bluuebunny/crossref_metadata_2025 huggingface dataset:
Through their eyes: unraveling the experiences and therapeutic needs of children with autism spectrum condition who have experienced physical abuse.
Authors:   , Pearson Kirsten
Published: July 2024

This thesis used mixed-methods to comprehensively assess the prevalence, needs, and lived experiences of physical abuse in children with autism spectrum condition (ASC). The research employed a sequential explanatory design utilising both quantitative and qualitative methods. In the initial phase, an evidence synthesis was performed to assess interventions for children who experienced physical abuse and interventions for children with ASC. This phase found that there is a need for more rigorous studies on interventions for children who experienced physical abuse and on interventions for children with ASC. Additionally, this phase has important implications on intervention components and theoretical approaches which could be used to inform a future intervention. The next phase included two quantitative surveys which aimed to assess the prevalence and associated characteristics of ACEs in the ASC population. Participants for this phase included adults with ASC and parents, guardians, and caregivers of children with ASC. The quantitative phase found a high prevalence of abuse within the ASC community, as well as specific behaviorural characteristics which are associated with autistic individuals who experienced abuse. The third phase aimed to explore the lived experiences of childhood physical abuse in the ASC community using Interpretative Phenomenological Analysis (IPA). For this, two qualitative surveys were given to adults with ASC who experienced physical abuse and to parents, guardians and caregivers of children with ASC who experienced physical abuse. The findings from this phase highlighted specific symptomology and experiences which can be used to inform future interventions. The findings from all phases were used to inform a logic model and create specific recommendations to inform future interventions and research.
Engagement of Preservice Teachers in the Assessment of Their Work-Integrated Learning
Authors: Dlamini Moeketsi Elias , Tsotetsi Cias Thapelo
Published: July 2024

Work-Integrated Learning (WIL) stands as a formally supervised and assessed program designed for preservice teachers to apply and refine their teaching skills within school settings. This study addresses the inquiry of how to effectively involve preservice teachers in the assessment of their WIL experiences. Employing participatory action research (PAR) as the chosen methodology, the research engaged with nine preservice teachers actively involved in WIL, a teaching practice officer, and five teachers serving as mentors to the students. Data collection was performed utilizing the principles of free-attitude interviews and participant observation. The ensuing data underwent interpretation and analysis employing the framework of critical discourse analysis. The findings revealed a pronounced need for collaborative efforts among assessors, mentor teachers, lecturers, and preservice teachers. Establishing robust collaboration emerged as the most viable solution for engaging preservice teachers in the assessment of their Work-Integrated Learning experiences.
Femoral Richter Hernia: A Case Report and Literature Review
Authors: Ndong Abdourahmane , Tendeng Jacques Noel , Diallo Adja Coumba , Niang Fallou Gallas , Diao Mohamed Lamine , Faye Ibrahima , Sarr Ndiamé , Diop Saer , Diediou Moustapha , Ma Nyemb Philippe Manyacka , Konaté Ibrahima
Published: July 2024

Richter hernia is defined as a partial hernial strangulation of the small bowel anti-mesenteric border. This clinical form has important diagnostic particularities such as a significant risk of intestinal necrosis and an absence of intestinal obstruction signs or palpable parietal mass. We report a case of a 72-year-old patient, gravida 6, and para 6 who consulted for abdominal pain evolving for 48 hours. An abdominal CT scan with contrast injection visualized a strangulated right femoral hernia containing the antimesenteric border of a small bowel part creating a Richter hernia confirmed by surgical exploration through an oblique inguinal incision. A McVay repair was performed. The postoperative course was uneventful. Richter's femoral hernia is a particular anatomic and clinical entity and represents a diagnostic challenge. A complete clinical examination is important to avoid diagnostic delay and the occurrence of complications. The treatment is surgical according to the contamination of the surgical field.

Keywords: CT scan, Femoral, Hernia, Necrosis, Richter
Genetics of Breast Cancer Among Moroccan Women: a Literature Review
Authors: Mounjid Chaimaa , Mrabti Hind , Laraqui Abdelilah , Elbiad Oubaida , Sekhsokh Yassine , Bajjou Tahar , Hilali Farida , El Agouri Hajar , Lhafiane Imad , Badaoui Bouabid , Souadka Amine , El Khannoussi Basma , Bakri Youssef , Errihani Hassan
Published: July 2024

Introduction: Breast cancer (BC) is a heterogeneous disease defined by the accumulation of various molecular alterations that accord each tumor a specific phenotype. Our study aimed to summarize all studies conducted on genetic alterations associated with BC in Moroccan women. Methods: We systematically searched literature databases from the time of inception until 31 August 2021 to collect information concerning the mutation spectrum for BC in Morocco. Results: We identified twenty-three studies including 1858 cases. According to our literature search, twenty-nine mutations were detected in 92/468 (19, 66%) patients for BRCA1/BRCA2 genes. We captured eighteen mutations dispersed in the exons 2, 3, 5, 11, 16, 17, 18, and 20 of the BRCA1 gene (c.68_69delAG, c.116G>A, c.181T>G, c.798_799delTT, c.3279delC, c.2805delA, c.1016dupA, c.2126insA, c.3453delT, c.2884C>T, c.2596C>T, c.2612C>T, c.1186A>G, c. 1100A>G, c.4942A>T, c.5062-5064delGTT, c.5095C>T and c.5309G>T). Moreover, eleven mutations dispersed in the exons 3, 10, 11, and 14 and intron 6 of the BRCA2 gene were detected (c.289G>T, c.1310_1313delAAGA, c.3381delT, c.5073dupA, c.5116_5119delAATA, c.6322C>T, c.3847_3848delGT, c.5576-5579delTTAA, c.7110delA, c.7235inG and c.517-1G>A). A few case-control studies have focused on the association of polymorphisms (SNPs) with the genetic susceptibility of developing BC in Moroccan cases in other genes. A significant association between MTHFR 677T allele ( OR: 2.49, 95% CI: 1.17–5.29, p?=?0.017), TP53 72Pro variant (OR 2.2, 95% CI 1.07-4.54, p = 0.03), CYP2D6*3variant (OR=2.08, CI 1.28-3.39, p=0.003) and the risk of developing BC was observed. Additionally, the rs1799793 ERCC2 polymorphism, four SNPs in APOBEC3B, and one SNP in APOBEC3A were significantly associated with BC risk (p?0.05). Conclusion: This review will allow updating the Moroccan Human Mutation Database. However, large studies including more mutations and polymorphisms are required to determine the prevalence of these mutations in the Moroccan population. This could be very beneficial to guide specific and more effective therapeutic strategies in our country.

Keywords: Breast cancer, BRCA1, BRCA2, genetic alterations, Morocco.
Why do Patients with Severe Mental Illness Smoke Cigarettes?
Authors: Paige Nicole Prologo-Richardson  , David Michael Paternite  , Emma Wolinsky  , Mark Houdi  , Jacob Schmieder  , Catherine Howell  , Alyssa Davis  , Britta Eldridge  , Charlotte Lennox  , Carly Kelley  , Jamie Dowling  , Chandani Lewis
Published: July 2024

The disparity in rates of cigarette smoking between patients with severe mental illnesses (SMIs) and the general population is a well-documented phenomenon. With over 30% of tobacco sales annually being accounted for by patients with SMIs, smoking is a significant modifiable risk factor within this population. Previous research has hypothesized that this increased rate of smoking may be linked to genetic predisposition, self-medication, and as a means of coping with the negative stigma towards those with SMI. This study focuses on the motivating factors that drive these patients to start smoking as well as the emotional changes that take place once smoking becomes routine. Qualifying patients included those who currently smoked cigarettes and had a previous diagnosis of an SMI. Two surveys were administered to patients, one of which gathered objective reasons for smoking (i.e. imitation, distraction, pleasure) while the other gathered subjective changes in their emotional states as they continued to smoke (i.e. changes in happiness, calmness, sociability, etc). Our study found that the two primary reasons these patients began smoking were imitation and feelings of calmness while the two primary reasons for continuing to smoke were addiction and habit. Our study also found that patients felt significantly less happy and less sociable now compared to when they first started smoking cigarettes. This data challenges the belief that using cigarettes provides positive emotional reinforcement and can be used by healthcare professionals to create effective cessation strategies that will likely be different than those used for the general population.
Una imagen vale más que mil tokens
Authors: Buedo Martínez Sergio
Published: July 2024

Esta investigación, la cual parte de anteriores estudios investiga en la misma línea los sesgos atribucionales en los modelos de IA Dall-E 3 y ChatGPT de OpenAI, destacando su influencia en la educación y la importancia de comprender estos prejuicios para garantizar un aprendizaje equitativo. Los objetivos principales se centran en examinar la naturaleza y amplitud de los sesgos de género, raciales y profesionales, identificando patrones en las respuestas a solicitudes específicas de imágenes. Esta exploración es crucial, ya que dichos sesgos pueden comprometer seriamente la equidad y la representación en la educación.
La metodología empírica empleada incluyó pruebas controladas y análisis cualitativo y cuantitativo de las imágenes generadas, con más de 100 indicaciones específicas para evaluar la imparcialidad de género. Se descubrió que un 43% de las imágenes generadas reflejaban sesgos de género, indicando una prevalencia significativa de estereotipos y prejuicios en las respuestas del modelo.
Los resultados de este estudio son vitales para el desarrollo de estrategias que mitiguen los sesgos en la IA y promuevan tecnologías más justas y libres de prejuicios, alineadas con los Objetivos de Desarrollo Sostenible, especialmente el ODS 5 sobre igualdad de género y el ODS 10 para reducir las desigualdades. Concluyendo, la investigación resalta la importancia de abordar los sesgos en los sistemas de IA, enfatizando la relevancia de este enfoque en el ámbito educativo para influir positivamente en la formación y desarrollo de los estudiantes universitarios.
Transformación Educativa: Explorando el Papel de la Inteligencia Artificial en la Mejora de la Calidad y la Tutoría Virtual.
Authors: Ruiz Fuentes Juan Pablo , Martínez De la muela Alicia
Published: July 2024

El impacto de la Inteligencia Artificial (IA) en todos los ámbitos de la vida incluido el educativo, lleva a considerarla como un fenómeno susceptible de estudio para la consecución del Objetivo de Desarrollo Sostenible (ODS) número cuatro sobre la educación de calidad propuesto por la UNESCO. La IA aporta nuevas formas de enseñar y aprender acordes a las necesidades de los sistemas de educación. Este trabajo tiene como objetivo facilitar una mirada crítica al potencial de la IA para propiciar contextos de aprendizaje personalizado, el apoyo a la identificación temprana de dificultades y el uso de sistemas y asistentes virtuales para responder al apoyo de los estudiantes. En este sentido, la realidad muestra la necesidad de humanizar el entorno virtual y poner en valor el papel de la tutoría. Siguiendo esta línea, a través de una metodología cualitativa aplicada en la investigación que integra un sistema de procesamiento del lenguaje natural como ChatGPT-3.5, con un software de análisis de datos cualitativos, en concreto MAXQDA 2020, se analiza en base a las competencias y roles que debe tener un tutor en una institución de educación superior a distancia, entre ellas se identifican las competencias blandas. Se concluye la necesidad de seguir realizando acciones formativas para la adquisición y entreno de competencias blandas en el ámbito de la tutoría virtual, en contraposición de las debilidades humanas que puedan ofrecer los asistentes virtuales o sistemas de tutoría inteligente. Además, se apoya la capacidad del ChatGPT-3.5 para contribuir a la investigación educativa.
CHALLENGES OF TECHNOLOGIZING TEACHING AND LEARNING AT UNIVERSITY
Authors: Monroy Hernández Fuensanta
Published: July 2024

This narrative review addresses the challenge posed by the widespread extensive use of digital tools, i.e., technologization, in university education, highlighting three aspects. First, an overuse of digital tools by teachers is discussed, particularly slideware as the most frequently used technology. Concerns are raised as to how effective an extensive use of such a technology is in promoting learning. Additionally, the impact of electronic devices used by students, especially smartphones, is reviewed, and the decrease in comprehension and academic performance associated with reading digital texts and writing on digital media compared to printed format is highlighted. Finally, the impact of artificial intelligence (AI), specifically the ChatGPT language model, in education is discussed, addressing both its potential benefits and ethical and educational challenges. The integration and promotion of AI tools in education pose additional challenges, such as environmental impact, digital distractions, and educational exclusion. A need for a balanced approach which follows the precautionary principle is emphasized, so educational institutions take preventive action to protect individuals and the environment, as well as to avoid potential harm when scientific evidence about an activity or technology is uncertain or incomplete. The text underscores the importance of raising awareness about responsible use of technology in education and advocates for a critical and reflective approach in its application so Sustainable Development Goals may be achieved.
Éthopoiétique: técnica, cuidado y subjetividad moral
Authors: Gómez Herrera Carlota
Published: July 2024

El artículo aborda el problema de la relación entre el ser humano y la técnica en el mundo actual desde una perspectiva filosófica. Volver a la concepción de la filosofía griega permite concebir hoy el quehacer filosófico como un ejercicio vital, sin fracturas entre el pensamiento y la acción. La patente plasticidad del ser humano evidencia la constitutiva apertura que determina su especificidad y, además, columbra la estrecha vinculación entre técnica, creación y cuidado a partir del acontecimiento del habitar. El cuidado no puede tener lugar sin cierta promoción de un ethos cultural centrado en el miramiento, la asistencia y la preocupación por uno mismo y por el Otro. El olvido de la relación entre la creación y el cuidado conduce a un desequilibrio ethopoiético entre la condición ontológica del ser humano, como ser nacido, finito y vulnerable, y el desarrollo tecnológico, impulsado por la digitalización de la vida y el ascendente papel de las nuevas tecnologías en la sociedad. Advertir y remediar dicho desequilibrio supone repensar la originaria relación entre la creación técnica y el cuidado ético, así como la importancia de la ética para la persistencia de lo orgánico.
AN INTEGRATIVE ANALYSIS OF PRANAVAHA SROTAS: CORRELATING AYUR-VEDIC RESPIRATORY CHANNELS WITH MODERN ANATOMICAL AND PHYS-IOLOGICAL INSIGHTS
Authors: Singh Thakur Dharampal , Pandey Yogeshwar
Published: July 2024

This study presents an integrative analysis of Pranavaha Srotas (Respiratory Microchannels), correlating Ayurvedic concepts of respiratory channels with modern anatomical and physiological insights. Pranavaha Srotas, described in Ayurveda, pertains to the movement of Prana (life force) and is closely related to the func-tions of the respiratory system, including the nasal passages, pharynx, larynx, trachea, and bronchi. The re-search undertakes a comprehensive literature review to explore the Ayurvedic perspective on Pranavaha Srotas and its comparison with modern biomedical descriptions of the upper respiratory tract. The analysis delves into the background, significance, and unique principles of Ayurveda, aiming to bridge the gap between these two knowledge systems. It highlights the role of Pranavaha Srotas in health and disease, emphasising its signifi-cance in contemporary respiratory conditions, including the COVID-19 pandemic. The study offers a detailed comparative analysis, enhancing the understanding of respiratory channels through a holistic approach that in-tegrates Ayurvedic wisdom and modern scientific knowledge.
AYURVEDIC INTERVENTION IN THE MANAGEMENT OF UTTANA VATARAKTA:
A CASE REPORT
Authors: - Himanshi , Kiran K. , Shetty Susheel
Published: July 2024

Vatarakta is a disease caused when aggravated Vata gets obstructed in its course by aggravated Rakta; the
obstructed Vata, inturn, vitiates the Rakta, resulting in the condition called Vatarakta. A single case study shown
here, a 76-year-old female patient approached Kayachikitsa OPD with the chief complaint of multiple tortuous
veins over bilateral feet for ten years associated with dryness, burning sensation (occasionally), blackish
discoloration and itching over the prominent veins for ten years. The patient was treated with Ayurvedic principles,
including Samshodhana and Samshamana. The patient’s condition was assessed based on the symptoms of
Vatarakta, and the results were remarkable after the treatment.
MORPHOLOGICAL AND NRDNA-ITS SEQUENCES-BASED IDENTIFICATION AND DISTRIBUTION OF VOLVOPLUTEUS EARLEI IN PAKISTAN
Authors: Ijaz Hira , Mureed Maham , Yasmeen Aneela , Ali Amir , Hussain Abrar , Jabeen Sana
Published: July 2024

Volvopluteus is represented by seven species distributed in America, Asia and Europe. They occur in the tropical regions growing as saprobes on wood debris and leaves, in grassy fields and forests. To explore the macrofungal diversity, different localities in Punjab were visited and collections were made. Among these several collections were found similar to Volvopluteus species. They were analyzed morphologically and phylogenetically using ITS sequences of nrDNA. Comparative analysis on the basis of morphological and anatomical features  revealed that these collections represent V. earlei . Maximum likelihood phylogeny also showed the position of current sequences in a same clade with already known V. earlei sequences with 74% bootstrap value. Volvopluteus earlei is being described from different areas of Pakistan with variety of climatic conditions from warm semi-arid climate of Kasur, Lahore and  Sheikhupura districts, humid subtropical climate of Sialkot district,  in Punjab and warm semi-arid to humid subtropical climate of Swat district, Khyber Pakhtunkhwa. The occurrence of V. earlei in different climatic zones represents its wide distribution range and ecological amplitude in the country.
Sedimentary and Tectonic, Implications on Late Cretaceous Reservoir Succession Along the Oil Fields, Mosul Block, Northwestern Iraq
Authors: Al-Hadidy Aboosh , Fadhil Doaa , Theyab Mustafa
Published: July 2024

This study focuses on Cretaceous reservoir succession development and evaluated in the Mosul Block NW Iraq. The oil fields are Sufayia, Ain Zalah, and Tel-Hajer (Sufayia-1, Ain Zalah-29, producing fields and Exploration well Tel-Hajar-1 South of Jabal Sinjar-non producing field). The Mosul Block in Northwestern Iraq has Cretaceous reservoirs, but less research has been done on the deeper plays of the Lower Cretaceous, Jurassic, and older reservoirs. Non-Tertiary reservoirs in this zone are unlike what exists in eastern Iraq. The reservoir facies and Stratigraphy evolution are influenced by three tectonic development phases: Phase I (Late Albian to Cenomanian): The Gir Bir Formation The main reservoir exhibits good hydrocarbon efficiency reservoir, characterized by Shoal Rudist and benthic foraminifers. Notably, this formation is absent in Tel-Hajar. Phase II (Turonian to Late Campanian, obduction phase): Tel-Hajar structure South Jabal Sinjar, as positive region (Austrian orogeny) which uplifts the Wajnah Formation Sub basinal, Facies overlying the Mushorah Formation in Ain Zalah and Sufayia fields. Phase III (Late Campanian to Maastrichtian), fractured basinal facies Shiranish Formation reservoir, located in the northern parts of Mosul Block Ain Zalah and Sufayia fields. However, no reservoir of cretaceous of Tel Hajar-1. The study concludes that the oil fields northwest of Mosul Blocks (Sufayia and Ain-Zalah fields) have good potential produced from the Cretaceous reservoir, while the south of Mosul Blocks well (Tel-Hajer -1) has weak potential as cut-out cretaceous stratigraphy (pale high) Cretaceous stage.
Pengaruh Bauran Pemasaran Terhadap Kepuasan Pasien Melalui Kualitas Pelayanan di Rumah Sakit Citra Arafiq
Authors: Susilawati  , Wulandari Siti , Yan Andri , P Yulia Anggraeni H
Published: July 2024

Setiap rumah sakit harus memberikan pelayanan prima karena pasien mengharapkan barang atau jasa diterima dengan baik. Kepuasan pasien ditentukan dari peran mutu sebuah produk dan kualitas jasa yang diberikan. Untuk memastikan kepuasan pasien, layanan berkualitas tinggi harus dibangun di atas standar mutu untuk memenuhi kebutuhan pasien.  Tujuan penelitian ini untuk mengetahui pengaruh bauran pemasaran terhadap kepuasan pasien melalui kualitas pelayanan di Rumah Sakit Citra Arafiq Depok Tahun 2022. Metode penelitian ini menggunakan pendekatan kualitatif dan pendekatan kuantitatif, menggunakan teknik purposive sampling, dengan sampel 93 responden. Analisis data menggunakan analisis deskriptif dari software SPSS, analisis measurement model dan model struktural dari software SEM. Temuan penelitian ini adalah bauran pemasaran berpengaruh terhadap kepuasan pasien dengan nilai t 2,090 dan sig 0,039. Bauran pemasaran berpengaruh terhadap kualitas pelayanan dengan nilai t 12,88 dan sig 0,000. Kualitas pelayanan berpengaruh terhadap kepuasan pasien dengan nilai t 3,237 dan sig 0,002. Kualitas pelayanan berpengaruh negatif terhadap kepuasan pasien dan adanya pengaruh secara opposite bauran pemasaran terhadap kepuasan pasien dengan kualitas pelayanan.
Pengaruh Konseling NLP (Neuro Linguistic Programming) Terhadap Tingkat Kecemasan Mahasiswa Kebidanan Selama Praktik Klinik
Authors: Setyaningsih Dewi , Lestariningsih  , Nugroho Setyo Mahanani
Published: July 2024

Kecemasan menjadi gejala awal mahasiswa yang dapat berdampak buruk pada prestasi dan hasil belajar mahasiswa. Apabila kondisi kecemasan tidak tertangani maka dapat berefek pada penurunan imun, depresi dan penurunanan kualitas pendidikan. Salah satu pendekatan digunakan adalah dengan metode Neuro Linguistic Programming (NLP). Tujuan Penelitian: Mengetahui pengaruh Teknik NLP dalam mengurangi kecemasan mahasiswa selama praktik klinik. Metode Penelitian: penelitian Kuantitatif dengan metode Quasi Eksperiment dengan menggunakan Pre test and post test without control. Penelitian ini menggunakan total sampling yaitu sejumlah 33 mahasiswa. Hasil penelitian: terdapat pengaruh terapi NLP terhadap tingkat kecemasan mahasiswa selama mengikuti Praktik Klinik Kebidanan dengan p-value 0,00< 0,05.
Kesadaran Kesehatan, Sikap, dan Perilaku Gizi Seimbang Selama Pandemi Covid-19 di Yogyakarta
Authors: Nai Hildagardis Meliyani Erista
Published: July 2024

Dampak COVID-19 telah mengubah banyak aspek kehidupan masyarakat, termasuk kesehatan, perekonomian, dan masyarakat. Penerapan gizi seimbang dan kebiasaan makan yang sehat membutuhkan kesadaran kesehatan dan sikap dari setiap orang untuk tetap mempertahankan kesehatanya di masa pandemi. Tujuan dari penelitian ini adalah untuk menganalisa hubungan antara kesadaran kesehatan dan sikap dengan praktik gizi seimbang selama pandemi COVID-19 di Kota Yogyakarta. Jenis penelitian ini merupakan penelitian observasional analitik yang menggunakan desain cross-sectional. Penelitian dilakukan di Kota Yogyakarta. Populasi penelitian adalah masyarakat usia 20 - 54 tahun sebanyak 121.281. Besar sampel penelitian ini sejumlah 357 orang. Teknik sampling menggunakan multistage sampling dengan mengkombinasi tiga teknik pengambilan sampel yaitu teknik acak klaster, teknik acak berstrata, teknik acak sederhana. Teknik penggumpulan data menggunakan metode wawancara secara langsung dengan kuesioner. Analisis data menggunakan uji Spearman dan uji Mann-Whitney. Ada hubungan yang signifikan antara kesadaran kesehatan dan sikap dengan perilaku gizi seimbang (p<0,05). Semakin tinggi kesadaran kesehatan dan sikap terkait COVID-19, semakin tinggi perilaku gizi seimbang. Perlu ada intervensi yang efektif untuk tetap menumbuhkan kesadaran kesehatan dan sikap selama pandemi COVID-19 bagi masyarakat Kota Yogyakarta agar konsisten menerapkan perilaku gizi seimbang.
Hubungan Kebiasaan Merokok dengan Tekanan Darah pada Pria Dewasa di Desa Kraton Kota Bangkalan
Authors: Khuzaimah Fitkiyah Nurul , Mutazam Ali , Irawan Dimas Sondang
Published: July 2024

Kebiasaan merokok ialah aktivitas yang sering dijumpai dikalangan masyarakat. Prevalensi tingkat merokok tertinggi terjadi di umur 45-54 tahun dengan presentase 28,5%. Kebiasaan merokok dapat berdampak buruk terhadap kesehatan terutama pada tekanan darah. Tujuan dari penelitian ini yaitu untuk mengetahui hubungan kebiasaan merokok dengan tekanan darah pada pria dewasa. Penelitian ini menggunakan metode observasi analitik menggunakan desain cross-sectional. Populasi penelitian adalah pria dewasa di desa Kraton sebanyak 148 orang. Teknik sampling dengan cara purposive sampling yang memenuhi kriteria inklusi, sehingga didapatkan sampel sebanyak 91 orang. Pengambilan data menggunakan kusioner dan pengecekan tekanan darah yang kemudian dianalisis menggunakan uji chi-square. Hasil penelitian bivariat menunjukkan, terdapat hubungan yang signifikan antara kebiasaan merokok dengan tekanan darah dengan hasil p value 0,002 < 0,05. Penelitian ini menyimpulkan terdapat hubungan kebiasaan merokok dengan tekanan darah pada pria dewasa.
Hubungan Pengetahuan Tentang Teknik Menyusui yang Benar dengan Kejadian Puting Susu Lecet pada Ibu Nifas di BPM Bd. R di Desa Cibanteng Kabupaten Bogor Tahun 2023
Authors: Zakiah Lela , Apriliani Berliana , Ramadhan Bulan Suci , Nurhalisah Sindy
Published: July 2024

Puting susu lecet merupakan salah satu masalah dalam menyusui, dimana puting mengalami cedera karena teknik menyusui yang kurang tepat, atau terjadi trauma pada puting sehingga terjadi retak dan pembentukan celah-celah. Putting susu lecet akan menjadi penghambat ibu untuk proses menyusui karena rasa nyeri dan perih. Salah satu yang dapat mencegah Puting susu lecet dengan mengetahui teknik menyusui yang benar. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan tentang teknik menyusui yang benar dengan kejadian puting susu lecet pada ibu nifas di BPM Bd. R Di Desa Cibanteng Kabupaten Bogor Tahun 2023. Metode penelitian ini merupakan penelitian survey analitik dengan menggunakan pendekatan cross sectional. Instrumen penelitian ini menggunakan kuisioner yang diberikan kepada 30 orang yang di ambil dengan teknik total sampling dengan kriteria sampel yaitu ibu yang menyusui bayinya. Uji statistik yang digunakan adalah Chi-square. Dari hasil penelitian ini di dapatkan bahwa dari responden yang kategori pengetahuanya baik, kejadian puting lecet adalah sebanyak 5 orang ibu  (35,7%) sedangkan dari responden yang kategori pengetahuanya kurang adalah 15 orang ibu  (93,8%).  Hasil uji statistik Chi-square di peroleh ρ-value 0,001 (<0,05) menunjukan terdapat hubungan antara pengetahuan dengan kejadian putting susu lecet. Hasil Odd Ratio menunjukkan bahwa  ibu  yang berpengatahuan baik mengenai tehnik menyusui yang benar memiliki risiko lebih kecil (0,037 kali) untuk mengalami kejadian putting susu lecet dibandingkan dengan yang berpengetahuan kurang. Masih banyak ibu menyusui yang belum mengetahui teknik menyusui yang benar sehingga terjadi puting susu lecet.
Faktor Risiko Penyakit Diabetes Mellitus pada Tenaga Kesehatan di Puskesmas Wilayah Lampung Utara
Authors: Taufiq Ihsan , Sono
Published: July 2024

Angka kejadian penyakit tidak menular khususnya penyakit diabetes mellitus  (DM) terus meningkat. Kondisi ini akan beradampak negative terhadap status kesehatan masyarakat. Penyakit Diabetes mellitus yang berlangsung lama akan menimbulkan komplikasi yang dapat meningkatkan biaya pengobatan dan menurunkan kualitas hidup penderita diabetes. Terdapat faktor faktor risiko yang dapat diketahui agar terhindar dari penyakit DM. Petugas Kesehatan di Puskemas diharapkan menjadi role model dalam  deteksi dini penyait DM.  Penelitian dilaksanakan sejak bulan September sampai bulan November tahun 2023 dengan tujuan mengidentifikasi faktor risiko pada tenaga Kesehatan di Puskesmas wilayah Lampung Utara. Desain penelitian adalah deskriptif, dengan responden sebanyak 301 responden terdiri dari 16 dokter 109 perawat dan 176 bidan pada 16 puskesmas.  Alat ukur menggunakan kuesioner CANRISK. Responden dilakukan wawancara dan diukur/ dilakukan pemeriksaan fisik terkait dengan faktor risiko penyakit DM, meliputi pengukuran tinggi dan berat badan, lingkar perut, serta kadar gula darah sewaktu. Hasil ukur diolah dalam analisis univariate dengan hasil  sebagai berikut bahwa Tingkat faktor risiko pada tenaga Kesehatan di Puskesmas wilayah Lampung Utara yang memiliki risiko tinggi yaitu 7 orang (2,33%), risiko sedang 40 orang (13,29%) dan risiko rendah 254 orang (84,39%). Untuk itu tenaga Kesehatan harus merubah faktor risiko yang dapat dimodifikasi diantaranya adalah IMT, lingkar pinggang, aktivitas fisik, konsumsi sayur dan buah, tekanan darah serta gula darah.
Pengaruh Mobilisisasi Dini Terhadap Penurunan Rasa Nyeri pada Pasien Post Sectio Caesarea dengan Spinal Anestesi di RSUD Padang Panjang
Authors: Yusuf Gilang Navaza , Devita Hendri , Andriyan Eric Frendi , Pasalina Putri Engla
Published: July 2024

Nyeri Post Sectio caesarea di bawah anestesi spinal mengganggu aktivitas pasien dalam bergerak. Salah satu terapi non farmakologis yang digunakan untuk penurunan penanganan nyeri yaitu dengan mobilisasi dini. Tujuan penelitian ini untuk mengetahui pengaruh mobilisisasi dini terhadap penurunan rasa nyeri pada pasien post sectio caesarea dengan spinal anestesi di RSUD Padang Panjang Tahun 2022. Pengumpulan data dilakukan di RSUD Padang Panjang pada bulan Januari-Februari Tahun 2023. Jenis penelitian ini yaitu penelitian kuantitatif yang menggunakan metode Pre Experimental Design dengan perancangan One Groups Pre test-Post test. Sampel berjumlah 35 responden dengan teknik pengambilan sampel yaitu purposive sampling. Instrument penelitian dengan menggunakan Skala NRS. Hasil penelitian menunjukkan bahwa  paling banyak  responden  berusia  25 – 35 tahun yaitu sebanyak 24 orang (68,6%) dan  paling banyak adalah tamatan perguruan tinggi yaitu sebanyak 19 orang (54,3%). Sebelum mobilisasi dini, paling banyak pasien mengalami nyeri sedang yaitu sebanyak 29 orang (82,9%) dan sesudah mobilisasi paling banyak mengalami nyeri ringan yaitu sebanyak 29 orang (82,9%) di RSUD Padang Panjang. Terdapat penurunan nyeri  sesudah dilakukan mobilisasi dini di RSUD Padang Panjang (p=0,000). Kesimpulan dari penelitian ini adalah ada pengaruh mobilisasi dini terhadap penurunan rasa nyeri pada pasien post sectio caesarea dengan spinal anestesi di RSUD Padang Panjang Tahun 2022. Disarankan kepada petugas kesehatan untuk mensosialisasikan atau menerapkan mobilisasi dini pada pasien post sectio caesarea untuk mengurangi tingkat nyeri pada pasien.
Pengaruh Simulasi Surgical Safety Checklist Digital Terhadap Implementasi Surgical Safety Checklist di Instalasi Bedah Sentral
Authors: Setyoraharjo Tuhu , Saputro Dwi Nugroho Heri
Published: July 2024

Penggunaan surgical safety checklist (SSC) di Instalasi Bedah Sentral Rumah Sakit Kristen Ngesti Waluyo Parakan masih mencapai 80%. Pada saat jadwal operasi padat, maka penggunaan formulir SSC konvensional memerlukan lebih banyak waktu. Hal tersebut menyebabkan tim bedah mengalami kesulitan dalam mematuhi waktu prosedur SSC yang tepat. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh simulasi penggunaan SSC digital terhadap implementasi SSC. Penelitian ini menggunakan desain pre experimental dengan pendekatan one group pretest dan posttest pada 12 responden sampling jenuh dan data dianalisis menggunakan uji Wilcoxon Test. Hasil intervensi dengan penggunaan SSC digital menunjukkan peningkatan dari nilai pretest 21,0000 menjadi posttest 23,9167, atau sekitar 12,15%. Hasil uji Wilcoxon Test menunjukkan ρ-value sebesar 0,002 (< α= 0,05), yang menunjukkan bahwa terdapat pengaruh dari simulasi penggunaan SSC digital terhadap implementasi SSC di Instalasi Bedah Sentral Rumah Sakit Kristen Ngesti Waluyo Parakan.
INFLUENCE OF CAREER GUIDANCE AND COUNSELLING SERVICE ON ACADEMIC PERFORMANCE OF SECONDARY SCHOOL STUDENTS IN KITUI WEST SUB-COUNTRY KITUI COUNTY, KENYA
Authors: Kavutha Jackline , Maithya Paul , Kimani Mwaura
Published: July 2024

This study sought to investigate influence of career guidance and counselling services on academic performance of secondary school students in Kitui West Sub-county Kitui County. A descriptive survey research design was employed in the study. The population of the study was 33 principals, 33 heads of guidance and counselling departments and all 7903 students in 33 public secondary schools in Kitui West Sub-county. The sample consisted of 16 schools, 16 principals, 16 guidance and counselling heads of departments, and 381 students. Data was collected using questionnaires and interview schedules. Data was analyzed using both descriptive and inferential statistics. The null hypothesis was tested using Analysis of Variance (ANOVA) at a 0.05 level of significance. The study found that career guidance and counselling services demonstrated a positive significant influence on academic performance (f = 15.179, p≤0.00), with students achieving higher grades benefiting more from those services. The study recommended that Schools should enhance career guidance and counselling services by developing initiatives that specifically target combating career stereotyping. The findings of this study may be of significance to teacher counsellors, teachers, students, school administrators and entire community because they may provide information on how career guidance and counselling services can be used effectively to improve academic performance among secondary school students.

 

 Article visualizations:
Weighed Down: Informal Recycling as Shaped by Multiple Layers of Heaviness
Authors: Loots Olivia
Published: July 2024

The proliferation of waste is a global problem. In South Africa, only 10% of all waste materials are recycled. Of those, almost 90% are recycled in the informal sector. This article draws on data collected through participant observation and 21 qualitative interviews with participants who work in the informal recycling sector as buyers, sellers, and sorters in the coastal city of Gqeberha in South Africa. Using the concept of ‘weight’ (as physical, economic, and emotional component in the workspace), I explore the ‘material-discursive’ dimensions that shape the participants’ experiences and examine the implications for their bodies and livelihoods. I argue that by recognizing the multifaceted nature of weight and addressing its distinct meanings within the context of informal recycling, it is possible to develop a more holistic view of environmental justice. This view considers the harsh, lived experiences of marginalized humans who live closest to, rely most on, or are disproportionally burdened by, wasted materials.
Buffer Forever
Authors: Anderson Lucas
Published: July 2024

...
Early detection of metastatic disease through screening ultrasound
Authors: Vaz Bruna , Miravent Sérgio , Gomes Carla , Gago Rui , Lobo Manuel Duarte , Almeida Rui Pedro
Published: July 2024

Screening ultrasound is crucial in emergency care, providing precise guidance for patients in various situations. Its versatility, real-time imaging, and lack of radiation make it invaluable, especially in settings lacking diagnostic resources and specialized expertise.
The widespread use of screening ultrasound among health professionals, regardless of their level of sonographic expertise, emphasizes the need for them to manage clinical uncertainties as part of their daily practice."
This article emphasizes the crucial role of screening ultrasound, especially in acute abdomen cases. Its integration alongside conventional radiology significantly improves clinical orientation, facilitating prompt treatment decisions and specialist referrals.
In a specific case, we reviewed screening ultrasound images, basic abdominal X-rays, and Computed Tomography scans alongside clinical reports to assess initial evaluations made at a peripheral emergency service. Our patient presented with acute abdominal symptoms, revealing suspected liver metastases, free fluid, and signs of intestinal obstruction on ultrasound. These findings were confirmed through Computed Tomography at a referral hospital, showing ultrasound's role in prompt patient triage and transfer. Operator skill is crucial, but comprehensive training minimizes errors.
Screening sonography may revolutionize patient safety saving time by detecting pathologies early, preventing overcrowding in emergency departments of reference hospitals.
The ultrasonographic detection of images suspected to be metastases is a common occurrence in hospital settings where various advanced diagnostic means, and medical specialties are present. However, the detection of suspicious images of metastases in a pre-hospital context is innovative and provides clinicians with a much better understanding of the patient's clinical landscape.
Crioablação para tratamento da rinite crônica: uma revisão sistemática
Authors: Silva Aline Custódio , Ibrahim Isadora Rosa , Barbosa Yasmin Azevedo , Gomes George Washington Alves , Braz Maria Luzia Abreu Meireles
Published: July 2024

Introdução: A rinite é uma patologia que reduz de forma considerável a qualidade de vida do indivíduo. Os espirros frequentes, a congestão e desconforto nasal são alguns dos sintomas que, cronicamente, levam a uma péssima qualidade de sono noturno e, em consequência, sonolência diurna. Existem diversos tipos de tratamento, desde condutas clínicas até a abordagem cirúrgica para aqueles que possuem sintomas de difícil controle, sendo uma destas a crioablação. Objetivo: O presente estudo reúne as sabidas informações sobre a crioablação como escolha de tratamento da rinite crônica, suas vantagens e desvantagens. Materiais, sujeitos e métodos: Para confeccionar esse estudo utilizou-se a técnica de revisão integrativa e foram consultados artigos publicados nos seguintes bancos de dados: PubMed, LILACS e Eletrocnic Library Online (Scielo). Resultados e discussão: A crioablação é uma boa opção para reduzir o tamanho das conchas nasais inferiores e consequentemente diminuir os sintomas causados pela rinite crônica, aumentando a qualidade de vida dos pacientes. O seu uso foi primeiramente proposto em 1970 e seu uso vem sendo feito desde então em pacientes que apresentam pouca resposta ao tratamento medicamentoso. Sua eficácia máxima é alcançada entre 6 e 12 meses, e pode cursar com dor e formação de crostas como complicação. Considerações finais: No tratamento da rinite crônica é possível optar pela crioablação como uma alternativa de abordagem pouco invasiva e de considerável eficiência para aumentar a qualidade de vida daqueles que sofrem dessa patologia.
Lesões autoimunes associadas às pregas vocais: uma revisão sistemática
Authors: Vital Mabio Vigilato , Graminha Thales Gagliardi Spina , Vargas Galbas Lauton , Santiago Mathews Barbosa
Published: July 2024

Introdução: A associação entre lesões auto-imunes e pregas vocais está relacionada ao surgimento de nódulos, rouquidão e disfogia, sendo dependente do grau de doença. Sendo, prevalente a associação da artrite reumatóide e lúpus eritematoso sistêmico, com queixas sistêmicas, laríngeas, correspondendo a mais incidente a artrite da articulação cricoaritenoide e nódulos reumatóides nas pregas vocais. Objetivo: Este artigo faz uma revisão sistemática mediante ao conhecimento atual sobre lesões auto-imunes associadas às pregas vocais. Método: Trata-se de um artigo elaborado a partir de revisão sistemática, onde foram realizadas consultas por artigos científicos e artigos de revisão publicados nas bases de dados do Scielo e PubMED. Resultado e discussão: Evidências realçam a relação entre o grau de atividade sistêmica, doença auto-imune, com o acometimento das cordas vocais e o aparecimento dos sintomas. As opções de tratamento incluem cirúrgicos, acompanhamento vocal e clínico. Considerações finais: O tratamento clínico, podendo ser efetuado por meio do uso de esteróides orais e injeção nas cordas vocais, apresenta resultados satisfatórios referente a disfonia e rouquidão, principalmente, quando associado ao acompanhamento vocal.
Fibrossarcomas dos seios paranasais: uma revisão sistemática
Authors: Belli Júlia , Rocha Gabrielle Justiniana Fontes , Diniz Pedro Vitor Machado Borges , Pereira Letícia Corrêa
Published: July 2024

Introdução: O fibrossarcoma dos seios paranasais (SFS) é um tumor maligno de rara ocorrência que apresenta como principais sintomas obstrução nasal e epixtase, sendo mais comum na faixa etária de 30 a 40 anos e no sexo masculino. A sintomatologia pouco específica associada a baixa incidência e a limitação anatômica dos seios paranasais, tornam a definição diagnóstica e o manejo do SFS um desafio para a oncológia médica. Objetivo:  O presente estudo visou buscar na literatura as possíveis técnicas de diagnóstico e as abordagens terapêuticas do fibrossarcoma dos seios paranasais. Materiais, sujeitos e métodos: Realizou-se uma revisão sistemática qualitativa, nas bases de dados PubMed e UpToDate, onde foram selecionadas seis publicações que atenderam ao objetivo proposto, sendo três relatos de caso e três artigos de revisão. Resultados e discussão: O diagnóstico do SFS é definido com base na análise histopatológica e imuno-histoquímica do tumor, que embora biologicamente e histologicamente bastante variável, apresenta uma organização de células que lembra uma espinha de peixe, padrão histológico desse tipo de lesão. De forma complementar, tanto a Tomografia Computadorizada quanto a Ressonância Magnética são úteis na investigação da doença. O tratamento inicial consiste na excisão local ampla, seguida de radioterapia adjuvante, uma vez que esse tipo de sarcoma apresenta alto risco de recidivas locais, enquanto que metástases à distância são menos comuns. Considerações finais: Avanços na técnica cirúrgica proporcionaram a utilização cada vez maior da remoção endoscópica dos tumores paranasais, pela menor morbidade comparada a abordagem aberta.
O uso da robótica em otorrinolaringologia – cirurgia de cabeça e pescoço: uma revisão sistemática
Authors: Costa Michely Lima da , Sousa Jéssica de Almeida , Campos Lorena Terra , Melucci Beatriz Hoffmann
Published: July 2024

Introdução: Nas últimas duas décadas os avanços científicos e tecnológicos possibilitaram o progresso dos equipamentos e subsequente das técnicas cirúrgicas. Objetivo: uma revisão de literatura do conhecimento atual sobre as vantagens e os desafios do uso da robótica na cirurgia de cabeça e pescoço e otorrinolaringologia. Materiais/sujeitos e métodos:  revisão sistemática baseada em artigos disponíveis nas bases de dados Scielo, Bireme, Medline/PubMed e Cochrane Library, publicados entre 2016 e 2023. Resultados e discussão:Considerações finais: O sistema robótico possui sua relevância devido a sua natureza minimamente invasiva.  Apesar de enfrentar a desvantagem do elevado custo e necessidade de pesquisas aprofundadas de desenvolvimento robótico, assim como a individualização da indicação cirúrgica, a respeito da afecção de cada paciente. Por tudo isso, infere-se um melhor prognóstico cirúrgico e redução das complicações pós cirúrgicas.
Genética e epigenética da polipose nasal: uma revisão sistemática
Authors: Sousa Rodrigo Guedes de , Jesus Ludimilla Martins de , Prado Giovanna Stati Batista do , Cunha Luiza Moreira , Carvalho Ana Beatriz
Published: July 2024

Introdução: A Polipose Nasal (PN) é uma patologia inflamatória crônica que acomete a mucosa dos seios paranasais e respiratória nasal, no qual sua manifestação clínica se manifesta com o aparecimento a partir da formação de pólipos, usualmente bilaterais e cursa com a obstrução nasal, rinorreia, rinossinusite, bem como hiposmia a anosmia. Objetivo: o presente artigo tem por objetivo uma revisão de literatura do conhecimento sobre a genética e epigenética da polipose nasal. Materiais e métodos: Para a revisão sistemática, foi realizada uma pesquisa e seleção de artigos científicos e teses de mestrado e doutorado em otorrinolaringologia, na plataforma Scielo e Google Acadêmico, sem período predeterminado. Resultados e discussão: A abordagem integrativa da pesquisa genética e epigenética, juntamente com a investigação dos fatores ambientais, oferece uma perspectiva abrangente sobre a polipose nasal. Avanços recentes nessas áreas estão pavimentando o caminho para uma compreensão mais profunda da doença e o desenvolvimento de terapias mais eficazes e personalizadas. No entanto, os desafios permanecem, incluindo a necessidade de estudos longitudinais robustos para validar biomarcadores e a tradução efetiva de descobertas de pesquisa para a prática clínica. Considerações finais:  A integração de dados genéticos, epigenéticos e ambientais, juntamente com avanços na tecnologia de diagnóstico e terapia, promete melhorar significativamente o manejo dessa condição debilitante e melhorar a qualidade de vida dos pacientes afetados.
Modificações nas vias aéreas superiores após perda de peso: uma revisão sistemática
Authors: Ferreira Luana Manhães , Borges Saulo Evangelista Moura , Santos Júlia Gonçalves dos , Sousa Juliana Pontes , Oliveira Leticia Valadares de
Published: July 2024

Introdução: O excesso de peso é uma realidade cada vez mais prevalente no cenário de saúde brasileiro, o Instituto Brasileiro de Geografia e Estatística (IBGE) divulgou os resultados da última Pesquisa Nacional de Saúde. De acordo com o levantamento, entre 2003 e 2019, a ocorrência de obesidade entre brasileiros acima de 20 anos passou de 12,2 para 26,8%, na mesma faixa etária, o excesso de peso saltou de 43,3% para 61,7%. Dentre as alterações e adaptações funcionais e anatômicas causadas pela obesidade,  tem-se a alteração na mecânica respiratória desta população, causando aceleração no padrão respiratório, tornando-o de baixa amplitude e provocando aumento no trabalho.  Objetivo:  Reunir, por meio de revisão, artigos que possam melhor informar sobre as modificações das vias aéreas superiores em decorrência da redução de peso corporal. Materiais e métodos: Foram feitas buscas pela produção científica veiculada em periódicos indexados nos bancos de dados da Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), National Library of Medicine (MEDLINE) e Scientific Eletronic Library Online (SciELO), disponíveis na Biblioteca Virtual em Saúde – BVS (http://www.bireme.br), e também da United States National Library of Medicine - PubMed. Resultados e discussão: De acordo com estudos recentes, evidências mostram forte correlação entre o peso corporal e a funcionalidade das vias aéreas superiores. A obesidade atua como um importante fator de risco para Síndrome da Apneia Obstrutiva do Sono, pois com elevação do peso corporal, ocorre tanto aumento da deposição de gordura sistêmica, como também, na língua e ao redor das vias aéreas faríngeas o que leva ao colapso da via aérea faríngeas. Ademais, esse colapso também sofre influência do acúmulo de gordura abdominal, porque ela reduz as forças de tração caudal e tensão longitudinal nas vias aéreas superiores. Considerações finais: Os resultados do presente estudo mostram que a perda de peso proporciona uma melhora nas disfunções respiratórias, incluindo diminuição da resistência cardiorrespiratória e dispneia, o que mostra o impacto significante positivo do emagrecimento também sobre os parâmetros respiratórios dos indivíduos.