bluuebunny/crossref_metadata_2025 huggingface dataset:
Experience with various occluder types for endovascular hemodynamic isolation of the left atrium appendage in patients with non-valvular atrial fibrillation
Authors: Pevzner D. V. , Merkulov E. V. , Arutyunyan G. K. , Komarov A. L. , Shakhmatova O. O. , Ushanova A. M. , Merkulova I. A. , Davtyan K. V. , Chazova I. E.
Published: October 2021

The aimof our study was to evaluate implantation efficacy and safety across various occluder types and to identify factors determining device selection.

Methods. This single-site prospective observational study included patients above the age of 40 years with non-valvular atrial fibrillation (AF) and high thromboembolic risk, undergoing endovascular isolation of the left atrium appendage (LAA) with Watchman or Amplatzer Cardiac Plug/Amulet devices. Occluders were implanted to patients without either had contraindications to anticoagulant therapy (ACT) or refused ACT. We evaluated technical aspects of device implantation, short- and long-term outcomes of the intervention over 3 years of follow-up.

Results. 90 patients were enrolled in the study (62 into the Watchman arm and 28 into the Amplatzer arm). Interventions were technically successful in 89 cases. In 1 patient (1/90, 1.1%) technical success was not achieved due to device migration (Amplatzer Amulet). The incidence of early (occurring within˂ 24 hours) implantation complications was 0% in the Watchman arm, and 3.6% in the Amplatzer arm (1/28) (р=0.135) (device migration). The cumulative incidence of all in-hospital complications was 11.3% and 14.3%, respectively (р=0.734). No significant differences between arms were found in the incidence of device thrombosis within 90 days post-implantation (3.3% in the Watchman’s arm and 8.3% in the Amplatzer arm, р=0.316). During the observation period, there were no significant differences in comparison groups in the incidence of net clinical efficacy endpoint events (р=0.58). The bleeding rate was 17.7% and 14.3%, respectively, р=0.769. No factors influencing the choice of the device could be identified reliably; however, there was a trend towards Watchman preference for appendage anatomic variants such as broccoli and cactus. Amplatzer was preferred in patients with contraindications to ACT.

Conclusion.Implantation of Watchman and Amplatzer Amulet occluders is equally effective and safe in preventing thromboembolism in patients with AF not receiving ACT for various reasons. The individual choice of a device may be influenced by appendage anatomy and indications to occluder implantation.
Clinical experience of new antiarrhythmic drug refralon for pharmacological cardioversion in patients with atrial fibrillation after pulmonary vein cryoablation
Authors: Zelberg M. A. , Mironov N. Yu. , Maykov E. B. , Novikov P. S. , Yurichev Yu. A. , Mironova N. A. , Sokolov S. F. , Golitsyn S. P.
Published: October 2021

We present two cases of successful pharmacological cardioversion using antiarrhythmic drug refralon in patients with persistent atrial fibrillation after pulmonary vein cryoablation and ineffective electrical cardioversion. These clinical cases represent the first experience of successful use of refralon in patients who underwent cryoablation.
Results of radiofrequency ablation of ectopic atrial tachycardia originating from the left superior vena cava in a patient with congenital heart disease
Authors: Lubkina E. V. , Serguladze S. Yu. , Tembotova Zh. Kh. , Maslova I. I. , Suladze V. G. , Biganov R. M. , Kulumbegov G. R.
Published: October 2021

Persistent left superior vena cava (PLSVC) is the most common anomaly of the thoracic veins (occurs in 0.2-0.6% of cases in the general population), in the vast majority of cases, PLSVC drains into the right atrium through the dilated coronary sinus and usually does not lead to significant hemodynamic disorders. The presence of PLSVC is often associated with cardiac arrhythmias; in this clinical case, we present the results of catheter ablation of arrhythmogenic foci in a 72-year-old patient with continuous-recurring ectopic tachycardia originating from the PLSVC.
Atrial fibrillation treatment in Russia: work on bugs
Authors: Kanorskii S. G.
Published: October 2021

The article discusses the results of a survey of doctors in the Russian Federation with the aim of studying approaches to the treatment of atrial fibrillation in real clinical practice and comparing the results obtained with the current clinical guidelines. Some new data are presented that could change the recommendations in the future; possible causes of medical errors and ways to correct them are discussed.
Ayahuasca: Ruhların Sarmaşığı
Authors: ŞAHİN Nadide
Published: October 2021

Algı ve durum değişikliğine neden olan halüsinojenik bileşikler içeren psikoaktif bitkilerin binlerce yıldır yerli halklar tarafından ritüellerde kullanıldığı bilinmektedir. Bu bağlamda psikoaktif bir içecek olan ayahuasca eski zamanlardan beri Amazon ormanlarında yaşayan çok sayıda yerli kabilenin dinî, tıbbî, sosyal ve sanatsal yaşamlarında önemli bir yere sahiptir. Ayahuascayı insanın ruhsal dünyaya ilişkin algısını açmanın bir aracı olarak gören şamanlar onu büyü, kehanet, hastalıkların teşhisi ve tedavisi, avcılık vs. gibi çok çeşitli amaçlar için kullanmışlardır. Ayahuasca Amazon Ormanı’na özgü Banisteriopsis caapi ve Psychotria viridis isimli iki bitkinin karıştırılıp kaynatılmasıyla elde edilen bir özdür. Bu iki bitkinin aktif kimyasal bileşenleri arasında harmin, harmalin, tetrahidroharmin ve dimetiltriptamin (DMT) bulunur. Her iki bitki de tek başına alındığında gözle görülür bir etki oluşturmamaktadır. Bununla birlikte iki bitki saatlerce birlikte demlendiğinde bahsi geçen bileşiklerin etkileşimi sayesinde olağanüstü bir vizyoner duruma neden olmaktadır. Ayahuascanın başlıca işlevi oluşturduğu bu vizyonlar aracılığıyla diğer âlemlerle teması sağlamaktır. İçecek bu teması mümkün kılan halüsinojenik vizyonları nedeniyle Amazon grupları arasında toplu törenlerde manevî rehberlik, ruhlardan korunma, bilgi edinme ve ayrıca hastalıkları tedavi etme aracı olarak kullanılmaktadır. Yerliler bu bitkinin tesiri altında oluşan vizyonlar yoluyla önemli bilgilere erişerek kendilerine ve evrene dair hakikatleri idrak ettiklerini belirtmektedir. Bunun yanı sıra ayahuasca ritüelinin kabilenin manevî ve kültürel birikimini nesilden nesile aktaran sosyal bir ağ vazifesi de yürüttüğü görülmektedir. Bütün bu unsurları ile ayahuasca törenleri yüzyıllardır bu bölgedeki en önemli manevî ritüeli oluşturmaktadır. Ancak yerliler için ayahuasca saygıyla ve doğru koşullar altında alınması gereken çok güçlü bir içecektir, aksi takdirde gelişigüzel kullanımı aydınlatıcı olmaktan çok tehlikeli ve çoğu zaman kafa karıştırıcı bir deneyime dönüşebilir. Kullanımı muhtemelen yağmur ormanlarının sakinleri arasında ortaya çıkmasına rağmen, ayahuascanın bugün Brezilya başta olmak üzere Güney Amerika’daki büyük şehir merkezlerinin çoğunda ve ayrıca Amerika Birleşik Devletleri, Hollanda, İspanya, İtalya ve hatta Japonya’da kullanıldığı kaydedilmektedir. Günümüzde coğrafi ve kültürel sınırlarının çok ötesine taşınmış olan ayahuasca hakkında Batı’da pek çok eser kaleme alınmıştır ve konu çeşitli yönleriyle araştırılmaya devam etmektedir. Ülkemizde ise Dinler Tarihi alanında Amazon yerlilerinin kutsal kabul ettiği ayahuasca ile ilgili müstakil bir araştırma bulunmamaktadır. Bu çalışma ile ayahuascanın özellikleri, ayahuasca ritüelinin nasıl icra edildiği, ritüel sırasında meydana gelen vizyonlar, ritüelin Amazon havzasındaki yerliler için anlam ve önemi gibi hususları ele alarak alanımızda konu ile ilgili yapılacak olan araştırmalara katkı sağlamayı amaçlamaktayız.
guerra em surdina de Boris Schnaiderman
Authors: Rocha Katryn
Published: October 2021

Em Guerra em surdina: histórias do Brasil na Segunda Guerra Mundial, publicado em 1964, Boris Schnaiderman é o que poderíamos chamar de um intérprete de si e de mais de 20 mil homens da Força Expedicionária Brasileira (FEB) que, assim como ele, foram convocados em 1944 para lutar, no conflito, ao lado dos aliados. A partir do que vivenciou como pracinha numa Itália destruída, o escritor constrói uma narrativa entre o relato factual e a ficção.
Pequena história do brinquedo em tempos sombrios
Authors: Orlando José Antônio
Published: October 2021

Jogos, brinquedos e brincadeiras formam uma parte importante de nossas identidades individuais e coletivas, assim como sempre fizeram parte de todas as culturas em todas as épocas. Mas o que as maneiras de brincar dizem sobre uma sociedade? No último século, Walter Benjamin, vivendo na Alemanha em tempos sombrios que testemunhavam o avanço rumo à tomada do poder e à destruição pelo nazismo, foi um dos pensadores que deixaram escritos reveladores sobre a prática de jogos e sobre as formas alegóricas de brincar. As reflexões de Benjamin e de outros pensadores, entre eles Hannah Arendt, fornecem o pano de fundo para estudos contemporâneos sobre a historiografia e a ideologia das formas de brincar, com destaque para o acervo reunido por André Postert em “Kinderspiel, Glücksspiel, Kriegsspiel: Große Geschichte in kleinen Dingen 1900-1945” (Jogo infantil, jogo de sorte, jogo de guerra: Grande História em pequenas coisas 1900-1945).
padeiro polonês
Authors: Grynberg Halina
Published: October 2021

Trecho do romance O padeiro polonês de Halina Grynberg.
Há lugar para a teoria de Paulo Freire na pedagogia universitária contemporânea?
Authors: Nogaro Arnaldo , Jung Hildegard Susana
Published: October 2021

Este artigo resulta de pesquisa teórica, de natureza qualitativa, com o objetivo de responder ao questionamento: há lugar para a teoria de Freire na pedagogia universitária contemporânea? No ano de 2021 comemora-se o centenário de nascimento do patrono da educação brasileira. Com base nas suas obras e em outras que tratam da pedagogia universitária, argumenta-se na direção de construir pontes entre elas. Traz-se à discussão alguns conceitos que se encontram diluídos na teoria de Freire, além de construir argumentos para demonstrar que ainda há muito por aprender e por compreender a seu respeito. A opção pelos conceitos apresentados não foi aleatória: fez-se com base na experiência acadêmica dos autores e no conhecimento que possuem da obra do pensador, acreditando que eles representam aspectos importantes de um perfil docente esperado para atuar na docência universitária.
Peragaan Penggunaan Meja Instrumen Multifungsi Pemantau Kesehatan Balita di Posyandu
Authors: Purwanti Bernadeta S. Rahayu , Nuralam Nuralam , Mawardi Latif
Published: October 2021

Covid-19 memberlakukan 5M, yaitu Memakai masker, Mencuci tangan pakai sabun dan air mengalir, Menjaga jarak, Menjauhi kerumunan, serta Membatasi mobilisasi dan interaksi. Dua dari 5M, yaitu menjaga jarak dan menjauhi kerumunan sangat ketat diterapkan sampai sekarang, walaupun hampir seluruh masyarakat sudah divaksinasi. Demikian juga para kader Posyandu Rambutan di Blok Tempe, RT6 RW II, Desa Citeureup yang secara rutin memantau kesehatan balita. Pemantauan dilakukan lebih cepat dengan pengukuran berat badan, pengukuran tinggi badan, dan suhu menggunakan tiga alat ukur yang berbeda. Ketiga layanan pengukuran tersebut dapat menimbulkan antrian, akibat alat-alat ukur masih konvensional. Oleh karena itu muncul ide, membuat meja multifungsi dengan tiga macam pengukuran secara otomatis. Selain sebagai alat pengukur suhu, secara bersamaan juga untuk menimbang badan dan mengukur tinggi balita. Selanjutnya, secara spesifik hanya membahas uji alat ukur yaitu memastikan fungsi dari sensor loadcell, LiDAR, dan infrared pada meja instrument. Cara kerja meja instrumen; balita ditidurkan di atas kasur busa. Kaki balita harus menyentuh kayu pembatas di ujung laci meja agar tinggi badan balita dapat terukur. Kasur busa berada di dalam laci meja yang didesain sedemikian rupa sehingga balita aman. Salah satu sisi meja terdapat dinding yang telah dipasang sensor ultrasonik sebagai pengukur tinggi, dan berat badan balita juga dapat diukur pada saat bersamaan. Hal tersebut dikarenakan, bagian bawah penyangga laci dipasang sensor loadcell sebagai penimbang. Laci bagian bawah untuk layanan balita ≤ 12 bulan atau belum bisa berdiri di atasnya. Sedangkan balita yang usia 12-59 bulan, pemeriksaannya dilakukan di bagian sisi dinding kompartemen. Hasil pengukuran pada alat dapat ditampilkan di Liquid Crystal Display (LCD) data hasil deteksi tiga sensor. Kader dapat melakukan pengukuran suhu tubuh balita (oC), berat badan (kg), dan tinggi badan (cm) menggunakan meja instrument dengan mengikuti petunjuk pengunaannya. Booklet yang memuat petunjuk penggunaan sesuai tahap pengukuran, dipasang di sisi depan dinding meja instrument. Kata Kunci: Balita, Berat, Pengukur, Sensor, Tinggi.
Cold sintering for Li1.5Al0.5Ge1.5(PO4)3 using LiNO3-LiOH as a transient solvent
Authors: Takashima Kenji , Iwazaki Yoshiki , Randall Clive A.
Published: October 2021

The cold sintering process (CSP) is an innovative technique to densify ceramic powders at ultralow temperatures by applying uniaxial pressure and using a transient solvent. However, obtaining dense Li1.5Al0.5Ge1.5(PO4)3 (LAGP) ceramics, which have high ionic conductivity, by CSP has been a challenging subject, because incongruent dissolution from the powder to a solvent can happen during CSP, and that deteriorates the grain boundary. In this study, LiNO3-LiOH salt is used as the transient solvent to suppress the incongruent dissolution. LAGP ceramics densified by the CSP at 220 °C and 400 MPa for 5 h have no damage at the grain boundary. As the result, the total ionic conductivity reaches 1.9 × 10−5 S cm−1, which is the highest value ever reported among LAGP ceramics prepared by CSP only using inorganic materials.
Multi-level 2-bit/cell operation utilizing Hf-based metal/oxide/nitride/oxide/silicon nonvolatile memory with HfO2 and HfON tunneling layer
Authors: Pyo Jooyoung , Ihara Akio , Zhang Wendi , Nishino Shuma , Ohmi Shun-ichiro
Published: October 2021

This paper investigated the multi-level 2-bit/cell operation utilizing a Hf-based metal/oxide/nitride/oxide/silicon (MONOS) nonvolatile memory (NVM) device with a HfO2 and HfON tunneling layer (TL). The 2-bit/cell operation is realized by utilizing the localized charge injection method. It was found that drain-current–gate-voltage (I
D–V
G) characteristics of the programmed states were affected by asymmetry localized in a trapped location along the channel direction. Moreover, the amount of localized trapped charge is strongly affected by drain-source voltage (V
DS) in the case of HfON TL. HfON TL shows distinguishable separated all programmed states compared to HfO2 TL. Finally, it was found that all programmed states of HfO2 and HfON TL show similar characteristics according to the channel length and width (L/W) of 2–10/15–90 μm.
Effect of dehydration time and air tightness on pore distribution of potassium and metakaolin-based geopolymer
Authors: Yang Yaru , Le Thi-Chau-Duyen , Kudo Isamu , Do Thi-Mai-Dung , Niihara Koichi , Suematsu Hisayuki
Published: October 2021

As a catalyst support in the nuclear waste containers in the Fukushima Daiichi Nuclear Power Station, geopolymer is required to show high strength, high porosity and durability. The aim of this study is to evaluate the mechanical properties and pore size distribution of hardened samples based on two test variables, which include early-age dehydration time and air tightness. The early-age dehydration time ranges from 1–4 d, and air tightness is implemented using the two methods of total sealing and air contact. However, the average pore size was around 2.0 × 102
μm, the Vickers hardness was around 90 MPa, and the relative weight change on the 14th day was within 10% for all the samples that were not affected by the curing time and air tightness. It can be inferred that the pores of the sample may have been formed within a day and may not be affected by the curing time.
Students’ Perception toward the Use of Google Classroom as Teaching and Learning English Media for EFL Students
Authors: Rukmana Gede Weda
Published: October 2021

This study aimed to investigate students’ perception toward the use of google classroom as a media for teaching language. This study is a library study. This study was focused on collecting information about the definition of Google Classroom, students’ perception toward the use of google classroom, and the performance of google classroom in language learning. Google classroom is one of the platforms that used to provide the material, task, information about the course to the students that given by the teacher by online. Google classroom help the students and also the teacher to make the learning process easier during the Covid-19 pandemic. Google Classroom gave students and teacher chance to keep doing the course during the Covid-19 pandemic. Therefore, this platform gets positive responses from many students. Most students were agreed that google classroom easy to be used and have good performance since it helps the students to save the file or the material that given by the teacher through google classroom easily, and also students can easily submit their work in this platform. By using Google Classroom, the teacher could do many things, such as assigned quiz to the students, gave the students video for additional source of the study, the teacher also could link many applications such as Quizizz, Google Form, Google Drive, and many more.
Ajuste escolar percibido por el profesor (PROF-A) en estudiantes mexicanos: análisis psicométrico
Authors: Valenzuela-Santoyo María Esthela , Portillo Peñuelas Samuel Alejandro , Fuentes-Balderrama Jaime , Reynoso González Oscar Ulises , Valenzuela-Santoyo Alba del Carmen
Published: October 2021

El presente trabajo de investigación tuvo como objetivo validar la escala de ajuste escolar percibido por el profesor (PROF-A) de Cava et al. (2015) en estudiantes mexicanos de educación primaria. El diseño fue de tipo instrumental y el estudio se desarrolló con una muestra no probabilística de bola de nieve conformada por 37 profesores pertenecientes a ocho escuelas de una zona escolar de educación primaria en un municipio del sur del estado de Sonora, México; quienes evaluaron el ajuste escolar de los estudiantes adscritos a su grupo, obteniendo un total de 628 registros. Los análisis se llevaron a cabo en SPSS v.25 y R 4.0.1 utilizando los paquetes MVR, Lavaan, Psych y semPlot. Se realizó un análisis factorial confirmatorio y un análisis de consistencia interna para comprobar la validez y confiabilidad de la escala, obteniendo un modelo de cuatro factores (integración social, competencia académica, implicación familiar y relación profesor-alumno) al igual que en la escala original. Los resultados demuestran que la PROF-A puede ser utilizada en estudios posteriores con muestras mexicanas en el nivel de educación primaria, ya que muestra propiedades psicométricas satisfactorias; se recomienda su uso en el contexto mexicano.
Female characters in Kenyan women’s short story: From submission to self-reliance
Authors: Rinkanya Alina
Published: October 2021

The article analyses the depiction of new types of female characters in the stories by Kenyan female writers published from 2003 to 2012 in literary almanacs Kwani? and Storymoja. The author traces the evolution of female characters from the “victim” type, which appeared in Kenyan women’s literature already in the 1960s, to its modern alternatives – women advocating their rights in all spheres of private and public life.
Cuestionario de evaluación de la salud bucal de la OMS. Una herramienta útil en grupos de población
Authors: Lévano Loayza Sandro Alexander
Published: October 2021

La aplicación de encuestas epidemiológicas posee una vital importancia en la supervisión del estado de salud bucal de las comunidades frente a la alta prevalencia de enfermedades bucodentales, como la caries dental y la enfermedad periodontal que sumado a factores de riesgo de origen hereditario, sistémico, adicción a drogas, mala higiene bucal y estrés psicosocial deterioran y ponen en riesgo la calidad de vida del individuo. El uso de cuestionarios a diferencia del examen clínico estándar, presenta diversas ventajas que permiten obtener información epidemiológica básica pero relevante con un costo menor, recolectando información demográfica, factores de riesgo, frecuencia de la higiene bucal personal, utilización de servicios de salud bucal, nivel socioeconómico, lugar de residencia y frecuencia de ingesta de azúcar, ayudando así en la prevención de enfermedades bucodentales y la promoción en salud bucal.
KLIMATO KAITOS ĮTAKA KAUNO RAJONO PAVIRŠINIO VANDENS BŪKLEI
Authors: Ališauskienė Žaneta , Česonienė Laima , Šileikienė Daiva
Published: October 2021

Darbe nagrinėjama klimato kaitos įtakos paviršinio vandens būklei problema. Darbo tikslas – įvertinti klimato kaitos poveikį Kauno rajono paviršinio vandens būklei. Atliekant tyrimą buvo vertintos vidutinės metinės temperatūros ir kritulių kiekio dina-mika 1949–2020 m. Kauno rajone (Kauno meteorologijos stoties duomenimis). Įvertinus vidutinės metinės temperatūros dina-miką, nustatyta vidutinės metinės temperatūros didėjimo tendencija (R2 = 0,30). Labiausiai temperatūra didėjo kovo (R2 = 0,20), liepos (R2 = 0,11) ir rugpjūčio (R2 = 0,16) mėnesiais. Vidutinio metinio kritulių kiekio tiesinės didėjimo tendencijos nenustatyta (R2 = 0,01). Labiausiai kritulių kiekis didėjo sausio (R2 = 0,20) ir spalio (R2 = 0,20) mėnesiais, mažėjo balandį (R2 = 0,12) ir rugpjūtį (R2 = 0,11). Paviršinių vandens telkinių būklės tyrimai Kauno r. savivaldybės teritorijoje atlikti 30-yje vandens telkinių 2008–2020 m. Pagal BDS7, bendrojo fosforo ir bendrojo azoto vertes vandens telkiniai Kauno rajone dažniausiai atitinka viduti-nes ekologinės būklės klasės vertes. Norint įvertinti klimato sąlygų ir vandens kokybės rodiklių ryšį, apskaičiuoti koreliacijos koeficientai. Rezultatai rodo, kad kuo didesnė vidutinė metinė temperatūra, tuo mažesnės pH vertės (vanduo rūgštesnis), dides-nės NH4, N ir suspenduotų medžiagų vertės vandenyje. Kuo didesnis iškritusių kritulių kiekis, tuo didesnės NH4 vertės vande-nyje, mažesnis ištirpusio deguonies kiekis. Rezultatai rodo, kad klimato kaita daro neigiamą poveikį paviršinio vandens būklei.
Genetically modified animals for use in biopharmacology: from research to production
Authors: Deykin Alexey V. , Shcheblykina Olesya V. , Povetka Elena E. , Golubinskaya Polina A. , Pokrovskiy Vladimir M. , Korokina Liliya V. , Vanchenko Olesya A. , Kuzubova Elena V. , Trunov Konstantin S. , Vasyutkin Viktor V. , Radchenko Alexandra I. , Danilenko Anton P. , Stepenko Julia V. , Kochkarova Indira S. , Belyaeva Veronika S. , Yakushev Vladimir I.
Published: October 2021

Introduction: In this review, the analysis of technologies for obtaining biologically active proteins from various sources is carried out, and the comparative analysis of technologies for creating producers of biologically active proteins is presented. Special attention is paid to genetically modified animals as bioreactors for the pharmaceutical industry of a new type. The necessity of improving the technology of development transgenic rabbit producers and creating a platform solution for the production of biological products is substantiated.

The advantages of using TrB for the production of recombinant proteins: The main advantages of using TrB are the low cost of obtaining valuable complex therapeutic human proteins in readily accessible fluids, their greater safety relative to proteins isolated directly from human blood, and the greater safety of the activity of the native protein.

The advantages of the mammary gland as a system for the expression of recombinant proteins: The mammary gland is the organ of choice for the expression of valuable recombinant proteins because milk is easy to collect in large volumes.

Methods for obtaining transgenic animals: The modern understanding of the regulation of gene expression and the discovery of new tools for gene editing can increase the efficiency of creating bioreactors for animals and help to obtain high concentrations of the target protein.

The advantages of using rabbits as bioreactors producing recombinant proteins in milk: The rabbit is a relatively small animal with a short duration of gestation, puberty and optimal size, capable of producing up to 5 liters of milk per year per female, receiving up to 300 grams of the target protein.
Pilot Study of a Digital Screen–Based Calming Device for Managing Resistance During Morning and Evening Care of Persons With Dementia
Authors: Gutman Gloria , Vashisht; Avantika , Kaur Taranjot , Churchill Ryan , Moztarzadeh Amir , Karbakhsh Mojgan
Published: October 2021

Resistance to care is among the most common behaviors exhibited by persons with dementia (PwD). Resistance to care is a barrier to safety and comfort of PwD and caregivers. Nonpharmacological interventions are recommended as first-line management. In the current study, 13 long-term care (LTC) residents aged 74 to 100 years with a history of behavioral and psychological symptoms of dementia (BPSD) were randomized to intervention (
n
= 7) and control (
n
= 6) groups. On Days 1 to 3, the intervention group received usual care plus exposure to MindfulGarden (MG), a novel digital calming device during morning and evening care, activities widely recognized as problematic for PwD and staff; the control group received usual care only. On Day 4, both groups were exposed to MG with verbal prompting. Trends in the data suggest that MG reduced BPSD and duration of care in the morning and may be a useful tool in management of resistance to routine care in PwD in LTC settings. [
Journal of Gerontological Nursing, 47
(11), 15–21.]
Características, Avaliações e Resultados de Programa de Fidelidade nos Clientes Recompensados e Não Recompensados
Authors: Moreno Diego Domingues , Lopes Evandro Luiz , Carvalho Marcelo , Urdan André Torres
Published: October 2021

Empresas ao redor do mundo utilizam programas de fidelidade (PFs) e sempre há aqueles que apresentam mau desempenho. O foco desta pesquisa são as razões dessa deficiência, as quais ainda intrigam gestores e pesquisadores. Assim, utilizou-se um modelo que relaciona, sob a ótica dos clientes recompensados e não recompensados, a posição destes clientes, as características da oferta, com acréscimo da falha de serviço, avaliações comparativas (gratidão, status e injustiça percebida) e os resultados percebidos pelo cliente em relação a um PF. O modelo utilizado foi concebido e testado nos Estados Unidos, de maneira que realizamos três levantamentos sucessivos para testar esse modelo modificado no Brasil. Quanto aos resultados, destacam-se a relação direta entre recompensas do PF e a gratidão do recompensado. Encontrou-se fraco efeito negativo do PF nos clientes não-recompensados, sendo que brasileiros parecem mais tolerantes à desigualdade de tratamento do que estadunidenses. A lealdade atitudinal do cliente ao PF foi positiva e significante, entretanto, aponta-se a necessidade de melhoria dessa lealdade quanto às compras incrementais. A exclusividade da recompensa exerceu moderação, assim como a falha de serviço. Com este estudo, contribui-se, para a teoria sobre o tema, com a extensão e o suporte empírico do modelo em um país emergente e, gerencialmente, com indicações para a gestão de PFs.
Vacinas contra a COVID-19 e o combate à desinformação na cobertura da Folha de S. Paulo
Authors: Massarani Luisa , Brotas Antonio , Costa Márcia Cristina Rocha , Neves Luiz Felipe Fernandes
Published: October 2021

Desde que a COVID-19 foi confirmada como uma pandemia de proporções globais, em março de 2020, o mundo passou a acompanhar com grande expectativa o desenvolvimento de uma vacina que colocasse fim a uma crise sanitária que alterou drasticamente o cotidiano das pessoas. Na esteira dos resultados dos testes com imunizantes fabricados por empresas farmacêuticas de diversos países, começaram a circular com mais intensidade as notícias falsas e enganosas sobre a vacina, exigindo da imprensa um trabalho de checagem e refutação desse conteúdo. Neste artigo, analisamos 41 textos publicados pelo jornal Folha de S. Paulo em 2020 que tiveram como foco o enfrentamento à desinformação sobre a vacina contra a COVID-19, a partir dos enquadramentos, das características dos textos jornalísticos, da presença das agências de fact-checking e classificações utilizadas, das principais fontes acionadas e das mídias sociais mencionadas. O frame Bioético e Jurídico foi predominante, destacando a dicotomia entre verdadeiro e falso, certo e errado, científico e não científico. O outro frame identificado foi Política Pública e Estratégia Política, evidenciando as disputas de poder de atores políticos e os embates ideológicos em torno da vacina. A análise revela a importância da interlocução entre jornalismo e ciência em uma emergência de saúde pública e de uma prática profissional que tenha como base a evidência científica, a pluralidade de fontes e a importância da vacinação para a saúde coletiva.
Palavras-chave: fact-checking; fake news; COVID-19; vacina; jornalismo.
Violência contra as mulheres nos games:
Authors: Galdino Renata Jéssica , Silva Tarcisio Torres
Published: October 2021

Este trabalho discute a violência contra as mulheres nos games. Evidencia ser este um campo de tensão, pois ao mesmo tempo em que cresce a participação feminina em competições e em iniciativas do setor, crescem também as manifestações contrárias à maior presença feminina num ambiente até pouco tempo atrás predominantemente masculino. Através do levantamento de dados quantitativos, análise de conteúdo e discussão de casos como o da ativista Anita Sarkeesian e da hashtag gamergate, observamos que a violência que se manifesta nos games é reflexo de uma cultura machista presente na indústria e em parte da comunidade gamer. Por outro lado, a antipatia de uma parcela do público masculino tem contribuído para a melhor organização das mulheres de iniciativas para buscar espaço no setor e fortalecer sua presença.    
Palavras-chave: mulher, games, misoginia.
Network Anomalies Detection Approach Based on Weighted Voting
Authors: Sakulin Sergey , Alfimtsev Alexander , Kvitchenko Konstantin , Dobkacz Leonid , Kalgin Yuri , Lychkov Igor
Published: October 2021

To avoid information systems malfunction, their integrity disruption, availability violation as well as data confidentiality, it is necessary to detect anomalies in information system operation as quickly as possible. The anomalies are usually caused by malicious activity – information systems attacks. However, the current approaches to detect anomalies in information systems functioning have never been perfect. In particular, statistical and signature-based techniques do not allow detection of anomalies based on modifications of well-known attacks, dynamic approaches based on machine learning techniques result in false responses and frequent anomaly miss-outs. Therefore, various hybrid solutions are being frequently offered on the basis of those two approaches. The paper suggests a hybrid approach to detect anomalies by combining computationally efficient classifiers of machine learning with accuracy increase due to weighted voting. Pilot evaluation of the developed approach proved its feasibility for anomaly detection systems.
E-Government and Digital Inequality
Authors: De Marco Stefano
Published: October 2021

The second level digital divide is generated by a combination of two factors. Firstly, the adoption of advantageous internet uses is strongly related to internet users’ material and educational resources. The higher the level of these resources, the higher the probability that advantageous internet uses will be adopted. Secondly, internet users’ offline resources have an influence on their digital skills. On the other hand, and according to the third level digital divide, advantageous internet use in not beneficial per se. In order to obtain tangible benefits from it, an adequate level of digital skills is required. In this paper, the Spanish case is used to study second and third level digital divides in relation to e-government. Results show the importance of educational and online resources, as well as higher levels of digital skills, in enhancing the probability of being able to use the internet to interact with the public administration and with government agencies. These results raise important questions in terms of digital citizenship and the democratic divide
Musclere – education: Some new approaches and facts
Authors: Petrick A. C.
Published: October 2021

No abstract available
Book review
Authors: Office Editorlal
Published: October 2021

No abstract available.
The management of the bladder in spinal paraplegia
Authors: Coetzee T.
Published: October 2021

No abstract available
Mucormycosis in COVID-19
Authors: Kamath Vasantha , Mathivanan Manimegalai , Vinay R. B. , Nivea B.
Published: October 2021

Mucormycosis has emerged as a disease of immense importance, especially owing to the surge of cases during the second wave of COVID pandemic. Various factors are being attributed to the sudden burst of cases in our country, such as higher fungal spore counts in tropical climate, uncontrolled diabetes mellitus, prolonged steroid therapy, contamination of oxygen facilities, respiratory equipment, reused face mask, and zinc supplements. The need of the hour is to emphasize on awareness of early warning signs, as the benefits appear to be time sensitive.
Cognitive Impairment in Patients with Atrial Fibrillation without Stroke
Authors: Jaison Vineeth , Sharma Sarah , Khatter Himani , Calton Rajneesh , Pandian Jeyaraj Durai , Kate Mahesh Pundlik
Published: October 2021

Background:

Vascular dementia is the second leading cause of dementia worldwide; however, the causation is multifactorial and may be preventable. There is increasing evidence that atrial fibrillation (AF) is independently correlated with cognitive decline. Assessing cognition in an outpatient setting is challenging. Gait speed may be able to transcend language in assessing cognition. We aim to assess cognitive impairment in patients with AF without known history of stroke with gait speed.

Methods:

This was a prospective, observational study of patients attending cardiology outpatient department. Patients were screened for a history of valvular or nonvalvular AF. Controls were patients without AF. Patients underwent structured interview, Montreal cognitive assessment (MoCA), and gait velocity assessment. Gait velocity and MoCA scores were compared in control and cases using Student's t-test.

Results:

A total of 189 patients were consented; 88 cases with AF and 101 controls. Mean ± standard deviation age was 60 ± 12 years. The median (interquartile range) gait velocity in patients with AF and nonAF was similar (0.80 [0.65–0.93] m/s vs. 0.80 [0.65–0.93] m/s, P = 0.708). The mean MoCA scores in patients with AF and without AF were also similar (17.38 ± 5.66 vs. 18.36 ± 5.30, P = 0.229). A cutoff value of <0.80 m/s had sensitivity of 66% and specificity of 61.4% to diagnose dementia.

Conclusion:

There is a high occurrence of cognitive deficits in patients with and without AF visiting a cardiology outpatient clinic. Future studies are needed to target this group of the patient to reduce the burden of vascular dementia.
Comparison of various synthesis methods and synthesis parameters of pyrazoline derivates
Authors: Praceka Meilinda Setya , Megantara Sandra , Maharani Rani , Muchtaridi Muchtaridi
Published: October 2021

Pyrazoline plays an important role in the development of heterocyclic chemistry theory and is widely used as a synthesis useful in organic synthesis. The structure of the pyrazoline derivative compound contains a 5-membered heterocyclic framework with two nitrogen atoms and one endocyclic double bond. The function of pyrazoline as a fragment was stable enough in the bioactive group to synthesize new compounds with various biological activities. Various methods that could be used for the synthesis of pyrazole derivatives were ultrasonic irradiation, microwave assistance, ionic liquids, grinding techniques, and conventional methods. However, the synthesis of pyrazoline derivatives using conventional methods had many problems, one of which is the product yield, which was <70%. Therefore, this article will discuss the importance of optimizing the synthesis reaction conditions by taking into account several synthesis parameters to get the best organic product results based on conventional methods. A literature search was conducted by employing PubChem, Chemspider Google Scholar, Research Gate, Science Direct, and Elsevier by selecting pyrazoline synthesis based on physicochemical profile, reaction mechanism, and synthesis method.
La plataformización de la comunicación política institucional. El uso de WhatsApp por parte de las administraciones locales
Authors: Marcos-García Silvia , Doménech-Fabregat Hugo , Casero-Ripolles Andreu
Published: October 2021

Introducción: En los últimos años, las plataformas digitales, especialmente los servicios móviles de mensajería instantánea como WhatsApp, se han convertido en instrumentos esenciales para las administraciones locales. Los cambios de hábitos de la población, más propensos a realizar sus gestiones a través de los dispositivos móviles, pero también la posibilidad que estas plataformas ofrecen para promover una comunicación directa e inmediata han hecho que los ayuntamientos vean en ellas una vía para mejorar las relaciones con la ciudadanía. Nuestro objetivo es analizar las características, usos y funciones que las instituciones locales confieren a sus servicios móviles de mensajería instantánea para comunicarse con la ciudadanía. Metodología: Se ha realizado un análisis cualitativo mediante entrevistas en profundidad a dieciocho ayuntamientos, seleccionados en base a su número de habitantes. Resultados: Los resultados muestran una panorámica de los usos de WhatsApp por parte de las administraciones locales. Esto permite identificar las motivaciones y objetivos en su implantación, sus características en relación a sus contenidos y planificación y sus retos futuros. Conclusión y discusión: Los hallazgos de esta investigación demuestran que WhatsApp está plenamente asentado en los ayuntamientos. No obstante, su uso no es capaz de aprovechar todas las potencialidades del entorno digital, especialmente, debido a la falta de diálogo con la ciudadanía y de una planificación estratégica sólida.
Successful treatment of propofol-related infusion syndrome in critically ill patient receiving low-dose propofol infusion: a case report
Authors: Park Nahyeon , Ha Tae Sun
Published: October 2021

Propofol is widely used to sedate agitated patients in intensive care units. However, it can cause a rare but fatal complication, propofol-related infusion syndrome (PRIS). The pathophysiology of PRIS is not clear, and there is no definitive diagnosis and treatment. We report a successfully treated case of PRIS in a critically ill patient receiving low-dose propofol infusion. A 59-year-old male patient complaining of sudden chest pain repeatedly collapsed in an ambulance and the emergency room, and veno-arterial extracorporeal membrane oxygenation was delivered. He was diagnosed with a total occluded left anterior descending coronary artery in coronary angiography. On day 20, he showed arrhythmia, increased creatinine kinase (CK), and increased CK-MB and troponin I, accompanied by unstable hemodynamic status despite high-dose vasopressors. He was administered propofol for 20 days at an average dose of 1.3 mg/kg/hr owing to issues with agitation and ventilator synchrony. We strongly suspected PRIS and immediately discontinued propofol infusion, and he was successfully treated with aggressive supportive care. PRIS can occur in patients administered propofol for a prolonged period at low doses. Thus, clinicians should use propofol with caution for PRIS and change to alternative sedatives for long-term sedation.
Nominalna konvergencija i dinamika prilagodbe Republike Hrvatske europodručju
Authors: Samodol Ante , Ćatović Hana
Published: October 2021

Da bi uvela euro kao službenu valutu, država kandidatkinja za europodručje mora ispuniti kriterije iz Maastrichta ili kriterije nominalne konvergencije i tako dokazati dostatnu razinu nominalne konvergencije. Kriteriji nominalne konvergencije svojevrsna su zaštita europodručja od rizika makroekonomskih nestabilnosti. Drugim riječima, dostatna razina nominalne konvergencije ukazuje na razinu spremnosti države kandidatkinje za integraciju u monetarni režim europodručja. U ovome radu konkretno je analizirana dinamika prilagodbe Republike Hrvatske procesu pristupanja europodručju. To je u prvom redu obuhvatilo
monetarno i fiskalno pozicioniranje države u odnosu na nominalne kriterije. S obzirom na to da je tečaj eura i kune nominalno sidro cjelokupne dosadašnje monetarne politike, a devizne transakcije ključne u
kreiranju i povlačenju primarnog novca, u središtu je ovog istraživanja
tečaj kune prema euru. Iako se tečaj kune prema euru slobodno formira na deviznom tržištu ovisno o kretanjima ponude i potražnje za devizama, središnja banka uključuje se na devizno tržište kao posljedica jačeg kolebanja tečaja. Da Hrvatska narodna banka vodi politiku tzv. upravljanoga fluktuirajućeg tečaja i da je nominalni tečaj kune prema euru stabilan, pokazao je i model u kojem primjenom višestruke regresijske analize nezavisne varijable koje obilježavaju monetarne i fiskalne uvjete, uopće nemaju utjecaj na tečaj kune prema euru. To je očito bilo i ostaje primarno i isključivo pitanje tečajne politike središnje banke neovisno o interakciji tečaja s drugim varijablama ili ekonomskim i financijskim posljedicama koje donosi takva tečajna politika.
COVID-19 i maske: što znamo do sada?
Authors: Nesek Adam Višnja , Mesarić Jasna
Published: October 2021

SARS-CoV-2 pripada skupini betakoronavirusa koji uzrokuju bolest nazvanu
COVID-19. Infekcija se prenosi kapljično, a moguć je prijenos i putem aerosola. Pandemija koronavirusa zahvatila je cijeli svijet, a broj oboljelih svakodnevno se povećava. Dok se ne pronađe učinkovito cjepivo i/ili lijekovi važno je provoditi sigurnosne zaštitne mjere kako bi se smanjilo širenje virusa. Održavanje fizičkog razmaka, higijena ruku i obveza nošenja zaštitnih maski tri su temeljne zaštitne mjere koje mogu pridonijeti sprečavanju širenja virusa. Učinkovitost pojedinih mjera još
uvijek je predmet znanstvenih i neznanstvenih rasprava, dovodeći tako do proturječnih i zbunjujućih poruka široj javnosti. Iako u literaturi ne postoje kvalitetne studije koje bi potvrdile učinkovitost nošenja maski, većina objavljenih govori u prilog njihovoj učinkovitosti. U ovome radu dajemo pregled dosadašnjih istraživanja u pogledu učinkovitosti maski u sprečavanju širenja SARS-CoV-2 virusa.
Važnost tjelesnog vježbanja za osobe s dijagnosticiranom multiplom sklerozom
Authors: Miočić Josip , Komšo Milica
Published: October 2021

Istraživanjem se željelo utvrditi utjecaj tjelesnog vježbanja na stupanj
zadovoljstva i socijalizacije te zdravstveni status polaznika programa.
U istraživanje je uključeno 29 polaznika, a anketa je provedena na 29 ispitanika, od kojih je 85 % žena, a 15% muškaraca. Dominiraju ispitanici u dobi od 35 do 45 godina (80 %). Istraživanjem su se iskristalizirali odgovori da su ispitanici zadovoljni programom, da im je socijalizacija i inkluzija u društvo poboljšana te da zdravstveni status nije pogoršan, sve kao posljedica provedenih tjelesnih vježbi. Temeljem provedenog istraživanja utvrđeno je da su ispitanici izuzetno motivirani za daljnju provedbu programa nakon utvrđenih blagodati provedbe programa, sukladno postavljenom cilju istraživanja i primjenom alata koji su primjereni toj društvenoj skupini. Daljnjom primjenom i prakticiranjem tjelesnog vježbanja kod osoba s MS-om moguć je pozitivan utjecaj na njihov status u društvu, kao i općenito poboljšanje svakodnevnog života.
Nova metoda klaster analize u MS Excelu na primjeru istraživanja modela regionalizacije Republike Hrvatske
Authors: Papić Milan , Žmegač Davor , Zovak Igor
Published: October 2021

Klaster analiza služi kao statistička tehnika za utvrđivanje relativno homogenih grupa objekata, odnosno za kategorizaciju pojedinih jedinica analize uzimajući u obzir njihovu sličnost, odnosno različitost prema mjerenim obilježjima. Klaster analiza relativno je složena tehnika zbog čega ne nailazi na širu primjenu u akademskoj zajednici. U ovome radu prikazan je relativno jednostavan način na koji se primjenom MS Excela može napraviti analiza i bez detaljnog poznavanja matematike, odnosno korištenja složenijih statističkih programa. Jednostavnost i primjenjivost analize te dostupnost programa za izradu trebao bi pridonijeti široj upotrebi tog alata u akademskoj zajednici.
Representation of Muslim Woman’s Identity in “Assalamualaikum Calon Imam” Movie.
Authors: Syafuddin Khairul
Published: October 2021

Muslim women who were initially seen as women who focused on religion, in this film showed that Muslim women are also capable of being an academic and have other activities that tend to be done by men. This study aims to determine how the identity of modern Muslim women is shown through film media. This research uses Roland Barthes semiotic analysis method. This semiotic analysis focuses on reading texts through the stages of reading denotative meanings, connotative meanings, and then connecting with myths in analyzing the signs that are shown through scenes in the film. The results of this study indicate that Muslim women played by Fisya presented that women have the freedom to choose fashion and activity. Muslim women's fashion shown through the character Fisya is adjusted through the activities she does, thus showing that Muslim women's fashion can adjust to the situation. In addition, the activity also shows that Muslim women also have the freedom to determine what they want, starting in terms of academics and hobbies.
Utilization of Instagram: Efforts to Introduce Publishing Study Program and Publishing Works to the Community
Authors: Amelia Diah , Akmalia Nurul
Published: October 2021

This article discusses the selection of Instagram as a promotional medium in introducing the Creative Media State Polytechnic Publishing study program and publishing works. Information such as photos or videos of work products, pictures of learning activities, and other activities added to the Instagram account. This information can be seen by followers and can get a response or input directly. The study used qualitative research methods with a descriptive approach. The theory used is New Media and Internet theory, Social Media theory, and Marketing Communication theory. The study results explain that the use of Instagram significantly facilitates the spread of messages quickly and reaches more people. The content on the Instagram account @prodi.penerbitan.polimedia follows the institution's image but still has to be packaged in an attractive style and design and has new value.