bluuebunny/crossref_metadata_2025 huggingface dataset:
Long-term sickness absence due to musculoskeletal disorders: the necessary intervention of work conditions
Authors: Ekberg K , Wildhagen I.
Published: August 2024

To make rehabilitation of musculoskeletal disorders effective it is crucial to identify circumstances that tend to support the persistence of sickness absence. A total of 93 patients with recently developed disorders in the neck and shoulders were followed for one year after rehabilitation, in order to identify factors associated with recovery and chronicity, respectively. Health status was evaluated before rehabilitation and after 12 months in terms of sickness absence, pain ratings and self-rated quality of life, the Sickness Impact Profile. The study group was divided into tertiles based on their number of days of sickness absence during the follow-up period (short: < 25 days, medium: 25-101 days, long: > 101 days). Those with long-term sickness absence perceived higher physical and mental load in their jobs. There was also a higher proportion of persons who were not born in Sweden in this group and on average they had more sick-leave days the preceding year. Other background characteristics and personality ratings were similar between the groups. Long-term sickness absence was associated with worse ratings in quality of life after one year, and pain did not diminish during the follow-up year. Multiple regression analysis indicated that long-term sickness absence was largely associated with work conditions rather than with individual characteristics. Therefore, the results underscore the importance not only of treating the individual with musculoskeletal disorders, but in particular of improving his or her work conditions.
Self-selected walking speed in patients with hemiparesis after stroke
Authors: Witte US , Carlsson JY.
Published: August 2024

"Self-selected walking speed" was measured in 18 patients with hemiparesis after stroke and compared with that in a healthy control group. The average speed of the patient group for a 30 m walk was 0.78 m/s (SD 0.24) and of the control group 1.69 m/s (SD 0.05). The intraindividual variation for the patients was 0.004 m/s and the interindividual variation 0.37 m/s. For the controls, the corresponding values were 0.000 m/s and 0.003 m/s, respectively. "Self-selected walking speed" correlated significantly with "functional walking test" (r = 0.91) and, "number of steps" (r=0.97) as well as with self-assessment scores of walking ability and stiffness, the degree of motor function of the lower extremities, muscle tone and balance. The significant correlation between "self-selected walking speed" and other studied tests strengthens their validity and implies that they can be used separately or in combination to evaluate the effect of rehabilitation programmes in patients with hemiparesis after stroke.
Reduced mobility in the cervico-thoracic motion segment--a risk factor for musculoskeletal neck-shoulder pain: a two-year prospective follow-up study
Authors: Norlander S , Gustavsson BA , Lindell J , Nordgren B.
Published: August 2024

The aim of this study was to evaluate the variations in C7-T1 mobility in order to decide whether inverse C7-T1 function, defined as equal or less mobility in motion segment C7-T1 compared with T1-T2, could be used for prediction of neck-shoulder pain (NSP). One hundred and sixty-one female laundry workers participated in a prospective two-year follow-up study which included a self-report questionnaire and clinical examinations. The present study showed that the incidence of inverse C7-T1 function was 33% per year and subjects classified as having an inverse C7-T1 function three or more times during the follow-up period had an elevated risk of NSP (RR 3.1, CI 95% 1.1-6.9). According to the authors' interpretation, lack of synchronous mobility distribution between adjacent motion segments might be a provoking factor. Inverse C7-T1 function predicts NSP related to the cervico-thoracic articulations and yields a positive predictive value of 84%. Assessments must be repeated, however.
Attitude to work and health problems among home care workers in settings with different degrees of institutionalization
Authors: Hedin A.
Published: August 2024

The relationship between different degrees of institutionalization in the care of the elderly (service house, home care, and a combination of both) and work-load, as well as staff feelings regarding psychosocial variables and health complaints, was investigated. Seventy-one staff members similar in background factors answered questionnaires semi-annually during a period of 3 years. The results revealed consistent and stable differences between the different settings. The staff in service houses had the highest documented and subjective work-load and were doubly at risk for neck pain, fatigue and nervousness, and with a five-fold risk of shoulder pain, in comparison with the staff in home care, with the mixed group in an intermediary position. The results indicate that work involving mixed tasks might lower the strain of dealing with highly dependent clients in a highly institutionalized environment. Generalizations are limited, because of small sample sizes and descriptive design, but the results were consistent and persisted over a 3-year period.
A useful method for measuring daily physical activity by a three-direction monitor
Authors: Sugimoto A , Hara Y , Findley TW , Yoncmoto K.
Published: August 2024

The purpose of this study was to investigate whether a three-direction accelerometer is useful for measuring daily physical activity. Physical activity, being an important part of human behavior, may be related to various aspects of health and disease. In this study, the relationship between the intensity of each action and the three-direction accelerometer (Actigraph) output was compared in 10 healthy subjects under free-living conditions. Subjects wore the Actigraph on their non-dominant wrist and filled out a physical activity check list (self-report) throughout the daytime. Daily physical activities were classified into six categories according to different intensities. The differences of the Actigraph output among each of the six categories were significant by the Kruskal-Wallis analysis (p = 0.001). The Actigraph output appeared to correlate highly with the intensity of actions by the Spearman Rank test (r = 0.95, p < 0.05). The Actigraph output was over-estimated while the subjects were typing, driving and being a passenger in a motor vehicle. The Actigraph was shown to be a useful and convenient device for measuring daily physical activity.
Comparison of three intensive programs for chronic low back pain patients: a prospective, randomized, observer-blinded study with one-year follow-up
Authors: Bendix AF , Bendix T , Lund C , Kirkbak S , Ostenfeld S.
Published: August 2024

In a randomized, blinded study, we compared the outcome from a full-time functional restoration program with the outcome from shorter active rehabilitation programs for patients with chronic, disabling low back pain. The study initially included 132 patients, randomized into one of three treatment programs: (1) an intensive 3-week multidisciplinary program; (2) active physical training and back school; or (3) psychological pain management and active physical training. Nine of the randomized patients never started in any program, so the studied population consisted of 123 patients. Of these, 14 patients (11%) dropped out. The results presented here are at 1 year following treatment, where we achieved a 92% response rate, including the drop-outs. The functional restoration program was superior to the shorter programs as to work-ready rate, health care contacts, back pain level, disability level, staying physically active, and reduction in analgesics. There was no significant difference between Programs 2 and 3 in most of these parameters. As for sick leave and leg pain, there was no significant difference between Programs 1 and 2, although a difference was observed when comparing Program 3 with each of the other two. Conclusively, it seems that there is human, as well as economical, benefit from a functional restoration program compared to less intensive programs for these patients.
Muscle strength, working capacity and effort in patients with fibromyalgia
Authors: Nørregaard J , Bülow PM , Lykkegaard JJ , Mehlsen J , Danneskiold-Samsøoe B.
Published: August 2024

The objective of the study was to evaluate the physical capacity and effort in patients with fibromyalgia. Muscle strength and the coefficient of variation of the strength measurements of 181 female fibromyalgia patients and 126 healthy females were compared. These measurements and ergometer exercise capacity, work status and psychometric scoring (SCL-90-R) were correlated. The fibromyalgia patients exhibited significant reduction in voluntary muscle strength of the knee and elbow, flexors and extensors in the order of 20-30%. However, the coefficient of variation was higher among patients, thus indicating lower effort. The physical performance during an ergometer test corresponded to a maximal oxygen consumption of 21 ml/kg-1 x min-1. The maximal increase in heart rate was only 63% (44-90%) of the predicted increase. Degree of effort or physical capacity did not correlate to psychometric scores. Work status was related to psychometric scoring, but not to physical capacity or effort. In conclusion, we found a low degree of effort but near normal physical capacity in the fibromyalgia patients.
Motoneuron activity and muscle fibre type composition in hemiparesis
Authors: Jakobsson F Grimby L
Published: August 2024

The firing of single motor units (MUs) in musculus tibialis anterior (TA) was studied during maximal voluntary effort and maximal speed of walking in 10 patients with severe chronic hemiparesis and the findings compared to normal data. As shown in a previous study, the paralysed TA exhibited an increase in proportion of type 2 fibres as compared with normal muscle. Thus, 57% of the muscle fibres were type 1 and 43% type 2, while the normal percentages were 80% and 20% respectively. The present findings indicate that in the paralysed muscles a little less than half of the fibres, i.e. roughly the equivalent of the type 2 population, was not tonically active either during sustained voluntary contraction or during locomotion. Normally high threshold MUs reached high rates during both modes of activation. The findings paralysed muscles also indicate that a little more than half of the fibres, i.e. roughly the equivalent of the type 1 population, could be brought into tonic firing during voluntary contraction as well as during walking. Their maximal firing rate was, however, no more than two thirds of that of normal low threshold MUs.
A computerized wheelchair ergometer. Results of a comparison study
Authors: Veeger HE Van der Woude LH
Published: August 2024

To determine the validity of propulsion simulation on a stationary wheelchair ergometer, nine male able-bodied subjects performed submaximal exercise tests on the ergometer and on a motor driven treadmill (MDT). Oxygen uptake, ventilation and stroke parameters were equal for both devices, but heart rate was lower and trunk movement was less for the ergometer test. Analysis of forces and power output on the ergometer indicated that power output was equal for both wheels. The ratio between applied forces and the effectively directed force component was approximately 80%. Also a small torque was applied by the hand onto the handrim surface which contributed to the total propulsion torque around the axle. It is concluded that the ergometer is capable of simulation of wheelchair propulsion, although the different trunk motion may necessitate sufficient wheelchair propulsion experience. Force analysis results are discussed.
Measurement of torque of trunk flexors at different velocities
Authors: Wessel J Ford D
Published: August 2024

The purpose of this study was to determine the test-retest reliability of recording isometric and isokinetic torque of the trunk flexors and to examine the effect of velocity on the torque curves. Thirty healthy subjects were tested on two occasions for isometric torque of trunk flexion at four angles and eccentric and concentric torque at three velocities. Two subjects repeated these tests in the passive mode to determine the torque produced by the trunk when there was no active flexion effort. Intraclass correlation coefficients were above 0.85 for all isometric and isokinetic measures. Standard errors of measurement ranged from 6.9 to 19.5 Nm. Student t-tests indicated no significant differences between occasions for all outcome measures. Examination of passive and active torque curves indicated that the torque produced by the mass of the trunk increased with increasing velocity. It is concluded that both isometric and isokinetic testing of the trunk flexors are reliable, but that testing at higher velocities may not provide a valid measure of muscle performance.
Cervico-brachial disorders in dentists. A comparison between two kinds of physiotherapeutic interventions
Authors: Rundcrantz BL Johnsson B
Published: August 2024

We have evaluated two kinds of physiotherapy treatment for dentists with occupational cervico-brachial disorders. Group A received treatment with a psychosomatic approach and individual ergonomic instruction and group B received ergonomic instruction only. A reduction of the cervico-brachial disorders after the intervention was observed in both groups. In group A there was a significant decrease of pain and discomfort in the neck (p less than 0.05), and a significant improvement was also found concerning the experience of well-being (p less than 0.05). Five weeks after the intervention the feeling of self-confidence had increased significantly in group A (p less than 0.05). Both groups of dentists experienced that their control over the work had decreased (p less than 0.01 in group A and p less than 0.05 in group B). In group B it was also found that the dentists' confidence in the future had decreased, compared with the answers given a year before.
Increased spinal mobility in adolescents with bronchial asthma
Authors: Mellin G.
Published: August 2024

Spinal mobility was measured in thirty-five adolescents (21 boys and 14 girls) with bronchial asthma. Comparisons were carried out with an equal number of healthy controls matched for sex, age, weight, and height. Thoracic spinal movements of rotation and lateral flexion in girls and of rotation in boys were significantly greater in asthmatics as were the sagittal lumbar movements with the exception of forward flexion in the boys. Sagittal spinal curvatures of the asthmatics did not significantly differ from those of the controls. The results indicate that there are no need of explicit mobilization of thoracic spine in asthmatic children.
Effect of forced running on rat skeletal muscle with acrylamide neuropathy
Authors: Okajima Y , Maloney FP.
Published: August 2024

This study was performed to evaluate the effect of prolonged forced running on rat lower limb muscles with acrylamide neuropathy. Twenty-four 4-week-old rats were divided into three groups of eight rats. Acrylamide was given to two groups of sixteen rats to induce mild paralysis. Eight rats with acrylamide injections were forced to run 3,200 m/day on a treadmill for five weeks. Running activities slowed the rate of body weight gain and aggravated paralysis. Although the wet weight of tibialis anterior (TA) and extensor digitorum longus (EDL) muscles was reduced by running, that of soleus (SOL) muscles was unchanged. The ratio of their weight to their body weight (BW) remained constant regardless of exercise. Protein content (PC) of muscles was not altered by exercise, either. We postulated that exercise-induced worsening of paralysis in acrylamide neuropathy rats was not caused by muscle pathology. Deterioration of neuropathic condition due to exercise was suggested.
Some factors related to work status 2 1/2 years after myocardial infarction
Authors: Nielsen FE Sørensen HT
Published: August 2024

No abstract available.
Walking efficiency before and after long-term muscle stretch in patients with spastic paraparesis
Authors: Mattsson E , Broström LA , Borg J , Karlsson J.
Published: August 2024

Eight patients with stationary, spastic paraparesis were treated with long-term stretch of the hip adductor muscles to improve walking ability. Gait pattern, walking speed and perceived exertion of walking were assessed. Walking efficiency was assessed before and after treatment by measuring oxygen consumption and blood lactate level. After treatment walking pattern was improved. Perceived exertion decreased but walking speed was unchanged. Oxygen cost directly after treatment was lower in six patients, unchanged in one and higher in one. In the patient with unchanged oxygen cost the blood lactate level decreased, probably due to decreased recruitment of fast, type II muscle fibres. Blood lactate was unchanged in the other patients. When assessing walking ability, measurement of energy cost was found to be a valuable supplement to clinical judgement, but in spastic patients both oxygen cost and blood lactate must be considered.
Vocational rehabilitation in northern Sweden. III. Aspects of life satisfaction
Authors: Fugl-Meyer AR Eklund M
Published: August 2024

Levels of global (1 item) and domain-specific (8 items) life satisfaction were explored at the commencement of vocational rehabilitation and two years later in a consecutive series of subjects who were partly or completely vocationally disabled with a diagnosis of bodily impairment. At the onset of vocational rehabilitation, global life satisfaction (satisfaction with life as a whole) and satisfaction derived from performance- and provider-related (instrumental) domains of life were significantly lower than satisfaction derived from socio-emotional (expressive) facets of life. The eight domain-specific items of life satisfaction described a characteristic three-factor pattern (76% of variance) which resembled quite closely that of non-impaired subjects, one factor being expressive. The other two factors were instrumental and separated recreative from vocational domains of satisfaction. Successful vocational rehabilitation resulted in increases in vocational satisfaction. For those subjects who were successfully rehabilitated, satisfaction with other instrumental aspects of life and with life as a whole also increased. The results indicate that successful vocational rehabilitation leads to increased social well-being.
Spontaneous subarachnoid hemorrhage. Prognostic factors for social readjustment
Authors: Oder W , Dal Bianco , Kollegger H , Zeiler K , Binder H , Deecke L.
Published: August 2024

Sixty-seven patients surviving spontaneous subarachnoid haemorrhage (SAH) have been followed up for 2-12 years (mean: 7 years) in order to determine prognostic factors concerning the long-term disability in familial and social functioning. A correlation was found between the severity of the neurological deficit at the time of admission and the degree of familial and social disability at the end of the observation period. In addition, the Barthel-Index on discharge was shown to be of prognostic value for readjustment for social--but not for familial--functioning. Other clinical variables in the acute stage, however, including source of bleeding, sex, age, interval between SAH and admission, level of consciousness, cognitive functions, as well as initial Hunt and Hess grading and Glasgow Coma Scale scoring, did not influence the long-term social prognosis. Furthermore, residual neurological signs, cognitive dysfunctions, and the Glasgow Outcome score on discharge were not related to the extent of social handicap in the long-term outcome. At the end of the observation period, significant correlations were found between the presence of persisting neurological and cognitive deficits but also disability in ADL functions and occupational capacity and the decline in familial and social functioning.
Neck and shoulder disorders in medical secretaries. Part I. Pain prevalence and risk factors
Authors: Kamwendo K Linton SJ
Published: August 2024

420 medical secretaries took part in a cross-sectional study at examining the prevalence of musculoskeletal disorders as well as the relationship between neck and shoulder pain and possible risk factors. Sixty-three percent had experienced neck pain sometime during the previous year and while 15% had suffered almost constant pain 32% had experienced neck pain only occasionally. Shoulder pain during the previous year had been experienced by 62%, 17% had suffered almost constant pain while 29% experienced pain only occasionally. Fifty-one percent had experienced low back pain. Age and length of employment were significantly related to neck and shoulder pain. Furthermore, working with office machines 5 hours or more per day was associated with a significantly increased risk for neck pain (OR 1.7), shoulder pain (OR 1.9) and headache (OR 1.8). Finally, a poorly experienced psychosocial work environment was significantly related to headache, neck, shoulder and low back pain. The results of this study suggest that work with office machines as well as the psychosocial work environment are important factors in neck and shoulder pain.
Phrenic nerve stimulation in tetraplegia. A new regimen to condition the diaphragm for full-time respiration
Authors: Baer GA , Talonen PP , Häkkinen V , Exner G , Yrjölä H.
Published: August 2024

Unipolar phrenic nerve stimulation (diaphragm pacing) has been used for ventilation of patients with C2 tetraplegia. Four-pole sequential nerve stimulation delays muscle fatigue when compared with unipolar stimulation. This may help to achieve more frequently long-term full-time bilateral electroventilation. Four-pole sequential nerve stimulation also offers an opportunity to shorten the conditioning phase of the hypotrophic diaphragm from about 6 to 2 months. The new conditioning regimen was tested successfully in two patients with C2 tetraplegia. The new stimulation method and conditioning regimen remarkably shorten the time after injury during which mechanical ventilation is needed. This will give the patients earlier access to rehabilitation centres for spinal cord injuries and will diminish the work load of the personnel.
A controlled study of the effect of neck school in medical secretaries
Authors: Kamwendo K Linton SJ.
Published: August 2024

The effect of "neck school" on neck and shoulder disorders was studied in medical secretaries. A neck school reinforced with compliance enhancing measures (group B) was compared with a traditional neck school (group A) and a control group (group C). The results show that ergonomical knowledge was good even before the secretaries attended the neck schools and that compliance was significantly higher for group B. When comparisons were made within groups some improvements on neck and shoulder fatigue and pain were noted, particularly for group B. When workload was controlled no significant group differences were found. No differences were noted for range of neck motion, or sick leave in any group. Our conclusion is that neck schools, despite good compliance, appear to be of limited clinical value for prevention of neck and shoulder disorders.
Detrusor pressure in cystometry compared to physiological filling in patients with a reflex urinary bladder after spinal cord injury
Authors: Thyberg M , Spångberg A , Lassvik C.
Published: August 2024

The maximum detrusor pressure and the duration of detrusor contractions in 10-50 ml/min fill cystometry were compared to the corresponding measurements during 12 hours of physiological filling, in 18 patients with a reflex urinary bladder after spinal cord injury. In four consecutive cystometries with 10 min intervals the intraindividual variation of the maximum detrusor pressure and the duration of detrusor contractions were similar to the variation during physiological filling. The mean pressure values in cystometries of each patient correlated well with the mean values in registration during physiological filling. In cystometry, there was no significant difference between mean values in 50 ml/min filling compared to 10 ml/min filling nor between mean values in first and second cystometries compared to third and fourth cystometries. Thus, mean values from a series of 10 ml/min or 50 ml/min fill cystometries appear to be as useful as registrations during physiological filling to describe the mean maximum detrusor pressure and the mean duration of contractions in a patient with a spinal reflex bladder.
Respiratory function in chronic primary fibromyalgia
Authors: Lurie M , Caidahl K , Johansson G , Bake B.
Published: August 2024

Since patients with severe chronic primary fibromyalgia (CPF) report effort dyspnoea, respiratory function was studied in 87 consecutive women with CPF according to Yunus' criteria. Bernstein spirometry, maximum inspiratory (MIP) and expiratory (MEP) pressures were obtained in patients, and in a reference group of 61 healthy women. MIP was considerably lower in patients than in controls (3.6 +/- 2.0 vs. 8.0 +/- 2.2 kPa, p less than 0.0001), as was MEP (3.1 +/- 2.1 vs. 8.3 +/- 2.2 kPa, p less than 0.0001). Patients who had previously reported dyspnoea at a bicycle exercise test showed significantly lower values of respiratory pressures than patients without dyspnoea. Respiratory pressures were reproducibly low in CPF patients. Spirometric values were normal among patients and controls. We conclude that maximum expiratory and inspiratory pressures are low in CPF, a finding which may indicate respiratory muscle dysfunction in this syndrome.
A placebo controlled trial of ultrasound therapy in chronic leg ulceration
Authors: Eriksson SV Lundeberg T
Published: August 2024

A controlled study of the effects of ultrasound on healing chronic leg ulcers was carried out in conjunction with standard treatment on 38 patients divided randomly into two groups. All patients received standard treatment (paste impregnated bandage and a self-adhesive elastic bandage plus placebo ultrasound or ultrasound (1.0 watt/cm2 at 1 MHz, for 10 min) twice weekly for 8 weeks. Percentage healed ulcer area and number of healed ulcers were compared after 2, 4, 6 and 8 weeks. There were no significant differences in the proportion of healed ulcers or ulcer area in the ultrasound group as compared with the placebo group.
A controlled study on the outcome of inpatient and outpatient treatment of low back pain. Part IV. Long-term effects on physical measurements
Authors: Mellin G , Härkäpää K , Hurri H , Järvikoski A.
Published: August 2024

Effects of inpatient and outpatient treatment on physical measurements in chronic low back pain patients (n = 476) were analyzed at 1.5- and 2.5-year follow-ups as well as 3 months after a refresher programme which was carried out 1.5 years after the first treatment. Physical measurements consisted of hip and lumbar spinal mobility, and trunk muscle strength. At the 1.5-year follow-up the two treatment groups did not differ from the control group, but at the 2.5-year follow-up inpatients showed better improvements in physical functions from the pretreatment level. The refresher treatment was found to improve physical functions more effectively than the first treatment program, especially in the outpatients. Self-care with heavy exercising was related with the improvement of physical functions, but back exercises and light exercising were not. Statistically significant but modest correlations were found between improved physical functions and subjective progress during the long-term follow-ups.
Effect of Successive At-home Bleaching Sessions on the Surface Properties, Biaxial Flexural Strength, and Reliability of CAD-CAM Monolithic Materials
Authors: Queiroz JFC , Amaro LF , Massucatto LO , Dovigo LN , Adabo GL , Fonseca RG
Published: August 2024

Although at-home bleaching can recover the optical properties of stained CAD-CAM monolithic materials, little is known about its impact on their surface and mechanical properties, especially when successive sessions are performed. This study evaluated the effect of successive at-home bleaching sessions on the microhardness, roughness, topography, biaxial flexural strength (BFS), and reliability of CAD-CAM monolithic materials. Disks from Lava Ultimate (LU), Vita Enamic (VE), and IPS Empress CAD (EMP) were fabricated and submitted to up to three bleaching sessions. At-home bleaching was performed with 10% carbamide peroxide, and each session consisted of one application for 10 hours/day for 14 days. The analyses of the aforementioned parameters were assessed before and after the first, second, and third bleaching sessions, except for BFS, which was evaluated at baseline and after the third session. The Weibull modulus was calculated from the BFS data. The microhardness of the three materials as well as the roughness of LU were not affected by the sessions, whereas the roughness of VE and EMP increased from the second session. All materials displayed topographic changes, which became more pronounced with the increase in the number of sessions. Although bleaching decreased the BFS of the materials, it did not adversely affect their reliability. Successive at-home bleaching sessions with the protocol used in the present study cannot be considered a safe procedure for the materials evaluated.
Combined Minimally Invasive Esthetic Rehabilitation of Dental Fluorosis—5-year Follow-up: Case Report
Authors: Dokumacigil G , Korkut B , Atali PY
Published: August 2024

Dental fluorosis (DF) is a specific esthetic issue characterized by a persistent condition in which there is a disruption in enamel development, leading to the formation of hypomineralized enamel. The resulting unusual appearance varies in intensity, presenting as mildly white and opaque to dark brown, and significantly impacts individuals’ esthetic features and self-confidence. The objective of this case report was to assess the efficacy of microabrasion, dental whitening, and resin infiltration in terms of resolving lesions, tracking the sensitivity of teeth, and evaluating patient satisfaction over a period of time. A minimally invasive treatment approach in a 27-year-old woman with severe DF is detailed. The treatment plan involved enamel microabrasion, in-office bleaching, and two weeks of at-home bleaching, followed by resin infiltration for the affected tooth under rubber dam isolation. After a 5-year follow-up, the assessment of the patient’s esthetic appearance indicated a successful treatment of teeth affected by DF.
From inactive prehispanic archaeological monument to urban scene generator of self-sustainable communities
Authors:   Universidad Católica Santo Toribio de Mogrovejo, Vargas Chozo Oscar Víctor Martín , Carrasco Aparicio Jorge Carlos ,   Universidad Católica Santo Toribio de Mogrovejo, Balarezo Llanos Camila de Fátima ,   Universidad Católica Santo Toribio de Mogrovejo, Gamarra Sampén Manuel Agustín ,   Universidad San Martín de Porres, Escalona Aguilar Erik Omar ,   Universidad Bernardo O'Higgins, Champoñan Moyano Giancarlo ,   Universidad San Martín de Porres, Filial Norte Chiclayo, Castro Mejía Percy Junior ,   Universidad Cesar Vallejo
Published: August 2024

The pre-Hispanic archaeological monuments on the Peruvian coast, known as huacas, have pyramidal geomorphological characteristics and represent a valuable monumental heritage. The presentation focuses on thehuacaof thePuebloJoven SantaRosa inthecityofLambayeque, Peru, with thepurposeof (re)activatingit as a way of protection from urban pressure, for which they propose mechanisms and strategies for integration intothecity.Thedevelopmentisdividedintothreephases:first,thehuacainitscurrentsocialandurbancontext. Then,contemporaryurbanstrategiesforactioninthehuacaarepresentedandfinally,prospectivescenariosare proposed. Four interconnected elements were considered: individual, society andcommunity; disciplinarycorpus; projectproductionandevaluation.Theresultsrevealthepotentialofthesearchaeologicalspacesintheterritory andtheirimpactontheenvironment.Opportunitiesarealsoidentifiedtotransformthesurroundingenvironment, promoting the reactivation of these cultural vestiges and the development of sustainable communities in Lambayeque, Peru.
The "teacher–student" construct in methodological discourse
Authors: Белова А.В.
Published: August 2024

В статье предпринимается попытка выделения условий реализации конструкта «учитель – ученик» в практике преподавания литературы. В качестве базового условия рассматривается коммуникативная компетентность учителя. Коммуникативная компетентность понимается как способность и готовность к диалогу с любым возможным коммуникантом. Диалог определяется, вслед за М. М. Бахтиным, как «гармония неслиянных голосов». Обосновывается значимость перехода на диалоговые формы обучения для реализации конструкта «учитель – ученик» в его проявлении «Учитель – Ученик». Рассматриваются такие условия реализации конструкта «учитель – ученик» в его диалоговой парадигме, как: введение понятия «диалог», соотнесение основных маршрутов учителя и ученика, обнаружение первоначального восприятия, работа в смысловом поле текста, актуализация смысла, установка на понимание, использование различных стратегий освоения текста, обращение к литературе как к виду искусства, обучение «языку» предмета, рассмотрение теоретических понятий на научной, диалоговой основе, решение проблемы автора, значимость личного творческого продукта, открытость, обязательное прочтение произведения, обладание профессионально-педагогической компетентностью.

The article is aimed at identifying the conditions for the implementation of the "teacher – student" construct in teaching literature practice. The teacher's communicative competence is considered as a basic condition. Communicative competence is understood as the ability and willingness to have a dialogue with any possible communicant. Following M. M. Bakhtin, the dialogue is defined as "the harmony of non-merged voices." The article studies the importance of the transition to interactive forms of learning for the implementation of the "teacher –student" construct in its manifestation "Teacher – Student". The study is focused on the following conditions for the implementation of the "teacher – student" construct in its dialog paradigm: the introduction of the concept of "dialogue", the correlation of the main routes of the teacher and the student, determination of the initial perception, work in the semantic field of the text, actualization of meaning, setting on understanding, using various strategies for mastering the text, turning to literature as an art form, teaching the "language" of the subject, considering theoretical concepts on a scientific, dialogical basis, the solution of the problem determined by the author, the importance of a personal creative product, openness, mandatory reading of a literary work, acquiring professional and pedagogical competence.
Differences in the Role of Psychological Well-Being and Subjective Well-Being in Predicting Work Engagement
Authors: Yuniasanti Reny , Hutagalung Fonny Dameaty , Sahrah Alimatus , Fitriana Nina
Published: August 2024

Employees with high Work Engagement (WE) are believed to be more reliable in achieving organizational goals. This research aims to determine the differences in the role of well-being with the concepts of hedonic and eudemonic in predicting WE. The subjects of this research consisted of 327 people, who were analyzed in 3 stages, namely 110 people who were analyzed in stage-1, 217 people who were analyzed in stage-2, and all research subjects were analyzed in stage-3. All data for this research were collected using the WE scale, PWB scale, SWFL scale, and PANAS, which have a Chronbach alpha reliability coefficient of .773 respectively; .831; .627; 747; 744. In stage-1 research analysis, SWB and PWB show more of just one component, whereas in stage-2 and stage-3 research analysis, they are more likely to be seen as two different factors in predicting WE. The results of the stepwise model multiple regression statistical technique analysis concluded that the regression coefficient on the influence of SWB and PWB on WE from the three analyses stated that PWB was stronger than SWB in predicting WE. Thus, it can be interpreted that to predict WE the Well-Being concept with the eudemonic concept is greater than using well-being with the hedonic concept.
Prevention of Early Child Marriage in Karanganyar
Authors: Zuhdi Syaifuddin , Al Imais Syafin , Astuti Widi
Published: August 2024

Perkawinan anak usia dini pada zaman modern ini telah menjadi tren dalam  kalangan masyarakat yang semakin tahun mengalami peningkatan. Sehingga dalam upaya mencegah perkawinan anak usia dini pemerintah mengeluarkan Undang-Undang Nomor 16 Tahun 2019 Tentang  Perkawinan. penelitian ini menggunakan metode pendekatan yuridis-empiris dengan memadukan bahan-bahan hukum baik primer maupun sekunder dengan data primer yang diperoleh di lapangan. Implementasi Undang Nomor 16 Tahun 2019 Tentang  Perkawinan dalam mencegah perkawinan anak usia dini di Kabupaten Karanganyar pelaksanaannya belum berjalan dengan baik, karena masih banyaknya kasus perkawinan anak usia dini dan adanya peningkatan permohonan dispesasi kawin yang terjadi di Kabupaten Karanganyar. Upaya DP3APPKB Kabupaten Karanganyar dalam mencegah perkawinan anak usia dini dilakukan melalui upaya preventif, kuratif, dan penguatan lembaga. Namun upaya ini belum berjalan secara maksimal, karena masih banyak hambatan serta belum didukung dengan adanya regulasi hukum yang mengatur pencegahan perkawinan anak usia dini di Kabupaten Karanganyar, saran rekomendasi yang dapat diberikan bahwa perlu adanya sinkronisasi peraturan-peraturan yang ada dan perlunya aturan pelaksana bagi setiap bidang, sehingga perkawinan usia dini dapat dicegah.
Urgensi Tradisi Naikkah Rasan Dalam Perkawinan Adat Semende
Authors: Hidayatullah Syeh Sarip , Shella Gina , Huda Nurul
Published: August 2024

Adat naikkah rasan ini cenderung mengikuti tradisi nenek moyang yang sangat perlu dilakukan. Di dalam masyarakat adat Semende, terutama di Desa Sekipi, Kecamatan Abung Tinggi hingga saat ini masih ada yang menerapkan sistem tradisi naikkah rasan. Adapun rumusan masalah dalam penelitian ini adalah: Bagaimanakah pelaksanaan tradisi adat naikkah rasan dalam perkawinan di desa Sekipi? Bagaimanakah tinjauan hukum Islam terhadap tradisi naikkah rasan dalam perkawinan di desa Sekipi kecamatan abung tinggi Kabupaten Lampung Utara?. Metode penelitian yang digunakan adalah penelitian lapangan (Field Reseach). Dalam hal ini, peneliti menganalisa praktek masyarakat terhadap tradisi naikkah rasan ini dan berbagai tanggapan mereka tentang perkembangan adat sesuai dengan kemajuan zaman. Hasil penelitian menunjukan bahwa pelaksanaan tradisi naikkah rasan dalam perkawinan adat Semende di Desa Sekipi ini secara pelaksanaannya harus dilakukan. Bisa juga dikatakan wajib karena untuk mempertemukan calon mempelai pria dengan wanita untuk membahas berkenaan dengan penentuan rasan (Acara) yang juga menentukan hari akad pernikahan. Dalam pelaksanaan  tradisi naikkah  rasan  ini dipertemukannya  terlebih dahulu kedua belah pihak para orang tua dari pihak pria dan wanita untuk berkompromi atau mendiskusikan prihal pernikahan untuk melanjutkan ke jenjang yang lebih serius. Menurut tinjaun hukum Islam tradisi naikkah rasan dalam perkawinan adat semende yang dilakukan masyarakat adat semende di Desa Sekipi ini tidak bertentangan dengan hukum Islam. Karena tradisi naikkah rasan adalah suatu hal yang baik dilakukan sebelum perkawinan serta memperjelas suatu hubungan yang belum halal untuk menjadi suatu hubungan yang halal. Hal ini adalah suatu ajaran yang di perbolehkan dalam ajaran agama Islam. Sebagaimana sudah dijelaskan bahwa acara ini dilakukan sebelum perkawinan. Yang bertujuan untuk memastikan kapan akan dilaksankannya dan mempererat jalin silaturahmi antar keluarga kedua belah pihak.
Sistem Pernikahan Nyakak Masyarakat Adat Lampung Saibatin Perspektif Mubadalah
Authors: Millah Nadiya Ihda , Kusmawan Asep
Published: August 2024

Penelitian bertujuan untuk mengetahui hukum dari tradisi sistem pernikahan nyakak masyarakat adat lampung saibatin menurut Mubadalah. Sistem pernikahan nyakak adalah status perkawinan yang menempatkan posisi perempuan mengikuti jalur kekerabatan laki-laki atau keluarga dari suaminya atau sistem kekerabatan Patrilineal. Setelah menikah secara otomatis terjadi peralihan peran dan tanggungjawab yang sebelumnya dikuasai oleh keluarga istri kemudian berpindah kepada keluarga suami. Secara tidak langsung pada perkawinan Nyakak menempatkan perempuan dalam posisi diambil atau ambil anak, anak perempuan dibeli oleh keluarga laki-laki, bersamaan dengan penyerahan sejumlah uang serta barang yang dibutuhkan oleh keluarga perempuan. Penelitian ini berbasis lapangan dengan teknik pengumpulan data melalui wawancara, observasi, dan dokumentasi. Hasilnya. sistem pernikahan nyakak perspektif Mubadalah masyarakat adat Lampung Saibatin dinilai ada dampak kemudaratannya, karena sangat menyudutkan hak perempuan, perempuan menikah nyakak juga dinilai tidak memiliki hak untuk keluarga besarnya dan tidak mempunyai kewajiban pula untuk membantu kesulitan yang dialami oleh orang tua kandungnya. konsep mubadalah itu menekankan bahwa antara laki-laki dan perempuan itu sama, dalam hal ini sama yang dimaksud adalah kesalingan dan juga kerjasama yang dibangun antara laki-laki dan perempuan  harus seimbang perbuatan hukumnya. Jadi, sesuai dengan perkembangan zaman hukum adat atau kebiasaan dalam hal ini pernikahan adat Lampung saibatin seharusnya mengikuti tetapi dengan tetap menjaga nilai-nilai kearifan lokalnya.
Mathematical communication of preservice mathematics teachers in solving gender-biased higher-order thinking skills problems
Authors: Sulistyawati Eka , Radite Ramadian
Published: August 2024

Mathematical communication is a crucial 21st-century skill related to achievement and other skills. This study aims to analyze the differences in mathematical communication abilities and describe the difficulties male preservice teachers (MPT) and female preservice teachers (FPT) face in solving gender-biased Higher-Order Thinking Skills (HOTS) problems. This research employs a sequential explanatory mixed-methods design. The respondents, selected through purposive sampling, consisted of 4 MPTs and 10 FPTs. Data on mathematical communication abilities were obtained through a gender-biased HOTS problem-solving test. The respondents' difficulties in solving the problems were gathered through interviews. The results indicate differences between MPT and FPT mathematical communication skills using symbols and mathematical notation in solving problems. Student's difficulties in solving gender-biased HOTS problems are unfamiliarity and disinterest in the context. This study implies that education should emphasize contextual understanding and utilize gender-neutral problems to enhance mathematical communication skills.
CLINICAL FEATURES OF MOTOR DEFICIT AND COGNITIVE DISORDERS IN POST-STROKE PATIENTS
Authors: Vasylieva N.V. , Karvatska N.S. , Zorij I.A.
Published: August 2024

The aim of the study – to determine the clinical features of motor deficits and cognitivedisorders in post-stroke patients.Materials and methods. The examination of 39 post-stroke patients included: clinicalneurological, psychodiagnostic methods using the National Institutes of Health StrokeScale (NIHSS), Action Reserch Arm test (ARAT), Modified Ashworth Scale (MAS), MontrealCognitive Assessment Scale (MoCA), Hospital Anxiety and Depression Scale (HADS).Results. Movement disorders with spasticity syndrome of varying severity were diagnosedin all examined patients. Severe and moderate degree of motor dysfunctions of the upperlimbs were revealed in 76.92 % of patients from the 1-st group and remained in 56.41 %of patients from the 2nd group. Violations of muscle tone in the affected limbs variedfrom an increase of a moderate degree to an increase of a mild degree in 74.36 % ofpatients. An increase in cognitive dysfunction, symptoms of anxiety and depression wereobserved in a 12 months after stroke. A higher degree of motor disorders correlated withthe expression of anxiety- depressive disorders.Conclusions. The number of patients with motor deficits of mild and moderate severitydegrees has increased over time. At the same time, the number of patients with moderateand severe degrees of movement disorders has decreased, which correlates with theseverity of anxiety and depression, as well as cognitive dysfunctions.
CORRELATION OF BODY MASS INDEX, AGE, IMMUNO-BIOCHEMICAL PARAMETERS OF THE THYROID PANEL WITH INTESTINAL MICROBIOTA IN PATIENTS WITH CARBOHYDRATE METABOLISM DISORDERS AND THYROID DYSFUNCTION
Authors: Moskva Kh.A. , Kikhtiak O.P. , Lapovets L.Ye. , Kikhtiak T.A.
Published: August 2024

The purpose of the study – to find out the correlations between the intestinal microbiotaand age, anthropometric indicators according to body mass index, immuno- biochemicalindicators of the thyroid panel in patients with carbohydrate metabolism disorders andthyroid dysfunction.Material and methods. The study included 89 patients with carbohydrate metabolismdisorders (type 2 diabetes mellitus, prediabetes, obesity) and thyroid dysfunction(autoimmune thyroiditis, hypothyroidism, Graves’ disease). Anthropometric indicators of height and weight; laboratory determination of immuno- biochemical parametersof carbohydrate metabolism and thyroid hormone were determined. To analyze thecomposition of the intestinal microbiota, fecal samples were taken and the quantitativeand qualitative composition was calculated using the principle of PCR sequencing.Statistical methods of comparison and correlation of variables were used.Results. In patients, several significant correlations were found between the gutmicrobiota and the parameters studied. A negative correlation was found between bodymass index and Bifidobacterium spp. and Escherichia coli and a positive correlationbetween body mass index and some opportunistic pathogens. Thus, with Shigella spp.and Staphylococcus aureus, there is a direct weak reliable relationship, while an inversereliable relationship with Helicobacter pylory. Interesting correlations were foundwith a tendency to confidence with Salmonella spp. and Bacteroides thetaiotaomicrondirect weak and a tendency to a plausible feedback between BMI and Faecalibacteriumprausnitzii and Candida spp. Bacteria of the phylum Firmicutes were inverselycorrelated with fT3 levels. Representatives of the phylum Bacteroidetes found a directcorrelation with fT3, TgAb. Clostridium perfringens was directly correlated with levelsof fT3, fT4, TRAb, TgAb, and Fusobacterium nucleatum was directly correlated withTPOAb. Interestingly, Candida spp. showed an inverse correlation with TPOAb, whileamong this genus of fungi, only Candida krusei was characterized by the appearanceof a correlation as a direct relationship with TRAb. Helicobacter pylory was directlycorrelated with TRAb and TgAb.Conclusions. 1. There are direct and inverse correlations between individualrepresentatives of the intestinal microbiota and body mass index. 2. Establishedcorrelations between individual representatives of the intestinal microbiome and thelevel of thyroid hormones and thyroid antibodies indicate the ability of the microbiometo influence the functional state of the thyroid gland through the mediation of the immunesystem.