bluuebunny/crossref_metadata_2025 huggingface dataset:
FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PRE EKLAMPSIA BERAT (PEB) DI RUMAH SAKIT
Authors: Vidya Nabella Rizka
Published: September 2022

Anemia pada kehamilan adalah anemia karena kekurangan zat besi, dan Preeklampsia berat merupakan penyebab kematian ibu dan perinatal yang tinggi terutama di Negara berkembang. Kejadian preeklampsia dan eklampsia bervariasi disetiap Negara bahkan disetiap daerah. Salah satu upaya pemerintah untuk menurunkan angka kejadian preeklampsia berat adalah dengan dilakukannya deteksi dini, yang dapat dilakukan melalui pelayanan atau asuhan Antenatal Care (ANC) yang merupakan cara untuk memonitor dan mendukung kesehatan ibu hamil normal dan mendeteksi ibu dengan kehamilan normal agar tidak menjadi abnormal. Sehingga mengenali tanda-tanda sedini mungkin dan diberikan pengobatan yang cukup supaya penyakit tidak menjadi lebih berat, penerangan tentang manfaat istirahat dan diet berguna dalam pencegahan, diet tinggi protein dan rendah lemak karbohidrat garam, dan penambahan berat badan yang tidak berlebihan perludianjurkan. Tujuan penelitian ini adalah Untuk mengetahui faktor-faktor yang mempengatuhi kejadian Pre Eklampsia Berat di Rumah Sakit Umum Balaraja pada tahun 2020. Metode yang digunakan adalah chi squre dengan cross sectiobnal. Populasi sebanyak 81 responden dengan Teknik pengambilan sampel total sempel yang dilakukan pengambilan data pada bulan Januari sampai Juni 2020. Hasil yang didapatkan adalah tidak ada hubungan antara PEB dengan usia ibu (pvalue=0.665), paritas (Pvalue=1.000), dan usia kehamilan dengan Pvalue 1.000. sehingga diperlukan terus meningkatan pelayanan kepada masyarakat dan agar ibu hamil menjaga kehamilannya dengan rutin melakukan pemeriksaan kehamilannya agar terhidar komplikasi dalam persalinannya kelak.
Effect of supplementation and withdrawal of selenium-enriched kale sprouts on productivity and egg selenium concentration of laying hens
Authors: Chantiratikul Anut , Thongpitak Pinyada , Arunsangseesod Orawan , Wangkahart Eakapol , Leamsamrong Kwanyuen , Aengwanich Worapol , Liang Juan Boo , Xin Wu , Chantiratikul Piyanete
Published: September 2022

Objective: The aim of this trial was to investigate the effect of supplementation and withdrawal of selenium-enriched kale sprouts (SeKS) on productivity and egg Se concentration of laying hens. Selenium from commercial Se-enriched yeast (SeY) was used as a comparative Se source.Methods: One-hundred and eighty 61-week-old laying hens were randomly divided into 5 treatment groups with 4 replicates (9 hens each) in a 2×2+1 Augmented Factorial Experiment in a completely randomized design. The experimental diets were basal diet, basal diet supplemented with 0.2 and 0.4 mg Se/kg from SeKS and SeY, respectively. The 8-week feeding trial was divided into 2 periods, namely the Se supplemental period (week 1 to 4) and the Se withdrawal period (week 5 to 8).Results: Productive performance, egg quality and egg Se concentration of laying hens were not affected by sources of Se (SeKS and SeY) during both, the Se supplemental and withdrawal periods. Egg production and egg Se concentration increased (p<0.05) with increasing levels of Se supplementation. The egg Se concentration increased and reached a peak 1 week after Se supplementation. However, concentration of Se in eggs of hens fed Se from both sources decreased rapidly from the second week of the Se withdrawal period to reach the same egg Se concentration of hens fed the basal diet by the fourth week of the Se withdrawal period.Conclusion: The efficacy of Se from SeKS on productivity and egg Se concentration in laying hens was comparable to commercial SeY. Thus, SeKS can provide an alternate organic Se source for production of Se-enriched eggs.
Uma Experiência Gamificada visando ao Desenvolvimento de Competências para a Inovação em um Contexto Organizacional
Authors: Maurer Ricardo Roese , Bittencourt Bruno Anicet , Machado Lisiane , Faccin Kadígia
Published: September 2022

O estudo tem como objetivo compreender como a gamificação pode colaborar no desenvolvimento de competências para a inovação em um contexto organizacional. Assim, a partir da condução de uma pesquisa-ação em uma empresa da área alimentícia, situada em um município da Região Metropolitana de Porto Alegre (RS), implementou-se uma experiência gamificada, considerando sua oportunidade metodológica, com a proposição do uso de elementos, mecânicas e dinâmicas de jogos. As evidências mostram que a experiência foi atrativa e promoveu o engajamento dos colaboradores, possibilitando oportunidades de aprendizagem teórica sobre o tema, ao mesmo tempo em que ao vivenciar e ao executar as ações às atividades propostas, desenvolveram as dimensões de competências de inovação, sendo o pensamento crítico, por meio da análise de problemas da organização; a criatividade, usada para solucionar o problema encontrado; e, o networking, usado como meio de validar as duas dimensões anteriores. A competência de trabalho em equipe foi desenvolvida pela realização das atividades em duplas. A iniciativa fez-se presente em todas as ações, principalmente, na operacionalização das ideias criadas.
9a Geração de Videogames e as dimensões que impactam a sua aquisição. Como os valores, risco e custo de mudança influenciam a compra
Authors: Nascimento Mário do Amaral , Oriol Ettore de
Published: September 2022

Jogar videogame a princípio é só diversão, mas esse mercado está longe de ser brincadeira, movimenta por ano quase 2 trilhões de dólares. Porém, apesar dos números, são poucos estudos acadêmicos sobre esse mercado. Desse modo, essa pesquisa pretende ampliar um pouco esse conhecimento, particularmente, sobre as influências na intenção de compra. Existem diversas teorias sobre os fatores que a influenciam direta, ou indiretamente, no qual para este estudo foi utilizado um modelo adaptado de Chunmei e Weijun, e este baseado na Theory of Consumption Values. Partindo disso, foi realizada uma varredura sobre as gerações de videogames, mercado e particularidades desse produto, para adaptação da escala que culminou com a realização de uma survey respondida por 404 jogadores brasileiros. O método estatístico utilizado foi a modelagem de equações estruturais baseada em mínimos quadrados. Os resultados demonstraram que os valores utilitários e hedônicos, bem como o custo de mudança e risco percebido influenciam consideravelmente a intenção de compra, bem como a expectativa de satisfação. Espera-se que esses resultados possam auxiliar a todos os participantes dessa indústria no desenvolvimento dos videogames mas também dos produtos correlatos, como os jogos.
Lançamento e viralização do jogo Vai Juliette
Authors: Lima Ittalo Ornilo de , Serrano Paulo Henrique
Published: September 2022

O processo de ideação e lançamento do jogo Vai Juliette! insere-se na cultura da participação e justifica parte de seu alcance no papel ativo que os fãs da participante Juliette Freire do Big Brother Brasil 2021, tiveram no processo de divulgação do jogo. Neste estudo de caso, as decisões de lançamento e divulgação do jogo são analisadas com o objetivo de esclarecer como algumas abordagens podem contribuir para aumentar o alcance de um jogo mobile. O caso identifica a participação dos fãs, o apoio da imprensa tradicional e dos influenciadores digitais como abordagens condicionantes para a maior difusão do jogo em públicos diversos.
Regional Aspects and Development Opportunities in Bulgaria in the Context of the European Green Deal
Authors: Petrov Kamen , Tsonkov Nikolay
Published: September 2022

This article is devoted to the problems and challenges in the implementation of policies for socio-economic transformation of regions in Bulgaria about the European Green Deal. The conceptual change at the European level necessitates the definition of new priorities for the Bulgarian state in its path towards a more equitable transition to a green economy. The main objective of the authors is to analyze and assess the development opportunities and challenges for the Bulgarian economy on the path to a green and equitable transition. The authors examine the economic changes in the Bulgarian regions. The paper defines the methodology of the scientific approach to such research, using the system, network, geographical, cartographic, and comparative methods. The paper outlines the necessity of introducing smart systems at the city and region levels to manage the territory and its development more effectively. Special attention is paid to energy problems and the need for energy transformation in countries like Bulgaria. In addition, the need to strengthen cross-border cooperation in the Balkan region to build integrated models in different sectors and industries to make the transition to a new type of socio-economic development more sustainable and equitable is also recognized.
Keywords:      fair transition, governance, system, models, regional development, economy, smart systems, information.
Involvement of Employees in Increasing the Efficiency of Production Processes for SMEs in the Baltic States
Authors: Linina Iveta , Zvirgzdina Rosita , Tišlerova Kamila
Published: September 2022

In the current global market, companies are focusing on ensuring their competitiveness. In today's business environment, there are no uniform standards or models that would ensure business development and efficient use of the existing resources. There are different management support standards, models, systems, however, the unifying criteria of these systems are a satisfied customer and reduced costs, which will be the basis for ensuring long-term competitiveness. Thus, the involvement of employees in increasing the efficiency of production processes is essential and can be a decisive factor in ensuring the sustainable development of SMEs (small and medium-sized enterprises). In order to identify the factors contributing to the competitiveness of SMEs, the authors of this article have studied the nature of employee involvement in manufacturing companies. In order to achieve the set goals the monographic or descriptive method were used, the authors have studied the theoretical basis of employee involvement, analyzing the development trends of the SME sector in the Baltics and empirically studying the needs of employee involvement and influencing factors in the production of the SMEs in the Baltics. This study will provide companies with an understanding of the impact of employee involvement and the need to increase the efficiency of production processes. Analyzing the theoretical aspects, the authors have defined a unified approach to this situation from the point of view of its essence. Finally, the authors conclude that the involvement of employees in increasing the efficiency of production processes is one of the tools for ensuring the competitiveness of companies.
Keywords: production, employees, process efficiency, competitiveness, SMEs
Corporate Social Responsibility as a Factor Promoting Customer Loyalty in the Latvian Retail Sector
Authors: Vevere Velga , Shina Inga , Ganina Samanta
Published: September 2022

The retail sector is an important engine of the national economy and an indicator of the development of the national economy. Over the last ten years, the total retail turnover index has increased by 31%, which highlights the acquisition of competitive advantages. Businesses need to fight strategically for consumers in an environment where information and services are widely available. Promoting customer loyalty is important for companies, but with the realization of responsible and sustainable operations, corporate social responsibility is one of the ways to promote it. It is important to understand how important corporate responsibility is to consumers and what corporate social responsibility activities are now important to consumers to draw conclusions about their impact on customer loyalty. The aim of the current research is to identify corporate social responsibility activities that promote customer loyalty in the Latvian retail sector. In order to achieve the aim of the work, the following tasks have been set: (1) to study theoretical aspects of corporate social responsibility and customer loyalty; (2) to develop a questionnaire to assess public opinion on the importance of corporate social responsibility in the food retail sector and to conduct an in-depth interview to find out the opinion on the results of the questionnaire in practice;(3) to identify the corporate social responsibility activities that are important to society and promote the loyalty. The research question put forward is: What corporate social responsibility activities affect customer loyalty? For analysis of statistical data, the authors use such methods as internal coherence analysis (Cronbach's alpha), frequency analysis, ranking, factor analysis, graphical analysis. In order to identify the factors influencing corporate social responsibility in the Latvian retail sector, a survey was carried out. As a result of factor analysis a scheme of corporate social responsibility activities was developed for companies in the food retail sector, grouping together the most important directions and activities of corporate social responsibility for consumers in order to promote the customer loyalty.
Keywords: customer loyalty, corporate social responsibility, retailing, competitiveness, corporate citizenship
European Trends in Business Incubation Through open Innovation Approach
Authors: Cirule Iveta , Uvarova Inga , Caune Ginta
Published: September 2022

The open innovation (OI) is the actual framework for exploiting external resources and wider networks in doing innovation instead of just operating with in-house resources. Business incubators ensure networking and facilitate OI collaborations both inside the incubator among entrepreneurs and outside with external stakeholders.
The purpose of the qualitative study is to identify the European trends in business incubation through OI approach by setting two main tasks – 1) identify business incubation trends and 2) validate these theoretical findings by conducting the empirical study in Latvia business incubators and 3) draw the conclusions for business incubation practitioners in order to improve business incubation from OI perspective.
The qualitative research methods applied – 1) literature review on business incubation trends, OI approach in business incubation such as service provision, online and onsite incubation, tenant OI competences and strategies, co-creation and collaboration and 2) the empirical qualitative research in Latvia business incubators by conducting incubator management (13) interviews.
The results proved that the main national trends dominant and present in Latvian business incubation are corresponding to the European trends, namely, 1) incubators are serving as OI partners and are recognized by tenants as access providers to external resources ands networks; 2) networking as facilitating activity of the  inside-out and outside-in OI strategies; 3) tenants’ OI strategies and motivation as well as variety of OI partners (experts, mentors, clients, companies, researchers, universities) promote the better incubation results in terms of ideas validated, product developed, companies created and innovation implemented. These results are in line with the main findings on European trends from a literature review perspective.
This article provides national findings on OI application in business incubation as the empirical novelty for business incubation practitioners, academia, entrepreneurship support policy makers and tenants internationally detecting the crucial role of OI activities applied in business incubation and incubators as OI partners. Business incubation trend analysis through Open innovation approach is a novelty of this research.
Key words: open innovation, open innovation strategies, business incubator, business incubation trends, value co-creation
Acknowledgement
This research was conducted within the project “Open Innovation, No1.1.1.2/VIAA/3/19/426” funded by Postdoctoral Research Support Aid programme of Latvia.
Evaluation of Toxicological Risks of Nail Coatings Containing Acrylate Monomer HEMA
Authors: GRIGALE-SOROCINA Zane , BIRKS Ingmars , RAMATA-STUNDA Anna , BOGDANOVA Estefanija
Published: September 2022

Individuals working in nail salons are exposed to 2-hydroxyethyl methacrylate (HEMA). HEMA has been found to have several effects on the skin: skin itching, peeling, redness and allergic contact dermatitis. The purpose of the study was to compare the effects of nail coatings containing HEMA and 2-hydroxypropyl methacrylate (HPMA) on the skin. In this study we explored the irritation properties of HEMA and HPMA containing nail coatings in cell cultures in-vitro and in skin PATCH tests under dermatological control. The cytotoxicity of coatings was tested in BALB/c3T3 and HaCaT cell lines by a neutral red uptake assay. Cytotoxicity was expressed as a concentration-dependent reduction of the uptake of neutral red, compared to the untreated controls. Open patch tests were supervised by a certified dermatologist. Polymerized coating extracts have little effect on Balb/c 3T3 cell viability, while having mild cytotoxic effects on HaCaT keratinocytes. Among two tested samples, extracts of HEMA containing coating exhibited higher cytotoxicity – reduction of keratinocyte viability by 28.29 % in case of undiluted 24 h extract and even by 48.26 % in case of 50 % extract was observed. Coating cytotoxiaty observed on HaCaT showed that the keratinocyte cell line was more sensitive to HEMA than to HPMA containing coating.
Catastro Urbano y ciudades virtuales 3D en Latinoamérica
Authors: Erba Diego Alfonso , Uribe Álvaro
Published: September 2022

In urban areas, development and growth do not always occur in the most desirable sectors.
The effort to try to find better means to explain the mysteries of urban processes is
an ongoing task that must approach economic theory and social science with some form
of geographic explanation. One of the possible reasons why this type of approach has still
not been developed (leaving aside political or ideological considerations) may be the fact
that the cities, with all the complexity that characterizes them, constitute such particular
objects of study that they cannot be understood by general theory on urbanism. New cadastral
systems can contribute enormously to a new vision of cities and urban planning.
Violent behavior at a sports event or public meeting (article 344 a CC): Uncertainties and confidences
Authors: Milović Marko , Gajić Dejana
Published: September 2022

Frequent and major amendments to the Criminal Code have resulted in many negative effects in Serbian criminal law. One of the consequences of these changes and additions is the adoption of such a crime, which was then "expressly" replaced by the same in just a few months. It is difficult to say whether the original solution was so bad that it had to be replaced immediately, or whether the legislator came up with a new (better) solution that would stop violent behavior at sports events and public gatherings. However, this new legal solution will certainly not achieve what the legislator wanted, which, among other things, in many ways devalues expectations in the already shaky authority of the criminal legislation of Serbia. Without doubting the sincere intentions of the legislator, this crime had to be in the legislative-technical sense, but also in the essential, much better done, as the authors point out, as well as the "pains" of the current legal solution.
AWWA's Engineering and Construction Division
Authors: Wetstein Daniel P.
Published: September 2022

The nation's infrastructure is recognized as a lynchpin in maintaining the North American economies and their competitive advantage and standard of living. Nowhere is this more apparent than in the water industry. Industry practitioners are acutely aware of assets' values that are the backbone of providing customers with safe and reliable water supplies.
Análise do inventário e quantificação de geomorfossítios da Capadócia Piauiense
Authors: Silva José Francisco de Araújo , Aquino Cláudia Maria Sabóia de
Published: September 2022

O inventário e a quantificação de uma área permitem identificar locais com elementos dotados de valores (científico, turístico, estético, cultural, econômico e outros) superlativos, o que os diferenciam das demais partes que constituem a geodiversidade, e permitem, ainda, determinar a relevância desses locais e a necessidade de conservação dos mesmos. O presente artigo tem por objetivo analisar os resultados obtidos a partir do inventário e da quantificação de geomorfossítios da Capadócia Piauiense, localizada na Região Geográfica Imediata de Picos, estado do Piauí. A metodologia compreendeu a pesquisa bibliográfica e análise teórica, pesquisa de campo, confecção de material cartográfico e avaliação qualitativa e numérica dos geomorfossítios da área. Os resultados evidenciam que a Capadócia Piauiense é possuidora de destacada geodiversidade e geomorfossítios dotados de valores científicos, estéticos, ecológicos, culturais, econômicos, turísticos e didáticos/educativos; no entanto, tais locais carecem de maior valorização, divulgação, e, especialmente, de estratégias de geoconservação que possam vir a minimizar os riscos de sua deterioração.
Diagnoses and mortality for patients with unclear problems calling for an ambulance
Authors: Christensen Karoline Bjerg
Published: September 2022

Danish patients calling the Emergency Medical Services (EMS) with unclear problems are assigned a Danish Index for Emergency Care (DI) criteria called ‘unclear problem’. Previous Danish studies found ‘unclear problem’ in 17% and 19% of all emergency calls. In the Emergency Departments, unclear problems identified as non-specific symptoms are well documented. We investigated EMS patients given an ‘unclear problem’ DI-criteria prehospitally, their hospital discharge diagnoses and 1-day and 30-day mortality rates.

Population-based observational cohort study investigating 7,935 EMS patients who received the DI-criteria ‘unclear problem’ upon an emergency call and who were brought to hospital in the North Denmark Region during January 1st, 2016 – December 31st, 2018. Outcome variables were; number of emergency ambulances dispatched, ‘unclear problem’ DI-criteria, and vital status (dead or alive) 30 days after hospital contact. We evaluated the association between ICD-10 diagnosis chapters and mortality adjusted for age, gender, and comorbidity.  ICD-10 chapters 18: “Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified” and 21: “Factors influencing health status and contact with health services” were defined as ‘non-specific diagnoses’.All ICD-10 chapters were represented in the discharge diagnoses. The majority (40.4%) were non-specific diagnoses. Common discharge diagnoses were circulatory (9.6%), injuries and poisoning (9.4%), and respiratory diseases (6.9%). Overall mortality rates were for 1-day and 30-day 2.3% (n=181) and 7.1% (n=566), respectively. Day 1 mortality rates were highest for circulatory diseases (8.6%), infections (5.4%), and respiratory diseases (4.0%). Mortality on day 30 was 2.6% and 4.1% for non-specific diagnoses, whereas circulatory, respiratory diagnoses and infections exhibted highest mortality rates. Risk of mortality was associated with age and comorbidities and when adjusted for these confounders, mortality rates decreased for all diagnoses.

EMS patients assigned ‘unclear problem’ and brought to the hospital received diagnoses from all ICD-10 chapters, the majority with non-specific diagnoses, followed by injuries and poisoning, circulatory and respiratory diseases. The latter two groups exhibited the highest crude mortality rates, decreasing substantially when adjusted for age and comorbidity. Mortality rates among patients with unclear problems were associated with age and comorbidities rather than the unclear emergency medical call and following discharge diagnoses.
Facilitation of evidence based discussions in an Emergency Department
Authors: Hjersing Barna
Published: September 2022

Background: Evidence based practice (EBP) is a way for the nursing discipline to minimize the gap between theory and practice. EBP is based on decision-making and is used to optimize patient outcomes and optimize clinical practice. To strengthen the nurses focus on EBP at the Emergency Department (ED), we introduced 10 minutes of professional nursing related discussion daily. A staff nurse and a clinical nurse specialist facilitated it and used EBP as a tool. The objective of this study aims to investigate if facilitation of “10 professional minutes” could strengthen the nurses focus on evidence and their practical skills using EBP as a tool.

Methods: Each day a nurse from the ED decided a topic for discussion. A clinical nurse specialist and a staff nurse facilitated the discussion by using a flip-over to illustrate the topic in the EBP model. To evaluate the project, a questionnaire containing 11 questions was distributed to all nurses at the ED (n=116) after 4½ month. Two focus group interview were performed to supplement the survey.Results: The questionnaire had a response rate of 72%. 61% of the nurses answered that “10 professional minutes” had influenced their nursing practice. 54% gained an increased focus on guidelines and search for evidence. 54% found the EBP model contributed to a better understanding of working evidence based. 66% found that 10 professional minutes created a room for nursing-related discussion. From the focus group interviews with respectively employees and leaders, three identical themes emerged; “Framework with 10 professional minutes creates a culture for discussion about nursing”, “The EBP model increase focus on evidence and nuances in nurses practical skills” and “10 professional minutes creates space for nursing-related discussion and reflection in daily work”.

Conclusion: In conclusion, 10 professional minutes facilitate a better understanding and an increased focus of evidence-based work by use of EBP. It creates a room for nursing-related discussion and reflection to the nurses daily work. Further research is suggested to focus on implementation, where EBP will be an integrated part of the nurses daily work.
The impact of using presenting complaints on a modern 5-level triage system
Authors: Kongensgaard Frederik Trier
Published: September 2022

Background: Five-level triage systems are being utilized in Danish emergency departments with and without the use of presenting complaints. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on vital signs and presenting complaints and a locally adapted version of DEPT (VITAL-TRIAGE) using vital signs only.

Methods: This was a retrospective cohort in five Danish emergency departments. All patients attending an emergency department during the period of 1-4-2012 until 31-12-2015 were included. Validity of the two triagesystems were assessed by comparing urgency categories determined by each triagesystem with outcomes that resembles an urgent hospitalization: 24-hour ICU admission, two-day mortality, critical illness, surgery within 48 hours, 4-hour discharge and length of stay.Results We included 632,196 patients in the analysis. Sensitivity for 24-hour ICU admission was 0.79 (CI 0.78 : 0.80) for DEPT and 0.44 (CI 0.41 : 0.47) for VITAL-TRIAGE. The sensitivity for two-day mortality was  0.69 (CI 0.67 : 0.70) for DEPT and 0.37 (CI 0.34 : 0.41) for VITAL-TRIAGE. The sensitivity to detect diagnoses of critical illness were 0.48 (CI 0.47 : 0.50) for DEPT and 0.09 (CI 0.08 : 0.10) for VITAL-TRIAGE. The sensitivity for predicting surgery within 48 hours was 0.30 (CI 0.30 : 0.31) in DEPT and 0.04 (CI 0.04 : 0.04) in VITAL-TRIAGE. Length of stay were longer in VITAL-TRIAGE than DEPT. The sensitivity of DEPT to predict patients discharged within 4 hours was 0.91 (CI 0.91 : 0.92) while VITAL-TRIAGE was higher at 0.99 (CI 0.99 : 0.99). The odds ratio for 24-hour ICU admission and two-day mortality was increased in high-urgency categories of both triage systems compared to low-urgency categories.

Conclusion: High urgency categories in both triagesystem are associated with adverse outcomes. The inclusion of presenting complaints in a modern 5 level triage system led to significantly higher sensitivity measures for the ability to predict outcomes related to patient urgency.
Point-of-care focused lung ultrasound in emergency medicine: Protocol for a scoping review
Authors: Ovesen Stig Holm , Clausen Andreas Hvilshøj , Kirkegaard Hans , Løfgren Bo , Aagaard Rasmus , Skaarup Søren Helbo , Weile Jesper
Published: September 2022

Baggrund

Point-of-care fokuseret lungeultralyd er en central kompetence i akutmedicin. Meta-analyser for diagnostiske studier af point-of-care fokuseret lungeultralyd har vist lovende diagnostiske resultater for pneumothorax, pleura effusion, interstitielt syndrom, lungeemboli og pneumoni. Men manglende evidens på patient-nære endemål og et fåtal af randomiserede kontrollerede studier synes at være begrænsende for den videre implementering af point-of-care ultralyd.

En metodisk kortlægning af eksisterende studier indenfor et forskningsfelt kan vejlede fremtidige forskningsindsatser. Formålet med dette review er at give et overblik over original forskning i point-of-care fokuseret lungeultralyd i akutmedicin med særlig vægt på studiedesign og patient-relevansen af endemål.

Metoder

Reviewet designes som et scoping review og det vil inkludere originale studier i point-of-care fokuseret lungeultralyd til voksne patienter i akutafdelinger. Reviewet vil fokusere på point-of-care fokuseret lungeultralyd; studier i fyldestgørende thorakal ultralyd er uden for denne afgrænsning (f.eks. ultralydsundersøgelser som vurderer mediastinale lymfeknuder, diafragma bevægelse, kontrast- eller procedure lunge ultralyd). Vi vil ekskludere studier uden tilgængeligt engelsk manuskript. Grå litteratur og udelukkende kvalitative studier vil ikke blive inkluderet. Reviews, protokoller, meta-analyser, case artikler, letters, og konference abstrakts vil blive ekskluderet.

Dataudtrækket vil inkludere adskillige metodiske og sonografiske karakteristika (f.eks. sampling metoden [lejlighedsvis/fortløbende], diagnostisk rolle af ultralyd [triage, tillæg, erstatning], antal af sonografører, sonograførernes ekspertise [træning og erfaring] og sonograførernes rolle [behandlende læge eller forsker]. Den narrative syntese af alle inkluderede studier vil blive gennemført med særlig vægt på studie designs og patient-relevans af endemål. Figurer og diagrammer vil opsummere tidsmæssige tendenser, metode karakteristika og endemål.

Diskussion

Dette scoping review vil tilbyde et overblik som systematiske reviews ikke kan sammenfatte eller kortlægge. Kortlægningen af studie designs og patient-relevans af endemål vil vejlede fremtidige studier og systematiske reviews i forsøget på at vejlede klinikere og patienter til den mest hensigtsmæssige brug af point-of-care fokuseret lungeultralyd i akutmedicin. Reviewet vil også biddrage med et overblik over område-specifikke metodiske og sonografiske karakteristika, som gør det muligt for andre forskere at identificere de utilstrækkeligheder, som bør opgives, og de fremskridt som bør dyrkes.
Trilobites de la base de la Formación del Jalón (Cámbrico Inferior) de Aragón
Authors: Sdzuy Klaus
Published: September 2022

Se describe una pequeña fauna encontrada en la base de la Formación del Jalón. El estado de conservación no es bueno y por lo tanto no se pueden dar determinaciones exactas. Parece, sin embargo, que está relacionada a la fauna con Dolerolenus conocida cerca de Los Barrios de Luna (León).
El "Grupo" Sphenolithus abies en el neúgeno de las cuencas del Guadalquivir (España) y Surrifeña (Marruecos), y sondeos D.S.D.P. del Atlántico Nororiental
Authors: Flores Villarejo José Abel
Published: September 2022

Se estudian en detalle las características morfológicas de los esfenolitos registrados en un lapso Tortoniense-­Plioceno inferior, en secciones de la Cuenca del Guadalquivir, Cuenca Surrifeña y los sondeos Deep Sea Drilling Project números 135, 136, 118, 415 y 416A. La similitud existente entre las diversas formas determina que se agrupen en categorías supragenéricas, pero sin "status" taxonómico preciso; esto se debe fundamental­mente a la imposibilidad en determinar su completa independencia, o la influencia de ciertos factores que pudieran dar lugar a la variabilidad. En base a las características estructurales, se realizan una serie de consideraciones sobre la preservación de los representantes del "grupo", concluyéndose que en sentido amplio se trata de formas relativamente resistentes a la disolución. En cuanto al ambiente propicio para su desarrollo se llega a la conclusión, sobre datos bibliográficos y de la propia experiencia, que las especies en discusión (Sphenolithus abies, S. moriformis, S.neoabies y S. verensis), parecieron ser relativamente más importantes en masas de aguas cálidas, aun cuando en transicionales se registran con regularidad. En estas últimas condiciones no se reconoce siempre una relación directa con la proporción de asterolitos, acaso determinada porque el "grupo" S. abies parece desarrollárse mejor hacia batimetrías inferiores (zonas más próximas a la costa) a las idóneas para los asterolitos.
Stellichnus nov. icnogen., huellas de incrustación atribuidas a Paravinella nov. gen. (Bryozoa, Ctenostomata) de la formación arenas de Huelva (Plioceno Inferior) en la Cuenca del Bajo Guadalquivir (España)
Authors: Mayoral Eduardo
Published: September 2022

Se describe para el Plioceno inferior marino la existencia de un organismo incrustante considerado como un nuevo género de briozoo ctenostomado: Paravinella, y se propone la nomenclatura formal adecuada para definir el tipo de huella fósil (Stellichnus) directamente producida por el mismo.
La región auditiva en los osos del pleistoceno europeo
Authors: De Torres Pérez-Hidalgo Trinidad
Published: September 2022

Este trabajo trata de la descripción y comparación de las principales características morfológicas de la región auditiva de los grandes osos del Pleistoceno europeo: Ursus prearctos Boule, Ursus deningeri von Reichenau, Ursus spelaeus Rosenmüller-Heinroth y Ursus arctos Linneo. Además de una serie de diferencias morfológicas menores, de origen e importancia inciertos, las más importantes son: bulla tympánica con la cara ventral aplanada y septum indiviso sin septas en U. prearctos y U.arctos, mientras que en las especies espeloides, U. deningeri y fundamentalmente U. spelaeus, la cara ventral de la bulla es irregular y el septum está dividido por una septa bien marcada. Estas morfologías probablemente estén ligadas a una mayor capacidad de resonancia de la bulla. El petroso es relativamente mayor en U.prearctos y U. arctos que en U. deningeri y U. spelaeus.
Acción bioerosiva de Mollusca (Gastropoda, Bivalvia) en el Plioceno Inferior de la Cuenca del Bajo Guadalquivir
Authors: Mayoral Eduardo
Published: September 2022

Se ponen de manifiesto la existencia de una serie de huellas en el Plioceno inferior de la Cuenca del Bajo Guadalquivir, que se atribuyen en su mayor parte a la acción orgánica de moluscos (Gastropoda, Bivalvia). Esta actividad refleja habitos de conducta perforadora, raspadora e incrustante, que responden a necesidades de alimentación y vivienda . A resultas de este estudio se propone la utilización formal de un nuevo icnogénero: Renichnus, para designar un tipo de huellas de forma arriñonada originadas por la incrustación de ciertos organismos.
Modo de desarrollo del Suborden Diplograptina (Graptolithina) en el Ordovícico Superior y en el Silúrico. Implicaciones Taxonómicas
Authors: Legrand Philippe
Published: September 2022

Se consideran los dos tipos de estructura, estreptoblástica y prosoblástica, reconocidos por Bulman (1963) y se definen dos nuevos: hypoblástico y keroblástico. La aplicación de estas definiciones al suborden Diplograptina obligan a dividirlo en tres conjuntos y ello, a su vez, a la caracterización y distinción de algunos géneros nuevos tales como Normalograptus, Pseudorthograptus y Neodiplograptus.
Unidades registráticas, biocronología y geocronología
Authors: Fernándes-López Sixto
Published: September 2022

En este artículo se expone un nuevo sistema de clasificación biocronológica, que permite distinguir entre las referencias a entidades biológicas del pasado y las evidencias del registro fósil. Los conceptos tratados sirven para establecer unidades de clasificación biocronológica, equivalentes a las del sistema bioestratigráfico tradi­cionalmente utilizado en Paleontología y en Estratigrafía; dichas unidades biocronológicas están constituidas por individuos evidenciados o inferidos a partir ele componentes del registro fósil, no a partir del registro estratigráfico. Este sistema de clasificación posibilita la comparación de unidades biocronológicas establecidas en distintas regiones de una o más cuencas sedimentarias, al margen de que estén representadas o no las correspondientes unidades bioestratigráficas o cronoestratigráficas.
Presentación. Medio Siglo de Paleontología en España
Authors: Truyols Jaime
Published: September 2022

Como para tantos otros campos de la investigación científica, la guerra civil de 1936-39 supuso para la Pa­leontología española una quiebra importante en el desarrollo de su trayectoria ascendente. Junto a lo irreparable de las vidas humanas, la dispersión de medios materiales de trabajo y la pérdida o desaparición de algunas colec­ciones y archivos, provocó la paralización de buena parte de las actividades que se estaban realizando en este cam­po. Cuando terminó la guerra y la vida científica pudo ponerse de nuevo en movimiento, el panorama era poco halagüeño, falto de personal y de medios indispensables. En estas condiciones, los supervivientes de la catástrofe, junto con los recién incorporados en la inmediata postguerra, trataron de reanudar trabajosamente el camino que, a lo largo de medio siglo de esfuerzos, ha conducido al momento actual.
Consideraciones sobre la posición sistemática del género Angustiphyllum Altevogt (Coelenterata, Rugosa) del Devónico Medio de la Cordillera Cantábrica (NO de España)
Authors: Soto Francisco
Published: September 2022

El género Agustiphyllum Altevogt, de acusado carácter provincialista, se encuentra representado en el Devónico Medio (Eifeliense) de la Cordillera Cantábrica por ejemplares, cuya particularidad más llamativa es su aspecto externo cuneiforme. Su única especie, A. cuneiforme Altevogt, muestra además de dicha morfologia otras carac­terísticas típicas del género, tales como una elevación axial crestiforme, de naturaleza sinapticular, dispuesta per­pendicularmente al plano cardinal-antípoda y una microstructura fibrolamelar de los septos. En el presente traba­jo se analiza el valor taxonómico de ambas características y en base a ellas se amplía y delimita la diagnosis del género Angustiphyllum y se discute su posición sistemática familiar y subfamiliar. Asímismo, se amplía conside­rablemente la distribución geográfica del género en la Cordillera Cantábrica, hasta el punto de constituir un nivel guía muy útil a nivel regional. El hallazgo de ejemplares similares de Angustiphyllum, pero desprovistos de la elevación axial crestiforme del cáliz, da pié para proponer la creación de un género y especie nuevos, que por el momento mantenemos en nomenclatura abierta, a causa del escaso número de ejemplares recolectados.
Tenebrosella (Foraminiferida, Biseriamminidae), nuevo género del Carbonífero Cantábrico
Authors: Villa Elisa , Sánchez de Posada Luis Carlos
Published: September 2022

La investigación sobre el contenido en foraminíferos del Carbonífero de la Cordillera Cantábrica ha proporciona­do diversas secciones de ejemplares que muestran el arrollamiento propio de los Biseriamminidae. Las caracterís­ticas peculiares de su pared nos inducen a considerarlos como representantes de un nuevo género para el que se propone el nombre de Tenebrosella.
Accessibility to Telerehabilitation Services for People With Multiple Sclerosis: Analysis of Barriers and Limitations
Authors: Gopal Arpita , Bonanno Valeria , Block Valerie J. , Bove Riley M.
Published: September 2022

BACKGROUND

In multiple sclerosis (MS), telemedicine improves access to specialized medical care; however, barriers remain, including universal access and effective implementation. Focusing on telerehabilitation, ie, remotely delivered physical therapy, our goal was to identify barriers to telerehabilitation implementation and factors associated with patients completing telerehabilitation physical therapy treatment.

METHODS

Quantitative data included a review of electronic health records of patients with MS treated at the University of California San Francisco Physical Therapy Faculty Practice. We extracted demographic, clinical, and transit-related factors. For patients who scheduled an initial evaluation, we recorded the number of follow-ups, cancellations, completed physical therapy goals, and discharges. Qualitative data included interviews with 3 board-certified neurologic physical therapists and patients’ perspectives recorded in the subjective portion of physical therapy notes.

RESULTS

We identified 111 patients with at least 1 visit (in-person or telerehabilitation) to physical therapy (82 women; mean ± SD age, 54.2 ± 12.7 years). Patients with no disability (Expanded Disability Status Scale [EDSS] score, 0) were 73% less likely to schedule a follow-up appointment (in-person or telerehabilitation) than those with some disability (EDSS score, >0) (odds ratio, 0.27; 95% CI, 0.09–0.75; P = .012). Neurologic physical therapists identified reduced travel burden and scheduling flexibility as benefits of telerehabilitation vs in-person visits. Barriers to telerehabilitation included low technological literacy, cognitive impairment, and fall risk. Patients described scheduling conflicts and pain/illness as barriers to telerehabilitation.

CONCLUSIONS

Patients with no disability were least likely to complete physical therapy treatment via telerehabilitation. Although both benefits and barriers to completing physical therapy via telerehabilitation are present, the neurologic physical therapists were supportive of a hybrid model for physical therapy.
Youths Quality of Life in Nigerian State: Link With Resilience, Locus of Control and Perceived Social Supports?
Authors: Mercy Ofole Ndidi
Published: September 2022

Cross sectional research design was adopted to examine the relationship between three independent factors (resilience, internal locus of control, perceived social supports) and qaulity of life. A sample size of four hundred (400) youths between ages 18-30 years (Male=240; Female=160) were selected using a combination of simple random sampling and purposive technique from a population of out-of school youths in Anambra State, Nigeria. Four standardized scales were used for data collection. Pearson Product Moment Correlation (PPMC) and Multiple Regression were used for data analysis. Findings revealed that resililence (r= 0. 146**p.05), internal locus of control (r= 0. 165** p.05) and social support (r= 0. 658** p.05) positively correlated with quality of life respectively. There was significant joint contribution of the independent variables to the prediction of quality of life among the respondents F (5,395) = 102.299, P0.001). The independent variables (resilience, internal locus of control and perceived social supports) when combined accounted for 50.2% (Adj.R2= .502) of the variance in quality of life among out-of school youths in Anambra State. Resilience was the most potent predictor of quality of life among the variables considered in this study (β =.591, t =10.153, P0.001). Counselling psychologists should institute resilience-focused therapy to build the practical skills of youths to become capable of handling their everyday challenges in order to have an improved quality of life.
Lifestyles related to NCD and utilization of preventive services among adults
Authors: Šiljak Slađana , Kovačević Ljiljana , Dragić Dragana
Published: September 2022

Leading behavioural risk factors for non communicable diseases (NCD) are smoking, harmful use of alcohol, physical inactivity and unhealthy diet. More than half of population between age 30 and 70 years die annually from NCDs which could be prevented by promotive and preventive measures. Goal of the paper is to determine lifesyle factors related to non communicable diseases and utilization of preventive services in primary health care center Zvezdara in Belgrade. Survey is cross sectional study with sample size of 210 adults randomly selected. The analysis of the survey data was performed using the statistical data processing program SPSS 19.0 for Windows. Lifestyles factors related to NCDs among adult population in Belgrade are smoking (38,1%), alcohol consumption (32,9%), poor eating habits with high salt intake, more than 5g (29%) and inadequate frequency of meals (61%), sedentary lifestyles during working time (27,1%) and during leisure time (20,4%). Only 16,7% of population have moderate physical activity according to WHO recommentations. Preventive services utilized each third men and each fifth women, people with high level of education (p=0.001), professionals (p=0.007) who are living in good social conditions (p=0.000). Preventive services need to be organized more flexible in relation to public opinion using modern methods of health education via electronic services, media and mobile communications.
The Treatment of Moderate and Severe Chronic Plaque Psoriasis With Biologics and Biosimilar Drugs
Authors: Balaban Jagoda , Ninković Baroš Đuka , Kovačević – Gašić Kajkut Ana , Barišić Sonja
Published: September 2022

Psoriasis is a chronic, immune-mediated inflammatory skin disease. The condition greatly affects people’s quality of life to the extent that it could be life-ruining and stigmatizing. A better understanding of psoriasis pathophysiology allowed the development of targeted therapies, including biologics and biosimilars which are recommended as an option for moderate to severe plaque psoriasis. Our results have shown that administration of biologics (adalimumab and secukinumab) and adalimumab biosimilar led to a significant improvement in the PASI response after 16 weeks. Most patients who have been treated for more than a year have the same PASI response.
Relations Between Morphological Characteristics and the Motor Skill Handstand Against ’’A Vertical Surface in 11-Year-Old Female Pupils’’
Authors: Vlahović Lidija
Published: September 2022

The aim of the conducted research was to determine correlation between morphological characteristics and the motor skill Handstand Against a Vertical Surface in fifth-grade primary-school female pupils from Split. In conformity with the set objective, on the sample of 152 primary-school female pupils from Split, Republic of Croatia, aged 11 (± 6 months), a set of 16 anthropometric measurements for assessment of morphological characteristics and the motor skill test Handstand Against a Vertical Surface, were applied. The results for multiple regression analysis indicated a statistically significant correlation between morphological characteristics and the motor skill Handstand Against a Vertical Surface in female students. The analysis of partial contribution of certain morphological variables on the significance of the regression model indicated a statistically significant contribution in the variables Abdomen Skinfold and Elbow Diameter. The research results provided useful information on morphological specification of the motor skill Handstand Against a Vertical Surface and thus its role in transformation of certain morphological characteristics for achieving desired final conditions in the process of planning and programming Physical Education classes. Moreover, they also imply which morphological characteristics should be considered in order for female pupils to achieve best possible results during the assessment process of this motor task.