bluuebunny/crossref_metadata_2025 huggingface dataset:
Myocardial injury after aortoiliac revascularization for extensive disease: A survival analysis
Authors: Pereira-Macedo Juliana
Published: November 2020

Background: This study aims to evaluate the incidence of myocardial injury after non-cardiac surgery for an extensive disease pattern (TASC II type D) and to examine its prognostic value. Methods: This prospective study included a total of 66 consecutive patients (62 males, 4 females; mean age 62.5±8.2 years) who underwent elective revascularization for aortoiliac TASC II type D lesions in the tertiary setting between January 2013 and March 2019. The patients were scheduled for revascularization either by open surgery or endovascular approach. Cardiac troponins were routinely measured in the postoperative period. Myocardial injury after non-cardiac surgery was defined as the elevation of cardiac troponin for at least one value above the 99th percentile upper reference limit. Myocardial infarction, acute heart failure, stroke, major adverse cardiovascular events, major adverse limb events, and all-cause mortality were assessed both postoperatively and during follow-up. Results: The incidence of myocardial injury after non-cardiac surgery was 25.8%. In the multivariate analysis, chronic heart failure was found to be a significant risk factor for myocardial injury after non-cardiac surgery (odds ratio: 10.3; 95% confidence interval 1.00-106.8, p=0.018). At 12 months after revascularization, the diagnosis of myocardial injury after non-cardiac surgery was significantly associated with myocardial infarction, stroke, major adverse cardiovascular events, major adverse limb events, and all-cause mortality. At 12 months after revascularization, the diagnosis of myocardial injury after non-cardiac surgery was significantly associated with myocardial infarction (log-rank p=0.002), stroke (log-rank p=0.007), major adverse cardiovascular events (log-rank p=0.000), major adverse limb events (log-rank p=0.007), and all-causemortality (log-rank p=0.000). Conclusion: Our study results suggest that myocardial injury after non-cardiac surgery plays a role as a predictor of significant cardiovascular comorbidities and mortality after complex aortoiliac revascularization. The presence of chronic heart failure is also associated with a higher incidence of myocardial injury after aortoiliac TASC II type D revascularization. Therefore, preemptive strategies should be adopted to identify and treat these patients.
Impact of sarcopenia in aortoiliac occlusive disease in Mediterranean population
Authors: Pereira-Neves António
Published: November 2020

Background: This study aims to validate the psoas muscle area and psoas muscle density as morphometric predictors in cardiovascular and cerebrovascular endpoints in patients with extensive aortoiliac peripheral arterial disease. Methods: A total of 57 patients (55 males, 2 females; mean age 60±8.2 years; range, 35 to 83 years) with Trans-Atlantic Inter-Society Consensus type D lesions who underwent revascularization at two Portuguese tertiary hospitals between January 2013 and July 2019 were retrospectively analyzed. The patients with a recent (<6 months) computed tomography scan prior to the revascularization procedure were included in the study. Both centers offered to their patients open and endovascular repair of aortoiliac peripheral arterial disease. Major adverse cardiovascular and cerebrovascular events and major adverse limb events were evaluated. Results: The median follow-up was 20 months. The mean survival rate was 93±3.4% at 30 days and 62.7±8.6% at 48 months. The discriminative thresholds found in this population were 2,175.8 mm2 for total psoas area and 51.75 Hounsfield unit for psoas muscle density. There was a statistically significant difference in the one-year survival rate (p=0.003 and p=0.291, respectively) and major adverse cardiovascular and cerebrovascular events (p=0.005 and p=0.206, respectively) for total psoas area compared to psoas muscle density. Conclusion: Total psoas area shows a prognostic value for survival and major adverse cardiovascular and cerebrovascular events in this patient population.
Heart transplant recipient survivor from COVID-19: The first case of Turkey
Authors: Çınar Güle
Published: November 2020

Any highly infectious and rapidly spreading disease is a primary concern for immunocompromised solid organ transplant recipients. The number of data about the spectrum of clinical illness, the treatment modalities, and the outcomes of COVID-19 in this vulnerable population is scant and still remains empirical. Herein, we report the first COVID-19 case of a heart transplant recipient in Turkey who presented with fever, postnasal discharge, and myalgias for two days. The possibility of lung involvement was ruled out by thoracic computed tomography. Despite stable vital signs, we reduced the intensity of immunosuppressive therapy and maintained home self-isolation promptly. We also commenced a five-day course of hydroxychloroquine 200 mg q12h initially. After confirmation of real-time reverse-transcriptase-polymerase-chain-reaction testing of the nasopharyngeal swab positive for COVID-19, the patient was hospitalized. After a loading dose of favipiravir 1,600 mg b.i.d., the patient received a five-day course of favipiravir 600 mg q12h. He was discharged with cure after 23 days of hospital isolation and treatment. In conclusion, treatment process can be affected by the daily electrocardiography, hand-held portable echocardiography, myocardial injury markers, and pulse oximeter for self-monitoring in the follow-up of previous heart transplant recipients suffering from COVID-19. The lack of treatment protocols in the solid organ transplant recipients with COVID-19 infection and the controversies about the protective effect of immunosuppression invite a global and update discussion.
The frozen elephant trunk technique in acute DeBakey type I aortic dissection
Authors: Çekmecelioğlu Davut
Published: November 2020

Although advances in the field of cardiovascular surgery have improved outcomes for patients with acute DeBakey type I aortic dissection, postoperative in-hospital mortality and morbidity remain substantial. The frozen elephant trunk technique has become a treatment option for this disease and was developed primarily to extend repair into the proximal descending thoracic aorta during aortic arch repair (because the descending thoracic aorta is largely inaccessible via median sternotomy), thus avoiding, delaying, or facilitating subsequent repair of residual native aorta. In this review, we discuss the evidence for and future development of frozen elephant trunk reconstruction for acute DeBakey type I aortic dissection.
Ilha das operações: um recurso educacional digital com múltiplas representações para a compreensão do campo aditivo
Authors: Castro Juscileide Braga de , Freitas Francisco Youri Miranda de , Rufino Lidya de Lima Monteiro , Sousa Joyce da Silva , Oliveira Rayssa Melo de , Gomes Nassara Maia Cabral Cardoso , Medeiros Márcia Duarte , Castro Filho José Aires de
Published: November 2020

Este trabalho apresenta o Recurso Educacional Digital (RED) Ilha das Operações: em busca das pedras Somartius e Subtrartius, desenvolvido para explorar conceitos presentes em situações do campo aditivo. O RED foi desenvolvido por grupo multidisciplinar, com HTML5, Java Script e CSS. Do ponto de vista pedagógico, este RED destina-se ao 3° ano do Ensino Fundamental, de acordo com a BNCC, podendo ser usando dentro ou fora de sala de aula, para resolução de exercícios e para avaliação diagnóstica. Com o suporte da gamificação e interface interativa com múltiplas representações (textual, numérica, pictórica), o usuário é convidado a resolver situações de composição e de transformação de quantidades, ou seja, com as ideias de juntar, separar, acrescentar e retirar.
Protótipo de um aplicativo para auxílio no aprendizado da língua portuguesa para alunos da tribo Wai Wai
Authors: Araújo Júnior Raimundo Martins de , Amorim Samuel Oliveira de , Santos Ediane Bó dos , Wai Wai Joelma Matipu
Published: November 2020

Através da constante evolução dos meios tecnológicos, tem surgido um grande número de ferramentas digitais voltadas para a área da educação, elas tem servido para fomentar a criatividade por parte de docentes que, utilizam de metodologias, propiciadas pelo pensamento computacional, visando promover uma melhor absorção dos conteúdos das disciplinas por parte dos discentes. O objetivo desse trabalho é utilizar os benefícios da evolução tecnológica propondo uma ferramenta (aplicativo para plataforma Android) como intuito de promover a integração dos discentes indígenas dentro da comunidade acadêmica da UFOPA (Universidade Federal do Oeste do Pará), visto que eles possuem dificuldade no aprendizado das disciplinas, devido não dominarem a língua portuguesa. Foram realizados desde entrevistas com os discentes até a concepção do protótipo funcional, que ainda está na versão beta.
Acanno: Um Jogo Eletrônico de RPG com acessibilidade em LIBRAS
Authors: Lima Gabriel B. da Silva , Santos Marcos R. dos , Costa Junior Almir de O. , Silva Jr. Jucimar M. da
Published: November 2020

Este trabalho relata o processo de desenvolvimento de um jogo eletrônico de RPG acessível em LIBRAS. O seu desenvolvimento segue elementos e mecânicas similares à JRPGs das décadas de 80 e 90 e está sendo desenvolvido com RPG Maker MV, Inkscape e FontForge. De modo geral, mas não se restringe, o público-alvo serão os estudantes do Ensino Fundamental (I e II) e com a possibilidade de ser um jogo acessível para alunos surdos. O processo de criação do jogo segue a metodologia ágil, iterativa e incremental.
RECOACOMP: aplicativo para recomendação de objetos de aprendizagem baseado em competências
Authors: Behar Patricia A. , Silva Ketia K. A. da , Torrezzan Cristina A. , Cazella Sílvio C. , Slodkowski Bruna K. , Sparremberger Adalto S. , Félix José A. L. , Carli Marcela F. de
Published: November 2020

RecOAComp é um sistema para a recomendação de objetos de aprendizagem (OAs) baseado no perfil de competências do sujeito. A versão aplicativo (App), foi desenvolvido com o objetivo de atender os usuários que utilizam o sistema no smartphone. Assim, a versão App contempla especificidades relacionadas à experiência deste sujeito e tem potencial para colaborar na indicação de OAs, os quais possam ajudar o usuário na construção de um ou mais elementos das competências.
Coh-Metrix PT-BR: Uma API web de análise textual para a educação
Authors: Camelo Raissa , Justino Samuel , Mello Rafael Ferreira Leite de
Published: November 2020

O Coh-Metrix é um sistema computacional que possui diferentes medidas de análise textual incluindo legibilidade, coerência e coesão textual. Essas medidas permitem uma análise mais profunda de diferentes tipos de textos educacionais como redações, respostas de perguntas abertas, mensagens em fóruns educacionais, entre outros. Este protótipo apresenta uma uma API web com a adaptação das medidas do Coh-Metrix para a língua portuguesa do Brasil.
Um jogo educacional para exercitar propriedades de árvores binárias de busca
Authors: Alencar Luiz , Pessoa Marcela , Pires Fernanda
Published: November 2020

O presente artigo apresenta o processo de desenvolvimento do jogo educacional "Doce Sort", cujo objetivo é exercitar algumas propriedades de árvores binárias de busca, destinado a estudantes de graduação na área de computação. "Doce Sort" é do gênero "puzzle", ambientado em uma doceria e tem como inspiração jogos comerciais como "Overcooked" e "Candy Crush". Possui três modos de jogo: i) alocar; ii) inserir e iii)caminhar, cada um dos modos possui 15 fases. O objetivo do jogo é auxiliar estudantes de Computação no processo de aprendizagem em árvores.
Didática da Computação na Perspectiva da Aprendizagem Ativa
Authors: Castro Ronney Moreira de , Siqueira Sean Wolfgand Matsui , Monteiro Sandrelena da Silva
Published: November 2020

Há uma demanda por mudanças na Educação, que implicam em repensar e inovar as práticas docentes. Esse trabalho apresenta a fundamentação para uma Didática da Computação, destacando a perspectiva da Aprendizagem Ativa (AA). Para o embasamento de Ensino de Computação e conteúdos e disciplinas correspondentes, realizei uma análise dos documentos da legislação e referenciais de formação de Cursos da Área da Computação no Brasil. Considerando as categorias emergentes das relações entre os elementos do triângulo didático, concebi o Hexágono da Didática. Esta representação possibilita um olhar integrado dos vértices e diagonais, bem como planejar o espaço-tempo de interconexão entre o saber-fazer docente. O Mapeamento Sistemático apoiou o entendimento e a construção de um artefato para disseminação de técnicas e tecnologias relacionadas a AA no ensino de Computação no Brasil. Entrevistas com docentes foram realizadas e analisadas com base no Método de Explicitação do Discurso Subjacente (MEDS) para promover uma reflexão sobre a prática docente com base no Hexágono proposto. Deste modo, a tese aqui resumida contribui para apoiar a estruturação desta área no Brasil, bem como promover uma reflexão das práticas atuais e propiciar a disseminação de técnicas e tecnologias.
A Method to Predict At-risk Students in Introductory Computing Courses Based on Motivation
Authors: Schoeffel Pablo , Ramos Vinicius Faria Culmant , Wazlawick Raul Sidnei
Published: November 2020

Despite being a problem reported in a long time, the high rate of dropout and failure in computing courses remains a problem. Although there is a strong relationship between the motivation and the students outcome, few works use the motivation as a factor to identify students at risk. This work presents and evaluates a method to identify features that allow predicting at-risk students in introductory computing courses, based on four main components: pre-university factors, initial motivation, motivation through the course, and professor perception. The method created, named EMMECS, was applied with 245 students from different programs in four different universities in southern Brazil. We carried out several simulations of prediction, using ten different classification algorithms and different datasets. As a result, using support vector machine and AdaBoostM1 algorithms, we identified on average more than 80% of students that would fail, since the first week of the study. The results show that the proposed method is effective compared with related works and it has as advantages its independence of programmatic content, specific assessments, grades, and interaction with learning systems. Furthermore, the method allows the weekly prediction, with good results since the first few weeks.
Computational Thinking for Youth and Adults Education: Towards a Socially Aware Model
Authors: Ortiz Júlia dos Santos Bathke , Pereira Roberto
Published: November 2020

Research on Computational Thinking has been growing over the last years, mainly focusing on Elementary and High School students. Challenging audiences, such as Youth and Adults Education, are rarely addressed or even cited in current literature. This Master's research investigates Computational Thinking as a way to promote digital inclusion and proposes a model to design and conduct initiatives for Youth and Adults Education taking into account the characteristics and particularities of this public. The model, with a set of principles and practices, was applied and analyzed in an exploratory case study inside a public school. Results suggest the model is promising to inspire practices to develop Computational Thinking for inclusion. As additional contributions, activities applied in a real setting and lessons learned from their application are presented to support and inform further initiatives.
Supporting Students through a Recommendation System for Knowledge Acquisition in MOOCs Ecosystems
Authors: Campos Rodrigo , Santos Rodrigo Pereira dos , Oliveira Jonice
Published: November 2020

With the growth of MOOCs (Massive Open Online Courses), students face difficulties in choosing more suitable courses for a knowledge demand. Some recommendation systems have proposed solutions, but not exploring the student's prior knowledge. In this context, this work contributes to identifying and reducing the students' knowledge gap in MOOCs. To do so, we model and analyze the MOOCs ecosystems and propose a solution for recommending parts of courses to students, exploring the software ecosystem approach in the educational domain. After evaluating our solution based on three experiments, we observed that our recommendations present new content to fill users? knowledge gaps, being accurate, useful, and reliable.
GGasCT: Bringing Formal Methods to the Computational Thinking
Authors: Silva Junior Braz Araujo da , Cavalheiro Simone André da Costa , Foss Luciana
Published: November 2020

This work presents an alternative approach for developing computational thinking: the graph grammars. Many related terms are individually explored in order to clarify what is in the range of computational thinking. The selection of the terms draws on a systematic literature review that sheds a light on the most commonly addressed terms in the computational thinking literature. A formal and visual language, the graph grammar, is introduced, formally defined and explored, discussing its relations with computational thinking skills. An educational game and a game engine are developed and presented as examples of graph grammars to promote computational thinking. As result, a comprehensive framework to develop and assess computational thinking through graph grammars is theoretically grounded and made available by the developed educational tools.
Diquinha: Aplicativo móvel para auxiliar no processo de aprendizado não formal em museus
Authors: Dantas Adilmar C. , Xavier Michel S. , Guimarães Guilherme B. , Torres Heidie S. , Takahashi Eduardo K. , Melo Sara L. , Nascimento Marcelo Z. do
Published: November 2020

Este trabalho apresenta um aplicativo para atuar como monitor virtual de Museus de Ciências. A aplicação é responsável por fornecer informações sobre exposições e curiosidades dos artefatos disponíveis no espaço do museu. O desenvolvimento consistiu em observações realizadas pelos desenvolvedores durante a realização de visitas ao museu, em conjunto com as informações levantadas pelos monitores presentes no museu. Para a identificação dos artefatos das exposições foi utilizado uma ferramenta para o desenvolvimento de códigos QR que possibilitou uma correta identificação dos artefatos. Para avaliar a aplicação foi realizado um experimento em um museu com aproximadamente 30 artefatos catalogados, que foram devidamente fotografados para a inserção no aplicativo. Além disso, cada artefato foi inserido informações relevantes para utilização e manuseio, por meio de uma linguagem simples e informal, com o intuito de aumentar o interesse dos visitantes.
Peripheral Neuromodulation for the Management of Headache
Authors: Urits Ivan , Schwartz Ruben , Smoots Daniel , Koop Lindsey , Veeravelli Suhitha , Orhurhu Vwaire , Cornett Elyse M. , Manchikanti Laxmaiah , Kaye Alan D. , Imani Farnad , Varrassi Giustino , Viswanath Omar
Published: November 2020

Context: Neuromodulation is an expanding field of study for headache treatment to reduce pain by targeting structures within the nervous system that are commonly involved in headache pathophysiology, such as the vagus nerve (VNS), occipital nerves, or sphenopalatine ganglion (SPG) for stimulation. Pharmaceutical medical therapies for abortive and prophylactic treatment, such as triptans, NSAIDs, beta-blockers, TCAs, and antiepileptics, are effective for some individuals, but the role that technology plays in investigating other therapeutic modalities is essential. Peripheral neuromodulation has gained popularity and FDA approval for use in treating certain headaches and migraine headache conditions, particularly in those who are refractory to treatment. Early trials found FDA approved neurostimulatory implant devices, including Cephaly and SpringTMS, improved patient-oriented outcomes with reductions in headaches per month (frequency) and severity. Evidence Acquisition: This was a narrative review. The sources for this review are as follows: Searching on PubMed, Google Scholar, Medline, and ScienceDirect from 1990 - 2019 using keywords: Peripheral Neuromodulation, Headache, vagus nerve, occipital nerves, sphenopalatine ganglion. Results: The first noninvasive neurostimulator device approved for migraine treatment was the Cefaly device, an external trigeminal nerve stimulation device (e-TNS) that transcutaneously excites the supratrochlear and supraorbital branches of the ophthalmic nerve. The second noninvasive neurostimulation device receiving FDA approval was the single-pulse transcranial magnetic stimulator, SpringTMS, positioned at the occiput to treat migraine with aura. GammaCore is a handheld transcutaneous vagal nerve stimulator applied directly to the neck at home by the patient for treatment of cluster headache (CH) and migraine. Several other devices are in development for the treatment of headaches and target headache evolution at different levels and inputs. The Scion device is a caloric vestibular stimulator (CVS) which interfaces with the user through a set of small cones resting in the ear canal on either side and held in place by modified over-ear headphones. The pulsante SPG Microstimulator is a patient-controlled device implanted in the patient’s upper jaw via an hour-long oral procedure to target the sphenopalatine ganglion. The occipital nerve stimulator (ONS) is an invasive neuromodulation device for headache treatment that consists of an implanted pulse generator on the chest wall connected to a subcutaneous lead with 4 - 8 electrodes that is tunneled the occiput. Conclusions: The aim of this review is to provide a comprehensive overview of the efficacy, preliminary outcomes, and limitations of neurostimulatory implants available for use in the US and those pending further development.
Does Phenytoin Have Neuroprotective Role and Affect Biocompatibility of Decellularized Sciatic Nerve Scaffold?
Authors: Abbaszadeh Somayyeh , Asadi Asadollah , Zahri Saber , Abdolmaleki Arash , Mahmoudi Fariba
Published: November 2020

Background: Peripheral nervous system injuries are common and currently have no definitive treatment method. Phenytoin is one of the main antiepileptic drugs. Some studies have described a cerebroprotective effect of phenytoin in an established model of global cerebral ischemia. Objectives: In this study, the neuroprotective effects of phenytoin were evaluated on the cultivation and maintenance of Wharton’s jelly stem cells (WJSCs) on acellularized sciatic nerve scaffolds. Methods: In this study, acellular scaffolds from the rat sciatic nerve were prepared by the sondell method. After extraction of cells of MSCs, flow cytometry analysis was executed. Also, cell differentiation potential was evaluated by placement in osteogenic and adipogenic differentiation media for 21 days. Biocompatibility of the scaffold and cell viability were investigated using the MTT assay. The morphological and cell adhesion characteristics of MSCs on acellular scaffolds were compared using SEM micrographs images. Data were analyzed using the one-way analysis of variance (ANOVA) and Tukey post hoc test by SPSS (version 19.0) software. Results: The removal of cells from the scaffold was confirmed by stanning with hematoxylin-eosin, van Gieson's picro-fuchsin, and DAPI. With the aid of flow cytometry analysis and differentiation into bone and fat cells, it was confirmed that extracted cells were mesenchymal stem cells. The results of the MTT assay showed that phenytoin increased cell viability and retention on the scaffold. Conclusions: The study indicated that phenytoin improves the viability of cells and provided a good condition for the growth, survival, and attachment of cells to the scaffold when compared to the control group. These results suggest that phenytoin can be considered a new treatment for nerve regeneration and tissue engineering applications.
Urological Sarcoma Among the Iranian Population; A National Registry-Based Study
Authors: Ganji Jameshouran Mohammad Ali , Allameh Farzad , Mansouri Tehrani Mohammad Mersad , Tasharrofi Mohammad Ali , Javanmard Babak , Fallah Karkan Morteza , Akbari Mohammad Esmaeil
Published: November 2020

Background: Sarcomas of the genitourinary tract are rare clinical entities with relatively few studies conducted on their prevalence and characteristics globally. Previous literature has established the effects of ethnicity and race on soft tissue sarcomas’ clinical attributes and prognosis. Objectives: To provide researchers and clinicians with a better understanding of the matter, this study aims at providing descriptive data regarding urologic sarcoma among the Iranian population. Methods: All patients diagnosed with genitourinary sarcoma registered in the Cancer Research Center (CRC) between 2009 and 2014 were enrolled in this national population-based study. Basic patient data including their gender, age, city, and province of origin, as well as each patient’s tumor characteristics were retrieved from CRC’s database. Chi-square test was utilized in determining a possible relationship between patient data and the tumor characteristics. Results: A total of 337 patients with primary genitourinary sarcoma were selected for this study. More than half of the patients were classified in the 15 to 65-year-old group. The most common primary site of involvement was the kidneys with the most prevalent histological subtype being liposarcoma. Conclusions: This study found sarcomas of the genitourinary tract to be more prevalent among the adult Iranian population, with liposarcoma, leiomyosarcoma, and rhabdomyosarcoma being the most commonly observed subtype, and factors such as age, gender, and tumor grading all related to the anatomical distribution of the tumors.
Bacteriological Spectrum and Antimicrobial Sensitivity of Pathogens in Children with Hematologic Malignancies and Febrile Neutropenia Research
Authors: Sanaei Dashti Anahita , Safaei Jabarali , Shirvani Fariba , Kadivar Mohammad Rahim , Taherifard Erfan
Published: November 2020

Objectives: This study aimed to investigate the spectrum of bacterial pathogens and their antimicrobial sensitivity in pediatric patients admitted with febrile neutropenia (FN) and hematologic malignancies. Methods: This prospective, cross-sectional study was carried out on 65 children (60% boys, mean age 7.3 5.3 years) with hematologic malignancies and FN hospitalized at the Amir Hematology and Oncology Hospital, Shiraz, Iran, between December 2018 and May 2019. Samples were taken from blood, nose, axilla, and inguinal area (NAI). NAI cultures were repeated after 72 hours of admission, and blood culture was repeated if needed. A demographic questionnaire on age, sex, and admission time was filled out for each patient. Results: The most common grown bacteria in the NAI samples were coagulase-negative staphylococci (CoNS). Second cultures from these sites revealed nosocomial contamination. Eighteen patients (27.7%) had positive blood cultures, with 61.1 % of the isolated pathogens being Gram-negative (mostly Escherichia coli and Pseudomonas aeroginosa) and 38.9% Gram-positive. The blood cultures results did not match those of the NAI cultures in 61.1% of the patients. About one-fourth of the Gram-negative pathogens isolated from blood were resistant to cefepime, the main empirical antibiotic for FN management at our center. Conclusions: Gram-negative bacteria are predominant organisms in pediatric FN patients at our center, most resistant to cefepime. If a similar antimicrobial sensitivity pattern is observed in future studies, a change in local guidelines might be considered for FN management.
Predicting Covid-19 Preventive Healthy Behaviors Based on Dysfunctional Attitudes in Five Countries
Authors: Eivazi Sima , Karami Jahangir , Varey Peter John , Eivazi Sara
Published: November 2020

Background: Dysfunctional attitudes are biased assumptions and beliefs that the subject has toward himself, his surroundings, and the future world. Objectives: The present study aimed to predict COVID-19 preventive healthy behaviors based on dysfunctional attitudes in five countries. Methods: This was a descriptive, correlational study, and the statistical population of the study included all individuals over the age of 18 years residing in Iran, Australia, England, Sweden, and Canada. Subjects were selected by the voluntary sampling method in the Spring of 2020. In total, 498 electronic questionnaires encompassing three sections of demographic characteristics, dysfunctional attitude scale (1987), and COVID-19 preventive health behaviors questionnaire (2020) were completed online. In addition, data analysis was performed in SPSS version 21 using Pearson’s correlation coefficient and stepwise multiple regression. Results: In this study, there was a significant negative relationship between dysfunctional attitudes and COVID-19 preventive healthy behaviors (P < 0.001). In addition, perfectionism, gender, and age predicted healthy behaviors (P < 0/001). The results of the comparison of Iran with other countries also demonstrated a significant reverse correlation between dysfunctional attitudes and healthy behaviors (P < 0.001). Moreover, there was a significant association between marital status, age, level of education, gender (P < 0.001), and economic status (P < 0.05) with healthy behaviors in Iran while no significant relationship was observed in other countries studied in this regard. Conclusions: It is suggested that workshops on changing dysfunctional attitudes and strengthening positive attitudes in community members be held in-person or via cyberspace before or during the occurrence of crises such as the COVID-19 outbreak.
Changes in the Rate of Some Rare Neonatal Outcomes After the Implementation of the Health System Reform Plan in Iran: A 70-Month Case Study of an Educational Hospital Research
Authors: Sadeghi-Moghaddam Parvaneh , Asgarian Azadeh , Aghaali Mohammad
Published: November 2020

Background: The health system reform plan (HSRP) was launched in Iran on 15 May 2014, with three approaches to protect people from the financial system, create equity in access to health services, and improve the quality of services. Objectives: The present study aimed at investigating the changes in the rate of some rare neonatal outcomes after the implementation of HSRP in Iran. Methods: The present cross-sectional study was conducted in Izadi Hospital in Qom Province, in which 52,817 vaginal delivery and cesarean sections were evaluated for the incidence of complications from 15 June 2011 to 15 April 2017. The complications included hypoxic-ischemic encephalopathy, low Apgar score, cephalohematoma, clavicle fracture, the Erb palsy, and intracerebral hemorrhage. Complications were compared per 10,000 births before and after the implementation of the plan. Data were analyzed with SPSS software using t- and chi-squared tests. Results: There was a significant increase after the implementation of HSRP compared to before that in the rate of complications per 10,000 vaginal deliveries for stage 2 hypoxic-ischemic encephalopathy (P = 0.001), birth with a low Apgar score (P < 0.001), cephalohematoma (P < 0.001), and clavicle fracture (P = 0.002). In the case of cesarean section, there was a significant increase in the 2 (P = 0.001) and 3 (P = 0.034) stages of hypoxic-ischemic encephalopathy and birth with a low Apgar score (P < 0.001). Conclusions: It can be concluded that HSRP could somewhat achieve its goals on the promotion of vaginal delivery. However, the implementation of the plan was associated with an increase in some minor neonatal complications.
Representation of Medieval Realia in PC game: Kingdom Come: Deliverance
Authors: Neumann Miroslav
Published: November 2020

The study describes the Czech computer game Kingdom Come: Deliverance and the scale of its historical depiction of medieval realia. The well-known title is set in the medieval Czech Kingdom in 1403 and the player is presented with a complex world where he has to survive, acquire the game mechanics and complete historically inspired quests within and besides the main storyline. In this study, we will present various historical aspects of the game, such as political background, geographical setting, social depiction of the part of medieval Bohemia, late medieval armour and weapons in comparison with reality. Kingdom Come: Deliverance is sometimes referred to as a medieval simulator or a learning tool, based on its effort to realistically demonstrate history.
Pedagogical Principles of Child Custody in European Countries
Authors: Czepil Marija , Karpenko Oresta
Published: November 2020

The article describes the forms of orphans’ care, custody of children deprived of parental care, their emergence and development in European countries of the 18th century – the first half of the 19th century. Attention is focused on the theory and practice of custodial education, socio-pedagogical concepts, which are based on the principle of family and living together, where you care for the child and love him. The concept of upbringing in Children’s homes, which for the first time in the history of upbringing was implemented in Switzerland, was highlighted. A significant contribution to the theory and practice of upbringing was the adoption to Rescue houses kids of both sexes. At that time that was an innovative idea.
New fossil genus and new extant species of diatoms (Stephanodiscaceae, Bacillariophyceae) from Pleistocene sediments in the Neotropics (Guatemala, Central America): adaptation to a changing environment?
Authors: Paillès Christine , Sylvestre Florence , Tonetto Alain , Mazur Jean-Charles , Conrod Sandrine
Published: November 2020

Several taxa of Stephanodiscaceae were found in the upper section of Pleistocene sediments from Lake Petén-Itzá (Guatemala). A new fossil genus Cyclocostis Paillès gen. nov. and new extant species Discostella gabinii Paillès & Sylvestre sp. nov. are described. Cyclocostis gen. nov. is characterized by a strongly tangentially undulated valve surface, coarse unequal striation reaching a central punctum in the valve center, an absence of central lamina and domed criba, widely open alveoli with one median recessed costa bearing marginal fultoportulae and a single rimoportula all within a ring. A single valve face fultoportula is present on the raised part of the valve opposite the rimoportula. Differences relative to similar genera and the delimitation of a new genus are discussed. Discostella gabinii sp. nov. is distinguished by circular and flat valves, a small central area bearing 5 to > 30 scattered large areolae giving a colliculate appearance, medium-sized alveoli, marginal fultoportulae on every 4–5th costa, a single rimoportula and internally smooth valve center. Differences to similar taxa in the genus Discostella are discussed. The succession of the species of Cyclotella, Discostella and Cyclocostis gen. nov. in our record could represent eco-phenotypic responses to particular environmental stress / change.
Accidents during mountain hiking and alpine skiing – epidemiological data from the Austrian Alps
Authors: Faulhaber M , Pocecco E , Posch M , Ruedl G
Published: November 2020

This article presents epidemiological data on traumatic accidents during mountain hiking in the summer season and recreational alpine skiing in the Austrian Alps. In mountain hiking, the absolute number of fatalities remained stable from 2006-2014 (32 to 46 victims per year), whereas the number of non-fatal accidents increased by about 5% per year implying a decreasing mortality index. About 75% of all falls happened during the descent and 70% of the victims who sustained a fall-related injury showed defective vision. Mountain hikers should pay attention to sufficient regeneration before and breaks during descending. Additionally, a regular check of visual aids (glasses, contact lenses) can be recommended. In recreational alpine skiing, the injury rate is estimated to be less than 1 injury per 1000 skier days and the traumatic fatality rate amounts to 0.36 traumatic deaths per million skier days. A tear of the anterior cruciate ligament is the most common diagnosis with about 15-21% of all injuries and the risk is 3 times higher in women than in men. Protective equipment and an appropriate skiing speed, depending on skill level, represent preventive measures to reduce injuries and traumatic deaths. Key Words: Traumatic Accidents,Falls, Injuries, Anterior Cruciate Ligament
Problematizando as relações entre Matemática e Música na Educação Matemática
Authors: Tapia Sartori Alice Stephanie , Faria Juliano Espezim Soares
Published: November 2020

Neste artigo analisamos um conjunto de textos inseridos no campo de pesquisa da Educação Matemática que estabelecem relações entre matemática e música, publicados nas quatro últimas edições do Encontro Nacional de Educação Matemática (ENEM). Recorrendo à análise do discurso foucaultiana como metodologia, damos visibilidade às enunciações categorizadas a partir desses artigos, organizando-as a partir de 3 problematizações. Na primeira, fazemos considerações sobre a apropriação da música para o ensino de frações, levando em conta o contexto histórico da matemática grega e sobre o uso dos símbolos das notas musicais de acordo com seus tempos. Na segunda, analisamos enunciações que remetem a aspectos metodológicos naturalizados no ensino de matemática, a saber a ludicidade e o estímulo do interesse no aluno. Por fim, na terceira problematização, tensionamos o enunciado que afirma que música é matemática e, de forma mais geral, que a matemática está em tudo. Inspiramo-nos no conceito filosófico de ritornelo para pensar a docência em matemática a partir de exercícios de desterritorialização/reterritorialização no território da Educação Matemática.
Tourism Industry Perspectives in the Context of the COVID-19 Pandemic Based on the Sustainable Development Concept
Authors: Almukhamedova Olga
Published: November 2020

The relevance of this study is in the growing popularity of the concept of sustainable development in the tourism sector. The purpose of the article is to determine a systematic basis for the assessment of the possibility of sustainable tourism development at the regional level, as well as determining relevant vectors. In addition, the study considers a number of studies that allow for defining sustainable tourism, as well as determining groups of indicators affecting it. The leading method of studying tourism structure as part of a regional socio-economic system is topological analysis, which allows for identifying functionally significant combinations of factors. Incidence matrices of the structure of indicators with included weighting factors influencing the sustainable development of tourism, analysis of their q-connectivity, the results of the dimension of simplexes, the number of connected components and communication chains, the structural vectors of the complexes were determined and presented. The study proved the presence of simplexes in the complexes. The effects on simplexes can bring the desired result in the quickest and most efficient way. Since tourism is an integral part of environmental, social and economic sectors, and the sustainable development itself can be regarded as a unified system of interaction between them, it is possible to use the above factors in each of the sectors on a case-by-case basis in any territory or enterprise to conserve resources, eradicate poverty and ensure well-being. This research attempts to formalize the factors that determine the sustainable development of tourist destination that gives the full basis for a systematic study of the territory to assess the sustainability of tourism development. The topological analysis shows the mutual influence of simplicial complexes by means of a chain of connections leading to sustainable development.
Features of Service Members' Adaptation to Civilian Life: Legal Aspects
Authors: Inshyn Mykola , Bontlab Vasyl , Sokolov Volodymyr , Boyko Serhiy , Inozemtseva Kateryna
Published: November 2020

he purpose of the study is to analyze the regulatory and legal support for the adaptation of service members to civilian life in the United States, France, and Germany to identify elements that could be useful for implementation in Ukrainian legislation. The 5 stages of adaptation that each service member goes through after completing his/her service when returning to civilian life are identified and analyzed. It is found that all analyzed countries begin the adaptation process several months (or years) before the end of service. In addition, former service members consistently receive financial assistance. The obtained results can be used by scientists for further analysis of regulatory and legal support and, on its basis, direct implementation of procedures for adaptation of service members to civilian life.
The Rights to Religious Freedom for Adherents Faith in Indonesia: Comparative Study of the Rights to Religious Freedom in Asia
Authors: Shuhufi Muhammad , W.W. Mamonto Moch Andry , Buana Andika Prawira , Fatmawati
Published: November 2020

Indeed, the dimension of rights that are basic is free to believe in trust; one of the beliefs in Indonesia that is still alive is Towani Tolotang. In connection with the study used a socio-legal study that focuses on descriptive-fundamental and comparative research methods, while the approach used is the historical approach, case approach, and comparison approach. Towani Tolotang's belief which is different from other faiths in Indonesia that are recognized by the state, should have the same right argued on the philosophical basis of the first principle of Pancasila "God Almighty", the constitutional basis of the 1945 Constitution Article 28 "Freedom of belief," and strengthened with Decision of the Constitution Court No. 97/ PUU-XIV /2016. In the Japanese context, there are similarities with Indonesia related to traditional beliefs such as the Shinto that lives to this day, and their existence is protected by the state through the policy that the state does not deal with matters of religion through the Japanese constitution. It is different from Malaysia which does not recognize traditional beliefs, but in the context of the protection of trust, it is regulated in the Federal Constitution of Malaysia that unfortunately, besides being Sunni Islam, security is not essential or limited to administrative protection.
Las Horas miniadas
Authors: Antón Morla José María
Published: November 2020

El intento de recobrar a través de la memoria los años que quedaron atrás con un lenguaje depurado e intimista y un verso sencillo.
El paisaje leonés sirve de marco para cantar lo que se ha perdido.
Gramática básica de noruego integral. 1ª ed.
Authors: González Campo Mariano
Published: November 2020

Gramática básica de noruego integral es una obra fundamental para introducirse en el aprendizaje de la lengua noruega en sus dos modalidades escritas oficiales: bokmål y nynorsk. A lo largo de sus trece capítulos y los numerosos ejemplos ilustrativos que contienen, el estudioso de esta lengua nórdica podrá familiarizarse con sus características principales a nivel fonético, morfológico y sintáctico. Gramática básica de noruego integral, obra pionera en español, ayudará además a adentrarse posteriormente en otras lenguas nórdicas como el danés o el sueco gracias al estrecho parentesco existente entre ellas. En definitiva, una obra de referencia imprescindible para estudiantes, traductores, lingüistas y, en general, todas aquellas personas interesadas en el fascinante mundo de las lenguas de Escandinavia.
El antes y después de la modernizacion de regadíos
Authors: Gómez Espín José María , Gil Meseguer Encarnación , García Marín Ramón
Published: November 2020

El objeto de este estudio es abordar la situación de los regadíos de la Cuenca de Mula antes de las actuaciones de modernización. Valorar las medidas de mejora, inversiones e infraestructuras, y los nuevos métodos de gestión contenidos en los Planes. Ver si se ha producido una mejora significativa en la calidad de vida de los regantes. Y realizar una prognosis de estos regadíos en el tercer milenio, a la vista de las políticas agraria y ambiental de la Unión Europea.
Las dos caras de Jano
Authors: Ruiz Ibáñez José Javier
Published: November 2020

El desarrollo del presente trabajo parte del entendimiento de la historia como el conocimiento riguroso del pasado, mediante el que se pretende ponderar en una aproximación correcta las informaciones parciales del presente y buscar los medios de acción efectivos en la proyección temporal. De esta ambición total y de esta suprema utilidad nace la belleza de la historia; pero también su máxima limitación, común por lo demás a todas las disciplinas que pretenden trabajar sobre la realidad percibida. El problema procede de la imposible aprehensión perfecta de un mundo que sólo sería perceptible mediante un número infinito incontable de sensaciones. Por el contrario, el ser humano colectivo apenas cuenta, como mucho, con un número infinito contable de percepciones, que posteriormente son ordenadas en sentido funcional-restrictivo-comunicativo mediante conceptos, palabras y lenguajes. La aparición de una inadecuación básica entre el referido (realidad aprehensible) y el referente (discurso histórico), no justifica en absoluto la pretendidamente necesaria limitación de la historia a una colección de narraciones más o menos pintorescas, pero sin otro sentido que la descripción o la recopilación estéril.
La competencia jurisdiccional y judicial en derecho romano
Authors: Robles Reyes Juan Ramón
Published: November 2020

El legado jurídico de Roma no se sustenta sólo en el conjunto de normas que nos han transmitido las fuentes, sino también en la organización jurisdiccional y judicial que permitía su aplicación. En este libro se analiza cómo era entendida la iurisdictio en Roma, los problemas de competencia que surgían entre los diversos magistrados y jueces, y los criterios utilizados para su atribución. Domicilio, territorio, cuantía o materia del litigio determinarán los criterios competenciales de aplicación que, junto a estatutos personales privilegiados o el ius domus revocandi, son puestos en relación con la jurisdicción alfonsina y la vigente Ley de Enjuiciamiento Civil. El estudio de la competencia jurisdiccional, desde la Fundación de Roma hasta Justiniano, permite conocer el fenómeno de la recepción en Europa y su posterior influencia en la legislación medieval y el derecho vigente, convirtiéndose en una poderosa herramienta para el análisis del derecho comparado.
Estudios de Platería. San Eloy 2014
Authors: Rivas Carmona Jesús Francisco
Published: November 2020

Esta publicación pertenece a la serie que publica anualmente, coincidiendo con la fiesta de San Eloy, patrón de los plateros, un volumen anual con trabajos relativos a la platería y la joyería de los más acreditados investigadores españoles y extranjeros en esta materia. Son temáticas desde la platería religiosa a la platería civil, sus maestros, el marcaje así como las tipologías, y las técnicas propias de la platería y de la joyería.
Urbanismo romano en la Región de Murcia
Authors: González Blanco Antonino
Published: November 2020

La exposición del urbanismo, si ya lo situamos como base de compren-sión histórica, es de gran complejidad si nos limitamos a la exposición del urbanismo de la Antigüedad Clásica. Se impone una primera consideración: se trata de saber cómo eran materialmente las ciudades, cómo eran sus cuadros gobernantes y sus servicios públicos, sus monumentos, sus obras públicas, sus calles, sus jardines, sus casas, sus ínsulas, cuáles eran las normas que regían su desarrollo urbano.