bluuebunny/crossref_metadata_2025 huggingface dataset:
Porosity effects on the dynamic response of arbitrary restrained FG nanobeam based on the MCST
Authors: Uzun Büşra , Yaylı Mustafa Özgür
Published: November 2023

In this study, two different general eigenvalue problems for nanobeams made of functionally graded material with pores in their sections according to Rayleigh beam theory using modified couple stress theory are established. Fourier sine series and Stokes transformation are used for the solution. First, the partial differential equation of motion of the problem is discretized into an ordinary differential equation. Then, the Fourier sine series of infinite series is substituted into this ordinary differential equation to determine the Fourier coefficient. Using the force boundary conditions of the system, Stokes’ transformation is performed at both ends to include elastic spring parameters. The unknown displacement terms are discretized to form two eigenvalue problems. By solving these eigenvalue problems, vibration frequencies for different boundary conditions can be found analytically. The variations of some parameters are discussed in a series of graphs.
GPNMB+Gal‐3+ hepatic parenchymal cells promote immunosuppression and hepatocellular carcinogenesis
Authors: Meng Yan , Zhao Qiudong , Sang Yan , Liao Jianping , Ye Fei , Qu Shuping , Nie Pingping , An Liwei , Zhang Weihong , Jiao Shi , Huang Aimin , Zhou Zhaocai , Wei Lixin
Published: November 2023

Hepatocellular carcinoma (HCC) formation is a multi‐step pathological process that involves evolution of a heterogeneous immunosuppressive tumor microenvironment. However, the specific cell populations involved and their origins and contribution to HCC development remain largely unknown. Here, comprehensive single‐cell transcriptome sequencing was applied to profile rat models of toxin‐induced liver tumorigenesis and HCC patients. Specifically, we identified three populations of hepatic parenchymal cells emerging during HCC progression, termed metabolic hepatocytes (HCMeta), Epcam+ population with differentiation potential (EP+Diff) and immunosuppressive malignant transformation subset (MTImmu). These distinct subpopulations form an oncogenic trajectory depicting a dynamic landscape of hepatocarcinogenesis, with signature genes reflecting the transition from EP+Diff to MTImmu. Importantly, GPNMB+Gal‐3+ MTImmu cells exhibit both malignant and immunosuppressive properties. Moreover, SOX18 is required for the generation and malignant transformation of GPNMB+Gal‐3+ MTImmu cells. Enrichment of the GPNMB+Gal‐3+ MTImmu subset was found to be associated with poor prognosis and a higher rate of recurrence in patients. Collectively, we unraveled the single‐cell HCC progression atlas and uncovered GPNMB+Gal‐3+ parenchymal cells as a major subset contributing to the immunosuppressive microenvironment thus malignance in HCC.
Reductio ad Absurdum en la argumentación filosófica
Authors: Arroyo Gustavo
Published: November 2023

El esquema de argumento conocido como Reductio ad Absurdum (RA) es uno de los modos característicos de argumentación en filosofía y consiste en refutar una tesis deduciendo de ella una implicación absurda. Luego de una clarificación de los fundamentos lógicos del RA y del concepto de “implicación absurda”, el autor argumenta que existen dos tipos diferentes de RA, el tipo “a priori” y “a posteriori”. El primero consiste en derivar una proposición que contradice una afirmación autoevidente. El segundo consiste en inferir una proposición que contradice una verdad empírica obvia. En la primera categoría sitúa la mayoría de los argumentos filosóficos y los argumentos por RA de la matemática. En la última sección del trabajo el autor intenta explicar por qué los RA en filosofía carecen del poder probatorio de sus pares matemáticosPalabras clave: Argumentación filosófica, razonamiento hipotético, Reductio ad Absurdum.
The role of argumentation schemes in the process of writing argumentative texts
Authors: Carrascal Platas Begoña , Mori Igoa Miguel
Published: November 2023

El interés por comprender el papel que desempeñan los esquemas argumentativos en la práctica de la argumentación está aumentando en campos diversos como, por ejemplo, en entornos de aprendizaje o en sistemas de programación para la cooperación entre varios agentes en Inteligencia Artificial. En este trabajo analizamos el papel de los esquemas argumentativos y su interacción con otros aspectos del acto argumentativo en el marco de una estrategia de resolución de problemas que incluye módulos relativos al conocimiento y organización de la información sobre el tema de discusión, la motivación para participar en la tarea propuesta, la adaptación al auditorio y el uso del lenguaje. Nos centraremos principalmente en la argumentación escrita ya que, en nuestra opinión, el papel y la importancia de los elementos citados varían en función de su uso en discusiones orales o en textos argumentativos.Palabras clave: Esquema argumentativo, acto argumentativo, argumentación escrita, educación
The role of argumentation in the brazilian Supreme Court
Authors: De Mendonça Mendes Eliana Amarante
Published: November 2023

En la Corte Suprema de Brasil, a diferencia de otros tribunales supremos, solo el relator tiene la obligación de justificar su voto, y para el recuento de votos no importa si hay consenso entre los magistrados o no. Este no-requisito de justificación del voto lleva a la práctica del "voto con el relator", lo que sugiere una doble interpretación: puede significar que uno acepta totalmente su decisión, así como con su justificación, pero también puede significar que uno está de acuerdo con su decisión y no con sus justificaciones. El no-requisito de un consenso de la mayoría, por otro lado, conduce a los casos en que se toma la decisión de la Corte por una mayoría que no solo no responde a un argumento común, sino posiblemente a argumentos divergentes y hay incluso casos de argumentos incompatibles. Un ejemplo auténtico de este tipo de caso será presentado y discutido.Palabras clave: Brasil, Corte Suprema, justificación argumental.
Prácticas argumentativas y virtudes intelectuales: Una mirada intercultural
Authors: Gascón Jose Ángel
Published: November 2023

Este artículo ofrece una breve presentación de las prácticas argumentativas y los rasgos considerados como virtudes intelectuales en el judaismo y en la India budista, así como algunas críticas y propuestas del feminismo para la teoría de la argumentación. La motivación de este trabajo es la aspiración de elaborar una teoría de virtudes argumentativas que tenga en cuenta la variedad de culturas y se aleje del etnocentrismo en la medida de lo posible.Palabras clave: Budismo, debate, feminismo, judaísmo, lógica india, paradigma de la confrontación, virtudes argumentativas.
El debate parlamentario desde un enfoque sociodiscursivo
Authors: Weckesser Cintia
Published: November 2023

En este trabajo se analizan las estrategias discursivas de los legisladores de Unión por Córdoba durante el debate de la Ley 9182 de juicio por jurados en el año 2004 (Córdoba, Argentina). Para ello se pone a prueba una perspectiva teórica y metodológica que combina herramientas de análisis del discurso con un enfoque sociológico (Costa y Mozejko, 2005, 2009) con el propósito de comprender y explicar la relación entre los discursos producidos y sus condiciones sociales de producción. En términos teóricos, el análisis requirió la problematización del discurso parlamentario, subgénero del discurso político. Y por último, el trabajo constituye una contribución a la reflexión sobre la producción de leyes, a partir de este abordaje de una ley procesal penal particular.Palabras clave: agente social, competencia, discurso parlamentario, estrategias discursivas, gestión, lugar.
Verosimilitud vs. prueba (Lecciones de una historia judicial italiana) / Verisimilitude vs proof (lessons from an Italian legal narrative)
Authors: Igartua Salaverria Juan
Published: November 2023

En un juicio se intenta construir el relato de un hecho pasado. Funcionan dos modelos principales: el atomista y el holista. Los atomistas se centran en la correspondencia entre el relato y los hechos reales; los holistas se guían por la coherencia del relato mismo. Los primeros pretenden construir una historia verdadera; los segundos, narrar una buena historia. Para los primeros importa sobre todo el escrupuloso respeto por las pruebas; los segundos atienden más a la verosimilitud del relato. En este artículo se ofrece un ejemplo de contraposición entre los dos modelos.Palabras clave: Prueba, verosimilitud, indicio, duda razonable.
Acercamiento a los entimemas desde una perspectiva operacional
Authors: Rodríguez Monsiváis Raúl Enrique
Published: November 2023

Este trabajo tiene como objetivo presentar una comprensión alternativa de los entimemas basada en la lingüística operacional. Desde esta perspectiva los argumentos entimemáticos se conciben como inscritos en un sistema de operaciones lingüísticas correlativas de reducción y expansión. Por otro lado, muestro que la producción de argumentos entimemáticos puede ser explicada si se atiende a su ubicación ya sea en la configuración de un texto o de la intervención en un evento comunicativo.
Algunos Marcos Referenciales en la Evaluación del Desempeño Docente
Authors: Vaillant Denise
Published: November 2023

El siguiente artículo tiene como objetivo profundizar en marcos referenciales que podrían ser inspiradores para la evaluación del desempeño docente en América latina. Comenzamos por una breve conceptualización de las nociones de “desempeño docente” y de “evaluación docente” y su significado actual. Hoy hay bastante consenso en que la evaluación no es una herramienta burocrática sino un instrumento técnico para el desarrollo profesional docente en general. En un segundo momento, se presenta una perspectiva teórica y práctica del concepto de “evaluación docente” en las últimas décadas, para profundizar luego en los modelos que permiten su adecuada gestión. Se toman como referencia estudios y experiencias de Estados Unidos, Australia, Reino Unido, Chile y Colombia por considerarlas inspiradoras por su diseño y realización práctica. Desde esta perspectiva, nos parece operativo y estratégico tener en cuenta esos modelos como forma de favorecer y enriquecer futuras políticas de evaluación en diversos países. Por último se concluye en la necesidad de continuar avanzando hacia políticas que mejor se adapten a cada contexto. Se hace necesario re-pensar los sistemas de evaluación de docentes partiendo desde la premisa de que todos los actores involucrados deben estar presentes en el debate.Palabras clave: Evaluación, desempeño, docente, modelos, gestión. The main objective of this paper is to consider some referential frameworks for assessing teacher performance in Latin America. We begin with a brief conceptualization of the notions of "teacher performance" and "teacher assessment" and their present day meanings. Currently, there is prevailing consensus that assessment is not a bureaucratic tool but a technical tool for the professional development of teachers. Secondly, we present the concept of "teacher assessment" as understood in recent decades and evaluate its theoretical and practical implications. The experiences of the United States, Australia, United Kingdom, Chile and Colombia are analysed as inspiring cases due to their design and practical implementation. From this perspective, we believe it is both strategic and convenient to consider these models as a way to further encourage and enrich future evaluation policies in other countries. Finally, the article places special emphasis on moving towards policies that take into account the particularities of each given context. It is thus necessary to re-think the evaluation system of teachers from the premise that all stakeholders should be active participants in the debate.Keywords: Assessment, performance, teacher, models, management.
Igualación Lineal de Tres Versiones del Examen de Habilidades y Conocimientos Básicos (EXHCOBA)
Authors: Antillón Luz Elena , Larrazolo Norma , Backhoff Eduardo
Published: November 2023

El método estadístico de igualación lineal implica cambiar la escala de manera que se modifique la media y la desviación estándar, mientras se conserva exactamente la forma de la distribución y, en consecuencia las posiciones relativas de los individuos en dicha distribución. El objetivo de este trabajo es la estimación de la igualación lineal de tres versiones de un examen de admisión de educación superior, Examen de Habilidades y Conocimientos Básicos (EXHCOBA) de la Universidad Autónoma de Baja California. El método de igualación lineal empleado se basa en el procedimiento descrito por Kolen y Brennan (1995). Los resultados de este estudio indican una efectiva igualación, al ajustar los momentos de la media y desviación estándar de todas las áreas temáticas de las versiones 3 y 4 con la versión 2,  manteniendo la forma de la distribución. Sin embargo, este método ignora la variabilidad de la dificultad de la prueba en las distintas regiones de las distribuciones, debido a que solamente iguala la media y desviación estándar de las distribuciones.Palabras clave: Igualación de pruebas, método lineal, Examen de Habilidades y Conocimientos Básicos. The statistical method of linear equating is used to change a measurement scale so that it modifies the mean and standard deviation, but keeps exactly the form of data distribution and, consequently, the relative position of individuals on the scale. The objective of this work is to estimate the linear equating of three versions of an admission test, the Examen de Habilidades y Conocimientos Básicos, EXHCOBA (Basic Ability and Knowledge Test), used at the Universidad Autónoma de Baja California, UABC (Autonomous University of Baja California). This method of linear equating is based on the procedure described by Kolen and Brennan (1995).This study shows that an effective equating resulted in the adjustment of the mean and standard deviation of all the topic areas of versions 3 and 4 in comparison with version 2. However, this method ignores variations in the difficulty of the admission test within the various distributions regions because it only equates the mean and standard deviation.Keywords: Test equating, lineal equating method, Basic Abilities and Knowledge Test.
Design of kindergarten toy lockers
Authors: Miao Yanfeng , Xie Xiaojie , Qi Wenye , Xu Wei
Published: November 2023

In this work, kindergarten toy storage, defined as the construction area, puzzle area, scientific observation area, and role-playing area, and the toy characteristics of the four areas, was studied. Interviews and grounded theory were used to observe and summarize the behavioral needs of 3- to 6-year-old children and preschool teachers. Analytical hierarchy process (AHP) was used to analyze behavioral needs. It was concluded that the kindergarten toy locker optimization was designed to improve storage efficiency. However, the current layout of kindergarten toy lockers is chaotic, and children cannot efficiently and autonomously take toys from toy lockers. The best toy locker layout scheme was selected through an eye tracking experiment. The subjects were all 3- to 6-year-old children, a total of 30 people. By comparing the data such as hot spot map, trajectory map, area of the first viewpoint, and gaze time when children observed different lockers layout during the experiment, the optimal layout scheme of kindergarten toy lockers was comprehensively analyzed. Optimizing the zoning, classification, and storage of kindergarten toys is conducive to improving the efficiency of children’s independent storage, creating a kindergarten game and teaching environment conducive to children’s development.
Exploring Telehealth to Improve Discharge Outcomes in Children
Authors: Ram Bhargavi , Rosenthal Jennifer Lynn , Stieren Emily , Hamline Michelle
Published: November 2023

OBJECTIVES

The inpatient to outpatient transition is critical for patient safety but suffers from lack of standardization and communication. Expanding telehealth use allows unique opportunities to leverage secure video conferencing to streamline communication between families and hospital-based providers (HBPs) after hospital discharge. We conducted a qualitative study to evaluate HBP and caregiver beliefs regarding a proposed telehealth follow-up visit after hospital discharge (THDF).

METHODS

Interviews were conducted with pediatric hospitalists, senior pediatric residents, and caregivers of patients recently hospitalized on the study hospital’s pediatric hospitalist service. Authors developed consensus regarding major themes to inform THDF design. These were organized into a conceptual model.

RESULTS

We conducted 23 interviews with 6 hospitalists, 6 senior residents, and 11 caregivers. Three primary themes were identified: (1) Caregivers and HBPs agree THDF would be beneficial for patients and families; however, evidence is not robust enough to solidify provider buy-in. (2) Telehealth should supplement and enhance current discharge practices; it should not serve as a bandage for a broken system. Although a key aspect of THDF is to have the hospitalist provide follow-up care, this should be provided in addition to primary care provider follow-up. (3) HBPs expressed concerns about challenging workflows, competing demands, and inadequate resources, which are potential barriers to widespread adoption.

CONCLUSIONS

THDF leverages expanding telehealth use to provide hospital-based follow-up. While HBPs shared workflow challenges in conducting telehealth, HBPs and caregivers believed potential benefits of THDF outweighed the challenges. This qualitative study will guide implementation of THDF in future studies.
Factors related to exam anxiety
Authors: Sarıkaya Seval , Gemalmaz Ayfer
Published: November 2023

Exam anxiety, is defined as an intense anxiety that prevents the effective use of the knowledge learned before the exam and leads to a decrease in succsess. Exam anxiety is an important problem that causes a decrease in performance and is accompanied by serious psychological problems. In studies conducted in different samples, anxiety symptoms and exam related anxiety were examined. In a study conducted on students of the Faculty of Medicine, it was found that 65% of students experience exam anxiety for various reasons and female students experience more exam anxiety than male. In the study conducted to determine the relationship between exam anxiety levels and sleep quality of highschool senior students, it was shown that students have exam anxiety and this situation negatively affects sleep qualty. Again, in another study examining the effects of parents’ expectations on the exam anxiety on high school seniors, factors such as familiy structure, educational status of the parents and income status of the family were examined. It was found that the family structure was effective on examination enxiety and anxiety level was higher in girls than boys. In the study conducted on the test method, which is an examination technique, the effect of various intervention techniques in the treatment of test anxiety was examined and cognitive behavioral methods were found to be the most effective. In this review, it is aimed to review the factors related to exam anxiety in line with the literature.
Quetiapine related myocarditis: Late diagnosed Tourette Syndrome a case report
Authors: Karaca Arslan Tülin , Fidancı İzzet
Published: November 2023

Tourette syndrome is a neurological and psychiatric disorder that is accompanied by involuntary bodily movements and / or making meaningless sounds that begin in childhood. Recurrent symptoms is an important feature. Despite its low prevalence, patients can come to primary health care services for various reasons and their controls can be done by their family physicians in coordination with the relevant departments. In this article, we presented a case of late diagnosis of Tourette’s syndrome who developed myocarditis due to antipsychotic use during follow-up.
Cecum tumor delayed diagnosis due to fear of Covid-19 Pandemic
Authors: Küçük İzzet Göker , Küçük Şirin
Published: November 2023

Starting on 11th March 2020, the COVID-19 pandemic caused a total of 8,964,711 confirmed cases and 78,407 deaths in Turkey. Due to the pandemic, our 72-year-old case has moved from urban to her house in rural area. She has not benefitted from the treatment she received for her stomachache and loss of appetite, which have begun approx. 6 months ago. She did not go to the follow-up visits due to the fear of COVID-19. Due to the cachectic appearance, bloating in the lower-right quadrant, and palpable hard bulk detected during the physical examination performed in our Family Healthcare Center, the patient was referred to abdominal USG. Abdominal USG was performed on a bulk with dimensions of 65x58mm was observed in the cecal zone. Given neo-adjuvant radiotherapy first, the patient then underwent surgery. The pathological diagnosis was reported to be moderately differentiated adenocarcinoma. BRAF V600E/E2/D mutation was detected in the genetic analysis of tumor. Receiving chemotherapy, the patient is in remission and still in the follow-up process. In order to draw attention to the tumor cases, which have been diagnosed late due to the COVID-19 pandemic, it was aimed to introduce the present case together with the literature.
Evaluating the quality of green asparagus treated with cassava starch-based coating using laser scattering
Authors: Pham Thanh Tung , Siyum Zinabu Hailu , Ha Thi Thanh Nga , Mac Hoa Xuan , Dam Sao Mai , Nguyen Trang Ha Dieu , Nguyen Lien Le Phuong , Baranyai László
Published: November 2023

The presented study investigated the effects of edible coatings with concentration of 2%, 3% and 4% of starch (w/v) on the weight loss and firmness loss of green asparagus during 4 days of storage at room temperature (26 ± 2 °C, 65–70% RH). According to the results, the coated asparagus exhibited significantly slower deterioration rate than the uncoated control samples. This was indicated by the decrease in weight loss and increase in firmness (P < 0.05). After the storage period, the samples treated with 4% starch formula retained the highest quality. Furthermore, the assessment of asparagus quality throughout the storage period involved the use of the line laser scattering technique. Extracted parameters of laser scattering signal discriminated samples with linear discriminant analysis (LDA), in which the correct recognition rate of the treated groups was 75.26% and the storage time was 70.54%. This study showed the potential of laser scattering as a rapid, non-invasive, and practical optical method for assessing the quality of asparagus during storage.
A vesekárosodás ritka oka: D3-vitamin-intoxikáció
Authors: Hutkai Dávid , Bodor Miklós
Published: November 2023

A D3-vitamin-kezelés jótékony hatásai ismertek, mellékhatásai
dokumentáltak. Az esetbemutatás kapcsán kívánjuk ismertetni a túlzó
D-vitamin-pótlás veszélyeit, illetve a hétköznapi orvosi gyakorlatban tapasztalt
hiányosságokra szeretnénk irányítani a figyelmet. Tárgyaljuk a
D-vitamin-intoxikáció kórisméjének megalkotásához, az elkülönítő kórisméhez
szükséges vizsgálatokat, valamint bemutatjuk a lehetséges kezelési stratégiákat.
Az 57 éves nőbeteget néhány napja tartó hányinger, hányás, hasmenés, általános
gyengeség tünetei miatt kezelte más intézmény 2020 novemberében. Felvételekor a
laborvizsgálatokban új keletű vesekárosodás (eGFR 38 ml/p/1,73 m2)
igazolódott, a kalcium-anyagcsere ellenőrzése nem történt meg. Nefrológiai
konzíliuma akut tubuluskárosodást feltételezett, ezért vesebiopszia elvégzésére
került sor, immunszerológiai vizsgálatok és a szérumfehérje
elektroforézis-vizsgálata történt. A konzervatív kezelés ellenére a vesefunkció
romlott (eGFR 32 ml/p/1,73 m2). Folyamatban lévő vizsgálati
eredményekkel érkezett a beteg klinikánkra 2020 decemberében. Az érkezésekor
végzett laborvizsgálatokban súlyos hypercalcaemia igazolódott (tCa 3,22 mmol/l,
iCa 1,74 mmol/l), vesefunkciója stagnált (eGFR 33 ml/p/1,73 m2).
Intakt parathormonszintje a normáltartomány alatt volt (0,54 pmol/l),
25-OH-D-vitamin-szintje extrém magasnak bizonyult (1106,2 nmol/l). A beteg ekkor
elismerte, hogy 2020. októberben „megadózisú” parenteralis
D3-vitamin-kúrában részesült egy harmadik intézményben; a kezelés
pontos dózisát nem tudta megnevezni, a kezelést alkalmazó intézmény kilétét nem
kívánta felfedni. D3-vitamin-intoxikációt véleményeztünk. Iv.
parenteralisan krisztalloid, furoszemid, kalcitonin adásában részesült, melyek
hatására szérumkalciumszintje normalizálódott (2,52 mmol/l), vesefunkciói
javultak (eGFR 54 ml/p/1,73 m2). Szérum-tCa- és D-vitamin-szintje
2021. februárra normalizálódott, vesefunkciói javultak (tCa 2,54 mmol/l,
25-OH-D-vitamin 125,0 ng/ml, eGFR 72 ml/p/1,73 m2). A vesebiopszia
akut tubularis necrosis jelenlétét igazolta. Granulomás gyulladás, myeloma
multiplex nem igazolódott. A D-vitamin-intoxikáció tünetei nem specifikusak és
változatosak, differenciáldiagnosztikai kihívást jelent egy-egy eset. Orv Hetil.
2023; 164(47): 1871–1876.
Nursing diagnosis proposal “Impaired Peripheral Venous Return”: concept formation
Authors: Medeiros Hanna Priscilla da Silva , Araújo Jéssica Naiara de Medeiros , Silva Amanda Barbosa da , Dantas Rodrigo Assis Neves , Lopes Camila Takáo , Vitor Allyne Fortes
Published: November 2023

ABSTRACT Objectives: to develop a nursing diagnosis proposal focused on venous return. Methods: this is a concept analysis according to the model proposed by Walker and Avant, which is operationalized through an integrative review. The study was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol recommendations. Results: the analysis of the 131 studies allowed identifying attributes, antecedents and consequences. The most common attribute was decreased venous flow. The antecedents most frequently found were structural and/or functional valve deficiency, advanced age and peripheral venous thrombosis. The most common consequences were peripheral edema, venous ulcer and pain in the extremity. Conclusions: the formulated nursing diagnosis was proposed as part of Domain 4, Activity/rest, in Class 4, Cardiovascular/pulmonary responses, with eight defining characteristics, five related factors, six at-risk populations and four associated conditions.
Puerperal women’s satisfaction with the obstetric services received: improvement of an assessment instrument
Authors: Alves Junior Lourivaldo Bispo , Faiad Cristiane , Rodrigues Carlos Manoel Lopes , Barros Ângela Ferreira
Published: November 2023

ABSTRACT Objectives: to improve an instrument that measures postpartum women’s satisfaction with obstetric care. Methods: action research, developed from a preliminary version of an instrument prepared by nurse-midwives working in public services in the Federal District. The analysis of the results of application of instrument carried out in a pilot test, analysis of evidence of instrument validity, literature review, focus group with the instrument’s developers and interview with the target audience were carried out. Results: factorial analysis showed three existing factors in the construct. Seven nurses participated, discussing the instrument reformulation, and 20 mothers reported their perceptions about the care received during childbirth, generating five thematic units. Final Considerations: instrument improvement occurred through item and response scale reconstruction and reorganization, in addition to application of a pre-test with the target population, resulting in an instrument composed of 13 items.
Cross-cultural adaptation of the Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) modified for preterm mothers in Brazil
Authors: Denobi Clarice Borges Lucas , Silva Lorena Maria Fernandes da , Curan Gabriela Ramos Ferreira , Dennis Cindy-Lee , Oriá Mônica Oliveira Batista , Rossetto Edilaine Giovanini
Published: November 2023

ABSTRACT Objectives: to conduct a cross-cultural adaptation of the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) for mothers of ill and/or preterm infants among Portuguese-speaking mothers in Brazil. Methods: a methodological study was completed, including the translation of the tool, synthesis of translations, review by experts, synthesis, reassessment of experts, back-translation, pre-test, and validation of the content. The study involved 19 participants, including a translator and experts. In addition, 18 mothers from the target population were included in the pre-test. Results: the equivalences of the opinion obtained by the committee of experts were semantic (85%), idiom (89%), cultural (86%), and conceptual (94%). The content validation coefficient (CVC) on the scale was 0.93 for clarity and understanding; 0.89 for practical relevance; 0.92 for relevance; and the average overall CVC was 0.91. Conclusions: the scale was translated and adapted to the Brazilian Portuguese language, which maintained the equivalences and confirmed the content validity.
Nurses’ knowledge and therapeutic communication in hospital
Authors: Moykari Magdalena Jublina , Sinaga Mareta Rodame , Sakke’ Vanessa , Patrisia Ineke , Sinaga Chriska Roully Adeline
Published: November 2023

ABSTRACT Objectives: to identify the correlation of nurses’ knowledge with the application of nurses’ therapeutic communication in hospitals. Methods: a descriptive quantitative, correlational design with a total sampling method was used in the study. Respondents were 68 nurses working in an inpatient room in one of the general hospitals in western Indonesia. Modified questionnaires were used in data collection. Analysis of the Pearson chi-square test was used in data analysis. Results: nurses with sufficient and poor knowledge have a good application of therapeutic communication. There was no correlation between knowledge and the application of nurses’ therapeutic communication. Conclusions: therapeutic communication is influenced by many factors, but nurses’ knowledge should be maintained and improved to provide holistic care and increase patient satisfaction.
Vaccination hesitation in children under five years of age: a scoping review
Authors: Melo Júnior Eugênio Barbosa de , Almeida Priscilla Dantas , Pereira Beatriz Mourão , Borges Paulo de Tarso Moura , Gir Elucir , Araújo Telma Maria Evangelista de
Published: November 2023

ABSTRACT Objectives: to synthesize scientific evidence on vaccine hesitancy in children under five years of age and its associated factors. Methods: a scoping review, conducted according to the methodological structure proposed by the JBI. Searches were carried out in the Latin American and Caribbean Center on Health Sciences Information, Scientific Electronic Library Online and PubMed databases, including gray literature. Studies in English, Spanish and Portuguese were included, without temporal delimitation. Editorials, studies that did not address vaccine hesitancy in children under five years of age and were not aligned with the objective and research question were excluded. The sample consisted of 18 articles. Results: misinformation, concern about adverse effects, distrust about efficacy, affliction regarding administration simultaneously, and insecurity in relation to the laboratories were the reported reasons. Conclusions: strategies are needed to combat the lack of information about immunobiological agents, as misinformation was the main factor in parents’ vaccine hesitation.
Hesitação vacinal em crianças menores de cinco anos: revisão de escopo
Authors: Melo Júnior Eugênio Barbosa de , Almeida Priscilla Dantas , Pereira Beatriz Mourão , Borges Paulo de Tarso Moura , Gir Elucir , Araújo Telma Maria Evangelista de
Published: November 2023

RESUMO Objetivos: sintetizar evidências científicas sobre hesitação vacinal em crianças menores de cinco anos e seus fatores associados. Métodos: revisão de escopo, conduzida conforme a estrutura metodológica proposta pelo JBI. Realizaram-se buscas nas bases Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde, Scientific Electronic Library Online e PubMed, incluindo literatura cinzenta. Foram incluídos estudos em inglês, espanhol e português, sem delimitação, temporal. Foram excluídos editoriais, estudos que não abordaram hesitação vacinal em menores de cinco anos e não estiveram alinhadas com o objetivo e questão de pesquisa. A amostra foi composta por 18 artigos. Resultados: desinformação, preocupação com efeitos adversos, desconfiança sobre eficácia, aflição quanto à administração simultaneamente e insegurança em relação aos laboratórios foram os motivos relatados. Conclusões: são necessárias estratégias de combate à carência de informações acerca dos imunobiológicos, pois a desinformação foi o fator principal na hesitação vacinal dos pais.
Implementación de estrategia de enfermería para autotrascendencia en adulto mayor: relato de experiencia
Authors: Ramírez Jesús Guadalupe Martínez , Hernández Erika Adriana Torres , Guerrero-Castañeda Raúl Fernando
Published: November 2023

RESUMEN Objetivos: relatar la experiencia de la implementación de una estrategia de enfermería para promover la autotrascendencia en adultos mayores que acuden a un centro de primer nivel de atención en salud. Métodos: relato de experiencia sobre implementación de una estrategia abordando la Teoría de Autotrascendencia por enfermería a adultos mayores de una unidad de salud de primer nivel, en San Luis Potosí, México, de octubre-noviembre del 2022. Resultados: participaron 14 adultos mayores y tres enfermeros. A partir de la expresión de sentimientos, charlas sobre autotrascendencia, fomento de espiritualidad y actividad física, la estrategia resultó satisfactoria. Se observaron cambios emocionales, cognitivos y espirituales en las diferentes dimensiones de la Teoría de Autotrascendencia. Consideraciones Finales: la estrategia de enfermería sobre autotrascendencia permitió plasmar momentos significativos que ayudaron a identificar puntos clave en los que se encontraban los adultos mayores; esto ayudó para intervenir desde una perspectiva del cuidado de persona a persona.
Intervenções educativas para prevenção do câncer do colo do útero: revisão de escopo
Authors: Mariño Josiane Montanho , Nunes Lailah Maria Pinto , Ali Yasmin Cardoso Metwaly Mohamed , Tonhi Leonardo do Carmo , Salvetti Marina de Góes
Published: November 2023

RESUMO Objetivos: identificar, mapear e descrever as características de intervenções educativas para a prevenção do câncer cervical em mulheres adultas. Métodos: revisão de escopo, conduzida em onze bases de dados e na literatura cinzenta, incluindo estudos que descreveram intervenções educativas voltadas à prevenção do câncer cervical em mulheres adultas. Resultados: 33 artigos com 151.457 participantes foram analisados. As estratégias educativas mais utilizadas foram as discussões participativas e folhetos educativos. A maior parte das intervenções ocorreu em sessão única, com variação de 40 a 60 minutos. O modelo teórico mais utilizado nas intervenções para melhorar a adesão das mulheres ao exame Papanicolau foi o Modelo de Crenças em Saúde. Conclusões: discussões em grupo, palestras e folhetos educativos podem aumentar o conhecimento e reduzir barreiras para a prevenção do câncer do colo do útero. Intervenções baseadas em teoria e culturalmente sensíveis podem ter impacto positivo na saúde das mulheres.
Uma crítica ao Consenso de Washington
Authors: MALAN PEDRO S.
Published: November 2023

RESUMO Essa foi a intervenção do autor no painel de encerramento de uma conferência em homenagem a Albert Hirschman sobre estratégias de desenvolvimento para a América Latina. Chama a atenção para algumas deficiências do chamado “Consenso de Washington”, a expressão adequada de John Williamson para descrever a visão de que políticas melhores levam a melhores resultados, políticas piores a piores resultados. Isso é verdade, mas banal, trivial e tautológico. O autor sugere que existem três tipos de políticas a serem abordadas: a primeira está relacionada à busca pela estabilidade macroeconômica; o segundo às reformas microeconômicas muito necessárias; o terceiro é o elo que falta no Consenso de Washington e tem a ver com a retomada do crescimento e investimento com a mudança tecnológica em uma economia mundial cada vez mais competitiva. Isso requer, além da macro estabilidade e das micro reformas, algumas visões do futuro e um padrão muito mais eficaz de interações entre o setor privado e um setor público modernizado e ativo, dada a interdependência das decisões de investimento na presença de externalidades gerais da economia.
Câmbio, dolarização e competitividade
Authors: SALAMA PIERRE
Published: November 2023

RESUMO Diferentemente de situações anteriores, a inflação no Brasil segue um equilíbrio muito difícil: continua muito alta, mas não explode em hiperinflação. Este processo leva a um produto fraco e distorções persistentes baseadas na inflação. O autor sugere uma solução de inspiração coreana, onde o Estado tem um papel ativo na promoção de indústrias e exportações. Um instrumento importante é a taxa de câmbio.
Keynes e o problema da emissão da moeda como uma dívida para as autoridades monetárias
Authors: BASSO LEONARDO FERNANDO CRUZ
Published: November 2023

RESUMO Essa nota visa ilustrar a visão de Keynes sobre como a oferta de dinheiro não gera um fardo para o Estado.
Endividamento da classe trabalhadora no Brasil: elementos para análise a partir da categoria superexploração da força de trabalho
Authors: Ferreira Camila Caroline de O.
Published: November 2023

Resumo: Na era da financeirização do capital, o endividamento da classe trabalhadora tem se tornado um fenômeno global, presente tanto nas economias centrais, quanto na periferia do capitalismo. Este artigo contesta a pretensa homogeneidade desse fenômeno, evidenciando a vigência da categoria superexploração da força de trabalho para apreensão do modo particular - e altamente violento - com que o endividamento se expressa no Brasil.
A agressividade infantil no DSM: os diagnósticos e os seus efeitos subjetivos
Authors: Fonseca Fernanda Lima , Martins Luiz Paulo Leitão
Published: November 2023

Neste artigo analisamos a forma pela qual a “agressividade infantil” foi incluída nos sistemas de classificação do DSM ao longo de suas sucessivas edições. Primeiramente, identificamos as transformações significativas no uso desse signo clínico. Em seguida discutimos as consequências clínicas e políticas dessas transformações, tanto na formulação de uma psicopatologia própria à infância quanto na definição social dos quadros de normalidade e de desvio em relação à conduta. Observamos, por fim, que a pretensa regulação da infância pela produção de discursos normativos a respeito da agressividade foi acompanhada pelo incremento das vias agressivas como forma privilegiada de expressão do mal-estar e de subjetivação do sofrimento. Nossa hipótese é que tal produção é reforçada pelas exigências neoliberais de performance, ignorando assim as demandas sociais e subjetivas de reconhecimento.
Economic valuation of the ecosystem of the high Andean hydrographic basin tributary of the Chumbao River, through multicriteria analysis
Authors: Barrial-Lujan A. I. , Rodríguez G. , Huamán-Carrión M. L. , Espinoza-Montes F. , Barrial-Acosta D. , Delgado Laime M. C. , Arevalo-Quijano J. C. , Castro-Paniagua W. G. , Barrial-Lujan C. , Reynoso-Canicani D. D.
Published: November 2023

Abstract Environmental wealth is the main basis of the social, cultural and economic development of a country, but if there is an absence of the valuation of these natural resources, it can lead to a disproportionate usufruct that causes the deterioration of the ecosystem and even collateral effects of human health. This research aimed to know the total economic value of the ecosystem of the high Andean water basin tributary of the Chumbao River, located between 2000 to 4800 meters above sea level belonging to the province of Andahuaylas, Apurimac region in Perú. The valuation procedure consisted of using the analytical method of multicriteria valuation applying the concept of Total Economic Value, which involved direct and indirect uses related to environmental assets, in which a collective panel of people from different training disciplines (experts) participated, which were made up of researchers, engineers, public officials, farmers and ecologists who had extensive knowledge about the environmental asset. of the geographical area in reference; and once the paired comparison survey was done, the total economic value was quantified up to three amounts, so the respondents were formed into three statistically significant segments (SIG<0.05). The cluster (1): assigned a weighting that quantifies to an economic value of USS 4,359,179,489.46; followed by cluster (2): an intermediate value of USS 4,029,902,444.41 and cluster (3): assigned a lower value to USS 774,163,167.16. Thus, it follows that, on average, 51.78% equals value in use and 48.21% equals value in non-use, respectively. This value expressed as an interval reflects the environmental ethical positions of the groups and makes available as an indicator to government authorities and society in order to exercise actions of environmental sustainability high andean.
Effects of ENSO events on the intensity, seasonality, and diversity of reproductive phenology of Miconia (Melastomataceae) species in tropical rainforest
Authors: Barros A. G. , Costa J. S. , Lima M. R. O. , Souza I. P. , Miranda L. A. P. , Couto-Santos A. P. L. , Funch L. S.
Published: November 2023

Abstract We evaluated the phenology and reproductive phenological diversity of three sympatric species of Miconia in a gallery forest in the Chapada Diamantina mountains, Bahia, Brazil. The reproductive phenophases (bud, flower, immature fruit, and mature fruit) of M. alborufescens (N=38), M. holosericea (N=46), and M. prasina (N=44) were evaluated monthly, between June/2008 and June/2015. The Fournier index was used to assess the intensities of the reproductive phenophases; synchrony and seasonality were analyzed using circular statistics and the Rayleigh (Z) test. The Frideman and Wilcoxon tests were used to verify interannual variations in phenological patterns. Reproductive phenological diversity was measured by calculating the Shannon-Wiener index; ANOVA tested possible differences in the means of diversity among the different years. The reproductive phenophases of the studied Miconia species occurred sequentially (M. alborufescens, then M. holoserica, followed by M. prasina), in the transition between the dry and rainy seasons, with little overlap between them. In general, the species showed seasonal and synchronic phenological patterns, with some variations that coincided with El Niño and/or La Niña events, e.g., demonstrating changes in the periodicity, synchrony, and intensity of their phenophases. The intensity of fruiting, for example, showed increases during La Niña years. Reproductive phenological diversity appears to respond to climate changes resulting from El Niño events and periods of prolonged drought, with high Shannon-Wiener index values. The results also suggest that the effects of global climatic phenomena (El Niño and La Niña) that alter regional climatic seasonality can also cause variations in the reproductive phenological rhythms of the Miconia species studied.
Increasing the milk productivity of Kazakh jabe horses
Authors: Sharapatov T. , Assanbayev T. , Shauyenov S. , Aubakirov K. , Iskhan K.
Published: November 2023

Abstract The purpose of the study was to determine the milk productivity and chemical composition of the milk of mares of the Kazakh breed of the jabe type (KJ) and the Novoaltay-Kazakh crossbreeds of the 1st generation (NA x KJ) in the conditions of herd keeping. To determine the milk productivity of mares, 2 experimental groups were formed with a total of 30 mares, 15 individuals were selected in each group. The studied animals were formed according to the principle of pairs of analogues in the context of full-age groups from 5 to 11 years. Kazakh horses of the jabe type in the group of experimental mares in milk have an average live weight of 433.5 kg, and are significantly inferior to the Novoaltay-Kazakh crosses (515.3 kg). The body measurements were 142.0-149.0-174.9-18.2 cm in Kazakh horses of the jabe type, and 150.1-157.1-186.7-20.02 cm, respectively, in Novoaltay-Kazakh crossbreeds. According to the results of studies, the milkiness of mares of the Novoaltay-Kazakh crosses for 105 days of lactation averaged 1932 liters or higher by 25.2% (487.2 liters) than the milkiness of mares of the Kazakh breed of the jabe type. As a result of studies on the composition of milk of mares of different genotypes, it was found that in mares of Kazakh jabe, on average, protein and fat indicators compared to Novoaltay-Kazakh crossbreeds were higher by 0.07% and 0.05%. In the course of determining the live weight of mares among the experimental groups, it was found that the Novoaltay-Kazakh crossbreeds, on average, had a higher live weight of 515.3 kg or higher compared to the Kazakh jabe by 81.8 kg (15.8%). Thus, the studies have proved the prospects of using stallions of the Novoaltay breed to increase the milkiness of local Kazakh horses of the jabe type in herd and pasture conditions.
Deep vein thrombosis of lower limbs in patients with COVID-19
Authors: Saliba Júnior Orlando Adas , Alves Ana Flávia de Jesus , Matarazzo Camila , Gonçalves Gabriela Teixeira , Sobreira Marcone Lima
Published: November 2023

Abstract As knowledge has accumulated, COVID-19 has come to be considered a disease of the respiratory system that can also cause multisystemic involvement. This study analyzed the prevalence of deep venous thrombosis (DVT) in the lower limbs of patients with COVID-19 by conducting an integrative review of the literature published from 2019 to 2022. The procedures involved in article selection were identification of keywords, definition of the search strategy, consultation of databases, and exclusion of duplicate articles and others that did not meet the review objectives. Exclusion of articles was based on the following exclusion criteria: articles on arterial vascular complications involving the lower limbs, laboratory experiments, cases reports describing venous and arterial complications involving other sites, and articles unrelated to the outcome of interest: DVT. A total of 284 articles were identified, 42 of which were included. There was considerable variability in the prevalence of DVT among patients with COVID-19 (range: 0.43 to 60.87%). The findings suggest that occurrence of DVT in patients with COVID-19 is associated with disease severity.