bluuebunny/crossref_metadata_2025 huggingface dataset:
Het contacteren van professionele hulpverleners omwille van sociale of emotionele problemen bij net‐gehuwde en net‐samenwonende koppels : de rol van partner- en relatiekenmerken
Authors: Colman Elien , Buffel Veerle , Bracke Piet
Published: June 2021

Onderzoek naar de determinanten van het gebruik van professionele hulpverlening omwille van sociale en emotionele problemen heeft zich tot nu toe hoofdzakelijk geconcentreerd op het belang van individuele kenmerken.  In deze bijdrage gaan we na of het zorggebruik van net‐gehuwde en net‐samenwonende mannen en vrouwen (N=798 koppels) ook beïnvloed wordt door hun partner, hun relatie (duur, gezondheidsgerelateerde steun en conflict) en het verbreken van een eerdere samenwoonrelatie. We vinden geen directe invloed van intieme relaties bij mannen, maar bij vrouwen vinden we dat diegenen die ooit gescheiden zijn en diegenen die veel conflicten hebben met hun partner een minder goede mentale gezondheid hebben en bijgevolg een grotere kans hebben om een professionele hulpverlener gecontacteerd te hebben. Uit de resultaten blijkt ook dat, los van de behoefte aan hulp, vrouwen minder vaak een professionele hulpverlener contacteren, naargelang ze langer samenwonen met hun partner. Het belang van deze resultaten voor verder onderzoek en het beleid worden besproken.
Abstract :
Although the literature on determinants of health care use has traditionally been concentrating on individual determinants, the couple can also be considered as an important entity in the study of mental health care use. We examine how the mental health care use of recently cohabiting or newlywed men and women (N=798 couples) is influenced by the mental health care use of their partner, characteristics of their relationship (years living together, health‐related support, conflict) and a broken cohabiting relationship. We find no direct effects of intimate relationships on men’s mental health care use. Among women, results show that those who have ever been separated and those who have more conflicts with their partner have a higher health care use, which can be attributed to their higher need for care. Results also show that the longer women live with their male partner, the less mental health care they consume.
Parental Alienation Syndrome of contactbreuk : Waarom uit het oog niet uit het hart is. Kinderen verst(r)ikt in verbinding.
Authors: Wiewauters Claire , Emmery Kathleen
Published: June 2021

In dit artikel nemen we als focus de kwetsbare positie van het kind in de context rondom PAS (Parental Alienation Syndrome). We vertrekken vanuit een postmoderne visie op de werkelijkheid waarbij de betekenisgeving binnen een relationeel kader een belangrijke plaats inneemt. Ook de ontwikkelingsleeftijd van kinderen vergt onze aandacht. We toetsen ons conceptueel kader aan een analyse van 60 chatgesprekken van kinderen en jongeren met de hulplijn Awel over de scheiding van hun ouders en het leven in een samengesteld gezin. We formuleren een aantal concrete voorstellen die ervoor moeten zorgen dat de ontwikkeling en het welzijn van kinderen en jongeren zoveel mogelijk gewaarborgd blijft wanneer contactbreuk bij en na scheiding optreedt. Hiermee bieden we een antwoord op de draaglast en het isolement van kinderen. We houden een pleidooi om het actorschap van kinderen te verhogen. We pleiten voor meer samenwerking tussen de betrokkenen bij welzijn en justitie.
Abstract : 
This article focuses on the vulnerable position of the child in the context of PAS (Parental Alienation Syndrome).  Our starting point is a postmodern vision on reality in which meaning making plays an important role in relations.  We also pay attention to the developmental age of children. We test our conceptual framework with an analysis of 60 chat conversations of children and youngsters with the online service of the Flemish Child Helpline (‘Awel’) about the divorce of their parents and life in a newly composed family. We formulate several specific suggestions to make sure that the development and well‐being of children and youngsters is guaranteed as much as possible when contact is broken during and after the divorce. With this we offer a response to the burden and isolation of children. We make a plea to strengthen the agency of children and for more cooperation between the welfare work and legal actors that are involved.
Энергетическая оценка смачивания проводящей каплей заряженной диэлектрической поверхности
Authors: Голочалова А.В. , Кулумбаев Э.Б.
Published: June 2021

The energy estimation of wetting by a conducting droplet of a dielectric substrate charged with an external electric charge fixed on it is performed. It was found that the wettability of such a surface decreases if the average density of the charge induced in the base of the droplet exceeds the threshold value.
Датчик скорости потока жидкости на основе волоконных брэгговских решеток с индукционным нагревом
Authors: Умнова А.В. , Алейник А.С. , Стригалев В.Е. , Новикова В.А. , Аширов А.Н.
Published: June 2021

The paper presents simulating and experimental results of flowmeter operation with induction heating, where fiber Bragg gratings were used as sensitive elements of temperature sensors. The operating principle of flowmeter based on cross-correlation method. During the experiment, it was detected time response of heat pulse from 0.2 s to 0.5 s that corresponds to a flow velocity range 0.1-0.5 m/s.
Резонансное болометрическое детектирование широкополосных сигналов терагерцевого диапазона частот
Authors: Богацкая А.В. , Кленов Н.В. , Никифорова П.М. , Попов А.М. , Щеголев А.Е.
Published: June 2021

We discuss the detection of broadband radiation in the terahertz frequency range by a bolometric method using heterostructures consisting of a sequence of conducting and dielectric layers of doped and undoped semiconductors (gallium arsenide, germanium). This structure forms a photonic crystal with allowed and forbidden bands (absorption and transmission ranges). By selecting the thicknesses of the conductive and non-conductive layers and the doping levels, it is possible to form spectral intervals of effective absorption, which allows detecting pulses in the frequency range >10^12 Hz with a spectral width of the order of the carrier frequency.
Stakeholder Perspectives on an Inpatient Hypoglycemia Informatics Alert: Mixed Methods Study (Preprint)
Authors: Mathioudakis Nestoras , Aboabdo Moeen , Abusamaan Mohammed S , Yuan Christina , Lewis Boyer LaPricia , Pilla Scott J , Johnson Erica , Desai Sanjay , Knight Amy , Greene Peter , Golden Sherita H
Published: June 2021

BACKGROUND

Iatrogenic hypoglycemia is a common occurrence among hospitalized patients and is associated with poor clinical outcomes and increased mortality. Clinical decision support systems can be used to reduce the incidence of this potentially avoidable adverse event.

OBJECTIVE

This study aims to determine the desired features and functionality of a real-time informatics alert to prevent iatrogenic hypoglycemia in a hospital setting.

METHODS

Using the Agency for Healthcare Research and Quality Five Rights of Effective Clinical Decision Support Framework, we conducted a mixed methods study using an electronic survey and focus group sessions of hospital-based providers. The goal was to elicit stakeholder input to inform the future development of a real-time informatics alert to target iatrogenic hypoglycemia. In addition to perceptions about the importance of the problem and existing barriers, we sought input regarding the content, format, channel, timing, and recipient for the alert (ie, the Five Rights). Thematic analysis of focus group sessions was conducted using deductive and inductive approaches.

RESULTS

A 21-item electronic survey was completed by 102 inpatient-based providers, followed by 2 focus group sessions (6 providers per session). Respondents universally agreed or strongly agreed that inpatient iatrogenic hypoglycemia is an important problem that can be addressed with an informatics alert. Stakeholders expressed a preference for an alert that is nonintrusive, accurate, communicated in near real time to the ordering provider, and provides actionable treatment recommendations. Several electronic medical record tools, including alert indicators in the patient header, glucose management report, and laboratory results section, were deemed acceptable formats for consideration. Concerns regarding alert fatigue were prevalent among both survey respondents and focus group participants.

CONCLUSIONS

The design preferences identified in this study will provide the framework needed for an informatics team to develop a prototype alert for pilot testing and evaluation. This alert will help meet the needs of hospital-based clinicians caring for patients with diabetes who are at a high risk of treatment-related hypoglycemia.
Title: The Role of Social Media in Physician Education (Preprint)
Authors: Llaneras Noah , Arora Yingyot , Arora Nyanika , Carrillo Roger
Published: June 2021

BACKGROUND

Social media has fundamentally changed the practice of medicine. It has taken the medical community by storm, immensely benefited patient care, and is becoming a leading source for distributing medical information. Social media platforms are a low-cost, low-barrier entry means for health systems to highlight their competitive advantage to patients and providers alike. The aim of this study was to assess the role of social media in the education of physicians.

OBJECTIVE

The primary objective of this study was to describe the influence social media has on the education of physicians

METHODS

To evaluate the utility of social media in engaging physicians, four vignettes were created to highlight Class 1 indications for lead extraction. Individuals, via Twitter, were asked to answer four corresponding questions.

RESULTS

The questions were seen by more than 18,000 individuals worldwide on Twitter. Survey results indicated that 83% of individuals who participated had correctly answered the questions. 16-21% of physicians incorrectly identified the next step in management for Class 1 indications for lead extraction.

CONCLUSIONS

Social media may be a useful tool in physician education. However, guidelines and further research are needed to continue to understand the role of social media within the medical field.
Online self-exclusion from multiple gambling venues: Stakeholder co-design of a usable and acceptable self-directed website (Preprint)
Authors: Pickering Dylan , Serafimovska Anastasia , Cho Su Jeong , Blaszczynski Alex , Gainsbury Sally Melissa
Published: June 2021

BACKGROUND

Gambling self-exclusion programs are under-utilised and barriers to entry include shame and embarrassment with face-to-face registration, and complex and effortful procedures.

OBJECTIVE

The current study aimed to facilitate self-exclusion from gambling venues via an online self-directed website.

METHODS

A participatory co-design approach was used to elicit key stakeholders’ perspectives on required website features, functionality, and to identify variables potentially impacting on development and implementation. Semi-structured focus groups and interviews were conducted across four stakeholders (N = 25): self-exclusion end users (consumers, n = 5), gambling counsellors (n = 7), venue staff (n = 6), and policy makers (n = 7).

RESULTS

Overall, stakeholder perspectives were consistent with content analysis indicating the importance of website user-friendliness, flexibility, supportiveness, and trustworthiness. Importantly, these attributes were linked to target end users’: perceived vulnerabilities, diverse backgrounds and individual expectations. Thus, current findings have broader implications for digital health intervention design. Participants believed that the entire self-exclusion process should be conducted online, including identity verification, whilst expecting high-level data security measures to protect their personal privacy. A separate webpage was also suggested containing relevant information and links to additional help services, such as counselling.

CONCLUSIONS

This study describes an adaptable co-design framework for developing a usable and acceptable self-exclusion website. Future studies should empirically test system usability and acceptability to refine and maximise system uptake upon implementation.

CLINICALTRIAL

https://osf.io/6d54v/
Global Research on Coronaviruses: Metadata-Based Analysis for Public Health Policies (Preprint)
Authors: Warin Thierry
Published: June 2021

BACKGROUND

Within the context of the COVID-19 pandemic, this paper suggests a data science strategy for analyzing global research on coronaviruses. The application of reproducible research principles founded on text-as-data information, open science, the dissemination of scientific data, and easy access to scientific production may aid public health in the fight against the virus.

OBJECTIVE

The primary goal of this paper was to use global research on coronaviruses to identify critical elements that can help inform public health policy decisions. We present a data science framework to assist policy makers in implementing cutting-edge data science techniques for the purpose of developing evidence-based public health policies.

METHODS

We used the EpiBibR (epidemiology-based bibliography for R) package to gain access to coronavirus research documents worldwide (N=121,231) and their associated metadata. To analyze these data, we first employed a theoretical framework to group the findings into three categories: conceptual, intellectual, and social. Second, we mapped the results of our analysis in these three dimensions using machine learning techniques (ie, natural language processing) and social network analysis.

RESULTS

Our findings, firstly, were methodological in nature. They demonstrated the potential for the proposed data science framework to be applied to public health policies. Additionally, our findings indicated that the United States and China were the primary contributors to global coronavirus research during the study period. They also demonstrated that India and Europe were significant contributors, albeit in a secondary position. University collaborations in this domain were strong between the United States, Canada, and the United Kingdom, confirming the country-level findings.

CONCLUSIONS

Our findings argue for a data-driven approach to public health policy, particularly when efficient and relevant research is required. Text mining techniques can assist policy makers in calculating evidence-based indices and informing their decision-making process regarding specific actions necessary for effective health responses.
A New Method to Extract Health-Related Quality of Life Data From Social Media Testimonies: Algorithm Development and Validation (Preprint)
Authors: Renner Simon , Marty Tom , Khadhar Mickaïl , Foulquié Pierre , Voillot Paméla , Mebarki Adel , Montagni Ilaria , Texier Nathalie , Schück Stéphane
Published: June 2021

BACKGROUND

Monitoring social media has been shown to be a useful means to capture patients’ opinions and feelings about medical issues, ranging from diseases to treatments. Health-related quality of life (HRQoL) is a useful indicator of overall patients’ health, which can be captured online.

OBJECTIVE

This study aimed to describe a social media listening algorithm able to detect the impact of diseases or treatments on specific dimensions of HRQoL based on posts written by patients in social media and forums.

METHODS

Using a web crawler, 19 forums in France were harvested, and messages related to patients’ experience with disease or treatment were specifically collected. The SF-36 (Short Form Health Survey) and EQ-5D (Euro Quality of Life 5 Dimensions) HRQoL surveys were mixed and adapted for a tailored social media listening system. This was carried out to better capture the variety of expression on social media, resulting in 5 dimensions of the HRQoL, which are physical, psychological, activity-based, social, and financial. Models were trained using cross-validation and hyperparameter optimization. Oversampling was used to increase the infrequent dimension: after annotation, SMOTE (synthetic minority oversampling technique) was used to balance the proportions of the dimensions among messages.

RESULTS

The training set was composed of 1399 messages, randomly taken from a batch of 20,000 health-related messages coming from forums. The algorithm was able to detect a general impact on HRQoL (sensitivity of 0.83 and specificity of 0.74), a physical impact (0.67 and 0.76), a psychic impact (0.82 and 0.60), an activity-related impact (0.73 and 0.78), a relational impact (0.73 and 0.70), and a financial impact (0.79 and 0.74).

CONCLUSIONS

The development of an innovative method to extract health data from social media as real time assessment of patients’ HRQoL is useful to a patient-centered medical care. As a source of real-world data, social media provide a complementary point of view to understand patients’ concerns and unmet needs, as well as shedding light on how diseases and treatments can be a burden in their daily lives.
Infoveillance of the Croatian Online Media During the COVID-19 Pandemic: One-Year Longitudinal Study Using Natural Language Processing (Preprint)
Authors: Beliga Slobodan , Martinčić-Ipšić Sanda , Matešić Mihaela , Petrijevčanin Vuksanović Irena , Meštrović Ana
Published: June 2021

BACKGROUND

Online media play an important role in public health emergencies and serve as essential communication platforms. Infoveillance of online media during the COVID-19 pandemic is an important step toward gaining a better understanding of crisis communication.

OBJECTIVE

The goal of this study was to perform a longitudinal analysis of the COVID-19–related content on online media based on natural language processing.

METHODS

We collected a data set of news articles published by Croatian online media during the first 13 months of the pandemic. First, we tested the correlations between the number of articles and the number of new daily COVID-19 cases. Second, we analyzed the content by extracting the most frequent terms and applied the Jaccard similarity coefficient. Third, we compared the occurrence of the pandemic-related terms during the two waves of the pandemic. Finally, we applied named entity recognition to extract the most frequent entities and tracked the dynamics of changes during the observation period.

RESULTS

The results showed no significant correlation between the number of articles and the number of new daily COVID-19 cases. Furthermore, there were high overlaps in the terminology used in all articles published during the pandemic with a slight shift in the pandemic-related terms between the first and the second waves. Finally, the findings indicate that the most influential entities have lower overlaps for the identified people and higher overlaps for locations and institutions.

CONCLUSIONS

Our study shows that online media have a prompt response to the pandemic with a large number of COVID-19–related articles. There was a high overlap in the frequently used terms across the first 13 months, which may indicate the narrow focus of reporting in certain periods. However, the pandemic-related terminology is well-covered.
Appraising the Likely Gentrification Impacts of a Mega Transport Project—The Case of Crossrail
Authors: Liu Junyou
Published: June 2021

Megaprojects are defined as projects that cost a billion US dollars or more at 1990 prices. Mega transport infrastructure projects have the potential to affect important socioeconomic and territorial changes. They are often perceived as critical to the “success” of major metropolitan, regional and national development. The redevelopment of neighbourhoods offers many opportunities for regional regeneration, yet there remain concerns regarding the potential gentrification of areas leading to the displacement of existing populations and local businesses. This research applies multi-criteria analysis, a tool that is widely used in mega infrastructure project appraisal using the UK’s Crossrail as a case to explore the likelihood of gentrification and the displacement impacts of the project. This paper finds both positive and negative impacts. Different stakeholders express noticeably differing opinions regarding the project.
A BRIEF REVIEW OF TREATMENT MODALITIES FOR NON-MELANOMA SKIN CANCER
Authors: SHAH HARSHIT
Published: June 2021

NMSC (Non-melanoma skin cancer) is the most commonly occurring malignancy in Caucasians. Out of all diagnosed NMSC cases, 95% of the cases are of basal cell carcinoma and squamous cell carcinoma. The therapeutic approaches to cure or ultimately rescue the skin area affected by NMSC include surgical methods, photodynamic therapy, radiation therapy, immunotherapy, and chemotherapy. This article aims to provide a brief overview of the preliminary mechanism of action, clinical studies, advantages, and disadvantages of currently available treatment modalities.
THE SPECTRA OF INTESTINAL PARASITIC INFECTIONS AFFECTING PATIENTS ATTENDING A TERTIARY CARE CENTER IN WESTERN UTTAR PRADESH
Authors: MISHRA PREM PRAKASH , KUMAR ANIL , UPADHYAY DEEPAK , GARG AMIT , SHARMA SHRISTI
Published: June 2021

Objective: Intestinal parasitic infection is a burgeoning health issue, especially in developing countries owing to low socioeconomic conditions, poor sanitation, poor personal hygiene, and lack of access to potable drinking water. This study aims to determine the prevalence of different intestinal parasites among the patients.

Methods: This cross-sectional study was conducted among 470 patients attending our hospital from October 2018 to September 2019. Specimens were collected and examined macroscopically and microscopically using concentration methods and modified Ziehl–Neelsen staining for coccidian parasites.

Results: Out of the 470 patients, prevalence of intestinal infections was 4.89%. The helminthic infections were more common (52.17%), which was topped by Hookworm infection (26.09%) followed by Ascariasis (13.04%). Among the protozoa, Giardia lamblia (26.09%) was the most common, followed by Entamoeba histolytica (17.39%). The parasitic infections were more in female (5.62%) than male (4.19%) and highest in the pediatric age group and between 51 and 60 years.

Conclusion: The prevalence of intestinal parasitic infections is decreasing due to increasing awareness about sanitation, effects of open defecation, safe drinking water, and personal hygiene. However, the need of intervallic monitoring of intestinal parasitic infections is necessary.
REVIEW ARTICLE ON PULSATILE DRUG DELIVERY SYSTEM
Authors: R VENKATASWAMY , NALLAGUNTLA LAVANYA
Published: June 2021

Pulsatile drug delivery systems (PDDS) are acquiring a lot of interest as they deliver the medication at the perfect place at the perfect time and in the perfect amount, subsequently giving spatial and transient delivery and increasing patient consistency. These systems are designed by the circadian rhythm of the body. The primary reasoning for the utilization of pulsatile arrival of the medications is the place where a consistent medication release is not desired. A pulse must be planned so that a complete and rapid medication release is accomplished after the lag time. A different system such as capsular system, osmotic system, single-and multiple unit system dependent on the utilization of soluble or erodible polymer coating, and the utilization of rupturable films has been managed in the article. It sums up the most recent technology development, formulation parameter, and delivery profiles of this system. PDDS is helpful for the medications having chronopharmacological conduct where night-time dosing is required, such as anti-arrhythmic, anti-ulcerative, and anti-asthmatic, and so on The momentum survey article talked about the explanations behind the advancement of the PDDS, benefits, limitation, mechanism of medication release, need for pulsatile drug delivery, a disease that requires pulsatile technology, classification, and future parts of PDDS.
ASSOCIATION BETWEEN ELEVATED HIGH SENSITIVITY CARDIAC-TROPONIN I LEVELS AND INCREASE IN LEVELS OF C-REACTIVE PROTEIN, INTERLEUKIN-6, D-DIMER, AND CONSEQUENT CARDIAC INJURY AND MORTALITY FOR PATIENTS WITH CORONAVIRUS DISEASE 2019: A META-ANALYSIS
Authors: ZAGEER DHEAA SHAMIH , HANTOOSH SUNDUS FADHIL , Q SH. ALI WATHIQ
Published: June 2021

Objectives: This meta-analysis aims to investigate the role of high sensitivity-cardiac troponin I (hs-cTnI) as a prognostic factor for cardiac injury and as a risk factor of death for patients with coronavirus disease 2019 (COVID-19). This meta-analysis studies the impact of hs-cTnI elevated levels on C-reactive protein (C-RP) protein, interleukin-6 (IL-6), and D-dimer (DD) levels in COVID-19 affected individuals.

Methods: Of 557 downloaded articles according to chosen criteria for this meta-analysis, 11 were finally chosen as they met the criteria.

Results: Male and elderly individuals were noticeably prone to COVID-19 infection and considerably underwent death in comparison with female and young individuals. Levels of hs-cTn I, C-RP, IL-6, and DD were significantly higher among dead compare to survivors for COVID-19 affected individuals.

Conclusions: Levels of C-RP, IL-6, and DD were considerably high and in linear relation with elevated hs-cTn I levels. Hs-cTn I can be considered a reliable marker for COVID-19 infection prognosis and potent predictor of decease.
INVESTIGATION ON PHARMACOGNOSY AS WELL AS THE ANTIOXIDANT, ANTI-INFLAMMATORY POTENTIAL OF THE KATHA POWDER
Authors: SHARMA PANKAJ , L RAJU
Published: June 2021

Objective: The objective of the study was to investigate the pharmacognosy as well as the antioxidant, anti-inflammatory potential of the Katha powder.

Methods: The Coarsely dried chips of Acacia catechu heartwood were treated with 10 % hydro-alcoholic solution to obtain Katha as the final product. The powdered Katha was standardized through pharmacognostic parameters. This Katha power is showing the good solubility in the hot water having astringent in the taste. The powder microscopy of the Katha powder is to be demonstrated fragments of acicular crystals, fibers, and bordered pitted vessels. Katha powder antioxidant potential is to be accessed by using the 2, 2-diphenyl-1-picryl hydrazyl assay and NO Scavenging assay using ascorbic acid as a standard drug. Further, the Katha powder is to be subjected for the assessment of its anti-inflammatory potential by the use of heat-induced hemolysis as well as hypotonicity-induced hemolysis approach by the use of the aspirin or diclofenac sodium as a standard drug.

Results: Microscopical investigations were showed that Katha showing the presence of fragments of acicular crystals, fibers, and bordered pitted vessels. In vitro study shows that the Katha powder has excellent antioxidant as well as anti-inflammatory potential in a dose-dependent manner in comparison of the result of heartwood of A. catechu.

Conclusion: So from this investigation, it is to be suggested that the Katha powder is rich in the phenolic compound and the experimentation study shows that the drug is to possess a good antioxidant as well as anti-inflammatory property.
CLINICAL PROFILE AND COMPARISON OF OUTCOME OF TREATMENT BY EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY AND URETERORENOSCOPY IN THE MANAGEMENT OF UPPER URETERIC CALCULI
Authors: SINGH BASRA SHARANJIT , RN HIREMATH , VERMA VISHAL , KUMAR DOBI SRAVAN
Published: June 2021

Objective: Urinary calculi are the third most common affliction of the urinary tract, exceeded only by urinary tract infections and pathologic conditions of the prostate. This study was carried out to assess the safety, efficacy, and compare structural and functional outcome after treating the patients of the upper ureteric calculus with Extracorporeal Shock Wave Lithotripsy (ESWL) and Ureterorenoscopy (URS).

Methods: A prospective study was conducted on patients with the upper ureteric stone of size 0.5–1.5 cm. A total of 50 patients were included in the study by means of systematic random sampling so as to get 25 patients in each category of ESWL and URS for the treatment of their upper ureteric calculi.

Results: The age ranged from 15 years to 55 years. There were 36 males and 14 females in the study of 50 patients, 43 (86%) presented with pain, followed by 4 (8%) presented with hematuria. Twenty-eight (56%) of the patients had stone in the range of 0.5–1.0 cm, and 22 (44%) of the patients had stone in the range of 1.0–1.5 cm. Sixteen (32%) patients had stone within 2 cm of the pelvi-ureteric junction, and 13 (26%) had stone within 2 cm of the sacroiliac joint. Twenty-one (42%) patients had stone in between these two. Of the 50, 25 patients (50%) underwent shock wave lithotripsy, 25 patients (50%) underwent URS. In the ESWL group, 21 (84%) patients were stone-free after single sitting of ESWL. Four patients (16%) who required Re ESWL, after repeat ESWL two became stone-free however 2 (8%) patient of 1.0–1.5 cm category required secondary procedure, that is, URS and became stone free. To achieve stone-free 1.24 procedure was required per patients. Of the 25 patients in the ESWL group, 2 (8%) patient (one steinstrass case and one poor fragmentation case) required secondary procedure. They underwent URS. Both the patient belonged to 1.0–1.5 cm group. URS was done using semirigid ureteroscope using pneumatic Lithoclast. In our study, two patients of each 0.5–1.0 cm and 1.0–1.5 cm category did not become stone free. These four patients were subjected to ESWL and became stone free.

Conclusion: The management of the ureteral stone should be decided on individual basis, based on stone size, location, symptoms, obstruction, and the availability of the instruments. For stones of 0.5–1.0 cm, ESWL is the treatment of choice for the upper ureteric stones, with very low Re- ESWL (1.12 sittings) without any requirement of ancilliary procedure. URS may be used for the upper ureteric stones but requirement of ancilliary procedure is high 11.11%. For stones between 1.1 cm and 1.5 cm, ESWL is the preferred modality of treatment for the upper ureteric stones.
CORONAVIRUS DISEASE 2019 VACCINATION DRIVE: THE PERCEPTIONS AND ACCEPTANCE OF VACCINATION AMONG HEALTH CARE WORKERS
Authors: VISWANATH KASI , RN HIREMATH , BASRA SHARANJIT SINGH , CHOUREY NIRAJ
Published: June 2021

Objective: Coronavirus disease 2019 (COVID-19) infection evolved as a worst nightmare across entire humanity especially for health care workers along with all stakeholders of the society ever since the beginning of year 2020. Vaccination campaign is one of the most successful public health interventions and a cornerstone for the prevention of communicable infectious diseases. To have a baseline data and to form the basis for further vaccination drive, we carried out this study with an objective to understand the perception and COVID-19 vaccine hesitancy among health care workers (HCWs).

Methods: A correctional study was carried out at one of the multispecialty hospital in North India where COVID-19 vaccination for HCWs was planned and 675 HCWs were taken into the study. Data were collected by means of personal interview using pretested semi-structured questionnaire and Epi Info version 6 was used for analysis.

Results: The mean age of the participants was 32.78 years. Majority were male (89.48%), working in government sector (87.7%) and paramedic (88.15%). While 94.67% were accepting vaccine voluntarily while remaining were not confident enough on their own, only 26.96% were ready to take vaccine even on payment. The overall awareness scores of study participants were calculated and found that 79.56% of them had poor awareness level while only 20.44% had satisfactory awareness level. The association of awareness score was statistically significant with job profile (designation), gender, and prior COVID-19 positivity of study participants.

Conclusion: The decision of vaccine prioritization to HCWs and frontline workers will boost the morale and spirit of warriors high in future. This study was a preliminary attempt to check any vaccine hesitancy factors among HCWs and act accordingly. Although almost all had volunteered for vaccine, the knowledge about vaccine was poor in majority of HCWs as the time period was recent to vaccine rollout and detailed research findings were not yet out about vaccine. All measures to be taken including intensive information education and communications activities targeting HCWs and general population on regular basis to upgrade the knowledge on vaccine issues. A strong communicating policy in an era of misinformation is highly recommended as social media plays an important role in spreading true as well as false messages jeopardizing the entire gains of successful vaccination and attainment of herd immunity. HCWs to act as role model for general public and patients which would in turn increase the vaccine acceptance among them.
La dialéctica intercultural de la filosofía de las religiones: el caso de Japón y China
Authors: Fernandes Prazeres Amanda S. , Costa Matheus Oliva da
Published: June 2021

Una mirada crítica e intercultural a la filosofía de la religión apunta a la necesidad de repensar aspectos de este campo de reflexiones filosóficas, que está muy centrado en temáticas cristianas desde la visión europea. ¿Cómo pensar filosóficamente la religión desde una perspectiva intercultural más allá de la limitación eurocéntrica, cristianocéntrica e interreligiosa? Buscamos expandirnos más allá de ese límite, investigando la etimología de religión en los contextos de Europa, Japón y China. Desde esa base, partimos del análisis crítico e intercultural de la etimología de la palabra religión en su origen latino desde la antigüedad, y su posterior apropiación en Japón y China. La formación del término “religión” en ambas regiones fue necesaria para ampliar cuestiones que la interpretación europea de la religión no fue capaz de englobar. Nuestro objetivo es proponer una perspectiva intercultural latinoamericana para hacer filosofía de la religión. Concluimos apuntando las tareas para una filosofía intercultural de la religión: (1) ampliar la mirada sobre lo que es o no religión considerando la singularidad de cada cultura estudiada; (2) investigar de qué forma las personas reflexionan más allá de su punto de apoyo social, proponiendo transformaciones en el concepto de religión; (3) reflexionar acerca de las opciones de cada sujeto, sus justificaciones y argumentaciones, frente a los conflictos entre diferentes culturas; y (4) cuestionar las limitaciones de lo que se supone universal y el rango conceptual de ideas singulares formadas desde una tradición religiosa específica.
Platón: la experiencia de la verdad
Authors: Landa Josu
Published: June 2021

En varios diálogos de Platón se da cuenta del acontecer de una visión de cierto modo de la realidad en sí, como una experiencia resultante de un proceso intencional de generación de representaciones noéticas. En general, el método dialéctico hace posible que el “noús” (“inteligencia” o “entendimiento”, algo como la “facultad” de aprehensión de las realidades inteligibles) efectúe lo que bien podría designarse con el término “experiencia de la verdad”, es decir, la contemplación del “espectáculo de la verdad” o el acceso del alma de quien conoce a la representación nítida de lo que se le ofrece como ser en sí. En las líneas subsiguientes, se pretende mostrar que en el pensamiento platónico la meta teórica por la que se mueve el auténtico filósofo es la episteme noética; que ese modo de la verdad es un acontecimiento repentino, surgido a la vera de disposiciones, prácticas y procedimientos que acondicionan el alma para ese fin; que tal evento se da a manera de experiencia que deja secuelas profundas en el alma, con las que se enriquece y revitaliza, y que el alma así afectada conjuga capacidades para acceder siempre al saber más elevado, practicar las más altas virtudes y ejercer la política justa.
Entice With Procedures, Inspire With Primary Care: A Preclerkship Pipeline Course
Authors: Lin Crystal , Zheng Jimmy , Shivakumar Vinita , Schillinger Erika , Rydel Tracy A. , Montacute Tamara
Published: June 2021

Background and Objectives: The growing demand for primary care clinicians in the United States continues to outstrip their dwindling supply. Many allopathic medical schools, including Stanford University School of Medicine, are not adequately meeting this shortage. We sought to develop a preclerkship elective to increase the visibility and desirability of primary care at our institution.
Methods: A novel 9-week preclerkship elective titled “Primary Care Defined: Perspectives and Procedures,” was designed as a series of procedural workshops followed by interactive sessions with local primary care clinicians. A total of 36 medical and physician assistant students were enrolled. We administered a questionnaire pre- and postcourse to evaluate the impact of the elective on learner interest and attitudes toward primary care.
Results: Twenty-four enrolled and 10 nonenrolled learners completed the questionnaire both pre- and postcourse. A one-way analysis of covariance controlling for gender, program (medical doctor versus physician assistant), and precourse responses demonstrated that enrollees had a significantly increased interest in primary care compared to nonenrollees after the course (F1,32=9.22, P=.005). Enrollees also more positively rated their attitudes toward compensation, scope of practice, and job fulfillment than nonenrollees. Both groups had high levels of agreement on statements concerning patient-physician interactions and the importance of primary care to the health care system.
Conclusion: The design and content of this elective offers a framework for other institutions looking to promote the value of primary care specialties, particularly family medicine. Creating opportunities for experiential learning and early student-faculty engagement may encourage preclerkship learners to consider a career in primary care.
Innovación en producto y método comercial en el sector panificador: Lecciones de las Mipymes de Cali, Colombia, 2018
Authors: Vélez Osorio Iris María
Published: June 2021

Esta investigación se enfoca en la innovación de productos y en el método comercial para la industria de la panificación donde la mayoría de las empresas crean innovaciones incrementales, tanto de mercado como de productos. El tipo de investigación es cualitativo. Se estudiaron 36 pymes mediante la técnica de la entrevista cuyo contenido fue codificado y analizado. A partir de allí, se encontraron tres elementos: A) la innovación de producto se vincula al contexto geográfico de acuerdo con las características socioeconómicas de la ciudad y cambios en el clima; B) el sector panificador favorece innovaciones de mercadeo, particularmente de distribución mientras desarrolla estrategias de integración vertical para llegar a lugares geográficos donde establecer un punto de venta más costoso; C) las innovaciones son creadas por los panaderos más que por los propietarios, lo cual tiene implicaciones en el crecimiento de la empresa.
PROJETO DE EXTENSÃO SAÚDE DOS OSSOS – O COMBATE À OSTEOPOROSE: UM RELATO DE EXPERIÊNCIA
Authors: Sartori Andrey Costa , Da Silva Bárbara Assis , Ribeiro Mateus Elias Sant’anna Ferreira , Souza Júnior Eli Ávila , Ferreira Rodrigo de Almeida
Published: June 2021

Resumo

Este é um relato de experiência do projeto de extensão “Saúde dos Ossos - o Combate à Osteoporose” que objetivou atuar na promoção da saúde, através de informações sobre a prevenção e tratamento da osteoporose, contribuindo para a transformação social e impactando positivamente a formação discente. As redes sociais foram o instrumento utilizado neste projeto, através das quais, no dia mundial do combate a osteoporose (20 de outubro), cada discente participante publicou uma arte e um texto sobre a doença, orientando a sociedade sobre os riscos dessa doença silenciosa. Aplicou-se um questionário aos discentes participantes após o projeto, sendo que 89,5% informaram que seus conhecimentos sobre a osteoporose aumentaram e 100% reconheceram como relevante esse perfil de projeto de extensão. Evidenciou-se, portanto, que o projeto se mostrou relevante no que tange a transformação social, através da disseminação de conteúdo de um tema importante de saúde para a população via mídias sociais, e impactou a formação discente, uma vez que a maioria considerou positiva a adesão ao projeto e tema proposto.
EDUCAÇÃO EM SAÚDE PARA INTEGRANTES DO TIRO DE GUERRA: EXPERIÊNCIA ENTRE UNIVERSIDADE E EXÉRCITO BRASILEIRO
Authors: Lima Maira de Castro , Maia César Quadros , Guadalupe Maria Alice , Santos Ingrid Morselli , Resende Karina Aparecida , Pena Heber Paulino
Published: June 2021

O Exército Brasileiro é uma importante estrutura para a defesa nacional e o Tiro de Guerra é parte da constituição do serviço militar. Os atiradores devem ter formação em educação em saúde, anatomia e primeiros socorros, qualificada para o desenvolvimento seguro das atividades práticas. A universidade pode colaborar com os militares na formação dos atiradores através de ações extensionistas. Esse relato de experiência tem como objetivo descrever as ações de educação em saúde realizadas por um programa de extensão da Universidade Federal de São João Del-Rei, Campus Centro-Oeste Dona Lindu, no Tiro de Guerra de Divinópolis - Minas Gerais. As ações foram realizadas no segundo semestre de 2018, com 80 atiradores que participaram de encontros teóricos e práticos em educação em saúde com foco nos primeiros socorros. Para avaliar a satisfação dos atiradores, um questionário seguindo a escala Likert e respostas dicotômicas SIM ou NÃO, foi aplicado após os encontros. Os resultados mostraram que 98% dos atiradores concordaram que o conteúdo ministrado foi relevante para a própria formação e 100% que foram claras as falas dos extensionistas. Foram avaliadas como excelente a didática e o material didático utilizado por 68,8% e 73,8% dos participantes, respectivamente. Sobre o encontro prático, mais de 70% opinou como excelente a qualidade do material utilizado, a didática e o tempo disposto para a realização de cada uma das atividades. A ação extensionista promoveu impacto positivo para os discentes e para os atiradores e possibilitou abordagem multidisciplinar ativa de construção de conhecimento.
PROJETO DE EXTENSÃO “CINECLUBE CAFÉ COM LEITE” PARA O TRABALHO COM A DIVERSIDADE
Authors: Campos Carlos Roberto , Virgínio Maria de Louldes , Virgínio Gilmar , Thiengo Edmar Reis
Published: June 2021

O cinema configura-se como uma forma criativa de estabelecer o diálogo entre temas curriculares e o cotidiano da escola, além de ser uma maneira agradável de trabalhar questões polêmicas, contribuindo para a formação de criticidade. O artigo apresenta os resultados de um projeto de extensão escolar chamado Cineclube Café com Leite, realizado em uma escola pública estadual do Espírito Santo, buscando a promoção de debates sobre questões relativas à diversidade de gênero, ao preconceito e à intolerância. Trata-se de uma intervenção pedagógica participativa, apoiada por observações anotadas em diário de campo, colhidas em rodas de debates. Os dados foram abordados à luz dos pressupostos da teoria queer. O projeto cineclube favoreceu aos alunos a leitura crítica do mundo e a compreensão de que as questões relacionadas à diversidade, no campo dos Direitos Humanos, são sempre acompanhadas de lutas e desafios.
Editorial
Authors: Fontenele Gomes Luziêt Maria , Argolo Teixeira Marizete
Published: June 2021

DOI: 10.22481/recuesb.v9i15.8928
Quais são os possíveis determinantes para a ocorrência de mortalidade por covid-19 nas capitais brasileira e no Distrito Federal?
Authors: Sousa Thiago , Santos Sueyla , Farias Gildeene , Barros Gerleison , Ferreira Mariana , Franco Dayana
Published: June 2021

Estimar os determinantes relacionados aos indicadores demográficos, socioeconômicos, comportamentais, biológicos, perceptivos, casos de morbidade e mortalidade por doença respiratória e cardiovascular, e de serviços de saúde, associados ao número de óbitos por COVID-19 nas capitais brasileiras. Foi realizado um estudo ecológico, sendo a unidade amostral as capitais brasileiras e o Distrito Federal. O desfecho foram os números de casos acumulados de óbito por COVID-19. Empregou-se regressão linear para a estimativa de associação. Foram associados com o aumento dos casos de óbitos por COVID-19, a quantidade de estabelecimentos do SUS e de morbidade por doença respiratória, percentual de fisicamente inativos (β=0,181; IC95%=0,070;0,292) e de autoavaliação negativa da saúde, e casos de COVID-19 (β=0,719; IC95%=0,269;1,168). Conclui-se que o aumento de óbitos por COVID-19 nas capitais foi associado aos serviços de saúde, inatividade física, morbidade, autoavaliação negativa da saúde e quantidade de casos de COVID-19.
Two cases of microlaryngeal surgery in highly obese elite vocal performers
Authors: Hasegawa Tomohiro , komazawa daigo , watanabe yuusuke
Published: June 2021

We describe two cases of microlaryngeal surgery under general anesthesia
in severe obese elite vocal performers. Microlaryngeal surgery under
general anesthesia is feasible in patients with severe obesity, provided
that the anesthesiologist and nurse work together to perform
preoperative simulations and take into consideration the position and
anesthesia.
Photoplethysmographic health monitoring of the driver and Smart Driving Assistant to avoid collisions with vehicles
Authors: RAJKUMAR S C
Published: June 2021

Driving for a long time leads to physical, psychological stress, which
increases life at higher risk and puts health in all hostile areas.
Spending more time behind the wheel leads to uninterrupted sitting,
resulting in obesity, mental health risk, poor sleep, and bad habits
such as drug addiction. In this research, reliable emergency services
ensure safe driving. Such an experience guarantees continuous monitoring
of the driver’s health intelligently. An intelligent health system
continuously monitors the driver’s health status and constantly updates
the cloud server to monitor the driver’s heart rate. According to a
recent study, 60% of road accidents occur due to the driver’s restless
continuous driving. On motorways, vehicles are faster than those on the
city side, and if a vehicle brakes abruptly without notification, it
causes severe damage, followed by escort vehicles. In addition, the
driver’s health is a crucial factor, and the unexpected worsening of
health complications such as stroke and cardiac arrest is unpredictable,
as the symptoms are prevalent and occur within minutes. To avoid
stressful driving, the intelligent assistant must monitor his health and
suggests relaxation guidelines.
Wykorzystanie odnawialnych źródeł energii jako narzędzia wspierającego ochronę wartości kulturowych przedmieść na przykładzie dworu w Warszawie-Białołęce
Authors: Zdunek-Wielgolaska Justyna , Klara  Kantorowicz  , Krzysztof  Rudzki
Published: June 2021

Współczesne modele kształtowania miast wprowadzają zasady tzw. projektowania zrównoważonego. Zagadnienia odporności miejskiego ekosystemu, poprawy parametrów definiujących środowisko miejskie oraz polepszenia integracji społecznej wiążą się z nowoczesnym sposobem projektowania struktury funkcjonalno-przestrzennej stanowiącej nierozerwalną całość z systemem przyrodniczym, infrastrukturą tzw. zielonąi niebieską. W planowaniu urbanistycznym odporność w procesie reurbanizacji wprowadzają rozwijane koncepcje eco-cities i smart cities. Dla obu tych modeli miast należy zdefiniować ich funkcje, a takżeokreślić nowoczesne, prośrodowiskowe parametry dotyczące zabudowy i infrastruktury obszarów miejskichw powiązaniu z systemem przyrodniczym miasta. W publikacji wskazane są obszary problemowe dotyczące przekształceń obszarów zurbanizowanych. Zagadnienia te dotyczą problemu rewitalizacji obszarówzdegradowanych w mieście, „rezerw terenowych” w zagospodarowaniu ekstensywnym oraz w obszarach związanych z infrastrukturą techniczną i transportem publicznym. Charakterystyka modelu projektowania regeneratywnego i odporności prowadzi do określenia wytycznych planistycznych dla potrzeb nowych standardów kształtowania struktury funkcjonalnej i przestrzennej związanej z systemem przyrodniczym miasta. Wskazana jest problematyka przekształceń obszarów zurbanizowanych w odniesieniu do określenia połączenia budynków z obszarami biologicznie aktywnymi i infrastrukturą w mieście.