bluuebunny/crossref_metadata_2025 huggingface dataset:
HORTA MEDICINAL NO CENTRO DE ATENÇÃO PSICOSSOCIAL (CAPS)
Authors: Feitosa Ires Maria Alves , Castro Nailton Rodrigues de , Feitoza Maria De Jesus Alves , Brito Breno Erique Almeida de , Santos Neto Antônio Rodrigues Dos
Published: September 2023

As plantas medicinais são usadas há muito tempo e são conhecidas por possuírem propriedades que auxiliam na cura e tratamento de algumas doenças e neste trabalho, ao realizar atividades manuais com o
A IMPORTÂNCIA DO PRÉ- NATAL PARA A SAÚDE GESTACIONAL DE MULHERES DURANTE A CONSULTA DE ENFERMAGEM
Authors: Santos Esther Ellen Costa dos , Antunes Larissa de Brito , Miranda Sebastina de Oliveira , Silva Joiciely do Nascimento , Bezerra Ana Eloise da Silva Dantas , Carvalheira Aline dos Santos Matos , Cavalcante Gabrielly de Assunção , Santos Ana Beatriz Miranda dos , Cruz Andiara Cristina Vieira da
Published: September 2023

A atenção à gestante faz-se necessária por meio da consulta pré-natal cujo objetivo é assegurar
o desenvolvimento de uma gestação segura, permitindo o parto de um recém-nascido saudável,
abordando inclusive aspectos emocionais e atividades educativas, com abordagem na promoção
do cuidado e que contribui para a redução da morbimortalidade materna e infantil (SANTOS et
al., 2022).
SISTEMAS ADAPTATIVOS COMPLEXOS E LÍNGUAS
Authors: Oliveira Alexroney
Published: September 2023

A relação língua e tecnologia é complexa, no sentido de que a própria língua é uma tecnologia biológica e artefatual. Há muita fisiologia envolvida no desenvolvimento da linguagem, o que possibilitou aos humanos desenvolverem poderosos dispositivos para a comunicação, desde o alfabeto até os smartphones, língua e tecnologia desenvolvem-se com o objetivo de construir, armazenar e comunicar o conhecimento e o produto da interação social dos indivíduos. Nesta relação epistemológica, estão entrelaçados o ensino e os métodos de ensino de línguas, que contam com as tecnologias de linguagem e comunicação, para superar as limitações de tempo e espaço, permitindo que, em um ambiente de intersecção, tão virtual quanto a própria linguagem, se façam os constructos de conhecimentos multidisciplinares. Este projeto busca investigar esta relação (língua/tecnologia), na perspectiva do ensino/aprendizagem de línguas em sua condição natural, virtual e artefatual.
Palavras-chave: Língua. Tecnologia. Ensino. Biologia. Artefato.
DESPERTANDO UMA NOVA GERAÇÃO DE PROFESSORES RELATO DE EXPERIÊNCIA
Authors: Guimarães Marianna Lourenço Ferreira
Published: September 2023

A identidade dos professores na atualidade é marcada por uma multiplicidade de papéis, pela necessidade de adaptação, pelos desafios enfrentados e pelo reconhecimento do seu valor para a sociedade. Ao refletir sobre essa identidade, é fundamental valorizar e apoiar os professores, promovendo condições de trabalho adequadas e incentivando o desenvolvimento profissional contínuo. O presente artigo traz uma reflexão não sobre a prática docente, mas sobre o autocuidado docente. O professor precisa aprender a fazer a gestão das suas emoções para se tornar melhor e assim fazer o melhor para a sociedade.

Palavras-chave: Formação de Professores. Gestão das emoções. Autocuidado. Conexão. A nova geração de professores.
APRECIAÇÃO A LA ANÁLISE DIALÓGICA DO DISCURSO EM “PARAÍSO PERDIDO”
Authors: Benassi Claudio Alves
Published: September 2023

O presente artigo tem como objeto de estudo a apreciação de um pequeno texto a la análise dialógica do discurso produzido no contexto da Disciplina Estudos Bakhtinianos, ministrada por mim, no segundo semestre do ano de 2022. O poema foi produzido com a finalidade de ser apreciado pelos acadêmicos matriculados na disciplina para a obtenção dos créditos. Tentamos realizar a apreciação buscando as relações dialógicas possíveis do texto e, como resultado, conseguimos visualizar um encontro entre vários discursos, dos quais emergiu o sentido que aqui é apresentado.

Palavras-chave: Análise dialógica do discurso. Poema. Estudos bakhtinianos. Dialogismo. Paraíso perdido.
TOPONÍMIA EM LIBRAS: UM PROPOSTA DE PESQUISA NA CIDADE DE CUIABÁ- MT
Authors: Santos Rayane Thaynara , Benassi Claudio Alves
Published: September 2023

O presente capítulo tem por intenção apresentar uma pesquisa em desenvolvimento no programa de pós-graduação em estudos de Linguagens PPGEL/UFMT. O projeto objetiva evidenciar o tipo de topônimo predominante na sinalização de pontos turisticos de cuiabá – MT. Para tanto, discutiremos os aspectos linguísticos da Libras no campo da lexicografia, no que concerne aos topônimos pontos turísticos na língua de sinais. Hipotetizamos que o léxico toponimico é concebido a partir da estrutura fisica dos pontos turisticos. Metodologicamente trata-se de uma pesquisa qualitativa de cunho. Nossa análise e registro será por meio do software ELAN e a VisoGrafia um tipo de escrita de sinais. Nos embasaremos na teoria estruturalista de Saussure, e em pesquisadores da área da Libras refletirmos os achados desta pesquisa. A relevância está na contribuição para o fortalecimento da Libras usada em Cuiabá, bem como a difusão dos léxicos advindos da comunidade surda de Cuiabá, tendo em vista que no panorama nacional nós ainda estamos as margens. Além de subsidiar o trabalho dos docentes de Libras do município de Cuiabá.

Palavras-chave: Toponímia na língua de sinais; Registro da Libras; descrição paremológica de sinais.
ESTUDO DAS PALAVRAS COLONIALIDADE E DECOLONIALIDADE (TERMINOGRAFIA) E O ENSINO DE ESCRITA DE SINAIS
Authors: Gouveia Rosa Carolina Silva de , Almeida Alex Alves
Published: September 2023

Tem como objetivo realizar um estudo sobre os termos “Colonialidade” e “Decolonialidade” no Ensino de Escrita de Sinais por meio de análise morfológica, pesquisa de conceitos na literatura que trata do assunto, e através de busca pelos termos nas bases da Biblioteca da Universidade Federal de Mato Grosso (UFMT), bem como no portal de Periódicos da Capes. Os resultados mostram que o termo “Colonialidade” aparece pela primeira vez na literatura em 2005, em um capítulo do livro “A colonialidade do saber: eurocentrismo e ciências sociais – perspectivas latino-americanas”, publicado na Argentina. A publicação foi do sociólogo peruano Aníbal Quijano, e o livro tem como título “Colonialidade do poder, eurocentrismo e América Latina”. “Decolonialidade” é um termo criado pelos professores Walter D. Mignolo e Catherine E. Walsh na publicação intitulada “On Decoloniality: Concepts, Analytics, Práxis”. Apesar de recente, o termo “Colonialidade” já é encontrado em diversas áreas do conhecimento, como Teatro, Direito, Serviço Social, Moda, Ciência da Informação, Matemática, Futebol, Psicoterapia e Ecologia. No entanto, na área de Línguas de Sinais há poucos trabalhos disponíveis. A “Colonialidade” consolidou-se não apenas como um termo, mas também como um campo de estudos.

Palavras-chave: Colonialismo. Descolonização. Lexicografia. Terminologia científica.
REGISTRO DAS LÍNGUAS DE SINAIS: VALORAÇÕES, AUSÊNCIAS E IMPLICAÇÕES EM RELAÇÃO AO ENSINO-APRENDIZAGEM DE ESCRITA DE SINAIS
Authors: Bueno Áurea de Santana , Benassi Claudio Alves
Published: September 2023

Neste capítulo, promove-se uma reflexão a fim de problematizar as implicações causadas pela falta de materiais registrados em Língua de Sinais (LS) por meio de um sistema próprio para grafá-la, a Escrita de Língua de Sinais (ELS). Para tanto, levanta-se uma discussão acerca do ensino-aprendizagem da Escrita de Língua de Sinais (ELS), considerando que o ensino da modalidade escrita contribuiria para reverter o cenário de escassez de corpus para estudos sobre a LS, bem como para a aceitação da ELS como conhecimento linguístico necessário não apenas para fim científico, mas também para constituição dos falantes da LS. Argumentamos que, sem a escrita, não há documentos escritos e, sem o ensino dessa escrita, não é possível o registro gráfico da LS. Desse modo, para nossa reflexão, adotaremos o sistema de escrita de sinais VisoGrafia para os registros em LS. Do ponto de vista metodológico, trata-se de uma pesquisa bibliográfica, uma vez que nossa discussão dialoga com diversos autores, pesquisadores, estudiosos e teóricos que discutem acerca do registro em LS e temáticas que se relacionam direta ou indiretamente à ELS. A relevância desse trabalho está em contribuir com produção e disseminação de conhecimentos acerca de registro e ensino-aprendizagem de ELS, para fomentar pesquisas posteriores que aprofundem conhecimento sobre este domínio.

Palavras-chave: Registro em Língua de Sinais; Sistema de escrita de sinais VisoGrafia; Ensino-aprendizagem de ELS.
“UMA” DE MUITAS: APRECIAÇÃO DO POEMA PARAÍSO PERDIDO
Authors: Sanabria Marta Geovana , Moraes Antonio Henrique Coutelo de
Published: September 2023

Este artigo tem como objetivo discutir, explorar a contribuição de alguns conceitos propostos por Bakhtin e analisar o poema Paraíso Perdido, de Cao Benassi. O texto está organizado inicialmente com a apresentação de uma visão geral do dialogismo, destacando sua importância na compreensão da linguagem como uma atividade social e interativa. Em seguida, é realizada a análise do poema específico utilizando-se das ferramentas conceituais das palavras escolhidas para a composição. A análise busca identificar a voz presente no poema em seus sentidos e apresentadas as relações entre o eu lírico de um poeta e alguns sujeitos presentes na obra que emergem desse diálogo poético, ressaltando a complexidade e a pluralidade de significados que surgem durante as interações discursivas. Por fim, enfatiza-se os insights fornecidos e valiosos para a compreensão da linguagem e da literatura como atividades dialógicas e socialmente situadas.

Palavras-chave: dialogismo, Bakhtin, análise poema
ENSINO E APRENDIZAGEM DO ESTUDANTE SURDO NA LÍNGUA PORTUGUESA COMO SEGUNDA LÍNGUA: DESAFIOS E POSSIBILIDADES NA LEITURA E ESCRITA
Authors: Souza Sebastiana Almeida
Published: September 2023

Esta pesquisa apresenta análise do desenvolvimento de uma atividade que se deu num encontro do grupo de pesquisa, intitulado, o ensino e aprendizagem da língua portuguesa como segunda língua para estudantes surdos, que tem como objetivo, compreender como se dá o processo de aprendizagem da Língua Portuguesa como L2 para estudantes surdos, com contribuições teóricas do Círculo de Bakhtin, Vygotsky e da Neurociência, explorando as bases neurocientíficas da aprendizagem, tendo como participantes, estudantes e egressos do curso de Letras Libras, licenciatura da UFMT, professores da UFMT e das redes de ensino municipal e estadual de Mato Grosso. A atividade que desenvolvemos foi a análise do gênero charge “Plano Brasil Sem Miséria”, cujo objetivo é realizar uma leitura polissêmica, com vistas à percepção global dos efeitos de sentido para realização de melhoria na produção escrita, e principalmente a questão da contextualização em diversos aspectos, desenvolvendo assim a visão crítica através da posição e desenvolvimento do conhecimento dos estudantes e, posteriormente, estes elaborarão sua produção textual, considerando o conhecimento abordado e desenvolvido, concretizando assim uma escrita consistente, num fluxo discursivo, sendo autores, (re)organizando-os discursivamente. Evidenciamos que, essa atividade desenvolvida tem como ênfase o processo de construção do conhecimento pelo estudante surdo, com base na compreensão dos conceitos, sempre tendo em vista um caráter interativo e dialógico no encontro do eu e do outro (das palavras deles -estudantes e das minhas contrapalavras-pesquisadora), fundamentada no arcabouço dos seguintes teóricos: Bakhtin e o Círculo e nas contribuições de Vygotsky sobre aprendizagem na perspectiva sócio-histórica.

Palavras-chave: Aprendizagem; Língua Portuguesa; Gênero Charge; Estudantes surdos
ASSISTÊNCIA DE ENFERMAGEM A GESTANTES/PUÉRPERAS E IDOSO COM HIV/AIDS
Authors: Rodrigues Gabriela Pereira
Published: September 2023

Por se tratar de uma doença autoimune, a AIDS pode causar a morte aos indivíduos portadores, o papel da enfermagem da assistência a pacientes com Síndrome Imunodeficiência Adquirida, é fundamental para uma qualidade de vida do mesmo. Assim o presente trabalho tem como objetivo, analisar os cuidados prestados a mães em gestações ou puerpério e idosos nos serviços públicos de saúde. Este estudo baseia-se em uma pesquisa de revisão bibliográfica narrativa e descritiva, com abordagem quantitativa. O Brasil apesar dos tratamentos ofertados pelo SUS, ainda há um número preocupante de pessoas infectadas pela Imunodeficiência Adquirida, em algumas regiões do país como no Rio Grande do Sul que aponta 27,2 a cada 100 mil pessoas, sendo que é superior à taxa de todo o país de 17, 8 de casos assim, a equipe pode oferecer um suporte necessário para as dificuldades de lidar com a AIDS, e esteja atenta para suprir as necessidades desses pacientes.
Case Report of a Child with Beta Thalassemia Major in a Tribal Region of India
Authors: Neha Chauhan , Prakash Narayan , Mahesh Narayan , Manisha Shukla
Published: September 2023

Introduction: Thalassemia is an inherited blood disorder of haemoglobin (Hb) synthesis, which affects different regions around the world. India has the largest number of children with beta-thalassemia major in the world, particularly in the tribal population. Heterozygous conditions are milder and even go unreported than the condition of homozygous where regular blood transfusion is required. Case report: This report focuses on a case of major beta-thalassemia in a child, whose parents are beta thalassemia minor to intermediate conditions, and who was treated by blood transfusion once a month. However, Thalassemia may be cured by allogeneic hematopoietic stem cell transplantation, although not everyone is a good candidate. Genetic counselling, prenatal diagnosis, and selective termination of affected fetuses are effective ways to control thalassemia. Discussion and conclusion: The paper reports a unique case of Thalassemia in rural India. The blood disorder while commonly presented in a juvenile whose parents were Thalassemia positive resulted in the termination of a fetus diagnosed with it. It archives the story of the parents who are now in the process of planning future offspring while mitigating disease risk. The case leads the way for effective management and containment of hereditary genetic disorders through carrier detection while planning alliances and offspring.
Effectiveness of ultrasonography-guided caudal epidural steroid injection in improving pain and functional status of geriatric patients with spinal pain
Authors: GÜLER Ali , CAN ŞENOL Yiğit , AKPINAR Afşin Emre , ÇİFTÇİ Halis Emre , YİĞİT Mert , GENCE ÖZ Zeynep , ORHUN Elif , DALGIÇ Ali
Published: September 2023

Introduction: Treatment of lumbar spinal pain in geriatric patients is challenging. This study retrospectively investigated the effects of an ultrasonography-guided caudal epidural steroid injection on pain and functional recovery in geriatric patients (age ≥65 years). Materials and Methods: Fifty-eight patients who received ultrasonography-guided caudal epidural steroid injection between December 2019 and March 2023 were retrospectively evaluated. Pain levels were evaluated using the Visual Analog Scale, and functional recovery was assessed using Oswestry Disability Index. The time points for evaluation were preoperative, immediately post-procedure, and at three weeks and three months post-procedure. Results: The main underlying conditions in this cohort were lumbar spondylosis, lumbar disc herniation, and lumbar spondylolisthesis. Thirty patients had multiple-level lumbar canal narrowing, 13 had L4-5 and L5-S1 disc herniation, and five had lumbar spondylolisthesis. Ten patients had a history of lumbar spinal surgery. Fourteen patients had at least three comorbid conditions (cardiovascular disease, morbid obesity, renal disease, etc.), and six had four comorbid conditions. Pain Visual Analog Scale scores in the immediate postoperative period and at three weeks and three months were significantly lower than the preoperative score (p < 0.001). Oswestry Disability Index scores at three weeks and three months postoperatively were significantly better than the pre-procedure scores (p < 0.001). Conclusions: Ultrasonography-guided caudal epidural steroid injection is an excellent pain management modality in the treatment of spinal pain, especially in the geriatric age group. Keywords: Pain; Steroid; Ultrasonography; Comorbidity.
THE EFFECT OF FEAR OF FALLING OF OLDER STROKE SURVIVORS ON THEIR SELF-EFFICACY AND QUALITY OF LIFE: A CROSS-SECTIONAL STUDY
Authors: ERDEN Hasret , AKPINAR SÖYLEMEZ Burcu
Published: September 2023

Introduction: The study was conducted to examine the effect of fear of falling on self-efficacy and quality of life in older stroke survivors. Methods: A descriptive cross-sectional study design was used. One hundred and twenty-one older adults who had had a stroke and admitted to hospital between March and December 2021 were included. Data were collected using the Sociodemographic Characteristics Form, Stroke Specific Quality of Life Scale, Tinetti Falls Efficacy Scale, Stroke Self-Efficacy Questionnaire, Barthel Activities of Daily Living Index, and Standardized Mini Mental Test. Descriptive statistics, numbers, percentages, means, Pearson correlation analysis, and simple linear regression analysis were used. Results: The mean age of participants was 74.19±6.66 years, Tinetti Falls Efficacy score was 47.67±17.38, Stroke Self Efficacy Questionnaire score was 22.49±7.64, and Stroke Specific Quality of Life Scale score was 3.13 ± 0.68. A statistically significant negative correlation was found between fear of falling and self-efficacy (r:-0.849; p < 0.001) and fear of falling and quality of life (r:-0.846; p < 0.001). The simple linear regression analysis indicates that Tinetti Falls Efficacy Scale had a statistically significant effect on Stroke Self Efficacy Questionnaire (p < 0.001). Tinetti Falls Efficacy Scale had a significant effect on Stroke Specific Quality of Life Scale (p < 0.001). Conclusion: Fear of falling in older stroke survivors significantly affects their self-efficacy and quality of life. It is recommended that fear of falling should be evaluated in detail and comprehensively in older stroke survivors. Keywords: Aged; Fear; Self Efficacy; Stroke; Quality of Life.
ANALYSIS OF RISK FACTORS AFFECTING MORTALITY IN GERIATRIC PATIENTS OPERATED ON FOR HIP FRACTURES
Authors: PEKŞEN KIZILIŞIK Özge , KOCAYİĞİT Havva , ERDEM Ali Fuat
Published: September 2023

Introduction: High mortality rates after hip fracture surgery are an essential health problem. We evaluated the factors affecting mortality in the postoperative 30-day period. Materials and Methods: A total of 906 patients aged 65 years and over who underwent hip fracture surgery were included. The patients were divided into two groups: those who died within 30 days of surgery and those who survived. Demographic data, ASA classifications, comorbidities, method of anesthesia, length of stay in hospitals and intensive care units, and the effects of these parameters on postoperative 30-day mortality were analysed. Results: The postoperative 30-day mortality of the patients was 8.6%. The mean age of the patients who died during this period was 83.49 ± 6.9 years, while the mean age of the survivors was 78.7 ± 7.6 years. In our study, age (OD: 1.091; CI 95%, 1.051–1.132), The American Society of Anesthesiologists (ASA) physical status classification (OD: 12.69; CI 95%, 1.074–150.17), coronary artery disease (OD: 0.521; CI 95%, 0.287–0.944), general anesthesia administration (OD: 0.305; CI 95%, 0.140–0.667), and creatinine values (OD: 1.045; CI 95%, 1.114–1.892) were determined to be independent risk factors. Conclusions: Detailed examination of elderly hip fracture patients considering these risk factors and close perioperative follow-up will reduce mortality. Keywords: Aged; Anesthesia; Hip Fractures; Mortality.
Examination of mental symptoms, anger, and death anxiety in elderly cancer patients
Authors: BACIK YAMAN Gözde , KAYIKÇIOĞLU Erkan , HOCAOĞLU Çiçek
Published: September 2023

Introduction: Cancer is a disease that changes a person’s expectations about death and life. The needs of elderly cancer patients differ according to other age groups. This study aims to reveal the relationship between psychological symptoms and death anxiety and anger expression in elderly patients diagnosed with cancer. Methods: Scales assessing anxiety, depression, death anxiety, and anger were administered to patients over 65 years of age diagnosed with cancer. Patients were asked about the type of cancer, when it was diagnosed, and what treatment they received. They were also asked with whom they lived and with whom they came to check. Results: Of the 201 patients included, 18.9% were diagnosed with anxiety disorder and 17.9% with depression. A high positive statistically significant correlation existed between anxiety and depression symptoms (r=0.755, p<0.001). There was a moderately positive and statistically significant correlation between anxiety symptoms and death anxiety (r=0.599, p<0.001) and state anger (r=0.504, p<0.001). A one-unit increase in state anger score increases the risk of developing depressive symptoms by 11%, while a one-unit increase in death anxiety increases the same risk by 10.6%. When we analyzed according to cut-off values, 124 (61.7% of the whole sample), participants had high death anxiety. Conclusion: Psychological symptoms in elderly cancer patients seem to be associated with death anxiety and anger. Death anxiety should not be considered a natural consequence of getting cancer. Screening for mental symptoms during stressful times can help identify psychological needs and provide targeted psychological support for the elderly. Keywords: Mental Health; Aged; Anger; Neoplasms.
Treatment Outcomes in Breast Cancer Patients Aged 65 and Above
Authors: HABİBOĞLU Rahşan , KAYALI İlknur , SARICANBAZ İrem
Published: September 2023

Introduction: Despite the increasing number of elderly patients with breast cancer, optimal treatment options remain limited. This study aims to evaluate the clinical characteristics, treatment approaches, and survival outcomes of the patient group aged 65 and above who were treated for breast cancer at our clinic. Materials and Methods: The data of breast cancer patients aged 65 and above who received treatment and follow-up at our clinic between 2012 and 2018 were retrospectively analyzed. Overall survival and disease-free survival analyses were performed using Kaplan-Meier analysis, and comparisons were conducted using the log-rank test. Results: A total of 108 elderly female patients with breast cancer were included in the study. The median follow-up duration was 79.75 months (6.64 years), with a maximum follow-up of 133.49 months (11.12 years). At the end of this period, 88 patients (81.48%) were still alive. The 3-year overall survival rate was 93.5%, and the 5-year overall survival rate was 86.1%. The 3-year disease-free survival rate was 91.6%, and the 5-year disease-free survival rate was 88.7%. Conclusion: When making treatment decisions for elderly breast cancer patients, factors such as performance status, comorbidities, toxicity, and post-treatment quality of life should be carefully considered alongside age. Treatment decisions should be based on comprehensive evaluations taking these factors into account. Keywords: Breast Neoplasms; Treatment Outcome; Aged; Mastectomy; Drug Therapy; Radiotherapy.
RISK FACTORS FOR PROLONGED INTENSIVE CARE UNIT STAYS IN ELDERLY PATIENTS AFTER CARDIAC SURGERY: A RETROSPECTIVE OBSERVATIONAL STUDY
Authors: BALKAN Bedih , POLAT Mücahit , YALÇIN Lokman , İYİGÜN Taner , TİMUR Barış
Published: September 2023

Introduction: With the increase in life expectancy and developments in surgical and anesthetic techniques, intensive care follow-up, and treatment methods, the number of patients undergoing open-heart surgery has increased. Methods: The clinical files of 220 patients who underwent cardiovascular surgery were retrospectively reviewed. The patients were divided into two groups: group 1 (those who stayed for one day or less) and group 2 (those who stayed for more than one day). In addition, the reason for hospitalization for five days or more was investigated. The effect of patient variables on the length of stay in the intensive care unit was investigated by logistic regression analysis. Results: Hemoglobin values, ejection fraction values, and intensive care unit hospitalizations were significantly lower (p<0.05) than those in the group with intensive care unit hospitalizations of <24 h. The sodium value was significantly higher (p<0.05) in the group with intensive care unit hospitalizations >24 h than in the group with intensive care unit hospitalizations <24 h. The pacemaker requirement rate in the group with intensive care unit hospitalizations >24 h was significantly (p<0.05) higher than the group with intensive care unit hospitalizations < 24 h. The sinus rhythm in the group with intensive care unit hospitalizations >24 h was significantly lower (p<0.05) than that in the group with intensive care unit hospitalizations <24 h. Intensive care transfusion of erythrocyte suspension, fresh frozen plasma, and platelet suspension were significantly higher (p<0.05) in the group with intensive care unit hospitalizations >24 h than in the group with intensive care unit hospitalizations <24 h. Conclusion: In our study; We found that factors such as preoperative low ejection fraction (EF), hypernatremia, female gender, inotrope requirement, delirium, extubation time, intraoperative-postoperative transfusion, drainage revision affect the length of stay in the intensive care unit In the intraoperative period, methods to protect myocardial and kidney functions and provide hemostasis bleeding control reduce the duration of intensive care hospitalization Keywords: Thoracic Surgery; Length of Stay; Critical Care; Aging.
Memory of the 1990s as Resource of Adaptation to New Crisis: Analysis of Russian Media Discourses
Authors: Malinova O.Yu.
Published: September 2023

The article is devoted to the problem of memory functioning as a symbolic resource for adaptation to a crisis as a situation of high uncertainty. The author analyzes public practices of articulating memory about the early period of the post-Soviet transformation when discussing social and economic problems associated with the special military operation in Ukraine, that was declared by president Vladimir Putin on 24 February, 2022, and subsequent unprecedented extension of international sanctions. The study is based on Iwona Irwin-Zarecka’s theory of frames of remembrance. By revealing typical ways of framing the experience of the 1990s in media discourse during the first six months after 24 February, 2022, the author attempts to identify how this experience was tied to the current problems and thus determine the role of memory as a resource for adaptation to the new crisis. The analysis is based on publications in printed and online media that target different audiences. In order to reveal ways of framing statements about the 1990s, the author utilized the method of qualitative content analysis using the MAXQDA application. The results of the study confirm that in a situation of uncertainty caused by the forced restructuring of economic relations, social expectations and political goal-setting, the memory of a collective traumatic experience acts as an adaptation resource, which is associated with a partial transformation of its semantic framework. At the same time, the ideological splits tied to the memory of the 1990s persist and continue to determine the structure of the public discourse about the past.
ERKEN CUMHURİYET DÖNEMİNDE KADININ SİYASAL KATILIMI BAĞLAMINDA NEZİHE MUHİDDİN VE KADINLAR HALK FIRKASI ÜZERİNE BİR İNCELEME
Authors: KANTAR Gökmen
Published: September 2023

Kadınların eşit vatandaşlık açısından siyasal haklara kavuşması 20. yüzyılda ancak gerçekleşmeye başlamıştır. Toplumlardaki kadın hakları savunucuları protesto ve eylemlerle haklarını kazanma savaşı vermiştir. Türk kadını da bu haklara, Cumhuriyetin ilanından sonra Gazi Mustafa Kemal Atatürk öncülüğünde atılan adımlarla kavuşmuştur. Fakat daha öncesinde de Avrupa’da başlayan feminist hareketin etkisiyle kadınların eğitimi, sosyal ve ekonomik anlamda topluma katkı sağlayabilmeleri için çalışmalarda bulunulsa da, siyasal hakların kazanılmasına yönelik herhangi bir adım atılmamıştır. Milli egemenliğin ülke yönetiminde esas olarak alınacağının nişanesi olarak Türkiye Büyük Millet Meclisi’nin kurulmasının ardından demokratik ortamın oluştuğunu gören, Türkiye’de feminizmin öncülerinden kabul edilen Nezihe Muhiddin, kadınların seçme ve seçilme hakkına ulaşması için adım atan ilk kadın olmuştur. Kadınlar Halk Fırkası’nı Cumhuriyet dahi ilan edilmeden kuran Nezihe Muhiddin’in, rejim değişikliği, savaş sonrası dönem çeşitli sebeplerle bu girişimi engellenip, kadınların siyasal haklarına ulaşması gecikse de tarihimizde bu anlamda önemli ve dikkat çekilmesi gereken Türk kadınlarımızdan biri olmuştur.
DİRENÇLİLİK VE DİRENÇLİ KENT YAKLAŞIMINDA YENİ EĞİLİMLER: BİBLİYOMETRİK BİR ANALİZ
Authors: AKBAŞ İsmet
Published: September 2023

Küresel çapta artan doğal afetler, kentlerin sürdürülebilirliği ve kamu güvenliği açısından önemli bir risk oluşturmaktadır. Dirençli kent kavramı, afetlerin olumsuz etkilerini azaltmak ve vatandaşların refahını artırmak açısından giderek daha önemli hale gelmektedir. Bu nedenle farklı disiplinlerdeki akademik çalışmaların, kentlerin ve toplumların dirençliliğini artırmaya odaklandığı görülmektedir. Bu çalışmada, afet yönetimi bağlamında dirençlilik ve dirençli kent konusunda yapılan araştırmaların bibliyometrik bir analizi gerçekleştirilmiştir. Bu analizde, çalışmaların yıllara, dergilere, en sık kullanılan kelimelere, atıf sayılarına ve ülkelere göre dağılımı ele alınmıştır. Analiz sonucunda, son yıllarda dirençlilik ve dirençli kent kavramlarına odaklanan akademik çalışmalarda, önemli bir artış olduğu tespit edilmiştir. Ayrıca bulgular, akademik çalışmaların kentsel alanlar, çevresel riskler, iklim değişikliği, afet yönetimi, kaynak yönetimi ve sürdürülebilirlik kavramlarına odaklandığına işaret etmektedir. Bu çalışmanın bulguları, dirençli kentlerin tasarımı ve yönetimi konusunda daha fazla çalışma yapılması gerektiğini ortaya koymaktadır. Bu çalışmanın afet yönetimi bağlamında, dirençlilik ve dirençli kentlere ilişkin akademik çalışmaların genel bir değerlendirmesini sunarak gelecek araştırmalara yol göstermesi beklenmektedir.
Assessment of teacher readiness for mentoring in a general education organisation
Authors: Fomitskaya Galina Nikolaevna , Bazarova Tatyana Sodnomovna
Published: September 2023

The aim of the paper is to shed light on the approaches to determining the level of teacher readiness for mentoring and to identify possible conditions for its improvement using the method of comparative analysis. The paper substantiates the main factors that actualise the need for mentoring in the pedagogical environment. The basic approaches to the definition of the term “mentoring” are highlighted, the innovative essence of teacher readiness for mentoring is considered, an analysis of the methodological materials of teacher mentors and the results of their performances at a professional skills competition is presented, which allows determining the levels of teacher readiness for mentoring, typical shortcomings in its development are described. Special attention is paid to the importance of teamwork in the organisation of mentoring. The scientific novelty lies in expanding pedagogical knowledge about the organisation of mentoring in an educational institution, the development of teacher readiness for mentoring, systematising the reasons affecting the level of teacher readiness for mentoring. As a result of using the methods of theoretical and empirical research, innovative components of teachers’ mentoring activities have been substantiated, shortcomings in teacher readiness for mentoring have been identified, conditions for their elimination have been determined.
Procesos de comunicación digital: Afectividad, interacción y ética en Tinder
Authors: Bon Pereira Maria Virginia
Published: September 2023

Se  analizan los procesos de socialización afectiva mediados por la tecnología en la aplicación de citas Tinder. La investigación fue cualitativa, exploratoria y descriptiva, de 200 perfiles y 50 entrevistas semiestructuradas a usuarios de sexo masculino, de 36 a 55 años residentes en Monterrey (México). Entre los resultados se encontraron tendencias hacia la interacción simultánea e intermitente con múltiples perfiles, la competencia a través del juego y una progresiva socialización para el establecimiento de prácticas de sexo en línea. Se concluye que la aplicación Tinder propicia la comunicación con base en una ética instrumentalista que persuade al usuario hacia la falta de transparencia y de honestidad, así como a la objetivación de los interlocutores y de las relaciones afectivas.
Propiedades fisicoquímicas, funcionales y de flujo de una harina de cáscara de café
Authors: Rebolledo Hernández María Virginia , Cocotle-Ronzón Yolanda , Hernández Martínez Eliseo , Morales Zarate Epifanio , Acosta Domíngez Laura
Published: September 2023

El objetivo de este trabajo fue analizar la factibilidad de uso de la harina de cascara de café en la producción de alimentos, mediante la determinación de sus propiedades fisicoquímicas, funcionales y de flujo. Los resultados mostraron que la harina de cascara de café es rica en fibra cruda (13.94 g/100 g s.s.), cenizas (7.86 g /100 g s.s.) y proteínas (8.3 g/100 g s.s.). La harina presentó buena capacidad de hinchamiento (9.72 g / g s.s.), y de retención de agua y aceite (2.41 g/g s.s., 1.37 g/g s.s., respectivamente) y alta solubilidad (44.7%). Por lo tanto, la harina de cascara de café podría ser usada en la elaboración de productos alimenticios como una fuente de componentes funcionales.
Education for the Great Socio-Ecological Transition
Authors: McGrath Simon
Published: September 2023

In this paper I explore some of the roles that education can and needs to play in supporting “the great socio-ecological transition”, with particular emphasis on adult and vocational education and training. After briefly outlining some of the facets of the current pluricrisis, I examine a set of intersecting debates about transformation and transition(s) towards a more sustainable future, which is necessarily also more just. In this analysis, I build beyond the social science traditions usually evoked in these debates to draw on Catholic analyses of the nature of the problem. Catholic Social Teaching began with a concern about the effects of the transition to industrialisation, with Rerum Novarum (published by Pope Leo XIII in 1891), and increasingly has sought to address the need for the next transition beyond the Capitalocene, especially in Laudato Si’ (published by Pope Francis in 2015). It has always placed workers, work and learning at its core. Thus, there is much potentially to be gained from bringing together conventional educational research perspectives on education for sustainable development and education for human development with a Catholic Social Teaching lens in thinking about the possible roles for education in supporting just transitions.
Does Vaginal Estriol or Hyaluronic Acid Facilitate Office Hysteroscopy in Peri and Postmenopause? A Prospective Cohort Study
Authors: Gawron Iwona , Baran Rafał , Derbisz Kamil , Zmaczyński Andrzej , Jach Robert , Pietrus Miłosz
Published: September 2023

Background: Pain accompanying office hysteroscopy, possibly aggravated by urogenital atrophy, is the most common reason for its discontinuation. The aim was to evaluate the effectiveness of vaginal estriol and hyaluronic acid to facilitate the office hysteroscopy in peri and postmenopausal women. Methods: A prospective cohort study involved women aged 45–90 years subjected to office hysteroscopy. Women were assigned to three study arms: (A) 0.5 mg of estriol in vaginal cream twice daily for 10 days pre-procedure, (B) 5 mg of hyaluronic acid in vaginal gel twice daily for 10 days pre-procedure, (C) no medication. The following endpoints were compared: pain accompanying the procedure, need for cervical dilation, time of cervical passage, incidence of severe urogenital atrophy, and vaso-vagal reaction. Results: There were no significant differences between the arms in terms of pain intensity during (p = 0.93) and after the procedure (p = 0.17), need for cervical dilation (p = 0.5), cervical passage time (p = 0.1), severe urogenital atrophy (p = 0.15), and vaso-vagal reaction (p = 0.29). Conclusions: Despite unfavorable conditions in peri and postmenopausal women, cervical preparation in the above regimens did not seem to bring clinically significant benefits. Clinical Trial Registration: The study was registered under the number NCT05783479 in the Protocol Registration and Results System database (https://clinicaltrials.gov/). The database used for the study was made available in Harvard Dataverse (https://doi.org/10.7910/DVN/HSWURD).
Long-Term Outcomes of Bioprosthetic and Mechanical Valve Replacement for Patients Aged between 50 and 70 Years
Authors: Zhao Wei , Chen Zhongli , Chen Sipeng , Du Junzhe , Zhang Heng , Zhao Yan , He Li , Feng Wei , Sun Hansong , Zheng Zhe
Published: September 2023

Background: The choice between bioprosthetic and mechanical valves for aortic valve replacement (AVR) and mitral valve replacement (MVR) among patients aged 50–70 years is controversial. We compared the long-term outcomes of patients using bioprosthetic or mechanical valves to provide clinical evidence for valve selection. Methods: From 2002 to 2007, patients aged 50–70 years who underwent isolated AVR or MVR at the Fuwai Hospital were enrolled. After inverse probability-weighted (IPW) propensity balancing, we evaluated long-term mortality, stroke, and bleeding events between patients receiving mechanical and biological prostheses for MVR or AVR. Results: A total of 1639 patients were included in the study, including 1181 patients undergoing MVR (median follow-up: 11.6 years) and 458 patients undergoing AVR (median follow-up: 11.4 years). After IPW adjustment, there was no significant difference in long-term mortality and stroke rate between patients using bioprosthetic and mechanical valves for MVR [mortality: log-rank p = 0.802; stroke: log-rank p = 0.983] and AVR [mortality: log-rank p = 0.815; stroke: log-rank p = 0.537]. Landmark analysis at 12.5 years yielded significantly lower mortality in the patients receiving mechanical valves compared with bioprosthetic valves in the MVR cohort (p = 0.028). Patients receiving mechanical aortic valves displayed an increased risk of bleeding compared with those who received bioprosthetic aortic valves [Hazard Ratio (95% Confidence interval): 2.51 (1.06–5.93) p = 0.036]. Conclusions: For patients aged 50–70, there was no significant difference in overall long-term mortality between mechanical and bioprosthetic valve recipients. Patients receiving mechanical valves for MVR displayed lower mortality after 12.5 years follow-up. For AVR, bioprosthetic valves were associated with a lower risk of bleeding.
Analysis of Physician Compliance with Guideline-Directed Medical Therapy for Patients with Heart Failure with Reduced Ejection Fraction: A Real-World Study
Authors: Wang Guixia , Liu Liming , Wang Xiaobo , Yu Ting , Xu Hui , Zhang Tingjun , Lin Jiafu , Luo Hao , Liu Yanxu , Jiang Lanxiang , Hu Wenlong , Hu Houxiang
Published: September 2023

Background: Although compliance with the guideline recommendations for heart failure (HF) is associated with improved survival, the effects of medication on clinical practice often fail to meet expectations due to physician and/or patient-related reasons that are unclear. This study analyzed physicians’ compliance with guideline-directed medical therapy (GDMT) based on real-world clinical data and identified risk factors of low compliance. Methods: This study included patients with HF, who were treated at the Affiliated Hospital of North Sichuan Medical College from July 2017 to June 2021. All patients were divided into high compliance, moderate compliance, and low compliance with GDMT groups. The proportion of patients receiving treatment in compliance with GDMT was analyzed, the relationship between compliance with GDMT and clinical outcomes was evaluated, and the risk factors of low compliance were identified. Results: Of all patients with HF included in the study, 498 (23.8%) had low compliance with GDMT, 1413 (67.4%) had moderate compliance with GDMT, and 185 (8.8%) had high compliance with GDMT. The readmission rate of patients in the moderate compliance with GDMT group was significantly higher than that in the high and low compliance groups (p = 0.028). There were no significant differences in the rates of severe cardiovascular disease among the three groups. The mortality rate of patients in the high compliance with GDMT group was significantly higher than that of the other groups (p < 0.001). We found that a history of hypertension; New York Heart Association (NYHA) classification (III and IV vs. I); and abnormal heart rate, high-sensitive troponin T (hsTnT), N-terminal prohormone of brain natriuretic peptide (NT-proBNP), uric acid, and left ventricular diastolic dysfunction (LVDD) were all significantly associated with low compliance with GDMT. Conclusions: The proportion of physicians’ compliance with GDMT in treating patients with HF is low. Risk factors of low compliance include hypertension; NYHA classification (III and IV vs. I); and abnormal heart rate, hsTnT, NT proBNP, uric acid, and LVDD.
Cystatin C to Left Ventricular Ejection Fraction Ratio as a Novel Predictor of Adverse Outcomes in Patients with Coronary Artery Disease: A Prospective Cohort Study
Authors: Ning Yi , Wang Kai-Yang , Min Xuan , Hou Xian-Geng , Wu Ting-Ting , Ma Yi-Tong , Xie Xiang
Published: September 2023

Background: While both cystatin C and left ventricular ejection fraction (LVEF) revealed established prognostic efficacy in coronary artery disease (CAD), the relationship between cystatin C/left ventricular ejection fraction ratio (CLR) and adverse clinical outcomes among patients with CAD following percutaneous coronary intervention (PCI) remains obscure, to date. Therefore, we sought to assess the predictive efficacy of CLR among CAD patients who underwent PCI in current study. Methods: A total of 14,733 participants, including 8622 patients with acute coronary syndrome (ACS) and 6111 patients with stable coronary artery disease (SCAD), were enrolled from a prospective cohort of 15,250 CAD patients who underwent PCI and were admitted to the First Affiliated Hospital of Xinjiang Medical University from 2016 to 2021. The primary outcome of this study was mortality, including all-cause mortality (ACM) and cardiac mortality (CM). The secondary outcomes were major adverse cardiovascular events (MACEs), major adverse cardiac and cerebrovascular events (MACCEs) and nonfatal myocardial infarction (NFMI). For CLR, the optimal cut-off value was determined by utilizing receiver operating characteristic curve analysis (ROC). Subsequently, patients were assigned into two groups: a high-CLR group (CLR ≥0.019, n = 3877) and a low-CLR group (CLR <0.019, n = 10,856), based on optimal cut-off value of 0.019. Lastly, the incidence of outcomes between the two groups was compared. Results: The high-CLR group had a higher incidence of ACM (8.8% vs. 0.9%), CM (6.7% vs. 0.6%), MACEs (12.7% vs. 5.9%), MACCEs (13.3% vs. 6.7%), and NFMIs (3.3% vs. 0.9%). After adjusting for confounders, multivariate Cox regression analyses revealed that patients with high-CLR had an 8.163-fold increased risk of ACM (HR = 10.643, 95% CI: 5.525~20.501, p < 0.001), a 10.643-fold increased risk of CM (HR = 10.643, 95% CI: 5.525~20.501, p < 0.001), a 2.352-fold increased risk of MACE (HR = 2.352, 95% CI: 1.754~3.154, p < 0.001), a 2.137-fold increased risk of MACCEs (HR = 2.137, 95% CI: 1.611~2.834, p < 0.001), and a 1.580-fold increased risk of NFMI (HR = 1.580, 95% CI: 1.273~1.960, p < 0.001) compared to patients with low-CLR. Conclusions: The current study indicated that a high CLR is a novel and powerful predictor of adverse long-term outcomes in CAD patients who underwent PCI, and that, it is a better predictor for patients wtih SCAD and ACS. Clinical Trial Registration: NCT05174143, http://Clinicaltrials.gov.
Measuring Cardiac Dyssynchrony with DENSE (Displacement Encoding with Stimulated Echoes)—A Systematic Review
Authors: Sillanmäki Saara , Vainio Hanna-Liina , Ylä-Herttuala Elias , Husso Minna , Hedman Marja
Published: September 2023

Background: In this review, we introduce the displacement encoding with stimulated echoes (DENSE) method for measuring myocardial dyssynchrony using cardiovascular magnetic resonance (CMR) imaging. We provide an overview of research findings related to DENSE from the past two decades and discuss other techniques used for dyssynchrony evaluation. Additionally, the review discusses the potential uses of DENSE in clinical practice. Methods: A search was conducted to identify relevant articles published from January 2000 through January 2023 using the Scopus, Web of Science, PubMed and Cochrane databases. The following search term was used: (DENSE OR ‘displacement encoding with stimulated echoes’ OR CURE) AND (dyssynchrony* OR asynchron* OR synchron*) AND (MRI OR ‘magnetic resonance’ OR CMR). Results: After removing duplicates, researchers screened a total of 174 papers. Papers that were not related to the topic, reviews, general overview articles and case reports were excluded, leaving 35 articles for further analysis. Of these, 14 studies focused on cardiac dyssynchrony estimation with DENSE, while the remaining 21 studies served as background material. The studies used various methods for presenting synchronicity, such as circumferential uniformity ratio estimate (CURE), CURE-singular value decomposition (SVD), radial uniformity ratio estimate (RURE), longitudinal uniformity ratio estimate (LURE), time to onset of shortening (TOS) and dyssynchrony index (DI). Most of the dyssynchrony studies concentrated on human heart failure, but congenital heart diseases and obesity were also evaluated. The researchers found that DENSE demonstrated high reproducibility and was found useful for detecting cardiac resynchronisation therapy (CRT) responders, optimising CRT device settings and assessing right ventricle synchronicity. In addition, studies showed a correlation between cardiac fibrosis and mechanical dyssynchrony in humans, as well as a decrease in the synchrony of contraction in the left ventricle in obese mice. Conclusions: DENSE shows promise as a tool for quantifying myocardial function and dyssynchrony, with advantages over other cardiac dyssynchrony evaluation methods. However, there remain challenges related to DENSE due to the relatively time-consuming imaging and analysis process. Improvements in imaging and analysing technology, as well as possible artificial intelligence solutions, may help overcome these challenges and lead to more widespread clinical use of DENSE.
Non-Occlusive Mesenteric Ischemia in Cardiac Arrest Patients
Authors: Smalcova Jana , Belohlavek Jan
Published: September 2023

Non-occlusive mesenteric ischemia (NOMI) is a severe complication in patients after cardiac arrest (CA). The diagnosis is complicated, the treatment options are limited. Given the susceptibility of enterocytes to ischemia, the incidence and severity of NOMI in the post-resuscitation period may reflect the intensity and duration of both ischemia and subsequent reperfusion injury. NOMI is considered to be associated with adverse neurological outcomes in CA patients. Therefore, NOMI should not only be regarded as a post-resuscitation complication but also as one of the prognostic markers in CA patients.This paper summarizes current knowledge on NOMI’s pathophysiology, diagnosis, treatment, and prognostic significance in CA patients.