bluuebunny/crossref_metadata_2025 huggingface dataset:
Current perspectives of using vitamin D in clinical practice
Authors:   Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation, Maltsev S.V.
Published: November 2022

An approach to problem solving in public health has revived interest to the prevalence rate of vitamin D deficiency, its role in the pathogenesis of various disease, and strategies for treating vitamin D deficiency. The article presents updates on vitamin D metabolism — its classical and non-calcemic actions. The emphasis is made on the effects of its individual metabolites and other components of the vitamin D endocrine system, such as hydrolase, vitamin-D receptors, and vitamin-D-binding protein (VDBP). The functions of vitamin D are characterized as genomic and non-genomic, including immunomodulatory effect. In particular, the role of vitamin D in patients with COVID-19 is elucidated. The vitamin-D endocrine system plays a special role during pregnancy and in children of all age groups. The article highlights the latest data on vitamin D provision, individual variability in the responses to the same vitamin D dose, as well as the findings of a new research area relating to the content of vitamin D metabolites in food of animal origin. Also, it describes vitamin D intoxication which is usually linked to the impaired regulation of vitamin D metabolism. The clinical efficacy of cholecalciferol agents is demonstrated. KEYWORDS: cholecalciferol, vitamin D metabolism, vitamin D-endocrine system, pregnant women, children, adolescents, vitamin D provision, individual response to vitamin D, food of animal origin, vitamin D intoxication, hypervitaminosis D. FOR CITATION: Maltsev S.V. Current perspectives of using vitamin D in clinical practice. Russian Journal of Woman and Child Health. 2022;5(3):244–252 (in Russ.). DOI: 10.32364/2618-8430-2022-5-3-244-252.
Late diagnosis of bronchial foreign body aspiration in a 14-year-old teenager
Authors:   M.F. Vladimirskiy Moscow Regional Research and Clinical Institute, Moscow, Russian Federation, Bokova T.A. ,   Pirogov Russian National Research Medical University, Moscow, Russian Federation, Vakurova E.S. ,   M.F. Vladimirskiy Moscow Regional Research and Clinical Institute, Moscow, Russian Federation, Verbovsky A.N. ,   M.F. Vladimirskiy Moscow Regional Research and Clinical Institute, Moscow, Russian Federation, Bevz A.S. ,   M.F. Vladimirskiy Moscow Regional Research and Clinical Institute, Moscow, Russian Federation, Temendarov A.R. ,   M.F. Vladimirskiy Moscow Regional Research and Clinical Institute, Moscow, Russian Federation, Bokova O.A. ,   M.F. Vladimirskiy Moscow Regional Research and Clinical Institute, Moscow, Russian Federation
Published: November 2022

The article describes a clinical case of late-diagnosed bronchial foreign body aspiration in a 14-year-old girl. The unusual clinical course and patient’s complaints, the lack of primary care physicians’ awareness caused the diagnostic delay and underpinned the initial misdiagnosis (pneumonia, acute tracheitis, bronchitis, lung abscess, TB-infection suspicion). The diagnostic errors led to the improper case management and the unjustified administration of repeated courses of antibiotics, and multiple X-ray examinations. Bronchoscopy which helped to make the final diagnosis and allowed removing the foreign body from the bronchus, was performed only nine months after the onset of clinical symptoms and patient’s complaints. The article is discussing all stages of diagnostic process, both during outpatient follow-up and in hospital settings. The emphasis is put on the importance of collecting patient’s health history which led to the suspicion for an airway foreign body. The bronchoscopy tactics are described as the main diagnostic and therapeutic method for identifying and removing a foreign body from the respiratory tract. Based on the appropriate sequence of steps and the accuracy of manipulation, all bronchoscopy stages were completed without complications, and all clinical symptoms relieved. KEYWORDS: foreign body, children, tracheobronchial tree, bronchoscopy, lavage. FOR CITATION: Bokova T.A., Vakurova E.S., Verbovsky A.N. et al. Late diagnosis of bronchial foreign body aspiration in a 14-year-old teenager. Russian Journal of Woman and Child Health. 2022;5(3):277–283 (in Russ.). DOI: 10.32364/2618-8430-2022-5-3-277-283.
The Development of the Vaccination and Medical Technology in Korea: Transition From Variolation to Cowpox Vaccine and Gap between Medical Knowledge and Technology
Authors:   The Korean Association for the Social History of Medicine, Sihn Kyu-hwan
Published: November 2022

In Korea, variolation (inoculation with Variola pus) and cowpox vaccine have been understood from the perspective of superiority and inferiority, but recently, the modernity and historical role of variolation are being re-examined. In addition, the role of Jeong Yak-yong(1762-1836), who introduced both variolation and cowpox vaccine, is also drawing attention in the process. However, the foundation for the spread of variolation and cowpox vaccine in Korea was very weak. This was due to a combination of several factors, including political repression against Western studies, and lack of medical knowledge networks as well as of public support and technology for securing and inoculating vaccine lymph. Among them, this article focuses on the importance of the original technology, which has been overlooked in the research on vaccination, such as the collection, storage, and inoculation technology involving vaccine lymph. Without vaccine lymph, vaccination is impossible. In the case of variolation, there was no difficulty in securing vaccine lymph as it was collected from a smallpox patient. However, in the case of cowpox vaccine, there was a problem of stability and technical difficulty in term of matured and freshly extracted vaccine lymph. In the case of cowpox vaccine, it was necessary to secure cowpox lymph, but until the first half of the 19th century, there was no way to secure cowpox lymph in Korea. It was impossible to produce on its own, and the cowpox lymph imported from abroad became rotten and thus ineffective. Unless vaccine lymph was secured, no matter how good the inoculation method was, it was useless. Variolation and cowpox vaccine were in a relationship of succession both theoretically and technologically. However, to be precise, what was used in cowpox vaccine was not Chinese-style, but Turkish-style(or Western-style) variolation. Whereas Chinese-style variolation was a method of blowing vaccine lymph into nostrils, Western-style variolation was a method of making an incision on the skin of the forearm and inoculating vaccine lymph in the incised area. Therefore, in order for the Chinese-style variolation to evolve to cowpox vaccine, it was necessary to explain and persuade why vaccine lymph should be inoculated and why the skin of the forearm should be incised. In Korea, the evolution of variolation to cowpox vaccine met a major obstacle due not only to political, social, and medical doubts but also to medical and technological factors such as the transmission of technology to secure and inoculate vaccine lymph.
Prediction of Symptoms of Psychosomatic Disorders in University Students Based on Perfectionism Mediated by Smartphone Addiction
Authors:   Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran., Feizollahi Zahra , Asadzadeh Hassan ,   Department of Educational Psychology, School of Psychology and Education, Allameh Tabataba'i University, Tehran, Iran., Mousavi Sayed Rohollah ,   Education Research Institute, Department of Education, Gorgan, Iran
Published: November 2022

Background: Among the main consequences of smartphone addiction are negative psychological effects, physical conditions, and psychosomatic disorders. This study aimed to investigate the relationship between perfectionism and symptoms of psychosomatic disorders mediated by smartphone addiction in university students. Materials & Methods: The study was a descriptive correlation performed employing path analysis. The statistical population consisted of all students of the Islamic Azad University- Ahvaz Branch in the academic year 2020-2021, of whom 254 students were selected as the sample through convenience sampling. The data were collected using DSM-5 Somatic Syndrome Disorder Scale, Smartphone Addiction Scale (SAS), and Ahvaz Perfectionism Scale (APS). The evaluation of the proposed research model was performed using the path analysis method through AMOS-23. Results: The results showed that there was a direct relationship between perfectionism and smartphone addiction (β= 0.30, P= 0.001) and also a significant relationship between smartphone addiction and symptoms of psychosomatic disorders (β= 0.28, P= 0.001) in the university students. Moreover, the relationship between perfectionism and symptoms of psychosomatic disorders was completely mediated by smartphone addiction (β= 0.22, P= 0.001). Conclusion: According to the results, the proposed model had a good fit. Therefore, training the youth in the correct use of smartphones can reduce the effects of perfectionism on symptoms of psychosomatic disorders.
Firefighter's Job-Related Stress Assessment in Operation Department of Fire Stations
Authors:   Department of Health Education and Promotion, School of Health, Guilan University of Medical Sciences, Rasht, Iran, Merabian Fardin , Kasmaei Parisa ,   Department of Health Education and Promotion, School of Health, Guilan University of Medical Sciences, Rasht, Iran, Atrkar Roushan Zahra ,   Department of Community Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran, Heidari Mahmood ,   Department of Occupational Health and Safety, School of health, Guilan University of Medical Sciences, Rasht, Iran, Khalili Rad Naghmeh ,   Department of Health Education and Promotion, School of Health, Guilan University of Medical Sciences, Rasht, Iran
Published: November 2022

Background: Increasing job-related stresses among firefighters not only affect the incentive of work but also cause a reduction in productivity. Objectives: This study was conducted to investigate job-related stress situations among firefighters and its related factors. Materials & Methods: This cross-sectional study was performed on 184 employees of operation department of fire stations of Rasht in April and May 2015. Health and Safety Executive tool was used to assess stress score among participants. Results: Of total, 141 subjects were participated in the study (response rate= 77%). The prevalence of moderate and high job-related stress among firefighters was 2.1%, which have been experienced severe stress and need rapid intervention. the prevalence of low stress that need to improve their stress situation was 88.7% (125 firefighters). 13 firefighters (9.2%) had no stress and were on ideal conditions and this situation should be maintained. Conclusion: Firefighters have great responsibility in saving people lives, thus periodic reviews on firefighters is essential to determine the level of stress and its early identification and prevention. Training of firefighters on ways of coping and empowerment can be effective in promoting their health and improving rescue services.
Teacher Instructional Communication on Biology Learning During a Pandemic at SMA Negeri 10 Depok
Authors: Kisworo Bheny , Wibisono Masodah
Published: November 2022

The purpose of this research is to find out the teachers’ instructional communication in biology learning during the Covid-19 pandemic at SMA Negeri 10 Depok. This research uses qualitative approach with constructivist paradigm. The subjects of this research are 3 (three) Biology teachers, 1 (one) vice principal, and 3 (three) active students at SMA Negeri 10 Depok. Data collection techniques use interviews, observations, and document studies. The results shows that the implementation of learning at SMA Negeri 10 Depok is carried out in a face to face mode and online structured assignments by using the google suite for education platform. Instructional communication conducted by biology teachers during the pandemic at SMA Negeri 10 Depok was effective this is indicated by the evaluation results which show the achievement of student competencies above the minimum competencies determined by the school and has implemented the steps of instructional communication well including determining content and objectives specifications, measuring initial behavior, determining strategies, organizing instructional units, and feedback.
Uso medicinal da Cannabis sativa L. (Cannabaceae): aspectos biológicos e a legislação no Brasil
Authors: Silva Emily Thalia Teixeira da , Almeida Junior Luiz Domingues de
Published: November 2022

A Cannabis sativa L. (Cannabaceae) é utilizada pelo ser humano a milhares de anos, sendo uma planta, atualmente, muito estudada no desenvolvimento de medicamentos, e o seu uso medicinal in natura têm sido amplamente discutido, dada a sua potencialidade farmacológica. O presente artigo descreveu os aspectos farmacológicos e a legislação associados à Cannabis sativa L. no Brasil através de uma revisão de literatura, feita por meio de consultas em bases de dados indexadas e portais institucionais. Cannabis sativa L. possui uma ampla variedade de substâncias químicas, sendo o delta-9-tetra-hidrocanabinol, canabidiol, canabigerol, canabinol e o delta-8-tetra-hidrocanabinol os mais conhecidos e estudados. O organismo humano apresenta uma série de receptores canabinoides, e a modulação desses receptores está associada ao uso medicinal da planta. No Brasil, a utilização de Cannabis sativa L. e seus derivados passaram por inúmeras fases legais, desde a criminalização, a partir de 1932, até a autorização de medicamentos contendo canabinoides, em 2019. No contexto tecnológico e científico existe uma constante busca por elucidar as potencialidades da planta. Porém, esses fatores confrontam com os aspectos legais e sociais.
Prevalência do uso de fitoterápicos em mulheres com sintomas de climatério
Authors: Hoefel Ana Lúcia , Sartori Kahena Barros
Published: November 2022

Menopausa, final do período reprodutivo de uma mulher, tem o diagnóstico confirmado após 12 meses de amenorreia. Representa a queda hormonal ovariana, que se inicia bem antes, um período é denominado climatério. O qual pode ser acompanhado por sintomas desagradáveis, e muitas mulheres buscam alternativas para amenizá-los. O uso de plantas medicinais é tão antigo quanto a humanidade, e tem sido proposto como alternativa para redução de sintomas climatéricos. Esse estudo epidemiológico transversal teve como objetivo avaliar a prevalência de sintomas e de uso de fitoterápicos em mulheres climatéricas usuárias de uma rede social. Utilizou-se um questionário padronizado e a coleta de dados foi online. O diagnóstico do climatério foi por autorreferência. Participaram do estudo 139 mulheres, em relação ao uso de fitoterápicos, observamos que 57,6% (n = 80) fazem uso de fitoterápicos, quanto ao tipo de fitoterápicos utilizados, nove foram listados pelas mulheres, sendo que o mais utilizado é a amora branca (morus alba) (22,98%). Os sintomas estavam presentes em 100% da amostra e o uso de fitoterápicos mostrou-se frequente entre as mulheres climatéricas, sendo a morus alba a mais citada, embora não tenham sido documentados ensaios clínicos com o fitoterápico.
Investigations on the Experimental Setup for Testing the Centric Tensile Strength According to ASTM C307 of Mineral-based Materials
Authors: Dahlhoff Annette , Winkels Bernd , Morales Cruz Cynthia , Raupach Michael
Published: November 2022

Centric tensile tests often exhibit high standard deviations due to various factors, hence various test setups have been developed in the past. Based on the specifications in ASTM C307-18, the experimental setup was further developed to reduce the standard deviation resulting from the test setup itself and thus to obtain reliable, reproducible test results. Furthermore, it has been investigated, whether the test setup is suitable for materials of low strength. In the further developed experimental setup three mineral-based materials with tensile strengths in the range of 0.4 to 5.9 MPa were examined and compared to ASTM C307-18. For this purpose, the optical 3D-measurement system ARAMIS® and a positioning adapter designed for the specimen geometry were used to validate and verify the developed experimental setup and to ensure a consistent position of the specimen.  For the low strength mineral-based materials tensile strength tests could be implemented and recommendations for the test parameters test speed, preload and required number of specimens could be developed.
AFTERCOVID: TOWARDS PRODUCING A WEB-BASED APPLICATION FOR MONITORING LONG COVID SYNDROME PATIENT
Authors: Ahmad Tarmizi Aida , Ariffin Asma Hanee , Mansor Marzita , Sulaiman Suliana , Abdul Wahid Rohaizah
Published: November 2022

The long-term consequences of COVID-19 or Long COVID syndrome is a normal illness, both physical and emotional affected the ex-COVID-19 patients. Some people with this syndrome still not getting a proper treatment and support, especially mentally support. Thus, AfterCOVID web application been built as a platform to help Long COVID Syndrome patient in their recovery process. This web-based application is developed based on Waterfall model to make sure that process can be synchronized with all the requirements and can be completed in time. Based on this model, there are five phases as guideline, which are Requirement, Design, Implementation, Verification and Maintenance. In general, this AfterCOVID web application allows user to view how many people register to the application so that they know that they are not alone. User also can record their daily health condition such as blood pressure, oxygen saturation and new symptoms. Besides, they can view useful information such as exercises, breathing techniques andany programs that runs by an organization for Long COVID patients. Usability testing has been held for this first AfterCOVID prototype system and it managed to get grade B (78%) from the test result, which is based on System Usability Scale (SUS). Hopefully, this application can help Long COVID Syndrome patients stay stronger and give community knowledge about the effects of COVID-19.
ANALYSIS OF THE ATTRACTIVENESS OF SOCCER: A GAME REFINEMENT MODEL AND THE SIGNIFICANCE OF “ANTAGONISTIC RATE”
Authors: Hao Li , Khalid Mohd Nor Akmal , Iida Hiroyuki
Published: November 2022

Soccer (or association football) is now the most popular sports game in the world. Various underlying factors may explain its reasons to be popular. However, there is no underlying explanation as to why the nature of the game processes was appealing to all people of all ages. However, measuring such subjective metric were empirically challenging and costly. In this paper, a mathematical model of a soccer game is established based on the game refinement theory, where the internal processes of a soccer game are explored where interpretation based on the “antagonistic rate” is established. Based on such measures, two stages were identified in the soccer game, and various soccer leagues' data were utilized as the testbed. Further analysis of the soccer game was determined based on physics in mind measure using correspondence of Newtonian law of motions. These measures provide insights into the game stages' underlying entertainment value, as well as a new perspective on the soccer game attractiveness.
Extreme Delta Brush em traçado de eletroencefalograma – primeiro relato de caso em crise tireotóxica
Authors: Lunardi Mariana dos Santos , Freitas Ricardo Góes , Junior Adaucto Wanderley da Nóbrega , Cavagnollo Márcia Tatsch , Coelho Iara de Sousa , Andrade Natália Nara Park , Duarte Edson Pillotto , Bergamaschi Eduardo de Novaes Costa , Lin Katia
Published: November 2022

Relato de caso
Desenvolvimento de um simulador para treinamento de sutura em um curso de medicina
Authors: Ronsoni Bernardini Victor Hugo , De Araujo Edevard José , Soares Maia Vieira de Souza Eduardo , Vaz Teixeira Gilberto
Published: November 2022

Introdução: O ensino baseado em simulação emergiu como importante ferramenta na educação médica, embora com custos elevados para a maioria dos modelos de ensino disponíveis. Desse modo, tem crescido a busca pelo desenvolvimento de novos simuladores para o treinamento de habilidades cirúrgicas, especialmente após a tendência de redução do uso de animais como modelos de ensino. Objetivo: Desenvolver e avaliar um método substitutivo para o treinamento de sutura no Laboratório de Técnica Operatória e Cirurgia Experimental (TOCE) do curso de Medicina da Universidade Federal de Santa Catarina (UFSC). Método: O simulador foi confeccionado à base de material composto por mistura de silicone e amido de milho para representar a pele humana. Foram avaliadas 10 características essenciais aos simuladores cirúrgicos descritas na literatura: versatilidade, potencial de rompimento, durabilidade, fidelidade, elasticidade, reprodutibilidade, disponibilidade, facilidade de armazenamento, portabilidade e baixo custo. Tais aspectos foram analisados através da aplicação de técnicas de sutura pelos autores, escolhidas com base no plano de ensino da disciplina de TOCE do curso de Medicina da UFSC e em dados da literatura sobre ensino de habilidades cirúrgicas na graduação médica. Resultados: As características consideradas adequadas foram: versatilidade, potencial de rompimento, durabilidade, elasticidade, reprodutibilidade, disponibilidade, facilidade de armazenamento, portabilidade e baixo custo. A fidelidade foi a única característica considerada inadequada. Conclusões: Com base nos aspectos contemplados pelo simulador, conclui-se que o modelo é viável para o objetivo proposto e financeiramente acessível, apresentando qualidades que corroboram o seu uso no cotidiano de ensino de técnicas de sutura para estudantes de medicina.
A INFLUÊNCIA DO USO DE SMARTPHONES NA AQUISIÇÃO DA LINGUAGEM: ARTIGO DE REVISÃO
Authors: Lin Jaime , Rabaioli Caroline Talhieti , Da Costa Maiara de Aguiar , De Rezende Victória Linden , Netto Bruna Bittencourt , Gonçalves Cinara Ludvig
Published: November 2022

Nas últimas décadas tem se observado um aumento significativo no número de casos de atraso no desenvolvimento da linguagem e da fala, cujas causas ainda não são totalmente conhecidas. Coincidentemente, uma das principais alterações ambientais ocorridas neste período foi a maciça introdução de aparelhos de telefonia móvel (os smartphones) em noss sociedade. O objetivo deste artigo é revisar a literatura atual explorando a hipótese de que o uso precoce e excessivo destes aparelhos pelas crianças e, extensivamente por seus pais e cuidadores pode estar associado a este atraso no neurodesenvolvimento. Enquanto mais pesquisas são necessárias para se provar alguma relação causal, é razoável propor um uso mais racional e saudável, reduzindo seu uso ao mínimo necessário nos momentos de interação com as crianças ainda em fase de desenvolvimento.
Comorbidades Psiquiátricas no Transtorno do Espectro Autista: Um Artigo de Revisão
Authors: Ronzani Leticia Domingos , Lin Jaime , Netto Bruna Bittencourt , Da Costa Maiara de Aguiar , De Rezende Victória Linden , Gonçalves Cinara Ludvig
Published: November 2022

O Transtorno do Espectro Autista (TEA) é um distúrbio do neurodesenvolvimento, heterogêneo e de forte componente genético. Possui alta prevalência de comorbidades psiquiátricas, explicada tanto por mecanismos fisiopatológicos semelhantes quanto por sobreposição de sintomas e fatores externos, questões que podem tanto dificultar o diagnóstico da associação quando gerar mecanismo agravante entre os distúrbios. Nesse sentido, o entendimento dessas comorbidades se faz importante visto que seu diagnóstico e manejo se relacionam a melhores prognósticos e desfechos no acompanhamento do TEA. Por esses fins, a presente revisão objetiva abordar aspectos atuais de interesse clínico e científico sobre as comorbidades psiquiátricas do TEA.
Severidade das crises epilépticas e qualidade de vida dos pacientes com epilepsia farmacorresistente em uso de dieta cetogênica
Authors: Benincá Saulo André , Moreira Júlia Dubois , Da Silva Letícia Carina Ribeiro , Venske Débora Kurrle Rieger , De Lima Maiara Cristina , Lin Katia , Lunardi Mariana dos Santos
Published: November 2022

Objetivos: Analisar em uma população de pacientes brasileiros com epilepsia farmacorresistente (EFR) em uso de dieta cetogênica (DC), se a severidade das crises piora a qualidade de vida (QV) dos mesmos. Métodos: Estudo analítico observacional transversal. Dados clínico-demográficos foram obtidos dos pacientes, que responderam aos questionários Global Assessment of Severity of Epilepsy (GASE) e Seizure Severity Questionnaire (SSQ) para aferir a severidade da epilepsia, bem como um inventário para diagnóstico de depressão e ansiedade, a Hospital Anxiety and Depression Scale(HADS-D e HADS-A) e Quality of Life in Epilepsy Inventory-31 (QOLIE-31) para estimar a qualidade de vida.Resultados: Foram entrevistados 10 pacientes, no período de janeiro a setembro de 2019. A média de idade de 34,7 anos, 50% do sexo feminino e média de escolaridade de 11 anos. Os pacientes obtiveram pontuação média de 3,70 na escala GASE, 9,20 na HADS-A, 7,90 na HADS-D e 50,92 na escala QOLIE-31. Houve correlação estatisticamente significante entre as escalas HADS-A e HADS-D (r: 0,886, p=0.001) e entre HADS-A e QOLIE-31 (r: -0,649, p=0.042). Conclusão:A severidade das crises epilépticas em pacientes com EFR em uso de DC não pode ser correlacionada com a QV.
Transtorno do Espectro Autista em Meninas: Características Clínicas e Dificuldades Diagnósticas
Authors: Lin Jaime , Da Costa Maiara de Aguiar , De Rezende Victória Linden , Danielski Vitória Zaccaron , Rabaioli Caroline Talhietti , Gonçalves Cinara Ludvig
Published: November 2022

O transtorno do espectro autista (TEA) é uma condição clínica reconhecidamente heterogênea, com diversas apresentações clínicas e diferentes níveis de gravidade. Ao longo das últimas décadas, ainda, observou-se um aumento exponencial no número de casos, sendo atualmente considerado um dos transtornos neurocomportamentais mais comuns a afetar a faixa etária pediátrica. Interessantemente, desde as primeiras descrições, o TEA sempre foi considerado uma condição predominantemente masculina, sendo que a diferença no número de casos masculinos em relação aos casos femininos se manteve estável ao longo dos anos. Esta revisão narrativa propõe-se a explorar os aspectos neurobiológicos e clínicos relacionados a essa diferença, avaliando a existência de um fenótipo feminino do autismo e suas implicações em relação ao diagnóstico.
Esta revisão narrativa propõe-se a explorar os aspectos neurobiológicos e clínicos relacionados a essa diferença, avaliando a existência de um fenótipo feminino do autismo e suas implicações em relação ao diagnóstico
Diagnóstico de Mola Hidatiforme com Complicações em Gestação de Segundo Trimestre em um Serviço de Obstetrícia em Santa Catarina: Relato de Caso.
Authors: Ronsoni Nadhine Feltrin , Ronsoni Kamille Feltrin , Radichewski Vitória , Miechuanski Pauline Cureau
Published: November 2022

Introdução. As doenças trofoblásticas gestacionais englobam uma ampla gama de doenças que se relacionam com a proliferação anormal de característica benigna ou maligna do epitélio trofoblástico. A mola hidatiforme, completa ou incompleta, enquadra-se como doença benigna. Objetivos. Descrever um caso de mola hidatiforme parcial e suas complicações com diagnóstico em gestação de segundo trimestre. Relato de Caso. Paciente com 24 anos de idade, sexo feminino, primigesta, idade gestacional de 17 semanas e 3 dias procura o serviço de emergência devido a sangramento vaginal e dor em hipogástrio, evoluindo com náuseas e vômitos de difícil controle e elevação importante da pressão arterial. Exames laboratoriais apresentaram beta-HCG dois milhões mIU/ml. Posteriormente houve eliminação espontânea de feto neomorto acompanhado de material vesiculoso. O diagnóstico histológico foi de mola hidatiforme parcial com feto sem mal-formações. No seguimento apresentou gradual queda nos níveis de beta-HCG. Conclusões. Protocolos bem estabelecidos de diagnóstico e seguimento da doença trofoblástica gestacional por parte dos serviços especializados em obstetrícia tornam-se ferramenta-chave na descoberta precoce e correto manejo dos casos para prevenir complicações e reduzir a morbidade materna.
Factors Influencing Willingness to Pay for Teledermatology among Patients with Psoriasis
Authors: Rutnumnoi Thanachat , Chaiyabutr Chayada , Silpa-archa Narumol , Wongpraparut Chanisada , Chularojanamontri Leena
Published: November 2022

Objective: To determine the proportion of patients with psoriasis prepared to pay for TD. Attitudes and factors influencing their willingness to pay (WTP) were evaluated.Materials and Methods: This cross-sectional study was conducted from July 2020 to October 2021. Adult patients with psoriasis completed a 2-page self-administered questionnaire.Results: Of 200 patients, 133 (66.5%) were unfamiliar with TD. However, 144 (72%) were prepared to pay for TD if it were introduced. The majority of patients answered that 300 Bath was the maximum price that they were willing to pay for TD service. Compared with traditional in-person visits, the significant positive influencing factors on WTP were TD’s quicker delivery of treatment, lower costs, and non-inferiority to usual care. Multivariate analysis showed that the independent factors for WTP were higher educational levels, elimination of out-of-pocket, in-hospital visit expenses, owning a business, TD options suited to psoriasis, and no adverse effects on the patient-doctor relationship.Conclusion: Knowing patients’ attitudes toward TD and the factors influencing their WTP is essential for developing efficient services. Data from this study can be used to develop successful TD services for patients with psoriasis.
Surgical Outcomes of Bariatric Surgery in Siriraj Hospital for the First 100 Morbidly Obese Patients Treated
Authors: Srisuworanan Nicha , Suwatthanarak Tharathorn , Chinswangwatanakul Vitoon , Methasate Asada , Akaraviputh Thawatchai , Swangsri Jirawat , Trakarnsanga Atthaphorn , Phalanusitthepha Chainarong , Parakonthun Thammawat , Tawantanakorn Thikhamporn , Nimmanwudipong Thanyadej , Wang Handy , Taweerutchana Voraboot
Published: November 2022

Objective: Bariatric surgery is considered the most effective treatment for morbid obesity, and is increasingly performed in Thailand and globally. We aimed to establish the outcomes of bariatric surgery performed at Siriraj Hospital, Bangkok.

Materials and Methods: This was a retrospective study of patients who underwent bariatric surgery between January 2012 and June 2016.

Results: The records of the first 100 patients who underwent bariatric surgery were reviewed, comprising 58 patients who underwent laparoscopic sleeve gastrectomy (LSG) and 42 patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB). The median patient age, preoperative body weight, and BMI were 36 years old, 129 kg, and 46.3 kg/m2. All the procedures were performed by a laparoscopic approach. The median operative times for LSG and LRYGB were 156 [85-435] and 265 [180-435] minutes. The median hospital stay was 3 days [3-14]. The major complication rate was 4%. There was no mortality in the 30-day postoperative period. The mean %excess weight loss (%EWL) of LSG was 56.8 ± 19.8%, 59.9 ± 21.7%, and 55.1 ± 21.3%, at 1, 2, and 3 years after surgery. The mean %EWL of LRYGB was 67 ± 18.3%, 66.2 ± 21.4%, and 63.6 ± 19.9%, at 1, 2, and 3 years after surgery. In the patients with type-II diabetes mellitus, 67% had complete diabetic remission at 1 year. The median FBS dropped from 127 to 99 mg/dL (p < 0.001) and HbA1c from 6.6% to 5.5% (p < 0.001). The remission rates of hypertension and dyslipidemia were 58% and 73%.

Conclusion: The bariatric procedures are safe with a low complication rate. The procedures also provide good outcomes in postoperative weight loss and comorbidity resolution.
Occupational Post-exposure Prophylaxis after Blood and Body Fluids Exposure among Healthcare Workers in Siriraj Hospital
Authors: Changraksa Narasak , Pannapoch Ladda , Phatharodom Phatharajit , Werarak Peerawong , Ratanasuwan Winai , Navanukroh Oranich
Published: November 2022

Objective: The present study aimed to describe the characteristics of occupational exposure to bloodborne pathogens and occupational post-exposure prophylaxis (oPEP) in Siriraj Hospital.

Materials and Methods: A descriptive, retrospective cohort study was performed of healthcare workers (HCWs) who had experienced occupational injury in Siriraj Hospital in 2015. Data were extracted from the hospital database.

Results: In total, 389 injury episodes were described; of which 293 (75.3%) involved female staff, and 112 (28.8%) involved nurses. The highest number of accidents (112, 28.8%) occurred in the operation room. Needlestick injury (210, 54%) was the most common injury. Overall, 94 (24.1%) HCWs received oPEP; 67 (71.2%) events carried a risk of HIV acquisition, and in 27 (28.7%) cases, the patients decided to take oPEP. Common oPEP regimens were TDF/XTC/LPV/r (33, 35.1%) and TDF/XTC/RPV (32, 34%). Nearly half of the HCWs who received an LPV/r-based oPEP regimen had gastrointestinal intolerance and switched to second-line regimens. Among those who received oPEP, 52 (77.6%) returned at 1 month and 26 (38.8%) returned at 3 months after exposure for a serology test. There was no seroconversion in this cohort.

Conclusion: Occupational exposure to bloodborne pathogens is a common and increasing risk of infection among HCWs. oPEP with effective antiretroviral drugs within 72 hours after exposure is the main strategy for HIV prevention. The selection of an oPEP regimen with less toxic pills should be considered for efficacy, safety, and adherence. Interventions such as a tracking system or message reminders should be implemented to improve the follow-up rate among HCWs.
The Intention to Use Telemedicine by Surgical Patients in Response to COVID-19
Authors: Siriussawakul Arunotai , Phongsatha Thanawan
Published: November 2022

Objective: This study explored patients’ intention to use telemedicine instead of traveling to a hospital during the current global COVID-19 crisis. The framework focused on the relationships between variables derived from the technology acceptance model and the extended unified theory of acceptance and use of technology model.Materials and Methods: Multistage sampling procedures were applied to recruit samples using nonprobability sampling methods. Adult patients who had undergone surgery at a university hospital participated; all were experienced in using online meeting applications and online payment services in their daily lives. Consent forms and online questionnaires were distributed via a Google Forms link.Results: Between October and December 2021, 502 patients undergoing procedures participated in the study. Five variables—social influence, trust, price, perceived usefulness, and perceived ease of use—significantly impacted intention to use. Perceived ease of use significantly impacted perceived usefulness, with a value of 0.679***. In addition, perceived ease of use indirectly influenced intention to use (impact value, 0.103***). Performance expectancy did not significantly impact intention to use, with an impact value of -0.012.Conclusion: The contributions of this study will enable developers, medical professionals, and marketers to improve telemedicine services to better satisfy patients undergoing surgery and increase their intention to use telemedicine. However, the performance expectancy aspect may not warrant patients’ intention. Additionally, the research is recommended on other potential variables influencing telemedicine utilization, such as psychological expectations, performance expectations, and technical conditions.
A FEW POINTS ABOUT AXIOMATICS OF EDUCATION
Authors: Lamanauskas Vincentas
Published: November 2022

Postulates and axioms have been used as a means of knowledge since ancient times. The well-known ancient Greek thinkers Aristotle, Plato, Euclid, and others used this cognitive tool. As an example, we all know – Euclid’s postulates. Although mathematicians consider him the pioneer of mathematics, one of the most famous mathematicians, nevertheless, it is more appropriate to consider Euclid as a Greek philosopher, who presented the most important postulates and axioms in his book "Elements". The prevailing opinion is that in essence it is exactly enough to prove all mathematical statements. Even though that the most perfect axiomatics is classical Euclidian geometry, there is an alternative here, i.e., modern non-Euclidean geometry.
Analysis Theory of the Law of Convergence in Regulation Licensing and Supervision Financial technology ( Fintech ) in Indonesia
Authors: Suyikno  , Luth Thohir , Sihabudin  , Hamidah Siti
Published: November 2022

The convergence paradigm of the legal order is carried out by examining the approaches to the conception of convergence and the conception of non-convergence in law. The approach is used to find the relationship between similarities and differences in legal systems, or to compare different legal systems to explain the importance of the concept of legal convergence. A legal system will find different ways to approach a similar problem and in practice often achieve functionally similar results. On the other hand, some year lately this, we currently faced with development industry financial technology (fintech) who experienced growth very significant. This thing This is evidenced by the increasing number of providers registering and having licenses with relevant regulators, the increasing number and volume of transactions in the community, and the increasing variety of types of digital financial services offered by fintech operators. Development fintech requires the readiness of the Government as a regulator in preparing regulations, especially those related to institutional aspects, business activities, and risk mitigation. In order to maintain the growth of the fintech industry and improve its quality and competitiveness (especially at the regional level), it is necessary to have adequate digital infrastructure, a conducive regulatory climate, the number of human resources with appropriate skills and better digital financial literacy for the community high. Financial Services Authority Republic of Indonesia (OJK -RI), Bank Indonesia (BI) as the central bank as well as Relevant ministries are still preparing and compiling provisions to regulate fintech in Indonesia. To date, a number of technical regulations have been issued by several regulators in relation to the licensing, regulation and supervision of fintech operators.
Supporting the Sustainable Development Journey of Bangladesh with Folk Values in Primary Education
Authors: Tasnim Saria , Hossain Abul , Marinova Dora
Published: November 2022

Sustainability and sustainable development are now centre-stage in economic, environmental, social and educational activities around the world. However, these are not only complex concepts, but the perspective and understanding vary in different places, time, geographical and economic conditions. What is of particular relevance to Bangladesh, is the importance of educating for sustainability while emphasising values education and responses to the current realities that have resulted from factors, such as economic development and climate change. This is particularly the case in primary education which builds the foundation for preparing children for dealing with future challenges. This paper argues that sustainability attitudes can be communicated by embedding folk values in primary education as a way to communicating complex concepts and supporting the sustainable development journey of Bangladesh which as a country has to respond to issues related to population growth, poverty, inequality and climate change. It investigates the place of values and wisdom from the country’s rich folklore as a tool in formal and non-formal primary education in Bangladesh to encourage a holistic approach to sustainability which looks at the needs of people within the boundaries of the natural environment.

Green University Review of Social Sciences Dec 2021; 7(1-2): 1-21
Menaces of Ideal Motherhood – A Brief Study of 21st Century Motherhood in The Lowland & The House of Hidden Mothers
Authors: Mahato Subhranil , Saha Apurba
Published: November 2022

Motherhood is not a decision taken out of choice. Many a time, women are compelled to become mothers due to the pressure from families, peers and society. It becomes an entrapment, where they are imposed with certain ideas and goals to fulfil like children and a ‘happy’ marital communication. The loss of one’s own identity and accepting an ‘ideal’ one, which is congenial for the traditional setup, motherhood is thus, questioned. However, motherhood—or parenthood, for that matter—is not a proverbial Band-Aid. Not every woman is carved for motherhood, even though then entire world may tell her otherwise. Being biologically capable of giving birth does not mean every woman would want to go through with it. The twenty-first century fiction are paving a path for an obvious change in the image of mother. Authors have resettled themselves from ideal portrayals of enduring, self-effacing women, and toward conflicted female characters, those are in active search of their identity. In this regard, the paper will study Jhumpa Lahiri’s The Lowland and Meera Syal’s The House of Hidden Mothers, which depict the diversity of women, breaking stereotypes and the rejection of subordination, rather than limiting them to an ideal.

Green University Review of Social Sciences Dec 2021; 7(1-2): 65-74
Freedom or Suffering: Post-Partition Memories and Fractured Identity Reflections in Jhumpa Lahiri’s Select Short-Fictions
Authors: Mandal Sudeshna
Published: November 2022

The liberation of India from British domination in 1947 was the most significant historical event in the South Asian history. Despite the fact that freedom promised only liberty, equality, and fraternity, the only result was widespread violence, which eventually led to British-India being divided into two sovereign dominions (India and Pakistan). This Partition resulted in the loss of houses, properties, friends, relatives, and, most importantly, identity. The purpose of this paper is to look at how Jhumpa Lahiri addresses diasporic concerns, unpleasant partition experiences, and fractured cultural identity in two of her short- stories, “When Mr. Pirzada Came to Dine” and “A Real Durwan”, from her collection, Interpreter of Maladies. Lahiri, an Indian immigrant from the United Kingdom, is well aware of the difficulties that immigrants experience in their host country. She has brilliantly depicted the painful consequences of partition in the works described above, especially the bloodshed that occurs during the civil war between East and West Pakistan. The goal of this article is to examine how Lahiri uses these two short stories to emphasize the deceiving features of freedom.

Green University Review of Social Sciences Dec 2021; 7(1-2): 105-111
State of Psychological well-being of students during Lockdown due to Covid-19 Pandemic: view from some selected parts of India
Authors: Rahman Mustafizur , De Sukanya
Published: November 2022

Well-being refers to the state of being relaxed, healthy or joyful. It is not only about physical health but also concerns a great deal with psychological and social aspects. This study attempts to find out the relation between Covid-19 and state of psychological well-being of students and whether the lockdown had a positive or negative impact on them. This study is administrated by survey method and Google Form is used for the comprehension of the impact. A total of 123 students from 22 states of India have participated in this study. The study finds that the pandemic has left the students anxious and worried about their future. The lockdown due to Covid-19 pandemic is making them apprehensive and stressed; hence, maintaining mental well-being is also a concern for them. While the entire world is under the fear of falling ill, for the students in India the worry about their jobs and career is greater than that of falling physically ill. The results also indicate that at the initial stage, the students were happy about the lockdown and enjoying their free time at homes, but eventually, they started getting frustrated. They also started spending most of their time on screens, being highly active on social media, mobile, computer, and TV screen which has some side-effects on students’ psychology.

Green University Review of Social Sciences Dec 2021; 7(1-2): 188-200
Determining the Understanding of Task-Based Language Teaching among the English Teachers of NU Affiliated Colleges in Bangladesh
Authors: Munira Serajum , Sikder Liton Baron
Published: November 2022

Though the Non-credit English courses are treated mandatory for all undergraduate students at National University, the students do not appear to take them seriously because the total marks do not contribute to their final grade. Previous studies suggest that Task-Based Language Teaching (TBLT) motivates the students to language acquisition. Therefore, this study attempted to determine the factors of implementing the TBLT in non-major English courses. In TBLT, the teacher engages the learners with a task-based instruction to make them act as if they were using the language in real life. Therefore, TBLT has become more common and recommended as a way forward in ELT. The objectives were to measure the level of understanding of task of TBLT, perceived usefulness of implementing TBLT, and perceived challenges of TBLT. The research involves surveys and fact-finding investigations as certain hypotheses are presupposed. In this study, the random sampling procedure has been maintained to capture all segments of the population such as urban and rural, and divisional city, district level city and upazila level city. A questionnaire was designed to examine Bangladeshi EFL teachers’ understanding and beliefs of task-based language teaching with reference to classroom practice. In the survey, 79 male and 38 female EFL teachers participated. The scores of the males in understanding of tasks in TBLT (M=3.32) than that of the females (M=3.20). While in perceiving the benefits of implementing TBLT, females scored higher (M=4.34) comparing to the males (M=4.25). Both males and females had same scores in terms of perceiving the challenges of implementing TBLT in EFL programs. The results indicate that the level of understanding is lower. As a result, the level of perceived challenges of implementing TBLT is higher. Therefore, in conclusion, this study suggests to emphasize on arranging effective training and workshops for the EFL teachers so that they can understand the task in TBLT.

Green University Review of Social Sciences Dec 2021; 7(1-2): 220-235