizacji, regulowanych przez wiele cząsteczek o charakterze immuno-endokrynnym oddziałujących na komórki mięśniowe oraz komórki macierzyste mięśni. Do tych cząsteczek należy testosteron (T), który wiążąc się z wewnątrzkomórkowym receptorem androgenowym inicjuje ekspresję mięśniowej izoformy insulinopodobnego czynnika wzrostu 1 (IGF-1Ec). Współdziałanie T i IGF-1Ec stymuluje wzrost i regenerację mięśni z powodu zahamowania apoptozy, nasilenia proliferacji i róż-nicowania SCs. W wyniku starzenia się, dystrofii mięśniowych lub chorób wyniszczających liczba SCs ulega znacznemu obniżeniu. Regularny wysiłek fizyczny zapobiega jej obniżeniu i tym samym podwyższa potencjał regeneracyjny mięśni zarówno u młodych, jak i starszych osób. Jednym z wyzwań współczesnej medycyny jest możliwość wykorzystania komórek macierzystych oraz podłoży imitujących macierz zewnątrzkomórkową w medycynie regeneracyjnej i molekularnej, zwłaszcza w chorobach degeneracyjnych i pourazowej rekonstrukcji mięśni szkieletowych. Celem pracy jest przedstawienie aktualnych informacji na temat molekularnych i komórkowych mechanizmów regeneracji mięśni szkieletowych, roli testosteronu i czynników wzrostu w aktywacji SCs oraz możliwości ich terapeutycznego wykorzystania w stymulacji odbudowy uszkodzonych włókien mięśniowych.
Smartphones: de vilão a herói. Proposta de ferramenta de baixo custo para aprendizado ativo em sala de aula.
Authors: Carneiro Rodrigo , Silva Ricardo
Published: June 2021

Os dispositivos móveis passaram a fazer parte da rotina de muitos jovens, que não se separam dos equipamentos mesmo em sala de aula. O crescente uso destes produtos dentro de unidades educacionais fez com que se tornassem vilões para as instituições de ensino. Neste trabalho é apresentado o Sigma Enquete, uma ferramenta de votação eletrônica que utiliza dispositivos móveis. O Sigma Enquete proporciona o uso da aprendizagem ativa e minimiza a dispersão dos alunos quando utilizam estes recursos. Testes em ambiente real de ensino mostraram grande aceitação dos educandos e professores e promoveram maior participação destes aprendizes em atividades em sala de aula.
Extended Abstract - CTDSI/CTCCSI 2021 - Study and definition of project attributes for selection of testing techniques for concurrent software
Authors: Santos Italo , Souza Simone Do Rocio Senger , Melo Silvana Morita
Published: June 2021

[Context:] The choice of testing technique to be adopted in a software testing project persists based on the tester's knowledge and often does not consider all of the testing techniques available in the industry or academia. Therefore, a characterization scheme was proposed and implemented in the SeleCTT tool, which is composed of a set of attributes that considers characteristics of concurrent programs, and they are used to calculate which of these attributes are suitable to guide the selection of testing techniques for a particular software project. [Objective:] The selection of the testing technique at each stage of a software's life cycle depends on many factors. Our work aims to help testers to select a better testing technique according to the characteristics of a software project, contributing to the selection of the most suitable testing technique to increase the efficiency of the software test execution process, which in turn influences the development and delivery of a more robust and quality product. Considering that the testing techniques are complementary, another goal is to allow a set of testing techniques to be selected and not just one. [Methodology:] To achieve this goal, a systematic mapping study was conducted to identify and analyze papers that represent the current state of the literature about testing techniques selection. We surveyed software testing practices carried in Brazil software companies and identified the testing practices to know and have an overview on the latest testing techniques, tools, and metrics used, the challenges faced by testers, and the selection testing technique process. [Results and Conclusions:] With this study, it is expected to specify project attributes that can be used to improve the existing recommendation system in the SeleCTT tool and propose ways of combining testing techniques, contributing to industry and academia, and bring insights into the context of testing techniques selection.
Coral: A Framework based on Social Network Analysis to Support the Startup Ecosystem Management
Authors: Escalfoni Rafael , Oliveira Jonice
Published: June 2021

Startup ecosystems are business communities continually unfolding where different actors interact in symbiotic activities to create mutual benefits. A smart startup ecosystem demands an understanding of the interests, capabilities, and affinities among members to take harmony and ensure the group's prosperity. The absence of such mechanisms would compromise the innovation process efficiency, and the environmental imbalance might lead to behaviors harmful to each participant's community to identify convergences and possible partnerships that can help in the development of new business. From this problem, our main contribution is the Coral framework - a social network analysis approach to assist in evaluating relationships in communities. Based on a set of two observational studies in industrial cases, we verified that it is possible to describe the social and material aspects needed to enhance integration and provide greater network efficiency.
Podcast Educacional para ensino de informática e computação IFG-CAST
Authors: Geraldes Wendell Bento , Afonseca Ulisses Rodrigues
Published: June 2021

Este artigo descreve a experiência de um projeto de ensino realizado em uma instituição de ensino profissional e tecnológica com a criação de um podcast sobre assunstos relacionados ao curso de bacharelado em sistemas de informação. O objetivo do projeto era criar 25 episódios com assuntos que abordassem desde redes de computadores, sistemas distribuídos, algoritmos até desenvolvimento de sistemas para web. Quatro alunos e alunas bolsistas criaram 25 roteiros para gravação dos episódios, destes foram gravados e publicados 7 (sete) até o momento.
A Non-Pharmacologic Approach to Manage Behaviours in Confused Medically Ill Older Adults in Acute Care
Authors: Dasgupta Monidipa , Beker Lyndsay , Schlegel Kim , Hillier Loretta M. , Joworski Lisa , Crunican Karli , Coulter Corrine
Published: June 2021

Background

Non-pharmacological interventions are recommended to manage challenging behaviours among cognitively impaired older adults, however few studies have enrolled patients in acute care. This study aimed to determine the feasibility of implementing non-pharmacological interventions to manage behaviours in hospitalized older adults.

Method

A self-identity approach was used to identify potentially engaging activities for 13 older medically ill adults admitted to acute hospital; these activities were trialed for a two-week period. Data were collected on frequency of intervention administration and assistance required, as well as frequency of behaviours and neuroleptic use in the seven days prior to and following the trial of activities.

Results

Per participant, 5–11 interventions were prescribed. Most frequently interventions were tried two or more times (46%); 9% were not tried at all. Staff or family assistance was not required for 27% of activities. The mean number of documented behaviours across participants was 4.8 ± 2.3 in the pre-intervention period and 2.1 ± 1.9 in the post-intervention period. Overall the interventions were feasible and did not result in increasing neuroleptic use

Conclusion

Non-pharmacologic interventions may be feasible to implement in acute care. More research in this area is justified.
Factors Associated with a Label of Failure to Cope in Older Medical Inpatients: a Case-Control Study*
Authors: Burrell Alishya , Chahine Saad , Diachun Laura L.
Published: June 2021

Background

The term failure to cope (FTC) is often used to dismissively describe hospitalized older adults. The purpose of this study was to identify the factors associated with receiving a label of FTC.

Methods

Age-matched, case-control study with electronic and paper chart review identifying patient characteristics and admis­sion details.

Results

One hundred eighty-five patients 70 years of age or older ad­mitted to a general medicine team over two years: 99 patients with the label of FTC and 86 controls. No patients labelled with FTC came from long-term care. Characteristics associ­ated with a label of FTC included living alone (aOR 3.8, 95% CI 1.9-7.8), falls (aOR 3.8, 95% CI 1.9-7.8), rehospitalization (aOR 3.6, 95% CI 1.7-8.0), and living in an independent dwell­ing (aOR 2.4, 95% CI 1.0-5.5). A higher number of chronic medications was associated with a lower likelihood of being labelled with FTC (aOR 0.9, 95% CI 0.8-1.0).

Conclusions

The results suggest that FTC is a label based predominantly on social factors and has no role in a medical assessment. The patient’s home setting was the key factor in being labelled with FTC, most medical factors did not play a significant role, and a pervasive language of blame was present.
Ein föderales Imperium?
Authors: Rummel Patrick
Published: June 2021

The previously ignored model of Greek colonisation attracted numerous actors from the 19th century British empire: historians, politicians, administrators, military personnel, journalists or anonymous commentators used the ancient paradigm to advocate a global federation exclusively encompassing Great Britain and the settler colonies in Canada, Australia, New Zealand and South Africa. Unlike other historical templates, Greek colonisation could be viewed as innovative and unspent: innovative because of the possibility of combining empire and liberty and unspent due to its very novelty, which did not contain the ‘imperial vice’ the other models had so often shown and which had always led to their political and cultural decline.
Stein’s Critique of Husserl’s Transcendental Idealism
Authors: Heffernan George ,   Philosophy Documentation Center
Published: June 2021

Stein claims that Husserl’s transcendental idealism makes it impossible to clarify the transcendence of the world because it posits that consciousness constitutes being. Inspired by Aquinas, Stein counters that making thinking the measure of being deprives what is of its epistemological and ontological independence from and primacy over what thinks. She contends that this approach inverts the natural relationship between the mind and the world. Given the complicated relationship between them, however, the question is whether Stein’s argument that Husserl lacked an adequate understanding of and appreciation for the phenomenon of transcendence is sound. In fact, Husserl’s treatments of “limit problems of phenomenology” in his manuscripts from 1908 to 1937, which were only recently published in Husserliana XLII (2014), show that he undertook extensive investigations of metaphysical, metaethical, and religious and theological questions. Tragically, Stein was prevented from gaining an even remotely complete picture of Husserl’s work. In this paper, therefore, I examine Stein’s critique of Husserl’s transcendental idealism in light of the fuller evidence.
Not with a Ten-Foot Pole?
Authors: Pugliese Marc A. ,   The Center for Process Studies
Published: June 2021

This article brings together Alfred North Whitehead and Śaṅkara, the eminent eighth-century teacher of Advaita Vedanta, in a dialogue on causation. After arguing that comparative philosophical encounter is possible, the article investigates how Whitehead might benefit Śaṅkara in his critique of the Buddhist doctrine of momentariness and how Śaṅkara may assist Whitehead in responding to criticisms of his own doctrine of causation and his critique of Hume.