bluuebunny/crossref_metadata_2025 huggingface dataset:
Good survival rate, moderate overall and good respirator quality of life, near normal pulmonary functions, and good return to work despite catastrophic economic costs 6 months following recovery from Acute Respiratory Distress Syndrome
Authors: Thomas Rohan , Turaka Vijay Prakash , Peter John Victor , Christopher DJ , Balamugesh T , Mahasampath Gowri , Mathuram Alice Joan , Sadiq Mohammed , Ramya I , George Tarun , Chandireseharan Vignesh , George Tina , Sudarsanam Thambu David
Published: February 2022

Introduction:

Long-term quality of life, return to work, economic consequences following Acute Respiratory Distress Syndrome (ARDS) are not well described in India. This study was aimed to address the question.

Methods:

A prospective cohort study of 109 ARDS survivors were followed up for a minimum of 6 months following discharge. Quality of life was assessed using the SF-36 questionnaire. Respiratory quality was assessed using the St Georges Respiratory Questionnaire. Time to return to work was documented. Costs-direct medical, as well as indirect were documented up to 6 months.

Results:

At 6 months, 6/109 (5.5%) had expired. Low energy/vitality and general heath were noted in the SF-36 scores at 6 months; overall a moderate quality of life. Pulmonary function tests had mostly normalized. Six-min walk distance was 77% of predicted. Respiratory quality of life was good. It took at the median of 111 days to go back Interquartile range (55–193.5) to work with 88% of previously employed going back to work. There were no significant differences in the severity of ARDS and any of these outcomes at 6 months. The average total cost from the societal perspective was

JOURNAL/luin/04.03/01408641-202203000-00012/169FF01/v/2022-09-30T154518Z/r/image-tiff

231,450 (standard deviation 146,430 -, 387,300). There was a significant difference between the 3-ARDS severity groups and costs (P < 0.01). There were no independent predictors of return to work.

Conclusion:

ARDS survivors have low 6-month mortality. Pulmonary physiology and exercise capacity was mostly normal. Overall, quality of life is average was moderate, while respiratory quality of life was good. Return to work was excellent, while cost of care falls under a catastrophic heath expense.
Association of menstrual pattern with lifestyle factors among female medical students
Authors: Namdev Garima , Naz Sabiha
Published: February 2022

Introduction:

Menstrual disorders are more frequently observed among young females, especially medical students nowadays. Various lifestyle factors such as frequent consumption of fast foods, dietary habits, physical exercise, and yoga practicing play a very great role in alteration of menstruation pattern. All of these variables are affected by weight gain which is determined by body mass index (BMI), which itself affect menstrual pattern.

Aims and Objectives:

The aim of this study was to determine the association of menstrual pattern with lifestyle factors and BMI among medical students.

Materials and Methods:

A cross-sectional observational study was done among sixty undergraduate female medical students with the help of pretested and predesigned questionnaire consisting of menstrual pattern, premenstrual syndrome (PMS), and dysmenorrhea along with details about lifestyle factors. Anthropometric measurements such as weight, height, and BMI were also taken. Chi-square test was applied to test the association between menstrual pattern and lifestyle factors.

Results:

Out of total, 60% of students had regular cycle, 63% had dysmenorrhea, and 75% possess PMS. Majority of obese (65.2%) students had irregular cycle and 52.1% suffered from dysmenorrhea. Maximum 91% and 77.4% of students had regular cycle practicing yoga and physical exercise, respectively, whereas 86.2% of students suffered from PMS among those not exercising regularly. All of these findings were found statistically significant.

Conclusion:

More than half of students possess regular cycle. Overweight and obesity were found to be associated with irregular menstrual cycle and dysmenorrhea. Lifestyle factors such as yoga practicing, frequent consumption of fast foods, and regular physical exercise affect menstrual pattern in the present study.
A study of knowledge, attitude, and practice of Pap smear test in the early detection of cervical cancer among qualified working women in an urban area
Authors: Vincy Reethu , Umashankar T.
Published: February 2022

Introduction:

Cervical cancer (CC) is being one among the leading causes for cancer-related deaths worldwide contribute to a massive portion of mortality which can be reduced to a great extent with the help of a screening test – Pap smear test; with which early detection and thus prevention of this cancer is made possible. Despite the fact that Pap smear test has proved itself to be an easily available and cost-effective method to screen the early signs of CC among prone women, a large group of women is hesitant to get it done due to various reasons. Hence, this was conducted to study the degree of knowledge, attitude, and practice of Pap smear test among qualified working women in urban areas.

Materials and Methods:

In this cross-sectional study, 334 working-class women who had an undergraduate/postgraduate qualification and were engaged in different types of occupation were selected. These participants were requested to answer a questionnaire which extracted information about the individual's demographic data; knowledge, attitude, and practice regarding CC, Pap smear test, and Human papillomavirus vaccination. Data so collected were analyzed using the SPSS version 23 software.

Results:

The participants belonged to the age group of 22–59 years with mean age being 33.4 years. The study population was broadly categorized into two groups as teaching occupation (n = 221; 66.2%) and nonteaching occupation (n = 113; 33.8%). Overall, 45% of the participants knew that CC is the cancer of the lower part of uterus. Forty-five percentage did not know the benefits of Pap smear test. Knowledge sourced from family, friends, and health care professionals was 30% and 6%, respectively. Medical camps contributed to 17% of the knowledge in the overall study group. Forty-nine percentage of the participants did not know Pap smear test has to be done regularly. Overall, only 26 participants (8%) underwent Pap smear test. Most of them were in the age range of 31–40 years and the least were in the age range of 21–30 years. Knowledge and attitude toward Pap smear test are the major indicators and predictors of the utilization and performance of this test. The practice of doing Pap smear test and thus the performance of this test was higher among those who had higher knowledge (Group II P < 0.005) and better attitude toward Pap smear test. Studies reveal that pain, lack of knowledge, insufficient medical recommendations, and health education, time constraints, embarrassment, and fear of bad results are the main barriers in getting Pap smear test done. This brings to light the need to revamp our strategy in health education.
Educational research by medical teachers
Authors: Shrivastava Saurabh RamBihariLal , Shrivastava Prateek Saurabh
Published: February 2022

The process of medical education in general is a complex and demanding one, which can significantly improve upon based on the findings of research activities. Educational research is a formal and systematic approach to get deeper insights of the educational process, and with an aim to study and resolve educational problems, thereby improving the overall efficiency of the medical training. The generated evidence is crucial to bring about curricular reforms and significantly plays an important role in the development of a professional. In conclusion, promotion of educational research should be looked upon as the way to ensure better health professions education and to improve the accountability of the medical colleges towards the needs of the community. In-fact, educational research is the approach to gain valuable insights into the complexities of medical teaching and assessment and improve the overall process through timely curricular reforms.
Mucocutaneous side effects of gefitinib
Authors: Thekkath Ruhaila , Nonam Chellappan , Mathew Rani , Sunny Beena
Published: February 2022

Background:

Epidermal growth factor receptor (EGFR) is a transmembrane glycoprotein which is expressed in various tissues. Aberrant EGFR signaling plays an important role in carcinogenesis. Gefitinib, an EGFR inhibitor, is a promising drug in treatment of various malignancies. Awareness about the various mucocutaneous side effects of gefitinib will help in optimum management. Hence, we decided to conduct this study.

Materials and Methods:

We did a descriptive study and observed the various cutaneous side effects in 40 patients who were treated with gefitinib in a tertiary care center in South Kerala.

Results:

Dermatological adverse reactions were observed in 87.5% of our patients, the most common being dryness and pruritus in 67.5% and 65% of patients, respectively. Rashes were of Grade 1/2 severity in most of our cases.

Conclusions:

Cutaneous reactions, though common, were mild in majority of our patients. Studies with more sample size and follow-up are needed to improve our knowledge.
Неустойчивость по Ляпунову стационарных течений полимерной жидкости в канале с перфорированными стенками
Authors: Blokhin Alexander Mikhajlovich , Tkachev Dmitry Leonidovich
Published: February 2022

Исследуется реологическая модель Покровского-Виноградова для течений растворов и расплавов несжимаемой вязкоупругой полимерной среды в случае течения в бесконечном плоском канале с перфорированными стенками. Доказана линейная неустойчивость по Ляпунову основного решения с постоянным расходом в классе возмущений, периодических по переменной, меняющейся вдоль стенки канала.
Библиография: 14 названий.
The Role of the European Union in Combatting the Illicit Trafficking of Cultural Objects – Towards a New Action Plan (Anna Kędziorek talks to Andrzej Jakubowski)
Authors: Kędziorek Anna
Published: February 2022

Anna Kędziorek is a Policy Officer in the Cultural Policy Unit of the Directorate General for Education and Culture (European Commission). Much of Anna’s work concentrates on developing policy and actions to fight against illicit trade in cultural goods, raising awareness on the issue, and cooperating with relevant stakeholders and international organizations. Other topics of Anna’s competence include gender equality in the cultural and creative sectors, the role of culture for social cohesion, and the EU competition law. She holds a Master’s Degree in European Studies (Adam Mickiewicz University, Poland), and Master’s Degrees in Law (Aix-Marseille III University, France; Adam Mickiewicz University, Poland; College of Europe, Bruges, Belgium).

Andrzej Jakubowski serves as SAACLR Deputy Editor-in-chief and Leader of the project “Legal Forms of Cultural Heritage Governance in Europe – A Comparative Law Perspective”, No. UMO-2019/35/B/ HS5/02084, financed by the National Science Centre (Poland). This interview was undertaken within the framework of this research project
On the Borderline – Using National and International Legal Frameworks to Address the Traffic of Pre-Columbian Antiquities between Mexico and the United States
Authors: Quiñones Vilá Claudia S.
Published: February 2022

This article examines legal provisions and remedies for illicitly trafficked pre-Columbian antiquities, focusing on Mexico and the United States of America (USA), to determine gaps and areas for improvement. These two countries provide an interesting contrast, as they are contiguous neighbours but have different legal systems and approaches to the protection of cultural property. Nonetheless, Mexico and the USA have a history of fruitful cooperation in the recovery and return of pre-Columbian cultural objects under both domestic and international frameworks, such as bilateral agreements and cultural heritage conventions. In particular, as a country that accounts for nearly half of all global art market transactions, the USA is uniquely placed to act as a gatekeeper for pre-Columbian antiquities and serve as an example for the effective protection of foreign cultural property seized within its borders. However, while the examination of Mexico and the USA provides a useful case study, the illicit traffic of these objects should not be viewed in isolation or characterized as solely a regional problem. Globalization and the international nature of the art market require a more expansive view of the subject, while still taking countries’ legal and cultural specificities into account. A balanced and holistic approach will help increase the effectiveness of both national and international remedies; this will improve the legitimate market as a whole and curb illicit trafficking. By tackling the problem at both ends of the supply chain and increasing visibility, the possibilities of success shall rise.
“Migrant Children Are Not the Problem. The Problem Is the Need to Make the Administration Happy.” The Perceptions of Professionals’ on Participation and Acculturation in Education Contexts
Authors: Droessler Thomas , Foertsch Lena , Rohr Margund K.
Published: February 2022

Children are individuals capable of expressing their wishes and needs, making decisions and taking action in order to influence their own living situation and contribute to social life. Furthermore, children’s participation is essential to their development, learning and well-being, and particularly crucial to the integration of migrant children. Accordingly, societal and scientific discourses emphasize the need for the participation of children, including as a substantial element of integration processes. However, research shows a tension between theoretical discussions and concepts, on the one hand, and practices in educational settings on the other. Educational contexts vary in their conceptualizations of children’s agency and participation, as well as the degree to which they provide opportunities for participation or rather set restrictions upon it.

To illuminate this dependency on respective educational settings in more detail, data from the German sample of the first phase of the CHILD-UP research and innovation project were used to explore two research questions. First, potential differences in perceptions and understanding of children’s participation were investigated by surveying four groups of professionals, namely teachers, educators in early childhood care, after-school educators and social workers. Second, the analyses explored potential associations between intercultural aspects, integration and participation among the four groups of professionals.

Overall, the results showed that children’s participation is emphasized and supported in each of the examined educational settings, but also reveals differences according to school. More specifically, schoolteachers were more reserved about participation than the other groups of professionals. Moreover, although all professionals emphasized migrant children’s integration, a stronger emphasis on assimilation was observed for teachers, which could be explained by structural and normative conditions in the educational setting of school.

The results point to the need for a further examination of these differences by focusing on the interplay between the normative requirements, structural conditions, institutional tasks, as well as professional attitudes of different professions in education. Accordingly, relational approaches to the concept of children’s agency are applied to discuss whether and how relational conceptualizations of participation can overcome an essentialist perspective on children’s participation and may perhaps shed light on the interconnection between participation and integration according to the institutional character of different educational settings.
A Review of Graph Signal Processing with Neural Networks
Authors: Yan Yuzhong , Akujuobi Cajetan M.
Published: February 2022

In this paper, we review the development of the traditional graph signal processing methodology, and the recent research areas that are applying graph neural networks on graph data. For the popular topics on processing the graph data with neural networks, the main models/frameworks, dataset and applications are discussed in details. Some challenges and open problems are provided, which serve as the guidance for future research directions.
Statistical Analysis of Voltage Unbalance Emission Due to Asymmetrical Loads in Three-Phase Power Systems
Authors: Bellan Diego
Published: February 2022

This paper investigates the statistical properties of the voltage unbalance factor in a three-phase system due to an asymmetrical three-phase load with uncertain parameters. The parameters of the three-phase load are treated as random variables with Gaussian distribution. Random asymmetry in the three-phase load results in random values of the voltage unbalance factor. The probability density function, the cumulative distribution function, the mean value and the variance of the voltage unbalance factor are derived in closed form and numerically validated. The obtained results are useful to provide a quantitative description of possible effects of asymmetry in a three-phase load such as the connection of a large single-phase load.
Multidisciplinary Public Health
Authors: Wright Jenny , Sim Fiona , Ferguson Katie
Published: February 2022

A lively and comprehensive review of policy change, Multidisciplinary Public Health: Understanding the Development of the Modern Workforce concludes with a reflection on the new public health system underway in England, making useful comparisons with the rest of the UK.
Lived Diversities
Authors: Husband Charles , Alam Yunis , Hüttermann Jörg , Fomina Joanna
Published: February 2022

Focusing on multi-ethnic interaction in an inner city area, this book addresses difficult issues that are often simplistically and negatively portrayed, challenging the stereotypical denigration of inner city life, and Muslim communities in particular.
China and Post-Socialist Development
Authors: Bolesta Andrzej
Published: February 2022

In China and Post-Socialist Development, the emergence of China as an economic superpower is examined and framed within the context of the East Asian developmental miracle, arguing that China’s approach – broadly in opposition to the neo-liberal doctrine – has brought impressive results.
Treatment Outcomes Across Ten Months of Combined Inpatient and Outpatient Treatment In a Traumatized and Dissociative Patient Group
Authors: Ross Colin , Goode Caitlin , Schroeder Elizabeth
Published: February 2022

Thirty-seven inpatients in a hospital-based Trauma Program completed a set of measures at admission and at 6 and 10-months follow-up. On the Dissociative Disorders Interview Schedule, the average number of secondary features of dissociative identity disorder at baseline was 3.6 (SD ⇤ 4.2), and the average score on the Dissociative Experiences Scale (DES) was 37.8 (SD ⇤ 21.9). At 10 months follow-up, average scores on the DES had declined significantly from 37.8 to 31.1; average scores on the Beck Depression Inventory-II had declined from 36.9 to 24.3; and average scores on the Somatoform Dissociation Questionnaire had declined from 41.5 to 32.5. Treatment outcomes for complex dissociative disorders are supported by replicated prospective studies and are evidence based at Level II according to the criteria of the United States Preventive Services Task Force
A Simple Algorithm for Medication of Patients with Complex Trauma-Related Disorder
Authors: Laddis Andreas
Published: February 2022

The benefit of various psychiatric drugs for mitigation of irrational fear, anger, anxiety and impulsivity during episodes of complex traumarelated disorder is well documented. Those episodes consist of frantically making unreasonable demands, alternating with just as frantic acts of repentance and ingratiation during a crisis of trust in a current relationship. They also include flashbacks that rehearse a similar scenario retrospectively, for past experiences of traumatic betrayal. In mitigating such emotions, medication expedites psychotherapy. It restores patients’ ability to discern good will and expertise in others’ offer to jointly reappraise a patient’s reasons to cope with danger of betrayal in that manner. Psychodynamic therapists then help patients retrieve and reappraise reasons that often are latent to patients themselves. This paper notes the similarity of episodic disorder, as well as the similarity of pharmacotherapy’s outcomes among patients diagnosed variously with Complex Posttraumatic Stress Disorder, Borderline Personality Disorder or Dissociative Identity Disorder. The author proposes that these three disorders are causally related, all variants of “complex trauma-related disorder.” Therefore, it is reasonable to cite findings from the treatment of patients with all three disorders interchangeably. In summary, it is intriguing that various psychiatric drugs, i.e., antianxiety drugs, antidepressants, antipsychotics and mood stabilizers, all selectively mitigate irrational anxiety, fear, anger and impulsivity, regardless of the family name that they earned in the treatment of other disorders. In contrast, for patients with complex trauma-related disorder, the evidence for benefit strictly according to a drug’s family name (except for antianxiety drugs) has been inconsistent beyond comprehension. This paper presents an algorithm that simplifies reasoning about the order in which we test drugs by relinquishing expectations for an effect by a drug’s family name, e.g., “antidepressant,” in addition to mitigating irrational anxiety, fear, anger and impulsivity, which all four families do, more or less. This algorithm simply chooses depending on a drug’s potency, speed and duration of action, and desired or undesirable side-effects. In addition to the algorithm, this paper clarifies the logic of comparing symptom changes with and without a certain medication, in order to continue it, change the dosage or replace it. To attribute symptom changes to medication changes, we must control for symptom changes in the disorder’s natural course. Symptoms wax and wane with bad and good turns in patients’ judgment of others’ trustworthiness, which often greatly mask the true effect of medication changes
FROM PROXIMITY SEEKING TO RELATIONSHIP SEEKING: WORKING TOWARDS SEPARATION FROM THE “SCAREGIVERS”
Authors: Epstein Orit
Published: February 2022

Traditionally psychoanalysis showed interest in the child’s ambivalent relationship towards the object. Psychoanalysis also did not put great emphasis on the role of fear in a child’s life, in particular fear that has been inflicted by the caregivers (Slade, 2013). It was Mary Main who placed fear in the face of attachment needs and named it as disorganized attachment style. The research findings have given us a new lens into the way we see human behavior as displayed in many of our traumatized clients. The child’s need for both protection and autonomy are universal and has been at the heart of object relations and attachment theories. It is there where matters of core-relatedness and a developed sense of self are most involved. This paper discusses a client who suffered extensive sexual abuse. Her attachment to her mother, who I called her “scaregiver,” was preoccupied, enmeshed and coercive as well as being disorganized. The lack of boundaries and the controlling relationship the client had with her mother was re-enacted in the therapeutic dyad. This paper explores these dynamics and how attachment-based psychotherapy enabled a move towards safety for the client followed by better functioning, and more so enabled her to move towards intersubjectivity, a deeper understanding of her lack of boundaries, separateness and need for autonomy.
How Are Memories of Entrapment in Abuse Born?
Authors: Laddis Andreas
Published: February 2022

This month, Frontiers presents a collection of articles related to the paper Colin Ross published in our journal last year (Ross, 2018). That article’s purpose was “to discuss the similarities and differences between maladaptive daydreaming and dissociative identity disorder (DID), and then to discuss possible implications ... in the treatment of complex cases of DID, particularly those with ... reported histories of satanic ritual abuse....[to consider that] maladaptive daydreaming, combined with the principle of therapeutic neutrality ... can help in the management of counter-transference...” (p. 161). The term “therapeutic neutrality” refers to the therapist’s judgment about the veracity of memories of satanic ritual abuse (SRA).
Therapeutic Neutrality, Ritual Abuse, and Maladaptive Daydreaming
Authors: Miller Alison
Published: February 2022

The purpose of this commentary is to express my concern about the way in which Colin Ross employs “therapeutic neutrality” in his recent article in Frontiers.
Flash Technique for Safe Desensitization of Memories and Fusion of Parts in DID: Modifications and Resourcing Strategies
Authors: Shebini Neva
Published: February 2022

This paper explores the use of the Flash technique in the treatment of extreme trauma in Dissociative Identity Disorder (DID) from satanic ritual abuse. The results include desensitization of trauma memories and the planned fusion of parts. I share my insights on safe application of the technique and modifications that can be used for highly fragmented DID clients and other complex trauma presentations. Strategies include ways to safely assess the severity of the memory, modifications in the Subjective Units of Distress (SUDS) measurement, instructions in applying the technique, modes of bilateral stimulation and use of the conference room technique. Nine case sessions are documented demonstrating nine variations in use of the technique. I describe how to install an engaging activity in parts that cannot come up with a resource. Additionally, I write about the use of playful extra resourcing to strengthen the engaging activity, leading to “boosting” of the Flash therapy session and hence faster processing of trauma memories. I hope that colleagues working in the field of trauma and dissociation can find the tools and strategies in this paper helpful for their professional development and also for treatment of their clients.
Recovered Memories of Child Sexual Abuse: Forgetting to Remember and Remembering to Forget, Part 2: The Nature of Memory and Ordinary Forgetting
Authors: Solinski Sylvia
Published: February 2022

This is the second of three articles on recovered memories of child sexual abuse. The phenomenology of recovered memories is distinct from other, non-traumatic, memories and is most usefully considered in the context of the nature of memory and forgetting. A number of experimental paradigms and approaches that attempt to elucidate the mechanisms of recovered memory are described, and the evidence for the creation of false memories is examined and found wanting. The article concludes with a case study. The third article will consider the role of trauma and dissociation in recovered memories of child sexual abuse.
Hábitos alimentarios y factores de riesgo para patologías crónico-degenerativas en universitarios
Authors: Rosa Martha Velasco Martínez  , Trujillo Zally Patricia Mandujano , Ochoa Sonia Rosa Roblero , Pirrón Tomasa de los Ángeles Jiménez , Padilla Itzel Castro
Published: February 2022

Introducción: Las enfermedades crónico-degenerativas representan una causa de morbimortalidad ascendente. Identificar los principales factores de riesgo en poblaciones específicas permite realizar intervenciones específicas y el diagnóstico oportuno de ellas. Objetivo: Identificar los principales factores de riesgo y hábitos alimentarios para el desarrollo de Enfermedades No Transmisibles (ENT) en universitarios. Método: Estudio descriptivo, transversal. La muestra correspondió a alumnos de (1 y 8 semestre) de la licenciatura de medicina. El instrumento incluyó datos de la historia clínica, como cifras tensionales por JN8 (Eight Joint National Committe), IMC, ICC y los parámetros de composición corporal de InBody (J1001). Resultados: De los participantes, 58% (n=51) correspondieron al género femenino. Los patrones de composición corporal mostraron un claro dimorfismo sexual. El 35.3% (n=31) presentó sobrepeso u obesidad. La principal práctica alimentaria perjudicial fue el consumo de comida rápida (97.7% n=86). El 15.9% (n=14) presentó cifras tensionales altas, el 18.9% (n=7) del género masculino presentó prehipertensión y 58% (n=51) reportó más de dos antecedentes heredofamiliares crónicos degenerativos. Conclusiones: El número de estudiantes con datos de enfermedad hipertensiva son alarmantes, la muestra siguió la tendencia nacional al sobrepeso en hombres y obesidad en mujeres. Los parámetros de ICC observados nos permiten inferir una mayor frecuencia en alta adiposidad abdominal. El consumo de alimentos con elevado contenido de sodio, grasas trans y bajo omega-3 aunado al menor consumo de frutas y verduras también fue mayor a lo esperado. Se encontró una correlación moderada entre IMC y PGC, PAS y MME.
La inteligencia emocional en la educación, tips para desarrollar en el aula
Authors: González Mayté Cadena , Bojórquez María Alejandra Sarmiento , Rosado Juan Fernando Casanova
Published: February 2022

Hoy en día las TIC han ido innovando la forma en que el alumno aprende, ya que se considera que el alumno debe: aprender a conocer, aprender a hacer, aprender a vivir juntos y aprender a ser. Generalmente los docentes cubrimos perfectamente bien las dos primeras premisas y quizás la tercera, pero no atendemos la última ¿estamos contribuyendo a su formación integral?;¿realmente estamos propiciando el desarrollo de competencias? Necesitamos aplicar estrategias o ciertos tips para propiciar en él la aptitud tanto personal como social, para que alcance éxito en la vida. Necesitamos que se conozcan ellos mismos para canalizar sus emociones a favor de su aprendizaje.  En este trabajo basado en la experiencia se proponen tips que el docente debe utilizar para hacer consiente al alumno de sus emociones y pueda desarrollar su Inteligencia Emocional y esta a su vez impacte en su proceso de aprendizaje ayudando al desarrollo de competencias. La inteligencia emocional implica, entre otras habilidades, ser capaz de motivarse y persistir frente a las decepciones; para desarrollar la inteligencia emocional el alumno debe: expresar sus emociones, decir lo que piense, aplicar el esquema de valores, reconocer aciertos y desaciertos, leer libros de superación personal, adoptar una actitud de… yo puedo, trabajar en equipo para fomentar cooperación. Queremos que el alumno no solamente tenga éxito académicamente, sino también éxito en su vida.
Iris positioning technique by using face symmetric measurement tool on the custom ocular prosthesis: a case report
Authors: Rilinda Femy , Tamin Haslinda Z. , Ritonga Putri Welda Utami
Published: February 2022

Loss of eye can have a major psychological impact on the patient. To overcome this problem, an ocular prosthetic must have been fabricated similar with the natural eye. Various techniques are documented to determine the symme- trical bilateral iris position; these methods can be subjective and have no measurement guidelines. A 20-year-old male patient came to the Prosthodontic Clinic of Dental Hospital Universitas Sumatera Utara with the diagnosis is post enucleation socket syndrome. Determination of the iris position using the face symmetric measurement-tool by focus to the vertical and horizontal lines of the facial symmetry guide. Confirm the alignment of the vertical lines by connecting the trichion–glabella–subnasal–gnathion guide points so that they vertically divide the two sides of the face, then the two horizontal lines by connecting the left-right cheilon with the mesial-distal canthus of the right and left eyes. This tool is like a face mask with vertical and horizontal guidelines connecting the symmetrical guide points of the face accompanied by centimeters and millimetres making it easy to measure distances and sizes of the iris symmetrically. The use of this tool has given good results in determining the position of the iris because its simplicity and can see facial symmetry.
Modified impression tray and iris positioning ocular prosthesis of post enucleation socket syndrome: case report
Authors: Harahap Noni , Ritonga Putri Welda Utami , Tamin Haslinda Z.
Published: February 2022

The cosmetic disfigurements which arise due to loss of orbital volume after enucleation of an eye include enophthalmus, superior sulcus deformity, upper eyelid ptosis, and lower eyelid laxity. The treatment can be either conservative or surgical. For patients who does not want to undergo further surgical procedures, the conservative treatment is simple, non-invasive, and appropriate. This case report describes modified impression tray and iris positioning technique of post enucleation socket syndrome to achieve aesthetics and function. A 65-year-old male patient reported to the Dental Hospital Universitas Sumatera Utara with the chief complaint of facial disfigurement due to loss of the right eye. Patient had enucleation 6 months ago and using conformer after surgery. The diagnosis was post enucleation socket syndrome. Clear acrylic sclera as a tray without handgrip will precisely records of the palpebre con- vexity and specified socket. The use of eyebrow ruler helps accurately determine the symmetrical iris position com- pared to only visually determining which is subjective with the possibility of interobserver errors. It was concluded that clear acrylic sclera as a tray and eyebrow ruler to determine the position of iris resulting in patient satisfaction due to aesthetics and function.
Novel approach in iris shade matching: mobile photography and custom ocular shade guide
Authors: Ginting Joseph , Tamin Haslinda Z , Ritonga Putri Welda Utami
Published: February 2022

Introduction: Custom ocular prosthesis have several advantages such as even distribution of pressure on the eye socket, highly esthetic iris, better comfort and eyelid movements, but this prosthesis requires a long fabrication time. The fabrication step that spent time the most is the iris shade matching. Case: A 19 years-old woman with a defect in her left eye reported to Dental Hospital Universitas Sumatera Utara. The patient revealed history of infection of the left eye due to measles leading to surgical enucleation when she was one year old. Clinical examination shows healthy conjuctiva with no sign of infection or inflammation covering the posterior wall of the anopthalmic socket. Management: The iris shade matching was done using mobile photography and custom ocular shade guide, allowing the fabrication of iris button in the same day with shade matching appointment. The mobile photography eliminated the need for the operator painting skill and save the fabrication time significantly. The custom occular shade guide compensated the color biased during the photo taking procedure. Conclusion: The novel approach using mobile photography and custom ocular shade guide simplified the iris shade matching, provide highly esthetic results, eliminate the needs for operator painting skills, and save a significant amount of time in fabrication.
Prosthodontic and comprehensive treatment of temporomandibular disorders
Authors: Andreas Andreas , Aidilla Dara , Chairunnisa Ricca
Published: February 2022

Temporomandibular disorder (TMD) is the common term used to describe a range of disorder affecting the temporomandibular joint (TMJ). Facial pain is a common symptom that patients present to their dentist, and TMDs represent a significant proportion of the non-dental causes of this pain. These disorders can have a profound effect on a patient’s quality of life. The management goals for the prosthodontist are patient comfortable, occlusal stability and the complex restoration of the teeth.
Pengaruh Kompensasi, Disiplin Kerja, Dan Motivasi Kerja Terhadap Kinerja Karyawan Pada PT. Shinko Plantech Banten
Authors: Sari Bunga Permata , Pancasasti Ranthy Pancasasti
Published: February 2022

Tujuan dari penelitian ini untuk mengetahui pengaruh kompensasi (X1), disiplin kerja (X2), dan motivasi kerja (X3) terhadap kinerja karyawan (Y). Pengolahan data menggunakan aplikasi SmartPLS (Partial Least Square) dengan teknik pengujian model pengukuran (Inner Model), teknik pengujian model struktural (Outer Model) serta pengujian hipotesis. Terdapat populasi 127 karyawan PT.Shinko Plantech dan bersama metode simple random sampling, terdapat sampel yang digunakan 85 responden. Penelitian dilakukan dengan metode deskriptif kuantitatif, dan asosiatif hubungan kausal. Kebaharuan (novelty) dalam penelitian ini adalah (1) objek dalam penelitian yaitu karyawan tetap pada PT.Shinko Plantech dengan variabel penelitian yaitu kompensasi, disiplin kerja, motivasi kerja dan kinerja karyawan yang belum pernah diteliti sebelumnya, (2) kompensasi tidak berpengaruh langsung terhadap kinerja karyawan, akan tetapi disiplin kerja dan motivasi kerja berpengaruh langsung terhadap kinerja karyawan pada PT.Shinko Plantech. Hasil penelitian menunjukan bahwa kompensasi tidak berpengaruh langsung signifikan terhadap kinerja karyawan. Disiplin kerja dan motivasi kerja berpengaruh langsung positif signifikan terhadap kinerja karyawan masing-masing sebesar 26,50% dan 29,53%.

Kata kunci: Kompensasi, Disiplin Kerja, Motivasi Kerja dan Kinerja Karyawan
Preparing for the silver boom: A falls prevention tool for older adults
in the emergency department
Authors: Ong Colin Eng Choon , Yong Huiting , Qiu Huaying , Velu Kamala , Choa Peng Hui
Published: February 2022

Geriatric falls presenting to the emergency department (ED) are rising due to our rapidly ageing
population. As part of a group of geriatric-focused emergency medicine practitioners, we describe a
multidisciplinary falls prevention tool using the acronym, “MA-PhD4, GET CLEARS!” to address
modifiable intrinsic and extrinsic risk factors in the ED to prevent future falls and their adverse
consequences in this at-risk group.

Keywords: Emergency medicine, falls prevention, geriatric assessment
Hygienic substantiation of the hazard classification of substances polluting the atmospheric air, taking into account the «offensiveness» of their odour
Authors: Budarina Olga Viktorovna , Pinigin Migmar Aleksandrovich , Shipulina Zinaida Viktorovna , Andryushin I. B.
Published: February 2022

Introduction. Expansion of approaches to assessing the odour of substances polluting the atmospheric air, with the introduction of odorimetry (measuring the strength, intensity of odour) into practice indicates that the existing classification of the olfactory hazard of odorous components according to the “undefined” odour needs to be updated. Materials and methods. Experimental studies with the definition of a quantitative expression of the dependence of the likelihood of odour detection of different strengths on the concentration were carried out using the example of 13 mixtures of volatile organic substances on a dynamic olfactometer. The volume of olfacto-odorimetric studies was over 4600 measurements. Statistical data analysis was performed using the Probit Analysis computer program (v.4.0). Results. Based on the studies carried out, it was found that the lower the ratio of the concentration causing a 5% probability of detection of odour with a strength of 3 points (threshold of “offensiveness”, Limoff.) to the concentration causing a 50% probability of “undefined” odour (detection threshold or the threshold for an “indeterminate” odour, Limindef.), the more dangerous the substance is in relation to the development of an “offensive” odour. A new classification of the hazard of substances is proposed, taking into account the “offensiveness” of their odour: extremely offensive (Limoff./Limindef. ≤1.5), offensive (Limoff./Limindef. ≤3), moderately offensive (Limoff./Limindef. ≤6), slightly offensive (Limoff./Limindef. > 6). Limitations. This study is not without certain limitations, among which the main ones are the use of a relatively new method that requires additional testing; a relatively small number of study participants; methods for presenting odor stimuli and registering them. Conclusion. The ability of odorous substances to cause a feeling of “offensiveness” (“annoyance potential”), and, accordingly, their hazard class depends on the characteristics of the spectra of graph dependences of the probability of different strengths odour on the concentration on the probabilistic grid and the ratio of the parameters of the resulting dependencies.
Respirator cartridge change schedule (literature review)
Authors: Kaptsov Valery Alexandrovich , Pankova Vera Borisovna , Chirkin Alexander Vyacheslavovich
Published: February 2022

Introduction. A necessary condition for protecting an employee from gases with the help of filtering personal respiratory protection equipment (PPE) is the timely replacement of filters. Previously, the reaction of the sense organs to the ingress of gas into the mask was used for this. Due to unreliability, this method has been completely banned in all developed countries, since filter life is estimated under the worst expected conditions for scheduling filter replacement. Materials and methods. We prepared the article using publications NIOSH, OSHA, Taylor & Francis, Springer, Journal of the ISRP, legal requirements of developed countries for the use of respirators, and other available publications. Results. The article describes problems and ways to solve them during scheduling, using mathematical modeling of the service life (single use of the filter), taking into account its advantages and disadvantages and problems in assessing the safety of reuse of cartridges. Conclusion. The article contains an analysis of the sources of risk for workers using gas masks in Russian Federation; recommendations for its reduction are given.
Structure of acute chemical poisoning during COVID-19 pandemic (according to a multidiscipline hospital)
Authors: Lodyagin Aleksei Nikolaevich , Sinenchenko Andrei Georgievich , Shilov Viktor Vasilyevich , Batotsyrenov Bair Vasilevich , Sinenchenko Georgi Ivanovich
Published: February 2022

Introduction. The article presents an epidemiological analysis of the prevalence and structure of acute chemical poisoning in the Northwestern region during the Covid-19 pandemic. The purpose of the study: to analyze the prevalence and structure of acute chemical poisoning among patients of a multidisciplinary hospital during the Covid-19 pandemic. Materials and methods. In the course of the work, archival, monthly statistical data were used on the registration of persons hospitalized in the center for the treatment of acute poisoning of the named after I.I. Dzhanelidze Research Institute of SP in the period 2019-2020. The main method of the study was clinical and epidemiological, which includes an analysis of the intra-annual dynamics of the occurrence of acute chemical poisoning, based on monthly observations. In the statistical processing of the material, numerical characteristics of variables with an assessment of their accuracy and reliability were used, analytical methods aimed at constructing a time series model by autoregression and integrated moving average (ARIMA) were used. Nominal data were compared using the criterion χ2 adjusted for continuity. Results. The epidemiological analysis revealed the main trends indicating a decrease in the total number of admissions of patients with acute chemical poisoning to a multidisciplinary hospital during the Covid-19 pandemic (y = -106.25x + 17.16, R2 = 0.7346). The data obtained indicate, first of all, a decrease in the income of persons with acute alcohol poisoning and higher alcohols, starting from April 2020, which, of course, was facilitated by the introduction of a strictly anti-epidemic regime in the GBU Research Institute of SP named after I.I. Dzhanelidze and the change in the conditions of hospitalization in medical institutions of St. Petersburg during the Covid-19 pandemic. The increase in the frequency of acute poisoning with medicinal substances (antipyretics, analgesics and sedatives) used for the purpose of self-treatment of the main symptoms of an infectious disease has attracted attention. The main problem for public health remains the increase in the number of cases of acute poisoning with narcotic substances from the group of synthetic cathinones, synthetic derivatives of opium, precursors of gamma-hydroxyoximabutyric acid. Conclusion. Data on the prevalence of acute chemical poisoning during the Covid-19 pandemic (according to the multidisciplinary hospital) indicate changes in the frequency of their occurrence and structure. An increase in cases of admission of persons with poisoning with analgesics, antipyretics, psychotropic drugs with sedative effect was found in the analyzed time period.
O “VELHO” E O “NOVO” INSTITUCIONALISMO: considerações conceituais
Authors: Ribeiro Gustavo Moreno Alves , Brito Alexsandro
Published: February 2022

RESUMO O presente artigo fornece um breve resumo das principais ideias e postulados de autores proeminentes no âmbito da Economia Institucional, apresentando suas abordagens teóricas e a evolução dos conceitos ao longo do tempo, bem como a relação conceitual entre os autores de diferentes épocas e as principais contribuições de cada um no desenvolvimento deste ramo da Ciência Econômica e fornece um entendimento do que realmente significam instituições e como elas eram e são originalmente definidas pelos estudiosos do tema, a despeito das definições que normalmente circulam pela sociedade. Palavras-chave: Instituições. Desenvolvimento. Organizações. ABSTRACT This article provides a brief summary of the main ideas and postulates of prominent authors in Institutional Economics, presenting their theoretical approaches and the evolution of concepts over time, as well as the conceptual relationship between authors from different eras and the main contributions of each in the development of this branch of Economic Science and provides an understanding of what institutions really mean and how they were and are originally defined by scholars of the subject, despite the definitions that normally circulate in society
O MERCADO DE TRABALHO COMO PRINCIPAL DETERMINATE DA DESIGUALDADE DE RENDA
Authors: Rodrigues Haniel , Muniz Thiago , Brito Alexsandro
Published: February 2022

RESUMO
O texto apresenta uma revisão da literatura especializada sobre os principais determinantes da
desigualdade de renda. Aborda sucintamente o debate teórico sobre o que significa a desigualdade
do ponto de vista econômico, para em seguida expor as principais conclusões apontadas na literatura
internacional. Entre os principais resultados destacam-se: a) os aspectos ligados ao mercado de
trabalho são os principais determinantes da desigualdade de renda; b) há uma associação negativa
entre gênero (participação feminina) e desigualdade de renda do ponto de vista familiar, mas também
positiva quando se considera o indivíduo; c) não há consenso quanto à relação entre as políticas de
transferência de renda e as variáveis institucionais do mercado de trabalho na redução da desigualdade
Palavras-chave: Desigualdade de Renda; Mercado de Trabalho; Distribuição.
ABSTRACT
The text presents a review of the specialized literature on the main determinants of income inequality.
It briefly presents the theoretical debate on what inequality means from an economic point of view,
and then exposes the main conclusions pointed out in the international literature. Among the main
results, the following stand out: a) aspects related to the labor market are the main determinants of
income inequality; b) there is a negative association between gender (female participation) and income
inequality from the family point of view, but also positive when considering the individual; c) there is no
consensus on the relationship between income transfer policies and institutional variables of the labor
market in reducing inequality.
Keywords: Income Inequality. Labor Market. Distribution.