bluuebunny/crossref_metadata_2025 huggingface dataset:
Relevansi Kompetensi Lulusan S1 Pendidikan Teknik Sipil dan Perencanaan Universitas Negeri Yogyakarta dengan Kebutuhan Dunia Industri Jasa Konstruksi Bidang Perencana
Authors: Warnandes Satria , Hariyanto Lilik , Indriatno Putra Pratama Galeh Nur
Published: June 2022

ABSTRACTThis research aims to determine the competence of graduates in the S1 curriculum of PTSP UNY in 2020 from aspects of learning outcomes needed by the construction planner industry, knowing the relevance of graduate competencies in the curriculum with the needs of the construction planner industri  and knowing the competencies of graduates based on industry advice that has not been listed in the learning outcomes. This type of research is descriptive quantitative and sample research using  purposive snowball sampling method. Using questionnaire instruments with 55 question points. Data analysis is done with descriptive percentages. The results showed that the competence of graduates in the S1 PTSP UNY curriculum in 2020 judging from aspects of learning outcomes required by the industry consists of four aspects, namely attitude (10 competencies), knowledge (13 competencies), general skills (17 competencies), and specific skills (15 competencies the level of competency relevance of graduates in the 2020 S1 PTSP UNY curriculum on the four aspects of the criteria is very relevant. In the aspect of attitude 89%, knowledge 81.54%, general skills 85.53%, and specific skills 83.20% and additional competencies  based on industri advice is  able to master the survey results and existing conditions.Keywords: relevance of competence, S1 PTSP UNY, curriculum 2020, construction industri, and planners.ABSTRAKPenelitian ini bertujuan untuk mengetahui kompetensi lulusan pada kurikulum S1 PTSP UNY tahun 2020 dari aspek capaian pembelajaran yang dibutuhkan industri bidang perencana konstruksi, mengetahui tingkat relevansi kompetensi lulusan pada kurikulum dengan kebutuhan industri bidang perencana konstruksi dan mengetahui kompetensi lulusan berdasarkan saran dunia industri yang belum tercantum dalam capaian pembelajaran. Jenis penelitian ini adalah deskriptif kuantitatif dan sampel penelitian menggunakan metode purposive snowball sampling. Menggunakan instrumen angket dengan butir pertanyaan sebanyak 55 butir. Analisis data dilakukan dengan deskriptif persentase. Hasil penelitian menunjukkan bahwa kompetensi lulusan pada kurikulum S1 PTSP UNY tahun 2020 dilihat dari aspek capaian pembelajaran yang dibutuhkan industri terdiri dari empat aspek yaitu sikap (10 kompetensi), pengetahuan (13 kompetensi), keterampilan umum (17 kompetensi), dan keterampilan khusus (15 kompetensi), tingkat relevansi kompetensi lulusan pada kurikulum S1 PTSP UNY tahun 2020 termasuk dalam kriteria sangat relevan. Pada aspek sikap 89%, pengetahuan 81,54%, keterampilan umum 85,53%, dan keterampilan khusus 83,20% dan kompetensi tambahan berdasarkan saran dunia industri adalah mampu menguasai hasil survei dan kondisi eksisting.
Evaluasi Sistem Blok secara Daring pada Mata Pelajaran Aplikasi Perangkat Lunak dan Perencanaan Interior Gedung Kelas XI Kompetensi Keahlian Desain Pemodelan dan Informasi Bangunan di SMK Negeri 1 Sedayu
Authors: Dewi Hafni Yusrina , Santoso Agus
Published: June 2022

ABSTRACTThe purpose of this study was to determine the evaluation of the block system that was carried out online in the APLPIG Class XI subject of Building Modeling and Information Design Expertise Competencies at SMK Negeri 1 Sedayu. The type of research used is evaluative research with the CIPP model (Context, Input, Process, Product). The subjects of this study were 1 APLPIG Class XI teacher and 30 APLPIG Class XI students. The data collection technique used is the method of observation, questionnaires, interviews, and documentation. Data analysis used quantitative methods with descriptive statistical analysis techniques. The results of this evaluation are 1) the context of the application of the block system is in the good and quite good category; 2) block system input in good category; 3) the block system implementation process is in the good category; 4) the product of the application of the block system is categorized as quite good. The application of the block system which is carried out online in APLPIG Class XI subjects is in the category of being quite effective and can be continued, but with the help of providing motivation from the teacher to students so that learning achievement continues to increase.Keywords: Evaluation, Block system, Online  ABSTRAKTujuan dilaksanakannya penelitian ini adalah untuk mengetahui evaluasi sistem blok yang dilaksanakan secara daring pada mata pelajaran APLPIG Kelas XI Kompetensi Keahlian Desain Pemodelan dan Informasi Bangunan di SMK Negeri 1 Sedayu. Jenis penelitian yang digunakan menggunakan penelitian evaluatif dengan model CIPP (Context, Input, Process, Product). Subjek dari penelitian ini merupakan 1 Guru APLPIG Kelas XI dan 30 peserta didik Kelas XI APLPIG. Teknik pengumpulan data yang digunakan merupakan metode observasi, kuesioner, wawancara, dan dokumentasi. Analisis data yang digunakan menggunakan metode kuantitatif dengan teknik analisis statistik deskriptif. Hasil dari evaluasi ini adalah 1) konteks penerapan sistem blok masuk dalam kategori baik dan cukup baik; 2) input sistem blok dalam kategori baik; 3) proses pelaksanaan sistem blok masuk dalam kategori baik; 4) produk dari penerapan sistem blok masuk dalam kategori cukup baik. Penerapan sistem blok yang dilaksanakan secara daring pada mata pelajaran APLPIG Kelas XI masuk dalam kategori cukup efektif dan dapat dilanjutkan, namun dengan bantuan pemberian motivasi dari pendidik kepada peserta didik agar prestasi belajar terus meningkat.
Emergency Departments’ Uptake of Telehealth for Stroke Versus Pediatric Care: Observational Study
Authors: Zachrison Kori S , Hayden Emily M , Boggs Krislyn M , Boyle Tehnaz P , Gao Jingya , Samuels-Kalow Margaret E , Marcin James P , Camargo Jr Carlos A
Published: June 2022

Background

Telehealth for emergency stroke care delivery (telestroke) has had widespread adoption, enabling many hospitals to obtain stroke center certification. Telehealth for pediatric emergency care has been less widely adopted.

Objective

Our primary objective was to determine whether differences in policy or certification requirements contributed to differential uptake of telestroke versus pediatric telehealth. We hypothesized that differences in financial incentives, based on differences in patient volume, prehospital routing policy, and certification requirements, contributed to differential emergency department (ED) adoption of telestroke versus pediatric telehealth.

Methods

We used the 2016 National Emergency Department Inventory–USA to identify EDs that were using telestroke and pediatric telehealth services. We surveyed all EDs using pediatric telehealth services (n=339) and a convenience sample of the 1758 EDs with telestroke services (n=366). The surveys characterized ED staffing, transfer patterns, reasons for adoption, and frequency of use. We used bivariate comparisons to examine differences in reasons for adoption and use between EDs with only telestroke services, only pediatric telehealth services, or both.

Results

Of the 442 EDs surveyed, 378 (85.5%) indicated use of telestroke, pediatric telehealth, or both. EDs with both services were smaller in bed size, volume, and ED attending coverage than those with only telestroke services or only pediatric telehealth services. EDs with telestroke services reported more frequent use, overall, than EDs with pediatric telehealth services: 14.1% (45/320) of EDs with telestroke services reported weekly use versus 2.9% (8/272) of EDs with pediatric telehealth services (P<.001). In addition, 37 out of 272 (13.6%) EDs with pediatric telehealth services reported no consults in the past year. Across applications, the most frequently selected reason for adoption was “improving level of clinical care.” Policy-related reasons (ie, for compliance with outside certification or standards or for improving ED performance on quality metrics) were rarely indicated as the most important, but these reasons were indicated slightly more often for telestroke adoption (12/320, 3.8%) than for pediatric telehealth adoption (1/272, 0.4%; P=.003).

Conclusions

In 2016, more US EDs had telestroke services than pediatric telehealth services; among EDs with the technology, consults were more frequently made for stroke than for pediatric patients. The most frequently indicated reason for adoption among all EDs was related to clinical care.
Vaccination Intention and Behavior of the General Public in China: Cross-sectional Survey and Moderated Mediation Model Analysis
Authors: Yang Liuqing , Ji Lili , Wang Qiang , Xu Yan , Yang Guoping , Cui Tingting , Shi Naiyang , Zhu Lin , Xiu Shixin , Jin Hui , Zhen Shiqi
Published: June 2022

Background

Promoting vaccination and eliminating vaccine hesitancy are key measures for controlling vaccine-preventable diseases.

Objective

We aimed to understand the beliefs surrounding and drivers of vaccination behavior, and their relationships with and influence on vaccination intention and practices.

Methods

We conducted a web-based survey in 31 provinces in mainland China from May 24, 2021 to June 15, 2021, with questions pertaining to vaccination in 5 dimensions: attitude, subjective norms, perceived behavioral control, intention, and behavior. We performed hierarchical regression analysis and structural equation modeling based on the theory of planned behavior—in which, the variables attitude, subjective norms, and intention each affect the variable intention; the variable intention mediates the relationships of attitude and subjective norms with behavior, and the variable perceived behavioral control moderates the strength of this mediation—to test the validity of the theoretical framework.

Results

A total of 9924 participants, aged 18 to 59 years, were included in this study. Vaccination intention mediated the relationships of attitude and subjective norms with vaccination behavior. The indirect effect of attitude on vaccination behavior was 0.164 and that of subjective norms was 0.255, and the difference was statistically significant (P<.001). The moderated mediation analysis further indicated that perceived behavioral control would affect the mediation when used as moderator, and the interaction terms for attitude (β=–0.052, P<.001) and subjective norms (β=–0.028, P=.006) with perceived behavioral control were significant.

Conclusions

Subjective norms have stronger positive influences on vaccination practices than attitudes. Perceived behavioral control, as a moderator, has a substitution relationship with attitudes and subjective norms and weakens their positive effects on vaccination behavior.
Development and Use of a Cardiac Clinical Guideline Mobile App in Australia: Acceptability and Multi-Methods Study
Authors: Matthews Stacey , Atkins Brooke , Walton Natalie , Mitchell Julie-Anne , Jennings Garry , Buttery Amanda K
Published: June 2022

Background

Implementation of clinical guidelines into routine practice remains highly variable. Strategies to increase guideline uptake include developing digital tools and mobile apps for use in clinical practice. The National Heart Foundation of Australia in collaboration with the Cardiac Society of Australia and New Zealand published 3 key cardiac clinical guidelines, including the Australian clinical guidelines for the (1) prevention and detection of atrial fibrillation, (2) detection and management of heart failure, and (3) management of acute coronary syndromes. To improve access and uptake for health care providers, we developed the Smart Heart Guideline App.

Objective

This study aims to evaluate the acceptability, implementation, and usability of an Australian-specific cardiac guidelines mobile app.

Methods

We used an iterative multiple methods development and implementation approach. First, we conducted a cross-sectional web-based survey with end users (n=504 health professionals) in 2017 to determine the acceptability of an Australian-specific cardiac clinical guidelines mobile app. Second, the Smart Heart Guidelines app was created using a design, user testing, and revision process. The app includes interactive algorithms and flowcharts to inform diagnosis and management at the point of care. The freely available app was launched in October 2019 on iOS and Android operating systems and promoted and implemented using multiple methods. Third, data from 2 annual national cross-sectional general practitioner (GP) surveys in 2019 and 2020 were evaluated to understand the awareness and use of the clinical guidelines and the app. Fourth, data from the app stores were analyzed between October 1, 2019, and June 30, 2021, to evaluate usage.

Results

Most health professionals surveyed (447/504, 89%) reported accessing resources electronically, and most (318/504, 63%) reported that they would use an Australian-specific cardiac guidelines app. GPs surveyed in 2019 were aware of the heart failure (159/312, 51%) and atrial fibrillation (140/312, 45%) guidelines, and in 2020, a total of 34 of 189 (18%) reported that they were aware of the app. The app was downloaded 11,313 times (7483, 66% from the Apple App Store; 3830, 34% from Google Play) during the first 20-month period. Most downloads (6300/7483, 84%) were a result of searching for the app in the stores. Monthly download rates varied. App Store data showed that people used the app twice (on average 2.06 times) during the 20 months. Many (3256/3830, 85%) Android users deleted the app.

Conclusions

Health professionals supported the development of the Smart Heart Guidelines app. Although initial downloads were promising, the frequency of using the app was low and deletion rates were high. Further evaluation of users’ experience of the most and least useful components of the app is needed.
Digital Health Literacy: Bibliometric Analysis
Authors: Yang Keng , Hu Yekang , Qi Hanying
Published: June 2022

Background

Digital health is growing at a rapid pace, and digital health literacy has attracted increasing attention from the academic community.

Objective

The purposes of this study are to conduct a systematic bibliometric analysis on the field of digital health literacy and to understand the research context and trends in this field.

Methods

Methods: A total of 1955 scientific publications were collected from the Web of Science core collection. Institutional co-operation, journal co-citation, theme bursting, keyword co-occurrence, author co-operation, author co-citation, literature co-citation, and references in the field of digital health literacy were analyzed using the VOSviewer and CiteSpace knowledge mapping tools.

Results

The results demonstrate that the United States has the highest number of publications and citations in this field. The University of California System was first in terms of institutional contributions. The Journal of Medical Internet Research led in the number of publications, citations, and co-citations. Research areas of highly cited articles in the field of digital health literacy mainly include the definition and scale of health literacy, health literacy and health outcomes, health literacy and the digital divide, and the influencing factors of health literacy.

Conclusions

We summarized research progress in the field of digital health literacy and reveal the context, trends, and trending topics of digital health literacy research through statistical analysis and network visualization. We found that digital health literacy has a significant potential to improve health outcomes, bridge the digital divide, and reduce health inequalities. Our work can serve as a fundamental reference and directional guide for future research in this field.
Exploring Whether Addictions Counselors Recommend That Their Patients Use Websites, Smartphone Apps, or Other Digital Health Tools to Help Them in Their Recovery: Web-Based Survey
Authors: Wray Tyler B
Published: June 2022

Background

Hundreds of smartphone apps or websites claiming to help those with addictions are available, but few have been tested for efficacy in changing clinically relevant addictions outcomes. Although most of these products are designed for self-facilitation by users struggling with addictions, counselors and other addictions treatment providers will likely play a critical role in facilitating adoption by integrating their use into counseling or recommending them to their patients. Yet, few studies have explored the practices of addictions counselors in using or recommending addictions-focused digital health tools in their work.

Objective

The aim of this study was to understand whether addiction counselors are recommending that their patients use addictions-focused apps to help them in their recovery, and the factors that affect their desire to do so.

Methods

Licensed addiction counselors practicing in the United States (N=112) were recruited from professional and scientific organizations of alcohol or drug counselors to complete a web-based survey.

Results

In total, 74% (83/112) of counselors had recommended that their patients use a website or smartphone app to assist them in recovery, and those that had done so reported recommending an app with an average of 54% of their patients. The most commonly recommended app or website was SMARTRecovery.org (9%), I am Sober (8%), In the Rooms (7%), Insight Timer (4%), Calm (4%), Sober Tool (4%), Recovery Box (3%), and Sober Grid (3%). The most important reason that counselors recommended the websites or apps was that colleagues or patients told them they found it helpful (55%), followed by their workplaces recommending it (20%) and professional organizations recommending it (10%). Counselors’ intentions to recommend a hypothetical app were strongest for apps that had been tested in rigorous, scientific studies that showed they helped users stay sober or reduce their substance use; 94% (105/112) reported that they would “definitely” or “probably” use such an app.

Conclusions

Most addictions counselors surveyed are already recommending that their patients use apps or websites to help them in their recovery, despite the paucity of available products that have evidence supporting their efficacy for addictions outcomes. One way that product developers could increase adoption among addictions treatment providers is to make efficacy testing a priority and to disseminate results through professional organizations and clinics.
Validation of the Mobile App Version of the EQ-5D-5L Quality of Life Questionnaire Against the Gold Standard Paper-Based Version: Randomized Crossover Study
Authors: Kamstra Regina J M , Boorsma André , Krone Tanja , van Stokkum Robin M , Eggink Hannah M , Peters Ton , Pasman Wilrike J
Published: June 2022

Background

Study participants and patients often perceive (long) questionnaires as burdensome. In addition, paper-based questionnaires are prone to errors such as (unintentionally) skipping questions or filling in a wrong type of answer. Such errors can be prevented with the emergence of mobile questionnaire apps.

Objective

This study aimed to validate an innovative way to measure the quality of life using a mobile app based on the EQ-5D-5L questionnaire. This validation study compared the EQ-5D-5L questionnaire requested by a mobile app with the gold standard paper-based version of the EQ-5D-5L.

Methods

This was a randomized, crossover, and open study. The main criteria for participation were participants should be aged ≥18 years, healthy at their own discretion, in possession of a smartphone with at least Android version 4.1 or higher or iOS version 9 or higher, digitally skilled in downloading the mobile app, and able to read and answer questionnaires in Dutch. Participants were recruited by a market research company that divided them into 2 groups balanced for age, gender, and education. Each participant received a digital version of the EQ-5D-5L questionnaire via a mobile app and the EQ-5D-5L paper-based questionnaire by postal mail. In the mobile app, participants received, for 5 consecutive days, 1 question in the morning and 1 question in the afternoon; as such, all questions were asked twice (at time point 1 [App T1] and time point 2 [App T2]). The primary outcomes were the correlations between the answers (scores) of each EQ-5D-5L question answered via the mobile app compared with the paper-based questionnaire to assess convergent validity.

Results

A total of 255 participants (healthy at their own discretion), 117 (45.9%) men and 138 (54.1%) women in the age range of 18 to 64 years, completed the study. To ensure randomization, the measured demographics were checked and compared between groups. To compare the results of the electronic and paper-based questionnaires, polychoric correlation analysis was performed. All questions showed a high correlation (0.64-0.92; P<.001) between the paper-based and the mobile app–based questions at App T1 and App T2. The scores and their variance remained similar over the questionnaires, indicating no clear difference in the answer tendency. In addition, the correlation between the 2 app-based questionnaires was high (>0.73; P<.001), illustrating a high test-retest reliability, indicating it to be a reliable replacement for the paper-based questionnaire.

Conclusions

This study indicates that the mobile app is a valid tool for measuring the quality of life and is as reliable as the paper-based version of the EQ-5D-5L, while reducing the response burden.
Assessing the Clinical Robustness of Digital Health Startups: Cross-sectional Observational Analysis
Authors: Day Sean , Shah Veeraj , Kaganoff Sari , Powelson Shannon , Mathews Simon C
Published: June 2022

Background

The digital health sector has experienced rapid growth over the past decade. However, health care technology stakeholders lack a comprehensive understanding of clinical robustness and claims across the industry.

Objective

This analysis aimed to examine the clinical robustness and public claims made by digital health companies.

Methods

A cross-sectional observational analysis was conducted using company data from the Rock Health Digital Health Venture Funding Database, the US Food and Drug Administration, and the US National Library of Medicine. Companies were included if they sell products targeting the prevention, diagnosis, or treatment phases of the care continuum. Clinical robustness was defined using regulatory filings and clinical trials completed by each company. Public claims data included clinical, economic, and engagement claims regarding product outcomes made by each company on its website.

Results

A total of 224 digital health companies with an average age of 7.7 years were included in our cohort. Average clinical robustness was 2.5 (1.8 clinical trials and 0.8 regulatory filings) with a median score of 1. Ninety-eight (44%) companies had a clinical robustness score of 0, while 45 (20%) companies had a clinical robustness score of 5 or more. The average number of public claims was 1.3 (0.5 clinical, 0.4 economic, and 0.4 engagement); the median number of claims was 1. No correlation was observed between clinical robustness and number of clinical claims (r2=0.02), clinical robustness and total funding (r2=0.08), or clinical robustness and company age (r2=0.18).

Conclusions

Many digital health companies have a low level of clinical robustness and do not make many claims as measured by regulatory filings, clinical trials, and public data shared online. Companies and customers may benefit from investing in greater clinical validation efforts.
Online Knowledge Translation Program Involving Video Games and University Student–Led Tutorials About Cannabis and Psychosis for Black Youth: Mixed Method Feasibility Study (Preprint)
Authors: Jani Payal , Song Nuri , Artna Erin , Lyeo Joonsoo , Assam Ashley , Maelzer Faith , Murphy Andriene , Grant Angelo , Archie Suzanne
Published: June 2022

BACKGROUND

We have piloted a new online knowledge translation (KT) program created to educate youth about cannabis effects, which uniquely focuses on mental health risks for Black youth. Youth are generally unaware of the research linking underage usage and the risk of psychosis. Youth from some Black racialized communities in Ontario may be disproportionately affected and in need of this knowledge.

OBJECTIVE

Because very little is known about the acceptability and feasibility of programs educating Black youth about cannabis and psychosis risk, we evaluated this KT program, which consists of tutorials facilitated by university students and video games.

METHODS

This mixed methods pilot study evaluates the transfer of knowledge about cannabis and psychosis risk before and after the online KT program and, at the same time, explores participant satisfaction with the program and views about underage use. Eligible participants were youth 16-19 years of age of Black African or Caribbean descent. Trained undergraduate students from McMaster University administered a quiz (psychosis and cannabis test; PCT) to evaluate knowledge before and after the KT program. After playing the psychoeducational video games, participants attended two tutorial group sessions led by undergraduate students. The undergraduate students facilitated the online tutorials about cannabis and psychosis. The tutorials augmented the educational content embedded within the gameplay: participants discussed what they learned from the video games and their understanding of psychosis and the effects of cannabis. In addition, undergraduate students qualitatively analyzed the tutorial discussions for themes, and the prequiz and postquiz scores were analyzed for significant differences in scores.

RESULTS

A total of 9 Black youth were recruited and completed this pilot study. The mean PCT scores were 5.67 (SD 1.7) and 7.78 (SD 1.8) before and after the KT program, respectively. There was a significant improvement in scores (P<.05) post-KT program. Thematic analysis of the facilitated tutorials revealed three major themes: video game satisfaction, marijuana and psychosis literacy, and help-seeking awareness. Overall, participants showed an increased awareness and understanding of the subject matter after the gameplay and tutorial intervention.

CONCLUSIONS

When supplemented with tutorial sessions, the Back to Reality Series shows promise for addressing the gap in knowledge about cannabis and psychosis, and the results provide preliminary evidence that the games appeal to Black youth.
Improved Glycemia and Quality of Life Among Loop users – Analysis of Real-World Data from a Single Centre (Preprint)
Authors: Morrison Amy E. , Chong Kimberley , Lai Valerie , Farnsworth Kate , Senior Peter A. , Lam Anna
Published: June 2022

BACKGROUND

Despite being an unapproved method of insulin delivery, increasing numbers of people with type 1 diabetes (T1D) worldwide are choosing to use Loop, a Do-It-Yourself Automated Insulin Delivery system.

OBJECTIVE

We aimed to assess glycemic outcomes, safety and the perceived impact on quality of life (QOL), in a local Edmonton cohort of known Loop users.

METHODS

An observational study of adults with T1D using Loop was performed. Assessment of glycemic; HbA1c and time in range (TIR), and safety outcomes; hospital admissions and time below range (TBR), compared six months of Loop with the user’s prior regulatory approved insulin delivery method. QOL outcomes were assessed using INSPIRE, Diabetes Impact and Device Satisfaction (DIDS) measures (with maximum scores of 100, 10 and 10), and semi-structured interviews.

RESULTS

24 adults with T1D, 66.7% female, median (IQR) age 33 (28-45), duration of diabetes 22 years (17-32), with duration of Loop 18 months (12-25). With Loop, median (IQR) HbA1c 7.1% (6.5-7.5), 54mmol/mol (48-58) and TIR 76.5% (64.6-81.9); a significant improvement from prior therapy (p=0.001 and p=0.005), with a non-significant reduction in time 3.0-3.9mmol/L (p=0.17) and <3mmol/L (p=0.53). Two episodes of DKA and no severe hypoglycemia occurred in a total of 470 months Loop use. Positive QOL impact was explored in qualitative analysis and additionally demonstrated through median (IQR) INSPIRE 86 (79-95), DI 2.8 (2.1-3.9) and DS 9 (8.2-9.4).

CONCLUSIONS

This local cohort of people with T1D, demonstrate a beneficial effect of Loop use on both glycemic control and QOL, with no safety concerns highlighted.

CLINICALTRIAL

N/A
An integrated approach for obesity management: the effectiveness of glucagon-like peptide 1 agonist and life-style interventions for obesity management
Authors: Dinets A.V. , Gorobeiko M.B. , Zdorna V.V. , Hoperia V.H. , Lovin A.V.
Published: June 2022

Background. The obesity is found in 24.8% (approximately 10 million people) and overweight in 34.3% of the population of Ukraine, mainly in females. Obesity is associated with hereditary factors, overeating as well as a sedentary lifestyle. An integrated approach is applied to treat obesity such as combination of adequate eating behavior, high physical activity and administration of pharmacological correction, including glucagon-like peptide 1 agonist (GLP-1). Currently, the little is known about utility and effectiveness of GLP-1 in combination with adequate physical activity for obesity management among Ukrainian patients. The purpose of this study was to determine and evaluate the role of GLP-1 in combination with high physical activity for weight loss in obese patients and to compare with obese patients receiving treatment with metformin and sodium-glucose cotransporter 2 inhibitors (SGLT2i). Materials and methods. A prospective study included 155 obese patients, and follow-up data were available of 49 patients. The study group GLP-1 consisted of 30 patients receiving combination therapy GLP-1 liraglutide in daily doses of 1.2 to 3 mg per day. The control group consisted of 19 patients receiving complex therapy with metformin in daily doses from 500 to 2000 mg, and SGLT2i in daily doses from 10 to 12.5mg. Body mass index (BMI), waist circumference (WC), hip circumference (HC), and WC/HC ratio were evaluated. Number of daily steps was determined using pedometers built into smartphones or smartwatches. Evaluation of the obtained data was performed using non-parametric statistical methods. Results. In study group GLP-1 the mean weight before the treatment was 104.6kg, after treatment 96.36 kg (p=0.000007), the mean weight lost was 7.8% (range 1–23.71%) of initial body weight. Mean BMI before treatment was 37.1 kg/m2, after treatment 34.11kg/m2 (p=0.000006). In the control group, the mean weight before the treatment was 99.4 kg, after treatment 91.74 kg (p=0.000196), the mean weight lost was 7.73% (range 0–16.9%) of initial body weight. Mean BMI before treatment was 35.6kg/m2, after treatment 34.11 kg/m2 (p=0.000196). Analyses of the entrie chorot showed that before treatment, the daily number of steps >5000/day was determined in 25 (51%) patients, after treatment in 48 (98%); the daily number of steps >10,000/day before treatment was determined in 6 (11%) patients, after treatment it was 5 times more frequent in 31 (63%) patients. These results indicate a significant intensification of physical activity, and high motivation for weight loss in both study groups. Conclusions. Our findings suggest that weight loss in obese people is effective in case of administration of GLP-1, metformin, SGLT2i in combination with high physical activities of daily steps >5000, which is part of life style intervention.
Anxiety and depression in women of reproductive age with thyroid disease
Authors: Pasyechko N.V. , Kulchinska V.M.
Published: June 2022

Background. The problem of pathology of the affective sphere, especially anxiety and depressive disorders, at the present stage of development of society is especially relevant among general medical problems. In recent years, there has also been a pathomorphosis of mental disorders in various somatic and endocrine diseases. A link between thyroid disease and mental disorders, including autoimmune thyroiditis, has been found. Further research on this issue is important. The purpose of this study was to investigate the presence of mental disorders in women with subclinical hypothyroidism and euthyroidism on the background of autoimmune thyroiditis. Materials and methods. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS) in 176 women of reproductive age (18 to 44years) with subclinical hypothyroidism and euthyroidism with autoimmune thyroiditis compared with healthy women. The examination was conducted before the start of therapy for the underlying disease. Results. It was found that out of the 176 women surveyed, 37.5% of them had anxiety syndrome, 13.6% had depression, 10.8% of women had comorbid anxiety disorder and depression, and 38.1% of those surveyed had normal results. The group of women with autoimmune thyroiditis and subclinical hypothyroidism was dominated by clinically severe anxiety (40.9%) and depression (15.1%), the percentage of detected subclinical anxiety and depression was 7.6% and 7.6%, respectively, while the group of women with autoimmune thyroiditis and euthyroidism was dominated by subclinically expressed anxiety (37.1%) and depression (8.6%), and the percentage of clinically expressed anxiety and depression was 5.7% and 1.4%, respectively. Conclusions. Anxiety-depressive syndrome is 3.5 times more common in patients with thyroid diseases than in healthy women. There is a direct correlation of weak strength between the level of TSH in women with subclinical hypothyroidism and the number of points scored during the survey on both scales HADS-depression (r=0.12, p<0.05) and HADS-anxiety (r=0.14, p<0.05). There was a direct correlation of weak strength between the level of TPO Ab and the number of points scored during the survey in both scales HADS-depression (r=0.17, p <0.05) and HADS-anxiety (r=0.19, p<0.05).
Retraction of the article “Association of QT interval indices with cardiac autonomic neuropathy in diabetic patients”
Authors: Authors No
Published: June 2022

No abstract
Seguridad del paciente bajo anestesia en el consultorio dental
Authors: Mendoza Bedolla Sandra Beatriz , Martínez Baeza Óscar Eduardo
Published: June 2022

Los odontólogos en la actualidad ofrecen a sus pacientes intervenciones cada vez más complejas fuera del quirófano, cada paciente tiene necesidades únicas y debe ser evaluado con un historial médico completo. La mayoría de los procedimientos dentales se pueden llevar a cabo utilizando únicamente anestesia local; sin embargo, la sedación a pacientes en consultorios dentales ha aumentado en los últimos años, por lo tanto, la seguridad de la anestesia dental depende de los objetivos anestésicos, selección del paciente, técnica anestésica, selección de medicamentos, supervisión, entrenamiento del equipo médico y odontológico, y la preparación para manejar complicaciones inesperadas y emergencias. Es necesario que anestesiólogos y odontólogos comprendan las complicaciones y riesgos a los cuales pueden exponerse los pacientes con una monitorización inadecuada, así que los consultorios dentales deben desarrollar un protocolo para optimizar la atención del paciente y el manejo de emergencias.
Ameloblastoma uniquístico tratado mediante descompresión y enucleación. Reporte de un caso y revisión de la literatura
Authors: Liceaga Escalera Carlos Juan , Montoya Pérez Luis Alberto , Vélez Cruz Madeleine , Jiménez de la Puente Guillermo
Published: June 2022

Introducción: El ameloblastoma es un tumor benigno que se origina a partir del epitelio odontogénico, se localiza en la región de los maxilares, tiene predilección por la región posterior de la mandíbula en un 80%, cuenta con un crecimiento intraóseo y progresivo, provocando expansión de corticales y se ha reportado hasta un 50% de recurrencia durante los primeros cinco años si no es tratado de manera adecuada, en este artículo se trató de manera conservadora para evitar secuelas estéticas y funcionales que deja el tratamiento agresivo en este tipo de lesiones, obteniendo resultados favorables a corto plazo. Objetivos: Con este artículo enfatizamos la importancia de un estricto control clínico e imagenológico para dar la posibilidad al paciente de realizar tratamientos conservadores para este tipo de tumores odontogénicos. Material y métodos: En este artículo se presenta el caso clínico de una paciente de 22 años que presentó un ameloblastoma uniquístico mural en región de cuerpo y ángulo mandibular derecho, tratado mediante descompresión inicial más extracción de órgano dental asociado; dos años después se realizó enucleación y curetaje de la lesión. Se muestra control clínico e imagenológico de la paciente a dos meses de postoperado. Resultados: Se demuestra que realizando tratamiento conservador mediante marsupialización con posterior enucleación y curetaje se obtiene como resultado la completa neoformación de cuello condilar, proceso corónides, rama, ángulo y cuerpo mandibular. Conclusiones: El tratamiento para ameloblastomas uniquísticos podría realizarse mediante una descompresión inicial que ayude a preservar y a regenerar las regiones anatómicas afectadas para posteriormente realizar la enucleación de la lesión y de esta manera evitar las secuelas estéticas y funcionales del tratamiento convencional.
Maxilectomía subtotal izquierda secundaria a mixoma odontogénico: reporte de un caso
Authors: Villegas Meza Pablo , Téllez Santamaría Arturo , Álvarez Barreto Israel , Vega Cruz Alondra Miroslava , Muñoz Carrillo José Luis
Published: June 2022

El mixoma odontogénico es un tumor que suele llegar a aparecer en la cavidad bucal, caracterizado por ser un tumor agresivo de crecimiento lento, cuya localización es especialmente en mandíbula. Radiográficamente se observa como unilocular o multilocular, similar a un panal de abeja. En este reporte de caso, se presentó una mujer de 26 años al Servicio Maxilofacial del Hospital General de la Ciudad de Puebla por aumento de volumen en hemicara izquierda. A través de estudios de imagen, se observó lesión delimitada afectando el hueso maxilar izquierdo, malar y piso de orbita, por lo cual se le realizó tratamiento quirúrgico, maxilectomía subtotal 2B, obteniendo como resultado un pronóstico favorable a largo plazo (dos años) para el paciente, sin recidiva.
Quiste odontogénico glandular en un hombre anciano: reporte de caso
Authors: Cervantes Espinoza Daniel Alberto , Urías Barreras Cynthia Marina , Inzunza Estrada Héctor Jovany , Ríos Burgueño Efrén Rafael
Published: June 2022

El quiste odontogénico glandular (QOG) es una lesión del desarrollo poco común de los maxilares, se presenta como un aumento de volumen asintomático de lento crecimiento con una alta tasa de recurrencia. El rango de edad es amplio siendo la edad promedio de 45.7 años. El caso reportado es un masculino de 76 años de edad con un aumento de volumen en la mandíbula anterior, radiográficamente se observó una radiolucidez multilocular que fue manejada con enucleación y curetaje. Las características histopatológicas fueron consistentes con un quiste odontogénico glandular. Después de 15 meses, se observó persistencia de la lesión durante el seguimiento.
Las bacterias nunca fueron nuestras enemigas
Authors: Durán Gutiérrez L. Américo
Published: June 2022

Durante la historia de la evolución, los microorganismos han estado con nosotros conviviendo de manera pacífica. Los seres humanos somos portadores de hongos, virus, parásitos y bacterias, las cuales en conjunto representan un número mayor a las mismas células de muestro organismo. Su peso bruto representa entre uno y dos kilogramos del peso total de un adulto.
Efecto aclarante del ácido clorhídrico (18%) y el ácido fosfórico (37%) sobre el esmalte dental. Estudio experimental in vitro
Authors: Herrera Pastor Carla , Rojas Ortega Raúl , Girano Castaños Jorge , Vergara Pinto Brenda , Castro Rodríguez Yuri
Published: June 2022

Introducción: La microabrasión es un procedimiento conservador y controlado que remueve una parte superficial del esmalte y que se utiliza en la técnica de blanqueamiento dental. Existen distintos agentes microabrasivos y sus resultados sobre el blanqueamiento son diversos. Objetivo: Evaluar el efecto aclarante del ácido clorhídrico al 18% (HCl 18%) y ácido fosfórico al 37% (H3PO4 37%) en piezas dentales de origen bovino. Material y métodos: Estudio experimental, in vitro que utilizó 74 piezas dentales permanentes, las cuales fueron pigmentadas con café molido por un periodo de 48 horas. Las muestras fueron divididas en dos grupos (n = 37), según el ácido utilizado; grupo 1: HCl18% + piedra pómez, realizado con cepillo para profilaxis; grupo 2: H3 PO4 37% + piedra pómez, empleando caucho para profilaxis. El cambio de color se midió con una guía de color visual, VITA Toothguide 3D- MASTER®, antes y después del grabado ácido. Resultados: Estadísticamente la microabrasión mecánica con HCl 18% genera mayor cambio de coloración en piezas bovinas pigmentadas, que la de H3PO4 37%(p < 0.01); asimismo, existe cambio de coloración dental en piezas tratadas con H3 PO4 37% y HCl18% antes y después del tratamiento (p < 0.001). Conclusión: Ambas técnicas empleadas mostraron efectividad en cuanto al cambio de coloración dental.
Descontrol glucémico en diabetes mellitus tipo 2 aumenta la severidad de la periodontitis
Authors: Hoz-Rodríguez Lia , Hernández-Hernández Pablo Rodrigo , Herrera Hernández Brenda Yesenia , Orozco Molina Grissel , León Dorantes Gladys , Arreguín Cano Juan Antonio
Published: June 2022

Introducción: La periodontitis es una de las principales complicaciones de la diabetes mellitus tipo 2 (DMT2), ambas enfermedades presentan una relación bidireccional donde el descontrol glucémico es un factor determinante para el desarrollo de la periodontitis. Sin embargo, el grado de severidad del descontrol glucémico y de la periodontitis no han sido evaluados a fondo. Objetivo: Evaluar la relación que existe entre el descontrol glucémico en DMT2 y la severidad de la periodontitis. Material y métodos: Hombres y mujeres con DMT2 con y sin periodontitis crónica generalizada del Hospital «Dr. Donato G Alarcón» fueron incluidos en el estudio. Tras firma de consentimiento informado se realizó una exploración periodontal registrando: enrojecimiento gingival, sangrado, supuración, profundidad de sondeo y nivel de inserción clínica. Asimismo, se obtuvieron muestras de sangre venosa periférica para determinar niveles de hemoglobina glicosilada (HbA1c), colesterol, triglicéridos, lipoproteína de alta densidad (HDL), lipoproteína de baja densidad (LDL), creatinina y recuento de granulocitos. Resultados: Se incluyeron 158 casos con DMT2, la población presentó 42 (26%) con salud periodontal, 36 (22%) periodontitis leve, 26 (16%) periodontitis moderada y 54 (34%) con periodontitis severa. Con respecto a la HbA1c, se encontró con buen control 26 (16%), mal control 56 (35%) y con alto riesgo de complicaciones 46 (48%). Se encontró una disminución significativa en el enrojecimiento gingival y un aumento en los niveles de pérdida de inserción clínica en pacientes con alto riesgo de complicaciones. Asimismo, se encontró un aumento significativo de granulocitos en el grupo de casos con alto riesgo de complicaciones. Discusión: El aumento descontrolado y prolongado de los niveles de glucosa en sangre se ha correlacionado con el desarrollo de diversas complicaciones. En el periodonto los eventos generados por este desbalance se han relacionado con el desarrollo de la periodontitis. Sin embargo, no se ha evaluado la relación entre el grado de severidad y el descontrol glucémico. Conclusión: Se encontró una relación positiva entre niveles altos de HbA1c y la severidad de la periodontitis crónica generalizada.
Manejo odontológico en el paciente con cáncer de cabeza y cuello sometido a cirugía, radioterapia y/o quimioterapia
Authors: Alvarado Gamboa Esperanza , Jiménez Castillo René , Ibieta Zarco Blanca Rosa
Published: June 2022

El manejo odontológico y la rehabilitación de prótesis maxilofacial que se le debe dar al paciente con cáncer de cabeza y cuello sometido a los tratamientos oncológicos son la cirugía donde se efectúan grandes recesiones de las tumoraciones orofaciales y, en ocasiones, se administra de forma concomitante terapias de radioterapia y/o quimioterapia que pueden provocar efectos secundarios orales, los cuales deben ser controlados para que no se conviertan en complicaciones, por lo que el buen estado de salud oral es transcendental para la calidad de vida. La importancia de brindar el manejo odontológico y protésico adecuado inicia por la higiene oral, rehabilitación dental y periodontal; la prótesis maxilofacial, que cubre los defectos postquirúrgicos, deberá estar bien adaptada para que apoye en la fonación, habla, masticación y deglución, e incluir el uso de antisépticos y pastas dentales medicados, ayuda a mantener en buenas condiciones la cavidad oral y aumenta la tolerancia a las terapias oncológicas.
Minimally invasive free gingival graft technique prior-to orthodontic therapy: case report
Authors: Peniche Palma Diana Cecilia , Carrillo Ávila Bertha Arelly , Sauri Esquivel Eduardo , Herrera Atoche José Rubén , Martínez Aguilar Víctor Manuel
Published: June 2022

Introduction: A gingival recession (GR) is an affection in which the gingiva displaces apical to the cement-enamel junction causing exposure of the root surface. A thin gingival phenotype can be associated to GR, especially when exposed to orthodontic movements. To solve this condition, several mucogingival techniques have been proposed. Free gingival grafts taken from the palate are the gold standard; however, they are related to poor esthetical results and postoperative complications. In order to reduce those disadvantages, a «Minimally Invasive Esthetic Free Gingival Graft» (MIEFGG) technique is proposed, which involves a donor site placed on the buccal aspect of upper molars to modify the phenotype or regain attachment in the recipient site. Aim: To describe a new graft technique, used in mucogingival surgery, which is both esthetic and minimally invasive. Material and methods: A 24-year-old female patient who requested a periodontal evaluation before orthodontic treatment. Diagnosis: Cairo’s RT3 along with thin phenotype, type II mobility, and extrusion associated to teeth 4.1 and 4.2. Treatment plan: thicken the gingival phenotype surrounding teeth 4.1 and 4.2 before orthodontic therapy. Since the patient expressed esthetical concerns, the MIEFGG technique was selected. Results: Postsurgical follow-ups were performed 7, 14, 30, and 150 days. Both the width and the height of the keratinized gingiva around teeth 4.1 and 4.2 increased by 1 mm. The esthetic outcome was satisfactory, according to the patient. No complications or postoperative pain was reported. Conclusion: MIEFGG is a technique that presents good results in terms of gingival augmentation, little discomfort to the patient, and esthetic results. Concerning the clinical case presented here, those advantages were achieved. However, more research is needed in order to prove its effectiveness
La odontología aplicada al deporte, una necesidad para el atleta
Authors: Guzmán Mora Alfredo , Albavera Hernández Cidronio
Published: June 2022

El 24 de julio de 2020 el estadio nacional de Tokio, en Japón, se convertiría en el epicentro de los Juegos Olímpicos donde un tumulto de atletas de diversas disciplinas deportivas y de muchos lugares del mundo se darían cita para disputar los logros que desde 776 a. C. se realizaban en la Villa Griega de Olimpia, dentro del Santuario del dios Zeus (aunque en 1896 se iniciaron las de la era moderna); sin embargo, estos eventos deportivos de Tokio fueron pospuestos para el siguiente año (23 de julio de 2021). En 124 años nunca antes habían sido postergados, sólo en 1916, 1940 y 1944 fueron cancelados debido a los conflictos bélicos de las dos guerras mundiales, pero ahora la aparición de un nuevo virus (SARSCoV-2) de la familia de los coronavirus y causante de la enfermedad COVID-19 que surgió en Wuhan, China, en el año 2019, se extendió por todo el mundo y ocasionó una pandemia que condicionó este aplazamiento, haciendo que esta justa deportiva pasara a la historia no sólo por la espera de romper marcas atléticas