bluuebunny/crossref_metadata_2025 huggingface dataset:
Personal resources of protective-coping behavior of adolescents with idiopathic scoliosis at the stage of preparation for surgery
Authors: Pyatakova G. V. , Kozhevnikova A. O. , Vissarionov S. V.
Published: July 2019

Objective. To analyze personal resources in adolescents with idiopathic scoliosis at the stage of preparation for surgery.

Material and Methods. The study involved 29 adolescents aged 12–17 years (7 boys and 22 girls) with grade III–IV idiopathic scoliosis. The survey was conducted within the first days of admission. The control group consisted of 30 adolescents aged 12–17 years without serious somatic diseases. The following diagnostic methods were used: analysis of medical records (case histories), semi-structured interview to assess the severity of traumatic experiences in children and adolescents, the Life Style Index questionnaire, the Coping Strategies Questionnaire, a self-assessment scale, and self-test questionnaire.

Results. In adolescents with idiopathic scoliosis, events associated with the disease and preparation for surgery are accompanied by extreme level experiences manifested in medium and medium-high values of post-traumatic stress. Moderate symptoms of avoidance, hyperarousal and obsessive reproduction of traumatic episodes predominate in the structure of stress. Positive self-attitude indicators contribute to the activation of effective coping strategies and can be considered as an adaptive personal resource in a difficult life situation associated with a serious illness and the upcoming surgery.

Conclusion. Understanding of personal resources that contribute to the formation of effective coping behavior in a difficult life situation associated with the disease and complex surgical treatment will optimize psychological preparation of adolescents with idiopathic scoliosis for surgery.
The vertebral syndrome in various types of mucopolysaccharidosis: clinical features and treatment
Authors: Ryabykh S. O. , Ochirova P. V. , Gubin A. V. , Kolesov S. V. , Kolbovsky D. A. , Tretjakova A. N. , Ryabykh T. V. , Medvedeva S. N. , Savin D. M. , Burtsev A. V. , Saifutdinov M. S.
Published: July 2019

The paper presents recommendations on the assessment and treatment of vertebral pathology in patients with various types of mucopolysaccharidosis. The recommendations are based on literature data and the authors’ own experience. The purpose of the publication is an invitation to the discussion in the format of an expert consensus.
Keamanan Penggunaan Propofol Auto-Coinduction Dibandingkan Dengan Midazolam Coinduction Berdasarkan Perubahan Hemodinamik Pada Induksi Anestesi Pasien Yang Dilakukan General Anestesi
Authors: Yesua I Nyoman , Rahardjo Puger , Edwar Pesta Parulian Maurid
Published: July 2019

Latar Belakang: Pemilihan obat anestesi untuk induksi bagi seorang ahli anestesi merupakan hal yang krusial dan didasarkan atas efek farmakodinamik terhadap sistem kardiovaskular.Tujuan: Menganalisa apakah penggunaan propofol auto-coinduction (pre-dosing propofol) dapat digunakan sebagai alternatif midazolam sebagai obat coinduction, dilihat dari segi keamanan pasien (perubahan hemodinamik yang terjadi) dan biaya yang dikeluarkan.Metode: Penelitian eksperimental dengan desain pre-posttest single blind group ini melibatkan 52 pasien yang menjalani operasi elektif dengan anestesi umum di Kamar Operasi Gedung Bedah Pusat Terpadu (GBPT) RSUD Dr. Soetomo Surabaya pada bulan September-Oktober 2018. Dua kelompok pasien masing-masing mendapatkan midazolam 0,03 mg/KgBB (kelompok M, n=26) dan propofol 0,4 mg/KgBB (kelompok P, n=26) 2 menit sebelum induksi dengan propofol titrasi sampai hilang kontak verbal. Dosis propofol yang digunakan, tekanan darah sebelum dan sesudah dilakukan induksi serta biaya induksi dicatat.Hasil: Rerata Arterial Pressure (MAP) pra-induksi pada kelompok M adalah 96,35 ±11,366 mmHg dan pada kelompok P 90,54 ±7.732 mmHg, sedangkan MAP pascainduksi pada kelompok M sebesar 79.96 ±9.21mmHG dan pada kelompok P adalah 73,96 ±5,03mmHg (p=0,037). Total biaya yang digunakan pada kelompok M adalah Rp. 7.890 ±1.448.89 sedangkan pada kelompok P Rp. 7.082 ±1.403.89 (p=0.047).Kesimpulan: Terdapat perbedaan bermakna pada perubahan MAP yang disebabkan oleh penggunaan propofol auto-coinduction bila dibandingkan dengan midazolam coinduction. Tidak terdapat perbedaan signifikan penurunan tekanan darah dan nadi, serta dosis propofol yang digunakan antara kedua kelompok. Biaya induksi pada kelompok auto-coinduction propofol secara signifikan lebih rendah.
The Construction of National Identity through Cybernetic Process: The Example of “K’na” Dance Event in Greek and Turkish Thrace
Authors: Filippidou Eleni , Koutsouba Maria , Lalioti Vassiliki , Lantzos Vassilis
Published: July 2019

The research field of this paper is the area of Thrace, a large geopolitical-cultural unit that was divided – due to political reasons – in three subareas distributed among three different countries: Bulgaria, Turkey and Greece. A dance event that used to take place before the border demarcation but is still performed in the Greek and Turkish Thrace is that of “K’na”, a wedding dance event danced by the people of both border areas, despite of the changes in their magical-religious beliefs and the changes brought by socio-economic and cultural development. In particular, the aim of this paper is the study of the “construction” of the national identity of inhabitants both of Greek and Turkish Thrace, as this is manifested through the dance practice within the wedding event of “K’na”, through the lens of sociocybernetics. Data was gathered through ethnographic method as this is applied to the study of dance, while its interpretation was based on sociocybernetics according to Burke’s identity control theory. From the data analysis, it is showed that the “K’na” dance in Greek and Turkish Thrace constructs and reconstructs the national identity of the people who use them as a response to the messages they receive via the communication with “the national others”. In conclusion, the “construction” of the identity results from a continuous procedure of self-regulation and self-control through a cybernetic sequence of steps.
Achilles Tendinopathy: An Evidence-Based Overview for the Sports Medicine Professional
Authors: Kaplan Kelby , Olivencia Ovidio , Dreger Melissa , Hanney William J. , Kolber Morey J.
Published: July 2019

ACHILLES TENDINOPATHY (AT) IS A CONDITION WHEREBY INDIVIDUALS EXPERIENCE PAIN AND IMPAIRMENTS AS A RESULT OF PATHOLOGICAL CHANGES AT THE ACHILLES TENDON AND NEIGHBORING TISSUES. THIS ARTICLE PROVIDES AN EVIDENCE-BASED OVERVIEW OF THE STRUCTURAL PATHOLOGY AND CLINICAL SEQUELA ASSOCIATED WITH AT. THE EVIDENCE UNDERPINNING MORE COMMON TREATMENTS, WITH AN EMPHASIS ON EXERCISE INTERVENTIONS, IS PRESENTED IN AN EFFORT TO MITIGATE THE IMPAIRMENT SEQUELA AND GUIDE SPORTS MEDICINE PROFESSIONALS IN THEIR CHOICE OF TREATMENTS FOR AT.
Profanar o sagrado, sacralizar o profano
Authors: Carvalhaes Carmona Daniela , De Miranda Maria Brígida
Published: July 2019

No presente relato apresento reflexões sobre uma série de apresentações da performance Mitoprofânica, um solo criado dentro do projeto Performances do Parto, que faz parte da pesquisa prática da dissertação de mestrado “Ecos do Arcaico – narrativas contemporâneas de parto para um novo nascer”, de minha autoria (pela UDESC – Universidade do Estado de Santa Catarina). A encenação foi criada para ser apresentada em eventos e coletivos que lidam com temáticas do nascimento no Brasil; tece uma trama dupla com um dos mitos de Deméter - deusa grega que sintetiza aspectos de poder do feminino - e a narrativa de um parto real, para abordar o assunto da violência obstétrica. A partir dos desdobramentos dialógicos dos públicos participantes nas referidas apresentações, busco situar quais caminhos esta encenação pode percorrer para ser utilizada como ferramenta poética detonadora de diálogos, novas narrativas e reflexões a respeito do atendimento às gestantes e mães no sistema de saúde brasileiro.
Plantação de Bananeira - A atentividade e a imediação como procedimentos de estudo da dança na Escola Básica Municipal Victor Miguel (Florianópolis – SC)
Authors: Ferro Felipe Ferreira , Da Silva Heloísa Marina
Published: July 2019

Este artigo analisa a proposição Plantação de Bananeira, um projeto articulado com práticas e pesquisas que ocorreram em Florianópolis desde 2017, em escolas públicas. Com atenção à prática da improvisação na dança, o estudo tem apetite por Pedagogias Radicais, arte relacional e atentividade na performance. Além disso,  Plantação de Bananeira abre o caminho para a investigação de formas de participação e condução de processos criativos, onde eu elaborei o eixo: o que é a imediação no processo de aprendizagem da dança?A imediação pode ser como apontar um outro caminho onde o sensível, a polifonia dos afetos engendrados na experiência, ou situações em que a diversidade prevalece e nos chama a criar a partir dela, em vez de reiterar os parâmetros regulatórios inerentes ao regime normativo da instituição escolar. Essa preocupação surge a partir do objetivo de criar campos para o estudo da dança em sua verve atual e relacional, para que possamos nos conectar com poderes ainda não atualizados de forma dançada, conectando o que chamamos de memória do passado com a vida em que nós gostaríamos de ser coletivamente. Plantar Bananeira é uma proposta de reativação do ânima para que a vida seja criada em outros campos de diversidade.
A aprendizagem dos clíticos de terceira pessoa do espanhol em habilidades de compreensão e de produção: o papel da intervenção instrucional
Authors: De Oliveira Dutra Eduardo
Published: July 2019

Neste estudo, investigamos a interação entre a intervenção instrucional e os clíticos de terceira pessoa do espanhol, classificados como estruturas simples e complexas, em habilidades de compreensão e de produção. Partimos de conceitos, relacionados à Instrução com Foco na Forma, tais como: instrução explícita, instrução com foco na forma isolada, instrução com foco na forma integrada, entre outras definções, da pesquisadora canadense Nina Spada. Para fins de tratamento dos dados, utilizamos o software International Business Machine Statistical Package for Social Studies (SPSS), a partir do qual fizemos uso de frequência relativa, teste de χ2 e teste de ANOVA de medidas repetidas. Fizeram parte deste estudo 10 participantes, alunas de um curso de Letras, de uma universidade pública. Os resultados apontaram que, a depender do tipo de análise (intra ou inter clítico), as formas simples e complexas apresentaram comportamento distinto, em habilidades de recepção e de produção.
Publicações sonoras: entre processos de escuta e participação
Authors: Favero Franciele , Da Silva Stolf Maria Raquel
Published: July 2019

O texto propõe reflexões sobre processos de desdobramentos de publicações sonoras em instalações, proposições e ações sonoras, ou vice-versa, em que a partir de intervenções, ações e instalações sonoras são produzidas publicações sonoras, envolvendo diferentes processos de escuta, entre o infra-ordinário e uma escuta infra-mince, entre o lugar de escuta de espaços sonoros fronteiriços, que pressupõe trânsitos entre contextos e falas atravessadas, pensando-se e praticando-se a escuta como situação, campo e espaço de participação. Deste modo, são investigadas as publicações e projetos sonoros The Sonic Body: Figures 1-12 (2011), de Brandon LaBelle, Crackers (2001) de Christof Migone, Horizontal Radio (1995), proposta pela ONF, bem como os processos de construção dos projetos e das publicações Como falar entre fronteiras (2015), da autora 1, Panquecas fantasmáticas e FORA [DO AR] (2004), da autora 2. Dialogando com estas reflexões, abordam-se relações com autores e autoras como José Iges, Walter Zanini, Brandon LaBelle, David Toop, Sabine Breitsameter e Gale Joseph-Hunter.
O Abril Indígena e as Rainhas da Aldeia
Authors: Da Cunha Rubelise
Published: July 2019

Resenha do evento Abril Indígena, promovido pelo NEC-FURG em abril de 2019,, em Rio Grande.
NEC-FURG, 20 anos!
Authors: Hanciau Nubia Tourrucôo Jacques
Published: July 2019

Este texto resenha os 20 anos de existência do Núcleo de Estudos Canadenses na Universidade Federal do Rio Grande.
Sex Differences in Cognitive Flexibility and Resting Brain Networks in Middle-Aged Marmosets
Authors: LaClair M. , Febo M. , Nephew B. , Gervais N.J. , Poirier G. , Workman K. , Chumachenko S. , Payne L. , Moore M.C. , King J.A. , Lacreuse A.
Published: July 2019

Sex differences in human cognitive performance are well characterized. However, the neural correlates of these differences remain elusive. This issue may be clarified using nonhuman primates, for which sociocultural influences are minimized. We used the marmoset (Callithrix jacchus) to investigate sex differences in two aspects of executive function: reversal learning and intradimensional/extradimensional (ID/ED) set shifting. Stress reactivity and motor function were also assessed. In agreement with human literature, females needed more trials than males to acquire the reversals. No sex differences in ED set shifting or motivational measures were observed. The findings suggest enhanced habit formation in females, perhaps due to striatal estrogenic effects. Both sexes showed increased urinary cortisol during social separation stressor, but females showed an earlier increase in cortisol and a greater increase in agitated locomotion, possibly indicating enhanced stress reactivity. Independent of sex, basal cortisol predicted cognitive performance. No sex differences were found in motor performance. Associations between brain networks and reversal learning performance were investigated using resting state fMRI. Resting state functional connectivity (rsFC) analyses revealed sex differences in cognitive networks, with differences in overall neural network metrics and specific regions, including the prefrontal cortex, caudate, putamen, and nucleus accumbens. Correlations between cognitive flexibility and neural connectivity indicate that sex differences in cognitive flexibility are related to sex-dependent patterns of resting brain networks. Overall, our findings reveal sex differences in reversal learning, brain networks, and their relationship in the marmoset, positioning this species as an excellent model to investigate the biological basis of cognitive sex differences.
Spectral approximations of strongly degenerate elliptic differential operators
Authors: Dmytryshyn M.I. , Lopushansky O.V.
Published: July 2019

We establish analytical estimates of spectral approximations errors for strongly degenerate elliptic differential operators in the Lebesgue space $L_q(\Omega)$ on a bounded domain $\Omega$. Elliptic operators have coefficients with strong degeneration near boundary. Their spectrum consists of isolated eigenvalues of finite multiplicity and the linear span of the associated eigenvectors is dense in $L_q(\Omega)$. The received results are based on an appropriate generalization of Bernstein-Jackson inequalities with explicitly calculated constants for quasi-normalized Besov-type approximation spaces which are associated with the given elliptic operator. The approximation spaces are determined by the functional $E\left(t,u\right)$, which characterizes the shortest distance from an arbitrary function ${u\in L_q(\Omega)}$ to the closed linear span of spectral subspaces of the given operator, corresponding to the eigenvalues such that not larger than fixed ${t>0}$. Such linear span of spectral subspaces coincides with the subspace of entire analytic functions of exponential type not larger than ${t>0}$. The approximation functional $E\left(t,u\right)$ in our cases plays a similar role as the modulus of smoothness in the functions theory.
Ricci soliton and Ricci almost soliton within the framework of Kenmotsu manifold
Authors: Ghosh A.
Published: July 2019

First, we prove that if the Reeb vector field $\xi$ of a Kenmotsu manifold $M$ leaves the Ricci operator $Q$ invariant, then $M$ is Einstein. Next, we study Kenmotsu manifold whose metric represents a Ricci soliton and prove that it is expanding. Moreover, the soliton is trivial (Einstein) if either (i) $V$ is a contact vector field, or (ii) the Reeb vector field $\xi$ leaves the scalar curvature invariant. Finally, it is shown that if the metric of a Kenmotsu manifold represents a gradient Ricci almost soliton, then it is $\eta$-Einstein and the soliton is expanding. We also exhibited some examples of Kenmotsu manifold that admit Ricci almost solitons.
Sistematización de la construcción colectiva de un proceso de selección de postulantes a las carreras del CIDE: 2002
Authors: Céspedes Édgar , León Ana Teresa , Rodríguez Miguel , Saborío Bernal , Salas Kathya , Zúñiga Irma
Published: July 2019

El Centro de Investigación y Docencia en Educación (CIDE) desarrolló un novedoso sistema para seleccionar los estudiantes que, con un perfil idóneo, entrarían a las distintas carreras en el 2002. Numerosas personas hicieron solicitud para ingresar a alguna carrera y no se contaba con cupo para todos ellos. En búsqueda de la excelencia, un equipo interdisciplinario de académicos profundizó en el perfil de educador del futuro, los instrumentos adecuados para seleccionar estudiantes y la legislación costarricense que permitiera encontrar personas con aptitudes y actitudes necesarias para profesionalizarse en diversos campos de la educación.
La huelga cañera de CATSA, cuarenta años después: una reconstrucción de los hechos a través de los reportes de la prensa escrita
Authors: Marchena Sanabria Jorge
Published: July 2019

Las notas de prensa que a continuación se presentan, dan muestra de las contradicciones o, más bien, los controvertidos discursos de corte neoliberal y conservador que llenaron páginas y dominaron el discurso y orientación editorial de los medios de comunicación, en el marco del movimiento de huelga protagonizado por los trabajadores de los ingenios azucareros de la Central Azucarera del Tempisque, Sociedad Anónima (CATSA), durante la década de 1970.
La sistematización de experiencias. Entrevista con Óscar Jara Holliday
Authors: Jara Holliday Óscar
Published: July 2019

En la presente entrevista, el destacado educador popular y sociólogo peruano-costarricense, Dr. Óscar Jara Holliday, destaca las particularidades de la sistematización de experiencias (SE) como una perspectiva para la acción social, la reflexión dialógica y la crítica de sus participantes acerca de sus experiencias vividas, así como sus potencialidades para el planteamiento o solución de problemáticas sociales, políticas, económicas, etc., que involucran un grupo social en específico. En palabras de Jara Holliday, la SE busca responder a las preguntas: “¿qué estamos haciendo?, ¿cómo lo estamos haciendo?, ¿para qué lo estamos haciendo? Entonces, sistematización de experiencias primero es un proceso, es un enfoque, y es una propuesta metodológica que parte participativamente de los propios sujetos que viven la propia experiencia, son los principales sujetos protagonistas de la sistematización. Segundo, la sistematización no es para reconstruir solo lo que se ha vivido, sino para iluminar lo que queremos hacer”.
Centella asiatica prevents chronic unpredictable mild stress-induced behavioral changes in rats
Authors: Jagadeesan Saravanan , Musa Chiroma Samaila , Baharuldin Mohamad Taufik Hidayat , Taib Che Norma Mat , Amom Zulkhairi , Adenan Mohd Ilham , Moklas Mohamad Aris Mohd
Published: July 2019

Background: Depression is a psychological disorder which is associated with mood swings and cognitive deficits, and is ranked third among the leading causes of global health care burden. Chronic unpredictable mild stress (CUMS) has been shown to induce depression-like behaviors in rodents, which exhibit similarities to the human form of depression. Centella asiatica (CA) is an ancient medicinal plant which has neuroprotective potential. This work aimed to assess the protective role of CA on CUMS-induced rats.

Methods: Thirty six rats randomly divided into six groups were used for the evaluation. The groups were as follows: 1, Unstressed + normal saline (control); 2, CUMS + normal saline (model); 3, CUMS + fluoxetine (10 mg/kg) standard antidepressant; 4-6, CUMS + CA (200, 400 & 800 mg/kg). Nine different stressors (S) (S1: 24-h food deprivation, S2: 24- h water deprivation, S3: 5-min cold swimming (at 5◦C), S4: 12-h change of cage mate, S5: 1-min tail pinch (1 cm from the tip of the tail), S6: 12-h cage tilt (at 45◦), S7: 12-h overcrowding of cage, S8: 12-h wet bedding with 200 mL of water, and S9: 4-h physical restraint) were administered to the stressed groups with at least 2 stressors per day. The treatments lasted for 8 weeks, and the rats were evaluated through open field test (OFT) and elevated plus maze (EPM) for anxiety-like behavior, forced swimming test (FST) for depression-like behaviour, and T-maze spontaneous alternation for learning and memory. Furthermore, serum cortisol levels were also evaluated.

Results: CUMS-induced rats showed anxiety-like behaviors in OFT and EPM tests, depression-like behavior in FST and cognitive deficits in T-maze test, as well as increased serum cortisol levels. Conversely, administration of CA (at 400 and 800 mg/kg doses) and fluoxetine (at 10 mg/kg dose) prevented the aberrant behavioral changes and also the changes in the serum cortisol levels. No significant differences of behaviors were observed between the groups of rats administered with CA (400 and 800 mg/kg) and those administered with fluoxetine (10 mg/kg), suggesting that the therapeutic potential of CA is comparable to that of fluoxetine.

Conclusion: The data obtained showed that CA, at doses of 400 and 800 mg/kg, effectively reversed the anxiety and depression-like behaviors, amnesic behaviors, as well as serum cortisol levels in a CUMS-induced rat model of depression. This suggests that CA is a potential candidate for the development of future anti-depressants.
Point Prevalence of Children Hospitalized With Chronic Critical Illness in the General Inpatient Units
Authors: Rogozinski Lindsay , Young Ashley , Grybauskas Christopher , Donohue Pamela , Boss Renee , Biondi Eric
Published: July 2019

OBJECTIVES:

Children with medical complexity (CMC) have high rates of mortality and morbidity, prolonged lengths of stay, and use a disproportionately high amount of health care expenditures. A subset of children with CMC have chronic critical illness requiring even higher levels of clinical support and resource use. We aimed to describe the point prevalence of children hospitalized in general inpatient care units with pediatric chronic critical illness (PCCI).

METHODS:

Point prevalence analysis across 6 pediatric tertiary medical centers in the United States on a “snapshot day” (May 17, 2017). On the day of sampling, a number of demographic, historical, and clinical descriptors were collected. A previously published definition of PCCI was used to establish inclusion criteria.

RESULTS:

The point prevalence of patients with PCCI in general inpatient care units was 41% (232 out of 571). Of these, 91% (212 out of 232) had been admitted more than once in the previous 12 months, 50% (117 out of 232) had a readmission within 30 days of a previous admission, and 20% (46 out of 232) were oncology patients. Only 1 had a designated complex care team, and there were no attending physicians designated primarily for medically complex children.

CONCLUSIONS:

Children with chronic critical illness, a subset of CMC, may make up a substantial proportion of pediatric patients hospitalized in general inpatient care units. There is a critical need to understand how to better care for this medically fragile population. In our data, it is suggested that resources should be allocated for PCCI in nonintensive care clinical areas.
Caregivers’ Perceptions and Hospital Experience After a Brief Resolved Unexplained Event: A Qualitative Study
Authors: Khan Adrita , Wallace Sowdhamini S. , Sampayo Esther M. , Falco Carla
Published: July 2019

BACKGROUND AND OBJECTIVES:

The American Academy of Pediatrics published guidelines for evaluation and management of lower-risk infants for a brief resolved unexplained event (BRUE). The guideline identified gaps in knowledge related to caregiver satisfaction, anxiety, and family-centered educational strategies to improve caregiver experience and patient outcomes. The objective of this study was to understand caregivers’ experience with hospitalization for infants with BRUE, including their perception of the hospital stay, the diagnosis of BRUE, and their feelings toward the upcoming discharge from the hospital.

METHODS:

We conducted a qualitative study using semistructured interviews with caregivers of infants aged 0 to 12 months who were admitted to a quaternary care children’s hospital for a BRUE. Interviews were conducted within 24 hours of discharge. Two investigators coded transcripts and identified themes using consensus.

RESULTS:

Eighteen caregivers of 13 infants were interviewed. No infants met criteria for being low risk according to the American Academy of Pediatrics guidelines. The coding scheme produced 3 major themes. First, parents felt reassured by hospital monitoring, diagnostic evaluation, and staff support in the hospital. Second, parents felt unsettled by the uncertainty of the child’s condition and whether BRUE’s “unexplainable” quality is understood as being part of normal infant behavior. Third, these themes manifested as conflicting emotions about caregivers’ readiness for discharge.

CONCLUSIONS:

Although hospital monitoring may provide reassurance for some caregivers, they continue to struggle with the uncertainty of the diagnosis. Caregiver perspectives can inform physicians’ strategies to improve hospital experience and discharge readiness.
An Improvement Effort to Optimize Electronically Generated Hospital Discharge Instructions
Authors: Chadwick Whitney , Bassett Hannah , Hendrickson Sarah , Slonaker Kimberly , Perales Shanna , Pantaleoni Julie , Srinivas Nivedita , Platchek Terry , Destino Lauren
Published: July 2019

OBJECTIVES:

The purpose of hospital discharge instructions (HDIs) is to facilitate safe patient transitions home, but electronic health records can generate lengthy documents filled with irrelevant information. When our institution changed electronic health records, a cumbersome electronic discharge workflow produced low-value HDI and contributed to a spike in discharge delays. Our aim was to decrease these delays while improving family and provider satisfaction with HDI.

METHODS:

We used quality improvement methodology to redesign the electronic discharge navigator and HDI to address the following issues: (1) difficulty preparing discharge instructions before time of discharge, (2) suboptimal formatting of HDI, (3) lack of standard templates and language within HDI, and (4) difficulties translating HDI into non-English languages. Discharge delays due to HDI were tracked before and after the launch of our new discharge workflow. Parents and providers evaluated HDI and the electronic discharge workflow, respectively, before and after our intervention. Providers audited HDI for content.

RESULTS:

Discharge delays due to HDI errors decreased from a mean of 3.4 to 0.5 per month after our intervention. Parents’ ratings of how understandable our HDIs were improved from 2.35 to 2.74 postintervention (P = .05). Pediatric resident agreement that the electronic discharge process was easy to use increased from 9% to 67% after the intervention (P < .001).

CONCLUSIONS:

Through multidisciplinary collaboration we facilitated advance preparation of more standardized HDI and decreased related discharge delays from the acute care units at a large tertiary care hospital.
Pediatric Inpatient Immunizations: A Literature Review
Authors: Mihalek Alexandra J. , Kysh Lynn , Pannaraj Pia S.
Published: July 2019

CONTEXT:

Timely vaccine uptake in children remains suboptimal. Eliminating missed opportunities is key to increasing childhood immunization rates, and hospitalization offers another potential setting to vaccinate.

OBJECTIVE:

To better understand pediatric inpatient immunization programs, including vaccination rates of inpatients, parental and provider attitudes, barriers to vaccine delivery, and interventions to increase provision of inpatient vaccines.

DATA SOURCES:

A search was conducted of PubMed, Embase, and Web of Science to identify articles and conference abstracts related to pediatric inpatient immunization.

STUDY SELECTION:

Inclusion criteria were studies published in English between January 1990 and January 2019 in which pediatric vaccination in the hospital setting was discussed. Findings from 30 articles and conference abstracts were summarized and organized by topic area.

DATA EXTRACTION:

Abstracts were screened for relevance, articles were read, and themes were identified.

RESULTS:

Children who are hospitalized have been shown to have lower immunization rates compared with the general population, with 27% to 84% of pediatric inpatients due or overdue for vaccines nationally when verified with official records. Unfortunately, little is done to catch up these children once they have been identified. Access to accurate vaccine histories remains a major barrier in inpatient immunization programs because providers frequently under document and parents over recall a child’s vaccine status. Strategies identified to increase inpatient vaccination included creation of a multidisciplinary immunization team, educational interventions, visual reminders, catch-up vaccine plans, order sets, and nursing-driven screening. When offered inpatient vaccination, a majority of parents accepted immunizations for their children.

CONCLUSIONS:

Hospitalization may provide an opportunity to augment vaccine uptake. Further research is needed to develop evidence-based strategies to overcome barriers to inpatient vaccination.
Impact of Nonmedical Factors on Neurobehavior and Language Outcomes of Preterm Infants
Authors: McGowan Elisabeth C. , Vohr Betty R.
Published: July 2019

Preterm infants are at increased risk for adverse neurodevelopmental outcomes. The impact of maternal, NICU, and social environmental factors on early neurobehavior and language outcomes of preterm infants is recognized. There is a need for health care professionals to have a clear understanding of the importance of facilitating positive mother-infant relationships, and to address not only the infant’s sensory and language environment, but also focus on adverse maternal mental health and social adversities to optimize infant outcomes.
Karl Marx como John Dewey: o marxismo pragmatista de Sidney Hook
Authors: De Souza José Crisóstomo
Published: July 2019

Entre os anos 1920 e 1940, aproximadamente, Sidney Hook, filósofo universitário e ativista político norte-americano, procurou desenvolver e aplicar uma leitura pragmatista e revolucionária das concepções de Marx (e de Lênin), sob a influência do “instrumentalismo” de John Dewey, defendendo a ideia de uma coincidência essencial e de uma complementaridade – digamos, compensatório – entre as duas linhas de pensamento. O artigo trata de apresentar tal projeto filosófico hookiano, com referências histórico-biográficas, desde seus primeiros ensaios até o ápice de sua realização, passando pelas polêmicas envolvidas e, finalmente, chegando ao seu gradual e – quase – completo abandono. Trata-se de uma narrativa que acompanha pari passu os desenvolvimentos da própria esquerda norte-americana no período e os cruzamentos, com ela, do pensamento e da atividade do próprio Dewey.
Contratualismo e sumo bem político
Authors: Heck José N.
Published: July 2019

A incorporação econômica gradual da livre circulação de bens, pessoas, serviço ou capitais e a paulatina reengenharia da homogeneização tecnológica e social dos povos da terra não dispensam uma concepção política prévia do sumo bem político que consiste na paz perpétua. O artigo tem por objeto o contratualismo kantiano e trata das formas organizacionais planetárias de Kant. O texto busca esclarecer como Kant vê, elabora e soluciona o problema de um dever moral condenado a acercar-se progressivamente de um ideal racional que permanece historicamente desconhecido. Para o autor, Kant traça o tempo da história segundo o esquema da razão do direito.
Wittgenstein e os nomes próprios
Authors: Hebeche Luiz
Published: July 2019

Uma das dificuldades de Wittgenstein para a crítica da “imagem agostiniana da linguagem” são os nomes próprios. Realismo ontológico? Este artigo é uma tentativa de compreender este problema.
O (mau) gosto e o grotesco
Authors: Borges Bento Itamar
Published: July 2019

Nosso estudo explora a força crítica do grotesco, que teve na obra de Wolfgang Kayser (1957) abordagem pioneira, entre a literatura e a pintura. O fenômeno é anterior ao séc. XV, quando se tornou o estilo dominante de ornamentação, mas sob influência de elementos oníricos e da commedia dell’arte seria elevado à categoria estética. As observações pré-críticas de Kant sobre o belo e o sublime não equacionam grotesco e mau gosto. Victor Hugo, no prefácio de sua peça sobre Cromwel, defende o grotesco, através de motivos modernos, ou seja, românticos e cristãos, ao passo que, para Jennings, “o grotesco é o demoníaco trivializado”. No Brasil colonial, Gregório de Matos Guerra inocou com suas sátiras, que bem representam o rebaixamento, traço fundamental do gênero que, de certa forma, sobrevive na atual comunicação de massas, misturado ao Kitsch.
O conceito de sujeito em Kant
Authors: Martins Clélia Aparecida
Published: July 2019

Porque Kant não definiu explicitamente o papel dos diversos sujeitos ligados entre si (o empírico, o prático e o transcendental), pode-se verificar, como atual consequência, que alguns autores concebem o sujeito transcendental como um mediador entre mundo sensível e mundo inteligível, pelo que deixam de considerar que a ponte entre ambos mundos é estabelecida pelo juízo reflexionante. Com este texto é exposto que a lacuna deixada por Kant – o fato de ele não ter acentuado a ligação do homem em sua totalidade, ligação pela qual ele pode ser compreendido entre ambos os mundos – tem por consequência interpretações atuais de sua teoria do sujeito que mantém ainda esta lacuna.
Documenta 11 de 2002 e New York 11-09-2001. A obra de arte em seu novo ponto zero?
Authors: Silva Márcio Seligmann
Published: July 2019

O texto investiga a condição e o status da obra de arte, nos termos contemporâneos da complexidade de sua articulação com a história recente, especialmente no que concerne aos ataques terroristas a New York em 11/9/2001 e suas decorrências, à luz da exposição Documenta 11, de 2002.
Zuruck zu dummet! la necesidad de una re-orientación hermenéutica en la cuestión referente a el surgimiento de la filosofía analítica a partir del análisis crítico del libro homónimo editado por Hans Johan Glock
Authors: Porta Mario Ariel González
Published: July 2019

“The rise of analitic Philosophy” reúne artículos de diferentes autores sobre el tema anunciado em su título. De hecho, la obra se revela como uma crítica a la posición tradicional defendida por Dummet, negándose, por ejemplo, um vínculo essencial entre filosofia analítica y linguistic turn. Sin embargo, los trabajos mencionados, em vez de superar la solución dummettiana, permanecen antes de su problema, perdiéndose em consideraciones particulares y siendo incapaces de fijar la unidad de la filosofia analítica desde el punto de vista de la historia de la filosofia.
Levinas and the Claims of Incommensurable Values
Authors: Montefiore Alan Dias
Published: July 2019

O texto investiga algumas dimensões do pensamento de Levinas em relação aos temas da linguagem, justiça, perdão e pluralidade, entre outros, a partir da leitura talmúdica “Envers Autrui”, estabelecendo relações com alguns aspectos da filosofia analítica e do pensamento do Kant e William Galston.
A imaginação em Descartes e Kant
Authors: Hebeche Luiz
Published: July 2019

Esse artigo procura mostrar a diferença entre duas concepções mentalistas do conceito de imaginação. Tanto para Descartes como para Kant a imaginação é concebida desde o monocentrismo do sujeito, mas para cada um desses filósofos a sua função está radicalmente distinta; para Descartes a imaginação é aquilo de que o pensamento tem de afastar-se, para Kant ao contrário seu papel é decisivo para a execução da reflexão transcendental.
Hegel e o infinito - alguns aspectos da questão
Authors: Souza Ricardo Timm
Published: July 2019

O artigo pretende investigar o trato do tema filosófico do Infinito (Unendlishkeit) por Hegel a partir de duas dimensões complementares: a análise do assunto na Wissenschaft der Logik e a interpretação dos sentidos que se abrem a partir da letra hegeliana a respeito do assunto e em termos do conjunto de sua obra, em um diálogo histórico-filosófico que pretende compreender melhor tanto a genética do projeto sistemático hegeliano quanto suas consequências relativamente ao pensamento filosófico moderno e contemporâneo.
Agostinho e a "descoberta" da vontade: Primeiro estudo
Authors: Pich Roberto Hofmeister
Published: July 2019

Este é um estudo sobre o conceito de vontade na história da filosofia. O entro de interesse está na obra De libero arbítrio, de Agostinho. Tanto se procura descrever a suposta “descoberta” da vontade por Agostinho quanto analisar a coerência do conceito obtido. Trata-se do primeiro de dois estudos sobre a vontade e a liberdade em De libero arbítrio I.
Apresentação
Authors: De Souza Ricardo Timm
Published: July 2019

O presente número da Veritas apresenta, em um arco histórico de Platão a Levinas e às ciências cognitivas...
Apresentação
Authors: De Souza Draiton Gonzaga
Published: July 2019

Este número da Revista Vertias apresenta textos de destacados estudiosos da Filosofia, tanto do Brasil como do exterior, que abordam temas que vão da filosofia teórica à filosofia prática.Entre as questões de filosofia prática, destaca-se, nos últimos anos, o estudo do reconhecimento: o livro de Axel Honneth, Kampf um Anerkennung, traduzido ao português como Luta pelo reconhecimento (Editora 34), tornou-se uma referência muito importante sobre esse assunto nas últimas décadas. No entanto, essa problemática já recebera muito antes um tratamento todo especial na Filosofia do Idealismo Alemão, sobretudo em Hegel, como evidencia Agemir Bavaresco e Sérgio B. Christino. É clássica, no entanto tocante a isso, a dialética do reconhecimento apresentada por Hegel na luta do senhor e do escravo, na Fenomenologia do espírito. Mas não apenas Hegel, também Fichte dedica-se ao estudo do reconhecimento, abordando, nos seus estudos sobre a intersubjetividade nas relações humanas.Esperamos que o presente número da Veritas lance luz no debate sobre essa e outras tantas questões, igualmente relevantes, que são discutidas aqui.
El juego de los diablitos: Boruca
Authors: Castro Incera Denis
Published: July 2019

Ensayo textual y gráfico a manera de crónica ilustrada sobre los diversos elementos que se toman en cuenta en la preparación y ejecución del balie de los diablitos en la comunidad de Boruca.
Un colono suizo en la ribera de Sarapiquí
Authors: Hilje Luko , Fournier María Luisa
Published: July 2019

A partir de setiembre de 1869, recién establecido como colono agrícola en la ribera del río Sarapiquí, en Costa Rica, Léonce Pictet remitió a su familia, en Suiza, seis cartas en las que detalla sus vivencias en ese sitio. Fueron publicadas con el título Un colon genevois sous les tropiques (Un colono ginebrino en los trópicos) en el Journal de Genève (Diario de Ginebra), entre diciembre de 1869 y mayo de 1870. Aunque fueron traducidas por el diplomático Manuel María Peralta, y publicadas en 1871-1872 en el periódico El Costarricense, los números en que aparecieron se perdieron. Sin embargo, debido a su valor histórico, fueron localizadas sus versiones digitales y aquí se transcriben, traducidas de nuevo. Además de interpretar varios aspectos de su contenido, se ilustran y se complementan con información acerca de la geografía, la biología y la historia de la región de Sarapiquí.
Centro histórico de la ciudad de Jáchal - San Juan - Argentina: lineamientos para la conservación de su patrimonio cultural
Authors: Pochi Dorazio Ana Valeria , Testa Eliana Gabriela , Erostarbe Suárez María Emilia , Plana María Rosa
Published: July 2019

El presente trabajo pertenece al “Plan de Manejo del Centro Histórico de la ciudad de Jáchal”, San Juan, Argentina, para su conservación, revitalización, recuperación y puesta en valor1 . Se partió del relevamiento de cada parcela del centro histórico con planillas preestablecidas, donde se tuvieron en cuenta las variables más destacadas como el tipo de construcción, estilo, estado, valor patrimonial y uso del suelo. Las etapas se llevaron a cabo en fases: Relevamiento in situ, Digitalización de datos y Grilla interpretación de datos. Como resultado final se obtuvo una herramienta de análisis que combina perfiles urbanos fotográficos y la gráfica de datos del casco histórico que posibilitaron los diagnósticos correspondientes de la situación actual de la zona analizada y poder realizar los lineamientos normativos para la conservación y puesta en valor del Centro Histórico de Jáchal.
¡Día de fiesta en Turrialba! Un testimonio fotográfico de la inauguración del puente en Angostura, en 1923
Authors: Hilje Quirós Luko
Published: July 2019

En Costa Rica, desde la época de la colonia el río Reventazón fue el mayor obstáculo geográfico para construir un camino que conectara el Valle Central con la costa del Caribe. Esto explica la sustitución del viejo camino a Matina por la ruta que hoy enlaza Turrialba con Puerto Limón, a través de Siquirres. Sin embargo, ello requirió la instalación de un puente de madera en 1865, el cual con los años se deterioró, lo que justificó la colocación de uno de hierro, en el gobierno del presidente Julio Acosta García. Su inauguración, el 3 de junio de 1923, dio pie a un día de festividades en Turrialba, del cual se han podido rescatar 13 imágenes tomadas por el célebre fotógrafo Manuel Gómez Miralles. Estas fotografías, hasta ahora inéditas, se muestran en este artículo, y se complementan con información aparecida en los periódicos de entonces sobre tan importante acontecimiento.

Recibido: 18-02-2019

Aprobado: 29-03-2019
Problematic smartphone use associated with greater alcohol consumption, mental health issues, poorer academic performance, and impulsivity
Authors: Grant Jon E. , Lust Katherine , Chamberlain Samuel R.
Published: July 2019

Background

This study sought to examine the occurrence of the problematic use of smartphones in a university sample and associated physical and mental health correlates, including potential relationships with risky sexual practices.

Methods

A 156-item anonymous online survey was distributed via e-mail to a sample of 9,449 university students. In addition to problematic smartphone usage, current use of alcohol and drugs, psychological and physical status, and academic performance were assessed.

Results

A total of 31,425 participants were included in the analysis, of whom 20.1% reported problematic smartphone use. Problematic use of smartphones was associated with lower grade point averages and with alcohol use disorder symptoms. It was also significantly associated with impulsivity (Barratt scale and ADHD) and elevated occurrence of PTSD, anxiety, and depression. Finally, those with current problems with smartphone use were significantly more sexually active.

Conclusions

Problematic use of smartphones is common and has public health importance due to these demonstrable associations with alcohol use, certain mental health diagnoses (especially ADHD, anxiety, depression, and PTSD), and worse scholastic performance. Clinicians should enquire about excessive smartphone use as it may be associated with a range of mental health issues. Research is needed to address longitudinal associations.
Penanganan Limbah Ion Logam Cu2+ dengan Teknik Brick Berbahan Dasar Pasir dan Semen serta Pengaruhnya Terhadap Kualitas Air
Authors: Kurniawati Kurniawati , Hadisantoso Eko Prabowo , Amalia Vina
Published: July 2019

Penelitian tentang penanganan limbah cair yang mengandung ion logam Cu2+ telah dilakukan. Penelitian ini bertujuan untuk melihat pengaruh penanganan limbah ion logam Cu2+ dengan teknik brick dan menganalisis larutan yang digunakan untuk perendaman brick dengan menggunakan beberapa parameter. Pengamatan dilakukan terhadap pH, DHL, COD, TSS dan kadar logam Cu2+ yang terlarut kembali pada larutan perendaman brick. Pembuatan brick dilakukan dengan memvariasikan pasir dengan semen  yaitu 1:1, 1:3 dan 3:1  yang dicampurkan dengan model limbah Cu2+ sebanyak 12 mL. Brick tersebut kemudian direndam pada larutan berbagai kondisi, yaitu pH 3, pH 5,5, dan pH 7 selama 72 jam. Dari hasil penelitian diperoleh logam Cu2+ yang terlarut kembali semakin kecil dengan semakin meningkatnya pH larutan perendaman. Kadar logam Cu2+ dengan perbandingan pasir dan semen 1:1, 1:3, dan 3:1 pada larutan pH 3 berturut-turut 0,035, 0,020, dan 0,044 mg/L, sedangkan pada larutan pH 5,5 adalah 0,108, 0,048, dan 0,053 mg/L, dan pada larutan pH 7 adalah 0,006, 0,008 dan 0,007 mg/L. Kadar logam Cu2+ yang terlarut kembali untuk larutan perendaman pH 3, pH 5,5, dan pH 7 masih berada dibawah kadar maksimum yang diperbolehkan berdasarkan PP No. 28 tahun 2001 tentang Pengelolaan Kualitas Air dan Pengendalian Pencemaran Air, namun terjadi kenaikan pada pH, DHL, dan COD. Sementara kadar TSS masih berada di bawah kadar maksimum yang diperbolehkan.
Isolasi dan Karakterisasi Enzim Amilase dari Biji Nangka (Artocarpus heterophillus)
Authors: Tazkiah Nita Puspita , Rosahdi Tina Dewi , Supriadin Asep
Published: July 2019

Amilase merupakan enzim perombak pati yang dibutuhkan oleh tubuh. Amilase dapat diisolasi dari berbagai tumbuhan, misalnya biji-bijian. Pada penelitian ini amilase diisolasi dari biji nangka, karena biji nangka tidak banyak dikonsumsi sehingga menjadi limbah. Penelitian ini bertujuan untuk mengkarakterisasi amilase dari biji nangka. Amilase diekstraksi dengan buffer fosfat 50 mM pada pH 7,5. Amilase difraksinasi dengan metode salting out dengan ammonium sulfat (NH4)2SO4, kemudian didialisis dengan buffer fosfat. Aktivitas amilase dari biji nangka  ditentukan dengan menggunakan metode Fuwa dan konsentrasi protein diukur dengan metode Bradford. Aktivitas spesifik yang paling tinggi diperoleh pada tingkat kejenuhan 50% dengan aktifitas spesifik 2,12 U/mg.  pH optimum amilase berada padapH 6, dengan aktivitas spesifik sebesar 2,52 Unit/mg, sedangkan suhu optimumnnya berada di suhu 50 ºC dengan aktivitas spesifik 2,52 Unit/mg.
Penerapan Model Pembelajaran Project Based Learning Untuk Meningkatkan Keterampilan Menulis Puisi Di Sekolah Dasar
Authors: Marlani Lia , Prawiyogi Anggi Giri
Published: July 2019

The background of this research is the low writing ability of students especially on poetry writing ability. This research was conducted in grade V, SDIT Cendikia. Learning model applied is model of Project Based Learning. The research method used in this research is Classroom Action Research. The research consisted of three cycles each. The purpose of this research is to know the activity and result of student learning on poetry writing ability, after applied of Project Based Learning model. Research data obtained through observation and test. From the results of this research can be concluded that the implementation of the of Project Based Learning model can improve the ability of writing poetry in class V. The results showed that the ability to write poetry can be increased, can be seen from the results of student learning completeness on the initial test students who meet the KKM as much as 2 people, then the second is 6 people, and the third cycle is 9 people, and 14 people on the third cycle of the number of students as many as 15 people. Therefore, students learning outcomes on writing poetry ability at the end of each cycle I to III have improved considerably. Based on the invention, it is suggested that the teacher can apply the learning of Project Based Learningamodel to improve poetry writing ability, as well as on other language ability.