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I have been dedicated to writing for children since about 2006, when I began drafting my first middle-grade novel, Milagros: Girl from Away, which was ultimately published by Henry Holt […]

Objective. Physical activity is recommended for recipients of a kidney transplant. However, ADHERE BRAZIL study found a high prevalence (69%) of physical inactivity in Brazilian recipients of a kidney transplant. To tackle this behavior, a broad analysis of barriers is needed. This study aimed to identify factors (patient and transplant center levels) associated with physical inactivity among recipients of a kidney transplant. Methods. This was a subproject of the ADHERE BRAZIL study, a cross-sectional, multicenter study of 1105 recipients of a kidney transplant from 20 kidney transplant centers. Using a multistage sampling method, patients were proportionally and randomly selected. Applying the Brief Physical Activity Assessment questionnaire, patients were classified as physically active ([greater than or equal to]150 min/wk) or physically inactive ( Results. At the patient level, physical inactivity was associated with smoking (odds ratio = 2.43; 95% CI = 0.97-6.06), obesity (odds ratio = 1.79; 95% CI = 1.26-2.55), peripheral vascular disease (odds ratio = 3.18; 95% CI = 1.20-8.42), >3 posttransplant hospitalizations (odds ratio = 1.58; 95% CI = 1.17-2.13), family income of >1 reference salary ($248.28 per month; odds ratio = 0.66; 95% CI = 0.48-0.90), and student status (odds ratio = 0.58; 95% CI = 0.37-0.92). At the center level, the correlates were having exercise physiologists in the clinical team (odds ratio = 0.54; 95% CI = 0.46-0.64) and being monitored in a teaching hospital (undergraduate students) (odds ratio = 1.47; 95% CI = 1.01 -2.13). Conclusions. This study identified factors associated with physical inactivity after kidney transplantation that may guide future multilevel behavioral change interventions for physical activity. Impact. In a multicenter sample of recipients of a kidney transplant with a prevalence of physical inactivity of 69%, we found associations between this behavior and patient- and center-level factors. At the patient level, the chance of physical inactivity was positively associated with smoking, obesity, and patient morbidity (peripheral vascular disease and hospitalization events after kidney transplantation). Conversely, a high family income and a student status negatively correlated with physical inactivity. At the center level, the presence of a dedicated professional to motivate physical activity resulted in a reduced chance of physical inactivity. A broad knowledge of barriers associated with physical inactivity can allow us to identify patients at a high risk of not adhering to the recommended levels of physical activity. Keywords: Clinical Decision-Making, Kidney Transplant, Multicenter Study, Multilevel Analysis, Physical Inactivity, Introduction For patients with stage 5 chronic kidney disease (CKD), kidney transplantation promotes increased survival and improves quality of life, in addition to being more cost-effective than other renal replacement [...]

This study investigates factors influencing employees' perceptions of the usefulness of Business Process Management Systems (BPMS) in commercial settings. It explores the roles of system dependency, system quality, and the quality of information and knowledge in the adoption and use of BPMS. Data were collected using a structured questionnaire from end-users in various firms and analyzed with Partial Least Squares (PLS). The survey evaluated perceptions of service quality, input quality, system attributes, and overall system quality. The findings indicate that service quality, input quality, and specific system attributes significantly influence perceived system quality, while system dependency and information quality are predictors of perceived usefulness. The results highlight the importance of user training, support, and high-quality information in enhancing satisfaction and BPMS. This research offers empirical evidence on the factors impacting user perceptions and acceptance, emphasizing the need for user-centric approaches in BPMS., Author(s): Alicia Maria Martín Navarro, INDESS, University of Cadiz, Spain, María Paula Lechuga Sancho, INDESS, University of Cadiz, Spain, Marek SzelÄgowski, Systems Research Institute Polish Academy of Sciences, Poland, Jose [...]

Yuri Herrera's novel ''Season of the Swamp'' portrays the antebellum South through the eyes of a humbled leader in exile. SEASON OF THE SWAMP, by Yuri Herrera; translated by Lisa [...]

Rachel Kushner's novel, Creation Lake, is a linguistically deceptive and thrilling spy novel set in present-day France. The protagonist, Sadie Smith, is a secret agent who infiltrates a radical commune to investigate their involvement in acts of sabotage against agro-industrial corporations. However, the secrets she carries and the identities she assumes are often themselves fictions, blurring the line between reality and deception. The novel explores themes of radical politics, the destruction of culture and nature for profit, and the power of language. While the plot may seem formulaic, Kushner's skillful storytelling and charismatic narrator make for an engaging and thought-provoking read. [Extracted from the article]

POR HELENA R. MEDINA DS ALMA ARTESANAL El DS Design Studio Paris es el lugar en el que DS Automobiles hace su magia para alumbrar vehículos innovadores que marcan la [...]

POR HELENA R. MEDINA El mar es… El origen de la vida. Sin él, nuestro planeta sería como el resto de planetas que conocemos, un desierto. ¿Y la naturaleza? La [...]

Milestone Documents of Christianity: Exploring the Essential Primary Sources. 3 vols. Schlager. Aug. 2024.900p. ed. by Joseph T. Stuart. ISBN 9781961844100. $395. REF Stuart (history and Catholic studies, Univ. of [...]

Men's Health. 2 vols. Salem. May 2024. 1365p. ISBN 9781637007723. $275. REF This first-edition reference work is a comprehensive resource designed to address a wide range of topics related to [...]

Let's get right to it--there's a parade of riches coming to your local bookstore (and library) this May, led by Claire Messud's brilliant new novel, This Strange Eventful History (Norton, [...]

POR HELENA R. MEDINA ¿Qué da color a tu vida? Siempre mi familia y todos mis amigos. Define tu estilo. ¡Bombastic! ¿Con qué sueñas por las noches? Suelo hacerlo con [...]

POR HELENA R. MEDINA EL LUJO DE VIAJAR Sus destacadas proporciones otorgan al nuevo DS 4 una apariencia imponente. Pero este sedán es mucho más que una silueta atlética. El [...]

The city center of Jakarta is the main area for the development of property, trade and office businesses. Several large companies have invested in the construction of high-rise mega projects with the concept of mix use building for apartments, offices, and shopping centers. Therefore, mall and apartment safety standards are very important in order to create investment opportunities by citizens and foreigners. Security members who work professionally have a positive impact on crime prevention and control. The commitment of security members as the frontline is important in carrying out duties. This study aims to analyze the effect of task orientation and HR practices on organizational commitment to security members of mall and apartment in Jakarta. Job satisfaction as a mediating variable. Samples are security members of mall and apartment in West Jakarta, North Jakarta, and South Jakarta totaling 190 respondents. The analytical tool in this study is Structural Equation Modeling (SEM) using AMOS version 21. The results of this study found that task orientation had an effect on organizational commitment, but task orientation had no effect on job satisfaction, and HR Practices had no effect on organizational commitment, but HR Practice had an effect on job satisfaction, job satisfaction had an effect on organizational commitment, while the variable job satisfaction was not proven to mediate task oriented with organizational commitment, but job satisfaction mediated HR Practice with organizational commitment. The managerial implication of this research, security managers should pay more attention, supervise, and carry out the division of work tasks in the field in accordance with operational standards and make plans for security activities on a regular basis. Human Resources Managers should provide maximum motivational examples for security members such as fair in performance appraisal, so that security members can increase their commitment to their work, and have a positive impact on job satisfaction. Keywords: Task oriented, HR Practice, Organizational Commitment, Job Satisfaction., Introduction Community security is not only the responsibility of the police, but every level of society has a very important role in creating security in their environment. Economic and business [...]

In the aftermath of the attempted assassination of a former U.S. president and current presidential candidate, the expressions of shock and disbelief reverberated throughout our nation. Echoes of similar violent [...]

POR HELENA R. MEDINA ¿Qué te hace sentir inmortal? Físicamente, ¡nada! Pero, por otro lado, sí soy consciente de que mis acciones dejarán una huella para siempre. ¿Y qué harías [...]

1 On devrait envisager la demence frontotemporale chez les adultes de 50-75 ans qui presentent des modifications de leur comportement ou de leurs aptitudes langagieres Il s'agit de la deuxieme [...]