bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of Endoscopy First and Laparoscopic Cholecystectomy First Strategies for Patients With Gallstone Disease and Intermediate Risk of Choledocholithiasis: Protocol for a Clinical Randomized Controlled Trial
Authors: Aleknaite Ausra , Simutis Gintaras , Stanaitis Juozas , Jucaitis Tomas , Drungilas Mantas , Valantinas Jonas , Strupas Kestutis 
Published: November 2020

Background
The optimal approach for patients with gallbladder stones and intermediate risk of choledocholithiasis remains undetermined. The use of endoscopic retrograde cholangiopancreatography for diagnosis should be minimized as it carries considerable risk of postprocedural complications, and nowadays, less invasive and safer techniques are available.

Objective
This study compares the two management strategies of endoscopic ultrasound before laparoscopic cholecystectomy and intraoperative cholangiography for patients with symptomatic cholecystolithiasis and intermediate risk of choledocholithiasis.

Methods
This is a randomized, active-controlled, single-center clinical trial enrolling adult patients undergoing laparoscopic cholecystectomy for symptomatic gallbladder stones with intermediate risk of choledocholithiasis. The risk of choledocholithiasis is calculated using an original prognostic score (the Vilnius University Hospital Index). This index in a retrospective evaluation showed better prognostic performance than the score proposed by the American Society for Gastrointestinal Endoscopy in 2010. A total of 106 participants will be included and randomized into two groups. Evaluation of bile ducts using endoscopic ultrasound and endoscopic retrograde cholangiography on demand will be performed before laparoscopic cholecystectomy for one arm (“endoscopy first”). Intraoperative cholangiography during laparoscopic cholecystectomy and postoperative endoscopic retrograde cholangiopancreatography on demand will be performed in another arm (“cholecystectomy first”). Postoperative follow-up is 6 months. The primary endpoint is the length of hospital stay. The secondary endpoints are accuracy of the different management strategies, adverse events of the interventions, duct clearance and technical success of the interventions (intraoperative cholangiography, endoscopic ultrasound, and endoscopic retrograde cholangiography), and cost of treatment.

Results
The trial protocol was approved by the Vilnius Regional Biomedical Research Ethics Committee in December 2017. Enrollment of patients was started in January 2018. As of June 2020, 66 patients have been enrolled.

Conclusions
This trial is planned to determine the superior strategy for patients with intermediate risk of common bile duct stones and to define a simple and safe algorithm for managing choledocholithiasis.

Trial Registration
ClinicalTrials.gov NCT03658863; https://clinicaltrials.gov/ct2/show/NCT03658863.

International Registered Report Identifier (IRRID)
DERR1-10.2196/18837
Pengembangan Ensiklopedia Terintegrasi STEM (Science, Technology, Engineering, Mathematics) Sebagai Pengayaan Bagi Peserta Didik Di Sekolah Dasar
Authors: Erviana Vera Yuli 
Published: November 2020

Penelitian ini bertujuan untuk mengembangkan media ensiklopedia pembelajaran tematik terintegrasi STEM yang dapat membantu peningkatan pemahaman materi dan meningkatkan kemampuan berpikir kritis serta kreatif pada peserta didik. Jenis penelitian yang digunakan adalah Research and Development (RnD) dengan menggunakan desain penelitian ADDIE. Subjek coba yang digunakan pada penelitian ini adalah peserta didik kelas 3 SD Muhammadiyah Ambarbinangun yang berjumlah 49 anak. Teknik pengumpulan data yaitu wawancara, angket, dan tes. Instrumen pengumpulan data yaitu lembar penilaian ensiklopedia, tes hasil belajar, dan wawancara. Teknik analisis data yaitu data kualitatif dan kuantitatif. Hasil penelitian menunjukkan bahwa rata-rata dari penilaian uji validasi ahli sejumlah 86,35 dengan katagori “sangat baik”, rata-rata dari penilaian guru yaitu 96,66 dengan katagori “sangat baik”, dan rata-rata dari penilaian peserta didik yaitu 91,59 dengan katagori “sangat baik”. Dari hasil tersebut maka media ensiklopedia dinyatakan “layak” untuk digunakan pada pembelajaran. Selain itu, penelitian menunjukkan bahwa ensiklopedia efektif digunakan pada pembelajaran berdasarkan perhitungan menggunakan Uji Paired Sample T-Test diperoleh hasil T hitung 12,064 dan T tabel 2,056 dengan signifikansi 0,000 <0,05, artinya terdapat perbedaan yang signifikan antara hasil penilaian pretest dan posttest.
Oralidade no Evangelho de Marcos
Authors: Sanches Sidney De Moraes 
Published: November 2020

Este artigo tem por assunto a oralidade no Evangelho de Marcos. Seu objetivo primário é apontar para o substrato oral do texto escrito marcano, e o secundário é propor modos de observação das marcas da oralidade nele. Para isso me valho dos estudos sobre a tradição oral de Jan Vansina; sobre a oralidade de Werner Kelber e James Dunn; sobre a transmissão oral de Kenneth Bailey. Acrescento a contribuição da análise da narrativa (narrative analysis), focalizando o plano narrativo como meio complementar para o exame do relato oral. Apresento, como exemplo, o episódio de cura da mulher com hemorragias. Concluo, com James Dunn, que é possível reconhecer os vestígios de oralidade no texto marcano. E que esses servem para preencher o espaço entre Jesus e as primeiras transcrições e edições da tradição oral, cujo primeiro exemplar está no Evangelho de Marcos.
A REVOLTA DE CANUDOS: POSSÍVEIS REFLEXÕES ENTRE MESSIANISMO, MOVIMENTO SOCIAL E PSICOPATOLOGIA PELA NÃO CONFIGURAÇÃO DA VIOLÊNCIA RELIGIOSA NA CONTEMPORANEIDADE1
Authors: Chaves Flavio Da Silva 
Published: November 2020

O presente trabalho tem por objetivo pensar a violência religiosa a partir da Revolta dos Canudos, indagando se o elemento religioso envolvido nesta revolta tem características messiânicas ou é uma patologia em nome de Deus. A análise será feita a partir de três questionamentos: o primeiro, indaga-se sobre o que é a Revolta dos Canudos. Aqui se pretende descortinar sua história, o pensamento do seu líder, o fator motivacional que desencadeou a guerra, bem como a intrincada relação com as revelações messiânicas. No segundo, pergunta-se sobre o que é Psicopatologia. Neste momento, a pesquisa se dará no campo da psicose que, hipoteticamente, pode desenvolver comportamentos que se desdobram em atos de violência em nome de supostas revelações religiosas. Por último, a pergunta: qual o limite entre atos messiânicos e as patologias em nome de Deus? Neste tópico apresenta-se a linha tênue da religião entre os elementos de inclusão social, promovida no acampamento e, de igual forma, para perpetuar a visão, os atos de violência, em nome de Deus.
GAP Analysis Implementasi ISO 14000 pada PT. Citra Abadi Sejati
Authors: Nurfida Anita , Putra Muhammad Fidiandri , Usman Ridwan 
Published: November 2020

Pertumbuhan industri yang semakin marak saat ini, membutuhkan komitmen dan tanggungjawab para pelaku industri untuk ikut serta menjaga lingkungan agar tetap lestari. PenerapanSistem Manajemen Lingkungan (SML) ISO 14000, menjamin konsumen dan masyarakatakan komitmen industry tersebut. Persaingan pasar yang semakin kompetitif, menginisiasiPT. Citra Abadi Sejati untuk meningkatkan citra perusahaan dengan ISO 14000.Permasalahan yang ada yaitu belum mengetahui secara mendetail dokumen dan tahapanproses yang harus dilengkapi untuk memenuhi syarat pengajuan sertifikasi ISO 14000.Metode gap analysis merupakan metode yang paling tepat dalam mengidentifikasi danmengevaluasi kondisi perusahaan saat ini, sehingga dapat dilakukan tindakan perbaikandalam implementasi ISO 14001. Berdasarkan hasil gap analysis secara menyeluruhdidapatkan nilai sebesar 15%, menunjukkan kesiapan PT. Citra Abadi Sejati dalampengimplementasian ISO 14001:2015 dan melakukan sertifikasi. Perlu dilakukan perbaikanterhadap 3 klausul yang belum terpenuhi dengan mengacu pada rekomendasi yang telahdiberikan yaitu klausul 4.1 ; klausul 4.2 dan klausul 9.1.2. The growth of the industry that is increasingly widespread now, requires commitment andresponsibility of industry players to participate in protecting the environment in order toremain sustainable. The application of ISO 14000's Environmental Management System(SML) guarantees consumers and the community the industry's commitment. Increasinglycompetitive market competition, initiated PT. Citra Abadi Sejati to improve company imagewith ISO 14000. The existing problem is not knowing in detail the documents and stages ofthe process that must be completed to meet the requirements for applying for ISO 14000certification. Gap analysis method is the most appropriate method in identifying andevaluating the company's current condition , so that corrective action can be taken inimplementing ISO 14001. Based on the results of the overall gap analysis, a value of 15% isobtained, indicating the readiness of PT. Citra Abadi Sejati in implementing ISO 14001:2015 and certifying. It is necessary to make improvements to the 3 clauses that have not beenfulfilled by referring to the recommendations that have been given, namely clause 4.1; clause4.2 and clause 9.1.2.
Acute psychotic symptoms caused by overlapping central nervous system pathologies: a case report
Authors: Uğurlu Görkem Karakaş , Uğurlu Mustafa , Kılıç Meltem , Apaydın Zuhal Koç , Çayköylü Ali 
Published: November 2020

Background:
In some medical cases, psychotic symptoms can be part of the clinical picture, and sometimes it can even be the only clinical appearance of the medical condition. Psychotic disorders secondary to organic pathologies affecting the central nervous system are called psychotic disorders due to a general medical condition. While some of these secondary causes can easily be detected by laboratory and imaging methods, anamnesis or neurological examination (substance use, trauma, and tumors), others are often overlooked in the presence of rare medical conditions (autoimmune disease and viral encephalitis), when laboratory and examination findings are not clear and psychiatric symptoms are in the foreground.

Case Presentation:
In this case, we tried to reveal the differential diagnosis and treatment processes of a patient who was admitted to the emergency department with psychotic symptoms, such as agitation, aggression, and paranoid delusions, and was admitted to the psychiatry clinic after an urgent medical evaluation. After his admission to the psychiatry clinic, the medical evaluation of the patient was re-evaluated in detail due to memory and orientation deterioration, and as a result, clinical pictures such as Hashimoto’s encephalopathy, herpes encephalitis, and epileptic seizures were found to be together in the patient. As a matter of fact, both general medical and psychiatric statuses of the patient improved with the application of low doses and short-term antipsychotic treatment for psychiatric symptoms together with the treatment for this underlying general medical condition.

Conclusion:
Since the treatment of psychiatric symptoms caused by secondary medical factors is quite different from the treatment of primary psychiatric disorders, it is important to make full medical evaluations, especially in patients presenting with psychiatric symptoms for the first time or presenting with emergency psychiatric symptoms.
A rare endocrine manifestation of Down syndrome: central precocious puberty: three cases report
Authors: Güven Ayla , Cebeci Ayse Nurcan 
Published: November 2020

Background:
Although peripheral precocious puberty has been reported due to untreated long-standing hypothyroidism in children with Down syndrome (DS), central precocious puberty (CPP) has been scarcely reported. The aim of this study is to describe our experience with this rare condition.

Case presentation:
Three patients (two males and one female) who were receiving treatment for hypothyroidism and admitted with signs of precocious puberty were recruited in the study. Clinical and laboratory findings were compatible with CPP in all three patients with DS. They were euthyroid during investigations for CPP. A male patient had periventricular millimetric focuses in the supratentorial region in cranial magnetic resonance imaging. The other male patient developed central adrenal insufficiency during fallow-up and hence hydrocortisone was added to the treatment. All patients were successfully treated with gonadotropinreleasing hormone analogs; no adverse efects have been observed.

Conclusion:
Our findings emphasize that CPP might be seen in rare cases with DS and hypothyroidism.
Convivência com a seca e políticas públicas no Nordeste brasileiro
Authors: Leite Maria Jorge dos Santos , Amorim Franciel Coelho Luz de 
Published: November 2020

Este trabalho estuda o fenômeno da seca no Nordeste, identificando os órgãos e políticas do Estado, a exemplo do Departamento Nacional de Obras Contra a Seca (DNOCS) e na Superintendência do Desenvolvimento do Nordeste (SUDENE) e analisa suas ações no combate aos efeitos da seca durante as décadas de 1960 e 1990. Trata-se de uma pesquisa bibliográfica, qualitativa e descritiva. Foi realizada a partir de consultas a documentos como jornais e revista e estudo da literatura relativa ao tema da pesquisa. Como resultado, identificamos a longevidade da convivência dos sertanejos com a seca e a tardia intervenção estatal na solução dos problemas decorrentes dela. Quanto à análise temporal, concluímos que o Estado, por meio de seus órgãos e políticas, são historicamente patrimonialistas, o que dificulta a solução dos problemas do Nordeste e favorece o surgimento de práticas corruptas.
Parenting and Family Adjustment among Parents of children and adolescents with Intellectual Disability and functional psychosis: A Comparative Study
Authors: Singh Jagritee , Nizamie S. Haque , Singh Narendra Kumar 
Published: November 2020

Background: Parenting, a wonderful and rewarding experience, are often accompanied by high levels of stress, because of the difficulties, frustrations, and challenges that parents face in everyday life. This study examined the profile of Parenting and Family Adjustment among Parents of children and adolescents with Intellectual Disability and functional psychosis.
Methods: This study was a cross-sectional hospital based study. The study samples were selected through purposive sampling technique. The sample size was 40 parent among which 20 parents of children and adolescent with intellectual disability and 20 parents of children and adolescent with functional psychosis taken from Erna Hoch Child and Adolescent Psychiatry Unit and Charak Outpatient Department, of the Central Institute of Psychiatry, Kanke, Ranchi. Parenting and Family Adjustment Scale used for the data collection. Data were analyzed by Statistical Package for Social Sciences (SPSS- 21 version).
Results and Conclusions: The results indicated that parents of children and adolescents with functional psychosis reported higher mean in the subscales of Parental consistency, Corrective parenting, Positive encouragement, Parent child-relationship, Family relationship and parents of children and adolescents with intellectual disability reported higher mean in the subscale of Parental teamwork.
Key words: Parenting,Â Family Adjustment, Psychosis, Intellectual Disability
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Application of Motivational Enhancement Therapy in Group settings among Patients with Substance Abuse
Authors: Srivastava Prashant , Singh Kuldeep , Chahal Savita 
Published: November 2020

Background: Substance abuse is defined as the use of a drug or any other substance for a non-medical purpose with the aim of producing some type of "mind-altering "effect in the users. Motivational Enhancement Therapy (MET) is a systematic intervention approach for evoking change. It is based on principles of motivational psychology and is designed to produce rapid and internal motivation. Aims and Objectives: Present study aims to assess and compare desire to quit substance use among substance users and the effectiveness of Motivation Enhancement Therapy on the desire to quit substance use in an experimental group. Sample and Sampling: A total number of 70 participants were selected using purposive sampling technique. The sample comprised of 35 from inpatient unit and 35 from the out-patient department of psychiatry, Kalpana Chawla Government Medical College and Hospital, Karnal, Haryana, India. Results and Conclusions: The present study suggests that comprehensive patient-friendly treatments are more effective in increasing the desire to quit substance use than the standard pharmacological treatment.Â Hence, combining pharmacoloÃ‚Â­gical treatment with appropriate psychosocial interventions focusing on the specific problem of the patient may provide a better outcome than either one alone. Clinicians can arrange the clinical teaching regarding MET for a larger group at whole including family interventions.
Keywords: Motivation enhancement therapy, substance abuse
Psychosocial Needs of the Families with a Person with First Episode Psychosis
Authors: Kapse Praful Prabhuappa , Kiran Manisha 
Published: November 2020

Background: The people who experience psychotic symptoms first time can be frightening for them and their close family members. It is crucial to provide family support and care to persons with first episode psychosis. Aim: To assess the needs of family members presenting to a tertiary care centre. Methods: Cross-sectional outpatient based study design was adapted to collect data from the family members of persons with first episode psychosis presented to a tertiary care centre. Total 60 family members were randomly selected for the study and assessed for the burden, attitude, ways of coping and quality of life. Results: Study results indicate the high burden; it has noted that high negative expressed emotions among family members. Negative coping styles were also found and the family members and having a poor quality of life. Conclusion: First episode of psychosis can traumatizing to the patients and their family members. Family members can experience the burden of caregiving including financial burden, can have faulty ways of coping and negative expressed emotions towards their own wards having psychosis which can lead to poor treatment outcome. Findings indicated that need to provide psychosocial intervention for family members of persons with first episode psychosis.
Keyword: Family, psychosocial intervention, needs, first episode psychosis, expressed emotions, burden
A Study on School Adjustment and Aggression among Adolescents with and without Hearing Impairment
Authors: Kaur Hardeep 
Published: November 2020

Background: Adolescence is a stage with tremendous pressure and stress. The ones with disability, especially hearing impaired may feel discouraged from exposing themselves to socially challenging situations, thus producing isolation that leads to depression, irritability and feelings of inferiority. Adolescents as such are under constant pressure to perform at every front, the main one being academics. School adjustment is a procedure that brings a person's behaviour in compliance with the norms of the school. It comprises of educational, social and emotional adjustment. Aim: The present study aims to examine the level of school adjustment and aggression among the adolescent with and without hearing impairment. The gender differences were also examined. Methods and Materials: A total of 60 adolescent (girls and boys) aged 14-18 years were selected for the study. Out of which 30 adolescents had hearing impairment and they were selected from school for deaf and blind and a controlled group of 30 adolescents without hearing impairment were selected from a government school in the same area. They were matched on age and gender. A self-constructed interview schedule was used to collect the socio demographic profile of the respondents. Scale on aggression by Mathur G.P. and Bhatnagar Rajkumari and Adjustment Inventory for school students by Sinha and Singh were used. Results: The results showed that there were no significant difference in school adjustment among adolescents with and without hearing impairment and also no significant gender differences were found. Adolescent children with hearing impairment were more aggressive in compared to the same age group adolescents without hearing impairment. Boys were more aggressive as compared to girls in both groups. Conclusion: There is a need to address the issues related to aggression among adolescents with hearing impairment specifically adolescent boys through psychosocial interventions to channelize their energy in a positive direction.
Keywords: Aggression, school adjustment, adolescents, hearing impairment
Contemporary Indian Legislations Pertaining to PSW and Its Implication
Authors: Sahu Kamlesh Kumar 
Published: November 2020

Since last couple of months seeing the apathy of the Indian PSWs (professional social workers or psychiatric social workers) and various social work associations towards the issues related to the new legislation and implication PSW practice. I was wondering whether anyone would be interested in this or not. But now at least some movement can be seen though direction and impact are still not very clear at least to me which has given me the courage to write on this issue though in my mind these issues were raising since the beginning when I entered in this profession.
Keywords: Psychiatric social work, Indian legislations, Allied and Healthcare Professions BillÂ
Personal Social Capital and Socio-occupational Function of Persons with Schizophrenia: A Comparative Study
Authors: Gujar Nilesh Maruti , Ranjan Lokesh Kumar , Bhattacharjee Deepanjan , Das Basudeb , Singh Narendra Kumar 
Published: November 2020

Background: Personal social capital is an individualÃ¢â‚¬â„¢s networks and connections between individuals that can provide support which is characterized by reciprocity, trustworthiness and resources. Individuals who are excluded from accessing social capital have a higher risk of schizophrenia and may have informal social control. Social functioning of individuals with schizophrenia gets disturbed therefore improving the functioning levels is considered to be an important goal in treating schizophrenia. Aim: To assess and compare personal social capital and socio-occupational functioning of patients with schizophrenia and normal controls. Materials and Methods: The sample consisted of 60 individuals (30 patients diagnosed with schizophrenia and 30 normal population) selected from the outpatient department (OPD) of the Central Institute of Psychiatry, Ranchi by using purposive sampling method. Positive and negative syndrome scale (for study group) and General health questionnaire (for normal population) applied for screening. Participants who fulfilled inclusion criteria were informed about study and consent was obtained. Socio-demographic and clinical datasheet, Personal Social Capital Scale and socio-occupational functioning scale were administered. Results: Present study shows a significant difference in personal social capital and socio-occupational functioning of persons with schizophrenia and normal controls.Â Conclusion: The patients with schizophrenia hold lower personal social capital and socio-occupational functioning than the normal population. Personal social capital and socio-occupational functioning showed a significant positive correlation, therefore, improvement in socio-occupational functioning can help to enhance personal social capital.
Keywords: Schizophrenia, personal social capital, socio-occupational functioning