bluuebunny/crossref_metadata_2025_split huggingface dataset:
El habitante de la frontera: rasgos y rol del estratega de comunicación en las organizaciones
Authors: Ugarte Iturrizaga Aitor 
Published: August 2019

Se defiende en este breve ensayo la conveniencia de que el Estratega de Comunicación sea el líder de la institución en la gestión del instrumento más poderoso que tenemos los seres humanos: el lenguaje. Esa visión dota de complejidad a su tarea y la aleja de los planteamientos lineales o causa-efecto que subyacen todavía en muchas acciones marketinianas y de comunicación actuales. Este rechazo del causalismo y el logicismo clásico como principio estructurante del rol comunicativo, asume simultáneamente lo cultural, paradójico, discontinuo, contradictorio y polisémico como entorno natural de acción. Un entorno del que metafóricamente se puede afirmar que en estos momentos se parece más a una frontera que a un territorio. De ahí que se haya elegido el título de “el habitante de la frontera” para acercarse al rol y a los rasgos del Estratega de Comunicación.
Trabajadoras ‘sexcam’ en Colombia: Una impresión diagnóstica sobre la seguridad y Salud
Authors: Fajardo Guevara Carlos , Mesa Lorza Carlos 
Published: August 2019

Objetivo: Formular una impresión preliminar de tipo diagnóstica en torno a la problemática de seguridad y salud de las trabajadoras ‘sexcam’ en Colombia.

Métodos: A tan solo unas pocas décadas del nacimiento del creciente negocio websex, se debe anotar la casi inexistencia de información, datos, y estadísticas a nivel oficial y académico, debiéndose recurrir a las más confiables fuentes de orden primario, así como a las periodísticas e independientes que con rigurosidad se han ocupado parcialmente del tema

Resultados: La relativa reciente aparición y el actual empuje de la industria websex plantean una enorme encrucijada no solamente en los campos éticos, jurídicos, y económicos en Colombia, sino que hace evidente la marcada indiferencia con la cual se ha enfocado la seguridad y la salud de las mujeres que trabajan en este medio (‘sexcam’)

Conclusiones. Un balance preliminar indica que las fuerzas que se mueven y que emergen de este negocio sexual virtual resultan contrarias y desproporcionadas en relación con los seres humanos involucrados, ya que cada vez hay más de aquellos inmersos laboralmente, mientras que sus condiciones de seguridad y de salud son casi ignoradas y olvidadas, demostrándose un preocupante desconocimiento sobre esta problemática tanto en Colombia, como en Latinoamérica, y en los diversos países del mundo.
Avaliação da frequência cardíaca e do gasto energético de um casal de Mestre Sala e Porta Bandeira de uma escola de samba do carnaval de Porto Alegre, RS
Authors: Corrêa Pabline Da Silva , Toigo Adriana Marques 
Published: August 2019

Introdução: O casal de Mestre Sala (MS) e Porta Bandeira (PB) carrega a bandeira da agremiação e tem a honra e o respeito de fazê-lo com decoro, leveza e eficiência. Sua movimentação requer equilíbrio estático e dinâmico, agilidade, flexibilidade e resistência tanto aeróbica como anaeróbica. Objetivo: Verificar o comportamento da frequência cardíaca (FC) e o gasto energético (GE) médio de um casal de MS e PB de uma escola de samba do Carnaval de Porto Alegre, RS, durante o desfile oficial de 2017. Método: Participaram voluntariamente dois indivíduos, um do sexo masculino e um do sexo feminino, com idades de 26 e 22 anos, respectivamente. Os dados de FC inicial, média e final foram coletados durante desfile, o qual teve duração total de 55 minutos. O GE médio foi estimado por meio de uma calculadora online, que fornece uma estimativa do GE absoluto durante exercício aeróbico, com base nas variáveis sexo, idade, peso, duração da atividade e FC média. Resultados e conclusões: Durante o desfile houve alteração da FC dos indivíduos, alcançando as médias de 150bpm (MS) e 162bpm (PB), caracterizando a atividade como um exercício de alta intensidade. O GE durante a atividade foi de 463kcal (MS) e 336kcal (PB).
Evaluating the Students Assessment in Residency Program Based on Competency Based Approach
Authors: Keshmiri F , Heydari Atefeh Sadat 
Published: August 2019

Introduction: The present study aimed to evaluate an assessment system in residency program based on a competency-based approach.
Methods:
The establishment of the assessment as a quality improvement of clinical education has progressed since 1396 in Shahid Sadoughi University of Medical Sciences. In this study, the evaluation the assessment system was carried out in 6 steps including the formulation of an evaluation plan, the design of tools, information gathering and data analysis, reporting and feedback. The evaluation was conducted through site visite by using a checklist, reviewing the documentation and interviewing the educational managers. Data were analyzed using descriptive tests.
Result:
The student assessment system was evaluated in 16 residenty departments. The status of the establishment of a student assessment system in the "objectives", "structure and organization" axes, is desirable, and in "design and implementation framework" and "quality assurance" is in moderate level. In all of the departments were devlepoded assessment bluprinet to determine the capabilities and tools appropriate for assessing them. The results indicated 83% of the capabilities on average were measured in departments. The most diversity in the assessment of learners' abilities was reported in the written tests (cognitive domain) using three tests (Multi-Choice Questions, Essay and Oral Exam. Also, the status of the formative tests was evaluated in "moderate" level.
Conclusion:
The results of the evaluation show that although key steps have been taken towards implementing the student evaluation system in the residency departments. But, for the establishment of the system need to plan base on the competency-based assessment at the departments and educational administration levels.
Take on Issues and uses of Reflection and Reflective Practice in Nursing Education
Authors: Bagheri M , Haghani F 
Published: August 2019

Introduction: In the recent decades, reflection have been introduced as a valuable element in nursing education and a learning tool in improving nursing professional practice. The study of reflection and reflective practice topics and applications in nursing education facsilitates closing the gap between theory and practice and promoting critical thinking. The aim of this study was to evaluate the position and reflective practice is in nursing education.
Methods: In this review article the required content was obtained by searching databases from Persian electronic databases including (Irandoc, SID, Magiran, Iranmedex) and English databases including; (Pubmed, ERIC, Google scholar, Proquest andElsevier). All published paper between 2019 and 1992 were retrieved. The content of 172 papers were examined and 31 related papers were included.
Result: Utilizing reflection on nursing education is done through various strategies including; a)need of improvement, b) the improvement of professional practice, c) the promotion of critical thinking, and d) placement of the patient at the heart of learning activity.
Conclusion: Reflective practice provides a learning tool which mayto promote essential skills of critical thinking, self-direction , gap reduction between theory and practice and professional development in nursing education.
Application of Portfolio in Nursing Education and Assessment of Learning
Authors: Mardanian Dehkordi L , Ghiyasvandian Sh 
Published: August 2019

Introduction: Portfolio is one of the active learning strategies for clinical education. By making portfolio, students present their own projects including clinical learning activities at or near the end of a clinical course. The purpose of this study was to investigate the application of this tool in nursing education in order to know the advantage and limitation of the tool.
Methods: This study reviews the literature published in Farsi and English with the possibility of accessing the full text of the article over the past five years related to the use of portfolio in nursing education. A literature review was done by searching the keywords portfolio and nursing in the databases including; Web of Science, and ProQuest and scientific search engine such as Google Scholar. After removing repetitive and non-related items, 17 articles were selected accordingly.
Result: The review of literature suggests that the portfolio is used in different schools and courses of nursing students with different goals such as assessment, evaluation, training; and performance improvement. Using portfolios has some advantages and limitations that need to be determinate for designing and implementing portfolios. Some benefits of portfolios were development of skills, fostering active learning, improvement of clinical competencies, and satisfaction of students from assessment and academic achievement. Its limitations include the lack of clarity and time constraints for completing it.
Conclusion: The portfolio facilitates the monitoring of nurses' professional development and facilitates knowledge management. Therefore, designing and using this tool is recommended to improve the clinical competence of nursing students in undergraduate, graduate and postgraduate studies in Iran. However, the scope and purpose of using the portfolio should be specified and potential users should be well aware of the issue and its importance, and to learn the skills necessary to use it.
UNIDADES DE CONSERVAÇÃO NO SEMIÁRIDO BRASILEIRO: ESTUDO DA GESTÃO DESSES ESPAÇOS PRESERVADOS
Authors: Alves Oliveira Silva José Irivaldo , Lucena Barbosa Elizandra Sarana , Freire da Silva Allan Gustavo , Firmino Nunes Gutyelson Henrik 
Published: August 2019

A forma como os recursos naturais são utilizados é uma questão discutida há varias décadas. No entanto, as políticas públicas ambientais e a criação de espaços preservados estão em maior evidencia atualmente devido às crescentes catástrofes ambientais, são questões de interesse coletivo discutidas por cidadãos e por autoridades governamentais. A expressão Unidade de Conservação (UC) trata-se de nomenclatura contemporânea ao que se chamava antes da Lei nº 9.985/2000 de áreas preservadas e/ou regiões protegidas. Deste modo, UC é o termo instituído na lei para designar uma área sob proteção especial do Estado, seja pela União, por um estado da federação, pelo Distrito Federal ou pelo município. Através da presente pesquisa realizada no período 2014/2015 constatamos o modelo de gestão desenvolvido nas Unidades de Conservação do semiárido paraibano a partir de investigação nas seguintes UCs: Parque Estadual Pico do Jabre, Monumento Natural Vale dos Dinossauros, Área de Proteção Ambiental das Onças, Área de Proteção Ambiental do Cariri e o Parque Ecológico Engenheiro Ávidos. Identificou-se que essas UCs sofrem com a falta de investimento em sua manutenção, na ausência de projetos que venham a injetar recursos para manter essas Unidades. Verificou-se que a manutenção é um dos grandes desafios enfrentados na gestão dessas Unidades, para garantir a preservação e conservação desses espaços.
Socio-Psychological Adaptation of International Students to Learning and Professional Activities
Authors: Biserova Galia Kamilyevna , Shagivaleeva GuzaliaÂ  Rasikhovna 
Published: August 2019

It remains well established that international students face a number of challenges when they arrive at a foreign institute to pursue higher education. This research aims to examine the socio-psychological adaptation of international students to learning and professional activities of Elabuga Institute (branch) of Kazan Federal University, Russia. Using a number of socio-psychological adaptation methods of assessment (such as the sense of social security satisfaction, social frustration and psychological adaptation to new life conditions), the research aims to make remedial arrangements to boost the psychosocial adaptation of international students to educational and professional activities.
The findings from the assessment methods were deployed to create an intervention programme,which in turn created the effective adaptation environment for overcoming the psychological inconveniences of language and culture barriers, integrating students into personal and business relations with the native speakers, corporate training of Russian language in conversation clubs, and invitation for participation in mass cultural institute events.
Japanese Lexical Variation Explained by Historical
Contact Patterns
Authors: Jeszenszky Péter , Hikosaka Yoshinobu , Imamura Satoshi , Yano Keiji 
Published: August 2019

We assemble a set of methodologies using theories in variationist linguistic and GIScience, and tools used in historical GIS to analyse spatial variation in Japanese dialectal lexicon.
Based on historical dialect atlas data, we calculate a linguistic distance matrix across survey localities. The linguistic variation expressed through this distance is contrasted with several distance based measurements utilised to estimate the potential of language contact across Japan historically and at present. Besides, administrative boundaries are tested for their separation effect.
Aggregate association measures within linguistic variation can challenge previous notions of dialect area formation. Depending on local geographies in spatial subsets, great circle distance, travel distance and travel times explain a similar proportion of the variance in dialectal variation despite the limitations of the latter two. While they explain the majority, two further contact estimations have lower explanatory power: least cost paths implemented to model contact before the industrial revolution, based on DEM and seafaring, and a linguistic influence index based on the law of gravity. Historical domain boundaries and present day prefecture boundaries are found to have a substantial effect on dialectal variation. However, the interplay of boundaries and distance is yet to be identified. We claim that a similar methodology can address spatial variation in other digital humanities, given a similar spatial and attribute granularity.
Pautas de movilidad e impacto de la dispersión urbana: análisis de la provincia de Valencia a partir de nuevas fuentes de datos
Authors: Zornoza Gallego Carmen 
Published: August 2019

El trabajo está dedicado a obtener parámetros de movilidad del área urbana de Valencia empleando datos geolocalizados de la red social Twitter. Los objetivos son dos: reconocer la escala de los desplazamientos según la frecuencia de visita y cuantificar el impacto que tiene la dispersión urbana en la longitud de los desplazamientos. La metodología parte de la detección del lugar de residencia de cada usuario, sobre la cual poder hacer el análisis de los desplazamientos. Una vez establecida la residencia, se clasifican el resto de posiciones de cada usuario en función a la cantidad de veces que se visita un lugar, distinguiendo entre lugares: frecuentes y ocasionales. De esta forma, se obtiene información sobre los espacios de vida habitual, en los que las estrategias de consumo de tiempo se ven reflejadas, y sobre los espacios de vida ocasional, donde los desplazamientos responden a una menor fricción por distancia. Finalmente, el impacto de la dispersión urbana en los desplazamientos se mide a través de las distancias que recorren los usuarios residentes en zonas urbanas continuas en comparación con las discontinuas. Los resultados confirman el impacto que la urbanización discontinua tiene en la movilidad con un aumento medio de 4 Km.
Acute kidney injury in hospitalized patients who underwent percutaneous kidney biopsy for histological diagnosis of their renal disease
Authors: Konigsfeld Henrique Pinheiro , Viana Tatiana Garcia , Pereira Suzy Cristine , Santos Thais Oliveira Claizoni Dos , Kirsztajn Gianna Mastroianni , Tavares Agostinho , Júnior Marcelino de Souza Durão 
Published: August 2019

Abstract
Background Performing a kidney biopsy is necessary to accurately diagnose diseases such as glomerulonephritis and tubulointerstitial nephritis, among other such conditions. These conditions predispose patients to chronic kidney disease, as well as acute kidney injury (AKI). Notably, most epidemiological studies describing AKI have not investigated this patient population. Methods Included patients admitted to the nephrology ward of a tertiary hospital who underwent percutaneous kidney biopsy. AKI was diagnosed based on the Kidney Disease: Improving Global Outcomes criteria. Results Of the 223 patients investigated, 140 (62.8%) showed AKI. Of these, 91 (65%), 19 (13.6%), and 30 (21.4%) presented with AKI classified as stages 1, 2, and 3, respectively. The primary indication for performing biopsy was nephrotic syndrome or nephrotic proteinuria (73 [52.1%] in the AKI vs. 51 [61.4%] in the non-AKI group, p=0.048). Focal segmental glomerulosclerosis was the most prevalent primary disease (24 [17.1%] in the AKI vs. 15 [18.0%] in the non-AKI group, p=0.150). Multivariate analysis of risk factors associated with AKI showed hemoglobin levels (odds ratio [OR] 0.805, 95% confidence interval [CI] 0.681–0.951, p=0.011), serum high-density lipoprotein cholesterol levels (HDL-c, OR 0.970, 95% CI 0.949–0.992, p=0.008), and baseline serum creatinine levels (OR 2.703, 95% CI 1.471–4.968, p=0.001) were significantly associated with AKI. Conclusions We observed a high prevalence of AKI in hospitalized patients who underwent kidney biopsy to investigate their renal disease, particularly glomerulonephritis. Higher levels of hemoglobin and serum HDL-c were associated with a lower risk of AKI.
The diversity between curatively resected pancreatic head and body-tail cancers based on the 8th edition of AJCC staging system: a multicenter cohort study
Authors: Sheng Weiwei , Dong Ming , Wang Guosen , Shi Xiaoyang , Gao Wei , Wang Kewei , Song He , Shi Gang , Tan Xiaodong 
Published: August 2019

Abstract
Background: To our knowledge, there are no studies to systematically compare the detailed clinical significance between curatively resected pancreatic head (ph) and body-tail (pbt) ductal adenocarcinoma based on the new 8th edition of AJCC staging system (8th AJCC stage) that was just applied in clinical practice in 2018.
Methods: 351 patients with curatively resected pancreatic adenocarcinoma (PC) from three center hospitals were entered into this multicenter cohort study.
Results: Increasing tumor size (P<0.001), T stage (T1+T2 vs T3+T4, P=0.003), frequent postoperative liver metastasis (PLM) (P=0.002) and 8th AJCC stage (IA to VI, P<0.001; I+II vs III+IV, P=0.002) were closely associated with the progression of pbt cancers compared with that in ph cancer patients. Moreover, tumor size≥3cm (P=0.012), 8th AJCC stage (III+IV) (P=0.025) and PLM (P=0.010) were identified as independent risk factors in pbt cancers in logistic analysis. Patients with pbt cancers had a significantly worse overall survival compared with ph cancer patients (P=0.007). Moreover, pbt was an independent unfavorable factor in multivariate analysis (P=0.009). In addition to 8th AJCC stage, vascular invasion and PLM, increasing tumor size and advanced T stage were also closely associated with the poor prognosis in 131 cases of pbt cancer patients compared with Ph cancer patients.
Conclusion: Pbt, as an independent unfavorable factor for the prognosis of PC patients, are much more aggressive than that in ph cancers according to 8th AJCC staging system. 8th AJCC staging system are more comprehensive and sensitive to reflect the malignant biology of pbt cancers.
Comparison of the ROI-C cage and Zero-P device used in anterior cervical discectomy and fusion: a minimum 2-year follow-up study
Authors: Wu Penghuan , Yuan Aidong , Min Shaoxiong , Shi Benchao , Jin Anmin 
Published: August 2019

Abstract
Background: Anterior cervical discectomy and fusion (ACDF) has been considered the gold-standard procedure for treating symptomatic cervical spondylosis refractory to conservative management. The aim of this study was to compare the clinical efficacies of anterior cervical discectomy and fusion (ACDF) with Zero-P and ROI-C devices in the treatment of cervical degenerative disc disease (CDDD).
Methods: Between July 2014 and December 2014, 56 patients underwent ACDF with Zero-P or ROI-C. Pre-, intra-, and postoperative clinical and radiographic outcomes were compared between groups.
Results: The visual analogue scale (VAS) pain score, Japanese Orthopaedic Association (JOA) score, neck disability index (NDI) score, cervical range of motion (CROM) angle, C2-7 Cobb angle, and disc height index (DHI) exhibited significant postoperative improvements in both groups (P<0.05). The successful treatment rates in both groups were 76% (P>0.05). In the Zero-P group, the duration for surgeries involving C3-4 or C6-7 was longer than for other surgeries (135.0±19.0 vs. 105.6±17.5 min, P<0.05). The operative time for surgeries involving C3-4 or C6-7 was significantly shorter for ROI-C than for Zero-P (112.2±20.5 min, P<0.05). There were no significant differences in the dyspepsia or cage subsidence rates between the Zero-P and ROI-C groups (P>0.05). The last follow-up Cobb angle in the Zero-P group (24.4±4.5°) was significantly higher than that in the ROI-C group (18.1±2.3°) (P<0.05).
Conclusion: ACDF with ROI-C showed comparable efficacy with the Zero-P device, with a shorter operation time for surgeries involving C3-4 or C6-7. However, ROI-C may cause more Cobb angle loss over time, which may lead to uncomfortable symptoms. Above all, the surgeon should take individual patient context and personal proficiency into consideration when choosing cage devices.
Diagnose-Specific Antibiotic Prescribing Patterns at the Otorhinolaryngology Inpatient Departments of Two Private Healthcare Facilities in Central India: A Five Year Observational Study
Authors: Silfwerbrand Elisabeth , Verma Sumeer , Sjökvist Cora , Lundborg Cecilia Stålsby , Sharma Megha 
Published: August 2019

Abstract
Background

Antibiotics are overprescribed in low-and-middle-income countries where the infection rate is high. The global paucity of standard treatment guidelines and reliable prescription data is a barrier to rationalise antibiotic use and combat antibiotic resistance. Moreover, there is a lack of diagnose-specific prescription data from high infection risk departments such as the otorhinolaryngology (ENT). The purpose of the study was to present diagnose-specific antibiotic prescribing patterns at ENT inpatient departments of a teaching hospital and a non-teaching hospital from Indian private healthcare sector.

Methods

Data of all consecutive inpatients at the department (n=3527) were collected for five years (2008-2013). Analyses were conducted for inpatients aged >15 years (n=2909) using the World Health Organization’s methodologies. Patient records were divided into four diagnoses (indication) groups, i.e., surgical, non-surgical, chronic suppurative otitis media (CSOM) and others.

Results

Of 2909 inpatients, 51% had surgical diagnoses. An average of 83% inpatients in the clean surgery group, 78% in viral infection and 75% in non-infectious groups were prescribed antibiotics. CSOM was the most common diagnosis at both settings (883/2909 inpatients), where nearly 90% inpatients were prescribed antibiotics. Overall, third-generation cephalosporins and fluoroquinolones were most commonly prescribed.

Conclusions

This study highlights prescribing antibiotic to the unindicated diagnosis groups, i.e., clean surgeries, viral infections, and non-infectious diagnoses. Recommended single-prophylactic dose of antibiotic was not prescribed for the majority of clean-contaminated surgeries. Prolonged empirical prescribing and insignificant use of the microbiology laboratory was evident in both settings. A meticulous analysis of clean surgery group highlighted the universal applicability issue of available global guidelines.