bluuebunny/crossref_metadata_2025_split huggingface dataset:
Practicando la habilidad de hablar en inglés mediante interacciones con hablantes nativos
Authors: Becerra Polanco Manuel Antonio , González Martínez Juan 
Published: September 2021

El presente artículo describe una investigación cualitativa enfocada en analizar la mejoría de la habilidad de hablar en inglés por parte de los alumnos de la universidad de Quintana Rool. La metodología se enfocó a través de prácticas situacionales con hablantes nativos del inglés y al diseño actividades orientadas a la realización de conversaciones entre grupos pequeños. Para la recolección de los datos, se empleó el uso de foros, y un cuestionario con preguntas abiertas. Los resultados reportan mejorías en los alumnos respecto al control de limitaciones psicológicas como la timidez, miedo a cometer errores, hablar con nativos, entre otras. De igual forma, se identificó mejoría en el aspecto lingüístico al fomentar el uso y práctica de estructuras gramaticales.
Abstract
This article describes a qualitative research focused on analyzing the improvement of English speaking skills of students at the University of Quintana Rool. The methodology was focused through situational practices with native English speakers and the design of activities oriented to small group conversations. For data collection, the use of forums and a questionnaire with open-ended questions was used. The results report improvements in the students' control of psychological limitations such as shyness, fear of making mistakes, speaking with native speakers, among others. Likewise, improvement was identified in the linguistic aspect by encouraging the use and practice of grammatical structures.
neuroeducadores como dispositivo de educación a distancia en la UVP. Análisis de su proceso de autorregulación del aprendizaje
Authors: Trujillo Méndez Marcelino , Espino Guevara María de Jesús 
Published: September 2021

La autorregulación del aprendizaje, es una necesidad de la realidad educativa en la educación a distancia. El objetivo general es analizar la forma en que durante el proceso de capacitación-construcción de asignaturas para educación a distancia, los docentes constructores experimentaron el desarrollo de la autorregulación de su aprendizaje. Bajo un diseño cualitativo de tipo fenomenológico hermenéutico, el proceso de investigación tiene dos momentos; en el primero, el tópico de análisis se atiende considerando el Modelo de Pintrich; en el segundo, se realiza el acceso a los datos con las técnicas de observación participante y entrevista semiestructurada. Se concluye desagregando las áreas de oportunidad que se identifican en cinco categorías neuroeducativas.
Abstract
Self-regulation of learning is a need of the educational reality in distance education. The general objective is to analyze the way in which during the process of training-construction of subjects for distance education, the teacher-constructors experienced the development of self-regulation of their learning. Under a hermeneutic phenomenological qualitative design, the research process has two moments; in the first, the topic of analysis is addressed considering Pintrich's Model; in the second, access to data is made with the techniques of participant observation and semi-structured interview. It is concluded by disaggregating the areas of opportunity identified in five neuroeducational categories.
Role of Bala (Immunity) in Covid-19 Pandemic: An Ayurvedic Review
Authors: Gurav Vishal Prabhakar  , Gannur Prasadshakti G  
Published: September 2021

The whole world is suffering from the disaster COVID-19 pandemic caused by the novel Coronavirus SARS-CoV-2. This novel Coronavirus is extremely contagious and in short span of time it has evolved as a serious hazard to humanity. COVID-19 usually affects people with low immunity responses. No Confirmed treatment is available yet to overcome against COVID-19. Strengthening the immunity of human body is the best option to restrict COVID-19 infection by. This Study is a small effort to enlighten the Ayurvedic broad Concept of Bala which has a direct relation with Ojus & Vyadhikshamatva. This Ayurvedic Concept has the potential to built strong immunity against COVID-19 which may be helpful in this battle against the current scenario of the Disastrous COVID‑19 pandemic for the survival of human beings.
Vrikshayurved Methods for Disease Control in Plants with Special Reference to Onion (Allium Cepa)
Authors: More Shweta Vinod  , Avalaskar Amit D  , Mahajan Vijay  , Sogam Onkar Anant  
Published: September 2021

Introduction- In today’s era due to modernization and civilization people follows modern techniques of cultivation which is starting from seed viability study then for nursery adding fertilizers in land and for treating disease and fulfilling their nutrients value adding or spraying chemical fertilizers which leads to hazards effect in environment on every creature. Aacharyas found natural solutions for every plant issue many years back they already mentioned in Vrikshayurved, how to diagnose and treat different kind of plant diseases more naturally and authentically.
Objective- This article aims to diagnose and treat plant diseases according to Vrikshayurved.
Materials and methods- Study performed on Onion seedlings (Allium cepa) under the observation of Directorate of Onion and Garlic Research Institute, Rajgurunagar, Pune. Onion seedlings were treated by Kunap jal and Madhuyastyadi Kwath. Disease of Onion seedlings were diagnosed and treated by Vrikshayurved methods using Kunap jal and Madhuyashtyadi Kwath.
Results- The Vrikshayurved methods showed around 80-85% reduction in curling of leaves, 100% reduction in yellowish discoloration, 100 % reduction in dryness of leaves.
Vrikshayurved intervention improved growth rate drastically.
Conclusion- Vrikshayurved intervention improved curling, dryness and yellowish discoloration of leaves significantly. It also doubled growth rate of the onion seedlings. It indicates that Vrikshayurved methods are applicable in today’s era.
Potency Biomarker Effect of Endothelial Microparticles (EMPs) for Early Prediction of Cardiovascular Risk in Shift Worker Nurses
Authors: Alie Ike Rahmawaty , Andriantoro Hananto , Timan Ina S , Sulistomo Astrid Widajati , Illyas Ermita Isfandiary , Mansyur Muchtaruddin 
Published: September 2021

Objectives. Shift work results in changing worker’s behavior, food, and sleep patterns, which can cause circadian rhythm disturbance, which is a cardiovascular risk. Until now, a biomarker of early prediction of cardiovascular risk on shift workers is still not developed. This study aimed to assess the cardiovascular risk of shift worker nurses by detecting endothelial microparticles (EMPs).
Methods. This longitudinal study compared six shift nurses and five non-shift nurses by measuring the EMPs using antigen CD31+ flow cytometry. All met the inclusion criteria consisting of 28 blood samples followed in one week shift.
Results. EMPs among non-shift nurses were below 200 μL. However, shift nurses’ EMPs increased above 200 μL with Man-Whitney U p = 0.000 on days 4 and 7 following a one shift per week schedule.
Conclusion. There was an increase in shift workers’ endothelial microparticles (EMP) which was a sign of cardio-vascular risk.
Occupational Risk Exposures and Adverse Health Findings Among Farmers in Southern Philippines
Authors: Lu Jinky Leilanie , Salas Emma K. 
Published: September 2021

Introduction. Pesticides are widely used in the agricultural sector to increase production by cutting costs and improving product quality. However, these chemicals come with serious health effects when individuals are exposed to large quantities at once or low amounts over time.
Objective. This study aimed to identify the health symptoms and physical assessment findings affecting farmers from their repeated occupational exposure to pesticides in a rural region in the Philippines.
Methods. This research study used a cross-sectional design, and samples were drawn based on a multistage sampling of 387 agricultural workers. The target site was in the southern Philippines, and the sample was selected randomly from the identified municipalities. Survey questionnaires were given to the respondents, and a physical assessment was made by medical doctors and trained registered nurses. The data were encoded using SPSS™ 13.0. The statistics used were both descriptive and inferential.
Results. The farmers used pesticides in their farms with an average of 2.3 days per week (SD: 2.13). The mean total spraying time was 3.07 hours (SD: ± 14.76) per day. The average amount of pesticide used in an application was 1.33 L per application (SD: ± 6.53). Sixty-three percent (63%) had spills while spraying, and 47% reported having spilled pesticides while mixing. Farmers were assessed and found to have experienced symptoms and exhibited physical assessment findings surrounding the following body systems: general, EENT, neurologic, gastrointestinal, respiratory, cardiovascular, and integumentary systems. Abnormalities in laboratory parameters were also observed among the respondents. The mini-mental state examination was done to test if the respondents showed signs of cognitive impairment. The results showed that most respondents (93.95%) had normal cognitive function, while 6.05% of respondents had some level of cognitive impairment. Associations were also tested using Phi Coefficient, and certain pesticide exposure variables were associated with farmers' physical findings and symptoms experienced by farmers.
Conclusion. This study translates pesticide’s health impact by identifying the common symptoms experienced by farmers and concerning physical assessment findings. The study found that farmers suffered from various symptoms concerning the general health, eye, ears, nose, and throat region, neurological system, gastrointestinal system, respiratory system, cardiovascular system, and the integumentary system. In addition, the laboratory parameters of the participants also exhibited abnormalities indicative of exposure and possible adverse effects from pesticides.
Statistics on Trends of Occupational Injury and Related Injuries in the Philippines
Authors: Lu Jinky Leilanie 
Published: September 2021

Introduction. Deaths due to occupation are estimated to be around 2.3 million globally. These deaths may be accounted for as accidents and injuries related to workplaces. The latter is a common problem, especially in developing countries where manual and hazardous tasks are prevalent.
Objective. The study aimed to provide an updated and detailed information on the current statistics and trends of occupational injuries in the Philippines.
Methods. The data on occupational injuries and related injuries from 2011 to 2017 (latest data) were based on a systematic and comprehensive review of literature from different national and international sources, including scholarly journals, peer-reviewed articles, national surveys by Philippine Statistics Authority, the hospital-based recording data: Online National Electronic Injury Surveillance System (ONEISS) by the Department of Health and other reliable electronic data related to occupational injury. The latest statistics are 2017, although data were published in 2018 and 2019.
Results. This study obtained from the national statistics showed that there is generally a decreasing trend of occupation injuries from 2011 (46,655 cases) to 2017 (38,235 cases). However, the occupational injuries generally increased from 2011 (48,975 cases) to 2015 (20,961 cases). The most affected sector was the manufacturing industry consistently from 2011 to 2017. With regards to workdays lost, the most common cause from 2011 to 2017 is temporary incapacity. Superficial injuries and open wounds were the most common, resulting in workdays lost consistently from 2013 to 2017. For the hospital data, the top causes of occupational injuries were vehicular accidents. Open wound/lacerations, abrasions, and contusion were the most common types of injuries for the same year range. Moreover, the 20-59 years old, the working-age population, were the common victims of these injuries. Occupational injuries were also prevalent across all industry groups, including informal occupations such as workers engaged in transportation, construction, mining, and agriculture and fisheries industries.
Conclusion. Occupational injuries and accidents are global problems, most especially for developing countries. This study suggests that better focus should be given to workers as they are productive members of society.
Toward Control Over Time: Participant Experience of Attending the Let’s Get Organized Group Intervention
Authors: Lidström-Holmqvist Kajsa , Tollén Anita , Holmefur Marie 
Published: September 2021

Importance: Time management is crucial for managing daily activities but is difficult for many people with neurodevelopmental or mental disorders. Few sustainable interventions have addressed time management in daily life.
Objective: To describe the experiences and meaning of attending the Swedish version of the Let’s Get Organized (LGO–S) group intervention.
Design: Qualitative design with interviews 1 to 4 mo after the completed intervention.
Setting: Outpatient psychiatric and adult habilitation clinics.
Participants: Twelve adults with neurodevelopmental or mental disorders.
Intervention: LGO–S, a manual-based group intervention that focuses on time-management skills.
Outcomes and Measures: Semistructured interviews analyzed with qualitative content analysis. All authors took an active part in the analysis process; consensus was reached.
Results: The overarching theme, “a roller-coaster process toward control over time in daily life,” describes the participants’ process during and after intervention. Four main categories describe the meaning of understanding why time management is difficult and how to use tools for improvement, a process of change that was facilitated by the learning environment. Participants described the process as a struggle to take control over time, but they noted that the positive changes in daily life made it worthwhile.
Conclusions and Relevance: Participation had a positive impact on daily life. The opportunity for skills training with support over an extended period, a changed view on failure, and the group format appear to be important success factors.
What This Article Adds: The LGO–S, with its structured training of time-management skills, contributes to occupational therapy practice with an intervention that clients experience as bringing meaningful and positive changes to daily life functioning.
Cultural Adaptation of the Evaluation in Ayres Sensory Integration® (EASI) for Spanish-Speaking Populations
Authors: Gándara-Gafo Berta , Beaudry-Bellefeuille Isabelle , Mailloux Zoe , Moriyón Tania , Parham L. Diane , Riego Sergio Santos-del , Serrada-Tejeda Sergio , Roley Susanne Smith , Toledo Pilar , Schaaf Roseann C. 
Published: September 2021

Importance: Spanish-speaking populations represent a significant percentage of occupational therapy clientele globally. Culturally appropriate Spanish translations of assessments are therefore imperative. This study describes the process of a culturally adapted translation of a set of tests for use with Spanish-speaking pediatric populations.
Objective: To produce a culturally adapted Spanish translation of the Evaluation in Ayres Sensory Integration® (EASI) for international use.
Method: We used cultural adaptation methodology that included direct and back translations of the EASI by bilingual translators and interviews with pediatric occupational therapists and children ages 3–6 yr from Spain. Linguistic experts helped revise the translations, and pediatric occupational therapy leaders in five Spanish-speaking North and South American countries reviewed the translations for comprehensibility and cultural appropriateness.
Results: Back translations demonstrated equivalence with the original EASI tests except for a few test instructions and scoring criteria. Interviews with occupational therapists and children in Spain revealed some comprehension difficulties for several tests, which were revised in consultation with a linguistic expert. Additional adaptations were made on the basis of recommendations to address cultural differences by occupational therapy leaders from five North and South American countries. Most changes in wording were made in one EASI test (Praxis: Following Directions) that is heavily dependent on language comprehension.
Conclusions and Relevance: We used currently recommended methodologies to develop and adapt a Spanish translation of the EASI for use across diverse cultures.
What This Article Adds: A Spanish translation of the EASI has been developed for use in culturally diverse Spanish-speaking countries around the world.
Community Pharmacist–Led Medication Reviews
Authors: Harris Jonathan , Argáez Charlene 
Published: September 2021

Community pharmacist–led medication reviews are widely used in Canada and internationally.
It has been shown that community pharmacist–led medication reviews can identify medication issues. Broadly speaking, pharmacists feel qualified to deliver this service and, from the few studies that measured patient satisfaction, patients find value in receiving a medication review in a community pharmacy.
In terms of patient and health system outcomes, community pharmacist–led medication reviews seem to have limited impact. Individuals living with defined chronic conditions, such as diabetes or hypertension, or those living with multiple chronic conditions seem most likely to benefit.
No studies of cost-effectiveness in the Canadian context were identified.
A variety of barriers that impact pharmacist-led medication reviews were identified in the literature, including:

limited communication between community pharmacists and prescribers resulting in pharmacists’ recommendations not being implemented
a lack of time on the part of pharmacists
challenges with patient selection.

Policy interventions that may help alleviate these barriers include:

incentivizing communication and collaboration between pharmacists and prescribers
reducing administrative burden
improving access to patient information
enhancing patient selection by incentivizing service provision for the most medically complex patients.
Sustainability of Chronic Kidney Disease Care
Authors: Harris Jonathan , Argáez Charlene 
Published: September 2021

Strategies to contain the cost of chronic kidney disease (CKD) care and to improve patient outcomes were found across the continuum of care, from prevention and early disease management through later-stage interventions such as conservative management, dialysis, and transplantation. A variety of health system strategies, including funding reform, were identified to help support and enable sustainable CKD care.
For those at risk of CKD or in early stages of the disease, public health interventions to support healthy behaviours and ensure access to primary health care seem crucial to preventing or delaying disease progression.
For later-stage patients requiring renal replacement therapy, enhancing access to transplantation and home-based dialysis has the potential to reduce costs while improving outcomes and quality of life. Conservative management without dialysis is an option for those who may not be good candidates for renal replacement therapy or who wish to choose a less-invasive care option.
From a health system policy perspective, funding reform may be warranted to enhance team-based CKD care with good continuity. Policy-makers should also consider the ways in which improving financial supports for caregivers, providing travel and expense reimbursement for home dialysis patients and living organ donors, and providing support for utility and ancillary costs of home dialysis could incentivize sustainable CKD care.
Dinutuximab (Unituxin)
Authors: Team Reimbursement 
Published: September 2021

CADTH recommends that Unituxin (in combination with irinotecan, temozolomide, and granulocyte macrophage colony-stimulating factor [GM-CSF]) should be reimbursed by public drug plans for the treatment of patients with relapsed or refractory high-risk neuroblastoma if certain conditions are met.
Unituxin should only be reimbursed if delivered in a specialized pediatric cancer centre by health care professionals with experience and knowledge of managing neuroblastoma and the toxicities of anti-GD2 therapy and if the cost of Unituxin is reduced.
Unituxin should only be covered for patients who have not had previous treatment for relapsed or refractory high-risk neuroblastoma or have not had a severe reaction or progressive disease with upfront anti-GD2 immunotherapy.
Luspatercept (Reblozyl)
Authors: Reimbursement Team  
Published: September 2021

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.
The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.
This review assesses luspatercept (Reblozyl), 25 mg/vial, 75 mg/vial, powder for solution for subcutaneous injection.
Indication: For the treatment of adult patients with red blood cell transfusion-dependent anemia associated with beta-thalassemia.
Budesonide (Jorveza)
Authors: Reimbursement Team  
Published: September 2021

CADTH recommends that Jorveza should be reimbursed by public drug plans for the maintenance of remission in adults with eosinophilic esophagitis (EoE) if certain conditions are met.
Jorveza should only be reimbursed if prescribed by a specialist with experience in the diagnosis and management of EoE, and the cost of Jorveza is reduced.
Jorveza should only be covered for adult patients who have a confirmed diagnosis of EoE, in whom treatment with a proton pump inhibitor (PPI) did not work, and whose symptoms (dysphagia and pain during swallowing) have resolved after receiving induction treatment with Jorveza.
Anesthesia Care Provided by Nurses
Authors: Banerjee Srabani , Askin Nicole 
Published: September 2021

One systematic review, 4 primary studies (observational studies: 3 retrospective and 1 prospective), and 1 economic evaluation were identified.
A definitive conclusion is not possible regarding the clinical effectiveness of anesthesia provided by non-physician anesthetists compared with physician anesthetists, considering the evidence was from studies of low quality that were associated with considerable risk of bias, and there were inconsistencies in the findings.
The incremental cost-effectiveness ratio (ICER) for physician anesthesiologists compared with nurse anesthetists was US$77,400 per quality-adjusted life-year (QALY) gained. The 1-way sensitivity analyses showed that with an increase in the cost of nurse anesthetist professional services or an increase in the number of unexpected hospital days, the ICER values would fall below US$50,000 per QALY gained.
Onabotulinum Toxin A (Botox) for Spasticity in Patients With Acquired Brain Injury
Authors: Li Yan , Grobelna Aleksandra 
Published: September 2021

No relevant literature was identified regarding the clinical effectiveness or cost-effectiveness of onabotulinum toxin A (Botox) for reducing spasticity in patients with traumatic or non-traumatic–acquired brain injury.
Authors of 1 evidence-based guideline recommend the use of botulinum toxin (subtype and formulation not specified) for the treatment of spasticity associated with traumatic brain injury.