bluuebunny/crossref_metadata_2025 huggingface dataset:
Potenciación de las habilidades motrices básicas en fútbol sub-8 a través de la coordinación motriz
Authors: Suntaxi Naula Cristhian Hernán , Quintanilla Ayala Leonardo Xavier
Published: September 2021

Introducción: La potenciación de las habilidades motrices básicas en el fútbol base es parte esencial para la adquisición de nuevos patrones motores específicos del deporte, donde el entrenamiento de la coordinación motriz puede perfeccionar las competencias del futbolista de iniciación. Objetivo: Potenciar las habilidades motrices básicas en el fútbol Sub-8 a través de la coordinación motriz en la Escuela de Formación “Coach Soccer Pro”. Métodos: Investigación descriptiva-correlacional, estudiando a 10 futbolistas Sub-8 que son sometidos a un entrenamiento coordinativo especializado para mejorar habilidades motrices básicas (Saltar, Girar, Lanzar, Golpear, Correr y Conducción). Resultados: Se logran mejoras significativas en las habilidades físicas estudiadas como Saltar (p=0,004), Girar (p=0,004), Lanzar (p=0,005), Golpear (p=0,004), Correr (p=0,004) y Conducción del balón (p=0,007), demostrándose que la propuesta de intervención contribuye a potenciar dichas habilidades básicas. Conclusiones: La potenciación de las habilidades motrices básicas en el fútbol de iniciación parte del desarrollo de la coordinación motriz, tomando como base fundamental el desarrollo de las habilidades motrices básicas para la posterior ejecución de movimientos motrices más específicos. Se recomienda a futuro realizar una investigación de tipo experimental, pudiendo validar los resultados de la investigación.
Efficiency of using our own bus fleet in multimodal door-to-door service
Authors: Golenya Yu. V.
Published: September 2021

In the passenger transportation segment, there is a trend towards door-to-door travel planning. This direction, which is relevant in the world practice of passenger transportation, with a correctly proposed approach, can also be used in the cities of the Russian Federation.

The use of a multimodal method of passenger transportation together with MaaS technologies in case of maximum involvement of carrier operators will allow passengers to significantly reduce travel time and find a way to reduce travel costs.

Sophisticated logistics of commuter rail transport routes for all time periods will attract additional passenger traffic, increasing the profitability of passenger traffic.

The conducted research on the example of the transport-interchange complex of the city of N showed the possibility of organizing a passenger's trip "from door to door" with minimal costs and maximum comfort. The passenger railway company receives direct profit from this service, which makes it possible to recoup the project in a short time. Conclusions are made about the dependence of the profitability of the bus fleet on the number of seats, distance and popularity of the route direction. The organization of additional services on the territory as close as possible to the places of embarkation and disembarkation of passengers will increase the attractiveness of the transport and interchange complex for the passenger traffic of N.
Analysis of the feasibility of overhaul and modernization of tram cars
Authors: Komarov T. A. , Fyedorov V. P.
Published: September 2021

The current situation on the territory of Russian transport parks is considered, where the preference is given to the modernization of the existing rolling stock over the purchase of new transport. The analysis of modernization is carried out, the main stages and advantages of the improvement of tram cars are shown on the example of tram facilities in St. Petersburg and Izhevsk. A number of trends that have developed in modern market conditions are noted. The use of one of the oldest modes of transport — the tram — has proven its profitability, high carrying capacity, the ability to achieve high speeds, and the introduction of the latest technologies to reduce noise and vibration increases not only aesthetic appeal for urban residents, but also reduces the impact on environmental systems.

It has been established that overhaul and refurbishment with complete modernization can extend the service life of the tram up to 15 years.

"Launching" a tram line on a concession basis in a small town can become an effective anti-crisis tool with an appropriate feasibility study and organizational issues. The tram as a public transport is more profitable for the city, since the lane allocated for it is more efficiently used, because a tram in a 2-3-car coupling carries more people than a trolleybus. Renewal of the tram fleet through modernization is a current trend.
A stand for researching the dynamics and strength of a freight wagons bogie
Authors: Pokrovskaya O. D.
Published: September 2021

The purpose of the study is to characterize the laboratory equipment of a new generation that meets the requirements that are imposed today on the training of specialists in the rolling stock of railways. Analytical, diagnostic and didactic methods, theory and methodology of design and mechanics of freight wagon, theory of complex systems, systems engineering, modeling, as well as methodological tools for organizing experiments were used. The scientific novelty is the constructive and technological scheme of a specialized laboratory stand; a didactic set of materials for organizing laboratory work using this stand.

It has been established that the introduction of a new rolling stock with an increased carrying capacity is the main trend of modern car building and should be accompanied by appropriate training of highly qualified specialists capable of further development of new generation freight wagons. It is noted that conducting educational and research sessions involves studying not only the problems of strength, but also acquiring skills in working with digital technologies for collecting and transmitting data. A detailed description is given of a specialized stand developed at the Department of "Wagons and Carriage Facilities" of PGUPS for studying the properties of dynamics and strength of freight wagons of the laboratory stand. In particular, the device of the base trolley model 18-9855 is shown, the technology of the stand operation is described, illustrative materials are given on the structure and principle of operation of the projected stand. For practical laboratory exercises, a typical version of laboratory work with the use of this stand is proposed. It is shown that the involvement of students in the implementation of practical experiments and applied bench research increases interest in the future profession and allows the formation of strong skills in practical diagnostics of the current state of a freight wagon.
Școala în contextul crizei pandemice
Authors:   ", Cîrstea Beatrice-Elena ,   Ioan Duhovnicul",   Primary School Bănești, Romania
Published: September 2021

The school was considered a source of the COVID-19 virus, so measures were taken to keep it closed. This measure was one that had a great impact on several levels because the school defines not only the education but also the psycho-socio-emotional development of children. The closure of schools and kindergartens has had a major impact for each individual who is part of the education system affecting it more or less, in different forms. Schools are not only a place for academic education, but also a place for learning social and emotional skills, a space for interaction and social support. The closure of schools has not only disrupted the children's education process, but also access to social services.
Digital technologies in support of students, teachers and parents
Authors:   Technological High School of Car Transport, Romania, Stamin Cristina Manuela
Published: September 2021

The use of digital teaching-learning methods and technologies in the didactic activity contributes to the improvement of the quality of the instructive-educational process, having an active-participatory character and a real active-formative value on the student's personality. In the socio-cultural tradition, ICT is defined as a means of mediation for knowledge, and from a dialogical perspective, it is seen as a means of opening, deepening and broadening the aspirations of dialogue. We must not forget that learning does not only involve the accumulation of knowledge, but growth, enrichment, evolution. Some rules can be stated for the successful integration of ICT in teaching. First of all, we must be sure that we have control over the material, both in terms of content and format, even if you are supported by an ICT specialist. Then it is necessary to have a plan on paper, separate from the material on digital media, the purpose and form of the presentation should not be very clear. Above all, the focus must be on the student and his learning needs. The biggest danger in any teaching-learning project that includes ICT and to be more focused on technology / creativity, not on the student-receiver and his learning needs.
Integration of educational software in preschoolers' activity
Authors:   Kindergarten no.23, Bucharest, Iancu Aurelia
Published: September 2021

In a world where the use of IT and communication technologies is a key feature, they represent the core element in education, involving changes in educational policies, both in setting goals and in developing strategies, providing resources and training specialists. One of the recommendations of the new education focuses on the organization of learning contents so they can use computer applications in learning, teaching and assessment processes. The present article "Integrating educational software in the activity of preschoolers" aims to demonstrate the need to use IT technologies by introducing educational software in the study process of children in kindergartens. The use of educational programs at kindergarten level proves to be an effective learning tool that causes significant changes in acquiring knowledge and changing attitude towards learning. Children prefer to gather knowledge through educational programs rather than through traditional methods and means, which contributes to creating a positive attitude towards learning and improving the quality of their results. At the same time, in order for new technologies to prove their effeciency, it is absolutely necessary for teachers to respect the instructional design of digital materials, the rules of didactic planning and the individual and age particularities of children.
Decreasing Stress for Parents of Special Needs Children through a Web-Based Mindfulness Program: A Pilot Study
Authors: Shaffer Elizabeth , Lape Jennifer , Salls Joyce
Published: September 2021

Purpose: Parents often experience moderate to severe levels of stress due to the challenges of raising a child with special needs. Previous research has proven that excessive parental stress negatively impacts both the parent and child’s health. However, few organizations have been identified which offer intervention programs focusing directly on decreasing parental stress. This pilot study investigates the effectiveness of a 6-week online mindfulness-based course in reducing stress experienced by parents of children with special needs. Method: A pre-test, post-test pilot design, as well as a participatory action approach, were employed to determine the impact of the online mindfulness-based course in reducing perceived stress experienced by parents of children with special needs. Eleven parents participated in the pilot study. The course was facilitated by an occupational therapist (the first author) trained and experienced in mindfulness practices and a parent of two children with special needs. The Depression Anxiety Stress Scale - Stress subscale (DASS-SS), The Perceived Stress Scale (PSS), The Five Facet Mindfulness Questionnaire-15 (FFMQ-15), and author-generated measures were administered pre- and post-intervention to determine changes in perceived stress levels, as well as, the impact and application of mindfulness practices. Results: The DASS-SS measuring the parents’ perceived stress level revealed a 30% mean reduction in stress when comparing pre-and post-intervention scores. The PSS revealed a 21% mean reduction in perceived stress score post-intervention. The FFMQ-15 (used to measure changes in the integration of mindfulness practices into the parent’s daily routine) indicated a 4% increase in the groups’ mindfulness practices comparing pre- and post-intervention scores. Responses to the author-generated measure revealed that 82% of parents believed they could better handle challenging situations post-intervention; 100% of the parents agreed that the course made them more mindful of their thoughts. Conclusion: Results indicate that an introductory online mindfulness-based parenting program can be an effective intervention for reducing the stress experienced by parents of children with special needs.
Physical Examination Findings in Patients with Protracted Concussion and the Impact of an Integrative Concussion Rehabilitation Protocol
Authors: Ziaks Lauren , Brown Chelsea , Iversen Maura
Published: September 2021

Purpose: To describe physical examination (PE) findings of individuals with protracted concussion recovery and evaluate an integrated primitive reflex (PR) disinhibition, vision, and vestibular rehabilitation intervention. Method: Retrospective study of 82 patients with protracted concussion (60.98% female) who received ≥ 2 phases of treatment. Following a baseline PE, patients completed the Post-Concussion Symptom Survey (PCSS), Activities-Based Balance Confidence Questionnaire (ABC), Dizziness Handicap Index (DHI), and Acquired Traumatic Brain Injury (aTBI) Vision Questionnaire. A subset of patients (Group 1), completed a final PE and second questionnaire administration. Descriptive statistics characterized the sample. T-tests and Wilcoxon rank sum tests compared characteristics of Group 1 vs Group 2. Wilcoxon sign rank tests assessed changes in patient-reported outcomes. Results: Patients in Groups 1 (median age=23.5) and 2 (median age=17.5) were similar regarding demographic and PE findings. Statistically and clinically significant improvements were seen for Group 1: PCSS (-21 points, MCID 6.8), DHI (-27 points, MDC 17.8, MCID 19), ABC (+ 8.5 points, MDC 9)and aTBI Vision Questionnaire (-16.5 points). Conclusion: Patients with protracted concussion recovery can benefit from a multitude of interventions ranging from orthopedic to vision and vestibular interventions in order to address objective deficits and subjective complaints such as headache, dizziness, or blurry vision following a concussion. Patients who completed the full intervention demonstrated clinically significant improvements in function, including return to school/work and recreational activities. These data suggest there is a potential positive benefit to a structured, integrative concussion rehabilitation approach for individuals with protracted concussion recovery.
Group Physiotherapy for Treatment of Pelvic Floor Dysfunction: A Consumer’s Perspective
Authors: Green Rose
Published: September 2021

Introduction: Level 1 grade A evidence exists to support physiotherapy as a first line treatment of women with stress urinary incontinence and pelvic organ prolapse (POP). A novel way to provide care for women with pelvic floor dysfunction in a tertiary hospital setting is to mandate attendance at an introductory group education session prior to offering an individual physiotherapy consultation. There is minimal research to date examining the consumer perspective of group physiotherapy for treatment of pelvic floor dysfunction. This study aims to evaluate the consumer experience with a view to determining if this model of care meets the needs and expectations of the consumer. Objective: To evaluate the consumer perspective of an educational and practical pelvic floor class prior to offering an individual physiotherapy appointment for women with pelvic floor dysfunction. Method: Over a 6-month period, 39 women completed a voluntary, anonymous survey to evaluate their experience of attending a physiotherapy pelvic floor class. Results: Respondents reported that the information delivered was appropriate, relevant, and engaging and felt more informed and less alone in their symptoms after attending the pelvic floor class. Women reported that they had received the necessary education and practical skills required to begin implementing practical changes that addressed their pelvic floor dysfunction. Conclusion: By providing a consistent, informative, and practical group session for women referred with pelvic floor dysfunction as a baseline entry point to individual care, treatment can be commenced that is acceptable to the consumer. The acceptability of this method of service delivery serves as a basis for further important research evaluating the efficiency and effectiveness of group physiotherapy treatment.
Infusing a Course-Based Undergraduate Research Experience (CURE) into an Allied Health Curriculum
Authors: Johnson Deborah , Barham Beverly , Franzen Susan
Published: September 2021

Purpose: Infusion of a course-based undergraduate research experience (CURE) into an existing research design course in an applied science curriculum allowed medical laboratory science students (n=22) to each be a contributing team member in a hand’s-on research experience, where most of the work was completed during the class time on campus. This design allowed for equal access, an equitable experience, and inclusion of all students enrolled in the course. Methods: Students and instructors worked together to develop a research question. The group agreed that the research question would be to determine the number of environmental specimens that were positive for mycobacteria species in residential plumbing specimens from different faucets and showerheads within residences in local areas. Before the actual collection of specimens, students reviewed the literature and completed more traditional modules in research ethics and Collaborative Institutional Training Initiative (CITI) training. Once that was completed, students designed and assembled the collection kits, collected and processed the specimens, and reported their results. Results: Students completed most tasks during the designated class time, and those tasks that had to be completed outside of class were not overwhelming for the students either in time or effort. The students’ reflections as the human subjects in this CURE indicated that 1) 90% of the students agreed they had a better understanding of the Institutional Review Board (IRB) process, 2) 100% of the students agreed the collection process was easily completed, 3) 100% of the students agreed the specimen testing was easily completed and interpreted, and 4) 100% of the students agreed the required parameters of a CURE were met. Conclusion: A CURE can be infused successfully into an applied science course allowing every student to become a contributing member of the research team.
Implementation and Assessment of a New Program Requirement to Promote Professional Development
Authors: Davlin-Pater Christina , Rosencrum Elisabeth
Published: September 2021

Purpose: Requiring students to complete and record professional development type activities similar to the requirements of certified athletic trainers may help promote the values and behaviors associated with life-long learning in the evolving practice of athletic training, as well as prepare students more practically for the expectations of credential maintenance. We sought to design, implement, assess, and improve a new professional development program requirement in a professional-level athletic training program that closely mirrored the process and re-certification requirements for certified athletic trainers. Methods: a quasi-experimental mixed-methods approach was used. Data were collected over two consecutive years at a private university in the Midwestern United States. A convenience sample of students enrolled in a professional athletic training program participated in the study. Student-rated perception of the new professional development requirement and qualitative student perceptions were mined from various data sources. Results: Participants in the study reported positive, self-reported progress toward achieving program outcomes. Major benefits as identified by the participants included socialization opportunities, exposure to emerging practices and techniques, and appreciation of the process for credential maintenance. Feedback given by students was integrated into the professional development program requirement where appropriate between years one and two of the study, and changes were received well by participants. Conclusions: Athletic training students in the current study benefitted from participation in overt pedagogy in professional development. Establishment and cultivation of a professional development requirement may benefit athletic training programs for the best preparation of athletic trainers before they transition to practice.
Cost Outcomes of Physical Therapist Providers Compared to Primary Care Providers in the Treatment of Musculoskeletal Patients in a Military Treatment Facility: A Retrospective Chart Review”
Authors: McGill Troy , Stern Debra , Kolber Morey , McGee John
Published: September 2021

Purpose: The purpose of this study was to compare the cost of physical therapist (PT) management of patients with musculoskeletal (MSK) disorders to management by traditional primary care managers (PCMs); medical doctors (MDs), doctors of osteopathic medicine (DOs), advanced registered nurse practitioners (ARNPs), and physician assistants (PAs). Methods: This is a retrospective study of electronic medical records using an exploratory, non-experimental, cross-sectional, and quantitative design method. The records of patients with MSK disorders were assessed at an Air Force military medical clinic for 18 months from January 2016 through June 2017. Results: PT management of MSK patients resulted in a significantly lower rate of imaging studies, NSAIDS, and cost of care when compared to MDs, DOs, PAs, or ARNPs. Patients with MSK disorders managed by PTs had no significant difference in return-to-work rate when compared to MDs, DOs, PAs, or ARNPs. Conclusions:The military model of physical therapy direct access care has been shown to be cost effective when compared to care provided by traditional primary care managers.
Aspectos de los adverbios deícticos dimensionales de la lengua ashéninka del Alto Perené
Authors: Solari Ruiz-Eldredge Oscar Augusto
Published: September 2021

En esta investigación, se presenta el análisis lingüístico y pragmático de los adverbios deícticos dimensionales que se emplean en la lengua ashéninka del Alto Perené. Los datos fueron recogidos entre 2014 y 2018 en tres comunidades nativas ashéninka ubicadas en la provincia de Chanchamayo (Junín). Entre las manifestaciones gramaticales de la deixis espacial en la lengua ashéninka, se tiene aquella que se expresa a través de adverbios que describen situaciones orientadas hacia la posición del emisor y del referente.
Con este fin, en esta lengua, se emplean adverbios que sistematizan las nociones posicionales de superioridad-inferioridad a través de tonkari y otapina, en lo que se refiere a posición, y mediante jenoki y osabiki, en lo que se refiere a dirección. Asimismo, se sistematiza la noción de posterioridad a través de otapiki y de lateralidad a través de akopero y ampate. En la mayoría de contextos, estos adverbios anexan el sufijo locativo -ki para obtener la categoría de deíctico.
Criterios de evaluación en escritura académica en inglés: encuentros entre evaluadores y confiabilidad
Authors: Canavosio Andrea de los Ángeles , Cad Ana Cecilia , Salinas Julieta
Published: September 2021

La evaluación de la escritura en lengua extranjera es un proceso entretejido de complejos y múltiples aspectos, lo que conlleva a que este campo de la investigación sea abordado desde diferentes perspectivas. El trabajo que se presenta a continuación surge de la necesidad de indagar sobre los criterios que aplican los docentes cuando evalúan la escritura en lengua extranjera (inglés) en un contexto universitario. Esta investigación se encuentra enmarcada en un proyecto bianual de mayor envergadura denominado «Criterios de evaluación de la escritura en lengua extranjera (inglés) en el nivel superior», avalado por la Secretaría de Ciencia y Técnica de la Universidad Nacional de Córdoba (Argentina). En este trabajo en particular, se analizarán los datos recolectados en un encuentro durante el cual nueve docentes explicaron cómo llegaron a la calificación de cinco ensayos escritos en instancias de evaluación
sumativa. Consideramos que este análisis contribuirá a estimular la
reflexión sobre la elección, ponderación y uniformidad en los criterios de evaluación utilizados a futuro.
Lovón, M. (2020). Las palabras compuestas en el aimara. Lima:
Academia Peruana de la Lengua, 396 páginas. ISBN 978-612-4159-
69-5.
Authors: Mamani Mamani Alan Ever
Published: September 2021

Reseña

Lovón, M. (2020). Las palabras compuestas en el aimara. Lima:
Academia Peruana de la Lengua, 396 páginas. ISBN 978-612-4159-
69-5.

El texto de Marco Lovón Cueva Las palabras compuestas en la lengua aimara que ha publicado la Academia Peruana de la Lengua aborda los procesos de formación de palabras en aimara. Al analizar las lenguas en el mundo, los lingüistas encuentran que los procesos de palabras más conocidos son la derivación y la composición; sin embargo, estos tópicos son poco estudiados,
sobre todo dentro de las lenguas amerindias. Con la investigación
minuciosa realizada por Marco Lovón conocemos ahora la composición en aimara. Su trabajo, además, abre un espacio para los estudios posteriores sobre los procesos de formación en variedades dialectales aimara. En este estudio se ve que las formas de crear palabras en la lengua dependen de sus propios patrones lingüísticos. En la composición intervienen procesos
morfofonológicos propios de la lengua. Este libro reúne 7 capítulos y, como es el primero en el tema, merece ser detallado.
Factors associated with birth injuries in neonates admitted to the neonatal intensive care unit: a retrospective study in a Ghanaian tertiary care setting
Authors: Abdul-Mumin Alhassan , Bimpong Kingsley A , Buunaaim Alexis DB , Cheyuo Ernest K , Osman Kwabena A
Published: September 2021

Background: A birth injury is structural damage or functional deterioration of the neonate’s body due to a traumatic incident at birth. The prevalence and the type of birth injury vary from place to place. There is paucity of data on the prevalence of birth injuries in Ghana.
Objective: The study aimed to determine the prevalence and factors associated with birth injury in neonates admitted in a tertiary institution in Northern Ghana.
Methods: This was a quantitative retrospective study carried out on neonates admitted to the neonatal intensive care unit (NICU) of the Tamale Teaching Hospital between January 2018 through December 2019.
Results: Out of 5590 neonates admitted to the NICU, 205 were noted to have various forms of birth injury corresponding to a prevalence of 3.66%(37 per 1000 neonates admitted to our unit). Majority were male (n=123/205, 60.0%), most deliveries occurred in the study hospital(n=143/205, 69.75%), and spontaneous vaginal delivery accounted for 70.73% (n=145/205). Extracranial injuries (n=146/221, 66.06%) were the most common form of birth injury. Next was musculoskeletal injuries (n=41/221, 18.55%) with humeral fractures (n=15/221, 6.78%) being the most frequent in this category. Among the neonates with birth injuries there were 23 deaths recorded (11.22%) all but one of whom had associated birth asphyxia. Birth injuries were significantly associated with place of delivery(p=0.029). Out-born babies were more likely to have extracranial injuries (adjusted odds ratio,5.10; 95% CI: 1.53-16.94;p=0.008).
Conclusion: Extracranial injuries were the most common in this study. Place of delivery was significantly associated with birth injuries. Building the capacity of health care professionals is essential to reduce incidence of birth injuries. Some of these injuries can be avoided if high risk pregnancies are referred early to institutions that have the resources and skill to deliver such babies.
Dopa-responsive dystonia or Segawa disease in Ghana: a case report
Authors: Badoe Ebenezer V
Published: September 2021

Dystonias are rare in childhood and consist of variably sustained twisting deformation of a limb or parts of a trunk. Dystonias can be considered primary because of a genetic disorder or secondary due to a central nervous system injury like cerebral palsy or medications. The rare dopa-responsive dystonia is often mistaken for cerebral palsy, stroke, localized limb trauma or conversion disorder. The aim of this report is to increase the awareness of a rare but eminently treatable type of dystonia known as dopa–responsive dystonia or Segawa disease. In this report a young girl with dystonia who was severely disabled and could not attend school was misdiagnosed as cerebral palsy for two years. After treatment with low dose L-dopa within 48 hours, a dramatic and sustained response with restoration of foot dystonia and mobility was observed. Recognition of L-dopa dystonia facilitates proper treatment and significant improvement in quality of life
Intracranial stents in the management of wide-neck intracranial aneurysms
Authors: Sarkodie Benjamin D , Jimah Bashiru B. , Anim Dorothea , Brakohiapa Edmund , Botwe Benard
Published: September 2021

Intracranial aneurysms are bulges in vessels that are prone to rupture with attendant morbidity and mortality. Early detection and treatment can avoid rupture and its associated consequences. Endovascular treatment of aneurysms with wide neck can be challenging due to potential coil migration or protrusion. The use of intracranial stents and balloons can help overcome some of these management challenges. We present 3 cases of endovascular treatment of wide-neck intracranial aneurysms. The first patient presented with a wide-neck left middle cerebral artery aneurysm that was successfully treated with stent-assisted coiling with complete obliteration of the aneurysmal sac. The second patient presented with a large, cavernous internal carotid artery aneurysm that was successfully treated with a flow diverter stent with complete obliteration of the aneurysm while the third case presented with a wide-neck left posterior communicating artery aneurysm and was also successfully treated with stent-assisted coiling. Even though endovascular treatment of wide-neck intracranial aneurysms is technically challenging, the evolution of new treatment techniques such as the use of stents and stent-assisted coiling make these treatments safe.
Awareness and Knowledge of Final Year Health Science Students on Occupational Therapy in a Public University in Ghana.
Authors: Opoku Eric N , Ndaa Peter O
Published: September 2021

Background: Occupational therapists play a major role in the healthcare team in the provision of holistic care to patients. Successful healthcare depends on collaboration and understanding among health professionals and recognition of each health professional’s role in a team.
Objective: The study aimed to determine the awareness and knowledge of final-year health sciences students of the University of Ghana on occupational therapy(OT).
Methods: A cross-sectional study was employed by means of a questionnaire with final year students in the Medicine, Nursing and Allied Health Professional programmes (physiotherapy, dietetics, radiography, and medical laboratory sciences) of the University of Ghana. Participants were randomly selected and requested to complete a questionnaire. Data was analysed using IBM SPSS Statistics, Version 23.0.
Results: The results showed anoverall OT awareness of 94.66% (n = 195/206). About 35.0% (n = 69/206)of participant learned about OT as a health profession through other means rather than their academic curriculum. Collectively, participants demonstrated an average actual knowledge on OT services of 14.43 ± 3.17. The results also showed that, the importance participants accorded OT profession in the healthcare team did not depend on their knowledge on OT scope of practice (rs=0.162, p>0.05).
Conclusion: Actions should be channelled towards enabling health science students to learn about OT and other health professions through their university curriculum. Furthermore, OT students should endeavour to sensitise fellow health science students on the unique roles and responsibilities of the OT profession in the healthcare team
Оrganizational Change as “Push Factor” of Employees’ Turnover Intention: Statistical Analysis of the Employees in the Republic of North Macedonia
Authors:   Faculty of Economics-Skopje, Ss. Cyril and Methodius University in Skopje, Ristovska Andrijana , Eftimov Ljupco ,   Faculty of Economics-Skopje, Ss. Cyril and Methodius University in Skopje
Published: September 2021

The process of globalization and intensive technological development imposes the need to constantly introduce different types of organizational changes. Human resource managers in organizations are becoming increasingly aware that hiring and retaining talents are the most important determinants of success in the complex global world and that they must work more intensively on modernizing the process of change management to help employees, not only for acceptance, but also for their involvement in the change implementation process. This paper analyzes the impact of four different types of organizational change on employee turnover intention, according to the Cummings and Worley (2014) organizational change classification. The statistical method of simple linear regression was applied to predict and evaluate the turnover intention of the employees in the Republic of North Macedonia (as a dependent variable “Y”) based on the value of each of the types of organizational changes (as independent variables “X”). A multiple regression method was also applied in order to analyze the associations between the independent variables and the dependent variable and identify the type of organizational changes that most significantly affects the employee turnover intention. The analysis was conducted based on the findings obtained from the respondents who completely answered the survey questionnaire (282 employees in the Republic of North Macedonia, different according to their demographic characteristics). The correlation analysis shows there are positive correlation as well as causal relationship between all four types of organizational changes and the employee turnover intention, where techno-structural interventions have the most significant impact.
Interdisciplinary problem of post-transplant diabetes mellitus: literature review
Authors: Balashova A. V. , Mustafina V. R. , Glinkina I. V.
Published: September 2021

The number of transplantation and transplant survival rates increase steadily. Patients after solid organ transplantation re-ceive lifelong immunosuppressive therapy which may have adverse effects on carbohydrate and lipid metabolism. The most diabetogenic drugs are calcineurin inhibitors and corticosteroids. Posttransplant diabetes mellitus (PTDM) is hyperglycemia that meets American Diabetes Association and World Health Organization diabetes criteria for nontransplant patients and that was newly diagnosed after transplantation. PTDM may worsen both short-term and long-term transplantation outcomes so that the problem of timely diagnosis, proper treatment and prevention is critical. In early post-transplant period, transient hyperglycemia is found in the vast majority of patients; therefore, PTDM screening is carried out at least one month after transplantation. The gold standard test for PTDM diagnosis is oral glucose tolerance test. In the same time diagnostic value of hemoglobin A1C is limited. Lifestyle therapy and antidiabetic drugs are considered as possible preventive measures. Stress induced hyperglycemia management in solid organ recipients is the same with other surgical patients. Which organ was transplanted, patient characteristics and possible drug interactions with immunosuppressive therapy should be taken into account while managing PTDM. Blood pressure and lipid profile should be under control for comprehensive cardiovascu-lar risk reduction. It remains unclear which PTDM treatment and prevention strategy is the best and for better understanding interdisciplinary approach is needed.
Penanganan Kesehatan Pasien Reaktif COVID-19 Melalui Terapi Zikir Dan Lingkungan Wawasan Pengalaman Subyektif
Authors: Hidayat Fattah , Hidayat Imam , Ghofur Abdul , Santoso F. Setiawan
Published: September 2021

This study describes community action research on the health problems of the santri family due to the impact of COVID 19 in the mosque environment at the neighborhood level of Malang residents. Community action research was carried out using simple ingredients to increase physical immunity so that the effects of disease caused by the COVID 19 virus could be reduced by self-medication. The santri families who have been positively exposed are isolated and consume simple ingredients to vomit and / or have diarrhea so that the santri family is healthy again. The health model of a simple herb is to return an imbalanced body condition back into balance through self-medication so that the family experiences pleasant subjective experiences.
The historical evolution and enforcement of competition law in Pakistan
Authors: Soomro Nishan-e-Hyder , Khan Asif , Elizabeth Yongyeh Naglim , Davis Alexandra Jane
Published: September 2021

The study aims to attempt has been made to highlight competition law in various aspects with reference to Pakistan. The present study gives a detailed account of its origin or historical evolution over time by underscoring legislation's salient characteristics; the research attempts to feature its structure, power, and policies while identifying the challenges faced by the contemporary competition law in Pakistan. The study adopts qualitative data analysis to analyse the respective aims and objectives. The research assessed the regulatory agency's effectiveness as a principal authority to apply competition policies while preventing anti-competitive conduct. The research contents that many sustainability challenges are being faced by competition law in Pakistan and globalized transformation is one of the reasons behind it, it needs to be addressed. The research recommended that there should be an ability to attract professionals and judicial discourse that needs to be based upon sound economic rationale as per competition theory. However, competition law is supposed to prevent anti-competition rituals and practices by nurturing free and fair Competition in the market. It promotes greater Competition in the market by safeguarding customers against inaccurate means adopted by firms.
Functional outcomes of modified Bristow procedure in recurrent shoulder dislocation
Authors: Khadim Khawaja  , Yasir Mohib  , Muhammad Younus Khan Durrani  , Naveed Muhammad Juman  , Ahmed Abdul Habib  , Pervaiz Hashmi
Published: September 2021

The glenohumeral joint is the most mobile in humans. Of all joints 50% dislocations involve the shoulder, mostly young males. When the first dislocation occurs under 20 years old the risk for recurrent instability increases to 90%. Many techniques are available to reduce and stabilize the glenohumeral joint in cases of anterior dislocations one of which is the famous Bristow’s procedure, originally described in 1954 by Laterjet. The purpose of this study was to determine the Functional Outcomes of Modified Bristow procedure. This retrospective review conducted at Aga Khan University Hospital Karachi from Jan 2000- Dec 2015, comprising patients who underwent modified Bristow procedure. 70 patients were recruited in the study who underwent modified Bristow procedure.
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The Role of K-Ras and P53 in Biliary Tract Carcinoma
Authors: Saara Ahmad  , Bisma Badr  , Asra Khan  , Rehana Rehman  , Kulsoom Ghias  , Jibran Sualeh Muhammad  , Muhammad Rizwan Khan
Published: September 2021

Objective: Biliary tract cancers are among the most fatal subtypes of gastrointestinal cancer.  The pathogenesis of these tumors involves several molecular alterations in the genes. This review article focuses mainly on the role of K-Ras (a proto-oncogene) and p53 (a tumor-suppressor gene) which are among the most commonly mutated genes, with K-Ras activation being detected in 50% to 75% and P53 inactivation in 30% to 40% of biliary tract carcinomas. 
Methods: PubMed and Google Scholar were searched using the terms TP53, KRAS, mutation, biliary tract carcinoma, cholangiocarcinoma, murine model. In total, 72 articles were reviewed of which 26 articles from the 21st Century were included in this review. The articles excluded were mere repetitions, duplicates or were irrelevant. No data was retrieved from posters, presentations, cell lines and symposiums. Moreover, experiments involving bile aspirations were not included in this review article.
Results: Three studies conducted in China, Japan and Taiwan reported a positive correlation between K-Ras mutation and biliary tract carcinoma. Only one study conducted in China showed the sole correlation between p53 inactivation and biliary tract carcinoma. Among the studies conducted in China, Japan and Europe, only four showed a positive association between both K-Ras mutation and p53 inactivation and biliary tract carcinoma.
Conclusion: K-Ras and p53 mutation both contribute to biliary tract carcinoma. K-Ras mutation, however, has a much higher frequency as compared to p53 inactivation in these cancers.
Keywords: p53, K-Ras, mutation, biliary tract carcinoma, cholangiocarcinoma, murine models.
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Konjunktúraelemzések 2018 tavaszán
Authors: Karsai Gábor , Matheika Zoltán , Nagy Katalin , Palócz Éva , Hajnal Mihály , Várhegyi Éva , György László , Molnár Dániel , Regős Gábor , Richter Sándor
Published: September 2021

„Magyarország stabil gazdasági felemelkedése lehetőséget kínál arra, hogy a következő évtizedben a növekedés fenntartható legyen” – állapítja meg az Európai Bizottság munkacsoportjának 2018-as országjelentése.[1]Vajon a magyar kormány megragadja ezt az alkalmat? A válasz meglehetősen szerteágazó. A prognózisok már kevésbé azok. A fő kutatóintézetek egyaránt robusztus, 4 százalék körüli gazdasági növekedést várnak az idei évre, amelyet az uniós támogatások által fűtött beruházások és a bérek „felzárkóztatása” következtében megugró belföldi kereslet támaszt alá. A gazdasági növekedés csaknem akkora lesz, mint 2017-ben, de a következő esztendőkben lassulni fog, amint az extra ösztönzők kifutnak. A foglalkoztatás rekordméretű, sőt az üzleti szektor növekedését már a megfelelő munkaerő hiánya korlátozza. A költségvetés az idei lazítás után jövőre visszatér a középtávú célhoz elvezető pályára (a GDP –1,5 százaléka). Az infláció csak 2019-ben éri el a Magyar Nemzeti Bank 3 százalékos célját. Bár az Európai Bizottság kevésbé prociklikus gazdaságpolitikát javasol, 2018 választási év, ami felülírja a pénzügyi ésszerűséget.
Szabadkereskedelem – az USA nélkül?
Authors: Csáki György
Published: September 2021

A Trump-adminisztráció hivatalba lépését követően az USA azonnal kilépett a Transzatlanti és a Csendes-óceáni megaregionális szabadkereskedelmi megállapodásokból. 2018 márciusában pedig az USA nemzetbiztonsági érdekekre hivatkozva kétféle pótvámot vezetett be, amelyek elsősorban Kína ellen irányulnak. Nem késett sokat a kínai megtorlás sem, miközben mindkét ország a WTO-hoz fordult. Súlyos aggodalmat kelt egy esetleges kereskedelmi háború elszabadulásának réme, az USA protekcionista gazdaságpolitikai fordulata és a zsarolás kereskedelempolitikai tárgyalási eszközzé tétele. A WTO-nak az USA-t elmarasztaló döntései súlyos amerikai viszontválaszt válthatnak ki. Eközben a TPP-t (Trans-Pacific Partnership– Csendes-óceáni Partnerség) 11 ország némileg átalakítva újra aláírta. A CPTPP (Comprehensive and Progressive Agreement for Trans-Pacific Partnership – Átfogó és Előremutató Csendes-óceáni Partnerség) és további két folyamatban lévő megaregionális szabadkereskedelmi tárgyalás sikeres lezárása továbbviszi a szabadkereskedelem ügyét. 1945 óta azonban először lehetséges a globális szabadkereskedelem bővülése az USA részvétele nélkül.
A hazai kockázatitőke-befektetések értékelése, különös tekintettel a JEREMIE-alapok befektetéseire
Authors: Illés Richárd , Lovas Anita
Published: September 2021

A JEREMIE kockázatitőke-program 2016 első felében zárult le és ennek keretében több mint 350 vállalat jutott tőkefinanszírozáshoz. Kutatásunk során közel 200 válla- latra kiterjedő mintát állítottunk össze részletes vállalati adatokkal és piaci információkkal, amely alapján a vállalatok egyedi jellemzőit vizsgáltuk. A befektetői oldalon értékeltük a kontrolleszközöket, és azt láttuk, hogy szinte minden alap többségi tu- lajdont szerez meg, sőt számos esetben az igazgatóságban és a felügyelőbizottság- ban is részt vesznek. A JEREMIE-kiírások többek között arra törekedtek, hogy a közép-magyarországi régión kívüli vállalatok fejlődését segítsék elő. A székhelyek vizsgálata igazolja ezt, a telephelyeket figyelembe véve azonban a tevékenységek inkább a középső régiókra koncentrálódnak. A kockázatitőke-befektetők nemcsak új fejlesztésű termékeket finanszíroznak, azaz nemcsak fejlesztéssel foglalkoznak, hanem a vállalatok negyede folyamatosan jövedelmet is termel. Ez a befektetők di- verzifikációs erőfeszítéseit is igazolja. A vállalatok törekednek a nemzetköziesedésre is, hiszen több mint 70 százalékuk külföldi piacokat céloz meg.
Impact of Excessive Screen Time and the Mediating Effect of Physical Exercise on Sleep in Physiotherapy Students During Covid-19
Authors: Tajane Isha Akulwar , Naik Palak H. , Parmar Kashish K. , Shah Ayushi V.
Published: September 2021

Aim: The science of today is the technology of tomorrow. The 21st century has witnessed a great development in the field of technology. Whether we love it or loathe it, technology affects everything we do today and influences almost everything we plan for our tomorrow. It has advanced everywhere making people access various types of devices. Sleep is fundamental to optimal functioning including health and behavior. This paper describes the interrelations between sleep and screen use. The purpose of this study was to identify technology use hence exploring the screen time of the individual and its impact on sleep and the mediating effect of physical exercise. Method: A representative sample of 150 Physiotherapy students was surveyed using an online questionnaire to analyze their technology use and sleep patterns. Results: A total number of 150 completed forms were analyzed. 94.7% students screen time use had increased during the lockdown. 43.3% of student participants spent more than 6 hours on digital devices on a daily basis. 73.3% of the population agreed that screen time did affect their sleeping pattern in the lockdown. 64% students encountered sleeping problems. 52% people admitted that excessive screen use has affected their sleep quality. 65.3% of the students have been taking part in physical exercises regularly, out of which 65.27 % reported decreased sleeping complaints. Conclusion: This study shows that use of screen based digital devices and media use has significantly increased during COVID-19 pandemic lock down in Physiotherapy students and provides scientific evidence for its negative impact on sleep. Physical exercises were associated with a positive effect on sleep disorders.