bluuebunny/crossref_metadata_2025 huggingface dataset:
«SUMMER IN THE VILLAGE» IN THE FORMATION OF IDENTITY OF THE LAST SOVIET GENERATION
Authors: ЧУРКИН Н.И.
Published: July 2024

В статье, на основе сравнения механизмов и факторов формирования поколений (со- циологических, психологических и др.), делается вывод о возможности исследова- ния летних практик взросления представителей поколения Х, которые рассматри- ваются как один из системных факторов. Цель статьи состоит в выявлении повседневных практик летнего досуга городских детей, которые могли оказать влияние на формирова- ние компонентов ментальности поколения Х. Материалами анализа стали тексты 31 вклю- ченного интервью с представителями поколения Х (1964–1978 г. р.). Проведенный анализ показал, что бытовые условия, культура питания, транслируемые в деревенской культуре ценности, взаимодействие с деревенскими сверстниками и родственниками, оказали влия- ние на когнитивные, аксиологические и поведенческие черты поколения.

The article, based on a comparison of the mechanisms and factors of the formation of generations (sociological, psychological, etc.), concludes that it is possible to study the summer practices of growing up of representatives of generation X, which are considered as one of the systemic factors. The purpose of the article is to identify the everyday practices of summer leisure of urban children that could influence the formation of components of the mentality of Generation X. The materials of the analysis were the texts of 31 included interviews with representatives of Generation X (born 1964–1978). The analysis showed that living conditions, food culture, values transmitted in village culture, interaction with village peers and relatives influenced the cognitive, axiological and behavioral traits of the generation.
ASPECTOS PROBLEMÁTICOS DEL IMPACTO DE LA TRANSICIÓN ECOLÓGICA EN EL EMPLEO DE LAS MUJERES
Authors: Gómez García Francisco Xabiere
Published: July 2024

Pese al tiempo transcurrido desde la consagración constitucional del derecho a la igualdad y no discriminación entre mujeres y hombres y sin dejar de reconocer los avances derivados de la regulación normativa, la realidad de las relaciones laborales está todavía lejos de ofrecer un panorama de verdadero equilibrio y de efectiva igualdad para las mujeres. Al tiempo, la reconversión productiva asociada a las ineludibles exigencias de lucha contra el cambio climático puede provocar nuevas brechas de género.  Ante este panorama, es necesario buscar las explicaciones concretas de esta preterición laboral en aras a corregir este abrupto devenir, adoptando una perspectiva propositiva capaz de introducir mejoras ad futurum.  A tal efecto, se ha llevado a cabo un análisis multifactorial de las circunstancias que inciden en las altas tasas de pobreza femenina y de precariedad laboral, el rostro femenino de los cuidados, la segregación ocupacional, el trabajo informal, el emprendimiento sin red, fórmulas de economía social, la parcialidad y la temporalidad, la siniestralidad laboral, la ordenación sexista de la clasificación profesional, la inexistente promoción vertical, las exigencias de constante disponibilidad, la mera formalidad en la corresponsabilidad, la particular problemática de los territorios rurales, el ecofeminismo o, entre otros, los dobles o triples estigmas que padecen las mujeres que acarrean una discriminación interseccional. Asimismo, se han propuesto vías de avance y buenas prácticas para la erradicación de las discriminaciones múltiples obrantes por razón de sexo y género en el contexto productivo actual apostando por el fomento del empleo de las mujeres en unas condiciones de trabajo dignas.
CONSECUENCIAS DE LA TRANSICIÓN ECOLÓGICA EN LAS GRANDES EMPRESAS Y TRANSNACIONALES
Authors: Gómez García Francisco Xabiere
Published: July 2024

Los efectos que conllevan las herramientas de lucha contra el cambio climático hacen insoslayable apostar por una transición equitativa hacia economías verdes, lo cual exige integrar los objetivos climáticos con políticas sociales y económicas destinadas a reducir la vulnerabilidad, apoyar a los afectados por el cambio climático y crear empleos dignos. Por tal razón, la transición justa pretendida ha de tutelar la innovación de las distintas actividades, poner en valor aquellas ocupaciones calificadas como esenciales asociadas a los empleos denominados verdes y apostar por la inversión en la reconversión organizativa de los ámbitos funcionales clásicos. Bajo tales premisas, una transición hacia la economía verde constituye una oportunidad no sólo para introducir cambios en los procesos productivos de las industrias más tradicionales capaces de mejorar la competitividad empresarial y las posibilidades de negocio, sino para la creación de nuevos puestos de trabajo en ámbitos emergentes sostenibles desde el punto de vista de la neutralidad climática. Tales fenómenos contribuirán no sólo a la mejora del medio ambiente sino también a la dignificación y seguridad en las condiciones de trabajo, fomentando, a la postre, la ansiada cohesión social interterritorial, a través del impulso de actividades variadas, tal y como sucede con el sector de energías renovables, reciclaje, tratamiento de residuos y reutilización, automoción y transporte sostenible, agricultura, ganadería y pesca, industria química o construcción de edificios ecológicos y regeneración de los existentes.
TRANSICIÓN ECOLÓGICA Y TRABAJO FEMENINO. EN PARTICULAR, EMPLEOS VERDES EN CLAVE DE GÉNERO Y DESARROLLO RURAL
Authors: Agra Viforcos Beatriz
Published: July 2024

Los efectos que conllevan las herramientas de lucha contra el cambio climático hacen insoslayable apostar por una transición equitativa hacia economías verdes, lo cual exige integrar los objetivos climáticos con políticas sociales y económicas destinadas a reducir la vulnerabilidad, apoyar a los afectados por el cambio climático y crear empleos dignos. Por tal razón, la transición justa pretendida ha de tutelar la innovación de las distintas actividades, poner en valor aquellas ocupaciones calificadas como esenciales asociadas a los empleos denominados verdes y apostar por la inversión en la reconversión organizativa de los ámbitos funcionales clásicos. Bajo tales premisas, una transición hacia la economía verde constituye una oportunidad no sólo para introducir cambios en los procesos productivos de las industrias más tradicionales capaces de mejorar la competitividad empresarial y las posibilidades de negocio, sino para la creación de nuevos puestos de trabajo en ámbitos emergentes sostenibles desde el punto de vista de la neutralidad climática. Tales fenómenos contribuirán no sólo a la mejora del medio ambiente sino también a la dignificación y seguridad en las condiciones de trabajo, fomentando, a la postre, la ansiada cohesión social interterritorial, a través del impulso de actividades variadas, tal y como sucede con el sector de energías renovables, reciclaje, tratamiento de residuos y reutilización, automoción y transporte sostenible, agricultura, ganadería y pesca, industria química o construcción de edificios ecológicos y regeneración de los existentes.
Prevalence and Determinants of Maternal and Perinatal Outcome of Preeclampsia at a Tertiary Hospital in Ethiopia
Authors: Yemane Legesse Awol , Berhe Yibrah , Ahmed Mohammednur Sumeya , Teka Hale , Goba Gelila
Published: July 2024

INTRODUCTION: Preeclampsia is a common pregnancy disorder with potential adverse maternal andneonatal outcomes. This study aimed to assess the prevalence and determinants of maternal and perinatal outcomeof preeclampsia at Ayder Comprehensive Specialized Hospital. Ayder Comprehensive Specialized Hospital (ACSH),is a tertiary hospital in northern Ethiopia where most preeclamptic patients are treated.METHODS: We performed a retrospective chart review of preeclamptic patients treated at ACSH betweenSeptember 1, 2015 and August 31, 2018. Descriptive analysis and logistic regression were applied for differentvariables. P value <.05 was taken as statistically significant.RESULTS: Over the study period, the total number of deliveries recorded was 8,502. There were 362 patientswith preeclampsia. The poor maternal outcome was present in 40% of cases while 25% of cases had poor perinataloutcomes. The top three poor maternal outcomes reported in this study were maternal death (2.8%), eclampsia(6.6%), and renal failure (1.1%). Headache (AOR 32.26 95% CI 0.03-32.60 and low hemoglobin value (AOR 15.9495% CI 2.34-108.81) were associated with poor maternal outcome. The poor perinatal outcomes were stillbirths(5.8%), early neonatal deaths (1.1%), and low APGAR score (18.8%). Earlier gestational age at diagnosis (AOR 2.1595% CI 1.22-3.79) was associated with poor perinatal outcome.CONCLUSIONS AND RECOMMENDATIONS: In a resource-limited setting where diagnostictools are scarce, the clinical profile should be taken into consideration for prediction of poor outcome. Owing to theassociation found between maternal outcome and hemoglobin, further prospective research is required to identifyif anemia was the cause or effect of preeclampsia.KEYWORDS: Preeclampsia, maternal, perinatal, outcome, Ayder, Ethiopia
Quantitation of antioxidant levels of soy-fern fermentation by DPPH assay
Authors: Opena Edward Laurence , Cempron Matilda , Remon Johndel , Dela Cruz Reggie , Guillena Junge
Published: July 2024

Fermentation biotechnology is one of the approaches to addressing the issues of food security worldwide, where the demand for healthier and safer foods is becoming mainstream. Even though fermentation has been practiced since ancient times, there are still an infinite number of topics that can serve as subjects for fermentative investigation. Among the popular nutraceutical research is the antioxidant properties of plants. In this study, the radical scavenging activities of soy-fern fermentation by mixed probiotics (13 species) have been quantified using the 2,2-diphenyl-1-picrylhydrazyl (DPPH) assay. Four treatments were set up: soy-fern-probiotics, soy-fern, soy-probiotics, and soy. These treatments were fermented (submerged) for up to 72 h. Samples were taken at 0 h, 24 h, 48 h, and 72 h and were analyzed via a 96-well plate microplate photometer. Results showed that the production of antioxidants peaked at 24 h in soy-fern-probiotics and soy-fern (82.82% and 82.77%, respectively), suggesting that the presence of fern molecules could have affected the production of antioxidant molecules. It is also observed that the probiotics have less impact on the antioxidant levels. The analysis of variance (ANOVA) showed that there is a significant difference in this timeframe when compared to other timeframes. On average, the succession of antioxidant levels is as follows (highest to lowest): 24 h, 48 h, 0 h, 72 h. Overall, the level of antioxidants depends on the substrates, fermenting microorganisms, type of fermentation, and fermentation time. More studies on this matter are highly recommended.
INNOVATIVE TECHNOLOGIES OF INTEGRATED TEACHING OF MATHEMATICS WITH SCIENCE SUBJECTS
Authors: Murzabaev K. K. , Apendiev O. T. , Abdibait kyzy Meerimgul
Published: July 2024

The article highlights the positive aspects of integrated teaching of mathematics with other subjects. Because of evolution of society and technology should be happen changes, progress in education. At the present time, acquiring knowledge about the real reality is acquiring special relevance not through separate training, but through integrated training. Integrated learning is a necessary method that meets modern requirements. In an integrated lesson, students are able to obtain deep and versatile knowledge using information from a variety of subject areas. In this case, the student's knowledge becomes complete, and the concepts of reality are integral.
CUIDADO EM SAÚDE MENTAL DE TRABALHADORES: RELATO DE EXPERIÊNCIA NO CAMPO DA PSICOLOGIA ORGANIZACIONAL
Authors: Batista Késsia Lyra
Published: July 2024

Este artículo es un relato de experiencia en el campo de la psicología organizacional que aborda la importancia del cuidado de la salud mental de los trabajadores. El objetivo central es describir las experiencias de realización de acciones de promoción de la salud mental para los trabajadores a través de la estrategia de concienciación y educación, priorizando la valorización de la salud mental y el equilibrio entre trabajo y vida personal. Se desarrollaron tres acciones: “Entrenamiento de Inteligencia Emocional”, “Taller sobre Gestión del Estrés” y “Campaña: equilibrio entre vida profesional y personal”, que se realizaron en los meses de octubre, noviembre y diciembre de 2023. Las acciones desarrolladas y descritas se mostraron como estrategias relevantes para promover la salud mental en el ambiente de trabajo, reflejándose en un clima interno más saludable y productivo.
Numerical Exploration of a Network of Nonlocally Coupled Josephson Junction Spurred by Wien BridgeOscillators
Authors: Ngatcha Dianorré Tokoue , Ndemanou Buris Peggy , Talla Alain Francis , Ngueuteu Mbouna Serge Gervais , Kingni Sifeu Takougang
Published: July 2024

This paper focuses on the numerical study of the collective dynamics of nonlocally coupled Josephson junctions (JJ) driven by Wien bridge oscillators (JJSWBOs). A single JJSWBO exhibits monostable and bistable chaotic behaviors, bistable period-3 oscillations, and a coexistence of regular and chaotic dynamics. To explore the network's collective dynamics, the local dynamics are set in a bistable regime, with initial conditions ensuring random distribution of units on these two types of behavior. Increasing the coupling strength transitions the network from complete incoherence to coherent traveling waves via a chimera state.
Analysis of a Resistive-Capacitive Shunted Josephson Junction with Topologically Nontrivial Barrier Coupledto a RLC Resonator
Authors: Metsebo Jules , Abdou Boubakary , Ngatcha Dianorré Tokoue , Ngongiah Isidore Komofor , Kamdem Kuate Paul Didier , Mboupda Pone Justin Roger
Published: July 2024

This paper presents the resistive-capacitive shunted Josephson junction (RCSJJ) with a topologically nontrivial barrier (TNB) coupled to a linear RLC resonator. The rate equations describing RCSJJ with TNB coupled to the linear RLC resonator are established via Kirchhoff’s current and voltage laws. The model exhibits four, two, or no equilibrium points depending on the external direct current (DC) source and the fractional parameter. The stability analysis of the equilibrium points with credit to the Routh-Hurwitz stability criterion reveals that the stability of equilibrium points depends on the DC source and the fractional parameter. Current-voltage characteristic reveals the presence of a birhythmicity zone which is sensitive to the fractional parameter m. As the fractional parameter increases, the coexistence of the resonant state is destroyed, which is followed simultaneously by the appearance of a new resonance state. Depending on initial conditions, birhythmic behaviour is characterized by the existence of a limit cycle. The projection of the phase space in the specific plane and the time evolution of charge is predicted in which the amplitude of attractors reported is sensitive to the parameter m. Lastly, with a defined fractional parameter, the amplitude of the branch locked to the resonator is greater than the unlocked branch.
PANDEMIC AND THE ANECDOTE OF INDIA’S WELFARE STATE
Authors: Dubey Siddhant , Natani Shrishti
Published: July 2024

A total of 198 workers lost their lives during all the 4 phases of lockdown.3 As per a report of the International Labor Organization [‘ILO’] and Asian Development Bank [‘ADB’], 41 lakh Indian youth lost their jobs owing to the Pandemic.4 Human Rights Watch reported that more than 1.5 billion students are out of school already.5 Incidents of communal violence and religious discrimination in the country have ballooned since the outbreak of coronavirus. This pandemic came at the time when India was already among the most hunger struck countries in the world, corroborated by the Global Hunger Index [‘GHI’] ranking India 102 among 117 countries.6 Besides all this, India is a country with the 3rd most number of deaths in the world, and its healthcare infrastructure is failing the citizens
FINANCING THE CORONA CRISIS IN EUROPE
Authors: Schäfer Hans-Bernd
Published: July 2024

On the 9th of April, after two days of negotiations on a European financing programme to deal with the Corona crisis the finance ministers of the euro area agreed, amongst other things, on a line of credit provided by the European Stability Mechanism (ESM). All furtherreaching proposals from France, Italy and Spain, but also from many respected economists in Germany, are thus off the table for the time being. Nevertheless, the German government has succeeded in presenting this as a breakthrough in European solidarity. The headlines of the world press spoke of a line of credit of 240 billion euro. According to Politico on April 10 "The ESM will make €240bn available in spending for indebted countries." The Süddeutsche Zeitung already titled "240 billion from rescue aid" on March 25. On the homepage of the German government it says "The Eurogroup has agreed on a 500 billion euro protection program." This indirectly puts the ESM loans at EUR 200 billion.2 These are widespread but misleading claims, as we will show here
WELFARE IMPACT ANALYSIS OF MENSTRUAL HYGIENE POLICY THROUGH EMPIRICAL STUDY IN PUNJAB
Authors: Jindal Jyoti
Published: July 2024

This paper outlays a study of 144 women, done in Ludhiana district of Punjab, wherein information has been obtained through objective as well as open-ended questions. These women belong to low income families and menstrual hygiene is not a priority for them due to their lack of awareness of the consequences of poor menstrual hygiene and prevalent taboos preventing them from openly discussing their problems. A large proportion of women still use old rags and unhygienic cloth during menstruation. None of the women interviewed was aware of any ongoing government scheme for menstruating women, which implies that government needs to strongly advertise these schemes. The pads supplied in such schemes are regular-sized and do not cover the needs of all women, thereby leading to leakages and discouraging them from using pads altogether. Schools only teach the girls about menstruation which perpetuates a culture of hiding it from the male population and fails to teach boys that it being a biological phenomenon needs to be respected and not ridiculed. Female attendants at government pharmacies are therefore necessary to encourage women to buy pads and also, these pharmacies can be used for spreading salubrious information. This paper further deploys three different methods to conduct an economic analysis as to why the government scheme is not efficient enough, and what steps can be taken to address this problem.
The Heartbeat: Evidence and Presupposition from Days of Yore and Far Yonder
Authors: Chua William T
Published: July 2024

INTRODUCTION: Let we, who are supposed experts of the heart and know that there’s a tiny node at the roof of the right atrium that fires impulses automatically to the demand of the body with nary our care or intent, pause for a moment to appreciate what it took for our forefathers to put us in this position of knowledge; and, by the same awareness, be humbled to realize that there’s a lot more beyond what we know and understand.

Voluminous scientific evidence gathered from ages and from all corners of the world have revealed so much information in attempt to search for the anatomic, physiologic, down to embryogenic fundamentals of the cardiac electrical system to answer the question: “How is one heartbeat formed?”

How is the conduction system configured?

After fertilization, the immediately busy blastocyst travels from the ampulla of the fallopian tube to be imbedded in the endometrium while cell division continues along the way. Along with it, a trophoblast develops as an essential component of the placenta to begin feeding the growing embryo. All these happen within 6 days after the honeymoon.1
Interim Guidance for Training Programs in Philippine Adult Cardiology During the COVID-19 Pandemic
Authors:   The Philippine Task Force for Core Curriculum Guidelines
Published: July 2024

The first local guideline devoted to a discussion of cardiology training in the country was released by the Philippine Heart Association–Philippine College of Cardiology in 2007. The latest update was released in 2017, with more detailed information regarding program outcomes, learning strategies, and evaluation tools.

This document was based on consolidated real-world data from the various accredited training programs of the Philippine Heart Association, helping the task force set minimum standards that would uphold quality without unnecessarily disenfranchising smaller but equally deserving programs. Since 2017, all programs sought to comply with such standards, ensuring that their graduates would satisfy the essential outcomes desired of a competent, compassionate, and well-rounded general cardiologist.
Revised PhilHealth Case Rates for Hospitalization for Acute Coronary Syndrome in the Philippines
Authors: Punzalan Felix Eduardo R , Pestaño Noemi S , Santos April Ann A. Bermudez-delos , Tumanan-Mendoza Bernadette A , Mendoza Victor L , Sison Eric Oliver D , Leon Karen Amoloza-De , Reyes Eugenio B , Daud Nashiba M , Dimalala-Lardizabal Maria Grethel C , Bugarin Orlando R , Jimenez Rodney M , Albacite Domicias L , Balagapo Ma. Belen A , Batalla Elfred M , Bernardo Jonathan James G , Garcia Helen Ong , Karim Amibahar J , Lahoz Gloria R , Salces Neil Wayne C
Published: July 2024

BACKGROUND: Hospitalization for acute coronary syndrome (ACS) has epidemiologic and  economic burden. The coverage for hospitalization in the local setting is much less than the  actual costs. Many patients do not consent to or avail of the optimal and timely management  because of financial challenges. 

OBJECTIVES: The paper aimed to propose revised PhilHealth case rates/packages for ACS,  namely: 1) unstable angina (UA), 2) non–ST-elevation myocardial infarction (NSTEMI), and 3) ST elevation myocardial infarction (STEMI). 

METHODS: A consensus panel was organized to provide inputs such as cost and other matters  pertaining to the revision of the PhilHealth ACS case rates/packages. The results of the cost of  hospitalization of the different ACS conditions derived from a study on hospitalization cost for  ACS were presented to the panel. Several focused group discussions were held afterward for  propositioning new case rates through votation and by nominal group technique, using the costs  from the study as the bases of rate adjustment. 

RESULTS: Final costs agreed upon by the consensus panel for medical management alone  for UA, NSTEMI, and STEMI were adjusted or amended in increments of Php 20,000, (80,000,  100,000, and 120,000, respectively). Thrombolysis of a patient admitted for STEMI increased  the cost to Php 140,000. An additional cost of Php 150,000 was added on top of the cost for  medical management and coronary angiogram for NSTE- ACS for PCI with use of a single stent.  For STEMI, the same category had an additional cost of Php 180,000. For each additional stent  used for all clinical scenarios undergoing PCI, Php 65,000 was added, to cover up to a total of 3  stents. 

CONCLUSION: Based on the consensus process with Philippine Heart Association ACS  panelists, the cost proposed ranges from 80,000 pesos to 530,000 pesos depending on the  clinical scenarios. 

KEYWORDS: case rates, PhilHealth, acute coronary syndrome, economic impact
Philippine Learning Framework for Specialty Fellows in General Adult Cardiology
Authors:   The Philippine Task Force for Core Curriculum Guidelines
Published: July 2024

For a long time, the training of fellows for the specialty of cardiology has not been looked into in greater detail. The first local guideline devoted to a discussion of cardiology training in the country was released by the Philippine Heart Association-Philippine College of Cardiology in 2007. Since then, no update has been formally released regarding the document. Such an update is undeniably necessary, especially since the field of cardiovascular medicine is dynamic and ever-changing.
Tangled: Unraveling a Rare Combination of Multiple Coronary Artery Fistulas and Severe Aortic Stenosis in a 70-Year-Old Man
Authors: Cruz Patrick Vera , Luna Dina Carissa , Magbanua Rodolfo
Published: July 2024

INTRODUCTION: Coronary artery fistulas (CAFs) are rare congenital or acquired anomalies that connect one or more coronary arteries to a cardiac chamber or a great vessel without an intervening capillary bed. Most are asymptomatic and are usually incidental findings on echocardiography or angiography for an unrelated cause. Occasionally, complications occur, which include endocarditis, thrombosis, steal syndrome, and heart failure.Here, we present a rare case of multiple CAFs draining to the main pulmonary artery in a patient with severe aortic stenosis (AS) presenting a unique management dilemma.

CASE PRESENTATION: Five weeks before admission, a 70-year-old man with good baseline functional capacity, independent on all activities of daily living, developed exertional dyspnea, orthopnea, and paroxysmal nocturnal dyspnea. His symptoms persisted for a week prompting consult at another institution where he was managed as a case of acute heart failure and given diuretics, which resolved his symptoms. His two-dimensional (2D) echocardiogram showed eccentric left ventricular hypertrophy with adequate segmental and global wall motion and contractility, a left ventricular ejection fraction of 62% by the Simpson method, normal right ventricular diameter with adequate wall motion and contractility, dilated left atrial dimensions with a left atrial volume index of 50.98 mL/m2, moderate mitral regurgitation, normal right atrial diameter, thickened mitral valve leaflets without restriction of motion, thickened and calcified aortic valve, severe AS (aortic valve area of 0.37 cm2, mean gradient of 78.77 mm Hg, and peak gradient of 124.88 mm Hg), severe aortic regurgitation, mild tricuspid and pulmonic regurgitation, and normal pulmonary artery pressure (13 mm Hg by tricuspid regurgitant jet).
Windows, Wings and Wonder: Advanced Cardiac Imaging Via Transesophageal Two-Dimensional and Transthoracic Three-Dimensional Echocardiography for the Accurate Diagnosis of Double-Orifice Mitral Valve in the Background of Primum Atrial Septal Defect: A Case Report
Authors: Magno Jose Donato A , Supe Myla Salazar , Ramos-Salamanca Lilibel L , Salangsang Rei A
Published: July 2024

The assessment of mitral valve anatomy can be difficult or even misleading on standard cardiac imaging procedures. Such is the scenario in a 40-year-old woman with an incidental finding of atrial septal defect (ASD) and consideration of a trileaflet versus double-orifice mitral valve (DOMV) on transthoracic two-dimensional echocardiography. Further interrogation using transesophageal two-dimensional and transthoracic three-dimensional (3D) echocardiography (to allow more accurate assessment and simultaneous viewing of multiple imaging planes) revealed the typical “seagull wing” configuration of the mitral valve on long-axis view and two distinct but nearly equal-sized orifices on short-axis view, one oriented anteriorly and the other posteriorly. The patient’s DOMV was classified as an incomplete bridge type as confirmed on 3D imaging, with each orifice having its own set of papillary muscles and chordal attachments. The mitral regurgitation was graded as severe, resulting from leaflet prolapse of the anterior orifice. No left ventricular outflow tract obstruction was demonstrated in this case, and the overall left ventricular systolic function was preserved. The ASD was of the primum type, with the configuration and exact location verified through 3D imaging. The accurate detection of congenital anomalies via noninvasive techniques and complementary advanced modalities is vital for preoperative planning, as well as anticipation of potential complications related to the structural anomalies. To our knowledge, this is the first local report of DOMV with primum ASD in an adult.

KEYWORDS: double-orifice mitral valve, primum atrial septal defect, transesophageal and three dimensional echocardiography
Budget Impact Analysis of the Proposed PhilHealth Case Rates for Acute Coronary Syndrome in the Philippines
Authors: Tumanan-Mendoza Bernadette A , Mendoza Victor L , Punzalan Felix Eduardo R , Pestaño Noemi S , Santos April Ann A. Bermudez-delos , Sison Eric Oliver D , Reyes Eugenio B , Leon Karen Amoloza-de , Daud Nashiba M , Dimalala-Lardizabal Maria Grethel C , Bugarin Orlando R , Jimenez Rodney M , Albacite Domicias L , Balagapo Ma. Belen A , Batalla Elfred M , Bernardo Jonathan James G , Garcia Helen Ong , Karim Amibahar J , Lahoz Gloria R , Salces Neil Wayne C
Published: July 2024

OBJECTIVE: This study aimed to determine the budget impact of the proposed revised  PhilHealth case rate packages for acute coronary syndrome (ACS). 

METHODS: This budget impact analysis used the static approach or cost calculator modeling  method. The prevalence of hospitalization for coronary artery disease in all PhilHealth-accredited  hospitals in the country in 2017 and the data from the ACS registry project of the Philippine Heart  Association were used in this study. The study multiplied the present PhilHealth coverage with  the number of ACS hospitalization claims to come up with the total cost of ACS hospitalization  in the next three years with the assumptions that the eligible population and the ACS PhilHealth  case rates will remain constant for these years. The future ACS hospitalization costs were also  determined if the proposed case rates were used rather than the current PhilHealth case rates.  The cost of re-admissions was considered as savings in hospitalization cost (due to prevention of  admissions if the appropriate interventions were given) and were deducted from the future total  cost of ACS hospitalizations. 

RESULTS: The annual total ACS hospitalization cost using the current case rates was Php  1,134,683,000. Using the proposed case rates, the total hospitalization costs over five years was  Php 2,653,019,000 in the first year (proposed case rates implemented to only 20% of the ACS  patients) and increased to Php 8,726,364,000 by year 5 (full implementation of the proposed  case rates or to 100% of ACS patients). This resulted in a lower incremental cost in the first  year of implementation compared with a less gradual implementation over 3 years. The total  incremental costs would amount to PHP7.6 billion for full implementation. 

CONCLUSION: The study provided the budget impact of the proposed revised ACS case rates.  The incremental cost is relatively huge, however the benefits of providing coverage of guideline directed therapy including invasive strategies for ACS must be considered.
Perceptions, Insights, and Attitudes of Selected Filipino Female Physicians on Cardiovascular Risks and Diseases
Authors: Estepa Lilybell Victoria E , De Lara Aileen Cynthia F
Published: July 2024

OBJECTIVE: The aim of this study was to determine the knowledge, perceptions, insights and attitudes on cardiovascular disease (CVD) prevention, personal health-related lifestyle practices, and lifestyle counseling practices of selected female physicians who are practicing or training in the PH.
METHODS: This was a descriptive ambispective cross-sectional study where the survey questionnaire was adapted and modified with the authors’ permission, conducted online, and answered by 484 consenting female physicians.
RESULTS: The majority had accurate responses to the CVD prevention knowledge items; 36.98% had hypertension, 32% were obese, 28.5% had dyslipidemia, and 17.2% had diabetes mellitus; 60.33% practice sleep of 6 to 8 hours, 53.51% eat vegetables and fruits daily, 55.79% prefer fish and seafood, 89.05% do not smoke, 61.2% take coffee or black tea daily, 84.51% have no regular exercise, and 30.79% of those who do exercise for only 10 to 20 minutes; 67.98% add salt or soy or fish sauce to their meals, and 72.73% do not drink enough water daily; 44.42% do not undergo annual general check-up, and 58.06% do not have a personal physician. Limitations due to COVID-19 pandemic, lack of education, and expensive screening tests are perceived to be major barriers to CVD screening. More than 90% practice health teachings on diabetes mellitus prevention, hypertension screening, cholesterol screening and management, nutrition, and weight management. Counseling on regular exercise, smoking, and alcohol abuse is practiced by 88.02%, 85.74%, and 83.88% of our respondents, respectively.
CONCLUSION: Enhancement in physicians’ knowledge and behavior toward CVD risk management and prevention is an integral part in the improvement of CVD prevention.
KEYWORDS: cardiovascular risks and diseases, Filipino female physicians, prevention
The Association of Withdrawing Maintenance Renin-Angiotensin System Inhibitor on All-Cause Mortality and Intensive Care Unit Admission Among Hypertensive Patients Admitted for Mild to Moderate COVID-19 infection:A Meta-analysis of Observational Studies
Authors: Dychiching Arlene Melissa T , Dizon Erwin D
Published: July 2024

INTRODUCTION: The pandemic caused by coronavirus disease 2019 (COVID-19) posed a serious challenge to all health care systems in the world. It has been found to be harmful in people with underlying cardiovascular diseases, particularly in patients with systemic hypertension, which may be due to upregulation of angiotensin-converting enzyme 2 (ACE2) expression, which may lead to increased severe acute respiratory syndrome coronavirus 2 virulence. Renin-angiotensin system inhibitor (RASI) acts by blocking the angiotensin-converting enzyme and angiotensin II type 1 receptors, which in turn affects the production of the ACE2 protein. Hence, there have been arguments on whether to continue or discontinue this medication. Given the widespread use of RASIs globally and the fact that they are generally cardioprotective, research into the safety of continuing these maintenance medications in patients hospitalized with mild to moderate COVID-19 is immensely needed.

METHODS: This meta-analysis involved review of observational studies among hypertensive patients on maintenance ACE inhibitor or angiotensin-receptor blocker with confirmed mild to moderate COVID-19 infection. Analyses were performed to determine the adjusted hazard ratio of each event using the raw data obtained from each study. Random-effects model and Cochran-Mantel-Haenszel method were utilized at 95% confidence interval. To check for heterogeneity, χ2 test and I2 statistic were calculated. Cochrane ReviewManager (RevMan version 5.3) was used for data analysis, and forest plots were generated.

RESULTS: At 95% confidence interval, the adjusted hazard ratios for all-cause mortality and intensive care unit (ICU) admission at 95% confidence interval were 1.64 (1.22, 2.21) and 1.93 (1.34, 2.79), respectively. The tests of overall estimate effect for both outcomes were P < 0.0001 for all-cause mortality and P = 0.0003 for ICU admission.

CONCLUSION: Discontinuation of maintenance RASI during hospitalization is associated with increased all-cause mortality and ICU admission among hypertensive patients with mild to moderate COVID-19 infection.

KEYWORDS: angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers, coronavirus, COVID-19, renin-angiotensin system inhibitor
The Correlation of Platelet-to-Lymphocyte Ratio Levels With Clinical Outcomes in Acute Coronary Syndrome Patients Admitted in a Tertiary Hospital From January 2011 to December 2020
Authors: Tenorio Jehaila B , Calinawagan Brian Joseph M , Congjuico Kara Kirsty V
Published: July 2024

BACKGROUND: Studies have shown that inflammation plays a role in the pathogenesis of acute coronary syndrome (ACS). The use of platelet-to-lymphocyte ratio (PLR) as a marker for inflammatory conditions such as malignancy, systemic lupus erythematosus, and rheumatoid arthritis has been demonstrated in several studies. The aim of this study is to determine whether an elevated PLR taken on admission is associated with in-hospital mortality and major adverse cardiac events among ACS patients.

METHODS: This is a single-center, retrospective correlational study. It included all ACS ST segment elevation myocardial infarction and non–ST-segment elevation myocardial infarction adult patients admitted from January 2011 to December 2020. Complete blood count on admission was used to derive the PLR. Patient’s course in the ward was reviewed for development of adverse clinical outcomes such as in-hospital mortality, arrhythmias, heart failure, cardiogenic shock, and reinfarction. Primary outcome for this study was in-hospital mortality, and the secondary outcomes were the development of other complications previously mentioned. Optimal cutoff value associated with in-hospital mortality was determined using receiver operating characteristic curve.

RESULTS: A total of 342 patients were included in the study. Forty-three (12.57%) of the sample had in-hospital mortality and was noted to have higher PLR compared with patients who did not develop complications. Univariate logistic regression analysis showed a significant relationship between a high PLR and occurrence of in-hospital mortality (P = 0.0039). The optimal cutoff value of PLR that can predict in-hospital mortality is 165, with 52.17% sensitivity, 56.76% specificity, and an area under the curve of 59.69%. On the other hand, a high PLR did not show association with the development of complications during the hospital stay.

CONCLUSION: A PLR of >165 is a cheap, readily available marker that can be used to predict in-hospital mortality among Filipino patients with ACS.

KEYWORDS: acute coronary syndrome, platelet-to-lymphocyte ratio
Safety and Outcomes of Same-Day Discharge Versus Overnight Observation After Transradial Percutaneous Coronary Intervention: A Retrospective Cohort Study in a Tertiary Hospital in Philippines
Authors: Tang Hervin Damler A , Galang Dan Brian , Prado Jose Paolo A
Published: July 2024

INTRODUCTION: Since earlier days of percutaneous coronary intervention (PCI), there has been improvement in several aspects of PCI including use of transradial approach and third-generation drug-eluting stents. Despite data showing its safety, same-day discharge (SDD) PCI has not been widely practiced in our institution and country. At present, there are no published studies from the Philippines showing the safety and outcome of SDD PCI.

OBJECTIVES: The primary objective of this study is to determine and compare the safety and outcomes of SDD versus overnight observation after PCI in The Medical City from 2018 to 2021.

METHODS: This was a retrospective cohort study. The primary endpoint was to describe and compare the clinical profile of patients who underwent same-day versus overnight observation after PCI such as age, sex, comorbidities, indication for coronary angiogram, procedure time, total dye used, stent, and drug-eluting stent used. Incidence of major adverse cardiovascular event, mortality, readmission, and access site complications were also determined at 48 hours and 30 days after PCI.

RESULTS: Ninety-three patients were included in the analysis. Reasons for undergoing PCI were a positive noninvasive stress test (45%), stable angina (40%), coronary artery disease (26%), and heart failure (20%). More single-vessel (60%) than multivessel (40%) PCIs were performed. The most frequently affected coronary artery was the LAD (82%), followed by right coronary artery (32%) and left circumflex artery (30%). Compared with patients who stayed longer after PCI, the SDD group had lower mean (±SD) body mass index (25.10 ± 3.12 vs 28.55 ± 4.95 kg/m2), less due to a positive noninvasive test (26% vs 51%), more who underwent a single-vessel PCI (78% vs 54%), lower median amount of injected dye (130 vs 188 mL), shorter median procedural time (74 vs 101.5 minutes), and greater use of sirolimus-eluting stent (22% vs 3%). No adverse outcome of interest was noted in any patient up to 30 days after hospital discharge.

CONCLUSION: No adverse outcome was noted with SDD PCI. Larger, prospective, randomized comparative studies are needed to ascertain its safety before recommending SDD PCI routinely.

KEYWORDS: left anterior descending artery, left circumflex artery, percutaneous coronary intervention, right coronary artery, same-day discharge
Efficacy and Safety of Ticagrelor Monotherapy Versus Dual-Antiplatelet Therapy After Percutaneous Coronary Intervention With Drug-Eluting Stent in Patients With Diabetes Mellitus: A Systematic Review and Meta- analysis
Authors: David Billy Joseph , Tanedo Althea Nicole , Tee John Derrik , Gerodias Ferdinand R
Published: July 2024

BACKGROUND: Dual-antiplatelet therapy (DAPT) with aspirin and a P2Y12 inhibitor is the standard for the prevention of thrombotic events in patients undergoing percutaneous coronary intervention (PCI). Type 2 diabetes mellitus (DM) patients are a subgroup with a higher risk of bleeding and thrombotic events after PCI.
OBJECTIVES: This meta-analysis aimed to determine whether ticagrelor monotherapy after an initial short-course DAPT is an effective and safe option in preventing thrombotic events among DM patients undergoing PC.
METHODS: A systematic review and meta-analysis was done on randomized controlled trials (RCT) comparing ticagrelor monotherapy following short-course DAPT versus conventional DAPT in T2DM patients who underwent PCI. Outcome measures for major bleeding, myocardial infarction, and all-cause mortality were extracted and analyzed using a random-effects model via RevMan version 5.3.
RESULTS: A total of three RCTs, with 7482 patients, were analyzed. There were no significant differences in major bleeding (P = 0.26) and myocardial infarction (P = 0.66) events between the ticagrelor and DAPT groups. However, there was a higher rate of all-cause mortality in the DAPT group, which was statistically significant (risk ratio, 0.76; 95% confidence interval, 0.59–0.98; P = 0.03).
CONCLUSION: Ticagrelor monotherapy following short-course DAPT and conventional DAPT have similar rates of major bleeding and myocardial infarction among DM patients undergoing PCI with DES. However, conventional DAPT has a higher incidence of all-cause mortality, which suggests that ticagrelor monotherapy after short-course DAPT may be a preferable antiplatelet strategy in DM patients undergoing PCI.
KEYWORDS: bleeding, diabetes mellitus, dual-antiplatelet therapy, percutaneous coronary intervention, thrombosis, ticagrelor
Pengaruh Pelatihan Kerja Dan Motivasi Terhadap Kinerja Karyawan Dengan Disiplin Kerja Sebagai Variabel Intervening
Authors: Sagala Yomeini , Ramadhani Miranti , Khairunnisa Khairunnisa
Published: July 2024

This study aims to determine the effect of job training and motivation on employee performance with work discipline as an intervening variable (Case study in the transportation section of contract employees, Inalum bus drivers PT. Auto Padu Kuala Tanjung Batu Bara). The sample in this study amounted to 32 people, namely all contract employees of Inalum bus drivers PT. Auto Blend. This sampling uses a total sample, where the entire population is sampled. Data collection techniques using interviews, questionnaires and observation. The data analysis technique used is instrument test, classic assumption test, multiple linear regression test, coefficient of determination and hypothesis testing. The results of equation I multiple linear Z = 7.730 + 0.259X1 + 0.243X2 and equation II multiple linear Y = 5.732 + 0.424X1 + 0.766X2 - 0.454Z. Based on hypothesis testing using the t test (partial) that job training (X1) has no significant effect on work discipline (Z), motivation (X2) has no significant effect on work discipline (Z), job training (X1) has no significant effect on employee performance (Y), motivation (X2) has a significant positive effect on employee performance (Y), work discipline (Z) has a significant positive effect on employee performance (Y). The results of Path Analysis on hypotheses 6 and 7, namely work discipline (Z) cannot mediate the relationship of job training (X1) to employee performance (Y), Work Discipline (Z) cannot mediate the relationship between motivation (X2) and employee performance (Y) .
Discursos contrarios a la educación sexual en España
Authors: Calvo González Soraya , Trujillo Barbadillo Gracia
Published: July 2024

Este artículo tiene como objetivo analizar el discurso contrario a la educación sexual en Twitter (X) para detectar las claves de la narrativa utilizada y las categorías centrales del discurso, ahondando en las tendencias en su diseminación. Para ello nos centramos en las publicaciones de dos entidades clave en la defensa del pin parental en España: Profesionales por la ética y Educadores contra el Adoctrinamiento. La información se recoge a partir de las técnicas de minería de datos y observación participante. El análisis presenta un acercamiento cuantitativo a frecuencias y referencias, y uno cualitativo en forma de análisis de sentimiento. Los datos muestran que el discurso se centra en la defensa de la libertad de las familias para decidir sobre la educación de sus hijos/as, y en la oposición a la educación sexual como elemento curricular. En este discurso se ataca asimismo al colectivo LGTBI+, a determinados representantes políticos vinculados a la izquierda y al sistema público, especialmente al sistema educativo, incluyendo centros y profesorado.  El análisis también muestra cómo estas narrativas entran en conflicto con el derecho a la educación y la libertad de enseñanza, convirtiéndose en un arma de presión política y partidista. En las conclusiones discutimos nuestros hallazgos con otros estudios en relación con el discurso de odio y las estrategias políticas de la extrema derecha y el ultra catolicismo con las que nuestros datos muestran acuerdos. Finalmente se señalan limitaciones y propuestas futuras.
Requirements Template for Analytics Projects
Authors:   Institute of Applied Computer Systems, Riga Technical University, 6A Kipsalas Street, Riga, LV–1048, Latvia, Kumarasinghe Aritha , Kirikova Marite ,   Institute of Applied Computer Systems, Riga Technical University, 6A Kipsalas Street, Riga, LV–1048, Latvia
Published: July 2024

Data analytics projects have become a common accomplishment in many enterprises. However, establishing a data analytics project requires consideration of many factors that are not always recognized at the very beginning of the project. This study seeks to identify what generic requirements must be defined for data analytics projects and what analytics project attributes need to be addressed by these requirements. It proposes a requirements template for the generic requirements of the analytics projects. The template is intended to be used to reduce the complexity of starting the analytics projects by providing a checklist of requirements to be considered at the beginning of the project. The template is derived from analyzing 16 data analytics project reports for descriptive, diagnostic, predictive, and prescriptive analytics tasks. The template is then validated by analyzing its compliance with 20 analytics projects within the real estate domain using the corresponding research articles.