bluuebunny/crossref_metadata_2025 huggingface dataset:
Epstein — Barr virus as the leading cause of pharyngeal tonsil hypertrophy in children
Authors:   Kazan Federal University, MANNANOVA E. F. , KHALIULLINA S. V. ,   Kazan Federal University, POKROVSKAYA E. M. ,   Kazan Federal University, PAVLOVA T. YU. ,   Republican Clinical Infectious Hospital named after Prof. A.F. Agafonov
Published: December 2023

The leading cause of tonsil hypertrophy in children is viruses, often in combination with bacterial flora. The purpose — to evaluate the role of the main viral-bacterial pathogens in pharyngeal tonsil hypertrophy (PTH) and adenoiditis in children. Material and methods. We observed 463 children with PTH and chronic adenoiditis. The patients were divided into groups depending on the PTH degree: 108 children with grade 1–2 adenoids, 355 children with PTH grade 3. EBV DNA, CMV and HHV-6 were determined in a smear from removed tissue of the pharyngeal tonsil or in a swab from the nasopharynx using the PCR method, and a bacteriological examination of a smear from the throat and nose was performed. The sIgA proteinase activity of the isolated S. aureus strains was determined. The content of sIgA in the patients’ saliva was determined. Statistical processing of data was carried out using Statistica 8.0 software. Results. DNA of herpes viruses in swabs from the nasopharynx was detected in 70.8% (328/463) of the examined: in 36.1% (39/108) of patients with grade 1–2 PTH and 81.4% (289/355) of grade 3, p < 0.001. Epstein-Barr virus was isolated most often – in 53% (174/328). The results of a bacteriological study of 151 patients with PTH demonstrated the predominance of S. aureus (71.5%, 108/151) and S. pyogenes (55.6%, 84/151), p = 0.005 in nasopharyngeal swabs. 58.3% (63/108) of S. aureus strains had sIgA proteinase activity. In 45.3% (49/108) of cases, the isolation of such staphylococci was combined with the detection of EBV DNA. The level of sIgA in the saliva of patients with grade 3 tonsil hypertrophy (Me 43; IQR 34.4–76.6) was statistically significantly lower than the level of sIgA in the saliva of patients with grade 1–2 hypertrophy of the tonsils (Me 63.8; IQR 44.2–98,6), p = 0.023 and healthy children. Conclusions. Infection of the nasopharynx with EBV can be considered a leading risk factor for the development of tonsil hypertrophy and adenoiditis in children. This must be taken into account when monitoring such patients.
Semen Semenovich Zimnitskiy — life and character (to the 150th anniversary)
Authors:   Kazan State Medical University, OSLOPOV V. N. , MISHANINA YU. S. ,   Kazan State Medical University
Published: December 2023

The article is devoted to the life and character of an outstanding Russian and Soviet clinician — Professor S.S. Zimnitsky. In a short life of 54 years, S.S. Zimnitsky was a participant in 2 wars and a witness to the revolution, positively perceived the regime change, after which he reached the apogee of his creativity. The family life of S.S. Zimnitsky developed dramatically, which largely determined the implementation of his creative abilities. S.S. Zimnitsky is presented for the first time not as an untouchable monument of bronze, but as a living person with not only merits, but also faults, while his greatness does not fade. For the first time, the characteristics of S.S. Zimnitsky’s personality traits, given by various people close to the scientist, are presented together. This allows us to understand and evaluate from a new perspective what a great personality with a unique charisma he was.
Dietary supplements and medicinal liver damage
Authors:   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, BEYLINA N. I. , ATSEL E. A. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, POZDNYAK A. O. ,   Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia
Published: December 2023

The article analyzes Russian and foreign literature on the use of dietary supplements by people of different ages. The frequent use of food additives both around the world and in Russia, the peculiarities of their production and promotion in the pharmaceutical market make the problem of their safe use urgent. In some cases, dietary supplements can cause liver damage. The issues of diagnosis and treatment of medicinal liver lesions are discussed. Conclusion. Dietary supplements can and should be used to correct the daily diet nowadays. In clinical practice, a doctor faces the following tasks: identification of risk factors for medicinal liver damage due to the use of dietary supplements, diagnosis of their early manifestations and treatment of existing liver pathology.
Stage therapy for exogenous-constitutional obesity
Authors:   Peoples’ Friendship University of Russia, KOBALAVA ZH. D. , NIKISHOVA T. V. ,   Kazan State Medical Academy — Branch of the FSBEIFPE RMACPE MOH of RF, YAKUPOVA A. A. ,   Kazan State Medical University, YAKIMOVA YU. YU. ,   Kazan (Volga Region) Federal University
Published: December 2023

The article deals with a problem of improving the efficiency of therapy for exogenous-constitutional obesity, one of the most widespread chronic diseases with a high risk of developing many dangerous diseases and resulting in significant decrease in the quality of life. Modern paradigm of the treatment of exogenous-constitutional obesity — stage-by-stage approach, complexity and immediacy of the effect, in accordance with the disease mechanism, along with monitoring, relief and prevention of recurrence — is proved based on the review of Russian and foreign publications. The underlying mechanisms of exogenous-constitutional obesity origin and progression are discussed, as well as the methods of non-drug treatment (diet therapy, physiotherapy, psychotherapy, reflexotherapy), a limited role of pharmacotherapy, and a specific place of surgical correction. An important role of preventing the exogenous-constitutional obesity recurrence, the incidence of which is very high, is emphasized. The prime factors causing the development of recurrence, the principles of therapy and prevention are given.
The impact of digital transformation on big data analytics and firm’s sustainability performance in a post-pandemic era
Authors: Cumba Luisa Tomas , Huang Xiaoxia , Kholaif Moustafa Mohamed Nazief Haggag Kotb
Published: December 2023

BACKGROUND:

COVID-19 caused an exogenous shock to global economies, businesses and people. However, digitalization is also helping many companies adapt and overcome the reality of COVID-19. The fact that people and companies are increasingly using technology in their daily lives to deal with this extraordinary situation demonstrates the acceleration of the digitalization process.

OBJECTIVE:

The aim of this research is to examine the mediating role of Big Data Analytics (BDA) in the relationship between digital transformation (DT) and economic, environmental and social sustainability performance.

METHODS:

For data analysis and hypothesis testing, partial least squares structural equation modeling (PLS-SEM) was used on 304 managers level employees in small and medium enterprises (SMEs) in Mozambique.

RESULTS:

The findings show that DT positively affects BDA in Mozambican SMEs. Furthermore, BDA positively impacts economic and environmental performance. In addition, BDA has a significant mediating role in the association between DT and economic and environmental performance. However, this relationship is insignificant regarding social performance.

CONCLUSIONS:

These findings have important implications for SMEs managers and policy makers, who can develop a coherent strategy to realize BDA opportunities, reduce costs and provide strategic value to improve firm sustainability performance in a post-pandemic world.
Özel Mülkiyet Haklarının Korunması ve Gelir Eşitsizliği: OECD Ülkeleri için Ampirik Bir Analiz
Authors: BAYSAL KAR Bahar
Published: December 2023

OECD ülkelerinde 1996-2020 dönemi için mülkiyet
haklarının korunması ile gelir eşitsizliği arasındaki
ilişki bu çalışmanın analiz konusudur. Gelir eşitsizliği
göstergesi olarak iki farklı değişken kullanılmıştır: Gini
katsayısı ve en üstteki %1’lik kesimin ulusal gelirden
aldıkları pay. İçselliği kontrol etmek için mülkiyet
haklarının korunmasına ilişkin göstergeye ek olarak araç
değişkenler de modele dahil edilmiştir. Heterojen panel
veri modellerinden ¨genişletilmiş ortalama grup (AMG)¨
tahmincisi ile tahmin edilen iki farklı modelde, OECD
ülkelerinde mülkiyet haklarının korunmasının toplumun
tüm kesimleri için uygun bir kurumsal ortam yaratarak gelir
eşitsizliğini azaltıcı etki yarattığını ileri süren yaklaşımları
destekleyen sonuçlar elde edilmiştir. Diğer bir ifade ile
ampirik bulgular mülkiyet haklarının korunmasının gelir
eşitsizliğini uzun dönemde azalttığını ortaya koymaktadır.
Ancak eğimin heterojenliğine izin veren AMG tahmincisi
ile tahmin edilen modellerde tek tek ülke parametreleri
bazı ülkelerde mülkiyet haklarının korunmasının gelir
eşitsizliğini arttırıcı etkisi olduğunu göstermektedir.
Panel veri analizi sonuçları gelir dağılımını azaltıcı etkisi
nedeni ile mülkiyet hakları kurumunun güçlendirilmesini
politika önerisi olarak ortaya koymaktadır. Ancak ülke
parametrelerinin heterojenliği spesifik olarak ülkelere
özgü faktörler ile diğer kurumsal etmenlerin incelenerek
gelir dağılımını bozucu veya iyileştirici kanalların neler
olduğunu daha ayrıntılı araştıran analizlerin gerekliliğini
ortaya koymaktadır.
İş Kazalarını Önlemede Erken Uyarıların Önemi: Öncü Göstergeler
Authors: MEVSİM Rıdvan , DEMİREL Nuray
Published: December 2023

Bu çalışmada, günümüz güvenlik bilimi teori ve pratiğinde
git gide artan bir önem kazanan öncü göstergeler ele
alınmıştır. Öncü güvenlik göstergelerinin işyerlerinde
etkin kullanımının ve iş güvenliği performansının temel bir
unsuru olarak değerlendirilmesinin gerekliliği belirtilerek
iş kazalarını önlemedeki katkısının vurgulanması
amaçlanmaktadır. Bu doğrultuda makale üç ana bölümden
oluşmaktadır. İlk bölümde sistem yaklaşımı başta
olmak üzere iş güvenliğindeki güncel eğilimlere kısaca
değinilmiş, ardından gecikmeli ve öncü göstergeler
tanımlanarak aralarındaki farklar incelenmiştir. Devam
eden bölümlerde ise uluslararası iş sağlığı ve güvenliği
otoritelerinden öncü gösterge önerilerine ve literatürde
farklı sektörler için yapılan saha çalışmalarından örneklere
yer verilmiştir. En fazla atıf yapılan öncü göstergelerden
iş güvenliği liderliği, çalışan katılımı, güvenlik iletişimi,
risk kontrol yöntemlerinin izlenmesi, ekipman bakım ve
onarımları, çalışanların yaptıkları işe uygunluğu, eğitimler
ve iş güvenliği bilinci gibi başlıkların altı çizilmiştir.
Modern güvenlik biliminin başlıca yaklaşımlarından biri
görünümündeki “işler yolunda giderken” de iş güvenliği
performansının ölçülmesi ve bu doğrultuda önleyici
tedbirlerin belirlenmesi çalışmalarına, etkin kullanılan öncü
göstergelerin önemli katkı sağlayacağı düşünülmektedir.
Duração da consulta: fatores influenciadores e perspetivas de médicos e utentes – um estudo transversal
Authors:   USF Ramada, ACeS Loures-Odivelas, Santos Catarina Neves , Pedrosa Bruno Ferreira ,   USF Ramada, ACeS Loures-Odivelas, Martins Marília ,   USF Ramada, ACeS Loures-Odivelas, Gouveia Fábio ,   USF Ramada, ACeS Loures-Odivelas, Franco Fátima ,   USF Ramada, ACeS Loures-Odivelas, Vardasca Margarida João ,   USF Ramada, ACeS Loures-Odivelas, Pedro Bernardo ,   ACeS Lisboa Norte. Lisboa, Nogueira Jorge Domingues ,   USF Ramada, ACeS Loures-Odivelas
Published: December 2023

Introdução: O tempo de consulta é um recurso fundamental e é determinante para a satisfação de médico e utente. Uma duração de consulta superior parece associar-se a maior satisfação por parte dos intervenientes e contribuir para uma melhoria da qualidade de vida nos utentes com multimorbilidade. Contudo, não existe evidência suficiente para afirmar que um aumento do tempo de consulta é benéfico para o utente e sabe-se que são vários os fatores que podem influenciar a sua duração. Objetivos: Avaliar a perceção dos utentes quanto à duração da consulta, comparar a opinião de médico e utente quanto à adequação da duração e satisfação com a consulta e identificar fatores que influenciam a duração da mesma. Método: Estudo transversal, com componente quantitativa e qualitativa de design convergente. Para obter dados representativos da unidade em estudo calculou-se uma amostra de 380 consultas médicas presenciais. Foram entregues questionários anónimos a médicos e utentes após o término da consulta. Realizou-se uma análise estatística descritiva e inferencial e uma análise temática dos dados qualitativos. Resultados: Estudaram-se 403 consultas. Os utentes percecionaram uma duração de consulta superior à real (p<0,001) e consideraram a duração como adequada numa proporção superior à dos médicos (p<0,001). A satisfação dos utentes foi maior com consultas mais longas (p=0,004), enquanto os médicos reportaram maior satisfação com durações intermédias (p<0,001). Consultas realizadas pelo médico de família ou por médicos do sexo feminino (p<0,001), utentes com mais problemas crónicos (p=0,006) e a abordagem de mais problemas na consulta ou de um novo problema em contexto de consulta programada (p<0,001) associaram-se a tempos de consulta superiores. Conclusões: A duração da consulta tem um papel importante na satisfação dos seus intervenientes. A autonomia das unidades e dos profissionais para adaptarem os tempos de consulta em determinados contextos poderia aumentar a satisfação de médicos e utentes.
Abordagem da esteatose hepática não alcoólica nos cuidados de saúde primários
Authors:   USF Fonte do Rei, ACeS Pinhal Litoral, Sapage Sara
Published: December 2023

Introdução: A nova epidemia da doença hepática crónica está relacionada com a esteatose hepática não alcoólica, que aumenta paralelamente ao aumento da obesidade a nível mundial. A prevalência global é atualmente estimada em 24%, sendo mais comum no sexo masculino. A maioria destes doentes pode ser seguida nos cuidados de saúde primários; contudo, estudos recentes têm demonstrado conhecimento insuficiente acerca desta patologia entre os médicos de família com dificuldade em identificar os doentes com fibrose significativa que precisam de intervenção por parte do gastroenterologista. Objetivo: Com este trabalho pretende-se fazer uma revisão da abordagem da esteatose hepática não alcoólica nos cuidados de saúde primários. Métodos: Para a realização deste artigo de revisão foi realizada uma pesquisa bibliográfica na base de dados PubMed em outubro/2021, utilizando os termos MeSH non-alcoholic fatty liver e primary care. Foram selecionados artigos publicados entre 2010 e 2021, redigidos em português, inglês ou espanhol e com texto integral disponível na integra. Foram obtidos 122 resultados, considerando-se numa fase final que apenas 22 se enquadravam nos objetivos do estudo. Resultados: Os doentes com esta patologia identificada devem ser avaliados quanto ao estadio de fibrose hepática, sendo nesta fase que reside a maior dificuldade. Doentes com fibrose avançada têm risco de desenvolver cirrose e carcinoma hepatocelular. Existem inúmeros métodos de diagnóstico de fibrose em doentes com esteatose hepática não alcoólica diagnosticada que podem ser aplicados nos cuidados de saúde primários, devido à utilização de valores séricos fáceis de obter e com baixos custos, permitindo o cálculo de scores facilmente acessíveis. Dos scores estudados estão recomendados para deteção de fibrose avançada o FIB-4 e o NFS. Conclusão: A sugestão deste estudo para a abordagem desta patologia nos cuidados de saúde primários passa pela criação de um algoritmo de seguimento e encaminhamento dos doentes de acordo com os valores obtidos pelo cálculo dos scores e critérios clínicos.
Influência sociodemográfica na adesão ao isolamento social e ao uso de máscaras durante a pandemia de COVID-19 no Brasil
Authors:   Faculdade de Medicina de Itajubá, Duarte Maria Beatriz Silva , Monteiro Alana Silva ,   Faculdade de Medicina de Itajubá, Almeida Ana Clara Vargas Consoli ,   Faculdade de Medicina de Itajubá, Miranda Renata Pinto Ribeiro ,   Faculdade de Medicina de Itajubá, Bosco Mariana Pinto ,   Faculdade de Medicina de Itajubá
Published: December 2023

Introdução/Objetivos: No final de 2019, autoridades relataram sobre pacientes com pneumonia de causa desconhecida. A etiologia identificada foi um novo coronavírus (SARS-CoV-2), apontando que isolamento social e uso de máscaras faciais seriam úteis para a prevenção do quadro. Desse modo, o estudo objetivou identificar a influência sociodemográfica na adesão às medidas de contenção à pandemia de COVID-19. Método: Estudo transversal e quantitativo realizado por meio de plataforma online, com uma amostra de 291 indivíduos, a quem foram enviadas mensagens instantâneas, juntamente com os dois questionários, o primeiro contendo questões sociodemográficas e o segundo referente aos possíveis fatores que influenciam na adesão às medidas de contenção à pandemia. Ao final da coleta de dados foram realizadas as análises descritivas com os dados da caracterização sociodemográfica dos participantes. Foram utilizados o Minitab 16 e Bioestat 5.0 para análise dos testes qui-quadrado e G e considerado nível de significância 0,05 e resíduo maior que 1,96 para efeito de análise. Resultados: Amostra de 291 indivíduos, com predomínio do sexo feminino (67,9%), da faixa etária de 18 a 25 anos (31,4%), de participantes com ensino superior completo (47,1%), residentes na região Sudeste (93,5%) e de indivíduos que trabalham no setor terciário (47,2%). No que tange ao uso de máscaras encontrou-se significância estatística nas variáveis grupo de risco, idade, setor econômico e ensino superior incompleto. Conclusão: O estudo evidenciou expressiva adesão ao isolamento social entre participantes com mais de 60 anos, os que possuem entre seis e 10 cômodos na residência, profissionais do setor terciário e indivíduos que se informam por jornais, revistas, rádios e outros meios. Quanto à adesão ao uso de máscaras faciais destacaram-se participantes com ensino superior completo, pertencimento ao grupo de risco e crença na eficácia do EPI. Desse modo, demonstrou-se a importância do envolvimento da população no enfrentamento de pandemias.
Sinal do crescente e rotura quisto de Baker na prática clínica: um relato de caso
Authors:   USF da Baixa, ACeS de Lisboa Central, Proença-Portugal Mafalda , Correia Paulo Santos ,   Centro Hospitalar e Universitário de Lisboa Central, Figueiredo Cristiano ,   USF da Baixa, ACeS de Lisboa Central
Published: December 2023

Introdução: O quisto de Baker, também conhecido por sinovial poplíteo, é o quisto mais frequentemente encontrado na articulação do joelho. Quando sintomático, o quisto de Baker apresenta-se de forma indolente como desconforto na fossa poplítea e uma formação oval palpável. Contudo, a rotura do quisto de Baker traduz-se por uma clínica aguda de dor e edema do joelho e da região gemelar. Este relato de caso pretende alertar o médico de família para esta entidade diagnóstica, para importantes achados clínicos e para os diagnósticos diferenciais a ter em conta, de forma a orientar corretamente estes doentes. Descrição do caso: O presente caso clínico descreve um homem de 46 anos que se apresentou no serviço de urgência com dor, edema e equimose do membro inferior direito. O diagnóstico final foi o de quisto de Baker roto que foi orientado de forma conservadora. O diagnóstico diferencial principal foi o de trombose venosa profunda (TVP). Comentário: A rotura do quisto de Baker é uma das complicações deste quisto poplíteo, sendo mais prevalente em doentes com patologia inflamatória do joelho. Ao exame objetivo, a rotura do quisto de Baker pode apresentar-se por edema, dor e equimose do MI (sinal do crescente). Assim, a sua apresentação pode assemelhar-se à clínica da TVP, pelo que a rotura de quisto de Baker é também conhecida por pseudotromboflebite. Apesar de raro, o sinal do crescente não surge na TVP, pelo que este apoia o diagnóstico de rotura recente de quisto de Baker. Este relato de caso vem realçar a importância da suspeição clínica para a rotura do quisto de Baker em doentes que se apresentam com dor e edema unilateral do MI, sobretudo na presença de achados como o sinal do crescente.
Pessoa com insuficiência cardíaca na Região Centro de Portugal: o seu contexto em 2022
Authors:   Faculdade de Medicina da Universidade de Coimbra, Pinto Sara , Garcia Raul ,   USF Fernando Namora, ACeS Baixo Mondego, Freitas Melanie ,   USF Rainha Santa Isabel, ACeS Baixo Mondeg, Costa Linda ,   UCSP Cantanhede, ACeS Baixo Mondeg, Matos Joana Rita ,   UCSP Soure, ACeS Baixo Mondego, Rodrigues Sara ,   USF Esgueira Mais, ACeS Baixo Vouga, Neves José Francisco ,   UCSP Anadia I, ACeS Baixo Vouga, Fonseca Luís ,   USF Grão Vasco, ACeS Dão Lafões, Azevedo Luís ,   UCSP Figueiró dos Vinhos, ACeS Pinhal Interior Norte, Balouta Helder ,   USF São Martinho de Pombal, ACeS Pinhal Litora, Ferreira Vera ,   UCSP Campos do Lis, ACeS Pinhal Litoral, Cunha Sandra ,   USF Marquês de Marialva, ACeS Baixo Mondego, Magalhães Maria João ,   SF Serra da Lousã, ACeS Pinhal Interior Norte, Rodrigues Cláudia ,   UCSP Vila Nova de Paiva, ACeS Dão Lafões, Lopes Beatriz ,   USF Topázio, ACeS Baixo Mondego, Pestana João ,   USF Topázio, ACeS Baixo Mondego, Santiago Luiz Miguel ,   Faculdade de Medicina da Universidade de Coimbra
Published: December 2023

Objetivo: Estudar as características de contexto das pessoas com insuficiência cardíaca da Região Centro de Portugal e a maneira como o diagnóstico foi feito. Método: Estudo observacional transversal em amostra representativa e aleatória de pessoas sofrendo de insuficiência cardíaca (PCIC), em 2022, com dados em anonimato de unidades de saúde em cuidados de saúde primários (CSP) convidadas em conveniência na Região de Saúde do Centro. Para cada PCIC estudaram-se: sexo, idade, número de problemas crónicos de saúde, índice de Graffar, tipo de família, formação académica, economia familiar, calculando-se o Socioeconomic Deprivation Index (SEDI) e o modo de realização do diagnóstico. Realizou-se estatística descritiva, inferencial adaptada e correlacional. Resultados: Em amostra de n=350 PCIC, 151 (43,1%) do sexo masculino, 84,0% em classes Graffar média e média-baixa, 61,8% com formação académica baixa e 44,0% com insuficiência económica, o valor médio de SEDI foi de 4,3 [3 a 6], verificou-se multimorbilidade em 97,4%, média de 9±4 problemas crónicos de saúde, bem como diferenças significativas entre sexos quanto ao tipo de família, formação académica, economia familiar, idade, nível SEDI, data de diagnóstico e ano da primeira ecocardiografia registada, piores e com mais tempo no sexo feminino. Verificaram-se correlações fracas, mas significativas (ρ=0,156, p=0,003), entre a idade e o número de doenças crónicas e entre a data de diagnóstico de IC e o ano da primeira ecocardiografia registada (ρ=0,375, p<0,001). Discussão: Adequados conhecimento e gestão das variáveis de contexto das PCICs podem e devem ser consideradas pelos médicos por influenciarem o curso da doença, o prognóstico e os custos para as PCIC, suas famílias e serviços de saúde. Conclusão: As PCICs da Região Centro de Portugal Continental são idosas, com multimorbilidade, com estatuto socioeconómico desfavorável e formação académica baixa. O diagnóstico foi confirmado sobretudo por ecocardiografia.
Um caso raro de diarreia crónica num doente imunocompetente: relato de caso
Authors:   USF Laços. Cortegaça, Guimarães Inês , Moreira Miguel ,   USF Laços. Cortegaça, Costa Linda ,   UCSP Cantanhede, Falcão e Cunha Ana ,   USF Laços. Cortegaça
Published: December 2023

Introdução: A espiroquetose intestinal (EI) é definida pela presença de espiroquetas na superfície da mucosa cólica, sendo os organismos implicados a Brachyspira aalborgi ou Brachyspira pilosicoli. A sua prevalência é baixa em países desenvolvidos e está descrita uma maior incidência em homossexuais e em pessoas com o vírus da imunodeficiência humana (VIH). A pertinência deste caso deve-se ao diagnóstico desta patologia numa doente imunocompetente e o seu correto tratamento. Descrição do caso: Sexo feminino, 63 anos, reformada. Antecedentes: excesso de peso, hipertensão arterial, dislipidemia, insuficiência mitral e tricúspide ligeiras. Recorre à consulta por diarreia aquosa com um mês de evolução. Associadamente refere ingestão de água de um poço. Nega dor abdominal, náuseas, vómitos, perda de peso, melenas ou hematoquézias. Neste contexto foi pedida colonoscopia, que demonstrou colite segmentar inespecífica de provável etiologia infeciosa. As biópsias revelaram alterações inflamatórias ligeiras e inespecíficas e, em alguns fragmentos, colonização da superfície epitelial por bactérias com morfologia típica de EI. Devido a estes achados realizou estudo analítico, incluindo avaliação serológica para o VIH e sífilis, que foram negativos. Iniciou tratamento com claritromicina e metronidazol, com resolução dos sintomas. Comentário: Este caso clínico pretende alertar para a existência de uma patologia pouco comum nos cuidados de saúde primários, nomeadamente em imunocompetentes. É importante que o médico de família conheça e esteja sensibilizado para as diferentes etiologias da diarreia crónica para um correto e atempado diagnóstico e tratamento.
Hiperaldosteronismo primário: um relato de caso
Authors:   USF São João do Porto, ACeS Porto Ocidental, Araújo Helena Ramalho , Pinto Joana ,   USF São João do Porto, ACeS Porto Ocidental
Published: December 2023

Introdução: A HTA secundária, responsável por 10% dos casos de HTA, inclui causas como o hiperaldosteronismo primário. Pretende-se alertar para a importância do despiste de causas secundárias de hipertensão quando se observam sinais sugestivos, como a ausência de controlo tensional com três fármacos, entre os quais um diurético. Descrição do caso: Doente de 75 anos, do sexo feminino, com hipertensão arterial, dislipidemia, doença renal crónica e hipocalémia. Recorreu a uma consulta na sua Unidade de Saúde Familiar, na qual apresentou tensões elevadas. Os exames pedidos mostraram aumento dos níveis plasmáticos de aldosterona e renina, hipocalemia e um adenoma da glândula suprarrenal. Pela suspeita de hiperaldosteronismo primário, a doente foi referenciada para consulta de endocrinologia, na qual foi confirmado o diagnóstico. Realizou exérese do adenoma, encontrando-se atualmente normotensa. Comentário: Este caso demonstra como, perante um doente medicado e com mau controlo tensional, deve ser considerada a hipótese de hipertensão secundária, pois a correção da causa pode levar à normalização tensional e diminuição do risco cardiovascular.
Implementação de estratégias na abordagem do utente com surdez
Authors:   USF Serpa Pinto, ACeS Porto Ocidental, Gameiro Bárbara
Published: December 2023

Implementação de estratégias na abordagem do utente com surdez
The Impact of Leadership and Talent Management: The Case of Generation Z in The Lebanese Retail Sector
Authors: Harb Atef , Trad Mony
Published: December 2023

The current study’s objective is to understand the interplay between leadership and talent management. As a result, at every level of interactions between superiors and subordinates, leadership practices revolve around dimensions that affect positively talent management of Generation Z employees. This paper addresses a main research question that asks about the extent to which leadership determinants enhance, the most, Generation Z’s1 talent management at the workplace. The answer to the research question came in a manner that demonstrates the four hypotheses expected toward the start of the study, specifically the role of leadership and intrinsic motivation in motivation in positively affecting talent management among employees. A conceptual framework is established to estimate leadership factors that can, probably, affect Generation Z employees’ talent management. It is feasible to validate or to refute the pre-formulated hypotheses using the quantitative data that has been collected throughout the 218 surveys. Research variables explain Generation Z’s desire to evolve in retail corporate companies. It was judicious to start the empirical investigation with interviewing managers or HR experts. A correlation analysis, which found positive linear trends in the relationships between independent and dependent variables, was insufficient to support the four study hypotheses. As such, the four research hypotheses were investigated using a multiple regression model. In addition, for the results’ findings, the four research hypotheses have been validated. Such phase, prior to the quantitative technique, can make research findings more valuable. Generation Z members will be enticed by being recruited by a company where they believe that their corporate expectations will be met. Talent management is a new conception for enhancing human capital evolution in contemporary organizations. Avoiding classical ways for managing employees is all the alternatives to promote, internally, talents and therefore gaining a competitive advantage over counterparts.
Pedagogical Principles of Teaching Art Disciplines for Future Graphic Designers during Martial Law in Ukraine (on the Example of NACAM)
Authors: Bobrenko Rostyslav
Published: December 2023

The purpose of the paper consists in outlining the pedagogical principles of teaching art disciplines for students of higher education majoring in graphic design during martial law (on the example of the National Academy of Culture and Arts Management (NACAM). The research methodology consists in the application of a complex of general scientific methods, among which the main ones are: objectivity, functionality, comparative analysis, explanatory, generalisation, and systematisation. Special methods include a complex of pedagogical methods: organisation of the educational process, problem-based teaching, lecture, research, and creative methods. Scientific novelty of the research. Submitted for the first time pedagogical principles are presented, on the basis of which the author teaches future graphic designers a number of artistic disciplines at NACAM. The research of domestic scholars became the basis for the analysis and generalisation of the selected issues. At the same time, the conceptual apparatus, the legal and regulatory framework were revealed, and the main principles of the lecturer's work in the conditions of martial law in Ukraine. Conclusions. Among the wide range of pedagogical principles of teaching artistic disciplines for future graphic designers during the martial law in Ukraine, we emphasise: safety of the educational process; the responsibility of the student for the thematic choice, their observance of academic and legal principles in creative activity; consistency with civil/public requests; artistic originality in design and projecting and scientific validity in conducting and describing educational research; partnership conditions teacher-acquirer; cultural progress; cross-border education and multiculturalism; professional implementation. Keywords: design, training of graphic designers, pedagogical principles, artistic disciplines, higher education during martial law.
ELECTRONIC CULTURE: ACHIEVEMENTS AND GROWTH VECTORS
Authors: Lebid Tetiana
Published: December 2023

The purpose of the article is to consider the legal and organizational aspects of digitization of the electronic culture and outline the main problems of its achievement. The research methodology is based on the general scientific and special research methods: analysis, synthesis, generalization, systematization of materials, induction, and deduction. The scientific novelty of the study is as follows: this study is one of the first complex works about electronic culture, aimed at forming a single complex of knowledge in the chosen field. The analysis of the Ukrainian legal documents in the system of electronic culture was carried out. The peculiarities of achieving the directions defined in the regulatory documents and the problematic aspects that prevent the non-fulfilment of certain planned goals are investigated. The author substantiates the approaches to defining virtual museums. The impeding factors of digitalization and the protection of cultural heritage were identified. Conclusions. To date, the main problems and achievements in the use of advanced technologies in the field of culture, or rather, the preservation of cultural heritage, including in museums, have not been sufficiently studied. Taking into account modern realities, museums remain the main guarantors of the preservation of the historical and cultural heritage of the Ukrainian people. Museums continue to interact with visitors daily and respond to the needs of society. The latest technologies make it possible to view the works of famous artists in virtual museum environments, which ensure the accessibility of cultural heritage to the general public, especially limited mobility groups. Digital technologies make it possible to visually convey information to different audiences, allowing everyone to choose the content that best suits their interests. Digital technologies in museums help not only to store and record data about exhibits but also to communicate with visitors. Regular updating of the interactive content of the objects allows to establish a connection with the modern public for whom technology is important, transforming them from passive observers to active viewers.
Key words: electronic culture, legal support for digitalization of culture, virtual museum, e-Heritage.
Research of Innovative Library Technologies and Activities of Libraries for Children in Dissertation Works of Ukrainian Scientists
Authors: Ilnitskyi Vitalii
Published: December 2023

The purpose of the article is to analyze the main directions of dissertation research by Ukrainian scientists regarding the use of innovative technologies in libraries, with an emphasis on libraries for children. The research methodology is based on the use of general scientific (analysis, synthesis, generalization, etc.) and special research methods based on the specifics of the scientific task (bibliographic, information analysis, descriptive content analysis, etc.). The scientific novelty of the study consists in highlighting the main directions of dissertation work on the use of information technologies in libraries for children, with an outline of the prospects for further research. Conclusions. The main task of the modern library is the constant expansion of its activities. In the conditions of digitization of society, access to them should be obtained by anyone who has a computer or other technological device connected to the Internet, and accordingly - to the library network. Therefore, in a modern library, in particular, a children's library, a wide variety of digital elements and resources are increasingly offered for use, all that is necessary for adaptation to new technologies and to meet the dynamic needs of users. The library should not oppose digitalization, but on the contrary - unite with it, the use of digital technologies should become a normal and necessary condition of its services. All these aspects of transformational changes should not only be taken into account in the activities of the library for children, but also actively studied within the framework of librarian science. At the moment, it is possible to note sufficient articulation in the dissertation works of Ukrainian scientists of the main aspects of informatization, which is considered the foundation of the development of digital technologies. However, the latter has not yet received significant attention in the work of librarians. In addition, it is worthy of attention to study the main directions, functions and components of digitalization of libraries for children, which, in our opinion, as high-tech multimedia environments involving the tools of the information and communication approach are able to implement the main tasks of the socio-cultural mission - socialization, inculturation, formation of interest in reading and teaching.
Keywords: information technologies, library, children's library, digitization, dissertation research, Ukrainian scientists.
Competences of a Library Specialist as a Factor in the Formation of Innovative Media Space
Authors: Khrushch Svitlana
Published: December 2023

The purpose of the work is a systematic analysis, substantiation and determination of the key competencies of a library specialist, necessary for the successful implementation of innovations in the media space of modern libraries and improvement of the quality of user service. The work methodology. A systematic review of the literature was carried out, which analyzed scientific publications and studies related to the competencies of library specialists and their influence on the formation of innovative media space. An empirical approach was used, which includes surveying library professionals to collect specific data on their competencies and experience in implementing innovations in the media space of the library. Scientific novelty. The research is focused on the integrated analysis of the key competencies of the library specialist and the development of recommendations for improving the efficiency of library practices, taking into account the modern requirements for library work and rapid changes in the information environment. The article reveals an innovative approach to considering competencies as a dynamic tool aimed at actively introducing innovations into the media space of libraries, ensuring their adaptation to the challenges of the digital age. Conclusions. The key competencies required for a librarian in the age of digital transformation are highlighted, such as information literacy, digital media skills, and professional communication. Mastering modern technologies, in particular interactive and multimedia, allows a librarian to provide users with innovative services and meet their information needs. A systematic approach to competence development is proposed, including education, training and continuous professional development to ensure the relevance of skills. It is emphasized that the development of the competences of the library staff contributes to the improvement of the quality of user service and creates a foundation for innovations in the media space. Recommendations for the list of professional competencies that can be taken into account in the Professional Standard "Library and Information Specialist" in the context of the development of the innovative media space of libraries have been formulated.
Keywords: professional competence, digital literacy, professional development, library specialist, innovative library media space, digital librarian.
The Pulley Technique Revisited
Authors: Sebastian Boby , Mirshekar-Syahkal Bahar , Athisayaraj Thomas , Ward Nicholas
Published: December 2023

With the increased awareness and push for earlier diagnosis of colorectal cancer, the number of patients undergoing colonoscopy is increasing.  Being a common condition, a number of these patients will have herniae.  We describe a rare complication during a Sigmoidoscopy in a patient with an Inguinal hernia and  a method of resolution.
Crisis and Integration in Europe : Theoretical Perspectives
Authors:   United European Research Society, CHO Hong Sik
Published: December 2023

This article aims to present and analyze the theoretical connections between crisis and integration in Europe-making historical movement. Rather than comparing recent integration theories among diverse schools of international politics such as realism, liberalism, and constructivism, I emphasize several concrete theoretical methods linking directly crisis and integration in historical perspective. First, functionalist and neo-functionalist theories will be considered with their concepts of spillover, spillaround, or buildup. Then, I will examine the institutionalist approach which has brought about interesting and fruitful insights into crisis-integration analysis. Finally, I present political-strategy-perspective underlining actors and agency which can complement structural approaches of functionalism and institutionalism. I will conclude by examining the problems of combining those diverse perspectives in empirical research.
The Governance of European Space Policy
Authors:   United European Research Society, Yoon Seock-Jun
Published: December 2023

The aim of this study is to analyse the historical processes and institutional features of European space policy governance in order to understand its unique governance characteristics, which are designed to ensure that horizontal cooperation at the European level between the ESA and the EU and vertical cooperation between the ESA and Member States' national space agencies are complementary. To this end, this study first examines the historical process of the development of European space policy from the perspective of the history of European integration and the history of legal institutions, in order to understand the nature of the parallel development of European space policy centred on ESA, independent of the evolution of European integration from the ECSC to the EU. On this basis, it will analyse the multi-layered governance of European space policy today, focusing on the two characteristics of 'hybridity' and 'integrity' in order to contribute to a more accurate understanding of European space policy.
Crises of War and European Integration: Background of the European Coal and Steel Community (ECSC)
Authors:   United European Research Society, Kim Yoo-Joung , Kim Seong Ju
Published: December 2023

The European Union (EU), which guaranteed peace and prosperity in Europe after the two World Wars, has faced a series of consecutive crises and challenges since the late 2000s. Some analysts have even diagnosed a pessimistic outlook for the future of Europe due to this continuous string of crises. Such a reality has prompted inquiries into the continuity of the EU itself. Is the EU genuinely sustainable? If it endures, can it evolve into a more robust political integration body? Enduring amidst the prevailing ascendancy of nationalism and external pressures, can the EU steadfastly preserve unity within diversity? This study, which discusses the relationship between the crisis of war and the development of European integration, primarily aims to find insights into the current future of the EU and the correlation between crises and the development of European integration.
Throughout the past 70 years of European integration, Europe has faced numerous crises. In 1954, with the failure of the European Defense Community (EDC) treaty, journalists questioned the uncertain future of integration. Jean Monnet, in response, asserted that Europe would learn about integration through crises. Moreover, the development of the European Coal and Steel Community (ECSC), the first institution of European integration, is closely linked to the crises in Europe during the 20th century, including the World Wars and the Cold War. Therefore, Monnet explained that Europe was born out of crises. This study will explore the origins of the ECSC and the significance of supranational European integration methods, examining how crises of war can strongly reinforce the necessity for integration.
A systematic scoping review of the analysis of COVID-19 disease using chest X-ray images with deep learning models
Authors: Saini Kirti , Devi Reeta
Published: December 2023

The significance of chest X-ray data in screening patients for COVID-19 has been recognised by medical experts. Deep learning (DL) technologies, particularly artificial intelligence (AI) algorithms, have emerged as efficient classifiers for diagnosing disease through the inspection of chest X-rays. Medical professionals may use deep learning skills to effectively allocate resources and prioritise patients, ensuring that people in critical need of medical attention receive it on time. In reviewed papers, chest X-ray images datasets are used in order to investigate if trained convolutional neural networks (CNNs) can be utilized to accurately classify COVID-19 cases. The study is made more fascinating by the availability of many kinds of new DL models designed specifically for this specific purpose. As the findings illustrate the efficacy of fine-tuned pretrained CNNs for COVID-19 identification using chest X-ray data, the usage of AI-based approaches for COVID-19 identification using chest X-ray data should see substantial growth, giving a more quick and cost-effective approach. The combination of CNN technology and the diagnostic capacity of chest X-ray imaging offers a lot of promise in the fight against COVID-19. Ultimately, the goal is to reduce the strain on healthcare resources and improve patient outcomes by providing medical practitioners with dependable technologies, such as those based on the artificial intelligence (AI), that can aid in real-time monitoring, rapid diagnosis, and patient triage. These advancements enable more effective use of healthcare resources, which benefits patients.
Sistem Informasi Pengolahan Data Inventory Barang Pada Toko Penta Komputer
Authors: Aisyah Nur , Saputra Dian Adi , Avini Tertia
Published: December 2023

Abstrak - Pertumbuhan teknologi, seperti di bidang teknologi dan informasi, dapat mendukung produksi informasi yang lebih akurat dari pada dihasilkan dengan secara manual kepada penggunanya. Teknologi informasi dapat digunakan untuk membuat sistem informasi, misalnya untuk membuat sistem informasi inventaris (inventory) dan penjualan. Sistem inventory yang ada pada toko penta komputer saat ini belum terkomputerisasi, transaksi keluar masuk barang masih tercatat dalam berkas yang berantakan sehingga sering menimbulkan kerusakan dan kehilangan. Dengan adanya sistem informasi yang telah terkomputerisasi dapat mempermudah karyawan dalam mencatat transaksi keluar masuk barang, serta dapat menghasilkan laporan inventaris yang lebih akurat. Pada artikel ini, penulis menggunakan metode waterfall. Aplikasi ini menggunakan MySQL sebagai databasenya dan pemrograman PHP untuk membangun sistem informasinya. Sistem dapat membantu dalam pembuatan laporan inventory barang masuk dan keluar.Kata kunci: MySQL, PHP, Sistem Informasi , Inventory, WaterfallÂ Abstract - Technological growth, such as in the field of technology and information, can support the production of information that is more accurate than manually generated for users. Information technology can be used to create information systems, for example to create inventory and sales information systems. The existing inventory system at the Penta computer store is currently not computerized, transactions in and out of goods are still recorded in messy files that often cause damage and loss. With a computerized information system, it can make it easier for employees to record transactions in and out of goods, and can produce more accurate inventory reports. In this article, the author uses the waterfall method. This application uses MySQL as its database and PHP programming to build its information system. The system can assist in making inventory reports of incoming and outgoing goods.Keywords: MySQL, PHP, Information System, Inventory, Waterfall