bluuebunny/crossref_metadata_2025 huggingface dataset:
Cumprimento às precauções-padrão por profissionais de enfermagem e fatores associados
Authors: Pereira Vitória Helena , Torres Leticia Nunes , Rodrigues Nathália Montanher , Monteiro Damiana Aparecida Trindade , Moraes Juliano Teixeira , Pereira-Ávila Fernanda Maria Vieira , Santos Mariana Alvina dos , Gir Elucir , Malaguti-Toffano Silmara Elaine
Published: February 2021

Resumo Objetivo Verificar o cumprimento às Precauções-Padrão por profissionais de enfermagem e fatores associados. Método Estudo descritivo, transversal, com 522 profissionais de enfermagem, realizado em dois hospitais brasileiros, entre janeiro de 2017 a março de 2018. Os dados foram coletados por meio de um formulário contendo variáveis demográficas e profissionais e a Compliance with Standard Precautions Scale (versão Português-Brasil); posteriormente, analisados por estatísticas descritivas e exploratórias e um modelo de regressão linear múltiplo. Resultados O escore médio global 12,9 (DP=2,5). Técnicos de enfermagem tiveram escores médios estatisticamente significativos maiores (p <0,01) do que enfermeiros. Houve diferença significativa quanto à categoria profissional (p <0,01) e escolaridade (p <0,01), e, marginalmente significativa em relação à idade (p = 0,06). Não houve diferenças quanto à experiência profissional (p = 077), participação em treinamentos (p = 0,79), tipo de hospital (p = 0,13), respectivamente. A escolaridade não contribuiu para um maior cumprimento às medidas (p <0,01), assim como o ensino superior (p ≤ 0,01). Conclusão e Implicações para a prática O aumento na escolaridade e experiência profissional não contribuiu para maior cumprimento às Precações. Por contemplar aspectos da prática de enfermagem, estratégias de prevenção de exposição ocupacional podem ser revistas e aperfeiçoadas.
De autonomia roubada ao fortalecimento da profissão: conexões entre Enfermagem Brasileira e Africana
Authors: Ventura Carla Aparecida Arena , Mendes Isabel Amélia Costa , Silva Ítalo Rodolfo , Marchi-Alves Leila Maria , Almeida Emerson Willian Santos , Godoy Simone de
Published: February 2021

Resumo Objetivo caracterizar os desafios vivenciados pela Enfermagem nos países africanos de língua portuguesa e discutir as potencialidades da cooperação internacional neste contexto. Método estudo qualitativo, descritivo. Dados obtidos por meio de entrevista semiestruturada com enfermeiros de países africanos de língua portuguesa e categorizados por análise de conteúdo. Resultados participaram nove enfermeiros, provenientes dos seguintes países: Angola, Cabo Verde, Guiné-Bissau, Moçambique e São Tomé e Príncipe. Foram desenvolvidas duas categorias: a primeira retrata as dificuldades da Enfermagem de países africanos de língua portuguesa acerca da autonomia e valorização necessárias ao desenvolvimento e exercício de suas competências. A segunda categoria evidenciou possibilidades de conexões a partir de redes para integração e fortalecimento da Enfermagem, em cooperação internacional. Conclusão e implicações para a prática o estudo caracterizou como principais dificuldades aquelas relacionadas a processos de trabalho, falta de autonomia, de estrutura humana e física. Nessa perspectiva, a cooperação internacional representou importante estratégia para o fortalecimento da formação dos enfermeiros de países africanos de língua portuguesa, assim como para lidarem com os expressivos desafios que se apresentam em sua prática cotidiana.
Percepção da criança hospitalizada acerca do brinquedo terapêutico instrucional na terapia intravenosa
Authors: Coelho Hercules Pereira , Souza Gilberto dos Santos Dias de , Freitas Victor Hamilton da Silva , Santos Isabelly Rayane Alves dos , Ribeiro Chesla de Alencar , Sales Janayle Kéllen Duarte de , Oliveira Joseph Dimas de , Gonçalves Gleice Adriana Araujo , Castro Ana Paula Ribeiro de
Published: February 2021

Resumo Objetivo analisar a percepção da criança hospitalizada quanto ao uso do brinquedo terapêutico instrucional no preparo para a terapia intravenosa. Método estudo descritivo, com abordagem qualitativa, realizado em um hospital pediátrico público no município de Juazeiro do Norte - Ceará, entre os meses de julho a setembro de 2019. Participaram do estudo 31 crianças em idade pré-escolar e escolar. Os dados foram coletados por meio de uma entrevista semiestruturada e, posteriormente, analisados por meio do software IRAMUTEQ. Resultados diante da percepção das crianças acerca da terapia intravenosa, foi averiguado que elas compreenderam a técnica a partir da utilização do brinquedo terapêutico instrucional. Quando a criança tem a oportunidade de brincar e dramatizar a terapia intravenosa, por meio do brinquedo terapêutico instrucional, a ansiedade, a dor, a angústia, a solidão, o medo e o choro são atenuados. Conclusões e implicações para a prática orientar as crianças quanto à realização da terapia intravenosa favorece sua compreensão quanto aos reais benefícios desta técnica para a sua saúde, possibilitando, ainda, a compreensão do enfermeiro quanto às condições que representam riscos para a criança e intervenha em tempo hábil por meio da utilização de estratégias que favoreçam a recuperação da saúde e a minimização de traumas subsequentes advindos da hospitalização.
Fontes de acesso e utilização de medicamentos na zona rural de Pelotas, Rio Grande do Sul, em 2016: estudo transversal de base populacional
Authors: Bertoldi Andrea Dâmaso , Silveira Marysabel Pinto Telis , Machado Adriana Kramer Fiala , Xavier Mariana Otero , Martins Rafaela Costa
Published: February 2021

Resumo Objetivo Analisar a prevalência do uso de medicamentos, fontes de acesso e fatores associados, em residentes da zona rural de Pelotas, RS, Brasil. Métodos Estudo transversal com adultos ≥18 anos, realizado em 2016. Questionou-se o uso e fontes de acesso aos medicamentos no mês anterior à entrevista. Empregou-se regressão de Poisson. Resultados Dos 1.519 entrevistados, 54,7% (IC95% 48,7;60,5) utilizaram algum medicamento e 3,3% (IC95% 2,4;4,5) deixaram de utilizar medicamento necessário. Exibiram maiores prevalências de utilização: mulheres (RP=1,23 - IC95% 1,12;1,34), idosos (RP=2,36 - IC95% 2,05;2,73), pessoas com pior autopercepção de saúde (RP=1,29 - IC95% 1,14;1,46), com maior número de doenças (RP=2,37 - IC95% 2,03;2,77). Obtiveram medicamentos exclusivamente pelo Sistema Único de Saúde (SUS) 14,0% (IC95% 11,2;17,4), com prevalências maiores entre pessoas de cor da pele autodeclarada não branca e classificação econômica inferior. Conclusão Pequena parcela deixou de usar medicamentos de que necessitava. A obtenção gratuita de medicamentos foi maior nos grupos de menor poder aquisitivo.
The oil of garlic, Allium sativum L. (Amaryllidaceae), as a potential protectant against Anisakis spp. Type II (L3) (Nematoda) infection in Wistar rats
Authors: Morsy Kareem , Ghamdi Ali AL , Dajem Saad Bin , Bin-Meferij Mashael , Alshehri Ali , El-kott Attalla , Ibrahim Essam , Ali Atef , Hamdi Hamida , Al-Doaiss Amin , Saber Sara
Published: February 2021

Abstract The consumption of inadequately thermally treated fish is a public health risk due to the possible propagation of Anisakis larvae. The present study demonstrated the physiological and histopathological changes that accompanied an oral inoculation of crude extracts from fresh and thermally treated Anisakis Type II (L3) in rats. Worms were isolated from a marine fish and examined and identified using light and scanning electron microscopy. The study was performed in 6 rat groups: control (I), garlic oil (GO) inoculated (II), fresh L3 inoculated (III), thermally treated L3 inoculated (IV), fresh L3 + GO inoculated (V), and a thermally treated L3 + GO inoculated (VI) groups. Rats inoculated with fresh and thermally treated L3 showed abnormal liver and kidney functions associated with the destruction of normal architecture. GO produced a protective effect in rat groups inoculated with L3 extracts + GO via the amelioration of liver and kidney functions, which was confirmed by the marked normal structure on histology. Cooking of L3-infected fish induced severe alterations compared to uncooked fish. The administration of garlic before and after fish eating is recommended to avoid the dangerous effect of anisakids, even if they are cooked.
Evaluation of terrestrial gastropods as possible intermediate hosts of Gurltia paralysans in southern Chile
Authors: Sepúlveda-García Paulina , Gómez Marcelo , Moroni Manuel , Muñoz Pamela , Müller Ananda
Published: February 2021

Abstract Gurltia paralysans is the causal agent of gurltiosis in domestic cats in South America. Although the life cycle of G. paralysans is unknown, it is thought that gastropods could act as intermediate hosts (IHs), as is the case for several nematodes in the Angiostrongylidae family. The aim of this study was to search for G. paralysans larvae in terrestrial gastropods and determine their role in the life cycle of this nematode species. Terrestrial gastropod samples (n=835) were collected in Punucapa, Valdivia, southern Chile, where cases of gurltiosis had been reported before. The samples included species from the families Arionidae, Limacidae, Helicidae and Milacidae. All gastropods were subjected to enzymatic digestion to isolate G. paralysans larvae. Ten percent of the gastropod samples were analyzed using seminested PCR targeting the 28S rRNA gene, while 2.6% were analyzed by histopathological examination. The results indicated the absence of G. paralysans when using any of the three methods. In conclusion, further studies are needed to evaluate specific species of aquatic or native gastropods acting as possible IHs (in this geographic location).
Sarcocystidae in wild birds of southeastern Brazil
Authors: Rêgo Wagner Martins Fontes do , Costa Júlia Gatti Ladeia , Baraviera Ramon Castro de Araujo , Pinto Lorena Velozo , Bessa Gabriella de Lima , Lopes Rosálida Estevam Nazar , Silveira Julia Angelica Gonçalves da , Vitor Ricardo Wagner Almeida
Published: February 2021

Abstract This study aimed to identify members of the Sarcocystidae family in naturally infected wild birds at a rescue center in the state of Minas Gerais, southeastern Brazil. The heart and brain of 44 wild birds were evaluated by bioassay in mice to detect T. gondii, and extracted DNA was used for nested PCR of the 18S ribosomal DNA gene to detect members of the Sarcocystidae family. The positive samples were sequenced, assembled, edited and compared with sequences deposited in GenBank. Toxoplasma gondii was isolated from six (13.6%) out of 44 birds. Toxoplasma gondii DNA was identified in 10/44 (22.7%) of the birds. The amplified sequences exhibited 100% similarity with the DNA of the ME49 strain of T. gondii. Sarcocystis DNA (99% similarity) was identified in 5/44 (11.4%) of the birds. T. gondii and Sarcocystis spp. are common in wild birds in Minas Gerais, Brazil.
CRITIC-GRİ İLİŞKİSEL ANALİZ HİBRİT YÖNTEMİ İLE DEPREM KONTEYNERLERİNİN OPTİMUM YERLEŞTİRİLMESİ
Authors: Arslan Hakan Murat
Published: February 2021

Afetlerde ilk yetmiş iki saat can kaybının ve yaralı sayısının azaltılması açısından çok önemlidir. Deprem konteynerlerinin varlığı ve en uygun yerleştirilmesi, afetlere hazırlık aşamasında dikkate alınması gereken bir husustur. Bu tür konteynerler olası felaketlerde halkın hayatta kalmasını ayrıca ilk müdahalenin doğru ve yerinde yapılmasını sağlayacak tesisler olarak kabul edilebilir. Bu çalışmada, sınırlı bir bölge için yerleştirilmesi planlanan iki konteynerin optimum yerlerinin belirlenmesi amaçlanmıştır. Çok Kriterli Karar Verme Problemi (ÇKKV) olarak modellenen çalışmanın analizinde, 5 kriter ve 7 alternatif yer almaktadır. Çalışmanın verileri İl AFAD müdürlüğü ve ilgili bölgenin yetkililerinden elde edilmiştir. Çalışmanın analiz sürecinde Critic-Gri İlişkisel Hibrit yaklaşımı kullanılmıştır. Hesaplamalar Microsoft Excell programı kullanılarak yapılmıştır. Gerçekleştirilen analizler sonucunda; birinci sırada (A1) Bahçelievler, ikinci sırada (A5) Güzelbahçe ve üçüncü sırada (A3) Demetevler Mahallesi çıkmıştır. Çalışmanın sonuçları il afet koordinasyon yetkilileri ile paylaşılmıştır.
TEDARİK ZİNCİRİ UYGULAMALARININ OTEL İŞLETMELERİNİN PERFORMANSINA ETKİSİ: BURSA İLİ ÖRNEĞİ
Authors: Acar A. Zafer , Kara Karahan , Gülsoy Emin
Published: February 2021

Otel işletmelerinde müşteri istek ve beklentilerini tam zamanında karşılanabilmesi nadiren ön planda görülen tedarik zinciri yönetimi ve onun uygulamalarının başarısına kritik seviyede bağımlıdır. Öte yandan konaklama işletmelerinin hizmet ve emek yoğun odaklı çalışmaları, otel tedarik zincirlerini üretim odaklı kurulan yapılardan ayırarak hizmet odaklı bir yapıya yöneltmektedir. Bu tür yapılar ise müşterinin genel ihtiyaçları ile anlık ihtiyaçlarına yönelik tedarik uygulamalarının aynı anda sunulması esas almaktadır.
Otel işletmelerinde tedarik zinciri uygulamaları ile işletme performansı arasında anlamlı bir ilişki olup olmadığının tespit edilmesini amaçlayan bu çalışmada Bursa ilinde bölgesinde faaliyet gösteren 23 otel işletmesindeki 453 çalışandan elde edilen veriler hipotezlerin analiz edilmesinde kullanılmıştır. Analiz sonuçları bilgi teknolojileri kullanımı, teslimat uygulamaları ve lojistik entegrasyon gibi tedarik zinciri uygulamalarının işletme performansının anlamlı bir yordayıcısı olduğu ve pozitif yönde etkilediğini ortaya koymuştur.
TELEVİZYONUN VE TİK TOK’UN TÜRK AİLE YAPISI İLE İLİŞKİSİ VE KÜLTÜREL DEĞERLER ÜZERİNDEKİ ROLÜ
Authors: Filiz Hacer
Published: February 2021

Günümüzde televizyon ve yeni medya Türk ailesinin olmazsa olmaz üyelerindendir. Öyle ki artık bireyin toplumsallaştırılması sürecinde aile üyeleri gibi televizyon ve yeni medyada bu işlevi yerine getirmede önemli olan kitle iletişim araçlarıdır. Fakat günümüzde popüler kültür ürünleri çoğu zaman televizyon aracılığıyla çoğu zamanda yeni medya uygulamalarıyla evlerimize girmekte ve aileyi oluşturan bireyleri etkisi altına almaktadır. Bu durum ise süreç içerisinde ailenin sahip olduğu kültürel değerlerin yozlaşmasına sebep olmaktadır. Dolayısıyla yozlaşan kültürel değerler sonucunda aile yapısı da bu durumdan olumsuz etkilenmektedir. Tüm bu değerlendirmeler ışığında oluşturulan bu çalışmada öncelikle Türk aile yapısı ve Türk aile yapısının televizyon ve bir yeni medya uygulaması olan Tik Tok ile ilişkisi ortaya konulacaktır. Son olarak ise, televizyonun kültürel değerler üzerindeki rolü tartışılacaktır. Literatür taraması yönteminin kullanıldığı çalışmada aynı zamanda literatürde var olan bilgiler sentezlenerek televizyonun ve Tik Tok’un Türk aile kültürü ile ilişkisi açıklanmaya çalışılmıştır.
TEDARİKÇİ SEÇİMİNDE BULANIK ESNEK KÜMELER TEORİSİ
Authors: Hoş Safa , Bağcı Buğra
Published: February 2021

Tedarikçi seçimi, işletmeler için hayati önem taşıyan stratejik kararlardan bir tanesidir. Günümüzde işletmelerin rekabet koşulları ise hem ulusal hem uluslararası düzeyde gün geçtikçe zorlaşmaktadır. Yoğun rekabetin yaşandığı piyasa koşullarında işletmeler ise beraber çalışacakları doğru tedarikçileri belirleyerek, faaliyetlerini uzun dönemli planlayıp avantaj yakalamayı arzulamaktadır. Çünkü seçilen tedarikçi işletmenin uzun dönemli başarısını etkileyen önemli unsurların başında gelmektedir. Bu çalışmada İstanbul’ da Makine İmalat Sanayi’nde faaliyetlerini sürdüren bir firmanın tedarikçi seçim problemi Bulanık Esnek Kümeler Teorisi ile çözüme ulaştırılmıştır. Tedarikçi seçimi için literatür incelenmiş ve yaygın olarak kullanılan fiyat, kalite, teslimat ve esneklik kriterlerinden faydalanılmıştır. Bulanık esnek kümeler teorisi ile değerlendirilen 6 tedarikçi T6, T2,T4,T5,T1 ve T3 şeklinde sıralanmıştır.
Technical and Economic Analysis of Solar Photovoltaic Water Pumps against Conventional Systems in Common Crops in Ilocos Sur, Philippines
Authors: Julius Orpia, Milagros Liberato Cherie Orpia,
Published: February 2021

Irrigation is a well-established procedure on many farms and is practiced around the world. However, typical irrigation systems consume a great amount of conventional energy using electric motors and generators powered by fuel. The cost of solar panels has been continually decreasing, which encourages its usage in various sectors, including agriculture, where irrigation is a crucial economic driver. The study analyzed and compared PV technology against conventional irrigation technology in common crops in Ilocos Sur. Equipment sizes were optimally determined using available irrigation requirements, rainfall data, farm area, and available equipment sizes in Ilocos Sur. Equipment sizing and economic analysis were based on one hectare of land. The cash flow analysis was conducted over an assumed equipment life of 20 years to be able to come up with levelized water pumping costs. Results showed that with typical farmland in Ilocos Sur, the farmland must be alternately planted with rice and corn to be able to be fully utilized all year round. The study showed that the solar pump installation has a heavy upfront investment cost compared to the conventional system. Due to no fuel and little to no maintenance needed, the solar pump turned out to be more economically feasible in the long run. In the 20-year life of both equipment, pumping one cubic meter of water using a solar pump is only PHP 1.35 while for gasoline, it is PHP 5.44 or around four times more expensive based on the prevailing cost at the time of the study.
Money Management among the Individual Working Personnel in India – A Study with Special Reference to Coimbatore District
Authors: Et al. Dr. Umamaheswari  K.
Published: February 2021

Now a day’s, money management - financial literacy becomes a foremost challenge faced by most of the developed and developing countries globally. The reviews evidenced that the monetary management level of the individual in India is low. This made the researcher to study the behavioural pattern of the monetary management. As enough research has been carried out by various researchers in this aspect, the researcher considered Coimbatore city which is listed as one of the smart city in India for her study. Coimbatore is known for the place of industrialized, blended of unique culture, no comprehensive study was carried out to study the various aspects of monetary management among the employees.
Sharing the Economic Torment due to COVID – 19 and Pertinent Behavioural Biases on Financial Risk Resilience Ability of Security Market Investors
Authors: Dr Bikrant Kesari Nidhi Jain,
Published: February 2021

Behavioural inclinations depict a replicable example in perceptual mutilation, mistaken judgment, unreasonable understanding, or what is extensively called mindlessness. This paper embraces an essential information way to deal with explore the impacts of behavioural predispositions due to Covid-19 on security market performance in India. The destinations are in twofold: one, to analyze the degree of behavioural predispositions among security market investors in India and, to look at the impacts of social inclinations on securities market in India. The paper utilized questionnaire as instrument and the strategy of correlation with Pearson Coefficient to examine a review of 150 haphazardly chose investors in India's security market. There is a solid proof that behavioural inclinations exists overwhelmingly due to COVID - 19 in the security market in light of the fact that a feeble negative relationship exists between social predispositions and securities exchange market in India. The biases due to behaviour include Confirmation bias, Reducing Regret bias, Myopic loss-aversion bias, Limited attention span bias, Chasing Trends bias and Status quo bias. The paper suggests that individual financial specialists in the market ought to connect with the administrations of investment advisors which will diminish individual inclinations in the administration of their portfolios.
Medium-term forecast of the age structure of teachers in secondary schools in the Russian Federation
Authors: Vasilieva L. V. , Lebedev K. V. , Sumenova E. S.
Published: February 2021

Introduction.The trend of teaching staff aging in secondary schools is evident in many countries. A negative consequence of this is the growing gap between the personal resources of teachers and the requirements of the profession. Solving the problem of maintaining an optimal age structure involves studying its dynamics and forecasting its development in order to develop measures for personnel planning. The present paper presents the results of the analysis of the current age structure of teachers in the regional context (in the subjects of the Russian Federation) and develops a forecast for its development.

The aimof the current research was to present the results of the development of a medium-term (until 2024) forecast of the age structure of teachers in the subjects of the Russian Federation.

Methodology and research methods.The research was based on a general scientific methodology applying a systematic approach and the methods of statistical analysis, comparison, generalisation, systematisation, structuring, interpretation, extrapolation, forecasting, and graphical representation of data. The authors analysed the data in official statistics of the Russian Federation and the Organisation for Economic Cooperation and Development. The provisions of normative and legislative documents in the field of strategic regulation of education in the Russian Federation, scientific publications of Russian and foreign researchers in the Scopus, Web of Science, and Science Index databases were investigated as well.

Results.The authors identify and highlight the factors, which have the most significant impact on the current state of personnel support for educational activities in the world. The analysis of age-specific teacher characteristics in cross-country comparison is performed. The assessment of age structure of general education teaching personnel in Russia as a whole and at the regional level is carried out. The forecast for its development for the period up to 2024 is developed. Scientific novelty. The conceptual feature of the present study lies in the view of the trends in the development of age cohorts in homogeneous groups. The approach employed allows for increasing the accuracy of forecasting of teacher demand, taking into account the specifics of regional demand.

Practical significance.Taking the specifics of the regions into consideration, it will be possible to improve the quality of education. The results of the research can be used by specialists in the course of conducting international research, planning teacher training, and developing measures to enhance the prestige of teaching profession and to stimulate the influx of young personnel to schools at the Federal level and in the regions of the Russian Federation.
Predictive modelling of burnout among Kazakhstani English teacher candidates
Authors: Zhetpisbayeva A. B. , Seilkhanova A. Ye. , Sarzhanova G. B. , Cem E. , Ospanova B. R.
Published: February 2021

Introduction. In Kazakhstan, 55% of English pre-service teacher candidates do not plan to work in public schools after graduation. The current quantitative study, using statistical analysis, sought to determine the causes of this phenomenon.

The aim of the present research was to determine the probability of early career burnout among future English teachers using predictive modeling.

Methodology and research methods. To create a predictive model, the authors used the following statistical data analysis tools: factor analysis, ordinal regression, and the Сhi-square test. The selection of the above tools provides to predict the probability of work intention in a Kazakhstani public school for more than five years. This period acts as a proxy variable for predicting future teachers’ burnout rates. The study involved 160 pre-service teachers, who received State scholarships for free tuition, with an obligation to work in public schools after graduation.

Results and scientific novelty. The data indicated that some respondents would only work for a period of less than five years, due to a sense of despair about their profession. The results demonstrate that pre-service teachers require better training. Furthermore, the authors found a correlation in teaching career expectations and the gender gap, where mature female participants were more likely to carry an intention to work for more than five years.

Practical significance. The present study makes a contribution to further research aimed at preventing the shortage and turnover of teaching staff in the workplace by detecting early warning signs of burnout among prospective teachers. The authors identified the indicators of the risk group of novice teachers, who are more prone to burnout due to emotional exhaustion, low self-efficacy, low expectations, and prospects from a teaching career. The authors believe that effective career guidance provides an adequate selection of the most motivated applicants with high occupational expectations.
A abordagem qualitativa para a compreensão das transformações sociais
Authors: Lopes Araújo Carolina , Carvalho da Silva Maria Helena , Fornari Lucimara Fabiana Fornari
Published: February 2021

Este número especial da Revista Latina de Sociología (RELASO) reúne seis artigos derivados de trabalhos científicos apresentados no 8º Congresso Ibero-Americano de Investigação Qualitativa (CIAIQ), realizado em Lisboa, Portugal, em Julho de 2019. Em consonância com a missão da RLS, a partir desses artigos propõem-se uma reflexão sobre a sociedade e sua constante transformação estrutural e na vida das pessoas, a partir de distintas perspectivas teóricas e filosóficas apoiadas em uma rigorosa investigação científica de abordagem qualitativa.
Ressonâncias metodológicas para a investigação qualitativa: o estudo das fratrias
Authors: Barbas Andreia , Portugal Silvia
Published: February 2021

O artigo resulta de uma investigação sociológica acerca das relações entre irmã/os. Partindo de um conjunto de reflexões suscitadas pelas características deste objeto, apresentam-se as opções metodológicas tomadas, defendendo o seu potencial heurístico para a compreensão de outros fenómenos. A investigação em curso encarou as fratrias na sua complexidade e multiplicidade, defendendo que estas devem ser compreendidas através da diversidade e temporalidade das trajetórias individuais e familiares. Deste modo, defende uma abordagem qualitativa que dê conta, simultaneamente das práticas e das representações, do quotidiano e do extraordinário, dos sentidos e significados atribuídos pelos atores.O artigo apresenta os percursos seguidos no decorrer da pesquisa, defendendo que a combinação de técnicas de recolha de dados – no caso, entrevistas em profundidade, com carácter de história de vida, e foto-elicitação durante o momento da entrevista – contem virtualidades para a compreensão do fenómeno em análise, que podem ser transferíveis para distintos objetos. A investigação de base foi realizada em Portugal, entre 2018 e 2019, e teve por base uma amostra composta por irmãs/os e meias/os irmãs/os, integradas/os em 25 fratrias, nas quaistodos os elementos foram entrevistados. Tem-se como objetivos discutir: a) a articulação entre a conceptualização do objeto e as opções epistemológicas e metodológicas tomadas; b) a importância metodológica das opções acerca da escolha dos sujeitos a inquirir; c) as vantagens em combinar as duas técnicas de recolha de dados. Apresentar os principaisresultados.
Rompiendo brechas: propuesta de orientación sociolaboral con víctimas de violencia de género
Authors: Verdugo-Castro Sonia , Sánchez-Gómez María Cruz , García-Holgado Alicia , García-Peñalvo Francisco José
Published: February 2021

Se ha llevado a cabo un estudio empírico en un municipio de España con nueve entidades del Tercer Sector que trabajan con mujeres víctimas de violencia de género con el objetivo de plantear una propuesta de intervención basada en la orientación sociolaboral, adecuada a las necesidades específicas de las destinatarias de las asociaciones participantes en el estudio. Para ello se ha investigado sobre el perfil laboral, formativo y familiar de las mujeres atendidas en las asociaciones y sobre las acciones de orientación sociolaboral desarrolladas en las entidades. El estudio se ha abordado desde la metodología cualitativa, con corte fenomenológico. Se han aplicado entrevistas semiestructuradas a cinco personas trabajadoras de las nueve entidades. Las cinco personas entrevistadas para el estudio prestan sus servicios a más de una de las entidades, por medio de la sinergia que se establece entre las asociaciones del Tercer Sector. Además de la información recogida a través de las entrevistas semiestructuradas, en otros casos, la información recogida, si bien no pudo ser grabada por protección de datos y privacidad, sí se recogió mediante memorias anuales facilitadas para el fin de la investigación. De esta manera, se contó con entrevistas y con material en formato de memorias; y mediante análisis clásico de contenido se han analizado los discursos y el contenido con el apoyo del CAQDAS Nvivo 12. Uno de los principales resultados del estudio ha sido el perfil de mujer atendida en el contexto; se trata mayormente de ciudadanas de nacionalidad española, de mediana edad, con responsabilidades familiares, en situación de desempleo y baja cualificación profesional. A partir de los discursos y los contenidos analizados se ha comprobado que, si bien algunas de las entidades desarrollan acciones sociolaborales, otras no cuentan con este servicio por carencia de recursos apropiados para el fin. Finalmente, se diseña una propuesta de intervención sociolaboral para potenciar la autonomía y empoderamiento de la mujer. La propuesta nace de las necesidades específicas del contexto y considerando el tejido social de la comunidad.
Aplicação do respondent driven sampling (RDS) em adolescentes em situação de rua
Authors: Da Silva Nery Givanildo , Cabral de Carvalho Rosely , De Lima Souza Sinara , Gomes Melo Luzimara , Ferreira Santos José Eduardo
Published: February 2021

Relato da experiência do uso da metodologia Respondent - Driven Sampling (RDS), em pesquisa com 86 adolescentes em situação de rua em uma cidade da Bahia. Objetivo: descrever as principais etapas de implementação do método, seus limites e possibilidades. Para a coleta de dados foi realizado mapeamento geográfico (feiras livres, sinaleiras, rodoviária), utilizando-se de ondas de recrutamento e identificação das sementes de sujeitos dentro da população-alvo. Verificou-se que o reconhecimento da pluralidade de modos de vida, as características dos territórios pesquisados e as vivências itinerantes dos adolescentes em situação de rua influenciam na determinação dos limites e possibilidades de uso da técnica. A dinâmica social e a mobilidade ativa dos adolescentes são características que representam desafios na replicação do estudo com a mesma população e território.
Pesquisa qualitativa e sua instrumentalização pelo Banco Mundial: algumas aproximações analíticas
Authors: Sobral Sampaio Simone , De Oliveira Robson
Published: February 2021

Este artigo objetiva apresentar a forma como o Banco Mundial (BM) em seus relatórios utiliza da investigação qualitativa na metodologia dos seus programas e projetos. Para isso apresenta o relatório de 2004 denominado “Monitorização e Avaliação: algumas ferramentas, métodos e abordagens”, onde discursivamente a agência evidencia sua apreensão sobre esse tipo de pesquisa e ainda prescreve a maneira de instrumentalizar esse tipo de investigação. O presente artigo utiliza ainda três exemplos oriundos do BM que utilizaram da pesquisa qualitativa em seu desenvolvimento, quais sejam,  os Programas de Transferência de Renda – em específico o Bolsa Família, as ações de combate à violência de gênero em Uganda e o programa de incentivo a docentes de países em desenvolvimento. Como procedimento metodológico utilizou-se da análise documental, extraindo-se as categorias de análise dos próprios documentos descritos acima. O que esse artigo conclui é que o BM utiliza da investigação qualitativa para ressaltar aspectos da realidade que foram previamente estabelecidos para garantir a solução que ele oferece.
A participação de adultos com dificuldades intelectuais e desenvolvimentais no projeto prolearn4all
Authors: Santos Olga , Reis Susana , Mangas Catarina , Ferreira Pedro
Published: February 2021

El proyecto Prolearn4all pretende fundamentalmente que lleguen a las escuelas del 1º Ciclo de la Enseñanza Básica (niños de entre) recursos lúdicopedagógicos que estimulen la inclusión socioeducativa de niños con discapacidad o algún tipo de limitación. Tiene, sin embargo, otros objetivos, entre los cuales el de ser un proyecto elaborado con TODOS y para TODOS. Dicho esto, se asumió como premisa que los miembros del equipo de investigación incluyeran profesores, formadores, investigadores, estudiantes de educación superior, técnicos, pero también, jóvenes adultos con discapacidad intelectual integrados en programas de formación profesional. Fue precisamente la participación de estos alumnos la que se quiso conocer, a través de un estudio de caso cualitativo, que recogió y describió la perspectiva de la dirección y la de los formadores del Centro de Integración y Formación Socioprofesional de la Cooperativa de Enseñanza y Rehabilitación de Niños Inadaptados. A los participantes, miembros de los órganos sociales y formadores de dicha institución formativa, se les realizaron entrevistas y Grupos focales, para proceder, posteriormente, al análisis del contenido de los datos recogidos. El estudio llegó a la conclusión de que la participación de los jóvenes con discapacidad en este tipo de proyectos de investigación tiene un valor añadido, dado que se sienten valorados por el hecho de estar colaborando en la construcción de recursos útiles y prácticos, desarrollando competencias que los acercarán más a la realidad del mercado laboral, lo que, naturalmente, contribuirá a una mejor inclusión profesional en la sociedad civil.
Student's Satisfaction on Online Nursing OSCE (ON-OSCE) Assessment Application
Authors: Sutrisno Resti Yulianti , Primanda Yanuar , Haris Fahni
Published: February 2021

Background: Objective Structured Clinical Examination (OSCE) is one of the final assessment components for nursing students. OSCE assessment uses the ON-OSCE (Online Nursing OSCE) application to fulfill the need and overcome the manual OSCE assessment challenges using papers. The manual OSCE assessment with multiple checklists is very detailed and takes a long time in scoring. Besides, the evaluation using papers tends to cause a miscalculation in scoring a total of ratings that can harm the student.Method: This research is a non-experimental study with a descriptive design and cross-sectional approach. The samples were 480 respondents of nursing students. The instrument of assessment of satisfaction was analyzed based on the score accuracy, time to retrieve score, and examiner's attention. Data analysis used descriptive frequency and percentage distributions. Results: Students' satisfaction based on the time to retrieve score revealed that 365 students (76%) were satisfied. Two hundred eighty-five students (59,4 %) were also satisfied with ON-OSCE related to the score accuracy. Regarding the examiners' attention, 273 students (56,9 %) felt the examiners ignored the students' actions. They focused on the laptop to provide an assessment. It could be due to the new ON-OSCE application for the examiners and their unfamiliarity with operating the application.Conclusion: Most students were satisfied with the assessment using the ON-OSCE application to retrieve scores and the score accuracy. However, they were less satisfied with the examiners' attention. The examiners should be more familiar with the ON-OSCE.
Physical Rehabilitation Outcomes in Patients with Dementia Following Hip Fracture Surgery: A Review
Authors: Wantonoro Wantonoro , Dewi Suarse , Suryaningsih Endang Koni , Suprayitno Edy
Published: February 2021

Background: Dementia patients were reported of having high risk for hip fracture. Rehabilitation programs were still being debated for this vulnerable population and the recovery outcomes in this frail elderly population are varied, thus evidenced-based outcomes for this issue are needed.Objective: To investigate rehabilitation programs, especially on physical function outcomes in patients with dementia following hip fracture surgery.Method: PubMed, Scopus and MEDLINE (EBSCO) databases were searched from January 2000 to June 2020 concerning rehabilitation intervention program in dementia patients who received hip surgical treatment. The studies included have the following criteria, (1) investigating physical outcomes of rehabilitation programs (2) Randomized controlled trials (RCTs) study design, (3) study involving dementia patients following hip fracture surgery (4) English full-text journal.Results: Six studies were included in this review. Most study focused on interdisciplinary or multidisciplinary rehabilitation program. Physical outcomes of rehabilitation programs seem to improve physical function, maintaining physical ability for ambulation, and decrease the risk of falls in mild or moderate dementia patients following hip fracture surgery. However, the physical function of older persons with dementia confirmed to be lower than those without dementia.Conclusion: Rehabilitation may show benefit for physical function in elderlywith mild or moderate dementia following hip fracture surgery, and this population needs to be included in the clinical rehabilitation program. Investigating and establishing the strategies to improve outcomes for dementia population is needed for future study.
Fulfillment Of Safety And Comfort Needs In Urinary Catheter Patients : Literature Review
Authors: Agustiani Sirli , Dewi Arlina
Published: February 2021

Background: Discomfort often occurs when catheter placement and also the removal of catheter. In health sector, nursing practice focus on patient quality and safety. Feeling safe is a form of feeling that if not controlled of anxiety. Using urinary catheter will affect to quality of life of patients such as physical, psychological, socio cultural, environmental and spiritual aspects.Objective: The aims of this study to describe how the fulfillment of safety and comfort needs in urinary catheter patients.Method: This study use literature review. The database were PubMed, Google Scholar and ProQuest. The search was restricted to English language articles and limited to last 5 years (2014-2019). Articles should be related to research. This study use main keywords experience AND “urinary catheter*”. Only fourteen journals met the eligbility criteria and were review by two researchers.Result: The Results of article that urinary catheter impact on several aspect of patients such as social aspect patient have limited social interaction, and difficult to adaptation. In psychological aspect, patient feel embarrassed, dissatisfaction, frustation, anxiety, and low self esteem. In physical aspect, patient feel blocking their movement, increase the risk of infection, painful, discomfort, and iritation. In other aspect, the patient has economic problem.Conclusion: The findings of articles show positive and negative impact for patient’s life when urinary catheter inserted. The review provides insight that can be useful for nurses in concerning patient’s need about safety and comfort especially patients with urinary catheters.
Implementation of Pushing Reminder Technique for Women During The First Stage of Labor and Perineal Rupture Events
Authors: Ratnasari Febi , Imanuddin Bayu , Febriyani Fitria
Published: February 2021

Background: Rupture of the birth canal or perineal tear cannot be considered a minor injury because it contributes to maternal morbidity and mortality. The perineal rupture causes pain and can increase until the seventh day. Perineal rupture also causes 4-5% of mortality in postpartum mothers.Objective: The purpose of this study is to find out the effect of pushing reminder technique implementation on women during the first stage of labor and perineal rupture event.Method: The research method used was pre-experimental with  intact group comparison design (post-test only control with 15 control respondents and 15 intervention respondents).Results: The results showed that the average age of the respondents was 26 years old with status as a housewives (93.3%), and the majority of the educational background was high school graduate (86%). By using the Mann-Whitney test, the results of alpha is 0.05 (0.369), so there is no relationship between the reminder of pushing technique and the occurrence of perineal rupture.Conclusion: There are other factors that affected the tears of the perineum such as baby’s weight, previous history of perineal rupture, the rigidity of perineal muscles and lack of skills of health care providers to hold the perineum at the moment of baby’s head expulsion, this indicated that is no relationship between the reminder of pushing technique and the occurrence of perineal rupture.Recommendation: It is adviced for Public Health Care Center is to provide educational media containing information for pregnant woman in a form of electronic media in the waiting room and through education of pregnant women regarding labor and perineum tear so that pregnant women understand the causes of perineal tear.
Psychological impact among cancer patients undergoing chemotherapy in Bundelkhand region, Central India
Authors: Gour Sushil , Maurya Rajesh Kumar , Singh Punya Pratap , Ahirwar Vrashbhan , Dhakar Mahendra , Maravi Prashant
Published: February 2021

Background: A cancer diagnosis can have a significant impact on mental health and wellbeing. Cancer is the second most common cause of death after heart diseases and it accounted for 9.6 million deaths worldwide in 2018. Various individual psychosocial and contextual factors potentially contribute to the development of anxiety and depression among people with cancer. In comparison with general people, the prevalence of anxiety and depression is frequently found to be higher among cancer patient, but estimates vary due to various factors, such as the type of cancer, treatment setting, and prognosis of disease. The present study was conducted to find out the estimate of depression in cancer patients undergoing chemotherapy and determine the various factors associated with depression.Methods: A cross-sectional study was conducted amongst cancer patients undergoing chemotherapy at Department of Oncology, Government Bundelkhand Medical College and Hospital, Sagar from January to April 2019. 150 participants were interviewed using predesigned questionnaire based on the Beck’s depression inventory.Results: Out of 150 cancer patients, 83 (55.3%) were found to be depressed. Depression was comparatively higher in patients’ ≥50 years; in males. Among the study patients, 83 (55.33%) had depression of which 21 (25.3%) had borderline clinical depression, 54 (65.06%) had moderate depression and 08 (9.6%) had severe depression.Conclusions: The study revealed depression in majority of patients receiving chemotherapy. Treatment of cancer patients need to be complemented by psychological support. Research is urgently needed into the possible impacts of long term effects of cancer treatment on mental health.
Solitary polypoid ganglioneuroma in the sigmoid colon: a rare finding during colonoscopy
Authors: Bowles Madison
Published: February 2021

Ganglioneuromas (GN) are rare, benign tumours of the autonomic nervous system which are seldom encountered in the gastrointestinal tract. They may occur as solitary lesions or more commonly as multiple lesions, also known as ganglioneuromatosis. Endoscopically they have no identifiable phenotypic characteristics and therefore diagnosis can only be confirmed through histological analysis. Microscopically they are composed of ganglion cells, nerve fibres and Schwann cells and show S-100 protein immunoreactivity. Clinically, there are no specific symptoms eluding towards the diagnosis of solitary ganglioneuromas of the gastrointestinal tract with most patients remaining asymptomatic. Due to their rarity, no guidelines current exists for solitary colonic GNs, however consensus exists that endoscopic resection is curative with no evidence of recurrence following total excision. This case gives an account of a solitary colonic ganglioneuroma in the sigmoid colon encountered during a screening colonoscopy in a 47-year-old male.
Small bowel adenocarcinoma: revisited
Authors: Rosley Muhammad F. , Dissanayake Mahanama
Published: February 2021

Small bowel malignancies are rare despite it representing 75% of the gastro intestinal (GI) length and 90% of the mucosal surface area. Even then small bowel adenocarcinoma (SBA) accounts for only 30-40% of all small intestine malignancies. Etiology is multifactorial and risk factors include hereditary mutations, inflammatory bowel diseases, coeliac disease. Presenting symptoms are vague and nonspecific and cannot usually be diagnosed by conventional upper and lower GI endoscopy as it is in an inaccessible location. This leads to delayed diagnosis and hence poor prognosis. Mainstay of treatment is surgical resection with adjuvant chemotherapy in advanced disease. We present a case study of a 74 years old woman who presented to the emergency department with small bowel obstruction and radiological features suggestive of underlying small bowel malignancy. She underwent urgent laparotomy with segmental small bowel resection and had intraoperative evidence of wide spread metastasis which was confirmed on subsequent tumor staging scans. She received adjuvant chemotherapy with complete metabolic response at one year post resection. SBA is generally diagnosed at advanced stage due to its anatomical location. Complete surgical resections should always be targeted. However, adjuvant chemotherapy plays a role in advanced disease even though clinical data of evidence is scarce.
Retrograde intrarenal surgery in the management of solitary large renal stones, 2-3 cm: a single center experience
Authors: Eissa Ahmed , Ragab Maged , Bianchi Giampoalo , Hassan Ayman
Published: February 2021

Background: Nephrolithiasis represents a major health burden worldwide. Several treatment options are available for renal stones such as open stone surgery, percutaneous nephrolithotomy (PCNL), retrograde intrarenal surgery (RIRS), and extracorporeal shockwave lithotripsy. PCNL is considered the gold standard treatment for large renal stones (>2 cm); however, it is associated with higher blood loss, complication rates, and longer hospitalization. In this setting, we aimed to assess the value of RIRS in the management of single large renal stones between 2-3 cm. Methods: The database of our center was reviewed to include all the patients who underwent RIRS for single large renal stone (2-3 cm) between February 2018 and April 2019. All the patients were evaluated by preoperative computed tomography to evaluate the stone size, site, and density. Furthermore, the following variables were also collected; pre- and post-operative hemoglobin and creatinine, the operative time, stone free rate (SFR), and duration of hospital stay. All the statistical analysis was performed using SPSS version 20.Results: Overall, the data of 31 patients were retrieved for the current study. The mean age of the patients was 56.9±12.9 years, and the mean stone size was 22.6±7 mm. The mean operative time was 96.4±37.3 minutes and the SFR was 74.2% after single session of RIRS. No major postoperative complications were reported in the current series.Conclusions: RIRS is a safe and efficient alternative to PCNL in the management of single renal stones between 2-3 cm; however, further prospective studies are required to confirm these findings.