bluuebunny/crossref_metadata_2025 huggingface dataset:
Use of an Opt-Out vs Opt-In Strategy Increases Use of Residency Mental Health Services
Authors: Guldner Gregory , Siegel Jason T. , Broadbent Chandler , Ayutyanont Napatkamon , Streletz Deborah , Popa Alina , Fuller Joshua , Sisemore Timothy
Published: April 2024

Background Residents report high levels of distress but low utilization of mental health services. Prior research has shown several barriers that prevent residents from opting into available mental health services.

Objective To determine the impact of a mental health initiative centered around an opt-out versus an opt-in approach to help-seeking, on the use of psychotherapy.

Methods Resident use of psychotherapy was compared between 2 time frames. During the first time frame (July 1, 2020 to January 31, 2021), residents were offered access to therapy that they could self-initiate by calling to schedule an appointment (opt-in). The second time frame (February 1, 2021 to April 30, 2021) involved the switch to an opt-out structure, during which the same residents were scheduled for a session but could choose to cancel. Additional changes were implemented to reduce stigma and minimize barriers. The outcome was psychotherapy use by residents.

Results Of the 114 residents, 7 (6%) self-initiated therapy during the opt-in period. When these same residents were placed in an opt-out context, 59 of the remaining 107 residents (55%) kept their initial appointment, and 23 (39%) self-initiated additional sessions. Altogether, across both phases, a total of 30 of the 114 residents initiated therapy (ie, 7 during the opt-in and 23 during the opt-out). The differences in therapy use between the 2 phases are statistically significant (P<.001 by McNemar’s test).

Conclusions There was a substantial increase in residents’ use of psychotherapy after the opt-out initiative that included efforts to reduce stigma and encourage mental health services.
The Impact of Changing From a 6+2 to a 3+1 Residency Block Schedule on Patient Access and Other Outcomes
Authors: Krug Michael F. , Carrasco Alicia , Christopher Andrea S. , Weppner William G.
Published: April 2024

Background The “X+Y” residency scheduling model includes “X” weeks of uninterrupted inpatient or subspecialty rotations, followed by “Y” week(s) of uninterrupted outpatient rotations. The optimal ratio of X to Y is unclear.

Objective Determine the impact of moving from a 6+2 to a 3+1 schedule on patient access to care, perceived quality of care, and resident/faculty satisfaction.

Methods Our residency program switched from a 6+2 to a 3+1 scheduling model in July 2018. We measured access to care before and after the change using the “third next available” (TNA) metric. In June 2019, we administered a voluntary, anonymous, 20-item survey to residents, staff, and faculty who worked in resident clinic in both the 6+2 and 3+1 years.

Results Patient access to appointments with their resident physician, as measured by TNA, improved significantly after the schedule change (mean 34.1 days in 6+2, mean 26.5 days in 3+1, P<.0001). Fifteen of 17 (88%) eligible residents and 13 of 24 (54%) faculty/staff filled out the voluntary anonymous survey. Surveyed residents and faculty/staff had concordant perception that the schedule change led to improvement in patient continuity, quality of care, and ability of residents to follow up on diagnostic tests and have regular interaction with clinic attendings. However, residents did not report a change in satisfaction with continuity clinic.

Conclusions Changing from a 6+2 to a 3+1 schedule was associated with improvement in patient access to care. Residents and faculty/staff perceived that this schedule change improved several aspects of patient care.
Simulations of low impact development designs using the storm water management model
Authors: Jang Jiyi , Kim Soobin , Cha Sung Min , Pyo JongCheol , Yoon Kwang-Sik , Lee Hankyu , Park Yongeun , Jang In-Su , Kim Kwang-Ju , Yu Jung-Won , Kang Mi-Seon , Bae Hyan-Su , Baek Sang-Soo , Cho Kyung Hwa
Published: April 2024

This study assessed the U.S. Environmental Protection Agency's Storm Water Management Model (SWMM) for urban water management challenges. This study conducted a sensitivity analysis to identify the most influential factors in the SWMM. Moreover, the performance of SWMM was evaluated with the HYDRUS-1D module in simulating infiltration rates. The sensitivity results showed field capacity as the most significant factor, highlighting the need for advanced modeling techniques to consider factors like field capacity. The SWMM was evaluated by the HYDRUS-1D that SWMM consistently underestimated peak infiltration rates and commenced infiltration calculations only when soil moisture exceeded field capacity. It reveals its limitations in handling unsaturated soil conditions and highlights the consideration of the matric head of the soil during the infiltration calculation in soil media. Moreover, the evaluation of bioretention areas showed larger areas resulting in more substantial flow reductions but with significant variability under different rainfall conditions. Accordingly, this result emphasizes the importance of careful consideration for environmental factors in bioretention design. This study contributes by enhancing understanding of SWMM's limitations in simulating urban water management challenges. Thus, this research will offer technical assistance to stakeholders focused on challenges such as runoff, hydrologic cycle, and urban flooding in urban areas.
Effect of solvent and calcination process on physicochemical features of silica nanocapsule for CO2 capture
Authors: Rahim Abdul Rahman Abdul , Johari Khairiraihanna , Hussain Murid
Published: April 2024

Silica nanocapsules (SiNC) have gained considerable interest in their application as adsorbents due to its excellent physical structure and surface chemistry. The SiNC were synthesised via emulsion technique, whereby the effect of different solvents and calcination process were investigated. Diethyl ether as a solvent produced SiNC with the biggest surface area, 644 m2/g, followed by toluene and ethanol, 575 and 533 m2/g, respectively. The calcined SiNC had bigger surface area and pore volume, but smaller pore size as compared to their non-calcined counterparts. Diethyl ether and toluene as solvents produced SiNC with capsules or hollowed-core morphological structure, whereas by using ethanol, the SiNC was of solid core. The spectral analysis showed that the SiNC were of similar characteristics, whereby the ethanol-based SiNC had more intense hydroxyl (-OH) peaks and diethyl ether and toluene had an extra -CH3 peak. The carbon dioxide (CO2) adsorption measurement study showed that toluene-based SiNC performed the highest CO2 adsorption capacity (Q = 2.59 mmol/g), followed by diethyl ether-based (1.45 mmol/g) and ethanol-based, (1.28 mmol/g). The sufficiently competent CO2 adsorption capacity of the SiNC combined with their excellent physicochemical characteristics indicated their promising prospects for application as an adsorbent in CO2 adsorption.
High capacity rocking-chair capacitive deionization using highly crystalline sodium cobalt hexacyanoferrate (NaCoHCF) electrodes
Authors: Ahn Jaewuk , Joo Hwajoo , Jeon Sung-il , Yoon Jeyong , Lee Jaehan
Published: April 2024

Prussian blue analogue (PBA) electrodes are widely used cation-selective electrodes for electrochemical desalination technologies due to their high specific capacity rates and fast kinetic properties. Despite the fact that previous studies of PBAs for electrochemical desalination have shown remarkable desalination capacity levels, they remain insufficient if used to desalt highly concentrated salt water such as seawater. Here, we applied highly crystalline sodium cobalt hexacyanoferrate (NaCoHCF) electrodes, a type of PBA that can utilize two redox active sites, to a rocking-chair capacitive deionization (RCDI) process. The specific capacity of the NaCoHCF electrode using two redox active sites was 88 mAh g-1 (active material: 110 mAh g-1), confirmed to be 1.5 times higher than that of PBA electrode that use one redox active site. As a result of desalination tests, this system achieved a high desalination capacity of 123 mg g-1 (active material: 154 mg g-1) with 88% ion removal in a 500 mM NaCl solution. The results of this study present a considerable increase in the desalination capacity through the introduction of NaCoHCF electrodes that utilize two redox active sites in the RCDI system.
The education of gifted students
Authors: RICA Cristina-Iuliana
Published: April 2024

Students with high or exceptional learning potential have the ability to perform or achieve at the highest level in their given class or area of expertise. Teachers are essential in gifted education. Teachers are key agents in identifying and nurturing all types of talent. If the students are not discovered and stimulated, they can develop social-emotional difficulties, negative attitudes towards school and even drop out of classes. They are also able to develop this set of traits and apply them in any field of performance. These students need differentiated programs and/or services, in addition to those offered in a regular school,contributing to personal and social development.
Development mechanism of the innovative culture in the general education institution
Authors: PÎRĂU Lucia
Published: April 2024

This paper presents a mechanism for the development of innovative culture in the general education institution. The elaborated mechanism includes a multitude of timely managerial actions for the development of the innovative culture of teaching staff: forecasting and diagnosis, the policy regarding the innovative culture, orientation towards teaching staff, design, analysis, monitoring and evaluation, the strategy for developing the innovative culture.
Perspectives of approaching the professionalization of teaching students, in the context of education and family counseling in the educational institution
Authors: CUZNEȚOV Larisa
Published: April 2024

The article contains a theoretical study that elucidates the arguments regarding the approach to the professionalization of teaching staff in the context of education and family counseling in the educational institution. At the same time, it reproduces the system of skills necessary for the targeted process, the impact of pedagogical styles, their classification according to the criteria presented; the difficulties encountered by students and the family in the educational process, dividing them into school and family difficulties. Finally, the author proposes some strategies and perspectives for approaching the professionalization of student teachers in the field announced in the title of the article.
The components of the pedagogical model for the formation of metacognitive competence in primary school students through didactic communication
Authors: GHEORGHE Elena Cristina , SILISTRARU Nicolae
Published: April 2024

The pedagogical model represents a "didactic-methodological conception", "a schematic pattern" that unifies the theories and paradigms of the education system with practice, offering the educational practitioner a concrete example of a theoretical-methodological approach, in the direction of the formation of a behavior or a competence. The assimilation of behavior oriented towards deep information processing requires the design of an instructional model that capitalizes on the "self-reflexive awareness" of the young schoolchild. The principles that are the basis of the pedagogical model we propose are formulated like instructive axes, approaches that broadly outline the vision of the authors regarding the compatibility of theory with school practice so that the subject of learning can take note of internal-cognitive actions, of the executive functions at his disposal, and at the same time, to call on them whenever the school or curricular context requires it. Didactic communication has an essential role in the formation and development of the metacognitive factor. That is why a series of specific principles are developed to make the informational flow more flexible, to facilitate the access of the young schoolboy to the set of metacognitive skills and attitudes that are intended to be formed through the didactic action of the teacher.
Constructivist approach to learning based on critical thinking development strategies
Authors: VINNICENCO Elena
Published: April 2024

Constructivist learning aims at a process in continuous evolution, a framework for internalization, self-regulation of cognitive conflicts, through experiences, reflections or verbal expressions. The process of relating to peers, effective communication, arguing, expressing one’s opinions, finding certain solutions in problem situations can be developed using certain critical thinking strategies. In this context, strengths and weaknesses of constructivist learning, some difficulties and limits of constructivist learning are analyzed.
The concept of task within the action approach
Authors: MALEAVSCHI Maria
Published: April 2024

This paper provides an understanding of the foundational principles of the vision proposed by the Common European Framework of Reference for Languages (CEFR), in particular, the foundational principles of the action-oriented approach. Such an approach may prepare the student for today’s dynamic workplace. Independent action in the workplace is fostered by independent action during education and training. Analysing some key terms, such as social agent and task, the article introduces the essential elements of the action-oriented approach. Through the new vision of the learner as a social agent, it examines the role that action plays in the construction of learning and provides a new understanding of the notion of task and its key role in language learning/teaching.
The evolution of technical vocational education in the Republic of Moldova
Authors: NICULCEA Tatiana
Published: April 2024

Vocational Technical Education in the Republic of Moldova is an educational system for professional training of students that pursues several goals, which find their roots in socio-cultural and economic contexts. The importance of these goals evolves with the times and market demands. To exemplify the relevance of this exploration approach, the article will propose a description based on the analysis targeting, in particular, the evolution of the number of educational institutions, teaching staff, students by educational levels, ages, sexes, forms of education and by general fields of studies during the years 2015-2021.
BREASTFEEDING ATTITUDES AND EXPERIENCES OF BREASTFEEDING WOMEN INFECTED WITH COVID-19: A MIXED METHODS STUDY
Authors: Öztürk Altınayak Serap , Velioğlu Elif , Ejder Apay Serap
Published: April 2024

Aim: The aim of this study was to learn more about the attitudes and experiences of breastfeeding women infected with COVID-19. Method: A convergent parallel mixed methods design was used to conduct the study. The study included breastfeeding women who presented COVID-19 symptoms and tested positive for COVID-19, and who sought care at a community health center in a province located in the Black Sea region of Turkey. Quantitative and qualitative data for the study were collected online between July 2021 and February 2022. Data for the study were collected using the 'Socio-demographic Information Form', the 'Breastfeeding Attitude Scale' and the 'Semi-structured Interview Form'. Data were collected from 82 women for the quantitative part and seven women for the qualitative part. Before the research began, study approval was obtained from the TR Ministry of Health and ethical approval was granted by the Clinical Research Ethics Committee of Ondokuz Mayıs University (25 June 2021/ OMU KAEK2021/316). Results: The number of children, age of the baby, breastfeeding initiation and nutritional status of the baby were found to influence breastfeeding attitudes. The overall mean score of the breastfeeding attitude rating scale was 91.7710.63. Five themes were identified as a result of the content analysis: "Women's feelings during the disease," "How the disease affects the babies," "Woman-baby contact," "COVID -19 and breastfeeding," and "Status of support for women".Conclusions and Suggestions: It was found that women's attitudes towards breastfeeding during the disease process are moderate, that they experience considerable anxiety during this time, and that the support they receive affects both their psychological state and their attitudes towards breastfeeding. During this process, continuous online or phone support may improve women's attitudes towards breastfeeding.
Research Progress of Microplastics
Authors:   College of Resources and Environment, Henan Polytechnic University, Jiaozuo 454003, China, Zhen Wu
Published: April 2024

Microplastics ( MPs ) pollution has become a global persistent pollution problem and endangers human health, so it has received widespread attention from the public. Therefore, it is of great significance to find accurate and efficient microplastic pollution detection methods in the field of environmental protection. In this paper, the common processing and detection methods of microplastics are described, which provides a reference for future research on microplastics.
Estudio retrospectivo de pacientes con pioderma gangrenoso en un período de 20 años y revisión de la literatura
Authors: Lois Melina , Pizzariello Graciela , Olivares Liliana , Maronna Esteban
Published: April 2024

Antecedentes. El pioderma gangrenoso es una enfermedad inflamatoria necrotizante, de patogenia desconocida, que pertenece al espectro de las dermatosis neutrofílicas. Tiene cuatro variantes clínicas: ulcerosa, ampollar, pustulosa y vegetante. Ocurre a menudo en asociación con una enfermedad sistémica. El diagnóstico se hace sobre la base de la clínica, de la histopatología y de la exclusión de otras patologías. Su manejo requiere tratamiento local y sistémico.Objetivo. Caracterizar el perfil epidemiológico, forma clínica, número y localización de lesiones y factor desencadenante. Estimar la prevalencia de las enfermedades asociadas. Describir los tratamientos combinados a los esteroides sistémicos y la respuesta clínica obtenida.Diseño. Observacional, descriptivo, retrospectivo.Material y métodos. Se incluyeron 66 pacientes con diagnóstico de pioderma gangrenoso durante el período comprendido entre enero de 1991 y agosto de 2011.Resultados. El pioderma gangrenoso se presentó en mujeres (67%) de entre 50 y 69 años. La forma clínica más frecuente fue la ulcerosa (77,3%), en la mayoría de los casos (53%) con lesiones múltiples, localizadas en miembros inferiores. El fenómeno de patergia se observó en el 36% de los casos. El 47% de los pacientes presentó enfermedad asociada, y fue la enfermedad inflamatoria intestinal la primera en frecuencia. Los esteroides sistémicos fueron la droga de primera elección, y como terapia ahorradora de esteroides se utilizó minociclina, doxiciclina, clofazimine y ciclofosfamida. La respuesta fue completa en 36 pacientes.Conclusión. El pioderma gangrenoso se presentó preferentemente en mujeres de entre 50 y 69 años, en la mayoría de los casos con lesiones múltiples. El fenómeno de patergia se observó en el 36% de los casos y el 47% de los pacientes mostró enfermedad asociada (Dermatol. Argent., 2012, 18(2): 24-29).
Diabetic Wound Healing: Navigating Physiology, Advancements and Research Frontiers
Authors:   Department of Pharmacology, Delhi Pharmaceutical Sciences and Research University, New Delhi, India, Kumar Prabhakar , Kumar Vijender ,   Department of Pharmacognosy & Phytochemistry, School of Pharmaceutical Sciences, Delhi Pharmaceutical Sciences and Research University, India
Published: April 2024

Diabetes, a multifaceted metabolic disorder characterized by inadequate insulin production or resistance, intricately intertwines with the challenging landscape of wound healing, particularly in the context of diabetic wounds. This review embarks on a comprehensive exploration, commencing with an overview of diabetes physiology, setting the stage for understanding its intricate interplay with wound healing complexities. Navigating through the physiology of diabetic wounds, this review encapsulates their classification and the intricate molecular and cellular mechanisms orchestrating the healing process. However, amidst commendable advancements, a discernible research gap remains, urging a more nuanced comprehension of diabetic wound pathophysiology. Examining treatment approaches, this article critically assesses various methods for diabetic wound healing efficacy, rooted in recent studies. It explores advanced therapies and emerging technologies, envisioning possibilities such as 3D printing and smart dressing applications. Nonetheless, integrating these technologies into clinical practice awaits exploration, highlighting a research gap in standardizing these advancements. Infection control and antibiotics are pivotal in diabetic wound management. This review underscores their importance, stressing the need for refined research strategies to optimize antibiotic use and combat evolving bacterial resistance. Furthermore, advocating for patient-centered care and education, this review emphasizes holistic approaches, underscoring a persistent gap in seamlessly integrating patient education into routine wound management protocols. This review offers comprehensive insights into diabetic wound physiology, treatment modalities, and emerging technologies while highlighting persistent research gaps demanding further exploration and refinement.
A Mobile App Providing Individually-Tailored Psychoeducation about Sleep for Older Adults with Chronic Health Conditions and Low Health Literacy
Authors:   Department of Psychiatry and Behavioral Medicine, Nova Southeastern University, Fort Lauderdale, Florida, USA, L Ownby Raymond , Thomas-Purcell Kamilah ,   Department of Health Science, College of Health Care Sciences, Nova Southeastern University, Fort Lauderdale, Florida, USA
Published: April 2024

Objective: This paper reports on a study of a mobile app that provides tailored information about sleep to individuals aged 40 and older who have chronic health conditions and low health literacy. Methods: The sleep module was a part of a multitopic app focused on chronic disease self-management. Participants were randomly assigned to receive sleep psychoeducation at reading levels equivalent to 3rd, 6th or 8th grade. The primary outcome measure was the Pittsburgh Sleep Quality Index (PSQI), which was completed at baseline, after the intervention, and again three months later. Outcomes were assessed using repeated measures mixed effects models. Results: Most participants were Black, Indigenous or Other Persons of Color (BIPOC; 87%); they had average reading level at the 7th grade. Health literacy, socioeconomic status, and number of health conditions were related to the PSQI. The PSQI score decreased over the course of the three study visits for all groups, consistent with a small to medium effect size (d = 0.40). No effect of treatment group was observed. Participants were positive about the usefulness and helpfulness of the app. Conclusion: Results suggest that a brief tailored information intervention may be beneficial for individuals aged 40 and older who have low health literacy and chronic health conditions. Further development of the intervention may enhance its clinical effectiveness
Ruptura de fórnice renal com formação de urinoma
Authors: Cabral Eduardo Botelho , Lustosa de Almeida Joana , Villar Guimarães Eduardo , Monteiro Leal da Paixão Alex
Published: April 2024

A ruptura de fórnice renal está comumente associada a um cálculo ureteral obstrutivo que pode levar ao extravasamento de urina e consequentemente formação de urinoma. Relatamos um caso de um paciente que se apresentava com náuseas, disúria, hematúria, dor abdominal e posterior retenção urinária. Foi solicitada tomografia computadorizada que evidenciou cálculo de aproximadamente 3 mm em junção uretero-vesical esquerda com presença de ureterohidronefrose moderada com coleção perirrenal devido a possível ruptura de fórnice e formação de urinoma. O paciente foi submetido à implante de cateter duplo J de urgência sem intercorrências e apresentou melhora total das queixas álgicas. O caso relatado permite colocar em discussão uma situação infrenquente, elucidando a importância de identificar casos suspeitos e realizar o diagnóstico precoce. Através da desobstrução imediata pelo cateter duplo J pode-se obter resultados satisfatórios em casos de oclusão por cálculo renal, tanto no alívio dos sintomas quanto na redução de outras complicações.
Ocorrência de gestação ectópica em cicatriz de cesárea
Authors: Emerenciano Lourenço Tainá Aimé , Soares Aragão Júlio César , Neves Pusch de Macedo Lucas , Nunes Devechi Renata , Lins José
Published: April 2024

A gravidez ectópica em cicatriz de cesariana é a forma mais rara de gravidez ectópica. É uma condição potencialmente fatal devido ao risco de hemorragia, rotura uterina e necessidade de histerectomia. Os principais fatores de risco são número de cesáreas anteriores, intervalo curto entre a cesárea e a gestação e o útero retrovertido. Sua evolução clínica é inespecífica já que a maioria dos casos são assintomáticos ou cursam com sangramento vaginal indolor. O diagnóstico é realizado por ultrassonografia e o tratamento pode ser cirúrgico ou conservador, de acordo com os critérios clínicos. Reportamos um caso de gestação ectópica em cicatriz de cesárea em uma paciente de 32 anos, assintomática, com falha de conduta expectante e posterior resolução cirúrgica, apresentando boa evolução durante o seguimento e recuperação clínica completa.
Relato de caso
Authors: Rocha Xavier Filipe , Afonso Goltara Murilo
Published: April 2024

Segundo o Instituto de Pesquisa Econômica Aplicada, no Brasil, cerca de 221.869 pessoas se encontravam em situação de rua no ano de 2020. Uma parcela da população que possui características plurais e expostas a situações de perigo dentro do contexto de segurança pessoal, saúde e direitos. Pensando-se nisso foram desenvolvidas políticas públicas direcionadas ao auxílio dessas pessoas, como a Política Nacional para Inclusão Social da População em Situação de Rua em maio de 2008 e os grupos itinerantes Consultórios na Rua, nessa mesma política no ano de 2009. Em busca de um melhor entendimento e atuação dessa estratégia de cuidado, foi proposto um relato de caso vivenciado pelos acadêmicos de Medicina no município de Volta Redonda, Região Sul Fluminense do Estado do Rio de Janeiro, Brasil. Concluindo-se que embora exista múltiplos limitantes para sua execução, há um impacto significativo neste município em decorrência dos esforços e assistência oferecidos pelo Consultório da Rua, que garante qualidade em assistência à saúde e direitos básicos a essa população.
Tumor estromal gastrointestinal com recidiva hepática
Authors: Emerenciano Lourenço Tainá Aimé , Cubas de Morais Prado Maria Aparecida , Corrêa Dias Pereira Leite Bernardo , Nunes Devechi Renata
Published: April 2024

Tumores estromais gastrointestinais (GIST) são neoplasias mesenquimais que afetam as células de Cajal e expressam a proteína c-Kit. Sua incidência é considerada rara, somando apenas 1% dos tumores malignos do trato gastrointestinal. Em diversos casos é uma patologia assintomática, no entanto, alguns pacientes podem apresentar sangramento, dor abdominal e massa palpável. O tratamento de escolha é a ressecção cirúrgica do tumor, mas em casos inoperáveis ou de doença metastática, está indicado o uso de inibidores de Tirosina Kinase. Em relação ao prognóstico, os fatores clinicamente relevantes são o tamanho do tumor e a taxa mitótica. Pode-se reconhecer a importância dos estudos acerca dos tumores de GIST que, por apresentarem sintomatologia inespecífica, necessitam de suspeição para serem identificados, retardando um tratamento precoce. Reportamos um caso de tumor de GIST inicialmente tratado e apresentando recidiva hepática posteriormente, em um paciente de 54 anos, sendo submetido ao tratamento cirúrgico e apresentando boa evolução durante seguimento.
DIU em cavidade
Authors: Aragão Dauro , Soares Aragão Júlio César , Pesca Sarcinelli Bruno , Neves Pusch de Macedo Lucas
Published: April 2024

O dispositivo intrauterino em cavidade abdominal pode ser detectado incidentalmente ou quando da presença de complicações, sendo a dor abdominal a mais comum entre elas. O relato em tela é sobre uma mulher de 26 anos, cujo dispositivo intrauterino encontrava-se fora da cavidade uterina. Ante a detecção por radiografia convencional de abdome, a opção de conduta foi pela abordagem laparoscópica para remoção do dispositivo. O dispositivo foi encontrado aderido ao omento, no quadrante inferior direito, tendo a cirurgia sido realizada sem complicações. O acompanhamento foi agendado para 14 dias após a alta, que se deu 14h após o ato cirúrgico.
A abordagem cirúrgica de uma hérnia inguinoescrotal esquerda combinada volumosa
Authors: Siqueira Giulia Maria Travizanuto , Dos Santos Gomes Izabella , Batista Neves Ana Carolina , Guthier Prazeres Luiza
Published: April 2024

As herniações ocorrem devido à alguma fragilidade em um tecido de modo em que um abaulamento se constitua. Elas são mais comumente encontradas na região abdominal ou inguinal, sendo essas últimas as mais comuns. As hérnias inguinais podem se classificar em congênitas ou adquiridas e indireta, diretas ou combinadas. O tratamento definitivo para todos os casos é a resolução cirúrgica, tendo em vista a melhoria na qualidade de vida do paciente. O artigo em questão abordará o caso de um paciente masculino de 61 anos portador de hérnia inguinoescrotal esquerda volumosa, que foi encaminhado para resolução cirúrgica devido a episódios de dores intensas e extrusões recorrentes. A técnica cirúrgica escolhida para este caso foi a hernioplastia inguinal à Lichtenstein. O paciente não apresentou complicações pós-cirúrgicas.
Ferramentas educativas como recurso auxiliar para a doação de órgãos: Revisão integrativa
Authors: Guedes Carneiro Caio , Souza Salomão Iago , Andrade Brandes Moura Ferreira João Pedro , Sarapeck De Carvalho Pinto Thalis , Pereira Adilson
Published: April 2024

Na atual realidade, para muitas pessoas, o transplante de órgãos se apresenta como oportunidade única de cura. E, apesar de se constituir parte crucial no processo resolução de diversas patologias, atualmente acontece em um número muito inferior ao idealizado. O presente artigo tem como objetivo analisar os motivos e as causas que compõem essa problemática, além de discorrer a respeito da eficácia da aplicação de ferramentas educativas como recurso auxiliar para fomentar a doação de órgãos por parte dos jovens. Para a realização da revisão integrativa, foram utilizadas 16 publicações, nacionais e internacionais, que abordam a temática e serviram para a análise, interpretação e coleta de dados referentes à doação de órgãos e suas mazelas. Nessa linha, tornou-se possível observar que o desconhecimento sobre o processo de doação de órgãos - que decorre de falhas na educação formal - tanto de profissionais de saúde como de estudantes da área é alarmante e constitui uns dos pilares que mitigam o crescimento do número de doadores de órgãos, entre outros fatores aludidos ao longo do artigo. Dentro desse cenário foi possível observar a eficácia de inúmeras ferramentas educacionais, tais como as HQs, na mudança de postura dos indivíduos não só em relação a possibilidade de entrarem na lista de doadores, como também na diminuição de estigmas negativos acerca do processo de doação e do transplante de órgãos. Apesar das evoluções supracitadas, tais recursos não são explorados e aplicados de forma ampla nacional e internacionalmente, e se apresentam como recurso a ser utilizado na soma de esforços aplicados para reduzir a lacuna entre a lista dos potenciais doares e dos que aguardam um transplante.
Uso de adornos: vídeo de conscientização para evitar a prática por acadêmicos de medicina nas Unidades de Saúde.
Authors: Caram Aniceto Samara , Ferreira de Castro Larissa Gabrielle , Corrêa Gevisiez Eduardo , Castro Menezes João Vítor , Zamora Ferreira do Nascimento Liége , Ferreira Cury Rodrigo , Moraes Sampaio da Fonseca Walter Luiz
Published: April 2024

Este artigo traz como objeto de estudo a orientação sobre a não utilização de adornos por acadêmicos de medicina no campo da prática oferecido pela instituição de ensino. A ideia inicial desse estudo partiu da aula de Aprendizagem Baseada em Projetos (PjBL), onde os acadêmicos do primeiro período deveriam desenvolver um produto educacional para orientar os próximos calouros, quanto a biossegurança. O objetivo geral desse estudo é conscientizar os acadêmicos de medicina a não usar adornos no campo de prática. Os objetivos específicos são: descrever as principais  consequências causadas pelo uso de adornos; apresentar um vídeo educacional mostrando a importância do não uso de adornos, elaborado pelos alunos do PjBL. Este estudo foi elaborado em 2 tempos. Para elaboração do texto e do conteúdo do vídeo educacional, utilizou-se  a pesquisa de revisão bibliográfica.  Após a elaboração do conteúdo escrito, partiu-se para a elaboração do material visual. Foram selecionados artigos em português, com lapso temporal de 2019 a 2023, utilizando os descritores infecção hospitalar, equipamento de proteção individual e a palavra chave adornos. Foram encontrados para o descritor equipamento de proteção individual 26 artigos, e, para infecção hospitalar 38 artigos. As escolhas foram feitas após leitura do título e resumo.  A segunda etapa que pertence a elaboração do vídeo educacional,  com público alvo a se atingir. Percebe-se que a quantidade de pessoas que entram na instituição educacional, em sua maioria, são jovens entre 17 a 25 anos (também os mais velhos), com um vídeo curto da plataforma tiktok com a música de fundo “dança da mãozinha”, onde o refrão oferece a possibilidade de acrescentar tópicos de relevância do tema, em flash rápido. A principal problemática do uso de adornos é a microbiota que se mantêm presa a eles, e sua transmissão durante o toque torna-se comum. O uso de esmalte, unhas em gel, dificultam a higienização completa e eficaz das mãos o que também pode contribuir. No ambiente hospitalar, essa transmissão de microorganismos pode desencadear infecções hospitalares. A NR32 tem por finalidade estabelecer e regulamentar as diretrizes básicas para a implementação de medidas de proteção à segurança e à saúde dos trabalhadores dos serviços de saúde, principalmente aqueles que mantêm contato com agentes biológicos .     Por tudo isso, pensa-se sobre a necessidade de ações promotivas e preventivas que ensinam “boas práticas” e assim, o académico consegue de forma consciente, reproduzir condutas que serão primordias para evitar a disseminação de doenças no ambiente de saúde, que além de cumprir na sua vida acadêmica como aluno, irá realizar após formado, e poderá ser um agente transformador no seu ambiente de trabalho.
Development of an Automatic Baby Cradle System
Authors: Mr Hazari Naresh  , Mr Mohammed Mujtahid Ahmed  , Mr Padmanabuni Bhargav  , Mr Yamasani Datta Sai Reddy  , Mr Godvarthi Ashish  , Mr Avnoori Siddartha Sai
Published: April 2024

Infant care can be challenging in the fast-paced atmosphere of today, where parental responsibilities can compete with rigorous employment. An important step toward improving newborn health and reducing parent concern is the incorporation of an autonomous baby cradle system. This cutting-edge framework combines thorough planning with the seamless incorporation of several childcare components, providing carers with a priceless tool. Modern technology is incorporated into the system, including an Espressif Systems32 camera that allows parents to monitor children from a distance, a voice recognition system that enables swinging to react to spoken cues, and an advanced moisture sensor that monitors changes in bedding conditions. A sensor boosts the system’s effectiveness and adds to its excellent mobility and versatility. In a hectic setting, the Automatic Baby Cradle System redefines infant care. This system offers a comprehensive solution that addresses several aspects of newborn well-being by effortlessly integrating technology into caring. Modern capabilities like speech recognition, temperature management, wetness sensing, and remote monitoring show how technology has the power to fundamentally alter parenting habits. This research lays the framework for future developments and advances in newborn care and parental assistance as technology advances
The Role of Human Factors in Maintaining Service Quality in Hospitals
Authors: Dr. Arpana Katiyar
Published: April 2024

The delivery of high-quality healthcare services is a multifaceted endeavor influenced by various factors, among which human factors play a pivotal role. This paper explores the significance of human factors in upholding service quality within hospital settings. Drawing upon interdisciplinary research from fields such as psychology, sociology, and healthcare management, it examines the intricate interplay between healthcare professionals, patients, and organizational structures. In today's healthcare landscape, where patient-centric care is increasingly emphasized, understanding the impact of human factors is paramount. One of the primary focuses is on patient satisfaction, which is not only influenced by clinical outcomes but also by the quality of interactions with healthcare providers. Effective communication between healthcare professionals and patients is essential for building trust, managing expectations, and ensuring informed decision-making. Moreover, the demeanor, empathy, and interpersonal skills of healthcare staff significantly contribute to patients' overall experience and satisfaction levels. Safety is another critical aspect of service quality in hospitals, and human factors play a central role in patient safety initiatives. Research has shown that the majority of adverse events in healthcare are attributable to human error, highlighting the importance of addressing factors such as fatigue, stress, and workload among healthcare professionals. Furthermore, teamwork and collaboration are vital for promoting a culture of safety, where healthcare providers work together cohesively to identify and mitigate risks, thereby enhancing patient outcomes and reducing preventable harm. Effective leadership within healthcare organizations is also instrumental in shaping service quality. Strong leadership sets the tone for organizational culture, values, and priorities, influencing the behavior and performance of healthcare staff. Leaders who prioritize patient-centered care, employee well-being, and continuous quality improvement foster an environment conducive to delivering high-quality services. To optimize service quality, hospitals must invest in staff training, development, and support programs. Ongoing education ensures that healthcare professionals stay abreast of the latest evidence-based practices, technological advancements, and regulatory requirements. Moreover, initiatives to promote staff well-being, such as employee assistance programs, work-life balance initiatives, and resilience training, are essential for preventing burnout and maintaining morale. In conclusion, human factors play a multifaceted role in maintaining service quality in hospitals, encompassing aspects such as communication, teamwork, leadership, and staff well-being. By recognizing the complexities of human interactions within healthcare systems and implementing targeted interventions, hospitals can enhance service delivery, improve patient outcomes, and cultivate a culture of excellence.
Investigating Role of Intangible Cultural Heritage in constructing the phenomenon of Narmada River Parikrama
Authors: Ar. Shubhashri Deependu Upasani  , Dr. Kavita Murugkar
Published: April 2024

The traces of earliest human settlements are found on the bank of rivers which are one the natural forms of drinking water which are considered as a lifeline of the settlements. Since ancient time, Indian Culture assigned motherly values to rivers because of their significance in respective regional settings. Through-out the Indian Subcontinent, traditions and rituals evolved from ages around the rivers have shaped up some commonly followed cultural aspects along with some specific rituals to the rivers. Circumambulation of River Narmada, Shri Krishna Poojan on Yamuna River Banks at Vrindavan are examples of some of these specific cultural aspects. Out of the most sacred seven rivers (Ganga, Yamuna, Godawari, Saraswati, Narmada, Sindhu, and Kaweri); River Narmada has special cultural significance with its strategic geographical location dividing Indian subcontinent in Northern and Southern parts. This research is aimed to investigate the role of intangible Heritage in constructing the phenomenon of Narmada River Parikrama based on the parameters like historical importance, poetic references, mentions in Puraans, folk culture, religious importance, TapoBhumi Narmada (रेवा तीरे तप: कुर्यात!) with the very unique cultural aspect of Parikrama (Circumambulation) of a river as a deity. Parameters to understand cultural footprints were delineated to these aspects with the focus of completing one stage of research in stipulated time schedule. The religious aspect includes Tirthsthana (Sacredscapes) on the Parikrama Path on North and South banks, rituals, and activities followed by the devotees, and the connectivity of Lord Shiva with River Narmada. A famous verse says नर्मदा का हर कंकर है शंकर! (Means, each gravel of River Narmada depicts Lord Shiva.) Hence the religious thread in cultural heritage studies is very strong and needs to be established with the Parikrama perspective. The analytical methodology for conducting research included study of various literature references about River Narmada written by historians, poets, Saints, and ancient scriptures like Puraan, Mahatmya etc. available in the form of books, doctoral research thesis, research papers and scholarly articles. These literature sources refer River Narmada focusing on various perspectives. They are critically analysed and inferences regarding role of intangible cultural footprints around Narmada River banks in forming the Phenomenon of Parikrama are summarized in this paper. Next stage of the research or a way-forwards of this research study can be continued further to establish manifestation of Parikrama Concept in the tangible cultural heritage with respect to spatial planning and built forms.
Assessment of Community Radio Social Impact in Tanzania
Authors: Mpehongwa Gasper
Published: April 2024

Purpose: This paper assessed social impacts of three community radio stations located in three different social-economic zones in Tanzania namely, Kilosa in the Eastern Zone, Karagwe in the Lake Victoria Zone and Orkonerei Community Radio (ORS) in the Northern Zone. 

Methodology: The study used cross sectional design whereby data were collected at one point in time. Purposive sampling methods were used to obtain 585 (48% female) respondents based on whether the area was well covered by community radio broadcasts or otherwise.  Data were collected interview schedule, in-depth interview of key informants, systematic observations and focus group discussions. Key informants included community radio management and journalists working in the community radios. As for focus group discussions, four discussions were held (two in each community radio) with a total of 40 respondents. 

Findings: The study found that 51% of the respondents viewed community radio stations as enhanced access to information (news, current affairs and educational informational). On popularity, the study found that on average, community radios were more popular with local audience than other radio stations. This was due to broadcasting local contents. An analysis of sex and education levels of people who preferred community radio showed that 53.4% were men and 46.5% were women. As for education levels, 57% of those who preferred community radio broadcast had primary education followed by those without formal education at 24%. However, contrary to the theory of community radio which asserts that community radios focus on local social economic development, the study found that the most dominant theme was music and general entertainment.

Unique Contribution to Theory, Practice and Policy: The study found that community radio stations have enhanced information flow (news, current affairs and education). They are also most popular with local audience compared to other radios. This indicates that if tailored to address contemporary local development issues, community radio can have huge impact. However, the study found that, the most dominant themes in studied stations was music and general entertainment. This is contrary to the theory asserting that community radio should focus on local social development issues. This calls for further investigation on circumstances leading community radios deviation from the popular theory.
Giant Retropharyngeal Lipoma
Authors:   Department ENT - Chu Annaba, University Badji Mokhtar Annaba, Algeria, Kharoubi Smail
Published: April 2024

Lipoma is a common soft tumor tissue that can develop anywhere in the body. The retropharyngeal space is a rare location for these benign tumors. Clinically it procures dysphagia, pharyngeal discomfort, snoring, or sleep apnea. Imaging (CT Scan and MRI) is necessary for diagnosis, extension, and previous surgical procedures. We report in this publication a giant lipoma of retropharyngeal space in 75 year old man diagnosed after dysphagia exploration and treated with trans cervical surgical approach.
Retroperitoneal Rectal Perforation Due to Pomegranate Seed Bezoar: A Rare Case
Authors: Shamsi Saeedeh , Hosseini Reza Shah , Pakmehr Seyyedabbas , Mottaghian Sadaf , Shayan Sepideh Karkon
Published: April 2024

Various causes are involved in rectal perforation aetiology, including: Iatrogenic perforations, traumatic perforations, malignant or diverticular disease perforations, stercoral perforations, and idiopathic perforations. Rectosigmoid perforations are life-threatening and require immediate diagnosis and surgical treatment. Bezoars are accumulations of indigestible foreign matter that accumulate in the gastrointestinal tract. Seed vesicles are a subset of phytobizzars produced by plant seeds or undigested fruit kernels. Most Intestinal bezoura occur in the rectum, causing constipation or nonspecific abdominal or rectal pain. The following is a report of a case of pomegranate seeds in the rectum that resulted in retroperitoneal rectal perforation.