bluuebunny/crossref_metadata_2025 huggingface dataset:
'It's All Part of the Package' in Rural Allied Health Work: A Pilot Study of Rewards and Barriers in Rural Pharmacy and Social Work
Authors: Allan Julaine , Crockett Judith , Ball Patrick , Alston Margaret , Whittenbury Kerri
Published: August 2021

Objective: The objective of this pilot study was to identify personal and professional factors that influence health workers’ commitment to remaining in rural and remote areas with the aim of identifying research directions for a larger study and informing workforce recruitment and retention strategies. Design: Accidental sampling then qualitative interviews with pharmacists and social workers. Setting: Six rural communities with populations less than 5,000 in New South Wales, Australia. Methodology: Deductive and inductive analysis of data. Results: Common rewards included the value attached to pharmacists’ and social workers’ contributions to rural communities, ability to assist people to solve problems, and accessibility. Common barriers included lack of peer support, inability to attend professional development, and inadequate social and cultural facilities. The key factor mediating personal and professional experiences was a perception of community connectedness. Personal and professional issues are interrelated. Social workers in the public health system are more likely to change jobs than community pharmacists. Conclusion: Social workers and pharmacists appear to experience similar rewards and barriers in their professional and personal lives when compared to other rural health workers, including general practitioners, all of which are mediated by the degree to which they are connected to their community. Rewards and barriers in personal and professional life exist on an interrelated continuum that has to be balanced to manage a high degree of visibility experienced by health workers in small rural communities. Implications: The need for a systematic evaluation of workforce retention strategies is highlighted. New practitioners require skills in managing the connections between personal and professional life rather than viewing them as separate. Further work is required into the implications of life stage on decisions about work location.
Functional Balance Assessment of Older Community Dwelling Adults: A Systematic Review of the Literature
Authors: Langley Felicity , Mackintosh Shylie
Published: August 2021

Background: For allied health professionals wishing to assess the functional balance of older adults living in the community, the vast number of functional balance tests available makes it difficult to decide which assessment is most appropriate. Objective: To identify the reliability, concurrent validity and clinical practicality of functional balance tests with community dwelling older adults. Methods: A systematic review of published literature relevant to 17 functional balance tests was undertaken. The 17 functional balance tests were identified by a preliminary literature search and through consultation with an expert in the field of functional balance assessment. Studies published in English before January 2007, assessing the use of these functional balance tests with community dwelling adults aged 65 years or above were included. The CINAHL, MEDLINE, Ageline, Amed, PubMed, Cochrane library, PEDro and Joanna Briggs Institute databases were searched. The methodological quality of studies was assessed using a checklist criteria adapted from the Cochrane Working Group for Screening and Diagnostic Tests. Results: Eight databases were searched and 21 studies were included. The majority of studies demonstrated low to moderate methodological quality scores. Despite limitations reported for clinical application with community dwelling older adults, the Berg Balance Scale and the Timed Up and Go Test have been most rigorously tested. Reliability and concurrent validity of the Balance Screening Tool and the Fullerton Advanced Balance Scale had also been established in this population, however only one study was retrieved for each. Conclusion: The Berg Balance Scale and Timed Up and Go Test have published reliability, validity with community dwelling older adults. Further testing of other functional balance tests is required to establish their reliability and validity in this target population.
Dental Hygiene Education and Hiring Practices of Dentists in Ohio
Authors: Lalumandier James , Demko Catherine , Burke Kate
Published: August 2021

Purpose: As education and clinical preparation affect employment opportunities for entry-level dental hygienists, dentists’ perceptions of recent graduates should be considered when reforming education requirements. The purpose of this study is to examine general dentists’ preferences for employing entry-level dental hygienists from two-year versus four-year degree programs by surveying the opinions of dentists in Ohio. Method: A survey was distributed from June to September 2004, to a sample of 700 general dentists practicing in Ohio, all alumni of Case Western Reserve University School of Dental Medicine. The survey included questions on hiring preference, salary, value of work experience, and applicable science and dentistry knowledge. Results: Fifty-six percent of responding dentists (n=225) have no preference for hiring a recent four-year dental hygiene graduate over a recent two-year graduate. Furthermore, the majority of responding dentists are not willing to pay a higher salary to recent graduates of four-year degree programs, including those with a hygienist holding a baccalaureate degree. Responding dentists perceive greater science knowledge among recent four-year graduates, but equal knowledge of performing prophylaxis and patient care among graduates of both programs. Conclusion: Two-thirds of responding dentists believe differences between recent two-year and four-year dental hygiene graduates no longer exist after two years of work experience. Perceptions of the significant role of work experience in training suggest that future reforms in dental hygiene education should incorporate more clinical experience to advance the professional capabilities of entry-level hygienists.
Oral Piercing: An Overview
Authors: Janssen Kayla , Cooper Brigette
Published: August 2021

Oral piercing has become increasingly popular among young adults in recent years. This is of concern to dental and medical professionals because of the risks and complications to their health. This paper provides an overview of oral piercing and potential complications associated with piercings. Health care professionals are encouraged to educate their patients concerning risk factors, ways to reduce risk factors, and homecare to promote optimal oral health when piercings are present.
The "Goal Setting Approach" for Overweight and Obese Patients: Results of a Retrospective Cohort Study in a Dietetic Consultation
Authors: Kruseman Maaike , Volery Magali , Bovier Patrick
Published: August 2021

Purpose: To describe the performance of a dietary procedure based on a cognitive behavioral approach among overweight or obese patients. Methods: Standardized 45 minutes consultations were conducted by a dietician to obese (n=139) and overweight (n=56) patients followed between 1998 and 2003 at the dietetic consultation of the Outpatient clinic of the University Hospitals of Geneva. Outcome measures were the proportion of eating behavior changes and weight change over time. Results: Patients attended a mean of 7 consultations and reached on average 57% of their dietary behavioral goals. At the end of follow-up, 36 (19%) patients had lost at least 5% of initial weight (mean weight change 8 kg SD 3.9) and 8 (4%) had gained at least 5% of initial weight. Major life events, night eating syndrome, and a lower proportion of reached goals were associated with weight gain. Conclusions: Dietetic treatment based on behavioral goal setting shows encouraging results in terms of weight evolution and is compatible with standard care reimbursement in many countries. Dieticians and other health professionals could focus on behavioral goals to be achieved in the short term.
African American College Freshman Students' Knowledge, Attitudes, Beliefs, and Behaviors Related to HIV: A Preliminary Investigation
Authors: Rose Marie
Published: August 2021

Purpose: To assess African American college freshman students’ knowledge, attitudes, beliefs, and behaviors related to HIV. Method: A descriptive exploratory design with survey methodology was used to carry out the study. The participants were a convenience sample of 222 African American college freshman students with an average age of 18 years. The Maine HIV Prevention Community Planning Group questionnaire was used to elicit information from participants. Results: The majority of respondents were knowledgeable about HIV prevention and transmission (M = 9.36 on a maximum of 10, SD = .951). Their knowledge score was positively and statistically associated with whether or not they are likely to use a condom the next time they have sex (r = .18, p = .007) at an alpha of .01. The knowledge scores did not correlate with age, HIV risk, and the number of sexual partners. The respondents’ high level of HIV knowledge and their positive attitudes towards sexual health did not prevent them from engaging in risky sexual behaviors. The respondents identified schools (48.2%) and social gatherings (34.7%) as their two main venues for meeting sexual partners. They also listed television (86.6%) and school programs (70.3%) as their two main sources of HIV information. Conclusion: The findings indicated that further examination of the design of HIV intervention programs for African American college students may be necessary in order for the interventions to be effective. Health professionals and educators should then be concerned about the students’ sexual behaviors and determine what can be done to improve their sexual health.
Strategies for Facilitating Athletic Training Clinical Instruction
Authors: Vanguri Pradeep , Konim Jeff
Published: August 2021

Purpose: Athletic training education programs ensure the training of clinical instructors through annual workshops designed to familiarize them with athletic training clinical standards and guidelines. An opportunity exists for these workshops to enhance education related to instructional strategies and development. Unfortunately, many clinical instructors lack sufficient time to attend workshops and classes. This research integrates on-line discussion boards as a supplemental tool with in-class workshop sessions. The purpose of this study was to investigate the interaction of clinical instructors through on-line discussion boards. Methods: This research component, in conjunction with a larger project incorporating an in-class clinical instructor workshop, utilized on-line discussion boards to present a unique method of data collection. Qualitative methods from this research included gathering discussion board transcripts from a group of clinical instructors enrolled in an on-line WebCT course. Results: Data collected from the discussion boards identified themes that developed from the content analysis. Themes revealed through the transcripts of each discussion board linked issues presented in the in-class sessions. In addition, these discussion boards provided supplemental interactions supporting the need for increased interactions between clinical instructors. Conclusions: Additional time outside of the clinical setting allows the clinical instructors to interact with a variety of topics including their personal experiences with athletic training students, insight into these experiences, and instructional strategies used with these students. These on-line discussions created a supplemental time for these clinical instructors to communicate their ideas after attending the in-class sessions.
Case Study of the Access to the Bacillus Calmette-Guérin Vaccine Against Tuberculosis in the United States
Authors: Raja Dewan
Published: August 2021

Bacillus Calmette-Guérin (BCG) is a vaccine that is used worldwide to prevent tuberculosis. Some developed countries, such as the United States, do not routinely administer this vaccine. This article presents the case study of a family who struggled to obtain the BCG in the months before a planned trip to a country in which tuberculosis is prevalent. The application of the BCG vaccination and its availability in the United States, particularly for children, is discussed.
Blended Learning Environments, Active Participation, and Student Success
Authors: Ransdell Sarah , Gaillard-Kenney Sandrine
Published: August 2021

Purpose: Online discussion within blended learning environments is essential to student success in a well-designed course. Our research briefly describes ways in which online discussion can be evaluated to predict student learning. The paper will present some online data regarding active and passive use of Web-CT-based course content as it relates to student performance. Methods: Thirty-seven RN (Registered Nurse) to BSN (Bachelor of Science in Nursing) students in a blended online and face-to-face biostatistics course participated in this research for 15 weeks. Results: Students who were engaged in active, original postings to discussion threads in response to relevant, course-based reading were most likely to do well, regardless of the total frequency of their visits to the discussion site. Students who engaged in frequent, but passive, less relevant postings did not do as well in terms of midterm quizzes or final grades. Discussion:Qualitative discussion rubrics can be labor-intensive; in large classes, it may be possible to supplement them with quantitative, Web-CT records of overall postings, original postings, follow-up postings, and total visits in order to determine which students are using discussion as a useful tool.
The Hot Seat: Challenging Critical Thinking and Problem Solving Skills in Physical Therapist Students
Authors: O'Dell Bill , Mai Jennifer , Thiele Alecia , Priest Andrew , Salamon Kathleen
Published: August 2021

Purpose: Allied health profession students must develop critical thinking and problem solving skills to be able to make clinical decisions. The purpose of this paper is to describe an educational model used in a physical therapist education program to improve students’ confidence in clinical decision-making. Methods: The faculty chose topics for each forum and invited specific clinicians to present actual clinical cases to students in small group settings. The small groups spent 30 minutes focused on each case, and then rotated to a different clinician so each had exposure to three scenarios. After presenting subjective clinical information, the clinicians asked open-ended questions designed to encourage the students to think critically and to problem solve using the Patient/Client Management Model. Assessment of Model:Preliminary assessments were completed using a survey and large group debriefing. Survey responses identified that students perceived the forums as beneficial for improving their confidence with critical thinking and problem solving skills. Students identified the forums as a strength of their educational program in debriefing sessions. Conclusion: An educational forum is a teaching method that places students in a situation where they are required to exercise their clinical reasoning skills. The authors believe this interactive educational method can be adapted to improve students’ confidence in clinical reasoning in any allied health profession education program.
Age and Lateral Sleep Position: A Pilot Study
Authors: Gordon Susan , Buettner Petra
Published: August 2021

Purpose: Previous research, undertaken using a Super 8 camera and non-continuous data, has reported that with increasing age, people are more likely to sleep in the right lateral position. It has been postulated that this is due to age related alterations in cardiovascular function. This pilot study was undertaken to determine if collection and analysis of continuous sleep data was a feasible method for further investigation of this topic and to determine the sample size required for an adequately powered study. Increased understanding of age related changes in sleep position may provide valuable information to improve sleep quality and nursing care of the elderly person. Method: Research at the Centre for Sleep Research, University of South Australia, investigated the association between age and sleep position. Infra-red illumination and video cameras recorded the sleep patterns of 12 subjects for two nights. Videos were examined and the amount of time spent in each sleep position was calculated in seconds. Results: In a one-way analysis of variance, sample sizes of 19, 19, and, 19 are necessary from the three age groups whose means are to be compared. The expected means are 20, 25 and 45 for the three age groups respectively. The total sample of 57 subjects achieves 82% power to detect differences among the means versus the alternative of equal means using an F test with a 0.05 significance level.Conclusions: The results of this pilot study support further investigation of the relationship between age and lateral sleep position preference, and particularly the physiological parameters which may underpin the adoption of different sleep positions with increasing age. The described method is appropriate and modifications are suggested to further improve future studies.
Acclimatization to Heat during Preseason Football Practices at a Division I University: A Pilot Study
Authors: Herzog Valerie , Ruden Timothy , Hansen Rodney , Smith Molly , Berry David
Published: August 2021

Purpose: The purpose of this study was to examine core temperature (TC) and markers of dehydration during one-a-day (D1) practices compared to two-a-day (D2) practices. Methods: Twenty-five National Collegiate Athletic Association (NCAA) Division I Football Championship Subdivision (FCS) football players volunteered to participate in the study, with thirteen subjects providing data for all four practices. Each subject was measured prior to and following D1 and D2 practices and tested for body mass, core temperature, supine and standing blood pressure, and blood volume changes. Environmental temperature, humidity and barometric pressure were measured at the practice field during the last hour of each practice. Results: During moderate environmental temperatures and humidity, body mass was found to decrease following practice. Core temperature increased following both types of practice. Post practice plasma volume was 4% higher following D1 compared to D2 practice type. Conclusions/Recommendations: In this study, these NCAA Division I FCS football players remained well-hydrated during preseason practice training. The athletes’ plasma volume increased during practice, and even though core temperature increased, it remained lower than levels at which heat illness is indicated. In conclusion, the results of this study indicate that the risk of heat illness in NCAA Division I FCS football players is very low during fall football training practices in conditions of moderate heat and humidity. We recommend that this study should be repeated in various environments, including higher temperatures and/or percent relative humidity where the risk of heat illness may be greater.
Depressed, Low Self-Esteem: What Can Exercise Do For You?
Authors: Shamus Eric , Cohen Gillian
Published: August 2021

The purpose of this paper is to review the current literature to examine the effects of various forms of physical activity upon mental health. A literature review was conducted to examine specific findings of the relationship between exercise (aerobic and anaerobic) and psychological well being. It was found that aerobic exercise performed at a moderate intensity produces significantly greater positive psychological outcomes than does either high intensity aerobic exercise or anaerobic exercise. Additionally, no specific differences were discovered between various methods of aerobic exercise as long as it is conducted for over 20 minutes continuously. Low impact aerobic exercise, such as yoga or meditation was also found to have positive effects on mental health. Various mechanisms underlying the mood boosting effects of exercise are also briefly examined.
Fluid Replacement Knowledge and Sources of Hydration Information among Illinois High School Athletic Coaches: A Pilot Study
Authors: Geijer Justin , Pitney William , Brandenburg Jason
Published: August 2021

Objective: The purpose of this study was to examine Illinois high school coaches’ knowledge of hydration and fluid replacement strategies. We also sought to identify their primary sources of fluid replacement information. Design: Descriptive Survey. Participants: 22 Coaches who were members of the Illinois High School Association were the survey respondents in this study. The mean age (±SD) of subjects was 37.4(±11.5) years with an average coaching experience of 11.4(±8.96) years. Intervention: A questionnaire was developed based upon the National Athletic Training Association’s Position Stand and the American College of Sports Medicine’s roundtable discussion of fluid replacement and hydration. The instrument contained three sections: 1) demographic information, 2) sources of hydration information, and 3) knowledge assessment of fluid replacement guidelines. The instrument was examined for face and content validity by three exercise physiology experts, one of whom had substantial expertise in sport nutrition. Main Outcomes Measures: Descriptive statistics were used to identify the sources of information and scores on the knowledge assessment. Consistent with similar studies, a score of 80% was used for the passing rate for the knowledge assessment. A chi square test with a significance set a priori at p <.05 was used to determine whether a difference existed between those with formal fluid replacement and exercise physiology training and those without in regards to passing the knowledge assessment. Results: 22 surveys were returned from 500 coaches that were randomly selected for mailing, resulting in a response rate of 4.4%. The mean assessment score was 12.7 (± 1.77) correct responses out of a possible 17. Only 12 participants (54.5%) obtained a passing score on the questionnaire, indicating nearly half of the spending coaches had an unacceptable level of hydration/fluid replacement knowledge. The chi square test revealed no significant difference in passing rates between those coaches with fluid replacement training (p= .394) or formal exercise physiology background (p= .088). The primary sources of information for the majority (>50%) of coaches was from magazines, conferences, and medical staff. Conclusions: The results from the hydration and fluid replacement questionnaire indicate that a large percentage of Illinois high school coaches do not posses adequate knowledge related to fluid replacement for their athletes. The nature of the survey may have contributed to the response rate. The low response rate for this survey should be taken into consideration and, thus, the results interpreted with caution. Practical Applications: Professional associations should consider targeting coaching magazines and conferences to share critical information related to fluid replacement. Coaches must also take responsibility and keep abreast of the latest information related to the safety of their athletes.
Examination of the Inter-Rater Agreement among Faculty Marking a Research Proposal on an Undergraduate Health Course
Authors: Rone-Adams Shari , Naylor Sandra
Published: August 2021

Purpose: This research looked at inter-rater agreement among faculty marking a research proposal on an undergraduate health course. The purpose of this study was to investigate if there were significant differences between marks as well as the comments given on research proposals that were double marked by two faculty members, where faculty were blind to the other marker’s marks and comments. Subjects: The subjects for this study consisted of 80 final year health students who submitted a research proposal and 13 full-time and 10 part-time faculty members who double marked the proposals. Methods: Faculty pairs marked the proposals independently and were required to meet with each other and discuss the marks given, reasons for the mark and the comments. Markers were asked to come to an agreement about the mark and the comments. Analyses: Agreement in marks was assessed using a Bland-Altman plot. Weighted Cohen's Kappa was used to estimate the agreement between the classifications given by markers. Comments were analyzed for differences using thematic analysis. Results: There was a wide discrepancy in the classification of students between markers. The weighted proportions found to agree on classification was 46%. Analysis of the comments indicated a wide discrepancy between markers. Conclusion: The outcomes of this study are similar to previous studies that have looked at inter-rater agreement when double marking was used to mark various types of written assignments. Further exploration of the inter-rater agreement in the marking process and other marking processes that results in a transparent system is needed.
Teaching for Cultural Competence in Non-Diverse Environments
Authors: Romanello Mary , Holtgrefe Karen
Published: August 2021

Purpose: The purpose of this paper is to present teaching strategies to enhance students’ cultural competence in non-diverse educational settings. Methods: Utilizing Purnell’s cultural competence model and Lattanzi’s cultural ladder the authors describe teaching strategies used to promote students’ understanding of the complex nature of culture and how the multiple layers of culture influence the healthcare professional-client relationship. Teaching strategies and subsequent student reflections are presented. Results: Students adjusted client interventions and plans of care when confronted with various cultural characteristics of their clients. Integrating cultural issues in non-diverse academic settings challenges faculty to create situations that include cultural differences. The Purnell model demonstrates the complex nature of culture and the difficulties in understanding the various dimensions of culture. Lattanzi provides a framework for applying Purnell’s model, beginning with cultural sensitivity and awareness, then working toward integration of cultural concepts in clinical interactions. Combining aspects of these cultural models, the authors layered cultural dimensions to course and clinical activities thereby increasing students’ awareness of culture’s influence on clinical interactions.Conclusion: While selection of diverse clinical settings provides invaluable immersion experiences for cultural competence, faculty in non-diverse academic settings can incorporate diversity dimensions within the academic curriculum to prepare students for the multicultural client population they may encounter as healthcare practitioners.
Factors Identified by Physiotherapists that Influence the Retention of Regional Clinicians: A Qualitative Investigation
Authors: Miles Elli , Adams Robyn , Anaf Sophie , Sheppard Lorraine
Published: August 2021

Objective: To identify factors influencing the retention of physiotherapists in one regional setting. Design: A qualitative framework using semi-structured interviews was used to collect data. Data were evaluated using thematic analysis. Setting: A regional city located on the coastline of Queensland, Australia, more than six hours drive from the capital city, Brisbane. Participants: Practicing physiotherapists employed by Queensland Health, the main public health employer. Main Outcome Measures: Retention themes identified from the interview transcripts. Results: The advantages of remaining employed in the regional city were centred on personal issues. Forty-four responses described personal advantages while 33 described professional advantages. The two most common advantages were remaining close to family and lifestyle and environment. Professional negative factors achieved a higher tally of 57 responses as compared to personal issues with only 24 responses. The two most common disadvantages described were professional issues including a lack of professional development and minimal supervision and support. All participants listed incentives requiring financial resourcing to improve retention. Conclusion: Negative work related factors were more significant when there is no personal connection to the community highlighting the importance addressing and maintaining a high level of professional satisfaction in order to retain clinicians.
Brief Cognitive-Behavioral Interventions for Migraine in the Emergency Room: A Case Study
Authors: Berger Rivka , Sarid Orly
Published: August 2021

Brief cognitive-behavioral intervention (CBI) was conducted in the emergency room (ER). The current literature on biomedical and psychological risk factors of migraine is reviewed briefly including studies demonstrating the effectiveness of CBI with such patients. The case study portrays CBI that assists a patient suffering from severe migraine attack. We cautiously proposed that CBI can provide patients with a sense of control and may offer empowerment for the personnel in the ER. An integrative approach to health care is suggested when assessing patients with migraine.
Effect of Six Weeks Cycle Ergometry on Selected Gait Parameters of Stroke Survivors
Authors: Onigbinde Ayodele , Mustapha Moruf
Published: August 2021

Purpose: Restoration of gait in stroke survivors is a major goal in rehabilitation. Recently, treadmill training has been introduced as a measure to improve the post stroke gait pattern, but there is still limited data on the use of the cycle ergometer. The primary aim was to compare selected gait parameters of hemiplegics subjects who received cycle ergometry and those who had traditional physiotherapy. Method: A total of twenty-four (24) subjects were alternately allocated to 2 groups, but only 20 completed the experimental procedure. The two groups received baseline traditional physiotherapy while the experimental group used a cycle ergometer as an addition. Participants pedaled at a predetermined cadence of 50 rpm until the participant indicated that he or she could not pedal any longer, and this training was repeated 3 times per week for 6 weeks. To measure outcomes, the participants were instructed to walk on a 3-meter walkway with sprinkled powder to show the footprints. The prints were then utilized to measure the selected parameters (step length, stride length and step width). The period of time from one heel contact of one foot to the following occurrence of the same event with the same foot is taken as gait cycle, while cadence was determined as number of steps per minute. The Wisconsin gait scale was used to measure any changes in the affected limb. Descriptive statistics and Analysis of variance (ANOVA) were used to analyze the data. Results: The initial cadence of the experimental group was 42.17steps/minute while the final was 64.00steps/min. Also, the initial cadence of the control group was 40.50steps/min while the final was 52.25steps/min. Similarly, the gait cycle improved from 20.83 seconds to 31.67 seconds for the experimental group while that of the control group improved from 20.00 to 25.75 seconds. This showed that there was significant improvement in cadence (p < 0.00) and gait cycle (p < 0.00) when cycle ergometry was combined with conventional therapy compared to those who had only conventional therapy. Also, the Wisconsin Gait Scale score improved significantly for the experimental group (p < 0.02). Conclusion: This study concluded that selected parameters of the gait of people post-stroke were improved when cycle ergometry was combined with conventional therapy. Further research is indicated.
Injuries and the Quality of Life of Collegiate Athletes: A Pilot Study
Authors: Ford Anna , Panchik Daniel
Published: August 2021

Purpose: To explore the relationship between injury severity and athletes’ quality of life, as well as the role of cognitive appraisal during participation restrictions. Method: A descriptive quantitative survey research design was used. Ten NCAA Division III athletes completed two self-report instruments: the SF-12v2TM Health Survey and a scale that ranked injury severity based on time-loss from sport. Results: Data analysis yielded three main findings: (a) mean mental health scores were lower than mean physical health scores in all injury severity categories; (b) three participants had higher mental than physical health scores; and (c) only four scores were beyond the range of average health by SF-12v2TMstandards. Conclusions: While no definitive relationship between injuries and quality of life was found, results suggested that injuries have greater psychological implications than physical implications, that the recovery process is unique for each individual, and that the SF-12v2TM may not be the most optimal instrument for this context. The findings of this study were consistent with that of the literature, which states cognitive appraisal has a significant role in the experience of injuries and participation restrictions; thus, athletes need to be treated holistically in order for them to achieve full recovery and increase their quality of life.
International Clinical Guidelines at the American University of Beirut, Physical Therapy Department: Strategy of Implementation and Evaluation
Authors: Maroun Claude , Aouad Marie , Nijhuis-Van der Sanden Maria , Oostendorp Rob
Published: August 2021

Purpose. The purpose of the study is (1) to describe the selection process of an international clinical guideline (CGL) for patients with low back pain (LBP) for adoption and implementation at the Physical Therapy Department at the American University of Beirut Medical Center (AUBMC), and (2) to evaluate the physiotherapists’ compliance. Method. International guidelines were identified through a literature search and compared according to the AGREE instrument for selection. Quality indicators were selected. Physiotherapists were educated about guidelines’ benefits and the content of the adopted guidelines during interactive sessions; patients’ files were optimized and audited in order to evaluate compliance. Results. Out of six guidelines for LBP, we selected that of the Royal Dutch Association of Physiotherapy. Full adherence of physiotherapists to the educational sessions was noted. A total of 72 patient files were available. However, only 23 out of 72 files (32%) were complete to test the therapists’ adherence to the new assessment forms using 13 quality indicators. A high level of compliance with a mean score of 90% was recorded for the diagnostic process indicators, and a low level for the mean score of therapeutic process indicators (42%) except the indicator for the advice to stay active (100%). The mean score for the outcome of care was very low (13%). Conclusions. Dutch guidelines for low back pain were selected for adoption and implementation. A relatively high level of adherence to guidelines recommendations was noticed in the diagnostic process and a low level in the therapeutic process.
Pedometer Assessed Physical Activity Levels of Adolescents in a Selected School in Manila
Authors: Gonzalez-Suarez Consuelo , Pera Andrea , Medalla Maria , Lopez Hernani , Villanueva Xavier , Atlas Alvin
Published: August 2021

An active lifestyle among children and adolescents plays an important role in their normal growth and development. However, studies from different countries have shown a decreasing participation of children in physical activity. In the Philippines, very little is known of adolescent’s involvement in physical activity. Objective: To determine the physical activity (PA) levels using pedometers of the adolescents in Metromanila and factors associated with the level of physical activity. Method: This study is a cross sectional study assessing physical activity patterns using the Yamax Pedometer (SW-200) of adolescents in a selected school in Metromanila. Results: A total of 90 males (15.17 ±1.38; BMI =21.69 ± 4.6 kg/m2) and 78 females (14.85 ± 1.19; BMI = 21.89 ± 4.9 kg/m2) participated in the study. Males had a mean number of steps 10,933.18 ± 4189.5/day while females had a mean of 8307.47 ± 4767.45 steps/day, with males having a significantly higher mean count (p value =0.002). Being male and regular physical exercise were factors associated with a higher pedometer count with a ß (SE) of -171.8 ± 744.1 (95% CI: -2941.3, - 2.5) and ß (SE) 775.6 ± 289.8 (95% CI: 203.4, 1347.8), respectively. Conclusion: Males were generally more active than female adolescents with females having a lower step count compared to studies from other countries. Participation in regular physical activity should be encouraged to prevent the increasing prevalence of lifestyle related diseases.
MALÁRIA: FORMAS DE PREVENÇÃO E DIAGNÓSTICO PRECOCE NAS OPERAÇÕES DO EXÉRCITO BRASILEIRO
Authors: MENEZES Ester Garcia , SOARES Otávio Augusto Brioschi
Published: August 2021

Introdução: este artigoé uma pesquisa sobre Malária, descrevendo a doença, sua fisiologia, principais sintomas, formas de prevenção e métodos diagnósticos.Objetivos: levantamento de informações sobre a malária e seus aspectos importantes para as operações do Exército Brasileiro, a identificação das formas de prevenção individual e coletiva da enfermidade, a descrição dos sintomas principais para diagnóstico precoce da malária. Metodologia: foi realizado em uma revisão bibliográficacom base em artigos publicados sobre o tema e selecionado os de maior relevância e mais atualizados. Desenvolvimento: A pesquisa aponta a Malária como a maior responsável por casos de baixas em hospital e afastamentos para tratamento de saúde nas unidades militares do Exército Brasileiro em operação na região amazônica. Aborda as principais formas de prevenção como o uso de mosquiteiros; roupas que protejam pernas e braços; telas em portas e janelas; uso de repelente, borrifação intradomiciliar; pequenas obras de saneamento para eliminação de criadouros do vetor; melhoramento da moradia e das condições de trabalho; uso racional da terra. Apresenta também os sinais e sintomas da doença para uma suspeita diagnóstica mais precoce, destacando a febre como o sintoma mais frequente. Identifica o método diagnóstico padrão-ouro, atualmente utilizado, a gota espessa. Ressalta ainda o desenvolvimento da vacina,ainda não implantada em larga escala.Conclusão: Cabe a todos os profissionais de saúde do Exército Brasileiro saber, além de se proteger, identificar os primeiros sintomas para alertar sobre o diagnóstico, principalmente em áreas endêmicas e poder assim contribuir com a morbimortalidades dos militares expostos.
Rol del farmaceutico comunitario en la identificacion De factores de riesgo cardiovascular en la menopausia
Authors: Guerrero Claudia E. , Ruggieri María E , Scerbo Matías Pernochi , Rencoret María Mercedes
Published: August 2021

En la actualidad, la esperanza de vida se ha incrementado en todo el mundo hasta la octava década. (Lobo RA, 2018; Ahuja M, 2016)

Las enfermedades cardiovasculares (ECV) siguen siendo la principal causa de muerte en muchos países en vías de desarrollo, pero también en países desarrollados. (Bolaños Chavez, BD; 2021) y representa una de las principales causas de mortalidad en mujeres postmenopáusicas.  (Arteaga   Urzúa   E; 2016).
Infodemia, el lado obscuro de la comunicación digital
Authors: Guevara Sandra Flores , Montes Fannia María Cadena , Uribe Ramiro Cadena
Published: August 2021

El espacio virtual donde se han logrado abrir camino medios de comunicación digitales alternativos, y donde se informa la mayoría de los mexicanos, hoy se encuentra contaminado por el virus de la desinformación y las fake news. La llegada del virus Covid-19 ha sido terreno fértil para la propagación de la infodemia, y una herramienta de la oposición para golpear al gobierno del presidente de México, Andrés Manuel López Obrador.

Ante esta epidemia de desinformación, el propósito de este trabajo es visibilizar las consecuencias que tiene la propagación de información falsa en torno al Covid-19, analizando para ello el uso político que se le da a los rumores y fake news que se difunden tanto en redes sociales digitales como en medios de comunicación.

Entre los principales halazgos de este estudio de corte cualitativo, se pudieron distinguir algunos medios de comunicación que propician y otros que combaten a la infodemia. Además se observó que la epidemia de información falsa tiene graves consecuencias en la sociedad, con implicaciones que van desde afectaciones a la salud pública, hasta la desacreditación de movimientos sociales genuinos como el femeninismo, o de gobiernos legítimos.

 

 

The virtual space where alternative digital media have made their way, and where the majority of Mexicans are informed, is now contaminated by the virus of disinformation and fake news. The arrival of the Covid-19 virus has been fertile ground for the spread of infodemia, and a tool of the opposition to hit the government of the president of Mexico, Andrés Manuel López Obrador.

Given this epidemic of disinformation, the purpose of this paper is to make visible the consequences of the spread of false information about Covid-19, analyzing the political use given to rumors and fake news that are spread both in digital social networks and in the media.

Among the main findings of this qualitative study, it was possible to distinguish some media that favor and others that fight infodemia. In addition, it was observed that the epidemic of false information has serious consequences in society, with implications ranging from public health effects to the discrediting of genuine social movements such as feminism, or of legitimate governments.
Asesinato inducido delirantemente por una “folie à deux”
Authors: Nonis Bernat-Noël Tiffon
Published: August 2021

Se describe el caso de un asesinato perpetrado por 2 sujetos a partir de la influencia dañina de una "folie à deux" de naturaleza agresiva y psicótica. Los conceptos de psicosis y de "folie à deux" se revisan en el presente artículo.

 

The case of a murder perpetrated by 2 subjects from the harmful influence of a "folie à deux" of an aggressive and psychotic nature is described. The concepts of psychosis and "folie à deux" are reviewed in the present article.
Doble filicidio por suicidio ampliado (frustrado) de un sujeto afecto de depresión mayor psicótico y trastorno de la personalidad dependiente
Authors: Nonis Bernat-Noël Tiffon
Published: August 2021

Se ilustra un caso de suicido ampliado frustrado, en el que la perpetradora no logra consumar su propio suicidio, pero habiendo perpetrado el asesinato de sus propios 2 hijos a causa del sufrimiento de su trastorno depresivo mayor grave con sintomatología psicótica y rasgos de personalidad dependientes de la personalidad. Se ilustra el caso con las pruebas psicométricas administradas y se analiza la psicometría forense del caso.

 

A case of frustrated extended suicide is illustrated, in which the perpetrator fails to consummate her own suicide, but having perpetrated the murder of her own 2 children because of the suffering of her major depressive disorder with psychotic symptomatology and personality-dependent personality traits. The case is illustrated with the psychometric tests administered and the forensic psychometrics of the case are analyzed.
Fatores de risco para quedas no idoso: revisão integrativa
Authors: Sousa Randerson José de Araujo , Sousa Ruan Davi Rebouças de , Costa Ana Gabriela de Sousa , Valente Antônia Regiane Pereira Duarte
Published: August 2021

Este estudo objetivou realizar uma revisão da literatura sobre os fatores de risco para quedas em idosos. Adotou-se o intervalo de 2015 a 2019 para o levantamento bibliográfico nas bases de dados BVS, SciELO e PubMed. Para a operacionalização desta revisão, seguiram-se seis etapas, incluindo a pergunta norteadora, os critérios de seleção e as análises críticas dos artigos. Posteriormente, os artigos selecionados foram organizados e sintetizados com as principais informações em um quadro. Foram encontrados 185 artigos, mas apenas 6 foram selecionados, destes, 66,7% constam na plataforma BVS, 16,7% na SciELO e 16,7% no PubMed. Os artigos selecionados possuem sua predominância na descrição com uma abordagem quantitativa dos dados. Constatou-se que inúmeros fatores suscetibilizam o risco de quedas em idosos, sendo uns intrínsecos e outros extrínsecos, evidenciando que vários mecanismos precisam ainda ser elucidados acerca da correlação de fatores e o quanto cada um influencia de fato na problemática. Além disso, notou-se o quão relevante é prover no decorrer da vida adulta a preparação e o pensamento em longo prazo, para que os indivíduos possam encarar esse processo de forma saudável, o que pode colaborar para o não desenvolvimento de psicopatologias, impactar na manutenção da qualidade de vida e no aumento da longevidade dessa parcela biopsicossocialmente negligenciada.
Evaluation of the use of advanced ozone oxidative process in reducing the danger of environmental toxicity by endocrine interferences of magistral pharmacy
Authors: Oliveira Thais Francine de Freitas , Soares Julia Carolina , Bez Suellen Zucco , Braga Heloiza de , Alzahran Qushmua , Pinto Luciano
Published: August 2021

The presence of emerging pollutants in the waters has been observed worldwide, resulting from improper domestic disposal, non-recommended veterinarian use, and product waste from pharmaceutical industries and magistral pharmacies. The contamination provoked, besides causing damage to the environment, remains in potable water even after passing through the treatment plants. The objective of this work was to verify the existence of environmental toxicity of raw effluents from gross pharmacy laboratories, as well as the same effluent treated with POA via ozone in the time of 1 hour, having as a risk parameter the changes that they cause in Euglena gracilis algae. Photosynthetic efficiency tests were conducted via PAM, and chlorophyll concentration and behavioral evaluation were checked via NGTOX. The results demonstrate that the hormone laboratory was considered the most impacted effluent treated, with lower production and significant chlorophyll reduction. It presented reduction in photosynthetic post-ozonation activity, due to the hormone decomposition, oxidative potential and ethylene formation. Effluents from psychotropic and solid laboratories presented different production demand, but similar follow-up, with impact on the behavior and algae’s photosynthetic activity, due to the presence of active substances on cellular action potentials. The treated effluent from dermocosmetics laboratory influenced the chlorophyll concentration, as well as the general speed and velocity of surface ascent. The behavioral differences between the laboratories and the pre and post-ozonation conditions demonstrate that the effluent treatment should be distinguished, according to the characteristics of the manipulated substances in each laboratory.