bluuebunny/crossref_metadata_2025 huggingface dataset:
Analiza art. 233 § 3 Ordynacji podatkowej w kontekście zasady dwuinstancyjności postępowania wynikającej z art. 78 Konstytucji RP
Authors:   Uniwersytet Jagielloński, Marczyk Paweł
Published: January 2023

The principle of two-instance proceedings is one of the most important procedural guarantees which aim to ensure the respect of individual rights. This principle has been regulated in article 78 of the Constitution of the Republic of Poland. In the system of law, the rule is that the appellate body may adjudicate both reformatively and cassationally. One exceptions to this rule is provided for in article 233 § 3 of the Tax Ordinance. If the appeal is successful, this provision empowers the local government appeals board only to overrule the decision issued by the first instance authority on the basis of administrative discretion. The aim of this article is to analyse article 233 § 3 of the Tax Ordinance in the context of the principle of two-instance proceedings. In the opinion of the author of this paper, this provision constitutes an unjustified limitation of the right to two-instance proceedings.
Zakres konstytucyjnej regulacji procedury budżetowej w Polsce na tle państw Unii Europejskiej
Authors:   Uniwersytet w Białymstoku, Olechno Artur
Published: January 2023

Based on the provisions of the constitutional rank of the basic laws of the European Union countries, with the help of a comparative and partly legal-dogmatic method, the article presents the scope and depth of the Polish regulation against the EU background, showing that it can be regarded as extensive, primarily due to the introduction of a special legislative mode taking into account the participation of both chambers of parliament and the head of state, which, as can be seen, is not the rule. Also the remaining discussed regulations, which define in detail the entities participating in the elaboration of the state budget, procedural deadlines and principles related to the budgetary balance, are not the norm in the constitutional matter, usually more laconic in this respect, of the European Union countries.
Effects of asymmetric cooling and surface wettability on the orientation of the freezing tip
Authors: Starostin Anton , Strelnikov Vladimir , Dombrovsky Leonid A , Shoval Shraga , Gendelman Oleg , Bormashenko Edward
Published: January 2023

Freezing of water droplets placed on the bare and superhydrophobic surfaces of polymer wedges is studied both experimentally and computationally. Two-dimensional numerical calculations of the transient temperature field in a chilled polymer wedge show that the direction of heat flux from the droplet through the thermal contact region with the wedge differs significantly from that from the normal to the wedge surface. A novel approximate computational model is proposed that takes into account the variable area of the water freezing front in the droplet. This model gives a quantitative estimate of the faster freezing of the droplet on the bare surface. The obtained numerical results agree with the laboratory measurements. The velocity of the crystallization front and the droplet deformation including the so-called freezing tip formation are monitored in the experiment. The direction of the freezing cone axis appears to be noticeably different for the cases of bare and superhydrophobic wedge surfaces. This is explained by the fact that the direction of the freezing cone axis is controlled by the local direction of the heat flux. For a hydrophobic wedge surface, the deviation of the freezing tip from the vertical is smaller, because the reduced thermal contact area reduces the influence of the heat flux direction at the wedge surface.
The influence of core stability exercises programme on the functional limitations of the musculoskeletal system in girls practising volleyball
Authors: Boguszewski Dariusz , Stępień Magdalena , Adamczyk Jakub Grzegorz
Published: January 2023

Introduction. High physical fitness requirements in young athletes may lead to physical injuries. This study aimed to determine the influence of a core stability exercise program on the functional limitations of the musculoskeletal system in girls practising volleyball. Materials and Methods. 32 female players practising competitive volleyball in the Sport Club SMS Warsaw participated in this study. Group 1 (study group) comprised female volleyball players who, apart from training, performed stabilisation exercises from the developed program. Group 2 (control group) included players who did not perform any additional exercises. The assessment tool was the FMS test, comprising of 7 movement patterns scored on a scale of 0–3. Results. In the studied group of 32 volleyball players, at the first measurement, the average result of the FMS test amounted to 11.38 points. At the second measurement, considerably better results (p<0.001) were observed in the study group. Both the players in the study and control groups obtained the highest possible result of the pectoral girdle mobility test at both measurements. Conclusion. Stabilisation training may have a diminishing influence on functional limitations in women practising volleyball. The use of stabilisation exercises is recommended to prevent traumatic and overload-related bodily injuries.
Static balance and its association with pain and disability in females with low back pain – a pilot cross-sectional study
Authors: Lončarić Kelečić Iva , Schuster Snježana , Masharawi Youssef
Published: January 2023

Introduction: Research on low back pain (LBP) indicates sex differences in the prevalence and degree of disability, which is more significant in females and shows possible balance deficiencies. This study aimed to answer the following research questions: (i) is there a difference in static balance between healthy and females with LBP, (ii) is there a correlation between pain and static balance in females with LBP, and (iii) is there a correlation between static balance and disability in females with LBP. Methods: A cross-sectional research was conducted in a physiotherapy outpatient setting on a sample of 50 subjects, females with LBP and healthy volunteers, divided into two equal groups. Data collected from all respondents were: age, weight and height, the centre of pressure path length and rectangle area, Romberg area quotient and space quotient measured via a stabilometric force platform. In the LBP group, the pain was assessed using the Numeric Pain Rating Scale, and disability was assessed using the 24-item Roland Morris Disability Questionnaire. Nonparametric statistical tests were used: the Mann-Whitney test (i) and the Spearman correlation coefficient (ii and iii) with a defined significance level set at p<0.05. Results: Statistical analysis revealed (i) a difference in static balance between healthy females and those with LBP, (iii) a correlation between disability and static balance and (ii) no correlation between pain and static balance in LBP. Conclusion: Females with LBP have static balance deficiencies, which are correlated with their disability but not with pain which should be considered during physiotherapy.
Sedentary behavior in relation to selected indicators of movement and characteristics of children in the lower-secondary school
Authors: Blaha Ladislav , Heidler Josef , Prchal Pavel
Published: January 2023

Introduction: Sedentary behavior (SB) of adolescents is often associated with warning signs of emerging civilization diseases and reduced participation in physical activities (PA). Although some studies point out that SB does not necessarily mean avoiding PA, the opinion of the public prevails, that in addition to the time devoted to sitting during school lessons, the time spent watching monitors and screens is constantly increasing at the expense of PA. Our goal was to determine the indicators of the participation of lower-secondary school students in voluntary SB and to relate them to selected characteristics of their movement behavior or evaluate them from the point of view of compliance with medically recommended criteria. Material and Methods: The research was carried out using objective and subjective measurement techniques during a two-year period with pupils of the lower-secondary schools in the Usti Region (N = 512). A record sheet was used to record data on time indicators of participation in physical and SB and basic anthropometric characteristics. Physical activity was monitored by the Yamax SW-700 and SW-800 pedometer for 7 consecutive days, i.e., during regular school days and weekend days. Results: In daily values of time spent in SB, boys surpass girls. Both boys and girls spend more time voluntarily sitting in front of monitors and mobile phones on weekends than on school days (MBW = 162.0 ± 141.4 min. × MBSD = 129.0 ± 109.8 min.; MGW = 133.0 ± 118.1 min. × MGSD = 121.0 ± 110.1 min.). The time values of weekend days show statistical differences between boys and girls (p = 0.02). As pupils age, the time spent on SB increases. In connection with the volume of voluntary SB, neither the mutual relationship of the time of participation in PA (r = -0.006, p = 0.90) nor the volume of locomotor activities (r = -0.058, p = 0.199) was confirmed. Conclusion: The obtained data confirm the increased level of SB in relation to the recommended criteria. In proportion to the reported time of participation in PA or locomotion indicators, it is not sufficiently compensated. However, in many individuals this behavior is well beyond the tolerated recommended values.
Market Segmentation by Tourist Activities in the Post Covid-19 Era: Characteristic Analysis Based on Multinomial Logit Model
Authors:   The Korea International Trade Research Institute, Oh Hee-Kyun
Published: January 2023

Purpose – The purpose of this study is to understand and predict changes in the behavior of domestic tourists by implementing market segmentation according to tourist activities in the post Covid-19 era, and identifying the demographic characteristics and tourist behaviors of each segment. Design/Methodology/Approach – A two-step cluster analysis was conducted by applying eight items from the data of the 'Korea National Tourism Survey 2021', and then the five types of 'Gourmet tasting (GT)', 'Eco-healing (EH)', 'Recreational activities (RA)', 'Shopping experience (SE)', and 'History exploration (HE)' were derived. As a result of cross-tab and ANOVA, there were obvious differences in demographic characteristics and tourist behaviors among types. Specifically, the results of estimating the core determinants of each segmented market through the multinomial logit model are as follows. Findings – First, popularity of tourism destinations and website information are important for GT tourists. Second, ET tourists have high satisfaction with transportation convenience, human service, and tourism destination crowdedness, but spend less on tourist expenditures and the number of trips. Third, RA tourists place value on lodging trips with families, but the participation of those in their 50s and older tends to be low. Fourth, SE tourists have a lot of high-income earners residing in non-metropolitan areas, and are dissatisfied with the tourism destination crowdedness. Fifth, HE tourists consider the popularity of tourism destinations and family lodging trips as important. Research Implications – In this study, a single type regarding the natural tourism resource was not derived. However, there was a high correlation between GT, EH, and RA types, which implies that an appreciation of nature and scenery functions as a foundational element of tourism activities.
Case Study on Trend in Financial Information’s Usefulness: Focused on Comparison of Major Korean and American Companies
Authors:   The Korea International Trade Research Institute, Lee Jang-Soon , Mun Tae-Hyoung
Published: January 2023

Purpose – This study compares the financial statements of major Korean and US companies in order to solve the limitations of drawing conclusions only through inferences through statistical analysis without drawing conclusions from previous studies by Mun Tae-hyoung and Lee Jang-soon (2018). Design/Methodology/Approach – For companies listed on the Korean stock market, in order to confirm the correlation between net income, net asset value, and the market capitalization of financial statements, first, the growth rate of the Korean KOSPI and the US DJGI was compared, and then similar indicators of representative companies are compared. Findings – As a result of comparison, the profitability of similar companies in the US was higher than that of Korean companies, and it was possible to verify that this was caused by the fact that US companies had higher profitability than Korean companies in previous studies. However, in the comparison of total capital and tangible and intangible assets, some obtained the same results as the inferences of previous studies, but some showed results that did not match such inferences. Research Implications – Lev & Gu (2016), in their book “The End of Accounting and the Path Forward for Investors and Managers”, suggest that intangible assets, the most important assets in modern companies, are not shown in financial statements as one of the reasons for the end of accounting. This study confirms the claim that it is not. To this end, it is thought that the meaning of this study can be given by examining the differences in the accounting methods between Korea and the United States.
Pristup restauriranju japanskih predmeta od papira
Authors: Budicin Munišević Marta , Juranić Sandra , Ratkajec Danijela , Mudronja Domagoj
Published: January 2023

Svrha ovog članka predstavljanje je konzervatorsko-restauratorskih radova izvedenih na dvama japanskim ukiyo-e drvorezima iz razdoblja Edo (1603. – 1867.) te dvama oslikanim listovima lepeza iz razdoblja Meiji (1868. – 1912.), kao i predstavljanje rezultata mikroskopskih i mikrokemijskih ispitivanja te analiza pigmenata. Riječ je o drvorezima Ljubavnici Kitagawe Utamara i Tsuki (Mjesec) Suzukija Harunobua te o dvama oslikanim listovima lepeza na papirnatom nosiocu inv. br. MGR-EW-161 i MGR-EW-170, atribuiranim slikaru Kawakamiju Togaiju. Restaurirane umjetnine specifičnih karakteristika i složenih izvedbenih tehnika bit će predstavljene u tekstu uz osvrt na autore te pripadajuće umjetničke pravce.
Severe pancytopenia and coagulopathy discovered during anesthesia after pre-anesthetic evaluation – A report of two cases –
Authors: Heo Hyun Joo , Kim Yu Yil , Lee Ji Hye , Cho Hyung Gu , Kim Geonbo
Published: January 2023

Background: Pre-anesthetic evaluation is an important aspect of perioperative patient management. However, anesthesiologists often encounter challenges during anesthesia due to conditions that are not detected during pre-anesthetic evaluations.Case: Case 1 involved a 74-year-old female patient scheduled for cranioplasty and meningioma excision. Severe pancytopenia was detected during anesthesia. Cranioplasty was only performed, the surgery was terminated, and drug-induced pancytopenia was diagnosed and treated. The pre-anesthetic test results were normal, except for anemia. Case 2 involved a 71-year-old male patient who discovered large ecchymosis during general anesthesia preparation in the operating room for choledochal cyst surgery. Surgery was canceled to evaluate the bleeding tendency, and acquired coagulation factor VIII deficiency was diagnosed and treated. The pre-anesthetic tests were normal, except for prolongation of the activated partial thromboplastin time.Conclusions: Abrupt hematologic and hemostatic changes may occur during anesthesia even though pre-anesthetic evaluation findings are normal.
Pitfalls of Sexual and Reproductive Healthcare of Women in India
Authors:   Ala Hospital, 4-15-19/10, 5th lane Bharathpet, Amaravathi Road, Guntur 522002, Andhra Pradesh, India, Ala Srivarsha
Published: January 2023

The practice of obstetrics and gynaecology (OB/GYN) has historically been dominated by men and was brought into existence as a replacement for midwifery, a woman-centered model of care, by women, which was deemed unscientific. Instead of improving on this model, they built their own as they considered women weak, naïve, and irrational to understand the ‘complex science’.1 They called midwifery unscientific while conducting unethical experiments on enslaved women without anaesthesia and practicing eugenics.2 The practice has deep patriarchal origins. They viewed woman as a machine to be repaired. Over time, women started to re-enter the field only to work in the same technocratic and misogynistic model.3-5
VIONE: An Innovative Electronic Health Record Medication Optimization Methodology
Authors:   Michael E. Debakey VA Medical Center and Baylor College of Medicine, Houston, TX 77030, USA, Battar Saraswathy
Published: January 2023

VIONE methodology is an award winning, USA based patient safety project that transformed our national landscape with High Reliability Organization (HRO) concepts. VIONE’s clinical, academic, research, leadership, modern technology tools achieve sustainable reductions and optimization of Potentially Inappropriate Medications (PIM) and adverse outcomes such as hospitalizations, falls, death, clinical waste, etc.
The In Vivo Effect of a Prostaglandin on the Conjunctival Goblet Cells
Authors:   Inserm, Centre d'Investigation Clinique 1418 (CIC1418) Epidémiologie Clinique, Paris, France, Randon Matthieu , Abbas Rachid ,   Département d’Epidémiologie et Recherche Clinique, CIC-EC 1425, Groupe Hospitalier Paris Nord Val de Seine, AP-HP, Hôpital Bichat, Paris France
Published: January 2023

Introduction To evaluate the density of conjunctival goblet cells (GCs) from in vivo confocal microscopy (IVCM) and impression cytology (IC) and mucin expression in ten glaucomatous patients treated with preservative-free latanoprost (Monoprost®) Methods Ten glaucomatous patients (10 eyes) were enrolled. Conjunctiva was examined clinically and morphologically by IVCM and IC. Both IVCM and IC were performed at baseline, and after the 1st and 4th month of Monoprost® therapy. GC density (GCD) in cells⁄mm2 was the main outcome measurement. Results At baseline, mean GCD was 147+/-78 cells/mm2 for IVCM and 114+/-62 cells/mm2 for IC GCD. At month one, mean GCD was 149+/-69 and 120+/-56 measured with IVCM and IC, respectively (p=0.31 for IVCM and p=0.40 for IC). At month four, GCD increased to 162+/-81 and 134+/-61 measured with IVCM and IC, respectively (p=0.02 for IVCM and p=0.02 for IC). Conclusion Treatment with preservative-free (PF) latanoprost was associated with an increase in conjunctival GCD in glaucomatous eyes. Further studies are mandatory to verify this finding because its validation may have important consequences in the medical management of glaucoma.
Angulation and Translation Capabilities of a Minimized Orthopedic Hexapod Ortho-SUV Frame: An Experimental Study
Authors:   Department Injuries and their Consequences Treatment, Russian Vreden Scientific Research Center of Traumatology and Orthopedics, Saint Petersburg, Russia, Solomin Leonid N. , Gavrilov Dmitriy V. ,   Department of General Surgery, St. Petersburg State University, Saint Petersburg, Russia, Baushev Maxim A. ,   Department of Orthopedic, #3, Saint-Petersburg State University Hospital institute, Saint Petersburg, Russia, Vilensky Viktor A. ,   Department of Orthopedic, #3, Saint-Petersburg State University Hospital institute, Saint Petersburg, Russia
Published: January 2023

Introduction Orthopedic hexapods demonstrated effectiveness and accuracy in deformity correction of limbs in both adults and children. Previous studies demonstrated the best reduction capabilities of the orthopedic hexapod Ortho-SUV Frame (OSF) versus other models of this group of external fixation devices. Minimized version of this hexapod (minimized Ortho-SUV Frame (OSFm)) was created to reduce common for this group disadvantages: large bulkiness and weight and limitation on working with “short segments”. However, the reduction capabilities of the OSFm have not yet been studied. Aim To evaluate translation and angulation capabilities of OSFm with standard struts size and to compare results to OSF with short struts size. Materials and Methods The experimental study was performed using plastic models of the tibia with osteotomy at the middle third of the shaft. Proximal and distal bone fragments were fixed with one-ring modules. The reduction capabilities of OSFm in the first series and OSF in the second series of the experiment were studied. According to the method of fixing the struts to the rings, experiments were divided into three groups: directly to the ring, using straight plates, and using Z-shaped plates. Translation and angulation capabilities were evaluated by the maximum displacement of the distal bone fragment relative to the proximal one until any of the struts reached its minimum or maximum possible length. Results In translation OSFm outperforms OSF by 2.8-9.5% fixed the struts directly to the rings, by 4.8-9.7% using straight plates, and by 27.3-29.3% using Z-plates. In angulation OSFm with struts fixed directly to the rings outperforms OSF by 33.9-55.4%, by 36.9-47.3% using straight plates, and by 29.6-36% using Z-plates. Conclusion OSFm exceeds OSF in translation and angulation capabilities in all series of experiment. Distraction and rotation capabilities and the bone fragments fixation rigidity should be evaluated as further research to prove application of OSFm as a possible better candidate for deformity correction of limbs in children and foot deformity correction.
Assessing Organizational Role Stress of Employees in Public and Private Sectors
Authors:   Department of Applied Psychology, Dr. Bhim Rao Ambedkar College, University of Delhi, Main Wazirabad Road, Yamuna Vihar, New Delhi, Delhi 110094, India, Katya Anirudh , Behera Deepika ,   Department of Applied Psychology, Dr. Bhim Rao Ambedkar College, University of Delhi, Main Wazirabad Road, Yamuna Vihar, New Delhi, Delhi 110094, India, Jassal Naman ,   Department of Applied Psychology, Dr. Bhim Rao Ambedkar College, University of Delhi, Main Wazirabad Road, Yamuna Vihar, New Delhi, Delhi 110094, India, Chakraborty Prerona ,   Department of Applied Psychology, Dr. Bhim Rao Ambedkar College, University of Delhi, Main Wazirabad Road, Yamuna Vihar, New Delhi, Delhi 110094, India
Published: January 2023

Introduction Work plays a vital role in most people’s lives, and thus the impact of stress in the workplace is a significant issue. Since organisational role stress (ORS) has detrimental effects on both the organisation and employee, managing role pressures has greater importance. Objective This study analysed the comparative organisational role stress between India’s public sector and private sector workers. It also fulfilled its objective of ranking stressors to contribute to total ORS. Materials and Methods This descriptive-comparative analytical study selected 92 employees (41 private sectors and 51 public sectors) from different organisations in India. The study administered the organisational role stress scale developed by Udai Pareek to employees of both groups. For analysis independent sample t-test were used in the study. Results The study reveals that public sector employees score higher than private-sector employees in almost all scale dimensions other than role stagnation. Data analysis also inferred that inter-role stressor was the maximum contributor to overall organisational role stress, and the two groups differed most in the dimension of role overload. Conclusion These have important implications in policy-making to ensure enhanced well-being and productivity.
Parenteral Diarrhea and Pediatric Urinary Tract Infections: A Systematic Review
Authors:   Department of Emergency Medicine, University of South Alabama, 307 N University Blvd, Mobile, AL 36688, USA and Department of Pediatrics, University of South Alabama College of Medicine, Mobile, AL 36688, USA, Mellick Larry B. , Kalra Sarathi ,   Department of Emergency Medicine, University of South Alabama, 307 N University Blvd, Mobile, AL 36688, USA, Panacek Edward ,   Department of Emergency Medicine, University of South Alabama, 307 N University Blvd, Mobile, AL 36688, USA
Published: January 2023

Background Parenteral diarrhea is non-infectious diarrhea associated with extraintestinal infections such as urinary tract infection (UTI), but evidence supporting this association is limited. We performed a systematic literature review to determine the reported frequency of UTI in pediatric patients who had diarrhea. Methods We searched electronic databases (PubMed, Scopus, Google Scholar, and CINAHL) to identify articles about diarrhea and UTI. We included English-language articles about studies of children (age, ≤5-years) who presented with diarrhea in which the frequency of culture-positive UTI was reported. We excluded studies that examined particular diets or specific pediatric patient populations presenting with diarrhea. Patient and study characteristics were extracted manually. Results The database search identified 32 articles. After excluding 25 articles and adding 3 articles identified during manual review of article references, there were 10 articles in the final review including 8 cohort and 2 case control studies. In all 10 studies combined, UTIs were observed in 172 of 1086 children who presented with diarrhea (15.8%), but the frequency of UTI varied between studies (range, 5 to 32%). Escherichia coli was the most common bacterial isolate from urine in all 9 studies that reported microbiology results. The stool and urine culture results (E. coli) were similar in 4 of the 6 studies that reported stool culture results. Conclusion In infants and children up to age 5-years, diarrhea may be associated with an UTI. In patients who have diarrhea of unknown cause, it may be prudent to consider an evaluation for a coexisting UTI.
The Effects of Social Media on Adolescent Mental Health
Authors:   Private Family Practice, Huntington Beach, CA 92648, USA, Walton Brandie , Rizzolo Denise ,   Physician Assistant Education Association, Washington, DC, USA
Published: January 2023

There is increasing concern regarding the impact of social media on adolescent mental health, yet medical providers have limited guidance on how to effectively screen their adolescent patients. Research has suggested a negative association between excessive time on digital media, more than 2-hours per day, and emotional health. Perhaps more importantly, adolescent vulnerabilities, such as existing anxiety or depression, when exposed to certain social media experiences can cause further decline of mental health. The goal of this review is to help providers effectively evaluate social media use in adolescent patients and provide guidance on its use to help preserve or improve their emotional well-being.
Management of Refractory Pancreatic Fistula: A Review of Literature
Authors:   University of Iowa Hospitals and Clinics, Iowa City, IA, USA, Aziz Hassan , Ahmad Shahzaib ,   King Edward Medical University, Lahore, Pakistan, Jehan Faisal S. ,   Westchester Medical Center, New York, NY, USA, Saif Wasif M. ,   Orlando Health, Orlando, FL, USA, Ahmad Syed ,   University of Cincinnati Medical Center, Cincinnati, OH, USA
Published: January 2023

Background Chronic non-healing or refractory pancreatic fistulae are rare complications of pancreatic surgery (pancreaticoduodenectomy, distal pancreatectomy) or pancreatitis. Materials and Methods We conducted a thorough literature search of electronic databases such as PubMed, Google Scholar, BioMed Central, and Cochrane Library using the keywords and medical subject headings (MeSH) terms “chronic pancreatic fistula”, “post-operative fistula”, “fistula management” and “refractory pancreatic fistula”. The purpose of this review is to evaluate the management options for refractory pancreatic fistula (PF). Results Literature reveals that refractory pancreatic fistulae have been managed by techniques like endoscopic ultrasound (EUS)-guided techniques like transmural puncture by clamping, puncture of the fistula tract, transmural placement of pigtail stent, and EUSguided pancreaticogastrostomy. Other techniques are postoperative endoscopic pancreatic stent placement in Grade C pancreatic fistula, intestinal decompression catheter insertion into the jejunum, embedding fistulojejunostomy, and fistulojejunostomy. Conclusion In conclusion, embedding fistulojejunostomy, EUS-guided transmural puncture by clamping, and EUS-guided transmural placement of pigtail stent are effective techniques for the management of refractory pancreatic fistulae. Yet further studies in a larger population are recommended.
Mandated Treatment for Troubled Adolescents and Substance Use Disorder: Identifying and Breaking Through Defensiveness and Denial
Authors:   The SASSI Institute, 201 Camelot Lane, Springville, IN 47462, USA, Tiburcio Nelson J. , Baker Scarlett L. ,   The SASSI Institute, 201 Camelot Lane, Springville, IN 47462, USA, Kimmell Kristin S. ,   The SASSI Institute, 201 Camelot Lane, Springville, IN 47462, USA
Published: January 2023

Objective This article presents an investigation of the defensiveness demonstrated by teens who are mandated to participate in treatment as compared to their non-mandated peers. Methods The data for this study was collected as part of The Substance Abuse Subtle Screening Inventory (SASSI) Institute’s third iteration of the Adolescent SASSI-A3. A total of 164 teenagers in treatment served as the dataset for the present study. All participant cases were provided by clinicians working in service settings throughout all U.S. Census Regions and serving in a variety of venues including substance use treatment, criminal justice programs, community corrections, private clinical practices, behavioral health centers, and social service organizations. Results We present two brief de-identified treatment case studies, aptly demonstrating defensiveness and denial from a clinical standpoint. Additionally, we review cases demonstrating high-levels of defensiveness and denial in mandated teen clients, and ethical ways to break through that barrier to treatment engagement. Conclusion Working with teens can be extremely difficult given their rapid mood changes, intensely felt experiences and shifting states of compliance, openness and defiance. When teens are mandated for treatment, they may often feel their choices have been taken away and the counselor may be viewed as more of a power authority rather than a concerned and helping figure. Contingencies placed on the teen as part of the mandated treatment experience are generally the primary focus, rather than addressing their underlying substance use disorder (SUD). As a result, the teen, as well as the counselor, require greater focus than just making sure those requirements are met
The Importance of Spirituality, Spiritual Intelligence, Hope and Social Support in Dealing with Cancer Patients: Some Comments
Authors:   Albizu University, San Juan Campus, San Juan 00901, Puerto Rico, Texidor Vega Estefanía M. , Gòmez José R. Rodríguez ,   Albizu University, San Juan Campus, San Juan 00901, Puerto Rico and University of Puerto Rico, Rio Piedras Campus, San Juan 00901, Puerto Rico
Published: January 2023

Spirituality has been recognized as an important factor similar to hope and social support for improved quality of life (QoL) and survival rate in cancer patients. Literature has also demonstrated a higher relationship of survival rate, with higher spiritual intelligence and hope levels in cancerous patients than non-patients. Spiritual intelligence needs to be explored more deeply, to better understand how this construct affects cancer survival rates.
Neutralizing Antibodies to Botulinum Toxin Type A as a Secondary Treatment Failure: A Case Report from Mumbai, India
Authors:   Neo Skin Aesthetics, Centre for Skin, Hair, Laser & Cosmetic Dermatology, Powai, Mumbai, India, Khatri Narmada Matang
Published: January 2023

Botulinum toxin use in aesthetic medicine for treatment of facial rhytids is common and has become more and more popular in India in recent times. Botulinum toxin (BoNT) is produced by clostridium botulinum which is an anaerobic, spore forming, rod shaped bacteria. The botulinum toxin complex contains a 150 KD neurotoxin together with a complex additional protein. The neurotoxin is cleaved by the clostridial proteases into heavy and light chain. The heavy chain (100 KD) after cleavage binds to gangliosides and a protein receptor on the presynaptic nerve ending, whereas the light chain (50 KD) blocks the release of acetylcholine, leading to a dose dependent weakening of the target muscle.
Primary Malignant Melanoma of the Bladder: A Rare Case Report
Authors:   Department of Urology, Civil Hospital, Ahmedabad, Gujarat 380016, India, Shah Shrenik , Singh Abhishek K. ,   Department of Urology, Civil Hospital, Ahmedabad, Gujarat 380016, India, Hazarika Surajit ,   Department of Urology, Civil Hospital, Ahmedabad, Gujarat 380016, India, Narnoli Saket ,   Department of Urology, Civil Hospital, Ahmedabad, Gujarat 380016, India, Patel Kamalesh ,   Department of Urology, Civil Hospital, Ahmedabad, Gujarat 380016, India, Lathiya Prince ,   Department of Urology, Civil Hospital, Ahmedabad, Gujarat 380016, India, Hussain Aznoor ,   Department of Urology, Civil Hospital, Ahmedabad, Gujarat 380016, India
Published: January 2023

Background Primary malignant melanoma (PMM) of the bladder is a rare ailment and has a poor prognosis; only 40 cases of PMM reported in literature till date. In this case report we described a case of PMM of the bladder, treatment, and a review of the literature as the recommended treatment choices are not widely known. Case Presentation A 55-year-old Indian female came with a history of hematuria for two-months. Ultrasonography revealed a 18×16 mm size mass located in the antero-inferior wall of urinary bladder with involvement of bladder neck. She underwent transurethral resection of the bladder tumor outside and histologically reported to be malignant melanoma and confirmed on immunohistochemistry (IHC). No further primary sites of melanoma were found. Computed tomography (CT) showed an irregular enhancing mucosal thickening along internal urethral meatus and adjacent urinary bladder. The patient eventually underwent radical cystectomy with anterior pelvic exenteration with ileal conduit. Conclusion Primary bladder melanoma is very aggressive in nature. In most of the cases bladder malignant melanoma is secondary, so extensive search for any primary melanotic lesion is essential. It is often difficult to discriminate whether a bladder melanoma is primary or metastatic. Certain diagnostic features can be obtained through histopathological investigation, immuno-histochemistry, clinical history, and endoscopic evaluation. Despite a wide range of treatments, people with PMM still have a worst prognosis.
Single Dose Diclofenac and Tamsulosin Effectiveness in Patients Undergoing Double J-Stent Removal Under Local Anaesthesia
Authors:   Department of Urology, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan 342003, India, Godse Sugam , Kumar Anuj ,   Department of Urology, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan 342003, India, Singh Harmandeep ,   Department of Urology, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan 342003, India, Chhabra Mahaveer K. ,   Department of Urology, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan 342003, India
Published: January 2023

Purpose The purpose of this study was to see effectiveness of diclofenac sodium and tamsulosin combination on patients’ pain perception after ureteral stent removal. Materials and Methods Study was carried out from October 2019 to March 2021. All patients with unilateral stent placement after renal or ureteric stone endoscopic surgery were randomized in 3 groups. Group-A include 20 patients who were given placebo drug 2-hours prior to double J (DJ) removal. Group-B included 20 patients who were given oral diclofenac 2-hours prior to DJ removal. Group-C included 20 patients who were given oral diclofenac and tamsulosin 2-hours prior to DJ removal. All patients received 10 cc 2% viscous lidocaine intraurethral before cystoscopy. No sedatives or analgesics were administered during the procedure. All patients provided consent before the procedure and they were asked to record their pain experience on a visual analog pain scale as soon as the procedure was finished. The pulse rate and systolic and diastolic blood pressure (BP) were also recorded 5-minutes before the procedure and during the procedure Results General characteristic of age, gender and indication for DJ-stenting were comparable in all groups. The mean pain score on the visual analogue scale (VAS) in Group-C was significantly lower than that in Group-A and B (p<0.001) A statistically significant difference was found between the two groups in terms of anxiety scores after cystoscopy, intraoperative systolic BP and pulse rate. Patients who were given oral diclofenac and tamsulosin two hours prior to DJ removal experienced less pain and anxiety. Conclusion Oral diclofenac plus tamsulosin combination prior to DJ removal improves patient’s comfort.
Spontaneous Bladder Rupture: A Rare Case of an Acute Abdomen
Authors:   Urology Department, Tauranga Public Hospital, Tauranga, Bay of Plenty, New Zealand, Menon Abilash , Vermeulen Lodewikus ,   Urology Department, Tauranga Public Hospital, Tauranga, Bay of Plenty, New Zealand and Honorary Senior Lecturer, University of Auckland, Auckland, New Zealand, Ordones Flávio V. ,   Urology Department, Tauranga Public Hospital, Tauranga, Bay of Plenty, New Zealand, Division of Urology, São Paulo State University, UNESP, Botucatu, Sao Paulo, Brazil and Honorary Senior Lecturer, University of Auckland, Auckland, New Zealand
Published: January 2023

Spontaneous idiopathic rupture of the bladder (SIBR) is still a rare occurrence. Although a few cases of bladder wall rupture associated with bladder wall disease have been documented in the literature, there are limited cases reported worldwide. We describe a patient who presented to the Emergency Department of Tauranga Hospital in New Zealand with diffuse abdominal pain due to a bladder rupture confirmed by a CT-scan. Despite no obvious explanation a relationship with an alcohol binge was posited. He underwent surgery and recovered completely
Intranasal Delivery of Liposomes-Based Lipopeptide Hookworm Vaccine Diminished its Ability to Protect Mice Against Hookworm Challenge
Authors:   School of Chemistry and Molecular Biosciences, The University of Queensland, St. Lucia, QLD 4072, Australia, Bartlett Stacey , Eichenberger Ramon M. ,   James Cook University, Centre for Molecular Therapeutics, Australian Institute of Tropical Health and Medicine, Cairns, Australia, Shalash Ahmed ,   School of Chemistry and Molecular Biosciences, The University of Queensland, St. Lucia, QLD 4072, Australia, Loukas Alex ,   James Cook University, Centre for Molecular Therapeutics, Australian Institute of Tropical Health and Medicine, Cairns, Australia, Skwarczynski Mariusz ,   School of Chemistry and Molecular Biosciences, The University of Queensland, St. Lucia, QLD 4072, Australia, Toth Istvan ,   School of Chemistry and Molecular Biosciences, The University of Queensland, St. Lucia, QLD 4072, Australia, Institute of Molecular Bioscience, The University of Queensland, St. Lucia, QLD 4072, Australia and School of Pharmacy, The University of Queensland, Woolloongabba, QLD 4072, Australia, Hussein Waleed M. ,   School of Chemistry and Molecular Biosciences, The University of Queensland, St. Lucia, QLD 4072, Australia
Published: January 2023

Background Hookworm infection is particularly problematic for middle- to low-income countries. While treatment methods are currently available, vaccination may be the ideal intervention, as it could offer cost-effective long-term protection against infection and reinfection. Methods Previously established lipopeptide-based vaccine formulations, proven to be effective in an oral application, were adapted for an intranasal administration using a predicted B-cell peptide epitope derived from the hookworm Necator americanus aspartic protease-1 (Na-APR-1) protein and a universal T-helper epitope attached to two lipid moieties, Pam2Cys or lipid core peptide (LCP). The lipopeptides were encapsulated into liposomes or self-assembled into nanoparticles. The intranasal vaccine candidates were evaluated in a rodent hookworm challenge model. Results The vaccine candidates were formulated to optimal sizes and charges for uptake by immune cells. However, no significant serum antibody response was elicited, and no protection was demonstrated following hookworm challenge. Conclusion In contrast to the previously reported effective oral immunization, intranasal delivery of lipopeptide-based vaccine failed to trigger significant antibody responses in mice against hookworm and had no effect on parasite numbers following challenge infection.
Early Intervention and Resources for Expectant Mothers with Substance Use Problems: Service Shortages in the Present Age
Authors:   The SASSI Institute, 201 Camelot Lane, Springville, IN 47462, USA, Tiburcio Nelson J. , Baker Scarlett L. ,   The SASSI Institute, 201 Camelot Lane, Springville, IN 47462, USA
Published: January 2023

Substance use during pregnancy exposes prenatally unborn children to alcohol and other drugs. Such exposure may cause serious damage to the unborn child, including but not limited to fetal alcohol syndrome (FAS), neonatal abstinence syndrome (NAS), and is devastating in terms of human suffering, not to mention monumental healthcare costs. Expectant mothers should be shown compassion about their addiction and provided early access to resources to improve these outcomes. Punishing them will most likely push them away from the healthcare system and increases stigma.
Diseño y programación de un videojuego educativo. Un caso de estudio en Educación Primaria.
Authors: González-Alba Blas , Cortés-González Pablo
Published: January 2023

This article show an experience of creating a "serious game" video game in a multilevel classroom of a rural school located in the province of Malaga (Spain) during the 2018/19 school year. In order to know the limitations, weaknesses and potentialities inherent in a project of this complexity and to analyze the perceptions, learning and educational experiences of the students. We have used a qualitative methodology. From a methodological perspective, throughout the entire school year, in-depth interviews and discussion groups have been carried out in which all the students and teachers who have been involved in the project have participated. The analysis of the information provided mainly shows limitations related to teacher training and that the design and creation of a video game contributes to the development of technical, curricular, attitudinal and transversal skills, abilities and knowledge in students. In conclusion, the creation of video games in the classroom brings personal, curricular and professional benefits to the students, however, it is necessary, on the one hand, to expand the offer and improve the training quality of the teaching staff -initial and continuous-, and, on the other On the other hand, promote the development of educational projects that facilitate the involvement of agents outside the center.
Los modelos digitales tridimensionales como recursos educativos abiertos en la educación universitaria
Authors: Pardo-Gómez María Elena , Izquierdo-Pardo José Manuel , Izquierdo-Lao José Manuel
Published: January 2023

The progress of 3D digital technology has opened up a wide range of possibilities for the development of 3D digital models (MD3D), for use, particularly in university education, as excellent teaching aids to "recreate" reality accurately and therefore improve the quality in the delivery of professional content, mainly those related to abstract and/or complex objects, processes or phenomena. The MD3D are currently established as important open educational resources (OER), due to the possibility offered by the Internet so that they can be consulted, used and adapted freely. For this reason, an extensive documentary analysis of the scientific literature on the subject was carried out, which allowed us to verify dissimilar experiences in the international sphere on the use of MD3D in university education, however, they were isolated and unsystematic initiatives, where fundamentally prevailed the individual motivation of university professors of different subjects, in the absence of a didactic-methodological logic in the use of these models as OER, consistent with the possibilities they can offer. To address this situation, research was carried out, with a qualitative approach, which allowed the development of a didactic model of the dynamics of the teaching-learning process of professional content, mediated by 3D digital models, which serves as theoretical support for a system of didactic procedures in whose application satisfactory results were obtained, being precisely the objective of this article the presentation of both contributions.
Diferencias entre pádel profesional masculino y femenino en función del rendimiento según el set, la ronda y el tipo de torneo
Authors: Escudero Tena Adrián , Mancha Triguero David , Pozo Ayerbe Carlos , Sergio J. Ibáñez
Published: January 2023

El objetivo de esta investigación fue caracterizar las diferencias entre el sexo en jugadores profesionales, que compitieron en el World Padel Tour durante cuatro temporadas (2016-2019). Se recopilaron los indicadores de rendimiento de 1070 sets (532 partidos), de los videos de acceso abierto del canal de YouTube de WPT. Se analizaron las diferencias entre hombres y mujeres en los indicadores de rendimiento según el número de set, la ronda del cuadro y el tipo de torneo a través de un análisis descriptivo e inferencial. Los hombres realizan más remates y remates ganadores que las mujeres independientemente del contexto de juego. Por el contrario, las mujeres realizan más puntos de quiebre, puntos de quiebre ganadores, errores y golpes ganadores que los hombres. Existen más diferencias significativas entre mujeres y hombres en los indicadores de rendimiento en el torneo open, seguido de los torneos master y donde menos diferencias hay es en los torneos master final. Además, los remates y los remates ganadores son los indicadores de rendimiento donde la magnitud del tamaño del efecto es más grande (d>.80). Estos hallazgos resultan de gran interés, pues ayuda a los entrenadores a conocer que indicadores de rendimiento condicionan el estilo de juego según el sexo de los deportistas.
Incidencia de aberraciones cromosómicas en obreros expuestos ocupacionalmente al plomo y al cobre estudio piloto
Authors: Barreto R. Guillermo , Jiménez M. José Humberto
Published: January 2023

Con el fin de determinar si el plomo y el cobre producen aberraciones cromosómicas, se analizaron tres personas expuestas ocupacionalmente a ellos con sus respectivos controles. En la determinación del contenido de estos metales en sangre, se utilizó la Espectrofotometría de Absorción Atómica, según el método de Prince, mientras que para la obtención de cromosomas metafásicos se hicieron cultivos de linfocitos de sangre periférica utilzando el método aparentemente modificado. En las personas expuestas se encontró una relación aparentemente positiva entre el contenido de plomo en sangre, el tiempo de exposición y el incremento de las aberraciones cromosómicas estructurales, en su mayoría gaps de cromátide. No se encontró relación entre el contenido de cobre en sangre y aberraciones cromosómicas estructurales; tampoco se detectó relación entre el contenido de plomo y cobre respecto a las aberraciones cromosómicas numéricas.Del análisis de fragilidad cromosómica se concluye que esta se da al azar y que el número de aberraciones cromosómicas estructurales se presenta de acuerdo a la cantidad de DNA del cromosoma.