bluuebunny/crossref_metadata_2025 huggingface dataset:
DEPTH ASSESSMENT USING CONTRALATERAL OBLIQUE VIEW DURING CERVICAL INTERLAMINAR EPIDURAL STEROID INJECTIONS
Authors: Helm Eric
Published: May 2021

Background: Recent literature has demonstrated
that the contralateral oblique (CLO) view
provides a more reliable angle in determining
needle depth when compared to the lateral view
during cervical interlaminar injections. Despite
the utilization of CLO safety views, contrast patterns,
and loss-of-resistance techniques, inherent
risk of injury still remains. Additional safety
measures must be assessed to provide clinicians
with further safeguards to prevent procedural
complications.
Objective: The purpose of our study is to provide
a reliable method of gauging needle depth
insertion during cervical interlaminar injections
by comparing the distance from the skin to the
epidural space when measured on magnetic
resonance imaging (MRI) and when measured
intraoperatively.
Methods: The study sample included 45 patients
with cervical radiculopathy or cervical spinal stenosis.
The distance from the skin to the epidural
space was measured on cervical spine MRI and
with the spinal needle intraoperatively. Primary
analysis included the correlation between these
distances, and whether differences in depth were
influenced by injection level, needle tip location,
or body mass index (BMI).
Results: A significant correlation (r = .975, P <
.001) with an average difference of .03 mm (standard
deviation, 2.99 mm) was found between MRI
and procedural measurements. Neither injection
level nor BMI had a significant influence on the
difference in depth.
Conclusion: When combined with traditional safety
techniques, obtaining preprocedural MRI depth
measurements can provide a reliable method in
predicting the true needle depth to safely enter the
epidural space. Because the majority of patients
undergoing interlaminar cervical epidural steroid
injections will have already obtained MRI, measuring
the distance preprocedurally is a simple
and practical method for physicians to implement.
Key words: Cervical, fluoroscopy, radiculopathy,
injection, contra-lateral oblique, contrast,
safety, complications, spinal stenosis, radiation,
interlaminar
Superior Hypogastric Plexus Block for Chronic Pelvic Pain Through
an S1 Transforaminal Approach: A Case Report
Authors: Sykes Zahra
Published: May 2021

Chronic prostatitis/chronic pelvic pain syndrome
(CPPS) is a debilitating syndrome commonly
seen in men under the age of 50 years, which
greatly impacts the quality of life. The treatment
is challenging, which often requires a multimodal
management approach. The superior hypogastric
plexus is located anterior to L5 and S1 vertebral
bodies in the retroperitoneal space and contains
afferent pain fibers from most of the pelvic
structures. Performing a superior hypogastric
plexus block (SHPB) can potentially alleviate
pain originating from various pelvic regions and
structures. It is currently a viable therapy for many
syndromes including endometriosis, interstitial
cystitis, irritable bowel syndrome, and pain after
pelvic surgery.
In this case report, we present a patient who had
chronic pelvic pain with a poor response to conservative
management. Initially, attempts at an
SHPB from the classic posterolateral approach
were unsuccessful. This technique for performing
this block can prove difficult due to vasculature
variability or anatomic barriers, such as the iliac
crest and transverse process of the fifth lumbar
vertebrae. Thus, a left S1 transforaminal approach
was used to block the plexus. This provided the
patient with one month of near 100% pain relief,
with gradual return to baseline thereafter.
CPPS poses unique treatment challenges.
Although often treated conservatively, SHPB
is a valid treatment option for those who fail to
respond adequately to other modalities. An S1
transforaminal approach is a novel and valuable
alternative technique for SHPB in patients with
compromising anatomy.
Key words: Chronic prostatitis, chronic pelvic
pain, superior hypogastric plexus, superior hypogastric
plexus block, pelvic trauma, pelvic pain
in men
Radiofrequency Mapping Prior to Dorsal Root Ganglion
Stimulation in a Patient with CRPS and Transitional Vertebral
Anatomy: A Case Report
Authors: Guzman Loren S.
Published: May 2021

Dorsal root ganglion (DRG) stimulation is an effective
treatment for chronic, refractory complex
regional pain syndrome (CRPS). Routinely, the
placement of a DRG stimulator lead is based
on established anatomical knowledge of dermatomes.
In patients with lumbosacral transitional
vertebral anatomy, dermatome maps are not
dependable due to dermatomal variance. This
can make correct placement of stimulator leads
challenging as the supposed target may not actually
be responsible for sensing the painful area.
We present a case of a 60-year-old woman with
CRPS and lumbarization of the S1 vertebral body
(presence of 6 lumbar vertebrae and 4 sacral
vertebrae) who failed a DRG stimulator trial after
using conventional dermatome maps to identify
target DRGs assuming that the nerve exiting below
L6 corresponded to the S1 dermatome. Following
the failed trial, sensory stimulation of the DRG via
radiofrequency stimulation was used to accurately
map dermatomes leading to a successful DRG
stimulation implant at a DRG level that differed
from expected based on traditional dermatome
maps. Thus, DRG stimulation may guide decisionmaking
in regard to target stimulation in patients
with abnormal vertebral anatomy.
Key words: Dorsal root ganglion stimulation,
dermatome mapping, radiofrequency stimulation,
spinal anomaly, lumbosacral transitional vertebrae,
complex regional pain syndrome, neuromodulation,
dermatomal variance
Management of Pulmonary Emboli
During a Spinal Cord Stimulator
Trial: A Case Report
Authors: Rimmalapudi Varun
Published: May 2021

Background: Neuromodulation has been used in the management of chronic pain for well over 30 years and is becoming
increasingly relevant in the face of the ongoing opioid epidemic. Although this therapy continues to
provide pain relief and improvement in function to patients with a wide variety of pathologies, several
complications have been described ranging from lead migration to development of a granuloma causing
cord compression. Although not described in the literature, a pulmonary embolism can be one of the
rare complications of a spinal cord stimulation procedure, and when it happens during the trial period of
spinal cord stimulation, it involves significant challenges in the clinical management of anticoagulation
in the patient.
Case Report: We present a case in which a patient developed bilateral pulmonary emboli (PE) during the trial phase of
spinal cord stimulation. The patient did have a prior history of PE, had an inferior vena cava filter in place,
and was on anticoagulation, which was held as per the current American Society of Regional Anesthesia
guidelines prior to the spinal cord stimulator (SCS) trial.
Conclusion: A pulmonary embolus is a possible complication from an SCS trial, especially in patients with preexisting
thromboembolic risk factors. Management must involve multidisciplinary care focused on balancing the
risks of thrombosis with those from a potential epidural hematoma at the time of lead removal.
Key words: Spinal cord stimulation, pulmonary embolus, spinal cord stimulator complications, neuromodulation,
venous thromboembolism, SCS trial, VTE, PE
Uterine Prolapse Following a
Transforaminal Epidural Steroid
Injection: A Case Report
Authors: Erosa Samantha
Published: May 2021

Abstract: Epidural steroid injections (ESIs) for the treatment of radicular pain remains one of the most common
procedures in interventional pain management. The medical literature is filled with detailed data regarding
potential complications and side effects of ESIs. However, the literature, to date, has no documented
cases of uterine prolapse following a transforaminal ESI. A suggested explanation for the etiology of this
complication involves the proximity of the major psoas muscle to the round ligament, whereby spasm of
the psoas can physically interrupt the integrity of the round ligament and result in uterine prolapse.
Key words: Transforaminal epidural steroid injection, uterine prolapse, adverse event
Successful Spinal Cord Stimulator
Trial Placement in a Patient
with Presumed Heparin-Induced
Thrombocytopenia Treated with
Argatroban: A Case Report
Authors: Bhullar Ravneet
Published: May 2021

Background: Interventional pain procedures such as spinal cord stimulator placement are safely performed when
anticoagulation medications are discontinued beforehand in accordance with published recommendations.
However, current guidelines for direct thrombin inhibitors are limited to dabigatran, rivaroxaban,
apixaban, and edoxaban. One recommendation is to allow a 5-half-life interval between discontinuation
of these medications and a high-risk interventional spine procedure to avoid complications such as spinal
hematoma.
Case Report: We report a case of a 53-year-old woman with multiple comorbidities who was placed on a heparin infusion
after presenting with acute radial artery occlusion and right hand ischemia. The patient underwent
vascular bypass of the right arm and then developed compartment syndrome postoperatively, which was
treated via fasciotomy. The patient subsequently developed heparin-induced thrombocytopenia and began
argatroban for anticoagulation. The patient developed severe right upper extremity ischemic pain, but both
medical management and treatment via peripheral nerve catheters failed to control her pain. A cervical
spinal cord stimulator trial was placed. The patient did not report significant pain relief after 7 days, so
the spinal cord stimulator was removed. Five half-lives were used for discontinuation of argatroban before
both spinal cord stimulator trial lead placement and removal. Five half-lives were also used for restarting
argatroban following these procedures. No complications were seen with the placement or removal of
spinal cord stimulator leads.
Conclusion: This case report demonstrates that discontinuing argatroban 5 half-lives before cervical spinal cord stimulator
trial placement can be done safely in this patient population and reveals the need for larger case
studies to provide additional evidence for guideline recommendations.
Key words: Anticoagulation guidelines, direct thrombin inhibitors, interventional pain, interventional spine, ischemic
pain, neuromodulation
A STUDY AIMED TO INCREASE THE KNOWLEDGE ABOUT THE FIXED DOSE COMBINATIONS (FDC'S) AND IRRATIONAL FDC'S AVIALABLE IN INDIA.
Authors: Vaidha Tauseef Nazir , Farooq Sabahat , Farhat Samina
Published: May 2021

Fixed dose combinations(FDC's) is a combination of 2 or more than 2
drugs in a single dosage formulations, it should not be confused with
concomitant drug therapy which refers to taking 2 or more than 2 drugs
separately. Fixed dose combinations may be rational or irrational. In
India there are more FDC's than single drugs and majority of those
FDC's are irrational. Many of these irrational FDC's are widely
prescribed. The WHO essential medicine list incorporates only 23
FDC's while as the National list of essential medicines(NLEM) of 2011 has only 12 FDC's.
A COMPARATIVE STUDY OF TRENDELENBURG OPERATION AND TRENDELENBURG OPERATION COMBINED WITH STRIPPING OF LONG SAPHENOUS VEIN IN THE TREATMENT OF PRIMARY VARICOSE VEINS OF LOWER LIMB
Authors: Haripriya K. , Vijaylakshmi Vijaylakshmi
Published: May 2021

Aims And Objectives: To compare the effectiveness, incidence of complications and recurrence after Trendelenburg
operation and Trendelenburg operation combined with stripping of the thigh segment of long saphenous vein in the
treatment of primary varicose veins of lower limb. Study is based on analysis Material & Methods: of 100 cases of primary varicose veins of
long saphenous vein with or without perforator incompetence who got treated by either simple ligation or ligation with stripping of long
saphenous vein from at Department of General Surgery, Osmania General Hospital, Hyderabad Telangana. After surgery residual long Results:
saphenous vein reux was present in 22% cases in the group in which ligation alone was done and residual thigh perforators were identied in
11% of cases whereas in the group which underwent ligation combined with stripping of the thigh segment of long saphenous vein residual reux
was present in 6% cases and no residual thigh perforators were identied. The i Conclusion: ncidence of Residual long saphenous vein reex and
residual perforator in the thigh is less after ligation and stripping of long saphenous vein compared to Ligation of Saphenofemoral junction alone.
The incidence of Nerve palsy and bleeding and hematoma is also not more in the ligation + stripping group compared to ligation alone.
CONGENITAL DIAPHRAGMATIC HERNIA: OUR INSTITUTIONAL EXPERIENCE
Authors: Chatterjee Arka , Tuteja Neeraj , Tanger Ramesh Chand , Shukla Arvind Kumar , Gupta Pradeep
Published: May 2021

Background: Congenital diaphragmatic hernia (CDH) is a developmental defect, in which there is herniation of
abdominal contents into the thoracic cavity. This causes pulmonary hypoplasia and pulmonary hypertension to varying
degrees. The clinical prole of CDH neonates at a tertiary care institute were studied over a period of 22 months between October 2018 to June
2020.
Aims and objectives: To study the demography, including Age, Sex, birth weight, types, associated anomalies, surgery, complications and
survival in CDH patients at a tertiary care referral centre in Rajasthan, India.
Materials and methods: This was a prospective observational study between October 2018 and June 2020, over 1 year and 9 months, at tertiary
referral centre in North-Western India. Clinical data, radiological ndings, pre-operative conditions were studied, intra-operative ndings were
noted and post-operative course was studied. Intravenous Sildenal was administered and their effects on clinical improvement was noted.
Results:102 cases of CDH were admitted, of which 62 were male and 40 were female. Of these cases, 78 underwent surgical repair, while the rest
died prior to surgery. Majority (99) were left sided CDH. And majority (59) were without sac. Contents which were commonly encountered
included Stomach, small and large intestine, spleen, liver. Patients who were administered with intravenous sildenal showed clinical
improvement in the pulmonary hypertension. Patients with CDH require urgent management of the respiratory distress and pulmonary
hypertension, in order to improve their survival.
MANAGEMENT OF RELAPSE CLUBFOOT BY PERCUTANEOUS TENDON RELEASE WITH APPLICATION OF CORRECTIVE CAST AND ANALYSIS OF RESULT THROUGH PIRANI SCORE, PODOGRAPH FOOT BIMALLEOLAR ANGLE, RADIOLOGICAL FOOT ANGLES AND FUNCTIONAL FOOT SCORE.
Authors: Vidyarthi Ashok , Varma H.S. , Thakur Rajendra , Singh Rajeev
Published: May 2021

Aim:-The aim of our study to evaluate the effectiveness of percutaneous tendon release and application of corrective cast
in children who had undergone serial corrective cast but had some Residual deformity
Material and method :-We have included total 18 patient of Relapse clubfoot (with 22 clubfeet) in our study.The age group of patient between
6 month to 36 month.All these patient treated by percutaneous tendon release procedure and application of corrective cast.then result analysis by
pirani score, podograph foot bimalleolarangle,and radiological foot angles at follow up of 1,6,12 month.
Result:-pirani score result excellent in 10 feet (score<0.5),good in 10 feet(score<1.5),and fair in 2feet (score<2).
Podograph foot bimalleolar angle(FBA) in 19 feet (87%)[angle >75°],FBA in 2 feet (9%)[angle70-74°],FBA in 1 feet (4% ) [angle 65-69°].
Radiological foot angleApTalocalcaneal angle mean change(7.42°) ,lateral Talocalcaneal angle mean change(7.09°) ,AP Talorst metatarsal
angle mean(7.0°) , Tibiocalcaneal angle meanchange(18.66°) , Talocalcaneal index meanchange (14.65°)
Laaveg ponseti and Cummings functional score excellent (85-100) in 4feet(18%),Good (70-84) in 12feet(54%), fair(60-69)in 3feet(14%),
Poor (below 59)in 3feet(14%).
Conclusion:-Percutaneous tendon release with application of corrective cast is safe and easy method for correction of Relapse clubfoot with less
risk of wound complications,neurovascular injury and post operative scar mark.
DRUG UTILIZATION PATTERN AND RISK ELEMENTS OF STROKE PATIENTS IN A TERTIARY CARE HOSPITAL: A CROSS SECTIONAL STUDY.
Authors: Dasegowda Giridhar , Bengalorkar Girish M , Sadaf Salma , Kumar Belaguthi Priyanka Prasanna , Mirmire Sanjiti , Suresh Rachana
Published: May 2021

Background: Stroke is not only one of the leading causes of morbidity and mortality worldwide but is also a topic of
major public health concern in developing countries with a prevalence of 44 - 559 per 100,000 people. This study focuses
on risk factors, socioeconomic distribution, drug utilization pattern, rehabilitation of patients and possible solutions to the encountered problems.
Methods: Patients admitted to ESIC MC & PGIMSR, Bangalore were included in this cross-sectional study. A complete prole of patients
diagnosed with stroke was obtained. On analysing the data obtained from 51 patients Results: under study, it was noted that ischemic stroke was
the highest (84.31%), and stroke in males (70.59%) was higher than among females (29.41%) with highest occurrences between 55-70 years of
age (41.18%). A large number of people were found to have >=3 risk factors (72.54%), including hypertension (78.43%), alcoholism (50.98%),
diabetes mellitus (49.02%), smoking (47.05%), and dyslipidemia (27.45%). It was found that an average patient is prescribed 3.01 drugs in
generic name and 4.68 in brand name (p<0.05). The study also highlighted the inadequacy of physiotherapy (39.21%), speech-therapy (11.76%)
and occupational-therapy (0%). An understanding of risk factors and drug prescription strategies fol Conclusion: lowed by physicians across
different socioeconomic groups helps to ne tune management strategies in accordance with guidelines, to provide a better quality of life to
patients.
Temperature and incubation period affect Septoria pistaciarum conidium germination: disease forecasting and validation
Authors: THOMIDIS Thomas , MICHOS Konstantinos , CHATZIPAPADOPOULOS Fotis , TAMPAKI Amalia
Published: May 2021

Septoria leaf spot is an important disease of pistachio trees in Greece. This study aimed to determine effects of temperature and the incubation period on germination of conidia of Septoria pistaciarum, and to evaluate a generic model to forecast pistachio leaf spot under the field conditions of Aegina Island, Greece. The optimum temperature for conidium germination was 23°C, and germination was inhibited at 35 and 4°C. At constant temperature of 23°C, conidia commenced germination after 9 h. The predictive model indexed disease risk close to 100 at 10 May at two locations (Rachi Moschona and Vigla) in 2017, and first leaf spot symptoms were observed on 17 May. Moderate to high disease severity (>25% leaves infected) were observed in unsprayed trees at the end of May. In 2018, the model indexed risk close to 100 on 9 May at Rachi Moschona, and first symptoms were observed on 18 May. Moderate to high disease severity (>25% leaves infected) were observed in unsprayed trees on 25th of May. This study has shown that the forecasting model can be used in Aegina Island, Greece, to predict the severity of Septoria leaf spot of pistachio.
Antibacterial activity of tannins towards Pseudomonas syringae pv. tomato, and their potential as biostimulants on tomato plants
Authors: CANZONIERE Paolo , FRANCESCONI Sara , GIOVANDO Samuele , BALESTRA Giorgio
Published: May 2021

Pseudomonas syringae pv. tomato (Pst), the causal agent of bacterial speck of tomato, is a significant cause of economic losses in tomato crops. This disease is mainly controlled with preventive use of cupric salt formulations. Antibacterial activity of the tannins U1, U2, U3 and U4, applied alone at 1% w/v concentration or in combination with half (0.045% w/v) of standard of copper hydroxide treatments, was assayed for effects on Pst. In vitro, the four tannins completely inhibited Pst colony formation after 24 h, but U2 (quebracho tannins) + ½ Cu(OH)2 allowed Pst growth after 48 h of incubation, indicating that, since U2 is composed of high molecular condensed tannins it is likely that their structures have chelated the copper hydroxide much more then hydrolysable ones, thus inactivating copper hydroxide and tannins. In fact, this activity of the tannins was equivalent to that for 0.045% w/v of copper hydroxide. Effects of tannins on tomato plant growth were also assessed. On seedlings, long-term U1 treatments increased dry weight of shoots compared to copper hydroxide, but not to water treatment. The U4 treatment increased the NBI values compared to copper treatment but did not show significant differences compared to the water treatment. Inhibitory activity of tannin treatments reduced disease by 37–62%, and 60% after copper treatment, while disease severity was reduced by 33–54% after treating plants with tannins and 36% after copper treatment. On mature plants treated once, the disease reduction was 27–39% after tannin treatments and 44% after copper treatment, while severity was reduced by 50–60% from tannin treatments, and 47% by copper. In seedlings and mature plants, these reductions were similar (P > 0.05) for the tannins and copper treatments. This study indicates a novel crop protection strategy using natural products as alternatives to xenobiotic compounds.
Análise da incidência de dengue em pacientes notificados em Montes Claros entre 2017 e 2019
Authors: Nogueira da Silva Patrick Leonardo , Rodrigues Marques Ana Clara , Sampaio de Souza Kamila , Fernandes Gusmão Maria Suely , Fonseca Coelho Galvão Ana Patrí­cia , Ronivon Fonseca José
Published: May 2021

Objetivo: analisar a incidência de casos notificados de dengue em Montes Claros. Método: estudo descritivo, exploratório, documental, retrospectivo, transversal, quantitativo, realizado no SINAN online da Secretaria Municipal de Saúde. A amostra foi constituí­da por 10.879 pacientes notificados entre 2017 e 2019. O tratamento dos dados se deu por epidemiologia descritiva simples. Resultados: a incidência de casos em 2017 foi baixa, quando comparada aos anos subseqüentes. Em 2018, o aumento percentual em relação a 2017 foi de 362,3%. Em 2019, houve um aumento exponencial na incidência, de modo a atingir 912,8% em relação a 2018 e 4.592,3% em relação a 2017. Ainda, houve aumento dos casos confirmados laboratorialmente como positivos em 2019 (3,8%). Conclusão: a incidência de casos notificados para a doença da dengue mostrou-se alta em 2019 e progressivo com o tempo. O aumento sintomático dos casos mostrou-se bem altos, devendo-se intensificar o acompanhamento desses pacientes.
Boas práticas de liderança do enfermeiro no contexto hospitalar
Authors: Ignacio da Silva Ana Gracinda , Nascimento da Silva Fabia Jamilli , Da Costa Fabrí­cia , Da Costa Alcântara Gisele , Fazzi Costa Gabriel
Published: May 2021

Objetivo: descrever as boas práticas de liderança em enfermagem, realizadas pelos enfermeiros de um hospital público de Belém-Pará. Método: pesquisa de campo do tipo descritiva com abordagem qualitativa, realizado em um hospital de urgência emergência do municí­pio de Belém. Os participantes foram dez enfermeiros gestores e coordenadores em unidade clí­nica e Unidade de Terapia Intensiva. A coleta de dados foi por meio de questionário autoaplicável. A análise de conteúdo ocorreu de forma qualitativa a partir da identificação de categorias temáticas. Resultados: emergiram três temas centrais: as boas práticas de liderança sob a ótica dos enfermeiros; o enfermeiro e a tomada de decisão, na prática hospitalar; lidando com erros e conflitos. Conclusão: as boas práticas de liderança estão relacionadas í s dimensões assistenciais, gerenciais e atitudinais, nas quais se destaca a tomada de decisão e gestão de conflitos e erros. Descritores:liderança; administração de recursos humanos; enfermagem.
Ventiladores mecânicos usados em pacientes com COVID-19: desafios na desmontagem segura
Authors: Da Silva Sousa Desirée Maria , Neves da Silva Maria Regilânia , França Souza Nathália , Rodrigues da Silva Alan , Soares Barbosa Aglauvanir , Borges Studart Rita Mônica
Published: May 2021

Objetivo: Descrever os sentimentos dos enfermeiros frente í  desmontagem segura dos ventiladores mecânicos usados em pacientes com Covid-19 dentro da unidade de terapia intensiva. Método: Trata-se de um estudo descritivo e exploratório, com abordagem qualitativa. Os dados foram coletados entre março e junho de 2020, por meio de entrevista individual semiestruturada, com uma amostra composta por 13 enfermeiros. Os dados foram submetidos í  análise lexical no Software IRAMUTEQ e analisados por meio da Classificação Hierárquica Descendente (CHD) e Análise de Similitude. Resultados: Os discursos apresentaram a insegurança e a discordância dos enfermeiros que atuam na UTI destinada í  pacientes com COVID-19, expondo os profissionais ao risco de contaminação. Conclusão: Mediante a descrição de sentimentos dos enfermeiros entrevistados, foi unânime a concordância de que a descentralização no processamento desses artigos contaminados aumenta o risco de disseminação da doença e deixa os trabalhadores mais susceptí­veis ao risco de adoecimento.
Fisioterapeuta e NASF: conhecimentos de graduados da primeira e segunda década do século XXI
Authors: De Souza Santos Fábio Bruno , Da Silva Souza Samuel , Santos do Nascimento Geiferson , Naiara de Almeida Isabella
Published: May 2021

Objetivo: Verificar o conhecimento entre profissionais formados na 1ª e na 2ª década do século XXI quanto as atribuições do fisioterapeuta no núcleo de apoio í  saúde da famí­lia. Método: Estudo quantitativo, transversal, composto por 35 fisioterapeutas do municí­pio de Porto Velho, com registro ativo, divididos em dois grupos (1ª e 2ª década). Os profissionais responderam um questionário com perguntas dicotômicas acerca da atuação do fisioterapeuta através da plataforma Google Forms. Resultados: Não se verificou significância estatí­stica entre os grupos, contudo, em uma discussão mais sintética de forma descritiva de percentuais decorrente das diferenças de amostras nos grupos, facilitando o risco de viés, verificou-se que o grupo da 2ª década detém mais conhecimento em relação ao outro grupo. Conclusão: Durante a formação acadêmica existem disciplinas voltadas para a atuação na atenção básica, porém o foco na área terciária, possibilita que grande parte dos profissionais atrelem suas atuações ao papel reabilitador.
Estado nutricional e sintomas ansiosos e depressivos em pacientes oncológicos: comparação entre um hospital público e outro particular
Authors: Rodrigues Silva Dafiny , Gomes Lessa Vasconcelos Laí­s , Mendes de Melo Natália , da Silva Nascimento Janaí­na , Magalhães de Melo Jayanne Mayara , Queiroz do Nascimento Carlos , Araújo Barros-Neto João
Published: May 2021

Objetivo: Identificar o perfil nutricional e sintomas ansiosos e depressivos de pacientes oncológicos das redes de atenção í  saúde, pública e complementar, e verificar possí­veis associações com o estado nutricional. Método: Estudo transversal, realizado no hospital universitário e em um hospital privado de Maceió-AL. Foram mensurados peso, altura, circunferência do braço e circunferência da panturrilha. Para avaliar a presença de sintomas ansiosos e depressivos utilizou-se a Escala Hospitalar de Ansiedade e Depressão. Resultados: A média do IMC foi maior no grupo da rede pública (p=0,02) e a CB no grupo da rede complementar (p<0,01). O estado nutricional também foi associado í  presença de sintomas ansiosos e depressivos. Os sintomas ansiosos foram associados ao IMC (p<0,01) e a CP (p<0,01). Já os depressivos apenas com o IMC (p=0,03). Conclusão: Observou-se diferenças no estado nutricional dos pacientes nos diferentes serviços, além de apresentar associações com os sintomas de ansiedade e depressão.
O papel do profissional de odontologia no atendimento de manifestações bucais em pacientes com leucemia
Authors: Araújo Silva Josanne Christine , Bezerra Oliveira Erick Michell , Ribeiro Bezerra Hernandys , Rodrigues de Assunçã Flávio Bruno , Araújo da Silva Josienne , de Sousa Pinheiro Emerson
Published: May 2021

Objetivo: revisar artigos disponí­veis em periódicos cientí­ficos que exemplificassem o papel do profissional de odontologia no atendimento de manifestações bucais em pacientes com Leucemia. Metódo: tratou-se de uma revisão bibliográfica narrativa utilizando artigos selecionados datados dos anos de 2008 a 2018. Resultados: As manifestações bucais das leucemias são mais frequentes nas formas agudas, do que nas formas crônicas. O profissional da saúde deve estar sempre atento a qualquer tipo de sinal ou sintoma, assim como í  constante atualização da história médica. Com o surgimento de novas técnicas que propiciem a manutenção da saúde bucal nos pacientes com algum tipo de neoplasia, hoje é possí­vel prevenir uma doença sem que ela já esteja instalada. Conclusão: Conclui-se que a presença do profissional de odontologia na equipe oncológica pode diminuir a morbidade e a mortalidade relacionadas a complicações bucais, assim como aumentar o conforto e qualidade de vida dos pacientes durante a terapia.
Metodología de conexión utilizando NeuroSKY Mindwave MW003 con MATLAB
Authors: Quino Ortiz Bryan , Moreno Vázquez José de Jesús , Sartorius Castellanos Aldo Rafael , Zamudio Radilla Antonia , Hernández Nieto Marcia Lorena
Published: May 2021

En la actualidad el ímpetu por comprender el funcionamiento del encéfalo ha motivado a compañías como Neurosky en crear e innovar diademas para la obtención de señales encefalográfícas de bajo costo y gran exactitud, enfocadas a la venta para todo tipo de usuario. En el presente trabajo se mostrará la metodología de conexión de la diadema Neurosky MindWave MW003 efectuando el proceso de recepción, envío y configuración inalámbrica (Bluetooth) con el computador, haciendo uso de la librería Thinkgear.h impartida por la empresa Neurosky, realizando un explicación breve y concisa para el uso del dispositivo, estableciendo las características, métodos de operación y funciones principales para su conexión, utilizando la herramienta MATLAB R2015B, el proceso se describe sistemáticamente enfocándose a usuarios inexpertos en la resolución de sus dudas, así mismo contribuir al usuario experimentado en lenguajes de alto nivel en la creación de nuevas aplicaciones.
CONTAMINACIÓN DE CORRIENTES SUPERFICIALES POR TÓXICOS MINERO-METALÚRGICOS EN LA REGIÓN HIDROLÓGICA SONORA-SUR
Authors: Peña Limón Carlos E. , Parades-Aguilar Jonathan
Published: May 2021

La actividad minera genera enormes cantidades de materiales peligrosos que suelen llegar a aguas superficiales. Sonora, al poseer grandes minas activas e inactivas a las cercanías de ríos, presenta un riesgo potencial de contaminación en sus corrientes superficiales. El objetivo del presente estudio fue identificar las minas que pudieran presentar un mayor riesgo de contaminación a las corrientes superficiales de la Región Hidrológica Sonora-Sur utilizando una modificación de la metodología de la EPA (1991) para realizar evaluaciones preliminares de riesgo. Las minas identificadas con mayor riesgo fueron 1) En la cuenca Río Sonora, Buenavista del Cobre, Cerro Prieto, Mercedes, Santa Elena, y la mina inactiva Amelia, 2) En la cuenca Río Yaqui: La India, Mulatos, La Bonancita, La Caridad, Luz del Cobre y las minas inactivas Pilares y Cumobabi.
Tail flap for eyelid reconstruction: An alternative to the Tenzel flap
Authors: Golam Haider  , Syeed Mehbub UI Kadir  , Mukti Rani Mitra  , Tanjila Hossain
Published: May 2021

Purpose: To describe a technique of eyelid reconstruction with the tail flap method and also to evaluate the post-surgical outcome in a group of patients.

Methods: This was a prospective case series study on nine patients who had undergone an eyelid reconstruction with the tail flap method. The study had been conducted from July 2014 to July 2019. The follow-up continued for six months to one year.

Results: A total of nine patients with ten eyelid defects, 2 (22%) patients had unilateral eyelid coloboma, 1 (11%) had lower lid defect associated with Treacher-Collins syndrome,1 (11%)with bilateral upper eyelid coloboma, only one eyelid undergone lid reconstructive surgery associated with craniofacial anomalies,1 (11%) with Juvenile xanthogranuloma of the left upper eyelid,1(11%) with Basal cell carcinoma in the right upper lid, 3(34%) with Meibomian gland carcinoma 2 in lower eyelid and 1 in upper lid undergone lid reconstructive surgery with triangular flap. Among nine patients, a total of ten eyelid defects were repaired with the triangular flap technique, 5 (50%) in the upper eyelid and 5 (50%) in the lower eyelid. The eyelid defects were completely repaired with tail flap in all patients. All patients were evaluated preoperatively and postoperatively. The cosmetic outcomes of surgical intervention were excellent in 5(50%) cases, good in 3(30%) cases, fair enough in 2(20%) cases.

Conclusions: Tail flap is an alternative surgical method to the well-established Tenzel flap in eyelid reconstruction.

Keywords: Tail Flap; Tenzel Flap; Eyelid Defect; Lid reconstruction
The Influence of Acupressure Li4 and Sp6 Techniques to the Endorphins Level And Progress of Labor in Period I Active Phase
Authors: Iffah Uliy
Published: May 2021

Pain in labor is physiological because the pain comes from the cervical dilatation and uterine contractions that needed for labor (Potter & Perry, 2005). Research conducted by Brown, Douglas and Flood (2001) using 10 nonpharmacological methods performed on 46 people found that acupressure technique is the most effective technique to reduce pain during labor through the increased of endorphins and shorten the length of labor. The purpose of this study is to know the influence of acupressure method on endorphin levels and the progress of labor in the first period. This type of research is quantitative research by using quasi experiment design with pretest approach and posttest design with control group by performing acupressure on primipara maternal mother during period I active phase. The study was conducted at Bidan Praktik Mandiri. The population of this study is primipara mother inpartu period I active phase using Non Probability sampling technique with Consecutive Sampling. The results showed a significant difference in endorphin levels before and after receiving acupressure in the intervention group (p = 0.048) and there was a significant difference in the progress of labor before and after receiving acupressure in the intervention group (p = 0.001). Acupressure can be used as a routine care in every care of normal childbirth thus mother's care and baby care can be created well.
EDUKASI ONLINE TERHADAP PERUBAHAN PERILAKU MENJAGA KEBERSIHAN GIGI PADA MULUT SELAMA MASA PANDEMI
Authors: Azizah Ajeng yumna
Published: May 2021

ABSTRACT

Oral cavity is one of the crucial parts of our body. Oral cavity represents our oral health because there are a lot of disease symptoms from our oral cavity. Systemic disease could cause poor oral and dental health. Online education is one way to improve someone’s oral and dental hygiene level. Online education is one of learning process with the internet as a media, so the users can connect with everybody, whenever and wherever they want. Purpose of this research is to determine the effect of online education towards students’ oral and dental hygiene behavior change in YPSA Senior High School Medan during COVID-19 pandemic. This research was conducted with an observational analytic method with cross sectional design with a total sample of 55 students. Sample was determined by accidental sampling technique. Data was analyzed using a statistics dependent t test. Results showed that there were any behavior changes before and after online education. Conclusion of this research showed there were any significant effect of online education towards students’ oral and dental hygiene behavior change in YPSA Senior High School Medan during COVID-19 pandemic.

 

 

ABSTRAK

Mulut merupakan bagian krusial bagi tubuh, selain ini dikatakan juga bahwa mulut merupakan cermin dari Kesehatan tubuh, karena dari mulut dapat dilihat gejala beberapa penyakit umum yang lainnya. Gangguan sistemik dapat disebabkan oleh kondisi gigi serta mulut yang kebersihannya buruk. Edukasi online dapat menjadi salah satu cara yang dapat dilakukan untuk meningkatkan tingkat kebersihan gigi serta mulut pada seseorang. Edukasi online adalah suatu proses belajar mengajar yang memakai jaringan internet yang dapat memudahkan penggunanya terhubung tanpa keterbatasan waktu dan tempat dengan siapa saja. Tujuan penelitian ini adalah untuk mengetahui pengaruh edukasi online terhadap perubahan perilaku menjaga kebersihan gigi pada mulut selama masa pandemi di SMA YPSA Medan. Jenis penelitian ini merupakan penelitian obeservasional analitikmenggunakan desain cross sectional. Jumlah sampel 55 orang. Penentuan sampel memakai Teknik Accidental sampling. Uji analisis yang dipakai yaitu dependent t test. Hasil penelitian menunjukkan terdapat perubahan perilaku menjaga kebersihan gigi pada mulut sebelum dan sesudah edukasi online. Kesimpulan penelitian ini yaitu ada pengaruh edukasi online terhadap perubahan perilaku menjaga kebersihan gigi pada selama masa pandemi pada di SMA YPSA Medan.
PENGARUH TEKNIK ROOLING MASSAGE TERHADAP KELANCARAN PENGELUARAN ASI PADA IBU HAMIL TRIMESTER III
Authors: Tanjung Wiwi Wardani
Published: May 2021

The Exclusive Breastfeeding has been shown to have an impact better on health growth, development, and all the impacts short and long term, but there are still many mothers who do not provide exclusive breastfeeding. One of the reasons mom does not provide exclusive breastfeeding to the baby was due to the release of breast milk that was not smooth that happened due to inhibition of the hormone prolactin which produces breast milk. Rolling Massase Technique was one action which gives a relaxing sensation to the mother and smooth the flow of nerves as well as the milk duct. The purpose of this research was to know the influence of rooling massage techniques on the smooth release of breast milk  in third trimester pregnant women in the work area In Public Health Center Of Batunadua 2020. This type of research was quantitative research with a quasi experimental design used the Post Test Only Design with Control Group design. The population in this study are all trimester III pregnant women who came to the Public Health Center Of Batunadua as many as 32 people. The sample in this study was 16 people in the intervention group and 16 people in the control group   by used accidental sampling method.  The analysis used was the Wilcoxon test. The results showed that massage rooling technique effect on smoothness expressing breastmilk in pregnant women Trimester III with p value = 0.008 (p <0.05). It was hoped that the Public  Health Center Of Batunadua In  Padangsdimpuan to do health education or health promotion which can be given to pregnant women  to prepare for smooth operation expressing breastmilk like  perform rooling massage technique.
Localizing the Agenda 2030: The ICLEI Network’s five Pathways as a Driver for Local Governance
Authors: Senatore Gianluca , Bellabarba Silvia
Published: May 2021

This work analyzes the phenomenon of SDGs localization paths in an international networking process through one of the main network drivers of sustainable local development (ICLEI). To favor the localization paths means to increase the ability of the single territories to construct new forms of coordination between the different institutional levels, in line with the principles of vertical integration. Sustainable development cannot be just a vague and indeterminate concept and it cannot be considered just as the passive implementation of rules or standards resulting from international guidelines often irreconcilable with local contexts, but it should be a participatory action of local institutional bodies, citizens and multistakeholders. There is a strong demand for social participation in the definition of collective and individual behavior, which cannot be disregarded.

 

Received: 25 February 2021 / Accepted: 4 May 2021 / Published: 17 May 2021
Nigerian Industrialisation Challenges and Dearth of Galvanization Amidst the United Nations Industrial Development Support
Authors: Paul Salisu Ojonemi , Ofuebe Chikelue
Published: May 2021

The high rate of economic growth, the provision of basic facilities, and job creation are products of any nation’s level of industrialisation. Globally, no nation is considered to have attained a concerted level of a high standard of living in the absence of economic development. Thus, industrialisation that ought to be the bedrock of Nigerian economy has continued on a downward journey in the 21st century, despite several industrial development policies. Therefore, the paper is an attempt to find out how this sector has fared vis-a-vis the structural influence of UNIDO. The study is a qualitative work that adopted a thematic analysis approach. The adoption of Top-Down as a theoretical model of analyses validates the fundamental issues raised that; several industrial development programmes and projects initiated by both UNIDO and successive administrations in Nigeria to help in the revitalisation of industrial landscape in line with the government’s goal of emerging among the top 20 most developed economies in the world by 2020 have failed. The major informed findings of the paper are that for the time being, Nigeria still remains a consuming economy of finished products including some raw materials. In addition, her critical construction, engineering and maintenance activities are expatriates-based with little or no regard for local content. These cumulatively resulted in the advancement of the fact that the UNIDO supports have not significantly impacted the development of industries in Nigeria. The discourse conclusively gave birth to subsequent recommendations.

 

Received: 6 January 2021 / Accepted: 3 April 2021 / Published: 17 May 2021
The Role of Benchmarking in Achieving Competitive Advantage of Egyptian Education Faculties Programs
Authors: Mohammed Magdy Abd Elrhman Abdallah
Published: May 2021

The study aimed to identify the concept and types of benchmarking, and to determine the Justifications of choosing benchmarking approach in order to achieve the competitive advantage for Egyptian Education Faculties programs, and also determine the performance indicators for Egyptian Education Foundations programs that can be used when benchmarking with the corresponding programs. The study depended on the descriptive research approach in achieving its objectives and answering its various questions and manipulating its different approaches. The study constructed a suggested model that can be used when benchmarking to Egyptian Education Faculties Programs with its distinct corresponding Programs. The study also showed the complementary relationship between benchmarking and performance indicators and their role in diagnosing an aspect of the competitive reality in the Egyptian Education Faculties programs.

 

Received: 18 February 2021 / Accepted: 15 April 2021 / Published: 17 May 2021
Exploring Challenges Faced by Rural Zimbabwean School-Going Single Mothers in Nurturing Children: A Literature Perspective
Authors: Chikuvadze Pinias , Magutsa Lydia K. , Musengi Judith , Gonzo Getrude
Published: May 2021

In sub-Saharan African countries, school-going single mothers are a rapidly growing new form of family. However, this pervasive phenomenon and its influence on child development have caught miniature thought. It is in this context that this paper sought to gain insights from a literature perspective on challenges confronted by rural Zimbabwean school-going single mothers in child nurturing. This is a documentary review of information considered relevant to the issue under investigation. In this context, the literature method was used in generating, data from purposively sampled sources. Against this background, the analysis revealed that school-going single mothers encounter numerous challenges, such as the difficulty to maintain discipline and authority in their ‘new’ family setting, social ostracism through school-going single mothers, and their children's experience of adverse stances in social, emotional and economic obstacles. Thus, single mothers in these rural societies take on all the chores, child upkeep and in most cases are susceptible to social separation, which forms a situation, which does not bring up children’s social and cognitive development. In this context, it can therefore be concluded that these detected challenges influence how school-going single mothers in the rural Zimbabwe context nurture their children. It is against this background that we recommend that school-going single mothers are encouraged to find means of exercising positive parenting that ensures that their children are well-groomed and provided for.

 

Received: 11 February 2021 / Accepted: 20 April 2021 / Published: 17 May 2021
PENGARUH EARNING PER SHARE (EPS), RETURN ON EQUITY (ROE), DEBT TO EQUITY (DER) TERHADAP HARGA SAHAM (Studi Kasus Pada Perusahaan Manufaktur Sub Sektor Pakan Ternak Yang Terdaftar Di Bursa Efek Indonesia (BEI) Periode 2015 - 2018)
Authors: Damanik Elfina , Simanjuntak Wahyu Tamari , Martina Sri , Sriwiyanti Eva
Published: May 2021

ABSTRAK

Tujuan penelitian ini adalah untuk menganalisis dan mengetahui bagaimana Earning Per Share (EPS), Return On Equity (R0E), Debt To Equity Ratio (DER) terhadap harga saham perusahaan manufaktur sub-sektor pakan ternak pada periode 2015-2018. Metode penelitian yang digunakan yaitu penelitian data kuantitatif dan deskriptif, jenis data sekunder dan primer, sampel digunakan yaitu perusahaan sektor pakan ternak di Bursa Efek Indonesia yang menyajikan laporan keuangan dan rasio secara lengkap. Dengan menggunakan uji t, uji F, regresi linier berganda dan uji determinasi R2. Hasil penelitian diperoleh bahwa EPS (x1) thitung 1,540 dengan nilai signifikansi 0,162 tidak berpengaruh signifikan terhadap kebijakan harga saham, ROE (x1) thitung -1,540 dengan signifikansi 0,171 tidak berpengaruh signifikan terhadap harga saham, DER (x1) thitung -2,559 dengan signifikansi 0,034 berpengaruh signifikan terhadap harga saham, artinya EPS dan ROE tidak berpengaruh signifikan terhadap harga saham. Determinasi R squer sebesar 0,665 mempunyai arti bahwa variabel independen EPS, ROE,DER sebesar 66,5% mempengaruhi harga saham dan 33,5% harga saham dipengaruhi oleh faktor lain diluar dari variabel penelitian ini.
PENGARUH PROFITABILITAS DAN SOLVABILITAS TERHADAP HARGA SAHAM
Authors: Peranginangin Adat Muli , Lase Berkat Firman
Published: May 2021

Penelitian ini bertujuan untuk mengetahui pengaruh profitabilitas dan solvabilitas terhadap harga saham perusahaan manufaktur sub sektor semen. Populasi dalam penelitian ini berjumlah 6 (enam) perusahaan, namun sampelnya sebanyak 4 (empat) perusahaan yang terdaftar di Bursa Efek Indonesia periode 2016-2019. Metode pengambilan sampel yang digunakan dalam penelitian ini adalah purposive sampling. Data yang digunakan adalah data sekunder yang dikumpulkan menggunakan metode dokumentasi data. Variabel profitabilitas dihitung dengan rasio Net Profit Margin (NPM) sedangkan variabel solvabilitas dihitung dengan rasio Debt to Asset Ratio (DAR). Berdasarkan hasil uji hipotesis dengan menggunakan program SPSS 25, diketahui bahwa profitabilitas dan solvabilitas secara bersama-sama berpengaruh terhadap harga saham dengan nilai Fhitung > Ftabel (7,717 > 3,74) dengan tingkat signifikan 0,006 < 0,05. Namun secara parsial, profitabilitas dan solvabilitas masing- masing berpengaruh terhadap harga saham. Variabel profitabilitas memiliki thitung > ttabel (1,775 > 1,770) dengan taraf signifikan sebesar 0,001 < 0,05. Sedangkan Variabel Solvabilitas memiliki thitung > ttabel, yaitu 3,249 > 1,770 dengan taraf signifikan sebesar 0,006 < 0,05.