bluuebunny/crossref_metadata_2025 huggingface dataset:
Dostarlimab (Jemperli)
Authors: CADTH
Published: May 2024

We recommend that Jemperli in combination with carboplatin and paclitaxel be reimbursed by public drug plans for the first-line treatment of adult patients with primary advanced or recurrent mismatch repair deficient (dMMR) or microsatellite instability-high (MSI-H) endometrial cancer who are candidates for systemic therapy if certain conditions are met.
Jemperli in combination with carboplatin and paclitaxel should only be covered to treat adult patients who have primary stage III or IV endometrial cancer, experience a first disease recurrence and have not previously received systemic anticancer therapy for advanced disease, and/or have received prior neoadjuvant adjuvant systemic anticancer therapy and experience a first recurrence at a minimum of 6 months after completion of treatment. Eligible patients should have confirmed dMMR or MSI-H status of their tumours before starting treatment with Jemperli and have a good performance status.
Jemperli should only be reimbursed in combination with carboplatin and paclitaxel if prescribed by clinicians with expertise in advanced uterine cancer. Treatment should be supervised and administered in institutions with expertise in systemic therapy delivery. The cost of Jemperli should be reduced.
VULNERABILIDADES DOS ADOLESCENTES DIANTE DA CULTURA DA VAIDADE E AS IMPLICAÇÕES NO DESENVOLVIMENTO SOCIOMORAL
Authors: Costa Rogério Melo de Sena , Tamura Ana Lúcia Hermosilla , Souza Jaqueline Roberta de
Published: May 2024

O presente ensaio tem o objetivo de defender a seguinte tese: a cultura da vaidade intensifica a vulnerabilidade e prejudica o desenvolvimento sociomoral dos adolescentes. Para tanto foram explorados teoricamente e inter-relacionados os conceitos de vulnerabilidade, desenvolvimento sociomoral e cultura da vaidade, tendo como recorte de análise a fase da adolescência. Dentre as vulnerabilidades dos adolescentes destacaram-se aquelas decorrentes de interações através das novas tecnologias de informação e comunicação. Argumentou-se que, em termos de desenvolvimento humano, a qualidade de tais interações é questionável, pois não favorecem a autonomia moral.
ASSISTÊNCIA DE ENFERMAGEM NA AVALIAÇÃO E MANEJO DA DOR ONCOLÓGICA: REVISÃO INTEGRATIVA DA LITERATURA
Authors: Pereira Gabriela Vitória , Melo Michelle Oliveira , Silva Elaine Reda
Published: May 2024

A dor é um dos sintomas mais frequentes e temidos nos pacientes oncológicos, que quando mal controlada, interfere significativamente nas atividades diárias e influencia negativamente a qualidade de vida dos mesmos. Assim, este estudo teve como objetivo realizar o levantamento das produções científicas relacionadas à assistência de enfermagem na avaliação e manejo da dor oncológica. Tratou-se de uma revisão integrativa da literatura através da base de dados Biblioteca Virtual em Saúde (BVS) e Google Acadêmico, realizada no mês de março de 2024, totalizando 14 materiais bibliográficos. Os resultados encontrados neste estudo destacaram as seguintes áreas temáticas: “Desafios e estratégias na avaliação da dor” (4); “Avaliação e controle da dor oncológica” (3) e “Conhecimento e intervenções relacionadas ao manejo da dor oncológica” (7). Concluiu-se, portanto, que a avaliação e controle da dor devem ser realizados de forma contínua e sistematizada, através da utilização de instrumentos e protocolos, adequando-se à individualidade de cada paciente, levando-se em consideração, para o manejo da dor, a associação de práticas farmacológicas e não farmacológicas. Logo, constatou-se que o enfermeiro se torna indispensável na avaliação e no manejo desse sintoma.
CRIME DE STALKING E A VIOLÊNCIA CONTRA A MULHER
Authors: Freitas Izac Silva , Vieira Lílian Leite , Melo Flávio Henrique de
Published: May 2024

O crime de stalking é estabelecido através de um comportamento de perseguição, reiterado e persistente, um assédio destinado a uma vítima específica, onde a mesma não deseja. Ele é praticado em uma série de atos que podem ser a aproximação física, contatos indesejados, vigilância, envio de objetos como presentes e cartas com declarações de amor, ofensas, e até mesmo ameaças. Em alguns casos, pode resultar em agressões físicas, sexuais e até o homicídio. O crime de stalking pode ser manifestado especialmente após o fim de relacionamentos amorosos, mas não é regra, e pode ocorrer em diversos outros contextos, como na perseguição de celebridades. Predominantemente, essas vítimas são do sexo feminino e seus stalkers, do sexo oposto. Alguns possuem trantornos mentais. Os danos causados por ele não são apenas físicos, podendo acarretar em problemas psicológicos e em uma mudança de vida drástica nas vítimas. O stalking no Brasil era considerado apenas como uma contravenção penal de perturbação da tranquilidade, com a criminalização no Brasil, esse cenário passa a ser mais uma contribuição as mulheres que sofrem diariamente nas mãos de quem prática essa violência.
ALTERAÇÕES PSICOEMOCIONAIS NA PANDEMIA DE COVID-19 E O IMPACTO NA VIDA ACADÊMICA: REVISÃO DE LITERATURA
Authors: Pitanga Rafaela Sousa da Silva , Carvalho João Vitor Sousa , Magalhães Wendell Lucas Evangelista , Verde Giselle Maria Ferreira Lima , Rego Isabel Cristina Quaresma , Neves Tereza Maria Alcântara
Published: May 2024

Sabe-se que a pandemia da COVID-19 interferiu drasticamente na rotina de todos, devido às adaptações necessárias para minimizar sua expansão, como o fechamento de universidades, minando o convívio social e alterando a logística das aulas e práticas acadêmicas. Essas alterações estruturais acarretadas pela pandemia atreladas à fatores socioeconômicos, como a falta de acesso à recursos tecnológicos, e alta cobrança acadêmica nos cursos da saúde, representam um possível fator de adoecimento psíquico para estudantes. Assim, torna-se primordial abordar a importância da saúde mental dos universitários de Odontologia devido ao impacto direto sofrido e sua dimensão. O objetivo desta revisão é avaliar a literatura existente sobre a relação entre as possíveis alterações psicoemocionais decorrentes do período de isolamento social e seu impacto na vida acadêmica e formação profissional dos estudantes de Odontologia. Realizou-se uma revisão da literatura de publicações entre os anos de 2020 e 2023, utilizando-se os descritores "Dentistry", "Students", "COVID-19" e "Mental Health”, nas bases de dados, Scielo e PubMed. Foram incluídos artigos científicos em inglês e português relacionados ao tema. Identificaram-se 20 publicações relevantes para o tema após a eliminação de duplicidades. Os resultados indicam que os estudantes estão mais propensos a fatores estressores decorrentes do isolamento social, à diminuição na qualidade do ensino, ao atraso na formação acadêmica, a índices elevados de mortalidade em um curto período e à dificuldade de lidar com o luto, entre outras alterações repentinas devido à pandemia. Os estudantes foram expostos a uma elevada carga psicoemocional, resultando em enfermidades mentais, como ansiedade, depressão e estresse. Além disso, essa situação teve um impacto negativo na qualidade de sua formação como cirurgiões-dentistas devido a necessidade de aulas remotas no período.
CYBERCRIMES: A (IN)EFICÁCIA DA LEGISLAÇÃO BRASILEIRA NO COMBATE AO CRIME DE STALKING E CYBERSTALKING NA INTERNET
Authors: Silva Tarcizo Junio Alves da , Almeida Andréia Alves de
Published: May 2024

No mundo globalizado verifica-se um aumento dos usuários que utilizam o meio digital, surgindo assim novos crimes dentre os quais o cyberstalking merece destaque. Assim, este artigo visa compreender a relevância da discussão sobre o cyberstalking, no que diz respeito à sua eficácia na legislação brasileira no ambiente virtual. A problemática será analisar a nova tipificação do crime de perseguição (stalking), recepcionado pelo Código Penal, e seus efeitos no mundo jurídico para proteger os usuários na internet contra os crimes de cyberstalking. O objetivo central será a análise da nova tipificação trazida pela lei 14.132/2021, que inseriu o art. 147-A no Código Penal. Já os objetivos específicos concentram-se na análise das diferenças entre os crimes de perseguição: stalking e cyberstalking. Utilizando o método dedutivo e descritivo, com base em fundamentos teóricos encontrados em pesquisas bibliográficas, como documentos públicos, livros, artigos científicos e dados da internet. Os resultados da pesquisa indicaram que as leis atuais não são suficientes para enfrentar e coibir o problema do cyberstalking.
El aprendizaje interactivo como estrategia en el sistema a distancia
Authors: Escobedo Cabello Rubén
Published: May 2024

En la actualidad las diversas herramientas tecnológicas que existen han favorecido al aprendizaje para poder establecer nuevos mecanismos diferentes al sistema tradicional que por muchos años  no se había modificado respecto a la forma en que se impartía clases. El tema seleccionado se justifica toda vez que el concepto de aprendizaje interactivo es muy actual y existen pocos estudios que lo identifiquen como un aprendizaje, se identifica más como una herramienta o un instrumento. En la investigación se cuestiona: ¿Cuáles son los resultados que se han obtenido a partir de su implementación? Es importante poder identificar las problemáticas que presenta el aprendizaje interactivo, ya que los beneficios pueden ser muchos, pero sería bueno poder mejor las áreas de fortaleza. Los elementos del tiempo y el espacio son factores en beneficio del aprendizaje interactivo, en donde los alumnos no están sujetos a un espacio y tiempo determinado, siendo  el dicente el sujeto principal debido a la interactividad que debe de tener con los contenidos, al ser estos más  atractivos, con menos tiempo de lecturas, pero más tiempo de calidad invertido al aprendizaje.
Impacto del diplomado Fundamentos Estadísticos aplicados a los sistemas de información en salud
Authors: Pérez Rodríguez Bolívar Alejandro , Gorina Sánchez Alexander , López Hung Eduardo
Published: May 2024

El presente trabajo tiene como objetivo valorar el impacto del diplomado “Fundamentos estadísticos aplicados a los sistemas de información en salud”. Se realizó un estudio de tipo cuasiexperimental, donde se utilizó un diseño de pretest y postest en el período comprendido entre enero de 2021 y abril del 2022 en la Universidad de Ciencias Médicas de Santiago de Cuba. De los métodos empíricos fueron empleados una encuesta aplicada a egresados y empleadores y el análisis documental. Se concluye que la valoración del impacto del referido diplomado es satisfactoria, al haber potenciado el nivel de conocimientos, habilidades y competencias de graduados de la carrera, en el uso de técnicas estadísticas para el análisis de estos sistemas, lo que se pudo confirmar con la satisfacción que tienen los graduados y empleadores al respecto además se ratifica que la actualización de conocimientos estadísticos debe convertirse en un proceso constante, los cuales deben ser evaluados mediante el desempeño profesional del egresado para el perfeccionamiento de su labor.
Diseño y desarrollo de un sistema de gestión de calidad en la empresa BeautyForm y sus 10 sucursales, basado en ISO 9001:2015
Authors: Barrón Guzmán Luis Fernando , Álvarez Botello Julio , Chaparro Salinas Eva Martha
Published: May 2024

Esta investigación tiene como objetivo el diseño y desarrollo de un SCG dentro de un negocio dentro del giro de belleza, siendo de tipo cualitativa con alcance de investigación interactivo-recurrente y un diseño de la investigación basado en estudios de caso. Investigación donde se levantó la información mediante entrevistas y cuestionarios, y también se hizo uso de la técnica de observación para complementar el instrumento de la lista de verificación, obteniendo resultados positivos en la mejora de calidad y satisfacción al cliente gracias a la identificación e implementación de procesos.
Determinación y análisis de los costos de calidad en la empresa Eléctrica de Granma
Authors: Sánchez Pioto David , Mojena Moya Yanelis Grisel , Aliaga Aliaga Adonis
Published: May 2024

El entorno competitivo actual exige a las empresas de todos los sectores de actividad un esfuerzo constante y de superación en diferentes frentes. Entre estos casos cabe mencionar el rediseño de procesos, la mejora de la productividad, la reducción de costos y la consecución de una buena calidad para mejorar la satisfacción de los clientes. Estos esfuerzos implican que la única forma de mantenerse y prosperar es brindar mejores productos y servicios, desde la perspectiva de los clientes, al menor costo posible. Como consecuencia de ello, muchas empresas o instituciones están implantando programas de mejora de calidad o de calidad total. Los retos en el ámbito económico y financiero de la gestión de la calidad demandan la evolución de los esquemas tradicionales a las nuevas tendencias. Es por ello que las insuficiencias en la gestión de los costos de la calidad constituyen la problemática principal en esta investigación. En correspondencia, el objetivo va dirigido a aplicar un procedimiento para determinar y analizar los costos calidad en la empresa Eléctrica de Granma.
Conocimiento de la lactancia materna y su relación con factores sociodemográficos en el embarazo. Enero- Abril 2023
Authors: Ramírez Benavides Karen Michelle , Delgado Chagolla Jazzmin Alejandra , Pérez Jaimes Alejandra Karina , Estrada Reyes César Uziel
Published: May 2024

INTRODUCCIÓN: La leche materna humana es el alimento ideal para los niños, pues tiene propiedades inmunológicas y nutricionales que no se encuentran en ninguno de sus sucedáneos.
OBJETIVO: Analizar la relación del conocimiento de la lactancia materna con los factores sociodemográficos en el embarazo. METODOLOGÍA: Estudio analítico, observacional, prospectivo, descriptivo y transversal, con una muestra de 70 participantes de cualquier rango de edad que hayan practicado lactancia materna. RESULTADOS: La evaluación del conocimiento se muestra como óptimo con un 88.6% (n=62) en seguida un nivel aceptable con 10% (n=7) finalmente nivel medio de conocimiento con 1.4% (n=1). La asociación de las variables se generó mediante la prueba ANOVA teniendo un valor de p= 0.081 siendo este no significativo para la relación de las variables. CONCLUSIONES: Se mostró con un 88.6% de conocimiento de lactancia óptimo, dicho porcentaje hace referencia a que las mujeres presentan un conocimiento alto de lactancia materna sin que los factores sociodemográficos tengan un impacto significativo. Con el 53.2% con óptimo conocimiento y el 57.1% con un nivel de conocimiento aceptable en mujeres con estado civil casado, siendo esta situación social la que logró alcanzar mejores porcentajes de conocimiento. Identificando que el 50% del conocimiento óptimo de lactancia materna se obtuvo cuando las pacientes tenían un embarazo por primera vez pudiendo ser que, las madres primerizas tienden a informarse más que las que han tenido un mayor número de partos.
Measurement report: Optical characterization, seasonality, and sources of brown carbon in fine aerosols from Tianjin, North China: year-round observations
Authors: Dong Zhichao , Pavuluri Chandra Mouli , Li Peisen , Xu Zhanjie , Deng Junjun , Zhao Xueyan , Zhao Xiaomai , Fu Pingqing , Liu Cong-Qiang
Published: May 2024

Abstract. To investigate the optical characteristics and sources of brown carbon (BrC) in North China, where the atmospheric aerosol loadings are high and have severe impacts on Earth's climate system, we collected fine aerosols (PM2.5) at an urban site in Tianjin over a 1-year period. We measured the ultraviolet (UV) light absorption and excitation emission matrix (EEM) fluorescence of the water-soluble BrC (WSBrC) and the water-insoluble but methanol-soluble BrC (WI-MSBrC) in the PM2.5 using a three-dimensional fluorescence spectrometer. The average light absorption efficiency of both WSBrC (Abs365, WSBrC) and WI-MSBrC (Abs365, WI-MSBrC) at 365 nm was found to be highest in winter (10.4 ± 6.76 and 10.0 ± 5.13 Mm−1, respectively) and distinct from season to season. The averages of the fluorescence index (FI) and the biological index (BIX) of WSBrC were lower in summer than in the other seasons and opposite to that of the humification index (HIX), which implied that the secondary formation and further chemical processing of aerosols were more intensive during the summer period than in the other seasons. However, in winter, the higher HIX together with the higher FI and BIX of WI-MSBrC suggested that the BrC loading was mainly influenced by primary emissions from biomass burning and coal combustion. Based on the EEM, the types of fluorophores in WSBrC were divided into humic-like substances (HULIS), including low-oxygenated and high-oxygenated species and protein-like compounds (PLOM), though mostly PLOM in the WI-MSBrC. The direct radiation absorption by both WSBrC and WI-MSBrC in the range of 300–400 nm accounted for ∼ 40 % of that (SFEAbs, 4.97 ± 2.71 and 7.58 ± 5.75 W g−1, respectively) in the range 300–700 nm.
Multi-wavelength dataset of aerosol extinction profiles retrieved from GOMOS stellar occultation measurements
Authors: Sofieva Viktoria F. , Szelag Monika , Tamminen Johanna , Fussen Didier , Bingen Christine , Vanhellemont Filip , Mateshvili Nina , Rozanov Alexei , Pohl Christine
Published: May 2024

Abstract. In this paper, we present the new multi-wavelength dataset of aerosol extinction profiles, which are retrieved from the averaged transmittance spectra by the Global Ozone Monitoring by Occultation of Stars instrument aboard the Envisat satellite. Using monthly and zonally averaged transmittances as a starting point for the retrievals enables us to improve the signal-to-noise ratio and eliminate possible modulation of transmittance spectra by uncorrected scintillations. The two-step retrieval method is used: the spectral inversion is followed by the vertical inversion. The spectral inversion relies on the removal of contributions from ozone, NO2, NO3 and Rayleigh scattering from the optical depth spectra for each ray perigee altitude. In the vertical inversion, the profiles of aerosol extinction coefficients at several wavelengths are retrieved from the collection of slant aerosol optical depth profiles. The retrieved aerosol extinction profiles (FMI-GOMOSaero dataset v1) are provided in the altitude range 10–40 km at wavelengths of 400, 440, 452, 470, 500, 525, 550, 672 and 750 nm for the whole GOMOS operating period from August 2002 to March 2012. Extensive intercomparisons of the retrieved FMI-GOMOSaero aerosol profiles with aerosol profile data from other satellite instruments at several wavelengths have been performed. It is found that the average difference between FMI-GOMOSaero and other datasets is within 20 %–40 % in the lower and middle stratosphere, the standard deviation is ∼ 20 %–50 %, and the correlation coefficient of the time series is 0.65–0.85. The created FMI-GOMOSaero dataset can be used in merged datasets of stratospheric aerosols. It might be also used as a priori information for satellite retrievals during 2002–2012.
A new method for amino acid geochronology of the shell of the bivalve mollusc Arctica islandica
Authors: Conti Martina L. G. , Butler Paul G. , Reynolds David J. , Trofimova Tamara , Scourse James D. , Penkman Kirsty E. H.
Published: May 2024

Abstract. The bivalve mollusc Arctica islandica can live for hundreds of years, and its shell has provided a valuable resource for sclerochronological studies and geochemical analyses for understanding palaeoenvironmental change. Shell specimens recovered from the seabed need to be dated in order to aid sample selection, but existing methods using radiocarbon dating or cross-dating are both costly and time-consuming. We have investigated amino acid geochronology (AAG) as a potential alternative means of providing a less costly and more efficient range-finding method. In order to do this, we have investigated the complex microstructure of the shells, as this may influence the application of AAG. Each of the three microstructural layers of A. islandica have been isolated and their protein degradation examined (amino acid concentration, composition, racemization, and peptide bond hydrolysis). The intra-crystalline protein fraction was successfully extracted following oxidation treatment for 48 h, and high-temperature experiments at 140 °C established coherent breakdown patterns in all three layers, but the inner portion of the outer shell layer (iOSL) was the most appropriate component due to practicalities. Sampling of the iOSL layer in Holocene shells from early and late ontogeny (over 100–400 years) showed that the resolution of AAG is too low in A. islandica for within-shell age resolution. However, analysis of 52 subfossil samples confirmed that this approach could be used to establish a relative geochronology for this biomineral throughout the whole of the Quaternary. In the late Holocene the temporal resolution is ∼1500–2000 years. Relative dating of 160 dredged shells of unknown age was narrowed down using AAG as a range finder, showing that a collection of shells from Iceland and the North Sea covered the middle Holocene, late Holocene, later and post-medieval (1171–1713 CE), and modern day. This study confirms the value of A. islandica as a reliable material for range finding and for dating Quaternary deposits.
Incremental analysis update (IAU) in the Model for Prediction Across Scales coupled with the Joint Effort for Data assimilation Integration (MPAS–JEDI 2.0.0)
Authors: Ha Soyoung , Guerrette Jonathan J. , Hernández Baños Ivette , Skamarock William C. , Duda Michael G.
Published: May 2024

Abstract. In a cycling system where data assimilation (DA) and model simulation are executed consecutively, the model forecasts initialized from the analysis (or data assimilation) can be systematically affected by dynamic imbalances generated during the analysis process. The high-frequency noise arising from the imbalances in the initial conditions can impose constraints on computational stability and efficiency during subsequent model simulations and can potentially become the low-frequency waves of physical significance. To mitigate these initial imbalances, the incremental analysis update (IAU) has long been utilized in the cycling context. This study introduces our recent implementation of the IAU in the Model for Prediction Across Scales – Atmospheric (MPAS-A) coupled with the Joint Effort for Data assimilation Integration (JEDI) through the cycling system called MPAS-Workflow. During the integration of the compressible nonhydrostatic equations in MPAS-A, analysis increments are distributed over a predefined time window (e.g., 6 h) as fractional forcing at each time step. In a real case study with the assimilation of all conventional and satellite radiance observations every 6 h for 1 month, starting from mid-April 2018, model forecasts with the IAU show that the initial noise illustrated by surface pressure tendency becomes well constrained throughout the forecast lead times, enhancing the system reliability. The month-long cycling with the assimilation of real observations demonstrates the successful implementation of the IAU capability in the MPAS–JEDI cycling system. Along with the comparison between the forecasts with and without the IAU, several aspects regarding the implementation in MPAS–JEDI are discussed. Corresponding updates have been incorporated into the MPAS-A model (originally based on version 7.1), which is now publicly available in MPAS–JEDI and MPAS-Workflow version 2.0.0.
Modelling seismic ground motion and its uncertainty in different tectonic contexts: challenges and application to the 2020 European Seismic Hazard Model (ESHM20)
Authors: Weatherill Graeme , Kotha Sreeram Reddy , Danciu Laurentiu , Vilanova Susana , Cotton Fabrice
Published: May 2024

Abstract. Current practice in strong ground motion modelling for probabilistic seismic hazard analysis (PSHA) requires the identification and calibration of empirical models appropriate to the tectonic regimes within the region of application, along with quantification of both their aleatory and epistemic uncertainties. For the development of the 2020 European Seismic Hazard Model (ESHM20) a novel approach for ground motion characterisation was adopted based on the concept of a regionalised scaled-backbone model, wherein a single appropriate ground motion model (GMM) is identified for use in PSHA, to which adjustments or scaling factors are then applied to account for epistemic uncertainty in the underlying seismological properties of the region of interest. While the theory and development of the regionalised scaled-backbone GMM concept have been discussed in earlier publications, implementation in the final ESHM20 required further refinements to the shallow-seismicity GMM in three regions, which were undertaken considering new data and insights gained from the feedback provided by experts in several regions of Europe: France, Portugal and Iceland. Exploration of the geophysical characteristics of these regions and analysis of additional ground motion records prompted recalibrations of the GMM logic tree and/or modifications to the proposed regionalisation. These modifications illustrate how the ESHM20 GMM logic tree can still be refined and adapted to different regions based on new ground motion data and/or expert judgement, without diverging from the proposed regionalised scaled-backbone GMM framework. In addition to the regions of crustal seismicity, the scaled-backbone approach needed to be adapted to earthquakes occurring in Europe's subduction zones and to the Vrancea deep seismogenic source region. Using a novel fuzzy methodology to classify earthquakes according to different seismic regimes within the subduction system, we compare ground motion records from non-crustal earthquakes to existing subduction GMMs and identify a suitable-backbone GMM for application to subduction and deep seismic sources in Europe. The observed ground motion records from moderate- and small-magnitude earthquakes allow us to calibrate the anelastic attenuation of the backbone GMM specifically for the eastern Mediterranean region. Epistemic uncertainty is then calibrated based on the global variability in source and attenuation characteristics of subduction GMMs. With the ESHM20 now completed, we reflect on the lessons learned from implementing this new approach in regional-scale PSHA and highlight where we hope to see new developments and improvements to the characterisation of ground motion in future generations of the European Seismic Hazard Model.
Understanding adolescent digital dating abuse victimisation in Australia and Brazil
Authors: Lopes Gomes Pinto Ferreira Gisella
Published: May 2024

Technology is the most common means of perpetrating dating abuse among young people. However, less is known about adolescent digital dating abuse victimisation in Australia and Brazil. This brief provides definitions and highlights three main adolescent digital dating abuse categories: monitoring and control, humiliation and threats, and sexual coercion. Understanding digital dating abuse as a multidimensional and gendered phenomenon is crucial for policymakers, schools and universities to recognise and address this social and health problem.
La Argentina y la Exposition Internationale des Arts et des Techniques appliqués à la vie moderne de París (1937): ficciones de progreso y regímenes visuales
Authors: Gluzman Georgina G.
Published: May 2024

En el marco de la renovación de los estudios dedicados a las exposiciones universales e internacionales, este texto aborda algunos aspectos visuales de la Exposition Internationale des Arts et des Techniques appliqués à la vie moderne, realizada en París en 1937. A pesar de situarse en el ocaso del pensamiento de la modernidad triunfante, dicha exposición apeló a un repertorio formal e iconográfico que apuntaba a demostrar la superioridad europea y sobre todo francesa. En primer lugar, el artículo analiza algunos aspectos de la visualidad construida por la organización del evento, centrándose en las continuidades con las exposiciones previas y su retórica de progreso. En segundo lugar, se examina el envío de la República Argentina, tomando en consideración tanto el Pabellón Argentino como otros discursos, eminentemente visuales, emanados de la representación oficial. El objetivo es contribuir a los estudios visuales en el terreno de las exposiciones universales e internacionales, así como explorar las condiciones de inserción de áreas periféricas como América Latina en estos contextos.
Rozłam w Programie Trzecim Polskiego Radia w latach 2019–2022 w świetle wybranych doniesień z portali internetowych press.pl oraz wirtualnemedia.pl
Authors: Tomaszewski Tomasz
Published: May 2024

The article is a study of the split that took place in the editorial office of the Third Program of Polish Radio, showing the direction taken by the Three after the United Right government came to power in 2015. The publication presents a historical outline of Program Three, controversial episodes in the history of public radio, as well as the history of Trójka after 2016. The author uses the content analysis method. The article increases the cognitive value in the area of radio research and in the area of media politicization.
„Ze wszech miar stosownie zatem świątynią Boga nazywamy duszę sprawiedliwego” Absalona ze Sprinckirsbach kazanie XLI na poświęcenie kościoła – przekład i komentarz
Authors: Libowski Łukasz , Wilk Piotr , Włosiński Mateusz
Published: May 2024

This article is devoted to one of the sermons by the great and illustrious Victorine preacher, Absalon of Sprinckirsbach (died 1205), author of the extensive collection Sermones festivales, which was first published in 1534 in Cologne, and was later reprinted in 1605 in Milan and in J.-P. Migne’s perennial Latin patrology. The sermon in question is the sermon XLI, one of four sermons by Absalon intended to be read or preached on the occasion of a church dedication ceremony – three of these occasional sermons are already available in Polish translation. A translation of the indicated work is offered here with brief commentaries in the form of footnotes to selected parts of it. The Latin text of the sermon is also included below, so that the two language versions, Latin and Polish, can be easily compared by the reader. The present work, which enriches the collection of those Victorine texts in which the allegorical meaning of the Christian temple is expounded and which are available in Polish, is an element of a broader research project, which will culminate in a study referring to Absalon’s theology of the house of God. This study will complement the article “Multa in his omnibus latent profunda mysteria.” Hugh, Richard and Adam of St Victor’s understanding of the church building.
The Evolution of Transvaginal Robot-Assisted Surgery in Gynecology
Authors:   Baylor College of Medicine, Minimally Invasive Gynecologic Surgery, Houston, Texas, Guan Xiaoming , Lovell Daniel Y. ,   Baylor College of Medicine, Minimally Invasive Gynecologic Surgery, Houston, Texas, Zurawin Robert ,   Baylor College of Medicine, Minimally Invasive Gynecologic Surgery, Houston, Texas
Published: May 2024

Laparoscopy has advanced over the last three decades with residency training programs focusing on trans-abdominal laparoscopic techniques whether conventional or robotic. Despite attempts over many years to adopt vaginal surgery as the preferred method of hysterectomy, traditional vaginal surgery has largely fallen out of favor. Vaginal natural orifice transluminal endoscopic surgery (vNOTES) has gained popularity with patients and promises to provide an attractive option, but the surgical skills of many gynecologists have limited its widespread adoption. We explore the use of robot-assisted vNOTES (RA-vNOTES), which offers improved ergonomics, visualization, and wristed instruments for more precise surgery. Robotic vNOTES, was originally performed in Taiwan by Dr. Chyi-Long Lee in 2014.1 Our center has used the robotic vaginal approach for hysterectomy, myomectomy, sacrocolpopexy, adnexal surgery, endometriosis excision, and more. We have also shown feasibility in performing surgery on patients with a completely obliterated posterior cul-de-sac, long been thought to be a contraindication for the transvaginal approach. Enhancements have been made to improve safety and efficiency, such as the use of indocyanine green to visualize the ureters. There are some limitations on instrument maneuverability and reach with the current da Vinci® Xi (Intuitive Surgical, Sunnyvale, California) platform. However, with over 300 cases logged in our center, these limitations may be overcome with the new da Vinci® SP (Intuitive Surgical, Sunnyvale, California). We are eager to share our experience and hope that more gynecologic surgeons will choose this innovative approach for the benefit of our patients.
The Learning Curve From Converting From Fluoroscopic to Robotic-Assisted Direct Anterior Total Hip Arthroplasty
Authors:   Trinity Health, IHA, Ann Arbor Orthopaedic Specialists, Ann Arbor, Michigan, Masini Michael A. , Sawaya Kara L. ,   Trinity Health, Michigan Heart, Ann Arbor, Michigan, Harshberger Amy ,   Trinity Health, Michigan Heart, Ann Arbor, Michigan, Hameed Daniel ,   LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland, Mont Michael A. ,   LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland
Published: May 2024

Introduction: Robotic-assisted total hip arthroplasty (RA-THA) provides an alternative to fluoroscopic guidance, thus reducing radiation exposure for orthopaedic surgeons. This study was performed to assess the learning curve associated with the adoption of RA-THA using the direct anterior approach (DAA) with regard to surgical time, use of fluoroscopy, and implant placement. In addition, we compared complication rates and patient-reported outcome scores between both cohorts. A case report of an RA-THA is also presented. Materials and Methods: This was a retrospective, non-randomized evaluation of the learning curve by assessing surgical time on a consecutive series of 89 DAA cases performed by a single surgeon. There were 53 cases that had manual THA with fluoroscopy and 36 cases with RA-THA. All cases had an acetabular component placement target of 40° inclination and 20° anteversion. An independent reviewer blinded to surgical technique used the Widmer method to measure acetabular inclination and version. Patient demographics were similar for both groups. Results: The mean surgical time for the manual fluoroscopic group was 88 ± 21 minutes and 101 ± 14 minutes for the RA-THA group. After 15 RA-THA cases, surgical time reached time neutral compared to the manual fluoroscopic group. The first 17 RA-THA cases utilized fluoroscopy to verify implant position until the surgeon became comfortable with the accuracy of the RA-THA system. After case 17, fluoroscopy was abandoned in all subsequent RA-THA cases. The mean radiation dose delivered to the surgical field was 5.61 ± 5.71 mGy. Manual THA with fluoroscopy resulted in a mean acetabular inclination of 41.3 ± 4.4° and a mean anteversion of 22.4 ± 3.0°. The RA-THA resulted in a mean acetabular inclination of 42.0 ± 4.2° and a mean anteversion of 22.3 ± 3.9°. There was no noted change in RA-THA placement accuracy after case 17, when fluoroscopy was eliminated from the surgical workflow. There were no statistical differences between the manual fluoroscopic and robotic-assisted groups with respect to complications and clinical PROM outcomes. Conclusion: The DAA THA can be performed with RA-THA and achieve comparable acetabular placement without fluoroscopy. Surgical time was higher for the RA-THA group during the learning curve, but then decreased and was consistent with the manual fluoroscopic group after 15 cases.
Apple Value Chain Industry Mapping Value Addition and Marketing Options in Mastung and Kalat Balochistan
Authors: Aurangzaib Mr , Shahwani Shahzad Ahmed , Ahmed Sher , Rehman Shafiq ur , Khetran Zahoor Ahmed , Mastoi Asif Hussain , Amin Muhammad , Khan Ahmed , Abro Javed Ahmed , Bakhsh Karim
Published: May 2024

Present work was conducted to assess the apple value chain, and marketing margin to propose policy recommendations for apple production in Balochistan.  The population of the study consists of the Kalat division; districts Mastung and Kalat were selected randomly for conducting research. A total of 120 respondents were interviewed.  25 growers, 15 wholesalers, 15 retailers, and only 10 commission agents were interviewed separately in each district. The results showed that 24.0% of the apple growers in both districts were illiterate, about 80.0% had experience of 35 to 50 years in apple production, and about 80% of the orchards were established for 20 to 25 years. Producers' profit share for different varieties of apple Tor Kulu 46.66%, Shin Kulu 34.44%, and Kaja 48.55%. Wholesalers profit share for Tor Kulu 10.31%, Shin Kulu 7.94%, and Kaja 10.29%. and the retailers' profit share for Tor Kulu was 7.50%, Shin Kulu 4.94%, and Kaja 6.27%. Further, there were no facilities for cold storage and roads. Probably, the grower’s knowledge regarding apple production and the lack of facilities for wholesalers and retailers are the main obstacles to apple production. The major problems noted during the survey were the improper infrastructure, lack of markets in the study area, illegal smuggling of apples, less availability of natural resources and credit, and the lack of market intelligence and extension services. It is suggested that there should be a good possibility to develop a policy that supports the marketing of apples, especially through agricultural cooperatives, besides further enhancing the exploitation of state subsidies for apple production.
Candisari Site: Cultural Heritage of the Lamongan Community
Authors: Marzuqi Iib , Idris Akhmad , Manan Al Khafid M. Fatkhul
Published: May 2024

This research examined Candisari in Pandanan hamlet, Sugio village, Sugio District as one of the cultural heritages of Lamongan Regency with the aim of (1) describing the narrative structure and (2) the cultural value of Candisari. This research was descriptive qualitative research with data collection techniques carried out by (1) observation, (2) interviews, (3) recording, (4) note-taking, (5) transcripts, and (6) translation. Data analysis used Miles and Huberman’s qualitative data analysis with stages of data reduction, data presentation, and conclusion. The research results were (1) analysis of Ala Maranda’s narrative structure with terem and functions to produce storyline, characterization, and good and bad functions. There were six characterizations, there were ten functions, namely six good functions and four bad functions, and (2) cultural values produced (b) the value of human trust in God, (b) the value of humans and humans, and (c) the value of humans and nature, there were two sources research data.

Keywords: Candisari, narrative structure, cultural values
The Cyclist's Behavior in Yogyakarta's City Landmark
Authors: S Sadana Agus , Prasetya L Edhi , M Adi Swambodo
Published: May 2024

The paper explores cyclists' behavior in Yogyakarta's Tugu area, a popular destination for cyclists on Sunday mornings. The analysis in this study was carried out quantitatively by mapping the number of cyclists' movements recorded during their peak periods at the place. This study maps out the behavior of cyclists, forming certain patterns and habits in the place. The research mapped that the peak activity is between 06:00 am and 08:00 am. They enter and exit the place in the four cardinal directions. Most of them come to the place from the east and exit to the south. The study also highlights the specific cyclists' behaviors, such as pausing to enjoy the atmosphere, gathering in groups, and taking pictures with the Tugu monument in the background. The southern part is the area where the most activities are concentrated. The research findings also show that some of the cyclists have a unique behavior when taking themselves pictures by choosing a spot as close to the Tugu monument as possible, even though it is dangerous because it is at a crossing point for motorized movement, to get a stunning photo due to the strong attraction of the monument. Furthermore, this study's findings can be utilized by city managers to organize the Tugu area as a landmark of Yogyakarta City.

Keywords: The cyclists' behavior; Tugu pal putih; Urban place; Yogyakarta
Feasibility of Haruan Snakehead Fish Breeding Units for Recipients of Non-Cash Government Assistance Revitalization of People's Seedling Units (UPR) in Hulu Sungai Tengah District, South Kalimantan Province
Authors: Mahyudin Idiannor , Sri Mahreda Emmy , Kurniawan Herry
Published: May 2024

Haruan snakehead fish, as one of Indonesia's fisheries germplasm wealth, has an important role as a source of animal protein and buffers the stability of inflation rates in the Kalimantan region. The feasibility factor is expected to make a significant contribution to the development of the local fisheries sector and related government policies at the regional level. The research aims to analyze the feasibility of the local haruan fish hatchery business for recipients of government assistance in the form of revitalizing the People's Hatchery Unit (UPR) in Hulu Sungai Tengah Regency, South Kalimantan Province. Research activities take place in the Mufakat Group, Mahang Baru Village, South Labuan Amas District, Hulu Sungai Tengah Regency - Province South Kalimantan. Sampling was carried out using the proportional sampling method, namely samples were taken deliberately from Haruan snakehead fish cultivators who received grant assistance. The total number of respondents was 1 Cultivator Group. Feasibility of the Haruan snakehead fish hatchery unit for recipients of non-cash government assistance for revitalizing people's hatchery units (UPR) in Hulu Sungai Tengah Regency, South Kalimantan Province Hulu Sungai Tengah, South Kalimantan Province, with different discount rates, the present value (NPV) snakehead fish cultivation business obtained a value of Rp. 189,533,025, which shows that this project can provide financial benefits. The Internal Rate of Return (IRR) value of 56% indicates a fairly high rate of return, exceeding the interest rate generally available on the market. The payback period (PP) is 1.76 years

Keywords: Haruan Snakehead Fish, Feasibility, Revitalization, HST
Literature Review on the Association between Cerebral Large Artery Disease and Cerebral Microbleeds
Authors: Mohamed Ali Abdirahman , Li Xiaobo
Published: May 2024

CMBs are small areas of hemorrhage in the brain, often seen on neuroimaging studies, that have been associated with various cerebrovascular pathologies. Large-artery atherosclerosis and resulting vascular stenosis are major contributors to ischemic stroke. Given the structural continuity between intracranial large and small vessels, their susceptibility to hemodynamic influences, and their shared risk factors, they may coexist in the same individual. This article reviews recent advances in understanding the interplay between large artery atherosclerosis (LAA) and cerebral microbleeds (CMB).
Methods: A comprehensive search of electronic databases including PubMed, MEDLINE, and Google Scholar was conducted using relevant keywords such as "cerebral large artery disease," "cerebral microbleeds," "arterial stenosis," and "atherosclerosis." Articles published in English between [2010] and [2024] were considered for inclusion. Studies investigating the relationship between LAA and CMBs through neuroimaging, pathological examination, or clinical correlations were selected for review.
Results: The review identified a range of studies exploring the association between LAA and CMBs. Several cross-sectional imaging studies have demonstrated a significant correlation between LAA severity and the presence, number, and distribution of CMBs. Histopathological investigations have revealed microvascular alterations in regions affected by LAA, potentially contributing to CMB formation. The evidence indicates a correlation between cerebrovascular microbleeds (CMBs) and large artery diseases, impacting the prognosis of individuals with cerebral infarction resulting from large artery atherosclerosis (LAA).

Keywords: Cerebral infarction; Large-artery atherosclerosis; Cerebral microbleeds.
The Effect of Nutrition Counseling on Dietary Behavior During Pregnancy
Authors: Susilawati Dewi , Nilakesuma Nur Fadjri , Fauziah Rahmatun
Published: May 2024

Nutrition counseling is a recommended approach to improve the nutritional status of pregnant women. One of the media is food models from Playdough. The purpose of this research is to find out whether nutritional recommendations using the playdough model affect the eating behavior of pregnant women. This type of research is a quasi-experiment with a pretest-posttest control group. The research sample was 126 pregnant women who came to the Lubuk Begalung health centre in Mey-July. The sampling technique is the entire sample. The research was analyzed using the dependent T-test previously conducted a normality test on the data. The results of statistical tests were also obtained under the effect of nutritional counseling using a model of playdough media on knowledge, attitudes, and dietary behavior during pregnancy before counseling because the p-value <0.05. Counseling using the food model media from playdough ingredients carried out continuously is more effective in increasing knowledge, and changing attitudes and dietary behavior during pregnancy compared to pregnant women who do not receive counseling at all. Because the food model that gives a real impression of the size of the food to be consumed so that pregnant women get the nutrition they need.

Keywords: Attitudes, Dietary behavior during pregnancy, Knowledge, Nutrition Counseling, Pregnancy, Playdough
Može li kraj biti ljepši?
Authors: Štivić Ines , Šušterčić Iva
Published: May 2024

Cilj palijativne skrbi je poboljšati i/ili očuvati kvalitetu života kako za pacijente oboljele od bolesti koje im ugrožavaju život tako i za njihove obitelji. To se postiže prevencijom i ublažavanjem patnje, ranim prepoznavanjem i liječenjem problema u fizičkoj, psihičkoj, socijalnoj ili duhovnoj dimenziji. Palijativna skrb djeluje tako da potvrđuje život, a smrt promatra kao prirodan proces. Ona niti ubrzava niti odgađa smrt. Cilj ovog rada je prikazati iskustva stečena tijekom tzv. praćenja rada (job shadowing) palijativne skrbi u Diakonissen-Stiftungs-Krankenhaus Speyer u Njemačkoj. Palijativna skrb u Njemačkoj doživjela je dinamičan razvoj tijekom posljednjih pedeset godina. U kontekstu palijativne skrbi, gdje je empatija, senzibilitet i sposobnost pružanja podrške pacijentima od ključne važnosti, praćenje rada omogućuje stjecanje tih vještina kroz promatranje stručnjaka u interakciji s pacijentima i obiteljima. Iskustvo stečeno tijekom praćenja rada njihova rada predstavlja jedan od boljih oblika usavršavanja strukovnih nastavnika, kojima se proširuju kompetencije u području palijativne skrbi, a učenicima se nude najsuvremenija saznanja u provođenju toga oblika zdravstvene njege.
Važnost pravilne prehrane za očuvanje zdravlja zdravstvenih djelatnika
Authors: Turkalj Domagoj , Božić Josip
Published: May 2024

Pravilna prehrana ključna je za očuvanje dobrog zdravlja djece i odraslih osoba te čini osnovu pravilnog življenja. Upravo loše prehrambene i životne navike zajedno s poremećajima cirkadijanog ritma prouzrokovanim smjenskim radom zdravstvenih djelatnika mogu stvoriti metaboličko okruženje koje utječe na razvoj i napredovanje kroničnih bolesti. Pravilna prehrana je ona koja osigurava nesmetano funkcioniranje organizma i podržava generalno zdravlje. Pravilna prehrana podrazumijeva uravnotežen unos različitih hranjivih tvari, kao što su proteini, ugljikohidrati, masti, vitamini i minerali. Važno je jesti raznovrsnu hranu kako bi se osiguralo da tijelo dobiva sve što mu je potrebno. Svakodnevnim izborom onoga što ćemo pojesti možemo koristiti ili naškoditi svojem zdravlju u manjoj ili većoj mjeri. Povoljan unos makronutrijenata razlikovat će se u ovisnosti o dobi, spolu, razini tjelesne aktivnosti i zdravstvenom stanju. Kada govorimo o općoj zdravoj populaciji, uravnotežena će prehrana trebati osigurati adekvatan kalorijski unos uz omjere makronutrijenata koji trebaju u cjelodnevnom jelovniku osigurati određen postotak kalorija.