bluuebunny/crossref_metadata_2025 huggingface dataset:
Abszorbciós modell – A munkavállalókra jellemző abszorbciós görbe
Authors: Achilles Georgiu
Published: April 2021

A publikáció célja a gondolatébresztés és egyben egy használható vezetői modell megfogalmazása. Nem célja viszont a modell érvényességének bebizonyítása, hiszen ahhoz többéves kísérletre és kutatásra lenne még szükség. A gondolat az, hogy a Gartner csoport által kidolgozott és leírt hype cycle görbe – mely grafikusan próbálja ábrázolni a tudományos technológiák érettségét, terjedését és üzleti alkalmazását – alakja sokkal általánosabban is érvényes és könnyen adaptálható a munkavállalók munkahelyi abszorbciós (azaz: bevonódási) és motivációs „életgörbéjének” leírásához. Az ember lelkesedését, teljesítményét, azonosulását és az asszimilációs szintjét nehéz egy mutató alakulásával ábrázolni. Mivel ezek a jellemzők befolyásolják egymást, erősen összefüggnek és talán össze is fűződnek, ezért a legtalálóbb szó ezek összefoglalására az abszorbció. Az abszorbciós modell görbéje a maga csúcspontjával, illetve mélypontjával négy szakaszból és négy kiszállási szintből tevődik össze. Az X tengelyen az idő helyezkedik el, melyen a lelkesedési, a csalódási, az elfogadási és a stabilitási szakasz meghatározott sorrendben követik egymást. Az Y tengelyen az emberek abszorbciós szintjeit találhatjuk. Ezen a tengelyen helyezkednek el a kiszállási szintek is a kiugrási, a kibukási, a kiemelési és a kirúgási, melyek sorrendje változó, mindig az adott helyzettől függő.
Secuencia de Prune Belly: a propósito de un caso
Authors: Blacio Vidal Willie Jack
Published: April 2021

Antecedentes: La secuencia Prune-Belly es un trastorno genético que se caracteriza por una tríada que incluye deficiente musculatura de la pared abdominal, anomalías urogenitales y criptorquidia bilateral. Suele acompañarse de malformaciones asociadas. La aproximación quirúrgica debe reservarse para aquellos pacientes con complicaciones severas.Resumen del caso: Se presenta el caso de un neonato de sexo masculino con agenesia de la musculatura de la pared abdominal, displasia renal multiquística y criptorquidia bilateral, que es transferido de un hospital básico del oriente ecuatoriano y que durante su hospitalización se le sostuvo con un manejo conservador.Conclusiones: El abordaje de la secuencia de Prune-Belly, debe ser multidisciplinario por su frecuente asociación con otras malformaciones; el diagnóstico prenatal cumple un rol fundamental en la detección precoz de anomalías severas.
Tumoración submandibular y laterocervical bilateral en un lactante
Authors: Nicolás Borja Merelo , Cabrera Jiménez Lara , Menasalvas Ruiz Ana Isabel , Alfayate Miguélez Santiago
Published: April 2021

Antecedentes: Las infecciones profundas del cuello suponen una causa frecuente de infección en pediatría, con complicaciones potencialmente graves como compromiso de la vía aérea, mediastinitis o sepsis, si se produce un retraso en el diagnóstico o tratamiento. Los agentes causales más frecuentes son Staphylococcus aureus y Streptococcus spp. El tratamiento consiste en antibióticos específicos y manejo multidisciplinar de las posibles complicaciones. Caso clínico: Se presenta el caso de un lactante de 10 meses con cuadro febril y úlcera labial, con aparición de una gran tumoración submandibular y laterocervical bilateral con dudas iniciales sobre el compromiso de la vía aérea.  Se inició tratamiento empírico intravenoso sin precisar tratamiento quirúrgico. Los exámenes complementarios mostraron una PCR Influenza tipo B positivo, como origen del cuadro febril y en la muestra labial creció un Staphylococcus aureus, causante de la inflamación. Recibió tratamiento de antibiótico dirigido y presentó una buena evolución sin complicaciones. Conclusión: Las infecciones profundas del cuello suponen un reto diagnóstico en pediatría. Su diagnóstico precoz y manejo adecuado pueden prevenir complicaciones potencialmente graves.
Vivencia de madres de prematuros con oxígeno en un programa madre canguro de Bogotá, Colombia
Authors: Guevara Suta Sonia Esperanza , Ospina-Rubiano Martha O. , Restrepo-Guerrero Héctor F.
Published: April 2021

Introducción: El nacimiento prematuro es considerado un problema de salud pública y es el responsable de una alta morbimortalidad neonatal. Un gran porcentaje de prematuros requieren de oxígeno y de ventilación mecánica para suplir sus necesidades fisiológicas y cerca de un 40 % de ellos son dados de alta de las unidades neonatales y dirigidos a los programas madre canguro. Objetivo: Describir las vivencias de madres de bebés con oxígeno admitidos en un programa madre canguro, desde su contexto cultural. Métodos: Estudio cualitativo, etnográfico. Se aplicó una entrevista semiestructurada a diez y nueve madres de bebés con oxígeno, con edades entre 16-38 años. Resultados: Cuatro categorías: identificación de signos de alarma respiratorios y cuidados de equipos en casa; adaptación frente al manejo con oxígeno; relación con escenario cultural y asistencia a controles de oximetría, las cuales surgieron del proceso de análisis de las entrevistas. Conclusiones: Se debe garantizar a los padres la accesibilidad a los servicios de salud, con el fin de dar continuidad a los procesos de seguimiento que requieren los niños prematuros en los programas madre canguro ambulatorio. La investigación permite evidenciar que el Programa Ruta de la Salud que les ofrecen a los padres no es suficiente y requiere de una mayor cobertura. Se debe generar una estrategia que permita realizar un seguimiento y acompañamiento a través de la teleorientación, con el fin de abordar inquietudes que puedan surgir en casa y disminuir en ellos los niveles de ansiedad y estrés.
Comunicación Interauricular
Authors: Arbeláez Eslait Sergio A. , Esmeral Atehortúa Koretta K. , Peluffo Vergara Sebastián
Published: April 2021

Antecedentes: La comunicación interauricular (CIA) es una entidad frecuente en pediatría, representando un 10-15 % de las cardiopatías congénitas. En términos de fisiopatología y cuadro clínico es muy variable, ya que existen cuatro tipos de presentación clínica: CIA tipo ostium secundum (70 %), CIA tipo ostium primum (20 %), CIA tipo seno venoso (10 %) y CIA del seno coronario (<1 %). Reporte de caso: En este artículo de revisión se discute el caso de un paciente de 1 día de vida, quien ingresó al servicio de Cuidados Intensivos Neonatales (UCIN), por presentar dificultad respiratoria y taquipnea. Se realizó un enfoque diagnóstico inicial mediante un ecocardiograma transtorácico que identificó un defecto septal auricular con lo que se confirmó el diagnóstico de comunicación interauricular. El paciente recibió tratamiento farmacológico logrando una evolución satisfactoria. Conclusiones: Siendo la CIA una entidad frecuente en pediatría, es de suma importancia diagnosticarla oportunamente, ya que implica tratarse de forma temprana para evitar posibles complicaciones que podrían poner en riesgo la vida del paciente. El ecocardiograma es el estudio de elección para el diagnóstico de CIA. El tratamiento integral dependerá de la severidad de la CIA y de la edad del paciente, variando desde seguimiento expectante hasta cirugías correctivas.
Enfisema lobar congénito
Authors: Marín Gómez Lizeth , Jiménez Salazar Juan Carlos
Published: April 2021

El enfisema lobar congénito es una malformación pulmonar infrecuente caracterizada por hiperinsuflación del lóbulo pulmonar afectado, el 50 % de los pacientes presentan síntomas al nacer, los cuales pueden ser confundidos con otras entidades como infecciones respiratorias, atelectasias, neumotórax, entre otras. La radiografía de tórax es útil para su diagnóstico, sin embargo, es necesaria una tomografía de tórax para diferenciarla de otras malformaciones. En la mayoría de los casos el tratamiento de elección es la lobectomía y el neumotórax la complicación mas frecuente. Presentamos un paciente de 18 días de nacido con síntomas sugestivos de infección respiratoria aguda y falla ventilatoria, diagnosticado finalmente con enfisema lobar congénito, a quien se realiza lobectomía. Los síntomas respiratorios pueden ser la primera manifestación de enfisema lobar congénito, su sospecha clínica y radiológica pueden llevar a un diagnóstico temprano evitando confundir con otras entidades como atelectasias y malformación adenomatosa quística.
Síndrome de Apert. Repercusiones de un diagnóstico y abordaje tardío
Authors: Torres Salinas Carlos Hugo , Lozano Ccanto Briggitte , Damián Mucha Milagros
Published: April 2021

Antecedentes: El síndrome de Apert también denominado acrocefalosindactilia tipo I, se caracteriza por la triada clínica de: craneosinostosis, dismorfismo craneofacial, sindactilia bilateral de manos y pies; presenta herencia autosómica dominante ligada a mutaciones en el gen del receptor del factor de crecimiento de fibroblastos (FGFR), la mutación del receptor 2 del FGFR induce la activación de múltiples vías de señalización que contribuyen a la función anómala de los osteoblastos. Reporte de caso: Se describe el caso de un niño de 8 años diagnosticado por las características fenotípicas, mostrando la triada característica, además turri-braquicefalia, protuberancia frontal, depresión del puente nasal, hipoplasia del tercio medio facial, proptosis ocular bilateral, arco palatino alto, apiñamiento dental y maloclusión. Conclusiones: Las múltiples afectaciones en el paciente con síndrome de Apert, hace de esta una patología que requiere un diagnóstico e intervención precoz por un equipo multidisciplinario a fin de mejorar la calidad de vida.
Les ambiguïtés de l’érôs.
Authors: Jean Gégori
Published: April 2021

Cet article introduit les notes préparatoires inédites de Michel Henry consacrées au phénomène érotique. Ces notes sont essentiellement relatives à la préparation des ouvrages « Philosophie et phénoménologie du corps » et « L’essence de la manifestation », mais également et plus tardivement de son livre « Incarnation ». Maine de Biran est au cœur de ce projet, mais Michel Henry lit et commente également ses contemporains, dont Sartre qui est sans doute celui qui reçoit le plus d’attention de sa part.
Paroles du Christ
Authors: Greisch Jean
Published: April 2021

Préface à l’édition des notes préparatoires de Michel Henry pour son dernier ouvrage Paroles du Christ.
Le langage de la révélation en phénoménologie radicale.
Authors: Sansonetti Giuliano
Published: April 2021

Cet article est consacré à la philosophie henryenne de la religion. « Pas de révélation sans langage, pas de langage sans révélation ». Avant Michel Henry, c’est ce qu’avait on ne peut mieux dit Heidegger. Mais de quelle révélation s’agit-il et de quel langage ? Plus encore : de quel langage pour quelle révélation ? Voilà la question. C’est sur ce plan que la pensée de Michel Henry croise inévitablement la pensée de Heidegger qui, dès les premières lignes de L’essence de la manifestation, se présente comme son interlocuteur privilégié, voire son adversaire attitré. Et c’est justement dans la connexion entre révélation et langage que se décidera à la fois la proximité et la distance majeure entre les deux penseurs, liées à l’alternative que constituent leurs deux projets d’ontologie phénoménologique.
Notes préparatoires à Incarnation.
Authors: Jean Gégori , Leclercq Jean
Published: April 2021

présentation de notes inédites de Michel Henry, préparatoires à son ouvrage « Incarnation »
La répétition de la « philosophie du christianisme »
Authors: Furuso Tadayoshi
Published: April 2021

Il est difficile de mesurer le rôle joué par le christianisme dans la « philosophie du christianisme » développée vers la fin de sa vie par Michel Henry. L’hypothèse que nous voudrions avancer ici est que, dans sa « philosophie du christianisme », Henry exprime la transformation pratique et existentielle qu’il a éprouvée lors de sa redécouverte de la Bible, et tente de reproduire cette transformation dans d’autres vivants. Cette redécouverte serait ainsi à l’origine d’un choc immanent et affectif dans son existence même, et se traduirait dans ses derniers livres à travers une pratique d’écriture qui est elle-même à comprendre en termes de salut. En ce sens, la « philosophie du christianisme » exprimerait non seulement la compréhension théorique du salut de la vie humaine à l’intérieur d’une pratique, mais plus encore, ce salut serait à penser comme l’effet même de sa propre pratique philosophique.
L’événementialité du phénomène selon « Neue Phänomenologie in Frankreich »
Authors: Ikeda Yusuke
Published: April 2021

Cet article cherche à examiner la thèse fondamentale de Neue Phänomenologie in Frankreich, selon laquelle la spécificité du mouvement phénoménologique récent en France consisterait à décrire le « phénomène phénoménologique » d’une nouvelle manière et précisément selon son « événementialité ». À cette fin, il ne suffit pas simplement de reconstruire ou de résumer cette thèse telle qu’elle est exposée dans l’ouvrage, mais il est également nécessaire de construire de manière progressive le concept général d’événement et celui de « phénomène phénoménologique » conçu selon son événementialité. Cette étude essaie de répondre aux trois questions suivantes : qu’est-ce que la « nouvelle phénoménologie en France » ; qu’entend-t-on couramment par « événement » ? ; comment cette transformation du concept phénoménologique de phénomène motive-t-elle une réorganisation remarquable de sa méthode, à laquelle Janicaud a reproché d’être un « tournant théologique » ?
La philosophie de Michel Henry
Authors: Mukkamkuzhiyil Kurian
Published: April 2021

Cette étude met en rapport quelques notions fondamentales de la pensée indienne avec la phénoménologie de la vie. En avouant d’emblée les limites d’une telle démarche, l’auteur offre une ouverture sur la phénoménologie, notamment dans le cadre de la dimension non dualiste de la pensée indienne. Il s’attache à expliciter les recoupements entre l’affirmation henryenne de la réciprocité interne entre la Vie et les vivants et le fait que, pour la pensée indienne, toutes les réalités spirituelles et matérielles non seulement procèdent d’un Absolu, mais sont habitées par lui. L’auteur se demande notamment comment expliquer, dans une telle approche, la différence entre la Vie et les vivants. Cette contribution met donc en avant la pertinence et les enjeux d’une approche henryenne pour la compréhension des dimensions théologique, anthropologique, cosmologique et, en particulier, christique de la culture philosophique indienne.
Maître Eckhart sans Maine de Biran ? Les notes manuscrites eckhartiennes de Michel Henry
Authors: Meessen Yves
Published: April 2021

Cet article est le fruit d’une étude des manuscrits henryens portant la trace de la lecture consciencieuse et approfondie de l’unique ouvrage eckhartien dont M. Henry disposait, à savoir Traités et Sermons, traduits de l’allemand par Ferdinand Aubier et Jacques Molitor, avec une introduction de Maurice de Gandillac. Yves Meessen s’attache à montrer en quoi ces textes inédits permettent d’expliciter le sens de l’œuvre effectivement publiée : les notes manuscrites de M. Henry sur Maître Eckhart font état du changement de perspective entre Philosophie et phénoménologie du corps et L’essence de la manifestation. Cet article tâche en somme de répondre à la question suivante : plutôt que de quitter Biran pour Eckhart, M. Henry ne disposait-il pas d’un matériau apte à établir leur affinité pour une authentique « philosophie du christianisme » ?
Marx selon Michel Henry
Authors: Sereni Paul
Published: April 2021

Du point de vue de l’interprétation de Marx, il existe plusieurs raisons de revenir sur la lecture que M. Henry en a proposée. On peut d’abord souligner qu’à l’époque cette lecture n’a pas véritablement fait l’objet d’un débat public. Cela est d’autant plus curieux que beaucoup de ceux qui se sont depuis penchés sur l’œuvre de Marx, ont pris en compte l’apport de cette lecture. La première raison, pour en proposer une étude, serait donc de dire que la perspective d’Henry mérite à nouveau une discussion. Si l’on considère, par ailleurs, qu’elle roule en grande partie sur la différence entre personnalité et individualité et entre propre et propriété, une seconde raison serait qu’une telle interprétation recoupe l’intérêt actuel pour un complexe de problèmes qui touchent directement et indirectement les rapports entre personnalité et propriété.
D’ une fantastique à une fantomatique de l’affect
Authors: Brunfaut Simon
Published: April 2021

Simon Brunfaut tente dans cet article une lecture « henryenne » de la lecture henryenne de Marx, où il souligne d’emblée que « la réflexion de M. Henry est transcendantale d’un bout à l’autre – et ce même dans le Marx qui n’est pas, il faut le rappeler, une analyse politico-économique, mais bien métaphysico-praxique, ontophénoménologique. » Or tel est sans doute le problème de fond auquel se confronte toute lecture du Marx. Si l’on accepte que les thèses les plus radicales, mais aussi les plus discutables de M. Henry lisant Marx, ne sont justement pas des hypothèses de lecture ou les axiomes d’une quelconque « philosophie pratique », mais des manières pour l’auteur de L’essence de la manifestation de reformuler des intuitions ontologiques fondamentales, peut-être est-ce en dernière instance celles-ci qu’il faudrait interroger soigneusement.
O grande Evento Científico da Endodontia será em Curitiba este ano: 13o Congresso Internacional da Sociedade Brasileira de Endodontia
Authors: Duarte Marco Antônio Húngaro , Filho Flares Baratto
Published: April 2021

O grande Evento Científico da Endodontia será em Curitiba este ano: 13o Congresso Internacional da Sociedade Brasileira de Endodontia
Importância e elaboração de ficha clínica odontológica para a área de Cirurgia e Traumatologia Buco-maxilo-facial em serviços hospitalares de trauma
Authors: Azeredo Willian Martins , Pacher Giuliano Teixeira , Neto Antonio Eugênio Magnabosco
Published: April 2021

Objetivo: Propor um modelo de ficha clínica odontológica para a área de Cirurgia e Traumatologia Buco-maxilo-facial para ser utilizado em serviços hospitalares de trauma. Métodos: Esse é um relato de experiência sobre a confecção de ficha clínica odontológica, realizado no período de junho a dezembro de 2019, durante uma Residência Uniprofissional de Cirurgia e Traumatologia Buco-maxilo-facial em um hospital público do sul do Brasil. Resultados: A ficha clínica foi confeccionada com base na literatura e dividida em quatro sessões, as quais foram organizadas entre dados pessoais, históricos de saúde, avaliação do trauma, bem como informações transoperatórias e pós-operatórias. Conclusão: A elaboração e o correto preenchimento da ficha clínica odontológica na área da Cirurgia e Traumatologia Buco-maxilo-facial são essenciais para a realização do diagnóstico, planejamento e tratamento correto de cada caso, bem como para o favorecimento de registros epidemiológicos e a facilitação da comunicação entre a equipe do serviço hospitalar de trauma.
Remarks on the vanishing discount problem for infinite systems of Hamilton–Jacobi–Bellman equations
Authors: Terai Kengo
Published: April 2021

This paper is concerned with the asymptotic analysis of infinite systems of weakly coupled stationary Hamilton–Jacobi–Bellman equations as the discount factor tends to zero.
With a specific Hamiltonian, we show the convergence of the solution and prove the solvability of the corresponding ergodic problem.
La métrica Sigma del sistema Alinity ci: estudio sobre 39 magnitudes químicas y de inmunoensayo
Authors: Kanani Fatima Zehra , Kazmi Adnan Haider , Kaleem Bushra
Published: April 2021

Objetivos

La métrica Sigma es una forma útil y económica de verificar la calidad de las pruebas en los laboratorios clínicos. Alinity ci es un analizador (Abbott Diagnostics) lanzado recientemente, cuyo rendimiento aún no ha sido suficientemente estudiado. Calculamos el valor Sigma de 39 magnitudes químicas y de inmunoensayo de dos sistemas Alinity ci.

Métodos

Las métricas Sigma se derivaron de los estudios de validación del método. El coeficiente de variación (CV) se estimó siguiendo la guía CLSP EP 15. Se emplearon tres métodos para comprobar desviaciones: material de evaluación de rendimiento, comparación de métodos alternativos y prueba de linealidad. Se emplearon límites de error total permitido similares o inferiores a los de los estudios de referencia.

Resultados

Todas las magnitudes químicas, excepto el nitrógeno ureico en sangre (BUN), mostraron un valor Sigma > 6 en uno o más niveles y métodos. Ninguna de las magnitudes estudiadas obtuvo <3 Sigma. Entre los electrolitos, el sodio obtuvo <3 Sigma en dos niveles en el método de evaluación de rendimiento, aunque alcanzó >4 Sigma en los otros dos métodos. Los niveles Sigma obtenidos fueron similares a los de estudios anteriores.

Conclusiones

Los valores de Sigma fueron aceptables en todas las magnitudes químicas, de inmunoensayo y electrolitos analizados con Alinity ci. La métrica Sigma es una herramienta objetiva, económica y extendida de control interno de la calidad. Calculamos la métrica Sigma de numerosas pruebas de alto rendimiento. Es necesario evaluar el rendimiento de estas pruebas a largo plazo.
Le care pour les personnes âgées en contexte « chinois » : une analyse comparative structurelle entre Taiwan et la République Populaire de Chine
Authors: Payette Alex , Chien Yi-Chun
Published: April 2021

Les legs politiques forment un facteur important qui, malgré les discours néo-traditionnels présents dans le champ des études comparatives, explique comment certaines politiques, ainsi que la structure générale du conflit politique, ont influencé l’état des dispositions du care pour les personnes âgées à Taiwan et en République Populaire de Chine. D’une part, Taiwan transfère déjà depuis un moment les responsabilités du care liées à la famille vers la sphère publique par le biais de réformes politiques qui visent à répondre aux demandes de la société civile depuis la transition démocratique. D’autre part, le Parti-État a mis en place une série de lois « filiales » en plus de réformes politiques et économiques qui eurent comme conséquence de faire gonfler l’offre et la demande de care basé sur la famille sans toutefois remédier à la situation institutionnelle. Ces lois et réformes eurent un impact direct sur le développement des institutions offrant du soutien aux personnes âgées. Cela dit, la problématique qu’est la provision du care dans les sociétés dites « chinoises » demeure souvent présentée sous l’angle de la culture. Cette accentuation est le résultat de la prédominance d’une vision sociologique à l’intérieur de la discipline et du « retour de la culture » dans le champ de la politique comparée. Cependant, contrairement à cette tendance, l’article se propose de faire une analyse basée sur la « dépendance au sentier » de l’état actuel des dispositions du care pour les personnes âgées à Taiwan et en Chine. Celle-ci, sans pour autant passer par l’argument culturel, mettra l’accent sur l’influence des politiques récentes et sur l’émergence des structures de provision du care. En ce sens, l’objectif de l’article est de « ramener » les politiques à l’avant-plan dans l’étude des dispositions du care en Asie de l’est.
Asymptomatic severe laryngotracheoesophageal cleft (LTEC) in a preterm newborn
Authors: Menon Smriti M. , Chandramati Jayasree , Prabhu Ashwin S. , Ponthenkandath Sasidharan
Published: April 2021

Objectives

We are presenting a unique case of severe laryngo-tracheo-esophageal cleft in a preterm infant who remained asymptomatic for several days after birth. Laryngo-tracheo-esophageal cleft (LTEC) is a rare congenital anomaly, representing approximately 0.2–1.5% of congenital laryngeal malformations [Merei JM, Hutson JM. Embryogenesis of tracheo esophageal anomalies: a review. Pediatr Surg Int 2002;18:319–26]. There is an abnormal, posterior, sagittal communication between the larynx and the pharynx, which may extend downward between the trachea and the esophagus.

Case presentation

We report a case of LTEC in a preterm newborn whose mother had severe polyhydramnios. A preterm 34-week gestation female newborn was born in our institution whose mother had severe polyhydramnios during third trimester. She was postnatally diagnosed to have type 3 LTEC by the 19th day after birth. In the presence of a large common tracheo-esophageal cavity, the baby did not develop aspiration or respiratory distress despite feeding from birth.

Conclusions

This case report illustrates the many factors and the probable mechanisms involved in preventing aspiration.
Cost comparison of osteopathic manipulative treatment for patients with chronic low back pain
Authors: Cooley Danielle , Bailey James , Jermyn Richard
Published: April 2021

Context

Chronic low back pain (cLBP) is the second leading cause of disability in the United States, with significant physical and financial implications. Development of a multifaceted treatment plan that is cost effective and optimizes patients’ ability to function on a daily basis is critical. To date, there have been no published prospective studies comparing the cost of osteopathic manipulative treatment to that of standard care for patients with cLBP.

Objectives

To contrast the cost for standard of care treatment (SCT) for cLBP with standard of care plus osteopathic manipulative treatment (SCT + OMT).

Methods

This prospective, observational study was conducted over the course of 4 months with two groups of patients with a diagnosis of cLBP. Once consent was obtained, patients were assigned to the SCT or the SCT + OMT group based on the specialty practice of their physician. At enrollment and after 4 months of treatment, all patients in both groups completed two questionnaires: the 11 point pain intensity numerical scale (PI-NRS) and the Roland Morris Disability Questionnaire (RMDQ). Cost data was collected from the electronic medical record of each patient enrolled in the study. Chi-square (χ
2
Yates) tests for independence using Yates’ correction for continuity were performed to compare the results for each group.

Results

There was a total of 146 patients: 71 (48.6%) in the SCT + OMT group and 75 (51.4%) in the SCT group. The results showed no significant differences between the mean total costs for the SCT + OMT ($831.48 ± $553.59) and SCT ($997.90 ± $1,053.22) groups. However, the utilization of interventional therapies (2; 2.8%) and radiology (4; 5.6%) services were significantly less for the SCT + OMT group than the utilization of interventional (31; 41.3%) and radiology (17; 22.7%) therapies were for the SCT group (p<0.001). Additionally, the patients in the SCT + OMT group were prescribed fewer opioid medications (15; 21.1) than the SCT (37; 49.3%) patients (p.001). Patients in the SCT group were approximately 14.7 times more likely to have received interventional therapies than patients in the SCT + OMT group. Likewise, the patients in the SCT group were approximately four times more likely to have received radiological services. Paired t tests comparing the mean pre- and 4 month self reported pain severity scores on the RMDQ for 68 SCT + OMT patients (9.91 ± 5.88 vs. 6.40 ± 5.24) and 66 SCT patients (11.44 ± 6.10 vs. 8.52 ± 6.14) found highly significant decreases in pain for both group (<0.001).

Conclusions

The mean total costs for the SCT and SCT + OMT patients were statistically comparable across 4 months of treatment. SCT + OMT was comparable to SCT alone in reducing pain and improving function in patients with chronic low back pain; however, there was less utilization of opioid analgesics, physical therapy, interventional therapies, radiologic, and diagnostic services for patients in the SCT + OMT group.
Reference ranges for sphingosine-1-phosphate in neonates
Authors: Ebenebe Chinedu Ulrich , von Lucadou Mirjam , Moritz Eileen , Schwedhelm Edzard , Daum Guenter , Singer Dominique , Deindl Phillip , Winkler Martin Sebastian
Published: April 2021

Objectives

Sphingosine-1-phosphate (S1P) is a signalling lipid involved in embryonic development, physiological homeostasis, and pathogenic processes in multiple organ systems. Disturbance of S1P homeostasis has been associated with various human diseases in which the immune response and vascular integrity are severely compromised. Up-to-date, no study has analyzed S1P levels in neonates. The objective of this study was to determine S1P serum concentrations in neonates and establish S1P reference ranges.

Methods

S1P levels in the umbilical cord blood of 460 term and preterm neonates were compared to a previously described cohort of healthy adult blood donors. S1P levels were further correlated with demographic characteristics, cellular sources of S1P, and inflammatory markers.

Results

The median S1P serum level in neonates was 1.70 μmol/L (IQR 1.41–1.97 μmol/L) and significantly higher than normal values reported in adults. S1P levels correlated positively with the number of red blood cells (p<0.001) and negatively with neutrophil precursors (p=0.028).

Conclusions

Elevated S1P levels in neonates compared to adults possibly result from higher S1P content in its cellular sources due to the essential role of S1P during embryogenesis. Generated S1P ranges may be used as reference ranges for future studies in neonates.
Quasi-ideal Ehresmann transversals: The spined product structure
Authors: Kong Xiangjun , Wang Pei , Tang Jian
Published: April 2021

In anyU-abundant semigroup with an Ehresmann transversal, two significant componentsRandLare introduced in this paper and described by Green’s∼\sim-relations. Some interesting properties associated withRandLare explored and some equivalent conditions for the Ehresmann transversal to be a quasi-ideal are acquired. Finally, a spined product structure theorem is established for aU-abundant semigroup with a quasi-ideal Ehresmann transversal by means ofRandL.
Meine Definition von Spiritual Care: Pflege und Selbstpflege – innere Kraftquellen für helfende Berufe
Authors: Bauer Peter
Published: April 2021

Innere Stabilität, emotionale Ausgeglichenheit, Work-Life-Balance und Resilienz sind gängige Begriffe der modernen Arbeitswelt. Auch und gerade Spiritualität dient als Kraftquelle, um Lebensmut zu schöpfen und Reserven zu mobilisieren. Spiritual Care ist daher aus Sicht des Patienten- und Pflegebeauftragten der Bayerischen Staatsregierung eine Wiederentdeckung von etwas Verlorengegangenem, das aber in die professionelle Unterstützung des Pflegeberufs unbedingt systematisch und konsequent einbezogen werden sollte.

Um den Inhalt und die Zielsetzung von Spiritual Care großflächig bekannt zu machen, müsste der Begriff einfacher erklärt werden. Mit der Übersetzung „Pflege und Selbstpflege – innere Kraftquellen für helfende Berufe“ macht der Beauftragte einen Vorschlag.

Spiritual Care sollte seiner Ansicht nach bereits in der Pflegeausbildung fest verankert werden. Für alle Pflegenden in den diversen Einrichtungen ist Spiritual Care nicht nur eine Privatangelegenheit, sondern auch Führungsaufgabe.
Laparoscopic treatment of inguinal hernia in female children – national experience
Authors: Risteski Toni
Published: April 2021

Background. Although, laparoscopic inguinal hernia repair in children is gaining ground as a safe, feasible, and popular method, still many pediatric surgeons continue to debate its safety, efficacy, and cosmesis in comparison with conventional open repair. Materials and methods. This was a prospective clinical study, that elaborated 98 female children aged 1–14 with clinically diagnosed indirect inguinal hernia. Equal proportions of 49 children were treated via laparoscopic (PIRS) either conventional open repair (OR). Outpatient clinic follow up was performed regardless of the type of the intervention, on the 7th day and 6 weeks after discharge. Results. The mean age of children in PIRS vs. OR group was 5.3±2.7 vs. 5.9±3.3 years. There was no significant differences between the groups related to age (p = 0.4221), weight (p = 0.5482), family history (p = 0.5377), and residency rural/urban (p = 0.3161). The average length of unilateral vs. bilateral PIRS repair (29.5±6.8 vs. 43.6±7.2 min) was significantly shorter than OR (44±4.2 vs. 97±8.1 min) for consequently p = 0.0023 vs. p = 0.00001. The post-operative hospitalization after PIRS repair was 14.1±3.1 hours and was significantly shorter compared to OR – 44±4.2 hours (p = 0.00001). In OR group, 4 (8.2%) children had postoperative nausea compared to none in PIRS group. Significantly bigger cosmetic satisfaction was found in PIRS compared to OM group (p = 0.0001). Conclusion. With due respect to OR as a gold standard, the proven advantages of PIRS are motivation for further improvement of this technique for the purpose of treatment of inguinal hernia of female children.
Scaphoid Fracture Reconstruction with Rib Autograft: Case Report and Literature Review
Authors: Fomkinas Mantas , Kievišas Mantas , Braziulis Kęstutis , Rimdeika Rytis
Published: April 2021

Objective. To evaluate the results of scaphoid bone proximal pole reconstruction with rib osteochondral autograft due to comminuted scaphoid fracture. Material and methods. We present a clinical case of fragmented scaphoid bone proximal pole fracture reconstruction by rib osteochondral autograft. The modified wrist function score of Green and O’Brien and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) outcome measuring scales were used for clinical evaluation before and 6 months after the reconstruction. Additio­nally, a literature review was conducted for case reports and previous literature reviews describing scaphoid bone proximal pole fracture surgical treatment. Medline (PubMed), ScienceDirect and UpToDate databases were used. Results. Conventional treatment methods for the treatment of comminuted proximal pole scaphoid bone fractures are often inappropriate due to technical issues or potential adverse outcomes. In these cases, reconstruction with rib autograft is possible. The study patient’s modified wrist function score of Green and O’Brien increased from 75 to 95 points out of 100 at 6 months postoperatively, and the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score decreased from 13.64 to 4.55 points. The results of this technique have been investigated in several studies (Sandow, 1998, 2001; Veitch et al., 2007). All subjects (22, 47 and 14 patients, respectively), except one, experienced improvement of wrist function – enhanced wrist movement, grip strength, reduced pain and restored wrist function to the pre-injury performance level. Conclusions. Scaphoid bone proximal pole fragmented fracture reconstruction with osteochondrial rib autograft achieves favorable recovery of wrist function and avoids complications or unfavorable functional consequences of alternative surgical procedures.
Review of Dissonant Methods: Undoing Discipline in the Humanities Classroom
Authors: McDonald Jessica
Published: April 2021

This is a review of the book Dissonant Methods: Undoing Discipline in the Humanities Classroom, eds. Ada S. Jaarsma and Kit Dobson.
Boundary spanning leadership among community-engaged faculty: An exploratory study of faculty participating in higher education community engagement
Authors: Jennifer W. Purcell  , Pearl Andrew , Van Schyndel Trina
Published: April 2021

The purpose of this study was to explore faculty members’ perceptions of their roles as boundary spanners, the expectations they have for professional competencies related to boundary spanning, and how these faculty were prepared to successfully perform in their boundary-spanning leadership roles. In the context of higher education community engagement, boundary spanning refers to the work that is critical in overcoming the divide between the institution and the community (Weerts & Sandmann, 2010). This study revealed boundary-spanning faculty leaders’ perceptions of their roles, competencies for effective community-engaged teaching and scholarship, and ways in which institutions may cultivate and support boundary-spanning leadership among current and future scholars and educators.
A Change of Leadership for the Engaged Scholar Journal
Authors: Sanz Penelope C , Bradford Lori , Khanenko-Friesen Natalia
Published: April 2021

In the Exchanges, we present conversations with scholars and practitioners of community engagement, responses to previously published material, and other reflections on various aspects of community-engaged scholarship meant to provoke further dialogue and discussion. In this section, we invite our readers to offer their thoughts and ideas on the meanings and understandings of engaged scholarship, as practiced in local or faraway communities, diverse cultural settings, and in various disciplinary contexts. We especially welcome community-based scholars’ views and opinions on their collaborations with university-based partners in particular and engaged scholarship in general. 

In this issue, we discuss the recent changeover of leadership at The Engaged Scholar Journal with Dr. Natalia Khanenko-Friesen, who has recently left the University of Saskatchewan to assume new posts at the University of Alberta, and Dr. Lori Bradford. Managing Editor Dr. Penelope (Penny) Sanz takes both through a conversation about the inception, current state, and future goals of the journal, and their reflections on engaged scholarship as a career.
Analysis of adolescent satisfaction with the quality of their physical education classes
Authors: Kralova Katerina , Fialova Ludmila
Published: April 2021

Objective

A lack of movement in adolescence is a pressing issue for modern society. Physical education at school can have a major influence on the movement habits of adolescents, since it can offer curriculum that gives students ideas for leisure time while entertaining them and also respecting physical fitness goals. The aim of this work is to analyze student satisfaction with physical education classes at secondary vocational schools.

Methods

Categories were created based on week-long monitoring of walking. Based on the number of steps, students were divided into four categories: active girls/boys and hypoactive girls/boys. In another part of the study, the students filled out the questionnaire created by Antala et al. (2012). Responses to questions regarding questions about unpopular activities, dread of specific activities, and more frequent inclusion of specific activities in PE classes. A χ2 independence test was used to compare data between individual student categories in the combination table.

Results

The health recommendations for minimum daily number of steps are met by 65.4% of boys and 75.8% of girls aged 15–16 years. Chi-squared test showed the greatest difference in satisfaction with physical education (P-value <0.001) between the hypoactive groups of students. Hypoactive boys are significantly more satisfied with the activities in PE class than hypoactive girls. Dread is more often present among girls than boys and is particularly associated with gymnastics. Activities that students wanted to do more often included ball games (football for boys, volleyball for girls), strength training (listed by 32% of hypoactive boys) and exercise to music (listed by 49% of hypoactive girls).

Conclusions

We believe that the proper choice of PE activities can increase the popularity of the class, and thus influence the exercise habits of adolescents, including those who are found to have insufficient physical activity.
Early diagnosis of myocardial fibrosis in patients with epicardial obesity
Authors: Gritsenko O. V. , Chumakova G. A. , Trubina E. V.
Published: April 2021

It has been proven that about half of patients with heart failure (HF) have a preserved the left ventricle (LV) ejection fraction (EF), which complicates early detection of HF. Currently, there is a search for non-invasive methods for diagnosing myocardial fibrosis at the preclinical heart failure to prevent its progression and the appearance of clinical symptoms.

Aim. To study the relationship of LV mechanics with the level of serum myocardial fibrosis markers in patients with epicardial obesity (EO).

Material and methods. The study included 110 men with general obesity. Depending on echocardiographic data, the patients were divided into 2 groups: EO (+) with epicardial fat thickness (EFT) ≥7 mm (n=70); EO (-) with EFT <7 mm (n=40). All patients were studied for serum profibrotic markers (MMP-3, collagen I, collagen III, TGF-β, VEGFA, PICP) using enzyme-linked immunosorbent assay. Speckle-tracking echocardiography was used to study LV mechanics (LV twisting, LV twisting rate, time to peak twist, LV untwisting rate, time to peak untwist). The exclusion criteria were the presence of coronary artery disease, hypertension, type 2 diabetes.

Results. In the group of patients with EO (+), a significant increase in the level of all studied profibrotic markers was revealed. According to the results of speckletracking echocardiography in the EO (+) group, an increase in the LV untwisting rate to -128,31 (-142,0; -118,0) deg/s-1 (p=0,002) and an increase in the time to peak untwist to 476,44 (510,0; 411,0) ms compared to the EO (-) group (p=0,03). A weak significant effect of EFT on LV untwisting rate was revealed in the EO (+) group (r=0,24; p=0,04). In addition, a significant relationship was found between the LV untwisting rate and markers of myocardial fibrosis: MMP-3 (r=0,21; p=0,04) and type III collagen (r=0,26; p=0,03).

Conclusion. Thus, the obtained data suggest that patients with EO have signs of preclinical LV diastolic dysfunction, which are characterized by an increase in LV untwisting rate and level of serum profibrotic factors.
Effect of metformin therapy on muscle mass and strength in patients with and without diabetes. Meta-analysis of 15 studies
Authors: Sokolova A. V. , Klimova A. V. , Dragunov D. O. , Arutyunov G. P.
Published: April 2021

Aim. To assess the parameters reflecting sarcopenia (body composition, muscle strength, muscle function) in order to determine the effectiveness of metformin in patients with sarcopenia.

Material and methods. Systematic searches of clinical trials were carried out in MEDLINE databases through PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), ResearchGate from January 1990 to March 2019. For statistical processing, the R language with the RStudio software was used. The following packages were used: googlesheets4, tidyverse, meta, dmetar, metafor. The metaanalysis included 391 patients with both established for the first time and existing long-term type 2 diabetes (T2D), with prediabetes, impaired glucose tolerance (IGT), as well as patients without impaired glucose metabolism. In comparison groups (194 patients who received metformin and 197 patients who received placebo), the effect of metformin on lean body mass (LBM), fat mass, muscle strength and muscle function was assessed, which made it possible to indirectly evaluate the potential effect of metformin on sarcopenia.

Results. The use of metformin in patients with different glucose metabolism (type 2 diabetes, IGT, prediabetes) did not lead to significant changes in body composition (on average, LBM increased by 0,9 kg (MD, 0,8815; CI (-0,11; 1,87), p=0,0818), fat mass decreased by 0,7% (MD, -0,6856; CI (-1,54; 0,17), p=0,1170), but muscle strength significantly increased by 0,5 kg (SMD, 0,5241, CI (0,2265; 0,8217), p=0,0006).

Conclusion. Meta-analysis has confirmed that the use of metformin has an effect on muscle strength, which makes it possible to consider it for sarcopenia treatment. Unfortunately, a small number of studies have not allowed to analyze the effect of metformin on a number of characteristics: muscle strength, muscle function (walking speed, functional tests). At the moment, a much larger prospective study is needed to form a final opinion on the rationale of metformin therapy in patients with sarcopenia.
The Great War in the writings of British clergyman Reginald John Campbell
Authors: Zabelina N. Yu.
Published: April 2021

The analysis of various aspects of the part of the extensive philosophical and literary heritage of the English Protestant preacher Reginald John Campbell (1867–1956), which is devoted to the events of the First World War and the participation of Great Britain in it, is represented.His works, on the one hand, serve as a living document of an era still incomplete at the time of their writing; on the other hand, they represent philosophical and theological reflections in this context. At the same time, they are quite significant insights into social processes that went far beyond questions of faith, and even an attempt to predict structural changes in public life after the end of the Great War. This multi-dimensionality creates a rather interesting ‘stereoscopic’ picture of events, perceived by an influential, original, highly educated religious figure, who at the time of the creation of the corpus of texts under consideration was already a mature and insightful person.The author of the article attempts to reveal the versatility of R. J. Campbell’s judgments, immersed in the context of the events of the era, which is of interest to researchers of Church history and public life in Great Britain during this period.
Christian archeology – presentation of materials of modern Russian scientific conferences
Authors: Rodionova Yu. V.
Published: April 2021

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Nursing assistance in patient care with external ventricular drain: a scoping review
Authors: Sakamoto Victoria Tiyoko Moraes , Vieira Tainara Wink , Viegas Karin , Blatt Carine Raquel , Caregnato Rita Catalina Aquino
Published: April 2021

ABSTRACT Objectives: to map the available evidence about nursing care aimed at adult patients using external ventricular drain. Methods: this is a review using the scoping review method. Results: Initially, 965 studies were identified and, after the eligibility criteria, a sample of 54 publications was obtained. Each of them was assessed according to GRADE, resulting in three studies with high quality; 14 with moderate quality; 32 with low quality; and five with very low quality. It was highlighted 20 nursing care subdivided into nine categories, namely: drainage system; bed positioning and mobilization; catheter care; monitoring of intracranial pressure; and medication administration. Conclusions: the scoping review made it possible to identify the main nursing care directed to adult patients undergoing placement of external ventricular drain from the evidence available to date.
Clinical outcomes of patient navigation performed by nurses in the oncology setting: an integrative review
Authors: Rodrigues Rodrigo Lima , Schneider Franciane , Kalinke Luciana Puchalski , Kempfer Silvana Silveira , Backes Vânia Marli Schubert
Published: April 2021

ABSTRACT Objective: to evidence the clinical outcomes of navigation performed by nurses in cancer patients. Methods: this is an integrative literature review with collection in MEDLINE via PUBMED, LILACS, Web of Science, Scopus, and CINAHL databases. The final sample consisted of seven studies. The data were analyzed and presented descriptively. Data related to clinical outcomes were compiled and described in full. The Agency for Healthcare Research and Quality categorization was used to assess the level of evidence. Results: the clinical outcomes demonstrated were decreased distress, anxiety and depression, improved control and management of symptoms, improved physical conditioning, improved quality and continuity of care, improved quality of life, reduced time to start treatment. Final considerations: there is research that shows better clinical outcomes in cancer patients through navigation by nurses across the continuum of health care.