bluuebunny/crossref_metadata_2025 huggingface dataset:
Caracterização sociodemográfica e motivações de residentes multiprofissionais em saúde
Authors: Fernandes Marcelo Nunes da Silva , Beck Carmem Lúcia Colomé , Weiller Teresinha Heck , Coelho Alexa Pupiara Flores , Vasconcelos Raíssa Ottes , Pai Daiane Dal
Published: November 2020

Objetivo: Descrever as características sociodemográficas dos residentes multiprofissionais em saúde e conhecer as suas motivações para a escolha de um Programa de Residência em uma Universidade pública do sul do Brasil. Métodos: Trata-se de um estudo descritivo, exploratório, com abordagem qualiquantitativo, realizado em Programa de Residência Multiprofissional Integrada em Saúde. A coleta de dados ocorreu em 2013, por meio de um questionário de levantamento de dados sociodemográficos e do grupo focal com nove residentes multiprofissionais de saúde e analisados conforme análise temática. Resultados: Predominaram residentes do sexo feminino, idade média de 27,9 anos, solteiros, sem filhos, experiência profissional menor de um ano e aprovação no primeiro processo seletivo da Residência. Os residentes apontaram como motivação a possibilidade de adquirir conhecimentos relacionados à área da saúde. Conclusão: Os residentes articulam teoria e prática, favorecendo a troca de experiências e o compartilhamento de novos saberes nos serviços de atenção à saúde.
COVID-19 pandemic and medical education
Authors: Giliyaru Sahana , Hegde Ganesh , Gajjala Sudhakar , Vemuri Ojasvi , Azzopardi Christine , Hurley Patrick , Botchu Rajesh
Published: November 2020

COVID-19 has had significant impact on medical students and medical education. In this article, we discuss the effect on medical education and general well-being based on survey and measures to mitigate the same.
Hemorheological disorders in children with thermal trauma
Authors: Левин Г.Я. , Поповичева А.Н. , Соснина Л.Н.
Published: November 2020

Цель исследования - изучение динамики изменения реологических свойств крови и их корреляции с параметрами эритроцитов в процессе лечения детей после термической травмы. Методика. Исследование проведено на 32 детях в возрасте от 3 до 17 лет с ожогами площадью от 10 до 70% поверхности тела в период лечения, начиная с 3-х суток после термической травмы и до полного закрытия ожоговых ран и выписки пациента из стационара. Изучали состояние цитоскелета эритроцитов методом термоиндукции, их агрегацию и дезагрегацию с помощью модифицированного нами реоскопа Н. Schmid-Schönbein и соавт. [1973], их деформируемость и морфологию агрегатов эритроцитов, а также рассчитывали эритроцитарные индексы. Результаты. Установлено, что после ожога происходит резкое усиление агрегации эритроцитов и прочности агрегатов, но значительно снижается их деформируемость. Нарушение реологических свойств крови сопровождает все стадии ожоговой болезни и сохраняется при выписке больных из стационара. Нарушения гемореологии коррелируют с изменениями концентрации фибриногена, состоянием цитоскелета эритроцитов и их физическими свойствами - размером эритроцитов и содержанием в них гемоглобина. Заключение. Стойкие и выраженные нарушения реологических свойств крови у детей при ожоговой болезни могут являться важнейшей причиной редукции снабжения кислородом жизненно важных органов и развития их недостаточности. Простым, хотя и предварительным, методом оценки состояния гемореологии может служить измерение эритроцитарных индексов.

Aim. To study hemorheological changes and their correlation with the size of red blood cells (RBCs) during the treatment of thermal injury in children. Methods. The study included 32 children ages 3 to 17 with burns affecting 10% to 70% of the total body area during the treatment period between the 3rd day after the burn and complete wound closure. Aggregation and disaggregation of red blood cells was analyzed using a H. Schmid-Schönbein et al. [1973] rheoscope in our modification. In addition, erythrocyte deformability, morphology of erythrocyte aggregates, and the state of erythrocyte cytoskeleton were studied using thermoinduction, and erythrocyte indices were calculated. Results. After a burn injury, erythrocyte aggregation and the strength of erythrocyte aggregates were increased whereas their deformability was decreased. Disorders of blood rheology accompanied all stages of burn disease and remained at the patient discharge. Hemorheological disorders correlated with changes in fibrinogen concentrations and with changes in the erythrocyte cytoskeleton, size, and the amount of contained hemoglobin. Conclusion. The stable and pronounced disorders of blood rheological properties in children with burn disease may be an essential cause for reduction of oxygen supply to vital organs and their failure. The measurement of erythrocyte indices may represent a simple though preliminary method for assessing hemorheology.
Metabolic shifts induced by preventive phototherapy in the blue range of the spectrum during a high-latitude marine expedition
Authors: Алчинова И.Б. , Карандашов В.И. , Карганов М.Ю.
Published: November 2020

В работе представлены обобщенные результаты двух полярных экспедиций, состоявшихся в июле - августе в 2017 и в 2019 годах на яхте «Альтер Эго». Целью работы было оценить влияние чрезкожной фототерапии с использованием синего диапазона видимого света на изменение направленности метаболизма человека при быстром переходе из условий умеренно-континентального лета в условия Крайнего Севера. Методы. Участники экспедиции, входившие в экспериментальную группу, ежедневно применяли светоизлучающий браслет (БАСИ). Воздействие состояло из двух сеансов по 15 минут. Образцы мочи собирали в начале, середине и в конце экспедиции с интервалом 2 недели, затем подвергали лазерной корреляционной спектроскопии. Результаты. Показано изменение характера метаболических сдвигов в экскреторной системе организма. Повышение вклада в светорассеяние частиц размером менее 75 нм свидетельствует об активации катаболических процессов. Заключение. Профилактическая фототерапия в синем диапазоне видимой части спектра препятствует развитию анаболических сдвигов, характерных для моряков в длительных плаваниях.

This article presents combined results of two polar expeditions that took place in July and August, 2017 and 2019 on an «Alter Ego» yacht. The aim of this study was to evaluate the effect of transcutaneous phototherapy with blue light on the pattern of human metabolism during a fast transition from the conditions of temperate continental summer to the conditions of the Far North. Methods. The participants of the expedition who constituted the experimental group daily used a light-emitting bracelet. The exposure included two 15-min sessions. Urine samples were collected at the beginning, middle and end of the expedition with 2-week intervals and analyzed with laser correlation spectroscopy. Results. The pattern of metabolic shifts in the excretory system was shown to change. The increased contribution to light scattering of particles smaller than 75 nm indicated activation of catabolic processes. Conclusion. Preventive phototherapy in the blue range of the spectrum prevents the development of anabolic shifts typically observed in sailors during long voyages.
Elevated Plasma Factor VIII in Non-Pyogenic Cerebral Venous Thrombosis after Head Trauma without Skull Fracture
Authors:   Department of Neurology, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea, Jeon Kipyoung , Kim Jean Hee ,   Department of Neurology, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea, Lee Kijeong ,   Department of Neurology, Eunpyeong St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea, Park Kyu-Nam ,   Department of Emergency Medicine, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea, Kim Bum-Soo ,   Department of Radiology, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea, Shin Yong Sam ,   Department of Neurosurgery, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea, Koo Jaseong ,   Department of Neurology, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea
Published: November 2020

Cerebral Venous Thrombosis (CVT) is a relatively uncommon but important cause of stroke that tends to affect young adults, especially women. Head trauma with or without skull fracture was reported to be triggering factors for CVT, but the underlying pathophysiology was not well elucidated. Endothelial injury and coexistent hypercoagulability were supposed to contribute to CVT after head trauma without skull fracture. We report a 49-year-old female patient who presented with headache with vomiting after head trauma and was initially diagnosed as post-traumatic Intracerebral Hemorrhage (ICH), but subsequently, progressed to CVT that resulted in cerebral venous infarction with hemorrhagic transformation. Magnetic Resonance brain Venography (MRV) confirmed CVT in superior sagittal sinus as well as right transverse and sigmoid sinuses. She was treated with endovascular mechanical thrombectomy followed by anticoagulation. The coagulopathy panel was checked both in hospital and in outpatient clinic for evaluating the etiology underlying post-traumatic nonpyogenic CVT. Persistently elevated level of plasma Factor VIII was identified. We should consider that patients with recent head trauma history without skull fracture and coexistent hypercoagulability could develop CVT resulting in cerebral venous infarction with hemorrhagic transformation even when the patient showed no definite focal neurologic deficit or the patient’s initial CT scan revealed no intracranial hemorrhage.
Gum colocasia-g-polyacrylamide: Microwave-assisted synthesis and characterization
Authors: Loveleenpreet Kaur  , Gupta G D
Published: November 2020

In the present investigation, an attempt has been made for grafting of acrylamide on the backbone of Colocasia esculenta by using microwave-assisted grafting method, which is a convenient and versatile route for the development of polysaccharide-based materials. The dried mucilage of colocasia was prepared from fresh rhizomes. The optimization was performed by using Box Behnken matrix design (BBD) and response surface methodology (RSM) using design expert software. A series of graft polymers, varying in the amount of acrylamide, ammonium persulphate and microwave irradiation was prepared. The effect of Microwave time, gum concentration and power on percentage yield, percentage grafting and percentage grafting efficiency has been optimized and evaluated by 3D surface response graphs. It has been observed that power and irradiation time has a significant synergistic effect on % yield, % grafting and % grafting efficiency however gum concentration produce slight increment up to a limit after that the effect becomes almost constant. The selected optimized formulation is F8  with a percentage yield of 99.57%, percentage grafting of 634.33% and percentage grafting efficiency of 87.49%. Optimized formulation was subjected to Fourier transform infrared spectroscopy, Differential scanning calorimetry, X-ray diffraction and Scanning electron microscopy for characterization which committed the grafting of acrylamide on Colocasia esculenta.
Giant Omphalocele: 23 Patients; Three Different Approaches
Authors: AKAY Mustafa Alper
Published: November 2020

Objective: Omphalocele is the ventral body wall maldevelopment. Early surgical interventions in the treatment of giant omphaloceles (GO) can increase morbidity and mortality. In this study, it was aimed to compare the advantages and disadvantages of primary closure, silo and vacuum assisted closure (VAC) methods used in omphalocele treatment. Materials and Methods: Three different treatment methods applied to 23 patients with giant omphalosis who were treated in our clinic between 2005 and 2020 were compared. Silo method was used in the treatment of 14 patients. Primary repair was performed in 7 patients. Mesh was used in 2 patients who underwent primary repair. The VAC was preferred for 2 patients. Treatments were discussed in terms of hospital stay, epithelization time, infections, and post-discharge problems. Results: Sepsis, ileus, gastroesophageal reflux and respiratory system problems were encountered after the silo method and primary repair, which are the classical methods of omphalocele treatment. VAC in technique, epithelization and healing were faster and only bilateral inguinal hernia developed as a complication. Conclusion: Minimizing complications with its effects that increase epithelization and prevent infection, VAC when other methods are considered in the treatment of giant omphalocele, it should be the first method that comes to mind.
Penerapan Metode Hybrid Genetic Algorithm (GA) dan Pattern Search (PS) untuk Penjadwalan Mata Kuliah Universitas
Authors: Puspitasari Fani , Moengin Parwadi
Published: November 2020

The problem of university course scheduling is a complicated job to do because of the many constraints that must be considered, such as the number of courses, the number of rooms available, the number of students, lecturer preferences, and time slots. The more courses that will be scheduled, the scheduling problem becomes more complex to solve. Therefore, it is necessary to set an automatic course schedule based on optimization method. The aim of this research is to gain an optimal solution in the form of schedule in order to decrease the number of clashed courses, optimize room utilization and consider the preferences of lecturer-course. In this research, a hybridization method of Genetic Algorithm (GA) and Pattern Search (PS) is investigated for solving university course scheduling problems. The main algorithm is GA to find the global optimum solution, while the PS algorithm is used to find the local optimum solution that is difficult to obtain by the GA method. The simulation results with 93 courses show that the Hybrid GA-PS method works better than does the GA method without hybrid, as evidenced by the better fitness value of the hybrid GA-PS method which is -3528.62 and 99.24% of the solutions achieved. While the GA method without hybrid is only able to reach a solution of around 65% and has an average fitness value of -3100.76.
CER Negotiations
Authors: Groser Tim
Published: November 2020

This article is an ‘insider’s account’ of the background to the negotiation of New Zealand’s first comprehensive bilateral trade agreement, the Australia–New Zealand Closer Economic Relations Trade Agreement, or CER. It argues that this agreement marked the first step in the process of a systematic reform of the New Zealand economy along orthodox liberal economic principles, and, in that sense, anticipated the comprehensive internal economic reforms initiated some two years later by the Labour government headed by David Lange. It analyses key ‘drivers’ of CER: the growing realisation that New Zealand was falling further and further behind Australia in its living standards, and the shock of the entry of the UK into the EEC, which forced a diversification of New Zealand trade and foreign policy away from the United Kingdom towards the AsiaPacific region. It includes a critical re-evaluation of the role of Prime Minister Robert Muldoon in the negotiations during a period of New Zealand political history in which he was dominant.
Whither APEC post-2020?
Authors: Lynch Brian
Published: November 2020

As APEC marks its third decade, a priority for the 21 member economies is to agree upon where the agency’s purpose and work programmes should focus over the next 20 years. APEC is the undisputed leading institution promoting Asia-Pacific economic growth. It is not a negotiating body but draws strength from its ‘value proposition’ built on members’ support for consultation, consensus and collaboration. The review of APEC’s future is occurring in the context of a global pandemic that has disrupted regional commerce, travel and community well-being. The preoccupation of APEC members is with economic recovery and renewed growth. The challenge for New Zealand as APEC chair in 2021 will be to gather collective commitment to further measures of regional economic integration, inclusivity and sustainability designed to stimulate recovery, and identify how a digitally enabled regional economy could contribute to that goal.
New Zealand’s Hosting of APEC in 2021
Authors: Vitalis Vangelis
Published: November 2020

Hosting APEC in 2021 is a unique and timely opportunity for New Zealand to take responsibility for providing regional leadership that can advance and sustain APEC as an institution, including through its development of trade and economic policies that will support the region’s economic recovery from the effects of Covid-19. This article reviews why APEC matters to New Zealand and the international context which will influence New Zealand’s APEC host year. It outlines how New Zealand will approach its virtual hosting of APEC 2021, and the key themes which will inform our priorities.
Hubungan Aktivitas Fisik, Konsumsi Cairan, Status Gizi Dan Status Hidrasi Pada Pekerja Proyek
Authors: Pustisari Ferlica , Sitoayu Laras , Nuzrina Rachmanida , Angkasa Dudung , Gifari Nazhif
Published: November 2020

Hydration status is a condition that describes the amount of fluid in the body. If the intake of fluids from food and drinks in the project workers is not met, then it has an opportunity to cause dehydration. Declining productivity in workers can be caused by dehydration. Objectives this study to determine the relationship between physical activity, fluid intake, nutritional status and hydration status in project workers. An observational study with a cross sectional approach, the study population was project workers. The number of samples in this study were 53 respondents. The study was conducted by direct interview, measurement of body weight,height, body fat percent and urine specific gravity. Data analysis in this study used the Spearman correlation test. The age of workers ranged from 17-52 years. The average BMI score was22,417 kg / m2.The average value of PAL 2.37. The average fluid intake was 2018.30 ml. Moyority of workers have hydration status in severely dehydrated group (79.2%.) There is a relationship between physical activity (0.026), fluid intake and hydration status (0.001) but there is no relationship between nutritional status and hydration status (0.789). Keywords: fluid intake; nutritional status; physical activity; hydration status.
Manejo híbrido de aneurismas cerebrales gigantes. A propósito de un caso
Authors: González Echeverría Kléber Eduardo , Delgado Zambrano Héctor Enrique , Endara García Zuly Vanessa , Calderón León Juan Carlos
Published: November 2020

Los aneurismas cerebrales gigantes son aquellos que alcanzan un tamaño mayor de 25 mm que aparte de poder romperse pueden provocar efecto de masa comportándose similar a un tumor. La compleja anatomía de la arteria carótida interna, segmento paraclinoideo (ACI) dificulta el tratamiento quirúrgico de los aneurismas que surgen de este segmento. La problemática es la toma de decisiones en el manejo de estos aneurismas, buscando siempre la obliteración y exclusión del aneurisma. Se trata de caso clínico de paciente masculino de 63 años de edad con antecedentes quirúrgicos por aneurisma sacular recanalizado a nivel del segmento oftálmico izquierdo de proyección medial (tratado mediante stents y coils) hace 12 años con abandono de tratamiento e ingesta de alcohol muy frecuente. Durante su hospitalización presenta crisis convulsivas, irritabilidad, se le realizan estudios de imágenes donde se observa aneurisma gigante parciamente ocluido, se diagnostica aneurisma gigante de segmento oftálmico izquierdo - proyección medial, trombosado y calcificado. Se estudia y se programa en una primera instancia para embolización de porción aneurismática recanalizada y en una segunda instancia para procedimiento quirúrgico mediante craneotomía. Se reseca pared externa parcialmente en región anterior, posterior y craneal, porción caudal no se resecó, se continúa con resección de porción calcificada y capas trombóticas que se encuentran en región intramural. Se observa porción aneurismática previamente embolizada, realizando así descompresión a nivel frontal izquierdo. El manejo híbrido de los aneurismas cerebrales gigantes se logra con la combinación de procedimientos endovasculares y cirugía abierta obteniendo como resultado una mejoría clínica del paciente. Se hizo evaluaciones cognitivas y sus capacidades se demostraron en cualificación positivas. Desaparecieron sus cuadros de conducta: irritabilidad, apatía y mal manejo de la frustración. Al momento se encuentra estable en sus emociones, en la recuperación psicológica-afectiva-cognitiva adecuada.
Terapia cognitivo conductual (TCC) en el trastorno de déficit de atención e hiperactividad (TDAH) en niños y adolescentes
Authors: Samaniego Luna Natasha Ivannova , Muñóz Vinces Zhenia Marithza , Samaniego Guzmán Edmundo Vladimir
Published: November 2020

A partir del Foro Mundial sobre educación realizado en Dakar 2000, los diferentes países se comprometieron cambiar el panorama de la educación a nivel del mundo. Las expectativas sobre la atención y educación de la primera infancia, universalización de la educación primaria, aprendizaje para jóvenes y adultos, alfabetización para adultos, igualdad entre los sexos y calidad de educación, junto a las exigencias de una sociedad crítica, competitiva que protagoniza profundos y rápidos cambios acompañados de una acelerada e imparable revolución tecnológica , demandan al momento la práctica de estrategias pedagógicas que reconociendo que la educación está indiscutiblemente relacionada con la calidad del maestro, comprenda que a partir de la fisiología cerebral se van generando los espacios y experiencias de aprendizaje en todos los seres humanos, particularmente en quienes presentan necesidades educativas especiales. El maestro debe cambiar su rol de transmisor de la información del conocimiento, por el de facilitador del proceso de aprender , motivando la creación , iniciativa, ilusión y manejo de las emociones propias de cada individuo, cuyo objetivo debe enfocarse en la formación de talentos eficientes y productivos. En esta presentación se pretende dar a conocer los principios anatomo fisiológicos del cerebro y las alteraciones que se observan en niños y adolescentes con Trastorno por Déficit de Atención e Hiperactividad (TDAH) y Trastorno con Déficit Atencional (TDA), en relación a la Terapia Cognitivo Conductual (TCC) que dentro del manejo integral para estos pacientes se aplicó.
Neumonitis asociada al uso de metotrexate
Authors: Pita M Wilson , Quezada J Priscylla , José Pino P María , Uchuari M Diana
Published: November 2020

La neumonitis por metotrexate es una complicación aguda y grave que se caracteriza por la instauración de tos seca, disnea y fiebre, con aparición de un patrón radiológico de infiltrado intersticial que obliga a la retirada del fármaco. Su patogenia se atribuye a un mecanismo de hipersensibilidad y se recomienda no reintroducir el metotrexato tras su resolución. Los factores de riesgo reconocidos son la edad avanzada, la diabetes mellitus, la hipoalbuminemia y las manifestaciones extra articulares de la artritis reumatoide, especialmente la pulmonar. El tratamiento con glucocorticoides a dosis altas y las medidas de soporte respiratorio favorecen la resolución clínica completa, aunque la mortalidad alcanza el 10-18% de las series. Presentamos el caso de un paciente masculino de 57 años que tiene antecedentes de artritis reumatoidea tratado con metotrexato desde hace 8 meses, que presento un cuadro clínico de 5 días de evolución caracterizado por disnea de medianos esfuerzos, tos seca, cuyos síntomas progresaron hasta presentar signos de insuficiencia respiratoria aguda tipo hipoxemica. Fue ingresado con necesidad de ventilación mecánica. Se realizaron exámenes de imágenes que mostraron un patrón intersticial bilateral diseminado. Que posterior a descarte de patologías más frecuentes, se asoció el cuadro clínico a neumonitis por metotrexato. Con tal diagnóstico se procedió a la administración de corticoides con evolución favorable.
Coriorretinopatia serosa central crónica. En época de pandemia por covid-19. Serie de casos
Authors: Barrientos Ortiz Robinson , González Méndez Ana Luisa
Published: November 2020

Objetivo: Demostrar la fluctuación clínica de 3 pacientes con coriorretinopatia serosa central crónica. Métodos: Reporte de casos observacionales de coriorretinopatia serosa central crónica, en un período de seguimiento de noviembre 2019-abril 2020. Se incluyeron las variables: revisión de historia clínica, fotografías, tomografía de coherencia óptica de dominio espectral y angiografía fluoresceínica. Resultados: Masculino de 46 años, clínica de 8 meses con antecedentes personales atópicos y familiares de CSC crónica. AVMC OD. 20/20 OI. 20/32 Segmento anterior normal. Oftalmoscopia OI: área localizada de líquido subretiniano macular. Masculino de 53 años, con antecedentes atópicos, personalidad tipo A. Clínica de 6 meses con uso inadecuado de esteroides tópicos y vía oral durante su evolución. AVMC OD. 20/25 OI. 20/50. En OI presenta área localizada parafoveal nasal de líquido subretiniano resto examen visual normal. Masculino de 40 años, clínica de 7 meses con antecedente de personalidad tipo A. AVMC OD. 20/20 OI. 20/25. En OI con alteraciones del epitelio pigmentario retiniano macular resto sin novedad clínica. Se inició (diclofenaco 0.1%®), (dorzolamida 2% ₊ timolol 0.5%®) tópico y espironolactona 50 mg vía oral diario en todos los pacientes. Conclusiones: La CRSC es aún una afección enigmática debido en gran parte a una evolución natural de mejoría espontánea en una proporción alta de los pacientes. Ningún tratamiento único ha aportado pruebas abrumadoras de eficacia en los estudios clínicos aleatorizados publicados. Con mayor auge en la era de pandemia por COVID-19 al tener su patogenia relación con el estrés, favorecería el agravamiento de la clínica.
Una mirada distinta al embarazo adolescente
Authors: Maldonado Rengel Ruth Elizabeth , Suarez Rosario , Rojas Rodríguez Ana Lizette
Published: November 2020

Introducción: El embarazo adolescente (EA), es considerado un problema de salud pública respecto del mayor riesgo de complicaciones maternas, perinatales y para el desarrollo psicosocial de la adolescente, evidenciándose altas tasas de este en Ecuador. Objetivo: Determinar los factores de riesgo para EA en adolescentes escolarizadas de la ciudad de Loja, Ecuador. Material y Métodos: Se estudiaron 632 adolescentes mujeres, estudiantes de instituciones de educación media de Loja, Ecuador (enero 2017- enero 2018). Los factores de riesgo para EA estudiados fueron: edad de inicio de vida sexual, violencia intrafamiliar o en la pareja, creencia en mitos sobre sexualidad y ser hija de madre adolescente. Se realizó un muestreo no probabilístico por conveniencia, y se aplicó una encuesta semiestructurada con preguntas dicotómicas sobre los factores de riesgo para EA, previo a lo cual se pidió el consentimiento informado de los representantes y asentimiento informado de las adolescentes. Resultados: La frecuencia total de EA fue de 3,6 %. Los factores de riesgo para embarazo adolescente determinados en este estudio fueron ser hija de madre adolescente (HMA) (OR=8,12; IC95 % 2,51-26,24) y la violencia de pareja (VP) (OR=6,11; IC95% 1,12-37,04). Conclusiones: La violencia en la pareja y el ser hija de madre adolescente son los factores de riesgo para embarazo adolescente identificados en este estudio.
Evaluación fisioterapéutica de la condición funcional respiratoria en pacientes post Covid-19 mediante entornos virtuales
Authors: Mera Tania Abril , Guzmán Menéndez Gianna , Morán Luna Luis
Published: November 2020

El COVID 19 es una enfermedad infecciosa que puede causar importantes disfunciones respiratorias y físicas a corto y largo plazo que requieren de la Fisioterapia adaptada a las necesidades de cada paciente previo a una evaluación. Objetivo: Determinar la condición funcional respiratoria de los pacientes post Covid-19, mediante la utilización de entornos virtuales. Metodología: Enfoque cuantitativo, alcance descriptivo, diseño no experimental, corte transversal y muestra poblacional de 82 pacientes de 20 a 65 años de edad, pertenecientes al Hospital Monte Sinaí de la ciudad de Guayaquil. Resultados: Por medio de la aplicación de WhatsApp y link de evaluación, se verificó que la población evaluada en su mayoría era de sexo masculino entre 50 a 59 años de edad, donde la hipertensión sobresale entre las patologías pre-existentes; el 57% de los pacientes evaluados tienen un índice medio en la capacidad aeróbica (Sit to stand) y de 1 a 4 en la escala de Borg; el 24% posee grado 1 de disnea al caminar (mMRC) y el 60% de la población indica tener un grado moderado de fatiga que infiere en las actividades de la vida Cotidiana (IBF). Conclusión: Los pacientes post Covid-19 evaluados, poseen un déficit de su condición funcional respiratoria, con evidente presencia de disnea y fatiga moderada, estos síntomas junto a la agudeza de sus antecedentes patológicos interfieren en las actividades de su vida cotidiana. El uso de los entornos virtuales se convierte en una excelente opción y oportunidad de hacer tele-rehabilitación.
Neumonía por COVID-19 en paciente masculino hipertenso arterial
Authors: Vallejo Romero Víctor Enrique , Larrea Villacis María Julia
Published: November 2020

El COVID 19 es una enfermedad infecciosa que puede causar importantes disfunciones respiratorias y físicas a corto y largo plazo que requieren de la Fisioterapia adaptada a las necesidades de cada paciente previo a una evaluación. Objetivo: Determinar la condición funcional respiratoria de los pacientes post Covid-19, mediante la utilización de entornos virtuales. Metodología: Enfoque cuantitativo, alcance descriptivo, diseño no experimental, corte transversal y muestra poblacional de 82 pacientes de 20 a 65 años de edad, pertenecientes al Hospital Monte Sinaí de la ciudad de Guayaquil. Resultados: Por medio de la aplicación de WhatsApp y link de evaluación, se verificó que la población evaluada en su mayoría era de sexo masculino entre 50 a 59 años de edad, donde la hipertensión sobresale entre las patologías pre-existentes; el 57% de los pacientes evaluados tienen un índice medio en la capacidad aeróbica (Sit to stand) y de 1 a 4 en la escala de Borg; el 24% posee grado 1 de disnea al caminar (mMRC) y el 60% de la población indica tener un grado moderado de fatiga que infiere en las actividades de la vida Cotidiana (IBF). Conclusión: Los pacientes post Covid-19 evaluados, poseen un déficit de su condición funcional respiratoria, con evidente presencia de disnea y fatiga moderada, estos síntomas junto a la agudeza de sus antecedentes patológicos interfieren en las actividades de su vida cotidiana. El uso de los entornos virtuales se convierte en una excelente opción y oportunidad de hacer tele-rehabilitación.
Calidad de Vida del Adulto Mayor con VIH/SIDA
Authors: Miranda Cruz Alison Nicole , Villota Calero Cristhoper Manuel , Muñoz Zambrano Gerardo Alexander , Patiño Zambrano Viviana Paola
Published: November 2020

La calidad de vida del paciente adulto mayor con VIH/SIDA es un tema controversial y relevante en todo el mundo. El número de personas mayores VIH-positivas va en aumento cada día ya que el tratamiento durante toda la vida con medicamentos contra el VIH (llamado tratamiento antirretroviral o TAR) ayuda a las personas seropositivas a tener una vida más larga y sana. El objetivo fundamental del presente estudio es plasmar los principales factores y efectos que produce el VIH/SIDA sobre las personas mayores, específicamente los físicos y psicológicos, a objeto de que sirvan como base para el desarrollo de medidas terapéuticas adecuadas y eficaces, que permitan mejorar la calidad de vida y el pronóstico de estos pacientes. El diseño de investigación que se llevó a cabo es de tipo documental o bibliográfico. Se encontró en cuanto a los factores físicos que afectan la calidad de vida del adulto mayor con VIH/SIDA que uno de los principales es la fragilidad, que representa el riesgo variable de tener un “peor estado de salud”. Esto aumenta el riesgo de padecer enfermedades importantes que aunadas al VIH tienen un impacto negativo en la calidad de vida de este tipo de pacientes. Asimismo, se encontró en los resultados que la combinación de VIH y envejecimiento amplía el espectro de los efectos adversos en la estructura y la función cerebral. En conclusión, el deterioro físico en gran parte se puede retrasar o mejorar, así como la aparición de problemas psicológicos graves. Para ello es fundamental el conocimiento y la evaluación de los factores que influyen directamente sobre la calidad de vida del paciente adulto mayor con VIH/SIDA, los cuales representan la base para diseñar un plan de tratamiento más completo y eficaz, y su pronóstico y calidad de vida.
Hipoacusia neurosensorial súbita, el gran dilema de la otorrinolaringología. Una revisión de la literatura
Authors: Tello Montúfar Denisse M. , Estévez Tobar David A.
Published: November 2020

Introducción La hipoacusia neurosensorial súbita es una emergencia otorrinolaringológica descrita desde 1944 y que continúa siendo un gran enigma. El objetivo es resumir e identificar los aspectos relevantes, avances y futuras perspectivas acerca del tema Metodología: Se realizó una revisión de literatura usando los motores de búsqueda de MEDLINE y Google académico de los últimos 5 años. Resultados: Es de causa idiopática en el 85% a 90%, con presentación bilateral en 0,4 a 3,4%, se han planteado numerosas teorías etiológicas entre ellas: vascular, inmunológica, estrés oxidativo, autoinmune, fístula perilinfática, traumáticas, viral, tumoral,entre otros, y en relación a ellas, numerosas líneas de tratamiento sin evidencia concluyente hasta el momento. Discusión: Frente a este cuadro clínico, se debe actuar inmediatamente; en el diagnóstico es importante la diferenciación con hipoacusia secundaria, la detección de signos de alarma, la forma de presentación y la severidad de la hipoacusia. No existe al momento un consenso global sobre su manejo, sin embargo, se recomienda iniciar con corticoterapia de manera inmediata, El uso de otras terapias aún se encuentra en debate, parecería tener evidencia prometedora el uso adyuvante con corticoides de vasodilatadores (PGE1), calcio antagonistas y acupuntura. La terapia de rescate parecería ser prometedora con el uso de oxígeno hiperbárico y corticoides intratimpánicos. Se han planteado otras terapias a futuro, buscando la estimulación de la regeneración de cilios celulares, o el reemplazo con células madre, sin embargo, estas terapias son conceptuales y aun no se han comprobado en estudios experimentales.
PEMBINAAN ADMINISTRASI DENGAN MEMANFAATKAN SOFTWARE APPLICATION
Authors: Sitohang Sunarsan
Published: November 2020

Jaman digitalisasi dan teknologi maju saat ini sangat membantu manusia dalam mengerjakan pekerjaannya, sehingga harus diterapkan untuk mendapat manfaatnya. Tidak dapat dipungkiri masih banyak masyarakat sangat enggan dengan penggunaan teknologi. Keengganan ini bisa diakibatkan karena tidak adanya kemauan belajar ataupun fasilitas yang kurang memadai serta tidak adanya yang memotivasi atau pembinaan. Pembentukan RT 13 dan Pembinaan Kesejahteraan Keluarga (PKK) di Perumahan Taman Cipta Asri Tahap III masih baru sehingga beberapa pengurusnya masih tabu dengan software aplikasi untuk mengelola administrasi PKK. Pembinaan pemanfaatan software aplikasi untuk administrasi ini bertujuan agar pengurus organisasi PKK Perumahan Taman Cipta Asri Tahap 3 RT 13 RW 12 Kota Batam bisa memahami bagaimana memanfaatkan software aplikasi untuk membantu kegiatan PPK, cara penggunaan software aplikasi untuk kegiatan PPK baik berupa pembuatan laporan keuangan yang baik, presentasi yang menarik, surat undangan yang baik dan lain sebagainya. Oleh karena itu, pembinaan software aplikasi ini akan sangat dibutuhkan bagi pengurus Organisasi PKK yang berminat untuk mempelajarinya. Pembinaan dilaksanakan dengan metode memberikan materi tutorial, mempraktekkannya dengan pendampingan dan evaluasi. Target utama pembinaan ini adalah menciptakan masyarakat yang dapat menerapkan teknologi khususnya software aplikasi untuk mempermudah mengerjakan pekerjaannya, khususnya dalam administrasi PKK dengan memanfaatkan software aplikasi serta memahami bagaimana penggunaan Software aplikasi tersebut
Ações e Reflexões Vivenciadas por uma Professora em Formação Inicial por Meio de Elaboração de Planos e Regência de Aulas: Contribuições do Processo de Reflexão Orientada
Authors: Silva Raniele Aparecida da , Silva Francislainy Natália da , Suart Rita de Cássia
Published: November 2020

Esta pesquisa apresenta ações, reflexões e discussões vivenciadas por uma professora em formação inicial, durante a elaboração e a regência de uma sequência de aulas, baseada na abordagem do Ensino por Investigação. Com os resultados, percebe-se que a professora em formação inicial apresenta dificuldades em apresentar elementos essenciais da abordagem do Ensino por Investigação em seus primeiros planos de aula, e, a partir das discussões e sugestões realizadas durante os encontros do Processo de Reflexão Orientada (PRO) a professora em formação inicial evidencia uma evolução na reelaboração de seus planos, que passam a apresentar características do Ensino por Investigação. Os resultados também mostram a importância do grupo, e da professora formadora no processo de reflexão vivenciado, pois, as discussões, sugestões e reflexões realizadas possibilit que ela valorizasse suas ações durante sua regência, e identificasse o que precisava de aperfeiçoamento em sua prática docente.
An Innovative Holistic Approach to an E-flow Assessment Model
Authors: Ćosić-Flajsig Gorana , Vučković Ivan , Karleuša Barbara
Published: November 2020

River water resources provide a wide range of necessary ecosystem services, including regulating, provisioning, supporting and cultural services. Ecosystem services are linked to an appropriate level of functionality of river water resource processes, which can be connected with river basin environmental objectives. Environmental objectives can be achieved only if appropriate flow and sediment regimes and related river morphology quality are guaranteed. The obligation to define environmental flow (E-flow) in the European Union Water Framework Directive European (WFD) is not explicit, and the implementation of the WFD is more focused on water quality. Considering the specific climatic, hydrographic and hydrological conditions and the definition of E-flow, each EU country has developed procedures for their investigation and determination. In the Republic of Croatia, no methodology has been elaborated, nor is there any legal regulation to define E-flow downstream of a dam or water intake site. This paper presents the significant pressures that have affected the transboundary rural Sutla River basin between Croatia and Slovenia. These pressures can cause changes in the hydrological regime and biological elements of water quality. The holistic approach defines the E-flow for a profile on the Sutla River by linking hydrological, morphological, and ecological characteristics based on the exploration of the Sutla River and its biological communities. The full implementation of a holistic approach and the transition to Level III of the E-flow definition requires the enhancement of exploratory hydrological and biological monitoring that enables the use of habitat modelling. Doi: 10.28991/cej-2020-03091611 Full Text: PDF
Predicting Project Success in Residential Building Projects (RBPs) using Artificial Neural Networks (ANNs)
Authors: Youneszadeh Hessam , Ardeshir Abdollah , Sebt Mohammad Hassan
Published: November 2020

Due to the urban population’s growth and increasing demand for the renewal of old houses, the successful completion of Residential Building Projects (RBPs) has great socioeconomic importance. This study aims to propose a framework to predict the success of RBPs in the construction phase. Therefore, a 3-step method was applied: (1) Identifying and ranking Critical Success Factors (CSFs) involving in RBPs using the Delphi method, (2) Identifying and selecting success criteria and defining the Project Success Index (PSI), and (3) Developing an ANN model to predict the success of RBPs according to the status of CSFs during the construction phase. The model was trained and tested using the data extracted from 121 RBPs in Tehran. The main findings of this study were a prioritized list of most influential success criteria and an efficient ANN model as a Decision Support System (DSS) in RBPs to monitor the projects in advance and take necessary corrective actions. Compared with previous studies on the success assessment of projects, this study is more focused on providing an applicable method for predicting the success of RBPs. Doi: 10.28991/cej-2020-03091612 Full Text: PDF
Climate Zones of the Asphalt Binder Performance for the Highway Pavement Design
Authors: Hussain Ghassan Mohammed Ali , Abdulaziz Mohammed Ahmed Ghaleb , Nan Xiang Zheng , Al-Hammadi Mohammed A.
Published: November 2020

The asphalt pavement is exposed to the natural environment, which is affected by Climate change such as temperature, rain, ultraviolet, and other environmental conditions. This study aimed to establish the asphalt binder performance of Yemen so that the asphalt pavement can be designed to resist the distresses of rutting and cracking that occurred due to seasonal temperature changes and rainfall. The first step of determining the binder performance is to establish high and low temperatures, as well as rainfall because the asphalt binder is a temperature and rainfall sensitive viscoelastic material. To study the climatic zoning of asphalt pavement in Yemen, the data of temperature and rainfall in 19 provinces of Yemen in the past 10 years were collected and comprehensively analyzed, and the variations laws of them were analyzed. According to the Chinese approach, the climatic zoning of Yemen's asphalt pavement was divided. The moisture temperature coefficient was introduced, and its probability distribution state was also analyzed. The standard of the moisture temperature coefficient was suggested and the asphalt pavement climate zones based on the moisture temperature coefficient were determined. The results indicated that the main influencing factors of asphalt pavement in Yemen were the temperature rise and rainfall, and the climate zones of asphalt pavement were divided into different zones such as 1-2-1, 2-2-2, 1-2-2, and 3-1-2. According to the principle of equal probability, the moisture temperature coefficient was found to be 18, and the asphalt pavement climate zoning map was drawn. The findings of this study are highly significant and provide valuable decision support for pavement management and improve the transportation system. Doi: 10.28991/cej-2020-03091613 Full Text: PDF
Mechanical and Thermal Performance of Cement Mortar Incorporating Super Absorbent Polymer (SAP)
Authors: Rahman Md Mahfuzur , Jyoti Laila Tul Zannat , Paul Snahashish , Ishmam Al- , Hossain Md Akhtar
Published: November 2020

Super Absorbent Polymer (SAP) is a favorable admixture which can influence various properties of cementitious materials. It mainly improves the water retaining properties of cement-based construction materials. In this paper, an experimental program was carried out to determine the mechanical and thermal performance of cement plaster containing SAP. Firstly, the absorption capacity of SAP was determined in different loading conditions and chloride solutions. Thereafter, the optimum dosage of SAP for cement plaster was also determined from five different proportions of SAP (0.05, 0.1, 0.3, 0.5 and 1% of cement mass) based on the compressive strength test results. The mortar incorporating 0.05% SAP of cement mass was selected as the optimum dosage, which yielded the highest compressive strength. Two slabs of 1×1×25 mm with 0.05% SAP and two slabs of 1×1×25 mm without SAP were cast to determine the thermal performance of the cement mortar with and without SAP. For this purpose, a wooden chamber of 2×1×1 m was constructed and the slab was placed in the middle of this chamber to carry out the thermal performance test of cement mortar. The slabs with 0.05% SAP showed promising results for acting as a thermal barrier in buildings compared to slabs without SAP. Doi: 10.28991/cej-2020-03091614 Full Text: PDF
Predicting Travel Times of Bus Transit in Washington, D.C. Using Artificial Neural Networks
Authors: Arhin Stephen , Manandhar Babin , Baba-Adam Hamdiat
Published: November 2020

This study aimed to develop travel time prediction models for transit buses to assist decision-makers improve service quality and patronage. Six-months’ worth of Automatic Vehicle Location and Automatic Passenger Counting data for six Washington Metropolitan Area Transit Authority bus routes operating in Washington, DC was used for this study. Artificial Neural Network (ANN) models were developed for predicting travel times of buses for different peak periods. The analysis included variables such as length of route between stops, average dwell time and number of intersections between bus stops amongst others. Quasi-Newton algorithm was used to train the data to obtain the ideal number of perceptron layers that generated the least amount of error for all peak models. Comparison of the Normalized Squared Errors generated during the training process was done to evaluate the models. Travel time equations for buses were obtained for different peaks using ANN. The results indicate that the prediction models can effectively predict bus travel times on selected routes during different peaks of the day with minimal percentage errors. These prediction models can be adapted by transit agencies to provide patrons with more accurate travel time information at bus stops or online. Doi: 10.28991/cej-2020-03091615 Full Text: PDF
STRATEGIC LEADERSHIP : SEBAGAI STRATEGI MENINGKATKAN MINAT SISWA BARU MASUK DI SMPN37 PURWOREJO
Authors: . Sofiati
Published: November 2020

Penelitian ini bertujuan untuk mengetahui peran gaya kepemimpinan stratejik dalam upaya meningkatkan minat calon siswa masuk di SMPN 37 Purworejo. Sampel dalam penelitian ini sebanyak 44 terdiri dari kepala sekolah, guru , siswa, dan wali murid. Teknik pengumpulan data dengan metode diskritif kualitatif analitik dengan menggunakan berbagai sumber informasi yang didapat dari responden, observasi, dan dokumentasi. Teknik analisis data menggunakan analisis SWOT. Hasil penelitian menunjukkan bahwa peran kepemimpinan stratejik pada faktor internal organisasi sekolah mendasarkan model kepemimpinan perilaku ; pada faktor eksternal organsisi sekolah mendasarkan model kepemimpinan situasional; pada faktor kekuatan  organisasi sekolah mendasarkan model kepemimpinan perilaku ; pada faktor kelemahan organisasi sekolah mendasarkan model kepemimpinan organik; pada faktor peluang organisasi sekolah mendasarkan model kepemimpinan situasional ; dan pada faktor ancaman organisasi sekolah mendasarkan model kepemimpinan organik. Berdasarkan analisis SWOT didapatkan strategi yang dapat meningkatkan minat adalah S-O.