bluuebunny/crossref_metadata_2025 huggingface dataset:
COMPARISON OF ULTRASOUND GUIDED FEMORAL NERVE BLOCK AND SYSTEMIC INTRAVENOUS ANALGESIA FOR PAIN RELIEF IN TRAUMATIC SHAFT FEMUR FRACTURES
Authors: Monil Parsana Akanksha , Verma Ajay Kumar , Gupta Roshni
Published: February 2024

Background: Aims and USG guided femoral nerve block is useful technique for pain relief in fracture shaft femur.
Objective: 1) To study whether USG guided femoral nerve block is more effective in pain management of femoral shaft
fractures than systemic intravenous analgesia. 2) To study the duration of action of femoral nerve block for pain relief in
femoral shaft fractures. 100 patients of ASA I and II, aged 20-50 years, with traumatic fracture Materials and Methods:
femur were randomly allocated to group FNB (n-50, USG guided femoral nerve block using 10 ml 0.75% Ropicvacaine)
and group DICLO (n-50, systemic analgesia using Inj. Diclofenac 75 mg.) Each case was subsequently followed up for
onset and total duration of analgesia till 6 hours postoperatively. Efficacy in both groups was assessed by visual analogue
scale. There is no significant difference in onset of action between both the groups. The duration Results and Summary:
of action in group FNB was more (5.58±1.08 hrs) than group DICLO (3.40±1.20 hrs). Visual analogue score showed
significant pain reduction in group FNB after 15 minutes and also at 6hr(p=0.001) in comparison with group DICLO.
Conclusion: Femoral nerve block is safe, simple and more efficacious procedure in comparison to systemic IV
analgesia for acute pain management in patients with fracture shaft femur.
LIPOFIBROMATOUS HAMARTOMA OF PERIPHERAL NERVE- A RARE AND CHALLENGING ENTITY
Authors: Kumar Virender , Rohilla Rajesh , Paul Shagnik , Therattil Paul , Yadav Saurabh , Manna Devbrath
Published: February 2024

Lipofibromatous Hamartoma (LFH) is rare condition involving diffuse peripheral nerve infiltration by normal appearing
fibrous and adipose tissues. The cause and pathophysiology of LFH remains unclear however commonly proposed
etiologies are congenital malformation and trauma. LFH affect the median nerve mainly but also buccinators, sciatic,
superficial peroneal, posterior interosseous nerve, radial nerve, ulnar nerve, even the entire brachial plexus. Patients
present with gradually enlarging non-tender lesions in the affected nerve distribution. Patient complains of numbness
and tingling sensation. Motor deficits are a late finding. The majority of cases are diagnosed within the first three
decades, with a mean age of 22.3 in remote cases and 22.0 in subjects presenting with macrodactyly. There are numerous
overlapping clinical features with other conditions like klippal-Trenaunay-Weber syndrome, Hypertropic mononeuritis
and congenital lymphedema. Upper extremity morphology includes mass, hypertrophy, macrodactyly, syndactyl, radial
or ulnar deviation of phalanx , neurological symptoms including dysesthesia, paresthesia, motor deficits, cafe-au- lait
spots, port wine stains, neurofibromatosis. On physical examination, the mass is soft, firm, nonfluctuant, mobile,
minimally tender. Neurological deficits associated with LFH are hypesthesia, decreased grip, pinch, opposition strength
and paraesthesia, yielding positive Tinel's and phalen's test. Tumors mimicking LFH of the median nerve include
ganglion cyst, Déjerine Sottas disease, Klippel-Trénaunay-Weber syndrome, lipoma, and traumatic neuroma,
neurofibroma and schwannoma. MRI, CT, Nerve Conduction Study, Electromyogram gets us closer to the diagnosis.
Biopsy and histopathological examination are the only definitive means of LFH diagnosis. Care must be taken to rule out
potentially malignant tumors. Treatment goals for LFH are symptom prevention, symptomatic relief, function, and
aesthetics. Conservative approach can be offered to patients who present with an asymptomatic swelling without severe
neurological impairment. There are two options of surgery. One is staged debulking and other Epiphysiodesis in a
growing child. For cosmetic reasons, surgical debulking can only be undertaken if the risk of nerve damage is minimal.
Digital amputation is usually reserved for severe cases refractory to debulking procedures.
International Migration (Japa Syndrome) and Institutional Development of Nigeria: Perception of Stakeholders in Southeast part of the Country
Authors: Ebisi Njideka
Published: February 2024

Although migration has been an age-long phenomenon, the current manifestation of international migratory trend which has been nicknamed ‘Japa’, a localized Yoruba word literally means escape to look for survival. Thus, Japa has become most prevalent in Nigeria and has continued to intensify due to increasing poverty, low standard of living, poor remuneration of the workforce. As a result, strikes are frequent, corruption is pervasive and insecurity among others have assumed a worrying dimension. Consequently, there is mass exodus of skilled Nigerians. Yet, the effects of this phenomenon on institutional development of Nigeria have remained largely unexplored with regard to empirical research. This study, therefore, examined international migration and institutional development of Nigeria, with a view to contributing to the discourse on Nigeria’s development context. The neoclassical economic theory of international migration was employed as the theoretical framework. Descriptive-cross-sectional survey design was adopted, with 252 respondents selected through voluntary participation in a web-based survey. The findings revealed that the negative effect of international migration is mostly reflected in the brain-drain phenomenon, which continued to affect the growth and viability of local institutions. It was also found that international migration has some positive effects which contribute in the development of socio-economic institutions in the Southeast Nigeria, particularly through diaspora remittances, knowledge and skills transfer, among others. The study, therefore, recommended the need for institutional restructuring, as well as political reforms that would address deficiencies in institutional structures in Nigeria.
Gains and Pains of the Cashless Policy in Nigeria on Akwete-Ndoki Community, Abia State
Authors: Mathias Bentina Alawari , David Miriam
Published: February 2024

This study examined the effects of the cashless policy on Akwete Ndoki community in Abia state. This policy according to the Central Bank of Nigeria (CBN) is to the best interest of Nigerians. It will help to check terrorism financing, counterfeiting and imbalances in fiscal space as well as to enable CBN take control of the currency in circulation. However, despite the perceived benefits of this policy, it also inflicted pains on the masses. The study anchored on the Modernization Theory as its theoretical framework. Data was collected using digital mixed method design which is made of structured questionnaire and in-depth interview guide which was administered electronically. For the analysis of the data, we used frequency count for the quantitative data and content analysis for the qualitative data. Findings showed that though the cashless policy may have a long-term benefit, the immediate effects on the people living in Akwete Ndoki community and nearby rural areas is pain, anguish and misery. Based on the findings the study recommends amongst others that in developing countries with low computer literacy like Nigeria, transition from full cash to cashless society should be a gradual process.
Laboratory Evaluation of the Hydraulic Conductivity as a Function of Changes in the Particle Size of a Cubitermes Sp Termite Mound Soil Treated with Lime
Authors: Ahouet Louis , Okina Sylvain Ndinga , Mangala Stiven Cardelin Marien , Mangue E. P. Nkembo
Published: February 2024

This work characterizes the geotechnical properties and microstructure that served as a fundamental and more practical basis for describing the hydraulic conductivity of the lime-treated cubitermes sp termite mound soil. The results show that changes in particle size lead to a decrease in dry density and linear swelling. Permeability is strongly correlated with particle size distribution and compaction. Permeability increases up to the lime fixation point obtained at 6% of the lime content. Compaction for micropore reduction in treated soil is higher than in raw soil. The treated soil has a denser internal structure with agglomerations of dispersed clay particles. The increase in compaction energy reduces macropores and permeability, and the soil microstructure becomes homogeneous. Natural soil is highly impermeable, and soil-lime mixes are among the least draining materials. Higher values of hydraulic conductivity were obtained as a function of time. Soil and mixtures can be used in civil engineering works (earthworks). Correlations between hydraulic conductivity and particle size fractions are polylinear fits with R2 (0.962-0.993) and the Slogistic1 model with χ²(2.06E-15) for the mean silt fraction. This study is decisive for predicting hydraulic conductivity from the geotechnical properties of the soil, by solving the mathematical expressions of the models used.
Contribution of Archbishop Zacchaeus Okoth to the Development of Higher Education in Nyanza Region of Kenya, 1985-2021
Authors: Reuben Kamba Otsieno , Omachar Barasa Samson , Kamara Margaret Kosgey
Published: February 2024

Purpose: The paper describes the contribution of Archbishop Zacchaeus Okoth to the development of higher education in the Nyanza Region of Kenya. It also dealt with the nature of the Nyanza region before the development of Uzima University. Methodology: Being a historical study, the historical method of inquiry was used to enable a deeper understanding of the phenomenon. Primary sources of data accessed included oral testimonies of actual participants' archival documents like personal materials and institutional information of written notes, photographs, minutes of meetings before the establishment of the institution, and publications. Secondary sources included books, journals, published and unpublished. The oral interviews were recorded, transcribed, and analyzed using qualitative methods. Results: The study findings demonstrated that Archbishop Okoth as an individual has contributed greatly not only to education but also to the medical sector in the Nyanza Region and Kenya. In addition, the study reveals that the Archdiocese of Kisumu together with the people of Nyanza region had an impact on the establishment of the institution and development. It can be concluded that Archbishop Zacchaeus played a vital role in the growth and development of higher education in Nyanza Region through the establishment of Uzima University. The institution has contributed a lot not only to the people of the Nyanza region but to Kenya at large. The impact has been felt a lot by the people of Kisumu and the Archdiocese of Kisumu, producing qualified doctors and nurses.
Atypical Presentation of a Pilocytic Astrocytoma at the Regional Hospital of Ségou in Mali country
Authors: A Singuepiré, , S Coulibaly, O. , H Beydari, B. , A Kodio, , M Dramé, B. , B Traore, , H Toungara, , M Kané, , M Kanté, , O Diallo, , M Dama, , O Coulibaly, , A Touré, , M Mounkoro, , D Kanikomo,
Published: February 2024

Introduction: Pilocytic astrocytoma is the most common cerebral glioma in pediatric age, preferentially located in the posterior cerebral fossa. Atypical presentations have rarely been described in the literature. Clinical Case: We report a case of pilocytic astrocytoma whose appearance on CT scan is unusual. It concerns a young boy of 9 years old, who presented convulsive seizures since the age of 6 years old, followed by general practitioners with irregular treatment based on gardenal. 2 months ago the seizures became more frequent and this prompted a specialist consultation with the neurologist, after a brain scan he referred the patient to us. The neurological examination was unremarkable today. Brain CT with contrast showed a right parietal lesion. It was a lesion with a double cystic and fleshy component associated with calcifications with heterogeneous enhancement which amputated the posterior horn of the lateral ventricle. The radiological appearance was in favor of a low-grade oligodendroglioma. The patient underwent surgery with complete macroscopic excision of the lesion. Histological examination revealed a pilocytic astrocytoma (grade I). Conclusion: The usual radiological appearance of pilocytic astrocytoma combines a cystic part and a highly contrasting mural nodule. It rarely presents in the form of a supratentorial lesion with calcifications. This form of presentation is rare and can lead to confusion with other gliomas. We can achieve healing for the patient with total excision.
Apoplexy of Microprolactinoma after Cabergoline Therapy: Rare Situation but Big Emergency
Authors: Jadi Hamza El , Toufga Zakaria , Moustaghit Imane
Published: February 2024

Pituitary apoplexy (PA) is a rare clinical situation caused by pituitary infarction with or without haemorrhage. Although it is usually spontaneous, dopaminergic agonists (DA) are known to be predisposing factors, particularly Bromocriptine, more rarely Cabergoline. We report the case of a 31-years-old patient with a microprolactinoma who developed acute visual acuity loss due to pituitary apoplexy 5 months after taking Cabergoline. The evolution was marked by a considerable improvement of the visual state. Pituitary apoplexy is a rare situation. Often reported with Bromocriptine, PA can also occur with Cabergoline. Due to the high mortality and morbidity of apoplexy, it should be borne in mind that close monitoring is necessary when treatment with DA is prescribed and the patient should be informed of this risk. Although DA precipitate risk, treatment can be continued for hormonal and anti-tumour remission.
Effect of Carica Papaya Leaves Juice on Duration of Hospital Stay among Children with Dengue Fever and Dengue Haemorrhagic Fever
Authors: Rahman Md. Shaidur , Khan Tasnuva , Khatun Habiba , Islam Md. Atiqul , Simi Maliha Alam , Urmy Sabikun Naher , Newaz Moshrefa
Published: February 2024

Background: Over the last 10-15 years, dengue fever (DF) and dengue hemorrhagic fever (DHF) have become the leading causes of hospitalization and death among both children and adult. Carica papaya leaves juice is said to increase platelet count, reduce complication and duration of Hospital stay. Objective: This study aimed to determine the effect of Carica papaya leaf juice on duration of Hospital stay in child patients with DF and DHF. Methods: This randomized controlled trial was conducted among 77 children with DF and DHF. Patients were purposively selected from the inpatient department of Dhaka Shishu hospital from July 2018 to December 2019. Patients were randomly allocated in group A and group B. Group A patients received standard treatment along with a bottle containing C. papaya leaves juice 10 ml single morning dose 15 minutes after breakfast for three consecutive days and group B patients received only standard management as per the National Guideline for Clinical Management of Dengue Syndrome, 2018. Three patients in group A and two patients in group B dropped out from the study. Results: There was no significant difference between the groups regarding age, sex, mean duration, type and severity of fever between the groups (p>.05). In group A, the mean platelet count increased from 105000.00/ mL to 152428.57/mL after 48 hours and it reached to 212228.57/mL at 72hrs. In group B, the mean platelet count initially decreased from 129485.71/ mL to 91114.28/mL after 48 hours and then it increased to 96142.85/mL at 72 hours. There was highly significant statistical difference between group A and group B at 48 hours and at 72 hours regarding mean platelet count as p <0.001. Haematocrit values become significantly normal in group A than group B by 72 hours and p value ˂0.05. There was highly significant statistical difference between group A and group B regarding mean hospital stay as p <0.001. Conclusion: Administration of Carica papaya leaf juice shorten hospitalization in patients with Dengue fever and Dengue haemorrhagic fever.
EFEKTIVITAS KEGIATAN MAGHRIB MENGAJI DI DESA KOTO SENTAJO UNTUK MEMBENTUK SIKAP SPRITUAL ANAK
Authors: Nahwiyah Sopiatun , Murwindra Rosa , Adrian Yogi
Published: February 2024

Pengabdian ini bertujuan untuk meningkatkan kedesiplinan pada anak-anak,serta mendampingi anak-anak dalam melancarkan bacaan Al-Qur’an untuk membentuk sikap spiritual anak melalui kegiatan maghrib mengaji di desa koto sentajo. Metode pengabdian yang diterapkan dalam kegiatan ini yaitu metode mendongeng . Peserta dari kegiatan ini terdiri dari anak-anak sekolah dasar yang ada di desa koto sentajo, dan penerapan ini dilaksanakan pada minggu kedua dibulan maret tahun 2023. Pada umumnya anak-anak belum bisa membaca Al-Qur’an dengan baik dan benar khususnya pada anak-anak sekolah dasar. Ada beberapa anak yang bisa membaca Al-Qur’an , namun masih ada anak-anak yang kurang bisa membaca Al-Qu’an . Hal ini disebabkan karena kurangnya guru mengaji dan masyarakat dalam membina maupun membimbing anak-anak dalam mengaji di desa koto sentajo. Hasil dari pengabdian ini anak-anak yang mulanya belum bisa membaca Al-Qu’an dengan baik dan benar kini perlahan anak-anak sudah mulai bisa membaca Al-Qur’an dengan baik dan benar sesuai dengan hukum tajwid.
PENINGKATAN SISTEM KEAMANAN DI LINGKUNGAN SMKN 1 BENGKALIS
Authors: Ratnawati Fajar , Tedyyana Agus
Published: February 2024

Peningkatan system keamanan di lingkungan sekolah dapat dilakukan dengan cara menerapkan smart cctv. Smart CCTV adalah teknologi kamera pengawas yang dilengkapi dengan sistem pengolahan data dan kecerdasan buatan. Dengan teknologi ini, kamera pengawas dapat mendeteksi dan mengidentifikasi objek atau perilaku yang mencurigakan. Penerapan Smart CCTV di lingkungan sekolah dapat dipasang di beberapa titik strategis seperti pintu gerbang, koridor, ruang kelas, dan area parkir. Selain itu, Smart CCTV juga dapat diintegrasikan dengan sistem alarm dan notifikasi otomatis sehingga petugas keamanan dapat segera merespon kejadian yang mencurigakan. Keamanan di lingkungan sekolah merupakan hal yang sangat penting untuk menjaga keselamatan para siswa, guru, dan karyawan. Dalam penerapannya, Smart CCTV dapat memberikan rasa aman dan nyaman bagi siswa, guru, dan karyawan di dalam lingkungan sekolah. Selain itu, Smart CCTV juga dapat membantu pihak sekolah dalam menangani dan mengidentifikasi pelaku kejahatan yang terjadi di lingkungan sekolah
OPTIMALISASI PELAPORAN REALISASI PENGGUNAAN DANA PROGRAM BANTUAN KEUANGAN KHUSUS DESA KABUPATEN BENGKALIS
Authors: Putra Fajri Profesio , Jaroji Jaroji , Suhada Suhada , Kurniawan Sigit , Salsabila Natasya
Published: February 2024

Tahun 20221 Pemerintah Kabupaten Bengkalis meluncurkan program bantuan keuangan bersifat khusus BKK untuk pemerintah desa. Proses pengusulan bantuan tersebut dilakukan dengan menggunakan aplikasi SIDESA. Sebanyak 136 desa sudah menggunakan aplikasi tersebut mulai dari proses pengusulan sampai pelaporan penggunaan dana. Ditahun 2023 program tersebut berlanjut dan Dinas PMD sebagai pelaksana pendanaan mengeluarkan juknis baru tahun 2022 bagi pengusul. Untuk itu perlu dilakukan update aplikasi untuk mendukung aturan yang terdapat pada juknis. Selain itu Dinas PMD juga melakukan evaluasi terkait penggunaan aplikasi dan fitur, dan disimpulkan perlu dilakukannya optimalisasi pada proses pengusulan dan pelaporan diantaranya usulan kegiatan wajib yang secara otomatis harus di usulkan oleh pengusul, laporan realisasi yang tidak hanya dalam bentuk file akan tetapi juga dalam bentuk isi yang dapat direkap total serapan anggran dan akses laporan yang bisa dilihat oleh masyarakat. Perbaikan pada aplikasi ini. Sudah dilakukan dan mendapat respon positif dari mitra yaitu Dinas PMD dan Pemerintah Desa, kegiatan ini mendukung proses transformasi digital pemerintah dalam layanan dan keuangan
SOSIALISASI PENGELOLAAN BANK SAMPAH PUAN SARI MANDIRI DI KELURAHAN TANGKERANG SELATAN KOTA PEKANBARU
Authors: Nurmasari Nurmasari , Komalasari Eka , Mulianto Budi , Amrillah M Faisal
Published: February 2024

Sosialisasi Pengelolaan  Bank  Sampah  Puan  Sari Mandiri Di Kelurahan Tangkerang Selatan Kota Pekanbaru” pengabdian ini dengan tujuan untuk mengidentifikasi permasalahan dan kebutuhan dari Bank Sampah dan memberikan solusi

berdasarkan identifikasi permasalahan. Bank Sampah menjadi salah satu program andalan yang digulirkan oleh kementrian lingkungan hidup dan merupakan salah satu kriteria penilaian

untuk kota Adipura. Beberapa alasan yang menjadikan bank sampah ini menjadi pilihan adalah karena mempunyai manfaat terhadap aspek ekonomi, lingkungan dan sosial. Bank Sampah

Puan Sari Mandiri merupakan salah satu Bank Sampah yang ada di Kota Pekanbaru, mulai berdiri pada bulan april tahun 2021 Terdapat beberapa permasalahan dalam pengelolaan bank sampah   yang   menjadi   prioritas   yaitu   1)Kesadaran   masyarakat   masih   sedikit   untuk

mengumpulkan sampahb2)Pengelolaan Bank Sampah yang dilakukan saat ini masih sederhana hanya pada kegiatan mengumpulkan dan penimbangan 3)Pembukuan atau pencatatan masih

manual,4)Jumlah Nasabah yang masih sedikit karena banyak masyarakat yang tidak tau keberadaan bank sampah. Metode yang digunakan: observasi, diskusi, pendampingan dan dokumentasi kegiatan. Dengan adanya kegiatan Pengabdian ini Tim memberikan beberapa

solusi dalam bentuk pendampingan dan bantuan modal sehingga dapat meningkatkan dari sisi aspek partisipasi masyarakat dalam pengelolaan sampah.
Análise das habilidades avaliadas na entrevista das seleções nacionais de residência médica
Authors: Resende Luana Teles de , Lima Luana Brunelly Araujo de , Bispo Laura
Published: February 2024

Introdução: A necessidade de especialização médica mediante a complexidade das demandas em saúde faz com que as residências médicas sejam a primeira opção para a pós-graduação. Tal premissa fomenta a necessidade de preparo prévio para seleção pelos acadêmicos de medicina, sejam para as etapas objetivas, como as de análise de competências e habilidades. A entrevista, por possuir um caráter mais subjetivo, é um critério a ser trabalhado com peculiaridade, de forma a impactar na classificação do candidato. Objetivo: Caracterizar as habilidades avaliadas nas entrevistas das seleções brasileiras de residência médica. Método: Estudo transversal, de abordagem mista, realizado com base em um roteiro estruturado de pesquisa dos editais nacionais recentes de residência médica, publicados pelas instituições de ensino. Foi utilizado como base da pesquisa o Resmédica, site com informações atuais quanto aos editais de residência médica. Resultados: Dos 351 editais, 182 (52%) contém a entrevista como critério avaliativo. São avaliadas habilidades técnicas (hard skills) e não técnicas (soft skills), tais como a argumentação curricular, leitura e interpretação da língua inglesa e raciocínio crítico-reflexivo. Conclusão: As habilidades avaliadas nas entrevistas das seleções de residência médica se dividem em habilidades técnicas, voltadas ao conhecimento do profissional e à qualidade do currículo apresentado, e habilidades não técnicas, tais como a capacidade de resolver problemas, raciocínio crítico-reflexivo, comprometimento, trabalho em equipe e afins.
Abordagens Diagnósticas e Terapêuticas nos Transtornos de Personalidade: Uma Revisão da Literatura
Authors: Vasconcelos José Lucas Moura , Ramos Aira Monique Farias , Cervo Ana Júlia Padão , Neto Braz Martins , Maldonado Caio Mário do Couto , Tavares Dolores , Filho Francisco Flávio Fontenele , Fritsch Giordana Gregório , Prudente Juliana Souza , Carvalho Lorenna Luiza Almeida Miranda de , Zaias Lucas de Lima , Bolwerk Marculina Barros de Carvalho , Benigno Nara Lis Freire , Jesus Nauana santos de , Nieto Nydia Lorena Siqueira , Polycarpo Rafaela Bollini , Yaktine Sarah Geia , Carvalho Shakespeare Viana , Sá Thauana Santana de
Published: February 2024

O presente artigo oferece uma revisão da literatura sobre Transtornos de Personalidade (TP), enfocando abordagens diagnósticas e terapêuticas. A análise abrange estudos dos últimos dez anos, destacando a transição para uma abordagem dimensional nos critérios diagnósticos e a diversidade de estratégias terapêuticas efetivas, incluindo terapias cognitivo-comportamentais e dialecticocomportamentais. A complexidade clínica dos TP, a presença frequente de comorbidades e os desafios terapêuticos são discutidos. Perspectivas futuras na pesquisa sobre TP são exploradas, enfatizando a necessidade de estratégias terapêuticas inovadoras e uma compreensão aprimorada das bases neurobiológicas. A revisão busca contribuir para práticas clínicas mais holísticas e informar futuras investigações no campo.
ABORDAGEM NA EMERGÊNCIA OBSTÉTRICA E SEUS FATORES CLÍNICOS COM EVIDÊNCIAS EM VIOLÊNCIA OBSTÉTRICA: REVISÃO DE LITERATURA
Authors: Flores Kevillyn Maria Nava , Pessoa Rayane Muniz , Goulart Anne Paula Botelho , Formiga Renata Leão , Amaral Luisa Pandolfi Ermita , Antunes Renato Martins , Leal Brenda Alexia de Sousa , Andrade Leonardo Ferregato de , Rocha Brenda Caroline de Medeiros , Macedo Thamirys Queiroz , Honorato Igor Costa , Santos Luciana Ferreira dos , Guimarães Christiane Pinheiro Fagundes
Published: February 2024

A violência obstetrícia é um importante problema de saúde pública e também entra como uma abordagem dentro das grandes emergências obstétricas. É definida como ações voltadas à saúde sexual e reprodutiva das meninas por profissionais que atuam no setor saúde ou nos serviços de saúde. O objetivo deste estudo foi analisar as consequências da violência obstetrícia na vida de puérperas menores de um ano. Trata-se de um estudo qualitativo, básico, descritivo analítico, realizado em um município do interior do estado da Bahia. Foram realizadas entrevistas semiestruturadas com 8 meninas que deram à luz no período de um ano e estavam em tratamento em uma unidade básica de saúde. Os dados foram submetidos à análise de conteúdo temática. Após análise Os resultados evidenciaram quatro categorias empíricas: experiências com o pré-natal; Experiência de parto Conscientização e conhecimento sobre violência no parto. consequências da violência obstetrícia na vida das meninas Esses resultados mostram a necessidade de promover estratégias educacionais e discussão sobre o tema da violência obstetrícia com gestantes e profissionais de saúde. Isto se deve à falta de preparação e à violação dos direitos básicos das meninas grávidas. É necessário chamar a atenção para o problema enfatizá-lo não apenas às meninas que sofreram ou poderão sofrer violência durante o parto, mas também promover de alguma forma a humanização do período pré-natal, pré-natal, natal e pós-natal.
PROSTATECTOMIA : UMA REVISAO ABRANGENTE
Authors: Morais Mariana Lima de , Magalhães Isabella Rodrigues , Barbosa Stephanie Meireles , Barbosa Victor Hugo Meireles , Moreira Isadora Andrade Fonseca , Almeida Maíra Garcia de , Marra Mauro Soares , Afiune Isabela Cher Pimentel , Oliveira Matheus Alencar Baía de , Mendonça Arthur Barbosa , Oliveira Luiza Rodrigues , Oliveira Murielle de Almeida Sousa , Capel Ana Carolina Teixeira Ferreira , Barcala Natália da Silva , Narracci Felippe
Published: February 2024

A Hiperplasia Prostática Benigna (HPB) é uma condição urológica comum em homens mais velhos, caracterizada pelo crescimento não canceroso da glândula prostática. Manifesta-se por meio de sintomas do trato urinário inferior, como dificuldade em urinar, aumento da frequência urinária e sensação de esvaziamento incompleto. O diagnóstico envolve uma avaliação clínica abrangente, incluindo exames de imagem e mensuração do antígeno prostático específico (PSA). a exploração da literatura médica revela uma narrativa intricada sobre a Hiperplasia Prostática Benigna e sua abordagem cirúrgica, a prostatectomia. A prostatectomia é uma intervenção cirúrgica realizada para tratar condições prostáticas, sendo mais comumente associada ao câncer de próstata. Existem duas abordagens principais: a prostatectomia radical, que envolve a remoção completa da próstata e, às vezes, das vesículas seminais; e a prostatectomia parcial, que busca preservar parte da glândula. Indicações para a prostatectomia incluem o estágio e a agressividade do câncer, enquanto complicações podem envolver sangramento, infecção e disfunção erétil. A escolha entre as abordagens depende da avaliação individualizada do paciente. A relevância da equipe multidisciplinar, permeada por urologistas, clínicos, cirurgiões, psicólogos  e outros profissionais de saúde, ressoa como uma constante. Essa colaboração é crucial não apenas na interpretação dos dados clínicos, mas também na consideração dos aspectos psicossociais que impactam a jornada do paciente.
A IMPORTÂNCIA DO LEITE MATERNO PARA O CRESCIMENTO E DESENVOLVIMENTO INFANTIL
Authors: Ribeiro Bruna Emanuely Sousa , Santos Geovana Baier dos , Souto Erick Jeppesen , Castricini Silvana Daflon , Almeida Leonardo Adalto Lopes de , Teixeira Daniele Souza , Araújo Raissa de Abreu Costa , Latavanha Munique Costa , Fontenele Bianca Araujo , Cardoso Murilo de Miranda , Silva Arthur Felipe Pereira , Lima João Victor Vieira , Fonseca Amilly Vívian Santos Silva , Araújo Mizael Siqueira de
Published: February 2024

Analisar por meio das evidências cientificas a importância do leite materno para o crescimento e desenvolvimento infantil. Métodos: Trata-se de uma revisão integrativa da literatura de caráter qualitativo. A busca dos trabalhos envolvidos na pesquisa foi realizada nas seguintes bases de dados: SCIELO, LILACS, BDENF e MEDLINE, a partir dos descritores em ciências da saúde: “Aleitamento materno”, “Promoção da saúde” e “Saúde da criança”. Os critérios de inclusão foram: publicados no período entre 2014 e 2024, cujo acesso ao periódico era livre aos textos completos, artigos em idioma português, inglês e espanhol e relacionados a temática. Critérios de exclusão foram: artigos duplicados, incompletos, resumos, resenhas, debates, artigos publicados em anais de eventos e indisponíveis na íntegra. Resultados: Por meio da amamentação pode se estabelecer o bem estar físico, onde a criança se sente aconchegado, além dessa sensação de proteção e contato pele a pele, essa prática exercer um impacto bastante positivo. Conclusão: Conclui-se que a prática do aleitamento materno é importante para o desenvolvimento da criança principalmente nos primeiros seis meses de vida. Além disso, ele possui os nutrientes corretos e em quantidades certas para a criança.
CREATING A CYBERPOLYGON: PENETRATION TESTING TOOLS NAVIGATION BLOCK
Authors: Сердечный А.Л. , Карданов А.А. , Труфанов А.Т.
Published: February 2024

В статье представлены результаты разработки блока навигации по технологиям средств тестирования на проникновение, выполненной в рамках создания киберполигона. Блок базируется на программной реализации интерактивной информационной карты «Средства тестирования на проникновения». Информационная карта объединяет сведения о более чем 6 тыс. средств тестирования на проникновение, содержащихся в 46 различных источниках (специализированных операционных системах, таких как Kali Linux и BlackArch, научных и аналитических статьях о средствах оценки защищённости информационных систем активными методами, telegram-каналах и других информационных ресурсах). В основе информационной карты лежит граф связей между средствами тестирования на проникновение и их типами. Навигационный блок даёт возможность ознакомиться с широким составом средств, используемых для оценки защищённости информационных систем. Систематизация сведений в виде информационной карты позволяет показать сходство и различия между разными классами средств тестирования на проникновение и их отдельными представителями с учётом существования множества различных вариантов наименований, встречающихся в экспертной и научной среде. Блок навигации построен с использованием web-технологий и доступен в тестовом режиме на портале CyberMaps.ru.

The article presents the results of developing a navigation block for penetration testing technologies as part of creating a cyber polygon. The block is based on software that implements an interactive information card called "Penetration Testing Tools". This information card combines information from over 6,000 penetration testing tools contained in 46 different sources, including specialized operating systems like Kali Linux and BlackArch, scientific and analytical articles on information system security assessment tools, and various other informational resources such as Telegram channels. The information map is designed based on the graph with relationships between the different types of penetration testing tools. The navigation block provides an opportunity to familiarize oneself with a wide range of tools used to assess the security of information systems. The systematization of information in the form of an information map allows readers to understand the similarities and differences between different classes of penetration testing tools and their individual representatives, considering the existence of many different names that are used in expert and scientific environments.
RISK MODEL OF THE ATTACKED WIRELESS NETWORK COMMUNICATION CHANNEL USING VPN TECHNOLOGIES
Authors: Радько Н.М. , Хирьянова Ю.С. , Мокроусов А.Н. , Москалева Е.А.
Published: February 2024

В работе представлены методические и алгоритмические способы оценки рисков нарушения функционирования канала беспроводной связи. Особенностью рассматриваемой среды является повсеместное применение услуг VPN – протоколов, оборудования, алгоритмов шифрования. В научной публикации проведен анализ актуальных VPN-сервисов, их криптографических особенностей, функционала. На основе проведенного исследования построена математическая модель стойкости и безопасности вышеописанной технологии, предложена риск-модель атакуемого канала связи беспроводной сети, оснащенный VPN технологией в виде протоколов, оборудования или программно-аппаратного комплекса. Помимо этого, выработана классификация атак на канал связи беспроводной сети, целью которых является получение несанкционированного доступа к информационным ресурсам закрытого сегмента сети c VPN, а также нарушение их конфиденциальности и целостности. Полученные в ходе исследования результаты могут быть использованы для повышения криптостойкости канала связи беспроводных сетей на этапах проектирования, а также как базис для дальнейших исследований специалистов в области информационной безопасности.

The paper presents methodological and algorithmic ways of assessing the risks of disruption of the wireless communication channel. The peculiarity of the considered environment is the widespread use of VPN services - protocols, equipment, encryption algorithms. In the scientific publication the analysis of actual VPN-services, their cryptographic features and functionality is carried out. On the basis of the study built a mathematical model of the strength and security of the above technology, proposed a risk model of the attacked wireless network communication channel, equipped with VPN technology in the form of protocols, equipment or hardware and software complex. In addition, a classification of attacks on the wireless network communication channel, which aims to gain unauthorized access to information resources of the closed network segment c VPN, as well as violation of their confidentiality and integrity. The results obtained in the study can be used to improve the cryptographic strength of the wireless network communication channel at the design stage and as a basis for further research by specialists in the field of information security.
IMPROVING THE ORGANIZATIONAL AND LEGAL SUPPORT OF THE INFORMATION SECURITY OF THE ENTERPRISE: FORMING THE RISK LANDSCAPE OF NETWORK ATTACKS
Authors: Остапенко Г.А. , Щербакова Д.В. , Мирошниченко Т.Ю. , Остапенко А.А. , Пекло А.Ю.
Published: February 2024

В работе рассматриваются особенности формирования риск-ландшафта как основа совершенствования организационно-правового обеспечения безопасности корпоративных сетей. В этой связи осуществлено соответствующее целеполагание и намечены основные направления исследования. Применительно к риск-анализу реализована матричная формализация отношений векторов атак и используемых ими уязвимостей для заданного вида сетевого воздействия на защищаемый объект. В результате предлагается риск-ландшафт, позволяющий выявить наиболее опасные сочетания вектор-уязвимость, для противодействия которым необходимо формировать соответствующее организационно-правовое обеспечение в виде частных политик безопасности, регламентов и инструкции по защите информации корпоративной сети от сетевых атак. Предложены аналитические выражения для оценки риска успешной реализации векторов атак через сетевые уязвимости.

The paper discusses the features of risk landscape formation as a basis for improving the organizational and legal security of corporate networks. In this regard, the appropriate goal-setting has been carried out and the main directions of research have been outlined. With regard to risk analysis, a matrix formalization of the ratios of attack vectors and the vulnerabilities used by them for a given type of network impact on the protected object is implemented. As a result, a risk landscape is proposed that makes it possible to identify the most dangerous vector-vulnerability combinations, to counter which it is necessary to form appropriate organizational and legal support in the form of private security policies, regulations and instructions for protecting corporate network information from network attacks. Analytical expressions are proposed to assess the risk of successful implementation of attack vectors through network vulnerabilities.
DATABASE OF CONTENT WITH SIGNS OF DESTRUCTIVENESS
Authors: Чапурин Е.Ю. , Лантюхов Н.М. , Федоров П.Д. , Феоктистов А.О. , Егоров А.Ю.
Published: February 2024

Статья посвящена созданию базы данных для хранения информации о выявленных деструктивных контентах, созданию математического обеспечения для поиска, аналитики и визуализации результатов работы с созданной базой данных. При помощи разработанного математического аппарата для созданной базы данных существует возможность поиска и анализа контентов с признаками деструктивности на любых информационных ресурсах. Структура базы данных позволяет хранить информацию о контенте любого типа. Разработано программное обеспечение, позволяющее автоматизировать работу с синтезированной базой данных. Разработанный программный комплекс применим для организации процесса риск-анализа и позволяет минимизировать затрачиваемое время, автоматизировать некоторые части данного процесса, а также организовать простое и понятное взаимодействие пользователя с защищенной базой данных контентов деструктивного характера. Полученные результаты могут быть использованы для проведения подробного процесса риск-анализа контентов и пользовательских комментариев, что поможет создать более детальные механизмы обеспечения безопасности конкретного пользователя и профилактики эпидемий в социальных сетях. На основе предложенного программного комплекса существует возможность реализовать механизм модерации контента до его фактической публикации на информационных ресурсах.

The article is devoted to the creation of a database for storing information about the identified destructive content, the creation of mathematical software for search, analytics and visualization of the results of work with the created database. With the help of the developed mathematical apparatus for the created database, it is possible to search and analyze content with signs of destructiveness on any information resources. The database structure allows you to store information about any type of content. The software allowing to automate work with the synthesized database is developed. The developed software package is applicable to the organization of the risk analysis process and allows you to minimize the time spent, automate some parts of this process, as well as organize a simple and understandable user interaction with a secure database of destructive content. The results obtained can be used to conduct a detailed process of risk analysis of content and user comments, which will help create more detailed mechanisms to ensure the safety of a particular user and prevent epidemics in social networks. Based on the proposed software package, it is possible to implement a mechanism for content moderation before its actual publication on information resources.
NETWORK ATTACKS AT THE APPLICATION LEVEL: RISK LANDSCAPE AND PRIVATE INFORMATION SECURITY POLICY OF THE ENTERPRISE
Authors: Хромых С.А. , Остапенко Г.А. , Щербакова Д.В. , Остапенко А.А.
Published: February 2024

Рассмотрена проблема сетевых атак на уровне приложений, и обосновывается её актуальность. Приведены векторы и уязвимости сетевых атак на уровне приложений. Описана и реализована методика риск-оценки на основе данных по атакам и уязвимостям в 2022 году. Построены матрица уязвимостей и риск-ландшафт по данным риск-оценок в указанном периоде. На основе риск-ландшафта проведена оценка степени опасности векторов атак и уязвимостей. Выделены наиболее опасные сочетания векторов и уязвимостей. Для таких сочетаний предложены соответствующие фрагменты частной политики защиты информации. Акцентируется внимание на важности разработки частных политик безопасности информации, учитывающих особенности деятельности конкретных предприятий для более эффективной защиты от атак на уровне приложений и не только.

The problem of network attacks at the application level is considered and its relevance to this problem is substantiated. Vectors and vulnerabilities of network attacks at the application level are given. A risk assessment methodology based on data on attacks and vulnerabilities in 2022 is described and implemented. A vulnerability matrix and a risk landscape are built based on risk assessment data in the specified period. Based on the risk landscape, the degree of danger of attack vectors and vulnerabilities is assessed. The most dangerous combinations of vectors and vulnerabilities are highlighted. For such combinations, corresponding fragments of a private information protection policy are proposed. Attention is focused on the importance of developing private information security policies that take into account the specifics of the activities of specific enterprises for more effective protection against attacks at the application level and beyond.
PASSWORD ENTRY BIOMETRICS: NEW AUTHENTICATION MODEL
Authors: Минаев В.А. , Стручков И.С.
Published: February 2024

В статье рассматривается возможность усиления метода аутентификации сочетанием пароля и клавиатурного почерка пользователя на входе в компьютерную систему. Для обоснования новой биометрической модели аутентификации рассматриваются результаты экспериментов по замерам забывания информации, полученные в XIX веке немецким психологом Г. Эббингаузом. Выдвигается и проверяется гипотеза, что процесс ввода пользователем пароля с клавиатуры характеризуется кривой экспоненциального типа, когда вначале скорость ввода минимальна, соответственно, время ввода – максимально, а затем по мере новых повторений скорость ввода увеличивается, а время ввода уменьшается, стремясь к некоторому пределу. При этом для каждого пользователя наблюдаются характерные только ему параметры экспоненциальной кривой. Для построения модели клавиатурного почерка с 30 участниками проведены эксперименты по изучению его динамических параметров. Мерой соответствия между теоретической и экспериментальной кривой, а также критерием аутентификации пользователя служит значение коэффициента детерминации R2. Анализ результатов моделирования показал, что участники эксперимента делятся на три типологические группы в пространстве параметров клавиатурного почерка. Группы значимо различаются гендерными и психологическими признаками, отражающими типохарактер пользователя.

The article discusses the possibility of strengthening the authentication method by combining a password and a user's keyboard handwriting at the entrance to a computer system. To substantiate the new biometric authentication model, the results of experiments on measurements of forgetting information obtained in the XIX century by the German psychologist G. Ebbinghaus are considered. The hypothesis is put forward and tested that the process of entering a password by the user from the keyboard is characterized by an exponential curve, when at first the input speed is minimal, respectively, the input time is maximal, and then as new repetitions occur, the input speed increases and the input time decreases, tending to a certain limit. At the same time, for each user, the exponential curve parameters characteristic only of him are observed. To build a model of keyboard handwriting, experiments were conducted with 30 participants to study its dynamic parameters. The value of the determination coefficient R2 serves as a measure of the correspondence between the theoretical and experimental curve, as well as the user authentication criterion. Analysis of the simulation results showed that the participants of the experiment are divided into three typological groups in the space of keyboard handwriting parameters. The groups differ significantly in gender and psychological characteristics reflecting the type of character of the user.
CREATING A CYBER POLYGONE: GENERATING A SIMULATION BLOCK
Authors: Куликов С.С. , Федоров В.К.
Published: February 2024

В настоящей статье описаны особенности разработки и реализации блока симуляции киберполигона, предназначенного для проведения тренировок и аудита кибербезопасности. В рамках работы были проанализированы существующие реализации киберполигонов, основные принципы их функционирования, на основе чего был определен подход к моделированию и реализован соответствующий программный блок симуляции. Реализованный программно-технический комплекс (ПТК) позволяет динамически наполнять инфраструктуру, отображать сетевые топологии в виде динамического графа. Также предусмотрено формирование отчётов по найденным уязвимостям и эксплойтам. Работа с блоком симуляции осуществляется посредством использования веб-страницы, функционал которой позволяет добавлять узлы, изменять топологию сети, запускать сетевое сканирование и формировать отчёт безопасности. Гибкость ПТК достигается применением микросервисной архитектуры совместно с технологией контейнеризации. Экспериментальные результаты показывают, что акцент на симуляцию процессов, а также графовое представление инфраструктуры позволяет не только повысить уровень осведомленности в сфере информационной безопасности (ИБ), но и эффективно выявлять и анализировать уязвимости, прогнозировать потенциальные угрозы от действий злоумышленников и принимать соответствующие меры для защиты информационных систем.

This article describes the development and implementation of a cyber-polygon simulation unit designed for cybersecurity training and testing. As part of the work, the following were considered: a set of domestic implementations of cyber polygons, the basic principles of their functioning, an approach to its modeling was chosen, and an appropriate simulation software block was implemented. The implemented software and hardware complex allows you to dynamically fill the infrastructure, display network topologies in the form of a graph. It also provides for the generation of reports on found vulnerabilities and exploits. Working with the simulation block is carried out through the use of a web page where you can: add nodes, change the network topology, run a network scan and analyze the security report. The flexibility of the software and hardware complex is achieved by using a microservice architecture coupled with containerization technology. Experimental results have shown that the emphasis on process simulation, as well as graph manipulation, allows not only to increase the level of information security awareness, but also to effectively identify and analyze vulnerabilities, predict potential threats from the actions of intruders and take appropriate countermeasures to protect information systems.