bluuebunny/crossref_metadata_2025 huggingface dataset:
Fichas de buenas prácticas para la atención a problemas de salud mental en Educación Secundaria. Una herramienta de ayuda para los centros educativos. Ficha individual: Depresión
Authors: Martín-Vivar María , Nieuwenhuys-Ruiz Victoria , Cueli-Naranjo María de los Ángeles , Rodríguez-González Martiño , de-la-Fuente-ldígoras Judith , de-Santiago-Bayona Albert , Calatrava-Martínez María , Haydon Mercedes
Published: July 2024

Material elaborado en el marco del proyecto de investigación orientado a la transferencia del conocimiento, "Revisión y valoración de políticas de prevención e intervención en salud mental infanto-juvenil en centros educativos” (IP, Martiño Rodríguez-González, ICS-UNAV) desarrollado por la Universidad de Navarra en colaboración con la Universidad Internacional de La Rioja UNIR- ITEI. Esta guía pretende proporcionar al profesorado un marco de comprensión sencillo acerca de los problemas de salud mental en la etapa de secundaria, así como identificar señales de alarma y ofrecer pautas para un primer abordaje con los estudiantes que puedan estar experimentando tales problemas. La guía busca promover y prevenir la salud mental, pero en ningún diagnosticar u orientar sobre la forma de intervenir. El objetivo de este documento es prevenir y detectar los problemas de salud mental, además de planificar el acompañamiento, cuidado y, en caso necesario, derivación a los servicios especializados de salud mental. Ayudar al alumno es, en gran medida, conseguir coordinarse y colaborar con las familias y otros profesionales externos al centro educativo. Para cada una de las fichas incluidas en este documento, se sigue la misma estructura: primero, una introducción sobre el problema de salud mental o el trastorno en cuestión; segundo, se detallan las principales señales de alarma que pueden ser observadas por el docente en diferentes espacios y situaciones escolares; finalmente, se proporcionan sugerencias sobre su abordaje, ¿qué puede hacer el maestro o profesor ante esto?
Fichas de buenas prácticas para la atención a problemas de salud mental en Educación Secundaria. Una herramienta de ayuda para los centros educativos. Ficha individual: Trastorno de estrés postraumático
Authors: Martín-Vivar María , Nieuwenhuys-Ruiz Victoria , Cueli-Naranjo María de los Ángeles , Rodríguez-González Martiño , de-la-Fuente-ldígoras Judith , de-Santiago-Bayona Albert , Calatrava-Martínez María , Haydon Mercedes
Published: July 2024

Material elaborado en el marco del proyecto de investigación orientado a la transferencia del conocimiento, "Revisión y valoración de políticas de prevención e intervención en salud mental infanto-juvenil en centros educativos” (IP, Martiño Rodríguez-González, ICS-UNAV) desarrollado por la Universidad de Navarra en colaboración con la Universidad Internacional de La Rioja UNIR- ITEI. Esta guía pretende proporcionar al profesorado un marco de comprensión sencillo acerca de los problemas de salud mental en la etapa de secundaria, así como identificar señales de alarma y ofrecer pautas para un primer abordaje con los estudiantes que puedan estar experimentando tales problemas. La guía busca promover y prevenir la salud mental, pero en ningún diagnosticar u orientar sobre la forma de intervenir. El objetivo de este documento es prevenir y detectar los problemas de salud mental, además de planificar el acompañamiento, cuidado y, en caso necesario, derivación a los servicios especializados de salud mental. Ayudar al alumno es, en gran medida, conseguir coordinarse y colaborar con las familias y otros profesionales externos al centro educativo. Para cada una de las fichas incluidas en este documento, se sigue la misma estructura: primero, una introducción sobre el problema de salud mental o el trastorno en cuestión; segundo, se detallan las principales señales de alarma que pueden ser observadas por el docente en diferentes espacios y situaciones escolares; finalmente, se proporcionan sugerencias sobre su abordaje, ¿qué puede hacer el maestro o profesor ante esto?
Ważność aktów prawnych wydanych przez Parlament w przypadku stwierdzenia nieważności wyborów
Authors: Drozd Jakub
Published: July 2024

Celem niniejszej pracy było ukazanie w jaki sposób dokonywana jest w Polsce kontrola legalności wyborów do Sejmu i Senatu oraz przedstawienie bytu aktów prawnych wydanych przez wadliwie obsadzony Parlament.
               Główną metodą badań przyjętą w tej pracy była analiza wyroków polskich sądów ze względu na niewielki zasób tekstów doktryny w tym temacie.
               Po przeanalizowaniu źródeł autor artykułu wskazał tezy, dotyczące ważności aktów prawnych i stwierdził, że akty wydane przez Parlament w okresie od ukonstytuowania do wydania postanowienia Sądu Najwyższego są ważne, oraz drugą tezę dotyczą zrównania terminów na pierwsze posiedzenie nowego parlamentu oraz terminu na wydanie postanowienia przez Sąd Najwyższy.
               Aktualność tematu podkreśla fakt, iż obecny rok jest rokiem wyborczym oraz brak ustawowych i doktrynalnych uregulowań tej kwestii.
Deep fake – postęp technologiczny a prawo karne
Authors: Garcia Vera Gabriela
Published: July 2024

Pojęcie deep fake odnosi się do technologii, która dzięki użyciu sztucznej inteligencji generuje obrazy, filmy i nagrania symulujące rzeczywistość. Postęp techniczny i technologiczny w ostatnich latach sprawił, że tworzenie deep fake  jest jeszcze łatwiejsze i  szybsze do wykonania a otrzymane rezultaty bardziej realistyczne. Tym samym, deep fake  stanowi poważne zagrożenie dla wielu dziedzin życia społecznego oraz gospodarczego. Mając powyższe na uwadze, tematem artykułu jest przybliżenie zagadnienie deep faków z perspektywy polskiego prawa karnego. Wskazane zostaną zagrożenia wynikających z ich funkcjonowania oraz problemy prawnokarne.
Wynikiem przeprowadzonych rozważań ma być wskazanie, że w obecnym stanie prawnym deep fake może podlegać penalizacji na gruncie prawa karnego, jednakże ochrona ta jest jedynie fragmentaryczna. Ponadto, wprowadzenie nowych regulacji prawnych jest również kwestią problematyczną, albowiem wprowadzenie regulacji zakazujących wszystkich deepfaków wkraczałoby w zakres konstytucyjnie chronionej wolności wypowiedzi.
Wpływ orzecznictwa Europejskiego Trybunału Praw Człowieka na prawo do kontaktu ze światem zewnętrznym osób pozbawionych wolności w polskich jednostkach penitencjarnych
Authors: Kądziołka Mariusz
Published: July 2024

Europejski Trybunał Praw Człowieka w Strasburgu odegrał istotną rolę w kształtowaniu sposobu wykonania kary pozbawienia wolności w Polsce. W ciągu ostatnich dwóch dekad wydał liczne wyroki w sprawach przeciwko Polsce, dotyczące praw osób osadzonych. Wiele z tych orzeczeń skupia się na prawie więźniów do kontaktu ze światem zewnętrznym, zwłaszcza z rodziną. Warto zatem poddać je analizie i zestawić stanowisko Europejskiego Trybunału Praw Człowieka w kontekście niezbędnych zmian w polskich jednostkach penitencjarnych, które doprowadzą do pełnej implementacji tych wyroków.
Zjawisko inflacji a polityka pieniężna w Polsce ostatnich lat
Authors: Żyżyński Jerzy
Published: July 2024

Celem artykułu jest przeanalizowanie problemu inflacji i reakcji na nią w sytuacji gospodarczej, w jakiej znalazła się Polska w ostatnich latach. Autor po pierwsze podejmuje podstawową kwestię definicji inflacji. Wskazuje, że inflacja jest to proces zmian cen. Powszechnie jednak błędnie identyfikuje się inflację z miarą jej rocznych skutków. W efekcie, w sytuacji gdy od kilku miesięcy ceny nie zmieniają się, czyli w myśl tej definicji nie ma inflacji, ale jednocześnie ceny te są wyższe niż 12 miesięcy wcześniej, w wyniku czego roczny wskaźnik wynosi kilka procent, mówi się, że inflacja jest wciąż wysoka. Autor podkreśla, że powszechny błąd metodologiczny polega na tym, że mylone jest zjawisko z miarą tego zjawiska, a ściślej biorąc z miarą rocznych jego skutków. To nie tylko podsyca oczekiwania inflacyjne, ale może prowadzić do forsowania zbyt restrykcyjnej polityki pieniężnej. Na prostym przykładzie autor pokazuje, że polityka pieniężna nie może kierować się wskazaniami miary inflacji, której wartość zależy od tego, co działo się z cenami rok wcześniej, powinna kierować się obserwacją zmian miary miesięcznej i ocenami jej kształtowania się w przyszłości. Autor wskazuje, że przyczyny inflacji są zarówno podażowe i popytowe, zewnętrzne i wewnętrzne. Podkreśla, że bank centralny nie ma wpływu na inflację, gdy przyczyny są zewnętrzne i mają charakter podażowy, wynikają ze wzrostu zewnętrznych kosztów, jak i nie ma wpływu także wtedy, gdy przyczyny popytowe mają charakter zewnętrzny, zwracając uwagę na to, że w Polsce istotne znaczenie miał przyrost popytu w wyniku napływu z Ukrainy ludności, a w efekcie i popytu. Autor przypomina, że bank centralny swą polityką pieniężną oddziałuje bezpośrednio na rynek pieniężny i może efektywnie zredukować inflację wtedy, gdy jej przyczyną jest ekspansja kredytu i skutkiem tego nadmierny wzrost popytu – wtedy zaostrzenie polityki pieniężnej ma na celu zredukowanie tej ekspansji kredytowej. Wykorzystując dane statystyczne pokazuje, że nadmiernej ekspansji kredytu nie było, zasób pieniądza po krótkotrwałym wzroście w początkach pandemii powracał do wartości sprzed pandemicznego kryzysu, a kredyty i należności w relacji do PKB zmniejszały się, w wyniku czego pole oddziaływania polityki pieniężnej zawężało się, co nie dawało podstaw do jej zaostrzania, co sugerowano w publicystyce ekonomicznej – zwłaszcza przy utrzymywaniu się wysokiej nadpłynności sektora bankowego. Autor podkreślił, że w polityce pieniężnej trzeba mieć na uwadze to, że siły i stabilności pieniądza nie zbuduje się przez osłabianie i destabilizację gospodarki.
Applied Ethics and Contemporary Social Philosophy
Authors: Tomiltseva D. A. ,   Ural Federal University
Published: July 2024

The text presented the review of the international roundtable discussion “Applied Ethics and Contemporary Social Philosophy,” which was held by the Department of Social Philosophy, Faculty of Philosophy, UIH, Ural Federal University,March 1, 2024. The main aspects of the conceptualization of applied ethics are outlined in the article and the contours of the problematization of the relationship between applied ethics and social philosophy are driven. The main idea of the text is that applied ethics and social philosophy could not be identified, but conceptually and methodologically corresponded to each other. This idea was explained by the description of the content of the papers presented by the roundtable discussion participants.
Effect of the Dates Milkshake on the Duration of the First Stage of Labor
Authors: Wahyuni Elly , Baska Dwie Yunita
Published: July 2024

Background: Prolonged labor can occur due to malnutrition during the first stage of labor. During the labor process, women need foods rich in sugar, such as dates milkshake, to optimize uterine contractions. This study aimed to explore the effect of dates milkshake on the duration of the first stage of labor.Method: This study was a quasi-experiment conducted from August to November 2021 in Bengkulu City, Indonesia using a posttest-only design with nonequivalent groups. Participants included 34 primigravida and multigravida women who were then divided into intervention group who received dates milkshake and control group who received local fruit juice, each with 17 participants. Daily routine consumption and the partographs during labor were observed. The data obtained was analyzed using Mann Whitney and Cochran’s and Mantel-Haenszel.Results: The duration of labor in mothers given dates milkshake averaged 4.1 hours (± 0.697), ranging from 3 to 5 hours; meanwhile the control group averaged 7 hours (± 1.904), ranging from 5 to 11 hours. There was a significant difference in the duration of labor between mothers given dates milkshake and local fruit juice (p= 0.000, OR=4.0).Conclusions: Dates milkshake has an effect on shortening the duration of the first stage of labor. Dates milkshake can be used as a viable food choice for pregnant women to help maintain and increase maternal energy availability during childbirth.
Indications and outcomes of liver retransplantation in three medical centers
Authors: SCHIEL WAGNER AUGUSTO , ECBC-PR JULIO CEZAR UILI COELHO , TCBC-DF ANDRE LUIS CONDE WATANABE , COSTA MARCO AURÉLIO RAEDER DA , PISSAIA JÚNIOR ALCINDO
Published: July 2024

ABSTRACT Introduction: retransplantation is the only viable treatment for patients with irreversible graft loss. The objective of this study was to analyze the indications and outcomes of liver retransplantation in three medical centers. Methods: a total of 66 patients who underwent liver retransplantation from September 1991 to December 2021 were included in the study. A retrospective analysis was performed evaluating patients demographic, clinical, primary diagnosis, indications for and time interval to retransplantation, complications and patient survival. Results: from a total of 1293 primary liver transplants performed, 70 required one or more liver retransplant. The main indication for primary transplant was hepatitis C cirrhosis (21,2%). Hepatic artery thrombosis was the main cause of retransplantation (60,6%), with almost half (46,9%) of retransplants having occurred within 30 days from initial procedure. The average survival time after a repeat liver transplant, was 89,1 months, with confidence interval from 54 to 124,2. The 1-,5- and 10- year survival rate following liver retransplant were 48,4%, 38% and 30,1%, respectively. Male gender, primary non function as the cause for retransplant, prolonged operative time and higher MELD were associated with higher mortality. Conclusions: operative mortality and morbidity rates of liver retransplantation are higher than those of the first transplantation. Male gender, primary non function, prolonged operative time and higher MELD were associated with less favorable outcomes.
Hipovitaminose D pré-operatória e complicações em cirurgia plástica: estudo piloto
Authors: MOTTA FLÁVIO JOSÉ TEIXEIRA ROCHA ATAÍDE DA , LUNA IGOR CHAVES GOMES , FABIANI ISADORA MOSCARDINI , SOUZA JÚLIA CIBELY DA SILVA , AMORIM VINICYUS EDUARDO MELO , SÁ JAIRO ZACCHÊ DE
Published: July 2024

RESUMO Introdução: a vitamina D é parte constituinte de diversos processos biológicos. Além da conhecida regulação do sistema imunológico e do metabolismo do cálcio, está envolvida no desfecho cirúrgico de diversas especialidades, porém não há dados consistentes sobre cirurgia plástica. Este estudo teve como objetivo avaliar os níveis séricos pré-operatórios de 25-hidroxivitamina D e sua relação com complicações em pacientes submetidos a cirurgias plásticas reparadoras e estéticas. Métodos: coorte prospectiva e observacional, conduzida de outubro de 2021 a agosto de 2023 no Hospital das Clínicas da Universidade Federal de Pernambuco, em 83 pacientes. Resultados: os níveis de vitamina D foram considerados deficientes em 7 (8,4%) dos pacientes, insuficientes em 36 (43,4%) e suficientes em 40 (48,2%). Não se demonstrou associação direta entre níveis séricos deficientes ou insuficientes de 25-hidroxivitamina D e a incidência de complicações em cirurgia plástica, nem mesmo quando associado a comorbidades Conclusão: a hipovitaminose D pré-operatória não foi associada a complicações em cirurgia plástica.
Laparoscopic Pancreatoduodenectomy: Twenty years later, where are we?
Authors: AMICO ENIO CAMPOS , JUKEMURA JOSÉ
Published: July 2024

ABSTRACT In its 20th anniversary, laparoscopic pancreatoduodenectomy, while feasible and safe in the hands of experienced surgeons, has not seen the anticipated popularity observed in other digestive surgery procedures. The primary hurdle remains the absence of a clear advantage over traditional open surgery, paired with the procedures complexity and a consequent steep learning curve. In regions with limited pancreatic surgery services, conducting this procedure without adequate training can have serious repercussions. Given the advent of robotic platforms and the anticipation of prospective and randomized studies on this new technology, it is imperative to engage in comprehensive discussions, endorsed by surgical societies, on the value, application, and implementation strategies for various minimally invasive pancreatoduodenectomy techniques. Such dialogue is crucial for advancing the field and ensuring optimal patient outcomes.
Nietzsche e o projeto político assentado na seletividade da virtude: um projeto aristocrático de vontade de domínio
Authors: Feiler Adilson Felicio
Published: July 2024

Resumo: Desde a fase de escrita de seu Para a genealogia da moral, Nietzsche desenvolveu um projeto marcado por uma desconfiança cada vez mais radical sobre as bases fundamentais da cultura, projeto este que, inclusive, reverberou em diversas trocas epistolares com Georg Brandes, das quais sobressai a de 02 de dezembro de 18871, com a expressão “Radicalismo Aristocrático”. A aristocracia se depreende pela crítica que o filósofo realiza a toda a dimensão gregária, mediante a qual a cultura vem marcada. E, como resposta, Nietzsche, nos Póstumos de 1887, apresenta a virtude que se afirma na vontade de domínio. No decorrer deste trabalho, será observado em que medida o esforço de Nietzsche por essa concepção de virtude transvalorada, ou seja, despida da moralina, é capaz de contribuir para o projeto político de domínio e de superação. A própria noção de aristocracia tem, na sua dimensão de radicalismo, a virtude como vontade de domínio, um de seus diferenciais. Seria essa virtude compreendida exclusivamente como força e, por isso, despida da moral, informada pelo cristianismo como projeto civilizatório?
Guías o directrices para interactuar y jugar con niños con condiciones clínicas complejas: investigación cualitativa documental
Authors: Depianti Jéssica Renata Bastos , Pimentel Thaís Guilherme Pereira , Pessanha Fernanda Borges , Moraes Juliana Rezende Montenegro Medeiros de , Cabral Ivone Evangelista
Published: July 2024

Objetivos: identificar contenido sobre juego e interacción con niños con necesidades de especiales atención en salud recomendados en guías clínicas; analizar las actividades de juego e interacción que se pueden implementar niños con necesidades especiales de atención en salud y demandas de cuidados clínicamente complejos. Método: investigación cualitativa documental basada en guías, protocolos o directrices para jugar e interactuar con niños con necesidades especiales de atención en salud. Búsqueda de los términos en inglés ( guidelines, playing o play, complex needs OR chronic disease ) y en portugués ( guia, brincar o brincadeiras, condições crônicas ), en las primeras 10 páginas de Google Search ® . Se aplicó análisis temático a la información extraída de los documentos. Resultados: se agruparon en unidades de análisis nueve documentos con contenido similar, se extrajeron solo las actividades para interactuar y jugar que se pueden implementar con niños con necesidades especiales de atención en salud y demandas de cuidados clínicamente complejos, a saber: estimular las potencialidades, estimular la interacción adulto-niño y estimular los sentidos (tacto, visión y oído), que realizan los profesionales de la salud y los cuidadores familiares en diferentes contextos de cuidado. Conclusión: interactuar y jugar pueden promover la interacción adulto-niño e implementarse en el cuidado estimulante y vivificante de niños con condiciones clínicas complejas.
Prevención de complicaciones asociadas con las técnicas de inserción de catéter central de inserción periférica en recién nacidos: revisión sistemática y metaanálisis en red
Authors: Beleza Ludmylla de Oliveira , Brasil Guilherme da Costa , Margatho Amanda Salles , Vasques Christiane Inocêncio , Silveira Renata Cristina de Campos Pereira , Rocha Priscilla Roberta Silva , Ribeiro Laiane Medeiros
Published: July 2024

Objetivo: analizar la efectividad de las técnicas de inserción de catéter central de inserción periférica en la prevención de la aparición de complicaciones asociadas con este dispositivo en recién nacidos. Método: revisión sistemática de la literatura y metaanálisis pareado y en red, la búsqueda se realizó en siete bases de datos y en la literatura gris, se incluyeron ensayos clínicos aleatorizados y no aleatorizados. El riesgo de sesgo se evaluó mediante las herramientas Cochrane Risk of Bias 2 y Risk of Bias In Non-randomized Studies of Interventions . La certeza de la evidencia a través de la Grading of Recommendations Assessment, Development and Evaluation . Se realizó un metaanálisis con ayuda del programa estadístico R. Resultados: se incluyeron ocho estudios, con 1126 recién nacidos, y se identificaron seis técnicas de inserción: electrocardiograma intracavitario, electrocardiograma intracavitario asociado a ultrasonido, ultrasonido, fórmula, punto anatómico de referencia y punto anatómico de referencia modificado. Cinco técnicas redujeron significativamente el mal posicionamiento primario de la punta en comparación con el control (p<0,05). El electrocardiograma intracavitario redujo de manera significativa y más efectiva las arritmias, las complicaciones generales y la flebitis; la técnica que utilizó una fórmula también redujo las complicaciones generales. La infección, la infiltración, el mal posicionamiento secundario de la punta, la rotura del catéter, la trombosis, la oclusión y las lesiones de la piel asociadas con el catéter son eventos que no se revinieron significativamente. Conclusión: el electrocardiograma intracavitario y el uso de la fórmula fueron las técnicas más efectivas para reducir las complicaciones.
Prevenção de complicações relacionadas a técnicas de inserção do cateter central de inserção periférica em recém-nascidos: revisão sistemática e metanálise em rede
Authors: Beleza Ludmylla de Oliveira , Brasil Guilherme da Costa , Margatho Amanda Salles , Vasques Christiane Inocêncio , Silveira Renata Cristina de Campos Pereira , Rocha Priscilla Roberta Silva , Ribeiro Laiane Medeiros
Published: July 2024

Objetivo: analisar a efetividade das técnicas de inserção de cateter central de inserção periférica na prevenção da ocorrência de complicações relacionadas a este dispositivo em recém-nascidos. Método: revisão sistemática da literatura e metanálise pareada e em rede, com busca realizada em sete bases de dados e na literatura cinzenta, inclusão de ensaios clínicos aleatorizados e não aleatorizados. O risco de viés foi avaliado pelas ferramentas da Cochrane Risk of Bias 2 e o Risk of Bias In Non-randomised Studies of Interventions. A certeza da evidência pelo Grading of Recommendations Assessment, Development and Evaluation. Realizou-se metanálise com auxílio do programa estatístico R. Resultados: oito estudos, com 1126 recém-nascidos, foram incluídos e seis técnicas de inserção identificadas: eletrocardiograma intracavitário, eletrocardiograma intracavitário associado à ultrassonografia, ultrassonografia, fórmula, marco de referência anatômico e marco de referência anatômico modificado. Cinco técnicas diminuíram significativamente o mau posicionamento primário da ponta quando comparadas com o controle ( p <0,05). O eletrocardiograma intracavitário diminuiu arritmias, complicações gerais e flebite de forma significativa e mais efetiva; a técnica que utilizou uma fórmula também reduziu complicações gerais. Infecção, infiltração, mau posicionamento secundário da ponta, ruptura do cateter, trombose, oclusão e lesão de pele associada ao cateter não foram eventos prevenidos significativamente. Conclusão: eletrocardiograma intracavitário e uso da fórmula foram as técnicas mais efetivas na redução de complicações.
Reutilização das máscaras N95/PFF2 na prática clínica: análise morfológica e estrutural
Authors: Vimieiro Viviane Lopes , Vimieiro Claysson Bruno Santos , Oliveira Adriana Cristina de
Published: July 2024

Objetivo: analisar a integridade das máscaras N95/PFF2 em relação à morfologia das fibras, porosidade, fissuras e micro furos, bem como identificar danos visíveis em sua estrutura e componentes, após protocolos de reutilização de sete e quinze dias. Método: estudo transversal. Características estruturais e morfológicas de uma máscara N95/PFF2 nova foram analisadas em comparação com máscaras N95/PFF2 (n=10) utilizadas em protocolos de sete e quinze dias, por meio da inspeção visual e microscopia eletrônica de varredura. Resultados: na inspeção visual, seguindo o protocolo de sete dias, 40% e 60% das máscaras N95/PFF2 apresentaram, respectivamente, marcas de identificação pessoal e sujidades externas e internas. Além disso, 20% exibiram afrouxamento e/ou rompimento das tiras de fixação, enquanto 100% mostraram algum tipo de dano nos clipes nasais. No protocolo de quinze dias, todas as máscaras N95/PFF2 apresentavam sujidade, tiras de fixação frouxas e clipes nasais comprometidos; 80% possuíam dobras. A microscopia eletrônica revelou aumento dos poros e afrouxamento nas tramas a partir de sete dias, ampliando-se até quinze dias, com presença de micro furos e detritos. Conclusão: a reutilização das máscaras N95/PFF2 compromete a integridade estrutural e morfológica. É crucial realizar testes para mensurar o impacto dessa prática na segurança dos profissionais de saúde.
Nursing workload: use of artificial intelligence to develop a classifier model
Authors: Rosa Ninon Girardon da , Vaz Tiago Andres , Lucena Amália de Fátima
Published: July 2024

Objective: to describe the development of a predictive nursing workload classifier model, using artificial intelligence. Method: retrospective observational study, using secondary sources of electronic patient records, using machine learning. The convenience sample consisted of 43,871 assessments carried out by clinical nurses using the Perroca Patient Classification System, which served as the gold standard, and clinical data from the electronic medical records of 11,774 patients, which constituted the variables. In order to organize the data and carry out the analysis, the Dataiku® data science platform was used. Data analysis occurred in an exploratory, descriptive and predictive manner. The study was approved by the Ethics and Research Committee of the institution where the study was carried out. Results: the use of artificial intelligence enabled the development of the nursing workload assessment classifier model, identifying the variables that most contributed to its prediction. The algorithm correctly classified 72% of the variables and the area under the Receiver Operating Characteristic curve was 82%. Conclusion: a predictive model was developed, demonstrating that it is possible to train algorithms with data from the patient’s electronic medical record to predict the nursing workload and that artificial intelligence tools can be effective in automating this activity.
Carga de trabalho de enfermagem: uso de inteligência artificial para o desenvolvimento de modelo classificador
Authors: Rosa Ninon Girardon da , Vaz Tiago Andres , Lucena Amália de Fátima
Published: July 2024

Objetivo: descrever o desenvolvimento de um modelo classificador preditivo da carga de trabalho de enfermagem, utilizando inteligência artificial. Método: estudo observacional retrospectivo, em fontes secundárias de registros eletrônicos de pacientes, com uso de aprendizado de máquina. A amostra por conveniência constituiu-se de 43.871 avaliações realizadas por enfermeiras assistenciais com o Sistema de Classificação de Pacientes de Perroca, as quais serviram como padrão ouro, e os dados clínicos do prontuário eletrônico de 11.774 pacientes, que constituíram as variáveis. Para a organização dos dados e a realização das análises, utilizou-se a plataforma de ciência de dados Dataiku ® . A análise dos dados ocorreu de forma exploratória, descritiva e preditiva. Estudo aprovado pelo Comitê de Ética e Pesquisa da instituição campo do estudo. Resultados: o uso de inteligência artificial possibilitou o desenvolvimento do modelo classificador de avaliação da carga de trabalho de enfermagem, identificando as variáveis que mais contribuíram para a sua predição. O algoritmo classificou corretamente 72% das variáveis e a área sob a curva Receiver Operating Characteristic foi de 82%. Conclusão: houve o desenvolvimento de um modelo preditivo, demonstrando que é possível treinar algoritmos com dados do prontuário eletrônico do paciente para predizer a carga de trabalho de enfermagem e que as ferramentas da inteligência artificial podem ser efetivas para a automatização desta atividade.
Benchmarking de aplicativos móviles dirigidos a la salud de personas con Diabetes Mellitus
Authors: Lopes Rafael Oliveira Pitta , Chagas Sara Rodrigues , Gomes Eduardo da Silva , Barbosa Joice Cesar de Aguiar , Silva Ítalo Rodolfo , Brandão Marcos Antônio Gomes
Published: July 2024

Objetivo: mapear los contenidos y los recursos de los aplicativos móviles sobre el manejo de la Diabetes Mellitus y su usabilidad en los principales sistemas operacionales. Método: investigaciones de benchmarking . El mapeo de los apps , de los contenidos y recursos en las plataformas Play Store y App Store fue realizado a partir de una adaptación en la estructura de revisiones del objetivo del Joanna Briggs Institute. Para el análisis de la usabilidad, los aplicativos fueron comprobados por dos semanas; para esto, se utilizó el instrumento System Usability Scale , siendo que puntajes entre 50-67 puntos, son considerados limítrofes; entre 68-84, tienen usabilidad aceptable; y, arriba de 85, tienen excelente aceptación por el usuario y para realizar análisis estadística descriptiva. Resultados: los contenidos más prevalentes fueron el manejo de la glucemia capilar, alimentación, terapia medicamentosa oral e insulinoterapia. En cuanto a los recursos se obtuvo mayor frecuencia de diarios y gráficos. En relación a la usabilidad, 2 apps fueron considerados de excelente aceptación; 34, productos con usabilidad aceptable; 29, los apps pueden presentar algunas fallas, sin embargo tiene estándares de usabilidad todavía aceptables; y, 6 presentaron fallas sin condiciones de usabilidad. Conclusión: los contenidos y los recursos de aplicativos móviles abordan los puntos fundamentales para el manejo de la diabetes mellitus, con recursos de fácil utilización, usabilidad aceptable por los usuarios y con potencial para auxiliar en el manejo de la diabetes mellitus, en el día a día de los pacientes.
SARS-CoV-2 clearance in term of Cycle Threshold (Ct) during first two waves of COVID-19 in Pakistan: a phenomenon of delayed viral clearance post-corticosteroid treatment
Authors: Uppal R. , Saeed U. , Uppal M. R. , Khan A. A. , Ahmad M. , Piracha Z. Z.
Published: July 2024

Abstract SARS-CoV-2 is recently emerged virus, which caused millions of deaths, all over the world. To tackle COVID-19 pandemic, there is an utmost need for in-depth analysis of viral replication. We aimed to examine viral load in SARS-CoV-2 patients during first two waves of COVID-19 in Pakistan. 225,615 suspected subjects from 75 different regions of Pakistan were selected in the study. SARS-CoV-2 RNAs were detected via real time PCR. During first wave (period of June-July, 2020) of COVID-19 the prevalence of SARS-CoV-2 was 20.38%. However, during second wave (period of November-December, 2020) of COVID-19, the rate of prevalence was 9.41%. During first wave of COVID-19 96.31% of participants remained PCR positive for 14 to 21 days, 3.39% of subjects showed positive results for 22 to 35 days, while delayed Ct values were observed among 0.26% of participants for 36 to 49 days. However, during second wave of COVID-19 89.31% of the subjects exhibited symptoms and showed real-time PCR positive results for 14 to 21 days, 9.42% showed positive results for 22 to 35 days, while significantly delayed Ct value results were observed among 1.026% of participants for 36 to 63 days (3.95 times higher than first wave). In contrast to first wave of COVID-19, the factors that were different in second wave were neither viral (different strains) nor host (same population). But treatment factors changed significantly. As during second wave besides azithromycin, corticosteroid dexamethasone consumption was increased consequently causing delayed Ct value negativity. This suggests that corticosteroid treatment might be linked with delayed Ct value or viral clearance. This study is crucial for re-considering effective therapeutic options against COVID-19.
Bisphenol-A induced cyto-genotoxicity on retinal pigment epithelial cells is differentially modulated by a multi-supplement containing guarana, selenium, and L-carnitine
Authors: Turra B. O. , Bonotto N. C. A. , Teixeira C. F. , Chelotti M. E. , Rodrigues J. R. , Mastella M. H. , Azzolin V. F. , Ribeiro E. E. , Barbisan F. , Cruz I. B. M.
Published: July 2024

Abstract Bisphenol A (BPA) may adversely affect human health by inducing oxidative stress and irreversible damage to cells. Bioactive compounds found in some functional foods, individually or in combination, can attenuate the negative effects of BPA exposure; an example is the multi-supplement containing guarana (Gua), selenium (Se), and L-carnitine (LC) —GSC— which has already demonstrated antioxidant, genoprotective, and immunomodulatory activities. This study aimed to determine the effect of GSC and its constituents on oxidative and genotoxic alterations triggered by BPA exposure in the retinal epithelial cell line. The cells exposed to BPA (0.001, 0.01, 0.1, 1, 3, and 10 µM) to determine the lowest concentration required to induce cyto-genotoxicity. ARPE-19 cells were then concomitantly exposed to the selected BPA concentration, GSC, and its components (Gua, 1.07 mg/mL; Se, 0.178 µg/mL; and LC, 1.43 mg/mL). Flow cytometry, biochemical assays, qRT-PCR, genotoxicity, apoptosis, and cellular proliferation. Based on our results, 10 µM of BPA could induce cyto-genotoxic and oxidative alterations. BPA did not alter the Bcl-2/BAX expression ratio but induced Casp3 and Casp8 overexpression, suggesting that apoptosis was induced mainly via the extrinsic pathway. GSC partially reversed the alterations triggered by BPA in ARPE-19 cells. However, Se had unexpected negative effects on ARPE-19 cells. The multi-supplement GSC may attenuate changes in oxidative and genotoxic markers related to exposure of ARPE-19 cells to BPA. our results revealed that the antioxidant, anti-apoptotic, and genoprotective properties of GSC were not universally shared by its individual, once Se did not exhibit any positive impact.
Creation of rice doubled haploids with low amylose content using in vitro anther culture
Authors: Usenbekov B. , Amirova A. , Zeinalov Z. , Meldebekova A. , Mynbayeva D. , Berkimbay Kh. , Kurbangaliyeva T.
Published: July 2024

Abstract In vitro androgenesis is a unique model for producing homozygous doubled haploid plants. The use of haploid biotechnology accelerates to obtain of doubled haploid plants, which is very important in rice breeding. The purpose of this work is to improve the production of doubled haploids in rice anther culture in vitro and selection of doubled haploid plants with valuable traits. The study the influence of nutrient media on the production of calli and plant regeneration processes in anther culture of 35 rice genotypes was revealed a significant influence of nutrient media on callus production. It was shown that the addition to culture medium phytohormones ratio with high level of cytokinin (5.0 mg/L BAP) and a low level of auxin (0.5 mg/L NAA), supplemented with amino acid composition promotes high production of green regenerated plants (68.75%) compared to albino plants (31.25%). As a result, doubled haploid lines of the glutinous variety Violetta were selected, which characterized by a low amylose content variation (from 1.86 to 2.80%). These doubled haploids are superior to the original variety in some yield traits and represent valuable breeding material.
Serum and immunohistochemical analyses of troponin I in sheep experimentally poisoned with Palicourea marcgravii
Authors: Cunha Isabelle M. , Lessa Daniel A.B. , Carvalho Vivian A.N. , Santos Bartolomeu B.N. , Souza Guilherme N. , Alencar Nayro X. , Russano Kícia , Paes Jade M. , Chenard Marina G. , Helayel Michel J.SA.
Published: July 2024

ABSTRACT: Palicourea marcgravii is a lethal toxic plant widely distributed in Brazil. Ingestion of this plant causes cardiotoxic effects in animals, leading to acute heart failure without evident macroscopic changes in the heart due to the rapid progression of the disease. Currently, the diagnosis is confirmed based on microscopic identification of characteristic renal lesions. Although troponin is used as a biomarker for myocardial lesions in human and veterinary medicine, its serum levels in sheep poisoned with P. marcgravii remain unknown. The objective of this study was to determine serum levels of troponin I and evaluate its expression in incipient heart lesions in sheep. Eight male sheep were experimentally intoxicated with 1g kg-1 of fresh P. marcgravii plants. The animals were physically examined every two hours, and blood samples were collected before the administration of the plant material and during the agonizing period immediately before death. Additionally, necropsy and immunohistochemistry were performed on cardiac tissue samples. All animals presented minimal serum levels of troponin I before plant administration, with a significant increase in these levels immediately before death, indicating leakage due to the cardiac injury. These results confirm the hypothesis that troponin is released into the bloodstream before morphological changes in the myocardium can be observed through conventional microscopy and immunohistochemical testing. These findings contribute to understanding the pathological mechanisms of this toxicity and may assist in the early diagnosis and treatment of affected animals.
Antecedents of perceived employability among higher education students
Authors: Oliveira Lucia Barbosa de , Silva Beralda Conceição de Lima da
Published: July 2024

Abstract Purpose: The purpose of this research is to investigate the influence of different antecedents of perceived employability among higher education students, including career engagement, involvement with the university environment (assessed through academic performance and participation in extracurricular activities), the prestige of the higher education institution, as well as the students’ gender, socioeconomic status, and core self-evaluations. Originality/value: The study seeks to enhance the understanding of the antecedents of the perceived employability of higher education students in Brazil, addressing a gap in the national literature on career development and professional insertion, which lacks quantitative research on perceived employability. Design/methodology/approach: A survey was conducted with the participation of 506 students from different higher education institutions in Rio de Janeiro. Hypotheses were tested using structural equation modeling. Findings: The results showed that perceived employability is positively influenced by participants’ core self-evaluations and socioeconomic status, as well as by the prestige of their higher education institution, career engagement, and participation in extracurricular activities. Furthermore, the impact of career engagement on perceived employability was fully mediated by participation in extracurricular activities. Finally, gender and academic performance did not influence perceived employability.
Women gamers: Gender performativities in female eSports consumption
Authors: Moura Bruno Melo , Souza-Leão André Luiz Maranhão de , Salgueiro Eric Matheus Gomes , Crosato Mayara Sales , Rocha Antonio Lucas da Silva
Published: July 2024

ABSTRACT Purpose: Women’s increasing interest in eSports is an emblematic phenomenon. However, they have been facing discriminatory sexist practices based on a discourse focused on establishing gender inferiority. Thus, the present research aims to investigate how gender performativities are produced in eSports consumption by women gamers. Originality/value: Due to a lack of discussions about female eSports consumption, the current study explores gaps in consumer culture research literature based on theoretical and epistemological concerns. Butlerian concepts of performativity are used to help better understand the conduct produced in discussions about female eSports consumption. Design/methodology/approach: An interpretive content analysis (ICA) of 44 interviews was carried out to help better understand women gamers’ perception of their experience in games, and in the cultural scenario itself, the eSports consumers’ social network is formed by both practitioners and game enthusiasts. Findings: The current analytical effort identified two dimensions: “Fight like a girl!” and “Girls just want to have fun!”. It was possible to perceive that even gender performativities with different interests work as gender discourse reproducers and spreaders in both dimensions when they take place without due diligence. Ultimately, this is a complex market dispositif capable of leading the eSports scenario to a patriarchal system among its consumers.
OBSERVAÇÕES PRELIMINARES SOBRE O PARASITISMO DE OVOS DE LEPTOPHARSA HEVEAE (HEMIPTERA: TINGIDAE) EM SERINGUEIRA EM PINDORAMA, SP
Authors: Costa V.A. , Pereira C. de F. , Batista Filho A.
Published: July 2024

Resumo Com a expansão da heveicultura no território paulista, o percevejo de renda Leptopharsa heveae (Hemiptera: Tingidae) adaptou-se e passou a ocorrer em elevados níveis populacionais nesse estado. Como a cultura da seringueira é perene, os inimigos naturais têm grande importância no combate às pragas. Embora nos meses mais úmidos do ano seja possível empregar o fungo entomopatogênico Sporothrix insectorum para controlar esse percevejo, nos meses mais secos sua eficiência é comprometida, sendo necessário, portanto, encontrar outros inimigos naturais. Esse trabalho foi realizado com o objetivo de encontrar parasitóides de ovos de L. heveae. A partir de folhas de seringueiras coletadas em Pindorama, SP, foi observada a ocorrência de Erythmelus tingitiphagus (Soares) (Hymenoptera: Mymaridae) em 7% dos ovos de L. heveae.
Interprofessional approach to fall prevention in hospital care
Authors: Albertini Anna Carolina da Silva , Peduzzi Marina
Published: July 2024

ABSTRACT Objective: To understand the perception and experience of health professionals regarding fall prevention practices in hospital inpatient units. Method: This is a qualitative exploratory and descriptive case study based on the Canadian framework of interprofessional competences. Data was collected from two focus groups, with different health professionals in each group, and thematic content analysis was used. Results: Five categories were drawn up which showed intense convergence between the participants of the two focus groups, within the context of fall prevention practices: communication between professionals and patients/carers for fall prevention, interprofessional communication for fall prevention, clarification of roles for fall prevention, health education about risk and fall prevention and continuing education for fall prevention. Conclusion: Teamwork and collaborative practice are important for achieving good results in the prevention of falls in hospital care, but for this to happen, health professionals need to acquire the necessary competences for collaborative action.
Sleep quality and falls in middle-aged and older adults: ELSI-Brazil study
Authors: Santos André Pereira dos , Cordeiro Jéssica Fernanda Correa , Abdalla Pedro Pugliesi , Bohn Lucimere , Sebastião Emerson , Silva Leonardo Santos Lopes da , Tasinafo Júnior Márcio Fernando , Venturini Ana Cláudia Rossini , Andaki Alynne Christian Ribeiro , Mendes Edmar Lacerda , Marcos-Pardo Pablo Jorge , Mota Jorge , Machado Dalmo Roberto Lopes
Published: July 2024

ABSTRACT Objective: To verify the association between low self-reported sleep quality (LSQ) and fall in middle-aged and older adults every half-decade of life. Method: A cross-sectional study was conducted using data from the first wave (2015–2016) of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), which is nationally representative. The sample consisted of 8,950 participants who were allocated into eight age groups: 50–54, 55–59, 60–64, 65–69, 70–74, 75–79, 80–84, and ≥ 85 years. The questionnaires used included self-reported sleep quality and the International Physical Activity Questionnaire short version. Fisher’s exact test followed by binary logistic regression analysis was performed to identify the odds ratio of sleep quality for fall occurrence, controlled for confounding variables. Results: Individuals aged 50–105 years (63.6 ± 10.2 years), 57.0% females and 43.0% males, participated in this study. Overall, 21.5% of participants experienced at least one fall. The relative frequency of participants classified as having high or LSQ remained constant across each half-decade of life. The LSQ exhibited a statistically significant OR (p < 0.05) for falls across age groups up to 84, even after accounting for confounding variables. Conclusion: LSQ is significantly associated with an increased occurrence of fall in adults aged >50 years, but not for ≥ 85 years regardless of sex and physical activity level.
Avaliando a implementação da residência em medicina de família e comunidade na atenção primária
Authors: Ribeiro Lucas Gaspar , Cyrino Eliana Goldfarb , Pazin-Filho Antônio
Published: July 2024

RESUMO Introdução: A medicina de família e comunidade (MFC) é a especialidade preferencial para estar presente na atenção primária à saúde (APS). O padrão ouro de formação de profissionais para a especialidade é a residência médica, momento que ao menos 70% do período de estágio é na APS. Assim, é imprescindível avaliar a qualidade de inserção da residência nesse local. Objetivo: Este estudo teve como objetivo avaliar a qualidade de implementação dos programas de residência médica em MFC na APS. Método: Utilizou-se uma ferramenta desenvolvida para a análise de implementação de residência de MFC na APS em programas pequenos (até dois residentes do segundo ano), médios (de dois a cinco) e grandes (a partir de seis), avaliando de zero a quatro pontos, entre não implantado e totalmente implantado. As notas foram obtidas a partir de entrevista com residentes, preceptores, coordenadores e gestores municipais, considerando a avaliação de quarta geração com análise de Bardin das falas. Resultado: Seis programas foram avaliados, em municípios de 20 mil a 12 milhões de habitantes, com variação de um a 22 residentes do segundo ano por programa, desde insatisfatório (um programa) a totalmente implantado (dois programas). Municípios com maior cobertura de APS apresentaram resultados de implementação melhores. As notas mais baixas foram nos itens “educação permanente” e “educação continuada”, e as mais altas na presença de especialistas em MFC como preceptores. Há diferença de percepção entre os entrevistados considerando as mesmas perguntas. O estudo sugere que municípios com maior investimento na APS também possuem melhores programas de residência, independentemente de o vínculo ser com centros educacionais ou secretarias de saúde. A pandemia de Sars-CoV-2 também dificultou a educação em saúde. Os resultados também foram definidores quando entrevistadas diferentes pessoas, demonstrando ser essencial a análise de quarta geração. Conclusão: Há a necessidade de observar a implementação dos programas de residência na APS para garantir formação de qualidade, e não apenas quantidade para provimento.