scholarly journals Revisión de Programas hospitalarios para tratar la ansiedad quirúrgica infantil

2018 ◽  
Vol 10 (6) ◽  
pp. 4
Author(s):  
Alberto Gironés-Muriel ◽  
Ana Campos Segovia ◽  
Laura Alvargonzález Slater ◽  
Severino Fernández
Keyword(s):  
Scientific Method ◽  
Scientific Evidence ◽  
Current Trend ◽  
Childhood Anxiety ◽  
Point Of View ◽  
Medical Activity ◽  
Fundamental Part ◽  
Care Activity ◽  
Health Care Activity ◽  
A Current

RESUMEN La OMS define la salud como el estado de bienestar físico, mental y social, y no solamente la ausencia de enfermedad. Es por ello que hay que cuidar las implicaciones de la actividad quirúrgica más allá de las físicas. Algunos autores defienden que únicamente la inducción anestésica produce niveles de ansiedad clínicamente visibles en un 40-60% de los pacientes que son sometidos a una anestesia. Este hecho es más evidente en la población infantil donde los mecanismos de protección frente a situaciones estresantes no están desarrollados. Para abordar este tema hay que ofrecer al personal hospitalario herramientas que funcionen, y parece, que los programas de preparación preoperatoria y algunas técnicas de distracción funcionan, todas con sus limitaciones y sus beneficios particulares Cuando se quiere implantar un programa que ayude a los niños a afrontar el proceso quirúrgico hay que hacerlo bajo un prisma basado en la evidencia científica. El principal problema al que nos enfrentamos sobre la utilidad de estos programas e iniciativas es la gran heterogeneidad que existe entre los distintos estudios, originado por la gran cantidad de variables implicadas en el proceso psicológico del ser humano. Los autores tratan de buscar respuestas a la efectividad y al origen de los programas de preparación quirúrgica que existen actualmente mediante la búsqueda y el análisis de los estudios existentes en las bases de datos: MEDLINE, Web of Knowledge, COCHRANE, EMBASE hasta diciembre de 2016 sin año de restricción. Se incluyeron aquellos trabajos que evaluaban la ansiedad perioperatoria infantil y fueran estudios randomizados, con una puntuación 4-5 en la escala de JADAD.   TITLE: Hospital programs to treat childhood anxiety. Review of evidence ABSTRACT There are still few hospitals that consider it important to include in their services a program that helps to decrease the level of anxiety in the patients. However, recently it is possible to find different initiatives and programs in the pediatric area for this purpose. Initiatives born under the current "humanization of hospitals" trying to achieve, with greater or lesser fortune, a closeness and better assimilation of the surgical protocols present in a hospital. Personally we believe that there is nothing more human than to exercise our office. Exercising medicine and curing a disease implies humanity in itself, even if it is applied under scientific evidence and seeking an adequate effectiveness. There is nothing more human than the fact of healing others, although in that way science is prioritized over comfort and closeness. Therefore, the authors are in favor of the new, and poorly called, humanization of health but, first ensuring, proper care. We are therefore witnessing the birth of proposals and initiatives that try to reduce the anxiety level of our smaller patients, who try to bring our medical activity closer to the daily life and try to transform the instrumentalization and modernization of medicine into something understandable to all. Something positive and desirable. However we can not forget that medicine is based on the scientific method, and that without it, these initiatives can remain in a mere superficial marketing. They may even endanger the performance and health outcomes of the health care activity itself. This does not mean in any way that the aspects that concern the psyche and the emotional part of the patient are not important. In fact they are a fundamental part of the medical activity but always from a scientific and consensual point of view. That is why it is always desirable to quantify results and evaluate aspects that aim to improve our work. In the case of childhood preoperative anxiety, initiatives and protocols have been developed that try to alleviate the causes and their consequences. The development of stories, toys, the presence of parents in anesthetic induction and other actions seem to be a current trend developed by some hospitals concerned about this issue. But what is the truth about it? How are these initiatives properly developed? And above all ... What is true in all this?

scholarly journals Bio-Derived Catalysts: A Current Trend of Catalysts Used in Biodiesel Production

Catalysts ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 812
Author(s):  
Hoang Chinh Nguyen ◽  
My-Linh Nguyen ◽  
Chia-Hung Su ◽  
Hwai Chyuan Ong ◽  
Horng-Yi Juan ◽  
...  
Keyword(s):  
Catalytic Activity ◽  
Fossil Fuels ◽  
Current Trend ◽  
Biodiesel Production ◽  
High Catalytic Activity ◽  
Promising Alternative ◽  
Advantages And Disadvantages ◽  
Biodiesel Synthesis ◽  
Alkali Catalysts ◽  
A Current

Biodiesel is a promising alternative to fossil fuels and mainly produced from oils/fat through the (trans)esterification process. To enhance the reaction efficiency and simplify the production process, various catalysts have been introduced for biodiesel synthesis. Recently, the use of bio-derived catalysts has attracted more interest due to their high catalytic activity and ecofriendly properties. These catalysts include alkali catalysts, acid catalysts, and enzymes (biocatalysts), which are (bio)synthesized from various natural sources. This review summarizes the latest findings on these bio-derived catalysts, as well as their source and catalytic activity. The advantages and disadvantages of these catalysts are also discussed. These bio-based catalysts show a promising future and can be further used as a renewable catalyst for sustainable biodiesel production.

scholarly journals Promoting Interpersonal Relationships through Elbow Tag, a Traditional Sporting Game. A Multidimensional Approach

2021 ◽  
Vol 13 (14) ◽  
pp. 7887
Author(s):  
Verónica Muñoz-Arroyave ◽  
Miguel Pic ◽  
Rafael Luchoro-Parrilla ◽  
Jorge Serna ◽  
Cristòfol Salas-Santandreu ◽  
...  
Keyword(s):  
Decision Making ◽  
Social Interactions ◽  
Interpersonal Relationships ◽  
Predictive Power ◽  
Ad Hoc ◽  
Scientific Evidence ◽  
Point Of View ◽  
Registration System ◽  
Motor Behaviors ◽  
Quasi Experimental

The aim of this research was to study from a multidimensional point of view (decisional, relational and energetic) the interpersonal relationships established by girls and boys in the traditional sport game of Elbow Tag. Scientific evidence has shown that Traditional Sport Games (TSG) trigger different effects on male and female genders in relation to emotional experiences, decision-making, conflicts and motor relationships. Despite the fact that these dimensions are intertwined, there are hardly any studies that interpret motor behaviors holistically, i.e., taking a multidimensional (360°) view of these dimensions. For this study, a quasi-experimental design was used and a type III design was applied, inspired by the observational methodology N/P/M. A total of 147 university students participated (M = 19.6, SD = 2.3): 47 girls (31.97%) and 100 boys (68.02%). A mixed ‘ad hoc’ registration system was designed with acceptable margins of data quality. Cross-tabulations, classification trees and T-patterns analysis were applied. The results indicated that social interactions between girls and boys in a mixed group were unequal. This difference was mainly due to decision-making (sub-role variable), which has much greater predictive power than the energetic variables (MV and steps).

On Drift Instabilities in a Collisionless Electron-Proton Plasma from the point of view of Energy Absorption of Resonant Particles

1963 ◽  
Vol 18 (4) ◽  
pp. 446-453 ◽  
Author(s):  
Asbjørn Kildal
Keyword(s):  
Energy Absorption ◽  
Constant Electric Field ◽  
Wave Length ◽  
Collisionless Plasma ◽  
Phase Region ◽  
Point Of View ◽  
Electrostatic Waves ◽  
Transverse Current ◽  
Special Cases ◽  
A Current

The present paper is essentially devoted to the study of instabilities of electrostatic waves in a current-carrying collisionless plasma. As the underlying physical cause of the instabilities is the same as that of the LANDAU damping in an electron plasma, a detailed analysis of the latter is first given. It is shown that the damping may be considered as being due to the fact that there are more electrons in the phase-region where energy is absorbed by the particles from the field than in the phase-region where energy is given up to the field.We then proceed to the evaluation of the energy absorption A of the resonant particles, first in the absence of an external magnet field, B0 , next when the wave is propagated under an arbitrary angle with respect to B0 . When A > 0, the wave is damped, and vice-versa. Without appeal to a dispersion equation, stability criteria can thus be found, dependent on the wave frequency and wave-vector. Next some special cases are investigated and compared with the results of other authors where such results exist.As a consequence of the fact that some ions and electrons, the resonant particles, experience a constant electric field, these particles also experience a constant drift transverse to both E and B0. This drift gives rise to a transverse current which is closely related to the damping or growing of the wave. An expression for this current, averaged over one wave-length is found.

scholarly journals Objectivation of an Educational Model in Cranial Osteopathy Based on Experience

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 246
Author(s):  
Jesús Requena-García ◽  
Evelyn García-Nieto ◽  
David Varillas-Delgado
Keyword(s):  
Scientific Evidence ◽  
Correlation Coefficients ◽  
Lateral Compression ◽  
Educational Model ◽  
Reliability Study ◽  
Intra Class Correlation ◽  
Observer Reliability ◽  
Fundamental Part ◽  
Manual Palpation ◽  
Base Of The Skull

Background and Objectives: The techniques directed to the cranial field in osteopathy are the most questioned due to the lack of scientific evidence. In osteopathic practice, manual palpation is essential and, therefore, measuring reliability is fundamental. The objective of this study is to assess the precision and objectification of an educational model in cranial osteopathy based on experience. Materials and Methods: A reliability study was conducted in a cadaver skull where a strain gauge was placed on the sphenobasilar synchondrosis (SBS) of the base of the skull. Three cranial osteopathic techniques (lateral compression, anteroposterior compression, and compression maneuver of the mastoids) were performed 25 times by osteopaths with different degrees of experience (5–10 years, 1–5 years, <1 year). Measurements were computed for each of the three techniques of each group in comparison with the osteopath with >15 years of experience. Data were analyzed to check for inter- and intra-observer reliability using intra-class correlation coefficients (ICC). Results: Reliability in osteopaths with 5–10 years’ experience (observer 1 and observer 2) performing all three techniques was higher (p < 0.001) than the osteopath with >15 years’ experience. Little or no reliability were observed in osteopaths with less experience. Conclusions: The experience of the osteopaths determines the reliability and effectiveness of the cranial techniques, a fundamental part in objectifying these techniques. This model can help implement objective training in cranial osteopathy formation.

Farmacogenetische tests in de Belgische zorg: (hoe) beginnen we eraan?

2021 ◽  
Author(s):  
A. DE PAUW ◽  
W. MARTINET ◽  
D. THEUNS ◽  
K. VANDEVEN ◽  
H. DE LOOF
Keyword(s):  
Drug Interactions ◽  
Information Needs ◽  
Scientific Evidence ◽  
Scientific Information ◽  
Implementation Process ◽  
Local Context ◽  
Pharmacogenetic Testing ◽  
Average Patient ◽  
Current List ◽  
A Current

Pharmacogenetic tests in Belgian care: (how) do we get started? Personalized medicine attempts to take all the information about an individual into account, and this also includes characteristics that differ from the presumed ‘average patient’. This approach includes pharmacogenetics, where the influence of genetic variation in various biomolecules on drug response is studied. By performing preemptive pharmacogenetic testing, drug therapies can be optimized, and serious side effects can be avoided. In order to implement pharmacogenetic testing in practice, some hurdles still need to be overcome. For example, scientific information needs to be translated into practical clinical guidelines that are applicable in the local context and reimbursement issues also need to be resolved. In this paper, a current list of gene-drug interactions is presented that could be prioritized during the implementation process in Belgium. The list only contains clinically relevant interactions for which there is sufficient scientific evidence. In addition, a tool is described that takes into account the drug consumption in a specific healthcare environment, to prioritize the most interesting gene-drug interactions. International implementation initiatives show that the obstacles are surmountable. It is therefore time to start a dialogue on accelerating the implementation of pharmacogenetic testing in Belgium. We hope that this prioritized list, together with a discussion of some hurdles that need to be overcome, can inform this debate.

scholarly journals Current trends and orientations in learning foreign languages

Akademos ◽  
2021 ◽  
pp. 150-153
Author(s):  
Corina Zagaievschi ◽  
◽  
Beatrice-Ionela Enache ◽  
Keyword(s):  
Language Learning ◽  
Current Trend ◽  
Target Language ◽  
Foreign Languages ◽  
Cultural Contexts ◽  
Effective Learning ◽  
Current Trends ◽  
Actual Use ◽  
Simple Exposure ◽  
A Current

This article deals with the problem of effective learning of modern languages. We aim to point out the current, progressive guidelines on language learning followed by their actual use in various cultural contexts. Spontaneous, instinctive and natural learning, through simple exposure to the target language, is a current trend in learning modern languages, because a language is easier to learn in real, concrete contexts, hearing, speaking, participating.

scholarly journals A Responsive Paradigm for Technology Enhanced Learning (Tel) Integration Into Business Organizations

2014 ◽  
Vol 17 (2) ◽  
pp. 195-207
Author(s):  
Lina Kaminskienė ◽  
Elena Trepulė ◽  
Aušra Rutkienė ◽  
Gintaras Arbutavičius
Keyword(s):  
Qualitative Research ◽  
Literature Review ◽  
Point Of View ◽  
Technology Enhanced Learning ◽  
Business Organizations ◽  
Focus Group Interviews ◽  
Group Interviews ◽  
Enhanced Learning ◽  
A Current ◽  
Successful Technology

Abstract The purpose of this paper is to explore the main barriers and enablers for integrating technology enhanced learning (TEL) into a business organization based on a responsive paradigm. The study is based on a current literature review on challenges and learners’ needs for TEL and the preconditions for TEL curriculum integration into business organizations. The theoretical study is matched with a qualitative research on learners’ needs for TEL in two international business organizations from IT sector. Technology enhanced learning (TEL) is tackling different barriers for learning in organizations. However, to make it effective, specific technological and teaching solutions must be implemented. The research revealed that companies’ employees give preference to TEL than other forms of learning, and defined specific requirements for successful technology enhanced learning integration into business organisations. A theoretical literature review is followed by empirical findings of a qualitative research (focus group interviews) in two international IT companies. The findings of the research offer valuable insights for a responsive TEL integration into business organizations from the point of view of companies’ employees.

scholarly journals Problems Of Improving The Effectiveness Of Applied Sociological Research

2021 ◽  
Vol 03 (04) ◽  
pp. 201-209
Author(s):  
Farogat Bakhtiyorovna Fayzieva ◽  
Keyword(s):  
Mathematical Analysis ◽  
Scientific Method ◽  
Scientific Activity ◽  
Point Of View ◽  
Sociological Research ◽  
Applied Sociology ◽  
Sociological Analysis ◽  
Social Effectiveness ◽  
Practical Point ◽  
The Social

The article analyzes the problems of improving the effectiveness of applied sociological research. The scientific method that helps to ensure objectivity and consistency in the study of a social problem is considered. The directions, forms and prospects for the development and improvement of the effectiveness of applied sociology from a practical point of view are given.Intelligence research is the simplest type of applied sociological analysis. It solves problems that are very limited in their content, covers, as a rule, small study populations, and is based on a simplified program and concise methodological tools, which in applied sociology is understood as a package of documents specially developed for each study designed to collect primary sociological information, such as: an interview form, a mass or expert questionnaire, a card for recording the results of observation, studying documents; further: sampling projects, mathematical analysis of primary information, etc.A methodology for evaluating the social effectiveness of applied sociological research applied to any written results of scientific activity is proposed.

scholarly journals Classification of Evaluation Methods for the Effective Assessment of Simulation Games: Results from a Literature Review

2019 ◽  
Vol 9 (1) ◽  
pp. 19 ◽  
Author(s):  
Niluefer Deniz Faizan ◽  
Alexander Löffler ◽  
Robert Heininger ◽  
Matthias Utesch ◽  
Helmut Krcmar
Keyword(s):  
Literature Review ◽  
Current Trend ◽  
Evaluation Methods ◽  
Simulation Game ◽  
Simulation Games ◽  
Research Papers ◽  
Free Environment ◽  
Effective Assessment ◽  
A Current

As a current trend in teaching, simulation games play an active and important role in the area of technology-based education. Simulation games create an envi-ronment for scholars to solve real-world problems in a risk-free environment. Therefore, they aim to increase the knowledge base as well as learning experienc-es for students. However, assessing the effectiveness of a simulation game is necessary to optimize elements of the game and increase their learning effect. In order to achieve this aim, different evaluation methods exist, which do not always involve all phases when running a simulation game. In this study, we conduct a literature review to analyze evaluation methods for three phases of simulation games: pre-game, in-game, and post-game. Thirty-one peer-reviewed research papers met specified selection criteria and we classified them according to a di-dactic framework that illustrates four phases of running simulation games: Prepa-ration, Introduction, Interaction and Conclusion phase. Based on the results, we provide a concrete evaluation strategy that will be a guide to assess simulation games during all phases. This study contributes to theory by providing an over-view of evaluation methods for the assessment of simulation games within the different game phases. It contributes to practice by providing a concrete evalua-tion strategy that can be adapted and used to assess simulation games.

scholarly journals ANALYSIS OF REGIONAL ECONOMIC CRIME (ON THE EXAMPLE OF MOSCOW AND THE MOSCOW REGION)

2021 ◽  
Vol 8 (4) ◽  
pp. 116-120
Author(s):  
Igor' Lopatin
Keyword(s):  
Regional Economy ◽  
Current Trend ◽  
Regional Level ◽  
Point Of View ◽  
Social Conditions ◽  
Economic Crime ◽  
Moscow Region ◽  
Material Damage ◽  
Regional Society ◽  
Regional Economic

Economic crime at the regional level is a versatile category that is dangerous for the population of the region and negative from the point of view of society, characterized by the existing regional social conditions. The danger of manifestations of economic crime consists both in the consequence in the form of significant material damage to the population of the region, and in the destabilization of the regional economy as a whole. Parallel shadow operations with an illegal orientation are emerging and progressing in the regional society, which, given the current trend, can direct all the resources available in the region to their development.

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