bluuebunny/crossref_metadata_2025 huggingface dataset:
Consensus Recommendations for Preventing and Managing Bleeding Complications Associated with Novel Oral Anticoagulants in Singapore
Authors: Ng Heng Joo , Chee Yen Lin , Ponnudurai Kuperan , Lim Lay Cheng , Tan Daryl , Tay Jam Chin , Handa Pankaj Kumar , Akbar Ali Mufeedha , Lee Lai Heng ,   For the Chapter of Haematologist, College of Physicians, Academy of Medicine Singapore
Published: December 2022

Introduction: Novel oral anticoagulants (NOACs) have at least equivalent efficacy compared to standard anticoagulants with similar bleeding risk. Optimal management strategies for bleeding complications associated with NOACs are currently unestablished. Materials and Methods: A working group comprising haematologists and vascular medicine specialists representing the major institutions in Singapore was convened to produce this consensus recommendation. A Medline and EMBASE search was conducted for articles related to the 3 available NOACs (dabigatran, rivaroxaban, apixaban), bleeding and its management. Additional information was obtained from the product monographs and bibliographic search of articles identified. Results: The NOACs still has substantial interactions with a number of drugs for which concomitant administration should best be avoided. As they are renally excreted, albeit to different degrees, NOACs should not be prescribed to patients with creatinine clearance of <30 mLs/min. Meticulous consideration of risk versus benefits should be exercised before starting a patient on a NOAC. In patients presenting with bleeding, risk stratification of the severity of bleeding as well as identification of the source of bleeding should be performed. In life-threatening bleeds, recombinant activated factor VIIa and prothrombin complex may be considered although their effectiveness is currently unsupported by firm clinical evidence. The NOACs have varying effect on the prothrombin time and activated partial thromboplastin time which has to be interpreted with caution. Routine monitoring of drug level is not usually required. Conclusion: NOACs are an important advancement in antithrombotic management and careful patient selection and monitoring will permit optimisation of their potential and limit bleeding events.

Key words: Conversion, Drug interactions, Monitoring, Perioperative, Procoagulant agents
Observer-Reporter-Interpreter-Manager-Educator (ORIME) Framework to Guide Formative Assessment of Medical Students
Authors: Tham Kum Ying
Published: December 2022

The Observer-Reporter-Interpreter-Manager-Educator (ORIME) is adapted from RIME, an intuitive, self-explanatory and “synthetic” framework that assesses formatively, a student’s ability to synthesise knowledge, skills and attitude during a clinical encounter with a patient. The “O” refers to a student’s ability to pay attention and perceive with open-mindedness, people and events around him or her. The framework is suitable for definition of interim outcomes in a 5-year undergraduate programme. To align students’ and clinical teachers’ expectations further, selection of case complexity that is commensurate with student’s seniority and competence should be guided and an adapted version of the Minnesota Complexity Assessment Tool is proposed.

Key words: Case Complexity, Clinical Teaching, Undergraduate Medical Education
Quality of Care of Patients with Chronic Kidney Disease in National Healthcare Group Polyclinics from 2007 to 2011
Authors: Ang Gary Y , Heng Bee Hoon , Liew Adrian ST , Chong Phui Nah
Published: December 2022

Introduction: Chronic kidney disease (CKD) is a major public health problem where majority of patients are managed in the primary care. The major risk factors are advanced age, hypertension and diabetes mellitus, and risk factors control is paramount to prevent progression to CKD. The objective of the study is to describe the epidemiology and quality of care of patients with CKD stages 3 to 5 at National Healthcare Group Polyclinics (NHGP). Materials and Methods: The study was carried out using data from National Healthcare Group (NHG) Renal Registry. Patients were included if they were identified to have CKD based on ICD-9-CM codes and laboratory results. Results: Overall, the number of CKD patients increased more than 2 fold from 4734 in 2007 to 10,245 in 2011. In 2011, the majority belonged to stages 3A (39.6%) and 3B (37.6%), had hypertension (98.2%), dyslipidemia (97.2%) and diabetes mellitus (68.7%). From 2007 to 2011, among those with hypertension, the use of angiotensin converting enzyme (ACE) inhibitors and/or angiotensin receptor blockers increased from 78.4% to 84.1%, and the percentage with good systolic blood pressure control (<130 mmHg) improved from 18.7% to 36.3%. Among those with dyslipidemia, the use of statins increased from 81% to 87.1%, and the percentage of patients with low density lipoproteins (LDL) <2.6 mmol/L increased from 40% to 54.7%. However, among those with diabetes mellitus, mean glycated haemoglobin (HBA1c) increased from 7.4% to 7.6%, and the percentage of patients with HBA1c ≤7.0% decreased from 44.5% to 39.4%. Conclusion: The number of CKD patients in NHGP has increased significantly from 2007 to 2011 at an average annual rate of 21.3%. Majority of patients the study conducted in 2011 were in stage 3A and stage 3B. Blood pressure and LDL control are encouraging but glycaemic control can be further improved. Key words: Epidemiology, Nephrology, Primary care
Habituation Following Tinnitus Retraining Therapy in Tinnitus Sufferers
Authors: Thong Jiun Fong , Ibrahim Junaidah Binte , Wong Mee Ching , Chan Yew Meng
Published: December 2022

Introduction: This study evaluated the efficacy of tinnitus retraining therapy (TRT) in habituating patients with tinnitus. Materials and Methods: This is a retrospective review of patients who underwent TRT in a tertiary referral Otorhinolaryngology unit. Patients were followed up with structured interviews with the aid of questionnaire forms. Habituation following TRT was evaluated. Results: A total of 702 patients were included (55% male, 45% female). Habituation of reaction to tinnitus and habituation of perception were analysed. Average duration of follow up was 33 months. In total, 68% of patients described improvement in annoyance following TRT. Of these patients, 80% of them described habituation of perception as well. There was no statistical difference in gender and age between patients who did and did not respond to TRT. However, duration of treatment was significantly longer in patients who habituated (P <0.05). Patients who adopted treatment strategies recommended based on Jastreboff’s TRT categories were also found to have higher success rates compared to those who refused. Conclusion: The goal of TRT is to achieve habituation of reaction to tinnitus. Habituation of perception is often a secondary result of sufficiently habituated response. From our study, more than two thirds of patients with tinnitus achieved habituation of reaction and of these, the majority also habituated to awareness of the tinnitus.

Key words: Hearing loss, Hyperacusis, Treatment
Planlanmamış Gebeliklerin Yaşanma Sıklığı ve Beden İmajına Etkisi
Authors: BAYER Aslı , TAŞPINAR Ayten
Published: December 2022

Amaç: Bu araştırma planlanmamış gebeliklerin sıklığını ve beden imajına etkisini

belirlemek amacı ile yapılmıştır.

Yöntem: Araştırma, analitik kesitsel olarak Ekim 2019–Ekim 2020 tarihleri

arasında, bir kamu hastanesinde gerçekleştirilmiştir. Araştırmanın evrenini bu

hastanenin obstetri polikliniğine rutin izlem için başvuran gebeler, örneklemini

ise 300 gebe oluşturmuştur. Araştırma verileri “Gebe Bilgi Formu ve Beden Algısı

Ölçeği” ile toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler ki-kare, Fisher’s

Exact ve student t test kullanılmıştır.

Bulgular: Araştırmaya katılan gebelerin %30’unun gebeliğinin planlanmamış

olduğu saptanmıştır. Gebelerin yaşayan çocuk, gebelik, canlı doğum sayıları arttıkça

planlanmamış gebelik oranlarının arttığı, daha önce planlanmamış gebelik

yaşamanın ve gebelikten korunmak için geleneksel yöntemleri kullanmanın da

planlanmamış gebelik oranlarını artırdığı, yapılan istatistiksel analizde bu artışların

anlamlı olduğu saptanmıştır (p0.05). Gebelerin Beden Algısı Ölçeği puan ortalaması 148.24±23.92,

planlayarak gebe kalanların 148.50±21.83 ve planlamadan gebe kalanların ise

147.63±28.32 olup gebeliğin planlanmamış olmasının gebelerin beden imajlarını

etkilemediği bulunmuştur (p=0.775).

Sonuçlar ve Öneriler: Bu çalışmada gebelerin üçte birinin gebeliklerinin

planlanmamış olduğu, gebelerin beden imaj algılarının orta düzeyde olduğu ve

planlanmamış gebeliklerin gebelerin beden imajlarını etkilemediği bulunmuştur.

Çiftlere, aile planlaması ve üreme sağlığı konularında eğitim ve danışmanlık hizmetlerinin

prekonsepsiyonel dönemden başlamak üzere verilmesi ve mevcut hizmetlerin

gözden geçirilmesi önerilebilir.
EBEVEYNLERİN AĞRISI OLAN ÇOCUĞA YAKLAŞIMLARI
Authors: GÜDEK SEFEROĞLU Emine , DEĞİRMEN Nuriye , GÜROL Ayşe
Published: December 2022

Amaç: Ebeveynlerin ağrısı olan çocuklarına yaptıkları uygulamaları belirlemek amacıyla yapıldı.

Yöntem: Tanımlayıcı tipte olan araştırma bir üniversite hastanesinin çocuk kliniklerinde tedavi gören çocukların ebeveynleri ile yapıldı (n=207). Veriler, sosyo-demografik özellikler ile çocuğun ağrısı durumunda ebeveynin yaptığı uygulamaları belirlemeyi amaçlayan anket formu kullanılarak toplandı. Verilerin analizinde sayı, yüzdelik ve ki-kare testi kullanıldı.

Bulgular: Çocukların en sık yaşadığı ağrı deneyiminin boğaz ve karın ağrısı olduğu belirlendi. Ebeveynlerin %25.3’ü çocuklarının boğaz ağrısı olduğunda doktora götürdüklerini, %39.3’ü ilaç, %59.3’ü bitki çayları, %19.3’ü ballı karışımlar kullandıklarını belirtmişlerdir. Ebeveynlerin %13.6’sı çocuklarının karın ağrısı olduğunda doktora götürdüklerini, %18.8’i ilaç, %65.8’i karına masaj, %36.8’i bitki çayları, %38.1’i sıcak uygulama yöntemlerini uyguladıklarını bildirmişlerdir. Ebeveynler çocuklarının ağrısı olduğunda ilaç dışı yöntemler olarak en sık dua okuma, masaj yapma ve ilgisini çekecek konulardan konuşmayı; en az kullanılan yöntemler olarak ise nefes alma egzersizleri, soğuk uygulama ve müzik dinletmeyi uyguladıklarını ifade etti. Ailenin gelir düzeyi, tipi ve yaşadığı yerin ilaç dışı yöntem kullanma durumunda etkili olduğu saptandı (p
JOB-RELATED STRESS AMONG LIBYAN NURSES IN OPERATING-ROOM MISURATA NATIONAL CANCER INSTITUTE: AN ASSESSMENT BASIS
Authors: ALHAMROSH Fatima , MUSTAFA Ayman , TAŞCI Bahtınur
Published: December 2022

Aim: In this the job-related stress among Libyan nurses working at the operating room in Misurata National Cancer Institute and explored the occupational stressors in terms of frequency and severity.

Method: The retrospective study was carried out on Libyan nurses, who work in the operating room at Misurata National Cancer Institute. The researcher used purposive sampling wherein all Libyan nurses who had been working as nurses in the operating room in Misurata National Cancer Institute have been defined as participants. There were 14 Libyan Nurses currently working at Misurata Cancer Institute, and all respondents participated.

Results: The occupational stressors have appeared with the most frequent level to be “Workload”, while much severity level of occupational stressors, appears to be “Conflict with other nurses” followed by “workload” and “Insufficient preparation”. The much frequency occurred for occupational stressors item, which appears to be “Lack of medications and equipment, which required for nursing care”, and yet the much occupational stressors severity item appears to be “Conflict with supervisor”, followed by “Performing procedures that patients experience as painful” and “Criticism by a physician” and last item “feeling helpless regarding a patient who had failed to improve”.

Conclusions and Suggestions: From these findings conclude that Libyan nurses required much attention to deal with their social and psychological conditions. This should provide a suitable pathway and help in designing effective stress management systems, that improve the stress level of nurses and thus enable them to provide gentleness patient care.
EBELİK BÖLÜMÜ ÖĞRENCİLERİNİN ZORUNLU GÖÇLE GELEN BİREYLERE YÖNELİK ELEŞTİREL DÜŞÜNME EĞİLİMLERİNİN İNCELENMESİ
Authors: BAL Sümeyye , KOÇ Emine
Published: December 2022

Amaç: Bu çalışmada, transkültürel bakım dersi alan ve almayan öğrencilerin zorunlu göçle gelen bireylere yönelik düşüncelerindeki değişimin değerlendirilmesi amaçlanmıştır.

Yöntem: Araştırma, eğitim müdahale çalışmasıdır. Transkültürel bakım dersi kapsamında transkültürel sağlık kavramları, kültürlerarası ebelik kavramı ve ebelik eğitiminde transkültürel yaklaşımlar, etik karar verme ve transkültürel değerler gibi konular öğrenciye verilmektedir. Online olarak haftada 2 saat, dönem boyunca toplamda 14 hafta bu ders aktarımı yapılmıştır. Çalışmanın verileri, araştırmacılar tarafından oluşturulan “Sosyodemografik Bilgi Formu ve Eleştirel Düşünme Eğilim Ölçeği” kullanılarak Google form aracılığı ile toplanılmıştır. Verilerin tanımlayıcı analizleri Kolmogorov Smirnov, ortalama ± standart sapma, Mann-Whitney U testi ile yapılmış, anlamlılık düzeyi p
NÖBET SİSTEMİYLE ÇALIŞAN HEMŞİRELERİN UYKU DÜZENİNİN BESLENME DURUMUNA ETKİSİ
Authors: UZDİL Zeynep , KAYA Seda
Published: December 2022

Amaç: Bu araştırma, nöbet sistemiyle çalışan hemşirelerin uyku kalitesi ile beslenme durumunun (beslenme alışkanlıkları, boy uzunluğu ve vücut ağırlığı, sağlıklı beslenmeye ilişkin tutumları) değerlendirilmesi amacıyla yapılmıştır.

Yöntem: Çalışma, online anket yoluyla nöbet sistemi şeklinde çalışan 454 gönüllü hemşirenin katılımıyla gerçekleştirilmiştir. Veriler; anket formu, Pittsburgh Uyku Kalite İndeksi (PUKİ) ve Sağlıklı Beslenmeye İlişkin Tutum Ölçeği (SBİTÖ) aracılığıyla toplanmıştır.

Bulgular: Araştırmaya katılan hemşirelerin yaş ortalaması 29.7±7.7 yıl, beden kütle indeksi ortalaması 24.1±4.0 kg/m2'dir. Ortalama uyku kalite skoru 11.1±2.5 puan ve SBİTÖ skoru 72.5±10.1 puandır. İdeal düzeyde yüksek sağlıklı beslenmeye ilişkin tutumları olanların toplam PUKİ puanı, yüksek olanlara göre anlamlı derecede daha düşüktür. PUKİ puanı yüksek olan hemşirelerin nöbette öğün atladığı, öğünlerini atıştırarak tükettiği ve uykusunu yeterince almadığı saptanmıştır. Total PUKİ skorları ile yaş, nöbet sayısı, nöbette çay-kahve tüketimi arasında pozitif, SBİTÖ ile negatif ve zayıf korelasyon bulunmuştur.

Sonuçlar ve Öneriler: Nöbet sistemiyle çalışmaya bağlı olarak yemek yeme ve uyku saatindeki değişiklikler hemşirelerin beslenme durumunu, uyku kalitesini ve biyolojik saatini olumsuz etkilemektedir. Bu bulguların, vardiyalı çalışmanın neden olduğu sağlığı olumsuz etkileyen faktörleri önlemeye yönelik yeni stratejilerin geliştirilmesi için önemli etkileri vardır. Bu stratejiler arasında nöbet sistemi ile çalışan sağlık çalışanlarına yeterli ve dengeli beslenme eğitimleri yer alabilir.
ET VE ET ÜRÜNLERİNDE TERMAL OLMAYAN TEKNİKLER
Authors: ÇAPAN Berna , BAĞDATLI Aytunga
Published: December 2022

Geleneksel gıda muhafaza yöntemleri, mikrobiyal yükün azaltılmasında ve gıda kalitesinin korunmasında çeşitli dezavantajlar ile sınırlamalar göstermektedir. Termal olmayan teknikler fizikokimyasal, besinsel ve duyusal değişiklikleri minimuma indirerek et ve et ürünlerinde raf ömrünü arttırmak için alternatif yöntemler olarak kabul edilebilmektedir. Aynı zamanda bu yöntemlerin kombine uygulamasının da, gıda endüstrisinde potansiyel bir alternatif olabileceği düşünülmektedir. Bu nedenle bu derleme çalışmasında et ve et ürünlerinde ürün kalitesini iyileştirme ve verimi arttırma potansiteli olan vurgulu elektrik alan, vurgulu (atımlı) ışık, ultrases uygulamaları ele alınmaktadır.
Tungiasis: An Underdiagnosed Problem
Authors:   Universidad Autónoma de Guadalajara. Guadalajara, Jalisco, México., Campollo María de Lourdes Ochoa
Published: December 2022

Tungiasis is a cutaneous ectoparasitosis caused by the flea parasite Tunga penetrans, prevalent in South America, the Caribbean, and sub-Saharan Africa. Clinically it is characterized by the formation of single or multiple papules with a translucent whitish halo and a brownish-black central region, frequently located on the feet. The lesions may present with itching or mild pain, with bacterial superinfection being the most frequent complication. The diagnosis was made based on the clinical characteristics of the lesions in a patient from endemic areas. The treatment of choice is surgical removal of the flea followed using topical antimicrobials and tetanus vaccination. Prevention is essential with the use of closed footwear and repellents.
Experience of surgical management of rare cases of choledochal cyst in last five years—tertiary care reflection
Authors: Mohammad Sohail Asghar  , Sabir Zainab , Zaman Balakh Sher , Zafarullah Sadaf , Hafiz Syed Zaigham Ali Shah  , Aslam Imran , Afzal Ameer
Published: December 2022

Choledochal Cyst (CC), also known as the biliary cyst, is one of the rare inherited anomalies of intrahepatic and/or extrahepatic biliary system characterised by varying degrees of cystic dilatation of the biliary tract without acute obstruction. The prevalence ranges from 1 in 13,000 people to 1 in 2 million people with preponderance in Asia (1), particularly in Japan. Moreover, the presentation also varies in children and adults, and is usually vaguer and non-specific in adults. The prevalence is even lower in males, with female to male ratio being 3:1-4:1 (2). We present here three cases of adult choledochal cysts excised in our surgical unit in the last five years. We discuss the aetiopathogenesis, presentation, diagnosis, surgical treatment, and complications of choledochal cysts based on the available literature.
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Influence of Strategic Leadership on Financial Sustainability of NGOs in Kenya
Authors: Kimani John Githii
Published: December 2022

Purpose: Strategic leadership is capability of the leadership to keep on reinventing motives for the organization’s sustained presence. The leader must have the ability to focus on the organization’s operational activities and at the same time monitor the changes that affect the organization, both internally and externally. Such changes are bound to determine the existence of the organization in the future and they are prospects to grow the firm. The purpose of this study is to evaluate the influence of strategic leadership on financial sustainability of NGOs in Kenya.

Methodology: A desktop literature review was used for this purpose. Relevant seminal references and journal articles for the study were identified using Google Scholar. The inclusion criteria entailed papers that were not over 10 years old.

Findings: Strategic leadership requires expertise in managing both internal and external business environment and engage in a complex information processing. Strategic leadership is not only concerned with the possession of unique abilities that allows for the absorption and learning of new information and ideas, but having the adaptive capacity to appropriately respond to the dynamism and complexity of the external environment. Strategic leadership actions significantly influence performance. The study concludes that there is a positive relationship between the use of strategic planning and organizational performance in today’s corporate environment.

Unique Contribution to Theory, Policy and Practice: The researcher recommended that balanced organizational controls should be effectively applied to realize good performance. The findings also recommended NGOs leaders should use the strategic leadership well since they are likely to improve their organizational performance significantly.
Integration of Clinical Trial and Real-World Data: A Case Study Examination of CDISC Standards
Authors: Sniadecki Jennifer , Lucey Kathy , Shiu Dan
Published: December 2022

Introduction: Harmonizing clinical trial data for regulatory or scientific needs is a challenging endeavor that requires careful planning. The introduction of real-world data (RWD) to the integration effort adds complexity as RWD may not adhere to consistent data standards. Objective: The principal goal of this case study was to assess and demonstrate the use of CDISC standards for a fully harmonized dataset combining clinical trial and RWD to support future pooled analysis and data mining activities. Methods: Thirteen studies representing different sponsors and phases, including one ongoing study, were integrated at both the Study Data Tabulation Model (SDTM) level and the Analysis Data Model (ADaM) level. Individual study SDTM datasets were the source of the SDTM integration, and these integrated SDTM datasets were used as the source for the ADaM integration.Results: Sixteen SDTM datasets and 22 ADaM datasets were generated and contain data for over 1,000 rare disease subjects across two different therapeutic areas. Seventeen percent (n = 170) of subjects participated in more than one integrated study, and 71% of subjects are currently enrolled in an ongoing Disease Monitoring Program. Conclusion: CDISC Controlled terminology is an essential tool in standardizing data collected in real-world settings by disparate methods. However, CDISC metadata standards, which originate from a single-study perspective, can be restrictive in an integrated setting. For studies collecting continuous data streams (e.g., wearable devices), additional direction is needed for how much data to collect, store, and present. 
HAFIZLIK EĞİTİMİNDE BİLİŞSEL HAZIRBULUNUŞLUK
Authors: Osmanoğlu Cemil
Published: December 2022

Türkiye’de hafızlık eğitimi verilen kurumların sayısı artmaktadır. Bu süreçte örgün eğitimle birlikte hafızlık gibi farklı modeller de denenmektedir. Özellikle ortaokul düzeyinde, örgün eğitimle birlikte hafızlık uygulamasının işlerlik kazandığı görülmektedir. Hazırlık, ezberleme ve pekiştirme şeklinde üç aşamadan oluşan hafızlık eğitiminde hazırlık süreci, hafızlık eğitimi için gerekli bilişsel donanımın kazandırıldığı, ön öğrenme ve hazırbulunuşluk düzeyinin yapılandırıldığı bir aşamadır. İlgi, ezberleme, dikkat, problem çözme, motivasyon gibi yapısal unsurlar içeren bilişsel hazırbulunuşluk, okul öncesinden itibaren gelişen zihinsel örüntünün öğrenme ortamına aktarılmış halidir. Hazırbulunuşluk olgusunun bir çeşidi olan bilişsel hazırbulunuşluk öğrenme faaliyetine girerken gerekli olan temel bilgilerin yanında temel zihinsel becerileri de içermektedir. Bilişsel hazırbulunuşluk yeterli olunduğunda öğrenmelerin niteliği artmaktadır. Bilişsel hazırbulunuşluğun yetersiz olması öğrenme sürecinde ciddi sorunlar ortaya çıkarmaktadır. Hafızlık eğitiminde de bilişsel hazırbulunuşluk önemlidir. Hafızlık eğitimi öncesinde gelişen bilişsel örüntü, hafızlığa hazırlık eğitiminde daha da şekillenmekte, bu eğitimde kazanılan temel bilgi ve beceriler ile hafızlık eğitime başlanılmaktadır. Bilişsel hazırbulunuşluk koşullarına dikkat etmeme sonucunda birçok öğrencinin hafızlık yapmaya istekli olmasına rağmen bu eğitimi başarıyla tamamlayamamaktadır. Bu çalışmada hafızlığa hazırlık eğitimi, okul öncesi aşamadaki temel önkoşul öğrenmelere de atıfla, bilişsel hazırbulunuşluk olgusu açısından değerlendirilmiştir.
An Analysis of Career Intervention Priorities for the Career Competency Development of University Students Majoring in Tourism
Authors:   The Korean Career·Entrepreneurship & Business Association, Kim Bo-Kyung , Kim Mi-Kyung
Published: December 2022

The purpose of this study is to examine how to intervene with career paths systematically for career guidance targeting students by examining the importance and order of priority of areas for career intervention stressed in the perspectives of undergraduates of tourism and career guides.
To address the goal, this author conducted an AHP-based survey on opinions. The subjects of this study were restricted to juniors and seniors of tourism attending universities in Daegu or Gyeongbuk and also professors of the major and career/employment-related guides in the universities.
According to the findings, two groups, students and career guides, chose the factors of career competence enhancement and career skills management as the most important ones in comparison while career counseling-related factors were found to be the least important. Also, the group of career guides selected the factors of career intervention networks as crucial factors whereas the group of students evaluated the factors of career exploration relatively more importantly, which shows a gap between the two groups.
This study will provide foundational material for universities having roles for manpower cultivation so that they can develop the curriculum based on not only social demand but students' needs and have opportunity to design and operate programs for career and employment connection in order to improve the process that undergraduates of hotels or tourism make decisions about their career paths or employment.
A (in)flexibilização curricular via reforma do ensino médio no Brasil
Authors: De Vicente Vinicius Renan Rigolin , Moreira Jani Alves da Silva , Vale Cassio
Published: December 2022

Com a aprovação da Lei nº 13.415/2017, desencadeou-se a continuidade de uma reforma do Ensino Médio, com base em uma proposta curricular que prevê autonomia e escolhas flexíveis para os alunos, de acordo com seus respectivos projetos de vida. Por meio da pesquisa bibliográfica e documental, este trabalho objetiva analisar as nuances em torno da flexibilidade curricular presente na reforma do Ensino Médio. O conjunto das análises teve como categoria central a flexibilização, que é uma categoria política própria do sistema capitalista e do mundo do trabalho, a qual aumenta as desigualdades sociais, porém discursa sobre uma falaciosa igualdade de poder de negociação. A respeito dessa categoria, identificou-se que, no caso da reforma do Ensino Médio, a flexibilização é utilizada para sustentar um discurso de autonomia, transparência e igualdade entre os alunos. Os resultados evidenciam que a atual reforma do Ensino Médio está em consonância com um projeto de sociedade imposto e inflexível, por meio de um currículo que dá poucas condições materiais de proposição aos sistemas de educação, impondo itinerários aos alunos do Ensino Médio brasileiro. Além disso, a reforma em curso de implantação no Brasil reduz as possibilidades de que os sistemas de educação possam adequar os currículos às demandas locais.
Araújo e Sá, Maria Helena & Maciel, Carla Maria Ataíde. Interculturalidade e Plurilinguismo nos Discursos e Práticas de Educação e Formação em Contextos Pós-Coloniais de Língua Portuguesa. Bruxelas: Peter Lang, 2021, 418 p.
Authors: Souza Sweder , Del Olmo Francisco
Published: December 2022

Resenha do livro: Interculturalidade e Plurilinguismo nos Discursos e Práticas de Educação e Formação em Contextos Pós-Coloniais de Língua Portuguesa.
Tra&Co Group (Ed.). Translation, Interpreting, Cognition: The Way out of the Box. Berlin: Language Science Press, 2021, 193 p.
Authors: Parente Hélio , Rildo Reis da Silva José
Published: December 2022

Resenha do livro: Translation, Interpreting and Cognition - The Way Out of the Box
Atenção ao pré-natal em tempos de pandemia da COVID-19: um relato de experiência
Authors: Da Cunha Cassandra santos , Araújo Moreira Michelle , Silva Oliveira Dandara , Marinho Souza Jovita Carolina
Published: December 2022

Objetivo: Relatar a experiência com a atenção ao pré-natal realizada em uma Unidade de Saúde da Família (USF) de um município no Sul da Bahia em tempos da pandemia da COVID-19. Síntese dos dados: Trata-se de um estudo do tipo relato de experiência que ocorreu em uma USF localizada em um município no Sul da Bahia, entre os meses de abril a julho de 2020. Com a pandemia, a demanda da unidade se modificou e o fluxo de atendimento passou por reorganização. As gestantes passaram a ser acolhidas pelos ACS, houve várias ações dos residentes, alterou-se a rotina das consultas, a presença do acompanhante precisou ser limitada, bem como se desenvolveram ações de educação em saúde bucal e para o cuidado da mãe do recémnascido. Conclusão: A atenção ao pré-natal sofreu modificações importantes e a atuação dos residentes junto à equipe da unidade possibilitou maior atuação interprofissional, além de ser fundamental para o cuidado integral às grávidas.
“Gentiles by Nature,” 1566–1626
Authors: Staggs Stephen T.
Published: December 2022

Chapter one examines the influences upon Johannes van Mecklenberg
(Megapolensis). Born in 1603, Megapolensis came of age when Dutch
Reformed theologians looked to the Bible to incorporate Native Americans
into a Reformed worldview. In so doing, they characterized Indians as
blind Gentiles to whom the Dutch were being called, by God, to present
the gospel through the preaching of the Bible and the Christian conduct
of colonists, which of course necessitated social interaction. This
characterization ultimately informed the instructions given to those
heading to New Netherland, raised expectations among the clergy and
lay chaplains who served in the colony, and prefigured the reciprocal,
intimate relationships that developed between Native Americans and
New Netherlanders in the Northeastern Woodlands.
“Who Gave Jacob for a Spoil and Israel
to the Robbers?” 1660–1664
Authors: Staggs Stephen T.
Published: December 2022

Chapter five opens with the arrival of two new Dutch Reformed pastors
in New Netherland in 1660 and closes with the conclusion of peace with
the Esopus Indians in 1664. Although armed with the Testaments in
nine volumes and letters that underscored the fact that the directors
of the Amsterdam Chamber of the West India Company still hoped to
harvest both commercial and spiritual fruit in North America, there is
no evidence to suggest that the pastors in and around New Amsterdam
carried on any significant missionary activity among neighboring Native
American communities during this period. This was due, in part, to the
shortage of ministers and the deterioration of Esopus–Dutch relations.
“A Gentile Woman, Karanondo, … Now
Called Lidia,” 1664–1750
Authors: Staggs Stephen T.
Published: December 2022

The final chapter surveys the eighty-six years following the surrender of
New Netherland to the English in 1664. A close study of the records of the
Dutch Reformed Church (DRC) reveals that by 1698 approximately 8% of
the adult Kanien’kehá:ka (Mohawk) population had become communicant
members, which was no small feat given the literate nature of Protestantism
and the systematic process of conversion demanded of those making
profession of faith. These professions were certainly a result of groundwork
laid by the Kanien’kehá:ka and New Netherlanders like Megapolensis who
established personal relationships with one another. By 1754, at least 368
Indians had been baptized; the vast majority of whom were babies born
to the Indian communicant members of the DRC.
Landscape and Autography
Authors: Sancho Lobis Victoria
Published: December 2022

Departing from the famed “Lugt Group” of early landscape drawings created
by Pieter Bruegel the Elder, his son Jan Brueghel the Elder, and other Bruegel
followers, this essay considers the special relationship between the increasingly
independent landscape genre and the acceptance of drawings as objects worthy
of preservation. This essay provides an exploration of how landscape subjects lent
themselves to the development of drawn autography in the early modern era, and
it will argue that the site of landscape drawing often served to register the artist’s
individual style rather than simply to document his or her powers of observation.
A Natural History in Stone: Medusa’s
Unruly Gaze on bardiglio grigio
Authors: Zierholz Steffen
Published: December 2022

This essay deals with a little-known seventeenth-century painting on stone in the
Palazzo Borromeo on the Isola Bella in Lake Maggiore. The painting, executed
by an unknown artist, shows the Ovidian myth of Perseus transforming Atlas
into a mountain by means of Medusa’s gaze. The artist employed the mineral
support not primarily to visualize a poetics of transformation. Rather, he was
exploiting highly specialized geological and mineralogical knowledge, in order
to craft a historia naturalis. The essay will focus on how the artist explored
the aesthetic qualities of the stone support, providing the viewer with insights
about nature’s petrifying agency, the formation of fossils, and the phenomenon
of “middle nature.”
The Interactive Letter : Co-Authorship
and Interactive Media in Emily Short’s
First Draft of the Revolution
Authors: Ng Jenna
Published: December 2022

This chapter discusses the writing and transmitting of letters in Emily Short’s
2012 interactive epistolary work, First Draft of the Revolution. It argues how
interactivity commentates on the letter’s processes of becoming, specifically
through the reader as co-author in a triangulation of reading, writing, and
interactivity. This triangulation upends epistolary confidentiality and the
tension between private and public in terms of the writing process. The
chapter also examines the letter’s crossing of space and time in how its
transmission contributes to its meaning as a communication medium.
Through this two-pronged exploration of ‘epistolary interactivity’, the chapter
interrogates the nature of media itself, and how interactivity shapes letters
as media in terms of being, becoming, change, and potential for change.
Civil War Epistolary and the
Hollywood War Film
Authors: Trafton John
Published: December 2022

This chapter explores the concept of ‘soldier-as-witness’. Following a
brief history of the influence of epistolary traditions in war films from
early film to the present, noting the shift from letter correspondence as
‘an enduring genre code of the war film’ pre-sound, to the domination of
soldier testimony through voice-over after sound, it argues that epistolary
accounts create a more informed narration and affect the emotional
content of war films. Finally, through an analysis of the documentary
film, Restrepo (Tim Hetherington, Sebastian Junger, 2010), the chapter
considers the soldier narrative as a counter to war reporting, leveraging
epistolary testimonies and creating authentic ‘microhistories’ to supplement
the visual coding of war.
Epistolarity and Decolonial Aesthetics
in Carola Grahn’s Look Who’s Talking
(2016)
Authors: Sprengler Christine
Published: December 2022

This chapter explores how Sámi artist Carola Grahn’s silent video, Look
Who’s Talking (2016), creatively intervenes in newer digital epistolary
formats to recalibrate them for a decolonizing project. Specifically, I
attend to how Grahn mobilizes ‘epistolarity’, to borrow Hamid Naficy’s
term, in ways that subvert colonial image histories, practices, and gazes. I
also analyse the implications of how this epistolarity is, as Naficy argues,
‘produced under erasure’, in this case, the systemic erasure of Indigenous
languages across the globe as mandated by state-sanctioned ‘educational’
institutions. To conclude, I consider the significance of Look Who’s Talking’s
exhibitionary context (Among All These Tundras, 2018–2019) and,
in particular, its dialogic relation to works by other Indigenous artists of
the circumpolar north.
Cuerpos, racismos y ensamblajes
Authors:   Institució Milà i Fontanals d’Investigació en Humanitats (CSIC), Barcelona, España, Martí Josep
Published: December 2022

No es rara la exhibición pública de cuerpos momificados en museos u otros tipos de instalaciones, algo que, por diversas razones, es objeto de justificadas controversias. El característico modelo dicotómico de Occidente siempre ha entendido las cosas y a las personas en relación de oposición. Por una parte, el mundo de la materia inerte y por la otra el de los seres vivos. Uno de los aspectos que resulta interesante de esta distinción es que el cuerpo, entendido como res extensa por el cartesianismo ha quedado entre estos dos polos y asume fácilmente la categoría de objeto, como en el caso de los cadáveres o de los fragmentos corporales. En no pocas ocasiones, la exhibición de restos humanos tiene que ver con la práctica del racismo. En este artículo, me sirvo de la noción deleuziana de ensamblaje para analizar la centralidad que posee el cuerpo en la problemática del racismo. A lo largo del texto presto una especial atención al caso del cuerpo disecado de un africano que, con la denominación de El Negro, estuvo expuesto en un pequeño museo naturalista de la ciudad catalana de Banyoles durante casi todo el siglo XX. El caso de El Negro, que en los años 90 obtuvo repercusión mediática a escala internacional hasta que se consiguió su retirada del museo y la devolución de los restos del cuerpo a Botswana, puede entenderse dentro de una enmarañada red de ensamblajes en los que, además del racismo, hay que contar con otros como el de la museística, sentimientos identitarios locales y el panafricanismo.
Interculturalidad e indigenización de la modernidad: una mirada desde el Ecuador amazónico
Authors:   University of Illinois, Urbana-Champaign, Illinois USA, Whitten, Jr. Norman E.
Published: December 2022

Después de introducir la historia y la topografía del “bosque de Canelos”, me enfoco en el tratamiento del tema central de este ensayo, la indigenización de la modernidad. Luego, ilustro la cosmología mítica para orientar al lector a considerar las perspectivas propias de los Canelos Quichua amazónicos sobre una topografía cultural. Evidenciamos las relaciones en el idioma, la cultura e, inclusive la topografía, entre las tierras bajas y las tierras altas mientras exploramos la cultura, la interculturalidad, y abordamos la etnogénesis en el pensamiento indígena y en el retrato histórico escrito. Apuntando la existencia de una estructura indígena de coyuntura, abordo la “distorsión epistémica” de varios sectores académicos y procuro combatirla a partir del estudio de Sahlins (2000) y Uzendoski (2005b).La indigenización de la modernidad tiene claramente referencias milenarias (Whitten, 2003) siendo lo milenario una matáfora inglesa que refiere al concepto quichua de pachacutij (Uzendoski 2005b), entendido como: “el retorno del espacio-tiempo (cronotopo) de un pasado próspero a un futuro próspero” (Whitten, 2003). Así mismo, el entrelazamiento de la modernidad y su indigenización, la génesis de modernidades alternativas y cultura emergente están presentes en una miríada de sistemas interculturales. Se espera que un número creciente de etnógrafos, conjuntamente con historiadores, lingüistas y portavoces del occidente que quieren apropiarse de modos de vida modernos a través de sistemas indígenas contrahegemónicos y de transformación profunda.
El saber propio como emancipación. El yachay tinkuy entre sociología y movimiento indígena en el Ecuador
Authors:   Universidad Central del Ecuador, Altmann Philipp
Published: December 2022

La sociología académica en el Ecuador es, desde comienzos del siglo XX, productora de conocimiento legítimo sobre la sociedad. Este conocimiento parte de una concepción previa que refuerza mecanismos de exclusión. Lo indígena es entendido en términos de racialización hegemónica, lo cual lleva a que la población indígena sea considerada como necesitada de protección paternalista y, en consecuencia, el movimiento indígena sea invisibilizado. Con ello, se ignora el yachay tinkuy o confrontación de saberes desde el movimiento indígena que no solo presenta demandas políticas sino un conocimiento propio que incluye una relectura de lo indígena en sus propios términos. Por razones estructurales, la sociología académica ecuatoriana no fue capaz de entrar en el yachay tinkuy y por ello siguió reproduciendo la invisibilización de movimientos y poblaciones indígenas. Este texto compara el desarrollo de la conceptualización de lo indígena en la sociología ecuatoriana y en el movimiento indígena a partir de textos claves. Para ello, se enfoca en la racialización hegemónica de lo indígena en la sociología y su desarrollo y en la respuesta que el movimiento indígena en tanto productor de conocimiento propone.
Republicanas negras ante el racismo: Cuba y Ecuador
Authors:   Universidad Central del Ecuador, Figueroa Pérez José Antonio
Published: December 2022

Este artículo busca contribuir a resaltar las voces de las mujeres negras en el contexto de dos eventos que muestran la profundidad del racismo en Latinoamérica: la masacre del Partido Independiente de Color ocurrida en Cuba en 1912 y la Guerra afroesmeraldeña que tuvo lugar en Ecuador entre 1913 y 1916. Las voces de las mujeres afrodescendientes son reconocidas como contribuciones fundamentales del republicanismo y del humanismo negro que se oponen a los legados de la esclavitud así como al racismo.
ТЕОРЕТИЧНІ ЗАСАДИ ДОСЛІДЖЕННЯ ФЕНОМЕНУ СЕЛФІ В ПСИХОЛОГІЧНІЙ НАУЦІ
Authors: Купчишина Валентина Чеславівна
Published: December 2022

У статті презентовано результати аналізу наукової джерельної бази щодо історії виникнення феномену селфі та його змісту, наукові підходи до його вивчення. Підкреслено, що зазначений феномен не одноразово був обраний предметом вивчення як вітчизняних, так і закордонних дослідників. Під поняттям «селфі» науковці розуміють зроблений суб’єктом фотознімок самого себе, спільно з певною особою (або твариною) або групою осіб за допомогою фотокамери, на відстані витянутої руки (або через дзеркало), як правило, в момент емоційно-значущої події або ситуації, і представлені на огляд в умовах інтернет-простору з метою самопрезентації та самопізнання, за допомогою отримання соціальної думки (оцінки) про себе. Зазначено, що поширення феномену селфі набуває стрімких обертів і причин для цього є достатньо (візуальні комунікації; нескінчена еволюція нарцисизму; людина як медіа; прагнення до саморедагування; гуманізація техології тощо). Діагностичним інструментарієм дослідження зазначеного явища слугують такі методики як: багатовимірний опитувальник дослідження самоставлення (С. Пантілєєв); тест-опитувальник для визначення рівня самооцінки (С. Ковальов); тест оцінки нарцисизму (F.-W. Deneke і B. Hilgenstock, адаптована Н. Залуцкою, А. Вукс); методики «Діагностика особистісного егоцентризму» (Н. Фетіскін, Г. Мануйлов, В. Козлов) та ін. Автором представлено погляди наукової спільноти до феномену селфі та його вплив на психічне здоров’я особистості. Визначено, що поряд з позитивними моментами (отримання приємних спогадів, додаткової уваги з боку інших людей, позитивне сприйняття себе та креативність у передачі інформації, саморозвитком, самопрезентацією, розширенням кола спілкування), дослідники виділяють цілу низку негативних моментів (відхід від реального світу, поверхневе сприйняття реальності, втеча від самотності тощо). Нажаль, констатують вчені, за останній час набули широкого поширення такі негативні явища як селфі-залежність, кібербулінг, лайкінг, але при цьому вони зауважують, що помірне використання селфі може дати шанс людині в її розвитку як особистості, фахівця, а надмірне захоплення може стати причиною багатьох проблем зі здоров’ям.
ОСОБЛИВОСТІ СИСТЕМИ САМОРОЗВИТКУ ЯК СКЛАДОВОЇ УПРАВЛІНСЬКОЇ КАР’ЄРИ МЕНЕДЖЕРІВ ОСВІТИ (на прикладі Державного закладу «Південноукраїнський національний педагогічний університет імені К. Д. Ушинського»)
Authors: Пивоварчик Ірина Михайлівна
Published: December 2022

Робота присвячена вивченню системи саморозвитку як складової управлінської кар’єри менеджерів освіти на прикладі Державного закладу «Південноукраїнський національний педагогічний університет імені К.Д.Ушинського». Показано підвищення вимог до менеджерських кадрів у зв’язку з такими рисами сучасного управління як нестабільність, непередбачуваність, непрогнозованість та збільшення складності в освітній галузі через постійне та різнорівневе реформування. Зазначено, що саморозвиток на сьогодні, повинен стати повсякденною практикою та складовою управлінської кар’єри менеджера освіти. Досліджено наукові підходи щодо виявлення сутності базових понять саморозвитку менеджера освіти, що визначається як свідома самопізнавальна та самопроєктувальна діяльність, спрямована на вдосконалення своєї особистості, відповідно до вимог професії в освітньому середовищі закладу освіти, та самореалізація себе як особистості в тій соціальній сфері діяльності, яка визначає професію. Зазначено, що саморозвиток менеджера освіти − це свідома діяльність, спрямована на удосконалення своєї особистості відповідно до вимог професії, а, отже, зорієнтована на підвищення якості управлінської діяльності. Проаналізовано основні характеристики концептуальних складових саморозвитку менеджера освіти, серед яких: самовиховання, самопізнання, самоосвіта, самовизначення та самореалізація. Всі вони є взаємозумовленими і завжди проявляються у взаємодії як комплекс рушійних сил розвитку особистості. Впливаючи на одну з них – ми можемо поглиблювати результати і в інших, проте найвищою формою їх взаємовпливу є самореалізація. Результати емпіричного дослідження дозволили дійти висновку, що існуючий в Університеті комплекс організаційно-педагогічних умов праці має як позитивні, так і негативні впливи на саморозвиток кадрового складу, зокрема менеджерів освіти. До ресурсів можемо віднести потужний кадровий потенціал, що має значні наукові, професійні надбання та глибокий практичний досвід, розуміння значущості саморозвитку в професійній діяльності та готовність до змін, ініціативність співробітників. До питань, що викликають найбільше занепокоєння, можна віднести питання матеріально-технічного забезпечення, створення умов щодо саморозвитку, покращення взаємодії та підвищення кваліфікації, що вказує на зону розвитку Університету.
ВИКЛИКИ РЕФОРМУВАННЯ СИСТЕМИ ПУБЛІЧНОГО УПРАВЛІЯННЯ У СФЕРІ ЗАХИСТУ ПЕРСОНАЛЬНИХ ДАНИХ В УКРАЇНІ
Authors: Городиський Іван Михайлович
Published: December 2022

У статті розглядаються проблеми становлення і розвитку механізмів публічного управління в сфері захисту персональних даних в Україні. Проаналізовано міжнародні стандарти створення та діяльності таких органів, наведено вимоги, які вони встановлюють на національному рівні. У статті розглядаються проблеми становлення і розвитку механізмів публічного управління в сфері захисту персональних даних в Україні. Проведено дослідження проблем діяльності та правового статусу Державної служби із захисту персональних даних, наведено причини, які обґрунтовували її невідповідність чинним міжнародним стандартам та вимогам Європейського Союзу. Наголошено, що передача функцій інституційного механізму у цій сфері до Уповноваженого Верховної Ради з прав людини та Секретаріату Уповноваженого дозволила суттєво покращити ситуацію, але і цей формат має цілу низку недоліків. Проаналізовано чинні пропозиції щодо започаткування нових механізмів захисту персональних даних в Україні, зокрема створення Національної комісії з питань захисту персональних даних та доступу до публічної інформації. Визначено недоліки законопроєкту, які впливатимуть на незалежність майбутнього органу. Запропоновано, що створення нового органу має відбуватися у форматі Інформаційного комісара, статус та повноваження якого будуть близькими до статусу і повноважень Уповноваженого Верховної Ради з прав людини. Одночасно за Уповноваженим доцільно зберегти функції в сфері захисту персональних даних, однак в рамках його конституційного мандату. Підкреслено, що реформування механізму захисту персональних даних безумовно стане однією із євроінтеграційних вимог в ході переговорів України про вступ Європейський Союз.