In vitro study on cyclic fatigue resistance of three types of nickel titanium files in preparation for bending root canals / 口腔疾病防治

Objective@#The purpose of this study was to investigate the differences in the anti cyclic fatigue performance of Woride KS (WKS), Proteper Gold (PTG), and Hyflex CM (HCM) nickel titanium instruments with different tip diameters in curved root canal models, and to provide reference for the targeted selection of suitable nickel titanium instruments in clinical preparation of curved root canals.

Analysis of current radiation protection and occupational health management in non-medical institutions in Hebei Province, China, 2022 / 中国辐射卫生

Objective To investigate the number, distribution, and types of radiation of non-medical radiation institutions in Hebei Province, China, and to explore the current radiation protection in the employing units and occupational health management of radiation workers in 2022. Methods A questionnaire survey was conducted in the non-medical institutions engaged in nuclear technology application in Hebei Province, and different types of employing units were selected to monitor the radioactivity level in the workplace. Results A total of 681 non-medical institutions engaged in radiation technology application completed the survey, covering all cities with subordinate districts in the province, including 1605 radioactive devices, 2960 active devices, 45 non-uranium metal mines, and 14 non-sealed workplaces. A total of 8617 radiation workers were surveyed, with a personal dose monitoring rate of 70.9%, a radiation protection training rate of 61.1%, and an occupational health examination rate for radiation workers of 59.3%. A total of 614 radiation protection monitoring instruments were provided, with a personal protective equipment allocation rate of 51.1% and a personal dose alarm device allocation rate of 51.8%. The radiation occupational hazardous factor testing was completed for 54 workplaces, and the results were all qualified. Conclusion There are still significant deficiencies in personal dose monitoring in the radiation work units in non-medical institutions and occupational health examination in the radiation work units in our province. The health administrative departments should strengthen health supervision and law enforcement, enhance radiation protection and skill training for employers, and more effectively control the impact of radiation hazards on personnel health.

Psychometric properties of the Providers Survey in the Brazilian context of mental health: a validation study

ABSTRACT BACKGROUND: Precisely determining the aspects related to an instrument's validity and reliability measures allows for greater assurance of the quality of the results. OBJECTIVES: To analyze the psychometric properties of The Providers Survey in the Brazilian context of mental health services. DESIGN AND SETTING: The instrument validation study was conducted in Montes Claros, Minas Gerais, Brazil. METHODS: The validation study was conducted using the Consensus-based Standards for the Selection of Health Measurement Instruments checklist to analyze its validity and reliability. RESULTS: A committee of expert judges performed content validation after which the Content Validity Index was calculated. Construct validation took place through Exploratory Factor Analysis using the Kaiser-Meyer-Olkin Test criterion and Bartlett's Sphericity Test. Reliability was verified using test-retest reliability. The significance level adopted for the statistical tests was 5% (P < 0.05). The final instrument comprised 54 questions. The Content Validity Index was 97%. Exploratory Factor Analysis identified a Kaiser-Meyer-Olkin index of 0.901 and Bartlett's Sphericity Test with P < 0.001. We obtained a Cronbach's alpha coefficient of 0.95 and an intraclass correlation coefficient of 0.849. CONCLUSIONS: The Providers Survey, translated and adapted into Portuguese, was named the Work Assessment Instrument for the Recovery of Mental Health. It presented adequate psychometric properties for evaluating work-related practices for the recovery of psychosocial care network users.

O impacto da ausência do brincar precoce no processo do desenvolvimento psíquico do bebê / Absence of early play and its impact on the psychic development of infants / El impacto de la ausencia del juego precoz en el proceso del desarrollo psíquico del bebé / L'absence de jeux précoces et son impact dans le développement psychique des nourrissons

Resumo A pesquisa teve como objetivo estudar o impacto da ausência do brincar precoce no desenvolvimento psíquico do bebê, quando ele se encontra privado de trocas lúdicas na relação bebê-cuidadora, no contexto das creches. A correlação dos resultados dos instrumentos IRDI, MPPE e AP3 no acompanhamento longitudinal de cinco bebês, dos 8 meses de vida aos 4 anos de idade, apontou que a ausência do brincar precoce resulta no empobrecimento do brincar simbólico e entraves no processo de subjetivação da criança.

Abstract This study investigate the absence of early play, that is, the deprivation of playful exchanges with caregivers in the nursery environment, and its impact on the psychic development of infants. Results from a longitudinal study with five infants, from 8 months to 4 years of age, collected by the IRDI, MPPE and AP3 instruments showed that the absence of early play results in the impoverishment of further symbolic play and in obstacles to the child's subjectivation process.

Resumen La investigación tiene como objetivo estudiar el impacto de la ausencia del juego precoz en el desarrollo psíquico en bebés, cuando estos se encuentran privados de intercambios lúdicos en la relación bebé-cuidador/a. En el ámbito de las guarderías, la correlación de los resultados de los instrumentos IRDI, MPPE y AP3 en el acompañamiento longitudinal de cinco bebés de ocho meses a cuatro años indicó que la ausencia del juego precoz provoca empobrecimiento del juego símbolo e impedimentos en el proceso de subjetividad del niños.

Résumé Cette étude s'intéresse à l'absence de jeux précoces, c'est-à-dire à la privation d'échanges ludiques avec les soignants dans l'espace de la crèche, et à son impact dans le développement psychique des nourrissons. Les résultats d'une étude longitudinale auprès de cinq nourrissons, suivis de 8 mois à 4 ans, recueillis à l'aide des instruments IRDI, MPPE et AP3, ont montré que l'absence de jeux précoces entraîne un appauvrissement des jeux symboliques ultérieurs et des obstacles au processus de subjectivation de l'enfant.

Brazilian adaptation of the McLean Screening Instrument for Borderline Personality Disorder

Abstract Objective Borderline personality disorder (BPD) is a serious and extremely prevalent mental disorder. Early diagnosis is vital for treatment. However, there are no specific screening instruments validated for Brazilian Portuguese. This study aimed to adapt the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) to the Brazilian context. The MSI-BPD is a self-report instrument based on the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), that enables fast and reliable assessment of BPD, with measures of sensitivity (SN) and specificity (SP) similar to the diagnostic interview for the DSM-5 (Structured Clinical Interview for DSM-V Axis II Disorders [SCID-II]), taken as the gold standard. Methods Two independent translations, a synthesis version, back-translation, and analysis by experts were employed to create the final version of the instrument in Brazilian Portuguese. The translated instrument was administered to 1,702 adults aged 18-59 years to verify evidence of validity relating to content, internal structure, relationship with other variables, and reliability. Results The exploratory and confirmatory factor analyses show that the one-factor structure is adequate. The scale showed satisfactory internal consistency (Kuder-Richardson coefficient [KR-20] of Cronbach's alpha = 0.691) and good test-retest reliability (intraclass correlation coefficient [ICC] = 0.802). Logistic regression analysis using the Personality Inventory for the DSM-5-Brief Form (PID-5-BF) (DSM-5) as reference established an ideal cut-off point of eight symptoms, with adequate SN (0.79) and SP (0.75), similar to the original instrument. The area under the curve (AUC) was 0.830 (95% confidence interval: 0.802-0.858), with a positive predictive value of 89.2%. Conclusion The Brazilian version of the MSI-BPD has adequate psychometric properties for use as a BPD screening tool by clinicians.

Odontogenic maxillary sinusitis associated with foreign body displacement after tooth extraction: report of an unusual case / Sinusite maxilar odontogênica por corpo estranho após extração dentária: relato de um caso incomum

Background: Odontogenic maxillary sinusitis caused by a foreign body presents diagnostic and therapeutic challenges due to its infrequent occurrence and unique characteristics compared to sinusitis originating from other sources. CaseReport:Illustrating such fact, this report presents the clinical case of a 37-year-old woman referred complaining of pain in the same region where she had extracted her upper right first molar five days before. The intraoral examination revealed the presence of an orifice in the region, suggesting oroantral communication. Imaging exams revealed opacification of the right maxillary sinus and the unexpected presence of a highly radiodense object. With the diagnosis of maxillary sinusitis due to a foreign body established, the surgical approach initially consisted of administering preoperative medication, preceded by access to the maxillary antrum using the Caldwell-Luc technique. The object was found and removed, consisting of a surgical drill. At follow-up there was complete absence of symptoms and complete closure of communication. Conclusion: Cases of odontogenic maxillary sinusitis caused by drill detachment after tooth extraction are fairly uncommon. A thorough clinical evaluation proved to be essential and the Caldwell-Luc access was effective, safe and with good postoperative results, even with the absence of standardized diagnostic and management methods(AU)

Contexto: A sinusite maxilar odontogênica causada por corpo estranho apresenta desafios diagnósticos e terapêuticos devido à sua ocorrência infrequente e características únicas em comparação com sinusites originadas de outras fontes. Relato do Caso: Ilustrando tal fato, este relato apresenta o caso clínico de uma mulher de 37 anos de idade encaminhada com queixa de dor em mesma região que havia extraído o primeiro molar superior direito cinco dias antes. Ao exame intraoral verificou-se a presença de um orifício na região, sugerindo comunicação oroantral. Os exames de imagem revelaram opacificação do SM direito e a inesperada presença de um objeto altamente radiodenso. Com o diagnóstico de sinusite maxilar por corpo estranho estabelecido, a abordagem cirúrgica consistiu inicialmente na administração de medicação pré-operatória, precedida pelo acesso ao antro maxilar através da técnica de Caldwell-Luc. O objeto foi encontrado e removido, consistindo em uma broca cirúrgica. Ao acompanhamento houve ausência completa dos sintomas e total fechamento da comunicação. Conclusão: Casos de sinusite maxilar odontogênica causada por descolamento da broca após extração dentária são bastante incomuns. Uma avaliação clínica minuciosa mostrou-se primordial e o acesso de Caldwell-Luc eficaz, seguro e com bons resultados pós-operatórios, mesmo com as ausências de métodos de diagnóstico e manejo padronizados.(AU)

Análise da função respiratória em músicos instrumentistas de sopro / Analysis of the breathing function in wind instrumental musicians

Objetivo: realizar uma revisão integrativa a respeito da função pulmonar e da força muscular respiratória nos músicos de instrumentos de sopro. A relação da função respiratória com a utilização de instrumentos musicais de sopro é uma área do conhecimento ainda pouco explorada. Métodos: Realizada a revisão bibliográfica nas bases de dados MEDLINE, Embase, Cochrane, PeDro, BVS, Scopus, Web of Science e SciELO, através da combinação das palavras-chave "respiratory function test", "wind instrument", musician, "pulmonary ventilation" e "Lung Function Test". Resultados: Inicialmente foram encontrados 108 artigos, sendo que destes foram selecionados 11, totalizando 596 músicos instrumentistas de sopro, que fizeram parte dos grupos de estudo. Na maioria dos estudos os músicos apresentaram valores menores do volume expirado no primeiro segundo (VEF1) e da capacidade vital forçada (CVF) na espirometria que o grupo controle. No entanto, sem diferença quanto a relação VEF1/CVF. Assim como não há diferença na força muscular respiratória ou relação com doenças respiratórias. Conclusão: Os estudos atuais a respeito da consequência do instrumento de sopro em indivíduos não são capazes de evidenciar impactos positivos ou negativos na saúde respiratória desta população.

Objective: To conduct an integrative review of lung function and respiratory muscle strength in wind instrument musicians. The relationship between respiratory function and the use of wind musical instruments is an area of knowledge that has not been extensively explored. Methods: A bibliographic review was carried out in the MEDLINE, Embase, Cochrane, PeDro, BVS, Scopus, Web of Science, and SciELO databases by combining the keywords "respiratory function test", "wind instrument", musician, "pulmonary ventilation" and "Lung Function Test". Results: Initially, 108 articles were found, of which 11 were selected, totaling 596 wind instrumentalists who were part of the study groups. In most studies, musicians showed lower values of expired volume in one second (FEV1) and forced vital capacity (FVC) in spirometry than in the control group. However, there was no difference regarding the FEV1/FVC ratio, just as there was no difference in respiratory muscle strength or relationship with respiratory diseases. Conclusion: Current studies regarding the effect of wind instruments on individuals are unable to show positive or negative impacts on the respiratory health of this population.

Gamificação: uso de mecânicas de jogos em contextos alheios ao lazer / Gamification: use of game mechanics in non-leisure contexts

Não é recente o uso de jogos pela humanidade. Por seus elementos fundantes é que o jogo ganhou, ao longo dos anos, universos não inicialmente esperados e se tornou objeto de estudo nas mais diversas ciências. Com o avanço do uso de jogos ou de elementos de jogos nos mais diversos contextos foi concebida a teoria da gamificação. Gamificar é o ato de se apropriar de elementos e técnicas de jogos e aplicá-los em contextos alheios ao lazer. Aplicar elementos de jogos, em razão da sua potencialidade, em espaços em que não se exige e, por vezes, sequer cabe ludicidade é o ato de gamificar. Com base nessa premissa a pesquisa tem como objetivo indicar os elementos necessários para que se considere uma determina ferramenta como gamificada sob a ótica de Mc Gonigal, referencial teórico. Utilizará o método hipotético dedutivo e a pesquisa bibliográfica.

The use of games by humanity is not recent. It is due to its founding elements that the game has gained, over the years, universes not initially expected and has become an object of study in the most diverse sciences. With the advancement of the use of games or game elements in the most diverse contexts, the theory of gamification was conceived. Gamifying is the act of appropriating game elements and techniques and applying them in contexts outside of leisure. Applying game elements, due to their potential, in spaces where playfulness is not required and sometimes does not even fit is the act of gamifying. Based on this premise, the research aims to indicate the necessary elements to consider a certain tool as gamified from the perspective of Mc Gonigal, theoretical reference. It will use the deductive hypothetical method and bibliographical research.

Construcción y validación de un cuestionario para evaluar burnout académico en estudiantes de ciencias de la salud / Construction and validation of a questionnaire to assess academic burnout in health science students / Construção e validação de um questionário para avaliar o burnout acadêmico em estudantes da área da saúde

Objetivo: el burnout (BA) académico puede presentarse en el contexto universitario, se caracteriza por un estado de agotamiento vital que afecta la salud física y mental de los estudiantes, lo que genera una disminución en el rendimiento académico. Este problema aparece con mayor frecuencia en programas universitarios con altas exigencias académicas. El objetivo de este trabajo fue construir y evaluar la estructura factorial de un cuestionario de BA académico en estudiantes que cursaban los programas de medicina, enfermería y psicología. Metodología: los participantes fueron 710 estudiantes de ciencias de la salud (hombres 40.8 % y mujeres 59.2 %), de 16 a 33 años (M = 20.42 años, DT = 3 años). Se evaluó la validez de constructo mediante análisis factorial exploratorio (AFE) y análisis factorial confirmatorio (AFC); además, se calculó la consistencia interna por medio del estadístico alfa de Cronbach. Resultados: el cuestionario burnout académico (CBA-24) quedó conformado por 24 reactivos y una estructura factorial de cuatro dimensiones (agotamiento emocional, cinismo hacia el estudio, cinismo hacia las personas y realización personal). Con la prueba se evaluó el nivel de malestar emocional ante las demandas del entorno académico. Los índices de ajuste alcanzaron valores altos en el modelo propuesto, por lo tanto, el modelo de cuatro factores alcanzó los criterios para considerar que el ajuste es adecuado en todos los índices y mostró una estructura multidimensional. Dichos índices se agruparon de acuerdo con la taxonomía propuesta. Conclusiones: el cuestionario permitió identificar de manera ecológica el constructo de BA ajustado a las demandas de los contextos universitarios.

Objective: Academic burnout (AB) can occur in the university context and is characterized by a state of vital exhaustion that affects the physical and mental health of students, leading to a decrease in academic performance. This problem is more commonly observed in college programs with high academic demands. The aim of this study was to construct and evaluate the factorial structure of a questionnaire for assessing AB in students enrolled in medicine, nursing, and psychology programs. Methodology: The participants consisted of 710 health science students (40.8% male and 59.2% female) aged between 16 and 33 years (M = 20.42 years, SD = 3 years). Construct validity was assessed using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Additionally, internal consistency was calculated using Cronbach's alpha statistic. Results: The academic burnout questionnaire (ABQ-24) consisted of 24 items and a four-factor factorial structure (emotional exhaustion, cynicism towards studying, cynicism towards people, and personal accomplishment). The questionnaire assessed the level of emotional distress experienced in response to academic demands. The fit indices achieved high values in the proposed structure, indicating that the four-factor model met the criteria for adequate fit across all indices and exhibited a multidimensional structure. These indices were grouped according to the proposed taxonomy. Conclusions: The questionnaire provided an ecologically valid means of identifying the construct of AB, adapted to the demands of university contexts.

Objetivo: o burnoutacadêmico (BA) pode ocorrer no contexto universitário, é caracteri-zado por um estado de esgotamento vital que afeta a saúdefísica e mentaldos alunos, o que gera uma diminuição no desempenho acadêmico. Esse problema aparece com mais frequência em programas universitários com altas demandas acadêmicas. O objetivo deste trabalho foi construir e avaliar a estrutura fatorial de um questionário acadêmico de graduação em estudantes de medicina, enfermagem e psicologia. Metodologia: Os participantes foram 710 estudantes de ciências da saúde (40,8% ho-mens e 59,2 % mulheres), de 16 a 33 anos (M = 20,42 anos, DT = 3 anos). A validade de construto foi avaliada por meio de análise fatorial exploratória (EFA) e análise fatorial confirmatória (AFC); além disso, a consistência interna foi calculada usando a estatística alfa de Cronbach. Resultados: o questionário de burnoutacadêmico (CBA-24) foi composto por 24 itens e uma estrutura fatorial de quatro dimensões (exaustão emocional, cinismo em relação ao estudo, cinismo em relação às pessoas e realização pessoal). Com o teste, avaliou-se o nível de desconforto emocional diante das demandas do ambiente acadêmico. Os índices de ajuste atingiram valores altos no modelo proposto, portanto, o modelo de quatro fatores atendeu aos critérios para considerar que o ajuste é adequado em todos os índices e apresentou uma estrutura multidimensional. Esses índices foram agrupados de acordo com a taxonomia proposta.Conclusões:o questionário permitiu identificar de forma ecológica o construto BA ajustado às demandas dos contextos universitários

Validation of an instrument to evaluate the satisfaction of the professional practice in pertaining students to the program of Nutrition and Dietary / Validación de un instrumento para evaluar la satisfacción de la práctica profesional en estudiantes pertenecientes a la carrera de Nutrición y Dietética Introducción

Professional practice is a relevant process for the personal and academic development of students. It uses learning contexts located in real scenarios and enables the acquisition of knowledge, skills, and competencies necessary for professional practice. Objective. To design and validate an instrument designed to evaluate students' satisfaction with theirprofessional practice process. Materials and methods. Mixed-method study, non-probabilistic sample by convenience of 196 participants. The sample is formed by 20 Nutritionists and 176 students belonging to the Nutrition and Dietetics undergraduate program. The statistical software SPSS version 22 was used to analyze reliability by Cronbach's alpha and the Delphi method for content validity. An instrument with 32 items grouped in 4 dimensions was elaborated and applied to 116 students to analyze reliability. The instrument was adjusted to 25 items, and content validity was analyzed by a panel of experts. The judge'sconsensus was the foundation for developing a 29-item version grouped into 4 dimensions. This version was applied to 60 students to obtainCronbach's alpha validation. Results. The instrument presents an excellent level of reliability, with a Cronbach's Alpha coefficient of 0.927. Conclusions. The instrument designed to measure satisfaction with professional practices is a reliable and valid measure, since it allows knowing the students 'evaluation at the end of their professional practice process(AU)

La práctica profesional es un proceso relevante para el desarrollo personal y académico de los estudiantes, utiliza contextos de aprendizaje situados en escenarios reales, posibilita la adquisición de conocimientos, habilidades y competencias necesarias para el ejercicio profesional. Objetivo. Diseñar y validar un instrumento, que permita evaluar la satisfacción de los estudiantes sobre su proceso de práctica profesional. Materiales y métodos. Estudio de tipo mixto, muestra no probabilística por conveniencia de 196 participantes, distribuidos en 20 Nutricionistas y 176 estudiantes pertenecientes a la carrera de Nutrición y Dietética. Sé utilizó el software estadístico SPSS versión 22, para analizar la confiabilidad por Alfa de Cronbach y el método Delphi para la validez del contenido. Se elaboró un instrumento con 32 ítems agrupados en 4 dimensiones, se aplicó a 116 estudiantes para analizar la confiabilidad. Se ajustó el instrumento a 25 ítems, se analizó la validez del contenido por panel de expertos. El consenso de los jueces dio origen a una versión, con 29 ítems agrupados en 4 dimensiones, se aplicó finalmente a 60 estudiantes para obtener el Alfa de Cronbach. Resultados. El instrumento presenta un nivel excelente de confiabilidad, con un coeficiente de Alfa de Cronbach de 0.927. Conclusiones. El instrumento diseñado para medir la satisfacción de las prácticas profesionales, es una medida confiable y válida, ya que permite conocer la valoración de los estudiantes al finalizar su proceso de práctica profesional(AU)

Modificación de instrumento del sistema de clavos dinamic hip screw para fracturas de cadera

Introducción: El aumento de la fractura de cadera durante los últimos años se ha convertido en un problema socioeconómico y sanitario a nivel mundial. Objetivo: Modificar cuatro instrumentos del sistema de clavos dinamic hip screw para su uso en la instalación hospitalaria. Métodos: Se trabajó junto con electromedicina provincial para efectuar la innovación tecnológica. Se modificaron cuatro instrumentos del sistema de clavos dinamic hip screw para operar pacientes adultos con diagnóstico de fracturas de cadera en enero 2020. Resultados: Se elaboraron los siguientes instrumentos: soporta clavo tipo a, soporta clavo tipo b, "macho" para hacer rosca y atornillador para ajustar el medidor del fresador del cuello. Conclusiones: Las modificaciones a los cuatro instrumentos del sistema de clavos dinamic hip screw significaron un importante ahorro de recursos para la institución hospitalaria.

Introduction: The increase in hip fracture in recent years makes it a worldwide socio-economic and health problem. Objective: To modify four instruments of the dynamic hip screw nail system for its use in a hospital facility. Methods: The work was implemented together with the provincial electromedicine unit in order to carry out technological innovations. Four instruments of the dynamic hip screw nail system were modified to operate adult patients with a diagnosis of hip fractures. Results: The following instruments were developed: supports nail type a, supports nail type b, "male" to make screw thread and screwdriver to adjust the milling maching meter of the neck. Conclusions: The modifications to the four instruments of the dynamic hip screw nail system meant a significant saving of resources for the hospital.

In Vitro Comparative Study Of The Influence Of Instrument Taper On The Fracture Resistance Of Endodontically Treated Teeth

Context: Preparation of the root canal system is recognized as being one of the most important stages in root canal treatment which removes organic debris and microorganisms from the root canal system by means of chemico- mechanical preparation and irrigation of the canals. The use of nickel-titanium instruments has drastically reduced the time and the difficulties that were encountered with traditional hand instruments made up of stainless steel. Utilizing properties of super-elasticity, shape memory and different tapers of these instruments reduces not only the possibility of canal transportation but also affects both the geometry and volume of root canals. This subjects the root dentin to stress and consequently dentinal defects which increases the risk of root fracture during or after root canal treatment. Clinicians now have the opportunity to choose from differently tapered instruments having unique characteristics in their geometry and metallurgy. These are progressively tapered instruments, fixed tapered instruments, and variable tapered instruments, which come with the benefit of conforming to the root canal anatomy as well as removing dentin as little as possible while cleaning and shaping. The aim of this study was to examine the influence of instrument taperAim: on the fracture resistance of endodontically treated roots under in vitro experimental conditions.Conclusion: Under the limitations of this study in in-vitro conditions there were no significant differences between the fracture loads between the different file systems used, however samples prepared with Hyflex EDM recorded the highest fracture resistance, followed by ProTaper NEXT, ProTaper Gold and NeoEndo Flex respectively.

Construcción de un instrumento para evaluar la comunicación intraprofesional en enfermeras de hospitales generales / Construction of an instrument to assess intraprofessional communication in general hospital nurses / Construção de um instrumento para avaliar a comunicação intraprofissional em enfermeiros de hospitais em gerais

Construcción de un instrumento para evaluar la comunicación intraprofesional en enfermeras de hospitales generales

Construction of an instrument to assess intraprofessional communication in general hospital nurses

Construção de um instrumento para avaliar a comunicação intraprofissional em enfermeiros de hospitais em gerais

Design and development of a novel infrared mild moxibustion device / 中国针灸

To make up for the shortcomings of traditional mild moxibustion, according to the principle and technical operation characteristics of traditional mild moxibustion, combined with temperature control technology, a novel infrared mild moxibustion device is developed, which is capable of real-time accurate temperature control. This novel infrares mild moxibustion device is composed of a host computer and an infrared radiation head. The host computer includes four modules: power supply, human-computer interaction interface, micro control unit (MCU) and drive circuit. The infrared radiation head mainly includes an infrared heater and a temperature sensor. This novel infrared mild moxibustion device is easy to operate. The electrothermal heating tablet can generate infrared radiation of 3 000-13 000 nm. After the temperature of the infrared heater is stabilized, the range of temperature change is ±0.50 ℃, realizing the goal of precise temperature control. In addition, it can operate moxibustion treatment at multiple acupoints at the same time, which is conducive to the dose-effect evaluation of mild moxibustion.

Development of Discharge Planning Instruments Based on Patient Family-Centered Care in the COVID-19 Inpatient Room, Universitas Airlangga Hospital, Surabaya

@#Introduction: The current era of the COVID-19 pandemic requires innovation in the provision of discharge planning by involving family members through the media safely and effectively. This study aimed to develop a discharge planning instrument based on patient family-centered care. Method: Research design Research and Development. The sampling technique used purposive sampling with a total sample of 110 medical record documents, 23 focus group discussion participants, and 2 experts (expert consultation). Data were collected through observation sheets, focus group discussions, and expert consultations. Data analysis using descriptive analysis, and validity test using I-CVI. Results: Development of a patient family centered care-based discharge planning instrument at the beginning of the patient’s admission (admission), namely sorting and adding assessment items to the level of knowledge of the disease, information and education needs, values, and beliefs, cultural background as well as physical and psychological. During treatment, namely arranging and sorting discharge planning items, providing information and education according to the assessment results using a media approach and the method according to the COVID-19 pandemic protocol. Towards home that is adding items; readiness or environmental conditions (environment), referral plans (Outpatient referral), and continued treatment while at home (Medication). Conclusion: The developed instrument tested is valid. As a result of this development, the new instrument can be tested and applied, and researched in the next stage on the outcomes of patient family-centered care.

The Awareness, Practice and Perception of InstrumentAssisted Soft Tissue Mobilization (IASTM) among Malaysian Physiotherapists

@#Introduction: Instrument-assisted soft tissue mobilization (IASTM) is a relatively recent method that has been shown to help reduce muscular tension, increase flexibility and prevent tissue adhesion. Nevertheless, there is a paucity of awareness and knowledge about the benefits of IASTM, especially following injury rehabilitation, despite its many advantages. The study aimed to investigate the awareness, practice and perception of instrument- assisted soft tissue mobilization (IASTM) among Malaysian physiotherapists (PTs). Methods: The cross-sectional study included 133 PTs who answered an online questionnaire via a google link on their awareness and perception of IASTM in their practice. The Google link was given to the participants through email and the official Malaysian Physiotherapy (MPA) social media group. Results: Majority of the respondents (73.7%) are aware of IASTM technique. Despite being aware on IASTM, 74.4% of respondents reported not practicing the technique. Furthermore, 73.7% of respondents stated that the main reason they don’t practice is because fingers have better force adjustment than IASTM. Over 80% of respondents revealed that practicing IASTM can save energy and convenient during myofascial release. Moreover, 82.7 % of respondents stated that one of the benefits of IASTM for PTs is that it helps alleviate stress on fingers and wrists during soft tissue mobilization. Beyond 55% of respondents stated that they will incorporate IASTM in practice in near future. Conclusion: According to the findings, the majority of Malaysian physiotherapists are aware of the IASTM. However, fewer than half of respondents declined to incorporate it into their future practice due to the PTs preference for feeling the patient’s muscle texture. More emphasis can be given to the IASTM techniques among the PTs as the participants have mentioned that IASTM has better force exertion and saves energy when applying soft tissue massage.

The applicability of Beckman PK7300 fully automatic blood group instrument for TPPA detection / 中国输血杂志

【Objective】 To investigate the applicability of Beckman PK7300 for TPPA testing on anti-TP reactive specimens from blood donors. 【Methods】 1) The TPPA test using Beckman PK7300 (abbreviated as instrument method) had been established and the performance was verificated by calculating the total compliance rate, positive compliance rate and negative compliance rate as compared with the manual method. The repeatability of this instrument method was also evaluated. 2) The applicability of the instrument method was evaluated by examing 555 TP-reactive samples for 6 consecutive days, so as to analyze the readable reading rate, agglutination strength distribution and other control methods. 【Results】 1) The total, positive, and negative compliance rates of TPPA detection by both instrumental and manual methods were 100% (kappa value =1). The SPC value of samples, read manually as " + + ", was less than or equal to 3 by Beckman PK7300; the SPC value of samples, read manually as " -", was greater than or equal to 20 by Beckman PK7300. The two methods were well consistent. The instrument method was repeated for 12 times for the same samples, and the accuracy rate was 100% (12 / 12), with good repeatability.2) The results of the TPPA test in 555 anti-TP reactivity specimens showed an overall readable rate of 99.82%(554/555). The SPC values of the negative and unsensitized particles of TPPA were distributed on both sides of the determination value without crossover. The control and monitor thoughout the test were carried out automatically by the instrument. 【Conclusion】 The TPPA test conducted by the Beckman PK7300 fully automatic blood group instrument is suitable for the confirmatory experiment of anti-TP reactive specimens in blood center laboratories, which could realize the automation and standardization of TPPA detection.

Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up

@#A fractured instrument is an undesirable endodontic mishap that can prevent complete root canal disinfection, thereby affecting the root canal treatment outcome. The present case discussed the surgical management of an extruded fractured barbed broach at the apical third of maxillary right first premolar. A 28-year-old female presented with an endodontic failure on tooth 14 and was diagnosed as previously root canal treated with symptomatic apical periodontitis. Radiographic examination revealed a straightline radiopacity structure that was 2 mm in length extruded from the apical root-end, suggesting a fractured instrument. The case was successfully managed through endodontic microsurgery. The present case emphasises the significance of cone-beam computed tomography as a valuable tool for diagnosis and investigation, while also offering supplementary information for the planning of surgical treatment.

Validación de instrumentos para estudio de referenciación en enfermería oftalmológica / Validation of Instruments for the Study of Benchmarking in Ophthalmology Nursing

Introducción: El estudio de procesos que inciden en la calidad de enfermería en oftalmología con la utilización de la referenciación competitiva requiere la validación de instrumentos para el alcance de los resultados esperados. Objetivo: Describir el proceso de construcción y validación de instrumentos para el estudio de procesos relacionados con la calidad de enfermería en oftalmología. Métodos: Estudio instrumental realizado en el Instituto Cubano de Oftalmología "Ramón Pando Ferrer", en el período de enero-julio 2020, que contó con dos fases, la construcción de los instrumentos y la validación de comprensión o de apariencia y de contenido. Para el diseño se tuvieron en cuenta las tareas que cada proceso estudiado incluye en su ficha y para la validación de comprensión y de contenido se utilizó la consulta a profesionales y expertos, así como el método Barraza que integra la valoración cuantitativa de los ítems que integran los instrumentos. Resultados: En la validación de comprensión o apariencia más del 94 % de los ítems no sufrieron cambios desde su primera ronda de consulta, en tanto solo cuatro ítems requirieron modificaciones en la forma de enfocar las preguntas propuestas. Los instrumentos recibieron en la valoración de los expertos una evaluación mayor a 2,6, lo que les confiere una fuerte validez de contenido. Conclusión: La validación realizada permitió constatar la pertinencia de los instrumentos diseñados para el estudio en la referencia de buenas prácticas, en la Clínica Central "Cira García", de los procesos de hospitalización, atención a urgencias y esterilización(AU)

Introduction: The use of competitive benchmarking for the study of processes that influence on ophthalmology nursing quality requires the validation of instruments for the achievement of the expected results. Objective: To describe the construction and validation of instruments for the study of processes related to nursing quality in ophthalmology. Methods: A instrumental study was carried out at Instituto Cubano de Oftalmología "Ramón Pando Ferrer" in the period January-July 2020. It had two phases: the construction of the instruments, and the validation of comprehension or appearance and content. For the design, the tasks that each studied process includes in their respective files were taken into account, while the validation of comprehension and content was performed by means of consultation with professionals and experts, as well as the Barraza method, which integrates the quantitative evaluation of the items making up the instruments. Results: In the validation of comprehension or appearance, more than 94% of the items did not have any changes since the first consultation round, while only four items required modifications in the way of approaching the proposed questions; the instruments received an evaluation of more than 2.6 according to the experts' assessment, which provides them with strong content validity. Conclusion: The performed validation allowed to confirm the relevance of the instruments designed for the study in reference to good practices, as well as the hospitalization, emergency care and sterilization processes, at Clínica Central "Cira García"(AU)

Libras no contexto escolar: instrumento ilustrado de avaliação de narrativas sinalizadas1 / Libras in the school context: illustrated instrument for evaluation of signed narratives

RESUMO O contato inicial com uma língua acessível ocorre, para os estudantes surdos brasileiros, frequentemente no ambiente escolar, ao entrar em contato com outras crianças surdas e com interlocutores adultos fluentes em Língua Brasileira de Sinais (Libras). Esse acesso tardio pode ocasionar um certo atraso na aquisição e no desenvolvimento da linguagem. Assim, a educação bilíngue de surdos coloca os professores frente ao desafio de como avaliar a Libras no contexto escolar. Diante das propostas educacionais, ainda há poucos instrumentos que contribuam para avaliar os conhecimentos em Libras dos estudantes surdos. Portanto, o objetivo deste estudo é, por meio de um instrumento ilustrado de investigação de narrativas sinalizadas, contribuir com a avaliação da Libras e com o trabalho pedagógico de professores que atuam na educação bilíngue de surdos. O instrumento de avaliação de textos narrativos mostra-se bastante sensível para detectar o desenvolvimento linguístico dos discursos narrativos sinalizados, contribuindo intrinsicamente para a observação de funções/necessidades comunicativas.

ABSTRACT The initial contact with an accessible language occurs, for Brazilian deaf students, often in the school environment, when they encounter other deaf children and with adult interlocutors who are fluent in Brazilian Sign Language (LIBRAS). This late access can cause a certain delay in language acquisition and development. Thus, bilingual education for the deaf place's teachers in the face of the challenge of how to evaluate LIBRAS in the school context. In view of the educational proposals, there are still few instruments that contribute to assessing deaf students' knowledge in LIBRAS. Therefore, the objective of this study is, through an illustrated instrument for investigating signaled narratives, to contribute to the evaluation of LIBRAS and to the pedagogical work of teachers who work in bilingual education for the deaf. The instrument for evaluating narrative texts proves to be quite sensitive to detect the linguistic development of signaled narrative discourses, intrinsically contributing to the observation of communicative functions/needs.