bluuebunny/crossref_metadata_2025 huggingface dataset:
Ratio of Estimated Right Atrial Pressure with Pulmonary Capillary Wedge Pressure and Estimated Plasma Volume Status as Predictor of Major Adverse Cardiovascular Event During Hospitalization in Patients with Acute Heart Failure
Authors: Ariesta Benediktus Bosman , Yasmin A.A.A. Dwi Adelia , Wibhuti Ida Bagus Rangga
Published: June 2024

Background: Major cardiovascular events (MACE) in acute heart failure (AHF) are relatively high. The role of Estimated Right Atrial Pressure to Pulmonary Capillary Wedge Pressure (ERAP/EPCWP) and Estimated Plasma Volume Status (EPVS) as predictors of MACE during AHF hospitalization needs to be clarified. Objective: To determine whether ERAP/EPCWP and EPVS are predictors of MACE during AHF hospitalization. Methods: This prospective cohort study of AHF patients from February to April 2024. The independent variables are ERAP/EPCWP and EPVS. MACE outcomes consist of all-cause mortality, cardiogenic shock, malignant arrhythmias, and the incidence of renal replacement therapy. Samples were selected by consecutive sampling that met the inclusion and exclusion criteria and then observed during hospitalization. Results: A total of 62 AHF patients were included in the study. The MACE occurred in 45.2% of cases. The ERAP/EPCPWP cut-off point based on the ROC curve was ≥0.535 (95% CI 0.767-0.961; p<0.001; AUC 0.864). The EPVS cut-off point was ≥4.895 (95% CI 0.656-0.89; p<0.001; AUC 0.773). The cumulative survival on the fifth day in the ERAP/EPCWP ≥0.535 and <0.535 groups was 19.6 and 86.5%, respectively (p<0.001), while in the EPVS ≥0.4895 and <0.4895 groups, 29.6% and 71.7% respectively (p<0.001). The ERAP/EPCWP ≥0.535 and EPVS ≥0.4895 each were independent predictors of MACE during hospitalization (adjusted HR ERAP/EPCWP 8.89; 95% CI 2.936-26.972; p<0.001 and adjusted HR EPVS 5.046; 95% CI 1.893 -13.449; p<0.001). Conclusion: The ERAP/EPCWP and EPVS are independent predictors of MACE during AHF hospitalization.
Faecal Sludge Management Practices in Uganda: Challenges and Opportunities
Authors: Basika Elisa , Komakech Allan. J. , Nsubuga Musa , Kizito Simon
Published: June 2024

In the global sanitation challenges over the years, sustainable faecal sludge (FS) management has always featured siting Sub-Saharan Africa and developing countries as the most affected. FS is currently being managed through conventional treatment plants, where it goes through a series of stages which include primary and secondary filters, sedimentation tanks, biological trickling filters, and secondary sedimentation tanks before being released into wetlands. While in wetlands it undergoes further biological filtration to remove heavy metals and the remaining nutrients. In Uganda, this system has been used since the 1970s. However, it has faced various challenges, mostly due to the rapidly growing population, poor quality of FS, low FS collection efficiency due to inaccessibility in slum areas, and the long distances moved by trucks to access the treatment plants. The objective of this review is to highlight the gaps in existing FS management practices, the level of involvement of the different stakeholders and their roles. It also highlights the existing policies, and institutional frameworks with challenges and business opportunities that can be harnessed from FS. The study employed a systematic review of literature through identifying, assessing and synthesizing relevant articles. The findings indicate gaps in government partnerships with private sector and academic institutions. Furthermore, there is increased informal participation of private sector in FSM, knowledge gaps among the public concerning FSM services. In conclusion, the government needs to strengthen partnerships with all stakeholders in the FSM sector as well as increase community sensitization about FSM management.
Changes In SGOT/SGPT, Albumin and NLR Values as Predictors of The Severity of Blunt Hepatic Trauma in RSUP Prof. Dr I.G.N.G Ngoerah Denpasar
Authors: Wikrama I Komang Botha , Suwedagatha I Gede , Mahadewa Tjokorda Gde Bagus
Published: June 2024

Objective: To determine the relationship of SGOT/SGPT, serum albumin levels and neutrophil lymphocyte ratio with the degree of major hepatic trauma. Methods: This study used a retrospective cohort observational research design. Samples in this study were selected by consecutive sampling by selecting subjects where all subjects who met the selection criteria in the period January 2019-December 2022. This study involved 66 samples of hepatic blunt trauma patients who were treated at Prof. Dr. I.G.N.G. Ngoerah Hospital Denpasar. Results: SGOT enzyme has a p-value of 0.047 <0.05, SGPT enzyme obtained data with a p-value of 0.056>0.05, albumin levels with a p-value of 0.011 <0.05 and NLR with a p-value of 0.022 <0.05. Based on the OR value, it can be concluded that NLR > 6.3 can cause major trauma 21.2 times and is the most dominant variable causing major hepatic trauma. Conclusion: Increase in SGOT enzyme level > 318.2 U/L, increase in SGPT enzyme level > 186.15 U/L, decrease in serum albumin level < 3.02 and increase in neutrophil lymphocyte ratio (NLR) level > 6.3 103/ul are significant as predictors of major hepatic trauma. NLR is the most dominant factor in the severity of hepatic trauma compared to the increase in SGOT/SGPT enzyme levels and decreased serum albumin levels.
Echocardiography Killip Classification (eKillip Class) as a Predictor of Cardiovascular Rehospitalization and Mortality in Patients with Acute Myocardial Infarction
Authors: Ferdiyanthi Ayu Putu Harina , Wibhuti Ida Bagus Rangga , Darma I Kadek Susila Surya
Published: June 2024

Background: Patients with acute myocardial infarction (AMI) are at risk of experiencing cardiovascular events such as rehospitalization and mortality. The eKillip Class is a combined echocardiographic hemodynamic assessment based on the Killip class, which uses stroke volume index (SVI) and diastolic function as indicators of systemic perfusion and pulmonary congestion to assess the prognosis of AMI patients. This study aims to assess the eKillip Class as a predictor of cardiovascular rehospitalization and mortality in AMI patients. Method: The research design used a prospective cohort. The independent variable is the eKillip class. The outcomes studied were cardiovascular rehospitalization and mortality. A total of 114 samples were obtained using a consecutive sampling technique that met the inclusion and exclusion criteria and were followed for 30 days. Results: eKillip Class IV was present in 39 patients (34.3%), while 25 (21.9%), 20 (17.5%), and 30 (26.3%) patients were in eKillip Classes I to III, respectively. During 30 days of follow-up, a total of 22 (19.3%) cardiovascular rehospitalizations and 13 (13.2%) cardiovascular mortalities occurred. Multivariate cox regression analysis using the backward stepwise LR method showed that eKillip Class IV is independently associated with cardiovascular rehospitalization and mortality (adjusted HR 3.7; 95%CI 1.6–8.6; p = 0.003; and adjusted HR 3.5; 95%CI 1.2–9.9; p = 0.018, respectively). eKillip Class IV had a significantly lower mean survival time and 30-day survival rate than non-eKillip Class IV in terms of cardiovascular rehospitalization (24.7 days [95%CI 21.9-27.6] and 66.7% vs. 27.9 days [95%CI 26.4-29.4] and 88%; p = 0.001) and cardiovascular mortality (23.7 days [95%CI 19.9-27.3] and 76.9% vs. 27.8 days [95%CI 26.2-29.5] and 92%; p = 0.019). Conclusion: eKillip Class is an independent predictor of cardiovascular rehospitalization and mortality in AMI patients. Patients with eKillip Class IV had lower survival rates for cardiovascular rehospitalization and mortality compared to patients with non-eKillip Class IV.
Processes of Social Self-Comparison in Pupils with Disabilities and The Belief of Self-Efficacy
Authors: Caroline Meli Ignace , Ngwa Peter
Published: June 2024

This research aims to examine the relationship between the processes of social comparison of the self and the belief in self-efficacy in pupils with disabilities. This research is part of a social cognitive approach and is based on the theoretical foundations of Festinger (1954) and Bandura (2006) with the theory of social comparison and the theory of belief in self-efficacy. Data was collected in two phases. The qualitative survey consisted of in-depth individual interviews with 06 pupils with disabilities using accidental sampling techniques. The second phase was made possible by using a questionnaire as a data collection tool. The questionnaire was administered to a sample of 214 participants selected using quota sampling methods. The participants were students with disabilities regularly enrolled at CNRPH Emile Léger, PROMHANDICAM and CJARC. The research hypotheses were confirmed. This confirms the existence of a link between the processes of social self-comparison in pupils with disabilities and the belief in self-efficacy.
Assessment of the Osun Elementary School Feeding and Health Programme on the Nutritional Status of Rural Primary School Pupils in Osun State
Authors: Fauziyah Oyewole Mojisola , Damilola F. Olajubutu
Published: June 2024

The nutritional status of Osun State’s rural primary school students was evaluated in relation to the Osun Elementary School Feeding and Health Programme (O-MEALS). Two-thirds of the State’s senatorial districts were used to choose a sample size of 188 respondents using a multi- stage sampling process. Anthropometric measurements, interview schedules, and structured questionnaires were used to collect data, which was then analyzed using PPMC and Chi- square. Findings revealed that rice (x̄=3.08), beef (x̄=2.51), egg (x̄=2.20), and bread (x̄=2.00) were mostly consumed in O-MEALS. Constraints faced by school children in the programme included diets void of fruits (x̄=1.40), a small quantity of food served (x̄=0.88), serving of spoilt fruits (x̄=0.35) and lack of drinkable water (x̄=0.16). The BMI-for-age (weight-for-height) indicated that 3.7% of the respondents were severely wasted and 10.1% were wasted, while height-for-age (an indicator of stunting) reveals that 16.5% were severely stunted and 30.9% were stunted. Frequency of food consumption in the programme (r = 0.185) had an influence on the pupils ‘nutritional status. Their nutritional status decreased as their family size (r = -0.003) and the constraints faced (r = -0.027) increased. To ensure that students receive daily fruits and meals with the expected quality and quantity, food vendors should be under the supervision of the school. The administration should also put more effort into reducing the State’s present rate of stunting and wasting.
Integrative analysis of AI-driven optimization in HIV treatment regimens
Authors: Janet Aderonke Olaboye  , Chukwudi Cosmos Maha  , Tolulope Olagoke Kolawole  , Samira Abdul
Published: June 2024

The integration of artificial intelligence (AI) into HIV treatment regimens has revolutionized the approach to personalized care and optimization strategies. This study presents an in-depth analysis of the role of AI in transforming HIV treatment, focusing on its ability to tailor therapy to individual patient needs and enhance treatment outcomes. AI-driven optimization in HIV treatment involves the utilization of advanced algorithms and computational techniques to analyze vast amounts of patient data, including genetic information, viral load measurements, and treatment history. By harnessing the power of machine learning and predictive analytics, AI algorithms can identify patterns and trends in patient data that may not be readily apparent to human clinicians. One of the key benefits of AI-driven optimization is its ability to personalize treatment regimens based on individual patient characteristics and disease progression. By considering factors such as drug resistance profiles, comorbidities, and lifestyle factors, AI algorithms can recommend the most effective and well-tolerated treatment options for each patient, leading to improved adherence and clinical outcomes. Furthermore, AI enables continuous monitoring and adjustment of treatment regimens in real time, allowing healthcare providers to respond rapidly to changes in patient status and evolving viral dynamics. This proactive approach to HIV management can help prevent treatment failure and the development of drug resistance, ultimately leading to better long-term outcomes for patients. Despite its transformative potential, AI-driven optimization in HIV treatment is not without challenges. Ethical considerations, data privacy concerns, and the need for robust validation and regulatory oversight are all important factors that must be addressed to ensure the safe and effective implementation of AI algorithms in clinical practice. In conclusion, the integrative analysis presented in this study underscores the significant impact of AI-driven optimization on the personalization and optimization of HIV treatment regimens. By leveraging AI technologies, healthcare providers can tailor treatment approaches to individual patient needs, leading to improved outcomes and quality of life for people living with HIV.
Keywords: Integrative Analysis, AI- Driven, Optimization, HIV Treatment, Regimens.
Renovation of the content and mode of operation of the Ho Chi Minh communist youth union contributes to improving the quality of young human resources in the context of digital transformation
Authors: Pham Tuan Anh  , To Thi Hong Hanh
Published: June 2024

Human resources in the context of the 4.0 industrial revolution play an important role, especially for youth-oriented organizations such as the Ho Chi Minh Communist Youth Union. The article presents and focuses on innovative content in terms of methods and content for the activities of the Ho Chi Minh Communist Youth Union in the context of digital transformation and the 4.0 industrial revolution following the requirements and tasks of improving the quality of young human resources.  Solutions to innovate the content and operating methods of the Ho Chi Minh Communist Youth Union focus on solutions to innovate the content and operating methods of the Union based on the capacity of young human resources.
Keywords:  Young Human Resources, Digital Transformation, Innovation Methods, Operation Content And Operation Method Of Ho Chi Minh Communist Youth Union, Industrial Revolution 4.0.
Scrutinizing Religious Fundamentalism of Post 9/11 Scenario in The Blind Man’s Garden By Aslam
Authors: Kolachi Parvez Ahmed
Published: June 2024

This study analyzes Aslam’s novel The Blind Man’s Garden. It generally depicts post 9/11 scenario in which people suffer from identity crisis, trauma and religious fundamentalism. This study investigates the outcomes of religious fundamentalism in post 9/11 scenario of Pakistan. The research is designed descriptively. It follows the research method of Textual Analysis. The data are textual and collected from the novel. The gathered textual data are analyzed to answer the research question that what are the factors of post/911 religious fundamentalism and how the society suffers from them. The textual analysis is done with the theoretical framework of Religious Fundamentalism generated after reviewing previous literature. The findings of this study reveal that religiously fundamentalist people strict people, women, children and deprive them of their desired life. Youth is misguided and prepared for jihad in the name of God. Women are restricted as per their law. This ideology imposes misinterpreted laws and creates a dystopian society where no one is free to live according to their own conduct.
Digital native characteristics – impact on classroom climate
Authors:   University of Bucharest, Romania, Furtună Ramona
Published: June 2024

The classroom educational climate encompasses the players involved in the educational process, as well as the whole relationship network formed, aiming for the optimum development of the student’s personalities, with an active role in achieving performances (Cristea, 2016). This study examined the links between perceived digital native characteristics (PDNC), and teacher-students relationships (TSR), as we agree with current debates on attachment theories, clarifying the contribution of PDNC to closeness or conflict, with further implications on classroom climate. We investigated the hypothesis using a sample of 120 primary and secondary teachers, 86,2% females, range 21 to over 50. Our results were obtained using correlation analysis, and linear regression, and showed that there is a significant correlation between PDNC and conflict (r=-.34) and PDNC and closeness (r=.32).
A FORMAÇÃO DE PROFESSORES PARA EDUCAÇÃO INCLUSIVA NO BRASIL
Authors: Silva Junior Valdeci Ferreira da , Mendonça Sandrine Maria Silva de , Silva Polliana Barboza da
Published: June 2024

O presente trabalho tem o objetivo de analisar a formação dos professores no Brasil para a atuação na educação inclusiva nas escolas. Ao longo do nosso estudo, retratado aqui, apontamos as dificuldades que se apresentam no processo de formação dos professores, citando a evolução desse processo, desde a criação do Instituto dos Meninos Cegos até o atual cenário que exige um professor cada vez mais atento as necessidades de seus alunos, com a demanda cada vez maior de estudantes com deficiência que convivem com outras crianças no mesmo ambiente escolar e uma academia que forme profissionais capazes de enfrentar estas dificuldades. Além das condições que são impostas a estes professionais, a falta de políticas públicas por parte dos governantes, são travas que impedem um trabalho mais eficiente.
DESVENDANDO O PROTESTO DE CRÉDITO: MAXIMIZANDO A RECUPERAÇÃO E REDUÇÃO DE INADIMPLÊNCIA
Authors: Gonçalves João Rodrigo Souza , Março Luiz Marcio Barbosa de , Ramalho Luiz Fernando Dias
Published: June 2024

O protesto é um instituto jurídico originado das práticas comerciais medievais, utilizado como meio de comprovar a inadimplência e o descumprimento de uma obrigação proveniente de títulos de crédito, como as letras de câmbio. Realizado perante um notário e testemunhas, o protesto permite ao portador do título acionar regressivamente o sacador da letra ou requerer a falência do devedor.Regulado inicialmente pelo Código Comercial de 1850, pelo Decreto nº 2.044/1908, pela Lei Uniforme de Genebra, pela Lei das Duplicatas e pela Lei do Cheque, o protesto é atualmente definido e regulamentado pela Lei nº 9.492/97, que aborda os serviços concernentes ao protesto de títulos e outros documentos de dívida. Essa lei amplia o conceito de protesto, permitindo que documentos que não sejam títulos de crédito possam ser protestados, desde que sejam líquidos, certos e exigíveis. Além disso, a lei disciplina o procedimento do protesto e os deveres dos tabeliães. Com função probatória e conservatória de direitos, o protesto também possui um sentido social e psicológico, pois induz o devedor a cumprir a obrigação, evitando a judicialização do conflito e a morosidade do processo. Serve ainda como um instrumento de informação e de prevenção de riscos no mercado de crédito, pois permite aos credores conhecerem a situação cadastral dos devedores e tomarem medidas adequadas para garantir o recebimento de seus créditos.O presente artigo tem como objetivo analisar o instituto do protesto, sua origem histórica, classificação, regulamentação legal, efeitos jurídicos e função social, destacando a importância do protesto como um instrumento de cobrança e de conservação de direitos.
SENSIBILIDADE PÓS-CLAREAMENTO DENTAL: UMA REVISÃO LITERÁRIA
Authors: Nóbrega André Galvão da , Reis Brendo Ferraz dos , Milhomem Cristiane Nogueira Rodrigues
Published: June 2024

O clareamento dental é uma alternativa de tratamento conservadora e eficaz na estética do sorriso. Considerado como terapêutica isolada quanto no primeiro passo de um plano de tratamento mais complexo. Apesar de ser minimamente invasivo e seguro, está sujeito a efeitos colaterais, sendo a hipersensibilidade dentinária mais comum. Esse tratamento por ser um estádio transitório, é a maior causa de desistência do procedimento pelos pacientes, tornando-se preocupante para os profissionais. Neste momento, ainda não há consenso sobre um planejamento específico, porém diversos produtos e protocolos são estudados a fim de buscar por alternativas de manejo e terapêutica da sensibilidade associada ao clareamento dental. Sendo assim, o presente estudo teve como objetivo analisar na literatura quais são as diferentes opções de manejo para a sensibilidade associada ao clareamento dental. O estudo foi realizado entre os anos de 2014 a 2022 de revista científicas e pesquisas bibliográficas como : SciELO, PubMed, Livros, Artigos, e Trabalhos de Pós-graduação Grande parte das pesquisas relataram que ainda não há solução terapêutica capaz de eliminar a sensibilidade dental após o clareamento dental , mas há várias alternativas para minimizar esse efeito.
A INFLUÊNCIA DA ESTÉTICA PARA MULHERES E A QUALIDADE DE VIDA NA SATISFAÇÃO COM A AUTOIMAGEM CORPORAL
Authors: Godoi Myllena Pereira Bispo de , Pinto Katiely Vieira , Cardoso Lahís Alves Lopes
Published: June 2024

Este estudo investiga a intrincada relação entre a percepção da estética, a qualidade de vida e a satisfação com a autoimagem corporal em mulheres. A pesquisa, de natureza qualitativa e bibliográfica, adota uma abordagem documental para analisar a influência de padrões estéticos contemporâneos em diferentes aspectos da vida feminina. Este estudo contribui para a compreensão das implicações mais amplas da pressão estética na vida das mulheres, destacando a necessidade de abordagens sensíveis e holísticas para promover a saúde mental e o bem-estar. De forma que, a influência estética é identificada como um fator crucial na formação da satisfação com a imagem corporal, impactando não apenas aspectos emocionais, mas também comportamentais e cognitivos. Observa-se uma correlação direta entre a busca por padrões estéticos e a autoestima, com implicações notáveis na qualidade de vida e bem-estar psicológico.
TRATAMENTO CIRÚRGICO DO AMELOBLASTOMA: UMA REVISÃO DE LITERATURA
Authors: Rocha Graziele Evangelista Fernandes , Moura Maria Sabrina Borges de , Martins Thayssa Rayane Barbosa , Silva Vitória Rodrigues da , Costa Juliana Nôleto , Gonçalves Natacha Kalu dos Santos Bernardes
Published: June 2024

O Ameloblastoma é um tumor odontogênico de origem epitelial, sendo o mais comum dentre eles. É um tumor benigno, agressivo e com alta taxa de recidiva, e de crescimento lento. Dentre os tratamentos indicados, podem variar de enucleação e curetagem até a ressecção com uma margem de segurança. O objetivo do presente trabalho é analisar por meio de uma revisão de literatura os possíveis tratamentos que podem ser realizados para os ameloblastomas. A pesquisa foi realizada nas bases de dados “Scielo” (Scientific Eletronic Library Online), periódicos Capes, Pub Med e Biblioteca Virtual em saúde tendo como descritores: “Ameloblastoma”, “tumor odontogênico, “mandíbula”. Foram selecionadas 19 publicações que estavam de acordo com o assunto escolhido, o critério de inclusão foi: artigos que abordassem sobre os tratamentos dos ameloblastomas. As pesquisas que não atenderam ao tema proposto foram descartadas. Através desta pesquisa, pode-se observar que o tratamento do ameloblastoma vai depender da extensão da lesão, podendo o cirurgião-dentista optar por um tratamento mais conservador ou radical.
ANÁLISE EPIDEMIOLÓGICA DOS CASOS DE SÍFILIS CONGÊNIA EM CASCAVEL-PR NOS ANOS DE 2015 A 2022
Authors: Lodi Luize Marques , Briancini Amanda Ebert , Muller Susan Fischer , Sponholz Yohanna , Oliveira Guilherme Schibichewski de , Lima Urielly Tayná da Silva
Published: June 2024

Objetivo: Analisar a prevalência dos casos de sífilis congênita em Cascavel-Pr destacando o papel dessa doença como um tradicional evento-sentinela na Atenção Primária em Saúde, já que sua ocorrência sugere falhas no funcionamento do pré-natal. Material e Método: Estudo descritivo, com abordagem quantitativa, realizado de forma retrospectiva, por meio da análise de dados disponíveis publicamente no Sistema de Informação de Agravos de Notificação (SINAN) para os casos de sífilis congênita no município de Cascavel-Pr, de 2015 a 2022. Resultados: Nesse período foram notificados 195.872 casos de sífilis congênita no Brasil, 6.517 casos no Paraná e 200 casos em Cascavel-Pr, sendo que 105 (52,5%) dos recém-natos eram do sexo feminino, de mães brancas 156 (78%). A maioria dos casos foram notificados para mães com idade entre 20-24 anos 83 (41,5%), com Ensino Médio Completo 50 (25%). O diagnóstico de sífilis materna foi firmado basicamente no pré-natal da gestante 138 (69%) ou no momento do parto/curetagem 50 (25%) e dessas, 179 (89,5%) realizaram o pré-natal, em relação ao tratamento dos parceiros, constatou-se que 132 (66%) não receberam tratamento. A maior parte dos diagnósticos de sífilis congênita 193 (96,5%) foram realizados até o sexto dia de vida do recém-nascido. Foi constatado também que houve 172 (86%) casos de sífilis recente, e quanto a evolução foram notificados 5 (2,5%) óbitos. Conclusão: Os resultados revelam alguns pontos frágeis na prevenção da sífilis congênita no município de Cascavel-Pr, demonstrando a necessidade de melhorias no pré-natal dessa população com urgência para implementação de estratégias educacionais, acesso facilitado a cuidados de saúde e reforço na triagem e tratamento das parcerias.
ABORDAGENS CIRÚRGICAS EM ABDOMINOPLASTIA: INVESTIGANDO SUA ASSOCIAÇÃO COM O RISCO DE COMPLICAÇÕES
Authors: Southier Ana Vitória Ovídio , Ribeiro Cristiano Ramos , Fonseca Mayte Tavares , Palma Maria Eduarda Horschutz de , Miqueloti Diego Alexandre , Troncon Ana Carolina Coimbra Carvalho
Published: June 2024

Abordagens cirúrgicas em abdominoplastia são temas de grande relevância na cirurgia plástica, dado o crescente número de procedimentos realizados e a busca contínua por técnicas mais seguras e eficazes. A abdominoplastia, ou cirurgia de contorno abdominal, é um procedimento estético que visa remover o excesso de pele e gordura do abdômen, além de restaurar músculos enfraquecidos ou separados, proporcionando um perfil abdominal mais liso e firme. Com o avanço das técnicas cirúrgicas, diversas abordagens têm sido desenvolvidas, cada uma com suas particularidades e indicações específicas. Contudo, essas abordagens também apresentam variações nos perfis de risco e complicações associadas, tais como seromas, infecções, necroses e tromboembolismos. Entender essas variações é crucial para otimizar os resultados cirúrgicos e reduzir a incidência de complicações. Objetivo: investigar a associação entre diferentes abordagens cirúrgicas em abdominoplastia e o risco de complicações, com base em estudos científicos publicados nos últimos dez anos. Metodologia: foi seguido o checklist PRISMA, e a pesquisa foi conduzida nas bases de dados PubMed, Scielo e Web of Science. Foram utilizados cinco descritores específicos: "abdominoplasty," "surgical techniques," "complications," "risk factors," e "outcomes." Os critérios de inclusão envolveram estudos que comparavam diferentes técnicas de abdominoplastia, relatavam complicações pós-operatórias, e foram publicados nos últimos dez anos. Os critérios de exclusão foram estudos com amostras pequenas (menos de 30 pacientes), publicações em idiomas diferentes do inglês, português ou espanhol, e artigos que não passaram por revisão por pares. Resultados: os resultados revelaram que a abdominoplastia convencional, com plicatura do músculo reto abdominal, era a técnica mais estudada, mas também a mais associada a complicações como seromas e necroses. Técnicas menos invasivas, como a mini-abdominoplastia e a lipoabdominoplastia, apresentaram menores taxas de complicações, porém, com limitações em casos de excesso cutâneo significativo. A utilização de drenos mostrou-se eficaz na redução de seromas, embora aumentasse o desconforto no pós-operatório. Além disso, a experiência do cirurgião e a adesão a protocolos rigorosos de manejo perioperatório foram fatores determinantes na redução de complicações. Conclusão: a escolha da técnica de abdominoplastia deve ser individualizada, considerando as características anatômicas e as expectativas do paciente, bem como os perfis de risco associados a cada abordagem. A identificação das técnicas com menores taxas de complicações pode guiar cirurgiões na tomada de decisões mais informadas e na implementação de práticas cirúrgicas mais seguras, contribuindo para melhores resultados estéticos e satisfação dos pacientes.
TRATAMENTO FARMACOLÓGICO DA ESQUIZOFRENIA: UMA REVISÃO DAS ESTRATÉGIAS ATUAIS
Authors: Silva Silvio Vieira da , Oliveira Ana Clara Santos de , Gualberto Melissa Magalhães Silva , Ferreira Darlan Rebolças Gama , Marques Camila Araújo
Published: June 2024

A esquizofrenia é uma doença psiquiátrica complexa e debilitante, caracterizada por uma variedade de sintomas, incluindo alucinações, delírios, pensamento desorganizado e déficits cognitivos. O tratamento farmacológico é uma parte fundamental do manejo dessa condição, visando aliviar os sintomas e melhorar a qualidade de vida dos pacientes. Uma revisão abrangente das estratégias atuais de tratamento farmacológico é crucial para informar os clínicos sobre as melhores práticas e para orientar futuras pesquisas na área. Objetivo: Analisar criticamente os estudos recentes sobre o tratamento farmacológico da esquizofrenia, identificando as intervenções mais eficazes, os principais desafios e lacunas na literatura. Metodologia: A revisão foi realizada seguindo as diretrizes do PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). As bases de dados utilizadas foram PubMed, Scielo e Web of Science. Os descritores utilizados foram "esquizofrenia", "tratamento farmacológico", "antipsicóticos", "psicofarmacologia" e "terapia medicamentosa". Critérios de inclusão: estudos publicados nos últimos 10 anos, ensaios clínicos randomizados, revisões sistemáticas e meta-análises. Critérios de exclusão: estudos não relacionados ao tratamento farmacológico, relatos de caso e estudos com amostras pequenas ou metodologia inadequada. Resultados: A análise dos estudos revelou uma variedade de intervenções farmacológicas para o tratamento da esquizofrenia, incluindo antipsicóticos típicos e atípicos, bem como terapias adjuvantes. Os principais tópicos abordados incluíram eficácia clínica, tolerabilidade, efeitos colaterais, adesão ao tratamento e abordagens de tratamento de longo prazo. Diversos estudos destacaram a importância da individualização do tratamento, considerando as características específicas de cada paciente. No entanto, desafios persistentes, como a resistência ao tratamento e a gestão dos efeitos colaterais, foram identificados. Conclusão: Esta revisão destaca a diversidade de opções de tratamento farmacológico disponíveis para pacientes com esquizofrenia, enfatizando a importância da abordagem multidisciplinar e personalizada. Identificar as intervenções mais eficazes e compreender os desafios associados ao tratamento são passos cruciais para melhorar os resultados clínicos e a qualidade de vida desses pacientes.
Les villes au cœur des inégalités
Authors: Cottineau Clémentine , Pumain Denise
Published: June 2024

Les villes sont désormais la forme dominante d’habitat des sociétés humaines. Elles sont aussi les lieux où les inégalités sociales sont les plus importantes et les plus visibles. Les inégalités économiques, sociales, foncières et matérielles, ainsi que l’accès inégal au logement, à la santé, aux services et à un environnement de qualité ont des conséquences majeures sur l’espace et les conditions de vie des urbains.Les villes au coeur des inégalités examine la façon dont ces inégalités sont produites et reproduites, à la fois dans et entre les villes. Les théories de la rente foncière et de la ségrégation sociale sont vues à travers le prisme d’une diversité de références disciplinaires et au moyen d’exemples pris dans différentes parties du monde. Cet ouvrage analyse également l’attraction des centralités urbaines en lien avec la pression migratoire, et les effets de la financiarisation croissante de la propriété et du capital urbain.
Analyzing Educational Challenges and Youth Well-Being During the COVID-19 Pandemic in Iloilo Province, the Philippines
Authors: Andriesse Edo , Song Mi Hyun
Published: June 2024

This paper investigates the impacts of the COVID-19 pandemic on educational challenges and youth well-being in Iloilo Province, the Philippines. This article offers a holistic understanding of youth wellbeing. Based on micro survey data (N = 212), we conducted a mixed method analysis focusing on content analysis and logistic and order-logit regression to investigate socio-economic factors and spatial differences. Contrary to expectations, our analyses reveal no profound geographical differences. At the personal level, students struggle the most with learning, respondents identify families’ financial and work stability as the biggest concerns, adverse environmental conditions at the community level, and a lack of educational alternatives at the government level. Students’ happiness is mainly determined by the parents’ financial situation during the pandemic. Based on these results and given heightened societal and environmental uncertainty, we propose a stronger focus on educational management such as temporary (boarding) schools and sustained, long-term poverty reduction efforts.
Indigenous suicide rates and the colonial logic of legal decision making
Authors: Carpenter Belinda , Jowett Steph , Tait Gordon
Published: June 2024

This paper explores the over-representation of Indigenous people in suicide statistics internationally as indicative of the impact of the broader context of colonialism. The purpose of this discussion is to broaden the focus beyond criminal justice over-representation and to explore the ways in which research, social policy and legal institutions align to transform systematically the colonial condition into a medical one. We argue that the recommendations aimed at Indigenous people in coronial suicide inquests perpetuate a focus on Aboriginal people as the problem to be solved, as opposed to the impact of colonial relations, and that such insights are as relevant to criminal justice jurisdictions, as they are to coronial or medico-legal ones.
«Sobre la visión de la profundidad». Introducción y traducción. Filosofía y Psicología en el primer Quine
Authors: Caballero de la Torre Vicente
Published: June 2024

Se presenta la traducción de un trabajo redactado por W. V. O. Quine para la asignatura sobre Psicología avanzada, impartida por el profesor John Beebe-Center en Harvard. Se trata de un texto inédito que Quine entregó en la primavera de 1931. En este escrito se demuestra un conocimiento exhaustivo del estado de la entonces joven disciplina psicológica, de sus nombres más relevantes y de sus escuelas más sobresalientes en la época. El primer y último apartados contienen elementos de interés historiográfico y filosófico para los expertos e interesados en el pensamiento de Quine. Los apartados segundo y tercero muestran el dominio de la materia desde distintos puntos de vista diferentes, a saber: la óptica, la fisiología ocular, la psicología de la percepción y, por supuesto, la historia de la filosofía que subyace a los planteamientos de las distintas escuelas psicológicas. Se presenta acompañado de una introducción que vincula las ideas que aparecen en este trabajo con cuestiones relevantes en la actualidad para la Filosofía de la Psicología y la Neurociencia computacional en su debate con el Naturalismo.
Efectos de la termoterapia asociada a electroestimulación sobre los umbrales de dolor a la presión perilaríngeos y los síntomas de disconfort del tracto vocal en mujeres vocalmente sanas
Authors: Fuentes Aracena Christopher , Biermann Orizola Christopher , Torres Yáñez Constanza
Published: June 2024

Se compararon los efectos entre el reposo vocal absoluto, la estimulación eléctrica nerviosa transcutánea (TENS) y la termoterapia asociada a TENS sobre los umbrales de dolor a la presión (UDP) perilaríngeos y la severidad de los síntomas de disconfort del tracto vocal (SDTV) de mujeres vocalmente sanas. Participaron cuarenta y dos mujeres que fueron separadas en tres grupos y que recibieron distintas modalidades de intervención: G1, reposo vocal absoluto; G2, TENS; y G3, termoterapia asociada a TENS. Previo a la intervención, cada participante fue sometida a una prueba de carga vocal. Se evaluaron los UDP antes (T1) y después de la prueba de carga vocal (T2), y posterior a la intervención (T3). Los SDTV se evaluaron en T2 y T3. En los tres grupos, los UDP de T2 fueron significativamente menores a los de T1, mientras que en T3 estos se elevaron. Este aumento fue superior en G3, en comparación a los otros dos grupos. Con respecto a los SDTV, en G1 se redujo de forma significativa la severidad de algunos síntomas, como la sequedad; mientras que, en G2 y G3, disminuyó significativamente la intensidad de todos los síntomas estudiados. Entre G2 y G3 existieron diferencias en la reducción del dolor, opresión y nudo en la garganta (TENS + termoterapia > TENS). En conclusión, la termoterapia asociada a TENS mostró mayor eficacia en aumentar los UDP y en reducir la severidad de los SDTV.
Disfagia orofaríngea en personas con cáncer de cabeza y cuello: un estudio de caso
Authors: Ambiado-Lillo Manuel Matías
Published: June 2024

El cáncer de cabeza y cuello es una de las afecciones malignas más comunes en el mundo, con elevados índices de mortalidad. pese a ello, en la actualidad, la finalidad en las personas con cáncer de cabeza y cuello no se centra únicamente en encontrar una cura. Debido a esto, un objetivo de suma relevancia es potenciar la calidad de vida de las personas, la cual evidencia un decremento por afección mayoritaria en tres dimensiones, entre las que destaca la de alimentación y deglución. El reporte del caso clínico expone el proceso de intervención terapéutica post radioterapia en un paciente de 71 años. Se realiza una intervención que consideró técnicas compensatorias en adición a ejercicios rehabilitadores miofuncionales siguiendo los lineamientos teóricos reportados en la actualidad. La adherencia sistemática al proceso ha sido un factor indispensable en la transición de la alimentación inicial exclusiva por gastrostomía, a una ingesta exclusiva por vía oral.
Desempeño lingüístico y comunicativo en población con Trastornos del Espectro Alcohólico Fetal. Un estudio de Caso
Authors: Vega-Rodríguez Yuri E. , Garayzabal-Heinze Elena , Moraleda-Sepúlveda Esther
Published: June 2024

Los Trastornos del Espectro Alcohólico Fetal (TEAF) constituyen una serie de manifestaciones clínicas que incluyen déficits en el crecimiento, tanto físicos, conductuales como cognitivos. Estos déficits interfieren en el desarrollo del lenguaje, del habla y de la comunicación. El presente estudio busca examinar las características lingüísticas y comunicativas en 19 casos de personas con TEAF con edades comprendidas entre los 6 y los 17 años. Para ello se utilizaron las pruebas PEABODY y CELF-5.  En cuanto a los resultados de la prueba PEABODY se obtuvo una puntuación media de grupo calificada como moderadamente baja. En la prueba CELF-5, todos los índices se ubicaron por debajo de la media, en todas las habilidades lingüísticas. Parece, por tanto, que la población con TEAF presenta un perfil de alteraciones lingüísticas y comunicativas que repercute en su desempeño en los diferentes contextos de desarrollo. Estas limitaciones afectan de manera significativa en la forma en la que esta población  se desenvuelve en las interacciones sociales y en su día a día.
Digitalization of CDC Environmental Communication in Handling Ciliwung River Ecosystem Sustainability through Instagram
Authors: Nurdiansyah Dian , Maharani Melody A , Kamiliya Shafa , Musyafa Febriyanti
Published: June 2024

Digitalization technology has brought significant changes to people's lives. Environmental communication in the current era is present due to the emerging concerns regarding environmental damage and climate change that are increasingly evident worldwide. The Ciliwung watershed, which stretches long and passes through major cities in Indonesia, is, in fact, currently in a condition where its environmental ecosystem is increasingly crowded with piles of garbage, landfills, and wastewater pollution from irresponsible industries. The presence of the Instagram platform as a medium for environmental communication provides a significant opportunity for communities or organizations to continue campaigning on environmental issues, such as the Ciliwung Depok Community (CDC). The research conducted by the researcher aims to analyze and find forms of environmental communication as part of the CDC's efforts to deal with the preservation of river ecosystems through the Instagram platform. The research used a qualitative method with data collection conducted using virtual observation techniques and semi-structured interviews with several influential figures in the community and society. Data analysis in this study uses the Miles and Huberman, an interactive technique; the data will later be validated using source triangulation. The results show that CDC is able to become a community that conveys messages of conservation and education of the Ciliwung River ecosystem to its audience utilizing the Instagram Social Media platform. Communicating using Instagram allows users (CDC) to continue to represent community identity, communicate, collaborate, and interact with users so as to build social ties online. Thus, as a digital communication platform, Instagram is a very important tool in environmental  conservation  and  sustainable  development  efforts, especially in the Ciliwung River ecosystem.
Organizational Communication Effectiveness in Islamic Educational Institutions
Authors: Siregar Muhammad Fuad Zaini
Published: June 2024

The importance of communication within organizations is expected to contribute to creating a conducive environment. This study is a literature review analyzing theories and studies from academic works such as books, journals, and proceedings. The research findings indicate that effective communication in educational institutions needs to take steps such as: 1) transparency, 2) communication media, and 3) communication skills. The basic principles of effective communication include openness, consistency, etiquette, contextual appropriateness, and empowerment, while some inhibiting factors include information filtering, selective perception, emotions, and language differences. The implication of the article is the necessity for active efforts in creating an environment that supports effective communication in educational institutions.
Contribuição de imunologistas laureados Com o Prêmio nobel Para o ConheCimento dos eventos envolvidos na geração da diversidade da resPosta imune1
Authors: de Araujo Evaristo Caio César , Chaves Martins Yuri , Tadeu Daniel-Ribeiro Cláudio
Published: June 2024

Um dos principais pilares do funcionamento do sistema imune é a sua capacidade de gerar uma diversidade de resposta adaptativa (específica) tal, que possibilite aos organismos vertebrados mandibulados reconhecer uma plêiade quase sem fim de antígenos autólogos e exógenos distintos. Os mecanismos genéticos subjacentes a esse fenômeno intrigaram por décadas sorologistas e imunologistas que se debruçaram incansavelmente sobre o assunto até que seus mecanismos básicos fossem elucidados e se tornassem basilares para o conhecimento da f isiologia da resposta imune. Nomes como Emil Adolf von Behring, Paul Ehrlich, Sir Frank Macfarlane Burnet, Niels Kaj Jerne, Susumu Tonegawa, entre outros, e suas contribuições para a descrição de mecanismos potencialmente envolvidos na geração da diversidade do repertório de imunoglobulinas são brevemente relatados nesse trabalho, através de um passeio pela história da imunologia, em suas distintas eras.
An unlawfully obtained vs. unlawfully taken evidence in civil litigation
Authors: Lajošová Iveta
Published: June 2024

The academic paper analyses some interpretation problems associated with assessing unlawful evidence. In current legal practice, one of the most significant and debated issues in court proceedings is handling the evidence obtained. This question is all the more complex when the court finds itself in a situation where it has to decide on the admissibility and relevance of the evidence obtained unlawfully. A pressing question then is: How should the court deal with evidence obtained in violation of the law? Is it possible for such evidence to be recognised as admissible and to influence the decision on the merits, or is it the court's duty to reject such evidence unreservedly?
Contrast Media and Contrast Agents in Radiology
Authors:   Independent Researcher, Franjić Siniša
Published: June 2024

Contrast agents are substances that absorb X-rays from tissues and organs. Displaying organs and organ systems with the use of contrast agents is called a contrast diagnostic method. This method is used to visualize even the smallest possible differences in the structure of tissues, organs and pathological processes. They are used for image display methods in: radiography, diascopy, computerized tomography, magnetic resonance, ultrasound diagnostics, etc. Any administration of contrast media containing iodine atoms can cause a series of adverse reactions in the patient.
Hyalinosis : A preliminary communication regarding very interesting and provocative clinical observations
Authors:   Former Head of the Dept. of Clinical Immunology and Jean Dausset Laboratory in A 8036 GRAZ, LKH, P. Tilz Med Gernot
Published: June 2024

This is a brief comment on 55 years of clinical experience and some autopsy observations with the late pathologist Prof Hans Becker.. It is now recognized that vascular disease of the brain and coronary vessels may be of two different entities. We encounter patients with advanced disease of coronary and peripheral arteries with no perceptible evidence of “cerebral arteriosclerosis” and conversely people with advanced dementia of vascular origin despite unaffected coronary and peripheral arteries. Some observations at autopsies concerning this matter have come to the conclusion that in general coronary heart disease is mainly sclerotic and inflammatory with all the well - known risk factors of which we are aware, namely high lipids, inflammation, smoking, hypertension
Heavy Metal Concentration Assessment of Surface and Groundwater in the Vicinity of Ajakanga Dumpsite, Oluyole, Ibadan, Southwestern Nigeria.
Authors: S. A. Adejumo , A. O. Oyerinde
Published: June 2024

Heavy metal levels in the surface and groundwater sources in the vicinity of Ajakanga dumpsite, Ibadan Nigeria was assessed for quality status evaluation of the water sources within the dumpsite environment for their domestics and industrial suitabilities. Thirty eight (38) water samples consisting of Twenty-three (23) from hand-dug wells, ten (10) from boreholes and five (5) from streams were collected around the dumpsites with strict adherence to the prescribed standard. The water samples collected were tested for the following Heavy metal contents; Lead (Pb), Iron (Fe), Cadmium (Cd), Cobalt (Co), Copper(Cu) , Manganese(Mg), Zinc(Zn), Nickel(Ni), and Chromium(Cr) in the laboratory using computerized Atomic Absorption Spectrophotometer (AAS)model 210.The result were evaluated and compared with WHO, EU and NSDWQ water quality standards. The comparison reveals that 93%, 75%, 63%, 37% and 19% of water sampled are characterized respectively by Fe, Pb, Ni, Cd and Mg concentration higher than the WHO, EU and NSDWQ recommended standard permissible limits, indicating possible impact of dumpsite on the groundwater quality. The Zn concentration in about 42% of total samples is above the EU health based value but is well within the WHO and NSDWQ permissible limits for all samples as with those of Cu, Cr and Co. The alarming and unacceptable higher concentration recorded for Pb, Fe and Ni in the samples renders the water sources unfit in its present form for human consumption and some industrial usabilities .Hence an urgent need for standard treatment and well organized precautionary measures for use of the water sources in the environment of the dumpsite.