bluuebunny/crossref_metadata_2025 huggingface dataset:
A Digital Box and Block Test for Hand Dexterity Measurement: Instrument Validation Study
Authors: Prochaska Eveline , Ammenwerth Elske
Published: August 2023

Background

The Box and Block Test (BBT) measures unilateral gross manual dexterity and is widely used in clinical settings with a wide range of populations, including older people and clients with neurological disorders.

Objective

In this study, we present a newly developed digitized version of the BBT, called the digital BBT (dBBT). The physical design is similar to the original BBT, but the dBBT contains digital electronics that automate the test procedure, timing, and score measurement. The aim of this study is to investigate the validity and reliability of the dBBT.

Methods

We performed measurements at 2 time points for 29 healthy participants. BBT and dBBT were used at the first measurement time point, and dBBT was used again at the second measurement time point. Concurrent validity was assessed using the correlation between BBT and dBBT, the paired t test, and the Bland-Altman analysis. Test-retest reliability and interrater reliability were examined using the interclass correlation coefficient (ICC) by repeated measures with the dBBT within an interval of 10 days.

Results

Our results showed moderate concurrent validity (r=0.48, P=.008), moderate test-retest reliability (ICC 0.72, P<.001), a standard error of measurement of 3.1 blocks, and the smallest detectable change at a 95% CI of 8.5 blocks. Interrater reliability was moderate with an ICC of 0.67 (P=.02). The Bland-Altman analysis showed sufficient accuracy of the dBBT in comparison with the conventional BBT.

Conclusions

The dBBT can contribute to objectifying the measurement of gross hand dexterity without losing its important characteristics and is simple to implement.
Design and Evaluation of the Patient Screening Questionnaire with ‎the aim of Increasing Adherence‏ ‏‎(PSQ_IA) based on the Elaboration ‎Likelihood Model: Approach Leveraging Behavior Change ‎TechniquesNowadays, the use of applications in the self-management of chronic diseases is emphasized. ‎Adherence to self-management behavior can be increased by personalizing the educational ‎content provided in the application based on behavior change techniques. According to evidence-‎based reasons, the most effective behavior change techniques were selected in preparing the ‎educational content of self-care applications, however, there was no questionnaire to screen ‎patients when entering the field of self-care application studies.‎ (Preprint)
Authors: Kheirdoust Azam , Mazaheri Habibi Mohammad Reza , Emadzadeh Ali , Jafarzadeh Esfehani Ali , Ghouchan Nezhad Noor Nia Raheleh , Eslami Saeid
Published: August 2023

BACKGROUND

Nowadays, the use of applications in the self-management of chronic diseases is emphasized. ‎Adherence to self-management behavior can be increased by personalizing the educational ‎content provided in the application based on behavior change techniques. According to evidence-‎based reasons, the most effective behavior change techniques were selected in preparing the ‎educational content of self-care applications, however, there was no questionnaire to screen ‎patients when entering the field of self-care application studies.‎

OBJECTIVE

The purpose of this study was to design and validate a questionnaire for screening patients using ‎self-management applications based on the Elaboration Likelihood Model(ELM).‎

METHODS

To create the desired questionnaire, studies on the approach of using behavior change techniques ‎to motivate and increase patients' adherence were examined, and then the Patient Screening ‎Questionnaire with the aim of Increasing Adherence (PSQ_IA) was developed based on the ‎elaboration likelihood model. The questionnaire consisted of 32 specialized questions, in two ‎descriptive sections (14 questions) and multiple choice (18 questions) based on a 5-point Likert ‎scale. The validity of the questionnaire was evaluated by 3 experts in the field of medical ‎education and reliability during a test-retest with an interval of three weeks. ‎

RESULTS

There was no significant difference in the total scores of the questionnaire between the test and ‎the retest (with an average of p=0.196). The distribution of the frequency of the main and ‎subcategories between the test and the retest was in agreement (kappa coefficient 0.00 1). In this ‎study, except for 2 cases, the CVI of the items was higher than 0.78, but because the CVR of all ‎the items was higher than 0.79, the validity of the overall content of the questionnaire and its ‎variables was confirmed.‎

CONCLUSIONS

The screening questionnaire for chronic patients at the beginning of the self-care application ‎studies based on the elaboration likelihood model had good and acceptable reliability and ‎validity. This tool is recommended for ‎screening‎ patients in order to personalize the content of ‎self-management training to increase adherence to treatment. ‎
User-centered Design of a Connected Health System for Community-dwelling Older Adults: Usability and Usefulness Evaluation (Preprint)
Authors: Chaudhry Beenish Moalla , Dasgupta Dipanwita , Chawla Nitesh V
Published: August 2023

BACKGROUND

Older adults often face technological exclusion as their needs and contexts are not considered in the design of digital tools. The user-centered design (UCD) approach, centered on the specific needs and contexts of the user, can potentially address this exclusion.

OBJECTIVE

This study aimed to use the UCD approach to develop a connected health system for community-dwelling older adults and to evaluate its usability and usefulness for the intended demographic.

METHODS

The study involved 31 older adults and two care managers in the design of the health system, comprising an older adult-facing mobile application and a care network-facing web portal. The mobile app was inspired by the self-determination theory and the system modeled the goal-oriented care paradigm. The system underwent two rounds of usability tests with older adults and one round with care managers. In each test, participants performed a set of tasks and completed the System Usability Scale (SUS).

RESULTS

Three major types of modifications were made to the mobile app based on the usability tests. These changes resulted in an increase in SUS score from 72.5 (good usability) to 87.5 (excellent usability). The care network web portal received an excellent usability rating of 92.5. A four-week beta test of the mobile app with the older adults showed that the system was user-friendly and improved their self-confidence and knowledge about goal setting.

CONCLUSIONS

The UCD approach in creating a connected health system for older adults resulted in high usability and usefulness. The study underscores the significance of considering older adults' needs and contexts in designing digital tools, providing them with a more inclusive technological environment.
Evaluating the Impact of Virtual Reality on the Behavioral and Psychological Symptoms of Dementia and Quality of Life of Inpatients With Dementia in Acute Care: Randomized Controlled Trial (VRCT) (Preprint)
Authors: Appel Lora , Appel Eva , Kisonas Erika , Lewis-Fung Samantha , Pardini Susanna , Rosenberg Jarred , Appel Julian , Smith Christopher
Published: August 2023

BACKGROUND

Virtual reality (VR) is increasingly considered a valuable therapeutic tool for people with dementia. However, rigorous studies are still needed to evaluate its impact on behavioral and psychological symptoms of dementia (BPSDs) and quality of life (QoL) across care settings.

OBJECTIVE

The primary aim of this study was to evaluate the impact of VR therapy on managing BPSDs, falls, length of stay, and QoL in inpatients with dementia admitted to an acute care hospital. The secondary aim was to evaluate the intervention’s feasibility in terms of acceptability, safety, and patient experience.

METHODS

A prospective, open-label, mixed methods, randomized controlled clinical trial was conducted between April 2019 and March 2020. A total of 69 participants (aged ≥65 years with a diagnosis of dementia and who did not meet the exclusion criteria) were randomly assigned to either the control (n=35, 51%) or VR (n=34, 49%) arm. Participants in the experimental (VR) arm were visited by a researcher and watched 360° VR films on a head-mounted display for up to 20 minutes every 1 to 3 days, whereas individuals in the control arm received standard of care. Instances of daily BPSDs and falls were collected from nurses’ daily notes. QoL was measured through semistructured interviews and the Quality of Life in Late-Stage Dementia scale. Structured observations and semistructured interviews were used to measure treatment feasibility. The primary outcomes were analyzed at a 95% significance level based on the intention-to-treat method.

RESULTS

VR therapy had a statistically significant effect on reducing aggressiveness (ie, physical aggression and loud vociferation; P=.01). Substantial impact of VR therapy was not found for other BPSDs (eg, apathy), falls, length of stay, or QoL as measured using the Quality of Life in Late-Stage Dementia scale. The average VR therapy session lasted 6.8 (SD 6.6; range 0-20) minutes, and the intervention was overall an acceptable and enjoyable experience for participants. No adverse events occurred as a result of VR therapy.

CONCLUSIONS

Immersive VR therapy appears to have an effect on aggressive behaviors in patients with dementia in acute care. Although the randomized controlled trial was stopped before reaching the intended sample size owing to COVID-19 restrictions, trends in the results are promising. We suggest conducting future trials with larger samples and, in some cases, more sensitive data collection instruments.

CLINICALTRIAL

ClinicalTrials.gov NCT03941119; https://clinicaltrials.gov/study/NCT03941119

INTERNATIONAL REGISTERED REPORT

RR2-10.2196/22406
A Hospital-Wide Open-Label Cluster Crossover Pragmatic Comparative Effectiveness Randomized Trial Comparing Normal Saline to Ringer’s Lactate: Protocol and Statistical Analysis Plan of The FLUID Trial (Preprint)
Authors: Shaw Julia F , Ouyang Yongdong , Fergusson Dean A , McArdle Tracy , Martin Claudio , Cook Deborah , Graham Ian D , Hawken Steven , McCartney Colin J L , Menon Kusum , Saginur Raphael , Seely Andrew , Stiell Ian , Fox-Robichaud Alison , English Shane , Marshall John , Thavorn Kednapa , Taljaard Monica , McIntyre Lauralyn A ,   Canadian Critical Care Trials Group
Published: August 2023

BACKGROUND

Normal saline (NS) and Ringer’s lactate (RL) are the most common crystalloids given to hospitalized patients. Despite concern about possible harm associated with NS (eg, hyperchloremic metabolic acidosis, impaired kidney function, and death), few large multicenter randomized trials focused on critically ill patients have compared these fluids. Uncertainty exists about the effects of these fluids on clinically important outcomes across all hospitalized patients.

OBJECTIVE

The FLUID trial is a pragmatic, multicenter, 2×2 cluster crossover comparative effectiveness randomized trial that aims to evaluate the effectiveness of a hospital-wide policy that stocks either NS or RL as the main crystalloid fluid in 16 hospitals across Ontario, Canada.

METHODS

All hospitalized adult and pediatric patients (anticipated sample size 144,000 patients) with an incident admission to the hospital over the course of each study period will be included. Either NS or RL will be preferentially stocked throughout the hospital for 12 weeks before crossing to the alternate fluid for the subsequent 12 weeks. The primary outcome is a composite of death and hospital readmission within 90 days of hospitalization. Secondary outcomes include death, hospital readmission, dialysis, reoperation, postoperative reintubation, length of hospital stay, emergency department visits, and discharge to a facility other than home. All outcomes will be obtained from health administrative data, eliminating the need for individual case reports. The primary analysis will use cluster-level summaries to estimate cluster-average treatment effects.

RESULTS

The statistical analysis plan has been prepared “a priori” in advance of receipt of the trial data set from ICES and any analyses.

CONCLUSIONS

We describe the protocol and statistical analysis plan for the evaluation of primary and secondary outcomes for the FLUID trial.

CLINICALTRIAL

ClinicalTrials.gov NCT04512950; https://classic.clinicaltrials.gov/ct2/show/NCT04512950

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/51783
Digital Health Tools Can Support Patient Access to Culturally and Linguistically Competent Behavioral Health Treatment (Preprint)
Authors: Berger Mitchell
Published: August 2023

UNSTRUCTURED

This letter to editor highlights a recent SAMHSA publication and notes the importance of ensuring equity considerations as digital health tools are developed.
Emilio no va a la escuela por ir a jugar al campo
Authors: Jaramillo Echeverri Luis Guillermo
Published: August 2023

El escrito es un llamado a pensar la escuela desde los contextos naturales, lugares para percibir el mundo como gozo y disfrute y no como objeto de estudio. Las ideas tienen de trasfondo teórico los principios expuestos por Jean-Jacques Rousseau en el Emilio o la Educación. Luego, se presentan tres experiencias, dos desde la literatura y una investigación, acerca de cómo los niños viven acontecimientos corpóreos que pueden enriquecer profundamente la vida en la escuela. Finalmente, se invita a reflexionar la educación como parte de la vida y no solo como centro institucional.
La educatrónica como elemento que fortalece el pensamiento científico y tecnológico en el área de tecnología e informática
Authors: Agudelo Marín Alejandra , Duque Giraldo Daniela , Isaza Marín Yudi Vanessa
Published: August 2023

Fortalecer el pensamiento científico y tecnológico en estudiantes de Educación media de la Institución Educativa Escuela Normal Superior Sagrado Corazón a través de la educatrónica. Metodología: tipología de investigación acción educativa con un enfoque cualitativo. Hallazgos: empoderamiento y apropiación de los estudiantes frente al área de tecnología e informática, proceso de reflexión sobre la práctica pedagógica de los docentes de la institución educativa. Conclusiones: la educatrónica como campo de conocimiento, aportó de manera significativa en el desarrollo del pensamiento científico y tecnológico a partir de la articulación entre la teoría y la práctica existente y necesaria en la disciplina objeto de estudio.
Comportamiento biotribológico de prototipos de implantes de la aleación Ti6Al4V fabricados por EBM y posteriormente anodizados
Authors: Ramírez Angie , Zapata Camila , Vargas Carlos , Tamayo Adrián , Baena Libia , Castaño Juan G. , Botero Carlos , Zuleta Alejandro , Bedoya Ochoa Nicolás , Quiceno Enrique , Gómez Maryory
Published: August 2023

Las articulaciones de la cadera pueden resultar dañadas por causas metabólicas (enfermedad degenerativa) o mecánicas (fractura), limitando su funcionalidad. Para restablecer el movimiento de la articulación, esta debe ser sustituida por una prótesis de cadera. En las articulaciones se producen fenómenos de lubricación, fricción y desgaste que, a su vez, suelen ser responsables del fallo de la prótesis, provocando su aflojamiento. Por tal motivo, el objetivo del presente estudio consistió en evaluar el comportamiento biotribológico de un prototipo de prótesis de cadera de Ti6Al4V manufacturado mediante fabricación aditiva por haz de electrones (EBM) y posteriormente modificado superficialmente mediante anodizado. Una vez obtenido el prototipo, se pulieron algunas muestras para realizar ensayos biotribológicos y otras para anodizarlas. Las pruebas biotribológicas se realizaron en un tribómetro de esfera sobre disco utilizando contracuerpos de alúmina de 6 mm de diámetro, empleando una carga de 5 N y velocidades de 30, 50 y 70 rpm. Se obtuvieron huellas de desgaste de 2 mm de diámetro, utilizando como medio un fluido corporal simulado (SBF) a una temperatura de 37 °C. El proceso EBM incrementó la dureza de la aleación Ti6Al4V respecto al proceso de forja convencional. Las muestras fabricadas por EBM, y posteriormente anodizadas, revelaron los valores más altos de coeficientes de fricción, mientras que las muestras fabricadas por forja y EBM indicaron coeficientes de fricción similares para todas las velocidades estudiadas. Adicionalmente, las muestras fabricadas por EBM, y después anodizadas, señalaron la menor tasa de desgaste, seguidas por las muestras fabricadas por EBM, mientras que las muestras fabricadas por forja evidenciaron la mayor tasa de desgaste. Igualmente, se encontró abrasión como principal mecanismo de desgaste en todas las condiciones evaluadas en las pruebas biotribológicas. Con la velocidad de 30 rpm se obtuvieron las menores tasas de desgaste para la aleación de Ti6Al4V con los diferentes procesos de fabricación; con esta misma velocidad se obtuvieron las mayores tasas de desgaste de los contracuerpos de todos los pares biotribológicos.
Editorial
Authors: Philip Susan
Published: August 2023

This editorial discusses issues with nationalism.
Gwee Li Sui, This Floating World. Singapore: Landmark Books, 2021.232pp. ISBN 978-981-14-8561-9
Authors: Zainal Zainor Izat
Published: August 2023

None
Organizational behavior and transformational leadership
Authors: Abu-Mahfouz Shatha Suleiman
Published: August 2023

The book "Organizational behavior and transformational leadership" presents the construction of an inductive model, called the employee-directed transformational leadership model (EDTLM), which theoretically implied relationships among transformational leadership, human resource practices, employee commitment, and employee performance. It also introduces the HRM practices, transformational leadership, employee commitment, and employee performance discourse in six chapters covering its definitions, practices, theories, dimensions, importance, analysis, and results. The book could be used to guide the management team of construction companies to focus on the interrelationships among EDTLM constructs, their variables, and values to improve employee performance. The book is suitable for use by students in various fields of study, academics, researchers, managers, and policymakers alike
Performance evaluation of Machine Learning models to predict heart attack
Authors: Khan Majid , Husnain Ghassan , Ahmad Waqas , Shaukat Zain , Jan Latif , Ul Haq Ihtisham , Ul Islam Shahab , Ishtiaq Atif
Published: August 2023

Coronary Artery Disease is the type of cardiovascular disease (CVD) that happens when the blood vessels which stream the blood toward the heart, either become tapered or blocked. Of this, the heart is incapable to push sufficient blood to encounter its requirements. This would lead to angina (chest pain). CVDs are the leading cause of mortality worldwide. According to WHO, in the year 2019 17.9 million people deceased from CVD. Machine Learning is a type of artificial intelligence that uses algorithms to help analyse large datasets more efficiently. It can be used in medical research to help process large amounts of data quickly, such as patient records or medical images. By using Machine Learning techniques and methods, scientists can automate the analysis of complex and large datasets to gain deeper insights into the data. Machine Learning is a type of technology that helps with gathering data and understanding patterns. Recently, researchers in the healthcare industry have been using Machine Learning techniques to assist with diagnosing heart-related diseases. This means that the professionals involved in the diagnosis process can use Machine Learning to help them figure out what is wrong with a patient and provide appropriate treatment. This paper evaluates different machine learning models performances. The Supervised Learning algorithms are used commonly in Machine Learning which means that the training is done using labelled data, belonging to a particular classification. Such classification methods like Random Forest, Decision Tree, K-Nearest Neighbour, XGBoost algorithm, Naive Bayes, and Support Vector Machine will be used to assess the cardiovascular disease by Machine Learning.
Typha latifolia resilience to high metal stress: Antioxidant response in plants from mine and flotation tailing ponds
Authors: Grdovic Isidor , Kovacevic Milijana , Andrejic Gordana , Dzeletovic Zeljko , Rakic Tamara
Published: August 2023

Typha latifolia (cattail) forms natural stands in the transition zone of artificial flotation and mine tailings ponds and is contaminated with extremely high concentrations of metals. We assessed the absorption capacity of the plant, metal transfer to leaves, and the effects of elevated metal concentrations on antioxidant enzyme activities. Soil acidity, the pseudototal and available metal content of the substrate, and metal concentrations in plants were examined. The effects of elevated metal concentrations in plants on antioxidant enzyme activities (superoxide dismutase, catalase, ascorbate peroxidase, guaiacol peroxidase, glutathione reductase) were assessed. Cattails exhibited high metal accumulation levels in roots and a low transfer rate to the leaves. The effects of metal concentrations on antioxidant enzyme activities were found to depend on the type of enzyme, metal concentrations in the plant and their molar ratios, as well as on the pH of the substrate. High activities of antioxidant enzymes indicate increased generation of reactive oxygen species (ROS) and show that metal detoxification mechanisms are insufficient to restrain their toxicity. Pronounced resistance to elevated metal concentrations and high efficiency in metal phytostabilization show that cattail could be a valuable component of biological treatment systems for removing metals from multi-metal and heavily contaminated substrates in the pH range from ultra-acidic to neutral.
Electrical conductivity of GdCl3-LiCl and GdCl3-LiCl-Gd2O3 molten systems
Authors: Nikolaeva Elena , Zakiryanova Irina , Bovet Andrey , Korzun Iraida
Published: August 2023

The electrical conductivity of LiCl?GdCl3 molten systems with the gadolinium chloride additions ranging from 0 to 23 mol % was measured depending on both the temperature and concentration of GdCl3. The molar conductivity of the molten GdCl3?LiCl system is calculated taking into account the assumption of additivity of the molar volume of the mixture. The obtained temperature dependencies can be approximated by Arrhenius-type equation. The effective activation energy, Ea, increased with the GdCl3 content. The liquidus temperatures of the studied systems were determined by differential scanning calorimetry. The high-temperature Raman spectra of LiCl?GdCl3 chloride melts were recorded. In addition, the conductivity of 0.77LiCl?0.23GdCl3 molten system with 1 mol % of Gd2O3 was measured. The investigation demonstrates that the addition of gadolinium oxide results in a decrease of the conductivity of the chloride molten system and growth of its liquidus temperature
The relationship of attachment styles, perceived social support, and anxiety and depressive symptoms with migraine-related disability
Authors: Köroğlu Emre , Köroğlu Rukiye , Sayar Kemal , Topçuoğlu Volkan , Tanrıdağ Tülin
Published: August 2023

Although social anxiety disorder (SAD) is widespread and associated with significant distress, its etiology is not yet fully explored. We aimed to examine how metacognitions and mindfulness interact with SAD symptoms. 531 college students were enrolled in this study. Participants completed the Liebowitz Social Anxiety Scale (LSAS), the Metacognition Questionnaire-30 (MCQ-30), and the Five-Facet Mindfulness Questionnaire (FFMQ). A path analysis was run to explore the associations between test variables. A positive correlation was found between metacognition and SAD symptoms, while mindfulness negatively correlated with SAD symptoms and metacognition. In the established path model, metacognition had an indirect effect on SAD symptoms, which is partially mediated by mindfulness. Our findings imply that metacognitions and mindfulness may influence SAD symptoms among young adults. Mindfulness seems to have a prominent role in regulating metacognition?s effects on SAD symptoms. Therefore, interventions that accurately target these factors may alleviate the symptoms of this debilitating psychological disturbance.
An Integrated Map of Cell Type–Specific Gene Expression in Pancreatic Islets
Authors: Elgamal Ruth M. , Kudtarkar Parul , Melton Rebecca L. , Mummey Hannah M. , Benaglio Paola , Okino Mei-Lin , Gaulton Kyle J.
Published: August 2023

Pancreatic islets consist of multiple cell types that produce hormones required for glucose homeostasis, and islet dysfunction is a major factor in type 1 and type 2 diabetes. Numerous studies have assessed transcription across individual cell types using single-cell assays; however, there is no canonical reference of gene expression in islet cell types that is also easily accessible for researchers to query and use in bioinformatics pipelines. Here we present an integrated map of islet cell type–specific gene expression from 192,203 cells from single-cell RNA sequencing of 65 donors without diabetes, donors who were type 1 diabetes autoantibody positive, donors with type 1 diabetes, and donors with type 2 diabetes from the Human Pancreas Analysis Program. We identified 10 distinct cell types, annotated subpopulations of several cell types, and defined cell type–specific marker genes. We tested differential expression within each cell type across disease states and identified 1,701 genes with significant changes in expression, with most changes observed in β-cells from donors with type 1 diabetes. To facilitate user interaction, we provide several single-cell visualization and reference mapping tools, as well as the open-access analytical pipelines used to create this reference. The results will serve as a valuable resource to investigators studying islet biology.

Article Highlights
Comparação do perfil epidemiológico de pacientes com neoplasias cutâneas malignas não melanoma atendidos em ambulatório no interior de São Paulo
Authors: Portella Decio Luís , Trauzola Thaissa Regagnin , Razuck Cinthia Nardy Paula
Published: August 2023

Introdução: os tumores cutâneos estão inseridos entre os mais incidentes e prevalentes no Brasil. Os tumores cutâneos podem ser divididos em melanoma e não melanoma. O não melanoma é composto principalmente pelo carcinoma espinocelular ou epidermoide (CEC) e pelo basocelular (CBC). Esses tumores geram grande morbidade devido à destruição tecidual adjacente. As opções de tratamento podem ser cirúrgicas ou não cirúrgicas. A identificação e apresentação de dados estatísticos poderão servir de referência para estudos epidemiológicos, auxiliar na adoção de políticas públicas envolvidas na prevenção primária e secundária bem como possibilitar uma melhor provisão de recursos necessários para uma assistência adequada. Objetivos: identificar o perfil epidemiológico dos pacientes com tumores cutâneos malignos, descrever a prevalência dos não melanoma, avaliar a margem cirúrgica e comparar os achados do perfil epidemiológico com a literatura. Métodos: estudo observacional, longitudinal e retrospectivo de pacientes submetidos à ressecção de lesões suspeitas em ambulatório no interior de São Paulo. Resultados: foram identificadas 774 lesões em 748 pacientes, com média de idade de 65,7 anos, predominância (53,1%) do gênero masculino e faixa etária superior a 60 anos (74,2%). O segmento mais acometido foi cabeça e pescoço (74,7%), sendo que 74,0% dos tumores eram constituídos por CBC e 26,0% por CEC. Após a excisão, 96,0% informaram margens livres e 4,0% registraram comprometimento. Constatamos associação estatisticamente significante entre gênero feminino e presença de lesões < 5 mm, com razão de 9:1 em relação ao gênero masculino. Conclusão: as margens livres indicam eficácia terapêutica da excisão cirúrgica simples. A adoção de...
Tendências da mortalidade materna
Authors: Machado Michael Ferreira , Moraes Bruno Quintela Souza de , Correia Daniel Martins , Bispo James Romero Soares
Published: August 2023

Objetivos: analisar o perfil epidemiológico e a tendência dos óbitos maternos ocorridos no Brasil no Nordeste brasileiro e em Alagoas, entre os anos de 2012 e 2019. Métodos: os dados foram obtidos por meio do Departamento de Informática do Sistema Único de Saúde (SUS), Instituto Brasileiro de Geografia e Estatística (IBGE) e Sistema de Informação sobre Mortalidade (SIM) do Ministério da Saúde, sendo utilizados uma variável independente, o ano e três dependentes: a taxa de mortalidade materna, raça/cor da mulher, faixa etária. Para a análise dos dados foi utilizado o programa Joinpoint Regression, versão 4.1.1. Resultados: os números nacionais e da região Nordeste coincidem com aumento entre Mulheres em Idade Fértil (MIF) entre 40-49 anos. Entretanto, no Nordeste, quanto às causas presumíveis, houve um aumento nas raças/cores preta e indígena. Quanto aos óbitos maternos definidos tanto Nordeste quanto Brasil apresentaram tendência de aumento entre raça/cor parda. Em Alagoas houve tendência de crescimento entre MIF na faixa etária de 40 a 49 anos e raça/cor ignorada. Nas mortes sem causa presumível, destaca-se uma tendência crescente no grupo entre 40 e 49 anos e raça/cor ignorada. Houve crescimento nos óbitos maternos declarados entre a raça/cor indígena, aumentando também quando se levou em consideração causas obstétricas diretas e abortos. Conclusões: esse agravo permanece como um problema de saúde pública e atinge principalmente grupos em maior vulnerabilidade, sendo essencial a quebra de barreiras sociais de acesso ao serviço de saúde de qualidade e investimento em medidas voltadas à melhoria de condições de vida.
Glomerulopatia por IgA com crescentes fibrocelulares e associada à psoríase
Authors: Rebelo Rafael Naufel de Sá , Sano Rafael Yuri , Oliveira Nathália Figueiredo de , Alves Maria Almerinda Vieira Fernandes Ribeiro , Araújo Sérgio Ricardo Rocha de , D'Ávila Ronaldo
Published: August 2023

Alguns estudos têm demonstrado uma ligação entre glomerulonefrite por IgA e psoríase e/ou uso de drogas anti-TNF. Descrevemos o caso de um paciente com artrite psoriática, em uso de anti-TNF por quatro anos, que apresentou nefropatia por IgA agravada por crescentes na biópsia renal e insuficiência renal necessitando de hemodiálise. Após a realização de terapia com metilprednisolona IV e três meses de corticoide oral, houve melhora significativa na função renal e proteinúria. O tratamento de diálise foi interrompido e tratamentos com SGLT-2 inibidores foram iniciados.
The top-down strategies in an EFL class of the vocational high school: an experimental study on enhancing students’ listening comprehension skills
Authors: Larandang Badrun , Thamrin Nur Sehang , Naniwarsih Andi , Omolu Fikriani Aminun , Nadrun Nadrun
Published: August 2023

Despite numerous studies emphasizing the benefits of using background knowledge and vocabulary in EFL listening courses, there is a lack of rationale for implementing top-down strategies that holistically integrate prior knowledge, vocabulary enhancement, and self-assessment. In order to address the issues, this study aimed to investigate the effectiveness of the teacher's top-down strategies in improving students' listening skills. Therefore, we utilized pre-experimental research, particularly a one-group pretest-posttest design, to ascertain the strategies’ effectiveness. Twenty-one participants in this study were selected randomly. We used paired sample T-test with SPSS software to figure out if there was a statistically significant difference between the pretest and post-test scores after repeated intervention encounters. The statistical analysis showed that the average post-test score (M= 77.8571) was considerably higher than the average pretest score (M= 63.5714). The findings indicated that the students’ listening proficiency improved after being addressed with top-down strategies. This finding suggests that the teacher’s top-down approach helps students raise their listening comprehension skills. The study's results call for using top-down strategies to stimulate students' listening comprehension, to learn more effectively, and increase their listening consciousness.
Quality Management in Times of Pandemic Case Study of S.R.A, a Freight Transportation Company
Authors: Dos Reis Felipa Lopes , Fernandes Dário , Casado Gonçalo
Published: August 2023

This study analyzes the quality of SRA LDA, a Portuguese company that provides automotive parts and transportation services and operates exclusively at the AutoEuropa factory. Despite the significant impact on the logistics sector, the company has managed to maintain its workforce and vehicle fleet while adjusting schedules and services to meet new social distancing measures and changes in product demand. SRA's ability to maintain its services is a sign of its adaptability to any obstacles that arise. The company is committed to ensuring that its employees feel valued in their respective roles, thereby fostering a positive work environment, which is key to success. Companies like SRA have been and continue to be important in ensuring the continuity of operations for other companies, such as AutoEuropa, which is a major supplier of Volkswagen cars in the European market. In conclusion, the analysis of SRA LDA's quality highlights a company that stands out for providing automotive parts and transportation services with a focus on customer satisfaction and maintaining a responsible and dynamic team.
psychological effects of the Coronavirus Disease 2019 (COVID-19) pandemic on students at a University of Technology in KwaZulu-Natal
Authors: Masuku Andile Samkele , Sibiya Maureen Nokuthula , Hlengwa Reggiswindis Thobile , Haniff Naseem
Published: August 2023

Students across the world have been severely affected by the inevitable decision made by higher learning institutions to shut down as a response to the Coronavirus pandemic. The closure of universities affects all students and having far-reaching economic and psychosocial impacts, especially for those students who come from less fortunate backgrounds. This may have caused psychological distress among students. Many students are not coping very well as the learning resources that they could access on campus are now unavailable. This brings about the challenges of finding alternative learning platforms during this difficult period. The objective of this study was to investigate the psychological effects of COVID-19 on students at a University of Technology. A quantitative, cross-sectional approach and online survey questionnaires were used to collect data from the respondents. The results revealed that several students have been affected by the COVID-19 pandemic and they are struggling to cope, both mentally and academically. The COVID-19 pandemic has negatively impacted several students psychologically. Students are apprehensive and anxious about the future of their studies. There is a need for the development of strategies that will assist students to deal with the effects of the COVID-19 pandemic on their mental health
Peer helpers at the forefront of mental health promotion at Nelson Mandela University: Insights gained during Covid-19
Authors: McConney Angelique
Published: August 2023

Student counselling centres are struggling to meet the demand for mental health services, which has intensified in recent years. The increased need for mental health services often needs to be managed with limited resources, posing numerous challenges to addressing the demand for mental health support. This challenge calls for innovative ways to address the mental health needs of students and optimise the limited resources available. During the Covid-19 pandemic the peer helpers at Emthonjeni Student Wellness at Nelson Mandela University, in collaboration with the programme coordinator, introduced innovative psycho-educational workshops, virtually, to support students. In reflecting on our journey, we realise our peer helpers were at the forefront of mental health prevention initiatives at a time when many of our students were in dire need of support. The content discussed in the workshops offered valuable insights and tips and these tips could be applied, by participating students, before their mental health deteriorated. These peer-led initiatives expanded our reach and capacity during a period of great stress brought by the Covid-19 pandemic, and they will continue to do so beyond the pandemic. This reflective paper shares the details of our virtual workshops and the insights gained from the process.
Borges y la transformación de la escritura: “Yo no he vivido, quiero ser otros” de Hušang Golširí
Authors: Martínez Milantchi José Darío
Published: August 2023

Hušang Golširí se ha considerado uno de los autores iraníes más importantes del siglo XX. Su empleo simultáneo de técnicas vanguardistas y argumentos socialmente polémicos caracterizan una obra que rechaza tajantemente el realismo sin nunca alejarse de la realidad. Aquí se presenta la primera traducción al español de su ensayo “Yo no he vivido, quiero ser otros”, donde discute su apreciación del escritor argentino Jorge Luis Borges.
Los refugiados palestinos y la UNRWA: encuentros y desencuentros de una relación compleja
Authors: Espín Ocampo Julieta
Published: August 2023

El presente artículo analiza los principales factores condicionantes de la relación entre la UNRWA y los refugiados palestinos, marcada desde sus inicios por la desconfianza de éstos respecto a las intenciones últimas (el asentamiento definitivo en los lugares de acogida) de la agencia y sus donantes, así como por el reclamo palestino de que ésta permanezca hasta que el derecho al retorno se ejerza. La dedicación exclusiva de esta organización a favor de la mayoría del pueblo palestino, su permanencia como garante de su condición de refugiados y el que prácticamente la totalidad de sus 30 000 empleados sean también refugiados condicionan una relación estratégica para una de las cuestiones más sensibles del conflicto árabe-israelí: el presente y futuro de esta comunidad en el exilio.
Dome trochleoplasty for correction of patella alta and patella luxation in dogs > 20 kg
Authors: Ericksen Timothy D. , Stobie Daniel , Culbert Laura , Valenzano Dominick , Bogart Daniel F.
Published: August 2023

OBJECTIVE

To describe the dome trochleoplasty procedure and report the short-term outcomes and complications associated with a novel technique to correct patellar luxation and patella alta.

ANIMALS

13 dogs (16 stifle joints) diagnosed with medial patellar luxation with concurrent patella alta in dogs > 20 kg.

CLINICAL PRESENTATION

Medical records of dogs weighing > 20 kg that underwent a dome trochleoplasty for correction of a medial luxating patella were prospectively evaluated. The procedure described involves an osteotomy of the femoral trochlea, which is then translated and/or rotated to correct patellar luxation. Clinical results were assessed using subjective lameness scoring, radiographic evaluation, and the Canine Brief Pain Inventory (CBPI) tool.

RESULTS

16 stifle joints were included in this study. The overall complication rate was 50%. Major complications occurred in 43.8% of stifle joints due to pin migration and recurrent luxation of the patella. One dog experienced a catastrophic complication 4 months postoperatively. Uncomplicated osteotomy healing was present in 94% of dogs. The median initial lameness score was 2 (mean, 1.81; range, 0 to 4) and at the final recheck was 0 (mean, 0.31; range, 0 to 2). The CBPI scores were available for 50% of stifle joints. The median initial CBPI score was 45.5 (mean, 48.8; range, 32 to 74) and at the final recheck was 17.5 (mean, 20.5; range, 0 to 43).

CLINICAL RELEVANCE

The dome trochleoplasty procedure offers an alternative technique for surgical correction of patellar luxation secondary to patella alta in large-breed dogs, but due to its higher complication and reluxation rates, it should be used cautiously and probably in combination with other corrective procedures, such as tibial tuberosity transposition, soft tissue imbrication, and/or soft tissue release rather than as a stand-alone procedure.
HUBUNGAN PENGETAHUAN WUS TENTANG KANKER PAYUDARA DENGAN PERILAKU SADARI
Authors: Auliana Nisfi Laeli , Utami Tin , Haniyah Siti
Published: August 2023

Breast cancer is a malignancy found in breast tissue in cells originating from its glandular components, namely the epithelium and its lobules and components other than glands, namely the innervation of breast tissue, blood vessels and fat tissue. According to the World Health Organization (WHO) in 2020 globally there are 2,3 million women diagnosed with breast cancer and 685.000 deaths. One of the efforts to prevent and control breast cancer is to do breast self-examination behavior (BSE). This study aims to determine the relationship between WUS knowledge about breast cancer and BSE in Desa Karangpucung. This research method is correlational descriptive with cross sectional approach with sampling purposive sampling technique. The number of samples in this research were 97 respondents. Data analysis using Spearman rank test. Collecting data using a breast cancer knowledge questionnaire and BSE behavior. The results showed that there was correlation of knowledge of childbearing age women on breast cancer and BSE with a p-value = 0,000 (p<0,05) with correlation coefficient value = 0,574.
PENGARUH TERAPI MUSIK PANTING TERHADAP KECEMASAN PASIEN DI RUANG ICCU RSUD ULIN BANJARMASIN
Authors: Setyawan Imam , Nasution Tina Handayani , Pertiwiwati Endang , Hafifah Ifa
Published: August 2023

ICCU patients often experience psychiatric problems, one of which is anxiety. Anxiety in ICCU patients results in changes in coping patterns for their heart disease. One effort to reduce anxiety is important music therapy which can provide a relaxing effect. The research objective was to determine the effect of panting music therapy on patient anxiety in the ICCU room at Ulin Hospital, Banjarmasin. This research is a quantitative type of quasiexperimental method with a one-group pre-posttest design. The research sample was 30 ICCU patients who were selected using a non-probability technique, namely consecutive sampling. The effect of panting music therapy on patient anxiety was analyzed using the Wilcoxon test. The results showed that in the pre-test the majority of respondents experienced mild anxiety, 18 (60%) people and the results of the post-test, the majority of respondents did not experience anxiety, 15 (50%) people. The Wilcoxon test showed p-value of 0,000 with an error rate of 5%. The conclusion in this study is that there is an effect of panting music therapy on patient anxiety in the ICCU room at Ulin Hospital, Banjarmasin. Panting music therapy has a slow rhythm that produces a feeling of relaxation and reduces symptoms in patients experiencing anxiety.
HUBUNGAN ANTARA DUKUNGAN KELUARGA DENGAN UPAYA PREVENTIF KEJADIAN HIPERTENSI PADA LANSIA
Authors: Arbianto Wahyu Adi , Adriani Prasanti , Novitasari Dwi
Published: August 2023

Elderly is defined as a person who is over 60 years of age. Elder is someone who is more than 60 years old. Hipertensi often terjadi without any symptoms. This condition make a bigger the risk of stroke, heart Ace and kidney there are several things that are needed by people with hipertention such as support from the family whichis provide in the form of material, information, advice and real assistance. The purpose of this research to analyze the relationship between family support and preventive measures against the incidence of hypertension in the elderly in the South Purwokerto Health Center area. This type of research is quantitative with descriptive design and cross sectional approach. The population in this study were elderly 60 years old and over in the working area of ??the Puskesmas south Purwokerto with a total of 209 people, using purposive sampling technique and setting the Slovin formula so that the number of samples in this study was 137 respondents. The instrument used is a questionnaire using a Likert scale about family support and prevention of hypertension. The data analysis used was univariate analysis in the form of age, gender, education level, family support, and bivariate analysis using the Sperman-Rank test. The results obtained p-value (0,0001) and Rho value (0,391) which means there is a relationship between family support and prevention of hypertension.
Stages of development and convergence of bookkeeping and tax accounting in Turkey
Authors: ZHIL'TSOVA Yuliya V.
Published: August 2023

Subject. This article examines the organization of bookkeeping and tax accounting in Turkey at the present stage and analyzes the stages of development of national institutions for these types of accounting.
Objectives. The article aims to determine Turkey's position in the world according to a number of macroeconomic indicators and establish a development trend, identify the peculiarities of the taxation system in Turkey, systematize the various stages of taxation, conduct a retrospective analysis of the development of national accounting to date, and determine the differences between audit and the unique institution of sworn tax consultants based on the current regulatory framework of the Republic of Turkey.
Methods. For the study, I used a post-hoc analysis, and general scientific and particular cognition methods.
Results. The article describes the peculiarities of the Turkish tax system, highlights significant milestones in the development of taxation up to the present time, analyzes the development of accounting methods and the current state. The article also defines a stable trend of orientation towards European models, which does not exclude the presence of certain elements of the Islamic model mainly in the banking sector of the economy.
Conclusions and Relevance. Turkey's tax system is highly sensitive to advanced European tax methods, which is still combined with the predominance of an Islamic world view based on Sharia law. Currently, the Turkish tax system is focused on European norms, primarily German ones, and the tax burden is defined as low according to the presented world ranking. The developed conclusions and proposals can be applied both in scientific and practical activities in the field of economics and financial law, as well as by educational institutions of higher education.
The possibility of accelerating economic growth and structural modernization in the energy sector in the face of sanctions. Part 2
Authors: SHIMKO Oleg V.
Published: August 2023

Subject. This article discusses the issues of development of the strategic planning system at the federal and regional levels in Russia. Objectives. The article aims to analyze the interrelations of the documents of the strategic planning system and determine the ways of transformation of the energy sector in the context of economic sanctions. Methods. For the study, I used the general scientific research methods. Results. The article finds that in the legislation on strategic planning, there are no strict requirements for the communication mechanism, which should ensure the interaction of various documents. The integration of strategic planning documents into a system is of a formal nature, which does not contribute to overcoming the consequences of the introduction of new direct and indirect sanctions against the energy sector. Conclusions. It is necessary to transform the current system of strategic planning in Russia.