bluuebunny/crossref_metadata_2025 huggingface dataset:
Pattern of Food Cravings in Pregnant Women Receiving Antenatal Care in a Community Setting
Authors: Bashar Mohammad Abul , Yesmin Farida , Rafa Shaila Sharmin , Rahman Rahnuma
Published: March 2024

Introduction: Food cravings are a sudden desire to eat certain types of foods during pregnancy. Worldwide, it is a common phenomenon.
Objectives: To find out the pattern of craving foods and examine to what extent the craving desires were fulfilled.
Methods: This cross-sectional study was conducted among 150 pregnant women in a community setting. Data were collected during January to March 2020 by face-to-face interview with a semi-structured questionnaire. Sample women were selected purposively.
Results: Mean age of the sample women was 23.59 (±4.36) years. 78% (117) of the respondents had cravings for one or more foods. Of them, 29.9% women had craved for sour fruits and 32.5% women had craved for milk-based sweets. Besides, 15.4%, 17.1% and 20.5% women had craved yogurt with misti, rice-milk-banana mixed and pickles respectively. Another 1.7% women had craved for non-food substance burnt clay. 23.9% craving desires was due to inhibiting nausea and 57.3% had no explanation. 70.9% craving desires was fulfilled. The proportion of fulfillment of craving desires was 100% in higher income families (p<.001). In joint families, 78.9% craving desires was fulfilled. It was 56.1% in the nuclear family (p=.009). In the first pregnancy, 81.5% craving desires was fulfilled (p=.003).
Conclusion: Common foods for pregnancy cravings were sweets, sour fruits and pickles. Craving desires was fulfilled more in high income families, joint families and in first pregnancy.
JAFMC Bangladesh. Vol 19, No 1 (June) 2023: 55-58
Kewenagan Direktur sebagai Perwakilan Perusahaan dalam Mendaftarkan Merek Atas Nama Pribadi
Authors: Yolanda Cindy , Samosir Prisca Oktaviani
Published: March 2024

Trademarks as identification and differentiating goods and / or services can be registered by legal subjects of individuals and legal entities. The director runs the company based on his rights and obligations. Then, the director registers the company's trademark by being registered in his personal name. If it can be done, whether the transfer of rights to the brand has moral rights and economic rights can be transferred. This research is to find out whether in a brand regulation a legal entity (company) can register a brand by the director by using a personal name. And whether a brand can be said to be an asset included in the company. The type of research that will be used is normative research using secondary data. The method of data collection uses library research and uses qualitative analysis. The results of the study indicate that the director who registered the brand is one of the founders of the company and registration is done with the first usage system that determines the creation of rights to the brand and registration has been approved by the GMS.Intangible Assets, Director Authority, Brands, Trademark Registration.
Keabsahan Pembuktian Keterangan Saksi Melalui Media Teleconference Dalam Hukum Acara di Indonesia
Authors: Ervanda Vivi Amelia , Soponyono Eko
Published: March 2024

The teleconference emerged as a new legal discovery in the field of proof which was used in the event that the witness gave his testimony in the trial, but the Criminal Law Book as a legal umbrella in the court had not yet been regulated. Law Number 11 Year 2008 concerning Information and Electronic Transactions regulates electronic documents and electronic information as valid evidence which is an extension of the evidence set out in the Criminal Procedure Code. When viewed based on the understanding of electronic documents, teleconference is part of electronic documents, so indirectly, Law Number 11 Year 2008 on Information and Electronic Transactions states that teleconferences are evidence that can be used in substantiation at court, but this is contrary to Article 185 of the Criminal Procedure Code which states that witness testimony as evidence is what the witness stated at the hearing. The urgency of this research is because there are no provisions governing Teleconference as legal evidence so there is no legal certainty.Keywords: Electronic Evidence; Legitimacy; Teleconference.AbstrakTeleconference muncul sebagai penemuan hukum baru dalam bidang pembuktian yang digunakan dalam hal saksi memberikan keterangannya dalam persidangan, namun Kitab Undang-Undang Hukum Acara Pidana sebagai payung hukum bercara di persidangan belum mengaturnya. Undang-Undang Nomor 11 Tahun 2008 tentang Informasi dan Transaksi Elektronik mengatur mengenai dokumen elektronik dan informasi elektronik merupakan alat bukti sah yang merupakan perluasan dari alat bukti yang diatur dalam Kitab Undang-Undang Hukum Acara Pidana. Apabila dilihat berdasarkan pengertian dokumen elektronik, teleconference merupakan bagian dari dokumen elektronik, sehingga secara tidak langsung, Undang-Undang Nomor 11 Tahun 2008 tentang Informasi dan Transaksi Elektronik menyatakan bahwa teleconference merupakan alat bukti yang dapat digunakan dalam pembuktian di persidangan, namun hal ini betentangan dengan Pasal Pasal 185 KUHAP yang menyatakan bahwa, keterangan saksi sebagai alat bukti ialah apa yang saksi nyatakan didalam persidangan.Kata kunci: Alat Bukti Elektronik; Keabsahan; Teleconference
Pancasila Sebagai Ideologi Pemberantasan Kejahatan Korporasi di Indonesia
Authors: Junius Fernando Zico
Published: March 2024

Abstract The criminal dimension of corporate crime in Indonesia continues to develop in line with the development of the national and international economy. The difficulty of disclosing cases of corporate crimes makes it very difficult for corporate crimes to be prosecuted and eradicated, especially when there are not many regulations regarding corporate crime. Therefore, to prevent and this corporate crime, it is necessary to instill values based on the Pancasila ideology is the ideology of the Indonesian nation, as mandated by the founding fathers to save the country from all types of violations and crimes in the territory of the Republic of Indonesia. NKRI).Keywords: Pancasila; Ideology; Corporate Crime; Abstrak Dimensi kriminal kejahatan korporasi di Indonesia terus berkembang seiring dengan perkembangan perekonomian nasional dan internasional. Sulitnya pengungkapan kasus kejahatan korporasi ini menyebabkan kejahatan korporasi sangat sulit ditindak dan diberantas terutama ketika suatu aturan belum banyak mengatur mengenai kejahatan korporasi. Oleh karena itu untuk mencegah dan memberantas kejahatan korporasi ini diperlukan penanaman nilai-nilai yang didasarkan pada ideologi Pancasila yang merupakan ideologi bangsa Indonesia, sebagaimana yang telah diamanatkan oleh founding fathers dalam upaya penyelamatan negara dari semua jenis pelanggaran dan kejahatan di wilayah Negara Kesatuan Republik Indonesia (NKRI).Kata kunci: Pancasila; Ideologi; Kejahatan Korporasi;
Sinergi Hukum Dan Kekuasaan Dalam Mewujudkan Keadilan Sosial
Authors: Junaidi Junaidi
Published: March 2024

This study aims to determine the synergy of law and power in an effort to realize social justice or justice in society. This research is a doctrinal legal research, data collection is done by means of secondary data documentation, and data analysis techniques using logic deduction. The conclusion of this research is that law and power have a very important relationship and role in realizing social justice or justice in society. Law and power require strong synergy in order for social justice to be realized. The synergy of law and power can be seen from the various rules of law or power policies whose contents are in favor of public justice or are otherwise not in favor of society. The ideal synergy of law and power that is expected is that power can be exercised fairly by using law as a tool of legality.Keywords: Synergy; Law; Power; Justice  Penelitian ini bertujuan untuk mengetahui sinergi hukum dan kekuasaan dalam upaya mewujudkan keadilan sosial atau keadilan dalam masyarakat. Penelitian ini merupakan penelitian hukum doktrinal, pengumpulan data dilakukan dengan cara dokumentasi data sekunder, dan teknik analisis data menggunakan logika deduksi.  Kesimpulan dari penelitin ini adalah hukum dan kekuasaan memiliki hubungan dan peran yang sangat penting dalam mewujudkan keadilan sosial atau keadilan dalam masyarakat. Hukum dan kekuasaan memerlukan sinergitas yang kuat agar keadilan sosial dapat terwujud. Sinergitas hukum dan kekuasaan dapat dilihat dari berbagai aturan hukum atau kebijakan kekuasaan yang isinya berpihak kepada keadilan masyarakat atau sebaliknya tidak berpihak kepada masyarakat. Sinergi ideal hukum dan kekuasaan yang diharapkan adalah kekuasaan dapat dijalankan secara adil dengan menggunakan hukum sebagai alat legalitasnya.                                Kata Kunci: Sinergi; Hukum; Kekuasaan; Keadilan
Efektivitas Peraturan Pengganti Undang-Undang Nomor 1 Tahun 2016 Tentang Perlindungan Anak Terhadap Penurunan Angka Kekerasan Seksual Pada Anak
Authors: Sarianti Betra
Published: March 2024

The purpose of this research is to find out and analyze the effectiveness of Perpu number 1 of 2016 promulgated by law number 17 of 2016 on the provision of government regulations instead of law number 1 of 2016 on the second amendment to law number 23 of 2002 concerning child protection in an effort to reduce sexual violence against children. Non-doctrinal law research using empirical research methods is to see the work of law in society. Based on the results of research at the Bengkulu Polda Women and Children Protection Unit, the PUPA Bengkulu Foundation, the UPTD Dinas P3AP2KB Bengkulu City and the Bengkulu District Court Child Judge, it shows that the introduction of the Perpu is ineffective in reducing the number of sexual violence against children in Bengkulu. The decrease in the number of sexual violence only occurred in 2018, but the following year, namely 2019 and even from 2020 to July, the increase was quite high. This fact shows that the purpose of the entry into force of this law, namely a deterrent effect on the community, has not been achieved. Criminals do not seem to fear the harsh penalties they face for committing a crime of sexual assault against children.Keywords : Children; Sexual Violence; Perppu  Tujuan penelitian ini adalah untuk mengetahui dan menganalisa efektifitas Perpu Nomor 1 Tahun 2016 yang telah diundangkan dengan Undang Undang Nomor 17 Tahun 2016 tentang Penetapan Peraturan Pemerintah Pengganti Undang-Undang Nomor 1 tahun 2016 tentang Perubahan Kedua atas Undang-undang Nomor 23 tahun 2002 tentang Perlindungan Anak dalam upaya menurunkan angka kekerasan seksual pada anak. Penelitian hukum non doctrinal yang menggunakan metode penelitian empiris yaitu melihat bekerjanya hukum dalam masyarakat. Berdasarkan hasil penelitian pada Unit Perlindungan Perempuan dan Anak Polda Bengkulu, Yayasan PUPA Bengkulu,  UPTD Dinas P3AP2KB Kota Bengkulu, dan Hakim Anak Pengadilan Negeri Bengkulu menunjukan perberlakuan Perpu  tersebut tidak efektif menurunkan angka kekerasan seksual pada anak di Bengkulu. Penurunan angka kekerasan seksual hanya terjadi pada tahun 2018 akan tetapi tahun berikutnya yaitu tahun 2019 dan bahkan ditahun 2020 sampai bulan Juli peningkatnnya cukup tinggi. Fakta tersebut menunjukan tujuan dari diundangkannya undang undang ini yaitu memberikan efek jera kepada masyarakat tidak tercapai. Pelaku kejahatan sepertinya tidak takut akan sanksi hukuman berat yang akan dihadapi jika melakukan tindak pidana kekerasan seksual pada anak.Kata Kunci :  Anak; Kekerasan Seksual; Perppu
WANPRESTASI DALAM TRANSAKSI JUAL BELI ONLINE MELALUI FITUR CASH ON DILEVERY PADA APLIKASI MARKETPLACE
Authors: Rahman Abdul
Published: March 2024

Penelitian ini bertujuan untuk mengkaji mengenai keabsahan suatu perjanjian Jual beli melalui fitur Cash On Delivery ( COD )serta mengkaji dampak hukum yang timbul jika Pembeli melakukan Perbuatan wanprestasi. Metode peneilitan yang digunakan penulis adalah yuridis Normatif dengan pendekatan perndang-undangan, Konsep dan Kasus.Hasil peneletian ini menujukkan terhadap keabsahan perjanjian dalam transaksi jual beli online dianggap sah apabila memenuhi Empat syarat yang tercantum dalam KUH-Perdata, UU-ITE dan PP No. 71 Tahun 2019. Berdasarkan KUH-Perdata Dampak hukum yang timbul dalam perjanjian jual beli online melalui fitru Cash On Delivery (COD), (Pembeli) yang melakukan wanprestasi diwajibkan untuk melakukan membayar ganti rugi, Pemutusan Perjanjian dan peralaihan resiko. Upaya penyelesaian sengekata terhadap pembeli yang melakukan wanprestasi dalam transaksi jual beli online dengan fitur Cash On Delivery, sesuai amanat UU-ITE Pelaku usaha dapat menempuh melalui Lembaga arbitrase maupun Lembaga Lainnya yang memiliki kewenanagan dalam penyelesaian sengkta.
PEMBAYARAN PAJAK MENGGUNAKAN E FILLING DALAM PRESPEKTIF HUKUM ISLAM
Authors: Usmaina Siti Putri Nera , Rini Irianti Sundary S.H.,M.H
Published: March 2024

Direktorat Jenderal Pajak memanfaatkan modernisasi sebagai bentuk reformasi perpajakan maka dari hal tersebut direktorat jenderal pajak menerbitkan Electornic Filling Systen sebagai bentuk reformasi perpajakan yang diharapkan dapat mempermudah administrasi perpajakan. Permasalahan yang dialami pengguna eFilling kurangnya sosialisasi dan faktor geografis menjadikan pelaksanaan eFiliing masih belum sempurna khususnya di Kabupaten Karawang. Maka dari itu perlu adanya penelitian untuk mencari bagaimana implementasi eFilling di kabupaten Karawang.Kantor Pelayanan Pajak Pratama Karawang sendiri mengenai sumber daya manusia sudah mumpuni dan siap melaksanakan dan melayani pengguna eFilling, pelaksanaan eFilling belum sepenuhnya sempurna karena banyak Wajib pajak yang belum paham benar mengenai sistem eFilling karena ketersediaan informasi serta prasarana pendukung yang bisa dibilang belum cukup memadai. Dari perlindungan hukum sendiri Direktorat Jenderal Pajak memberikan jaminan kerahasiaan data dan pengaman seperti EFIN, kata sandi, token yang berbeda setiap wajib pajak, dalam hal peningkatan penggunaan eFilling dari mulai tahun 2013 sampai 2021 meningkat sebanyak 6% pengguna eFilling, di kabupaten Karawang sendiri sudah cukup baik namun tetap dibutuhkan sosialisasi secara merata untuk mencapai tujuan yang diharapkan. Dengan menggunakan metode pendekatan yuridis empiris, tujuan penulisan ini yaitu untuk mendapatkan kepastian hukum dan kerasahaiaan data serta pertimbangannya menurut hukum islam.
Quo Vadis Regulation Of Drug Distribution On Non-Pharmaceutical Facilities
Authors: Hanif Muhammad
Published: March 2024

The distribution of drugs, especially over-the-counter drugs and restricted over-the-counter drugs, currently seems not to be properly controlled as there is a discrepancy between regulations and techniques in monitoring the distribution of them on non-pharmaceutical facilities. In response to this, the Government made changes by issuing Law Number 17 of 2023 about Health replacing Law Number 36 of 2009. This research aims to confirm that with the publication of Law Number 17 of 2023 about Health, there are regulations that explicitly regulate the procedures for implementing pharmaceutical practice. The results of this research show that although it is not perfect, the government has fulfilled its obligation to protect the public in terms of drug distribution.
Rekonstruksi Perlindungan Hukum Terhadap Hak Cipta Atas Folklore : Tinjauan Hukum Progresif
Authors: Kurniawan I Gede Agus
Published: March 2024

Penelitian ini bertujuan menganalisis dan mengemukakan rekonstruksi perlindungan hukum terhadap hak cipta atas folklore yang bersifat komunal dalam perspektif hukum progresif. Orientasi utama dari penelitian ini yaitu merumuskan perlindungan hukum yang tepat bagi hak cipta atas folklore yang bersifat komunal di Indonesia. Penelitian ini merupakan penelitian hukum normatif dengan pendekatan konsep dan perundang-undangan. Hasil penelitian menegaskan bahwa urgensi perlindungan hukum terhadap hak cipta atas folklore yang ada di Indonesia dimaksudkan untuk dapat memfasilitasi dan melestarikan berbagai folklore yang ada di Indonesia supaya tidak punah. Rekonstruksi perlindungan hukum terhadap hak cipta atas folklore berbasis hukum progresif dapat dilakukan melalui perlindungan hukum internal dengan menekankan peran dan partisipasi aktif masyarakat sekitar untuk menginventarisasi dan melestarikan folklore yang ada. Perlindungan hukum eksternal dilakukan dengan membentuk kebijakan hukum khusus yang mengatur secara teknis bagaimana peran pemerintah daerah untuk dapat berpartisipasi dalam memberikan perlindungan hukum bagi folklore yang ada di Indonesia dengan mendaftarkannya pada hak cipta ekspresi kebudayaan tradisional.
Ophthalmic Findings of Abusive Head Trauma in Korea from a Single-large Trauma Center, 2011-2022
Authors: Woo Taekyeong , Chung Seung Ah
Published: March 2024

Purpose: To investigate the ophthalmic findings associated with abusive head trauma (AHT) at a major trauma center in Korea.Methods: We retrospectively reviewed the medical records of 14 children with AHT referred for an ophthalmologic examination at a large regional trauma center from January 2011 to December 2022. We analyzed pertinent findings for AHT and its sequelae on brain computed tomography, skeletal surveys obtained using X-ray, external photographs, and fundus photographs taken with a portable fundus camera.Results: Among 14 patients (mean age, 7.4 months) with subdural hematoma from AHT, nine (64.3%) had retinal hemorrhages. Eight of these patients (88.9%) required neurosurgery, while only one child (20.0%) among the five without retinal hemorrhages needed drainage for brain hemorrhages. All patients with retinal hemorrhages (mean age, 6.0 months) presented with numerous multilayered hemorrhages across the entire retina including dome-shaped hemorrhages (six patients), perimacular ridges (one patient), and retinal hemorrhages at different stages of healing (one patient). The retinal hemorrhages resolved within an average of 2.4 months without necessitating retinal surgery. In five patients followed for an average of 28.2 months, there were instances of optic disc pallor in three, cortical visual impairment in one, and fovea scarring in one.Conclusions: More than half of the Korean children with AHT had extensive retinal hemorrhages leading to ophthalmic sequelae in the majority. These findings support the need for long-term active ophthalmic follow-up in AHT cases.
Failed Treatment of Multidrug-resistant Acinetobacter Baumannii Keratitis Mistaken for a Mixed Infection
Authors: Cho Young-Ri , Ahn Min , Cho Nam-Chun , You In-Cheon
Published: March 2024

Purpose: To report treatment failure of multidrug-resistant Acinetobacter baumannii keratitis in a patient wearing contact lenses for a long time.Case summary: A 48-year-old man using daytime soft lenses for 20 years was transferred due to decreased visual acuity and eye pain. Slit-lamp biomicroscopy showed a large corneal epithelial defect and stromal infiltration, but no hypopyon. Treatment was initiated with moxifloxacin, polyhexamethylene biguanide eye drops, and oral antibiotics. Corneal infiltration worsened, corneal scrapings and culture were performed. Gram staining showed Gram-positive bacteria, potassium hydroxide (KOH) hyphae-positive, and culture yielded Bacillus. He was hospitalized and vancomycin, voriconazole, and amphotericin B eye drops were administered. Oral antifungal agents were also prescribed. The corneal epithelial defect was restored from temporal side for a while, and then deteriorated with an endothelial plaque. Therefore, voriconazole and amphotericin B were injected intracamerally. All four repeated culture tests were negative. Despite total conjunctival flap, the patient complained of severe pain and eventually underwent evisceration. In the culture of intraocular contents, Acinetobacter baumannii, which is resistant to all drugs except minocycline, was detected.Conclusions: In patients wearing contact lens for a long time, not only mixed infection with acanthamoeba and fungi, but also gram-negative bacteria should be considered first, and multidrug-resistant Acinetobacter baumannii should also be considered.
The Suppressor Effect of Presenteeism in The Relation Between Gaming Addiction and School Engagement Among Children
Authors: Mert Abdullah , Sarıçam Hakan
Published: March 2024

The purpose of this study was to investigate the impact of presenteeism on the correlation between gaming addiction and school engagement among secondary school students. The participants of the study comprised 300 children aged between 12 and 16 who were in secondary schools in the Aegean region in Türkiye. The mean age of the children was 13.52 (SD = 0.65). The study will use the 'Computer Game Addiction Scale for Children (CGAD)' to measure children's addiction to computer games, the 'Child-Adolescent Presenteeism Scale (C-APS)' to measure presenteeism levels in classroom, and the 'School Engagement Scale (SAS)' to measure school engagement. The analyses were conducted using the SPSS 23 software package at significance levels of .05 and.01. Pearson product-moment correlation analysis was used to determine the relationships between variables, and multiple regression analysis was used to determine the predictive power of variables for each other. The results of both Pearson correlation and bootstrapping showed a negative relationship between gaming addiction, presenteeism, and school engagement. Furthermore, a positive correlation was observed between presenteeism and game addiction. The regression analyses also found similar results. To better understand developmental differences in anxious emotion variance during childhood and adolescence, it is important to disaggregate aspects of anxious emotions and pay attention to potential suppressive effects.
The Effect of Rehabilitative Exercises in Improving (the range of motion, muscle strength, and the degree of pain) for Football Players After ACL Surgery
Authors: Hasan Bashar , Matty Lina Sabah
Published: March 2024

Objective: This study aims to prepare rehabilitative exercises for football players following anterior cruciate ligament surgery and to determine the impact of such exercises on the functional ability of the anterior cruciate ligament (muscle strength, range of motion, and level of pain) in advanced football players following surgery. Method: A sample of (6) injured, from Al-Kut club, (age = 27.33 ± 1.98 years, height = 174.7 ± 2.99 cm, mass 60.6 0.68 kg) participated in the study. The participants in the experimental group (n=6) completed pre-tests and post-tests. Results: The results of the experimental sample show that there was a significant improvement in the mean scores for Muscular strength on the post-test compared to the pre-test. The mean score for muscular strength increased from 18.50 to 33.33, p<0.001), the mean score for the range of motion increased (extension) from 163.50 to 177.33, (flexion) 68.83 to 21, p<0.001), and the mean score for pain decreased from 7.125 to 1.12, p<0.001). conclusion: following surgery, rehabilitation exercises improve the strength of the muscles that operate on the knee joint, increase the range of motion of the knee joint, and decrease pain degree.
Análise da qualidade microbiológica da água de escolas públicas da cidade de Belém, Estado do Pará (PA)
Authors: Almada Chanaya Pinheiro , Texeira Eduarda Felipa dos Santos , Felix Antonio Marcos Almeida , Silva Melissa Santa Brigida da , Siqueira Andrei Santos
Published: March 2024

O objetivo geral do presente estudo foi analisar a qualidade microbiológica da água de bebedouros e torneiras de dez escolas de rede pública, a fim de estabelecer se estão aptas ao consumo segundo legislação vigente. Foram coletadas 100ml de amostra para análise de cada ponto estabelecido e estas destinaram-se para o Laboratório de Análises Clínicas, da Faculdade Faci Wyden, onde foi realizado análises qualitativas de Coliformes Totais e Escherichia Coli, foi utilizado o método do Substrato Cromogênico Enzimático Colilert. Após aplicação do reagente e incubação por 48 horas a 37 °C, observou-se coloração amarelada em uma parte significativa das amostras, evidenciando a presença de coliformes totais. Porém, não se detectou presença de E. coli em nenhuma das amostras analisadas, pois não apresentaram fluorescência sob a luz ultravioleta. Em síntese, a contaminação hídrica representa um desafio significativo para a saúde e qualidade de vida. Portanto, para mitigar os efeitos negativos da poluição da água, é essencial adotar estratégias de prevenção proativas.
Investigando o enigma relacionado às alternativas de tratamento da Diabetes Mellitus Gestacional
Authors: Pereira Luan Queiroz Fernandes , Santos Thamires Ferreira dos
Published: March 2024

Objetivo: Elucidação da dúvida em questão de um antidiabético que tenha uma boa eficácia e segurança em gestante e que possa ser usado como segundo plano para pacientes que por algum viés não podem ou não querem realizar o seu tratamento com a insulina; esclarecer as medicações mais usadas para tratar a DMG, tanto por eficácia quanto por desejo do paciente. Além disso, trazer informações sobre a doença em questão.  Métodos: A pesquisa conta como principal meio de coleta de dados as plataformas google acadêmico, Pubmed, Scielo, Diretriz da Sociedade Brasileira de Diabetes e Federação Brasileira das Associações de Ginecologia e Obstetrícia (FEBRASGO). O método de escolha foi avaliado em cima de pontos positivos e negativos de ambas as medicações, a eficácia e segurança. Resultados e discussão: A insulina tem necessidade de altas doses diárias e dificuldade na autoadministração, estresse decorrentes ao seu uso e ganho de peso dificultam a adesão à insulinoterapia. A metformina demonstra como benefícios a diminuição de partos prematuros e de cesarianas, diminuição da obesidade materna e com menos resultados de macrossomia, icterícia e hipoglicemia. Mais mulheres no grupo da metformina do que no grupo da insulina afirmaram que escolheriam receber novamente o tratamento atribuído. Conclusão: A metformina tem se mostrado eficiente no controle da glicemia, segura para as gestantes e sem indícios de teratogenicidade. A insulina ainda continua sendo a droga de primeira escolha por ser uma molécula com pequena passagem placentária e seu baixo risco imunogênico.
Criação de um protótipo de aplicativo móvel para monitorização pós hemodiálise
Authors: Félix José Lucas dos Santos , Gimenes Fabielle Costa , Oliveira Filho Erivan Gomes de , Castro Victor Gustavo de Melo , Costa Heloisa Macedo de Araújo Matias da , Costa Samuel Paranhos Cabral da , Silva Vera Lucia Morais da
Published: March 2024

A hemodiálise (HD) é denominada como um método que faz o uso da filtração, difusão e ultrafiltração com o objetivo de remover toxinas presentes na corrente sanguínea devido a Doença Renal Crônica (DRC) e Insuficiência Renal Crônica (IRC). Desse modo, as tecnologias assumem um papel de mudança, trazendo conhecimentos científicos e tecnológicos para resolução de problemas que vão surgindo nos diferentes setores assistenciais. Essa inovação vai influenciar diretamente nos diagnósticos, tratamento e prognóstico dos indivíduos envolvidos, gerando uma redução de custo, auxílio dos profissionais e eficácia do cuidado. O presente estudo teve como objetivo construir um protótipo de aplicativo móvel para monitorização de pacientes em home care após hemodiálise. Portanto, a questão norteadora da pesquisa é: Como um protótipo de aplicativo móvel possibilitará a monitorização continuar ao paciente renal? O presente protótipo de aplicação foi construído a partir da reflexão quais são as intercorrências que acomete o paciente após hemodiálise em sua moradia, desse modo objetivou a construção de ferramenta que auxiliasse no processo saúde doença. Este protótipo é constituído por 12 telas, se dividindo entre suas funcionalidades, Login, Cadastro, Menu Principal, Hospitais Próximos, Teleconsulta 24 Horas, Meu Prontuário, Dados Vitais, Help Desk.
Hall Technique for the management of hypomineralized first permanent molars: A protocol of a randomized controlled trial with 3-year follow-up
Authors: Guerra Bianca Mattos dos Santos , Jorge Roberta Costa , Reis Patrícia Papoula Gorni dos , Bonifácio Clarissa Calil , Hesse Daniela , Fidalgo Tatiana Kelly da Silva , Soviero Vera Mendes
Published: March 2024

The aim of this clinical protocol is to describe the methodology for the evaluation of the clinical performance of Hall Technique (HT) in comparison with glass ionomer cement (GIC) restorations in first permanent molars (FPM) severely affected by molar incisor hypomineralization (MIH). This protocol is related to a two-arm, parallel group, controlled and randomized superiority trial. It will be included 92 participants, 6 to 12 years-old, presenting at least one FPM with post-eruptive enamel breakdown and/or atypical caries and/or unsatisfactory atypical restoration involving cusp and extending to at least two tooth surfaces. Two trained and calibrated dentists will select the participants and assess the outcomes. Eight experienced clinicians who work as dentists at the public oral health system will be trained to perform the interventions. The participants will be randomized into the test (HT) or the control group (GIC). The outcomes will be assessed every 6 months up to 3 years. The primary outcome is the survival rate of the restorations. Secondary outcomes include satisfaction of the participants, parents, and dentists; impact on oral heath related quality of life; self-reported discomfort during treatment; signs/symptoms of temporomandibular joint dysfunction; and cost-effectiveness. Kaplan-Meier and Cox regression analysis will be used to analyze the primary outcome. Mann-Whitney or t-test will be used to compare the secondary outcomes between groups. We expect to provide scientific evidence about the treatment approach that maximizes success rates and minimizes retreatments in severe HMI.
Assistência de enfermagem da estratégia de saúde da família ao pré-natal de gestantes adolescentes
Authors: Brandão Ana Caroline Cipriano , Rodrigues Eppifânia Maria Freire Arnaldo , Gedeon Giulia de Melo
Published: March 2024

O objetivo desse estudo foi descrever a importância da assistência de Enfermagem durante o pré-natal de gestantes adolescentes. Trata-se de uma pesquisa de revisão integrativa da literatura realizada entre os meses de junho e julho de 2023. Utilizou-se a estratégia PICo, onde o P (população), corresponde a adolescente; o I (interesse), a Assistência de enfermagem e Co (contexto), o pré-natal. A busca foi realizada na base de dados da Medical Literature and Retrivial System onLine (MEDLINE/PubMed), Literatura Latino-Americana e do Caribe de Informação em Ciências da Saúde (LILACS) e na Base de Dados em Enfermagem (BDENF), os descritores controlados empregados na estratégia de busca foram selecionados no DeCs (Descritores em Ciências da Saúde), utilizaram-se  os conectores booleanos AND e OR. Foram encontrados 18 (dezoito) artigos, foi realizada leitura exploratória dos mesmos, sendo que destes 08 (oito) foram excluídos, para  a presente pesquisa foram utilizados 10 (dez) artigos. Os resultados do estudo evidenciaram que a figura do enfermeiro é de grande relevância durante o acompanhamento do pré-natal, uma vez que exercem atividades técnicas específicas de sua competência, administrativas e educativas e através do vínculo com as usuárias, concentra esforços para reduzir os tabus, mitos e preconceitos e buscar o convencimento sobre os principais cuidados durante a gestação.
Psicologia hospitalar e cuidados paliativos em pacientes oncológicos
Authors: Pinheiro Priscila Borges
Published: March 2024

Introdução: O presente trabalho trata sobre a psicologia hospitalar, diante da dor do luto hospitalar e os cuidados paliativos realizado pela equipe de enfermagem multiprofissional, destacando o papel do profissional de psicologia. De acordo com o (IBGE, 2020) a expectativa de vida aumentou para 74 anos. No Brasil, 11,8% da população é idosa, cerca de 23 milhões de pessoas, corrobora com o aumento de doenças crônicas, uma delas o Câncer. Principalmente uterino (CCU). Objetivo: Identificar as competências da equipe de enfermagem e do psicólogo hospitalar que são de grande importância no cuidado dos pacientes oncológicos em cuidados paliativos, descrever o papel da enfermagem nos atendimentos à saúde da mulher no Brasil. Apoiando os personagens deste cenário auxiliando o paciente e cuidadores de resolverem pendências e emoções ao vivenciarem a própria finitude. E, assim, permitir ao paciente um final de vida com mais qualidade. Metodologia: Trata-se de uma pesquisa bibliográfica do tipo exploratório-descritiva e de caráter qualitativa. Foram avaliadas publicações científicas indexadas nas bases de dados Scielo, Google Acadêmico, LILACS e Base de Dado, acessadas por meio da Biblioteca Virtual em Saúde e Psicologia, em Jan de 2024. Seguindo os critérios de inclusão, selecionaram-se sete estudos com publicações entre 2018 e 2023. Resultados e Discussão: Os dados foram submetidos à análise de conteúdo. Os artigos foram descritos em três categorias: 1) a percepção da equipe de enfermeiros; 2) as dificuldades do paciente; e 3) as ações do psicólogo hospitalar. Evidenciou-se a importância do papel da equipe de enfermagem e do psicólogo nos cuidados paliativos dos pacientes oncológicos. Ressaltando que pacientes e familiares devem participar de forma ativa do tratamento, fortalecendo vínculos de confiança e comunicação. Conclusão: Os cuidados paliativos têm como estrutura uma nova forma de gestão da morte. Destacou-se o que o papel do enfermeiro está muito além da realização de cuidados à mulher em sua internação ou tratamento ambulatorial. Assim, como do psicólogo com pacientes diante da finitude. Percebeu-se ainda que as mulheres muitas vezes recebem o diagnostico tardio e o apoio das crenças no curso do tratamento.
Ações desenvolvidas por equipes interprofissionais em instituições hospitalares no âmbito do aleitamento materno: Uma revisão integrativa
Authors: Carvalho Audrey da Silva , Alves Valdecyr Herdy , Santos Márcia Vieira dos , Bastos Soraia do Socorro Furtado
Published: March 2024

Diante dos desafios relacionados à prática da amamentação, muitas ações e estratégias têm sido implementadas, com o intuito de promover proteger e apoiar o aleitamento materno, sobretudo nas instituições hospitalares, mediante a prática interprofissional e intersetorial, em linha de cuidado, pautado nas políticas públicas de saúde. O estudo teve como objetivo analisar as evidências científicas que apontam as ações implementadas pela equipe interprofissional, no campo do aleitamento materno, em instituições hospitalares. Trata-se de uma revisão integrativa da literatura, onde a busca foi por meio do portal da Biblioteca Virtual em Saúde (BVS), no site da Intranet da Universidade Federal Fluminense (UFF), utilizando as bases: Scientific Electronic Library Online (SciELO); Literatura Internacional em Ciências da Saúde (MEDLINE), via National Library of Medicine (Pubmed); Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS); Elsevier (Scopus) e Web of Science (Clarivate Analytics). Dos 2.940 artigos inicialmente selecionados, oito compuseram a amostra final. De maneira geral, os estudos apontaram ações e intervenções, no âmbito do aleitamento materno, em instituições hospitalares. Todavia, desvelou-se uma fragilidade na prática interprofissional, com a necessidade de maior articulação das ações desenvolvidas, o que poderia ampliar o escopo de atuação e, consequentemente, contribuir para melhores resultados, em prol do aleitamento materno exclusivo e da redução do desmame precoce hospitalar, conforme recomendações do Ministério da Saúde.
Incidência de complicações nos cateteres centrais de inserção periférica em pacientes oncológicos ambulatoriais
Authors: Azevedo Rodrigo Ribeiro , Silveira Naira Christofoletti , Santos Carolina Cristina Scrivano dos , Pinheiro Débora Ramos
Published: March 2024

Introdução: A terapia intravenosa tornou-se amplamente utilizada em tratamentos oncológicos, como para administração de quimioterápicos, antibióticos, hemoderivados, hidratação, dentre outros. Diante disso, dispositivos para estabelecimento de uma via intravenosa demonstraram grande utilidade em oncologia, dentre estes têm-se os cateteres venosos centrais de inserção periférica, os PICC`s. Objetivo: analisar a incidência das principais complicações que contribuíram para a retirada dos PICC`s no período de 2021 a 2022. Método: Trata-se de um estudo de coorte retrospectivo, de abordagem quantitativa, descritivo e exploratório, a partir de dados coletados de um instrumento padronizado de controle de atendimento a pacientes. Resultados: os principais motivos que levaram à retirada dos cateteres no período analisado, o término do tratamento mostra-se como mais incidente seguido de infecção. O total de retiradas foi de 89 PICC`s, em comparação ao total de inserções nos dois anos de 361 cateteres. A infecção foi o principal motivo de retirada associado a não adesão à manutenção, correspondendo a 30,7% no grupo do ano de 2021 e 30% em 2022. Conclusão: há necessidade de padronização de protocolos relacionados ao manuseio adequado do dispositivo pelos profissionais de enfermagem, frequência das manutenções e orientação aos pacientes e familiares.
CYTOTOXICITY SCREENING AND ANTIOXIDANT CAPACITY ASSESSMENT OF THE INNER PERIANTH SEGMENTS OF 14 RUMEX SPECIES GROWN IN TÜRKİYE
Authors: ÖZENVER Nadire , ERKMEN Yiğit , BOYALI Filiz , DEMİREZER Ömür
Published: March 2024

Objective: Breast cancer is one of the most prevalent cancer types worldwide. Antioxidant sources may prevent the occurrence of cancer. Natural sources rich in phenolics, thus, may provide alternate agents in the management of breast cancer. Rumex species are widely distributed in Turkish flora. Emerging evidence has pointed out the antitumoral property of Rumex species on a variety of cancer cells. In the present study, we propose to test the ethanolic extracts of the inner perianth segments of 14 Rumex species on four breast cancer cells with different origins. We also demonstrated their toxicity on healthy cells.
Material and Method: We performed the resazurin reduction assay to examine the cytotoxicity and toxicity. Furthermore, we determined the phenolic contents of the extracts as an indicator of their antioxidant profile and ascertained their antioxidant activities by DPPH radical, ABTS radical cation scavenging activity and cupric ion-reducing antioxidant capacity assays.
Result and Discussion: The ethanolic extracts of the inner perianth segments of Rumex species exhibited remarkable cytotoxicity profiles neither on breast cancer cells nor on healthy H9c2 rat myoblastoma cells. However, they usually displayed strong antioxidant activities due to possessing high phenolic content.
Identifying predictors to optimize treatment outcomes in patients with obstructive sleep apnea
Authors:   , Veugen Christianne Christina Aleida Francisca Maria
Published: March 2024

This dissertation explored ways to predict which patients are at high risk for obstructive sleep apnea (OSA) and how different treatments like Continuous Positive Airway Pressure (CPAP), oral appliance treatment (OAT), and upper airway stimulation (UAS) may work for individual patients. Identifying risk factors for OSA and predictors of treatment success can aid in improving tailored therapies and reducing unnecessary procedures.

The research examined various screening tools to identify high-risk patients, such as the NoSAS score and the STOP-Bang questionnaire. Additionally, it investigated factors influencing the effectiveness of treatments like CPAP, OAT, and UAS, including anatomical airway characteristics and responses to specific maneuvers during diagnostic sleep studies.

The dissertation underscores the importance of personalized treatments for OSA to enhance patient adherence and satisfaction. Future research should focus on validating and optimizing predictive factors and exploring new methods, such as biomarkers, for assessing OSA and monitoring treatment response.
Healthy lifestyle in secondary cardiovascular disease prevention
Authors:   , Bonekamp Nadia Elisabeth
Published: March 2024

Cardiovascular disease (CVD) is a leading global cause of morbidity and mortality, contributing to 18 million deaths annually. While unhealthy lifestyle habits are key risk factors for developing CVD, pharmacological interventions often supersede lifestyle modifications once the disease becomes clinically manifest.
In this thesis, we explored the role of healthy dietary and physical activity habits in managing stable CVD. We assessed the relationship between different dietary patterns, mainly the Mediterranean and DASH diets, and cardiovascular risk factor levels. Furthermore, we explored how compliance with these dietary patterns was associated with risk of recurrence of cardiovascular events such as myocardial infarction or stroke. Concurrently, we analysed the association between different types of physical activity and clinical outcomes, elucidating the biological pathways mediating these relationships.
In the final part of the thesis, we present an integrated approach to lifestyle change. The aims of this part were to predict the lifetime benefit of adopting a healthy lifestyle even after CVD has become clinically manifest. We demonstrated that multiple years free of recurrent cardiovascular events could be achieved through lifestyle interventions and that lifestyle interventions are highly cost-effective.
In conclusion, this thesis provides comprehensive insights into the multifaceted role of healthy dietary and physical activity habits in the clinical management of stable CVD, emphasizing the potential for lifestyle interventions even after clinical manifestation. The findings support the integration of active lifestyle guidance into routine clinical care for patients with established CVD.
Achieving Effective Weight Loss for Type 2 Diabetes Mellitus Control: From Evidence to Practice
Authors: Chan Soo Ling
Published: March 2024

Type 2 diabetes mellitus (T2DM) poses a significant public health concern in Singapore. It is well established that T2DM is strongly associated with obesity. In Singapore, the prevalence of obesity and overweight in adults has been increasing over the last two decades. By 2050, the prevalence of obesity in the nation is predicted to reach 15.9 percent, a rise from 4.3 percent in 1990. The total prevalence of T2DM is also projected to rise to 15 percent in 2050, which was 7.3 percent in 1990, in tandem with the rise in obesity prevalence. Moderate and sustained weight loss (5-10 percent) improves glycaemic control and cardiovascular risk factors in overweight or obese patients with T2DM. Disease-modifying effects in T2DM and improvement in long-term cardiovascular outcomes and mortality are associated with larger and sustained weight losses (>10 percent). In this article, we highlight the growing burden of T2DM and its complications in Singapore and the role of weight loss in T2DM control. This article aims to provide an overview of multidisciplinary/multipronged strategies (lifestyle interventions, patient-centred approach with preferential use of glucose-lowering medications of weight neutral/weight loss effect, consideration of pharmacotherapy for weight loss and metabolic surgery) to achieve effective weight loss for T2DM control.
Re-examining CCTV Footage and Re-imagining Justice through a Critical Black Gaze: The ‘Justice 4 Dea-John Reid’ Campaign’s Dark Sousveillance
Authors: Karcher Katharina
Published: March 2024

On 31 May 2021, a 14-year-old Black boy was racially abused, chased through the street by a white mob, and fatally stabbed in Birmingham, United Kingdom. Dea-John Reid’s family and friends had the hope that the trial in 2022 would result in a racially aggravated murder conviction. However, a jury with no Black members dropped the racism charges, acquitted most of the defendants and convicted the main suspect of manslaughter. As this article shows, the ‘Justice 4 Dea-John Reid’ campaign’s dark sousveillance challenged the jury’s white innocence by publicly re-examining and re-narrating key CCTV evidence used in the trial through a critical Black gaze. Driven by the critical hope for a more inclusive and diverse justice system, the JFDJR campaign is proposing concrete steps to improve how suspected racism cases in the UK are handled.
Say Her Name: Remembering Anarcha, Betsey, and Lucy in Thinking About Algorithmic Finitude and Digital Sufficiency with Foucault and Laruelle
Authors: Gray Chantelle
Published: March 2024

In The Order of Things, Michel Foucault first articulates what he calls the empirico-transcendental doublet, a circular logic according to which the subject, unlike other objects, can at once be an empirical object in experience and the transcendental conditions that make experience of the empirical possible. This doublet structure is tied, moreover, to what Foucault calls the analytic of finitude, a circinate pattern vacillating between a psychology of represented needs and an anthropology of the finitude of human life. Foucault’s argument is that it is this paradoxical structure which forms the historical a priori of knowledge in the modern episteme and, we may surmise, undergirds the enclosing logics of disciplinary societies. In time, Foucault’s contemporary, Gilles Deleuze, will describe the emergence of novel ambient and modulatory conditions that provoke a partial remaking of the boundaries of the subject into the dividual, or data-individual. This transformation, while unparalleled in some ways, relies on many extractive and surveilling methods and technologies developed in the previous episteme. Similarly, the somatechnical facialisation capabilities of digital technologies – described variously as digital epidermalisation, digital phrenology, and recursive redlining – are, I hold, prefigured by plantation logics. But while these are important historical contextualisations, the new algorithmic architectures we are embedded in have occasioned a veritable structural reorganisation of the circularity of the empirico-transcendental doublet. This new recursive epistemological arrangement – or algorithmic-transcendental doublet – causes dividuals to continually be assimilated into computerised temporalities that elicit financialised closed-loop epistemologies and grant the digital illegitimate authority over the radical immanence of life as lived. In addressing the interrelated theses presented here, I invoke François Laruelle’s project on non-standard philosophy to propose an alternative posture – one which refuses the violence of sufficiency: a knowledge that doubles the world via a transcendental synthesis by which the structure of possibility is precipitated always as a doublet.
The Relationship Between Hand Preference and Mandibular Asymmetry: A Preliminary Study
Authors: Tercanlı Alkış Hümeyra , Bolat Gümüş Esra
Published: March 2024

Objective: The objective of this study was to evaluate the relationship between functional laterality (hand preference) and mandibular asymmetry in skeletal Class I, normodivergent patients.

Methods: 21 left-handed and 40 right-handed Class I normodivergent patients were included in the study. The hand preferences of the participants were determined by using the Oldfied hand preference questionnaire. Mandibular condylar height (CH), ramal height (RH), and total height (CH+RH) were measured on pretreatment panoramic radiographic images of the patients, and asymmetry values were obtained according to the formula of asymmetry indices. Data were analyzed with the Student’s t-test and Pearson chi-square.

Results: Right and left CH values were greater in left-handed patients than in right-handed patients. Right and left RH and CH+RH values were greater in right-handed patients than in left-handed. However, there was no difference between the measurements (p > .05). There was no significant relationship between the functional values and hand-use preference (p > .05).

Conclusions: Hand use preference was not associated with condylar, ramal, and total mandibular asymmetry.