bluuebunny/crossref_metadata_2025 huggingface dataset:
Screening for emotional and psychosocial disorders in children and adolescents with excess weight
Authors: Maftum Gustavo , Souza Fernando , Gabriel Gleice , Rover Milene , Sandrini Fabiano , Dalmina Tainara , Soares Haydée , Cristovam Marcos
Published: April 2022

OBJECTIVES: To realize screening for emotional and psychosocial disorders in overweight and obese children and adolescents by application of pediatric symptoms checklist. METHODS: Cross-sectional epidemiological study of children and adolescents aged six and 16 years; evaluated at the general pediatrics outpatient clinic of the Hospital Universitário do Oeste do Paraná, in Cascavel City, State of Paraná. The variables analyzed were: sex, age, BMI, and their relationship to the pediatric symptoms checklist (PSC). For the analysis of the data the chi-square hypothesis tests and Fishers exact hypotheses were used for the proportions. The measure of effect of interest was the 95% confidence interval ratio, obtained with the Poisson regression, considering significant results with value of p<0.05 Wald test. RESULTS: 157 subjects aged six to 16 years participated, 123(78%) of which were under 12 years of age. Of these, 66 (42%) were female and 91 (58%) male, 88 (56%) were obese and 69 (44%) were overweight. The pediatric symptoms checklist was positive in 39 (24%) of the participants. Most participants with positive PSC were less than 12 years old and obese. There was no statistical significance between age, sex and BMI and positive score on the pediatric symptoms checklist. CONCLUSION: 24% of overweight and obese children were at risk for emotional and psychosocial problems.
The role of the pediatrician in accurate recognition of autistic spectrum disorders and symptoms: literature review
Authors: Souza Nathalye , Raslan Ivana , Inácio Filho Amaro , Oliveira Beatriz
Published: April 2022

INTRODUCTION: Autism spectrum disorder (ASD) is a neurodevelopmental disorder, diagnosed by disruption in the process of socialization, behavior and communication. It is among the most common developmental disorders, affecting 1 in 100 children. Its subtle, symptomatic and chronic profile has the involvement of essential biological mechanisms related to development. OBJECTIVES: Due to the low scope of the theme in the curriculum of the medicine and specialization in pediatrics course, which makes early diagnosis difficult, this review seeks to develop knowledge about: history, clinical characteristics and diagnostic tools associated with ASD. METHODS: A systematic review used the databases: MEDLINE (PubMed), SciELO, LILACS and Google Scholar, using “autism and the pediatrician” and “autism and the pediatrician”, “autism” as a search strategy. RESULT AND DISCUSSION: Through the CHAT (checklist for autism in children), health professionals can make diagnostic suspicion, through parents reports on the child’s behavior, as well as at the time of the consultation. CONCLUSION: The early introduction of therapies to rehabilitate children with ASD, through interdisciplinary intervention, is important for improving the behavior and quality of life of patients with autism spectrum.
Kawasaki disease with hepatic attack: case report of a patient with cholestatic syndrome
Authors: Silva Kellen , Silva João , Coimbra Paula , Weffort Vírgina , Cunali Valéria , Ceranto Augusto , Berzotti Lucas , Teixeira Mariana
Published: April 2022

Kawasaki disease (KD) is characterized by vasculitis in medium-caliber arteries, mainly in children under 5-years-old. The diagnosis should be made by clinical criteria, since there is no specific laboratory test. However, some laboratory and histopathological findings may help to corroborate the diagnosis, especially in inconclusive cases. The objective of this study is to report a case of a patient with a classic DK, who developed cholestatic syndrome and lymphadenopathy, requiring laboratory and pathological investigations (lymph node and hepatic biopsies) to rule out other etiologies. The clinical case described in this study exemplifies how complementary investigation can be used to rule out other etiologies and contribute to the early diagnosis and treatment of KD, which may prevent the disease from developing with complications and severe sequelae, such as coronary aneurysms.
Swallowing disorders and dysphagia in children
Authors: Maunsell Rebecca , Avelino Melissa
Published: April 2022

The role of the medical team in the evaluation of children with dysphagia goes way beyond the prescription of medical and nonmedical treatment and the evaluation of the possibility of oral feeding. Swallowing disorders in children may compromise growth and development with significant compromise to the child’s general health, sometimes leading to multiple hospital admissions and diagnostic exams that expose the child to unnecessary risks, when ordered outside the context of a multidisciplinary approach. Most times dysphagia is multifactorial. Several pathologies a part from neurologic impairments may be involved as the main cause or a co-factor for swallowing disorders. Treatment may be medical, surgical or both, and some interventions may be needed even during follow-up due to consequences of long-term dysphagia. Specialists central to all multidisciplinary programs are: the otolaryngologist, the pneumologist, the gastroenterologist and the speech and language pathologist to ensure that evaluation of structural and functional aspects of the respiratory and digestive systems and its repercussions on the child’s general health have been encountered and will be continuously accounted for. This letter hopes to bringing attention to the need of a detailed and specialized medical evaluation of these children before and continuously during diagnosis and rehabilitation of these children.
Incomplete Kawasaki disease with presentation of fever of unknown origin
Authors: Pereira Lívia , Cordeiro Júlia , Martins Luísa , Almeida Jáder
Published: April 2022

INTRODUCTION: Kawasaki disease (KD) is a systemic vasculitis that mainly affects small and medium-sized vessels. OBJECTIVES: To present the case of a child with incomplete KD describing the investigation process until diagnosis. CASE REPORT: A 2-year and 4-month-old female patient with daily two-week persistent fever associated with right unilateral cervical adenomegaly initially treated as bacterial adenitis. Due to the persistence of fever, she returned to the emergency unit with edema in both feet and periungual desquamation in the right hand. After investigation, the diagnosis of incomplete KD was confirmed late. DISCUSSION: KD is one of the differential diagnoses of unknown origin fever. The incomplete form of the disease evolves with the absence of classic clinical signs. Given the severity of the disease and its possible complications, an early treatment it is essential. CONCLUSION: It is necessary to consider Kawasaki disease as a differential diagnosis of fever of unknown origin in children.
THE INFLUENCE OF DIVERSITY ORIENTED LEADERSHIP TOWARDS KNOWLEDGE SHARING THROUGH TRANSPARENT INTERNAL COMMUNICATION, INTRINSIC NEEDS SATISFACTION, AND JOB ENGAGEMENT
Authors: Angawati Ellyana , Kurniawati Kurniawati
Published: April 2022

There are many ways for companies to retain employees. The approach simply proposed that companies would benefit from employees that are loyal in order to create knowledge sharing throughout the company, which are important and necessary in achieving the goal and mission of the company. Communication styles, leadership methods, including the employees’ necessity as one of the parameters for the employees to continue to share their knowledge within the company. This research aims to maximize the company and the employee mutualistic relationships which requires both understanding. Exploration and approach between company with employees in many aspects such as managerial level, openness, boundness, and the employee’s demand are also measured and comprised. The literature review argue that these are the ways to improve trust, experience, satisfaction and commitment, so that there are tight relationships with each other especially in crises situation. This research uses purposive sampling with age ranging from 23 years old until 70 years old with associate degree to doctoral degree in many types of industry, variant income, managerial level, and duration of work at the company. This research is suitable for someone who is a decision maker in the company to improve the company. The data uses SPSS 25 and AMOS 21 methods for analyzing. Majority of the variables shows that the variables are positive related. Therefore, this research could use for companies’ improvement towards employee’s retentions. In addition, acknowledgement from employees would lead to employee’s knowledge sharing.
THE INFLUENCE OF INCOME LEVEL, RELIGIOSITY, AND SOCIAL ENVIRONMENT ON MUZAKKI'S DECISION TO PAY ZAKAT
Authors: Amelia Silvia , Jamilah Siti
Published: April 2022

The purpose of this study was to analyze and identify the influence of the independent variables, such as the level of income, religiosity, and social environment on muzakki's decision to pay zakat, especially for the people of Karang Tengah sub-district, Tangerang City. The method used in this research is field research with a quantitative approach. Samples taken were 100 respondents using the Nonprobability Sampling technique, which was Pusposive Sampling. The analytical method used is SPSS version 24 as a validity test, reliability test, classic assumption test which includes normality test, multicollinearity test, heteroscedasticity test, multiple linear regression, R2 test, hypothesis test containing t test (partial) and F test (simultaneous). Based on the results of the research, it is shown that each independent variable, which is the level of income, religiosity, and social environment has a positive and significant influence on muzakki's decision to pay zakat. And the level of income, religiosity, and social environment together or simultaneously have an impact on the dependent variable, which is the muzakki decision to pay zakat.
INVESTMENT OPPORTUNITY SET OF COMPANY VALUE WITH DIVIDEND POLICY AS MEDIATION ON MANUFACTURING COMPANIES
Authors: Sutanti Sutanti , Munawaroh Azizatul
Published: April 2022

This study aims to analyze whether IOS and dividend policy have a positive direct effect on firm value, and whether dividend policy mediates the indirect effect of IOS on firm value in manufacturing companies listed on the Indonesian stock exchange for the period 2017 to 2019. This study is a research study. quantitative analysis model with Pooled Least Square (PLS) with secondary data in the form of financial statements of manufacturing companies listed on the Indonesia Stock Exchange obtained through web.idx.co.id. Data analysis using Software Eviews Version 10. The population of this research is 182 companies listed on the Indonesian stock exchange. While the research sample is 33 companies using purposive sampling technique with the criteria of manufacturing companies listed on the Indonesian stock exchange that use the rupiah currency in their financial statements and publish annual reports that have been audited in full and have consistent data and pay dividends regularly. consistent throughout the study period. The results of the mediation comparison coefficient analysis show that the direct effect is 0.235727 while the indirect effect must be calculated by multiplying the indirect coefficient from structure 1, namely (-0.617330) x (0.136667) = - 0.0843. Because the direct relationship coefficient is greater than the indirect relationship coefficient, it can be said that the actual relationship is not able to mediate reinforced with a significance value above = 5%, which is 0.8125.
IMPACT OF HOTEL, RESTAURANT AND ENTERTAINMENT TAXES ON LOCAL OWN REVENUE IN WEST JAVA
Authors: Anwar Mutia Nursyahbani , Octaviani Dian
Published: April 2022

This Study aims to analyze the effect of hotel tax, restaurant tax and entertainment tax on local own revenue. This study uses data sourced from the Directorate General of Fiscal Balance (DJPK) with secondary data from 2016-2019. The analytical method used is the panel data regression method with the help of the eveiws 9 application. The results of this study show that hotel tax, restaurant tax, and entertainment tax individually and jointly have a positive and significant effect on local own revenue.
STRATEGIC HR REDEFINITION, HR MANAGEMENT INITIATIVES RESPONDING TO THE CHALLENGES OF THE NEW NORMAL ERA
Authors: Budi Utama Zukra , Rustam Rinaldi
Published: April 2022

The COVID-19 pandemic declared by UNDP has an impact on the global economic crisis, according to the ERC, which is more detrimental to small and medium enterprises than large companies. This is a classic problem that is fundamental to HR management, regarding the need for a fundamental redefinition of the function and role of HR in terms of social responsibility. It is necessary to increase the capacity of human resources in different ways, towards capabilities without theoretical limits, realizing the contribution of human resources that has unlimited impact, not only in the organization but also in the social sphere of society. Our experiments increased the capabilities of more than 500 workers, proving that in less than a month they were able to identify problems in their fields that had not been seen so far, an average of 40% to 70% of implementation standards, and were able to increase innovation in organizations up to two hundred times (20,000%) in a year. From here we identify the element of feeling that we call intuition as a human advantage that is able to support it in greater achievements Natural HR as the future strategic HR is the answer of HR Management entering a new era, as a redefinition of the function and role of HR. For that we make improvements with the BCGC model or the zukra model.
Goldenhar syndrome associated with an epibulbar dermoid: Case Report
Authors: Mamani Maquera Diego J. , Palomino Bernal Adriana
Published: April 2022

We present the case of a 7-year-old male child with Goldenhar syndrome associated with an epibulbar choristoma. The patient presents a homogeneous tumor, rounded in shape, with well-defined borders, of a soft consistency, vascularized, approximately 9x10 mm, yellowish-white in color, adhered to the sclera and cornea, with hairy formations on its surface, located at the level of the sclerocorneal limbus of the temporal-lower quadrant of his right eye. The histopathology study showed the presence of hair follicles and sebaceous glands, immersed in a stroma of fibrous connective tissue with a superficial squamous-type lining, which defined the diagnosis of limbar epibulbar dermoid. Conjunctivaplasty was performed to cover the scleral defect and use amniotic membrane to cover the corneal and scleral defect. The limbar epibulbar dermoid is the most common type of conjunctival choristoma and should be considered in the differential diagnosis of pediatric epibulbar tumors.
Clinical-epidemiological profile of patients with Covid-19 treated at a peruvian jungle hospital 2020
Authors: Becerra Uriarte Geyner Y. , Pardo Lizana Hector E. , Llontop Ynga Enrique G. , Lopez-Lopez Elmer
Published: April 2022

Introduction: The epidemic that had its beginning in the city of Wuhan in December 2019, has become a public health problem that is advancing at dizzying steps. Objective: To determine the clinical and epidemiological profile in Covid-19 patients attended at the Hospital Apoyo I Santiago Apóstol - Utcubamba, 2020. Method: The type of research was observational, descriptive and retrospective cross-sectional. The population consisted of 312 patients from which a sample of 173 patients was extracted that met the conditions of being representative and adequate. All data processing and statistical calculations were performed using Microsoft Excel 2019 software. Results: Regarding the results, it was determined that the epidemiological profile: male gender a total of 102 and female gender 71, representing 59.0% and 41.0% respectively; average age of 45 years; most affected place of origin, the city of Bagua Grande, with a frequency of 162, which represents 93.6%. Regarding the clinical profile: diabetes mellitus presented a total of 7 cases, representing 4.1%; cardiovascular diseases with a frequency of 6, representing 3.5%; general malaise with a total of 75 cases, representing 43.4%; fever with a frequency of 66 cases, representing 38.2%; cough with a frequency of 56 cases, representing 32.4%; headaches with a frequency of 50 cases, representing 28.9%; and dyspnea with a frequency of 34, representing 19.7%. Conclusion: The male gender was predominant with comorbidities such as diabetes mellitus, general malaise and elevated CRP.
Eating habits and lifestyles of medical students at the beginning of the Covid-19 pandemic eating
Authors: Espinoza-Gutierrez Geraldine A. , Yance-Cacñahuaray Gabriela , Runzer-Colmenares Fernando M.
Published: April 2022

The mortality rate from COVID-19 in Peru continues to increase, considered by January 24, 2022, as the third country with the most cases and deaths in all of South America. Connement favors an extremely sedentary lifestyle, physical inactivity, and poor eating practices causing serious health risks. Objectives: Describe the eating habits and lifestyles of medical students during the CoVID-19 quarantine. Materials and Methods: Multicenter Descriptive Cross-sectional Study. Results: A total of 886 medical students participated. The female gender prevailed with 81.49% (n = 722) compared to the male gender with 18.51% (n = 164). Regarding the perception of health, only 4.51% (n= 40) rated it as low and the remaining 95.49% rated it as satisfactory (n= 111), good (n= 495), very good (n= =200) and excellent (n=40). The predominant healthy habits were not smoking 91.08% (n= 807) and doing physical activity 78.78% (n= 698); During the pandemic, physical activity was reduced, reaching 53.95% of students. Conclusions: Medical students during the COVID-19 connement stage, medical students opted for regular healthy eating habits and preventive behaviors. However, daily physical activity was predominantly low.
Factors associated with anxiety in medical interns at a private university in the context of the Covid-19 pandemic
Authors: Cehua Alvarez Efrain A. , Alburqueque Melgarejo Joseph , Viru Flores Horus M. , Roque-Quezada Juan C. , Suárez Egoávil Catherine A. , Guerra Israrel A.
Published: April 2022

Objective:To determine the factors associated with anxiety in medical interns at a private university in the context of the COVID-19 pandemic. Methods: The study design is quantitative, observational, analytical, retrospective, cross-sectional. The sample was composed of 343 human medicine interns, who were selected by a non-probabilistic snowball type sampling. The Coronavirus Anxiety Scale instrument was used for the diagnosis of anxiety. A Poisson regression model with robust bivariate and multiple variances was used to calculate the prevalence ratio and their respective 95% condence intervals. Results: The prevalence of anxiety and severe depressive symptoms of 22,74% and 6,71% respectively was found. Depressive symptoms aPR 3.27 (95% CI 1,06 - 10,09), having children aPR 2,61 (95% CI 1,26 - 5,38), and the diagnosis of COVID-19 in the last 12 months aPR 2,20 (95% CI 1,25 - 3,87) were associated with the presence of anxiety in the multiple regression model. Conclusions: The presence of severe depressive symptoms, having children, the diagnosis of COVID-19 in the last 12 months are associated with the diagnosis of anxiety in medical interns at a private university in Lima, 2021
Predisposing factors associated with chronic subdural hematoma in adults and elderly adults served in the neuro surgery and geriatrics service at the María Auxiliadora hospital in 2016-2020
Authors: Martinez Palomino Marjhory J. , Melgarejo Mostajo Marco A. , Chanduví Puicon Willer , Guillen Ponce Rocío
Published: April 2022

Introduction: A common pathology in the Neurosurgery Service is chronic subdural hematoma (CSDH), affecting elderly male patients. It is an accumulation of blood that is located in the subdural space that can occur spontaneously or be the result of a head injury or other pathologies such as high blood pressure (HBP), type 2 diabetes mellitus (DM2), alcoholism, or external factors such as head trauma (CT) and consumption of platelet antiaggregants. Objective: To determine how predisposing factors are associated with CSDH in adults and older adults treated at the Neurosurgery and Geriatrics Service at the María Auxiliadora Hospital (HMA) in 2016-2020. Methods:An analytical, observational, retrospective study of cases and controls was carried out through data collection from medical records. Results: Association was found with age 60 to 96 years (adjusted OR = 2,52; 95% CI: 1,43 - 4,80), male gender (adjusted OR = 4,10; 95% CI: 2,30 - 7,60), alcohol consumption (adjusted OR = 3,06; 95% CI: 1,06– 8,83), hypertension (adjusted OR = 2,51; 95% CI: 1,16– 5,43), DM2 ( Adjusted OR = 2,49; 95% CI: 1,03–6,01) and CT (adjusted OR = 3,35; 95% CI: 1,87– 6,03). Conclusions: The sociodemographic factors age and sex are associated with HSDC. Alcohol consumption, hypertension, DM2, and history of TC are associated with HSDC.
Couple relationship quality scale in the Covid-19 Context
Authors: Arteta-Sandoval Gissel , Cunza-Aranzábal Denis Frank , Madrid-Valdiviezo Jazmin , Huamán-Pérez July Vanessa
Published: April 2022

Introduction: The pandemic caused by COVID-19 has affected people's way of life, and particularly, couple relationships. The main of this study was to evaluate the psychometric properties of the Couple Relationship Quality Scale (CRP-ASO) within the context of the lockdown due to COVID-19, in Peru. Methods: The CRP-ASO scale was applied to 499 adults (60 % women; Mage = 41.54 years, Sage = 13.48). The internal structure of the instrument was evaluated using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability was also estimated by calculating Cronbach's alpha (α) and McDonald's omega (ꞷ). Results: The results indicated a four factors structure: consensus, complicity-intimacy, satisfaction in the relationship and stability in the relationship, with high indicators of internal consistency. Conclusion: It is concluded that the instrument has satisfactory psychometric properties and can be used in similar samples.
Response to Temozolomide in patients with metastatic melanoma in a third level medical facility
Authors: Mejía-Cabrera Selene , Marín-Márquez Gerardo , Silva-Bravo Fernando , Montiel- Jarquín Álvaro J. , Maldonado-Castañeda Sandra , García-Galicia Arturo
Published: April 2022

Introduction.Melanoma is a public health problem; it represents 4% of malignant skin tumors and is responsible for 80% of deaths from this type of neoplasm. Objective: Show the response to Temozolomide in patients with metastatic melanoma. Methods: Descriptive, cross-sectional study. The clinical response of patients with metastatic melanoma, managed with Temozolomide 200 mg/m2 once a day was analyzed for 5 days every 28 days. The risk factors analyzed were: histological variety, topographic region of the primary lesion, metastasis, ulceration, and Breslow. Descriptive statistics were used for normality Kolmogorov-Smirnoff, Student's t-test, and binary logistic regression. Results: There were 51 les, 47 met the criteria; 25 men, 22 women, mean age 54.45, minimum 22, maximum 85 years, Complete response was obtained in 3 (6.3%), partial response in 7 (14.8%), stable disease in 10 (21%) and disease progression in 27 (57.44%) patients. The presence of ulceration is associated with a higher Breslow index and, as a result, a higher risk of disease progression. Conclusions: Temozolomide as monotherapy is a treatment that presents low rates of complete response and partial response, showing better results in patients with lymph node metastases.
Body mass index in medicine students: Relationship with stress, eating habits and physical activity
Authors: Aguilar-Ydiáquez Claudia , Campos-Flores Leily , Huamán-Saavedra Juan J.
Published: April 2022

Introduction: Changes in lifestyles predispose university students to face constant stressful situations and to modify their eating habits and physical activity, with possible alterations in the body mass index. Objective: To evaluate the relationship between body mass index and stress, physical activity and eating habits in medical students. Methods: Cross-sectional descriptive observational study. 306 medical students participated from first to sixth year: 153 with normal weight, 121 with overweight and 32 with obesity, average age 21,95 years. The body mass index was considered and the questionnaires were applied: Global Perception of Stress Scale for University Students (Adapted in Peruvian university students), International Physical Activity Questionnaire and the modified Reyes Food Frequency Questionnaire, using Google software Forms. Results: The proportion of normal weight was 50%, overweight 39,50% and obese 10,50%. According to eating habits, people with body mass index significantly increased their consumption of soft drinks (p = 0,030), meat (p = 0,017) and alcohol (p = 0,005), more frequent breakfast (p = 0,037) and less consumption of legumes (p = 0,049). The levels of distress were lower in the obese (p = 0,055); there was no significant difference in physical activity. Conclusions: The elevation of the body mass index in medical students was associated with inadequate eating habits. Low levels of distress and physical activity were more frequent in obese people, although without significant difference.
Tuberculoso orchiepididymitus in insulinodependent Type 2 diabetes Mellitus: Case report
Authors: Carrillo-Sanabria Gonzalo , Dávila-Aranda Brayan , Cairo-Huaringa Rodolfo , Maita-Hinostroza Richard , Chumbes-Pérez Jorge
Published: April 2022

Introduction: There is little information in Peru on the association of tuberculous orchiepididymitis in relation to immunosuppressed patients, being an endemic country of tuberculosis and there is an increase in the prevalence of chronic noncommunicable diseases such as diabetes, producing wrong diagnoses. Clinical Case: We present the case of a 70-year-old man with a history of type 2 diabetes mellitus who was admitted to the outpatient clinic due to dysuria and frequency. On physical examination, a hard, non-painful right testicle, the ultrasound showed signs of epididymal abscess in the scrotal wall of the Right testicle, which is why an infected neoplasm is suspected, and a right orchiectomy is performed, later in the histological study, multinucleated Langhans-type giant cells with granulomatous areas suggestive of tuberculosis are shown, which is why it is proposed that in the presence of urological symptoms in immunosuppressed patients, it is ruled out tuberculosis.
Proper testing strategies and unambiguous communication is the best strategy to protect oil-spill affected populations
Authors: Casado Fanny L.
Published: April 2022

Dear Editor, Regarding the unfortunate oil spill occurred last January 15th on our coast, I would like to call the attention of your readership towards the need to formulate a proactive Plan of Action to address Environmental Health concerns and use the best practices to communicate risks for people whose livelihoods are closely intertwined with the affected areas.
Pregnancy in times of Pandemic: A look at Mental Health before and during the pandemic
Authors: Cisneros Hilario César B. , Bedoya Castillo María P. , Lázaro Huamán Betsy A. , Mendoza Chávez Katia E. , Cisneros Hilario Evelin J.
Published: April 2022

Introduction: Pregnancy is a time of physiological, psychological, personal and social changes for women. The role of the emotional and psychological aspect encompasses the entire period because as fetal development advances, the mother-baby relationship strengthens, making the mother vulnerable. Objectives: To collect, describe and analyze relevant information on mental health in pregnant women, both at different stages of gestation and before and during the COVID-19 pandemic. Methods: A literature search was conducted through PubMed, Google Scholar and Scielo using terminology compiled from MeSH and DeCs. Results: Pregnancy due to hormonal changes causes the presence of anxiety and depression that worsen as the stages of fetal development progress. These psychological disorders have greatly increased during the COVID-19 pandemic due to several reasons such as the relationship with the couple, uncertainty, fear, anguish and increasing phobia about contagion. Final considerations: Pregnant women are a vulnerable population, whose mental health has always been affected and nowadays it has been much more affected due to the pandemic, therefore they need better attention in the health sector such as providing them with reliable information on measures to alleviate the burden of stressors, since they not only carry the anguish of their health but also that of the fetus.
Factors associated with inadequate Hospitalizations of older adults in the Emergency Department of the Hospital Edgardo Rebagliati Martins 2017
Authors: Capcha Serna Lulio E. , Zamora-Chavez Sara C. , Vasquez-Alva Rolando
Published: April 2022

Introduction:Inadequate hospitalizations (IH) alter hospital management and much more when they are carried out in the elderly population; therefore, identifying the factors is relevant at the national and local levels. Objective: To determine the factors associated with IH in older adults in the Emergency Service (ES) of the Edgardo Rebagliati Martins National Hospital (HNERM) during 2017. Methods: Observational, analytical, cross-sectional study. A sample of 414 patients randomly selected from 18 250 patients admitted during the study period was selected. Collection forms were used, and medical records were reviewed. With the help of the SPSS 25 program, the Chi-square test was performed, and the simple Prevalence Ratio (PR) and adjusted (Rpa) were calculated. The level of signicance was 5%. Results: The frequency of IH was 11,8%. The epidemiological factors associated with IH were ages from 75 to 84 years RPa=5,80 (2,20-15,27) and from 85 to more years RPa=8,22 (2,76-24,44), the female sex RPa=2,20 (1,11-3,10), the occupation as a housewife RPa=3,39 (1,13-10,17) and the accompaniment of the spouse RPa= 9,16 (2,59-32,38), child RPa= 3,72 (1,14-12,14), parents RPa= 8,50 (1,88-38,44) and siblings RPa=22,42 (5,78-86,97). The organizational factors associated with IH were internist treating physician RPa=2,90 (1,38-6,07) and admisiion morning shift RPa=4,84 (1,67-14,06). Conclusions: There are factors associated with IH in older adults in the SE of HNERM.
Additional comments to the article written by Eymard Torres-Rodriguez et al: Reduction of cardiovascular risk in obese patients who participated in a lifestyle medicine program
Authors: Longa López John C.
Published: April 2022

Dear Editor Chronic diseases have occupied a leading place in global morbidity and mortality statistics, given the increase in life expectancy and access to new therapeutic technologies and advanced drugs. Cardio-metabolic diseases such as diabetes, high blood pressure, dyslipidemia, and obesity, among others, are clear examples of both the impact and the advent of new therapeutic opportunities. In this study, the effect of a lifestyle program on the cardiovascular risk of enrolled patients was evaluated.
The Revista de la Facultad de Medicina Humana in Scielo Citation Index of Web Of Science
Authors: De La Cruz-Vargas Jhony A. , Hernández Patiño Iván , Luna-Muñoz Consuelo , Correa-López Lucy
Published: April 2022

Today we have the honor and joy of sharing with the scientific and university community that the "Revista de la Facultad de Medicina Humana" is part of the prestigious collection "Scielo Citation index" of Web of Science (WoS ). Scientific journals have become the first instrument and vehicle of scientific communication. Furthermore, periodic scientific publications are known and recognized by the scientific community based on their editorial quality, their degree of visibility and their levels of impact on scientific production, measured both by citations in other publications and by their presence in alternative metrics.
Pain Science in Practice: What Is Pain Neuroscience? Part 1
Authors: Hoegh Morten
Published: April 2022

Synopsis

This first article in the JOSPT “Pain Science in Practice” series explains fundamental concepts related to neuroscience: transduction, transmission, modulation, and perception. J Orthop Sports Phys Ther 2022;52(4):163–165. doi:10.2519/jospt.2022.10995
BETWEEN HABERMAS AND MOUFFE: WHICH MODEL OF DEMOCRACY TO BRAZIL?
Authors: Souza Matheus Figueiredo Nunes de , Aquino Sérgio Ricardo Fernandes de
Published: April 2022

The aim of this paper is to compare the political models of Jürgen Habermas and Chantal Mouffe, on the way to identify which one has the greatest possibility of practical application. In order to fulfill this proposal, the research problem is: which theory is more adequate to analyze Brazilian democracy? The hypothesis of research previously formulated, in order to be tested, is that the Habermasian model is not applicable to the current situation of Brazilian democracy, which is closer to Mouffe’s agonistic pluralism. The scientific method used was hypothetical-deductive, developing a qualitative, primarily theoretical and descriptive research. The instrumental procedures (research techniques) employed were the literature review (selected, respectively, by the criteria of relevance, accessibility and topicality), documentary material and operational categories and concepts. It was concluded that disparities in factors such as Education and Income make it impossible to construct a communicational "middle level", moving away from the ethical-rational procedurality that guides the deliberative democracy model. On the other hand, the permeability of the political dimension and the plurality of external factors reinforce antagonisms and hegemonic relations, pointing to the proximity of Brazilian democracy with Mouffe's model.
CORTES CONSTITUCIONAIS NA AMÉRICA LATINA E SUAS TENSÕES COM O PODER EXECUTIVO
Authors: Lunardi Fabrício Castagna
Published: April 2022

O presente artigo tem como objetivo investigar qual é o papel das Cortes Constitucionais na América Latina, considerando as peculiaridades institucionais e regionais dos diferentes países, bem como os seus contextos mais ou menos democráticos. A partir desse recorte, pretende-se analisar, especificamente, como os Tribunais Constitucionais da região se comportam quando confrontados com interesses governistas e de elites políticas, quais são suas peculiaridades e semelhanças, como são moldados por suas instituições, sua cultura jurídica, seus contextos, bem como pela sua inter-relação com os demais Poderes. A fim de atingir os seus objetivos, a pesquisa se desenvolve com base na opção de uma linha crítico-metodológica, a partir de estudos da ciência política e de análises comparativas. Ao final, conclui-se que, na América Latina, diante dos sistemas presidencialistas adotados, há um grande potencial para que Cortes Constitucionais entrem em confronto com o Presidente para buscar o equilíbrio entre os Poderes; comumente é realizado um cálculo estratégico pela Corte quando a decisão tende a desagradar o governo ou as elites políticas; as garantias institucionais de independência judicial, a cultura jurídica e fatores conjunturais, relacionados à unidade ou à fragmentação da base governista, tendem a influenciar na decisão das Cortes; a atuação dos Tribunais Constitucionais nos países latino-americanos possuem grande complexidade, e a sua real capacidade de melhorar as condições democráticas é muito mais limitada do que teorias constitucionais standard sugerem.
DEMOCRACIA, ESTADOS DE EXCEÇÃO E EXCLUSÃO SOCIAL
Authors: De Casimiro Lígia Melo , Sousa Thanderson Pereira de
Published: April 2022

O estudo busca demonstrar a forma em que condições estruturais negativas jurídicas, econômicas, políticas e sociais cooperam para a invisibilização de grupos específicos, negros, mulheres e LGBTQIA+, enquanto resultados dos estados de exceção e prejudiciais aos requisitos institucionais da democracia poliárquica. Metodologicamente é empregada abordagem dedutiva, com apoio em documentação indireta – englobando técnicas de pesquisa bibliográfica e documental. À guisa de conclusão, entende-se que o escotoma brasileiro implica na invisibilização de negros, mulheres e LGBTQIA+. Isso ocorre pelo fato de a discriminação indireta, no âmbito das violências permitidas por estados de exceção, distanciar esses grupos sociais da possibilidade de contestar e participar politicamente. Assim, a democracia não está disponível para todos no Brasil. Por fim, compreende-se que a invisibilização e os estados de exceção suplantam as instituições relevantes na poliarquia – um paradigma democrático. É indispensável rever, com manejo de medidas transformativas, a estrutura democrática brasileira.
Determinação de compostos fenólicos totais do chá verde e chá preto não fermentados e suas respectivas kombuchas
Authors: Olba do Couto Gabriela , De Lima Cristina Peitz
Published: April 2022

A kombucha é resultante de uma fermentação de chá verde ou chá preto adoçados e adicionados de uma cultura simbiótica de bactérias e leveduras, capaz de fornecer diversas propriedades benéficas a saúde, inclusive ao trato gastrointestinal e imunidade. O chá verde e o chá preto são conhecidos e utilizados há anos devido aos seus benefícios a saúde. Este estudo teve como objetivo a análise e comparação do teor de compostos fenólicos presentes nas kombuchas preparadas a partir do chá verde e chá preto, e nos dois tipos de chás  preparados apenas por infusão. A análise e comparação foi feita 15 dias após o início da fermentação das kombuchas e os chás foram congelados até o dia da análise. Ao fim deste trabalho, foi possível observar resultados significativos de compostos fenólicos nas amostras e a permanência destes compostos após a fermentação.
Evaluasi Kebijakan Pemerintah Tentang Program Pengembangan Ternak Untuk Masyarakat Miskin Pada Dinas Peternakan, Perikanan Dan Kelautan Kota Dumai
Authors: Astuti Sri , Chaidir Ellydar
Published: April 2022

Program Pengembangan Ternak untuk Masyarakat Miskin melalui Pinjaman Modal Ternak Bergulir Tahun 2009 Di Kota Dumai dilakukan sebagai upaya Pemerintah dalam mengurangi tingkat kemiskinan dan melakukan pemberdayaan kepada masyarakat. Evaluasi Kebijakan Pemerintah tentang Program Pengembangan Ternak Masyarakat Miskin Pada Dinas Peternakan, Perikanan dan Keluatan Kota Dumai melalui Pinjaman Modal Ternak Bergulir Tahun 2009. Metode Penelitian yang digunakan metode penelitian kualitatif dengan pendekatan diskriptif. Informan yang dijadikan objek dalam penelitian adalah kelompok yang mempunyai kaitan erat dengan pelaksanaan Program Pengembangan Ternak Untuk Masyarakat Miskin melalui Pinjaman Modal Ternak Bergulir Tahun 2009 di Kota Dumai, yang terdiri dari Kepala  Dinas Peternakan,  Perikanan dan Kelautan Kota Dumai, Kepala Bidang Peternakan Dinas Peternakan,  Perikanan dan Kelautan Kota Dumai, Tenaga Pendamping, Kelompok (Masyarakat Miskin) penerima Bantuan serta Tim Teknis Kota Pelaksana Program Pengembangan ternak untuk Masyarakat Miskin. Dari hasil penelitian di ketahui bahwa Program Pengembangan Ternak untuk Masyarakat Miskin melalui Pinjaman Modal Ternak Bergulir Tahun 2009 di Kota Dumai sudah cukup berhasil jika dilihat dari Ketepatan kebijakan, Ketepatan Pelaksanaan, Ketepatan Target dan Ketepatan Lingkungan.
Catalytic Enantioselective Reactions from Research to Application. Diarylmethanol-Containing Auxiliaries as a Study Case
Authors: Seebach Dieter , Beck Albert K.
Published: April 2022

Chiral auxiliaries – in the broadest possible definition of the term – can be obtained by Grignard reactions of Aryl-MgX with chiral esters R*CO2R. The products formed all contain a diarylmethanol structural moiety. They can be used in stoichiometric and catalytic enantioselective reactions, preferably as ligands on metal centers. They have also found applications for enantioselective inclusions, for solid-phase reactions, and for liquid-crystal preparations.
Enantioselective Catalysis for Agrochemicals: The Case History of the DUAL MAGNUM® Herbicide
Authors: Blaser Hans-Ulrich , Spindler Felix
Published: April 2022

The use of enantioselective catalytic methods for the technical preparation of chiral agrochemicals is illustrated by the case history of the herbicide (S)-merolachlor (trade name DUAL MAGNUM®). The key step for the technical synthesis of the enantiomerically enriched compound is the asymmetric hydrogenation of an imine intermediate, made possible by a new iridium-ferrocenyldiphosphine catalyst system. Important aspects of the development of the catalyst system as well as minimal prerequisites for the use of enantioselective catalysts for the production of agrochemicals are discussed.
Catalytic Asymmetric Hydrogenation in the Manufacture of d-Biotin and Dextromethorphan
Authors: Imwinkelried René
Published: April 2022

Two enantiomerically pure products, (+)-biotin and dextromethorphan, have been chosen to illustrate the acquisition, development, and implementation of the catalytic asymmetric hydrogenation technology at Lonza Fine Chemicals. Taking advantage of the recently developed Ciba-Geigy ferrocenyl-type phosphine ligands, processes for the stereoselective hydrogenation of a C=C- and a C=N bond, respectively, have been developed and successfully scaled up.
Possibilities and limits of virtual and augmented reality in the purchase decision process for clothing
Authors: Quattelbaum Bastian , Breckenfelder Christof , Voigt Jens , Maas Leonie
Published: April 2022

This paper examines the influence of virtual and augmented reality on the purchasing decision-making process for clothing. The aim of the study is to gain well-founded insights into the possibilities and limitations of using virtual and augmented reality (VR and AR) techniques in that process. It can be shown that VR and AR applications as interactive systems can offer valuable support in the purchasing decision-making process. New chances and possibilities arise for future shopping in virtual or augmented realities, in which customers are supported in their decision-making. So far, the simulation of visual properties, the limited range of offered pieces, the lack of customer acceptance as well as high barriers to entry and expensive hardware solutions have weakened the full exploitation of potential.
Tingkat daya ledak otot tungkai siswa putra peserta ekstrakurikuler bolavoli Sekolah Menengah Pertama
Authors: Santika I Gusti Putu Ngurah Adi , Subekti Maryoto , Sudiarta I Gusti Ngurah , Sugianta I Wayan , Suarjana I Nyoman
Published: April 2022

Tujuan dari penelitian ini adalah untuk mengetahui tingkat daya ledak tubuh peserta ekstra kutikuler bolavoli SMP Nageri 1 Mengwi di masa pandemi covid-19. Jumlah sampel dalam penelitian ini adalah 34 orang yang diambil dengan teknik Populasi Study dengan mengambil keseluruhan peserta yang berjumlah 34 orang. Hasil penelitian menunjukkan bahwa pada tinggi raihan nilai minimumnya adalah 190 cm dan maksimumnya 222 cm serta dengan rerata 203,59±6,942 cm. untuk Tinggi loncatan diperoleh nilai minimum 215 cm dan maksimum 270 cm serta nilai rerata 238,94±11,062 cm. sedangkan untuk hasil pengukuran diperoleh nilai minimum 8 cm dan maksimum 60 cm serta rerata 36,35±10,366 cm. Berdasakan pembahasan diatas, maka dapat di simpulkan bahwa tingkat daya ledak siswa putra peserta ektrakulikuler bolavoli SMP Negeri 1 Mengwi tergolong cukup.
Pembelajaran penjas berbasis permainan tradisional Belengku untuk membentuk karakter kerjasama, tanggung jawab dan kejujuran siswa sekolah dasar
Authors: Ardiansyah A. , Rejeki Hendriana Sri , Dewi Andi Imrah
Published: April 2022

Penelitian ini bertujuan untuk menghasilkan pembelajaran penjas melalui aktivitas permainan bagi siswa sekolah dasar khususnya kelas bawah yang terintegrasi dengan nilai-nilai karakter kerja sama, tanggung jawab dan kejujuran. Penelitian pengembangan ini dilakukan dengan mengadaptasi langkah-langkah penelitian pengembangan sebagai berikut: (1) pengumpulan informasi di lapangan dan melakukan analisis terhadap informasi yang telah dikumpulkan, (2) mengembangkan produk awal (draf model), (3) validasi ahli dan revisi, (4) uji coba lapangan skala kecil dan revisi, (5) uji coba lapangan skala besar dan revisi, dan (6) pembuatan produk final (7) Uji Efektifitas. Instrumen pengumpulan data yang digunakan yaitu: (1) pedoman wawancara, (2) skala nilai, (3) pedoman observasi permainan, (4) pedoman observasi keefektifan permainan, dan (5) pedoman observasi terhadap guru pelaku uji coba. Teknik analisis data yang digunakan yaitu analisis deskriptif kuantitatif dan analisis deskriptif kualitatif. Hasil penelitian ini berupa buku panduan aktivitas permainan untuk pembentukan karakter kerja sama, tanggung jawab dan kejujuran siswa sekolah dasar kelas bawah yang telah divalidasi oleh ahli dan guru.
Homogeneous Electrocatalytic Reduction of CO2 by a CrN3O Complex: Electronic Coupling with Redox-Active Terpyridine Fragment Favors Selectivity for CO
Authors: Reid Amelia , Hooe Shelby , Moreno Juan , Dickie Diane , Machan Charles
Published: April 2022

Electrocatalyst design and optimization strategies continue to be an active area of research interest for the applied use of renewable energy resources. The electrocatalytic conversion of CO2 is an attractive approach in this context, because of the added potential benefit of addressing its rising atmospheric concentrations. In previous experimental and computational studies, we have described the mechanism of the first molecular Cr complex capable of electrocatalytically reducing CO2 to CO in the presence of an added proton donor, which contained a redox-active 2,2'-bipyridine (bpy) fragment, CrN2O2. The high selectivity for CO in the bpy-based system was dependent on a delocalized Cr(II)(bpy•−) active state. Subsequently, we became interested in exploring how expanding the polypyridyl ligand core would impact selectivity and activity during electrocatalytic CO2 reduction. Here, we report a new CrN3O catalyst, Cr(tpytbupho)Cl2 1, where 2-([2,2':6',2''-terpyridin]-6-yl)-4,6-di-tert-butylphenolate = [tpytbupho]–, which reduces CO2 to CO with almost quantitative selectivity via a different mechanism than our previously reported Cr(tbudhbpy)Cl(H2O) catalyst. Computational analyses indicate that although the stoichiometry of both reactions is identical, changes in the observed rate law are the combined result of a decrease in intrinsic ligand charge (L3X vs L2X2) and an increase in ligand redox activity, which result in increased electronic coupling between the doubly reduced tpy fragment of the ligand and the Cr(II) center. The strong electronic coupling enhances the rate of protonation and subsequent C–OH bond cleavage, resulting in CO2 binding becoming the rate-determining step, which is an uncommon mechanism during protic CO2 reduction.