bluuebunny/crossref_metadata_2025 huggingface dataset:
How the intention to deceive is reflected in conceptual metaphors of a narrative?
Authors: Skrobák Eszter Éva
Published: January 2024

This study investigates how the intention to deceive is reflected in conceptual metaphors through the narratives of Elizabeth Holmes (former CEO of Theranos) and Sabrina Butler (first woman exonerated from death row). Analysing the relationship between metaphors applied by a speaker and linguistic expressions in deception adds a new perspective to the scope of scientific data on linguistic characteristics of dishonesty. Since the metaphorical phrases used in everyday communication are not controllable through deliberate will power, the conceptualisation behind them may serve as a clue to the misleading intention of the speaker. The comparison of the two narratives is delivered in the framework of Conceptual Metaphor Theory, with the following results: 1) In the deceptive speech the prevalence of the source domain of self-initiated movement, the lack of the target domain of emotions, and less creativity in figurative language use are characteristic. 2) In the true narrative the mapping of emotional self is physical self is emphasised. 3) Morality and belief are important target domains in both cases, but they stem from different aspirations. In the misleading speech the conceptualisation reflects withholding information, guilty knowledge, and the tendency to avoid responsibility, while in the truthful narrative indicate vulnerability, helplessness, and innocence. 4) Likewise, more creative figurative language use may indicate honesty, for the whole mental capacity can be utilized to depict the narrative. This study serves an exploratory purpose although shows that metaphors used in truthful and deceptive narratives reflect different conceptualisations. Consequently, it is worth engaging in the research of this field to be able to make more reliable judgments on dishonesty.
A Critical Discourse Analysis of Fox News’ Reporting on COVID Measures
Authors: Hans Petr
Published: January 2024

The Fox News Channel is the most-viewed cable television channel in the United States of America. It is known for practicing partisan reporting in favor of the Republican Party and has often been accused of lacking objectivity and not being fair and balanced, contrary to its original slogan. The article discusses the results from a critical discourse analysis of the spoken discourse aired on Fox News during the COVID-19 pandemic in 2020 and 2021, specifically examining bias, especially right-wing bias. The corpus compiled for the study consisted of the spoken transcripts of all episodes of the morning show Fox and Friends aired between March 2020 and December 2021. The analysis focuses on identifying phenomena, such as language of power, bias towards favoring one side of a controversial issue, as well as what discursive strategies are used to achieve the desired effect, such as framing and phrasing of the hosts’ comments and arguments. Based on the analysis, I show the bias implicit in the text and the motivations behind Fox’s style of reporting. The article concludes with a discussion about its contributions and possibilities of further research, including a multimodal approach.
Conceptual metaphors in Hungarian and Bulgarian banking terminology
Authors: Dömötöri-Radenkova Neli
Published: January 2024

The current paper offers a contrastive conceptual analysis of Hungarian and Bulgarian banking terminology through public documents issued by the Hungarian OTP Bank and the Bulgarian DSK Bank. The qualitative research shows that Hungarian uses authentic indigenous words and the cognitive images behind them are presumably transparent to native speakers of Hungarian. In Bulgarian, on the contrary, the majority of terms are loan words from foreign languages, especially English, and the conceptual metaphors underlying them are not carried over to Bulgarian. At the same time, both languages are characterized by the MONEY IS A LIQUID metaphor as well as BANKING INSTITUTIONS ARE FAMILIES and BANKING INSTITUTIONS ARE PLANTS metaphors. Both languages exhibit creativity in the use of miscellaneous terms related to banking transactions.
English Language Skills for Islamic Economic Students: Expectation versus Reality
Authors: Suwandi Suwandi
Published: January 2024

This study focuses on the English language instruction provided to students majoring in Islamic Economics, aiming to equip them with the necessary skills for successful engagement both in the classroom and the workplace. The research conducted for this purpose had a dual objective: firstly, to investigate the perspectives of both students and lecturers on the types of English language skills required for an Islamic Economics major, and secondly, to assess the relevance of the current English for Specific Purposes (ESP) course in meeting the students' actual needs. The participants in this qualitative descriptive study included three lecturers and 219 students enrolled in the third and fifth semesters of the Islamic Economics Study Program at a State Islamic University in Indonesia. The study employed qualitative research methods, utilizing two data collection methods: an online survey addressing student demographics and perceived language skill needs, and interviews with participating lecturers. The findings reveal disparities between the perceptions of instructors and students regarding essential linguistic abilities. While the majority of students prioritize speaking and writing, instructors emphasize reading and proper grammar. The study recommends a redesign of the existing ESP syllabus to better align with the identified needs of the students.
The Impact of Service-Learning on English Education. A Socio-Cultural Project as an Attempt to Increase Cultural Awareness
Authors: Olszak Izabela
Published: January 2024

There is a constantly growing need for implementing new pedagogical approaches to the classroom environment. Approaches aiming at the collaboration of students, teachers, and the community are desired as they create a perfect area for the teaching process and acquiring new knowledge within the specific subject field. The Service-Learning (SL) approach focuses on addressing students’ needs efficiently and effectively, ensuring active student involvement in all stages of the lesson unit, and intentionally linking to a learning context. The aim of the paper is to answer the question about the added value of SL for university students in the process of integrating theoretical knowledge and its practical application. The article presents the benefits and drawbacks of incorporating SL into the curriculum of English lessons. The collected results prove that a SL approach and the knowledge of how to apply it in the academic process remain vital and constitute a significantly useful element in increasing cultural awareness of students and the training of future English teachers.
Serbian Nouns Motivated by the Lexeme ‘Дете’ (‘Деца’)
Authors: Bońkowski Robert
Published: January 2024

The text focuses on Serbian nouns motivated by the form дете (деца) ‘child’ (‘children’) which belong to the standard language. The starting point is the dictionary definition of the Serbian lexeme дете (деца). The current state of etymological research on the general original meaning of the word ‘child’ in Slavic and other European languages is also analyzed. Next, the motivated words are finally divided into diminutive and augmentative, as well as compound derivatives, their dictionary definitions are provided, and they are examined from the word-formation perspective. The Serbian word дечак (дечкo) is also included in the analysis. The extracted linguistic material comes from Речник српскога језика (Dictionary of the Serbian Language), published by Matica Srpska – the most comprehensive lexicographic work on contemporary standard Serbian language to date. Therefore, the text also contains an analytical outline of this publication. The analysis of the collected linguistic material showed that in the Serbian standard language the derivatives and noun compounds motivated by the lexeme дете (деца) form a significantly large group. The study also proves that both the basic motivating word дете and its variant – which functions as the plural form – the collective noun деца, could participate in the motivation of the formed diminutive, augmentative, compound forms and the form дечак (дечкo). At the same time, a broader etymological introduction to the word дете (деца) against the Slavic and European background showed that the word originally had a much lower social status than it has today. This may be indicated by the analyzed augmentative (and pejorative) derivatives. On the other hand, diminutives and pejoratives will constitute a primary ‘product’ created within the close family, which later became the lexemes of the standard language (although it should be borne in mind that they can also take a disparaging or ironic meaning in a specific communicative con-text). The analyzed compounds, on the other hand, could originally belong to legal discourse, and then, as they began to be used more and more widely, they found themselves within the Serbian standard lexicon. In the case of compounds, a curious phenomenon is their ‘double’ motivation, which may stem either from the form дете, or from the form деца, carrying the same meaning.
Rhymes in the Poetry of Konstanty Ildefons Gałczyński (Aspects of Translation into Bulgarian)
Authors: Aleksandrova Steliana
Published: January 2024

The article is devoted to the rhymes in the poetry of Polish author Konstanty Ildefons Gałczyński and the ways they have been translated into the Bulgarian language. First, distinguishing features of the poetic text and the concept of rhyme are discussed, after which basic characteristics of rhymes in Polish poetry are noted. An overview of Gałczyński’s translations into Bulgarian leads to the main focus of the paper which concerns translators’ difficulties in converting the original rhyming pairs into the target language. The analysis is based on three translations of one poem: “Rozmowa liryczna” (“Lyrical Dialogue”), made by two prominent translators, Parvan Stefanov and Dimitar Pantеleev between 1960 and 1984. The observations indicate that the Bulgarian versions of the poem modify the original rhyming patterns due to the specificity of each language, as well as the translators’ individual aesthetic preferences. Almost all rhyming lexical units in the Polish text are adjacent and feminine, while there is a significantly more frequent use of cross and masculine rhymes in the three Bulgarian versions. Also, the translators refuse to preserve several irregular rhymes. The article concludes that the approaches of Stefanov and Panteleev are related to general trends in translating rhymed poetry from Polish into Bulgarian. Among them, the increased presence of masculine rhymes, largely dictated by the analytic nature of the Bulgarian language, seems prominent.
Images of Women and Men in Paremiology – Amplitudes of Evaluation, Complexes, Stereotypes and Counter-Stereotypes
Authors: Kuzova Maya
Published: January 2024

A review of: Hamze, Dimitrina. The Culture of Gender in Proverbs (on Material from Polish and Bulgarian Paroemiaе). Plovdiv University Press, 2023. 248 pp. ISBN 978-619-7663-47-1. [In Bulgarian: Хамзе, Димитрина. Културата на пола в пословиците (върху материал от полската и българската паремиология). Пловдив: УИ, 2023.]
The War on Drugs and an Incarcerated Latina Mother: Yraida's Story
Authors: Rocha Carolina
Published: January 2024

Since the 1990s, when mandatory sentences for drug related crimes were first imposed, Blacks and Hispanics have been disproportionately given lengthier prison terms. Latinas have been especially affected by the harsh consequences of the war on drugs, as they have been detained in proportionally larger numbers. In this article, using the case of Yraida Guanipa, I explore the effects of the war on drugs on a Latina. Yraida Guanipa was the mother of two boys, aged 4 and 3 when she was sentenced in 1998 to 151 months even though she was a first-time non-violent offender. The magnitude of her sentence particularly affected her role as mother of two very young children. During five years (1998 – 2003) out of her 13-year detention, Yraida wrote to the late Illinois Senator Paul Simon (1928 – 2003). The close textual analysis of her letters provides a unique perspective on the toll of the war of drugs. Yraida's correspondence shows how she fiercely negotiated motherhood and became an activist for prison reform.
Sensory function in cerebral palsy: an overview and considerations for consequences
Authors: Brunner Reinald , Strobl Walter
Published: January 2024

Alterations of sensory function are poorly recognizable but adequate sensory information and perception is a precondition for adequate motor function. It is of little surprise that in patients with cerebral palsy, the motor disorder is seen as the predominant lesion. This has led to the definition with motor overactivity and weakness in the forefront. However, sensory dysfunction was recognised already in the middle of the last century. It has been described more consistently in the modern literature and proven by fMRI and tractography studies. The sensory disorder can explain a wide part of the symptoms of cerebral palsy at least to some part. It comprises inappropriate and poorly controlled muscle activity, spasticity, impeded motor learning, developmental retardation, and pain. Treatment hence should focus on conveying the perception of stability and experiencing a wider range of different motions by more varying activities and functions. Early onset of treatment may help to reduce the developmental gap between patients and healthy children. Orthopaedic treatment, conservative and surgical, in the first place corrects biomechanically impeding deformities and provides mechanical stability.
Effect of Different Therapeutic Strategies on Olfactory Outcomes in Patients With Chronic Rhinosinusitis With Nasal Polyps: A Systematic Review
Authors: Alobid I , Barroso B , Calvo C , Ferrario MG , Sastre J
Published: January 2024

Introduction: Olfactory impairment is one of the cardinal symptoms of chronic rhinosinusitis with nasal polyps (CRSwNP). However, the effect of currently available therapeutic options on the recovery of the sense of smell is not well defined. The aim of this systematic review was to compile evidence on the impact of medical, surgical, and biological treatment on olfactory outcomes in patients with CRSwNP. Methods: This review was conducted by 2 reviewers according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The quality of evidence of all the studies included in the qualitative synthesis was evaluated using the Critical Appraisal Skills Programme (CASP). Results: Forty-four studies were included in the qualitative synthesis. These assessed sinonasal surgery (n=23), biologics (n=15), and conventional medical treatment (n=6). The methodological quality was moderate-to-high in most. Overall, significant improvements in the sense of smell were detected with all the interventions analyzed and measured using an objective tool, a subjective tool, or both. However, most studies used different outcome measures, thus hindering comparisons between interventions, and data on clinically relevant changes were missing. Conclusion: Oral corticosteroids, biologics, and sinonasal surgery improve the olfactory impairment associated with CRSwNP. However, the heterogeneous nature of existing studies does not allow accurate comparisons.
Exploring EFL Supervisors' Feedback on Postgraduates' Research Proposals: Functions and Foci
Authors: AbuSaaleek Atef , Alenizi Aied
Published: January 2024

Supervisory feedback plays a crucial role in supervising research in higher education. Feedback is a crucial component of successful teaching practices in the context of postgraduate research proposal writing. Effective supervisory feedback can promote supervisees' academic writing and enhance the quality of their research proposals. Therefore, this study aimed to examine the feedback functions and feedback foci that EFL supervisors employ in their written feedback when refining postgraduate research proposals. A qualitative approach and simple descriptive quantitative measures were adopted to address the study's aims and estimate the prevalence of feedback forms. The study's sample included (N = 5) supervisors (4 male and 1 female supervisor) supervising postgraduate students as part of the M.A. in Applied Linguistics program. Data were collected from five supervisory feedback reports on postgraduates' research proposals and proposal drafts. The finding revealed that the EFL supervisors predominantly used directive feedback (52%) in their feedback provision instead of referential (30%) and expressive feedback (18%). Additionally, the findings showed that the EFL supervisors primarily focused on content issues (53%), followed by organization (29%) and appropriateness (19%), and the lowest number of supervisory feedback focused on linguistic accuracy (16%). The study provides pedagogical implications for supervisors and recommendations for further studies.
application of Kahoot as an online assessment tool to foster student’s engagement: Student’s experiences and voices
Authors: Wahyuni Sri , Etfita Fauzul
Published: January 2024

The advancement of technology has an impact on numerous aspects, including assessment. Students tend to feel bored, nervous, and anxious while doing the test. Consequently, the educators are required to create a meaningful atmosphere in the classroom. Kahoot can be used as an alternative assessment tool. The purpose of this study was to gain knowledge about the students’ voices and experiences with the use of Kahoot as an assessment tool in their English grammar class at the end of each of the fourteen meetings. This research was conducted at a private university in Riau with seventy-five participants in the English language education study program. This research was descriptive-qualitative by applying a questionnaire and interview. The findings show that most of the respondents are giving positive responses to using Kahoot as an assessment tool. The result of the research revealed that Kahoot is more preferred by the students than a paper-based test, which offers challenges, an interactive interface, sound, and music, helps students focus on the subject, and increases their interest and motivation. Meanwhile, the researcher found that the weaknesses of Kahoot are the time limit given and the unstable internet connection. Overall, the researcher suggests employing Kahoot as an assessment tool to boost students’ engagement.
Exploring Strategies of Teaching Speaking among Indonesian and Malaysian Secondary English Teachers
Authors: Widiati Utami , El Khoiri Niamika , Nindya Meyga Agustia , Sharif Tengku Intan Suzila Tengku
Published: January 2024

The current study aims at exploring strategies of teaching speaking among EFL/ESL teachers in Indonesian and Malaysian secondary schools. The data were obtained from 55 Indonesian teachers and 9 teachers from Malaysia, who were asked to voluntarily fill out an open-ended questionnaire consisting of 11 items. The questions ranged from teaching strategies to challenges in teaching speaking and the use of IT in the classroom setting. The findings of the descriptive analysis showed that teachers in both countries used relatively similar strategies, except for the aspect regarding the proportion of English use in the classroom. In this case, Malaysian teachers used English most of the time in their speaking class, compared to their Indonesia counterparts who admitted using L1 in various proportions and/or situations. It can be safely assumed that the status of English in Indonesia and Malaysia (EFL vs. ESL) is responsible for this difference, with Malaysian teachers and students being more comfortable with the use of English in their daily encounters.
Affect and Characterization in Narrative Texts Written by Senior High School Students
Authors: Djatmika Djatmika , Santosa Riyadi , Wiratno Tri , Sugiarti Rara , Wibowo Agus Hari , Sugiarti Tati , Lianisyah Ulfah Yanuar , Rudiansyah Rudiansyah
Published: January 2024

This article discusses the attitudinal lexis representing feelings to support the process of characterization in narrative texts written by senior high school students in Plupuh, Sragen. Six best stories were selected from twenty texts produced by the students to be analyzed for their text structure and for the way the writers exploit the emotive words representing feelings to support the process of characterization for the participants in the stories. The results show that all of the writers have good skills in arranging discourse units to be a narrative text. All of the texts are structured with the obligatory discourse units for a narrative such as Orientiation, Complication, and Resolution. Furthermore, they are also good in selecting the emotive words representing feelings in the forms of Quality and Process. However, they did not have the words in the form of Comment in their stories. The language units representing feelings are distributed along the units of the narrtive texts to support the discourse functions of each unit. Overall, the exploitation of the emotive words can help the writers in the process of characterization of the participants of the stories they produced.
Factors affecting destination innovation and competitiveness at destinations in the central highlands, Vietnam
Authors: Long Nguyen Thanh , Khanh Pham Ngoc Kim , Trung Nguyen Quoc , Linh Nguyen My , Phat Tong Thanh , Nhung Le Hong , Vy Phan Thi Ha , Khoa Tran Dang
Published: January 2024

This study aims to determine the factors affecting both destination innovation and the competitiveness of the tourism destinations in the Central Highlands, Vietnam. This research used both qualitative and quantitative research methods. The qualitative research method was used through focus group interviews and one-on-one interviews in order to complete the research model and scales. In addition, SmartPLS software was used to analyse the reliability, convergent validity, and discriminant validity of the quantitative research method. The proposed hypotheses and research model were also examined via boostrapping with P-values ≤ 0.05. This study had a 210-expert survey of managers and experienced executives working in the tourism industry in the Central Highlands, Vietnam. The research findings showed four factors affecting competitiveness through innovation, which was a moderating factor among destinations in the Central Highlands of Vietnam, including Policies, Local specialties, Culture, and Natural environment. From these findings, some policy implications were proposed for destinations and tourism managers to develop and enhance destination innovation and competitiveness at destinations in the Central Highlands, Vietnam, through the improvement of Policies, Local specialties, Culture, and Natural environment. In addition, these implications also aim to realize sustainable tourism development for the region, which is one of the most potential tourism regions in Vietnam.
Cultivation practices of leafy vegetable production during the wet season in Ambon, Indonesia
Authors: Hindersah Reginawanti , Kalay Agustinus Marthin , Salman Rion Suaib , Paays Wilhelmina , Banerjee Saon
Published: January 2024

Green cabbage, water spinach, and spinach are important vegetables in the diet of the Ambonese communities, so the vegetables have economic value and contribute to the inflation of Ambon City. The main obstacle for optimizing leafy vegetables in urban farming of Ambon City in Ambon Bay neighborhood is excess water during the rainy season which possibly induces plant diseases and reduces the yield. The purpose of this study was to verify the 11-year weather of Ambon Bay; and the adaptation of vegetable farmers in Ambon City to the change of rainy season as well as precipitation in the study location The research was conducted using a qualitative descriptive method based on interviews with farmers supported by climate data for 11 years. This study explains that the rainfall was variable during 10 years; In 2010-2013 and 2017-2020, the annual rainfall was 3.950-5.264, while in 2014-2016 it ranged from 2.017-2.995 mm.  Farmers adapt to high rainfall by installing plastic rain shelters, shortening the planting distance from 20 cm to 10 cm, and changing the planting calendar. However, in general growers install rain shelters during vegetable cultivation in the wet season resulting in high productivity of leafy vegetables.
Evaluating the role of credit facilities as drivers to small scale rice farmers’ productivity in Wukari local government area, Taraba state, Nigeria
Authors: Ukpe Udeme Henrietta , Saidu Duwangs Moses
Published: January 2024

The role played by credit for sustainable agricultural activities cannot be overemphasized. The study evaluated the role of credit facilities as drivers to small scale rice farmers’ productivity in Wukari Local Government Area Taraba State, Nigeria. A multi stage sampling procedure was used to sample 250 respondents from the study area. The study found that seed (p = 0.03), fertilizer (p = 0.01), and farm size (p = 0.01) were the key determinants of productivity for the rice farmers who had access to credit facilities while labour (p = 0.056) and seed (p = 0.01) were the determinants of productivity for the non-access to credit facilities counterparts. The finding show that years in school, farm size  and age are the factors that influenced access to credit facilities. Finally, interest rate (92.8%), lack of collateral security (89.6%), lending criteria (72%) and government regulations (70.8%) are the major problem associated with access to credit facilities. It was therefore recommended that Public and private partnerships should be encouraged to develop innovative financial products and services tailored farmer’s activities with a goal of offering competitive interest rates. Continuous review and policies adaptation related to interest rates in agricultural lending to ensure they remain effective and responsive to changing economic conditions and the needs of farmers.
Analysis of Cultural Geography Learning Concept Design Based on Case Method and Team-Based Project
Authors: Rahmadi M Taufik , . Sugiharto , Lubis Darwin Parlaungan , Lukitoyo Pristi Suhendro , Halim Jennifer
Published: January 2024

Since the issuance of the Service of Instruction and Culture Proclaim No. 3/M /2021 in 2021 concerning Key Execution Pointers (IKU), where classroom learning will utilize one or a combination of the case strategy and project-based gather learning (team-based venture), which incorporates 50% in its assessment weight. Hence, this investigation pointed to plan learning concepts in political geology courses with a case strategy method and team-based venture within the Division of Geology Instruction, Workforce of Social Sciences, Medan State College. This inquiry about employment uses an expressive, subjective approach. The populace in this were all 454 understudies of the Division of Topography Instruction for the 2020-2022 year, and the test was 67 understudies. Information collection employs a survey (survey) disseminated to understudies through Google Shapes. This consideration demonstrates that executing case strategy and team-based project-based learning got a positive reaction from understudies. Based on the overview, 87% of understudies concurred that the schedule assignment task framework in papers was supplanted with dialogue learning by watching and analyzing various phenomena or issues within the environment or standard of living. Then, 76% of understudies concurred in case the assignments within the shape of CBR and CJR, and within the IQF learning framework were supplanted with the substance of hypothetical thinking in case of strategy reports and team-based projects. Selection of case strategies and team-based ventures carried out in bunches by groups by raising case considers that happen around or in the standard of living. Besides, the examination will be displayed and talked about in the course on the other hand.
Keywords: geography learning, design, case method, team-based project
Ensino superior em enfermagem: reflexões acerca do período gravídico para estudantes
Authors: Maria Azevedo Magalhães Zélia , Ribeiro Marcos Aguiar , Pedroza Cavalcante Ana Suelen , Aliny Siqueira Lima Freitas Cibelly , Mont'Alverne Napoleão Abuquerque Izabelle , De Almeida Prado Janaína
Published: January 2024

O presente estudo teve como objetivo conhecer os desafios e as expectativas enfrentadas por estudantes do curso de enfermagem de uma universidade do interior do estado do Ceará, que estão grávidas e/ou engravidaram durante o período acadêmico. Trata-se de um estudo exploratório descritivo de abordagem qualitativa. A coleta de dados ocorreu por meio de entrevistas semi-estruturada e questionário socioeconômico. A análise de dados foi realizada a partir da Análise Temática. Os principais desafios encontrados foram relacionados à dificuldade financeira, a gestão do tempo para os estudos e com quem deixar o filho. Todavia o apoio familiar foi citado como fundamental para conciliação de papeis o que refletiu em uma boa expectativa de futuro das mulheres universitárias. A partir do exposto, foi possível identificar os desafios enfrentados e as expectativas de um grupo de jovens mulheres que optam por conciliar papeis, sendo perceptível o aumento da disposição para o enfrentamento, esforçando-se ao máximo para dar o melhor de si como estudante, mãe, dona de casa e esposa, não arrependendo-se das funções escolhidas, fazendo com que as mesmas sejam um motivo sempre mais forte para crescer e se dedicar em todas as áreas da vida.
Serviços farmacêuticos relacionados a medicamentos sujeitos a controle especial na atenção primária à saúde no Brasil: revisão integrativa
Authors: Lima Rodrigo Fonseca , Silva Abkeila Dias da
Published: January 2024

No contexto do âmbito comunitário das Redes de Atenção à Saúde, o processo de aquisição, armazenamento, guarda, controle de estoque e dispensação de medicamentos sujeitos a controle especial ficam a cargo do farmacêutico e o acúmulo de responsabilidades pode impactar na qualidade e efetividade do serviço prestado, especialmente quanto aos serviços assistenciais. Assim, o objetivo dessa revisão foi identificar, descrever e comparar estudos relacionados à temática dos serviços farmacêuticos relacionados a medicamentos sujeitos a controle especial na Atenção Primária à Saúde no Brasil. A revisão integrativa foi realizada através de levantamento bibliográfico relacionado ao tema nas bases SciELO, LILACS, MEDLINE, PubMed e Google Acadêmico entre 1999 e 2019 com subsequente avaliação de nível de evidência. Dos sete artigos da amostra final, cinco eram do tipo transversal, um era estudo descritivo quali-quantitativo e um estudo longitudinal retrospectivo. Os aspectos relacionados aos serviços farmacêuticos com medicamentos sujeitos a controle especial abordados foram: o perfil de prescrições e utilização dessa classe de medicamentos (n=5; 71,4%) e serviços técnicos-gerenciais destinadas à sua seleção (n=2; 28,6%). Apesar de serem observadas sugestões com objetivo de otimizar o serviço farmacêutico relacionado a medicamentos sujeitos a controle especial na Atenção Primária a Saúde, a abordagem da temática na literatura científica brasileira é escassa e com baixo nível de evidência associado considerando sua importância em termos de assistência à saúde.
Regulação do Acesso aos Serviços de Saúde: a mediação do Núcleo de Atendimento ao Cliente
Authors: De Sousa Jamyle Martins , Felipe Karen Lopes , Fabrício Suziane Cosmo , Nascimento Maria Andrezza dos Santos , Cavalcante Francisca Aparecida Pinheiro , Oliveira Lucia Conde de
Published: January 2024

O poder público implantou a estratégia de regulação do acesso como forma de organizar o sistema de saúde e garantir o ingresso aos serviços de saúde. Com a regulamentação da RAS, através da Portaria nº 4.279, a Regulação Assistencial visa garantir o ingresso aos serviços de saúde, possibilitar a integralidade do cuidado e a comunicação entre os serviços de saúde. O presente estudo tem como objetivo analisar os processos de regulação do acesso dentro da Rede de Atenção à Saúde do município de Fortaleza. Trata-se de um estudo qualitativo, desenvolvido em três Unidades de Atenção Primária do município de Fortaleza, com gerentes das unidades e trabalhadores do Núcleo de Atendimento ao Cliente (NAC). A realidade do município de Fortaleza demonstra um avanço no fluxo de atendimentos com a implantação da Central de Regulação e do Núcleo de Atendimento ao Cliente, entretanto a oferta ineficiente de serviços, a ausência de sistemas informatizados integrados, dificultam o atendimento especializado gerando filas de espera virtuais que comprometem significativamente a integralidade da atenção e qualidade dos serviços de saúde.
USO DE PLANTAS MEDICINAIS COMO COADJUVANTE TERAPÊUTICO NA VISÃO DA EQUIPE DE REFERÊNCIA NO MUNICÍPIO DE ICAPUÍ.
Authors: Silva Luana Keity Lima
Published: January 2024

Objetivo: descobrir qual o posicionamento dos participantes sobre o uso de plantas medicinais evidenciando a importância ou não das mesmas como uma forma de terapia coadjuvante. Métodos: Trata-se de um estudo descritivo com abordagem qualitativa, realizado no munícipio de Icapuí – CE, com 13 profissionais que aceitaram participar do estudo mediante assinatura do Termo de Consentimento Livre e Esclarecido por meio da utilização de um formulário estruturado com questões consonantes com o objetivo proposto. Resultados e Discussão: Os relatos evidenciaram que todos os profissionais já haviam feito uso de plantas medicinais, contudo muitos não detinham o conhecimento científico sobre indicações, contraindicações e profilaxia. Os profissionais que incentivavam o uso das plantas pelos usuários não conheciam completamente o modo de preparo de acordo com a parte da planta a ser utilizada. Conclusão: Assim, pode-se observar que o uso de plantas medicinais/fitoterápicos se faz pouco presente na vida dos usuários do Sistema Único de Saúde (SUS) da população de Icapuí, e profissionais como forma de medicina alternativa e complementar, entretanto, torna-se necessária uma melhor e maior difusão de conhecimentos acerca do uso adequado e efeitos provocados pelas plantas medicinais, para que efetivamente tragam benefícios à população.
Entre mitos e verdades: A representação da masculinidade dos homens acadêmicos da Universidade Federal Fluminense e sua implicação para o campo da saúde
Authors: Dos Santos Felipe , Da Mota Cristina Portela , Da Silva Jorge Luiz Lima , Messias Cláudia Maria , Mouta Ricardo José de Oliveira , Pereira Audrey Vidal
Published: January 2024

A masculinidade se apresenta de diferentes formas dentro da conjuntura social e cultural desses homens acadêmicos. Um dos principais reflexos dos padrões tradicionais de masculinidade no comportamento dos homens acadêmicos ocorre no campo da saúde, onde estudos sobre o tema apontam que, em geral, os homens não adotam medidas de promoção da saúde e prevenção de doenças, bem como não buscam ajuda quando ficam doentes. Trata-se de um estudo descritivo, exploratório, de natureza qualitativa que teve como referencial metodológico a hermenêutica-dialética. Os participantes da pesquisa foram quinze acadêmicos do gênero masculino, de diferentes cursos de graduação da Universidade Federal Fluminense. Utilizou-se o questionário de dados sociodemográficos e um instrumento de entrevista semiestruturada. Dos resultados foram formuladas uma categoria: Ser e tornar-se homem na sociedade brasileira: Aprendendo masculinidades com homens acadêmicos da Universidade Federal Fluminense. Os depoimentos mostraram a importância de conhecer a representação que cada indivíduo possui acerca de sua masculinidade, para que melhor se compreenda o homem e suas expectativas. Conclui-se que o reduzido envolvimento dos acadêmicos com os cuidados em saúde decorre em função dos modelos de masculinidade que é estabelecida ao longo da vida do homem e assume uma forma, respeitando as diferenças entre os homens, ainda que, de uma mesma geração plural, etnia e classe social.
FORMAÇÃO, CUIDADO E DESENVOLVIMENTO DA PRIMEIRA INFÂNCIA NA ATENÇÃO BÁSICA: EXPERIÊNCIAS DE AGENTES COMUNITÁRIOS DE SAÚDE DO NORDESTE DO BRASIL
Authors: Arruda Carlos André Moura , Sousa Maria do Socorro de , Aquino Camila Machado de , França Tânia Maria de Sousa , Machado Márcia Maria Tavares
Published: January 2024

A primeira infância é uma etapa fundamental da vida para o desenvolvimento das estruturas física, psíquica e das habilidades sociais do ser humano. Objetiva-se identificar as estratégias e atividades desenvolvidas pelos agentes comunitários de saúde (ACS) na Atenção Básica à Saúde acerca do cuidado e desenvolvimento da primeira infância. Esta pesquisa se norteou pela abordagem qualitativa, em uma vertente crítico-interpretativa. Foram realizadas 31 entrevistas não-diretivas com ACS de 05 Unidades de Atenção Primária à Saúde (UAPS), do município de Fortaleza/Ceará. O material qualitativo foi submetido à análise hermenêutica, por meio do círculo hermenêutico. Destaca-se que os ACS desenvolvem atividades e estratégias voltadas para o acompanhamento da criança desde o nascimento, com destaque para a puericultura, orientações sobre o aleitamento materno exclusivo e imunização. Ainda, observou-se que a grande maioria dos ACS não recebeu nenhuma formação relativa ao desenvolvimento infantil. Há a necessidade de se pensar uma formação voltada para o desenvolvimento de ações e estratégias relativas à primeira infância, ante a necessidade dos ACS de incorporarem novos elementos à sua prática e aos seus conceitos.
Atenção Primária à Saúde em assentamentos rurais e comunidades quilombolas no Brasil
Authors: MACEDO JOAO PAULO , Silva Tatiane Meneses da , Dimenstein Magda , Leite Jader , Dantas Candida , Silva Kátya de Brito e
Published: January 2024

Este estudo teve como objetivo analisar a forma como tem se organizado no Brasil os serviços de Atenção Primária para a população que vive em áreas de assentamentos rurais e comunidades quilombolas. Trata-se de uma pesquisa de corte transversal, de natureza quantitativa, tendo como base as informações presentes nos microdados do processo de avaliação externa do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB). Verificou-se que os assentamentos estão concentrados em maior percentual nos estados das regiões Nordeste e Norte, as comunidades quilombolas estão nas regiões Nordeste e Sudeste e as equipes da Atenção Básica (Estratégia Saúde da Família e Núcleos de Apoio à Saúde da Família) possuem um alcance restrito a esses contextos. Identificou-se a existência de um delicado quadro de exclusão e iniquidade que se associam à falta de coordenação do cuidado e ordenamento dos fluxos assistenciais junto aos povos rurais e/ou tradicionais. Conclui-se que esses moradores, especialmente os de comunidades quilombolas, enfrentam muitos obstáculos e seguem excluídos dos cuidados básicos em saúde. Desse modo, torna-se necessário investir em uma reorganização dos processos de trabalho de forma a ampliar a capacidade resolutiva das equipes e a sustentabilidade dos vínculos entre profissionais e usuários
DIÁLOGOS ACERCA DA EXPERIÊNCIA DE TELEATENDIMENTO DE PACIENTES COM SÍNDROME GRIPAL
Authors: Solon Fábio , Bandeira da Silva Gregory Ramon , Guedes Alcoforado Aguiar Bruno
Published: January 2024

Diante da necessidade de distanciamento e isolamento social assumidas como medidas de enfrentamento importantes para a prevenção e controle da COVID-19, o uso da telemedicina foi oportuno e incorporado como dispositivo para a atenção à saúde no mundo inteiro. Objetivamos apresentar a experiência de teleatendimento de pacientes com síndrome gripal durante a pandemia da COVID-19, tendo em vista a necessidade de elaboração de estratégias para o cuidado em saúde. Trata-se de um estudo descritivo, do tipo relato de experiência, elaborado a partir da atuação do profissional médico de um município do nordeste brasileiro no serviço de teleatendimento de pacientes com síndrome gripal. A partir da análise dos dados produzidos em diários de campo reflexivos, elaboramos três unidades de significado, a saber: Sentimentos, emoções e expectativas oportunizadas pela pandemia de COVID-19; Análise da organização e funcionamento do serviço de teleatendimento de pacientes com síndrome gripal; e, Atitudes e dúvidas da população diante da convivência com a COVID-19 e disponibilidade do serviço. A partir da implantação desse serviço, compreendemos o movimento da população diante da pandemia de COVID-19. Além da percepção sobre o entendimento das medidas de enfrentamento disseminadas ao longo da pandemia, foi possível observar as reações, sentimentos e emoções da população, bem como identificar as principais necessidades e demandas para o cuidado. O serviço de teleatendimento contribuiu com a organização e funcionamento os serviços de saúde em rede, assumindo uma função educativa e de apoio diagnóstico, além de constituir dispositivo complementar de articulação e integração, principalmente, junto à atenção primária.
Experiências para a desjudicialização da saúde no Brasil
Authors: Diniz Silva Ludmilla , Veloso Oliveira Figueiredo Iara , Bahia Felicíssimo Zocratto Keli , Debôrtoli de Miranda Wanessa
Published: January 2024

Objetivos: Descrever a experiências para a desjudicialização da saúde no Brasil. Trata-se de uma revisão integrativa. Metodologia: Realizou-se uma Revisão Integrativa da literatura com buscas na Biblioteca Virtual em Saúde (BVS), Scientific Electronic Library Online (Scielo), Cadernos Ibero-Americanos de Direito Sanitário, Revista de Direito Sanitário da Universidade de São Paulo e Google acadêmico. Resultados e discussão: Os artigos analisados são unânimes em apresentar experiências exitosas que estabelecem arranjos institucionais dialógicos. Algumas experiências se destacam: Câmara Permanente Distrital de Mediação em Saúde (CAMEDIS) da Defensoria Pública do Distrito Federal; espaços de mediação e resolução de conflitos instituído pelo Ministério Público de Minas Gerais; Câmara de Resolução de Litígios em Saúde (CRLS), no Rio de Janeiro; e “SUS Mediado”, câmara de conciliação no estado do Rio Grande do Norte. Em contrapartida, a única experiência não exitosa identidicada, não contou com  participação plural dos setores interessados na temática. Os achados apontam que a desjudicialização é um caminho promissor e viável. Conclusões: Há necessidade de consenso como estratégia pré-processual, destacando os canais de comunicação entre os profissionais de saúde, executivo e o judiciário, o estabelecimento de câmaras de mediação e conciliação que tem um baixo custo, são céleres e visam suprimir conflitos e reduzir as demandas judiciais desnecessárias dos litígios em saúde.
Judicialização da Saúde e conflitos entre entes federados
Authors: Araújo Dias Thaís , José Leal de Vasconcelos Francisco , Matos Brayner Jose Clauber , Ara Thales , Araujo Dias Maria Socorro
Published: January 2024

A judicialização da política contempla a judicialização da saúde com efeitos no direito individual e coletivo à saúde. No curso da Covid-19 houve recorrente chamamento do STF para atuar em matérias de natureza referida. Ran Hirschl reconhece três faces da judicialização da política: judicialização das relações sociais, judicialização “vinda de baixo” e judicialização da megapolítica. Este estudo parte da hipótese de existência de uma nova face no cenário de judicialização da saúde e da judicialização de conflitos políticos entre os entes federativos, decorrentes da pandemia. Para testá-la, analisou-se, quantitativamente, o Painel de Ações da COVID disponível no sítio eletrônico do STF, no lapso temporal de fevereiro de 2020 a maio de 2021. Os resultados aludem sobre: judicialização da política, faces e desenhos; atuação do STF no curso da pandemia e a judicialização dos conflitos políticos federativos; e a judicialização do direito coletivo à saúde à luz das Ações Cíveis Ordinárias. Conclui-se que há uma nova face da judicialização da política presente nas ações relacionadas à Covid-19, que contempla conflitos que se encontram entre casos de política pura e consecução de direitos constitucionais. Esta premissa expressa a originalidade desta pesquisa que se reveste de relevância teórica, pela identificação de uma subface numa teoria internacional referenciada. Além da contribuição prática ao apresentar análise reflexiva sobre temática contemporânea. Como limitação tem-se que é possível que a hipótese desta subface da judicialização da política pode ser refutada ou confirmada por meio da análise da judicialização de outros direitos, em sede jurisdição constitucional ou não.
O efeito da pandemia de COVID-19 na coleta de material do colo do útero para exame citopatológico no Brasil
Authors: DIAS LACI MARCOS , Montagner Maria Inez
Published: January 2024

Objetivo:  verificar o efeito da pandemia de COVID-19 no procedimento de coleta de material de colo do útero para exame citopatológico. Metodologia: Tratou-se  de uma pesquisa quantitativa, em que as informações foram obtidas no site oficial do Ministério da Saúde, DATASUS, com busca sobre a produção ambulatorial no Sistema Único de Saúde, por local de atendimento, com o levantamento de dados referente à quantidade aprovada, por ano de processamento, segundo a Região/Unidade da Federação, do procedimento 0201020033,  coleta de material do colo do útero para exame citopatológico , do grupo 02 (dois), procedimentos com finalidade diagnóstica, sendo  analisado o período compreendido entre janeiro de 2016 a dezembro de 2021.Resultados e Discussão. No período estudado foram realizados 51.472.809 procedimentos de coleta de material do colo do útero em todo o país. Sendo região sudeste a que mais realizou esse procedimento com 23.411.334 e a região Centro Oeste com apenas 2.935.699, a que menos fez a coleta de material uterino. Discutiu-se então, o impacto das notas técnicas emitidas pelo INCA, direcionando os profissionais a orientarem a população a não procurarem por esse tipo de procedimento durante a pandemia e como se dará a retomada das coletas de material pós pandemia.   Conclusão. Observou-se, que houve uma redução dos procedimentos preventivos de coleta de material uterino, conforme os dados apurados em todo território nacional, devido a suspensão dos serviços, acarretando um grande volume de exames não realizados.
Existem bases jurídico-sanitárias para a comercialização de testes genéticos de venda direta ao consumidor no Brasil?
Authors: Leite e silva Isabella Maria , Barbosa Silva Oswaldo José
Published: January 2024

O ensaio tem por objetivo a análise de fundamentos jurídico-sanitários no Brasil para a comercialização direta ao público de testes genéticos. Aponta para a crescente comercialização de testes genéticos que determinam não apenas a ancestralidade individual, como também possíveis enfermidades genéticas que possam acometer o indivíduo. Também se questiona se a remessa de material genético para bancos de dados genéticos, formados a partir dessas testagens desregulamentadas, ensejam uma quebra da juridicidade de normas legais e infralegais. Para isso, analisa-se o arco normativo sobre o tema e legislação correlata da Agência Nacional de Vigilância Sanitária-Anvisa, concluindo-se que há um lapso normativo para a comercialização de testes genéticos no Brasil.