bluuebunny/crossref_metadata_2025 huggingface dataset:
Two-Dimensional Change in the Cystic Defects after Decompression and Enucleation of Jaw Cysts - A Comparative Study
Authors: Dereci Ömür , Saruhan Nesrin , Tekin Görkem , Alizadeh Ahmad , Öntürk Tuğrul
Published: February 2022

Introduction:

To compare the treatment methods of enucleation and decompression with regards to reduction of the dimension of the cystic defect with the aid of a software program.

Materials and Methods:

Thirty patients with regular controls of 3, 6, and 12 months treated between January 1, 2013, and January 1, 2021, were selected and included in the study. Sixteen patients were treated with enucleation and 14 patients with decompression. All preoperative and control radiographic and clinical data were retrieved from the archives. The area measurement of cystic cavities was made on panoramic radiographs taken at preoperative (T0), 3-month (T1), 6-month (T2), and 12-month (T3) control periods with a software program. Intra-group and inter-group analyses were made to compare the reduction of cystic defects between two treatment methods.

Results:

The mean age of study patients was 45.2 ± 7.3. Eighteen of them were male and 12 of them were female. Statistically, a significant difference was not observed between decompression and enucleation groups at T0, T1, T2, and T3 control periods (P > 0.05). There was a statistically significant difference in the defect dimensions between all control periods in both decompression and enucleation groups (P < 0.05).

Discussion:

Decompression and enucleation of jaw cysts are both successful in reducing cystic cavities. However, there is no superiority between the two treatment modalities regarding the defect reduction at the 12-month control period.
Evaluation of Serum Metal Ion Levels in Dental Implant Patients
Authors: Gopi Gayathri , Shanmugasundaram S. , Krishnakumar Raja V. B. , Afradh K. Mohamed
Published: February 2022

Introduction:

Titanium is the most commonly used bio-inert implant material. Nevertheless, there is a possibility of systemic release of metal ions, which could have clinical implications like implant failure and toxicity. This prospective study focuses on the evaluation of serum metal ion levels in patients receiving dental implants. The aim of the study is to evaluate the release of titanium, aluminium, and vanadium from dental implants by comparing the preoperative and postoperative serum levels of these ions.

Methodology:

Serum samples were collected from 30 patients undergoing dental implant placement preoperatively and postoperatively at intervals of 6 weeks, 3, 6, and 12 months. These samples were analyzed for titanium, aluminium, and vanadium levels using Inductively Coupled Plasma Optical Emission Spectrometry. The difference in preoperative and postoperative serum levels was measured and statistically analyzed using the paired t-test.

Results:

There was a slight difference in the postoperative levels of titanium and aluminium (2.30 and 4.07 mg/dl) as compared to the preoperative levels (2.28 and 2.30 mg/dl), which was statistically insignificant (P > 0.5). The serum levels of vanadium were too insignificant to be detected by the instrument (<0.0088 mg/dl).

Discussion:

Mild increase in the titanium and aluminium levels in blood serum was noted. These metallic ion levels might increase significantly due to which further clinical research with larger sample sizes and a long-term follow-up period is required to evaluate the clinical effects of metallic ion release from dental implants. There is no significant difference in the serum metal ion levels before and after the implant placement, although a little increase is observed in the aluminium ion levels after the implant placement.
Newer teaching-learning methods and assessment modules in anaesthesia education
Authors: Kundra Pankaj , Kurdi Madhuri , Mehrotra Shikha , Jahan Nikahat , S Kiran , Vadhanan Prasanna
Published: February 2022

The National Medical Commission in its recent guidelines has stated that postgraduate training in anaesthesiology should have clear objectives and be competency based. This means that the existing teaching–learning (TL) methods need a major face-lift. E-learning and blended learning including learning management systems, virtual classrooms, app-based learning, flipped classroom, podcasts, webinars, web-based collaborative education, reflective feedback, problem-based discussions and mentorship are some newer TL methods that can be adopted. Simulation can help teach technical and non-technical skills such as leadership, teamwork and communication. In line with TL methods, newer assessment methods have to be applied to revolutionise postgraduate anaesthesia education. Formative assessment and assessment of clinical skills are important and to do this, workplace-based assessment methods such as mini-clinical evaluation exercise, direct observation of procedural skills, multisource feedback, logbook and E-portfolio can be applied. Objective structured clinical examination, simulation-based assessment and E-assessment are other useful evaluation methods.
How to do a journal club, a seminar and a webinar?
Authors: Sanwatsarkar Sadhana , Palta Sanjeev , Parida Satyen , Kamat Chaitanya , H Bala Subramanya
Published: February 2022

The topics for postgraduate teaching-learning tools are Journal club in-house with one speaker and a moderator, Seminars- with multiple speakers and a co-ordinator, and Webinars- online seminars with one or multiple speakers choosing multiple mediums of communication. They largely affect the working mechanism of a clinician as they help us upgrade with the recent development in our fields. Making them interesting for us as well as our colleagues is necessary. This article presents a few facts as well as tips and tricks to compile the literature in a manner, which includes all the necessary points for better learning.
Breaking barriers to remain healthy and fit during a residency in anaesthesiology
Authors: Chhabra Swati , Malhotra Naveen , Bajwa Sukhminder Jit Singh , Choubey Sanjay , Sasidharan Shibu , Sahni Neeru
Published: February 2022

Anaesthesiology is a high-demand speciality of medicine in terms of long and unpredictable work hours, stressful work requirements, pressure for a cent per cent productivity in academics, clinical work and research. Higher stress levels can cause non-communicable diseases like hypertension, obesity and depressed immunity, among many others. In the journey as a trainee anaesthetist, vigorous and diligent efforts are needed to gain perfection in knowledge and skills ultimately. While this path is being transversed, it is essential to address physical and mental fitness by exercising it to the recommended benefits, to ward away stress and burnout. In this special article, the authors will discuss the barriers young anaesthesia trainees face to staying healthy and fit during their training and practical and appropriate measures to mitigate the same through intervention at various levels of hierarchy.
Comprehensive value-based cancer care in India
Authors: Bhadelia Afsan
Published: February 2022

Cancer has been one of the leading causes of death in India in the past decade. The growing cancer burden has generated an unmet need to identify and address gaps in the healthcare system to enable access to affordable and quality cancer care for all in a manner that enhances the value of care. This paper provides an overview of the value-based care approach, identifies areas for enhancing the objectives of value-based care through multi-characteristic and multidimensional consideration of patient centricity and proposes health system strategies to improve comprehensive value-based care in India within the current context, focusing on implications for women’s cancers. The core characteristics of patient centricity – heterogeneity and complexity – are detailed to complement and expand on previously defined aspects of value-based care. Comprehensive value-based cancer care can serve as a test case and proof of concept for the rest of the health system in India and focusing on women’s cancers as a starting point can mandate attention to gender-responsive and transformative design and implementation.
A study of the prevalence of nuclear, cortical, posterior subcapsular, mixed lens opacities in age-related cataractous population
Authors: Praveen Mamdipudi R. , Sajani Shah K. , Vaishali Vasavada A. , Viraj Vasavada A.
Published: February 2022

Background:

The purpose of the study was to study the prevalence of various subtypes of lens opacities in a clinic-based age-related cataractous population. We also evaluated the effect of age and axial length (AXL) on different types of cataract.

Methods:

This observational clinic-based study was carried out on 2448 patients above 40 years of age with age-related cataracts. Only one eye of each subject was randomly selected for the study. The study population was categorised according to age (in terms of decade) and AXL as axial hypermetropes <23.40 mm, emmetropes 23.40–23.90 mm and myopes >23.90 mm.

Results:

Mixed cataract (52.9%) was the most frequently encountered type of cataract followed by nuclear (22.2%), posterior subcapsular (18.9%) and cortical (6.0%). In eyes >50 years, mixed cataract was most common (59.2%), while in eyes between 40–50 years, posterior subcapsular cataract (PSC) was more common (48.7%). In eyes >50 years of age, mixed cataracts were more common compared to isolated cataracts (odds ratio: 1.48, 95% confidence interval: 1.24–1.78). In eyes <50 years, in hypermetropes and emmetropes PSC (57.5% and 57.8%), while in myopes nuclear cataract emerged as a predominant category (39.4%).

Conclusions:

The most commonly observed type of cataract was the mixed type. In younger age groups, isolated cataracts were predominant (PSC being the most frequently observed type). Mixed cataracts were predominant in older age groups. In eyes below 50 years, PSC was predominant in axial hypermetropes and emmetropes, while in those with axial myopia, nuclear cataract was predominant.
Clinical challenges in confirming the differential diagnosis of suspected Dabska's tumour of the hand
Authors: Mukundan Pradeoth Korambayil , Rameshkumar Geethanjali , Sukumarankurup Govind
Published: February 2022

There is always clinical situation where a suspected tumour by biopsy turns out to be an alternate pathological diagnosis when resected completely. In this case report, we present a case which was suspected to have Dabska's tumour of the thenar aspect of the right hand by the initial histopathological analysis. The tumour recurred and was referred to the plastic surgery department for wide local excision and soft-tissue reconstruction. Tumour was excised with adequate clearance, and the resultant soft-tissue defect was reconstructed with ipsilateral groin flap. The post-operative period was uneventful. We explain in this report, the approach made for safe resection of suspected Dabska's tumour and reconstruction of the defect with reduced morbidity as possible.
Severe acute respiratory syndrome coronavirus-2 IgG antibodies among health-care workers in a tertiary care hospital in Delhi India
Authors: Chhabra Mala , Arora Stuti Kansra , Shulania Anuradha , Panesar Sanjeet , Chauhan Ankit Kumar , Ganguly Kriti , Achra Arvind , Nirmal Kirti , Duggal Nandini
Published: February 2022

Introduction:

COVID-19 is a novel viral disease caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) that was first detected in Wuhan, China, in December 2019. Hospital health care workers (HCW's) are the frontline workforce for clinical care of cases and they are exposed to a higher risk of acquiring the disease than the general population. Thus, this study was planned with the aim to detect the presence of IgG antibody against SARS-CoV2 among the HCW's.

Materials and Methods:

This retrospective study was carried out from June to August 2020 among the HCW's of a tertiary care hospital in New Delhi. Information on demography, risk factors and COVID-19 infection was obtained on predesigned pro forma and the blood sample was collected in the plain vial for the detection of COVID 19 IgG antibodies, targeting recombinant Spike 2 protein and nucleoprotein, using the Indian Council of Medical Research approved enzyme-linked immunosorbent assays kit.

Results:

Eight hundred HCWs voluntarily participated in the study. The seroconversion rate among the HCW's enrolled in our study was found to be 16.75%. They were divided into three groups on the basis of reverse transcription-polymerase chain reaction (RT PCR) test done for SARS-CoV2 genes since 30 January 2020. In Group I, who were RT PCR positive, 34 (70.8%) were found to be seroconverted. In Group II who were RT PCR negative, 12.09% had IgG antibodies. Group III comprised 529 HCW's, who never got themselves tested for RT PCR, of these 13.8% had developed IgG antibodies. The most common symptom was found to be cough, fever, bodyache, loss of taste and loss of smell. The odds ratio amongst seroconverted and nonseroconverted HCW's was found to be significant in all the symptoms except for nasal discharge and sore throat. Among the significant symptoms the odds ratio was observed to be 16.09 and 12.99 for loss of taste and loss of smell, respectively, and was observed to be highly significant (P < 0.001). Only 1.5% had moderate and severe infection and the rest had mild infection or were asymptomatic. Seroconversion rate among the asymptomatic HCWs was found to be 10.84%.

Conclusion:

Serology plays an important role in understanding the pandemic COVID-19 by identifying the individuals who have been infected and seroconverted, infected but not seroconverted, infected and remained asymptomatic or who never got themselves tested but showed the presence of IgG antibodies.
Impact of Quarantine on Lifestyle and Psychological State of People during the COVID-19 Pandemic
Authors: Sharma Mithun , Anand Vivek , Bhaskar Vijay , Yadav Arun Kumar , Kumar Surinder , Bajaj Swati
Published: February 2022

Objectives:

The objective of the study was to assess impact of quarantine on lifestyle behavior and the psychological state of persons during the COVID-19 pandemic.

Study Design:

This study was a cross-sectional study.

Methods:

A questionnaire-based cross-sectional study was conducted among 216 persons quarantined during the COVID-19 pandemic at home or in selected facilities set up by various tertiary care hospitals and administrative authorities in various parts of India. The questionnaire was distributed among participants using electronic media. Psychological state during quarantine was assessed using the DASS 21 questionnaire.

Results:

Out of 57.4% of responders who gave a history of physical exercise before quarantine, 52.7% reported a reduction in physical activity. 18.5% of study participants brought about dietary changes towards healthy diet during quarantine, while 24.5% took up some new activities or hobbies. 62.9% of respondents reported any degree of psychological stress (depression, stress, or anxiety) during the quarantine.

Conclusions:

Quarantine impacted psychological state of individuals and brought about changes in lifestyle with both positive attributes such as dietary modification toward healthy diet or negative attributes such as reduction in physical activity. IEC activities have a positive impact in terms of reducing negative attributes and increasing the compliance toward quarantine.
Etiology and Course of Cerebellar Ataxia: A Study from Eastern India
Authors: Bhuin Subhas , Biswas Samar , Roy Arijit , Mukherjee Adreesh , Pandit Alak , Gangopadhyay Goutam
Published: February 2022

ABSTRACT

Objective:

The course of various cerebellar ataxia disorders in our population is relatively unexplored, especially beyond the hereditary spinocerebellar ataxias (SCA). This study was conducted to objectively assess the severity and progression of various disorders causing the cerebellar ataxia.

Materials and Methods:

This longitudinal prospective study evaluated the etiologies and the corresponding severity and progression of the cerebellar ataxia. Clinical examination and the relevant investigations were performed. The severity of ataxia was assessed using the Scale for Assessment and Rating of Ataxia (SARA) - at initial presentation and another at 6 months of follow-up, and the change in SARA scores were calculated to find the disease progression.

Results:

Out of 145 patients studied, SCA predominated followed by Autoimmune/paraneoplastic disorders, Multiple System Atrophy-Cerebellar (MSA-C), Wilson’s disease, and Multiple sclerosis. On follow-up, human immunodeficiency virus (HIV) associated progressive multifocal leukoencephalopathy was the most rapidly advancing disease, followed by MSA-C, Friedreich’s ataxia, and Huntington’s disease, all of which progressed faster than SCA. SCA 3 emerged as the most progressive SCA followed by SCA 1, SCA 6, SCA 2, and SCA 12. The autoimmune etiologies showed favorable response to treatment, although with some variability across the different disorders. In the paraneoplastic category, anti Tr associated ataxia improved better than other disorders. Multiple sclerosis and other treatable disorders also responded to treatment.

Conclusion:

Cerebellar ataxia is the predominant clinical feature in a wide variety of disorders. While some are progressive, others are responsive to treatment, the extent of which differed according to the etiology.
Mental Health Impact of COVID-19 Pandemic in India
Authors: Singh Mamta , Raut Nitin , Singh Shipra
Published: February 2022

Background:

The coronavirus pandemic has impacted the globe, altering lives of people in all domains, and added insecurity, thereby taking a toll on their mental health. Addressing the parallel surge of psychological problems and identifying the vulnerable population is of equal concern. This study aims at assessing the symptoms of anxiety and depression in the population during the coronavirus pandemic.

Methodology:

It was a cross-sectional methodological web-based survey to assess psychological influence of the coronavirus pandemic. A sociodemographic pro forma, validated questionnaire consisting questions about awareness regarding coronavirus, and Goldberg Anxiety and Depression Scale were included in the survey.

Results:

A total of 1027 participants completed the survey questionnaire. Clinically significant anxiety and depressive symptoms were found in 17.9% and 40.7%, respectively. There was statistically significant difference in prevalence of anxiety symptoms by gender (P = 0.009), age group (P = 0.030), marital status (P = 0.001), and occupation (P = 0.012). Depressive symptoms also significantly differed across age group (P = 0.001), marital status (P = 0.000), education (P = 0.020), occupation (P = 0.009), income group (P = 0.038), and place of living (P = 0.039). A significant difference of knowledge (about COVID-19) was seen between the groups with and without clinically significant depressive symptoms. Distress was noted mostly with information overload and the fear of contracting coronavirus infection.

Conclusion:

More than one-third of participants had clinically significant psychological symptoms. This suggests the requirement of more structured and long-term studies, and the need for appropriate mental health services to masses.
Verificación de los hechos: Aplicación metodológica en el medio de comunicación El Bacán
Authors: Suárez-Roca Julia Estefanía , Vélez-Bermello Gabriela Lourdes
Published: February 2022

La verificación de los hechos o fact-checking es una práctica inmersa en el periodismo que tiene como objetivo ofrecer información de calidad a los usuarios, esto a pesar de que en la actualidad el fact-checking se presenta como un nuevo ecosistema de la profesión, sin embargo, esta investigación se centra en analizar la aplicación de la verificación de datos en el medio de comunicación digital El Bacán. El objetivo fue identificar el proceso de rutinas productivas en dicho medio. El estudio se apoyó en un enfoque cualitativo, bajo una técnica de triangulación de resultados dada por el análisis teórico de varios autores, una entrevista con el director polifuncional del medio y consultas con especialistas en comunicación. Esta comparación de los datos recolectados permitió identificar que el proceso de verificación involucrado en el medio de comunicación de El Bacán se asemeja mucho a lo que proponen los autores, sin embargo, concluye que al ser un medio de comunicación que no cuenta con profesionales para la construcción de la noticia, existe la posibilidad de que cometan errores periodísticos, tanto en la producción como en el tratamiento y verificación de la información.

Palabras claves: Verificación de hechos, rutinas productivas, filtros editoriales.
The impact of daily stress on sexual activity in stable couples in Romania
Authors: Cristian Delcea
Published: February 2022

Purpose: This study addresses the issue of how stress is related to sexual problems among women and men in close relationships (we considered stable couples). Psychological symptoms, relationship quality, daily internal stress (meaning, stress that comes from the couple, such as conflicts, concern for the partner), daily external stress (meaning, stress that occurs outside the couple, such as stress at work, stressful relatives and so on) were examined for their association with various sexual problems.
Method: The study included 38 couples participating in this study, chosen at random from a sample of sexually active couples. Online questionnaires were used.
Results: The results so far support the hypotheses that 1) there is an incremental effect or stress on sexual problems, controlling psychological symptoms and the quality of the relationship and that 2) it is primarily internal daily stress. Emotional stress that is related to sexual problems, especially hypoactive sexual desire in women and men, sexual aversion in women, vaginismus in women and premature ejaculation in men.
Conclusions: Our findings indicate that the treatment of these sexual problems should address relationship issues, including a focus on helping individuals to improve their stress management skills in their relationship. Inner stress plays a key role in sexual behavior, this study once again highlights the fact that better communication as a couple, relaxation and finding specific copying methods are a good remedy, but more studies are needed to demonstrate effectiveness. them.
Key words: stress, sexual disorders, couple sexual problems, sexual health, communication, couple, sexuality.
Amanda Harris. Representing Australian Aboriginal Music and Dance, 1930–1970
Authors: Curran Georgia
Published: February 2022

In Representing Australian Aboriginal Music and Dance 1930–1970, Amanda Harris sets out a history of Aboriginal music and dance performances in south-east Australia during the four-decade-long period defined as the Australian assimilation era. During this era, and pushing its boundaries, harsh government policies under the guise of ‘protection’ and ‘welfare’ were designed forcibly to assimilate Aboriginal people into the mainstream population. It is striking while reading this book how few of these stories are widely known, particularly given the heavy influence that Harris uncovers it having on the Australian art music scene of today. As such, the book makes an important contribution to the ‘truth telling’ of Australian history while also showing that—despite the severe policies during this era, including the banning of speaking in Indigenous languages and restricting the performance of ceremony—Aboriginal people have remained active agents in driving their own engagements and asserting their own culturally distinct modes of music and dance performance. This resilience against significant odds has been aptly described by one of the book’s contributors, Yorta Yorta and Dja Dja Warrung cultural leader, visual and performance artist, curator and opera singer Tiriki Onus, as ‘hiding in plain sight,’ referring to the ways in which Aboriginal people ensured the continued practice and performance of their culture by doing so in public, the only place they were allowed to…
Julian Dodd. Being True to Works of Music
Authors: Nourou Sevastiana
Published: February 2022

The concept of being true to works of music and how true a performer is to the composer’s work has been an ongoing debate for many years. The idea of authenticity in the performance of musical works raises many questions, such as: what does it mean exactly to be authentic in music; how can one be authentic; to what exactly is one being faithful; which rules and conceptions should one follow to realise that authenticity; and can different performances of the same work both be authentic? Julian Dodd’s Being True to Works of Music is a short but insightful book about musical authenticity and musical meaning. It will be an important source not only for philosophers and musicologists, but also for students, and, most importantly, performers and listeners. It may also be of interest to general music readers…
The Application of Tobias Matthay’s Teachings to the Playing of York Bowen’s Twelve Studies: A Practitioner’s Perspective
Authors: She Oliver
Published: February 2022

Across the body of piano repertoire that falls under the ‘etude’ genre, few were written with a specific body of piano pedagogical literature in mind. One such example is English composer York Bowen’s Twelve Studies (1916), one of the lesser known cycle of etudes in the piano repertoire. The titles Bowen appended to these studies as well as the technical aspects explored in them point to a connection with the pedagogical teachings of English piano pedagogue Tobias Matthay. This article will examine these studies through the lens of my personal experience preparing this repertoire for performance, and will disseminate insights gained through this preparation process regarding how specific concepts Matthay espoused in his teachings tie in with the explicit and implicit technical focus of these studies, and may be applied in practice. Following a brief introduction to Bowen, the studies, and Matthay, the main section of this article explores eleven of the twelve studies that contain direct and/or indirect references to Matthay’s concepts, before concluding with some general reflections. The purpose of this article is to offer some pedagogical insight on this repertoire, and possible guidance for performers and teachers who may wish to study these works, in spite of these insights coming from a personal perspective. Additionally, since these studies are presently not very well known in pianistic circles and literature is scarce, it is hoped that this article will help nurture further scholarly investigation into this repertoire.
The Responsiveness of Social Policies in Europe
Authors: Fenger Menno , van der Steen Martijn , van der Torre Lieske
Published: February 2022

Using in-depth analysis gathered over fifteen years, this book closely analyzes the consequences of a wide variety of social and economic developments for social policies, offering theoretical and practical insights about their responsiveness.
Respeitando princípios no compartilhamento de dados
Authors: Araujo Bernardo José Oliveira
Published: February 2022

O objetivo do artigo é fornecer recomendações para o desenho de cláusulas contratuais para o compartilhamento de dados pessoais entre um controlador e um operador. Iniciamos o artigo comentando o primeiro guia publicado pela Autoridade Nacional de Proteção de Dados com diretrizes não vinculantes a respeito dos agentes de tratamento e do encarregado. O guia é o primeiro do gênero publicado pela autoridade reguladora brasileira e está estruturado em sete capítulos. Optou-se por dividir este item em oito tópicos relevantes, que são: agentes de tratamento; controlador; controladoria conjunta; controladoria singular; operador; operadores subcontratados; encarregado: o DPO brasileiro; e comentários adicionais. Em seguida, resumimos o sistema de responsabilidade civil estruturado pela Lei Geral de Proteção Dados Pessoais para os agentes de tratamento. A partir deste momento, focamos em recomendações objetivas acerca dos tópicos que merecem especial atenção em negociações de instrumentos contratuais que versem especificamente sobre dados pessoais. Dando prosseguimento às orientações, ampliamos o escopo das recomendações para o plano teórico, de modo a definir bases de um raciocínio jurídico que, pelo uso de princípios, funcione como um guia capaz de conduzir intérpretes em casos de compartilhamento de dados pessoais. Por fim, concluímos com um apanhado geral das ideias apresentadas no artigo.
Liberdade de expressão de agentes públicos na era digital
Authors: Binenbojm Gustavo
Published: February 2022

O conceito de relação especial de sujeição – criado por Otto Mayer, pai fundador do Direito Administrativo alemão – é ainda hoje invocado para regular o comportamento de agentes públicos, em virtude de sua posição de peculiar proximidade do Estado. A ideia seria a de que o Poder Público pode submeter os seus agentes a um regime diferenciado de restrições, como corolário das exigências inerentes ao exercício de funções estatais. Tal regime jurídico sempre foi caracterizado por uma ampla discricionariedade, tanto no plano das definições legislativas como no das escolhas administrativas, restando ao funcionário uma posição de mera sujeição. A supremacia do interesse público sobre os interesses particulares também aqui serviu de justificativa para legitimar a imposição estatal, num largo espectro de soluções possíveis
Componentes para el aprendizaje con base en materiales de plataformas educativas
Authors: Gutiérrez Pallares Enoc , Mendoza González Liliana Antonia , Álvarez Botello Jenny , González Roldán Karina
Published: February 2022

El aprendizaje de los estudiantes en la Educación Superior depende de múltiples factores, entre ellos las dimensiones pedagógica y tecnológica; el presente trabajo muestra un estudio de evaluación para un conjunto de materiales vertidos en una plataforma educativa, con la extracción de aquellos factores que muestran aportación significativa en la forma de aprender en Entornos Virtuales de Aprendizaje (EVA). Mediante una metodología cuantitativa, se realiza un análisis de la condición de una muestra de n=19 Guías de Estudio Independiente (GEI) mediante un instrumento que mide la calidad de los materiales presentados; los resultados del análisis evidencian el estado de eficiencia del modelo educativo con relación a la dimensión pedagógica, los elementos que debe contener, la estructura de materiales y una propuesta para que el instrumento y análisis de la información sean replicados en diversos contextos de la Educación a Distancia (EaD).
AbstractKnowledge acquisition in higher education students depends on multiple factors, among them, pedagogical and technological dimensions. This research shows a study of an evaluation performed on a compilation of material provided within an educational platform, with the extraction of factors that demonstrate significant contributions in the manner by which learning is achieved in a virtual learning environment (VLE). By means of a quantitative methodology, an analysis was performed on condition sample n=19 independent study guidelines (ISG) with an instrument which measures the quality of materials presented. The results of the analysis provide evidence of the status of efficiency in the educational model in relation with the pedagogical dimension, the elements should consist of the material’s structure and a proposal so that the instrument and analysis of the information be replicated in different distance educational contexts.
Managing changes following introduction of digital technologies in inpatient medical organizations: Moscow’s experience
Authors: Tyrov I. A. , Tokarev A. S. , Nebytova A. K. , Zavalko A. F.
Published: February 2022

Digital transformation of healthcare is a factor accelerating the change in the healthcare system in response to the challenges introduced by global demographic, technological and socio-economic trends. There are no technological barriers for digital transformation; however, there are organizational, legal and social limitations that need to be dealt with. In this article, digital technologies are presented as the main driver for the change development, ensuring the availability, speed and continuity of medical care provision, automation of routine processes and the processing of objective data for making management decisions. From the viewpoint of the established change management practice the article presents the current state of healthcare informatization and digital transformation experience of Moscow inpatient care by implementing the Unified Medical Information and Analytical System (EMIAS). Authors also present the general approach to change management developed by the Moscow Healthcare Department for all types of medical organizations, which is stipulated in regulatory documents. The article determines the main mechanisms of change management, certain limitations and ways to overcome them. Authors also describe the levels of digital transformation of Moscow’s medical organizations and propose the guiding principles for developing introduction measures for digital technology.
Global trends in the digital transformation of the healthcare industry
Authors: Pugachev P. S. , Gusev A. V. , Kobyakova O. S. , Kadyrov F. N. , Gavrilov D. V. , Novitskii R. E. , Vladzimirskii A. V.
Published: February 2022

National health systems are experiencing a number of common global challenges: population growth, demographic ageing, the prevalence of chronic noncommunicable diseases, the constant growth of health-care costs, while increasing resource scarcity, including staffing. At the same time, the rapid development of information technologies, including the accumulation of big data, artificial intelligence, telemedicine, remote patient monitoring, and the increasing availability of high-performance mobile devices and a high-speed Internet connection create truly unique prospects for the development of digital healthcare products and services. Growth of investment from tech giants and venture capital funds is one of the main drivers of digital healthcare transformation. More and more innovative products are being offered not to enhance the effectiveness of existing processes within health systems, but to create new alternative ways to receive medical care or reduce problems in its delivery. Thus, a key customer and a user of digital healthcare products is gradually becoming not the heads of medical organizations, public health authorities or doctors, but patients themselves. In this article, we present an analysis of the existing global trends and directions of development of the digital healthcare market, form our image of the future and the most prospective scenarios and technologies for products and services in this area.
Problems of health and quality of life management: intelligent digital platform “Health Heuristics”
Authors: Krut’ko V. N. , Deminov M. M. , Briko N. I. , Mitrokhin O. V. , Chichua D. T.
Published: February 2022

The article discusses several problems of health and quality of life management, such as motivating people to healthy lifestyle using gamification and monetization methods, the validity of recommendations and their personalization, monitoring results and supporting the use of health-saving programs, correct orientation in the face of a huge amount of unreliable information about methods of improving health from the Internet, etc. The tool for solving these problems is an intelligent digital platform created by the authors, which, based on big data about the human body, its lifestyle and habitat, automatically generates personal recommendations for healthy lifestyle aimed at improving health and quality of life. The complex of scientific and methodological, technological, regulatory, legal, motivational, commercial, and other approaches and solutions developed within the framework of this project is considered. A comparative analysis of several analogues of the platform is carried out.
ANÁLISIS DEL ÍNDICE DE ACCIDENTABILIDAD EN LA AVENIDA MARISCAL SUCRE, ENTRE LAS AVENIDAS, UNIVERSITARIA Y SAN FRANCISCO DE RUMIHURCO.
Authors: Rivera Alex I. , León Mario G. , Cabezas Juan F. , Miranda Stalin J.
Published: February 2022

En el presente estudio técnico el tema de accidentabilidad es abordado de manera estadística a nivel nacional, provincial y cantonal, para posteriormente enfocarse en la avenida Mariscal Sucre la cual mediante datos de la Empresa Pública Metropolitana de Movilidad y Obras Púbicas es la vía más accidentada dentro del sistema vial del Distrito Metropolitano de Quito. La avenida Mariscal Sucre tiene una longitud de 31 kilómetros atravesando la ciudad por su flanco occidental desde Guamaní en el sur hasta Ponceano en el norte, para su estudio se delimitó el recorrido tomando como punto de inicio la intersección con la avenida Universitaria hasta la avenida San Francisco de Rumihurco resultando un tramo de 12.7 kilómetros. El análisis del tramo de la avenida parte de la determinación de los índices de accidentabilidad, morbilidad y mortalidad mediante el estudio del Trafico Promedio Diario Anual (TPDA) y de un buffer poblacional de los barrios que colindan con el trayecto de la vía. Posteriormente se procede a identificar los puntos críticos también conocidos como negros que son aquellos donde los siniestros son más recurrentes.
Escleritis necrotizante asociada a poliangeítis con granulomatosis (Granulomatosis de Wegener)
Authors: Muñoz Sebastian Andres , Garmendia Cristian , Bustuoabad Victoria , Dodds Emilio
Published: February 2022

La poliangeítis con granulomatosis (GPA) es una enfermedad inflamatoria sistémica; los hallazgos histopatológicos incluyen necrosis tisular, formación de granulomas y vasculitis predominantemente de vasos de pequeño y mediano calibre. Se caracteriza por la presencia en plasma de anticuerpos anti-citoplasma de neutrófilo dirigidos contra la proteinasa 3 (PR3-ANCA). La GPA comúnmente afecta la vía aérea superior, los pulmones y los riñones. El compromiso oftalmológico es una importante causa de morbilidad, ocurriendo aproximadamente en la mitad de los pacientes. La escleritis necrotizante (EN) es una manifestación infrecuente y grave de la GPA. Las complicaciones de la EN son la perforación ocular y pérdida de la visión. El tratamiento de inducción consiste en esteroides e inmunosupresores (ciclofosfamida o rituximab). El objetivo de este trabajo es describir 3 casos de GPA con EN como manifestación clínica rara y dominante.
Semblanza
Authors: Quagliatto Norberto
Published: February 2022

SEMBLANZA DEL INTERNISTA HOY DIJO EL PERIODICO…Puede ser difícil la muerte en Rosario, cuando quien muere es alguien a quien quisiéramos saludar, abrazar, decirle c uánto lo queremos o admiramos, o preguntarle por algún secreto que supo intrigarnos. Y por el contrario vemos anunciada la pérdida en la penúltima página del diario de la ciudad, que nos dice que no, que ya nunca, que es tarde, que dejamos pasar el tiempo en Dios sabe qué, y ahora la historia ya no vuelve atrás. Y compartiré con ustedes, mis colegas y amigos, que murió Carlos Battagliotti, médico, clínico y hace mucho presidente de lo que después fue la Asociación de Medicina Interna de Rosario (AMIR). No voy a hacer un gran análisis, muchos de este grupo lo han frecuentado más que yo. Simplemente, que lo recuerdo como una locomotora de trabajar y estudiar, de conducir sin oprimir y de enseñar sin humillar, y que su modestia tal vez nos haya impedido valorarlo como corresponde...
Estudio de patrones capilaroscópicos en población sana
Authors: Ríos Acosta C.R. , Maldonado Vélez G.C. , Ferro Gutiérrez C.A. , Ríos Moreno K.
Published: February 2022

La capilaroscopia es un método no invasivo y seguro que permite la visualización de los capilares a nivel del lecho periungueal de los dedos de las manos. Es útil en la evaluación del Fenómeno de Raynaud y de las colagenopatías, principalmente de la esclerodermia; sin embargo, se conoce poco acerca de la prevalencia y distribución de los cambios capilaroscópicos en sujetos sanos, siendo el objetivo de este estudio evaluar y describir las alteraciones capilaroscópicas en este grupo. A 100 participantes seleccionados por criterios de inclusión y exclusión se les realizó una videocapilaroscopia del lecho ungueal del cuarto y quinto dedo de la mano no dominante; el 86% de la población estudiada presentó hallazgos capilaroscópicos como: capilares tortuosos, entrecruzados y arboriﬁcados. Además, las alteraciones capilaroscópicas fueron más frecuentes en sujetos que consumían tabaco, se encontró una relación signiﬁcativa entre el tabaco y la presencia de arboriﬁcaciones. Este es el primer estudio descriptivo de alteraciones capilaroscópicas en sujetos sanos en el Ecuador.
La ecografía y la entesis
Authors: Spindler Walter J. , Gálvez Elkin María Soledad , Martire María Victoria
Published: February 2022

La ecografía aplicada al estudio de las enfermedades reumáticas es un área de constante crecimiento. La entesitis representa una de las principales características clínicas de las espondiloartritis. Con el advenimiento de nuevas terapias para el manejo de estas manifestaciones, es indispensable contar con herramientas que faciliten su estudio. La ecografía ha demostrado ser una técnica sensible y reproducible para la detección del compromiso inflamatorio a nivel de las entesis y existe evidencia acerca de su utilidad para el diagnóstico y monitoreo terapéutico de las espondiloartritis.
Metotrexato en condromatosis sinovial: una serendipia
Authors: Ascimani Peña C.
Published: February 2022

La condromatosis sinovial es una metaplasia idiopática benigna de la membrana sinovial que afecta a 1/100.000 habitantes, en una relación hombre/mujer de 3 a 1 entre los 30 y 50 años. Predomina en grandes articulaciones como rodilla (70%), cadera (20%) y hombro (19%), y en menor proporción en codo y tobillo. Puede ser primaria o secundaria. La etiología es desconocida. La resolución es quirúrgica ya sea por artroscopia o por cirugía a cielo abierto, no existiendo otra alternativa terapéutica. Se presenta el caso clínico de un paciente con condromatosis sinovial en hombro derecho, que se comporta como una artropatía erosiva, indicándose metotrexato y resolviendo casi totalmente los nódulos condromatosos.
Ultrasonografía Musculoesquelética
Authors: De Reumatología Sociedad Argentina
Published: February 2022

El Atlas que aquí se introduce representa el trabajo del Grupo de Estudio de Ecografía de la Sociedad Argen­tina de Reumatología (ECOSAR). Su elaboración estuvo a cargo de un conjunto de colegas que, en adición a la ciencia y al arte de ser reumatólogos, han dedicado tiempo, talento y esfuerzo a su capacitación en ecografía musculoesquelética y articular, hasta incorporarla en su diario quehacer como médicos.
Utilidad de la capilaroscopia en esclerodermia
Authors: Maldonado Vélez Génessis , Ríos Acosta Carlos
Published: February 2022

La esclerosis sistémica (SSc) es una enfermedad del tejido conec-tivo caracterizado por una reactividad autoinmune, disfunción vas-cular generalizada y ﬁbrosis progresiva de la piel y órganos internos asociado a la producción de anticuerpos especíﬁcos. Durante los últimos años, la capilaroscopia ha demostrado ser una herramienta útil, reproducible y conﬁable para la evaluación inicial del fenómeno de Raynaud y enfermedades del tejido conectivo, en especial de la esclerodermia, siendo esta técnica incluida en los criterios diag-nósticos de la esclerodermia, lo que deja en evidencia la utilidad de esta técnica. A su vez la capilaroscopia asume un rol importante en la evaluación del compromiso sistémico, transición de la en-fermedad, manejo y predictor de mortalidad de la esclerodermia, aspectos que serán discutidos en esta revisión.
Uso de autocuestionarios en reumatología. ¿Por qué su uso creciente y la necesidad de adaptarlos a cada población?
Authors: Waimann Christian A.
Published: February 2022

Cualquier reumatólogo habituado a leer publicaciones y revisar presentaciones científicas en congresos, le puede haber llamado la atención la creciente cantidad de trabajos referentes al desarrollo y validación de autocuestionarios. Pero ¿por qué utilizar autocuestionarios y no medidas que incluyan sólo evaluación directa por parte del médico?
Panarteritis nodosa cutánea, presentación de un caso con lesiones en localización atípica
Authors: Puerta Franchi Ramiro , Olguin Mariel , Gavazzi Roberto
Published: February 2022

La Panarteritis Nodosa Cutánea es una rara entidad caracterizada por nódulos subcutáneos, de curso crónico, benigno y recurrente. La mayoría de los pacientes presentan lesiones en miembros inferiores, y un tercio en los miembros superiores. Además existen manifestaciones extracutáneas como miositis o artritis. Presentamos el caso de una paciente que fue internada por tumefacción, debilidad muscular y dolor incapacitante en ambos hombros y nódulos subcutáneos en hombros y cara, a quien le habían diagnosticado panarteritis nodosa en la infancia, pero que siempre presentó lesiones en localizaciones atípicas, respetando los miembros inferiores.
50º Congreso Argentino de Reumatología
Authors: De Reumatología Sociedad Argentina
Published: February 2022

50º Congreso Argentino de Reumatología
Prevalencia y características de uveítis como manifestación extraarticular en Espondiloartritis Axial
Authors: Capelusnik D. , Cavalieri M. , Rolón Campuzano R. , Schneeberger E.E. , Orozco M.C. , Sommerfleck F.A. , Zamora N. , Citera G.
Published: February 2022

Introducción: la Uveítis Anterior Aguda (UAA) es la manifestación extraarticular más frecuente en la Espondiloartritis axial (EsPax), con una prevalencia global de 32,7%. El objetivo de este estudio fue determinar la prevalencia de UAA en una cohorte Argentina de pacientes con EsPax, describir sus características clínicas, frecuencia de episodios, respuesta al tratamiento y pronóstico a largo plazo, así como su asociación con características generales de la enfermedad.
Patrones de tratamiento con agentes biológicos. Eficacia y sobrevida a largo plazo en pacientes con artritis reumatoidea
Authors: Rolón Campuzano R. , Dal Pra F. , Schneeberger E.E. , Coronel Ale A.L. , Cerda O.L. , Correa M.A. , Rosemffet M.G. , Buschiazzo E. , García Salinas R. , Papasidero S.B. , Barrios B.I. , Maldonado Ficco H. , Citera G.
Published: February 2022

En nuestro país existen pocos datos acerca de los patrones de tratamiento y la sobrevida de las Drogas Modificadoras de la Artritis Reumatoidea biológicas (DMARb) en pacientes con Artritis Reumatoidea (AR). El objetivo de nuestro estudio fue estimar la sobrevida del 1° y 2° agente biológico, determinar sus causas de suspensión y evaluar factores que influyan en la sobrevida de estos agentes.
GEBELERDE PRENATAL BAĞLANMA İLE DEPRESYON, ANKSİYETE VE STRES İLİŞKİSİ
Authors: ATALAY Derya , ÖZYÜREK Arzu
Published: February 2022

Bu çalışmanın amacı, gebelerde prenatal bağlanma ile depresyon, anksiyete ve stres arasında ilişki olup olmadığının ve varsa yönünün belirlenmesidir. Çalışmada ayrıca kişisel bazı değişkenlerle prenatal bağlanma ve depresyon, anksiyete, stres arasında fark olup olmadığı incelenmiştir. Çalışma grubu, kolay ulaşılabilir örnekleme yöntemiyle kendilerine ulaşılabilen 151 gebeden oluşmaktadır. Veriler Kişisel Bilgi Formu, Prenatal Bağlanma Envanteri (PBE) ve Depresyon Anksiyete Stres Ölçeği (DASÖ) ile toplanmıştır. Verilerin analizi yüzde ve frekans dağılımı ile non parametrik testler kullanılarak yapılmıştır. Sonuç olarak; çalışma grubunu oluşturan gebelerin yaklaşık %88 gibi büyük bir çoğunluğunun gebelikle ilgili duygularının olumlu yönde olduğu, gebelerin DASÖ puanlarının düzeylerinin yaşlarına göre farklılaşmadığı belirlenmiştir. PBE puanlarının 31 yaş ve üzeri gebelerde daha yüksek olduğu, öğrenim durumu ilkokul ve ortaokul olanların depresyon ve stres puanlarının öğrenim durumu lise ve üniversite olanlara göre, çalışmayan/ev hanımı gebelerin depresyon düzeylerinin çalışan gebelere göre daha yüksek olduğu, 3.gebeliği olanların hem PBE hem de DASÖ puanlarının daha yüksek olduğu belirlenmiştir. Gebelerin PBE puanları arttıkça DASÖ puanlarının da arttığı görülmüştür.