bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects and Health - Related quality of life changes among patients undergoing uterine fibroids embolisation in Hue Central Hospital
Authors: Hoang Tu
Published: December 2022

ABSTRACT

Background: Uterine fibroids (UF) are the most common neoplasms of the female pelvis. The current treatment trend is to use noninvasive methods such as uterine fibroids embolization to reduce severe symptoms and improve the quality of life. The study’s main objective was to investigate the clinical features and treatment results after 2 years of uterine fibroids embolisation to evaluate the effectiveness and improve the symptoms of uterine fibroids. The secondary objective is to evaluate changes in the quality of life and potential relationships with age, number of children, volume and number of fibroids compared to before embolism.

Methods: All patients with uterine fibroids had been treated with uterine fibroid embolisation therapy at Hue Central Hospital between 2012 and 2018. Study period: 02 years, since the patient received treatment. Method of the study was retrospective cross-sectional description at the time before and 2 years after treatment. Use the uterine fibroid symptom and quality of life questionnaire to collect data.

Results: There were twenty patients treated by Uterine fibroid embolisation. About age: 85% in the age group 30 - 50 years old; The number of patients with infertility caused by fibroids accounts for 30%; 65% of patients were in rural areas. Clinical characteristics: 50% of patients with mild anemia before treatment; 55% had 2-5 fibroids; The largest fibroids in the muscle account for 30%. Regarding treatment after 2 years, the reduction in symptoms of uterine fibroids after treatment was statistically significant, with an overall reduction of 16% (95% CI 12 to 20, P <0.01). The improvement in the health-related quality of life (HRQOL) score was 21.7% (95% CI 13.4 to 30, P <0.01). There are 3 cases, accounting for 15%, needing surgical intervention after treatment.

Conclusions: Treatment of uterine fibroid embolisation (UFE) has been shown to improve symptoms after 2 years, helping patients keep uterus and improving the quality of life. Uterine fibroid embolisation may be an option for patients with large, subserous, or sub-endometrial fibroids. Cases in the uterine muscle will be less effective
Therapeutic Approaches in Youth Psychiatry: The Art of Balancing Between ‘Do not Harm’ and ‘Best Possible Care’: An Editorial
Authors: Ghalloub Perla , Emmanuel Nancy
Published: December 2022

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The case for life expectancy at age 60 as a prominent health indicator. A comparative analysis
Authors: Toropoc Iulia
Published: December 2022

The aim of this paper is to argue the case of using life expectancy at age 60 (LE60) as a significant health indicator closely related to sustainable economic development. To this purpose, we investigate the impact of GDP on LE60 in parallel with the impact of GDP on Infant Mortality Rate (IMR). The rationale for selecting IMR as a comparison indicator is twofold. First, the relationship between IMR and GDP has been widely studied. Second, the two indicators display opposite trajectories, making the comparison more striking. For our comparison, we conduct several statistical analyses on LE60, IMR and GDP using global country data grouped by income level and region. Our results endorse the effect of GDP on LE60 and IMR and suggest a differentiation of the effect based on region and ultimately on income. We observe that as countries develop, their IMR values lower and their LE60 values increase. We conclude that, once countries reach the upper stages of development, LE60 becomes a better health indicator than IMR.
Atlas historique de Saint-Denis
Authors: Philippe Bernardi , Annie Dufour , Jean Dufour , Lucie Fossier , Nicole Meyr-Rodrigues , Max Polonovski
Published: December 2022

L'ouvrage se veut une introduction à une série de volumes consacrés à la publication scientifique des fouilles archéologiques préventives effectuées depuis vingt ans à Saint-Denis. Deux buts sont ici poursuivis : offrir aux chercheurs un bilan critique des sources archéologiques et archivistiques existantes tout en permettant à un public plus large de mieux comprendre la genèse de la cité. Le parti adopté est celui d'une histoire topographique de la ville, depuis la première basilique mérovingienne consacré à saint Denis, autour de laquelle est né et s'est développé un espace urbain, jusqu'à la veille de son industrialisation. Cette esquisse de l'évolution de Saint-Denis se fonde sur une sélection de textes et de sources iconographiques abondamment commentés.
AZINLIK GİRİŞİMCİLİĞİ VE SOSYAL AĞ DEĞİŞKENLERİNİ ELE ALAN LİTERATÜR İNCELEMESİ VE TARTIŞMA
Authors: TAKSİ DEVECİYAN Meri , ARIKBOĞA Fatma Şebnem
Published: December 2022

Azınlık girişimciliği, bir ülkede yerleşik, çoğunluk nüfustan olmayan işletme sahipliği olarak tanımlanmaktadır. Sosyal ağ kavramı ise, bir grup aktör ve onlar arasında var olan bağlantılarla ifade edilmektedir. Azınlık girişimciliği kavramını sosyal ağ boyutunda ele alan çalışmaları haritalayarak, bütüncül bir çerçeve sunmayı amaçlayan çalışma literatür analizi yapılarak, “azınlık girişimciliği” ve “sosyal ağ” değişkenlerini içeren makalelerin kapsamlı incelenmesi şeklinde tasarlanmıştır. Sosyal ağlar ve azınlık girişimciliği ile alakalı taranan çalışmalar sonucunda, kaynaklara erişim ve sosyal ağ kullanımının en çok, girişimcilik motivasyonunun ise, en az çalışılan değişken olduğu görülmüştür. Çalışmanın azınlık girişimciliği ve sosyal ağ kavramlarını ele alan, uluslararası yazında çok az, ulusalda ise hiç çalışmanın bulunmaması ile bu alanda çalışmak isteyen akademisyenlere yol gösterici olması beklenmektedir.
TURİZM VE SAĞLIK TURİZMİNDE TALEP TAHMİNİ ÇALIŞMALARI: BİR ALAN YAZIN TARAMASI
Authors: ŞAHİN Süleyman , EREN Dilek
Published: December 2022

Turizm talebinin tahmini gelecekte ülkelerin karar vericilerinin turizmde doğru planlama yapabilmesi amacıyla en çok kullanılan yöntemleri oluşturacaktır. Bu tahminleme sayesinde kullanılacak iş gücü, mal ve hizmet üretiminde verimli sonuçlar sağlanabilecektir. Bu nedenle bu çalışmada Türkiye’de ve Türkiye dışında gerçekleştirilmiş olan talep tahminleri çalışmalarının incelenmesidir. Bu çalışma için alan yazın taranması yapılırken, kalitatif ve kantitatif yöntemlere ait çalışmalara ulaşılmaya çalışılmıştır. Alan yazın taraması 1990- 2022 yılları arasında yapılan çalışmalardır. Aşağıda iki ayrı başlık altında bulunan makaleler incelenmiş olup, detaylı bilgiler verilmiştir.
E - MUHASEBENİN MUHASEBE EĞİTİMİNDEKİ YERİ
Authors: AKBULUT Halim , ÖZ Yaşar
Published: December 2022

Bu çalışma, e-muhasebenin muhasebe eğitimindeki yerinin ne olduğu hususunun tespiti için Türkiye’deki Uygulamalı Bilimler Fakültesindeki / Yüksekokulundaki muhasebe ile ilgili programların web siteleri incelenerek bu programlardaki e-muhasebe kapsamındaki derslerin belirlenmesini amaçlamaktadır. Bu amaçla konunun kuramsal yönü ve Türkiye’deki Uygulamalı Bilimler Fakültesindeki / Yüksekokulundaki durumu araştırılmıştır. Çalışmanın kuramsal kısmı, ikincil kaynak incelemesiyle; uygulama kısmı ise ilgili programların web sitelerinin içerik analiziyle yapılmıştır.
İnceleme sonucunda programlarda bilgisayarlı muhasebe ve/veya muhasebede paket programlar dersleri mevcut olduğu bazı programlarda bu derslerin yanında e-muhasebe kapsamında farklı derslere de rastlanmıştır. Türkiye’de bugün itibarıyla 208 üniversite olduğu göz önüne alındığında sadece 11 üniversitede ilgili programın olması ve bu programlarda da e- muhasebe kapsamındaki derslerin sınırlı sayıda olması e-muhasebe kapsamındaki eğitim hususunda daha çok yol alınması gereğini ortaya koymaktadır.
YÖNETİCİ VE ÖĞRETMENLERİN OKUL YÖNETİMİNDE VERİYE DAYALI KARAR VERME SÜRECİNE İLİŞKİN GÖRÜŞLERİNİN BAZI DEĞİŞKENLERE GÖRE İNCELENMESİ
Authors: YÜKÜNÇ Mustafa , SAYLIK Ahmet
Published: December 2022

Betimsel tarama modelindeki bu araştırmanın amacı yönetici ve öğretmenlerin okul yönetiminde veriye dayalı karar verme sürecine ilişkin görüşlerini bazı değişkenlere göre incelemektir. Araştırmanın evreni 2021-2022 eğitim öğretim yılında Siirt il merkezinde görev yapan 276 okul yöneticisi ve 2410 öğretmen oluşturmaktadır. Araştırmanın örneklemi ise tabakalı örnekleme yöntemiyle belirlenmiş olan ve Siirt merkezde görev yapan ilkokullardan 121 yönetici ve öğretmen, ortaokullardan 137 yönetici ve öğretmen, liselerden ise 126 yönetici ve öğretmen olmak üzere toplam 384 katılımcıdan oluşmaktadır. Araştırmada betimsel istatistiklerin (frekans, yüzde, ortalama, standart sapma) yanı sıra değişkenler açısından farklılıkların belirlenmesine ilişkin bağımsız örneklem t-testi ile tek yönlü varyans analizi (ANOVA) sonuçları rapor edilmiştir. Buna göre okul yönetiminde veriye dayalı karar verme sürecinin, ölçeğin tamamında ve tüm boyutlarında “yüksek” düzeyde olduğu belirlenmiştir. Katılımcıların görüşleri arasında; branş, görev ve okul büyüklüğü açısından anlamlı farklılık bulunmakta iken; mesleki kıdem, öğrenim durumu ve okul türüne göre istatistiksel olarak anlamlı bir farklılığın olmadığı tespit edilmiştir. Bu araştırma sonucunda; öğretmenlerin ve okul yöneticilerinin veri kullanma kültürü ile veri okuryazarlığı konusunda daha çok desteklenmeleri gerektiği görülmüştür.
Focus groups: A practical guide for sport education research
Authors: SEVİLMİŞ Ali , YILDIZ Ozer
Published: December 2022

The aim of this article, in the context of sports education research, is to present a practical approach for focus group interviews, one of the data collection techniques used in qualitative research. In the research, document analysis method was used. An extensive research was carried out to provide a broader understanding about the background and theoretical basis of the focus group interview, in the context of sports education. A frame was formed for focus group interviews in sports education research. Primarily, answers were sought about how focus group interviews were used in sports education research. Secondly, the titles that show the correct and consistent ways to solve the problems encountered in focus group interviews were presented. The open concerns for the focus group interview (writing, reporting, coding of the questions) were also dealt. The research will provide a deeper understanding about the nature of the focus group interview for academicians who will do research in the context of sports education.
Estimation of some Radio Propagation Parameters using Measurements of Surface Meteorological Variables in Ede, Southwest Nigeria
Authors: Willoughby A. A. , Sanyaolu M. E. , Osinowo M. O. , Soge A. O. , Dairo O. F.
Published: December 2022

A data acquisition system that utilised the open-source Arduino platform was developed to take real-time ground measurements of primary radio climatological variables of pressure, temperature, and relative humidity at Ede, a tropical station in southwest Nigeria (7.7349^{o} N, 4.4439^{o} E). Surface radio refractivity was deduced from these variables and used to estimate refractivity gradients at 100 m and 1000 m heights from the exponential reference atmosphere model for terrestrial propagation. Secondary radio propagation parameters such as refractivity gradients, the effective-earth-radius-factor, k, and geoclimatic factor, K, essential parameters for quick application in the planning and design of line-of-sight radio link systems, were also deduced. Data acquired from the device were compared to those obtained from the Re-Analyses (ERA-5) satellite database of the European Centre for Medium-Range Weather Forecast (ECMWF) 2020/2021. Aside from logging data on a micro secure digital (SD) card, measurements were displayed on a liquid crystal display (LCD). The peripheral Arduino-compatible meteorological sensors were connected to the analog inputs of the ATMega328 in the Arduino independent development environment (IDE), and the unit was powered by a 12 V battery charged by a 50-watt solar module. Results showed that slightly higher values of the ERA-5 data characterise the dry months from November to March, while the wet months displayed higher values of the Arduino-derived measured data. The accuracies of the data collected were compared using Mean Percentage Error (MPE) performance indicator. The interpretation is that the mean difference between the Arduino inferred measurements and the ERA-5 data is less than 10%, which is an indication of the measurement accuracy.
BAĞLANMA-TEMELLİ KANITA-DAYALI MENTÖRLÜK MODELİ
Authors: SUBAŞI Hacer , YILDIZ Nadire Gülçin
Published: December 2022

Mentörlük programları çocuk ve gençlerin pozitif gelişimini destekleyen sistemli programlardır. Araştırmalar, mentörlük programlarının bireyleri sosyal, duygusal, akademik ve istihdam alanlarında desteklemek adına faydalı olduğunu (Logsdon ve ark., 2018); koruyucu ve önleyici faktörleri teşvik ettiğini göstermektedir. Mentörlük programları sadece mentiler için değil mentörler için de olumlu bir iklim ve iş birliği kültürü oluşturarak onların pozitif gelişimlerini teşvik edebilir (Voight & Nation, 2016). Nitekim 1990’lı yıllardan beri bu amaçla pek çok mentörlük programı hayata geçirilmiştir. Günümüze dek niceliksel olarak ciddi anlamda artış gösteren mentörlük programlarının niteliğinin nasıl olması gerektiği ile ilgili ciddi kaygılar doğmuştur. Söz konusu kaygıların bir neticesi olarak etkili ve kanıta dayalı bir mentörlük programının nasıl olması gerektiği sorusu gündeme gelmiştir. Artık, bir mentörlük programında olması gereken süreçlerin yapılandırıldığı, hedef menti kitlesinin özelliklerinin, barındırdığı bireysel (ör. bağlanma tarzı, psikopatoloji, vb.) ve çevresel risk faktörlerinin dikkate alındığı bir nevi kişiselleştirilmiş mentörlük programları tartışılmaya başlanmıştır. Bu çalışma da söz tartışmalardan hareketle özellikle mentör ve menti eşleştirme sürecinde bağlanma temelli bir yaklaşımın ve süregiden süpervizyon desteğinin etkili ve nitelikli bir mentörlük programı için neden önemli olduğu tartışılmıştır. Sonuç olarak, aşırı yapılandırılmış bir çerçevede sadece hedef odaklı mentörlük programlarından ziyade yine belirli bir çerçevesi ve hedefi olan ama ilişkiyi merkeze alan daha menti odaklı bir yaklaşım gençliğin pozitif gelişimi için gereklidir.
Invención de problemas verbales de aritmética con niños de primaria
Authors: Valdés María Elisa Espinosa , Bielma Ruth Icela Sosa , Nolasco Rosario Díaz , Francisco Rosa Alor , Espinosa Julieta del Carmen Villalobos , Espinosa Melissa Villalobos , Patiño Erick Francisco León
Published: December 2022

Este trabajo lo realizaron un grupo de profesores de educación superior con niños de segundo año de primaria en una escuela del Sureste de México, para investigar si los niños de la primaria podían inventar sus propios problemas a partir de información que se les proporciona, es un trabajo de tipo exploratorio. Como resultado tuvimos que los tres equipos que participaron guiados por un profesor diferente, lograron redactar su problema cada equipo. Finalmente, los participantes mencionaron que se encontraban muy contentos de tener sus propios problemas y todos redactados dentro de un contexto significativo para ellos.
Coronary Artery Calcification Across Ethnic Groups in Singapore
Authors: Chia Pow Li , Earnest Arul , Lee Raymond , Lim Jamie , Wong Chun Pong , Chia Yew Woon , Weng James YS , Negi Anuradha , Khatri Priyanka , Foo David
Published: December 2022

Introduction: In Singapore, the age-standardised event rates of myocardial infarction (MI) are 2- and 3-fold higher for Malays and Indians respectively compared to the Chinese. The objectives of this study were to determine the prevalence and quantity of coronary artery calcification (CAC) and non-calcified plaques across these 3 ethnic groups. Materials and Methods: This was a retrospective descriptive study. We identified 1041 patients (810 Chinese, 139 Malays, 92 Indians) without previous history of cardiovascular disease who underwent cardiac computed tomography for atypical chest pain evaluation. A cardiologist, who was blinded to the patients’ clinical demographics, reviewed all scans. We retrospectively analysed all their case records. Results: Overall, Malays were most likely to be active smokers (P = 0.02), Indians had the highest prevalence of diabetes mellitus (P = 0.01) and Chinese had the highest mean age (P <0.0001). The overall prevalence of patients with non-calcified plaques as the only manifestation of sub-clinical coronary artery disease was 2.1%. There was no significant difference in the prevalence of CAC, mean CAC score or prevalence of non-calcified plaques among the 3 ethnic groups. Active smoking, age and hypertension were independent predictors of CAC. Non-calcified plaques were positively associated with male gender, age, dyslipidaemia and diabetes mellitus. Conclusion: The higher MI rates in Malays and Indians in Singapore cannot be explained by any difference in CAC or non-calcified plaque. More research with prospective follow-up of larger patient populations is necessary to establish if ethnic-specific calibration of CAC measures is needed to adjust for differences among ethnic groups.

Key words: Coronary artery disease, Myocardial infarction, Race
Effect of Location of Out-of-Hospital Cardiac Arrest on Survival Outcomes
Authors: Goh E Shaun , Liang Benjamin , Fook-Chong Stephanie , Shahidah Nur , Soon Swee Sung , Yap Susan , Leong Benjamin , Gan Han Nee , Foo David , Tham Lai Peng , Charles Rabind , Ong Marcus EH
Published: December 2022

Introduction: This study aims to study how the effect of the location of patient collapses from cardiac arrest, in the residential and non-residential areas within Singapore, relates to certain survival outcomes. Materials and Methods: A retrospective cohort study of data were done from the Cardiac Arrest and Resuscitation Epidemiology (CARE) project. Out-of-hospital cardiac arrest (OHCA) data from October 2001 to October 2004 (CARE) were used. All patients with OHCA as confirmed by the absence of a pulse, unresponsiveness and apnoea were included. All events had occurred in Singapore. Analysis was performed and expressed in terms of the odds ratio (OR) and the corresponding 95% confidence interval (CI). Results: A total of 2375 cases were used for this analysis. Outcomes for OHCA in residential areas were poorer than in non-residential areas—1638 (68.9%) patients collapsed in residential areas, and 14 (0.9%) survived to discharge. This was significantly less than the 2.7% of patients who survived after collapsing in a non-residential area (OR 0.31 [0.16 – 0.62]). Multivariate logistic regression analysis showed that location alone had no independent effect on survival (adjusted OR 1.13 [0.32 – 4.05]); instead, underlying factors such as bystander CPR (OR 3.67 [1.13 – 11.97]) and initial shockable rhythms (OR 6.78 [1.95 – 23.53]) gave rise to better outcomes. Conclusion: Efforts to improve survival from OHCA in residential areas should include increasing CPR by family members, and reducing ambulance response times.

Key words: Emergency Medical Services, Non-residential, Prehospital, Residential
Recognition and Treatment of Out-of-Hospital Cardiac Arrests by Non-Emergency Ambulance Services in Singapore
Authors: Doctor Nausheen E , Yap Susan , Gan Han Nee , Leong Benjamin SH , Goh E Shaun , Chia Michael YC , Tham Lai Peng , Ng Yih Yng , Lim Swee Han , Ong Marcus EH
Published: December 2022

Introduction: Prompt recognition of cardiac arrest and initiation of cardiopulmonary resuscitation (CPR) and defibrillation is necessary for good outcomes from out-of-hospital cardiac arrest (OHCA). This study aims to describe the recognition and treatment of OHCA in patients conveyed by non-emergency ambulance services (EAS) in Singapore. Materials and Methods: This is a multi-centre, retrospective chart review, of cases presenting to public emergency departments (EDs), conveyed by non-EAS and found to be in cardiac arrest upon ED arrival. The study was from October 2002 to August 2009. The following variables were examined: ability to recognise cardiac arrest, whether CPR was carried out by the ambulance crew and whether an automated external defibrillator (AED) was applied. Results: Eighty-six patients were conveyed by non-EAS and found to be in cardiac arrest upon ED arrival. Mean age was 63 years (SD 21.8), 70.9% were males. A total of 53.5% of arrests occurred in the ambulance while 70.9% were found to be asystolic upon ED arrival. Seven patients had a known terminal illness. Survival to discharge was 3.5%. Cardiac arrest went unrecognised by the ambulance crew in 38 patients (44.2%). CPR was performed in 35 patients (40.7%) of the 86 patients and AED was applied in only 10 patients (11.6%). Conclusion: We found inadequate recognition and delayed initiation of treatment for OHCA. Possible reasons include a lack of training in patient monitoring and detection of cardiac arrest, lack of CPR training, lack of confidence in performing CPR, lack of AEDs on ambulances and lack of training in their use.

Key words: Automated external defibrillator (AED), Cardiopulmonary resuscitation (CPR), Emergency medical services, Prehospital
Hypertension Management and Lifestyle Changes Following Screening for Hypertension in an Asian Low Socioeconomic Status Community: A Prospective Study
Authors: Wee Liang En , Wong Jolene , Chin Run Ting , Lin Zhi Yong , Goh Daniel EQ , Vijakumar Kalpana , Vong Kiat Yee , Tay Wei Ling , Lim Hui Ting , Koh Gerald CH
Published: December 2022

Introduction: This study investigated the effect of an access-enhanced intervention on hypertension screening and management, as well as on health behaviours among newly diagnosed hypertensives, in a multi-ethnic low socioeconomic status (SES) community. Factors associated with hypertension screening, treatment, and control in the community were also determined. Materials and Methods: The study involved all residents aged ≥40 years in 2 public rental housing precincts (low SES), between 2009 and 2011, who were followed-up prospectively for 1 year after a 6-month community-based intervention comprising a 3-month access-enhanced screening component and a 3-month follow-up (outreach) component. Blood pressure was measured at baseline and follow-up. Multivariate Cox regression determined predictors of hypertension management at follow-up. Results: The follow-up rate was 80.9% (467/577). At baseline, 60.4% (282/467) were hypertensive; 53.5% (151/282) were untreated; 54.2% (71/131) uncontrolled. One year later, postintervention, 51.6% (78/151) of untreated hypertensives were treated; combined with treated hypertensives previously uncontrolled, 53.0% (79/149) achieved control. Older age independently predicted treatment (adjusted relative risk, aRR = 1.98, CI, 1.08 to 3.65); majority ethnicity (aRR = 1.76, CI, 1.05 to 2.96), employment (aRR = 1.85, CI, 1.26 to 2.80) and newly treated hypertension (aRR=1.52, CI, 1.01 to 2.32) predicted control. A total of 52.4% (97/185) were irregularly screened at baseline; at follow-up 61.9% (60/97) were regularly screened. Cost and misperceptions were common barriers to screening and treatment. Newly diagnosed hypertensives were also less likely to go for additional cardiovascular screening (aRR = 0.54, CI, 0.29 to 0.99). Conclusion: An access-enhanced intervention had some success in improving hypertension management within low SES communities; however, it was less successful in improving cardiovascular risk management, especially in encouraging lifestyle changes and additional cardiovascular screening amongst newly diagnosed hypertensives. Key words: Cardiovascular screening, Control, Treatment
Home-Based Advance Care Programme is Effective in Reducing Hospitalisations of Advanced Heart Failure Patients: A Clinical and Healthcare Cost Study
Authors: Wong Raymond CC , Tan Poh Tin , Seow Yen Hoon , Aziz Suzana , Oo Nilar , Seow Swee Chong , Seah Angeline , Chai Ping
Published: December 2022

Introduction: In end-stage heart failure (HF) that is not eligible for mechanical assist device or heart transplant, palliative care serves to maximise symptom control and quality of life. We sought to evaluate the impact of home-based advance care programme (ACP) on healthcare utilisation in end-stage HF patients. Materials and Methods: Prospectively collected registry data on all end-stage HF recruited into ACP between July 2008 and July 2010 were analysed. Chart reviews were conducted on HF database and hospital electronic records. Phone interview and home visit details by ACP team were extracted to complete data entry. HF and all-cause hospitalisations 1 year before, and any time after ACP inception were defined as events. For the latter analysis, follow-up duration adjustment to event episodes was performed to account for death less than a year. Results: Forty-four patients (mean age 79 years, 39% men) were followed up for 15±8 months. Fifty-seven percent had diabetes, 80% ischaemic heart disease, and 60% chronic kidney disease. All reported functional class III/IV at enrolment. Mean serum sodium was 136±6 mmol/L, and creatinine 186±126 mmol/L. Thirty (68%) died within the programme. Mean time to death was 5.5 months. Mean all-cause and HF hospitalisations were 3.6 and 2.0 per patient before enrolment, but improved to 1.0 and 0.6 respectively after ACP. Thirty-six (71%) patients had fewer HF hospitalisations. When only those who survived more than a year were considered (n = 14), 10 (71%) and 9 (64%) experienced reduced HF (mean: 1.4 episodes per patient) and all-cause hospitalisations (mean: 2.2 episodes per patient) respectively. Conclusion: Home-based advance care programme is potentially effective in reducing healthcare utilisation of end-stage HF patients, primarily by reducing HF rehospitalisations, and in probably saving costs as well.

Key words: Palliative care, End-stage heart failure
Freezing the Biological Clock: A Viable Fertility Preservation Option for Young Singaporean Women?
Authors: Blyth Eric , Yee Samantha , Lee Geok Ling
Published: December 2022

In March 2012, an article in The Straits Times entitled ‘Freezing eggs could reverse falling birth rate’ suggested that employing the latest oocyte cryopreservation techniques could both foster individual women’s reproductive autonomy and impact Singapore’s fertility rate, which in recent years has consistently been among the world’s lowest. The article cited both local and international fertility specialists’ approval of elective oocyte cryopreservation for young women wishing to protect their reproductive potential against ageing and as a potential antidote to the contemporary ‘delay and defer’ model of family-building. Later in 2012, the Ministry of Health announced a review of oocyte cryopreservation policy taking into account related medical, scientific and ethical issues, while the Singapore College of Obstetricians and Gynaecologists endorsed oocyte cryopreservation as an “important, safe and efficient technology”. This paper outlines and analyses the arguments and empirical evidence used both to support and oppose offering elective oocyte cryopreservation as a routine fertility service, before concluding that this remains unjustifiable on the basis of insufficient evidence of its clinical efficacy and safety as regards either pregnancy rates or birth outcomes. If it is to be made available at all for these reasons in Singapore, it should be subjected to rigorous clinic-specific evaluation in accordance with accepted clinical and ethical norms.

Key words: Elective oocyte cryopreservation, Outcomes
Predicting mortality using prognostic scores and electrocardiographic parameters in ST-elevation myocardial infarction patients undergoing thrombolysis
Authors: Reddy Mamatha , Chintala Vaasanthi , Balaji Bairam
Published: December 2022

Background: The short- and long-term outcomes of thrombolysis has been predicted by various scores and models based on the electrocardiogram. This study aimed to compare various mortality predictors in ST-elevation myocardial infarction (STEMI) patients undergoing thrombolysis.
Methods: A prospective, case-control, single-center study was performed at MGM Hospital, Warangal, India, between November 2019 and November 2021. A total of 100 STEMI patients were enrolled, out of which 50 were controls (patients who survived after seven days of thrombolysis) and 50 were cases (patients who died after seven days of thrombolysis). Aldrich score, TIMI risk index (TRI), Sclarovsky-Birnbaum Ischemia Grading (SB-IG) algorithm, presence of Q waves, total ST-segment deviation, and the number of leads with ST-segment elevation (STE) in anterior wall MI (AWMI) were calculated.
Results: The mean age of the case group was 55.3 ± 11.6 years, and that of the control group was 55.5 ± 10.1 years. Males comprised 46.0% and 66.0% of the case and control groups. The c-statistic of TRI was found to be the highest (c = 0.68; P = 0.001), followed by the SB-IG algorithm (c = 0.58; P = 0.021), the sum of R waves in AWMI (c = 0.5; P = 0.019), the number of leads with STE in AWMI (c = 0.47; P = 0.778), total ST-segment deviation (c = 0.47; P = 0.552), Aldrich score for AWMI (c = 0.43; P = 0.590), presence of Q waves (c = 0.40; P = 0.676), and Aldrich score for inferior wall MI (c = 0.32; P = 0.071).
Conclusion: TRI and SB-IG algorithms had moderate accuracy in predicting seven-day mortality in STEMI patients undergoing thrombolysis. Other scores and parameters viz. Aldrich score, presence of Q waves, total ST-segment deviation, and the number of leads with STE in AWMI had very poor accuracy in predicting in-hospital outcomes. More extensive studies with longer durations are required to validate our findings.
Impact of Malmath Application on Students’ Achievement on Properties of Quadratic Graph
Authors:   Presbyterian Boys Secondary School, Legon, Ghana, Osei - Bona Hutton Kojo , Ibrahim  Bukari Hamidu ,   Department of Mathematics/ICT ,  Bagabaga College of Education ,  Tamale, Ghana
Published: December 2022

The study looked into how the MalMath Application integration affected how well students performed when learning about the characteristics of a quadratic graph and how they felt about using the program. A quasi-experimental design was adopted in the investigation. The pre-questionnaire results were used to create the control and experimental groups (i.e., students who have access to smartphones and those who do not have access to smartphones respectively). While receiving treatment, the experimental groups' lessons included the MalMath app, whereas the control group received traditional training. For the study in Ghana, a Technical Senior High School's sample of N = 80 students were readily and purposefully selected as control and experimental groups. This study's theoretical underpinnings were informed by constructivism. The experimental group's findings regarding the scores of male and female did not show a significant difference, but the post-test results for the two groups showed a significant difference in the findings regarding the scores of female students. The findings of the post-questionnaire showed that students' attitudes on the usage of MalMathApp in teaching quadratic graphs are favourable, and they are willing to utilise it for other mathematical topics. It was advised that teachers use MalMath App to teach and learn about quadratic graph characteristics and any other mathematics courses.
Kesediaan Guru Matematik Sekolah Rendah di Selangor Terhadap Penerapan KBAT dalam Pengajaran dan Pembelajaran
Authors: Arumugam Bhanu Leega A/P , Mahmud Muhammad Sofwan
Published: December 2022

Konsep kemahiran berfikir aras tinggi (HOS) telah digunakan dalam pendidikan matematik sejak sekian lama. Pelajar akan belajar cara menyelesaikan masalah dengan berkesan dan analitikal menggunakan pendekatan ini. Seorang guru memainkan peranan yang penting dalam mendedahkan idea ini kepada pelajar agar mereka sama-sama boleh mendapat manfaat daripada penggunaannya. Walau bagaimanapun, bukan mudah untuk mendalami konsep dan strategi dalam mengaplikasikan KBAT khususnya dalam subjek matematik di dalam kelas. Objektif utama penyelidikan ini adalah untuk memahami dengan lebih lanjut mengenai persediaan guru matematik sekolah rendah dalam penggunaan KBAT di dalam bilik darjah dan dengan pelajar mereka. Kajian ini menggunakan kajian kuantitatif di mana ia melibatkan 61 orang guru matematik di sekitar Selangor. Dapatan kajian menunjukkan guru sekolah rendah bersedia untuk mengaplikasikan konsep KBAT.
Al-Wisayyah in The Islamic Estate Planning: The Malaysian Perspective
Authors: Mohamed Shith Mohd Sirajuddin Siswadi Putera , Mohamed Adilii Mohamed Azam , Mohd Shith Putera Nurus Sakinatul Fikriah , Abdul Rahim Memiyanty
Published: December 2022

The considerable increase in the amount of unclaimed inheritance or the value of the deceased's frozen assets over time is a contentious topic among the Muslim community of Malaysia, and it must be emphasised. It is likely that the impression and misunderstanding of the Muslim community regarding the planning, management, and administration of the deceased's property, particularly regarding the appointment of property administrators through the Islamic concept of al-wiṣāyah, has contributed to the neglect of this topic. This study therefore, aimed at analysing the practice of al-wiṣāyah in Malaysia and the impediments in implementing it as an alternative to Muslim estate planning. Adopting the qualitative approach of document review, systematic collection, documentation, analysis and interpretation, and organization of primary and secondary data was conducted. The data was then subjected to content analysis in organizing and eliciting meaning from the data collected and to draw realistic conclusions from it. It is hoped that this study is able to shed light on the concept of al-wiṣāyah in Malaysia, subsequently providing a clear insight and the extent to which its application in Malaysia conforms to the al-maqāṣid al-syar 'iyyah for the good of Muslims. This study also presents recommendations to the Muslim community pertaining the importance of al-wiṣāyah in the present day, where Islamic law is beginning to experience an era of codification that, to some extent, will cause difficulties in the management and administration of the deceased's property.
Pendekatan Proses Belajar dalam kalangan Murid Sejarah: Permukaan atau Dalaman?
Authors: Kaviza M. , Kulasingam K.
Published: December 2022

Kajian ini bertujuan untuk mengenal pasti amalan pendekatan proses belajar yang lebih dominan yang dipraktikkan dalam kalangan murid sejarah. Seramai 150 orang murid terlibat dalam kajian ini. Instrumen kajian ini merupakan Revised Two Factor Study Process Questionnaire. Data kajian ini telah dianalisis secara deskriptif dan inferensi. Dapatan kajian ini menunjukkan bahawa amalan pendekatan proses belajar permukaan dan dalaman berada pada tahap sederhana tinggi. Selain itu, amalan pendekatan proses belajar dalaman berada pada tahap sederhana tinggi manakala proses belajar permukaan berada pada tahap sederhana rendah bagi murid lelaki dan perempuan walaupun tidak terdapat perbezaan min yang signifikan amalan pendekatan proses belajar berdasarkan jantina. Dapatan kajian ini turut melaporkan bahawa amalan pendekatan proses belajar dalaman merupakan pendekatan proses belajar yang lebih dominan dipraktikkan dalam kalangan murid sejarah. Implikasi kajian ini telah mencadangkan kepada guru-guru sejarah untuk melaksanakan proses pembelajaran yang berkesan menjurus ke arah pengaplikasian pendekatan pembelajaran secara mendalam yang berpusatkan murid.
A experiência audiovisual do “Sinógeno”: descaracterização ou antropofagia?
Authors: Sanson João Pedro , Pereira Thais Vilar dos Santos
Published: December 2022

Neste trabalho, refletimos acerca das questões sobre tradição e modernidade nas percepções artísticas e culturais da tradição sineira na cidade de São João del Rei no estado de Minas Gerais. Trazemos como material de análise o EP visual intitulado “Sinógeno”, que, ao ser publicado em março de 2021, trouxe uma série de repercussões, dentre elas algumas controvérsias, em torno do possível caráter artístico ou sacrilégio contido na obra. Aqui, discutiremos através deste objeto, temáticas acerca da percepção mineira a respeito do cosmopolitismo e da experimentação artística, relacionando os conceitos de recado de José Miguel Wisnik, como também o entre-lugar das concepções de local e global. Passando brevemente pelo contexto histórico de Minas desde o processo de exploração das terras, pela influência das Igrejas e da religião católica no processo de construção da região, até experimen-tações sonoras, visuais e performáticas contemporâneas, aborda-se neste trabalho a ideia de movimentos e narrativas artísticas em São João del Rei e outras cidades sineiras. A sociabilidade inerente à linguagem dos sinos, que atravessa o local, a paisagem sonora (SCHAFER, 2001) dos toques, assim como a imaginação dos ouvintes, trazem à tona reflexões sobre os diversos fazeres e saberes artísticos envolvidos nessa tradição. Argumenta-se que a cultura e a tradição sineira e mineira estão sendo negociadas cotidianamente pelas pessoas que as inventam e movimentam por meio das mediações que operadas em suas relações. Nesse sentido, a polêmica em torno do Sinógeno expressa esse aspecto relacional na produção de agenciamentos e significados a partir das obras de arte, seja por meio da tentativa, de alguns, de acusá-lo de sacrilégio, seja pela de outros, de afirmar e reivindicar a expressão dos pertencimentos e contribuições de sons e ritmos africanos em território brasileiro como bases da construção da nação. Analisemos, portanto, a forma como a cultura sineira se manifesta em São João Del Rei, em sua emergência, institucionalização, e ressignificação.
Análise de caso sobre representações LGBTI+ em quadrinhos de super-heróis: sobre a representação de Superman na edição especial DC Pride 2022
Authors: Paiva Mário Jorge de
Published: December 2022

O presente artigo visa realizar uma análise de caso de certa representação LGBTI+ dentro do universo dos quadrinhos, abordaremos assim o material comemorativo DC Pride 2022 e sua representação de Superman, um dos produtos centrais da editora DC Comics. Nossa abordagem é qualitativa, em que faremos uma leitura de tal material, partindo da história dos quadrinhos americanos e de como eles representaram os grupos LGBTI+. Em termos de aporte, selecionamos autores como Dandara Cruz, Darieck Scott, Ramzi Fawaz, Rob Lendrum, Neil Shyminsky, entre outros nomes. Nossa conclusão envolve ver como mesmo com avanços e mudanças históricas, a qualidade de certos materiais ainda pode ser colocada em questão, no que tange aos modelos de representação LGBTI+.
Democracia digital e comunicação desintermediada: um olhar a partir do neoinstitucionalismo
Authors: Freitas Vítor Eduardo Veras de Sandes , Carvalho Morgana Gomes de
Published: December 2022

O presente artigo possui o intento de refletir, através de uma revisão de literatura, sobre os conceitos de democracia digital e as novas tecnologias da comunicação e informação como fatores potencialmente democráticos e influentes no comportamento político. Nesse sentido, busca-se analisar, sob o olhar do neoinstucionalismo, o papel das mídias sociais, em especial o Twitter, como canal comunicativo informal de desintermediação entre representante e representado na atividade parlamentar no Brasil. A partir dessa ótica, e utilizando-se de dados oriundos do Twitter, objetiva-se entender como as relações mediadas pelas mídias sociais atuam como possível extensão do mandato dos parlamentares enquanto atores políticos. Os resultados indicam que a atuação de parlamentares nas mídias sociais digitais como expressão da comunicação interativa desintermediada evidencia-se como fenômeno de comunicação política com reflexos que indicam, ainda que minimamente, uma mudança no comportamento dos representantes e no seu agir político. No contexto da CPI da COVID-19, houve aumentos consideráveis na média de interações por meio de ferramentas do Twitter por parlamentares. Por outro lado, observou-se que parte dos senadores que compunham a CPI da Covid-19 mantiveram inexpressiva atuação na plataforma.
E com vocês os internautas: Uma análise sobre os dois primeiros meses da CPI da Pandemia no âmbito das mídias sociais
Authors: Almeida Helga do Nascimento de , Dias Mario Sergio Araujo
Published: December 2022

O artigo analisa as interações entre os senadores membros da CPI da Pandemia ocorridas no Twitter e tem como objetivo compreender como estes parlamentares atuaram em suas mídias digitais em um contexto pandêmico e durante uma CPI. Este artigo se utiliza de metodologia quantitativa para efetuar a análise dos dados obtidos referentes aos dois primeiros meses de CPI. Após a análise destes dados, constatou-se que os senadores passaram a fazer postagens com maior frequência a cada nova sessão da CPI, a fim de garantir maior visibilidade na rede social e assim tornar público os seus posicionamentos e ideias perante a sociedade civil, além de abrirem nestas redes canais de comunicação para pautar os temas mais relevantes abordados durante as sessões da CPI.
Lei de Acesso à Informação, os atores políticos, o direito e a luta contra a corrupção
Authors: Marques Rodolfo Silva , Oliveira André Silva de
Published: December 2022

Resumo: A Lei de Acesso à Informação (LAI), de 18 de novembro de 2011, gerou uma série de reflexões a respeito dos processos de accountability em prol da transparência nas instituições e órgãos públicos no Brasil, além da mobilização de atores políticos relevantes. Um dos desafios das democracias é o combate à corrupção – com a observância das leis, através do Direito. Este artigo tem, pois, o seguinte problema de pesquisa: como compreender a dinâmica dos controles políticos, com o acesso à informação com fins de combate à corrupção, considerando o marco temporal da LAI? Como métodos, usam-se os caminhos da linha do tempo, a revisão de literatura e a análise de quatro episódios que ilustram a discussão. Como conclusões, argumenta-se que a LAI é uma importante ferramenta no contexto de transparência, e que outros “remédios institucionais” têm de ser desenvolvidos para ampliar a trajetória democrática no Brasil, com a luta contra a corrupção.
Estado da técnica dos estudos sobre o Poder Judiciário pela ciência política no Brasil
Authors: Santana Luciana da Conceição Farias , Brasil Breno Borges
Published: December 2022

O presente artigo tem o objetivo de situar o estudo do Poder Judiciário no âmbito da Ciência Política. Além de discorrer sobre a emergência do Judiciário como poder efetivo, partindo de pesquisas realizadas no Brasil e contemplando também a visão europeia do jurista Vieira de Andrade, o artigo trata sinteticamente da importância do estudo deste órgão pela perspectiva da Ciência Política. Também se detém em enquadrar diversos estudos no tempo, considerando a estreita relação entre tais estudos e a realidade social e normativa vigente. Por fim, considerando um breve compilado de autores de escola, busca-se relacionar os temas e questões mais frequentes em determinada época com a categorização de Mathew Taylor.
COVID-19 Características clínicas, radiológicas y de laboratorio en niños ingresados en un hospital de tercer nivel
Authors: Santafé Troncoso Gabriela , Cáceres Aucatoma Freud , Morán Arias Shirley , Acebo Arcentales Joanna
Published: December 2022

Introducción: La pandemia por COVID 19 en Ecuador fue declarada en marzo del 2020. Desde esa fecha existió un aumento exponencial de la enfermedad. Pero los casos en la edad pediátrica a nivel mundial están reportados como menos frecuentes, sin ser Ecuador la excepción pues hasta marzo 2021 reportó que el 5,4% corresponde a niños. Métodos: Se realizó un estudio transversal. Los datos fueron recopilados de la historia clínica única del sistema GEMA. Las variables de estudio fueron: demográficas, clínicas, pruebas diagnósticas, la estancia hospitalaria y el tratamiento. Para el análisis descriptivo se utilizó porcentajes y mediana; para establecer diferencias significativas se aplicó la prueba Chi cuadrado. Se consideró un resultado significativo una p <0,05. Resultados: Se estudió un total de 19 niños, con predominio de la enfermedad en el sexo femenino y en lactantes menores. Los síntomas más frecuentes fueron: hiporexia, fiebre y síntomas respiratorios. Los estudios complementarios que se realizaron fueron biomarcadores de inflamación al 57,9% de los niños, hemograma al 100% y radiografía de tórax en el 89.5% de casos. La estancia media de hospitalización fue de 3 días. El manejo fue de soporte (oxigeno, antitérmico), terapia respiratoria inhalada, corticoide sistémico y antibioticoterapia. Conclusiones: El estudio demostró que existió una descripción similar a la epidemiología mundial por COVID-19 en cuanto a sintomatología. En los estudios de laboratorio se encontró leucopenia y linfopenia; los biomarcadores de inflamación alterados fueron el dímero D, ferritina, IL-6 y LDH. La evolución fue favorable sin requerimiento de terapia intensiva y con mortalidad nula.
Lo que han visto mis ojos durante mis primeros 87 años
Authors: Garcés Garcés Juan
Published: December 2022

Este título es alegórico. No me voy a referir exclusivamente a lo que han visto mis ojos, también hablaré de lo que he leído o me han contado, cómo era el Ecuador y el mundo cuando yo nací.El Ecuador era un país cacaotero con una población de 2.700.000 habitantes y una superficie de 300.000 kilómetros cuadrados, más grande de lo que es en la actualidad; un país laico, sin religión oficial, en el que se respetaba todas las creencias políticas y religiosas, las escuelas y colegios estatales eran laicos, aunque también había escuelas y colegios particulares, casi todos confesionales. Las cuatro universidades del Ecuador eran estatales.
Homenaje al Dr. Alfredo Naranjo Estrella, docente y formador de Pediatras Ecuatorianos
Authors: Naranjo Daniela
Published: December 2022

El doctor Alfredo Naranjo, nació en Quito, el primero de agosto de 1958. Es el primero de seis hermanos. Durante su infancia estuvo rodeado de una familia grande con muchos primos, con quienes compartía juegos, risas y experiencias. Su educación primaria la realizó en la legendaria Escuela Espejo, una institución emblemática de la ciudad. Durante su adolescencia, fue un joven entusiasta y muy dedicado a sus estudios. Su educación secundaria la realizó en el Colegio Montúfar, donde se graduó con honores siendo escolta del pabellón nacional. En su vida, destacaron sus cualidades de ayuda al prójimo, trabajo en equipo y habilidades en las ciencias humanas. Tuvo la inspiración de una tía enfermera y un tío médico, quienes lo encaminaron a perseguir el sueño de la medicina.
Introducción a la estimación
Authors: Velasco Maria Carolina , Zhao Isaac
Published: December 2022

Este artículo es una introducción a métodos de estimación puntual y por intervalos. Cubre principios estadísticos y procesos de muestreo que son importantes para aplicar análisis y métodos de inferencia más avanzados. A través de ejemplos y código de muestra en R, el artículo establece una base práctica para la teoría de la estadística inferencial.
Cuidados síndrome postparo
Authors: Yunge Mauricio , Campos-Miño Santiago , Alonso Bernado
Published: December 2022

El manejo del SPP en adultos ha mostrado buenos resultados en sobrevida y resultados neurológicos, incorporando la angioplastia de emergencia y el manejo de la temperatura post recuperación de la RCE. Ya sabemos que el PC pediátrico tiene peor pronóstico que el de adultos por su origen asfíctico. Como ya veremos en los casos post paro de pediatría, lo que hagamos en esta etapa es muy importante, pero el pronóstico final dependerá de la causa del paro y del tiempo que el niño haya estado sin oxígeno y sin perfusión de los órganos. Un porcentaje importante de niños que son inicialmente reanimados fallecen luego de la RCE, en los días o semanas siguientes, y esto puede ocurrir por fracaso hemodinámico, muerte cerebral o adecuación del esfuerzo terapéutico.