bluuebunny/crossref_metadata_2025 huggingface dataset:
Nurse anesthetists’ experiences using smart glasses to monitor patients’ vital signs during anesthesia care: A qualitative study
Authors: Romare Charlotte , Enlöf Per , Anderberg Peter , Jildenstål Pether , Sanmartin Berglund Johan , Skär Lisa
Published: April 2021

Purpose

To describe nurse anesthetists’ experiences using smart glasses to monitor patients’ vital signs during anesthesia care.

Methods

Data was collected through individual semi-structured interviews with seven nurse anesthetists who had used smart glasses, with a customized application for monitoring vital signs, during clinical anesthesia care. Data was analyzed using thematic content analysis.

Results

An overarching theme became evident during analysis; Facing and embracing responsibility. Being a nurse anesthetist entails a great responsibility, and the participants demonstrated that they shouldered this responsibility with pride. The theme was divided in two sub-themes. The first of these, A new way of working, comprised the categories Adoption and Utility. This involved incorporating smart glasses into existing routines in order to provide safe anesthesia care. The second sub-theme, Encountering side effects, consisted of the categories Obstacles and Personal affect. This sub-theme concerned the possibility to use smart glasses as intended, as well as the affect on nurse anesthetists as users.

Conclusion

Smart glasses improved access to vital signs and enabled continuous monitoring regardless of location. Continued development and improvement, both in terms of the application software and the hardware, are necessary for smart glasses to meet nurse anesthetists’ needs in clinical practice.
Finding, treating and retaining persons with HIV in a high HIV prevalence and high treatment coverage country: Results from the Botswana Combination Prevention Project
Authors: Bachanas Pamela , Alwano Mary Grace , Lebelonyane Refeletswe , Block Lisa , Behel Stephanie , Raizes Elliot , Ussery Gene , Wang Huisheng , Ussery Faith , Pretorius Holme Molly , Sexton Connie , Pals Sherri , Lasry Arielle , Del Castillo Lisetta , Hader Shannon , Lockman Shahin , Bock Naomi , Moore Janet
Published: April 2021

Introduction

The scale-up of Universal Test and Treat has resulted in reductions in HIV morbidity, mortality and incidence. However, healthcare system and personal challenges have impacted the levels of treatment coverage achieved. We implemented interventions to improve linkage to care, retention, viral load (VL) coverage and service delivery, and describe the HIV care cascade over the course of the Botswana Combination Prevention Project (BCPP) study.

Methods

BCPP was designed to evaluate the impact of prevention interventions on HIV incidence in 30 communities in Botswana. We followed a longitudinal cohort of newly identified and known HIV-positive persons not on antiretroviral therapy (ART) identified through community-based testing activities through BCPP and referred with appointments to local HIV clinics in 15 intervention communities. Those who did not keep the first or follow-up appointments were tracked and traced through phone and home contacts. Improvements to service delivery models in the intervention clinics were also implemented.

Results

A total of 3,657 newly identified or HIV-positive persons not on ART were identified and referred to their local HIV clinic; 90% (3,282/3,657) linked to care and of those, 93% (3,066/3,282) initiated treatment. Near the end of the study, 221 persons remained >90 days late for appointments or missing. Tracing efforts identified 54/3,066 (2%) persons who initiated treatment but died, and 106/3,066 (3%) persons were located and returned to treatment. At study end, 61/3,066 (2%) persons remained missing and were never reached. Overall, 2,951 (98%) persons living with HIV (PLHIV) who initiated treatment were still alive, retained in care and still receiving ART out of the 3,001 persons alive at the end of the study. Of those on ART, 2,854 (97%) had current VL results and 2,784 (98%) of those were virally suppressed at study end.

Conclusions

This study achieved high rates of linkage, treatment initiation, retention and VL coverage and suppression in a cohort of newly identified and known PLHIV not on ART. Tracking and tracing interventions effectively identified those persons who needed more resource intensive follow-up. The interventions implemented to improve service delivery and data quality may have also contributed to high linkage and retention rates.

Clinical trial number: NCT01965470.
Astrochoreography
Authors: Paraha Tru
Published: April 2021

One of the alluring aspects of choreography is the obscurity of its strategies and its propensity to evoke speculative movement-thinking. As artistic research that is intuitively and critically developed from my physical location in Aotearoa New Zealand, astrochoreography evolves its aesthetics, theories and strategies in close observation of a Southern Hemispheric night sky. Drawing materials from deep space, the choreographic body becomes more than human in its genealogies of practice and live performance. This essay proposes an entanglement between the astral and artistic, cosmic and choreographic, engaging speculative theories of darkness, performance writing and global astrophysics.
Introduction to the Special Section honouring Warren R. Lett
Authors: McNiff Shaun
Published: April 2021

Introduction to the special section of the Journal of Applied Arts and Health celebrating the life and work of Warren R. Lett.
Teaching Artistic Research: Conversations Across Cultures, Ruth Mateus-Berr and Richard Jochum (eds) (2020)
Authors: Bartley Sarah
Published: April 2021

Review of: Teaching Artistic Research: Conversations Across Cultures, Ruth Mateus-Berr and Richard Jochum (eds) (2020)

Berlin and Boston, MA: De Gruyter,

ISBN 978-3-11-066239-9, p/bk, €38.95
Szállodahajó-turizmus a Dunán – trendek és termékfejlesztési lehetőségek = Cruise tourism on the Danube – trends and product development opportunities
Authors: Miskolczi Márk , Jászberényi Melinda
Published: April 2021

Napjaink gyorsan változó fogyasztói trendjei folyamatos megújulásra ösztönzik a turizmuságazat szereplőit. A dunai szállodahajó-turizmus a szabadidős célú turisztikai utazások feltörekvő részterülete, ugyanakkor a hosszú távon is kiemelkedő gazdasági teljesítmény fenntartásához szükség van a termékkonstrukció időszakos megújítására. Jelen tanulmány a dunai szállodahajó-turizmus alapismérveit, piaci (keresleti-kínálati) jellemzőit foglalja össze a témakörben publikált folyóiratcikkek elemzésén keresztül. Bemutatja továbbá a piacvezető vállalatok (Tauck, Avalon Waterways, Crystal Cruises, Uniworld River Cruises, Viking River Cruises, Scenic River Cruises) aktuális (2020-2022-re szóló) termékkínálatát. A kvalitatív kutatás során 326 utazási csomag áttekintésére került sor, mely rámutatott a kulturális turisztikai attrakciók termékkínálatban betöltött kiemelkedő szerepére. Az eredmények alátámasztják, hogy számos turisztikai termék (például: természeti vonzerők, egészség- és gyógyturizmus) hiányzik a jelenlegi termékkonstrukcióból, melyeknek a kínálatba történő beépítése elősegítheti a célcsoport bővítését, ami a recesszió utáni időszakban hozzájárulhat a dunai szállodahajózás gazdasági teljesítményének javulásához.
Balanced Scorecard és Controlling Filozófia és/vagy menedzsmenteszköz a szervezetek vezetésében
Authors: Somogyi Márta
Published: April 2021

A tanulmányban a szerzô a controlling és a Balanced Scorecard (BSC) módszertani összehasonlítását végzi el a bemutatott szempontok alapján. Az összehasonlítás célja a controlling és a BSC viszonyának meghatározása: értelmezhető-e közöttük prioritás, ugyanazon módszertan két eszközéről van-e szó, esetleg két teljesen eltérő eszközként, módszerként, filozófiaként kezelendőek. A szerző a vizsgálat hipotéziseként a Balanced Scorecard szülőatyjainak állítását alkalmazta, amely szerint: „A ’mérési és értékelési’, valamint a menedzsmentrendszer közötti különbségtétel finom, de döntő jelentôségű: a mérési és értékelési rendszernek csupán eszközt kell nyújtania egy fontosabb cél eléréséhez, egy olyan stratégiai menedzsmentrendszer kialakításához, amely segítséget nyújt a vezetőknek a stratégia végrehajtásában, valamint abban, hogy visszacsatolást kapjanak a stratégiáról” (Kaplan – Norton, 2000: 254). A tanulmány ezen hipotézis igazságtartalmának vizsgálatát tűzte ki céljául.
Functional Dyspepsia, Peptic Ulcer, and Helicobacter pylori Infection in a Rural Community of South Asia: An Endoscopy-Assisted Household Survey
Authors: Rahman M. Masudur , Ghoshal Uday C. , Kibria Md. Golam , Sultana Nigar , Yusuf M. Abdllah , Nahar Shamsun , Ahmed Faruque , Rowshon AHM , Hasan Mahmud
Published: April 2021

INTRODUCTION:

Functional dyspepsia (FD), although commoner than organic dyspepsia (OD) in-hospital studies, community data, particularly from rural areas, are lacking. We performed a rural community study in Bangladesh with the primary aims to evaluate (i) the prevalence of uninvestigated dyspepsia (UD), FD, and OD and (ii) the risk factors for UD.

METHODS:

This house-to-house survey was performed using a translated-validated enhanced Asian Rome III questionnaire and endoscopy with Helicobacter pylori tests, including genotyping.

RESULTS:

Of 3,351/3,559 responders ([94.15%], age 40.41 ± 16.05 years, female 1924 [57.4%]), 547 (16.3%) had UD (female 346 [18%] vs male 201 [14%]; P = 0.002); 201 (6%), 88 (2.6%), and 258 (7.7%) had postprandial distress (PDS), epigastric pain syndromes (EPS) and PDS-EPS overlap, respectively. On multivariate analysis, age >50 years (adjusted odds ratio [AOR] 1.34 [1.07–1.68]), female sex (AOR 1.42 [1.17–1.74]), being married (AOR 1.57 [1.21–2.07]), lower family income (AOR 1.79 [1.43–2.26]), nonsteroidal anti-inflammatory drug use (AOR 7.05 [2.11–23.55]), previous acute gastroenteritis (AOR 5.42 [1.83–16]), and psychological distress (AOR 5.02 [2.87–8.76]) were risk factors for UD. Of 346/547 (63.25%) undergoing endoscopy, 232 (67.05%) and 114 (32.95%) had FD and OD (peptic ulcers [PU] 99 [28.61%] and erosive esophagitis 13 [3.76%]). About 53% of FD subjects had EPS-PDS overlap, 32% had PDS, and only 15% had EPS. H. pylori was detected in 266/342 (78%) dyspeptics (FD 173/230 [75.2%], vs OD 92/114 [82.1%], P = 0.169).

DISCUSSION:

Sixteen percent, 11% and 5% of rural Bangladeshi Asian adults had UD, FD, and PU, respectively. One-third of UD subjects had OD, mostly PU.

JOURNAL/cltg/04.03/01720094-202104000-00016/inline-graphic1/v/2023-10-30T212621Z/r/image-tiff
Photomicrogrph Atlas of Wood Pellet Components
Authors: Drobniak Agnieszka
Published: April 2021

Concerns about climate change, energy security, and the diversification of energy supplies have made renewable resources increasingly more attractive and important sources of energy. As interest grows, bioenergy (energy from bio-based sources) is becoming more environmentally friendly and economically viable and has started to play a more prominent role in the global energy mix. In this changing market, wood pellets have emerged as a sustainable source of power with the potential to become a mainstream fuel in the future energy market.
Pellets are currently the most economical way of converting biomass into fuel, and they are a fast-growing component of the energy sector. Pellets can be made from various types of biomass including industrial waste and co-products, food waste, agricultural residues, and virgin lumber, which are compressed under high pressure. Among these, wood pellets are the most common, and they generally are made from raw trees, wood shavings, compacted sawdust, industrial wastes from the milling of lumber, manufacture of wood products and furniture, and construction. The wood pellets available on the market are sold as fuel (heating and grilling) or as absorbents for animal bedding.
But while the wood pellets are a fast-growing component of the energy sector and important tool in fight with global warming, it is important to understand influence of wood pellet quality on combustion emissions, and how their usage impacts human health and environment.
Thanks to wood pellet industry efforts, especially in the North America and European Union, many of the wood pellets follow rigorous production procedures, and certification. However, there are still some manufacturers that do not use the same production scrutiny, which can result in poorer quality of their pellets. Our research show that in some extreme cases these uncertified wood pellets contain more than 20 percent of impurities. While some of those contaminants are so big that can be visible even without microscope the majority of the contaminants are of micrometer size and can be detected and identify only under a microscope.
While the current standards test the quality of pellets based on a variety of physical and chemical properties, some impurities in pellets (glass, plastic, metal, ceramics, coal, and coke) are not easily identified this way. Our research shows that reflected light microscopy can be successfully used to identify and quantify those contaminants. Although  reflected light microscopy technique is a well-known and widely used method allowing examination of various materials, this is a novel application for pellet fuels.
Artefact collecting: creating or destroying the archaeological record?
Authors: Barford Paul M.
Published: April 2021

This paper examines some of the arguments used by archaeologists in favour of collaborating useful for archaeological research and is a form of public engagement with archaeology. It takes as a case study records of 48 600 medieval artefacts removed from archaeological contexts by artefact hunters and recorded by the Portable Antiquities Scheme in England and Wales. The past and potential uses of these records as an archaeological source are objectively reviewed, together with an assessment of the degree to which they provide mitigation of the damage caused to the otherwise unthreatened archaeological record. It is concluded that, although information can be obtained by studying records of findspots of addressed artefacts such as coins, in general the claims made in support of professional archaeological collaboration with this kind of activity prove to be false.
Kwestia chronologii, typologii i pochodzenia szklanej biżuterii z wczesnośredniowiecznego ośrodka grodowego w Gnieźnie
Authors: Sawicka Joanna
Published: April 2021

The study presents 175 artefacts from the settlement center in Gniezno – beads and rings. The materials come from settlement levels from around the mid-10th to the 13th centuries. The latest chronological findings based on 14C dating have made it possible to refine the dating, especially of the early settlement levels of the stronghold, where the vast majority of glass artefacts come from. Threeba sic groups of beads have been distinguished based on the technique of their production – beads made of a drawing a tube, the technique of winding a glass strip, as well as casting and sintering. The results of 7 physico-chemical analyzes of the glass composition (performed with the X-Ray Fluorescence, XRF method) are presented. Physicochemical analyzes of the chemical composition of the tested beads made it possible to determine the technological group and the type of glass. An attempt was made to explain the origin of the starting material (glass) for jewelery. A comparative analysis made it possible to indicate in a general manner possible manufacturers and to outline the likely directions of the influx of these glass ornaments to Gniezno.
Rotunda na Kopcu Krakusa?
Authors: Słupecki Leszek P.
Published: April 2021

The paper focuses on the question of a mysterious building on the top of Krakus burial mound (Cracow, Poland) which was documented on some engravings from the late 16th and 17th century presenting panoramas of the city of Cracow (Matthäus Merian, 1617; and Eric Dahlberg, 1655). On the Swedish map from 1702 the top of the mound is already empty. The hypothesis is that probably a small Romanesque rotunda stood there. The facility established over a big burial mound resembles the case of St. Nicholas (Sv. Nikola) church in Nin (Croatia) which is an early Romanesque rotunda (triconchos)  rom ca. 1100 AD which stands till today on the top of a prehistoric mound. In Cracow excavation done on Krakus mound in 30ties eventually revealed a negative of destroyed foundations od the rotunda, which remained uninterpreted.
Dyskursywizm archeologii według Henryka Mamzera: ograniczenia orientacji konstruktywistycznej a mit etniczny w archeologii
Authors: Urbaniak Sebastian
Published: April 2021

Henryk Mamzer’s conception is an interesting new contribution to the development of socalled constructivist approaches in archaeology. As such it is a good example of the basic assumptions underlying its theory and methodology. In this article I will argue with some basic assumptions of Mamzer’s theory, trying to show that constructivism doesn’t rescue archaeology from the problems, which he would like to avoid. In fact, it deals with the same problems.
The Protestant Homiletics Approach toward Preaching on the Internet
Authors: Kalbarczyk Adam
Published: April 2021

The presence of the sermon in cyberspace requires an in-depth theological interpretation and an appropriate classification. Evangelicals maintain that traditional homiletics is not able to meet this new technological challenge, thereby they call for creating a new homiletics, i.e. the one crafted for the Internet. This article outlines the proposal of such homiletics and discusses it thoroughly. This new approach toward Gospel preaching stems from the paradigm which perceives the sermon as an ‘open work of art’, adopted from Gerhard M. Martin’s aesthetic homiletics. Its supporters claim that the current situation allows for considering the Internet not only as a medium, but also a place where the Church is realized. Thus, the community gathered online around the sermon is treated as an ecclesial community. However, the Catholic Church does not accept such an understanding of both the Church and the sermon. In their view, in a virtual space the authentic preaching of the Church cannot be performed. Therefore, all forms of preaching on the Internet should not be researched by homiletics, but media theology.
Cooperation of the Local Government and the Church in the Service of the Old People in Poznań.
Authors: Kurosz Jolanta
Published: April 2021

About 148 thousand seniors live in Poznań and according to forecasts, this number will systematically increase. The cooperation of the local government, non-governmental organizations and the Church counteracts the social exclusion of this group of people and is a necessary condition for seniors to live in their environment as long as possible. The senior policy in Poznań is implemented in the areas indicated by the WHO: construction, public space management, transport, housing, social support, professional and social activation, counteracting exclusion, social support, health protection. The Center for Senior Initiatives, as a municipal unit, implements projects for seniors and cooperates with Caritas.
Laboratory and Constitutive Modeling of Critical State Behavior of Rockfill Aggregates Mixed with Polymer
Authors: Yang Gui , Hu Xianhong , Feng Qian , Nimbalkar Sanjay
Published: April 2021

In order to increase the strength and deformation properties of coarse aggregates, the polymer was used as an additive. In this study, a series of triaxial tests were performed to analysis the effect of polymer content on the strength, deformation, and critical state of rockfill aggregates. It is found that the deformation properties are the same for different polymer contents. As the polymer content increases, the peak stress increases, and the volume strain decreases. The addition of polymer mainly led to inducing cohesion in rockfill aggregates while showing a marginal influence on friction angle. The average effective stress, which considered the cohesion of polymer as additional effective stress, was modified. It was observed that the critical state envelopes in q–p′pc and e–p′pc were not much influenced by the addition of polymer. A state parameter is used as a function of void ratio and pressure. A boundary surface model of polymer rockfill aggregates based on the critical state approach was proposed. The performance of the model is demonstrated by the results of triaxial tests. The study shows the model could effectively capture the influence of polymer contents and confining pressures on strength and deformation characteristics of rockfill aggregates.
Solid solution hardening in CrMnFeCoNi-based high entropy alloy systems studied by a combinatorial approach
Authors: Keil Tom , Utt Daniel , Bruder Enrico , Stukowski Alexander , Albe Karsten , Durst Karsten
Published: April 2021

Solid solution hardening in high entropy alloys was studied for the Cantor alloy using diffusion couples and nanoindentation. We study a continuous variation of the alloying content and directly correlate the nanoindentation hardness to the local composition up to the phase boundary. The composition dependent hardness is analysed using the Labusch model and the more recent Varvenne model. The Labusch model has been fitted to experimental data and confirms Cr as the most potent strengthening element. For comparison of the experimental hardness and the predicted yield strength of the Varvenne model, a concentration-dependent strain-hardening factor is introduced to account for strain hardening during indentation, which leads to a very good agreement between experiment and model. A study of the input parameters of the Varvenne model, performed by atomistic computer simulations, shows no significant effect of fluctuations in the atomic size misfit volumes or in the local shear modulus to the computed yield strength.

Graphic Abstract
Digital Political Participation of Western and Eastern Parts of Germany Residents (based on Change.org Online Petitions)
Authors: Radina Nadezhda K. , Belyashova Daria S.
Published: April 2021

The article shows the results of a study aimed at finding the determinants, which describe the petitioning activity of the residents of the western and eastern parts of Germany. The research material consists of 1,036 petitions from the German-language segment of Change.org during the period of 2012–2018 (322 petitions from eastern part of Germany, 714 petitions from western part of Germany). A thematic classifier based on the analysis of electronic petitions was created. It subdivided all the petitions into 18 thematic groups, for example, human rights, animal protection, culture, politics, migration issues, proposals for reforming certain areas of life, transport system, Internet, protection and support for people with disabilities and rare diseases, financial questions, environmental protection, housing issues, weapons/spirits/tobacco/drugs, healthcare, elderly people, education, sports, sustainable development. Statistically significant differences between western and eastern territories were found only in the animal protection thematic group. It is stated that the bipolar construct East/West rooted in the historical logic of the legacy of socialism and capitalism on the German territories could not explain the logic of the petitioning activity of the contemporary Germans. Moreover, the historical heritage/separation factor is found in the socio-economic problems of the regions, but it is not critical while determining the values and civic activism of German people.
Cross-Cultural Analysis of Gender Gap in Entrepreneurship
Authors: Salis Giorgia , Flegl Martin
Published: April 2021

Women entrepreneurs have progressively gained more space in what is mostly a man-dominated business world. However, a considerable gender gap in the likelihood of starting a business venture still exists in most countries in the world. Such gap can vary depending on the country and on its socio-cultural, legal and economic conditions among others. In this paper, Hofstede’s cultural dimensions and the Human Development Index of 55 countries are tested in order to identify what factors have a positive effect on the gender gap. Results indicate that the most influential factor is the Human Development index, meaning that the more developed a country is, the lower the gender gap in the entrepreneurship is. In addition, the results also indicate that a lower level of gender gap is also observed in rather individualistic, pragmatic and risk-adverse cultures.
Black Aesthetic/s as divine lover of No End In Sight
Authors: Spalding Esperanza
Published: April 2021

This artistic response centers Black aesthetical alchemy as a source of radical healing and liberation. Recognizing the brutal strain of a white supremacist caste system, the author situates resilience as a r/evolutionary spiritual trait and innate cultural praxis. Black life and wholeness is explored through intimate acts of place-making, reclamation, and creation.
Creating your own path to move beyond the middle-income trap: lessons from Korea
Authors: Feitosa Paulo Henrique Assis
Published: April 2021

Abstract The development experience observed in Korea has been a symbol of successful catch-up for several decades. This process allowed its upward transition from middle income to high-income status and has drawn the attention of many streams of scholars. More recently, emergent research has improved our understanding of this experience and its policy implications for developing countries (Lee, 2013; 2016; 2019). This paper proposes a review of what this literature has to say about the mechanisms behind the successful path followed by Korea and a discussion of lessons to overcome the middle-income trap. It is argued that latecomers do not limit themselves to follow the path of technological development of the advanced countries and that alternative paths are possible. The main policy implication for latecomers is that a successful catch-up is possible yet difficult to achieve because it requires taking detours and leapfroging into new technologies.
Deindustrialization and innovation under globalization: An analysis of India’s catch up in manufacturing
Authors: Joseph K J , Kakarlapudi Kiran Kumar , Joseph Akhil
Published: April 2021

Abstract There is a growing empirical evidence of premature deindustrialization in developing countries wherein the share of manufacturing in GDP and employment declined at a much lower level of per capita income as compared to the trend observed in developed countries. This study examined the manufacturing performance of India, which has been persistent with industrialization as its catch-up strategy. While the study finds no evidence of deindustrialization in the conventional sense, it presents compelling evidence in terms of wage share in value added and wage rate. Therefore, the study argues that a realistic analysis of deindustrialization should consider the quality of employment, wage share and wage rate along with employment share and GDP share. The study attributes deindustrialization in India as an outcome of its strategy to build international competitiveness based on price/wage cost advantage and the failure to build a vibrant learning, innovation and competence building system.
Intracranial epidermoid cyst in a cat
Authors: Mazaro Renata Dalcol , Lorenzetti Douglas Miotto , Paz Milena Carolina , Fighera Rafael Almeida
Published: April 2021

ABSTRACT: Epidermoid cysts, also known as epidermal and keratin cysts, or congenital cholesteatomas are benign congenital non-neoplastic tumors, rarely observed in the brain of humans and some animal species (dogs, horses, mice, and rats). Histologically, they are composed of laminated, concentrically arranged keratin surrounded by a thin layer of stratified squamous epithelium. We describe a case of intracranial epidermoid cyst in a 6-year-old mixed-breed male cat in southern Brazil. The patient presented central vestibular syndrome. Given the poor prognosis and the fact that it belonged to a shelter with many dogs and cats, the owner requested euthanasia, and a thorough post-mortem examination was conducted immediately after death. The definitive diagnosis was based on histopathological findings. To the best of our knowledge, this is the first report of an intracranial epidermoid cyst in a cat.
Avaliação do grau de integração da atenção primária à saúde com atendimento especializado no modelo de unidade local de saúde experimentado em Portugal
Authors: Nunes Alexandre Morais
Published: April 2021

Resumo A integração da atenção primária à saúde com a atenção especializada em hospitais foi um importante desafio colocado ao sistema de saúde português. Iniciado em 1999, por intermédio de uma experiência-piloto, essa integração ocorreu com a criação de Unidades Locais de Saúde. Toda a assistência (atenção primária e especializada) na mesma região passou a depender de uma só equipe de gestão, com as mesmas regras e modelos de funcionamento. Embora o modelo tenha já vários anos e atualmente existam oito Unidades Locais de Saúde, não há pesquisas que avaliem essa transformação. Diante desse objetivo, foi encontrado um artigo publicado na revista Saúde e Sociedade que avaliou o grau de integração da atenção primária à saúde de município de pequeno porte na Rede de Atenção à Saúde, cuja metodologia de avaliação se enquadra perfeitamente no propósito do presente estudo. Assim, foi adotado esse método de avaliação, por meio de uma matriz com 25 indicadores com parâmetros de avaliação pontuados em escala de zero a três. Seguidamente, com o objetivo de mensurar o grau de integração, foram aplicados questionários aos profissionais de saúde. A pontuação final (grau de integração) foi calculada pela relação entre a soma dos pontos recebidos e esperados, multiplicado por 10. Os resultados mostram um escore nacional de integração de 7,03, o que indica a boa integração entre atenção primária e especializada.
Phase 3 Randomized Study Comparing Vadadustat with Darbepoetin Alfa for Anemia in Japanese Patients with Nondialysis-Dependent CKD
Authors: Nangaku Masaomi , Kondo Kazuoki , Kokado Yoshimasa , Ueta Kiichiro , Kaneko Genki , Tandai Tsubasa , Kawaguchi Yutaka , Komatsu Yasuhiro
Published: April 2021

Significance Statement

Hypoxia-inducible factor prolyl hydroxylase inhibitors have been shown in clinical trials to increase hemoglobin levels via the production of endogenous erythropoietin. Vadadustat, an oral agent in this drug class, is an alternative to erythropoiesis-stimulating agents for the treatment of CKD-related anemia. This appears to be the first phase 3 randomized controlled trial to demonstrate noninferiority of vadadustat to darbepoetin alfa for the treatment of anemia in Japanese patients with nondialysis-dependent CKD. In participants receiving vadadustat, mean hemoglobin increased to the target range (11.0–13.0 g/dl) and was within this range up to week 52. Vadadustat was generally well tolerated over 52 weeks of treatment and no major safety concerns were identified. These findings suggest that vadadustat may be a potential treatment for anemia in patients with nondialysis-dependent CKD.

Background

Standard care for treating anemia in patients with CKD includes use of erythropoiesis-stimulating agents, which sometimes involves increased risks of cardiovascular morbidity and mortality. Previous studies in patients with anemia and nondialysis-dependent CKD (NDD-CKD) found significantly elevated hemoglobin levels with use of vadadustat, an oral hypoxia-inducible factor prolyl hydroxylase inhibitor, compared with placebo.

Methods

In this phase 3, open-label, active-controlled noninferiority trial, we randomized 304 Japanese adults with anemia in NDD-CKD (including erythropoiesis-stimulating agent users and nonusers) to oral vadadustat or subcutaneous darbepoetin alfa for 52 weeks. The primary efficacy end point was average hemoglobin at weeks 20 and 24. Safety data included adverse events (AEs) and serious AEs.

Results

A total of 151 participants received vadadustat and 153 received darbepoetin alfa. Least squares mean of the average hemoglobin at weeks 20 and 24 was 11.66 (95% confidence interval [95% CI], 11.49 to 11.84) g/dl for vadadustat and 11.93 (95% CI, 11.76 to 12.10) g/dl for darbepoetin alfa. The 95% CIs for both treatments were within the target hemoglobin range (11.0–13.0 g/dl), and the lower 95% confidence limit for the difference between groups (−0.50 g/dl) was above the predefined noninferiority margin (−0.75 g/dl), demonstrating noninferiority of vadadustat to darbepoetin alfa. Similar proportions of patients in each group reported AEs and serious AEs. The most frequent AEs with vadadustat were nasopharyngitis, diarrhea, and constipation.

Conclusions

In Japanese patients with NDD-CKD, vadadustat was noninferior to darbepoetin alfa, was effective up to week 52 in terms of average hemoglobin, and was generally well tolerated. These results suggest that vadadustat may be a potential treatment for anemia in this patient population.
Conocimiento, comprensión y cultura: aspectos intersubjetivos y epistemológicos de la comprensión como método
Authors:   Universidade Metodista de São Paulo, KÜNSCH Dimas , OLIVEIRA José ,   Faculdade Cásper Líbero, PASSOS Mateus ,   Universidade Metodista de São Paulo
Published: April 2021

O ensaio problematiza as relações entre conhecimento, compreensão e cultura; coteja raízes intersubjetivas e epistemológicas das concepções de compreensão e destaca alguns dos laços entre os estudos da compreensão como método e os da cultura. A partir das críticas de Montaigne, Medina e Morin, entre outros, à fragmentação do conhecimento científico, mapeia o caminho percorrido por autores que contribuem com a concepção da compreensão como método para ligar, unir, juntar saberes e conhecimentos. Em diálogo com estudiosos de diferentes formações, como Arendt, Buber, Campbell, Weber, Popper, Latour e Bakhtin, apresenta o diálogo entre as diferentes práticas de conhecimento como forma de se conhecer, comunicar e participar da cultura. E propõe que cultura e compreensão sejam entendidas como denominações do fato de que, como animal simbólico, o homem participa da cultura como um macrossistema comunicativo quando abraça compreensivamente práticas científicas e não científicas de conhecimento.
Radio y prácticas comunitarias para generar ciudadanía e identidad: FM “Los Coihues”
Authors:   Instituto de Investigaciones en Diversidad Cultural y Procesos de Cambio (IIDyPCa - CONICET/Universidad Nacional de Río Negro), NAVARRO NICOLETTI Felipe
Published: April 2021

Desde la dinámica del concepto de “barrio”, entendemos que la “comunicación comunitaria” nos da las herramientas para visibilizar las prácticas y acciones que hacen al propio territorio. Allí y con base empírica en el caso de FM “Los Coihues”, ubicada en el barrio Villa Los Coihues de la ciudad de San Carlos de Bariloche, Argentina, entendemos que las radios comunitarias generan y potencian espacios y prácticas de participación ciudadana, en este caso concreto con vistas a generar “identidades”. Observaremos como en el mismo accionar de la emisora, se desarrollan vínculos comunitarios sólidos a la vez que se explicita la perspectiva identitaria como clave para dicho espacio en clave ciudadana.
Retos de la formación en competencia mediática en el Observatorio de la Calidad Audiovisual
Authors:   Universidade Federal de Juiz de Fora, BORGES Gabriela
Published: April 2021

Este artigo apresenta uma proposta teórico-metodológica de formação de profissionais de comunicação desenvolvida no Observatório da Qualidade no Audiovisual na Universidade Federal de Juiz de Fora, Brasil. A partir de pesquisa empírica com estudantes universitários e profissionais de comunicação (Borges & Silva, 2019) e dos estudos de Ferrés e Piscitelli (2015) sobre a competência midiática; de Scolari (2016) e Scolari; Masanet; Guerrero-Pico & Establés (2019) sobre literacia transmídia, desenvolvemos uma proposta de formação de alunos para a produção de conteúdos para multiplataformas. Produzimos séries audiovisuais e sonoras nos canais de comunicação do Observatório da Qualidade no Audiovisual (2020) que evidenciam um conjunto de novas competências e proporcionam novos olhares sobre os sujeitos, as tecnologias, a comunicação e a educação.
Presentación
Authors:   Universidad Pontificia Bolivariana, MUÑOZ URIBES Juan , RENÉS ARELLANO Paula ,   Universidad de Cantabria
Published: April 2021

Cuando sustancialmente comenzó a engendrarse el concepto de lo alterno a partir de la segunda mitad del siglo anterior, de maneras disímiles, pero en la lógica de opciones de contrapoder, ideologización, liberación y participación, llevaba inscrito el principio de la otredad; sin embargo, también surgieron maneras distintas de comprender las prácticas comunicativas tradicionales. Lo otro, lo alternus, había de dar apertura a formas y contenidos diferentes de asumir las múltiples realidades, en irrupción de los aspectos influyentes que se ejercían desde el poder de la información, un “cuarto poder” que, también, en su momento, otrora se había concebido como la alternancia para dimensionar, evaluar o informar acerca del desempeño de los poderes Ejecutivo, Legislativo y Judicial del Estado moderno
The Emissaries of the Wandering Beggars’ Tradition – on the Issues of Hurdy-Gurdy – Past and Present
Authors: Rokosz Tomasz
Published: April 2021

The subject of the wandering beggars’ songs and their functioning in culture has been discussed many times in the Polish folklore studies and ethnomusicology. In the practical sense, it could seem that the beggars’ song is a historical subject, closed a long time ago, similarly as hurdy-gurdy playing – one of its most interesting manifestations. Nevertheless, songs of hurdy-gurdy players have returned triumphantly these days, performed by amateur and professional musicians. Furthermore, we can observe the phenomenon of consolidation of musicians, not only into bands, but also in wider projects (festivals, academies, meetings of hurdy-gurdy players). The author presents a concise description of hurdy-gurdy playing traditions, the instrument itself, its song repertoire and the contemporary reconstruction of these traditions that is attempted by some environments.
Juliusz Kaden-Bandrowski about Music, Work and Writing – a Writer at the Piano
Authors: Wróbel Elżbieta
Published: April 2021

The paper recalls the figure of the leading writer of the Second Polish Republic, Juliusz Kaden-Bandrowski. Alluding to his biography and his acquired musical education in his youth, it makes the point that this influenced his artistic attitude. The center of analysis is Kaden-Bandrowski’s article devoted to Aleksander Michałowski, an excellent pianist in the turn of the nineteenth and twentieth centuries. The main thesis of the article is Kanden-Bandrowski’s great respect for Michałowski’s work and creative effort, which he partially owed to his early musical education. The author also references to Kaden-Bandrowski’s critical texts from the beginning of his literary career as well as his association with the Fryderyk Chopin International Piano Competition; which began in 1927 in Warsaw. Kaden-Bandrowski was a member of the organizing committee for the first competition.
Principles of Myroslav Skoryk’s Individual Style of Music in the Piano Cycle of Preludes and Fugues
Authors: Циганюк Люція
Published: April 2021

The article is devoted to the works of Myroslav Skoryk, a prominent Ukrainian composer, who is well known on the Polish music scene. Two pairs of preludes and fugues from the polyphonic cycle for piano are discussed in particular: C major No. 1 and F major No. 6. The compositions are subjected to musicological and performance analysis. The stylistic and interpretative specificity of these pieces is also considered.
Dialogue in Sonata for Two Violins Op. 10 by Henryk Mikołaj Górecki from a Performer’s Perspective
Authors: Dzialak-Savytska Anna
Published: April 2021

The article aims at defining the specificity of dialogue in Sonata for two violins Op. 10 by Hen- ryk Mikołaj Górecki from the point of view of the performer. This piece, though created in the early period of the composer’s career, belongs to important examples of this genre in 20th century Euro- pean music. With regard to the declared aim, various versions of the dialogue in this sonata were examined. The issue of dialogue in the discussed piece is presented in the context of the individual composer’s style. In order to address the core matter, the analysis of all three movements of the sonata cycle was carried out in terms of different forms of dialogue between the two violins.Górecki’s Sonata represents very interesting types of dialogic communication, conveying various emotional contents: from rivalry to harmony, from expression – sometimes utterly harsh – to joint reflection, from grotesque to contemplation. This piece features a rich sound coloring, which the Master achieves through sonoristic effects and extensive use of dissonant consonances and dynamic contrasts. The piece shows also an excellent sense of the sound space in which the soloists perform. Spatial changes effects are achieved by means of, among other things, rapid shifts from the lowest registers to the highest ones. The „instrumental drama” is accompanied by colorful „dec- orations”, with a wide range of feelings typical of Górecki. The parts of two violins carry out a polyphonic narration. The voices of each „protagonist” receive a different reaction in their vis-à-vis, and in the last part they unite in an expressive, unrestrained dance movement. It is precisely this variety of musical material and the dialogues of the soloists in different categories of perspectives that provide this piece with an intensity of empathic experiences, evoked both in listeners and in performers.
Musical education from the perspective "Musical news" (1925-1926)
Authors: Kocaj Agata , Krasińska Izabela
Published: April 2021

In Poland, over a hundred music magazines appeared in the interwar period. They were divided into several categories: subject and methodological, social and cultural music press, music and li- turgical magazines, regional music periodicals, as well as musicological and popular science mag- azines. The final group includes the subject of this article, “Wiadomości Muzyczne” (1925–1926), edited by the music collector and journalist Edward Wrocki. The article is the first attempt at a monograph elaboration of this periodical, both in terms of the formal and publishing aspects and its content. However, it focuses mainly on educational content, training and professional develop- ment of musicians and music and singing teachers in various types of schools (conservatories and music academies, primary and secondary schools, courses).
Effect of Dietary Lysine on the Meat Production and Behaviour of Broilers
Authors: Oad Rajesh Kumar , Rajput Nasir , laghari Imdad Hussain , Soomro Hidayatullah , Memon Muhammad Azhar , Baloch Abdul Sattar , Kalwar Qudratullah , Ahmed Mashhood , Soomro Zubair Ahmed , Vistro Waseem Ali
Published: April 2021

Hubbard broilers were studied to investigate the influence of lysine on meats production and behavior performance. Total 300 day old chicks were divided into six groups (50 broilers each) i.e. A, B, C, D, E and F, fed ration containing 0, 0.25, 0.50, 0.75, 1.00, 1.25 percent of synthetic lysine, respectively. Feed intake in broiler group A was higher (3572 g/b) (P<0.05). Live body weight was higher in group F (2.234 kg/b). Broiler carcass weight and dressing of group F (1.298 kg/bird and 60.83 kg/bird) was higher as compared to other groups. Feed conversion ratio (FCR) was better (1.538) in group D following by group A, B, C, E and F. Broiler breast, leg, neck, drum and head weights was higher in group D than other groups (p<0.05). Broiler heart was heavier in group D, while liver and gizzard were heavier in group B than other groups, whereas, spleen and crop were heavier in group A, and gall bladder was heavier in group C. Mortality ratio increased in group A (p>0.05). Group E broiler spent more time on feeding (8.31 min/h). Group F spent more time on drinking (4.76 min/h). Group A spent more time on standing/walking (13.38 min/h). Group A spent more time on lying/sleeping (37.37 min/h) than other groups. Hematological observations indicated that the average value for RBCs were enhanced (2.89 million/mm3) in group D, WBC (24.78 1000/mm3) in group C, PCV in group A (31.63 %) and serum cholesterol in group F (83.07 mg/100ml). Above findings suggest that 0.75% lysine in broiler ration is better for growth, as well as to achieve maximum net return of the farmers.
MAGMATOLOGICAL TECTONICS: ALFRED RITTMANN’S PARADIGM
Authors: MUSUMECI DANIELE , BRANCA STEFANO , INGALISO LUIGI
Published: April 2021

The aim of this research is to present the life and research of Alfred Rittmann (1893–1980). He was an Earth scientist in the broadest sense: a petrographer, mineralogist, magmatologist, tectonist, geodynamicist, planetologist, volcanologist and, what is more, a philosopher of geosciences. He is considered the founder of contemporary, volcanology by combining in his interdisciplinary research the study of volcanic phenomena at the surface with tectonic activity and magmatology. In his books, Rittmann discussed the first correlations between volcanism and tectonics; his geodynamic model comprises complex studies of geology, volcanology, magmatology and geodynamics. We propose to name his scientific worldview ‘Magmatological Tectonics’ (MT) and to describe it as a Kuhnian paradigm. The leading concept of all geological processes is the fundamental law. Rittmann also made abundant use of Chamberlin’s method, the method of multiple working hypotheses. Some brief interpretations will be proposed regarding the importance of Rittmann in the history of geosciences in the twentieth century and the emergence of some philosophical problems deriving from this research.
The Human Self: the Illusion of a Riddle
Authors: Lobastov G.V.
Published: April 2021

The paper is an attempt to give an inner outline of F.T. Mikhailov’s logic in the study of the human Self. The principles of analysis and the meaningful path of becoming the Self are analyzed, from the problem of the emergence of the mind to the developed, creative and free personality. Reflection of logical categories and their formal and substantive connection with the problems and methods of theoretical research in psychology is carried out. The paper shows the dialectic of the concept of the Self — both in the objective reality and in the self-consciousness of the individual. The subjectness of the Self is presented as an expression of the social whole and the internal logic of its development. This logic of the whole is the potential basis of the creative ability of the Self. The creativity arises in the contradiction between the universal and the specific, the distinction of which is, according to F.T. Mikhailov, the most difficult problem. But it is precisely in the solution of this problem that the solution to the phenomenon of the Self lies. And thus of freedom as the objective self-determination of man in being and in thinking. The reproduction of the logic of thought of F.T. Mikhailov is carried out by the author in his own synthesis of problems that highlight the main line in understanding the problem of the Self.
Relationship Between Big Five Personality Traits and Media Multitasking Behavior of the Indian Sample
Authors: Shukla S.
Published: April 2021

Media multitasking (MMT) is a growing phenomenon among Indian college students. Previous studies on other nationalities highlight that user’s personality traits play an important role in engaging them in this behavior. Using a sample of Indian college students, this study examined the relationship between MMT and the Big Five personality traits. It also examined the impact of age on the dynamics between personality and MMT. Results suggested that after controlling the socio-demographic factors, traits like openness to experience, extraversion, and neuroticism are positively related with high MMT. However, these observations are found to be moderated by age. These findings may help designing separate intervention techniques for alleviating excessive MMT behavior for different age groups considering their personality traits.