bluuebunny/crossref_metadata_2025 huggingface dataset:
MÍDIA-EDUCAÇÃO E A EDUCAÇÃO FÍSICA ESCOLAR: UMA REVISÃO NARRATIVA CRÍTICA DA PERSPECTIVA FANTINIANA
Authors: Lopes Marcos Antonio Campelo , Freire Elisabete dos Santos
Published: September 2023

Este artigo apresenta uma revisão narrativa que explora o tema da mídia-educação na educação física escolar. O objetivo é apresentar uma visão geral sobre o assunto, destacando a perspectiva da autora Mônica Fantin e discutindo os benefícios e desafios da incorporação da mídia-educação nesse contexto. A mídia-educação é uma abordagem educacional que compreende a mídia, em suas dimensões metodológica, crítica e produtiva, como recurso para e ensino e aprendizagem. Na educação física escolar, a mídia-educação pode desempenhar um papel importante na transformação das práticas pedagógicas, permitindo que os alunos explorem e aprendam de maneiras mais envolventes e significativas. A perspectiva de Mônica Fantin destaca a importância da abordagem crítica e reflexiva da mídia. Ela enfatiza a necessidade de os alunos desenvolverem habilidades de alfabetização midiática, questionando a veracidade das informações, analisando representações estereotipadas e refletindo sobre o impacto da mídia em suas vidas. Ao incorporar a mídia-educação na educação física, os alunos têm a oportunidade de utilizar recursos audiovisuais, aplicativos e mídias digitais para aprimorar suas habilidades motoras, monitorar seu progresso físico e refletir sobre questões relacionadas à cultura corporal, gênero e inclusão. No entanto, a implementação efetiva da mídia-educação na educação física enfrenta desafios. É necessário fornecer formação docente adequada para que os professores compreendam o papel das mídias e tecnologias, proporcionando diferentes perspectivas e utilização de maneira eficaz. Além disso, é importante garantir acesso equitativo à tecnologia e abordar questões éticas e de segurança relacionadas ao uso da mídia digital e social. Em resumo, a mídia-educação na educação física escolar traz benefícios significativos, como engajamento dos alunos, aprendizagem contextualizada, desenvolvimento de habilidades de alfabetização midiática, promoção da saúde e bem-estar, além de estimular a criatividade e a expressão. No entanto, a implementação efetiva requer superar desafios, como formação docente, acesso à tecnologia e considerações éticas. A mídia-educação na educação física tem o potencial de enriquecer a experiência de aprendizagem dos alunos, preparando-os para serem cidadãos críticos e responsáveis em um mundo mediado pela mídia.
CÂNCER RETAL DE TERÇO MÉDIO E BAIXO: UMA COMPARAÇÃO ENTRE O TRATAMENTO QUIMIORRADIOTERÁPICO E CIRURGIA E O MÉTODO “WATCH AND WAIT” EM UM HOSPITAL ESPECIALIZADO DO OESTE DO PARANÁ
Authors: Rosa Felipe Perinazzo da , Dondoni Paulo Henrique , Zanini Júlio César , Prado Letícia Weiler
Published: September 2023

O câncer retal envolve os tumores com extensão de até 15 cm distalmente da margem anal, sendo o adenocarcinoma o principal tipo histológico, a doença é um importante problema de saúde populacional, pois está entre as neoplasias mais frequentes em todo o mundo. O rastreamento através da colonoscopia é uma importante ferramenta para o diagnóstico precoce, em fase ainda curável da doença e o estadiamento TNM é fundamental para direcionar o tratamento. A radioquimioterapia neoadjuvante seguida da excisão total do mesorreto é considerado a terapia padrão para os tumores retais. Entretanto o método “watch and wait” se tornou uma alternativa viável para os pacientes que atingem resposta patológica completa após a neoadjuvância, e vem sendo amplamente disseminada na prática médica. O estudo apresenta-se como um estudo qualitativo e exploratório, no qual será realizada a avaliação de prontuários médicos de pacientes oncológicos com tumores retais submetidos a ambos os tratamentos em busca de comparar os benefícios de cada terapia. O objetivo é comparar o prognóstico de pacientes submetidos ao protocolo “watch and wat” e a cirurgia, além de analisar as taxas de recorrência, relacionando o estágio do câncer ao melhor método terapêutico mais efetivo.
A IMPORTÂNCIA DO EXERCÍCIO FÍSICO PARA PORTADORES DE HIV: UMA REVISÃO INTEGRATIVA
Authors: Santo Gabriel Carrijo do Espírito , Rocha Welerson Breno da , Luiz Raimundo Junio Santos , Lopes Eduardo Alves de Souza , Santos Tatiane da Silva , Lopes Marcos Antonio Campelo , Melo Cristina Carvalho de
Published: September 2023

Este artigo apresenta os principais resultados de uma revisão integrativa sobre a importância do exercício físico no portador de HIV. A pesquisa teve como objetivo analisar o impacto do exercício na qualidade de vida, força muscular, função imunológica e saúde mental de indivíduos com HIV. A revisão incluiu sete artigos publicados no período de 2010 a 2023, selecionados por meio de busca nas bases de dados PubMed, Scopus e Web of Science. Os resultados indicaram que o exercício físico regular tem efeitos significativos na melhoria da qualidade de vida dos portadores de HIV, abrangendo aspectos físicos, psicológicos e sociais. Além disso, o exercício mostrou-se benéfico para a força muscular, prevenindo a perda muscular associada à infecção pelo vírus. Houve evidências de que o exercício também pode melhorar a função imunológica, com aumento da contagem de células T CD4+ e redução da ativação imune. Além disso, o exercício físico foi associado à redução da depressão, ansiedade e estresse, contribuindo para a saúde mental dos portadores de HIV. Esses achados destacam a importância do exercício físico como uma estratégia complementar no cuidado de pessoas com HIV, proporcionando benefícios abrangentes para a saúde e o bem-estar. No entanto, são necessárias mais pesquisas para determinar as melhores estratégias de exercício e superar as barreiras à adesão.
Parameterization and tuning of the Bay of Biscay Atlantis model v1
Authors: Lopez de Gamiz-Zearra Ane , Hansen Cecilie , Corrales Xavier , Quincoces Iñaki , Preciado Izaskun , Andonegi Eider
Published: September 2023

Abstract. This paper describes the parameterization and calibration of an end-to-end Atlantis model for the Bay of Biscay, characterising spatially the structure and functioning of the ecosystem. The Bay of Biscay is considered rich in terms of ecological diversity and different oceanographic events such as coastal upwelling, coastal run-off and river plumes, and seasonal currents, take place in the area. These features, in addition to the different pressures caused by human activities and management criteria, demand for concurrent modelling of all the characteristics of the Bay of Biscay ecosystem in order to improve our understanding of the system and its functioning. The modelled area is 145 970 km2 and was divided into 36 spatial polygons, each with multiple vertical layers. The model was composed by 54 functional groups, ranging from primary producers to top predators. Our results highlighted the importance of lower trophic levels to the pelagic system and how the trophic interactions among phytoplankton and zooplankton groups impact the structure of the ecosystem. The results also demonstrate the importance of having accurate and precise data for biological processes and showed the need of further study in the age-specific data such as biomass and weight distribution per age and diet interactions between juvenile and adult fish stages. Overall, the Bay of Biscay Atlantis model has been shown to be a tool that has the potential to improve our understanding of the spatial functioning of the Bay of Biscay ecosystem that will help establishing management measures of human activities.
Brief communication: SWM: Stochastic Weather Model for precipitation-related hazard assessments
Authors: Whitehead Melody Gwyneth , Bebbington Mark Stephen
Published: September 2023

Abstract. Long-term hazard and risk assessments are produced by combining many hazard-model simulations, each using slightly different set of inputs to cover the uncertainty space. While most input parameters for these models are relatively well-constrained, atmospheric parameters remain problematic unless working on very short-time scales (hours to days). Precipitation is a key trigger for many natural hazards including floods, landslides, and lahars. This work presents a stochastic catchment-scale weather model that takes openly available ERA5-land data, and produces long-term, spatially varying precipitation data that mimics the statistical dimensions of real-data. This allows precipitation to be robustly included in hazard-model simulations.
Social, behavioural and environmental factors influencing foodborne illness among Saudi Arabian students during the COVID-19 pandemic
Authors:   , Banah Osama
Published: September 2023

This body of research sought to identify often overlooked social, cultural and behavioural contributions to the measured frequency of foodborne illness among university students studying Public health in Makkah City, Saudi Arabia. Data was collected from 215 students through two surveys and monthly reporting of foodborne episodes over one year. A higher frequency of reported episodes was associated with some socially and culturally -influenced food access, preparation, storage and preferences in exploratory regression models. The methods and findings of this research can assist future studies to guide health promotion practices aiming to reduce foodborne illness.
Ortaöğretim Din Kültürü ve Ahlak Bilgisi Öğretim Programında Diğer Dinlerin Öğretimi
Authors: Arıcı İsmail
Published: September 2023

Global changes have increased the sensitivity of introducing religions other than Islam to the new generation in the world and in our country. For this reason, other religions and beliefs are included in the curricula of Religious Culture and Moral Knowledge (RCMK) courses in our country. In the curriculum of Secondary Education Religious Culture and Moral Knowledge (METKAB) course, there are acquisitions related to other religions that are expected to be acquired by students. In the literature review, it is seen that there is limited research on the place of teaching other religions in the education system, especially in the curriculum of ODKAB course. The aim of this study is to determine how other religions are included in the current ODKAB curriculum in terms of the overall curriculum, objectives, unit contents and outcomes. In the study, it was concluded that the current OCCKAB curriculum includes the teaching of religions other than Islam, and that the teaching of other religions is approached impartially, with a religious perspective and objectively, but there are deficiencies in terms of subject matter and achievements. Key Words: Religious Culture and Moral Knowledge Course, Teaching Programme, Religion, Teaching, Religious Education.
Student Engagement and its Association with Peer Relation and Teacher-Student Relation: A Systematic Review
Authors: Hu Yue , Abu Tali Mansor Bin
Published: September 2023

In recent years, the topic of student engagement has received a lot of attention in educational research. The relationship between student engagement and peer relationship, as well as teacher-student relationship, has also been extensively researched. Positive peer relationship is associated with higher levels of engagement, as students who feel connected to their peers are more likely to participate in school activities and be driven to excel academically. Positive relationship with instructors has also been demonstrated to promote student engagement, as students who are supported by their teachers are more likely to participate in class, finish assignments, and be driven to learn. This study conducts an integrative assessment of the scientific literature on student engagement, focusing on its relationship to the teacher-student relationship and peer relationship. The databases PubMed, PsycINFO, and Scopus were used to search for articles on student engagement published in English and Chinese between 2019 and 2023. Following the application of the inclusion and exclusion criteria, a total of 16 studies were chosen. The vast majority of the studies were empirical and employed quantitative research methods. The findings show a link between student engagement and teacher-student relationship and peer relationship. Individual (e.g., motivation, self-efficacy) and environmental (e.g., teacher support, peer interactions) characteristics were found to influence student engagement. The review emphasizes the importance of encouraging student engagement in educational environments since it can improve academic achievements and create positive student well-being. Furthermore, it emphasizes teachers' vital role in developing supportive classroom settings that promote student involvement.
The Venous Thrombectomy Armamentarium: An Expanding World
Authors:   Division of Vascular Surgery, Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York, Storch Jason , George Justin M. ,   Division of Vascular Surgery, Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York, Hatzis Christopher ,   Division of Vascular Surgery, Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York, Lee Jonathan ,   Division of Vascular Surgery, Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York, Rao Ajit ,   Division of Vascular Surgery, Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York, Ting Windsor ,   Division of Vascular Surgery, Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York, Marin Michael L. ,   Division of Vascular Surgery, Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York, Faries Peter ,   Division of Vascular Surgery, Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York, Tadros Rami O. ,   Division of Vascular Surgery, Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York
Published: September 2023

Acute deep venous thrombosis (DVT) is a common and important public health problem. It affects more than 350,000 people in the United States annually and has a substantial economic impact. Without adequate treatment, there is significant risk of development of post-thrombotic syndrome (PTS) resulting in patient morbidity, worse quality of life, and costly long-term medical care. Over the past decade, the treatment algorithm for patients with acute DVT has significantly changed. Prior to 2008, the treatment recommendation for patients with acute DVT was limited to anticoagulation and conservative management. In 2008, national clinical practice guidelines were updated to include interventional strategies such as surgical- and catheter-based techniques for the treatment of acute DVT. Early strategies for debulking of extensive acute DVT primarily consisted of open surgical thrombectomy and administration of thrombolytics. In the intervening period, a plethora of advanced endovascular techniques and technologies have been developed which reduced the morbidity of operative intervention and risks of hemorrhage associated with thrombolysis. This review will focus on the novel technologies commercially available for management of acute DVT, denoting unique features inherent to each device. This expanded armamentarium gives vascular surgeons and proceduralists the opportunity to individualize their treatment approach to the specific patient’s anatomy, lesion, and history.
Clinical Evaluation of the Eurosets Trilly Oxygenator During Cardiopulmonary Bypass in a Pediatric Population
Authors:   IRCCS Istituto Giannina Gaslini, Genova, Italy, Tani Simona , Pesce Marco ,   IRCCS Istituto Giannina Gaslini, Genova, Italy, Squillaci Giuseppe ,   IRCCS Istituto Giannina Gaslini, Genova, Italy, Fontana Martina ,   IRCCS Istituto Giannina Gaslini, Genova, Italy, Dato Andrea ,   Intensive Care Department, IRCCS Istituto Giannina Gaslini, Genova, Italy, Mininni Maria ,   Intensive Care Department, IRCCS Istituto Giannina Gaslini, Genova, Italy, Condello Ignazio ,   Department of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy, Calevo Maria Grazia ,   Epidemiology and Biostatistics Unit, Scientific Direction, IRCCS Istituto Giannina Gaslini, Genova, Italy, Ribera Elena ,   Department of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy, Santoro Francesco ,   IRCCS Istituto Giannina Gaslini, Genova, Italy
Published: September 2023

The equipment selected for cardiopulmonary bypass (CPB) in pediatric cardiac surgery critically influences the safety, efficiency, efficacy and pathophysiological impact in perioperative use and the post-operative outcome. In this report, we present a single-center retrospective analysis of the clinical efficacy, efficiency and safety of the Trilly oxygenator (Eurosets Srl, Medolla, MO, Italy), which has an integrated arterial filter. It has a blood flow capacity of 500 to 3500ml/min, an AAMI index of 4.000ml / min, and a static fill prime (oxygenating module + heat exchanger) of 130 ml. We used this device on 42 pediatric patients who underwent repair of various congenital heart defects with cardiopulmonary bypass. Pre- and intraoperative patient data were collected for the evaluation of gas transfer and metabolic parameters in relation to blood flow, temperature and hematologic profiles. The mean age of the patients was 8.07 ± 2.9 years. Eight patients had cyanotic heart disease, 7 had chromosomal abnormalities and 9 had previously undergone cardiac surgery. The STAT Mortality Category Score was distributed as follows: Cat. 1 (37.5%), Cat. 2 (35%), Cat. 3 (5%), Cat. 4 (22.5%), Cat. 5 (0%). The mean bodyweight was 29.03 ± 8.25 kg and the blood flow rate was 2664.88 ± 508.43 ml / min. The mean cardiopulmonary bypass time was 95±51.4 min and the cross-clamp time was 37±34.6 min. The mean gas transfer values were as follows: partial pressure of oxygen, post oxygenator, 224.7±28 mmHg; partial pressure of carbon dioxide, post oxygenator, 42±4 mmHg; oxygen delivery 356.9± 88.8 ml/min/m2; carbon dioxide transfer, 52.81± 1.98 mmHg, mixed venous saturation 77.78 %; and mean hematocrit value 29.0±4 %. The Trilly oxygenator was effective in terms of oxygen uptake, carbon dioxide removal, and heat exchange in a pediatric population undergoing cardiopulmonary bypass. This retrospective analysis showed that the Trilly is both safe and effective in clinical practice without iatrogenic problems.
Aortic Annuloplasty: Focus on the Use of an External Teflon Ring
Authors:   Cardiac Surgery Department, A. O. San Camillo  Forlanini, Rome, Italy, Chirichilli IIlaria , Ricci Alessandro ,   Cardiac Surgery Department, European Hospital, Rome, Italy, Weltert Luca ,   Cardiac Surgery Department, European Hospital, Rome, Italy, Torre Mario ,   Cardiac Surgery Department, European Hospital, Rome, Italy, Irace Francesco ,   Cardiac Surgery Department, A. O. San Camillo  Forlanini, Rome, Italy, Scaffa Raffaele ,   Cardiac Surgery Department, European Hospital, Rome, Italy, Folino Giulio ,   Cardiac Surgery Department, European Hospital, Rome, Italy, Salica Andrea ,   Cardiac Surgery Department, European Hospital, Rome, Italy, D’Aleo Salvatore ,   Cardiac Surgery Department, European Hospital, Rome, Italy, Wolf Lorenzo Guerrieri ,   Cardiac Surgery Department, European Hospital, Rome, Italy, Fusca Samuel ,   Cardiac Surgery Department, European Hospital, Rome, Italy, Bellisario Alessandro ,   Cardiac Surgery Department, European Hospital, Rome, Italy, Marra Giulia ,   Cardiac Surgery Department, European Hospital, Rome, Italy, Andreis Marco ,   Cardiac Surgery Department, European Hospital, Rome, Italy, Ciani Camilla ,   Cardiac Surgery Department, European Hospital, Rome, Italy, Forcina Sara ,   Cardiac Surgery Department, European Hospital, Rome, Italy, De Paulis Ruggero ,   Cardiac Surgery Department, European Hospital, Rome, Italy
Published: September 2023

Aortic annuloplasty has been clearly demonstrated to have a protective influence in aortic valve repair. Over the past 20 years, different annuloplasty concepts have been proposed by different groups. However, the most appropriate approach to enable long-term annular stability remains highly controversial. The aim of this article is to give a general overview of all types of aortic annuloplasty, particularly focusing on the use of an external Teflon ring, as proposed by our group. In this technique, external root dissection is performed in the same fashion as for reimplantation; the only difference is that it is necessary to go below the coronary ostia take-off. A series of pledgeted sutures (usually between 6 and 9 sutures) are placed at the level of the virtual basal ring. The external ring is made using a Teflon strip with a length of 8 to 9 cm, to reduce the annulus to a diameter of between 21 and 23 mm. The sub-annular sutures are then passed at the appropriate level through the Teflon strip and the strip is parachuted outside the aortic root base, passing under the coronary ostia. The two ends of the Teflon strip are tied at the level of the non-coronary sinus. Aortic annuloplasty is a crucial step to improve valve competence and stabilization. While several techniques offer good mid- to long-term results, annuloplasty with an external Teflon ring appears to be a simple and effective alternative to guarantee stable root diameters. Longer follow-up studies are needed to confirm the mid- to long-term results.
Novel Bronchoscopic Management of Bronchopleural Fistula Following Pneumonectomy
Authors:   Fox Chase Cancer Center – Temple  University Health System, Philadelphia, Pennsylvania, Manley Christopher , Kail Nicole ,   Fox Chase Cancer Center – Temple  University Health System, Philadelphia, Pennsylvania, Su Stacey ,   Fox Chase Cancer Center – Temple  University Health System, Philadelphia, Pennsylvania
Published: September 2023

Bronchopleural fistula (BPF) is a rare but significant cause of morbidity and mortality in cancer patients undergoing surgical lung resection. The mainstay of treatment for BPF is revision of surgical stump. We describe a case of persistent bronchopleural fistula treated with a novel combination of argon plasma coagulation and fibrin glue.
How Do We Physicians and Surgeons Deal With our Own Disease?
Authors:   University of Arizona, Tucson, Arizona, Latifi Rifat , Hirani Rahim ,   New York Medical College, School of Medicine, New York, New York, Smiley Abbas ,   School of Medicine, University of Rochester, Rochester, New York
Published: September 2023

It is a “known secret” that physicians and surgeons do not make good patients and neglect their own health by ignoring early warning signs of physical and psychological problems. Moreover, often, they seek help late. What are the reasons for this self-neglect? Is it because we think we are “super humans,” or we think that we will not get sick, cannot get sick, should not get sick, have no “right” to get sick, as we must care for others? Do we ignore ourselves because we must go to one more meeting, do one more thing, write or present one more paper, give one more lecture, or take the call even with a fever, cough, and chills? Why can’t we call in sick? Is this the “macho” effect? Is this culture of denial pervasive everywhere, even though we should know better? Yes, it is! Don’t we need to remember the advice given by airlines to put on an oxygen mask on yourself first before helping others? Unfortunately, many of us do not do it. In this article, we will present a personal reflection as an example and review how we physicians and surgeons neglect our own health, ignoring the early warning signs of physical and psychological problems, and how we often seek help late. We also discuss potential reasons for this becoming a “norm” for many of us. Lastly, we review measures taken by some healthcare systems to remedy this situation.
Modified Lightbulb Non-Vascularized Bone Grafting Technique for Osteonecrosis of the Femoral Head
Authors:   Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland, Edmond Tyler , Hameed Daniel ,   Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland, Olsen Devin ,   Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland, Dubin Jeremy A. ,   Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland, Grynovicki Erica ,   Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland, Mont Michael A. ,   Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland
Published: September 2023

Multiple techniques for non-vascularized bone grafting for the treatment of femoral head osteonecrosis have been proposed with varying degrees of success. The success of these procedures may be improved with the use of ancillary growth and differentiation factors. The trephine (Phemister) technique allows for limited decompression of the femoral head through two percutaneous tunnels, while the direct approach through the femoral head (“trapdoor” technique) may result in damage to the articular cartilage. Herein we provide our modified “lightbulb” technique to decompress the femoral head through a window at the femoral head-neck junction that provides excellent, direct access to the osteonecrotic lesion. Adjuvant, non-vascularized bone graft, comprised of bone marrow aspiration concentrate (BMAC) and open matrix bone graft (MagnetOs Flex Matrix, Kuros Biosciences, Bilthoven, Netherlands) is a unique fibrillar and flexible structure that provides bone induction and further structural support to create a favorable environment for bone formation and healing. This is a straight-forward, hip-preserving, surgical technique that may be used for symptomatic management to delay, or potentially obviate, the need for total hip arthroplasty in patients who have medium- to large-sized or early-collapse lesions of the femoral head.
Lower Rates of Femoral Fracture and Subsidence with a Morphometric Stem in Cementless Total Hip Arthroplasty
Authors:   Department of Orthopedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York, Coden Gloria , Naylor Brandon ,   Advanced Center for Joint Surgery, Cumming, Georgia, Hameed Daniel ,   Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland, Mont Michael A. ,   Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland, Hepinstall Matthew S. ,   Department of Orthopedic Surgery, NYU Langone Health, New York, New York
Published: September 2023

Introduction: A “morphometric” tapered femoral stem with size-specific medial curvatures and proportional neck lengths was introduced, attempting to improve fixation and biomechanics in cementless total hip arthroplasty (THA) across a range of femoral sizes and morphotypes. We investigated whether this design reduced complications and better restored anatomy (e.g., limb length and offset) compared to a traditional tapered stem with consistent neck lengths across sizes. Materials and Methods: We reviewed 389 THAs (340 patients) performed using either of two cementless femoral implants. Records were reviewed for demographics, surgical details, complications, and reoperations. Radiographs were examined for subsidence, biologic fixation, leg lengths, offset, and proximal femoral morphology. Results: The intraoperative fracture rate was lower with this morphometric stem compared to this traditional stem (0 vs. 3.4%), as was the incidence of postoperative subsidence ≥3mm (4.7 vs. 19.2%). With the numbers available, no differences were identified regarding rates of reoperation for periprosthetic femur fracture (0 vs. 1.0%) and femoral fixation failure without fracture (1.1 vs. 0%), or all-cause reoperations (2.7 vs. 2.4%). Limb length and offset restoration were similar with the two implants, but the shortest available femoral head was used less frequently with this morphometric stem compared to this traditional stem (22 vs. 54%). Conclusions: This morphometric stem was associated with decreased rates of intraoperative fracture and postoperative subsidence, along with decreased use of the shortest available head. Nevertheless, both implants demonstrated clinical success, allowing reconstruction of limb length and offset with low rates of femoral fixation failure.
Patient-Specific Venous Thromboembolic Event Prophylaxis in Total Joint Arthroplasty – Literature-Supported Guidelines
Authors:   Northwell Orthopaedic Institute, Huntington Hospital, Huntington, NY, Ganz Maximillian P. , Danoff Jonathan R. ,   Schwartz Ambulatory Surgery Center, Northwell Orthopaedic Institute,  North Shore University Hospital, Manhasset, NY, Gerber Bradley ,   Northwell Orthopaedic Institute, Long Island Jewish Valley Stream Hospital, Valley Stream, NY, Reinhardt Keith R. ,   Northwell Orthopaedic Institute, South Shore University Hospital, Babylon, NY, Ciminiello Michael ,   Peconic Bay Medical Center, Riverhead, NY, Scuderi Giles R. ,   Donald and Barbara Zucker School of Medicine At Hofstra/Northwell, Hempstead, NY
Published: September 2023

Following total joint arthroplasty (TJA), venous thromboembolic events (VTE) are a known complication that may result in increased hospitalization cost as well as morbidity. Numerous investigations have documented patient-specific factors that place an individual at increased risk of VTE after TJA. Potential risk factors for VTE include genetic predisposition, history of a prior VTE event, revision surgery and patient comorbidity factors. The American Academy of Orthopedic Surgeons and The American College of Chest Physicians have both provided recommendations for VTE prophylaxis after orthopedic surgery. However, among orthopedic surgeons, there remains a lack of consensus regarding the appropriate agent and time course for prophylactic anticoagulation after TJA. In this study, we review the evidence-supported patient-specific factors that confer an increased risk of VTE in the TJA postoperative period. Furthermore, we describe the VTE prophylaxis regimen used at our home institution after TJA for low- and high-risk patients as well as a recommendation for cessation or continuation of anticoagulation regimens that patients were on preoperatively for comorbid conditions.
Safety of Cryoneurolysis as a Preoperative Treatment for Total Knee Arthroplasty (TKA)
Authors:   Virtua Health, Director of Orthopedic Sports Medicine, Virtua Medical Group Burlington, New Jersey, McMillan Sean , Zangrilli Julian ,   Department of Orthopaedic Surgery, Rowan University School of Osteopathic Medicine, Stratford, New Jersey, Amedee Andrew ,   Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans Louisiana, Dasa Vinod ,   Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans Louisiana
Published: September 2023

Cryoneurolysis is a minimally invasive procedure that utilizes extreme cold temperature to achieve thermal neurolysis of peripheral sensory nerves. This study aimed to evaluate the safety of cryoneurolysis as a preoperative treatment for total knee arthroplasty (TKA) and assess the incidence of major and minor wound complications associated with the procedure. A retrospective chart review was conducted on 357 patients who underwent cryoanalgesia within two weeks of their scheduled TKA. The study found that cryoneurolysis as a preoperative treatment for TKA did not demonstrate an increased incidence of major complications, including acute periprosthetic joint infections, skin necrosis, or permanent treatment site nerve damage/neuroma compared to published rates of infection. Complications were minimal, with only three cases of infection and five cases of superficial cellulitis observed; however, none were directly attributable to the cryoneurolysis procedure. These findings are encouraging and suggest that cryoneurolysis is a relatively safe adjunct procedure with a similar risk of major or minor complications when used as a preoperative treatment for TKA.
Pelatihan Capacity Building Bagi Guru-Guru Bimbingan Konseling SMA/SMK di Kabupaten Kuantan Singingi
Authors: Saam Zulfan , Yakub Elni , Donal Donal , Yuliana Dhina , Jafra Ria Asmerry , Pratiwi Retni , Rosmayani Rosmayani
Published: September 2023

The Target Group In This Training Activity Is Teachers Of Bk Sma/Smk In Kuantan Singingi Regency. The Target Group Is 32 Bk Teachers. Community Service Activities Through Capacity Building Training Will Be Held On Wednesday, May 10, 2023.  The Training Participants Were Bk Teachers In Kuantan Singingi District. The Main Activity Of This Capacity Building Training Is Outbound Activities. This Training Aims To Provide Skills To Bk Teachers On How To Build The Capacity Or Capability Of Students Through Activities Outside The Classroom Or In The Open Field By Using A Personality Development Approach Through Games Or Various Games. The Game Aims To Build And Improve Aspects Of Student Personality Such As Cooperation, Courage, Honesty, Patience, Expression Of Feelings, Emotional Control, And Positive Thinking As Well As Create Superior Strategies In Achieving Goals. Training Participants Can Already Understand The Concepts Of Capacity Building And The Importance Of Outbound Activities In The Context Of Fostering Student Personality. Capacity Building Training Through Out Bound Can Be Done As A Form Of Service In Developing Aspects Of Student Personality That Students Are Directly Involved In Games.
Pemberdayaan Usaha Mikro Kecil (UMK) Mahasiswa melalui pengembangan dan produksi Varian Formulasi Produk Sajag
Authors: Budijono Budijono , Harjoyudanto Yudho , Sibagariang Rina D’rita , Fauzi Muhammad , Prianto Eko , Windarti Windarti , Eddiwan Eddiwan , Yuliati Yuliati , Mulyani Isma , Jhonnerie Romie
Published: September 2023

The findings of research products that have the potential to become entrepreneurial products are SAJAG (magic powder for peat water purification) with variant formulations of CaO+PAC and CaO+Al2(SO4)3+PAC ingredients that have not been produced and patented in the same packaging and brand. The objectives of this service are to: (1) transfer the results of science and technology directly to UMK partners, students/alumni of the University of Riau through the development and production of variants of SAJAG material formulations; (2) fostering the entrepreneurial spirit of students with SAJAG products; (3) produce useful and economically valuable products from research results that have the potential to be marketed by UMK students as entrepreneurial actors; (4) generate student income potential from marketing SAJAG products. The methods of counseling, training and independent practice as well as mentoring are used in implementing the activities to 25 students/alumni who are members of business partners. From the results of this activity, knowledge changes in the target community groups have been obtained and have succeeded in implementing skills by producing a total of 7000 sachets of product for 10L volume of peat water, of which 1500 sachets were successfully sold with a sales value of Rp. 3,750,000. The production process continued until simple patents were obtained for the two variants of SAJAG products to be marketed, managed by the 'BAHARI' group as a new student business partner.
Forløsende fortællinger
Authors: Krabbe Karoline , Thinggaard Hjortkjær Laura
Published: September 2023

Dramatiske og detaljerede fødselsberetninger har i de seneste år floreret i medier på tværs af Skandinavien. Beretningerne fortæller om alt fra kejsersnit med mangelfuld bedøvelse til taxature under aktiv fødsel og er eksempler på, hvordan borgere  erfaringsdeling til at kræve strukturel forandring. I denne artikel undersøger vi fire danske fødselsberetninger for at få et indblik i, hvordan mødre har brugt deres personlige erfaringer med at føde som afsæt for at kræve politiske forandringer i svangreomsorgen. I en analyse af de fire beretninger fremhæver vi affektpotentialet i genren og den moderlige subjektposition som retoriske greb, der forløser – men på sin vis også begrænser – mødre i realiseringen af retorisk agency. Vi inddrager løbende andre eksempler fra Skandinavien og viser, hvordan fødselsberetninger har haft en mobiliserende funktion og været med til at skabe momentum i bevægelsen for bedre fødselsforhold.
Promovendo educação permanente sobre os direitos do público LGBTQIA+ no espaço de saúde
Authors: Fracasso Patricia Carvalho , Garcia Patricia Meneguessi Miatello , Tavares Rayani de Souza
Published: September 2023

A população LGBTQIA+ (lésbicas, gays, bissexuals, transgénero, travestis, queer, intersexo, assexuais e +, uma vez que a sigla incluioutras identidades de género) é vulneravel quanto ao atendimento de seus direitos humanos, incluindo o acesso aos servigospublicos de satide. Entretanto, torna-se nova a necessidade de visualização e reivindicacao de respeito, compreensao e acolhimentodessa população nesses espacos. A partir da eminente necessidade de formacao dos profissionais da satide na tematica LGBTQIA+,0 objetivo deste artigo é relatar a experiéncia que nos direcionou a um olhar mais humanizado e acolhedor no AmbulatérioMédico de Especialidades de Catanduva e nos levou a identificar a necessidade de trazer esta temática para os treinamentos anuaisde funcionarios, incluindo a atualização com a revisão e andlise das leis, decretos e resolugdes que tratam do tema LGBTQIA+.
Nome social
Authors: Pereira Salvetti Maisa Cabete , Canelada Haline Fernanda , Dos Santos Diniz Emanoela Eduarda , Lopes da Silva Gabriel Maicon , Alves da Silveira Corte Rachel lvyn , Levorato Cleice Daiana
Published: September 2023

0 direito à satide no Brasil tem como principios universalidade, integralidade e equidade. Reconhecendo a diversidade de gêneroe orientação sexual como determinantes sociais de saúde, são necessárias politicas para garantia dos direitos e da qualidade dasaúde na população LGBTQIA+. Este artigo qualitativo de relato de experiência tem por objetivo descrever ações do AmbulatórioMédico de Especialidades e Hospital Estadual Américo Brasiliense na promoção da saúde desta populagao, destacando-se a utilização do nome social no prontuario eletronico multiprofissional. Em 2012, o hospital iniciou a discussao da sua adoção para usudrios transexuais e travestis, respeitando o nome de sua preferéncia durante seu atendimento, sendo incorporado espaco reservado para o nome social no cadastro do prontuario, apés nome e sobrenome de registro civil. Pulseiras de identificacao e painel de chamadas também contém nome social, e nas telas do prontuário ha um ícone lilás alertando para a consideração do mesmo. A sensibilizagao institucional contou com palestras em parceria com a Assessoria Especial de Politicas Públicas para Diversidade Sexual de Araraquara e cursos do Ministério da Saúde na Politica Nacional de Saúde Integral LGBT. As ações auxiliam na garantia da equidade e respeito das minorias sexuais e de género.
PENGARUH MOTIVASI KERJA DAN LINGKUNGAN KERJA TERHADAP KINERJA KARYAWAN YANG DIMEDIASI OLEH KEPUASAN KERJA PADA KARYAWAN DI PT INTRACO PENTA TBK
Authors: Siahaan Shinta Maulina Dewi , Tarumingkeng Rudy C , Assa Adrie Frans
Published: September 2023

Kondisi pandemi menyebabkan perusahaan harus mencatat pendapatan minus selama dua tahun di tahun 2020 dan 2021, termasuk PT Intraco Penta Tbk yang juga harus melakukan pengurangan karyawan dalam jumlah  yang signifikan dikarenakan kemampuan perusahaan yang menurun drastis selama tiga tahun terakhir. Penelitian ini bertujuan untuk mengetahui pengaruh motivasi kerja dan lingkungan kerja terhadap kinerja karyawan yang dimediasi oleh kepuasan kerja pada karyawan di PT Intraco Penta Tbk. Penulis menggunakan metode penelitian kuantitaif deskriptif. Sampel terdiri dari 100 orang karyawan PT Intraco Penta Tbk, dengan pengambilan sampel menggunakan Teknik penarikan sampel simple random sampling. Data primer dikumpulkan melalui kuisioner yang disebarkan kepada responden dengan tingkat pengembalian 100%. Teknik analisis data menggunakan Partial Least Square (PLS) dengan software SmartPLS versi 3.0. Berdasarkan hasil penelitian ini, kepuasan kerja karyawan PT. Intraco Penta Tbk mampu memediasi pengaruh  motivasi kerja terhadap kinerja karyawannya. Kemudian, kepuasan kerja mampu memediasi pengaruh lingkungan kerja terhadap kinerja karyawan pada PT. Intraco Penta Tbk.
PENGARUH KOMPENSASI, MOTIVASI DAN GAYA KEPEMIMPINAN TERHADAP KEPUASAN KERJA KARYAWAN BAGIAN PRODUKSI PT. HOLI MINA JAYA SLUKE KABUPATEN REMBANG
Authors: Muthohar Muhammad Iqbal , Nurhidayati Anik
Published: September 2023

The purpose of this research is to demonstrate how salary, motivation, and leadership style affect production staff' job satisfaction at PT. Holi Mina Jaya Sluke, Rembang Regency. The 98 workers that made up the manufacturing division of PT. Holi Mina Jaya Sluke in Rembang Regency were the population utilized in this research. ways for gathering data via a questionnaire. A saturated sample is used in the sampling procedure. techniques for multiple linear regression data analysis. The findings revealed that 1) compensation (X1) had a significant positive impact on employee job satisfaction with tcount > ttable (5.247 > 1.6612); 2) motivation (X2) has a significant positive impact on employee job satisfaction with tcount > ttable (4.347 > 1.6612); and 3) leadership style (X3) has no significant negative impact on employee job satisfaction with tcount (-0.674 1.6612). According to the adjusted R2 value of 0.621, differences in remuneration, motivation, and leadership style may account for 62.1% of the variance in work satisfaction among employees in the manufacturing division of PT. Holi Mina Jaya Sluke, Rembang Regency. While 37.9% of the explanation comes from factors outside the model.
STRATEGI PERUSAHAAN DALAM MENGOPTIMALISASI KINERJA KARYAWAN MELALUI KONSEP QUALITY WORK OF LIFE DI CV YOGYA KARYA ANDINI
Authors: Gusnadi Indra Dwi , Wahyuningtyas Yunita Fitri
Published: September 2023

Penelitian ini bertujuan untuk mengeksplorasi strategi manajemen sumber daya manusia CV Yogya Karya Andini dalam mengoptimalisasi kinerja karyawan melalui konsep Quality Work of Life. Penelitian menggunakan metode kualitatif dengan pendekatan studi kasus. Sumber data diperoleh secara primer dan sekunder. Perolehan data dianalisis secara interaktif seperti: reduksi data, penyajian data dan penarikan kesimpulan. Hasil penelitian menunjukan: Pertama, adanya ruang partisipasi karyawan yang diberikan perusahaan dalam memberikan aspirasi, keluhan dan saran melalui pembentukan LKS Bipartit. Kedua, adanya pengembangan karir berupa pemberian pelatihan kepada karyawan, ruang konsultasi karir dan promosi jabatan kepada karyawan. Ketiga, pola komunikasi yang dilakukan perusahaan dalam menginformasikan kebijakan perusahaan maupun sarana peredam konflik kepada karyawan dengan mengadakan forum komunikasi antar manajemen perusahaan dan karyawan. Keempat, memberikan jaminan kesehatan, keselamatan dan asuransi kecelakaan kerja. Kelima, memberikan kompensasi kepada karyawan berupa upah sesuai dengan UMR serta pemberian reward kepada karyawan yang berprestasi
PENGARUH MOTIVASI TERHADAP KINERJA KARYAWAN BAGIAN MEDIS & KEPERAWATAN DI RUMAH SAKIT XYZ
Authors: Puspita Shandy , Nurhalim Andres Dharma , Yohanes Yohanes
Published: September 2023

XYZ Hospital medical personnel and their colleagues are the focus of this study, which seeks to define and clarify how motivation affects performance. In this study, quantitative techniques were applied. The population of this study were 46 people who worked at the Gowa Regency Personnel and Human Resources Office. sampling from research using saturated sampling. Direct field studies by distributing questionnaires to participants became a data collection method. After that, the validity and reliability of the questionnaires obtained were evaluated. The findings indicate a sizable beneficial impact of motivating factors on job performance. Employee performance is greatly enhanced by the cleanliness aspect. Employee performance will be enhanced with motivator improvement factors and hygiene considerations. As a result, the attractiveness of employee performance in the medical field, especially at XYZ Hospital is supported by motivator factors and hygiene elements.
mirada a la deserción en las licenciaturas en educación infantil y básica primaria como posibilidad de acción en la formación de maestros(as) para las infancias
Authors: Barrera Albarracín Laura , Huertas León Camila , Monroy Carvajal Angie , Mújica Roncery Sandra
Published: September 2023

El presente artículo, expone el proyecto “Una mirada a la propuesta de formación integral y las estrategias de prevención de la deserción en la Unimonserrate en las Licenciaturas de Educación Infantil y Básica Primaria, los hallazgos y posibilidades de las instituciones de educación superior para prevenir la deserción en estudiantes de licenciaturas”. La investigación se sustenta en el paradigma fenomenológico interpretativo con enfoque cualitativo. Su objetivo es analizar de qué manera la propuesta de formación integral de los programas de licenciatura en educación infantil y básica primaria evidencia el acompañamiento al estudiante para prevenir la deserción con respecto a las estrategias del Ministerio de Educación Nacional (MEN). Los objetivos específicos se encuadran en identificar las estrategias de acompañamiento que emergen de la propuesta de formación de la Fundación Universitaria Monserrate (Unimonserrate), compararlas con las estrategias enunciadas en las normativas del MEN y otras Instituciones de Educación Superior, para analizar los aspectos diferenciales de la propuesta formativa de los programas de licenciatura de la Unimonserrate para prevenir la deserción y promover la graduación. En ese sentido, surgieron tres categorías principales: deserción, acompañamiento integral y permanencia estudiantil. A partir de estas se realizó un análisis documental, información que se trianguló con entrevistas a expertos y dio lugar a los hallazgos expuestos en el cuerpo del artículo.