bluuebunny/crossref_metadata_2025_split huggingface dataset:
Obstructive Sleep Apnea High-Risk Prevalence, Symptoms and Sleepiness among Patients with Uncontrolled Type 2 Diabetes Mellitus Seen at the Out-Patient Department of Philippine General Hospital
Authors: De Leon Maria Lowella F. , Alibutod Nina R. , Jorge II Manuel Peter Paul C. 
Published: March 2021

Objectives. We determined the prevalence of patients at risk for obstructive sleep apnea (OSA) with uncontrolled type 2 diabetes mellitus (T2DM) at the out-patient department (OPD) of the University of the Philippines-Philippine General Hospital (UP-PGH) from December 1, 2018 - February 28, 2019. We described the demographic characteristics of patients with uncontrolled T2DM and compared them with high and low OSA risk, its association, and correlation with the quality of sleep.
Methods. This is a prospective cross-sectional study among uncontrolled T2DM. The questionnaires were Berlin Questionnaire (screen OSA-HR) and Epworth Sleepiness Score (level of sleepiness). Clinicodemographic profile and significant laboratory data were obtained. Descriptive statistics utilized. Chi-square test was used to compare categorical variables between patients with high vs low OSA risk and to determine if an association exists between OSA-HR and sleep quality.
Results. A total of 240 participants, 88 males and 151 females, were included in the study. The overall prevalence of OSA-HR among patients with uncontrolled type 2DM is 58.33%. The majority of the OSA–HR patients (105/140) was 46 years old and above. There is a significant association of tonsillar grade, Mallampati score, BMI, HbA1c, hypercholesterolonemia, and Epworth sleepiness on OSA High risk. There is also a substantial association with age, BMI, Mallampati score, tonsillar grade, hypertension, asthma, HbA1c, and hypercholesterelonemia on the level of sleepiness of OSA-HR.
Conclusion. There is a high prevalence of high OSA-risk among patients with uncontrolled DM. Factors associated with high OSA-risk among uncontrolled diabetes mellitus include HbA1c, dyslipidemia, BMI, Mallampati score, tonsillar grade, and Epworth score.
Timelines of Philhealth Z Benefit Package for Standard Risk Coronary Artery Bypass Graft (CABG) Surgery at the University of the Philippines- Philippine General Hospital
Authors: Dela Cruz Angelica V. , Bayani II Dioscoro DC. , Gonzales Eddieson M. , Tiongson Marc Denver A. , Tomas Arnolfo B. , Chua II Enrique Malarin , Duena Miriam R. , Sison Eric Oliver D. , Reganit Paul Ferdinand M. , Punzalan Felix Eduardo R. 
Published: March 2021

Objective. The study evaluates the clinical profile of patients who underwent coronary artery bypass graft surgery (CABG) under the Philippine Health Insurance Corporation (Philhealth) Z Benefit Package (PZBP), as well as time intervals between PZBP screening, approval, and timing of surgery.
Methods. A review of medical records was done to collect data on time intervals between the screening process and Philhealth approval in CABG patients under PZBP. The clinical profile and surgical outcomes of patients were also evaluated.
Results. Sixty-three patients were included from March 2017 to December 2018. Most patients were under 61-70 years old. Hypertension was the most commonly observed comorbidity. Time intervals were analyzed including identification for surgery to eligibility screening (2–217 days, median 25 days), Philhealth approval (8–266 days, median 20 days), and surgery (9-403 days, median 33 days). Postoperative atrial fibrillation was seen in 22.58%. The most commonly observed complication prolonging hospitalization was pneumonia.
Conclusion. This is the first local study which evaluated the timelines of PZBP. Results may be use as basis of follow up study in the future for identification of an acceptable timeline intervals. Several modifiable factors affecting time intervals were identified for further improvement of healthcare services. The leading cause of increase length in hospitalization were HAP and AF.
Tingkat Kepuasan Pasien Terhadap Pelayanan Kefarmasian Di Instalasi Farmasi Rawat Jalan Rumah Sakit Bhineka Bakti Husada
Authors: Fadhilah Humaira , Nurlita Nurlita , Listiana Ida 
Published: March 2021

Pharmacy service in the hospital must be prioritised to patient safety which is based on the paradigm of patient oriented, where pharmacist has a role not only focusing on medicine but also on patients. The good quality of pharmacy service can be seen from patients satisfaction. The objective of this research is to determine patient satisfactions level of outpatient pharmacy installation in Bhineka Bakti Husada Hosiptal. The research used non-experimental research design by descriptive. The number of sampel taken in this research was 100 respondent. The patients satisfactions level was calculated by the result of questionnaires which assessed from 5 dimentions. The satisfactions level analysis was conducted through calculation on the average of performance and expectancy.The research showed that deployment of service given in the installation pharmacy outpatient Bhineka Bakti Husada Hospital with level of conformity satisfaction and expectations > 75% of dimensions 91,6% reliability, 91,5% responsiveness, 92,57% assurance, 89,68% emphaty and 90,27% tangible. The results of this research show that patients are satisfied with the service provided in the installation pharmacy outpatient Bhineka Bakti Husada Hospital.
MOVIMENTOS MIGRATÓRIOS E INTERNACIONALIZAÇÃO DA EDUCAÇÃO SUPERIOR
Authors: Miranda José Alberto Antunes de , Fossatti Paulo 
Published: March 2021

O artigo estabelece diálogo entre a internacionalização da educação superior e o papel da universidade a partir dos movimentos migratórios. Tem por objetivo fazer uma reflexão crítica sobre o papel da universidade brasileira e o fenômeno atual da imigração a partir das ações de internacionalização da educação superior no âmbito da responsabilidade social. O estudo pauta-se de uma abordagem qualitativa e quantitativa a partir de leituras bibliográficas e análise de documentos utilizando-se de periódicos científicos, livros e documentos legais. Os resultados apresentam a reflexão do papel da universidade como instituição com poder transformador de pessoas pelo viés da cooperação internacional por meio de ações sociais integrativas.
Fotoperformance como estratégia artística - isolamento social voluntário e reinvenção da casa
Authors: Duarte Tatiana dos Santos , Rodeghiero Thiago Heinemann 
Published: March 2021

A arte contemporânea é afetada pela vida. Em meio a solitude imposta pela covid-19, produzimos releituras da história da arte, onde mulheres artistas são protagonistas. Ao abraçar o contexto do isolamento social voluntário, mantemos a saúde mental e emocional com processos artísticos que se conectam com outras pessoas, reinventando a casa e cuidando de si (FOUCAULT, 2017).
Essas releituras são uma fotoperformance deste momento, “conferindo-lhe autonomia discursiva” (VINHOSA, 2014, p. 2882). Foram feitas duas imagens por dia, transformando-os em poesia. Em todas as etapas (a casa como estratégia de expressão, a pesquisa dos artistas e a montagem da fotoperformance) encontrando no corpo gestos de potência (GIL, 2001).
Em justaposição com a força do artista referência, compomos imagens com o que tem disponível na casa. O meio doméstico possibilita uma fabulação ao criar outros lugares para desenfadar-se: uma diversão-brincante à serviço da saúde. Ao juntar objetos e gestos, faz-se uma relação entre arte e vida, colocando a casa à viajar e habitar novos lugares e territórios.
Nosso processo é partilhado nas redes sociais virtuais (facebook, instagram, youtube e twitter) em meio às fake news, discursos de ódio, ataque a ciência e abandono da saúde pública. Logo, as releituras encontram uma fuga e dão um alívio ao stress causado pela necropolítica (MBEMBE, 2018) geradora de desconforto.
Estes trabalhos possibilitaram uma conexão com outros artistas e meios e, mesmo com uma contaminação invisível e uma morte à espreita, a janela virtual da casa é aberta para alcançar o mundo. Um aglomerado sensível que busca a sensação de presença. Portanto, criamos um meio comum: um mundo pelas fotoperformances. Na internet, durante este truculento período, intensificou-se os discursos de ódios e a divisão da verdade. A arte é o exercício de invenção compartilhada: fruir o sensível na tríade artista, obra e público.
Gestão do Conhecimento aliada ao crescimento organizacional: perspectivas à prática hospitalar
Authors: Pereira Rodrigo 
Published: March 2021

Introdução: a Gestão do Conhecimento é perceptível no cenário das organizações como uma metodologia capaz de aprimorar a gestão, dando ênfase à informação e ao conhecimento produzidos pelos diversos instanciamentos das organizações como subsídios estratégicos às tomadas de decisão. A partir dessa concepção, a pesquisa em questão partiu do pressuposto de que a Gestão do Conhecimento pode contribuir à gestão hospitalar, sobretudo no que diz respeito aos processos administrativos. Assim sendo, objetivou-se identificar as contribuições da Gestão do Conhecimento, sob a perspectiva dos fluxos de informação, enquanto metodologia para o aprimoramento da gestão hospitalar, bem como, enfatizar o quanto a informação é imprescindível ao crescimento das organizações. Metodologia: para atingir o objetivo acima, buscaram-se, por meio da literatura científica da área, as contribuições da aplicação da Gestão do Conhecimento em ambientes hospitalares. Por meio da literatura da área, pôde-se estabelecer parâmetros oriundos da Gestão do Conhecimento os quais podem sustentar as estratégias de aprimoramento da gestão organizacional hospitalar. A pesquisa se desenvolveu sob a perspectiva exploratória-descritiva, utilizando, sobretudo, das fontes eletrônicas de informação científica disponíveis no cenário nacional, sob o método descritivo para apresentação das análises e resultados. Resultados: a Gestão do Conhecimento, como resultado desta pesquisa, se constitui em significativa ferramenta de aprimoramento dos processos administrativos, podendo contribuir às organizações com maior controle, organização e reuso da informação e do conhecimento produzidos, aperfeiçoando os processos de trabalho, potencializando a gestão e as tomadas de decisão. Conclusão: sugere-se que ferramentas de apoio à sistematização dos fluxos de trabalho sejam estudadas e implementadas nos ambientes de trabalho, vislumbrando sempre maior eficiência, eficácia e efetividade nos fazeres organizacionais hospitalares.
Pastoreo extensivo en un pueblo de Soria: Etnografía de un mundo en extinción
Authors: Mata Romeu Anna 
Published: March 2021

El artículo ofrece datos sobre el pastoreo extensivo y sobre los sistemas de cultivo y las formas de vida hasta los años 70 en Torreandaluz, un pueblo del suroeste soriano. Se fundamenta en una etnografía llevada a cabo entre mediados de 2015 y la actualidad. Está basada en la observación participante, la historia de vida de un pastor de Torreandaluz y entrevistas informales a agricultores y pastores jubilados del lugar. Pretende ofrecer una visión sobre el impacto que sobre las formas de agricultura y ganadería ovina extensiva, así como sobre las formas de vida, tuvo la llegada de las técnicas de la llamada Revolución Verde.
The article offers data on extensive shepherding, cultivation systems and lifestyles up to the 1970s, in Torreandaluz, a village in the southwest of Soria province. It is based on an ethnography carried out from the middle of 2015 until today. The participant observation, the life story of a shepherd of Torreandaluz and informal interviews with farmers and retired shepherds of the place made up this study. It intends to offer a vision about the impact that the arrival of the techniques of the so-called Green Revolution had on agriculture and extensive sheep farming, as well as on forms of life.
Epidemiology of Coronavirus Disease (COVID-19) in Assiut Province in Egypt
Authors: Hafez Mohamed Z. E. , Nassar Ahmed Y. , Nassar Gamal A. Y. , Hafez Nashwa F. Abdel , Hamed Heba A. , Saleem Tahia H. 
Published: March 2021

Background: Mortality, severity, and recovery of COVID-19 are the main concern all over the world and are still not fully understood, particularly in the Middle East area.
Objective: To analyze the prevalence and the characteristics of COVID-19 in Assiut Province in Egypt.
Patients and Methods: This is a retrospective study that includes RT-q PCR- confirmed COVID-19 cases during the period from March7th 2020 to September17th 2020 in Assiut Province.
Results: A total of 1201 cases are confirmed out of 2750 suspected cases. The breakdown of the cases is as follows; 84% fully recovered, 14.6% died and 1.4% are still in quarantine at the time of writing this article. Severe cases occur in old ages with no deaths below 21 years of age. Male and female deaths are 59.4% and 40% respectively. The associated co-morbidities are mainly chronic obstructive pulmonary disease, diabetes mellites, heart failure, ischemic heart disease, and obesity.
Conclusion: The total percentage of infection in Assiut is 0.04%; it is lower than the percentage of the total infection in the country (0.1%). Respiratory failure is the leading cause of death in all patients.
Acute Apical Abscess Treatment with an Iranian Folk Remedy: A Case Report
Authors: Ghahramani Selda , Babaeian Mohammad 
Published: March 2021

Background: There are only a few treatment approaches for periapical abscess as a prevalent complication and as the most common type of dental abscess. Drainage and/or antibiotic therapy is the first step to treat this infection, depending on its severity and symptoms.
Case Presentation: Amoxicillin/clavulanate (TID for 3 days), clindamycin (QID for 3 days), and a single local dose of an Iranian home remedy called metmeto, a mixture of toasted flour and ghee covered with a sterile piece of cotton fabric-, were respectively prescribed, for a 32-year-old male patient with a spreading periapical abscess. The first two antibiotics were not able to mitigate the symptoms (pain, inflammation,infection, etc.), while the abscess disappeared remarkably the morning after using a single dose of metmeto “as a dressing” for 6 hours. To eliminate the possible riskof recurrence, the patient underwent an endodontic retreatment after 2 weeks.
Conclusion: Some folk home remedies such as metmeto can be considered for treatment of dental problemsas noninvasive and safe choices. Further studies are necessary to conclude a causal association.
Restraints and Restrictive Interventions during Essential Personal Care in Elderly People Living with Dementia in Care Homes
Authors: Crooks Matthew , Wakenshaw Katherine , Young Julie , Purvis Kayleigh , Smith Karin , Loan Jennifer , Bell Laura , James Ian Andrew 
Published: March 2021

Care home staff are frequently required to provide invasive personal care for their residents, and on occasions need to use restraint and restrictive practices with people with dementia. This often occurs in situations where the residents no longer have the insight that they require help and may misperceive the personal assistance as an assault. On a practical level, a significant number of people with dementia are currently being admitted to inpatient units due to their level of resistance around essential personal care. Often these same people are settled at all other times. This paper provides practical advice on how to support residents and their caregivers, and gives clinical, legal and ethical guidance. Previous work undertaken by the present authors have shown that care staff require supervision and coaching on this topic.
The paper includes training materials used by the authors. This includes a composite, fictitious case example that illustrates approaches that are compliant with UK guidelines. It addresses the training of staff working in care homes.
As such this paper provides a review and practical example of the appropriate use of restraint for residents unable to consent to the ‘intimate’ care they are receiving. It describes a method delivered in a person-centred manner and within a legal framework. Having read this paper, care home staff should feel more confident, competent and secure in the assistance they are providing in this contentious area.
Kinetic Study on Biogas Production from Cabbage (Brassica oleracea) Waste and Its Blend with Animal Manure Using Logistic Function Model
Authors: Opurum Christian C. 
Published: March 2021

This research paper aimed to evaluate the kinetics of anaerobic digestion (AD) of mixtures of cabbage waste (CW) with (Poultry dropping (PD) and Cow dung (CD). The study was conducted in 10L bio-digesters for 35 days under mesophilic conditions (25 - 35OC). Logistic function equation was used to simulate the experimental data to test for its goodness of fit and kinetic parameters namely: maximum biogas potential (Pb), the maximum biogas production rate (Rm), and the lag phase duration (λ) were estimated in each treatment. Chemical analysis showed that individual substrates possess characteristics that could support microbial activities in biogas production. The biogas yield in terms of added volatile solids (VS) in decreasing order was as follows: 0.022, 0.018, 0.017, 0.014, 0.014 and 0.013 dm3/g VS for CW/CD 2:1, CW/PD3:1, CW/CD 1:1, CW alone, CW/PD1:1 and CW/PD 2:1, respectively. A significant difference (P ≤ 0.05) in biogas yield was recorded in CW/CD 2:1 with 7.19 dm3 (53.29% increase). The kinetic parameters (Pb, Rm, and λ) for CW/CD 2:1 was 7.01 dm3, 1.58 dm3.d, and 2.29 days, respectively. This was followed by CW/PD 3:1 (5.84 dm3); with 24.92% increase in gas production and CW/CD 1:1 (5.42 dm3) with 15.53% increase relative to CW alone, 4.69 dm3. The digesters fed with CW/PD 1:1 and CW/PD 2:1 exhibited inhibitory effects on biogas production, with 7.51 and 2.05% decrease in gas yield, respectively. The logistic function model demonstrated a strong relationship between the experimental and model-predicted data. The high correlation coefficient (R2) ranging between 0.978 - 0.993 is evident. The model proved to be a useful tool in predicting anaerobic digestion and biogas production process.
The Effect of COVID-19 Infection on Human Blood Ghrelin Hormone: A Pilot Study
Authors: Hakami Nora Y. , Alhazmi Wafaa A. , Taibah Eman O. , Sindi Mamdouh M. , Alotaibi Ohoud F. , Al-Otaibi Hajed M. , Alhadrami Hani A. 
Published: March 2021

Objectives: The pandemic of coronavirus disease 2019 (COVID-19) has been one of the major health concerns for all the countries around the globe. This study was aimed to study the potential effect of COVID-19 virus on the level of blood ghrelin appetite hormone in order to determine the influence of this infection on the patient appetite.
Methods: This is a cross-sectional study was conducted between July and the end of August 2020 in the western region of Saudi Arabia. A total of 50 confirmed positive patients with COVID-19 (positive group) and 30 control healthy subjects with negative blood samples (negative group) were collected to determine the level of ghrelin appetite hormone using the human ghrelin (GHRL) ELISA technique. A student’s t-test was carried out to find out the statistical change between different study groups.
Results: The serum total ghrelin concentrations, on average, were 51.32 pg/mL on positive group and 50.37 pg/mL on negative group, respectively. The difference of ghrelin was statistically insignificant between the two groups (P >0.05). Although the sample size of the study was small, the results showed high number of COVID-19 cases in male than female.
Conclusion: The current data shows that there are no significant changes in the level of serum ghrelin hormone in COVID-19 patients. Consequently, it might be possible that the ghrelin hormone showed potential changes in the saliva compared to the effect in the blood. Thus, a further analysis of the ghrelin hormone in the saliva of COVID-19 patients will be conducted in the near future.
Extraction and Processing of Pharmaceutical Grade Microcrystalline Cellulose from Dracaena arborea Stem
Authors: Ordu J. I. , Udenze I. E. 
Published: March 2021

Cellulose is an abundant renewable biodegradable polymer regarded as a promising feedstock for chemical productions with its versatility evaluated as a useful structural and functional material for pharmaceutical and industrial applications. It is a straight chain polymer which appears in cell walls of most plant and consists of D. glucose units, with absence of coiling or branching and can be derived from variety of sources including: annual plants, microbes, animals etc. Three basic types of cellulose often exist in nature as - alpha (α), beta (β) and gamma (ϒ). Microcrystalline cellulose (MCC) sourced from cellulose, occurs as a purified and partially depolymerized alpha cellulose from plant parts such as D. arborea stem possibly by severe acid or alkaline hydrolysis. D. arborea plant is a palm – like tree of 1.5m height with several branches, often used as a boundary mark, a non-selective habitat and belongs to the family Asparagaceae, sub family Nolinoideae. With alkali hydrolysis of the D. arborea stem, the percentage yield of MCC from the alpha cellulose is 54.32%. Physicochemical analysis of the MCC reveals it to have a pH of 7.80 and physicotechnical analysis resulted in values as recommended in the official monogragh. Proximate principles of the extracted MCC, depicted percentage fiber content as 65.78% and low lipid and protein content as 0.6 and 0.4% respectively. Elemental analysis shows the composition of sodium and iron as 41% and 35% respectively but absence of lead and other deleterious materials. FTIR analysis suggests the presence of carbonyl groups, 6- membered cyclic ring (aromatic structure) with ortho and meta - OH substitution and long aliphatic chains. The x-ray diffraction study gave a percentage crystalinity index of 6.02 at 2q = 22 and 2q = 34.
Treatment models
Authors: Lader M 
Published: July 2002

SummaryAntipsychotic drugs are used in a range of schizophrenic patients from the acutely disturbed to the chronically inert. Acute psychotic breakdowns usually involve secondary phenomena such as anxiety, depression and hostility superimposed on a worsening of the psychotic illness: a threshold of arousal is exceeded. This sets up a vicious circle which requires a major therapeutic effort to interrupt. Unfortunately, patients still relapse despite apparently adequate medication, suggesting only partial protection. Relapse is influenced by drug-related factors such as compliance and substance abuse, psychological factors such as cultural context, family dynamics and life events, and illness features such as poor insight. Treatment strategies, such as low-dose and intermittent medication, have proved disappointing. The most pragmatic model is the classic stressor-vulnerability model, but this does not explain the enhanced efficacy of clozapine.
Pharmacotherapeutic response of DST-positive borderline patients
Authors: Kontaxakis VP , Christodoulou GN , Markianos M , Stefanis C 
Published: July 2002

SummaryThe cases of two borderline patients are presented, dexamethasone suppression test (DST) positive and refractory to many therapeutic interventions and treated successfully with high doses of amitriptyline (225 and 200 mg/day, respectively). During the therapeutic intervention, the psychopathological condition of the patients was evaluated using Hamilton's rating scale for depression and a constructed scale based on items 11, 12 and 13 (dysphoria, anger, sense of emptiness, boredom, anhedonia) of the diagnostic interview for borderline patients.
Electro-convulsive therapy in neuroleptic malignant syndrome
Authors: Azhar MZ , Varma SL 
Published: July 2002

SummaryA middle aged lady having Manic-depressive psychosis developed neuroleptic malignant syndrome (NMS) on haloperidol. The emergent psychosis after recovery from NMS resolved with judicious use of electro-convulsive therapy (ECT) followed by gradual reintroduction of antipsychotics is reported here.