bluuebunny/crossref_metadata_2025 huggingface dataset:
Do Impulse Control Disorders Impair Car Driving Performance in Patients with Parkinson’s Disease?
Authors: Fründt Odette , Fadhel Mazen , Heesen Christoph , Seddiq Zai Susan , Gerloff Christian , Vettorazzi Eik , Pöttgen Jana , Buhmann Carsten
Published: September 2022

Background:

Based on data regarding the prevalence of Parkinson’s disease (PD), the prevalence of impulsive control disorders (ICD) in PD, and the percentage of PD patients driving a car, it has to be assumed that at least 50,000 PD patients with ICD in Germany actively drive a car. However, these patients might be at risk for unsafe driving due to ICD-related dysfunctions such as failure to resist an impulse or temptation, to control an act or other altered neurobehavioral processes.

Objective:

This study determines the influence of ICD on driving ability in PD.

Methods:

We prospectively compared driving simulator performance of 23 PD patients with and 23 matched patients without ICD. ICD had to be socially compensated and presence was defined clinically for primary and questionnaire-based (QUIP-RS) for post-hoc analyses. Furthermore, between-group comparisons of driving-relevant neuropsychological tests were executed.

Results:

Except from a lower blinking frequency when changing lanes, overall driving safety of patients with ICD did not differ significantly from those without—regardless of the clinical or QUIP-RS-based ICD definition. ICD severity did not correlate with driving performance, but the latter correlated significantly with mean reaction times and certain neuropsychiatric tests (MoCA, TMT-A, TAP-M “flexibility” and DBQ “error”).

Conclusion:

Clinically compensated ICD does not seem to impair driving safety in PD patients. Rather, cognitive and attentional deficits appear to be clinical markers for driving uncertainty.
Autopallidotomy: From Colloquial Term to Scientific Theory
Authors: McCarter Stuart J. , Savica Rodolfo
Published: September 2022

Levodopa-induced dyskinesia (LID), a frequent complication of Parkinson’s disease (PD), occurs in ∼30% of patients after five years’ treatment with levodopa. In atypical parkinsonism, LID occurs less frequently than in PD. Lower frequency of LID in atypical parkinsonism has traditionally been attributed to lower amounts of levodopa used by these patients; however, recent studies have shown lower frequency of LID in atypical parkinsonism compared with PD when adjusting for levodopa dose. The mechanism of LID is complex but requires pulsatile levodopa stimulation, progressive presynaptic dopaminergic degeneration, and a relatively intact postsynaptic dopaminergic system. The globus pallidus internus (GPi), the main inhibitory nucleus of the basal ganglia, may play a major role in the development and treatment of LID. Surgical lesioning of the posteroventral GPi is directly antidyskinetic; animal models showing GPi-associated striatal neurons are directly responsible for the development of LID. However, other cortical areas, particularly the primary sensory and motor cortices may also play a role in LID. In some cases of atypical parkinsonism, particularly progressive supranuclear palsy and corticobasal degeneration, severe degeneration of the GPi, a so-called “autopallidotomy,” may explain the absence of LID in these patients. In other atypical parkinsonisms, such as PD dementia and dementia with Lewy bodies, the lower incidence of LID may partly be attributed to more striatal degeneration but likely also relates to the degeneration of the motor cortex and resultant network dysfunction. Overall, atypical parkinsonism serves as a natural model that may ultimately reveal more effective therapies for LID.
Persepsi Masyarakat Pragaan Tentang Eksistensi Radio Rasda Fm.
Authors: Ali Syaif Uddin
Published: September 2022

Bagi stasiun radio, pendengar adalah target utama dalam menjaga eksistensi, radio sebagai media massa adalah sarana untuk menyampaikan pesan yang ditujukan pada massa atau khalayak luas. Semakin banyaknya pendengar, maka eksistensi atas radio semakin diakui oleh masyarakat. Radio harus berusaha menyajikan yang sesuai dengan minat masyarakat sehingga masyarakat tertarik mendengarkan siarannya. Radio Rasda FM menyajikan Dakwah sebagai program unggulan, sehingga bukan hanya menyampaikan informasi, hiburan, juga terdapat kajian keilmuan keagamaan yang diprogramkan oleh Rasda FM.

Permasalahan yang diangkat dalam penelitian ini adalah Persepsi Masyarakat Pragaan tentang Eksistensi radio Rasda FM. Yang dijabarkan dalam satu fokus penelitian yaitu, bagaimana persepsi masyarakat Pragaan tentang eksistensi radio Rasda FM.

Untuk mengetahui lebih dalam tentang eksistensinya yang ditanggapi masyarakat Pragaan, maka peneliti menggunakan pendekatan penelitian kualitatif lapangan. Adapun metode yang digunakan adalah metode wawancara, observasi, dan dokumentasi. Dari metode ini, kemudian peneliti olah dan analisis untuk memperoleh data atau informasi. Subjek penelitian ini didiambil dari Masyarakat Pragaan, karyawan Pondok Pesantren Al-Amien Prenduan dan kariawan radio Rasda FM. Untuk keabsahan data peneliti menggunakan triangulasi dengan membandingkan data hasil pengamatan dengan hasil wawancara dengan triangulasi antar metode yaitu membandingkan keadaan dan perspektif seseorang dengan berbagai pendapat dari para pendengar.

Adapun hasil dari penelitian ini sebagian masyarakat Pragaan masih mendengarkan radio Rasda FM sehingga radio Rasda FM masih eksis di kalangan masyarakat Pragaan. Eksistensi radio Rasda FM ditanggapi dengan positif oleh mereka, karena Rasda FM mencanangkan program dakwah sebagai siaran unggulan sehinga masyarakat bisa menyerap ilmu keagamaan meski di tengah ksibukan aktivitasnya. Akan tetapi terdapat beberapa kekurangan dari radio Rasda FM diantaranya: Pertama. Program acara tenhenti akibat pemadaman listrik. Kedua. Ketidakprofesionalnya penyiar. Ketiga kurang konsisten dalam menyelenggrakan program acara.
Nilai Dakwah Dalam Al-Quran
Authors: Zumaroh Zumaroh Zumaroh
Published: September 2022

Islam is religion carry of salvation mission or dakwah for all over nature. For realization that mission, Allah SWT down the Holy Quran for mankind guidance. Yusuf Qordhowi, said in the Al-Quran have two base value dakwah there are correlation with divinity and with society. As for the first value is confession taha Allah SWT is the oneness of the God in the word and the second are: equality and brotherhood, justice and world peace. All of teaching are values of dakwah to be called of humand kind. Tauhid is primary for all of human action must be impacted for social kindness. Therefore, belief in the oneness of god/Allah SWT and deny of toghut will be inflicted for goodness of ummah and actualized Islam rahmatan lilalamin. This research use study text approach, and use library reseach aggregation with conten analysis methode.
Nevralgia do trigémio atípica: um caso clínico
Authors:   USF Mactamã - ACES Sintra, Capela Mariana Lopes da Cruz , Inácio Maria Eduarda Constâncio Brás ,   USF Mactamã - ACES Sintra
Published: September 2022

Introdução: A nevralgia do trigémio consiste numa dor muito intensa, com início súbito e de curta duração, espoletada por estímulos inócuos. No entanto, pode manifestar-se inicialmente de forma atípica tornando o seu diagnóstico mais difícil. Descrição do caso: Relata-se um caso de uma mulher de 77 anos de idade com dor tipo moinha no maxilar superior direito, que motivou múltiplos contactos com os cuidados de saúde, tendo sido submetida a vários ciclos de antibioterapia e à extração de um dente, por suspeita inicial de patologia dentária. Posteriormente, a dor evoluiu para um padrão típico de nevralgia do trigémio, pelo que se assumiu este diagnóstico. Iniciou-se terapêutica para controlo da dor com carbamazepina e fez-se o estudo de causas secundárias, no qual foi identificado um meningioma no trajeto do nervo trigémio direito. Comentário: As manifestações atípicas da nevralgia do trigémio podem levar a um atraso no diagnóstico desta patologia pelo que é importante ter um elevado nível de suspeição. A terapêutica sintomática deve ser iniciada aquando do diagnóstico e deve ser considerado um estudo de causas secundárias.
Motivos de consulta em medicina geral e familiar: tendência evolutiva na última década na região Centro de Portugal
Authors:   USF Topázio, ACES Baixo Mondego, Santiago Luiz Miguel , Coelho Clarisse Calça ,   Faculdade de Medicina da Universidade de Coimbra, Simões José Augusto ,   Faculdade de Medicina da Universidade de Coimbra
Published: September 2022

Objetivo: Analisar os motivos de consulta classificados segundo capítulos da International Classification for Primary Care – 2 (ICPC-2) pelos médicos de família na região Centro de Portugal, entre 2010 e 2018. Métodos: Estudo transversal observacional dos motivos de consulta classificados pelos médicos de família de três Agrupamentos de Centros de Saúde da área da Administração Regional de Saúde do Centro, selecionados aleatoriamente, para os anos de 2010, 2012, 2014, 2016 e 2018. Obtiveram-se dados anonimizados organizados por sexo, ano, número total de consultas, número de consultas com classificação ICPC-2 do motivo de consulta e capítulos ICPC-2 registados, calculando-se as dinâmicas e crescimento. Resultados: Em 12.569.898 consultas realizadas verificou-se proporção de 5,3% de consultas com motivo de consulta classificado. Os capítulos mais classificados em todos os anos estudados foram, decrescentemente, A (15,4%), L (11,3%), D (10,3%), R (8,4%), S (9,7%) e K (7,9%). Os capítulos menos classificados foram, crescentemente, Z (1,6%), Y (1,7%), B (1,9%), W (2,1%), H (2,9%) e N (3,7%). O capítulo Z teve a maior dinâmica de crescimento de 2010 para 2018 (∆=+1,15). Discussão: Numa década de problemas socioeconómicos, os motivos de consulta registados pela ICPC-2 mantiveram-se constantes. A atividade de classificação de motivos de procura de consulta, mesmo com problemas de qualidade e volume de realização, pode ajudar na qualidade e resultado da consulta, sendo semelhantes aos já conhecidos na literatura. Conclusão: Verificou-se classificação ICPC-2 de motivos de consulta pelos médicos de família em 5,3% das consultas, sendo os capítulos invariáveis ao longo do tempo. O capítulo Z registou a maior dinâmica de crescimento no volume de classificação.
Teleconsulta de medicina geral e familiar em doze passos: uma adaptação em tempos de pandemia
Authors:   USF Arandis, ACES Oeste Sul, Gomes Ana Catarino , Alves Paula Brandão ,   USF Arandis, ACES Oeste Sul
Published: September 2022

Este artigo propõe uma estrutura para as teleconsultas de medicina geral e familiar, explorando estratégias para ultrapassar barreiras comunicacionais. Propõem-se doze passos divididos em três fases. Fase I: Preparação. Passo 1. Escolha do local: avaliar as condições do gabinete. Passo 2. Verificação da conexão: verificar a disponibilidade de telefone, computador e de impressora e a existência uma boa conexão de Internet. Passo 3. Preparação do consultório: certificar-se de que há boa luminosidade e que todos os objetos que possam a vir a ser necessários estão posicionados corretamente. Passo 4. Organização do pensamento: ler os registos médicos prévios e algum alerta importante. Fase II: Teleconsulta. Passo 5. Preparar a sessão: certificar-se de que tem o contacto correto do utente, password da sessão bem como o número telefónico de uma linha de apoio informático. Passo 6. Primeiros minutos: certificar-se de que o vídeo e o áudio estão a trabalhar corretamente; confirmar a identificação do paciente e garantir a sua privacidade. Passo 7. Avaliação rápida: avaliar rapidamente se o paciente está severamente doente ou não; se doença grave, escrever uma pequena história clínica e avaliar os parâmetros vitais de forma a decidir se deve encaminhar-se o doente para uma observação médica. Passo 8. Exploração: história da doença atual. Passo 9. Avaliação: este é o passo mais complexo; descrições do paciente, imagens de vídeo em direto ou enviadas posteriormente para o email, valores de dispositivos médicos que o paciente possua e uso de várias escalas médicas são uma excelente ajuda. Passo 10. Decisão: interpretação das monitorizações de forma a decidir o melhor seguimento em consenso com o doente. Fase III: Final. Passo 11. Encerramento: deve confirmar-se que foram abordados todos os temas propostos para a consulta e verificar se o utente compreendeu o plano. Passo 12. Reflexão final: finalizar os registos clínicos e realizar uma autorreflexão da consulta que teve lugar. Para a comunicação de más notícias deve usar-se o protocolo de SPIKES. Este artigo foi pensado como um guia de consulta para teleconsultas de medicina geral e familiar como forma de melhorar a abordagem médica durante a pandemia COVID-19.
Associação entre a realização de interrupção voluntária da gravidez e a tipologia de cuidados de saúde primários: um estudo transversal
Authors:   ARS Lisboa e Vale do Tejo, Santos Catarina Neves , Chambel Beatriz ,   Faculdade de Medicina da Universidade de Lisboa
Published: September 2022

Introdução: Melhor desempenho nos cuidados de planeamento familiar (PF) permitiria, teoricamente, reduzir as taxas de gravidezes indesejadas e, consequentemente, as interrupções voluntárias da gravidez (IVG). Objetivos: Verificar a existência de associação entre fatores organizacionais dos cuidados de saúde primários (CSP) e o recurso à consulta de IVG do Hospital Beatriz Ângelo, na população de mulheres que a esta recorreu durante o ano de 2018. Métodos: Estudo observacional, analítico e transversal. Os dados foram colhidos da base de dados da consulta de IVG do ano 2018 e do Registo de Saúde Eletrónico. Foi realizada uma análise estatística descritiva e inferencial utilizando o programa SPSS®. Resultados: Cerca de 39,1% das mulheres que realizaram uma IVG pertenciam a uma UCSP, 38,3% a uma USF modelo A e 22,6% a uma USF modelo B, sendo que 21,5% não tinham médico de família (MF). Após ajuste dos dados verificou-se que as utentes de uma USF modelo B ou com MF realizaram significativamente menos IVG (p=0,009 e p=0,001, respetivamente). As utentes de USF modelo B tiveram mais consultas nos CSP (p<0,001) e utilizaram mais métodos contracetivos (p=0,022) nos 12 meses prévios à IVG. Também as mulheres com MF realizaram mais contraceção no ano anterior à IVG (p<0,001). Conclusões: O melhor acesso aos CSP e o maior uso de contraceção que se verificam entre as utentes de USF modelo B ou com MF associam-se a uma menor realização de IVG. Ter MF mas, principalmente, pertencer a uma USF modelo B revela-se protetor face à realização de IVG, evidenciando a necessidade de atribuir MF a toda a população, melhorar a acessibilidade aos serviços de PF e incentivar a autonomia organizacional ao nível dos CSP.
Indicador 380: descobre onde estão os teus utentes com DPOC
Authors:   Unidade de Saúde Familiar João Semana, Silva Eurico , Santos Ana Raquel Sousa ,   Unidade de Saúde Familiar de Baltar
Published: September 2022

A doença pulmonar obstrutiva crónica (DPOC) é uma causa importante de morbilidade crónica e mortalidade prematura, constituindo a terceira causa de morte no mundo. Em Portugal estima-se que a sua prevalência, a partir dos 40 anos, seja de 14,2% com uma elevada proporção de subdiagnóstico. O Plano Nacional de Doenças Respiratórias preconiza o combate desta doença e o aumento do seu diagnóstico nos cuidados de saúde primários (CSP). A sociedade atual procura avaliar, quantificar e classificar a prestação dos serviços e, na saúde, os indicadores de desempenho avaliam elementos mensuráveis da prática clínica, permitindo o estabelecimento de boas práticas e melhoria dos cuidados prestados. Os autores propõem a utilização do indicador 2017.380 do Bilhete de Identidade dos CSP, designado por “Proporção de utentes adultos com registos clínicos evidenciando a existência de asma, DPOC ou bronquite crónica, com registo de diagnóstico na lista de problemas”, como uma ferramenta importante para aumentar o diagnóstico das doenças respiratórias, melhorar os registos clínicos, atualizar os problemas ativos e, fundamentalmente, melhorar os cuidados de saúde prestados aos utentes.
Quando não é só uma gripe: relato de caso de uma miosite viral
Authors:   Unidade de Saúde Familiar Novo Sentido, Maciel Miguel , Andrade Francisca ,   Unidade de Saúde Familiar Novo Sentido, Castro Carolina ,   Hospital Pedro Hispano, Macedo Ana ,   Unidade de Saúde Familiar Novo Sentido
Published: September 2022

Introdução: As infeções das vias aéreas superiores (IVAS) em crianças são dos motivos mais comuns de consulta aguda nos cuidados de saúde primários e habitualmente têm bom prognóstico. No entanto, em certos quadros clínicos, as complicações ou doenças menos comuns, como a miosite, devem ser consideradas. Descrição do caso: Uma criança de oito anos de idade, previamente saudável, foi observada pela primeira vez no centro de saúde em novembro de 2019 por tosse e febre com dois dias de evolução, sem alterações de relevo no exame objetivo – foi assumida uma IVAS e prescrito tratamento com antipirético e reforço da hidratação oral. O doente volta três dias depois à unidade com manutenção do quadro clínico, marcha anormal e dor na região posterior da perna, na região dos músculos gastrocnemius bilateralmente. Ao exame objetivo e neurológico, além da alteração da marcha, não apresentava outros achados. Pela evolução suspeita do quadro foi referenciado para o serviço de urgência pediátrico hospitalar para avaliação. Não foram encontradas outras alterações ao exame objetivo. Foi submetido a estudo analítico, que revelou uma creatina cinase (CK) de 7110U/L, mioglobina de 1935ng/ml e aspartato aminotransferase (AST) de 191U/L, sem alteração de função renal. Perante resultados sugestivos de miosite foi decidido internamento para fluidoterapia intravenosa. Em regime de internamento foi realizado aspirado nasofaríngeo para cultura e virologia, que testou positivo para vírus Influenza B; foi, assim, assumido o diagnóstico de miosite vírica por Influenza B. O doente recebeu tratamento com oseltamivir durante quatro dias em regime de internamento, com boa resposta. Teve alta hospitalar após estes quatro dias, assintomático e com indicação para repouso e reforço da hidratação oral. Comentário: Devemos estar atentos a sintomas menos comuns em casos de presumíveis de IVAS e aumentar a acessibilidade dos cuidados de saúde primários para reavaliações de certos casos.
Trimetilaminúria, uma doença social? Relato de caso
Authors:   ACES Baixo Vouga, Aveiro, Rua Inês , Ribau Rita ,   ACES Baixo Vouga, Aveiro, Silva Mariana Fonseca ,   ACES Baixo Vouga, Aveiro, Martins Elsa ,   ACES Baixo Vouga, Aveiro
Published: September 2022

A trimetilaminúria ou “síndroma do cheiro a peixe” é uma doença metabólica rara, considerada subdiagnosticada, devida ao défice da enzima flavina mono-oxigenase 3. Esta patologia tem como sintomas a presença de odor a peixe após a ingestão de alimentos contendo precursores de trimetilamina. Não apresenta outros sintomas físicos de relevo, mas pode representar consequências importantes a nível social e psicológico. O conhecimento da patologia e o seu diagnóstico precoce permite reduzir o impacto nocivo a estes níveis, através da adoção de estratégias para reduzir a sintomatologia. Este artigo apresenta um caso clínico de uma doente, do sexo feminino, com seis anos de idade, com trimetilaminúria, realçando a importância da consulta de saúde infantil e juvenil, realizada nos cuidados de saúde primários, para a valorização das queixas apresentadas pelos familiares e para a identificação precoce de patologias raras, mas com potenciais complicações a longo prazo.
The application of citizen science to an undergraduate research project on canine cognition
Authors: Leger Dezirae
Published: September 2022

Animal research provides meaningful insight into animals' skills and abilities, further enhancing our care for and understanding of them. However, performing authentic animal research in an undergraduate class is difficult because of cost and limited resources. One solution to this challenge is citizen science. Citizen science is a form of research conducted by members of the public who perform experiments and gather information for researchers, allowing for wide-scale data collection with minimal cost associations. Thus, an experiment using the citizen science approach was performed in Animal Bioscience 360 at the University of Saskatchewan to determine if there were cognitive differences in groups of dogs. Teams of two students performed cognition tests on their own dogs and tested four aspects of cognitive ability: memory, object permanence, perspective-taking, and response to human cues. Together, the class tested 42 dogs and uploaded the experimental data to Excel. Students developed hypotheses to test whether dogs differing in age, gender, breed, obedience training, or household status had different cognitive profiles. There were no significant differences in cognition except that dogs living in single-dog households yawned significantly more often in response to human yawning than multi-dog households (P ≤ 0.05). The citizen science approach provided 61 students with an authentic research experience and improved their writing and numeracy skills. Undergraduate research experience assists in practical skill development, improved academic performance, and degree completion. Citizen science enhances participants' knowledge of the research area and provides a level of transparency toward scientific research.
Pedal Past the Pumps
Authors: Conly Lukas F.J.
Published: September 2022

This paper analyses the substitution effects between commuter bicycling and the price of gasoline. A multiple regression analysis is conducted to determine the elasticity of demand for bicycles from gasoline as well as other relevant variables, availability of bike sharing, population density, bike paths, median income, days below zero degrees Celsius, precipitation, and the CPI for recreational vehicles (including bicycles) and public transportation. The analysis is conducted using both pooled average and random effects regression models. The modelling showed that there is indeed a substitution effect on the demand for commuter cycling due to the price of gasoline. The study also shows asymmetrical results for male and female cyclists, showing that male and female cycling habits are influenced by different variables. This analysis suggests that policy makers can influence rates of cycling by manipulating the cost of its alternatives as well as the opportunity costs of cycling itself.
Digging Up the Past
Authors: Rajesh Puja
Published: September 2022

Artist’s Statement: My piece, "Digging Up the Past," was designed to bring a sense of nostalgia and joy on two levels: the cinematic and the global. Referencing the original 1999 film The Mummy, the top sculpture of a mummy represents the common pre-Covid pastimes that we all would have experienced at one point or another, such as going to a movie. The bottom pillar/column represents the culture and diverse experiences that we have missed due to the pandemic, bringing to light our inability to travel and explore localities that differ from our own. Both of these issues are accentuated by the aging processes the column and mummy have undergone, showing the toll time has taken on all of us, especially in relation to these issues. I made this piece for ART 242. A small recording device can be switched on to let the Mummy roar using the voice from the film (as it is recorded from the 1999 movie).
Textile Sublimation Printing: Impact of Total Ink Limiting Level and Sublimation Transfer Paper on Black Print Quality
Authors: TOSHİKJ Emilija , PRANGOSKİ Bojan
Published: September 2022

The different sublimation transfer paper was printed in black color with total ink limiting levels, from 100 % to 400 %, using an ink jet printing system with the CMYK color system. Then the test image was transferred to fabric using the sublimation printing process. The ink jet printer was installed with sublimation dye. Color strength, CIELab color coordinate, color difference ΔE*, and GLCM (grey level co-occurrence matrix) image processing method were used for analyzing print quality. The significant change in print quality is caused by the sublimation transfer paper, resulting in a medium color difference noticeable to the human eye, while the total ink limiting level for printing sublimation transfer paper did not cause a significant change in print quality. The print with the maximum color strength is obtained with the 270 % total ink limiting level. The color difference between prints obtained with lighter sublimation transfer paper with a higher transfer rate printed with 100 % and 270 % total ink limiting levels was less than 1, suggesting a color difference undetectable to the human eye. Considering the importance of ink in terms of costs in businesses, the optimal total ink limiting level for printing sublimation transfer paper and achieving good print quality was 100 %. The total ink limiting level for printing sublimation transfer paper is useful for saving money on ink, so good print quality will be reached at a lower total ink limiting level.
Indonesian Student Movement Moral Force Doctrine in Social Change Under Jokowi’s Indonesia and Its Future
Authors: Adhipermana Luthfi Diar
Published: September 2022

The development of Indonesian democracy is slowly regressing under Jokowi’s Administration, amidst that regression, two massive student movement occurred in 2019 and 2020. Despite the scale of the movement, those movement couldn’t maximize their success. This article attempts to answer two questions regarding that matter, first, why the student movement in Jokowi’s Administration couldn’t achieve success? Second, is the student movement still viable to do a social change? To answer those questions this article examined the moral force doctrine which constructed along with the student movement throughout the history. This article argue that the moral force doctrine needs to be abandoned because it made the student movement have an obscure position towards the establishment and limiting the student movement to build alliances with other political groups. Yet, the student movement still viable to do a social change in a time of crisis even it doesn’t change its doctrine.
The Attempted Extension of the Indonesian Developmental State towards Africa
Authors: Dorigné-Thomson Christophe
Published: September 2022

Under Jokowi, Indonesia’s foreign policy towards Africa has become more pragmatic through a multi-bilateral scheme, the Indonesia-Africa Forum, launched in April 2018. Despite the overwhelming economic diplomacy discourse, in reality, Indonesia’s African foreign policy reveals the need for expansion of the Indonesian developmental state to serve its highest interests relating to regime stability, sovereignty, security or political legitimacy. Economic development and thus the African expansion serve this raison d’État. Africa offers a playground for Indonesia to showcase its developmental success, notably in infrastructure. The continent could also help Indonesia with great power management by offering a new kind of leverage; while being part of Indonesia’s road to great power itself. Indonesia will need to raise its intellectual game and knowledge of Africa; and of the mechanisms and reasons of its strategic importance.
Conceito de inconsciente nas ciências psicológicas
Authors: Mattos Tatiana Morita Nobre , Gama Uberto Afonso Albuquerque da
Published: September 2022

O conceito de inconsciente é tão longevo quanto as civilizações da Antiguidade e segue sendo tema de investigação científica e filosófica, sobretudo no campo das ciências psicológicas. A constatação de que a consciência humana não tem acesso a todo o conteúdo de seu universo psíquico remonta não só ao questionamento da realidade individual e coletiva, mas também implica no conceito de realidade cósmica, conhecida por consciência supramental por algumas escolas da psicologia e da filosofia oriental. Como questão norteadora este artigo visa compreender como as linhas das ciências psicológicas se complementam na formulação do conceito de inconsciente. Sendo assim, tem por objetivo geral apresentar as bases nas quais o conceito de inconsciente se desenvolveu e se fundamentou. Como metodologia, realizou-se uma pesquisa bibliográfica abrangendo autores do campo da psicologia que trataram diretamente do tema da consciência e implementaram tais pesquisas na terapia clínica. Ademais, a pesquisa bibliográfica abrangeu pesquisadores da filosofia do Oriente que trataram do alcance da psicologia sobre a compreensão do inconsciente humano. Constatou-se não apenas a grande complementaridade entre as diferentes linhas das ciências psicológicas, como a relevância da contribuição da filosofia oriental, cujos estudos abordados apresentam a dedicação que este tema requer e evidenciam a necessidade de continuidade e ampliação da pesquisa realizada.
Disminución del puntaje de riesgo de caída a través de una intervención fisioterapéutica en adultos con diabetes mellitus tipo 2
Authors:   Centro de Investigaciones Regionales “Dr. Hideyo Noguchi”. Universidad Autónoma de Yucatán. Calle 43 No. 613 x 90, Col. Inalámbrica C. P. 97069. Mérida, Yucatán, México. Teléfono: 9993821663, Solís-Ancona Elda Pamela , Valadez-González Nina , García-Escalante María Guadalupe , Vera Gamboa Ligia , Estrella-Castillo Damaris Francis , Nadia Cecilia Maldonado-Rodríguez , Pavía-Ruz Norma , Valencia-Pacheco Guillermo
Published: September 2022

Introducción: La diabetes mellitus (DM) se ha convertido en una epidemia; en México las cifras ascienden a 12 millones de adultos. La debilidad muscular y pérdida de equilibrio que presentan los pacientes con diabetes mellitus tipo 2 (DT2) afecta el ciclo de la marcha lo que aumenta el riesgo de caídas (RC). Una de las estrategias que ha logrado reducir el RC en las personas que viven con DT2 son las intervenciones fisioterapéuticas. Objetivo: Determinar el efecto de una intervención fisioterapéutica en la marcha, sobre el puntaje de RC (PRC) en adultos con DT2. Material y Métodos: Estudio prospectivo, longitudinal, cuasi experimental. Se realizó una intervención fisioterapéutica en la marcha a adultos con DT2, que incluyó ejercicios de fortalecimiento, estiramientos, de equilibrio y coordinación; se calcularon los rangos de movimiento articular (RDM) fuerza muscular (FM) (escala de Daniels-Worthingham), huella plantar mediante el índice de Hernández-Corvo (IHC) de los miembros inferiores y PRC (TINETTI). Resultados: Participaron 21 adultos, mayores de 40 años, con un tiempo de evolución de DT2 de 13±8 años; el 85.76% fueron mujeres, y 61.91% presentó obesidad. Se registró un aumento en los RDM y se observó una diferencia significativa en la comparación de rangos de las variables de FM en ambos miembros inferiores. La huella plantar registró un cambio a pie tipo normal de un 34% en el derecho y en el izquierdo de 14%. El PRC disminuyó un 25% (p˂0.005). Conclusión: El aumento de los RDM, FM, equilibrio, coordinación y la modificación de la huella plantar disminuyó el PRC en los participantes del presente estudio.
Nivel de adherencia y de conocimientos de la población meridana sobre las medidas preventivas de la COVID-19
Authors:   Facultad de Medicina, Universidad Autónoma de Yucatán, Mérida, Yucatán, México, Hernández-Chavez Saliha Karina , Herrera-Achach Juan José , Dzul-Silva Hadad Ricardo , Burgos-Ávila Monica Patricia , Pérez-Osorio Carlos Enrique ,   Laboratorio de Enfermedades Infecciosas y Parasitarias, Facultad de Medicina, Universidad Autónoma de Yucatán, Mérida, Yucatán, México
Published: September 2022

Introducción: Debido a la pandemia por COVID-19, se implementó en México la Jornada Nacional de Sana Distancia para prevenir los contagios. Objetivo: Conocer el nivel de adherencia y conocimiento sobre las medidas preventivas de COVID-19 establecidas por el gobierno de México en Mérida, Yucatán. Material y métodos: Se realizó un estudio observacional, descriptivo, transversal con una encuesta en el grupo de Facebook “Que todo Mérida se entere” del 20 al 30 de abril de 2021. Resultados: De 173 registros, 157 fueron válidos, en su mayoría de mujeres (94). Se obtuvo un nivel de adherencia alto en 122 participantes y medio en 35, sin nivel bajo; se registró un nivel de conocimiento alto en 84 participantes, medio en 65 y bajo en 8. No se encontró asociación estadísticamente significativa con la prueba de Chi cuadrado entre nivel de conocimiento-infección por COVID-19 (p= 0.4429), nivel de adherencia-infección por COVID-19 (p= 0.078), nivel de conocimiento-contacto con familiar con COVID-19 (p=0.1548) y nivel de adherencia-contacto con familiar con COVID-19 (p=0.1318). Conclusiones: Es necesario evaluar otros factores que podrían influir en la alta incidencia de COVID-19, así como las razones de que aun con conocimiento medio o bajo se tiene un nivel de adherencia alto.
Pooling of nasopharyngeal swabs to identify asymptomatic cases of SARS-CoV-2 virus during first wave of the COVID-19 pandemic
Authors:   Laboratorio Estatal de Salud Pública del Estado de Yucatán, Servicios de Salud de Yucatán, México, Granja-Pérez P. , Ayora-Talavera G. , Villanueva-Jorge S. , Flores-Quintal F. , Avilés-Gómez L. E. ,   Laboratorio de Virología, Centro de Investigaciones Regionales Dr. Hideyo Noguchi (CIR), Universidad Autónoma de Yucatán (UADY), México
Published: September 2022

Introducción. Los sistemas de salud públicos y privados a nivel mundial han padecido numerosas dificultades durante la actual pandemia de COVID-19. Altos números de portadores asintomáticos han dificultado la vigilancia y el seguimiento de los individuos infectados. Así mismo, los laboratorios de diagnóstico han sufrido con deficiencias en reactivos para realizar el diagnóstico. Realizar agrupaciones de muestras clínicas es una alternativa para sobrellevar la poca disponibilidad de reactivos y el diagnóstico de individuos asintomáticos. Métodos. Se realizó la agrupación de 1937 muestras clínicas de personas asintomáticas que realizaban actividades esenciales durante la primera ola de COVID-19 en Yucatán, México. Se realizó diagnóstico por RT-PCR en tiempo real utilizando el método Berlin en 229 agrupaciones de muestras. Resultados. La estrategia detectó de manera exitosa casos positivos de personas asintomáticas con COVID-19. Un total de 27 agrupaciones fueron positivas. Los individuos positivos realizaban actividades esenciales en la administración del gobierno del estado, en supermercados o en la fuerza policiaca. Conclusión. La agrupación de muestras clínicas es una estrategia para facilitar el aislamiento oportuno de individuos infectados asintomáticos, así como para ahorrar en reactivos de laboratorio.
РОЗВИТОК ЗДАТНОСТІ ЗДОБУВАЧІВ ПРОФЕСІЙНОЇ ОСВІТИ ДО ПІДПРИЄМНИЦЬКОЇ ДІЯЛЬНОСТІ У ПОВОЄННИЙ ПЕРІОД
Authors: Базиль Людмила
Published: September 2022

Пріоритетами стратегії повоєнного розвитку національної економіки передбачено багаторівневе стимулювання розвитку малого бізнесу. Важливо своєчасно забезпечити якісну підготовку учнівської і студентської молоді до підприємницької діяльності. У системі професійної освіти не приділяється належної уваги виявленню в учнів індивідуальних якостей успішного підприємця та розвиткові здатності до підприємництва як ініціативної, інноваційної, творчої і самостійної діяльності. У підготовці здобувачів професійної освіти до започаткування власної справи важливо, передовсім, розвинути здатність до підприємницької діяльності, що конкретизується наявністю сильних якостей характеру. Успішно самореалізуватися може особа, яка усвідомлює свої сильні якості, практично застосовує «технологію формулювання SMART-цілей» й уміє визначати оптимальні способи досягнення поставлених цілей і реалізовувати їх у власній діяльності.
Pengembangan Multimedia Google Earth Berbasis Virtual Mata Pelajaran Ski di Madrasah Tsanawiyah (MTs)
Authors: Dayu Refni , Mirdad Jamal , Fitri Nidya
Published: September 2022

Multimedia Development of Virtual-Based Google Earth Learning in SKI Subjects in MTs, The development of virtual-based google earth learning multimedia is an effort to visualize places / locations in three dimensions because lectures are insufficient in expressing material orally and using media have not varied used by teachers so that students are unable to understand the material about SKI subjects. This has an impact on one of the factors that make SKI subjects difficult to understand. The research aims to develop multimedia learning SKI (History of Islamic Culture) in Madrasah Tsanawiyah Negeri 1 Solok by using an interactive multimedia format in showing the places where the dawah trip of Prophet Muhaamad saw. in Makkah and to find out the validity of virtual-based google earth learning multimedia. The research methods used are research and development (development research) the ADDIE model developed by Dick and Carry (1) needs analysis; (2) design of the developed product; (3) expert validation and revision; (4) field trials. Instruments for collecting data in this study are interviews, observations, validation sheets. The multimedia that has been developed is then tested for validity by experts using Aikens V. Research results show that the results of virtual-based google earth multimedia validation are categorized as very valid (0.915). Based on the validation results, this virtual-based google earth multimedia is valid for use in ski learning the dawah material of the Prophet Muhammad saw in Makkah.
Regional Features of Provision with Medical Personnel in the Field of Traumatology and Orthopaedics in Kazakhstan
Authors:   National Scientific Center of Traumatology and Orthopaedics named after Academician Batpenov N.D., Baidarbekov Murat , Nurakhmetov Asset ,   National Scientific Center of Traumatology and Orthopaedics named after Academician Batpenov N.D.
Published: September 2022

The purpose of the study: to assess the degree of availability of medical personnel in the field of traumatology and orthopedics in Kazakhstan.Methods. In this work, an analysis was made of the number of orthopedic traumatologists in Kazakhstan for 2019-2020. A comparative analysis of the indicators of the number and traumatologists-orthopedists by region was carried out.Results. A low availability of orthopedic traumatologists was revealed in a number of regions of Kazakhstan: in 2020, in Atyrau, Mangystau regions and in the West Kazakhstan region, the number of orthopedic traumatologists was 0.3 per 10 thousand of the population. In the Kyzylorda region, this indicator was 0.4 per 10 thousand people. The highest rates of the number of traumatologists-orthopedists are observed in the cities of Almaty and Nur-Sultan.Conclusion.There is a significant uneven distribution of specialists in the field of traumatology and orthopedics in the regions of Kazakhstan. To address the issue of lack and uneven distribution of human resources in the field of traumatology and orthopedics, it is necessary to improve the system of training, distribution and remuneration of traumatologists-orthopedists in Kazakhstan.Keywords: medical personnel, traumatologists-orthopedists, healthcare system, availability of human resources.
Analysis of the Environment for the Development of a Strategic Planning Strategy for Drug Supply
Authors:   National Scientific Center for Health Development named after Salidat Kairbekova, Tabarov Adlet
Published: September 2022

This manuscript discusses the issues of strategic planning of drug supply for the population of the Republic of Kazakhstan on the example of a medical organization in the city of Nur-Sultan.The main goal of the Drug Supply Strategy is to form a rational system of drug supply for the population with sufficient financial resources to meet the needs of patients in affordable, high-quality and effective medicines.The work used methods of comparative analysis of scientific literature on the topic under study, analysis of primary and secondary statistical data on strategic planning and drug provision of patients of the Center for the Rational Use of Medicines and Medical Technologies, the National Scientific Center for Health Development named after Salidat Kairbekova, as well as the results of surveys of patients and medical personnel.The data obtained in the course of the study made it possible to identify problematic aspects of drug supply and further develop recommendations for improving the strategic planning of drug supply in a medical organization. We have given recommendations for improving the strategic planning of drug supply in a medical organization.Key words: drug supply, medicines, medical care, strategic planning.
Availability of Free Drug Provision for Patients with Type 2 Diabetes at the Outpatient Level in the Republic of Kazakhstan
Authors:   Karaganda Medical University, Kablaev Ansar , Dauletkalieva Zhaniya ,   Karaganda Medical University, Kalieva Sholpan ,   Karaganda Medical University
Published: September 2022

The purpose of the study: To analyze the availability of free drug provision for patients with type 2 diabetes at the outpatient level in the Republic of Kazakhstan.Methods: in this work, a comparative analysis of the drug provision of patients with type 2 diabetes mellitus was carried out within the framework of the list of outpatient drug provision and the clinical protocol for the treatment of type 2 diabetes mellitus. A pharmacoeconomic analysis was also carried out in terms of calculating the annual cost of pharmacotherapy with drugs for the treatment of type 2 diabetes mellitus.Results. 42 types of medicines are included in the clinical protocol for the treatment of type 2 diabetes mellitus, of which 24 international nonproprietary names for the treatment of type 2 diabetes are included in the List of free outpatient drug provision (6 oral combinations are also possible). Thus, patients with type 2 diabetes mellitus in the Republic of Kazakhstan have access to 71% of medicines from the clinical protocol for free drug provision.The cost of annual therapy with sitagliptin and alogpliptin is cheaper than analogues, and the results of efficacy and safety are comparable, the inclusion of these drugs in the list of free drug provision will also make it possible to make 2 oral combinations, which will increase the availability of free outpatient drug provision for patients with type 2 diabetes mellitus, and increase this show up to 81%.Conclusions. For patients with type 2 diabetes, 30 types of drugs are available for free outpatient drug provision, which is 71% of the drugs included in the clinical protocol.To increase accessibility, we consider it appropriate to include the drug alogliptin in the list of outpatient drug provision.Key words: type 2 diabetes mellitus, availability of drug provision, pharmacotherapy, of type 2 diabetes mellitus
Problems of the Effectiveness of the Work of General Practitioners
Authors:   Medical Assistance Group, Kengespayev Miras , Tursynbet Yernar ,   Central Hospital of the Ministry of Internal Affairs of the Republic of Kazakhstan
Published: September 2022

In the course of the literature review, four main factors were identified that affect the effectiveness of the GP and, in most cases, have a complex effect on the doctor's activity: the quality of education, organizational factor, financial motivation and psychological factor. These factors are common to all employees of the healthcare system and, in particular, affect the efficiency of the GP. Identification of the causes of their occurrence is necessary when developing methods to improve the quality of PHC services.Keywords: primary health care, general practitioner, work efficiency, polyclinic, labor organization.
Capitalism's Contribution to Environmental Damage in The Novel the Cry of The Truck Pudu Musa Ismail's Work: Ecocritical Study
Authors: Hayuningtyas Fenta Pangestika , Wiyatmi
Published: September 2022

This study discusses literary works that present issues of nature and the social environment exploited through the oil palm plantation system. This study aims to describe the contribution and impact of capitalism with the depiction of ecological problems in the novel Pudu's Cries. The method used is descriptive qualitative with an ecocritic approach. The data in this study are in the form of quotes from story units, author narration quotes, and character dialogue that describes the character's relationship with nature related to the problem studied. The analysis of the novel is carried out with a discourse approach and an approach reality. Data collection techniques used in this study are reading, and writing techniques note. In this study, the stages of data analysis were carried out interactively, namely data reduction, presentation of data, and conclusions. The results of the study, namely the contribution of capitalism to the environmental damage in the form of cunning, greedy, and selfish attitudes to exploit nature, are the main character of capitalism and have an impact on forest destruction, pollution of rivers, and the safety of the Sakai people.
Benefits of Medical Waste Management in the Facility Health Services
Authors: Levi Anatolia S. M. Exposto  , I Made Bakta  , I Made Ady Wirawan  , I Nengah Sujaya
Published: September 2022

Medical waste is all waste generated from hospital activities in the form of solid, liquid, and gas. The hospital, as a health service facility, is a gathering place for sick and healthy people and can be a source of disease transmission and allows environmental pollution and health problems, also producing waste that can transmit disease. According to the World Health Organization (WHO), waste generated by health service activities includes various kinds of materials, from used needles to soiled sanitary napkins, body parts, diagnostic samples, blood, chemicals, drugs, medical devices, and radioactive materials. To avoid these risks, it is necessary to manage waste in hospitals to protect patients, health workers, visitors, and the community around the hospital from the spread of infection and injury. The aim is to find out the benefits of medical waste management in health care facilities. The method used in writing this article is a literature review by identifying, evaluating, and synthesizing the works of research results and ideas that have been produced by researchers and practitioners. The results of the search process were only taken 27 articles that met the inclusion criteria, namely articles published in the period 2012-2021 and had discussions related to "the benefits of medical waste management in health care facilities and English. Medical waste management is getting rid of and utilizing general waste for other purposes. For general waste, the handling is identical to other domestic waste. Recycling is implemented wherever possible at every opportunity. Uninfected sharps must be properly packaged and will not harm handling workers and can be disposed of like general waste, while infected sharps are treated as hazardous waste.