bluuebunny/crossref_metadata_2025 huggingface dataset:
Analyzing Evidence on Interventions to Strengthen the Clinical Support for Midwifery Students in Clinical Placements: Protocol for a Systematic Scoping Review
Authors: Amod Hafaza , Mkhize Sipho Wellington , Muraraneza Claudine
Published: June 2021

Background

The benefits of clinical support are evident in various mentorship, preceptorship, or clinical supervision models. Poor collaboration between lecturers and clinical staff, lack of confidence about student support, large student intakes coupled with core demands create negative attitudes toward student supervision, and this poses a huge challenge to midwifery students who are expected to become competent in the process.

Objective

This study aims to identify and analyze interventions, strategies, and/or mechanisms in order to strengthen the clinical support for midwifery students in clinical practice areas from a global perspective.

Methods

This review will follow the Arksey and O’Malley framework (2005). The search strategy will include primary studies searched for in electronic databases such as EBSCOhost (CINAHL, MEDLINE, and Health Source: Nursing/Academic edition), PubMed, Google, and Google Scholar. Keywords such as “midwifery students,” “midwifery education,” and “clinical support” will be used to search for related articles. The search will include articles from the cited by search, as well as citations from the reference list of included articles. All title-screened articles will be exported to an EndNote library, and duplicate studies will be removed. Two independent reviewers will concurrently carry out the abstract and full-text article screening according to the eligibility criteria. Extracted data will highlight the aims, geographical setting, and level of training; intervention outcomes; and the most relevant and most significant findings. This review will also include a mixed methods quality appraisal check. A narrative summary of data extracted will be analyzed using content analysis.

Results

Interventions to strengthen the clinical support for midwifery students in practice will be extracted from this review, and data will be analyzed and extracted to develop a comprehensive guide or framework for clinical mentorship. As of August 2021, the electronic search, the data extraction, and the analysis have been completed. The results paper is expected to be published within the next 6 months.

Conclusions

It is expected that this review will contribute to midwifery education by identifying quality evidence on clinical support interventions available to midwifery students globally, as well as best practice methods, procedures, or interventions that can be used to develop a midwifery mentorship training program.

International Registered Report Identifier (IRRID)

DERR1-10.2196/29707
Combining Ketamine and Internet-Based Cognitive Behavioral Therapy for the Treatment of Posttraumatic Stress Disorder: Protocol for a Randomized Controlled Trial
Authors: Philipp-Muller Aaron Emile , Reshetukha Taras , Vazquez Gustavo , Milev Roumen , Armstrong Dawn , Jagayat Jasleen , Alavi Nazanin
Published: June 2021

Background

Over one third of patients with posttraumatic stress disorder (PTSD) do not respond to current interventions. Ketamine presents a potential treatment option; however, its effects are temporary. Administering ketamine alongside psychotherapy is one potential means of prolonging its effects; however, only a few studies have investigated this treatment method to date, and none have tested ketamine with internet-based or electronically delivered cognitive behavioral therapy (e-CBT).

Objective

This open-label randomized controlled trial aims to assess the efficacy of a combined treatment method of subanesthetic intravenous ketamine and e-CBT for treating patients with PTSD.

Methods

In total, 20 patients with refractory PTSD recruited from a community clinic will be randomly assigned to either an experimental group (n=10), receiving a combination of ketamine and therapist-administered e-CBT over 14 weeks, or a waitlist control group (n=10), receiving the experimental treatment after 14 weeks. Both groups will be assessed for the symptoms of PTSD and comorbid disorders before treatment, at two midway points, and at the end of the experiment.

Results

PTSD symptoms of participants in the experimental group are expected to improve significantly more than those of participants in the waitlist control group (P=.05) with a large effect size (η2=0.14).

Conclusions

This is the first study to assess the relationship between e-CBT and ketamine and their combined ability to treat refractory PTSD. If successful, this study will open web-based, asynchronous therapeutic options for patients with PTSD and will provide new insights into the functional role of glutamate in trauma-related disorders as well as in learning, memory, and fear extinction.

Trial Registration

ClinicalTrials.gov NCT04771767; https://clinicaltrials.gov/ct2/show/NCT04771767.

International Registered Report Identifier (IRRID)

PRR1-10.2196/30334
Physical Activity Together for People With Multiple Sclerosis and Their Care Partners: Protocol for a Feasibility Randomized Controlled Trial of a Dyadic Intervention (Preprint)
Authors: Fakolade Afolasade , Cameron Julie , McKenna Odessa , Finlayson Marcia L , Freedman Mark S , Latimer-Cheung Amy E , Pilutti Lara A
Published: June 2021

BACKGROUND

Physical activity (PA) is beneficial for all people; however, people affected by multiple sclerosis (MS) find regular PA challenging. These people may include individuals with advanced disabilities and their care partners.

OBJECTIVE

The objective of this study is to determine the feasibility of a dyadic PA intervention for people with advanced MS and their care partners.

METHODS

This study is a randomized controlled feasibility trial of a 12-week intervention, with 1:1 allocation into an immediate intervention condition or delayed control condition. A target of 20 people with MS–care partner dyads will be included. The outcomes will be indicators of process, resources, management, and scientific feasibility. Participant satisfaction with the intervention components will be evaluated using a satisfaction survey. The subjective experience of participation in the study will be explored using semistructured interviews.

RESULTS

The project is funded by the Consortium of Multiple Sclerosis Centers. This protocol was approved by the Ottawa Hospital Research Ethics Board (20190329-01H) and the University of Ottawa Research Ethics Board (H-09-19-4886). The study protocol was registered with ClinicalTrials.gov in February 2020. The findings of this feasibility trial will be disseminated through presentations at community events to engage the MS population in the interpretation of our results and in the next steps. The results will also be published in peer-reviewed journals and presented to the scientific community at national and international MS conferences.

CONCLUSIONS

The data collected from this feasibility trial will be used to refine the intervention and materials in preparation for a pilot randomized controlled trial.

CLINICALTRIAL

ClinicalTrials.gov NCT04267185; https://clinicaltrials.gov/ct2/show/NCT04267185.

INTERNATIONAL REGISTERED REPORT

PRR1-10.2196/18410
Penggunaan Kosanoge Melalui Media WhatsApp dalam Pembelajaran Bahasa Jepang Di SMK Kesehatan Sadewa Yogyakarta
Authors: Kharismawati Mery , Al Hakimi Iffatu Masruro
Published: June 2021

This research is a quantitative descriptive study that will describe: (1) the conditions of learning Japanese online through WhatsApp Group (WAG) at SMK Kesehatan Sadewa Yogyakarta, and (2) the students' perceptions about the use of kosanoge. The Japanese language course was introduced at this school in 2020. As the Covid-19 pandemic since March 2020 has disrupted the educational activities at schools, the teaching and learning at SMK Kesehatan Sadewa, including Japanese, must be carried out online. WhatsApp Group (WAG) was chosen as a medium for interactive and useful online learning. In practice, students are introduced to the kosanoge vocabulary game which aims to increase the student’s enthusiasm for learning. The data were taken from the results of observations of class activities and online surveys. The random sample shows that the students were happy with the implementation of the kosanoge, but some students had difficulties because they had not memorized hiragana. A further research needs to be conducted to determine the effect of teacher classroom actions taken to increase student interaction in a class by using kosanoge games.
Impoliteness Strategies in Trevor Noah’s Afraid of The Dark Stand-up Comedy Show
Authors: Hafisa Aulia , Hanidar Sharifah
Published: June 2021

This research focuses on identifying the impoliteness strategies and explaining the purposes of the most frequently used strategy in Afraid of the Dark stand-up comedy show performed by Trevor Noah. The data of this research are Trevor Noah’s utterances which contains impoliteness strategies. The analysis was based on the impoliteness strategies theory proposed by Jonathan Culpeper (1996). The result of this research shows that Trevor Noah uses 105 instances of impoliteness strategies which cover all five types of strategies proposed by Culpeper; bald on record impoliteness, positive impoliteness, negative impoliteness, sarcasm or mock politeness, and withhold politeness. Based on the findings, negative impoliteness is found to be the most frequently used strategy. It occurs 42 times or with a percentage of 40% of the whole data. This high frequency of negative impoliteness strategy is used to entertain the audience. Trevor Noah mostly used ‘condescend, scorn, or ridicule’ sub-strategies of negative impoliteness intended to amuse and entertain the audience and also to induce laughter when hearing one being ridiculed or disparaged.
Near Identification of Policy Trade-Offs Using Preference Proxies to Elicit Hidden Information in the Linear Case
Authors: Azam Jean-Paul
Published: June 2021

This paper shows that neither OLS nor 2SLS can generically identify policy trade offs in the linear case, except under extreme assumptions. Practitioners must be content with near identification and the paper discusses how to choose between these two methods. It shows that a two-stage approach using preference proxies to elicit hidden information can potentially narrow the identification gap and that a simple specification test can be used to assess whether these proxies really contribute to improving identification.
Propensity score matching versus coarsened exact matching in observational comparative effectiveness research
Authors: Guy David , Karp Igor , Wilk Piotr , Chin Joseph , Rodrigues George
Published: June 2021

Aim & methods:
We compared propensity score matching (PSM) and coarsened exact matching (CEM) in balancing baseline characteristics between treatment groups using observational data obtained from a pan-Canadian prostate cancer radiotherapy database. Changes in effect estimates were evaluated as a function of improvements in balance, using results from randomized clinical trials to guide interpretation.
Results:
CEM and PSM improved balance between groups in both comparisons, while retaining the majority of original data. Improvements in balance were associated with effect estimates closer to those obtained in randomized clinical trials.
Conclusion:
CEM and PSM led to substantial improvements in balance between comparison groups, while retaining a considerable proportion of original data. This could lead to improved accuracy in effect estimates obtained using observational data in a variety of clinical situations.
Misli lokalno, deluj globalno
Authors: Jankovic Slobodan
Published: June 2021

Prikaz knjige:
Marko Tanasković, Misli lokalno, deluj globalno, Beograd: Poredak, 2020, 157 str.
GEOPOLITIČKA PERSPEKTIVA REKONFIGURACIJE POSTJUGOSLOVENSKOG PROSTORA
Authors: Stepic Milomir
Published: June 2021

Kao glavni uzrok ratnog sukoba, proistekle višedecenijske krize i latentne nestabilnosti postjugoslovenskog prostora apostrofiraju se nametnuta, neadekvatna političko-teritorijalna podela i diskordantne granice nekadašnjih republika proglašenih za države. To se već zapaža i u stručno-političkim krugovima na Zapadu, te se pojavljuju ideje o prekompoziciji postjugoslovenskog prostora kako on više ne bi bio „disfunkcionalanˮ. Ali, i prema tim predlozima one bi ponovo bile u neskladu sa „prirodnim stanjem stvariˮ i prevashodno bi sledile ne samo interese sada već poljuljanog Zapada, već bi predviđale i njegovu jednostranu artikulaciju čitavog procesa kako bi se preduhitrilo da inicijativu preuzmu sile u usponu. Suprotno tome, u ovom radu se polazi od evidentnih promena u hijerarhiji globalne moći, izglednog detronizovanja SAD sa čelne pozicije, njihovog potiskivanja iz Evroazije i kinesko-ruskog preuzimanja vodeće uloge. To će neminovno proizvesti i preuređenje Evrope u vidu velikih prostora, te deatlantizaciju Balkana i stvaranje „novog balkanskog subporetkaˮ. Autor smatra da bi geopolitički logično trebalo da usledi promena granica unutar postjugoslovenskog prostora – ne više u skladu sa interesima opadajućih sila Zapada, već u skladu sa interesima evroazijskih sila – prvenstveno Rusije i Nemačke – čija će ovo biti „zona odgovornostiˮ. Nove granice trebalo bi da budu trasirane najpre na osnovu etničkog kao glavnog principa razgraničenja, koji će se odnositi samo na konstitutivne narode (ne i na nacionalne manjine!), te primenom više korektivnih principa kako bi se ustanovile precizne granične linije. Tako bi se dobila nova politička karta koju bi činile: Slovenija (u gotovo nepromenjenim granicama), te nove države Dalmacija, Hrvatska Federacija i Srpska Federacija. To bi trebalo da bude preduslov za dugoročno smirivanje i stabilizaciju Balkana.
D-Dimer Levels and Disease Prognosis in COVID-19 Patients
Authors: Khandait Manisha , Sharma Ishi , Pandit Rakesh
Published: June 2021

Elevated or abnormal levels of coagulation parameters indicate thrombotic disorders that need to be managed at the earliest to prevent complications and reduce mortality in coronavirus disease (COVID-19) patients. D-dimer is a product that is a part of fibrin abasement, which can be used as a test for the diagnosis of thrombotic disorders. Higher D-dimer levels are a strong indicator of mortality in patients with active COVID-19. This study aimed to determine the relationship between D-dimer levels and the clinical prognosis of COVID-19 patients. This observational, prospective study was conducted between April 2020 and September 2020. All patients with COVID-19 infection were considered for this study, along with their D-dimer values. Patients with higher D-dimer levels and pre-existing morbidities experienced a longer hospital stay and increased complications when compared to patients without pre-existing morbidities. Abnormally elevated D-dimer levels were frequently observed upon admission due to COVID-19 and are analogous to the increased occurrence of critical illness, thrombotic events, acute kidney injury, and death. Therefore, D-dimer levels could be a valuable clinical biomarker and an important indicator of prognosis for patients with COVID-19 with pre-existing morbidities.
The Potential Impact of Moringa oleifera for Diminishing the Microbial Contamination and Prolonging the Quality and Shelf-Life of Chilled Meat
Authors: Hamada Mohamed , Eldaim Mabrouk Abd , Fathalla Said I. , Behiry Ayman El , Alkafafy Mohamed
Published: June 2021

This study was implemented to assess the mechanism by which Moringa oleifera leaf extract (MOLE) improves the quality and prolongs shelf-life of the broilers’ breast meat. Ninety Cobb chicks were randomly allocated to 3 groups. A control group received the standard diet, whereas the other two groups received diets containing MOLE at the doses of 250 and 500 mg/kg for 21 days. Inclusion of MOLE in broilers diet significantly reduced the detrimental changes in the overall sensory attribute scores, characteristic color and odor, and the loss of breast muscle elasticity during storage. Furthermore, it significantly reduced concentrations of thiobarbituric acid, total volatile nitrogen, non-esterified fatty acids, and peroxide, during storage compared to the control samples. No effect on the concentrations of heavy metals, such as copper, cadmium, and lead, was observed. Decomposition of samples was delayed as indicated by lower pH values and higher sensory scores at 4 and 6 days of storage in the MOLE groups. Reduced contamination with E. coli and Salmonella species indicated an antibacterial effect of MOLE. Finally, the present study highlights that MOLE supplementation may play a role in improving quality and shelf-life of the chilled breast meat in broilers.
Evaluation of Sensitivity and Specificity of Interleukins 25 and 33 in Diagnosis of Pediatric Asthma
Authors: AL-Hasnawi Abeer Thaher Naji
Published: June 2021

The roles of interleukin 25 (a member of the interleukin 17 family) and interleukin 33 (a member of the interleukin 1 family) in asthma and airway hyperresponsiveness are yet to be fully understood. The aim of this study was to investigate the roles of IL- 25 and IL- 33 in the diagnosis of pediatric asthma and their association with severity and treatment of the disease. This was a case-control study comprising 74 children with asthma as the patient group and 75 healthy children as the control group. The age of the participants ranged from 1 to 15 years. Levels of IL- 25 and IL- 33 in the serum were measured using ELISA kits. The highest positive predictive values (88.9%) occurred in IL- 25 with sensitivity and specificity of about 97.3% and 88.0% respectively, while the sensitivity and specificity of IL- 33 were about 51.4% and 66.0% respectively, with a positive predictive value of about (60.3%). The present study thus found that IL- 25 had higher diagnostic sensitivity and specificity values than IL- 33 in children with asthma. In addition, both interleukins were found to have a statistical significance regarding treatment of the disease in children.
Thalidomide surveillance and pharmacovigilance in Brazil – an overview
Authors:   Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Freitas Leal Lisiane , Marques Mota Daniel ,   Agência Nacional de Vigilância Sanitária (Anvisa), Brasília, DF, Brasil
Published: June 2021

Introduction:The thalidomide is probably the best-known teratogenic drug and still results in cases of severe physical deformities in children born in Brazil. Objective:To present the overall context of surveillance and pharmacovigilance of thalidomide in Brazil. Method:This article presents a narrative review of current literature concerning thalidomide regulation, policies, and pharmacovigilance in Brazil. Results:New cases of congenital abnormalities whose phenotype is compatible with thalidomide embryopathy were identified in the last ten years, while the approval of thalidomide for new indications was recently updated. The mechanisms of diagnosing thalidomide embryopathy are complex, remaining the challenge in distinguishing this condition from other congenital abnormalities. The increasing number of thalidomide users in Brazil is correlated with the occurrence of embryopathy and the real extension of the rationality of its use is largely unknown. Additionally, our pharmacovigilance and surveillance systems are predominantly based on voluntary reports, issues that remains over the years. Conclusions:The policies have improved over the years to prevent the fetus from being exposed to thalidomide, and current regulation establishes rules for controlling its distribution, prescription, dispensation, and use. Brazilian surveillance system is manual and pharmacovigilance is supported by voluntary reports. The failure of the system to properly control the thalidomide use and its effects might lead to serious consequences to the community; therefore, this subject deserves constant attention.
PROCESSOS FORMATIVOS EM TEATRO MUSICAL NO ENSINO TÉCNICO EM ARTES CÊNICAS: UM GESTO MULTIPERCEPTIVO
Authors: Reis Fidelcino Neves
Published: June 2021

O presente artigo busca investigar algumas estratégias metodológicas elaboradas para atender a formação técnica e também profissional de alunos no gênero Teatro Musical. Nesse sentido, o conceito de gesto multiperceptivo, o qual busca integrar a preparação corporal com o trabalho vocal, foi considerado uma ferramenta importante para o desenvolvimento das metodologias apresentadas ao longo desse texto. O campo da pesquisa nos desafiou a investigar determinadas questões, por exemplo, o desenvolvimento de um trabalho de exploração sensorial, através de uma abordagem somática, que permitisse ao aluno-ator dialogar com as múltiplas artes que compõe o espetáculo teatral, estimulando-o a desempenhar várias funções em um musical. Palavras-chaveMultipercepção. Gesto. Corpo. Voz. Educação Somática.
PEDAGOGIA(S) DAS ARTES CÊNICAS: PARCERIAS, COLABORAÇÕES EM REDE E POSSIBILIDADES DE EXISTÊNCIA
Authors: Dos Santos Vera Lúcia Bertoni , Corrêa Josiane Franken , Massa Clóvis Dias
Published: June 2021

Apresentação dos artigos do número 34 do periódico, com trabalhos que contribuem para a ampliação do debate acerca de aspectos pedagógicos do ensino da Dança e do Teatro e seus múltiplos cruzamentos conceituais, artísticos, estéticos, metodológicos, epistemológicos, históricos, sociológicos, políticos e contextuais.
DRAMATURGIA NA DANÇA: MANIPULAÇÃO DE ENERGIA NO PROCESSO
Authors: Scialom Melina , Almeida Veronica Fabrini Machado de
Published: June 2021

O conceito de dramaturgia é tão antigo quanto o teatro grego. Porém, sua entrada no campo da dança traz a chance de revisitarmos o termo, voltarmos para usa origem e trabalharmos com sua prática e conceituação na contemporaneidade. Com o foco sobre a dramaturgia do corpo e da dança, este artigo propõe discutir o termo a partir da investigação prática que aconteceu durante um encontro entre artistas-pesquisadores da dança. Através de vivências práticas de dança moderna e contemporânea, dança-teatro e das manifestações populares brasileiras entendemos a dramaturgia como uma manipulação de energia que acontece no processo de criação, incluindo o treinamento técnico do performer.
SOBRE DRAMATURGIA DA DANÇA
Authors: Cools Guy
Published: June 2021

Em 1994, Marianne Van Kerkhoven, a madrinha flamenga da dramaturgia da dança, escreveu um pequeno artigo seminal sobre o assunto – Looking without pencil in the hand – do qual o título por si só já é um manifesto. Essa contribuição se desenvolve ainda mais nos insights de Van Kerkhoven: como o dramaturgo deve permanecer necessariamente invisível no processo criativo que ele(a) está apoiando; como, de modo a capturar esse papel invisível, muitas metáforas foram criadas. O texto continua com olhares para os diferentes papéis que assumo em minha própria prática: a de testemunha somática, parceiro de diálogo e editor. Ele conclui-se reafirmando a prática do dramaturgo (de dança) como uma prática criativa na qual todo o corpo está envolvido e na qual a proximidade somática do processo criativo é tão importante quanto a distância crítica.Palavras-chaveDramaturgia da dança. Testemunha somática. Parceiro de diálogo. Editor.
A DRAMATURGIA NO TEMPO DO "PÓS-DRAMÁTICO"
Authors: Danan Joseph , D. Massa Trad. de Clóvis
Published: June 2021

Algo está transformando profundamente o teatro. Hans-Thies Lehmann teve o mérito de nomear esse fenômeno, propondo a noção de "teatro pós-dramático" – mesmo que essa expressão seja discutível na medida em que essas novas formas não necessariamente anulam o drama. O teatro do século XX se baseou no paradigma de uma "arte em dois momentos" (Henri Gouhier). O autor escreve uma peça, depois o diretor a pega e a monta. Essa é a utopia de Artaud, a de um "criador único", que parece tomar forma nesse início do século XXI. A dramaturgia se encontra inevitavelmente afetada por essa evolução: obviamente, em seu primeiro sentido, a arte de escrever uma peça, quando a escrita e a encenação ocorrem no mesmo movimento; mas também em seu sentido moderno, quando o termo se aplica à passagem para a cena de uma sala pre-existente. Entre a transformação de uma obra dramática em um material para a cena, sem levar em conta sua estrutura dramática, e a imposição de uma rígida "grade de leitura", ainda deveria haver espaço para uma dramaturgia aberta e sensível, criando as condições de uma experiência para o público. Palavras-chaveDramaturgia. Dramaticidade. Escrita dramática. Teatro “Pós-dramático”. Performance. Experiência.
Peripartum cardiomyopathy and massive transfusion due to postpartum hemorrhage: was it associated with each other?
Authors: Rianda Raissa Virgy , Armadani Amelya , Rianda Rama Azalix , Mulia Eka Prasetya Budi , Sukmana M
Published: June 2021

Background: Peripartum cardiomyopathy (PPCM) is a potentially
life-threatening pregnancy-associated disease marked by left ventricular
dysfunction and heart failure (HF). Clinical findings of HF are often
masked by the normal physiological changes seen in pregnancy, making the
diagnosis challenging. Furthermore, postpartum hemorrhage followed by
massive blood transfusion may mask the diagnosis of PPCM or worsen the
decompensated HF.

Case Description: We report a 35-year-old postpartum gemelli
woman with a history of massive postpartum hemorrhage due to atonia
uteri and Disseminated Intravascular Coagulation, complain of shortness
of breath and fever. The patient received a massive blood transfusion
for her massive postpartum hemorrhage. Physical examination revealed
tachypnea and bilateral rales at lung bases. Chest radiographs showed
cardiomegaly, right pleural effusion, and early lung edema. The
echocardiography showed a decrease in left ventricular systolic function
with ejection fraction of 41%, diastolic dysfunction, and global
hypokinetic. She was diagnosed with PPCM, acute lung edema, pleural
effusion, and pneumonia. Patient was treated with Furosemide continuous
pump, Spironolactone, Bisoprolol, Valsartan. Her dyspnea greatly
decrased with diuresis and antibiotic. She was discharged with HF
medication continued.

Discussion: Women with PPCM typically present with symptoms of
HF and signs of congestion. History of massive blood transfusion at
first can mask the diagnosis of PPCM due to the possibility of
Transfusion Associated Circulatory Overload, which also has signs of
congestion. Massive blood transfusion can increase preload and may
worsen the decompensated HF.

Conclusion: The presence of massive transfusion in a patient
with PPCM can be challenging in diagnosing PPCM itself and the
unpredictable course of decompensated HF in peripartum mothers. Due to
its high mortality rate without proper treatment, prompt investigation
is essential in improving maternal survival.
Oblique coronary transfer technique in arterial switch operation for transposition of the great arteries
Authors: Yamamoto Yusuke , Nomura Koji , Murayama Fumiaki , Isobe Sho
Published: June 2021

Background: Mortality rates after the arterial switch operation (ASO)
for transposition of the great arteries (TGA) are still suboptimal
mainly due to postoperative myocardial ischemia. The present study aimed
to investigate the clinical impact of our modification of coronary
transplantation, wherein the coronary cuffs are transplanted oblique to
the pulmonary trunk to avoid torsion of the coronary arteries. Methods:
From September 2010 to August 2020, all 37 consecutive patients who
underwent ASO for TGA with our modification, i.e., the oblique coronary
transfer technique, were retrospectively reviewed. Cardiac dimensions
and patency of the coronary arteries were examined by cineangiography,
and hemodynamic parameters were measured by cardiac catheterization and
transthoracic echocardiography. Results: During a median 5.3 years of
postoperative follow-up, there were no deaths and no patient required
mechanical circulatory support. Median left ventricular ejection
fraction was 68.8% (interquartile range 66.8-71.0, minimum 54.6). All
patients maintained normal sinus rhythm without arrhythmia, except in
the early postoperative period. Five patients underwent unplanned
re-intervention for peripheral pulmonary stenosis, but none for coronary
insufficiency. The 8-year freedom from re-intervention rate was 85.6%.
Among a total of 110 transplanted coronary arteries, 108 (98.2%)
remained patent, and two circumflex arteries were occluded much later
after surgery, although with preserved ventricular function due to
compensatory growth of other coronary branches. Conclusion: The oblique
coronary transfer technique, which aims to avoid torsion of the coronary
arteries upon transplantation, provides good patency of the coronary
arteries and subsequent improvement of postoperative mortality rates
following ASO.
Factors associated with postoperative hypocalcemia following surgery for thyroid cancer in childhood
Authors: Spinelli Claudio , Ghionzoli Marco , Bertocchini Alessia , Sanna Beatrice , Plessi Carlotta , Napoli Luigi De , Frustaci Gianluca , Materazzi Gabriele , Antonelli Alessandro , Gennari Fabrizio , Inserra Alessandro , Bisogno Gianni , Gamba Piergiorgio , Ferrari Andrea , Massimino Maura
Published: June 2021

Background: Postoperative hypocalcemia is a frequent complication after
thyroid surgery. Hypoparathyroidism may develop as transient (TtHP),
with normalization within six months from surgery, or permanent (PtHP)
if the patient requires replacement therapy. The present study analyzes
rates and factors associated with the development of TtHP or PtHP
following thyroid surgery in a pediatric population. Procedure: A
retrospective multicenter study analyzing 363 patients was carried out.
We recorded gender, age, tumor size, type of surgery, lymph node
dissection, histology. Calcium levels were acquired daily for 72 hours
after discharge. Subsequent sample collection was customized on the
patient’s hypocalcemia severity. Results: We analyzed 363 patients aged
≤18 years (mean age 14.2 years) who underwent thyroid surgery clustered
into age groups (≤15 or >15). Patients mean follow-up was
5.8 years (1-11yrs). At histology 310 (85%) were papillary carcinoma,
32 (9%) were follicular carcinoma, 6 (2%) presented diffuse sclerosing
variant of papillary thyroid carcinoma whilst 15 (4%) had familial
medullary carcinoma. TtHP developed in 36 (9,9%), PtHP in 20 (5.5%)
cases. TtHP was more frequent in younger patients (p=0,009). Both PtHP
and TtHP were increased in case of larger tumors (≥2 cm) (p=0,001). All
TtHP and PtHP were in TT group. PtHP rate was increased if lymph node
dissection was carried out (p<0.001). Conclusions: The risk of
hypoparathyroidism is related to younger age, tumor size, TT and lymph
node dissection therefore surgeons should tailor surgery as much as
possible to avert such complication.
Multimodal Interactive Environments for Art Education of Children with Autism Spectrum Disorder
Authors:   Vilnius Engineering and Technology Lyceum, Zalyte-Linkuviene Simona , Zalys Vytautas ,   Vilnius Engineering and Technology Lyceum
Published: June 2021

The emerging of digital technology not only encourages the development of new tools but also changes traditional approaches to solving emerging problems. The sound, music, art and colour that prevailed in the 20th century forms of therapy are being replaced by integrated systems that overcome many of these forms thanks to digital technology. With the increasing number of people with autism spectrum disorder (ASD) in the world, such systems provide new opportunities for the educating of such persons. The article presents an interactive tool for the education of children with ASD using audio, video and computer technologies and assesses its potential impact. The aim of this study is to evaluate an interactive instrument developed for the education of children with ASD. The methodology of qualitative research was applied. Following the objectives of ensuring the interactivity of the process, provoking all perceptions of the subject and developing the subject's ability to respond to the environment a personalized audio-visual environment was created. The study was conducted on one subject and a case study method was used. The particularly rapid development of computer technology has transformed a computer from a device consisting of a keyboard and screen into a device that makes all our senses responsive ‒ sound, image, interactivity and real-life simulation. Interactive video projections further highlight the possibilities of combining these media. The opportunity to manage and to participate in such interactions becomes a great opportunity to learn about the world and make personal contact with it, especially for children with ASD.
Improving Students’ Conceptual Understanding Through Geogebra-Assisted “5E” Learning Cycle: Is It Effective?
Authors: Putri Ni Nyoman Wulan Darma , Astawa I Wayan Puja , Ardana I Made
Published: June 2021

This study aims to investigate the effectiveness of GeoGebra-assisted 5E Learning Cycle model toward student’s understanding of mathematical concept with control of student’s prior knowledge. This study was a quasi-experiment with post-test only control group design. The population of the study was 324 ninth grader students where 81 of them were selected as sample through cluster random sampling technique. The data collected in this study were student’s mathematical prior knowledge obtained by giving objective tests before starting the learning process and data of student’s mathematical conceptual understanding obtained by giving an essay test at the end of learning process. The hypotheses were tested using t-test and one-way analysis of covariance test. The results showed that: the usage of GeoGebra-assisted 5E Learning Cycle Model has a positive impact toward student’s understanding of mathematical concept, where t = 2,977 and p = 0,002; the usage of GeoGebra-assisted 5E Learning Cycle Model has a positive impact toward student’s understanding of mathematical concept after the prior knowledge variable was controlled, where F = 31,880 and p = 0,000. The findings of this research implied that GeoGebra-assisted 5E Learning Cycle Model can be used as an alternative learning model in an effort to improve students' understanding of mathematical concepts.
Empirical Effect: Flipped Classroom-Based E-Learning to Face Learning on Covid-19 Pandemic
Authors: Sakti Rizki Hardian , Sukardi Sukardi
Published: June 2021

At the COVID-19 pandemic era in 2019-2020, all schools in the world faced a chalenging education situation. Innovative solutions were needed to optimize education efforts thus flipped classroom-based e-learning was implemented to maintain social distancing. The purpose of this study was to see the effectiveness or the empirical impact of the application of flipped classroom-based e-learning during the COVID-19 period. This study used a deductive approach using a choice of quantitative methods. The sample in this study was 30 students of SMKN 5 Padang. The instrument used in cognitive assessment was a test, while the effective and psychomotor assessment used an assessment rubric. We found that flipped classroom-based e-learning was effectively used in the learning process during the COVID-19 pandemic. Therefore, the flipped classroom-based e-learning can be effectively used as a media for distance learning.
The Implementation of Inclusive Educational Policies in Elementary School
Authors: Zakiah Winda Greatta , Karsidi Ravik , Yusuf Munawir
Published: June 2021

The inclusive education policies were created for children with special needs based on the equality principle. The implementation of inclusive education policies in each region has a different level of success. This research aims to find out how the implementation of inclusive education policies in elementary schools of Surakarta was reviewed from Grindle’s policy implementation theory. The method used in this research is a mixed-methods, which is involving 102 respondents and 9 informants from 12 inclusive schools. The data analysis used in this research was a descriptive statistic and interactive modeling analysis of Miles and Huberman. The results showed that the implementation of inclusive education policy had a positive impact on the students and their environment, with the level of implementation of inclusive education is 76.8%, therefore the efforts are needed to optimize the implementation of inclusive education policies in the form of training for teachers and providing of supporting infrastructures.
Estrategias y retos para el seguimiento educativo en primarias ante la contingencia covid-19 en Sonora, México
Authors: Campa Álvarez Reyna de los Ángeles
Published: June 2021

La emergencia sanitaria actual y el confinamiento prolongado causados por la covid-19 han trastocado las diversas áreas de la vida, entre ellas, la educativa, lo que ha provocado un reajuste en las estrategias de enseñanza-aprendizaje para la continuidad del ciclo escolar. Por ello, el objetivo general de la presente investigación fue identificar las estrategias educativas empleadas por los docentes de nivel de primaria en el estado de Sonora (México) para el seguimiento escolar ante la pandemia covid-19, así como enunciar los principales retos experimentados en tal proceso. El enfoque de investigación fue cualitativo de tipo exploratorio; los participantes fueron 42 docentes de primarias públicas a quienes se les aplicó un cuestionario online en formato de entrevista con preguntas abiertas. Los principales resultados muestran que las plataformas digitales, las videoconferencias y las redes sociales son las más usadas como estrategias de la educación a distancia. En el caso de los estudiantes que no tienen acceso a internet o a equipo de cómputo, los docentes usan llamadas a los padres de familia, seguimiento del programa televiso Aprende en casa y entrega de material impreso. Asimismo, se emplean estrategias tradicionales como el portafolio de evidencias, ejercicios del libro de texto y exámenes. Los principales retos detectados fueron la búsqueda de vías de comunicación para aquellos estudiantes en situación vulnerable, así como las dificultades con los padres de familia para dar seguimiento a las tareas y ejercicios de sus hijos. Por tanto, se concluye que es necesario trabajar en la capacitación continua para el uso de las TIC, el involucramiento de los padres de familia en el proceso educativo, y por parte del Estado facilitar los recursos tecnológicos a estudiantes y docentes.
SOCIO-POLITICAL PRECONDITIONS FOR THE EMERGENCE OF PUBLIC ASSOCIATIONS IN WESTERN UKRAINE
Authors:   Lviv Polytechnic National University, Ivanytska Bozhena
Published: June 2021

In the second half of the XIX century Western Ukrainian lands suitable for agricultural development could not provide their inhabitants with adequate well-being. Moreover, famine often prevailed in the region, and poverty raged. Ukrainians, who made up the majority of the rural population of the region, were particularly affected: almost 80% [7, p. 4]. Government statistics at the time tried to prove that all conditions were created for Western Ukrainian peasants to ensure their well-being. At the same time, for example, the following figures were used: peasants owned 62.2% of the land area, while large landowners, mostly Austrians, Poles, Germans, Jews and other peoples, only 37.8% of agricultural land. It would seem that Ukrainian peasant farms, which had the majority of arable land in their use, could prosper. However, the other side of this statistic was not mentioned: first of all, it was hidden that the best lands belonged to the owners of large farms. In addition, there were 3,734 communities in the areas used by the majority of peasants. Therefore, if we compare the size of the area of a large landowner and the average peasant economy, the peasant economy was 320 times smaller than the agricultural land of a large landowner. At the end of the 40s of the XIX century in almost all European countries the economic crisis deepened, mass strikes began. Governments became increasingly helpless, unable to control the situation. Political demands began to be put forward more and more often to the economic demands of the workers and peasants. The spirit of revolution hovered in the air. And soon it began. The revolutionary events that swept Europe in the spring of 1948 brought the peoples of Europe hope for a better future. The consequence of this revolutionary upsurge was the abolition of serfdom in the Austrian Empire, which also ruled Western Ukraine. First of all, the Ukrainian intelligentsia, which was based on priests, teachers, and lawyers, began active social and political work. However, the majority of the population still stayed away from politics: neither its general education nor their financial situation contributed to participation in the national movement. That is, the «Spring of Nations» still did not contribute to the «mass, widespread awakening of the national consciousness of the Ukrainian people of Galicia, Bukovina, Transcarpathia» [17, p. 15]. This required a lot of effort, first of all to inform the nation competently and politically about what educated people had to do [22].
Increasing the safety and operational efficiency of container transportation
Authors:   Don State Technical University, Rostov-on-Don, Russian Federation, Korotkiy А. A. , Demyanov Al. An. ,   Don State Technical University, Rostov-on-Don, Russian Federation, Demyanov Al. Al. ,   Don State Technical University, Rostov-on-Don, Russian Federation
Published: June 2021

Introduction. Currently, there is a logistic problem in container transportation technology related to the transportation of empty freight containers, as returnable containers, since an empty container takes up as much space as a full one. A promising direction for solving this problem is the introduction of folding cargo containers. A disadvantage of this approach is the likelihood of injury to the maintenance personnel, which must be inside in the process of folding and unfolding. Problem Statement. The objective of this study is to study the conditions for increasing the safety of preparatory work due to the design of the container, the main feature of which is the ability to realize the effect of functional self-adaptation to working conditions. Theoretical Part. This approach allows us, when folding and unfolding, to balance the changing reactions from the own masses and the moments of its moving body parts by means of the corresponding lockable gas springs. Gas springs connect leading links and driven kinematic chains thereby ensuring that their movement in a given speed mode on the entire trajectory is independent of the speed of the driving link. For the practical implementation of the proposed design solution, the paper presents a general method for the synthesis of an adaptive controller of the container mechanisms in the process of folding and unfolding its moving parts. Conclusion. Testing of the container showed that the effect of functional self-adaptability is quite well implemented along the entire trajectory of the container elements without the use of external lifting mechanisms.
Use of containers-transformers and platooning in megacities — a way to environmental ecology improvement
Authors:   Don State Technical University, Rostov-on-Don, Russian Federation, Korotkiy A. A. , Nikolaev N. N. ,   Don State Technical University, Rostov-on-Don, Russian Federation, Galchenko G. A. ,   Don State Technical University, Rostov-on-Don, Russian Federation, Yurgin I. V. ,   Don State Technical University, Rostov-on-Don, Russian Federation
Published: June 2021

Introduction. Growth of cities and, accordingly, highways influences the quality of air, soil and water resources considerably. Dangerous emissions from cars in the form of sulfur compounds, nitrogen and carbon oxides, acid rain negatively affect people's health every day. In this regard, great importance is attracted to the transportation process optimization. One of the main problems of the transport and logistics services market is the transportation of empty cargo containers as returnable containers, which leads to unjustified fuel costs, labor resources, depreciation of vehicles, road congestion, and has a huge impact on the environment. Within the framework of the National Technology Initiative, approved by the Presidium of the Presidential Council for Economic Modernization and Innovative Development of Russia in 2018, in terms of the priority market direction — "Transport and logistics services" — a solution to the environmental problem is proposed through the use of smart automated containers-transformers equipped with an information system for remote administration, scenario management and mobile applications. Problem Statement. It is necessary to develop a project that will eliminate technological barriers and optimize transport and logistics services. The implementation of this project should reduce the time of cargo delivery: loading/unloading, empty runs, breaks in work, optimize the delivery path, using newly created mobile applications based on modern high-level programming languages. Theoretical Part. The SmartBoxCity container-transformer is a part of an information system that includes server and client software. Data exchange with the server is based on the information from the database on the states of the elements of the SmartBoxCity system. "Yandex. Routing" calculates routes and optimizes the operation of vehicles. The movement of motor vehicles is on "closed" optimal routes. Platooning in urban environments takes into account empty and loaded containers in real time, taking into account the dynamics of data. Conclusion. A practical solution to optimizing the activities of transport companies is proposed, which reduces the time for loading/unloading up to 30%, the share of empty runs up to 25%, and logistics costs for transporting empty containers up to 75 %. The organization of platooning creates conditions for optimizing urban mobility, saving fuel, and improving the environmental situation.
Analysis and assessment of the safety level of port facilities using the example of a sulfur storage warehouse
Authors:   Don State Technical University, Rostov-on-Don, Russian Federation, Pustovaya L. E. , Chebysheva V. A. ,   Don State Technical University, Rostov-on-Don, Russian Federation
Published: June 2021

Introduction. The article deals with the problems of analysis and assessment of the safety level of hazardous production facilities of port facilities that have a negative impact on both the environment and the personnel working at the facility. Objects of this kind are referred to the first class of hazard; therefore, they require a comprehensive assessment of their resistance to emergencies in terms of the likelihood of their occurrence in specific industrial conditions. Problem Statement. The objective of this study is a comprehensive analysis of the safety level of the most vulnerable areas of the technological process of port activities. Theoretical Part. The results of a scheduled inspection of the AO “Ust-Donetsk Port” conducted by the Federal Service for Supervision of Natural Resources were used as basic information. Conclusion. Based on the calculation results, it was found that the probability of an emergency for the most dangerous scenario is 2.4×10-8 and corresponds to the acceptable risk zone.
Music Performance Policy during Covid-19 Crisis: Expectations Versus Reality
Authors: Hidayatullah Riyan
Published: June 2021

This paper examines public discourse on web pages and social media as a form of digital ethnography during the COVID-19 crisis. During the "lockdown" in Indonesia, internet traffic increased, creating new habits for performance music. A total of 657 tweets, YouTube talk shows, and online news pages were analyzed using NVIVO12. The data was taken using 'Ncapture,' 'Word Frequency,' and 'Sociogram Analysis.' Each keyword was analyzed as a representation of a particular musical problem during the pandemic. The goal is to identify differences between government policies and their implementation. Online activities explore a variety of things about music during the pandemic. The conversation continued with the awareness that the musicians would be offering their peers. Collective sentiments were more stressed during the COVID-19 crisis, giving rise to social unity. The theory of cooperation between music workers is a solution that can be implemented.