bluuebunny/crossref_metadata_2025 huggingface dataset:
Conhecimento de enfermeiros no tratamento de feridas na atenção primária à saúde
Authors: Oliveira Silvia Ximenes , Clementino Ana Cristina Vieira Freire , Caldas Mona Lisa Lopes dos Santos , Oliveira Janielle Alves de , Azevedo Denisy Dantas Melquíades
Published: November 2024

Objetivo: Buscar na literatura evidências quanto ao conhecimento dos enfermeiros no tratamento de feridas na Atenção Primária à Saúde. Métodos: Trata-se de uma revisão integrativa da literatura, realizada nas bases de dados eletrônicas MEDLINE via Biblioteca Virtual em Saúde, BDEFN e LILACS, por meio da associação de descritores, tendo como critérios de inclusão artigos disponíveis na íntegra, no idioma português, entre os anos de 2019 a 2023. Foram excluídos os editoriais, cartas ao editor, resenhas, teses, dissertações e os duplicados. Resultados: Efetuou-se a análise de 08 estudos que abordaram a relevância da intervenção de enfermagem no manejo de feridas na atenção primária à saúde. Verificou-se que a assistência é frequentemente realizada de maneira empírica, sem a adoção de protocolos específicos. Destacou-se a carência de diretrizes apropriadas para a execução do tratamento de feridas, juntamente com a constatação do conhecimento limitado por parte dos profissionais em relação às práticas de tratamento, conduta e seleção de curativos. Considerações finais: Enfatiza-se a necessidade de ações sistematizadas e individualizadas para a realização do processo de tratamento de feridas complexas, bem como a capacitação do profissional para avaliação e prescrição de coberturas que melhor possibilite o processo de cicatrização das feridas.
Tendências e implicações da automedicação na pandemia da COVID-19
Authors: Soares Tuane Esthefany de Oliveira , Souza Ingrid de Jesus , Silva Camila Alves da , Ribeiro Carolina Heitmann Mares Azevedo , Sousa Chriscia Jamilly Pinto de , Lo Prete Ana Cristina
Published: November 2024

Objetivo: Investigar as tendências atuais e as implicações da automedicação durante a pandemia de Covid-19, analisando os padrões de uso de medicamentos. Métodos: Revisão integrativa dos últimos 5 anos, utilizando os descritores "Self-medication" e "Covid" no PubMed. Resultados: A pesquisa inicial resultou em 133 estudos, dos quais 17 foram considerados elegíveis após aplicação dos critérios de exclusão. Esta revisão evidenciou a disseminação generalizada da automedicação, impulsionada pela ansiedade, medo e pânico associados à pandemia, levando a um aumento global nas taxas de automedicação, inclusive entre profissionais de saúde. A população recorreu a diferentes fontes de obtenção de medicamentos, resultando no consumo de diversas classes de fármacos para alívio sintomático, muitas vezes ignorando os riscos potenciais associados ao uso irracional de medicamentos. Considerações finais: Dessa forma, faz-se necessário medidas por parte das autoridades para desencorajar a prática da automedicação. Destacam-se entre as estratégias a divulgação dos riscos associados à automedicação e o incentivo à busca de serviços de saúde para orientação adequada e tratamento eficaz.
Diagnóstico do programa saúde na escola a partir da pesquisa convergente assistencial aplicado por enfermeiras
Authors: Parente Flavia da Silva , Rocha Esron Soares Carvalho
Published: November 2024

Objetivo: Realizar diagnóstico situacional do Programa Saúde na Escola em Borba/Amazonas, por enfermeiras utilizando o método Pesquisa Convergente Assistencial. Métodos: Pesquisa com cinco profissionais de enfermagem. Os dados foram coletados entre janeiro e março de 2021 com entrevistassemiestruturadas. A análise de dados foi realizada pelo método de Bardin. Resultados: Foram identificadascinco categorias que evidenciam a fragilidade no monitoramento e cujas principais causas foram a ausênciade instrução das atividades; capacitação e organização do conhecimento direcionado ao programa e seuseixos. O acúmulo de atividades foi apontado como a causa no déficit do monitoramento eficiente e osrecursos humanos e a tênue interação entre saúde e educação também foram obstáculos identificados. Conclusões: Reorganizar o modelo de fazer a gestão programa em Borba para que os profissionais saibamcomo deve ocorrer a execução do programa; instrumentalizar ações envolvendo interessados, otimizando ousodos recursos disponíveissomandoesforços comas equipes desaúde.
Avaliação do desenvolvimento da primeira infância: perspectiva do terapeuta ocupacional na atenção primária à saúde
Authors: Pantoja Jorgeane Pedrosa , Sena Meibia Martins , Lopes Ana Carolina de Souza , Leal Carla Camila Chaves , Silva Ewerling Cristina Reis da , Xavier Eduarda Cavalheiro , Pereira Hevelyn Maria Pereira e , Silva Ketelen Yasmim Braga de Moraes
Published: November 2024

Objetivo: Apresentar a análise do desenvolvimento da primeira infância encontrado a partir da atuação do Terapeuta Ocupacional na Atenção Primária à Saúde em uma Unidade Municipal de Saúde na região metropolitana de Belém/Pará. Métodos: Pesquisa de natureza básica, exploratória e descritiva, com procedimento documental e de campo apresenta abordagem quantitativa. Amostra formada por 20 crianças, de 0 a 5 anos, de ambos os sexos, selecionadas em dois meses de coleta de dados, em uma Unidade Municipal de Saúde, localizada em Belém - Pará. Resultados: A avaliação dos marcos de desenvolvimento revelou variações nas conquistas esperadas para cada faixa etária, com estratégias e orientações fornecidas às famílias para estimular o progresso das crianças. O resultado geral indica a importância de compreender e intervir no desenvolvimento infantil para melhorar o cenário atual acerca da vigilância do desenvolvimento infantil e planejar estratégias futuras. Conclusão: Sugere-se pesquisas futuras com amostras mais amplas, incluindo idades além da primeira infância e diferentes localidades do Estado. Destaca-se a relevância da intervenção do Terapeuta Ocupacional na estimulação do desenvolvimento infantil na atenção primária à saúde. O estudo evidencia a importância da Caderneta da Saúde da Criança como instrumento para avaliação e acompanhamento.
Associação entre síndrome metabólica e COVID-19
Authors: Sousa Yasmin Vitoria Cutrim , Cruz Ananda Cristina Alves , Cavalcante Karollem Lopes , Barroso Wermerson Assunção
Published: November 2024

Objetivo: Analisar os mecanismos fisiopatológicos da associação entre a COVID-19 e síndrome metabólica (SM). Revisão bibliográfica: Apesar da evidência de alto risco de resultados adversos da COVID-19 em pessoas com síndrome metabólica, pouco se sabe sobre as diferenças na eficácia e segurança entre pessoas com e sem síndrome metabólica. A relação entre COVID-19 e a síndrome metabólica traz questões fisiológicas que tornam suscetível à infecção, bem como complicações durante e após a infecção, devido à baixa resposta imunológica causada pela inflamação crônica. Apesar da presença de comorbidades e da necessidade de prevenção, os indivíduos com SM infectados pela COVID-19 não são corretamente orientados sobre a profilaxia atual e seus benefícios diante do quadro infeccioso. Considerações finais: O conhecimento atual e as evidências epidemiológicas sobre a associação entre a síndrome metabólica e resultados adversos da COVID-19, inter-relações patogênicas, considerações de manejo para COVID-19 e sequelas pós-COVID, bem como sua prevenção, é sustentado em ter um maior cuidado em relação as pessoas que vivem com SM.
Estratégias de ensino guiada pelo preceptor na formação na residência multiprofissional em atenção cardiovascular
Authors: Zaninotto Christielaine Venzel , Vilhena Andrezza Ozela de , Rocha Lorena Santos da , Ferreira Milene Silveira , Camboim Bianca Blois Pinheiro , Normando Valéria Marques Ferreira
Published: November 2024

Objetivo: Analisar as estratégias de ensino utilizadas pelos preceptores na formação dos residentes, com o intuito de identificar os desafios enfrentados e as práticas que contribuem para o cenário da residência multiprofissional em atenção cardiovascular. Métodos: Optou-se por uma Revisão Integrativa de Literatura (RIL), descritiva junto a estratégia de (PICo), com os seguintes acrômios: P(População) Preceptores, I (Interesse) ensino, aprendizagem e guia e (Co) Contexto, residência em saúde. A busca foi realizada em janeiro a março de 2024 na base de dados BVS. Foram incluídos artigos nos idiomas português, inglês e espanhol, disponíveis na íntegra. Foram excluídos artigo que não estavam disponíveis na íntegra, teses de mestrado e doutorado. Resultados: A amostra de estudo, apresenta-se com seis artigos do quais são entre os anos de 2017 a 2023, que estavam focalizados nos processos pedagógicos e na dinâmica de ensino-aprendizagem dos preceptores no contexto de residência no cenário da cardiologia. Considerações finais: É possível constatar que a preceptoria em enfermagem desempenha um papel crucial na formação dos profissionais de saúde. No entanto, alguns desafios persistem, como a falta de habilidades pedagógicas dos preceptores, a desarticulação entre os centros formadores e os serviços de saúde, e a sobrecarga de trabalho.
Acompanhamento farmacoterapêutico de pacientes com toxoplasmose gestacional na atenção primária à saúde
Authors: Sampaio Renata Sousa , Correia Ana Rachel Freitas , Lima Francisco Wallison Barbosa de , Oliveira Thais Barbosa de , Lima Marilia Siqueira de , Alencar Ana Valéria Silva , Freitas Rosana da Saúde de Farias e , Guimarães Juliana Alves , Fonteles Marta Maria de França
Published: November 2024

Objetivo: Descrever e analisar a aplicação do acompanhamento farmacoterapêutico à gestantes em tratamento para toxoplasmose na atenção primária à saúde. Métodos: Trata-se de um estudo descritivo, analítico, observacional, retrospectivo e transversal sobre o cuidado farmacêutico a pacientes em tratamento para toxoplasmose gestacional na atenção primária de Fortaleza, Ceará, entre agosto de 2022 e julho de 2023. Os dados foram obtidos a partir do prontuário eletrônico. Resultados: As consultas foram realizadas mensalmente a partir da primeira dispensação até a finalização ou suspensão do tratamento. No período da pesquisa, 149 gestantes tiveram dispensação de medicamentos para toxoplasmose, das quais 41 continuaram o acompanhamento com o farmacêutico. Destas, 68,3% tinham acima de 25 anos, 75,6% iniciaram o acompanhamento no 2º trimestre da gestação e 58,5% apresentaram algum PRM, dos quais 47,5% estavam relacionados à administração e/ou adesão ao tratamento. A espiramicina foi o medicamento mais prescrito (78,5%). Entre as intervenções realizadas (158), 85,7 % foram de informação e aconselhamento.  Conclusão: O acompanhamento promoveu ações de orientação e adesão ao tratamento, notificação dos casos, identificação e monitoramento de PRM, contribuindo com o fortalecimento do cuidado farmacêutico na atenção primária.
Saúde da pessoa idosa rural na atenção primária à saúde no Brasil
Authors: Cordeiro Cliviane Farias , Trindade Anathuza Veiga , Reis Deyvylan Araujo
Published: November 2024

Objetivo: Identificar evidências científicas acerca da saúde da pessoa idosa rural na atenção primária de saúde no Brasil. Métodos:  Trata-se de uma revisão integrativa da literatura, com artigos publicados entre 2014 a 2024, no idioma português, inglês e espanhol e com texto completo disponível. Utilizou-se como questão norteadora: Quais as evidências científicas acerca da saúde da pessoa idosa rural na atenção primária à saúde no Brasil? Para a realização da pesquisa foram utilizadas as bases de dados e biblioteca eletrônica: LILACS, BDENF, MEDLINE, SCOPUS e a biblioteca virtual SciELO, através dos descritores em ciências da Saúde (DeCS): Idoso, Aged, Saúde, Atenção primária à saúde, Primary Health Care, população rural e Rural areas, realizando o cruzamento utilizando o operador booleano “AND” e “AND NOT”. Foi realizada a coleta através de um instrumento próprio utilizando o Microsoft Excel versão 2019. Resultados: Foram selecionados 14 artigos que obedeceram aos critérios de inclusão, na qual, abordavam sobre a saúde da pessoa idosa no ambiente rural. Os temas que mais se destacaram foram: capacidade funcional e qualidade de vida. Considerações finais: Verificou-se poucos estudos desenvolvidos com esse público, o que demonstra a importância de novas pesquisas, principalmente na área da Enfermagem.
Relacionamento interpessoal no centro cirúrgico
Authors: Leite Amanda Saturnino , Marques Davi Pereira , Veloso Thaís Gonçalves , Merten Waleska Lais Castro , Silva Priscila Linhares da , Paula Taniela Marquez de
Published: November 2024

Objetivo: Descrever a importância do relacionamento interpessoal bem como seu impacto na rotina do centro cirúrgico e analisar as fragilidades da equipe no que diz respeito ao assunto. Relato de experiência: Em comemoração à semana de enfermagem de 2024 foi organizado um evento para a equipe de enfermagem do centro cirúrgico de um hospital-escola localizado no Distrito Federal (DF) sobre relacionamento interpessoal. Os profissionais tiveram a oportunidade de expressar seus sentimentos acerca de seus relacionamentos no ambiente de trabalho, sobre a forma como se comunicam e também evidenciaram melhorias para o bom convívio dentro do centro cirúrgico. Considerações finais: O evento proporcionou momentos de maior interação e comunicação entre a equipe, possibilitando a resolução de conflitos e a troca de opiniões sobre o que envolve a temática. Espera-se que mais eventos como este aconteçam e que o trabalho desempenhando no centro cirúrgico seja realizado cada dia mais com respeito, empatia e interação entre a equipe, para que situações desgastantes sejam evitadas, a assistência ao paciente não seja fragilizada e para que a saúde do trabalhador também seja promovida.
Fatores de risco para o desenvolvimento de doenças cardiovasculares
Authors: Silva Andrea Rosane Sousa , Brasileiro Alanna Fernandes de Medeiros , Almeida João Marcos Carvalho de , Santos Joyce Ferreira da Silva , Silva Karolline Pereira da , Siqueira Luís Ricardo de , Oliveira Mirlleny Barbosa da Silva , Lima Núbia Révenny Soares de Almeida , Pontes Rudi Scaffa  Santiago , Lima Waleria Guerreiro
Published: November 2024

Objetivo: Descrever a prevalência dos fatores de risco para doenças cardiovasculares em um município do estado de Pernambuco. Métodos: Trata-se de um estudo transversal e analítico, realizado no período de junho a novembro de 2022, conduzido com 286 indivíduos de ambos os sexos. A coleta dos dados foi realizada através da aplicação de questionário composto pelas variáveis: sexo, idade e escolaridade, e pelos principais fatores de risco cardiovasculares pontuados pelas Sociedades Brasileiras de Cardiologia e de Diabetes. Resultados: A amostra, com faixa etária de 31 e 60 anos, apresentou-se predominantemente feminina 78%, com 49,7% possuindo ensino médio completo. observou-se que a herança genética é um fator de risco não modificável prevalente na amostra. No que diz respeito à presença de Doenças Crônicas Não Transmissíveis, o sobrepeso e a obesidade apresentaram-se mais prevalentes, assim como a inatividade física na variável de hábitos de vida. Conclusão: Conclui-se que há alta prevalência de fatores de risco modificáveis no contexto local, demonstrando a necessidade de intervenções adequadas para a redução da morbimortalidade.
Abordagens tecnológicas para otimização do tratamento endodôntico em canais calcificados
Authors: Tenório Maria Vitória Barbosa , Silva Diane Figueiredo da , Barros Ranna Karine de Oliveira Costa , Santos Edilaine Soares dos
Published: November 2024

Objetivo: Explorar estratégias baseadas em tecnologia para enfrentar os desafios associados aos casos de dentes calcificados indicados para tratamento endodôntico, ressaltando a importância da tecnologia para o planejamento, sucesso e longevidade do tratamento. Revisão bibliográfica: Constatou-se que calcificação do canal radicular representa um desafio significativo na endodontia, demandando planejamento cuidadoso e uso de tecnologias avançadas. Exames como a tomografia computadorizada de feixe cônico (TCFC) e os sistemas de magnificação são essenciais para localizar com precisão os canais calcificados, possibilitando tratamentos mais eficazes. A microscopia operatória e o ultrassom também desempenham papéis críticos, permitindo remoção seletiva da dentina calcificada e maior precisão nos procedimentos, minimizando o risco de perfurações. Estudos mostram que o sucesso do tratamento é maior em calcificações nos terços coronal e médio, enquanto calcificações apicais apresentam desafios mais complexos. Tecnologias avançadas, como a endodontia guiada, têm melhorado significativamente a previsibilidade dos resultados, embora exijam planejamento rigoroso e possam ter altos custos. Considerações finais: A integração de tecnologias avançadas na prática endodôntica moderna tem sido fundamental para enfrentar os desafios apresentados pelos canais calcificados, oferecendo soluções mais precisas, menos invasivas e com melhores resultados a longo prazo para os pacientes.
Assistência multidisciplinar para pacientes com infecções odontogênicas graves no internamento hospitalar
Authors: Maranhão Andressa Rayanne Medeiros , Marcos Ângela da Silva , Silva Jéssika Lima da , Silva Giselly Maria dos Santos , Pires Maria Antônia Tavares , Figueiredo Heloísa Fabianne Bione de , Costa Julia Alves , Cavalcanti Maria Clara da Costa , Freitas Júnior William José Lopes de
Published: November 2024

Objetivo: Analisar o âmbito multidisciplinar da saúde no tratamento de pacientes acometidos por infecções odontogênicas graves em ambiente hospitalar. Métodos: Trata-se de um estudo descritivo do tipo revisão integrativa da literatura com artigos publicados entre 2014 e 2024, nos idiomas inglês, português e/ou francês) com íntegra completa, selecionados através das bases de dados: PubMed, MEDLINE, SciELO e BVS, utilizando-se os descritores: “Focal Infection, Dental”, “Infection Control, Dental”, “Nursing Service, Hospital” e “Hospital Care”. Resultados: A amostra final foi composta por 24 artigos, os quais descreveram evidências de disseminação do processo infeccioso aos tecidos adjacentes e espaços fasciais da região de cabeça, pescoço e tórax, os quais invadem tecidos profundos subjacentes, exigindo precisão e prontidão no diagnóstico e manejo terapêutico dos casos. A profilaxia das infecções odontogênicas se configura como ponto fundamental no combate e na atenuação da disseminação da microbiota bucal em extensões adjacentes, subjacentes e sistêmicas. Considerações finais: A literatura atual conjectura que dispor de equipe multiprofissional e interdisciplinar na condução desses casos confere importante relevância na eficácia da conduta cirúrgica e/ou terapêutica medicamentosa, sobretudo à nível de internamento hospitalar.
Improving the model of organization of search and rescue operations in the natural environment of the Republic of Tajikistan
Authors:   Academy of State Fire Service of EMERCOM of Russia, Saidov Fayziddin Mirzosharifovich , Beresnev Denis Sergeevich ,   Academy of State Fire Service of EMERCOM of Russia, Mineev Evgeniy Nikolaevich ,   Academy of State Fire Service of EMERCOM of Russia, Ryzhenko Natalya Yuryevna ,   Academy of State Fire Service of EMERCOM of Russia
Published: November 2024

Introduction. The article describes the improvement of the model of organization of search and rescue operations in the natural environment of the Republic of Tajikistan, which can influence the management decisions of the head of search and rescue operations. The authors analyze the degree of readiness of rescuers to eliminate the consequences of accidents, dangerous natural phenomena and man-made disasters, as well as the methods of conducting search and rescue operations in the natural environment. Based on the analysis, it is proposed to introduce an additional criterion in determining the routes of redeployment of forces and means to the search site, which will improve the objectivity and information content of the model.
Objectives of the study. Improving the mathematical model for determining optimal routes for the redeployment of forces and resources during rescue operations in the natural environment.
Methods. General scientific and special methods of scientific knowledge were used to obtain the results: analysis, synthesis, generalization, which were based on the provisions of probability theory.
Results and discussion. A multifactorial analysis of search and rescue operations in the natural environment of the Republic of Tajikistan was conducted. An assessment of the material damage caused to the state as a result of natural emergencies was made. The use of an additional criterion for choosing the route for the redeployment of forces and resources of the Committee for Emergency Situations and Civil Defense of the Republic of Tajikistan during rescue operations in the natural environment was substantiated. The material equipment of rescue units was studied.
Conclusions. The obtained results allow us to determine the features and patterns of conducting search and rescue operations in the natural environment, which are necessary for a comprehensive assessment of the situation, the earliest possible decision on the optimal set of measures and the timely dispatch of forces and resources in order to detect and rescue persons in distress as soon as possible.
Keywords: search and rescue management; theory of multiparameter optimization; analysis of emergency situations.
Heat release characteristics during flame combustion of wood fiber board
Authors:   Academy of State Fire Service of EMERCOM of Russia, Shcherbakov Nikolai Alexandrovich , Dvoenko Oleg Viktorovich ,   Academy of State Fire Service of EMERCOM of Russia, Kruglov Evgeny Yurievich ,   Academy of State Fire Service of EMERCOM of Russia, Aseeva Roza Mikhailovna ,   Academy of State Fire Service of EMERCOM of Russia
Published: November 2024

Introduction. The beginning of the 21st century can be characterized by the rapid pace of development of modern construction of residential buildings. Various interior items are widely used in apartments, which are typical and intended to meet material needs. These items are the basis of the fire load. The term "fire load" is the amount of heat that can be released in a room during a fire. According to the amount of specific fire load, categorization of warehouse and industrial premises is made. However, categorization does not apply to residential premises, nevertheless, a study of fire load values is necessary due to the increase in fires in the residential sector.
Goals and objectives. To determine the characteristics of heat release during combustion of MDF boards under the influence of a radiant heat flux of 40 kW/m2 with a local ignition source. The task is to estimate the contribution of flame and flameless combustion of the board to the total heat release, as well as to calculate the effective heat of combustion.
Methods. To determine the parameters of heat release during combustion of medium-density fibreboard (MDF) boards, an installation operating on the thermocouple principle in accordance with state standard GOST R 57928-2017 was used.
Results and discussion. The article presents experimentally obtained results of heat emission characteristics during combustion of MDF boards under the influence of a radiative heat flux of 40 kW/m2 with a local ignition source. The effective heat of combustion and contributions to it from flame and flameless (smoldering) combustion of the sample are determined. The influence of urea-formaldehyde adhesive in the composition of MDF boards on peak values of heat emission intensity is noted.
Conclusion. The obtained results of heat emission characteristics during combustion of MDF boards allow their use for calculating the parameters of flammable load and in mathematical models of fire development. Simulating the most dangerous scenarios of fire development, which will allow determining the time of reaching the influence of hazardous factors on a person, ensuring the required fire resistance of the protected object, as well as conducting effective planning for calculating the volume of fire extinguishing agents and the method of extinguishing.
Keywords: medium-density fibreboard (MDF); heat release; flame and flameless combustion; effective heat of combustion.
The influence of the type of foaming agents on the insulating capacity of air-mechanical foam when extinguishing fires of liquefied natural gas spills
Authors:   Academy of State Fire Service of EMERCOM of Russia, Bituev Rashid Borisovich
Published: November 2024

Introduction. The priority direction of the oil and gas industry of the Russian Federation is the development of infrastructure for the production, transportation and consumption of liquefied natural gas. Facilities with the circulation of liquefied natural gas pose a high fire hazard. One of the main means of extinguishing fires of liquefied natural gas spills is air-mechanical foam. However, both domestic and foreign scientists have not sufficiently studied a number of successive processes that occur during the supply of foam to the surface of a liquefied natural gas spill.
Objectives and tasks. The objective of the conducted study is to expand the understanding of the phenomena occurring during the contact interaction of air-mechanical foam and liquefied natural gas. To model the processes under study, it is necessary to select a hydrocarbon similar to methane in properties, and then measure the degree of foam stability on its surface. After this, it is necessary to analyze the data obtained, as well as provide recommendations on a possible way to increase the insulating capacity of the foam.
Research methods. The main research method in this work was to observe the change in the stability index of air-mechanical foam prepared on the basis of various surfactants when in contact with a hydrocarbon.
Results and discussion. The stability indices of foam prepared on the basis of various surfactants were determined experimentally upon contact with hydrocarbon. The results are summarized in a table for further ease of analysis and interpretation. The obtained results of experimental studies are analyzed and explained, and proposals are put forward to increase the insulating capacity of air-mechanical foam based on the research data. Possible directions for further scientific work are determined.
Conclusion. The stability indices of foam produced on the basis of various surfactants were obtained. The study noted a special influence of the competitive adsorption process on the stability of foam. Assumptions were made about a possible way to increase the insulating capacity of foam when in contact with flammable liquid.
Keywords: fire safety; fire extinguishing; liquefied natural gas; air-mechanical foam; foam properties; hydrocarbons.
Organization of aircraft firefighting management under special conditions
Authors:   Saint-Petersburg University of State Fire Service of EMERCOM of Russia named after Hero of the Russian Federation Army General E. N. Zinichev, Krimsky Vitaly Vyacheslavovich , Golovenko Vladislav Romanovich ,   Saint-Petersburg University of State Fire Service of EMERCOM of Russia named after Hero of the Russian Federation Army General E. N. Zinichev
Published: November 2024

Introduction. The paper analyzes aviation accidents in 2023-2024, considers the issue of sufficiency of forces and means to extinguish an Airbus A320 aircraft, proposes the most rational scheme for managing forces and means in case of a fire with a spill of aviation fuel, and also develops recommendations to officials managing combat operations of fire and rescue units during fire extinguishing and rescue of people in limited time conditions.
The aims and goals. The purpose of the work is to analyze the tactics of extinguishing aircraft operated by airlines of the Russian Federation at the present time. To develop proposals for extinguishing a typical aircraft vessel fire, as well as recommendations to officials on rescuing people and extinguishing the fire.
Research methods. The mechanism of operation of fire and rescue units in extinguishing aircraft fires is investigated. The analysis of the aviation disasters that occurred in 2023-2024 and the calculation of the required number of forces and means of the fire and rescue flight support service and the fire and rescue garrison in the organization of fire extinguishing of the aircraft was carried out.
Results of the study. The calculation of the required number of forces and means demonstrates the need to involve in the liquidation of the considered emergency not only units of the fire and rescue flight support service, but also units of the fire and rescue garrison. The proposed arrangement of units at the emergency site is optimal from the point of view of solving the simulated plane crash. The developed recommendations on the management of units during combat operations are aimed at optimizing the processes of localization and elimination of emergencies.
Conclusion. The results of the study made it possible to develop and propose an optimized alignment of forces and means for extinguishing an aircraft fire with jet fuel filling, as well as recommendations for extinguishing a fire, rescuing victims and managing fire departments when preparing an airfield for an emergency landing of an aircraft.
Keywords: management; fire; aircraft; airport; fire and rescue unit; airfield; air-mechanical foam; combat operations management; aviation fuel.
Surfeit 4 regulates aerobic glycolysis to enhanced proliferation, tumor stemness, invasion, and metastasis in oral squamous cell carcinoma
Authors: Yuan Wei , Tan Tao , Lu Linlin , Lu Chaofei , Zhang Yan , Liu Baojuan
Published: November 2024

Objective:

Oral squamous cell carcinoma (OSCC) is a common malignant tumor worldwide. Surfeit 4 (SURF4) is a member of the surfeit gene family and plays a regulatory role in various cellular processes, such as protein transport and lipid metabolism. Therefore, this study aims to investigate the regulatory role and mechanisms of SURF4 in OSCC.

Material and Methods:

Serum samples were collected from the normal control and OSCC groups. The function of OSCCs was analyzed through Transwell, 5-ethynyl-2’-deoxyuridine incorporation, and Cell Counting Kit-8 assays. Selected proteins were measured by Western blot analysis. Additional vectors for the overexpression (OE) and knockdown of SURF4 were established. Aerobic glycolysis (AG) was detected through cellular glucose consumption and lactate production assays.

Results:

A significant increase was observed in protein and messenger RNA (mRNA) levels of serum SURF4 in OSCC patients compared with the control group (P < 0.001). The knockdown of SURF4 alleviated proliferation, invasion, and metastasis in OSCC (P < 0.001). Overexpressing SURF4 aggravated proliferation and invasion in OSCC and increased the levels of stem cell genes Octamer-binding Transcription Factor 4 and Sex-determining Region Y-box 2 (P < 0.001). Furthermore, adenosine triphosphate levels, lactate levels, and extracellular acidification rate were found to be elevated in the OE SURF4 group, along with higher levels of AG-related regulatory proteins (P < 0.001). Inhibiting AG with glycolysis inhibitor 2-deoxyglucose effectively impeded proliferation and invasion in OSCC.

Conclusion:

SURF4 plays a role in OSCC by regulating AG to enhance proliferation, tumor stemness, invasion, and metastasis.
Intraocular lens opacification: An uncommon case scenario
Authors: Tiwari Kokil , Pal Kajal , Mishra Deepak , Reddy Morreddy Yashwanth
Published: November 2024

Intraocular lens (IOL) opacification is a rare complication of cataract surgery. It can cause significant deterioration of visual performance. We report a case of a 50-year-old female with right eye (RE) primary IOL opacification, who presented to us 6 months after cataract surgery with whole IOL opacification. The patient was managed by RE IOL exchange. The purpose of this case report is to spread awareness about this complication related to cataract surgery and provide insight into its management.
Combined supraperiosteal microfat grafting and intradermal nanofat for the treatment of periorbital melanosis (dark circles)
Authors: Venkataram Aniketh
Published: November 2024

Objectives:

Dark circles are one of the most common aesthetic concerns in India. While several treatment options exist, none address both volume deficiency and skin quality simultaneously. We felt that fat grafting and nanofat provided a novel treatment option to address both aspects of dark circles in one treatment.

Material and Methods:

Patient records were examined from 2017 to 2021. A total of 28 patients were identified as having undergone fat grafting and nanofat for dark circles specifically. The patients were analyzed for age, gender, volumes injected, and outcomes based on patient self-assessment.

Results:

A total of 36 patients underwent fat grafting ranging from the age of 20 to 40 (average 31). All procedures were done under local anesthesia as day care procedures. The volumes injected range from 2 cc/side to 8 cc/side, with an average of 4.36 cc. Using the Likert scale, 28 (77%) rated their results as very satisfied. Six (17%) rated it as satisfied. One rated it as neutral and two rated it as average, and underwent a second session of fat grafting where another 2 cc was injected per side.

Conclusion:

Fat grafting and nanofat are an exciting treatment option for the treatment of dark circles, which is usually regarded as a recalcitrant problem. It has the advantages of addressing both volume and skin quality, being a single-stage procedure, and producing comparatively long-lasting results.
Self-made insulated needle
Authors: Bhingradia Yogesh M. , Patel Nandita
Published: November 2024

Radiofrequency (RF) ablation is a surgical procedure which uses alternating current at ultra-high frequency for controlled tissue destruction. The wide range of dermatological indications includes the management of benign and malignant skin lesions. Certain skin conditions where the target tissue is deeper and epidermal sparing is required such as leukotrichia, trichiasis, cherry angioma, infantile hemangioma, and angioma serpiginosum need more precise energy delivery. These conditions can be addressed by insulated RF for localized tissue destruction without damaging the surface/epidermis and hence reducing the side effects such as post-inflammatory hyper or hypopigmentation and scarring. A simple, non-expensive, commercially available adhesive can be used to coat the normal RF needle for safe cauterization and good cosmetic outcomes.
Influence of L-3, 4-dihydroxyphenylalanine on locomotor activities and behavioral changes in rats
Authors: Nagavishnu Kandra , Kumari Karanam Sita , Uppala Praveen Kumar , Rao Varri Srinivasa , Harika Lingampalli , Swathi Devu , Zilpe Sushma Chetan , Sandhya Edhi , Chandar Ch.Bhuvan
Published: November 2024

Objectives:

The central nervous system, the kidneys, the heart, and the hormones are all greatly impacted by dopamine (DA), a neurotransmitter and one of the most significant catecholamines. The goal of this study is to determine if L-DOPA (l-3, 4-dihydroxyphenylalanine) causes any changes in rat behaviour, such as anxiety or motor activity.

Materials and Methods:

Before administering L-DOPA intraventricularly, male rats with and without 6-hydroxydopamine (6-OHDA) or oxidopamine lesions were pretreated with benserazide. We then recorded any behavioral changes that occurred with different doses. The rats were placed in a locomotor room, and their movements were recorded to detect changes in locomotor activity.

Statistical analysis:

Data were analyzed using Statistical Parametric Mapping and the chi-square test for discrete variables was used to investigate the relationships between DA intensity (O) and behavioural changes. A p-value less than 0.05 were considered statistically significant.

Results:

Results demonstrate that 6-OHDA lesioned rats showed quick behavioral changes in response to L-DOPA, in contrast to normally behaving rats that required 3–4 min. Centre and vertical locomotor chamber movements were reduced in 6-OHDA lesion animals compared to normal rats. The entrances to the chamber’s center (F = 23.88, P < 0.05) and vertical motions inside the center (F = 22.27, P < 0.05) were both significantly impacted by the lesion.

Conclusions:

The experimental results conclude that L-DOPA directly elicits changes in the behavioral and locomotor activities of rats. While treating rats with L-DOPA may not improve non-motor functions such as anxiety and depression, it does influence 5-hydroxytryptamine and norepinephrine levels. Consequently, further research into L-DOPA’s impacts is needed to identify potential therapeutic targets for the betterment of Parkinson’s disease patients’ quality of life.
Creating Impulse Buying Behavior in The Online Festival Atmosphere: A Gender-Based Evaluation
Authors: Yılmazel Sefa Emre
Published: November 2024

Impulsive buying behavior during online shopping festivals is shown by many consumers and e-commerce businesses benefit from it. However, the reasons for this behavior have not been revealed. Therefore, this study will investigate the antecedents underlying this behavior. It was also investigated whether the effect of these antecedents on the festival atmosphere differed according to gender. A total of 590 participants (294 men and 296 women) participated in the study. The analysis was conducted with PLS-SEM 4.0. As a result of the analysis, it was seen that the elements that make up the festival atmosphere differed for men and women. For women, low price, perceived novelty, perceived perishability, perceived limitation, category richness, time constraint, and perceived entertainment affected the festival atmosphere, while for men, low price, perceived perishability, perceived limitation, time constraint, and social benefits affected the atmosphere. In addition, festival atmosphere positively influenced impulse buying for both genders. Therefore, e-commerce companies should create a festival atmosphere by considering gender differences and use different variables.
Adult Learning: Cluster Analysis of European Union Countries
Authors: Tunalı Duygu
Published: November 2024

Lifelong learning, which the European Union especially attaches great importance to for social and economic cohesion, covers not only general and vocational education and training provided through formal and non-formal education, but also learning activities in all areas of life. As an important component of lifelong learning, adult learning includes educational activities designed to develop personal and professional skills and represents the participation of adults in lifelong learning. This study aimed to group the European Union countries in terms of adult learning within the scope of lifelong learning. Thus cluster analysis was performed using Wards and k-means clustering methods, resulting in the identification of four distinct clusters of countries. The analysis identified that Denmark, Estonia, Finland, Ireland, Luxembourg, the Netherlands, Spain, and Sweden are in Cluster 1; Belgium, the Czech Republic, Italy, Lithuania, Malta, Portugal, and Slovenia are in Cluster 2; Bulgaria, Croatia, Cyprus, Greece, Poland, and Romania are in Cluster 3; and Austria, France, Germany, Hungary, Latvia, and Slovakia are in Cluster 4. Additionally, by assessing the similarities and differences among the groups, it was determined that the countries vary in terms of variables of the participation rate in education and internet use for any learning activity.
Brazilian version of the Diabetic Foot Self-Care Questionnaire of the University of Malaga, Spain: cross-cultural adaptation
Authors: Belchior Amelina de Brito , Carvalho Rhanna Emanuela Fontenele Lima de , Nascimento Florência Gamileira , Sordi Carla Cristina de , Brilhante Raquel Rodrigues da Costa , Moreira Thereza Maria Magalhães , Oliveira Sherida Karanini Paz de
Published: November 2024

Objective: To carry out the cross-cultural adaptation of the Diabetic foot self-care questionnaire of the University of Malaga, Spain for Brazil. Method: Methodological study carried out in six stages: initial translation; synthesis of the translations; backtranslation or back-translation; review by a committee of experts; pre-testing and submission of the documents to the authors of the instrument, in August/2020 to January/2021. The Content Validity Index was calculated to assess the objectivity of the content validity. Kappa and Exact Binomial Distribution Test, indicated for small samples, were used to assess the reliability of agreement between the experts. Results: The ten experts selected, obtained an average score of 8.1 ± 3.0 confirming their high degree of expertise and competence. In terms of semantic, idiomatic, cultural, and conceptual equivalence, the items had a CVI ≥0.90. The pre-test was carried out with 32 people with diabetes and only one found it very difficult, demonstrating that the target audience was able to understand the instrument. Conclusion: The Diabetic foot self-care questionnaire of the University of Malaga - Brazilian version is a valid tool for assessing foot self-care behavior in people with diabetes, as well as being understandable, easy, and quick for patients to complete.
Nursing diagnoses in critically ill patients during the COVID-19 pandemic
Authors: Brito Maria Gabryelle Jatobá Pereira de , Araújo Suelayne Santana de , França Maria Einara Ferreira de , Silva Cláudia Gabrielle da , Mendes Antonio Wellington Vieira , Ribeiro Diego Rislei , Frazão Cecília Maria Farias de Queiroz
Published: November 2024

Objective: To verify the association between NANDA International nursing diagnoses and their elements in critically ill patients during the COVID-19 pandemic. Methods: Descriptive study that analyzed 60 medical records of patients admitted to the reference intensive care unit for COVID-19 in Pernambuco between August and October 2020. The data was analyzed using descriptive and inferential statistics. The study was approved by the ethics committee under number: 4.199.128. Results: The diagnosis “Ineffective airway clearance” was associated with the element “infection”, while “Deficit in self-care for dressing” was associated with all its defining characteristics and the related factors: “Discomfort” and “Pain”. “Risk of aspiration” was associated with the elements: ineffective coughing, enteral feeding, impaired ability to swallow, decreased level of consciousness and the presence of a nasal/oral tube. Altered skin characteristics, edema, diabetes mellitus and hypertension were associated with “Ineffective peripheral tissue perfusion”. “Dysfunctional response to ventilatory weaning” was associated with nine of its elements. Conclusion: There were associations between five NANDA International nursing diagnoses and their elements in critically ill patients during the COVID-19 pandemic. This enables the implementation of qualified care focused on the real needs of patients.
Implementation of Five Moments and Six Steps Hand Hygiene Among Nurses in Two Hospitals in South Sulawesi Province
Authors: Prayuda Maesar , Tombong Andi Baso
Published: November 2024

Hand hygiene is a simple step that is most effective to prevent patients from HAIs in hospitals. Therefore, its practice must be implemented by healthcare providers continuously. Its compliance among nurses must always be monitored to optimise safe health care and services, protecting providers and patients during hospitalization. This study aims to identify the implementation of five moment's and six step's hand hygiene by nurses in the inpatient rooms of two hospitals with different ownership status in the South Sulawesi Province. The study used a descriptive quantitative method with an observational approach. This study used a quota sample of 76 nurses and used the WHO adaptation of the Hand Hygiene Compliance (KKT) observation sheet. The study found that the implementation of five moment's hand hygiene by nurses at Hospitals A and B accounted for 15.2% and 8.8%, respectively, and the implementation of six step's hand hygiene was 9.9% and 7%. Hand hygiene compliance by inpatient nurses at Hospital A and Hospital B is in the non-compliant category, not in accordance with WHO recommendations, which are ≥85%. Further research is recommended to focus on factors related to compliance in implementing hand hygiene in hospitals as well as research in developing programs to improve hand hygiene compliance for nurses in health care facilities.
Academic stress and brain fog in COVID-19 survivor students
Authors: Sejati Inna Indah , Sunarya Chiyar Edison
Published: November 2024

COVID-19 is an infectious disease caused by the SARS Cov-2 virus. Covid-19 caused a pandemic that has been going on since 2020. Since the pandemic, many people have been confirmed, and many have recovered who are said to be survivors of COVID-19. COVID-19 survivors can still experience symptoms such as brain fog. Students as survivors of COVID-19 who do learning can feel stress; the stress they get is called academic stress. This research was conducted to find a relationship between academic stress and brain fog in students who survived COVID-19. This study used a cross-sectional design involving 125 student survivors of COVID-19. Data analysis showed that 49 students (39.2%) did not experience brain fog, while 76 students (60.8%) were suspected of experiencing brain fog. Spearman's rank correlation test also showed a correlation between academic stress levels and brain fog (p value = 0.000) in students who survived COVID-19 with an r value of 0.409. The incidence of brain fog in COVID-19 survivors is deemed  to be influenced by academic stress. There needs to be good stress management for students who are survivors of COVID-19 to maintain their thinking skills.
The factors related to patient safety incident reporting in inpatience in RSD Idaman Banjarbaru City
Authors: Pratiwi Aqil Andika , Pertiwiwati Endang , Setiawan Herry , Wakhdi Nanang Miftakhul , Wibowo Hery
Published: November 2024

Reported patient safety incidents are useful for identifying risks that cause harm and taking solutions to prevent the same mistakes from happening again.This study aims to find out what factors are related to reporting patient safety incidents in the inpatient room of Idaman Hospital, Banjarbaru City. This research is quantitative research with a descriptive correlation design and cross-sectional approach. 128 nurses in the inpatient room of Banjarbaru City Ideal Hospital used the questionnaire.The results of the study showed that there was no relationship between gender (p-value=0.146), education (p-value=0.839), length of work (p-value=0.671), and leadership (p-value=0.680) with incident reported that patient safety at Idaman Hospital in Banjarbaru City. There is a relationship between perception and motivation with the reported of patient safety incidents in the inpatient room of RSD Idaman Banjarbaru City with a p-value of 0.002.Perception and motivation can be increased by having co-workers support in reported about patient safety incidents by not given punishment to nurses and not carried out a culture of blaming each other. The unrelated factors of gender, education, length of service, and leadership to reported could occur due to other factors such as lack of knowledge, training, and rewards. The advice in this study The Patient Safety Team at the Hospital and management at the hospital can socialize the flow of reporting patient safety incidents and make posters for health workers, especially nurses.