Score Research Articles

Fadiga e Sintomas Vocais em Professores Universitários

Introdução: Na profissão docente, a voz é primordial para o desempenho profissional, contudo muitos professores desconhecem a fisiologia da fonação e os cuidados necessários com a voz. Além de alterações na qualidade vocal, professores podem apresentar variados sintomas vocais, com implicações relevantes no processo ensino-aprendizagem. Objetivo: Verificar o índice de fadiga e sintomas vocais em professores universitários e correlacionar os protocolos Índice de Fadiga Vocal (IFV) e Escala de Sintomas Vocais (ESV). Métodos: Foram aplicados os protocolos IFV e ESV em 126 professores universitários de uma universidade federal brasileira, sendo 71 mulheres e 55 homens, com faixa etária entre 30 a 50 anos. Foi realizada análise estatística por meio da Correlação de Spearman, adotando-se nível de significância de 5%. Resultados: A média de pontuação do domínio “fadiga e restrição vocal” foi de 13,7 e 4,05 para o ítem “desconforto físico associado à voz”. Sem conversão, o valor médio para o domínio “recuperação com repouso vocal” foi de 7,93, e com inversão foi de 4,06. Cansaço ao falar, ardência na garganta e rouquidão foram os sintomas mais autorreferidos. Observou-se que, quanto maior os sintomas vocais, maior o índice de fadiga vocal (r= 0,727; p= < 0,001). Conclusão: Professores universitários apresentaram escores médios dos fatores 1 e 2 do IFV maiores do que os escores apresentados por indivíduos vocalmente saudáveis, e escore médio do fator 3 semelhante ao escore médio de disfônicos. Rouquidão foi o sintoma prevalente em todos os professores. Houve correlação positiva forte entre os protocolos.

Development and Validation of the GLORI-COPD Score

Development and Validation of the GLORI-COPD Score

A Validated Radiomics T Cell Score Predicts Response to Multi-site SBRT Combined with Pembrolizumab

A Validated Radiomics T Cell Score Predicts Response to Multi-site SBRT Combined with Pembrolizumab

Liver function tests and fibrosis scores in a rural population in Africa: estimation of the burden of disease and associated risk factors

ABSTRACT Introduction Liver disease is a major cause of morbidity and mortality in sub-Saharan Africa. However, its prevalence, distribution and aetiology have not been well characterised. We examined liver function tests (LFTs) and calculated liver fibrosis scores in a rural population in Uganda. Methodology A cross-sectional survey of LFTs was undertaken in 2011 in a rural population cohort in South-Western Uganda. We classified abnormal LFTs based on reference ranges set in America and in Africa. We derived fibrosis scores (AST to Platelet Ratio Index, fibrosis-4, GGT to platelet ratio, red cell distribution width to platelet ratio, and S-index) to evaluate the potential prevalence of liver disease. We collected information about alcohol intake, and infection with HIV, HBV and HCV, to determine the contribution made by these factors to liver inflammation or fibrosis. Results Data were available for 8,099 participants (median age 30 years; 56% female). The prevalence of HBV, HCV and HIV infection were 3%, 0.2% and 8%, respectively. The prevalence of abnormal LFTs was higher based on the American reference range compared to the African reference range (e.g. for AST 13% vs 3%, respectively). The prevalence of AST/ALT ratio >2 was 11%, suggestive of alcoholic hepatitis. The highest prevalence of fibrosis was suggested by the GPR score, with 24% of the population falling above the threshold for fibrosis. By multivariate analysis, elevated LFTs and fibrosis scores were most consistently associated with older age, male sex, being under-weight, infection with HIV or HBV, and alcohol consumption. Based on population attributable risk, the highest proportion of elevated fibrosis scores was associated with alcohol use (e.g. 64% of elevated S-index scores). Conclusion Further work is required to determine normal reference ranges for LFTs in this setting, to evaluate the specificity and sensitivity of fibrosis scores, and to determine aetiology of liver disease. KEY FINDINGS What is already known? Liver disease is not well characterised in many parts of sSA despite the high prevalence of chronic viral infections (HIV, HBV and HCV), and potential exposure to hepatotoxins including alcohol, aflatoxins and traditional herbal medicine. Non-invasive blood tests for markers of fibrosis are relatively simple and offer a safe route to assess for liver fibrosis, however, their diagnostic accuracy is not well established in sSA. Appropriate reference ranges for LFTs are crucial for optimising the sensitivity and specificity of the detection of underlying liver disease. What are the new findings? There is a disparity in the prevalence of abnormal LFTs in our study cohort when comparing two references ranges (American vs. local reference ranges). Based on GPR score, there is a high prevalence of liver fibrosis (almost 1 in 4 of this population) and elevated GPR score is associated with older age, male sex, being under-weight, infection with HIV or HBV, and alcohol consumption. Alcohol consumption accounted for 64% of abnormal S-index scores, 32% of elevated FIB-4 scores, and 19% of GPR abnormalities. What do the new findings imply? Appropriate reference ranges for LFTs are necessary to contribute to an understanding of the burden and aetiology of liver disease. Alcohol, HIV and HBV are risk factors for deranged LFTs and liver fibrosis, with alcohol making the most significant and striking contribution. Further investigation is needed to determine other factors that contribute to liver disease in this setting.

Inferior pedicle technique with immediate nipple–areola reconstruction as an oncoplastic procedure for early central breast cancer

Introduction Requirements and indications for usage of an inferior pedicle oncoplastic reduction are cases having breast cancer wishing to preserve their breasts with moderate-sized to large breasts and ptosis. A decreased breast volume tolerates radiation therapy better than a large-volume breast, and aesthetic outcomes have been revealed and displayed to be superior. Aim To evaluate inferior pedicle technique as an oncoplastic procedure for management of central breast cancer. Patients and methods A prospective analytical research study that recruited 15 cases was conducted at Ain Shams University Hospitals and Bahya Specialized Hospital for breast cancer. Approval of the Ethical Committee and written informed consent from all participants were obtained. Results The number of cases given excellent score (score 5) was 9, the number of cases given very good score (score 4) was 4, the number of cases given good score (score 3) was 1, the number of cases given fair score (score 2) was 1, the number of cases given poor score (score 1) was 0, and the number of cases given ugly score (score 0) was 0. All of our patients had clear margins in frozen sections taken during the operations and the postoperative paraffin section results provided by our pathologist, and none of them had recurrence during postoperative follow-up period of 6-month duration. Conclusion Inferior pedicle oncoplastic reduction is a very reliable and adaptable technique for reconstructing the partial mastectomy defects in women with macromastia or ptosis.

THE APPLICATION OF RECIPROCAL TEACHING TO IMPROVE BUSINESS TEXT READING COMPREHENSION OF BUSINESS ADMINISTRATION STUDENTS OF BENGKALIS STATE POLYTECHNIC

Based on the problems found in the classroom, the students at State Polytechnic of Bengkalis had problems in comprehending business texts. It seemed difficult for them to understand contents and to identify the inference of the text. They also had limited vocabulary. Therefore, the researcher decided to solve these problems by applying Reciprocal Teaching. The researchaimedat finding out to what extent Reciprocal Teaching could improve the students’ reading comprehension of business texts. This reciprocal teaching applicationresearch was conducted in two cycles. Each cycle consisted of four meetings; three meetings for teaching reading comprehension of business texts and one meeting was for the test. Participants of the research were 25 students of Business Administration major. There were some instruments used asdata collection were (1) observation sheets; students, teacher, and teaching steps (2) field notes (3) and reading comprehension tests.The research findings showed that Reciprocal Teaching could improve the students’ reading comprehension of business texts. It could be seen from the improvement of the students’ score in reading comprehension of Business texts test. The average score of students in cycle 1 was 63,36 and in cycle 2 was 67,68. In conclusion, the implementation of Reciprocal Teaching could improve the students’ reading comprehension of Business texts at Business administration Students of State Polytechnic of Bengkalis. It improved both students’ score in reading tests and their interest in reading activities.

SWARM: South West Anaesthesia Research Matrix Accelerometers for Anaesthesia Research (AFAR); Wearable Movement Sensors to Measure Recovery from Day Case Surgery

A feasibility study from SouthWest Anaesthesia Research Matrix in collaboration with Open Lab at Newcastle University Aim: Wearable movement sensors (accelerometers) are a novel technology that may have utility to measure patientcentred endpoints such as activity levels. We propose to investigate their feasibility to track recovery after day case surgery. We aim to gain experience with this technology and test a methodology that could be deployed at scale across a trainee research network. Patients: The SWARM trainee network will recruit 50 consecutive functionally able adult patients from two NHS trusts, booked for urology, gynaecology or general day case surgery that requires general or neuraxial anaesthesia but does not in itself restrict mobility. Comparator: We will compare a postoperative recovery profile of each patient to his or her own baseline preoperative activity profile. We will also investigate validity of this measure by comparing patients recovery profile against their sequential daily scores on a validated quality of recovery questionnaire (Q0R15), administered by phone call. Outcomes: Participants will be asked to wear wrist devices for a week before and after surgery so that 7day baseline activity and postoperative recovery profiles can be characterized. Computer scientist collaborators from Open Lab at Newcastle University use raw movement data from the Axivity AX3 device to generate multiaxial parameters, quantifying movement in more than one dimension. Our candidate measures are: step count intensity of activity aggregate sleep duration & quality energy expenditure character of activity. We will compare the correlation between these and daily QoR15 score. Acceptability will be explored with a PPI group. Feasibility for future study will be checked by recording data about recruitment rate, wear time (compliance), device return rate, proportion of lost/unusable data. Study design: Prospective, observational study.

Statistical relationship between knowledge levels and attitude toward liver transplantation from medical and Islamic perspective among faculty of medicine students: case Yarsi University

Organ transplantation is considered as an alternative therapy as the best effort to help patients with organ failure. Many evidences showed that organ transplantation gives more satisfying results than most of conservative therapies. However, the organ transplant need some considerations from several non-medical aspects namely: religion, law, culture, ethics and morals. Islam religion perspective, in particular, requires people to make themselves knowledgeable before making any decision. At the same time, Islam religion teaching requires any decision should be guided and lead by sound knowledge. Although transplantation is considered haram from the Islamic, it is permissible in an emergency situation. This paper presents the study results on the relationship between two latent variables as construct: (1) the level of knowledge and (2) attitudes about liver transplantation from medical and Islamic perspective. The data for this study were collected from Faculty of Medicine students batch 2016 as respondents. This study used a quantitative non-experimental or analytical research method. The sample size was 70 which were selected using purposive sampling technique. That is, a sample was selected based on a particular assessment. Each observed variables were measured using Likert scale. The value of each latent variables was measured as an accumulated value of its observed variables. The study found the respondents' knowledge score ranged from 2 to 9 out of 0-10 score scale and attitude scores ranged from 17 to 26 out of 0-30 score range. The results of Chisquare statistical analysis between the two latent variables showed that there is no significant relationship between the two latent variables of interest. This results can be concluded that there is no significant relationship between knowledge and attitudes towards liver transplantation. In addition, the results of this study suggests that for further research to add more variables that influence attitude change.

The Digital Score: Musicianship, Creativity and Innovation

June 01 2019 The Digital Score: Musicianship, Creativity and Innovation The Digital Score: Musicianship, Creativity and Innovation. CraigVear. Ross Feller Ross Feller Gambier, Ohio, USA Search for other works by this author on: This Site Google Scholar Author and Article Information Ross Feller Gambier, Ohio, USA Online Issn: 1531-5169 Print Issn: 0148-9267 © 2020 Massachusetts Institute of Technology.2020Massachusetts Institute of Technology Computer Music Journal (2019) 43 (2-3): 166–168. https://doi.org/10.1162/comj_r_00526 Cite Icon Cite Permissions Share Icon Share Facebook Twitter LinkedIn MailTo Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Search Site Citation Ross Feller; The Digital Score: Musicianship, Creativity and Innovation. Computer Music Journal 2019; 43 (2-3): 166–168. doi: https://doi.org/10.1162/comj_r_00526 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll JournalsComputer Music Journal Search Advanced Search This content is only available as a PDF. © 2020 Massachusetts Institute of Technology.2020Massachusetts Institute of Technology Article PDF first page preview Close Modal You do not currently have access to this content.

PENGEMBANGAN MODUL BERMUATAN NILAI-NILAI KARAKTER DENGAN MODEL INKUIRI UNTUK MATERI FISIKA SUHU DAN KALOR KELAS X

The purpose of this study is to develop teaching materials in the form of physics modules containing character values using inquiry models in temperature and heat material, according to the 2013 curriculum material. This study was applied in physics learning activities conducted from April to May 2015 at Al High School. Azhar Syifa Budi Jakarta. The method used in this study is the development method. The initial stage of this research was the analysis of teaching material needs, then made the development of physics modules for class X Science which had been validated by several professional high school physics experts and teachers in Jakarta. The instruments used were a needs analysis questionnaire, a validation sheet for physical matter experts, media experts and professional high school physics teachers in Jakarta and a questionnaire for students after using the developed modules. From the results of the validation by the material experts, the average score of the overall aspects was 81%, indicating that the material suitability aspect, the quality of the contents which included the planting of character values and module competency tests were very good. Validation by media experts obtained a percentage of the average score of all aspects of 89%, indicating that the character values outlined in the module are very good as well as aspects of consistency in the module writing format are very good. The results of validation by professional high school physics teachers in Jakarta obtained an average score of 84%, indicating the direction of learning activities that can foster very well-written characters. This physics module can help develop character values in students and can motivate students to learn independently, because this module displays physics concepts through images and is equipped with sentences that lead students to build their knowledge independently. Keywords: Module Development, Inquiry, Temperature and Heat

Salivary free hemoglobin and lactate dehydrogenase as biomarkers for periodontal disease in smokers.

The purpose of the present study was to compare levels of the biomarkers lactate dehydrogenase (LDH) and free hemoglobin in the saliva of different groups of smokers for early diagnosis of periodontitis and their clinical relevance for use as a screening tool. Eighty cigarette smokers were divided into light (< 10 cigarettes/day) moderate (10 to 19 cigarettes/day) and heavy (≥ 20 cigarettes/day) smokers. Stimulated saliva samples were obtained by the expectoration method and evaluated for LDH and free hemoglobin levels. Clinical parameters were recorded after saliva collection using the modified Community Periodontal Index (CPI). Salivary free hemoglobin level was higher in light smokers compared to heavy smokers (mean 363.89 ± 295 µmol/L in light vs mean 79.55 ± 37.41 µmol/L in heavy, P = .001) and positively correlated with CPI score. There was no control group to prevent bias with free hemoglobin results in healthy individuals. Salivary LDH levels were higher in light smokers (411.24 ± 18.62 IU/L) compared to heavy smokers (313.26 ± 23.98 IU/L). However, a significant correlation between free hemoglobin, LDH, and CPI score (clinical parameters) was seen between the three groups of smokers (P < .01). Within the limitations of this observational study, there was a progressive reduction in free hemoglobin and LDH levels from light smokers to heavy smokers. However, the severity of periodontal disease conditions increased as the severity of smoking habit increased.

Perioperative evaluation of the controlling nutritional status (CONUT) score in patients with N0 oral cancer

Perioperative evaluation of the controlling nutritional status (CONUT) score in patients with N0 oral cancer

Białko roślinne – źródła, koszty produkcji i jakość

Białko należy do podstawowych składników odżywczych niezbędnych do utrzymania życia. Światowe prognozy pokazują, że będzie to podstawowy makroskładnik limitujący światowe bezpieczeństwo żywnościowe. W światowej strukturze spożycia dominuje białko pochodzenia roślinnego, a podstawowym źródłem białka roślinnego są zboża - wśród nich pszenica. W artykule założono, że głównym źródłem dla rosnącego popytu na białko pozostaną dotychczasowe jego źródła, ponieważ czynnikami decydującymi o wykorzystaniu danego surowca jest jego dostępność, koszt i jakość. Z tego powodu w artykule podjęto próbę charakterystyki głównych źródeł białka roślinnego pod względem wielkości produkcji białka z jednostki powierzchni, kosztów produkcji 1 kg białka i jego jakości. Analizę kosztów produkcji poszczególnych źródeł białka wykonano na podstawie danych z gospodarstw z krajów (lub grupy krajów) głównych jego producentów lub eksporterów. Jakość białka roślinnego scharakteryzowano przy użyciu wskaźnika aminokwasu ograniczającego oraz wskaźnika aminokwasu ograniczającego skorygowanego o strawność rzeczywistą białka. Spośród analizowanych źródeł białka największy plon z jednostki powierzchni oraz najmniejsze bezpośrednie koszty produkcji posiada białko z soi. Białko to również charakteryzuje się największą wartością biologiczną uwzględniając wartość wskaźnika aminokwasu ograniczającego skorygowanego o strawność rzeczywistą białka.

Cave carmen: o uso da habanera na abertura Gabriela, Cravo e Canela, de Fernando Lopes-Graça

Apresento, neste artigo, uma análise da abertura sinfônica Gabriela, Cravo e Canela (1963), do compositor português Fernando Lopes-Graça (1906-1994), inspirada no romance homônimo de Jorge Amado. Destaco alguns aspectos da relação entre a ambientação no romance e na música, tomando como ferramenta de análise a identificação de tópicas. Partindo das categorias de relações transtextuais de Gérard Genette (1982, 1987) e de sua adaptação à análise musical por Paulo Ferreira de Castro (2015), abordo o uso do padrão rítmico da habanera como elemento estruturador da partitura e, mais especificamente, do motivo Prends garde à toi! entoado pelo coro na Habanera da ópera Carmen, de Georges Bizet, destacando o paralelo entre as características de sensualidade e liberdade associadas às duas personagens. Acrescentando a ingenuidade e a espontaneidade infantil de Gabriela, associo estas características ao que identifico como tópicas circenses e pastorais, estas últimas também observadas na análise literária de José Paulo Paes (2012) e relacionadas por este autor aos conceitos de “bom selvagem” e “criança-juiz”. Tomando como base as análises de Carmen por Susan McClary (2002) e de Gabriela na nota de encarte de João de Freitas Branco (1967), discuto a ideia de “morte necessária” da mulher que foge às expectativas morais e sociais e sua subversão por Amado e Lopes-Graça, esta realizada musicalmente a partir do recurso de anticlímax. Aponto brevemente, por fim, a questão da presença e a pertinência do exotismo na abordagem musical de Gabriela, a partir de sua associação ao erotismo e do uso do tresillo.

Effect of different episiotomy techniques on perineal pain and sexual activity 3 months after delivery

Objective The aim of this study was to examine the relationship between different episiotomy techniques and sexual activity and perineal pain 3 months after delivery with episiotomy. Background Despite the controversy regarding the routine use of episiotomy-assisted delivery, it is still one of the commonly performed procedures worldwide. Patients and methods This study comprised a purposive sample of 150 uncircumcised, primigravida with episiotomy during normal delivery. These women were divided into three equal groups according to the type of episiotomy. The first group was patients with lateral episiotomy (N = 50), the second group was patients with mediolateral episiotomy (N = 50), and the last group was patients with median episiotomy (N = 50). The study was conducted at Obstetrics and Gynecology Department, at a Governmental Central Hospital. Two tools were used: a questionnaire containing sociodemographic data, episiotomy type, type of wound healing, vaginal dryness assessment, type of baby feeding, and sexual activity assessment, and pain assessment by visual analog scale. Results There was no difference in pain score distribution by visual analog scale when comparing midline, mediolateral, and lateral technique (P = 0.4). The study showed that 76.0% of the studied sample had a decreased coitus frequency. The main reason of coitus decrease was pain (49.0%). There was no statistically significant difference between type of episiotomy of the studied sample and postpartum sexual satisfaction (P = 0.2). Conclusion No difference was detected in perineal pain perception 3 months after delivery between different episiotomy techniques.

Less is better: it is not necessary to score embryos every day

Less is better: it is not necessary to score embryos every day

P1553PROCAM vs. SCORE: 10 years after

P1553PROCAM vs. SCORE: 10 years after

USING BOOKMARK TECHNIQUE TO IMPROVE THE RECOUNT TEXT READING SKILL OF THE TENTH GRADERS OF MAN PARAKAN TEMANGGUNG IN THE SCHOOL YEAR 2015/2016

Reading is a must in language learning. In Senior High School, it is not an exception. The main problem is that the students are not interested in doing the reading task. They also have low motivation. It is caused by the monotonous way of teaching. There are two objectives of this research. They are to know whether the use of bookmark technique can increase the learning motivation in the recount text reading and to know how great the improvement of the recount text reading skill of the students who are taught using bookmark technique is. The writer conducted a Classroom Action Research (CAR). It was divided into three phases, pre-cycle, cycle I and cycle II. The writer took the tenth graders of MAN Parakan Temanggung as the subject of the research. The techniques used to collect the data were tests and non-test technique. The writer used the average score and percentage in each cycle to analyze the data. The result of the tests shows that the mean score of the students increase.

Clinical evaluation of intra-articular platelet-rich plasma injection for the treatment of knee osteoarthritis

Objective The aim of this study was to evaluate results of intra-articular injection of plasma sample rich in platelets for the treatment of knee osteoarthritis (OA). Background OA is a progressive, chronic condition leading to pain and loss of function that reduce patients' quality of life. Materials and methods The study was performed on 30 knees of 30 patients with age 30–65 years. All of the patients presented with knee OA grade I, II, and III and were treated with two intra-articular platelet-rich plasma (PRP) injections with three weeks interval. Preparation was done by centrifugation of 50 ml blood in two separate cycles, finally resulting in 5 ml of PRP then get activated by calcium chloride (CaCl2) at concentration of 50 μl/1 ml PRP, added just before injection. Western Ontario and McMaster universities score was used for clinical evaluation. Complications and adverse events were also recorded. Results Mean age of patients was 52 years. All of them were followed up to 12 months. The clinical results were classified on subjective base and were graded as excellent in 19 (63.3%) patients, good in six (20%) patients, and poor in five (16.7%) patients. No complications were noted. There was significant significance between BMI and clinical success (P = 0.000). The study showed significant association between grade of OA and clinical success (P = 0.008). Conclusion Maximal improvement occurred in a month and continued above basal levels in 12 months follow-up, especially in the young individuals. These findings indicate that treatment with PRP injections can reduce pain and improve knee function and quality of life with short-term efficacy.

Serum interleukin-17 level in patients with ankylosing spondylitis and its relation with disease activity

Objective The aim of this study is to measure the level of interleukin-17 (IL-17) in the serum of patients with ankylosing spondylitis (AS) and correlating it with disease activity. Background AS is a chronic inflammatory disease that affects axial joints, characterized by a diffuse stiffness, with the advanced stage producing a rigid spine from the occiput to the sacrum. IL-17 may play a role in the pathogenesis, activity, and clinical manifestations of AS. IL-17 is produced by T helper 17 cells. Methods Fifty patients with AS (male:female 48:2) and 20 age-matched healthy male volunteers as controls were included in this study. Patients were diagnosed as having AS according to Assessment of SpondyloArthritis International Society criteria. All were subjected to demographic data, clinical examination, and laboratory investigations including serum level of IL-17A by enzyme-linked immunosorbent assay. The results were correlated with disease activity, which was assessed by Bath Ankylosing Spondylitis Disease Activity Index and Ankylosing Spondylitis Disease Activity Score. Results In our study, the serum levels of IL-17A in patients were significantly higher than those of the healthy controls (P Conclusion Serum IL-17A levels of patients with AS were significantly higher than healthy controls, and it was positively correlated with disease activity.