bluuebunny/crossref_metadata_2025 huggingface dataset:
Neutrophil-to-lymphocyte Ratio and Platelet-to-lymphocyte Ratio as an Inflammatory Biomarker in Predicting the Severity of Secondary Brain Injury: A Review Article
Authors: Kusuma Gede Febby Pratama , Maliawan Sri , Mahadewa Tjokorda Gde Bagus , Senapathi Tjokorda Gde Agung
Published: December 2020

Traumatic brain injury (TBI) is one of the leading causes of death and disability, which affects millions of people globally with a significant economic burden. The inflammatory reactions and immune system activity play a significant role in the severity development of secondary brain injury (SBI) after a TBI event. Neutrophils, platelets, and lymphocytes are involved in these inflammatory reactions and have potential in reflecting the severity level of SBI that occurred post-TBI. Some recent studies have shown that the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) can be used as a potential biomarker for determining the severity of an inflammatory reaction, including SBIs in post-TBI. However, the results of NLR and PLR in TBI patients in daily medical practice are still not fully utilized. This review summarizes the neutrophil’s, platelet’s, and lymphocyte’s role in SBI, also the NLR and PLR potential as a marker of the severity of the SBI process in TBI cases.
At-home Cosmeceutical Application and Outpatient Treatments: A 3D Stepwise Facial Rejuvenation Approach
Authors: Melfa Fabrizio , Siragusa Daniela , Caruso Daniela , Lo Faro Carmelo , Nicoletti Giovanni Francesco , Rauso Raffaele
Published: December 2020

BACKGROUND: Aging affects the 3-dimensional structure of all the facial tissues: Bones, muscles, ligaments, adipose tissue, and skin.
AIM: To customize minimally invasive treatments for facial rejuvenation, we present a standardized holistic approach characterized by at-home treatments in associations with outpatient procedures.
METHODS: Forty-four patients underwent 3-dimensional stepwise facial rejuvenation and were evaluated prospectively. Each patient received a customized treatment plan based on a clinical examination and consultation. Treatment outcomes were evaluated from patient photographs with and skin analysis was performed with an A-One Smart automated skin analysis system.
RESULTS: The mean age of the patients was 41.7 years and the approximate mean duration of treatment was 160 days. Patients applied cosmeceuticals such as retinoic acid. Outpatient procedures included the delivery of botulinum toxin or dermal fillers, thread lifting, chemical peels, etc. Upon treatment completion, significant improvements were noted in multiple domains: Skin elasticity and hydration increased, areas of hyper-pigmentation were less extensive, and there were fewer visible wrinkles and pores.
CONCLUSION: Outcomes of the present article suggest how important is to customize facial anti-aging treatments. Nonsurgical treatments carried out progressively, involving the patient to perform at-home treatments in associations with outpatient procedures, let to achieve facial improvements in terms of increased skin elasticity and hydration, reduction of hyperpigmentation, wrinkles, and pores.
Correlation between Serum Level of Matrix Metalloproteinase-2 with Left Ventricular End-diastolic Volume in Children with Heart Failure
Authors: Mahakrishna Bagus Ngurah , Gunawijaya Eka , Artana I Wayan Dharma , Yantie Ni Putu Veny Kartika , Kardana Made , Karyana I Putu Gede , Nilawati Gusti Ayu Putu
Published: December 2020

BACKGROUND: Left ventricular end-diastolic volume (LVEDV) on echocardiography is one of the tests performed on heart failure. This refers to the volume of the left ventricle at the end of the diastolic phase, which would be increased when there is a disturbance in preload, afterload, and contractility factors. Matrix metalloproteinase-2 (MMP2) is a marker of congestive heart failure that can be examined through laboratory examinations.
AIM: The objective of the study was to provide evidence of the association between MMP and inflammatory process as well as its correlation with LVEDV in children with heart failure.
METHODS: This was a cross-sectional study conducted on children aged 3 months–12 years old with heart failure, who visited Sanglah Hospital, Denpasar, Indonesia from May 2017 to March 2018. Echocardiographic examination (LVEDV) and blood samples were taken to measure the serum level of MMP2 on day 1 after the subjects were diagnosed with heart failure.
RESULTS: A total of 32 subjects with heart failure were analyzed in this study. Acyanotic congenital heart defect (CHD) was the most common cause of heart failure, as observed in 23 subjects (71.9%). Characteristics data revealed that 24 subjects (75%) were underweight, 23 (71.9%) had cardiomegaly, and 22 (68.8%) had mild heart failure. Data analysis showed a moderate positive correlation between MMP2 levels with LVEDV after controlling for the influence of age (p = 0.02; r = 0.425).
CONCLUSION: There was a moderate positive correlation between MMP2 level and LVEDV after controlling for the age factor.
Polylactic Acid Implant for Cranioplasty with 3-dimensional Printing Customization: A Case Report
Authors: Apriawan Tedy , Permana Khrisna Rangga , Darlan Ditto , Arifianto Muhammad Reza , Fitra Fitra , Alfauzi Asra , Bajamal Abdul Hafid
Published: December 2020

BACKGROUND: Cranioplasty is aimed to restore the structure and function of the lost portion of the skull defect. Many materials can be used for cranioplasty, such as the bones of the patient (autograft), the bones of other patients (allograft), bones of animals (xenograft), or synthetic materials such as acrylic or titanium mesh. These materials are quite expensive and sometimes require complex processes. Manual shaping of material for cranioplasty is also quite time-consuming and prone to cause esthetic dissatisfaction. The author will discuss the case of using polylactic acid (PLA) implant with 3-dimensional (3D) printing customization as a cheap and accurate cosmetic solution for cranioplasty procedures.
CASE REPORT: We report 2 cases of skull defect underwent cranioplasty. The first case, female, 20-year-old, had a history of severe traumatic brain injury (TBI) and epidural hematoma. She underwent decompression craniotomy on the left frontotemporoparietal region of her skull. The second case, male, 46-year-old, had a history of spontaneous intracerebral hemorrhage due to arteriovenous malformation (AVM). He underwent decompression craniotomy on the right frontotemporoparietal region of her skull. Both the data of computerized tomography (CT) scan were reconstructed to get 3D model of skull defect. Prosthesis was made by 3D printer accordingly using PLA as material. There was no complication reported postoperatively and cosmetic satisfaction was obtained on both cases.
CONCLUSION: The use of PLA implant with 3D printing customization was proved to be cost-effective and good cosmetic satisfaction with no complication reported following cranioplasty procedure.
The Effects of Secondhand Smoke Exposure on Serum Immunoglobulin E Levels among Children of Elementary School
Authors: Widuri Asti , K Triwulandari
Published: December 2020

BACKGROUND: Allergic diseases have been increasing in prevalence during the last decades and could be due to environmental exposure changes. Studies have shown that a leading smoke exposure implicated in alterations in humoral and cell-mediated immunity and the development of allergic conditions, including the production of serum immunoglobulin E (IgE).
AIM: The aim of the study was to determine the association between environmental secondhand smoke exposure and total IgE levels in serum among children of elementary school.
METHODS: An observational study with a cross-sectional approach. Children who were 10–12 years old (n = 86) were assessed using the ISAAC questionnaires and smoke exposure questionnaires. Blood samples were collected for the quantitative measurement of total IgE with the IMMULITE 2000 System analyzers by Prodia Laboratory.
RESULTS: In this study, carried out of 86 children with secondhand smoke exposure. In addition, the smoke exposure divided into two categories, rarely and often. There were 49 children (56.9%) shows higher than the standard of IgE levels. There was no statistically significant association between secondhand smoke exposure and IgE levels with p = 0.501.
CONCLUSION: Children with secondhand smoke exposure, asthma history, and rhinitis allergy showed higher than standard of IgE levels, but it was not statistically significant.
The Effect of Leaflet on Hypertension Knowledge in Hypertensive Patients in Community Health Center in Surabaya City
Authors: Ernawati Iin , Fandinata Selly Septi , Permatasari Silfiana Nisa
Published: December 2020

BACKGROUND: The prevalence of hypertension in Indonesia based on the results of a population survey up to 2018, it is known that the age of ≥18 years diagnosed by doctors is 34.1%. Increased knowledge in this study by providing educational interventions in hypertensive patients.
AIM: This study aims to determine the effect of giving leaflets on the level of knowledge in hypertensive patients..
METHODS: This study is a quasi-experimental study of leaflets for hypertensive patients conducted at 5 Community Health Centers in Surabaya City. The primary outcome observed was the level of knowledge between 2 groups which are the intervention group (given leaflets) and the control group (baseline). In the intervention group measuring the level of knowledge before and after 2 weeks were given the leaflet intervention. The level of knowledge was measured using the Indonesian version of the hypertension knowledge-level scale questionnaire. The leaflet used contains the definition, limits of blood pressure in hypertension, diet and lifestyle advice, and the importance of adherence to medication consumption according to the regimen recommended by doctors to control blood pressure.
RESULTS: The majority of knowledge levels in the control group (32.64%) and the intervention group increased the percentage of the high level of knowledge from 13.4% to 62.89% after being given a leaflet. Based on statistical analysis, it is known that there is an effect of giving leaflets to the level of knowledge between the control and post-intervention group, and pre-post intervention gave significant changes (p < 0.001). The effect of leaflets on changes in systolic and diastolic blood pressure was known not to provide significant changes in the control and post-intervention groups (p > 0.05), but between the pre- and post-intervention groups gave significant changes (p < 0.001).
CONCLUSION: The leaflet provides a better change based on 5 indicators performance of hypertension.
Pretreatment Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio as a Stage Determination in Breast Cancer
Authors: Wiranata Sinta , Anjani Ida Ayu Widya , Saputra I Putu Gede Septiawan , Sadvika I Gusti Ayu Stiti , Prabawa I Putu Yuda , Supadmanaba I Gede , Wihandani Desak Made , Adiputra Putu Anda Tusta , Sudarsa I Wayan , Lestari Anak Agung Wiradewi
Published: December 2020

BACKGROUND: Breast cancer tends to respond differently to treatments, which are usually determined by clinicopathological characteristics. Several studies evaluated the role of the peripheral blood test as diagnostic and prognostic markers in several types of solid cancer and neutrophil-to-lymphocyte ratio (NLR) and platelet-tolymphocyte ratio (PLR) are two of them which already tested. However, the evidence in breast cancer is still lacking.
AIM: Therefore, the study aimed to investigate the value of NLR and PLR as biomarkers concerning breast cancer stage.
METHODS: A retrospective study was conducted using breast cancer patients’ medical records from 2014 to 2019 at Sanglah General Hospital. The histopathological records and complete blood counts of the patients were collected and analyzed risk analysis model, receiver operator characteristics analysis, and correlation of NLR and PLR with cancer staging analysis used correlation test.
RESULT: One hundred five patients data were used in this study, with 35 subjects had early-stage breast cancer while 70 subjects had an advanced stage. Breast cancer staging with NLR and PLR showed significant associations (p < 0.001). Both NLR and PLR had area under the curve >0.7 (p < 0.001). The cutoff, sensitivity, and specificity values of NLR and PLR were 2.504 (71%; 70%) and 157.1 (73%; 70%). Advanced stage of breast cancer was mostly found in high NLR and PLR value with (OR: 4.231; CI = 1.791-9.995, p < 0.001) and (OR: 3.949; 95% CI = 1.679–9.287; p < 0.001).
CONCLUSION: From this preliminary study, pretreatment NLR and PLR values might determine the breast cancer stage. Further research is needed to evaluate the association between grade and patient survival.
Bronchoscopic Intervention May be Associated with Better Outcomes in Mechanically Ventilated Coronavirus Disease-19 Patients: A Case Series
Authors: Kusmana Dewiyana A. , Batubara Edwin Adhi Darmawan , Nugraha Raka Aldy , Karina Theresia Rasta , Primaditta Natasha Setyasty
Published: December 2020

BACKGROUND: The emergence of a new strain of coronavirus infection, the coronavirus infection disease 2019 (COVID-19), has been a pandemic burden across the globe. Severe COVID-19, particularly in patients with acute respiratory distress syndrome (ARDS), is associated with increased risk of admission to intensive care unit (ICU), mechanical ventilation, and mortality. Bronchoscopy has been widely employed as an adjunctive therapy in mechanically ventilated patients. However, the use of bronchoscopy in patients with COVID-19 has been strictly limited due to aerosol transmission.
CASE REPORT: We reported 3 COVID-19 Cases presented to the hospital with ARDS. All of the patients were immediately intubated to improve oxygenation. During admission, the patients produced immense airway secretions that might have resulted in partial airway obstruction. A conventional tracheal suctioning did not help to promote clinical improvement. We decided to perform bronchoscopy with controlled suctioning by following a very tight protocol to prevent aerosol formation. A significant clinical and respiratory improvement was observed in all patients following bronchoscopy. Three of them were transferred to regular ward, however, one patient died during hospitalization.
CONCLUSION: Bronchoscopic procedures may provide significant therapeutic benefits in severe COVID-19 patients. However, it should be kept in mind that this procedure should only be performed with a rigorous protocol to reduce the risk of aerosol generation and subsequent viral transmission.
Efficacy of 24-week Administration of Tenofovir Disoproxil Fumarate in the Management of Naïve Chronic Hepatitis B
Authors: Darmadi Darmadi , Siregar Gontar Alamsyah
Published: December 2020

BACKGROUND: Chronic hepatitis B (CHB) is becoming a common liver abnormality worldwide. Thus, a series of good management is needed to prevent the progression and complications of hepatitis B infection. Tenofovir disoproxil fumarate (TDF) is one of the drugs of choice that’s used for CHB management.
AIM: Limited studies were found regarding the efficacy of tenofovir in dealing with CHB. Hence, the aim of this study is to determine the efficacy of TDF administration for 24 weeks in subjects with naïve CHB in Medan, Indonesia.
METHODS: Retrospective study was conducted in Haji Adam Malik Hospital Medan, Indonesia, between January and December 2019. Subjects were CHB patients aged 18 years or older and were treated TDF for 24 weeks. Demographic, clinical, and CHB disease progression parameters (serum alanine aminotransferase [ALT], hepatitis B envelope antigen [HBeAg], and hepatitis B virus deoxyribonucleic acid [HBV DNA]) data were obtained.
RESULTS: One hundred and twenty subjects were obtained and divided into 2 groups: HBeAg positive and HBeAg negative. Mean age of subjects was 46.5 ± 10.36 years in HBeAg positive group and 48.6 ± 10.67 years HBeAg negative group, with predominant males’ subjects in both groups (58.3% vs. 61.7%, respectively). Serum ALT normalization and undetectable serum HBV DNA were observed in more than 70% and 65% of subjects in both groups, respectively (both p < 0.001). Serum HBeAg loss was achieved in 10.8% subjects (p < 0.001). No subject showed serum HbsAg loss.
CONCLUSION: Our results are consonant with current clinical guidelines and other evidence literature. For both HBeAg-positive and HBeAg-negative populations, TDF administration for 24 weeks has good efficacy in naïve CHB patients.
The Effects of COVID-19 Lockdown on Air Quality in Macedonia
Authors: Dimovska Mirjana , Gjorgjev Dragan
Published: December 2020

BACKGROUND: Faced with the novel coronavirus outbreak (2019-nCoV), various urgent and coordinated actions have been taken worldwide to reduce spread of the disease. Slowing down economic activities, transportation, restrictions of the human public gatherings, and interaction resulted with a tremendous decline in air pollutant concentration especially in nitrogen dioxide, registered by National Aeronautics and Space Administration and European Space Agency satellites.
AIM: The aim of the study was to assess the impact of COVID-19 lockdown conditions on the air quality in selected cities in Macedonia.
METHODS: Daily mean concentration of the particulate matter (PM10 and PM2.5), nitrogen dioxide, ozone, and carbon monoxide measured in the national air quality monitoring network, was analyzed separately comparing following periods: past week of February 2020 to the end of May 2020 with the same period in 2017–2019. Depending on the data distribution, parametric independent-samples t-test or nonparametric Mann–Whitney U-test was run to determine if there were differences in the pollutants concentration during the COVID-19 and non-COVID-19 period.
RESULTS: Implementation of strict restrictions of the movement along with reduced economic activities and vehicular transport, led to notable decrement of air pollutant concentrations. We have found an evident decrease in the concentration levels of all pollutants measured during COVID-19 period in 2020, compared to those from 2017 to 2019 with exceptions for PM2.5 in Kumanovo and carbon monoxide in Skopje (7% and 3% higher concentration). The most notable decrement was for NO2, with a concentration 5–31% lower during COVID-19 period.
CONCLUSIONS: Although beneficial to human health, there is a need to assess economic implications of the lockdown that could have a negative impact on the health as well.
A Deep Learning-Based Framework for Accurate Facial Ethnicity Classification and Efficient Query Retrieval
Authors: Amali Geraldine , Keerthana K. S. V.  , Pahlajani Jaiesh Sunil
Published: December 2020

Facial images carry important demographic information such as ethnicity and gender. Ethnicity is an essential part of human identity and serves as a useful identifier for numerous applications ranging from biometric recognition, targeted advertising to social media profiling. Recent years have seen a huge spike in the use of convolutional neural networks (CNNs) for various visual, face recognition problems. The ability of the CNN to take advantage of the hierarchical pattern in data makes it a suitable model for facial ethnicity classification. As facial datasets lack ethnicity information it becomes extremely difficult to classify images. In this chapter a deep learning framework is proposed that classifies the individual into their respective ethnicities which are Asian, African, Latino, and White. The performances of various deep learning techniques are documented and compared for accuracy of classification. Also, a simple efficient face retrieval model is built which retrieves similar faces. The aim of this model is to reduce the search time by 1/3 of the original retrieval model.
Deep Convolutional Neural Network for Object Classification
Authors: Al-Sharkawy Amira Ahmad , Bahgat Gehan A. , Hemayed Elsayed E. , Mashali Samia Abdel-Razik
Published: December 2020

Object classification problem is essential in many applications nowadays. Human can easily classify objects in unconstrained environments easily. Classical classification techniques were far away from human performance. Thus, researchers try to mimic the human visual system till they reached the deep neural networks. This chapter gives a review and analysis in the field of the deep convolutional neural network usage in object classification under constrained and unconstrained environment. The chapter gives a brief review on the classical techniques of object classification and the development of bio-inspired computational models from neuroscience till the creation of deep neural networks. A review is given on the constrained environment issues: the hardware computing resources and memory, the object appearance and background, and the training and processing time. Datasets that are used to test the performance are analyzed according to the images environmental conditions, besides the dataset biasing is discussed.
Two Sides to Every Fall: Patient and Nurse Perspectives
Authors: Hoke Linda M. , Zekany Rachel T.
Published: December 2020

Background

Despite vast evidence describing risk factors associated with falls and fall prevention strategies, falls continue to present challenges in acute care settings.

Objective

To describe and categorize patient and nurse perspectives on falls and nurses’ suggestions for preventing falls.

Methods

To improve transparency about the causes of falls, nurses interviewed patients in a 48-bed progressive cardiac care unit who had experienced a fall. A content analysis approach was used to examine responses to 3 open-ended items: why patients said they fell, why nurses said the patients fell, and nurses’ reflections on how each fall could have been prevented.

Results

Over a 2-year period, 67 falls occurred. Main themes regarding causes of falls were activity (41 falls, 61%), coordination (16 falls, 24%), and environment (10 falls, 15%). Patients said they fell because they slipped, had a medical issue, were dizzy, or had weak legs. Nurses said patients fell because they had a medical issue or did not call for assistance.

Conclusions

Nurses and patients agreed on the causes of assisted falls but disagreed on the causes of unassisted falls. Nurses frequently said that the use of a bed alarm could have prevented the fall.
Collegiate Athletes' Concussion Awareness, Understanding, and -Reporting Behaviors in Different Countries With Varying Concussion Publicity
Authors: Beidler Erica , Wallace Jessica , Alghwiri Alia A. , O'Connor Siobhan
Published: December 2020

Context

Concussions are a global public health concern, and education on the importance of self-reporting may not reach all athletes to the same degree around the world.

Objective

To determine if differences were present in the concussion awareness, understanding, and -reporting behaviors of collegiate athletes' in 3 countries with varied degrees of concussion publicity.

Design

Cross-sectional survey.

Setting

Collegiate sports medicine clinics.

Patients or Other Participants

Collegiate athletes in the United States (n = 964; high publicity), Ireland (n = 302; moderate publicity), and Jordan (n = 129; low publicity). The degree of concussion publicity was categorized based on the extent of national public health awareness initiatives, care guidelines, research publications, and mass media coverage.

Main Outcome Measure(s)

Participants completed a 10- to 15-minute survey on concussion awareness, understanding, and -reporting behaviors. The main outcome measures were concussion education (awareness; 21 options; select all sources of concussion information), concussion knowledge (understanding; maximum score of 49), and diagnosed/nondisclosed concussion history (reporting behaviors; self-report yes/no items).

Results

A higher proportion of Jordanian athletes reported never having received concussion information previously (73.6%) than Irish (24.2%) or US athletes (9.4%). Knowledge differed among countries (P < .0001, η2 = .28), with US athletes displaying higher total knowledge scores (40.9 ± 4.5) than Jordanian (35.1 ± 5.6) and Irish (32.1 ± 3.5) athletes. Greater percentages of Irish and US athletes reported a history of a diagnosed concussion (31.8% and 29.6%, respectively) and history of concussion nondisclosure (25.2% and 15.5%, respectively) than Jordanian athletes (2.3% and 0.0% for history of a diagnosed concussion and history of concussion nondisclosure, respectively).

Conclusions

In the United States, where concussion publicity is high, formal legislation exists, and sports medicine resources and concussion awareness and understanding were increased. More culturally appropriate concussion initiatives are needed globally to ensure that athletes around the world can identify concussive injuries and understand the dangers of continued sport participation while concussed.
Core Competencies for Disordered Gambling Counsellors: A Modified Delphi Study
Authors: McDowell Teresa
Published: December 2020

Counselling for disordered gambling has emerged as a unique professional field. Research and literature on treatment approaches and best practices has burgeoned over the past 30 years. This has included the development of journals, field-specific conferences, and professional training programs specifically dedicated to understanding and treating gambling problems. Mental health professionals are now expected to master field specific knowledge and undergo supervision prior to engaging in problem gambling counselling. In this paper, we share the results of a modified Delphi study in which 45 experts reached agreement on core competencies for problem gambling treatment providers. A total of 166 core competencies were endorsed as high agreement items. The authors share implications and the potential usefulness of core competencies for problem gambling counsellor professional preparation, workforce development, and quality of care.RésuméLe counseling consacré au jeu pathologique est devenu un domaine professionnel à part entière. Depuis une trentaine d’années, les travaux de recherche sur les approches et les pratiques exemplaires en matière de traitement ont connu un véritable essor. Ainsi, on a vu apparaître des revues, des conférences spécialisées et des programmes de formation dédiés à l’analyse des problèmes de jeu et à leur traitement. Aujourd’hui, les professionnels de la santé mentale intéressés par ce domaine doivent acquérir des connaissances précises sur le sujet et travailler sous la supervision d’un spécialiste avant de s’y consacrer. Cet article présente les résultats d’une enquête Delphi modifiée à laquelle ont participé 45 spécialistes qui se sont mis d’accord sur les compétences de base à exiger des fournisseurs de traitement. Au total, 166 compétences font l’objet d’un large consensus. Les auteurs discutent des implications découlant de l’enquête, de l’utilité éventuelle des compétences de base en matière de formation professionnelle, de perfectionnement de la main-d’œuvre et de qualité des soins.
Representaciones sociales de la salud mental y de los trastornos mentales en estudiantes universitarios de enfermería.
Authors: Rodelo Valle Columba , Garay Núñez Jesús Roberto
Published: December 2020

El objetivo del trabajo es Determinar las representaciones sociales de la salud mental y de los trastornos mentales de estudiantes universitarios de enfermería, y para eso, se utilizó un enfoque mixto estructural y procesual. Se determinó el núcleo figurativo de la representación de la salud mental en el concepto de emociones, en tanto que las representaciones sociales de los trastornos mentales se determinó el concepto de depresión como núcleo figurativo de la representación. Para el enfoque cualitativo se encontraron 3 categorías teóricas: 1. Representaciones sociales de la salud mental, 2. Representaciones sociales de los trastornos mentales, y 3. Representaciones sociales de la enfermería en salud mental.
Estrategia didáctica basada en el papel del mentor para desarrollar las competencias de farmacología en estudiantes de enfermería, en escenarios reales.
Authors: Patatán Mendoza Silverio , Bueno Brito Cornelio , Delgado Delgado Josefina , Dávila Hernández Gabriela , Rojas Gil Norma
Published: December 2020

La formación de los nuevos profesionales de enfermería debe estar orientada a las demandas de su perfil laboral, en concordancia con las necesidades de salud de la población. Una estrategia didáctica basada en el papel del Mentor integrada en el proceso docente educativo en la práctica de la Farmacología puede contribuir al desarrollo de las competencias de los estudiantes en escenarios clínicos mediante la articulación de la trilogía docente-estudiante-mentor. La mentoría en la práctica clínica hospitalaria durante el acompañamiento de los estudiantes es una necesidad para coadyuvar en el nivel de conocimientos, las habilidades, destrezas en la preparación, dosificación y aplicación de fármacos; además, favorecer el desarrollo del pensamiento crítico durante la vinculación teoría-practica en escenarios reales.
Estructura familiar y actitudes parentales hacia la crianza asociados como factores de riesgo de abuso sexual en niños de 3 a 5 años de Sincelejo, Sucre.
Authors: Vega Lara Angie Jhoana , Ramírez Giraldo Andrés
Published: December 2020

El objetivo principal del presente estudio fue establecer la relación de la estructura familiar y las actitudes parentales hacia la crianza asociados a factores de riesgo de abuso sexual en niños de 3 a 5 años de Sincelejo, Sucre. Se realizó bajo un enfoque cuantitativo, tipo descriptivocorrelacional, de corte transversal, con una muestra de 116 padres de familia o tutores con un rango de edad de 19 a 58 años y 116 niños seleccionados de manera intencionada, a quienes se les aplicó el Cuestionario de Identificación de Factores de Riesgo del Maltrato Infantil y el Cuestionario de Crianza Parental PCRI-M. En los resultados se obtuvo la no existencia de correlaciones/diferencias significativas entre las variables.
Resiliencia materna: recuperación de una historia de resistencia ante el diagnóstico del Trastorno del Espectro Autista (TEA).
Authors: Méndez Martínez Myrna , Rábago de Ávila Marcela
Published: December 2020

Este trabajo presenta una madre con un hijo con diagnóstico TEA, siguiendo un diseño metodológico de corte cualitativo de caso único. Los datos fueron recolectados a través de la técnica de entrevista semiestructurada a profundidad, cuyo contenido fue analizado y organizado en siete categorías que exponen la vivencia y resaltan los recursos desarrollados por la madre como factores determinantes de resiliencia. Los resultados permiten asegurar que las experiencias de vida y familia en torno al TEA han sido un motor de impulso para salir adelante. Se comparten también hallazgos de otros estudios previos que resaltan el trabajo familiar que favorecen las características resilientes de la madre y que pudieran permear a toda la familia.
Variables individuales y sociales en estudiantes universitarios ciberacosadores.
Authors: Castro Castañeda Remberto , Vargas Jiménez Esperanza , Ciambelli Romero Hugo Cesar
Published: December 2020

El objetivo del estudio es analizar las diferencias entre los estudiantes universitarios según su práctica de ciberacoso (ocasional, severo y no ciberacoso) con variables individuales y sociales. La muestra está conformada por 662 jóvenes entre los 18 y 25 años. Los resultados indican que los jóvenes no implicados en el fenómeno de ciberacoso sobresalen en sus medias en autoconcepto académico, familiar, satisfacción con la vida, autoestima global y actitud positiva hacia la autoridad institucional, con respecto a los que practican el ciberacoso; los ciberacosadores severos destacan en sintomatología depresiva y actitud positiva hacia la transgresión de normas sociales respecto a los grupos de no ciberacoso y ocasionales. El análisis de regresión de las variables de estudio predice el ciberacoso.
Türkiye’de Kızamık Hastalığının Son Yıllarda Artma Nedenleri
Authors: KAHRAMAN Selma , KAPLAN Ferhat
Published: December 2020

Kızamık, çocukluk çağında görülen, ağır bir bulaşıcı hastalık olup, aşıyla büyük ölçüde korunulabilen bir hastalıktır. Kızamık, çocukluk çağında temel ölüm nedeni olan hastalıklar arasında, özellikle sağlık koşullarının iyi olmadığı toplumlarda %50 oranı ile ilk sırayı almaktadır. Kızamık virüsünde kaynak sadece insan olduğu için eliminasyonu mümkün olan bir hastalıktır. Kızamık vakası ülkemizde 2018’de artış göstermekle birlikte 2019 yılında bir kızamık piki görülmektedir. Bu nedenle bu çalışma kızamık salgınlarının olası nedenleri, kızamık salgınlarının önlenebilmesi için neler yapılması gerektiğini belirlemek amacıyla derleme olarak yapılmıştır.
Ancient Deities and New Meanings: The Role of Myths in Twentieth-Century Astrology
Authors: Leimlehner Astrid B.
Published: December 2020

This paper examines a peculiar notion of divinity: the observation that authors of twentieth century astrology books recount myths of ancient Greek deities. These old stories seem to contradict the often cited ‘new’ psychological nature of Western astrology since the 1920s following the influence of C. G. Jung’s psychology. On a larger scale, this observation has the potential to blur the boundaries between so-called ‘traditional’ and ‘psychological’ astrology. And yet astrological authors had their reasons for including Greek mythology in their books. The task of this paper is to flesh out the role that ancient deities play in – putatively – new astrological concepts using examples of the German astrologer Olga von Ungern-Sternberg (1895-1997).
Orientations of Late Neolithic to Bronze Age and Iron Age Long Cairns in Coastal Finland
Authors: Ridderstad Mariana P.
Published: December 2020

In this study, the orientations of c. 138 long cairns located in coastal Finland were measured and examined, along with other properties of the cairns. The length of the cairns varies from a few metres to almost 50 m. The dominant color of the stones in most of the cairns is red, and they were usually built on locally elevated terrain, e.g. on ridges, rocky outcrops or small islets on the ancient shore. It was found that in the category of long cairns there were several different types of elongated cairns: the ‘simple’ and curved long cairns, some of which were attached to round cairns; the rectangular cairns with one or more central chambers; the very large rectangular cairns; and two different types of ship-formed cairns, Type 1 and Type 2, the latter of which was a previously an unrecognised type of Late Neolithic/Early Bronze Age long cairn. The comparison of the orientations of the cairns of different types and locations suggest that there was some cultural continuity between the Neolithic and the Early Bronze Age cultures on the western coast of Finland. However, based on the present analysis, this continuity does not seem to have extended beyond the Middle Bronze Age. It is also suggested that the appearance of the Type 2 ship-formed cairn in the Ostrobothnia region in the Late Neolithic may have resulted from outside cultural influences, perhaps from the earliest contacts with the central ideologies of the Nordic Bronze Age.
Inscapes: Introducing a New Term to Cultural Astronomy
Authors: Andrikopoulos Laura
Published: December 2020

Within the field of cultural astronomy, the terms ‘skyscape’, ‘spacescape’ and ‘landscape’ are in common usage. Whilst all may contain psychological or phenomenological aspects, all are also strongly related to the physical environment. This paper proposes the addition of a new ‘scape’ to the current pantheon, one which prioritises the inner environment and thereby adds to the list of ‘scapes’ under consideration. This is the ‘inscape’, or ‘inner landscape’. The paper gives examples of how this term may usefully be employed to describe certain phenomena of interest within the field, particularly those relating to psychological astrology. It begins by examining the limitation of the existing scapes, before going on to consider the use of the term by archetypal psychologist James Hillman, whose references to inscape inspired this paper. It goes on to consider Carl Jung’s exploration of what I call his inscape as a precursor to the development of his key ideas. It then considers inscape as a way of referring to parts of Corbin’s mundus imaginalis. It then proceeds to examine the idea of planetary inscapes within psychological astrology before considering the meeting place or horizon between inscape and landscape through other practices within cultural astronomy.
Services Marketing of COVID-19 Vaccines in the
Present Scenario
Authors: Dr. Naveen Sharma and Garima Sharma Dr. Rachana Nagar
Published: December 2020

The global COVID-19 vaccines market is projected to reach USD 1,401 million by 2025 from USD 2,273
million in 2022, at a CAGR of -14.9% during the forecast period. The growth of the COVID vaccines market is
attributed majorly to the rising number of people infected with COVID-19 and increasing funding for vaccine
development.
On the other hand, the global COVID-19 drugs market is projected to reach USD 2 million by 2025 from
USD 165 million in 2020, at a CAGR of -57.8% during the forecast period. The growth of the COVID drugs
market is primarily attributed to use of repurposed drugs for compassionate use, and the emergence of
alternative therapies such as convalescent plasma therapy which were earlier used for treating epidemic
diseases such as SARS, MERS, and H1N1. Moreover, collaborations between global organizations and
governments of various nations to promote the supply of essential drugs and medical supplies are fueling the
market growth.
Researchers worldwide are working around the clock to find a vaccine against SARS-CoV-2, the virus
causing the COVID-19 pandemic. The Herculean effort means that a fast-tracked vaccine could come to
market anywhere from the end of 2020 to the middle of 2021. To date, just two coronavirus vaccine has
been approved. Sputnik V – formerly known as Gam-COVID-Vac and developed by the Gamaleya Research
Institute in Moscow – was approved by the Ministry of Health of the Russian Federation on 11 August.
Experts have raised considerable concern about the vaccine’s safety and efficacy given it has not yet
entered Phase 3 clinical trials. A second vaccine in Russia, EpiVacCorona, has also been granted regulatory
approval, also without entering Phase 3 clinical trials. Operation Warp Speed (OWS) is a collaboration of
several US federal government departments including Health and Human Services and its subagencies,
Agriculture, Energy and Veterans Affairs and the private sector. OWS has selected three vaccine candidates
to fund for Phase 3 trials: Moderna’s mRNA-1273, University of Oxford and AstraZeneca’s AZD1222, and
Pfizer and BioNTech's BNT162.
Within OWS, the US National Institutes of Health (NIH) has partnered with more than 18
biopharmaceutical companies to accelerate development of drug and vaccine candidates for COVID-19
(ACTIV). The COVID-19 Prevention Trials Network (COVPN) has also been established, which combines
clinical trial networks funded by the National Institute of Allergy and Infectious Diseases (NIAID): the HIV
Vaccine Trials Network (HVTN), HIV Prevention Trials Network (HPTN), Infectious Diseases Clinical Research
Consortium (IDCRC), and the AIDS Clinical Trials Group.
Blockchain Based Medical HealthCare System
Authors: Rohit Sharma and Saurabh Gautam
Published: December 2020

Most of the world has switched to the online world today. Online networking and sharing of data have
become a common aspect. With the increasing population in the online world and various sectors switching
online, data breaches and security vulnerabilities have become quite common. Healthcare sector has been
using old methods in securing patients data which has caused a big loss to the healthcare industry. To
subside this issue, we have implemented a solution for this problem using blockchain in the healthcare
sector. Blockchain technology is a technology built to provide a decentralized system. Patients can easily
store their data and provide access only to those they want to provide access. Patients and doctors can easily
access and share data without any security vulnerability. This project uses smart contracts and MERN stack
technology in building web-based healthcare application.
This paper reviews the current EHR method and provide a better solution using the blockchain-based web
application. This application further helps us in implementing a secured medical health-care record
application.
BRANDING AND CONSUMER BEHAVIOUR OF SELECTED PETROLEUM PRODUCTS IN PORT HARCOURT, RIVERS STATE
Authors: Abah Akor , Onuoha Benedict
Published: December 2020

Consumer behavior to branding is a serious issue that affects owners of businesses. This study addresses the challenges as determinants of customer impulse buying behavior of consumers of petroleum product in Rivers State, Nigeria. The study employed a descriptive survey design to examine 550 consumers of petroleum products in Rivers State. The sample size determination for a finite population as expressed by Krejie and Morgan (1970) and used by Research advisors (2006) was used to draw a sample of 550 consumers of petroleum products. Proportionate sample technique (a variant of stratified sampling method) to reflect the proportions of consumers in each of the 23 local government areas of the state. A research questionnaire was constructed, validated and administered to obtain the primary data. The factor analysis simple regression analysis and Pearson product moment correlation(r) statistical techniques were used to test the hypotheses. The findings of the study revealed that there is significant relationship between branding and consumer behavior (P<0.05, R=0.786,R2=0.618). It was concluded that high levels of awareness positively influence the choice of petroleum products by consumers. The study therefore recommends that marketers of petroleum products should develop innovative packaging strategies that will appeal to and attract consumers in an exceptional way to trigger impulse buying.
تصويب نطق الكلام العربي من خلال تجويد القرآن الكريم
Authors: Abdullah Al-Thulaia Hussein Ali , Mohd Razali Mohd A’ Tarahim , Mat Idris Mohd Faiz Hakimi , Yusof Sofyuddin , Salleh Ahmad Zahid
Published: December 2020

يحتاج المتعلم للغة العربية إلى البحث عن المهارات التي ستساعده على إجادة اللغة وتطويرها، لأن تعدد الأساليب والمهارات من ما يعين الطالب على استيعاب المعلومة، وتعين المعلم على إيصالها، والمتبحر في هذا المجال يعرف معاناة المعلمين في المدارس والمعاهد والجامعات التي تهتم باللسانيات واللغويات، لا سيما في النطق الصحيح بالكلمات العربية وهنا تكمن المشكلة، وقد كتبت هذه الصفحات لإبراز أهمية التجويد في النطق بالكلام العربي، لا سيما في التمييز بين الكلمات والحروف من حيث المخارج والصفات وعلوم التجويد الأخرى التي لها علاقة باللغة العربية، وهو أمر يهدف إلى تطوير العلوم التي تتعلق بعلوم اللغة من حيث دقة النطق وتمييز الكلمات بعضها عن بعض، وقد ظهر لنا من النتائج: أن كل حرف شارك غيره في المخرج فإننا نميزه بالصفات، وإذا اتحدت الصفات في الحروف المختلفة المخرج فإننا نميزه بمواضع خروج الحرف، وأن القرآن الكريم حافظ على اللغة العربية من الاندثار، فالقرآن حاكم للغة وليست اللغة حاكمة للقرآن الكريم، وأن أفضل طريقة لتعلم النطق الصحيح أن يبدأ الطالب بأخذ كل حرف على حدة ثم ينتقل للكلمات، تطبيق تعلم التجويد في المدارس والجامعات والمعاهد التي تهتم باللغة العربية سيعطيها قفزة نوعية في مستوى طلابها، من حيث الاتقان والفصاحة.
ПЕРСПЕКТИВЫ ПРИМЕНЕНИЯ ТЕХНОЛОГИИ УПРАВЛЕНИЯ СПРОСОМ НА ЭЛЕКТРОЭНЕРГИЮ В КАЛИНИНГРАДСКОЙ ОБЛАСТИ В 2020-2025 ГОДАХ
Authors: Павлов Д.К. , Никишин А.Ю.
Published: December 2020

На основе разработанной математической модели энергосистемы Калининградской области, произведен расчет и анализ 38 режимов работы энергосистемы региона в 2020–2025 гг.: нормальном, аварийно-ремонтном и изолированном. Спрогнозировано увеличение мощностей предприятий региона, участвующих в технологии управления спросом. Оценена возможность применения управления спросом на электроэнергию и соответствующее влияние ее на работу энергосистемы.
CRISIS ECONÓMICA DEL ECUADOR: UNA MIRADA AL SECTOR MICROEMPRESARIAL POST COVID-19
Authors: Vera Ortiz Josselyn Geovanna , Vera Barzola Axel Xavier , Parrales Poveda María Leonor
Published: December 2020

This research proposes to analyze the incidence in the micro-business sector of the economic and health crisis in Ecuador from its Gross Domestic Product (GDP), unemployment and the gradual increase in poverty. Sales due to a drastic decrease in generalized demand during confinement, coupled with the lack of resources, caused the fiscal coffers to have lower income, consumption to decrease, as well as income and liquidity. A chronological documentary, bibliographic and qualitative review was carried out, which will verify the effects of the Covid-19 pandemic in this sector that moves 90% of the national economy. The results show that the figures for the economic crisis have been accentuated in the months of the state of emergency. The economy decreased by -2.4% with respect to the period of 2019. From the micro-business sector and government policies, no concrete solutions have been found to mitigate the problems of recession. However, microenterprises have become a means to boost the country's socioeconomic growth.
LA PLANEACIÓN ESTRATÉGICA COMO HERRAMIENTA EN LAS EMPRESAS
Authors: Peñafiel Loor José Felix , Muñiz Soledispa Lucy Yulexi , Mosquera Tuárez Luis Fernando
Published: December 2020

El presente artículo trata de ostentar la importancia de la planeación estratégica como herramienta en las organizaciones. Por lo cual se planteó como objetivos de estudio Determinar la importancia de contar con una planeación estratégica como herramienta en las organizaciones. Comprender la función que cumple la planificación estratégica dentro de las organizaciones. Estudiar los distintos modelos de planeación estratégica más conocidos. Determinar cuáles son las ventajas y desventajas de la planificación estratégica. Al hablar de planeación estratégica es dar a entender en términos generales y de la manera en la que se determinarán ostentaciones de comportamiento que necesariamente van a incidir de forma profunda y explicativa en el expectante de la compañía u entidad que la adopta. Hoy en día se piensa en la empresa como fracción de un entorno y en métodos de opciones o alternativas en función de lo que se posee, de lo que la rodea y de las distintas oportunidades y horizontes posibles que pueden llevar a conseguir el objetivo establecido
Majlis Gerakan Negara (MAGERAN): Usaha Memulihkan Semula Keamanan Negara Malaysia
Authors: Esa Mohd Sohaimi , Ationg Romzi
Published: December 2020

Susulan peristiwa 13 Mei 1969, sehari kemudian kerajaan telah mengisytiharkan Darurat di seluruh negara. Sehubungan itu, bagi memulihkan keamanan, kerajaan telah menubuhkan Majlis Gerakan Negara (MAGERAN) pada 16 Mei 1969. Pada umumnya, keanggotaan jawatankuasa dan matlamat MAGERAN telah banyak dibincangkan dalam mana-mana penulisan. Namun begitu, persoalan bagaimanakah pemimpin utama dalam MAGERAN dipilih masih belum begitu jelas dibincangkan lagi. Justeru itu, dengan berasaskan kaedah disiplin sejarah perkara ini akan dirungkaikan dalam artikel ini. Artikel ini juga akan membincangkan langkah-langkah yang telah diambil oleh MAGERAN untuk memulihkan semula keamanan dan sistem demokrasi yang telah lama diamalkan di negara ini. Dalam pada itu, kertas kerja ini menegaskan bahawa dengan adanya kepimpinan yang berwibawa dalam MAGERAN maka keamanan negara telah berjaya dipulihkan dalam masa yang singkat.