bluuebunny/crossref_metadata_2025_split huggingface dataset:
Lepra de presentación focal en un paciente con mononeuropatía cubital en Uruguay
Authors: Giménez Santiago , Martínez Fernando , Penela Malena , Perna Abayubá , Centurión Dardo 
Published: July 2023

La lepra, o enfermedad de Hansen (EH), es una enfermedad infectocontagiosa crónica de evolución lenta, causada por el bacilo Mycobacterium Leprae. La misma fue y continúa siendo un problema de salud importante en áreas endémicas y teniendo un gran impacto en la calidad de vida de los pacientes que la padecen.
Actualmente se presenta como una causa infrecuente de neuropatía en nuestra región, pero su sospecha diagnóstica y por ende su tratamiento precoz repercute a nivel pronóstico y funcional. Nuestro objetivo es analizar un caso único de Enfermedad de Hansen en nuestro país, haciendo enfoque en la presentación clínica y el abordaje médico-quirúrgico.
Se presenta un paciente con un cuadro de debilidad progresiva de mano izquierda y una lesión de piel cronificada a nivel de codo, cuyos hallazgos clínicos, neurofisiológicos e imagenológicos fueron concordantes con una lesión del nervio cubital por atrapamiento en el conducto epitrócleo-olecraneano. La anatomía patológica mostró un proceso granulomatoso crónico y la baciloscopia fue positiva para bacilos ácido-alcohol resistentes con coloración de Hansel positiva, haciéndose diagnóstico de mononeuropatía cubital secundaria a infección por M. Leprae. Dada la severidad del compromiso nervioso, se realiza cirugía de nervio periférico con epineurotomía y descompresión nerviosa.
En el caso de nuestro paciente con neuropatía cubital secundaria a enfermedad de Hansen, la cirugía descompresiva fue exitosa en el alivio del dolor, mostrándose como una opción terapéutica de relevancia en este tipo de pacientes.
Insatisfacción corporal y las habilidades sociales en los adolescentes
Authors: Cortez Viteri Christian Daniel , Fernanda Romo Gabriela , Patricio Sagnai Jorge , Fernanda Mena Vanessa 
Published: July 2023

La investigación se realizó con el objetivo de comprobar si la insatisfacción corporal influye en el uso de las habilidades sociales de los adolescentes en la ciudad de Ambato, se trata de una investigación descriptiva, de campo, con enfoque cuali-cuantitativo, para la recolección de información y datos, se recurrió a la aplicación de test psicométricos, que fueron aplicados a 130 adolescentes mujeres y hombres, el 38 % de la población evaluada demostró no insatisfacción con su imagen corporal, mientras que el 62 % de los mismos manifiestan algún tipo de insatisfacción, de ellos, el 23 % presentan insatisfacción leve, el 21 % insatisfacción moderada y el 18 % extrema insatisfacción con su imagen corporal, el 48 % de los hombres encuestados demostraron no sentirse insatisfechos, mientras que el 52 % afirmaron sentir algún tipo de insatisfacción, siendo los porcentajes los siguientes: 21% insatisfacción leve, 15% insatisfacción moderada y el 16 % extrema insatisfacción, 29% de las mujeres encuestadas, afirmaron no sentir insatisfacción hacia su figura corporal, mientras que el 71% mencionaron sentir algún tipo de insatisfacción corporal, se concluye que la insatisfacción corporal influye en el uso de las habilidades sociales de los adolescentes.
Mediação e Didática: um estudo genealógico e cartográfico da produção acadêmica da Educação de Pessoas Jovens e Adultas no Brasil
Authors: Sanceverino Adriana Regina 
Published: July 2023

O presente artigo resulta de subprojeto de pesquisa financiada pela Universidade Federal da Fronteira Sul (UFFS)[1]. Objetiva compreender os principais fundamentos teórico-metodológicos que embasam os estudos sobre a Mediação e a Didática, os autores recorrentes e a trajetória de pesquisa deles e dos orientadores no campo da EJA. O subprojeto compõe uma investigação mais ampla, junto à Universidade Federal de Santa Catarina (UFSC), que integra uma rede de pesquisadores de diversos estados do Brasil e do exterior. Metodologicamente, esta investigação tem abordagem quanti-qualitativa de caráter bibliográfico, mediante análise de conteúdo de natureza inventariante e descritiva da produção acadêmica sobre a temática da Mediação e da Didática na EJA. Conta com os aportes teóricos de Romanowski e Ens (2006), Meksenas (2002), Severino (2006) entre outros. Como resultado, destaca-se que, embora esteja imanente a relação entre as mediações e a didática no contexto da prática pedagógica da EJA, ela não está dada no âmbito da produção acadêmica. Além disso, os estudos revelam uma lacuna na discussão teórico-metodológica em relação à mediação como categoria fundante da didática nessa modalidade de ensino, não só em relação ao termo/conceito, uma vez que também não é usada outra linguagem para tratar da especificidade das metodologias que possam dar conta da complexidade da EJA. Esse fato tem implicações importantes para a EJA, seja em relação às políticas de formação de professores para atuarem nessa modalidade de educação, seja em relação à inadequação de currículos, de metodologias, de materiais didáticos e das formas de avaliação adotadas.
[1] Parte desse estudo constituiu apresentação na XII JORNADA DE INICIAÇÃO CIENTÍFICA E TECNOLÓGICA – UFFS. V.1 n.12, 2022 ISSN 2526-205X5.
Disponível em: https://portaleventos.uffs.edu.br/index.php/JORNADA/article/view/16548
GERAK TARI JAUK MANIS DALAM FOTOGRAFI EKSPRESI DENGAN TEKNIK STROBO LIGHT
Authors: Balayasa I Wayan Open Yusa , Nindhia Cokorda Istri Puspawati , Candrayana Ida Bagus 
Published: July 2023

Tari Jauk Manis adalah tarian yang melambangkan sosok seorang raja yang sedang berkelana dan memiliki gerakan yang unik, berwibawa dan lemah lembut. Awal tertariknya pencipta mengambil tema tarian Jauk Manis ini karena gerakannya yang unik dan menarik untuk direkam melalui media fotografi, Tujuan dari penciptaan ini adalah untuk memvisualkan gerakan Tari Jauk Manis ke dalam fotografi ekspresi dengan teknik Strobo Light menjadi sebuah karya yang unik dan menarik serta untuk mengetahui berbagai macam gerakan yang ada di tarian Jauk Manis. Tari Jauk Manis memiliki kostum seperti tari Baris, hanya saja tari Jauk Manis menggunakan topeng yang berwarna putih, gelungan (mahkota raja), dan sarung tangan dengan kuku yang panjang. Secara lengkap busana yang digunakan dalam pementasan tari Jauk Manis yakni celana panjang berwarna putih, stewel, kamben putih, baju, srimping, keris, awiran, lamak, badong, gelungan, dan topeng berwarna putih. Pencipta melalukan metode observasi serta melakukan wawancara mengenai gerak Tari Jauk Manis, kemudian dilanjutkan proses pemotretan ke lokasi. Dengan Teknik Strobo Light yang digunakan dalam pemotretan Tari Jauk Manis, Dari hasil pemotretan dilakukan tahap pemilihan foto serta dilanjutkan ke tahap selanjutnya sampai akhir ke proses penciptaan yaitu pameran dan persentasi.Untuk memvisualkan Gerak Tari Jauk Manis dalam fotografi ekspresi dengan teknik Strobo Light yang sangat unik dan menarik pencipta harus melakukan observasi pengamatan secara langsung agar mengetahui gerakan apa saja yang biasa dipakai dalam penggunaan Teknik Strobo Light. Gerakan yang ada pada tarian Jauk Manis ini yaitu 22 gerakan yang dipilih pencipta 15 bagian gerakan yang dijadikan foto dengan Teknik Strobo Light.
Kata kunci : Gerak Tari Jauk Manis, Fotografi Ekspresi, Strobo Light
ESENSI KONSEP ZEN PADA DESAIN INTERIOR MASSAJI SPA, CANGGU, BALI
Authors: Prabaswari Ida Ayu Chandra , Ika I Wayan Balika , Padmanaba Cok Gede Rai 
Published: July 2023

Di suatu bangunan, dapat berfungsi sebagai tempat berlindung serta memenuhi kebutuhan hidup huniannya. Sehingga, tangan desainer sangat dibutuhkan untuk merancang ruangan yang bisa berfungsi dengan maksimal tetapi tetap memberikan kesan yang menarik. Pada perkembangan era ini, para desainer sangat dibutuhkan di berbagai bidang. Salah satunya yaitu spa yang bergerak di bidang kecantikan dan perawatan tubuh. Massaji spa merupakan Massage & Reflexology Spa dan telah beroperasi sejak tahun 2010. Perancangan proyek ruangan spa ini berlokasi di jalan Canggu, Kec. Kerobokan, Bali. Proyek spa ini terdiri dari beberapa ruang dan mahasiswa menjadi bagian dalam perancangan area lobi, ruang massas & area foot spa. Metode yang digunakan dalam proyek ini berupa metode pelahksanaan Project based learning yang dilaksanakan dengan cara langsung terjun ke lapangan dan mengerjakan proyek-proyek yang sedang dikerjakan oleh mitra. Metode pelaksanaan disesuaikan dengan proses dan tahapan magang/praktik kerja di lapangan. Pelaksanaan dilakukan dengan menggali data, analisis data dan hasil analisis data. Adapun metode pengumpulan data yang digunakan berupa wawancara, observasi, dokumentasi serta studi literatur dan parameter. Pada proses perancangan ini, klien memiliki keinginan desain dengan gaya desain Zen. Zen merupakan kata dimana memiliki makna keseimbangan serta keselarasan antara kehidupan dengan alam. Zen pun banyak diterapkan pada desain interior, dimana gaya ini terinspirasi dari interior jepang yang minimalis dan kuno. Adapun tahap perancangan dimulai dengan survei site, proses desain hingga perwujudan desain.
The Economic Burden Of Households With Children Less Than Five Years Presenting With Pneumonia At Komfo Anokye Teaching Hospital, Kumasi, Ghana
Authors: Francis Adjei Osei Francis Adjei Osei , Ansong Daniel Ansong , Mensah Kofi Akohene Mensah , Amuzu Evans Xorse Amuzu , Owusu Kwame Alfred Owusu , Sarpong Phans Oduro Sarpong , Osei-Peprah Ida Osei-Peprah , Kobina Timothy Ofori Kobina , Bonney Joseph Bonney , Enimil Anthony Enimil , Dankwah Bright Atta Dankwah , Agyei-Baffour Peter Agyei-Baffour 
Published: July 2023

Objective: Pneumonia is a leading cause of hospital admission among children less than five years in sub-Saharan Africa. It is also associated with considerable economic cost to the households affected. This study sought to quantitatively measure the economic burden of households with children less than 5 years admitted at the Komfo Anokye Teaching Hospital (KATH) on account of pneumonia.
Methodology: This was a cross-sectional study involving children less than 5 years admitted to the KATH for pneumonia. A consecutive sampling technique was used to select 157 eligible participants from the Paediatric Ward of KATH from June to August 2016. A structured questionnaire and data abstraction form was used to collect primary and secondary data respectively. We applied point (median) and interval estimation (interquartile range) on the various cost components (Pre-admission cost, direct cost and indirect costs). Estimates of the disability adjusted life years (DALY) was done using the prevalence-based approach.
Results: The median preadmission cost was estimated at GH₵ 70 [US$ 18] ranging from GH₵ 5(US$ 1) to GH₵ 600 (US$ 154). Households spends an average of GH₵ 600 (US$ 154) (IQR: GH₵ 387.68 [US$ 99], GH₵ 778 [US$ 199] in treating an episode of childhood pneumonia in Komfo Anokye Teaching Hospital. The median direct non-medical cost was GH₵ 60 (US$ 15). The median indirect cost was GH₵ 165 (US$ 42). The median DALY recorded was 1,253.476 YLL.
Conclusion: Pneumonia poses economic burden on households whose children are affected considering their low socio-economic status.
Private Thoughts: There is No Evidence that I was Born on a Saturday
Authors: Konotey-Ahulu F.I.D. 
Published: July 2023

The confident way “There is no evidence” is used in scientific and political circles to silence debate in matters big and small has been a source of constant amazement to me for decades. The first time I heard the phrase was when I was undergraduate at WestminsterHospital School of Medicine in the mid 1950‟s. I was impressed by the epidemiological articles of Professor Richard Doll linking cigarette smoking to lung cancer. Later, my admiration knew no bounds when article after article continued to pour out of OxfordUniversity from the pen of Sir Richard Doll, Professor Martin Vessey, and others claiming not only that smoking predisposed to cancer, but also that stopping smoking reduced the chances of cancer. However, debate in the media always managed to find one expert orother who claimed “there is no evidence that smoking causes cancer”. So loudly, vehemently, and persistently was “there is no evidence” trumpeted that I (and most listeners) began subliminally to interpret “there is no evidence ...” as “there is evidence that smoking does not cause cancer”. Heavy smokers preferred that interpretation too. Next, the phrase assumed a quasischolarly connotation, so much so that speakers at any scientific conference that sprinkled their presentations with a few “there is no evidence” statements were considered quite brilliant. They really had done fantastic research to arrive at that conclusion.
Analysis of Staff Medical Bills Submitted Through a Medical School Clinic in Ghana
Authors: Yawson A.E. , Malm K.L. , Essuman A. , Lawson A.J. , Biritwum R.B. , Tsegah E. 
Published: July 2023

Introduction: The Medical School Clinic (MSC) provides free healthcare for staff of University of Ghana Medical School (UGMS) and other schools of the College of Health Sciences. This study determined annual cost of medical bills and which category of staff are thebeneficiaries of these claims through the MSC. Methods: This was a retrospective review of records, from January 2007 to December 2010 of staff medical bills and bills of dependants claimed through the MSC which is part of the UGMS in Korle-Bu.Results: From 2007 to 2010, medical bills of staff and their dependants claimed through the MSC doubled from GH₵ 52497(US$ 47724.16) to GH₵ 118666(US$ 84761.36). Junior staff made the most claims (45.9%) while senior members and retired staff had higher annual medical bill per person. Claims by staff of UGMS administration alone constituted 28% of all claims from the UGMS. MSC had 51.7% of all claims by staff made directly at the MSC and 40% were from the Korle-Bu Teaching Hospital which provided specialistcare including physician specialist, obstetrics &gynaecological, paediatric, eye, Ear Nose and Throat, diabetes, genitourinary and orthopaedic care for staff.Conclusion: Medical bills of staff and dependants claimed through the MSC have escalated over the four year period. It will be efficient to provide certain basic chronic care services for the older adult staff (who from this analysis have higher annual medical bill perperson) at the current operating hours of the MSC and enrol the majority of staff unto a prepayment health scheme
Factors Associated with Antenatal Steroid Uptake in Mothers at Risk of Preterm Birth at a Teaching Hospital In Ghana
Authors: Sackey A.H. , Tagoe L.G. , Oppong S.A. 
Published: July 2023

Background: This study was performed to determine the factors associated with antenatal corticosteroid (ACS) use in pregnant women at risk of preterm birth at the Korle-Bu Teaching hospital (KBTH) in Accra.Method: A descriptive cross-sectional study. Subjects and outcome measures - Mothers who should have received antenatal steroids were identified by the admission of their preterm infants to the neonatal unit at KBTH. Maternal ACS status was determined, and the characteristics of women who received ACS were compared with those who did not.Results: There were 284 eligible admissions during the study period of 6 months, of which 43% (121 mothers) were studied due to administrative and logistical constraints. Out of these 121 mothers, 92 (76%) had received antenatal corticosteroids. Mothers withprimary and secondary education were less likely to receive antenatal corticosteroid (OR 0.240, 95% CI 0.058-0.984), (OR 0.211, 95% CI 0.050-0.897) respectively, compared to those with tertiary level education. Mothers who delivered at other hospitals outside KBTH were also less likely to receive ACS (OR 0.195, 95% CI 0.070-0.545). Women who had caesarean delivery were more likely to receiveantenatal corticosteroid compared to those with vaginal delivery (OR 4.378 95% CI 1.690-11.346). In this cohort, there was no association between antenatal corticosteroid use and maternal age, maternal medical condition, fetal gender or previous preterm delivery.Conclusion: ACS use in KBTH is low but similar to other low-income countries. Low educational attainment and delivery outside the tertiary facility are factors associated with low use of ACS.
Sodium Hypochlorite And Its Use As Root Canal Irrigant: A Survey Among Ghanaian Dental Practitioners
Authors: Konadu A.B. , Ampofo P.C. , Hewlett S. , Nyako E.A. , Ndanu T.A. 
Published: July 2023

Background: The majority of endodontic treatment in Ghana is provided by general dental practitioners due to the absence of specialists in endodontics. Sodium hypochlorite has been described as one of the commonly used irrigation solutions during endodontic treatment. However, there are no published reports on its use in Ghana.Aim: The study was to determine the proportion of Ghanaian dental practitioners who have used sodium hypochlorite for irrigation and the concentrations they usually use. Materials and methods: Self-administered questionnaires were mailed to dental practitioners in private clinics, government hospitals and clinics, teaching hospitals and training institutions across the country between December 2015 and March 2016. The collated data was analyzed using Microsoft Excel 2010 and SPSS 20.0.Results: The most commonly used root canal irrigant was 2.5% Sodium Hypochlorite (Milton®). This was routinely used by 31 (73.7%) of the respondents as root canal irrigant while normal saline solution was used regularly by only 6(15.8%) respondents. The variousconcentrations of sodium hypochlorite used were 0.5%, 2.5%,1% and 5.0%; with the following percentage-use respectively, 42.9%, 32.1%,21.4% and 6.1%. Three (10.7%) respondents had reported experiencing some complications with the use of sodium hypochlorite.Conclusion: Sodium hypochlorite is the most commonly used root canal irrigant by dental practitioners in Ghana. The concentrations usually used ranges between 0.5% and 5.0%.
My Experience in Clinical Practice as A Medical Registrar in The United Kingdom (UK)
Authors: Norman Dartel 
Published: July 2023

My experience working in the UK National Health Service (NHS) has been largely positive. Reflecting on my previous experiences makes me aware of the need for a standardised structure of practice to be put in place to guide the care of patients in Ghana as well as to ensure patient safety. There is still a lot that needs to be done in terms of the legal framework that guides medical practice in Ghana. Civil society groups and other medical groups should champion the enactment of laws on emergency care, patient safety, patient communication and patient involvement in their own care. Most of what I’ve discussed in this essay can be implemented with little to no resources.
Uma abordagem das características do modelo de negócio das fintechs gaúchas
Authors: Köche Isaque Guilhermando , De Marco Daiana , Bobsin Debora , Barbieri Geovana , Traverso Luciana Davi 
Published: July 2023

Objetivo: O objetivo desse estudo é investigar as características do modelo de negócio de quatro fintechs do Rio Grande do Sul. Metodologia: A partir do entendimento que esse negócio apresenta um modelo de negócio inovador, realizou-se uma pesquisa qualitativa por meio de entrevistas. O modelo de negócio das fintechs foi analisado utilizando a lente teórica do Business Model Canvas (BMC) (Osterwalder & Pigneur, 2010). Originalidade/relevância: Este estudo busca entender como o modelo de negócio das fintechs é utilizado para obter vantagem competitiva. Com o propósito de compreender as características das fintechs, a utilização do BMC, o que não é recorrente em trabalhos acadêmicos, se tornou ponto chave neste estudo. Resultados: Os resultados revelam as principais proposições de valor das fintechs: facilidade e a transparência. Também, como elementos essenciais do modelo de negócio foram identificados: a diversidade de fontes de receitas; o papel das pessoas como um dos recursos-chave; e as parcerias com outras startups e fintechs. Contribuições teóricas e metodológicas: O estudo contribui para o campo acadêmico, visto que pesquisas sobre o modelo de negócio de fintechs ainda é pouco explorado. O framework Business Model Canvas estabelece modelos atuais e futuros, ilustra como o negócio faz sentido financeiramente. Na prática, o modelo de negócio constituído serve como um guia/mapa para gerentes do setor financeiro, bem como para as novas startups de serviços financeiros repensar seu modelo e fazer as atualizações necessárias para dar continuidade ao negócio.
Association Between Syncope Trigger Type and Risk of Subsequent Life-Threatening Events in Patients With Long QT Syndrome
Authors: Younis Arwa , Bos J. Martijn , Zareba Wojciech , Aktas Mehmet K. , Wilde Arthur A. M. , Tabaja Chadi , Bodurian Christopher , Tobert Kathryn E. , McNitt Scott , Polonsky Bronislava , Shimizu Wataru , Ackerman Michael J. , Goldenberg Ilan 
Published: July 2023

ImportanceSyncope is the most powerful predictor for subsequent life-threatening events (LTEs) in patients with congenital long QT syndrome (LQTS). Whether distinct syncope triggers are associated with differential subsequent risk of LTEs is unknown.ObjectiveTo evaluate the association between adrenergic (AD)– and nonadrenergic (non–AD)-triggered syncopal events and the risk of subsequent LTEs in patients with LQT types 1 to 3 (LQT1-3).Design, Setting, and ParticipantsThis retrospective cohort study included data from 5 international LQTS registries (Rochester, New York; the Mayo Clinic, Rochester, Minnesota; Israel, the Netherlands, and Japan). The study population comprised 2938 patients with genetically confirmed LQT1, LQT2, or LQT3 stemming from a single LQTS-causative variant. Patients were enrolled from July 1979 to July 2021.ExposuresSyncope by AD and non-AD triggers.Main Outcomes and MeasuresThe primary end point was the first occurrence of an LTE. Multivariate Cox regression was used to determine the association of AD- or non–AD-triggered syncope on the risk of subsequent LTE by genotype. Separate analysis was performed in patients with β-blockers.ResultsA total of 2938 patients were included (mean [SD] age at enrollment, 29 [7] years; 1645 [56%] female). In 1331 patients with LQT1, a first syncope occurred in 365 (27%) and was induced mostly with AD triggers (243 [67%]). Syncope preceded 43 subsequent LTEs (68%). Syncopal episodes associated with AD triggers were associated with the highest risk of subsequent LTE (hazard ratio [HR], 7.61; 95% CI, 4.18-14.20; P &amp;lt; .001), whereas the risk associated with syncopal events due to non-AD triggers was statistically nonsignificant (HR, 1.50; 95% CI, 0.21-4.77; P = .97). In 1106 patients with LQT2, a first syncope occurred in 283 (26%) and was associated with AD and non-AD triggers in 106 (37%) and 177 (63%), respectively. Syncope preceded 55 LTEs (56%). Both AD- and non–AD-triggered syncope were associated with a greater than 3-fold increased risk of subsequent LTE (HR, 3.07; 95% CI, 1.66-5.67; P ≤ .001 and HR, 3.45, 95% CI, 1.96-6.06; P ≤ .001, respectively). In contrast, in 501 patients with LQT3, LTE was preceded by a syncopal episode in 7 (12%). In patients with LQT1 and LQT2, treatment with β-blockers following a syncopal event was associated with a significant reduction in the risk of subsequent LTEs. The rate of breakthrough events during treatment with β-blockers was significantly higher among those treated with selective agents vs nonselective agents.Conclusion and RelevanceIn this study, trigger-specific syncope in LQTS patients was associated with differential risk of subsequent LTE and response to β-blocker therapy.