bluuebunny/crossref_metadata_2025 huggingface dataset:
CONDUCTING TECHNIQUE AS AN IMPORTANT ELEMENT OF CONDUCTING AND CHORAL TRAINING OF FUTURE MUSIC ART TEACHERS: METHODOLOGICAL ASPECT
Authors:   Бердянський державний педагогічний університет, HRYHORIEVA V.
Published: December 2023

The article raises the issue of the role of conducting and choral training of future music art teachers of pedagogical institutions of higher education as a necessary component of the training process of a teacher-choirmaster, head of a school choir. The relevance of the mentioned problem is determined by the need for students to develop skills and abilities to manage children’s choral singing, as well as their preparation for practical work with a choral team. The article proves the importance of working on the technique of conducting with students in the framework of the discipline «Practicum of vocal and choral training». It is noted that the technique of conducting is included in the technological preparation of the future music art teacher as an important means of managing choral performance, and various approaches to the definition of this concept in the works of Ukrainian scientists are analyzed. In the process of analysis, it is justified that mastering the technique of conducting includes a whole set of abilities and skills that students – future teachers of musical art receive. The article highlights the stages of work on the conducting technique. The content of the specified work at each of the stages of training is highlighted. The work offers a variety of exercises aimed at improving students’ conducting techniques, their content and performance methods are presented. It is emphasized that the hands are the most important part of the conductor’s apparatus and require special attention and a number of special exercises. It is recommended to start work precisely with exercises to release this part of the conductor's apparatus. Attention is focused on exercises for general liberation, development of a sense of the integrity of the hands and the relationship of their individual parts (hands, forearms, shoulders), to develop muscle tension and relaxation, as well as a group of exercises that will reduce or completely eliminate stiffness of the hands during conducting. The article describes in detail the most interesting methods and techniques of conducting training of future music art teachers, which contribute to effective work in the class of choral conducting and development of the performance skills of the teacher-musician. Keywords: conducting and choral training, conducting technique, future music art teachers, conducting apparatus, a conductor’s gesture, auftact.
PECULIARITIES OF INTEGRATING AUTHENTIC MATERIALS INTO THE PROCESS OF TEACHING A FOREIGN LANGUAGE FOR PROFESSIONAL PURPOSES
Authors:   Державний біотехнологічний університет, DEGTIAROVA K. , KIBENKO L. ,   Державний біотехнологічний університет, ZHYVOLUP V. ,   Державний біотехнологічний університет, KARAS A. ,   Державний біотехнологічний університет
Published: December 2023

The article examines and analyses the methodological literature on the aspect of using authentic materials in foreign language classes at a non-native language higher education institution. A brief overview and characteristics of the main types of authentic materials are given; the importance of their use in teaching a foreign language in a non-language institution of higher education is substantiated on the example of the discipline «English for professional purposes» taught in the first year of the Faculty of Veterinary Medicine of the State Biotechnological University of Kharkiv. Particular attention is paid to the analysis of methodological work with audio/video material, which is traditionally carried out in three stages: preparatory, while reading/watching or demonstrative (direct work with video/audio material) and after reading/watching or post-demonstrative. As an example, the authors present their own development of a lesson based on authentic video with the use of a large number of exercises to activate the main types of speech activity: listening, reading, speaking and writing. It has been proven that authentic materials are an important component not only in learning but also in teaching a foreign language at all levels, as they arouse great interest and motivation in students, which is a significant contribution to achieving the learning objectives of the programme. However, when developing teaching materials based on authentic texts/videos, teachers should focus on the general level of language proficiency among students. The results of this study prove that the integration of authentic materials into the EFL classroom has a positive impact on the development of EFL students' speaking skills. Authentic audio/video materials have great potential for solving learning and educational tasks, but only if the teacher organises the lesson properly. Being highly informative, authenticity creates an atmosphere of real language communication, and therefore can ensure students' successful perception of a foreign language and increase their motivation to learn the language. Keywords: authentic materials, speaking skills, English for professional purposes, audio/video material, and language communication.
Remissão do hipercortisolismo em cão tratado com trilostano: Relato de caso
Authors: Da Silva Suzuki Edna Aparecida , Fares Nadine Bou
Published: December 2023

Hypercortisolism, formerly called hyperadrenocorticism, is an endocrinopathy that mainly affects middle-aged and elderly dogs. It is characterized by the exaggerated production of cortisol by the adrenal glands and can be classified as: adrenocorticotropic hormone-dependent (ACTH), when there is a correlation with the production of endogenous ACTH by the pituitary gland; ACTH-independent, in cases where the adrenal glands show alteration, or iatrogenic, by the administration of glucocorticoids. Among the available treatments, trilostane is the drug of choice, as it acts directly on the adrenal glands, blocking the synthesis of cortisol. Monitoring the patient undergoing treatment is challenging, as there is no gold standard exam, so the clinician needs to associate the ACTH stimulation exam with the improvement of laboratory changes and clinical manifestations. Thus, the present work aimed to report the case of a canine patient, with polyphagia, polyuria, compensatory polydipsia, exercise intolerance, organomegaly and dermatopathy, with a diagnosis of ACTH-dependent hypercortisolism which showed a satisfactory response to trilostane therapy, reducing both clinical manifestations and imaging and laboratory alterations.
The Efficacy of Self-care Behaviors, Educational Interventions, and Follow-up Strategies on Hospital Readmission and Mortality Rates in Patients with Heart Failure: Self-care Behaviors in Heart Failure Patients
Authors: Ghorbanzadeh Maryam , Khosravirad Zahra , Rostamzadeh Mohammad , Azizi Shiva , Khodashenas Mehran , Khodadoustan Shahraki Babak , Ghasemi Farangis
Published: December 2023

Heart failure (HF), a worldwide epidemic with significant morbidity and mortality risks, is frequently secondary to cardiovascular disorders and probably is the common final way to survive patients. Almost 25% of hospitalized patients with acute HF are expected to be readmitted within 30 days post-discharge, and the rates of rehospitalization increase to almost one-third at 60 days and 60 percent within one year of discharge. Although care planning for patients with heart failure is complex, multidisciplinary, and resource-dependent, optimal self-care management along with appropriate educational intervention and follow-up strategy could be able to reduce readmissions, decline the duration of hospitalization, increase life expectancy, decrease the rates of mortality, and reduce costs of healthcare services for patients with HF. However, there are contradictions in previous reports about the efficacy of self-care, mainly due to patients’ non-adherence to self-care behaviors. Therefore, the current study aimed to review the investigations on the effectiveness of self-care of HF patients in reducing hospital readmissions and increasing quality of life, and discuss novel approaches for predischarge educational interventions and postdischarge follow-up strategies.
Pre-Experimental Study to Assess the Impact of The teaching Program on Knowledge and Attitude regarding Disaster Management among the Nursing Students of Selected Nursing Colleges of Himachal Pradesh
Authors: Thakur Nitika , G. Solomon Smriti
Published: December 2023

Aim: The aim of this pre-experimental study is to examine how the teaching program affects disaster management knowledge and attitude in Himachal Pradesh nursing students. Method: Pre-experimental design with one group pre-and post-test was used in this study. The researcher used quantitative approach. About 450 samples were taken for the investigation. Simple random sampling was utilized because the sample was available and met inclusion requirements. Data were presented using descriptive and inferential statistics. The knowledge and attitude of the pre- and post-test scores were compared using the t-test. Chi-square tests determined the connection between knowledge and attitude and demographic variables. Result: Results say that pre-test, 263 (58.45%) had poor disaster management knowledge and 9 (2%) had extremely good. On the post-test, 170 (38.22%) had strong disaster management knowledge and 33 (7.33%) had exceptional. Most 310 (69%) pre-test responders had a negative attitude about catastrophe management, while 140 (31%) had a positive attitude. After the test, 52% of 235 respondents had good attitude about catastrophe management and 48% negative attitude for it. At 0.05 significance level, demographic variables are associated with pre-test knowledge score. At a significance level of 0.05, the demographic variables are associated with pre-test attitude score. Conclusion: The education program enhances nursing students’ disaster management knowledge and attitudes, the study revealed. Nursing students’ knowledge and attitude rise.
A Study to Assess the Impact of Training Program Regarding Hypertension on Level of Knowledge and Practice among Accredited Social Health Activist in Selected Rural Area of Mumbai
Authors: Shalini O  , G. Solomon Smriti
Published: December 2023

Aim: This study examines how training affects hypertension (HTN) knowledge and practice among Accredited Social Health Activists (ASHAs) in rural Mumbai. Methods: Researchers employed quantitative evaluative research in this study. The researcher used a time series pre- and post-test. This study used random and selective sampling. Study sample size was 500. Frequency and percentage explained sample and all demographic characteristics. Mean and standard deviation explained variables’ dimensions and t-test was used on paired data. Chi-square test was used. Result: Most 317 (63.4%) had poor post-test 1 knowledge scores. Most 261 (52.2%) exhibited poor post-test 2 knowledge. 37.8% of 189 had an average knowledge score after test 3. 72.6% of 363 had poor post-test 1 practicing. 47.4% of 237 had bad post-test 2 practicing scores. 48.6% of 243 had an average practicing score after test 3 knowledge score “t” test value: 10.24, df 499, P < 0.00001. Results show considerable efficiency (P < 0.05). The t-test value for pre- and post-test 2 (O3) knowledge score was 13.02, df 499, P < 0.00001. Results show considerable efficiency (P < 0.05). The pre- and post-test 3 (O4) knowledge score t-test result was 21.34, df 499, and P < 0.00001. Results show considerable efficiency (P < 0.05). The pre- and post-test 1 (O2) practice score t-test was 9.68, df 499, and P = 0.00001. Results show considerable efficiency (P < 0.05) and pre- and post-test 2 (O3) practice score “t” test value: 16.925, df 499, and P = 0.00001. Results show considerable efficiency (P < 0.05). The t-test for pre- and post-test 3 (O4) practice score was 27.54, df 499, and P = 0.00001. Results show considerable efficiency (P < 0.05). Conclusion: This study shows that the HTN training program improves ASHA knowledge and practice scores. ASHA knowledge and practice scores improve.
Predictive value of intraoperative vagus nerve corticobulbar motor evoked potentials to assess the risk of dysphagia in fourth ventricle surgery
Authors: Della Pepa Giuseppe Maria , Fraschetti Flavia , Domenico Michele Di , Valz Gris Angelica , Izzo Alessandro , Menna Grazia , D’Alessandris Quintino Giorgio , D’Ercole Manuela , Stifano Vito , Ausili Cefaro Carolina , Lauretti Liverana , Tamburrini Gianpiero , Olivi Alessandro , Montano Nicola
Published: December 2023

OBJECTIVE

Dysphagia is a significant complication in fourth ventricle surgery. Corticobulbar motor evoked potentials (CB-MEPs) of the lower cranial nerves may provide real-time information possibly correlating with postoperative swallowing dysfunction, and the vagus nerves may prove ideal for this purpose. However, the literature is heterogeneous, non-systematic, and inconclusive on this topic. The object of this retrospective study was to evaluate the correlation between CB-MEPs of the vagus nerve and postoperative worsening or new-onset swallowing deficits in intraaxial fourth ventricle surgery.

METHODS

In 21 consecutive patients undergoing surgery for fourth ventricle intraaxial tumors between February 2018 and October 2022, endotracheal tubes with two applied electrodes contacting the vocal cords were used to record vagus nerve MEPs including values at baseline, the end of surgery, and the minimum value during the operation. From the mean value of right and left vagus nerve MEP amplitudes, the minimum-to-baseline amplitude ratio (MBR) and final-to-baseline amplitude ratio (FBR) were calculated. These indexes were correlated with postoperative swallowing function.

RESULTS

Given their clinical significance, receiver operating characteristic curves were obtained to evaluate the performance of these indexes in predicting postoperative swallowing function. The area under the curve (AUC) was 0.850 (p < 0.001) and the best cutoff for FBR was 67.55% for the worsening of swallowing in the postoperative period. The AUC was 0.750 (p = 0.026) and the best cutoff was 46.37% in MBR for the absence of a swallowing disorder at the late follow-up.

CONCLUSIONS

This study confirmed that vagus nerve MEPs are reliable predictors of postoperative swallowing function in fourth ventricle surgery and can be feasibly used as an intraoperative monitoring technique.
C2 versus C3 or C4 as the upper instrumented vertebra for long-segment cervical fusions: a systematic review and meta-analysis
Authors: Quiceno Esteban , Hussein Amna , Pico Annie , Abdulla Ebtesam , Bauer Isabel L. , Nosova Kristin , Orenday-Barraza Jose , Moniakis Alexandros , Khan Monis Ahmed , Prim Michael , Baaj Ali A.
Published: December 2023

OBJECTIVE

Selecting C2 versus C3 or C4 (i.e., C3/C4) as the rostral anchoring level in long-segment cervical fusions is a common clinical conundrum. The data regarding proximal failure in long constructs of the cervical spine is scarce. The objective of this study was to systematically review the published literature and perform a meta-analysis of the incidence for proximal adjacent-segment disease (ASD) in the context of long cervical fusions and cervicothoracic fusions ending in C2 versus those ending in the subaxial spine (C3 or C4).

METHODS

Using the PRISMA guidelines, the authors performed a search of the PubMed/MEDLINE, Embase/Ovid, and Cochrane Central databases to identify all full-text articles in the English-language literature with the following inclusion criteria: 1) studies including patients with the upper instrumented vertebra (UIV) at C2 versus C3/C4; 2) patients undergoing ≥ 3-level posterior cervical fusion; and 3) indication for surgery of degenerative disc disease, cervical spondylotic myelopathy, or cervical deformity. Studies that were not published in the English language, case reports, review articles, letters to the editor, and meeting abstracts were excluded. A meta-analysis was conducted using a fixed-effects model when I2 values were below 70%. Conversely, when I2 values were equal to or greater than 70%, a random-effects model was used. A funnel plot was used to assess the presence of publication bias.

RESULTS

Seven studies consisting of 1215 patients were included in the meta-analysis. There were 403 (32.8%) patients in the C2 UIV group and 812 (67.2%) patients in the C3/C4 UIV group. When the 7 studies were analyzed, the overall rate of reoperation was comparable between the C2 (9.2%) and C3/C4 (9.4%) UIV groups (p = 0.93) but the rate of surgical ASD due to proximal pathology was 1.2% and 3%, respectively (OR 0.36, 95% CI 0.15–0.86; p = 0.02). When comparing between groups, no statistical difference was found regarding the rate of reoperation due to distal pathology or surgical infection.

CONCLUSIONS

Long-segment cervical or cervicothoracic constructs that anchor into C2 may have similar complication rates but lower revision rates for proximal ASD than constructs that anchor into the subaxial spine.
Does diabetes affect outcome or reoperation rate after lumbar decompression or arthrodesis? A matched analysis of the Quality Outcomes Database data set
Authors: Mooney James , Nathani Karim Rizwan , Zeitouni Daniel , Michalopoulos Giorgos D. , Wang Michael Y. , Coric Domagoj , Chan Andrew K. , Lu Daniel C. , Sherrod Brandon A. , Gottfried Oren N. , Shaffrey Christopher I. , Than Khoi D. , Goldberg Jacob L. , Hussain Ibrahim , Virk Michael S. , Agarwal Nitin , Glassman Steven D. , Shaffrey Mark E. , Park Paul , Foley Kevin T. , Chou Dean , Slotkin Jonathan R. , Tumialán Luis M. , Upadhyaya Cheerag D. , Potts Eric A. , Fu Kai-Ming G. , Haid Regis W. , Knightly John J. , Mummaneni Praveen V. , Bisson Erica F. , Asher Anthony L. , Bydon Mohamad
Published: December 2023

OBJECTIVE

Diabetes mellitus (DM) is a known risk factor for postsurgical and systemic complications after lumbar spinal surgery. Smaller studies have also demonstrated diminished improvements in patient-reported outcomes (PROs), with increased reoperation and readmission rates after lumbar surgery in patients with DM. The authors aimed to examine longer-term PROs in patients with DM undergoing lumbar decompression and/or arthrodesis for degenerative pathology.

METHODS

The Quality Outcomes Database was queried for patients undergoing elective lumbar decompression and/or arthrodesis for degenerative pathology. Patients were grouped into DM and non-DM groups and optimally matched in a 1:1 ratio on 31 baseline variables, including the number of operated levels. Outcomes of interest were readmissions and reoperations at 30 and 90 days after surgery in addition to improvements in Oswestry Disability Index, back pain, and leg pain scores and quality-adjusted life-years at 90 days after surgery.

RESULTS

The matched decompression cohort comprised 7836 patients (3236 [41.3] females) with a mean age of 63.5 ± 12.6 years, and the matched arthrodesis cohort comprised 7336 patients (3907 [53.3%] females) with a mean age of 64.8 ± 10.3 years. In patients undergoing lumbar decompression, no significant differences in nonroutine discharge, length of stay (LOS), readmissions, reoperations, and PROs were observed. In patients undergoing lumbar arthrodesis, nonroutine discharge (15.7% vs 13.4%, p < 0.01), LOS (3.2 ± 2.0 vs 3.0 ± 3.5 days, p < 0.01), 30-day (6.5% vs 4.4%, p < 0.01) and 90-day (9.1% vs 7.0%, p < 0.01) readmission rates, and the 90-day reoperation rate (4.3% vs 3.2%, p = 0.01) were all significantly higher in the DM group. For DM patients undergoing lumbar arthrodesis, subgroup analyses demonstrated a significantly higher risk of poor surgical outcomes with the open approach.

CONCLUSIONS

Patients with and without DM undergoing lumbar spinal decompression alone have comparable readmission and reoperation rates, while those undergoing arthrodesis procedures have a higher risk of poor surgical outcomes up to 90 days after surgery. Surgeons should target optimal DM control preoperatively, particularly for patients undergoing elective lumbar arthrodesis.
Hernia among Patients Admitted to the Department of Surgery of a Tertiary Care Centre
Authors: Yadav Raj Nandan , Singh Maharjan Jemesh , Bajracharya Jasmine , Pradhan Giridhar B.N. , Shrestha Sunil
Published: December 2023

Introduction: Hernia is one of the most common surgical conditions causing disability and requiring hospital admission and surgery. The aim of this study was to find out the prevalence of hernia among patients admitted to the Department of Surgery of a tertiary care centre.
Methods: A descriptive cross-sectional study was conducted among patients admitted to the Department of Surgery between 14 April 2021 and 13 April 2023 and were collected from 1 July 2023 to 31 July 2023 from the hospital records. Ethical approval was obtained from the Institutional Review Committee. The patient admitted to the Department of Surgery was included and those with incomplete data were excluded. Convenience sampling was used. The point estimate was calculated at a 95% Confidence Interval.
Results: Out of 2057 patients, the prevalence of hernia was 247 (12.01%) (10.61-13.41, 95% Confidence Interval). A total of 31 (12.55%) hernias were irreducible and 15 (6.07%) were operated in the emergency setting. The most common type of hernia was inguinal hernia found in 169 (68.42%) and hypertension was the most common comorbidities found in 48 (19.43%).
Conclusions: The prevalence of hernia was similar to other studies done in similar settings. Hernia accounts for a major surgical burden in our setting. So, early diagnosis and treatment could reduce the morbidity and mortality related to it.
Cholesterol Gallstone among Patients with Cholelithiasis Admitted to the Department of Surgery of a Tertiary Care Center
Authors: Jha Ashwini Kumar , Jha Mina , Adhikari Sunil
Published: December 2023

Introduction: Gallstone is one of the most common pathological conditions found mostly in females. The incidence of cholesterol gallstones is developing higher nowadays which is increasing the burden of cost in society. This study aimed to find out the prevalence of cholesterol gallstones among patients with cholelithiasis admitted to the Department of Surgery of a tertiary care centre.
Methods: A descriptive cross-sectional study was conducted among patients with cholelithiasis who presented in the Department of Surgery of tertiary care centre for cholecystectomy (laparoscopic or open) from 23 December 2022 to 22 September 2023 after obtaining ethical approval from the Institutional Review Committee. Patients who were diagnosed by use of abdominal ultrasound or CT scan were included. Those patients with gallbladder polyps, cholangitis, and gallbladder tumours were excluded from the study. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
Results: Among 190 patients, the prevalence of cholesterol gallstones was seen in 85 (44.74%) (37.67-51.81, 95% Confidence Interval). The female to male ratio was 6.72:1.
Conclusions: The prevalence of cholesterol gallstones was found to be higher as compared to other studies done in similar settings.
High Problematic Screen Exposure among Children Aged 2-5 Years Visiting the Department of Pediatrics of a Tertiary Care Centre
Authors: Shakya Henish , Acharya Sharda , Pradhan Shikhar , KC Divya
Published: December 2023

Introduction: The effects of problematic screen exposure in the early years have adverse effects on cognition, reasoning, executive, and social skills, and physical health. The study aimed to assess the prevalence of problematic screen exposure in children between 2 to 5 years of age visiting the Department of Paediatrics of a tertiary care centre.
Methods: A descriptive cross-sectional study was conducted among caregivers of children aged 2 to 5 years of age in a tertiary care centre from 16 July 2023 to 30 September 2023 after an ethical clearance from the Institutional Review Committee. This study excluded children with chronic disease and behavioural disorders. The problematic screen exposure was assessed using the Problematic Screen Exposure Score. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
Results: Among 310 respondents, 216 (69.67%) (64.55-74.79, 95% Confidence Interval) children had a high problematic screen exposure score. The mean age of children was 3.46±1.033 with 89 (41.20%) children having their first exposure before 12 months of age, 131 (60.64%) exceeding daily usage of >2 hr, and 198 (91.66%) children viewing age-inappropriate media content.
Conclusions: The prevalence of high problematic screen exposure was comparable to that of the prevalence found in studies done in similar settings.
Positive Thyroid Peroxidase Antibody among Women with Polycystic Ovarian Syndrome Visiting an Infertility Clinic at a Tertiary Care Centre
Authors: Sharma Vijay Kumar , Baidya Sujata , Kandel Pratibha , Rajkarnikar Smrity , Niraula Apeksha , Dubey Raju Kumar , Raut Mithileshwer , Bhattarai Aseem , Tuladhar Eans Tara , Koirala Poonam
Published: December 2023

Introduction: Polycystic ovarian syndrome is the most common endocrine-metabolic disorder, affecting women of reproductive age groups, which shares various symptoms with thyroid dysfunctions. Despite it predisposition of aforesaid cohorts to autoimmunity, these etiologies have not adequately been studied in them. This study aimed to find out the prevalence of positive thyroid peroxidase antibodies among women with polycystic ovarian syndrome visiting an infertility clinic at a tertiary care centre.
Methods: This was a cross-sectional study conducted at a tertiary care centre among patients visiting the infertility clinic at the Department of Obstetrics and Gynaecology from 21 September 2022 to 21 February 2023. Biochemical analysis of thyroid hormones, gonadal hormones, anti-mullerian hormone and thyroid peroxidase antibody were done in Abbott ARCHITECT ci4100 and SNIBE Maglumi 800 autoanalyzer. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
Results: Among 70 participants, thyroid peroxidase antibody was positive in 16 (22.86%) (13.02-32.69, 95% Confidence Interval). The mean age of the patients was 28.25±5.26 years. In the individuals with thyroid-stimulating hormone below 2.5 mIU/l, 5 (31.25%) had positive thyroid peroxidase antibody titre.
Conclusions: The prevalence of positive thyroid peroxidase antibodies among women with polycystic ovarian syndrome is similar to other studies done in similar settings. Regular monitoring of thyroid peroxidase antibodies is recommended in these women to guide conception in order to evade inevitable adverse pregnancy outcomes.
Spontaneous Heterotopic Pregnancy: A Case Report
Authors: Maharjan Sujata , Malla Rumina , Chaudhary Babita , Shrestha Piyush , Dolma Lama Lakpa
Published: December 2023

Spontaneous heterotopic pregnancy is a rare clinical condition which is a potentially dangerous condition where at least two pregnancies are present simultaneously at different implantation sites and only one is located in the intrauterine cavity. It is a life-threatening condition with an incidence estimated as 1 in 30,000 natural conceptions. Being rare it’s challenging to diagnose such conditions due to complex clinical and laboratory findings. In view of the survival of maternal as well as intrauterine pregnancy, a high index of suspicion leading to timely diagnosis and appropriate intervention is needed. We are reporting a case of a 28-year-old female with heterotopic pregnancy at 8 weeks of gestation following natural conception diagnosed by ultrasound and managed successfully by laparoscopic salpingectomy. Intrauterine pregnancy was continued normally till term with no complications. Hence, with timely diagnosis and early intervention, maternal and fetal survival is possible.
Postpartum Symphysis Pubis Diastasis: A Case Report
Authors: Chaudhary Babita , Bidari Sumit , Maharjan Sujata , Adhikari Gauri , Bata Lokendra
Published: December 2023

The pubic symphysis is a midline, non-synovial joint connecting the right and left superior pubic rami. The joint allows very limited movement of approximately 0.5-1 mm. Under hormonal stimulation during pregnancy, the widening of the symphysis pubis and sacroiliac joints occurs. Pubic symphysis diastasis is defined as the widening of the pubic joint of >10 mm. It is a rare complication of vaginal childbirth for which no gold standard treatment has been defined. Most cases are treated conservatively. A case of pubic diastasis in a 24-year-old G5P2A2L1 following vaginal delivery is reported. Management consisted of simple conservative treatment, which was sufficient in achieving symptomatic relief.
11β Hydroxylase Deficiency in a Child with Hypothyroidism: A Case Report
Authors: Shah Bipesh Kumar , Koirala Richa , Dhamala Sumit , Bhatta Mukesh , Khatiwada Shekhar
Published: December 2023

Congenital adrenal hyperplasia occurs due to enzymatic defects in the adrenocortical steroidogenesis. 11β hydroxylase deficiency is the second most common cause of congenital adrenal hyperplasia which presents with hypertension and features of androgen excess. Hypertension has also been found to cause end-organ damage in children with 11β hydroxylase deficiency. We report a case of a 10-year-old male child with hypothyroidism under thyroid replacement therapy, presenting with features of severe hypertension and androgen excess, later on, diagnosed as congenital adrenal hyperplasia due to 11β hydroxylase deficiency.
New harmony of Javanese keroncong case study: Boogie Rahayu's work on the Kroncwrong album Sono Seni Ensemble
Authors: Mistortoify Zulkarnain , Hanshi Bao
Published: December 2023

This research aims to unveil one of the compositional works of the Sono Seni Ensemble Surakarta music group, titled 'Boogie Rahayu.' This work offers a distinct paradigm and compositional technique in comparison to the works of typical progressive keroncong orchestra groups. The study endeavors to reveal the composition of 'Boogie Rahayu' through an analysis that integrates source knowledge of karawitan music structures, keroncong playing techniques, attitudes towards sound sources, and an openness to presenting new harmonies. Examining this compositional work contributes to addressing the issue of creativity stagnation in the Javanese style of keroncong. The research adopts a musicological and cultural approach, focusing on the primary objects of the work and the performers. Data collection techniques involve field observations and interviews conducted through both online and offline methods, as well as document and artifact studies using conventional and online methods. During the analysis stage, this study employs an emic approach, considering the composer's thoughts and beliefs, alongside a musicological approach that delves into musical structure, rhythm changes, cadence interpretation, and chord harmony. The results of the research indicate that 'Boogie Rahayu' introduces a new avenue of development capable of transcending artistic and aesthetic boundaries among keroncong music, Javanese style, and Javanese karawitan
Veinfinder® System: An Alternative to Vascular Mapping Pre Filler Injections and its Doppler, Dupplex Ultrasound Correlation
Authors: Arenas Claudia , González Claudia , M. Gómez Margarita
Published: December 2023

Dermal filler procedures are popular but demand a deep understanding of facial anatomy to prevent serious risks such as necrosis, ischemia, blindness, or paralysis. Errors in placement are common, and while ultrasound helps, it's expensive and requires expertise. An accessible, user-friendly tool for pre-injection assessment and guidance is needed. Our comparative study of Veinfinder® and Doppler ultrasound showed a strong correlation. Veinfinder® was designed for veins but shows promise in detecting superficial arteries. Challenges arose in detecting certain vessels due to their small size or anatomical features. Further studies are needed for sensitivity refinement. Implementing tools like Veinfinder® could significantly improve the safety and precision of dermal filler procedures.
ANALISIS AKUNTANSI ATAS BIAYA PENGOLAHAN LIMBAH PABRIK GULA PT. MADU BARU PG MADUKISMO
Authors: Agianto Helga Nathaniela
Published: December 2023

Tujuan dari penelitian ini adalah untuk mengetahui bagaimana penerapan akuntansi biaya lingkungan terkait komponen biaya lingkungan dan perlakuan akuntansi biaya lingkungan terhadap pengelolaan limbah pada PG Madukismo Yogyakarta. Penelitian ini dilakukan menggunakan pendekatan kualitatif dengan pendekatan deskriptif. Analisis data dilakukan berdasarkan informasi yang berkaitan dengan mengidentifikasi biaya lingkungan, mencatat, menganalisi dan menginterpretasikan kondisi yang sekarang ini terjadi. Data penelitian diperoleh melalui wawancara terhadap karyawan PG Madukismo Yogyakarta dan dokumentasi laporan keuangan tahun 2021. Teknik analisis yang digunakan dengan membandingkan komponen biaya lingkungan yang dikeluarkan oleh PG Madukismo Yogyakarta dengan berdasarkan model kualiatas serta perlakuan alokasi biaya menurut PSAK tahun 2015 dan 2020. Hasil dari penelitian ini adalah diketahui bahwa perusahaan telah melakukan komponen biaya lingkungan yang sesuai dengan klasifikasi berdasarkan model kualitas, sedangkan untuk tahapan perlakuan alokasi biaya lingkungan (limbah) belum sesuai PSAK tahun 2015 dan 2020 karena adanya penerapan akuntansi yang belum sesuai dengan kriteria PSAK 2015 dan 2020.
PENGARUH KONEKSI POLITIK, MEKANISME BONUS DAN LEVERAGE TERHADAP AGRESIVITAS PAJAK
Authors: Handayani Rizki Subekti , Utomo Rochmad Bayu
Published: December 2023

Perusahaan berusaha mengurangi beban pajaknya dengan menggunakan celah peraturan perpajakan. Penelitian ini memiliki tujuan utama untuk mendapatkan bukti terkait koneksi politik, mekanisme bonus, serta leverage memengaruhi tingkat agresivitas pajak di perusahaan sektor manufaktur yang terdaftar di Bursa Efek Indonesia (BEI) selama periode 2020-2021. Studi ini merupakan penelitian kuantitatif. Dalam melakukan penelitian ini, menggunakan teori akuntansi positif serta metode purposive sampling untuk memilih 35 perusahaan sebagai sampel dari sektor manufaktur yang relevan, yang menghasilkan total data sebanyak 70 observasi. Analisis data dilakukan dengan menggunakan teknik regresi linear berganda, yang memungkinkan peneliti untuk mengidentifikasi hubungan antara variabel independen dan variabel dependen. Namun, hasil penelitian ini menunjukkan bahwa dalam konteks sampel yang diuji dengan variabel koneksi politik, mekanisme bonus, dan leverage tidak memiliki pengaruh terhadap tingkat agresivitas pajak.  Ini menyiratkan bahwa faktor-faktor tersebut mungkin tidak menjadi penentu utama dalam perilaku perusahaan terkait dengan praktik agresivitas pajak dalam sampel yang diuji.
Karta Praw Rodziny z 1983 roku a Konstytucja Rzeczypospolitej Polskiej z 1997 roku
Authors: Stadniczeńko Stanisław
Published: December 2023

Autor podejmuje refleksję na temat ujęcia pozycji rodziny w tych aktach jako fundamentalnych dla społeczeństwa, państwa, wspólnoty i instytucji. Karta Praw Rodziny jako jedyny tego rodzaju dokument prezentuje uniwersalny model, prototypową konstrukcję, wzór, który należy uwzględnić przy podejmowaniu pracy nad prorodzinnym ustawodawstwem i nad opartą na jego fundamencie polityką rodzinną. Podkreślić należy aksjologiczny i etyczny charakter Karty, która odwołuje się do świadomości prawdy o człowieku w kontekście występowania jej w Karcie; przedstawione w Karcie prawa są wyrażone ze świadomością kim jest człowiek. Zarówno w znaczeniu prawnym, jak i moralnym prawa rodziny przedstawiono w Karcie w taki sposób, że w konsekwencji wydobyto z nich i zaakcentowano ich naturalny i uniwersalny charakter.
Rodzina w Konstytucji Rzeczypospolitej Polskiej z 1997 r. nie uzyskała podmiotowości prawnej, lecz jest podmiotem ochrony prawnej, a art. 71 nader ostrożnie gwarantuje, iż państwo w polityce społecznej i gospodarczej uwzględnia dobro rodziny, które nie zostało precyzyjnie dookreślone. Karta akcentując podmiotowość rodziny, jej rangę i wysokie miejsce w hierarchii wartości, jej ważne funkcje społeczne – wyznacza społeczeństwu i państwu stosunek do rodziny odpowiadający wartości rodziny i jej znaczeniu.
W Konstytucji RP nie ma żadnego odniesienia ani do jakiejś głębszej prawdy o człowieku, ani o rodzinie. Zaprezentowane w niej podejście do człowieka jest ogólnikowe. Występuje on tu jako człowiek, obywatel, obywatel polski. Używa się zwrotów: każdy, wszyscy, nikt. Nierzadko co prawda pojawia się w Konstytucji RP termin osoba, ale wyłącznie jako synonim terminów jednostka, osobnik. Próżno by szukać definicji rodziny w pozytywnym prawie polskim, tak na poziomie ustawodawstwa zwykłego, jak i na poziomie Konstytucji RP. Można oczywiście znaleźć w Konstytucji RP ślady wpływu Karty w zakresie ujęcia niektórych praw rodziny. W Konstytucji RP stwierdza się, że „przyrodzona i niezbywalna godność człowieka stanowi źródło wolności i praw człowieka i obywatela”, a obok wolności i praw występują tu również obowiązki, to mają one odniesienia z zasady wyłącznie pragmatyczne. W konsekwencji wolność i obowiązki w Konstytucji RP nie występują w znaczeniu, jakie łączymy z filozoficznym pojmowaniem powiązań między wolnością i odpowiedzialnością na gruncie myślenia personalistycznego.
Człowiek dysponuje różnymi formami poznania: zmysłowego, intelektualnego, dyskursywnego i intuicyjnego. Działania każdego człowieka, jeśli są w pełni świadome i wolne, angażują całość jego osoby. Dotyczy to życia zarówno umysłowego, jak i życia związanego z płaszczyzną bio-psycho-społeczną i duchową. Wydaje się, że poznanie umysłowo-intelektualne oderwane od fundamentu jako podmiotu zawieszone jest w próżni.
W odróżnieniu od Karty Konstytucja RP nie określa ani wartości, ani miejsca i znaczenia, ani roli rodziny w życiu społeczeństwa. Mam świadomość, że Konstytucja RP jest zawsze dziełem kompromisu.
Prawo czy obowiązek nauczania religii w szkołach katolickich w Polsce
Authors: Pankiewicz Ryszard
Published: December 2023

Szkoły podstawowe i ponadpodstawowe oraz przedszkola katolickie są placówkami oświatowymi o szczególnym charakterze. Niniejsze opracowanie dotyczy analizy obowiązujących polskich przepisów prawa oświatowego w zakresie nauczania religii w tychże placówkach i proponowanych zmian w prawie obowiązującym. Obecnie rodzice dla swoich dzieci mogą dokonać wyboru albo nauki religii, albo etyki. Mogą także nie dokonać żadnego wyboru. W praktyce dochodzi do sytuacji, w których rodzice wybierają szkołę katolicką i jednocześnie nie chcą, aby dziecko uczestniczyło w lekcjach religii. Często w takim przypadku dochodzi do sporów w relacji pomiędzy rodzicami i ich dziećmi a dyrektorami szkół katolickich. W niniejszym artykule postulowane są zmiany w polskim prawie, aby wyeliminować tego typu problematyczne sytuacje, poprzez zagwarantowanie w prawie oświatowym nauczania religii w katolickiej placówce oświatowej. Rodzice dokonując wyboru dla swojego dziecka szkoły katolickiej jednocześnie byliby związani swoim wyborem. W sytuacji zmiany swoich przekonań, realizując swoje konstytucyjne prawo do wolności sumienia i religii w życiu prywatnym i publicznym, a w szczególności prawa rodziców do swobodnego wychowania religijnego i moralnego dzieci zgodnie ze swoimi przekonaniami, zobowiązani byliby do przeniesienia dziecka do innej szkoły wypełniającej ich oczekiwania.
Management of Exposed plate of mandibular fracture: A Case Report
Authors: Saragih George Abraham , Yuza Abel Tasman , Priyanto Winarno
Published: December 2023

Mandibular reconstruction is a trauma management to achieve good occlusal. Mandibular reconstruction plates are one of the post-ORIF reconstruction procedures that are often used at Hasan Sadikin Hospital. This article aims to determine how the management of plate exposure in mandibular fracture cases must be appropriate and according to indications for the administration. Cases of oblique area fractures that extend to the body of the mandible should be reduced and repositioned through an extra oral opening. Apart from that, modifications are needed in reconstructing cases where the mandibular bone is left thin by installing a mini plate at the champs line and mandibular margin. By modifying the attachment of the miniplate, it is hoped that the mandible will be more stable and function normally. It is hoped that the risk of plate exposure in patients can be minimized through appropriate management.
Barriers to Early Mobility of Patients in the Intensive Care Unit of Hospitals in Kohgiluyeh and Boyer-Ahmad Province, Iran, According to the Perceptions of Physicians, Nurses, and Physiotherapists
Authors:   Department of Intensive Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran., Sajadifar Javad , Sharifi Farshad ,   Geriatrics Research Center, Endocrine Population Sciences Research Institute, Endocrine and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran., Bahramnezhad Fatemeh ,   Department of Intensive Care Nursing, NNursing and Midwifery Care Research Center , School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Published: December 2023

Background & Aims The early mobility of a patient hospitalized in the intensive care unit (ICU) is a very complicated issue and requires coordination between the departments and between all ICU staff, including physicians, nurses, and physiotherapists. Early mobilization program is safe and feasible and has positive results for the patient, medical staff, families, and health system. The present study aims to determine the barriers to early mobility of patients admitted to the ICUs of hospitals in Kohgiluyeh and Boyer-Ahmad Province, Iran. Materials & Methods This is a descriptive cross-sectional study conducted in 2020-2022. The study population consists of the ICU staff of hospitals in Kohgiluyeh and Boyer-Ahmad Province, including physicians, nurses, and physiotherapists. Sampling was done by a census method. The data were collected using a demographic form and a researcher-made questionnaire of early mobility barriers of ICU patients and analyzed in SPSS software, version 18 using descriptive and inferential statistics. Results In the present study, 174 nurses, physicians, and physiotherapists answered the questionnaire, where 57.8% were female and 59.8% were single. Among the barriers to early mobility, the patient-related barriers had the lowest mean (0.411±0.108) and cultural barriers had the highest mean (0.478±0.146). Conclusion It is necessary to investigate the barriers to early mobility of patients admitted to the ICU of study hospitals, especially the cultural barriers. In this regard, there is a need to design a clinical protocol to manage and reduce these barriers.
The Relationship between Job Stress and Job Burnout among Primary Health Care Workers (Behvarz) at Saveh University of Medical Sciences
Authors:   Department of Community Health, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran., Mollaahmadi Gholamreza , Karimi Mahmood ,   Department of Basic Science, Social Determinants of Health Research Center, School of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran., Haghani Shima ,   Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Tehran, Iran., Gharacheh Maryam ,   Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Tehran, Iran.
Published: December 2023

Background & Aims Due to having multiple tasks in ensuring the health of patients, primary healthcare workers are under many stresses that may lead to job burnout. The present study aims to determine the relationship between occupational stress and job burnout of primary healthcare workers. Materials & Methods This descriptive, correlational study was conducted in 2019 on 128 primary healthcare workers in Saveh and Zarandieh cities, who were selected by a census method. Data was collected by a demographic form, the Maslach Burnout Inventory (MBI), and Spielberger’s job stress survey (JSS). Descriptive statistics were used to describe the data, and independent t-test, analysis of variance, and Pearson correlation test were used to analyze data in SPSS software, version 18. Results The mean score of JSS was 140.7±48.6, which was lower the median score (150). The mean frequency score was 23.43±8.3 for the MBI dimension of emotional exhaustion, 17±4.78 for depersonalization, and 14.43±6.74 for personal accomplishment. Occupational stress had a positive and significant relationship with the frequency of emotional exhaustion (r=0.59, P<0.001) and depersonalization (r=0.22, P<0.001), and a negative and significant relationship with the frequency of personal accomplishment (r=-0.47, P<0.001). This indicates that with the increase of occupational stress, the frequency of job burnout in two dimensions of emotional exhaustion and depersonalization increases, while the frequency of personal accomplishment decreases. Conclusion Primary healthcare workers in the study region have moderate occupational stress and a high level of job burnout in the areas of depersonalization and personal accomplishment. Considering the high level of job burnout and its relationship with occupational stress in these healthcare workers, and the fact that these factors can have a negative impact on the quality of healthcare services, it is necessary to carry out necessary interventions to reduce and manage occupational stress and job burnout of primary healthcare workers.
Incentives and Barriers to Receiving Prenatal Care Services in Zahedan, Iran: A Qualitative Study
Authors:   Department of Public Health, Faculty of Health, Zahedan University of Medical Sciences, Zahedan, Iran., Sheybany Sadr Maryam , Seraji Maryam ,   Department of Health Education and Health Promotion, Health Promotion Research Center, Faculty of Health, Zahedan University of Medical Sciences, Zahedan, Iran., Abbasi Mohammadhadi ,   Department of Health Education and Health Promotion, Health Promotion Research Center, Faculty of Health, Zahedan University of Medical Sciences, Zahedan, Iran.
Published: December 2023

Background & Aims Providing adequate prenatal care for women can help maintain or improve the health of the mother and fetus. This study aims to identify the incentives and barriers to receiving prenatal care in Zahedan, southeast Iran. Materials & Methods This is a qualitative study using a conventional content analysis approach. Participants were 26 people, including 8 healthcare workers and 18 pregnant women referred to the healthcare centers in 2022 in Zahedan. They were selected by a purposive sampling method and underwent semi-structured in-depth interviews, which continued until the data saturation. Content analysis was carried out along with assessing the validity and reliability of data using Graneheim and Lundman’s four criteria (credibility, dependability, transferability, and confirmability). Results After analysis, 504 codes were obtained, which were reduced to 215 codes, from which 19 sub-categories, 6 sub-themes, and 2 themes of prenatal care barriers and incentives. Conclusion Policymakers and authorities in Zahedan should pay attention to the incentives and barriers to receiving prenatal care identified in this study for developing plans to improve the health of pregnant women in this area.