bluuebunny/crossref_metadata_2025 huggingface dataset:
Displacement after disaster: Challenges and opportunities responding to Puerto Rican evacuees in Central Florida after Hurricane Maria
Authors: Corbin, PhD Tanya Buhler
Published: March 2023

Major disasters often displace populations, requiring coordinated response efforts from governmental and voluntary organizations to support and assist an influx of evacuees. Despite the frequency and significance of this occurrence, this aspect of disaster management has received limited scholarly attention, with research predominantly focusing on response and recovery at the impacted disaster sites. This study investigates disaster management and support offered to Puerto Rican evacuees arriving in Central Florida after Hurricane Maria. A multiagency resource center (MARC) was established at the Orlando Airport to support evacuees, facilitating a network of agencies to coordinate response efforts. The analysis uses data obtained through in-depth, semistructured interviews from members of the Orlando metropolitan area disaster response community who worked at the MARC center, and content analysis of state and local government documents. The results identify challenges and successes and common themes in disaster support for displaced evacuees after disasters. Results confirm some conventional wisdom about disaster response, such as persistent significant challenges related to shelter and housing, and offer new insights about how to successfully support displaced evacuees, particularly using MARCs. This study provides foundational knowledge to inform future research and contributes to the development of successful support for those who are displaced after disaster.
Characteristics of chemical attacks
Authors: Altıntaş, MD Emel , Ataman, MD Ali Kaan
Published: March 2023

Background: The use and storage of chemical weapons in war was banned. However, chemical weapons continue to be used in wars. Therefore, in this study, we tried to identify the chemical agents used by defining the characteristics of chemical attacks.Method: We designed our study using the international dataset that can be accessed from www.start.umd.edu/gtd/. Chemical attacks between 1970 and 2020 were recorded in terms of decade, type of attack, success, suicidal purpose, property damage, number of deaths and injuries, and agents used.Results: A total of 347 attacks were reported. The highest number of attacks was 162 (46.7 percent), which occurred between 2010 and 2020. Among the chemical agents used, acidic substances (39, 11.2 percent), chlorine gas (32, 9.2 percent), and tearing agents (24, 6.9 percent) were found to be the most common. When the distribution of the five most common chemical agents by years was examined, it was found that the use of chlorine gas gradually increased in the last three decades. In the last decade, it was found that the use of mustard gas increased, whereas cyanide was not used.Conclusion: In the last decade, we found that chemical attacks have increased more, especially chlorine and mustard gas were predominantly used.
An overview of a successful COVID-19 vaccination campaign at a prominent Connecticut healthcare system
Authors: Keating, MD Jane , Vedula, BS (cand.) Mitali , Orlando, MD Rocco , Grant, APRN Keith , Lewis, MPH Sarah
Published: March 2023

The coronavirus disease 2019 (COVID-19) pandemic has required healthcare systems to adapt, innovate, and collaborate to protect public health through treatment, testing, and vaccination initiatives related to the virus. As the pandemic evolved, lessons learned early on through testing and treatment were applied to vaccination efforts. Hartford HealthCare (HHC) is one of the largest healthcare systems in New England and took an integral role in vaccinating patients throughout the region, thus providing one of the largest vaccination campaigns in Connecticut. Early planning for equipment and personnel, in addition to effective communication between providers and patients, was critical in accomplishing HHC’s goal of rapidly providing access to COVID-19 vaccines. The efficient and effective response to the pandemic at HHC was led by the Office of Emergency Management, which worked to ensure continuity of patient care and physician excellence in the face of disaster. Initially, resources were directed to testing and treatment of the disease; as vaccine clinical trials announced successful outcomes, these efforts shifted to preparing for the storage and distribution of a mass number of vaccines. This manuscript details the factors that enabled success in HHC’s vaccination campaign and serves to provide a useful template for similar healthcare systems for future pandemic response.
Update on the neuromonitoring procedures applied during surgeries of the spine – observational study
Authors: Daroszewski Przemysław , Garasz Anna , Huber Juliusz , Kaczmarek Katarzyna , Janusz Piotr , Główka Paweł , Tomaszewski Marek , Kotwicki Tomasz
Published: March 2023

Introduction

Motor evoked potentials (MEPs) are currently considered as a more useful method for neurophysi-ological intraoperative monitoring than somatosensory evoked potentials in cases of surgery applied to patients with adolescent idiopathic scoliosis. The non-invasive approach is preferred to modify MEP recordings, criticizing, in many cases, the fundamentalism for neurophysiological monitoring based only on needle recordings. The aim of the review is to provide our own experience and prac-tical guidelines with reference to neuromonitoring innovations.

Material and Methods

Recordings of MEPs with surface electrodes instead of needle electrodes including nerve instead of muscle combinations during neurophysiological monitoring associated with surgical interventions to the spine have become more relevant for pediatric purposes, avoiding the anesthesiology-related influences. Observations on 280 patients with Lenke A–C types of spine curvature are presented before and after the surgical correction.

Results

The MEPs recorded from nerves do not undergo fluctuations at different stages of scoliosis correc-tions and the anesthesia effect more than MEPs recorded from muscles. The use of non-invasive surface electrodes during neuromonitoring for MEP recordings shortens the total time of the surgical procedure without diminishing the precision of the neural transmission evaluation. The quality of MEP recordings during intraoperative neuromonitoring from muscles can be significantly influ-enced by the depth of anesthesia or administration of muscle relaxants but not those recorded from nerves.

Conclusions

The proposed definition of “real-time” neuromonitoring comprises the immediate warning from a neurophysiologist about the changes in a patient’s neurological status during scoliosis surgery (es-pecially during pedicle screws’ implantation, corrective rods’ implantation, correction, distraction and derotation of the spine curvature) exactly during the successive steps of corrective procedures. This is possible due to the simultaneous observation of MEP recordings and a camera image of the surgical field. This procedure clearly increases safety and limits financial claims resulting from possible complications.
Mpox: Be prepared for the next outbreak
Authors: Soden Cathy Jo
Published: March 2023

Understanding the recent outbreak of Mpox may help you care and advocate for patients in future epidemics.
Countering human trafficking
Authors: Rollins Genna
Published: March 2023

Nurses play key role in recognizing, responding to patients in exploited circumstances.
The VIP treatment: A comprehensive post-fall assessment guideline
Authors: Winters Blaine A. , Dustin Tracy , Fife Abigail , Christenson Allison
Published: March 2023

This practice helps nurses identify frequently overlooked injuries.
The Impact of the Presence of Prosodic Features (Tone Markings) on Comprehending Setswana Words in Reading
Authors: Pule Violet , Theledi Kgomotso
Published: March 2023

The paper is about the impact of prosodic features, more especially tone marking, in extracting the meaning in Setswana readings, because of its contribution to meaning in Setswana. The research was conducted in response to the 2016 Progress in International Reading Literacy Study (PIRLS), which found that more than 80% of Grade 4 students tested in an African Language were unable to read for comprehension. The semiotic theoretical framework, which is concerned with how signs are used for interpretation, served as the foundation for this study. The focus of the study was on the Intermediate Phase learners from eight schools where Setswana is taught as a First Additional Language and/or as a Home Language. Qualitative and quantitative method approaches were used to collect data. Participants were chosen through random sampling. The study discovered that when words are not marked, learners are unable to determine which meaning is intended. It was discovered that in reading the most difficult aspect is comprehending what has been read. The study proposes that new means of emphasizing prosodic markers (such as tones, accent, stress, and rhythm) be given special focus in the South African education system so that learners may be able to extract meaning and comprehend what they read.
The effect of radiotherapy on neurogenic speech and language disorders of patients with primary brain tumour in the early period
Authors: SAKIN Bertuğ , YAPRAK Gökhan , CEYLANER BIÇAKÇI Beyhan , DEMİRCİOĞLU Fatih , ARAS Serhat , SAPMAZ ATALAR Merve , PEHLİVAN Beyza
Published: March 2023

Within the scope of the study, it is aimed to reveal the effect of radiotherapy applied to neurogenic speech and language disorder patients diagnosed with primary brain tumour in the early period. The participants of the study consist of 35 patients selected among those with primary brain tumour who applied to the Radiation Oncology Unit of İstanbul Kartal Dr. Lütfi Kırdar Training and Research Hospital. Within the scope of the research, Gülhane Aphasia Test 2 (GAT-2) and Standardized Mini Mental Test (MMT) were applied to the participants before they received radiotherapy. GAT-2 and MMT were reapplied to the patients 30 days after they had received radiotherapy as part of the treatment process. Results of the study indicated that, before radiotherapy, tumours formed in the frontal and temporal lobes, including the dominant language centers, had a negative effect on the cognitive performance of the patients, as well as their speech and language skills. However, after radiotherapy was applied, two patients with tumours in the left parietal lobe had a decrease in their speech and language skills, while no deterioration was observed in the speech and language skills of the other participants. This may be due to the early phase of radiotherapy.
A Matter of the King’s Service: Supplying Ship-Timbers for the French Navy in the Eighteenth Century
Authors: Graham Hamish
Published: March 2023

This article examines the policies and personnel that allowed France’s Old Regime monarchy to obtain huge supplies of naval timber from within the kingdom. In contrast to many other accounts, however, the main focus here is on the people who actually carried out this work (forestry officials, naval shipwrights, government contractors), specifically in south-western France. These agents were supposed to cooperate, but that did not always occur, and this article suggests some explanations. The demands of the central state provoked varied responses from woodland proprietors (the Church, rural communities, and private landholders). Their reactions are considered as well, since this “social history” approach allows us to appreciate that France’s success in building up its naval forces during the “age of sail” were not always welcomed by the king’s subjects.
Masts Like a Forest: Chinese Shipbuilding from the Zheng War to the Opium War (c. 1644-1839)
Authors: Miller Ian M. , Maltz Jason E.
Published: March 2023

Chinese sailing ships, often called “junks,” were a flexibly technology that economized on materials, a key to both the military and commercial flourishing of Qing China (c. 1644-1912) until the Opium War (1839-42). During periods of conflict, shipwrights incorporated new designs to maximize speed, maneuverability, and firepower. During periods of peace, they responded to regulatory constraints and limitations in the timber supply. The principal timber, China fir (Cunninghamia lanceolata), remained widely available thanks to flourishing plantations. However, shipbuilding put serious pressure on slower-growing tree species, and the demand for timber furthered the colonization of the southwest and Taiwan. The main government response to regional scarcity and rising timber prices was to economize, while many private shipbuilders shifted their operations to Southeast Asia. Catastrophic defeat by the British steamship Nemisis signaled the end of junks’ military dominance, although they remained commercially important for another century.
We Have to Change to Stay the Same - The Maritime Museum of the Atlantic (Nova Scotia, Canada)
Authors: Reinhardt Kim
Published: March 2023

In many ways, it seems that 2022 is a year for renewal. A re-start from a period of closures and other impacts of a devastating pandemic, and from a period of heightened global awareness on social injustice and inequality, racism, increasing threats of war, climate change, species at risk, and ocean conservation. The Maritime Museum of the Atlantic (MMA) hosted the 50th Anniversary International Congress of Maritime Museums (ICMM) in this renewal year offering a robust programme that was heavily influenced by these shared concerns. The combination of embarking on a new half-century, and an unprecedented awareness of significant global issues, provided the obvious opportunity to explore and re-imagine our roles as meaning-making institutions, as impactful maritime museums. Many museums, the MMA included, had already been taking an inward look, trying to understand the impacts of decades of institutional bias and the reality of being part of the climate crisis. So much had changed during the past few years. It had been a long time since we could gather in-person and experience the kind of powerful networking that can only happen face-to-face. I think we had a tremendous appetite to share and discuss our recent experiences and ambitions. The moment was right for a Congress focused on new beginnings and growth. As the saying goes, “Calm seas do not make a good captain,” and we had all been through some pretty rough seas.
Modelo Gleen Doman para fortalecer el pensamiento matemático a través de la práctica docente
Authors: Aviles Acuña Dania Judith , López Botello Felisa Yaerim
Published: March 2023

El presente trabajo aborda una propuesta de innovación de la práctica docente, dirigida al nivel preescolar, con el objetivo de fortalecer el pensamiento matemático en los estudiantes, ya que, con base a un estudio del área de las matemáticas en educación básica, se refleja una necesidad urgente de la transformación del quehacer docente, para el logro de una educación de calidad en las aulas mexicanas. Dicha propuesta se desarrolló por medio de un proyecto de investigación, bajo un enfoque cualitativo, integrando la metodología investigación-acción, en un preescolar público ubicado en Lerma, Edo de México, con el propósito de analizar la pertinencia de la integración de un método para el fortalecimiento del pensamiento matemático. En la primera etapa se seleccionó una muestra de la población para la obtención de un diagnóstico, la cual quedo conformada por 1 docente y 19 estudiantes. De acuerdo con el análisis de los resultados obtenidos, se aplicó como propuesta el método Glenn Doman, con la intención de fortalecer las competencias profesionales para la mejora de los procesos de enseñanza-aprendizaje. Con base a los resultados, se demostró que los docentes de preescolar a partir del análisis de la situación actual de la educación con relación a el área de las matemáticas lograron reflexionar acerca de la necesidad e importancia de integrar nuevas propuestas como un medio que posibilita la mejora de los procesos de enseñanza-aprendizaje del pensamiento matemático.
Marketplace como apoyo emprendedor
Authors: Castillo Moreno Mónica , Luna Márquez Marco Antonio , Cantera Erika Emilia
Published: March 2023

El presente proyecto busca impulsar a las mujeres emprendedoras, que debido a la situación económica actual y después de periodos de cierres parciales y totales de establecimientos derivados de la pandemia se vieron en la necesidad de crear nuevos emprendimientos, sin embargo, la gran mayoría carece de conocimientos administrativos, financieros, contables, tecnológicos, entre otros, lo que les impide el crecimiento y permanencia dentro de los mercados a los que están enfocados, a través de un emarketplace dirigido a este tipo de empresas ayudándoles en su modelo de negocios para su desarrollo económico sostenible.
Proyecto cultural interdisciplinario propuesta aplicada en el 2° periodo de evaluación, en una escuela primaria
Authors: Vega Toral Luis Alfonso , Álvarez Botello Julio , Chaparro Salinas Eva Marthta
Published: March 2023

En este artículo se pretende desarrollar el diseño y aplicación de proyectos educativos de expresión cultural folklórica, donde se pueda realizar un trabajo interdisciplinario “utilizando todas o la mayoría de las materias curriculares segregadas” de los planes y programas que actualmente confluyen en un mal camino en México 2011, 2017 y 2022. Desarrollando la apropiación de conocimientos de los estudiantes para afrontar favorablemente las situaciones que se presenten en su vida, potenciando sus habilidades y desarrollo personal y social de igual manera, en una escuela primaria de México con una modalidad multigrado, tetradocente, presentando sus producciones en los festivales culturales de su municipio, para generar conocimientos competentes no solo localmente, sino para competir internacionalmente y ser generadores de realidades al margen de la globalización estandarizada y deshumanizada. Para el presente que tiene una metodología cualitativa y por la intervención con la incidencia del investigador en el entorno, se trata de un proceso de investigación-acción, la cual para la recolección de datos se utilizaron, la observación, grupos de enfoque, los resultados académicos, con validación de datos en ATLAS.TI, entre otras validaciones, donde los resultados fueron un poco divergentes a los previstos, sin embargo, esta exploración sería muy interesante de aplicar en diferentes contextos en la educación básica del país y conocer mejor el alcance del arte dentro de proyectos interdisciplinares.
Influencia de la habilidad socioemocional de la resiliencia en el rendimiento escolar durante la educación a distancia en tiempos de pandemia
Authors: Pérez Vázquez Gilberto , Alvarez Botello Julio , Chaparro Salinas Eva Martha
Published: March 2023

La educación a distancia que se estuvo aplicando durante la pandemia por el coronavirus en los distintos sistemas educativos de todo el mundo, trajo consigo diversos cambios en el quehacer de los docentes, alumnos y padres de familia, así mismo debido a esta pandemia salió a relucir y agravarse las desigualdades sociales que hay en las diversas sociedades principalmente en los países del tercer mundo. Por este motivo en la presente investigación se pretendió establecer la existencia de una correlación entre la influencia de la habilidad socioemocional de la resiliencia y el rendimiento escolar que tuvieron los alumnos en el tiempo que duro la pandemia, para así poder analizar el aspecto emocional de los alumnos y como esta tuvo repercusiones positivas o negativas para afrontar de manera resiliente las consecuencias que genero el virus del COVID19 y el impacto que tuvo en su desempeño académico. Para ello se realizó un estudio cuantitativo mediante un análisis SPSS a una muestra de estudio donde se correlaciono los diversos aspectos que presenta una persona resiliente y las calificaciones que obtuvieron los alumnos, y de esta manera establecer si existe una correlación entre ambos variables.
Fluvio-deltaic record of increased sediment transport during the Middle Eocene Climatic Optimum (MECO), Southern Pyrenees, Spain
Authors: Peris Cabré Sabí , Valero Luis , Spangenberg Jorge E. , Vinyoles Andreu , Verité Jean , Adatte Thierry , Tremblin Maxime , Watkins Stephen , Sharma Nikhil , Garcés Miguel , Puigdefàbregas Cai , Castelltort Sébastien
Published: March 2023

Abstract. The early Cenozoic marine sedimentary record is punctuated by several brief episodes (<200 kyr) of abrupt global warming, called hyperthermals, that have disturbed ocean life and water physicochemistry. Moreover, recent studies of fluvial–deltaic systems, for instance at the Palaeocene–Eocene Thermal Maximum, revealed that these hyperthermals also impacted the hydrologic cycle, triggering an increase in erosion and sediment transport at the Earth's surface. Contrary to the early Cenozoic hyperthermals, the Middle Eocene Climatic Optimum (MECO), lasting from 40.5 to 40.0 Ma, constitutes an event of gradual warming that left a highly variable carbon isotope signature and for which little data exist about its impact on Earth surface systems. In the South Pyrenean foreland basin (SPFB), an episode of prominent deltaic progradation (Belsué–Atarés and Escanilla formations) in the middle Bartonian has been usually associated with increased Pyrenean tectonic activity, but recent magnetostratigraphic data suggest a possible coincidence between the progradation and the MECO warming period. To test this hypothesis, we measured the stable-isotope composition of carbonates (δ13Ccarb
and δ18Ocarb) and organic matter (δ13Corg) of 257 samples in two sections of SPFB fluvial–deltaic successions covering the different phases of the MECO and already dated with magnetostratigraphy. We find a negative shift in δ18Ocarb and an unclear signal in
δ13Ccarb around the transition from magnetic chron C18r to chron C17r (middle Bartonian). These results allow, by correlation with reference sections in the Atlantic and Tethys, the MECO to be identified and its coincident relationship with the Belsué–Atarès fluvial–deltaic progradation to be documented. Despite its long duration and a more gradual temperature rise, the MECO in the South Pyrenean foreland basin may have led, like lower Cenozoic hyperthermals, to an increase in erosion and sediment transport that is manifested in the sedimentary record. The new data support the hypothesis of a more important hydrological response to the MECO than previously thought in mid-latitude environments, including those around the Tethys.
El consumo del simulacro: la performance de la prostituta en los discursos de hombres que demandan prostitución femenina
Authors: Ranea Triviño Beatriz
Published: March 2023

El hecho de consumir prostitución es una práctica masculina que está imbricada en la desigualdad de género y tiene relación con el mantenimiento de un modelo determinado de masculinidad (hegemónica). Este artículo presenta los principales resultados de una investigación cualitativa en la que se han realizado entrevistas en profundidad a hombres consumidores de prostitución femenina en España en la época actual. El aparataje conceptual elaborado por Raewyn Connell que establece el binomio masculinidad hegemónica-hiperfeminidad es útil para explicar el marco de referencia a través del cual hombres que consumen prostitución dan sentido a sus experiencias. Se argumenta que estos hombres esperan que las mujeres prostituidas representen mandatos de hiperfeminidad ligados a la disponibilidad complaciente e incondicional para satisfacer los deseos masculinos y, por ello, no pagan únicamente por sexo, sino que están pagando por la performance que lleva a cabo la prostituta, por el consumo del simulacro.
COINCIDING INSTANCES OF FAMINES AND EPIDEMICS IN ANCIENT INDIA
Authors: Fouzia Farooq Ahmed, Muqaddisa Malik
Published: March 2023

Due to fewer historical records, it is generally believed that famines and epidemics were less frequent in ancient India. However, various records depict that ancient India was not immune to these natural catastrophes, and they proved disastrous on some occasions; furthermore, certain other factors also depict the high presence of famines and epidemics. This article aims to identify the factors responsible for frequent and disastrous famines and epidemics in ancient India, such as deforestation, urbanization, invasions, etc, their impacts, and the role of rulers in giving way to these catastrophes and how they responded to them. The findings of the study are based on qualitative research, and it is an analytical work based on secondary sources. The factors such as urbanization, deforestation, trade, migration, wars, and poor living conditions depict that ancient India was no different from medieval and colonial India when it comes to instances of these natural catastrophes.
COMPULSORY LICENSES AGAINST PATENTED MEDICINES UNDER TRIPS: A CASE STUDY OF PAKISTAN IN COMPARISON OF OTHER COUNTRIES
Authors: Yasir Arfat, Naveed Hussain
Published: March 2023

Pakistan is a poor country where poverty stands at 78.4% when World Bank utilized the upper middle income rate ($5.5 per day) translating 179 million people. How such people can afford expensive medicines when they are even not able to feed themselves for satisfying their hunger. On the other hand, the prices of medicines have risen 80% in last four years. Such unjustified price hike is caused by many factors including taking benefits of loopholes in policies, regulatory failures and most importantly remaining silent spectator. Government of Pakistan can play a vibrant role by invoking such permissible options under the national as well as international law. Apart from all other regulatory and procedural flaws, granting of frequent patents against pharmaceutical products also a main reason in price hiking. A state can put barriers against unqualified rights of patent holders by invoking TRIPS Flexibilities like issuing of compulsory licensing on its own terms for meeting medical emergencies. When covid-19 hit the world we witnessed various such emergency responds from the world which will be discussed in this article and what role Pakistan should have been played like other countries. This article special focuses on compulsory licensing under the TRIPS with respect to Pakistan. How it can be issued and what benefits it imparts in the way of access to medicines.
Antibiotic susceptibility of Pseudomonas aeruginosa isolated at 108 Military Central Hospital from 01/2020 to 06/2022
Authors: Trang Do Thu , Chau Nguyen Dang Minh , Nguyet Vu Thi , Nguyen Nguyen Van , La Nguyen Thi , Manh Nguyen Dang , Thuyet Bui Thanh , Sy Bui Tien
Published: March 2023

Objective: To determine antibiotic susceptibility patterns of Pseudomonas aeruginosa isolated at the 108 Military Central Hospital from January 2020 to June 2022. Subject and method: A total of 784 Pseudomonas aeruginosa strains were isolated from patient specimens from different departments. Bacteria identification and antibiotic susceptibility test were performed using the Vitek MS system and the Vitek-2 Compact system, respectively. Multidrug-resistant and/or carbapenem-resistant Pseudomonas aeruginosa (MDR/CPR P. aeruginosa) strains were determined. Colistin susceptibility test was done using cation-modified Muller-Hinton broth diffusion method (CBDE, colistin broth disk elution). Result: Pseudomonas aeruginosa was highly resisting to fluoroquinolones (62.8%), and aminoglycosides (53.4%). The proportion of MDR/CPR P. aeruginosa was 54.3% (426/784), of which the highest proportion was found in the Department of Infectious Diseases (65.52%), ICU (64.39%) and the Internal Respiratory Department (45.69%). Carbapenem-resistant Pseudomonas aeruginosa was highly prevalent in urine specimens (65.38%) and respiratory specimens (56.76%). Of 258 MDR/CPR P. aeruginosa isolates, 11.2% isolates were resistant to colistin, 26.6% and 33.3% of these remained susceptible to amikacin and piperacillin/tazobactam, respectively. Conclusion: The prevalence of antibiotic resistante Pseudomonas aeruginosa remains high, including resistance to carbapenem and colistin. Antibiotic regimen should include amikacin or piperacillin/tazobactam in combination with other antibiotics. The study suggested the routine application of diagnostic tools for the rapid detection of resistant strains.
Autologous hematopoietic stem cell transplantation to treat systemic lupus erythematosus: The first case in Vietnam
Authors: Duyen Nguyen Thi , Vien Mai Van , Khai Ly Tuan , Son Le Hai , Phuong Nguyen Thi Minh , Nga Le Thi Thu , Sy Bui Tien , Van Bui Thi , Van Bui Thi , Anh Nguyen Lan , Truong Ho Xuan , Hieu Pham Van , Trang Tran Thi Huyen , Nga Dao Thi Hong , Binh Nguyen Thanh
Published: March 2023

Background: Systemic lupus erythematosus (SLE) is a chronic disease that causes systemic inflammation which affects multiple organs. There is no cure for SLE. Conventional treatment options include antimalarial drugs, corticosteroids, and immune suppressants, but a number of patients are resistant to treatment or suffer from severe side effects. Stem cell transplantation has been used to treat SLE for the past 2 decades. We describe the first Vietnamese patient with refractory SLE who received an autologous hematopoietic stem cell transplant. Case presentation: The patient is a woman who was diagnosed 12 years ago with systemic lupus erythematosus. She was administered corticosteroids and high-dose immunosuppressive medicines, but the condition was refractory, manifesting as severe headache, arthralgia, chronic anemia, severe Cushing's syndrome, and proteinuria. At admission, the SLEDAI score was 28 and proteinuria was 6.7g/l. She received cyclophosphamide and G-CSF for HSCT mobilization. Peripheral blood stem cells were collected and selected for CD34+ cells. Antithymocyte, cyclophosphamide, and rituximab were used in conditioning regimens. The patient was then administered a CD34+ autologous hematopoietic stem cell transfusion with a CD34+ dose of 7.93 x 106 cells/kg body weight, T and B lymphocyte purity of the graft exceeded 99.99%. Post-transplant course was favorable, the patient did not experience serious complications. Recovery of neutrophils on post-HSCT day +9 and platelet on day +12. Six months after stem cell transplantation, the patient's clinical symptoms significantly improved, the SLEDAI score dropped from 28 to 0, and the patient discontinued receiving immunosuppressive drugs. Conclusion: Autologous hematopoietic stem cell transplantation promises to be a new, effective therapeutic method that can be implemented more broadly in Vietnam for SLE patients.
Predictive factors for triple-negative breast carcinoma
Authors: Thang Nguyen Van Phu , Hanh Ngo Thi Minh , Trang Le Thi , Hoang Nguyen Duy , Thi Nguyen Quang , Anh Nguyen Thi Ngoc
Published: March 2023

Objective: To determine the clinicopathologic factors and Ki67 expression predicting triple-negative breast cancer (TNBC). Subject and method: A descriptive study on 169 patients with breast cancer at the 108 Military Central Hospital from October 2015 to September 2020. The status of estrogen receptor (ER), progesteron receptor (PR), human epidermal growth factor receptor 2 (HER2) and Ki67 expression were examined by immunochemistry. Result: The mean age of the patients was 53.8 ± 12.2 years. The rate of tumor size larger than 2cm was 54.4% (92/169). The percentage of cases with tumor grade 2 was highest at 64.5% (109/169). The rate of axillary lymph node metastasis was 37.9%. TNBC accounted for 16.6%. The statistically significant correlation was observed between TNBC and location, tumor size, histological grade and Ki67 ≥ 14%. Conclusion: Our study suggested that the right side, histological grade 3 and Ki67 ≥ 14% were independent predictive factor of TNBC.
PREPARATION AND PROPERTIES OF CHLORINATED POLYISOBUTYLENE ELASTOMER BY ONE-STEP POLYMERIZATION
Authors: Yu Zhaopeng , Zhao Zhen , Wei Xuling , Yan Penghua , Liu Ruofan , Jin Yushun , Gong Guangbi , Xu Xinghang , Wu Yibo
Published: March 2023

Cationic copolymerization of isobutylene and chlorostyrene was investigated using the Lewis acid initiator system. Titanium (IV) chloride (TiCl4) and ethylaluminum sesquichloride (AlEt1.5Cl1.5) were used as the co-initiators, and 2-chloro-2,4,4-trimethylpentane (TMPCl) and H2O were used as the main initiators. The influences of monomer feeding ratio and reaction time were studied. The reaction mechanism was proposed by studying the reaction kinetics. It was found that when p-chloromethylstyrene (p-ClMSt) was used, benzyl chloride was easily involved in the initiation reaction stage, leading to the formation of branched polymer. When p-chlorostyrene (p-ClSt) was used as a co-monomer, living copolymerization was achieved and no branching structure formed. Isobutylene, isoprene, and p-ClSt were synthesized with the AlEt1.5Cl1.5 initiator system. The high-molecular-weight halogenated ternary copolymer was successfully prepared by one-step polymerization. Vulcanization and mechanical property studies were also performed.
Isolation, immobilization of salt-tolerant and inorganic phosphate solubilizing bacteria for producing controlled-release inorganic fertilizer in combination with microorganisms
Authors:   Department of Biology, Dong Nai University, Dong Nai Province, Vietnam, Bui Linh D. P. ,   Faculty of Biological Sciences, Nong Lam University, Ho Chi Minh City, Vietnam, Huynh Hung T. ,   Faculty of Agronomy, Nong Lam Univerity, Ho Chi Minh City, Vietnam, Nguyen Ha N. ,   Faculty of Biological Sciences, Nong Lam University, Ho Chi Minh City, Vietnam,   Research Institute for Biotechnology and Environment, Nong Lam Univerity, Ho Chi Minh City, Vietnam
Published: March 2023

Salt tolerance is one of the characteristics to ensure the viability of microorganisms when combined with chemical fertilizers. This research aimed to isolate bacteria that had both phosphate-solubilizing and salt-tolerant abilities for production of controlled-release inorganic fertilizer-incorporated microorganisms. Of twenty-five phosphate solubilizing bacteria strains isolated from soil samples collected from Ho Chi Minh City, Dong Nai, and Long An provinces on Pikovskaya medium (PVK), there were three strains of bacteria that had both phosphate solubilizing activity and salt tolerance. The analysis results on PVK medium supplemented with 3% and 4% NaCl showed that only PSM54 strain had phosphorusdegrading ring. Species identification based on 16S-rRNA sequence showed that PSM54 was 99.9% similar to Bacillus velezensis. The controlled-release fertilizer was made by coating biodegradable polymers incorporated with PSM54 bacteria that met standards for slow dissolution according to The Association of American Plant Food Control Officials. After 60 days of being immobilized in the membrane of controlled release, the PSM54 bacteria remained at 88.3% compared to the initial density.
Investigation of ornamental plants of the palm family in public and private space in Ho Chi Minh City and their application in landscape design
Authors:   Faculty of Environment and Natural Resources, Nong Lam Univerity, Ho Chi Minh City, Vietnam, Duong Tien T. M. , Pham Nhi T. Y. , Vu Mien T. , Duong Loan T. B. , Luong Diem N.
Published: March 2023

The study was conducted from January 2021 to April 2022 in a number of public parks, residential parks in urban areas, major streets and boulevards, and coffee shops in Ho Chi Minh City. The study was performed by using survey forms, taking pictures and collecting samples. Identification of trees was done by morphological comparison and analysis of collected data, and then information was used for landscape design via using professional design softwares. The results showed that 23 species belonging to 20 genera of the Arecaceae family were identified. Public parks had 22/23 species while residential parks, coffee shops and streets had 17/23 species, 8/23 species and 4/23 species, respectively. Trees of the Arecaceae family identified included 16 species with solitary stem and pinnate (69.5%) and 7 species with clustered trunk and palmate (30.5%). Sketchup, Lumion, and Photoshop softwares could be used for conceptual design that combines the palm trees and other species in the landscape.
Program Pembelajaran Interaktif Introduksi Hulu Migas
Authors: Sofyan Akhmad , Heitasari Dwi Nurma
Published: March 2023

Kegiatan Pengenalan Industri Hulu dalam bentuk pembelajaran interaktif menjadi salah satu tanggung jawab dari PEM Akamigas khususnya Program Studi Teknik Produksi Migas. Untuk memperoleh kualitas pendidikan vokasi yang unggul, maka kualitas seluruh komponen pendukung pendidikan vokasi harus unggul termasuk pula kualitas pengajar. Kegiatan ini dibagi menjadi dua fokus utama yaitu pengenalan industri hulu migas kepada masyarakat, dan kegiatan peningkatan kompetensi melalui praktikum di laboratorium. Pembelajaran introduksi industri hulu merupakan suatu mekanisme bagi dosen dan tenaga pendidikan dalam memberikan kontribusi nyata guna meningkatkan kemampuan masyarakat atau pelaku industri minyak dan gas bumi dengan metode pembelajaran yang aplikatif disertai workshop atau praktikum di laboratorium. Khususnya selama pandemi COVID-19 yang masih melanda. Kegiatan pengabdian kepada masyarakat ini dilaksanakan secara daring dengan sasaran pengguna adalah masyarakat dengan materi disesuaikan dengan kebutuhan pengguna dan capaian kegiatan workshop
Amplification of Souls
Authors: Aubry Gilles
Published: March 2023

In this publication, Gilles Aubry presents elements from his sonic research in Christian charismatic churches in Kinshasa, Democratic Republic of Congo. He explores the noise aesthetics of religious sound practices involving audio amplification, feedback, distortion and recording technologies. His documentation includes spiritual services, predications, sound-checks, rehearsals, a church video-archive, and film-soundtracks, as well as the preparation of an evangelization campaign in the city center. In focusing on the material aspects of sound, Aubry finds traces which attest to the complex relationships between Christian faith, traditional beliefs, neo-colonial representations and urban politics in Central Africa. At the same time, the research opens a parallel with the aesthetics of “first-world” noise music. The CD contains a 34-minute-long excerpt of a spiritual deliverance service (Amplified Souls, track 2) including collective prayers, predication and speaking-in-tongues recorded at the Libambu Ministry Church in Kinshasa. The Amplification of Souls (Track 1) is a 30-minute-long audio-essay which combines together various sound sources according to a material-based form of cultural interpretation. The 80 page-long book contains an interview with Gilles Aubry by Christof Haffter and an essay by musicologist and cultural anthropologist Johannes Ismaiel-Wendt, along with text fragments and photos from Aubry's research in Kinshasa.
(re)Claiming Embodied “Knowing” in Gestalt Group Therapy
Authors: Desmond Billy
Published: March 2023

Gestalt group therapy, along with many forms of group therapy, fosters possibilities for past developmental hurts to reemerge in the present with the hoped-for resolution to occur in relationship. Working with developmental yearnings requires an embodied sensitivity to understand the intentionality of contact experienced in the bidirectionality of movements that occur at the contact-boundary. Often, words are employed prematurely as part of the contacting process as we seek to “language” experience. A somaesthetic approach nurtures the potential of the group incarnate where patterns of relating body forth between members, in the hope that spontaneity and vitality can be renewed and healing experienced. This is a form of group therapy, by the group, for the group, including the psychotherapist. A capacity of exquisite attention moment to moment and movement to movement within the group field supports such contacting processes.
The Winter Strategy – a Multifaceted Integrated Care Intervention to Support People with Chronic and Complex Care Needs during the Australian Winter Period

Authors: Campain Anna , Mulley John , Angell Blake , Ewald Dan , Carter Bernadette , Rose Vicki , Wilcox Kerry , Wheeler Monika , Peiris David
Published: March 2023

Introduction: Health care demands increase over the winter period, especially for people with chronic diseases. Hospital avoidance programs have potential to address seasonal surges.
Methods: An integrated care intervention was provided to patients at high risk of hospitalisation during the 2017 and 2018 winters in Northern New South Wales, Australia. Patients received increased support including general practice sick day action plans, automated admission notifications to the general practitioner, and care coordination services. Outcomes were provider and patient experience and preventable hospitalisation rates.
Results: The program enrolled 1244 participating patients from 37 general practices with at least 12 months follow-up. It was associated with marked improvements in provider and patient experience. However, when compared to a propensity score matched control group there was no difference in hospital utilisation or emergency presentation rates.
Discussion and Conclusion: An integrated care strategy to address chronic care needs of patients in winter was well received by practitioners and patients, but did not translate to changes in hospital utilisation or emergency presentation rates. Areas for improvement include: strengthening inter-professional engagement between hospital, specialists and primary care providers, more tailored support services for patients with complex health needs, and a more expansive set of process measures beyond hospital and emergency utilisation to assess impact.
PENGARUH DEWAN KOMISARIS INDEPENDEN DAN KEPEMILIKAN INSTITUSIONAL TERHADAP STRUKTUR MODAL
Authors: David Handoko Haryanto  , Melisa Anggraini, S.E., M.Si  , Pradipta Risma Rukma Ardi
Published: March 2023

Penelitian ini bertujuan untuk mengetahui pengaruh dewan komisaris independen dan kepemilikan institusional terhadap struktur modal pada Perusahaan LQ-45 yang terdaftar di Bursa Efek Indonesia tahun 2016-2019. Populasi dalam penelitian ini terdiri dari 45 perusahaan LQ-45. Pengambilan sampel menggunakan purposive sampling dan jumlah perusahaan yang memenuhi kriteria penelitian adalah 31 perusahaan LQ-45. Teknik analisis data yang digunakan dalam penelitian ini adalah analisis regresi linier berganda. Hasil penelitian menunjukkan bahwa (1) dewan komisaris independen berpengaruh positif signifikan terhadap struktur modal, (2) kepemilikan institusional tidak berpengaruh terhadap struktur modal. Kesimpulannya (1) semakin banyak komisaris independen akan semakin baik karena timbulnya konflik dalam manajemen semakin rendah dan akhirnya menurunkan Agency cost, yang dalam penelitian ini adalah biaya modal, sehingga akan mengoptimalkan struktur modal, (2) proporsi kepemilikan institusional tidak menunjukkan pengaruh terhadap struktur modal karena investor institusional berperan namun tidak secara aktif dalam pengambilan keputusan mengenai utang, struktur modal perusahaan juga dikendalikan oleh direksi atau manajer, bukan hanya oleh komisaris dan institusional saja, sehingga sebagai pihak eksternal perusahaan, investor institusional bukanlah sebagai faktor penentu dalam kebijakan struktur modal.
A supply-side GDP nowcasting model
Authors: Fernández Cerezo Alejandro
Published: March 2023

Rationale

The recent shocks to the Spanish economy, linked to both COVID-19 and rising energy prices, have had an uneven impact across sectors of activity, underscoring the importance of monitoring the supply side of economic activity.

Takeaways

•This article presents a model for forecasting quarterly GDP using a combination of monthly indicators to estimate the growth of gross value added for each sector of activity.

•The results in terms of forecasting accuracy evidence the usefulness of a sectoral approach, as a complementary tool for monitoring economic activity in the short term.
Bullying a personas con trastornos de la comunicación integradas en establecimientos escolares: Rol de la Fonoaudiología y sus implicancias en la salud comunicativa
Authors: Ambiado-Lillo Manuel Matías , Sazo-Ávila José , Aguilera Quinto Segundo David , Benavides Niño Mónica Patricia , Benito Jorgelina , Borjas-Galvis Jennifer , Deltell María Cielo , Etchegoyen Carolina , Guajardo Sáez Claudia Pamela , Mónaco María Julia , Ordoñez Daza Luisa Fernanda , Patrón Fernández Micail , Pugliese Natalia , Vargas Villegas Daniela Soledad , Toledo Cáceres Pablo Andrés , Zunino Daniela , Vázquez Fernández Patricia
Published: March 2023

El bullying es un fenómeno definido como una forma de agresión intencional que incluye actos verbales, físicos o psicológicos que ocurren en una relación con otras personas de manera reiterada, sistemática y sostenida en el tiempo. La mayor parte de los estudios se concentran en el bullying y las consecuencias en población escolar normotípica, sin embargo, existe poca exploración en el bullying que es resultado de un trastorno comunicativo. Es por ello que la labor de los fonoaudiólogos insertos en ámbitos educativos no es clara en explicitar los lineamientos de acciones terapéuticas que favorezcan la prevención de este fenómeno. El propósito de esta investigación es conocer las principales concepciones que los fonoaudiólogos tienen sobre el bullying en personas con trastornos de la comunicación en edad escolar. Con este objetivo, se realizó una investigación con métodos cuantitativos y cualitativos, mediados por encuestas y entrevistas en profundidad respectivamente. Se encontró que más del 65% del bullying entre personas dentro de los establecimientos educacionales se relaciona con niños de entre 9 y 12 años de edad con trastornos de la comunicación. En cuanto a la autopercepción del rol fonoaudiológico en el tema de la prevención e/o intervención en temas de bullying, emergen los conceptos de favorecer los aspectos del lenguaje y/o del habla en los niños que tienen dificultad, la sensibilización de los actores involucrados, el  refuerzo del autoestima y el trabajo en equipo interdisciplinario.Finalizando el tratamiento analítico de las entrevistas, se establece que la Fonoaudiología cumpliría un papel fundamental en el abordaje del bullying en poblaciones con trastornos de la comunicación, siendo el profesional que actúa directamente sobre la salud comunicativa.
Estructura de los objetivos terapéuticos en la intervención fonoaudiológica de usuarios con necesidades vocales: una revisión sistemática exploratoria
Authors: Crisosto Jaime , Flores Arturo
Published: March 2023

Esta revisión tiene como finalidad identificar y describir la estructura de los objetivos terapéuticos incluidos en aquellas investigaciones que explicitan una intervención fonoaudiológica vocal durante los últimos cinco años. La búsqueda estratégica se lleva a cabo en las bases de datos PubMed, ScienceDirect y Web Of Science y se obtienen 3.974 registros, de los cuales 12 artículos cumplen con todas las condiciones declaradas en los criterios de inclusión. La tendencia mayoritaria en la literatura del área es la omisión de los objetivos terapéuticos y la alusión solo a los procedimientos empleados. En el análisis cualitativo de los objetivos hallados, se evidencia la ausencia de una estructura textual estándar y falta de diferenciación entre los tipos de objetivos, lo que provoca un alto grado de heterogeneidad en su redacción. En relación con la noción de usuario, su rol es más bien secundario y pasivo. Existe insuficiente atención a la determinación de criterios de logro y una escasa operacionalización de los contenidos a abordar en la intervención fonoaudiológica. La enunciación de los contenidos de intervención desde su naturaleza conceptual impide una medición concreta asociada a la tarea terapéutica propuesta debido a su pobre operacionalización. Se concluye que no existe una estructura común en la formulación de objetivos terapéuticos para la intervención vocal.