bluuebunny/crossref_metadata_2025 huggingface dataset:
Complex Regional Pain Syndrome in a Young Boy After Receiving a Diphtheria, Tetanus, and Acellular Pertussis Vaccine
Authors: Koushik Sarang S.
Published: May 2021

Background: Complex regional pain syndrome (CRPS) is a clinically diagnosed multifaceted condition comprising of physical complaints often with a psychological component. CRPS can result in devastating chronic pain and disability if not treated early and aggressively. Mostly seen in adults, CRPS is being described more frequently in children. There have been some rare reports of CRPS occurring after vaccine administration. This is a case report of a young boy who developed CRPS after receiving a routine vaccination.
Case
Presentation: Although CRPS has been reported after rubella and hepatitis B vaccine, this is a case of CRPS after a diphtheria, tetanus, and acellular pertussis vaccine. Delays in diagnosis may cause undue pain, extended lengths of treatment, requirements for more intense therapy, and less likelihood for complete functional restoration. Because there seems to be no common constituent to the vaccines described in this case, the resultant CRPS may be purely due to injection-site trauma.
Conclusion: We encourage physicians to be wary of the syndrome and its link to multiple vaccines in order to initiate prompt treatment.
Key words: Complex regional pain syndrome (CRPS), reflex sympathetic dystrophy (RSD), children, vaccination, diphtheria, tetanus, acellular pertussis (TDAP)
Wireless Peripheral Nerve Stimulation for the Treatment of Chronic Shoulder Pain
Authors: Vanquathem Niek
Published: May 2021

Background: Shoulder pain is a common condition, often refractory to treatment. Peripheral nerve stimulation (PNS)
of the suprascapular nerve (SSN) can be efficacious in providing relief of shoulder pain while improving
pain-related quality of life (QOL). The objective of this case report is to demonstrate the effectiveness of
a minimally invasive wireless PNS in the treatment of chronic shoulder pain.
Case Report: This 94-year old man presented with severe shoulder pain. He suffered from poliomyelitis as a child affecting
his left leg, forcing him to use crutches to be ambulatory. He developed progressive right shoulder
pain and was subsequently diagnosed with right glenohumeral osteoarthritis. The patient was treated
semiannually for 4 years with corticosteroids injections and pain medication with minimal relief (7 out
of 10 on the Visual Analog Scale [VAS]). A suprascapular block with lidocaine 2% resulted in significant
pain reduction (1 out of 10 on the VAS). As a result, the patient opted for wireless PNS of the SSN via a
minimally invasive procedure. Two weeks post implant, the patient reported no postoperative pain, and
his chronic pain was rated 0 out of 10 even during movement. Reports of reduced pain were sustained
throughout the 6 months of observation with subsequent improvements in QOL and functionality.
Conclusion: Wireless neurostimulation of the SSN can be a very effective therapy option for the treatment of refractory,
chronic shoulder pain as a result of glenohumeral osteoarthritis.
Key words: Endoscopic spine surgery, lumbar radiculopathy, minimally invasive spine, SI joint fusion
Minimally Invasive Endoscopic Spine Surgical Techniques for Treating Radiculopathy Secondary to Sacroiliac Joint Fusion Complications: Case Series
Authors: Telfeian Albert
Published: May 2021

Background: Minimally invasive SI joint fusion has increased in popularity. A possible complication that can result from
the procedure is a radiculopathy (sacral or lumbar) that is caused by placement of the SI joint fusion
implant.
Case Report: Two cases are presented: A 60-year-old woman with a S1 radiculopathy secondary to a cortical bone
fragment contacting the S1 nerve, and a 62-year-old man with a L5 radiculopathy and the anteriorly
directed SI joint fusion implant positioned anteriorly and compressing on the L5 nerve. Both patients had
resolution of their symptoms with endoscopic treatment.
Conclusion: An endoscopic treatment is suggested here for radiculopathy secondary to minimally invasive SI joint
fusion.
Key words: Endoscopic spine surgery, lumbar radiculopathy, minimally invasive spine, SI joint fusion
Full-Endoscopic Decompression with the
Application of an Endoscopic-Matched Ultrasonic
Osteotome for Removal of Ossification of the
Thoracic Ligamentum Flavum
Authors: Zhao Yuan-Ting
Published: May 2021

Background: Resection of the ossification of the thoracic ligamentum flavum (OTLF) with a
high-speed burr may cause a high rate of perioperative complications, such as dural laceration
and/or iatrogenic spinal cord injury.
Objectives: The aim of this study was to investigate the safety and feasibility of the endoscopicmatched
ultrasonic osteotome in full-endoscopic spinal surgery for direct removal of OTLF.
Study Design: Retrospective study.
Setting: All data were from Honghui Hospital in Xi’an.
Methods: This study conducted between December 2017 and December 2018, included 27
consecutive patients who met the study criteria, had single-level OTLF, and underwent fullendoscopic
decompression under local anesthesia. The postoperative follow-up was scheduled
at 1, 3, 6, and 12 months postoperatively. Outcomes evaluations included the Visual Analog
Scale (VAS) score for lower extremity pain and the modified Japanese Orthopaedic Association
(mJOA) score and improvement rate for the assessment of thoracic myelopathy. Removal of
OTLF was measured by comparing the pre- and postoperative computed tomography (CT) and
magnetic resonance imaging (MRI) scans.
Results: The operation was completed in all patients without conversion to open surgery.
The operation time ranged from 65 to 125 minutes (average, 83.7 ± 12.3 minutes). All
patients were followed up for 12 to 18 months, with an average follow-up of 14.3 ± 1.3
months. Satisfactory neurologic decompression was confirmed by postoperative CT and MRI,
and no revision surgery was required. The VAS and mJOA scores showed statistically higher
improvement at the 1-month follow-up and the last follow-up compared with the preoperative
assessment (P < 0.05). According to the improvement rate at the final follow-up, 20 cases were
classified as good, 6 cases were fair, and 1 case remained unchanged.
Limitations: A single-center, noncontrol study.
Conclusions: The endoscopic-matched ultrasonic osteotome can be considered quite safe
and feasible for direct removal of OTLF during full-endoscopic spinal surgery in strictly selected
patients, as this allows for effective direct decompression of OTLF while minimizing trauma and
instability. In addition, because of the design characteristics of the ultrasonic osteotome, surgical
complications, especially dural tears and spinal cord injury, can also be effectively controlled.
Key words: Percutaneous endoscopic spinal surgery, ultrasonic osteotome, ossification of
thoracic ligamentum flavum, microsurgery, thoracic myelopathy, minimally invasive procedures
Gastrointestinal Adverse Events in Hospitalized
Patients Following Orthopedic Surgery:
Tapentadol Immediate Release Versus Oxycodone
Immediate Release
Authors: Patanwala Asad E.
Published: May 2021

Background: Tapentadol has relatively less effect on μ-opioid receptors compared with other
opioids. This has the potential to reduce the occurrence of gastrointestinal (GI) adverse drug events
(ADEs).
Objectives: To compare the GI ADEs during hospitalization between tapentadol immediate
release (IR) and oxycodone IR following orthopedic surgeries.
Study Design: Retrospective cohort study.
Setting: A major metropolitan tertiary referral hospital in Australia.
Methods: Data for adult orthopedic surgery patients receiving postoperative tapentadol IR or
oxycodone IR during hospitalization between January 1, 2018 and June 30, 2019, were collected
from electronic medical records. The primary outcome was the occurrence of postoperative GI
ADEs occurring during hospitalization. This was defined as a composite of nausea, vomiting, or
constipation.
Results: The study cohort included 199 patients. Of these, 99 patients received tapentadol IR
and 100 patients received oxycodone IR for postoperative pain during hospitalization. The mean
age was 66 ± 12 years, and 111 patients (56%) were women. There was no significant difference
between groups on the occurrence of GI ADEs (53% in oxycodone group and 51% in tapentadol
group, difference 2%, 95% confidence interval [CI], –11% to 16%; P = 0.777). After adjusting for
potential confounders, the use of tapentadol IR was not associated with a significant reduction of
GI ADEs (odds ratio, 0.62; 95% CI, 0.32–1.20; P = 0.154).
Limitations: This was a single-center study and should be extrapolated with caution. As this was
a retrospective study, the accuracy and availability of data were dependent on documentation in
electronic medical records.
Conclusions: Tapentadol IR is associated with similar GI ADE occurrence compared with
oxycodone IR in patients with orthopedic postoperative pain during hospitalization.
Key words: Opioid analgesics, tapentadol, oxycodone, orthopedic procedures, postoperative
pain, acute pain, gastrointestinal adverse drug events, opioid-induced adverse drug events
Feasibility of Ultrasound-Guided Peritoneal
Perfusion with Ozone in the Treatment of Chronic
Pelvic Pain: A Bicenter Retrospective Analysis
Authors: An Jian Xiong
Published: May 2021

Background: Numerous therapies have been developed for the treatment of chronic
pelvic pain (CPP). Oxygen-ozone therapy is a new method for the treatment of CPP.
Objectives: This article evaluated the feasibility of ultrasound-guided peritoneal perfusion
with ozone in patients with CPP.
Study Design: This is a bicenter retrospective study.
Setting: The study was conducted at 2 pain centers of a university hospital.
Methods: The medical records of patients with CPP (n = 60) from March 2016 until
October 2018 were collected and reviewed. Group A contained 19 patients who were
treated with a 1500 mcg dose of ozonated water (10 mcg/mL concentration and 150 mL
volume), group B contained 23 patients using the same dose of ozonated water but a 15
mcg/mL concentration and 100 mL volume. Group C included 18 patients using a similar
ozone dose but delivered in an oxygen-ozone mixture (15 mcg/mL concentration and 100
mL volume oxygen-ozone mixture). Visual Analog Scale (VAS) scores for pain of the 3 groups
were compared at pretreatment, posttreatment, 1, 3, and 6 months posttreatment. The
injection pain was evaluated using a 4-point verbal rating scale. Quality of life (QoL), anxiety,
and depression were assessed at pretreatment and at 6 months posttreatment.
Results: The VAS scores of the 3 groups decreased over time following treatment. Group
A showed much higher pain scores compared with groups B and C at 1, 3, and 6 months
posttreatment. However, the injection pain for groups B and C was higher than group A, but
there was no difference seen between group B and C. At 6 months posttreatment, the QoL
for all patients improved compared with pretreatment, whereas the anxiety and depression
did not demonstrate differences.
Limitations: The main limitations of this study are the retrospective study design, limited
case number, and short follow-up period.
Conclusions: Ultrasound-guided peritoneal perfusion with ozone is a feasible therapy for
patients with CPP.
Key words: Chronic pelvic pain, ozone, peritoneal perfusion
A Sentiment-based Risk Indicator for the Mexican Financial Sector
Authors: Rho Caterina , Fernández Raúl , Palma Brenda
Published: May 2021

We apply text analysis to Twitter messages in Spanish to build a sentiment- based risk index for the financial sector in Mexico. We classify a sample of tweets for the period 2006-2019 to identify messages in response to positive or negative shocks to the Mexican financial sector. We use a voting classifier to aggregate three different classifiers: one based on word polarities from a pre-defined dictionary; one based on a support vector machine; and one based on neural networks. Next, we compare our Twitter sentiment index with existing indicators of financial stress. We find that this novel index captures the impact of sources of financial stress not explicitly encompassed in quantitative risk measures. Finally, we show that a shock in our Twitter sentiment index correlates positively with an increase in financial market risk, stock market volatility, sovereign risk, and foreign exchange rate volatility
A STUDY ON PREVALENCE OF CARDIOVASCULAR RISK FACTORS OF MEDICAL STUDENT IN A DISTRICT OF WEST BENGAL
Authors: Ahmed Ashfaque , Yasmin Shamima
Published: May 2021

Background: Cardiovascular diseases are “lifestyle diseases” cause death worldwide. Most are acquired starting from adolescence. So this study was designed following objective to determine the prevalence of risk factors of cardiovascular diseases among medical undergraduates of a district of West Bengal. Methods: Cross-sectional observational study conducted 96 medical students Analysis of results was done by percentage and proportion. Results: A total of 96 students were interviewed and examined. Mean age 19.3 years. 37.7% male, 8.3% were alcohol users. 53.1% did no exercise. 12.5% were current smokers Abnormal waist hip ratio in 46.5% female.35.8% males were pre hypertensive while 4% boys were hypertensive. 4.5% were early diabetic 4.5% high had high blood cholesterol. Conclusions: A high prevalence of risk factors for cardiovascular diseases was found that emphasizes the need of interventions to reduce these risk factors among these future doctors.
STUDY OF SERUM VITAMIN D LEVELS IN SEVERE ACUTE MALNUTRITION AND MODERATE ACUTE MALNUTRITION CHILDREN FROM 6 MONTHS TO 59 MONTHS OF AGE: A HOSPITAL BASED STUDY
Authors: Ali Sanober Qamar , Dhaneria Mamta
Published: May 2021

Background: Vitamin D plays several important roles in the metabolism and absorption of other minerals in the body.
Vitamin D deciency is a world-wide epidemic with recent estimates indicating that greater than 50 % of the global
population is at risk. Protein-energy malnutrition is likely to be associated with vitamin D intake deciency. The main objective of study was to
evaluate vitamin D levels among children with severe acute malnutrition (SAM) and moderate acute malnutrition (MAM) children from 6
months to 59 months of age. The present study was undertaken in 60 children diagnosed as Material and Methods: SAM, MAM with
complications and admitted to NRC (Nutrition Rehabilitation Centre). SAM and MAM were classied according to the WHO classication.
Vitamin D levels was done among the admitted children and classied according to the classication as decient (Vitamin D level <20ng/ml),
insufcient (Vitamin D level between 21-29ng/ml) and sufcient (Vitamin D level >30ng/ml). Out of 60 children included in the study Results:
50 (83%) were classied as SAM and 10 (17%) were classied as MAM. Out of 60 children 16 (32%) SAM and 3 (30%) MAM children were
found to have decient Vitamin D levels (<20ng/ml), 17 (34%) SAM and 4(40%) MAM children found to have insufcient Vitamin D levels
(between 21-29 ng/ml), and 17(34%) SAM and 3(30%) MAM children found to have sufcient Vitamin D levels (>30 ng/ml). All children were
given Vitamin D supplementation according to guidelines. The mean vitamin D level was 25.4 ng/ml. The high prevalence of Conclusion:
Vitamin D deciency in malnourished children underlines the need for active surveillance and aggressive management.
ADVANCED GLYCATION END PRODUCTS (AGES): IS THE SCIENTIFIC NEED TO TRAVEL BACK IN TIME TO REGAIN HEALTH NOW OBVIOUS?
Authors: Radhakrishnan Pradeep Kumar , Ambat Roshini , Ambat Gayathri Ananyajyothi , Nayar Bindu R , Nazer Y A
Published: May 2021

Advanced glycation end products (AGEs) are proteins or lipids that
become glycated after exposure to sugars. AGEs may modify the
extracellular matrix (ECM); modify the action of hormones,
cytokines, and free radicals via engagement of cell surface receptors;
and impact the function of intracellular proteins..AGEs block nitric
oxide activity in the endothelium and cause the production of reactive
oxygen species. AGEs cause microvascular and macrovascular
complications by formation of cross-links between molecules in the
basement membrane of the extracellular matrix and by engaging the
receptor for advanced glycation end products (RAGE). Activation of
RAGE by AGEs causes upregulation of the transcription factor nuclear
factor-κB and its target genes. AGEs can be formed either
endogenously or exogenously. Endogenously, advanced glycation
takes place in all cell types via the Maillard reaction between reducing
sugars and amino residues present in proteins, lipids, and DNA,
resulting in loss of protein structure and function followed in some
instances by cellular apoptosis. Transition to plant based antioxidant
diet with traditional Indian cooking methods seems to confer multitude
of health benets.
PREVALENCE OF OVERWEIGHT AMONG SCHOOL GOING CHILDREN: AN EMERGING HEALTH CRISIS?
Authors: Agarwal Shweta , Agarwal Dinesh , Parekh Deval , Basu Debasis , Kumar Rakesh
Published: May 2021

Obesity is a global epidemic with more than one billion overweight adults. Obesity is no longer a disease of adults. The problem of obesity and overweight among children and adolescents are rising gradually. This study was planned to study the prevalence of overweight and obesity among school going children attending pediatric Out Patient Department of a tertiary health care facility of Eastern India. A total of 601 study subjects participated in the study. Anthropometric measurements were taken using World Health 2 Organization (WHO) guidelines. Body Mass Index (BMI) was calculated using standard equation: BMI=weight (kg) / height (meter). BMI was plotted against gender specic WHO growth chart for 5years-19years. Percentiles expressed in Z scores determined the cutoff points for overweight and obesity at 85th and 98th percentiles, or +1 SD and +2 SD, respectively. Data was analyzed using The Statistical Package for Social Sciences for windows (SPSS, version 20.0). Chi-square test was used to show association between categorical variables. All statistical tests was 2-tailed and a p-value of <0.05 was considered signicant. Prevalence of overweight and obesity was found to be 14.0% and 7.3% respectively. Younger age, female gender, urban residence and private school enrollment was found to be signicant risk factors for overweight and obesity among school going children. In conclusion, there is high prevalence of childhood overweight and obesity among school going children which calls for an urgent intervention and inter-sectoral coordination between different stakeholders and policy makers.
A COMPARATIVE STUDY OF COMPLICATIONS OF MRM (MODIFIED RADICAL MASTECTOMY) VERSUS BCS (BREAST CONSERVATION THERAPY) IN EARLY INVASIVE BREAST CANCER. A RESULT FROM SAVERA CANCER AND MULTISPECIALITY HOSPITAL PATNA, BIHAR.
Authors: Singh Vijay Pratap , Singh Akash , Verma Pranab Kumar , Singh Vishal Mohan , Jha Arun Kumar
Published: May 2021

Background: Early breast cancer patients admitted in the surgical oncology department of Savera Cancer and
Multispeciality Hospital. Patients were divided in two treatment arms; Arm A and Arm B. Arm A patient went through
MRM and Arm B patients went through BCS. This study included prospective cases of 1 year from June 2019 to June 2020.
Method: In all MRM group patients all breast tissue, skin, nipple areola complex and level 1, 2, 3 lymph nodes removed. In all BCS group
patients lump was removed with an envelope of normal appearing breast tissue. In all resected specimens free surgical margin was ensured via
histopathology reports (HPR). Patients were reviewed in early post operative period for complications and follow up done at the end of 1st, 3rd,
6th and 12th month for recurrence. In treatment Arm A (MRM) 08 patients developed arm ede Result: ma; 05 patients developed shoulder
dysfunction; 07 patients developed ap necrosis; 07 patients developed arm dysesthesia. Whether in treatment ARM B (BCT) 04 patient had
Seroma formation; 13 patients developed wound infection & wound contracture. Complications were reported in 35% of MRM group (35 out of
100 cases), while they were absent in 65% (65 out of 100). However, in the BCS group, complications were reported in 6.66% cases only (15 out
of 100 cases), while were absent in 93.33% (75 out of 100). P value by statistical analysis being 0.283, the difference being statistically
insignicant. Recurrence were present in 6.66% of MRM group (8/100) while they were absent in 92.34 % (92/100). However in BCS group
recurrences were present in 3.33 % (3/100) and were absent in 97.67% (97/100). P value by statistical analysis being 1, the difference being
statistically insignicant. Grading of complications has been captured from CTCAE Version 5.0 (Common Terminology Criteria for Adverse
Events).
Conclusion: There is slight signicant difference in the recurrence rate, whether the patient had undergone BCS or MRM based on our short
term follow-up. However a long term follow-up is required.
Violation of Maxims in Garfield's Utterances in Garfield Comic Strips
Authors: Simarmata Grace Sonia , Mono Umar , Nasution Ely Hayati
Published: May 2021

ABSTRACTThis research examines violation of maxims of Garfield in Garfield comic strips. The purpose of this research is to find out types of maxims that are violated, describe how maxims are violated, and find out the reason behind the violation in Garfield’s utterances in Garfield comic strips. This research is descriptive qualitative. This research uses Cooperative Principle and Violation Maxim theories by Herbert Paul Grice. The data collection method used is documentation and note-taking. The data analysis method used is interactive model by Miles and Huberman with the cycle: data condensation, data display, and conclusion drawing/verifying. The results and discussion obtained is 15 comic strips that contain violation of maxims with 5 cases of violation of multiple maxims and 10 cases of violation of one single maxim and 11 reasons of violation of maxim (to save face, avoid of what is asked, cheer up hearer, convince hearer, deceive hearer, abuse verbally, avoid talking, satisfy hearer, hide the truth, express excitement, and get intension faster). Violation of maxim is dominated by violation of maxim of quantity with 9 cases in 9 comic strips. There are 8 cases of violation of maxim of quality in 8 comic strips, 2 cases of violation of maxim of manner in 2 comic strips, and 1 case of violation of maxim of relation in 1 comic strip.Keywords: Grice’s Violation Maxim, Utterance, Comic
In, English Prepositions
Authors: Wahyuningsih Yulia
Published: May 2021

This research is a qualitative research which aims to describe the grammatical form of preposition in. This study uses Concordance to process Britain Awake's discourse in terms of Corpus Linguistics. This study shows that the preposition in can be in the form of simple prepositions and complex prepositions. These two forms of prepositions conform to the provisions put forward by experts, particularly the preposition formulas Preposition + Noun + Preposition. From the corpus data on oncordance, the simple prepositions is 73 (seventy three) and complex prepositions are 6 (six). The preposition in contains 13 (thirteen) of the 40 (forty) existing meanings.
Typological structure and age composition of beach stands in the mountainous Crimea
Authors: Plugatar' Y. V. , Koba V. P. , Papelbu V. V. , Muntyan O. L.
Published: May 2021

The features of the typological structure, age composition and territorial distribution of beech stands in the Mountainous Crimea were studied. It is shown that nowadays beech forests grow in the range of altitudes from 400-500 to 1300-1400 m above sea level on an area of 34.9 thousand hectares, which is 13.4% of the forested territory of the peninsula. The age structure of beech stands is characterized by the cyclical process of renewal of indigenous stands, which is determined by the implementation of favorable natural factors - the level of seed yield and weather conditions during the formation of seed renewal generation, the frequency of which is 40-50 years. Based on the analysis of the ecological spectrum of the species composition of the grass layer, it is established that the forest growing conditions in the beech stands in the central part of the Main Ridge of the Crimean Mountains should be characterized as fresh sudubravas and beech forests. The density of beech young growth in ecotopes in this area varies from 0.5 to 4 thousand pieces per 1 ha. In areas where the light regime improves, the young trees grow in the form of small bunches, often forming groups of young plants around the trunks of adult trees. Using satellite images of the Landsat 8 space sensing system, it was revealed that at present, in the central part of the beech forests of the Mountainous Crimea, significant areas are completely devoid of forest vegetation, or are covered with sparse woodlands, in the phytocenotic structure of which herbaceous plants predominate.
Optimization of technogenic landscapes of the Crimea. Report 1. Quarries and pits
Authors: Plugatar Yu. V. , Korzhenevsky V. V. , Golovnev I. I. , Slavgorodskaya O. A.
Published: May 2021

The main forms of anthropogenic relief formation (defensive ditches, mounds, canals, quarries, dumps, etc.) from the Neolithic to the present, which were marked by the presence of 152 abandoned and 137 active quarries on the territory of the peninsula, are considered. The basic principles and approaches to the reclamation of anthropogenic landforms are stated. Improvement options should be determined by the specific conditions of the technogenic landscape, as well as the suitability of the quarry for the intended use and the possibility of its transformation and, of course, the need of the ecosystem and society for an optimized object of the proposed type. The versions of optimization of open-pit workings during dry and wet rock excavation are considered. It is noted that in conditions of water shortage, preference should be given to the creation of reservoirs at the place of workings. The basic requirements for reclamation for agricultural and forest lands, the formation of sozological reserves by the formation of artificial reservoirs for various purposes: a reservoir to maintain ecological balance and preserve biological diversity (landscape-ecosystem function), a reservoir as a recreation area (recreational function), a reservoir as a source of drinking water (hydrological function), a reservoir for fish farming, including professional fishing (economic function). Possible approaches to optimization of quarries are discussed. An assortment of plant species suitable for creating coastal communities with a coastal protection function is presented.
Oportunidades domiciliares no desenvolvimento motor infantil: produção científica da área da saúde
Authors: Ferreira Tamiris , Da Cunha Figueiredo Thomaz , Alessandra Bick Marília , Ferreira  Langendorf Tassiane , Maris de Mello Padoin Stela , Cardoso de Paula Cristiane
Published: May 2021

Introduction: Child development comprises a complex and dynamic transformation process due to continuous and progressive interactions, which begins at conception. It involves aspects that permeate the child’s physical growth, neurological, behavioral, cognitive, social, and affective maturation.
Objective: Analyze the characteristics of scientific literature about the use of the instrument Affordances in the home environment for motor development (AHEMD).
Methods: It is a bibliometric and scientometric review performed in January 2018, including primary studies in English, Portuguese, and Spanish. By searching the electronic databases Publisher Medline (PubMed), Latin American and Caribbean Literature in Health Sciences (LILACS), Elsevier SciVerse Scopus (SCOPUS), Web of Science Main Collection, Clarivate Analytics (WoS), and at Scientific Electronic Library Online (SciELO).
Results: 38 studies applied AHEMD to assess opportunities for motor development at home, of them 39.5% (n=15) with children aged 3 to 18 months and 60.5% (n = 23) with children aged 18 to 42 months. The majority (76.4%- n=29) of them from Brazil, 47.4% (n = 18) were cross-sectional studies, 50% in the period between 2014 and 2017 and 50% (n = 19) with multi-professional authorship. The evaluation was done with children of different characteristics, scenarios, and social contexts with scores of dimensions and overall classified from very weak to sufficient.
Conclusion: The analysis of the studies concerning the application of AHEMD instrument shows a gap in longitudinal research in populations with clinical conditions, consistent with the notification issues of the information systems that indicate public health problems in the child population.
Depressão materna, composição da família e pobreza: como estes fatores afetam a saúde da criança no primeiro ano de vida?
Authors: Scherrer Isabela Resende Silva , Alves Cláudia Regina Lindgren
Published: May 2021

Introduction: The child’s overall health depends on several factors, including the quality of the environment in which it lives and the care it receives. Child well-being early in life has an impact on its future and future generations’ health.
Objective: Analyze the association of maternal depression, family composition and socioeconomic conditions with the indicator of maternal care and physical health of children.
Methods: Retrospective cohort that analyzed data from 120 children in the first year of life. A Health and Maternal Care Indicator (ISCM) was created, aggregating information on growth, breastfeeding, vaccination, prophylaxis of iron deficiency anemia, illnesses and accidents. The socioeconomic and health conditions were obtained through a structured interview. Maternal depression was assessed by the Edinburgh Postnatal Depression Scale. The association between the ICSM and the predictors was examined by Quasipoisson Regression. The initial model was composed of variables with p<0.25 in the univariate analysis and p<0.05 in the final model.
Results: The mothers were adults (83.3%), studied for an average of 10 years and 36% of them had depressive symptoms. About 37% of the families were single-parent female, 59% were from Class C1-C2 of ABEP and 12% received the “Bolsa Família” benefit. ISCM was 8% lower in children whose mothers were depressed (p = 0.04) or had no partner (p = 0.03), and was 14% higher in families receiving Bolsa Família (p = 0.02) in relation to their peers.
Conclusion: Maternal depression and female single-parent family arrangements negatively impacted child health and care, while the conditional cash transfer program represented a protective factor.
LOW COST SIMULATOR FOR CARDIOPULMONARY RESUSCITATION IN INFANTS
Authors: Do Nascimento Targino Ailton , Silva Alan Patricio , Naildo Cardoso Leitão Francisco , Zangirolami-Raimundo Juliana , De Oliveira Echeimberg Jorge , Daminello Raimundo Rodrigo
Published: May 2021

Introduction: The use of realistic simulation methodology is used in several learning scenarios, allowing students to participate directly in the problematization of situations that require immediate professional action.
Objective: To develop, validate and validate a low cost simulator for cardiopulmonary resuscitation and resuscitation procedures in infants.
Methods: An experimental study carried out with undergraduate students of the 1st year of the Nursing course at a higher education institution in the State of Paraíba, developed a simulator model with dimensions similar to an infant with low cost materials and made possible the use as a prototype for Basic Life Support training. The prototype was developed with the accessories for disengagement and cardiopulmonary resuscitation maneuvers. The data collection instrument was a questionnaire based on the American Hearth Association Basic Life Support guideline to enable and validate the Basic Life Support training instrument.
Results: The low-cost prototype for Basic Life Support training was used as a learning object adequately and enabled the teaching-learning process as an accessible resource at low cost. Based on the questionnaire applied, we observed that there was an increase in the median number of correct answers and a reduction in the median of errors, which indicated an improvement in the acquisition of information and improvement in learning, observed through the test of Signal of Related Samples and the test of the Signs of Wilcoxon, (MA) and errors (ME), before and after training where it was found that there was an increase in MA and a reduction in ME with 5% significance (p <0.001). The frequencies of response modifications after training with the simulator were also studied by means of the two-tailed McNemar test where Q1, Q2, Q3, Q4, Q8, Q9, Q13 and Q15 questions showed significant changes (p <0, 05).
Conclusion: A prototype was developed that simulated the training activity in Basic Life Support, which made it possible to carry out the procedures appropriately in positioning and simulation of cardiac resuscitation, mouth / nose ventilation, and tapping in the scapular region. Which allowed the validation of disengagement and resuscitation training as a low cost alternative for health education.
Using Intern-Led Quality Improvement to Reduce Readmissions for Specialty Service Patients Within an Academic Medical Center
Authors: Felipe Alfeil , Vats Anu , Sleiman Andressa , Tran Brian , Akel Miis , Chia Omri , Hester Jeannette M. , Hoh Daniel J. , Busl Katharina M. , Baron-Lee Jacqueline
Published: May 2021

Introduction

Postdischarge patient calls are an effective intervention to decrease unplanned readmissions. Despite its efficacy, calls are time consuming and compete with other clinical obligations. The purpose of this study was to evaluate the viability of intern-led quality improvement (QI) on conducting initial postdischarge calls to filter patients who require clinical or nurse follow-up.

Methods

QI interns from an academic medical center's QI program completed postdischarge patient calls within 72 hours of patient discharge from a neurosurgery service between June 2018 and July 2019. QI interns filtered patients who required follow-up calls from a clinical service or nurse department. The departments called patients within 48 hours of requests. Unplanned readmission rate was compared between the cohort of patients who requested and received a follow-up call versus a cohort of patients who requested and did not receive a follow-up call (control).

Results

QI interns completed 83.8% postdischarge patient calls within 72 hours of discharge. Reasons for unsuccessful calls included patient unresponsiveness (74.6%), wrong phone number on file (13.9%), and request to be called at a different time (11.5%). Nurses completed 57.2% follow-up requests within the targeted 48 hours and completed remaining requests within 7 days. QI intern postdischarge follow-up calls, in conjunction with nurse follow-up intervention, showed a significant (risk ratio = −3.31, p = 0.012) preventive effect on unplanned readmission rate.

Conclusions

QI interns are a viable alternative to nurses to conduct the first contact of postdischarge patient follow-up calls. This system of QI interns filtering calls to the correct clinical service or nurse department increased postdischarge patient follow-up calls success rate and decreased readmission rates.
ЗАХОДИ ДЕРЖАВИ В СФЕРІ ІНФОРМАЦІЙНОЇ БЕЗПЕКИ
Authors: Боднар І. Р.
Published: May 2021

Визначено роль держави у формуванні інформаційного суспільства та забезпеченні інформа-ційної безпеки. Інформаційна безпека розглянута з позиції однієї з суттєвих складових частин національної безпеки країни, гарантування якої здійснюється завдяки послідовній реалізації ефективної національної інфор-маційної стратегії і в значній мірі сприяє досягненню успіху при вирішенні завдань у всіх сферах суспільства. Визначені інформаційні загрози національній безпеці з точки зору впливу на інформаційну інфраструктуру кра-їни, інформаційні ресурси, на суспільство, свідомість, підсвідомість особистості. Розглянуто ключові понят-тя та основи державної інформаційної політики в сфері інформаційної безпеки. Аналізується діяльність дер-жави в інформаційній сфері. Визначені основні напрями діяльності держави в сфері інформаційної безпеки. Запропоновані концептуальні підходи гарантування інформаційної безпеки. З огляду на те, що проблема забез-печення безперервності функціонування системи забезпечення інформаційної безпеки держави є ключовою, пріоритетним є створення/відновлення основних напрямів захисту системи національної безпеки в інформа-ційній сфері. Пошук рішень має бути продиктований балансом собівартості подібної системи захисту та її ефективності. З метою практичної реалізації зазначеної стратегії слід створити інтегрований у вертикаль виконавчої влади спеціальний орган, який здійснював би її практичну реалізацію і на який, окрім функції впро-вадження, були покладені обов’язки запуску власне самого процесу розбудови інтегральної системи забезпечен-ня інформаційної безпеки держави, контролю за її виконанням та формулювання нових стратегій з урахуван-ням кардинальних змін у геостратегічних позиціях України.
ПРОЯВИ СОЦІАЛЬНОЇ НЕБЕЗПЕКИ В УМОВАХ ГЛОБАЛЬНИХ СОЦІАЛЬНИХ КРИЗ
Authors: Сидорчук О. Г.
Published: May 2021

Статтю присвячено виявленню цільових орієнтирів інституційного забезпечення соціальної безпеки громадян і суспільства в цілому за умови непереборної дії соціальних криз. За результатами опитуван-ня громадської думки виявлено основні пріоритети громадян щодо соціальної безпеки, що включають сприят-ливі та безпечні умови життя, гідний рівень якості життя, упевненість у майбутньому, захищеність прав і свобод громадян. Натомість поза кризою громадяни надавали менше значення проблемам зайнятості, досту-пності та якості медичних послуг, забезпечення здорового способу життя. Визначені особливості зайнятості свідчать про незбалансованість, що проявляється у підвищеному попиті на працівників низького рівня кваліфі-кації, що підриває мотивацію до професійного зростання та розвитку, супроводжуючись значними втратами людського і трудового капіталу та соціальною апатією. Водночас дослідження показало, що незадовільна заробітна плата, зайнятість, безробіття, дисбаланс на ринку праці спричиняють загрози соціальному забез-печенню, такі як низька зайнятість у певних вікових групах, особливо молоді, включаючи освіту та професійне навчання. Загрози, що виникли, та рівень безробіття, у тому числі довгострокового, формують умови для не-сприятливого соціального середовища та стають джерелом соціальної напруги в суспільстві. Виявлено, що пандемічний спалах на початку 2020 р. змістив пріоритети у суспільному сприйнятті соціальних небезпек, спри-чинивши значне падіння економіки, обсягів торгівлі, цінові коливання, зростання рівня безробіття та зменшення доходів більшої частки населення, що негативно позначилося на рівні життя громадян. Показано, що в умовах глобальних соціальних криз та форс-мажорних обставин пріоритетом державного піклування стають най-менш захищені верстви населення, тобто одночасно виявляються різні варіації впливу соціального забезпечен-ня держави. У подальших дослідженнях доцільно виявити можливі інструменти реалізації соціальної політики для своєчасного та ефективного запобігання небезпечним соціальним проявам
МЕНЕДЖМЕНТ ТОВАРНИХ ЗАПАСІВ ТОРГОВЕЛЬНИХ ПІДПРИЄМСТВ
Authors: Маркіна І. А. , Вороніна В. Л.
Published: May 2021

Актуальність теми дослідження полягає в тому, що на рівні окремого торговельного підприєм-ства товарні запаси виступають основним ресурсом та важливою складовою господарської системи, оскільки становлять значну частину активів підприємства, є важливим елементом його ресурсного потенціалу. Від якості управління товарними запасами залежать фінансові показники бізнесу. Метою дослідження є обґрун-тування теоретичних засад та розробка практичних рекомендацій щодо вдосконалення управління запасами торговельних підприємств в умовах динамічного бізнес-середовища. Встановлено, що значна частина підприємств роздрібної торгівлі після нетривалого періоду своєї діяльності стає збитковою або банкрутує. Причиною такої ситуації є неоперативні процеси управління товарними запасами, відсутність системного аналізу товарних потоків. В статті розглянуто основні причини та наслідки утворення наднормативних то-варних запасів на торговельному підприємстві. Здійснивши огляд фахової літератури, проаналізувавши показ-ники господарської діяльності та врахувавши особливості системи управління запасами і витратами торго-вельних підприємств, авторами розроблено загальну структурно-логічну схему процесу стратегічного управ-ління товарними запасами. Розглянуто взаємозв’язок складових стратегічного, функціонального та оператив-ного управління запасами торговельних підприємств. Досліджено структуру витрат та запропоновано кла-сифікацію витрат на управління запасами торговельного підприємства. В процесі дослідження спостерігалися незначні коливання структури витрат на управління запасами. Це, за спостереженнями авторів, пов’язано з посиленням вимог до зберігання та транспортування запасів, змінами попиту на товари, підвищенням конку-ренції тощо. Проведений аналіз дозволив визначити основні напрями оптимізації руху товарних запасів. Політика управління товарними запасами на підприємстві має бути направлена на зменшення періоду їх обо-роту та оптимізацію структури і розміру товарних запасів при мінімальних витратах. Внесено пропозиції щодо оптимізації управління товарними запасами торговельних підприємств.
НАУКОВА РОБОТА У ФОРМУВАННІ ІНДИВІДУАЛЬНОЇ ОСВІТНЬОЇ ТРАЄКТОРІЇ ЗДОБУВАЧІВ ВИЩОЇ ОСВІТИ
Authors: Медвідь Л. Г. , Семак Б. Б.
Published: May 2021

Стаття присвячена одній з актуальних проблем вищої школи – організації науково-дослідної роботи студентів як складової формування їх індивідуальної освітньої траєкторії. Зокрема, розкривається сутність такого поняття, як науково-дослідна робота студентів, та розкриваються її завдання в умовах удосконалення процесів індивідуалізації навчання, імплементації студентоцентрованого підходу, що передбачає врахування індивідуальних можливостей та потреб здобувачів вищої освіти, розширення їхньої свободи щодо вибору форм та способів науково-дослідної роботи, визначення студентами індивідуального наукового пошуку, а як наслідок, усвідомленого формування індивідуальної освітньої траєкторії. Висвітлюються внутрішні чинники, що сприяють мотивації здобувачів вищої освіти до наукової роботи. За-значається також, що при організації студентської науково-дослідної роботи необхідно враховувати осо-бистісні характеристики студентів у їх готовності до наукової діяльності. Основна увага зосереджується на характеристиці основних форм науково-дослідної роботи студентів: науково-дослідній роботі студентів в освітньому процесі, що передбачена навчальними планами та програмами освітніх компонент, і науково-дослідній роботі студентів, яка здійснюється під керівництвом науково-педагогічних працівників у позанав-чальний час. Характеризуються основні способи подання результатів науково-дослідної роботи студентів, а саме: реферат, тези, доповідь, стаття, презентація тощо. Обґрунтовується необхідність впровадження сучасних форм науково-дослідної роботи як в освітній процес, так і у позанавчальний час. Так, перспективни-ми та ефективними формами науково-дослідної роботи студентів, на думку авторів, є: їх залучення до до-сліджень на підприємствах чи у корпораціях, пов’язаних з підготовкою навчальних кейсів; участь студентів у конкурсах з отримання дослідницьких грантів, участь у наукових проектах, спеціалізованих студентських нау-кових спільнотах, інтернет-форумах і дискусіях. Участь у такій науковій роботі має бути обов’язково відоб-ражена в індивідуальному навчальному плані здобувача вищої освіти та врахована роботодавцями при пра-цевлаштуванні як одна з переваг на ринку праці.
Pensamiento geométrico: una experiencia de trabajo con profesores de matemáticas de secundaria
Authors: Rodríguez Ibarra María Antonieta , Montiel Espinosa Gisela
Published: May 2021

Reconociendo que una parte importante del pensamiento matemático, el cuál se busca promover en los estudiantes en su paso por las aulas de educación básica, es el pensamiento geométrico, se inició una investigación alrededor de éste con profesores de matemáticas de secundaria en México. Después de identificar que la matemática escolar tiende a priorizar procesos aritméticas y algebraicos, dejando de lado los estrictamente geométricos, se diseñaron situaciones de aprendizaje con sustento socioepistemológico que buscan promover, vía tareas no convencionales, el desarrollo del pensamiento geométrico. Presentamos la experiencia de trabajar una de las situaciones diseñadas con un grupo de profesores en servicio, para lo cual se utilizó una metodología especifica de desarrollo docente.
Interacción saludable en la prepa
Authors: Rosas Yépez Jacobet , Moya Grijalva Patricia
Published: May 2021

El presente trabajo es producto de la implementación del curso taller Mi convivencia asertiva en la prepa, el cual se desarrolló de agosto a diciembre de 2017, en el Centro de Estudios Científicos y Tecnológicos del Estado de Sonora (CECyTE) plantel II, en vinculación con el Departamento de Trabajo Social de la Universidad de Sonora. El objetivo medular fue el de otorgar a los estudiantes de nuevo ingreso herramientas y técnicas que favorecen su desarrollo humano y una sana convivencia escolar. Para ello, se ofrecieron ejercicios de autoconocimiento que mejoraron su autoestima y contribuyeron en un óptimo desarrollo escolar; así mismo, se fomentaron hábitos de autonomía a fin de que los estudiantes respondan positivamente ante los factores de riesgo escolar. Se estableció un código de convivencia escolar para mejorar las relaciones entre pares y personal del plantel. Como un aspecto fundamental se trabajó la construcción del proyecto de vida de los participantes, herramienta de realización personal. Este curso taller se fundamentó en conceptos relacionados con el desarrollo humano, procesos de democracia y construcción de la paz, en donde los jóvenes tuvieron la oportunidad de ser escuchados y de forma colectiva construyeron estrategias de convivencia saludable. Los resultados obtenidos fueron favorables y se planea continuar trabajando con los adolescentes de este plantel y replicar el taller en otros centros de estudio de la localidad.
HermosiArte. Talleres de música para jóvenes de colonias populares
Authors: Murillo Sánchez Fabio
Published: May 2021

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Reseña del libro: Complejos bioculturales de Sonora. Pueblos y territorios indígenas
Authors: Von der Borch Maren
Published: May 2021

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Carrizo Abierto: procesos escénicos para la recuperación de la tradición oral comcaac
Authors: Vázquez Bátriz Alma Cristina
Published: May 2021

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