bluuebunny/crossref_metadata_2025 huggingface dataset:
Ethical issues in the treatment of patients with acute Stroke
Authors: Freitas Tiago Esteves , Costa Ana Isabel
Published: July 2024

The treatment of patients with stroke raises several ethical issues. The impact of a stroke on a patient's cognition, communication, and understanding can hinder their ability to make decisions about their treatment. Often, strokes occur suddenly and unexpectedly, leaving both the patient and their family unprepared for decision-making. Key concepts such as decision-making capacity, identification of a healthcare proxy, and informed consent are critical during the acute phase of stroke treatment and throughout short- and medium-term care. Treatment decisions encompass various options, ranging from initial therapies like thrombolysis or thrombectomy to invasive procedures, resuscitation, palliative care, and others. Prognosis inevitably plays a role in decision-making, and although various tools aid in this process, some reservations remain. The recommended approach involves integrating information provided by clinicians, considering the patient's preferences, and considering the input of family members or the designated healthcare proxy. Effective, straight forward, and objective communication with the patient and their family is essential to prevent and resolve conflicts. Familiarity with these ethical concepts is crucial for all physicians and healthcare professionals involved in caring for stroke patients.
The management of cervical spine lateral mass fracture injuries treated surgically in kalafong tertiary provincial hospital: A 12-year review
Authors: Bomela Lusanda
Published: July 2024

Introduction: This study was undertaken to review the management of the lateral mass fractures of the cervical spine in our institution. Methods: Forty-six cervical spine lateral mass fracture patients presenting to a tertiary provincial hospital in South Africa between December 2006 and July 2018 were analyzed as a retrospective cohort. The average follow up of the patients was 18 months (range 12 – 24). Results: For the 46 patients the male to female ratio was 2:1 and the average age was 36 years. Neurological deficit occurred in 35% of the patients. Nine patients (19.5%) had associated injuries which had an impact on decision making. All patients with lateral mass fractures were managed surgically. Most patients needed single level surgery and about 22% needed more than one level surgical intervention. Conclusions: The majority of lateral cervical spine fractures can be managed via the anterior approach. Associated cranio-cervical injuries and/or other vertebral column fractures do influence the surgical approach. Radiologically one should expect a high degree of successful fusion. Neurological improvement after surgical intervention is highly variable.
Perbedaan Regulasi Emosi pada Mahasiswa dan Mahasiswi Yang Sedang Menjalani Bimbingan Skripsi di Fakultas Ushuluddin dan Studi Agama UIN Imam Bonjol Padang
Authors: Purnawati Indry Resky , Fithri Widia , Arlotas Rena Kinnara
Published: July 2024

Penelitian ini dilatar belakangi oleh kondisi mahasiswa dan mahasiswi yang sedang menjalani bimbingan skripsi. Walaupun banyak kendala-kendala yang dialami  mereka harus mampu mengontrol emosinya agar skripsi dapat dikerjakan dengan baik dan selesai tepat waktu. Hal ini dilihat karena adanya perbedaan regulasi emosi pada setiap mahasiswa dan mahasiswi dalam menjalani proses bimbingan skripsi. Tujuan dari penelitian ini yaitu untuk melihat tingkat regulasi emosi dan perbedaan regulasi emosi pada mahasiswa dan mahasiswi yang sedang bimbingan skripsi di Fakultas Ushuluddin dan Studi Agama agar dapat menyelesaikan skripsi dengan baik.Penelitian ini menggunakan metode kuantitatif. Alat pengumpulan data adalah skala regulasi emosi sebanyak 40 aitem. Skala tersebut telah teruji validitas dan reliabilitasnya. Hasil uji reliabilitas nya sebesar 0,946. Teknik sampling yang digunakan adalah proportionate stratified random sampling dengan jumlah sampel sebanyak 188 responden. Analisis data dalam penelitian ini  menggunakan uji nonparametric Man Whitney U Test dengan menggunakan bantuan program SPSS versi 20.0Berdasarkan hasil penelitian diketahui bahwa, mahasiswa memiliki tingkat regulasi emosi rata-rata persentase sebesar 58,5% dengan kategori sangat tinggi, sedangkan pada mahasiswi tingkat regulasi emosi rata-rata persentase sebesar 63,8% dengan kategori tinggi. Pada setiap jurusan tingkat regulasi emosi rata-rata paling tinggi, pada jurusan psikologi islam sebesar (70,4%) sangat tinggi, Aqidah dan Filsafat Islam sebesar (44,4%) sangat tinggi, Studi Agama-agama sebesar (55,6%) tinggi, dan Ilmu Al-Qur’an dan Tafsir sebesar (40,7%) tinggi. Hal ini berarti apabila nilai persentasinya tinggi pada mahasiswa dan setiap jurusan m regulasi emosinya sangat baik dan mampu meregulasikan emosi dalam setiap hal-hal yang dilakukannya.
PENGARUH KECERDASAN EMOSIONAL TERHADAP KONFLIK PERAN GANDA IBU BEKERJA SAAT PANDEMI COVID-19 DI KECAMATAN IV KOTO AUR MALINTANG
Authors: Putri Yolla Ardila , Hasneli Hasneli , Arlotas Rena Kinnara
Published: July 2024

pekerja tetapi juga sebagai ibu rumah tangga yaitu istri bagi suami dan guru bagi anak-anaknya, kedua peran ini sering kali menimbulkan konflik peran ganda, ketika tuntutan dari berbagai peran tersebut muncul secara bersamaan dan saling bertentangan maka akan mengakibatkan terganggunya kecerdasan emosi individu. Penelitian ini bertujuan untuk mengetahui pengaruh kecerdasan emosional terhadap konflik peran ganda ibu bekerja di Kecamatan IV Koto Aur Malintang saat pandemi Covid-19.Penelitian ini menggunakan metode penelitian kuantitatif dengan teknik pengumpulan data menggunakan skala kecerdasan emosional dan skala konflik peran ganda. Teknik sampling yang digunakan adalah proportionate stratified random sampling. Analisis data dalam penelitian ini adalah menggunakan uji analisis regresi linier sederhana.Berdasarkan kategori data, tingkat kecerdasan emosional dan konflik peran ganda pada ibu bekerja di Kecamatan IV Koto Aur Malintang pada masa pandemi berada pada kategori sedang. Hasil uji hipotesis menunjukan bahwa kecerdasan emosional berpengaruh signifikan terhadap konflik peran ganda ibu bekerja di kecamatan IV Koto Aur malintang saat pandemi Covid-19. Hal ini berarti bahwa apabila kecerdasan emosional ibu bekerja meningkat maka konflik peran ganda ibu bekerja akan menurun, dan sebaliknya apabila kecerdasan emosional ibu bekerja menurun maka konflik peran ganda ibu akan meningkat.Kata Kunci : Ibu Bekerja, Kecerdasan Emosional, Konflik Peran Ganda
Kesepian dan Kesejahteraan Psikologis serta pengaruhnya terhadap Pemujaan Selebriti
Authors: Ramadhani Bintang Indar , Azzahra Auza , Disastra Saanei An Nasywa , Sevsenia Nabila , Sulianti Ambar
Published: July 2024

Fenomena Celebrity Worship di Indonesia telah terjadi selama beberapa tahun ke belakang. Dengan pengaruh internet, remaja yang kesulitan mengembangkan identitas yang dimiliki menjadi meniru selebriti yang ditemuinya melalui internet. Penelitian ini memiliki tujuan untuk melihat pengaruh loneliness dan psychological well-being terhadap perilaku celebrity worship. Metode yang digunakan pada penelitian ini adalah pendekatan kuantitatif dengan sampel siswa madrasah aliyah di Jabodetabek sebanyak 159 sampel. Berdasarkan hasil uji F sebesar 6.987 dan nilai signifikansi sebesar 0.001, hasil menunjukkan bahwa terdapat pengaruh Loneliness dan Psychological Well-Being terhadap perilaku Celebrity Worship.
Stres pada Mahasiswa di Era VUCA: Ditinjau dari Kesalehan dalam Konteks Sosial
Authors: Lestari Tri , Ramdaniyati Rahayu , Andini Ristiani Ayuning Misyel , Cahyono Aryo Bima Fathoni
Published: July 2024

Penelitian ini dilakukan dengan tujuan untuk mengetahui hubungan antara kesalehan sosial dengan tingkat stres yang dialami mahasiswa Strata-1 UIN Sunan Gunung Djati Bandung. Penelitian menggunakan metode korelasional dengan analisis regresi linier sederhana. Pengumpulan data dilakukan dengan menggunakan kuesioner skala Kesalehan Sosial dan Perceived Stres Scale (PSS-10). Jumlah partisipan dalam penelitian ini sebanyak 109 mahasiswa Strata-1 UIN Sunan Gunung Djati Bandung. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kesalehan sosial dengan tingkat stres pada mahasiswa dengan r = 0.346 dengan p = 0.000. Adapun kesimpulan dari penelitian ini yaitu terdapat hubungan antara kesalehan sosial dengan tingkat stres yang dirasakan oleh mahasiswa strata-1 di UIN Sunan Gunung Djati Bandung pada tingkat yang rendah.
Pet Attachment Sebagai Mediator Pengaruh Perceived Stress Terhadap Affect Pada Mahasiswa Pemilik Kucing
Authors: Tsania Syifa Rahma , Hidayat Ila Nurlaila , Ramdani Zulmi
Published: July 2024

Penelitian ini bertujuan untuk melihat pet attachment dalam memediasi pengaruh perceived stress terhadap affect. Penelitian ini menggunakan metode korelasional kausalitas. Teknik sampling yang digunakan dalam penelitian ini adalah purposive sampling, dengan jumlah sampel yang digunakan dalam penelitian ini sebanyak 407 mahasiswa yang memiliki kucing. Analisis jalur digunakan dalam penelitian ini untuk melihat indirect effect melalui pet attachment dan direct effect perceived stress terhadap affect. Metode bootstrapping digunakan untuk melihat adanya pengaruh indirect effect. Hasil menunjukkan bahwa terdapat pengaruh indirect effect yang signifikan melalui pet attachment dalam pengaruh perceived stress terhadap positive affect (namun tidak untuk negative affect). Sehingga dapat disimpulkan bahwa pet attachment memediasi pengaruh perceived stress terhadap positive affect.
Pengaruh Diskon Harga terhadap Keputusan Pembelian pada Konsumen Matahari Department Store
Authors: Kurniaditya Gabriela Beta , Purwaningtyas Dyah Ayu , Fadhilah Zahra Elok
Published: July 2024

Penelitian ini bertujuan untuk mengetahui pengaruh diskon harga terhadap keputusan pembelian pada konsumen matahari department store. Partisipan dalam penelitian ini sebanyak 114 orang dengan menggunakan Teknik purposive sampling. Kriteria partisipan yaitu orang Jawa yang pernah membeli produk di matahari department store dengan usia 17 – 45 tahun. Teknik analisis data yang telah dilakukan menggunakan analisis regresi linier sederhana yang diolah dengan bantuan program JASP 0.18.1. Hasil penelitian menunjukkan bahwa uji normalitas shapiro wilk senilai 0.900 yang artinya data normal, uji regresi R² memiliki nilai 0.493 dengan persentase 49%. Jadi dapat disimpulkan bahwa diskon harga berpengaruh positif dan signifikan terhadap keputusan pembelian
Peran Resiliensi Terhadap Tingkat Altruisme Korban Bullying di Pondok Pesantren di Pulau Jawa
Authors: Mazaya Azka , Jenny Fanny Rahma , Fadilla Amelia , Priliyanti Sarah
Published: July 2024

Penelitian ini bertujuan untuk menguji pengaruh resiliensi terhadap altruisme. Metode penelitian yang digunakan adalah pendekatan kuantitatif. Melalui teknik non-probability sampling dengan metode voluntary sampling, didapatkan 100 responden yang merupakan alumni pondok pesantren di Pulau Jawa dan pernah mengalami pembullyan semasa menjadi santri. Instrumen pengukuran yang digunakan adalah 20 item skala Altruisme yang dikembangkan oleh Khumairah (2021), serta 26 item skala resiliensi dikembangkan oleh Sabrina (2022). Dengan melakukan uji statistik inferensial, hasil penelitian menunjukkan bahwa resiliensi dengan altruisme memiliki korelasi yang erat, yakni sebesar r=0.504 (50.4%). Dari output tersebut, diperoleh koefisien determinasi (R Square) sebesar 0.254 yang mengandung pengertian bahwa pengaruh variabel independen (resiliensi) terhadap variabel dependen (altruisme) adalah sebesar 25.4%.
Lost Tribes Found: Israelite Indians and Religious Nationalism in Early America. By Matthew W. Dougherty
Authors: Graber Jennifer
Published: July 2024

Lost Tribes Found: Israelite Indians and Religious Nationalism in Early America. By Matthew W. Dougherty. 2021. Norman: University of Oklahoma Press. 250pp. $39.95 (hardcover), $29.95 (e-book), $21.95 (paperback).
Prawa kobiet w parlamentarnej kampanii wyborczej w Polsce w 2023 r.
Authors: Lesińska-Staszczuk Magdalena
Published: July 2024

Cel badawczy niniejszego artykułu stanowiło zweryfikowanie, w jakim stopniu tematyka praw kobiet była zawarta w programach poszczególnych partii politycznych, biorących udział w kampanii wyborczej do parlamentu w 2023 r. w Polsce. Ocenie poddane zostały programy następujących komitetów wyborczych: KW Prawo i Sprawiedliwość (PiS), KKW Koalicja Obywatelska PO .N IPL Zieloni. (KO), KKW Trzecia Droga: Polska 2050 Szymona Hołowni - Polskie Stronnictwo Ludowe (PSL), KW Nowa Lewica oraz KW Konfederacja Wolność i Niepodległość. Analiza programów poszczególnych partii oraz wypowiedzi polityków potwierdziła tezę, iż kwestia praw kobiet była stale obecna w parlamentarnej kampanii wyborczej w 2023 r. W jej weryfikacji wykorzystana została metoda porównawcza, mająca na celu zestawienie dokumentów programowych opisywanych ugrupowań i wyciągnięcie konkretnych wniosków. Głównymi tematami, w kontekście równości płci i praw kobiet, okazały się kwestie zdrowia reprodukcyjnego m. in. procedury in vitro, możliwości przerywania ciąży, opieki okołoporodowej, ale także wsparcia polskich rodzin w wychowywaniu dzieci i łączeniu obowiązków rodzicielskich z zawodowymi.
Edukacja obronna i jej efekty na przykładzie zachowań ludności cywilnej. Doświadczenia i wnioski z wojny na Ukrainie
Authors: Pieczywok Andrzej
Published: July 2024

Edukacja obronna to cały system dydaktyczno-wychowawczej działalności wszystkich instytucji mających wpływ na kształcenie postaw, umiejętności i zachowań człowieka, czyli szkoły, rodziny, wojska, środków masowego przekazu i organizacji społecznych. Edukacja ma dość duży wpływ na zachowania ludności w wyniku zaistnienia sytuacji kryzysowych. Głównym celem artykułu jest ocena efektów realizacji edukacji obronnej na przykładzie zachowań ludności cywilnej na Ukrainie w trakcie trwania wojny. Analiza ukierunkowana jest na wskazanie zarówno pozytywnych, jak i negatywnych aspektów dotyczących wiedzy i umiejętności ludności cywilnej szczególnie w takich obszarach, jak znajomość sygnałów powiadamiania i alarmowania, liczba i wyposażenie schronów oraz możliwości wsparcia psychologicznego. Artykuł składa się z czterech części: wstępu, opisu systemu ochrony i sposobów zachowania się ludności cywilnej na Ukrainie, oceny sytuacji w zakresie ochrony ludności w Polsce oraz zakończenia.
Kościoły oraz związki wyznaniowe wobec wyzwań i zagrożeń dla bezpieczeństwa państwa – problemy badawcze
Authors: Zapart Robert
Published: July 2024

Ewolucja różnego rodzaju zagrożeń niesprzyjających podmiotowości państwa oraz postępujący wzrost współzależności międzynarodowej, nie pozwalają mu na samodzielne zabezpieczenie się przed szeregiem destabilizujących czynników. Prowadzi to w następstwie do negatywnego zweryfikowania przekonania o jego samowystarczalności i uważniejszego spojrzenia na możliwe do wykorzystania zasoby obecnych w tej części sfery publicznej podmiotów pozarządowych. Z powodu wspomnianych przesłanek państwo musi zatem przywiązywać szczególne znaczenie do kooperatywnej współpracy z posiadającymi alternatywne od niego instrumentarium, organizacjami pozarządowymi, wśród których poważną rolę pełnią, uzupełniając jego deficyty w zakresie bezpieczeństwa, kościoły i związki wyznaniowe. Przedmiotem rozważań było zaprezentowanie podstaw metodologii pozwalającej na określenie ich utylitarności w tym obszarze, a towarzyszyło im pytanie o zakres i możliwość jej zastosowania przy ewentualnym wyborze najlepszych z nich pod kątem wsparcia eliminacji określonych zagrożeń. Według stawianej przez autora tezy, pomocne mogą być koncepcje badawcze związane z naukami o zarządzaniu, które pozwalają swoimi procedurami efektywnie wesprzeć nauki o bezpieczeństwie w stworzeniu, opartej o weryfikowalne empirycznej parametry, analizy i oceny tytułowych podmiotów pod kątem ich przydatności dla systemu bezpieczeństwa narodowego.
Synergistic Strategies: Comparing Energy Performance in Climate-Adaptive Building Envelopes for Iran's Cold Semi-Arid Climate
Authors: Gholami Hanieh ,   Department of Architecture, Faculty of Architecture and Urban Planning, Ferdowsi University of Mashhad, Mashhad, Iran, Talaei Maryam ,   Department of Architecture, Faculty of Architecture and Urban Planning, Ferdowsi University of Mashhad, Mashhad, Iran
Published: July 2024

Climate change and improving building energy performance are significant contemporary concerns. Conversely, climate-adaptive building envelopes (CABEs) offer promising solutions to enhance structural performance amidst fluctuating environmental conditions. Despite extensive research, few studies have compared the general movement strategies of climate-specific CABEs. Thus, this study examines common movement methods—Changing Opening Percentage (COP), Changing Shading Angle (CSA), Changing Fraction Axis (CFA), and Changing Pattern Geometry (CPG)—in terms of their energy and daylight performance in Mashhad, Iran's cold semi-arid climate (BSk). Simulation using LBT 1.6.1, a Grasshopper plugin in Rhinoceros, assessed Energy Usage Intensity (EUI), Spatial Daylight Autonomy (sDA), and Annual Sun Exposure (ASE). The results highlight the COP-CSA integrated model as optimal, achieving a 4-8% reduction in energy usage intensity, thus demonstrating its efficacy amid climate change.
Professor A. M. Seagal is one of the first Russian cardiologists and arrhythmologists
Authors: Makarov L. M.
Published: July 2024

Professor Alexander M. Seagal (1887–1968), was one of the first Russian cardiologists to identify cardiac arrhythmias as a separate independent problem in cardiology. In addition to numerous works on various issues of therapy and cardiology, he is the author of apparently the first Russian monograph on arrhythmology, "Rhythms of Cardiac Activity and Their Disorders," entirely devoted to cardiac arrhythmias and which went through two editions in Soviet times (1935 and 1958). An analysis of the mechanisms of not only pathological rhythms, but also physiological ones was carried out, an original clinical and electrocardiographic classification of bradycardias ("neurogenic" and "myogenic") and paroxysmal tachycardias was given, the electrophysiological and pathohistological basis of arrhythmias known at that time and methods of their treatment were analyzed. The book shows variants of arrhythmias that are still rare today ("cardiac alternation", etc.), and describes clinical variants of paroxysmal tachycardias, including atypical ones — induced by allergic triggers. In all cases of clinical examples, not only the clinical description and ECG picture of the arrhythmia are provided, but also the necessary therapeutic measures and prognosis. The clinic of arrhythmogenic syncope and other arrhythmic symptoms, which are still relevant in our time, is analyzed. Being a famous music connoisseur, A. M. Seagal used an original approach to recording the tones and rhythms of the heart, using a musical staff. Many clinical observations and conclusions are interesting and relevant in our time. A. M. Seagal was undoubtedly the one who stood at the origins of Russian arrhythmology, as a separate direction in cardiology.
Depressive symptoms and associated factors among travestis and transsexuals: a cross-sectional study
Authors: Silva Glauber Weder dos Santos , Meira Karina Cardoso , Dantas Eder Samuel Oliveira , Gomes Sávio Marcelino , Pedrosa Iago Matheus Bezerra , Miranda Francisco Arnoldo Nunes de
Published: July 2024

ABSTRACT Objectives: to estimate the prevalence of depressive levels and their associated factors among transvestite and transsexual individuals. Methods: this cross-sectional study involved 58 participants assisted by non-governmental organizations. The Beck Depression Inventory was utilized to assess levels of depression, complemented by a sociodemographic questionnaire and a questionnaire on experiences of violence. Data were analyzed using descriptive statistics and Poisson regression with robust variance. Results: a prevalence of 27.6% (95% CI = 11.50-39.10) for moderate to severe levels of depression was observed. This prevalence was associated with being unmarried (PR = 1.19; 95% CI = 1.10-1.28) and experiencing violence in healthcare services (PR = 2.30; 95% CI = 1.10-4.81). Conclusions: the absence of a partner and experiences of violence in healthcare settings negatively impacted mental health, leading to an increased prevalence of depressive symptoms among transvestite and transsexual individuals. Advocating for transgender rights and providing ongoing education in health care for professionals are critical strategies in promoting the mental health of this population.
Tuberculose drogarresistente: revisão integrativa dos cuidados de enfermagem na atenção primária à saúde
Authors: Germano Sibele Naiara Ferreira , Erdmann Alacoque Lorenzini , Albuquerque Camila Freire , Amante Lúcia Nazareth , Ferreira Darlisom Sousa , Garrido Marlucia da Silva
Published: July 2024

RESUMO Objetivos: identificar, na literatura científica, os cuidados que devem ser prestados às pessoas com tuberculose drogarresistente pelos enfermeiros na atenção primária à saúde. Métodos: revisão integrativa, utilizando o fluxograma de seleção de estudos Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A coleta de dados foi realizada em novembro de 2022, em dez bases de dados. Resultados: seis estudos enfatizaram que o enfermeiro deve realizar o tratamento diretamente observado; dois trouxeram a importância da gestão do cuidado integrado entre tuberculose e vírus da imunodeficiência humana; dois evidenciaram a consulta de enfermagem abrangente com utilização do processo de enfermagem; um salientou os cuidados centrados na pessoa, com planejamento de alta e melhor comunicação hospitalar com os serviços de atenção primária à saúde. Considerações Finais: os cuidados que devem ser prestados pelos enfermeiros às pessoas com tuberculose drogarresistente na atenção primária à saúde, para resolutividade do cuidado, são baseados em evidências científicas.
Leprosy and its impact on the quality of life of people with physical disabilities: a scoping review
Authors: Araujo Douglas Moreira de , Silva Elisa Camila de Souza e , Gomes Helen Vaz da Silva , Carbogim Fábio da Costa , Xavier Junior Gesner Francisco , Coelho Angélica da Conceição Oliveira
Published: July 2024

ABSTRACT Objectives: to identify and synthesize, from the literature, the impacts of physical disability caused by leprosy on the quality of life of individuals receiving care within the Health Care Network. Methods: this is a scoping review conducted following the JBI recommendations. The databases used in the search included the Medical Literature Analysis and Retrieval System Online, Cochrane Library, Web of Science, Lilacs, Cumulative Index to Nursing and Allied Health Literature, Scopus, Embase, Leprosy Information Services, and Google Scholar. Results: 1690 documents were identified, of which 36 were included in the review. Physical disability caused by leprosy affects the quality of life in the areas of daily activities, socioeconomic aspects, psychological well-being, pain, and overall well-being. Conclusions: we identified the impairments caused by physical disability in the quality of life, highlighting the need for prevention, promotion, and rehabilitation actions, such as screening, case management, and health education.
Risk for imbalanced blood pressure pattern among incarcerated women: Middle-Range Theory
Authors: Silva Gabrielle Pessôa da , Lopes Camila Takáo , Lopes Marcos Venícios de Oliveira , Mendes Ryanne Carolynne Marques Gomes , Perrelli Jaqueline Galdino Albuquerque , Pascoal Lívia Maia , Mangueira Suzana de Oliveira , Linhares Francisca Márcia Pereira
Published: July 2024

ABSTRACT Objectives: to develop a Middle-Range Theory for the Risk for imbalanced blood pressure pattern among incarcerated women. Methods: theoretical development study to obtain the theoretical-causal validity of the Nursing Diagnosis Risk for unstable blood pressure. The Middle-Range Theory was developed according to six stages: establishment of the approach to developing the theory; definition of the conceptual models to be later analyzed; definition of the main conceptions; a pictorial diagram; propositions; causal relationships and evidence for practice. Results: two attributes and 20 antecedents related to imbalanced blood pressure were identified, a pictorial diagram was developed, and nine theoretical propositions were presented. Conclusions: the theory developed here favors the diagnostic reasoning of nurses and contributes to planning actions to promote the cardiovascular health of incarcerated women. A new proposition for the diagnosis of Risk for unstable blood pressure was also structured with a new title, definition, and etiological factors.
Understanding intimate self-care among riverine women: qualitative research through the lens of the Sunrise Model
Authors: Brito Camila Evelyn de Sousa , Coelho Bruna Larissa Fernandes , Santos Talita Lima dos , Marcelino Thais Cristina Flexa Souza , Rodrigues Lucas Geovane dos Santos , Santana Mary Elizabeth de , Correa Júnior Antonio Jorge Silva , Pinheiro Adriana de Sá
Published: July 2024

ABSTRACT Objectives: to contribute to the change in understandings and knowledge of the popular system among riverine women about female intimate self-care before and after the application of an educational dynamic. Methods: a qualitative-participative study based on the Sunrise Model. Twenty women registered at a Basic Health Unit on the Combu island, state of Pará, Brazil, participated in the second half of 2022. Semi-structured interviews were conducted before and after the educational dynamic; followed by reflective inductive analysis. Results: these are pointed out: a female mechanism of generational education; the cultural act of bathing as synonymous with intimate self care and disease prevention; intimate care with medicinal herbs; lack of professional system approach to the topic; fear of using “muddy water”; and lack of financial resources to purchase specific products for genitourinary care. Final Considerations: companionship and social factors drive intimate self-care; however, riverine women experience taboos, ignorance, and poverty.
Compreensões sobre autocuidado íntimo com mulheres ribeirinhas: pesquisa qualitativa à luz do Sunrise Model
Authors: Brito Camila Evelyn de Sousa , Coelho Bruna Larissa Fernandes , Santos Talita Lima dos , Marcelino Thais Cristina Flexa Souza , Rodrigues Lucas Geovane dos Santos , Santana Mary Elizabeth de , Correa Júnior Antonio Jorge Silva , Pinheiro Adriana de Sá
Published: July 2024

RESUMO Objetivos: contribuir para a mudança de compreensões e saberes do sistema popular de mulheres ribeirinhas sobre o autocuidado íntimo feminino, antes e depois da aplicação de uma dinâmica educativa. Métodos: estudo qualitativo-participativo apoiando-se no Sunrise Model. Participaram 20 mulheres, cadastradas em Unidade Básica de Saúde da ilha do Combu, estado do Pará, Brasil, no segundo semestre de 2022. Ocorreram entrevistas semiestruturadas antes e depois da dinâmica educativa; e posterior análise indutiva reflexiva. Resultados: aponta-se um mecanismo feminino de educação geracional; o ato cultural do banho como sinônimo de autocuidado íntimo e da prevenção de doenças; asseios íntimos com ervas medicinais; falta de abordagem do tema pelo sistema profissional; temor do uso da “água barrenta”; e falta de recursos financeiros para compra de produtos específicos voltados aos cuidados genitourinários. Considerações Finais: fatores de companheirismo e sociais movem o autocuidado íntimo, contudo tabus, desconhecimento e pobreza são vivenciados pelas ribeirinhas.
The use of spirituality/religiosity by oncology nurse residents in nursing care
Authors: Tomaz Ana Paula Kelly de Almeida , Antunes Rômulo Frutuoso , Dib Rachel Verdan , Ramos Raquel de Souza , Nascimento Flaviana Pereira Bastos , Jesus Sérgio Abreu de , Sousa Kayo Henrique Jardel Feitosa , Zeitoune Regina Célia Gollner
Published: July 2024

ABSTRACT Objectives: to analyze the use of spirituality/religiosity by oncology nurse residents in caring for patients with cancer. Methods: a census, descriptive, sectional study, with 46 nurse residents from three public hospitals in Rio de Janeiro. Data collection took place between August 2020 and January 2021, using a sociodemographic questionnaire, including a question about the use of spirituality/ religiosity to deal with work situations. Descriptive analysis was carried out using SPSS software version 22.0. Results: participants stated that they use religiosity/spirituality in work situations related to patients or themselves. In relation to patients, death was the most mentioned situation among professionals, and for themselves, everyday situations and emotional vulnerability were the most mentioned. Final Considerations: spirituality and religiosity are dimensions that guide oncology nurse residents’ attitudes.
Nursing students’ perception: Escape Room use in teaching leadership skills
Authors: Rached Chennyfer Dobbins Abi , Cruz Emili Amani Alves da , Mota Maria Helena Cardoso da , Paulo Caroline da Silva Fonseca , Amaral Giovanna Micucci Pires , Nakajima Daniela Lika
Published: July 2024

ABSTRACT Objectives: to understand nursing students’ perception regarding Escape Room use to develop leadership skills. Methods: a qualitative exploratory-descriptive study, with 97 nursing students. Escape Room game sessions were held, totaling ten. Subsequently, a debriefing and analysis was carried out using the Discourse of the Collective Subject method, through the focus group technique. Ethical procedures were respected. Results: students’ perceptions about using this methodology to develop leadership skills were positive and significant. The effectiveness of the game in teaching and developing these skills in nursing practice stands out. Final Considerations: the game was an effective active methodology in approaching the proposed content, promoting satisfaction and easy assimilation.
Fatores associados à Síndrome de Burnout em policiais: revisão de escopo
Authors: Ribeiro Beatriz Maria dos Santos Santiago , Scorsolini-Comin Fabio , Robazzi Maria Lucia do Carmo Cruz , Santos Sérgio Valverde Marques dos , Terra Fábio de Souza , Dalri Rita de Cassia de Marchi Barcellos
Published: July 2024

RESUMO Objetivos: sintetizar os estudos que abordam os fatores associados à síndrome de burnout (SB) em policiais. Métodos: revisão de escopo, sem restrição temporal e de idiomas, com exportação para o EndNote, suprimindo os duplicados, e exportados para o aplicativo Rayyan, para organização, seleção dos artigos e extração dos dados. Resultados: foram identificadas 4559 publicações, com inclusão de 50 estudos. Houve predominância de pesquisas realizadas no Brasil e nos Estados Unidos. Alguns fatores laborais foram mais relacionados aos policiais quando comparados com outras profissões, como a aplicação da lei, frequência de interação com suspeitos e criminosos, ser cabo, insatisfação com a corporação e confrontos com civis. Conclusões: certos aspectos laborais contribuem para a SB, mesmo em países com melhores condições de trabalho na Segurança Pública. Recomenda-se priorizar ações de promoção da saúde para esses profissionais.
Construção e validação de cenário para treinamento de sedação na sala de urgência para procedimento cirúrgico pediátrico por simulação in situ
Authors: SANTOS MARCOS MACIEL CANDIDO JUSTINO DOS , LIMA SARA FITERMAN , SLULLITEL ALEXANDRE , GIOVANAZZI ROSEMEIRE SIMONE DELLACRODE , LOPES NETO FRANCISCO DIEGO NEGRÃO , LIMA MARJORIE DE ARAÚJO VIAN PINHEIRO , SANTOS NETO RENÉ SCALET DOS , PEREIRA JÚNIOR GERSON ALVES
Published: July 2024

RESUMO Introdução: a sedação e analgesia são procedimentos fundamentais para crianças submetidas a intervenções invasivas, devendo-se evitar complicações durante sua realização. A simulação in situ permite, por sua vez, capacitações nos ambientes reais de prática para aprimorar as competências técnicas e não técnicas dos profissionais para tais procedimentos. Embora seja uma ferramenta de grande utilidade, muitas vezes não é aproveitada pelo despreparo para seu planejamento e aplicação. Objetivo: elaborar e validar um cenário de simulação in situ no atendimento de urgências pediátricas com uso de sedação para realização de procedimento invasivo. Método: estudo descritivo de construção e validação de conteúdo de um cenário de simulação in situ, por meio do método Delphi, seguindo os seguintes passos: 1) definição do problema e seleção de especialistas; 2) desenvolvimento do documento inicial; 3) rodadas para validação com análise das respostas e feedback (até obtenção do consenso pelo Índice de Validação de Conteúdo); 4) relatório final. Resultados: Os especialistas indicaram sugestões devidamente aproveitadas e o cenário obteve, em todos os itens, um IVC maior que 80,0% demonstrando sua alta validade e confiabilidade. Ao usar especialistas para validar o cenário, seus insights garatem maior precisão e confiabilidade à engenharia de construção dos cenários. Conclusão: espera-se, que este estudo permita a replicação do cenário em diferentes contextos de formação facilitando e incentivando a capacitação profissional a partir de um modelo de cenário baseado em melhores evidências e práticas.
Tradução e adaptação transcultural da escala Mayo High Performance Team Scale (MHPTS) para o português brasileiro
Authors: SANTOS MARCOS MACIEL CANDIDO JUSTINO DOS , LIMA SARA FITERMAN , SLULLITEL ALEXANDRE , OLIVEIRA NELSON GONÇALVES DE , SANTOS ELAINE CRISTINA NEGRI , ARAÚJO EDUARDO CRUZ , BRUGINSKI DANIELLE , PEREIRA JÚNIOR GERSON ALVES
Published: July 2024

RESUMO Objetivo: descrever o processo de tradução e adaptação transcultural da escala Mayo High Performance Team Scale para o português brasileiro. Método: estudo descritivo de validação e adaptação transcultural da escala, realizado de maneira virtual, seguindo pressupostos propostos por Beaton e colaboradores. Contou com uma amostra de 40 especialistas, e realizou duas rodadas, sendo uma de validação e uma de apreciação final. Resultados: após seguir todas as etapas de tradução a escala foi apresentada ao comitê de especialistas que chegou a um consenso (IVC entre 0,9 e 1,0) sobre não haver qualquer discrepância, após avaliação das equivalências semântica, idiomática, experiencial e conceitual entre a escala original e a versão traduzida. Conclusão: A versão em português brasileiro da MHPTS foi adequadamente traduzida e validada, revelando excelente potencial de utilização em contextos de simulação clínica para cenários multiprofissionais.
Substituição esofágica em crianças - 27 anos de experiência em um Hospital Universitário
Authors: FROGERI FLAVIA GARCIA , BUSTORFF-SILVA JOAQUIM , OLIVEIRA FILHO ANTONIO GONÇALVES DE , SILVA MARCIA ALESSANDRA CAVALARO PEREIRA-DA , MITSUNAGA THALITA MENDES , SARTI LUISA
Published: July 2024

RESUMO Introdução: a substituição esofágica em crianças está indicada quando não é possível manter o esôfago nativo, o que inclui principalmente pacientes com atresia esofágica e estenose cáustica esofágica. O objetivo deste trabalho é relatar a experiência de um serviço universitário com duas técnicas de substituição esofágica, a transposição gástrica e a esofagocoloplastia. Métodos: Estudo retrospectivo baseado na revisão de arquivos hospitalares. A população do estudo foi de 30 pacientes com idade entre 6 meses e quatorze anos, submetidos à substituição esofágica, no período de 1995 a 2022, no Hospital de Clínicas da Universidade Estadual de Campinas. Os dados analisados foram idade, sexo, doença de base, aspectos técnicos, complicações e resultados a longo prazo. Resultados: As doenças de base mais comuns foram atresia de esôfago (73,33%) e estenose cáustica (26,67%). Vinte e um pacientes foram submetidos à transposição gástrica (70%) e nove à esofagocoloplastia (30%). A complicação pós-operatória mais frequente foi fístula da anastomose proximal, que ocorreu em 14 pacientes. A maioria dos pacientes com fístula teve recuperação espontânea. Houve três mortes no total. Dos 27 sobreviventes, 24 conseguem se alimentar exclusivamente por via oral. Conclusão: A substituição esofágica em crianças é um procedimento com alta morbimortalidade. Esofagocoloplastia e transposição gástrica têm resultados e complicações semelhantes, com exceção de fístulas da anastomose proximal, que são em geral auto-resolutivas e mais comuns na esofagocoloplastia. A escolha da melhor técnica cirúrgica deve ser individualizada, sendo que ambas as técnicas oferecem a capacidade de alimentação via oral a curto ou médio prazo.
Esophageal replacement in children - 27 years of experience in a University Hospital
Authors: FROGERI FLAVIA GARCIA , BUSTORFF-SILVA JOAQUIM , OLIVEIRA FILHO ANTONIO GONÇALVES DE , SILVA MARCIA ALESSANDRA CAVALARO PEREIRA-DA , MITSUNAGA THALITA MENDES , SARTI LUISA
Published: July 2024

ABSTRACT Introduction: esophageal replacement in children is indicated when it is impossible to maintain the native esophagus, which in the pediatric population includes patients with esophageal atresia and esophageal caustic stenosis. The objective of this communication is to report the experience of a university service with two techniques of esophageal replacement. Methods: this is a retrospective study based on the revision of hospital files. The study population consisted of patients who underwent esophageal replacement from 1995 to 2022, at the Hospital de Clínicas of the State University of Campinas. The analyzed data were age, sex, underlying disease, technical aspects, complications, and long-term results. Results: during the study period, 30 patients underwent esophageal replacement. The most common underlying diseases were esophageal atresia (73.33%) and caustic stenosis (26.67%). Twenty-one patients underwent gastric transposition (70%), and nine underwent esophagocoloplasty (30%). The most frequent postoperative complication was fistula of the proximal anastomosis, which occurred in 14 patients. Most of the patients with fistulas had a spontaneous recovery. There were three deaths. Of the 27 survivors, 24 can feed exclusively by mouth. Conclusion: esophageal replacement in children is a procedure with high morbidity and mortality. Esophagocoloplasty and gastric transposition have similar results and complications, with the exception of proximal anastomotic fistulas, which are generally self-resolving and are more common in esophagocoloplasty. The choice of the best surgical technique must be individualized according to the patients characteristics and the surgeons experience, as both techniques offer the ability to feed orally in the short or medium term.
Protetor de ferida operatória de baixo custo para cirurgias laparoscópicas
Authors: MENEGOZZO CARLOS AUGUSTO METIDIERI , OLIVEIRA CRISTIANE PRESTES DA ROSA , RASSLAN ROBERTO , KFOURI FELIPE , BITRAN ALBERTO , LEAL RENATO SILVEIRA , DAMOUS SERGIO HENRIQUE BASTOS , UTIYAMA EDIVALDO MASSAZO
Published: July 2024

RESUMO O papel dos protetores de ferida operatória em cirurgias laparoscópicas é bastante controverso na literatura. Alguns estudos demonstram seu benefício na redução da taxa de infeções de sítio cirúrgico, porém esses resultados não são reprodutíveis em todos os procedimentos. Além da proteção da ferida operatória, esses dispositivos podem ser utilizados nos sítios de extração de peças cirúrgicas em procedimentos laparoscópicos. Há vários dispositivos comercialmente disponíveis para esse fim, entretanto são pouco disponíveis nos serviços com menos recursos. Um dos motivos dessa limitação é o custo do dispositivo. Nesta nota, buscamos oferecer uma opção barata que utiliza materiais amplamente disponíveis no centro cirúrgico e cuja confecção é simples.
Animalidade humana e naturalismo realista em Alasdair MacIntyre
Authors: Sousa José Elielton de
Published: July 2024

Resumo: O filósofo neoaristotélico, Alasdair MacIntyre, propõe, em Dependent Rational Animals (1999), uma ética das virtudes naturalista, ancorada na identidade animal do ser humano, juntamente com a vulnerabilidade e dependência às quais estamos submetidos, enquanto animais biologicamente constituídos. Ele reconhece que, ao usar o termo “bem” como referência direta ao florescimento dos membros de algumas espécies animais ou vegetais enquanto membros dessas espécies, está oferendo uma interpretação naturalista do bem, mas não deixa claro com que tipo de naturalismo está comprometido, não fornecendo maiores explicações sobre o que entende por bem natural, nem apresentando detalhes acerca de como resolver essa questão da relação entre o bem e suas propriedades naturais. Assim, cabe interrogar que tipo de naturalismo MacIntyre endossa. Seu naturalismo atende aos requisitos mínimos de uma proposta naturalista neoaristotélico atualizada? Essas são algumas das questões a serem analisadas no decorrer deste texto.
On the Possibility and Impossibility of a Theoretical Dialogue between Nietzsche and Lacan
Authors: Rivas Rodrigo Farías
Published: July 2024

Abstract: The present article examines contemporary scholarship attempting a theoretical convergence between Lacanian psychoanalysis and Nietzschean philosophy. The main positions, ideas and arguments of this scholarship are assessed. In doing so, the philosophical problem that immediately arises concerns the very possibility of such a theoretical dialogue. The thesis to be developed, then, is that superficial similarities rather obscure core theoretical, and even ontological, disagreements - and so besides the critical examination of the mentioned literature, the goal of the paper is to illuminate these tensions insofar they obstruct easy Nietzsche-Lacan articulations. Thus following the resemblances between both theoretical perspectives, we move from the merely superficial to the stronger similarities among the will to power, unconscious desire and jouissance, then between nihilism and jouissance, and finally between the very logics of resentment and repression. At each step, the article shows similarities to rather be insufficient, to the extent they are sustained on unquestioned assumptions. The paradigmatic one: the idea that Nietzsche is already a Lacanian avant la lettre.
Trabalho no Brasil (1995 a 2020): desigualdades de gênero e étnico-raciais
Authors: Escorsim Silvana Maria
Published: July 2024

Resumo: O artigo resgata os aspectos centrais dos governos de Fernando Henrique Cardoso, Luiz Inácio Lula da Silva, Dilma Rousseff, Michel Temer e Jair Bolsonaro, os modelos econômicos e sociais predominantes e as crises políticas-econômicas e sanitária. Objetiva demonstrar que a inserção das mulheres no mundo do trabalho é permeada pelas desigualdades de gênero e étnico-raciais. A metodologia utiliza o estudo estatístico, descritivo e comparativo dos dados, e evidencia a desigualdade de gênero e étnico-racial no país.
Financiamento da política de assistência social: breve análise do desmonte dessa política no período de 2016 a 2023
Authors: Mandu Janaina Alves Monteiro , Azevedo Nilo Lima de
Published: July 2024

Resumo: O presente artigo traz breves reflexões sobre o financiamento da Política de Assistência Social no período entre 2016 e 2023, analisando como os perversos ajustes fiscais realizados a partir da década de 1990 e que se aprofundam, em 2016, têm impactado nas políticas sociais, em especial para a política de assistência. A criação do Novo Regime Fiscal, em 2023, que põe fim a PEC/95, reforçou a submissão desta Política aos ditames econômicos, não garantindo uma verdadeira ampliação do seu financiamento.
INTEGRATION BETWEEN FACE-TO-FACE AND VIRTUAL TRAINING IN THE CONTINUING EDUCATION OF EDUCATORS: LIMITS, CHALLENGES AND POTENTIALS
Authors: LACERDA CAROLINE CÔRTES , SEPEL LENIRA MARIA NUNES
Published: July 2024

ABSTRACT: This study aims to analyze the perception of Basic Education educators into a course entitled “Continued Education of in-service Educators: the STS Approach as an Articulator of the Integrated Curriculum” in the area of Science Technology Society (STS), as well as the limits and potential of continuing education. The extension course at the Federal University of Santa Maria lasted 80 hours and was held during the 2016 school year, with face-to-face meetings at the participating school and activities in the Virtual Teaching and Learning Environment - Moodle. We aimed to apply and discuss Information and Communication Technologies, continuing education, and the curriculum and evaluate the process. Low adherence of educators to the distance stage of the course was identified, compared to the face-to-face stage, generating questions about the need for training processes focused on technologies and within the teachers’ workload. Data were collected based on observation, participation, and performance of activities and through a questionnaire in which educators evaluated the course. Data analysis was based on tabulation in Excel spreadsheets, notes, speeches, and involvement of the participants. The closed questions were analyzed using graphs and the open ones by analyzing the Collective Subject Discourse, a technique used by Lefevre, Lefevre, and Teixeira (2003). A low adherence of educators to the distance learning phase of the course was identified, compared to the face-to-face phase, which raised questions about the need for training processes focused on technologies, but within the teachers’ workload.
PRÁTICAS PEDAGÓGICAS INOVADORAS: CRITÉRIOS ATRIBUÍDOS POR PROFESSORES(AS) FORMADORES(AS) QUE ATUAM EM CURSOS DE PEDAGOGIA
Authors: FIORESE CRISTIANE ELIZETE , TREVISOL MARIA TERESA CERON
Published: July 2024

RESUMO: Este artigo analisa os critérios que os(as) professores(as) formadores(as), atuantes em Cursos de Pedagogia, atribuem às práticas pedagógicas inovadoras. Como base empírica deste texto foram utilizados dados de uma pesquisa descritiva, de cunho exploratório e de natureza qualitativa, que teve como lócus seis Instituições de Ensino Superior Comunitárias do Estado de Santa Catarina, vinculadas à Associação Catarinense das Fundações Educacionais - Acafe, que oferecem o curso de Pedagogia na modalidade presencial. A amostra foi composta por professores(as) formadores(as) que atuam como titulares nos cursos de Pedagogia dessas instituições, e que aceitaram participar da pesquisa. Para a coleta de dados foi utilizado um questionário on-line, e na análise foi aplicada a técnica de análise de conteúdo. Evidenciou-se que os critérios que atribuem sentido à prática pedagógica inovadora são subjetivos, assumem caráter polissêmico e variam de acordo com o conhecimento, a interpretação e a vivência dos pesquisados. Alguns elementos centrais foram articulados à prática dessa natureza: protagonismo dos estudantes; ruptura com o tradicional; novo; tecnologia; pesquisa; e metodologias ativas. A análise desses critérios, à luz do referencial teórico utilizado, possibilitou compreender que nem tudo que foi explicitado como inovação pedagógica constitui, de fato, uma prática pedagógica inovadora. Constatou-se a necessidade e a importância de se promover a reflexão sobre o que é e como se constitui uma prática pedagógica inovadora, visando uma concepção mais assertiva sobre o conceito, que possa fundamentar a prática nos cursos de formação docente e a consolidação do perfil do(a) professor(a) inovador(a).