bluuebunny/crossref_metadata_2025 huggingface dataset:
A 3-Dimensional Finite Element Analysis of Resected Mandibular Bone to Determine the Most Stable Implant Positions for a Fixed Prosthesis
Authors: Kosugi Yasufumi , Hirota Makoto , Tamai Naohito , Takasu Hikaru , Iwai Toshinori , Mitsudo Kenji
Published: March 2021

This study was conducted to determine the most secure implant positioning on the marginally resected mandible to support a fixed complete denture through finite element analysis. Three or 4 implants were placed at near, middle, or far positions from the resected margin in a simulation model with a symmetrical marginal defect in the mandibular symphysis. The height of the residual bone was 5, 10, or 15 mm. The 4 possible implant patterns for 3 or 4 implants were defined as (1) asymmetrically isolated position 1 to position 2, (2) asymmetrically isolated position 1 to position 3, (3) asymmetrically isolated with greater-length position 1 to position 2, and (4) 2 implants symmetrically positioned on each side of the defect. The von Mises stress in the resected and peri-implant bone with respect to the occlusal force was calculated. Initially, because the peri-implant bone stress around the isolated implant at the near position was greater than at the middle and far positions regardless of the residual bone height, the near position was excluded. Second, the von Mises stress in the resected bone region was >10 MPa when the isolated implant was at the far position, and it increased inversely depending on the bone height. However, the stress was <10 MPa when the isolated implant was placed at the middle position regardless of the bone height, and it was significantly lower compared with the far position and equivalent to the symmetrically positioned implants. Furthermore, the use of a greater-length implant reduced peri-implant bone stress, which was even lower than that of the symmetrically positioned implants. These results suggest that the asymmetrically positioned 3-implant–supported fixed denture, using a greater-length isolated implant, placed neither too close to nor too far from the resected margin, can be an effective alternative to the symmetrically positioned 4-implant–supported fixed denture.
Transit Impacts on Jobs, People and Real Estate
Authors:   University of Arizona, Nelson Arthur , Hibberd Robert ,   University of Arizona, Currans Kristina ,   University of Arizona
Published: March 2021

This report is comprised of five substantive elements. The first is crafting a scientifically sound framework for identifying landscapes within the metropolitan areas we studied. The second is applying those Place Typologies and spatial analysis to economic and demographic change for the transit system in each metropolitan area. The third is analyzing how real estate markets respond to transit system proximity with special reference to the Place Typologies. Fourth, this is followed by specialized studies into how urban form and society are shaped by transit systems. The fifth is providing an overall perspective of our research as well as a framework for unlocking the potential to leverage economic benefits of transit to advance social well-being.
Results accuracy of the simultaneous Na, K, Li, Rb and Cs determination in geochemical objects using the flame atomic emission spectrometry
Authors:   Vinogradov Institute of Geochemistry, SB RAS, Zak Anna A. , Shabanova Elena V. ,   Vinogradov Institute of Geochemistry, SB RAS, Vasil’eva Irina Е. ,   Vinogradov Institute of Geochemistry, SB RAS
Published: March 2021

One of the most important challenges in the simultaneous determination of the five alkaline elements is that their abundance differs thousands of times in natural samples. Therefore, usually the analysis of the same samples is performed using several analytical methods or techniques. An atomic emission spectrometry is the most selective method for the determination of alkaline elements in wide ranges of their contents. The reliable and correct simultaneous determination of major and trace elements contents by one method is economically attractive for classifying rocks, reconstructing the conditions of their formation, etc. The atomic emission spectrometry technique of the simultaneous determination of the five alkaline elements was developed with the use of the modern equipment. The accuracy and trueness of the developed technique results were evaluated in the current study. The technique features were the preparation and the analysis of the high-salt solutions of the geochemical samples, and the use of a low-temperature propane-butane flame and multichannel photoelectric recording of the spectra for the simultaneous determination of alkali metals contents. A specific data processing ensured accounting for the spectral background and minimizing the interferences when calibrating by CRMs with various compositions and genesis. The determined concentrations ranges of alkaline elements in natural and man-made environments had been expanded by improving the detection limits and using several analytical lines of Na, K and Rb with different spectral features. FAES results were compared with the results of XRF, ICP-MS, the standard addition and dilution methods, and its accuracy and trueness were found to be satisfactory for the requirements of geological and geochemical studies.
Health promotion actions in the School Health Program in Ceará: nursing contributions
Authors: Silva Adna de Araújo , Gubert Fabiane do Amaral , Barbosa Filho Valter Cordeiro , Freitas Roberto Wagner Júnior Freire de , Vieira-Meyer Anya Pimentel Gomes Fernandes , Pinheiro Maria Talyta Mota , Rebouças Lidiane Nogueira
Published: March 2021

ABSTRACT Objectives: to compare health promotion actions carried out by Family Health teams in Ceará, linked to the School Health Program. Methods: a cross-sectional study involving the first and second cycles of an external assessment of 910 and 1,626 teams from 184 municipalities, which joined the Brazilian National Program for Improvement of Access and Quality of Primary Care. Eight clinical assessment and seven health promotion indicators were assessed, together with health professionals working in schools. Results: the interviewees were nurses (95.6% and 98.3%). Between the cycles, there was an increase in clinical assessment (78.7% and 91.3%), health promotion and disease prevention (82.5% and 89.3%) and survey of students for follow-up (41.4% and 66.4%) in schools. Conclusions: health actions at school advanced between cycles, with nurses as protagonists in school health, which can reduce vulnerabilities in children and adolescents and qualify Primary Care.
Reiki therapy in the Unified Health System: meanings and experiences in integral health care
Authors: Amarello Mariana Monteiro , Castellanos Marcelo Eduardo Pfeiffer , Souza Káren Mendes Jorge de
Published: March 2021

ABSTRACT Objectives: to understand the meanings of Reiki therapy in the Unified Health System, based on the experiences of users and therapists. Methods: thematic oral history study, conducted with 12 users and 11 Reiki therapists, in three public health services, in the city of São Paulo, SP, in 2018. The interviews were transcribed and categorized, through thematic content analysis, with the help of the Atlas.ti software. Results: for the interviewees, Reiki activates a universal energy, offering benefits to the body, mind, and spirit. The engagement of therapists in such practice was motivated by the desire to carry out voluntary work. Users claim to seek this therapy to overcome a state of suffering and use natural practices. Final Considerations: the meanings and experiences with Reiki therapy are many, but they converge in the understanding of this practice as a producer of health, well-being, and quality of life, through care centered on the integral human being.
Self-care of people with intestinal ostomy: beyond the procedural towards rehabilitation
Authors: Sasaki Vanessa Damiana Menis , Teles André Aparecido da Silva , Silva Natália Michelato , Russo Tatiana Mara da Silva , Pantoni Lorena Alves , Aguiar Janderson Cleiton , Sonobe Helena Megumi
Published: March 2021

ABSTRACT Objectives: to interpret the self-care experience of people with intestinal ostomy registered in an ostomy program, based on the framework of the Social Model of Disability. Methods: qualitative exploratory research, with the participation of nine people with intestinal ostomy, based on the Social Model of Disability. Results: majority were elderly, married, male with colostomy due to colorectal neoplasia. The self-care of these people was analyzed in two thematic groups: “Interdisciplinary assistance needed for people with intestinal ostomy” and “Self-care for the rehabilitation of the person with intestinal ostomy”. It was proved that there was a need for a specialized health team, offering information on disabilities, teaching self-care and perioperative follow-up. Final Considerations: when the social barriers of physical disabilities are overcome in the context of assistance for health and life, self-care will go beyond the reductionist vision of procedural care, towards comprehensive care, favoring the achievement of rehabilitation and the quality of survival.
Implementation of an improvement cycle in the care of a primary health care
Authors: Nunes Tainara Barbosa , Souza Éricka Cecília Resende de , Gama Zenewton André da Silva , Medeiros Wilton Rodrigues , Mendonça Ana Elza Oliveira de
Published: March 2021

ABSTRACT Objectives: to evaluate the effectiveness of a quality improvement cycle applied to the care of spontaneous demand in a primary care center. Methods: quasi-experimental before and after study, with a quantitative approach and no control group. An improvement cycle was carried out in a primary care center in the city of Guarabira/PB using five quality criteria. An evaluation, an intervention focused on the most problematic criterion and a reassessment were carried out. The samples were random (n = 60). The percentages and confidence intervals of compliance with each criterion were verified. Statistical significance was calculated using the Z test. Results: after the intervention, there was a significant improvement in two quality criteria of the care of spontaneous demand users (the user must be heard by a professional and go through the risk classification). Conclusions: the improvement cycle was an effective quality management method.
Quality improvement programs and the professional nursing practice environment: an integrative review
Authors: Danno Camila Hidemi , Esteves Larissa Sapucaia Ferreira , Bohomol Elena
Published: March 2021

ABSTRACT Objectives: to analyze the knowledge produced regarding the practice environment in hospitals with quality improvement programs. Methods: integrative literature review performed in the Latin American and Caribbean Literature in Health Sciences databases, US National Library of Medicine/National Institutes of Health, Web of Science, Scopus and CINAHL, consisting in 10 articles. Results: data were presented and discussed using categories: Measures for the professional nursing practice environment; Hospital accreditation as an improvement program; Nursing autonomy, interpersonal relationship between nurse and doctor and the nurse as a manager and leader. Final Considerations: it was possible to analyze that the influence of quality improvement programs can be considered as favorable in the professional nursing practice environment. The survey also brings contributions to administration in implementing strategies aiming at continuous improvement in the environment characteristics.
Strategies of active learning methodologies in nursing education: an integrative literature review
Authors: Ghezzi Joyce Fernanda Soares Albino , Higa Elza de Fátima Ribeiro , Lemes Monike Alves , Marin Maria José Sanches
Published: March 2021

ABSTRACT Objectives: to analyze the scientific evidence on the strategies of active learning methodologies used in the training of nurses, as well as their contributions and obstacles in training. Methods: integrative literature review conducted with 33 selected articles in the Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Literature in Health Sciences, Nursing Database, Scopus, Web of Science and Education Resources Information Center databases. Results: among the strategies, simulation, problem-based learning and flipped classroom were highlighted. The active search, the integration of theory and practice and group work were examples of contributions to the training of nurses. However, the lack of preparation of the actors and the lack of structural support contribute to the dissatisfaction of the students. Final Considerations: the active learning methodology places the student at the heart of the learning process, favors critical thinking and the ability to make decisions.
Development of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy
Authors: Nascimento Juliana da Silva Garcia , Siqueira Tainá Vilhar , Oliveira Jordana Luiza Gouvêa de , Alves Mateus Goulart , Regino Daniela da Silva Garcia , Dalri Maria Celia Barcellos
Published: March 2021

ABSTRACT Objectives: to investigate the scientific evidence on the use of Bloom’s taxonomy for developing competence in nursing professionals and students in clinical simulation. Methods: integrative review of the National Library of Medicine (NLM), National Institutes of Health (NIH), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Latin American and Caribbean Literature in Health Sciences (LILACS), Web of Science and SCOPUS databases, using the Rayyan application. Results: a total of 871 studies were identified; four composed the sample. The development of clinical competence occurred through the coordination of knowledge, skills, and attitudes. To develop the cognitive domain, the objectives of knowledge and comprehension of the Bloom’s taxonomy were mobilized. The psychomotor domain required development of the skills demanded by the proposed clinical care. The affective domain was developed through will and motivation to learn. Conclusions: it is possible to develop clinical competence in nursing by adopting Bloom’s taxonomy in each phase of clinical simulation.
Costs of healthcare-associated infections in an Intensive Care Unit
Authors: Leal Michelle Araujo , Freitas-Vilela Ana Amélia de
Published: March 2021

ABSTRACT Objectives: to evaluate hospitalization costs of patients with and without Healthcare-Associated Infections an Intensive Care Unit. Methods: a retrospective case-control study. Data collection was retrieved from the medical records of Intensive Care Unit of a medium-sized public hospital in Goiás-Brazil. For each case, two controls were selected. Data on socioeconomic, clinical, and hospital costs were collected. To verify associations between variables, Odds Ratio and linear regression were calculated. Results: a total of 21 patients diagnosed with Healthcare-Associated Infections and 42 controls were evaluated. The hospitalization cost for patients with infection was four times higher than for non-infection patients (p-value<0.001). There was an association between infection and higher mortality (p-value <0.001), longer hospital-stay (p-value =0.021), and higher hospital costs (p-value =0.007). Conclusions: hospitalization costs of diagnosed Healthcare-Associated Infections patients are high compared to those who do not have this diagnosis.
Workplace violence: legislation, public policies and possibility of advances for health workers
Authors: Bordignon Maiara , Trindade Letícia de Lima , Cezar-Vaz Marta Regina , Monteiro Maria Inês
Published: March 2021

ABSTRACT Objectives: to discuss specific laws and public policies for workplace violence in the health sector, highlighting possibilities for the collective confrontation of this phenomenon in Brazil. Methods: this is a reflective and argumentative study that refers to some previous experiences regarding the implementation of legal aspects to curb workplace violence directed at health professionals. Results: there are experiences regarding the existence of legislation or public policies to specifically contain workplace violence in the health sector, but these are still restricted to some places or countries. The literature provides resources for developing specific strategies for managing this phenomenon, highlighting prevention programs and conducts for case management. Final Considerations: implementation of legal aspects or public policies at the municipal, regional, state and/or national level is a strategy with potential to confront workplace violence in health services in a collective and sustainable way.
Anayde Corrêa de Carvalho: life and contributions to Bahia’s Nursing School
Authors: Oliveira Núbia Lino de , Silva Gilberto Tadeu Reis da , Luchesi Luciana Barizon , Fernandes Josicélia Dumet
Published: March 2021

ABSTRACT Objectives: to analyze the life and career of Anayde Corrêa de Carvalho and her contributions to nursing in Bahia. Methods: oral history of her life and documentary research, with thematic content analysis. Results: three categories were found: Personal Trajectory of Anayde Corrêa de Carvalho; The School of Nursing of Bahia; and School of Nursing of the University of São Paulo and Brazilian Nursing Association. Final Considerations: this study made it possible to analyze the life of an ethical and committed nurse, who dedicated herself to nursing education and research and contributed significantly to the construction of the image and development of nursing as a profession in Bahia.
Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
Authors: Ribeiro Maria de Nazaré de Souza , Santo Fátima Helena do Espírito , Simões Bruna da Silva , Diniz Cleisiane Xavier , Bezerra Helen Cristine Albuquerque , Santos Luiz dos
Published: March 2021

ABSTRACT Objectives: to identify feelings, experiences, and expectations of kidney transplant patients, generated from the diagnosis of chronic renal disease until the post-transplant period, highlighting the challenges for nurses to incorporate individualized care to cope throughout the disease process. Methods: qualitative, descriptive research, carried with seven kidney transplant patients, in the city of Manaus, State of Amazonas. The data analysis followed the methodological referential of Bardin’s content analysis. Results: the diagnosis of the disease was experienced negatively, and hemodialysis was described as an imprisonment and health decline. The transplant meant an improvement in quality of life. The main difficulties were lack of a specialized hospital and low immunity. Conclusions: the nurses’ approach of chronic renal patient and with the renal transplantation favored the discovery of solutions facing the demands of the disease and allowed greater capacity to implement individualized care, surrounding a relationship of trust and respect.
Oxidative metabolism altered by plant growth regulators in atemoia seeds (Annona x atemoya Mabb.) ‘Thompson’
Authors: Hata Ana Paula Yuki , Ferreira Gisela , Sousa Marília Caixeta , Bezerra Breno Kennedy Lima , Kissmann Camila
Published: March 2021

Abstract The objective of this work was to validate the enzymatic activity in Annona x atemoyaseeds submitted to treatments with plant growth regulators belonging to the group of gibberellins and cytokinins for overcoming dormancy during the germination process. Initially, the water acquisition curve was determined, where two points of phase II (72 and 144 hours) were determined to evaluate the activity of superoxide dismutase (SOD), peroxidase (POD) and catalase (CAT) enzymes in atemoya seeds after the application of two plant growth regulators. Treatments with GA resulted in higher activity of SOD enzyme, which may be favored the higher germination percentage and speed in comparison to control treatment. In cases in which SOD enzyme presented high activity, other enzymes showed the opposite, which indicates the predominantly production of superoxides during this period. The POD enzyme also has activity in seeds treated with gibberellin, which suggests interaction of ROS with GA in the process of dormancy overcoming. Treatments with cytokinin and cytokinin + gibberellin resulted in germination percentage similar to control and no activity pattern of SOD, POD and CAT enzymes that could be correlated with germination metabolism was observed.
Image Inversion during Xi Robotic ventral hernia repair: making it even more effective
Authors: MORRELL ANDRE LUIZ GIOIA , CHARLES MORRELL-JUNIOR ALEXANDER , MORRELL ALLAN GIOIA , MENDES JOSE MAURICIO FREITAS , MORRELL ALEXANDER
Published: March 2021

ABSTRACT Introduction: currently, there are several clinical applications for robot-assisted surgery and in the hernia scenario, robot-assisted surgery seems to have the ability to overcome laparoscopic ventral hernias repairs limitations, facilitating dissection, defect closure, and mesh positioning. Exponentially grown in numbers of robotic approaches have been seen and even more complex and initially not suitable cases have recently become eligible for it. An appropriate tension-free reestablishment of the linea alba is still a major concern in hernia surgery and even with the robotic platform, dissecting and suturing in anterior abdominal wall may be challenging. This article reports a technical image artifice during a da vinci Xi-platform robotic ventral hernia repair allowing the surgeon to establish a more familiar and ergonomic manner to perform dissection and suturing in anterior abdominal wall. Technical Report: a step by step guided technique of image inversion artifice is described using detailed commands and figures to assure optimal surgical field and ergonomics whenever acting in robotic ventral hernias repair with the da Vinci Xi-platform. Our group brief experience is also reported, showing an easy and reproducible feature among surgeons with safe outcomes. Conclusion: we consider that image inversion artifice is a simple and reproducible feature in robotic ventral hernia repair. Through a step-by-step guide, this report enables the creation of an artifice providing a comfortable operative field and allowing the surgeon to achieve its best proficiency in hernia surgery.
Perceptions of nurses about the implementation of the nursing process in an intensive unit
Authors: Silva Alexsandra Martins da , Colaço Aline Daiane , Vicente Camila , Bertoncello Kátia Cilene Godinho , Amante Lúcia Nazareth , Demetrio Mabel Villa
Published: March 2021

ABSTRACT Objective To understand the nurses’ perception about the implementation of the nursing process in an Intensive Care Unit. Method Qualitative, exploratory, and descriptive study. Data collection took place from February to March/2018, in an Intensive Care Unit of a public hospital in western Santa Catarina, through semi-structured interviews with nine nurses. In the data analysis, it was used the Discourse of the Collective Subject. Results Difficulties and potentialities in the implementation of the nursing process were identified, standing out as a support strategy for the elaboration of study groups for the permanent education of professionals. About the difficulties, it was highlighted the lack of theoretical knowledge about the nursing process and basic disciplines that impact on the clinical evaluation of the patient stands out. Conclusion The implementation proved to be satisfactory under the nurses’ perception, generating an impact on the quality of care, patient safety, nursing records and professional visibility, despite the various barriers identified during its implementation.
Gestão participativa das partes interessadas em área de manancial: uma abordagem usando análise multicritério
Authors: Okawa Cristhiane Michiko Passos , Zuffo Antônio Carlos , Descovi Cassiano Sampaio , Araújo Angélica Ardengue de
Published: March 2021

RESUMO A promulgação da Lei Federal n° 9.433, de 8 de janeiro de 1997, foi um marco político e técnico da gestão dos recursos hídricos no Brasil, ao instituir a Política Nacional de Recursos Hídricos, que, nos seus fundamentos, preconiza a gestão dos recursos hídricos descentralizada e a participação do Poder Público, dos usuários e das comunidades. Nesse contexto, o objetivo deste artigo é estabelecer indicadores de sustentabilidade para a área de manancial do município de Paranavaí, no estado do Paraná, Brasil, usando uma abordagem de gestão participativa das partes interessadas associada a ferramentas de análise multicritério para auxílio à tomada de decisão. A área de manancial está inserida numa área de proteção ambiental (APA) denominada de APA Arara. Os métodos utilizados foram mapeamento cognitivo e measuring attractiveness by a categorical-based evaluation technique (MACBETH), aplicados durante uma conferência de decisão com a participação de diversos atores diretamente atingidos e fortemente interessados no tema, tais como órgãos gestores, produtores rurais, empresários do ramo imobiliário, vereadores, instituições de ensino superior etc. No fim da conferência de decisão, 14 indicadores foram definidos e seus pesos estabelecidos. Os resultados obtidos servem de subsídios para a gestão mais eficiente do recurso hídrico, pois conduziram à solução de maior comprometimento, ao envolver muitos atores representantes das partes interessadas. Além disso, mostraram que o uso combinado de mapas cognitivos e da abordagem MACBETH possibilitou a definição de indicadores de sustentabilidade para a APA de forma transparente e eficaz, demonstrando o sucesso na gestão participativa do recurso hídrico.
Caracterización clínica de pacientes con recurrencia de úlcera por enfermedad venosa crónica.
Authors: Bulla Silva Adriana Patricia , Espitia Suárez Nataly Johana , Vargas Quintero Diana Carolina , Vargas Rodríguez Ledmar Jovanny
Published: March 2021

Introducción: La enfermedad venosa crónica es una patología derivada de alteraciones anatómicas o funcionales del sistema venoso. El objetivo de este estudio era determinar las características de los pacientes con recurrencia de úlcera por enfermedad venosa crónica en usuarios del programa clínica de heridas de un hospital de tercer nivel de Tunja. Métodos: Se realizó un estudio descriptivo, retrospectivo y de corte transversal en el periodo 2017 a 2019, donde se incluyeron pacientes mayores de 18 años de edad con diagnostico ulcera vascular por enfermedad venosa crónica. Resultados: La prevalencia de recurrencia fue de 15.7%. La media de edad de los participantes fue de 65 años, donde el 72.7% eran mujeres y el 77.3% de los participantes vivían solos. La hipertensión (72,7%) y el sobrepeso (45,5%) fueron las comorbilidades que se presentaban con mayor frecuencia. La extremidad inferior más afectada fue la izquierda con 68.2%. Las personas permanecían 50.9 minutos al día con la extremidad elevada y 6.6 horas al día en bipedestación. Conclusiones: La prevalencia de recurrencia de úlcera por enfermedad venosa crónica en el presente estudio es menor a la reportada en la literatura, donde se ve afectada la población femenina, con 65 años de edad, asociado a múltiples comorbilidades como el sobrepeso, la desnutrición, el tabaquismo, la dislipidemia, entre otras. Afecta con mayor frecuencia el miembro inferior izquierdo y los manejos más utilizados son los quirúrgicos (varicosafenectomía) y la terapia compresiva a presión media y alta. A partir de este estudio se invita a otras instituciones a evaluar los programas de manejo de heridas con el fin de analizar el impacto y conocer este grupo poblacional.
ALGI YÖNETİMİ VE ÖRGÜTSEL İNOVASYON ÖRGÜTSEL ÖĞRENMEYİNİ NASIL TETİKLER
Authors: AKKOYUN Bülent
Published: March 2021

Bu çalışmanın amacı, yönetici algı yönetimi yeteneği ve örgütsel inovasyonun, örgütsel öğrenme üzerindeki etkisi ile birlikte etki derecesinin açığa çıkartılmasıdır. Gerek örgütsel inovasyonun ve gerek örgütsel öğrenmenin başlangıç noktaları, her iki unsuru da tetikleyecek veya harekete geçirecek olan yönetim kademesi olmasına rağmen, yönetim kademesinin algı yönetimi yeteneğinin üzerinde durulmaması da bu alanda yapılacak çalışmalara ihtiyaç olduğunu işaret ettiği gibi, yönetici algı yönetimi yeteneğinin, örgütsel inovasyon ve örgütsel öğrenme değişkenleri ile bir arada yapılmış çalışmalara rastlanılmaması da yine literatürde bu anlamda bir eksikliği ortaya koymaktadır. Diğer taraftan literatüre yapılacak katkının yanısıra, yönetici algı yönetimi yeteneği ve örgütsel inovasyonunn tetikleyici faktörlerini, hem genel hem de özellikle son günlerde içinden geçilen göç ve koronavirüs gibi küresel krizlerin etkisiyle daralan piyasa şartlarında işletmelerin ayakta kalması ve organizasyonların varlıklarını geleceğe taşıyabilmesi adına konunun önemini açığa çıkartacak bir katkı olarak düşünüldüğü için yapılmıştır. Nicel analiz yöntemleriyle, zaman gecikmeli ve yüz yüze anket uygulanarak yapılan araştırmaya 372 denekten toplanan birincil veriler dahil edilmiştir. Araştırmanın saha çalışmaları 3 ay sürmüştür. Araştırma sonucunda, yönetici algı yönetimi yeteneği ve örgütsel inovasyonun, örgütsel öğrenme üzerinde orta ve yüksek düzeyde pozitif yönlü etkileri saptanmıştır. Hem literatüre katkı olması nedeniyle hem de her ölçekten işletmeler için her türden piyasa/pazar şartlarında genel geçerli olan algı yöetimi, inovovasyon ve gizil yeteneğin yanısıra örtük bilgiyi açığa çıkartacak bir model ön plana çıkartılmıştır.
ХРОНОТОП В СОВРЕМЕННОЙ ПРОЗЕ КАЗАХСТАНА
Authors: ESBOSINOV Ergali , SERİKOVA Samal , SABİROVA Dina
Published: March 2021

Проблема хронотопа актуально в литературоведении не одно десятилетие. Так, Платон, утверждал, что сущность искусства, является подражанием реальной жизни. Аристотель указывал, что искусство создаeт свой мир как возможный или вероятный и тем самым раскрывает существенные свойства действительного мира. В данной статье предпринимается попытка обобщить основные результаты исследований по проблеме пространственных образов и хронотопа в целом и тем самым определить, в чем заключается специфика образа пространства, какова его роль в том или ином произведении. Цель исследования заключается в установлении роли хронотопа в воссоздании художественного образа Казахстана. В современной прозе прослеживаются хронотопические параметры, рассматривается топография и символика городского пространства и дается его сущностная характеристика. На наш взгляд хронотоп является важными мо¬делирующим средством литературы. Обращение к данной проблеме обусловлено тем, что организация хронотопа в современной литературе Казахстана значительно усложнилась по сравнению с традиционными пространственно-временными парадигмами. Анель Мекен и Анастасия Скрипникова демонстрируют виртуозную «игру со временем и пространством». Время и пространство задают па¬раметры художественного мира произведения. Их взаимоот¬ношения в прозе отражают структуру ав¬торского сознания, их миропонимание, систему философ¬ских представлений и, следовательно, их интерпретация - это поиск средств выражения авторской идеи. Исследование категорий времени и пространства позволяет глубже проникнуть в «ткань» художественного произведения, выявить специфику его построения, определить концепцию мира писателя. Однако несмотря на столь различные позиции исследователей, в литературоведении и по сей день продолжается полемика.
REKLAM AJANSLARININ KARŞILAŞTIĞI RENK KAYNAKLI PROBLEMLER VE ÇÖZÜM ÖNERİLERİ
Authors: KURT Mustafa Batuhan
Published: March 2021

Basılı reklam iletişim sektörünün en önemli araçlarından biridir. Etkili ve doğru kullanıldığı takdirde, geniş kitlelere ulaşmak ve istenilen bilgileri sağlıklı şekilde aktarmak mümkündür. Reklamların görselleştirilmesi sürecine hizmet veren reklam ajansları, müşterilerinin talepleri doğrultusunda bu süreci etkin bir şekilde yönetmeye çalışmaktadırlar.
Reklam ajanslarının bu görselleştirme sürecinde karşılaştıkları problemlerin en başında renk kaynaklı problemler gelmektedir. Bu renk kaynaklı problemler reklam ajanları ve müşterileri arasında hukuki boyutlara kadar uzanabilen anlaşmazlıklar çıkarabilmektedir. Bu durum ise reklam ajanslarının prestij, müşteri, zaman ve bunlara bağlı maddi kayıplar yaşamalarına sebep olmaktadır. Bu sebeple reklam ajanslarının renklerle ilgili karşılaşacakları problemleri önceden bilmesi ve önlemler alması gerekmektedir. Fakat bu alanda yeterli kaynak olmaması sektördeki kurumların bilgiye sağlıklı şekilde ulaşmalarında en büyük engeli temsil etmektedir.
Bu çalışma ile bu sektöre hizmet veren kurumlara ve bu alanda eğitim veren kurumlara bir kaynak oluşturulması hedeflenmiştir. Bu hedef doğrultusunda yapılan çalışmada reklam ajanslarının basılı reklamların görselleştirilme aşamalarında renk evrenleri, baskı provası alımı, baskı altı malzemesi seçimi, baskı aşaması ve baskı sonrası süreçlerde karşılaşacakları renk problemleri ayrıntılı bir şekilde görsellerle ele alınmış ve nasıl çözecekleri konusunda da önerilerde bulunulmuştur.
YENİ TARİHSELCİLİK BAĞLAMINDA “GİORGİ SAAKADZE: BÜYÜK SAVAŞÇI” YI OKUMAK
Authors: ÖZEN Özlem , ALTUN Sudan
Published: March 2021

1980’li yıllarda Stephen Greenblatt’ın öncülüğünde edebiyat incelemelerine yeni bir bakış açısı getirilerek tarih geleneksel anlayışların dışında bir yaklaşımla yeniden değerlendirmeye tâbi tutulmuştur. Yeni Tarihselcilik olarak bilinen bu yeni yaklaşım, tarih ve edebiyat ile yakın ilişkilidir. Edebi bir metnin yazıldığı dönemi yansıttığını düşünen önceki tarihsel teorilerin aksine yeni Tarihselcilik edebi bir metnin üretildiği tarihsel koşullardan ne kadar etkilendiği üzerinde durur. Aynı zamanda bu kuram o dönemin sosyal atmosferini ve yazarın psikolojik durumunu dikkate alır. Kısacası metinleri ait oldukları kültür ve coğrafyadan soyutlayarak değerlendiren eleştiri yöntemlerinin aksine, metinlerin oluştuğu sosyal, kültürel, siyasî ve edebî ortamı da dikkate almıştır. Yeni Tarihselcilik edebiyat tarihine kaynaklık edebilecek bir kanıttır. Ve temelde yazınsal eserlerin önemini vurgulayıp yazınsal olmayanı görmezden gelen geleneksel tarihi anlayışlara bir tepki olarak ortaya çıkmıştır. Yeni Tarihselciliğin perspektif açısından zengin örnekler sunduğunu da görmekteyiz. Yeni Tarihselci eleştirmen, tarihçi tarafından kurgulanan çelişkileri ortaya çıkarmayı amaçlarken diğer yandan da söz konusu eserin değerlendirilmesinde geleneksel tarih merkezli yoruma karşıt bir tarih anlayışını ortaya koymaktadır. Bu çalışmada edebiyat incelemelerinde önemli bir yeri olan Yeni Tarihselcilik, ele alacağımız Gürcü yazar Simon Kvariani’nin adlı post modern romanı “Giorgi Saakadze: Büyük Savaşçı” eseri üzerinden vatan haini mi yoksa gerçek bir vatanperver mi olduğu ele alınmaya çalışılacaktır. Türkçe’ye İbrahim Goradze tarafından tercüme edilen kitabın yazarı tarihi bütün çıplaklığıyla ön plana çıkartırken, kitabın tarihi kurmaca olabileceği gerçeğine dikkat çekmektedir. Bu bağlamda kitap, Gürcü komutanı günümüz bakış açısıyla tekrardan inceleme fırsatı sağlamaktadır.
FCMPASS - Cataloguing fluorescence reference materials v2
Authors: A Welsh Joshua , M Cook Sean , Jones Jennifer
Published: March 2021

This protocol outlines the steps required to catalogue fluorescence reference materials using the FCMPASS software. This is one of a number of protocols in the pipeline for performing small particle calibration using the fcmpass software package.
SalivaDirect™: RNA extraction-free SARS-CoV-2 diagnostics v6
Authors: Vogels Chantal , M Allicock Orchid , E. Brackney Doug , C Kalinich Chaney , M Ott Isabel , Grubaugh Nathan , L Wyllie Anne
Published: March 2021

SalivaDirect™ is an RNA-extraction free, dual-plexed RT-qPCR method for SARS-CoV-2 detection. It can be broadly implemented as it (1) does not require saliva collection tubes containing preservatives, (2) does not require specialized equipment for RNA extraction, and (3) is validated for use with products from multiple vendors. Thus, the simplicity and flexibility of SalivaDirect™ means that it is not as affected by supply chain bottlenecks as some other assays. Our method is RNA-extraction free which enables testing of low volume and minimally processed saliva in dual-plexed RT-qPCR for SARS-CoV-2 detection. Saliva will be treated with proteinase K followed by a heat inactivation step, and is then directly used as input in the dual-plexed RT-qPCR test. Our aim was not to design new primers and probes for RT-qPCR testing, but rather to use validated primer and probe sets (N1 and RP) developed by the US CDC. The human Ribonuclease P (RP) probe was modified with a different fluorophore so that the primer/probe set could be combined in a dualplex assay, reducing the number of tests to 1 assay with 2 sets. Version 2 includes: Optimized thermocycler conditions Locally validated alternative options for Proteinase K, RT-qPCR master mix, and thermocyclers Use of 8-strip tubes for sample processing step, due to contamination issues in 96-well plates. Version 3 has been updated to remove steps for sample self-collection. Version 4 has updated Ct thresholds for the ABI 7500 Fast Dx. Version 5 has an updated description for use, additional RP probe with ATTO647 fluorophore, and a detailed table with catalog numbers. Version 6 includes: Introducing multiple workflows for sample processing including heat Pre-treatment as an alternative to Proteinase K Updated list of RT-qPCR reagents, theromcyclers and protocol for 384 well format.
Factors associated with knowledge of the disease in people with type 2 diabetes mellitus
Authors: Amaral Verônica Rabelo Santana , Ribeiro Ícaro José Santos , Montargil Rocha Roseanne
Published: March 2021

Objective. To identify factors associated with the level of knowledge of the disease in people with type 2 Diabetes.

Methods. A cross-sectional study carried out with 412 people with diabetes registered in the Primary Health Care network of a Brazil Northeast municipality. For data collection, we used a questionnaire with sociodemographic and clinical variables and to identify the level of knowledge, we used the Diabetes Knowledge Questionnaire.

Results. Insufficient knowledge prevailed in 54.7% of the participants, associated in significant bivariate analysis (p<0.05) with the sociodemographic variables: age (≥ 60 years old), marital status (without a partner), education (up to complete / incomplete elementary school), family income (≤ 1 minimum wage). For clinical variables, the level of insufficient knowledge was significantly associated with not participating in an educational group, not using insulin, and not practicing physical activity. In logistic regression, we observed that the factors that increase the risk for insufficient knowledge were: never having participated in an educational group (OR=2.0), age ≥ 60 years old (OR=2.2), illiterate and primary education (OR=8.3) and income less than or equal to 1 minimum wage (OR = 2.4).

Conclusion. The level of knowledge of people with type 2 diabetes mellitus about their disease is insufficient, with socioeconomic and educational characteristics being the factors that increase the odds of having this level of knowledge.
Effectiveness of nursing case management versus usual care for blood pressure control in adults with hypertension: a systematic review
Authors: Mantovanil Maria de Fátima , Kalinke Luciana Puchalski , Da Silva Ângela Taís Mattei , Perez Arthur Juliana , Radovanovic Cremilde Aparecida Trindade , Bortolato-Major Carina
Published: March 2021

Objective. To synthesize the best available evidence regarding the effectiveness of nursing case management in primary health care, compared to usual care, in improving blood pressure in adults over 18 years with hypertension.

Methods. Systematic review that includes studies carried out with adult patients diagnosed with hypertension, with or without other concomitant chronic diseases, followed-up by a case manager nurse, who evaluated the effectiveness of case management in the improvement of blood pressure. A critical evaluation of the studies was made and the results of interest were described using the instruments and tools from the Joanna Briggs Institute. Due to the heterogeneity of the included studies, the results of similar measures were not grouped in statistical meta-analysis. A narrative and tabular format was used to synthesize and present them.

Results. Six randomized controlled trials were critically evaluated and included in the review. The total sample was 1963 participants. The results showed the outcomes compared at baseline and at the end of follow-up (six or twelve months). Regarding the main outcome, systolic and diastolic blood pressure, there was some reduction in the group followed-up through case management in studies lasting six months; however, the impossibility of comparing the findings poses limitations to answering the questions in this review.

Conclusions. Despite the heterogeneity of the studies, the narrative and tabular analysis demonstrated that short-term case management in primary care (six-month studies) helped to reduce blood pressure levels, although the level of evidence for these results is low or very low.
Interface between women’s health and violence in the training of nurses in Brazil
Authors: De Souza Francisca Tamiris Pereira , Silva Caik Ferreira , Moreira Felice Teles Lira dos Santos , Callou Regiane Clarice Macedo , Belém Jameson Moreira , Albuquerque Grayce Alencar
Published: March 2021

Objective. To analyze the theoretical interfaces of violence against women in the nursing undergraduate curricula of public Higher Education Institutions in Brazil.

Methods. Documentary and descriptive study with a qualitative approach. The documentary search happened through the access to the E-mec website for the identification of public Higher Education Institutions for undergraduate nursing degree in Brazil. The menus available online from educational institutions that contained the terms “woman” and “violence” were analyzed. Data processing took place using the IraMuTeQ software, and they were analyzed using the  Descending Hierarchical Classification technique.

Results. The analysis by the software resulted in an important degree of utilization (72.95%), since, of the 244 segments of texts from the menus, 178 were retained. The analysis by the Descending Hierarchical Classification resulted in four thematic categories: Violence against women as a pathological process linked to sexual and reproductive health; Women’s Health: Care, epidemiological, social and cultural aspects; Gender as an analytical category; and Children’s and Adolescents’ Care.

Conclusion. It was found a connection between the terms “woman” and “violence” to the sexual and reproductive aspects of women (physiological and pathological natures) susceptible to intervention; however, the gender approach is recognized as an analytical category for understanding the vulnerabilities of the female audience to illness and violence.
Clinical Education Stressors in Operating Room Students: A Qualitative Study
Authors: Norouzi Nahid , Imani Behzad
Published: March 2021

Objective. The aim of this study is to explain the stressors of the clinical environment from the perspective of operating room undergraduate students.

Methods. The present study is a qualitative study of contractual content analysis type that was conducted in 2019 at Hamadan University of Medical Sciences. In this study, 10 undergraduate operating room students were selected by purposive sampling. Semi-structured interviews were used to collect data.

Results. From the analysis of interviews, 4 main categories were extracted as the stressors of operating room students of Hamadan Paramedical School in clinical learning environment: the need to receive support from the clinical environment (Insufficient students’ skills in communicating with staff, Discrimination between paramedical students and residents, and Facilities available for training), lack of practical prerequisite skills (Contradiction between training and performance, and Lack of prerequisite knowledge for clinical practice), poor supportive and communication performance related to the instructor (Insufficient support of the instructor to the students against the medical staff, Evaluation criteria for instructors, and Treatment of instructor with students in presence of others), and psychological needs (Concerns about career prospects, Lack of motivational factors, and Lack of supportive counseling).

Conclusion. The results of this study showed that Operating room students are faced with many stressors in the clinical learning environment. All stressors identified in this study affected the students’ learning in the clinical setting. Lack of support for students in the clinical environment, poor practical skills training, poor support and communication performance related to the instructor, and poor psychological support of students are the factors that cause operating room student stress in the clinical environment.
The Bayes Factor, a Suitable Complement beyond Values of p<0.05 in Nursing Research and Education
Authors: Ramos-Vera Cristian Antony
Published: March 2021

None
VARIABILITY OF PHYSICAL AND CHEMICAL PROPERTIES OF MAGNETITE AND QUARTZ OF THE NORTHERN DESTRICT OF KRYVYI RIH BASIN
Authors: Tikhlivets S.
Published: March 2021

Physical properties of minerals represent a function of their chemical composition, features of morphology and anatomy. Their variability is influenced by geological syngenetic and epigenetic processes that occur within the iron ore deposits of Kryvyi Rih basin. The latter is represented by nine deposits, which are exploited by five ore mining and enrichment works (GZKs). The Northern region of Kryvyi Rih basin includes Hannivske and Pervomayske deposits. The productive strata of both deposits consist of low-grade magnetite ores of the fifth and sixth ferruginous horizons. They are characterized by the authigenic-metamorphogenic mineralogical zonation.

The purpose of the work is conditioned by the need for a detailed study of the laws of variability of chemical composition and physical properties of rock-forming minerals (magnetite and quartz), taking into account their position within zonal ore deposits.

The study of the physical properties of rock-forming minerals was carried out according to standard methods using a microhardness tester, the chemical composition was investigated by segregating monomineral fractions of magnetite and quartz from ores of metamorphic or metasomatic origins of various mineral composition using a magnetic separator. The chemical analyzes were carried out in a standardized chemical laboratory. Statistical studies were performed using Excel software and Corel Draw.

Result of the researches showed the nature of variability of the chemical composition, physical properties of magnetite and quartz in the sections of metamorphogenic and metasomatically altered ore strata of iron ore deposits.

Practical significance is conditioned by the necessity of conducting detailed topomineralogical study of the productive strata of iron ore deposits of Kryvyi Rih basin in relation to the work on updating the mineralogical and technological map of the deposit, compiling an optimal scheme for ore blending in order to increase efficiency of the use of natural technological potential of magnetite quartzites on the basis of studying physical and chemical properties of the main rock-forming minerals of ferruginous quartzite.
Warm dark matter and Hubble constant tensions
Authors: Parnovsky S.
Published: March 2021

The tensions between the values of Hubble constant obtained from the early and the late Universe could be eliminated if we use the ΛWDM cosmological model with dark energy, baryonic matter and warm dark matter (WDM) with characteristic velocities about 16 % of the speed of light. A pressure of WDM is equal to its energy density multiplied by factor 0.009.