bluuebunny/crossref_metadata_2025 huggingface dataset:
ContrataciÃ³n pÃºblica socialmente responsable
Authors: JuÃ¡rez-Urquijo Fernando
Published: November 2021

Estamos a las puertas de un relevo generacional en los servicios GLAM pÃºblicos (bibliotecas, archivos, museos, centros de documentaciÃ³n) y el panorama que nos adelantan los actuales modelos de contrataciÃ³n auguran un aumento del nÃºmero de externalizaciones. Es previsible la incorporaciÃ³n de una cohorte de nuevos profesionales que trabajarÃ¡n para las diferentes administraciones sin ser empleados pÃºblicos y realizando, en muchas ocasiones, labores de carÃ¡cter permanente. Esta nota se va a centrar en la problemÃ¡tica de la contrataciÃ³n pÃºblica vÃ­a externalizaciÃ³n, en la oportunidad que, para promover la sostenibilidad, la equidad y la innovaciÃ³n, tienen las administraciones pÃºblicas si utilizan su gran â€œpoder de compraâ€ con criterios de responsabilidad social y en el papel de las asociaciones profesionales en la regulaciÃ³n de nuevos ecosistemas laborales.
Methods of Formation of Digital Competence of Future Teachers of Art Disciplines in Higher Education Institutions of China
Authors: Yiping Ji
Published: November 2021

With the introduction of digital educational technologies, the learning process is changing. Digital technologies are not only a tool, but also a living environment for modern learners, which opens up new opportunities: learning at any convenient time, continuing education, the ability to form individual educational routes for students. However, such an environment requires teachers to take a different approach to the organization of the educational process, to acquire new skills and abilities for work, in particular the formation of their digital competence in the digital educational space. In these conditions, the system of pedagogical education should provide training for future teachers of art disciplines, which has a high level of digital competence. The purpose of the article is to reveal the essence of the concept of «digital competence» on the basis of the analysis of scientific literature and to determine the methods of formation of future art disciplines teachers’ digital competence in higher education institutions of China. To achieve the goal of the study, the following research methods were used: analysis of scientific literature, observation, systems analysis, comparative analysis, modeling method, classification method; methods of comparative analysis and analogy, design method; methods of systematization, generalization, logical analysis, analysis of personal experience of teaching and learning, comparison and interpretation of the obtained data. The results of the study show that the digital competence of future teachers of art disciplines consists of four components: motivational-personal (internal and external motives for their future professional activity), cognitive (a set of theoretical knowledge, skills and abilities of future teachers to effectively organize the educational process using digital teaching aids), activity (practical implementation of professional and pedagogical knowledge of a future teacher, his intellectual, cognitive, technical, design and technological skills, necessary skills for effective implementation of digital technologies in the educational process) and reflection-evaluation (ability to analyze and self-analyze, coordination of goals, methods and results, awareness of their style of activity, readiness for their creative change). Conclusions. These components of digital competence of future teachers of art disciplines should be formed taking into account the specifics of professional activity and appropriate methods.
Formation of English Competence of Future Pharmacists
Authors: Каrasova Olena
Published: November 2021

The introduction to the article analyzes the current state of the future pharmacists’ language competence, in particular English. The purpose of the study is to theoretically substantiate the essence of the concept of «English-language competence of future pharmacists» and highlight the features of its formation. Methods. In the process of fulfilling the goal a set of theoretical methods was used - analysis of scientific-methodical, psychological-pedagogical literature, study of normative-program documentation on the research topic. The results. Based on the analysis of the scientific literature, the essence of the concept of «profession-oriented English-language competence» is clarified together with its links with professional competence, language and communication. The author specifies the meaning of «profession-oriented English-language competence» as a set of knowledge, practice-oriented skills, mastery of medical concepts, techniques of logical thinking aimed at solving profession-oriented situational problems, realization of discussions in the form of questions and answers on professional topics. Conclusions. The article identifies the peculiarities of forming the profession-oriented English-language competence in teaching a foreign language to students of the pharmaceutical university: a foreign language in profession-oriented learning becomes not only the object of learning, but also a means of forming the students’ profession-oriented English-language competence; mastering a foreign language is realized in practice-oriented language activities, the ability to participate in the communication of profession-oriented topics, and not in the knowledge of individual elements of a language; increasing the role of self-study work of students is caused by the constant development of modern technologies and innovations in pharmacy, increasing the amount of professional information and pharmaceutical terminology in English, which requires the future specialist skills and abilities to master information independently; the professional activity of pharmacists is connected with the formation and further development of their clinical thinking, professional and personal qualities (observation, flexibility, purposefulness, concentration, determination, communicative literacy).
Accreditation of Educational Programs in Specialty 015 Professional Education (by Specializations): Challenges and Prospects
Authors: Opolska Alevtyna , Usyk Olena
Published: November 2021

The study considers the question of quality of providing education by accreditation of educational programs for specialty 015 Professional Education (for specializations). It was defined that nowadays Ukrainian higher educational institutions have broad autonomy in forming content, choosing main approaches, forms and methods of organization of educational process for students of higher educational institutions. The purpose of the article is to define the main problems and challenges the education providers face in the process of realization of educational programs (EPs) for specialty 015 Professional Education (for specializations) for Bachelor level of higher education. Methods. The authors implement the purpose with the help of theoretical research methods (analysis, comparison, systematization and generalization). The results. The authors generalized and organized the results of the accreditation, defined the main strong and weak points of the according EPs, determined the main directions and prospects of their development based on the analysis of the accreditation cases of 27 EPs that had been examined by the National Agency for Higher Education Quality Assurance for 2020-2021academic years. The research determined that the criteria for the assessment of education quality are considered separately, but they are tightly related. The analysis of the levels of evaluation by experts and members of professional expert council shows that the criterion 2 «The structure and content of an educational program» and the criterion 4 «Studying and teaching accordingly to educational program» are the most problematic. Consequently, these directions require more attention during the improvement of the educational process organization by these educational programs. It is established that that 70% of EPs received accreditation for 5 years, 30% received conditional accreditation for 1 year and no EPs received denial for accreditation. This reports about high level of education process organization for EPs, however, there are still many questions to be considered. Conclusions. The analysis and generalizing of the accreditation materials let us define the main problems and prospective directions of educational programs development. The authors consider that incorporating these aspects can foster the development of EPs and quality of higher education for specialty 015 Professional Education (by specializations) in Ukraine.
Critical Thinking of Students: Essence, Structure, Conditions of Development
Authors: Ostapenko Anastasiia
Published: November 2021

The article analyzes and defines the essence of the concept of «critical thinking», presents the structure of critical thinking. The purpose of the article is to reveal the essence of the concept of «critical thinking», to determine its structure and to characterize the conditions of its effective development on the basis of the conducted analysis of the scientific literature. The following methods were used in the study: analysis and interpretation of domestic and foreign philosophical, normative, psychological, pedagogical and methodological literature; analysis and generalization of advanced domestic, foreign and personal pedagogical experience on the research problem. The results. On the basis of the considered position of the theory of critical thinking development according to S. Terno and regularities on which this technique is based, the procedures which belong to the operating block of critical thinking are defined. The essence of the concept of «students’ critical thinking» is interpreted as a system of judgments that is used to analyze things and events with the formulation of sound conclusions and allows students to make sound judgments and interpretations, as well as correctly apply conclusions to situations and problems. The peculiarities of the development of students’ critical thinking include the following: the consistent pattern of dynamics, according to which the number of all subsequent changes depends on the number of changes at the previous stage; the regularity of personality development in the educational process; the regularity of educational process management; the stimulation regularity; the regularity of unity of sensory, logical and practice in the educational process; the regularity of unity of external (pedagogical) and internal (cognitive) activities; the regularity of the educational process conditionality. It is proved that the structure of students' critical thinking consists of three components: motivational, activity, reflexive-evaluative. The author developed a model for the development of students’ critical thinking, the tasks of which are: mastering by students the knowledge of logical, problem, creative thinking; teaching students the basic logical concepts (reflection – denial – criticism – criticism – self-criticism – argumentation – proof – refutation – evaluation – self-evaluation – evaluative judgment); forming the students’ ability to build critical reasoning; teaching students to identify logical errors of critical assessment of the phenomenon, behavior. Conclusions. The results of the study showed that an effective means of managing the process of forming students' critical thinking is the use of techniques and methods for solving problems, and that different forms and methods of teaching are used depending on the content of teaching, teaching aids, the students’ individual characteristics of the study level, and the level of teachers’ readiness to the development of critical thinking of students.
Theoretical Aspects of the Formation of Digital Competence of Future Vocational Training (Service Sector) Pedagogues in the Process of Professional Training
Authors: Redziuk Nataliia , Riznyk Viacheslav
Published: November 2021

The article analyzes the European standards for the evaluating digital competence, which are an important tool for increasing the level of digital competence of specialists in the field of education. The purpose of the article is to substantiate the essence and importance of forming the digital competence of future vocational training (service sphere) teachers in the process of professional training. Methods. The authors use general scientific research methods as analysis, synthesis, generalization and systematization of scientific literature. The results. To define the concept of digital competence, the various approaches and terminology used in modern scientific and pedagogical literature have been studied. The semantic content of the concept of digital competence is a leading sign of digital literacy, and characterizes the skills of working in the information and communication environment, and its socio-cultural component (relevant values and personal experience). The effectiveness of information and communication technologies (ICT) is positively influenced by the informatization of the education system, which contributes to the formation of professional competencies of future teachers. One of the defining components of professional competence is the vocational training (service sector) teacher’s digital competence, interpreted as one of the key qualities and skills for effective, informative and systematic use of ICT in their activities, indicating the teacher’s mobility, modernity and competitiveness. Currently, there is a growing demand for education professionals with non-standard thinking and the ability to promote modern content in education. Conclusions. The main attention in the article is focused on the prospects of development of this competence in future specialists in the specialty «Vocational education (Service secrtor)». The authors highlight the structure of the formation of digital competence of future vocational training (service sector) teachers in the process of professional training, namely: digitalization of the educational process, improving efficiency and transformation of interpersonal communication.
THEORETICAL AND METHODOLOGICAL APPROACHES TO PHYSICS STUDY BY PRIMARY SCHOOL PUPILS BY MEANS OF MOBILE AND REMOTE TECHNOLOGIES
Authors:   Національний педагогічний університет імені М. П. Драгоманова, VOLYNETS T.
Published: November 2021

The article is devoted to the anysis of scientific, psychological - pedagogical and methodological works which clarify the essense of theoretical - methodological approaches to physics studies by students of secondary school with the help of mobile and distance technologies. The article defines the main contradictions and problems that occur on the way to physics studies implementation in secondary schools of the II category as well as specifies necessity to use theoretical - methodological approaches towards physics studies by the students of secondary school securing integrity and continuity of the educational process. Theoretical and methodological approaches to the study of physics of primary school students by means of mobile and remote technologies has been developed, the use of which provides an innovation-related educational process and allows to improve approaches to the assimilation of elements of physical knowledge in the process of studying the subject «environmental science» by students through a system of theoretical and practical knowledge, providing for the involvement of students in exploratory, experimental and creative activities. The article highlights the method of integration of traditional and distance learning to ensure an activity approach in the systematic study of physics, in secondary schools of the second degree. It is necessary to identify and justify pedagogical conditions in order to secure and justify the pedagogical conditions necessary to ensure the implementation of this activity approach within the natural education sector. A system of mobile learning techniques is proposed, focused on various forms of student activity, which assumes the priority of using students' personal mobile devices. A number of mobile applications focused on different forms of student activity in physics lessons are offered. Key words: mobile education programs, reception of mobile technologies, remote technologies, mobile methods of science.
THE PECULIARITIES OF USING INOVATIVE METHODS ON THE LESSONS OF THE ENGLISH LANGUAGE IN HIGH SCHOOL
Authors:   Донбаський державний педагогічний університет, SHEVCHENKO M.
Published: November 2021

The article considers the use of innovative methods in English lessons on the example of personality-oriented method. The tasks of modernization of education cannot be solved without the optimal introduction of modern educational technologies in all its spheres. The use of innovative methods gives impetus to the development of new forms and content of traditional activities of students, which leads to their implementation at a higher level. Work with the use of such methods should be organized in such a way that from the very beginning it becomes a powerful psychological and pedagogical means of forming a motivational plan for students, a means of supporting and further developing their interest in the subject. It is emphasized that properly organized work of students with the use of innovations can promote in particular the growth of their cognitive and communicative interest, which in turn will enhance and expand opportunities for independent work of students to master a foreign language, both in class and after school. It is emphasized that the use of innovative forms of learning in contrast to traditional methods gives the student a major role in the acquisition of knowledge, in which the teacher is an active assistant, organizes, directs and stimulates learning activities. In his work, the teacher must not only solve educational problems, but also create conditions for students to independently creatively search, encourage them to research, develop skills of orientation in a huge information space and independent decision-making. And as a necessary condition in solving the tasks is the introduction of innovative technologies in the educational process. The constantly evolving system of information support in combination with technical support ensures the quality of the educational process. Innovative methods have become an integral part of the process of teaching and learning English. They help students to acquire the necessary skills for free use of English in a short time, namely: listening, reading, writing and communication skills. Given the importance of innovative methods, it should be noted that the central place in the teaching process is the personality of the teacher, who selects, evaluates and implements new methods. Thus, innovative methods help the teacher to solve a large number of organizational issues, to make the lesson more interesting, but innovation cannot completely replace the teacher. An analysis of other innovative trends in the teaching of English may be a prospect for further research. Key words: educational process, innovation, method, knowledge, project.
POTENTIAL OF GAME IN THE DEVELOPMENT OF EMOTIONAL INTELLIGENCE OF YOUNG SCHOOLCHILDREN IN READING LESSONS
Authors:   Київський університет імені Бориса Грінченка, SUKHOPARA I.
Published: November 2021

The focus of the educational process on the development of emotional intelligence, the tasks of the adaptation-play period, the possibility of reading lessons for the development of the emotional sphere of junior schoolchildren determined the relevance of the chosen topic. We understand the development of emotional intelligence of primary school children as a process and result of quantitative and qualitative changes in the emotional and intellectual spheres of the child, aimed at the ability to express, understand their emotions, manage them, understand and influence the emotional state of others to establish friendly, tolerant relationships, success. Reading lessons have a special emotional atmosphere, give the opportunity to introduce the child to the complex world of human emotions, to observe and live a certain emotional state with the characters of works of art, at the same time, to express their emotions, understand their feelings. The basic reading skills of pupil of 1-2 grades concerning the development of emotional intelligence in reading lessons in accordance with the requirements of the State Standard of Primary Education are outlined. The conditions for the development of emotional intelligence of primary school students in reading lessons are given. The potential possibilities of the game as interactive have been identified; free, unforced, desirable; fascinating; open, figurative, expressive, creative activity of primary school students. The scheme of types of games for reading lessons and their influence on the development of components of emotional intelligence of junior schoolchildren is presented. Games that affect the development of emotional intelligence are characterized in accordance with its structural components: games that create a positive mood, relieve psychological stress in students; aimed at adequate expression of their own emotions, feelings, emotional response to reading and recognizing the emotions of others; focus on emotion management; help to master the techniques of interaction, communication, understanding of others, joint solution of the problem; use theatrical techniques, staging; aimed at expanding students' knowledge of emotions and feelings. Key words: game, emotional intelligence, development of emotional intelligence, reading lessons, junior schoolchildren.
New grain concentrates with increased biological value in the structure of modern nutrition
Authors: Bal-Prylypko Larysa , Tolok H. , Nikolaenko M. S. , Antonenko A. , Brovenko T.
Published: November 2021

Nutrition of modern people is the main controllable factor that determines their state of health, quality of life, efficiency and active longevity. It has been established that excessive consumption of animal fats, simple carbohydrates, table salt and a significant reduction in the diet of vegetables and fruits, which are sources of vitamins, minerals, dietary fibre and minor biologically active substances, results in the development of cardiovascular diseases, metabolic disorders, cancer, etc. Thus, the priority task of scientists and practitioners is to develop products of high biological value as an important factor in preserving human health and disease prevention. The development, introduction into production, and popularisation of such products will optimise the nutritional structure of Ukrainians, overcome the adverse trends in the health of the nation caused by nutritional status disorders, improve the quality of life of the population, and improve the demographic situation in Ukraine. The research substantiates the expediency and necessity of establishing new products with improved properties and provides a list of used additives of natural origin, which are a source of essential nutrients. The results of the conducted tests confirm the optimisation of the chemical composition of new grain concentrates, improvement of their organoleptic properties, and prolongation of shelf life, which indicates the correct choice of prescription components, and their rational ratio. The characteristics of the nutritional and biological value of new grain concentrate Extrapolivitamix enriched with vegetable powders, wheat germ, iodine and raisins are presented. The properties of grain concentrates were explored, and it was proved that they can be included in the group of functional foods due to the correlation of chemical composition. The optimal concentrations of functional ingredients that can be used in new products were determined. New concentrates “Extrapolivitamix” are recommended for industrial production and use in the daily diet
Acute ICA occlusion due to pituitary apoplexy resulting In Internal Carotid Artery Occlusion and Stroke: Case Report, Review of The Literature, and Treatment Rationale
Authors: Adepu Ramu
Published: November 2021

We report the case of a 63 year-old man who presented with sudden-onset, severe headache. Work-up revealed a hemorrhagic pituitary macroadenoma. He then suffered sudden-onset aphasia and right hemiparesis. Further evaluation revealed left ICA occlusion. Emergent transsphenoidal resection of the tumor produced recanalization of the occluded ICA, but his neurological symptoms persisted. ICA occlusion following pituitary tumor apoplexy is a rare event that must be recognized early for optimal patient outcomes. We report the first case with demonstration of carotid recanalization after tumor resection, review the incidence of ICA occlusion due to pituitary tumors, describe the possible mechanisms, and recommend optimal treatment strategies.
Theoretical and Therapeutic Applications of Mental Pain in Childhood cancer Survivors of the Findings of the paper
Authors: Raz Haya , Kreitler Shulamith
Published: November 2021

The paper deals with a review of “Mental Pain in Israeli Adult Childhood Cancer Survivors and Its Effects on their Quality of Life” by H. Raz, N. Tabak, Y. Alkalay, & S. Kreitler (1). The review focuses on theoretical and therapeutic implications of the findings. The major theoretical elaboration of the findings focuses on the construct of mental pain. This seems advisable both because there are several apparently similar concepts which presumably render mental pain superfluous and because mental pain was found to characterize pediatric cancer survivors who otherwise were found to be well adjusted as adults. The new redefinition of mental pain focuses on the components of low self-image and low meaningfulness of life. The constructs of mental pain in the past and of tolerance of mental pain were found to be less useful in this context. The new redefinition points to two new venues of interventions for reducing mental pain: enhancing self-image and increasing meaningfulness of life. The two kinds of interventions, which are based on elaborating meanings, are briefly described.
Integrating Psychotherapy and Occupational Counselling in Family Projects: An Action Theoretical View.
Authors: Ladislav Valach
Published: November 2021

The current career understanding develops away from institutionally outlined career track to informal personal and socially shared career conceptualization. Richardson (2002, 1993) suggested that occupational counselling and psychotherapy should become more integrated and thus better address this issue. We propose that we need a new conceptualization which would see career and occupational projects as being constructed in the personal and social processes and could provide a new basis for counselling integrating occupational counselling, psychotherapy and dealing with joint processes on a basis common to all three views. The core of this conceptualization is the idea of goal-directed system processes organized in action, projects and career, which are related to a number of issues such as occupational career, but also mental and physical health and relationships (Domene, Valach, & Young, 2015; Valach, Young, & Lynam, 2002; Young, Valach, & Collin, 2002). This conceptualization will be outlined, several cases will be described in which the intertwining of various issues asking for occupational, therapeutical and family related intervention is visible and, finally, a brief quantitative and qualitative overview will be provided of the occurrence of the occupational, life and suicide related joint issues in 40 interviews with patients after a non-fatal suicide action (Valach, Young, & Michel, 1997).
Health Literacy: A Universal Call to Action
Authors: E. Koenig Virginia
Published: November 2021

Health literacy is the ability to access, understand, evaluate, and communicate information that promotes, maintains, and improves health care in a variety of settings across the lifespan. Unlike general literacy, health literacy is considered a more dynamic and context-reliant ability because it is comprised of reading comprehension, reasoning, and numeracy skills.
Time perspective stands out as the time variable that reliably separates anxious and nonanxious individuals
Authors: Ming Linh-siung
Published: November 2021

Background: It is well-recognized that emotions and emotional disorders may alter the experience of time. Yet relatively little is known about different aspects of psychological time in relation to anxiety. The purpose of the present study was to explore several aspects of temporal processing, including time perspective, prospective and retrospective time estimation, in persons with anxiety symptoms. Methods: A total of 110 individuals with varying degrees of anxiety participated in two studies. They were assigned to two groups (anxiety–control) based on their scores on anxiety measurements. Participants also completed an inventory of time perspective and several time estimation tasks which were analyzed on a group-level. Depressive symptoms were assessed and used as a covariate in the second study. Results: Anxiety was significantly associated with Past Negative and Future Negative time perspectives as measured by the Swedish Zimbardo Time Perspective Inventory (S-ZTPI), even when controlling for the effect of depressive symptoms. No other significant differences were found. Conclusion: Exploring time perspective in persons with anxious symptoms may provide important insights into features of anxiety. These findings may offer new ways of conceptualizing anxiety and provide suggestions for treatment strategies.
The use of music often has a crucial role in the everyday life of patients with mental disorders
Authors: May Alcott Louisa
Published: November 2021

Background: Until now little has been known about the relationship between emotion modulation through music listening habits and personality dimensions, especially in patients with mental disorders. Objective: To explore relations between the use of music in everyday life and personality dimensions in patients with mental disorders. Methods: A population of patients suffering from mental disorders (n=190) was examined using one inventory on emotion modulation by music (IAAM) and another assessing personality dimensions (SKI). Results: Patients with high ego-strength used music less for relaxation, cognitive problem solving or for reduction of negative activity, similarly patients with high orderliness used it less for cognitive problem solving or for reduction of negative activity, but patients with high confidence used music more for fun stimulation. Patients who reported that they listened to music which improved their symptoms of mental illness showed more ego-strength and orderliness than patients who listened to music that worsened their emotional condition. Conclusions: The study suggests that the personality variables confidence, ego-strength and orderliness are variables for the use of music in a helpful way for emotion modulation.
Spinal Cord Constriction Secondary to Scaphoid Nonunions
Authors: Langhorne Samuel
Published: November 2021

A 57 year old female with history of diabetes mellitus, diabetic peripheral neuropathy and scoliosis with four previous spinal fusions (T4 to pelvis) presented with worsening ambulating for the past one month. She was previously at baseline ambulating with a walker.
Burnout Syndrome in Family Physicians – Experiences from Bosnia and Herzegovina
Authors: Stanetić Kosana
Published: November 2021

The burnout syndrome is a response to a long term chronic emotional and interpersonal stressors that are related to workplace. It emerges as the consequence of non-harmonized relations between employees on one, and working environment on the other side. It is defined as chronic work stress that includes three dimensions: the sense of the emotional exhaustion, the negative approach to providing services (depersonalization) and the sense of reduced personal accomplishment. It occurs most often in persons who work in direct contact with other people. Medicine is one of the professions at the greatest risk of suffering from burnout syndrome. The results of the studies conducted in the neighbouring countries, in Europe and in the world showed a big prevalence of burnout syndrome among medical workers, especially in physicians. The acquired results indicate that there is a need to undertake measures for prevention of the burnout syndrome.
Simulated High-Fidelity Practice in the Learning Process of Nursing Students
Authors: Presado Helena
Published: November 2021

Nursing education has a long tradition in the use of simulation as a pedagogical method for the professional competences' learning. However, technological advances and the increasing health care complexity requires new challenges in the training process.
Immune deficiency derive a favorable response to IVIg in PANDAS
Authors: Arthur Blair Eric
Published: November 2021

For two decades, pediatric autoimmune neuropsychiatric disorder associated with group a beta hemolytic streptococcal infection (PANDAS) has been treated with high-dose intravenous immune globulin (IVIg) therapy based upon the understanding that the disorder is partly due to post-infectious dysimmunity.
Estimate the scope of behavioral health need among women beginning pregnancy care by an EMR-based assessment
Authors: ling Shun , wenli Yu
Published: November 2021

Background: It is well-recognized that behavioral health problems are under detected and undertreated in primary care. Medical settings have been identified as likely settings to detect and address these problems, but any such efforts would require a strategic approach based on needs in the treated population. Obstetric settings are being encouraged to detect and address behavioral health needs. Methods: An EMR-based approach for developing an initial estimate of the portion in need, and the range of conditions present, was developed for the obstetric setting. A list was developed of behavioral health diagnoses and prescriptions that could be queried using the electronic medical record (EMR). For diagnoses, the ICD-9 set of "mental disorder" diagnoses (codes 290-319) was used. For prescriptions, a list of behavioral health medications published by NIMH was used, augmented with the behavioral health medications noted in a recent "Top 200" prescription list published by Verispan, a commercial firm. Results: Of this cohort of 3,290 women beginning pregnancy care in a one-year time span, this EMR query indicated that 394 (12.0%) had a behavioral health need; 5.2% were prescribed a medication alone, 3.1% had a diagnosis alone, and 3.6% had both. This is likely an underestimate, but the efficient EMR method serves as a helpful starting place for determining behavioral health needs to be addressed. Conclusions: These data indicate that screening for these conditions will likely yield modest, but steady, numbers of patients with behavioral health needs that could be integrated with obstetric care. Readily available data regarding most common diagnoses and most frequently prescribed drugs can be used to develop an initial estimate of the burden of behavioral health need in obstetrics. Other primary care settings could readily replicate this approach as an initial step for addressing behavioral health burden in primary care.
Headache Diagnosis in Enhance patient satisfaction
Authors: Christie Agatha
Published: November 2021

Introduction: Doctors in primary care are responsible for diagnosing and managing patients with headache, but frequently lack confidence in doing so. We aimed to compare Family Practitioners’ (FPs) diagnosis of headaches to classification based on a symptom questionnaire, and to describe how classification links to other important clinical features. Methods: This was an observational study of patients attending primary care doctors for headache. Main outcome measures: Patients completed a questionnaire including the Headache Impact Test, the Migraine Disability Assessment Score, the Hospital Anxiety and Depression Scale, the Illness Perceptions Questionnaire, a satisfaction scale, a service use inventory and a symptom questionnaire rated by two Practitioners with Special Interest (PSIs) in Headache. Results: 255 patients completed questionnaires. There was low agreement between FP diagnosis and classification using the symptom questionnaire. FPs frequently did not use the diagnosis migraine, when patient reported symptoms which justified this. FPs did not classify patients with ≥15 days of headache separately as chronic daily headache (CDH), and this could be because the classification system used does not have that code. Patients classified as CDH using the symptom questionnaire reported more disability, more symptoms of anxiety and depression (HADS), more service use, and less satisfaction with FP care. Conclusion: Patients, who present with headache in primary care, tend to receive non-specific diagnoses. Having a system that would allow separate classification of people with headache of ≥ 15 days a month might help FPs to explore and address associated features with patients in terms of disability, psychological co-morbidity and cost, and improve satisfaction with care.
The Cognition of Schema
Authors: F Welles James
Published: November 2021

The brain of an infant may be the blank tablet envisaged by Locke, but as it is shaped by both experience and language it develops into the mind of an adult. As the character of the ma-turing individual becomes defined, the mind shapes experiences decreasingly according to immediate stimuli themselves and increasingly according to linguistic interpretations of and emo-tional reactions to perceptions.
Family Life Experiences and the Abusive Consumption of Tramadol by Adolescents
Authors: MIREILLE NDJE NDJE , NAHLELA LONGCHI Gladys
Published: November 2021

There are increasing worries in many countries worldwide especially in Cameroon as concern the abusive consumption of tramadol and its addictive effects. Experiences within the family have a major influence on the wellbeing of its members, be it child, adolescent or adult. This is what spurred us to question other factors which have harmful effects on those abusing tramadol. This article aims to find how adolescents who have the necessary requirements for an adapted development seek satisfaction in abusive tramadol consumption. The objective was to understand the meaning adolescents who abusively consumes tramadol associate to their family life experiences and also bring out practical information on how adolescent’s emotional needs are met. We conducted a clinical study on three adolescents who abusively consume tramadol at the Psychiatric unit of Jamot Hospital Yaounde. Data was collected using semi- structured interview guide. Data collected was analyzed using thematic content and sequential analysis. The results were interpreted mainly based on the attachment theory which has shown that family life experiences are the association and negative interpretations of events experienced by these adolescents. These experiences have engendered a lacking state which the adolescents try to overcome by abusively consuming tramadol. Finding also indicated that family life experiences lead to the difficulties in managing negative counter-transference reactions which interferes with their ability to provide secured based. Perspectives for this research highlighted the lack of research exploring the rate of tramadol abusive consumption in the rural area and the end comparing their prevalence rates.
Meaning In Life as a Moderator of Stress in Undergraduate Students
Authors: Raza Yousaf , Noureen Amna , G. Bhatti Zarnab , Mehmood Haziq
Published: November 2021

Stress is a common predisposing, precipitating, and perpetuating factor of psychological and physical illnesses. Various studies have shown a beneficial role of having a meaning in life with regards to stress. There are no local studies available that have studied the correlation between the two constructs of perceived stress and meaning in life, in the Pakistani population. Therefore this study aims to determine correlation between scores of MIL scale and scores of Stress, in undergraduate students. A total of 254 undergraduate students were selected as respondents in the study. They were assessed for perceived stress and meaning in life using Perceived Stress Scale (PSS) and the Purpose in Life Scale (PIL) respectively. It was a cross sectional study, demographic and clinical variables were collected via a Performa. On average females scored higher (M = 2.20, SD = 0.70) than males (M = 1.78, SD = 0.52,) on perceived stress. While males scored (M = 3.57, SD = 0.55) significantly t (244) = 4.69, p <.05) higher on purpose in life questionnaire as compared to females (M = 3.21, SD = 0.69). Correlation coefficient was found to -0.52 representing a significant negative correlation between the two variables. R2 came out to be 0.27 signifying that 27 % of the variance in perceived stress is accounted by meaning in life. There is a strong correlation between meaning in life and perceived stress. Further it was also found that female gender was more vulnerable to stress and less likely to score high on meaning in life. Conversely male gender was more likely to score higher on meaning in life and lower on perceived stress.
Depression Differentially Predicts Quality of Life at levels of Self-Efficacy and Social Support in Cardiovascular Patients
Authors: Fatima Shameem
Published: November 2021

Objective: The objectives of the study were twofold: i) to assess whether depression independently predicts four quality of life (QOL) domains in CVD patients; and ii) whether depression interacts with self-efficacy and perceived social support to predict QOL domains among cardiovascular diseases (CVD) patients. Methods: Participants were 174 CVD patients taken from three major government sector hospitals of Lahore who were assessed on self-report measures of depression, self-efficacy, social support and QOL. Results: It was found that depression was a significant negative predictor of all four QOL domains among CVD patients. Furthermore, results from regression analysis demonstrated that depression significantly interacted with self-efficacy to predict physical and environmental QOL. Additionally, depression interacted with social support to physical and social QOL. Specially, depression was a stronger negative predictor of QOL domains at lower levels of self-efficacy and social support while it was a poor predictor at higher levels of self-efficacy and support. Conclusion: It was concluded that social support and self-efficacy act as buffering factors against devastating effects of depression on QOL among CVD patients.
Tactile Contact as a Marketing Tool for Improving an HIV/STD Education Program’s Compliance / Retention with Crack Cocaine Users
Authors: Jay Johnson Ralph
Published: November 2021

Background: This research brief reports results from an exploratory pilot study on the use of socially acceptable touch in a public setting that accompanies a request to improve program compliance with “street level” crack cocaine users. Methods: Study participants consisted of 120 crack cocaine-using participants in a larger community-based HIV/STD prevention and research program targeting at-risk African-Americans. They were required to return for a series of four booster health education sessions over 2-5 days and 6 month and 1 year follow-up assessments. The most difficult aspect of this program was no-shows for the second booster session; study participants who attended at least two sessions were much more likely to attend all sessions and complete the entire lengthy program. The program director randomly approached some participants after the first visit in a public setting and briefly touched them as part of a handshake; then, the director asked them to return for their follow-up sessions. Whether they were approached or not was random. Analysis comprised descriptive and non-parametric statistics. Results: Ninety-three percent of participants who were asked to return and were touched returned for the second session; only 75% returned who had been asked to do so but were not touched. A statistically significant difference favored being touched and complying, as measured by second-session returning participants (p < .01), though it appeared the touch / request had more of a preventive than a promotional effect. Extraneous demographic and background factors were ruled out with the exception of age (older participants), which contributed slightly. Conclusions: Results suggest that a request “anchored” to a socially acceptable public touch is promising in terms of improving program participation and engagement. Limitations and implications for future research are discussed.
Presence, Cybersickness, Anxiety, and Heart Rate Variability in a Non-Clinical Population Using Virtual Reality Environments Designed For Specific Phobias' Treatment
Authors: Distefano Maria Jose , P. Labandeira Lucas , M. Tarnogol Fernando , Mesurado Belen
Published: November 2021

The current study was performed to assess the phenomenon known as Presence, to measure Anxiety responses, simulator sickness and autonomic activation in subjects of the general population. The sample consisted in 37 Argentine participants (15 male, 22 female) between ages 20 and 40; who were exposed to 3 virtual environments designed to research and treat phobias. Instruments utilized for this study were the Symptom Checklist 90-R, Acrophobia Questionnaire, Fear of Spiders Questionnaire, The Claustrophobia Questionnaire, Igroup Presence Questionnaire, Simulator Sickness Questionnaire and the State-Trait Anxiety Inventory. All virtual environments generated sufficient feeling of presence. Cybersickness was only registered in the Elevator scenario. The Apartment and Spiders environments have shown not to be anxiety triggers within this population. As for Elevator, a significant increase in the level of state anxiety was generated. A possible hypothesis to account for this fact might be that reported anxiety responds to movement simulated in the virtual scenario while on the other two scenarios the subjects remained static. The existence of a correlation between HRV and state anxiety has been analyzed and no significant relation has been found between the variables. Even though there is a relation between anxiety and presence, no significant relation has been found between anxiety and presence. Regarding sensory conflict, a follow up study in the Elevator environment should be done, eliminating movement and exposing subjects to the stimuli while static at different heights. Future studies should consider broadening the size of the sample and studying clinical population to compare results.
The Effectiveness of Group Therapy in Supporting Adoptive Families
Authors: Lavi Wilson Shanika , DeGree Kristen , Solomon Christopher
Published: November 2021

Adopted children and their families have unique needs compared to non-adoptive families. Adoption research seeks to understand these unique needs and contribute to a growing field of adoption competent therapy. The purpose of this paper is to understand how adoption competent group therapy can benefit adoptive families, and provides analysis on secondary data collected in 2019 from pre and post measures for a weekly support group from post adoption program. The research included 8 participants who were adoptive parents of adolescent girls, and included quantitative and qualitative data about how parents and their children responded to the program. The questions covered a variety of topics regarding the child, adoptive parents, and the parent- child relationship as a while. The results showed that from a quantitative standpoint, minimal improvements were made after the group, but the qualitative data showed that the group provided numerous benefits for adoptive parents.