bluuebunny/crossref_metadata_2025 huggingface dataset:
Interfacial Delamination Validation on Fan-Out Wafer-Level Package Using Finite Element Method
Authors: Conversion Ariel , Ubando Aristotle T. , Gonzaga Jeremias
Published: May 2023

Fan-out wafer-level package is a very promising packaging technology with good thermal and electrical performance. The fan-out wafer-level package exhibits beneficial features such as low profile, high I/O density, low cost, and efficient computing. The package experiences large temperature variations in the assembly phase which causes internal stresses. In particular, the mismatch between the coefficient of thermal expansion of the epoxy molding compound and the substrate due to the cool down phase of the cure process causes the internal stresses in the package. These internally induced stresses result to interfacial delamination. In this study, the interfacial delamination on a fan-out wafer-level package right after post mold cure of glass wafer was evaluated using the stress-based damage index through the finite element analysis in the ANSYS software package. The model was validated by comparing the simulation result of the glass wafer warpage to the existing experimental result from literature. From the warpage simulation of the glass wafer, the region on the package with high stress level was located and examined which may cause interfacial delamination. The maximum shear stress and principal stress at the epoxy molding compound and the Silicon chip interface was found to exceed the adhesion strength. This indicates that the interfacial delamination is inevitable. The information obtained from the stress analysis of molded wafer provides insight for the possible interfacial failure of fan-out wafer-level package in the individual package when subjected to thermomechanical loads.
Prevention of Bunched Basal Plane Dislocation Arrays in 4H-SiC PVT-Growth
Authors: Steiner Johannes , Nguyen Binh Duong , Sandfeld Stefan , Wellmann Peter J.
Published: May 2023

To prevent arrays of basal plane dislocations (BPD) forming during grown 4H-SiC single crystals, the growth cell in physical vapor transport (PVT) growth was modified by adapting the temperature gradients, the seed attachment method and the seeding phase. The resulting reduction in stress was modeled numerically and the crystals were investigated by X-ray topography (XRT) and molten potassium hydroxide (KOH) etching. Due to these modifications, the formation of BPD arrays was completely suppressed.
HER2/neu expression status of post BCG recurrent non-muscle-invasive bladder urothelial carcinomas in relation to their primary ones
Authors: Ali Mohamed Yousef , Aboelsaad Ahmed Yousef , Abdel Gawad Ahmed M. , Abouelgreed Tamer A. , El Gammal Ahmed A. , Ghoneimy Osama M. , El-Dydamony Eman M. , Alrefaey Ahmed A , Mohamed Eslam , Azzam Sherif , Abdulmohaymen Ayman , Mohammed Yasien , Abdelwahed Mohammed S. , Elsayed Ahmed Fawzi A. , Fathi Basem A. , Abd Alrahim Nosaiba M. , Farag Abeer S. , Mahmoud Alaa R. , Mohamed Hasan Ismail , Horsu Seth , Hasan Abdulkarim
Published: May 2023

Background: Transurethral resection (TUR) followed by adjuvant therapy is still the treatment of choice of Non-Muscle-Invasive Bladder Urothelial Carcinoma (NMIBUC). However, recurrence is one of the most troublesome features of these lesions. Early second resection and adjuvant BCG therapy has been shown to improve the outcome. Objective: To evaluate the prognostic value of C-erbB-2 (HER2/neu) expression status in Non-Muscle-Invasive Bladder Urothelial Carcinoma cases, before and after intravesical Bacillus Calmette Guerin (BCG immunotherapy). Materials and methods: HER2/neu expression was studied in 120 (Ta-T1) Non-Muscle-Invasive Urothelial Carcinoma cases. The expression was evaluated and compared to the expression after Bacillus Calmette Guerin (BCG) immunotherapy. Results: HER2/neu expression in low and high grade of the Non- Muscle-Invasive Urothelial Carcinoma was (38%) and (83%) respectively. The difference of the expression rates by tumor grade was statistically significant. In recurring lesions post BCG therapy, C-erbB-2 expression was markedly decreased (31.6%) when compared to its expression before therapy (65%). Conclusions: The HER2/neu expression increased as the tumor grade rose. The reduction in expression following BCG treatment in Non-Invasive transitional cell carcinoma cases could reflect a reduction of the potential malignancy of the tumor.
Antiretroviral medication adherence for people with HIV/AIDS
Authors: Supriyatni Nani , Salim Lutfi Agus , Hargono Arief , Febriyanti Febriyanti
Published: May 2023

Background. People with HIV/AIDS require treatment with tiretrovirals (ARV) to reduce the amount of HIV virus in the body so it does not enter the AIDS stage, while people with AIDS require ARV treatment to prevent opportunistic infections with various complications. Objective. This study aimed to determine the ARV medication adherence of people living with HIV/AIDS (PLWHA), get information on the facts that influence PLWHA’s use of ARV, analyze factors that influence PLWHA’s use of ARV, and get information about treatment management for PLWHA. Methods. This study is a systematic review. Research information was obtained using the Google Scholar facility and an index of journal publications. Results. Factors related to ARV adherence in PLWHA include family support, level of knowledge, peer group support, side effects of medicine, motivation, behavioral skills, psychology of PLWHA patients, boredom, stigma, health care facilities, therapy guidelines, characteristics of comorbidities, perception, gender, health insurance, self-efficacy, social isolation, age, education level, income, duration of ARV treatment, support from health workers, spiritual motivation, and use of health services for the last three years. Conclusion. Adherence and family support play important roles in healing PLWHA. PLWHA must adhere to treatment with antiretrovirals. Family support plays an important role in healing PLWHA. It is suggested to the families of PLWHA that they give motivation and comply with the advice of health workers.
Under the Gun: Percussive Massage Therapy and Physical and Perceptual Recovery in Active Adults
Authors: Leabeater Alana J. , Clarke Anthea C. , James Lachlan , Huynh Minh , Driller Matthew
Published: May 2023

Context

Handheld percussive massage devices (ie, massage guns) are a relatively new and under-researched recovery tool. These tools are intended to increase range of motion and reduce muscle soreness by delivering targeted vibration to soft tissues. Empirical knowledge about the potential influence of these devices on perceptual recovery and the recovery of performance characteristics after exercise is scarce.

Objective

To investigate the effect of a 5-minute massage gun application, using a commercially available device, on physical and perceptual recovery after a strenuous bout of lower body exercise.

Design

Controlled laboratory study.

Setting

Physiology laboratory.

Patients or Other Participants

A total of 65 active young adults (age = 21.3 ± 1.4 years; age range = 18–30 years; 34 women: height = 165.8 ± 6.1 cm, mass = 66.0 ± 7.4 kg; 31 men: height = 181.1 ± 6.0 cm, mass = 81.5 ± 11.8 kg).

Intervention(s)

Participants applied a massage gun on the calf muscles of 1 leg after strenuous exercise (massage gun recovery group) for 5 minutes and used no recovery intervention on the other leg (control group).

Main Outcome Measure(s)

Ankle range of motion, calf circumference, isometric strength, calf endurance, and perceived muscle soreness measures were collected at baseline and at various points after lower body exercise.

Results

No significant group × time interactions were recorded for any of the performance or perceptual measures (P values > .05). Effect sizes were mostly unclear, except for a small increase in perceived muscle soreness in the massage gun recovery group compared with the control group immediately (d = −0.35) and 4 hours (d = −0.48) postrecovery.

Conclusions

Massage guns appeared to have little effect on physical measures when applied for 5 minutes immediately after strenuous calf exercise. Given the small increase in muscle soreness up to 4 hours after their use, caution is recommended when using massage guns immediately after strenuous lower body exercise.
XENOTRANSPLANTATION
Authors: Sejpal Kapil Navin , Priyamvada PS
Published: May 2023

Xenotransplantation is propounded as a viable solution to address the severe organ shortage. Pigs are a likely source of organs. However, there are immunological and non-immunological challenges that need to be addressed. A primary initial concern was hyperacute rejections. The advances in genetic engineering have permitted the production of genetically modified pigs, removing the multiple carbohydrate antigens responsible for vascular rejections. Triple Knock Out (TKO)animals with genes knocked out for the carbohydrate antigens galactose-α1,3-galactose (α-gal), N-glycolylneuraminic acid (Neu5Gc) and the SDa blood group has helped in overcoming hyperacute rejections. Human transgenes for inflammatory mediators, coagulation components, and complements are added to TKO animals to improve graft outcomes. Xenotransplantation is now rapidly moving from bench to the bedside. In 2021, three porcine kidneys were successfully transplanted to brain dead recipients. Early 2022 witnessed the first successful pig heart transplant to a live human host. Experimental data on cellular rejections in xenografts is minimal. The long term hemodynamic compatibility and function of xenografts in humans remain unknown. With the current developments, more human data on xenotransplantation will likely emerge.
Recurrent Crescentic Infection Related Glomerulonephritis: a rare presentation
Authors: Sejpal Kapil Naveen , Priyamvada PS , Parameswaran Sreejith , Ganesh Rajesh Nachiappa , Chellappan Anand
Published: May 2023

Infection Related Glomerulonephritis (IRGN) is an immune-mediated disease caused by non-renal infections. The most common histopathology is diffuse endocapillary proliferative glomerulonephritis with neutrophilic infiltrate. IRGN presenting as crescentic glomerulonephritis is exceptionally uncommon. We describe a 17-year-old girl, with no prior comorbidities who presented with recurrent crescentic IRGN. The first episode was in 2014; she made a complete recovery with immunosuppression. She developed a repeat episode of crescentic Infection-Related Glomerulonephritis in 2019, which was also treated with immunosuppression. This case report presents an extremely rare presentation of recurrent IRGN with crescents.
Prevalence of premalignant cervical lesions among women in community-based screening program using visual inspection with acetic acid in Metro Manila
Authors: Amparo Genalin Fabul , Zalameda-Castro Carolyn Reyes , Diwa-Hernandez Michelle S.
Published: May 2023

BACKGROUND:

Cervical cancer remains a health-care burden in our country. Majority of women afflicted with this cancer are diagnosed in advanced stage. Several groups like the Philippine Society for Cervical Pathology and Colposcopy (PSCPC) have put forth efforts to decrease and eventually eliminate cervical cancer through improvement in level of awareness on the disease and community-based cervical cancer screening programs using visual inspection using acetic acid (VIA). Data on the prevalence of premalignant lesions using this screening method are limited in our country. Thus, the initiative of the society (PSCPC) to embark on this study.

OBJECTIVE:

The objective of this study was to determine the prevalence of premalignant cervical lesions among women screened in community-based screening program using VIA in Metro Manila.

METHODOLOGY:

A retrospective cross-sectional study with collection of data from medical records of cervical screening programs done by the PSCPC from March 2017 to December 2019 was done. VIA was done for screening. All VIA-positive women underwent colposcopy and those with abnormal findings had colposcopically guided cervical punch biopsy.

RESULTS:

A total of 1072 women were screened with a positivity rate of 14.6%. One hundred and fifty-six women were VIA positive and 79 of these women underwent colposcopically guided biopsy. Premalignant cervical lesions were seen in 21 women. The prevalence rate of premalignant cervical lesions in VIA-positive women was 13.5%. The prevalence of premalignant cervical lesions among all women screened was 2%. Risk factors associated with premalignant lesions were early coitarche and smoking.

CONCLUSION:

The prevalence of premalignant cervical lesions among women who underwent community-based cervical cancer screening using VIA is lower compared to other studies at 2%.
Categories of weight modules for unrolled restricted quantum groups at roots of unity
Authors: Rupert Matthew
Published: May 2023

Motivated by connections to the singlet vertex operator algebra in the
$\mathfrak{g}=\mathfrak{sl}_2$ case, we study the unrolled
restricted quantum group $\overline{U}_q^{ H}(\mathfrak{g})$ for any finite
dimensional complex simple Lie algebra $\mathfrak{g}$ at arbitrary roots of
unity with a focus on its category of weight modules. We show that the
braid group action naturally extends to the unrolled quantum groups and
that the category of weight modules is a generically semi-simple ribbon
category (previously known only for odd roots) with trivial Müger
center and self-dual projective modules.
One advance in the proof of the conjecture on meromorphic solutions of Briot-Bouquet type equations
Authors: Yanchenko Aleksandr Yakovlevich
Published: May 2023

We study entire solutions (solutions which are entire functions) of differential equations of the form
$P(y,y^{(n)})=0$, where $P$ is a polynomial with complex coefficients, $n$ is a natural number.
We show that, under some constraints on $P$, all entire solutions of such equations are either
polynomials, or functions of the form $e^{-L\beta z}Q(e^{\beta z})$, where $L$ is a nonnegative integer, $\beta$ is
a complex number, and $Q$ is a polynomial with complex coefficients.
This verifies the well-known A. E. Eremenko's conjecture on meromorphic solutions of autonomous
Briot-Bouquet type equations for entire solutions in the nondegenerate case.
Group varieties and group structures
Authors: Popov Vladimir Leonidovich
Published: May 2023

We explore to what extent the group variety of a connected algebraic group
or the group manifold of a real Lie group determines its group structure.
Behaviour of Birkhoff sums generated by rotations of the circle
Authors: Antonevich Anatolij Borisovich , Kochergin Andrey Vasilyevich , Shukur Ali Abdulhussein
Published: May 2023

For continuous functions $f$ with zero mean on the circle we consider the Birkhoff sums $f(n,x,h)$ generated by the rotations by $2\pi h$, where $h$ is an irrational number. The main result asserts that the growth rate of the sequence $\max_x f(n,x,h)$ as $n \to \infty$ depends only on the uniform convergence to zero of the Birkhoff means $\frac{1}{n}f(n,x,h)$. Namely, we show that for any sequence $\sigma_k \to 0$ and any irrational $h$ there exists a function $f$ such that the sequence $\max_x f(n,x,h)$ increases faster than $n\sigma_n$. We also show that for any function $f$ that is not a trigonometric polynomial there exist irrational $h$ for which some subsequence $\max_x f(n_k,x,h)$ increases faster than the corresponding subsequence $n_k\sigma_{n_k}$.
We present applications to weighted shift operators generated by irrational rotations and to their resolvents. Namely, we show that the resolvent of such an operator can increase arbitrarily fast in approaching the spectrum.
Bibliography: 46 titles.
Solomyak-type eigenvalue estimates for the Birman-Schwinger operator
Authors: Sukochev Fedor Anatol'evich , Zanin Dmitriy Vladimirovich
Published: May 2023

We revise the Cwikel-type estimate for the singular values of the operator $(1-\Delta_{\mathbb{T}^d})^{-d/4}M_f(1-\Delta_{\mathbb{T}^d})^{-d/4}$ on the torus $\mathbb{T}^d$, for the ideal $\mathcal{L}_{1,\infty}$ and $f\in L\log L(\mathbb{T}^d)$ (the Orlicz space), which was established by Solomyak in even dimensions, and we extend it to odd dimensions. We show that this result does not literally extend to Laplacians on $\mathbb{R}^d$, neither for Orlicz spaces on $\mathbb{R}^d$, nor for any symmetric function space on $\mathbb{R}^d$. Nevertheless, we obtain a new positive result on (symmetrized) Solomyak-type estimates for Laplacians on $\mathbb{R}^d$ for an arbitrary positive integer $d$ and $f$ in $L\log L(\mathbb{R}^d)$. The last result reveals the conformal invariance of Solomyak-type estimates.
Bibliography: 44 titles.
Теоремы сравнения для эволюционных включений с максимально монотонными операторами. $L^2$-теория
Authors: Tolstonogov Alexander Alexandrovich
Published: May 2023

В сепарабельном гильбертовом пространстве изучается эволюционное включение с зависящим от времени семейством максимально монотонных операторов. Если элементы минимальной нормы семейства максимально монотонных операторов удовлетворяют условиям роста, то области определения семейства максимально монотонных операторов являются замкнутыми выпуклыми множествами. Поэтому будет определен процесс выметания, значениями которого являются нормальные конусы областей определения максимально монотонных операторов. Доказывается, что если процесс выметания при любом однозначном возмущении из пространства интегрируемых функций имеет решение, то этим свойством обладает и эволюционное включение с максимально монотонными операторами и однозначными возмущениями из пространства интегрируемых функций. В терминах свойств семейства максимально монотонных операторов даны самые общие условия, обеспечивающие существование решений процесса выметания.
Все полученные результаты, а также предлагаемый подход являются новыми. Они используются для доказательства теоремы существования решений эволюционного включения с многозначным возмущением, значениями которого являются замкнутые невыпуклые множества.
Библиография: 19 названий.
Violence Related to Daily Water and Sanitation Needs in South Africa
Authors: Jayaweera Ruvani T. , Goin Dana E. , Twine Rhian , Neilands Torsten B. , Wagner Ryan G. , Lippman Sheri A. , Kahn Kathleen , Pettifor Audrey , Ahern Jennifer
Published: May 2023

There is a critical lack of research on violence experienced by women when meeting their daily water and sanitation needs. This short report describes the cumulative lifetime incidence of exposure to violence when using the toilet or collecting water (water, sanitation, and hygiene [WASH]-related violence) and identifies associated health and behavioral risks. Data from 1,870 participants collected in 2013–2015 from a longitudinal cohort of young women in rural South Africa were included in this analysis. We found that exposure to WASH-related violence was high: 25.9% experienced violence when collecting water or when using the toilet. Those who experienced violence were more likely to report pregnancy, an older partner, unprotected sex, experience of intimate partner violence, engaging in transactional sex, depressive symptoms, and anxiety. Future research should investigate the location and type of violence experienced and examine how WASH-related violence is related to health outcomes to identify gender-centered WASH interventions that reduce violence exposure.
Giardia duodenalis in Ugandan Children Aged 9–36 Months in Kampala, Uganda: Prevalence and Associated Factors
Authors: Ndeezi Grace , Mor Siobhan M. , Ascolillo Luke R. , Tasimwa Hannington B. , Nakato Ritah , Kayondo Lilian N. , Tzipori Saul , Mukunya David , Griffiths Jeffrey K. , Tumwine James K.
Published: May 2023

Giardia duodenalis is a common gastrointestinal pathogen globally that has been associated with growth failure in children. Most of the studies have been done in school-age children, and there is a paucity of data in pre-school children. We determined the prevalence and factors associated with G. duodenalis infection in children aged 9–36 months presenting to Mulago Hospital with diarrhea or cough. Demographic and socio-economic characteristics, animal ownership, medical history, and physical examination findings were recorded. Stool was tested for G. duodenalis using real-time quantitative polymerase chain reaction (qPCR), and additional tests included stool microscopy and qPCR for Cryptosporidium. The overall prevalence of G. duodenalis infection was 6.7% (214/3,173). In children with diarrhea the prevalence was 6.9% (133/1,923), whereas it was 6.5% (81/1,250) in those with cough as the main symptom. Of 214 children with G. duodenalis infection, 19 (8.9%) were co-infected with Cryptosporidium. Older children (25–36 months) were more likely to have G. duodenalis infection (adjusted odds ratio [aOR]: 2.93, 95% CI: 1.93–4.43). Use of an unimproved toilet (aOR: 1.38, 95% CI: 1.04–1.83) and the wet season (aOR: 1.33, 95% CI: 1.00–1.77) were associated with increased infection. Other factors associated with infection were recurrent diarrhea (aOR: 2.46, 95% CI: 1.64–3.70) and passing of mucoid stool (aOR: 2.25, 95% CI: 1.08–4.66). Having a ruminant at the homestead was also associated with infection (aOR: 1.83, 95% CI: 1.20–2.79). Giardia duodenalis infection occurred in 1 of 15 children aged 9–36 months with diarrhea or cough in Kampala, Uganda. Further studies are needed to clarify the zoonotic significance of G. duodenalis infection in this setting.
Detection of Human Paragonimiasis by ELISA Using Recombinant Paragonimus westermani Cysteine Protease 7
Authors: Andrade-Gomes Luana Gabriele , Zuniga María J. , Dolz Gaby , Solano-Campos Frank
Published: May 2023

Paragonimiasis is an important but neglected foodborne trematodiasis caused by Paragonimus mexicanus in Costa Rica. Immunological techniques for diagnosing this parasitosis in humans do not exist in Central America. The objective of the present study was to use recombinant Paragonimus westermani cysteine protease 7 to standardize an ELISA for the detection of antibodies against Paragonimus spp. Human sera positive for P. westermani, P. mexicanus, or Paragonimus spp., human sera infected with other helminths, as well as sera of healthy humans without parasitic infections, were analyzed. The sensitivity of the ELISA was 92.9%, and the specificity was 91.9%. This report is the first to describe the development of an ELISA for the diagnosis of Paragonimus spp. in Costa Rica and Central America. Using this ELISA in the health system of Costa Rica is recommended to detect infections.
Factors Associated with Chikungunya Infection among Pregnant Women in Grenada, West Indies
Authors: Kiener Melanie , Cudjoe Nikita , Evans Roberta , Mapp-Alexander Veronica , Tariq Amna , Macpherson Calum , Noël Trevor , Gérardin Patrick , Waechter Randall , LaBeaud A. Desiree
Published: May 2023

Neonates are vulnerable to vector-borne diseases given the potential for mother-to-child congenital transmission. To determine factors associated with chikungunya virus (CHIKV) infection among pregnant women in Grenada, West Indies, a retrospective cohort study enrolled women who were pregnant during the 2014 CHIKV epidemic. In all, 520/688 women (75.5%) were CHIKV IgG positive. Low incomes, use of pit latrines, lack of home window screens, and subjective reporting of frequent mosquito bites were associated with increased risk of CHIKV infection in bivariate analyses. In the multivariate modified Poisson regression model, low income (adjusted relative risk [aRR]: 1.05 [95% CI: 1.01–1.10]) and frequent mosquito bites (aRR: 1.05 [95% CI: 1.01–1.10]) were linked to increased infection risk. In Grenada, markers of low socioeconomic status are associated with CHIKV infection among pregnant women. Given that Grenada will continue to face vector-borne outbreaks, interventions dedicated to improving living conditions of the most disadvantaged will help reduce the incidence of arboviral infections.
Üniversite Öğrencilerinin Depresyon Düzeyi Üzerinde Bazı B Grubu Vitaminleri ile D Vitamininin Etkisinin İncelenmesi
Authors: KARATAŞ Ezgi , UÇAR Aslı
Published: May 2023

Amaç: B grubu vitaminler ve D vitamini eksikliği/yetersiz alımının depresyonla ilişkili olduğu gösterilmiştir. Önceki çalışmalar sadece folat (B9) ve B12 vitaminleri veya D vitaminine odaklanmıştı, bu çalışmada ise B1 B2 B9 B12 ve D vitaminlerinin serum ve diyetle alım düzeyleri araştırılmıştır. Bu nedenle bu çalışmanın amacı, bazı B grubu vitaminlerin ve D vitamininin üniversite öğrencilerinin depresyon düzeylerine etkisini araştırmaktır.
Yöntem: Bu çalışma, Ankara Üniversitesi Sağlık Bilimleri Fakültesinde 18-25 yaşları arasında 104 kız öğrenci ile yürütülmüştür. Veriler bir anket kullanılarak toplanmıştır. Çalışmaya katılan öğrencilerin depresyon düzeyleri Beck Depresyon Envanteri (BDÖ) kullanılarak belirlenmiştir ve serum B1, B2, B9, B12 ve D vitamini düzeyleri incelenmiştir.
Bulgular: Beck Depresyon Ölçeği (BDÖ) sınıflamasına göre; öğrencilerin %15.4’ünün depresyon riski yüksektir. Çalışmaya katılan tüm öğrencilerin serum B1 ve B9 seviyeleri referans aralığındaydı. Depresyon riski yüksek olan tüm öğrencilerin serum D vitamini düzeylerinin düşük olduğu görülmüştür (p>0.05). Besinlerden yeterli miktarda protein, omega 3, B9 ve B12 vitamini alan bireylerin depresyon prevalansının daha düşük olduğu saptanmıştır (p<0.05). Karbonhidrat alımındaki artış ile depresyon arasında istatistiksel olarak anlamlı bir ilişki olduğu belirlenmiştir.
Sonuç: Diyetle B9 ve B12 vitamini, omega 3 ve protein alımının depresyon gelişme riskini azaltabileceği bunun aksine karbonhidrat alımının depresyon gelişme riskini arttırabileceği düşünülmektedir.
La obligación de alimentos pre natales y la incidencia en los derechos del presunto progenitor
Authors: Marín Cali Eliana Michelle , Ramon Galarza Lisseth María , Gallegos Avendaño Mónica Cecibel
Published: May 2023

El presente trabajo de investigación hace referencia al análisis de la obligación de alimentos pre natales impuestos por la autoridad competente al presunto progenitor, sin tener certeza de la verdadera paternidad del mismo, sin embargo, se le impone esta obligación la cual es impuesta de acuerdo a la tabla de pensiones alimenticias desde la concepción y hasta los doce meses de nacido el menor.  En los casos de falsa imputación de paternidad el Código Civil establece que, en el caso de dolo para obtener alimentos, la indemnización pecuniaria será solidaria lo cual genera completa indefensión al presunto pues no podrá ejercer ningún tipo de acción legal como es la repetición de pago ya sea en contra de la madre o del verdadero padre. La legislación ecuatoriana no toma en cuenta las afecciones que se causa con la imposición de paternidad sin tener certeza alguna ya que no solo incide en el patrimonio, sino que se ve quebrantada la moral, el honor y buen nombre de la personada ante su familia y la sociedad. La metodología que hemos utilizado para desarrollar la investigación fue la cualitativa ya que se recopilo y analizo diferentes conceptos, normativa, legislación comparada, entre otros. Con ellos logramos demostrar que existe un vacío legal en los casos de restitución pecuniaria por la falsa imputación de paternidad.
El Marketing Digital como herramienta estratégica en el posicionamiento empresarial
Authors: Hernández Mesa Claudia Alicia , Carreño Amaya Nubia Stella
Published: May 2023

El desarrollo de la informática aceleró los tiempos y momentos del escenario y dinámica de los negocios, los grandes cambios comenzaron a forjarse en periodos de tiempo relativamente cortos y las organizaciones se vieron inmersas en constantes cambios. De esta manera la dinámica interactiva y digital empresa, basada en un soporte digital, demandó la necesidad de desarrollar, transformar y emplear nuevos métodos, instrumentos y herramientas para el desarrollo de la función de marketing en las organizaciones, logrando que el marketing digital abriera múltiples ámbitos en cómo desarrollar estructuras de negocios y transformar el campo comercial, dando la oportunidad a que las empresas con capacidad digital e infraestructura tecnológica asumieran con mayor facilidad el cambio de paradigma y comenzaran a migrar sus portafolios y relaciones con sus clientes a los escenarios digitales.

La presente investigación surge del interés en la búsqueda de alternativas de  desarrollo y aplicación de un plan de marketing digital para las Pymes afiliadas a la caja de compensación familiar Cafam ubicadas en  Bogotá en los últimos dos años, con el fin de mejorar la estructura financiera y el posicionamiento de dichas entidades a nivel local y nacional, siendo una investigación de carácter mixto, un diseño explicativo secuencial, enmarcado en 3 fases o etapas de desarrollo, que identifican características de impactos positivos y negativos en entornos digitales sociales, comerciales, administrativos ambientales, a través de sus ejes de análisis a saber: población, sociedad, espacio y recurso, lo que permite triangular información cualitativa y cuantitativa en diferentes contextos empresariales, con el fin de determinar estrategias de marketing digital apropiadas a las Pymes objeto de estudio.
DA LICENCIATURA AO MESTRADO: AS INFLUÊNCIAS NA TOMADA DE DECISÃO DOS ESTUDANTES DE MARKETING E COMUNICAÇÃO NO POLITÉCNICO DA GUARDA, PORTUGAL.
Authors: Marques Henrique , Martins Oliva , Canelas Carlos
Published: May 2023

A concorrência tem estimulado Instituições de Ensino Superior (IES) a perceberem o estudante como um consumidor. Em Portugal, contrariamente à crescente procura por formações superiores, percebem-se vagas ociosas em mestrados ofertados por Institutos Politécnicos (IP) localizados em territórios de baixa densidade. O objetivo deste estudo é identificar os principais fatores de influência no processo de tomada de decisão da IES para ingressar num mestrado, em função da intenção e perceção dos estudantes do último ano das licenciaturas em Marketing e Comunicação. Por um método quantitativo, os dados foram coletados a partir de questionários orientados por 27 influências identificadas na literatura. A partir de medidas de tendência e de análise fatorial exploratória, foi possível compreender o perfil, as principais influências e as intenções futuras desses estudantes. Os resultados indicam o interesse em ingressar num mestrado, o apreço por IES de boa reputação e a consideração por mestrados com melhores saídas profissionais. O estudo revelou significância moderada para a localização da IES e desinteresse em permanecer na mesma instituição da licenciatura. Este estudo fornece orientações e discute, sob a ótica do marketing e da comunicação, futuras estratégias a fim de elevar a atratividade e os índices dos mestrados ofertados por esta IES e outras em contextos similares.
TRINKA E JOÃO NO COMBATE AO GRANDE VÍRUS: UM RECURSO PARA CRIANÇAS, FAMÍLIAS E PROFISSIONAIS NA PANDEMIA DE COVID-19
Authors: Magalhães Cátia , Carraça Bruno , Alves Ana , Sargento José
Published: May 2023

Da saúde pública, à vida social e económica, nada parece escapar à capacidade profundamente perturbadora da pandemia de COVID-19.Há toda uma geração de crianças que vê fortemente limitado o seu contexto desenvolvimental e de famílias expostas a um grau de exigência excecional. Serão, por isso, fundamentais recursos que possam auxiliar as famílias/educadores a ajudarem as crianças na gestão da avalanche de informação e do turbilhão de emoções que a pandemia pode despertar. A utilização da história da Trinka & João, folheto e guia de perguntas proporciona às crianças, aos pais/educadores e/ou aos profissionais ferramentas para pensar e conversar, em conjunto, sobre aspetos difíceis da pandemia, as forças das famílias e da comunidade para lhe fazerem frente de forma mais consciente e compassiva, assim como os desafios e reações emocionais mais frequentes nas crianças e adultos. Adotou-se uma metodologia fundamentalmente qualitativa, que permitiu a análise de cinco (5) depoimentos de profissionais que utilizaram este recurso em contexto não formal de educação. A história, de livre acesso, editada pela Piplo productions, com o apoio da Fundação Irving Harris e da Rede de Tratamento de Trauma Precoce da Universidade da Califórnia e do Centro Nacional da Rede Nacional de Stresse Traumático Infantil, da Administração de Serviços de Saúde Mental e Abuso de Substâncias, Departamento de Saúde e Serviços Humanos dos EUA, foi traduzida e adaptada para português por Magalhães et al. (2020), por se considerar relevante trazer para o nosso contexto um recurso que, numa lógica de prevenção universal, permite intervir na desafiante situação atual.
GROW+ UMA APLICAÇÃO PARA APRENDER MAIS E AJUDAR O PLANETA
Authors: Teixeira Cristiano , Silveira Clara
Published: May 2023

Este artigo apresenta uma aplicação móvel designada por Grow+ que se inspira nos Objetivos de Desenvolvimento Sustentável para a promoção da educação para a sustentabilidade. A aplicação tem o intuito educativo, aprender mais e ajudar o planeta, através da realização de questionários de forma que os utilizadores aprendam e testem os seus conhecimentos. Integra um menu que apresenta informações sobre os 17 Objetivos de Desenvolvimento Sustentável; informações de como ajudar o planeta a ser um lugar melhor; e apresenta as melhores pontuações de respostas aos questionários. Durante o processo de desenvolvimento do software foi usada a metodologia ágil integrada com a abordagem de Software Engineering Method and Theory. Com este estudo, pretende-se dar um contributo na aprendizagem e melhoria do processo de aquisição de conhecimentos sobre sustentabilidade. Os principais resultados desta investigação mostram que é possível desenvolver projetos académicos com fins educativos para a sustentabilidade na perspetiva de quem desenvolve e de quem utiliza as tecnologias.
Professional Perspectives on Bilingualism in Persons with Autism Spectrum Disorder: A Pilot Study
Authors: Benavidez Saldivar Rosa , Stewart Jessica , Crutchfield Ruth , Chen Roy , Puente Lily
Published: May 2023

Purpose: The present study examined the perspectives of professionals regarding bilingualism and ASD. Methods: A total of 27 professionals participated in this study. Data was collected via an online survey. The survey was designed based on a literature review and consultation with a team of experts in the field of ASD. Information relating to demographic information, professional practice information, and perspectives of bilingualism and ASD was collected. Results: Professionals participating in the present study were most likely to agree with the statement, “A child with ASD from a bilingual household is able to understand both languages” and least likely to agree with the statement, “There are enough bilingual service providers and resources.” Responses to 5 of the 8 statements related to professional perspectives on bilingualism in children with ASD were near the scale midpoint indicating the participants did not strongly agree nor disagree with the perceptions. When asked what language parents should speak to their children with ASD from a bilingual household, 44% of participants recommended a bilingual approach, and 30% indicated a monolingual approach. Participants reported professional experience and the ability to communicate with caregivers/others in the environment/parent language use as influences for these recommendations. Furthermore, sex, level of education, and bilingual caseload were found to be significantly related to perspectives on bilingualism and ASD. Conclusion: The results of this study support previous literature which has identified a disconnect between research and clinical practice regarding bilingualism and ASD. Furthermore, the relationship between specific demographic and professional variables found in this study can now be used by future research studies and programs targeting bilingualism and ASD. These findings are of particular importance when considering that research has supported bilingualism in children with ASD, yet many professionals continue to implement a monolingual approach. A better understanding of professional perspectives of bilingualism in ASD provides insight into the discrepancy between research and clinical practice and paves the way for future studies and programs targeting improved services for bilingual children with ASD.
Mealtime Experiences of Children with Autism Spectrum Disorder from the Perspectives of Filipino Occupational Therapists in Cebu: Implications for Practice
Authors: Barrientos Blaise AUdre , Bandajos Alyanna Freyse , Bucog Erika Faye , Mauro Rosse Velle , Bulan Paolo Miguel
Published: May 2023

Purpose: Occupational therapists (OTs) handle children diagnosed with autism spectrum disorder (ASD), and a common concern is how their sensory processing issues affect their feeding habits. There is limited information regarding interventions about this issue both locally and internationally. This study aims to know the experiences of OTs providing feeding interventions associated with sensory issues for children with ASD. It will also describe what approaches they used for these interventions. Method: Qualitative phenomenology using in-depth interviews with nine OTs in Cebu, Philippines was conducted, and data underwent thematic analysis. Results: Five themes emerged: 1) a family that feeds together, stays together, 2) key to mealtime challenges, 3) root of mealtime challenges, 4) highs and lows of a therapist on feeding interventions, and 5) teletherapy as a sign of times. Conclusion: OTs and parents look at foundational skill deficits of a child with ASD and relate the said skill deficits to mealtime behaviors and challenges. Results provided in-depth description of what current intervention approaches the selected therapists choose and how they are applied and combined in targeting feeding concerns and sensory issues that relate to feeding. Handling feeding issues is also an opportunity for OTs to work with other healthcare professionals.
An Investigation of Burnout and the Use of Meditation as Means of Prevention in In a Program of Study for Physician Assistants
Authors: Chappell Rachel , Hebert George , Weydert Amber
Published: May 2023

Purpose: The purpose of this investigation was to develop, describe, and evaluate burnout curricula using meditation as a burnout reduction strategy. Method: The Maslach Burnout Inventory was the survey method used to assess PA student’s levels of burnout after completing developed burnout curricula. Results: The results showed no relationship between burnout curricula completion and rates of student burnout. However, the findings showed burnout differences across the three cohorts of student classes. Conclusion: While limited by only the three cohorts of students, the study affirmed the need for faculty to stay attuned to aspects of student burnout.
Burnout and Adverse Outcomes in Athletic Training Students: Why All Healthcare Educators Should Be Concerned
Authors: Elliott Ashlyne , Gallucci Andrew , Oglesby Leslie , Funderburk LesLee , Lanning Beth , Tomek Sara
Published: May 2023

Background: Burnout is linked to various adverse outcomes (i.e., thoughts of dropout, depression, unprofessional behaviors) in healthcare students (i.e., nursing students, medical students). However, potential adverse outcomes associated with burnout in athletic training students, a subset of healthcare students, have yet to be identified. Objective: To adapt a previously tested theoretical model to explore relationships between student workload, burnout, and potential adverse outcomes in a sample of graduate athletic training students. Methods: An online survey assessing the variables of interest and study information was sent to program directors of graduate-level athletic training programs at their publicly accessible email addresses with a request to forward the opportunity to their students. This was a nationwide sample of graduate athletic training students with 320 graduate athletic training students completing the survey. Descriptive statistics and structural equation modeling was used in our analysis. Results: Structural equation modeling confirmed that our hypothesized model successfully described relationships between academic workload, burnout, and adverse outcomes in athletic training students. Specifically, academic workload predicted burnout, and burnout in turn predicted various adverse outcomes (i.e., thoughts of dropout, depression, unprofessional behaviors) in athletic training students. Educators should be aware of the potential adverse outcomes identified in this sample of athletic training students that have also been reported in other healthcare students. Conclusions: Methods to combat symptoms of burnout to enhance student well-being and avoid potential adverse outcomes should be identified. Future research should use the adapted theoretical model discussed in this article within other healthcare students' samples to understand further the complex network of relationships between academic workload, burnout, and adverse outcomes in the educational environment.
Development of a Micro-credential Curriculum: The Interprofessional Dementia Caregiving Telehealth Community Practicum Badge
Authors: Wenker Susan , Kieu Chinh , Schroepfer Tracy , Felten Kristen , Smith Kathleen , Khalili Hossein
Published: May 2023

Purpose: Informal dementia caregiving by family caregivers is a crucial component of the care provided to people living with dementia (PLwD). The numbers of these family caregivers are rapidly increasing at a time, when in the U.S., the availability of formal caregivers is decreasing. Currently, health professional training focuses on providing care to PLwD and not necessarily addressing the caregiver’s needs, and this training takes place within professional silos and not interprofessionally. This study sought to address this issue by: 1) examining the current state of interprofessional dementia caregiving trainings in the US; and 2) developing a micro-credential curriculum called interprofessional dementia caregiving telehealth community practicum badge suitable for health profession students in order to meet the needs of dementia caregivers in Wisconsin. Methods: A four-phase-embedded approach was used. In the first phase, a scoping review on the current state of interprofessional education regarding caregivers of PLwD was conducted. Next, a team comprised of 6 faculty and staff with expertise in dementia care and caregiving, 2 dementia care specialists (DCS), and 2 family caregivers provided their expertise and input into developing the components of a micro-credential badge. These components and details were then assessed/revised based on interviews with 11 additional family caregivers, DCSs, and community leaders. Finally, the micro-credential interprofessional dementia caregiving curriculum was developed. Results: The micro-credential curriculum was named the Interprofessional Dementia Caregiving Telehealth Community Practicum Badge. The badge requires that an interprofessional team of students to: 1) complete five self-directed modules; 2) conduct initial virtual caregiver home visit to assess needs; 3) hold a virtual meeting with an Aging Disability Resource Center (ADRC) specialist to acquire the resources; 4) develop a customized Caregiver Health and Wellness Resource Packet; 5) hold a second/final virtual home visit to present the packet to the caregiver; 6) conduct a debrief session with all involved parties; and 7) finalize/submit the Packet along with reflection as a Capstone Project. Conclusion The micro-credential badge curriculum was piloted in the spring of 2022 while incorporating findings from this study. The completion of the interprofessional dementia caregiving badge counts towards the UW IPE Path of Distinction
Conservative Treatment of a Symptomatic Os Vesalianum Pedis in a Professional Soccer Player: A Case Report
Authors: Cruz Mario , Bolgla Lori , Alexander Ryan , Symbas Peter , Royal Jeremy , Serrano-Dennis Jordan
Published: May 2023

Objectives: Symptomatic os vesalianum pedis (OVP), a small accessory bone located adjacent to the base of the 5th metatarsal of the foot, rarely affects individuals who participate in sports. The condition typically is treated with surgical intervention. This case report documents the examination, evaluation, and treatment approach for a professional soccer player treated conservatively with a symptomatic OVP. Methods: A nineteen-year-old professional soccer player presented with pain to the base of the left 5th metatarsal. Physical examination and imaging resulted in a diagnosis of a symptomatic OVP. The player underwent a 5-stage criterion-based rehabilitation program. Results: The player successfully completed a 7.5-week rehabilitation program that included a comprehensive return-to-play progression. The player received clearance for return to play and has continued to play professionally without restriction. Conclusion: This case report outlined the conservative management of a professional soccer player with OVP. It has provided guidance for the conservative treatment of a rare injury.
Does Acute Fatigue Affect Lumbar Proprioception and Balance?
Authors: Depreli Ozde , Angin Ender
Published: May 2023

Purpose: To investigate the acute effects of trunk extensor, abdominal, and calf muscle fatigue on lumbar proprioception and balance. Method: Seventy healthy individuals, aged between 18-25, without pain in the low back and lower extremities, with right dominant lower extremities, were included in the study. Dynamic balance with the Y-balance Test, lumbar proprioception sense with the application of the IOS software, and fatigue level with the 6-20 Borg Scale were evaluated before and immediately after the back extensor, abdominal, and calf muscle fatigue protocols were applied to the individuals at 72-hour intervals. Results: After all fatigue protocols, proprioception sense at 30˚ lumbar flexion was found to change significantly (pConclusionsThis study determined that acute fatigue negatively affects proprioceptive sense and dynamic postural control in the anterior direction. Understanding how the trunk extensor, abdominal, and ankle plantar flexor muscles respond to a fatigue-inducing exercise, especially concerning postural control and trunk proprioception, is important for understanding and preventing injury risk.
Comparing Two Methods of Clinical Supervision
Authors: Anderson Heather , Hayes Sandra , Smith Julie , Currie Stephanie
Published: May 2023

Purpose: The purpose of this study was to compare two methods of clinical supervision, remote and in-person, in group speech-language therapy in a university-based outpatient clinic, in terms of student clinical behaviors that occur with each method. Clinical supervision is an essential part of graduate education programs in speech-language pathology and clinical supervisors in university-based speech and hearing clinics often employ remote supervision. The professional literature concerning the impact of remote supervision on student clinical behaviors is limited. The studies found advantages and disadvantages to in-person and remote supervision and no real preference for one method was noted by participants. Method: This study compared student clinical behaviors, specifically percentage of interactional time, in remote versus in-person supervision conditions. Results: No significant difference was found between the two conditions. Conclusions: Both in-person and remote are valuable methods for clinical supervision of graduate students. There are strengths and weaknesses to both methods and graduate clinicians tend to present similar behaviors when being supervised via either method.