bluuebunny/crossref_metadata_2025 huggingface dataset:
The Relationship Between Parenting and Feeding Patterns On The Incidence Of Stunting
Authors: Aprianti Rita
Published: October 2023

Stunting is a significant highlight in Indonesia because it is continually rising. Factor pattern of bad parenting and inappropriate infant feeding is a risk cause of stunting. The purpose of this research is to analyze the connection pattern parenting and patterns of provision of food to the incidence of stunting in infants. This research is a quantitative study with a cross-sectional design. This research was conducted in the Health Center Cipadung working area in January- March 2022. The research population is mothers with toddlers. A sample of 84 respondents was taken randomly. The instruments used are a measuring tool height and a questionnaire. Data analysis used the chi-square test. The research showed that pattern parenting (p=0.045 and POR=2.9) and pattern feeding (p=0.014 and POR=3.3) are associated with stunting. Parenting and patterns of feeding are related to the incidence of stunting. Good maternal parenting can prevent children from experiencing stunting and feeding; if mothers provide the right food for their children, then children can be spared from stunting.
Implementation of Hospital Health Promotion at PKU Muhammadiyah Wonosobo Hospital: A Qualitative Study
Authors: Kartina Catur Agung Suprapto  , Sitti Nurdjannah  , Lina Handayani
Published: October 2023

Management policy is the most significant hospital health promotion standard, and it also influences other standards. Health promotion in hospitals that is not implemented will cause problems for the community. Information that is not conveyed makes one's understanding and knowledge worse. Therefore, this study aims to evaluate of implementation of hospital health promotion in PKU Muhammadiyah Wonosobo Hospital. This qualitative research uses a case study design. As many as 7 respondents including officials, health workers, staff, patients, and families of patients have conducted in-depth interviews. According to the findings of this study, hospital health promotion at the institution in issue is poorly managed. Therefore, hospital policymakers must pay greater attention to preparing competent budgets and human resources to support maximum hospital health promotion.
Isolation and Identification of Mold Contaminants in Peanut Paste from the Cengkareng Market of West Jakarta
Authors: Margareta Alfriana , Anis Setyowati
Published: October 2023

The filamentous molds associated with peanut paste produce biochemicals known as mycotoxins. The major mycotoxins are aflatoxins produced by molds from the genera Aspergillus and Penicillium. Mold contaminants can be occurred due to poor hygiene storage. The purpose of this study was to determine the presence of molds in peanut paste sold at the Cengkareng market in order to assist people in being attentive to the storage conditions of peanut paste. Samples were collected randomly with a total of 15 packages of peanut paste from Cengkareng market, West Jakarta, Indonesia. Potato Dextrose Agar was used for the isolation and identification of molds. The molds were observed based on the morphological features through macroscopic and microscopic examination. The frequencies of 15 samples contaminated with molds were computed on a percentage. From the observed morphological features and colony colour of molds, those were A. niger, A. flavus, Penicillium sp, and Mucor sp. This research also revealed that of the 15 samples identified, A. niger and A. flavus, 40% respectively. Other species Penicillium sp. 27% and Mucor sp. 13% were the least common. Therefore, this study confirmed that Aspergillus is the highest risk of contaminating peanut paste compared to other genera, which can cause a health problem for humans.
The Relationship of Family Support, Maternal Readiness, and Anxiety Level of Pregnant Women Before Giving Birth
Authors: Nurhidayati Nurhidayati  , Zumrotul Ula  , Nasrullah Nasrullah
Published: October 2023

Childbirth is a stressful event for a mother. The greater the pregnancy period, will cause uncomfortable feelings. Many mothers experience excitement, anxiety, fear, and panic during labor. At this time, family support turns out to have an important effect on the mother's psychological condition in labor. The purpose of this study was to determine the relationship between family support and maternal readiness with the level of anxiety of pregnant women before delivery. This study used correlation research. The population in this study was pregnant women before childbirth which amounted to 37 people. The sample obtained was 25 willing respondents who met the inclusion and exclusion criteria. The sampling technique used was saturated sampling. The results showed that the highest category of husband support was 21 people (84.0%). The level of maternal anxiety facing childbirth was mostly low at 16 people (64.0%). Thus there is a tendency for pregnant women before labor with the support of their husbands tend not to worry, with a value of p = 0.004 (p < 0.05), which means there is a significant relationship between husband support and the level of anxiety of pregnant women before delivery. Based on the study's results, it is expected that the husband accompanies the wife during labor because the higher the husband's support, the lower the mother's level of anxiety facing childbirth.
Influence Relaxation Muscle Progressive to Sleep Quality Patient with Cancer Breast
Authors: Septi Machelia Champaca Nursery  , Lucia Andi Chrismilasari  , Candra Kusuma Negara
Published: October 2023

Sufferer cancer breast experiences various physical problems able influence the quality of Sleep. Quality Sleep sufferer cancer breast can influence the system of immunity body, cognitive ability, and daily activity life. One intervention non pharmacology for overcoming disturbance in Sleep is the relaxation of muscle progression. Study This aims to identify the influence of relaxation muscle progress on the quality of Sleep sufferer cancer boobs. Research design using quasi-experiments. A draft study using one group pretest and post-test control group design involving 16 Respondents sufferer cancer breast. The sampling method used is non-probability sampling with a consecutive sampling technique. Quality data collection Sleep use questionnaire Pittsburg Quality Sleep Index (PSQI). Research results by the Man Whitney test obtained statistical test results p value = 0.001 (P < 0.05), indicating an influence on exercise relaxation muscle to quality Sleep sufferer cancer. With study expected that exercise relaxation muscle progress can be used as a method of easy relaxation for increased quality Sleep sufferer cancer breast so that can be applied in everyday life.
The Effect of Rebozo Technique on the Length of Time for Active Phase I Labor in the Noemuti Health Center Area in 2023
Authors: Fitriyaningsih Fitriyaningsih , Sinurat Samfriati , Simanihuruk Ramatian
Published: October 2023

There are still numerous problems in Indonesia, including prolonged labor that can murder mothers and infants. The rebozo technique is a physiological endeavor to prevent prolonged labor that can accelerate or shorten the active phase of labor. In 2023, the objective is to ascertain the impact of the rebozo technique on the duration of active phase I labor in the Noemuti Health Center Region.Research technique The research design is a Quasi-Experiment employing a One-Group Pretest-Posttest Design with a control. 30 respondents in the population, 15 in the experimental group and 15 in the control group as the cohort. The investigation lasted one month, from April 2022 to May 2023. The rebozo technique intervention group had a rank value of 3.8 and a standard deviation of 2.0, and the p value was greater than 0.005, so it can be concluded that there was a significant difference between the intervention group and the control group. With a p value of 0.003 0.005, mothers who were intervened by the rebozo technique were able to reduce labor time to 6 hours and reduce pain. The conclusion The rebozo technique should be communicated to mothers and families at term gestation regarding the intervention of the rebozo technique if done regularly, it is hoped that when the mother enters the inpartu period, it can accelerate the opening of the cervix and the decrease in the fetal head in laboring mothers during the active phase I, thereby shortening the duration of labor.
The Relationship Between The Level Of Midwife Satisfaction With Improving The Quality Of MCH Services In The Working Area Of Muara Dua Health Center In Lhokseumawe City
Authors: Mauyah Nizan , Subki Subki , Syahabuddin Syahabuddin , Burdah Burdah
Published: October 2023

The background of this study is the complexity of factors that affect midwives' job satisfaction, especially at Muara Dua Health Center, Lhokseumawe. Job satisfaction is related to motivation, continuing education, salary and benefits, management, tasks, work environment, workload, and moral satisfaction. The characteristics of motivational factors are distinguished between intrinsic characteristics such as challenge, recognition, autonomy, work, and responsibility that determine job satisfaction. Extrinsic characteristics such as salary, security in work, working conditions. Job dissatisfaction can lead to delays and absences, inability to conduct proper checks, work fatigue. To determine the relationship between the level of midwife satisfaction with improving the quality of maternal and child health services at the Muara Dua Health Center in Lhokseumawe City. The study was conducted on 55 samples of midwives at the Blang Muara Dua Health Center, Muara Dua District, Lhokseumawe City, with a comfortable cross-sectional work design, giving satisfaction to 14 midwives (58.3%) and 10 uncomfortable people (41.7%). Meanwhile, 31 respondents were satisfied with a comfortable work environment by 19 people (61.3%) and dissatisfied with an uncomfortable work environment by 12 people (36.7%). Based on statistical tests on bivariate analysis with the Exact Fisher test at a 95% confidence level, a value of P = 0.084 (p < 0.05) was obtained, meaning that there was no significant relationship between a comfortable work environment and the level of midwife satisfaction. There is a significant relationship between the distribution of service fees in accordance with midwives' satisfaction in improving the performance of maternal and child health services. At the same time, there is no meaningful relationship between the comfort of the work environment and the level of midwives' satisfaction in improving the performance of maternal and child health services. There is a significant relationship between the distribution of tasks and midwife satisfaction in improving the performance of maternal and child health services. There is no significant relationship between leadership elements and midwives' satisfaction in improving the performance of maternal and child health services.
The Relationship Between Maternal Knowledge Level And Feeding Practices With Dietary Patterns In Stunted Children
Authors: Dwi Ananta Syafira , Krisnana Ilya , Tri Lestari Wahyuni
Published: October 2023

Introduction: Stunting in children becomes a problem as a result of several factors including the level of mother's knowledge, feeding rules, and eating patterns. Data from Basic Health Research (Riskesdas) for 2022, the stunting rate in Indonesia is 21.6% (Ministry of Health RI, 2022). While the target standard for the National Medium-Term Development Plan (RPJMN) is 19% in 2024. This study aims to analyze the relationship between the level of mother's knowledge and feeding rules with eating patterns in stunted children. Methods: This research employed a correlational study design and a cross-sectional approach. The sample consisted of 87 respondents selected using a simple random sampling technique. This study’s independent variables were maternal knowledge and feeding rules, and the dependent variable was dietary habits. The data was collected using a maternal knowledge level questionnaire, a fundamental feeding rules questionnaire, and a children’s feeding questionnaire (CFQ), which was subsequently analyzed using Spearman’s Rho with a significance level of α=0,05. Results: The bivariate analysis findings demonstrated a significant correlation between maternal knowledge and dietary habits patterns (p=0.000) (r=0.372). In addition, there was a significant correlation between feeding rules and dietary habits (p=0.000) (r=0.424). Conclusion: The level of maternal knowledge and feeding rules were related to children’s diet patterns. The level of maternal knowledge and feeding rules were factors associated with the dietary habits of stunted children; thus, increasing maternal knowledge and feeding rules would improve the diet patterns.
Effects of multicollinearity on type I error rate and test power of binary logistic regression model: A simulation study
Authors: Arici Yeliz , Ozkan Mustafa , Kocabas Zahide
Published: October 2023

In this study, the effect of multicollinearity, which is defined as high correlation, on the type I error rate and test power of the binary logistic regression models were studied. To do this, one dependent variable that consists of 1 and 2 and four continuous independent variables that were randomly drawn from the standardized normal distribution were taken into consideration in the constructed binary logistic regression model. To calculate the type I error rates and test power, the simulation study was performed 100.000 times. The simulation study repeated for the sample sizes of 10, 20, 30 and 40 the various degrees of correlations, namely 0%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80% and 90%. In order to calculate test power, differences (δ) were created between population means by adding to the mean of the second population in standard deviation units as 0.5, 1.0, 1.5 and 2.0, respectively. The simulation runs exhibited that the increasing degree of multicollinearity among independent variables had no influence on type I error rates, provided that the sample size should not be smaller than 30. The power of the binary logistic regression was least affected by the increasing degrees of multicollinearity when the sample size is 10 and there is a 0.5δ difference between population means. The fact that there was a marked decline in test power with rising multicollinearity for all sample sizes clarified that the binary logistic regression was most powerful if there is no strong multicollinearity among independent variables when there is a 1.0δ difference between population means. The negative impact of the rising degrees of multicollinearity on the test power can be avoided if the number of observations is sufficiently large and if the populations were satisfactorily separated from each other.
Comparison of ultrasonography, electromyography, and clinical findings of patients with carpal tunnel syndrome
Authors: Kaya Oguz , Gurbuz Ali , Batur Omer , Tas Nevsun , Yildirim Mustafa , Senel Ahmet
Published: October 2023

In the present study, we compared ultrasonography (USG), electromyography (EMG), and clinical outcomes of patients exhibiting clinical findings suspected of carpal tunnel syndrome (CTS). This comparison included individuals diagnosed with CTS through control examinations involving electrodiagnostic tests, as well as those who were not diagnosed with CTS. The study included 50 patients who applied to the Physical Medicine and Rehabilitation and Orthopedics and Traumatology outpatient clinics at Elazig Fethi Sekin City Hospital with complaints of hand numbness and pain, raising suspicion of CTS and were subsequently diagnosed with CTS through EMG between January 2022 and June 2022. In addition, the records of 50 control patients were reviewed; these individuals were also suspected of CTS and had undergone EMG, but their results were determined to be normal upon interpretation. All patients completed the Boston CTS questionnaire, while a radiologist with seven years of experience employed a linear probe within a 5-13 MHz frequency range to measure and record the cross-sectional area (CSA) of the wrist median nerve. The patient group comprised the evaluation of 87 wrists, whereas the control group included 79 wrists under assessment. The mean age for the patient group stood at 49.94±8.9 years, while the control group exhibited a mean age of 51.61±9 years. There was a significant correlation between the median nerve CSA measured by USG and the corresponding EMG data. In our study, we concluded that both EMG and USG are effective in the diagnosis of CTS, with USG exhibiting greater effectiveness compared to EMG.
Relationship between prognostic nutritional index and mortality in cancer patients treated with immunotherapy
Authors: Melekoglu Ebru , Kolsuz Irem , Salcan Tarik , Mete Burak , Bayram Ertugrul , n Berksoy
Published: October 2023

Immunotherapy, in addition to surgery, chemotherapy, radiotherapy, and targeted therapies in cancer treatment, has emerged over the last decade as a significant contributor to improving patient survival. The prognostic nutritional index (PNI), which is a simple and useful tool that provides information about the general health status of patients and helps the treatment process, is used for many different types of cancer. This study aimed to evaluate the prognostic importance of PNI on mortality in cancer patients treated with immunotherapy. A total of 100 patients who were treated with immune checkpoint blockade in the oncology outpatient clinic were included retrospectively. According to our findings, only 23% of patients responded to immunotherapy, while 72% progressed. When PNI values were compared according to mortality status, it was determined that PNI values at baseline, first, third, sixth, and twelfth months were statistically significantly lower in patients who died during their follow-up. We also determined 44 as the cut-off value for the PNI in our study. The mortality rate was 76.7% in patients with PNI>44 and 43.5% in patients with PNI≤44. PNI appears to be a simple and useful tool for predicting mortality in cancer patients treated with immunotherapy.
About the roots of organized crime
Authors:   , van Dijk Anna Maria Meintje
Published: October 2023

General conclusions
First, at a younger age ‘earlier signals’ of predicting later criminal careers are not as clear-cut as expected. At an older age, the percentages of children of organized crime offenders with a criminal history are high. The risks seem to be higher also compared to studies focusing on intergenerational continuity among children of more general offenders. Regarding the relative risks, the results showed that the risks of general criminal behavior are higher, but the risk of engaging in drugs related crimes is much higher. Children of organized crime offenders seem susceptible for intergenerational continuity. An important question is of course how children get involved in organized crime. Existing (theoretical) explanations sometimes also offer valuable insights for this particular group, for example the social learning perspective, mediating mechanisms of risk factors, and assortative mating. Next to these more general explanations, the current dissertation yields also a more specific explanation: the closed character and structure of organized crime families.
Despite the increased risk of having a criminal career, it seems important to note that of course not all children growing up in families of parents involved in organized crime, will develop a criminal career. The chapters of the dissertation show a substantial amount of intergenerational discontinuity and therefore resilience, mostly but not solely among daughters. Factors that may mitigate risks are adequate child rearing capacities in mothers, parental sensitivity, the ability to engage in prosocial relationships, educational success and attainment, and learning from negative consequences of a criminal lifestyle as observed in their parents. The dissertation adds to this that absence of criminal fathers may be beneficial for families, and that mothers who are not actively engaged in criminal activities may be an important protective factor. Implications for practice following from the results of the current dissertation are the potentially important focus on traumatic experiences among children of organized crime offenders, closely following up on this group when they reach adolescence, supporting mothers, and paying attention to the closed character and structure of these family systems.
O USO DA IMUNOFENOTIPAGEM COMO FERRAMENTA DIAGNÓSTICA NAS DIFERENTES LEUCEMIAS
Authors: Silva Monique Edwirges Simões , Dias Thaila Emilim Aparecida Silva , Da Costa Eduarda Ferreira Marques , De Carvalho Larissa Vani Marinho , De Andrade Mônica , Da Rocha Simone Bento , D'Andrea Renato Dias , Sá André Luis Braghini
Published: October 2023

Introdução: A leucemia é definida como uma neoplasia maligna (câncer) que pode acometer todas as faixas etárias e sua origem muitas vezes é desconhecida. Essa doença é classificada de acordo com o grau de maturação celular e a linhagem afetada, podendo ser aguda ou crônica e mielocítica ou linfocítica. O diagnóstico pode ser feito por vários métodos, contudo, a imunofenotipagem é considerada o padrão-ouro devido a sua alta especificidade e sensibilidade. É definida pela identificação de subconjuntos de células imunológicas com base na expressão de antígenos em amostras biológicas. O objetivo deste trabalho é destacar a importância da expansão tecnológica das técnicas imuno-oncológicas para aplicações diagnósticas e prognósticas. Métodos: Este artigo foi estruturado a partir de uma revisão bibliográfica de natureza explicativa, na qual foi utilizada uma base de dados de artigos publicados em revistas científicas virtuais, como Scielo, Google Acadêmico, PubMed, Frontiers in Oncology e ScienceDirect. Discussão: A imunoterapia contra o câncer busca entender os mecanismos que resultam na falha no bloqueio do checkpoint e identificar biomarcadores imunológicos preditivos. Evidencia-se que tais abordagens podem ser aplicadas nas análises do perfil molecular das células, visto que a capacidade de estudar as respostas imunes cresceram, resultando em mais parâmetros celulares simultaneamente em células únicas com uma melhor resolução. O objetivo maior é usar esses perfis imunológicos celulares para avaliar, caracterizar e definir o quadro clínico do paciente, visando delimitar o melhor tratamento disponível.  Resultados: Sejam as técnicas de imunofenotipagem quantitativas ou qualitativas, sua alta sensibilidade e especificidade para identificação da expressão antigênica desregulada de células revelaram novos insights sobre a biologia do câncer e permitiram que o diagnóstico de malignidades hematológicas, o estudo de doença residual mínima, a quantificação de tumores circulantes células e a vigilância imune do câncer após o tratamento, tiveram um avanço consistente nos últimos anos.
PREVALÊNCIA DA SÍNDROME RESPIRATÓRIA AGUDA GRAVE CAUSADA POR SARS-COV-2 NA POPULAÇÃO IDOSA DO MUNICÍPIO DE TERESÓPOLIS- RJ
Authors: Rocha Liara Carolina Archanjo , Martinelli Thaiane Cristina , Cunha Camila Corradini de Abreu , De Faria Amanda Gonçalves , De Almeida Laís Petrillo Mello , Nóboa Eliene Cárius , Frauches Sandy dos Passos , Dos Santos Daniel Tavares , De Souza Natan Amaral , Vasconcellos Marcel
Published: October 2023

Introdução: Dados do Instituto Brasileiro de Geografia e Estatística (IBGE- censo de 2020), estimaram que a população idosa do Município de Teresópolis é de cerca de 27.322 indivíduos. Ao vislumbrar o quantitativo populacional e considerando um maior fator de risco para essa subpopulação, faz-se relevante avaliar a prevalência de idosos internados por COVID-19 e seus desfechos, buscando a adoção de políticas públicas em saúde. Objetivos: Analisar a prevalência de idosos infectados pelo vírus SARS-CoV-2 no Hospital das Clínicas Costantino Ottaviano (HCTCO), de Teresópolis-EJ, verificando as variáveis sexo, raça, idade e comorbidades associadas relacionaram-se ao desfecho do estudo (taxa de óbito). Métodos: Trata-se de estudo epidemiológico retrospectivo aprovado pelo CEP sob o CAAE n.º 40593720.7.0000.5247. Com base na coleta de dados de prontuários médicos do HCTCO referentes ao ano de 2020, foram registrados o número de casos diagnosticados, o número de óbitos, assim como as comorbidades dos pacientes. Resultados: Com exceção da Doença Pulmonar Obstrutiva Crônica (DPOC [OR=1,13; IC 95%,  0,367-3,951]), os pacientes portadores de Hipertensão Arterial Sistêmica (HAS [OR=0,94; IC 95% 0,436 - 2,144]);  diabetes (OR=0,881, IC 95%,  0,444-1,759); obesidade (OR=0,610, IC 95%, 0,198-2,105); Doença Renal Crônica (DRC [OR= 0,353, IC 95%, 0,088-1,437]); Insuficiência Cardíaca (IC [OR=1,65, IC 95%, 0,512-6,280]); tabagismo (OR= 0,318, IC 95%,  0,080-1,234) e Etilismo (OR=0,412, IC 95%, 0,084-1,978), apresentaram menor chance de alta hospitalar, comparados com aqueles que não possuíam tais comorbidades ou características. Conclusões: Embora parte dos prontuários tenha apresentado dados incompletos em relação à e raça, tabagismo, etilismo, Índice de Massa Corporal (IMC) e comorbidades, fato que limitou nossa análise, os dados compilados podem informar aos provedores de saúde e tomadores de decisão, acerca da melhor forma de identificar e instituir medidas especiais para orientar e prevenir a transmissão de COVID-19 na população idosa do município de Teresópolis-RJ.
The Sonnet Machine
Authors: Mazid Bahaa-eddin M.
Published: October 2023

This is a complete translation of an article by Timothy Hampton (2023).  The focus of the article is on how a sonnet works and the central example thereof is Shakespeare's most famous sonnet "Shall I compare thee?" A sonnet, Hampton argues, contains "an emotional drama of illusion and deception, crisis and resolution, crafted to make us think and feel." The article traces how this happens from the octave, to the sestet and finally to the couplet, where a resolution is happily reached. Hampton finds a good mental, spiritual and emotional exercise in reading a sonnet – "My daily sonnet became a form of training, like jogging, or meditation. It focused my mind and challenged my emotions. I’ve never enjoyed poetry more. I recommend it as a daily exercise."
Evidence of the influence of the Iliad on Arabic literature
Authors: Abdelfattah Tamer Abdelbasset
Published: October 2023

This paper explores the influence of the Iliad text which composed during VIII century B.C on Arabic Literature by focusing on four main points, first: how the Arab poets knew the text of the Iliad and how they tried to borrow lines from it, especially during Abbasid era, secondly: what is the relationship between Iliad and the Arab folk biography, and also the relationship between Oral narration and improvisation on both literatures. Thirdly: the influence of the Iliad on the Concept of Arabic tournament appeared in Antara's character who mixed between love and courage in his poems. Finally: the influence of the Iliad on modern Arabic literature, by discussing the different evidence that modern poets took from the Iliad once by using opening dictions, expressions, myths, characters and so on.
Implementing Systematic Informal Assessment in Early Education Settings
Authors: Classen Audra I. , Cheatham Gregory A. , Kang Jean
Published: October 2023

The purpose of this study was to investigate early educators’ current practices, knowledge, beliefs and training needs for utilizing various informal assessment methods. Early educators working Head Start centers and other child care from two southeastern states completed an online survey. The results indicated that participants primarily used one-two informal assessment practices; with anecdotal notes and event/frequency being the most popular. In addition, Head Start teachers used significantly fewer informal assessment methods compared to those in other child care settings.
Teacher Beliefs and Misconceptions Regarding Dual Language Learners in Head Start: An Opportunity for Enhancing Professional Development
Authors: Ramˆirez Rica , Cycyk Lauren M. , Scarpino Shelley E. , L`opez Lisa M. , Hammer Carol Scheffner
Published: October 2023

Knowing Head Start teachersâ€™ existing beliefs can help to tailor the professional development they receive on topics surrounding DLL development and best practices. Teachers who have access to accurate information that strengthens best practices and dispels their misconceptions related to DLLs may be better equipped to provide a quality preschool experience to DLLs in their classrooms. Twenty-three female teachers working in Head Start preschool centers were interviewed on their beliefs regarding DLLs, their development, and DLLsâ€™ instructional practices. Modified consensual qualitative analysis was completed as an inductive, multi-step analysis process to summarize the beliefs of the participating teachers. Six major themes emerged. These themes included: (1) definition of DLL; (2) value of DLLsâ€™ home culture and language; (3) ease of learning English (4) primary classroom language; (5) home language use in the classroom; (6) language difference versus language delay or disorder. Implications and recommendations for professional development will be discussed.
Parents’, teachers’, and administrators’ views on children’s transitions to kindergarten
Authors: Vitiello Virginia E.
Published: October 2023

This study documented perspectives from parents, teachers and administrators involved in children’s transitions from public pre-K into kindergarten within a large, diverse county. The purpose was to better understand how these stakeholders experience transitions and how they view their roles in the transition process. Qualitative results indicated a wide range of transition practices were in use, although use of specific practices varied from program to program. Thematic analysis indicated areas of agreement and points of divergence in how stakeholders viewed transitions. Results are discussed in relation to considerations for teachers and administrators interested in streamlining the transition from pre-K to kindergarten.
Predictors of Head Start Teachers' Perceived Quality of Relationships with Families
Authors: Hooper Alison , Gaviria-Loaiza Juana
Published: October 2023

The relationship between home and school is an important component of children’s early educational experiences. However, little research has examined the home-school relationship from the perspective of teachers. This study examines whether teacher characteristics predict how Head Start teachers rate the quality of their relationships with families using data from the Head Start Family and Child Experiences Survey (FACES), 2014 cohort. Results suggest that teacher characteristics, including job satisfaction, caregiving beliefs, and depressive symptoms, predict how they perceive their relationships with families. Supporting teachers’ psychological wellbeing may be one effective strategy for promoting positive relationships between teachers and families.
Helping Young Children Develop Emergent Language and Literacy Skills: The Roles of Curriculum, Training, and Coaching
Authors: Gunn Barbara , Marquez Jessie , Compton Natasha , Smolkowski Keith
Published: October 2023

This article discusses the need for accessible, practical, and cost-effective professional development for Head Start teachers in developing emergent language and literacy skills.  We describe the development and components of ABCDuet: teaching materials, professional development and personalized coaching. The program is designed to make training and coaching in language and literacy teaching practices more effective, accessible, user-friendly, and sustainable, using innovative software and video assets. We report findings on the feasibility and efficacy of ABCDuet implementation on teacher and child outcomes from an evaluation of the program in 21 Head Start classrooms. Outcome data indicate the program can be implemented in authentic preschool settings by teachers with varied educational backgrounds and experience, serving children with a wide range of  emergent language and literacy skills.
Measuring Height and Weight in Head Start Preschoolers: Suggestions for Best Practices
Authors: Miller M. Elizabeth , Nicely Stephanie
Published: October 2023

Measuring height and weight in preschool children is an important way to track their growth patterns and identify potential nutrition and health risks. Converting these measurements to a BMI-for-age percentile and tracking this over time, allows Head Start (HS) programs to help with preventing obesity in the early childhood years. These measurements also allow HS to evaluate obesity prevention programs implemented in HS programs. However, looking at height and weight measurements and the process used to measure children is important to assure accurate measurements. The purpose of this study was to examine the height and weight data at two time points in one program and explore the perceptions of health staff around the data collection process.  Best practices for measuring height and weight of HS preschoolers are discussed.
Understanding the Impact of Teachers’ Language Skills on Professional Development
Authors: Ascetta Kate , Harn Beth
Published: October 2023

This professional development study explored how teachers’ receptive language skills impacted their use of language enhancement strategies. Twenty-one Head Start lead and assistant teachers participated in an online in-service designed to support their use of language enhancement strategies. Findings show that teachers’ receptive vocabulary predicted how often they used language strategies. Also, we found that prior to the professional development assistant teachers used fewer language enhancement strategies when compared to lead teachers. However, after receiving the professional development the gap between lead and assistant teachers’ use language enhancement strategies began to close.
«Un principio, un dogma, un sentimiento religioso»: la sacralización de los nacionalismos en la edad de las independencias americanas
Authors: Alonso Gregorio
Published: October 2023

La emergencia de dos docenas de nuevas naciones tras la crisis imperial de la Monarquía Católica de 1808 fue un proceso con indudables connotaciones religiosas. En este artículo se muestra cómo la protección del catolicismo se convirtió en elemento fundacional de la adaptación nacionalista a la modernidad en el mundo hispano. El segundo epígrafe analiza ejemplos de exaltación patriótica, así como de movilización bélica de fieles, en clave religiosa. Por último, se apuntan reflexiones sobre los resultados de esas campañas de identificación política de la comunidad de fieles con las nacientes comunidades nacionales en el atlántico hispánico.
Amadeo I. Imaginario monárquico y (re)masculinización del trono español
Authors: Mira Abad Alicia
Published: October 2023

El reinado de Amadeo de Saboya fue muy breve. Su recuerdo remite a un momento de caos político en medio del cual emerge la figura de un joven que no contó con soportes sólidos para consolidar el trono. Sin embargo, si analizamos la evolución de su imagen resulta evidente la importancia otorgada a la masculinidad como estrategia política y de identidad nacional. Por un lado, con la construcción de la figura del príncipe valiente en Italia y la presencia paterna como gran referente; por otra, como rey en España, cuya misión era recuperar la legitimidad monárquica degradada por una mujer y llevar el peso de la modernización del país sobre sus espaldas. En la construcción de la imagen del monarca se exaltó su juventud, valentía, virilidad, acción, determinación, valor y honor; atributos de una masculinidad normativa a medio camino entre el ideal aristocrático y el burgués. Su fortaleza o debilidad se utilizaron para legitimar posiciones de monárquicos y republicanos. Para unos y otros el rey sería el responsable absoluto de la transformación de España dentro de los desconcertantes cambios de la modernidad o de su fracaso más rotundo.
Alfonso XIII, ese hombre: masculinidad, nación e imperio
Authors: Barral Martínez Margarita , Iglesias Amorín Alfonso
Published: October 2023

En la redefinición del icono masculino moderno que sucede desde finales del siglo xix se evidencia el progresivo abandono de los ideales caballerescos y la asunción de valores burgueses y los vínculos con la nación y la guerra. Por ello, la imagen fuerte y viril de los reyes-soldado se convertía en la masculinidad hegemónica. Para el caso de la figura de Alfonso XIII, en su definición como modelo masculino español fueron importantes aspectos como las aficiones del monarca, su imagen familiar, su aportación humanitaria durante la Gran Guerra y el elemento colonial ligado a la ocupación de Marruecos. Sin duda, el colonialismo imperial acercaba España a Europa, algo importante por estar en la frontera del orientalismo o de lo africano.
Relación entre las hormonas tiroideas y el hígado graso no alcohólico en la población general
Authors: Martínez Escudé Alba
Published: October 2023

INTRODUCCIÓN
El hígado graso no alcohólico es la hepatopatía más prevalente. Afecta a una cuarta parte de la población mundial. Está estrechamente vinculada con la obesidad y la diabetes mellitus tipo 2. Las hormonas tiroideas se han asociado con el hígado graso no alcohólico en los últimos años, dada la estrecha relación con el síndrome metabólico y la resistencia a la insulina. Por este motivo, el objetivo principal de esta tesis es investigar la relación entre las hormonas tiroideas/función tiroidea y el hígado graso no alcohólico en población general.

MATERIAL Y MÉTODOS
Se han llevado a cabo tres estudios descriptivos, transversales, multicéntricos y de base poblacional. En el primer estudio se incluyeron sujetos ≥ 45 años adscritos a centros de Atención Primaria (AP) de Cataluña, procedentes de la base de datos del Sistema de Investigación para el Desarrollo de la Investigación en Atención Primaria (SIDIAP), seleccionados de forma estratificada por edad, sexo y unidad productiva. En el segundo y tercer estudio se incluyeron personas de 18 a 75 años, de centros de Atención Primaria (CAP) del Barcelonés Norte y Maresme, seleccionados aleatoriamente. Los criterios de exclusión generales fueron: hepatopatías previamente diagnosticadas, patologías crónicas avanzadas, institucionalización y exitus. La recogida de datos fue desde 2009 a 2019.

RESULTADOS
Se incluyeron 10.116 individuos en el primer estudio, 1.096 en el segundo y 2.452 en el tercero. El hipotiroidismo, la función tiroidea normal-baja y los valores de la hormona estimulante del tiroides (TSH) ≥ 2,5 μUI/mL se asociaron a cifras más elevadas de índice de masa corporal (IMC) y triglicéridos. La función tiroidea normal-baja y los niveles de TSH ≥ 2,5 μUI/mL presentaron con mayor frecuencia obesidad (global y abdominal), síndrome metabólico, hígado graso no alcohólico y fibrosis hepática. Los niveles de TSH altos y de tiroxina bajos se vincularon con las cifras de aspartato aminotransferasa; la función tiroidea normal-baja con los valores de alanino aminotransferasa, y los niveles de TSH ≥ 2,5 μUI/mL con la prevalencia de hipertransaminasemia. Los sujetos con hígado graso no alcohólico o fibrosis hepática obtuvieron niveles de TSH superiores. El hipotiroidismo no fue un factor de riesgo independiente para el hígado graso no alcohólico. La función tiroidea normal-baja, en personas eutiroideas, se relacionó con un incremento del riesgo de fibrosis hepática, de forma dependiente a los parámetros del síndrome metabólico, mientras que las personas con niveles de TSH ≥ 2,5 μUI/mL, en población general, se vincularon con un mayor riesgo de presentar hígado graso no alcohólico y fibrosis hepática, de forma independiente a la presencia del síndrome metabólico.

CONCLUSIONES
Los niveles de TSH se asocian con el hígado graso no alcohólico y la fibrosis hepática.
Afrontamiento de la presión asistencial por los profesionales sanitarios en un centro de alta demanda: promoción de la salud mental y propuesta de intervención en el centro
Authors: Tena Santana Gonzalo
Published: October 2023

En nuestra unidad de gestión clínica de Atención Primaria, un equipo multidisciplinar ofrece asistencia clínica integral en un único centro a una población censada de más de 12.500 habitantes.

Lejos de ser una cobertura eficaz y suficiente, el desequilibrio entre la demanda registrada y los recursos disponibles no deja indiferente a sus profesionales, que acusan desgaste profesional y emocional, elevado padecimiento de burnout o ansiedad, desinterés por el trabajo, disminución de la productividad, etc., y todo ello socava su salud mental y manifiesta la clara necesidad de intervención, como se recoge en otros estudios realizados en el Sistema de Salud.

El trabajo se desarrolla con un diseño observacional transversal de base mixta (cuantitativo-cualitativo), siendo objetivo del mismo estudiar las cifras de presión asistencial, la frecuentación que registra la unidad y medir el efecto que la misma induce en la salud mental de los profesionales sanitarios del centro por medio de escalas validadas. Posteriormente, se harán grupos focales representativos con entrevistas semiestructuradas para recoger la opinión directa de estos profesionales y no inducida por cuestionarios.

Finalmente, se usará la información recopilada para elaborar un documento con recomendaciones sobre actividades e intervenciones a aplicar en el área, con el fin de promocionar la salud mental frente a la presión asistencial y las condiciones laborales existentes. Posteriormente, se hará la medición tras la intervención con las mismas herramientas y, en caso de resultar beneficioso para los trabajadores, podrá plantearse ampliarlo a un proyecto multicéntrico.
Relación entre la personalidad del médico de familia y sus pacientes
Authors: Gefaell Larrondo Ileana
Published: October 2023

INTRODUCCIÓN
La relación médico-paciente es compleja, en ella influyen muchos factores, incluyendo la personalidad. El Five-Factor Model of personality define cinco rasgos de personalidad: extroversión, apertura a nuevas experiencias, amabilidad, responsabilidad y neuroticismo. Personalidades amables e introvertidas se han relacionado con las médicas y los médicos de familia. Personalidades extrovertidas y abiertas tienen mejor comunicación con los pacientes. El objetivo de este estudio es definir el rol de la personalidad del médico de familia y la del paciente y su influencia en la relación médico-paciente.

MÉTODOS
Estudio descriptivo observacional y multicéntrico realizado en Madrid durante el primer trimestre de 2023. Población de estudio: médicos de familia, con mismos pacientes asignados desde hace 1 año. Variables: test de personalidad (para médicos y pacientes): BFQ versión validada en español. Relacionadas con el médico de familia: sociodemográficas, tiempo con el mismo código de identificación de asistencia sanitaria (CIAS) asignado, área de interés en medicina, Escala de Habilidades en Comunicación. Relacionadas con los pacientes: sociodemográficas, comorbilidad, número de fármacos. Enfermedades crónicas del cupo asignado. Los pacientes completarán el Doctor Patient Relationship Questionnaire (DPRQ-9) validado al español, el cuestionario Comunication Assesment Tool (CAT) validado al español. Obtención de datos: cuestionario de personalidad, historia clínica electrónica y ConsultaWeb. Análisis descriptivo de las variables y la relación de los tipos de personalidad y de la personalidad del médico se realizarán con una regresión logística multivariante

RESULTADOS
Este es un protocolo de estudio pendiente de realización; si antes del congreso se hubieran recogido datos, se informaría de los resultados preliminares o de estudio piloto

CONCLUSIÓN
En este estudio pretendemos ahondar en la relación médico-paciente y valorar el rol de la personalidad en las distintas facetas de esta relación. En función de los resultados obtenidos, podrían realizarse intervenciones para poder mejorar la relación médico-paciente.
Análisis de la comprensión de los documentos de consentimiento informado de Atención Primaria (oral)
Authors: García Álvarez José Manuel , García Sánchez Alfonso
Published: October 2023

OBJETIVOS
Analizar la comprensión que tienen los pacientes de los documentos de consentimiento informado utilizados en Atención Primaria.

MATERIAL Y MÉTODOS
Estudio cuantitativo, descriptivo y transversal realizado en pacientes de un centro de salud que iban a ser sometidos a intervenciones de cirugía menor. Los criterios de inclusión fueron ser mayor de edad y dar su consentimiento oral para participar, los criterios de exclusión fueron tener una discapacidad sensorial o cognitiva y no dominar el idioma. Se incluyeron 73 pacientes mediante un muestreo no aleatorio por conveniencia. Para valorar la comprensión subjetiva de estos documentos y la satisfacción con la información aportada, se utilizó, tras su lectura por el paciente, un cuestionario ad hoc con ítems de respuesta dicotómica. Se hizo un análisis estadístico calculando frecuencia y porcentaje de las variables y su asociación mediante la prueba de chi cuadrado. Las limitaciones de estudio se encuentran en la precisión y validez externa del cuestionario utilizado, que se podría mejorar utilizando una escala Likert y ampliando la muestra a otros centros de salud. Esta investigación ha tenido en cuenta los principios éticos y ha sido aprobada por el comité de ética (Referencia CE032022).

RESULTADOS
Se observó que 32 pacientes (43,8%) lo firmaron sin leerlo. De los que lo leyeron, 53 (72,6%) no conocían los riesgos principales, 49 (67,1%) no conocían las alternativas, 31 (42,5%) consideraban que el lenguaje utilizado no era adecuado, 35 (47,9%) no lo habían comprendido en su totalidad y 55 (75,3%) estaban totalmente satisfechos con la información recibida. Se encontraron asociaciones estadísticamente significativas entre edad y nivel de estudios con los diferentes ítems del cuestionario, excepto con la satisfacción total.

CONCLUSIONES
Los documentos de consentimiento informado de Atención Primaria presentan dificultades de compresión, por lo que sería necesario mejorar su legibilidad y poder garantizar la libertad de elección de los pacientes.