bluuebunny/crossref_metadata_2025 huggingface dataset:
Promoting the Development of Intercultural Competence in Higher Education Through Intercultural Learning Interventions
Authors: Sierra-Huedo Maria Luisa , Nevado-Llopis Almudena
Published: April 2022

Introduction. This article analyses the impact of an intercultural learning intervention in a Spanish university post-European Higher Education Area implementation. Objective. Our research’s main objective consisted of measuring the development of intercultural competence in the first cohort of a Translation and Intercultural Communication bachelor’s degree in a Spanish university, before and after taking specific courses in intercultural studies and spending a study abroad semester. Methodology. A mixed methodology was implemented, in which the Intercultural Development Inventory (IDI) was used as a measuring instrument. Additionally, in-depth personal interviews were conducted to complement the data obtained. Results. The results of this study show that the programming and sequencing of specific courses, together with experiences abroad, contribute to the development of intercultural competence. Conclusions. More intercultural learning interventions are needed in higher education courses to develop and build an intercultural campus and educate global citizens. When applying intercultural learning interventions and intercultural methodologies, students develop their intercultural competence, a key competence for 21st-century graduates.
La mejora del compromiso académico mediante la mentoría y el aprendizaje-servicio
Authors: Hervás-Torres Mirian , Miñaca-Laprida María Isabel , Fernández-Martín Francisco Domingo , Arco-Tirado José Luis
Published: April 2022

Introducción. Las instituciones de educación superior están constantemente enfrentándose a los desafíos de mejorar su productividad, competitividad, función social, así como la calidad de la educación y formación ofrecida al estudiantado. Dos respuestas para mejorar la calidad de la educación y la formación impartida al estudiantado, así como su función social, son el aprendizaje-servicio y la mentoría. El fundamento de ambas intervenciones de enseñanza recae en el hecho de que permiten una mayor conexión eficiente entre el currículo, las necesidades sociales y el mundo profesional. Objetivo. El objetivo de esta investigación fue explorar la eficacia del Programa Huelva Educa (PHE) para mejorar el grado de compromiso académico en el alumnado participante en calidad de personas mentoras. Metodología. La muestra estuvo compuesta por 54 estudiantes de la Universidad de Huelva seleccionados mediante un muestreo no probabilístico de conveniencia. Se adoptó un diseño cuasi-experimental pretest-postest de estudiantado universitario, donde la variable dependiente se midió mediante el “Cuestionario sobre compromiso académico del alumnado universitario” y del cuaderno de trabajo de las personas mentoras PHE. Resultados. Los resultados registrados muestran que el alumnado mejora significativamente comportamientos relacionados con la implicación en clase, análisis reflexivo de experiencias e ideas, razonamiento crítico, realizar tareas en un idioma extranjero, entre otras. Conclusiones. Este trabajo aporta evidencias sobre la eficacia del programa para la mejora de la preparación de sus asignaturas, aumento del logro académico o incremento en su aprendizaje activo y colaborativo, por lo que se recomienda la importancia de adoptar este tipo de programa.
The Impact of Income Inequality, Renewable Energy Consumption, Non-Renewable Energy Consumption and Per Capita Income on Poverty: Evidence from BRICS Economies
Authors: Barak Doğan
Published: April 2022

The main purpose of this study is to investigate the role of income inequality, per capita renewable and per capita non-renewable energy consumption, per capita income on poverty reduction in BRICS (Brazil, Russia, India, China, South Africa) countries over the period between 1991–2019. This study used second-generation panel data methodologies taking into account cross-dependence between countries, which gives more accurate results. The outcomes of the panel ARDL unveiled that while an increase in income inequality and per capita non-renewable energy consumption increases poverty, an increase in growth and per capita renewable energy consumption decreases poverty. Based on the findings, policymakers should focus their efforts on developing an appropriate energy strategy that highlights the necessity of a renewable energy-driven economy powered by energy-saving technologies.
Positive almost periodicity on SICNNs incorporating mixed delays and D operator
Authors: Huang Chuangxia , Liu Bingwen , Yang Hedi , Cao Jinde
Published: April 2022

This article involves a kind of shunting inhibitory cellular neural networks incorporating D operator and mixed delays. First of all, we demonstrate that, under appropriate external input conditions, some positive solutions of the addressed system exist globally. Secondly, with the help of the differential inequality techniques and exploiting Lyapunov functional approach, some criteria are established to evidence the globally exponential stability on the positive almost periodic solutions. Eventually, a numerical case is provided to test and verify the correctness and reliability of the proposed findings.
Husserl on Impersonal Propositions
Authors: Byrne Thomas
Published: April 2022

The young Edmund Husserl stressed that the success of his philosophy hinged upon his ability to determine the subject and the predicate of impersonal propositions and their expressions, such as ‘It is raining’. This essay accordingly investigates the tenability of Husserl’s early thought, by executing the first study of his analysis of impersonal propositions from the late 1890s. This examination reshapes our understanding of the inception of phenomenology in two ways. First, Husserl pinpoints the subject by outlining why impersonal expressions are employed during communication. This contravenes interpretations of the early Husserl as uninterested in intersubjectivity. Second, by studying how Husserl determines the predicate by investigating existential propositions, I show that Husserl , in the late 1890s, came to his final view on the concept of being.
On the Charge of Irrelevance against D. Lewis’s Modal Realism
Authors: Morkūnaitė Monika
Published: April 2022

The article deals with the charge of irrelevance levelled against D. Lewis’s modal realism, notably known as a reductionist account of modality. The charge of irrelevance is apparently one of the most popular objections to modal realism though it often seems that the debate surrounding this charge is not very fruitful since in this context it is common to appeal, implicitly or explicitly, to different criteria for theory choice. As a result, the article deals with the problem in a slightly different manner. The article addresses arguments aimed to show that, contrary to what is often stated, modal realism does not violate our pre-theoretical intuitions, as well as arguments aimed to respond to the charge of irrelevance without appealing to criteria for theory choice at all but providing different reasons instead. However, the aim of this article is to show that all these arguments are rather unconvincing.
ANALISIS PEMBIAYAAN KPR SEJAHTERA iB DENGAN AKAD MURABÂHAH PADA BANK BRI SYARIAH KCP SERPONG
Authors: Arifin Raja Achmad , Mahmud Hamidullah
Published: April 2022

BRI Syariah is a sharia bank that provides financing facilities needed bycustomers for the purchase of land and buildings consisting of various sizesand types, in a condition ready to live in or ready to build. Financing is a formof funding issued to support investments that have been planned either to bedone alone or given to others. The purpose of this study was to determine the procedure for financing BRI Syariah iB Prosperous KPR through a murabahah contract and to determine the eligibility of customers to receive KPR Sejahtera financing with using 5C analysis. The method in this study uses a qualitative method with a descriptive analysis approach, to describe the data obtained at the research site. The results of this study can be concluded that Bank BRI Syariah KCP Serpong in analyzing whether or not customers are eligible to receive KPR Sejahtera iB financing at Bank BRI Syariah KCP Serpong uses the 5C principles, namely: character, capacity, condition of economy, capital, and colleteral. BRI Syariah merupakan bank syariah yang menyediakan fasilitas pembiayaanyang dibutuhkan oleh nasabah untuk pembelian tanah dan bangunan yangterdiri dari berbagai ukuran luas dan tipe, dalam keadaan siap huni atau siapbangun. Pembiayaan adalah sebuah bentuk pendanaan yang dikeluarkan untukmendukung investasi yang telah direncanakan baik dilakukan sendiri ataudiberikan kepada orang lain.Tujuan dari penelitian ini adalah untukmengetahui prosedur pembiayaan KPR Sejahtera BRI Syariah iB melalui akadmurâbahah dan untuk mengetahui kelayakan nasabah dalam menerimapembiayaan KPR Sejahtera dengan menggunakan analisis 5C. Metode padapenelitian ini menggunakan metode kualitatif dengan pendekatan deskriptifanalisis, untuk memaparkan data-data yang didapatkan di tempat penelitian.Hasil dari penelitian ini dapat disimpulkan bahwa Bank BRI Syariah KCPSerpong dalam menganalisis layak atau tidaknya nasabah dalam menerimapembiayaan KPR Sejahtera iB Bank BRI Syariah KCP Serpong inimenggunakan prinsip 5C yaitu: character, capacity, condition of economy,capital, and colleteral.
PENGARUH PERENCANAAN KEUANGAN, PENGETAHUAN WAKAF, MOTIVASI, PERSEPSI DAN MEDIA SOSIAL TERHADAP KEPUTUSAN WAKAF UANG
Authors: Jawab Ahmadih Rojalih
Published: April 2022

Penelitian ini bertujuan untuk mengetahui pengaruh perencanaan keuangan, pengetahuan wakaf, motivasi, persepsi, media sosial terhadap keputusan wakaf uang. Populasi dalam penelitian ini adalah masyarakat beragama Islam. Sampel penelitian ini adalah masyarakat beragama Islam di DKI Jakarta, yang diambil dengan metode teknik pengambilan data dengan kuesioner atau yang disebut dengan instrumen penelitian Teknik pengolahan data menggunakan SPSS Versi 26 yaitu menggunakan analisis statistik, analisis regresi linear berganda, uji asumsi klasik, dan uji hipotesis. Hasil penelitian menunjukkan bahwa perencanaan keuangan memiliki nilai thitung -0,171 < ttabel 1,665, pengetahuan wakaf memiliki thitung 2,245 > ttabel 1,665, motivasi memiliki thitung 1.160 < ttabel 1,665, persepsi memiliki thitung 0,500 < ttabel 1,665, media sosial memiliki nilai thitung 2,659 > ttable 1,665 dan keputusan wakaf memiliki nilai fhitung 7.388 > ftabel 2,34. Kata Kunci: Perencanaan Keuangan, Pengetahuan Wakaf, Motivasi, Persepsi,Media Sosial, Wakaf Uang.
Konstruksi Budaya Organisasi Lembaga Pemberdaya UMKM
Authors: Suhendra Suhendra
Published: April 2022

Artikel ini membahas mengenai proses Pusat Layanan Usaha Terpadu (PLUT) Kab. Sukabumi dalam mengkonstruksi budaya organisasi melalui komunikasi pada aktivitas layanannya dalam upaya meningkatkan UMKM di Kab. Sukabumi. Penelitian ini dilakukan melaui metode studi kasus dalam paradigma interpretif. Konsep yang digunakan dalam penelitian ini adalah pendekatan terhadap pemahaman budaya organiasi secara interpretif yang dijelaskan Papa dan koleganya, dan beberapa konsep pendukung dalam teori komunikasi organisasi. Hasil dari penelitian menunjukan bahwa PLUT melalui konsultan-konsultannya mengkonstruksi budaya organiasi melalui: pertama, empat pendekatan komunikasi yang mengkonstruksi budaya (bahasa dan cara pandang dunia; struktur pengetahuan; makna yang disepakati dan diingkari; dan ragam sudut pandang budaya). Kedua, tipe-tipe komunikasi yang berkontribusi terhadap konstruksi budaya (metafora; naratif; ritus dan upacara; komentar rekleksif; dan tema fantasi).Kata Kunci : Konstruksi; Budaya Organisasi; Lembaga Pemberdaya, UMKM
Antibiotic Use and Vaccine Antibody Levels
Authors: Chapman Timothy J. , Pham Minh , Bajorski Peter , Pichichero Michael E.
Published: April 2022

BACKGROUND

The majority of children are prescribed antibiotics in the first 2 years of life while vaccine-induced immunity develops. Researchers have suggested a negative association of antibiotic use with vaccine-induced immunity in adults, but data are lacking in children.

METHODS

From 2006 to 2016, children aged 6 to 24 months were observed in a cohort study. A retrospective, unplanned secondary analysis of the medical record regarding antibiotic prescriptions and vaccine antibody measurements was undertaken concurrently. Antibody measurements relative to diphtheria-tetanus-acellular pertussis (DTaP), inactivated polio (IPV), Haemophilus influenzae type b (Hib), and pneumococcal conjugate (PCV) vaccines were made.

RESULTS

In total, 560 children were compared (342 with and 218 without antibiotic prescriptions). Vaccine-induced antibody levels to several DTaP and PCV antigens were lower (P < .05) in children given antibiotics. A higher frequency of vaccine-induced antibodies below protective levels in children given antibiotics occurred at 9 and 12 months of age (P < .05). Antibiotic courses over time was negatively associated with vaccine-induced antibody levels. For each antibiotic course the child received, prebooster antibody levels to DTaP antigens were reduced by 5.8%, Hib by 6.8%, IPV by 11.3%, and PCV by 10.4% (all P ≤ .05), and postbooster antibody levels to DTaP antigens were reduced by 18.1%, Hib by 21.3%, IPV by 18.9%, and PCV by 12.2% (all P < .05).

CONCLUSIONS

Antibiotic use in children <2 years of age is associated with lower vaccine-induced antibody levels to several vaccines.
A New Challenge for Dental Education: Generation Z
Authors: López-Santacruz Hiram Daniel , Guízar-Mendoza Juan Manuel
Published: April 2022

A new cohort, known as “Generation Z”, is nowadays studying Health Careers. These students were born between 1996 and 2012, and currently at year 2022, have between 18 and 26 years. It is necessary to comprehend their characteristics and behaviors, for a better understanding of how they learn, what do they expect from education and how to improve their academic development and potential. Generation Z is considered as the most diverse, and it requires a closer mentorship from teachers, who must be ready to help students to manage their time and resources efficiently. It is worth mentioning that Gen Z information about their professional performance is still preliminary, because they are currently studying their University programs. Thus, it will be interesting to further analyze the behavior of Generation Z in Dental Education.
Problem nadopiekuńczości wobec dzieci z niepełnosprawnościami
Authors:   Dr hab. prof. UR, Uniwersytet Rzeszowski, Polska, Nowakowski Piotr T.
Published: April 2022

The paper deals with the problem of overprotective attitudes towards children with disabilities. Such attitudes of parents can be defined as a degree of parental care which is excessive in relation to the level of the child’s development and capabilities. The author discusses selected results of studies on the subject. He also points out the consequences of overprotection on the development of a child with disabilities. Referring to the literary figure of Klara Sesemann, the author illustrates the potential already existing in a child with disabilities which is sometimes constrained by overprotective parents. Finally, the paper refers to the need to build parents’ competences that will help their child expand the limits of their own independence.
The phenomenon of bullying: a comparative study of Spain and Finland
Authors:   Dra., University of Zaragoza, Spain, Mauri Medrano Marta
Published: April 2022

The article focuses on comparing two approaches in bullying prevention: the one in Aragon (Spain) with the one in Finland. The Finnish KiVA method is very new and can bring about great progress in detecting and dealing with bullying. The KiVA programme consists of lessons and work done during a course of study. Depending on the level of education, an educational unit will consist of a talk on how to respect others and how to work in a group. The most essential aspect of it is that the pupils understand the importance of preventing and stopping bullying. In this way, instead of supporting the bully, pupils would support the victim, thus conveying that they do not agree with bullying actions. Other methods focus only on the victim and the bully, but the Kiva programme emphasises involving and educating all peers and observers.
Synkretyczny charakter pojęcia wyobraźni poetyckiej i jej odmiany
Authors:   Prof. dr hab., Uniwersytet Śląski, Katowice, Polska, Wilkoń Teresa
Published: April 2022

The objective of this article, which belongs to the field of literary research, is an attempt at showing the notion of poetic imagination as a syncretic phenomenon deeply rooted in the tradition of poetry. The author treats poetry as an art of meanings and a way of verbalisation of the objective world or the world dominated by fantasy and imagination. Imagination is an extremely complex notion, with extensive, often distinct content, which the author of the article strives to illustrate with an example of the work by K.I. Gałczyński, one of the most illustrious creators of poetic imagination.
Maturzyści małopolskich szkół średnich z 1920 roku. Przyczynek do dziejów szkolnictwa średniego w Polsce w dwudziestoleciu międzywojennym
Authors:   Dr, nauczyciel w I Liceum Ogólnokształcącym w Rzeszowie, Polska, Ochenduszko Tadeusz , Świętoń Marcin ,   Mgr, nauczyciel w I Liceum Ogólnokształcącym w Rzeszowie, Polska
Published: April 2022

Since 1850, education in middle schools and real schools ended with Matura exams. The Matura exam was a pass into adult life, an important event for the local community and lists of graduates were published in school reports, as well as in the national and local press. This custom was successful in times of peace, but it was impossible to implement during hostilities. The most difficult year to recreate is 1920 due to the ongoing Polish-Bolshevik war. The article is a contribution to the organisation of information on secondary school graduates who passed the exam in this difficult year for Poland.
Immunizacja dziecka na Covid-19 jako etap realizacji Narodowego Programu Szczepień a władza rodzicielska. Obowiązek czy powinność?
Authors:   Dr, Uniwersytet Rzeszowski, Polska, Markowska-Gos Ewa
Published: April 2022

Another wave of the Covid-19 pandemic is approaching. Therefore, obtaining “collective immunity” should be considered a priority in the pro-health policy of the state. In view of the fact that the “safety threshold” has not been reached in our society – children from the age of twelve years have been covered by voluntary and free vaccination (as part of the implementation of the National Vaccination Program). This raises a number of controversies in the general public as well as in some narrow circles of scientists and physicians – mainly due to the relatively short period of development of the vaccine, as they claim, and the possibility of far-reaching (and yet unexplored) negative consequences of immunisation. This article attempts to answer the question: Is the immunisation of a child against Covid-19 a duty of the parents arising out of a legal relationship as part of the exercise of parental authority or merely a duty? In order to comprehensively analyse this issue, it was deemed necessary to present: the effects of the pandemic, as well as the lockdown associated with it in the socio-psychological context; the negative consequences of e-learning from the perspective of students; the essence of universal immunisation and preparations against Covid-19; the issue of immunisation of students as part of the implementation of the next stage of the National Vaccination Program (positive and negative aspects); the content of the legal relationship of parental authority, with an explication of the duties/privileges of parents as a determinant in the light of legal regulations of their competence to have their child vaccinated, taking into account 16-year-olds and their sui species status in this area. The analysis of the essence of the legal relationship of parental authority undoubtedly leads to the conclusion that subjecting the child to vaccination against Covid-19 should be treated as an obligation arising from its content in accordance with the idea of the child’s welfare and social interest, rather than a duty. The paradigm of duty could be referred to when considering the exercise of this power from the perspective of society at large.
Desfechos clínicos dos pacientes com tumores de pâncreas discutidos em Tumor Board
Authors: SILVA JULIANA RIBEIRO , RIECHELMANN RACHEL SIMÕES PIMENTA , VIZZACCHI BÁRBARA ALANA , MOLINA PATRICIA , JESUS VICTOR HUGO FONSECA DE , COIMBRA FELIPE JOSE FERNANDEZ , ALVES FULVIO APARECIDO SANTOS , CAMARGO THAMIRES DE BRITO , VICENTE GABRIELA AGUIAR , SANTOS DENNYS RIBEIRO DOS , ANDRADE VICTOR PIANA DE , CARVALHO GENIVAL BARBOSA DE
Published: April 2022

RESUMO Objetivo: as recomendações das decisões em Tumor Board (TB) deveriam ser acompanhadas para identificar barreiras que possam interferir na execução do melhor cuidado para o paciente decidido previamente. O objetivo do estudo é avaliar se a decisão de conduta em TB foi realizada em pacientes com tumores pancreáticos, o status de vida 90 dias após TB e analisar os motivos pelos quais a conduta não foi realizada. Métodos: estudo retrospectivo com pacientes com tumores de pâncreas, avaliados entre 2017 a 2019. Dados epidemiológicos, se a conduta de TB foi realizada, o motivo da não realização, o status de vida em 90 dias após decisão de TB e quantas vezes cada paciente foi discutido em reunião foram coletados. As variáveis categóricas foram comparadas pelo teste de qui-quadrado; variáveis numéricas foram apresentadas como médias e desvio padrão. Resultados: 111 casos, 95 pacientes, 86 (90,5%) com diagnóstico de câncer. Após 90 dias de TB, 83 pacientes (87,37%) permaneceram vivos, 9 pacientes (9,47%) faleceram e 3 (3,16%) perderam o seguimento. A conduta do TB não foi realizada em 12 (10,8%) dos casos e os motivos foram: 25% (3) por perda de seguimento, 8,33% (1) por recusa do paciente e 66,67% (8) devido à piora clínica. Os casos de pacientes com metástases tiveram menor execução de conduta de TB (p=0,006). Conclusões: a conduta do TB é realizada na maior parte dos casos e o motivo mais evidente para o não cumprimento das condutas é a piora clínica do paciente.
The impact of asset specificity on farmland inheritance willingness: Evidence from apple growers in China
Authors: Zhang Qiangqiang , Wu Xixi , Abdullahi Nazir Muhammad , Wang Yue , Huo Xuexi
Published: April 2022

ABSTRACT: Based on detailed household survey of apple farmers in Shandong and Shaanxi, this article used a binary logistic regression model to examine the impact of asset specificity on farmers’ intergenerational succession arrangements of apple orchard. The results showed that the farmers’ intergenerational willingness of younger generation to succeed them is generally weak. The specificity of human capital, physical assets, land assets and geographic location significantly impacted on farmers’ intergenerational succession of family-operated apple orchard. Especially, the production technology level of apple planting decision-makers, the value of orchard facilities and machinery owned by apple growers, orchard topography, orchard fertility, government support, and the length of village hardened roads have significantly positive impacts on farmers’ willingness. The education achievement of apple planting decision-makers, orchard irrigation area, and the number of village apple disasters negatively impacted farmers’ willingness. Therefore, technical training should be intensified to effectively increase the human capital of farmers, infrastructure construction should be strengthened to improve apple production conditions, and professional farmers’ operations should be supported to develop moderate-scale operations.
Sintomas depressivos em idosos da atenção básica à saúde de um município do noroeste paranaense – estudo transversal
Authors: Oliveira Daniel Vicentini de , Silva Diogo Alves da , Andrade Walquiria Batista de , Batista Roseana Pacheco Reis , Antunes Mateus Dias , Nascimento Júnior José Roberto Andrade do
Published: April 2022

Resumo Introdução a interação complexa entre fatores sociais, psicológicos e biológicos, que resultam na depressão, poderá acelerar a diminuição da capacidade funcional e, consequentemente, a qualidade de vida do idoso. Objetivo Esta pesquisa teve como objetivo investigar os fatores associados aos indicativos de sintomas depressivos de idosos da atenção básica à saúde de um município do noroeste paranaense. Método Estudo epidemiológico, de corte transversal e base populacional realizado em 12 Unidades Básicas de Saúde (UBS), com 654 homens e mulheres idosos. Foi utilizado um instrumento para caracterização do perfil sociodemográfico dos participantes, assim como o instrumento Geriatric Depression Scale (GDS), versão curta. Os dados foram analisados pelo teste de Qui-quadrado e da Regressão de Poisson (p<0,05). Resultados Os resultados evidenciaram que parece existir uma associação dos idosos com boa percepção de saúde (p=0,001), que não ingerem medicamentos (p=0,001), que não sofreram quedas nos últimos seis meses (p=0,011) e que não apresentaram comorbidades (p=0,001), com a ausência de sintomas depressivos. Os idosos com autopercepção de saúde regular (RP = 1,733; 95%IC = 1280-2,347) e ruim (RP = 2,222; 95%IC = 1,525-3,237) demonstraram maior razão de prevalência de presença de indicativo de depressão. Conclusão Conclui-se que os idosos com pior autopercepção de saúde demonstraram maior razão de prevalência de apresentar indicativos de depressão.
Perfil de reinternação em UTI: a tomada de decisão em organizações complexas
Authors: Moura Stephanie Tonn Goulart , Sousa Soraya Bachmann , Kroenke Adriana
Published: April 2022

Resumo Introdução A tomada de decisão, num ambiente complexo como de uma UTI pode sofrer diversas interferências e ocasionar a alta precoce de um paciente para um setor de menor complexidade. Objetivo Objetiva-se analisar o perfil de pacientes que foram readmitidos, em menos de 24 horas, na UTI de um hospital privado. Método Esta análise foi realizada por meio do método de correspondências múltiplas, utilizando-se um corte longitudinal, e os dados foram extraídos do sistema Epimed. Resultados Os resultados apontam que o perfil de readmissão se caracterizou pelos pacientes do sexo feminino, com idades entre 0 e 30 anos. A origem desses pacientes é do tipo clínica com diagnóstico predominantemente cardiológico e hematológico. Esse achado pode auxiliar na prevenção da reinternação, visto que os dados interferem no indicador de qualidade do setor, podendo, assim, definir estratégias e meios para minimizar a reinternação. Conclusão Conclui-se, a partir do perfil de pacientes que foram readmitidos na UTI em menos de 24, que há necessidade de cuidado especial para pacientes jovens, do sexo feminino e com diagnóstico cardiológico e hematológico. Esses resultados servem de apoio à tomada de decisão da alta dos pacientes.
Mudanças no acesso gratuito a medicamentos prescritos no sistema público de saúde no Brasil
Authors: Drummond Elislene Dias , Simões Taynãna César , Andrade Fabíola Bof de
Published: April 2022

Resumo Introdução Os medicamentos são a intervenção terapêutica mais utilizada e a mais custo efetiva para o tratamento de diversas patologias. A falta de acesso a medicamentos entre grupos com menores condições socioeconômicas representa uma iniquidade nos cuidados com a saúde. Nesse sentido, o fornecimento gratuito de medicamentos pelo setor público é essencial para a promoção da equidade. Objetivo Avaliar a mudança, no tempo, da prevalência de acesso gratuito, pela população adulta brasileira, a medicamentos prescritos no Sistema Único de Saúde (SUS) ao longo de 10 anos. Método Análise dos dados, por regressão logística, das Pesquisas Nacionais por Amostra de Domicílios (PNAD) realizadas no Brasil em 1998, 2003 e 2008. A variável de interesse foi o acesso gratuito a medicamentos prescritos. Resultados O acesso gratuito a medicamentos pelo Sistema Único de Saúde aumentou ao longo do tempo. Indivíduos com renda socioeconômica mais baixa tiveram maior chance de acesso a medicamentos e esse cenário se manteve constante ao longo dos anos avaliados. Conclusão Os achados revelam a importância do SUS como ferramenta efetiva para a promoção do acesso a medicamentos, especialmente para os indivíduos mais pobres. Entretanto, a redução da desigualdade no acesso a medicamentos permanece como desafio.
Fatores de risco associados a hiperglicemia: estudantes de 11 a 16 anos em Paranavaí-Brasil e Cáceres-Espanha
Authors: Ferreira-Lima Walcir , Lima Silvia Bandeira da Silva , Lima Flávia Évelin Bandeira , Lima Fellipe Bandeira , Molena Fernandes Carlos Alexandre , Fuentes Juan Pedro
Published: April 2022

Resumo Introdução Metabolismo anormal da glicose precede o desenvolvimento da diabetes mellitus tipo 2. Objetivo Análise da hiperglicemia e fatores de risco associados em estudantes de Paranavaí-Brasil e Cáceres-Espanha. Método Estudo analítico em amostra de 804 estudantes de seis escolas em cada cidade. Analisados: sexo, idade, dependência administrativa da escola, estatura, massa, perímetro da cintura, IMC, relação cintura estatura, pressão arterial, comportamento sedentário, atividade física, colesterol, HDL e LDL, triglicerídeos e glicose. Resultados A prevalência foi alta para níveis de glicose em jejum (9,1% vs. 13,1%; p-valor = 0,216, espanhóis e brasileiros, respectivamente) e da maioria dos indicadores associados (p-valor < 0,05). Observou-se resultados favoráveis para as meninas espanholas (obesidade abdominal: 2,4% vs. 31,1%; comportamento sedentário: 5,3% vs. 43,4%; colesterol: 2,4% vs. 55,3%; triglicerídeos: 15,5% vs. 29,5%). Os meninos da Espanha levaram vantagem sobre os brasileiros (obesidade abdominal: 13,6% vs. 35,2%; pouco ativos: 23,5% vs. 39,0%; comportamento sedentário: 21,5% vs. 51,0%; colesterol: 3,7% vs. 41,0%), p < 0,05. Não houve associação da glicose com nenhum fator de risco. Conclusão Atenção deve ser dada aos jovens para evitar uma exposição precoce e prolongada a fatores de risco modificáveis que alteram os níveis de glicose.
Desafios do profissional de educação física nos Núcleos Ampliados de Saúde da Família e Atenção Básica: uma revisão sistemática da literatura brasileira
Authors: Oliveira Victor Hugo de , Azevedo Kesley Pablo Morais de , Medeiros Gidyenne Christine Bandeira Silva de , Knackfuss Maria Irany , Piuvezam Grasiela
Published: April 2022

Resumo Introdução A inserção dos profissionais de educação física na atenção básica tem relevância devido aos trabalhos relacionados à promoção da saúde, porém alguns desafios são apresentados na literatura como barreiras para a atuação profissional. Objetivo Revisar na literatura os desafios encontrados por profissionais de educação física que atuam nos Núcleos Ampliados de Saúde da Família e Atenção Básica (NASF-AB). Método Uma busca utilizando os termos “educação física” e “Núcleo de Apoio à Saúde da Família” foi realizada na base de dados LILACS e no portal SciELO. Os critérios de inclusão foram: ser artigo original, estar publicado no idioma português, ter sido publicado a partir do ano de 2008 e ter avaliado a atuação de profissionais de educação física no NASF-AB. Resultados Dos 45 estudos encontrados na busca inicial, seis atenderam os critérios de inclusão. Além desses, outros dois artigos foram identificados nas referências, resultando em oito artigos incluídos na revisão. Entre os vários desafios relatados, os mais frequentes encontrados nos estudos foram a falta de infraestrutura física e material, a distância entre a formação acadêmica e a área de saúde coletiva e a instabilidade profissional. Conclusão Embora alguns desafios relatados não dependam apenas do profissional de educação física para serem resolvidos, os achados dessa revisão fornecem importantes informações para que futuros profissionais que desejam atuar no NASF-AB possam se preparar de forma mais objetiva e consigam realizar um trabalho com eficiência e qualidade.
Uso de suplementos alimentares combinado com a prática de atividade física entre universitários do extremo sul do Brasil
Authors: Mazza Sheynara Emi Ito , Dumith Samuel de Carvalho , Knuth Alan Goularte
Published: April 2022

Resumo Introdução O consumo de suplementos alimentares vem aumentando e se popularizando, especialmente em conjunto com a prática de atividade física. Objetivo Investigar o uso de suplementos alimentares combinado com a prática de atividades físicas em universitários do extremo sul do Brasil. Método Estudo de delineamento transversal realizado em uma universidade pública de Rio Grande/RS, com uma amostra de 1.401 universitários. Resultados 29,7% (IC95%: 27,3-32,1) dos universitários relataram o uso de algum tipo de suplemento alimentar ao praticar atividades físicas. Os suplementos que predominaram foram: Whey Protein (79%), Maltodextrina (48%) e isotônicos (45%). As principais fontes de orientação para o uso de suplementos foram amigos e outros praticantes de academias. A análise multivariável apontou que atuais participantes de academias têm uma probabilidade 158% maior de usar suplementos em comparação a não participantes de atividades físicas em academias. Outros grupos associados ao uso de suplementos foram: universitários do sexo masculino, jovens entre 20 e 29 anos, com maior renda familiar e consumidores de álcool. Conclusão Um em cada três estudantes universitários já consumiu suplementos alimentares, e tal conduta pode estar disseminada nos espaços das academias, sem maior detalhamento dos cuidados e das necessidades para individuais para o uso.
Gastos com antibacterianos de uso sistêmico e seus determinantes: uma análise de 2010 a 2015 no Estado de Minas Gerais
Authors: Costa Maria Emília Silva de Souza , Luz Tatiana Chama Borges
Published: April 2022

Resumo Introdução Antibacterianos sistêmicos são medicamentos amplamente utilizados e os gastos públicos com este grupo têm aumentado consideravelmente. Objetivo Avaliar os gastos com antibacterianos sistêmicos e seus determinantes, entre 2010 e 2015, no Estado de Minas Gerais. Método Estudo de Utilização de Medicamentos (EUM), longitudinal, com dados do banco de administração pública do Sistema Integrado de Administração de Materiais e Serviços de Minas Gerais (SIAD-MG). Foram estimados gastos e volumes totais por ano, bem como por subgrupo terapêutico. Os antibacterianos responsáveis pelo maior gasto foram identificados pelo método Drug Cost 90%. Análise de decomposição foi utilizada para avaliar os determinantes dos gastos, preço, volume ou escolha terapêutica. Resultados No período analisado houve uma redução de 22,2% nas despesas e de 25,5% no volume adquirido. As penicilinas corresponderam a 42% do total adquirido, sendo a amoxicilina, isolada ou em associação, o fármaco mais consumido. A redução das despesas, entre 2010 e 2015, foi determinada principalmente pela redução do volume (queda de 25%) e preços (queda de 5%). Conclusão A redução de volume no período pode ter impacto negativo na cobertura populacional. O investimento em agentes de amplo espectro, em fármacos de segunda linha de tratamento ou com pouca evidência clínica requerem a criação de protocolos clínicos universais que orientem a prescrição mais adequada.
Fatores relacionados aos desfechos clínicos e ao tempo de sobrevida em doentes renais crônicos em hemodiálise
Authors: Bialeski Andreia Batista , Lopes Cyntia Michielin , Iser Betine Pinto Moehlecke
Published: April 2022

Resumo Introdução A hemodiálise costuma se estender até o final da vida ou até o transplante renal. Objetivo verificar os fatores relacionados aos desfechos clínicos e à sobrevida de doentes renais crônicos em tratamento hemodialítico em uma clínica do sul de Santa Catarina. Método Estudo de coorte retrospectivo. A sobrevida foi avaliada por curvas de Kaplan-Meier e os fatores relacionados ao desfecho, por meio de regressão de Cox, expressos por meio do Hazard Ratio (HR) e intervalo de confiança de 95%. Resultados Entre 120 pacientes, a média de idade foi de 61,8 (±13,9) anos. O principal encaminhamento para hemodiálise foi do nefrologista (33,3%). As principais doenças de base identificadas foram hipertensão arterial (60,8%) e Diabetes Mellitus (29,2%). Foi registrado óbito em 44,2% dos pacientes e sete (5,8%) realizaram transplante. A sobrevida diminuiu de 76,1% em um mês para 49,3% em um ano de tratamento. Encaminhamentos pela UTI (HR 18,1 IC95% 4,49-72,8) e pela Unidade Básica de Saúde (HR 9,27 IC95% 1,48-58,2) foram associados ao óbito, além de valores maiores de cálcio inicial (HR 2,36 IC95% 1,21-4,62) e menores de creatinina final (HR 0,69 IC95% 0,55-0,87). Conclusão O principal desfecho verificado foi o óbito, sendo a sobrevida dos pacientes, avaliada em curto prazo, abaixo do esperado, sugerindo encaminhamento tardio ao tratamento substitutivo.
Transformation of Rhodococcus Pigment Production Hydroxylase (PPH) gene into Camelina sativa: an alternative marker for the detection of transgenic plants
Authors: Abbas M. A. , Iqbal A. , Ahmed M. , Rasool G. , Awan M. F. , Khan M. K. A. , Rao A. Q. , Shahid A. A , Husnain T.
Published: April 2022

Abstract Production of transgenic plants with desired agronomic and horticultural traits has gained great importance to fulfill demands of the growing population. Genetic transformation is also a fundamental step to study basics of plant sciences. Different transformation protocols have been developed and used which are reliable and efficient. These protocols used antibiotic or herbicide resistance genes incorporated along with gene of interest to identify transformed plants from non-transformed ones. These marker genes may pose a threat to human and environment. Use of visual markers enables direct and easier observation of transformed plants with more precision. In current study a gene cassette with ‘pigment production hydroxylase (PPH) gene under fiber specific promoter (GhSCFP) and downstream Nos-terminator was designed. After checking the structural and functional efficiency of codon optimized gene using bioinformatics tools, the cassette was sent for chemical synthesis from commercial source. The pigment gene cassette (PPH_CEMB), cloned in pCAMBIA-1301, was transformed into Agrobacterium through electroporation. Agrobacterium-mediated floral dip method was used to transform Camelina sativa inflorescence. After seed setting a total of 600 seed were observed for change in color and out of these, 19 seeds developed a reddish-brown coloration, while the remaining 581 seeds remained yellow. The transformation efficiency calculated on basis of color change was 1.0%. PCR analysis of leaves obtained after sowing reddish seeds confirmed the transformation of pigment production gene, while no PCR amplification was observed in leaves of plants from wild type seeds. From the results it is evident that Agrobacterium-mediated transformation of C. sativa inflorescence is very efficient and environment friendly technique not only for detection of transformed plants but also to study basic cellular processes.
Effect of slope on the forest structure of the Atlantic Forest domain in southern Brazil
Authors: Souza D. C. , Souza L. R. , Couto E. V. , Caxambú M. G. , Peron A. P.
Published: April 2022

Abstract The mosaic landscape composition of forest fragments located on high slopes, shallow soils hinder ecological interactions and the survival of plant species. This study aimed to show, in an environment with these characteristics, the effect of the environmental gradient relating the soil, slope, and vegetation of a fragment of the Montane Seasonal Semideciduous Forest. The forest structure was sampled in 12 continuous rectangular plots, with 30 X 20m, totaling 0.72ha. Soil samples were taken by drilling every 20m along the hydrographic divisor and opening of three trenches used as soil sampling sites for in situ determination of soil color, horizon, and nutrients. Horizons were classified as O/A/Cr in the altered rock with a marked presence of gravels, and the soil was classified as Litholic Neosol. The area has a steep slope, from 18.05% to 36.99%. Linear regression analysis indicated an opposite pattern for species richness in relation to slope and a positive relationship between slope and the number of standing dead individuals. Species richness was also positively related to the distance from forest edges. The evaluation evidenced the strong influence of slope and human activities in forest remnant as common to several high-altitude remnants, and small conservation actions can guarantee their maintenance.
Biological activities of endophytic fungi isolated from Annona muricata Linnaeus: a systematic review
Authors: Silva I. M. M. , Silva R. M. , Paula V. B. , Estevinho L. M.
Published: April 2022

Abstract This systematic review integrates the data available in the literature regarding the biological activities of the extracts of endophytic fungi isolated from Annona muricata and their secondary metabolites. The search was performed using four electronic databases, and studies' quality was evaluated using an adapted assessment tool. The initial database search yielded 436 results; ten studies were selected for inclusion. The leaf was the most studied part of the plant (in nine studies); Periconia sp. was the most tested fungus (n = 4); the most evaluated biological activity was anticancer (n = 6), followed by antiviral (n = 3). Antibacterial, antifungal, and antioxidant activities were also tested. Terpenoids or terpenoid hybrid compounds were the most abundant chemical metabolites. Phenolic compounds, esters, alkaloids, saturated and unsaturated fatty acids, aromatic compounds, and peptides were also reported. The selected studies highlighted the biotechnological potentiality of the endophytic fungi extracts from A. muricata. Consequently, it can be considered a promising source of biological compounds with antioxidant effects and active against different microorganisms and cancer cells. Further research is needed involving different plant tissues, other microorganisms, such as SARS-CoV-2, and different cancer cells.
Population and risk assessment of sympatric pheasant species in Palas Valley, Pakistan
Authors: Jameel M. A. , Khan M. F. , Awan M. N. , Nadeem M. S. , Aslam S. , Mehmood S. , Ahmad D. , Wali R. , Rehman Q. , Khan M. A. , Mahmood T.
Published: April 2022

Abstract Pheasants are declining everywhere in the world and therefore updated information about their population and habitats are important for conservation and management. The present study was conducted in the Palas Valley, District Kohistan, Pakistan in late spring (May and June) 2020 and early spring (March and April) 2021 to assess the population and anthropogenic stress. The major focus was on three sympatric pheasant species, including Western Horned Tragopan (Tragopan melanocephalus), Himalayan Monal (Lophophorus impejanus), and Koklass Pheasant (Pucrasia macrolopha). We used the “Call Count Method” for the population assessment in the field, and a questionnaire survey was conducted to document the risk assessment of local residents of the valley. The population assessments revealed that the Koklass Pheasant is more adapted to increasing anthropogenic activities and its population appeared more or less similar as 22 years ago. In the past 22 years, Western Tragopan and Himalayan Monal have lost about 40–50% of their populations. Human interference in the form of illegal hunting, deforestation, and overgrazing was found to be common in the valley. The study concludes that the Palas Valley habitat is ideal for pheasant species; however, human interference in the form of urbanization, habitat fragmentation, illegal hunting, and deforestation is occurring at a rapid pace, causing havoc in the pheasant population.
PSYCHOSOCIAL RISKS RELATED TO THE ORGANIZATION OF OUTPATIENT NURSING WORK
Authors: Santos Katerine Moraes dos , Tracera Gisele Massante Peixoto , Sousa Kayo Henrique Jardel Feitosa , Moreira Jessica Pronestino de Lima , Castro Magda Ribeiro de , Zeitoune Regina Celia Gollner
Published: April 2022

ABSTRACT Objective: to analyze the psychosocial risks related to the organization of nursing work in outpatient clinics of university hospitals. Method: cross-sectional epidemiological study developed in 11 outpatient units linked to the three public universities of the city of Rio de Janeiro, Brazil. Participants were 388 nursing professionals who worked in patient care at the time of the research. Data were collected from July to December 2018, using a self-applicable instrument. A questionnaire was used for sociodemographic, occupational and health characterization, and the Work Organization Scale. The bivariate analyses were performed using the odds ratio (OR), with a confidence interval of 95%, significance level of 5%. Results: the organization of nursing work received an assessment of medium psychosocial risk by the professionals participating in the research, demanding interventions in the short and medium term. There was no association between sociodemographic, occupational and health characteristics and the organization of outpatient work. Conclusion: interventional measures should be performed in the psychosocial risk factors presented in this research, with a view to improving the work environment, so that the importance of maintaining satisfactory material conditions is considered, as well as the adequate quantity of human resources. In addition, it aims to expand the spaces of nursing participation in decision-making, strengthening its autonomy as a profession.
Construction and validation of care-educational gerontechnologies: integrative review
Authors: Rodrigues Vitória Eduarda Silva , Oliveira Francisco Gerlai Lima , Machado Ana Larissa Gomes , Beleza Cinara Maria Feitosa , Pereira Francisco Gilberto Fernandes
Published: April 2022

Abstract Objective identify in the literature how care-educational gerontechnologies have been constructed and validated and recommended propositions for their development. Method integrative literature review carried out in the Web of Science, LILACS, CINAHL, BDENF, MEDLINE and SciELO databases following the recommendation of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We selected studies that presented the construction and validation of gerontechnologies. For data extraction, we used an instrument adapted from the international RedENSO. We also classified the level of evidence of the studies according to Melnyk and Fineout-Overholt Results We analyzed 17 studies. The year 2019 had the highest number of publications on the subject, with the majority coming from Brazil. The development of material gerontechnologies, as booklets, leaflets, manuals, games, software and multimedia materials, was more reported. Regarding the method of construction of gerontechnologies adopted in the studies, situational diagnosis through interviews, dialogues and scales, and literature reviews on the themes stood out. In most studies, validation was performed with the elderlies and, in some studies, validation was also performed with specialists. Conclusion We found that the process of development of care-educational gerontechnologies is recent and requires improvement in the validation stage and not always performed by researchers. Regarding the recommendations for their development, we highlight the use of language accessible to older people and the association of theoretical and practical knowledge.