Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?

Transfemoral access for neurointerventions has been a time-tested technique of entering the vascular network of the body and reaching the intended targets. However, it has its own share of shortcomings in the form of long admission times leading to increased costs, patient inconvenience and local (though infrequent) adverse affects. Transradial route has taken the interventional cardiology domain by storm and is staring now at other vascular domains especially neurointervention. It has shown better outcomes than the transfemoral route in many aspects. The current article discusses the vascular access perspectives with an exhaustive overview of the transradial route concerning its historical perspectives, its requirement in the current clinical scenario, the procedure per se including the adverse effects and whether it has the real world charm to displace the transfemoral route into the backseat. Transradial access in neurointervention is here to stay, however it would require training, certain modifications in the standard catheters that one currently uses for cerebral procedures and constant practice by the operator to cross the learning curve and attain a certain level of competence before he becomes comfortable with the technique.

English Café: An Initiative to Encourage Undergraduate Learners of Al-Asyah Province to Showcase Their Spoken Proficiency in English

This article advocates that spoken language is learned only when genuine communication and exposure occur, not when it is practiced simply as a set of structures or only when its grammar is learned. This research study demonstrates the possibility of exploring novel approaches to inspire non-native EFL learners in the Al-Qassim region of Saudi Arabia to master communication skills by establishing a linguistic club named English Café to showcase their spoken proficiency. The study sample consisted of undergraduates from level 1 and level 2 from the first year of the B.A. program. The methodology adopted was a descriptive-analytical method using a questionnaire and spoken activities to achieve the desired objectives. One major finding was that participants improved their communicative competence by participating in pronunciation and speaking activities through constant motivation, preferred learning style, self-interest, and willingness to participate naturally with expert guidance initially and constant practice after that.

Despre evoluția fundației testamentare în Dreptul civil român

Leaving wealth for pious and charitable purposes has been a constant practice of the old Romanian law. However, did it also had a legal basis to support or encourage it? How can it be explained that only in 1924 an express regulation of foundations was created, six decades apart from the entry into force of Cuza's Civil Code? What is the current situation? All these questions are meant to identify answers that clarify a primary issue: is there any continuity solution in ensuring an adequate legal framework for encouraging and validating testamentary foundations in Romanian law.

Jam Sessions

In this essay, we consider what musical improvisation can offer humanists interested in interdisciplinary cultural study. We begin by exploring our shared backgrounds as jazz-informed percussionists and our coincidental meeting in the same interdisciplinary graduate program. In the process, we identify key homologies between our musical and scholarly practices: namely, careful and constant practice; a deep commitment to listening; and an openness to conceptual translations across a variety of contexts. As we unpack these ideas, we draw on a wide range of artistic-theoretical texts, years of after-hours conversations, and occasional music collaboration; ultimately, we articulate, for each other and potential readers, that the dynamic, collaborative ethic required for successful improvisation nurtures scholarly interdisciplinary practice by valuing individual efforts as part of communal strivings.

Tamil Langauge Learning for Assamese Students: An Error Analysis

‘Language learning’ is a continuous process, and the learners have to focus on the various aspects of the language whether it is Tamil, English or any other language. In the process of learning, the learners commit errors while speaking and writing. Through constant practice and proper usage, they gradually avoid errors in their language. It is not possible for a teacher or a learner to get rid of this problem without practicing the language. As far as the Tamil language is concerned, it is learnt as a foreign language in some countries and as a second language in other states of India. The concept of "error" has become one of the major problems in language learning. In this article an attempt is made to examine the important dimensions of Error Analysis, with specific reference to the errors produced by learners of Tamil as a second language at Gauhati University. The paper deals with the scope of Tamil language-learning in Assam and the explanations of different categories of language error committed by students and the solution to the error.

BATIK EXTRACULICULAR AS A MEANS OF PLANTING VALUES OF CULTURE

Schools are part of the community, therefore schools must be able to strive for the preservation of the cultural richness of the community. Giriloyo Village, Imogiri, Bantul as an area that still preserves batik activities, and even batik becomes the main livelihood for several families. To continue to maintain this cultural heritage, MI Ma'arif Giriloyo I included batik extracurricular into local content that must be taken by students. This extracurricular batik aims to instill cultural values ​​so that students can foster a sense of love for their own culture. This type of research is qualitative research. Data collection techniques using the method of observation, documentation, and interviews. The object of this research is the implementation of batik extracurricular activities. With the subject of the Madrasah Head, Batik Extracurricular Teachers, students in grade V. Data analysis methods developed by Miles and Huberman are data reduction, data display, and conclusion drawing/verification. Test the validity of the data using reference material. The results of this study indicate that: 1) The batik extracurricular implementation is carried out consistently and systematically according to the learning steps starting from the introduction, core and closing activities. 2) The teacher develops the creativity of students by giving them freedom of expression and constant practice. 3) The inhibiting factors in batik extracurricular implementation are the lack of class hours, the amount of equipment that is not balanced with students, there is no specific place for batik practice. Factors supporting the implementation of batik extracurricular include the community environment, high student interest.

AUDITORIA DA QUALIDADE DOS REGISTROS DE ENFERMAGEM EM PRONTUÁRIOS EM UM HOSPITAL UNIVERSITÁRIO

Objetivo: Analisar a qualidade dos registros de enfermagem em prontuários. Metodologia: Pesquisa descritiva, quantitativa realizada em um hospital universitário de Salvador, Bahia, Brasil, entre setembro de 2017 e maio de 2018, a partir de indicadores de qualidade dos registros de enfermagem em prontuários. Utilizou-se um instrumento estruturado para a coleta dos dados. A análise foi do tipo descritiva; utilizou-se a frequência absoluta e relativa dos indicadores. Resultados: Dentre os 203 prontuários analisados, o percentual de identificação correta dos pacientes, com nomes completos e número de prontuário foi acima de 90%. Houve fragilidade na checagem das prescrições médica e de enfermagem, assim como na justificativa para a não checagem de itens prescritos. Conclusão: A qualidade dos registros de enfermagem atende parcialmente às recomendações do Conselho Federal de Enfermagem. Os resultados sugerem necessidade de constante atuação dos programas educacionais para o fortalecimento de ações que visem a excelência dos registros de enfermagem.Descritores: Auditoria de Enfermagem; Qualidade da Assistência à Saúde; Registros de Enfermagem Educação Permanente.QUALITY AUDIT OF NURSING REGISTERS ON PATIENTS’ RECORDS IN A UNIVERSITY HOSPITALObjective: To analyze the quality of the nursing records on patients’ records. Methodology: A descriptive study of a quantitative approach performed in a university hospital of Salvador, Bahia, Brazil, between the months of September 2017 and May 2018, from quality indicators of the nursing registers on patients’ records. A structured instrument was used for data collection. The analysis was descriptive; it was used the absolute and relative frequency of the indicators. Result: Among the 203 patients’ records analyzed, the percentage of correct identification of patients, with full name and number of the clinical record was of over 90%. Nevertheless, there was a weakness in checking medical and nursing prescriptions, as well as in the justification for not checking prescribed items. Conclusion: The quality of the nursing registers partially follows the recommendations of the Federal Council of Nursing. The results suggest the need for constant practice of educational programs for strengthening actions towards performing nursing registers with excellency.Descriptors: Nursing care audit; Quality in Healthcare; Nursing Registers; Permanent Education.AUDITORIA DE CALIDAD DE REGISTROS DE ENFERMERÍA EN HISTORIALES CLÍNICOS DE UN HOSPITAL UNIVERSITARIOObjetivo: Analizar la calidad de registros de enfermería en historiales. Metodología: Pesquisa descriptiva, con abordaje cualitativa realizada en un hospital universitario de Salvador, Bahia, Brasil, entre los meses de septiembre de 2017 y mayo de 2018, a partir de indicadores de cualidad de los registros de enfermería en historiales clínicos. Se utilizó un instrumento estructurado para la colecta de datos. El análisis fue descriptivo; fue usado la frecuencia absoluta y relativa de los indicadores Resultados: De entre los 203 historiales analizados, el porcentaje de identificación correcta de los pacientes, con nombres completos y número de historial fue superior a 90%. Sin embargo, hubo debilidad en el chequeo de las prescripciones médicas y de enfermería, al igual que en la justificativa para el no chequeo de ítems prescritos. Conclusión: La calidad de los registros de enfermería atiende parcialmente a las recomendaciones del Consejo Federal de Enfermería. Los resultados sugieren una necesidad de constante actuación de los programas educacionales para el fortalecimiento de acciones que tengan por objeto la realización de registro de enfermería con excelencia.Descriptores: Auditoria de Enfermería; Cualidad de la Atención a la Salud; Registros de Enfermería; Educación Permanente

Gaze Behavior in Basketball Free Throws Developed in Constant and Variable Practice

There are a limited number of studies focusing on the mechanisms explaining why variable practice gives an advantage in a novel situation and constant practice in performance in trained conditions. We hypothesized that this may be due to the different gaze behavior that is developed under different conditions. Twenty participants, randomly assigned to two different groups, practiced basketball free throws for three consecutive days, performing 100 throws per day. The constant group (n = 10) practiced at a free throw distance (4.57 m) only. The variable practice group (n = 10) randomly performed 20 shots per five throw distances (3.35, 3.96, 4.57, 5.18, and 5.79 m) on each day, also accumulating 100 shots per day. We analyzed the total gaze fixation duration, a number of fixations, and the average fixation duration on a basketball rim in a pretest and posttest at the 4.57 m distance. We computed a linear mixed model with test (pretest–posttest), group (constant–variable), and test × group interaction in order to analyze the total fixation duration and number of fixations. The average fixation duration was analyzed with a repeated measure two-way ANOVA, with practice conditions as a between-participants factor and test type as a within-participants factor. We found that the total fixation duration increased significantly in the posttest, regardless of the practice conditions (p < 0.001, effect size = 0.504). The number of fixations also increased significantly in the posttest (p = 0.037, effect size = 0.246). The average fixation duration increased in both groups; however, insignificantly. We also did not find any significant differences between groups. Our results suggest that variable and constant practice conditions may lead to the development of similar gaze behavior.

Between medicine and rhetoric: therapeutic arguments in Roman Stoicism

In this paper, I intend to focus on some rhetorical strategies of argumentation which play crucial role in the therapeutic discourse of Roman Stoicism, namely in Musonius Rufus, Epictetus, Seneca, and Marcus Aurelius. Reference is made to Chaim Perelman’s view of ancient rhetoric as an art of inventing arguments. Moreover, it is pointed out that in rhetorical education (cf. Cicero, Ad Herennium, Quintilian, etc.) as well as in therapeutic discourse the concept of “exercise” and constant practice play a crucial role.

Experience of graphite-containing dust of metallurgical plants processing

Graphite is a component of graphite-containing dust – one of wastes, formed at metallurgical plants. From the other side, it is a scare resource for the Russian industry. Involvement of graphite-containing wastes into processing can contribute to solving actual problems of resource, economic and ecological significance. Study of the graphite wastes utilization possibility showed an absence of constant practice of their processing at domestic metallurgical plants. The work of graphite department of Magnitogorsk steel-works (MMK) can be one of not numerous examples of the graphite dust processing at the same plant. At the department the processing of graphite-containing dust of accomplished, the dust being collected from 90 kg/h productivity gas cleaning systems of BOF shop. As a result of processing graphite concentrate obtained after flotation and iron powder – after magnetic separation. At the Department “Minerals enrichment” of the Magnitogorsk State Technical University after G.I. Nosov, the theory of graphite flotation is being elaborated under the direction of Professor V.B. Chizhevsky for many years. Besides study of graphite ores washability, which are difficult to be enriched is also carried out. Based on the gained extensive experience on perfection of reagent flotation modes for the graphite ores, it was recommended to use first VKP reagent at the MMK graphite department, and next – RAS foam formation agent, which is a refined sodium alkylartile-sulfonate. At the industrial tests, the RAS foam formation agent consumption was two times as lower comparing with industrial reagent mode, resulting in obtaining higher technological flotation indices. The experience of metallurgical plant graphite-containing dust processing can be used at both the MMK graphite department re-operation and at other plants of the industry for obtaining marketable products of high quality, that can meet requirements not only metallurgical plants, but also used for production of state-of-the-art carbon materials.