bluuebunny/crossref_metadata_2025 huggingface dataset:
Spontaneous pneumorrachia: a rare cause of thunderclap headache
Authors: Domingues Renan , Ribeiro Saulo , Mello Ana Lucia , Brainer João , Miranda Carolina Franciely , Bezerra Daniel , Kuster Gustavo
Published: November 2022

Objective
To present a rare cause of thunderclap headache
Case presentation
Female patient, 39 years old, was admitted to the emergency department of a private hospital in the city of São Paulo, after a sudden and explosive headache followed by two episodes of syncope and motor deficit in the left upper limb. Neurological examination showed weakness of the left upper limb without sensitive impairment. She had previous history of bipolar affective disorder, chronic anemia, and overweight with previous bariatric surgery.
The patient was submitted to computed tomography (CT), arterial angiotomography of the skull and cervical neck, which showed rare small gaseous foci in the perivertebral soft tissues and extradural site on the left side in the craniovertebral transition, near the foramen magnum. Small foci of pneumocephalus were found in the posterior fossa, near the left sphenopetrous fissure. Electroneuromyography (ENMG) of four limbs and brain and cervical magnetic resonance imaging (MRI) were performed 48 hours after initial CT scan. ENMG was normal and MRI showed no more expression of the changes described on CT. She was treated with analgesia and was discharged with full reversion of initial symptoms.
Conclusion
Spontaneous pneumorrhachia is rare disease and is characterized by the presence of air in the spinal canal, both in the intradural and extradural compartments. It is usually benign with spontaneous resolution. Our patient was included in a stroke investigation protocol, due to the thunderclap headache and focal motor deficit. CT revealed the diagnosis. The cervical CT that was performed in the context of cervical CT angiography of the stroke protocol allowed the correct diagnosis. 
Key-words: Thunderclap headache, Spontaneous Pneumorrhachia, Cervical Computed Tomography Angiography.
Neurological sequelae in a patient with previous neurocysticercosis
Authors: Onuki Maria Eduarda , Martuscelli Bruna , Gomes Daiene Caroline Lapo , Oliveira Flávia Rodrigues de , Muller Giovana Meira , Ferreira Sabrina , Santos Edgar de Bortholi
Published: November 2022

Introduction
Teniasis and cysticercosis are caused by the platelminth Taenia solium, a parasite that has in its cycle the pig and man. Teniasis occurs with the ingestion of raw or undercooked contaminated pork containing cysticercus. On the other hand, human cysticercosis occurs through ingestion of T. solium eggs through fresh vegetables, raw meat or contaminated water, in the body, the larvae migrate and acquire the cystic form, usually in the host's muscle tissue.Neurocysticercosis (NCC) develops when the invasion of the larvae occurs in the human central nervous system, found in the nervous tissue or in the intraventricular, subarachnoid, and spinal cord spaces, where there is circulation of CSF, leading to different clinical manifestations and prognosis.
Objective
To report the case of a patient with NCC with neurological complications at IIER.
Case description
Female, 37 years old, carrier of Diabetes Mellitus type 2 (DM2), migraine and structural epilepsy. She has a previous history of rheumatic fever in childhood and NCC since 2001, contracted when she lived in the interior of Bahia where she raised pigs and ate this meat, treated at IIER in May/2019. A headache associated with absence and vertigo crises began in October/2020 as consequences of NCC, reasons for which the patient was hospitalized and later referred to the neurology outpatient clinic, after CSF analysis without evident alterations.The patient was admitted to the IIER with a history of intermittent vertigo for 2 days and shooting headache in the right frontal region of the skull, in addition to the return of absence seizures until then extinct since the last hospitalization in October/2020, accompanied by the neurologist physician who increased valproic acid from 1.25g to 1.5g a day, also reported that this time, presents very significant worsening of vertigo.
(To see the complet abstract, please, check out the PDF.)
Headache frequency among 71,267 admissions to an adult medical emergency in the city of Recife in 2021
Authors: Andrade Juliana Ramos de , Santana Claudia Cristina de Lira , Souza Bruno Felipe Novaes de , Cruz Fernando , Valença Marcelo Moraes
Published: November 2022

Introduction
Pain is a warning sign that can mean great suffering and risk of death, and makes the patient seek a medical emergency for evaluation by specialists.
Objective
To verify the frequency of patients with headache disorders among those with pain admitted to the emergency department of a private hospital in Recife, Brazil, during the year 2021, using the international classification of diseases (ICD).
Methods
This is a retrospective study. The authors used the Business Intelligence (BI) tool to verify the number of admission by the ICD 10 recorded in 2021 in the emergency room of Hospital Unimed Recife III. The sample described in this study covers only the ICDs that had the word DOR (pain in Portuguese) or pain be the main symptom of the condition represented by the respective ICD. We selected only ICDs used in at least five admissions in 2021 (January to December), independent of readmission of the same patient.
Results
There were 71,267 consultations in 2021 using 2,296 different ICDs. Of these, the Headache (CEFALEIA) ICD was the 7th most frequent (n= 2,121) behind the following ICDs: Unspecified viral infection (n= 4,327); Influenza with other respiratory manifestations, due to unidentified virus (n= 3,335); Respiratory infection by the new coronavirus (Covid-19) (n= 2,927); Low back pain (n=2,759) and Diarrhea and gastroenteritis of presumptive infectious origin (n=2,739). In 27,853/71,267 (39.1%), the consultations were related to pain in any part of the body (with 258 ICDs). In the group of patients with pain of traumatological, orthopedic, or rheumatic origin, there were 10,148 consultations (142 ICDs); Abdominal or pelvic pain (5,675, with 23 DICs); Spinal pain (3,805, with 10 ICDs); and Chest pain, including coronary ischemia (1,786, with 10 ICDs)...
(To see the complet abstract, please, check out the PDF.)
Trigeminal autonomic cephalalgias and intranasal lidocaine: a symptomatic management option
Authors: Londero Renata Gomes
Published: November 2022

Introduction
Trigeminal Autonomic Cephalalgias (TAC) are excruciating headaches with limited treatment options. In addition to drug therapy, there are some studies regarding nerve blocking and nerve stimulation with acceptable results. We had a sequence of three difficult to treat patients because of the disease or some associated condition that made us try something not so usual. Lidocaine, by blocking voltage-gated Na+ channels can reduce the excitability of neurons and thus prevent or reduce the sensation of pain, which can relieve neuropathic pain, hyperalgesia, and complex regional pain syndrome.
Objective
Observe if intranasal lidocaine could be effective and safe for patients with TAC.
Methods and Results
The three patients signed a consent permission form. (1) 29-year-old pregnant woman with a history of headaches for about 3 years. Pain was localized in the right periorbital region with the severity of about 7 out of 10. Attacks of excruciating pain associated with ipsilateral tearing 5–8 times a day - Paroxistic Hemicrania. She was diagnosed with prolactinoma two years ago. The management of the tumor had resolved the pain. With the pregnancy, Bromocriptine has been stopped. So, 1 month later, the pain returned. As indomethacin could not be used in this situation, we opted to prescribe intranasal lidocaine. After the first dose, the patient had control of the pain. It was prescribed lidocaine 2%, 2mL intranasal (IN) until four times a day. (2) 56-year-old man with a history of headaches for about 4 months. Pain was localized in the right periorbital region with the severity of about 10 out of 10. Attacks of excruciating pain associated with ipsilateral tearing and conjunctival injection lasting for 30-90 seconds and occurring as single stabs 30-50 times a day - Short-lasting unilateral neuralgiform headache attacks with conjunctival...
(Too see the complet abstract, please, check out the PDF,)
Improvement in the quality of care for patients with headache treated in emergency units in a private hospital network
Authors: Domingues Renan , Pontes Márcio Nattan , Calderaro Marcelo , Carvalho João José Freitas de , Ribeiro Saulo Ramos , Pacheco Evelyn , Bezerra Daniel , Kuster Gustavo
Published: November 2022

Introduction

Patients with headache complaints are among those who most frequently seek care in emergency units. Unfortunately, the assistance provided to these patients frequently does not reflect the best scientific evidence, compromising clinical results and exposing patients to unacceptable risks and unnecessary procedures. Among these errors, we cite the high rate of prescription of opioids for primary headaches, the excessive number of unnecessary CT scans, high stay rates in emergency units, and high rate of hospital admissions.

Objectives

To evaluate changes in care outcomes after beginning a care protocol in a private hospital network.

Methods

We evaluated all the headache data in the emergence units of Americas Serviços Médicos, a private hospitals network with 18 units distributed in 3 regions of Brazil. Headache was identified in the electronic medical record system through the international code of diseases (CID). The following data were collected: rate of opioids prescription, rate of TC scan, time of stay in emergence room, hospitalization rate, and hospital length of stay. Data were collected in the four months before the protocol (pre-protocol) and in the last four months (post-protocol). Categorical data were evaluated with chi-square and continuous data with unpaired t test.   

Results

The data of 9,060 patients in the pre-protocol and 8,828 patients in the post-protocol periods were assessed. The rate of opioids prescription reduced from 19.9% to 18.5% (P=0.0173). The rate of CT scan was 16.75 in pre and post protocol periods P=1). The stay time in emergence room was 227.46±61.07 minutes in the pre and 196±16.11 in the post protocol period (P=0.37). The rate of hospitalization increased from 1,53% in the pre to 2.24% in the post protocol period (P=0.005). The length of hospital stay reduced from 5.9±2.2 in the pre to 3.5±0.6 in...

(To see the complet abstract, please, check out the PDF.)
Assessment of cervical muscle strength in women with migraine stratified by the report of neck pain
Authors: Rosa Milena Dietrich D. , Rodrigues Amanda , Bragatto Marcela M. , Bigal Marcelo Eduardo , Dach Fabiola , Florencio Lidiane Lima , Bevilaqua-Grossi Débora
Published: November 2022

Introduction
Individuals with migraine may have associated cervical musculoskeletal dysfunctions that may influence muscle function ¹,², but we still do not know if the alteration in muscle strength can predict the magnitude of this relationship or if the presence of pain during the tests can influence these results. Therefore, evaluating the muscle strength of migraine patients and the report of pain during the test can elucidate this relationship.
Objective
To clarify the relationship between pain reporting and cervical maximum isometric voluntary contraction (MVIC) in migraine individuals with and without neck pain, neck pain and controls.
Methods
We selected 100 women aged between 18 and 55 years, stratified into 4 groups: asymptomatic controls (n=25), neck pain (n=25), migraine (n=25), and migraine with neck pain (n=25). Patients were diagnosed by a neurologist according to the International Classification of Headache Disorders – III edition, whereas neck pain was included through self-report of chronic neck pain for at least 3 months (mild disability according to the Neck Disability Index). Clinical and demographic data were collected from the participants and they performed the Maximal isometric voluntary contractions (MIVC) test to verify cervical muscle strength for flexion and extension. The analyzes were performed following the division of the four groups by the ANOVA test using software version 9.4 (SAS Institute, Cary, NC, USA).
Results
A higher proportion of participants with migraine and neck pain (44%) and neck pain alone (56%) reported flexion test-induced neck pain compared to the control group (0% p<0.01), and neck pain Test-induced headache was more commonly reported in those with migraine (28%) and migraine with neck pain (28%) vs controls (0% p<0.05). (To see the complete abstract, please, check out the PDF).
Sensory organization test and motor control test in patients with migraine and vestibular migraine
Authors: Leonel Vitória Carolina , Tolentino Gabriella de Almeida , Araújo Carina Ferreira Pinheiro de , Carvalho Gabriela Ferreira , Pradela Juliana , Dach Fabíola , Bevilaqua-Grossi Débora
Published: November 2022

IntroductionIndividuals with migraine have a high prevalence of vestibular symptoms, such as dizziness and balance deficits. The presence of aura and high frequency of attacks are associated with an increased risk of these symptoms. Vestibular migraine is a subtype of migraine described in the appendix of the International Classification of Headache Disorders (ICHD-III) along with the Committee for Classification of Vestibular Disorders of the Bárány Society. However, evidence is still lacking regarding how the balance of individuals with vestibular migraine is affected when compared to individuals with non-vestibular migraine.
ObjectiveTo evaluate balance through Dynamic Computerized Posturography, with the Sensory Organization Test (SOT) and the Motor Control Test (MCT) in migraine subgroups: migraine and vestibular migraine.
MethodsNinety women aged between 18 and 55 years were evaluated, divided by ICHD diagnostic criteria, into two groups: (1) migraine (GM); (2) vestibular migraine (GMV). The Dynamic Computerized Posturography exam was performed with the EquiTest - NeuroCom® software equipment, using the variables SOT and MCT. Clinical characteristics of migraine, presence of vestibular symptoms and number of falls in the last year were also evaluated. For the statistical analysis, mean and standard deviation were used in the comparison between groups, considering a significance of α = 0.05. The migraine and vestibular migraine groups were compared on the SOT for final score and on the MCT for latency during each of the test conditions using multivariate analysis of variance (MANOVA).
ResultsThe GM had the highest composite score on the SOT (M=74.0±9.7; MV=68.1±8.8; p=0.004), the highest score on the visual SOT (M=79.5±17, 9; MV=70.8±16.5); p=0.01] and in vestibular SOT (M=64.4±14.1; MV=54.4±14.4; p=0.02) than the GMV. In addition, all patients in the GMV reported vestibular symptoms, while in the GM, only 48.7% (p<0.001). (To see the complete abstract, please, check out the PDF).
Popularização científica e desinformação: reflexões a partir das percepções públicas da ciência
Authors: Pereira Batista Andreza , Belmont de Farias Gabriela , Veras Nunes Jefferson
Published: November 2022

Objetivo: Discutir acerca da popularização científica a partir do que é evidenciado no relatório da Article 19 e nas percepções públicas da Ciência e Tecnologia salientadas nos estudos do Centro de Gestão Estratégica e da Wellcome Trust. Pretende entender de que forma popularizar a ciência pode amenizar as situações visualizadas nos estudos supracitados, especialmente quando se trata da desinformação e da crise sanitária ocasionada pela Covid-19.
Método: Utiliza a pesquisa bibliográfica e documental, de nível exploratório e com abordagem qualitativa, e para a análise dos dados a análise de conteúdo. Faz uso dos relatórios The Global Expression Report 2020, da Article19,  Wellcome Global Monitor 2018, da Wellcome Trust, e Percepção pública da C&T no Brasil – 2019, do Centro de Gestão Estratégica.
Resultados: Identifica as relações entre o conhecimento sobre ciência, condições socioeconômicas e acesso à internet, bem como entre a comunicação e a confiança na ciência. Acerca da desinformação, percebe que pode ter seus efeitos diminuídos a partir da disseminação dos resultados dos estudos, especialmente ao se colocar sob o crivo da apropriação das informações a partir das ações de popularização científica.
Conclusões: A popularização científica pode ser um instrumento significativo no combate à desinformação e, ao promover a apropriação das informações científicas pela população em geral, auxilia sobremaneira no desenvolvimento social. Interpreta-se que preparar os sujeitos cognoscentes é a forma mais eficaz de controle das informações falsas e prejudiciais ao convívio social, com destaque para o contexto da Covid-19.
On the Hermeneuticus I as a Presupposition of Ethical Hermeneutics
Authors: Rohden Luiz
Published: November 2022

The goal of this paper is to ground the concept of hermeneuticus I based on Hans-Georg Gadamer’s philosophy. Just as we can speak of a Cartesian I or Humean I, I intend to justify the existence of a hermeneuticus I by highlighting one’s posture (Tugend) towards the others. Although neither Gadamer nor his interpreters have coined or discussed this concept from the point of view of ethics, I think it is possible to do so according to the assumption that our peculiar way of being is understanding. In this way, I intend to begin paving the way for the construction of a Hermeneutical Ethics. I propose to do this based on the well-known I-Thou triadic relationship developed by Gadamer in Truth and Method I. Initially, I describe the posture of the two Is and show that their way of relating with the Thou is not hermeneutic. Then, according to Gadamer, I present the third type of I-Thou relationship by systematizing seven ethical postures proper to the hermeneuticus I, which are founded upon the I’s exercise of putting himself or herself in the place of the other, without the intention of instrumentalizing the latter. Finally, I develop conclusions and ethical and sociopolitical implications resulting from the action (praxis) of the hermeneuticus I.
A visão de Mill acerca dos direitos e as críticas de Rawls
Authors: Santos Bruno Aislã Gonçalves
Published: November 2022

O objetivo deste artigo é o de articular uma interpretação da teoria de Mill acerca do fundamento dos direitos que seja capaz de responder às críticas de Rawls. Primeiro, se apresenta os aspectos mais gerais da visão de Mill acerca dos direitos. Depois, se articula a interpretação da tese milliana levando em conta as críticas de Rawls de que o utilitarismo não consegue justificar direitos. Conclui-se que a tese milliana é capaz de atribuir direitos igualitariamente, que eles possuem força moral razoável e que a teoria é capaz de fazer atribuições de direitos legais baseados em um único princípio.
Schopenhauer empirista? Sobre a presença de Bacon e Hume na metafísica da vontade
Authors: Da Silva Luan Corrêa
Published: November 2022

O objetivo deste artigo é apresentar os pressupostos metodológicos e teóricos do empirismo de Francis Bacon e David Hume presentes na metafísica de Arthur Schopenhauer. O argumento central é que o afastamento de Schopenhauer da tradição idealista implica sua aproximação do empirismo moderno. A leitura empirista de Schopenhauer enriquece a compreensão de sua metafísica da vontade e, também, possibilita melhor situar o filósofo na história da filosofia.
A Paz Perpétua em Kant e Marianne ou história versus natureza em O Estado Comercial Fechado de Fichte
Authors: Utteich Luciano Carlos
Published: November 2022

A recepção de Fichte do opúsculo À Paz Perpétua (Zum ewigen Frieden) de Kant tanto confirmou os elementos que preparava para sua teoria do Direito Natural como motivou aprofundar o tema da Paz Perpétua na perspectiva de um Estado Comercial internamente regulado por leis para torná-lo autossuficiente e independente. Ao identificar, como diferença na planificação da Paz Perpétua, o apelo à natureza em Kant e à razão prática em Fichte, o presente texto expõe o peculiar na tematização da história desde a função teórico-hipotética kantiana enquanto condição para descortinar o impulso para o progresso histórico, contrastado à teleologia prática no conceito racional de história na perspectiva fichtiana, que elucida o alcance da autossuficiência e independência do Estado existente como caminho mais curto em favor dos fins da humanidade perante o supremo fim prático. Na crítica à história subjacente aos Estados existentes, Fichte descortina o ponto de passagem para o Estado ideal, o Estado Comercial fechado, apontando a passividade à qual aderiam como mera consequência natural que deve ser substituída a fim de que o Estado assuma medidas racionais para implementar uma Política favorável à autonomia interna a cada país. Do contraste entre os dois autores extraímos os motivos de o Estado representar, no interior de suas fronteiras naturais, segundo Fichte, as únicas conquistas autênticas e dignas de qualquer Estado, bastando para isso estar ciente de que, ao invés de se deixar conduzir por uma visão natural de história, conduza a uma concepção racional dela.
Sjögren’s syndrome and pregnancy: a Portuguese case-control study
Authors: Barros Tânia , Braga Jorge , Abreu Maria , Brandão Mariana , Farinha Fátima , Marinho António , Braga António
Published: November 2022

Introduction

Pregnancy in patients with autoimmune disorders is associated with an increased risk of adverse outcomes. Sjögren’s syndrome (SS) is one of the most common among autoimmune diseases. Presently data regarding the impact of SS on obstetric outcomes are scarce and inconclusive. This study aims to evaluate the impact of SS on maternal-fetal and neonatal outcomes compared with pregnancy outcomes in the general population.

Material and methods

A retrospective case-control study included 26 pregnancies in SS patients and a healthy control group (CG), followed in a Portuguese tertiary center, between 2015 and 2020. Baseline maternal data were collected, and maternal-fetal and neonatal outcomes were evaluated. Statistical analysis used SPSS 25.0, and a p-value of 0.05 was considered statistically significant.

Results

All pregnancies occurred after the diagnosis of SS, with a mean exposure time between diagnosis and pregnancy of 4.92 ±2.78 years. In the SS group, the incidence of ANA, anti-Ro/SSA, and anti-La/SSB antibodies positivity was 80.8%, 61.5%, and 46.2%, respectively. Hydroxychloroquine (HCQ) was used in 57.7%.
Miscarriage was significantly higher in the SS group (19.2% vs. 1.8%, p < 0.01). There was a higher prevalence of fetal growth restriction (OR 11.16, 95% CI: 0.96–129.26). Preterm delivery (9.5% vs. 5.6%, p = 0.503) and mean birth weight (2998.16 g vs. 3155.79 g, p = 0.178) did not differ significantly between the groups. In the SS group, admission to the neonatal intensive care unit (NICU) rate was increased (OR 71.67, 95% CI: 3.78–1357.16). Three pregnancies were complicated by congenital heart block (CHB) (14.3% vs. 0%, p = 0.015). In all cases, the diagnosis was performed during second trimester of pregnancy, and betamethasone was administered.

Conclusions

Women with SS had a significantly higher incidence of miscarriage, admission to NICU, and CHB than controls. Congenital heart block was the most critical condition that affects the offspring of mothers with SS. Successful pregnancy in the study group was possible with prenatal monitoring and a multidisciplinary approach.
Mixed connective tissue disease and severe renal disease – an apparent misconception?
Authors: Pinheiro Filipe , Madureira Pedro , Rato Maria , Costa Lúcia
Published: November 2022

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Application Of Interpersonal Communication As Behavioral Strategies Of Victims Of Bullying In PAUD
Authors: Syam Nasution Fadhilah , Ayu Setiawati Nanda , Zahra Rosina , Surya Edy
Published: November 2022

ABSTRAKKomunikasi antar pribadi atau interpersonal communication ialah sebuah proses pertukaran informasi atau pesan antara satu orang dengan orang lain, biasanya terjadi pada dua orang. Dalam komunikasi antar pribadi sendiri ada banyak faktor yang meningkatkan hubungan interpersonal, misalnya dari kualitas komunikasi itu sendiri. Dengan meningkatnya tindakan tersebut banyak orang yang menjadi korban setelah mendapatkan perlakuan bullying. Pola komunikasi tidak ideal pun dapat muncul saat seseorang mendapatkan perlakuan yang buruk. Perlakuan buruk yang membuat pola komunikasi seseorang berubah sering terjadi di ruang lingkup pertemanan. Pada pertemanan masih sering adanya tindakan kekerasan satu dengan lainnya, tindakan tersebut adalah perlakuan bullying. Tujuan dari penelitian ini adalah untuk menerapkan komunikasi interpersonal sebagai strategi perilaku korban bullying di PAUD. Pendekatan penelitian ini merupakan penelitian kuantitatif. Setelah melakukan penyebaran kuesioner diadakannya uji validitas dan uji reliabilitas. Pada uji validitas nilai rtable untuk degree of freedom (df) = n –k dengan alpha 0.05. Nilai r diagram pada penelitian adalah 135 dan a = 0.05 dengan nilai distribusi r statistic signifikansi 5% untuk 137 responden sebesar 0,166.Kata Kunci : Komunikasi Interpersonal, Korban Bullying
Determination of Deoxynivalenol and Total Aflatoxin Levels in Commonly Traded Grains in The Commercial City of Katsina-Ala North-Central Nigeria
Authors: P. A. Adie , J. T Yande , S. P Malu
Published: November 2022

This study determined the total aflatoxin and deoxynivalenol levels in grains traded in the commercial city of Katsina-Ala, North-Central Nigeria, from 300 samples obtained from 30 composites, of 10 different locations, using the direct competitive Enzyme Linked Immunosorbent Assay (ELISA). Moisture content, total aerobic microbial count, mould count, coliform and Escherichia coli were determined using standard analytical methods. Mycotoxins were detected in all samples across the study locations; total aflatoxin ranged from 2.30 to 8.4 ppb, which were within the maximum limits for aflatoxins, deoxynivalenol (DON) concentration ranged from 2,900.00 to 8,400.00 ppb that was above the maximum limits. Moisture was high in all samples with content ranging from 9.0279 to 12.3851 %, microbial contamination was observed on the grains. It was also observed that, these grains were more predisposed to DON than aflatoxin, thus vulnerability of the grains to DON was in the order: sorghum > maize > millet, whereas total aflatoxin level was in the order: sorghum > millet > maize respectively. Pearson’s 2-tailed correlation at 0.05 level of significance revealed strong correlation of deoxynivalenol with moisture content across locations, while ANOVA at 5 % level of significance established the presence of mycotoxins and their precursors across the locations. This fundamentally, showed microbial tainting of these cereals in the study location indicating that farmers and marketers handle these grains in an unhygienic manner.
To Explore the Division of Responsibilities Between General Practitioners and Specialists
Authors: Gao Jian
Published: November 2022

This paper introduces research about the division of responsibilities between general practitioners (GP) and specialists. According to experience of studying general medicine in fourth year of undergraduate clinical medicine, comments from senior general medicine teachers, group PBL (Problem Base Learning), literature reviews, completing this article. Through the collaboration of GP and specialist team base on literature has been introduced, GP and specialists are indispensable and play a common role in society to the health management of community residents, improve the health level of the whole communities, ensure national economic development and stabilization of improvement in people’s living standards. This paper discusses the responsibilities and professional roles of traditional specialists, also introduces the important role of GP in the process of coming area.
Effectiveness of Health Education about Stunting Toward Improvement of Community Knowledge
Authors: Faizi Muhammad , Rochmah Nur , Hisbiyah Yuni , Perwitasari Rayi Kurnia , Fedora Katherine , Ni’mah Nur Lailatun
Published: November 2022

Background: Stunting is chronic malnutrition associated with the risk of irreversible loss of cognitive function and stunting-related morbidity. Parental knowledge is essential in preventing stunting as it affects parenting patterns, child feeding practices, and the selection of food ingredients. Therefore, we aimed to analyze the improvement of public knowledge before and after given education about stunting. Methods: This descriptive study involved the community in the work area of the Driyorejo Public Health Center as the participants. We carried out community service in the form of health education about stunting and its prevention. Participants filled out a questionnaire before and after the intervention to evaluate the participants’ knowledge level. The demographic data, including gender, age, educational background, and occupation, are obtained using a self-reported questionnaire. Results: This study involved 85 participants consisting of 91.75% women with educational backgrounds, mostly having completed university (75.29%). The average score obtained before the intervention was 77.94, which increased to 87.35 after the intervention. The number of participants classified as having good knowledge increased from 58.82% to 83.53%, and the number of participants having poor knowledge decreased from 41.18% to 16.47% after the intervention. Conclusions: Health education done by health workers can significantly improve public understanding and increase public awareness about stunting. This emphasizes the important role of health workers as the spearhead in stunting prevention strategies.
Magnetic Monopoles and Lenz’s Law in Hyperbolic Medicine
Authors: González-González Jesús M.
Published: November 2022

We call “Hyperbolic Medicine” the study of the hyperbolic curves that occur in the physiology of a living being, especially in humans, about other hyperbolic curves that may be in nature, such as electromagnetic fields, expansion-contraction systems in movement, circadian rhythms, and space-time relativity. In nature, there is space-time relativity, perpendicular to the axis of movement of an organ, which gives hyperbolic curves. The lines of force of an electromagnetic field act in human physiology through hyperbolic curves. In hyperbolic human physiology, there are dipoles, multipoles, and monopoles. They can be fragmented into smaller elements like a magnet and maintain their same characteristics at smaller scales. When we move the N pole of a magnet away from a conducting wire, an S monopole is generated, since both S and N poles give “hyperbolas moving away”. On the other hand, when we approach the S pole of a magnet to a conducting wire, an N monopole is generated, since both S and N poles give “hyperbolas approaching”. If the conducting wire is a human organ, we speak of Lenz’s Law in hyperbolic medicine.
LA INCLUSIÓN DE ESTUDIANTES AUTISTAS EN LAS ESCUELAS COMUNES: RETOS Y POSIBILIDADES
Authors: Carlotto Silvani , Danelichem Márcia Regina de Assis , Peixoto Marinir de Assunção
Published: November 2022

La inclusión del autista depende de varios factores como la escuela, la familia, la sociedad, pero también del conocimiento sobre el autismo. Por lo tanto, esta investigación tiene como objetivo investigar si existen posibilidades de inclusión de un estudiante autista en el aula de la escuela pública. Por lo tanto, este es el enfoque del presente estudio: la inclusión de estudiantes con autismo en el aula regular. Con estos datos, buscamos analizar las circunstancias que estos estudiantes establecen con sus profesores y compañeros en las clases del sistema escolar regular. Así, se pretende evaluar cómo se procesa la inclusión de estos estudiantes en el aula común, en la que la mayoría de los estudiantes no tienen tales necesidades. Se ve que esta situación impacta en las posibilidades de interacción, comunicación y construcción del conocimiento de estos estudiantes. El estudio se orienta hacia la repercusión de estas condiciones que implican la inexistencia de un territorio común, con consecuencias para la explicación de ideas y el diálogo auténtico, principalmente porque la escuela y los docentes no están preparados para atender a estos estudiantes. La escuela en el transcurso de su historia, se caracterizó por la visión donde la escolarización es privilegio de un grupo, mientras tanto se generó una exclusión que se legitimó en las políticas y prácticas educativas del orden social. A partir del proceso de democratización de la educación, se identificó esa inclusión/exclusión, cuando los sistemas educativos amplían el acceso, pero continúan excluyendo a individuos y grupos considerados fuera de los estándares escolares normales, como los alumnos autistas.
Reconstruction de trajectoires et de comportements à partir de données de position
Authors: ÉTIENNE Marie-Pierre , GLOAGUEN Pierre
Published: November 2022

Ce chapitre présente deux modèles à variables latentes pour l'analyse des trajectoires. Chaque modèle correspond à un objectif spécifique : a) la reconstruction de trajectoires réelles en éliminant les erreurs de géolocalisation, et b) l'identification de différents comportements au cours du déplacement. Ces méthodes sont appliquées à l’étude du déplacement de Fous masqués (Sula dactylatra).
Les modèles à équations structurelles pour l’étude des écosystèmes
Authors: LAROCHE Fabien , FROIDEVAUX Jérémy , LARRIEU Laurent , GOULARD Michel
Published: November 2022

Les modèles à équations structurelles représentent des systèmes dont les composantes, décrites comme des variables latentes, sont indirectement mesurées par des bouquets de variables observées. On présente une méthodologie dans un cadre non-asymptotique pour sélectionner la structure des relations entre composantes (modèle relationnel) et les liens composantes-variables observées (modèle d'observation), avec un exemple sur des écosystèmes forestiers.
Démographie et distribution en conditions naturelles : les modèles de Markov cachés
Authors: GIMENEZ Olivier , LOUVRIER Julie , LAURET Valentin , SANTOSTASI Nina Luisa
Published: November 2022

Nous introduisons les modèles de Markov cachés pour formuler les modèles de capture-recapture pour la dynamique des populations et d' « occupancy » pour la distribution des espèces avec détection imparfaite. Cette formulation permet d'estimer les variables cachées par maximum de vraisemblance. Nous illustrons l’approche avec l'estimation de la prévalence d'hybrides chiens loups en Italie, et celle de la distribution des loups en France.
Des HMM pour estimer la dynamique de la banque de graines chez les plantes
Authors: CHEPTOU Pierre-Olivier , CORDEAU Stéphane , LE COZ Sebastian , PEYRARD Nathalie
Published: November 2022

La persistance des populations de plantes à fleur repose sur la colonisation et la dormance, cette dernière étant difficile à estimer car la banque de graines est rarement observée. Nous présentons une modélisation par chaînes de Markov cachées couplées qui représente explicitement ces deux processus. Nous l’illustrons sur l’estimation des paramètres clés de la dynamique des plantes adventices.
Modèles à blocs latents pour la détection de structures dans les réseaux écologiques
Authors: AUBERT Julie , BARBILLON Pierre , DONNET Sophie , MIELE Vincent
Published: November 2022

Nous nous intéressons aux interactions entre espèces. Les données d'interactions sont représentées par un réseau dont la structure est étudiée pour comprendre l'organisation de l'écosystème. Pour ce faire, nous présentons les modèles à blocs stochastiques qui sont des modèles de mélange adaptés aux réseaux et qui permettent d'obtenir une classification des espèces sur la base de leurs patrons d'interactions.
Cartographie et participation à l’épreuve du topos et de la chora
Authors: BURINI Federica
Published: November 2022

Ce chapitre analyse le rapport entre cartographie et participation. Il considère la première comme un système de communication permettant d’exprimer le point de vue d’un ou plusieurs acteurs et appréhende la seconde dans le cadre de la gouvernance territoriale, où la dimension politique de la cartographie est fondamentale. Il présente des exemples concernant des contextes territoriaux et des périodes historiques différentes.
La fabrique cartographique des États modernes
Authors: DEBARBIEUX Bernard
Published: November 2022

Les États ont joué un rôle majeur dans la production cartographique depuis des siècles. Tout en en rendant compte, ce texte illustre et défend deux thèses particulières : à partir du XVIe siècle, la cartographie européenne devient proprement constitutive de l’État tel qu’on tend à le concevoir alors ; dans les siècles qui suivent, la cartographie accompagne les transformations des façons de penser l’État et ses missions.
Cartographie statistique et gouvernance internationale à l’heure du Big Data
Authors: DAO Hy
Published: November 2022

Ce chapitre aborde la reconfiguration de la cartographie statistique au-delà des échelles nationales dans un contexte d’accélération et de globalisation des changements socio-économiques et environnementaux, d’accès à des données massives, et de diversification des acteurs de la production cartographique. Il s’intéressera aux (dés)alignements politiques et informationnels induits par ces évolutions, notamment à travers l’exemple des Objectifs de développement durable (ODD).
Les représentations chorématiques dans les processus participatifs
Authors: LARDON Sylvie
Published: November 2022

La démarche de « jeu de territoire » mobilise les représentations chorématiques pour faciliter la participation des acteurs, élaborer un langage commun et s’inscrire dans une démarche de projet. Cependant, si ces représentations jouent un rôle déterminant pour aider les acteurs locaux à se comprendre et à exprimer leur projet, elles peinent à être un langage reconnu par les politiques.
L’expertise de sites web : perspectives pédagogiques en information-communication
Authors: MASSOU Luc
Published: November 2022

L’auteur propose un bilan critique et réflexif, en termes d’apports et limites mais aussi de contraintes méthodologiques et d’acquisition de compétences professionnelles, d’expériences de formation universitaire à l’expertise de sites web dans des filières de licence et master en information-communication, à destination de futurs spécialistes de la communication numérique.
Sémiotique du design numérique : de l’ethos à l’éthique
Authors: PIGNIER Nicole
Published: November 2022

L’auteure propose de définir ce qu’est une sémiotique du design numérique, pour questionner le « faire sens » du webdesign et tisser du lien entre instances d’énonciation – les organisations – et de co-énonciation – les internautes usagers des sites web. Elle présente ainsi une méthodologie d’analyse sémiotique de la multimodalité et du design d’interface des sites web.
Analyse thématique de liens hypertextuels : une démarche taxonomique
Authors: PINÈDE Nathalie
Published: November 2022

L’auteure propose une approche méthodologique fondée sur la classification des contenus repérés sur les pages d’accueil de sites web académiques à partir des ancres textuelles de liens hypertextes, qu’elle nomme « unités lexicales hypertextuelles ». En analysant leurs classes dominantes, elle en dégage des profils informationnels en termes de contenus publiés et d’usagers visés par chaque site.
The effect of fenugreek seed (Trigonella foenum-graecum) supplementation on the performance and milk yield characteristics of dairy goats
Authors: Akbağ Hande Işıl , Savaş Türker , Karagül Yüceer Yonca
Published: November 2022

Abstract. The use of fenugreek seed as a galactagogue has been investigated in ruminants. However, only a few studies have analyzed the effects of fenugreek seed on the milk fatty acid composition. To the authors' best knowledge, none of these studies have investigated the effects of fenugreek seed on milk volatile compounds. The objective of this study, which lasted 8 weeks, was to determine the effects of fenugreek seed supplementation on the performance, milk fatty acid profile, and milk volatile profile of goats. A total of 20 Turkish Saanen dairy goats that were mid-lactation were used in the study. This study was carried out with two homogeneous groups: the control group (CON) and fenugreek group (FG). Both groups were fed a total mixed ration (TMR), but the FG treatment had their diet supplemented with 0.1 kg d−1 of fenugreek seed per animal. The feed intake, live weight, milk yield, milk chemical composition, serum cholesterol and triglyceride concentration, milk fatty acid profile, and milk volatile compound profile were determined. The feed intake, live weight gain, and milk yield of the goats did not significantly differ between the CON and FG treatments (P>0.05), whereas the milk fat concentration increased (P=0.05) and the serum cholesterol and triglyceride concentrations decreased (P<0.05) in the FG treatment. The unsaturated fatty acid concentration in milk (P<0.05) was also enhanced in the FG treatment. In addition, the FG treatment increased 2-propanone, 2-butanone, benzene, 1-methyl-3-(1-methylethyl), and eucalyptol concentrations in milk (P<0.05). In conclusion, the supplementation of goats' diets with fenugreek seed during the mid-lactation period did not affect their performance and improved the unsaturated fatty acid profile of their milk. Of particular importance, we have also detected an increase in the 2-propanone concentration in milk following fenugreek supplementation.
Quantification of the effects of long-term straw return on soil organic matter spatiotemporal variation: A case study in typical black soil region
Authors: Yan Yang , Ji Wenjun , Li Baoguo , Wang Guiman , Chen Songchao , Zhu Dehai , Liu Zhong
Published: November 2022

Abstract. The straw return practice is essential to soil organic matter (SOM) accumulation in the black soil area with high carbon sequestration potential. However, due to lacking accurate spatial distribution of straw return, few studies took straw return as a variable to carry out rigorous research on the impact of straw return on SOM variation on a regional scale. Based on soil samples and 16 environmental covariates including a 10-meter-resolution straw return amount, the study mapped the spatial distributions of SOM in 2006 and 2018 by random forest (RF) and evaluated the effects of the interaction of soil properties, land use and straw return on SOM spatial-temporal variation. The results show that in the context of the straw returning, the mean SOM content increased from 18.93 g kg−1 to 20.84 g kg−1 during 2006–2018. And 74.49 % of the region had a significant increase (maximum: 24.41 g kg−1) of SOM. The severest SOM loss occurred in the northwest due to the light texture and the transition from paddy fields to dryland. Nevertheless, for areas from paddy fields to dryland, the SOM loss decreased with the increased amount of straw return. The SOM even increased by 1.84 g kg−1 when the straw return amount reached 60–100 %. In addition, soil with higher initial SOM and sand content had a lower response to straw return. The study revealed that straw return is beneficial to carbon sink in farmland and is a better way to prevent a carbon source caused by the change of paddy field to dryland.
ACADEMICIAN MANASH KOZYBAYEV – HERALD OF INDEPENDENCE CONSCIOUSNESS (TO THE 90TH ANNIVERSARY OF THE SCIENTIST)
Authors:   Kazakh National University named after Al-Farabi, Center for Modern China Studies, Almaty, Kazakhstan
Published: November 2022

The article presents an analysis of the works of Doctor of Historical Sciences, Professor, academician of the National Academy of Sciences of the Republic of Kazakhstan, prominent public, state and scientific figure, scientist Manash Kabashevich Kozybayev, made before and after the collapse of the Soviet Union for the revival of the historical consciousness of our people and the formation of consciousness of independence. The author notes that in the history of mankind there is a movement of ideological enlightenment even on the eve of great social changes and after social transformations. The same campaign went on before and after the collapse of the USSR. At that time, Manash Kozybayev started the "dynasty of historians" and worked tirelessly to awaken and form an independent state consciousness among the Kazakh people. He actively contributed to the change of public consciousness, using a fiery journalistic genre, which the population easily understands and perceives, defining historical, political, cultural and civilizational concepts and the understanding of independence. Just as the French philosopher, the representative of the encyclopedists Denis Diderot systematized the science, knowledge and concepts of that time, Manash Kabashevich is also considered an encyclopedist-educator, a harbinger of the consciousness of independence.
RESIDENTIAL COMPLEXES XVIII-XIX CENTURIES(BY THE EXAMPLE OF THE SYGANAK SETTLEMENT)
Authors:   Akhmet Yassawi International Kazakh-Turkish University,Turkistan, Kazakhstan, Sizdikov B.S. , Zhetibayev K.M. ,   Akhmet Yassawi International Kazakh-Turkish University,Turkistan, Kazakhstan, Gursoy M. ,   Akhmet Yassawi International Kazakh-Turkish University,Turkistan, Kazakhstan, Murgabayev S.S. ,   Akhmet Yassawi International Kazakh-Turkish University,Turkistan, Kazakhstan
Published: November 2022

Known as one of the largest centers along the Great Silk Road, Syganak was one of the most important cities of the Kazakh Khanate in the Middle Ages, where science and culture, trade and art, agriculture and animal husbandry developed simultaneously. The town was the capital of the Kipchak Khanate in the XI-XIII centuries, in the XIV-XV centuries it was recognized as the capital of the White Horde, and in the XV-XVIII centuries it became the capital, political and economic center of the Kazakh Khanate. The cultural strata of Syganak under the Kazakh Khanate still need to be studied. In this regard, in order to revive the main elements of the material and spiritual culture of the town of Syganak, to deepen information about economic and socio-cultural ties between the prominent cities of the Kazakh Khanate along the Great Silk Road. As part of the program, we decided to conduct archeological research in the citadel part of the town of Syganak and put it into scientific circulation. The article focuses on the history of the study of the town of Syganak and the results of archeological research in the town in 2021, the importance of the settlement under the Kazakh Khanate and the peculiarities of housing in the XVIII-XIXcenturies.