bluuebunny/crossref_metadata_2025 huggingface dataset:
Increasing High-Value, Cost-Conscious Care Family Rounding Discussions Via an Educational Rounding Tool
Authors: Frese William , Ford-Davis Jessica , Hanson Keith , Lombardo Monica , Shen Sprina
Published: August 2024

OBJECTIVES

Family-centered rounds (FCR) are an important time to engage in high-value, cost-conscious care (HV3C) discussions. However, research suggests HV3C conversations occur in a minority of FCRs. Best-practice support tools can improve provider performance, but no research has evaluated whether an HV3C-focused tool may increase pediatricians’ HV3C FCR discussions. This study aimed to assess if an educational and practice-based HV3C Rounding Tool’s introduction would increase providers’ HV3C FCR performance and competence.

METHODS

This study involved a hospitalist teaching service at a tertiary-care hospital. Evidence-based HV3C Rounding Tool and Quick Reference interventions were designed for use on FCRs, using a validated tool to measure baseline and postintervention HV3C performance. Underlying family, nursing presence/participation, and other factors’ impacts upon HV3C performance were also explored. Anonymous baseline and postintervention surveys compared providers’ perceived competence and comfort engaging families in HV3C discussions, as well as the tools’ usefulness.

RESULTS

Out of the 197 baseline and 157 intervention encounters recorded, the tools respectively increased from 3.8 to 5.8 HV3C performance measures addressed (P < .001), with 80% of performance measures showing significant improvement (P < .002). Aside from family presence for select performance measures, the tools had an independent, significant, positive effect upon HV3C performance. Users generally reported the tools as helpful and easy to use, noting significant increases in faculty role-modeling and trainee competence practicing HV3C.

CONCLUSIONS

Introduction of HV3C Rounding and Quick Reference tools were generally perceived as helpful and beneficial, resulting in an increase of providers’ HV3C discussions and care delivery during FCRs.
Variability of Care Practices for Extremely Early Deliveries
Authors: LoRe Danielle , Groden Catherine M. , Schuh Allison R. , Holmes Chondraah , Ostilla Lorena , Vogel Maggie M. , Murray Peter D. , Yamasato Kelly , Tonismae Tiffany , Anani Uchenna E. , Henner Natalia , Famuyide Mobolaji , Leuthner Steven R. , Laventhal Naomi , Andrews Bree Landis , Tucker Edmonds Brownsyne M. , Brennan Kathleen G. , Feltman Dalia M. ,   INVESTIGATING NEONATAL DECISIONS FOR EXTREMELY EARLY DELIVERIES (INDEED) STUDY GROUP
Published: August 2024

OBJECTIVES

Assess temporal changes, intercenter variability, and birthing person (BP) factors relating to interventions for extremely early deliveries.

METHODS

Retrospective study of BPs and newborns delivered from 22–24 completed weeks at 13 US centers from 2011–2020. Rates of neonatology consultation, antenatal corticosteroids, cesarean delivery, live birth, attempted resuscitation (AR), and survival were assessed by epoch, center, and gestational age.

RESULTS

2028 BPs delivering 2327 newborns were included. Rates increased in epoch 2—at 22 weeks: neonatology consultation (37.6 vs 64.3%, P < .001), corticosteroids (11.4 vs 29.5%, P < .001), live birth (66.2 vs 78.6%, P < .001), AR (20.1 vs 36.9%, P < .001), overall survival (3.0 vs 8.9%, P = .005); and at 23 weeks: neonatology consultation (73.0 vs 80.5%, P = .02), corticosteroids (63.7 vs 83.7%, P < .001), cesarean delivery (28.0 vs 44.7%, P < .001), live birth (88.1 vs 95.1%, P < .001), AR (67.7 vs 85.2%, P < .001), survival (28.8 vs 41.6%, P < .001). Over time, intercenter variability increased at 22 weeks for corticosteroids (interquartile range 18.0 vs 42.0, P = .014) and decreased at 23 for neonatology consultation (interquartile range 23.0 vs 5.2, P = .045). In BP-level multivariate analysis, AR was associated with increasing gestational age and birth weight, Black BP race, previous premature delivery, and delivery center.

CONCLUSIONS

Intervention rates for extremely early newborns increased and intercenter variability changed over time. In BP-level analysis, factors significantly associated with AR included Black BP race, previous premature delivery, and center.
Transradial occlusion of giant true aneurysms of the secondary supraaortic branches
Authors: Nagy Martin Gellért , Gyánó Marcell , Kovács Lajos , Csobay-Novák Csaba
Published: August 2024

True aneurysms involving the branches of the subclavian arteries are rare clinical entities and often manifest with vague symptoms or incidental findings. Early diagnosis and treatment are imperative to prevent aneurysm rupture, which could result in life-threatening bleeding. Definitive diagnosis is established through computed tomography angiography or magnetic resonance angiography. In this case report, we present two cases: a right internal thoracic artery aneurysm and a right costocervical trunk aneurysm, both of which were successfully treated with endovascular procedures using vascular plugs via transradial access. Transradial access is notable for its lower rate of access-site complications compared to the traditionally used transfemoral access. Consequently, it allows for quicker patient mobilization and discharge. These cases underscore the feasibility and efficacy of endovascular treatment for such aneurysms, providing a safe alternative to surgical intervention. Individualized therapy and adequate follow-up are essential due to the rarity of these conditions.
Application of Artificial Intelligence (AI) to Enhance Satellite Security
Authors: Patel Prof. Abhishek , Verma Prof. Saurabh , Pali Prof. Pankaj , Tiwari Harsh , Kanojiya Sagar
Published: August 2024

The security of satellite systems is paramount for maintaining the integrity and reliability of critical infrastructure and national defense. This paper explores the application of artificial intelligence (AI) to enhance satellite security. AI technologies can significantly improve anomaly detection, cyber security, signal jamming mitigation, space situational awareness, predictive maintenance, secure communication, and autonomous satellite operations. By leveraging machine learning algorithms, AI can detect and respond to cyber threats in real-time, differentiate between benign and malicious signal interference, and predict potential system failures. Additionally, AI enhances space situational awareness by processing vast amounts of sensor data to track objects in space and predict collision risks. The integration of AI with encryption techniques and block chain technology further strengthens the security framework, ensuring robust and tamper-proof satellite communications. This multidisciplinary approach demonstrates the potential of AI to provide dynamic and proactive defense mechanisms, ensuring the continuous and secure operation of satellite systems in an increasingly complex and threat-prone environment.
Incorporating AI into Business Education: Examining Ethical Issues with Case Study Illustrations
Authors: Anjum Prof. Gulafsha , Soni Prof. Kuldeep , Choubey Prof. Khushboo , Warkad Priyanshi , Choubey Saniya
Published: August 2024

The integration of Artificial Intelligence (AI) into business curricula is crucial for preparing students to navigate the evolving technological landscape. This paper examines the incorporation of AI into business education, emphasizing the importance of ethical considerations. Through the analysis of various case studies, we explore the ethical dilemmas and challenges associated with AI implementation in business practices. The objective is to provide insights into how educational institutions can effectively teach AI while fostering a strong ethical foundation in future business leaders.
IoT-Driven Fish Monitoring System for Enhanced Aquaculture Management
Authors: Pateriya Nidhi , Soni Prof. Kuldeep , Choubey Prof. Khushboo , Wagh Siddharth , Verma Ayush
Published: August 2024

Aquaculture primarily involves cultivating aquatic organisms by providing suitable environments for various purposes, including commercial, recreational, and public uses. This paper aims to enhance fish production and maintain the aquatic environment of aquaculture in Bangladesh. It presents the use of Internet of Things (IoT) based devices to monitor the essential needs of aquaculture and support fisheries. By using these devices, various water parameters will be monitored to create a better living environment for fish. The devices include sensors that detect the Potential of Hydrogen (pH) level and water temperature. Additionally, there are sections for measuring dissolved oxygen and ammonia levels using testing kits, which are crucial for proper fish farming. An Android-based mobile application has also been developed. In this system, farmers, fishermen, and individuals involved in aquaculture will use the Android application. Through this application and with the help of the device, users will be notified about the levels of dissolved oxygen, ammonia, pH, and water temperature. This monitoring system will help fish farmers take necessary steps to prevent any disturbances in the aquatic environment. Given that Bangladesh is a riverine country and fish farming significantly impacts its economy, maintaining good health to produce more fish is essential. However, the country's fisheries may lack the expertise to understand the essential elements required for fish growth and management. This system could assist them in measuring parameters and providing the necessary resources to increase fish production.
Exploring the Ethical Dimensions of AI in Decision-Making Processes
Authors: Thakre Prof. Neha , Niveditha Prof. Kalukuri Princy , Jain Prof. Prerna , Soni Deepti , Vishwakarma Mishika
Published: August 2024

Artificial Intelligence (AI) has swiftly integrated into decision-making processes across various sectors, transforming how choices are made. This review examines the ethical considerations of using AI in decision-making, focusing on the implications of algorithms, automation, and machine learning. The integration of AI introduces numerous ethical concerns that require thorough examination. The opacity of algorithms raises issues of transparency, accountability, and bias. AI-driven decision-making can be complex and challenging to interpret, leading to difficulties in understanding how specific decisions are reached. This lack of clarity and accountability poses ethical challenges, particularly when decisions impact individuals or groups. Bias in AI algorithms is a significant ethical issue. Machine learning models trained on biased data can perpetuate and amplify existing biases. Addressing this requires careful evaluation of training data, algorithm design, and ongoing monitoring to ensure fairness and reduce discrimination. The growing reliance on AI for decision-making also raises questions about accountability and responsibility. Determining who is responsible for AI-made decisions is complex. Establishing an accountability framework is essential to ensure shared responsibility among individuals, organizations, and developers. Ethical considerations also encompass the broader societal impact of AI in decision-making. Issues such as job displacement, economic inequality, and the concentration of power require careful ethical analysis. Balancing technological progress with social responsibility is crucial to ensure AI benefits society. In conclusion, this review emphasizes the ethical implications of integrating AI into decision-making. It highlights the importance of transparency, fairness, and accountability in addressing concerns about bias, responsibility, and societal impact. Ethical frameworks must evolve alongside technology to ensure responsible and equitable AI integration in decision-making.
Artificial Intelligence's Impact on the Automotive Industry
Authors: Choubey Khushboo , Soni Kuldeep , Tiwari Divyanshi , Tiwari Ayush
Published: August 2024

The aim of this study is to determine artificial intelligence's impact and benefits for the automobile sector. This study employs the descriptive research methodology, which gathers data from already-existing facts. The study's findings clarify the significance of autonomous car technology for the automotive industry's use of artificial intelligence as well as the benefits and drawbacks of this technology in current usage. The research's findings were attained as a result of the rise in human requirements in the age of industry 4.0 technology, which led some businesses to create driverless car technology. Using autonomous car technology, this study was carried out to examine artificial intelligence's impact on the automotive sector.
IoT Techniques: Exploring Edge Computing Challenges and Ethical Implications in Interconnected Device Systems
Authors: Sahu Ranu , Tiwari Shivam , Soni Paras , Jaiswal Vandana
Published: August 2024

The Internet of Things (IoT) denotes a system where various devices and items are interconnected, gathering and sharing data through built-in sensors and communication systems. Edge Computing: The emergence of edge computing within IoT calls for immediate data processing at its origin, introducing complexities in effective distributed computing and consistent data management. Ethical Concerns: With the expanding use of IoT across various industries, navigating ethical issues related to data privacy, user consent, and appropriate utilization becomes more intricate and essential. The proposed system integrates advanced IoT techniques with optimized edge computing strategies to address immediate data processing challenges and implement robust ethical safeguards, ensuring efficient distributed computing and responsible data management across interconnected devices. Two Advantages of purposed system are IoT Benefits: The Internet of Things (IoT) fosters smooth connections between devices, boosting efficiency in operations and facilitating instant monitoring and decision-making. Utilizing IoT functionalities allows enterprises to extract valuable insights from data analytics, resulting in enhanced product innovation and enriched customer interactions. Edge Computing Benefits: Edge computing diminishes delays by handling data near its origin, improving response speeds and enabling swift decisions without over-reliance on centralized infrastructures. Integrating edge computing into IoT setups reduces data traffic, resulting in financial savings and streamlined network performance. Advantages of Ethical Considerations: Tackling ethical issues within IoT builds user confidence, encouraging wider acceptance of interconnected systems and emphasizing conscientious data handling. Giving precedence to ethical aspects can pave the way for consistent regulations and standards, establishing a basis for trustworthy and clear IoT implementations. Benefits of the Proposed System: Merging sophisticated IoT methodologies with edge computing approaches bolsters system dependability, adaptability, and efficiency, catering to dynamic data handling needs adeptly. By embedding strong ethical measures, the envisioned system reassures stakeholders, upholding adherence to standards while championing ethical data practices. The suggested system embodies a holistic strategy that combines cutting-edge IoT and edge computing methods, emphasizing ethical aspects, to tackle pivotal issues related to data handling, network optimization, and ethical data stewardship in interconnected device environments.
Front Matter
Authors: Whistler Donald
Published: August 2024

n/a
D’ALEMBERT E A VARÍOLA*
Authors: Lemos Fabiano
Published: August 2024

RESUMO A ordem assumida na construção da Encyclopédie de Diderot e D’Alembert supõe um modelo normativo epistêmico que não apenas condiciona a formação do cânone como horizonte de referencialidade, mas, simultaneamente, produz um modo de administração político da vida, com consequências significativas para a relação entre o discurso canônico e a biopolítica iluministas. O artigo propõe uma análise desse duplo dispositivo normatizador, com seus impasses e estratégias complexas de enunciação, por meio da investigação dos nexos de continuidade entre a epistemologia da matemática desenvolvida por D’Alembert e sua polêmica posição em relação à inoculação, o tratamento preventivo contra a varíola disponível no século XVIII.
A QUESTÃO DO “COMUM”, A ALTERIDADE NO “COMUM”*
Authors: Furlan Reinaldo
Published: August 2024

RESUMO A questão do “comum” ganhou proeminência na fase atual do capitalismo, marcada pelo retrocesso do Estado de bem-estar social, a privatização de serviços essenciais à vida, e o agravamento da concentração de renda e das desigualdades sociais no mundo, concomitantes ao aumento exponencial da produção de bens e riquezas. Abordaremos a questão do “comum” a partir de duas referências atuais sobre o assunto, os pares Negri/ Hardt e Dardot/Laval, sobretudo a partir da crítica do segundo par ao primeiro. Mas iniciaremos a discussão com o filme “O Náufrago”, dirigido por Robert Zemeckis e estrelado por Tom Hanks, com o qual introduziremos as dimensões material e imaterial do “comum”. Destacaremos do filme a importância de outrem em nossas vidas e a questão da alteridade, cuja discussão faremos por meio dos pensamentos de Winnicott e Merleau-Ponty. Encerraremos procurando reunir as perspectivas da relação com o outro e do “comum”, desenvolvidas no artigo.
Comparação de imagens aéreas com câmeras NIR usando veículos não tripulados (VANTs) para estimativa de severidade e desfolha de Phakopsora pachyrhizi na cultura da soja
Authors: Silva André Luis da , Canteri Marcelo Giovanetti , Moreira Guilherme de Genaro
Published: August 2024

RESUMO Tradicionalmente, a avaliação da severidade das doenças, como a ferrugem asiática, é realizada por inspeções visuais de tecidos infectados, utilizando escalas diagramáticas. Contudo, esses métodos demandam custos elevados e estão sujeitos a análises subjetivas devido a possíveis erros dos avaliadores. Com isso, o objetivo deste estudo foi analisar os dados de imagens obtidas por câmera NIR, buscando-se através do NDVI, correlacionar os dados das imagens com a severidade e desfolha obtidas no campo. Foram realizados 03 ensaios na fazenda escola da Universidade Estadual de Londrina, na safra 2016/2017, coordenadas geográficas S: 23º20’34,4” O: 51º12’41,3” e altitude de 570 m, no município de Londrina, Paraná. A cultivar utilizada foi a DM6563 IPRO, com densidade populacional de 260 mil plantas por hectare. O delineamento experimental foi de blocos ao acaso, com quatro repetições, sendo cada repetição constituída por parcelas de seis linhas com espaçamento de 0,45 metros, com comprimento de 6 metros. Os ensaios foram compostos por uma testemunha e diversos tratamentos com diferentes aplicações de fungicidas que apresentavam as melhores eficácias para o controle da ferrugem asiática da soja no período de estudo. Os ensaios foram denominados de Consfit, Expert e STCK e o gradiente de intensidade da ferrugem foi gerado por meio da aplicação de diferentes fungicidas em diferentes estágios fenológicos e números de aplicações variados. Observou-se nos resultados bons índices de correlação (acima de 90%) com pixels de 3,4 cm e observou-se que conforme aumentava o tamanho do pixel, reduzia a correlação obtida tanto em severidade da doença quanto em desfolha. Os resultados sugerem que é possível utilizar imagens aéreas com câmeras NIR em VANTs para estimar a severidade e desfolha de Phakopsora pachyrhizi na cultura da soja. Isso pode permitir um monitoramento mais eficaz das doenças e uma tomada de decisão mais precisa em relação ao manejo fitossanitário da cultura, contribuindo assim para a redução do uso de agroquímicos e para a otimização dos rendimentos.
EVALUATION OF QUALITY INDICATORS OF SCREENING COLONOSCOPY PERFORMED IN A PRIVATE QUARTERNARY HOSPITAL IN BRAZIL
Authors: MOURA Diogo Turiani Hourneaux de , BARONI Luiza Martins , BESTETTI Alexandre Moraes , FUNARI Mateus Pereira , ROCHA Rodrigo Silva de Padua , SANTOS Marcos Eduardo Lera dos , SILVEIRA Saullo Queiroz , MOURA Eduardo Guimarães Hourneaux de
Published: August 2024

ABSTRACT BACKGROUND: Colorectal cancer is the third most common type of cancer in Brazil, despite the availability of screening methods that reduce its risk. Colonoscopy is the only screening method that also allows therapeutic procedures. The proper screening through colonoscopy is linked to the quality of the exam, which can be evaluated according to quality criteria recommended by various institutions. Among the factors, the most used is the Adenoma Detection Rate, which should be at least 25% for general population. AIMS: To evaluate the quality of the screening colonoscopies performed in a quarternary private Brazilian hospital. METHODS: This is a retrospective study evaluating the quality indicators of colonoscopies performed at a private center since its inauguration. Only asymptomatic patients aged over 45 years who underwent screening colonoscopy were included. The primary outcome was the Adenoma Detection Rate, and secondary outcomes included polyps detection rate and safety profile. Subanalyses evaluated the correlation of endoscopic findings with gender and age and the evolution of detection rates over the years. RESULTS: A total of 2,144 patients were include with a mean age of 60.54 years-old. Polyps were diagnosed in 68.6% of the procedures. Adenoma detection rate was 46.8%, with an increasing rate over the years, mainly in males. A low rate of adverse events was reported in 0.23% of the cases, with no need for surgical intervention and no deaths. CONCLUSIONS: This study shows that high quality screening colonoscopy is possible when performed by experienced endoscopists and trained nurses, under an adequate infrastructure.
Ensinar a Estudar Textos Didáticos: Uma Programação de Ensino
Authors: Lima Tuane , Moroz Melania
Published: August 2024

Resumo O objetivo do estudo foi avaliar a aplicação de uma programação informatizada para ensinar a estudar textos didáticos. Utilizando princípios para a elaboração do ensino programado, teve-se como foco diferentes comportamentos-alvo: inspecionar o texto, localizar e grifar informações importantes, parafrasear, construir esquemas e mapas conceituais, e elaborar questões sobre o tema. As atividades foram elaboradas e realizadas utilizando os aplicativos Google Forms, Socrative e Wordwall. Participaram desse estudo nove estudantes do 3o ao 6o ano do ensino fundamental, de escolas públicas e privadas. A participação foi online e remota. Os resultados apontaram melhora no desempenho dos participantes em sete dos dez comportamentos selecionados para avaliação. Conclui-se que é possível ensinar comportamentos de estudo de textos didáticos por meio de uma programação de ensino a partir da descrição clara dos objetivos envolvidos neste repertório.
Personality Characteristics and Interpersonal Relationship Skills in Human Aging
Authors: Grazziotin Jucelaine Bier Di Domenico , Scortegagna Silvana Alba , Moretto Cleide Fátima
Published: August 2024

Abstract This longitudinal study aimed to assess personality characteristics and interpersonal relationship skills over time. The participants were 20 trade workers, non-patients, between 18 and 56 years old, who answered a sociodemographic questionnaire, the Social Skills Inventory (SSI2-Del Prette), and Zulliger in the Comprehensive System (ZSC). The first assessment (Test) took place between 2009 and 2019; the second (Retest) in 2021 (M=7.7 years; SD=3.8). No statistically significant differences (ANOVA) were evidenced in the assessed personality characteristics (ICC 0.40 to 0.81) and the interpersonal relationship skills remained good and excellent. The study contributes to a broader understanding of personality aspects and relational skills in human aging.
Estudo comparativo entre simulação de alta-fidelidade e simulação de média-fidelidade na tomada de decisão de estudantes de enfermagem: estudo experimental
Authors: Duarte Hugo Miguel Santos , Castanheira Joana Antunes , Pereira Ana Sofia Ferreira , Pragosa Ângela , Santos Edna Tatiana Prazeres , Dixe Maria dos Anjos
Published: August 2024

Resumo Objetivo: comparar a tomada de decisão dos estudantes de Enfermagem, antes e após a formação teórica sobre suporte básico de vida, com recurso à prática de simulação de alta-fidelidade e simulação de média-fidelidade. Método: desenvolveu-se um estudo experimental, tipo pré e pós-teste, com análise quantitativa, descritiva e inferencial, com realização da formação teórica sobre suporte básico de vida e práticas de simulação clínica, e com avaliação dos conhecimentos e tomada de decisão dos estudantes de Enfermagem, em três momentos distintos - antes do cenário de simulação (T0), após o cenário de simulação (T1) e após a realização de ensino clínico (T2). Resultados: participaram da pesquisa 51 estudantes, com uma média de idade de 20,25±3,804, dos quais 92,2% eram do sexo feminino. Foram evidenciadas diferenças estatisticamente significativas (F=6,47; p=0,039) perante a definição do problema e desenvolvimento dos objetivos na tomada de decisão no grupo experimental. Conclusão: os estudantes de Enfermagem demonstram um nível de conhecimentos adequado e um bom processo de tomada de decisão, com base nos instrumentos mais atuais produzidos pela evidência científica, perante cenários de simulação clínica em suporte básico de vida, devendo esta metodologia inovadora ser aprofundada no ensino de Enfermagem.
Infección y uso de equipos de protección individual entre trabajadores de la Atención Primaria de Salud durante la pandemia de COVID-19
Authors: Ziani Jarbas da Silva , Härter Jenifer , Zuge Bruna Lixinski , Pellegrini Debora da Cruz Payão , Busanello Josefine , Herrera Karlo Henrique dos Santos
Published: August 2024

Resumen Objetivo: analizar la frecuencia y los factores de riesgo asociados a la infección por COVID-19 y la disponibilidad de Equipos de Protección Individual utilizados por los trabajadores de la atención primaria de salud. Método: estudio transversal, con duración de seis meses, realizado en Rio Grande do Sul. Para el análisis, se realizó análisis descriptivo, con comparación de muestras independientes mediante la prueba de Chi-cuadrado de Pearson y la prueba Exacta de Fisher (p<0,05). Resultados: participaron del estudio 206 (27%) trabajadores de la salud que presentaron síntomas de COVID-19. Se verificó asociación estadística para las variables disponibilidad de mascarilla quirúrgica (p=0,003), buscar información sobre el uso correcto del equipo de protección individual (p=0,045), haber atendido a personas con síndrome gripal (p=0,024) y creer que el mayor riesgo de contaminación es al atender a un paciente positivo a la enfermedad por coronavirus (p=0,001). Conclusión: la disponibilidad de equipos de protección individual es fundamental para prevenir la COVID-19, con especial énfasis en el uso de la mascarilla quirúrgica. Además, el estudio señaló la importancia de proporcionar Equipos de Protección Individual junto con orientaciones de cuidado para su uso.
Infection and the use of personal protective equipment among Primary Health Care workers during the COVID-19 pandemic
Authors: Ziani Jarbas da Silva , Härter Jenifer , Zuge Bruna Lixinski , Pellegrini Debora da Cruz Payão , Busanello Josefine , Herrera Karlo Henrique dos Santos
Published: August 2024

Abstract Objective: to analyze the frequency and associated risk factors for COVID-19 infection and the availability of Personal Protective Equipment used by primary healthcare workers. Method: a cross-sectional study was conducted over six months in Rio Grande do Sul. Descriptive analysis was performed, with the comparison of independent samples using Pearson’s Chi-square test and Fisher’s Exact test (p<.05). Results: the study included 206 (27%) healthcare workers who presented COVID-19 symptoms. There was a statistical association for the following variables: availability of surgical masks (p=.003), seeking information on the correct use of personal protective equipment (p=.045), having attended people with flu-like syndrome (p=.024), and believing that the highest risk of contamination is when attending a patient positive for coronavirus disease (p=.001). Conclusion: the availability of personal protective equipment is indispensable for COVID-19 prevention, with special emphasis on the use of surgical masks. Furthermore, the study highlighted the importance of providing Personal Protective Equipment in conjunction with guidance on its use.
Propiedades psicométricas del Incivility in Nursing Education - Revised Survey versión brasileña
Authors: Ribeiro Vanessa dos Santos , Clark Cynthia M. , Santos Claudia Benedita dos , Marôco João , Alonso Jonas Bodini , Eduardo Aline Helena Appoloni , Carvalho Emilia Campos de
Published: August 2024

Resumen Objetivo: analizar las propiedades psicométricas de la versión brasileña del Incivility in Nursing Education - Revised Survey con estudiantes de graduación en enfermería. Método: estudio metodológico, realizado en una escuela de enfermería del estado de São Paulo. Se trata del análisis de las propiedades psicométricas (confiabilidad y validez de constructo) de los ítems del INE-R Survey - versión brasileña. La validez de constructo fue realizada por Análisis Factorial Confirmatorio y la confiabilidad por el test-retest, para verificación de la estabilidad del instrumento, calculada por el Coeficiente de Correlación Intraclase y por medio de la consistencia interna de los ítems, según los coeficientes alfa de Cronbach, alfa ordinal y omega de McDonald. Resultados: hubo ajuste del modelo propuesto del análisis factorial confirmatorio con dos factores (baja y alta incivilidad), con sugerencia de exclusión de un ítem para estudiantes. La mayoría de los valores de ajustes, para los ítems de los estudiantes y la totalidad para los profesores, atendió las referencias establecidas por la literatura; los valores para los Coeficientes de Consistencia Interna fueron mayores que 0,80 y los Coeficientes de Correlación Intraclase mayores que 0,75. Conclusión: la versión brasileña del Incivility in Nursing Education - Revised Survey se encuentra validada para el contexto estudiado, presentando confiabilidad satisfactoria y validez, por el análisis factorial que confirmó el modelo original con dos factores, con 23 ítems, retratando comportamientos de estudiantes y 24 de profesores.
Psychometric properties of the Incivility in Nursing Education - Revised Survey - Brazilian version
Authors: Ribeiro Vanessa dos Santos , Clark Cynthia M. , Santos Claudia Benedita dos , Marôco João , Alonso Jonas Bodini , Eduardo Aline Helena Appoloni , Carvalho Emilia Campos de
Published: August 2024

Abstract Objective: to analyze the psychometric properties of the Incivility in Nursing Education - Revised Survey - Brazilian version with undergraduate nursing students. Method: methodological study conducted in a nursing school in São Paulo state. It is the analysis of the psychometric properties (reliability and construct validity) of the items in the INE-R survey - Brazilian version. Construct validity was performed by Confirmatory Factor Analysis, and reliability by test-retest in order to verify the instrument’s stability, as calculated by the Intraclass Correlation Coefficient and the Internal Consistency of the items according to Cronbach’s alpha, ordinal alpha and McDonalds’s omega coefficients. Results: Confirmatory Factor Analysis fitted the proposed model with two factors (low and high incivility), with a suggestion to exclude one of student items. Most of the fitting values for the student items and all of the faculty-member items complied with the references established in the literature; the values for Internal Consistency Coefficients were greater than 0.80, and Intraclasss Correlation Coefficients were greater than 0.75. Conclusion: the Brazilian version of the Incivility in Nursing Education - Revised Survey is validated for the studied context, as it has shown satisfactory reliability and validity by means of factor analysis, which has confirmed the original two-factor model, with 23 items addressing student behaviors and 24 items applied to faculty behaviors.
Propriedades psicométricas do Incivility in Nursing Education - Revised Survey versão brasileira
Authors: Ribeiro Vanessa dos Santos , Clark Cynthia M. , Santos Claudia Benedita dos , Marôco João , Alonso Jonas Bodini , Eduardo Aline Helena Appoloni , Carvalho Emilia Campos de
Published: August 2024

Resumo Objetivo: analisar as propriedades psicométricas da versão brasileira do Incivility in Nursing Education - Revised survey com estudantes de graduação em enfermagem. Método: estudo metodológico, realizado em uma escola de enfermagem paulista. Trata-se da análise das propriedades psicométricas (fidedignidade e validade de construto) dos itens do INE-R survey - versão brasileira. A validade de construto foi realizada por Análise Fatorial Confirmatória e a fidedignidade pelo teste-reteste, para verificação da estabilidade do instrumento, calculada pelo Coeficiente de Correlação Intraclasse e por meio da consistência interna dos itens, segundo os coeficientes alfa de Cronbach, alfa ordinal e ômega de McDonald. Resultados: houve ajuste ao modelo proposto da análise fatorial confirmatória com dois fatores (baixa e alta incivilidade), com sugestão de exclusão de um item para estudantes. A maioria dos valores de ajustes para os itens dos estudantes e a totalidade para os professores atenderam às referências estabelecidas pela literatura; os valores para os Coeficientes de Consistência Interna foram maiores que 0,80 e os Coeficientes de Correlação Intraclasse, maiores que 0,75. Conclusão: a versão brasileira do Incivility in Nursing Education - Revised Survey encontra-se validada para o contexto estudado, apresentando fidedignidade satisfatória e validade, pela análise fatorial, que confirmou o modelo original com dois fatores, com 23 itens retratando comportamentos de estudantes e 24, de professores.
Callus induction, shoot regeneration, and conservation of in vitro grown date palm (Phoenix dactylifera)
Authors: Shahrour W. G. , Shatnawi M. A. , Shibli R. A. , Al-Alawi M. , Abubaker S. M. , Majdalawi M. , Alkawaldeh A. K.
Published: August 2024

Abstract Date palm (Phoenix dactylifera( cv. Medjool is a significant plant, grown in Jordan. In vitro propagation gives operative resources for the significant propagation of date palms. Maximum callus induction was achieved from MS media supplemented with benzyl amino purine (BA) and naphthalene acetic acid (NAA). The highest plant regeneration was recorded on MS medium supplemented with dichlorophenoxyacetic acid (2,4-D) at 3.0 mg/L, and BA at 2.0 mg/L. A significant positive impact on shoot formation was recorded on MS medium supplemented with 1.0 mg/L BA with 0.5 to 1.5 mg/L NAA in both liquid and solid MS medium. To maintain survival and regrowth capacity, sucrose could be used for medium-term conservation at lower concentrations (0.1 - 0.2 M). In addition, sorbitol might be used at 0.1 M to maintain the quality of explants. The vitrification technique for long-term preservation was experimented. Embryogenic callus was used as explants for conservation. The survival as well as regrowth percentages of non-cryopreserved and cryopreserved tissue cultures were affected by their duration of treatment with the vitrification solution plant vitrification solution 2 (PVS2) and modified plant vitrification solution 2 (MPVS2). Results showed that using PVS2 for 60 minutes for cryopreserved calli was more effective than other treatments. After storage in liquid nitrogen, the highest survival rate (65%) and regrowth rate (40%) were achieved.
Co-innovation and farm technical assistance to contribute to a sustainability transition of livestock farming in Uruguay
Authors: Aguerre Verónica , Bianco Bozzo Mariela
Published: August 2024

Abstract The transformation of the existing agrifood system towards more sustainable systems requires sociotechnical strategies that can boost radical changes. In Uruguay there is a community of practice committed to the sustainable development of family livestock farming which has developed alternative production practices, that improve the sustainability of farms based on ecological intensification, for more than fifteen years. Co-innovation as a modality of intervention was a fundamental aspect in the results achieved, being the work on farms a key factor, with a very special bond between extensionist and family. Taking this community of practice as a case study, this text characterizes co-innovation as a modality of intervention for farm technical assistance, offering a vision to enhance the scaling of the interventions and contribute to the sustainable transformation of livestock farming. Results are presented on: 1) general characteristics of the intervention modality, 2) stages of work and practices on farms, 3) characteristics of the family-extensionist bond and 4) lessons learned. Finally, key aspects are pointed out to scale co-innovation, in order to contribute to a sustainability transition of Uruguayan family livestock farming.
Nursing competencies in aeromedical transport in the Brazilian Air Force: a descriptive study
Authors: Borges Leticia Lima , Aguiar Beatriz Gerbassi Costa , Haberland Débora Fernanda , Guimarães Clarissa Coelho Vieira , Lima Rafael Abrantes de , Souza Bianca Beatriz Silva de
Published: August 2024

ABSTRACT Objective: To analyze nursing skills in military aeromedical transport of the Brazilian Air Force. Method: Descriptive, qualitative research, carried out in three Brazilian Air Force hospitals in Rio de Janeiro, involving 64 military nurses. Discursive textual analysis identified competencies in healthcare, communication and decision-making. Results: After characterizing participants, it was possible to understand the reality experienced by nursing professionals in air medical transport, highlighting the skills related to healthcare, communication and management, essential in all phases of air medical transport. Conclusion: It was evident that nursing assumes unique skills in caring for airborne patients, using diverse knowledge and experiences in solving problems encountered in the aeromedical work process. The need to implement continuing education strategies was also highlighted. The findings serve as support for professionals and managers to identify gaps in knowledge, performance and management of professional schedules in aeromedical transport.
CONHECIMENTO, ATITUDE E PRÁTICA DA EQUIPE MULTIPROFISSIONAL NO MANEJO DA DOR EM UNIDADE NEONATAL
Authors: Meredyk Mayara da Rocha , Costa Roberta , Junges Carolina Frescura , Ventura Thayná , Santos Marta Rosa de Lacerda , Pereira Milca Tatiana da Costa , Mendonça Lorenna Andrade , Velho Manuela Beatriz
Published: August 2024

RESUMO Objetivo: avaliar o conhecimento, atitude e prática dos profissionais da equipe multiprofissional sobre o manejo da dor no recém-nascido internado em Unidade de Terapia Intensiva Neonatal. Método: estudo quantitativo descritivo do tipo inquérito Conhecimento, Atitude e Prática, desenvolvido com 37 profissionais de saúde em uma Unidade de Terapia Intensiva Neonatal de um hospital universitário na Região Sul do Brasil, que adota o Método Canguru como base de assistência. Resultados: no item conhecimento, a maioria dos profissionais reconheceu que a dor está presente nos recém-nascidos (94,6%) e foi unânime a compreensão de que, quando não tratada adequadamente, pode causar consequências a curto e longo prazo (100,0%). Na atitude, reconhecem que todos os profissionais são responsáveis pelo manejo da dor (100,0%) e que devem priorizá-lo diante de procedimentos invasivos (97,3%). Na prática, os profissionais avaliam a dor ou utilizam uma escala de avaliação (97,3%), realizam esta prática ao verificar os sinais vitais ou realizar o exame físico (94,6%). Contudo foi menor a proporção de profissionais que considera ser necessária a analgesia na realização de procedimentos diários como troca de fralda, pesagem e verificação dos sinais vitais (48,6%) ou que faz o registro da avaliação da dor (67,6%) ou do manejo da dor no prontuário (56,8%). Conclusão: os profissionais reconhecem a dor do recém-nascido, valorizam o manejo e aplicam medidas para prevenir e tratar a dor em procedimentos invasivos. No entanto, são necessários avanços nos registros, bem como na incorporação do manejo nos procedimentos diários de menor complexidade.
Association between food insecurity and chronic noncommunicable diseases in Brazil: a systematic review
Authors: Laurentino Jackson Silva Lima , Brito Renatha Celiana da Silva , Oliveira-Silva Rônisson Thomas de , Soares Amanda , Pereira Thaís da Conceição , Lima Elisiandre Martins de , Santos Ana Beatriz Macêdo Venâncio dos , Palmeira Poliana de Araújo
Published: August 2024

ABSTRACT Objective: To analyze the association of food insecurity (FI) with chronic noncommunicable diseases (NCDs) in the Brazilian context. Methods: The review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO). The searches were conducted in LILACS and PubMed databases (September/2022). Observational studies carried out in the Brazilian population published since 2003 were included, in which: (1) the association of FI with NCDs was analyzed; and (2) the Brazilian Food Insecurity Scale was used. Studies on pregnant women and those that associated FI with cancer, sexually transmitted infections, and musculoskeletal and respiratory diseases were excluded. The studies were subjected to methodological quality assessment. Results: A total of 27 cross-sectional studies were included; nine used secondary data from national surveys, and the others used primary data. An association between FI and overweight and obesity in different age groups was verified in the studies. Conclusion: The included articles did not produce evidence on other NCDs of interest to health in Brazil such as diabetes and high blood pressure. However, they corroborate the already-known relationship between obesity and FI. Studies on the topic, with a longitudinal design, should be encouraged.
Abdelmalek Sayad: dalla doppia assenza alla presentificazione come condizione storica delle migrazioni
Authors: Bacchini Nina , Daminelli Luca
Published: August 2024

Abstract (it) Facendo dialogare Sayad con altrɜ autorɜ, quest’articolo propone il concetto di presentificazione intendendolo come un uso politico del tempo da parte degli Stati-nazione, funzionale all’assoggettamento delle persone. Le politiche confinarie europee, infatti, pongono le soggettività migranti in regimi di incertezza legale e precarietà temporale, utilizzando il tempo come un’arma per astrarle dalla Storia, collocandole in un presente reiterato. La presentificazione produce assenza dal campo storico, mentre le persone tentano di farsi presenza. Questa condizione viene infatti sfidata dalle soggettività migranti, che provano a riappropriarsi del proprio tempo, attivando processi di soggettivazione, emergenti dalle pieghe dei regimi di assoggettamento. Il “provvisorio che dura” produce qualcosa laddove si fa presenza attraverso forme di attivazione politica che interrompono la ricorsività prodotta dai regimi di frontiera. Questo articolo muove quindi dalla dialettica tra campi di forza all’interno dei quali si gioca la partita del soggetto: da una parte, presentificazione e individuazione, dall’altra soggettivazione e storicizzazione.
Violência contra pessoas idosas atendidas em instituições hospitalares: estudo transversal em dois municípios da Paraíba
Authors: Soares Jefferson da Silva , Oliveira Luiza Maria de , Santos Rafael da Costa , Santos Jiovana de Souza , Castaño Angela Maria Henao , Souto Rafaella Queiroga
Published: August 2024

Resumo Objetivo descrever a prevalência e identificar os fatores sociodemográficos e econômicos associados a violência física e psicológica entre pessoas idosas hospitalizadas. Método um estudo do tipo seccional e analítico realizado em dois hospitais do estado da Paraíba, Brasil. A coleta de dados aconteceu entre os anos de 2019 e 2020, incluindo uma amostra de 323 pessoas idosas. Utilizou os instrumentos Brazil Old Age Schedule para coleta das características sociodemográficas e Conflict Tactics Scales Form R para identificar a violência. Foi realizada análise descritiva (frequência relativa e absoluta) e inferencial (Qui-quadrado de Pearson, Correlação de Spearman e regressão logística). Resultados Houve associação significativa entre violência física e as variáveis renda de até 1 salário mínimo (p=0,048), outras fontes de renda (p=0,019), seis ou mais pessoas dependentes da renda (p=0,016) e possuir renda total que “falta um pouco” para suprir as necessidades (p=0,010). A violência física e psicológica simultânea se associaram com outras fontes de renda (p=0,015) e a “falta um pouco” para suprir as necessidades (p=0,005). No modelo da regressão logística para violência física permaneceram outras fontes de renda (p=0,049; OR=3,134), escore de renda (p=0,000; 0,999) e escore de doenças (p=0,014; OR=1,393). No modelo para violência psicológica permaneceu apenas o escore de doenças (p=0,006; OR=1,286). Conclusão A violência física prevaleceu entre aqueles com menor renda ou maior número de doenças, enquanto a violência psicológica teve destaque entre as pessoas que relataram mais doenças. Ademais, pessoas com fontes de renda alternativas demonstraram uma chance três vezes maior de sofrer violência física.
Qualidade de vida de pessoas idosas em tempos de controle epidemiológico de pandemia da covid-19: fatores associados
Authors: Aguiar Adriana Drummond de , Thomes Caroline Rodrigues , Silva Ghustavo Guimarães da , Miotto Maria Helena Monteiro de Barros
Published: August 2024

Resumo Objetivo Verificar associação dos escores do comprometimento físico e mental do instrumento de Qualidade de Vida na pessoa idosa de Centros de Convivência com fatores sociodemográficos, características de transtorno de ansiedade generalizada e práticas de lazer em tempos de controle epidemiológico de pandemia da covid-19. Método Trata-se de estudo analítico transversal, realizado em uma capital da região sudeste do Brasil, nos quatro Centros de Convivência da Terceira Idade. A amostra final consistiu em 345 pessoas idosas e a coleta de dados ocorreu no período entre junho a dezembro de 2022. A variável dependente Qualidade de Vida foi analisada por meio dos oito domínios do 36-Item Short-Form Health Survey e pelas medidas sumárias Physical Component Summary e Mental Component Summary, que foram dicotomizadas (abaixo da média e acima da média). Resultados Na regressão logística simples, identificou-se que a pessoa idosa que tem acima de 10 anos de estudo, que não possui características de Transtorno de Ansiedade Generalizada e que realiza mais práticas de lazer apresenta mais chances de ter o componente físico bem como o componente mental da Qualidade de Vida acima da média. Conclusão O estudo revelou que as pessoas idosas mais vulneráveis apresentaram pior qualidade de vida. A natureza temporária da pandemia ressalta a necessidade de políticas públicas robustas e adaptáveis que possam responder eficazmente a crises sanitárias futuras, bem como desenvolver políticas intersetoriais que não apenas abordem as necessidades imediatas durante emergências de saúde, mas também promovam o envelhecimento saudável de maneira sustentável.