bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical and histological work-up of vitreoretinal metastases from cutaneous malignant melanoma
Authors: Osl Antonia , Blatsios Georgios , Rauchegger Teresa , Nguyen Van Anh , Seifarth Christof , Haas Gertrud
Published: April 2022

We report a rare case of vitreoretinal metastases from cutaneous malignant melanoma (CMM). A 76-year-old patient with CMM presented at our clinic complaining of floaters and blurred vision in his right eye. After conducting an exploratory vitrectomy, the diagnosis of vitreoretinal metastases from CMM was made. Histopathology of the enucleated eye demonstrated residual clusters of malignant cells in the vitreous and focal invasion of the inner retina. CMM metastatic to the retina and vitreous is very rare. A detailed ophthalmological examination in all patients with metastatic CMM and complaints of ocular symptoms is highly recommended.
Intraoperative use of C-arm fluoroscope for removal of gun pellet in the orbit
Authors: Murthy Ramesh
Published: April 2022

Gun pellet injury is rare but devastating to the eye. Airgun pellets made of lead can ricochet between the orbital bony walls and can damage the intraocular structures, even causing loss of vision. These pellets can get displaced in the orbital fat during surgical manipulation. Intraoperative CT scan is not readily available in hospitals; however, C-arm fluoroscopy is readily available in most setups. We used a C-arm fluoroscope and three instruments (i.e., two malleable retractors and a periosteal elevator) for locating and removing the pellet successfully in two cases, which to the best of our knowledge has not been reported before.
Ocular dirofilariasis - A zoonosis with rapidly changing epidemiology
Authors: Sharma Vikas , Tinna Ankuj , Aggarwal Ishan , Singh Atul K , Waghray Ritesh , Srivastava Arpit
Published: April 2022

Human dirofilariasis is a rare but known zoonotic infection with a worldwide geographical distribution. Ocular dirofilariasis is rare but more and more cases are being reported from all over India. Despite the southern states being endemic for this disease, cases are being reported from different Indian states due to better transport facilities, better infrastructure, and increased awareness among healthcare workers regarding this zoonosis. We present a series of three cases that focuses on the epidemiology of the disease and compares cases reported from various states, which indicates a northward shift of the disease to non-endemic states.
Recurrent herpes simplex virus nummular keratitis in a case of irritable bowel syndrome and seronegative ankylosing spondylitis
Authors: Bhadra Pratik , Murthy Somasheila I , Sharma Savitri , Wagh Sangeeta , Sheba Esther
Published: April 2022

A 35-year-old male presented with a 16-month history of left-eye recurrent redness, photophobia, and blurring in his left eye. Systemically, he suffered from irritable bowel syndrome and HLA-B27-negative spondyloarthropathy. The cornea showed multiple nummular epithelial and anterior stromal lesions. The aqueous sample was positive for herpes simplex virus-1 DNA (glycoprotein-D gene) by polymerase chain reaction. The lesions resolved with oral acyclovir and topical dexamethasone 0.01% in tapering doses; however, he continued to have recurrent periodic redness even at 1 year. We hypothesize that coexisting systemic immune-mediated conditions may have a role in altering the disease course leading to its prolongation in our case.
Masquerade versus masquerade
Authors: Abbas Sajjad , Lewis Karinya , Rennie Christina
Published: April 2022

This is an atypical uniocular presentation of systemic diffuse large B-cell lymphoma. An 80-year-old Caucasian female presented with acute left visual loss, anorexia, headache, and jaw pain with disk swelling. Systemic steroids for giant cell arteritis were started despite negative temporal artery biopsy. Later, an inferior exudative retinal detachment developed. Lytic skull lesions were eventually seen on magnetic resonance imaging. Diffuse large B-cell lymphoma was diagnosed postmortem. This is the second documented case of unilateral serous retinal detachment with no uveitis/pseudouveitis or choroidal infiltrate due to lymphoma. It demonstrates pitfalls of pattern recognition when pieces of the jigsaw do not fit.
A large vallecular cyst presenting as a tonsillitis mimic
Authors: Mowat Andrew James , Sandhar Pardip , Gill Charn , Kale Uday
Published: April 2022

We describe a unique case of an 18-year-old man referred to otolaryngology on call, as tonsillitis. He gave a 4-day history of progressive dysphagia, change in voice, and globus. No past medical history was given, and vital observations were stable. On clinical examination, his tonsils were unremarkable. Inflammatory markers were within normal limits. Flexible nasoendoscopy revealed a 5-cm oropharyngeal cyst, arising from the left vallecula. His airway was distorted with no view of the vocal cords. Initial management with antibiotics, steroids, and intravenous fluids stabilized his condition. A computed tomography neck with contrast confirmed the cyst to be an isolated lesion. A magnetic resonance imaging excluded the differential of lingual thyroid tissue. The patient was taken to the theater for marsupialization of the cyst, normalizing his airway. He was discharged the following day symptom-free.
A novel approach to upper airway cyst in infants
Authors: Srivastava Rakesh
Published: April 2022

There are various anecdotal reports and case series in the literature on congenital laryngeal cyst. These studies described pathology, presentation, and management of these cysts. The current case series is 2-year retrospective analysis of symptomatology and therapeutic difficulties on seven infants with laryngeal cysts. All the babies presented with moderate-to-severe stridor. Vallecular and base of tongue cyst are the most common sites. Flexible laryngobronchoscopy remains the main diagnostic test. The management initiated by the preoperative use of high-flow nasal cannula and followed by decompression (aspiration) and deroofing. Deroofing done by using the various energy sources such as coblation and lasers (carbon dioxide and diode). Coblation is faster, easier to use with no risk of fire, and bleeding.
Anesthetic Management in a Patient with Acute Cervical Spinal Cord Injury in Neurogenic Shock for Humerus Plating - Ideal Timing and Anesthetic Technique
Authors: Krishnagopal Vinod , Murugan Raj , Krishnakumar Sharanya , Thilak M
Published: April 2022

ABSTRACT

Traumatic acute cervical spinal cord injury (ACSCI) often presents with non-emergent coexisting injuries, which might need surgical intervention. The ACSCI affects multiple systems including respiratory, cardiovascular, and neurological systems, which pose a great challenge to the treating anesthesiologist. The ideal time and anesthetic technique for non-emergent surgeries following ACSCI is not clear. Maintenance of mean arterial blood pressure between 85 and 90 mmHg for 7 days following spinal cord injury would improve the outcome. The secondary injury peaks at 4–6 days following the primary cord injury. Considering the above-mentioned factors, the non-emergent procedures could be performed after the seventh day following an injury of the spinal cord. Regional anesthesia (RA) (diaphragm sparing supraclavicular block (SCB)) edges over general anesthesia (GA), as the manipulation of the cervical spine could be avoided and it also provides stable cardiac and respiratory dynamics. In this case report, we are discussing about a case of conservatively managed ACSCI posted for left humerus plating. We conclude that ultrasound-guided diaphragm sparing SCB is a safe alternative to GA for ACSCI patients posted for upper limb surgeries in neurogenic shock.
Association of Hemoglobin Levels with Symptoms of Premenstrual Syndrome in Adults
Authors: Mamatha S. D. , Priya S. A. , Smitha M. C.
Published: April 2022

ABSTRACT

Background:

Most women of reproductive age experience physical, emotional, and psychological discomfort in the week before menstruation called premenstrual syndrome (PMS). However, the specific cause for PMS is still not clear. In this study, we aimed at assessing the association of hemoglobin (Hb) level with PMS symptoms.

Materials and Methods:

One hundred and forty-nine healthy female students from medical and paramedical courses of age 18–22 years who were not on any medications were included in the study. The Hb of each participant was measured. A structured PMS symptoms questionnaire was designed based on the article by Lori M. Dickerson et al. The participants were asked to fill the questionnaire and scoring was done. Data were analyzed in SPSS V24. Descriptive statistics were used to calculate proportions and inferential statistics such as the unpaired t-test and one-way analysis of variance was used to compare the Hb level among those with PMS and those without and the association of Hb level with the type of PMS symptoms, respectively.

Results:

58.4% had PMS. There was a significant association of Hb level with PMS and lower Hb level was associated with physical and emotional symptoms.

Conclusion:

Occurrence of PMS symptoms was proportional to a fall in Hb level. Most physical symptoms of PMS are similar to anemia, hence can be confused due to PMS. Therefore, Hb level estimation helps in preventing misdiagnosis of PMS or symptoms related to decreased Hb level and also symptoms can be reduced by improving Hb levels.
Evidence of coal conversion in the Majuba underground coal gasification pilot plant, South Africa
Authors: Mokhahlane L.S. , Wagner N.J. , Vermeulen D.
Published: April 2022

Underground coal gasification (UCG) is a coal conversion method that permits coal resources to be exploited in situ using high-temperature conversion reactions. An understanding of the chemical, mineralogical, and petrographic properties of the coal, and resultant unburned carbon, degasified coal, and ash (minerals) in the UCG gasification zone, is fundamental to determining conversion rates, gas composition, and environmental and groundwater risk assessments. This study aims to provide a mineralogical and petrographic characterization of UCG residues obtained from the Eskom Majuba UCG pilot plant site in South Africa. Samples were selected from a verification borehole (VH3) drilled at the site following the pilot trial. The Permian-age Karoo Basin Majuba Gus Seam coal is medium rank C bituminous, inertinite-rich, with variable ash content. All the coal samples extracted from the borehole show evidence of heating and conversion. The volatile matter content is very low, and the mean random vitrinite reflectance values are above 5 (%RoVmr). It is possible to use vitrinite reflectance data to estimate the probable temperatures achieved in the UCG georeactor. The UCG samples in this study were exposed to maximum temperatures of around 1300°C. There is a very slight temperature gradient through the seam, indicative of fairly even heat distribution and release of volatile gases. Cracks within the degasified coals were filled with molten glassy material. Most of the iron sulfide mineralization is the degasified coal samples was transformed to pyrrhotite. The gasified samples show lower levels of sulfur as compared to unheated coal from this seam.
YouTube y el nuevo rumbo de la prensa española
Authors: Álvarez Monzoncillo José María , Díaz Lucena Antonio , Mora de la Torre Victoria
Published: April 2022

La presencia del vídeo en la prensa española ha ido adquiriendo en estos últimos años una importancia creciente. La audiencia más joven empatiza mejor con el vídeo que, además, aporta nuevos ingresos, fundamentales para sostener un negocio en claro declive. Las inversiones en creación de contenido para ser distribuido en las redes sociales han crecido de forma considerable en todas las rotativas. Por otro lado, la plataforma de distribución dominante, tanto por su potencial como por su flexibilidad, sigue siendo YouTube, puesto que permite abrir canales específicos.  Mediante la cuantificación de los vídeos distribuidos en YouTube por los diarios El País, El Mundo, La Vanguardia, El Español, elDiario.es y El HuffPost, y del volumen de sus visualizaciones, así como a través de entrevistas a algunos de los responsables de negocio de los mismos, y un análisis comparado con otros doce diarios internacionales de gran relevancia (Le Monde, Le Parisien, Figaro Live, Bild, Frankfurter Allgemeine Zeitung (FAZ), Corriere della Sera, La Repubblica, The Guardian, The Guardian News, The Times y Sunday Times, The Washington Post y The New York Times), se deducen las estrategias de las cabeceras, las tendencias del mercado de la información y la importancia que está adquiriendo el vídeo para la supervivencia de las empresas periodísticas. Concluimos que el desarrollo de las redes sociales se ha vuelto un impulsor de la innovación en los modelos de negocio del sector.
Impact of the COVID-19 Pandemic on Psychosocial Health of Persons With Spinal Cord Injury: Investigation of Experiences and Needed Resources
Authors: Morgan Kerri , Heeb Rachel , Walker Kim , Tucker Sue , Hollingsworth Holly
Published: April 2022

Background

Emerging evidence suggests that the COVID-19 pandemic has been accompanied by increased rates of depression and social isolation. However, we do not yet understand how the COVID-19 pandemic has affected the psychosocial health of people with spinal cord injury (PwSCI), a population that is already at risk of experiencing mental health conditions.

Objectives

The aims of the study were to (1) examine the impact of the pandemic on the psychosocial health of PwSCI and (2) investigate the experiences of PwSCI and resources they reported needing during the peak of the pandemic.

Methods

A cross-sectional survey with closed- and open-ended questions was administered to 51 PwSCI. Participants were included if they had an SCI, were 18 years or older, lived in St. Louis, Missouri, and surrounding areas, and understood English.

Results

Canonical correlation showed a significant association between financial security, food insecurity, and personal assistance service use and adverse psychosocial health outcomes (p < .001). Participants reported interest in resources related to COVID-19 precautions for wheelchair users as well as home exercise programming and financial assistance with utilities. Finally, qualitative analysis revealed four major themes: (1) mental health during the pandemic, (2) financial concerns and reduced access to personal assistance services, (3) feelings of social isolation prior to the pandemic, and (4) local and national authorities’ handling of the pandemic.

Conclusion

PwSCI are impacted by the COVID-19 pandemic and reported a variety of resource needs. These findings may inform service providers, support systems, and organizations to better support PwSCI during times of crisis.
Oral Care Bundle Impact on Staff Assisted Oral Care
Authors:   , Oliver Sabrina
Published: April 2022

Practice Problem: Non-ventilator hospital acquired pneumonia (NV-HAP) is more common than ventilator acquired pneumonia. Oral care is the only modifiable risk factor for all patient populations. PICOT: The PICOT question that guided this project was: In non-ventilated patients in a tertiary care setting (P), how does implementing an oral care bundle (I) compared to the current practice of individual tasks without a bundle (C) affect adherence to facility oral care standard of patients receiving oral care at least once a day (O) over six weeks (T)? Evidence: Lack of an oral bundle that has been proven to decrease the delivery of oral care. Intervention: Implementation of an oral care bundle including a decision-making protocol, oral care products, staff and patient education, and proper care documentation competencies. Additionally, surveillance and auditing practices were established. Outcome: There were considerable improvements in the delivery of oral care (42.07% increase for ≥ 1 oral care activity per patient day), patient education (18.29% increase during episode of care), and documentation (47.60% decrease in oral care documentation deficiency and 50.73% decrease in oral care education deficiency). Conclusion: Inconsistent delivery of oral care can lead to significant health concerns and costs to patients and healthcare facilities. Consistently utilizing oral care practices, such as an oral care bundle, improved the delivery and documentation of oral care and patient education.
Tatlı Kemikler: Diabetes Mellitus’un Kemik Sağlığına Etkisi
Authors: DAŞTAN Buket , HİNTİSTAN Sevilay
Published: April 2022

Diabetes mellitus, dünya çapında milyonlarca nüfusu etkileyen, önemli mortalite ve morbiditeye sahip, kronik hiperglisemik, yaygın bir hastalıktır. Diyabetin kardiyovasküler sistem, göz, böbrek ve sinir sistemi üzerinde iyi bilinen komplikasyonlarının yanı sıra iskelet sistemide diyabetten etkilenir. Son zamanlarda diyabetin iskelet sistemini olumsuz etkilediği, kemik kalitesinde ve kemik gücünde bozulma, artan kırık riski ve bozulmuş kemik iyileşmesi gibi kemik üzerine zararlı etkilerinin olduğunu gösteren kanıtlar artmaktadır. Diyabetin kemik sağlığı üzerinde güçlü bir etkisi vardır ve iskelet kırılganlığı artık hem Tip 1 hem de Tip 2 diyabetin önemli bir komplikasyonu olarak kabul edilmektedir. Tip 1 diyabette kemik mineral yoğunluğunun azalması, Tip 2 diyabette ise kemik yoğunluğunun normal hatta daha yüksek olmasına rağmen, kemik kalitesinin ve gücünün bozulması kırık riskini artırır. Tip 1 ve Tip 2 diyabetin geç aşamalarında, insülin eksikliği, insülin benzeri büyüme faktörü 1’in yetersiz salınımı kemik homeostazını bozarak kırılganlığa yol açabilir. Kemik kırılganlığına yol açan patofizyolojik mekanizmalar çok faktörlüdür ve potansiyel olarak kemik oluşumunun bozulmasına, kemik yapısının değişmesine ve kemik gücünün azalmasına yol açar. İlginç bir şekilde farklı antidiyabetik tedaviler, glisemik kontrol, hipoglisemik olayların tetiklenmesi, kemik oluşumu üzerindeki etkileri nedeniyle kırık riskini etkileyebilir. Bu derlemede, diyabetin kemik homeostazına etkisi, kırık riski, antidiyabetik tedavinin kemik üzerine etkisi ve sağlık personeline öneriler tartışılmaktadır.
Hemşirelerin COVID-19’a Yönelik Tamamlayıcı ve Alternatif Tedavi Kullanım Durumu ve Tutumu
Authors: GÖR Feride , DURU AŞİRET Güler
Published: April 2022

Giriş: Tüm dünyayı kısa sürede etkileyen Koronavirüs (COVID-19) salgınıyla mücadelede hemşireler ön saflarda yer almaktadır. Bu süreçte hemşirelerin sağlıklarını koruyabilmeleri ve sürdürebilmeleri önem arz etmektedir. Amaç: Bu çalışmada hemşirelerin COVID-19’a yönelik tamamlayıcı tedavi yöntemlerini kullanım durumu ve tutumunun belirlenmesi amaçlanmıştır. Yöntem: Tanımlayıcı nitelikte olan bu araştırma, ülkemizde Ocak-Mart 2021 tarihleri arasında COVID-19 sürecinde kamu hastanelerinde hizmet veren ve Türkiye genelinde il sınırlaması olmaksızın sanal kartopu örnekleme yöntemiyle yürütülen online ankete yanıt veren 385 hemşire ile yürütülmüştür. Araştırmanın verilerinin toplanmasında, Birey Tanıtım Formu ve Tamamlayıcı Tedavileri Kullanmaya Yönelik Tutum Ölçeği (TTTÖ) kullanılmıştır. “Google Forms” uygulaması kullanılarak hazırlanan veri toplama formunun online anket linki hemşirelere e-posta veya WhatsApp uygulaması üzerinden gönderilerek araştırmanın verileri toplanmıştır. Araştırma verilerinin değerlendirilmesinde ortalama, standart sapma, yüzde, bağımsız gruplarda t testi ve ikiden fazla grupların karşılaştırılmasında One-way ANOVA testi kullanılmıştır. Bulgular: Bu çalışmaya katılan hemşirelerin yaş ortalaması 29.67 ± 7.27 ve %76.1’i kadındır. Hemşirelerin %32.5’inin en az bir tane tamamlayıcı tedavi yöntemi kullandığı ve en sık tercih edilen tamamlayıcı tedavi yönteminin bitkisel ürün kullanımı olduğu belirlenmiştir. Hemşirelerin Tamamlayıcı Tedavileri Kullanmaya Yönelik Tutum Ölçeği toplam puan ortalamasının 22.16 ± 6.06 olduğu saptanmıştır. Bu çalışmada kadın, 31-41 yaş grubunda olan ve COVID-19’da doktor önerisi dışında tedavi kullanan hemşirelerin Tamamlayıcı Tedavileri Kullanmaya Yönelik Tutum Ölçeği toplam puan ortalamasının istatistiksel olarak anlamlı derecede yüksek olduğu saptanmıştır (p < .05). Sonuç: Bu çalışmada hemşirelerin tamamlayıcı tedavi yöntemi kullanım oranı düşük olmasına rağmen tamamlayıcı tedavi yöntemlerine ilişkin tutumunun olumlu olduğu saptanmıştır. Bu nedenle hemşirelerin hem hastaları hem de kendileri için tamamlayıcı tedavi yöntemlerine ilişkin bilgilerini güncellemeleri ve bu yöntemlere ilişkin planlı eğitimler yapılması önerilmektedir.
Yaratıcı Dramaya Temellendirilmiş Çocuk Cinsel İstismarını Önleme Programı: Bir Uygulama Planı Örneği
Authors: KEMER Duygu , İŞLER DALGIÇ Ayşegül
Published: April 2022

Çocuk cinsel istismarında temel hedef istismarın önlenmesidir. Bu makalede okul öncesi çocuklarda cinsel istismarı önlemeye yönelik yaratıcı dramaya temellendirilerek hazırlanan “Bedenim Benim Özelimdir Eğitim Programının” uygulama planı örneği verilmiştir. Son yıllarda aktif olarak kullanılmaya başlanan yaratıcı dramanın özellikle okul öncesi dönem çocuklarında yaratıcı düşünmeyi teşvik etme, öğrenilenlerin kalıcı olmasını sağlama, dil ve iletişim becerileri kazanma, kendine güven duyma, karar verme becerileri kazanma ve bildiklerini hayata geçirebilme gibi birçok yararının olduğu bilinmektedir. Bu makalenin çocuk cinsel istismarını önlemek için bu alanda çalışan tüm eğitim, sağlık çalışanları ve ebeveynlere önemli bir kaynak olacağı düşünülmektedir
Determination and Measurement of Quality of Higher Educational Institution in Rajasthan
Authors: Ratnakumar J Ernest Samuel , Desai J. V
Published: April 2022

The quality determination of a Higher Educational Institution namely, an university – a place of Higher Learning and Research, not just for the purpose of dissemination of Knowledge but to be a place for Creation of Knowledge through Research, differ significantly in the way in which they are determined by the way it is measured on different parameters and the methodologies that are put in place for the purpose of quality Assurance and Accreditation. I this paper an attempt is made to understand and appreciate the role of the National Accreditation and Assessment Council of India which has the mandate given to it and the ―Quality‖ as determined from not only the Specific National Perceptive apart from the globally adhered norms for such determination of ―Quality‖. For this purpose a limited study has been taken to study the quality concerns and the role of the National Accreditation and Assessment Council of India, with special reference to the Private Universities in Rajasthan, which includes State Private Universities established under Section 2(f) of the University Grants Commission Act, 1956 and also includes Private Deemed to be Universities established by the Section 3 of the University Grants Commission Act, 1956 and Notified by the Ministry of Education (erstwhile Ministry of Human Resources Development) of Government of India. In the process of Evaluation of Quality, the Critical aspect is the use of a framework for measurement and evaluation against which the NAAC analyses and makes a decision for the Accreditation. The Assessment process undertaken by the Researcher in his attempt is to have the parameters independent of the criteria of the Assessment bodies and more suited to the requirements of the specific needs of the State of Rajasthan. Care has been taken not to have any biased element by missing out the important parameters.
Analysis of Respiratory Muscle Training in Basketball Athletes from APAB Blumenau
Authors: Sousa Clóvis Arlindo de , Muller Antonio Jose
Published: April 2022

The present study has as main objective to analyze the effects of respiratory muscle training on pulmonary function of basketball players in the city of Blumenau-SC. Respiratory muscle training (RMT) improves strength and endurance, and consequently improves athlete performance. However, few studies have analyzed the effects of RMT on the pulmonary function of athletes, especially in non-aquatic sports. Participating in the sample were 10 male athletes, between 19 and 26 years old, mean age of 23 years old, of the basketball team of the Association of Parents and Friends of Basketball (APAB). They were evaluated before and after the RMT application through a Clement Clarke brand One Flow portable digital spirometer. RMT was performed two to four times a week for eight weeks, totaling 16 sessions. Based on the results, it can be concluded that the RMT in basketball athletes presented a significant increase in the pulmonary function assessed by the Expiratory Flow Peak (EFP). Because EFP is related to expiratory force, training has proven to be very effective on expiratory muscles. However, it had no effect on the Forced Expiratory Volume in the first second (FEV1) and Forced Vital Capacity (FVC) variables.
Índices de resistencia en corredores ecuatorianos en distancias de 100-200, 200-400, 400-800 y 800-1500 metros
Authors: Monta Llumiquinga Anabel Marcela , Prado Chalá Jimmy David , Romero Frómeta Edgardo
Published: April 2022

Los índices de resistencia se consideran indicadores determinantes para identificar el nivel de desarrollo de la resistencia láctica en los corredores de distancias cortas y medias porque permiten establecer, mediante fórmulas de correspondencia, la dependencia entre distancias competitivas cercanas, sin utilizar la medición del lactato sanguíneo. Sin embargo, en Ecuador han sido muy poco estudiados lo que limita establecer sus baremos en el ámbito nacional, cuando de corredores prejuveniles de 100 a 1500 metros se trata. Con el objetivo de establecer baremos que permitan evaluar el comportamiento de la resistencia láctica con indicadores pedagógicos, sin utilizar la medición de laboratorio, se procesó una muestra de 381 corredores ecuatorianos en dúos de distancias de 100-200, 200-400, 400-800 y 800-1500 metros, según la base de datos de la Federación Ecuatoriana de Atletismo, del periodo 2011-2021, en el grupo etario prejuveniles. Utilizando tres índices de resistencia distintos, el Temporal, el Proporcional y el de Velocidad, se establecieron en diferentes tablas, los baremos que caracterizan el nivel de resistencia láctica en cada dúo de distancias, desde Excelente hasta Deficiente. Se acompañan siete tablas que se explican por sí mismas.
Diferencias en la salida de nadadoras y nadadores juveniles comparados con referentes de rendimiento superior
Authors: Chávez Polo Kasmir Salomé , Vaca García Mario René
Published: April 2022

Introducción: La salida del nadador es la primera técnica de una prueba de natación, permitiendo entrar en el agua lo más rápido posible, deduciendo que una salida efectiva conlleva al incremento probabilístico del éxito en la prueba de nado. En tal sentido, mejorar el movimiento motriz característico de la salida del nadador, es una de las direcciones fundamentales de la teórica y metodología del entrenamiento. Objetivo: Por ello, se plantea como propósito de la investigación analizar biomecánicamente la técnica de salida del nadador juvenil de ambos géneros en relación a un referente de rendimiento superior. Métodos: La investigación es de tipo descriptiva-explicativa de orden correlacional, estudiando intencionalmente a 13 nadadores (ambos géneros; del Club Deportivo Especializado Formativo “Regatas”) en la técnica de salida con respecto a dos referentes de mayor rendimiento (uno por género), estudiando cinco variables de importancia, como el Ángulo de salida anatómico (ASA), Ángulo de flexión de cadera (AFC), Ángulo de la cadera respecto a la horizontal (ACH), Velocidad horizontal en el despegue (VHD) y Velocidad durante el vuelo (VDV). Resultados: Se evidencian diferencias significativas en cuatro variables, “ASA” (p=0,000), “AFC” (p=0,014), “VHD” (p=0,000) y “VDV” (p=0,000), siendo excepción la variable “ACH” (p=0,101). Conclusiones: Se debe enfatizar en el entrenamiento técnico de los nadadores estudiados, por parte del Club Deportivo Especializado Formativo “Regatas”, con vista a lograr mayores incrementos en el rendimiento técnico específico de la salida del nadador, y por ende en el rendimiento final del deportista juvenil.
The Politics of Public Education
Authors: Gunter Helen M.
Published: April 2022

This book critically examines the key issues facing the public with implications for education policy makers, professionals and researchers, confronting current issues about social justice and segregation. The author uses Arendtian ideas to help the reader to ‘think politically’ about education and how public services education can be reimagined.
Aspek Manajemen dan Hukum Perdata Internasional Terhadap Penerapan Batasan Commercial Activity dalam Sengketa Imunitas BUMN Indonesia di Pengadilan Asing
Authors: Arif Asha
Published: April 2022

Menurut teori imunitas mutlak, tindakan suatu negara berdaulat tidak dapat diuji oleh pengadilan asing, sehingga dalam melakukan kegiatan seperti perdagangan, negara biasanya berlindung di balik tameng kedaulatan. Meningkatnya peran negara dalam perdagangan internasional menyebabkan teori imunitas mutlak tidak dipertahankan lagi. Amerika Serikat dan Australia menerapkan teori imunitas negara terbatas. Hal ini terlihat dalam perkara Anglo-Iberia melawan Jamsostek di Amerika Serikat dan Garuda Indonesia melawan Australia Competition and Consumer Commission di Australia. Dalam perkara pertama, Jamsostek dikategorikan sebagai perwakilan negara yang tindakannya tidak bersifat komersial sehingga berhak atas imunitas. Sedangkan dalam perkara kedua, Garuda Indonesia dikategorikan sebagai perwakilan negara yang tindakannya bersifat komersial sehingga tidak berhak mendapatkan imunitas
METHOD OF ALLOCATION OF MOUNTING POINTS ON AEROPHOTOGRAPHS OBTAINED BY UNLIMITED AIRCRAFT FOR USE DURING THE CAR
Authors: Kanevsky L. B. , Pashinsky V. A. , Kolisnyk O. S. , Bedrii N. A.
Published: April 2022

A retrospective analysis of the use of unmanned aerial vehicles in the combat zone indicates a steady increase in the use of electronic warfare by the enemy, which reduces the effectiveness of reconnaissance flights of unmanned aerial vehicles, and in some cases leads to their loss. The article considers the prospects of creating and improving high-precision navigation systems, which is currently one of the priority areas for the development of unmanned aerial vehicles and relevant for ensuring high efficiency of unmanned aerial vehicles for both civil and military purposes.
To develop and study methods and algorithms for localizing the position of unmanned aerial vehicles based on terrain images obtained by non-identical surveying means, taking into account the influence of electronic warfare on it, the article primarily considers approaches to comparing earth surface images as the main information component. The next step is to assess the correctness of the choice of informative parameters of the anchor points, where the mathematical model for their description and selection is the basis for the development of methods and algorithms for the formation of an autonomous navigation system for unmanned aerial vehicles.
Taking into account the research conducted in the work, it was proposed to implement on board the drone intelligent information and calculation system of autonomous navigation, the algorithm of which is based on the logical basis of the SIFT descriptor.
Thanks to the software implementation of the approaches proposed in the work and obtained on the basis of their experimental results, it is possible to develop and further improve methods of positioning unmanned aerial vehicles in space.
APPLICATION OF PERCOLATION PROPERTIES TO COUNTER THE SPREAD OF DESTRUCTIVE PSYCHOLOGICAL INFLUENCE IN SOCIAL NETWORKS
Authors: Savchuk V. S.
Published: April 2022

Modern planning of psychological operations is not possible without the use of information technology, such as modeling tools that ensure the accuracy of planned operations and predict their results. The article proposes the concept of counteracting the spread of destructive information influences through personal accounts of social networking communities, which, unlike the known ones, is based on preliminary simulation of a particular community to identify key and most vulnerable actors in it that require neutralization (blocking). removal will lead to a sharp disintegration (percolation) of the community. The paper presents the results of simulation experiments on the purposeful blocking of accounts of social communities of the social network "VKontakte", which is a source of destructive influence. It is established that the percolation effect occurs both for the graph of the whole network and for individual communities in the middle of the analyzed community, found using various known clustering methods. As the simulation results show, determining the percolation threshold allows to establish the share of the most vulnerable vertices (actors) that require blocking to counteract the spread of destructive influences on social networks. It is shown that the estimate of the percolation threshold varies within 30–50% of purposefully distant vertices. It is assumed that the enemy has a similar strategy and can use it to spread destructive influence. On the other hand, if we proceed from the position of the attacker in the task of information confrontation, then simulation based on current data makes it possible to develop an optimal strategy to counter a particular community that poses a danger. The proposed approach contributes to the development of information technology as protection of personal accounts of social networks from destructive influences, and effective counteraction in the tasks of information influence, management and confrontation
The Impact of Covid-19 On Migrants and Trafficked Persons in Malaysia
Authors: Abdul Hamid Haezreena Begum Binti
Published: April 2022

The COVID-19 pandemic has significantly disrupted people’s lives, economic status, and daily routine. The extensive scale of the virus has caused fear, confusion and panic throughout the globe spurring states to devise stringent procedures to manage the crisis. In Malaysia, A Movement Control Order (MCO) was implemented on 18 March 2020 as a preventive measure to control the spread of the virus. To enforce such restrictions, the government relies heavily on law enforcers, and the criminal justice system to ensure public safety and security. In light of such restrictive measures, those who are severely impacted by such repressive rules are the marginalized communities. This includes trafficked persons, migrants, refugees, and asylum seekers as law enforcers seek to use the pandemic to further control their movements and restrict their rights wherever possible. In this instance, xenophobia, anti-immigrant prejudice, intolerance, social exclusion, and discrimination exacerbates the vulnerability of migrants particularly undocumented migrants and trafficked victims. According to human rights activists, these groups are exposed to regular insults, verbal abuse, threat, public shaming and blame by citizens, employers, politicians, and enforcement agencies. Therefore, this article highlights two main points. They are: xenophobia between the dominant populations and the migrant community in Malaysia; state’s policing of migrants and the conditions of the detention centres and shelters in Malaysia. The article concludes by arguing that the policing and ‘protection’ of migrants during the pandemic have resulted in irreparable harm, mistrust, and stress among the migrants which undermines the positive development outcomes of migration.
AS TECNOLOGIAS DIGITAIS DE INFORMAÇÃO E COMUNICAÇÃO NA POTENCIALIZAÇÃO DO ENSINO E APRENDIZAGEM DA LÍNGUA INGLESA
Authors: Alves Guimarães Ueudison , Reinehr Stoffel Helena Teresinha
Published: April 2022

O presente artigo possui como temática o ensino da Língua Inglesa por meio das Tecnologias Digitais de Informação e Comunicação com base no princípio da aprendizagem com mobilidade e na ludicidade. Esse estudo é resultado de pesquisa qualitativa e bibliográfica com aplicação de prática por meio de uma sequência didática, na qual apresenta-se um conjunto de atividades e estratégias planejadas para atingir o objetivo de potencializar o ensino da língua inglesa a partir do uso das novas mídias digitais. Deste modo, esse artigo justifica-se pela necessidade primordial de promover maior engajamento e motivação, e aprendizagem significativa. A metodologia utilizada evidenciou que o papel do professor passou a ser de facilitador e auxiliar, porque os estudantes não esperaram que o professor trouxesse o conteúdo pronto.  Além disso, constatou-se o quão importante é utilizar abordagens metodológicas diferenciadas a fim de promover a transformação no processo de aprendizagem dos discentes. Por fim, afirma-se que a produção e a aplicação do jogo digital utilizando o Kahoot e a produção de flash cards no ambiente de aprendizagem GoConqr, bem como o uso de QR code, otimizaram a aprendizagem e colocaram o estudante como autor na construção do conhecimento da Língua Inglesa.
Determinants of Surgical Care and Outcomes for Patients with Appendicitis in a Tertiary Public Hospital with Tiered Services
Authors: Caballes Alvin B.
Published: April 2022

Background. Tiered services, differentiated by the financial capacity of patients and related payment arrangements with hospitals, are the norm in Philippine facilities. This study considered how these, together with selected demographic and clinical factors, were associated with surgical care utilization, provision, and outcomes for patients with appendicitis in a public university hospital.

Methods. This was a retrospective cohort study, utilizing data obtained from an electronic patient registry. Patients who underwent emergent appendectomies from January 2017 to December 2018 were included. Data were analyzed using multivariate and logistic regression, with the following dependent variables: time from symptom onset to emergency department consultation (ED Lag), time from consult to surgery (OR Lag), selection for laparoscopic appendectomy (LA), the occurrence of complicated appendicitis (CA), and length of stay (LOS). Morbidities and mortalities were tallied.

Results. There were 1,501 patients included in the study. Young adult males comprised the majority and mostly had non-private accommodations. Non-CA was the impression in more than 80% of cases. Extremes of age were associated with longer ED and OR Lags, greater likelihood of CA, and longer LOS. Patients initially assessed as having CA had shorter OR Lags, were less likely to undergo LA, and had longer LOS. Private patients were more likely to have undergone LA, lower CA odds, and slightly longer LOS.

Conclusions. Variations in surgical care utilization, provision, and outcomes for patients with appendicitis were independently associated with socioeconomic and clinical status differences.
Bacteriology and Antibiotic Sensitivity Pattern of Isolates in Patients who Underwent Percutaneous Nephrolithotripsy (PCNL) at the Philippine General Hospital: A Retrospective Cohort Study
Authors: Flor Joan Marie S. , Lapitan Marie Carmela M.
Published: April 2022

Background. Despite being a clean-contaminated procedure, performed only in patients with sterile urine preoperatively, percutaneous nephrolithotripsy (PCNL) is associated with significant infectious perioperative complications. A local antibiogram is of paramount importance in optimizing antibiotic prophylaxis in PCNL because of the substantial variation in bacterial distribution and antibiotic sensitivity worldwide.

Objectives. The incidence of post-PCNL infectious complications, microorganism distribution, and antibiotic sensitivities from patients admitted for PCNL was determined. The risk factors associated with positive cultures and the development of fever and bacteremia were also analyzed.

Methods. A retrospective study of 102 patients who underwent PCNL under a surveillance protocol was done. The susceptibility of isolates from different specimens was evaluated against the most common antibiotics in the hospital. Chi-square and Student’s t-test were used to determine differences in the frequencies and means for other risk factors for those who developed fever and urosepsis and those who did not.

Results. The incidence of fever and urosepsis was 25% and 4%, respectively. The most common organism on urine specimens was Escherichia coli which showed high sensitivity to aminoglycosides. The most common isolate on stones was Pseudomonas aeruginosa, which showed higher sensitivities to the fluoroquinolones. The isolates showed nearly consistent resistance to ceftriaxone. No significant association was found between the clinical variables studied and the occurrence of infectious complications.

Conclusion. There are comparable rates of infectious complications to published literature. A change in antibiotic prophylaxis was warranted, given the high resistance to ceftriaxone and the predominance of Pseudomonas aeruginosa on stone isolates. Further surveillance is required to identify significant risk factors for the development of post-PCNL infectious complications.
Quality of Nutritional Care Assessment among Critically-ill Patients in a Tertiary Government Hospital
Authors: Bruno Racquel G. , Jimeno Cecilia A. , Jasul, Jr. Gabriel V. , Sahagun Jereel Aron R. , Moalong Kevin Michael C.
Published: April 2022

Background and Objectives. Malnutrition is prevalent both at baseline admission and because of hospitalization. It is aggravated by adverse hospital practices and results in poor outcomes, reduced quality of life, and higher treatment costs. Improving quality of care involves nutritional intervention as a low-risk, cost-effective strategy which guides providers in improving practices systems-wise. This study aims to assess the quality of nutritional care and the nutritional status of critically- ill patients admitted in a low-resource setting.

Materials and Methods. This is a mixed methods study among adults admitted in intensive care units (ICUs) of a tertiary government hospital. Anthropometric and biochemical indicators were obtained through chart review. The degree of malnutrition was assessed using the Subjective Global Assessment. Quality indicators under Donabedian domains were assessed and compared to current standards. The length of ICU stay and mortality rate were recorded. Dietary prescription and provision practices of healthcare providers were supplemented by a focus group discussion (FGD). Factors causing provision interruptions were also identified.

Results and Discussion. Sixty-four ICU admissions were included. Staff-to-patient ratio was not ideal. Under process-related factors, out of 49% with actual anthropometric documentations (rest were estimates), 24% had normal body mass indices (BMI), 17% were underweight, and the rest were either overweight or obese. The baseline ICU malnutrition rate was 69%. Malnutrition screening, and assessment of risk and biochemical indicators were not done routinely. Majority (92%) had baseline dietary prescription but only 69% had specific energy and macronutrient breakdown, all done through predictive weight-based equations. Nutritional supplies arrived within 8 hours in 65% of patients. Feeding was initiated within 24–28 hours in 94% of patients. Commercial formula was the preferred type of enteral nutrition (EN). Total duration on nothing-by-mouth (NPO) (hours) throughout ICU stay was significant. Supportive measures to improve gastro-intestinal (GI) tolerance were not standardized. Common factors in delaying feeding initiation were hemodynamic instability, fasting for procedures and GI bleeding. Throughout the ICU stay, fasting for procedures, hemodynamic instability and mechanical ventilation (MV)-related factors were common. ICU mortality rate was 19% and average length of ICU stay was 5 days.

Conclusion. Malnutrition is still prevalent in our ICUs and is affected by suboptimal healthcare practices. Staff - to-patient ratios, malnutrition risk screening and assessment, dietary referrals, documentation and minimizing interruptions in nutritional care provision needs improvement. A system review and establishment of a nutrition team is imperative.
Quality of Care of Adult Patients with ST-Elevation Myocardial Infarction (STEMI) at the Emergency Room of a Tertiary Hospital in the Philippines
Authors: Ramiro Valerie R. , Tiongson Marc Denver A. , Taquiso Jezreel L. , Abrahan IV Lauro L. , Balabagno Maria Margarita O. , Ramos John Daniel A. , Punzalan Felix Eduardo R.
Published: April 2022

Introduction. Coronary artery disease (CAD) remains a significant public health problem worldwide and in the Philippines. Adherence to guideline-directed therapy improves the quality of care (QOC).

Objective. We aimed to evaluate the QOC initially received by ST-Elevation Myocardial Infarction (STEMI) patients at our Emergency Room (ER), based on compliance to 2014 PHA CAD guidelines recommendations.

Methods. We reviewed the charts of adult patients with STEMI admitted at the ER who were not previously managed in a different hospital. The primary outcome was QOC assessed through quality indicators (QI) based on class I and IIa recommendations in the PHA CAD guidelines.

Results. Of the 29 patients included, all had ECG done upon admission, but only four were done within 10 minutes (QI: 13.79%). All eligible patients received antiplatelets (QI: 100%). Six eligible patients (QI: 100%) received nitrates, and four eligible patients (QI: 100%) received morphine. Of 16 eligible patients, only six were reperfused within the recommended 12 hours of ischemia (QI: 37.5%), two by thrombolysis and four by the primary percutaneous coronary intervention (PCI).

Conclusion. The timely performance of initial ECG and reperfusion need improvement. Suitable performance measures for the provision of nitrates and morphine to eligible patients were met. Investigating intrinsic and extrinsic factors that lead to the time delays observed are also recommended.