bluuebunny/crossref_metadata_2025 huggingface dataset:
No Effect of Return to Sport Test Batteries with and without Psychological PROs on the Risk of a Second ACL Injury: A Critical Assessment of Four Different Test Batteries
Authors: Piussi Ramana , Simonson Rebecca , Högberg Johan , Thomeé Roland , Samuelsson Kristian , Hamrin Senorski Eric
Published: August 2023

Background

Patients report psychological barriers as important when returning to sport, however, psychological outcome measures are seldom included in return to sport (RTS) assessment. There is a need for clinical trials to integrate psychological patient-reported outcomes (PROs) in return to sport batteries assessing patients treated with ACL reconstruction.

Objective

The aim of this study was to determine the association between passing clinical tests of muscle function and psychological PROs and sustaining a second ACL injury in patients who RTS after primary ACL reconstruction.

Design

Retrospective Cohort study

Methods

Patients’ sex, age, height and weight, and the results of strength and hop tests, as well as answers to PRO’s (including Tegner activity scale, the ACL Return to Sport after Injury scale (ACL-RSI) as well as the Quality of Life (QoL) subscale of the Knee injury and Osteoarthritis Outcome Score [KOOS]), were extracted from a rehabilitation-specific registry. Four different test batteries comprising muscle function tests and PROs were created to assess whether patients were ready to RTS. Passing each of the test batteries (yes/no) was used as an independent variable. A multivariable Cox proportional hazard model analysis was performed, with sustaining a second ACL injury (either ipsi- or contralateral; yes/no) within two years of RTS as the dependent variable.

Results

A total of 419 patients (male, n=214; 51%) were included, of which 51 (12.2%) suffered a second ACL injury within the first two years after RTS. There were no differences in passing rates in the different RTS test batteries comprising muscle function tests and PROs for patients who suffered a second ACL injury compared to patients who did not.

Conclusion

No association between passing the RTS clinical tests batteries comprising muscle function and psychological PROs used, and the risk of a second ACL injury could be found.

Level of Evidence

3
Maximal and Explosive Muscle Strength During Hip Adduction Squeeze and Hip Abduction Press Test Using A Handheld Dynamometer: An Intra- and Inter-tester Reliability Study
Authors: Ishøi Lasse , Thorborg Kristian , Krohn Laura , Louis Andersen Lars , Møller Nielsen Asger , Bek Clausen MIkkel
Published: August 2023

Background

Hip adduction and abduction muscle function plays an important role for risk of groin pain in athletes. Maximal isometric strength can be obtained clinically using a handheld dynamometer. However, in very strong athletes this is challenging, as external fixation of the dynamometer is needed for reliable measures. An alternative to unilateral testing, is the long-lever hip adduction squeeze test and a novel bilateral hip abduction press test. While promising intra-tester reliability has been found for maximal strength during the long-lever hip adduction squeeze test, inter-tester reliability may be more challenging during both maximal and explosive strength measurements.

Hypothesis/purpose

The aim of the present study was to assess intra- and inter-tester reliability of maximal, and explosive strength during the long lever hip adduction squeeze test and the long lever hip abduction press test in healthy adults using a hand-held dynamometer.

Study design

Intra- and interrater reliability study.

Methods

Forty-nine healthy subjects were included for intra- (n=20) and inter-tester reliability (n=29). Subjects performed the hip adduction long lever squeeze test and the bilateral hip abduction press test in a randomized order. Maximal isometric strength and early (0-100 ms) and late (0-200 ms) phase rate of force development (explosive muscle strength) was obtained using a hand-held dynamometer. Relative reliability for all tests was assessed using ICC2,1 two-way mixed model with absolute agreement, thereby taking bias between testers into account.

Results

Maximal isometric strength showed good intra- and inter-tester reliability for adduction (ICC: 0.93-0.97) and abduction (ICC: 0.88-0.92). For 0-200 ms rate of force development, both the squeeze and press test showed good intra-tester reliability (ICC: 0.85-0.87), whereas inter-tester reliability was good for hip adduction squeeze (ICC: 0.75) and moderate for hip abduction press (ICC: 0.71). For 0-100 ms rate of force development, the hip abduction press test showed good intra-tester reliability (ICC: 0.78). Remaining tests for intra- and inter-tester reliability showed moderate reliability (ICC: 0.50-0.71).

Conclusion

Assessment of maximal isometric strength in hip adduction squeeze and abduction press test showed good intra- and inter-tester reliability, whereas only 0-200 ms rate of force development demonstrated good intra-tester reliability of both tests. Therefore, rate of force development should preferably be conducted by the same tester, while the long lever squeeze and press test can reliably be used within- and between testers to measure maximal isometric strength.

Level of Evidence

3
Advancements for the Future: A National Survey of Fastpitch Softball Coaches’ Perspectives on Injury Prevention Programming
Authors: Nurrenbern Jaime , Klueppel Courtney , Tilly Jeff , Matsel Kyle
Published: August 2023

Background

Approximately 50 percent of softball injuries are the result of overuse or chronic conditions. However, research exploring preventative measures for softball players is limited and usage of injury prevention strategies among softball coaches is unknown.

Hypothesis/Purpose

This survey aimed to investigate if softball coaches are implementing injury prevention programs to reduce injury and improve the performance of their players. The secondary purpose was to identify barriers to the implementation of injury prevention programs. Finally, this survey explored the coaches’ knowledge of injury risk factors and their views on design and usage of preventative programs.

Study Design

Descriptive cross-sectional survey

Methods

A 35-item survey was sent to approximately 14,000 high school and collegiate fastpitch softball coaches throughout the United States. Data were collected over a three-month period with an overall response rate of 1.2%.

Results

Among responding coaches, 45.9% (n=79/172) reported implementing injury prevention programs. Coaches who implement injury prevention strategies most frequently utilize team-based programs (68.8%, n=52/93) compared to group-based (19.0%, n=15/93) or individualized programs (15.2%, n=12/93). Coaches who do not use preventative programming reported that being unsure of what program to perform (53.8%, n=50/93) and not having enough staff (20.4%, n=19/93) were the greatest barriers to implementation. Although over 50% of coaches recognized arm fatigue/overuse (27.9%, n=48/172) and decreased core strength (22.7%, n=39/172) were important risk factors, 36% (n=94/172) “disagree” that softball pitchers should adhere to pitch counts and 90% (n=83/92) believe that preventative programming for pitchers and position players should be similar.

Conclusion

Less than 50 percent of softball coaches implement exercise programs to prevent injury. Limited familiarity with effective program design, inadequate staffing, and inconsistent risk factor awareness are the major contributors to lacking implementation. Collaboration between rehabilitation professionals and softball coaches regarding preventative programming should be considered.

Level of Evidence

Level 3
The Validity and Reliability of a Smartphone Application for Break-Point Angle Measurement during Nordic Hamstring Exercise
Authors: Soga Toshiaki , Yamaguchi Shota , Inami Takayuki , Saito Hiromi , Hakariya Nadaka , Nakaichi Naoto , Shinohara Sho , Akiyama Kei , Hirose Norikazu
Published: August 2023

Background

A recently developed smartphone application (Nordic Angle) allows the automatic calculation of the break-point angle (BPA) during Nordic hamstring exercise (NHE) without transferring the collected data to a computer. The BPA is the point at which the hamstrings are unable to withstand force. However, the validity of the BPA values obtained by this method has not been examined.

Hypothesis/Purpose

This study aimed to evaluate the validity and reliability of the Nordic Angle by comparing the BPA values of the Nordic Angle with those of two-dimensional motion analysis software that can calculate the angles and angular velocities of various joints.

Study Design

Cohort assessing Validity and Reliability

Methods

The validity of the Nordic Angle BPA data was verified by Spearman’s correlation test for consistency with the movement analysis data, and the magnitude of the correlation was indicated by rs. The agreement between these measurements was examined using the Bland-Altman analysis. The reliability of the Nordic Angle and motion analysis was examined using the intraclass correlation coefficient (ICC) (1,k) based on data from repeated trials within a day.

Results

Although the spearman correlation between the Nordic angle and the angle determined using motion analysis did not reach statistical significance (p = 0.052), a very large correlation was present (rs = 0.75). The difference between the mean values of the Nordic Angle and motion analysis was 0.4 ± 2.1°, and the limits of agreement ranged from -3.9° to 4.6°. In two BPA measurements, the Nordic Angle showed perfect reliability (ICC = 1.00, p < 0.001), while motion analysis showed nearly perfect reliability (ICC = 0.97, p < 0.001).

Conclusion

The Nordic Angle, which has both validity and reliability, may be appropriate for field measurement because it allows immediate feedback of BPA and the measurement of many athletes.

Level of evidence

3b
Musculoskeletal Ultrasound: An Essential Tool in Diagnosing Patellar Tendon Injuries
Authors: Manske Robert C. , Page Phil , Voight Michael , Wolfe Chris
Published: August 2023

Musculoskeletal (MSK) ultrasound has emerged as a vital tool in diagnosing patellar tendon injuries. Traditional imaging techniques, such as X-rays and Magnetic Resonance Imaging, have certain limitations in assessing soft tissue structures or may not be easily accessible. MSK ultrasound, with its high-resolution, real-time imaging capabilities, offers a cost-effective, safe, and patient-friendly alternative. It allows for accurate visualization of the patellar tendon’s structure and function, thereby facilitating the identification of pathological changes such as thickening, thinning, or disruption which aids in diagnosing conditions such as tendonitis, partial tears, and ruptures. Furthermore, MSK ultrasound serves as an invaluable tool for guiding interventions like injections, as it provides real-time imaging. This article explores the role and benefits of MSK ultrasound in diagnosing patellar tendon injuries, highlighting its cost-effectiveness, accessibility, real-time assessment capabilities, and reduced patient burden compared to other imaging modalities. Despite its numerous benefits, the need for ongoing research to enhance its utility is highlighted. As technology advances, MSK ultrasound is set to revolutionize the early detection and management of patellar tendon injuries.
Comprehensive Approach to Core Training in Sports Physical Therapy: Optimizing Performance and Minimizing Injuries
Authors: Lupowitz Lewis G
Published: August 2023

This clinical commentary explores the significance of a comprehensive approach to core training in sports physical therapy, focusing on optimizing performance and minimizing injuries. The core, encompassing multiple regions from the scapula to the glutes and beyond, plays a vital role in athletic performance and injury prevention. The commentary provides a thorough understanding of the various “cores” in the body, highlighting their primary functions and the importance of core stability.

The commentary delves into the anatomy of the core, its primary functions, common injuries, and clinical evaluation techniques. It aims to define the role of core stability in athletic activities and discusses the prevalence and characteristics of core injuries in various sports such as baseball, basketball, football, hockey, and soccer.

Furthermore, the clinical evaluation section describes subjective and objective assessments, functional testing, and special tests used to identify core injuries and determine their root causes. The author introduces a personalized dynamic core assessment to evaluate multiplanar stabilization and proposes a four-phase intervention program called the “Core Four Pyramid Principles.” This program includes activation, stabilization, integration, and perturbation phases, each with specific entry criteria, goals, and targeted exercises.

This commentary contributes to the body of literature by providing a comprehensive overview of core training in sports physical therapy, highlighting the significance of a systematic and evidence-based approach, and introducing the “Core Four Pyramid Principles” as a guideline for designing effective core training programs for sports therapists to optimize core function, stability and overall athletic performance while reducing the risk of injuries amongst their athletes.
Tendencia de las inequidades en homicidios en México para el periodo de 2000 a 2021: análisis ecológico longitudinal
Authors: Velasco-Calderón Omar , Castañeda Andrés , Gutiérrez Juan Pablo
Published: August 2023

Objetivo.

Documentar las tendencias de la inequidad en las tasas de homicidio en México para el periodo 2000-2021, a nivel estatal y nacional.

Métodos.

Se realizó un estudio ecológico observacional y longitudinal en el cual se estimaron las tasas estandarizadas de mortalidad de homicidios por municipio y sexo. Clasificando a los municipios de acuerdo con el Índice de Rezago Social en cinco grupos. Se obtuvo la brecha absoluta de desigualdad, así como la diferencia entre los grupos de muy alto y muy bajo rezago social para cada año del periodo estudiado.

Resultados.

En las 32 entidades se observa un incremento en la tasa de mortalidad por homicidios, con tasas mayores entre hombres, pero un incremento relativo mayor entre mujeres (porcentaje de cambio: 127,86 vs 110,03). La brecha absoluta entre municipios de muy alto y muy bajo rezago social se ha cerrado en el periodo por el incremento en la tasa de mortalidad por homicidios en los municipios de bajo rezago social y por una cierta reducción en los de muy alto rezago social.

Conclusiones.

En México, entre 2000 y 2021 se redujo la brecha absoluta en las defunciones por homicidios entre municipios de muy alto y muy bajo rezago social debido al incremento en la tasa de homicidios en los municipios de menor rezago social. Es necesario reforzar políticas y acciones encaminadas a atender los determinantes sociales de la violencia interpersonal.
Factors and Actors in the Development of Islamic Financial Literacy: Experience from Indonesia
Authors: Niswatin  , Santoso Ivan Rahmat , Amaliah Tri Handayani , Monoarfa Rio , Hulopi Titi Umi Kalsum
Published: August 2023

Purpose: The purpose of this study is to determine the dominant factors that play a role in the development of Islamic financial literacy in Indonesia.
 
Design/Methodology/Approach: This research used qualitative and quantitative methods. The initial stage uses qualitative methods to identify expert perceptions of the factors and actors that play a role in developing Islamic financial literacy. Data was collected through interviews and Focus Group Discussions (FGD) with a team of experts and then analyzed with the stages of data reduction, data presentation, and drawing conclusions. Data was collected through a questionnaire filled out by a team of experts and analyzed using Analytical Hierarchy Process (AHP).
 
Findings: The results of the study determined that the dominant factor (top priority) that played a role in the development of Islamic financial literacy in Gorontalo was increasing public knowledge with the main actor playing a role being universities. This research has proven that increasing public knowledge is a top priority factor that plays a role in developing Islamic financial literacy in Indonesia, especially in the Province of Gorontalo.
 
Research limitations/Implications: The role of universities and other educational institutions through teaching, research and community service education programs is highly expected in order to increase public awareness in transactions in accordance with Islamic values.
 
Practical implications: It is appropriate to increase public knowledge about economics, business, and Islamic accounting through early, basic, and secondary education
 
Social Implications: Strengthening the role and synergy of all actors is needed in realizing the development of the economy, business, and the application of Islamic accounting.
 
Originality/Value: This study provides new insights into the dominant factors and actors that play a role in the development of Islamic financial literacy born from the perceptions of a team of experts who have knowledge and experience and are involved in decision making.
Intention to Revisit the Mountain Destination Based on Risk Perception Through Tourism Experience and Satisfaction
Authors: Kurniawan Gatot Iwan , Hurriyati Ratih , Disman  , Dagustani Dani
Published: August 2023

Purpose: The goal of this study is to look at tourist plans to return to mountain places by integrating their previous experience and satisfaction with the risks that exist as part of the decision-making process.
 
Design/Methodology/Approach: The questionnaire data was disseminated through online media to residents of Bandung, West Java, who had visited mountain tourist locations at random. There is a total of 328 possible responses. Only 318 were utilized to process data. AMOS 22.0 and SPSS 23.0 were used to analyze the data using structural equation modeling (SEM). After doing confirmatory factor analysis (CFA) on the measurement model, the structural linkages were investigated and the hypotheses were assessed. A bootstrap method was also used to test indirect effects.
 
Findings: Physical and performance concerns have a significant impact on the visitor experience than financial risks. Despite the lack of significance, the perception of financial risk has a significantly different impact on tourist satisfaction than physical risk and performance. Tourist satisfaction has a significant impact on return intention, but tourist experience has a little impact. Tourist experience moderates a significant relationship between physical risk and performance, as well as revisit intention and intention to return, but not financial risk. The relationship between perceived financial risk and the likelihood of returning can be mediated by visitor satisfaction. This suggests that the financial risk will have a substantial impact on customer satisfaction and will play a role in tourists' decision to return. The perception of performance risk might have an indirect effect on the decision to return based on previous experience and satisfaction
 
Practical implications: The conclusions of this study provide guidance to government officials, tourism managers, marketing managers, and community members on how to better manage tourist attractions in mountain areas.
 
Original/Value: There are currently just a few studies linking perceived danger, experience, and satisfaction to revisit intentions, therefore this research significantly adds to the body of knowledge. The research gaps identified in this study can be filled by developing the construct into a model, which will also advance related concepts.
The Effect of the Early Application of Tirofiban on Acute Ischemic Stroke (AIS) after Intravenous Thrombolysis with Urokinase
Authors: Li Mingfen
Published: August 2023

Objective: Discussion and analysis of the effect of the early application of Tirofiban on acute ischemic stroke (AIS) after intravenous thrombolysis with urokinase. Method: The subjects of this study are 40 patients with AIS admitted at the Yibin Fourth People’s Hospital, of which were computer-randomized into a control group (20 cases, with regular urokinase intravenous thrombolysis therapy) and a research group (20 cases, combined with early Tirofiban treatment) from January 2018 to December 2022. The intervention outcomes between these two groups were compared and analyzed. Result: The blood platelet-related parameters before treatment had no statistical difference between the two groups (P > 0.05), but the research group was higher than that of the control group after treatment (P < 0.05). The Barthel index before treatment in both groups had no statistical difference (P > 0.05), but the research group was higher than that of the control group after treatment (P < 0.05). Conclusion: Early Tirofiban treatment for patients with AIS after intravenous thrombolysis with urokinase could effectively regulate the blood platelet-related parameters, hence improving treatment benefits and living capacity for patients, with definite clinical benefits.
GO-DEEP: A Potential Reflection Model for Experiential Learning
Authors: Bui Ngoc Thi-Nhu , Yarsi Pratchayapong
Published: August 2023

Experiential learning is a critical approach in higher education that emphasizes learning by doing, where students engage in activities that promote hands-on learning experiences. Reflection is a crucial component of experiential learning, enabling learners to extract valuable insights and knowledge from their experiences. This study presents our synthesized reflection model, the GO-DEEP reflection model, which includes six main stages to reflect before, during, and after experiences. This study implemented a pre-experimental design to investigate the model’s usefulness and effectiveness in a work-integrated learning course. The course comprised of eight learning sessions with 39 life science students. During each session, the students actively participated in the process of reflection. The students were asked to complete the GO-DEEP level of use questionnaires after sessions four and eight and they submitted their reflection reports after each session through Google Forms. In addition, they responded to the open-ended questions about their perception of the GO-DEEP reflection model and reflection practices. The collected data were analyzed using descriptive, thematic, and t-test analyses. The findings reveal that the university students who used the GO-DEEP reflection model were highly interested in its use and found it beneficial in extracting valuable insights about their learning experiences by constructing knowledge, promoting, and facilitating learning. These outcomes highlight the efficacy and potential of GO-DEEP as a helpful tool in fostering meaningful and impactful educational experiences. Moreover, based on student experience, GO-DEEP has the potential to be applied not only in academic aspects but also in non-academic activities and life experiences.
Una estrategia psicopedagógica inclusiva para estudiantes universitarios con autismo
Authors: Cedeño Salazar Pedro Antonio , Pazmiño Santamaría María Fernanda , Pérez Mato Daisy de la Caridad , Calvas Gómez Lady Johanna
Published: August 2023

El Trastorno del Espectro Autista, denominado con las siglas TEA, es una discapacidad del desarrollo. Esta provoca problemas en el ámbito comunicativo, social y conductual de la persona. Se utiliza la palabra “Espectro” ya que estas personas pueden tener una variedad de síntomas diversos que, a su vez, hacen variable la presencia de distintas dificultades. La presente investigación se enmarca dentro de una metodología de tipo bibliográfica documental. Ya que es un proceso sistematizado de recolección, selección, evaluación y análisis de la información, que se ha obtenido mediante medios electrónicos en diferentes repositorios y buscadores tales como Google Académico, Science Direct, Pubmed, entre otros, empelando para ellos los diferentes operadores booleanos y que servirán de fuente documental, para el tema antes planteado. Los Trastornos del Espectro Autista, tiene grandes desafíos y complejidades, no es solo enseñar a un individuo con TEA integrarse a los diferentes aspectos de la sociedad, sino que la misma sociedad acepte y de adapte a la distintas formas y aspectos del Trastornos del Espectro Autista. Un estudiante universitario con TEA en líneas generales si fue diagnosticado en su niñez y tuvo el acompañamiento necesario en base a terapias para mejorar sus condiciones conductuales, cognitivas, afectivas, entre otras, va a tener la capacidad de utilizar las herramientas aprendidas para desenvolverse dentro del ámbito universitario, sin embargo, en los casos de grado autismos más complejos y que no han tenido la atención debida, representa un problema no solo para el estudiante, sino para sus compañeros de clase, los docentes y la universidad.
Impacto de las estrategias de comunicación digital para la promoción de actividades deportivas saludables e integración
Authors: Valverde Suárez Mayra Alejandra , León López Luiggi Wladimir , León López Oscar Daniel , León Vélez Ruth María
Published: August 2023

El Internet crea cambios significativos en el sector empresarial provocando incidencias en la aplicación directa a través del marketing digital y los diversos medios de comunicación; el intercambio de información de forma ágil por medio de sitios web como redes sociales permiten que la industria incremente su potencial y reducción de costos al momento de ofertar productos y servicios debido a la accesibilidad global de los consumidores. El presente trabajo de investigación tiene como objetivo analizar el impacto de las estrategias de comunicación digital para la promoción de actividades deportivas saludables e integración. La comunicación y publicidad cumplen un papel fundamental en las organizaciones deportivas, por esa razón es indispensable que tengan la capacidad de adaptarse a las nuevas modalidades digitales que beneficie de forma directa la relación con los seguidores y simpatizantes. En la actualidad, los clubes han implementado estrategias virtuales para poder interactuar, relacionar e integrar con sus consumidores.
La diabetes mellitus y diabetes gestacional, en adolescente, en el mundo y en el Ecuador, manejo, prevención, tratamiento y mortalidad
Authors: Dávila Flores Johnny Xavier , Montenegro Morán Ecuador Edmundo , Macías Gaytán Ángela Maritza , Tayupanda Martinez José Luis
Published: August 2023

En Ecuador. Según la encuesta ENSANUT, la prevalencia de diabetes en la población de 10 a 59 años es de 1.7%. Esa proporción va subiendo a partir de los 30 años, y a los 50, uno de cada diez ecuatorianos ya tiene diabetes. La diabetes gestacional es un padecimiento de la mujer caracterizado por intolerancia a los carbohidratos, que resulta en hiperglucemia de severidad variable, que se inicia y reconoce durante el embarazo. La diabetes gestacional se asocia con incremento de las complicaciones para la madre durante el embarazo y en la vida posterior del feto, neonato, joven y adulto. La presente investigación se enmarca dentro de una metodología de tipo bibliográfica documental. Ya que es un proceso sistematizado de recolección, selección, evaluación y análisis de la información, que se ha obtenido mediante medios electrónicos en diferentes repositorios y buscadores tales como Google Académico, Science Direct, Pubmed, entre otros, empelando para ellos los diferentes operadores booleanos y que servirán de fuente documental, para el tema antes planteado. La diabetes en las edades de adolescencia sumado a una condición de embarazo, puede producir diabetes gestacional, una patología de cuidado y que puede generar complicaciones durante, en y en el post parto, el manejo es clave e incluye una dieta balanceada, ejercicio, calidad de vida, control de glicemia, en casos de necesidad farmacológica, metformina y/o insulina según sea el caso si no hay una farmacología antidiabética previa, dentro de las prevenciones se tiene dieta rica en minerales y proteínas, control de glicemia y sobre todo los controles prenatales.
Nefrología. Infecciosas. Urgencias y emergencias
Authors: Sandoval Benalcázar Diana Carolina , Ortega Rodríguez Danais Anniemari
Published: August 2023

La importancia de las patologías infecciosas no pierde vigencia con el tiempo, por el contrario, hoy más que nunca son un problema de salud pública mundial, dada sus altas tasas de incidencia y las repercusiones en los pacientes y en el sistema de salud. En este sentido, las nefropatías suelen estar comúnmente asociadas con la presencia de infecciones, bacteriemia y la sepsis, las cuales pueden ocurrir como consecuencia propia de esta enfermedad o causándola. El desarrollo de infecciones, bacteriemia y sepsis en individuos con nefropatías puede empeorar significativamente el pronóstico y aumentar el riesgo de complicaciones. El objetivo de la presente investigación consiste en plasmar la relación entre las principales nefropatías y la patología infecciosa, bacteriemia y sepsis. Asimismo, se resume la forma en que esta asociación constituye una emergencia médica. La investigación se realizó bajo una metodología de tipo documental bibliográfica, bajo la modalidad de revisión. Las nefropatías guardan una estrecha relación con infecciones, bacteriemia y sepsis. Entre ellas se encuentran la pielonefritis crónica, la insuficiencia renal aguda y la enfermedad renal crónica, las cuales se relacionan a infecciones, por ende, a altas tasas de morbimortalidad, tasas más altas de hospitalización en diálisis y son muy prevalentes en el trasplante renal. En estas nefropatías puede estar indicada la hemodiálisis y requerir un acceso venoso que predispone a la aparición de infecciones. Los ingresos al área de emergencia hospitalaria de pacientes con hemodiálisis son frecuentes, siendo su principal causa la patología infecciosa. Asimismo, los pacientes nefrópatas tienen una mayor probabilidad de desarrollar bacteriemia. Igualmente, las infecciones relacionadas al catéter vascular em hemodiálisis son una fuente común de complicaciones sépticas. Por último, la sepsis, puede originar enfermedades de los riñones o agravar una condición preexistente en ellos. Es de suma importancia que los pacientes con infección, bacteriemia o sepsis y nefropatías sean atendidos adecuadamente y monitoreados continuamente, por cuanto, cualquiera de estas complicaciones puede agravar el pronóstico del paciente y representan una real urgencia médica.
Hipotiroidismo subclínico y depresión en el adulto mayor
Authors: Salamea Saquinaula Michelle Daniela , Guacaran Guerrero Jose Julio , Ayala Orta Patricia Raquel , Gutiérrez Martínez Roserva Claret
Published: August 2023

De las enfermedades de la tiroides, el hipotiroidismo subclínico (HSC) es el que más afecta a los adultos mayores, la cual ha llamado más la atención en los últimos 10 años. Abarcando entre un 3% y 9% de incidencia en todo el mundo, el cual se ha incrementado llegando al 10% en mujeres de 55 años y entre el 20% a los 65 años. La prevalencia de síntomas depresivos en pacientes hipotiroideos es cercana al 50%, y la prevalencia del hipotiroidismo entre la población psiquiátrica es del 8%. Algunos autores reportan un rango que abarca desde el 8 al 17% de hipotiroidismo, en los pacientes con episodios depresivos. La presente investigación se enmarca dentro de una metodología de tipo bibliográfica documental. Ya que es un proceso sistematizado de recolección, selección, evaluación y análisis de la información, que se ha obtenido mediante medios electrónicos en diferentes repositorios y buscadores tales como Epistemonikos, Google Académico, Science Direct, Pubmed, entre otros, empleando para ellos los diferentes operadores booleanos y que servirán de fuente documental, para el tema antes planteado. Aunque sigue en estudio la relación entre el hipotiroidismo subclínico y la depresión en el adulto mayor, con la existencia de trabajos que aceptan esta relación y otros que no, si es evidente que efectivamente han encontrado asociaciones entre el hipotiroidismo subclínico y la depresión en el adulto mayor en trabajos citados en esta investigación. El hipotiroidismo en el adulto mayor puede agravar o acelerar el deterioro cognitivo, y esto representa una afectación mental que puede generar trastornos depresivos, por el progresivo deterioro mental sumado a las diferentes comorbilidades a las que están expuestas como una condición degenerativa natural del cuerpo humano por la edad y que impiden su desenvolvimiento normal en su vida cotidiana. Sin embargo, basados en los estudios revisados es necesario en el futuro definir si el tratamiento para la disfunción tiroidea en el hipotiroidismo subclínico del adulto mayor tiene beneficios en la depresión.
Fundamentos en el uso actual de los beta-bloqueadores como tratamiento de la hipertensión arterial
Authors: Ajila Espinoza Kenia Yulexi , Solano Muñoz Jaime Jair , Aguirre Fernández Roberto Eduardo
Published: August 2023

Este estudio se enfoca en el uso contemporáneo de los betabloqueantes como herramientas terapéuticas en el tratamiento de la hipertensión arterial, con una atención particular en los antagonistas de los receptores adrenérgicos beta 1. Objetivo: Proporcionar una evaluación actualizada y exhaustiva de los fundamentos que respaldan el uso de los betabloqueantes en la gestión de la hipertensión, y cotejar su eficacia y seguridad con otros agentes antihipertensivos. Métodos: Se llevó a cabo un análisis retrospectivo descriptivo a través de una revisión sistemática de literatura. Se implementó una búsqueda comprensiva en diversas bases de datos, incluyendo LILACS, Cochrane, PubMed, Web Of Science, Scopus y ELSEVIER, utilizando palabras clave relevantes: Antagonistas de Receptores Adrenérgicos Beta 1, Hipertensión, Tratamiento Farmacológico, y Usos Terapéuticos. Resultados: A pesar de una eficacia en la reducción de la presión arterial comparable a otros agentes antihipertensivos, los betabloqueantes demostraron una efectividad menor en la prevención de eventos cardiovasculares y la reducción de la morbimortalidad, en contraste con medicamentos como los inhibidores de la enzima convertidora de angiotensina (IECA) y los antagonistas de los receptores de angiotensina II (ARA II). Se observaron también efectos secundarios, entre ellos la fatiga, mareos y disfunción sexual. Conclusiones: Los betabloqueantes pueden seguir siendo una alternativa terapéutica viable en la gestión de la hipertensión, particularmente en pacientes con enfermedades cardíacas coexistentes, como la enfermedad coronaria y la insuficiencia cardíaca. No obstante, la selección de estos agentes debe estar fundamentada en una evaluación individual del paciente, teniendo en cuenta los posibles efectos adversos. Implicaciones: Este estudio amplía el conocimiento sobre la eficacia y seguridad de los betabloqueantes en el tratamiento de la hipertensión arterial, proporcionando información valiosa para la práctica clínica y orientando investigaciones futuras en el campo de la hipertensión arterial.
Appraisal of Fizzling Features of Hausa Vernacular Architecture (HVA) in Selected Areas of Jos (cikin gari) City Centre, Plateau State, Nigeria.
Authors: Jolaoso Babatunde Adekoyejo , Bello Muhammad Murtala , Umaru Auwalu Nasir , Adamu Sani Tal
Published: August 2023

Dakali is a unique feature that plays a functional role in the Hausa Vernacular Architecture (HVA). However, events have revealed a gradual extinction from the streetscape due to contemporary changes in the cityscapes and the general physical development with the concomitant effect of reduction in the performance of the expected function in buildings. This paper focuses on the enumeration and documentation of buildings with or without this significant feature. It also appraises the attendant contemporary architectural design-shift. The paper adopts quantitative research approach; purposive sampling and Content analysis method in the selection of potential respondents and review of related literature respectively. This was complimented with the conduct of field survey, selective interviews and observation. Information extracted therefrom was descriptively presented. Findings revealed that out of the total of 235 selected samples, 50 buildings (about 21%) reflects the HVA features; only 14 buildings (about 5.95%), though with retained feature HVA like the Dakali, but have significantly lost the features and transiting towards the contemporary/modern trends; while, 171 (about 72.7%) of the buildings in the study area have completely been transformed. The paper concludes that there is the need for the identification and comprehensive documentation other HVA features for posterity, so as not to allow their total loss without any form of record of their historical existence, due to fast changes been experienced arising from the advent of innovative design, challenges of rapid rate of global urbanization and the trending break-through in technological advancement within our urban/city settings.
Authors: Ludianti Nini , Asriati Nuraini , Hidayah Riama Al , Bahari Yohanes , Okianna Okianna
Published: August 2023

This study aims to determine the sociology learning model of social interaction based on Microsoft Teams media in class XI IPS Mandarin at SMA Kristen Immanuel Pontianak. Data collection techniques used in this study were observation techniques, interview techniques and documentation techniques. The data analysis technique used in this study is data reduction, data display, and drawing conclusions. The analysis in this study was presented in a narrative descriptive manner using 7 informants. The results of this study are sociology learning social interaction models based on Microsoft Teams media that have been implemented in accordance with the sociology learning plans that have been designed and in the implementation process are in accordance with the steps of the social interaction learning model using the Microsoft Teams application as a learning medium, and in the assessment Sociology learning outcomes teachers carry out assessments of affective and psychomotor aspects with the steps of preparing an evaluation plan for learning outcomes, collecting data, verifying data, processing data and analyzing data, providing interpretation and drawing conclusions and following up on evaluation results.
Potential and economic feasibility of a wind power plant in Ciudad Juárez, México
Authors: Aryanfar Yashar , Garcia Alcaraz Jorge Luis , Blanco Fernandez Julio , Avelar Sosa Liliana
Published: August 2023

This study investigated the wind energy potential of Ciudad Juárez (Chihuahua, México) for a whole year. The viability of employing three small-scale wind turbine models, including the S-343, Bergey BWC Excel, and AOC 15/50, in Ciudad Juarez, located in the northern Mexican state of Chihuahua in Mexico, is studied in the first stage using RETScreen software. The performance of these three turbine models was subjected to sensitivity analysis in the following study stage using the three defined economic scenarios, assuming a 7% inflation rate, a 9% discount rate, a 7% fuel cost escalation rate, and a 20-year project duration. Finally, the circumstances under which these turbines operate in Ciudad Juarez are discussed economically. Findings indicate that the study site is not economically appropriate, not even for the installation of specific small wind turbines. Finally, it was suggested that the viability of adopting alternative renewable energy systems, such as solar and hybrid systems (photovoltaic wind), be examined in the upcoming study in Ciudad Juárez.
The effectiveness of the thyroxine hormone in feed to improve growth performance efficiency and the survival rate of the cantang grouper (Epinephelus sp.)
Authors: Mahdaliana Mahdaliana , Salamah Salamah
Published: August 2023

This study aims to determine the effectiveness of the hormone thyroxine in feed to increase the efficiency of growth performance and revive the life of the cantang grouper (Epinephelus sp.). Something that can be done to achieve this goal is to provide the hormone thyroxine in fish feed to increase growth acceleration. This study used an experimental method using a non-factorial completely randomized design (CRD) with five treatments and three replications. The treatments in this study were: thyroxine hormone A (0 mg), B (6 mg), C (7 mg), D (8 mg), and E (9 mg). Parameters observed were: feed efficiency (ep), growth rate, feed conversion ratio (FCR), fish behavior, and survival. The results showed that fish behavior during rearing included fish movement, appetite, and fish skin color. The most active swimming fish were found in all treatments which were given feed containing the hormone thyroxine. The best feed efficiency (EP) value in treatment E was 76.29%. The value of the feed conversion ratio (FCR) in treatment E was 1.76%. The best growth was in treatment E in weight (2.88 cm) and length (36.85 cm). The best survival in treatments C and D was 98%. Water quality parameters during the study were temperature 27-280C, pH 7.0-7.9, Salinity 25-30 ppt, DO 5.9-6.9ppm, and Ammonia 0.0359-0.1946 ppm. The results of the observations showed that there were differences in fish-fed hormone-containing feed for 60 days and fish behavior. The fish looks more agile and the color is brighter.Keywords: Cantang Grouper; Feed; Growth; Survival; Thyroxine Hormone
Peran Kepala Sekolah Sebagai Manajer dalam Meningkatkan Profesionalitas Guru
Authors: Sodikin Satria , Faridi Faridi , Umiarso Umiarso
Published: August 2023

Peran kepala sekolah memiliki kontribusi yang signifikan dalam meningkatkan produktivitas dan disiplin kerja guru di sekolah. Permasalahan beberapa Raudhatul Athfal RA di Kabupaten Sumbawa diketahui bahwa ada guru dengan latar belakang pendidikan terakhir setingkat SMA dan S1 namun tidak pada bidangnya. Hal ini menuntut kemampuan Kepala Sekolah sebagai manajer mulai dari manajemen input guru yang diterima, hingga manajemen tenaga pendidik dan kependidikan dapat berjalan secara profesional. Penelitian ini bertujuan untuk mengetahui dan mendeskripsikan peran kepala sekolah sebagai manajer dalam meningkatkan mutu guru di RA. Al-Amin Kakiang, Kab. Sumbawa, NTB. Metode yang digunakan dalam penelitian ini yaitu penelitian kualitatif deskriptif dengan teknik pengumpulan data observasi dan juga wawancara terhadap kepala sekolah di tempat penelitian. Hasil dari penelitian adalah kepemimpinan kepala sekolah RA sebagai manajer dalam meningkatkatkan profesionalitas guru dilakukan dengan beberapa hal. Pertama, Strategi kepala sekolah RA sebagai manajer untuk peningkatan profesionalitas guru di RA Al-Amin Kakiang Sumbawa, yaitu dengan: perencanaan, pengadaan, pembinaan, pengembangan, penilaian, evaluasi, dan apresiasi guru. Kedua, Upaya Kepala sekolah RA Al-Amin Kakiang Sumbawa dalam peningkatan profesionalitas guru yaitu: pendelegasian guru dalam kegiatan IGRA, workshop, pendidikan dan pelatihan bagi guru. RA Al-Amin Kakiang Sumbawa telah mengimplementasikan langkah-langkah tersebut dalam rangkat meningkatkan profesionalitas guru.
The effect of kebon kongok waste disposal sites on ground water quality in Suka Makmur Village, West Lombok District
Authors: Tina Melinda  , Abdullah Taufik , Rahmayanti Dilla
Published: August 2023

The Kebon Kongok waste disposal sites (WDS), Suka Makmur Village, is the final waste disposal site for Mataram City and West Lombok because Mataram City does not have a WDS. The condition of the WDS has exceeded its capacity. Suka Makmur Village is a village close to the Kebon Kongok WDS. This research was conducted in Suka Makmur Village to know groundwater quality with Smell, Taste, TDS, pH, BOD, COD, Ammonia (NH3N), and Total Coliform. The method used to determine the quality of groundwater is by using the Pollution Index Method. In determining the sampling technique, the purposive sampling technique is used, a determination technique with certain considerations. The results showed that the results of the analysis of raw water samples with the parameters Odor, Taste, Total Dissolved Solid, pH, BOD, COD, Ammonia (NH3N), and Total Coliform. The results obtained from the three sample points that exceeded the Water Quality Standard threshold were only the Total Coliform parameter, sample 1 was 230 mg/l, sample 2 was 91 mg/l, and sample 3 was 230 mg/l based on the Regulation of the Minister of Health of the Republic of Indonesia Number 32 2017 concerning Environmental Health Quality Standards and Water Health Requirements for Sanitation Hygiene, Swimming Pools, Solus Per Aqua, and Public Baths. Based on the results of data analysis using the Pollution Index Method (IP), sample one was 3.14, sample two was 1.68, and sample three was 3.13. These results indicate that the condition of the water is included in the Light Polluted category based on the Decree of the State Minister for the Environment Number 115 of 2003 concerning Water Quality Status, the Pollution Index value with an IP score of 1.1 - 5.0 is intended for class I water.
Development of student worksheets green chemistry oriented to train creative thinking skills on reaction rate topic
Authors: Wulandari Amelia , Mitarlis Mitarlis
Published: August 2023

This study aims to produce student worksheets with green chemistry oriented to train creative thinking skills in matter with reaction rate proper. The green chemistry principles studied in this research are limited to 1, 5, and 12. The research development method uses a 4-D model (define, design, develop, and disseminate) and is limited to the development stage. Limited trials were conducted on 35 students in class XI IPA 1 senior high school. The development of student worksheets is feasible if it fulfills three aspects, including aspects of validity, practicality, and effectiveness. It is declared valid if it gets a minimum mode value of 3 from the range of values ​​1-5 and is declared practical and effective if the proportion results are ≥ 61%. The results of the development of student worksheets mean that the feasibility of student worksheets in terms of theoretical validity consists of several things, namely content criteria that obtain a mode value of 5, linguistic criteria obtain a mode value of 5, presentation features obtain a mode value of 5, graphical criteria obtain a mode value 4, green chemistry scoring gets a mode value of 5, and criteria for creative thinking skills gets a mode value of 5. The practicality of student worksheets is seen from the student response questionnaire, which is supported by observations of student activities and the implementation of learning, each of which obtains very practical results with an average proportion of 94.64%, 94.5%, and 98.21%. The aspect of effectiveness is viewed from the results of the creative thinking ability test, which obtained 0.85, which is in the high category. Based on the results of validity, practicality, and effectiveness, it can be interpreted that the student worksheets developed are declared feasible for use in the teaching and learning process.