bluuebunny/crossref_metadata_2025 huggingface dataset:
Critical Analysis of Midwives' Impact on Maternal and Neonatal Health in Saudi Arabia
Authors: Al-Shahrani Hoda Nasser Fayez , Alshahrani Hanan Dafer , Al-Masaad Neamah Mesfer Masaad , Almusaad Thuraya Mesfer Musaad , Al-Musaad Hamdah Mesfer Musaad , Dakam Faris Ahmed Mohammed , Almihithal Wijdan Misfer Horgan , Alsaad Ghadeer Mubarak Saed , Al Saad Hamad Mohammed Hamad , Fawaz Amira Hussein Nasser
Published: November 2024

Specifically, this paper discusses how midwives influence maternal and neonatal health care in Saudi Arabia. This paper contributes to filling this gap by providing an analysis of the role of midwives despite improvements in the health care system's stock and decreasing maternal and neonatal mortality ratios. The research concerns midwives' role in shaping the nature of care, maternal and neonatal health, and maternity care systems. The information was obtained both from structured and unstructured documents, interviews with healthcare professionals, surveys, and statistical health reports. Findings reveal that midwives contribute a lot to providing ANC, skilled birth attendance, and PNC but are constrained by factors including inadequate training, poor deployment, and practices that are culturally irrational. Based on the paper's findings, recommendations are made to enhance and expand midwifery services in Saudi Arabia.
Comprehensive Review of Foundational Advances Across Healthcare Disciplines
Authors: Algobisi Norah Mohammad Brahem , AL Mutairi Laila Faris , Al Otaibi Shaher Mushabab Hajad , AlRasheed Noura Mohammed , Al-Saadoun Anoud Musab , Alotaibi Bader Hmood , Alhazmi Aisha yahea , Alanezi Aisha Hindi , Alharbi Mohammed aziz , Alshammary Manal Ayyad
Published: November 2024

Healthcare has also witnessed drastic changes in many fields of study, including medicine, nursing, pharmacy, dental and medicine, public health, and healthcare management. They have had a drastic positive impact in the short term on patient care, clinical practice/ bureaucracy, and the health of a nation, which has enhanced the health care systems in the world. This review looks at these basic innovations so that one can understand the kind of changes they underwent. Almost all advancements in treatments and technologies, changes in patient care models, and success at combating chronic and acute disease states have directly hinged on interdisciplinary strategies. The place such innovations take in the ongoing advancements in healthcare helps define the course that healthcare environments and patients are set to take in the future.
Critical Review of Cross-Cutting Themes in Global Healthcare
Authors: Alsayari Fatemah Ayeed Salmeen , Alsaiari Salaha Saleh Bishr , Alzogly Mohammed Ahmad Ali , Alsaad Abdulmajeed salem , Almothel Mana Saud Mohd , Alkorbi Dawlah Nasser Salem , Albalawi Nuha Faleh , Alhumaidi Mohammed , Alyami Ali Hussain Ahmed , Alshammmry Sultana Hussean
Published: November 2024

Global health is a bracing complex of multidimensional and cross-cutting issues that define health care and policy worldwide and the models of health care administration. These themes are UHC, social conditions influencing health, technology, health workforce, and climate change. This paper aims to review and contrast these themes through High-Income Countries and Low-Income Countries to identify key emerging challenges and opportunities in global health. The publication also considers the need to combine efforts and work intelligently to solve these problems, focusing on the organization's work on the international level to create conditions for achieving improved health for everyone. Finally, the authors present policy implications that may help promote fair and sustainable models for healthcare organizations internationally.
A Comprehensive Review of Emerging Paradigms in Global Health Research
Authors: Aljohani Yousef Hmdan , Alzahrani Seham Mohammed , Alsharyoufi Mamdooh Wasel Mohammed , Al-Omari Abdullah Ghazi , Almrwani Saleh Hmdan , Alrashidi Reem Nashmi , Algohny Amani Farg , Al-Tawri Nawaf Mustafa
Published: November 2024

International health research has attracted considerable interest in the last decades, mainly attributable to Health inequality, the Emergence of No communicable diseases, and Universal bond industriousness in fighting global health dilemmas. The social transformation of the nature of health problems, on the one hand, and the innovation of disease prevention and control strategies, on the other hand, define the new epistemologies of Global Health on the move. In this paper, these new paradigms are discussed in detail, focusing on the areas of study, the qualification of contexts, and the methods used. To this end, to contribute to the ongoing research in the area, we discuss emerging research themes, gaps, and potential research directions for future work. Through a careful review of scientific literature mixed with methodological approaches, this paper proposes to advance from the current focus on global health subjects to a more rigorous, diverse, and encompassing approach.
Comprehensive Review of Health Workers’ Roles in Mental Health Management in Hospitals
Authors: Lajam Yahay Ahamad , Alzogly Abdhudi Ahmad Ali , Alqahtani Basim Abdullah Abdullah , Saleh Dafer Ahmad Saleh AL , Alshahy Majed Hamad Mahdi , Albahri Ali Dahfer , Alkorbi Mobarak Abdullah Salmen , Alsaiari Ali Ayed Salmen , Alqarni Esraa Hosain , Mashnafi Salma Ateya
Published: November 2024

The following research paper seeks to review health workers' functions in mental health management in hospitals. More generally, social workers review the roles of the multidisciplinary teams involved in mental health, factors inhibiting effective care, and prospects for enhancing mental health delivery. This research focuses on a literature review where quantitative and qualitative data draw attention to prevalent trends and practices. The recommendations propose improving health worker training and allocating efficient solutions for better mental health management.
Critical Analysis of the Integration of Health it in Epidemiological Research
Authors: Qadi Hussain Ahmed Mohammed , Sakk Adel Ahmed , Jaafari Ibrahim Mohammed Ahmed , Alkhayrat Mansour Alhassan Ahmad , Mudarbish Mutaen Ali Yahya , Mujarribi Hisham Abdullah Hussain , Almakrami Ibrahim Hussain Ahmad , Al Omar Ali Saad Goblan , Alyami Abdullah Allas Hussain , Darahem Raed Mohammed Ali Abu
Published: November 2024

This paper provides an overview of the contribution of Health Information Technology (Health IT) to epidemiological research and public health: the Health IT Revolution in Epidemiology. From these findings, this paper critically assesses the role, opportunities, and difficulties that Health IT has made to epidemiological practices in the field. The analysis illustrates that Health IT has brought improvement in terms of precision and availability of epidemiological information, as well as new issues: for example, data security issues, ethical problems, and disparities in the availability of technologies. This paper discusses the plethora of current literature, methodologies, and actual applications to provide a comprehensive view of the impact of Health IT in epidemiology. The analysis discussion then stresses the challenge of meaningful and moral incorporation to capitalize on it in the global health environment.
Critical Analysis of Health Security Policies: Bridging Gaps in Global Preparedness
Authors: Saq Jaber Salem S Abu , Al-Hababi Mohammed Saad Ali , M Alyami, Fahad Salem , Alsalem Ali Hamad Mohammed , M Alsalem, Abdullatif Hamad , B Alsalem, Mosa Hussain , Yami Ali Hamad AL , Aldawais Hamad
Published: November 2024

The facets of COVID-19 have exposed deep structural flaws in the world health systems, weaknesses, and disparities of preparedness. The following paper looks at the various policies used in the global health security system before highlighting pitfalls observed and the strategies that can be used to solve the problem. Examining historical crises such as COVID-19 and the 2014-2016 Ebola, the study also reveals intrinsic weaknesses in the system, including disparity of funds distribution and lack of warnings compliance mechanisms. In applying qualitative and quantitative research, this paper recommends equity, collaboration, and technology as some of the gaps that need to be closed. Recommendations for rebuilding a more resilient world target investments in international equity and balanced resource distribution, responsible technological advancement, and well-developed international systems.
Critical Review of Interdisciplinary Approaches to Mental Health and Well-Being
Authors: Alsubaie Abdullah Fahad Musaed , Almutairi Raed Maniaullah Ateeqaullah , Alraseni Waleed Saleh Hamad , ALmutairi Abdullah Safar , Al-Mansour Abdulaziz Ahmed Abdulaziz , Hazzazi Thamer Ahmed Ail , Alfarsy Ali Abdu , Alanazi Ghazi Khalaf , Alotaibi Khalid Fahad , Alshardan Abdullah Ibrahim
Published: November 2024

Mental health and well-being should be the goal of the healthcare system to provide all possible, available, and sustainable quality care to clients; in exchange, faced with a myriad of similar threats experienced by healthcare systems across the world, it suffers from the failure to provide healthcare by compromising on the three; accessibility, quality, and equity. Thus, the present work brings an overview of the key areas in global health systems with a focus on demands' differences, pandemics' impact, resource distribution, and policy/health system issues. In this paper, the literature will be reviewed and analyzed, and recommendations will be made to address the identified problems. Analyzing these global issues, the study aims to enhance understanding of issues in existing healthcare practices, government policies, and technological advancements to create a better future by offering ways of delivering needs effectively.
study of translation strategies used in the translation of Walt Disney songs into Thai
Authors: Leelasoorayakan Thanaporn , Riabroi Pennapa , Dhanarattigannon Jiraporn
Published: November 2024

Song translation poses a unique challenge for translators, requiring them to balance linguistic elements, cultural nuances, and musicality. This study aims to analyze the number of syllables and words of the English Walt Disney songs and their Thai translations and to examine the strategies used in the translation of Walt Disney songs into Thai. Nine Oscar-winning songs from Walt Disney’s animated films were analyzed, revealing that the Thai versions tend to have fewer syllables and words than the originals. In addition, of the seven translation strategies proposed by Lefevere (1975), six were identified in the translations, namely literal translation, metrical translation, verse to prose translation, rhymed translation, blank/free verse translation, and interpretation. Interestingly, interpretation emerged as the most frequently employed strategy, showcasing the creativity required in adapting songs to new linguistic and cultural contexts. This study may serve as a valuable reference for translators and contribute to further research in the field of translation studies.
Eficácia da imagética motora e do neurofeedback para o controle motor e a reabilitação funcional em casos de lesão cerebral: uma revisão de literatura
Authors: da Rocha Gonçalves Marchini Beatriz , da Silva Marques Victoria Maria , de Sousa Silva Evangelista Yasmin , d´Alegria Tuza Fábio Augusto , Tavares Marilia Salete , Werneck José Gabriel Euzebio
Published: November 2024

Introdução: A reabilitação de pacientes com lesão cerebral é desafiadora, com diversos protocolos de tratamento sendo propostos para promover a autonomia dos pacientes, incluindo a Imagética Motora (IM). Objetivo: Analisar, por meio de uma revisão bibliográfica, o uso de IM e neurofeedback como ferramentas de reabilitação, identificando as evidências científicas nacionais e internacionais sobre sua eficácia para promover a autonomia nas atividades diárias de pacientes com lesão cerebral. Métodos: Foi realizada uma revisão de literatura com buscas nas bases de dados PubMed, SciELO e BVS. Foram filtrados artigos em português e inglês, publicados nos últimos 10 anos, com foco em estudos clínicos. Utilizou-se a chave de busca: stroke, rehabilitation, postural balance, physical therapy specialty, virtual reality, cerebral palsy, neurological, game therapy, Wii therapy, neuroimaging, virtual reality exposure therapy, neurological rehabilitation, motor imagery, kinesthetic imagery, visual imagery e mental practice. Os critérios de inclusão abrangeram artigos originais, ensaios clínicos, estudos de caso-controle e séries de casos, publicados nos últimos 10 anos, focando no uso da IM em pacientes com lesão cerebral. Resultados: Foram encontrados um total de 193 artigos sobre o tema. Após a leitura de título, resumo e texto na íntegra, foram selecionados 9 artigos para esta revisão. Os artigos analisados demonstraram o uso da IM na recuperação do controle motor e na independência funcional em casos de lesão cerebral. A técnica ativa áreas específicas do cérebro e promove plasticidade neural, essencial para a recuperação motora, contribuindo para a melhora da coordenação motora, controle postural e independência funcional mesmo em lesões graves. Conclusão: Os estudos analisados indicam que a IM tem potencial para auxiliar na reabilitação em casos de lesão cerebral, favorecendo a plasticidade neural, a recuperação motora e a independência funcional, especialmente em casos graves de paresia, justificando sua adoção junto aos métodos tradicionais. Futuras pesquisas são necessárias para otimizar suas estratégias de uso.

Palavras-chave: Reabilitação; lesão cerebral; imagética motora; plasticidade neural; independência funcional.
Impacto de intercorrências físicas e clínicas no tempo de execução de atividades funcionais de membros inferiores em menino com distrofia muscular de Duchenne: estudo de caso
Authors: Alves Vale Fernando , Callil Voos Mariana , Aparecida Caromano Fátima
Published: November 2024

Introdução: O conjunto de atividades funcionais, como o levantar e o sentar no chão e na cadeira, subir e descer escadas e caminhar são fundamentais para independência e mobilidade do paciente e, sua avaliação, de grande relevância clínica para o acompanhamento funcional de crianças com diagnóstico de distrofia muscular de Duchenne. Objetivo: Descrever a relação entre o tempo de execução de atividades motoras funcionais de membros inferiores e intercorrências físicas e clínicas em menino com distrofia muscular de Duchenne (DMD), acompanhado quinzenalmente por período de um ano. Métodos: O participante foi escolhido de um conjunto de 182 prontuários de pessoas com diagnóstico de DMD a partir de exames genéticos, tendo sido critérios de inclusão finalizar o período de um ano realizando as atividades funcionais a serem analisadas, ter frequentado todas as sessões quinzenais de fisioterapia no período de um ano e ter histórico de intercorrências físicas e clínicas na anamnese. Os tempos de execução das atividades funcionais registrados no prontuário foram cronometrados de forma sistemática e foram investigadas as intercorrências como quedas e gripes. Foram coletados dados das atividades de levantar-se do chão e da cadeira, subir e descer escadas e caminhar. Resultados: As intercorrências físicas e clínicas, de grau leve, aumentaram o tempo de execução das atividades com piora temporária nas funções motoras, mas não alteraram o curso progressivo da doença de forma relevante. Após os eventos, os dados retornaram à linha de evolução esperada, característica da DMD. A coleta e interpretação contextualizada dos tempos de execução das atividades motoras foi essencial para a tomada de decisões clínicas imediatas, auxiliando na escolha da intervenção fisioterapêutica adequada para o paciente. Conclusão: A medida do tempo de execução de atividades motoras de membros inferiores foi relevante na compreensão do estado clínico-funcional do paciente no momento da intervenção fisioterapêutica, especialmente quando contextualizado com situações de intercorrências físicas e clínicas. Sugerimos estas medidas de avaliação nas rotinas clínicas de fisioterapia, com foco em, pelo menos, uma das atividades funcionais, visto que, as coletas de várias medidas comprometem o tempo de atendimento na sessão.

Palavras-chave: Estudo de avaliação; distrofias musculares; criança.
Electrospun Poly-Lactic Acid Nanofibers as a scaffold for Regenerative Endodontics purposes: Fabrication and Characterization
Authors: Ghoneim Mai S , Abd-Elal Radwa M. A. , Kataia Ingy M. , Abu-Seida Ashraf M , Mahran Abeer H
Published: November 2024

Poly (lactic acid) (PLA), which is a polyester, undergoes hydrolytic degradation into lactic acid, a natural metabolic byproduct, making it well-suited for medical applications. PLA nanofibers have expanded the potential applications of PLA scaffolds, particularly in regenerative medicine and drug delivery. These nanofibrous scaffolds offer several advantageous features, including a high surface area, the ability to mimic the architecture of the native extracellular matrix, and tunable mechanical properties (factors that are crucial when designing scaffolds for specific organ systems). This study deals with the synthesis, characterization, and evaluation of PLA nanofibrous scaffold. For the fabrication. Polylactic acid (PLA) polymer solution at a concentration of 25 wt% was processed into Fibres. Characterization used in the current study included scanning electron microscopy (SEM), Fourier-transform infrared spectroscopy (FTIR), degradation tests. The antimicrobial properties were tested against Porphyromonas gingivalis (Pg) and Enterococcus faecalis (Ef). SEM imaging showed Fibres with submicron diameters, and FTIR spectra of nanofibers showed that PLA was evident by the presence of the characteristic peaks. Antimicrobial activity was confirmed via agar diffusion assays, showing evidence of antimicrobial activity against the tested bacteria. These findings suggest that PLA scaffolds could serve as a biologically safe system for further use in regenerative endodontics.
Redes neuronales colaborativas en aprendizaje social sincrónico
Authors: Guaña Moya Javier
Published: November 2024

Esta revisión sistemática de literatura explora el potencial de las redes neuronales colaborativas en el aprendizaje social sincrónico, analizando investigaciones cuyos hallazgos revelan que estas tecnologías ofrecen herramientas innovadoras para analizar y optimizar las interacciones entre estudiantes en tiempo real. Se destacan aplicaciones como el análisis del discurso colaborativo, la evaluación automática de interacciones y la predicción del rendimiento académico, con modelos que alcanzan una precisión de hasta el 87%. Las redes neuronales muestran una gran versatilidad, adaptándose a diversos contextos educativos y estilos de aprendizaje, siendo fundamentados en la interacción entre estudiantes en un entorno controlado. Entre los beneficios identificados se incluyen la personalización del aprendizaje, la democratización del acceso a tecnologías educativas avanzadas y la mejora en la comprensión de dinámicas grupales. Sin embargo, también se señalan desafíos como la privacidad de datos, la gestión de participantes rezagados y la necesidad de mantener la calidad del modelo con datos heterogéneos. De igual forma, la investigación sugiere que la sincronía cerebral entre participantes podría mejorar la comunicación y el rendimiento académico, concluyendo que, aunque las redes neuronales colaborativas tienen un gran potencial para transformar el aprendizaje social sincrónico, los desafíos éticos y técnicos se destacan como variables que complican su implementación efectiva.
The Role of Gender Equality in Economic Development: A Cross-Cultural Analysis
Authors: Aziza Sharipova  , Dilorom Akhmedova
Published: November 2024

This research examines the role of gender equality in fostering economic development across different cultural contexts. By analyzing data from various countries, the study evaluates how gender equity in education, employment, and political participation correlates with economic growth. Findings suggest that countries with greater gender equality experience more sustainable economic development, underscoring the importance of inclusive policies.
ESTRATÉGIAS DE EXPANSÃO NO COMÉRCIO EXTERIOR: UM ESTUDO SOBRE OS PROCESSOS BUROCRÁTICOS NA INTERNACIONALIZAÇÃO DAS PEQUENAS E MÉDIAS EMPRESAS
Authors: Silva Julia Tauana Saraiva da , Costa Rafael Alves Silva Da , Oliveira Margibel Adriana de
Published: November 2024

O presente trabalho apresenta as principais dificuldades encontradas pelas pequenas e médias empresas no processo de exportação. As PMEs se deparam com dificuldades neste cenário dado suas especificidades e pouca especialização. Logo, foi identificada a necessidade de pesquisa sobre os processos burocráticos para a internacionalização de pequenas e médias empresas, apresentando pontos importantes e necessários para a compreensão sobre o tema. Assim como, diversos processos que as empresas enfrentam para se inserir ou aumentar sua participação nas exportações brasileiras.
Sorting out the heterogeneity in Panic Disorder : on the neurobiology of its subtypes and the comorbidity with tinnitus
Authors:   , Pattyn Thomas
Published: November 2024

This thesis is about sorting out the heterogeneity in Panic Disorder, focusing on the neurobiology of its subtypes and the comorbidity with tinnitus.
Optimization Strategies in Planned Economy Models: Enhancing Global Profit through Quantitative Forecasting
Authors: Fridhi Bechir , Almutairi Ngeyan
Published: November 2024

In this article, we introduce a decentralization algorithm that advances in stages, with the central authority setting quantitative production targets for decentralized units. The decentralized units aim to maximize profits by aligning their production with these targets, incentivized by a bonus system where rewards increase as deviations from the central objectives are minimized. The algorithm's goals include enhancing system efficiency, promoting collaboration through rewards, and enabling adaptive goal setting. The iterative nature of the process allows the central authority to refine its understanding of each unit's technical capabilities, setting more precise production targets over time. The algorithm ensures convergence towards an optimal solution that balances the objectives of both the central authority and the decentralized units. Key results show that the algorithm is monotonic, meaning each iteration progressively moves closer to the optimal solution without regression. This improves decision-making by the central authority as it gains insights into each unit's capabilities. The study also highlights the practicality of the algorithm, showing that decentralized units are motivated to adhere to the rules set by the center, leading to a well-coordinated and optimized production system.
AVALIAÇÃO MICROBIOLÓGICA DE MATERIAIS E EQUIPAMENTOS UTILIZADOS EM UMA CLÍNICA DE ESTÉTICA
Authors: Winck Mariana , Carvalho Milena Martins de , Lazaretti Waleska
Published: November 2024

The demand for aesthetic procedures is becoming increasingly common worldwide. However, the lack of proper infection control measures has contributed to a rise in complications related to these procedures, which can pose a risk to patient health. The aim of this project was to assess the effectiveness of preventive measures and the care of materials and equipment used. Additionally, the presence of microorganisms was investigated in the environments where these services are performed, and susceptibility profiles were determined. The research was conducted in a beauty clinic located in the state of Paraná, Brazil. Samples were collected in duplicates from 15 locations and equipment commonly used in the clinic’s daily operations. Of the samples collected, 73.33% showed microbial growth, with coagulase-negative Staphylococcus being the most prevalent genus, representing 60% of the results.
PRECARIZAÇÃO DO TRABALHO DOCENTE: PLATAFORMAS DIGITAIS E INTELIGÊNCIA ARTIFICIAL NO ENSINO SUPERIOR
Authors: Fagundes Alan Cordeiro , Chaves Rômulo Oliveira , Miranda Hellen Patriny Soares , Calunga Walter Paulo de Oliveira Celestino
Published: November 2024

Este artigo tem a intenção de analisar a crescente precarização do trabalho docente no ensino superior brasileiro em contraste com a ascensão da inteligência artificial (IA) no âmbito da Educação Superior. A partir de uma revisão crítica da literatura disponível, o nosso estudo argumenta que a IA, através da sua implementação descontrolada corre o risco de aprofundar as precárias condições de trabalho dos docentes e comprometer a qualidade da educação no Ensino Superior. O artigo propõe uma abordagem crítica e reflexiva à integração da IA no ensino superior, priorizando a valorização do trabalho docente e a construção de um modelo educacional mais humanizado, inclusivo e de qualidade. O estudo apoia-se nas discussões teóricas de autores nacionais como Antunes (1999-2023); Srnicek (2017), Van Doorn (2019-2021); que pesquisam sobre o tema.
O IMPACTO DA MASSAGEM NA LIBERAÇÃO DE HORMÔNIOS E NEUROTRANSMISSORES EM PACIENTE COM CÂNCER DE MAMAS: UMA REVISÃO INTEGRATIVA.
Authors: Andrade Regina Lucia de Sousa , Morais Izabella Araujo
Published: November 2024

Introduction: It is evidenced that breast cancer is very common among women, associated with physical and emotional stress due to the invasive therapies they undergo. Therapeutic massage promotes well-being and quality of life for these patients. Objective: To describe the benefits of therapeutic massage in reducing stress and anxiety in patients with breast cancer. Methodology: This is an integrative literature review developed based on a guiding question defined after creating the PICO acronym. Search descriptors were established for strategy implementation in the following databases: Virtual Health Library, Scielo, PubMed, Medline, and Google Scholar. A total of 753 articles were found. Thirty-seven articles were discarded due to duplication. In the end, 40 articles were selected for full reading, excluding those that were incomplete or did not answer the guiding question. Results: Thirteen articles were selected that suggest the effect of massage on the release of hormones and neurotransmitters is related to well-being, inducing biochemical changes that can improve oxygenation and blood flow, increasing the release of substances that promote well-being and provide analgesia, thus enhancing overall well-being. Conclusion: The practice of massage not only improves the quality of life of patients but also promotes effective biochemical changes, such as the release of hormones that bring well-being. It emphasizes the need for more research to validate its effectiveness and integration into treatment approaches. The study highlights the necessity for further research to understand the mechanisms involved and the efficacy of massage in clinical contexts. Descriptors: Massage; Massage Therapy; Breast Neoplasms; Chronic Pain; Pain Threshold.
SAÚDE MENTAL DO IDOSO: REESTRUTURAÇÃO E TROCA DE PAPÉIS NO CONTEXTO FAMILIAR
Authors: Moura Emmanuela Niemaier de , Santos Flavya Ferreira dos , Lima Renascha Gabrielly Soares , Faria Hytalo Mangela de Sousa
Published: November 2024

It is known that the aging process is a natural process of life, being the last phase of human development. As a result, several changes occur in an individual's life as they age, some of which are physical, cognitive, behavioral, among others, resulting from advancing age. These changes will also encompass the family and social nucleus of that person, where, for the most part, there is a need for changes in the family structure of the elderly person and consequently it will be necessary to change roles in this context, completely changing the functions that each family had within the family to be able to organize themselves and take care of the manager. As a result of this family restructuring, together with the challenges of the last cycle of life, the elderly lose a large part of their autonomy and this factor directly impacts their mental health, and may even develop some psychological disorder in this final phase of life, such as depression and anxiety.
ADESÃO DA GESTANTE AO PRÉ-NATAL CONDUZIDO POR ENFERMEIROS NA ATENÇÃO PRIMÁRIA À SAÚDE: REVISÃO INTEGRATIVA
Authors: Silva Rosicléia Dias da
Published: November 2024

Introduction: Adherence to prenatal care is essential for the health of the mother-child binomial, enabling early identification of complications, appropriate treatment and a safe delivery. Objective: To analyze the factors that influence pregnant women's adherence to prenatal care conducted by nurses in Primary Health Care (PHC), identifying barriers and facilitators, as well as evaluating the impact of the assistance provided by nurses on continuity of care. Method: This is an integrative literature review carried out by searching the Virtual Health Library (BVS). Results: The search resulted in 13 articles, 4 of which were included after screening. The studies, published between 2017 and 2024, revealed that pregnant women's adherence to nurse-led prenatal care is mainly influenced by reception, bonding and the use of care protocols. Conclusion: There is a need for more studies on the subject. In addition, public policies, at both national and local level, are fundamental to guaranteeing the quality of prenatal care and improving the adherence of pregnant women.
INCIDÊNCIA DA MORTALIDADE RELACIONADA AO SEXO POR SEPSE NO PIAUÍ: ANÁLISE DE DADOS DOS SUS DE 2019 A 2023.
Authors: Oliveira Camila Portela Paz de , Nascimento Mayra Monteiro de Carvalho , Ribeiro João Luiz Vieira
Published: November 2024

Há diversas alternativas terapêuticas, no manejo da mielomeningocele, com destaque para as intervenções pós-natal e intrauterina, sendo essas abordagens fundamentais para minimizar as complicações neurológicas e melhorar os prognósticos funcionais. Desse modo, o presente trabalho teve como finalidade mapear as produções científicas acerca do prognóstico entre o tratamento pós-natal e intrauterino da mielomeningocele. Assim, a metodologia utilizada foi uma revisão integrativa de literatura nas bases de dados Scielo, Pubmed, Lilacs e Medline entre o período de 2020 a 2024. Os resultados destacam que tanto as intervenções intrauterinas quanto as pós-natais visam melhorar os resultados clínicos e neurodesenvolvimentais na mielomeningocele. A intervenção precoce é crucial para melhores desfechos, e a escolha do tratamento depende das características do paciente e da idade gestacional. Pesquisas contínuas são necessárias para aprimorar técnicas e garantir acesso equitativo ao tratamento.
O USO DA ANTICONCEPÇÃO DE EMERGÊNCIA E O RISCO AUMENTADO PARA INFECÇÃO SEXUALMENTE TRANSMISSÍVEL: UMA REVISÃO INTEGRATIVA
Authors: Reis Ingrid Teixeira dos , Morais Izabella Araújo
Published: November 2024

Introduction: Emergency contraception, commonly known as the "morning-after pill," is widely used to prevent pregnancy after unprotected sexual intercourse. However, its use has been associated with a decrease in condom use, which increases the risk of sexually transmitted infections (STIs). Objective: To conduct an integrative review of the literature to assess the relationship between the use of the morning-after pill and the increased risk of STIs, identifying implications and educational strategies to improve protection against these infections.Methodology: The research was conducted through an integrative review of studies published between 2010 and 2024, extracted from the PUBMED, Google Scholar, SCIELO, BVS, and LILACS databases. Articles that investigated the effectiveness of emergency contraception and its impact on women's sexual behavior, with a focus on STIs, were selected. Results: A total of 253 articles were found, of which 243 were excluded due to language, duplication, publication date, or incompleteness. In the end, 10 articles were selected. Discussion: The review revealed that many women use the morning-after pill believing they are protected from all the consequences of unprotected sexual intercourse, including STIs. Cultural barriers and a lack of sexual education contribute to risky behaviors. Conclusion: Awareness of the risks of STIs should be increased through educational campaigns emphasizing the importance of using condoms alongside emergency contraception.
IDADE MATERNA AVANÇADA E FERTILIDADE: ESTRATÉGIAS PARA PRESERVAÇÃO E TRATAMENTO NA REPRODUÇÃO HUMANA
Authors: Miranda Gabriela da Silva , Barreto Lúcia Ellem Araujo , Menezes Bruno Souza , Delvali Carolina Souza
Published: November 2024

Through literature review articles, we evaluated in this article the preservation of female fertility and the human reproduction techniques used to achieve pregnancy at an advanced age. In this article, we present data that will help women who intend to postpone motherhood to stay informed in advance, enabling them to preserve fertility or explore other scientific means to conceive even in later stages of life. Among the techniques discussed are Oocyte Cryopreservation, In Vitro Fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI), and Embryo Cryopreservation. Finally, we conclude that it is possible to postpone pregnancy safely, whether this decision is due to social, economic, and/or cultural factors.
MASSAGEM RELAXANTE ATUANDO COMO TRATAMENTO PARA INSÔNIA
Authors: Barreto A. M. , Montanari T. F. , Raiany I. S. O. , Taiani M. O. S.
Published: November 2024

O objetivo deste estudo é analisar a massagem relaxante atuando com tratamento para insônia, destacando as técnicas utilizadas e seus benefícios. A metodologia adotada é uma revisão de literatura sistemática, abrangendo artigos publicados entre 2000 e 2022 nas bases de dados SCIELO (Scientific Eletronic Library On Line), Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES. Os resultados indicam que o uso de métodos farmacológicos como forma de tratamento, pode acarretar vários riscos associados à saúde, devido às reações adversas aos medicamentos hipnóticos, contudo mesmo com os variados riscos à saúde, ainda é um método de tratamento muito buscado. Conclui-se que os métodos não farmacológicos trazem uma forma de tratamento mais econômica, com menos efeitos adversos e contra indicações, com isso, se o paciente busca um tratamento no grau agudo de insônia, conseguirá diminuir gradualmente os sintomas, consequentemente melhorando sua condição patológica.
FISIOTERAPIA NA REABILITAÇÃO DE PACIENTES SUBMETIDOS À CIRURGIA ORTOGNÁTICA: REVISÃO SISTEMÁTICA¹
Authors: Rêgo Alison Moreira do , Braga Cássia dos Anjos , Gomes Ana Vannise de Melo
Published: November 2024

A cirurgia ortognática é constituída de métodos e procedimentos de osteotomias que propõem-se corrigir discrepâncias relacionadas aos maxilares, combinando o equilíbrio entre a face e o crânio, colocando os maxilares em sua melhor posição possível. O trabalho tem como objetivo realizar um levantamento das publicações acerca das intervenções e benefícios da fisioterapia no pós-operatório de pacientes de cirurgia ortognática. O presente estudo trata-se de uma revisão sistemática e a busca por artigos foi realizada nas bases de dados Sistema Online de Busca e Análise de Literatura Médica (MEDLINE) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scientific Electronic Library Online (SCIELO) e google acadêmico entre outras. Durante a elaboração da pesquisa, foi feito um levantamento de todas as bases de dados, encontrando um total de 2.482 publicações, filtrou-se de acordo com critérios de inclusão e exclusão totalizando 1682 artigos.  Após a leitura do título dos artigos, observaram-se repetições nas bases de dados e outros não preenchiam os critérios deste estudo, selecionando um total de 4 estudos para análise e discussão.   Diante do exposto, pode-se concluir que o papel da fisioterapia tem adquirido destaque na atualidade, bem como a importância da sua atuação no tratamento de pacientes submetidos à cirurgia ortorgnática. Com a limitação deste estudo, devido o baixo número de amostra, é necessário ressaltar a necessidade de realização de novas pesquisas sobre essa temática.
SÍNDROME COMPARTIMENTAL NO MEMBRO INFERIOR DIREITO PÓS TRAUMA CONTUSO
Authors: Soares Alan José Campos , Boroto Elizangela Camata
Published: November 2024

Introdução: A síndrome compartimental é uma condição clínica definida como o aumento da pressão intersticial sobre a pressão de perfusão capilar dentro de um compartimento osteofascial fechado, podendo comprometer vasos, músculos e terminações nervosas e provocando dano tecidual. O tratamento consiste na realização da fasciotomia, uma abertura cirúrgica dos compartimentos para aliviar a pressão interna e, dessa forma, restabelecer a circulação sanguínea para os tecidos, resultando em uma ferida operatória Objetivo: Apresentar um caso pouco frequente e, assim, mostrar a importância do diagnóstico preciso e o tratamento imediato, pois se trata de uma urgência médica. Descrição do Caso: F.G.S, sexo masculino, 32 anos, deu entrada no pronto socorro dia 14/05/2021 com a queixa de dor  e edema em membro inferior direito após trauma contuso por queda em montaria equina, sendo liberado com analgésicos. No dia 15/05/2021 paciente retornou ao pronto socorro com dor refratária à analgesia, parestesia e paresia no pé, edema com empastamento de panturrilha, hematoma importante em fossa poplítea, ausência de pulsos poplíteo e infrapatelar no membro inferior direito. Foi estabelecido o diagnóstico de síndrome compartimental no membro inferior direito. Foi submetido à fasciotomia em compartimentos da perna, embolectomia arterial e ponte arterial poplítea com tronco tibiofibular com veia safena invertida ipslateral. Considerações finais: A história clínica e o exame físico são ferramentas importantes na abordagem inicial do paciente com síndrome compartimental. Depois do início do processo que desencadeia a patologia a síndrome tende a se agravar. Deve-se levar em consideração o diagnóstico quando a dor parecer desproporcional à gravidade da lesão e aumentar por estiramento muscular passivo dentro do compartimento ou se o mesmo estiver tenso. Para se estabelecer o diagnóstico uma alternativa é aferir a pressão nos compartimentos musculares, porém o diagnóstico é essencialmente clínico. A menos que o quadro regrida rapidamente após o tratamento inicial, a realização de fasciotomia não deve ser postergada.
EDUCAÇÃO SEXUAL NA ADOLESCÊNCIA E SEUS IMPACTOS NA FORMAÇÃO DE ATITUDES E COMPORTAMENTOS SAUDÁVEIS: UMA REVISÃO INTEGRATIVA
Authors: Souza Amanda Alves de , Morais Izabella Araujo
Published: November 2024

Introdução: Este artigo aborda a importância da educação sexual na adolescência para a promoção de comportamentos saudáveis e atitudes positivas em relação à sexualidade. Por meio de uma revisão integrativa da literatura, foram analisadas evidências científicas que destacam o papel da educação sexual como ferramenta para reduzir riscos à saúde, como infecções sexualmente transmissíveis e gravidez precoce, além de promover o respeito à diversidade e o desenvolvimento emocional. Objetivo: O objetivo foi compreender como a educação sexual na adolescência contribui para a formação de atitudes positivas e para a promoção de comportamentos saudáveis, investigando seu papel na prevenção de riscos e na construção de uma base sólida para a saúde integral dos jovens. Resultados: A pesquisa identificou desafios culturais e educacionais que dificultam a implementação de programas de educação sexual, como tabus e lacunas curriculares, e ressaltou a importância da inclusão de temas sobre diversidade e identidade sexual nos currículos. Observou-se que a atuação de profissionais de enfermagem é essencial, pois esses profissionais têm uma abordagem sensível e personalizada, capaz de auxiliar adolescentes em questões de saúde sexual e reprodutiva. Conclusão: O estudo conclui que políticas públicas e programas intersetoriais, envolvendo famílias, escolas e profissionais de saúde, são fundamentais para construir uma base sólida para escolhas conscientes e saudáveis dos jovens, recomendando a ampliação e consolidação da educação sexual no ambiente escolar e familiar.
VIOLÊNCIA GERIATRICA: A NEGLIGÊNCIA COM IDOSO AFRODESCENTE NO ÂMBITO HOSPITALAR
Authors: Neponuceno Amanda Vanusa da Silva , Silva Fabiula Jamile Campos da , Marques Michele de Andrade , Santos Thalyta Ágata Sales dos , Oliveira Adriano Dos Santos , Sales Cleomirtes da Silva
Published: November 2024

O artigo trata-se de um resultado de uma busca de dados sobre a discriminação que idosos negros sofrem no ambiente hospitalar, houve uma certa escassez sobre esse assunto que é de suma importância. Foi notado que devido aos estereótipos que pessoas pretas são mais “fortes” há uma grande falha no atendimento dessas pessoas, podendo resultar em diagnósticos apressados e muitas das vezes errados principalmente em casos de doenças crônicas, há também a incompreensão cultural de crenças que podem dificultar o tratamento e causar problemas à saúde mental do idoso facilitando que haja uma ansiedade, um estresse e depressão e levando o idoso a exclusão social. É visível que a sociedade atualmente ainda é extremamente racista resultando em desigualdade tanto no ambiente externo, quanto no ambiente hospitalar e devido a essas discriminação há um comprometimento na expectativa de vida de idosos afrodescendentes. Deixando em evidência que deve haver uma atenção no desenvolvimento de estratégias para eliminar a desigualdade no atendimento de saúde e para isso é necessário não somente a colaboração gos governantes, mas também da sociedade para assim dar um fim a essa situação.
Case Study: Midwifery Care for Elderly Women with Menopause
Authors: Ningsih Fitriani , Sefentina Agustin  , Noni Widiawatie  , Ika Mardiatul Ulfa  , Harta
Published: November 2024

Background: Menopause is a natural phase in a woman's life marked by the cessation of menstruation and a decrease in estrogen and progesterone hormones. In older adults, menopause can lead to physical and emotional changes, such as hot flashes, mood swings, and an increased risk of osteoporosis and heart disease. Purpose: To provide appropriate care for elderly women experiencing menopause and its associated problems. Methods: This case study uses a descriptive observational approach with a Continuity of Care framework for a 62-year-old woman undergoing menopause. Data collection involved anamnesis, observation, physical examination, and documentation, with data analysis comparing the findings to existing theoretical frameworks. Results: The elderly woman reported frequent feelings of warmth in her face and neck, fatigue, and difficulty sleeping. She also experienced mood fluctuations, anxiety, and loneliness, although there were no significant signs of depression. Physical examination revealed a blood pressure of 120/80 mmHg, a pulse rate of 78 beats per minute, and a body temperature of 36.5°C. Laboratory tests showed a slight deficiency in vitamin D. Care interventions included menopause education, dietary advice rich in calcium and vitamin D, relaxation techniques for hot flashes, and follow-up visits. Implications: Interventions such as menopause education, a calcium and vitamin D-rich diet, and relaxation techniques can help elderly women manage menopause symptoms. Conclusion: The Continuity of Care approach can alleviate the physical and emotional complaints of elderly women, improve their quality of life, and help maintain optimal health.
Assessment of Salt Tolerance in Wheat Accessions: Growth and Yield Components under Saline Conditions
Authors: Salim Saifulldeen A. , Rasheed Firas T. , Al-Deen Utoor H. , Almunem Rubaa A. , Alalwany Abdulkarem A. M.
Published: November 2024

Iraq is one of two regions (along with Africa) heavily impacted by soil salinity. A significant portion of land in Iraq, Pakistan, India, and Egypt is unsuitable for agriculture due to this issue. Breeding and hybridization programs may utilize parameters exhibiting high genotypic variation and linked to salt tolerance as quick and affordable screening criteria. The goal of this study was to assess the growth and yield components of wheat accessions for their salt tolerance. Five accessions of winter wheat (Triticum aestivum L.) with varying salt tolerances were employed in this work. The plants were grown in saline-affected soil with a salinity of 28 dS m−1 and were irrigated with well water having a salinity of 7.5 dS m−1. The findings demonstrated that as plants progressed through different growth stages, the soil’s salt concentration decreased. For the A1, A2, and N3 accessions, this decrease was from 28 dS m−1 before sowing to 8, 7.5, and 7.6 dS m−1, respectively. At the mature stage, the Tamoz2 and Maxipak cultivars showed salinity levels of approximately 16 and 17 dS m−1, respectively. Wheat accessions A1, A2, and N3 displayed the highest germination rates under salinized conditions, at 89%, 90%, and 90%, respectively, which differed considerably from those of the Tamoz2 and Maxipak cultivars, at 79% and 83%, respectively. A statistical analysis of the data revealed that the Tamoz2 cultivar required fewer days for germination (12 days) than genotype A2, which required a maximum of 14 days. Accession A3 was the latest for spike formation and growth, at 119 days, while accession A1 required the most time for physiological maturity, at 153 days. Significant reductions were observed in the number of spikes per 6 m2, grain weight, and grains per spike in the sensitive cultivars Tamoz2 and Maxipak. The A2 accession achieved an increased grain yield of 2739.43 g, with no significant differences compared to the A1 accession. However, substantial differences were observed when compared to the remaining sensitive cultivars Maxipak and Tamoz2, which yielded 242.98 g and 346.61 g, respectively. In conclusion, metrics for measuring growth and yield components may serve as useful standards for determining the salt tolerance of wheat accessions. Furthermore, as the A1, A2, and A3 accessions were found to be the most salt-tolerant in this study, breeding programs and appropriate selection strategies can be employed to further enhance the salt tolerance of Iraqi wheat accessions.
Evaluating the Impact of Healthcare Service Quality on Patient Satisfaction and Loyalty: A Study of Public and Private Hospitals in Telangana, India
Authors: (Corresponding Author) Dr. Swagatika Panda , Ramanjaneyulu Dr. Ravula , Nagrani Dr. Komal
Published: November 2024

This study investigates the connections between patient loyalty, patient satisfaction, and the quality of healthcare services provided in Telangana, India's public and private hospitals. Data was gathered from 600 respondents, equally distributed throughout seven hospitals, using the SERVQUAL instrument. A stratified random sample was used in the study to guarantee thorough insights from admitted patients. Important results show that patient happiness and loyalty are highly influenced by the perceived quality of healthcare services. Furthermore, particularly in areas like medical treatment, operational activities, and physical upkeep, patient satisfaction acts as a mediator in the relationship between service quality and loyalty. When comparing private hospitals to public hospitals, higher levels of satisfaction and loyalty were found. The study emphasizes how crucial it is for healthcare services to continuously improve their quality to improve patient outcomes and institutional reputation. Future studies should examine how demographic factors, and longitudinal effects affect patient views in various healthcare environments.