bluuebunny/crossref_metadata_2025_split huggingface dataset:
Η Ισπανία στους πρώιμους νέους χρόνους (15oς -17oς αι.)
Authors: Filippis Dimitris 
Published: January 2018

Σκοπός: είναι να «διαβάσουμε» μαζί με τους φοιτητές και τις φοιτήτριες του Προγράμματος μας (ΙΣΠ), και ειδικότερα των Θ.Ε. μας, (ΙΣΠ21 και ΙΣΠ 22) την πρώιμη περίοδο των Νεότερων Χρόνων (15ος-18ος αι.), να την ανακεφαλαιώσουμε και να την «εμπεδώσουμε» μαζί τους. Προσδοκώμενα αποτελέσματα: ύστερα από τη μελέτη του «παράλληλου κειμένου ανακεφαλαίωσης» και τις «δραστηριότητες εμπέδωσής της», προσδοκούμε ότι οι φοιτητές και οι φοιτήτριες μας θα είναι σε θέση να επιλέξουν, να παρουσιάσουν, να αναλύσουν-εξηγήσουν τις βασικές έννοιες της πολιτικής, κοινωνικής και πνευματικής εξέλιξης της Ισπανίας και της «ηγεμονίας» της στη Μεσόγειο και στον Ατλαντικό κατ’ αυτή την εποχή. Εισαγωγικές παρατηρήσεις-διευκρινίσεις: Η παρούσα «πρόταση μελέτης» επιχείρησε-επιχειρεί να ικανοποιήσει την ανάγκη των φοιτητών μας για μια «πρώτη συνομιλία-συνεργασία» μεταξύ των δύο Προγραμμάτων, του Ευρωπαϊκού Πολιτισμού με τον Ισπανικό Πολιτισμό, εφόσον ο δεύτερος, ο «δικός μας», είναι αναπόσπαστο «κομμάτι» του πρώτου. Το παρόν κείμενο «δοκιμάστηκε» πρώτα στις ΟΣΣ και στην Πλατφόρμα μας. Συνεπώς, η δημοσίευσή του εδώ ας θεωρηθεί μια πρώτη πρόταση αυτής της συνεργασίας-συμπόρευσης των δύο Π.Σ.
Προσαρμογή εκπαιδευτικού υλικού για ενήλικες πρόσφυγες: βασικά ζητήματα σχεδιασμού & ανάπτυξης υλικού
Authors: Αποστολίδου Άννα , Hartofylaka Antonia-Maria 
Published: January 2018

Το άρθρο παρουσιάζει και αναλύει τις προκλήσεις που αντιμετωπίστηκαν κατά τη διαδικασία σχεδιασμού του εκπαιδευτικού υλικού στο πλαίσιο πολιτισμικής προσαρμογής εξ αποστάσεως εκπαίδευσης για ενήλικες πρόσφυγες που διαμένουν στην Ελλάδα. Η παρουσίαση βασίζεται σε διεπιστημονική έρευνα που διεξάγεται στο πλαίσιο του έργου P.R.E.S.S (Παροχή Προγράμματος Εκπαίδευσης και Υποστήριξης για τους Πρόσφυγες) και συγκεκριμένα στην επακόλουθη εφαρμογή των δράσεων 21 και 22 του έργου, οι οποίες στοχεύον στην προσαρμογή προϋπάρχοντος εκπαιδευτικού υλικού ούτως ώστε να ανταποκρίνεται στις ανάγκες και τις κοινωνικές συνθήκες του πληθυσμού-στόχου. Ειδικότερα, η παρουσίαση εξετάζει ζητήματα εκπαιδευτικής και πολιτισμικής προσαρμογής του υλικού με κύρια εστίαση στα παρακάτω ερωτήματα:α) πώς μπορεί να ανταποκριθεί καλύτερα το εκπαιδευτικό περιεχόμενο στις συνθήκες της κινητικότητας και της έκτακτης ανάγκης που αντιμετωπίζουν πολλοί εκπαιδευόμενοι,β) πώς μπορεί το εκπαιδευτικό υλικό, μέσα από διαβαθμισμένες και ποικίλες δραστηριότητες, να ανταποκριθεί στις διαφορετικές ανάγκες που παρουσιάζουν τα μεγάλα ακροατήρια στην εξ αποστάσεως μάθηση (φύλο, ηλικία, εθνότητα κοκ), γ) ποιοι παράγοντες επηρέασαν την επιλογή του υπό επεξεργασία εκπαιδευτικού υλικού, δεδομένου ότι πρόκειται για μια «πρώτη» συνάντηση των εκπαιδευόμενων με το ευρωπαϊκό εκπαιδευτικό σύστημα καιδ) ποιο ρόλο κατείχε η πρόσβαση σε τεχνολογικές δυνατότητες των εκπαιδευόμενων στον σχεδιασμό της μορφής και του περιεχομένου του εκπαιδευτικού υλικού.Τα αποτελέσματα της εφαρμογής της δράσης και της ανατροφοδότησης που θα προκύψει από διαστρωματομένο δείγμα ενηλίκων προσφύγων πρόκειται να πληροφορήσουν τον επανασχεδιασμό και τη θεωρητική προσέγγιση του εγχειρήματος.
Τα οφέλη των νηπιαγωγών από την συμμετοχή τους σε πρόγραμμα peer e-mentoring με στόχο την διδασκαλία αγγλικών στο νηπιαγωγείο.
Authors: Ευταξία Κωνσταντία Χρ. , Βαλαδίδου Αρετή 
Published: January 2018

H χρήση του peer e-mentoring για την επιμόρφωση και συνεργασία νηπιαγωγών αποτελεί στην Ελλάδα μια καινοτόμα εκπαιδευτική πρακτική. Η παρούσα έρευνα διεξήχθη με σκοπό να μελετήσει τα οφέλη μιας ομάδας νηπιαγωγών από την συμμετοχή τους σε ένα πρόγραμμα peer e-mentoring. Για έξι εβδομάδες (16/1-24/2/2017) πέντε νηπιαγωγοί που συμμετείχαν σε ένα πρόγραμμα peer e-mentoring, συναντιόταν μέσω της υπηρεσίας της τηλεδιάσκεψης του ΠΣΔ αλλά παράλληλα επικοινωνούσαν και με άλλους τρόπους (τηλεφωνικά, με mail, viber) με σκοπό την αλληλεπίδραση και την ανταλλαγή απόψεων για το περιεχόμενο και την πορεία των μαθημάτων που αφορούσαν το καινοτόμο πρόγραμμα της διδασκαλίας της αγγλικής γλώσσας στο νηπιαγωγείο με την χρήση των ΤΠΕ. Η οργάνωση του πλαισίου του προγράμματος έγινε από την peer e-mentor ενώ το περιεχόμενο των μαθημάτων και ο σχεδιασμός της εκπαιδευτικής διαδικασίας συντελέστηκε με την ενεργή συμμετοχή των mentees. Στο τέλος του προγράμματος peer e-mentoring, οι συμμετέχοντες με ατομικές συνεντεύξεις κατέθεσαν την εμπειρία τους. Τα ευρήματα της έρευνας ήταν ενθαρρυντικά και αποδεικνύουν ότι το peer e-mentoring μπορεί να αναδειχτεί σε μία πολύ αποτελεσματική πρακτική που μπορεί να βοηθήσει την επαγγελματική και συναισθηματική ανάπτυξη των νηπιαγωγών μειώνοντας την επαγγελματική τους απομόνωση .
Optimal cutoff for the evaluation of insulin resistance through triglyceride-glucose index: A cross-sectional study in a Venezuelan population
Authors: Salazar Juan , Bermúdez Valmore , Calvo María , Olivar Luis Carlos , Luzardo Eliana , Navarro Carla , Mencia Heysa , Martínez María , Rivas-Ríos José , Wilches-Durán Sandra , Cerda Marcos , Graterol Modesto , Graterol Rosemily , Garicano Carlos , Hernández Juan , Rojas Joselyn 
Published: January 2018

Background: Insulin resistance (IR) evaluation is a fundamental goal in clinical and epidemiological research. However, the most widely used methods are difficult to apply to populations with low incomes. The triglyceride-glucose index (TGI) emerges as an alternative to use in daily clinical practice. Therefore the objective of this study was to determine an optimal cutoff point for the TGI in an adult population from Maracaibo, Venezuela. Methods: This is a sub-study of Maracaibo City Metabolic Syndrome Prevalence Study, a descriptive, cross-sectional study with random and multi-stage sampling. For this analysis, 2004 individuals of both genders ≥18 years old with basal insulin determination and triglycerides < 500 mg/dl were evaluated.. A reference population was selected according to clinical and metabolic criteria to plot ROC Curves specific for gender and age groups to determine the optimal cutoff point according to sensitivity and specificity.The TGI was calculated according to the equation: ln [Fasting triglyceride (mg / dl) x Fasting glucose (mg / dl)] / 2. Results: The TGI in the general population was 4.6±0.3 (male: 4.66±0.34 vs. female: 4.56±0.33, p=8.93x10-10). The optimal cutoff point was 4.49, with a sensitivity of 82.6% and specificity of 82.1% (AUC=0.889, 95% CI: 0.854-0.924). There were no significant differences in the predictive capacity of the index when evaluated according to gender and age groups. Those individuals with TGI≥4.5 had higher HOMA2-IR averages than those with TGI <4.5 (2.48 vs 1.74, respectively, p<0.001). Conclusions: The TGI is a measure of interest to identify IR in the general population. We propose a single cutoff point of 4.5 to classify individuals with IR. Future studies should evaluate the predictive capacity of this index to determine atypical metabolic phenotypes, type 2 diabetes mellitus and even cardiovascular risk in our population.
Análise do Conhecimento dos Agentes Comunitários de Saúde da Unidade de Saúde da Família de uma cidade do interior da Bahia sobre Hipertensão Arterial
Authors: Santos Elenito Bitencorth , Mares Filho Almir Santos , Fernandes Mayline Alcântara 
Published: January 2018

O aumento de óbitos relacionado direta ou indiretamente a Hipertensão Arterial vem caracterizando a população mundial como um problema relevante de saúde pública evidenciado dentro da modalidade das doenças não transmissíveis, onde 10-20% dos adultos são acometidos de tal enfermidade. Conceituada como síndrome hipertensiva, ela é diagnosticada através da aferição dos níveis pressóricos com base na força exercida nos vasos sanguíneos, a mesma, identificada pela contração cardíaca sistólica e diastólica elevadas. O presente trabalho tem como objetivo analisar o conhecimento dos Agentes Comunitários de Saúde sobre hipertensão arterial, por se tratar de profissionais que realizam diretamente um trabalho de mediação entre a comunidade e a Estratégia de Saúde da Família. Eles surgiram no Brasil como um instrumento útil para a redução alarmante dos indicadores de morbimortalidade, sendo capaz de mitigar os fatores de risco para a doença com ações e medidas preventivas informacionais. Como estratégia metodológica, optou-se por um estudo qualiquantitativo do tipo exploratório, o que permite um específico enfoque de uma dada realidade, realizado através de questionário com 15 Agentes Comunitários de Saúde pertencentes a Unidade de Saúde da Família de uma cidade do interior da Bahia em janeiro de 2012. O estudo permitiu identificar que apesar de 100% dos Agentes Comunitários de Saúde já terem participado de alguma capacitação sobre Hipertensão e se considerarem aptos a passar informações à comunidade, identificou-se algumas dificuldades destes trabalhadores referente à patologia, tornando-se uma situação estarrecedora, apesar de ser considerados como parte fundamental e reorganizadora da atenção básica, podendo atuar em diversos contextos da promoção à saúde e minimização dos agravos. Palavras-chave: Agente Comunitário de Saúde. Hipertensão Arterial Sistêmica. Comunidade.
A Importância do Curso de Operações Rurais, no âmbito organizacional e pedagógico, da Companhia Independente de Policiamento Especializado – Caatinga da Polícia Militar do Estado da Bahia: Um Estudo de Caso
Authors: Ferreira Fábio Jorge Nascimento , Souza Nadjane Gonçalves de , Silva Wilton Panta da 
Published: January 2018

O objetivo principal deste trabalho é validar a importância do Curso de Operações Rurais, no âmbito da Polícia Militar do Estado da Bahia, enquanto pratica pedagógica-organizacional, tendo como seu principal agente, a CIPE/Caatinga, unidade responsável pela implantação do modelo de atuação operacional adotado junto às Companhias Independentes de Policiamento Especializado – CIPE’s. Desenvolvido através de estudos sobre gestão de competências, processos de ensino-aprendizagem, educação corporativa, gestão de pessoas, docência, prática pedagógica e treinamento policial militar, evidenciando-se como um artigo original, e complementado com livros e pesquisas correlacionadas à realidade da profissão policial militar, o citado trabalho preocupou-se, basicamente, em realizar uma análise concisa e bastante didática, verificando a história, a realidade e a relevância da CIPE/Caatinga e, num segundo momento, o fomento gerado pela realização do VIII Curso de Operações Rurais e as suas repercussões no plano intitucional.
Universal Liver Extraction Algorithm: An Improved Chan–Vese Model
Authors: Siri Sangeeta K. , Latte Mrityunjaya V. 
Published: January 2018

Abstract
Liver segmentation is important to speed up liver disease diagnosis. It is also useful for detection, recognition, and measurement of objects in liver images. Sufficient work has been carried out until now, but common methodology for segmenting liver image from CT scan, MRI scan, PET scan, etc., is not available. The proposed methodology is an effort toward developing a general algorithm to segment liver image from abdominal computerized tomography (CT) scan and magnetic resonance imaging (MRI) scan images. In the proposed algorithm, pixel intensity range of the liver portion is obtained by cropping a random section of the liver. Using its histogram, threshold values are calculated. Further, threshold-based segmentation is performed, which separates liver from abdominal CT scan image/abdominal MRI scan image. Noise in the liver image is reduced using median filter, and the quality of the image is improved by sigmoidal function. The image is then converted into binary image. The Chan–Vese (C–V) model demands an initial contour, which evolves outward. A novel algorithm is proposed to identify the initial contour inside the liver without user intervention. This initial contour propagates outward and continues until the boundary of the liver is identified accurately. This process terminates by itself when the entire boundary of the liver is detected. The method has been validated on CT images and MRI images. Results on the variety of images are compared with existing algorithms, which reveal its robustness, effectiveness, and efficiency.
Professionally responsible management of gynecologic cancer in pregnancy when clinical resources are unavoidably limited
Authors: Božanović Tatjana , Pejović Tanja , Chervenak Frank A. , McCullough Laurence , Ljubić Aleksandar 
Published: January 2018

Abstract
General ethical principles such as respect for autonomy and justice could probably be unique around the world but there is an enormous diversity of medical care possibilities that are provided for patients around the globe, and therefore different approaches should be considered depending on the level of health care provided.
DMF-promoted reductive functionalization of CO2 with secondary amines and phenylsilane to methylamines
Authors: Liu Xiao-Fang , Qiao Chang , Li Xiao-Ya , He Liang-Nian 
Published: January 2018

Abstract
An amide-promoted protocol was developed for the reductive functionalization of CO2 with amines/imine and phenylsilane to produce methylamine. Secondary amines and an imine were methylated successfully to methylamines with up to 98% yield under atmospheric pressure of CO2 and 80°C. Furthermore, a tentative mechanism involving amide-promoted CO2 reduction to the silyl acetal species was proposed. Striking features of this metal-free protocol are selective six-electron reduction of CO2 with hydrosilane as a reductant in the presence of amine.
Selected data from the Polish National Prenatal Cardiac Pathology Registry from the year 2016
Authors: Kordjalik Paulina , Tobota Zdzisław , Respondek-Liberska Maria 
Published: January 2018

Abstract
Introduction: Analysis have been subjected to evaluate standard data reports from the Polish National Prenatal Cardiac Pathology Registry from the year 2016, compared to previous years. Material and methods: The methodology of this work was comparison of the data from previous years that have been published in the Prenatal Cardiology and records generated in www. orpkp.pl from the year 2016. The total number of records entered in the Registry in the year 2016 was n=774. Results: Top 10 most common prenatal CHD in 2016 were such as follow: HLHS, AVSD, VSD, d-TGA, TOF, AvS, muscular VSD, Aberrant origin R subclavian artery, RAA, CoA. In the centers Lodz and Krakow the most common prenatal congenital heart defects were severe CHD requiring surgery in 1 st month of life. In the contrast, in Warsaw the first place was taken by a “critical heart defects” regardless whether cardiac surgery was planned in first week (contemporary definition of prenatal critical heart defects) or first month - contemporary definition of severe planned heart defects of postnatal life. Conclusion: The fact that in 2016 most common cause of referrals to targeted the fetal chocardiography was abnormal, large vessels view and not the abnormal 4 chamber view of the heart, suggests more and better training of hysicians performing the screening or basic study of fetal heart in Poland.
Single Fetal Cardiac Tumors and Follow-Up Based on 13 Cases from the Fetal Cardiac Referral Center in 1993-2017
Authors: Żalińska Agnieszka , Korabiewska Sara , Krekora Michał , Michalak Krzystof , Kopala Marek , Cichos Ewa , Romanowicz Anna , Słodki Maciej , Respondek-Liberska Maria 
Published: January 2018

Abstract
Introduction: Fetal cardiac tumors are anomalies, that occur rarely: from Nationwide Register of Fetal Cardiological Problems in Poland in years 2004-2016 amongst 8112 fetuses with cardiological problems, there were 85 fetuses with cardiac tumors, including 52 cases of multiple cardiac tumors (0,64%) and 33 of single anomalies (0,4%). Material: This analysis included 13 cases from single tertiary fetal cardiac center Lodz in years 1993-2017. Results: Ten out of 13 fetuses with single cardiac tumors (SFCT) had cardiomegaly: on average HA/CA was 0,49. The size of the tumor was different: the smallest one - 6 x 6 mm, the biggest 47 x 47 mm. The way of the delivery: in 10 cases there was CS and in 3 cases natural delivery. Birth weight was from 2000-3950 g (average 2989,2 g). Cardiosurgical resection of the tumor was performed on 4 newborns: at 2nd, 4th, 8th and 16th day of life (average 7,5 day). Four neonatal deaths were registered (31%): in 1st 2nd and 11th day (before surgery) and in the 28th day after the operation. Conclusions: Single fetal cardiac tumors (SFCT) can be diagnosed at 20 weeks of pregnancy, which allows to start echocardiographic monitoring, taking into consideration the potential risk of hemodynamic progression. SFCT can be the first sign of tuberous sclerosis complex in later prenatal or postnatal life. SFCT other than rhabdomyoma can be asymptomatic in newborn, but may require an early cardiosurgical resection.
The Prognosis for Fetuses with Vein of Galen Malformation and Symptoms of Heart Failure
Authors: Nawara-Baran Agnieszka 
Published: January 2018

Abstract
Vein of Galen Malformation (VGM) it is the most common cerebral arteriovenus malformation in fetuses and children. Usually VGM causes volume overload of the heart and can induce mass effect in the brain, causing progressive neurological impairment. Modern treatment allow on earlier therapy (before the 5th monthof life). This gives the newborn with isolated VGM and heart failure a chance of survival. This work presents case of isolated vein of Galen malformation with diagnosed cardiomegaly, monophasic flow through the tricuspid valve, large right heart, pericardiac effusion, dilatation of SVC and abnormal doppler exam. Postnatal management included aggressive medical treatment of cardiac failure and early transarterial embolization of the selected vessels feeding the aneurysm at 6 days of age. The newborn is 6 month old, growing normally without neurological deficits or developmental retardation and waiting of next stage therapy. New techniques of treatment give fetuses with VGM and prenatal signs of cardiac insufficiency a chance of survival and healthy life, in a group of selected cases. The analysis of the cardiovascular system in fetuses with VGM according to uniform criteria is essential in order to assess the influence of these malformations on the survivability of newborns.
Prognostic importance of acute heart failure persistence in patients with ST-elevation myocardial infarction
Authors: Kozhukhov Sergey , Parkhomenko Alexander , Dovganych Nataliia 
Published: January 2018

Introduction: Acute heart failure (AHF) is one of the most frequent complication of acute myocardial infarction (AMI). It is not only associated with a several-fold increase of in-hospital mortality but also, worsens the long-term survival in comparison to those without AHF. The AHF is observed to be more in AMI patients whose in-hospital stay is more than 3 days. The clinical implications and prognostic accuracy of the AHF term in the setting of AMI are yet unknown.
Methods: We observed 1,104 consecutive cardiac care patients, who were admitted with ST-elevation AMI (STEMI). They were divided into groups according to the AHF presence {AHF(+) n=334 and AHF(-) n=764}. Among 334 AHF(+) patients: 252 patients were found to have a transient AHFt(+), whereas 82 of AHF(+) patients had persistent AHFp(+) during in-hospital period. Patients' baseline characteristics, blood analysis, left ventricle (LV) and renal function data were assessed and analyzed on the admission day and 10th day post-admission. The follow-up was conducted on the 30th day and after 2 years.
Results. STEMI patients accompanied by AHF(+) were older, presented mostly with anterior AMI (p<0.01), had lower LV ejection fraction (EF) (p<0.01) and a higher heart rate (p<0.05). Their rates of comorbidities and of in-hospital complications such as recurrent angina, reinfarction, LV aneurism were higher in comparision to AHF(-) patients. AHFp(+) patients had the shortest time from symptoms onset before thrombolysis in comparision to AHFt(+) and AHF(-) groups. Partial recovery of cardiac function according to Left ventricular ejection fraction (LVEF) and end-systolic volume index, occurred mainly in AHF(-) and AHFt(+) patients on the 10th day post-admission, but not in AHFp(+).
STEMI patients with AHFp(+) demonstrated a larger infarct size, higher C-reactive protein and VGEF level, fasting glucose and heart rate on admission, higher erythrocyte sedimentation rate, absence of heart rate normalization on the 10th day post-admission. All of these markers were the signs of severe myocardial damage and inflammation, which can reflect worse recovery in AHF patients despite optimal management. Patients with AHF(+) had renal dysfunction on admission while its creatinine clearance (CrCl) decreased during the in-hospital period which is the reflection of a poor prognosis.
Сardiovascular mortality and non-fatal MI were significantly higher in the AHFp(+) group as compared to the AHFt(+) and the AHF(–) groups during the 30 days and 2 years of follow-up.
Conclusion: The AHF is a frequent STEMI complication. AHF lasting >3 days had worse short- and long-term prognosis. Therefore, an aggressive strategy should be recommended particularly in patients who have clinical signs and symptoms of persistent AHF.
Keywords: myocardial infarction, acute heart failure, infarct size, survival.
Editors and Reviewers Acknowledgement, 2(1), January-June, 2018
Authors: Team Editorial 
Published: January 2018

The Journal of Medical Research and Innovation would like to thank each and every one who has helped us to review and edit the articles. As a small token of appreciation, we would like to mention the names of all the editors and reviewers in random order here who have edited or reviewed the articles for the January-June, 2018 issue. The list will be updated as when more reviewers review the articles.
Editors
1) Varshil Mehta2) Shakti Goel3) Surya Parajuli4) Nikhil Nalluri5) Vitaliy Bezsheiko
Reviewers
1) Shakti Goel
2) Assad Mughal
3) Harsha Makwana
4) Megha Patel
5) Ishpreet Biji
6) Surya Parajuli
7) Varshil Mehta
8) Heera KC
9) Prem Bhattarai
10) Tushar Kunder
11) Akshay Avula
12) Mykola Khaitovych
13) K Bedmutha
14) Mayank Jain
15) Joseph Bell
16) Vitaliy Bezsheiko
17) Ahmad Farrokhi
18) Shaunak Ajinkya
19) N. Kumar
Transformational Leadership and Performance of University Leaders in Aceh: Gender Perspective
Authors: Alfanda Ricky , Suhartanti Pratiwi Dwi 
Published: January 2018

Women's leadership in Aceh has become a very interesting topic. Due to the strong implementation of Islamic law, the existence of women leaders is still a debate in Aceh, including women's leadership in the education sector. At the level of higher education, currently there is only one woman who occupies a position as leader. Leadership is one most important role in achieving goal, mission and design in organization. The purpose of the study is to examine the important criteria for measuring performance appraisal of university leaders in Aceh. The relationship between transformational leadership and performance are investigated for this purpose. This study was discuss how communication style and cultural affect transformational leadership and its impact on performance of women leaders at universities in Aceh. A sample was drawn from lecturers and colleges at Ubudiyah University with 137 respondents. Data that used in this study is primary data in form of quesioner with Likert scale. SPSS was used to analyze demographic characteristics of the respondents and descriptive analysis. AMOS 22 was adopted for the Structural Equation Modelling of the survey model for verifikatif analysis using regression weight/loading factor. The findings of this study have shown significant relationships among the variables under investigation. Transformational leadership was found as moderate variable between comunication style, culture and performance. The results of this study could provide input to the Government of Aceh to improve the performance of women leaders especially the education sector.