bluuebunny/crossref_metadata_2025 huggingface dataset:
Legal Protection for Indigenous Peoples for the Masela Block Gas Infrastructure
Authors: Laturette Adonia Ivonne , Sainyakit Sri Ayu Junita
Published: March 2023

Introduction: Customary law communities can own land rights, including the customary law community of Latdalam Village who have rights over land called land owned by relatives/soa whose control rights are carried out jointly.Purposes of the Research: This writing aims to determine the existence of the customary law community over Soa Olusi's land and the legal protection of the customary law community of Latdalam Village over Soa Olusi's land rights in the framework of the development of the Masela Block liquefied natural gas infrastructure.Methods of the Research: This research is a normative research that refers to the legislation and legal materials related to the substance of the research, then linked to the main problems in this research. The approach taken in this research is a statutory approach and a conceptual approach.Results of the Research: Based on the results of the study, the land rights of the Soa Olusi customary law community in Latdalam Village are considered to still exist and are recognized in accordance with Act number 5 year 1999 article 2. And the process of transferring land rights belonging to Soa Olusi through buying and selling has an invalid legal status / legal defect because it does not comply with applicable procedures according to applicable customary law and Indonesian law. In relation to development for the public interest, the government must provide compensation and recognition of those who have land rights, namely Soa Olusi, and if the government is wrong or wrong in providing compensation and recognition, then there is legal protection for the Soa Olusi community, namely preventive legal protection. and repressive legal protection.
Implementation of PV-Battery Storage-Wind Turbine-Load- on Grid System
Authors: Ali Muftah
Published: March 2023

The system is designed to promote the use of renewable energy sources and reduce dependence on non-renewable energy sources such as fossil fuels. The system comprises several components, including photovoltaic (PV) panels, wind turbines, battery storage, load management, and the main grid. The integration of these components provides a reliable and stable source of electricity for households and businesses, particularly in areas prone to power outages. The battery storage system helps to balance the intermittent nature of renewable energy sources, providing a more consistent supply of electricity. Additionally, this system can reduce the carbon footprint of the electricity generation process and contribute to mitigating the effects of climate change. Overall, the implementation of a PV-battery storage-wind turbine-load-main grid system has the potential to transform the way we generate and consume electricity, creating a more sustainable and resilient energy system for future generations.
Citizen Participation And Democratic Practices: An Analysis From The Use Of Social Networks And Schooling
Authors: Jesús Enrique Morales Rico
Published: March 2023

There are numerous studies (Norris, 2001; Muñiz, 2015; Díaz and Góngora, 2019) that have declared the importance of the use of social networks and the education of citizens as essential areas to understand civic and democratic participation in issues of sociopolitical interest. . The present work is carried out with the objective of analyzing the association between the variables schooling and use of social networks (YouTube, Facebook and Twitter) to be informed of matters of national interest. For which, a subsample of 20,323 subjects selected from the National Survey of Civic Culture of the year 2020 was used. The selection criterion was to be 18 years old and over. The research hypothesis was that schooling and the use of social networks (Facebook, Twitter and YouTube) are associated in promoting citizen participation in issues of national interest and issues of democratic life. The results showed that, in effect, as the specialized literature points out, there is an association relationship between the variables of interest and citizen participation in issues of sociopolitical interest. To carry out the statistical analysis, the chi2 test was used to determine the association between the study variables, finding a value = 2050.1, with a significance p = 0.05. Therefore, the research hypothesis is verified.
Political Personalization And Polyarchic Systems: The Opening To Representativeness?
Authors: José Federico de la Torre Rodríguez
Published: March 2023

This paper represents an analytical resource of the phenomenon of political personalization in electoral campaigns, from the accommodation of political forces in polyarchic systems. In this way, it is based on Robert Dahl's proposal by considering that democratic government systems are, rather, polyarchies and that a multitude of interests, starting points and political forces converge in them that have led to a kind of re-understanding. of the relationship of candidates and political parties in order to continue to be valid in the political arena and win the citizen vote. The central thesis of the paper is that political personalization should not only be understood as the maximization of the personal attributes of those who aspire to win electoral contests, but also as a result of the loss of partisan identities in an increasingly plural and diverse sociopolitical context. . Therefore, the main objective of the document is to establish an analytical route that favors the understanding of political personalization as a result of a complex network of political circumstances that have promoted electoral campaigns that tend to maximize personal qualities and attributes within the framework of polyarchic systems.
Social Media Use and Hypertension Knowledge Among Undergraduate Students During the COVID-19 Pandemic in Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
Authors: Abdul Rashid Aneesa , Devaraj Navin Kumar , Low Zhi Xuan , Selvanesan Kasendra , Noorazalan Akmal Aiman
Published: March 2023

Introduction: Malaysian hypertension prevalence is high at 30% and is the highest risk factor for mortality. Good hypertension knowledge suggests a favourable outcome. Online sources are a popular method of obtaining information especially in young adults and during the pandemic. Our objective is to determine health information seeking online, use of social media, and hypertension knowledge among undergraduate students. Methods: This is a cross-sectional study conducted in the Faculty of Medicine and Health Sciences (FHMS), Universiti Putra Malaysia (UPM). Random sampling was done. An online questionnaire with four sections: (1) socio-demographic data; (2) use of social media; (3) health information sought online; and (4) hypertension knowledge was used . Data were analysed using the SPSS version 25 using Independent T tests and one-way ANOVA to identify factors associated with hypertension knowledge. Results: Mean (SD) age of 286 respondents was 21(1.2) years. Most respondents were female, 207(73.1%), Malays, 177(61.9%) and taking the Medicine course 127(44.4) with a mean of 9.50(4.50) hours of internet usage daily. Many respondents 196(68.5%) looked for information on hypertension online. The mean score for hypertension knowledge was 8.32(1.46); classified as good knowledge. Hypertension knowledge was significantly associated with race (p<0.001), type of course (p<0.001), year of study (p<0.001) and type of health information searched online (p=0.010). Conclusion: We found significant better knowledge in Indians compared to Malays, medical students compared to biomedical sciences and occupational health, students in year 5 compared to years 1&2. Participants that searched on hypertension online had better knowledge on hypertension.
The Association Between Learning Styles, Time Management Skills and Pharmacology Academic Performance Among First Year Medical Students in Universiti Putra Malaysia (UPM) During the COVID-19 Pandemic
Authors: Sa'at Azmah , Mohd. Thani Suryati , Salihan Safuraa , Ab. Razak Nur Izah , Masrudin Siti Saleha
Published: March 2023

Introduction: The scientific understanding gained from pharmacology investigations is used to support a wide range of medical therapies. As a result, pharmacology is essential in medicine. As a result of the coronavirus epidemic, several colleges throughout the world have resorted to online pharmacology learning, which has an indirect impact on student academic progress. Aside from learning styles, a student’s time management abilities are another essential aspect that affects their academic success. Methods: This is a cross-sectional study that employed a questionnaire to assess first-year medical students from Universiti Putra Malaysia’s Faculty of Medicine and Health Sciences’ learning style and time management skills. A series of pharmacological questions involving short answer questions was also given to the students to assess their pharmacology performance. Results: There was a significant weak negative correlation between superficial learning style and pharmacology performance (r=-0.272, p<.05). There was also a significant weak correlation between deep learning style and long range planning (r=0.256, p<.05) and including short range planning (r=0.263, p<0.5). Lastly, significant weak negative correlation on pharmacology performance and long range planning was seen (r=0.256, p<.05). However, there was no significant correlation between time management and pharmacology performance. Conclusion: Students that use a superficial learning style struggle in school, yet deep learning styles in both short and long term planning do not always increase pharmacology performance. A good time management skills does not guarantee a good pharmacology performance either. Other relevant factors, like as socio-demographic characteristics, that may contribute to this outcome, particularly during this epidemic, should be investigated further.
Modifications of OSCE for UPM Preclinical Medical Students during COVID-19 Pandemic
Authors: Mahayidin Hasni , Adam Siti Khadijah , Hassan Haniza , Salihan Safuraa
Published: March 2023

The social and physical restrictions in the early phase of COVID-19 pandemic had resulted in forced transition into virtual learning worldwide. Modifications of assessment tools also had to be made to suit online conduct. This article aims to share the experience of conducting online objective structured clinical examination (OSCE) using several approaches for preclinical medical students in one of the public universities in Malaysia. It summarises the challenges faced by the involved parties, as well as the solution and recommendation should similar situation arises in the future.
Student’s Experience, Satisfaction and Barriers of Hybrid Undergraduate Obstetrics & Gynaecology Teaching During Covid-19 Pandemic
Authors: Basri Nurul Iftida , Dasrilsyah Rima Anggrena , Mohd Jamil Amilia Afzan , Abdul Hamid Habibah , Md Pauzi Siti Farhana
Published: March 2023

Introduction: Hybrid teaching method has been implemented in majority of medical schools to adapt with the Covid pandemic era. With this integrated method, we aim to determine the student’s experience, satisfaction and barriers of hybrid undergraduate teaching in obstetrics & gynaecology posting. Methods: A cross sectional study was conducted among medical students undergoing hybrid teaching during obstetrics & gynaecology posting in the year of 2020 and 2021. Participants were 112 fourth and fifth year medical students whom were affected by the pandemic. Online questionnaires through Google forms were distributed to all eligible students. The questionnaire consists of four sections: socio-demographic, experience, satisfaction and barriers. Results: The response rate was 75%. Majority (90.2%) of the respondents were satisfied with the hybrid teaching. Among the barriers that sometimes encountered by our students were inability to adjust learning style, lack of technical skills, mental health difficulties, emotional difficulties, unreliable internet access and an unconducive study environment. Among all the demographic data studied, only ethnicity showed a significant association with the satisfaction of the students. Conclusion: Our study found that majority of students were satisfied with hybrid teaching with minimal barriers experienced. Hence its practice can be continued as it can be utilised at any time as compared to traditional teaching.
Multi-class Brain Tumor Detection using Convolutional Neural Network.
Authors: Dhurkunde Mukul , Kadam Nayan , Trivedi Mohak , Maru Sandeep , Shirke Prajakta
Published: March 2023

Brain tumour detection is one of the most critical and arduous function in the domain of healthcare. Brain tumour, if not detected at an early stage, can be fatal. At the present time, detection and classification of brain tumour is done by the method of Biopsy which is very time-consuming and complex. . By looking at the brain MRI or CT scan, it is possible for the experts to identify whether tumour is present or not and the region of the tumour, but it is difficult to identify the small dissimilarities in the structure of tumour and classify it into types. Hence this manual process gets stuck here for verification of type of tumour. For the sole purpose overcoming the above-mentioned gigantic hurdles we have pursued this research of multi-class brain tumour detection using deep learning. Our project will help doctors in quick decision-making regarding detection of the tumour and its type as well, and due to the early detection of the disease the treatment can be initiated at the right time, resulting in speedy recovery of the patient. We propose a deep learning model employing Convolutional Neural Network architecture which we have implemented using Keras and Tensorflow because it yields to a better performance than the traditional ones. In our research work, CNN gained an accuracy of 94.95%. Further, we have integrated our model with a web-app which we have built using Streamlit. Hence, users can provide their MRI scans via our web-app and get their medical results in a quick and efficient manner.
Interrogation on Optical Properties of Electrolyte Minerals, TSS and Turbidity in Water - Spectrophotometer and IOP Profiler Based Hyperspectral Analysis Approach
Authors: M Ramaraj , Sivakumar Ramamoorthy
Published: March 2023

The optical properties of total suspended solids, turbidity, and electrolyte minerals in water such as sodium, potassium, and calcium were studied under laboratory and field-oriented conditions. Spectrophotometer and Wet Lab Instrument Inherent Optical Properties profiler have been used to measure the optical properties. The polynomial fit between the field measured absorption spectra and laboratory measured absorption spectra of each mineral explains in detail the chemical water quality parameters and optical properties. The spectrophotometrically derived absorption coefficient of electrolyte minerals such as sodium (1,000 ppm), potassium (100 ppm), and calcium (1,000 ppm), TSS (500 ppm) and Turbidity (100 NTU) makes virtuous correlation with the IOP profiler measured absorption coefficient donates the best polynomial fit R2 values of 0.9076, 0.9019, 0.9645, 0.9823 and 0.9354 respectively. Results in this study exhibits that, the absorption coefficient of electrolyte minerals, TSS, and Turbidity in water increases with increasing their concentrations at the wavelengths range from 200 to 300 nm.
HIGHLIGHTS

The absorption coefficient values are increasing with the increasing concentration of sodium as well as for calcium and Total suspended solids
The absorption spectra of potassium are exponentially increasing with decreasing wavelength
The absorption curves show an evolution from a solitary, well defined absorption trough at 550 nm at lower turbidity values to a broader, more flat-topped absorption encompassing from 550 to 650 nm at higher turbidity levels

GRAPHICAL ABSTRACT
Impact of the extended-release/long-acting opioid analgesics risk evaluation and mitigation strategy on prescribing practices
Authors: Secrest, MSc Matthew H. , Phillips, MPH Syd , Cepeda, MD, PhD M. Soledad , Kern, MS, PhD David M. , Esposito, MPH, PhD Daina B. , Wedin, PharmD Gregory P.
Published: March 2023

Objective: To assess the impact of extended-release (ER)/long-acting (LA) opioid prescriber training on prescribing behaviors.Design: Retrospective cohort study.Setting: Prescriber training was evaluated from June 1, 2013 through December 31, 2016. The full study period was 2 years longer, from June 1, 2012 through December 31, 2017, to include data for all prescribers’ 1-year pretraining and post-training periods.Participants: 24,428 prescribers who wrote ER/LA opioid prescriptions for eligible patients, with a record of training from the partner continuing education provider between June 1, 2013 and December 31, 2016.Intervention: ER/LA opioid prescriber training. Main outcome measures: Prescribing behaviors 1-year before (pretraining) and after (post-training) prescribers completed training, specifically the proportion of opioid-nontolerant patients receiving ER/LA opioids indicated for opioid-tolerant patients and for patients receiving ≥100 morphine equivalents dose daily, and the proportion of concomitant users of central nervous system depressant drugs.Results: The differences in the proportion of opioid-nontolerant patients receiving ER/LA opioids indicated for opioid-tolerant patients and for patients receiving ≥100 morphine equivalents dose daily were –0.69 percent (95 percent confidence interval [CI]: –1.78 percent, 0.40 percent) and –0.23 percent (95 percent CI: –1.18 percent, 0.68 percent), respectively. The differences in the proportion of concomitant users of central nervous system depressant drugs were –0.94 percent (95 percent CI: –1.39 percent; –0.48 percent) for benzodiazepines, 0.06 percent (95 percent CI: –0.13 percent; 0.25 percent) for antipsychotics, –0.41 percent (95 percent CI: –0.69 percent; –0.13 percent) for hypnotics/sedatives, and 0.08 percent (95 percent CI: –0.40 percent; 0.57 percent) for muscle relaxants.Conclusions: While prescribers showed some changes in prescribing behavior after completing training, training was not associated with clinically relevant changes in prescribing behaviors.
Comparison of the Centers for Disease Control (CDC) recommendations and the risk index for overdose or serious opioid-induced respiratory depression (RIOSORD) tool for guiding naloxone coprescribing
Authors: Herndon, PharmD Christopher M. , Kirby, PharmD Taylor R. , Madison, PharmD Kelsey J. , Kerr, PharmD, CDCES Jessica L.
Published: March 2023

Purpose: Patients treated with ongoing opioid therapy may be at an increased risk of respiratory depression or death, which may be mitigated through prompt administration of naloxone. The Centers for Disease Control (CDC) guidelines for prescribing opioids in primary care settings recommend patients treated with ongoing opioid analgesic therapy be offered a coprescription of naloxone based on total oral morphine milligram equivalents per day or concurrent benzodiazepine therapy. Opioid overdose risk is dose-dependent, yet other patient-specific factors contribute to this risk. The risk index for overdose or serious opioid-induced respiratory depression (RIOSORD) incorporates additional risk factors to assess the risk of overdose or clinically relevant respiratory depression.Objectives: This study compared the frequency of meeting CDC, Veterans’ Health Administration (VA) RIOSORD, or civilian RIOSORD criteria for naloxone coprescribing.Methods: A retrospective chart review of 42 Federally Qualified Health Centers in Illinois was conducted for all CII-CIV opioid analgesic prescriptions. Ongoing opioid therapy was defined as patients who received seven or more CII-CIV opioid analgesic prescriptions during the 1-year study period. Patients aged 18-89, receiving opioids for nonmalignant pain, and meeting the criteria of ongoing opioid therapy were included in the analysis.Results: A total of 41,777 controlled substance analgesic prescriptions were prescribed during the study period. Data from 651 individual patient charts were evaluated. Of those, 606 patients met inclusion criteria. From these data, 57.9 percent of patients (N = 351) met civilian RIOSORD criteria, 36.5 percent (N = 221) met VA RIOSORD criteria, and 22.8 percent (N = 138) met CDC guideline recommendations for naloxone coprescribing. The percentage of patients who met RIOSORD criteria compared to CDC criteria was significantly higher (p < 0.001). Of all patients meeting ongoing opioid therapy criteria, only seven had been coprescribed naloxone.Conclusion: Coprescribing of naloxone is significantly underutilized in patients treated with opioid therapy for nonmalignant chronic pain and should not solely be based on total oral morphine milligram equivalents per day or concurrent benzodiazepine therapy. As risk assessment improves, consideration of other risk-conferring variables, such as gabapentinoids, skeletal muscle relaxants, and sleep hypnotics, should be considered.
New legislation in New Jersey reduced opioid use among trauma patients
Authors: Durling-Grover, DNP, APN Renay , DiFazio, MD, FACS Louis T. , Adams, MD, FACS John M. , Kong, BS Karen , Soliman, BS Sara S. , Hakakian, BS Daniel , Kaynan, BS Keren , Rolandelli, MD, FACS Rolando H. , Nemeth, MD, PhD Zoltan H.
Published: March 2023

Purpose: In New Jersey, politicians have emphasized the need to attenuate the ongoing opioid epidemic as opioid use disorder can lead to addiction and, in many cases, mortality. New legislation (New Jersey Senate Bill 3) was enacted in 2017 to reduce opioid prescription from 30 days to 5 days for acute pain in both inpatient and outpatient healthcare settings. Therefore, we sought to evaluate if the enactment of the bill influenced the consumption of opioid pain medication at an American College of Surgeons-verified Level I Trauma Center.Methods: Patients from 2016 to 2018 were compared for differences in average daily inpatient morphine milligram equivalents (MMEs) consumption and injury severity score (ISS), among other parameters. To ensure that changes in pain medication did not affect the quality of pain management, we compared their average pain ratings.Results: Although the average ISS in 2018 was higher than that in 2016 (10.6 ± 0.2 vs 9.1 ± 0.2, p < 0.001), opioid consumption decreased in 2018 without increasing the average pain rating for patients with an ISS of 9 and 10. More specifically, the average daily inpatient MMEs consumption dropped from 14.1 ± 0.5 in 2016 to 8.8 ± 0.3 in 2018 (p < 0.001). Even among patients with an average ISS >15, the total MMEs consumed per person decreased in 2018 (116.0 ± 14.0 vs 59.4 ± 7.6, p < 0.001).Conclusion: Overall, opioid consumption was lower in 2018 without negatively affecting the quality of pain management. This suggests that the implementation of the new legislation has successfully reduced inpatient opioid use.
Opioid prescribing patterns by drug type: The Pennsylvania experience
Authors: Bakewell, MPH Brock K. , Miller, BS Chaim , Sherman, BS Matthew , Ilyas, MD, MBA Asif M.
Published: March 2023

Objective: To explore the impact on opioid prescribing patterns and trends after implementing a prescription drug monitoring program (PDMP) in Pennsylvania from 2016 to 2020.Design: A cross-sectional data analysis using deidentified data from Pennsylvania’s PDMP delivered by the Pennsylvania Department of Health was undertaken.Setting: Data were collected from the entire state of Pennsylvania, and statistics were run at Rothman Orthopedic Institute Foundation for Opioid Research & Education.Interventions: Evaluating the effect on opioid prescriptions after introduction of the PDMP.Main outcome measure: In 2016, nearly 2 million opioid prescriptions were given to patients across the state. However, by the end of the study period in 2020, there was a 38 percent decrease in opioid prescriptions written.Results: Beginning with Q3 2016, each subsequent quarter saw fewer opioids prescribed, decreasing on average by 3.4 ± 1.7 percent through Q1 2020. Specifically, over 700,000 fewer prescriptions were in the first quarter of 2020 compared to the third quarter in 2016. The opioids that were most frequently prescribed were oxycodone, hydrocodone, and morphine.Conclusion: While fewer prescriptions were being prescribed overall, the breakdown of drug type being prescribed remained similar in 2020 compared to 2016. Fentanyl and hydrocodone saw the largest decrease between 2016 and 2020.
Variations of pain medication use for patients with acute extremity pain in an emergency department: A quality improvement project
Authors: Cardinal, PharmD Rachael M. , D’Amico, PhD Frank , Cassidy, PharmD Elizabeth , Heath, MD Richard , Baumgartner, PharmD Megan
Published: March 2023

Objective: The opioid epidemic continues to take over 50,000 lives annually. At least 75 percent of patients present to an emergency department (ED) for pain. The objective of this study is to describe the characteristic(s) for receiving opioid, nonopioid, and combination analgesics in an ED for acute extremity pain.Methods: A single-site, retrospective chart audit was conducted at a community-based teaching hospital. Patients ≥ 18 years old who were discharged from the ED with acute extremity pain and received at least one analgesic were included. Primary goal included determining characteristics associated with the prescribing of analgesics. Secondary goals included amount of pain score reduction, frequency of prescribing, and discharge prescription patterns among each group. Analyses consisted of univariate and multivariate general linear models analyses.Results: There were 878 patients identified as having acute extremity pain between February and April 2019. A total of 335 patients met inclusion criteria and were separated into three groups: nonopioids (n = 200), opioids (n = 97), and combination analgesics (n = 38). The individual characteristics showing statistical differences (p < 0.05) between the groups were (1) an allergy to specific analgesics, (2) diastolic blood pressure > 90 mmHg, (3) heart rate > 100 bpm, (4) opioid use prior to ED admission, (5) prescriber level, and (6) discharge diagnosis. Multivariate analyses showed combination therapy (regardless of which two analgesics were administered) had a significant difference in mean pain score reduction compared to nonopioids (p < 0.05).Conclusion: There are patient, prescriber, and environment-specific characteristics that are associated with analgesic selection in an ED. Combination therapy had the greatest reduction in pain regardless of the two medications received.
The effect of fentanyl coadministration on sneezing during nasal local anesthetic injection for plastic surgery under propofol-based intravenous sedation: A retrospective case-controlled study
Authors: Parker, MBBS Jun D. , Reid, MBChB Peter , Bailey, PhD Michael
Published: March 2023

Background: Injection of local anesthetic for surgical procedures on the skin of the nose under intravenous sedation can provoke sneezing, which can be hazardous to the patient, surgeon, and other staff. Yet, there is little information on factors that influence sneezing under these circumstances. The aim of our study was to investigate the influence of adding fentanyl to propofol-based sedation on the incidence of sneezing during local anesthetic injection on the nose for plastic surgery.Methods: A retrospective chart review was conducted on 32 patients who had undergone plastic surgery procedures on the nose under local anesthetic with intravenous sedation.Results: Twenty-two patients received fentanyl in addition to propofol. Of these, only two patients sneezed (9.1 percent). In contrast, nine out of the 10 patients who did not receive fentanyl sneezed (90 percent). This included two patients who had received midazolam and propofol.Conclusions: These findings indicate that there was a high rate of sneezing during nasal local anesthetic injections performed under propofol-based intravenous sedation, unless the sedation was supplemented with fentanyl. We now recommend the coadministration of fentanyl during nasal local anesthetic injections under propofol-based sedation. Further studies are required to determine whether this observation is related to the depth of sedation alone, or whether the reduction in sneezing is related to the coadministration of an opioid. Further studies should also investigate potential side effects of coadministration of fentanyl or other opioids.
Clinical practice patterns of opioid prescribing by physicians performing percutaneous spinal cord stimulation trials and implants
Authors: Dodman, MD Keisha , Simopoulos, MD Thomas T. , Kohan, MD Lynn , Hasoon, MD Jamal , Gill, MD Jatinder
Published: March 2023

Background: Spinal cord stimulation (SCS) is an effective therapy for neuropathic pain. Outcomes of SCS may be influenced by peri-implant opioid management; however, to date, standard practices of opioid management in this scenario remain undefined and unreported.Methods: A survey inquiring SCS management practices in the peri-implant period was sent to the members of the Spine Intervention Society and the American Society of Regional Anesthesia. The results of three questions pertaining to peri-implant opioid management are presented here.Results: For each of the three questions examined, there were between 181 and 195 responses. Among respondents, 40 percent encouraged reduction of opioids prior to SCS trial, and 17 percent mandated reduction. After a SCS trial, 87 percent of respondents did not provide any additional opioids for periprocedure pain. After implant, the majority of respondents provided 1-7 days of opioids for post-operative pain.Conclusion: Based upon survey results and current literature, it is advisable to recommend or attempt opioid reduction before SCS and to not provide additional opioid for post-operative pain after trial lead insertion. Routine prescribing for the pain of the SCS implant beyond 7 days is not favored.
Opioids after a cesarean section: Prescribing, patient use, storage, and disposal practices
Authors: Yi, MD Peter , Johnson, MD Savion , Nelli, MD Amanda , Gulur, MD Padma
Published: March 2023

Cesarean sections (C-sections) are commonly performed procedures, accounting for approximately one-third of births in the United States. This is often one of the first medical encounters for women which require prescription medications to manage post-operative pain. Our observational study looked at opioids prescribed and consumed for post-surgical C-section pain. We interviewed patients to examine handling practices of those who had excess opioids, including storage and disposal. Patients underwent a C-section at Duke University Health System from January 2017 through July 2018 and were prescribed opioids post-operatively. In this study, we observed 154 women who met inclusion criteria. Sixty women declined participation, and 15 could not recall the details of their opioid use. Of the 77 women who participated, most (97 percent) received oxycodone 5 mg tablets. About one-third of the women did not use any opioids, about one-third used all of their opioids, and the remainder used only a fraction of the pills prescribed. After sharing preliminary results with providers, they began prescribing fewer pills. Even then, only a fraction or none of the pills were used, and patients rarely required a renewal of pain prescriptions. We found only 1 percent of women stored their opioids in a secure location. These findings suggest an individualized approach to opioid prescribing along with nonopioid analgesics use may mitigate the consequences of excess opioid prescribing, which include lack of proper disposal and excess opioids in the community.
High-dose tramadol conversion to buprenorphine-naloxone
Authors: Kirk, PharmD, BCPS Julienne K. , Boyd, MA, CHES Charlotte T. , Cassidy-Vu, MD Lisa , McRae, PsyD Linda P. , Strickland, NP-C Heather E. , Fagan, MD Ernest Blake
Published: March 2023

Buprenorphine-naloxone is a combination medication of an opioid partial agonist and opioid antagonist that is proven to be effective in outpatient management of opioid use disorder (OUD). Tramadol is a centrally acting analgesic. This commonly used pain medication inhibits serotonin and noradrenaline reuptake by acting as a selective agonist on opioid μ receptors. Transition and tapering high-dose tramadol to buprenorphine-naloxone is not well described in the literature. We report a case of a patient who was taking 1,000-1,250 mg of tramadol daily upon presentation to the clinic. She was originally prescribed 150 mg daily with escalation in dose and frequency over a 10-year period. The patient was converted to buprenorphine-naloxone and has been successful in treatment of OUD for 1 year.
Volume 19, Number 2
Authors: Opioid Management Journal of
Published: March 2023

March/April 2023
The relationship between some weather factors and dengue fever in Hanoi in 2009 - 2019
Authors: Ha Vu Hai , Hanh Nguyen Thi Hong , Bich Nguyen Thi Ngoc , Nghia Ngu Duy , Duong Tran Nhu
Published: March 2023

Hanoi is one of the areas where dengue fever (DF) is complicated. To understand the effect of weather factors on DF burden at this local, we explored the relationship between weather components (humidity, rainfall, temperature and sunshine) and the number of dengue cases. Monthly data from 2009 to 2019 were analyzed by time-series regression using negative binomial models with the average over lag periods of 0 – 4 months. The results showed that dengue cases and the temperature had a positive relationship with an increase of 1oC in the number of dengue fever increased by 31.3% (95%CI: 8.9 - 58.1, p < 0.01). The relationship between dengue cases and sunshine hours was inverse, with 1 hour of sunshine increasing the number of dengue fever decreasing -0.9% (95%CI: (-1.4)-(-0.4)), p < 0.01). The relationship between dengue cases and humidity or rainfall was positive. However, there was no statistical significance. This finding confirms that the weather factors influenced the occurrence of DF in Hanoi. Therefore, weather factors need to be considered in controlling DF disease in the context of climate change currently in Vietnam.
Estimating the base rate by using unit cost analysis approach to design capitation payment method at primary health care level: A case study of Minh Hoa district, Quang Binh province
Authors: Nam Dang Thanh , Dung Tham Chi , Duong Nguyen Thi Thuy
Published: March 2023

Strengthening and innovating the healthcare provider payment is being an important solution to improve operational and financial efficiency and the quality of health service delivery at the primary health care (PHC) level. This study applied cost analysis to measure the unit cost in the determination of base rate for the capitation payment method by combining the top - down and bottom - up calculations along with step-by-step cost allocation. All costs include full components as prescribed by the government. Results showed that the base rate of health facilities was higher than the average cost of current health insurance paid by fee-for-services method. In addition, the district hospital illustrated the highest difference when comparing the capitation fund to outpatient visits cost based on cost analysis with a reduction of 79.9%. Most of the Commune Health Centers (CHCs) received the capitation fund that was higher than outpatient visits cost in 2018, exception for CHC at Quy Hoa. The research provides scientific evidence to help policy makers design and develop the system of capitation payment method at the PHC level based on the cost analysis approach.
Seminar Meningkatkan Cara Berfikir Kreatif dan Inovatif Generasi Muda Gereja HKBP Simalingkar B Resort Kwala Bekala, Medan
Authors: Malau Anne , Hutapea Herti Diana , Sitinjak Imelda , Sidabutar Rimbun C.D. , Lumbangaol M. Berliana
Published: March 2023

The purpose of this community service activity is to assist the Church's Young Generation in preparing everything to face competition in the future by thinking creatively and innovatively with a Christian perspective. One of the vocations of the Church is to improve welfare and solve youth delinquency problems by helping youth change their mindset to be creative and innovative with the support of one of the Tri Dharma of higher education, namely community service, which greatly assists the church's vocation to care for today's youth. The younger generation needs to be equipped with an understanding related to changing mindsets and increasing creative and innovative mindsets. This seminar is a motivational lecture to understand how to make changes and creativity for a productive and quality life from a Christian view. This seminar was held on Sunday, 15 May 2022, at the HKBP Simalingkar B Resort Kwala Bekala Church, Jalan Pintu air IV gg. HKBP Kwala Bekala, Medan Johor District, which was attended by 47 students (HKBP Simalingkar B Resort Kwala Bekala, accompanied by Resort Priests, Young Priests, Bibelvrow, and Church elders. The implementation began with the Opening of the Resort Priest by singing and praying together, then continued by the MC, and then filled in by the first resource person by providing material, question and answer session, ice breaking, then filled again by the second resource person by providing material, question and answer session, ice breaking, feedback from participants, then closed with a short service of singing and praying and taking photos together.
EDITORIAL Ročník 4, Vydání 1 (2018)
Authors: Čech David
Published: March 2023

Úvodní strana + Redakční rada + Zaměření & Tiráž + Obsah
OVEROVANIE VLASTNOSTÍ VLÁKNOVÝCH KOMPOZITOV NA BÁZE ORGANICKÉHO PLNIVA
Authors: Terpáková Eva
Published: March 2023

Súčasné stavebníctvo vyžaduje produkty, ktoré vyhovujú nielen technickým požiadavkám ale zároveň spĺňajú bezpečnostné a hygienické kritéria. Z tohto dôvodu sa vyvíjajú progresívne materiály a to najmä vo forme kompozitných produktov. Pri ich výrobe sa dokáže cielene regulovať zloženie a preto aj optimalizácia výsledných vlastností. Príspevok pojednáva o testovaní paralelne vyrobených sád kompozitov s celul.zovými vláknami. Testované boli pevnostné charakteristiky, vybrané fyzikálne parametre a tepelná vodivosť. Výsledky získané z testovania kompozitov v časovom slede 28, 60 dní naznačujú perspektívnu možnosť ich aplikácie vo funkcii výplňových prvkov.
VÝBER TECHNOLÓGIE PRE SANÁCIU KONTAKTNÉHO ZATEPĽOVACIEHO SYSTÉMU
Authors: Belániová Barbora , Antošová Naďa , Kosák Martin , Vavrík Ivan
Published: March 2023

Údržba a oprava existujúcich konštrukcií kontaktného zatepľovacieho systému je dôležitou požiadavkou v oblasti zatepľovania. Hlavnou témou je návrh sanačných metód na poškodenú konštrukciu ETICS. Ťažiskom príspevku je analýza technológií z hľadiska technickej a technologickej náročnosti, ceny a životnosti sanačného opatrenia. Cieľom je návrh a výber optimálnej sanačnej metódy v modelovom príklade.
VPLYVY ZMENY KLÍMY NA VYUŽÍVANIE HYDROENERGETICKÉ POTENCIÁLU VO VYBRANÝCH POVODIACH NA SLOVENSKU
Authors: Rončák Peter , Rumann Ján , Hlavčová Kamila , Szolgay Ján
Published: March 2023

Článok sa zaoberá hodnotením vplyvu zmeny klímy na využívanie hydroenergetického potenciálu vo vybraných povodiach na území Slovenska. Z.kladným ukazovateľom potenciálu využitia vodnej energie je výpočet tzv. hydroenergetického potenciálu (HEP). Zmenené klimatické podmienky charakterizované najmä zmenami zrážok, potenciálnou evapotranspiráciou a teplotou vzduchu v budúcich desaťročiach boli predpovedané podľa najnovších výstupov z dvoch regionálnych modelov klimatických zmien KNMI a MPI a podľa emisného scenára A1B. Na určenie zmien dlhodobého priemerného mesačného odtoku v porovnaní medzi referenčným obdobím 1981-2010 a budúcimi časovými horizontami sme použili fyzikálne založený zrážkovo-odtokový model WetSpa. Na základe prognóz klimatických zmien podľa dvoch spom.naných scenárov výsledky naznačujú, že vplyvy zmeny klímy v budúcnosti môžu viesť k poklesu hydroenergetického potenciálu.
MONITORING STAVEB – SLEDOVÁNÍ NASAZENÍ ZVEDACÍCH PROSTŘEDKŮ
Authors: Šťastný Jiří , Motyčka Vít , Doubek Rostislav , Brandtner Michal , Bříza Lukáš
Published: March 2023

Při realizaci pozemních staveb jsou ve velké míře využívány zvedací prostředky. Při jejich efektivním a správném využití lze lépe dodržet časový plán stavby, a tedy i termín plánovaného ukončení výstavby. Často dochází k neefektivnímu využívání zvedacích prostředků a vznikají tak prostoje nebo naopak zvedací prostředky nestíhají pokrýt požadované množství procesů. Zabýv.me se sběrem dat (časového vytížení zvedacích prostředků), které umožní posoudit využití zvedacích mechanismů v průběhu celé výstavby. Vyhodnocení naměřených dat bude podkladem pro simulační model, který umožní časovou vytíženost věžových jeřábů lépe posoudit.
KRAJINOU BRTNICKÝCH PODSTÁVKOVÝCH DOMŮ
Authors: Šulcová Stanislava
Published: March 2023

Nadcházející článek je volným pokračováním článku „Mikulášovice a jejich zapomenuté podstávky“, který byl zveřejněn v čísle 01/2017. Článek „Krajinou brtnických podst.vkových domů“ se zaměřuje na vývoj krajiny a zmapování podst.vkových domů v Brtníkách, v malé vesničce na severu děčínského okresu. První část článku se věnuje samotnému vzniku sídla a vývoji sídelní struktury, druhá část pak samotné analýze brtnických podst.vkových domů, které spoluurčují a charakterizují zdejší malebnou krajinu.
Dexamethasone Intravitreal Implant (Ozurdex)
Authors: CADTH
Published: March 2023

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.

The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.

This review assesses Dexamethasone (Ozurdex) 0.7 mg intravitreal implant.

Indication: For the treatment of adult patients with diabetic macular edema who are pseudophakic.
Longevity of Partial and Complete Dentures
Authors: Khangura Sara D. , Grobelna Aleksandra , Haas Robyn , Subramonian Anusree
Published: March 2023

Removable complete dentures may last for an average of 10.06 years, with most complete dentures lasting for at least 5 years.

Most metal partial dentures may last for at least 5 years.

We did not identify any studies that met inclusion criteria for our report describing the longevity of removable plastic partial dentures.

The included studies did not report populations, interventions, and outcomes clearly or consistently. This made some of the findings difficult to interpret.
Vulnerability as best practice?
Authors: Harju Otso
Published: March 2023

This article discusses the role of autoethnography in ‘minority’ academic fields such as transgender studies. While supportive of the epistemic and political ambitions related to practices of studying (through) the self, the text focuses on its practical limitations. Specifically, it discusses the potential lived implications of autoethnographic writing for already precariously located ‘minority’ scholars.The text charts epistemic-ethical backgrounds that support the use of autoethnography within ‘minority’ scholarship. It suggests that such methods work in contexts where academic labor and publishing take place within essentially liberal democratic frameworks, in which ‘minority’ scholars are respectfully met. However, the current literature on ‘minority’ academic labor suggests that this is rarely the case.The article stresses the need to think and teach ‘minority’ research and writing in time and place. Such methodologies can, depending on the context, opt for an autoethnographic presence but also for an active push towards giving ‘less’ of oneself to one’s texts.
Kumouksellinen feminismi
Authors: Seikkula Minna , Maury Olivia
Published: March 2023

Feministiseen ajatteluun sisältyy radikaalia potentiaa, jonka soisi saavan monissa keskuste­luissa aiempaa enemmän huomiota. Sukupuo­leen ja seksuaalisuuteen liittyvät normit ovat muuttuneet – pitkälti feminististen liikkeiden ansiosta – tavalla, joka on tarkoittanut lisää vapautta monille. Tässäkään mielessä maailma ei tosin ole valmis, ja konservatiiviset ja auto­ritääriset klikit yrittävät nakertaa feminististen liikkeiden saavutuksia. Lisäksi on syytä pysytel­lä varuillaan, jotteivät lähtökohtaisesti radikaa­lit vaatimukset sukupuolen ja seksuaalisuuden kysymyksistä pelkistyisi liberaaleiksi appropriaatioksi, jotka pahimmillaan toimivat silkkana kapitalismin käyttövoimaksi supistuvana si­sällöntuotantona. Esimerkiksi Cinzia Arruzza, Tithi Bhattacharya ja Nancy Fraser (2019) puhuvat yhden prosentin feminismistä, jossa sukupuolten tasa-arvoisuus taataan sillä, että useampi nainen pääsee valta-asemaan kapitalis­tisessa valtiossa ja taloudessa. Samalla valtaosal­le naisista – niille 99 prosentille – tämä ei tarkoi­ta muutosta, vaan heidän asemansa jää ennal­leen ja yhtä haavoittuvaksi kuin aiemmin.
Bringing a Poem to a Gunfight
Authors: Singh Shubhangi
Published: March 2023

The contribution has been reworked and re-versioned from the video work, Bringing a Poem to a Gunfight (2021).

Bringing a Poem to a Gunfight looks at armours and bodies and puts forth the two parallel inquiries within the discourse on movement, visibility, control and identity. It inquires if public safety automatically equals nation building by the way of militarization.

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Shubhangi Singh’s practice ranges from moving image, text, lecture-performances and installations. Her work often draws upon existing knowledges to address movement, identity and queries related to the body and its relationship with its environment.

Singh considers ideas of absence and absenting in her work as a way of reflecting upon what is visible, particularly in relation to memory, the labour of memorialising and history.