bluuebunny/crossref_metadata_2025_split huggingface dataset:
MAMOPLASTIA REDUTORA: DA TÉCNICA AO IMPACTO SOCIAL
Authors: Peixoto Gabriel Antonio Lino Sousa , Batista Kamilly Melo , De Oliveira Raynara Fernandes Machado , Sobota Vasconcelos Ana Carolina , Ribeiro Letícia Urzêdo 
Published: June 2023

As mulheres com tamanhos excessivos das mamas sofrem de patologias definidas como gigantomastia, macromastia ou hipertrofia mamária, isso indica um processo em que os seios são patologicamente aumentados o que gera condições insalubres. Seu tamanho afeta diretamente sua saúde com danos psicológicos e na qualidade de vida. O tratamento inclui a retirada cirúrgica do tecido excedente no processo de melhora da qualidade de vida, visando reduzir os sintomas, melhorar a funcionalidade, o estado psicológico, além um melhoramento estético. Dessa forma, o presente estudo tem como objetivo realizar uma análise desde a técnica da mamoplastia redutora quanto aos seus impactos sociais. Trata-se de uma pesquisa qualitativa como foco a construção teórica e a discussão de questões atuais sobre o tema com base nas evidências das literaturas dos últimos cinco anos. As mulheres com gigantomastia experimentam melhorias na forma e funcionalidade da mama após a mamoplastia redutora. Há evidências substanciais de que esta cirurgia melhora significativamente a qualidade de vida do paciente, visto que há a redução do volume mamário que consequentemente melhora das dores lombares, as mamas ficam esteticamente mais adequadas para uso de roupas íntimas, além de cessar irritações cutâneas e infecções nas áreas das dobras. Muitas pacientes se beneficiam de uma melhor qualidade de vida ao não apresentarem mais esses sintomas listados. Realizar este procedimento tem sido considerado satisfatório pela maioria das pessoas, e com base na análise realizada, a maioria das pacientes priorizam os efeitos estéticos e funcional, além de reduzir o impacto em outras doenças mesmo essa patologia não sendo amplamente disponibilizada pelo SUS. De tal forma, essa direção de pesquisa busca contribuir para o desenvolvimento de pesquisas futuras e em andamento relacionadas a esse tema.
CAPACIDADE DE ENFRENTAMENTO DO PACIENTE DIAGNOSTICADO COM HIV/AIDS
Authors: Correia Diêgo de Jesus , Santos Francisca Aline Arrais Sampaio , Silva Alexandre Resende , Silva Vitória Santana de Sousa , De Souza Pedro Ícaro Barros , Da Silva João Rodrigo Araujo , Bandeira Gabriella Luzia Sousa , De Araújo Vinícius Silva 
Published: June 2023

Introdução: O enfrentamento é designado como uma estratégia desenvolvida pelas pessoas para se adaptarem às circunstâncias. Concernente ao enfrentamento de pessoas vivendo com HIV/AIDS, nota-se uma tentativa maior para alcançar qualidade de vida devido às adversidades sociais, religiosas, mentais e físicas. Logo, a compreensão das condições de enfrentamento e quais fatores podem influenciá-los pode ajudar enfermeiros e outros profissionais da saúde a realizar intervenções para controlar os estressores relacionados à doença. Objetivo: Verificar a presença do diagnóstico de enfermagem “Enfrentamento Ineficaz” em pacientes diagnosticados com HIV/AIDS. Método: Estudo transversal e descritivo, ocorrido em um Centro de Testagem e Aconselhamento (CTA) do sul do Maranhão. Participaram 136 pacientes que responderam a um questionário fechado e auto aplicável que investigou aspectos relacionados ao enfrentamento de pacientes com HIV. Todos os dados foram tabulados e realizada a estatística descritiva. Resultados: Houve predominacia do sexo masculino (72,8%) com idade de até 38 anos (60,9%). Destes, 50,7% se consideram heterossexuais e possuíam mais de oito anos de estudo (70,5%). Entre os participantes, 59,5% declararam possuir bom enfrentamento à doença. Ao aplicar os elementos do diagnóstico de Enfrentamento Ineficaz, foi possível perceber que apenas 1,4% dos entrevistados têm o diagnóstico presente e que provavelmente ele também está presente em 14,7% dos participantes. Conclusão: Esta pesquisa torna-se útil para identificar se há deficiências no processo de enfrentamento da doença, especialmente para os profissionais Enfermeiros que podem verificar o enfrentamento a partir do uso do diagnóstico de Enfermagem.
AVALIAÇÃO DA QUALIDADE DO SONO E NÍVEIS SÉRICOS DE SEROTONINA E CORTISOL EM PACIENTES COM DOR CRÔNICA
Authors: Mesquita Lays Fernandes , Bochi Gabriela Silva , De Souza Géssica Luisa Silva , Nogueira Denismar Alves , Ruginsk Silvia Graciela 
Published: June 2023

A dor crônica pode acometer indivíduos de qualquer idade e está atribuída a maior morbidade, declínio cognitivo e imobilidade. Nos pacientes com dor crônica, ocorrem alterações importantes na neurotransmissão, além de alterações endócrinas relacionadas ao estresse. Além do mais, a má qualidade do sono leva a alterações cognitivas, irritabilidade e fadiga durante o dia e está, comumente, presente em pacientes com dor crônica. Assim, o presente estudo avaliou, por meio da aplicação de questionários a indivíduos adultos com diagnóstico de dor crônica, atendidos em ambulatório de reumatologia da microrregião de Alfenas-MG, a qualidade de vida, o padrão da dor e a qualidade do sono, além da análise da dosagem sérica de serotonina e cortisol. Dos 57 pacientes que fizeram parte da amostra, a maioria era composta por mulheres (91,2%), com idade maior de 40 anos (87,7%). Os principais diagnósticos envolvidos foram fibromialgia (35%), osteoartrite (21%) e artrite reumatoide (14%). Os resultados obtidos apontaram moderada intensidade da dor e interferência das atividades diárias, regular estado de saúde geral e má qualidade do sono nestes indivíduos. De acordo com os dados, não houve correlação estatisticamente relevante entre a severidade da dor e a qualidade de sono, tampouco entre a severidade da dor e o estado de saúde geral. Por outro lado, houve correlação positiva moderada entre a severidade da dor e a interferência nas atividades diárias, e correlação negativa moderada entre a severidade da dor e a saúde mental do indivíduo. Também ficou claro que a interferência da dor nas atividades diárias impacta negativamente na saúde mental. Não foi possível constatar uma relação entre a má qualidade do sono e maior intensidade da dor, mas sim entre qualidade de sono e saúde mental, impactando significativamente também no estado geral de saúde. A qualidade do sono impacta ainda na relação das atividades do cotidiano e influencia negativamente a saúde mental. Por fim, no presente estudo não foi evidenciada correlação significativa entre o diagnóstico de dor crônica e alterações de níveis séricos de serotonina e cortisol. Em conclusão, os achados demonstram a complexidade do tratamento de pacientes com dor crônica. Considerando que a dor crônica desencadeia um amplo espectro de alterações orgânicas e cognitivas, torna-se essencial compreender como essas alterações se associam, para que sejam desenvolvidas abordagens preventivas e terapêuticas mais efetivas.
Penalaran Kovariasional Siswa SMA dalam Menyelesaikan Masalah Kovariasi ditinjau dari Gaya Kognitif Field-dependent dan Field-independent
Authors: Nurhadijah  , Juniati Dwi , Rahadjeng Budi 
Published: June 2023

Abstract
Covariational reasoning is related to the problem of the relationship between two variables which includes visual skills in constructing graphs. The purpose of this research is to describe the covariational reasoning of high school students with field-dependent and field-independent cognitive styles in solving covariation problems. This type of research is qualitative research. Subjects in this study were 1 student with a field-dependent cognitive style and 1 student with a field-independent cognitive style by controlling for gender equality and mathematical ability. The main instrument (researchers themselves) and supporting instruments in the form of the GEFT test, TKM (mathematical ability test), TK (covariation test), and interview guidelines were the instruments used in this study. The results showed that students with field-dependent and field-independent cognitive styles were able to identify the variables involved in the covariation problem and construct the relationship between the two variables that had been identified. The pattern of variation is determined by adjusting the magnitude of the variable variation and dividing the bottle into several parts to compose the variation pattern. Construct the relationship between the two variables by constructing a graph of the known variables and drawing a graph of the pattern of changes in the relationship between the two variables.

Keywords: Covariational Reasoning, High School Student, Cognitive Style, Covariation Problems

Abstrak
Penalaran kovariasional memiliki keterkaitan dengan masalah hubungan antara dua variabel yang mencakup keterampilan visual dalam mengkonstruksi grafik. Tujuan dari penelitian ini untuk mendeskripsikan penalaran kovariasional siswa SMA dengan gaya kognitif field-dependent dan field-independent dalam menyelesaikan masalah kovariasi. Jenis penelitian ini adalah penelitian kualitatif. Subjek dalam penelitian ini adalah 1 siswa dengan gaya kognitif field-dependent dan 1 siswa dengan gaya kognitif field-independent dengan mengontrol kesetaraan gender dan kemampuan matematika. Instrumen utama (peneliti sendiri) dan instrumen pendukung berupa tes GEFT, TKM (tes kemampuan matematika), TK (tes kovariasi), dan pedoman wawancara merupakan instrumen yang digunakan dalam penelitian ini. Hasil penelitian menunjukkan bahwa siswa dengan gaya kognitif field-dependent dan field-independent mampu mengidentifikasi variabel-variabel yang terlibat dalam masalah kovariasi dan mengkonstruksi hubungan antara kedua variabel yang telah diidentifikasi. Pola variasi ditentukan dengan menyesuaikan besarnya variasi variabel dan membagi botol menjadi beberapa bagian untuk menyusun pola variasi. Mengkonstruksi hubungan antara dua variabel dengan membangun grafik terhadap variabel-variabel yang diketahui dan menggambar grafik pola perubahan hubungan antara dua variabel.
Kata kunci: Penalaran Kovariasional, Siswa SMA, Gaya Kognitif, Masalah Kovariasi
Prevalence of postpartum depression and its psychosocial factors in district Bathinda
Authors: Malhotra Jasleen Kaur , Sidhu Tanvir Kaur , Malhotra Varun Mohan 
Published: June 2023

Objectives:
Postpartum depression (PPD) is a serious public health problem that leads to maternal morbidity and mortality, enormously affecting the infant, family, and society. The present study was conducted with the objectives of studying the prevalence of PPD among women in the postpartum period and to find the association between PPD and its psychosocial predictors in District Bathinda, Punjab, India.

Material and Methods:
The community based cross-sectional study was conducted among the women in postpartum period of urban and rural field practice area of Adesh Institute of Medical Science and Research, Bathinda. A total of 185 participants were enrolled. Pre-designed questionnaire and Edinburgh Postnatal Depression Scale were the instruments used for capturing sociodemographic data and PPD respectively. Frequencies, percentages and means were used to express the outcomes. Association between predictable and outcome variables was established using Chi-square test.

Results:
Among 185 participating women, 22.2% were found to have PPD. Age, obstetric history, sex of child, desire for male child, support from husband, and support from in-laws were found to be statistically associated with PPD. However, education of the participants and their husbands, urban/rural region, family type, socioeconomic status, and place of delivery were found to be not associated.

Conclusion:
Prevalence of 22.2% of PPD was reported and found to be associated factors like age, obstetric history, sex of child, desire for male child, husband and in-laws support.
Assessment of renal and hepatic function in people that engage in substance abuse among rehabilitation home inmates in Kaduna
Authors: Abdulrasheed Muhammad Mujtaba , Bosan Istifanus Bala , Ibrahim Abubakar , Jallo Aisha Muhammed , Manko Muhammad , Mohammed Musa , Umar Kabiru 
Published: June 2023

Objective:Use of psychoactive substances predates civilization and uses is increasing worldwide. The menace of substance abuse in Nigeria especially among adolescents has become an epidemic with its attendance health and social consequences on the society. The study aims to determine the relationship between substances of abuse as direct risk factor for chronic kidney and liver diseases at Rehabilitation home inmates in Kaduna.Materials and Method:It was cross-sectional study. All Borstal rehabilitation home inmates at Kaduna where administered with questionnaire to assess their biodata, medical history, social history including substance abuse history. They were screened for hepatitis B and C, HIV, liver and renal function. All those that tested positive to the viral HBsAg, HCV Ab and HIV were exempted from further analysis. Data were analyzed using SPSS version 25.0Results:A total 315 participants were analyzed after excluding those with positive results of HBsAg, HCV and HIV. Of whom 303 (84.6%) were males with a median age = 21.0 ± 13.465. Among the substances consumed Codeine (48.6%) was the most consumed, followed by Tramadol (33.8%). There was a negative correlation between use of substances and eGFR (P= 0.234). Conversely, there was positive correlation between use of substances and ALT (P= 0.063). Cross-tabulation between abuse of substances with eGFR was found to be statistically significant (P= 0.002). However, a similar crosstabulation with ALT was not statistically significant (P= 0.085). Multivariate binary logistic regression analysis shows no relationship between substance abuse and eGFR, but with an odd of 1.419 for ALT >2 times upper limit of normal (P= 0.138).Conclusion:Substance abuse is prominent among Borstal home inmates and is a potential risk for kidney and liver disease.
Ten-year review of neonatal neurosurgical outcomes and cost analysis
Authors: Mancha Genesis Talia , Kadakia Suhagi , Muñoz Lorenzo , Seske Laura M. 
Published: June 2023

Background:Neurosurgical interventions in neonates may contribute to increased neonatal intensive care unit (NICU) stay. The impact of neurosurgical interventions on length of stay (LOS) and cost is not well-documented in the literature. In addition to LOS, other factors may impact overall resource utilization. Our objective was to perform a cost analysis of neonates who underwent neurosurgical procedures.Methods:A retrospective chart review was performed on NICU patients who underwent ventriculoperitoneal and/or subgaleal shunt placement between January 1, 2010, and April 30, 2021. Postoperative outcomes were analyzed, including LOS, revisions, infections, emergency department (ED) visits following discharge, and readmissions accounting for health care utilization cost.Results:Sixty-six neonates underwent shunt placement during our study period. Out of our 66 patients, 40% of infants had intraventricular hemorrhage (IVH). About 81% had hydrocephalus. Specific diagnoses for our patient population varied and included: 37.9% of patients had IVH complicated by posthemorrhagic hydrocephalus, 27.3% had Chiari II malformation, 9.1% had a cystic malformation leading to hydrocephalus, 7.5% had solely hydrocephalus or ventriculomegaly, 6.0% had myelomeningocele, 4.5% had Dandy-Walker malformation, 3.0% had aqueductal stenosis, and the remaining 4.5% had varying other pathologies. In our patient population, 11% of patients had an identified or suspected infection within 30 days after surgery. The average LOS was 59 days versus 67 days for patients with a postoperative infection. Number of patients who visited the ED within 30 days of discharge was 21%. Of these ED visits, 57% led to readmission. Complete cost analysis was available for 35 out of 66 patients. The average LOS was 63 days with average cost of admission of $209,703.43. Average cost for readmission was $25,757.02. Average daily cost for neurosurgical patients was $1,672.98 versus $1,298.17 for all NICU patients.Conclusion:Neonates who underwent neurosurgical procedures had longer LOS as well as higher daily cost. LOS for infants with infections following procedures was increased by 10.6%. Further research is needed to optimize health-care utilization for these high-risk neonates.
Organic production as a tool for rational nature management in the Russian North: collection, harvesting and processing of wild plants in the Republic of Sakha (Yakutia)
Authors: ВАСИЛЬЕВ Н.П. , ДАНИЛОВА Л.И. 
Published: June 2023

. В статье рассматривается органическое производство как инструмент рационального природопользования на Российском Севере на примере сбора, заготовки и переработки дикоросов в Республике Саха (Якутия). Дикорастущие растения, являясь возобновляемыми ресурсами, наравне с другими природными ресурсами имеют важное значение в социально-экономическом развитии. При нерациональном подходе их использования последствия могут быть катастрофическими для окружающей среды, что в свою очередь будет способствовать ухудшению качества жизни человека. Представлены и охарактеризованы основные препятствия развития заготовки и переработки дикорастущих растений на территории Якутии, а также изменения, последовавшие после закрепления их в стратегических документах. Выделены обстоятельства и факторы, которые могут стать препятствием производителям продукции из дикорастущего сырья при переходе на органическое производство.
The article deals with organic production as a tool for rational environmental management in the Russian North on the example of the collection, harvesting and processing of wild plants in the Republic of Sakha (Yakutia). Wild plants, being renewable resources, along with other natural resources, are important in socio-economic development. With an irrational approach to their use, the consequences can be catastrophic for the environment, which in turn will contribute to the deterioration of the quality of human life. The article presents and characterizes the main obstacles to the development of harvesting and processing of wild plants in the territory of Yakutia, also what changes followed after they were fixed in strategic documents. Highlighted are the circumstances and factors that can become an obstacle to producers of products from wild raw materials in the transition to organic production.
Tooth wear in relation to physical salivary characteristics among gastroesophageal reflux disease
Authors: Abdulrazak Marwa S , Qasim Alhan A , Falih Ali I 
Published: June 2023

Background: Gastroesophageal reflux disease, is a quite prevalent gastrointestinal disease, among which gastric content (excluding the air) returns into the oral cavity. Many 0ral manifestations related t0 this disease include tooth wear, dental caries also changes in salivary flow rate and pH. This study was conducted among gastroesophageal reflux disease patients in order to assess tooth wear in relation to salivary flow rate and pH among these patients and the effect of gastroesophageal reflux disease duration on this relation. Materials and methods: One hundred patients participate in this cross-sectional study for both genders and having an age range of 20-40 years old, patients had been endoscopically identified as having gastroesophageal reflux disease using the classification of Los Angeles (LA), who were attending the Gastroenterology and Hepatology Teaching Hospital in Baghdad. and divided into two groups: group A with grade severity mucosal breakage not longer than 5 mm and Group B with grade severity mucosal breakage more than 5 mm long, Smith and Knight (1984) tooth wear index criteria were used for the assessment of tooth wear. For measurement of salivary flow rate and pH, saliva sample (unstimulated) had been collected. Results: Of the entire sample (90%) were having tooth wear. Tooth wear was higher in grade B severity than in grade A severity among patients with gastroesophageal reflux disease duration of two years or less, while it was higher in grade A than in grade B among patients with a duration of more than two years but all these results were statistically non-significant. Salivary flow rate and pH showed a non-significant reduction with increasing gastroesophageal reflux disease severity for both of groups concerning disease duration. The correlation of total tooth wear with salivary flow rate and pH was a significantly weak negative correlation in grade A, while a nonsignificant weak negative correlation in grade B. Conclusions: The findings of the present study concluded that patients with gastroesophageal reflux disease recorded a high occurrence of tooth wear and there was a negative correlation of tooth wear with salivary flow rate and pH among patients with gastroesophageal reflux disease.
Sustainability and Performance of Small and Medium Business: the Role of Financial Literature
Authors: Parmitasari Rika Dwi Ayu , Rusnawati  
Published: June 2023

Purpose: The purpose of this study is to examine the relationship between financial literacy, the sustainability of SMEs and the performance of SMEs.

Theoretical framework: SMEs must have resilience and strength in maintaining the continuity of their business which is exposed to risks that must be faced (Kot, 2008 and Southiseng, and Walsh, 2010). Indicators of the success of SMEs can be measured through the business continuity of SMEs and the performance of SMEs. However, this has challenges, especially related to financial literacy in the use of financial products and services both digital and non-digital. Therefore, the study needs to be developed to gather more information about the role of financial literacy to the sustainability of SMEs and the performance of SMEs.

Design/methodology/approach: This study uses quantitative research with primary data and secondary data. The population in this study were all SMEs and samples were taken using the saturated sample technique as many as 82 registered SMEs and 50 unregistered SMEs. The data analysis technique in this study used Structural Equation Modeling (SEM) with SmartPLS.

Findings: The results of this study indicate the contribution of financial literacy to the SMES’s sustainability and performance. Financial literacy has a positive effect on the sustainability of SMEs. Research also shows that financial literacy has a positive effect on the performance of SMEs.

Research, Practical & Social implications: The future research should highlight other essential factors that could contribute the SME’s sustainability and performance such as halal branding and label as trending factors nowadays.

Originality/value: The results indicate the importance role of financial literacy on the sustainability and performance of SMEs especially SME’s financial management would determine the successful of SME’s livelihood.