bluuebunny/crossref_metadata_2025 huggingface dataset:
Antecedents of Financial Inclusion: Evidence from Tripura, India
Authors: Singh Ranjit , Roy Sankharaj , Pandiya Bhartrihari
Published: September 2020

The present research assesses the determinants of financial inclusion of members of Self Help Groups (SHGs). The research work is done with primary data collection from around 380 members who are beneficiaries of 95 SHGs in Tripura, India. After performing factor analysis, six major factors named Physical Infrastructure, Financial Awareness, IT Infrastructure, Suitability of Financial Products, Ease of Banking and Economic Status of members of SHGs were identified as major factors that play a pivotal role in bringing financial inclusion of the members of SHG. In these 6 factors, some other factors were also added such as age, income, education, landholding, the regularity of income, earning members count, gender, caste, location, religion, etc. Fitting ordinal logistic regression model, it was found that, the important factors that have an impact on financial inclusion on the members of the SHGs are financial awareness, ease of banking and economic status of the members, the relevance of financial products, physical infrastructure, monthly income, landholding, education, age and their status with respect to the BPL category. The decision-makers in power should collaborate with financial institutions should consider and apply this finding during the disbursement of loans.
Competencias digitales e innovación. Análisis de la iniciativa “Punto México Conectado”.
Authors: Gutiérrez Diez María del Carmen , Bordas Beltrán José Luis , Arras Vota Ana María de Guadalupe
Published: September 2020

Se analiza la iniciativa “Punto México Conectado” (PMC), cuyo objetivo es favorecer la inclusión digital y desarrollar competencias digitales. Se realizó un análisis mixto descriptivo de datos obtenidos en el año 2018 a través del programa PMC. Los datos proporcionados fueron socios, cursos y satisfacción de socios, así como una evaluación hecha por una entidad externa en el 2017. La iniciativa continua, ahora bajo otro nombre: “Centro de Inclusión Digital”, pero se reconoce que es necesario establecer y realinear algunos aspectos clave, como ir paulatinamente dando acomodo a contenidos adecuados al contexto de cada región, así como ir elevando la complejidad del contenido de los cursos ofrecidos y desarrollar indicadores clave que permitan medir con precisión el avance en la inclusión digital.
Reconocimiento de patrones de aprendizaje para elevar la calidad educativa en la Universidad Católica de Santiago de Guayaquil.
Authors: Sánchez Casanova Ricardo , Paladines Rodríguez Joffre Ruperto
Published: September 2020

La utilización de las tecnologías en el desarrollo de actividades áulicas contribuye al mejoramiento de la calidad educativa, permitiendo elevar los resultados de aprendizaje. Los métodos analítico-sintético, inductivo-deductivo, histórico-lógico y sistematización posibilitaron identificar técnicas apropiadas que permiten reconocer patrones almacenados en bases de datos, para lo cual se ha realizado una investigación bibliográfica. El objetivo de este trabajo consiste en identificar las técnicas de reconocimiento de patrones de aprendizaje. Los resultados de este estudio bibliográfico permitirán aplicar adecuadamente la identificación y el reconocimiento de los patrones de aprendizaje, los cuales contribuirán a mejorar la calidad de la Educación Superior.
Práctica del enfoque reflexivo crítico-creativo en el contexto social de los acompañantes pedagógicos de la Región Huánuco, Perú.
Authors: Ortega Chávez Wilmer , Zevallos Solís Liliam Carola , Sangama Sánchez José Luis
Published: September 2020

La investigación, “Práctica del enfoque reflexivo critico-creativo en el contexto social de los acompañantes pedagógicos de la región Huánuco” tuvo como propósito fundamental, mejorar la intervención pedagógica en las asesorías y acompañamiento a docentes. Se aplicó el método de estudio; fenomenológico, hermenéutico con estrategias formativas; visitas en aula, monitoreo al micro taller y talleres de formación, CIAC. Se ejecutó en la jurisdicción de las 11 provincias, y 74 distritos Región Huánuco. Allí desarrollaron competencias capacidades para conocer, generar, divulgar y emplear la innovación en el actuar del acompañante, de manera que los actores puedan manejar y transformar creativamente los escenarios de su práctica y fomentar una cultura de la innovación, llegando a una conclusión del 100% de acompañantes pedagógicos demuestra desempeños eficientes en los procesos formativos.
Reflexiones sobre el delito de trata de personas desde su perspectiva actual en Ecuador.
Authors: Cellán Palacios Jéssica Jazmín , Ochoa Escobar Laura Marlene , Estrella Gómez Federico Miguel , España Herrería Marcia Esther
Published: September 2020

En la actualidad diversos estudios revelan que la trata de personas representa un fenómeno internacional creciente. Se ha cuantificado como una de las actividades ilegales más lucrativas, después del tráfico de drogas y de armas. Existen diferentes legislaciones vigentes sobre el tema y organizaciones como la ONU poseen normas a seguir para mitigar dicho delito. Sin embargo, a pesar del marco legal vigente en países como Ecuador no se ha logrado erradicar el delito de trata de personas. La presente investigación tiene como objetivo reflexionar sobre el delito de trata de personas desde su perspectiva actual en Ecuador. Se presentan las principales legislaciones vigentes y se realiza un análisis de los principales inconvenientes sobre las regulaciones actuales.
Diagnóstico de la calidad de los servicios públicos en los Gobiernos Autónomos Descentralizados (GAD) Municipales de Chimborazo, Ecuador.
Authors: Guadalupe Bermeo Alex Gonzalo , Iglesias Morell Antonio , González Meriño Rey Felipe
Published: September 2020

El presente artículo es resultado de un estudio realizado en una muestra de cinco de los 10 Gobiernos Autónomos Descentralizados (GAD) municipales de la provincia ecuatoriana de Chimborazo. Tuvo como objetivo obtener un diagnóstico sobre la calidad de los servicios públicos. Para su realización se empleó una adaptación de la metodología SERVIQUAL GAD, que incluye la evaluación de atención ciudadana, utilizando las dimensiones de calidez, cultura del detalle e imagen institucional. El estudio permitió identificar los problemas que más afectan la calidad de los servicios públicos prestados a los ciudadanos.
La evaluación del impacto de la preparación medioambiental de directivos para el desarrollo local sostenible.
Authors: Torres Falcón Mairelys de la Caridad , Hernández Fernández Viviana Emérida , Martínez Mollineda Carlos , Soto Santos José Ramón
Published: September 2020

La evaluación de impacto reviste particular importancia en las organizaciones. Es objetivo de este trabajo proponer un procedimiento para evaluar el impacto de la preparación medioambiental de los directivos en Villa Clara, Cuba, mediante el análisis de un caso de estudio. La metodología empleada parte de una concepción dialéctica materialista, articulando la teoría y práctica sistematizada. Se utilizan como métodos: el análisis de documentos, la entrevista y la encuesta. La muestra estuvo conformada por 15 sujetos. Los resultados revelan las potencialidades y limitaciones que presenta: La evaluación del impacto en preparación medioambiental de directivos, derivándose un procedimiento para perfeccionar este proceso. El estudio culmina con consideraciones finales y recomendaciones que solicitan profundizar en aristas claves del tema poco investigadas.
Efectos del estrés ocupacional en trabajadores de salud por pandemia coronavirus en hospitales ecuatorianos.
Authors: Mayorga Aldáz Elizabeth Cristina , Rivera Escobar Mario Fernando , Pacheco Mayorga Nicole Anahí , Olivarez Yaguar María Belén
Published: September 2020

Los profesionales de la salud trabajan en un entorno complejo y se presentan múltiples factores de riesgo: altas cargas de trabajo, falta de equipo, riesgo de contagio, altos niveles de responsabilidad social y legal, etc. Este trabajo tiene como objetivo identificar los síntomas relacionados con el estrés laboral que conducen a un impacto negativo en la salud psicofísica del trabajador de la salud. Se evaluaron 84 profesionales de la salud Escala I Síntomas de estrés: 52.4% presentan síntomas de estrés; leve (16.6%), moderado (9.5%) y severo (26,2%). Comportamientos de afrontamiento a escala II: el 30.95% tiene problemas de afrontamiento. Los resultados muestran que los profesionales de la salud presentan síntomas de estrés postraumático agudo como un impacto directo al brindar atención a los infectados con COVID-19.
El concepto de violencia obstétrica: observaciones sobre la asistencia médica a la mujer en período gestacional en el Ecuador.
Authors: Crespo Berti Luis Andrés , Benavides Benalcázar Merck Milko , Solá Iñiguez Miguel Leonardo
Published: September 2020

En revisión de la violencia obstétrica, se analizó la acción de incumplimiento,ya que aún no se halla tipificada como delito en la Ley Orgánica Reformatoria al Código Orgánico Integral Penal ecuatoriano. La metodología, con base en el paradigma cuali-cuantitativo, sigue las condiciones necesarias para saber cuál fue la utilidad para los propósitos requeridos en una investigación de alcance explicativo analítica. Se observaron prácticas prescindibles que confluyen en abusos y agresiones a las embarazadas al comparar 5 categorías de víctimas entre edades desde la minoridad hasta la adultez mayor. La problemática declarada con base en la gravedad ante la imposibilidad de denuncia por parte de la mujer supeditada a incapacidad, derivada de la mal praxis médica-obstétrica.
El comercio electrónico y la infraestructura tecnológica en las farmacias comunitarias del Cantón Santo Domingo.
Authors: Méndez Garcés Erik Fernando , Palma Rivera Diego Paul , Arrobo Lapo Estalin Vladimir , Mora Oyague Luis Alexander
Published: September 2020

El comercio electrónico en el sector farmacéutico reforma y amplía los mercados en la salud y bienestar de las personas. En la actualidad, es común para las personas el manejo de equipos tecnológicos móviles, smartphones, entre otros, destacando que estos medios permiten realizar compras y promocionar productos. La presente investigación se enfoca en analizar la infraestructura tecnológica para la implementación del e-commerce. Se realizó investigación de campo y obtención de resultados mediante las encuestas aplicadas a empleados y clientes, el cual arrojo resultados positivos para la implementación del comercio electrónico, ya que satisface las necesidades adquisitivas de productos farmacéuticos. Se destaca también, que otras cadenas farmacéuticas han implementado el comercio electrónico, con lo cual han obtenido mayor productividad y competitividad.
Ser futbolista juvenil en Argentina. Orígenes, escolarización, vivienda, sentimientos y expectativas de los deportistas en formación de un club de fútbol profesional.
Authors: Murzi Diego , Herbella Juan Manuel , Sustas Sebastián Ezequiel
Published: September 2020

Este artículo se propone trazar un perfil socio-demográficode los futbolistas en formación en Argentina a partir del análisis de múltiples dimensiones de la vida de esos jóvenes, que masivamente depositan en el fútbol sus sueños y deseos, desarrollando intensas e inciertas carreras socio-profesionales en los clubes de fútbol.Habitualmente, los clubes se ocupan exclusivamente de las variables de rendimiento (físicas, técnicas, tácticas), obviando cuestiones como origen, familia, escolaridad, vivienda, sentimientos, opiniones, consumos y otras dimensiones que hacen a la formación integral de los jóvenes. El artículo propone un abordaje cuantitativo y descriptivo de esas dimensiones, basado en 6 encuestas realizadas en 2018 a todos los futbolistas juveniles (entre 13 y 20 años) de un club de Primera División argentino.
Diagnóstico de la calidad del servicio turístico de la cascada Pailón del Diablo, parroquia Río Verde, Tungurahua.
Authors: Álvarez Cortez Luis Eduardo , Buñay Buñay Alfredo Padilla , Lluglla Luna Luis Alfonso
Published: September 2020

En este trabajo de investigación se desarrolló un diagnóstico de la calidad en el servicio turístico de la Cascada Pailón del Diablo, parroquia Río Verde, cuyo objetivo fueevaluar la calidad de servicio para identificar el nivel de satisfacción delos turistas locales, nacionales e internacionales, mediante la aplicación de encuestas de expectativa y percepción del método ServQual, basado en cinco dimensiones. En la investigación se utilizó la metodología cuantitativa y cualitativa para obtener los resultados, los mismos que identificaron la disminución de la calidad de los servicios, la afectación en los niveles de satisfacción de los usuarios y por ende la baja rentabilidad en los microemprendimientos existentes en el centro turístico.
El turismo rural como estrategia para el desarrollo local de Otavalo.
Authors: Fichamba Lema Luis Pacífico , Cerón Osejos Zaira Rocio , Sandoval Pillajo Lourdes Lilian
Published: September 2020

El artículo realiza un análisis del turismo rural como estrategia de desarrollo local; abordael diagnóstico de recursos naturales/ culturales, analiza oferta/demanda, ypropuesta de desarrollo local. El estudio valida la planificación turística, aplicando normas nacionales que fomenten la participación. El turismo rural tiene potencial;oferta es dada por destinos existentes y no por el turismo rural; el gobierno local, ve al PDOT, como compromiso Estatal, y no como un instrumento que apoya al desarrollo local de Otavalo.
Estructura de la autoridad electoral del Ecuador y principios de impugnación en sede jurisdiccional.
Authors: Andrade Ureña Ricardo Fabricio , Ron Castro Esteban Patricio , Holguín Ochoa Fausto Javier
Published: September 2020

El estudio analiza la estructura de la Autoridad Electoral del Ecuador a partir de la vigencia de la Constitución de la República, en el año 2008. Para ello, se hace especial énfasis en la distribución y separación de funciones del Estado y las competencias en cuanto al ámbito administrativo y jurisdiccional en materia electoral. Se considera el estatus jurídico que le otorga la Constitución ecuatoriana a la Autoridad Electoral, puesto que esta pasó de ser una institución perteneciente a la Administración Central del Estado a constituirse en una función independiente de este. La intención del presente esfuerzo académico es que el lector conozca la conformación de la función electoral en el Ecuador como organismo garantista de la democracia.
The Effect of Leadership Style and Work Motivation on The Performance of Academic Staff
Authors: Widyaningsih Meilana , Arfiansyah Mufti Arief
Published: September 2020

This study has purpose to analyze the effect of transactional leadership styles, transformational leadership styles, and motivation on the performance of academic staff. This study was conducted at the State Islamic Institute of Surakarta with a total sample of 30 respondents in 2020 by using simple random sampling.

 

The results of the analysis on the variable transactional leadership style showed the value of t = 3.183 and a probability of 0.002, which means that the transactional leadership style has an effect on the performance of academic staff. Then, the results of the analysis on transformational leadership style variables showed the value of tcount = 3.418 and a probability of 0.003, which means that the transformational leadership style has an effect on performance. And the results of the analysis on the work motivation variable showed the value of tcount = 2.251 and a probability of 0.032, when compared to ttable (2.056) which means that work motivation has an effect on performance.

 

Keywords: transformational leadership, transactional leadership, work motivation, and academic staff performance.
YARALANMALI TRAFİK KAZA SAYILARININ OECD ÜLKELERİNE GÖRE İNCELENMESİ
Authors: ŞİMŞEK KANDEMİR Aysen
Published: September 2020

Hayatımızın önemli bölümünü ilgilendiren ulaşım, aynı zamanda bir ülkenin ekonomik, sağlık, eğitim gibi pek çok boyutu ile yakından ilişkilidir. Bu boyutlar aynı zamanda ülkenin gelişmişlik düzeyi üzerinde de etkilidir. Trafik kazaları ulaşım ile birlikte ortaya çıkan önemli bir unsurdur. Ortaya çıkan bu unsurun sonuçları maddi hasarlı, yaralanmalı veya ölümlü olabilmektedir. Oldukça önemli olan bu sorunun çözümü için alınan önlemler her geçen gün artmaktadır. Bu çalışmada yaralanmalı trafik kaza sayılarına göre OECD ülkeleri dikkate alınmıştır. 2017 yılı yaralanmalı trafik kazalarına göre ülkelerin kümelenmesine ve bu kümeler arasında istatistiksel olarak anlamlı bir farkın olup olmadığı belirlenmeye çalışılmıştır.
İLKOKUL VE ORTAOKULLARIN OKUL YERİ DURUMLARI VE OKUL BAHÇESİ OLANAKLARI
Authors: BAŞAR Mustafa Aydın
Published: September 2020

Okul yeri ve bahçeleri olumlu davranışların geliştirilmesi için önemli ortamlardır. 15 yıl önce yapılan bir çalışmada ilköğretim okullarının bu olanaklar bakımından yetersiz bulunduğu saptanmıştır. Tarama modelinde ele alınan çalışmanın amacı, 15 yıl öncesine kıyasla, ilkokul ve ortaokulların okul yeri durumları ve okul bahçesi olanaklarını saptamak ve okul bahçelerinin nasıl düzenlenmesi gerektiğini ortaya koymaktır. Çalışmanın bulguları, 15 yıl öncesine kıyasla, ilköğretim okullarının yeri ve bahçe olanakları bakımından sorunların büyük ölçüde devam ettiğini ortaya koymaktadır. İlkokul ve ortaokulların bahçelerinde tören, dinlenme ve oyun alanları, çim ve ağaçlık türü yeşil alanlar, uygulama bahçesi, eğitime yardımcı yerler bakımlarından da olanaksızlıklar yaşanmaktadır. Çalışmanın sonunda, okul bina yeri seçiminde çevresel koşulların önceden iyi saptanması; özellikle yeni yapılacak yapıların çağdaş mimari, eğitimdeki gelişmeler ve yaklaşımlara uygun olarak düzenlenmesine yönelik öneriler geliştirilmiştir.
LAURENT LECLAIRE’S NECROPHILIC DESIRES AS SEEN IN ÉMILE ZOLA’S THÉRÈSE RAQUIN
Authors: Sulistyo Nikodemus Yudho
Published: September 2020

Thérèse Raquin is a classic novel which is considered for years to have a dark yet natural story. The emotion and characterization are somewhat real. Therefore, the depiction of the characters and their lives is also real and natural. The bad and dark side of human’s life in this novel was controversial in the author’s time, Émile Zola. Thus, the writer finds out the necrophilic desires as one of the kind of sexual disorders seen in one of the main character’s characterization, Laurent Le Claire. The writer used psychoanalysis theory in digging necrophilic desires in the unconscious of Laurent through his acts and characterization. The writer also described Laurent’s past and his relationship to his father in order to prove his necrophilic desire.
PENINGKATAN KAPASITAS PETANI DALAM PENERAPAN BIOPESTISIDA PENGENDALI HAMA PADA TANAMAN PADI SAWAH (Oryza sativa L.) DI DESA CIASMARA KECAMATAN PAMIJAHAN
Authors: Aghis Gema Lentra Putri , Hartono Rudi , Maryani Ait
Published: September 2020

Pest attacks in the agricultural sector have become commonplace in every planting season and even pest attacks can reduce rice productivity 2-4 tons / ha, new farmers apply pest control according to the recommendations of around 38-40% less than 50% of the extension agent's target so the importance of using biopesticides as an effort to reduce pest attacks through the application of Pest Control Biopesticides which aim to Describe the increase in farmer capacity in the application of Pest Control Biopesticides, Analyze Factors related to increasing the capacity of farmers in the application of Pest Control Biopesticides in rice plants. The study was conducted in Ciasmara Village, Pamijahan District. The sample of the research is active farmers who are 40 members of farmer groups, using Descriptive Data Analysis, Spearman Rank Analysis. The results of research on improving the capacity of farmers in the application of biopesticides at the Knowledge stage are starting to recognize the existence of innovations and gain some understanding of the innovations functioning, followed by the stages of persuasion (Action), and decisions until confirmation. There is a positive (unidirectional) relationship between formal education, cosmopolitan, environmentally friendly paddy technology innovation, extension of environmentally friendly innovation, and agricultural technology information with increasing capacity of paddy farmers in Ciasmara village with a strong level of correlation (correlation), and there is influence in the use of biopesticides against pest reduction in lowland rice plants
AKUNTABILITAS DENGAN METODE CEBPERDIS PADA PELATIHAN DASAR CPNS
Authors: Tm Irawadi
Published: September 2020

Untuk dapat diangkat menjadi PNS, seorang CPNS harus mengikuti dan lulus Pelatihan Dasar CPNS. Diukur dari tingkat pendidikan dan usia, CPNS termasuk orang dewasa. Metode pembelajaran yang diterapkan untuk Mata Pelatihan Akuntabilitas adalah Metode CEBPERDIS, yaitu suatu metode pembelajaran yang merupakan kombinasi antara Metode Ceramah Bergambar (CEB), Metode Penugasan dan Resitasi (PER), serta Metode Diskusi (DIS). Untuk mengetahui bagaimana Peningkatan Hasil Belajar Mata Pelatihan Akuntabilitas dengan Metode CEBPERDIS pada Peserta Pelatihan Dasar CPNS Provinsi Kalimantan Barat Tahun 2019, maka dilakukan penelitian dengan metode penelitian eksperimen, metode pengumpulan data dengan tes dan observasi serta metode analisis data dengan metode statistik deskriptif kuantitatif dan kualitatif. Dari hasil penelitian diketahui bahwa penerapan Metode CEBPERDIS dapat meningkatkan hasil belajar Mata Pelatihan Akuntabilitas rata-rata sebesar 89,01% dan Peserta Pelatihan Dasar CPNS sangat aktif dan antusias dalam mengikuti pembelajarannya, sehingga tujuan pembelajaran dapat tercapai dengan baik. Dengan hasil yang baik ini, maka disarankan agar metode CEBPERDIS ini dapat diterapkan juga dalam pembelajaran mata pelatihan lainnya dalam Agenda Nilai–Nilai Dasar PNS Kurikulum Pembentukan Karakter PNS.
The Fashion Industry and Its Careers
Authors: Granger Michele M. , Farnan Sheryl A.
Published: September 2020

Learn about what to expect on the job, required education and training, and the relationship of the role to the fashion industry as a whole. Among the more than 75 role descriptions are four new roles for Sustainability Officer, Transparency Officer, Data Analyst, and Reference Librarian. More than 175 images show you recent developments affecting the industry sectors and career opportunities. Case studies, Social Media Strikes features, chapter summaries, key terms, online resources, discussion questions, and a glossary will help you identify which careers match your aptitudes, skill sets, and interests.
Ethics in the Fashion Industry
Authors: Paulins V. Ann , Hillery Julie L.
Published: September 2020

Learn how to make ethical decisions on a daily basis.

Industry professionals share with you the dilemmas they've faced in their careers around issues like factory conditions, fair wages, fast fashions, designer knock-offs, shoplifting, and controversial advertising, to help you do the right thing. The book covers corporate social responsibility, social media, social compliance audits, diversity, and human rights, among many other topics. Case Studies, Profiles, and other box features highlight current events and notable industry professionals.
Mathematics for Retail Buying
Authors: Tepper Bette K. , Greene Marla
Published: September 2020

Mathematics for Retail Buying, 9th Edition, introduces merchandising and retailing students to the most important concepts in retail math through step-by-step examples with practice problems and solutions.

Coverage begins with the skeletal profit and loss statement, and moves through retail pricing and repricing of merchandise, markups, markdowns, the retail method of inventory, six-month, and assortment planning. This extensively updated edition introduces a practical approach that incorporates actual retail scenarios and concepts that are relevant to the fashion industry today. There is also a focus on mathematical factor that affects the gross margin and profitability key to the success of any merchandise buyer or planner.

New to This Edition:

- Updated mathematical practice problems with selected answers in the back of the book for review

- Updated case studies to reflect retail buying as can be found in the industry

- Thoroughly updated and revised text to reflect most common practices in the field

Features

- All applicable concept problems are expressed in spreadsheet as well as traditional arithmetic format

- Select Answers at the end of the book helps students check their understanding as they complete Practice Problems

- Key Concept Formulas at the beginning of each chapter and a complete Glossary of Concept Formulas at the end of the book provide easy reference
Evaluating patients who present with pain complaints to a community hospital emergency department: Opioid prescription tracking software versus provider gestalt
Authors: Hampton, DO Zach , Thai, DO Justin , Rukamp, DO Christine , Zackowski, DO William , Schneider, DO Danni , Cunagin, DO Kimberly , Gupta, MBBS, MPH Anand , Little, DO Andy
Published: September 2020

Objective: This study aimed to compare provider gestalt to assigned Narx score, a common prescription drug monitoring program (PDMP) component that gauges the patient's risk of misuse or abuse.Design: This is a prospective, anonymous survey from advanced practice providers (APPs), emergency medicine residents, and emergency medicine attendings. Setting: Data from two emergency departments (EDs) within the OhioHealth network were included. One hospital is a 213-bed academic, community hospital. The other hospital is a 434-bed academic level I trauma center.Patients, Participants: The survey was open to all providers. Exclusion criteria for patients included prior knowledge of the patient and/or their Narx score, or cancer-related pain.Interventions: Surveys were collected over a 3-month period. Variables included provider type and level of experience, participant demographics, provider gestalt, and the patient's actual Narx score.Main Outcome Measure(s): Primary outcome was the ability of providers to accurately estimate a patient's Narx score. Groups were defined as Match = No (gestalt and actual score did not match) and Match = Yes (gestalt and actual score matched). Various characteristics were compared between these two groups.Results: Providers were able to accurately estimate actual Narx score (72.7 percent). The Match = Yes group was younger (p = 0.01). Dental pain was more common in the Match = No group, 11.5 percent versus 0 percent (p = 0.02). Match = No group also had a higher incidence of triggers. Specifically, any trigger (p = 0.006), explicitly asking for pain medication (p = 0.03), and asking for opioids by name (p = 0.03). Every 10-year decrease in age showed a 1.5 times increased likelihood of accurately estimating Narx score (p = 0.02). Having no triggers showed a three times increased likelihood of accurately estimating Narx score (p = 0.02). Prescribing was largely unchanged after viewing the actual Narx score. Conclusions: Providers are able to accurately estimate Narx score, though there are limiting factors. Older patients, those with dental pain, and those who give specific triggers are more difficult to estimate. Providers did not change their prescribing patterns after viewing the actual Narx score. Overestimation versus underestimation of Narx score was not directly studied.
Adjuvant interventions with opioids for vaso-occlusive crisis in sickle cell disease: A mixed treatment network meta-analysis of randomized controlled clinical trials
Authors: Sridharan, MD, DM Kannan , Sivaramakrishnan, MDS Gowri
Published: September 2020

Objective: Vaso-occlusive crisis is the most common clinical feature requiring opioid analgesics in patients with sickle cell disease. We conducted a network meta-analysis to compare the drugs that can be used as add-on with opioids for vaso-occlusive crisis.Design: Network meta-analysis of randomized clinical trials.Patients: Sickle cell disease patients with vaso-occlusive crisis receiving adjuvants to opioids for pain management.Main outcome measures: A number of patients with complete pain relief and pain scores assessed either by visual analog or by a numerical rating scale were the primary outcomes. Adverse events and dose of opioids (in morphine equivalents) for pain alleviation between the treatment arms were the secondary outcome measures.Results: Eleven studies evaluating the addition of ketorolac, magnesium sulfate, ketoprofen, ibuprofen, methadone, inhalational nitric oxide, methylprednisolone, and arginine with morphine were obtained. The pooled analysis showed a favorable effect in the pain reduction for the additions of arginine {–2 [–3.39, –0.61]} and ibuprofen {–1.7 [–3.26, –0.14]} with morphine. Arginine has high probability of being the “best” in the pool followed by ibuprofen. No significant differences were observed in the risk of adverse events {ketoprofen—0.84 [0.42, 1.65]; magnesium sulfate—1.81 [0.64, 5.81]; and arginine—2.08 [0.18, 24.31]}. A significant lower dose of opioid was required when given adjunctive to arginine, inhalational nitric oxide, and methylprednisolone.Conclusion: We observed that arginine and ibuprofen could produce additional analgesic effects when combined with morphine in vaso-occlusive crisis.
Polysubstance abuse associated with more frequent opioid use among patients in rural primary care settings
Authors: Albright, PhD David L. , McDaniel, PhD Justin , Laha-Walsh, MSW Kirsten , Morrison, MS Beth , McIntosh, MS Shanna
Published: September 2020

Objective: Opioid use is a continuing problem for the United States. Individuals who use opioids have a high risk of misuse, especially with prescription opioids. Substances that are often used in combination with opioids include methamphetamines, sedatives, and benzodiazepines, as well as tobacco, alcohol, and marijuana, but not in a medical setting. We sought to determine (a) the relationship between various drugs (eg, methamphetamine, benzodiazepines) and opioid use, as well as (b) the relationship between polysubstance use and opioid use.Design: We created a screening instrument that requested the patients seeking medical care at Federally Qualified Health Centers (FQHC) and Veterans Affairs (VA) hospitals in West Alabama self-report their substance usage.Setting: This study took place in outpatient primary care settings (FQHCs and VA hospitals) in west Alabama.Participants: De-identified electronic health records for 346 adults were obtained from consenting medical facilities. Missing data were found in 33 of the records obtained. The final usable sample for this study was 311.Main Outcome Measure: The screening tool was comprised of five sections: demographics, tobacco use, alcohol abuse, drug use, and mental health. The primary outcome measure of this study was the number of days of opioid use in the past 30 days.Results: Thirteen individuals (4.18 percent) reported opioid use in the last 30 days. While polysubstance or dual substance use was not in the majority of the participant responses, the significant substances that were used in conjunction with opioids were methamphetamine, hallucinogens, and benzodiazepines.Conclusions: Individuals who are polysubstance users have a higher likelihood of opioid use. Interventions that target opioid use would serve the population stronger by including screenings and potential treatments for polysubstance use additionally.
IV tramadol: A novel option for US patients with acute pain—A review of its pharmacokinetics, abuse potential and clinical safety record
Authors: Lu, MD Lucy , Harnett, MS Mark , Reines, MD, PhD Scott A.
Published: September 2020

Tramadol is a centrally acting dual-mechanism (opioid and monoamine reuptake inhibition) analgesic that has been noted to have a lower risk of abuse compared to conventional opioids such as morphine. Oral tramadol has been approved in the United States since 1995 and intravenous (IV) tramadol has been widely prescribed outside the United States (OUS); nevertheless, IV tramadol has not yet been approved for use in the United States. This paper provides a review of the pharmacokinetics (PK) of the IV tramadol dosing regimen being developed in the United States, its abuse potential as documented in the literature, and its safety record in clinical practice, and discusses how IV tramadol may become a useful option for patients in the United States with acute pain.
Towards a Political Aesthetics of Cinema
Authors: Lie Sulgi ,   Diaphanes AG, Fairfax Daniel
Published: September 2020

Towards a Political Aesthetics of Cinema: The Outside of Film is a contribution to an aesthetics of cinema rooted in Marxist theory. Rather than focusing on the role that certain films, or the cinema as an institution, might play in political consciousness, the book asks a different question: how can the subject of politics in film be thought? This problem is presented in a systematic-theoretical rather than historical manner. The main aim of this book is a retrospective rehabilitation of the psychoanalytical concept of "suture," whose political core is progressively revealed. In a second step, this rereading of "suture"-theory is mediated with the Marxist aesthetics of Fredric Jameson. From the perspective of this reconfigured aesthetics of negativity, films by Hitchcock, Antonioni, Haneke and Kubrick are analyzed as articulations of a political unconscious.
The Life and Work of Rosalba Carriera (1673-1757)
Authors: Oberer Angela
Published: September 2020

The Life and Work of Rosalba Carriera (1673-1757): The Queen of Pastel is the first extensive biographical narrative in English of Rosalba Carriera. It is also the first scholarly investigation of the external and internal factors that helped to create this female painter's unique career in eighteenth-century Europe. It documents the difficulties, complications, and consequences that arose then -- and can also arise today -- when a woman decides to become an independent artist. This book contributes a new, in-depth analysis of the interplay between society's expectations, generally accepted codices for gendered behaviour, and one single female painter's astute strategies for achieving success, as well as autonomy in her professional life as a famed artist. Some of the questions that the author raises are: How did Carriera manage to build up her career? How did she run her business and organize her own workshop? What kind of artist was Carriera? Finally, what do her self-portraits reveal in terms of self-enactment and possibly autobiographical turning points?
Climate elasticity of evapotranspiration shifts the water balance of Mediterranean climates during multi-year droughts
Authors: Avanzi Francesco , Rungee Joseph , Maurer Tessa , Bales Roger , Ma Qin , Glaser Steven , Conklin Martha
Published: September 2020

Abstract. Multi-year droughts in Mediterranean climates may shift the water balance, that is, the partitioning rule of precipitation across runoff, evapotranspiration, and sub-surface storage. Mechanisms causing these shifts remain largely unknown and are not well represented in hydrologic models. Focusing on measurements from the headwaters of California's Feather River, we found that also in these mixed rain–snow Mediterranean basins a lower fraction of precipitation was partitioned to runoff during multi-year droughts compared to non-drought years. This shift in the precipitation–runoff relationship was larger in the surface-runoff-dominated than subsurface-flow-dominated headwaters (−39 % vs. −18 % decline of runoff, respectively, for a representative precipitation amount). The predictive skill of the Precipitation Runoff Modeling System (PRMS) hydrologic model in these basins decreased during droughts, with evapotranspiration (ET) being the only water-balance component besides runoff for which the drop in predictive skill during drought vs. non-drought years was statistically significant. In particular, the model underestimated the response time required by ET to adjust to interannual climate variability, which we define as climate elasticity of ET.
Differences between simulated and data-driven estimates of ET were well correlated with accompanying data-driven estimates of changes in sub-surface storage (ΔS, r=0.78). This correlation points to shifts in precipitation–runoff relationships being evidence of a hysteretic response of the water budget to climate elasticity of ET during and after multi-year droughts. This hysteresis is caused by carryover storage offsetting precipitation deficit during the initial drought period, followed by vegetation mortality when storage is depleted and subsequent post-drought vegetation expansion. Our results point to a general improvement in hydrologic predictions across drought and recovery cycles by including the climate elasticity of ET and better accounting for actual subsurface water storage in not only soil, but also deeper regolith that stores water accessible to roots. This can be done by explicitly parametrizing carryover storage and feedback mechanisms capturing vegetation response to atmospheric demand for moisture.
Soil respiration of alpine meadow is controlled by freeze–thaw processes of active layer in the permafrost region of the Qinghai–Tibet Plateau
Authors: Wang Junfeng , Wu Qingbai , Yuan Ziqiang , Kang Hojeong
Published: September 2020

Abstract. Freezing and thawing action of the active layer plays a
significant role in soil respiration (Rs) in permafrost regions.
However, little is known about how the freeze–thaw processes affect the
Rs dynamics in different stages of the alpine meadow underlain by
permafrost in the Qinghai–Tibet Plateau (QTP). We conducted continuous
in situ measurements of Rs and freeze–thaw processes of the active layer at an
alpine meadow site in the Beiluhe permafrost region of the QTP and divided the
freeze–thaw processes into four different stages in a complete freeze–thaw
cycle, comprising the summer thawing (ST) stage, autumn freezing (AF) stage,
winter cooling (WC) stage, and spring warming (SW) stage. We found that the
freeze–thaw processes have various effects on the Rs dynamics in
different freeze–thaw stages. The mean Rs ranged from 0.12 to 3.18 µmol m−2 s−1 across the stages, with the lowest value in WC and
highest value in ST. Q10 among the different freeze–thaw stages changed
greatly, with the maximum (4.91±0.35) in WC and minimum (0.33±0.21) in AF. Patterns of Rs among the ST, AF, WC, and SW stages
differed, and the corresponding contribution percentages of cumulative
Rs to total Rs of a complete freeze–thaw cycle (1692.98±51.43 g CO2 m−2) were 61.32±0.32 %, 8.89±0.18 %, 18.43±0.11 %, and 11.29±0.11 %, respectively. Soil temperature (Ts) was
the most important driver of Rs regardless of soil water status in all
stages. Our results suggest that as climate change and permafrost
degradation continue, great changes in freeze–thaw process patterns may
trigger more Rs emissions from this ecosystem because of a prolonged ST
stage.
A VISITAÇÃO TURÍSTICA NO PARQUE NACIONAL DO IGUAÇU
Authors: Trevisan Fernanda Lodi
Published: September 2020

Este artigo propõe discutir a trajetória da visitação turística no Parque Nacional do Iguaçu, um dos parques mais célebres e visitados no Brasil. A visitação turística nunca deixou de ser um dos objetivos do Parque ao longo de seus quase 80 anos, contudo, essa atividade sofreu considerável transformação, com reflexos significativos em sua organização territorial. A consolidação do movimento ambientalista e o desenvolvimento de instrumentos de gestão de áreas naturais protegidas podem ser apontados como causas dessas transformações. Da mesma forma, a valorização do turismo de natureza e a visão do Parque como uma oportunidade de negócio também podem ser apontados como causas. A partir da ideia de evento, foram identificadas rupturas e continuidades nessa trajetória, o que permitiu a este estudo propor compreender a visitação turística do Parque por meio de três grandes fases: a visitação recreativa, a visitação recreativa monitorada e a visitação comercial, que se estende até os dias de hoje. Espera-se contribuir para um maior conhecimento do Parque do Iguaçu e, sobretudo, fomentar as discussões sobre o turismo em áreas naturais, em especial, nos parques nacionais.
Pensamientos, recuerdos y conversaciones: un diálogo con Sergio Roncallo-Dow, pensador, filósofo y colega
Authors: Cruz-González María Catalina , Penagos-Carreño Julían , Cárdenas Ruiz Juan David
Published: September 2020

Este ensayo busca dar una mirada académica, pero, sobre todo, personal de nuestra relación con el maestro Sergio Roncallo-Dow. El texto en sí es un recuerdo constante de las profundas enseñanzas que nos dejó y cómo, desde diferentes puntos de vista, queremos dejar en alto su memoria. Los acercamientos teóricos y los recuerdos que van a leer los van a adentrar en los escritos de Sergio y su forma de generar relaciones que buscaban un cambio en nuestra sociedad o, por lo menos, cuestionarnos esta. Pasando desde las teorías clásicas de comunicación, por la memoria y su mirada ecológica, hasta la construcción de textos pensados desde la comunicación pública, este ensayo busca dar fe de quién fue Sergio para nosotros y agradecerle por cada aprendizaje que nos hizo re-pensar nuestra sociedad, nuestro país y nuestro futuro.
Preparedness of the Local Community in the Fight Against COVID-19 in Dodoma Urban, Tanzania
Authors: Mashala Yusuph Lameck , Kisumbe Lazaro Alman , Daudi Manumbu Hezron
Published: September 2020

Since its outbreak in late December 2019, COVID-19 has brought a state of fear, panic, insecurity and a high level of uncertainty to the whole population of the world. Amid these uncertainties, governments and international organizations across the world, have adopted various measures against its spread; such measures have depended on the nature and severity of the disease and the suitable approach adopted by each particular country. This study assessed the preparedness of the local community in the fight against COVID-19 in Dodoma Urban, Tanzania. Data were collected through a questionnaire from 100 respondents who were coincidentally selected.  We analyzed data through descriptive statics and Binary Logistic Regression. The overall results show that the majority of respondents (53.68%) were well prepared to curb COVID-19. Nevertheless about 46% of the respondents were inadequately prepared. In order to curb the spread of the disease in Dodoma urban, the study recommend that the local community should consistently adhere to government directives, keep informed of the situation, and respond appropriately to protect themselves, their families, and others against the deadly corona virus disease.
Agenda de género y de primera infancia: diálogo sobre los retos que plantea el nuevo currículum de educación parvularia
Authors: Díaz Pérez María Isabel , Pérez Carrillo Bernarda
Published: September 2020

Este artículo describe el contexto de la agenda pública impulsada en años recientes desde el Estado para abordar el género y la primera infancia. Se identifican, además, iniciativas relevantes que han buscado instalar esta agenda en la implementación de las política de educación y género en Chile. En este marco, dos ex-Subsecretarias de Ministerios clave en el ámbito de la educación y la igualdad de género, cada una desde su perspectiva y considerando sus experiencias vividas desde el rol que tuvieron, dialogan sobre aspectos relevantes referidos a logros, dificultades y desafíos que enfrentan el Estado y la sociedad chilena respecto de la profundización de las transformaciones de la educación para la igualdad de género. Se hace un énfasis particular en la dimensión curricular y en el nivel de Educación Parvularia.
Formación y evaluación docente bajo el alero del neoliberalismo: el caso chileno
Authors: Brito Pacheco Jennifer
Published: September 2020

En las últimas décadas, en Chile, las políticas educativas han estado vinculadas al sistema económico neoliberal, por lo que las racionalidades gerenciales han permeado las dinámicas y relaciones que tienen lugar en las escuelas. De igual manera, la formación de los docentes se ha desarrollado bajo una lógica racionalista que le atribuye roles que no contemplan todas aquellas dimensiones o aspectos necesarios para su desempeño en el aula. Estas situaciones han afectado las dinámicas e interacciones que ocurren en las escuelas y han ocasionado una desprofesionalización de los docentes. Este artículo tiene como objetivo reflexionar sobre las tensiones que se evidencian en el sistema educativo chileno y en la formación docente bajo el alero del neoliberalismo. Para ello, se selecciona y analiza información de revistas científicas y libros que consideran las contradicciones de la educación bajo los postulados posfordistas y su relación con la formación y la evaluación docente, considerada esta última como principal mecanismo de ascenso en el desarrollo profesional docente. Las conclusiones de este análisis develan la relevancia que tiene la educación como ente emancipador, y la importancia de los aspectos socioemocionales y del paradigma del profesor en la construcción de las reformas educativas, en especial de aquellas directamente vinculadas a los docentes.
Escuela y democracia. Experiencias en formación ciudadana en establecimientos educacionales de la Región Metropolitana
Authors: Escobar San Martín Rodrigo
Published: September 2020

El artículo presenta el trabajo realizado en la asesoría en planes de formación ciudadana a distintos establecimientos educacionales municipales del Departamento Provincial Sur de la Región Metropolitana. La asesoría tiene como propósito apoyar la implementación de la Ley 20.911 destinada a fortalecer la formación ciudadana en los establecimientos educacionales reconocidos por el Estado. En primer lugar, se hace una revisión de la literatura especializada sobre formación ciudadana y escuela democrática, con principal énfasis en los documentos de instituciones globales que se preocupan de este tema. Se consideran también los objetivos y alcances de la ley, además de las políticas educativas nacionales. A continuación, se relata el trabajo realizado en conjunto con los establecimientos educacionales del Departamento Provincial Sur y los resultados de esta experiencia de asesoramiento educativo. Finalmente, se plantean algunas reflexiones sobre la experiencia, en particular sobre las tensiones que se producen entre los objetivos de la ley y las culturas escolares, tanto en cuestiones de forma (¿cómo abordar la formación ciudadana?), como de fondo (¿cómo articular la ley con los documentos institucionales?).
Innovaciones en la formación inicial docente y los desafíos para el desarrollo profesional docente
Authors: Figueroa Vargas Andrea
Published: September 2020

La formación inicial docente se ha visto tensionada a partir de los nuevos requerimientos establecidos en el marco legal chileno. La implementación de la Ley 20.903 (Sistema de Desarrollo Profesional Docente) y la Ley 20.129 (Aseguramiento de la Calidad de la Educación Superior), han permitido avanzar y fortalecer la formación docente de manera sistémica y con ello han surgido nuevos desafíos institucionales, académicos y formativos.

Sobre la base de las implicancias de estas leyes, el artículo da cuenta que la desarticulación entre el saber pedagógico y disciplinar en la formación, continúa siendo una problemática en la formación inicial. En este contexto, los espacios de formación práctica se relevan como instancias reflexivas que aportan tanto a la construcción de los educadores y la integración de dichos saberes, como a elementos identitarios que los distinguen como profesional.

Las necesidades formativas, evidenciadas por los educadores y educadoras en ejercicio profesional, han interpelado a las instituciones formadoras y a la política pública. Esta última, ha respondido con un campo de acompañamiento incipiente en nuestro país: los procesos de inducción y mentoría que, junto a la formación permanente y contextualizada, configuran un nuevo tránsito en la formación de profesores y el desarrollo profesional docente.