bluuebunny/crossref_metadata_2025 huggingface dataset:
Exploring Service Quality and Customer Satisfaction in the Service Industry: A Mixed-Methods Analysis
Authors: Laksamana Amerta  , Ishwari Madhavi
Published: February 2025

This research delves into the intricate dynamics between service quality and customer satisfaction within the diverse landscape of the service industry. Embracing a mixed-method approach, the study examines the correlation between perceived service quality dimensions and the resulting levels of customer satisfaction across various service sectors. Hypotheses proposing a positive relationship between service quality and satisfaction serve as guiding principles in exploring the multifaceted dimensions of this association. The methodology integrates quantitative analyses, including surveys and regression analysis, with qualitative insights derived from interviews and focus groups. Data analysis unravels potential correlations, nuanced variances, and unexpected influences shaping customer perceptions of service quality and satisfaction. Findings from the study contribute nuanced insights, revealing sector-specific nuances, non-linear relationships, and unforeseen influences on satisfaction levels. The practical implications drawn from these discoveries underscore the significance of tailored service strategies, employee empowerment, technology integration, and a relentless commitment to customer-centricity. The research concludes that the pursuit of superior service quality transcends immediate customer satisfaction, representing a commitment to organizational excellence and sustained growth within the competitive service industry. By leveraging the insights garnered, businesses can refine their service delivery approaches, foster enduring customer relationships, and carve pathways toward sustained success in meeting evolving customer expectations.
Exploring Dividend Policy Dynamics and Firm Valuation in the Technology Industry
Authors: Christo Wansley  , Nathania Cordelia  , Gabriela Veraria
Published: February 2025

This research investigates the complex relationship between dividend policy and company value in the technology sector, characterized by rapid innovation, evolving market dynamics, and divergent investor preferences. Through a mixed-methods approach integrating quantitative analysis and qualitative insights, the study examines dividend policy variables and firm valuation metrics across a sample of technology firms. Empirical findings challenge conventional wisdom and theoretical expectations, revealing a modest or insignificant correlation between dividend yield and firm valuation metrics, and an unexpected negative correlation between payout ratio and firm valuation metrics. Exploring possible explanations for these unexpected findings highlights the influence of non-traditional value drivers, contextual factors, and industry dynamics on dividend policy practices. The research contributes to a deeper understanding of dividend policy dynamics in the technology sector, offering valuable insights for investors, managers, and policymakers navigating the complexities of capital allocation, growth investment, and shareholder value creation in a rapidly evolving and competitive market environment. Through continued research and dialogue, stakeholders can refine their understanding of dividend policy dynamics and inform strategic decision-making to foster sustainable growth and long-term prosperity in the technology industry and beyond.
Information Technology Revolution: Its Impact on the World of Work in the Digital Era
Authors: Syahputra Muhammad Riza , Candra Suherman
Published: February 2025

This study aims to identify and analyze how the process of the information technology revolution increases company productivity, as well as how the government acts to reduce unemployment caused by the replacement of human tasks by information technology in several industrial companies in Indonesia. The research method uses a qualitative descriptive approach with purposive sampling for data collection, and data is gathered through documentation study. Based on the research findings, it can be concluded that several ways businesses become more productive due to the IT revolution, including process automation, efficient collaboration and communication, data and big data management, improved operational efficiency, and customer service digitization. It can also be concluded that the preventive measures taken by the government to reduce the impact of information technology on increasing unemployment include enhancing education and training in information technology skills, developing the digital economy and creating job opportunities, providing technological infrastructure to train potential human resources in regions, as well as setting regulations and policies to adjust the labor market.
Beyond the Surface: Delving Deeper Into Leukoaraiosis With Multivoxel Magnetic Resonance Spectroscopy
Authors: Ramesh Ragitha , Subbiah Arunan , Aiyappan Senthilkumar , Ramesh Sabari
Published: February 2025

Objective: To investigate metabolite changes in patients with leukoaraiosis employing multivoxel magnetic resonance spectroscopy (MRS) with the focus on periventricular white matter and explicate the biochemical alterations associated with leukoaraiosis and their impact on lesion load.

Methods: This prospective study was conducted on 64 patients with a known history of leukoaraiosis (mean age, 66.40±8.96 years; 54 men and 10 women) referred for magnetic resonance imaging, wherein MRS was performed. For comparison, 128 age- and gender-matched healthy individuals (mean age, 61.98±8.18 years; 40 men and 88 women) who comprised the control group also underwent MRS. We correlated metabolite ratios (NAA/Cr, NAA/Cho, and Cho/Cr) analyzed on MRS with lesion load measured by semiautomated software.

Results: The NAA/Cr ratio was significantly lower, whereas the NAA/Cho ratio was significantly higher in the control group compared with the patients with leukoaraiosis (P <.0001) . The Cho/Cr ratio was also significantly higher in the controls compared with the patients with leukoaraiosis (P <.0034) . This suggests that patients with leukoaraiosis exhibit significant metabolic differences compared with healthy controls. We observed no correlation between the metabolite ratios and lesion load, which indicates that the degree of white matter hyperintensities is not related to the metabolic changes in leukoaraiosis.

Conclusions: This study explicates the understanding of leukoaraiosis and underscores the potential of MRS as a biomarker for early diagnosis of leukoaraiosis.
Clinical Presentation of Acute Appendicitis in Patients With Agenesis of the Vermiform Appendix
Authors: Andreev Alexander A. , Glukhov Alexander A. , Gorlunov Alexander V. , Laptiyova Anastasia Yu. , Ostroushko Anton P.
Published: February 2025

This article analyzes 10 cases of agenesis of the vermiform appendix with clinical presentation of acute appendicitis. Given that this pathology occurs in 1 of 100000 surgical interventions for acute appendicitis according to the literature, it can be assumed that this number of observations was based on the analysis of the results of 1 million interventions.

The article reports clinical (including intraoperative), laboratory, and imaging findings and gives recommendations for detection of agenesis of the vermiform appendix and treatment of abdominal pain syndrome.
“He is trying his best to get his voice out”: A case study exploring the impact of Attention Autism for supporting development in communication and engagement amongst Autistic Pre-School Children within a Special School Setting.
Authors: Kenny Neil , Rogers Niamh , Goodall Craig
Published: February 2025

Attention Autism (AA) is an increasingly widely used programme in Ireland and the UK designed to support language and communication development. However, the existing literature on AA remains limited. This mixed methods exploratory case study aimed to explore the impact of AA for autistic children, gathering insights from both school settings and parental perspectives to provide an ecological account of this neurodiversity-aligned Early Intervention (EI) approach. A tailored observation framework was used to monitor the speaking and non-vocal communication development of four autistic children over a six-week AA programme in a Special School in Northern Ireland. Semi-structured interviews with the children’s parents further explored perceptions of AA’s influence on their children’s communication. By integrating data from observations and interviews, the study examined impacts across home and school environments. Observation findings demonstrated positive communication development among all participants, while thematic analysis of parental interviews highlighted perceptions of spontaneous and transferable communication progress in everyday settings. Parents noted limited awareness of AA and EI strategies before participating in the study. These findings contribute to the literature by showcasing the potential benefits of neuro-affirming EI approaches like AA in fostering communication development in autistic children.
Edukasi Terapi Relaksasi Genggam Jari dan Relaksasi Nafas Dalam terhadap Penurunan Tekanan Darah pada Penderita Hipertensi Primer di Gampong Meunasah Meucap Kecamatan Peusangan
Authors: Al Ridha Muttaqin , Munawwarah Khairiyatul , Habibi Habibi
Published: February 2025

Purpose: The purpose of this service is to teach the public about relaxing the finger grip on lowering blood pressure in sufferers.
Method: The method used in this service is a method of mentoring and educating the community about finger grip relaxation therapy and deep breathing. This service was carried out in Gampong Meunasah Mekata, Peusangan District, Bireuen Regency.
Result: Hypertension in the world based on the World Health Organization (WHO) in 2012 showed that around 982 million people or 26.4% of the world's inhabitants suffer from hypertension with a ratio of 26.6% men and 26.1% women. This figure is likely to increase to 29.2% in 2025. The prevalence of hypertension in Indonesia in 2018 is based on measurement results in people aged ?18 years of 34.1%, the highest in South Kalimantan is 44.1% while the lowest is in Papua with 22. 2%.
Pertanggungjawaban Pengobatan Tradisional Dinilai Dari Aspek Hukum Kesehatan
Authors: Abdurrahman  , Bahtiar Husain  , Budi Purnomo
Published: February 2025

The development of traditional medicine service providers has experienced rapid growth over time. Increasing public demand has caused the traditional medicine industry to increase in 2020. To accommodate consumer protection and the provision of traditional medicine, the government has issued legislation regarding traditional health providers, especially Law no. 17 of 2023 (previous law Law No. 39 of 2009 concerning health) and other government regulations that support the health law. The existence of cases of traditional medical service providers endangering the lives of their patients means this research will examine the responsibilities of traditional health service providers in accordance with the Health Law. This research uses a qualitative descriptive method with a normative legal research model. This method was chosen because it can thoroughly describe the research topic. Data was obtained from statutory regulations, government regulations, ministerial regulations, and other documents related to the research topic. The research results show that the Health Law (new or old) has regulated criminal liability for providers of traditional healing services. However, the explanation portion is different because some regulations have been discussed in Government Regulations. On the other hand, to reduce potential losses, people need to choose trusted service providers and learn about consumer rights to traditional health service
Collaboration to Support the Development of Inclusion: Reflections on a Strategic Change Initiative
Authors: Stewart Christopher
Published: February 2025

Including all children in education is one of the biggest challenges facing global systems (Ainscow, 2023).  This paper presents research findings of a strategic change initiative (SCI) that both recognises and addresses the challenges of the inclusion of children with additional support needs (ASN) within the Scottish educational context.  In Scotland, pupils learn in both mainstream and specialist provisions.  Scottish Government (2023a) data shows year on year trends that more children and young people are being identified with ASN.  In the local authority (LA) context presented, data analysis indicates rising referrals and requests from mainstream to specialist provision for pupils with ASN, stressing the challenges of including these learners in mainstream and the dilemmatic nature of placement in learning.  Furthermore, recent financial restraints on education budgets in Scotland (The Scotsman, 2024) create further challenges for the inclusion of pupils, as reported by the Educational Institute for Scotland (EIS, 2019)
This study examines the first year of a three-year SCI led by a depute head teacher (researcher) at a Scottish mainstream primary school with a co-located additional learning needs provision.  The paper outlines how, in the first year of the SCI, within-school collaboration has enhanced ASN learner inclusion across school settings.  Evidence demonstrates that strategic leadership (Johnson, 2013; Quong & Walker, 2010) and practitioner collaboration (Ainscow, 2023; Hargreaves & O’Conner, 2018) have positively impacted learner inclusion and the development of inclusive teaching practices.  In the second year, within-school collaboration will continue with an advancement towards between-school collaboration.  The objective to fully embed both collaboration models will be achieved in the third year.
The findings suggest that the SCI model is both financially viable and scalable and provides school leaders with a framework that can be replicated locally to address current challenges to inclusion in educational settings.
Self-evaluation for Self and School Improvement: The Development of a Self-Evaluation Strategy Enabling All Staff to Engage with Consistency and Rigour, Bringing a Genuine Basis for Self and School Improvement
Authors: Preston Ali
Published: February 2025

The National Improvement Framework (NIF)[1] (Scottish Government, 2023) sets out a clear vision for Scottish education based on delivering excellence and equity. Two of the six key drivers identified as being critical for ensuring both individual pupil achievement and whole school improvement are the quality of teaching and the quality of leadership in schools. (Mincu, 2015). Through the researcher’s personal school experience, backed by an understanding of professional literature (Hopkins, 2001) it is clear that a central factor for sustaining change that genuinely achieves teacher and school improvement is a consistent approach to self-evaluation. Effective self-evaluation is fundamental for both the professional development of individual teachers and the improvement of schools (MacBeath & McGlynn, 2002). Recognising this fundamental element of school excellence and coupled with the clear mandate for all staff to engage in self-evaluation (GTCS, 2021) this article outlines a strategic change initiative (SCI)[2] which sought to develop a strategy to enable all staff to engage in self-evaluation with consistency and rigour, bringing a genuine basis for self and school improvement. At an individual level, critical competence in a teacher’s role is being able to scrutinise their own abilities against the requirements outlined in the General Teaching Council Scotland (GTCS) professional standards (2021)[3], making evidence-based judgements on what to develop. To deliver this effectively, self-evaluation needs to be part of a structured framework and established in school practice. Furthermore, assessment needs to lead to action to ensure improvement happens (Stoll, 2009), making evidence-based judgements on how to develop. Overall, development of a structured, timetabled framework for effective self-evaluation provides the basis for meaningful school improvement that delivers for young people.
 
[1] The National Improvement Framework (NIF) summarises the vision and priorities for Scottish education that have been agreed across the system, and the national improvement activity that needs to be undertaken to help deliver those key priorities.
[2] The Strategic Change Initiative (SCI) is the process undertaken by participants of the National Into Headship programme in Scotland to develop strategic leadership for change.
[3] The GTCS Standard for Full Registration is the benchmark of competence required of all registered teachers in Scotland. This Professional Standard encompasses what it is to be a teacher in Scotland.
A Framework to Enhance Learner Participation through the Drama Curriculum
Authors: Hamilton Claire
Published: February 2025

The incorporation of the United Nations Convention on the Rights of the Child (UNCRC) into Scots Law in 2024, means that fulfilling children’s rights and embedding them in Scotland’s education system is a top priority. Article 12 mandates the right of the child to fully participate in decision-making around all matters affecting them. Despite a positive education policy context and a wealth of research highlighting the positive outcomes of learner participation, there continue to be challenges fulfilling policy intentions in practice. This paper aims to clarify the key concepts underpinning effective pupil participation and the contextual factors that support and undermine its success, specifically through Drama education. This paper highlights the importance of the prominence of Drama in the curriculum if we are to fulfil the aspirations of the UNCRC. The collaborative nature of Drama is the most emancipatory aspect, promoting a pedagogy of participation. Providing opportunities for learners to develop confidence and leadership skills in a low-risk environment prepares them for more formal shared decision-making out with the classroom.  It concludes with a framework to support leadership and evaluation of learner participation at departmental level, developing a participatory ethos from the inside out.
Reflecting on a Strategic Change Initiative: Maximising the Capacity, Value and Impact of Support for Learning Workers
Authors: Kelly Ruth
Published: February 2025

This study was conducted as a key component of the Into Headship programme which I completed in 2022. The study examines the deployment of support for learning workers (SFLWs) in a Glasgow secondary school, while also addressing challenges that hinder effective collaboration between teaching staff and SFLWs that could enhance young people’s learning experiences and outcomes. The study examines the feedback gathered to identify views and experiences of all stakeholders working with and alongside SFLWs in the school community.  It then reflects on the strategies employed while setting timelines and regularly reviewing progress with key staff responsible for leading and managing the SFLW team. The self-evaluation tool from the Education Endowment Fund (EEF), focusing on effective classroom assistant practices, and the Scottish Government 2020 review Support for Learning: All Our Children and All Their Potential, served as the foundation for this work. Both documents supported the exploration of structures and routines to better meet the needs of learners.
So far, the study has been valuable in fostering dialogue and reflection on how we can collaborate to improve outcomes for our young people while leading strategic changes involving SFLWs’ responsibilities.  Some viewed this effort as too aspirational, given that it involves one of the lowest paid (UK Government, 2023) and often underappreciated (BBC, 2025) roles in the education system. As strategies were implemented, reviewed, and refined, a self-reflection journal emerged to help guide and sustain positive progress. Despite the challenges, this ambitious undertaking sheds some light on the untapped potential of SFLWs, offering a compelling vision for transforming the interrelationship of SFLWs and teachers for driving meaningful and lasting change.
ANALISIS KEPATUHAN WAJIB PAJAK BADAN DI INDONESIA: SEBUAH META ANALISIS
Authors: Assan Anthony Erlangga , Damayanti Theresia Woro
Published: February 2025

The purpose of this research is to findÂ  the new conclusion for the corporate tax Â compliance. This research use the meta anaylisis approach. Meta-analysis approach is expected to give the new conclusion based on previous research in the corporate tax Â compliance. The on previous research in the corporate tax Â compliance has many conclusion, so this research used meta-analysis approach Â to synthesize the factors that has significant influence on corporate tax Â compliance. The research is using the published article as sample form 2004-2015. This research find that modernization of tax administration, sanctions, service quality, understanding of tax accounting and audit have significant influence in corporate tax Â compliance.
PENGARUH UKURAN PERUSAHAAN, PROFITABILITAS, DAN UMUR PERUSAHAAN TERHADAP PENGUNGKAPAN AKUNTANSI SUMBER DAYA MANUSIA
Authors: Santioso Linda , Alverianti Adeline , Daryatno Andreas Bambang
Published: February 2025

Tujuan penelitian adalah untuk membuktikan secara empiris perbedaan rata-rata pengungkapan akuntansi sumber daya manusia (ASDM) pada perusahaan financial dan nonfinancial, dan pengaruh ukuran perusahaan, profitabilitas, dan umur perusahaan terhadap pengungkapan ASDM pada perusahaan financial dan nonfinancial yang terdaftar di Bursa Efek Indonesia tahun 2013-2014. Penelitian ini menggunakan sampel 283 perusahaan yang telah diseleksi dengan menggunakan metode purposive sampling. Data yang digunakan adalah data sekunder yaitu berupa laporan keuangan dan laporan tahunan yang telah diaudit. Metode statistik yang digunakan untuk menguji hipotesis penelitian adalah model regresi linier berganda. Hasil penelitian menunjukkan bahwa ukuran perusahaan mempunyai pengaruh yang signifikan terhadap pengungkapan ASDM, sedangkan profitabilitas dan umur perusahaan tidak mempunyai pengaruh yang signifikan terhadap pengungkapan ASDMKata Kunci: ukuran perusahaan, profitabilitas, umur perusahaan, pengungkapan akuntansi sumber daya manusia
ANALISIS PENGARUH PROFITABILITAS, UKURAN PERUSAHAAN, UKURAN DEWAN KOMISARIS, DAN MEDIA EXPOSURE TERHADAP PENGUNGKAPAN TANGGUNG JAWAB SOSIAL
Authors: Pakpahan Yunus , Rajagukguk Lasmanita
Published: February 2025

The aim of this study is to analyse the effect of profitability, firm size, commissioner board size, and media exposure to disclosure of corporate social responsibility. The analytical method used is multiple linear regression. The data in this study is a secondary data from financial reports companies listed on the Indonesia Stock Exchange (IDX) from 2014 until 2016, with 151 companies as observation companies and 82 companies as sample. Based on test result analysis, profitability, commissioner board size, and media exposure effect on the disclosure of corporate social responsibility. While firm size has no effect on the disclosure of corporate social responsibility.Keywords : Corporate social responsibility, profitability, firm size, commissioner board size, media exposure.
STRATEGI DIVERSIFIKASI TERHADAP PERFORMA PERUSAHAAN DENGAN EFEKTIVITAS KOMITE AUDIT SEBAGAI VARIABEL PEMODERASI
Authors: Adhimukti Andyan , Rinaningsih Rinaningsih , Yuliati Retno
Published: February 2025

This study aims to investigate the influence of industrial and geographical diversification strategy on company performance. In addition, this study also aims to analyze how audit committees using proxies by ASEAN CG Scorecard will be moderating the relationship between diversification strategies on company performance. The study uses sample of 64 Indonesian manufacturing companies in 2011 to 2016 with a total observation of 378 firm-years. The result shows that both industrial and geographical diversification strategy is not significant to company performance. After the effectiveness of the audit committee moderating on industrial diversification strategies, this study shows that an effective audit committee has no effect on performance But when the the effectiveness of the audit committee moderating on geographic diversification variables, the results of the research show significant negative impact.Keywords : industrial diversification, geographic diversification, audit committee, performance, ASEAN CG Scorecard
La interpretación justa: paradojas del exceso
Authors: Rebella Griselda
Published: February 2025

La autora intenta incursionar en las complejidades del trabajo transferencial-contratransferencial, en el que el riesgo de exceso en la interpretación es piedra corriente del análisis. Relacionándolo con la clínica, toma algún ejemplo para dar cuenta de la imposibilidad de refrenar estas interpretaciones con ribetes excesivos, en respuesta al exceso de las experiencias intensamente vivenciadas por el paciente a la vez, y generalmente sin palabras. Será mediante el análisis, en los tiempos en que el analista puede ofrecer una interpretación que apunte a la reintroyección de los contenidos metabolizados en la mente del analista, que estos podrán ser transformados en elementos pensables que aporten al entendimiento de lo que pasa en la mente del paciente, del analista y de la dupla.
Transmisión y ética en psicoanálisis
Authors: Fulco Marcía Cristina
Published: February 2025

A partir del trabajo realizado a lo largo de cuatro años como coordinadora de la Comisión de Formación y Transmisión del Psicoanálisis de Fepal, la autora rescata aspectos fermentales de los debates y controversias surgidos en precongresos, congresos didácticos y encuentros de institutos, para continuar en nuevas reflexiones, el diálogo iniciado con miembros y candidatos-analistas en formación, predominantemente de los Institutos de Fepal.
Se toma el concepto de transmisión para discriminarlo del de formación y educación, en el entendido de que el primero alude ala dimensión inconsciente que necesariamente debe hacer marca en el largo proceso de adquisición de la identidad analítica, en lostres pilares del trípode.Se toman en consideración los cambios epocales, así como los contextos socio-culturales en los que cada asociación e institutoestán inmersos. Cambios y contextos imprescindibles a la hora de pensar programas de formación cuyo eje central sea la transmisión del psicoanálisis.
Se interroga sobre los efectos que el pluralismo teórico puede tener cuando se presenta como sumatoria de teorías, dificultandoel poder enriquecedor y favorecedor del pensamiento personal.Abordar el encuadre y su función analítica, como punto de partida de todo proceso analítico, a la vez que sustento de los diferenteselementos del método, permite a la autora interrogarse sobre los límites de sus variaciones y actualizaciones, con el fin depreservar la transmisión del psicoanálisis.
Creatividad y psicoanálisis: el vacío, el enigma,el erotismo, la muerte y lo sublime
Authors: García Castiñeiras Javier
Published: February 2025

What is there behind an artistic creation, a scientific creation, a handcrafted creation, a symptom as a creation? Is there an existence behind that can explain these acts? Or, on the contrary, we find a gap, a hole which, bonded to desire, anxiety, and death, leadsto the creation?A creation does not only lead us in the direction of art, but towards considering the creative act, which clearly exceeds art,and involves psychoanalysis in its practice, but, above all, it implies everyday life.The paper discusses these concepts in Freud, Klein, Winnicott, Lacan and Pichon-Rivière and takes examples of art from IsidoreDucasse, the Compte of Lautréamont; Antonin Artaud; and Ruth Kjär.The author ‒the same as Pichon-Rivière‒ suggests that the experience of death, is fundamental in any situation of creation.Cornerstone of every creation, and possibly, the heart of beauty.
Retornos del paraíso perdido
Authors: López Brizolara Ana Lía
Published: February 2025

The theme of this work is about the effects of the encounter between a psychoanalyst and a plastic artist, their work and theirwords in relation to art and creation.Ernesto Vila (Montevideo, 1936), uruguayan visual artist, through his work and his proposal «the work is what is left over, itis left over» confronts the visitor with what is missing, with what is lost, questions subjectively and triggers associations that lead to rethinking the theory. The theme of the void appears, the thing, the lack, the Winnicottian paradox, the sinister. Questions are thus relaunched before the enigmatic nature of the subject.
Algunas consideraciones sobre la creatividad y sus enemigos en el uso y la elaboración de nuestras teorías psicoanalíticas
Authors: Puchol Martínez Mercedes
Published: February 2025

Starting from the premise that creativity is an interweaving between inspiration, symbolisation and thought (Olmos, 2021),crossed by a dialectic between desire and prohibition where something of the order of transgression comes into play (Kachinovsky, January 2022), the author proposes to show a set of considerations around creativity in the use and elaboration of our theories.The importance of maintaining an open dialogue with theories that allows us to carry out a personal elaboration is highlighted, understanding this concept in its double aspect of both transformation and invention and/or ideation of something complex. At the same time, we reflect on the phenomena that can hinder and even attack the possibility of personal elaboration and a genuinely creative use of our theories. Factors that may be related to fanatical functioning of the mind, which tend to simplification and reductionism, as well as to narcissistic aspects that lead to the «appearance of creativity», giving rise to both confusion and appropriation of the other’s thinking.It is concluded that all of the above is also linked to our professional ethics as well as that of interrelation and solidarity among humans.
La escucha de los procesos de renuncia y duelo en las configuraciones familiares actuales que son el resultado de las reproducción médicamente asistida
Authors: Bogliatto Katy
Published: February 2025

En este trabajo, la autora se propone desplegar algunas facetas de la complejidad del trabajo psíquico al que se somete cada individuo cuando se acerca a un servicio de procreación médicamente asistida, con el deseo de ser padre y la esperanza de crear una familia. Se trata de una experiencia vital que pone a prueba el trabajo de transformación psíquica y de elaboración, no solo de lo sexual, con sus diferentes teorías sexuales infantiles. Sin embargo, es importante no omitir y dar un lugar a la importancia del trabajo de elaboración de renuncias psíquicas, así como a los procesos psíquicos inherentes al trabajo de duelo. La autora ilustra con viñetas clínicas la importancia del apoyo y del acompañamiento de las pacientes en el seno de un servicio de fertilidad.
Envejecer es humano
Authors: Flechner Silvia
Published: February 2025

El objetivo de este trabajo es poner en consideración el envejecimiento como etapa propia del final de la vida. Varias encrucijadas son las que se entrelazan a partir del hecho de envejecer; se hace hincapié en el cuerpo, la psiquis, la sociedad, la cultura en la cual dicho envejecimiento se encuentre inmerso, considerando a su vez el fenómeno del envejecimiento poblacional actual, así como también la situación global actual en la cual nos encontramos inmersos. La hiperconectividad, la violencia, el suicidio, la desintrincación de las pulsiones de vida y muerte que apuntan hacia la auto y heterodestructividad.
Cuestionamientos polimorfos y perversos. Identificaciones, angustias, defensas e historia individual en juego
Authors: Pollak Schwartz Gabriela
Published: February 2025

El presente trabajo busca rastrear, en la historia infantil, identificaciones y defensas frente a la angustia, aspectos que en la clínica se presentan con características de «lo perverso». Desde Freud, con la disposición perverso-polimorfa, a viñetas que traen como tan actual la descripción de la pulsión sexual con sus características sustanciales. Ante la escucha, en oportunidades surge la pregunta acerca de cuáles serían aquellos comportamientos eróticos que denominaríamos perversos, y cuáles no. Juegos sexuales, uso de elementos para mantener el placer sexual, travestismos múltiples y transexualidades en búsqueda de una respuesta identitaria que aplaque un sufrimiento y malestar siempre presente.Es así que pacientes que en el mundo de relación presentan una estructuración psíquica fundamentalmente neurótica resuelven abrir su pareja, hacer tríos, travestirse sin darle a ello una carga sexual –o sí–, intervenir su cuerpo de un modo bastante «raro»para erotizar y erotizarse. Se hacen de juguetes sexuales tanto comprados como tomados espontáneamente de su historia.En sus fantasías, pero también en sus pasajes al acto, vienen con la urgencia de iniciar procesos de hormonización hasta llegar a operarse y ser transgénero... Escarcela abundante que viene llegando a la consulta con una insuficiencia de la interrogación y una concretud que acompaña un sinnúmero de padeceres en el cuerpo, con pasajes al acto en los que la violencia es preponderante y el sentimiento de soledad imposible de calmar.
DIAGNÓSTICO DE MORTE: REVISÃO INTEGRATIVA NA MEDICINA
Authors: Gonçalves José Luiz Amuratti , Rei Fernando Prado , Specie Giovanna Letícia , Santos Nádia Ligia dos , Gobbo Paula Alves
Published: February 2025

Caracterizar a morte somente como a cessação permanente e irreversível de todas as funções biológicas seria uma maneira muito simplista de observá-la, já que ela compreende períodos que vão desde o diagnóstico de uma doença terminal ao estudo de cadáveres após a morte. Hoje, por meio dos critérios estabelecidos pelo Conselho Federal de Medicina (Resolução CFM no 2.173/17), a morte, para fins de remoção de órgãos e tecidos para transplantes, está definida pelo que se chama de morte encefálica. Tem como objetivo, investigar e analisar os diversos protocolos de diagnóstico de morte, utilizados por instituições; identificar as motivações nas quais surgiram a necessidade de atualizar os critérios utilizados no diagnóstico de morte. A metodologia aplicada é uma revisão integrativa, com análise, as bases de dados e fontes abordadas serão: Periódicos da CAPES, Google Acadêmico, Biblioteca Virtual Saúde (BVS), SciELO, PubMed, Conselho Federal de Medicina (CFM), Ministério da Saúde, além de livros, artigos e sites que se relacionem sobre o tema de forma específica. Escolhidos artigos publicados nos idiomas: português e inglês, referindo- se à história sobre o diagnóstico de morte e diagnóstico médico de morte em adultos. Como critério de exclusão, artigos que se repetiam e não relacionados ao tema sobre os possíveis diagnósticos de morte.
 
 
Palavras-chave: Diagnóstico; determinação; detecção; morte; óbito.
Pré-eclâmpsia: Desafios e Impactos da Profilaxia na Saúde Materno-Infantil
Authors: Araujo Ricardo Borges , Vinhati Pedro Lucas Silva , Rolim Lívia Maria Lima , Albuquerque Baldomiro de Carvalho , Arsego Ana Paula de Oliveira , Carvalho Fellipe Pacifico
Published: February 2025

Introdução: A pré-eclâmpsia é uma das principais causas de mortalidade materna e perinatal no Brasil. Estratégias como o uso de ácido acetilsalicílico (AAS) e suplementação de cálcio são recomendadas para gestantes de alto risco. No entanto, desafios na implementação dessas medidas reforçam a necessidade de fortalecer a assistência obstétrica e adotar práticas baseadas em evidências. Objetivo: Analisar os desafios e impactos da profilaxia da pré-eclâmpsia na saúde materno-infantil, considerando o conhecimento e as práticas profissionais na identificação e manejo dessa condição. Metodologia: Trata-se de uma revisão narrativa da literatura, foi realizado o levantamento bibliográfico de protocolos, diretrizes e artigos indexados nas bases de dados Scielo, Google Acadêmico, PubMed e LILACS. Foram utilizados os Descritores em Saúde (DeCS/MeSH): “pré-eclâmpsia”, “eclâmpsia”, “profilaxia”, “desafios”. Foram incluídos estudos que abordassem a pré-eclâmpsia nos aspectos relacionados a profilaxia, diagnóstico, conhecimento e prática profissional, bem como os desafios e impactos na saúde materno-infantil. Resultados e Discussão: A profilaxia da pré-eclâmpsia inclui o uso de ácido acetilsalicílico (AAS) em baixa dose (81-150 mg/dia), iniciado entre 12 e 16 semanas de gestação para mulheres com fatores de risco, e a suplementação de cálcio (1000-1500 mg/dia) em populações com baixa ingestão do mineral. Essas medidas reduzem significativamente o risco de pré-eclâmpsia grave e complicações perinatais. No entanto, desafios persistem na implementação dessas estratégias, como o desconhecimento dos profissionais de saúde sobre as diretrizes atualizadas, a fragmentação do cuidado e dificuldades no acesso aos medicamentos. A capacitação contínua e a padronização de protocolos são essenciais para melhorar a adesão e eficácia dessas intervenções, contribuindo para a redução da morbimortalidade materno-infantil. Considerações Finais: A pré-eclâmpsia é um desafio para a saúde materno-infantil, exigindo avanços na prevenção e manejo. Medidas eficazes, como aspirina e suplementação de cálcio, ainda enfrentam barreiras. O fortalecimento da Atenção Primária, a capacitação profissional e políticas públicas robustas são essenciais para reduzir seus impactos e garantir melhor assistência obstétrica.
Desafios na adesão ao tratamento em pacientes com fibromialgia
Authors: Tavares Renata Beatriz Almeida , Ferreira Andréa Silva , Silveira Fernanda Beatriz Santos , Fornari Jennifer Camila de Souza , Santos José Suelton Luiz Costa Dos , Leite Juliana Monroy , Costa Luma Carolyne Araújo , Dantas Maria Eduarda Pereira , Miranda Nayara Alves Santos , Mariz Rafael Cruz , Debbo Alejandra , Santos Sabrina Oliveira
Published: February 2025

A fibromialgia (FM) é uma doença reumática não articular, é uma condição crônica e heterogênea na qual o paciente tem uma dor musculoesquelética difusa, além de sintomas associados como fadiga, distúrbios do sono, rigidez e sensação subjetiva de inchaço. A FM está diretamente relacionada com a perda de qualidade de vida, por isso, têm-se como objetivo terapêutico fornecer um tratamento integral e amplo. No manejo farmacológico da FM, a pregabalina e a duloxetina são os agentes farmacológicos indicados pela Food and Drug Administration (FDA) para aliviar os sintomas e aprimorar a qualidade de vida dos pacientes com essa condição crônica. O presente trabalho tem como objetivo identificar o impacto dos efeitos adversos na adesão da terapia farmacológica nos pacientes com FM, avaliando os tipos e frequências desses efeitos e investigando a eficácia comparativa da pregabalina e duloxetina no contexto do tratamento. Foi realizada uma revisão integrativa da literatura a partir das bases de dados do PubMed e BVS utilizando descritores e termos booleanos: Fibromialgia AND Tratamento AND Efeitos Adversos AND Adesão. Foram incluídos 22 artigos completos publicados de 2019 até 2024. Os resultados apontam que a pregabalina foi associada à visão turva, efeitos cognitivos, sedação e ganho de peso, a duloxetina por sua vez, têm efeitos adversos como insônia, constipação, tontura e cefaleia e mais raramente refluxo ácido. Esses efeitos muitas vezes dificultam podem levar ao abandono do tratamento. Detectamos que a adesão ao tratamento muitas vezes é comprometida devido a variedade de efeitos adversos que impactam a qualidade de vida dos pacientes. Destacamos a relevância de adotar medidas não farmacológicas para garantir um tratamento mais eficaz. Conclui-se que o conhecimento dos principais efeitos adversos é de suma importância para otimizar a adesão ao tratamento e qualidade de vida dos pacientes, além da inclusão de medidas não farmacológicas, como a prática de exercícios físicos e a psicoterapia.
Atualizações na Cirurgia Bariátrica e Metabolica: Indicações e Resultados
Authors: Saraiva Santos Sílvio Sérgio , Ribeiro Sousa Maria kéren , Leitão de Oliveira João Francisco , Da silva veloso junior Nildo , Araujo Rodrigues dos Santos Rosalina , Assis Venâncio Thiago Assis Venâncio , Da Costa Veloso Neto Wilson , Vinícius Gomes Martins Marcus , Castelo labrichosa gazzoni Nathalya , Costa Freire Débora Priscila , Sipião Sousa Marcelo
Published: February 2025

Introdução: A cirurgia metabólica e bariátrica (MBS) é uma das abordagens mais eficazes no tratamento da obesidade, uma condição crônica multifatorial que resulta do desequilíbrio entre consumo e gasto energético, agravado por fatores genéticos, ambientais e sociais. Além de impactar a qualidade de vida, a obesidade sobrecarrega os sistemas de saúde devido às comorbidades associadas. Objetivo : O objetivo deste estudo foi analisar as principais técnicas cirúrgicas utilizadas no tratamento da obesidade, com ênfase na cirurgia bariátrica, avaliando sua periodicidade, resultados e riscos, e comparar a eficácia das abordagens mais recentes. Metodologia : Uma pesquisa aprimorada uma abordagem exploratória e descritiva, com uma revisão integrativa da literatura. Foram analisados ​​artigos e dissertações publicadas entre 2020 e 2025, selecionados a partir de bases de dados como PubMed, Science Direct, SCIELO e LILACS. Resultados e Discussão : O estudo revelou que as principais técnicas cirúrgicas utilizadas são o Bypass Gástrico, a Gastrectomia Vertical e a Banda Gástrica Ajustável. O Bypass Gástrico em Y-de-Roux é considerado eficaz para perda de peso significativa e remissão de doenças metabólicas, como diabetes tipo 2 e hipertensão. A Gastrectomia Vertical oferece uma abordagem com menos risco de complicações nutricionais e boa eficácia na redução de peso, enquanto a Banda Gástrica Ajustável apresenta desafios de longo prazo, como perda de peso insuficiente e necessidade de ajustes frequentes. As inovações tecnológicas nas abordagens minimamente invasivas têm melhorado os resultados e a recuperação dos pacientes. Considerações Finais : A cirurgia bariátrica é uma solução eficaz no tratamento da obesidade mórbida, com benefícios benéficos para o controle de comorbidades metabólicas. No entanto, a escolha da técnica deve ser individualizada, considerando as condições de cada paciente. A adesão ao pós-operatório e a adoção de um estilo de vida saudável são essenciais para garantir o sucesso a longo prazo.
EFICÁCIA DAS NANOPARTÍCULAS NA DESCONTAMINAÇÃO DOS CANAIS RADICULARES E PRESERVAÇÃO DE PROPRIEDADES MECÂNICAS DO REMANESCENTE
Authors: Vasconcelos Maria Eduarda Darigo , Nóbrega Amanda Alves da , Ferreira Ana Karinne  da  Silva , Silva Anderson Daniel Vicente da , Oliveira Antônio  Marcos  Barboza  de , Carmo Camila Faro , Silva Edson Antônio da , Macedo Gabriel Levino Araújo de , Morte Graziella Valda Oliveira Sousa Bôa , Luciano Joana Alice dos Santos , Costa Maria Beatriz Galindo , Souza Maria Eduarda da Silva , Paz Mayara Paula Morais da , Ferreira Naama Júlia Mota , Mendonça Nathalia Suelle dos Reis , Clemente Olivia Maria Araújo , Vasconcelos Raylana  Vitória  da  Silva , Souza Suzana Maria Santos de Araújo
Published: February 2025

Objetivos: Avaliar a eficácia das nanopartículas na descontaminação e na manutenção das propriedades mecânicas do remanescente dentário. Metodologia: Trata-se de uma revisão de literatura que foi realizada entre janeiro de 2025 e fevereiro de 2025, a pergunta que norteou a busca foi “O uso de nanopartículas aumenta a eficácia da descontaminação dos canais radiculares e da preservação de propriedades mecânicas do remanescente?”. A partir disso, foi feita a busca nas bases de dados PubMed (U.S. National Library of Medicine) e BVS (Biblioteca Virtual em Saúde), com lapso temporal de 5 anos. A estratégia de busca foi formulada pela conjugação dos descritores indexados no DeCS/MeSH “Nanopartículas”, “Nanotecnologia” e “Irrigantes do Canal Radicular”, combinados ao operador booleano “AND”. Os critérios de seleção foram: estudos publicados nos  últimos 5 anos, que estivessem relacionados com a pergunta norteadora, com texto completo disponível em português, inglês e espanhol, revisões sistemáticas de literatura, metanálises e ensaios clínicos randomizados. A busca inicial resultou na identificação de 11 artigos. Destes, 6 artigos foram incluídos na pesquisa. Conclusão: As nanopartículas mostraram potencial na endodontia, com ação antimicrobiana e preservação da dentina. As de prata e óxido de zinco combateram biofilmes multiespécies, enquanto as de hidróxido de cálcio melhoraram a liberação do fármaco. Mais estudos clínicos são necessários para validar sua eficácia e segurança.
Interpretation of Verbal and Visual Signs in the Converse Shoes Printed Advertisement
Authors: Putu Eka Yoga Aditya Pratama  , Putu Gede Budiartha
Published: February 2025

Abstract
This study, entitled "Analysis of Verbal and Visual Signs in Converse Shoe Advertisements," aims to identify and analyze the verbal and visual signs in Converse advertisements. The data was sourced from three printed Converse shoes advertisement found on Pinterest. The analysis is based on Saussure's (1983) and Barthes's (1976) semiotic theories, alongside Cerrato's (2012) theory on color analysis. The study employs a qualitative method, focusing on both image and text analysis. The analysis reveals three main findings: first, each advertisement contains verbal signs that can be analyzed for both denotative and connotative meanings; second, advertisements without verbal signs still convey important messages through visual signs, with images carrying different meanings in line with the context; third, color plays a significant role in reinforcing the messages conveyed through the visuals. The findings highlight that both verbal and visual elements work together to communicate the advertisement’s message effectively.
 
Keywords: verbal, visual, sign, advertisement, Converse
Derivational Suffixes Function Analysis in BBC News: War in Gaza
Authors: Jayanti Ni Luh Putu Laras , I.G.B. Wahyu Nugraha Putra
Published: February 2025

The aims of this research is focusing to identify of the function of the derivational suffixes found in the BBC News: “War in Gaza”. Descriptive qualitative methods were used to identify the explanation about the function of derivational suffixes that found. The theories from Katamba (1994) and McCarthy (2002) were used to analyze the data. The news from BBC News: “War in Gaza” were used. Based on the analysis, this study found 202 data of suffixes that categorized as class changing and class maintaining. The suffixes that changing the word class found in this study were found 120 (62%) data of noun derived from verb, 11 (6%) data of adjective derived from verb, 20 (10%) data of adjective derived from noun, 9 (5%) data of noun derived from adjective and 33 (17%) data of adverb derived from adjective. It was found many nouns derived from verb suffix in the class changing because based on McCarthy, suffix -er is the most common way to form the noun. Meanwhile the suffix that maintaining the word class, it was found 9 (4%) data. It was only from noun derived from noun because the suffixes are commonly used in the news.