bluuebunny/crossref_metadata_2025 huggingface dataset:
Human Upper Limb Experimental Analysis for Assistive Devices in Feeding Process
Authors: Copilusi Cristian , Geonea Ionut , Margine Alexandru , Rosca Adrian
Published: September 2021

This research addresses attention to human upper limb experimental analysis during feeding process aiding disabled persons. The research core is focused on the experimental process of obtaining the angular amplitudes and trajectories developed by the human upper arm during feeding process. The research originality consists on the obtained results which can be used in further researches for command and control of robotic assisting devices.
Applying the Masteralloy Concept for Manufacturing of Sinter Hardening PM Steel Grades
Authors: Geroldinger Stefan , de Oro Calderon Raquel , Gierl-Mayer Christian , Danninger Herbert
Published: September 2021

Sinter hardening is a powder metallurgy processing route that combines the sintering and the heat treating processes in one step by gas quenching the components immediately after they have left the high temperature zone of the furnace. It is both economically attractive and ecologically beneficial since it renders deoiling processes unnecessary. The slower cooling rates associated with gas compared to oil quenching however requires special alloy concepts different to those known from wrought steels. In the present study it is shown that by admixing atomized masteralloy powders consisting of suitable combinations of Mn, Cr, Si, Fe and C to base iron or pre-alloyed steel powders, sinter hardening PM steel grades can be produced that transform to martensitic microstructure at cooling rates of 2-3 K/s as typical for industrial sinter hardening. This is confirmed by CCT diagrams and hardness measurements. However, metallographic investigations are also necessary because in sintered steels, the cores of the largest base powder particles are alloyed very slowly during sintering and therefore tend to result in soft spots in the sinter hardened microstructure which are mostly not discernible in the CCT diagrams. Here, even slight pre-alloying of the base powder with Mo and/or Cr is helpful, both increasing the hardenability of the steels compared to base plain iron and avoiding soft spots in the microstructure.
Geriatric Implications of Surgical Oncology
Authors: Skipper Dalton
Published: September 2021

Surgical oncology is cancer care that focuses on using surgery to diagnose, stage, and treat cancer and is one of the main treatments for malignancy. Patients older than 65 years are generally considered geriatric. The incidence of cancer in geriatric patients is increasing annually. Candidacy for surgical intervention depends on factors such as cancer type, size, location, grade and stage of the tumor, and the patient’s overall health status and age. Despite increasing agreement that age should not limit treatment options, geriatric patients tend to be undertreated. Cancer in geriatric patients has different features than in younger patients. As such, treatment options may be dissimilar in these 2 cohorts. Here, care of the geriatric patient undergoing surgical oncology interventions is discussed.
Tremblements de terre et failles de l'astroblème de Charlevoix (Québec)
Authors: Nadeau L , Lamontagne M , Brouillette P , Locat J , Castonguay S , Morin A
Published: September 2021

This field guide was first written for the meeting of the Eastern Section of the Seismological Society of America (ES-SSA), held in La Malbaie in 2013. It has been slightly modified, mostly with new figures.
The Charlevoix Seismic Zone is the locus of the highest seismic hazard in continental eastern Canada. At the heart of this zone is the ~54 km diameter Charlevoix impact structure. This structure, located less than 125 km east of Quebec City, is one of the most accessible large meteorite impact
structures in eastern North America. The Charlevoix impact structure is singled out as it overprints Iapetus rift faults and the Logan's Line marking the edge of the Appalachian Orogen.
The Charlevoix impact structure gives the region its singular landscape. The ~5 km wide peripheral ring trough forms a prominent open valley extending from St. Lawrence River (sea level) to a threshold at ~250 m altitude. The highest point in the valley is nearly 850 m below the ~1100
m mean elevation of the external Laurentian plateau. The highest point is also 550 m below the central uplift, 'Mont-des-Éboulements,' which stands 780 m above sea level. The overall morphology of the Charlevoix impact structure matches that of a complex impact crater. Shatter cones,
mylolisthenite injections and shock-induced planar deformation microstructures in quartz and feldspar are widespread providing compelling evidence for the extent of shock metamorphism. The age of the impact is poorly constrained. Recently acquired 40Ar/39Ar and U-Pb data from impact melt rock and
pseudotachylite give a late-Ordovician age, which appears to be in better agreement with field relationships than the previously reported K-Ar Devonian-age.
Evaluation of clinicoradiological outcomes of lateral vertebral notch referred pedicular screws entry point in subaxial cervical spine by freehand technique
Authors: Sandeep Sonone , Dahapute Aditya Anand , Balasubramanian Sai Gautam , Nashikkar Piyush , Marathe Nandan , Sonavane Shalaka Ramesh
Published: September 2021

Purpose:

Cervical pedicle screws (CPSs), though associated with complications and steep learning curve, have significantly increased strength and stability as compared to any other posterior instrumentation methods. Using anatomical referral techniques, pedicle screws can be inserted safely with a high accuracy rate obviating the need for anterior stabilization. Our present study aims to investigate the safety and outcomes of lateral vertebral notch (LVN) referred entry point for subaxial CPSs by freehand technique.

Materials and Methods:

We retrospectively studied 22 patients who underwent CPS fixation. Computed tomography (CT) scan with angiography was done in each case to know the anatomy, characteristics, and anomalies of each pedicle. Postoperative CT scan was done to look for any breach in cervical pedicles. We used free hand technique for insertion of subaxial cervical pedicles taking LVN as a reference point. The authors used the medial wall of the cervical pedicles as a safe guide for the probes that walked along it.

Results:

Eighty screws were inserted in total in the study group. Mean angle of screw with sagittal axis of vertebrae was 23.43° ± 9.279°. Range of angle used was 6°–40°. Perforation occurred in 11 pedicle screws: C3 (2 out of 8, 25%), c5 (3 out of 20, 15%), and c4 (4 of 22, 18%). Out of 11 perforations, four were complete and seven were partial perforations. One complete medial perforation was associated with radiculopathy that required revision.

Conclusion:

The technique described in the study can be considered relatively safe, easy, and reliable method of inserting cervical pedicle screws with high accuracy (86.25%) and low complication rates (1.25%). However, meticulous preoperative planning is required.
Novel use of percutaneous cervical pedicle inlet screws for supplemental posterior fixation after anterior cervical deformity correction
Authors: Gelinne Aaron , Abumoussa Andrew L. , Sloboda Cole A. , Bhowmick Deb A.
Published: September 2021

Introduction:

Correction of cervical deformity can be achieved using anterior cervical fixation and fusion techniques. However, supplemental posterior fixation is a critical component for ensuring biomechanical longevity and favorable patient outcomes. We present a novel percutaneous technique for posterior cervical fixation in patients where cervical pedicle (CP) screws may not be feasible and midline muscle dissection is not needed.

Methods:

Three patients presented to our hospital with cervical pathology amendable to circumferential cervical fusion. After adequate deformity correction was performed through an anterior cervical decompression and fusion, staged posterior supplemental fixation was achieved using percutaneous CP inlet (CPI) screws using a percutaneous muscle-sparing approach.

Results:

All three patients underwent CPI screw placement without postoperative neurovascular complications. Postoperative radiographic follow-up showed the desired, proper screw placement, with continued maintained cervical alignment.

Conclusions:

CPI screw placement may be alternative hybrid screw that achieves a advantageous safety profile while also avoiding an open midline exposure.
Giant Cell Tumor of Clavicle in an Elderly
Authors: Garg Neha , Tanveer Nadeem , More Shilpi , Chauhan Shivangi
Published: September 2021

Giant cell tumor (GCT), also known as osteoclastoma, is a locally aggressive benign tumor arising in the epiphysis of bone. It accounts for 3%–8% of all bone tumors. About 75%–90% of GCTs occur in long tubular bones with more than 50% arising in the distal femur and proximal tibia. Flat bone involvements such as ribs, skull, patella, sternum, and clavicle are rare. Sixty–seventy percent of patients with GCT are between 20 and 40 years of age, rarely affecting too young or too old. We present here an unusual case of GCT of the clavicle in a 62-year-old female.
A Histological Study on the Acute Effect of Zinc Oxide Nanoparticles Administered by Different Routes on Albino Rat Lung
Authors: Mohammed Heba Abdel Latif , El Shakaa Nagwa M. , Bahaa Nevine , Zeid Asmaa A. Abo
Published: September 2021

Introduction and Aim of the Work:

Zinc oxide nanoparticles (ZnO NPs) are considered the most frequently utilized NPs, so the potential for human exposure has increased tremendously. Hence, the study is aimed to compare the histopathological effects of high and low doses of ZnO NPs administered intranasally or intravenously on lung tissue of adult rat's male albino.

Materials and Methods:

Thirty-five male Wistar rats were divided into Group I; control group, Group II (intranasal administered group) was subdivided into Subgroup IIA and IIB, in which the animals were injected with 4 and 30 mg/kg of ZnO NPs, respectively. Group III (intravenous administered group) was subdivided into two subgroups with the same doses as Group II. Blood samples were collected after 24 h for estimating serum level of lactate dehydrogenase. Rat lungs were processed for histological, immunohistochemical, and ultrastructural analysis.

Results:

ZnO NPs caused thickening of interalveolar septa. Extravasated red blood cells were noticed in the alveolar lumen and in some bronchioles. Many dilated blood vessels exhibited focal disruption and focal thickening of their wall. Collagenous fibers were deposited in the interalveolar septa and the walls of bronchi. Tumor necrosis factor-alpha immune reactivity was significantly increased. These findings increased on dose increase, mainly in the intranasal administered group when compared with the intravenous group.

Conclusion:

ZnO NPs administration caused toxic effects on the histological structure of albino rat lung. These effects were route and dose-dependent, being more obvious after intranasal administration.
IgG Subclasses and Congenital Transmission of Chagas Disease
Authors: Roca Cristian , Málaga-Machaca Edith S. , Verastegui Manuela R. , Scola Billy , Valencia-Ayala Edward , Menduiña Maria del Carmen , Noazin Sassan , Bowman Natalie M. , Tinajeros Freddy , Gilman Robert H. , _ _
Published: September 2021

The mechanism of vertical transmission of Trypanosoma cruzi is poorly understood. In this study, we evaluated the role of IgG subclasses in the congenital transmission of Chagas disease. We conducted a case-control study in a public maternity hospital in Santa Cruz, Bolivia, enrolling women at delivery. Thirty women who transmitted T. cruzi to their newborns (cases), and 51 women who did not (controls) were randomly selected from 676 total seropositive women. Trypanosoma cruzi–specific IgG1, IgG2, and IgG3 levels were measured by in-house ELISA. The IgG4 levels were unmeasurable as a result of low levels in all participants. Quantitative polymerase chain reaction results and demographic factors were also analyzed. One-unit increases in normalized absorbance ratio of IgG1 or IgG2 levels increased the odds of congenital T. cruzi transmission in Chagas-seropositive women by 2.0 (95% CI: 1.1–3.6) and 2.27 (95% CI: 0.9–5.7), adjusted for age and previous blood transfusion. Odds of congenital transmission were 7.0 times higher in parasitemic mothers (95% CI: 2.3–21.3, P < 0.01) compared with nonparasitemic mothers. We observed that all mothers with IgG1 ≥ 4 were transmitters (sensitivity = 20%, specificity = 100%). Additionally, no mothers with IgG2 < 1.13 were transmitters (sensitivity = 100%, specificity = 21.6%). We demonstrated that IgG subclasses and parasite presence in blood are associated with vertical transmission of T. cruzi and could identify women at increased risk for congenital transmission by measuring IgG subclasses. These measures have potential as objective screening tests to predict the congenital transmission of Chagas.
Therapeutic Efficacy of Artemisinin-Based Combination Therapies in Democratic Republic of the Congo and Investigation of Molecular Markers of Antimalarial Resistance
Authors: Moriarty Leah F. , Nkoli Papy Mandoko , Likwela Joris Losimba , Mulopo Patrick Mitashi , Sompwe Eric Mukomena , Rika Junior Matangila , Mavoko Hypolite Muhindo , Svigel Samaly S. , Jones Sam , Ntamabyaliro Nsengi Y. , Kaputu Albert Kutekemeni , Lucchi Naomi , Subramaniam Gireesh , Niang Mame , Sadou Aboubacar , Ngoyi Dieudonné Mumba , Muyembe Tamfum Jean Jacques , Schmedes Sarah E. , Plucinski Mateusz M. , Chowell-Puente Gerardo , Halsey Eric S. , Kahunu Gauthier Mesia
Published: September 2021

Routine assessment of the efficacy of artemisinin-based combination therapies (ACTs) is critical for the early detection of antimalarial resistance. We evaluated the efficacy of ACTs recommended for treatment of uncomplicated malaria in five sites in Democratic Republic of the Congo (DRC): artemether-lumefantrine (AL), artesunate-amodiaquine (ASAQ), and dihydroartemisinin-piperaquine (DP). Children aged 6–59 months with confirmed Plasmodium falciparum malaria were treated with one of the three ACTs and monitored. The primary endpoints were uncorrected and polymerase chain reaction (PCR)-corrected 28-day (AL and ASAQ) or 42-day (DP) cumulative efficacy. Molecular markers of resistance were investigated. Across the sites, uncorrected efficacy estimates ranged from 63% to 88% for AL, 73% to 100% for ASAQ, and 56% to 91% for DP. PCR-corrected efficacy estimates ranged from 86% to 98% for AL, 91% to 100% for ASAQ, and 84% to 100% for DP. No pfk13 mutations previously found to be associated with ACT resistance were observed. Statistically significant associations were found between certain pfmdr1 and pfcrt genotypes and treatment outcome. There is evidence of efficacy below the 90% cutoff recommended by WHO to consider a change in first-line treatment recommendations of two ACTs in one site not far from a monitoring site in Angola that has shown similar reduced efficacy for AL. Confirmation of these findings in future therapeutic efficacy monitoring in DRC is warranted.
Integrated Management of Neonatal and Childhood Illness Training in Lao PDR: A Pilot Study of an Adaptable Approach to Training and Supervision
Authors: O’Loughlin Freya , Phangmanixay Sommanikhone , Sisouk Kongkham , Phommanivong Viengvaly , Phiahouaphanh Onevanh , AlEryani Salwa , Raajimakers Hendrikus , Gray Amy
Published: September 2021

Integrated Management of Neonatal and Childhood Illness (IMNCI) has been part of the national strategy for child health in Lao Peoples Democratic Republic since 2003. The program, while running for an extended period, has faced multiple challenges including maintaining the teaching quality for the implementation of the IMNCI guidelines and a structure to enable and support healthcare workers trained to apply the training in their workplace. A revised training model that focused on building skills for teaching according to adult learning principles in a pool of facilitators, a practical and hands-on training workshop for healthcare workers, and the establishment of a program of health center supervision was developed and implemented in three provinces. Participants in the revised model reported increased confidence in implementing IMNCI guidelines, they demonstrated competence in the steps of IMNCI and on follow-up assessment at a supervision visit were found to have improved patient care through the measurement of pediatric case management scores. This study highlights the importance of a focus on education to ensure the translation of guidelines into practice and thereby lead to improvements in the quality of pediatric care. The IMNCI training approach is acceptable and valued by healthcare worker participants.
Študij in učiteljsko delo Josipa Pipenbacherja
Authors: Hriberšek Matej
Published: September 2021

Leta 1869 rojeni Josip Pipenbacher je po končani gimnaziji v Mariboru in nato v Ljubljani, kjer je maturiral, na Dunaju študiral klasično filologijo in tam l. 1895 tudi doktoriral kot drugi slovenski doktor klasične filologije (za Franom Detelo). Po opravljenem učiteljskem izpitu je poučeval na II. državni gimnaziji v Ljubljani, na gimnaziji v Novem mestu in nato znova na II. državni gimnaziji v Ljubljani, ki jo je v obdobju od l. 1921 do upokojitve l. 1928 vodil kot direktor. Od ustanovitve Oddelka za klasično filologijo na ljubljanski univerzi l. 1920 do l. 1939 je imel na oddelku kot honorarni učitelj latinske proseminarje in tečaje latinščine.
In-vitro Wound Healing Properties of Commiphora swynnertonii Resinous Extracts
Authors: Bakari G.G. , Mshamu S.A. , Ally M.H. , Max R.A. , Bai H.
Published: September 2021

Wound healing is a complex multicellular process involving many cell types which include; inflammatory cells, endothelial cells, fibroblasts and keratinocytes. The process involves an orderly sequence of events with four overlapping phases namely; haemostasis, inflammatory, proliferation and remodeling phases.  The process can be facilitated by the use of wound healing agents including herbal remedies from plants. In this study the main objective was to evaluate the in vitro wound healing activity of the resin obtained from Commiphora swynnertonii (C.swynnertonii). First the NIH -3T3 cells viability were evaluated using (3-(4, 5-Dimethylthiazol-2-yl)-2, 5-diphenyl Tetrazolium Bromide (MTT) assay. Then the wound scratch assay model was used to evaluate cellular proliferation, closure of the wound and release of matrix metalloproteinase enzymes. Results indicate differences in mean cell viability between different concentrations within 24 hours of incubation. The highest viability was recorded at the concentration of 1% (v/v). The in-vitro wound scratch assay showed positive NIH - 3T3 cells proliferation on the wound area and cells migration when compared with control group (without treatment) at 0 and 24 hours. In addition, C. swynnertonii was able to stimulate secretion of MMP-2 release from NIH - 3T3 cells. MMP-2 is an important enzyme for extracellular matrix remodeling during wound healing suggesting that C. swynnertonii promotes wound healing by stimulating cell proliferation and production of MMP-2 in a mechanism that is currently not known.
Funkcionalne regije v Sloveniji
Authors:   Univerza v Ljubljani, Fakulteta za gradbeništvo in geodezijo, Drobne Samo
Published: September 2021

Funkcionalne regije so posplošitev spremenljivih družbenih, gospodarskih, okoljskih in drugih prostorskih funkcionalnih povezav na nekem ozemlju. Te regije se vse pogosteje uporabljajo v analizah gospodarskega, družbenega, okoljskega in prostorskega razvoja ter za sprejemanje razvojnih odločitev. V monografiji najprej predstavimo splošne koncepte funkcionalnih regij ter uveljavljene pristope njihovega modeliranja in vrednotenja. Sledi splošni pregled analize funkcionalnih regij v Sloveniji iz sredine sedemdesetih let prejšnjega stoletja pa do danes. V tem delu na kratko opišemo in prikažemo izbrane rezultate modeliranja in vrednotenja funkcionalnih regij. Monografijo zaključimo s splošnimi ugotovitvami ter podamo nekatere predloge za nadaljnjo spremljanje funkcionalnih regij v Sloveniji.
Transactional Distance Theory and Compulsory Switching to Remote Teaching due to pandemic in Georgia
Authors:   Tbilisi State University, Gambashidze Nino
Published: September 2021

The study found that frequent communication with students, both synchronously and asynchronously, reduces the degree of student autonomy and forces them to engage in dialogue. This in itself is a guarantee of minimizing the transaction distance. One of the interesting strategies for this is to use informal language in written or oral feedback ("Gio, you wrote well, Kochagh!”,“Helen, why didn't you send me an assignment yesterday?”). Personal address to students is important in the asynchronous learning process. It is also important to understand that the student is somehow responsible for publishing his / her assignment in the classroom. Thus, the student becomes accustomed to dialogue with her classmates and feels accountable to them. It is advisable to contact the student's family frequently to find out if they have any problems accessing the Internet or if we can provide the student with a personal device. Sharing personal problems will also reduce the transaction distance and give the student the enthusiasm to engage in dialogue. Moderate use of humor and emotion, hope and encouragement, direct, sincere relationship, will somehow reduce the perception of physical distance, while minimizing the transactional distance.
Motivation of high school students - factor in the formation of geography specific skills in the context of scientific thinking
Authors:   C.N. “Alexandru Odobescu”, Pitești, Pătrașcu Alexandra
Published: September 2021

The purpose of this article is to highlight the most important aspect aimed at the formation of geography-specific skills in high school students, namely the motivation to learn in the context of the current health crisis. Currently, learning geography is based on the independent work of the student, according to the current methodology, as a result the student becomes his own teacher following the formation of his personality. In the first part of the article we mentioned the perception of learning motivation, in a school context current , by defining according to some authors, and in the second part the role of motivation in the formation of geographical skills in high school students. In this context, the teacher is the main agent of change in the education system, it is a model of learning for students, a model of motivation for all types of learning and the determining element in forming the geographical skills of students inside and outside the school. It must have a different approach depending on the situation and the motivation problems of the students which are diverse and different.
A Comparison of Static Stretching Versus Combined Static and Ballistic Stretching in Active Knee Range of Motion
Authors: Blackhurst Nathan , Peterson James , Herzog Valerie , Zimmerman Ericka
Published: September 2021

Background: There is continued controversy related to flexibility gains from different stretching protocols and within single protocols. Stretching methods include static, ballistic, dynamic, and proprioceptive neuromuscular facilitation (PNF). A combination of stretching methods may be an improved way to increase active knee range of motion (ROM). This study evaluated a single program formulated with static and ballistic components. Objective: To compare active knee ROM following stretching programs which either included combined static and ballistic stretching (CSBS) or static stretching (SS) alone. It was hypothesized that CSBS would show a greater increase in active knee ROM than SS. Setting: The pre- and post- measurements were performed in a laboratory. Subjects were randomly assigned to either treatment group or a non-stretching control group and given written instructions on how to perform their designated protocol at home. Subjects: Forty-three (33M, 10F) healthy collegiate aged participants (24.0 + 3.69 yrs, 176.21 + 10.0 cm, 78.15 + 12.93 kg) with no history of injury to the lower extremity or low back for the previous 6 months were eligible to participate in the study. Interventions: Two treatment groups either performed SS or CSBS for 30 seconds on each leg, twice a day for 2 weeks. All subjects but 3 provided both legs, and each leg was evaluated separately, providing 83 total measurements. Main Outcome Measures: A Johnson Digital Inclinometer was used to measure active knee extension. A mixed ANOVA with a Tukey post hoc test was used for statistical analysis. Results: There was no statistically significant difference in active knee ROM between groups at the pre-test, F(2,80)=1.062, p=.351, partial ƞ2=.026 (SS: 52.56 + 7.50º, CSBS: 49.84 + 8.91⁰, control: 49.39 + 10.09⁰). There was a statistically significant difference in active knee ROM between groups at the post-test, F(2,80)=29.034, p .05). There was homogeneity of covariance’s, as assessed by Box's test of equality of covariance matrices (p = .076). There was homogeneity of variances, as assessed by Levene's test of homogeneity of variance (p>.05). Conclusions: SS and CSBS are equally effective for improving active knee ROM. A trend indicating CSBS showing only slightly greater differences may be due to limited time allowed to master the CSBS method, with no supervision during stretching sessions.
Clinical Supervision in Allied Health in Australia: A Model of Allied Health Clinical Supervision Based On Practitioner Experience
Authors: Fitzpatrick Sue , Smith Megan , Wilding Clare
Published: September 2021

Purpose: The purpose of this manuscript is to identify key elements of allied health clinical supervision based on allied health practitioner’s experiences. Method: This study was conducted with qualitative methodology, including content analysis, and draws on hermeneutic interpretation of texts. Data were collected through an online survey in an Australian health service and subsequent focus groups. Results: Findings revealed four key dimensions including accessibility of regular clinical supervision, relationships between the supervisor and supervisee, clarity about the purpose, and roles and a focus on meeting the supervisee’s needs; these dimensions were central to the allied health practitioner’s experience of successful clinical supervision. A model of clinical supervision is proposed that is based on these four identified key dimensions. This model could be used as a broad schema to achieve a successful clinical supervision experience in allied health. Conclusion: This study contributes to the growing body of clinical supervision research by specifically addressing allied health needs in clinical supervision and proposing a model for its implementation. The authors contribute to the discussion about clinical supervision and its implementation by addressing needs that relate specifically to allied health and by developing a deeper understanding of the clinical supervision experiences of allied health clinicians. This new understanding provides a foundation for clinician-focused supervision, policy development and implementation.
The Evidence-based Practice Beliefs and Knowledge of Physical Therapy Clinical Instructors
Authors: Bierwas Debra , Leafman Joan , Shaw Donald
Published: September 2021

Introduction: For evidence-based practice to occur in patient management or clinical instruction, a knowledge of evidence-based practice principles is needed, including how to retrieve, appraise, and apply evidence. Attitudes and beliefs are also important, since for effective change in practice to occur it must be consistent with beliefs and needs. Purpose: The purpose of this study was to examine the evidence-based practice beliefs and knowledge of physical therapist clinical instructors and to determine whether differences in self-reported beliefs or knowledge existed based upon respondent characteristics of highest degree, age, association membership, and certification. Methods: For this cross-sectional descriptive study an electronic survey was used to collect data on respondent characteristics and evidence-based practice beliefs and knowledge. Results: Respondents were 376 physical therapists who were clinical instructors. A majority of respondents reported positive beliefs about evidence-based practice: welcome questions on practice (88.5 %, n = 333); fundamental to practice (89.7%, n = 337); practice changed because of evidence (81.1%, n = 305). From rating options of poor, fair, good, very good, and excellent, respondents most often selected good to describe knowledge level: formulate question 39.6% (n = 149); retrieve evidence 39.4% (n = 148); appraise evidence 44.1% (n = 166); and apply evidence 40.4% (n = 152). Nearly half of the respondents reported as either very good or excellent the ability to apply evidence (49.4%, n = 186). There were differences in evidence-based practice beliefs (degree H = 10.152, p = .038; membership z = 4.721, p = H = 27.712, p = z = 2.188, p = .03; certification z = 4.194, p = Conclusion: Respondents frequently reported positive beliefs about evidence-based practice and the possession of evidence-based practice knowledge. However, there were respondents who reported negative beliefs such as disagreeing that new evidence is important. There were wide variations in reported evidence-based practice knowledge. The largest percentage of respondents rated knowledge as good, the middle or ‘average’ rating on the five-point scale. There were differences in evidence-based practice beliefs and knowledge between groups for highest degree, association membership, and specialty certification.
Evaluation of Current Heparin Weight Based Protocol in Obese Patients
Authors: Lafosse Marie , Leung Simon , Hawkins Carla , Camejo Madeline
Published: September 2021

Purpose: To evaluate the difference in achieving goal activated partial thromboplastin time (aPTT) within 24 hours utilizing the institutional heparin weight based protocol between obese and non-obese patients. Methods: Retrospective, non-randomized, open label chart review in a community based hospital. Patients age 18 years or older receiving heparin therapy for greater than or equal to 24 hours identified. Patients were excluded if the protocol was utilized for acute coronary syndrome or interrupted within the initial 24 hours of therapy. Patients were also excluded if any deviations from the protocol were identified. The primary endpoint evaluated the difference in achieving goal aPTT within 24 hours between obese and non-obese patients. The secondary endpoint evaluated the difference in achieving goal aPTT within 24-48 hours and safety outcomes such as bleeds. Results: Of the 253 patients identified, 167 patients were included and 86 patients were excluded. Seventy-two (71.3%) of the nonobese and 48 (72.7%) of obese patients achieved goal aPTT within 24 hours (odd ratio [OR]: 0.98, 95 % confidence interval (CI): 0.6 to 1.58). Sixteen (15.8%) of nonobese and 13 (19.7%) of the obese patients achieved goal aPTT within 24 to 48 hours (OR: 0.77, 95 % CI: 0.3 to 1.95). Two (1.9 %) of the nonobese and 3 (4.5 %) of the obese patients had a documented major bleed (OR: 0.42 and 95 % CI: 0.69 to 2.61). Conclusion: Overall, there was no difference in achieving goal aPTT between nonobese and obese patients while utilizing our facility’s weight based heparin dosing. No major bleeding was documented that warranted discontinuation of therapy, and bleeding incidences between both groups were similar.
Aphasia Rehabilitation Service Delivery in a Stroke Rehabilitation Unit in Australia: A Clinical Audit of Speech Pathology Practices
Authors: Rej Laleh , Doeltgen Sebastian , Rodriguez Amy , van Steenbrugge Willem
Published: September 2021

Purpose: To investigate service delivery of aphasia rehabilitation in a metropolitan rehabilitation hospital by speech pathologists and assess adherence to both the National Stroke Foundation (NSF) Clinical Guidelines and the Australasian Rehabilitation Outcomes Centre (AROC) database of benchmarks. Method: A retrospective audit of 34 discharged patients was conducted within a dedicated stroke rehabilitation unit from March 2012 to July 2013 in Australia. Discharge reports, Functional Independence Measure (FIM) scores and clinical time statistics derived from the organization’s electronic database were studied and compared with NSF’s Clinical Guidelines for best practice recommendations and AROC benchmarks. Results: Patients with aphasia were admitted to inpatient rehabilitation at an average of 21 days post stroke, 2 days beyond the AROC benchmark for inpatient rehabilitation. The mean length of stay of patients with aphasia was 60 days, significantly longer than the average AROC benchmark of 32.8 days. Patients received an average of 4.25 hours of speech pathology therapy per week, more than twice the minimum amount of therapy time recommended by the NSF Guidelines. Conclusion: The current clinical audit is the first known speech pathology audit investigating adherence to stroke and aphasia rehabilitation guidelines set forth by the NSF clinical guidelines and AROC benchmarks in Australia. By comparing current care with advocated best practice, strengths were identified in service delivery, as well as priority areas for quality improvement.
Interprofessional Simulation in Accredited Paramedic Programs
Authors: McKenna Kim , Carhart Elliot , Bercher Daniel , Spain Andrew , Todaro John , Freel Joann
Published: September 2021

Introduction: Healthcare leaders advocate for interprofessional education as a means to promote collaborative practice, enhance interdisciplinary communication, and improve patient safety in the health professions. There is little evidence specific to interprofessional simulation in paramedic education. Methods: The National Association of EMS Educators (NAEMSE) surveyed paramedic programs that were accredited or in the process of becoming accredited. Program respondents were asked to characterize their resources and their use of those resources, and then were asked about their perceptions pertaining to simulation in their program. Chi-square analysis was used to compare characteristics of programs that participated in interdisciplinary simulation with those that did not. Results: Of the 389 of 638 (61%) paramedic program survey respondents, 44% (159 of 362) report interprofessional simulation. They perceived they used the right amount of simulation more frequently than other paramedic programs X2 (1, N=362) = 8.425, p X2 (1, N=362) = 11.751, pX2 (1, N=356) = 8.838, pX2 (1, N=362) = 4.704, pX2 (1, N=362) = 11.508 pX2 (1, N=362) = 5.495, pX2 (1, N=359) = 12.595, p<0.01.Conclusion: This research suggests that paramedic programs conducting interdisciplinary simulation indicated they have greater access to resources and faculty training to support simulation.
Community Engagement with Older Adults to Evaluate Interprofessional Education in Allied Healthcare Students
Authors: Heinerichs Scott , Gilboy Mary Beth , Metz Stacie , Reed Melissa , Harrison Barbara
Published: September 2021

Purpose: To examine students’ perceptions of interprofessional education (IPE) as a result of their participation in a community engagement experience with older adults. Methods: Thirty-six students enrolled in the undergraduate majors of athletic training, exercise science, and nutrition participated in an 8-week fall prevention program in two community dwelling senior centers. A one-group pretest-posttest evaluation design was used to assess the IPE experience of the students. Students completed the University of the West England Interprofessional Questionnaire pre and post intervention. Results: Both pretest and posttest student self-assessments of communication and teamwork skills ranged from slightly positive to neutral (means from 2.0 to 2.6). Students reported a statistical change in attitude from neutral (M = 2.3, SD + 1.1) in the direction of slightly positive (M = 2.0, SD + 1.1) toward being able to become quickly involved in new teams/groups from pretest to posttest t (26) = 2.53, p = .018; d = 0.49. 95% of students strongly agreed or agreed that the experience enabled them to interact with an unfamiliar and unique population as well as increased their understanding of other allied healthcare disciplines as a result of participation. No individual items nor the summary score exhibited statistical improvements over time. Conclusion: Overall, the intervention was successful in describing the IPE positive experiences and attitudes of undergraduate allied healthcare students when working in a senior adult population.
La MiniQuest a la vanguardia en Tecnologías para el Aprendizaje
Authors: Márquez Aurora Farfán , Sánchez Rosa María Zúñiga , Farfán Emilia Cantoral
Published: September 2021

Introducción

Las tecnologías de la información tienen alrededor de tres décadas ayudándonos  a realizar trabajos más rápidos, creativos y lo más sorprendente colaborativos ya que podemos estar en diferentes lugares al mismo tiempo y mantener la comunicación. En esta época actual el internet, resulta útil y acorta distancias. Ello es un estímulo para integrar la enseñanza-aprendizaje y realizar mejoras en el aula dejando de lado la enseñanza tradicional. Mediante el internet, podemos diseñar y planear diversos cursos y trabajar con ellos sobre proyectos e investigaciones que ellos mismos propongan, diseñen, estructuren y en ocasiones puedan publicar, complementando las actividades anteriormente propias del aula.

Objetivo

Construcción del aprendizaje situado mediante la MiniQuest como una estrategia metodológica, como lo es el aprendizaje basado en problemas (ABP).

Población objeto:

Grupo de 40 alumnos de primer año de la carrera de médico cirujano, del ciclo escolar 2017-2018 de la Facultad de medicina de la UNAM.

Aporte principal del trabajo:

Los alumnos con este tipo de estrategias metodológicas miniquest, podrán desarrollar algunas de las competencias del Plan de estudios 2010 como son pensamiento crítico, desarrollar razonamiento médico, toma de decisiones y fomentar las habilidades para la investigación. Además proporcionar los elementos necesarios para que desarrollen el profesionalismo médico, en su vida futura.

Introduction

Information technologies have been helping us for about three decades to do faster, creative and most surprisingly collaborative work since we can be in different places at the same time and maintain communication. In this current era the internet is useful and shortens distances. This is a stimulus to integrate teaching-learning and make improvements in the classroom leaving aside the traditional teaching. Through the Internet, we can design and plan various courses and work with them on projects and research that they themselves propose, design, structure and sometimes can publish, complementing the activities previously typical of the classroom.

Objective

Construction of situated learning through MiniQuest as a methodological strategy, as is problem-based learning (PBL).

Target population:

Group of 40 first year students of the career of medical surgeon, of the 2017-2018 school cycle of the Faculty of Medicine of the UNAM.

Main contribution of the work:

Students with this type of miniquest methodological strategies, will be able to develop some of the competencies of the 2010 Curriculum such as critical thinking, develop medical reasoning, decision making and promote research skills. In addition to providing the necessary elements to develop medical professionalism in their future life.
Potencial tecnológico de las micro y pequeñas empresas latinoamericanas a partir del análisis sistémico: Caso Ocaña, Norte de Santander
Authors: Quintana Arévalo Sandra Olimpia , Castañeda Vergel Gladys , Casadiegos Gaona Audrey , Jaime Páez Jaquelin
Published: September 2021

El presente artículo de investigación se centra en describir el grado de penetración de la tecnología en las micro y pequeñas empresas de Ocaña además de valorar en qué medida el uso de la tecnología está permitiendo o inhibiendo el buen funcionamiento de ellas. Así mismo esboza los resultados del estudio enfocado en el potencial tecnológico, para lo cual se tomó una muestra de 386 micro y pequeñas empresas en funcionamiento, pertenecientes a distintos sectores productivos, seleccionadas de forma aleatoria. El proyecto de investigación se fundamentó en el análisis sistémico a partir de las variables insumos del sistema, procesos del sistema y resultados del sistema, cuya deducciones se compararon con los arrojadas por la variable tecnología. Una vez realizado el análisis se evidencia que, en la correlación del uso de la tecnología con los componentes del análisis sistémico, la relación más fuerte se da con la variable de Innovación. También se resalta que el 29.4% de los directores usan algún programa especializado para gestionar su empresa, índices por debajo de la media nacional, pudiendo ser esta un área de oportunidad para el municipio.

Abstract

This research article focuses on describing the degree of penetration of technology in the micro and small companies of Ocaña, in addition to assessing the extent to which the use of technology is allowing or inhibiting the proper functioning of them. Likewise, it outlines the results of the study focused on the technological potential, for which a sample of 386 micro and small operating companies, belonging to different productive sectors, selected at random, was taken. The research project was based on the systemic analysis based on the system's input variables, system processes and system results, whose deductions were compared with those thrown by the technology variable. Once the analysis is done, it is evident that in the correlationof the use of technology with the components of the systemic analysis, the strongest relationship occurs with the variable of Innovation. It is also highlighted that 29.4% of directors use a specialized program to manage their company, indexes below the national average, this being an area of opportunity for the municipality.
Mezcla de mercadotecnia en las micro y pequeñas empresas: Factor determinante en las ventas
Authors: Vega López María Beatriz , Burgos María de los Ángeles , Hernández Encinas Laura Elena , García Nevares Ana María
Published: September 2021

El objetivo de la presente investigación es identificar el comportamiento de algunas variables de la Mezcla de Mercadotecnia, que son utilizadas por los directivos de las micro y pequeñas empresas, (MyPES) en el Municipio de Cajeme y el impacto que ejercen estas en las ventas de productos y servicios, así mismo se utilizó un cuestionario de 47 reactivos, de los cuales se tomaron las variables de mezcla de marketing y ventas. El método que se utilizo fue el método cuantitativo con un alcance descriptivo, ya que el estudio tiene como finalidad conocer si algunas de las variables de la mezcla de mercadotecnia, son determinantes en las ventas, teniendo como resultado que la variable mezcla de mercadotecnia tiene una buena correlación con la variable ventas, con una puntuación de 0.789 y 0.779, en la pruebas de Pearson y Spearman respectivamente, en la presente investigación se concluye que la  prueba más adecuada es Spearman ya que las variables tienen relaciones monótonas; es decir, no cambian al mismo ritmo; pero si al mismo tiempo. Lo anterior reafirma que el comportamiento de las variables de la mezcla de mercadotecnia tiene una buena correlación con las ventas.

Abstract

The objective of this research is to identify the behavior of some Marketing Mix variables, which are used by the managers of micro and small companies (MyPES) in the Municipality of Cajeme and the impact they have on sales of products and services. Likewise, a 47-item questionnaire was used, from which the marketing and sales mix variables were taken. The method that was used was the quantitative method with a descriptive scope, since the study has as purpose to know if some of the variables of the marketing mix are determining in the sales, having as a result that the mixed variable of marketing has a good correlation with the sales variable, with a score of 0.789 and 0.779, in the Pearson and Spearman tests, respectively, in the present investigation it is concluded that the most adequate test is that of Spearman since the variables have monotonous relationships; That is, they do not change at the same pace; but at the same time. The above reaffirms that the behavior of the variables of the marketing mix has a good correlation with sales.
creación de valor intangibles en las mypes de Tehuacán, a través de la ética y la reputación corporativa
Authors: Mascarúa  Alcázar Miguel Antonio , Rodríguez Suárez Cristina , Hernández Juan Carlos , Vázquez Rafael  Casto
Published: September 2021

El crecimiento de las microempresas (Mypes) en Tehuacán, es una preocupación actual dada la importante aportación a la producción del Estado de Puebla y el empleo. Tal crecimiento se puede medir a través de la Reputación Corporativa, pero para tal efecto se requiere de buenas prácticas que son el ejercicio de la ética. Partiendo del modelo tradicional de la justicia social y la ética, el presente trabajo busca relacionar éste, con los aportes sobre reputación corporativa. El estudio demuestra que un empresario que no responde a las preguntas sobre su negocio exhibe una falta de ética.
Abstract 
The growth of microenterprises (Mypes) in Tehuacán, is a current concern given the important contribution to the production of the State of Puebla and employment. Such growth can be measured through Corporate Reputation, but for this purpose good practices are required that are the exercise of ethics. Starting from the traditional model of social justice and ethics, the present work seeks to relate this, with the contributions on corporate reputation. The study shows that an entrepreneur who does not answer questions about his business exhibits a lack of ethics.
Alternativas de aprovechamiento de especies de frutas en la Villa Juan Aldama, municipio de Teapa, Tabasco
Authors: Sánchez Albores Aracely Celina , Jauregui Beltrán Liliana Guadalupe , Cornelio Cruz Gabriela del Carmen , Mollinedo Casanova Juana Mercedes
Published: September 2021

La investigación tuvo como objetivo “identificar y analizar alternativas de aprovechamiento de especies de frutas de los cuatro sectores de la Villa Juan Aldama, Teapa, Tabasco, para contribuir a su desarrollo económico”, se toma como muestra 30 propietarios de terrenos en donde se cultivan las frutas, se realiza el trabajo de campo y aplicación del cuestionario, obteniendo resultados de las frutas como es: variedad, volúmenes de producción, épocas de cosecha, usos, mercado, cuidados de las plantas, plagas y enfermedades, participación de la familia época de cosecha, venta entre otros.
AbstractThe objective of the research was "to identify and analyze alternatives for the use of fruit species from the four sectors of Villa Juan Aldama, Teapa, Tabasco, to contribute to their economic development", 30 landowners are taken as sample where they are cultivated the fruits, the field work is done and the questionnaire is applied, obtaining fruit results such as: variety, production volumes, harvest times, uses, market, plant care, pests and diseases, participation of the family. of harvest, sale among others.
KeywordsFruit species, economic development, fruit production, variety, production volume.