bluuebunny/crossref_metadata_2025_split huggingface dataset:
SAĞLIK TURİZMİ VE DEVLET TEŞVİKLERİ
Authors: TENGİLİMOĞLU Dilaver 
Published: February 2021

Son yıllarda hizmet ihracatında artış yaşanan hizmet sektörlerinden birisi de sağlık turizmi olmuştur. Sağlık turisti sayısı ve turizm geliri artışında kuşkusuz küreselleşmenin, iletişim teknolojilerinin ve ulaşım imkanlarının gelişmesi, gelişmiş ülkelerde bekleme sürelerinin uzaması ve sağlık hizmetinde artan maliyet baskıları en önemli etken olmuştur. Ülkemizde turizm politikalarının önemli konularından birisi haline gelen sağlık turizmi, ekonomik anlamda ülke gelirine artı değer katmakta ve var olan mevcut imkanların da kullanımına sebep olarak sadece “sağlık” olarak değil diğer turizm aktivitelerini de içinde barındıran fırsatlar sunmaktadır. Katma değeri oldukça yüksek olan bu sektörün gelişiminde son yıllarda izlenen olumlu ulusal politikalar, verilen devlet destekleri ve teşvikler önemli rol oynamıştır. Nitekim 2003 yılında sağlık turizmi amacıyla ülkemizi ziyaret eden kişi sayısı 139.971 kişiden 2019 yılında 662.087'e, gelir ise 203 milyon dolardan bir milyar doların üzerine çıkmıştır. Hükümet tarafından verilen teşvik türlerinde ve teşvik oranlarında önemli artışlar görülmüştür. Bu çalışmada sağlık turizmi ve gelişimi, sağlık turizminde devlet desteği ve teşvikler konuları kavramsal olarak ele alınmıştır.
JEL Kodları: H51, Z30, I1
Avaliação dos registros de enfermagem em pediatria
Authors: Rissi Gabrieli Patricio , Cruz Shibukawa Bianca Machado , Borotta Uema Roberta Tognollo , De Freitas Goes Herbert Leopoldo 
Published: February 2021

Objetivo: analisar a qualidade dos registros de enfermagem realizados em unidade de internação pediátrica. Métodos: estudo descritivo de análise documental. Realizou-se auditoria retrospectiva entre julho a outubro de 2019, extraindo dados referentes a assistência por meio da qualidade dos registros de enfermagem. Os dados foram analisados por meio de frequência absoluta e relativa, além da realização do cálculo de Índice de Positividade. Resultados: foram analisados 1.129 registros realizados pelos enfermeiros em prontuários de 67 crianças e adolescentes. Os registros variaram a sua classificação entre adequado, seguro, limítrofe e sofrível. No contexto geral, os registros refletiram uma assistência de enfermagem sofrível, visto que não foram classificados como de qualidade. Conclusão: o registro do enfermeiro evidenciou lacunas na assistência prestada à população pediátrica, evidenciando a necessidade de expor a magnitude do tema aos profissionais diretamente envolvidos, visando a melhoria qualidade da assistência.
Pharmacological stimulation of mesh implant engraftment after ventral hernia repair
Authors: Lukoyanychev E E , Izmaylov S G , Mironov A A , Izmaylov A G , Bodrov A A , Bogdanov S N , ­Kolchina O S , Melnik S A , Evsyukov D A , Vadyaeva T V 
Published: February 2021

Aim. To study the effect of pyrimidine medication hydroxyethyldimethyldihydropyrimidine on the systemic inflammation after prosthetic repair of the anterior abdominal wall hernia.
Methods. We prospectively analyzed two groups of patients aged between 18 and 80 years, who underwent prosthetic repair of the aponeurosis defect in the anterior abdominal wall hernia with a standard polypropylene mesh implant. The main group (n=16) was given 0.5 g hydroxyethyldimethyldihydropyrimidine per os 3 times a day before meals for 57 days from the first day after the operation. In the control group (n=16), patients received basic therapy without hydroxyethyldimethyldihydropyrimidine.
Results. The postoperative period in patients after elective prosthetic hernioplasty of anterior abdominal wall was associated with an imbalance of the immune system with a tendency to lymphocytopenia (count in blood changed by 27.0%; p=0.20, Wilcoxon criterion) without significant leukocytopenia (count in blood changed by 4.9%; p=1.00, Wilcoxon criterion) and an 82.8% increase in C-reactive protein content (p=0.2, Wilcoxon criterion) compared to baseline values before the surgery. The proposed pharmacological support of prosthetic hernioplasty of the anterior abdominal wall with hydroxyethyldimethyldihydropyrimidine allowed to correct the postoperative lymphocytopenia (p=0.04, U-criterion) and reduce the concentration of C-reactive protein by 223.6% (p=0.03, U-criterion) compared with the control, which was also associated with a decrease in the number of local complications of prosthetic hernioplasty.
Conclusion. The use of hydroxyethyldimethyldihydropyrimidine in patients after prosthetic hernioplasty is associated with a significant decrease in the C-reactive protein level, prevention of postoperative lymphocytopenia and a decrease in the number of local wound complications; C-reactive protein level can serve as one of the early and significant indicators of postoperative complications in this category of patients.
Imprudência humana tragicamente poética
Authors: Bastazin Vera , Soares Filho Antonio Coutinho 
Published: February 2021

<p>Entre a tessitura de referências à cultura oriental e a poética da linguagem, Valter Hugo Mãe coloca nas mãos de seus leitores o romance <em>Homens imprudentemente poéticos</em>, que propõe não apenas a continuidade de seus escritos, mas um convite para o mergulho nas estranhas do ser, traçando uma perspectiva não apenas episódica, mas sobretudo imagética. Neste sentido, o artigo aqui apresentado refaz, de certa forma, uma caminhada pela narrativa contemporânea, evidenciando uma intersecção de teor existencial, místico e mito-poético. A magia da linguagem instiga e fascina o leitor, seja pela construção das relações de intersubjetividade que se estendem do núcleo familiar para o social, seja pela ambientação espectral que atinge momentos de tensão e lirismo. O enfoque mito-trágico é outro aspecto do romance que, ao revelar sentimentos primitivos do homem, evidencia um quadro de animosidade e inquietações interiores dos protagonistas. A análise proposta se estende para o ideário grego, retomando componentes ou condições do trágico que oferecem uma possibilidade enriquecedora de leitura da obra em movimentos constantes entre a miséria do cotidiano e a consciência iluminadora que alimenta o fazer artístico como forma de intermediação entre os homens.</p>
A Case Study of Multiple Parasitisms in a Calf Buffalo (Bubalus bubalis)
Authors: Adhikari Roshan Babu , Ghimire Tirth Raj 
Published: February 2021

Background: Gastrointestinal (GI) parasitism by protozoan and helminth parasites exists as one of the major limiting factors in the buffalo industry, especially in the wellbeing of the calves around the developing countries like Nepal. During a field survey on buffaloes, we encountered a two- and half month ill male calf suffering from various illnesses for 14 days. Methods: We collected its stool sample for three days and processed through a direct wet mount, sedimentation, floatation and acid-fast staining techniques and observed via a compound microscope. Result: We detected the multiple patterns of infections of GI parasites and even counted the oocysts of coccidia and eggs of nematodes released per gram of the feces and discussed that co-infection was associated with the pathologic consequences. Coprological surveys with appropriate egg/oocyst counting techniques are useful in the treatment and preventive options of GI infections in calves.
Hybrid storage engine for geospatial data using NoSQL and SQL paradigms
Authors: Herrera-Ramírez José A. , Treviño-Villalobos Marlen , Víquez-Acuña Leonardo 
Published: February 2021

The design and implementation of services to handle geospatial data involves thinking about storage engine performance and optimization for the desired use. NoSQL and relational databases bring their own advantages; therefore, it is necessary to choose one of these options according to the requirements of the solution. These requirements can change, or some operations may be performed in a more efficient way on another database engine, so using just one engine means being tied to its features and work model. This paper presents a hybrid approach (NoSQL-SQL) to store geospatial data on MongoDB, which are replicated and mapped on a PostgreSQL database, using an open source tool called ToroDB Stampede; solutions then can take advantage from either NoSQL or SQL features, to satisfy most of the requirements associated to the storage engine performance. A descriptive analysis to explain the workflow of the replication and synchronization in both engines precedes the quantitative analysis by which it was possible to determine that a normal database in PostgreSQL has a shorter response time than to perform the query in PostgreSQL with the hybrid database. In addition, the type of geometry increases the update response time of a materialized view.
Uso do método de desenvolvimento ágil scrum para o processo de ensino-aprendizagem
Authors: Lima Allana Karoline Calixto , Nascimento Ana Beatriz do , Albuquerque Pedro Henrique Gomes , Tenório Fernando Antonio Guimarães 
Published: February 2021

O presente estudo tem como objetivo investigar o uso do método de desenvolvimento ágil de software Scrum no processo de ensino-aprendizagem na disciplina de Montagem e Manutenção de Computadores do Curso Técnico Integrado em Informática do IFAL Campus Arapiraca. Para tal, utilizou-se um levantamento de natureza descritiva com abordagem quantitativa, a partir do qual foi possível analisar os dados levantados em questionário online. Os resultados atingidos revelam que o uso do eduScrum em sala de aula é um método favorável e produtivo de se trabalhar com os conteúdos, pois os alunos tiveram uma boa adaptação à dinâmica da metodologia, o que favoreceu o bom desempenho dos mesmos nas atividades da disciplina estudada.
Palavras-chave: Metodologias ágeis; Scrum; eduScrum; Ensino-aprendizagem.
Maternal Educational Status as One of the Risk Factors Affecting the Incidence of Infants with Low Birth Weight in Dr. M. Soewandhie General Hospital Surabaya
Authors: Salsabiila Jihanifa Hega , Joewono Hermanto Tri , Sulistiawati Sulistiawati 
Published: February 2021

Introduction: Infants with low birth weight (LBW) was one of the main indicators of the cause of high infant mortality rates (IMR). The causes of IMR and maternal mortality rate (MMR) were determined by factors in maternal condition before and during pregnancy. In 2015, LBW in Surabaya reached 2.58%, namely a number of 1,261 of 48,783 born babies weighed. This study was performed by analyzing the effect of educational status as a risk factor affecting LBW in Dr. M. Soewandhie General Hospital Surabaya. Methods: This study used case control method with a retrospective approach using patient medical records as secondary data. The sample population were mothers who gave birth to infants with birth weight of 1,500 – 4,000 g in Dr. M. Soewandhie General Hospital Surabaya. The number of samples consisted of 80 patients with case and control ratio of 1:1. The sampling technique used was purposive sampling. Data collection techniques used variable data collection sheets taken from secondary data, namely medical records. Data analysis was performed by Chi-Square and Odds Ratio (OR) statistical tests. Results: Based on Chi-Square test, there was a relationship between educational status (p = 0.034) with the incidence of LBW. The results of this study indicated that the educational status of mothers that graduated from elementary school – senior high school was at risk of 9,750 times in delivering LBW. Conclusion: Educational status was the risk factor that had a correlation with LBW.
Sepsis: Antibiotic Resistances of Gram-Positive and Gram-Negative Bacterial in a Tertiary Care Hospital
Authors: Jannah Siti Nurul , Arfijanto Muhammad Vitanata , Rusli Musofa , Widodo Agung Dwi Wahyu 
Published: February 2021

Introduction: Sepsis is a systemic infection that causes multiorgan failure and death. The death rate that is caused by sepsis is increasing. This high value of death has a correlation with the resistance of antibiotics. However, increased antibiotic resistance is not balanced with new research about antibiotics. As a consequence, it causes difficulties in handling sepsis patients who need antibiotic 1-2 hours after diagnosis is enforced. Methods: This was a descriptive study with case study design to analyze medical records of the patients, evaluating the pattern of bacterial resistance to antibiotic in 221 patients with sepsis with 240 blood isolates to identify. Results: From 221 patients identified as sepsis, there were 97 male patients (43.9%) and 124 female patients (56.1%), mostly between 18-59 years old (63.8%), with the highest level in female (54.8 %) and elderly (66.3%). The bacteria that caused the most sepsis were gram-positive. The most species in gram-positive are Staphylococcus haemolyticus (16.3%) and Staphylococcus aureus (12.5%), and the most species in gram-negative is Escheriichia coli (13.3%). The most sensitive antibiotics in gram-positive bacteria were Piperacillin-Tazobactam (100%), Daptomycin (99.2%), and Clindamycin (99.2%). The sensitive antibiotics in gram-negative bacteria were Amikacin (85.9%), Cefoperazone (84.6%), and Piperacillin-Tazobactam (84.1%). Conclusion: The most sensitive antibiotics in gram-positive bacteria were Piperacillin-Tazobactam, Daptomycin, and Clindamycin. The sensitive antibitics in gram-negative bacteria were Amikacin, Cefoperazone, and Piperacillin-Tazobactam.
Association between the Use of Touchscreen Device and Child Development
Authors: Mardiansyah Husada Tsalitsa , Irmawati Mira , Susanti Dwi 
Published: February 2021

Introduction: Early childhood development is related to sensitive period, a spesific period when a child is more easily stimulated by certain environmental stimulation. The right stimulation is needed to achieve good development. The intense use of touchscreen device is thought to potentially be a new form of stimulation that could affect child development. The aim of this study was to determine whether there is an association between the use of touchscreen device and child development. Methods: The design of this study was observational analytic with cross-sectional approach. The sampling technique used in this study was cluster-sampling. Data collection was finished in October 2018 by interviewing the respondents and assessing child development using development pre-screening questionnaire (KPSP). Results: Among 91 samples of this study, the majority (78.0%) had actively operated touchscreen devices by themselves. The result of the Kruskal Wallis test gave a value of p = 0.398 (p > 0.05) with the mean rank of not at all 29.50; only watching 48,53; and operating 46.09. Conclusion: The use of touchscreen device is not significantly associated with children development. Further research needs to be conducted to uncover the effect of touchscreen device on child development.
Percepción del contexto como factor determinante en el proceso de aprendizaje de la traducción
Authors: Morales Angela Patricia , Contreras Torregrosa Marcela 
Published: February 2021

Las percepciones de los estudiantes sobre el contexto de aprendizaje determinan la forma en que ellos aprenden (Ramsden y Entwistle, 1981) y desarrollan sus competencias profesionales, concepto fundamental como eje conductor de los estudios superiores. Una de las competencias traductoras, la subcompetencia extralingüística (PACTE, 2001) se refiere al conocimiento de campos temáticos, esenciales en todas las áreas de traducción especializada. Para propiciar el desarrollo de esta competencia, se diseñó un proyecto en la carrera de Licenciatura en Lingüística Aplicada a la Traducción de la Universidad de Santiago de Chile que consistió en la traducción colaborativa al español de textos en inglés facilitados por especialistas de esa institución, quienes asesoraron a los estudiantes durante el proceso. Al finalizar el proyecto, se analizaron las percepciones de los estudiantes sobre este contexto de aprendizaje dividido en tres áreas: calidad de los cursos y de la docencia, evaluación y ámbitos del conocimiento. El proyecto se implementó en la asignatura de Traducción Especializada en Ciencias Sociales y los estudiantes lo valoraron favorablemente en un cuestionario final y en una bitácora de reflexión. Lo destacaron como una práctica colaborativa motivadora que les permitió tomar conciencia de la complejidad del proceso traductor y descubrir sus fortalezas y debilidades.
Martínez Ojeda, Beatriz (ed.) Cuadernos de Traducción. Córdoba: UCOPress, 2020, 208 pp. ISBN 978-84-9927-549-9
Authors: Peña Molina María del Pilar 
Published: February 2021

Reseña de Cuadernos de Traducción, volumen editado por Beatriz Martínez Ojeda y publicado por la editorial UCOPress, una recopilación de material docente destinado a estudiantes de Traducción e Interpretación, así como a profesionales de la misma
Optimization of Fracturing Parameters by Modified Variable-Length Particle-Swarm Optimization in Shale-Gas Reservoir
Authors: Yao Jun , Li Zhihao , Liu Lijun , Fan Weipeng , Zhang Mingshan , Zhang Kai 
Published: February 2021

Summary
Horizontal drilling and hydraulic fracturing are recognized as the most efficient techniques to enhance recovery in shale-gas reservoirs. Because of the exploitation difficulties and complex flow mechanism in shale gas, it is imperative to focus on the optimization of fracturing parameters. However, most of the current heuristic algorithms follow the principle that the variable dimension is constant during iteration, which leads to poor performance when dealing with dimension-varying problems. The optimization of fracturing parameters can be regarded as a typical dimension-varying problem when considering the difference among fracture properties such as half-length and conductivity. Thus an improved algorithm named modified variable-length particle-swarm optimization (PSO) (VPSO) (MVPSO) was proposed to automatically select the optimal fracturing parameters: the number of fractures as well as the corresponding fracture properties. Then, MVPSO was verified and compared with VPSO by several benchmarks. In addition, a gas/water two-phase model considering gas-adsorption and Knudsen-diffusion effects was used to describe the shale-gas flow in matrix and fracture domains. An embedded discrete-fracture model (EDFM) was applied to model the hydraulic-fracture geometries and fractal methods were adopted to generate the fracture networks. The results indicated that MVPSO showed better performance in both convergence speed and accuracy than that of VPSO, which also provided a new perspective for the optimization of fracturing parameters. Besides, the multispindle-shaped fracture-distribution pattern reached a higher net-present-value (NPV) contrast to that of homogeneous fracture distribution. The decrease of gas price leads to smaller and more nonuniform half-length distribution.
Watchful Waiting as a Strategy to Reduce Low-Value Spinal Imaging: Study Protocol for a Randomized Trial
Authors: Fenton Joshua , Jerant Anthony , Franks Peter , Gosdin Melissa , Fridman Ilona , Cipri Camille , Weinberg Gary , Hudnut Andrew , Tancredi Daniel J 
Published: February 2021

Abstract
Background: Patients with acute low back pain frequently request diagnostic imaging, and clinicians feel pressure to acquiesce to such requests to sustain patient trust and satisfaction. Spinal imaging in patients with acute low back pain poses risks from diagnostic evaluation of false-positive findings, patient labeling and anxiety, and unnecessary treatment (including spinal surgery). Watchful waiting advice has been an effective strategy to reduce some low-value treatments, and some evidence suggests a watchful waiting approach would be acceptable to many patients requesting diagnostic tests. Methods: We will use key informant interviews of clinicians and focus groups with primary care patients to refine a theory-informed standardized patient-based intervention designed to teach clinicians how to advise watchful waiting when patients request low-value spinal imaging for low back pain. We will test the effectiveness of the intervention in a cluster randomized clinical trial. We will recruit 8-10 primary care and urgent care clinics (~55 clinicians) in Sacramento, CA; clinicians will be randomized 1:1 to intervention and control groups. Over a 3 to 6 month period, clinicians in the intervention group will receive 3 visits with standardized patient instructors (SPIs) portraying patients with acute back pain; SPIs will instruct clinicians in a three-step model emphasizing establishing trust, empathic communication, and negotiation of a watchful waiting approach. Control physicians will receive no intervention. The primary outcome is the post-intervention rate of spinal imaging among actual patients with acute back pain seen by the clinicians adjusted for rate of imaging during a baseline period. Secondary outcomes are: use of targeted communication techniques during a follow-up visit with an SP; clinician self-reported use of watchful waiting with actual low back pain patients; post-intervention rates of diagnostic imaging for other musculoskeletal pain syndromes (to test for generalization of intervention effects beyond back pain); and patient trust and satisfaction with physicians. Discussion: This trial will determine whether standardized patient instructors can help clinicians develop skill in negotiating a watchful waiting approach with patients with acute low back pain, thereby reducing rates of low-value spinal imaging. The trial will also examine the possibility that intervention effects generalize to other diagnostic tests. Trial registration: NCT 04255199, ClinicalTrials.gov (January 20, 2020)