bluuebunny/crossref_metadata_2025 huggingface dataset:
Bienestar Subjetivo y Salud Mental en universitarios del Ecuador: análisis de relaciones latentes con SEM
Authors: Mena-Freire Marco , Ruiz-Olarte Ana , Moreta-Herrera Rodrigo
Published: December 2023

Objetivo. Identificar el nivel de relación latente entre el Bienestar Subjetivo y la Salud Mental en una muestra de estudiantes universitarios de Ecuador. Método. Estudio descriptivo, correlacional y transversal por Modelamiento con Ecuaciones Estructurales (SEM). Participaron 476 personas (61.5% mujeres y 38.4% hombres), con edades comprendidas entre 17 y 47 años (M = 21.24; DT= 3.65). Eran estudiantes universitarios de 34 centros de educación superior de 10 provincias del Ecuador. Resultados. El Bienestar Subjetivo (Afecto Positivo, Negativo y Satisfacción con la Vida) se relaciona de forma latente con la Salud Mental a través de un modelo de ajuste adecuado. Además, el modelo SEM es invariante según el género. Por último, hay diferencias (p < .05) entre grupos para el afecto negativo y los síntomas de ansiedad/insomnio, depresión y salud mental general. Se concluye que el bienestar subjetivo es un atributo psicológico que juega un papel relevante en el curso y desarrollo de la salud mental.
Hearding during COVID-19 pandemic: An empirical study in Vietnamese stock market
Authors: Vu Duc Hieu Dam  , Phan Hong Mai PHAN , Thi Nhu Quynh Le  , Thi Hoai Linh Truong  , Quoc Anh Le
Published: December 2023

This paper investigates herd behavior in the Vietnam stock market under the impacts of the COVID-19 pandemic. Using Chang et al.’s (2000) method on two sets of daily and weekly trading data ranging from January 2018 to December 2021, we provide evidence about the presence of herd behavior during the global health crisis but not in the period prior to the outbreak of COVID-19. In addition, the regression analysis of a modified model implies that the tendency of herding among investors in the Vietnam stock market became more prevalent as the pandemic became more severe and the government measures to mitigate the pandemic turned out to be more stringent. These findings suggest that Vietnamese regulators may help to stop or mitigate the impact of any potential stock market crashes and that new investors need to acquire more knowledge about the market and skills for investing.
Strategic development of motor transport enterprises’ innovative processes in Ukraine
Authors: Boichenko Kateryna , Shatilo Oksana , Derevianko Olena , Shevchuk Nataliia , Magdaliuk Oleksii
Published: December 2023

This study is aimed at developing a methodological approach to identify and justify the strategy for the development of enterprises` innovative processes, which enables considering alternatives and determining the priorities of adaptation as well as increasing the level of flexibility to changes in the business operating conditions. The study is based on the materials of 21 motor transport companies in Ukraine. The methodological toolkit is based on the proposed polyfactorial 3D model with the implementation of correlation, regression and cluster analysis. The use of the strategy for the innovation process development of the motor transport enterprise with the introduction of focus on the asymmetry of its directions increases efficiency, which becomes equal to the benchmark or close to the maximum efficient value.
The role of ecotourism in preserving environmental awareness, cultural and natural attractiveness for promoting local communities in Bali, Indonesia
Authors: Satrya I Dewa Gde , Kaihatu Thomas S , Budidharmanto Lexi Pranata , Karya Denis Fidita , Rusadi Ni Wayan Purnami
Published: December 2023

Ecotourism is a form of sustainable tourism that aims to preserve the natural environment and wildlife while benefiting local communities. It is a responsible and ethical way of travel that promotes environmental awareness, education, and cultural exchange. Ecotourism has gained popularity recently due to growing concerns over environmental degradation and climate change. This study discusses the influence of environmental awareness, cultural and natural attractiveness, and ecotourism attributes on destination image and intention to visit. The location of the study is in Bali, Indonesia. This study used quantitative research using purposive random sampling and analyzed using SmartPLS. The results explain a significant positive relationship between environmental awareness, cultural and natural attractiveness, and ecotourism attributed to destination image and intention to visit.
An economic analysis of the impact of the Russian War in Ukraine on the Poland-U.S. trade
Authors: Megits Nikolay , Meyer Daniel
Published: December 2023

This research article examines the economic analysis of the influence of the Russian war in Ukraine on Poland and U.S. trade. The study employs a combination of quantitative and qualitative research methods to investigate the impact of the conflict on trade dynamics between the two countries. The quantitative analysis utilizes trade data, including import and export volumes, trade balances, trade flows, and economic output from 2003 to 2022 using TradeMap data. Descriptive and various econometric estimations were estimated. The qualitative analysis involves the evaluation of policy responses, trade strategies, and business decisions made in response to the conflict. The results indicate a rise in Polish exports to the U.S., but dominated by specific products. This research contributes to a comprehensive understanding of how the Russian war in Ukraine has affected Poland's trade with the U.S., provides valuable insights into the economic consequences of the conflict, and identifies potential avenues for future trade cooperation between Poland and the U.S.
Effect of postpartum drenching on plasma parameters of cows at a large-scale dairy farm
Authors: Lénárt Lea , Horváth András , Kis Tamás , Buják Dávid , Szenci Ottó
Published: December 2023

The aim of the present study was to explore the influence of postpartum drenching with a feed additive on the plasma concentration of biochemical parameters while factoring in prepartum rumination times (RT). One hundred and sixty-one cows were fitted with a Ruminact© HR-Tag approximately 5 days before calving. Drenching and control groups were established based on calving dates. Animals in the drenched group were treated three times (Day 1/day of calving/, Day 2, and Day 3 postpartum) using a feed additive containing calcium propionate, magnesium sulphate, yeast, potassium chloride and sodium chloride mixed in approximately 25 L of lukewarm tap water. Blood samples were collected on Days 1, 2, 3, 7 and 12. Cows with below the average RT were categorised as “low rumination” and those above it as “high rumination” animals. Drenching decreased the plasma concentrations of total protein, urea and creatinine and increased the levels of alanine aminotransferase (ALT), gamma-glutamyl transferase (GGT) and chloride. Low rumination time prepartum resulted in higher concentrations of beta-hydroxybutyrate, total protein and activities of alkaline phosphatase and GGT, while it decreased the activity of ALT and the concentrations of calcium, magnesium, sodium and potassium. The day of lactation had an effect on all parameters except for potassium.
On Some Glyphs of Khitan Small Script
Authors: Peng Daruhan
Published: December 2023

In 2017, Further Research on Khitan Small Script was published, which revised and summarized the phonetic value of 300 glyphs. However, with the discovery of new materials and an increasing number of researchers, new progress has been made in the reconstruction of Khitan small script. This paper aims to introduce the latest research results on the reconstruction of 8 glyphs in Khitan small script.
ANALYSIS OF THE SOUNDSCAPE OF SKI RESORTS IN BAD HOFGASTEIN (AUSTRIA) AND BIAŁKA TATRZAŃSKA (POLAND)
Authors:   Department of Ecology, Climatology and Air Protection, University of Agriculture, al. Mickiewicza 21, 31-120 Krakow, Poland, Malec Magdalena , Kotowski Tomasz ,   Department of Sanitary Engineering and Water Management, University of Agriculture, al. Mickiewicza 21, 31-120 Krakow, Poland
Published: December 2023

Aim of the study: Firstly, due to the different sizes and spatial organization of ski resorts, it is important to determine whether there is a local differentiation of the sound landscape within one resort. Secondly, due to the continuous expansion of the ski infrastructure, it is essential to develop methods for improving the quality of the acoustic environment. It is therefore necessary to determine whether there are acoustic differences between the different ski resorts. Material and methods: The research we conducted consisted in measuring the sound levels, and inventorying various types of acoustic events. The examined ski resorts, despite the difference in size of the areas they occupy and the numbers of users, are in many aspects comparable to each other. Results and conclusions: Ski resorts occupying a relatively small area but with a high concentration of infrastructure and skiers may exert a stronger environmental impact than resorts with a larger area and lesser density of infrastructure as well as a lower number of users per area. The skiers themselves, their manners, and their environmental consciousness have a great impact on the quality of the sound landscape.
How and Why Books Matter: Essays on the Social Function of Iconic Texts
Authors: Watts James W.
Published: December 2023

Religious and secular communities ritualize some books in one, two, or three dimensions. They ritualize the dimension of semantic interpretation through teaching, preaching, and scholarly commentary. This dimension receives almost all the attention of academic scholars. Communities also ritualize a text’s expressive dimension through public reading, recitation, and song, and also by reproducing its contents in art, theatre and film. This dimension is receiving increasing scholarly attention, especially in religious studies and anthropology. A third textual dimension, the iconic dimension, gets ritualized by manipulating the physical text, decorating it, and displaying it. This dimension has received almost no academic attention, yet features prominently in the most common news stories about books, whether about e-books, academic libraries, rare manuscript discoveries, or scripture desecrations. By calling attention to the iconic dimension of books, James Watts argues that we can better understand how physical books mediate social value and power within and between religious communities, nations, academic disciplines, and societies both ancient and modern. How and Why Books Matter will appeal to a wide range of readers interested in books, reading, literacy, scriptures, e-books, publishing, and the future of the book. It also addresses scholarship in religion, cultural studies, literacy studies, biblical studies, book history, anthropology, literary studies, and intellectual history.
Components development for mid-infrared chalcogenide fiber glass lasers
Authors:   Russian Quantum Center, Borisova E.V. , Galagan Boris I. ,   Prokhorov General Physics Institute of the Russian Academy of Sciences, Zhluktova Irina V. ,   Prokhorov General Physics Institute of the Russian Academy of Sciences, Koltashev Vasiliy V. ,   Dianov Fiber Optics Research Center, Ponosova Anastasiya A. ,   Prokhorov General Physics Institute of the Russian Academy of Sciences, Sverchkov Sergei E. ,   Prokhorov General Physics Institute of the Russian Academy of Sciences
Published: December 2023

The paper considers methods and approaches in the creation of the element base for chalcogenide fiber lasers. The results of research on Bragg grating recording and splicing of chalcogenide fibers are given.
The Perspectives of Teachers on Nepotism
Authors: BAYAR Adem , KOCA Mehmet
Published: December 2023

The purpose of this research is twofold: 1) to determine the reasons for nepotism in schools and 2) to offer some possible solutions to overcome this issue. To reach this purpose, the researchers have addressed some research questions during the research. These are; 1. What is the definition of nepotism?, 2. What are the reasons for nepotism?, and 3. What should be done to bring down nepotism?. This study has been carried out using a phenomenology research design within the framework of a qualitative research approach. The study group of this research consists of 12 teachers working in Amasya in the 2020-2021 academic year. They have been determined by homogeneous sampling technique in the framework of purposeful sampling method. Semi-structured interview form has been created by the researchers and used as a data collection tool in the research. The participant teachers have defined nepotism as unfair earnings, influential contact, favoritism, taking sides, and discrimination. The participants have also stated that the reasons for nepotism are as follows; gender, political view, idea-belief, fellow countryman-relative, and teacher unions. To reduce nepotism issues in schools, the participants have also offered some possible suggestions such as right-law-justice, administrators, merit, and regulations. In this context, both policymakers and policy practitioners should make right-law-justice among people in society. Therefore, it could be a kind of school policy and culture. Also, administrators should act equally. Moreover, individuals should be supported in ethical behavior by administrators. Decision-makers should consider individuals’ abilities when recruiting. In addition to all, policymakers must make the necessary legal arrangements in a short time. Unless these are done, nepotism as an organizational reality will continue to exist as a damaging factor to the organization. Based on the findings of this research, the researchers have concluded that unless nepotism is eliminated, institutions will not be able to serve effectively and that trained manpower will not be adequately utilized.
Translation, cross-cultural adaptation and validity study of the “Play Nicely Program: The Healthy Discipline Handbook” for use in Brazil
Authors: Begui Janaina Recanello , Scholer Seth , Polita Naiara Barros , Baggio Maria Aparecida , Merino Maria de Fátima Garcia Lopes , Zani Adriana Valongo , Pimenta Rosângela Aparecida
Published: December 2023

ABSTRACT Objective: to describe the translation, cross-cultural adaptation and validity process of the “Play Nicely Program: The Healthy Discipline Handbook” for use in Brazil. Methods: a methodological study that followed the translation, back-translation, expert committee assessment, and pre-test steps. The Content Validity Index (CVI) was calculated for both the judge population and the pre-test population. Four translators, seven expert judges in the field of child health and thirty participants in the pre-test, including parents, teachers and healthcare professionals, participated in the study. Results: in experts’ analysis (98.4%), a value of 100% of adequate assessments was obtained, and in the target population’s analysis (89.5%), there were 100% of adequate assessments. In both analyses, suggested adaptations were made. Conclusios: cross-cultural adaptation and content validity into Brazilian Portuguese of the “Play Nicely Program: The Healthy Discipline Handbook” were considered adequate for application in the target population.
Social representation of young people in higher education about sexually transmitted infections
Authors: Spindola Thelma , Melo Laércio Deleon de , Brandão Juliana de Lima , Oliveira Denize Cristina de , Marques Sérgio Corrêa , Arreguy-Sena Cristina , Pinto Paulo Ferreira
Published: December 2023

ABSTRACT Objective: to analyze the social representations about sexually transmitted infections elaborated by undergraduate students. Methods: a descriptive, qualitative study, in the light of the structural approach of Social Representation Theory, carried out with 160 young undergraduate students, in the second half of 2019, in the city of Rio de Janeiro. Data were collected using a sociodemographic characterization questionnaire, knowledge and practices for preventing sexually transmitted infections, analyzed using descriptive statistics and a form of free evocations with the inducing term STD, analyzed using prototypical and similarity analysis. Results: the representation’s possible central nucleus is composed of lexicons aids, disease and HIV; the peripheral system by syphilis, sex, condoms, gonorrhea, prevention, infection, carelessness, HPV, herpes, ignorance, treatment, fear, unprotected-sex and danger. Final considerations: social thinking about sexually transmitted infections is characterized by their recognition as diseases, which require barrier prevention measures, associating with unsafe sexual practices that arouse fear.
Incidência do alto risco cardiovascular de 30 anos e seus determinantes: Estudo CUME
Authors: Passinho Renata Soares , Bressan Josefina , Hermsdorff Helen Hermana Miranda , Oliveira Fernando Luiz Pereira de , Pimenta Adriano Marçal
Published: December 2023

RESUMO Objetivo: Estimar a incidência do alto risco cardiovascular de 30 anos e seus determinantes em egressos de universidades federais mineiras. Métodos: Coorte prospectiva com 2.854 adultos de 20 a 59 anos. Calculou-se a incidência do desfecho pela equação de Framingham e seus determinantes pela regressão de Cox multivariada. Resultados: Após uma média de 2,62 anos, a incidência do alto risco cardiovascular foi de 8,09 e 20,1 casos/1.000 pessoas-ano, respectivamente, nos sexos feminino e masculino. O sexo masculino (HR: 2,34; IC95%: 1,58 - 3,46), trabalhar (HR: 2,13; IC95%: 1,13 - 3,99), elevado consumo de alimentos processados (HR: 2,44; IC95%: 1,21 - 4,90) e ser ativo fisicamente (HR: 0,63; IC95%: 0,41 - 0,98) associaram-se ao alto risco cardiovascular. Conclusões: Em adultos com alta escolaridade, o sexo masculino, trabalhar e o elevado consumo de alimentos processados são preditivos do alto risco cardiovascular, enquanto ser ativo fisicamente é um fator de proteção.
Avaliação dos componentes da sarcopenia e qualidade de vida percebida de indivíduos em hemodiálise
Authors: Celoto Bianca Raquel Bianchi , Marin Flávia Andréia , Spexoto Maria Claudia Bernardes
Published: December 2023

RESUMO Objetivos: avaliar a prevalência de sarcopenia em indivíduos com 50 anos ou mais em hemodiálise, verificar a associação entre a sarcopenia e os fatores sociodemográficos, clínicos, antropométricos, componentes da sarcopenia e qualidade de vida (QV), e correlacionar os componentes da sarcopenia com a QV. Métodos: Participaram 83 indivíduos em hemodiálise. A sarcopenia foi estabelecida segundo consenso europeu vigente. A dinamometria para determinação da força, a circunferência da panturrilha (CP) e o índice de massa muscular esquelética apendicular (IMMEA) para a obtenção da massa muscular e a velocidade de caminhada (VC) para o desempenho físico. Para QV utilizou-se WHOQOL-bref. Resultados: a prevalência de sarcopenia foi de 32,6% (CP) e 18,1% (IMMEA). Não houve associação entre a sarcopenia e QV. Tanto a força de preensão manual (r=0,25) quanto a VC (r=0,36) apresentaram correlação com domínio físico. Conclusões: a sarcopenia foi expressiva e os aspectos da funcionalidade determinam o comprometimento físico nessa população.
Web App para a predição de internação em Unidade de Terapia Intensiva por covid-19
Authors: Fabrizzio Greici Capellari , Erdmann Alacoque Lorenzini , Oliveira Lincoln Moura de
Published: December 2023

RESUMO Objetivo: Desenvolver um Web App a partir de um modelo preditivo para estimar o risco de internação de pacientes com covid-19 em UTI. Métodos: Realizou-se uma pesquisa aplicada de produção tecnológica com o desenvolvimento do Streamlit a partir do Python, considerando o modelo de árvore de decisão que apresentou o melhor desempenho (AUC 0.668). Resultados: A partir das variáveis associadas à Enfermagem de Precisão, o Streamlit estratifica os pacientes internados nas unidades clínicas com maior probabilidade de internação em Unidade de Terapia Intensiva, funcionando como uma ferramenta de apoio à tomada de decisão dos profissionais de saúde. Considerações finais: A performance do modelo pode ter sido influenciada pelo início da vacinação no período de coleta de dados, no entanto, o Web App via Streamlit mostrou-se uma ferramenta viável para a apresentação dos resultados de pesquisa, devido à facilidade de entendimento por parte dos enfermeiros e pelo potencial de apoio à decisão clínica.
Dúvidas maternas no cuidado domiciliar ao recém-nascido prematuro: uma revisão integrativa
Authors: Conceição Thaís Emanuele da , Souza Maria Helena do Nascimento , Esteves Rafael Braga , Peres Patrícia Lima Pereira , Valente Donatella , Nespoli Antonella
Published: December 2023

RESUMO Objetivo: Identificar e analisar as produções científicas disponíveis na literatura nacional e internacional sobre as principais dúvidas maternas no cuidado ao recém-nascido prematuro em domicílio. Métodos: Estudo de revisão integrativa, fundamentado na questão norteadora: “Quais são as produções científicas publicadas no período de 2012 a 2021 sobre as dúvidas maternas no cuidado ao recém-nascido prematuro em domicílio?”. As buscas foram realizadas nas bases eletrônicas: Embase, Medline, Web of Science, Lilacs, Scielo e Cochrane Library. Resultados: Foram identificados 21 artigos. A análise qualitativa revelou que as dúvidas maternas estavam relacionadas ao aleitamento materno, higiene, prática de banho de sol, conduta em relação à cólica do bebê, identificação de sinais, sintomas e alterações clínicas, controle térmico e à terceira etapa do método canguru. Conclusões: As incertezas maternas destacaram a importância do aprimoramento das estratégias voltadas para o apoio à família e à continuidade do cuidado ao neonato em domicílio.
Planejamento de alta hospitalar na transição do cuidado de pacientes com doenças crônicas não transmissíveis
Authors: Barbosa Sara Maria , Zacharias Fabiana Costa Machado , Schönholzer Tatiele Estefâni , Carlos Diene Monique , Pires Maria Estela Lacerda , Valente Silvia Helena , Fabriz Luciana Aparecida , Pinto Ione Carvalho
Published: December 2023

RESUMO Objetivo: analisar a transição do cuidado no planejamento de alta hospitalar de pacientes com doenças crônicas não transmissíveis. Método: estudo qualitativo, fundamentado no modelo teórico Care Transitions Intervention, com quatro pilares de intervenção, para garantir uma transição segura. Participaram 12 profissionais, em hospital público, no interior paulista. Os dados foram coletados por meio de observação, análise documental e entrevistas semiestruturadas. Resultados: houve comprometimento da equipe multiprofissional para a integralidade da assistência e envolvimento de familiares nos cuidados ao paciente. Os documentos facilitaram a comunicação entre profissionais e/ou níveis de atenção. Todavia, a falta de tempo hábil para preparação da alta pode ocasionar um cuidado fragmentado, prejudicando a comunicação e colocando em risco a transição segura. Considerações finais: evidenciaram-se como elementos importantes na composição do planejamento de alta, visando garantir a transição do cuidado segura, participação da equipe com protagonismo do enfermeiro, planejamento precoce de alta e envolvimento da família.
The ethics of nursing care for transgender people
Authors: Oltra-Rodríguez Enrique , González-López Eva , Osorio-Álvarez Sofía , Rodríguez-Alonso Andrea
Published: December 2023

ABSTRACT Objectives: to discuss ethical aspects in nursing care for transgender people. Methods: reflective study based on the dilemmas that emerges in nursing care for transgender people. The report was structured around the four bioethical principles. Results: health care for trans people is complex, transversal to many devices and specialties and longitudinal in time, that is why it requires coordinated action. There is an ethical framework in which the nursing care must be observed in the care of this group. Final Considerations: the nurse as a health worker can assume several general lines in the care of transgender patients. So, complementary training should be provided not only to professionals, but also to students of nursing and other health sciences.
Chronic pain and associated factors in remote work during the COVID-19 pandemic in Brazil
Authors: Silvestre Brenda Alves , Miotto Luiz Paulo , Gramani-Say Karina , Barbosa Maria Helena , Hortense Priscilla
Published: December 2023

ABSTRACT Objective: Estimate the prevalence of chronic pain and its association with symptoms of anxiety, sleep disorders, and aspects of remote work in the context of the COVID-19 pandemic. Method: A cross-sectional and descriptive study conducted with 328 adults engaged in remote work. Data was collected online from February 2021 to January 2022. For pain investigation and evaluations of sleep and anxiety, a structured questionnaire, the Pittsburgh Sleep Quality Index, and the Generalized Anxiety Disorder-7 were used, respectively. Results: The prevalence of chronic pain was 47.9% (CI 95% = 42.5-53.3). Associations were identified between pain and anxiety, sleep disorders, and sitting time (p<0.01). Conclusion: The prevalence of chronic pain in remote work was found to be high, with pain being of moderate intensity and associated with anxiety, sleep disorders, and prolonged sitting time.
Dor crônica e fatores associados ao teletrabalho durante a pandemia da COVID-19 no Brasil
Authors: Silvestre Brenda Alves , Miotto Luiz Paulo , Gramani-Say Karina , Barbosa Maria Helena , Hortense Priscilla
Published: December 2023

RESUMO Objetivo: Estimar a prevalência de dor crônica e sua associação com sintomas de ansiedade, distúrbios do sono e aspectos do trabalho remoto no contexto da pandemia da COVID-19. Método: Estudo transversal e descritivo realizado com 328 adultos em teletrabalho. Os dados foram coletados online de fevereiro de 2021 a janeiro de 2022. Para a investigação da dor e avaliações do sono e da ansiedade, foram utilizados um questionário estruturado, o Questionário Índice de Qualidade do Sono de Pittsburgh e o Generalized Anxiety Disorder-7, respectivamente. Resultados: A prevalência de dor crônica foi de 47,9% (IC 95% = 42,5-53,3). Foram identificadas associações entre a dor e a ansiedade, distúrbios do sono e tempo sentado (p<0,01). Conclusão: A prevalência de dor crônica no teletrabalho mostrou-se elevada, com a dor sendo de intensidade moderada e associada à ansiedade, aos distúrbios do sono e ao tempo passado sentado.
Changes in body composition of burn patients during the phases of response to trauma
Authors: Arruda Andressa Maranhão de , Gadelha Patrícia Calado Ferreira Pinheiro , Soares Bruna Lúcia de Mendonça , Dowsley Catiana Coelho Cabral , Lemos Maria da Conceição Chaves de , Santos Ana Célia Oliveira dos
Published: December 2023

ABSTRACT Objective: To assess the changes in body composition of burn patients through electrical bioimpedance in the phases of response to trauma. Methods: a longitudinal observational study, carried out from October 2019 to March 2020. Sociodemographic, clinical, epidemiological, anthropometric and body composition data were collected. Statistical analysis was performed with SPSS, considering a significance of 5%. The comparison between variables was performed using the paired Student’s t test. Results: the sample consisted of 58 adult burn patients, with a mean age of 38.2±12.5 years. The mean body surface area (BSA) with burns was 10.8±7.3%. Nutritional assessment demonstrated a depletion of body weight, Body Mass Index, fat-free mass and muscle mass in the phases of response to trauma (p<0.005). Conclusion: metabolic alterations in the different phases of the metabolic response to trauma led to a depletion of the nutritional status of burn patients of both sexes during hospitalization.
A longitudinal study of burden among spouse and non-spouse caregivers of older adults with stroke-induced-dependency
Authors: Day Carolina Baltar , Bierhals Carla Cristiane Becker Kottwitz , Pizzol Fernanda Laís Fengler Dal , Low Gail , Santos Naiana Oliveira dos , Paskulin Lisiane Manganelli Girardi
Published: December 2023

ABSTRACT Objective: to assess the burden of spouse and non-spouse caregivers of older adults with stroke-induced-dependency after discharge from a university hospital’s Specialized Care Stroke Unit in southern Brazil. Methods: a longitudinal survey. The sample consisted of 48 consenting caregivers, among which 20 were spouse caregivers. Data were collected between May 2016 and July 2018. One week after discharge, caregivers completed a sociodemographic profile, the Functional Independence Measure, and the Caregiver Burden Scale. Burden was also measured two months after discharge. Data were analyzed using Multivariate Analyses of Variance. Results: regarding time 1, non-spouse caregivers experienced greater burden with respect to social isolation (p = .01). Along with a persistently greater sense of isolation (p=.04), non-spouse caregivers felt far greater general strain (p =.01). Conclusion: statistically significant differences in burden over time highlight the importance of assessing caregiver burden after discharge and the need for a formal support program.
Sentimentos a respeito do nascimento por um grupo de gestantes de alto risco
Authors: Almeida Juliana de Sousa de , Alves Emily Marques , Sodré Thelma Malagutti , Pinto Keli Regiane Tomeleri da Fonseca , Medeiros Fabiana Fontana , Bernardy Catia Campaner Ferrari
Published: December 2023

RESUMO Objetivo: compreender os sentimentos a respeito do nascimento por um grupo de gestantes de alto risco. Método: estudo descritivo e qualitativo, tendo a fenomenologia social de Alfred Schütz como referencial teórico filosófico. Participaram do estudo 25 gestantes em acompanhamento de pré-natal de alto risco. A entrevista contou com as seguintes questões norteadoras: fale-me sobre seus sentimentos em relação ao momento do nascimento/parto; Como você lida com o diagnóstico de alto risco? Quais suas expectativas para o nascimento/parto? Resultados: emergiram cinco categorias: Medo da assistência obstétrica; Medo das complicações com o bebê; Medo da cesariana; A resiliência diante da gestação de alto risco; e Expectativas para o nascimento. Considerações: as gestantes de alto risco sentem medo da assistência que receberão, dos riscos e apreensividade quanto à vitalidade do bebê no nascimento. Ressalta-se a importância de assistência com ambiente acolhedor, efetivação de vínculo e comunicação entre equipe de saúde e gestante.
Efeito do biofeedback cardiovascular no estresse da equipe de enfermagem: ensaio clínico controlado aleatório
Authors: Macedo Andréia Barcellos Teixeira , Vega Edwing Alberto Urrea , Antoniolli Liliana , Pinheiro Jessica Morgana Gediel , Tavares Juliana Petri , Souza Sônia Beatriz Cócaro de
Published: December 2023

RESUMO Objetivo: avaliar o efeito do biofeedback cardiovascular no estresse da equipe de enfermagem quando comparado a uma atividade sem automonitoramento. Método: ensaio clínico controlado aleatório, realizado com profissionais de enfermagem de um hospital universitário. O grupo intervenção (n=58) realizou biofeedback cardiovascular, e o controle (n=57) fez um quebra-cabeça online sem automonitoramento, totalizando nove encontros durante três semanas. O desfecho foi avaliado pelas escalas Sintomas de Estresse e Estresse no Trabalho, e pelo marcador biológico variabilidade da frequência cardíaca. Utilizou-se com o método Equações de Estimativas Generalizadas. Resultados: a intervenção não apresentou efeito nos instrumentos autorreferidos (p>0,050). Entretanto, houve efeito de tempo (p<0,050) em todos os indicadores da variabilidade da frequência cardíaca, demonstrando modificação ao longo das sessões. Conclusão: o biofeedback cardiovascular apresentou resultados promissores no marcador biológico, sugerindo que poderá ser utilizado na equipe de enfermagem como terapia complementar por promover melhor regulação do Sistema Nervoso Autônomo.
Elder abuse: a conceptual analysis
Authors: Santos-Rodrigues Renata Clemente dos , Araújo-Monteiro Gleicy Karine Nascimento de , Dantas Ana Márcia Nóbrega , Beserra Patrícia Josefa Fernandes , Morais Ronei Marcos de , Souto Rafaella Queiroga
Published: December 2023

ABSTRACT Objective: to analyze the concept of elder abuse and identify its respective antecedents, attributes and consequents. Methods: this is a conceptual analysis according to Walker and Avant’s proposition. The search for the concept was mediated by an integrative review in the LILACS, PubMed, CINAHL, Web of Science and BDENF databases. Results: as antecedents, female, family member, low social support and low income or socioeconomic conditions stand out. Attributes were threats and/or intimidation, intentional use of physical force, using resources without authorization, unwanted sexual activity, offering low insufficient amount of nutrients for older adults and not meeting older adults’ affective/emotional needs. Consequents were psychological disorders, dependence on aggressors, environment of insecurity and damage/loss of human rights or human dignity. Final considerations: the phenomenon under discussion is broad and multifaceted, suggesting expansion of studies related to the theme in order to explore it in detail.
Violência contra a pessoa idosa: análise conceitual
Authors: Santos-Rodrigues Renata Clemente dos , Araújo-Monteiro Gleicy Karine Nascimento de , Dantas Ana Márcia Nóbrega , Beserra Patrícia Josefa Fernandes , Morais Ronei Marcos de , Souto Rafaella Queiroga
Published: December 2023

RESUMO Objetivo: analisar o conceito de violência contra pessoa idosa e identificar seus respectivos antecedentes, atributos e consequentes. Métodos: análise de conceito, de acordo com a proposição de Walker e Avant. A busca pelo conceito foi mediada por uma revisão integrativa nas bases LILACS, PubMed, CINAHL, Web of Science e BDENF. Resultados: como antecedentes, destacam-se sexo feminino, membro da família, baixo apoio social e baixa renda ou condições socioeconômicas. Os atributos foram ameaças e/ou intimidações, uso intencional da força física, usar recursos sem sua autorização, atividade sexual indesejada, ofertar baixa quantidade de nutrientes insuficientes ao idoso e não atendimento as necessidades afetivas/emocionais do idoso. Os consequentes foram transtornos psicológicos, dependência do agressor, ambiente de insegurança e danos/perda dos direitos humanos ou a dignidade humana. Considerações finais: o fenômeno em discussão é amplo e multifacetado, sugerindo ampliação de estudos relacionados à temática a fim de explorá-la minunciosamente.
Avaliação do conhecimento de estudantes de medicina na área de Cirurgia a partir do Teste de Progresso
Authors: Hamamoto Filho Pedro Tadao , Bicudo Angélica Maria , Pereira-Júnior Gerson Alves
Published: December 2023

RESUMO O Teste de Progresso (TP) é uma ferramenta de avaliação cujo uso tem crescido em todo o Brasil na última década. O TP permite avaliar o ganho de conhecimento dos estudantes ao longo do curso de graduação e, para que suas interpretações sejam válidas, é preciso que seus itens (questões) tenham qualidade adequada do ponto de vista de validade de conteúdo e confiabilidade de resultados. Neste estudo, analisamos as características psicométricas dos itens e o desempenho dos estudantes na área de cirurgia do TP de 2017 a 2023. Para as análises, usamos os pressupostos da Teoria Clássica dos Testes, a taxonomia de Bloom e o coeficiente de fidedignidade alfa de Cronbach. Os itens se mostraram fáceis (índice de dificuldade média entre 0,3-0,4), com discriminação de regular a boa (índice de discriminação entre 0,3-0,4) e com predomínio de questões de média a alta taxonomia. A confiabilidade se manteve substancial ao longo dos anos (>0,6). O ganho de conhecimento dos estudantes em cirurgia é progressivo e mais importante a partir do 3º ano do curso de graduação, chegando a aproximadamente 70-75% no 6º ano. Este arcabouço de aferições pode ser replicado em outros contextos para melhor compreensão do aprendizado dos estudantes e para qualificação dos processos avaliativos.
Health Impact Assessment in protected areas: a proposal for urban contexts in Brazil
Authors: Schramm Ana , Hacon Sandra de Souza , Périssé Andre Reynaldo Santos
Published: December 2023

Abstract: The use of Health Impact Assessment (HIA) in the establishment of an urban protected area can enhance the positive impacts and mitigate the negative impacts resulting from its implementation. Brazil hosts some of the most important biodiversity hotspots in the world and the HIA may benefit biodiversity and human health. These areas are commonly created without any preceding survey to assess their impacts on health. Protected areas located in urban zones are essential to maintain environmental balance and quality of life in cities. It promotes positive impacts on health, providing ecosystem services and salutogenic benefits. However, they can generate negative impacts such as the violation of human rights, property speculation, spread of vectorial diseases, and psychosocial stress. Based on the identification of the potential impacts of urban protected areas on health and best practices, this qualitative and exploratory study justifies the use of HIA in urban protected areas, especially in the Brazil, and indicates the main elements for the construction of a methodological approach to contribute to the Sustainable Development Goals and one of its alternatives, the Buen Vivir approach.
THE EDUCATION OF DEAF PEOPLE IN BRAZIL: AN ANALYSIS OVER 20 YEARS (2002-2022) AFTER THE PUBLICATION OF THE LIBRAS LAW
Authors: ROCHA LUIZ RENATO MARTINS DA , PASIAN MARA SILVIA
Published: December 2023

ABSTRACT: The education of deaf and hearing impaired people was sometimes marked by the phase of exaltation, sometimes by exclusion, which negatively impacted the entry of these people into the most diverse educational spaces. In view of this scenario, legislation was created so that the rights and human dignity of all were guaranteed. Thus, the objective is to analyze which changes Law No. 10.436/2002, popularly known as the Libras Law, provided in the education of deaf and hearing impaired people in 20 years (from 2002 to 2022), based on the statistical synopses of educational censos.Descriptive, exploratory and qualitative research is used as methodology. The analysis showed that, in these 20 years of the Libras Law, many advances have occurred, from the increase in the number of deaf and hearing impaired students in basic and higher education to the value of the Brazilian Sign Language (Libras) in the most diverse spaces of society and guarantees in relation to health. However, we are still far from an effective proportion of this public in Brazilian education, when analyzing the demographic census data.
Memória, desmentida e traumatismo social sob a ótica da Psicanálise das Configurações Vinculares
Authors: Maia Bruna Bortolozzi , Santos Manoel Antônio dos , Okamoto Mary Yoko
Published: December 2023

Resumo O discurso negacionista e a minimização dos efeitos nefastos da ditadura civil-militar por figuras do alto escalão do governo são exemplos emblemáticos da desmentida de histórias de sofrimento social. Este estudo teórico aborda os processos psicológicos de apagamento de memórias sociais traumáticas e seus efeitos na transmissão psíquica, da perspectiva da Psicanálise das Configurações Vinculares, à luz de Puget e Berenstein. Mobilizando os conceitos de memória social, desmentida, trauma e traumatismo social, argumentamos que a denegação de fatos traumáticos gera uma dupla violência: por um lado, produz lacunas na história e um não-trabalho vincular que favorece transmissões psíquicas transgeracionais e, por outro, atenta contra o pertencimento social e a constituição narcísica dos sujeitos. À vista disso, concluímos pela necessidade de criar um dispositivo de escuta dos traumatismos sociais na contramão da desmentida, garantindo o direito assegurado pela Declaração Universal dos Direitos Humanos do acesso do povo à própria história.
Caracterização do lodo de Estação de Tratamento de Água (ETA) da cidade de Palmeira dos Índios - Alagoas para potencial aplicação em massas cerâmicas
Authors: Oliveira Samantha Ferreira Mendonça de , Tenório Taísa Menezes , Marques Sheyla Karolina Justino
Published: December 2023

RESUMO O lodo de Estação de Tratamento de Água (ETA) quando disposto inadequadamente pode ocasionar desequilíbrio ambiental e problemas de saúde pública, devido à lixiviação de metais pesados para os corpos hídricos. Dito isso, este trabalho objetivou caracterizar de maneira física, química, térmica e mineralógica o lodo da ETA da cidade de Palmeira dos Índios-AL. A metodologia empregada foi de caráter experimental através da realização dos ensaios de granulometria, limites de Atterberg, fluorescência de Raios X, difração de Raios X e análise termogravimétrica. Após o ensaio de granulometria o lodo apresentou característica de areia fina. Na análise química identificou-se presença do Ca (7,81%) e Mg (2,51%), que podem interagir com elementos formadores de fase vítrea Si (55,65%) e Al (12,03%) durante a sinterização. Ademais, os percentuais mais significativos de silício e alumínio apresentaram-se na forma de quartzo e caulinita, corroborando com os resultados de fluorescência de Raios X. Na análise térmica houve perda de massa em torno de 42% até a temperatura de 400°C, sinalizando a possibilidade de tratar termicamente o subproduto, antes de sua incorporação em cerâmicas. Por fim, o lodo apresenta potencial de aplicação em matrizes cerâmicas, dado a presença de elementos com características fundentes.
Síndrome da Fragilidade e sarcopenia em idosos com e sem diabetes mellitus tipo 2 do município de Sinop, Mato Grosso: um estudo epidemiológico
Authors: Cunha Alan Nogueira da , Zanetti Maria Lucia , Santos Jair Licio Ferreira , Rodrigues Rosalina Aparecida Partezani
Published: December 2023

Objetivo: relacionar a Síndrome da Fragilidade e a sarcopenia em idosos com e sem diabetes mellitus tipo 2; e identificar os potenciais fatores de risco para fragilidade e sarcopenia. Método: estudo epidemiológico descritivo realizado com 140 idosos do município de Sinop, Mato Grosso, Brasil. Para a avaliação da Síndrome da Fragilidade, utilizou-se o fenótipo de fragilidade, e, para a avaliação da sarcopenia, o questionário de avaliação física com medida de circunferência da panturrilha. Resultados: quanto à Síndrome da Fragilidade, obteve-se maior percentual para idosos com diabetes mellitus tipo 2 quando comparado àqueles sem a doença (p = 0,00). Em relação à presença de sarcopenia, os idosos com e sem diabetes mellitus tipo 2 apresentaram valores semelhantes, sem significância estatística (p = 0,74). Síndrome da Fragilidade apresentou associação com inatividade física (IC95%: 3,29-56,55), faixa etária superior a 75 anos (IC95%: 3,30-27,82), baixa renda familiar (IC95%: 1,80-50,98) e comorbidades (IC95%: 4,9-5,4). Entretanto, a sarcopenia foi associada à presença da inatividade física (IC95%: 1,26-10,44), baixo peso/eutrófico (IC95%: 3,32-26,76) e desnutrição/risco nutricional (IC95%: 1,30-7,70) para os idosos com e sem diabetes mellitus tipo 2. Conclusão: os idosos diabéticos têm maior vulnerabilidade para desenvolver a Síndrome de Fragilidade, requerendo a adoção de medidas preventivas na atenção primária à saúde.
Nursing microtheory in the prevention of delirium in older adult in the intensive care unit
Authors: Kinalski Sandra da Silva , Beuter Margrid , Benetti Eliane Raquel Rieth , Leite Marinês Tambara , Venturini Larissa , Brandão Marcos Antônio Gomes
Published: December 2023

Objective: to describe a microtheory for nursing care in the prevention of delirium in older adult in the intensive care unit. Method: prescriptive theoretical research, based on substruction. Roy’s Adaptation Model constructs were deduced and data from the phenomenon of nursing care in the prevention of delirium in older adult in intensive care were induced, based on an integrative literature review. Results: the microtheory has a theoretical and operational system and a model of care. In the theoretical system, Roy’s focal and contextual stimulus constructs were used. From them, the concepts of focal and contextual care and the variable adaptive response to prevention were elaborated. From the relational statements, four axioms, two postulates, eight propositions and an epistemic assumption were elaborated. Two empirical indicators were established in the operating system: the Confusion Assessment Method for Intensive Care Units and the demographic/clinical history of the older adult. Subsequently, two transformational statements, four hypotheses and the model of care represented in figure were produced. Conclusion: the microtheory produced prescribes care in the prevention of delirium in older adult in intensive care, through a construct of interest to nursing, and allows interceptions for the development of instruments that guide nursing activities.
Model proposal for calculating waste associated with processing consigned surgical instruments
Authors: Lopes Simone Garcia , Poveda Vanessa de Brito
Published: December 2023

Objective: to evaluate the waste generated from processing surgical instruments consigned in elective orthopedic surgeries and propose a model for calculating waste associated with processing consigned surgical instruments. Method: a quantitative, descriptive-exploratory case study carried out in a large university hospital in two phases: (1) retrospective by consulting administrative records of canceled elective orthopedic surgeries, with provision for the use of consigned materials for identification of the sub-specializations with the greatest demand; and (2) prospective through direct, non-participant observations of processing consigned surgical instruments prepared for the identified surgeries and proposition of a model for calculating waste associated with processing these materials. Results: hip arthroplasty, spine arthrodesis and knee arthroplasty surgeries were identified as presenting the greatest demand, resulting in 854 boxes of consigned surgical instruments processed and unused. Processing waste was estimated at R$34,340.18 (US$6,359.30). Conclusion: the proposed equation made it possible to calculate the waste related to the production and non-use of boxes of surgical instruments consigned for orthopedic procedures and can equip nurses for planning based on institutional, care and financial data, aiming to make better use of resources through waste identification.
Telehealth strategies in the care of people with chronic kidney disease: integrative review
Authors: Almeida Onislene Alves Evangelista de , Lima Maria Eduarda Freitas de , Santos Walterlânia Silva , Silva Bárbara Louise Moreira
Published: December 2023

Objective: to evaluate the evidence about telehealth strategies in caring for people with chronic kidney disease. Method: integrative literature review. The search for primary studies was carried out in six databases: PubMed/MEDLINE, Web of Science, EMBASE, CINAHL, LILACS, and Scopus. The sample consisted of 48 articles published between 2000 and 2021. The telehealth strategy was applied by a multidisciplinary team of doctors, nurses, pharmacists, nutritionis, and social workers. The type of study, country, strategy applied, setting, population, and professional were extracted from the articles. The studies were selected by reading the title and abstract (phase 1) and then reading them in full (phase 2), categorizing them by telehealth strategy. The results were summarized descriptively and the studies were classified according to their level of evidence. Results: the home was the most representative in dialysis and conservative treatment. Six categories of telehealth strategies were identified: remote monitoring devices, teleconsultation, digital platforms, apps, multimodality strategies, and telephone contact. Conclusion: using these strategies for the care of people with chronic kidney disease presents different forms and implementations, being feasible for the renal population at any stage of the disease and applicable by different health professionals with an emphasis on the home environment. The evidence shows that telehealth favors lower cost, accessibility to remote locations, and better monitoring of dialysis with positive resul in symptom control, risk reduction, and patient training.