bluuebunny/crossref_metadata_2025 huggingface dataset:
Determinants Affecting the Utilization of Antenatal Care Services by Women of Childbearing Age Visiting the Antenatal Care Clinic at Kyabugimbi Health Centre IV, Bushenyi District
Authors:   Faculty of Clinical Medicine and Dentistry Kampala International University Western  Campus Uganda, Brian Nabaasa
Published: November 2023

This research analyzed the utilization of antenatal care (ANC) services among pregnant women at Kyabugimbi Health Centre IV in Bushenyi District, Uganda. The study found that a significant percentage of women attended their first ANC visit late in their pregnancy, with only 20% receiving ANC within the recommended 0-3 months. A majority of the women had never heard about ANC or attended it in previous pregnancies. While 44% of the women attended ANC four or more times, indicating awareness of the recommended ANC frequency, 74% did not seek ANC at all. Most of the women with unplanned pregnancies did not utilize ANC services. The study concluded that 51.9% of pregnant women experienced delayed antenatal care, with 50.6% presenting between 4-6 months of gestation and 1.3% presenting at 7-9 months. These findings highlight the need for improved awareness and access to ANC services. Keywords: Pregnant women; Antenatal Care; Mothers; Planned pregnancy; unplanned pregnancy.
EU-Kommission: Mehr vom alten statt neuem Urheberrecht
Authors: Pachali David
Published: November 2023

Statt das Urheberrecht zu modernisieren, will die EU-Kommission die Probleme durch mehr Rechte, mehr Lizenzen und mehr Kontrollen lösen. Mit ihren Plänen stellt sie sich hinter alte Industrien – doch im Ergebnis würden erneut die großen Plattformen gestärkt. Die Katze ist aus dem Sack: Die EU-Kommission hat heute ihre Pläne zur Urheberrechtsreform offiziell vorgestellt.
Europäisches Leistungsschutzrecht: „Das absehbare Chaos ist grenzenlos“
Authors: Chervel Thierry
Published: November 2023

EU-Digitalkommissar Günther Oettinger hat seinen Entwurf für eine Reform des europäischen Urheberrechts vorgestellt – inklusive eines Leistungsschutzrechts für Presseverleger, das noch weiter gehen soll als das deutsche Gesetz. Till Kreutzer von iRights.info skizziert im Gespräch mit dem Perlentaucher die Folgen eines solchen Gesetzes – das für ihn Grundrechte berührt und nicht einmal im Interesse seiner Lobbyisten liegt.
Abmahner machen weiter, neuer Streaming-Streit, öffentliches Internetinstitut
Authors: Pachali David
Published: November 2023

Die Kanzleien  Rasch  und  Waldorf Frommer  gelten als Marktführer bei Filesharing-Abmahnungen und sehen trotz des von der Koalition ausgerufenen Endes der  WLAN-Störerhaftung  keine großen Veränderungen: Sie wollen abmahnen wie bisher, berichtet die  Welt  . Überraschend kommt das nicht: Selbst eine wasserdichte Neuregelung griffe erst dann, wenn ein abgemahnter Anschlussinhaber zeigen könnte,
Daft Punk und die Remixkultur: Ohne Kopien kein Original
Authors: Fischer Georg
Published: November 2023

Mit „Get Lucky“ begannen Daft Punk im Sommer 2013 ihr großes Comeback. Dazu trugen auch tausende Remixe ihrer Fans bei. Original und Kopie stehen hier in einem komplexeren Verhältnis, als es in den Regelungen des Urheberrechts zum Ausdruck kommt. Der Sommerhit des Jahres 2013 war ohne Zweifel „Get Lucky“ des Elektroduos Daft Punk.
El factor inclusivo de las redes sociales: El potencial de las tecnologías digitales en la educación
Authors: Meza Cosi Every Yuliana , Condori Contreras Shamira , Lizárraga Concha Victoria Yolanda , Zans Gil Wilberth
Published: November 2023

Las redes sociales ofrecen una variada gama de factores que permiten la inclusión en jóvenes a través de la mejora de los procesos educativos. Durante muchos años existe la polarización sobre el uso de los entornos digitales sobre la capacidad que estos tienen de convertirse en un instrumento capaz de formar un aprendizaje formal y efectivo permitiendo la eliminación de barreras de segregación cultural, social y económico. La investigación tuvo un enfoque cuantitativo por lo que se procedió a recabar la información a través del uso del Google Forms durante los meses de abril y mayo del 2022, para posteriormente realizar un análisis estadístico y poder alcanzar un procesamiento de datos sistematizados. La muestra estuvo conformada por 355 estudiantes del primero al quinto de secundaria en diferentes instituciones educativas de la Región del Cusco. La revisión de los resultados confirmo que los estudiantes consideran el uso trascendente de las redes sociales, por la versatilidad en el intercambio de información y las comunicaciones, por la inmediates e interacción constante.
EL DELITO DE ESTAFA INFORMÁTICA.
Authors: Rodríguez Almirón Francisco
Published: November 2023

Sin duda las nuevas tecnologías, y principalmente el uso de internet, ha supuesto una revolución en todos los aspectos de la vida de las personas. A su vez, esa forma de relación de los ciudadanos con la Administración, con las empresas y entre los individuos ha provocado nuevos problemas y retos hasta este momento desconocidos. Las nuevas tecnologías también están siendo aprovechadas por la criminalidad organizada, cada vez más especializada y sofisticada, para sus propósitos criminales. Este trabajo trata de abordar el fenómeno del phishing y conectarlo con la reparación a la víctima. Para ello partimos del análisis de las diferentes técnicas utilizada por los delincuentes y de la descripción de este fenómeno delictivo. Se analizarán las principales características del delito de phishing y la posible responsabilidad civil subsidiaria de las entidades financieras cuando el delito se ha cometido en sus establecimientos y ha existido una infracción de la normativa que regula su actividad. Esta responsabilidad subsidiaria surgiría del artículo 120.3 CP, y es diferente a la responsabilidad ex lege contenida en el Real Decreto-Ley 19/2018, de 23 de noviembre que regula los medios de pago.
EL DESARROLLO DE LA JUSTICIA RESTAURATIVA EN ESPAÑA Y SU PROHIBICIÓN EN CASOS DE VIOLENCIA SEXUAL Y DE GÉNERO: REFLEXIONES A PARTIR DE LA LO 10/2022 Y LA NUEVA LEY FORAL 4/2023 DE NAVARRA
Authors: Romero Seseña Pablo
Published: November 2023

La reciente Ley Foral 4/2023, de justicia restaurativa, mediación y prácticas restaurativas comunitarias, nace con el objetivo de generar una estructura normativa robusta para el desarrollo del modelo de justicia restaurativa. Sin embargo, su translación al contexto práctico no está exento de obstáculos. En este artículo se describe el contexto de esta ley y sus aspectos más relevantes, así como sus principales implicaciones y expectativas a nivel regional y estatal. De forma específica, se pone el foco en la controversia generada por la prohibición de emplear este modelo de justicia en supuestos de violencia sexual y de género, a colación de la interpretación restrictiva del Convenio de Estambul adoptada por el legislador español en elementos normativos recientes como la LO 10/2022. Se discuten las implicaciones de esto a partir de la evidencia y normativa disponibles en este sentido, argumentando el por qué es necesaria una profunda reflexión sobre la posibilidad de abrir el camino a la justicia restaurativa en España para casos de violencia sexual y de género.
EL ALCANCE DE LA POTENCIAL RESPONSABILIDAD PENAL DEL AUDITOR DE CUENTAS (AL HILO DE LA STS 89/2023, DE 10 DE FEBRERO, CASO PESCANOVA)
Authors: Del Blanco Victoria García
Published: November 2023

Tras la absolución del auditor externo (tanto la persona física como la jurídica) por la Sentencia del Tribunal Supremo en el caso Pescanova, se abordan las posibles vías de calificación de la conducta tanto desde una perspectiva objetiva (valorando las diferentes formas de intervención en el delito como autores o partícipes) como subjetiva (dada la necesidad de la calificación dolosa para atribuir responsabilidad penal).
Artificial Intelligence In Healthcare Applications
Authors:   Indian Naval Academy, Ezhimala, Kerala, India, K. Parthasarathy , I. Arthi ,   MGM College of Pharmacy, Kannur, Kerala, India, S. Vijayaraj ,   VISTAS Chennai, Tamil Nadu, India, Singh Manpreet ,   Manav Rachna International Institute of Research and Studies, Faridabad, India
Published: November 2023

Are you curious in the role of AI in healthcare and how it is transforming the industry? The pace of technological development is increasing, therefore staying competitive requires constant study. This book is meant to be a guide to the AI-driven healthcare revolution. It's a jam-packed AI book that explains the status of AI and its potential applications in healthcare, including some still in the works. Ethics in AI healthcare applications are addressed, along with the foundations of AI and their operation, AI's critical function in all main medical subfields and health insurance, and the startup and corporate players' roles in the AI healthcare industry.
Dewasa Ngundaginin: Cultural History Of Balinese Concept Of Time And Transformation Of Balinese Traditional Architect (Undagi) From Pre-Colonial To Contemporary Era
Authors: I Kadek Dwi Noorwatha,  , Imam Santosa,  , Gregorius Prasetyo Adhitama,  , Anak Agung Gede Rai Remawa
Published: November 2023

This study examines how traditional Balinese architects (undagi) have used time from classical to contemporary times. The study aims to understand Balinese culture, specifically the architectural interpretation of time, with an emphasis on undagi practises today. Modern Bali's cultural evolution is reflected in the temporal paradigm shift. The study takes a cultural history approach to create a historiography the social cultural transformation of concept of time in Bali based on government authority and undagi as architectural design labour. The research uses a diachronic system to trace the changes in time from pre-colonial Bali (8th-19th AD), and colonial (19-20 century AD) to contemporary Bali (20th-21st century AD). The research shows that the concept of space and time that is fused in the undagi practice changes when one of its elements, time, undergoes operational changes. The concept of time as a cultural foundation changes the entire cultural fabric of a region and directly transforms the profession of traditional undagi-architects as creators of the traditional spatial layout of a region. This research explains the correlation between the changing concept of time and its influence on the undagi profession, as a cultural preservation effort to preserve the decadent undagi tradition in Bali. This research contributes to research in architectural history, cultural history, cultural preservation discourse and culture-based design. Previous research on the concept of time in Bali that correlates between time, humans and its social consequences in the perspective of cultural anthropology and ritual. Few studies have examined the relationship between time and traditional Balinese undagi practise as traditional architecture builder in contemporary Bali. Comprehending space-time understanding is essential to comprehending culture from the past to the present.
Peritoneal tuberculosis with a frozen abdomen in an adolescent female: A case report
Authors: James Faustine , Kimeu Irene , Jalloh David , Kosgei Rose
Published: November 2023

Background: Peritoneal tuberculosis is a rare form of extrapulmonary tuberculosis, which can result from the reactivation of latent foci in the peritoneal cavity.

Case presentation: A 19-year-old female presented to the gynecological oncology clinic with a two-month history of generalized abdominal pain and progressive abdominal distention. An abdominopelvic computed tomography scan revealed a cystic right adnexal lesion with massive simple ascites. A frozen abdomen was noted during exploratory laparotomy. Histological examination of the peritoneal biopsy reported granulomatous nodules with numerous epithelioid histiocytes. Postoperatively, she was managed with rifampicin, isoniazid, pyrazinamide, ethambutol, and pyridoxine for six months and recovered fully.

Conclusion: Peritoneal tuberculosis may mimic ovarian and peritoneal malignancies. A high suspicion index of peritoneal tuberculosis should be entertained in patients presenting with nonspecific symptoms of ovarian or peritoneal cancers.
Sistemas sociais, contingência e transformação estrutural
Authors: Dutra Roberto
Published: November 2023

O artigo propõe uma leitura de esquerda da teoria de sistemas sociais de Niklas Luhmann. A ideia é oferecer uma orientação teórica centrada na discussão sobre os temas da transformação estrutural e da normatividade. Não se trata de uma oferta programática, mas sim de uma oferta teórica com o objetivo de abrir horizontes de reprogramação em diferentes esferas sociais. Nesta proposta, a transformação estrutural está ancorada na premissa teórica do primado das práticas sobre as estruturas sociais e sobre o caráter funcionalmente diferenciado da sociedade em que vivemos. A mudança estrutural de esquerda não visa nem a destruição nem a substituição completa de sistemas sociais, mas sim a transformação dos padrões que orientam suas práticas, suas relações com os demais sistemas da sociedade e com os seres humanos. A concepção sobre os parâmetros normativos da política de esquerda tem como fonte a diferenciação funcional da sociedade e sua relação com a existência humana. Essa orientação normativa combina o pluralismo de valores e formas de vida da sociedade funcionalmente diferenciada com a concepção “subsocializada” do ser humano que ressalta sua transcendência em relação a qualquer contexto sociocultural. O pluralismo de valores que está na base na individualidade moderna é uma forma de vida que promove a transcendência do social a partir do social: ao poderem se desenvolver como seres não reduzidos a nenhum sistema social específico, e que participam de uma pluralidade deles, os humanos podem também experimentar a possibilidade de distanciamento do social como um todo.
Papel del farmacéutico comunitario costarricense en quimioterapia preventiva de parasitosis intestinal. Estudio exploratorio
Authors: Pereira-Céspedes Alfonso
Published: November 2023

Objetivo: Identificar intervenciones farmacéuticas, en quimioterapia preventiva de parasitosis intestinal, que promuevan la prevención de esta enfermedad y el uso efectivo y seguro de los antiparasitarios. 
Método: Estudio de opinión exploratorio, descriptivo transversal y multicéntrico donde se entrevistó, de forma presencial mediante un instrumento diseñado para tal fin, a 49 farmacéuticos comunitarios. 
Resultado: De la totalidad de los farmacéuticos comunitarios entrevistados, un 89.80% (n=44) comentó ofertar el servicio de indicación farmacéutica en caso de quimioterapia preventiva de parasitosis intestinal. Como parte de las intervenciones realizadas destacaron: derivación al médico u otro profesional de salud según criterios específicos (100.00%), dispensación de un medicamento antiparasitario (93.18%) y brindar recomendaciones higiénicas y dietéticas (79.55%). El albendazol y la nitazoxanida fueron los principales medicamentos indicados y dispensados.
Conclusión: Se evidencia la importancia del papel del farmacéutico comunitario costarricense, en quimioterapia preventiva de parasitosis intestinal, para la muestra estudiada, cuyas acciones favorecen el uso racional de antiparasitarios y la prevención de las parasitosis.
Atención farmacéutica en la bibliografía nacional e internacional
Authors: Ouadahi Elodie
Published: November 2023

Community pharmacy is the key to improving vitamin D levels. 

Lopez-Carmona, F.; Toro-Ruiz, Gomez-Guzman, A. M.; Valverde-Merino, M.; Piquer-Martinez, C.; Zarzuelo, M.I.

Exploratory Research in Clinical and Social Pharmacy, Volume 9, 2023, 2667-2766. https://doi.org/10.1016/j.rcsop.2023.100224

Polish Patients’ Needs and Opinions about the Implementation of Pharmaceutical Care in Diabetes.

Waszyk-Nowaczyk, M.; Guzenda, W.; Kamasa, K.; Zielińska-Tomczak, Ł.; Cerbin-Koczorowska, M.; Michalak, M.; Przymuszała, P.; Plewka, B. 

Int. J. Environ. Res. Public Health 2023, 20, 945. https://doi.org/10.3390/ijerph20020945

Evolving role of pharmacy technicians in pharmaceutical care services: Involvement in counselling and medication reviews.

Iheanacho, C.O.; Adeyeri, O.; Eze, U.I.H.

Exploratory Research in Clinical and Social Pharmacy, 5. 2022. 100113. 2667-2766. https://doi.org/10.1016/j.rcsop.2022.100113
Nano Food Science & Technology
Authors: Munawar Dr. Tappa Mohammad , Sarkar Prof. (Dr.) B. K. , Singh Prof. (Dr.) Reena , Singh Prof. (Dr.) Vandana
Published: November 2023

At a time when scientific innovations continue to redefine the boundaries of possibility, the field of food science is no exception. As we embark on a journey into the challenges and promises of nanofood science and technology, we find ourselves at the intersection of two worlds: cooking that has inspired humanity for centuries, and culinary practices that are changing the way we live. world science. Create, use and think about food. Nanofood science and technology is a new field changing the face of our food, offering an unprecedented opportunity to improve the quality, safety and sustainability of the food we eat. Entering the world of nanofood technology is a journey of curiosity and culinary inspiration. This poses an important question: How can we use the power of nanotechnology to create foods that not only delight our hearts but also support the health and stability of our bodies? This introduction sets the stage for research on nanofood science and technology, delving into the world of nanoparticles, their applications in the food industry, and the many implications this will have for our lives.
Merawat Pluralisme dan Pendidikan Demokrasi di Indonesia: Kontribusi Komunitas Gusdurian di Kota Makassar
Authors: M. Pakatuwo Laessach , Muhaemin Muhaemin , Ismail La Ode
Published: November 2023

Penulisan ini membahas bagaimana merawat pluralism dan demokrasi di Indonesia melalui kontribusi kontribusi komunitas Gusdurian di Kota Makassar? Jenis penelitian ini adalah penelitian kualitatif dengan menggunakan metode kualitatif deskriptif. Dalam penelitian ini, data diperoleh melalui field research (penelitian lapangan) yaitu mengkaji dan menganalisa literatur-literatur yang berkaitan dengan objek penelitian. Penelitian ini menggunakan beberapa pendekatan yaitu pendekatan sosiologis dan pendekatan fenomenologi agama. Adapun metode pengumpulan data yang digunakan penulis dalam penelitian ini yaitu melalui tahapan heuristik, kritik sumber, interpretasi dan historiografi. Hasil penelitian ini menunjukkan bahwa pertama, Komunitas Gusdurian Makassar merupakan sebuah komunitas yang berdiri pada tahun 2013 sebagai arena sinergis bagi para murid, pengagum dan penerus pemikiran serta perjuangan Gus Dur di Makassar. Kedua, Peranan komunitas Gusdurian dalam merawat pluralisme dan demokrasi, melalui berbagai kegiatan yang diselenggarakan seperti pojok kampus, kelas pemikiran Gus Dur, dialog lintas agama, gusdurian peduli clean the city, haul Gus Dur, Kampanye media sosil, aktivitas advokasi, ngaji demokrasi, workshop keberagaman gender dan forum bulanan. Ketiga, respon masyarakat terhadap eksistensi komunitas Gusdurian Makassar dalam merawat pluralisme dan demokrasi ditanggapi bahwa gerakan ini menjadi salah satu wadah dalam memperkuat memperkuat keberagaman tersebut yang mampu diwujudkan dalam bentuk kepedulian.
Pengenalan Aplikasi Stracthjr Untuk Siswa di SMA 1 Sinjai
Authors: Nur Fakhrunnisaa  , Edy Marwan Ramdhany , Hikmah Isnaini  , Nurul In
Published: November 2023

Pelatihan ini bertujuan untuk memperkenalkan aplikasi inovatif yang disebut StracthJR kepada siswa di SMA 1 Sinjai. Aplikasi ini dirancang khusus untuk meningkatkan pemahaman dan keterampilan siswa dalam pemrograman dan pengembangan perangkat lunak dengan pendekatan yang lebih interaktif dan menarik. Studi ini melibatkan siswa-siswa dari SMA 1 Sinjai sebagai partisipan utama dalam pengenalan aplikasi StracthJR. Mereka akan diberikan akses dan pelatihan awal dalam menggunakan aplikasi ini, yang dilengkapi dengan berbagai modul pembelajaran yang disesuaikan dengan kurikulum sekolah. Hasil pelatihan ini akan mencakup tanggapan siswa terhadap penggunaan aplikasi StracthJR, efektivitasnya dalam meningkatkan pemahaman pemrograman, dan dampaknya pada minat siswa dalam bidang teknologi dan komputer. Selain itu, pelatihan ini juga dapat memberikan panduan bagi pendidik dan pengembang aplikasi serupa untuk mengoptimalkan pengalaman pembelajaran siswa di masa depan. Hasil dari pelatihan ini menunjukkan aplikasi ScracthJR mampu meningkatkan pemahaman siswa dalam meningkatkan kemampuan pemrograman.
Pelatihan Mikrokontroller Berbasis Arduino Uno untuk Pemuda di Kelurahan Maccini Parang Kota Makassar
Authors: Ridwansyah  , Putri Ida Sunaryathy Samad  , Nuridayanti  , Dary Mochamad Rifqie  , Sudarmanto Jayanegara
Published: November 2023

Peningkatan kecepatan aksesibilitas informasi yang ditandai oleh lahirnya teknologi digital telah mengubah cara kita menjalani kehidupan kita sehari-hari. Keterampilan pada bidang teknologi ini dapat membantu kita mengatasi berbagai tantangan di era digital. Dari sekian banyaknya keterampilan dalam bidang teknologi dan informasi saat ini, kemampuan dan penguasaan dalam bidang Internet of Things (IoT) menjadi salah satu bidang yang cukup penting. Salah satu aspek kunci untuk dapat memahami teknologi Internet of things adalah dengan menguasai komponen mikrokontroller. Komponen tersebut adalah bagian utama dalam teknologi IoT. Kegiatan Pengabdian Kepada  Masyarakat  ini  berbentuk  pelatihan  dengan  tema  “Pelatihan Mikrokontroller Berbasis Arduino Uno Untuk Pemuda di Kelurahan Maccini Parang Kota Makassar”. Kegiatan ini bertujuan untuk meningkatkan keterampilan pada peseta tentang teknologi IoT khusunya Mikrokontroller yang menjadi komponen utamanya. Pelaksanaan kegiatan ini dilakukan dengan melakukan observasi awal dan berkoordinasi dengan ketua RT pada salah satu lokasi di Kelurahan Maccini Parang sebagai mitra kegiatan ini, dilanjutkan  dengan  tahap  pelaksanaan  kegiatan  pelatihan.  Adapun metode pelaksanaannya yaitu pemberian materi tentang mikrokontroller berbasis Arduino Uno, serta pengerjaan simulasi dan praktek penggunaan mikrokontroller itu sendiri.
ATTITUDES TO ALTRUISM AND SELFISHNESS IN BOYS AND GIRLS FOCUSED ON VIRTUAL OR REAL COMMUNICATION
Authors: Kashirskaya Irina
Published: November 2023

Altruism as a psychological phenomenon is actively studied by
social sciences but there is still no unity in understanding its nature and content.
We understand altruism as the opposite of egoism, tough not contradictory
but rather complementary phenomena. Communication in virtual
space and in social networks develops cognitive and emotional components
of altruism but makes it diffi cult to form a behavioral component of it. In
situations of real interaction, young people do not have the skills to provide
effective assistance to another person. The aim of the empirical study was to
identify the gender characteristics of egoism-altruism attitudes among high
school students who prefer a digital environment compared to high school
students who prefer real interaction. The work used a questionnaire and a
method for diagnosing the attitude to altruism or egoism by O.F. Potemkina.
The sample consisted of  boys and  girls. The majority of young men who
prefer real communication have a desire to help other people, an altruistic
attitude is fi xed as a moral principle, as an internalized social norm. Among
young men who prefer virtual communication, social activity is reduced,
they have a weakly expressed motive of social duty and social responsibility.
They are selfi sh, and as a result, they are not capable of altruistic behavior.
In girls with different forms of communication, attitudes to altruism-egoism
are expressed in a different proportion than in boys. Girls who prefer real
communication show a desire to help others. However, there are quite a lot
of those who turned out to be egoists, that is, they put their interests above
the interests of other people. Almost all the girls who prefer virtual communication
have demonstrated an attitude of selfi shness. They do not want to
take responsibility for themselves neither do they want to interfere in other
people’s lives.
SOCIO-PSYCHOLOGICAL ADAPTATION IN ADOLESCENTS WITH INTERNET-DEPENDENT BEHAVIOR
Authors: Mitrofanov Igor
Published: November 2023

Relevance. The problem of a modern teenager is in building relationships
with society and forming his adaptation in it. Digital technologies
are changing the structure of a teenager’s activity and his personal development.
The purpose of this study was to determine the stable Internet-dependent
behavior in adolescents as a factor infl uencing socio-psychological
adaptation. Research methods and sampling. S. Chen’s Internet Addiction
Scale (CTAS) and the Questionnaire of socio-psychological adaptation, SPA.
K. Rogers in the adaptation by A.K. Ositsky were used. The study was carried
out on the basis of MOBU Secondary schools No.  and No.  in Sochi.
The mathematical analysis was carried out on a sample of  people, aged
- years. Main results show that of the  participants, .% have a tendency
to develop Internet-dependent behavior, % belong to the group of
formed Internet-dependent behavior, .% have a low level of dependence.
According to the results of Spearman’s rank correlation, statistically significant
relationships were determined. () Internet-dependent behavior has
an impact on interaction with other people; joint activity also indicates an
increase in the rejection of the other with the recognition of uniqueness and
shortcomings. () Intrapersonal problems are interrelated with the rejection
of others, which affects self-acceptance, refl ections on the mental health of
the individual and adaptation to the requirements of society. () The scale of
intrapersonal and health-related problems and the infl uence of the Internet
space on the establishment of the daily routine are interrelated with the individual’s
predisposition to the external locus of control, when the tendency to
attribute the causes of what is happening to external factors dominates. They
are also interrelated with the level of adaptation of a teenager to existence in
society. The level of adaptation is reduced. Conclusion. The results obtained
indicate that stable Internet-dependent behavior is a factor infl uencing socio-
psychological adaptation. In this regard, teenager prefers to spend more
time in the space where experiencing fewer diffi culties is expexted.
PSYCHOLOGICAL PORTRAIT OF A MODERN YOUNG GAMBLER
Authors: Tarasova Sofya
Published: November 2023

This work is an attempt to describe the psychological profi le of
a modern young gambler. We have made a suggestion that they are either
characterized by aggressiveness or have expectations of aggression as an aggressive
image of the world. In this work we studied hostility, while adhered
to the principles of syndrome analysis. Methods and techniques included
Mini-Mult Test, The Buss-Perry Aggression Questionnaire, The Humorous
Phrases Test (HPT), The Hand Test, Psychological Conversation. Persistent
attendants of computer clubs in Dubna, Moscow oblast,  young people
aged from  to  –  young men and  young women – participated in the
research. Among them % of the participants spend more than  hours per
day gaming. Participation in the research was voluntary. Conclusions . The
participants of the research prefer massive multiplayer online (MMO) games,
role-playing games (RPG) being the most popular (%). Increases in profi le
were identifi ed for  subjects on the hypochondria scale and for  subjects
on the psychasthenia scale. The control group revealed more harmonic profi
les. Personality traits are more balanced; in most cases the leading peak is
registered on scale  (optimism scale). For average MMPI profi les differences
between gamblers and the control group on the schizoid disorder scale are
at a trend level (p = .). Most basic scales of the MMPI test have strong
positive correlation with hostility as a factor of being ready for aggression. .
According to the Humorous Phrases Test, the most important topics among
gamblers are human folly, gender relationships, fashion, carrier, and money.
Hypochondriasis, depressiveness, hysteria, and psychopathy in the MMPI
profi les are related to the topics of the HPT. Sensitivity of gamers to fashion
and folly topics can be interpreted as problems with communication, fear to
look ridiculous, unattractive. Fear to look ridiculous proves that gamblers are
maladaptive.
THE IMPACT OF DIGITALIZATION ON CHILDREN WITH SEVERE SPEECH DISORDERS (SSD)
Authors: Fomina Anna
Published: November 2023

The topic of the impact of digitalization on children with severe
speech disorders (SSD) is relevant because every year more and more
children start using smartphones, tablets and computers to learn, play and
communicate with other people. However, children with SSD may be particularly
vulnerable to the negative effects of digitalization. Therefore, the
issue of the impact of digitalization on children with SSD is important for
parents and teachers. Digitalization has a huge impact on various aspects of
lives for children of severe speech disorders. One of the main advantages of
digitalization for such children is the possibility of using special programs
and applications that help them develop speech and communication skills.
For example, special educational applications for children with speech disorders
that help them learn to pronounce sounds and words correctly, as well
as develop reading and writing skills. Such applications can be used as an
addition to regular classes with a psychologist, and as an independent tool
for speech development. Observation of children with SSD has shown that
the use of a computer optimizes the process of speech correction, and also
contributes to the harmonization of child development. Thanks to the use
of information and communication technologies in psychological work, the
cognitive activity of children increases. The use of presentations, computer
technologies increase the effectiveness of correctional and pedagogical work.
However, despite all the advantages of digitalization, its impact on children
with severe speech disorders can be ambiguous. Studies conducted on this
topic have shown that excessive use of digital technologies can lead to deterioration
of communication skills in such children as well as inhibit their
development in general. They will be inactive and obese, will have diffi culty
sleeping and may show aggression. In addition, modern children are very
susceptible to “clip thinking”, which arises in response to the abundant fl ow
of information. In general, the impact of digitalization on children with TNR
depends on how this technology is used. Parents and teachers should ensure
the correct use of gadgets and programs, as well as control the time spent by
children in front of the screen. This will help to avoid possible problems and
maximize the opportunities provided by digitalization.
Qualidade e estilo de vida dos profissionais do hospital municipal de Foz do Iguaçu
Authors: Souza João Paulo Batista de
Published: November 2023

Introdução: Fatores relacionados ao estilo de vida têm um impacto significativo na qualidade de vida (QV) dos profissionais de saúde. Nesse contexto, a QV desempenha um papel importante na qualidade da assistência à saúde. Objetivo: Avaliar a relação entre o estilo de vida e a QV entre profissionais de saúde do Hospital Padre Germano Lauck (HMPGL). Métodos: Foram avaliados profissionais do HMPGL de diferentes setores, por meio dos questionários: Socioeconômico, Estilo de Vida FANTASTICO (EV), Job Stress Scale (JSS), Nordic Musculoskeletal Questionnaire (NMQ) e a Escala Hospitalar de Ansiedade e Depressão (HADS).  Os resultados foram analisados quanto à normalidade de Shapiro Wilk, seguidos de análise de variância ANOVA e teste post hoc Dunn para comparações múltiplas com IC95%, seguido de correlação e regressão linear quando aplicado. Resultados: A correlação total entre EV e IMC foi de -0,151 p=0,039, na regressão linear stepwise teve R² 0,31 e p<0,017. A pontuação do EV mostrou que o setor de Pediatria (PED) obteve a pontuação maior em comparação com a Clínica Cirúrgica (CC) (71.87 +- 11,54 vs 64,69 +- 9,69, p=0.039). Nos domínios de EV referentes a Nutrição e Atividade, a PED também teve maior pontuação em relação a CC com respectivamente (7,12 +- 2,99 vs 4,53 +- 2,84, p=0,04) e (3,87 +- 2,16  vs 1,61 +- 1,71, p=0,011). No questionário HADS, na depressão o setor de CC teve maior pontuação do que a PED (11,00 +- 3,1 vs 11,00 +- 5,65, p=0,018). Além disso, o setor CC foi o que apresentou maiores pontuações na escala de NQM. Conclusão: Os resultados obtidos destacam as diferenças no EV entre os setores do HMPGL, o que podem impactar na QV e na prestação dos serviços de saúde, ressaltando a necessidade de implementar medidas de promoção à saúde e da QV no ambiente hospitalar.
Uma relação da qualidade alimentar com a percepção do estresse entre estudantes de medicina
Authors: Azevedo Maria Julia de Azevedo Barreira e , Pereira Paloma da Cruz , Louvain Ana Beatriz Godinho , Lima Daniel José Matos de Medeiros
Published: November 2023

Introdução: Ao ingressar em uma universidade, é comum a adoção de um estilo de vida mais sedentário e de uma alimentação inadequada. Ademais, o nível de sobrecarga e responsabilidade associado a rotina acadêmica da medicina pode desencadear níveis elevados de estresse, o que pode influenciar numa piora do comportamento alimentar. Objetivos: Avaliar a possível relação do estresse com a qualidade alimentar de estudantes de medicina do 1º ao 8º período. Métodos: Este é um estudo observacional transversal, que coletou dados através da aplicação dos questionários Rapid Eating Assessment for Participants - Shortened Version (REAPS) e Perceived Stress Scale 14 (PSS-14) adaptados para a língua portuguesa. O PSS-14 possui 14 questões pontuadas de 0 a 4, sua soma varia de 0 a 56 e quanto mais alta, maior a percepção do estresse. Já no REAPS a pontuação varia de 13 a 39 pontos, sendo quanto maior a pontuação melhor a qualidade alimentar. Autorizado pelo CEP 40145420.0.0000.5244. Resultados: Até o momento foram 129 participantes, dos quais 45 (34,9%) são do sexo masculino e 84 (65,1%) do sexo feminino, com idade média de 21±4,5 anos. A média dos escores dos questionários REAPS e PSS 14 foi, respectivamente 28,0±4,0 e 31,0±8,6. O 1º período demonstrou melhor desempenho no REAPS (29,3±3,2), enquanto o 4º período registrou a pontuação mais baixa (26,6±3,9). No que diz respeito ao PSS 14, o 7º período obteve o escore mais alto (35,5±8,1), e o 8º período o mais baixo (25,6±3,8). Os alunos que moram com os pais, apresentaram pior pontuação no REAPS (27,9±4,2), os que moram com colegas têm maior pontuação no PSS-14 (32,8±9,0). Conclusão: Os resultados deste estudo preliminar ainda são incertos em relacionar a qualidade alimentar e os níveis de estresse entre os períodos de graduação. É importante considerar o impacto do estresse na alimentação, necessitando de estratégias direcionadas para melhorar hábitos alimentares e gerenciar o estresse ao longo da formação.
Implantação e impacto da disciplina de medicina culinária no quarto ano do curso de medicina na Universidade de São Paulo, USP, Brasil
Authors: Morais Maria Gorete Teixeira de , Salomão Sarah Lopes , Mauad Thais , Ferraz Luiz Fernando
Published: November 2023

Introdução: A medicina culinária tornou-se área em expansão no mundo e no Brasil nos últimos 5 anos. Os primeiros passos como disciplina eletiva e optativa feitos em 2018, em 2023 consolida-se como disciplina obrigatória. Objetivo: Relatar essa conquista  é de fundamental importância para conhecer  e consolidar a Medicina Culinária  em nosso país. Método: O curso foi desenvolvido dentro da experiência anterior optativa da Universidade de São Paulo e os determinantes sociais de saúde em nosso país que nos colocam a necessidade de desenvolver conteúdos que contemplassem os nossos pilares de: sustentabilidade com minimização de resíduos, aproveitamento integral de alimentos, densidade nutricional e bons hábitos alimentares para a nossa saúde planetária. Disponibilizadas 20 horas de aula e alunos do quarto ano para a implantação. Ambiente teórico-prático com metodologias ativas foram empregadas. Os alunos avaliados em três tempos: zero, 3 meses e 6 meses. Análises quali e  quantitativas foram realizadas. Resultado: Participaram das disciplinas todos os 57 alunos regularmente matriculados no quarto ano. Os mesmos receberam material didático sobre alimentação saudável, determinantes sociais, aproveitamento integral dos alimentos inseridos no curso de Metabolismo. Foram avaliados quanto ao conhecimento curricular com provas abertas de acerto médico de 85%. Tiveram presença de 90% em todas as atividades. Dos participantes do questionário, a primeira avaliação após 3 meses das respostas enviadas teve como objetivo avaliar a aplicação prática pessoal e profissional. Mais de 50% responderam com nota 10 a importância para sua prática profissional e com média de 64% de mudanças nos próprios hábitos principalmente no tipo de alimento consumido e no hábito de cozinhar em casa. Conclusão: Os resultados mostram que a implantação do curso de medicina culinária  impactou de forma positiva, foi identificado como importante pelos alunos, atuou na capacidade de orientar pacientes , auxiliar nas práticas clínicas e ainda também  tornou-se potente veículo de autocuidado contribuindo para a saúde dos estudantes envolvidos.
A influência do mindfulness no sistema imunológico: uma revisão narrativa
Authors: Bueno Emely Hemeterio , Oles Helena , Huang Nancy
Published: November 2023

O mindfulness visa a aceitação de forma consciente e sem julgamentos do momento presente. Estudos sugerem benefícios, como impactos no sistema imunológico. Foram levantados 56 artigos dos últimos 5 anos no PubMed e cerca de 17 mil no Google Scholar usando os descritores “mindfulness” e “immune system”, em inglês e português. Sendo selecionados ensaios clínicos, revisões literárias, estudos longitudinais, exploratórios e pilotos, resultando em 11 artigos. Excluiu-se os que não se alinhavam ao tema e que não fossem de acesso livre. Sete estudos sugerem efeitos positivos no sistema imunológico. Um deles demonstrou diminuição na interleucina (IL) 6 e IL-8 e alta circulação de glutationa e cisteína com o Mindfulness-Based Health Program for Educators. Outros, com a Meditação Mindfulness, revelaram alteração em locais de metilação de genes ligados à imunidade e diminuição na expressão gênica da resposta transcricional conservada à adversidade relacionada à inflamação, fortalecendo o sistema imune. Em outro, houve restabelecimento de células natural killer (NK) e citocinas e diminuição de cortisol em indivíduos com câncer sujeitos ao Mindfulness-Based Stress Reduction. Quatro deles não encontraram associações positivas a níveis de monócitos, IL-6, IL-8, IL-10, fator de necrose tumoral alfa, interferon gama, proteína C reativa, atividade fagocítica, cortisol sérico, células T, B e NK, dímero D e carga viral do Vírus da Imunodeficiência Humana. Estudos com intervenções de 6 a 8 semanas obtiveram resultados inconsistentes. Conclui-se que a padronização de parâmetros para avaliar a resposta imunológica é crucial para resultados mais concludentes. Os fatores como a heterogeneidade de amostra, dos protocolos de intervenção e da assiduidade às práticas contribuem para a evidência fraca do benefício do mindfulness no sistema imune. Logo, são necessários estudos com desenhos mais homogêneos para aumentar a evidência científica no tema.
Mortalidade por transtornos mentais e comportamentais no Brasil: uma análise dos últimos 10 anos (2013-2022)
Authors: Ribeiro Gabrielle Cabral de Santana , Souza Laiane Kelly Chaves de , Ferreira Kércia Carvalho , Barbosa Ana Júlia Medeiros , Viana Neta Ildete Silva , Valadão Patrícia Aparecida da Silva , Farias Tatiana Marins
Published: November 2023

Introdução: Os problemas de saúde mental são comuns em todos os países do mundo.  Em 2019, segundo a Organização Mundial da Saúde (OMS), quase um bilhão de pessoas viviam com um transtorno mental, esse valor aumentou mais de 25% no primeiro ano da pandemia da COVID-19. O Brasil, de acordo com a OMS, ocupa o primeiro lugar em prevalência dos transtornos ansiosos e o terceiro lugar em transtornos depressivos. Os Transtornos Mentais e Comportamentais (TMC) foram responsáveis por mais de uma em cada 100 mortes e 58% das mortes ocorreram antes dos 50 anos de idade. Saber a tendência de mortalidade por essas condições é imprescindível para direcionar políticas de saúde pública. Objetivo: Analisar a tendência de mortalidade por transtornos mentais e comportamentais, entre os anos de 2013 a 2022, no Brasil. Metodologia: Realizou-se um estudo ecológico de análise temporal, que utilizou dados do Sistema de Informações sobre Mortalidade (SIM) por transtornos mentais e comportamentais no Brasil. Foi criado um banco de dados através do software Microsoft Excel 2010, no qual as informações foram analisadas. A taxa de mortalidade (tM) foi calculada a partir da seguinte equação: tM=n óbitos X 100.000/ população. Resultado: O Brasil teve 146.716 óbitos, no período analisado, com tM média anual de 7,09. Avaliando cada região, as unidades federativas com a maior tM média por TMC em relação aos óbitos totais foram Tocantins (Norte) com 7,52, Sergipe (Nordeste) com 14,53, Minas Gerais (Sudeste) com 11,85, Paraná (Sul) com 8,4 e Distrito Federal (Centro-Oeste) com 8,91. A taxa de variação da mortalidade foi maior entre os anos de 2019 e 2020 (0,17). Conclusão: Houve uma tendência de aumento nos óbitos por TMC no Brasil ao longo dos anos analisados, principalmente entre 2019 a 2020, registrando a maior variação de tM por TMC, demonstrando que a questão se agravou durante o período da pandemia da COVID-19. Portanto, nota-se um problema de saúde pública que merece atenção e ação pelo sistema de saúde e sociedade em geral.
Bleeding Duodenal Diverticula Managed With Surgical Resection: A Case Report
Authors: Lopez Marc Paul , Deogracias Jan Miguel , Maglangit Sittie Aneza Camille , Manlubatan Sofia Isabel
Published: November 2023

The duodenum is the most common extra-colonic site of diverticulum. If present, it rarely manifests with symptoms or complications. A case is discussed involving a 78-year-old female who presented with massive upper gastrointestinal bleeding from duodenal diverticula. Due to hemodynamic instability, she eventually underwent duodenal resection, with a side-to-side duodenojejunostomy as a means of restoring intestinal continuity. The postoperative course was unremarkable. The patient was able to feed enterally and had no recurrence of bleeding. Conclusion/Learning Points: Duodenal diverticula are rarely symptomatic but remain to be a valid differential diagnosis for cases of massive upper gastrointestinal bleeding. It must be recognized in order to provide the most appropriate management. Surgical resection is indicated for patients who present with hemodynamic instability, or failure to improve by conservative or endoscopic means Key words: upper gastrointestinal bleeding, duodenal diverticulum
Extra pancreatic Primary Retroperitoneal Solid Pseudopapillary Neoplasm: A Case Report
Authors: Dionisio Ashley , Tecson Bayani
Published: November 2023

Solid pseudopapillary neoplasm (SPN) is a rare pancreatic neoplasm. This case reports a 63-year-old female previously diagnosed with bilateral adrenocortical carcinoma post resection who presents with persistent epigastric pain. Suspicions for recurrence prompted diagnostics revealing retro pancreatic and left suprarenal foci, both suspicious for malignancy. Resection of both tumors yielded a moderately to poorly differentiated retro pancreatic carcinoma with differentials not limited to recurrence and pancreatic neuroendocrine tumor with a left suprarenal lymph node. Immunohistochemistry was then done and was consistent with SPN having a strong expression for b-catenin, vimentin, pan cytokeratin. It was non-specific to melan-A and negative for chromogranin A, synaptophysin, inhibin-a and CD10. At 6 months’ follow up, patient is clinically well and abdominal CT scan showed no recurrence. SPNs can masquerade as other neoplasms having similar clinical, radiologic and histopathologic features. Immunohistochemistry thus plays a crucial role for accurate diagnosis and management. Surgical resection still remains the treatment of choice and can provide a 95% overall survival rate, while limited evidence supports the use of adjuvant chemotherapy or radiation. Key words: Solid pseudopapillary neoplasm, extra pancreatic, immunohistochemistry
Special series on the District Health System
Authors: Schneider H , Masilela T , Mndebele J , Vallabhjee K , Petersen I , Gilson L , Engelbrecht B
Published: November 2023

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The accuracy of the Thompson score in predicting early outcome in neonates with hypoxic ischaemic encephalopathy treated with therapeutic cooling in a tertiary hospital
Authors: Maphake J , Naidoo H , Coetzee M , Becker P J
Published: November 2023

Background. Hypoxic ischaemic encephalopathy (HIE) is one of the major contributors to neonatal mortality and morbidity in developing countries. Scarcity of resources limits clinicians in optimally caring for these patients. Optimal utilisation of clinical tools such as the Thompson score (TS) can assist in improving care by classifying the severity of HIE followed by appropriate treatment.Objectives. The primary objective was to study the correlation of the TS and early neonatal outcomes in infants with HIE who received therapeutic hypothermia (TH). Secondary objectives were to investigate the correlation of blood gas values with the TS, need for resuscitation with TS, target organ damage (TOD) with TS and the most common risk factors associated with HIE in Tembisa Provincial Tertiary Hospital (TPTH).
Methods. This was a retrospective record review of infants admitted with HIE from January 2018 to August 2019 at the TPTH neonatal unit. Infants had to have successfully completed TH.Results. Ninety-three infants met the inclusion criteria, with 32, 48 and 13 being classified into the mild, moderate and severe categories by TS, respectively. The median length of stay (LOS) was noted to rise with a rising TS, recorded to be 7, 8 and 9 days in the mild, moderate and severe groups, respectively. The mortality rate in the study was calculated to be 2.1%, and there was no significant difference across the groups (p=0.231). A need for antiseizure medication (ASM) on discharge was significantly associated with severe HIE (p=0.028). Hypertension was a frequent chronic illness, noted in 11.3% of the mothers. The most frequent perinatal risk factor was meconium aspiration (50.5%), followed by prolonged second stage of labour (PSSL) (17.2%). A higher TS (severe group) was associated with prolonged resuscitation for >10 minutes (p=0.001) and a need for adrenaline (p=0.008). The frequency of cardiac impairment, liver impairment and clinical seizures increased with a higher TS category (p=0.23, p=0.35 and p=0.51, respectively). On blood gas analysis, a low pH and a high base deficit were associated with severe HIE (p=0.027, p=0.061 respectively).
Conclusion. The TS is still a useful clinical tool in the era of TH as it is able to predict some early neonatal outcomes such as LOS and a need for ASM at discharge. It is also able to demonstrate increased frequency of duration of resuscitation and a need for adrenaline in severely encephalopathic infants compared with mild. A high TS is also associated with severe metabolic acidosis and increased frequency of TOD. Maternal hypertension, meconium-stained liquor and PSSL are the common risk factors for HIE at TPTH.