bluuebunny/crossref_metadata_2025 huggingface dataset:
Exploring scraping therapy
Authors: Chu Eric Chun Pu , Wong Arnold Yu Lok , Sim Patrick , Krüger Friso
Published: August 2021

Gua sha is a traditional healing technique that aims to create petechiae on the skin for a believed therapeutic benefit. Natural healings are mostly based on repeated observations and anecdotal information. Hypothetical model for healing does not always fit the modern understanding. Yet, the mechanisms underlying Gua Sha have not been empirically established. Contemporary scientific research can now explain some events of traditional therapies that were once a mystery. It is assumed that Gua Sha therapy can serve as a mechanical signal to enhance the immune surveillance function of the skin during the natural resolving of the petechiae, through which scraping may result in therapeutic benefits. The current review, without judging the past hypothetical model, attempts to interpret the experience of the ancient healings in terms of contemporary views and concepts.
Evaluation of knowledge about osteoporosis risk factors among adults above 40 years of age in Hafar Al-Batin Region, Saudi Arabia
Authors: Alrashidy Reem I.
Published: August 2021

Background:

Osteoporosis is a growing public health issue that is prevalent among the Saudi Arabian population. Several risk factors for the disease have been identified and could be modified using preventive strategies, including increasing awareness about the disease in susceptible individuals.

Methods:

A cross-sectional study was conducted using interview-based questionnaires to evaluate knowledge of osteoporosis risk factors in a sample of 513 Saudi participants attending primary health care centers (PHCCs) in the Hafar Al-Batin region, Saudi Arabia. The analysis was conducted using the Statistical Package of Social Sciences (SPSS) Version 21.

Findings:

A total of 513 participants were surveyed (78.8% female and 21.2% male). The study population had an overall good knowledge about osteoporosis risk factors. The analysis detected significant associations between the level of knowledge and the following parameters: sex, marital status, employment status, and education level (P < 0.05).

Conclusions:

The majority of the study cohort had good knowledge of osteoporosis risk factors. The male participants had significantly more knowledge compared to females. Married people had better knowledge scores compared to unmarried ones. Employed and educated participants had significantly better knowledge compared to unemployed and those with an education level less than college. The involvement of primary health care utilizers by physicians and health authorities is highly recommended to increase awareness of osteoporosis.
Teenage pregnancies, practices, and utilization of RCH services by the tribal and nontribal population of West and South Tripura districts
Authors: Bhattacharjya Himadri , Paul Dhruba Prasad , Rakshit Ashis Kumar
Published: August 2021

Background:

As per NFHS III, 4.5% of the teen aged women of Tripura were pregnant, 18.5% have begun childbearing, and 14% have given live births.

Objectives:

To estimate the prevalence of teenage pregnancies among tribal and nontribal population of West and South districts of Tripura, to study the social practice of care during these pregnancies, and to assess the utilization of RCH services by them.

Methods:

A community-based mixed method study was conducted from 5th September 2014 to 4th September 2015 among 2108 tribal and nontribal women aged 15 to ≤18 years residing in the undivided West and South districts of Tripura chosen by multistage sampling.

Result:

Among the study women, 93.5% were married, 6.3% were unmarried, and 0.2% was either divorced or widowed. Out of total, 21.35% were pregnant and 57.92% had already delivered. ASHA services were received by 59.73% and 72.13% in West and South districts and by 68.09% and 63.69% of the tribal and nontribal, respectively. JSY registration was 53.99% and 83.43% in West and South districts and 71.56% and 66.91% among tribal and nontribal, respectively. Antenatal check-up was received by 96.26% and 90.79% in West and South districts and 89.39% and 97.66% among tribal and nontribal ever pregnant women, respectively. Home deliveries were higher among tribal and they had inadequate postnatal check-up. Practice of isolated confinement following childbirth was fewer and these rooms were unclean and ill-ventilated though normal clothing was used. Qualitative component revealed that underutilization of RCH services was mainly due to poor quality of services, ignorance, and economic constraints to reach health facility.

Conclusion:

Teenage pregnancy is prevalent in Tripura and more among tribal. Ignorance of the women and poor quality of RCH services at primary health care level are responsible for its underutilization.
Vertical transmission of HIV, Where do we stand ? Study done in PPTCT center – in a tertiary level of hospital of Western Rajasthan
Authors: Verma Usha , Asopa Vishakha , Gupta Eshank , Gupta Ekta , Lal Parmeshwar , Prakash Prabhu
Published: August 2021

Background:

Human immunodeficiency virus (HIV) infection in pregnant women has an important role in its spread to the pediatric population through vertical transmission. Effective utilization of Prevention of Parent to Child Transmission (PPTCT) services can reduce this spread. This study aims to determine the vertical transmission of HIV, the seroprevalence of HIV in antenatal women, demographic factors of seropositive women, and utilization of PPTCT services to minimize the risk of mother-to-child transmission.

Methods:

This study was conducted to assess vertical transmission of HIV in the newborn of HIV pregnant women attending antenatal clinic (ANC) of a tertiary care hospital from August 2014 to December 2020. Pretest counseling, HIV testing, and posttest counseling were done as per National AIDS Control Organization (NACO) guidelines. Antiretroviral prophylaxis was given to seropositive women and their children. Analysis of demographic data of seropositive women and assessment of the utilization of PPTCT services were done according to available records.

Results:

In the study time, 139,619 new antenatal registrations were there, 68.21% of women attended pretest counseling and of them, 95.28% gave consent for HIV testing. Out of which, 0.14% were reported as HIV seropositive in PPTCT (tested according to NACO guidelines). In the study time, a total of 188 HIV-positive deliveries were conducted in our institute. Out of which, 144 (76.6%) were ANC-booked patients and 44 (23.4%) were unbooked patients and directly came in labor, deliveries were conducted according to NACO guidelines and all newborns were given nevirapine syrup. All newborns were followed up until 18 months and in study time, 78 dry blood samples (DBSs) were sent for DNA polymerase chain reaction (PCR) detection and all were reported negative by the reference laboratory at AIIMS, New Delhi.

Conclusions:

Adherence to testing, treatment, and follow-up in the antenatal and postnatal period can minimize the risk of HIV transmission from mother to child.
Noise levels encountered in university dental clinics during different specialty treatments
Authors: Baseer Mohammad Abdul , Al Saffan Abdulrahman , AlMasoud Shahad Mousa , Dahy Wed Talal , Aldali Hadeel Waleed , Walid Bachat Alaa M , Walid Bachat Rama M , AlMugeiren Osamah Mohammed
Published: August 2021

Background:

Noise levels encountered during the dental treatments in different departments have deleterious effects on the ears of dental healthcare providers and there is scarcity of data in the literature in Saudi Arabia. Hence, the aim of the study was to determine the noise levels resulting from the usage of different specialty instruments and equipment.

Material and Methods:

A cross-sectional study was conducted to measure the level of noise produced by different specialty instruments and equipment within the dental clinics of the College of Dentistry, Riyadh Elm University (REU), Riyadh. The noise produced during the restorative treatments, endodontics and prosthodontics was recorded objectively using a decibel (dB) meter placed at a distance of 30 cm from the operator's ear. Mean noise levels were calculated and compared among the various specialty treatments using Analysis of Variance (ANOVA). Furthermore, Tukey's test was applied to perform a pairwise comparison between the groups.

Results:

An overall noise of 73.83 ± 4.39 dB was found to be generated within the dental clinical setting. A highest sound level of 79.44 ± 2.10 dB was observed during restorative treatment followed by 74.14 ± 3.08, 73.22 ± 1.93, 71.39 ± 3.37 and 70.97 ± 4.70 dB for endodontic, periodontal, and prosthodontic treatments, respectively. A statistically significant difference was observed in the noise levels produced from the different specialty treatments (P = 0.000).

Conclusion:

The greatest noise level was recorded with the use of the amalgamator in restorative dental treatment. It was inferred that the noise emanating from all the specialty dental treatments was below the hazardous levels. Long-term exposure may, however, have adverse effects on auditory as well as general health.
Fine-Needle Aspiration Diagnosis of Lymphoma Based on Cytomorphology Alone
Authors: Garg Sumit , Rohilla Manish , Srinivasan Radhika , Bal Amanjit , Das Ashim , Dey Pranab , Gupta Nalini , Gupta Parikshaa , Rajwanshi Arvind
Published: August 2021

Context:

Fine-needle aspiration cytology (FNAC) is a rapid and accurate first-line diagnostic modality in lymphadenopathy.

Aims:

To determine the utility of FNAC for the diagnosis of lymphoma and highlight the various pitfalls in morphological interpretation.

Settings and Design:

This was a retrospective study of 3 years duration in which cytology diagnosis was compared with the follow-up histopathology diagnosis wherever available.

Results:

A cytodiagnosis of lymphoma was made in a total of 868 cases (2.8%) out of nearly 33,000 FNAC performed during the study period; 556 (64.1%) cases were diagnosed as non-Hodgkin lymphoma (NHL), 198 (22.8%) as Hodgkin lymphoma (HL), and in 114 (13.1%) cases, a cytological diagnosis of lymphoma without further categorization was given. Histopathological reports were available in 348 cases, with an overall concordance rate of 93.1% (324), which was slightly higher in the HL cases (95.8%) as compared to NHL (91.7%). Twenty-four cases (6.9%) showed discordant cytological diagnosis with subsequent histopathology. The main reasons for the erroneous diagnosis were the over-interpretation of the germinal center cells as atypical lymphoid cells, over-interpretation of immunoblasts with prominent nucleoli as Hodgkin cells, and sheets of monomorphic lymphoid cells interpreted as low-grade lymphoma.

Conclusion:

Cytomorphology alone can make a correct basic diagnosis of lymphoma with a high degree of accuracy. The errors in interpretation can be further reduced by careful attention to the diagnostic pitfalls and common differential diagnoses.
Метод $\bar\partial$-одевания для некоторых ($2+1$)-мерных интегрируемых спаренных систем
Authors: Wang Haifeng , Zhang Yufeng
Published: August 2021

Из двух линейных вспомогательных задач получены некоторые ($2+1$)-мерные интегрируемые спаренные системы, в том числе для ($2+1$)-мерного обобщения системы уравнений длинных волн с дисперсией, ($2+1$)-мерных обобщений уравнения Бюргерса и системы Дэви-Стюартсона. Для исследования данных интегрируемых систем применен метод $\bar\partial$-одевания и путем решения соответствующей $\bar\partial$-задачи получены некоторые точные решения. Представленные методы и приемы могут послужить стимулом для исследования аналогичных задач и соответствующих интегрируемых спаренных систем.
Old wine in a new bottle? Assessing the injunction remedy for intellectual property disputes in China
Authors: Wu Peicheng , Weng Charlie Xiao-chuan
Published: August 2021

The landmark eBay case in the US has noticeably influenced Chinese judicial practices concerning intellectual property injunctions. The injunctive relief in intellectual property infringement cases in China has witnessed a change from a traditional automatic-granting approach to a more equitable approach. However, there are still some issues, namely: the standards of awarding injunctive relief in intellectual property cases are unclear; the civil law tradition and procedure can create issues when applying for injunctions; and the scope of the injunction could be disproportionate in certain cases. In order to address these concerns, China needs to publish judicial interpretations to clarify that the eBay test can be applied to both preliminary injunctions and permanent injunctions. China should further polish up its civil procedure legislation to enable a permanent injunction to be effective immediately, even at the first instance, and to allow the parties to an intellectual property contract to have agreements on conditions of applying for injunctive relief. Additionally, Chinese courts should adopt a proportionate method in determining cases regarding intellectual property injunctions.
Punitive damages in trademark infringement disputes in China: challenges and prospects
Authors: Zhang Yanan
Published: August 2021

Punitive damages were introduced into the intellectual property field in China by legislation permitting their imposition for malicious and serious infringements. This paper offers a comprehensive legal framework of punitive damages regarding trademark infringement and a critical analysis of the application of punitive damages in trademark infringement disputes in Chinese judicial practice. My research reveals that punitive damages have rarely been imposed since the punitive damages provision, Article 63 of the Trademark Law, took effect in 2014, whereas statutory damages have been applied extensively. The reason for this is that there are few guidelines for the application of this provision. The challenges to the application include undefined statutory requirements, difficulties in not only assessing compensation but also providing evidence and determining the multiple of compensation, and an unclear relationship between statutory damages and punitive damages. The 2019 Amendment of the Trademark Law retains these problems. Fortunately, the recently released Judicial Interpretation and typical cases concerning punitive damages contribute to resolving them. Moreover, those cases in which punitive damages have been applied have gradually revealed some basic principles for their application. Reform suggestions are offered in order to stimulate the development of a more thorough and uniform application of the punitive damages provision.
Effect of Innovation, Knowledge Sharing and Trust Culture on Hotels' SMEs Growth in Eswatini
Authors: Tefera Orthodox , Dlamini Wilson
Published: August 2021

Innovation, knowledge sharing and trust culture contribute significantly to hotel small and medium enterprises (SMEs) in the leisure and hospitality industry. However, most SMEs are family-owned, and staff cannot explore and contribute to business growth. This article describes the effect of innovation, knowledge sharing, shared value and trust culture on hotel SMEs growth in Eswatini (former Swaziland). The study used a mixed explanatory method where data collection and quantitative analysis occurred first, and followed by qualitative research. Overall the results revealed that innovation shared based, knowledge sharing, and trust culture have an impact on small and medium hotels growth in Eswatini. The in-depth follow-up interview provided reasons for these effects. The study's empirical findings also suggest that the innovations, knowledge sharing and trust culture contribute to the growth of the hotel small and medium sector in Eswatini. The implications of the findings in this study for the growth of this sector are that the sector should develop policies and strategies that would enhance growth in the business. The limitation of the study was that it only focused only on purposefully selected small and medium entrepreneur’s hotel establishments in Eswatini. The study contributes to empirical studies on the hotel and tourism SMEs sector in developing countries.
Pautas de un programa de mantenimiento y su importancia en el proceso agroindustria
Authors: Vera-Zambrano Roger Andrés , Torres-Rodríguez Roberto
Published: August 2021

La problemática en la agroindustria refiere al tope de la vida útil de sus maquinarias y equipos, que habiendo concluido su ciclo continúan en el proceso de producción, recibiendo únicamente tareas de corrección de fallas, en base a lo cual, el estudio es una revisión documental sobre la importancia del mantenimiento en las empresas agroindustriales. Se utilizó como metodología la revisión de 54 fuentes de información tales como artículos, libros y tesis doctorales con unos 60% de actualidad, de bases de datos indexadas para argumentar y fundamentar la importancia del mantenimiento industrial, el método deductivo que permitió poder organizar la información y consecuentemente concluir sobre la revisión efectuada. Como resultados se obtuvo el sustento de la importancia del mantenimiento industrial normado en la normativa ecuatoriana del Reglamento de seguridad y salud de los trabajadores y mejoramiento del medio ambiente de trabajo, capítulo IV, artículos 91 y 92; la importancia que tiene el mantenimiento considerando variables de organización, programación, control, fallos, capacitación, costos, productividad, seguridad e higiene industrial y contaminación ambiental en una media del 87,5%. Se llegó a conclusiones particulares como lo vital que constituye el mantenimiento en los procesos de producción de la industria y la agroindustria, la cual, siendo una herramienta sustancial, debe aplicarse a todo tipo de activos fijos, es imprescindible dentro de la planta de producción de productos industriales y de bienes en general.

Palabras clave: agroindustria, mantenimiento, maquinaria, proceso, programación.
Entornos de movilidad peatonal en las centralidades urbanas de la ciudad de Calceta
Authors: Montes-Ferrín José Gregorio , Vinueza-Mendoza Glenn Walter
Published: August 2021

El presente trabajo investigativo analiza los entornos de la movilidad peatonal desarrollada en las centralidades urbanas en la ciudad de Calceta, con la finalidad de proporcionar una herramienta de información a las diversas entidades públicas para la toma de decisiones en la planificación urbana de la ciudad. La metodología utilizada en esta investigación fueron la observación in-situ para dar cumplimiento a los objetivos propuestos y entrevistas para dar mayor soporte a la investigación. Los resultados demuestran que las centralidades urbanas de la ciudad de Calceta brindan condiciones deficientes en cuanto, a la accesibilidad, seguridad y confort para la movilidad del peatón, lo cual imposibilita el desarrollo de la ciudad y genera baja calidad de vida para los habitantes.

Palabras clave: Peatón, movilidad urbana, planificación urbana.
From Reflection to Self-Assessment: Methods of Developing Critical Thinking in Students
Authors: Dienichieva Olha I. , Komogorova Maryna I. , Lukianchuk Svitlana F. , Teletska Liudmyla I. , Yankovska Inna M.
Published: August 2021

The main task of a higher education institution is to prepare a student for professional duties in a rapidly changing world. To effectively perform this task, it is necessary to give students not only knowledge but also to develop the necessary skills and abilities, in particular to develop critical thinking. The purpose of this work was to develop a methodology for the development of critical thinking of students, as well as to investigate its effectiveness. The study used the method of synthesis, which developed a method of developing critical thinking of students. To diagnose the effectiveness of the proposed method used the test "Critical Thinking" L. Starkey adapted by O. Lutsenko. In the study the peculiarities of the development of such critical thinking skills as reflective thinking, self-analysis, awareness of one’s own achievements and shortcomings, choice of problem-solving strategy, use of cognitive models of learning (Socratic dialogue, Paul & Elder taxonomy) are revealed. It was found that the development of critical thinking was achieved through a comprehensive combination of self-assessment and reflection, performing exercises to develop the ability to clearly articulate the problem, find, analyse and interpret relevant information, draw the right conclusions and explanations.The results of this study can be useful to researchers and university professors who are looking for effective methods of developing critical thinking in students.
Exploring Value Variations in Instructor Presence Techniques for Online Students
Authors: Robertson Sarah , Steele John , Mandernach B. Jean
Published: August 2021

This study sought to define and measure online undergraduate students' perceived value of instructor presence techniques across five communication mediums per pedagogical goal (connection to course content, connection to classmates, connection to the instructor, foster interest, and facilitate immediate feedback). Students found personalized written messages from an instructor (M=4.61) as most valuable due to their ability to provide immediate feedback. Interactive phone calls (M=3.24) were the least valuable in the area of familiarity. Results indicate all instructor presence techniques had value, but some were more valuable than others.
Collaborative Autoethnography: Best Practices for Developing Group Projects
Authors: Robertson Hornsby Elizabeth , Davis Allyson , Reilly James
Published: August 2021

Collaborative Autoethnography (CAE) is an emerging practice that combines group interaction with qualitative research. Group projects are often deployed in course design to maximize the value of collaborative learning environments. Using existing scholarship, we describe best practices for group projects that apply principles of CAE. To advance the premise of the paper beyond descriptive summaries of pedagogical inquiry, we utilize a best practices mechanism to present a coherent guide for project collaborators to use in various classroom settings. The best practices proposed are research validated by existing CAE and project management literature.
Description and Evaluation of an Interactive Jeopardy Game Designed to Foster Self-Assessment
Authors: Bender Denise , Randall K.E.
Published: August 2021

Basic clinical skill courses require students to progress from early information acquisition toward the ability to synthesize and modify the information for various clinical scenarios. In our program, graduate physical and occupational therapy students obtain practice with this clinical reasoning process during a classroom version of the Jeopardy! game. This interactive game show format offers a low-risk environment that encourages student participation. The students divide into two interdisciplinary teams, and each team elects four persons to formally answer the questions. These spokespersons take turns selecting a category of questions. Since all students are assigned to a team, even those not actively answering questions are still involved in the problem solving process. Category topics include areas such as physiologic changes, exercise prescription, abuse, discharge planning, community services, patient education, safety, and caregiver preparation. Each team selects a topic area and chooses a monetary value for the question. The instructor reads a clinical scenario and students work together to quickly provide an answer. The complexity of each scenario increases as the dollar value increases. If a student team answers incorrectly, incompletely, or exceeds thirty seconds to answer, the other team may answer the question. The team interaction creates opportunities to provide feedback to peers on the accuracy, appropriateness, and timeliness of their clinical recommendations. The level of friendly competition, combined with the rapid pace of the game, encourages students to learn from each other as they practice the clinical decision-making process.
"Finis Origine Pendet” – Enhancing Later Learning and Professional Socialization Through an Introductory DPT Course
Authors: Meyer Kyle , Hageman Patricia , Fuchs Robert , Tyler Amy , Karst Gregory
Published: August 2021

Background and Purpose: In developing a new Doctor of Physical Therapy (DPT) curriculum, the faculty at a mid-west academic health sciences center decided to introduce course content historically placed near the end of the program’s Master of Physical Therapy curriculum at the beginning of the DPT curriculum. The new DPT curriculum was constructed to promote the value of three central themes; 1) evidence-based practice and 2) patient-centered care, both of which contribute to 3) sound clinical decision making. Faculty theorized that by explicitly expressing these themes in a first semester, introductory course, students would acquire a much needed framework for categorizing and integrating future knowledge, and would begin the professional socialization process earlier in the curriculum. The purpose of this report is to describe the new course and provide quantitative and qualitative data regarding the course outcomes.Methods: Quantitative data were gathered via a survey administered to 75 students, 37 who had completed all three years of the program and 38 who had completed the second year of the program. In addition, qualitative data were gathered from first year student essays summarizing the course and describing its influence on their perceptions of the field. Results: More than 80% of second and third year students agreed or strongly agreed that the course had met all of the primary objectives outlined by the faculty. Essays from first year students also supported many of the purposes envisioned in the development of the course. Conclusion: These outcomes suggest students can value and comprehend more advanced content early in allied health curricula and that the early introduction of such content may aid in organizing subsequent learning and professional socialization.
Competency-Based Early Clinical Education Experiences for Physical Therapy Students.
Authors: Sherer Carolyn , Morris David , Graham Cecilia , White Laura
Published: August 2021

Purpose: This paper describes the development, implementation, and outcomes of two courses for entry-level, master’s degree earning physical therapist students. The courses were designed to address perceived barriers to early clinical education experiences, and to proactively provide appropriate structure for the imminent transition to a clinical doctoral degree curriculum. Methods: The courses were conducted one full-day/week during the first and third terms of the curriculum. A variety of clinical sites were utilized. Students passed competencies for skills appropriate for physical therapy aides prior to the onset of the clinical education course. During clinical assignments they performed those duties, and also completed specific learning activities designed to enhance coursework from the academic setting while minimizing demands on clinicians. Students completed worksheets designed specifically for each activity and attended synthesis seminars led by academicians at the university. Results: Assessments conducted through written course evaluations and focus groups with a subset of students, clinical instructors, and academic instructors indicated that overall the courses met our objectives. Benefits and challenges were identified. Discussion: Although early clinical education experiences are important for progressive development of students’ skills, these experiences pose challenges, particularly related to increased productivity demands on clinicians. Summary: Courses described in this article provided effective early clinical education experience while largely shifting responsibility for contextualization of learning from clinicians to academicians. As some allied health professions transition to doctoral level education, this model allows academic instructors to become more responsible for student learning in the clinical setting.
Law, Humanities and Equipoise in the Ethics Education of Physician Assistants
Authors: Paola frederick
Published: August 2021

The humanities have been defined as a group of academic subjects united by a commitment to studying aspects of the human condition and a qualitative approach that generally prevents a single paradigm from coming to define any discipline. In the medical humanities context, the most quickly growing area is the field of literature and medicine. The use of literature in bioethics education plays a number of well-recognized educational roles. Herein, we argue that the law is relatively overemphasized in bioethics education and that one heretofore ignored yet important role of the humanities is to serve as a counterbalance to the pernicious influence of legal hegemony in the field of bioethics. In the process, we consider the special circumstances surrounding the fields of philosophy and jurisprudence; we discuss the 1998 American Society for Bioethics and Humanities “Core Competencies” report; and we use examples (drawn from teaching materials employed at the University of South Florida College of Medicine and Nova Southeastern University’s Naples-based Physician Assistant Program) to contrast the laws narrowness with the richness and ambiguity of the humanities.
Bioterrorism: Cases When Public Health Agencies Should Have Sweeping Powers
Authors: Watkins Judith
Published: August 2021

The dispersal of anthrax spores in October 2001 showed Americans that they are vulnerable to bioterrorism. The ineffective response to bioterrorism demonstrates that public health agencies do not have plans or training exercises in place to deal with this emerging threat. Although the CDC asked that the Model State Emergency Health Powers Act (MSEHPA or Model Act) be drafted to prepare the states for these emerging risks, critics like George Annas assert that the acts are “blatantly unconstitutional” (MSEHPA,2005,p.1). In this paper, I intend to explore the conflict between individual rights and sweeping powers of public health agencies as described by the Model State Emergency Health Powers Act.
Physical Therapy Students’ Application of a Clinical Decision-Making Model
Authors: Wessel Jeannie , Williams Renee , Cole Beverley
Published: August 2021

Purpose: Most educational programs in the health sciences present their students with a clinical decision-making model (CDMM) to help them define and treat client problems with a client-centered approach. However, little is known about how well students apply such a model in a clinical setting. The purpose of this study was to determine whether physical therapy students used a CDMM to make clinical decisions, and how well they used it. Method: Fifty-four physical therapy students in their first full-time clinical placement were asked to write up one of their client cases explaining how they made their clinical decisions and evaluating the success of these decisions. Three faculty members used a standardized form to assess each student’s use of various components of the CDMM. Results: Students were generally better at following the CDMM for obtaining information (history and assessment) and determining a diagnosis, than they were for planning goals and methods of treatment. Most students emphasized impairment rather than activity or participation, and did not consider the client’s specific concerns. Although few students defined measurable outcomes for their clients, they still felt that their decisions were well founded and that the clients got better. Conclusions: Physical therapy students in their first major clinical placement believe that they are using the CDMM “automatically” and are making appropriate clinical decisions for their clients. However, students need assistance to effectively use all the steps in the CDMM to design client-centered, outcome-oriented treatment.
An Alternative Model for First Level Clinical Education Experiences in Physical Therapy
Authors: Stern Debra , Rone-Adams Shari
Published: August 2021

Purpose: As the first of two papers addressing challenges in applying best evidence to physiotherapy practice, this paper highlights the role of qualitative research and challenges researchers face in producing sound evidence for practice.Summary of Key Points: The challenge of what constitutes acceptable evidence to inform evidence-based practice is addressed in this paper with critique of the current over-reliance on quantitative methodologies that excludes a substantial body of valuable qualitative evidence to support sound practice. The current trend of relying on questionnaires to obtain psychosocial data is challenged on the basis of limitations of research design. Challenges to researchers from the quantitative and qualitative worlds to break down the political barriers separating these two groups are put forward. Lastly, we consider challenges that clinicians face in maintaining best practice based on when evidence is still largely not available or is compromised by limitations to research design with respect to population homogeneity, diagnostic inclusion criteria, intervention details, outcome measures and critical appraisal tools. Conclusion: Quantitative research alone is insufficient to understand patients’ pain and disability experiences. Researchers are challenged to improve their reporting of research with greater detail provided regarding populations, therapeutic environment and interventions used if clinicians are to be able to apply research findings in practice
Challenges in Applying Best Evidence to Physiotherapy
Authors: Jones Mark , Grimmer Karen , Edwards Ian , Higgs Joy , Trede Franziska
Published: August 2021

Purpose: As the first of two papers addressing challenges in applying best evidence to physiotherapy practice, this paper highlights the role of qualitative research and challenges researchers face in producing sound evidence for practice.Summary of Key Points: The challenge of what constitutes acceptable evidence to inform evidence-based practice is addressed in this paper with critique of the current over-reliance on quantitative methodologies that excludes a substantial body of valuable qualitative evidence to support sound practice. The current trend of relying on questionnaires to obtain psychosocial data is challenged on the basis of limitations of research design. Challenges to researchers from the quantitative and qualitative worlds to break down the political barriers separating these two groups are put forward. Lastly, we consider challenges that clinicians face in maintaining best practice based on when evidence is still largely not available or is compromised by limitations to research design with respect to population homogeneity, diagnostic inclusion criteria, intervention details, outcome measures and critical appraisal tools. Conclusion: Quantitative research alone is insufficient to understand patients’ pain and disability experiences. Researchers are challenged to improve their reporting of research with greater detail provided regarding populations, therapeutic environment and interventions used if clinicians are to be able to apply research findings in practice.
Understanding Clinical Culture: Organizational Communication in the Clinical Practicum
Authors: Welch S-A
Published: August 2021

In recent years, health practitioner educators and researchers have devoted an increasing amount of attention to the improvement of communication in the clinical setting. One aspect of communication--organizational communication--occupies relatively little space in practitioner education and research. Yet, contemporary clinical practice relies heavily upon organizational structures to facilitate the coordination of care. Understandably, overcrowded practitioner curricula may not accommodate the addition of explicit pedagogical material related to organizational communication. However, clinical instructors can help students understand and integrate into the organization of the clinical setting by introducing basic concepts of organizational communication. This can be through comments and questions during debriefing and discussions during and following the clinical experience. This article provides an overview of concepts central to organizational communication scholarship to guide students’ implicit learning about the organizational aspects of the clinic.
Recognizing Guillain-Barré Syndrome in the Primary Care Setting
Authors: Mantay Kristi , Armeau Elin , Parish Thomas
Published: August 2021

Purpose: Guillain-Barré Syndrome (GBS) is the most common cause of acute flaccid paralysis in adults and children in the United States. The purpose of this article is to educate Primary Care Practitioners (PCP) about GBS and the importance of its recognition in the acute care setting. Method: A review of literature examined epidemiology, pathophysiology, clinical features, and antecedent events related to primary care. Results: Studies show correlations between GBS and preceding viral-bacterial infections, and certain vaccines. However, a direct causation has not been proven. Antecedent events encountered in primary care include, but are not limited to, gastroenteritis, upper respiratory infection, cytomegalovirus, Epstein-Barr virus, and vaccinations against influenza, meningitis, and tetanus toxoid.Conclusion: PCPs should be able to recognize GBS and its triggers should a case present to their clinics. It is hoped that GBS mortality and sequela would be decreased if PCPs are more knowledgeable about this condition.
El tiempo histórico y el aprendizaje significativo. Propuesta de una línea del tiempo para la comprensión del Tiempo histórico
Authors: González Rodolfo Huerta , Ramírez María Guadalupe Mendoza
Published: August 2021

Diversas investigaciones han subrayado las dificultades para el aprendizaje de los conceptos históricos y, entre ellos, los relacionados a la cronología, las cuestiones de cambio y permanencia, y la duración de las diferentes etapas de desarrollo histórico y social, cuyas causas son debidas principalmente a cómo son presentados estos tópicos en los libros de texto, pero fundamentalmente en las prácticas docentes cotidianas, que impiden el desarrollo del pensamiento histórico y la comprensión del tiempo histórico.  

Se presenta una propuesta de una línea de tiempo trabajada con alumnos de la Licenciatura en Pedagogía en la Universidad Pedagógica Nacional (UPN), diseñada desde las ideas del aprendizaje significativo de Ausubel, no como actividad didáctica, sino como recurso de aprendizaje, donde los alumnos participan activamente en la construcción de la línea del tiempo calculando, midiendo, buscando información y colocando los hechos históricos y, además, y los resultados obtenidos en la comprensión del tiempo histórico.

 

Various investigations have highlighted the difficulties for learning historical concepts and, among them, those related to chronology, questions of change and permanence, and the duration of the different stages of historical and social development, the causes are mainly due to how are these topics in textbooks, but fundamentally in everyday teaching practices, which impede the development of historical thought and the understanding of historical time.

A proposal for a timeline worked with students of the Bachelor of Pedagogy at the National Pedagogical University (UPN) is presented, designed from the ideas of Ausubel's meaningful learning, not as a didactic activity, but as a learning resource, where students They actively participate in the construction of the timeline by calculating, measuring, searching for information and placing historical facts and, in addition, and the results obtained in understanding historical time.
El docente de bachillerato como sujeto-supuesto-a-saber de Lacan
Authors: Báez Adrián Flores , Torres Mara Yazmín Morales
Published: August 2021

El presente trabajo es un intento de ligar la idea de sujeto-supuesto-a-saber de Lacan con lo educativo, donde el goce del docente de bachillerato es producto de la fuerza invisible del discurso de lo político sobre su actuar. El estudio se realizó en un bachillerato rural de la comunidad del Ocotal en Puebla, México, compuesto por tres docentes a quienes se  entrevistaron de forma individual y posteriormente, después de ver 5 spots de la Reforma educativa se entrevistó de forma grupal. Los resultados mostraron que hay un choque entre los supuestos de los docentes (enfocados en la disciplina)  y los de la Reforma (enfocados a la actualización permanente y dar lo mejor de sí).

 

This paper is an attempt to link Lacan's idea of subject-supposed-to-know with education, where the enjoyment of the high school teacher is the product of the invisible force of the political discourse on his actions. The study was carried out in a rural high school in the community of Ocotal in Puebla, Mexico, made up of three teachers who were interviewed individually and later, after seeing 5 spots of the Educational Reform, they were interviewed as a group. The results showed that there is a clash between the assumptions of teachers (focused on the discipline) and those of the Reform (focused on permanent updating and giving their best).
La regulación emocional como herramienta efectiva para el mejoramiento pedagógico en la enseñanza de inglés
Authors: Ceballos Vivian Coromoto Rojas , Calixto Leslie Jetzabel Folleco , Vélez Wilson Alexander Zambrano
Published: August 2021

Este articulo está enmarcado en la necesidad de mejorar las prácticas educativas universitarias hacia la formación integral del alumno, permitiéndole integrar con éxito en el mundo laboral con las suficientes habilidades emocionales y sociales. Para ello, se buscó ayuda metodológica para los docentes de inglés de manera de enfrentar el alto nivel de ansiedad, inseguridad, frustración y temor de los estudiantes de la carrera pedagogía de lenguas nacionales y extranjeros modalidad online de la Universidad Estatal de Milagro. Se realizó un plan de acción basado en estrategias de análisis socioemocional; considerando que las universidades deben superar las barreras que separan la lógica del sentimiento, afectando la interrelación con los estudiantes y su aprendizaje, por lo que debe haber un auto reconocimiento crítico y consciente del porqué del accionar para la comprensión y acción mediante una dialógica multidimensional, generando espacios pedagógicos.

 

This article is framed in the need to improve university educational practices towards the integral formation of the student, allowing them to successfully integrate into the work world with sufficient emotional and social skills. For this, methodological help was sought for English teachers in order to face the high level of anxiety, insecurity, frustration and fear of the students of the online modality Pedagogy of national and foreign languages ty career of the State University of Milagro. An action plan based on socio-emotional analysis strategies was carried out; considering that universities must overcome the barriers that separate logic from feeling, affecting the interrelation with students and their learning, so there must be a critical and conscious self-recognition of the reason to act for understanding and action through a multidimensional dialogic, generating pedagogical spaces.
COVID19 Long Term Effects in Patients Treated with Chlorine Dioxide
Authors:   Centro Médico Jurica,Querétaro,México, Aparicio-Alonso Manuel
Published: August 2021

The coronavirus disease 2019 (COVID19) has generated widespread healthcare concerns and has overburdened healthcare institutions. As the number of COVID19 patients recovers, so does the frequency of reports of COVID19-like symptoms following discharge. A telephone survey with standardized questions was undertaken in which participants were asked if they had had any of 25 possible sequelae after being diagnosed with COVID19 and treated with a Chlorine Dioxide Solution (CDS). One hundred sixty-one people completed the survey. We discovered that rising age is a risk factor (OR = 1.035, p = 0.028, 95% CI = 1.004-1.069), and the odds of having any symptoms in moderate patients is 0.077 compared to mild patients (P = 0.003). It was predicted that 64.6 percent of patients treated with CDS for SARS-CoV-2 infection experienced an average of 3.41 long-term effects. There were no variations in the number of sequelae reported by sex, age, COVID19 severity, or therapy method. The five most prevalent manifestations of the 25 distinct long-term symptoms observed in this study were fatigue, hair loss, dyspnea, concentration problem, and sleep difficulties. In addition, individuals treated with multiple drugs (COVID19 conventional treatment plus a CDS) had 2.7 fewer cases of sequelae, and patients treated exclusively with CDS had 6.14 fewer incidences of long-term effects. People who get a CDS are 19% less likely to experience long-term health effects than patients who receive standard COVID19 therapy. According to the findings of this study, patients who receive a CDS have a reduced probability of developing sequelae. Furthermore, the incidence of long-term effects is lower in individuals treated exclusively with a CDS. The recent findings involving Chlorine Dioxide support the development of clinical studies to evaluate its efficacy in preventing the development of COVID19 long-term effects.
To What Extent are Consumers Harmed in the Digital Market from the Perspective of the GDPR?
Authors:   Researcher at University of Chinese Academy of Sciences Beijing, Younas Ammar
Published: August 2021

The European Union has recently enacted a new law, the General Data Protection Regulation (GDPR),1 which is designed to strengthen existing data protection legislation in the EU. The selection of Regulation itself as a legal instrument makes the GDPR stronger than Directive as it ensures a uniform and consistent implementation of rules thereby, consolidating the EU digital single market. The GDPR reforms existing data protection policy by imposing more stringent obligations on not only data controllers but also on data processors relating to obtaining a valid consent,2 ensuring transparency of automated decision making3 and security of data processing,4 and by providing new rights for data subjects. Data subjects are entitled to withdraw their consent,5 request their data to be transferred to another data controller6 or to be deleted.7 Also, the GDPR includes certain principles aimed at regulating its cross border transfers of the EU citizens’ personal data to ensure a high level of protection outside the EU.8 Taking into account the above mentioned policies along with others, some scholars describe the GDPR as ‘the most consequential regulatory development in information policy in generation’ that has teeth.9 However, the GDPR cannot be claimed as a legal instrument that effectively deals with all threats of the digital market to consumers. This paper argues that although the GDPR has considerably expanded the rights of consumers thereby, enabling them to regain control over their personal data to certain extent, the effectiveness of its principles is limited and cannot ensure full security of data processing. Firstly, it examines the effectiveness of consent principle of the GDPR in empowering consumers to control over their data and make a genuine choice. Secondly, it analyzes “data control-rights” of consumers. Finally, it comprehensively discusses extraterritorial application of the GDPR and regulation of international transfers of data.
GUIDANCE AND COUNSELING SERVICES IN THE NEW NORMAL ERA
Authors: Almafahir Ahmad
Published: August 2021

The government has issued regulations regarding efforts to prevent the spread of the Covid-19 pandemic in Indonesia. One of them is by imposing new normal behaviour or new normal. The education sector is one of the areas affected, including guidance and counseling services. This study aims to determine the effective services in counseling guidance in the new normal period. This research uses the type of library research or library research. The technique for collecting data is through the study of various reference sources related to the article's theme. The study results show that several madrasah counseling guidance services can be applied in the new normal period, including home visit services, direct meeting programs, cyber counseling and counseling cinema.