bluuebunny/crossref_metadata_2025 huggingface dataset:
Aşağılık Karmaşasına Hapsolmuş Bir İsim: Ahmet Haşim
Authors: TOPÇU Hayrunisa
Published: January 2019

Türk edebiyatının önde gelen isimlerinden olan Ahmet Haşim, şair ve nasir

kimliği ile edebiyat araştırmacılarının her dönem ilgisini çekmiştir. Annesinin

yoğun sevgisi ve ilgisi altında geçen çocukluk yılları, İstanbul’a gelip

Galatasaray Lisesi’ne başlamasının ardından yeni bir sosyal çevreye uyum

sağlama sürecinin sancıları, çirkinlik saplantısı, şairin kendisi için olduğu

kadar edebiyat araştırmacıları için de zengin bir malzeme yığını

oluşturmaktadır. Nitekim Haşim’in aile ortamı ve ergenlik yıllarındaki duygusal

zorlanmaları, onun hem yaşamında hem de düzyazı ve şiirlerinde derin izler

bırakmıştır. Bu izlerin tespit edilebilmesi için Viyanalı psikiyatrist Alfred

Adler’in aşağılık karmaşası kavramından yararlanılmıştır. Sözü edilen kavram

aracılığıyla hem sanatçının kişiliğine hem de eserlerine ışık tutulmaya

çalışılmıştır. Aslında her insanda, var olmanın sonucunda ortaya çıkan eksiklik

duygusu; kişinin becerileriyle, yapabildikleriyle bir motivasyon kaynağına

dönüşmezse aşağılık kompleksi halini alır. Kişi, kendisini değersiz ve yetersiz

hisseder. Bu duygudan kurtulabilmek içinse öfke, kibir, hırs, gurur gibi

saldırganca tavırlar geliştirir veya kendisini ayrıcalıklı hissedebilmek için

insanlardan kaçar. Çocukluğunu annesinin koruyucu sevgisi ile babasının

mesafeli tavrı arasında geçiren Haşim aşağılık duygusundan bir türlü

kurtulamaz, çünkü babası tarafından ihmal edilmiş, annesi tarafından ise

abartılı bir sevgi ve ilgiyle büyütülmüştür. Bunun sonucunda kendisini üstün

hissedebilmek için saldırganca davranışlar geliştirmiş ve insanlardan

uzaklaşmıştır. Bu çalışmada, Ahmet Haşim’in hayatından ve eserlerinden

hareketle ondaki aşağılık kompleksinin nedenleri ve görünümleri tespit edilmeye

çalışılmıştır.
İvan Bunin’in Arsenyev’in Yaşamı Adlı Romanında Ölüm Teması
Authors: ÇAĞLIYAN ŞAKAR Kübra
Published: January 2019

İnsanın varlığını sorgulamaya başlamasıyla beraber ortaya çıkan ölüm (yok

oluş) kavramı edebiyat da dâhil olmak üzere; din, felsefe, sosyoloji,

psikoloji, tıp gibi birçok alanda araştırmacıların ilgi konusu olmuştur.

Bilinmeyene karşı merak, bu konuda daha fazla düşünmeye ve araştırmaya sevk

etmiştir. Hem Türk, hem de dünya edebiyatında bu konu şairlerin ve yazarların

eserlerinde bazen ana tema, bazen de yardımcı tema olarak karşımıza

çıkmaktadır. 1933’te Arsenyev’in Yaşamı adlı eseriyle Nobel Edebiyat Ödülü’nü

alan ilk Rus yazar İvan Alekseyeviç Bunin’in en sevdiği öğeler; aşk ve ölümdür.

Bunin’nin eserlerinde farklı bir anlama bürünen aşk, yerini ya ölüme ya da

sıradanlığa bırakır. Çalışmamızda, eserde kendini çok fazla hissettiren ölüm

teması; ölüm korkusu, yakınlarının kaybından duyulan acı ve aşk acısı olmak

üzere üç alt başlığa ayrılarak detaylı bir şekilde incelenmektedir.
İki Hunza Masalı ile Bazı Keloğlan Masal Varyantlarındaki Benzer Motifler
Authors: BİLİK Nuriye
Published: January 2019

Halk edebiyatının sözlü türlerinden olan masallar, ait oldukları

toplumların kültürel sembolleridir. Birbirinden farklı kültür ve coğrafyalarda yaşayan

insanoğlunun, tarih boyunca yaptığı göç, savaş ve ticaret amaçlı

yolculuklarında bu edebi türler de kendi ülkelerinin sınırlarını aşarak

karşılaştıkları toplumların sosyal ve kültürel dokularına uyum sağlayarak

farklı kimliklere bürünmüşlerdir. Anadolu’da anlatılan herhangi bir masalın,

fıkranın veya halk hikâyesinin benzeri ile başka ülkelerin edebiyatlarında

karşılaşmak bunu doğrular niteliktedir. Çalışmamızda yer verdiğimiz Hunza halk

masallarının isimsiz karakterleri, Türk masallarının sevilen kahramanlarından

olan Keloğlan’dan başkası değildir. Bu iki Hunza masalındaki karakterler de

bazı Türk masallarında olduğu gibi olumsuz özelliklere sahip Keloğlan’ın

benzerleri olarak karşımıza çıkar. Olumsuz özelliklerin yüklendiği bazı

Keloğlan masallarında; Keloğlan, kötü kalpli, acımasız, hilekâr, kurnaz,

tembel, açgözlü, ahlaksız, tehditkâr bir kişilik sergiler. Hunza masallarındaki

Keloğlan’ın benzeri olan karakterler de kurnazlık, düzenbazlık, hilekârlık,

acımasızlık ve gaddarlıklarıyla kandırdıkları insanların malına mülküne sahip

olup onları ölüme sürüklerler. Çevrelerindeki zavallı, saf, yaşlı ve dürüst

insanlara eziyet etmekten çekinmezler. Hayvanlar bile bu acımasızlıktan

nasibini alır. Yaptıkları her türlü hainlik ve kötülüğe rağmen racalık makamına

kadar yükseldikleri de olur. Kültürler arası ilişkilere dikkat çekmek amacıyla

Badnām Şarīr Bhāī kī Kahānī (Adı Çıkmış Haylaz Kardeşin Hikayesi) ve Bad Kār

Aurat kī Kahānī (Günahkâr Kadının Hikayesi) başlıklı iki Hunza masalı,

Anadolu’daki bazı Keloğlan masallarının benzer metinleri referans verilerek ele

alınmıştır.
Clinical and functional features of bronchial asthma AMONG MALE ADOLESCENTS
Authors: Zhadova Т. A. , Tarasova М. V.
Published: January 2019

The study is aimed at studying the clinical and functional features of BA in young men of military age. Methods. A total of 346 men aged 16–28 years (mean age 18 ± 1.7) were examined. The examination protocol corresponded to the algorithm “Medical Examination of Young Men and Draftees with Bronchial Asthma” in 2008. All patients underwent a general clinical and specific allergological examination, a functional lung examination assessing the reversibility of bronchial obstruction. Results. The diagnosis of BA was confirmed in 283 patients, and newly diagnosed in 23 (8.1%) patients. The mild BA was identified in 277 (97.9%) young men. The majority of patients - 240 (84.8%) - were in the remission phase of the disease, and 5 (1.8%) of them had a sustained remission. Allergic BA was diagnosed in the absolute majority of the examined - 261 (92.2%) people, and predominantly mild intermittent BA in 209 patients (73.8%). Symptoms of allergic rhinitis were reported by 198 (70%) patients with allergic BA and 85 (30%) patients with mixed asthma. House dust, library dust were the most common allergens. 68.2% of patients had the burdened heredity of BA and/or atopy. Most of the examined (79.9%) showed no significant changes in the respiratory function, however, 172 (60.8%) patients showed positive results of the β2-agonist test. At the time of the examination, 56 (19.8%) patients received antiasthma basic therapy, the other used only bronchodilators. Replacement of short-acting bronchodilator monotherapy for a combination of above bronchodilator and inhaled corticosteroids as an adjuvant therapy for stage 1 or 2 GINA patients ensures the early and regular administration of the baseline drug and eliminates the problem of excessive dependence on fast-acting bronchodilators. Conclusion The allergic phenotype of the disease with a predominance of milder form dominates in adolescents with asthma. Treatment with a fixed combination of beclomethasone salbutamol 250 μg/100 μg (SabaComb®) can increase compliance, improve the efficacy of the therapy and reduce the risk of BA exacerbations.
Peningkatan Aktivitas dan Hasil Belajar Sejarah Melalui Penerapan Metode Pembelajaran Kooperatif Tipe Talking Stick pada Siswa Kelas X-1 SMA Muhammadiyah 3 Jember
Authors: Rosidi Moh Imron
Published: January 2019

ClassX-1 at SMAMuhammadiyah 3 Jember less interested join in the lessons of history a look at teaching history took place. To overcome these problems is to use learning methodthat are tailored to the characteristics of students, where the characteristics of the class X-1 at SMA Muhammadiyah 3 Jember less interested in participating in learning history, students are quickly saturated in receiving lessons, students have a weak memory, and students lazy in reading the lessons material. Learning methodin accordance with the conditions of class X-1, especially in the subjects of history is a type of cooperative learning method Talking Stick. The results obtained in this research can be seen from the percentage of learning activities and student learning results. Student learning activities in the pre cycle 61.11%, 70.83% first cycle reached, and the second cycle the percentage of student activity reached 85.76%. Mastery of student learning results in the cognitive aspects of pre cycle 68.75%, affective and psychomotor aspects are not obtained, completeness student learning results at the first cycle 75% cognitive, affective aspects of 78.12%, and psychomotor aspects 75%, while the mastery of learning results second cycle of 87.5% on the cognitive, affective aspects of 90.62%, 87.5% and psychomotor aspects. Based on the above indicates an increase in the percentage of mastery learning activities and learning results among students in the classical precycle, the first cycle and second cycle. Keywords: cooperative learning method, Talking Stick, learning activities,learning results
Menggali Nilai-Nilai dan Hakikat Wanita Dalam Pandangan Ki Hadjar Dewantara
Authors: Kumalasari Dyah
Published: January 2019

AbstractThis study aims to analyze more about the nature of women in the view of Ki Hadjar Dewantara and what values can be developed in the process of learning in the course of History of Women. This research is designed to use critical historical methods. Critical historical methods include the process of collecting, testing, analyzing the source with criticism both internally and externally, then interpreted and presented in the form of writing history. Four procedures in the process of historical research follow the steps of historical writing as follows: heuristics, verification, interpretation, and historiography. The result of the research explains that Ki Hadjar Dewantara idea and thought is based on cultural and religious background and loaded with eastern values so that it can balance the study of feminism which mostly raises the ideas of women movement from Western concept and is often less culturally appropriate East. That women are naturally different from men both physically and psychologically. However, women still have to get the same rights in education. Women should be forward-thinking and educated in order to properly educate their sons. Women are also not prohibited for a career, but must still adjust to the nature of her femininity. Careers suitable for women according to Ki Hadjar Dewantara is in the field of education, medical, and art. Keywords: values, essence of woman, emancipation, feminism, History of woman
MASYARAKAT SAMIN DITINJAU DARI SEJARAH DAN NILAI-NILAI PENDIDIKAN KARAKTER
Authors: Sri Pinasti V. Indah , Lestari Puji
Published: January 2019

ABSTRACTThis study aims to (1) to know factors are causing Samin communities remain at the values and traditions, (2) to determine the values and traditions of what is local wisdom Tribe Samin, and (3) to know the values and traditions Samin communities in terms of character education. In this research, the research team used ethnographic research methods. The ethnographic method is a method used to describe things that are associated with Samin community in more depth. The results showed that the teachings of Samin Samin triggered by Surosentiko in 1890 and readily accepted by society Blora. This is because the state of Blora society in the 19th century is very alarming. Besides the natural conditions that are less potentially, also pressure from the colonial government that is characterized by the influx of money economic system, as well as the demands of high taxes. Expropriation of land owned by the people who made teak forests belonging to the state and the influx of Western culture makes Samin communities chose to alienate her from the pressures of life are different from them. Keywords: Historicity, normativity, Samin community, Character Education
THE RELATIONSHIP BETWEEN THE UNDERSTANDING OF INDONESIAN NATIONAL HISTORY, HISTORY LEARNING INTEREST, AND HISTORY AWARENESS AND THE NATIONALISM ATTITUDE.
Authors: Salsabila Cintatia , Aman Aman
Published: January 2019

ABSTRACTThis study aimed to find out the relationship between the understanding of Indonesian national history, the history learning interest, the relationship between the history awareness and the nationalism attitude. Tests of analysis assumptions consisted of tests of normality, linearity, and multicollinearity. The hypotheses were tested using Pearson’s product moment correlation and multiple correlation with relative and effective contributions. The results of the study show that: (1) there is a significant positive relationship between the understanding of Indonesian national history and the nationalism attitude, (2) there is a significant positive relationship between the history learning interest and the nationalism attitude, (3) there is a significant positive relationship between the history awareness and the nationalism attitude, (4) there is a significant positive relationship between the understanding of Indonesian national history, history learning interest, and history awareness as an aggregate and the nationalism attitude. Keyword: understanding of Indonesian national history, history learning interest, history awareness, nationalism attitude
A Culturally Adapted Cognitive Behavioral Internet-Delivered Intervention for Depressive Symptoms: Randomized Controlled Trial (Preprint)
Authors: Salamanca-Sanabria Alicia , Richards Derek , Timulak Ladislav , Connell Sarah , Mojica Perilla Monica , Parra-Villa Yamilena , Castro-Camacho Leonidas
Published: January 2019

BACKGROUND

Internet-delivered treatments for depressive symptoms have proved to be successful in high-income Western countries. There may be potential for implementing such treatments in low- and middle-income countries such as Colombia, where access to mental health services is limited.

OBJECTIVE

The objective of this study was to assess the efficacy of a culturally adapted cognitive behavioral internet-delivered treatment for college students with depressive symptoms in Colombia.

METHODS

This was a randomized controlled trial with a 3-month follow-up. The program comprised seven modules. A total of 214 Colombian college students were recruited. They were assessed and randomly assigned to either the treatment group (n=107) or a waiting list (WL) control group (n=107). Participants received weekly support from a trained supporter. The primary outcome was symptoms of depression, as measured by the Patient Health Questionnaire - 9, and the secondary outcomes were anxiety symptoms assessed by the Generalized Anxiety Disorder questionnaire - 7. Other measures, including satisfaction with treatment, were evaluated after 7 weeks.

RESULTS

Research attrition and treatment dropouts were high in this study. On average, 7.6 sessions were completed per user. The mean time spent on the program was 3 hours and 18 min. The linear mixed model (LMM) showed significant effects after treatment (t 197.54=−5.189; P<.001) for the treatment group, and these effects were maintained at the 3-month follow-up (t 39.62=4.668; P<.001). Within-group results for the treatment group yielded a large effect size post treatment (d=1.44; P<.001), and this was maintained at the 3-month follow-up (d=1.81; P<.001). In addition, the LMM showed significant differences between the groups (t 197.54=−5.189; P<.001). The results showed a large effect size between the groups (d=0.91; P<.001). In the treatment group, 76.0% (16/107) achieved a reliable change, compared with 32.0% (17/107) in the WL control group. The difference between groups was statistically significant (X22=10.5; P=.001).

CONCLUSIONS

This study was the first contribution to investigating the potential impact of a culturally adapted internet-delivered treatment on depressive symptoms for college students as compared with a WL control group in South America. Future research should focus on identifying variables associated both with premature dropout and treatment withdrawal at follow-up.

CLINICALTRIAL

ClinicalTrials.gov NCT03062215; https://clinicaltrials.gov/ct2/show/NCT03062215
Development and Usability of ADappt: Web-Based Tool to Support Clinicians, Patients, and Caregivers in the Diagnosis of Mild Cognitive Impairment and Alzheimer Disease (Preprint)
Authors: van Maurik Ingrid S , Visser Leonie NC , Pel-Littel Ruth E , van Buchem Marieke M , Zwan Marissa D , Kunneman Marleen , Pelkmans Wiesje , Bouwman Femke H , Minkman Mirella , Schoonenboom Niki , Scheltens Philip , Smets Ellen MA , van der Flier Wiesje M
Published: January 2019

BACKGROUND

As a result of advances in diagnostic testing in the field of Alzheimer disease (AD), patients are diagnosed in earlier stages of the disease, for example, in the stage of mild cognitive impairment (MCI). This poses novel challenges for a clinician during the diagnostic workup with regard to diagnostic testing itself, namely, which tests are to be performed, but also on how to engage patients in this decision and how to communicate test results. As a result, tools to support decision making and improve risk communication could be valuable for clinicians and patients.

OBJECTIVE

The aim of this study was to present the design, development, and testing of a Web-based tool for clinicians in a memory clinic setting and to ascertain whether this tool can (1) facilitate the interpretation of biomarker results in individual patients with MCI regarding their risk of progression to dementia, (2) support clinicians in communicating biomarker test results and risks to MCI patients and their caregivers, and (3) support clinicians in a process of shared decision making regarding the diagnostic workup of AD.

METHODS

A multiphase mixed-methods approach was used. Phase 1 consisted of a qualitative needs assessment among professionals, patients, and caregivers; phase 2, consisted of an iterative process of development and the design of the tool (ADappt); and phase 3 consisted of a quantitative and qualitative assessment of usability and acceptability of ADappt. Across these phases, co-creation was realized via a user-centered qualitative approach with clinicians, patients, and caregivers.

RESULTS

In phase 1, clinicians indicated the need for risk calculation tools and visual aids to communicate test results to patients. Patients and caregivers expressed their needs for more specific information on their risk for developing AD and related consequences. In phase 2, we developed the content and graphical design of ADappt encompassing 3 modules: a risk calculation tool, a risk communication tool including a summary sheet for patients and caregivers, and a conversation starter to support shared decision making regarding the diagnostic workup. In phase 3, ADappt was considered to be clear and user-friendly.

CONCLUSIONS

Clinicians in a memory clinic setting can use ADappt, a Web-based tool, developed using multiphase design and co-creation, for support that includes an individually tailored interpretation of biomarker test results, communication of test results and risks to patients and their caregivers, and shared decision making on diagnostic testing.
Las aptitudes y actitudes del docente clínico: una aproximación cualitativa
Authors: Pérez Zumano Sofía Elena , Morán Peña Laura
Published: January 2019

Introducción. A pesar de la trascendencia del rol del docente clínico en nuestro país es poca la generación de conocimientos de este campo. En esta investigación se exploraron las características del  docente clínico desde la perspectiva de los estudiantes.

Metodología. Por la multidimensionalidad de la enseñanza clínica se realizó una triangulación metodológica, en este artículo se presentan los resultados de la fase cualitativa. El análisis de los datos se hizo a través de la codificación abierta, axial y selectiva.

Resultados: A partir del análisis del discurso de los estudiantes se pudieron identificar tres grandes categorías: 1) Poseer aptitudes para la enseñanza clínica, 2) Actitudes del docente clínico que influyen positiva o negativamente en la enseñanza clínica y 3) Factores del contexto que intervienen en la enseñanza aprendizaje en el escenario clínico.

Discusión: Las aptitudes y actitudes del docente identificadas por los alumnos concuerdan con lo reportado en la literatura, salvo el caso de algunos factores del contexto que emergieron, que influyen en la docencia clínica y que han sido poco estudiados.

Conclusiones: La mirada  cualitativa permitió acercarse a la comprensión e interpretación de la riqueza y complejidad del rol del docente clínico.
La investigación en Enfermería: una mirada desde el enfoque de Género
Authors: Alatorre Wynter Edda R.
Published: January 2019

A partir de algunos ejemplos, se evidencia la limitada participación de las mujeres en la actividad científica y se fundamenta cómo esta exclusión tiene su base en decisiones sociales androcéntricas y no en “limitaciones” biológicas. Se destaca la importancia del enfoque de género para hacer visible la discriminación a las mujeres en diversos ámbitos del hacer humano, entre ellos la ciencia. Finalmente, se traspolan estos argumentos al caso concreto de la investigación en la Enfermería y se hacen algunas propuestas viables de ser llevadas a cabo, entre otras, en la Escuela Nacional de Enfermería y Obstetricia de la UNAM.
El Síndrome Burnout en el personal de Enfermería que labora en las áreas críticas y no críticas de un hospital público y de un privado, en México, D.F.
Authors: Balseiro Almario Lasty , Torres Lagunas María De los Ángeles , Ayala Quintero Teresa
Published: January 2019

El objeto de esta investigación es identificar el nivel del Síndrome de Burnout del personal de Enfermería en un hospital público y uno privado, en México, D.F. La variable medida fue el Síndrome de Burnout en las dimensiones: Fisiológicas, Psicológicas, Conductual y Laboral. Cada dimensión tuvo 10 indicadores a partir de los cuales se obtuvieron las preguntas del cuestionario. El tipo de investigación fue descriptivo, transversal, analítica, diagnóstica y de corte cuantitativo. Este estudio identifica, describe y evalúa el nivel del Síndrome de Burnout en el personal de Enfermería de ambos hospitales, para lo cual se aplicó un cuestionario estructurado tipo Likert con 42 preguntas y respuestas cerradas y estructuradas. La población estuvo compuesta por 377 Enfermeras: 194 del hospital privado de las cuales 112 de áreas críticas y 82 del área de hospitalización. En el caso del hospital público, fueron 183 Enfermeras: 80 de áreas críticas y 103 de hospitalización. La investigación se realizó en el 2006 y se encontraron los siguientes resultados: El personal de Enfermería del hospital privado tiene el nivel II del Síndrome de Burnout y el personal de Enfermería del Hospital público lo tiene en el nivel I. Está más marcada esta sintomatología en las áreas críticas, pero por el exceso de trabajo del área de hospitalización hace que el síndrome también se encuentre presente en hospitalización. Las áreas más afectadas en ambos hospitales son: En la Fisiológica: várices, exceso de trabajo, molestias gastrointestinales, fatiga y cansancio, agotamiento, afecciones respiratorias, cefaleas o migrañas y molestias cardiovasculares y la Psicológica: angustia y estrés. En el área laboral, el sueldo bajo del hospital privado y la falta de los días de descanso, son las áreas afectadas. Las Enfermeras enfrentan el Síndrome con una serie de estrategias utilizadas por ellas como escape a una situación difícil de controlar: descansar, dormir, relajarse, escuchar música, hacer ejercicio, viajar, recreación, comer, arreglar el jardín, etc. Sin embargo, muchas de estas Enfermeras deben salir del trabajo e incorporarse inmediatamente a otro turno de trabajo en otro hospital por lo que el descanso, la convivencia con la familia, el relajarse, el estar tranquilas después de la jornada laboral resulta una utopía.
La calidad del cuidado y la satisfacción de la persona
Authors: Zarza Arizmendi Maria Dolores
Published: January 2019

En este ensayo se plantea en primer lugar las diferentes concepciones y aportaciones de varios autores sobre el significado de la calidad, se hace énfasis en la calidad de los servicios de salud para dar paso a algunas reflexiones sobre las características específicas que tiene el cuidado Enfermero en cuanto a la calidad de la atención se refiere. Se caracterizan según varios autores los factores que producen satisfacción o insatisfacción del usuario de los servicios de salud, así como la complejidad que implica la evaluación de la calidad de la atención de Enfermería. Se presenta el modelo de Jurán de prevención de errores y la importancia que tiene el garantizar la seguridad de los pacientes a través de la aplicación del proceso de dirección de riesgos. Finalmente se analiza la importancia que tiene la satisfacción de la persona a la que se cuida así como el cumplimiento de sus expectativas con respecto a su atención y el papel protagónico que al respecto tiene el personal de Enfermería.
La calidad de vida en los adultos mayores y su percepción en la calidad de la atención de Enfermería
Authors: Salcedo Álvarez Rey Arturo , Zárate Grajales Rosa Amarilis , Zarza Arizmendi María Dolores , Reyes Audiffred Virginia , Rubio Domínguez Severino , Fajardo Ortiz Guillermo
Published: January 2019

El presente trabajo aborda la importancia del nivel de Calidad de Vida (CV) en los Adultos Mayores (AM) y la percepción de la Calidad de la Atención de Enfermería (CAE). El objetivo fue conocer la percepción de la CAE que tienen los AM de acuerdo a sus características sociodemográficas de salud y a su CV. Durante junio de 2006 con el apoyo de cuatro académicos y alumnos de la ENEO se encuestó a AM en tres centros de atención médica y en diversos puntos geográficos del D. F. Resultados: se entrevistaron 82 AM, 52 mujeres y 30 hombres, la calificación que asignaron a la CAE fue considerada como: “Muy Buena” o “Buena” en 80%, el análisis de correlación entre CV y la CAE mostró baja correlación. Las conclusiones fueron que en general los AM tienen buena opinión de la CAE; las mujeres tienen una mejor opinión que los hombres, las opiniones desfavorables aumentan conforme se incrementa la edad, el bajo nivel educativo, la pobreza y la severidad del diagnóstico; las opiniones más favorables están relacionadas con la mayor necesidad de cuidado, aparentemente la CV no determina la percepción de la CAE cuando la necesidad de cuidado es mínima.
Estrategias de Posicionamiento de la Enfermería ante los Nuevos Escenarios de la Salud
Authors: Ibarra Castañeda Ma. Guadalupe
Published: January 2019

Estrategias de Posicionamiento de la Enfermería ante los Nuevos Escenarios de la Salud
Lavado de manos y medidas de precaución estándar practicadas por el personal de salud
Authors: Ponce Gómez Gandhy , Hernández Romero Concepción , Martínez Díaz Rebeca
Published: January 2019

Introducción: En el hospital el contacto directo es el mecanismo de transmisión más frecuente; así que para reducir el contagio es necesario el lavado de manos y el seguimiento de las precauciones estándar en el cuidado del paciente. Objetivo: Observar la frecuencia de uso del lavado de manos y las precauciones estándar en el personal de salud. Metodología: es un estudio exploratorio transversal, con muestra no probabilística por conveniencia formada por 50 miembros del equipo de salud de un hospital pediátrico del DF; a quienes se les aplicó el instrumento con escala tipo Likert “Guía de Observación sobre el Lavado de manos y precauciones estandar”. Las prácticas de medidas de asepsia, solo en aquellos que tenían contacto directo con el paciente. Resultados: se encontró que la frecuencia de lavado de manos de 20 segundos o más fue de tan solo el 4%. También se encontró que la NOM-EM-002- SSA2-2003 no fue llevada a cabo. Estas situaciones ponen en riesgo de infección tanto a los pacientes como al personal de la salud. Discusión y conclusiones: El lavado de manos y la práctica de las precauciones estándar, protegen de los agentes infecciosos tanto a los pacientes como al personal de la salud y por tanto deben ser base de toda terapéutica intrahospitalaria.
Perspectivas de la práctica profesional de enfermería a partir de la maestría.
Authors: Ostiguín Meléndez Rosa María
Published: January 2019

Perspectivas de la práctica profesional de enfermería a partir de la maestría.
Estimación de la talla; adaptando la técnica de medición altura talón-rodilla con regla y escuadra
Authors: Ildeliza Sierra Torrescano María De Lourdes
Published: January 2019

Introducción: La talla o estatura es uno de los indicadores antropométricos que se utiliza para la valoración del estado nutricional; con mayor frecuencia. La medición de la estatura de los adultos mayores a través de la técnica de mayor exactitud en bipedestación o de pie; en algunos casos es difícil de determinar; por ello la utilización de otro segmento del cuerpo para estimarla como es la altura talón rodilla; puede ser muy útil para obtener el Índice de Masa Corporal (IMC). El instrumento para medir el largo de pierna es un antropómetro; el cual es costoso y poco accesible para el equipo de salud; en general. Objetivo: Estimar la talla en adultos mayores; adaptando la técnica de medición altura talón-rodilla con regla y escuadra Metodología: Se realizó un estudio exploratorio en una muestra de 59 adultos mayores; de una comunidad suburbana; a quienes se les aplicó una encuesta; en donde se registró la edad como criterio de inclusión e indicador para la estimación de la talla. Se realizó la antropometría mínima que consistió en primer término; en la medición de la talla; determinada con estadiómetro y con la altura talón-rodilla; técnica adaptada con regla y escuadra. La talla se estimó utilizando las ecuaciones desarrolladas por Chumlea; (1985). La medición del peso se obtuvo a través de una báscula portátil; con base en el resultado de peso y talla se calculó el Índice de Masa Corporal (IMC). Resultados: De los 59 adultos mayores 42 fueron mujeres y 17 hombres; la media de edad fue de 72 años y el límite máximo fue de 99 años. En cuanto a los rangos de peso encontrados van desde 36.9 Kg. como límite inferior hasta 84 Kg. como límite máximo; la media encontrada fue de 62.6 Kg. y la mayor frecuencia de 3 individuos la encontramos en 63Kg. Se correlacionó la talla real versus la talla estimada; encontrando significancia estadística de (p< = 0.0002); sin embargo es más significativa la correlación en hombres (r = 0.8591). Se logró adaptar la técnica de medición de la altura talón- rodilla con una regla y escuadra; lo que permitió facilitar la estimación de la talla; por lo accesible y económico de los instrumentos. Discusión: La estimación de la talla de los adultos mayores a partir de la altura talón-rodilla con regla y escuadra; demostró su precisión al correlacionarla estadísticamente; ya que se obtuvo una r de 0.8591 semejante a lo reportado por Huey-Shinn y cols. y Hernández y cols. . Lo anterior sustenta que la estimación de la talla en adultos mayores a través de la técnica adaptada de medición altura talón-rodilla con regla y escuadra es un procedimiento antropométrico alternativo para realizar la evaluación nutricional y establecer diagnósticos de estado nutricio en adultos mayores; a su vez también es una opción procedimental para la práctica del profesional de Enfermería que con mayor frecuencia realiza estas prácticas en primer nivel de atención.
Caracterización del binomio adulto mayor-familiar de convivencia
Authors: Aguilar Hernández Rosa Ma. , Félix Alemán Aurora , Martínez Aguilar Ma. De la Luz , Vega Alanis Ma. Del Carmen , Quevedo Díaz Ma. Magdalena , Gutiérrez Sánchez Gustavo
Published: January 2019

Introducción: El incremento de población adulto mayor exige responsabilidad sanitaria y familiar para que el aumento en años de vida sea de vida saludable. Objetivo: Identificar las características del adulto mayor y del familiar de convivencia como base para las acciones. Metodología: Estudio descriptivo; transversal con 96 binomios adulto mayor-familiar de convivencia. Cuestionario de datos biográficos y de salud para el adulto mayor y datos socios demográficos para el familiar; aplicados mediante entrevista en los hogares. Se utilizó el Programa Estadístico SPSS Versión 17. Resultados: Relación significativa en edad y sexo entre adultos mayores y familiares de convivencia. Media de edad 70 y 45; sexo; mujeres 59.4% y 67.7%; casados o en unión libre 56.3% y 72.9%; respectivamente. Familiar de convivencia hijo/a (54 %) y esposo/a (32%) mayoría mujeres con bajo nivel de escolaridad (65%) y ocupación labores del hogar (64%). La convivencia es favorable para la salud porque hay un mayor control de las conductas de riesgo. Relevancia de las características del binomio adulto mayor-familiar de convivencia para las acciones de promoción y prevención en los hogares; orientadas a fortalecer la relación y desarrollar habilidad en la atención al adulto mayor.
Diseño y evaluación curricular de un curso de posgrado de alta especialidad en medicina
Authors: Cervantes-Arriaga Amin , Rodríguez-Violante Mayela
Published: January 2019

Los Cursos de Alta Especialidad en Medicina consisten en programas académicos encaminados al desarrollo de competencias específicas en médicos especialistas. El objetivo central de este trabajo es presentar el diseño curricular del Curso de Alta Especialidad de Enfermedad de Parkinson y Trastornos del Movimiento. Entendiendo que cada curso debe adecuarse a las necesidades propias del campo de conocimiento, se presenta el estado actual del programa curricular del curso destacando objetivos cognoscitivos, psicomotores y afectivos, junto con su marco teórico. Se describen brevemente estrategias y recursos pedagógicos y su aplicación en el desarrollo del curso; también se describen diversas metodologías para la evaluación de objetivos, habilidades procedimentales y clínicas. Finalmente, se hace mención de la integración de tecnologías de Información y Comunicación como portafolios electrónicos y el e-learning. Los métodos, estrategias o su teoría pueden integrarse o adaptarse a otros programas de cursos de alta especialidad con la finalidad de mejorar el proceso de aprendizaje, pero también el de la enseñanza.
The importance to financial information in the decision-making process in company’s family structure
Authors: Friães dos Santos Joana Patrícia , Pires Amélia Maria , Fernandes Paula Odete
Published: January 2019

 In Portugal most enterprises have a family pattern and an important role. Its importance is recognized and justifies the option to develop this research, which aims to determine whether these enterprises assign importance to financial information in the decision-making process. The work allowed gathering enough evidence to conclude on the importance of financial statements for the decision-making process, in par­ticular as regards the use of the balance sheet and income statement. It was also concluded that financial information is primarily used to assess the financial impact, support the current management, investment decisions and comply with tax obligations.
¿DEBE LA FED REACCIONAR ANTE LA INFLACIÓN DE LOS ACTIVOS FINANCIEROS?
Authors: Muller Durán Nancy
Published: January 2019

RESUMEN

El objetivo de este artículo es analizar el debate Bernanke-Gertler (2000, 2001) versus Cecchetti et al. (2000, 2002)  sobre si el banco central debe incluir la inflación de los activos financieros en su regla de política monetaria. La hipótesis de investigación es que la regla monetaria convencional de la Reserva Federal de los Estados Unidos, que garantiza la estabilidad de precios, no necesariamente conduce a la estabilidad financiera. En parte esto implica que la dinámica de los precios de los activos contiene información que esta regla soslaya. Los resultados econométricos del análisis empírico sugieren que, contrario a las dos posiciones del debate referido, la inflación de los activos no es inocua. No obstante, su inclusión en la regla antes mencionada provocaría un sobreajuste de la tasa de interés que podría desestabilizar a la macroeconomía.

 

SHOULD THE FED REACT TO FINANCIAL BUBBLES?

ABSTRACT

The debate between Bernanke-Gertler (2000, 2001) versus Cecchetti et al. (2000, 2002) on whether the Central Bank should react to price asset inflation trends is dealt with in the present paper. It is argued that the US Federal Reserve’s conventional monetary policy rule may well guarantee price stability, but does not necessarily simultaneously lead to financial stability. This signals that asset price dynamics convey some relevant information not captured by the Fed’s rule. Contrary to the conclusions reached by both positions in the aforementioned debate, the paper’s econometric results suggest that, while financial assets inflation is not innocuous, its eventual incorporation in the monetary policy rule would trigger an excessive adjustment of the (interest rate) policy instrument and, thereby, a potential macroeconomic instability.
Ingreso básico y pleno empleo: Lecciones de Polanyi, Keynes y Minsky
Authors: Seccareccia Mario
Published: January 2019

The purpose of this paper is to analyze some of the literature on guaranteed income policies as promoted by both mainstream and heterodox economists over the last half century and to offer a critique on the basis of what can be described as a Polanyian perspective going back to Karl Polanyi’s assessment of the Speenhamland system in his celebrated 1944 book, The Great Transformation. While supporting the principle of universal basic income as a means to re-embed the capitalistic labor market so as to better meet the needs of the whole community, it is argued that a guaranteed income policy without also a societal commitment to full employment may trigger labor-market mechanisms that could prevent the societal re-embeddedness from actually occurring.

 

 
Crisis económico-financiera global
Authors: Camarena Luhrs Margarita
Published: January 2019

 

 
Este libro analiza la más grave crisis que ha experimentado el capitalismo en sus más de tres siglos de historia mundial.
 
Acumulación y financiarización en la industria automotriz
Authors: Samuel Ortiz Velázquez Aurora Marcial Flores
Published: January 2019

Se ofrece un examen de la organización de la industria automotriz en el mundo y la inserción de la industria automotriz con operaciones en México, con énfasis en el periodo 1994 en adelante y considerando los reacomodos internacionales que tuvieron verificativo luego de la crisis financiera internacional de 2008-2009; se presta atención a su estructura, dinámica y grados de integración local. Además se avanza en un análisis de las relaciones financieras a nivel de empresa de las matrices de Ford, Volkswagen y Nissan con operaciones en México. Con el objetivo de comprender los procesos de financiarización en la industria automotriz global y su relación con las variables reales (ganancias e inversión), así como las implicaciones que tiene en la dinámica de acumulación en la industria automotriz en México.
PENGARUH KESADARAN PAJAK, SISTEM ADMINISTRASI PAJAK MODERN DAN SANKSI PAJAK TERHADAP KEPATUHAN WAJIB PAJAK PADA UMKM DI SURAKARTA
Authors: Saraswati Zulaicha Efrita
Published: January 2019

Tujuan dari penelitian ini adalah untuk mengetahui pengaruh kesadaran pajak, sistem administrasi pajak modern, sanksi pajak terhadap kepatuhan wajib pajak UMKM. Populasi dalam studi ini adalah pengusaha UMKM di Surakarta. Jumlah responden dalam studi ini adalah 40 responden dari 20 kuesioner yang telah didistribusikan. Metode yang digunakan adalah metode purposive sampling. Metode analisis data menggunakan analisis regresi linier dan proses menggunakan SPSS 23. Hasil penentuan koefisien dari 0,511 yang menunjukkan bahwa 51,1% kepatuhan wajib pajak variabel dapat dijelaskan oleh kesadaran pajak, sistem administrasi pajak modern dan sanksi pajak sementara 46.4% diterangkan oleh faktor-faktor lain penelitian di luar.
The evolving relationship between airline profitability and passenger satisfaction
Authors: Gourdin Kent N
Published: January 2019

This paper examines the ongoing evolution of the U.S. airline industry under deregulation. After losing money for most of the past 35 years, carriers have made structural changes to their business models that have proven to be, at least in the short term, very profitable. After delineating these management actions, the paper examines their impact on passengers. The author utilizes the Service Quality Model to analyze the long-term implications of this new operating paradigm for passenger satisfaction. Based on this analysis the paper goes on to suggest several actions management could take to improve satisfaction. Finally, conclusions are offered and areas for additional research suggested.
A REVIEW ON FAST DISSOLVING TABLETIn-vitro drug release study: preparation and evaluation of chitosan anchored nanoparticles
Authors: Thagele Rajkumari
Published: January 2019

Cancer has become a solemn threat to the life of human beings universally. Various strategies are available to steadfastness cancer; however they are not so effective owed to their serious side effects, noxious effect to healthy cells and non- specificity to cancer cells targeting. To tenacity above facts we try to deed inherent characters of cancer cells. HA was used as a targeting agent for drug delivery to breast cancer cells. In this work nanoparticles were equipped using chitosan and sodium tripolyphosphate encapsulating methotrexate. Methotrexate (Mtx) a folic acid antagonist that inhibits dihydrofolatereductase (DHFR) and blocks conversion of dihydrofolic acid (DHFA) to tetrahydrofolic acid (THFA) of the cell cycle. Chitosan anchored nanoparticles were prepared by ionotropic gelation method by means of sodium tripolyphosphate and evalauted for in-vitro drug release study with dialysis membrane. Result depicts that drug releases from chitosan nanoparticles in sustained manner over a prolonged episode of time from the NPs as the medium acidity enhanced at the target site, not in plasma. In conclusion, chitosan anchored nanoparticles of MTX could be well thought-out as probable candidate for drug delivery in the treatment of breast cancer.

Keywords: Breast cancer, Methotrexate, Chitosan, TPP and Nanoparticles.
Concept of Satvapatana: a review
Authors: Hussain Gazala
Published: January 2019

Rasashastra is a branch in Ayurveda that deals with Ayurveda Pharmaceutics using drugs of varied origin like metals, minerals, gemstones, mercury, etc. Indian alchemy consists of various processes like shodhana (purification), marana (incineration), amrutikarana (processing the incinerated ash to imbibe more qualities), etc. One among these processes is Satvapatana (extraction of essence from mineral ores). Satvapatana is a process where the mineral ore mentioned in texts of Indian alchemy are mixed with other drugs and subjected to heat by which the essence of the ore is obtained.  The satva of the drugs are of different colours and different types of heat are mentioned to extract the satva for different minerals based on the hardness of the drug. These satvas are used in different processes of Mercury and also in therapeutics.

Keywords: Satvapatana, rasashastra, satva, minerals, mercury
Development, characterization and evaluation of herbal ointment containing momordica charantia, pongamia glabra and piper nigrum
Authors: Shukla Rashmi , Kashaw Varsha
Published: January 2019

Objective: The objective of present study was the development, characterization and evaluation of poly-herbal ointment formulation of pongamia glabra, piper nigrum and momordica charantia extract. Plant derived substances and herbal medicines have recently attracted the great interest towards their versatile application. Medicinal plants are the richest source of bioactive compounds used in traditional and modern medicine. The ointment formulation of plant extract has a sound approach to develop a poly-herbal ointment. The poly-herbal ointment formulation was evaluated for its physicochemical parameters like color, odor, pH, spreadability, extrudability, consistency, diffusibility, solubility, washability and stability. Materials and methods: Extract of all three plants has been separated by the soxhlet extraction. Poly-herbal ointment has been prepared by mixing the extract of momordica charantia, pongamia glabra and piper nigrum with wool fat, Cetostearyl alcohol and paraffin. Results and conclusion: Physicochemical evaluation shows that the poly-herbal ointment fulfilled the criteria as herbal formulation and irritancy test also performed indicate the effectiveness and efficacy of prepared ointment formulations. The poly-herbal ointment formulations were also evaluated for its stability at various temperature conditions which shows no change in the irritancy, spreadability and diffusion study. Thus it could become a medium to use the medicinal properties of extracts effectively and easily as a simple dosage form.

Keywords: Momordica charantia, pongamia glabra, piper nigrum, ointment, Cetostearyl alcohol.
Phytochemical investigation and determination of phytoconstituents in flower extract of Nelumbo nucifera
Authors: Dubey Seema , Baghel Shailbala Singh
Published: January 2019

The aim of this study seeks to investigate the presence of qualitative and quantitative analysis of phytoconstituents of the flower of the plant Nelumbo nucifera. The present study provides evidence that successive solvent extract of Nelumbo nucifera contains medicinally important bioactive compounds and this justifies the use of plant species as traditional medicine for treatment of various diseases. Maximum phenolic and flavanoid content was observed in ethanolic extract of Nelumbo nucifera. The DPPH scavenging potential of the ethanolic extracts of the herbs ranged from 33%-55%. In the present study analysis of free radical scavenging activity and total phenolic and flavonoid content showed that mainly the ethanolic extract of flower extract can be the potent source of natural antioxidants.

Keywords: Phytochemical, Ethanolic extract, Antioxidant activity, Nelumbo nucifera
Prospects of Traditionally important Apocynaceae plants of India in Cancer Remediation
Authors: Devi Nirmala , Gupta Ajay Kumar , Prajapati Sunil K.
Published: January 2019

Objectives: Apocynaceae Family plants in India had wide array of traditional uses and practised since years ago. This review aims to report selected plants of this possessing anticancer activity. Selected literature compiled from the search of electronic journals, books and encyclopedias etc. using search engines viz. Google, PubMed, Sciencedirect, GoogleScholar and SciFinder for all periods. The Dogbane family is includes atleast 150 genera and 1700 species. Around 25 genera and 50 species of the family reviewed here possess anticancer activity. The reason for this potential is due to: a) phytoconstituents b) poisonous constituents c) antimalarial activity and d) abundance of literature in traditional medicinal use.  Folk medicinal uses and reported anticancer potential suggests that the Apocynaceae plants can be formulated or developed into lead compounds or novel drugs or multidrug complex for treatment of cancer. Detailed screening of each species has to be performed in 64 pannel cell lines, mechanistic study performed clearly and effectiveness of extracts, fractions or pure isolated compounds is to be compared.

Keywords:  Apocynaceae; Traditional Medicines; cancer; anticancer plants.