bluuebunny/crossref_metadata_2025_split huggingface dataset:
Persepsi Kaunselor terhadap Gangguan Stres Pasca Trauma (Post-Traumatic Stress Disorder) Mangsa Buli di Malaysia
Authors: Mustapa Kamal Siti Fadhlina , Mohd Nasrah Siti Khadijah , Syed Abdullah Syed Mohamad 
Published: June 2021

Mangsa buli di sekolah berisiko tinggi untuk mengalami isu Gangguan Stres Pasca Trauma (PTSD). Pelbagai risiko isu psikologikal mendatang seperti penyalahgunaan bahan serta kecenderungan membunuh diri boleh berlaku jika tidak ditangani. Ekoran daripada itu, penglibatan kaunselor dan guru bimbingan kaunseling diharapkan dapat membendung gejala PTSD ini dengan memberi intervensi awal kepada mangsa buli yang mengalami trauma. Justeru, satu kajian tinjauan analisis keperluan telah dilaksanakan bagi mengenal pasti persepsi kaunselor terhadap isu PTSD mangsa buli. Seramai 161 orang kaunselor dari pelbagai institusi telah terlibat dalam kajian ini melalui teknik Pensampelan Mudah. Kaedah pengumpulan data melalui borang soal selidik telah diedarkan secara atas talian menggunakan aplikasi ‘Google Form’. Data kuantitatif dianalisis menggunakan analisis deskriptif melalui analisis kekerapan dan peratusan. Dapatan kajian menunjukkan bahawa tahap kesedaran kaunselor tentang isu PTSD mangsa buli berada di tahap baik (87.6%). Namun begitu, kesedaran dan pengetahuan kaunselor kurang terhadap isu-isu psikologikal mendatang serta kurang berkemahiran dalam membina intervensi kaunseling yang sesuai. Oleh itu, satu tindakan bagi menerapkan kesedaran, pengetahuan dan kecekapan kemahiran tentang PTSD mangsa buli di kalangan kaunselor khususnya di peringkat sekolah perlu dilaksanakan supaya mangsa buli tidak dipinggirkan tetapi dibantu agar mereka dapat mencapai psikologi yang sejahtera.

Victims of bullying in schools are at high risk for Post-Traumatic Stress Disorder. Various psychological issues such as substance abuse as well as suicidal tendencies can occur if left untreated. As a result, the involvement of counselors and counseling guidance teachers is seen as important to curb the symptoms of PTSD by providing early intervention to victims who are traumatized. Thus, a quantitative needs assessment survey was conducted to obtain preliminary information on counselors’ perceptions of PTSD symptoms among adolescents victims of bullying. A total of 161 counselors from various institutions were involved in this research through Convenience Sampling. Data collection methods through questionnaires have been distributed online using the Google Form application. Quantitative data were analyzed by frequency counts and percentage analysis. The findings of the study show that the level of counselor awareness on the issue of PTSD victims of bullying is at a good level (87.6%). However, their awareness and knowledge on the risk of psychological issues is lacking and they are less competent in constructing appropriate trauma counseling interventions.Thus, an action to inculcate competency skills and awareness towards PTSD of bullying victim among school counselors should be implemented upon in uplifting the victims’ psychological well being .
Comparison of Effectiveness of Menstrual Regulation by Medication up to 6 Weeks of Gestation & 7-9 Weeks of Gestation
Authors: Md Asaduzzaman Mirza , Nahar Kamrun , Reaz Nahid , Khanam Shafeya , Jahan Shahnaz Akter , Parvin Zebunnessa 
Published: June 2021

Objective: The present study was undertaken to compare the effectiveness of menstrual regulation (MR) by medication (mifepristone and misoprostol) between women up to 6 weeks and 7-9 weeks of gestation.
Method: This prospective study was carried out in the Department of Obstetrics & Gynaecology, Dhaka Medical College Hospital, Dhaka, over a period of 6 months from August 2014 to January 2015. Women seeking menstrual regulation (MR) services with gestational age no more than 9 weeks and confirmed intrauterine pregnancy attending at Reproductive Health Services Training and Education Program (RHSTEP) & Gynaecology Outpatient Department of Dhaka Medical College Hospital were taken in the study. The patients were divided into two groups. One group consisted of women of gestational age up to 42 days, known as early MR (Group-I, n = 41) and another group consisted of women of gestational age 43-63 days termed late MR (Group-II, n = 42). The main outcome variables were time to bleeding following intervention, complete abortion and need for secondary intervention.
Result: The demographic characteristics like age, socioeconomic status, level of education and occupation were almost identically distributed between groups. The women of the two groups were almost matched in terms of their gravidity, past history of abortion or MR, use of contraceptive and indication of present MR. Time to bleeding following misoprostol administration was on an average 2 and a ½ hours and there was no significant difference between the groups (p = 0.804). Over half (51.2%) of the women up to 42 days of gestation completed abortion at or before 1st follow up visit as opposed to only 19% in late gestation group (p = 0.002). The need for 2nd dose misoprostol to complete the abortion was significantly higher in the latter group than that in the former group (p < 0.001). The need for surgical intervention (for delayed, heavy bleeding) was comparatively less in the former group. Muscle cramping and nausea/vomiting were the most noted complications and were considerably higher in the former group. Women in the early gestation group more often reported (17.1%) less bleeding following intervention compared to that reported by the women of late gestation (2.4%) (p = 0.038). However, pain, adverse effect and time to complete the procedure all were acceptable to the majorities of women of either group.
Conclusion: The study concluded that Menstrual Regulation with Medication (MRM) with misoprostol is effective in aborting the uterine content in women with early gestation with less bleeding and other complications. As the bleeding is more in women with late gestation, universal recommendation of its use to women with late gestation may be risky.
Ibrahim Card Med J 2015; 5 (1&2): 21-26
Os atendimentos de Crianças e Adolescentes vítimas de abuso sexual: Uma análise na Comarca de Júlio De Castilhos/RS
Authors: Santos Natália da Rocha , Keitel Angela Simone Pires , Neubauer Vanessa Steigleder , Veiga Deivid Jonas Silda da , Gomes Aline Antunes , Linck Ieda Márcia Donati 
Published: June 2021

As crianças e adolescentes são as maiores vítimas de violência, isso porque estão em condição especial de desenvolvimento e na maioria dos episódios são vítimas de violência praticada por familiares ou por pessoas que deveriam protegê-las. A natureza das consequências são variáveis, pois vai depender muito do tipo de atendimento que essa vítima recebeu e se continua recebendo ao longo da vida, haja vista que podem existir consequências a curto, médio e a longo prazo. Assim, o presente artigo científico trata de uma verificação relativamente a aplicação do protocolo previsto na Lei 13.431/2017, Lei da Escuta Protegida, nos atendimentos de criança e adolescentes vítimas de abuso sexual, no Município de Júlio de Castilhos/RS. No que tange a metodologia utilizada no presente trabalho, trata-se de pesquisa qualitativa bibliográfica, uma vez que se utilizou doutrinas, reportagens e artigos veiculados em jornais, revistas jurídicas e científicas e em ambiente virtual (internet), bem como realizou-se pesquisa de campo a qual buscou analisar se havia a implementação de um protocolo de atendimento destinado a crianças e adolescentes vítimas de abuso sexual, junto ao órgão Municipal. Assim, os resultados demonstram, a partir dos colhidos, que não há qualquer previsão legal sobre essa normatização no Município de Júlio de Castilhos, tampouco existe um protocolo de atendimento com os fluxos desses atendimentos, o que faz com que os atendimentos não sejam realizados de acordo com o que preconiza a Lei. 13.431/2017.
O enfermeiro gestor atuante no sistema carcerário: Habilidades, conhecimentos e atitudes necessárias para se fazer a humanização da assistência
Authors: Amorim Layna Pereira de , Reis Lidiane Dias , Pereira Carla Miranda , Pereira Caroline da Costa , Rodrigues Thays Chagas de Castro 
Published: June 2021

Introdução: Sabemos que a assistência à saúde implementada no sistema prisional deve ser elaborada com o objetivo de prover a carência percebidas entre as Pessoas Privadas de Liberdade (PPL). Diante desse cenário, o enfermeiro deve desenvolver o cuidado como prática social oferecendo uma assistência integral que deve ser realizada de maneira humanizada, com a utilização de uma escuta qualificada, fazendo assim um cuidado de qualidade para a realização da assistência respeitando direitos e deveres éticos de sua profissão. Objetivo: Identificar as práticas assistenciais realizadas pela equipe de enfermagem para as PPL, conhecendo as habilidades, conhecimento e atitudes necessárias para se fazer a humanização da assistência do enfermeiro em um sistema prisional. Metodologia: Trata-se de um estudo com abordagem qualitativa, do tipo revisão integrativa, que teve como base de dados a Biblioteca Virtual de Saúde usando os Descritores em Ciências da Saúde (DeCS): saúde and enfermagem and prisões. Foram selecionados artigos completos, disponíveis, em língua portuguesa, inglesa e espanhola entre 2016 a 2021. Ao fim da aplicação dos critérios, emergiram 11 artigos para produção do conteúdo. Resultados: Foram observadas várias formas de se proporcionar o cuidado humanizado as PPL, destacando a valorização e reconhecimento dos profissionais de saúde e a articulação do mesmo ao promover saúde e acolhimento. Considerações Finais: A pesquisa levou a concluir que não basta pensar em humanização com enfoque apenas nessas pessoas, deve-se também enfatizar que os profissionais de saúde, por serem protagonistas do processo de cuidar, necessitam de reconhecimento e valorização do trabalho nesses setores.
Uso de esteroides anabolizantes por frequentadores de academias: Motivos e perspectivas
Authors: Charal Claudiana Marcela Siste , Freire Fernando Carlos Messias , Alexandrino Eduardo Gauze , Marçal Danilo Francisco da Silva , Westphal Greice , Borim Maria Luiza Costa , Faundez Casanova Cesar , Castilho Mario Moreira , Carvalho Ricardo Souza de , Nardo Junior Nelson , Vermelho Sônia Cristina Dias Soares , Bortolozzi Flávio 
Published: June 2021

Introdução: As mídias sociais, a academia e a pratica de musculação são fatores contribuintes para a influência da busca de um corpo perfeito na população jovem. Com a popularização das redes sociais, as musas fitness, blogueiros e modelos são grandes incentivadores para o consumo e venda de suplementos, vitaminas e anabolizantes, sem qualquer comprovação científica ou recomendação de um profissional de saúde. Objetivo: nesta pesquisa, realizada com frequentadores de academia, buscamos analisar as relações entre motivação e expectativa do uso de esteroides anabolizantes e o envelhecimento. Métodos: Pesquisa de natureza aplicada e exploratória, com abordagem qualitativa, utilizando como procedimento para a coleta de dados uma entrevista semiestruturada. Foram avaliados indivíduos usuários de esteroides anabolizantes do sexo masculino. Os dados foram extraídos através da análise de conteúdo. Resultados: participaram da pesquisa 18 indivíduos do sexo masculino, com média de idade de 28 anos; 72% são solteiros; a maioria com graduação e renda familiar variando de 4 a 10 mil reais. Quanto ao uso dos esteroides, os dados mostraram que sua utilização passa, inicialmente, de estéticos para um uso de natureza psicológica, pois os auxilia a superarem traumas passados. Consideramos que isso possa ser o motivo pelo qual os indivíduos não relacionaram o uso a consequências futuras (envelhecimento) mas como satisfação pessoal parcialmente momentânea. Conclusão: Os indivíduos buscam a academia devido ao fato de problemas de aceitação do corpo na infância ou na adolescência, buscando resultados rápidos para serem melhores visto na sociedade.
O sertão de costas para a Reforma Educacional do Ceará: Juazeiro do Norte não responde ao Cadastro Escolar
Authors: Andrade Francsico Ari de 
Published: June 2021

Essa pesquisa é de cunho qualitativa, de natureza bibliográfica, com enfoque na prática da pesquisa em história da educação, conforme as orientações sugeridas por Luca (2020). Tem por ponto de partida um embate ocorrido no percurso da reforma escolar cearense, no início da década de 1920, envolvendo o educador Lourenço Filho (1897-1970 e o Padre Cícero Romão (1844-1934). A querela se inicia quando o sacerdote não responde o Cadastro Escolar. O desenvolvimento desse estudo foi feito em duas etapas. Na primeira, realizou-se a leitura analítica da obra Juazeiro do Padre Cícero (2002), de autoria do referido educador paulista, tomando-se como ponto de análise um comentário contido na página 12 do prefácio feito pelo pesquisador Carlos Monarcha, da UNESP, acerca da resistência do padre, emperrando o andamento da reforma cearense. As questões suscitadas pela leitura, dando conta dos aspectos culturais e sociais da realidade sertaneja, foram cruzadas com outras leituras, dando-se início à segunda etapa. O cruzamento de tais leituras, permitiu um mapeamento e um delineamento do território histórico onde se travou aquele duelo ideológico, em um contexto cultural dicotômico: urbano versus rural. Admite-se que a ampliação do entendimento dessa questão, à luz do conjunto das leituras apropriadas, seja oportuna para refletir o projeto de reforma do ensino primário, cuja escola pública devia ter sido ofertada às massas, naquele cenário histórico da educação cearense, acima dos interesses e das convicções ideológica e religiosas.
Maternal Dietary Protein Patterns During Pregnancy and the Risk of Infant Eczema: A Cohort Study
Authors: Zeng Jingjing , Wu Weijia , Tang Nu , Chen Yajun , Jing Jin , Cai Li 
Published: June 2021

Background: Previous studies have suggested that maternal dietary protein was associated with allergic diseases in offspring, but few studies have evaluated the influence of dietary protein patterns. This study aimed to explore the prospective association between maternal dietary protein patterns during pregnancy and the risk of infant eczema.Methods: A total of 713 mother-child pairs from a prospective cohort in Guangzhou, China were recruited. Maternal dietary protein was estimated using a validated face-to-face food frequency questionnaire at 20–28 weeks' gestation from 2017 to 2018. Dietary protein patterns were calculated based on the sources of protein. The data of infant eczema was assessed at 6 months of age using the symptom questionnaire of eczema. Logistic regression was carried out to examine the associations between maternal dietary protein patterns and infant eczema.Results: The cumulative incidence of infant eczema at 6 months of age was 51.19%. Mothers of infants with eczema consumed more protein from poultry source during pregnancy than mothers of infants without eczema, while no statistical differences were observed in maternal intakes of protein from cereals and tubers, vegetables, fruits, red meat, fish and seafood, eggs, dairy, soybean, and nuts and seeds. Four dietary protein patterns were identified and termed poultry, plant, dairy and eggs, and red meat and fish. The cumulative incidence of eczema was 61.2, 45.8, 48.0, 51.4% for these four patterns, respectively. Compared to the poultry dietary pattern, the plant pattern and the dairy and eggs pattern were associated with a reduced risk of infant eczema, and the adjusted odds ratios (95% confidence interval) were 0.572 (0.330–0.992), 0.478 (0.274–0.837), respectively. No such association was observed for the red meat and fish dietary protein pattern.Conclusion: This is the first study that focused on the association between maternal dietary protein during pregnancy from a whole-diet perspective and infant eczema. Compared with the poultry dietary protein pattern, the maternal plant pattern and the dairy and eggs pattern during pregnancy were associated with a reduced risk of infant eczema.
Differentiation of Low-Grade Astrocytoma From Anaplastic Astrocytoma Using Radiomics-Based Machine Learning Techniques
Authors: Chen Boran , Chen Chaoyue , Wang Jian , Teng Yuen , Ma Xuelei , Xu Jianguo 
Published: June 2021

PurposeTo investigate the diagnostic ability of radiomics-based machine learning in differentiating atypical low-grade astrocytoma (LGA) from anaplastic astrocytoma (AA).MethodsThe current study involved 175 patients diagnosed with LGA (n = 95) or AA (n = 80) and treated in the Neurosurgery Department of West China Hospital from April 2010 to December 2019. Radiomics features were extracted from pre-treatment contrast-enhanced T1 weighted imaging (T1C). Nine diagnostic models were established with three selection methods [Distance Correlation, least absolute shrinkage, and selection operator (LASSO), and Gradient Boosting Decision Tree (GBDT)] and three classification algorithms [Linear Discriminant Analysis (LDA), Support Vector Machine (SVM), and random forest (RF)]. The sensitivity, specificity, accuracy, and areas under receiver operating characteristic curve (AUC) of each model were calculated. Diagnostic ability of each model was evaluated based on these indexes.ResultsNine radiomics-based machine learning models with promising diagnostic performances were established. For LDA-based models, the optimal one was the combination of LASSO + LDA with AUC of 0.825. For SVM-based modes, Distance Correlation + SVM represented the most promising diagnostic performance with AUC of 0.808. And for RF-based models, Distance Correlation + RF were observed to be the optimal model with AUC of 0.821.ConclusionRadiomic-based machine-learning has the potential to be utilized in differentiating atypical LGA from AA with reliable diagnostic performance.
Personalized Treatment Planning Automation in Prostate Cancer Radiation Oncology: A Comprehensive Dosimetric Study
Authors: Cilla Savino , Romano Carmela , Morabito Vittoria E. , Macchia Gabriella , Buwenge Milly , Dinapoli Nicola , Indovina Luca , Strigari Lidia , Morganti Alessio G. , Valentini Vincenzo , Deodato Francesco 
Published: June 2021

BackgroundIn radiation oncology, automation of treatment planning has reported the potential to improve plan quality and increase planning efficiency. We performed a comprehensive dosimetric evaluation of the new Personalized algorithm implemented in Pinnacle3 for full planning automation of VMAT prostate cancer treatments.Material and MethodsThirteen low-risk prostate (without lymph-nodes irradiation) and 13 high-risk prostate (with lymph-nodes irradiation) treatments were retrospectively taken from our clinical database and re-optimized using two different automated engines implemented in the Pinnacle treatment system. These two automated engines, the currently used Autoplanning and the new Personalized are both template-based algorithms that use a wish-list to formulate the planning goals and an iterative approach able to mimic the planning procedure usually adopted by experienced planners. In addition, the new Personalized module integrates a new engine, the Feasibility module, able to generate an “a priori” DVH prediction of the achievability of planning goals. Comparison between clinically accepted manually generated (MP) and automated plans generated with both Autoplanning (AP) and Personalized engines (Pers) were performed using dose-volume histogram metrics and conformity indexes. Three different normal tissue complication probabilities (NTCPs) models were used for rectal toxicity evaluation. The planning efficiency and the accuracy of dose delivery were assessed for all plans.ResultsFor similar targets coverage, Pers plans reported a significant increase of dose conformity and less irradiation of healthy tissue, with significant dose reduction for rectum, bladder, and femurs. On average, Pers plans decreased rectal mean dose by 11.3 and 8.3 Gy for low-risk and high-risk cohorts, respectively. Similarly, the Pers plans decreased the bladder mean doses by 7.3 and 7.6 Gy for low-risk and high-risk cohorts, respectively. The integral dose was reduced by 11–16% with respect to MP plans. Overall planning times were dramatically reduced to about 7 and 15 min for Pers plans. Despite the increased complexity, all plans passed the 3%/2 mm γ-analysis for dose verification.ConclusionsThe Personalized engine provided an overall increase of plan quality, in terms of dose conformity and sparing of normal tissues for prostate cancer patients. The Feasibility “a priori” DVH prediction module provided OARs dose sparing well beyond the clinical objectives. The new Pinnacle Personalized algorithms outperformed the currently used Autoplanning ones as solution for treatment planning automation.
Correlation Analysis Between MTHFR C677T Polymorphism and Uterine Fibroids: A Retrospective Cohort Study
Authors: Shen Jiahui , Jiang Yanhui , Wu Fengzhi , Chen Hui , Wu Qiujing , Zang Xiaoxiao , Chen Le , Chen Yong , Yuan Qiwen 
Published: June 2021

BackgroundUterine fibroids(UF) are the most common benign tumors in women, with high incidence and unknown causes. We aimed to explore the correlation between Methylenetetra-hydrofolate reductase (MTHFR) C677T polymorphism and UF.MethodsThis is a retrospective cohort study. Data were collected from 2411 women detected for MTHFR C677T polymorphism in the Fifth Affiliated Hospital of Sun Yat-sen University from 2018 to 2020. B-ultrasound (BU) and the first page of medical records were used to analyze whether they had ever been diagnosed with UF. The collected data were analyzed. Using the chi-square test and regression analysis to explore the correlation, and the risk factors was screened by multifactor logistic regression analysis.ResultsA total of 2411 pregnant women were in the MTHFR C677T polymorphism detection. Among them, 226(9.37%) were diagnosed as UF by BU or clinical diagnosis. The allele and genotype of MTHFR C677T were significantly different between the case and control group (p&lt;0.05), and the distribution of the allele was following Hardy-Weinberg (H-W) equilibrium. Comparing with the wild-type (C/C), the mutant group (C/T+T/T) was more likely to form UF(OR,1.43;OR95%CI,1.07-1.89). After adjusting for confoundings, the heterozygous mutant (C/T) was more susceptible to UF than the wild-type (aOR,1.41;aOR95%CI,1.41-1.91). In the case group, BMI, gravidity and parity were not associated with the size and number of UF and the MTHFR C677T polymorphism (p&gt;0.05). However, older maternal age was associated with the incidence of UF, especially the multiple UF (p&lt;0.05).ConclusionOur results found that MTHFR C677T polymorphism was associated with UF occurrence for the first time. This could imply that it may increase the risk of forming UF in women of gestational age.