Increase Vigilance Research Articles

EFFECTIVENESS OF ADAMAS ANTI-DOPING PROGRAM: A PERCEPTION STUDY OF MALAYSIAN ATHLETES

Abstract: Sports are recognized as an instrument for development and peace. However, the use of drugs in sports exceptionally competitive sports is alarming. The International Olympic Committee (IOC) initiated the World Anti-Doping Agency (WADA) as an international independent agency to lead a collaborative worldwide movement for doping-free sport. The use of doping among athletes can harm the athletes themselves, especially in health, both physical and mental health. As for Malaysia's doping, the Anti-Doping Agency of Malaysia (ADAMAS) is responsible for training and awareness programs. This study aimed to examine the influence of knowledge, awareness, and education on the effectiveness of the ADAMAS anti-doping awareness program. The study used questionnaire data from 62 athletes involved in several sports. The study found a positive relationship between knowledge, awareness, and education towards and the effectiveness of the ADAMAS anti-doping educational program. The findings also show that awareness explains a high degree of the effectiveness of the ADAMAS anti-doping educational program. The study suggests that awareness programs such as e-learning or seminars are meaningful for young and new athletes to train and educate them early on the effects of substance abuse in sports and increase vigilance about the latest information on doping. Keywords: Athletes; Anti-doping Program; Awareness; Education; Knowledge

What is the weakest point of a secured aortic cannula in central extracorporeal membrane oxygenation?

The purpose of this study was to compare techniques for securing the aortic extracorporeal membrane oxygenation (ECMO) cannula, using in vitro models. Two models were studied: a tissue model using porcine aortas and a stand model replacing the aorta with a metal stand to study the system independent of the tissue. Interventions in each model were divided into three experimental groups: Group 1 (3-0 Prolene® + 20-French Medtronic Arterial Cannula EOPA™), Group 2 (4-0 Prolene® + 16-French Medtronic Arterial Cannula DLP Pediatric), and Group 3 (5-0 Prolene® + 8-French Medtronic Arterial Cannula DLP Pediatric). In separate experiments, both gradual and rapid forces were applied to the cannulas, starting with 9.8 Newtons and increasing exponentially if the cannula remained secured. Additionally, the method of securing the tourniquet and the number of ties securing the tourniquet to the cannula were evaluated. In the tissue model, even with a minimum force of 9.8 Newtons, the suture pulled through the aortic tissue, leaving sutures and ties intact. In the stand model, two purse-string sutures secured by two ligaclips held the cannula reliably and withstood higher total force. Dislodgement was prevented at forces close to 60 Newtons with only two hemostatic clips included in cannulation. The weakest part of the aortic ECMO cannulation system using in vitro experiments was the tissue. Assuming that these experiments translate in vivo, it is therefore critical to prevent any pull on the cannulas by securing ECMO cannulas and ECMO tubing to both the patient and the patient's bed. Sutures with a larger diameter withstand more force. Two medium hemostatic clips can secure Prolene® sutures within snares as safely as a mosquito hemostat. Two polypropylene purse-string sutures secured by two hemostatic clips were most reliable at greater forces. The rationale for publishing our experiments in this manuscript is to (1) communicate our quantification of possible contributing factors to this rare and likely catastrophic complication of unintended decannulation, (2) increase awareness about this potential complication, and (3) increase vigilance to assure prevention of this dreaded complication.

Implementation of Early Warning System on SMART VU SCADA PT PLN (Persero) With LED Warning Lights

Electric power distribution is a crucial element in meeting the needs of the community, especially in the workshop and electronic equipment repair sector. The transmission process aims to optimize efficiency and reduce power losses. PT PLN (Persero) UP2D SUMBAR has a high commitment in responding to the needs of the community, related to the distribution of electricity, especially in the 20 KV distribution network. Although it already uses two Early Warning Systems connected to SMART VU SCADA, the DCC room alarm sound is disabled to minimize noise. Therefore, this research focuses on implementing an additional Early Warning System with LED warning lights. The research methodology includes literature study, initial testing (Experimental Method), system design, hardware design, second testing (successful/unsuccessful), direct testing in the DCC room, and analysis of results. It is expected that this research can improve alarm notifications, speed up dispatcher response time, and increase vigilance in handling disturbances in the 20 KV distribution network.

Early detection and risk factors of congenital hip dislocation in Morocco.

Congenital dislocation of the hip is a malformation of the lower limbs that could be complicated by a disabling physical handicap with long-term psychological and social repercussions if detected late. This study aims to describe the screening for congenital hip dislocation and to investigate the association between the occurrence of this anomaly and possible risk factors in Morocco. The study was based on the exploitation of the records of children treated at the trauma and orthopedics department of the Mohammed VI University Hospital in Marrakech, Morocco. It concerned 160 cases with a 5-year follow-up from January 2016 to March 2021. The results of the study showed that 56.7% of the affected children had a bilateral dislocation and 25.8% of the cases had a left-sided dislocation. The malformation occurred more frequently in females 69.2%. A familial disposition to the malformation was found in about 22% of the cases. The diagnosis was late (at walking age) in 61% of children following the onset of lameness with or without pain in 91% of children. In 41.87% of the hips, the reduction was surgical, with 28% failure dominated by acetabular dysplasia in 11%. The risk factors for congenital hip dislocation identified in our setting were dominated by sex, primiparity, consanguineous marriage, and the presence of a family history of dislocation. Communication of risk factors specific to our setting to healthcare personnel will allow them to guide the diagnosis and increase vigilance in the at-risk population for management that prevents the development of complications.

Seasonal and environmental dynamics of intra-urban freshwater habitats and their influence on the abundance of Bulinus snail host of Schistosoma haematobium in the Tiko endemic focus, Mount Cameroon region.

Urogenital schistosomiasis (UGS) caused by Schistosoma haematobium is endemic in the South West Region of Cameroon. An understanding of the abundance and distribution of the Bulinus snail, intermediate host can inform strategic snail control programmes at a local scale. This study investigated seasonal dynamics and environmental factors influencing occurrence and abundance of freshwater snail intermediate hosts in Tiko, a semi-urban endemic focus in the Mount Cameroon area. A longitudinal malacological field survey was conducted between December 2019 and December 2020 in the Tiko municipality. Snails were collected for one year monthly at 12 different human water contact sites along a stretch of the Ndongo stream using a standardized sampling technique. Freshwater snails were identified using shell morphological features. In addition, water temperature, pH, electrical conductivity, total dissolved solutes, salinity, water depth, width and flow velocity were measured, and vegetation cover as well as substrate type were determined. Bayesian regression models were used to identify the main environmental factors affecting the occurrence and abundance of Bulinus intermediate host. In total, 2129 fresh water snails were collected during the study period. Physa (51.4%) was the most abundant genus followed by Melanoides (28.6%) then, Bulinus (15.5%), Lymnaea (4.2%), Indoplanorbis (0.2%) and Potadoma (0.1%). Seasonality in abundance was significant in Bulinus sp as well as other genera, with greater numbers in the dry season (peaks between December and February). Water temperature, a rocky or sandy substrate type associated positively with Bulinus sp, meanwhile a higher water flow rate and medium vegetation negatively influenced the snail intermediate host population. These findings underscore the importance of timing behavioural and snail control interventions against schistosomiasis as well as increase vigilance of other trematode diseases in the study area. The continuous spread of planorbid snail hosts is a major concern.

Melanoma - risk factors and prevention strategies

Introductions and purpose: Melanoma is a malignant skin cancer, characterized by a very high rate of increase in the number of cases. The aim of this study is to analyze the key modifiable and non-modifiable risk factors associated with the development of melanoma and to discuss existing prevention strategies. Materials and methods: A literature review was conducted using the "PubMed" database with the keywords "melanoma", "melanoma risk factors", "melanoma primary prevention" and “melanoma secondary prevention”. State of knowledge: Melanoma risk factors can be divided into two groups: modifiable and non-modifiable. The main modifiable factor is UV radiation. Non-modifiable risk factors include: genetic factors, phenotypic characteristics, age, gender, and the presence of melanocytic nevi. UV radiation is responsible for the incidence of 60-70% of melanomas. Reducing exposure to risk factors is crucial in primary prevention, while self-examination and medical examination are important in secondary prevention. Summary: Despite the very high rate of increase in the number of cases, morbidity and mortality associated with melanoma can be effectively reduced by adhering to the principles of primary and secondary prevention. Patient education is crucial to reduce exposure to modifiable factors and increase vigilance against new skin lesions.

Evidence of Eretmapodites subsimplicipes and Aedes albopictus as competent vectors for Rift Valley fever virus transmission in Mayotte

Rift Valley fever (RVF) recently re-emerged in Mayotte. We described, for the first time, that the mosquito species Eretmapodites subsimplicipes, a highly abundant species in Mayotte, is a competent vector for the transmission of RVF virus using three distinct populations native to Mayotte. We also showed that Aedes albopictus specimens are able to transmit RVF virus (RVFV) as previously observed in mosquito populations of other countries emphasizing the need of the increase vigilance for this highly invasive species of global distribution. Altogether, these results underline the epidemiological importance of both species for RVFV transmission in Mayotte and contribute to better understand the RVF epidemiological cycle and help to implement efficient prevention measures.

White rhinos and other herbivores decrease visitations and increase vigilance in response to human vocalizations

Abstract Harnessing the fear animals have of humans has the potential to aid in the conservation of wildlife. Most vertebrates perceive humans as “super predators.” While predator cues are an important nonlethal management tool, the use of human cues for management has rarely been implemented or experimentally tested. Extensive poaching is threatening the persistence of white rhinos (Ceratotherium simum simum), and there is a need to deter them from areas with elevated poaching risks. To investigate the feasibility of harnessing the fear white rhinos have of humans to aid in their conservation, we conducted playback experiments at rhino middens. We broadcasted repeated human (treatment) and bird (control) vocalizations, and measured changes in visitations and antipredator responses. We found that overall rhino visitations did not change in response to controls but decreased by 46% in response to human vocalizations. This pattern appears to be driven by the response of females, who decreased their visitations by 70% in response to human vocalizations, while visitations by males remained unchanged. This difference is likely related to males defending small exclusive territories. Providing evidence that changes in female visitation rates were a function of the perceived fear of white rhinos, we found that both sexes exhibited more vigilance in response to human vocalizations (males 69.5%, females 96%) compared to controls. We also saw a 63% reduction of other herbivores at treatment sites. Our findings provide evidence that the fear of humans can be used to alter the movements and behavior of female white rhinos, critical for population recovery, as well as other large herbivores.

Antipredator behaviors in urban settings: Ecological experimentation powered by citizen science.

Animal behaviors are often modified in urban settings due to changes in species assemblages and interactions. The ability of prey to respond to a predator is a critical behavior, but urban populations may experience altered predation pressure, food supplementation, and other human‐mediated disturbances that modify their responsiveness to predation risk and promote habituation.Citizen‐science programs generally focus on the collection and analysis of observational data (e.g., bird checklists), but there has been increasing interest in the engagement of citizen scientists for ecological experimentation.Our goal was to implement a behavioral experiment in which citizen scientists recorded antipredator behaviors in wild birds occupying urban areas. In North America, increasing populations of Accipiter hawks have colonized suburban and urban areas and regularly prey upon birds that frequent backyard bird feeders. This scenario, of an increasingly common avian predator hunting birds near human dwellings, offers a unique opportunity to characterize antipredator behaviors within urban passerines.For two winters, we engaged citizen scientists in Chicago, IL, USA to deploy a playback experiment and record antipredator behaviors in backyard birds. If backyard birds maintained their antipredator behaviors, we hypothesized that birds would decrease foraging behaviors and increase vigilance in response to a predator cue (hawk playback) but that these responses would be mediated by flock size, presence of sentinel species, body size, tree cover, and amount of surrounding urban area.Using a randomized control–treatment design, citizen scientists at 15 sites recorded behaviors from 3891 individual birds representing 22 species. Birds were more vigilant and foraged less during the playback of a hawk call, and these responses were strongest for individuals within larger flocks and weakest in larger‐bodied birds. We did not find effects of sentinel species, tree cover, or urbanization.By deploying a behavioral experiment, we found that backyard birds inhabiting urban landscapes largely maintained antipredator behaviors of increased vigilance and decreased foraging in response to predator cues. Experimentation in citizen science poses challenges (e.g., observation bias, sample size limitations, and reduced complexity in protocol design), but unlike programs focused solely on observational data, experimentation allows researchers to disentangle the complex factors underlying animal behavior and species interactions.

The Demographic Profile of the Female Assailant: A Ten-Year Background Review of Female Perpetrators Committing Abuse Seen at the Philippine General Hospital Child Protection Unit from January 2008 to December 2018

Objectives. There is limited information on the demographics of female perpetrators of child abuse hence its profile was described utilizing the records collected at the University of the Philippines – Philippine General Hospital Child Protection Unit from January 2008-December 2018.
 Methods. A retrospective review of the electronic records using the Child Protection Management Information System (CPMIS) database was done using descriptive and inferential analyses. Total enumeration was done for the descriptive analysis and categorical data was analyzed using frequencies and percentages. Inferential analysis using chi-squared analysis or Fisher’s exact probability test was used using a minimum sample size computed using power analysis
 Results. A total of 983 female perpetrators were reported, mostly belonging to the age group of 25-34 years old (23%). They were more frequently a close relative to the victim (47.3%). Half (50%) of the perpetrators had history of substance abuse, and 65.5% witnessed family violence. Criminal history (99.8%) and occupation (46.7%) were mostly unknown. The types of abuse committed were mostly physical (36%) followed by sexual abuse (34.9%). Inferential analysis of the data suggested that the demographic variables associated with physical abuse were age group, relationship, and history of substance abuse. Meanwhile, age group, relationship, and occupation were associated with sexual abuse.
 Conclusion. Although we see a greater number of male perpetrators, it cannot be denied that female perpetrators can also cause harm to the vulnerable population. It is alarming to note that majority of them are close relatives to the victim. Data from the study can help raise awareness and increase vigilance on possible at-risk population.

Natural and anthropogenic noise increase vigilance and decrease foraging behaviors in song sparrows

Abstract Animals glean information about risk from their habitat. The acoustic environment is one such source of information, and is an important, yet understudied ecological axis. Although anthropogenic noise has become recently ubiquitous, risk mitigation behaviors have likely been shaped by natural noise over millennia. Listening animals have been shown to increase vigilance and decrease foraging in both natural and anthropogenic noise. However, direct comparisons could be informative to conservation and understanding evolutionary drivers of behavior in noise. Here, we used 27 song sparrows (Melospiza melodia) and 148 laboratory behavioral trials to assess foraging and vigilance behavior in both anthropogenic and natural noise sources. Using five acoustic environments (playbacks of roadway traffic, a whitewater river, a whitewater river shifted upwards in frequency, a river with the amplitude modulation of roadway traffic, and an ambient control), we attempt to parse out the acoustic characteristics that make a foraging habitat risky. We found that sparrows increased vigilance or decreased foraging in 4 of 6 behaviors when foraging in higher sound levels regardless of the noise source or variation in frequency and amplitude modulation. These responses may help explain previously reported declines in abundance of song sparrows exposed to playback of intense river noise. Our results imply that natural soundscapes have likely shaped behavior long before anthropogenic noise, and that high sound levels negatively affect the foraging-vigilance trade-off in most intense acoustic environments. Given the ever-increasing footprint of noise pollution, these results imply potential negative consequences for bird populations.

FAKTOR-FAKTOR YANG MEMPENGARUHI KEPATUHAN PENGGUNAAN ALAT PELINDUNG DIRI (APD) PERAWATPADA MASA PANDEMI COVID-19 DI INSTALASI GAWAT DARURAT RUMAH SAKIT UMUM DAERAH dr. ZUBIR MAHMUD

Hospital Occupational Health and Safety (K3RS) are all activities to ensure and protect the safety and health of hospital human resources, patients, patient companions, visitors, and the hospital environment through efforts to prevent work accidents and occupational diseases in hospitals. This study aims to determine the factors related to compliance with the use of personal protective equipment (PPE) for nurses during the COVID-19 pandemic in the ER RSUD dr. Zubir Mahmud 2021. The research design used was a quantitative design with a cross sectional approach. The population is all nurses who work in the ER dr. Zubir Mahmud as many as 29 and the sample in this study as many as 29 respondents. Collecting data using a questionnaire. Data analysis using Chi-Squre and looking at Fisher's Exact Test. The results of research on the bivariate test show that there is a significant influence on the independent variables, namely the knowledge factor (p-value = 0.008), attitude (p-value = 0.006), availability (p-value =0.000) and supervision (p-value =0.001). and there was no significant effect, namely the education factor (p-value = 0.622) and years of service (p-value = 0.139) with the dependent variable being the compliance with the use of personal protective equipment (PPE) by nurses during the Covid-19 pandemic.Suggestions in this study are hospitals must make clear SOPs about the use of PPE and increase vigilance during the pandemic.

Educating Authors and Users of the Literature to Increase Vigilance of Predatory Publishing

ABSTRACT Educating authors and clinicians about predatory publishing and its consequences is vital to protect scholarship and evidence-based practice and is particularly important for those early in their health care careers. Librarians at Mayo Clinic in Rochester, MN have incorporated this important topic into ongoing literature searching training for internal medicine residents. This article summarizes the level of existing awareness of predatory publishing and the effectiveness of discussing it in small group educational sessions. It is crucial for all health care professionals to be informed about the serious threat to the integrity of scientific literature and the potential adverse impact on patient care.

Predation risk effects on intense and routine vigilance of Burchell's zebra and blue wildebeest

Prey increase vigilance to maximize predator detection, but this comes at the expense of foraging depending on the vigilance type: (1) intense vigilance, when all feeding processes are ceased, and (2) routine vigilance, when animals continue chewing (i.e. lower foraging cost). Few studies have distinguished between vigilance types when examining the effects of predation risk and, in the absence of a commonly accepted conceptual framework, the variables used to define predation risk vary greatly between studies. We investigated the relative importance of four predation risk categories (risky place assessed at the landscape and habitat level, vegetation characteristics at foraging site level, prey characteristics and resource availability) for the time spent on intense and routine vigilance by Burchell's zebra, Equus quagga burchellii, and blue wildebeest, Connochaetes taurinus taurinus, under predation risk from reintroduced predators, lions, Panthera leo. The risk categories each represented a different predation risk component and included metrics that defined the component at multiple scales. Intense vigilance responses were scale dependent, with zebra responding to a risky place at the landscape level and wildebeest to vegetation characteristics at a foraging area scale. Yet both species were able to adjust and balance time spent on vigilance types. Prey characteristics reduced the intense vigilance of wildebeest as herd size increased. Both species maintained similar levels of intense vigilance between seasons, despite lower resource availability, and thus higher foraging costs, in the dry season. However, the reduction in grass quality probably resulted in the increase in routine vigilance by both species during the dry season, as more time was needed to chew grasses with high fibre content. Our findings suggest different underlying mechanisms for the two types of vigilance behaviour, which were influenced by the ecology of the species, and demonstrate the importance of distinguishing vigilance types in predation risk studies.

Managing Nonmedical Opioid Use Among Patients With Cancer Pain During the COVID-19 Pandemic Using the CHAT Model and Telehealth

Managing Nonmedical Opioid Use Among Patients With Cancer Pain During the COVID-19 Pandemic Using the CHAT Model and Telehealth

The effect of peppermint odour on fatigue and vigilance in conditional automated vehicle

Drivers in conditionally automated vehicles have been found to become fatigued easier than manual drivers, and the risk of accidents increased due to the decrease in vigilance. Olfactory stimulation is a promising method to counterbalance fatigue and increase vigilance. However, little is known about the effect of peppermint odour on relieving fatigue and increasing vigilance during automated driving. Therefore, to better understand the effect of peppermint odour stimulation during automated driving, a driving simulator study with 34 participants was conducted. Subjective and objective variables were compared between two conditions: with peppermint odour and placebo (air). The results of the study indicated that the fatigue levels of drivers decreased after the release of peppermint odour. The indicators of reaction time and ocular variables supported that the drivers` vigilance increased during the peppermint stimulation. In conclusion, peppermint odour has a positive effect on relieving fatigue and increasing vigilance.

The effect of peppermint odour on fatigue and vigilance in conditional automated vehicle

Drivers in conditionally automated vehicles have been found to become fatigued easier than manual drivers, and the risk of accidents increased due to the decrease in vigilance. Olfactory stimulation is a promising method to counterbalance fatigue and increase vigilance. However, little is known about the effect of peppermint odour on relieving fatigue and increasing vigilance during automated driving. Therefore, to better understand the effect of peppermint odour stimulation during automated driving, a driving simulator study with 34 participants was conducted. Subjective and objective variables were compared between two conditions: with peppermint odour and placebo (air). The results of the study indicated that the fatigue levels of drivers decreased after the release of peppermint odour. The indicators of reaction time and ocular variables supported that the drivers` vigilance increased during the peppermint stimulation. In conclusion, peppermint odour has a positive effect on relieving fatigue and increasing vigilance.

Factors associated with childhood anaemia in Afro-descendant communities in Alagoas, Brazil.

To investigate factors associated with anaemia in preschool children. A home survey was conducted in 2018. Anaemia in children (capillary blood Hb level < 110 g/l) was the outcome, and socio-economic, demographic and health factors of the mother and child were the independent variables. The measure of association was the prevalence ratio, and its 95 % CI was calculated using Poisson's regression with robust variance and hierarchical selection of independent variables. Afro-descendants communities living in the state of Alagoas, northeast Brazil. Children aged 6-59 months and their mothers (n 428 pairs). The prevalence of child anaemia was 38·1 % (95 % CI 33·5, 42·7). The associated factors with child anaemia were male sex, age < 24 months, larger number of residents at home (> 4), relatively taller mothers (highest tertile) and higher z-score of BMI for age, after further adjustment for wealth index, vitamin A supplementation in the past 6 months and clinical visit in the last 30 d. The high prevalence of anaemia observed reveals a relevant public health problem amongst children under five from the quilombola communities of Alagoas. Considering the damage caused to health and multiplicity of risk factors associated with anaemia, the adoption of intersectoral strategies that act on modifiable risk factors and increase vigilance concerning those that are not modifiable becomes urgent.

Anthropogenic noise reduces avian feeding efficiency and increases vigilance along an urban–rural gradient regardless of species’ tolerances to urbanisation

Anthropogenic noise can adversely impact urban bird populations by interfering with vocal communication. Less research has addressed if anthropogenic noise masks the adventitious sounds that birds use to aid predator detection, which may lead to increased vigilance and reduced feeding efficiency. We test this hypothesis using a controlled playback experiment along an urban–rural gradient in Sheffield (UK). We also test the related predictions that anthropogenic noise has the greatest impacts on vigilance and feeding efficiency in rural populations, and on species that are more sensitive to urbanisation. We focus on six passerines, in order from most to least urbanised (based on how urbanisation influences population densities): blue tit Cyanistes caeruleus, robin Erithacus rubeculla, great tit Parus major, chaffinch Fringilla coelebs, coal tit Periparus ater and nuthatch Sitta europaea. We used play‐back of anthropogenic urban noise and a control treatment at 46 feeding stations located along the urban–rural gradient. We assess impacts on willingness to visit feeders, feeding and vigilance rates. Exposure to anthropogenic noise reduced visit rates to supplementary feeding stations, reduced feeding rates and increased vigilance. Birds at more urban sites exhibit less marked treatment induced reductions in feeding rates, suggesting that urban populations may be partially habituated or adapted to noisy environments. There was no evidence, however, that more urbanised species were less sensitive to the impacts of noise on any response variable. Our results support the adventitious sound masking hypothesis. Urban noise may thus interfere with the ability of birds to detect predators, reducing their willingness to use food rich environments and increase vigilance rates resulting in reduced feeding rates. These adverse impacts may compromise the quality of otherwise suitable foraging habitats in noisy urban areas. They are likely to be widespread as they arise in a range of species including common urban birds.

Endodontic Peri-implant Defects: A New Disease Entity

Peri-implantitis is becoming a frequent complication observed around dental implants. An endodontic infection of a nearby tooth or an immediate implant placement in an inflamed bone socket from failing endodontic therapy has been associated with retrograde peri-implantitis (RPI), a condition that presents with radiographic lucency at the “apex” of an implant. However, current classification schemes do not capture endodontic lesions that may manifest as coronal or intrabony lesions associated with dental implants. As a result, such cases may be mistreated. Here we present for the first time 2 cases in which peri-implant bone loss occurred in the coronal half of the implant adjacent to a tooth with an endodontic-periodontic lesion and was resolved via endodontic therapy or tooth extraction as indicated. This proof of concept report aimed to introduce endodontic peri-implant (“endo-implant”) defects and increase vigilance, which may help prevent overtreatment or mistreatment of such cases.