bluuebunny/crossref_metadata_2025 huggingface dataset:
Me toofragments in English and French: a direct interpretation approach
Authors: Abeillé Anne , Kim Jong-Bok
Published: July 2022

Additive fragments, comprising a nominal remnant and an additive adverb (e.g.,too,either), are a particular type of stripping. On the basis of new corpus data in English and French, we show that such fragments do not always have a verbal clause as their antecedent, and that when they do, different kinds of mismatch are possible between a verbal equivalent and the actual fragment. This challenges most approaches based on syntactic reconstruction. We also show that their interpretation is more flexible than previously thought, since they can be used for interrogative, exclamatory, or ordering purposes. We distinguish between their contrastive (non-coreferent) use (A: John left. B: Me too.) and emphatic (coreferent) use (A:John left. B: HIM too!).We propose a direct interpretation analysis that resorts to no syntactic reconstruction of a verbal clause. The proposed analysis, developed within the framework of construction-based HPSG, allows us to capture not only their properties sharing with other fragments (short answers and negative stripping) but also their unique constructional properties.
Rabana-Merquly: a fortress in the kingdom of Adiabene in the Zagros Mountains
Authors: Brown Michael , Raheem Kamal Rasheed , Abdullah Hashim Hama
Published: July 2022

The mountain fortress of Rabana-Merquly was a major regional centre of the Parthian period (first century BC) in the Zagros Mountains of Iraqi Kurdistan. The iconography of two rock-reliefs that show an unnamed ruler suggests an association with the vassal kingdom of Adiabene. The exceptional preservation of the fortress's stone walls, undamaged by later agriculture in this highland location, provides an almost complete example of a large, fortified site with two main intramural settlements. Through its ability to control the surrounding landscape, Rabana-Merquly highlights the role of client states on the peripheries of the Parthian and Roman Empires and illuminates the practicalities of territorial control by state authorities in hinterland regions.
Uniaxial Tension Fatigue Test of Asphalt Concrete—An Improved Framework
Authors: Uzan Jacob
Published: July 2022

The stress and strain distributions in the uniaxial tension fatigue test are homogeneous and are better estimated than in the beam fatigue test. This condition is of utmost importance when analyzing the test using viscoelastic continuum damage (VECD). The uniaxial tension is nowadays conducted using crosshead displacement control. The strain control condition is difficult to realize with crosshead control. The paper proposes to use two extensometers with an averaging cable to control the strain in the central part of the specimen in the same manner as the load cell is used to control the stress and avoid the problems caused by the crosshead displacement control. The fatigue test history contains millions of data points and poses some difficulties in using the full-time history in the analysis of the test. It is proposed to conduct dynamic modulus and uniaxial tension fatigue tests on the same specimen and to implement numerical integration that reduces the computation effort. The analysis of two fatigue tests suggests that, with the full-time history, it is possible to: (1) Obtain an additional damage parameter, in addition to the maximum pseudo stiffness (PS). The maximum PS is calculated from the peaks of the stress and pseudo strain and represents the material state at the peak loading condition and at failure. The slope PS is calculated at beginning of the loading as the ratio of the damaged and undamaged moduli. It represents the material state at the end of the loading cycle; and (2) To make a more accurate estimation of the internal variable S which may be used as a material performance parameter.
Brusatol modulates diverse cancer hallmarks and signaling pathways as a potential cancer therapeutic
Authors: Guo Song-Bin , Huang Wei-Juan , Tian Xiao-Peng
Published: July 2022

Cancer is a consequence of uncontrolled cell proliferation that is associated with cell-cycle disruption. It is a multifactorial disease that depends on the modulation of numerous oncogenic signaling pathways and targets. Although a battle against cancer has been waged for centuries, this disease remains a major cause of death worldwide. Because of the development of resistance to current anticancer drugs, substantial effort has been focused on discovering more effective agents for tumor therapy. Natural products have powerful prospects as anticancer drugs. Brusatol, a component isolated from the plant Brucea javanica, has been demonstrated to efficiently combat a wide variety of tumors. Extensive studies have indicated that brusatol exhibits anticancer effects by arresting the cell cycle; promoting apoptosis; inducing autophagy; attenuating epithelial-mesenchymal transition; inhibiting migration, invasion and angiogenesis; and increasing chemosensitivity and radiosensitivity. These effects involve various oncogenic signaling pathways, including the MAPK, NF-κB, PI3K/AKT/mTOR, JAK/STAT and Keap1/Nrf2/ARE signaling pathways. This review describes the evidence suggesting that brusatol is a promising drug candidate for cancer therapeutics.
On the Trail of a Nostalgic Adventure
Authors: Ellis James
Published: July 2022

This article examines the music of the Pokémon franchise through the concept of nostalgic potential—a newly coined term defined as music’s capacity to evoke, enhance, and exploit wistful sentiment through specific and identifiable musical elements. The nostalgia identified here is childhood brand nostalgia, a concept identified by A. B. Shields and J. W. Johnson, a particularly potent form of this emotion of reminiscence for a person’s youth upon exposure to a brand or franchise. This article will illuminate how we can identify specific musical elements as contributing to the nostalgic potential of musical material by using newly adapted gestural analytical techniques. In identifying such elements, analyses will point to how we can determine the locus of the nostalgic potential, in this case, as being located in the sense of adventure, a key ludic component of Pokémon video game iterations. This article will outline two case studies that greatly contribute to the generation, evocation, enhancement, and exploitation of the nostalgic potential located in two video game music texts—namely the Pokémon Center theme and Route/Wild Area music across multiple franchise iterations. This research substantially contributes to our understanding of nostalgia in relation to musical texts whilst providing a new, workable, and sufficiently adaptable framework for identifying how childhood brand nostalgia—and by extension, other forms of nostalgia—can be evoked and enhanced by video game music texts and their franchises.
hnRNP R negatively regulates transcription by modulating the association of P‐TEFb with 7SK and BRD4
Authors: Ji Changhe , Deng Chunchu , Antor Katharina , Bischler Thorsten , Schneider Cornelius , Fischer Utz , Sendtner Michael , Briese Michael
Published: July 2022

The P‐TEFb complex promotes transcription elongation by releasing paused RNA polymerase II. P‐TEFb itself is known to be inactivated through binding to the non‐coding RNA 7SK but there is only limited information about mechanisms regulating their association. Here, we show that cells deficient in the RNA‐binding protein hnRNP R, a known 7SK interactor, exhibit increased transcription due to phosphorylation of RNA polymerase II. Intriguingly, loss of hnRNP R promotes the release of P‐TEFb from 7SK, accompanied by enhanced hnRNP A1 binding to 7SK. Additionally, we found that hnRNP R interacts with BRD4, and that hnRNP R depletion increases BRD4 binding to the P‐TEFb component CDK9. Finally, CDK9 is stabilized upon loss of hnRNP R and its association with Cyclin K is enhanced. Together, our results indicate that hnRNP R negatively regulates transcription by modulating the activity and stability of the P‐TEFb complex, exemplifying the multimodal regulation of P‐TEFb by an RNA‐binding protein.
Ефективність тренування з використанням балансуючої платформи в реабілітації у хворих після перенесеної коронавірусної хвороби з міогенною цервікалгією
Authors: Істомін Андрій , Мартинова Наталія , Білецька Ольга
Published: July 2022

Пандемія коронавірусу протягом останніх 3 років призвела до зростання гіподинамії у людей працездатного віку, що супроводжується гіпотонією м’язів осьового скелету. Відомо, що міогенна цервікалгія є одним з розповсюджених проявів постковідного синдрому, а саме, 73% хворих, які звернулись за реабілітацією після перенесеної коронавірусної інфекції мали прояви міогенної цервікалгії. Але методи фізичної терапії даного контингенту хворих виявилися не достатніми. Звідси виникає потреба в дієвих та доступних програмах фізичної терапії для всіх категорій людей. Розвиток і вдосконалення теоретичних основ знань та застосування нових і вдосконалення найбільш прогресивних методів профілактики і реабілітації осіб з міогенною цервікалгією, зокрема, після перенесеної короновірусної інфекції COVID-19, є важливим завданням на сучасному етапі розвитку реабілітації в Україні. Використання методу тренування на балансуючій платформі з вільною вагою для задіяння пропріорецепції, координації та м’язового тонусу має бути дієвим в реабілітації пацієнтів, які перенесли коронавірусну хворобу. Мета дослідження: удосконалення рухової координації хворих після перенесеної коронавірусної інфекції з міогенною цервікалгією через комбіноване використання лікувальної гімнастики та вправ на балансуючій платформі. Матеріал і методи: дослідження проводилось протягом 2 місяців у 18 пацієнтів (10 – жінок і 8 чоловіків) у віці від 30 до 45 років. Відповідні пацієнти були розділені на дві групи: експериментальна (ЕГ) та контрольна (КГ) по десять осіб у кожній групі. Був задіяний метод виконання вправ лікувальної гімнастики на балансуючій платформі з вільною вагою, тобто з використанням гантелей та фітнес резинок. Висновки: було доведено ефективність розробленої програми фізичної терапії та доцільність використання балансуючої платформи «Stein Massage Balance Рlatform» в програмі фізичної терапії осіб після перенесеної коронавірусної інфекції.
Childcare Facilities as a Component of Family Policy in a Big City
Authors: KRIMER B. O.
Published: July 2022

Finding a balance between employment and family life today is a significant challenge for families with children and, therefore, one of the main issues of family policy, especially relevant for big cities. The availability of quality childcare, especially for children under three years of age, is crucial for parents’ participation in the labor market, reduces the risk of poverty for families with children and has a positive impact on fertility. This work is based on the idea of the special importance of social services for childcare in modern cities (especially, big cities) in the context of similar fertility trends in urban areas of Ukraine and other European countries. The purpose of this publication is to analyze social services for childcare in developed countries and Ukraine, identify major development problems and find ways to improve family policy in Ukraine at the level of big cities by studying the development of preschools in other countries and cities. The coverage of children with preschool education and care in Ukraine is significantly lower than in most European countries, especially for children under two years of age, where there is no noticeable growth trend. In big cities of Ukraine, against the background of relatively low coverage, the problem of overloaded preschools remains acute. The current problems, especially acute in big cities, are the low level of services, inconvenience for parents and low staff salaries. Useful experiences of family policy development in big cities of developed countries include: assistance in increasing the number of available places in preschools and childcare facilities (in particular, for children under three years of age), targeted financial support or reducing the tax burden for families with children using childcare services, wider support for vulnerable groups of families with children, development of individual childcare. It is important to implement complex family policy that combines the development of preschools with other tools to provide material support and promote employment for parents, as well as to promote practical gender equality and overcome the “double burden” for working mothers.
Turkey, Migration and the EU: Potentials, Challenges and Opportunities
Authors: İçduygu Ahmet , Biriz Karaçay Ayşem , Toksöz Gülay , Tolay Juliette , Kirişçi Kemal , Ünlütürk Ulutaş Çağla , Erder Sema , Kaşka Selmin , Bettin Giulia , Pusch Barbara , Aydin Yaşar , Okyayuz Mehmet
Published: July 2022

In the context of Turkey’s accession to the EU, the issue of potential migration from Turkey and its impact upon European labor markets became one of the concerns of the EU, considering Turkey’s growing population and young labor force. In 2011, half a century after the bi-lateral agreement between Turkey and Germany on labor recruitment in 1961, migration plays a key role in relations of Turkey with the EU and will even increase its significance – not necessarily for the next fifty years but certainly for the next decade. This book touches upon various aspects of the ongoing debate about the effects of Turkey’s accession to the EU upon the migration flows and sheds light on various dimensions of current panorama, addresses policy implications as well as future challenges and opportunities.
Flipped Classroom Learning: A Current Issue in English Language Teaching in Pandemic-Era as Perceived by Lecturers
Authors: Harida Eka Sustri , Jufrizal Jufrizal , Rambe Sojuangon
Published: July 2022

The current method of teaching English in today's era is online learning; this condition occurs because of the pandemic era in all countries in the world, including Indonesia. Teaching English should be done at least by using blended learning systems; one of them is by using flipped classroom learning. Unfortunately, many teachers and students in some areas were not ready to face it. This study aims to determine the lecturers' perception of flipped classroom learning. This research was conducted through a mixed method using a questionnaire and interview to obtain data about lecturers' perceptions of flipped classroom learning. Based on the results, it is known that lecturers have a positive perception of flipped classroom learning, and they think that a new era in teaching must be followed. They are ready to face the industrial era with this kind of learning and are ready to provide themselves to become lecturers who are able to use technology, especially to follow the current era of teaching, not only in the Covid-19 era but also in the normal condition. This study recommends further research of the effect of online learning, specifically for flipped classroom learning, on the students’ competencies or on the lecturers’ professionalism.
STEM-Based E-Module Integrated Local Wisdom of Rice Stem Fertilizers on Students' Critical and Creative Thinking
Authors: Aswirna Prima , Samad Duski , Devi Indri Saputri , Fahmi Reza , Jannah Raudhatul
Published: July 2022

Several studies have acknowledged that using E-Modules can support the thinking and creative abilities of students to be able to learn independently and can also repeat lessons independently whenever students want. The e-module provided also contains about the sustainability of the Minangkabau custom that almost no one plays the traditional instrument, namely the rice stalk pupuik. Where is the rice stem fertilizer originating from the Payukumbuh, Lima Puluh Kota, West Sumatra. This one musical instrument is a musical instrument that has many characteristics in playing it, which has many meanings for each playing technique. This rice stem pupuik musical instrument was explained in the material of mechanical waves and sound waves from class 12 material. The game technique owned by the rice stem pupuik or the shrill sound emitted by the rice stem pupuik, was explained in learning about sound waves. From this, students will be made to think critically and creatively in finding out about the lessons of mechanical waves and sound waves which are owned by the rice stem pupuik musical instrument. The products provided in this study are very different from the E-Modules that have been made by previous researchers, namely the E-modules integrated with local wisdom of rice stem fertilizers originating from West Sumatra.
Moving beyond ideological problem-solving paradigms in higher education governance studies: Toward a renewed perspective
Authors: Yembergenova Danagul
Published: July 2022

New Public Management (NPM)-inspired higher education (HE) governance has become increasingly topical in recent years. However, while existing research provides an overall understanding of relevant changes, it does not offer a complete analysis of complex governance and falls prey to deterministic and relatively narrow ideological impositions. Scholars are overwhelmingly oriented toward governance models or modes and the ideas of efficiency, effectiveness, and competition in NPM. They either promote these aspects as an approach to organizing HE governance or criticize them in addition to evaluating or comparing their outcomes. Therefore, based on a literature review and drawing on Foucauldian ideas of political rationality, this paper proposes a shift from the ideology-based problem-solving paradigm to a renewed approach. By calling for an increased focus on bottom–up initiatives that stem from below while studying NPM-inspired HE governance, this paper recommends conducting a discourse analysis of technical policy papers together with empirical-analytical studies to identify interpretive political rationalities and histories. Overall, the approach proposed in this paper would limit the deterministic mode of policy analysis and lead to more refined ways of understanding HE governance in certain fields, clarifying problematic situations, and effectively estimating future directions.
A Comparative Study of the Two Sets of Chinese Textbooks in Singaporean Secondary Schools
Authors: Poh Aw Guat , Zhao Shouhui , Hu Xiangqing
Published: July 2022

In the ethnically heterogeneous and linguistically hybrid Singapore, its bilingualism education is characterised by the mandatory mother tongue policy for its three main ethnic groups. For Chinese students’ language acquisition, this is practised in a way that Chinese language instruction in Singapore has been differentiated into four streams according to their individual differences in language proficiency. This study reports the findings obtained from a public funded large-scale empirical research project with a focus on the Mother Tongue Language curriculum in Singapore secondary schools. The questionnaire survey consists of 4811 students from 24 Singaporean secondary schools categorised on the basis of three key family language backgrounds, namely: Chinese-dominant, Chinese-English mixed, and English dominant. Using a comparative study methodology, the study seeks to juxtapose the perceptions of Secondary 2 and 3 students regarding their current language textbooks (developed in 2011) against the textbooks published in 2002. The survey revealed two key findings which highlight the diverse learning needs of students from varying backgrounds, thus indicating a greater and more complex challenge surrounding the revision of upcoming Mother Tongue Language instructional materials. It is our hope that the details of main findings manifested in this study can shed some light on the future endeavours in innovating Chinese education in other parts of the world with the similar sociolinguistic context.
Systemic Functional Linguistics and the Development of Spoken Chinese Textbooks
Authors: Yang Yanning , Zhang Xinming
Published: July 2022

More than ten thousand spoken Chinese textbooks have been published in the past three decades because of the rise of China and the increasing number of Chinese learners all over the world. None of these textbooks was developed by making reference to the theories of Systemic Functional Linguistics (SFL) both in terms of overall design and the selection of teaching materials. Therefore, this article explores the possibility of developing spoken Chinese textbooks on the basis of SFL theories. There exist many studies in the field of systemic-functional approaches to Chinese, which provide a rich foundation for the analysis of spoken Chinese. Depending on the findings of previous research, the chapter applies the theories of SFL to the development of the spoken Chinese textbook. The chapter first identifies three inadequacies of current Chinese textbooks in terms of grammatical knowledge presentation, the organization of units, and the contextual structure of conversation passages. In particular, three textbooks published respectively in China, Singapore, and the US were selected for illustration. The article then develops a functional framework for the presentation of Chinese grammatical knowledge based on experiential, interpersonal, and textual functions. Moreover, it demonstrates that the arrangement of various units and the structure of sample conversations in Chinese textbooks can be improved using register theory and genre theory respectively. The research contributes to the growing body of research on the teaching of spoken Chinese and the development of effective Chinese textbooks.
Empirical Studies on L2 Mandarin Chinese Production
Authors: Li Xiaoshi , Luo Qian , Liu Jie , Ryu Catherine
Published: July 2022

This paper delineates an overview of Mandarin Chinese tone production empirical studies over the past three decades that reported the varying patterns of difficulty for L2 Mandarin learners. In this review, we investigate 19 studies chosen based on our selection criteria by analyzing the key factors in relation to the four main perspectives; namely, learners, instructors, target forms and researchers. We also analyze the patterns and issues found in this investigation. This overview aims to illuminate the current picture of L2 Chinese tone production and its complexity. In light of the insights garnered from this review, we propose a set of suggestions for future research and discuss broad implications for pedagogical approaches to tone learning.
Myanmar Research Trend Analysis: A comparative approach to domestic and international journals articles using keyword network analysis
Authors:   Korea Association for International Commerce and Information, Park Hyun-Yong , HAN Jeong Hugh
Published: July 2022

To capture the recent Myanmar research trends, this study analyzed 605 domestic journal articles (indexed in Korean Citation Index) and 31,671 international journal articles (published in Springer) by taking the keyword network analysis method. Myanmar research has been actively carried out since early 2010 both domestically and internationally, showing a rapid increase from 2016 when the democratic government was established by Aung San Suu Kyi. Keyword analysis indicated that domestic journal articles put priority on Myanmar's internal issues, such as political conditions, economy, social culture, and international relations. On the other hand, international articles prioritized generic research topics, such as species diversity, climate change, health care, and malaria infection. Topic modeling analysis identified that international trade policy and trade cooperation were dominant research topics for both domestic and international journal articles. However, Myanmar's internal specific issues such as Buddhism, history, and the military issues were analyzed as important topics by domestic articles while global topics such as energy/resources problem, education, health policy, and species diversity were ranked as important topics in international articles. Periodical research trend analysis distinguishes the directions of domestic and international research articles. In domestic journal articles, Myanmar’s internal domestic issues such as religion and language were dominant topics before the economic opening period. In the initial stage of economic opening, research proportions on Korean companies' strategies for entering to Myanmar market were high. In the period of openness expansion, market entry strategies for individual industry sectors and analysis of investment effects were important research topics. On the other hand, international articles showed consistency and firmness in selecting research topics, such as food issues, species diversity, climate change, health care, and education policy. This paper empirically suggests that domestic journal articles focus on international trade and investment-related issues by taking an economic approach while international articles highlight the diverse characteristics of Myanmar by taking a holistic approach.
Influence of Consumer’s Augmented Reality Experience on the Decrease of Product Return Worriedness in Cross-Border Electronic Commerce
Authors:   Korea Association for International Commerce and Information, Cho Hui-Hsin , Kim Hag-Min
Published: July 2022

This research emphasizes the importance of augmented reality (AR) experience technology to reduce consumers’ worries about product returns in CBEC platform. AR experience technology enables consumers to conduct virtual product trials by themselves in the surrounding environment immediately when they shop online. In this study, we developed a theoretical model for incorporating multiple research constructs cuts such as perceived information, perceived pleasure, perceived interaction, worries over product return, and purchase intention in CBEC environment. Several hypotheses in connection with the model were suggested and empirical analysis for 350 ethnic Chinese consumers around the world was made. The results of the study show that the perceived information and perceived pleasure in the AR feature can effectively reduce consumers' anxiety about returning goods. The lack of perceived interaction will weaken the relationship between perceived information and concerns over the return. In sum, the decrease in the fear of returning goods can effectively promote consumers' purchase intentions in CBEC platform. In other words, the AR experience technology can reduce consumers' psychological worriedness about returning goods, make them to trust the CBEC platform, and increase purchase intentions.
An Enhanced Neural Graph based Collaborative Filtering with Item Knowledge Graph
Authors: M. Sangeetha , Thiagarajan Meera Devi
Published: July 2022

Recommendation system is a process of filtering information to retain buyers on e-commerce sites or applications. It is used on all e-commerce sites, social media platform and multimedia platform. This recommendation is based on their own experience or experience between users. In recent days, the graph-based filtering techniques are used for the recommendation to improve the suggestions and for easy analysing. Neural graph based collaborative filtering is also one of the techniques used for recommendation system. It is implemented on the benchmark datasets like Yelp, Gowalla and Amazon books. This technique can suggest better recommendations as compared to the existing graph based or convolutional based networks. However, it requires higher processing time for convolutional neural network for performing limited suggestions. Hence, in this paper, an improved neural graph collaborative filtering is proposed. Here, the content-based filtering is performed before the collaborative filtering process. Then, the embedding layer will process on both the recommendations to provide a higher order relation between the users and items. As the suggestion is based on hybrid recommendation, the processing time of Convolutional neural network is reduced by reducing the number of epochs. Due to this, the final recommendation is not affected by the smaller number of epochs and also able to reduce its computational time. The whole process is realized in Python 3.6 under windows 10 environment on benchmark datasets Go Walla and Amazon books. Based on the comparison of recall and NDCG metric, the proposed neural graph-based filtering outperforms the collaborative filtering based on graph convolution neural network.
A Parallel FP-Growth Mining Algorithm with Load Balancing Constraints for Traffic Crash Data
Authors: Yang Yang , Tian Na , Wang Yunpeng , Yuan Zhenzhou
Published: July 2022

Traffic safety is an important part of the roadway in sustainable development. Freeway traffic crashes typically cause serious casualties and property losses, being a serious threat to public safety. Figuring out the potential correlation between various risk factors and revealing their coupling mechanisms are of effective ways to explore and identity freeway crash causes. However, the existing association rule mining algorithms still have some limitations in both efficiency and accuracy. Based on this consideration, using the freeway traffic crash data obtained from WDOT (Washington Department of Transportation), this research constructed a multi-dimensional multilevel system for traffic crash analysis. Considering the load balancing, the FP-Growth (Frequent Pattern- Growth) algorithm was optimized parallelly based on Hadoop platform, to achieve an efficient and accurate association rule mining calculation for massive amounts of traffic crash data; then, according to the results of the coupling mechanism among the crash precursors, the causes of freeway traffic crashes were identified and revealed. The results show that the parallel FPgrowth algorithm with load balancing constraints has a better operating speed than both the conventional FP-growth algorithm and parallel FP-growth algorithm towards processing big data. This improved algorithm makes full use of Hadoop cluster resources and is more suitable for large traffic crash data sets mining while retaining the original advantages of conventional association rule mining algorithm. In addition, the mining association rules model with the improvement of multi-dimensional interaction proposed in this research can catch the occurrence mechanism of freeway traffic crash with serious consequences (lower support degree probably) accurately and efficiently.
Crianças e adolescentes vítimas de violência sexual: aspectos do desenvolvimento físico e emocional
Authors: Conceição Marimeire Morais da , Whitaker Maria Carolina Ortiz , Grimaldi Monaliza Ribeiro Mariano , Silva Luana Lima Pereira da , Silva Lucinéia Santos da , Oliveira Márcia Maria Carneiro , Camargo Climene Laura de
Published: July 2022

RESUMO Objetivo: identificar a percepção da equipe multiprofissional de saúde sobre os aspectos do desenvolvimento físico e emocional de crianças e adolescentes que sofreram violência sexual. Métodos: estudo qualitativo, realizado com 30 profissionais de saúde em hospital da Bahia, Brasil, entre junho e julho de 2019. Os dados foram coletados a partir de entrevista norteada por questionário semiestruturado. Os resultados foram interpretados conforme o Interacionismo Simbólico. Resultados: algumas crianças violadas sexualmente tinham menos de cinco anos e aspecto saudável, outras portavam deficiências físicas/mentais. Adolescentes vitimizadas estavam em fase pré-púbere, com estrutura corporal frágil, pouco amadurecidas emocionalmente e desconheciam sobre sexualidade. Considerações finais: aspectos físicos e emocionais infantojuvenis vulnerabilizam crianças para a vitimização sexual, pois facilitam o controle e domínio que o agressor necessita ter sobre elas. Como estratégia de proteção, recomenda-se o uso da educação sexual e em saúde atreladas a maior vigilância de familiares, da equipe multiprofissional e educadores.
Nurses’ patterns of knowing about HIV disclosure to children
Authors: Bubadué Renata de Moura , Cabral Ivone Evangelista , Carnevale Franco
Published: July 2022

ABSTRACT Objectives: to identify and analyze nurses’ patterns of knowing and experiences with the preparation of families for disclosure to children living with HIV seropositivity. Methods: thirteen pediatric nurses from Rio de Janeiro participated in the research using the sensitive creative method. Data were treated with Orlandi’s discourse analysis and Carper’s patterns of knowing. Results: nurses’ speeches revealed socioculturally constructed imaginary and ideological formations. The personal pattern of knowing, under the influence of negative media about the disease in the 1980s, generated stigma and prejudice. Empirical, esthetic, and ethical patterns were built on training and professional practice of the 1990s-2010s. They composed a context of (in)security about competence, to contribute to preparing families to disclose HIV to children. Final Considerations: nurses’ experience demonstrates knowledge to intervene and many challenges for their practical appropriation.
Padrões do conhecer de enfermeiras sobre revelação do HIV à criança
Authors: Bubadué Renata de Moura , Cabral Ivone Evangelista , Carnevale Franco
Published: July 2022

RESUMO Objetivos: identificar e analisar os padrões do conhecer e as experiências de enfermeiras com a preparação de familiares para a revelação à criança que (con)vive com a soropositividade pelo HIV. Métodos: 13 enfermeiras pediátricas do Rio de Janeiro participaram da pesquisa com o método criativo sensível. Dados foram tratados com análise de discurso de Orlandi e padrões do conhecer de Carper. Resultados: os discursos das enfermeiras revelaram formações imaginárias e ideológicas socioculturalmente construídas. O padrão de conhecer pessoal, sob influência da mídia negativa da doença na década de 1980, gerou estigma e preconceito. Os padrões empírico, estético e ético foram construídos nas capacitações e prática profissional das décadas de 1990-2010. Eles compuseram um contexto de (in)segurança sobre a competência, para contribuir na preparação de familiares para a revelação do HIV à criança. Considerações Finais: a experiência das enfermeiras demonstra conhecimentos para intervir e muitos desafios para sua apropriação prática.
Prevalence of non-communicable chronic diseases and associated factors in deaf people
Authors: Marquete Verônica Francisqueti , Marcon Sonia Silva , França Inacia Sátiro Xavier de , Teston Elen Ferraz , Oliveira Magda Lúcia Felix de , Costa Maria Antonia Ramos , Souza Rebeca Rosa de , Ferreira Patrícia Chatalov
Published: July 2022

ABSTRACT Objective: To analyze the prevalence and factors associated with non-communicable chronic diseases in deaf people. Methods: Cross-sectional study with 110 deaf people in Maringá-Paraná, selected using the snowball sampling technique. Data were collected from February to August 2019, using a structured instrument; and, in the analysis, multiple logistic regression was used. Results: The self-reported prevalence of chronic diseases was 43.6%, the most frequent being: arterial hypertension (12.7%), depression (6.4%), diabetes mellitus (5.4%), respiratory disease (5.4%) and hypothyroidism (4.5%). Using health services for routine consultations was significantly associated with being bimodal bilingual. The only risk behavior significantly associated with chronic disease was excessive consumption of sweet foods. Conclusion: The prevalence of chronic diseases in this population may be higher than that found, as there is a possibility of underdiagnosis due to the low demand for routine consultations and the difficulty of communication with health professionals.
Prevalência de doenças crônicas não transmissíveis e fatores associados em pessoas surdas
Authors: Marquete Verônica Francisqueti , Marcon Sonia Silva , França Inacia Sátiro Xavier de , Teston Elen Ferraz , Oliveira Magda Lúcia Felix de , Costa Maria Antonia Ramos , Souza Rebeca Rosa de , Ferreira Patrícia Chatalov
Published: July 2022

RESUMO Objetivo: Analisar a prevalência e os fatores associados às doenças crônicas não transmissíveis em pessoas surdas. Métodos: Estudo transversal com 110 pessoas surdas, em Maringá-Paraná, selecionadas com a técnica snowball sampling. Coletaram-se dados de fevereiro a agosto de 2019, mediante aplicação de instrumento estruturado; e, na análise, utilizou-se regressão logística múltipla. Resultados: A prevalência autorreferida de doenças crônicas foi de 43,6%, sendo as mais frequentes: hipertensão arterial (12,7%), depressão (6,4%), diabetes mellitus (5,4%), doença respiratória (5,4%) e hipotireoidismo (4,5%). Utilizar os serviços de saúde para consulta de rotina apresentou associação significante com ser bilíngue bimodal. O único comportamento de risco associado significantemente com doenças crônicas foi consumo excessivo de alimentos doces Conclusão: A prevalência de doenças crônicas nessa população pode ser maior do que o encontrado, pois há a possibilidade do subdiagnóstico decorrente da pouca procura por consultas de rotina e da dificuldade de comunicação com os profissionais de saúde.
Effectiveness of implementing an improvement cycle in the identification of critically ill patients
Authors: Lima Maria Solange Moreira de , Santos Kauanny Vitoria Gurgel dos , Silva Tâmara Taynah Medeiros da , Dantas Joyce Karolayne dos Santos , Araújo Sara Cristina Matias de , Genuino Alyne Kelly de Oliveira , Dantas Daniele Vieira , Dantas Rodrigo Assis Neves
Published: July 2022

ABSTRACT Objective: To evaluate the effectiveness of implementing a quality improvement cycle in the process for identifying critically ill patients in an intensive care center. Methods: The implementation of an observational and interventional improvement cycle, using a before-and-after quasi-experimental design, with a quantitative approach, in an intensive care center. Seven criteria were developed to evaluate the quality of the identification process. The results of the intervention were subjected to statistical analysis. Results: The quality of the identification process showed significant improvement in the values referring to compliance with the conformities in the criteria evaluated. Statistical significance was observed in the evaluations of criteria C1, C2, C3, C4, and C6, with increased compliance values after the intervention. Final considerations: The efficacy of the improvement cycle in the quality of the patient identification process was evidenced. It was possible to involve and encourage the participation of the care team and improve organizational processes.
Efetividade da implantação de um ciclo de melhoria na identificação do paciente crítico
Authors: Lima Maria Solange Moreira de , Santos Kauanny Vitoria Gurgel dos , Silva Tâmara Taynah Medeiros da , Dantas Joyce Karolayne dos Santos , Araújo Sara Cristina Matias de , Genuino Alyne Kelly de Oliveira , Dantas Daniele Vieira , Dantas Rodrigo Assis Neves
Published: July 2022

RESUMO Objetivo: Avaliar a efetividade da implantação de um ciclo de melhoria da qualidade no processo de identificação do paciente crítico em um centro de cuidados intensivos. Métodos: Trata-se da implementação de ciclo de melhoria, observacional e de intervenção, utilizando desenho quase experimental, antes e depois, com abordagem quantitativa, em um centro de cuidados intensivos. Foram elaborados sete critérios para avaliação da qualidade do processo de identificação. Os resultados da intervenção foram submetidos à análise estatística. Resultados: A qualidade do processo de identificação apresentou melhoria significativa nos valores referentes ao cumprimento das conformidades nos critérios avaliados. Foi observada significância estatística nas avaliações dos critérios C1, C2, C3, C4 e C6, com aumento nos valores de cumprimento após a intervenção. Considerações finais: Evidenciou-se a eficácia do ciclo de melhoria na qualidade do processo de identificação do paciente. Foi possível envolver e estimular a participação da equipe assistencial e melhorar os processos organizacionais.
Factors associated with the use of the N95 respirator in university students in the daily life of COVID-19
Authors: Huaman Jhon Alex Zeladita , Moncada María Josefa Arcaya , Chapoñan Roberto Zegarra , Sánchez Gilmer Solis , Nitschke Rosane Gonçalves , Huayta Iris Jara
Published: July 2022

ABSTRACT Objective: To identify the factors associated with the use of the N95 respirator in Nursing and Medical students in the daily life of the covid-19 pandemic. Methods: Descriptive-analytical cross-sectional study carried out in 2020. A total of 830 students from three universities in Peru participated in the study. Associations were evaluated using Pearson’s Chi-Square and multivariate Poisson modeling with log linkage. Results: Statistically significant differences were found between the preference to use the N95 respirator in relation to masks according to the activity they perform (p=0.001) and where they live (p=0.005). The multivariate analysis reported that the associated characteristics were age, activity performed, perception and fear of being infected by covid-19. Conclusion: The choice of N95 respirator is influenced by individual factors and perceptions. Spaces are needed to discuss daily life, the way of living, caring and educating, considering the socioeconomic dimensions and beliefs.
Lifestyle and adherence to antiretrovirals in people with HIV in the COVID-19 pandemic
Authors: Cunha Gilmara Holanda da , Lima Maria Amanda Correia , Siqueira Larissa Rodrigues , Fontenele Marina Soares Monteiro , Ramalho Ane Kelly Lima , Almeida Paulo César de
Published: July 2022

ABSTRACT Objectives: to assess the lifestyle and adherence to antiretrovirals in people living with HIV (PLHIV) in the COVID-19 pandemic. Methods: a cross-sectional study, through telephone interview to 150 patients, using a sociodemographic, epidemiological and clinical form, and questionnaires to assess lifestyle profile and adherence to antiretrovirals. Statistics analysis used Fisher’s exact test, odds ratio and 95% confidence interval. Results: most patients had a satisfactory lifestyle (121; 80.7%) and adequate adherence to antiretrovirals (133; 88.7%). All were in social isolation, without follow-up appointments, with access to the health service only to receive antiretrovirals, and 16 (10.7%) had COVID-19 infection. Evangelicals (p=0.002), Spiritists (p=0.045), patients using atazanavir (p=0.0001) and ritonavir (p=0.002) had a more unsatisfactory lifestyle. Adherence to antiretrovirals was more inadequate in female patients (p=0.009), with two (p=0.004) and three or more children (p=0.006), retired (p=0.029), with serodiscordant partner (p=0.046) and diagnosis time of 5 to 10 years (p=0.027). Conclusions: the most PLHIV had a satisfactory lifestyle and adequate adherence to antiretrovirals, but some groups needed intervention to improve medication adherence and lifestyle.
Cultural adaptation and content validity evidence of the Nutritional Literacy Scale Brazilian version
Authors: Zanella Christiane Pineda , Sampaio Helena Alves de Carvalho , Lima José Wellington Oliveira de , Moreira Thereza Maria Magalhães
Published: July 2022

ABSTRACT Objective: To investigate the evidence of content validity and reliability of the Brazilian version of the Nutritional Literacy Scale (NLS) after the cultural adaptation process. Methods: Psychometric study of 1,197 users of the National Health Service (Brazilian SUS). The NLS was culturally adapted to Brazilian Portuguese and six items of the original scale were modified to improve its understanding, giving rise to the Brazilian version of the scale named NLS-BR. The analysis of evidence of content validity of the NLS-BR was performed using the Item Response Theory (IRT). Results: The final version of the NLS-BR had 23 items and proved to be adequate to assess nutritional literacy in adults assisted by the Brazilian SUS. Final considerations: The NLS-BR proved to be of adequate understanding and demonstrated evidence of content validity and reliability for users of the Brazilian SUS.
Experience report of the contributions of telehealth in riverside communities of Amazonas in the pandemic
Authors: Sachett Jacqueline de Almeida Gonçalves , Gonçalves Isabela Cristina de Miranda , Santos Waldeyde Oderilda Magalhães dos
Published: July 2022

ABSTRACT Objective: to report on the creation and implementation of telehealth activities developed by the Forest Health Program in communities in conservation areas, in the state of Amazonas, during the COVID-19 pandemic. Methods: this is an experience report on the creation and implementation of the program. Results: the project began in June 2021 with medical and nursing services and currently has 63 points of connectivity installed. Dermatology was the most requested specialty (30.1%), with dermatitis being the main grievance diagnosed. For nursing, the most requested specialty was obstetrics, followed by pediatrics. Rio Madeira and the Catuá-Ipixema Extractive Reserve requested more than half of all consultations. Conclusion: this project showed a differentiated performance of telehealth in riverside communities in Amazonas, especially in the pandemic context, expanding health care in remote areas, such as these.
Relato de experiência das contribuições da telessaúde em comunidades ribeirinhas do Amazonas na pandemia
Authors: Sachett Jacqueline de Almeida Gonçalves , Gonçalves Isabela Cristina de Miranda , Santos Waldeyde Oderilda Magalhães dos
Published: July 2022

RESUMO Objetivo: Relatar a criação e implementação das atividades de telessaúde desenvolvidas pelo Programa Saúde na Floresta em comunidades de áreas de conservação, no estado do Amazonas, durante a pandemia de COVID-19. Métodos: Trata-se de um relato de experiência sobre a criação e implementação do programa. Resultados: O projeto teve início em junho de 2021 com atendimentos na área de medicina e enfermagem e atualmente conta com 63 pontos de conectividade instalados. A dermatologia foi a especialidade mais requerida (30,1%), com as dermatites sendo o principal agravo diagnosticado. Para a enfermagem, a especialidade mais solicitada foi na área de obstetrícia, seguida pela pediatria. Rio Madeira e a Reserva extrativista Catuá-Ipixema solicitaram mais da metade de todos os atendimentos. Conclusão: Este projeto mostrou uma atuação diferenciada da telessaúde em comunidades ribeirinhas do Amazonas, especialmente no contexto pandêmico, ampliando o cuidado à saúde em áreas remotas, como estas em questão.
Translation, cross-cultural adaptation and content validation of the Global Trigger Tool surgical module
Authors: Alpendre Francine Taporosky , Cruz Elaine Drehmer de Almeida , Batista Josemar , Maziero Eliane Cristina Sanches , Brandão Marilise Borges
Published: July 2022

ABSTRACT Objective: to translate, cross-culturally adapt and validate the Global Trigger Tool surgical module content for Brazil. Method: this is methodological research, carried out between March/2018 and February/2019, following the steps of translation, synthesis, back-translation, validation by the Delphi technique, pre-test and presentation to developers. Two translators, two back-translators, six professionals participated in the expert committee. A pre-test was carried out with a retrospective analysis of 244 medical records of adult patients. The content validity index and Cronbach’s alpha were determined for data analysis. Results: the translation and cross-cultural adaptation allowed adjustments of items for use in Brazil. The mean Content Validity Index was 1.38, and the degree of agreement among experts was 92.4%. Cronbach’s alpha was 0.83 for the 11 surgical triggers and their guidelines. Conclusion: the module was translated, cross-culturally adapted for Brazil, with high reliability to identify surgical adverse events.