bluuebunny/crossref_metadata_2025 huggingface dataset:
Implicações histórico-sociais das aplicações das equações diferenciais ordinárias em modelagem matemáticas de políticas públicas
Authors: Freires Kevin Cristian Paulino , Da Silva Maria Aliciane Martins Pereira , Dos Anjos Sandra Barboza , Da Silva Micael Campos , Sales Francisco Odécio , Brandão Jorge Carvalho , Dos Anjos Sonia Maria , Mariano Fábio Sampaio , Mariano Fábio Sampaio
Published: September 2023

Objetiva-se discutir sobre o impacto e as contribuições das EDOs na modelagem matemática de políticas públicas, destacando a relevância histórico-social dessas abordagens para a tomada de decisões informadas e conscientes. Este é um estudo com abordagem qualitativa, seguindo o formato de ensaio teórico-reflexivo, elaborado através de uma escrita fundamentada em análise crítica e argumentativa. Os resultados da pesquisa revelam que as EDOs têm sido utilizadas em diversos campos das políticas públicas, incluindo análises de crescimento populacional, projeções econômicas, modelagens epidemiológicas e previsões ambientais. Essas aplicações demonstram o potencial dessas ferramentas matemáticas para informar decisões políticas embasadas em dados sólidos. A discussão realizada ao longo do ensaio destaca a importância da interdisciplinaridade na análise de políticas públicas, enfatizando como a colaboração entre especialistas em matemática e formuladores de políticas podem resultar em decisões mais informadas e conscientes. Além disso, reconhecemos as limitações dessas modelagens, tais como a sensibilidade a parâmetros e a simplificação da realidade em modelos matemáticos.
Estratégias para a participação de usuários no cuidado psicossocial e suas repercussões
Authors: Landim Joyce Soares Silva , Sousa Johnatan Martins , Carvalho Igor de Oliveira , Silva Nathália dos Santos , Paranaguá Thatianny Tanferri de Brito , Bezerra Ana Lúcia Queiroz
Published: September 2023

A participação do usuário tem sido caracterizada como o envolvimento ativo nos cuidados de saúde prestados. Dessa forma, objetivou-se analisar as estratégias e repercussões da participação de usuários e família no cuidado psicossocial na perspectiva de profissionais. Pesquisa qualitativa, descritiva exploratória, realizada com 17 profissionais de dois Centros de Atenção Psicossocial da região central do Brasil, mediante entrevista semiestruturada, online. Os dados foram submetidos à análise de conteúdo temática. A adoção de diversas estratégias para promover a participação dos usuários no cuidado psicossocial, evidenciou inúmeras repercussões positivas no tratamento oferecido pelos serviços tanto a nível individual, quanto coletivo das pessoas assistidas.
Conteúdo on-line para curso de imagens pneumológicas
Authors: Leite Lorrane Souza , Santos Ana Maria Vitarelli de Castro Emery , Boschi Silvia Regina Matos da Silva , Da Silva Alessandro Pereira , Scardovelli Terigi Augusto , Bissaco Márcia Aparecida da Silva , Moreira Lucyana de Miranda , De Lima Dayana Aparecida Machado , Borges Robson Ferreira , Martini Silvia Cristina
Published: September 2023

O uso de imagens médicas na área da saúde é muito grande e com vários recursos que envolvem o diagnóstico para o tratamento. Isso mostra que o diagnóstico utilizando imagens médicas possui um papel muito importante na área da saúde e que novas formas de melhorar a eficácia de sua aquisição e interpretação são válidas, por isso esse trabalho tem o objetivo de desenvolver um conteúdo complementar utilizando plataforma on-line para ser utilizado na disciplina de Fisioterapia Pneumológica do curso de Fisioterapia. As imagens foram de duas bases de dados: imagens mamográficas da base InBreast e as de Raios   X do tórax, da base de dados Dr. Pixel. Com a elaboração das questões foi possível definir algumas estruturas dos questionários a serem implementados. A pesquisa focou na usabilidade e funcionalidade da plataforma, pois estas visam medir a consistência da interface, layout, acesso às funcionalidades, ou seja, se a plataforma desenvolvida era fácil de ser utilizada. Para isso, foi aplicado o questionário de usabilidade baseado na escala SUS (System Usability Scale). O Teste de funcionalidade foi baseado na escala likert, com respostas variando de 1 a 5, quanto mais as questões se aproximam do resultado 5, maior era a funcionalidade da plataforma. Obtendo valores de mediana também 4, média e desvio padrão de (4,35 ± 0,49) sendo valores de mínimo 4 e máximo de 5. As respostas do questionário de Funcionalidade foram analisadas pelo teste estatístico, Kruskal-Wallis com nível de significância (α = 0,05) entre os avaliadores. O valor encontro foi H = 1,6106 com 1 GL e (p) = 0,2044. Com isso, aceitou-se a H0, ou seja, não houve diferença estatisticamente significativa entre a opinião dos avaliadores comprovando que os especialistas aprovaram a usabilidade da plataforma.
Direito subjetivo de renda: anotações sobre o comentário geral Nº 19 do Comitê de Direitos Econômicos, Sociais e Culturais da ONU
Authors: Wenczwenovicz Thaís Janaina , Furlani Juliana
Published: September 2023

O objeto do presente artigo assenta-se na análise do Comentário n. 19 do Comitê de Direitos Econômicos, Sociais e Culturais da Organizações das Nações Unidas (ONU) em especial à previsão do Direito subjetivo de renda. O Comentário procura instrumentalizar o exercício, no âmbito dos Estados-partes signatários do Pacto Internacional sobre Direitos Econômicos, Sociais e Culturais (PIDESC), do Direito Humano de todas as pessoas à seguridade social e inclusive ao seguro social. Nesse contexto a presente pesquisa tem como objetivos específicos, primeiramente, discorrer de forma sintética sobre a diferença entre seguridade social e segurança social a fim de evitar confusões terminológicas; após ressaltar os principais artigos do Comentário Geral e seu caráter normativo; e por fim demonstrar como o Direito subjetivo de renda é uma obrigação fundamental dos Estados-Parte. Utilizar-se-á o procedimento de revisão bibliográfica e o método de pesquisa crítico-dialético. Pretende-se demonstrar, por fim, que o direito subjetivo de renda deve permitir que os cidadãos possam adquirir, pelo menos, os cuidados básicos de saúde, abrigo e moradia básica, água e saneamento, alimentos e as formas mais básicas de educação.
Current Legal Management in Drug Retail by Private Retailers in Vietnam
Authors: Anh Nguyen Thi Bao , Chau Mac Giang , An Tran Hoai
Published: September 2023

Aim: This article aims to analyze the current state of private drug retailers in Vietnam's lower-middle-income context, investigating the causes and consequences of inadequacies in drug retail practices. The study intends to offer effective solutions to address these issues and serve as a reference for other lower-middle-income countries facing similar challenges.
 
Method: Employing data gathered from documentation, legal analysis, and comparative methods, this study examines the state of drug retail by private retailers in Vietnam. By analyzing the existing practices and regulations, the study identifies the factors contributing to the inadequacies in the drug retail sector.
 
Implications: The research reveals substantial inadequacies in the drug retail sector in Vietnam, stemming from a lack of robust regulations, inadequate oversight, and other systemic issues. These inadequacies have significant adverse effects on consumer health and the overall economy, hindering sustainable development efforts. Addressing the inadequacies in drug retail in lower-middle-income countries like Vietnam requires comprehensive regulatory reforms, improved oversight mechanisms, and enhanced collaboration between government agencies and private sector stakeholders.
 
Results and conclusion: By rectifying these issues, countries can better protect the health and well-being of their citizens while fostering an environment conducive to sustainable development. This study's findings and recommendations offer valuable insights for other LMICs grappling with similar challenges in their drug retail systems.
Survey Results Describing How Pregnant Women/People Use Communication Technology with their Midwife in Aotearoa New Zealand
Authors: Wakelin Karen , McAra-Couper Judith , Fleming Tania
Published: September 2023

Communication technology, particularly texting, has become a mainstream way to communicate between people. In Aotearoa New Zealand (NZ), 91% of adult users over 18 years old own a smart phone1 which compares to smartphone use by people in Australia and the United Kingdom.2,3 Within maternity care, communication technology has enabled childbearing people to access a midwife for support and reassurance, change appointments or request health information.
Tiny Change – Big Impact: How to be a Ripple-Maker
Authors: Greenstock Kate
Published: September 2023

Kate is a midwife on a continuity of carer team in London, a facilitator and a coach. Her new book Flourish: A Practical and Emotional Guidebook to Thriving in Midwifery, a trauma exposure poster and free resources are available at www.flourishformidwives.com. This is the last of a three-part Article of the Month series throughout Summer 2023: Part 1. Hazardous terrain: The Emotional Landscape – June 2023 issue. Part 2. Sustaining Ourselves – Beyond the Obvious – July 2023 issue.
Essential principles towards improving clinical risk assessment tools: A conversation with Uri Kartoun, PhD
Authors: Kamir Daniela
Published: September 2023

Uri Kartoun (PhD in robotics, Ben Gurion University of the Negev, Israel) is a Staff Research Scientist and an IBM Master Inventor, co-developer of technologies such as MELD-Plus, EMRBots, Memory-memory (M2) Authentication, and Subpopulation-based Feature Selection. Prior to joining IBM Research in 2016, Kartoun worked at Microsoft Health Solutions Group and at Massachusetts General Hospital. EMWA Guest Editor Daniela Kamir, PhD, interviewed Kartoun about clinical risk assessment tools, organ transplant allocation disparities, and how the Model for End-Stage Liver Disease (MELD) score is used to allocate livers for transplantation. The conversation has been edited for brevity and clarity.
Narratives for a clinical study report: The evolution of automation and artificial intelligence
Authors: Cobb Lucy , Haycock Nicola
Published: September 2023

Automation and artificial intelligence (AI) are useful tools that are rapidly progressing in many fields within the clinical trial landscape, and their use in the production of narratives for clinical study reports is no exception. Technology and processes for efficient narrative production have evolved – but what may the future hold now that we are in the era of AI?
Regulatory initiatives for artificial intelligence applications: Regulatory writing implications
Authors: Bose Anjana
Published: September 2023

Applications of artificial intelligence (AI)/machine learning (ML) components in drug development are growing exponentially. The trend is expected to continue. The growth has resulted in increased engagements on the part of regulatory agencies to ensure safe and effective use. This article explores the utilisation and opportunities in three areas: medical devices (built in software applications); post-marketing surveillance (processing of large volumes of reported adverse reactions); and clinical development (pharmacokinetic profile, dose selection, clinical trial design, and regulatory writing). AI/ML-based applications are not perfect. Potential risks are enormous. Continued public/private engagement, vigilance, and oversight for all parties is essential for successful utilisation of these tools.
A survey on current use of software tools for systematic literature reviews
Authors: Persy Veerle
Published: September 2023

Adoption of the EU Medical Devices Regulations and In Vitro Diagnostics Regulations has led to increased demand for systematic literature reviews. This article reports on a survey investigating the current use of software platforms and tools by regulatory medical writers and others involved in conducting systematic literature reviews. The survey was completed by 125 respondents from 31 countries, evenly spread across different levels of experience. Most respondents use a partially automated (35%) or fully manual process (59%). Familiarity with specific software to conduct systematic literature reviews was low, with most respondents (61%–84%) indicating they were unfamiliar with five software applications and tools. Data extraction was named as both the most time-consuming and error-prone step in the process. Process improvement, improvement of data extraction, and time saving were seen as topics where systematic literature review software could make the most valuable contribution.
AI for medical writers: Friend or foe?
Authors: Norman Jamie , Chamberlain James Lisa
Published: September 2023

Artificial intelligence (AI) is beginning to affect almost every industry, and medical writing is no different. But how does this relate to our industry? How will AI affect medical writers? What’s already available and what is in the pipeline? Should medical writers be happy and embrace the technology, or should we resist as much as we can, assuming that we will all be replaced by machines? This article discusses the current state of the art of AI in medical writing and asks the question: AI for medical writers – friend or foe?
Syntactic punctuation distraction. Comma: Over-usage Part 2
Authors: Schneir Michael Lewis
Published: September 2023

Coordinated noncore sentence constituents are likely to be disrupted by unnecessary comma punctuation.
EMWA News
Authors: Basu Somsuvro
Published: September 2023

A round-up of news in EMWA: career guide for medical writers, a national network of medical writers in Italy, Local EMWA Groups, EMWA Ambassador Programme news, EMWA Professional Development Committee update
DESENVOLVIMENTO DE KITS EXPERIMENTAIS DE LABORATÓRIOS DE ELETROCARDIOGRAFIA E ELETROMIOGRAFIA ADQUIRIDOS PARA O CURSO DE ENGENHARIA BIOMÉDICA - PUC/SP
Authors: Dos Santos Rosana Nunes , Grosso Wesley Amorim , Nicolett Aparecido Sirley
Published: September 2023

A implementação de dispositivos de captura de sinais biológicos no curso de Engenharia Biomédica PUC-SP enriquece o conhecimento dos alunos, bem como incentiva uma nova proposta educacional na área de estudo. O feedback permitiu a continuação de estudos de captura de sinais bioelétricos, com foco em aprender a fisiologia da bomba cardíaca e oxigenação do sangue. Outro ponto importante está relacionado com a fisiologia das estruturas envolvidas no processo de pressão arterial e troca de gases ao longo do fluxo nos vasos sanguíneos. O objetivo deste trabalho é a implementação das diretrizes fornecidas, bem como o desenvolvimento desses procedimentos. A criação dos Laboratórios de Pressão Arterial e Oximetria de Pulsos, adquiridos da CleveMedTM em 2012, permitiu a medição da pressão arterial, os oxímetros e o conhecimento dos distúrbios envolvidos. A aquisição destes equipamentos para a medição e análise de sinais bioelétricos levou ao desenvolvimento da adaptação das atividades propostas e à realização dos testes indicados pelo fabricante. Paralelamente, foi realizado um estudo detalhado das estruturas envolvendo a anatomia e a fisiologia. Os dados gerados foram analisados estatisticamente e integrados em conjuntos da mesma natureza usando o método de desvio padrão. (1s). Concluiu-se que, após a realização de todos os testes, a importância de incluir tais atividades e os dados gerados complementaram o conhecimento dos alunos de Engenharia Biomédica que estarão envolvidos com procedimentos semelhantes na vida profissional e também servirão como suporte para futuras aulas fornecidas por professores no campo.
ANÁLISE DA UTILIZAÇÃO DA FOTOTERAPIA EM CASOS DE ACIDENTE VASCULAR CEREBRAL (AVC): UMA REVISÃO INTEGRATIVA DA LITERATURA
Authors: Cozer João Lucas dos Reis , De Freitas Dieny Fernanda Pereira , Dias Fabiane Ferreira , Hampel Jean Max Camargo , Ghirotti Maria Eduarda Leite Pinto , Marques Victor Guilherme Pereira da Silva , De Oliveira Wínola Dafny Douglas , Jurado Sonia Regina
Published: September 2023

Introdução: O uso de luz LASER ou LED para manipular a fisiologia celular e tecidual no atendimento ao paciente é uma prática terapêutica comum conhecida como fototerapia a laser. A fototerapia tem mostrado potencial em diversas aplicações clínicas, incluindo o tratamento de distúrbios do sistema nervoso como o Acidente Vascular Cerebral (AVC). A utilização dessa terapia não medicamentosa em condições clinicopatológicas trouxe resultados significativos em doenças comuns na prática clínica sendo seus mecanismos benéficos em lesões cerebrais. Objetivo: Identificar o papel da utilização do laser em condições clinicopatológicas no tratamento do acidente vascular cerebral (AVC). Material e métodos: Trata-se de uma revisão integrativa da literatura, com a finalidade de reunir e sintetizar os resultados de pesquisas empíricas sobre a pergunta norteadora: O que está presente na literatura quanto a utilização da terapia a laser no acidente vascular cerebral? A análise dos dados foi realizado entre o período de 2017 a 2023, mediante a revisão de artigos indexados e publicados nas bases de dados SCIELO, LILACS e PUBMED mediante a consulta aos descritores com a combinação do operador booleano “laser therapy" AND “stroke” AND “photobiomodulation, selecionando nove artigos. Resultados e Discussão: Após o levantamento observou-se o uso de diferentes métodos de laser como tratamento para estimular, curar, regenerar e proteger o tecido que foi ferido, degenerado ou que está em risco de morte. A fotobiomodulação (PBM); acupuntura a laser; a terapia transcraniana a laser (LLLT) foram algumas das terapias abordadas no levantamento relatando melhoria do desempenho neurológico e na prevenção da morte celular após AVC. Considerações finais: Portanto, por ser uma terapia não medicamentosa e uma opção terapêutica nova, ainda se faz necessário o desenvolvimento de estudos mais aprofundados que possam ressaltar a importância e o benefício dessa prática para aqueles que sofrem de AVC. Porém, com achados já estabelecidos em pesquisas, a utilização de lasers é um método promissor para utilização clínica no tratamento dessa patologia.
DERMATOMIOSITE NA INFÂNCIA: UM DESAFIO DIAGNÓSTICO
Authors: Amorim Bianca Barros Canhamaque , Ferraz Marcela Gomes , Peruchi Livia Spinassé , Araujo Heitor Buback , Freitas Ian Miguel , Henriques Filho Weller , Fardim Gabriel Ribeiro , Souza Felipe Nicoli , Schwab Fernanda Cabral , Mendes Thiago Loureiro , Pinto Lucas Vieira , Colodette André Louzada , Sant’Anna Pedro Enrico Cyprestes , De Castro Clarissa Milbratz , Vago Ana Luiza Pazinatto
Published: September 2023

Introdução: Dermatomiosite é uma miopatia sistêmica autoimune de acometimento muscular, cutâneo e, conforme o indivíduo, articular, cardíaco, pulmonar e gastrointestinal.  Sabe-se que o sexo feminino é o mais afetado, em especial na idade média de 40 anos. A Dermatomiosite Juvenil (DMJ) costuma afetar principalmente crianças entre 5 e 14 anos, embora possa ocorrer em outras faixas etárias durante a infância e adolescência. As meninas têm o dobro do risco de desenvolver a DMJ em comparação com os meninos. Atualmente, o grande desafio da doença é o diagnóstico, que muitas vezes necessita de biópsia cutânea ou muscular para corroborar com a hipótese. Pode haver achados característicos na eletroneuromiografia e alterações na dosagem laboratorial de desidrogenase lática. Por fim, a terapia mais frequentemente utilizada são os corticoides. Metodologia: Trata-se de revisão sistemática de literatura acerca de quadros diagnosticados de dermatomiosite na infância. Dentre os 16 artigos levantados nas plataformas Scielo, Pubmed e nas publicações dos Anais Brasileiros de Dermatologia, 9 foram selecionados. Os descritores foram: “dermatomiosite”, “dermatomiosite na infância”, “diagnósticos dermatológicos na infância” e “doenças reumatológicas na infância”. Discussão: Para diagnosticar a DMJ, além da presença de características típicas na pele como o heliotropo e as pápulas de Gottron, são necessários três dos seguintes quatro critérios: fraqueza muscular simétrica na região próxima às articulações, aumento dos níveis sanguíneos de enzimas musculares, alterações eletromiográficas características e resultados compatíveis em biópsia muscular. Conclusão: Diante das manifestações clínicas descritas, independentemente do sexo ou da idade, é importante solicitar os exames supracitados no intuito de confirmar ou descartar a possibilidade diagnóstica de dermatomiosite. Assim, será possível promover maior cuidado e qualidade de vida aos acometidos pela doença.
Association of hyperuricemia with ischemic stroke in adult population
Authors: Ali Ijaz , Waqar Zaid , Khalid Bushra , Naseem Maryam , Khan Soban , Ali Sajid , Tariq Muhammad , Adil Muhammad , Badar Abbasi Hira , Badshah Mazhar
Published: September 2023

Background: Stroke is the second most prevalent cause of dementia, the third biggest cause of mortality, and the top cause of disability globally. In addition to the conventionally recognized risk factors including smoking, diabetes, hypertension, ischemic heart disease, etc. Recent research on acute ischemic stroke has identified fresh risk variables, such as blood calcium, uric acid, homocysteine, and albumin levels. Hyperuricemia is frequently seen in patients with vascular risk factors and either directly or indirectly through the conventional risk factors.

Study: Case control study of 200 patients, 100 patients with stroke and 100 unmatched controls were accessed for vascular risk factor and hyperuricemia and odds ratio was calculated.

Results: Out of 100 patients in the case group, 25 (25%) and 75 (75%) had and did not have hyperuricemia. Whereas, out of 100 patients in the control group, 07 (7%) and 9 3 (93%) had and did not have hyperuricemia. The P-value was 0.001. Odds ratio was 4.42.

Conclusion: Hyperuricemia is linked positively to occurrence of ischemic stroke as evidenced by the positive odds ratio, further studies need to be done whether uric acid lowering therapy is useful in preventing stroke or reducing mortality.
New Technologies That Accelerate Persistent Organic Pollutant (POP) Sample Preparation
Authors: Shevlin Chris , Ullah Rahmat
Published: September 2023

Despite best efforts in 2004 to ban their use, persistent organic pollutants (POPs) remain prevalent across the globe, including in soil. To protect human health, agricultural and environmental soil require careful investigation, but preparing samples for gas chromatography–mass spectrometry (GC–MS) analysis is time-consuming, and mostly done manually. Accelerated solvent extraction (ASE) has been the preferred preparation method for the past few decades, and while we have seen advancements, the method remains manual. Now, new technology offers parallel sample processing, combined extraction and evaporation, and automation—leading to faster analysis, reduced risk of error, and freed-up time for personnel.
Advancements in Targeted Therapies for Hematologic and Oncologic Disorders
Authors: Simhachalam Gurugubelli  , Sai giridhar Gundepalli
Published: September 2023

In recent years, significant advancements in medical science have led to the emergence of targeted therapies as a promising approach in treating hematologic and oncologic disorders. Precision medicine has revolutionized the landscape of healthcare, enabling physicians to tailor treatment plans based on an individuals genetic makeup. thus optimizing therapeutic outcomes. This poster explores how physicians can contribute to implementing precision medicine approaches in treating blood disorders and cancer
La epidemia funesta: el suicidio. Nayarit cerró con una de las tasas más elevadas del país en 2022
Authors: Mancillas Renteria Salvador , Pacheco Reyes José Luis , Heredia Quevedo Enedina
Published: September 2023

Nayarit, estado del occidente de México, tiene al menos dos décadas utilizando estrategias participativas y nuevos protocolos de prevención del suicidio, sin que los resultados puedan considerarse alentadores. Aunque se trata de una entidad territorialmente pequeña y de mediana densidad demográfica (1.2 millones de habitantes según Censo INEGI 2020) se encuentra entre las entidades con una tasa de suicidios en aumento significativo. En un lapso de poco más de treinta años se ha colocado en tercer lugar en el país, el cual no se ha podido revertir a pesar de las citadas estrategias. Dos años han sido sumamente críticos: 2014, que obligó al gobierno municipal de Tepic, capital de Nayarit, a articular una campaña de emergencia, y el de la pandemia (2020). El trabajo describe y explora el problema de forma diacrónica, basándose en análisis de documentos y en entrevistas directas a autoridades especializadas en suicidio, depresión y temas psiquiátricos.  Se pregunta por qué los esfuerzos institucionales, profesionales y ciudadanos han sido insuficientes hasta el momento. No es culpa de los profesionales, ni de la ciencia. Tomando en cuenta la perspectiva de los expertos, se sugiere que existen factores determinantes y heterogéneos que escapan a la acción directa de los profesionales y de las instituciones de salud mental creadas exprofeso: la insuficiencia presupuestal en este rubro; las condiciones macroeconómicas (cuyos códigos son impersonales y cambiantes) y la complejidad creciente de la vida social y cultural, entre otros.
Human Rights in The Digital Era: Online Privacy, Freedom Of Speech, and Personal Data Protection
Authors: Siagian Riduan , Leonard Siahaan  , Muhammad Ichwan Hamzah
Published: September 2023

This study analyzes the impact of digital technology on human rights in the modern context. The main focus is on online privacy, freedom of speech, and personal data protection. The research method is qualitative through a literature review and involves literature analysis to understand fundamental issues. This study highlights risks related to online privacy and questions regarding freedom of speech on social media. Additionally, the protection of personal data also takes a significant focus, with an emphasis on the need for appropriate regulations. Despite challenges, the digital era also brings opportunities for human rights campaigns and increased awareness. This research provides essential guidance for policies that can uphold the integrity of human rights in the ever-evolving digital era.
Exploring the Nexus of Body Image Satisfaction, Social Physique Anxiety, and Happiness in Young Adults: An Interdisciplinary Inquiry
Authors: Jabeen Shaista , Ahmad Niaz , Mushtaq Mamoona , Shahid Arfah Ayesha
Published: September 2023

The main objective of the study was to explore the relationship between body image satisfaction, social physique anxiety, and the happiness of young adults. The study also assessed whether the association of body image satisfaction predicts social physique anxiety and happiness in young adults. Finally, gender differences in these variables were also explored. A sample of 250 young adults (men = 83, women = 167) was recruited from the race-course park, gyms, and exercise clubs in Lahore City by using a purposive sampling technique. Results showed that body image satisfaction has a positive relationship with social physique anxiety (p < .01), and a negative relationship with happiness in young adults. Regression analysis shows that social physique anxiety negatively and significantly predicts body image satisfaction and happiness in men and women. Certain demographic variables such as age, gender, monthly income, joint family system, and type of food appeared as significant predictors of body image satisfaction, social physique anxiety, and happiness in both men and women. An independent samples t-test was carried out to investigate gender differences in these variables. Implications for research, counseling, and clinical practice of these findings have been discussed.
Proton beam therapy: a rapid review of the evidence since 2020
Authors: Moxham-Hall Vivienne , du Toit Anton , Newell Sallie , Brentnall Stuart , Rawlings Deshanie , Goldberg Eileen
Published: September 2023

The purpose of the report is to conduct a rapid review of the recent evidence (since 2020) on proton beam therapy (PBT) for: paediatric cancers, central nervous system (CNS) tumours, head and neck cancer and prostate cancer. The report aims to provide a rapid summary of the current knowledge about PBT’s effectiveness, safety, and potential advantages over conventional radiation therapy. The report includes evidence that has become available subsequent to the evidence submitted in the South Australian Health and Medical Research Institute (SAHMRI)’s Medical Services Advisory Committee (MSAC) application requesting Medicare Benefits Schedule (MBS) listing of PBT for paediatric and rare cancers (MSAC Application No. 1638). In addition, the report presents data on international benchmarking of PBT facilities per million population, and with consideration to Australia’s population and numbers of people with cancers recommended for public funding for PBT by MSAC.
Speed Enforcement in Work Zones and Synthesis on Cost-Benefit Assessment of Installing Speed Enforcement Cameras on INDOT Road Network
Authors: Mathew Jijo K.
Published: September 2023

Work zone safety is a high priority for transportation agencies across the United States. High speeds in construction zones are a well-documented risk factor that increases the frequency and severity of crashes. It is therefore important to understand the extent and severity of high-speed vehicles in and around construction work zones. This study uses CV trajectory data to evaluate the impact of several work zone speed compliance measures, such as posted speed limit signs, radar-based speed feedback displays, and automated speed enforcement on controlling speeds inside the work zone. This study also presents several methodologies to characterize both the spatial and temporal effects of these control measures on driver behavior and vehicle speeds across the work zones.
Inappropriate proton-pump inhibitor prescribing in primary care – an observational study with quality circles
Authors: Vidonscky Lüthold Renata , Henz Nicole Christin , Fuhrer Connor , Häner Andrea , Schenk Michael , Jungo Katharina Tabea , Streit Sven
Published: September 2023

INTRODUCTION: Proton-pump inhibitors (PPIs) should be deprescribed when an indication is lacking or the dose is too high. Academic and media reports have tried to raise awareness and thereby reduce the inappropriate prescribing of PPIs. However, pharmacoepidemiologic studies have shown an unchanged frequency of such inappropriate prescribing over time. Little is known about whether or how general practitioners (GPs) adapt their prescribing practices once their awareness of inappropriate PPI prescribing has been raised.
OBJECTIVE: We aimed to investigate the prevalence of potentially inappropriate PPI prescribing (too high dose or no indication) in a consecutive sample of patients in Swiss primary care settings. Our goal was then to evaluate how GPs managed the patients with potentially inappropriate PPI prescribing over 12 months after flagging these patients.
METHODS: In this observational study, 11 GPs from the canton of Bern in Switzerland used their medical records to identify 20 patients who had been prescribed a PPI for ≥8 weeks and flagged potentially inappropriate PPI prescribing in their records. After 12 months, we asked the same GPs whether the PPI prescriptions of those patients had changed and, if so, how.
RESULTS: Of 1,376 patients consecutively screened, 206 (15%) had been prescribed a PPI for ≥8 weeks. Of these 206 patients, 85 (41%) had a potentially inappropriate PPI prescription. Of these 85 patients, 55 (65%) had no indication for PPI, and 30 (35%) had a too-high dose. After one year, only 29 (35%) of the 84 flagged potentially inappropriate PPIs were stopped or reduced. The most frequently mentioned reasons that deprescribing was not possible were a lack of discussion with the patient (no contact or no time), the presence of symptoms requiring the PPI, or the unwillingness of the patient to deprescribe.
CONCLUSION: In the Swiss primary care setting, the rate of potentially inappropriate PPI prescribing is high. Having GPs flag potentially inappropriate PPI prescribing did not result in PPI deprescribing in most patients over 12 months. Our findings suggest that more personalised and targeted interventions are necessary to successfully implement the deprescribing of potentially inappropriate PPIs. We see the need to co-design interventions with patients and providers and test behavioural change techniques to enable the deprescribing of inappropriate PPIs.
Local Government Collaborative Innovation Policy
Authors: Noor Irwan , Danar Oscar Radyan , Wahyudi Lestari Eko
Published: September 2023

The lack of stakeholder collaboration is considered one of the main triggers for unsustainable regional innovation. This phenomenon often occurs in archipelago countries due to limited access to information in the region. In this context, the current discourse between public administration scholars and policy practitioners emphasizes the importance of collaboration in policy innovation. This study aims to examine local government innovation policies in Indonesia, an archipelago country in Southeast Asia, with a focus on the policy formulation process which involves collaboration to produce innovative policies. This study uses a mixed methods research approach based on a sequential explanatory design consisting of two main stages. The first stage uses a quantitative method, followed by the second stage which uses a qualitative approach. The research data consisted of a combination of primary and secondary data obtained from questionnaires and semi-structured interviews. This data was analysed descriptively using NVivo software and supplemented with statistical analysis results. The results of this study confirm the existence of a pattern of dependence between collaborative actors, in which regional heads have a dominant role in the formulation of innovative policies. However, business actors, academics, and community leaders are rarely involved, indicating that they are highly dependent on regional leadership initiatives. As a result, the resulting innovation policies tend to be unsustainable. Therefore, this research suggests that collaboration forums become the main reference in building and creating sustainable regional innovations. This forum is expected to facilitate common aspirations and innovative arguments, as well as encourage the creation of broader innovative policies. In conclusion, the lack of stakeholder collaboration is one of the main obstacles to creating sustainable policy innovations in the regions. To overcome this challenge, collaboration forums are important to facilitate collaboration and active participation of various stakeholders. With stronger collaboration, it is hoped that sustainable innovative policies will be created, addressing regional problems, and improving people's quality of life.
2009 m., 2014 m. ir 2019 m. Lietuvos Respublikos Prezidento rinkimai: Rusija ir jos grėsmės atspindžiai rinkimų kampanijose
Authors: Skrebytė Lauryna
Published: September 2023

Šiame darbe yra siekiama išsiaiškinti kokia buvo kandidatų į Lietuvos Respublikos Prezidentus retorika Rusijos ir jos keliamos grėsmės šalies nacionaliniam saugumui atžvilgiu 2009 m., 2014 m. ir 2019 m. rinkimų kampanijų metu bei kaip ši retorika pakito lyginant šiuos trejus rinkimus. Jie kaip tyrimo objektas pasirinkti todėl, kad tiek 2009 m., tiek 2014 m. rinkimai vyko praėjus vos keletui mėnesių po Sakartvelo-Rusijos konflikto bei Krymo aneksijos ir karo Donbase pradžios, o 2019 m. - tebesitęsiant konfliktui Ukrainoje. Siekiant atsakyti į tyrimo klausimą, darbe yra analizuojami kandidatų rinkimų programų dokumentai bei kandidatų pasisakymai visuomeninio transliuotojo rengtose debatų laidose prieš kiekvienus iš tyrimo apimtyje esančių rinkimų. Atlikta lyginamoji analizė parodė, kad buvo pastebimas reikšmingas pokytis kandidatų retorikoje vertinant Rusiją, Lietuvos dvišalius santykius su ja ir Rusijos keliamą grėsmę šalies nacionaliniam saugumui - 2014 m. ir 2019 m. rinkimų kampanijų metu Rusija, kitaip nei 2009 m., daugumos kandidatų imta vertinti kaip šalis agresorė, kelianti grėsmę taip pat ir Lietuvos saugumui.
HUBUNGAN DEPRESI MATERNAL DENGAN FUNGSI KOGNISI ANAK USIA 7 – 14 TAHUN
Authors: Saptarini Ika , Rizkianti Anissa , Arfines Prisca Petty , Suparmi Suparmi
Published: September 2023

Abstract
 
Background: Investing in early childhood growth and development is a strategy for preparing a better future generation. Ensuring maternal mental health, including maternal depression, is a significant effort to achieve responsive care.
Objective: This study aims to analyse the association between maternal depression and cognitive function of children aged 7 – 14 years at two points, in 2007/2008 and 2014/2015.
Methods: This study used IFLS-4 and IFLS-5 data. The unit of analysis were children aged 7 – 14 years and mothers who lived in the same household. Children's cognitive function was measured using the Raven method, while maternal depression was measured using CESD-10. The analysis was performed using linear regression.
Results: From the IFLS-4 data, there was a significant association between maternal depression and cognitive function of children aged 7 – 14 years. Children aged 7 – 14 years with mothers with depression have a risk of having cognitive function 0.1 lower which measure with Z-score (SE: 0.05) than children with mothers without depression. However, in IFLS-5, there was no significant association between maternal depression and cognitive function.
Conclusion: There were different results regarding the association between maternal depression and cognitive function of children aged 7 – 14 at the two points observed. Further studies need to be done to analyse the causality between maternal depression and cognitive function in children.
 
Keywords: cognitive function, maternal depression. CESD-10, the raven test
 
Abstrak
 
Latar belakang: Investasi pada tumbuh kembang anak usia dini merupakan strategi menyiapkan generasi penerus bangsa yang lebih baik. Menjaga kesehatan mental ibu termasuk depresi maternal merupakan upaya untuk mencapai pengasuhan yang responsif.
Tujuan: Studi ini bertujuan untuk melihat hubungan antara depresi maternal dengan fungsi kognisi anak usia 7 – 14 tahun pada dua titik yaitu tahun 2007/2008 dan tahun 2014/2015.
Metode: Studi ini menggunakan data IFLS-4 dan IFLS-5. Unit analisis adalah anak usia 7 – 14 tahun dan ibu yang tinggal dalam satu rumah. Kognisi anak diukur menggunakan metode Raven, sedangkan depresi maternal diukur menggunakan CESD-10. Analisis dilakukan menggunakan regresi linear.
Hasil: Dari data IFLS-4 didapatkan hubungan yang bermakna antara depresi maternal dan fungsi kognisi anak usia 7 – 14 tahun. Anak usia 7 – 14 tahun dengan ibu mengalami depresi berisiko memiliki fungsi kognisi 0,1 lebih rendah yang dinilai menggunakan Z-score (SE:0,05) dibanding anak dengan ibu tanpa depresi. Namun pada IFLS-5 tidak terdapat hubungan yang bermakna antara depresi maternal dan fungsi kognisi.
Kesimpulan: Terdapat hasil yang berbeda terkait hubungan depresi maternal dan fungsi kognisi anak usia 7 – 14 tahun pada dua titik tahun yang diamati. Perlu dilakukan studi lanjutan untuk melihat kausalitas antara depresi maternal dan fungsi kognisi anak.
 
Kata kunci: fungsi kognisi, depresi maternal, CESD-10, tes raven
Gondolatok az uniós jog elsőbbsége és a tagállamok nemzeti identitása közötti kapcsolatról az EUB ún. „Pancharevo” ítéletének tükrében
Authors: Marinkás György
Published: September 2023

The issue of the rights of same-sex couples to get married and to adopt can be seen as a topical issue in everyday life and in politics. It is also an issue that is constantly being addressed in practice by national supreme/constitutional such as the European Court of Human Rights and the Court of Justice of the European Union as well. This paper analyses the relevant jurisprudence of the above-mentioned two judicial fora in the light of the CJEU’s so-called ‘Pancharevo-judgment’ delivered in December 2021. In the said case, the Court of Justice had to decide whether the unconditional prevalence of the right of free movement of persons under the Founding Treaties, over the traditional concept of the family in a given country, would be contrary to the national identity of the Member State. These issues are of particular importance because, if the Member State is ultimately forced to functionally yield to the primacy of EU law in a multitude of areas, the question arises as to whether the Member State will have any room for manoeuvre left despite the fact that its Constitution remains otherwise unchanged? Although the Court has stressed the margin of manoeuvre that Member States have in this area, it has ruled that EU law must prevail. The conflict between the primacy of EU law and the national identities of the Member States is seen to be resolved by the so-called functional approach principle, which will be explained in detail in this paper.
Penggunaan Media Video Pembelajaran terhadap Hasil Belajar Siswa Kelas III SDN 33 Mataram
Authors: Handayani Novia , Witono A.Hari , Lestari Sri
Published: September 2023

Currently, teachers rarely use media to expand learning material. Teachers only focus on the text so that students find it difficult to understand abstract material. This research aims to analyze the use of learning video media on student learning outcomes. This method uses a quantitative experimental method of the Action Reaction (RA) type. The population in this study used 3rd grade students at SDN 33 Mataram with a sample of 20 students. Data collection techniques use test techniques. The data was analyzed using quantitative descriptive techniques. The results of this research show that there is an increase in learning outcomes through the use of learning video media in class 3 of SDN 33 Mataram. This is evidenced by the increase in student learning outcomes with an average student learning score in the pre-cycle of 65 with 9 students, a percentage of 45%, an increase in the first cycle with an average of 79 with 13 students, a percentage of 65% and in the second cycle the average was 92 with 19 students with a 95% completion percentage.
Correlation Of Structural Uterine Abnormalities With Abnormal Uterine Bleeding Among Premenopausal Women With Infertility
Authors:   Dept. Of Radiology, Nnamdi Azikiwe University, Awka, Nigeria., S.I Udobi , A.C Onuh ,   Dept. Of Radiation Medicine, University Of Nigeria Teaching Hospital, Ituku-Ozzalla, Enugu, Nigeria., J.I Udobi ,   Dept. Of Maths/Statistics, Federal Polytechnic, Oko, Nigeria., C.O. Ezeama ,   Dept. Of Obstetrics And Gynaecology, Nnamdi Azikiwe University, Awka, Nigeria.
Published: September 2023

Objective: To document the various structural uterine abnormalities detected on transabdominal ultrasonography (TAUS) and hysterosalpingography (HSG) of premenopausal women with infertility and abnormal uterine bleeding (AUB) and determine whether the structural abnormalities correlate well with the clinical forms of AUB among the patients. Methodology: This is a prospective and analytical study of 98 infertile women with history of AUB, referred for HSG. Clinical history including the forms of AUB were obtained from the subjects. Subjects were evaluated with TAUS and HSG after obtaining both ethical clearance and informed consent. Statistical analysis was with the Statistical Package for Social Sciences (SPSS) version 21. Simple frequency, measures of central tendency and dispersion, crosstabulation as well as Pearson’s correlation tests were carried out. For correlation, p ≤ 0.05 was considered significant. Result: Fibroids, followed by intrauterine adhesions (IUA) were the commonest structural uterine abnormalities. Fibroids were detected with both TAUS and HSG, while IUA were detected with HSG only. Shortened menstrual flow was the commonest form of AUB and occurred in 52 (53.1%) of the subjects, followed by light menstrual flow 41(41.8%). The menses were irregular in 33(33.7%), light and shortened in 32(32.7%), heavy in 21(21.4%), prolonged in 16(16.3%), and, heavy and prolonged in 9(9.2%). Fibroids occurred most frequently among those with heavy and prolonged menstrual bleeding while IUA occurred most frequently among those with scanty and reduced menstrual bleeding. On TAUS, HSG, or combined TAUS and HSG, there were significant correlations between fibroids and prolonged heavy menses, fibroids and heavy menses, and, fibroid and prolonged menses. On HSG, significant correlation existed between IUA and scanty short menses. Conclusion: Uterine fibroids and intrauterine adhesions were the commonest structural uterine abnormalities detected. There was significant correlation between fibroids and history of heavy menstrual flow as well as between fibroids and prolonged menses, and IUA and scanty short menses.
The Truth on Al-Ghazali Perspective
Authors:   Universitas Islam Negeri Maulana Malik Ibrahim Malang, Indonesia, Soleh Achmad Khudori , Rahmawati Erik Sabti ,   Universitas Islam Negeri Maulana Malik Ibrahim Malang, Indonesia, Camila Humaida Ghevira Syavia ,   SMA Bayt al-Hikmah, Pasuruan, Indonesia, Furqona Hasyma Tazakka ,   SMA Trensains Jombang, Indonesia
Published: September 2023

Al-Ghazali's al-Munqidh min al-Dalâl has become the subject of study by many Muslim and Western scholars. Most research related to the theory of doubt compared with Descartes' method. However, there is no study on the truth of knowledge, even though this theme is al-Munqidh's main theme. This research aims to analyse the concept of the truth of al-Ghazali's knowledge in al-Munqidh. In detail, this study discusses four issues. That is the forms of truth, the sources and means of attaining truth. Also, al-Ghazali's criticism of truth seekers. The method analysis used is content analysis with al-Munqidh as the main reference. Results research shows that (1) there are two forms of truth for al-Ghazali: ontological and epistemological. (2) the source of truth comes from revelation and reason, (3) the means to reach the truth are the senses, reason and heart. (4) al-Ghazali criticized the four truth-seeking groups and stated that their methods contained weaknesses, namely they could not be verified, mixed with falsehoods or used ratios that were not optimal. The results of this study indicate that al-Ghazali's concept of the truth of knowledge differs from Descartes' concept and modern epistemology. Al-Ghazali acknowledged something not accommodated in modern philosophy, namely the revelation and the heart as a source and means of knowledge.
A pessoa com deficiência e a educação especial no Brasil nos últimos 200 anos: sujeitos, conceitos e interpretações
Authors: Drago Rogério , Gabriel Emilio
Published: September 2023

O artigo analisa as diferentes conceituações de aluno e educação especial no Brasil desde 1822, objetivando entender a evolução conceitual dos termos através dos séculos XIX, XX e XXI, nos caminhos da segregação, integração e inclusão, analisando os impactos do momento histórico e das ideologias dominantes na construção de conceitos relativos ao aluno especial e à educação especial. O método utilizado no estudo assume o estudo teórico-documental de obras que tratam da temática da história da educação especial e da deficiência, além da análise de atos legais que complementam nossas interpretações. A partir do estudo realizado, evidenciamos que os conceitos de aluno especial e educação especial evoluíram de acordo com os pontos de vista predominantes em cada época: de uma interpretação médico-mística-religiosa, para uma psicologicista e, após, pedagógica. Além disso, concluímos que os processos históricos guiaram a educação especial no caminho da segregação para a integração e, finalmente, para a inclusão, de acordo com o ideal de nação pretendido em cada época.