bluuebunny/crossref_metadata_2025 huggingface dataset:
Cuidados de enfermagem no alívio da dor de recém-nascido: revisão integrativa
Authors: Farias Leiliane Martins , Viana Rêgo Rita Maria , Teixeira Lima Francisca Elisângela , Araújo Thelma Leite de , Leitão Cardoso Maria Vera Lúcia Moreira , e Souza Ângela Maria Alves
Published: February 2023

Pesquisa bibliográfica que objetivou identificar em publicações de enfermagem as ações não farmacológicas utilizadas para o alívio da dor de recém-nascidos. Levantamento realizado em maio de 2010, com os descritores "dor", "recém-nascido" e "enfermagem", nas bases de dados LILACS, PubMed, CINAHL e SCOPUS. Foram selecionados 12 artigos, em que foram evidenciadas como medidas não farmacológicas de alívio da dor: chupeta de glicose a 25%, sucção não nutritiva, mudança de decúbito, massagens, posição canguru, cheiro da mãe, musicoterapia, presença dos pais e imagens para distração. Inferiu-se que as medidas não farmacológicas podem aliviar a dor do RN e que o uso destas na prática de enfermagem proporciona resultados favoráveis para redução da dor de recém-nascidos. Logo, sugere-se elaboração de pesquisas experimentais para fundamentar e subsidiar a prática baseada em evidências.
Amputações por pé diabético e fatores sociais: implicações para cuidados preventivos de enfermagem
Authors: Vieira Santos Isabel Cristina Ramos , Nunes Émilli Natália dos Santos , Melo Caroline Amorim , Farias Débora Gomes
Published: February 2023

Muitos estudos têm apontado fatores de risco associados à ocorrência de amputação por pé diabético, no entanto, a análise dos fatores sociais tem sido pouco estudado. O objetivo deste estudo foi o de verificar a ocorrência de amputações em portadores de pé diabético segundo fatores sociais e suas respectivas implicações para os cuidados preventivos de enfermagem. Estudo epidemiológico retrospectivo, do tipo caso-controle. A amostra foi composta por 64 portadores de pé diabético internados na clínica vascular de um hospital público do Recife. Para cada paciente submetido à amputação coube o exame de um controle. Os resultados mostraram a existência de associação entre amputação e anos de estudo inferior a cinco anos, renda familiar de até um salário mínimo e número de 3 a mais pessoas residindo no domicílio. O conhecimento destas associações requer de gestores públicos e dos profissionais da atenção básica o planejamento de estratégias diferenciadas de abordagem e acompanhamento da população em risco.
Sentimentos e expectativas vivenciados pelas primigestas adolescentes com relação ao parto
Authors: Mota Elizabeth Moreira , Oliveira Mirna Fontenele de , Victor Janaína Fonseca , Pinheiro Ana Karina Bezerra
Published: February 2023

Objetivou-se conhecer os sentimentos e expectativas vivenciadas por primigestas adolescentes no terceiro trimestre de gravidez com relação ao parto. Estudo qualitativo, realizado nos meses de janeiro e fevereiro de 2007, no ambulatório de pré-natal, do município de Maracanaú–CE-Brasil. Os dados foram coletados através de entrevista realizada com 20 adolescentes. Foram evidenciadas as seguintes categorias: dor — significado de parir; sentindo-se insegura; receio do que possa acontecer com o bebê; necessidade de orientações. Os resultados mostraram que a maioria das gestantes, ao referir a dor como um sentimento marcante no processo parturitivo, revela medo diante do desconforto que esta pode provocar, além de receio também com a vitalidade do bebê e dúvidas sobre como criá-lo. A adolescente grávida enfrenta mudanças biológicas e psicossociais, sendo essencial a sensibilização dos profissionais de saúde com relação à magnitude do parto para essa mãe e família.
Compreendendo o cotidiano profissional do enfermeiro-líder
Authors: Kian Kauhana Oliveira , Matsuda Laura Misue , Pagliarini Waidmann Maria Angélica
Published: February 2023

Estudo do tipo qualitativo, da modalidade Análise Temática, que teve como objetivo apreender a percepção de enfermeiros-líderes de uma instituição de ensino público sobre o seu trabalho. A coleta de dados foi realizada por meio de entrevista gravada, com cinco enfermeiros, durante o mês de novembro de 2009. Após organização e análise dos dados, emergiram as categorias temáticas fatores que intervêm positivamente na atuação do enfermeiro-líder; fatores que intervêm negativamente e; influência do estilo de liderança na vida pessoal e profissional do enfermeiro-líder Dentre os fatores que se destacaram constam: na primeira categoria, a inexperiência da equipe e o trabalho exaustivo; na segunda, as boas condições de trabalho, de remuneração e características pessoais do enfermeiro e; na terceira, a interferência ou não do cargo na qualidade de vida. Concluiu-se que na instituição investigada, de modo geral, o enfermeiro-líder percebe o seu trabalho como possibilidade de se desenvolver e crescer profissionalmente.
A jump to the future: trainning centers and health services building professional formation in health
Authors: Silva Maria Josefina da
Published: February 2023

The Reorientation Program of the Health Professional Training (Pro-Health) was launched in November 2005 by the Ministry of Health and Education. Relying on the cooperation of the Pan American Health Organization (PAHO), they have assumed the responsibility of giving technical and financial support for the courses they choose for facing the processes of change on the basis of professional formation, inserting the students in real scenarios of practice, with emphasis on primary care since the beginning of their formation.
Reflexões de portadores de HIV/aids acerca da terapia antirretroviral
Authors: Galvão Marli Teresinha Gimeniz , Gouveia Aline de Souza , Fiúza Maria Luciana Teles , Costa Ênia
Published: February 2023

Objetivou-se apresentar reflexões das temáticas discutidas por portadores de HIV/aids acerca da terapia antirretroviral (TARV) em grupo de autoajuda. Trata-se de estudo descritivo, documental e retrospectivo. Foram analisados registros de 71 grupos desenvolvidos entre 2007 e 2009 em ambulatório especializado em Fortaleza-Ceará/Brasil. As falas sobre terapia antirretroviral foram categorizadas por inferência de conteúdos semelhantes: 1. Vivenciando um cotidiano medicamentoso, 2. Representações da TARV sobre o corpo; 3. Encarando doenças secundárias decorrentes do uso das medicações; e 4. Vivendo positivamente o cotidiano decorrente do uso das drogas específicas. Concluiu-se que apesar do avanço da TARV, muitas dificuldades fazem parte do cotidiano dos infectados. Assim, evidencia-se a importância das estratégias grupais como propiciadoras de melhor enfrentamento em face da doença e do tratamento medicamentoso, particularmente, em virtude da troca de experiências. Portanto, a enfermagem deve estar atenta ao desenvolvimento de atividades grupais aptas a ensejar melhor qualidade de vida aos pacientes.
Ações do Agente Comunitário de Saúde no diagnóstico da tuberculose pulmonar
Authors: Dantas Dândara Nayara Azevêdo , da Silva Marcela Paulino Moreira , de Oliveira Déborah Raquel Carvalho , Enders Bertha Cruz , dos Anjos Paiva Ramon Evangelista , Arcêncio Ricardo Alexandre
Published: February 2023

O objetivo do estudo foi analisar as ações do Agente Comunitário de Saúde no diagnóstico da tuberculose pulmonar na Atenção Primária à Saúde. Pesquisa descritiva, quantitativa, realizada com amostra de 110 Agentes Comunitários de Saúde de Natal, entre julho e setembro de 2009 e utilizando um questionário construído a partir do Primary Care Assesment Tool. A análise descritiva dos dados mostrou que 62,7% dos agentes investigavam, nas visitas domiciliares, se as pessoas apresentavam tosse; 57,3% sempre orientavam os Sintomáticos Respiratórios a coletar o escarro; 60% dificilmente encontravam dificuldade de convencer o usuário a colher o escarro e 44,5% das unidades possuíam geladeira ou caixa térmica para acondicionar o escarro. Conclui-se que a maiorias dos agentes nesse município realizavam as ações de diagnóstico. Contudo, estes enfrentam empecilhos no sistema que podem inviabilizar o diagnóstico precoce da doença e portanto o seu controle.
Perfil de idosos cadastrados numa Unidade Básica de Saúde da Família de Fortaleza-CE
Authors: Clares Jorge Wilker Bezerra , Almeida Paulo César de , Galiza Francisca Tereza de , Queiroz Terezinha Almeida
Published: February 2023

Estudo descritivo, de abordagem quantitativa, que descreve o perfil demográfico, socioeconômico e de saúde de idosos cadastrados em uma unidade básica de saúde da família de Fortaleza-CE-Brasil. Os dados foram coletados em maio a junho de 2011, mediante inquérito domiciliar, com aplicação de formulário a 52 idosos. Os resultados revelaram uma população predominantemente feminina (69,2%), com pouca escolaridade (88,5%), aposentada (69,2%) e com baixa renda mensal (96,2%). Quanto à situação de saúde, a doença cardiovascular apresentou maior prevalência entre as mulheres (p=0,005). Houve predomínio da hipertensão arterial (48,1%) e do diabetes (15,4%). Percentual significativo dos idosos confirmou que não aderia à terapêutica medicamentosa (33,3%). Considera-se que os dados que caracterizam os idosos assistidos na atenção primária são fundamentais para traçar estratégias de educação em saúde para atender suas necessidades.
A atuação dos Agentes Comunitários de Saúde do município de Teresina/Piauí sobre hanseníase
Authors: Lopes de Araújo Danielle Yasmin Moura , Andrade Jaciara Sousa , Madeira Maria Zélia de Araújo
Published: February 2023

A Hanseníase é uma doença infecto-contagiosa cujo controle é um grande desafio. Neste contexto, o agente comunitário de saúde (ACS) exerce papel fundamental uma vez que estabelece vínculo entre a comunidade e a Unidade Básica de Saúde (UBS). Objetivou-se analisar a atuação dos ACS de Teresina/PI/Brasil sobre Hanseníase. Trata-se de um estudo transversal, com abordagem quantitativa. Para coleta de dados utilizou-se um questionário com perguntas fechadas sobre a atuação dos ACS, aplicado a 178 agentes, da regional centro-norte de Teresina, em abril de 2010. Os resultados revelaram que 94,38% dos ACS orientam alguma medida preventiva, a medida mais citada foi o encaminhamento para a UBS (78,92%); 61,24% orientam medidas de autocuidado, sendo o cuidado com os olhos e nariz mencionada por 11,93% e 14,68% destes, respectivamente. Por conseguinte, constata-se que a atuação dos ACS sobre Hanseníase não segue as recomendações do Ministério da Saúde, sendo insuficiente e por vezes incorreta.
Técnica da amamentação: preparo das nutrizes atendidas em um hospital escola, Recife-PE
Authors: Silva Isadora Maria Delmiro , da Silva Kelly Vasconcelos , Leal Luciana Pedrosa , Javorski Marly
Published: February 2023

O estudo objetivou avaliar a técnica de amamentação em nutrizes e seus filhos na primeira consulta em um hospital escola. Estudo transversal, quantitativo, realizado mediante entrevistas a 44 nutrizes primíparas, utilizando roteiro estruturado com base nas recomendações da Organização Mundial da Saúde para avaliação da técnica de amamentação. A associação entre a técnica de amamentação e as variáveis independentes foi estimada por meio do teste Qui-quadrado e teste de Fisher exato. Das nutrizes estudadas apenas 43,2% apresentaram a técnica correta, incluindo a posição e a pega. A fissura mamilar foi referida por 92% das mulheres que apresentavam técnica incorreta, sendo esta associação estatisticamente significante. Neste estudo a técnica se revelou como fator determinante na prevenção de fissuras. A alta prevalência de técnica incorreta na amamentação aponta para necessidade de intervenção educativa precoce junto às nutrizes.
Qualidade de vida e capacidade funcional de idosos residentes na zona rural
Authors: Tavares Darlene Mara dos Santos , Junior Sebastião Augusto Gávea , Dias Flávia Aparecida , Santos Nilce Maria de Freitas , Oliveira Paula Beatriz de
Published: February 2023

Inquérito domiciliar transversal que objetivou mensurar a qualidade de vida (QV) dos idosos rurais de Uberaba-MG, descrever a capacidade funcional e verificar seus fatores associados. Participaram 850 idosos. Utilizaram-se os instrumentos: semi-estruturado, WHOQOL-BREF e WHOQOL-OLD. Realizaram-se análise descritiva, teste qui-quadrado e regressão linear múltipla (p<0,05). Prevaleceu sexo masculino (52,8%), 60|-70 anos (60,6%), casados (67,3%), 4|-8 (36,7%) anos de estudo, renda individual de um salário mínimo (48,1%), aposentados por idade (39,6%), dona de casa (39,3%) e casa própria (68,9%). Os menores escores de QV estiveram no domínio meio ambiente (63,31) e faceta participação social (68,01). Para as atividades básicas de vida diária, 99,8% eram independentes. A ausência de escolaridade, a maior idade e o maior número de morbidades associaram-se à incapacidade funcional para a realização das atividades instrumentais de vida diária. Deve-se estimular a funcionalidade do idoso e criar estratégias de organização e ampliação das atividades sociais.
Educação em saúde como estratégia para melhoria da qualidade de vida dos usuários hipertensos
Authors: Menezes Júnior João Evangelista , de Queiroz Johny Carlos , Azevedo Fernandes Suzana Carneiro de , de Oliveira Lucídio Clebeson , Fernandes Coelho Samara Queiroz
Published: February 2023

O estudo objetiva analisar a prática de educação em saúde junto aos enfermeiros da rede de atenção básica enquanto estratégia para a melhoria da qualidade de vida dos usuários portadores de hipertensão arterial. Trata-se de uma pesquisa descritiva, qualitativa, realizada com enfermeiros que executam atividades de educação em saúde com hipertensos. Para a coleta utilizou-se um roteiro norteador no período de abril e maio de 2011 subsidiando a análise proposta por Bardin. Constatou-se que os enfermeiros compreendem a importância da realização da educação em saúde junto aos usuários, mesmo que esta prática apresente traços do modelo de educação em saúde que sobrepõe o saber científico em detrimento do popular. Faz-se necessário buscar embasamentos teóricos que garantam aos enfermeiros uma percepção dialógica do processo educar em saúde, garantindo ao usuário qua
Consulta de enfermagem e hipertensão arterial na Estratégia Saúde da Família: proposta de instrumento
Authors: Codogno Larissa , Toledo Vanessa Pellegrino , Marocco Duran Érika Christiane
Published: February 2023

Objetivou-se elaborar instrumento para consultas de enfermagem ao portador de hipertensão arterial atendido na Estratégia Saúde da Família, baseado no modelo de Horta. Contempla dados de identificação, anamnese, exame físico, diagnóstico, resultados esperados, prescrição e evolução de enfermagem. Um instrumento para guiar a consulta de enfermagem possibilita identificar variáveis individuais e sociais que influenciam na evolução da hipertensão, contribuindo para mudança no estilo de vida e favorecendo um plano de cuidados. Nas práticas de enfermagem na estratégia saúde da família, tem-se a consulta de enfermagem como facilitadora das relações enfermeiro-portador de hipertensão arterial. Ressalta-se a importância do registro dos dados, enfocando qualidade na produção realizada, incremento das ações extra-muros, das ações educativas e atividades grupais e coletivas. Sugere-se a utilização da Classificação Internacional para a Prática da Enfermagem para uniformização da linguagem empregada pelo enfermeiro na Saúde da Família, e o desenvolvimento de uma investigação para aplicabilidade deste modelo.
Discourse on Legal Aid for Children in Rape Crime Cases (Study of Decision Number 138/Pid.Sus/2020/PN.Pti)
Authors: Novianti Dian , Sudrajat Erika
Published: February 2023

Along with the times, it has implications for the development of a crime. Rape is one of the taboo criminal acts in society, if in the past rape was generally carried out by adults in this era, it is possible that children can become perpetrators and become victims of rape. Children are the image of the nation in the future who carry noble values ​​and ideals of the nation. The need for massive and sustainable legal and non-juridical protection of children is the obligation of all parties. The crime of rape committed by children against children is a special case where the handling is certainly not the same as handling other cases in general. Seeing further that the perpetrators and victims are still minors, there will be many conflicts between the sociological rules and the juridical aspects in general, the role of institutions and law enforcement officers is needed for the creation of justice. In solving the problem of rape committed by children with child victims, then there are two interests and two rights of children that are confronted with each other, both of which still have a long future ahead so that in handling it must receive special attention, even though this cannot be immediately eliminate the crime that has been committed by the child. Ordinary people will think that rape is a taboo subject, because of this mindset, the victim will tend to be cornered and just remain silent without getting justice. Victims of sexual violence/rape have the right to obtain legal assistance and obtain justice for the rights of victims who have been violated. Then how important is legal aid for victims of child rape crimes committed by children.
Implementation of Free Legal Aid (Pro Bono) for the Poor in Indonesia
Authors: Putri Hani Rafika
Published: February 2023

The obligation to provide free legal aid by advocates has been stipulated in Article 22 of Law Number 18 Year 2003 regarding Advocate. As a respectful profession (officium nobile), advocate has duty and responsibility to embody rule of law principle. Pro bono legal service is a duty of every advocate as mandated by Advocate Law. This research uses normative approach and is descriptive analysis in manner. The researchers uses library research to process the data. This research aims to analyse the implementation of pro bono legal service by advocates and bar association in Indonesia. Despite of bar association, in this regard Perhimpunan Advokat Indonesia (PERADI) has established a special work unit to implement the function of pro bono legal service, Pusat Bantuan Hukum in the regions in Indonesia, However, in practice, the interest of lawyers to carry out this obligation and their reporting is still minimal. This study intends to determine the cause of the lack of interest in lawyers in provide free legal assistance.
O perfil socioeconômico e profissional do trabalhador-estudante do curso de pós-graduação lato sensu em docência (EaD) do Instituto Federal de Minas Gerais - Campus Arcos
Authors: Bento Elaine Gonçalo , Do Nascimento Dandara Lorrayne
Published: February 2023

Este artigo traz resultados de uma pesquisa desenvolvida no campo da Educação a Distância (EaD) que teve como objetivo principal investigar sobre as condições dos trabalhadores-estudantes na modalidade de Educação a Distância (EaD) do IFMG Arcos. A pesquisa realizou-se por meio de uma abordagem qualitativa e da aplicação de questionário eletrônico socioeconômico. Pode-se concluir com base nos dados obtidos e respaldando-se na teoria, que de um modo geral, os perfis de trabalhadores-estudantes estão cada vez mais presentes na EaD, e tal modalidade de ensino implica inúmeros desafios no processo de ensino-aprendizagem, estes se dividem entre o trabalho e estudo na EaD e possuem maior necessidade de gerenciamento do tempo com as atividades diárias.
Study of age-related morphological changes in the vaginal process of the peritoneum in children
Authors:   National Pirogov Memorial Medical University, Vinnitsa, Ukraine, Havryliuk A.V. , Konoplitskyi V.S. ,   National Pirogov Memorial Medical University, Vinnitsa, Ukraine
Published: February 2023

Statistics state that nosologies resulting from an impaired obliteration of the processus vaginalis of the peritoneum (inguinal hernia, testicular hydrocele, cyst of spermatic cord elements) maintain a high level in the statistics of children's diseases. According to the literature, the above-mentioned diseases and complications in their treatment can cause male infertility which, in turn, will lead to a decrease in the reproductive health of the nation. Purpose - to study changes in morphological structures in the specimen of the vaginal process of the peritoneum based on the age of the child. Materials and methods. Children under the age of 8 years old, of both sexes, with an impaired obliteration of the vaginal process of the peritoneum (inguinal hernias, hydroceles, cysts of the elements of the spermatic cord) were subjected to the study. During the surgical procedure, surgical specimen of the wall of the processus vaginalis of the peritoneum was collected for the purpose of further morphological examination. Results. Muscular, fibrous and fatty elements in different proportions were found in histological specimens. The presence of degenerative pathohistological changes that contribute to the development of hernial defects of the inguinal canal was established. Thus, there is an age-related development of the muscle fibers atrophy of the processes with vacant replacement mainly by adipose tissue. Conclusions. Therefore, by analyzing the histological observations of the vaginal process of the peritoneum in children with an impaired obliteration of the vaginal process of the peritoneum, it is possible to draw a conclusion that the amount of fatty elements in the tissue of the vaginal process directly depends on the age of the child and the muscle elements in the tissue of the vaginal process inversely depend on the age of the child. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.
Polymorphism of clinical manifestations, experience of diagnosis and treatment of multisystem inflammatory syndrome associated with COVID-19 in children
Authors:   National Pirogov Memorial Medical University, Vinnytsya, Ukraine, Pypa L.V. , Odarchuk I.V. ,   National Pirogov Memorial Medical University, Vinnytsya, Ukraine, Lysytsia Yu.M. ,   National Pirogov Memorial Medical University, Vinnytsya, Ukraine, Ruda V.I. ,   National Pirogov Memorial Medical University, Vinnytsya, Ukraine, Krenov K.Yu. ,   National Pirogov Memorial Medical University, Vinnytsya, Ukraine
Published: February 2023

Purpose - to analyze the literature data on possible variants of the course of pediatric multisystem inflammatory syndrome (PIMS-TS) in children; to describe our own experience in the diagnosis and treatment of some cases of PIMS-TS in children of different age groups; to present possible variants of clinical manifestations of the above disease; to draw attention to the need for early diagnosis and team care and treatment of such children. This novel clinical syndrome later identified as PIMS-TS temporally associated with SARS-CoV-2. In contrast with KD, PIMS-TS appears to occur in children at an older age with a predominance of gastrointestinal symptoms, hemodynamic instability, and myocardial dysfunction. However, the exact pathomechanism remains to be understood. Nevertheless, the post-viral immunological reaction is postulated to be the underlying mechanistic underpinnings. The paper describes the clinical course of the disease in a 5-year-old boy who complained of abdominal pain and hyperthermia, and the disease was masked by surgical pathology. The phenomena of intoxication syndrome, polyserositis, skin manifestations in the form of a polymorphic rash, hyperemia of the conjunctiva, swelling of the feet and hands increased in dynamics. The course of the disease in a 10-year-old girl who had symptoms of a viral infection is also described. However, upon going to the hospital, both children were diagnosed with a serious condition, they were hospitalized and given appropriate treatment. Therefore, the multifaceted nature of the PIMS-TS’ course underlines the need for early recognition and multispecialty care and management. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.
Course of COVID-19 in immunocompromised patients
Authors:   I. Horbachevsky Ternopil National Medical University, Ukraine, Hariyan T.V. , Tomashivska T.V. ,   Ternopil City Children’s Hospital, Ukraine, Dyvonyak O.M. ,   Ternopil City Children’s Hospital, Ukraine, Pavlyshyn G.A. ,   I. Horbachevsky Ternopil National Medical University, Ukraine, Boyarchuk O.R. ,   I. Horbachevsky Ternopil National Medical University, Ukraine
Published: February 2023

Purpose - to analyze the currently described variants of the course of COVID-19 in immunocompromised patients in order to inform the medical community and focus on this problem. Two clinical cases of different course of COVID-19 in patients with primary immunodeficiencies, both mild, asymptomatic and severe, with a fatal outcome, are presented. In the first case, in a child with Nijmegen breakage syndrome, despite lymphopenia, the course of SARS-CoV-2 was asymptomatic, which may be due to the regular administration of immunoglobulin for replacement purposes. The peculiarity of the second case was a repeated episode of COVID-19 in an immunocompromised child with APECED. The first episode of COVID-19 in September 2020 had a mild course, but led to the manifestation of immunodeficiency symptoms. The present symptoms (retinopathy, hepatitis), except for mild mucosal candidiasis, are not part of the triad of classic APECED symptoms, although along with the reaction to the live vaccine, they made it possible to suspect immunodeficiency. Immunosuppressive therapy contributed to stabilization of hepatitis, but ocular symptoms were without positive dynamics. The second episode of COVID-19 was observed in January 2022. It proceeded with prolonged fever for 2 weeks, which was resistant to treatment, with progressive cytopenia, hypoproteinemia, hypoalbuminemia, signs of active hepatitis, hyperferritinemia, elevated triglycerides; coagulopathy with low fibrinogen levels. Subsequently, signs of pneumonia were added, confirmed by radiology. Another feature of this case was the presence of a mixed infection - COVID-19 and Epstein-Barr virus infection. The cause of death in this case was not only COVID-19 pneumonia, but also progressive macrophage activation syndrome. Conclusions. Thus, the sequence of COVID-19 in patients with inborn errors of immunity can be either asymptomatic and mild or fatal, depending on the type of immune disorders, the therapy received, and concomitant conditions. SARS-CoV-2 in immunocompromised individuals requires close attention for timely diagnosis of life-threatening conditions. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.
Government Intervention and the Improvement of Competitiveness of the National Coffee Industry: The Case of Indonesian Gayo Coffee
Authors: Luneto Riska
Published: February 2023

This article analyses the Indonesian government's intervention to increase the competitiveness of its national coffee industry, especially one of its speciality coffees known as Gayo coffee. It aims to describe the value of Gayo coffee competitiveness based on the level of production, export volume and income of coffee farmers.  In doing so, this study used Michael Porter's competitive advantage analysis which is known as the diamond model concept. The findings show that the four indicators in the diamond model concept cannot be fulfilled to make Gayo coffee a product that has competitive advantages for the government intervention was not sufficient in improving the good climate of the Gayo coffee industry. Stakeholders' cooperation in the coffee industry is needed to improve or continue the government efforts so that the Indonesian coffee industry can be competitive with the ones from other countries.
An Archaeology of the Sky in Gaul in the Augustan Period
Authors: García Quintela Marco V , González-García A César , Espinosa-Espinosa David , Rodríguez-Antón Andrea , Belmonte Juan A
Published: February 2023

Ancient Gaul was transformed during the reign of Augustus (r. 31 BC–14 AD) through a major programme of city building. The new Roman cities were constructed according to topographic, health and ritual considerations, and we hypothesise that their orientations also reflect distinct celestial conceptions held by the Gauls and by the Roman emperor Augustus. Our study of the orientation of 60 cities verifies the existence of coherent patterns, and distinguishes two dominant schemes: a pattern prevailing in the south and focused on cardinal orientations, possibly related to the dies natalis of Augustus; and a pattern dominant in the north, focused on the dates of the festivities at the beginning of the seasons from the Celtic tradition. We argue that the orientation of the cities was used by the Gallic elites to express the validity of their cultural tradition when they became a part of the Roman Empire.
Liz Henty, Exploring Archaeoastronomy: A History of Its Relationship with Archaeology and Esotericism
Authors: Hutton Ronald
Published: February 2023

Liz Henty, Exploring Archaeoastronomy: A History of Its Relationship with Archaeology and EsotericismOxford: Oxbow Books, 2022, 278pp, b/w and colour illus. ISBN 978 1 78925 786 1.
Acknowledging foreign language anxiety among student teachers of English
Authors: Nilsson Maria
Published: February 2023

Foreign language anxiety (FLA) has been found among language learners in all educational contexts investigated. There is strong consensus as to the negative effects of FLA on various aspects of language learning, but also on teaching, affecting language use and teaching approaches. In primary language teacher education, FLA must be counteracted both for the sake of student teachers but also their future learners, as striving to alleviate FLA will be a crucial aspect of their profession. The current study investigated FLA among 193 Swedish pre-service non-native generalist teachers or English, by use of a questionnaire about oral classroom interaction. Results revealed that a third of student teachers experienced recurrent FLA. Furthermore, the instrument had previously been used with primary learners of English in the same educational region, which allowed for a comparison of levels and triggers of FLA (Nilsson, 2019). Student teachers reported more negative affect than young learners, and also confirmed the same contextual triggers of FLA. In light of the results, challenges and opportunities in relation to generalist language teacher education are discussed. In sum, explicitly addressing FLA during their education is a way of better preparing all student teachers for their future professional practice in primary school.
Exploring language examiner training as professional learning in a Canadian teacher education program
Authors: Arnott Stephanie , Smith Cameron , Battistuzzi Amanda , Adatia Shelina , Vignola Marie-Josée
Published: February 2023

This study examines the potential impact of training informed by the Common European Framework of Reference (CEFR) on future French as a second language (FSL) teachers’ language proficiency and developing pedagogical practice. Specifically, it examines the implementation of the Diplôme d’Études de Langue Française [DELF] Correcteur training in a Canadian preservice FSL teacher education program from 2018 to 2021. Findings from surveys (N = 42) and semi-structured interviews (n = 3) reveal key possibilities and limitations for this training to optimize language teacher preparation, eventual transition to the field, and overall retention in the Canadian FSL teaching context.
conceptual framework to understand language teacher identities
Authors: Yazan Bedrettin
Published: February 2023

Language teacher identity (LTI) has recently become a prominent theme in the second language teacher education (SLTE) research because teacher identities play a major role in teachers’ learning-to-teach processes and instructional practices. Teacher identity refers to teachers’ dynamic self-conception and imagination of themselves as teachers, which shifts as they participate in varying communities, interact with other individuals, and position themselves (and are positioned by others) in social contexts. Therefore, it casts an influence upon a wide array of matters, ranging from how language teachers learn to perform their profession, how they practice theory and theorize their practice, how they educate their students, and how they interact and collaborate with their colleagues in their social setting. This paper offers a conceptual framework for LTI that explicates the interrelationships between teacher identity and these core constructs: teacher learning, teacher cognition, teachers’ participation in communities of practice, contextual factors, teacher biographies, and teacher emotions.
Survey Weights in the 2018 National Ambulatory Medical Care Survey Adjusted Using Iterative Proportional Fitting
Authors: Strashny Alex , Schappert Susan , Santo Loredana , Vladislav Beresovsky
Published: February 2023

This report describes the adjustment of survey weights for the 2018 NAMCS using iterative proportional fitting.
Infective endocarditis and COVID-19: the impact of SARS-CoV-2 infection on diagnostics, course, and prognosis
Authors: Kotova E. O. , Pisaryuk A. S. , Kobalava Zh. D. , Timofeeva Yu. A. , Chipigina N. S. , Karaulova Yu. N. , Ezhova L. G.
Published: February 2023

Aim. To study the impact of coronavirus disease 2019 (COVID-19) pandemic on hospitalization rates, diagnosis, and outcomes of infective endocarditis (IE) with a subanalysis of IE course in combination with COVID-19.

Material and methods. This prospective cohort study included 168 patients with definite or probable IE (DUKE 2015) hospitalized in the V.V. Vinogradov City Clinical Hospital from July 2017 to July 2022. All patients underwent a conventional examination in accordance with current clinical guidelines. We studied clinical, paraclinical and etiological parameters, as well as outcomes.

Two clinical observations of the combination of IE and COVID-19 are presented.

Results. When assessing the local registry of patients with IE, a trend towards an increase in hospitalizations rate of IE in 2021-2022 was shown, with a decrease during the period of long-term lockdowns in Moscow and a subsequent surge after their cancellation. Patients with IE during the COVID-19 pandemic had a more favorable clinical profile, a 2-fold increase in IE diagnosis (due to late hospitalization), frequent detection of Staphylococcus aureus MSSA (32,6%), and frequent surgical treatment (up to 87,6% with a combination of IE and COVID-19), as well as high in-hospital mortality, but without a tendency to increase (30,4%). Clinical observations of IE and COVID-19 combination are presented, which demonstrates the contribution of COVID-19 as the only risk factor for native tricuspid valve IE in a patient without predisposing causes, as well as a factor in the unfavorable prognosis for native aortic valve IE after the addition of COVID-19, which led to lethal outcome.

Conclusion. The present study demonstrates the profile of patients with IE and COVID-19 depending on the epidemiological situation of COVID-19 and the association with SARS-CoV-2 infection. The data obtained make it possible to discuss the potential relationship between COVID-19 and IE. The "endocarditis team" determines the timely implementation of surgery and the absence of an increase in inhospital mortality, regardless of the epidemiological situation.
Carotid endarterectomy in Russia. What if current guidelines do not answer difficult questions?
Authors: Sukhareva A. V. , Raikonen V. A. , Lenskaya S. V. , Chelpanova K. V. , Shmatov D. V. , Korotkikh A. V. , Lebedev O. V. , Artyukhov S. V. , Mukhtorov O. Sh. , Lider R. Yu. , Wang Sh. , Roshkovskaya L. V. , Khetagurov M. A. , Unguryan V. M. , Kazantsev A. N. , Belov Yu. V.
Published: February 2023

This literature review covers the publications of Russian vascular surgeons in recent years and deals with debatable issues of carotid surgery, including: 1. What is the best technique for carotid endarterectomy (CEA)? 2. Why does restenosis of the internal carotid artery (ICA) develop and how to eliminate it? 3. How to operate on bilateral ICA stenosis? 4. Should carotid glomus be preserved? 5. Is CEA safe in the acute phase of cerebrovascular accident (CVA)? 6. Is CEA safe in elderly patients? 7. How to operate on patients with combined internal carotid and coronary artery involvement? The evidence presented in this publication makes it possible to draw the following conclusions: 1. When choosing a CEA technique, the classical technique with patch angioplasty should be avoided due to the high risk of ICA restenosis. 2. To eliminate ICA restenosis, carotid angioplasty with stenting (CAS) should be used. When performing primary CEA with ICA transposition over the hypoglossal nerve, reCEA can be used 3. In the absence of contraindications, bilateral ICA stenosis can be operated at the same time using CEA. 4. CEA with carotid glomus preservation is the operation of choice in the treatment of patients with hemodynamically significant ICA stenosis due to the elimination of the risks of postoperative hypertension and the formation of hemorrhagic transformation. 5. If there are indications for cerebral revascularization in the most acute period of stroke, CEA should be abandoned in favor of CAS. 6. In old age, CAS is the safest treatment strategy. 7. In the presence of a combined ICA and coronary involvement, the choice of treatment tactics should be carried out only by a multidisciplinary commission, taking into account the risk stratification of adverse cardiovascular events.
Influence of intravenous ferric carboxymaltose on non-invasive parameters of left ventricular myocardial work in patients with heart failure with reduced ejection fraction
Authors: Kobalava Zh. D. , Safarova A. F. , Lapshin A. A.
Published: February 2023

Aim. To assess non-invasive parameters of left ventricular (LV) myocardial work in patients with heart failure with reduced ejection fraction (CHrEF) and iron deficiency (ID) after ferric carboxymaltose (FCM) therapy.

Material and methods. There were following inclusion criteria: LV ejection fraction (EF) ≤40%; body >70 kg, receiving best medical therapy (BMT) in recommended doses in accordance with the guidelines of the European Society of Cardiology and the Russian Society of Cardiology. Median age was 67±11,7 years (men, 83%), while median LVEF and N-terminal pro-brain natriuretic peptide was 29% and 315 ng/ml, respectively. Patients were randomized by the envelope method. The first group consisted of 19 patients who received therapy with intravenous FCM 1500 mg in 2 injections with an interval of one week between injections in addition to BMT. The control group consisted of 16 patients who received BMT without FCM. All patients underwent a standard echocardiography, and non-invasive LV myocardial work was assessed immediately before inclusion in the study and after 3 months.

Results. In the first group of patients receiving FCM therapy, an increase in LVEF (29,1±10,3 vs 35,4±11,1; p=0,001), mitral annular plane systolic excursion (1,2 (1;1,6 ) vs 1,5 (1,3;1,9), p=0,001), LV global longitudinal strain (-7 (-5;-8) vs -8 (-6;-11), p=0,007) and non-invasive indicators of myocardial work (global work index (826±314 vs 1041±354), p=0,0001; global constructive work (1173±388 vs 1435±405), p=0,0001; global work efficiency (85 (82;87) vs 86 (82;88), p=0,017)). There were no significant changes in the studied parameters in the BMT group.

Conclusion. Patients with HFrEF and ID treated with FCM showed a significant increase in LV systolic function, including non-invasive myocardial work parameters, compared with the control group.
The role of the internal control system of a commercial bank on the example of Sberbank PJSC
Authors: Zintsov Aristarkh
Published: February 2023

This article discusses the issue related to the importance of proper functioning of the internal control system. Sberbank PJSC was chosen as the organization under consideration. The main methods involved a systematic approach, statistical methods of processing arrays of information, methods of analysis and synthesis. Inductive and deductive methods were widely used, as well as comparative analysis. The main results of the study can be called the clarification of the role of the internal control system in the activities of commercial banking structures. The author studied the key characteristics of the internal control system, identified a number of factors that can influence the development of this phenomenon, and also identified the basic functions that are implemented thanks to this system. In addition, this article examines the main features of the internal control system in Sberbank PJSC, analyzes the activities carried out within this system. The following provisions confirmed the importance of purposeful development of the internal control system: Sberbank became the first in the ranking of the most valuable brands in Russia and the fifth most valuable banking brand in Europe in 2020 according to Brand Finance. This would be impossible without a clear division of duties and responsibilities between structural units. The results obtained confirm the need to develop an internal control system, even if the company is in a stable position. In conclusion, the author gave recommendations on possible improvements in the existing internal control system of Sberbank PJSC, while noting that this organization shows one of the best results in the matter under consideration
Nomos is an Air: Hearing as a Juridical Faculty
Authors: Chryssostalis Julia
Published: February 2023

Hearing, auditus, is the sense that, according to the Etymologies of Isidore of Seville, ‘catches the sounds when the air is reverberated’, while the ear, auris, is the organ that has as its ‘natural function’ to capture ‘what is to be heard.’ Despite notable exceptions, until very recently hearing has been little examined in law. In this piece, I focus on the aural, the acoustic, and the auditory and argue that hearing is a key faculty of the juridical sensorium. There can be no justice without hearing, while, as legal subjects, we are connected to the law through our ears. Obedience as the fundamental relationship of the subject to the law is intimately linked to hearing. And more than that, obedience is the other side of the juristic speech, of jurisdiction, and as such designates the auditory and relational character of the juristic utterance.
Preliminary report on the allelopathic potential of South American Imperata species (Poaceae: Andropogoneae)
Authors: Moro Cordobés Fernando , Anton Ana M. , Scrivanti Lidia Raquel
Published: February 2023

Background: A significant number of species of grasses (Poaceae) have allelopathic properties and two genera of Andropogoneae -Cymbopogon and Bothriochloa- are the main aromatic genera recognized in the family. The genus Imperata (Poaceae: Andropogoneae) is widely distributed, with several species being present around the world. Questions and / or Hypotheses: This study assessed the allelopathic potential of some South American species of Imperata taking into account previous reports on I. cylindrica, which has been extensively studied due to its invasiveness and allelopathic potential. Studied species / data description /Mathematical model: I. brasiliensis, I. condensata, I. minutiflora, and I. tenuis Study site and dates: Greenhouse of the Instituto Multidisciplinario de Biología Vegetal, Sistemática y Filogeografía de Plantas, Córdoba, Argentina. Methods: We obtain the aqueous extract from the studied species and we evaluated its effect on germination and root and shoot growth of lettuce, corn, and tomato. Results: In bioassays, aqueous leaf extract of I. brasiliensis, I. condensata, I. minutiflora, and I. tenuis inhibited seed germination and root and shoot growth of lettuce (Lactuca sativa), tomato (Solanum lycopersicum), and maize (Zea mays). The extracts mainly affected root and shoot length, whereas the effect on seed germination was low. Conclusions: The studied species may contain allelochemicals, which interfere with seed germination and seedling growth. Future research on the type of chemical compounds present in aqueous extracts may contribute to their use for agroecological purposes.
Numerical simulation of the process manufacture of large-scale composite shell taking into account thermo viscoelastic
Authors:   Perm National Research Polytechnic University, Sakhabutdinova Lyaysan R. , Smetannikov Oleg Yu. ,   Perm National Research Polytechnic University, Il’inykh Gleb V. ,   Perm National Research Polytechnic University
Published: February 2023

The aim of this work is to obtain the evolution of contact pressure on the surface of the forming mandrel during the manufacture of large-scale composite shells by continuous winding. A numerical analogue of a real structure is built in the form of a system of assembly equipment, a forming mandrel and a shell. Effective viscoelastic characteristics for the shell material are obtained on the basis of experimental data and the concept of multilevel modeling. A series of computational experiments has been carried out to verify the model of thermoviscoelastic behavior of a composite material; the model is a combination of anisotropic elastic behavior of a medium with one independent viscoelastic operator. It has been found that, at the stage of winding, the influence of the behavior model of the shell material is not significant because viscoelasticity of the mandrel material makes the greatest contribution to the reduction of the contact pressure on the mandrel surface. Based on the data obtained, a conclusion is made that it is advisable and important to take into account the rheological properties not only of the material of the forming mandrel but also of the multilayer shell. The methods of finite element analysis presented in the work and the computational modules and programs implemented on their basis, as well as the calculation results, are of great practical importance for automating the process of predicting the evolution of the stress-strain state at the technological stages of manufacturing structures of the mandrel-shell type. Contribution of the authors: the authors contributed equally to this article. The authors declare no conflicts of interests.