Exploration on standardized management of ethical review of organ donation after citizen’s death / 器官移植

Objective To explore the standardized management mode of the Ethics Committee for organ donation after citizen’s death in hospitals. Methods The situations of ethical review before and after the standardized adjustment of the Ethics Committee of human organ donation in the First Affiliated Hospital of Chongqing Medical University were retrospectively analyzed. Baseline data of donors before and after standardized adjustment of the Ethics Committee of human organ donation were compared. The influence of standardized adjustment of the Ethics Committee on the attendance rate of committee members and duration of ethical review were analyzed. Results No significant differences were observed in donors' ethical review data, such as gender, age and death determination, before and after standardized adjustment of Ethics Committee structure (all P>0.05). Significant difference was noted regarding the cause of death in ethical review (P<0.05). Univariate analysis showed that there were significant differences in the impact of Ethics Committee standardization adjustment and cause of death on the attendance rate of committee members (both P<0.05). Multivariate analysis revealed that gender, cause of death and standardized adjustment of the Ethics Committee were the influencing factors of the attendance rate of committee members, and the attendance rate of committee members after standardized adjustment was higher than that before adjustment (P<0.05). Univariate analysis showed that there were statistically significant differences in the effects of Ethics Committee standardized adjustment, attendance rate of committee members and cause of death on the duration of ethical review (all P<0.05). Multivariate analysis indicated that standardized adjustment of the ethics committee was the influencing factor of the duration of ethical review, and the duration of ethics review after standardized adjustment was shorter than that before adjustment (P<0.05). Conclusions Appropriate arrangement of the total number of ethics committee members and standardizing the review process may improve the efficiency of ethical review. Scientific evaluation mechanism for ethical committee members should be established by dynamically adjusting the ethical committee members, clarifying the responsibilities and tasks of members and secretaries, aiming to further improve standardized management level of ethical review for organ donation after citizen’s death.

Association between airborne particulate matter（PM 2.5） concentration and the incidence of allergic rhinitis in Shanghai / 临床耳鼻咽喉头颈外科杂志

Objective:To explore the impact of PM 2.5 concentration in Shanghai on the incidence of allergic rhinitis（AR） in the population, and provide strategies for early warning and prevention of AR. Methods:Collect daily average concentrations of atmospheric pollutants monitored in Shanghai from January 1, 2017 to December 31, 2019, and clinical data of AR patients from five hospitals in Shanghai during the same period. We used a time-series analysis additive Poisson regression model to analyze the correlation between PM 2.5 levels and outpatient attendance for AR patients. Results:During the study period, a total of 56 500 AR patients were included, and the daily average concentration of PM 2.5 was（35.28±23.07）μg/m³. There is a correlation between the concentration of PM 2.5 and the number of outpatient attendance for AR cases. There is a positive correlation between the daily average number of outpatient for AR and levels of PM 2.5 air pollution（（P<0.05）） . We found that every 10 μg/m³ increase in PM 2.5, the impact of on the number of AR visits was statistically significant on the same day, the first day behind, and the second day behind, with the strongest impact being the exposure on the same day. Every 10 μg/m³ increases in PM 2.5, the number of outpatient visits increased by 0.526% on the same day（95%CI 1.000 50-1.010 04）. Conclusion:The atmospheric PM 2.5 concentration in Shanghai is positively correlated with the number of outpatient for AR, and PM 2.5 exposure is an independent factor in the onset of AR. This provides an important theoretical basis for AR.

Emergency centre patients in the Democratic Republic of Congo: Some epidemiological and clinical aspects at Beni General Referral Hospital

Introduction: Little information is available regarding the characteristics of patients attending the emergency centre (EC) in the Democratic Republic of Congo. This study aims to provide some epidemiological and clinical aspects of patients admitted to the emergency centre at Beni General Referral Hospital. Methodology: For a year, from January to December 2021, a cross-sectional study was conducted. Data regarding patients' characteristics, admission modality, stay duration, reason for admission, and discharge modality was anonymously collected from patients' registers. A descriptive analysis was done with Epi-Info 7. Result: A total of 1404 patients were admitted to the EC, with a male-to-female ratio of 1.2 to 1. The age group below 18 years accounted for 35.4%. Most of the patients (75.7%) originated from urban areas. In 83% of cases, there was no recommendation from another medical facility for EC admission. The most common reasons for admission are non-traumatic gathering on top of neuropsychiatric and non-specific symptoms. Road traffic accidents are the most frequent causes of trauma symptoms. Few patients (14.7%) spent less than 12 hours in the EC. Globally, 7.3% of patients admitted to the EC were discharged after being managed, and 89% were transferred to different wards. The intra-emergency centre mortality rate was 11.8% among admitted patients in the ER at Beni General Referral Hospital. Conclusion: This epidemiology database underlines the need for developing globalizing and multi-sectoral interventions (diagnosis, therapeutic strategy, organization, health program, or health policies) in the perspective of bringing change and/or taking action in the Democratic Republic of Congo's emergency medical system.

A Systematic Review of Attendance Systems based on Face Recognition

In this digital era, face recognition system plays a vital role in almost every sector. Face recognition is one of the most implemented biometrics across various different fields. Classroom attendance check is a contributing factor to student participation and the final success in the courses. Every institute follows their own way for taking attendance. Some are taking attendance manually using papers or a register file or different biometric techniques. Taking attendance by calling out names or passing around an attendance sheet is time-consuming, and the latter is open to easy fraud. In this paper, the comparative analysis of various existing approaches on attendance management system based on facial recognition that are used to monitor attendance in various institutions using Fingerprint, GPS, RFID etc. is discussed with their limitations.

Influence of Lockdown during the COVID-19 Pandemic on Use of Pediatric Emergency Health Services: A Retrospective Observational Study from a Tertiary Care Hospital in New Delhi

January 30, 2020, marked the beginning of the COVID‑19 pandemic in India. Various emergency measures were taken to contain the spread of COVID‑19 including extended periods of complete lockdown. The impact of these measures on routine and emergency health services was unforeseen. Hence, we conducted this study to critically analyze the effects of restrictions imposed during the COVID‑19 pandemic (including lockdown) on the utilization of health services, especially emergency services. We compared patient’s attendance in the outpatient department and pediatric emergency department (PED) and changes in clinicepidemiological profiles (before and during COVID‑19) in a tertiary care hospital. We observed a 43% decline in PED visits which decreased to 75% during the period of strict lockdown (P = 0.005). Reduction in emergency department visits was noticed uniformly in all disease categories. This study highlights the urgent need to plan for robust health‑care support system for the delivery of preventive and curative services to vulnerable age groups during any emergency.

Interrupción, intermitencia y recorte de la asistencia en la escuela secundaria / Interruption, intermittence and reduction of attendance of classes in secondary school / Interrupção, intermitente e corte de frequência às aulas no ensino médio

Resumen (analítico) El propósito de este artículo es describir los procesos discontinuos que atraviesan las experiencias escolares de los/as jóvenes en relación con la asistencia escolar en una escuela secundaria técnica de la ciudad de Rosario (Argentina). Problemática que ha cobrado un renovado interés público y académico a partir de la sanción de la obligatoriedad de la educación secundaria. El estudio fue realizado desde un enfoque socioantropológico que recupera la tradición etnográfica de la antropología desde una perspectiva crítica. Se advierte que los procesos discontinuos identificados pueden favorecer la interrupción de la escolarización, es decir, el alejamiento de la escuela durante un período más o menos prolongado de tiempo. Pero, aunque no es total, esa lógica de discontinuidad también atraviesa las experiencias de quienes continúan cursando.

Abstract (analytical) The purpose of this article is to describe the discontinuous processes that affect the school experiences of young people in relation to their attendance at a technical secondary school in the city of Rosario (Argentina). This problem has gained renewed public and academic interest due to the obligation of compulsory secondary education. The study was carried out using a socio-anthropological approach, drawing on the ethnographic tradition of Anthropology based on a critical perspective. The discontinuous educational processes that were identified can contribute to the interruption of schooling, specifically when students do not attend school for a prolonged period of time. This logic of discontinuity also crosses the experiences of those who continue with their studies.

Resumo (analítico) O objetivo deste artigo é descrever os processos descontínuos que atravessam as experiências escolares dos jovens em relação à frequência escolar em uma escola técnica secundária na cidade de Rosario (Argentina). Problema que assume um renovado interesse público e académico com a sanção da obrigatoriedade do ensino secundário. O estudo foi realizado a partir de uma abordagem socioantropológica que recupera a tradição etnográfica da antropologia de uma perspectiva crítica. Notase que os processos descontínuos identificados podem acabar favorecendo a interrupção da escolaridade, ou seja, a retirada da escola por um período mais ou menos prolongado. Mas, embora não seja total, notamos que essa lógica da des-continuidade também atravessa as experiências daqueles que continuam estudando.

Atividades pedagógicas não presenciais em tempo de pandemia: contribuições a partir da psicologia histórico-cultural / Non-attendance teaching activities in times of pandemics: contributions from historical-cultural psychology / Actividades de enseñanza no presencial en tiempo de pandemia: contribuciones de la psicología histórico-cultural

A suspensão das aulas presenciais em virtude da pandemia de Covid- 19 atingiu todos os sistemas de ensino e, a partir de então, algumas instituições têm adotado as chamadas atividades pedagógicas não presenciais (APNP). O objetivo deste artigo foi analisar, a partir da Psicologia Histórico-Cultural, as mediações relacionadas às APNP no contexto do distanciamento social. Problematizamos o uso dos termos ensino e aula, pois ambos configuram atividades relacionais, dialéticas e dialógicas, experiências coletivas que se materializam no encontro. Realizamos um caminho de análise tendo a categoria mediação como escopo para pensar os processos de aprender e ensinar. Tecemos considerações sobre o lugar da escola na contemporaneidade e sobre o conjunto de relações que permeiam o trabalho com o conhecimento, inclusive na sua forma remota. Apontamos algumas pistas para avaliar este momento em que instituições de ensino adotaram as APNP e apresentamos implicações e perspectivas sobre o retorno à situação presencial.

The suspension of in-person classes due to the Covid-19 pandemic affected all education systems and, since then, some institutions have adopted the so-called non-attendance pedagogical activities (NAPA). The aim of this article was to analyze, from the Historical-Cultural Psychology, the mediations related to NAPA in the context of social distancing. We problematize the use of the terms teaching and class, as both configure relational, dialectical and dialogic activities, collective experiences that materialize in the encounter. We carried out an analysis path having the mediation category as a scope to think about the processes of learning and teaching. We make considerations about the place of the school in contemporaneity and about the set of relationships that permeate the work with knowledge, even in its remote form. We point out some clues to assess this moment when educational institutions adopted NAPA and present implications and perspectives on the return to the presential situation.

Suspender las clases presenciales debido a la pandemia de Covid-19 afectó a todos los sistemas educativos y, desde entonces, algunas instituciones Adoptaron las actividades pedagógicas no presenciales (APNP). El objetivo de este artículo fue analizar, desde la Psicología Histórico-Cultural, las mediaciones relacionadas con APNP contextualizada por la distancia social. Problematizamos el uso de los términos enseñanza y clase, porque ambos configuran actividades relacionales, dialécticas y dialógicas, experiencias colectivas que se materializan en el encuentro. Realizamos una ruta de análisis con la categoría de mediación como ámbito para pensar sobre los procesos de aprendizaje y enseñanza. Hacemos consideraciones sobre el lugar de la escuela en los tiempos contemporáneos y el conjunto de relaciones que impregnan el trabajo con el conocimiento, incluso en su forma remota. Señalamos pistas para evaluar este momento cuando las instituciones educativas adoptaron el APNP y presentan implicaciones y perspectivas sobre el regreso a la situación presencial.

"Da cidade à rede, tem parada?": Estação Psicanálise na pandemia de Covid-19 / "De la ciudad a la red, ¿hay parada?": Estação Psicanálise en la pandemia Covid-19 / "From city to network, is there some stop?": Estação Psicanálise in the Covid-19 pandemic / "De la ville au réseau, Y a-t-il un arrêt?": Estação Psicanálise dans la pandémie duCovid-19

Este texto procura pensar o atravessamento da pandemia de Covid-19 no coletivo Estação Psicanálise, um grupo heterodoxo de psicanalistas que realizam atendimentos em espaço público na cidade de Campinas. Com as medidas de isolamento, nosso dispositivo se transformou. O texto procura pensar tais transformações, a partir de três leituras diferentes sobre o impacto da pandemia no dispositivo: sobre sua história, sobre a formação do analista e sobre os efeitos psíquicos nos sujeitos escutados pelos analistas do coletivo

El texto intenta pensar en los atravesamientos de la pandemia de Covid-19 en el colectivo Estação Psicanálise, un grupo heterodoxo de psicoanalistas que realizan atendimientos clínicos en espacio público en Campinas. Con las medidas de aislamiento social nuestro dispositivo se transformó. En este texto intentaremos pensar estas transformaciones, desde tres diferentes lecturas acerca de los impactos de la pandemia en nuestro dispositivo: en su historia, en la formación del analista y en los efectos psíquicos enlos sujetos escuchados por los analistas del colectivo

This text aims to reflect on the effects of the Covid-19 pandemic on the collective Estação Psicanálise, an heterodox group of psychoanalysts that conducts appointments in public spaces in Campinas. Due to social distancing precautions our clinical device was transformed. The text aims to consider these transformations from three different perspectives about the pandemic's impact on our clinical device: on its history, on the formation of the analyst and on the psychological effects for the subjects attended to by our collective

Cet article analyse la traversée de la pandémie de Covid-19 dans le collectif Station Psychanalyse, un groupe hétérodoxe de psychanalystes qui fournissent des services dans l'espace public à Campinas. Avec les mesures d'isolement, notre dispositif a été transformé. Le texte présente des réflexions sur ces transformations, à partir de trois lectures différentes sur l'impact de la pandémie sur le dispositif: sur son histoire, sur la formation de l'analyste et sur les effets psychiques sur les sujets écoutés par les analystes du collectif

Plantão psicológico on-line: a experiência da Clínica Psicológica da UEL no contexto da Covid-19 / Online psychological emergency attendance: the experience of UEL's Psychological Clinic in the context of Covid-19

O mundo encontra-se em uma crise sanitária causada pela pandemia da Covid-19 que requer cuidados em todos os âmbitos: social, econômico, ambiental, político, educacional e de saúde, inclusive saúde mental. Por meio de um relato de experiência, este artigo objetivou evidenciar os alcances e limites do uso da tecnologia na oferta do serviço de Plantão Psicológico on-line da Clínica Psicológica da Universidade Estadual de Londrina. Os alcances desta prática se mostraram importantes para a escuta e o acolhimento do sofrimento psíquico ocasionado pela pandemia, principalmente aos estudantes da universidade que estão lidando com inseguranças e frustrações, tendo seus projetos de vida atravessados pelo novo cenário mundial. Alguns limites do Plantão Psicológico on-line foram elencados, principalmente em relação às intercorrências tecnológicas. Espera-se que esta experiência narrada inspire outros serviços a ofertarem esse tipo de atendimento, ou aprimorarem sua oferta, em tempos pandêmicos, a fim contribuir com a saúde mental da população.(AU)

The world is in a health crisis caused by the Covid-19 pandemic that requires care in all areas: social, economic, environmental, political, educational and health, including mental health. Through an experience report, this article aimed to highlight the scope and limits of the use of technology in offering the online Psychological Emergency Attendance service of the Psychological Clinic of the State University of Londrina. The scope of this practice proved to be important for listening to and welcoming the psychological suffering caused by the pandemic, especially to university students who are dealing with insecurities and frustrations, with their life projects crossed by the new world scenario. Some service limits were listed, mainly in relation to technological complications. It is hoped that this experience will inspire other services to offer this type of care, or improve their offer, in times of pandemic, in order to contribute to the mental health of the population.(AU)

El mundo se encuentra en una crisis de salud provocada por la pandemia de Covid-19 que requiere atención en todos los ámbitos: social, económico, ambiental, político, educativo y sanitario, incluida la salud mental. A través de un relato de experiencia, este artículo tuvo como objetivo resaltar los alcances y límites del uso de la tecnología en la oferta del servicio de Guardia Psicológica en línea de la Clínica Psicológica de la Universidad Estatal de Londrina. El alcance de esta práctica resultó ser importante para escuchar y acoger el sufrimiento psicológico provocado por la pandemia, especialmente a los universitarios que enfrentan inseguridades y frustraciones, con sus proyectos de vida atravesados por el nuevo escenario mundial. Se enumeraron algunos límites de la Guardia Psicológica en línea, principalmente con relación a las complicaciones tecnológicas. Se espera que esta experiencia narrada inspire a otros servicios a ofrecer este tipo de atención, o mejorar su oferta, en tiempos de pandemia, con el fin de contribuir a la salud mental de la población.(AU)

Consultas odontológicas de mujeres consumidoras de cannabis y/o cocaína versus no consumidoras. Estudio de cohorte retrospectivo durante 4 años en Argentina

Resumen Introducción: El consumo de cannabis y de cocaína constituye un problema global que afecta la salud bucal. La mayoría de las investigaciones se han realizado en hombres, en programas de rehabilitación. Objetivo: describir y comparar consultas y diagnósticos odontológicos de mujeres consumidoras y no consumidoras de cocaína y/o cannabis, por un período de 4 años. Métodos: estudio de cohorte retrospectivo. Grupos comparados de mujeres consumidoras y no consumidoras de cannabis y/o cocaína, seleccionadas en el posparto en un hospital público. Resultados: la edad promedio en ambos grupos fue de 22 años, sin diferencias en nivel educativo. Las mujeres del grupo de consumidoras (n=29) fueron mayormente policonsumidoras, realizaron más consultas odontológicas de emergencias (p=0,0002), y presentaron más gingivitis y periodontitis (p=0,0001) que las no consumidoras (n=58). Conclusiones: las mujeres consumidoras de cannabis y/o cocaína realizaron más consultas por emergencias, y presentaron con mayor frecuencia diagnóstico de gingivitis y periodontitis que las no consumidoras.

Resumo Introdução: O uso de cannabis e cocaína é um problema global que afeta a saúde bucal. A maior parte da pesquisa foi feita em homens, em programas de reabilitação. Objetivo: descrever e comparar consultas e diagnósticos odontológicos de mulheres que consumiram e não consumiram cocaína e/ou maconha, durante 4 anos. Métodos: estudo de coorte retrospectivo. Grupos comparados de mulheres que usam e não usam cannabis e/ou cocaína, selecionados no período pós-parto em um hospital público. Resultados: a média de idade em ambos os grupos foi de 22 anos, sem diferenças de escolaridade. As mulheres do grupo das consumidoras (n= 29) eram, em sua maioria, policonsumidoras, realizavam mais consultas odontológicas de urgência (p= 0,0002) e apresentavam mais gengivite e periodontite (p= 0,0001) do que as não usuárias (n= 58). Conclusões: mulheres usuárias de cannabis e/ou cocaína realizaram mais consultas de urgência e tiveram diagnóstico de gengivite e periodontite mais frequentes do que as não usuárias.

Abstract Introduction: Cannabis and cocaine use is a global problem that affects oral health. Most of the research has been conducted on men in rehabilitation programs. Objective: to describe and compare the dental attendance and oral diagnoses of women who are cannabis and/or cocaine users and not users for four years. Methods: a retrospective cohort study. We compared two groups of women who use and do not use cannabis and/or cocaine, selected in the postpartum period in a public hospital. Results: The average age in both groups was 22, and there were no education-related differences. The consumers (n=29) were mostly multiple drug users who sought emergency dental care more often (p=0.0002) and had more gingivitis and periodontitis (p=0.0001) than non-users (n=58). Conclusions: women who used cannabis and/or cocaine sought emergency dental care more often and had a more frequent diagnosis of gingivitis and periodontitis than non-users.

Facteurs associés au faible niveau de fréquentation du centre de santé intégré de Pondila en 2021 / Factors associated with low levels of attendance of the integrated health center of Pondila in 2021

Le système de santé de la République du Congo est caractérisé par un important gap dans l'offre des services de santé entre le milieu urbain et le milieu rural. La communauté rurale de Pondila, dans le département du Kouilou n'échappe pas à cette description, avec un faible taux de fréquentation du CSI de Pondila de 34,22%. Objectif: Cette étude avait pour objectif d'étudier les facteurs associés au faible taux de fréquentation du CSI de Pondila en 2021. Méthodologie : Il s'agit d'une étude transversale analytique qualitative et quantitative sur un échantillon probabiliste représentatif de 347 ménages dans toute l'aire de santé de Pondila. Un modèle de régression logistique a été construit par la méthode de sélection pas à pas descendante avec une probabilité d'entrée de 0,05 et IC à 95%. Résultats : 30,84% des enquêtés ont rapporté ne pas avoir consulté le CSI de Pondila dans les 03 mois précédant l'enquête dans de mauvaises conditions d'accès géographiques et financières. La régression logistique a permis d'établir le faible niveau de fréquentation du CSI et le chômage (OR=16,67 [14,67 à 18,67], p=0,000), le mauvais accueil des bénéficiaires par le personnel soignant (OR=3,15 [1,00 à 9,95], p=0,050) et l'absence de médicaments lors des consultations (OR=3,21 [0,26 à 39,24], p=0,000). Conclusion : Le faible niveau de fréquentation du CSI de Pondila est associé au chômage, au mauvais accueil et à la non disponibilité des médicaments au CSI, au coût élevé des soins et au mauvais état des routes.

Caracterização do atendimento do programa esporte e lazer da cidade (PELC) nos documentos norteadores (2003-2015) / Caracterization os the attendance of the city sports and leisure program (PELC) in the guiding documents (2003-2015)

As políticas públicas de esporte e lazer no Brasil têm sido desenvolvidas com o intuito de democratizar o acesso a práticas esportivas e de lazer, direcionado seus esforços principalmente as pessoas em situação de vulnerabilidade social. O Programa Esporte e Lazer da Cidade (PELC) tem como um de seus objetivos oportunizar essa experiência, levando núcleos de esporte e lazer as mais variadas regiões do país. Nos documentos norteadores do programa utilizados neste estudo, PPA 2004-2007, 2008-2011, 2012-2015, Orientações para implantação do PELC (2005 a 2015) e Edital de Chamamento (2008 a 2015), encontramos menção a garantia desse direito. Entretanto, esses documentos não são consoantes e não apresentam uma linearidade quanto aos objetivos e metas, também não apontam formas de verificar se o atendimento as pessoas em situação de vulnerabilidade social está de fato sendo oportunizado. Existe falta de diálogo entre os três documentos aqui estudados, onde os parâmetros indicados por um deles não são os mesmos estabelecidos pelos demais. As metas propostas nas diretrizes bases do PELC e no Edital de Chamamento são genéricas e apontam 400 atendimentos por núcleo, sem qualquer tipo de filtro ou classificação. Entretanto, os PPAs apontam a renda como um dos critérios a ser utilizado. A partir dessa disparidade não se estabelecem parâmetros reais de verificação dos tipos de atendimentos. Este artigo pretende auxiliar na exposição dessa lacuna e demonstrar como o não estabelecimento de metas e formas de verificação sobre o atendimento, e a falta de diálogo entre os documentos norteadores, podem comprometer o alcance do atendimento de programas sociais as pessoas em situação de vulnerabilidade social. (AU)

Sports and leisure public policies in Brazil have been developed with the aim of democratizing access to sports and leisure practices, focusing their efforts mainly on people in situations of social vulnerability. The City Sports and Leisure Program (PELC) has as one of its objectives to facilitate this experience, bringing sports and leisure centers to the most varied regions of the country. In the guiding documents of the program used in this study, PPA 2004-2007, 2008-2011, 2012-2015, Guidelines for implementation of the PELC (2005 to 2015) and Call Notice (2008 to 2015), we find mention of the guarantee of this right. However, these documents are not consonant and do not present a linearity in terms of objectives and goals, nor do they indicate ways of verifying whether care for people in situations of social vulnerability is in fact being offered. There is a lack of dialogue between the three documents studied here, where the parameters indicated by one of them are not the same as those established by the others. The goals proposed in the basic guidelines of the PELC and in the Call for Bids are generic and indicate 400 calls per core, without any type of filter or classification. However, PPAs point to income as one of the criteria to be used. From this disparity no real parameters of verification of the types of care are established. This article intends to help in the exposition of this gap and demonstrate how the nonestablishment of goals and forms of verification on care, and the lack of dialogue among guiding documents, can compromise the reach of social programs for those in situations of social vulnerability.(AU)

Impacto das mensagens de texto para redução do absenteísmo às consultas especializadas: um estudo aleatorizado / Impacto de los mensajes de texto para reducir el absentismo en consultas especializadas: un estudio aleatorio / Impact of text messages to reduce absenteeism in specialized consultations: a aleatorized study

O objetivo deste estudo foi testar o impacto de um lembrete por mensagem de texto eletrônica, via WhatsApp®, sobre a taxa de absenteísmo nas consultas de subespecialidades pediátricas. Este estudo aleatorizado foi composto por um grupo controle e um experimental. Os participantes do grupo experimental receberam um aviso por WhatsApp® lembrando a data da consulta. Foram incluídos no estudo todos os usuários agendados (primeira vez e retornos) para consultas de subespecialidades pediátricas. Para as análises foi calculado os percentuais e realizou-se o teste Qui-quadrado de associação. Um total de 998 participantes foram incluídos para análise. A maioria dos participantes era do sexo masculino (59 porcent). A taxa de absenteísmo no grupo experimental foi de 24 porcent e no grupo controle, 25,5 porcent, representando uma diferença de 1,5 porcent (p= 0,580). A taxa de absenteísmo era particularmente mais alta para consultas agendadas na segunda-feira, com 30 porcent (p= 0,009). Globalmente, o uso de lembretes por mensagens de texto em estudos com diferentes populações reduz a taxa de absenteísmo. No entanto, nossas descobertas sugerem que o envio de mensagens de texto via WhatsApp® como lembretes de consulta não é uma ferramenta eficaz na redução do absenteísmo de subespecialidades pediátricas(AU)

El objetivo de este estudio fue evaluar el impacto de un recordatorio a través de un mensaje de texto por WhatsApp® sobre la tasa de absentismo en las consultas de subespecialidades pediátricas. Este estudio aleatorizado fue compuesto por un grupo control y un grupo experimental. Los participantes del grupo experimental recibieron un recordatorio a través de WhatsApp® que rememoraba la fecha de la consulta. Todas las consultas programadas de la subespecialidad pediátrica, tanto las realizadas por primera vez como las siguientes, fueron incluidas en el estudio. Para el análisis fueron calculados los porcentajes mediante la prueba chi-cuadrado. Fueron incluidos 998 participantes en el análisis, de los cuales la mayoría eran hombres (59 por ciento). La tasa de absentismo del grupo experimental fue de 24 por ciento, mientras la del grupo control fue de 25,5 por ciento, lo que representa una diferencia del 1,5 por ciento (p= 0,580). La tasa de absentismo fue del 30 por ciento (p= 0,009), lo que resultó particularmente alta para las consultas programadas para los lunes. Generalmente los estudios que utilizaron mensajes de texto en diferentes poblaciones, como recordatorio, redujeron la tasa de absentismo de las consultas. Sin embargo, nuestros resultados sugieren que enviar mensajes de texto a través del WhatsApp® como recordatorio de consultas médicas no es una herramienta efectiva para reducir el absentismo en las subespecialidades pediátricas(AU)

The purpose of the study was to evaluate the impact of WhatsApp® text messaging reminders on the rate of non-attendance to pediatric specialty consultation. Randomized examination was conducted of a control group and an experimental group. Participants in the experimental group received a WhatsApp® reminder of the appointment date. All the appointments scheduled for the pediatric subspecialty were included, i.e. first-time appointments as well as those following. Data analysis was based on percentage estimation by the chi-square test. A total 998 participants were included in the analysis, most of whom were men (59 percent). The non-attendance rate was 24 percent in the experimental group and 25.5 percent in the control group, for a difference of 1.5 percent (p= 0.580). The non-attendance rate was 30 percent (p= 0.009), particularly high for appointments scheduled for Mondays. In general terms, studies using text messaging as reminders in different populations reduced the rate of non-attendance to consultation. However, our results suggest that sending WhatsApp® text messages as reminders of medical appointments is not an effective tool to reduce non-attendance to pediatric consultation(AU)

O estágio de atendimento nos anos iniciais: experiência com plantão psicológico / Psychological practicum by early years students: experience through psychological attendance / La practica de atendimiento en los años iniciales: la experiencia de estudiantes en jornada psicológica

Este artigo discute a experiência de quatro plantonistas em seu primeiro estágio de atendimento em projeto de plantão em clínica-escola universitária, no terceiro semestre do curso. Os relatos revelaram como o plantão se organizou para cuidar destes estudantes, bem como cada estagiário conduziu-se de modo singular ao longo do estágio. Evidenciou-se que o plantão abarca múltiplos dizeres dos estudantes como possibilidade de propiciar um aprender pela experiência. Convocados pela atenção psicológica dos supervisores, os saberes dos plantonistas mostraram-se incorporados em seu agir, surgindo nas narrativas contadas. A formação surgiu como formar-ação, pela aprendizagem significativa como via privilegiada de constituição do saber de ofício do psicólogo. A investigação destacou a relevância deste estágio ocorrer nos semestres inicias pelo modo como estagiários apresentaram uma compreensão pertinente de plantão nesta perspectiva. Manifesta-se a urgência da clínica-escola contemplar projetos que diferenciem serviços de atenção às demandas da clientela.

The present investigation intended to explore how four students experienced their first practicum in the university project of Psychological Attendance, from the second year of the Psychology Course. It revealed how that practicum is organized to take care of the student, as well as how the project showed itself as singular, allowing the students' narrative for this investigation. It was possible to comprehend how the psychological attendance opened to the participants many possibilities to learn through experience, by learning in action. At the same time, by the supervisors' careful psychological attention, the students referred how they incorporated such knowledge in their acting by their reflexions about the experiences at the supervisions as well as with clients. It revealed the possibility of significative learning in action as pertinent to comprehend the meaning of psychologist's attention, even when the practicum occurs for Psychology freshmen students. This investigation points to the urgency to changes in the curriculum of Psychology courses in order to contemplate projects that open new possibilities, directing them to the clients' actual needs.

Este articulo discute la experiencia de cuatro estudiantes que iniciaron su primera practica de atendimiento en jornada, en el tercer semestre de la carrera. Los relatos revelan como se organizo la jornada para cuidar del estudiante. Por otro lado, el proyecto mostro como cada practicante se comporto de manera singular a lo largo de la practica. Se evidencio que la jornada abarca múltiples posicionamientos de los estudiantes, como posibilidad de propiciar un aprendizaje por medio de la experiencia. Convocados por la atención psicológica de supervisores, los saberes de los participantes de la jornada se muestran incorporados en su forma de actuar, siendo difícil hablar sobre esto, pero surgiendo en las reflexiones e historias contadas. En este sentido la formación surgió como formaraccion, por el aprendizaje significativo como vía privilegiada de la constitución del saber del oficio del psicólogo. Así, la investigación destacó la relevancia de que esta practica sea realizada en los semestres iniciales por el modo como los practicantes presentan una comprensión pertinente de la jornada en esta perspectiva. Por esa vía se manifiesta la urgencia de la clínica-escuela, de contemplar proyectos de practicas que diferencian servicios de atención a las demandas de la clientela, en su amplitud.

Pattern of Obstetric Clinic Attendance, Deliveries and Neonatal Outcome at a Tertiary Hospital during and after a Free Medical Care Programme

Background: Policies and programs aimed at giving access to healthcare free of charge for some segments of the population are increasingly being put in place by low and middle-income countries. The impact of such policies has so far been rather mixed.Objective:This study sought to determine the pattern of obstetrics clinic attendance, deliveries and neonatal outcome during and after a Free Medical Care (FMC) Programme. Was there any significant difference during and after the FMC programme? Methodology:This was a retrospective population-based study involving the three years of a free medical care programme (2012-2014) and the three years after the programme (2015-2017). Data on antenatal/postnatal clinic attendance, method of deliveries and neonatal outcome were retrieved from the hospital records. The Epi-Info 7 statistical software was used for analysis and statistical significance was set at p<0.05.Results:Mean antenatal attendance was 20763.67±6085.71 and 14269.00±1932.71 during and after the programme respectively, but this difference was not significant (P = 0.143). The mean postnatal attendance of 1457.7±447.69 during and 1025.7±193.52 after was not significant (P=0.200). There was more total number of deliveries during (8596) than after (5989) but this was not significant (P=0.171). There were more operative deliveries during (51.9%) than after (39.3%) and this was significant (P=0.0001). The CS rate was 43.1% with previous CS and CPD both responsible for over 40%. Livebirths were 8,272 (58.8%) duringand 5,796 (41.2%) after, which was significant (P=0.0001). There was significant difference (P=0.006) in the macerated stillborn (MSB) rate during (44.2%) and after (55.8%). The stillborn rate was 66.9 during and 98.2 after the programme.Conclusion: There were more clinic attendance and deliveries during the programme, but it was not statistically significant. There was however statistically significant increase in operative delivery, total births and livebirths, and reduced MSB rate during the programme

Novas direções para o plantão psicológico: o psicodrama como referencial / New directions for psychological emergency attendance: psychodrama as a reference / Nuevas direcciones para la guardia psicológica: el psicodrama como referencial

O plantão psicológico é uma intervenção clínica que acolhe o cliente diante de alguma dificuldade circunstancial. Os desenvolvimentos teórico-práticos nessa modalidade deram-se no referencial da abordagem centrada na pessoa, predominantemente. Neste trabalho, objetivou-se investigar as possibilidades de fundamentação dos plantões no referencial do psicodrama. Os diários de campo produzidos a partir das intervenções realizadas com pessoas em situação de vulnerabilidade social foram objetos de análise qualitativa. Os resultados demonstraram que o trabalho com recursos de ação pode ser uma importante estratégia clínica para potencializar a expressão do sofrimento dos clientes, e que a construção de um campo intersubjetivo baseado no conceito de tele, permeado pela afetividade e pela autenticidade, é uma contribuição psicodramática para o trabalho com pessoas marginalizadas.

Psychological emergency attendance is a clinical intervention that supports the client in the face of some circumstantial difficulty. The theoretical-practical developments in this modality were done based on the person-centered approach, predominantly. In this work, the objective was to investigate the possibilities of development of this clinical practice in the referential of psychodrama. The field diaries produced from interventions made with people in socially vulnerable situations were the object of a qualitative analysis. The results showed that working with action resources can be an important clinical strategy to enhance the expression of clients’ suffering and that the construction of an intersubjective field based on the concept of tele, permeated by affectivity and authenticity, is a psychodramatic contribution to working with marginalized people.

La guardia psicológica es una intervención clínica que acoge al cliente ante alguna dificultad circunstancial. Los desarrollos teórico-prácticos en esta modalidad se basaron en el enfoque rogeriano, predominantemente. En este trabajo, se objetivó investigar las posibilidades de fundamentación de esta modalidad en el referencial del psicodrama. Los diarios de campo producidos a partir de intervenciones realizadas con personas en situaciones vulnerables fueron objeto de análisis cualitativo. Los resultados mostraron que trabajar con recursos de acción puede ser una estrategia clínica importante para mejorar la expresión del sufrimiento de los clientes y que la construcción de un campo intersubjetivo basado en el concepto de tele, impregnado de afectividad y autenticidad, es una contribución psicodramática para trabajar con personas marginadas.

Impact of counselling on the attendance and academic performance of second year medical students in the subject Pharmacology

Background: Absenteeism is becoming a major problem among medical students which has become a focus of concern nationally and globally.Methods: Students are assessed at the beginning of the counselling. The academic performance and attendance rates of students are recorded and tabulated systematically. The data was evaluated for the group of students having low academic performance and attendance over the study period. Statistics applied to determine significant impact of counselling on attendance and academic performance of students over the study period.Results: Study showed positive and significant impact of counselling on attendance and academic performance of the students. The study also revealed positive correlation between attendance and academic performance.Conclusions: The significant impact of counselling was found on student attendance and academic performance. The counselling sessions also proved to improve the student teacher relationship in terms of better two-way communication and also helped in receiving feedback on implementation of new ways of teaching.

Effectiveness of school-based dental screening in increasing dental care utilization: A systematic review and meta-analysis

Background: School based dental screening has been a popular public health intervention. However, literature provides contrasting evidence regarding effectiveness of such programs on the utilization of dental services. Objectives: We designed this review to understand the differences in dental attendance rates of children below 15 years of age, receiving a school based dental screening versus those not receiving it. Material and Methods: The standard methodological procedures prescribed by The Cochrane Collaboration for Systematic review and meta-analysis was employed. An electronic (MEDLINE via PUBMED, Cochrane trial registry, and Google scholar) and a manual search (2016) were made to identify studies. Results: Five studies met the inclusion criteria, covering a population of 28208 school children of which 21447 were included in the meta-analysis. The review concludes that school based dental screening marginally increases the dental attendance by 16 percent as opposed to a non-screening group (RR 1.16 (95% CI 1.11, 1.21). The quality of evidence was found to be low. Conclusions: There is evidence of marginally increased dental attendance rate of 16 % following screening. As the quality of evidence was found to be low, the results of this review may be used with caution.

Assessing Barriers for Delayed Antenatal Care Services among Tribal Women of Bangladesh

@#Introduction The time to start Antenatal Care (ANC) check-up is very significant because it determines the way to resolve complications and remedies during pregnancy. Different parameters play important roles in participating ANC in a society. A global consensus gives us the idea that most tribal people living in remote areas are far from basic needs related to education, employment, and affordable healthcare. The study aimed to delve into delayed ANC practices and the factors affecting the decision to receive ANC among tribal women dwelling in the Chittagong Hill Tracts (CHT) of Bangladesh. Methods This paper is a quantitative study. Interview schedule or questionnaire was mainly used as an instrument for data collection from 556 married women having babies for less than one year. Multinomial logistic regression was performed to determine significant factors related to the time of the introduction of ANC. Results Only 16.4% of the women had started to receive ANC in the early stage of pregnancy (≤3 months) and 13.5%, after three months (delayed ANC) of their pregnancies. 70% did not seek ANC. The result found that one-third (29.9%) of the pregnant women wanted ANC from a trained doctor, but only 16.4% initiated attendance within three months of the pregnancy. Conclusions The study results suggest that specific efforts are needed to advance the socio-economic status of the tribal people; they need to increase the educational level of women and their husbands, build their nearest health centers, and strengthen family planning programs.

A Review on the Factors Influencing the Attendance of Postpartum Diabetes Screening for Mothers with Gestational Diabetes Mellitus

Abstract@#Women with gestational diabetes mellitus (GDM) during their pregnancy have a greater risk of developing overt diabetes mellitus and dysglycemia (prediabetes, impaired glucose tolerance or impaired fasting glucose) later in future, compared to mothers with normal pregnancy. Postpartum screening is crucial for early identification of type 2 diabetes (T2DM) in women with GDM. Nevertheless, despite various strategies, its rate remains low. A systematic review using databases of PubMed/Medline, Science Direct and CINAHL from 2008 to 2018, was conducted to identify the factors influencing the attendance of postpartum diabetes screening. Open access English articles, focusing on observational studies were reviewed. Primary screening of titles and abstracts of 91 articles were done, secondary screening of 31 articles resulted in 6 articles, included in this manuscript. Various factors identified to be associated with the attendance to postpartum diabetes screening, which are age, education, ethnicity, some obstetric factors like multiparty, and history of insulin usage previously. Many women fail to be screened for diabetes during the postpartum period, and this delays T2DM diagnosis, which in turn gives rise to various complications. Further research that considers these factors is necessary for developing interventions to improve postpartum T2DM screening for mothers with GDM during their pregnancy