bluuebunny/crossref_metadata_2025 huggingface dataset:
Harnessing the workplace as a tool for public mental health and prevention
Authors: Keleher Julia , O’Sullivan Michelle , Mackay Fiona
Published: January 2023

Adults in full time employment spend approximately one third of their time at work. The workplace has immense potential to influence mental health and wellbeing, for better or worse. But what makes workplaces ‘healthy’ and how can psychologists contribute to them? Using case studies, this article explores some of the different ways psychologists are are influencing the workplace, employing interventions to enhance mental health and wellbeing.
Developing a clinical psychology service for people living with Parkinson’s and their care partners: Reflections from people with Parkinson’s, carers and the multidisciplinary team
Authors: Lewis-Morton Ruth , Thomas Christopher , Mohamed Biju , Mahon Sandra , Williams Tracy
Published: January 2023

Despite the substantial body of literature supporting the knowledge base of Parkinson’s disease more generally, there is comparably limited awareness and knowledge of the psychological impact of the condition. More recent literature has emphasised the need for psychological and emotional support for people living with Parkinson’s (Simpson et al. 2021). However, across the UK it is a rarity for psychologists to be integrated within Parkinson’s services despite the substantial need for this support. At Cardiff and Vale UHB, a Parkinson’s psychology service has been set up and this paper explores the process of setting up the service, referral data, and incorporates reflections from people with Parkinson’s, their carers and the multidisciplinary team.
Does evidence for Erickson’s ninth stage of development inform us about appropriate psychological intervention in extreme old age?
Authors: Lowis Michael J. , Brown Cynthia
Published: January 2023

From a paper presented at the PSIGE Conference, 4 July 2001, at Keble College Oxford.
Management of psychological difficulties in later life: A survey of general practitioners
Authors: Weeple Paula
Published: January 2023

This paper reports on a survey of general practitioners (GPs) in North East Edinburgh. It investigates their management of a range of psychological needs in older people as well as their attitudes towards a psychological approach to treatment. Their knowledge of psychological services available for people with dementia is also assessed. Fifty-five per cent of those contacted responded to a postal questionnaire. Results suggested that although referral of older adults with mental health needs to psychiatry or a Community Psychiatric Nurse (CPN) was not uncommon, referral rate to psychology was low. Low referral rates appeared to be due to lack of awareness of services available, uncertainty regarding appropriate referral criteria and inaccurate beliefs regarding waiting times. The findings suggest that providing GPs with accurate information and education about the psychology service, and management of psychological needs in older adults, may improve access for these individuals to such a service.
Consent for research and treatment
Authors: Astell Arlene J.
Published: January 2023

The informed consent process is intimately related to autonomy and the capacity to make decisions. This relationship between consent and capacity has legal, ethical and practice considerations, which are briefly reviewed in this paper. Specifically the legal requirements for assessing capacity to give consent, situations in which consent should be sought and approaches to assessing capacity to consent are reviewed. In addition, actions to be taken with regard to people who are judged incapable of giving consent are considered, in particular proxy decision-making and advance discussion of wishes. Recommendations for good practice in the consent process are also briefly examined. Whenever possible evidence relating to older adults is considered, however this review highlights the need for more research in this area.
Using referencing objects with older adults – a brief clinical note
Authors: Duckett Stéphane
Published: January 2023

Home is so sad. It stays as it was left,Shaped to the comfort of the last to goAs if to win them back. Instead, bereftOf anyone to please, it withers so,Having no heart to put aside the theft.And turn again to what it started as,A joyous shot at how things ought to be,Long fallen wide. You can see how it was:Look at the pictures and the cutlery,The music in the piano stool. That vase.Home is so Sad, Philip Larkin(Courtesy of Philip Larkin and Faber & Faber)
Prevalence of cognitive impairment in medical rehabilitation settings for older people
Authors: Wain Helen , Kneebone Ian
Published: January 2023

This paper considers findings with respect to the frequency with which cognitive impairment occurs in physician led community hospital rehabilitation service settings for older people. Particularly in light of the relevant National Service Framework this has implications for staffing, staff training and liaison psychiatry access with respect to these services.
Working with clients who express prejudices: How best to respond?
Authors: Crean Jennifer , Kaiser Polly
Published: January 2023

This article describes the collective effort of a group of mental health professionals in trying to work out how best to respond to clients who express prejudiced views. It refers to work with older people, but it is hoped that the points raised may be of use to those who face such difficulties with other client groups.
The effect of Cognitive Stimulation Therapy (CST) groups for dementia on participant’s attitudes to ageing: A practice-based study
Authors: Newton Fleur
Published: January 2023

This practice-based study investigated the effects of Cognitive Stimulation Therapy (CST) in everyday NHS clinical settings on both routine outcomes and attitudes to ageing. This is important given that negative ageist beliefs have been linked to decline in health and wellbeing among older people, especially those with a dementia diagnosis. A quantitative pre-test/post-test design was used to evaluate changes in participant outcomes for cognition, quality of life and ageing attitudes. A total of 82 CST participants with mild to moderate dementia were included in the study. Significant improvements on measures of quality of life and attitudes to ageing were found pre- to post-CST, and a holding pattern of no change was observed for cognition. A significant positive correlation was established between ageing attitudes and quality of life. Demographic characteristics were not found to have an influence on the treatment effects of CST. These findings provide additional evidence that CST can produce routine improvements in clinical practice settings that are equally applicable across age and gender. Of clinical significance is the finding that CST improves the attitudes to ageing of older people with dementia, as this is the first time it has been empirically studied. This further highlights the potential of CST as a de-stigmatising, positive ageing intervention.
Collaborating with service users to form a culturally tailored intervention: Punjabi Cognitive Stimulation Therapy
Authors: Sharma Serena , Scott Ian
Published: January 2023

Following service user requests, a culturally adapted version of Cognitive Stimulation Therapy (CST; Spector et al., 2003) was delivered in Punjabi at Slough Memory Clinic between May and August 2014. To our knowledge, this was the first time CST had been delivered in a non-English language within a UK memory clinic (Sharma, 2014). In a live, symbiotic manner, Punjabi group members led the adaptation process of the CST programme to suit their cultural requirements. This article highlights the importance of service user involvement in both the planning and adaptation stages of Punjabi CST.
Achieving the 67 per cent – raising the rates of diagnosis of dementia in Milton Keynes
Authors: Oldroyd Stephanie , Tonkin-Gage Emily , Standell Emily
Published: January 2023

This article reflects on developing three new initiatives to achieve a government target of dementia diagnosis rate and the impact of this on service provision. First, diagnosis guidelines were developed, in order to support GPs in making informed diagnostic decisions. The second initiative involved a care home project, ensuring that care home residents were correctly diagnosed, if appropriate, and also making sure that diagnostic data were recorded accurately. The final initiative was a GP memory screening pilot project, which involved a memory screening team running clinics at several GP surgeries in Milton Keynes, offering memory screening appointments. These initiatives contributed to the achievement of the 67 per cent diagnosis rate in Milton Keynes. However, they also resulted in important consequences for the current service provision. A significant increase in referrals to the Memory Assessment Service was seen, and along with this an increase in waiting times. As a result, post-diagnostic support provisions are being developed further to attempt to meet the increased and more varied demands. Potential benefits of the new initiatives are becoming evident. However, further evaluation is required to understand fully the benefits and possible consequences of these innovative projects.
Should we tell lies to people with dementia in their best interest? The views of Italian and English medical doctors
Authors: Caiazza Roberta , James Ian A. , Rippon Daniel , Grossi Dario , Cantone Daniela
Published: January 2023

Background: Previous surveys have revealed lying is common amongst care-workers and nurses, and in some contexts has been described as a therapeutic form of communication. Psychologists and psychiatrists have also demonstrated increasing support for this form of practice. The present study examined the attitudes towards lying of mixed groups of medical doctors from England and Italy.

Method: This cross-cultural survey evaluated the attitude towards lies in dementia care of Italian (N=54) and English (N=43) medical doctors.

Results: Approximately 70 per cent of participants admitted to lying during their interactions with people with dementia. Clinicians stressed the importance of evaluating the pros and cons of the use of therapeutic lying. Conclusions: Lies are used by the majority of medical doctors, to some degree. This is despite objections to the use of lies by professional bodies and national dementia organisations, such as the Alzheimer’s Society. Hence there is a need for further ethical debate, and improvements and revisions to the existing guidelines in the area.
‘Workplace Wellness’ – using psychological formulation and leadership to enhance staff wellbeing
Authors: Scott Ian , Sharma Serena
Published: January 2023

In 2013 Slough Community Mental Health Team (CMHTE) for older people became one of the first Listening into Action (LiA) Pioneer Teams in Berkshire Healthcare NHS Foundation Trust. LiA is a method of change that allows ideas to emerge from the grassroots of an organisation, to create changes that are readily bought into by staff. The team’s Principal Psychologist, (first author), submitted the LiA project as an idea for service development and led the team through the piece of work over the year. The resulting changes in wellbeing were monitored longitudinally. Towards the end of the process, staff were re-interviewed, and interview answers were analysed thematically by the authors. In summary, this report describes a service development approach, while illustrating how psychological leadership can galvanise teams.
Anxiety and depression in individuals with Parkinson’s disease: Perspectives of the nurse specialist
Authors: Theed Rachael , Simpson Jane
Published: January 2023

Parkinson’s disease nurse specialists (PDNSs) are often the key healthcare professionals involved in the management of Parkinson’s disease (PD), with regards to both motor and psychological aspects of PD. The voice of the PDNS however is not often heard. This study sought to investigate the experiences of PDNSs recognising and managing psychological difficulties in people with PD. Semi-structured interviews were conducted to gain their perspective and subsequently analysed using thematic analysis. Five overarching themes were developed summarising participants’ experiences: (i) ‘You can’t tell whether it’s related to the condition’ - Understanding the causes of psychological difficulties; (ii) ‘The resources just aren’t there’ – Accessing psychological support; (iii) ‘Just listening to people is really important to me’ – How PDNSs recognise and manage psychological difficulties; (iv) ‘It’s an area that I can’t profess we completely address at all’ – Management could be improved; and (v) ‘I just get on with it’ – Resilience of PDNSs. These findings indicated a recognised need for psychological input both for PDNSs and people with PD.
Talking about personality: Myths? Fairy tales? Our stories about older people with personality difficulties
Authors: Rutter Louise , Sharifi Judi , Bell Laura
Published: January 2023

‘Biologically, physiologically, we are not so different from each other; historically, as narratives – we are each of us unique’ – Oliver Sachs
STARTing Well: A systemic contribution to the delivery of a manualised intervention for carers of people with dementia
Authors: Nussey Claire , Isebor Peter
Published: January 2023

We outline why and how we have been using systemic ideas to deliver an eight-session manualised one–to–one Psychological intervention for carers of people with Dementia (START). The emphasis is on helping those less familiar with a systemic approach use key ideas to deliver a manualised intervention in a skilful way.
Dynamic Interpersonal Therapy and older people
Authors: Wilson Chris , Esposito Mirko
Published: January 2023

Dynamic Interpersonal Therapy (DIT) is a 16–session structured and goal–oriented psychodynamic approach, usually employed for the treatment of depression and anxiety (Lemma et al., 2010, 2011a). DIT has also proven useful for reducing distress associated with medically unexplained symptoms (Selders et al., 2015). Currently, we have found no literature concerning the application of DIT to work with older people. We propose that DIT has usefulness as a treatment model for complex needs within an older people NHS context. The paper will link theory to the application of DIT with older people, for the treatment of mood difficulties and medically unexplained physical and cognitive symptoms.
Translating the BPS stepped care model into clinical practice: Establishing referral criteria for behaviour that challenges in dementia services
Authors: Lee Katy , Howarth Alan
Published: January 2023

The publication of stepped care guidance for approaching behaviour that challenges in dementia (Brechin et al., 2013) has been important in shaping the work delivered by mental health services. However, the model has been difficult to implement in its entirety; providing insufficient guidance about how services should be structured. A particular problem has proven to be the interface between steps 3 and 4 of the guidance. This article considers possible parameters for referral criteria at step 3 (Community Mental Health Team) and step 4 (defined Behaviours that Challenges services), which we believe helps translate the model into clinical practice.
An assessment and intervention to facilitate and promote independent mealtimes for a person with dementia
Authors: Williams Emma E.M. , Sharp Rebecca A. , Lamers Carolien
Published: January 2023

Care environments for older adults can have high staff turnover. Individual, current care plans are not usually available for quick reference on-the-job. This means that staff who are not familiar with each person do not always have immediate access to information required to provide person-centred support. With regard to mealtimes in particular, this can result in unneeded assistance being provided (e.g. feeding someone rather than supporting them to use the utensils themselves). In an assessment ward for people with dementia, it was noticed that one person appeared to be losing independent feeding skills, possibly due to unneeded assistance. To assess the person’s current skills and support needs, an assessment was developed which determined the level of prompting the person required for each food type (e.g. finger food). Based on this, an easy, effective intervention was provided to guide staff as to the required assistance for that person. An increase in independence at mealtimes, and a decrease in unnecessary assistance from staff was observed.
Creative ageing at the crossroads
Authors: Cutler David
Published: January 2023

This article looks at the expansion of creative ageing activity, mainly led by arts organisations, over the last decade in the UK, with brief reference to work abroad. It is written largely from the vantage point of a specialist arts funder. While this work has expanded markedly and become much more mainstream, the crisis in the arts caused by the Covid-19 pandemic puts this expansion at risk.
‘The role of encourager’: Exploring the experiences of mental health professionals working with older adults with hoarding disorder
Authors: Tinlin Rowan
Published: January 2023

Hoarding disorder affects 2–5 per cent of the population, with older adults making up a substantial proportion of that due to the chronic nature of hoarding behaviours and consequent clutter. Multiagency hoarding frameworks are being developed all over the UK, with mental health services working alongside other agencies to support an individual with hoarding difficulties holistically. Mental health clinicians have previously reported finding their role in this difficult. Therefore, this study recruited 30 clinicians working in an older adult mental health team and explored their experiences through a questionnaire. Thematic analysis identified six key themes detailing the clinicians experiences of working with hoarding: (1) contextual factors (time constraints, scale of clutter, previous negative experiences influencing current treatment, lack of skills); (2) assessment (risk, life story, beliefs and motives, MDT); (3) formulation (co-creation, motives and beliefs, helping staff understanding); (4) treatment (values based, support systems, discarding, meaningful activity, monitoring progress); (5) therapeutic relationship (trust, making the time, reinforcement); (6) multiagency working (skill profile, differing perspectives, coordination). The data highlighted the need for staff training and support, providing the necessary tools to deliver evidence-based assessment, formulation, and intervention. The challenges described suggest better links between different agencies is required. Meaningful interactions and success stories were linked to developing trusting relationships, introducing values and needs based approaches, and making use of the skill mix with the mental health team. Keywords: Hoarding; Older Adults; Multidisciplinary team; Multiagency working.
Reflections from the Una Holden Award winner for 2022
Authors: Dunning Rebecca
Published: January 2023

Upon winning the Una Holden Award for Contributions to the field of older people’s psychology in early career, Bec was invited to reflect on her career so far.
Fit or sit? Is there a psychology of sedentary behaviour?
Authors: Biddle Stuart J.H.
Published: January 2023

A recent trend in the literature on health behaviours has been the rapid rise in interest in very low ‘activity’ – that is, ‘sedentary behaviour’, or ‘sitting time’. High or prolonged levels of sitting may pose significant health risks and these have often been shown to be apparent even when physical activity levels meet conventional guidelines. This suggests that we need to better understand what influences physical activityandsedentary behaviour, and we should not assume that the same factors will influence both.

In this paper I will address the following questions:

What is sedentary behaviour?

What psychological factors might be associated with sedentary behaviour?

What approaches might be used to reduce sedentary behaviour?

There is a dearth of psychological research on sedentary behaviour, but what there is points to some significant differences from physical activity. This is consistent with evidence showing that these two domains of behaviour are largely independent.
Capital market intermediation and manufacturing sector financing in Nigeria
Authors: Rosemary Ikeobi Nneka
Published: January 2023

This paper assesses the intermediary role of the Nigerian Capital Market in financing the manufacturing sector, by examining the relationships between proxies of capital market intermediation and manufacturing output. To examine the relationships, secondary data covering a 13-year period from 2008 to 2020 were obtained from the Statistical Bulletin of the Central Bank of Nigeria. The secondary data included manufacturing output (MANUF), market capitalization (MCAP), equities (EQUITY) and corporate bonds (CORPBD). Manufacturing output was used as dependent variable, while capital market instruments, namely, equities and corporate bonds were proxies for capital market intermediation. Market capitalization was also included as proxy for capital market intermediation. Analysis was carried out using a multiple regression model and ordinary least squares technique. Results showed that market capitalization has positive and significant impact on manufacturing output; corporate bonds have negative but insignificant impact while equities have significant negative impact on manufacturing output. These findings have shown that although the Nigerian capital market possesses the potential to mobilize funds from the economy, it was not a source of finance for the manufacturing sector. It is therefore recommended that effort should be made by policy makers to remove all identified impediments that would deter entrepreneurs and manufacturing firms from accessing funds from the capital market.
Penyuluhan dan Pratik Pembuatan Sabun Cuci Piring Cair di RW 12 Kel. Pebatuan Kec. Kulim Pekanbaru
Authors: Wulandari Fitri , Maryanti Adelina , Anggreana Vella
Published: January 2023

Dalam Penyuluhan kegiatan, persiapan yang dilakukan dalam program ini dimulai dari melakukan observasi atau proses pencarian data warga rw 12 kelurahan pebatuan kecamatan kulim. Selanjutnya memberikan pengumuman kepada warga bahwa akan dilaksanakan penyuluhan. Memberikan penyuluhan tentang tata cara pembuatan, bahan-bahan yang dipakai dan mempraktekkan langsung. Serta mengajak masyarakat untuk sama-sama membudayakan membuat sabun cuci piring sendiri untuk memenuhi kebutuhan dalam kehidupan sehari-hari dan juga dapat dijadikan sebagai industri rumah tangga. Agar menambah penghasilan dari ibu-ibu rumah tangga karena keadaan ekonomi pasca pandemi di daerah rw 12 kelurahan pebatuan menurun drastis. Kurangnya pengetahuan masyarakat terhadap bahan kimia dan cara pengolahannya telah membuat tertutupnya peluang bisnis. Oleh sebab itu, masyarakat membutuhkan pelatihan untuk mengolah bahan kimia tersebut menjadi suatu produk yang aman terhadap lingkungan. Pemberdayaan masyarakat kulim yang sebagian besar berprofesi sebagai petani. Sehingga dengan adanya penyuluhan pembuatan sabun masyarakat dapat membuat sabun cuci piring cair sendiri untuk memenuhi kebutuhan dalam kehidupan sehari-hari.
Analysis of Students’ Difficulties in English Conversation Practice
Authors: Prayudha.S Joko , Pradana Ami
Published: January 2023

Speaking skill is the most important language skills to support communication, especially in English speaking skills are needed for two-way communication that can be understood by one another. However, there are still many students who are not maximal in carrying out English conversations practice to improving their English speaking skills. Therefore, this study aims to analyze students' problems and difficulties in practicing English conversation in order to improve speaking skills. The method used in this research is qualitative by using a descriptive approach. Data were obtained through direct observation and interviews related to the conditions experienced by students in improving their English speaking skills. After the data has been obtained, the data is analyzed through three stages, namely data reduction, data display and data conclusion. The results showed that students had difficulty practicing English conversations due to a lack of confidence, lack of courage, fear of being wrong, not having enough English vocabulary and not having a supportive environment to practice English conversations. Therefore, it is necessary to have a good learning strategy to encourage students to be able to practice speaking in English.
A vida intelectual de um engenheiro: as publicações de demerval pimenta que dialogam com o desenvolvimento econômico do século XX
Authors: Pereira Camila Amaral
Published: January 2023

Busca-se compreender o que os escritos de Dermeval José Pimenta refletem o desenvolvimento econômico do Brasil do século XX. Para tal objetivo, propõe-se o estudo da vida intelectual de um engenheiro: as publicações de Demerval Pimenta que dialogam com a temática. Logo a seguir, apresentam-se os problemas do desenvolvimento econômico e o seu diagnóstico por Pimenta. A metodologia da pesquisa foi realizada, a partir de fontes históricas. Entre elas, incluem-se jornais do período, documentos do arquivo público mineiro, de arquivos pessoais, do arquivo permanente da Escola de Minas, da biblioteca pública de Belo Horizonte, bem como os próprios livros de autoria de Pimenta. Em especial, o que fica aqui demonstrado é o diferencial de Pimenta que era um engenheiro, mas que tinha seu ideal de desenvolvimento econômico em sua atuação prática; por meio de reflexão nacionalista e regionalista.
Civil Resistance from the End of the Cold War to the 21st Century: A Historical Perspective
Authors: Cerami Carola
Published: January 2023

Civil resistance made a significant contribution to the largely peaceful end of the Cold War and has become an increasingly important factor of post-Cold War international politics. This essay proposes a historical reflection of civil resistance from the end of the Cold War to the present, in relation to some crucial issues on the contemporary international scenario. Taking 1989 as the starting point, the main aim of this study is to explore the legacy of the “Long 1989” in the evolution of civil resistance. The essay focuses on three main issues: i) the rise and decline of the post-1989 liberal cycle of civil resistance in Europe; ii) the consequences of the Tiananmen Square Massacre and the emergence of a new Chinese authoritarian state capitalism; and iii) the impact of the technological and digital revolution on post-1989 civil resistance.
Desenvolvimento de modelo baixo custo de colostomia em alça
Authors: Prado Rodrigo Teófilo Parente , Lima Neto Heron Sabóia Sant’anna , Arruda Túlio Timbó , Borges Bárbara Matos de Carvalho , Pereira Shirley Patrícia Lino , Menezes Francisco Julimar Correia de
Published: January 2023

Este trabalho tem a proposta de confeccionar um modelo de baixo custo e de fácil replicabilidade para o treino da Colostomia. Com relação aos materiais, podem ter custos diferentes, principalmente, dependendo do usuário e das necessidades que levaram a sua construção. O simulador elaborado pelos autores tem grande valia no preparo de residentes e cirurgiões para a realização do procedimento de colostomia em alça, bem como, se utilizado no ambiente acadêmico, com a devida introdução do tema, pode, também funcionar como introdução dos estudantes no contexto da cirurgia. Um dos pontos positivos do simulador é a proximidade anatômica que é possibilitada, dentro dos limites impostos pelos materiais sugeridos, criando uma imersão que colabora com o uso do modelo. Este é um promissor modelo para o treinamento de Colostomia, no contexto do baixo custo, possuindo uma aceitável reprodutibilidade e similaridade com o procedimento real.
Retraction Note: Prevalence of Musculoskeletal Pain Due to Smart Phone Usage Among High School Students-A Crosssectional Study
Authors: Khalid Amna , Ahmad Jawad , Sarfraz Ramish , Iqbal Ayesha , Arshad Areeba , Zahid Hamza
Published: January 2023

The Editors-in-Chief have retracted this article. After publication, concerns were raised from the original author as this publication was proceeded with his consent by his supervisor.  As supervisor requests to retract the article by sharing original authors current supervisor email where this study was originally conducted (Xi'an Jiaotong University).
The Editors-in-Chief therefore consider the conclusion to retract this article as it is published without the consent and published without including the main author in author list.
Pre-eclampsia Risk Monitoring and Alert System Using Machine Learning and IoT
Authors:   Department of Biotechnology, Sree Sastha Institute of Engineering and Technology, Sree Sastha Nagar, Chembarabakkam, Chennai, Tamil Nadu, India, D Ranganayagi , P Saranya ,   Department of Biotechnology, Sree Sastha Institute of Engineering and Technology, Sree Sastha Nagar, Chembarabakkam, Chennai, Tamil Nadu, India, Sharmila M. J. ,   Department of Biotechnology, Sree Sastha Institute of Engineering and Technology, Sree Sastha Nagar, Chembarabakkam, Chennai, Tamil Nadu, India, S Sujitha ,   Department of Biotechnology, Sree Sastha Institute of Engineering and Technology, Sree Sastha Nagar, Chembarabakkam, Chennai, Tamil Nadu, India, Nisha T. Annie ,   Department of Biotechnology, Sree Sastha Institute of Engineering and Technology, Sree Sastha Nagar, Chembarabakkam, Chennai, Tamil Nadu, India, K Shanmugam ,   Department of Biotechnology, Sree Sastha Institute of Engineering and Technology, Sree Sastha Nagar, Chembarabakkam, Chennai, Tamil Nadu, India
Published: January 2023

After 20 weeks of gestation, pre-eclampsia is characterized by newly developing hypertension. Preventative interventions only moderately lower a woman’s risk of pre-eclampsia due to its prevalence, the risk variables that have been found to be accurate in predicting its beginning, and the occurrence of pre-eclampsia. The signs and symptoms typically become visible toward the end of pregnancy (late second to early third trimester). Some of these tests are straightforward, while others are invasive; some have undergone significant research, while others are still being investigated in clinical settings. Pre-eclampsia has been linked, in particular, to cardiovascular sequelae in the fetus, such as hypertension and impaired vascular function. In our project, a system and an algorithm for evaluating the health status of pregnant women are proposed. Pre-eclampsia can cause major diseases and issues during pregnancy; thus, the system’s goal is to diagnose the condition early and monitor its risk. Our research examines the diagnostic options for early risk assessment to identify pregnant women at high risk for pre-eclampsia and the possible advantages for the women, the unborn child, and health-care systems. A system like this will be widely used in clinical obstetric practice. It is designed to be implemented to monitor pregnant women’s status updates through the Internet of Things based on machine learning.
Minimal Invasive Cardiac Surgery for Aortic Valve Replacement Through an Upper Mini-Sternotomy: Multicenter Experience
Authors:   Faculty of Medicine, Minia University, Minia, Egypt Madinah Cardiac Center, King Fahd Hospital, Madinah, Saudi Arabia King Salman Heart Center, King Fahd Medical City, Riyadh, Saudi Arabia, Mubarak Yasser
Published: January 2023

Background: Aortic valve replacement (AVR) by minimally invasive cardiac surgery (MICS) performed through an upper mini-sternotomy has reduced pain after surgery, the risk of bleeding, and the length of hospital stay. Patients and Methods: From January 2019 until December 2022, 230 patients underwent AVR through a partial upper sternotomy (J or inverted-L). The study assessed our early experience with AVR via mini-sternotomy, including cannulation, the progression of the learning curve and patient selection, and finally morbidity and mortality. Results: Early mortality was 1% (2 patients), and morbidities were 4% (4 patients). The average age was 58 ± 9.7. The mean Euro-SCORE was 4.7% ± 3.2 and the ejection fraction (EF) was 40% ± 4.3. The cannulation was performed peripherally in the femoral artery and vein by the direct or percutaneous approach; however, three cases required central cannulation. The average aortic cross clamping time (ACC) for MICS-AVR patients was 83 ± 17 minutes, and the cardiopulmonary bypass (CPB) time was 114 ± 34 minutes. The mean duration of mechanical ventilation (MV) was 4.3 ± 2.5 hours, the average stay in an intensive care unit (ICU) was 1.4 ± 1.2 days, and the mean hospital stay was 4.3 ± 1.3 days. 30-day mortality was 2 patients (1%). The incidence of blood loss and reopenings for bleeding decreased. Conclusions: An upper mini-sternotomy can be used safely to replace an aortic valve, and the minimally invasive approach was not associated with increased morbidity or mortality.
Risks of Overtraining and Compulsive Exercising on Human Health
Authors:   Pharmacy Department, Alert Comprehensive Specialized Hospital, Addis Ababa, Ethiopia, Bereda Gudisa
Published: January 2023

David Miranda, a physical therapist and the proprietor of Excel Rehabilitation Services in Gonzales, Louisiana, asserts that excessive exercise is harmful to human health and counterproductive. Women who exercise excessively run a higher risk of developing the “female athlete triad,” which includes eating disorders, osteoporosis, and loss of bone mineral density. Intense exercise has been shown to lower libido in men; this may be due to physical exhaustion and low testosterone levels. According to German research that was recently published online in the journal Heart, excessive high-intensity exercise may actually increase the risk of dying from a heart attack or stroke in people who already have heart disease. Too much exercise without adequate recovery might cause low testosterone levels and high amounts of the stress hormone cortisol. Overtraining can increase stress hormone levels, and increase the risk of injury, weariness, and muscle loss. The Wall Street Journal’s article “A Workout Ate My Marriage,” which was published in 2010, describes how spouses grow more estranged from one another as they become fixated on a particular exercise goal, such as extreme weight loss or an Ironman triathlon, at the expense of quality time with loved ones.
A Review of the Hybrid Description of Diabetes Mellitus
Authors:   Pharmacy Department, Alert Comprehensive Specialized Hospital, Addis Ababa, Ethiopia, Bereda Gudisa
Published: January 2023

Elevated blood sugar levels, which are either brought on by inadequate insulin synthesis by the pancreas or by incorrect insulin usage by the body, characterize diabetes mellitus, a chronic metabolic disease. Diabetes mellitus can cause renal failure, and those with the condition are at least 10 times more likely to have to amputate a foot due to diabetes than those without it. High blood sugar levels are thought to contribute to kidney and heart problems. A rapid rate of beta cell malfunction and sequences resulting from an absolute lack of insulin hormone secretion may be used to describe type 1 diabetes mellitus. Type 1 diabetes mellitus often manifests itself in young patients, although it may also affect adults. Diabetic neuropathy, one of the most severe microvascular complications of diabetes mellitus, is characterized by a metabolic-vascular disorder that compromises the structure and function of peripheral somatic or autonomic nerves without inducing inflammation. Dehydration brought on by osmotic diuresis, which impacts hyperviscosity and a hypercoagulable condition, and elevated blood glucose levels are typical symptoms of a hyperosmolar hyperglycemic state. People with type 1 diabetes are 12 times more likely than those with type 2 diabetes to develop diabetic nephropathy.
Decision Support System for Movie Recommendations Based on Multi User Preferences Using the Simple Additive Weighting Method
Authors: Sukarta Allexandro Billy , Hidayat M. Mahaputra , Zainal Rifki Fahrial
Published: January 2023

At this time advances in technology and information have experienced rapid progress, one of which is in the field ofentertainment, both audio and visual. And one of the entertainments is movies. With the increasing number of movies,there are several classifications of movie genres to assist users in finding and selecting movies to watch, but the genreclassification itself is still very general. Due to the above factors, especially in genre, subgenre, rating, movie durationwhich always develops over time according to a certain pattern and also audiences who have different moviepreferences, the researcher sees that there is a need for an application that can recommend movies with preferencesthat can be set according to the wishes of movie lovers. From the problems that arise, this research was built using theSimple Additive Weighting (SAW) method which aims to make it easier for users to determine which movie to choose.This system produces a web-based information system using several parameters, namely the main genre of a movie,subgenre, movie rating, movie duration, and year of making.
TINJAUAN KRIMINOLOGI TERHADAP TINDAK PIDANA KORUPSI PENGGELEMBUNGAN ANGGARAN REHABILITASI GEDUNG SMPN 10 METRO YANG DILAKUKAN OLEH APARATUR SIPIL NEGARA (Studi Putusan Nomor : 32/Pid.Sus-Tpk/2021/PN.Tjk)
Authors: Hartono Bambang , Hasan Zainudin , Khurniawan Heru Budi
Published: January 2023

Tindak pidana korupsi yang sering terjadi di lingkungan kerja dinas telah menjadi budaya yang sangat sulit untuk dihilangkan. Reformasi bergulir sejak tahun 1998 yang sejak saat itu jeritan demokratisasi dan pemberantasan korupsi, nepotisme dan kolusi menggema hebat. Namun, kenyataannya penanganan korupsi yang sudah sampai pada saat ini masih belum memuaskan. Pemberantasan korupsi bukanlah hal yang mudah dilakukan. Pemberantasan korupsi bukanlah hal yang mudah dilakukan. Masalah penelitian membahas tentang faktor penyebab Aparatur Sipil Negara melakukan tindak pidana korupsi penggelembungan anggaran rehabilitasi dan tinjauan kriminologis tindak pidana korupsi penggelembungan anggaran berdasarkan Kajian Putusan Nomor 32/Pid.Sus-Tpk/ 2021/Pn Tjk. Metode penelitian yang digunakan adalah yuridis normatif dan empiris, dengan menggunakan data sekunder dan primer yang diperoleh dari studi kepustakaan dan studi lapangan, serta analisis data dengan analisis yuridis kualitatif. Berdasarkan hasil penelitian dan pembahasan, pelaku korupsi terjadi karena rusaknya tatanan sosial seperti hilangnya standar dan nilai. Dekadensi moral menyebabkan para koruptor merasa bahwa korupsi adalah hal yang biasa karena banyak yang melakukannya. Perilaku jahat didorong oleh hati nurani yang lemah yang tidak mampu menahan dorongan nafsu yang kuat. Keinginan untuk memiliki kekayaan, kekayaan dan kemewahan, meskipun diperoleh dari cara yang haram. Berbeda dengan teori radikal yang berpendapat bahwa kapitalisme adalah penyebab kejahatan.
EXPERIÊNCIAS EXTRACURRICULARES E DISPONIBILIDADE PARA A EDUCAÇÃO INTERPROFISSIONAL EM SAÚDE NA GRADUAÇÃO
Authors: Cavinatto Thainá Josiane , Mininel Vivian Aline , Peduzzi Marina , Leite Daniella Rosaly , Meireles Everson , Toassi Ramona Fernanda Ceriotti , Silva Jaqueline Alcântara Marcelino da
Published: January 2023

A educação interprofissional em saúde (EIP) é um modelo de formação, cuja finalidade é preparar estudantes e profissionais da saúde para que desenvolvam habilidades para o trabalho colaborativo em equipe. Este estudo teve o objetivo de avaliar a adequação psicométrica da Readiness for Interprofessional Learning Scale (RIPLS-40), a disponibilidade e as experiências dos estudantes de cursos de graduação em saúde para o aprendizado interprofissional. Tratou-se de uma pesquisa do tipo survey correlacional realizado em uma universidade federal brasileira. A amostra contou com 168 estudantes da graduação de cursos da saúde que responderam à RIPLS-40. Os dados foram submetidos à análise fatorial confirmatória, seguidos de análise estatística comparativa. A RIPLS-40, com três fatores, foi confirmada como uma escala com índices aceitáveis para avaliar a disponibilidade de estudantes para a aprendizagem interprofissional (CFI=0,91, TLI=0,91 e RMSEA=0,058). Atividades de ‘extensão’ (n=22; 13,5%) e ‘atividades extracurriculares diversas’ (n=25;15,7%) foram indicadas pelos estudantes como experiências interprofissionais na graduação. A EIP foi predominante em atividades extracurriculares. Os estudantes mostraram atitudes positivas para o aprendizado interprofissional, o que indica um cenário favorável para a implementação e fortalecimento da EIP nos currículos dos cursos de graduação da saúde. A RIPLS-40 demonstra indicadores psicométricos favoráveis, porém, com menor coeficiente de consistência interna no fator 2 – ‘identidade profissional’.
MULTIFUNCTIONAL NATURE OF DETENTION: THE DISCUSSION CONTINUE
Authors: Л.Л. Абрамова,
Published: January 2023

Одной из актуальных проблем уголовного процесса является проблема порядка, условий, оснований, целей, исчисления сроков различных видов задержания. Автором освещаются проблемы нормативной регламентации различных видов задержания. Системный анализ позиций ученых, положений отечественного законодательства, законодательства государств, возникших на постсоветском пространстве, позволили сделать вывод о необходимости разграничения административного и уголовно-процессуального задержания, а также выделить особую полицейскую меру, название которой может быть обобщено тождественными терминами: фактическое задержание, полицейский захват, полицейское задержание. В работе раскрываются исторические предпосылки сложившегося положения. На основе анализа судебной практики приводятся негативные примеры, связанные с нечеткой позицией законодателя в вопросах регулирования фактического задержания. Разрешение проблем автор видит в «выведении» фактического задержания за пределы уголовно-процессуальной деятельности. Предлагается оригинальный подход в виде составления сотрудниками органа дознания протокола фактического (полицейского) задержания лица, с отражением в нем точного времени, с которого ограничена свобода передвижения.

One of the urgent problems of the criminal process is the problem of the order, conditions, grounds, goals, calculation of the terms of various types of detention. The author highlights the problems of regulatory regulation of various types of detention. A systematic analysis of the positions of scientists, the provisions of domestic legislation, the legislation of states that have arisen in the post-Soviet space, allowed us to conclude that it is necessary to distinguish between administrative and criminal procedural detention, as well as to highlight a special police measure, the name of which can be summarized in identical terms — actual detention, police seizure, police detention. The historical background of the current situation is given. Based on the analysis of judicial practice, negative examples are given related to the unclear position of the legislator in the regulation of actual detention. The author sees the solution of the problems by “removing” the actual detention beyond the limits of criminal procedural activity. An original approach is proposed in the form of drawing up by the staff of the body of inquiry the protocol of the actual (police) detention of a person, reflecting in it the exact time from which freedom of movement was restricted.
TACTICAL FEATURES OF INTERROGATION OF SUSPECTS, ACCUSED WOMEN IN A CONFLICT SITUATION
Authors: Е.В. Шишмарёва, , Е.А. Таюрская, , Е.И. Третьякова,
Published: January 2023

Допрос как средство получения доказательственной информации следует признать самым распространенным в уголовном судопроизводстве, заменить его другим следственным действием невозможно. Такая «популярность» допроса обусловливается, с одной стороны, его высочайшими информационными возможностями, а с другой — простотой проведения, надежностью и быстротой получения результата в виде доказательств. Несмотря на всю простоту, результативность его проведения во многом зависит от применяемых следователем тактических приемов и рекомендаций. Уголовно-процессуальный закон, призванный урегулировать правила его проведения, позволяет реализовать закрепленную в законе процессуальную самостоятельность следователя в выборе тактики проведения следственного действия. Такая самостоятельность определила необходимость теоретических разработок в этой сфере. В статье рассматривается порядок организации и производства допроса подозреваемых (обвиняемых) женщин. Авторами определяются критерии конфликтной ситуации допроса, рассматриваются тактические приемы применительно к криминалистической типологии подозреваемых (обвиняемых) женщин.

Interrogation as a means of obtaining evidentiary information should be recognized as the most common in criminal proceedings; it is impossible to replace it with another investigative action. Such “popularity” of interrogation is determined, on the one hand, by its highest informational capabilities, and, on the other hand, by the simplicity of conducting, reliability and speed of obtaining the result in the form of evidence. Despite its simplicity, the effectiveness of its implementation largely depends on the tactics and recommendations used by the investigator. The criminal procedural law, designed to regulate the rules for its implementation, makes it possible to realize the procedural independence of the investigator enshrined in the law in choosing the tactics of conducting an investigative action. Such independence determined the need for theoretical developments in this area. The article discusses the procedure for organizing and conducting the interrogation of suspected (accused) women. The authors define the criteria for a conflict situation of interrogation. Tactical techniques are considered in relation to the criminalistic typology of suspected (accused) women.
TYPICAL ERRORS OF REGISTRATION OF THE RESULTS OF THE WORK OF A SPECIALIST IN THE PROTOCOL OF INSPECTION OF THE INCIDENT SITE
Authors: Д.А. Корытов,
Published: January 2023

К одному из основных видов фиксации следов и объектов, обнаруженных и изъятых на местах происшествий, относится описание в протоколе осмотра места происшествия изъятых материальных объектов, имеющих отношение к уголовному делу. Правильное описание следов в протоколе является важной частью работы со следами, т.к. это действие придает следам силу судебных доказательств, является дополнительной информацией при производстве судебных криминалистических экспертиз. В статье приведены образцы с конкретизацией объема информации, требующей особого внимания при описании следов и предметов, обнаруженных на местах происшествий, в процессуальных документах, позволяющие повысить качество отображения информации и результативность производства экспертных исследований.

One of the main types of fixation of traces and objects found and seized at the scene of incidents is the description of the seized material objects related to the criminal case, in the protocol of the inspection of the scene. The correct description of traces in the protocol is an important part of the work with traces, because. this action gives the traces the strength of forensic evidence, is additional information in the production of forensic forensic examinations. The article presents samples specifying the amount of information that requires special attention when describing traces and objects found at the scene of incidents in procedural documents, which in turn will improve the quality of the displayed information, and as a result, increase the effectiveness of expert research.