bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects of Diet and Physical Activity on BMI of Medical Students: Cross Sectional Study
Authors: Islam Hashmi Muhammad Razi Ul , Shoaib Shaiza , Sajjad Syeda Saba , Amer Ahmed , Minhas Shaheer Asrar , Fatima Mahnoor , Amer Ahsan , Ateeq Sheikh Ali , Shafiq Tayyaba , Hashmi Shoaib Naiyar
Published: January 2023

Background: Most common method of measuring body fat of a person is through BMI. It is used to define obesity and overweight people across states, cities and, races. Aim: To find the link between healthy nutrition and physical activity with BMI. Study Design: Cross Sectional study. Methodology: Data was collected using convenient sampling. A total of 60 students were selected of which 31 were students of 3rd year and 29 were of 4th year, ageing between 20-24 years. Accurate weight and height of each student were measured to calculate BMI. Cut off points according to WHO were used to define the prevalence of obesity and overweight. The volunteers were asked to answer a questionnaire comprising of 13 questions based upon typical day with regard to sleep, food, education. Data was evaluated by using SPSS version 24. The results were presented as counts (percentage), means and, standard deviation as appropriate. Results: Findings indicated that 3rd year students had a little higher BMI. Most of them slept for less than 5 hours a day whereas almost all 4th year students were having ample amount of sleep. Eating habits of 3rd year MBBS was irregular as compared to 4th year MBBS students. Students of 4th year MBBS were having some kind of physical activity but 3rd year MBBS student had almost no physical activity. Practical Implication: Present study highlighted few important factors that caused high BMI among medical students thus depicting an inverse relationship between BMI and physical activity. Hence, raised the importance of physical activity among medical students in our society. Conclusion: It was concluded that irregular eating habits and lack of time for sleep and physical activity was the most frequently mentioned barriers to healthy eating habits and engaging in regular exercise. Thus routine should be made for regular physical activity in-order to reduce BMI and for improvement in quality of life. Keywords: BMI, Physical Activity, Diet, Relationship, Students and Healthy Life.
Prevalence of Iron Overload and Chelation Therapy in patients of Thalassemia Major and Knowledge and Attitude of Population towards Iron Chelation Therapy in Sargodha, Pakistan
Authors: Liaquat Sadaf , Aiman Um A , Amil Javairia , Javed Saadia , Fatima Nighat
Published: January 2023

Background: Whether familial or sporadic, whatever the cause may be, among hereditary hematological disorders, thalassemia accounts for 4.5 out of 10,000 live births worldwide1. Among other complications that these patients have, magnitude of transfusion related iron overload ranges from 9.5%-18%2. Prevalence of post transfusion iron overload in Southeast Asia is much higher than Western world3. Aim: To measure the prevalence of iron overload and chelation therapy in patients of thalassemia major and knowledge and attitude of population towards iron chelation therapy in Sargodha, Pakistan. Methods: This was a cross-sectional study conducted at Rai Hospital, a private-sector hospital and Hilal-e-Ahmar Hospital in Sargodha. Total 390 patients of beta thalassemia major aged 1 month-20 years were included in the study. Data Records of 390 patients of beta thalassemia major, confirmed on hemoglobin electrophoresis admitted in the hospital from June 2021 to June 2022 were included. Data were collected on socio-demographics clinical and laboratory profile. Analysis was done in SPSS Results: The mean age of the participants was 8.79 years, and 51.2 % were males and 48.9 % were females. Iron overload was found in 85.64% % of patients. Highest figure was 18,666ng/ml. Mean serum ferritin level was 3815 ng/ml. 30.2% received regular chelation therapy; 35.3%was on irregular chelation therapy and in 34.3% it was not started yet. Significant factors associated with iron overload and lack of chelation therapy were highly constrained socioeconomic status, repeated and frequent transfusions, lack of knowledge of importance of chelation therapy and unawareness of complications of transfusion. Conclusion: Considering the prevalence and perils of disease itself and treatment related complications government should focus on establishing thalassemia centers nationwide to cater problems faced by these patients where trained doctors and paramedical staff can counsel them regarding disease prognosis and importance of iron chelation therapy in course of disease. Keywords: Prevalence, iron overload, thalassemia major, chelation therapy
Sonographic Assessment of Retinal Detachment in diagnosed cases of Glaucoma
Authors: Hameed Summan , Khadija Syyeda , Hasan Zain Ul , Saleem Zobia
Published: January 2023

Aims: To assess the retinal detachment in diagnosed cases of glaucoma in normal, diabetic, and hypertensive patients and to see the association of retinal detachment with diabetic and hypertensive patients. Study design: This study was cross-sectional analytical. Place & duration of study: This study was conducted at Mayo Hospital, Lahore from June 2020 to June 2022. Materials: The inclusion criteria was diagnosed glaucoma patients by an ophthalmologist. Exclusion criteria was Ophthalmologic surgery on the affected eye (prior 2 weeks). A sample size of 262 eyes was included in this research comprising 122 males (60.6%) and 79 females (39.3%). Data entry and analysis were done by using SPSS version-23. Results: Total number of 262 eyes (201 patients) were included in this research comprising 122 males (60.6%) and 79 females (39.4%). A total number of 140 patients with unilateral eye glaucoma were collected and 18 had a retinal detachment. And out of the 61 patients who had bilateral eye glaucoma 10 eyes had a retinal detachment. 46 patients had diabetes out of which 10 had a retinal detachment. 40 patients had hypertension out of which 6 had a retinal detachment. Practical implication: To prevent the vision loss of patients, prompt but accurate detection is essential to carry out appropriate treatment of retinal detachment and its complications. Due to its minimal effort of use, lack of radiation or contrast medium, and remarkable sensitivity and specificity, ultrasonography is the present first-line imaging evaluation for retinal detachment. Conclusion: The result of this investigation is that retinal detachment occurs in those patients suffering from glaucoma. Diabetes and hypertension affects eye health and aggravate abnormalities. Glaucoma-related vision loss could be reduced by identifying risk factors and drugs that enhance a patient's susceptibility to glaucoma and by recommending high-risk individuals for a comprehensive ophthalmologic checkup. Keywords: Glaucoma, Retinal Detachment, Diabetes Mellitus, Hypertension.
Prediction of Retinal Loss Based on Lesion of the Optic Nerve in Acute Stage of Optic-Neuritis
Authors: Magsi Abdul Ghafoor , Soomro Zuhaib Ahmed , Kumar Deepak , Dhingra Lal Chand , Simair Ishfaque Ahmed , Ansari Najam-Us-Saqib
Published: January 2023

Aim: To assess the predictive features of optic neuritis in retinal loss through optic nerve lesion identification. Study design: Prospectively longitudinal study Place and duration of study: Ghulam Muhammad Mahar Medical College Sukkur and Shaheed Mohtarma Benazir Bhutto Medical University Larkana from 1st January 2021 to 30th June 2022. Methodology: One hundred and ten patients suffering from acute optic neuritis ≤8 weeks were enrolled. Retinal optical-coherence tomography was performed in all patients. Fifty five patients in the whole cohort while clinically isolated syndrome (CIS) 25 patients and relapsing remitting multiple sclerosis (RRMS) as well as neuromyelitis-optica spectrum disorders (NMOSD) and isolated optic neuritis as 20, 3 and 7 respectively. Brain optic nerve magnetic resonance imaging which included three-dimensional double inversion recovery sequence was also conducted at acute phase (M0) and then post 12 months (M12). Results: The mean age of the cases was 30.85±8.9 years. There was a higher frequency of males then females. The duration of the disease was found highest in RRMS cases with 50.31±77.45 months. The variance in estimated and standard error of the ganglion cell-inner plexiform layer volume change was significantly different in whole acute optic neuritis cases as well as the one with CIS and multiple sclerosisat cohort. Conclusion: Optic nerve-lesion length in prediction of retinal-neuroaxonal loss in cases of optic neuritis. The optic-nerve lesion length can also be considered as a biomarker for the process of retinal remodeling as well as visual impairment. Key words: Optic nerve lesion, Acute phase, Optic neuritis (ON), Retinal neuronal loss
Magnetic Resonance Cholangiopancreatography (MRCP) Images after Black Tea Consumption
Authors: Anjum Tauqeer , Mastoi Shahzeb , Kumar Aneel , Dodani Jia , Magsi Farah Naz , Shahzeb Mahnoor
Published: January 2023

Aim: To evaluate black tea consumption as a negative contrast agent for better imaging of MRCP. Study design: Prospective study. Place and duration of study: Department of Radiology, JPMC Karachi from 1st January 2022 to 30th June 2022. Methodology: One hundred healthy individuals, who volunteered for this research, were provided an informed written consent to sign before their study enrolment. Tea bags from 3 different tea bag companies were used. The efficacy of improvement of MRCP image as a consequence of tea consumption was further noted by a standard procedure. The intensity of signals was measured by circular-ROI (1cm2). The intensity signal was based on noise and measured as signal void. The MRCP results were taken before tea intake after 5 minutes of tea intake and up to 15 minutes were performed. The results were observed through MRCP images. Results: Comparison of visibility in the distal part of the common bile duct by VAS and Likert method showed significant differences before and after the tea consumption and showed better image quality after tea consumption. Comparisons of duodenum and stomach according to VAS and Likert methods were statistically significant. Conclusion: Significant results were obtained after the consumption of black tea for better quality MRCP imaging. Keywords: MRCP; Tea consumption, Better quality imaging; Gastrointestinal system
Investigating the Caring Behaviors of Undergraduate Nursing Students: A Cross-Sectional Study
Authors: Bibi Afrooz , Khan Muhammad Najeeb , . Haseena , Anwar Nasir , Sultan Amir
Published: January 2023

Background: Caring is a state of "feeling and demonstrating concern and empathy for others, showing or having compassion”. Care is practiced by nurses in clinical settings, so clinical education is an essential and integral part of nursing education. Aim: To identify the caring behaviors of undergraduate nursing students of KPK. Methodology: The design was cross-sectional descriptive conducted in the private and public sector nursing institutes of KPK from august 2022 to September 2022. The sample size was 259 using simple random sampling, while the instrument used was a caring behavior inventory (CBI-24) having a Chronbach alpha of 0.96. Mean and standard deviation was calculated for continuous variables while the chi-square test was applied for the association between demographic variables and caring behaviors through SPSS 20. Results: The finding reveal that males were in the majority (86.9%) compared to female students (13.1%). The overall mean score of assurance was higher 39.5±7.6, followed by respecting 22±4.8, while the knowledge and skills mean score was 19.3 ± 4.7, and connectedness 10.8± 3.12. The overall caring behaviors of females were 95±4 higher than male 91.3±1.7. The students of 8th semester caring behaviors were 98.7±1.5 higher than other semesters mean score. Implications: The study will help the nursing institutes and nursing instructor that how nursing students perceived, barriers in caring and how to improve the caring behaviors of undergraduate nursing students in clinical settings. Conclusions: Our study suggests that caring behaviors are perceived by students from the 1st semester of the nursing program. The caring behaviors of the students were significantly associated with gender and semester. Keywords: Care, nursing students, clinical duties, caring skills
Salivary miRNA 18a-5p Expression Level in Oral Squamous Cell Carcinoma
Authors: Kumar Mukesh , Shaikh Fouzia , Kumar Santosh , Usman Shumaila
Published: January 2023

Aim: To determine the expression level of the salivary microRNA 18a-5p in Oral squamous cell carcinoma patients and healthy individuals Methodology: This case-control study was conducted on 40 samples out of which 20 were OSCC patients and 20 were healthy control patients. Saliva was collected from patients with newly diagnosed OSCC and healthy controls after getting informed written consent. All samples were recruited from Abbasi Shaheed hospital and Ziauddin University Hospital, Karachi. We evaluated the miRNA 18a-5p expression level in the saliva by reverse transcriptase polymerase chain reaction (RT-PCR) after isolating RNA through TRIZOL method. Results: microRNA 18a-5p expression level was significantly expressed and higher in OSCC samples compared with controls moreover in the OSCC samples with the progression of stages and grades, the expression increased suggesting it tumor-promoting role in OSCC. Conclusion: Our study concludes that the microRNA18a-5p can be the potential non-invasive biomarker for early detection of OSCC. Keywords: Oral squamous cell carcinoma, microRNA, salivary biomarker
Rezension von: Dahlmann, Dittmar (Hrsg.), Kinder und Jugendliche in Krieg und Revolution
Authors: Zieger Andreas , Dahlmann Dittmar
Published: January 2023

Dittmar Dahlmann (Hrsg.): Kinder und Jugendliche in Krieg und Revolution. Vom Dreißigjährigen Krieg bis zu den Kindersoldaten Afrikas, Paderborn 2000, 226 S.
Rezension von: Mainfränkisches Museum (Hrsg.), Tilman Riemenschneider
Authors: Göpfert Eberhard , Mainfränkisches Museum Würzburg
Published: January 2023

Tilman Riemenschneider - Werke seiner Blütezeit. Werke seiner Glaubenswelt. Hrsg. vom Mainfränkischen Museum und dem Kunstreferat der Diözese Würzburg. 2 Bde. im Schmuckschuber, Regensburg (Schnell und Steiner) 2004, zusammen 732 S., 545 Farb-, 20 Schwarzweißabb.
Rezension von: Vom Heiligen Land zu den Ufern von Rhein und Main
Authors: Voit Thomas
Published: January 2023

Uwe Müller: Vom Heiligen Land zu den Ufern von Rhein und Main (Veröffentlichungen des Stadtarchivs Schweinfurt 20), Schweinfurt 2004, 48 S., za hlr. Abb.
Rezension von: Haug, Gunter, Rebell in Herrgotts Namen
Authors: Voit Thomas , Haug Gunter
Published: January 2023

Gunter Haug: Rebell in Herrgotts Namen. Der kurze Sommer des Pfeiferhans von Niklashausen, Leinfelden-Echterdingen (DRW Weinbrenner) 2004, 251 S.
Rezension von: Jahn, Wolfgang u.a. (Hrsg.), Edel und frei - Franken im Mittelalter
Authors: Zieger Andreas , Jahn Wolfgang
Published: January 2023

Edel und frei. Franken im Mittelalter. Hrsg. von Wolfgang Jahn, Jutta Schumann und Evamaria Brockhoff. Katalog zur Landesausstellung 2004, Pfalzmuseum Forchheim, 11. Mai bis 24. Oktober 2004 (Veröffentlichungen zur bayerischen Geschichte und Kultur 47/04), Unterhaching 2004, 352 S.
Rezension von: Glasbrenner, Willi, Geschichte der Crailsheimer Mühlen an der Jagst
Authors: Fritz Gerhard , Glasbrenner Willi
Published: January 2023

Willi Glasbrenner: Crailsheimer Mühlen an der Jagst, Crailsheim (Baier) 2004, 130 S.
Rezension von: Haller, Dieter, Kirchberg Schwarz auf Weiß
Authors: Göpfert Eberhard , Haller Hans Dieter
Published: January 2023

Kirchberg Schwarz auf Weiß. Ein Lesebuch von Dieter Haller, Kirchberg an der Jagst (Kirchberger Fenster) 2003, 260 S., zahlr. Abb.
Rezension von: Stadt Ingelfingen; Geschichtsfreunde Ingelfingen (Hrsg.), Das Ingelfinger Schloss
Authors: Wieland Michaela , Ingelfingen  , Ingelfinger Geschichtsfreunde
Published: January 2023

Das Ingelfinger Schloss. Einst Residenz, heute Rathaus. Hrsg. von der Stadt Ingelfingen und den Geschichtsfreunden Ingelfingen, 1999, 120 S.
Rezension von: John, Timo, Der Stuttgarter Stadtgarten
Authors: Wieland Michaela , John Timo
Published: January 2023

Timo John: Der Stuttgarter Stadtgarten - von den Seewiesen zum Universitätscampus (Veröffentlichungen des Archivs der Stadt Stuttgart 89). Stuttgart, Leipzig (Hohenheim) 2002
Rezension von: Landesarchivdirektion Baden-Württemberg (Hrsg.), Benutzung und Bestandserhaltung
Authors: Kozlik Andreas , Landesarchivdirektion Baden-Württemberg
Published: January 2023

Benutzung und Bestandserhaltung. Neue Wege zu einem Interessenausgleich. Vorträge des 59. Südwestdeutschen Archivtags am 15. Mai 1999 in Villingen-Schwenningen. Hrsg. von der Landesarchivdirektion Baden-Württemberg, Stuttgart (Kohlhammer) 2000, 99 S.
Rezension von: Landesstelle für Museumsbetreuung Baden-Württemberg; Museumsverband Baden-Württemberg (Hrsg.), Museen in Baden-Württemberg
Authors: Kohl Herbert , Baden-Württemberg Landesstelle für Museumsbetreuung , Museumsverband Baden-Württemberg
Published: January 2023

Museen in Baden-Württemberg. Hrsg. von der Landesstelle für Museumsbetreuung BadenWürttemberg und dem Museumsverband Baden-Württemberg e.V., Stuttgart (Theiss) 2004, 484 S., zahlr., meist farbige Abb.
Rezension von: Trentin-Meyer, Maike (Hrsg.), Deutscher Orden 1190-2000
Authors: Kohl Herbert , Trentin-Meyer Maike
Published: January 2023

Maike Trentin-Meyer (Hrsg.): Deutscher Orden 1190-2000. Ein Führer durch das Deutschordensmuseum in Bad Mergentheim, Würzburg (Spurbuch) 2004, 105 S., zahlr. Abb.
Medical management of hepatic ectopic pregnancy with systemic methotrexate, MRI and serial HCG monitoring
Authors: Liberty Abigail , Nacev Erin , Doshi Uma , Colwill Alyssa
Published: January 2023

Introduction: Hepatic ectopic pregnancies remain a diagnostic challenge which contributes to high morbidity. Little is known about the efficacy of medical management of hepatic ectopic pregnancies. As early pregnancy diagnosis continues to improve, more abdominal ectopic pregnancies will be identified before a complication occurs and patients may be candidates for less invasive management approaches.

Case Report: A reproductive age G2P0010 presented with pleuritic RUQ pain and was ultimately diagnosed with a hepatic ectopic pregnancy. Given the location of the pregnancy and the difficulty accessing it from both an interventional radiology and surgical perspective, inpatient medical management with methotrexate was pursued. A multidisciplinary team including gynecology, interventional radiology, hepatobiliary surgery, and trauma surgery all participated in perioperative planning in case of an acute deterioration. The patient remained hemodynamically stable and exhibited an appropriate response to methotrexate therapy using the multi-dose regimen. Persistent radiographic changes were still evident in the liver six months later despite resolution of the human chorionic gonadotropic (HCG) values.

Conclusion: This case represents a conservative approach to a complex diagnosis and should inform future clinicians expeditious administration of methotrexate therapy and careful consideration of interval imaging for treatment response.
Maxillary anterior teeth with extensive root resorption treated with multidisciplinary approach: A case report
Authors: de Carvalho Coutinho Thais Machado , Souza Campello Carollyne , Pires Abdelnur Juliana , Ronquete Vivian , Sardenberg Pereira Carlos Henrique , Marceliano-Alves Marilia F
Published: January 2023

Invasive cervical resorption is a type of external resorption, which is generally located in the cervical region of the tooth. The resorptive process can be caused by physiological, pathological, hormonal, and trauma factors. The present study aimed to report a case of invasive cervical resorption in tooth 12 identified as an incidental finding, in which all available clinical resources were used, as well as a combined multidisciplinary treatment of endodontics, orthodontics, surgery, and prosthesis. At the initial consultation, the tooth presented with Heithersay’s class II resorption, undergoing endodontic treatment and traction for subsequent cavity sealing. After completion of orthodontics, an increase in the resorptive pocket was observed (Class III of Heithersay), which led to endodontic retreatment and subsequent surgical intervention to remove the granulation tissue and fill it with bioceramic material. The preparation of the coronal remnant and fabrication of a prosthetic restoration were performed, with the aim of shielding the endodontic cavity and functionally restoring the tooth. With the case presented, it was possible to conclude that incidental findings are part of the endodontist’s daily life, requiring a constant search both for early diagnosis and effective multidisciplinary treatment, which contributes to the restoration of aesthetics and function, contributing to the tooth longevity.
Paradigma Sosial Profetik Dalam Orientasi Dakwah Di Indonesia
Authors: Harahap Abdul Aziz , Setiawan Alfiandri
Published: January 2023

The tendency of Islamic da'wah activities that are intolerant, racist and full of violence, both verbal and non-verbal, pose a threat to harmonious life in the pluralistic social life of Indonesian society. In response to this, the Indonesian Ulema Council (MUI) in 2017 formulated guidelines for preachers in Indonesia. The guidelines are projected as a code of ethics for preachers (da'i) in Indonesia. This qualitative research in the form of a literature study aims to identify the existence of the dimensions of prophetic Islamic social values in the orientation of da'wah in Indonesia formulated by the MUI. This study uses a normative-philosophical approach. The analytical theory used is the prophetic social values conceptualized by Kuntowijoyo in the idea of prophetic social science. The results of the study show that there are dimensions of prophetic Islamic social values in the orientation of da'wah in Indonesia formulated by the MUI. First, the value of transcendence in the formation of the religious-humanist personality of Muslims. Second, the value of liberation in shaping the personality of Muslims who are nationalist and pluralist. Third, the value of humanization in the formation of an innovative and harmonious Muslim personality. The theoretical implication of this research shows that the prophetic social values of Islam can be the basis of values or paradigms in realizing a moderate and peaceful Islamic da'wah. The limitation of this research is that it has not examined the form of the Indonesian government's political policy in mainstreaming Islamic prophetic social values for preachers in Indonesia.
Análisis Epidemiológico de la Sala de Internación de Psiquiatría de un Hospital General Metropolitano de Comunidad de la Ciudad de Buenos Aires, Argentina
Authors: Malleza Sebastián , Abudarham Tomás , Bertolani Fernando Carlos , Matusevich Daniel , Faccioli José Luis
Published: January 2023

Objetivo: Explorar la frecuencia de diferentes variables sociodemográficas, clínicas y terapéuticas en los pacientes internados en la Sala de Psiquiatría del Hospital Italiano de Buenos Aires (HIBA). Introducción: Considerando que la Sala de Psiquiatría del HIBA se encuentra emplazada en un hospital general privado metropolitano de comunidad, referente a nivel nacional e internacional, resulta relevante realizar una descripción actualizada de la población usuaria de dicho dispositivo a la luz de los cambios producto de la sanción de la Ley Nacional de Salud Mental N° 26.657. Materiales y métodos: Se realizó  un estudio observacional descriptivo y analítico de corte transversal de pacientes que fueron internados en la Sala de Psiquiatría del HIBA durante el período comprendido entre el 1 de octubre de 2018 hasta el 30 de septiembre de 2019 inclusive. Resultados: Durante el período del estudio se valoraron 254 internaciones. Edad promedio de 51,85 años (D.E.=21,23), Mediana de la duración de internación correspondió a 22 días [IQR=14.00, 34.00], siendo el 31.5% de las mismas de carácter involuntario. Los motivos de ingreso más frecuentes fueron: cuadros depresivos (32.7%), descompensación psicótica (22.8%) y demencia/síntomas conductuales (13%). El 10.6% de los pacientes ingresaron tras haber realizado una tentativa suicida. Discusión: El presente trabajo permite tener una noción actualizada de las características de los pacientes que atendemos en la Sala de Internación teniendo en cuenta los cambios en la legislación vigente y en la sociedad en su conjunto. Conclusiones: Caracterizar los determinantes epidemiológicos del patrón de internaciones psiquiátricas permite realizar diagnóstico de situación local y actualizado que favorecerá el desarrollar y repensar estrategias de planificación y gestión informadas.
Digestivamente: Aplicación móvil para pacientes con Síndrome de Intestino Irritable
Authors: Celleri Milagros , Koutsovitis Florencia , Donatti Sofía , Ierache Jorge , Zaragoza Juan , Domínguez Nicolás , Merlino Hernán , Garay Cristian J.
Published: January 2023

El Síndrome de Intestino Irritable (SII) es un trastorno gastrointestinal funcional crónico que representa un problema en salud pública debido al impacto que produce en la calidad de vida. Los tratamientos recomendados incluyen a la terapia cognitivo-conductual para el abordaje de aquellos factores psicológicos que exacerban los síntomas. El uso de la tecnología y particularmente de aplicaciones móviles ha crecido de manera significativa durante los últimos años. En Argentina no se han desarrollado aplicaciones para SII. Digestivamente es una aplicación móvil, basada en la terapia cognitivo-conductual desarrollada en este país. Tiene por objetivo el registro de los factores psicológicos de los pacientes con SII en el contexto de un tratamiento psicoterapéutico. En el presente trabajo se describe la aplicación y sus funcionalidades. Se espera que la utilización de la aplicación permita mayor adherencia al tratamiento y una mejoría en la sintomatología de estos pacientes.
Pedro Mallo: Primeras aproximaciones rioplatenses a la Historia de la Locura
Authors: Conti Norberto Aldo
Published: January 2023

Incluye el texto: Algo sobre la enajenación mental (1864), de Pedro Mallo.
Ethical and Moral Issues in Undergraduate Medical Education: An Exploratory Study
Authors: Naeem Noor-i-Kiran , Naeem Zil-e-Fatima , Anwer Asfandyar
Published: January 2023

Background: Ethical and moral values form the basis of the environment in any academic institution.
Objectives: This study aimed to explore the ethical and moral issues faced by medical students during their undergraduate medical education in Pakistan.
Methods: This qualitative exploratory study was conducted at ABWA Medical College, Faisalabad. It included thirteen semi-structured, one-to-one interviews of volunteering undergraduate medical students of Punjab, Pakistan, from September 2021 to February 2022. The interview invitation was sent electronically to social media groups. Member checking of transcribed interviews was done, and data were analyzed thematically using Atlas-ti software by two independent researchers.
Results: Thematic data analysis led to the formation of 28 codes, 13 subthemes, and 3 main themes. Based on the social constructive approach, three main themes were categorized into ethical issues in (1) academic, (2) social, and (3) clinical contexts.
Conclusions: The results showed that undergraduate medical students face a myriad of ethical and moral disruptions during their undergraduate study period at medical college. Much awareness about identifying and dealing with such issues is recommended to bring more quality to the program.
Faculty Perspective on the Challenges Faced During Implementation of Integrated Curriculum
Authors: Aslam Kinza , Khan Rehan Ahmed , Aslam Mohammad Annas , Javed Kainat , Kamran Rizwana , Raja Anum Ahmed
Published: January 2023

Background: Curriculum is a dynamic thing that has evolved over the years to ensure the competency of health care professionals. Due to guidelines issued by international accrediting agencies, University College of Medicine & Dentistry implemented an integrated modular curriculum in 2015 that is coordinated and coherent. 
Objectives: The objective of this study was to explore the difficulties that the faculty faced while implementing an integrated curriculum for the undergraduate dental program (BDS) at the University College of Dentistry, The University of Lahore.  
Methods: This descriptive exploratory study was conducted from September 2020 till January 2021 at University College of Dentistry, The University of Lahore. Thirty-five faculty members were interviewed. The interviews were analyzed thematically after being transcribed.
Results: Six themes emerged from the analysis of interviews. These themes were: working environment, distribution of workload, communication, faculty development and retention, evaluation and leadership.
Conclusions: Integrated curriculum may be the need of the hour; however, its implementation comes with a set of challenges, which include a non-conducive working environment, uneven distribution of workload, absence of a sound faculty development and retention program, or absence of adequate resources. These factors may hinder the implementation of the integrated curriculum.
Nursing educational guideline regarding high alert medication among pregnant women with rheumatic heart diseases
Authors: Harbiy Rabab Abd El-Khalik , El-Gawad Neama Abd El-Fattah Abd , Mohamady Shaimaa Hassan
Published: January 2023

Background: Rheumatic heart disease is a condition in which the heart valves have been permanently damaged by rheumatic fever and high-alert medications. medications that are most likely to cause significant harm to the pregnant women, even when used as intended.  Aim: This study aimed to evaluate the effect of nursing educational guideline regarding high alert medication for pregnant women suffering from rheumatic heart diseases. Design: A quasi experimental design was used to achieve the aim of the current study one group. Setting: The current study was conducted in the outpatient clinics at obstetrics and Gynecology at Alshohadaa Central Hospital in Menoufia governorate, which belongs to the Ministry of Health and Population-Egypt. Sample: A convenience sample composed of 64 pregnant women among high-alert medication and rheumatic heart disease were included in the study. Tools: Tool 1: Self-Administered Questionnaire consisting of: Socio-demographic characteristics of pregnant women, Obstetrical history, menstrual history and pregnant women knowledge assessment sheet about rheumatic heart disease and high alert medication. Tool 2: Guideline sheet for pregnant women with rheumatic heart diseases & high alert medication. Results: There is statistically significant relation between total knowledge about rheumatic heart diseases and total knowledge about high-alert medications.
How to assess nurse learning needs through training needs analysis
Authors: Sudarmika Putu , Santyasa I Wayan , Tegeh I Made , Sudarma I Komang
Published: January 2023

Training has a very important role in improving the performance of nurses. This study aims to assess nurses' learning needs through the training needs of nurses. This study used a mixed-methods design. The first phase involved an online survey. The second phase of qualitative research involved conducting structured interviews with 8 nurses. A total of 413 nurses participated in this survey. Nurses' competence was found in the competence of meeting fluid and electrolyte needs with a mean of 3.8 (SD: 0.7), the most expected training model was mixed training (47.2%), the most expected form of audio-visual media (94.7%), internal training (95.2%), and the flexibility of the training time (68%). The results of the interviews indicate that it is necessary to map the nurse’s competence. Learning needs can describe the competence of nurses and the training needed to improve their self-competence. Training Needs Assessment should be carried out thoroughly, including the need for forms of learning and media, which need to be facilitated by nurse management to motivate nurses to learn and improve their skills.
The importance of awareness of our human limits: A view from cognitive psychology and beyond
Authors: Cowan Nelson
Published: January 2023

Throughout my career I have been interested in human cognitive limitations, with an emphasis on limits of working memory, the small amount of information that we hold in mind and use to solve problems and comprehend language and other communication. Here I focus on one kind of implication of these limits. In particular, I discuss some of the consequences when people are unaware of their limits. Being unaware means that one will assume one knows things that one actually doesn’t know, which can lead to less-than-ideal actions and social interchanges. I trace the topic of not knowing as it applies to cognitive psychology, cognitive development, scientific methods, and relations of these topics to social and personality issues, using my own research career as the source of examples. I expect that better understanding of our own cognitive limits can lead to better science and a better world.
Getting it together: Integrative approaches to formulation
Authors: Gardner Damian
Published: January 2023

This paper overviews the related areas of formulation and psychotherapy integration. Following a discussion on the nature of formulation as story and hypothesis, an overview of approaches to integration is outlined and issues relevant to training on this topic briefly considered.
Auditory hallucinations treated as PTSD auditory flashbacks: An NLP perspective
Authors: Sterling Sue
Published: January 2023

Auditory hallucinations may be auditory flashbacks in much the same way as memories become isolated and flash back in PTSD. The positive approach of Neuro-Linguistic Programming (NLP) with people with a diagnosis of severe mental illness is illustrated with work with one client.
Sibling expressions of living with cystic fibrosis using the dramatic arts
Authors: Kiczma Monika
Published: January 2023

This article outlines a siblings’ workshop that was set up in partnership with a local theatre company. A qualified drama teacher led the group using sound, movement and drama to help the children express their feelings and share experiences of living with a brother or sister who has cystic fibrosis.
User and carer involvement in clinical psychology training: Views from Buxton
Authors: Hayward Mark , Harding Emma
Published: January 2023

How can we develop relationships with our user and carer colleagues and meaningfully involve them within our training programmes? This question prompted a lively exchange of views in a workshop at the recent Group of Trainers (GTiCP) conference in Buxton.
‘I can only speak for myself’: Some voices from black and minority ethnic clinical psychology trainees
Authors: Rajan Lisa , Shaw Samantha. K.
Published: January 2023

This study uses a phenomenological approach to explore the experiences of eight black and minority ethnic clinical psychology trainees in the UK. Three main themes that emerged from the analysis give unique insight into participants training experience. Reflections on key issues are discussed.
ACT early: Acceptance and commitment therapy in early intervention in psychosis
Authors: Morris Eric , Oliver Joe
Published: January 2023

Mindfulness and acceptance-based therapies may have a role in fostering recovery from early psychosis, through engaging service users’ personal values and promoting a psychologically flexible stance. This paper describes using acceptance and commitment therapy in an early intervention setting.
Service-users and carers as placement advisors: Part 1 – getting started
Authors: Cooke Anne , Hayward Mark
Published: January 2023

Trainees tell us that the majority of their learning occurs during placement experience within the NHS. We briefly describe a project to meaningfully integrate the views of service users and carers into this learning context. In a separate article, trainees tell you of their experiences within the project.
Mark my words
Authors: Cormack Maggie ,   the Bristol course trainees
Published: January 2023

Every day, people judge you by your writing. Whether it’s right or wrong, they make assumptions about your intelligence, education and capabilities based on the standard of your correspondence. In life, it is often said that you are what you eat. In truth, you are what you write.

Unattributed quotation fromwww.grammar-monster.com
‘Leadership challenges for clinical psychologists’ – challenge or opportunity?
Authors: Onyett Steve
Published: January 2023

This article was prompted by ‘Leadership challenges for clinical psychologists’ (Hughes et al., 2011) and our new leadership development framework. It argues that clinical psychology could be making an even stronger claim for expertise in a form of leadership development, both for ourselves and those around us, that is desperately needed in health and social care at the present time.
In-patient nursing staffs’ applied understanding of functional assessments for people with a learning disability and challenging behaviour: A service evaluation
Authors: Adamson Vidyah , Turton Rai , Harris Samantha
Published: January 2023

In-patient nurses working with people with learning disabilities and challenging behaviours may not have sufficient knowledge/skills in functional assessment methods to adopt a ‘Person Focused Training’ approach to service delivery. Recommendations for supporting staff to use functional assessments are made.
Reflections on providing reflective supervision to social workers
Authors: Simmonds Lincoln , Harter Lucinda
Published: January 2023

This paper presents reflections on a project whereby reflective supervision was provided to social workers within a children’s referral and assessment team. The authors discuss the progress, difficulties encountered and learning experiences, and make recommendations for future project work.
‘What not to wear’: How might the therapist’s attire impact on the therapeutic relationship?
Authors: Turner Alex , Weatherhead Stephen
Published: January 2023

This article considers the nuances of arguments relating to different forms of therapist attire and its impact on the therapeutic relationship, taking into consideration client populations, religious perspectives and professional guidelines.

‘Clothes can suggest, persuade, connote, insinuate, or indeed lie; applying subtle pressure while their wearer is speaking frankly and straightforwardly of other matters. ’ (Hollander, 1994, p.355)
Empowering communities through ex-service user co-facilitation
Authors: Trafford Alexia , Potter Elaine
Published: January 2023

This article details the journey of a new service initiative training ex-service users in psycho-educational group co-facilitation in an IAPT primary care setting. It is written from both a staff and ex-service user perspective.
Clinical psychology in Tanzania: Four years on
Authors: Hall John
Published: January 2023

Four years ago, in the special issue of CPF edited by Gary Latchford and Steve Melluish, with Tanzanian colleagues, I outlined a new MSc course in clinical psychology which was about to begin at Muhimbili University in Dar Es Salaam (Hogan et al., 2010). This essentially narrative and personal article describes both how the course has developed, and other consequential and related issues.
Dispatches from the field
Authors: O’Callaghan Paul
Published: January 2023

Below is a blog of the amusing anecdotes and cultural contrasts that occurred during a trip to north-eastern Democratic Republic of Congo to implement a community-based psychosocial intervention in two rural communities there. At the time of the intervention, the communities were facing a real and present threat of attack and abduction by units of the rebel Lord’s Resistance Army, who were currently operating in the region and the accounts below describe the personal encounters, risks and dangers involved.
Clinical psychology doctorate acceptance and well-being
Authors: Glover Jennifer
Published: January 2023

This paper reports the potential impact of the process of applying for a place on clinical psychology training on well-being. Results show high levels of psychological distress were evident and indicate areas of concern regarding participants’ clinical experiences as assistant psychologists.
Meanings of prevention and cure for the counselling psychologist
Authors: James Pamela
Published: January 2023

This paper is concerned with the meanings of cure and prevention as related to the perspective of the counselling psychologist, who has both psychological and counselling training, and research skills. Elton-Wilson’s (1995) definition of counselling psychology includes the phrases “a therapeutic alliance with clients” and “practitioner scientist”. For me, the former is about working together in a therapeutic relationship, where hopefully the client’s experience is therapeutic and I for my part, learn from that relationship. Regarding the latter, as a practitioner psychologist I can use scientific method in the positivist sense, but my subjectivity, my clients’ narrative accounts, and the almost unquantifiable experience that forms part of the counselling relationship, are also invaluable.
One bad experience is one too many
Authors: Woolfe Ray , Bartlett Sarah
Published: January 2023

This paper provides information about the experiences of parents of children with a diagnosis of disability, mostly severe learning, in one part of the U.K. It is based on interviews carried out with the parent(s) of sixteen children in one English midland county during 1995. The aim of the paper was to explore the experiences of parents with respect to their treatment at the hands of professionals. More specifically, the objectives were to identify examples of good and bad practice in the local context, and to offer guidelines about the nature of good practice.

While the sample is relatively small, it is methodologically appropriate for the kind of in-depth interviews on which the conclusions are based. Parents were interviewed in their homes, each interview lasting approximately one hour. The questions were framed around a series of issues culled from a literature survey of studies which had been undertaken on a national basis.
Brain injury and identity – the role of counselling psychologists
Authors: Judd Dale P. , Wilson Sarah L.
Published: January 2023

In the United Kingdom one million people a year attend hospital with a head injury (Teasdale, 1995). The consequences of the injury vary with the nature and severity of the injury and between individuals but brain injury can be one of the most devastating, disempowering, and seemingly incomprehensible experiences that an individual, as well as their family, can suffer. Its complex organic, psychological, and psychosocial effects may be life-long, requiring a careful re-negotiation and adaptation both of ‘identity’ for the brain-injured individual, as well as the roles and relationships within the family.
Scientists versus practitioners: A growing dichotomy in need of integration
Authors: Pelling Nadine
Published: January 2023

This paper outlines why the scientist-practitioner tradition within counselling psychology is very applicable to our work as counselling psychologists in the 21st century, and why the scientist-practitioner model is not only applicable in the US but also within the Commonwealth. The importance of the scientist-practitioner model will be outlined in a twofold fashion. First, how counselling psychologists’ applied work necessitates that the scientist portion of counselling psychology training continues will be outlined. This discussion includes a brief overview of process and outcome research. Second, paralleling a theme of research-practice integration, the integration of seemingly divergent research methods to be utilized within the field of counselling psychology will be proposed.
The Client Experience of Counselling and Psychotherapy
Authors: Elliott Mark , Williams David
Published: January 2023

What little research there is from the client perspective shows clients to attribute change more to the personal qualities of the therapist than the particular way of working.
Our connection to the Earth – a neglected relationship in counselling psychology?
Authors: Higley Nickee , Milton Martin
Published: January 2023

It is becoming clearer that, as Evernden puts it, ‘we are not in an environmental crisis, but are the environmental crisis’ (1985, p.125). One might expect a field such as psychology to be playing an essential part in helping to understand and change these detrimental patterns, however, some argue that so far, its impact has been limited (e.g. Kidner, 1994). This paper contends that counselling psychology may be particularly well placed to help deal with this destructive relationship even though mainstream psychotherapeutic thought has traditionally ignored this dimension, seeing the environment as simply a backdrop onto which the more important human interactions play out (Swanson, 1995).
Counselling Psychology and the internet: A review of the quantitative research into online outcomes and alliances within text-based therapy
Authors: Hanley Terry , Reynolds D’Arcy J.
Published: January 2023

Purpose

This paper examines the empirical research concerning counselling psychologists who utilise the internet in their practice. More specifically, we summarise the quantitative research of online therapeutic outcomes and alliances reported in text-based therapeutic encounters.

Background

Online therapy creates much debate within the therapeutic world. Many question the validity of entering into these relatively uncharted waters, while others have begun working productively in this territory. To date, a small pool of research examining the efficacy of such work has emerged and provides the focus for this paper.

Method

A review of the literature has been conducted with a two-fold strategy. Initially a review of 16 quantitative outcome studies investigating this area are presented and discussed – these have been selected from Barak, Hen, Boniel-Nissim and Shapira’s (2008) comprehensive review of the effectiveness of internetbased psychotherapeutic interventions. Following this, the focus is moved to the concept of the online therapeutic alliance. A systematic review of the existing literature outlines five pertinent quantitative studies and these are discussed in relation to key qualitative work in this area.

Conclusions

Conclusions are drawn highlighting that work in this medium shows great promise, with both successful outcomes and strong alliances being reported online. Such findings, although limited due to the dearth of the research available, challenge the views of those sceptical of counselling psychologists entering into virtual arenas.