Transversal Approach Research Articles

Prevalence of atrial fibrillation in patients with ischemic stroke older than 55 years at the Alberto Antranik Eurnekian Hospital in Ezeiza, Buenos Aires, Argentina

Background: A stroke is a neurological disorder that occurs when the blood supply to (part of) the brain is Interrupted. 87 % of the cases are caused by an Ischemia (Ischemic stroke). One of the principal causes is Atrial fibrillation (AF) being the most frequent sustained arrhythmia represented by 160 000 patients who develop it annually in the United States. AF generates a turbulent flow within the left atrial appendage, which causes the formation of intracavitary thrombus with the risk that they are expelled into the systemic circulation, possibly causing a stroke as a complication. The purpose of this research study is to establish the prevalence of AF in patients with ischemic stroke older than 55 years old in the clinic service of the Hospital Alberto Antranik Eurknekian from January through September 2022. Material and methods: This research study was conducted following a non- experimental, descriptive, quantitative, transversal and retrospective approach. Data were gathered upon the clinical records of patients older than 55 years old, who had an admission electrocardiogram (ECG) and had ischemic stroke evidenced in topographies of the brain in Hospital de Ezeiza. The following variables were analysed: age and sex, arterial hypertension, diabetes, obesity, dyslipidaemia, smoking, history of previous stroke or transient ischemic attack, as well as AF and AF under treatment. Results: The final sample of this study consisted of 49 patients, of whom 55, 1 % were male (N=27) and 44, 9 % female (N=22). 8, 2 % (N=4) of them had associated atrial fibrillation, among them, 75 % (N=3) were anticoagulated. 77,6 % (N=38) had hypertension, 40, 8 % (N=20) diabetes, 6, 1 % (N=3) used tobacco and 4,1 % (N=2) had obesity and dyslipidaemia. 16,3 % (N=8) suffered an ischemic stroke previously and 2 % (N=1) had a transient ischemic attack. Conclusion: It was found a high prevalence of AF in patients diagnosed with a stroke. Of these, 75 % were anticoagulated, but still developed the ischemic event. Regarding cardiovascular risk factors, the entire sample had a high prevalence of comorbidities, the most common being hypertension and diabetes

Changes in tissue protein N-glycosylation and associated molecular signature occur in the human Parkinsonian brain in a region-specific manner.

Parkinson's disease (PD) associated state of neuroinflammation due to the aggregation of aberrant proteins is widely reported. One type of post-translational modification involved in protein stability is glycosylation. Here, we aimed to characterize the human Parkinsonian nigro-striatal N-glycome, and related transcriptome/proteome, and its correlation with endoplasmic reticulum (ER) stress and unfolded protein response (UPR), providing a comprehensive characterization of the PD molecular signature. Significant changes were seen upon a PD: a 3% increase in sialylation and 5% increase in fucosylation in both regions, and a 2% increase in oligomannosylated N-glycans in the substantia nigra. In the latter, a decrease in the mRNA expression of sialidases and an upregulation in the UPR pathway were also seen. To show the correlation between these, we also describe a small in vitro study where changes in specific glycosylation trait enzymes (inhibition of sialyltransferases) led to impairments in cell mitochondrial activity, changes in glyco-profile, and upregulation in UPR pathways. This complete characterization of the human nigro-striatal N-glycome provides an insight into the glycomic profile of PD through a transversal approach while combining the other PD "omics" pieces, which can potentially assist in the development of glyco-focused therapeutics.

Does left populism short-circuit itself? Podemos in the labyrinths of cultural elitism and radical leftism

ABSTRACT Podemos’ initial left populist strategy and electoral success have been the subject of much academic debate. However, amid the party’s rapidly declining numbers at the polls, scholarly attention towards the Spanish party has been on the wane. Based on a discussion of the existing literature and a mixture of qualitative methods, this paper attempts to capture the distinctive features of the early populist gamble and two internal elements that progressively short-circuited it. The first is related to the cultural elitism of Podemos’ leadership, a phenomenon observed especially within the faction of Íñigo Errejón, former number 2 of the party. The intellectualist distinction of many of its members proved to be a repressive instance that jeopardised the populist practice. The second is instead the return to a radical left fold, which is instead to be attributed to Podemos’ former leader Pablo Iglesias and his successor Ione Belarra. Party factionalism, strong leftist symbolism and the promotion of identity politics stand here among the most visible factors that negated the initial transversal approach. In different ways, those elements re-established the previous symbolic space that Podemos’ populism had been trying to supersede and sabotage the possibility of securing a broad and durable popular identity.

The incorporation of information and communication technologies in medication administration: opportunities and challenges for nursing management

Introduction: the safe and efficient administration of medications is essential to guarantee the quality of medical care and the safety of patients. The adoption of information and communication technologies (ICT) in this process can improve accuracy and efficiency, reduce errors. Objective: determine the incorporation of information and communication technologies in medication administration: opportunities and challenges for nursing management. Methods: quantitative, descriptive and transversal approach. A questionnaire was applied that has a Cronbach's alpha = 0,9, composed of 5 closed questions based on a Likert scale, the same one that was applied to health personnel who work at the San Pablo Health Center, Bolívar Province, Ecuador. Results: the nursing staff presents different levels of competence. Certain participants show a low level in certain dimensions, while others demonstrate a medium or high level of competence. Challenges are identified in areas such as the management of digital systems, digital communication, information processing and content generation. Conclusions: the incorporation of ICT in the administration of medications in the field of nursing management offers significant opportunities to improve safety, efficiency and quality in medical care. It is recommended to provide adequate training and support to strengthen the digital skills of nursing staff

Aspects that intervene in the low academic performance and family dysfunctionality of the students in 4th – 5th semesters of the Health Promotion career of the Escuela Superior Politécnica de Chimborazo

Family dysfunction can have a significant impact on the academic performance of students of the Health Promotion Career, without a doubt; emotional and financial support, domestic violence, substance abuse and other family problems can influence students and therefore their studies causing disinterest in education; therefore, the research proposed as an objective to determine the incidence of family dysfunction and its impact on low academic performance in the period April - August 2022. A descriptive and transversal approach was used as methodology, without experimentation, with a sample of 60 students, to collect data, the survey was used as a technique, through the questionnaire instrument in the Google Forms platform, promoting the participation of parents, students and teachers; the results showed that 60% of the students have a good communication and relationship with their parents, the same that in a cross of variables, highlights that 100% of the students have good academic performance, while 40% argue a poor or no relationship with their family, which affects low academic performance. In conclusion, it was determined that most of the interviewees have a good academic performance, however, a significant percentage have low academic performance, they also indicate poor communication at home, there is not an adequate family environment, they come from dysfunctional families, they indicate that they have suffered verbal and psychological mistreatment.

Application of slow-light engineered chalcogenide and silicon photonic crystal waveguides for double-dimensional microwave frequency identification

Four-wave mixing effect was utilized within short dispersion-engineered slow-light silicon and AMTIR1 chalcogenide photonic crystal waveguides with group velocities of c/33 and c/23, respectively, for simultaneous measurement of frequency and power level of an RF tone over a frequency range of 0.01–80 GHz. In our numerical simulations, we considered the impact of various nonlinear phenomena that affected the system outputs. An FWM conversion efficiency of approximately − 45 dB was achieved for a 10 mW continuous-wave pump and probe in an 80 µm AMTIR1 PhC waveguide. In our system, two orthogonal and independent outputs were generated simultaneously. These independent outputs were achieved using a microwave photonics Hilbert transformer implemented using the transversal filtering approach. Since the process was inherently incoherent, the nonlinearity of the four-wave mixing did not affect the resulting signals orthogonality. The ability to simultaneously identify both the RF frequency and the power level of a microwave signal would make this system a perfect candidate for various applications, such as instantaneous frequency measurement receivers.

A novel multicriteria methodology to assess the renovation of social buildings

The current Energy Performance Certificates of buildings are mostly based on the expected energy consumption. Recently, some certification schemes are starting to incorporate Indoor Air Quality aspects, but it is still not usual. Another topic of interest, such as energy poverty, is not considered in current certification schemes either. This paper presents a novel multicriteria methodology to assess the renovation of social housing buildings: the ARCAS methodology. The novelty lies in its transversal approach, which considers three axes: Energy Efficiency, Energy Poverty, and Indoor Environment Quality. The indicators set for assessment are calculated based on actual on-site measurements. The methodology has been tested in six demonstrator buildings selected throughout the SUDOE territory (southwestern Europe). The results show that the ARCAS methodology allows a comprehensive assessment of the current situation of the building to be achieved and helps to propose the renovation measures in a specific direction. Advice and guidance for professionals who want to test the methodology are also given. Although the methodology has been developed for its application in social housing, according to the EU recommendations, it can be applied to any type of housing.

An Operational Model to Downscale Regional Green Infrastructures in Supra-Local Plans: A Case Study in an Italian Alpine Sub-Region

In recent years, green infrastructure (GI) has increasingly become a strategic tool to integrate ecosystem services in spatial planning at different scales. GI has the potential to foster the achievement of environmental targets and landscape enhancement promoted by several planning instruments that act at different territorial scales. Despite this, the combination of the GI strategy with other ordinary plans is poorly investigated and developed due to the difficulty in making planning instruments dialoguing in a transversal approach. This paper presents a case study in an Italian alpine sub-region (Media and Alta Valtellina, Province of Sondrio) focused on a regional GI—defined by a landscape plan—used for testing a replicable methodology to downscale regional strategies by combining them with sub-regional environmental and landscape rules and recommendations derived from planning instruments. The aim is to create an organic connection between GI goals and other sub-regional planning instruments that would otherwise remain siloed within the hierarchical downscaling process of the top-down planning system. The result is the development of a comprehensive matrix that is useful for downscaling the strategies established by a regional landscape plan in sub-regional landscape units that relapse at the local scale; this is also achieved through GI deployment and the promotion of site-specific nature-based solutions.

현대 일본의 혐오현상과 대항담론

This paper aims to examine the phenomenon of hatred in contemporary Japan from the perspectives of ‘multiple discrimination’ and ‘intersectionality’ and to consider the possibility of counter-discourses to resist the spread of hate. Since the 2010s, Japan has witnessed an eruption of compounded hatred against racial and ethnic minorities, women and sexual minorities, and socially vulnerable people. Hate-related research and discourse in Japan have developed in response to this phenomenon, and anti-hate discourse requires a transversal approach to respond to the complexity of the phenomenon. Anti-hate discourses and movements in Japan have been accumulating based on the concept of ‘multiple discrimination’ and are currently connected to discussions on ‘intersectionality’. However, the potential of the intersectionality debate in Japan is ambivalent, as it does not fully reflect the experiences and voices of minorities in Japan.

Editorial on the Special Issue Entitled “Regulatory Frameworks Addressed to Promote Renewable Energy Sources and Microgrids. Regulatory Constraints and Implications on Conception, Design and Energy Management of Microgrids”

As renewable energy sources and microgrids have developed, the need to use a transversal approach for dealing with issues on the design and energy management of these assets is clear. Although renewable energy sources and microgrids are used within the electricity sector in a significant number of countries, the technical and scientific literature often dismisses the effects that in-force regulatory frameworks have on this type of assets. This Special Issue aims to enlighten readers on the relationship between the electricity sector’s regulatory frameworks and microgrids, providing clear evidence on the need to consider regulatory constraints in their design and energy management.

The Reading Habit in University Education

This research was conducted in the university system, with the objective of determining the existence of the reading habit in a segment of its students and how this frequent behavior affects their academic performance. To fulfill this purpose, the population was focused on the seventh semester of the Language and Linguistics career at the University of Guayaquil, to know from their texts the existence of the reading habit and if the documents read have contributed in their learning and academic performance. The research was framed in the non-experimental qualitative paradigm, with a correlational, transversal, simple descriptive, phenomenological and hermeneutic approach, because it allowed us to encapsulate the opinions of the students at a specific moment, and with this information to analyze and interpret their reading behaviors, and the subsequent connotations.

Worldwide Women Writers in Paris: Francophone Metronomes by Alison Rice

Reviewed by: Worldwide Women Writers in Paris: Francophone Metronomes by Alison Rice Julia Praud Rice, Alison. Worldwide Women Writers in Paris: Francophone Metronomes. Oxford UP, 2021. ISBN 978-0-19-284577-1. Pp. xi + 307. With an unconventional, syncopated approach, clear prose, a musically thematic structure, and a broad theoretical base providing key references for researchers in the field, this polyphonic analysis of eighteen women writers (Evelyne Accad, Etel Adnan, Eva Almassy, Nathacha Appanah, Bessora, Hélène Cixous, Maryse Condé, Fatou Diome, Chahdortt Djavann, Eun-Ja Kang, Julia Kristeva, Anna Moï, Pia Petersen, Zahia Rahmani, Leïla Sebbar, Yumiko Seki, Shumona Sinha, Svit Brina) from around the world, will be useful to both seasoned and emerging scholars. These writers who hail from countries ranging from Algeria, Iran, Lebanon, and Japan to South Korea, Hungary, Bulgaria, Senegal, and Slovenia, have chosen to live in Paris and publish in French. Although not an exhaustive list, they are representative of the types of writers who "are contributing to a revolution in the Francophone literary landscape" (1). Drawing upon these remarkable interviews that "chronicle a particular time in French literary history" and "mark what might be considered a moment of transition toward greater acceptance of women writers from outside of France," Alison Rice composed this book with a foundation set in the theoretical works of Roland Barthes, Daniel Barenboim, Edward Said, Françoise Lionnet, Shu-mei Shih, Christopher Miller, and others (14). In Worldwide Women Writers, Rice anticipates questions, tackles contested terminology, defines key terms, and refrains from making assumptions about her readers' prior knowledge of these writers, or of the theoretical references she provides. For example, she addresses the debate surrounding the terms francophone and world literature, underlines multiple perspectives, and allows the writers to speak for themselves. Her exploration of the publishing world, and discussion of current practices in literary criticism, also open possibilities for new lines of inquiry. With thoughtful and thought-provoking explanations, the author's use of music as a "fil conducteur" provides the conceptual framework, terminology, and opportunities for categorization that make this project come to life. The juxtaposition of musical lexicon (rhythms, odes, overtures, suites, preludes, postludes, interludes, glissandos, acapella, chord progression, chorus, interpretation, riff) and literary analysis, organizes her study and allows her to forgo traditional categorization of these writers. Opting instead for what Françoise Lionnet termed a "transversal comparative approach," Rice encourages her readers to engage with this study as they choose, according to their own "passions and interests […] whether melodically, harmonically, or contrapuntally" (21). Finally, although Worldwide Women Writers can stand alone, readers will be delighted to know that "these women's voices are readily available online to confirm and complexify, corroborate, and elaborate" should they wish to listen to and engage directly with them (2). Indeed, access to all eighteen of Rice's archived interviews is available through her website, Francophone Metronomes website (www.francophonemetronomes.com). [End Page 285] Julia Praud United States Military Academy, West Point Copyright © 2023 American Association of Teachers of French

Idoya Puig and Karl McLaughlin, eds. Spanish Golden Age Texts in the Twenty-First Century: Teaching the Old Through the New; Alba Carmona. Las reescrituras fílmicas de la comedia nueva: Un siglo en la gran pantalla

Idoya Puig and Karl McLaughlin, eds. <i>Spanish Golden Age Texts in the Twenty-First Century: Teaching the Old Through the New</i>; Alba Carmona. <i>Las reescrituras fílmicas de la comedia nueva: Un siglo en la gran pantalla</i>

Scene-object semantic incongruity across stages of processing: From detection to identification and episodic encoding

Visual processes are assumed to be affected by scene-object semantics throughout the stream of processing, from the earliest processes of conscious object detection to the later stages of object identification and memory encoding. However, very few studies have jointly explored these processes in a unified setting. In this study, we build upon a change detection task to assess the influence of semantic congruity between scenes and objects across three processing stages, as indexed through measures of conscious detection, object identification, and delayed recognition. Across four experiments, we show that semantically incongruent targets are easier to detect than their congruent counterparts, but that the latter are better identified and recognized in a surprise memory test. In addition, we used eye-tracking measures, in conjunction with these three behavioral indexes, to further understand the locus of the advantage observed in each case. The results indicate that (i) competition with other congruent objects modulates the effects of congruity on target detection, but it does not affect identification nor recognition memory, (ii) the detection cost of scene-congruent targets is mediated by earlier fixations on incongruent targets, (iii) neither fixation times, dwell times, nor pupil dilatation are related to the effects obtained in identification and recognition; and (iv) even though congruent targets are both better identified and remembered, the recognition benefit does not depend on the identification demands. The transversal approach taken in this study represents a challenging but exciting perspective that holds the potential to build bridges over the seemingly different but related fields of conscious detection, semantic identification, and episodic memory.

Housing of persons with disabilities: what can be learned from the introduction of more demand-driven subsidies in Flanders?

Aiming to offer persons with disabilities more opportunities to live independently and more inclusively, Flanders radically revised its subsidies for care and care infrastructure for persons with disabilities. Since 2017, subsidies for care are no longer allocated to care providers, but directly to the person with disabilities as a Personal Care Budget (PCB). In 2018, up-front bricks-and-mortar subsidies for care infrastructure were replaced with subsidies granted upon effective use of the accommodation and varying with the user’s specific needs. The results of surveys of PCB holders, licensed care providers and social housing providers suggest that on average receiving a PCB stimulated persons with disabilities to move, had a positive impact on housing quality outcomes for those who moved, and triggered changes in the provision of housing. On the other hand, housing costs for users increased and the positive effects on housing choice may be hampered by issues of housing supply. Effects differed according to the context and characteristics of the persons involved. Apart from these findings on the effects of more demand-driven subsidies, the study provides insight into the cross-policy effects of subsidies and therefore stresses the need for a more transversal approach in policy-making and research.

Urban Rural Interaction: Processes and Changes in the Marina Oriental of Cantabria (Spain)

Since the middle of the last century, especially since the seventies, processes have been generated and consolidated that have changed the image of certain rural environments in Spain, especially coastal, with new forms of organization and territorialities that break the traditional model. The Cantabrian territory, like other areas of the Spanish coast, has seen its territories and landscapes altered in terms of its demographic, economic, and urban structures. The variation over the easternmost area of the Autonomous Community of Cantabria is significant, affected by various growth processes of both cities in the region, as well as others adjacent and connected, such as the urban agglomeration of Bilbao, influencing this space that we call Marina Oriental de Cantabria. The justification and objectives are to know how the coastal geographical situation, good communications, and proximity to Bilbao have configured this space to become a functional part of the metropolitan agglomeration that is generated around this city. An investigation focused on the analysis of the intensification and the effects of the urbanization process of a rural and rururban area, from an integrative, transversal, and multiscale approach, supported by inductive and hybrid methodology, with quantitative and qualitative methods. Through this study, the evolution and problems of these spaces will be known, to analyze the processes that have occurred and continue to occur and, thus, propose measures to reduce the negative effects. The main results and conclusions of the research are manifested in transformations on a legacy space, which has been productively redefined, being one of the most changed since the middle of the last century.

Criteria for selection and classification of studies in medical events.

The aim of this study was to evaluate the impact of study methodology and evaluation type on the selection of studies during the presentation of scientific events. A prospective, observational, transversal approach was applied to a cohort of studies that were submitted for presentation at the 2021 Brazilian Breast Cancer Symposium. Three forms of criteria (CR) were presented. CR1 was based on six criteria (method, ethics, design, originality, promotion, and social contribution); CR2 graded the studies from 0 to 10 for each study, and CR3 was based on five criteria (presentation, method, originality, scientific knowledge, and social contribution). To evaluate the item correlation, Cronbach's alpha and factorial analysis were performed. For the evaluation of differences between the tests, we used the Kruskal-Wallis and post-hoc Dunn tests. To determine the differences in the study classifications, we used the Friedman test and Namenyi's all-pairs comparisons. A total of 122 studies were evaluated. There was also a good correlation with the items concerning criterion 1 (α=0.730) and 3 (α=0.937). Evaluating CR1 methodology, study design and social contribution (p=0.741) represents the main factor and CR3 methodology, and the scientific contribution (p=0.994) represents the main factor. The Kruskal-Wallis test showed differences in the results (p<0.001) for all the criteria that were used [CR1-CR2 (p<0.001), CR1-CR3 (p<0.001), and CR2-CR3 (p=0.004)]. The Friedman test showed differences in the ranking of the studies (p<0.001) for all studies (p<0.01). Methodologies that use multiple criteria show good correlation and should be taken into account when ranking the best studies.

Information and Communication Technologies (ICTs) and International Negotiations in a Non-Profit Organization, Lima – Peru

The development and application of ICTs are becoming relevant in the human being; its diffusion has been extended in business organizational sectors that seek to increase new alternatives and ideas of high impact in the international business activity. The objective of this research is to determine the relationship between ICT and International Negotiations in a non-profit organization, Lima. For which reason, the study has been conducted with non-experimental quantitative transversal approach, with a descriptive correlational style. The instrument applied was the questionnaire, asked to a finite population of 30 direct collaborators in relation to the variables in a non-profit organization, Lima, Peru. As a result, there is a perfect positive significant relation was obtained with a value of 0.985 and a significance level of 0.000 being less than 0.05. In such a way it is demonstrated that the variables ICT and international negotiations in a non-profit organization – Lima, has a direct relation. Therefore, the better interaction and application of ICT, the greater efficiency in international negotiations. To conclude, ICT is effective in a non-profit organization Lima. It is estimated and recommended that organizations must implement this tool to facilitate decision making. In the same way, it can generate greater results in terms of efficiency, dynamics, and effectiveness on international negotiations.

An octo-aesthetic figuration for learning in times of crisis

This theoretical paper mobilises a multi-modal figuration – octo-aesthetics – to argue for a transversal approach to HE (higher education) pedagogies appropriate to times of uncertainty. Using the eight independently thinking arms of the octopus as a guide, I deploy eight interrelated conceptual thinking aids to outline the relevance of an ethico-aesthetic paradigm to HE in times of individual, social, and environmental crisis. Deployed as speculative thinking aids, these octo- aesthetic figurations – schizoanalysis, bewilderment, shimmer, ecosophy, ecologicity, holobiont, trans-corporeality, and geontology – reclaim ‘vision’ and ‘objectivity’ from the disembodied all- knowing gaze of ‘Man’ and queer the central, and often unquestioned positions of privilege accorded to this viewpoint in humanist education systems. Calling into question anthropocentric binary/separatist humanist logics and assumptions of objective mastery, octo-aesthetic figurations reveal the onto-ethical outlines of a transversally situated learning modality that defies objectifying majoritarian modes of thinking/learning that are no longer appropriate to pedagogies in times of ecological calamity.

Energy efficiency in shared buildings: Quantification of the potential at multiple scales

The field of non-residential buildings is very heterogeneous. This results in a compartmentalized approach that prevents desired energy efficiency improvements from being achieved at a large scale. This paper proposes a transversal approach to energy efficiency based on the aggregation of building typologies and the integration of the scales of analysis.Upon energy and occupancy analogies we define shared buildings as buildings characterized by a low energy intensity, the predominance of HVAC systems on energy uses, and a large and variable occupancy. This concept gathers in itself a considerable energy efficiency potential, as shared buildings are found to account for 35% of non-residential energy consumption. We overview energy efficiency hotspots and operational criticalities in shared buildings and outline the development of a framework that is fit-for-purpose for the quantification of the energy efficiency potential at multiple scales.Improvement in ventilation energy management in a university stock is used to exemplify the approach: first, we apply dynamic simulation to a single building obtaining 65% HVAC energy savings; then, we generalize the results to the property stock obtaining reductions from 190 to 130 kWh/(m2y) in energy intensity, simultaneously fulfilling the desired energetic and economic targets.