bluuebunny/crossref_metadata_2025 huggingface dataset:
Nonverbal Peer Feedback and User Contribution in Online Forums: Experimental Evidence of the Role of Attribution and Emotions
Authors: Shankar Ramesh ,   University of Connecticut, Wang Lei ,   Penn State University, Gunasti Kunter ,   Washington State University, Li Hongfei ,   The Chinese University of Hong Kong
Published: March 2024

Peer feedback is often associated with an increase in the contributions of members in online communities. Verbal feedback (such as a review) can give details about how the recipient can improve their contribution, but it requires the recipient to read and process the feedback. Conversely, nonverbal feedback (such as an upvote) is easy to comprehend but does not convey much helpful information. Prior studies have mainly focused on the impact of verbal feedback. However, little has been done to explore the underlying mechanism of the effect of nonverbal peer feedback on people’s tendency to contribute more. We present two experimental studies conducted on Amazon Mechanic Turk. Study 1 demonstrates how verbal and nonverbal feedback impact user contributions differently. Next, building on attribution-emotion-action theory, we use Study 2 to establish a causal mechanism between nonverbal feedback and users’ knowledge contribution. Specifically, users who receive nonverbal peer feedback make internal and external attributions, which in turn impact their emotions and contribution decisions. We find that users receiving more positive feedback attribute this in equal measure internally to perceived self-efficacy and externally to perceived fairness, whereas users who receive negative feedback attribute it more to the lack of perceived fairness of peer feedback. These findings have important implications for both content-sharing platforms and researchers trying to better understand the drivers of online content-sharing behavior.
Optimal Launch Timing of Bug Bounty Programs for Software Products under Different Licensing Models
Authors: Feng Nan ,   Tianjin University, Zhou Tianlu ,   Tianjin University, Feng Haiyang ,   Tianjin University, Li Minqiang ,   Tianjin University
Published: March 2024

An increasing number of software firms are utilizing bug bounty programs (BBPs) to detect bugs and enhance their product quality by leveraging the contributions of external ethical hackers. Although launching a BBP involves bounties as well as the costs of processing bug reports and fixing bugs, software firms can save failure costs and enjoy the benefits of greater user trust. The costs and benefits resulting from launching a BBP vary with launch timings and software licensing models. Hence, we investigate the optimal BBP launch strategies for software firms, using perpetual or subscription licensing models. Our findings reveal that under perpetual licensing, the firm has only two viable launch strategies: simultaneous launch, i.e., launching the software and the BBP simultaneously, and no launch. Under subscription licensing, however, delayed launch, i.e., launching the BBP later than the software release time, occurs as the optimal strategy when the failure cost is not high and the benefit of user trust is significant. Two distinct patterns in the relationship between the firm’s bug-fixing capability and its payoff are identified: a U-shaped pattern and an inverted U-shaped pattern. We uncover the conditions under which a firm should opt not to launch a BBP as its bug-fixing capability improves. This study offers insights into how firms can be motivated to launch BBPs to improve the overall reliability of their software.
How Online Consumers Use Multiple Advice Sources: An Empirical Exploration Using Verbal Protocol Analysis
Authors: Kim Hongki ,   Clemson University, Benbasat Izak ,   University of British Columbia
Published: March 2024

With more online stores providing recommendations and reviews simultaneously from multiple advice sources—such as recommendation agents, other consumers, and experts—consumers are facing the challenge of deciding how to use wide-ranging and possibly conflicting sets of information to improve their product selection. Although previous studies have investigated the classical decision-making strategies used in preferential choice problems, most of these are not directly applicable to multiple advice source environments. In addition, since most of these studies have mainly focused on a variance model rather than a process model, they cannot fully explain how decision makers reach their product selection decisions. To shed light on the processes that online consumers use in making product selections when using multiple advice sources, this study: (1) explores if, how, and when consumers use consistency as a part of their decision-making strategies through developing process models; (2) identifies the consistency strategies utilized when using multiple advice sources; and (3) proposes a new consistency-based decision-making model. Through concurrent verbal protocol analysis, we identified four consistency strategies and found that the use of consistency strategies increases decision quality more than traditional nonconsistency strategies. Our findings are triangulated through the theoretical lens of cognitive dissonance theory, information search process model, and confirmation bias for rigorous validation. We also describe the theoretical and practical implications of our findings.
Proposing Shocks and Dissatisfaction to Explain Quitting and Switching a Service: An Image Theory Perspective
Authors: Maier Christian ,   University of Bamberg, Laumer Sven ,   Friedrich-Alexander-Universität Erlangen-Nürnberg, Sun Heshan ,   University of Oklahoma, Thatcher Jason Bennett ,   University of Colorado Boulder, Weitzel Tim ,   University of Bamberg
Published: March 2024

This study sheds light on how shocks, or events perceived as jarring, cause users to discontinue a service. We use image theory to develop a model of discontinuation (MOD), which includes five main concepts: shock, script, image violation, service and task dissatisfaction, and search for and evaluation of superior alternatives. MOD explains how two types of user discontinuation behavior—quitting and switching—are formed along seven paths that are either related to contextual or technological shocks or result from dissatisfaction with a task or service. Our first empirical study shows that more than 95% of the 467 ex-users surveyed followed one of these paths when discontinuing media streaming, social networking, and matchmaking services. In the second study, we developed a research model based on the MOD to understand how the psychological factors associated with shocks lead to the intention to discontinue. We evaluate this model with a scenario study in which we present the situation of users of a matchmaking service and present participants with a contextual shock. Data from 201 individuals show that users are likely to develop intentions to quit when they use an engaged script or experience an image violation. Interviews with a panel of practitioners confirmed that MOD provides a useful and applicable approach to understanding users’ quitting and switching behaviors in different contexts. We conclude our paper with a discussion of implications for research and practice.
From Methodological Symmetry to Gaia: Latour’s Legacy and Untapped Potential for IS Research
Authors: Aanestad Margunn ,   University of Oslo, Hanseth Ole ,   University of Oslo, Monteiro Eric ,   Norwegian University of Science and Technology, Niemimaa Marko ,   University of Agder, Ribes David ,   University of Washington
Published: March 2024

A defining concern for information systems (IS) is how to theorize its primary object of study, the digital artifact. Historically, approaches in IS have oscillated between technological determinist and social determinist ones. Bruno Latour’s works contributed to recalibrating a more symmetrical treatment of the two, and he played a distinctive role in stimulating the evolution of empirically committed, process-oriented theorizing in the IS field. We commemorate Latour’s work by revisiting his early influence on IS research and discuss some of the direct and indirect influences on contemporary IS, such as infrastructure studies and sociomateriality. With the interest in agentic technologies via AI, Latour’s perspectives on technological agency are more relevant than ever. In addition, we explore ideas that are relevant to IS but have yet to be taken up, thus representing untapped theoretical and methodological potential for future IS research—for example, approaching data as circulating reference or how his work could contribute to sustainability discussions in IS.
As irmãs que Agustina nunca teve: Florbela Espanca, Maria Helena Vieira da Silva, Paula Rego e Graça Morais/ The Sisters Agustina Never Had: Florbela Espanca, Maria Helena Vieira Da Silva, Paula Rego and Graça Morais
Authors: Dumas Catherine
Published: March 2024

Resumo: Pretende-se estudar a forma como a romancista Agustina Bessa-Luís coloca a noção de “irmã” no âmago da sua relação com as obras visuais que acompanha, e as suas artistas Maria Helena Vieira da Silva, Paula Rego e Graça Morais. Para além disso, analisa-se A vida e a obra de Florbela Espanca como o livro em que a biógrafa define os seus critérios deste gênero literário. Pondera-se até que ponto a escritora biógrafa se confunde com a romancista e a crítica de arte num novo conceito de ekfrase que tanto se exercita na página como na tela, sendo a noção de atelier comum às artistas e à escritora.Palavras-chave: ekphrasis; Maria Helena Vieira da Silva; Paula Rego; Graça Morais; Florbela Espanca.Abstract: We professto studie the way how the novelist Agustina Bessa-Luís places the notion of “sister” at the center of her relationship with the visual work she accompanies, and the artists Maria Helena Vieira da Silva, Paula Rego and Graça Morais. We analise A vida e a obra de Florbela Espanca as the book where the boiographer defines her standard of this literary gender. We consider whiser the writer biographer gets confused with the novelist and the art critic in a new concept of ekphrasis that exercises itself as well in the page than in the picture, as the atelier notion is shared by the artists and the writer.Keyword: ekphrasis; Maria Helena Vieira da Silva; Paula Rego; Graça Morais; Florbela Espanca
Video, Film and Migration: 1980s Turkey in Germany
Authors: Kasap Ortaklan Oya
Published: March 2024

In the study of the relationship between Turkish migrants living in the Federal Republic of Germany (West Germany) and the media, the 1980s – during which video experienced a massive emergence – are of great importance due to the spread of neo-liberal and conservative ideologies that occurred during that decade. In addition to shaping reception styles, viewing habits, and film canons, video also facilitated the transfer of technology, knowledge, and images between Turkey and the Federal Republic of Germany along the migration axis. Based on this thesis, this article focuses on the relationship between Turkey and Turkish migrants in the Federal Republic of Germany in the 1980s that formed through video. The primary aim is to examine how migrant audiences came into contact with Turkey during this period. The analysis considers the historical context, the type of interaction made possible by video broadcasting, the role of the audience, and the discourses of power that influenced this interaction. In this way, the ideological function of video, its proxy status, and the basis of its legitimacy in the media context become clear.
Patterns of Behavior of State Civil Apparatus in The Implementation of E-Government (Case Study in The Regional Secretariat of Bantul District, Indonesia)
Authors: Pribadi Denny Ardiansyah , Suswanta Suswanta
Published: March 2024

The main subject of this research is the behavior patterns of civil servants in dealing with changes in e-government. This study aims to determine the behavior patterns of Civil Servants at the Regional Secretariat of Bantul Regency. The theory used is the bureaucratic theory by Miftha Thoha, formulated in five aspects, namely Capability, Needs, Trust, Experience, and Expectations, and implementation theory by Edward III, which is developed in four aspects: communication, resources, dispositions, and bureaucratic structure. This study uses a qualitative method. The informants were leaders at the Regional Secretariat of Bantul Regency who were taken using a purposive sampling technique. Data collection techniques consisted of observation, interviews, and documentation, while data analysis techniques involved data reduction, data presentation, and conclusion drawing (verification). The results showed that the civil servants' behavior patterns in implementing e-government at the Regional Secretariat of Bantul Regency have not been carried out optimally, as seen from the design of behavior and e-government. Aspects of trust have not gone well either. Trust has not been earned because it is hindered by employees' ability at 50 years and over. Regarding e-government, aspects of resources and bureaucratic structure still have obstacles. There are also several deficiencies. Parts of the bureaucratic system have obstacles to differences in employee benefits between heads of subdivisions and current functional positions. Therefore, leaders need to make a work plan to meet these needs. Ways that need to be taken to deal with this problem include encouraging employees aged 50 years and over and providing them with technology training, adding employees through broad selection, and understanding employees who have experienced reduced employee benefits.
HUBUNGAN MUTU, INDIKATOR KINERJA KUNCI, DAN KINERJA PELAYANAN RUMAH SAKIT (STUDI KASUS PADA RUMAH SAKIT AUMAKES)
Authors: Dewi Arlina , Wijaya Aris Suparman , Sukardi Fradita Eka
Published: March 2024

Background: Muhammadiyah and 'Aisha had a vision of 2020 is going to be a major driver of the establishment of networks between social groups that support healthy communities self-reliant and vision of 2015. Thus conducted a study of 40 hospitals under the auspices of Aumakes in 2009, from that data, researchers interested in conducting research on the quality of 40 hospitals under the auspices of Aumakes.

Purpose: The research objective is 1). To analyze the relationship of the hospital quality  with Key Performance Indicators (KPI), 2) to analyze the relationship of the Hospital Quality with BOR and 3). To analyze the relationship of the hospital quality with ALOS.

Methods: Types of research taking secondary data in 2009 with the design of the quantitative analysis method of retrospective study. Location of the study in 40 hospitals under the auspices of Aumakes. Analyzed using quantitative with correlation statistical program.

Result:. Correlation statistical data shows significant relationship exists between the quality and KPI with significance values is 0.00 and with strong correlation is 0.719. There is a significant relationship between hospital quality and BOR with significant value is 0.016 by weak correlation 0.394. There was no significant relationship between the quality and ALOS which is significance values 0.831.
Vivir bajo el realismo capitalista. Trabajo muerto, violencia positiva y hauntología en el filme Aloners (2021)
Authors: Almeyda-Sarmiento Juan David , Pereira-de Souza Herivelto
Published: March 2024

El artículo busca desarrollar cómo es que dentro del filme Aloners (2021) se desenvuelve una crítica a la violencia positiva que identifica a la sociedad capitalista contemporánea. Para conseguir esta meta, el escrito se divide en tres momentos: el primero, que desarrolla el modo en que se entiende el trabajo muerto dentro del filme; el segundo, que se ocupa de profundizar en el modo en que se producen patologías sociales desde el ejercicio de una violencia positiva sobre la subjetividad del sujeto y; finalmente, se recurre a la hauntología para poder comprender la función del fantasma en la cinta, develando así la crítica detrás de este mismo. De este modo, la hipótesis central del texto es que dentro de Aloners existe todo un aparato crítico hacia las formas de vida contemporáneas sometidas por la dominación total del trabajo en todos los aspectos de la existencia.
Auto-destrucción y auto-constitución en el pensamiento de Kierkegaard: un análisis de la primera parte de La enfermedad mortal
Authors: Rodríguez Pablo Uriel
Published: March 2024

El punto de partida de este trabajo es que la idea de autoconservación es constitutiva para la comprensión y el desarrollo histórico de la subjetividad moderna. El análisis kierkegaardiano de la psicología del individuo moderno en La enfermedad mortal retoma y reelabora el tópico de la autoconservación. Anti-Climacus (el pseudónimo kierkegaardiano) sostiene que los seres humanos no están ocupados con el mantenimiento de un yo ya determinado y concluido; sino, más bien, con la constitución misma de ese yo. En su exposición, él considera que la potenciación de la auto-constitución puede conducir a la autodestrucción. Este artículo procura interpretar la desesperación como autodestrucción y ofrecer, desde dicha interpretación, una comprensión consistente de sus dos modalidades principales: no querer ser sí mismo y querer ser sí mismo. Por último, el artículo considera la posibilidad de superación de la desesperación y concluye reflexionando en torno al desarrollo moderno del concepto de autoconservación.
La expresión inmanente categorial de los fundamentos transcendentales de la realidad
Authors: Velásquez-Camelo Edgar Enrique
Published: March 2024

La hermenéutica existencial crítica comprende los elementos que integran la explicación, la comprensión y la actualización en los fundamentos transcendentales de la realidad y que se expresan de forma inmanente en el ámbito espaciotemporal de sentido categorialmente. Así las cosas, el objetivo de este trabajo de investigación es presentar un análisis acerca de la relación entre los valores inmanentes y transcendentales en el ámbito espaciotemporal cotidiano de la acción humana. Esto con el fin de, en primer lugar, reconocer la superación empírica de las contradicciones éticas y lógicas del mundo social y de la vida y, en segundo lugar, identificar, en la expresión categorial de los fundamentos axiológicos transcendentales, la posibilidad de la transformación personal y colectiva del género humano desde la hermenéutica existencial crítica, cuyo dinamismo comprende al ser humano como un buscador en la resolución existencial del sentido, en su doble tensión entre lo oculto y luminoso a través del cultivo de la vida espiritual, para descubrir en el interior de sí el llamado que acontece en el silencio.
El decir-verdad como actitud democrática en la filosofía de Edgar Garavito Pardo
Authors: Gutiérrez-Bossa Jairo
Published: March 2024

En 1986 Edgar Garavito Pardo escribió un artículo en homenaje a Michel Foucault, quien había muerto dos años antes, y que fue titulado De la parrhesía o el decir-verdad. En este escrito el colmbiano asume el decir-verdad como una línea de fuga que tiende a la autenticidad de los valores por más confrontaciones que exista con el poder, pues el decir-verdad es el decir verdad de lo que uno es, hace y piensa sin dejarse coaccionar por los convencionalismo políticos, mediáticos e identitarios, y en ese sentido, para Garavito el decir-verdad como “actitud podría salvar a Colombia”, es decir, salvaguardar la democracia desde una actitud democrática que se encuentra validada en virtud del actuar del filósofo. El decir-verdad permite que la vida y la política coincidan a través de un lenguaje liberado, anárquico y transcursivo. Desde un ejercicio hermenéutico crítico, usado de manera filosófica, se aborda el autor para proponer una lectura original de la parrhesía de Edgar Garavito Pardo en relación con la transcursividad, que es el aspecto transformativo del lenguaje.
Aproximaciones a un realismo fenomenológico: más allá de la correlación y de la neutralidad ontológica
Authors: Hernández-Cagua Stee
Published: March 2024

Este artículo sostiene la tesis según la cual la fenomenología se puede comprometer con una ontología realista. El artículo da básicamente tres pasos para argumentar esto: (1) revisar los argumentos que sostienen la tesis de que la fenomenología al ser correlacionista está más próxima a un idealismo que a un realismo; (2) revisar los argumentos que sostienen que la fenomenología al ejecutar la epojé implica una neutralidad ontológica; y (3) construir argumentos que demuestren que la fenomenología es más cercana a un realismo ontológico y, por ende, la fenomenología no es ni idealista ni neutral ontológicamente.
Alcances y límites del utilitarismo de la preferencia de Peter Singer y la defensa a un trato igualitario hacia animales no humanos
Authors: Moreno-Urán Carlos Andrés
Published: March 2024

En el presente artículo se analizará la propuesta teórica, del utilitarismo de la preferencia de Peter Singer, y se estudiará sus alcances y límites en relación con la defensa de un trato igualitario hacia animales no humanos. En un primer momento se presentará el modelo teórico del autor, posterior a ello, se abordarán tres críticas: a) el contraargumento de los recursos reemplazables; b) la determinación de la vida de los animales no humanos como valor intrínseco, y c) importancia del tratamiento del concepto de derechos de los animales. Al finalizar, se evaluará la propuesta de Singer a la luz de estas críticason el fin de tener una propuesta teórica más coherente que ofrezca una defensa hacia las otras especies distintas a la humana.
El Anglo-eurocentrismo en los currículos universitarios de filosofía: una revisión sistemática de literatura
Authors: Bernal-Ríos Laura Patricia
Published: March 2024

Este artículo ofrece una revisión sistemática de los debates sobre el anglo-eurocentrismo en los currículos universitarios de filosofía, enfocándose en la necesidad de mayor diversidad cultural. A partir de la revisión de 52 estudios de la última década, se distinguen seis debates principales que develan las implicaciones del anglo-eurocentrismo en la filosofía académica: 1) reconocer el etnocentrismo anglo-eurocéntrico en la identidad disciplinaria de la filosofía, 2) tomarse en serio el multiculturalismo filosófico, 3) recurrir en todo o en parte a las filosofías comparadas, 4) buscar la diversidad mediante la filosofía intercultural, 5) girar la tuerca: de la normalización de la colonialidad filosófica a la interculturalidad nuestroamericana, y 6) incorporar las lecciones africanas contemporáneas para la diversificación del currículo filosófico. El artículo proporciona una guía orientativa de estos debates, resaltando las premisas y tesis en juego. Finalmente, se concluye con la sugerencia de repensar los currículos de los programas académicos de filosofía de las universidades colombianas al compás de la Política de educación superior inclusiva e intercultural.
Karl Marx, el joven hermeneuta: una crítica a la nueva gramática teológica del capitalismo
Authors: Calle-Zapata Mauricio
Published: March 2024

El modelo de ser humano: homo oeconomicus, impuesto por la racionalidad económica capitalista, ha tenido en las dos últimas décadas una metamorfosis compleja, a saber, la formación de un tipo de subjetividad representada en la figura del “emprendedor” o “su propio jefe” que, desde una nueva gramática teológica, encarna un proyecto mercantil solapado y subrepticio que condiciona las relaciones entre sujetos. En razón a esto, el propósito de este texto es pensar dicha problemática desde el ejercicio hermenéutico-crítico que lleva a cabo el joven Marx, para someter al análisis las categorías de culpa, deuda, sacrificio y expiación destacadas por Walter Benjamin, a la luz de la categoría esencia subjetiva de la propiedad privada que permita entender cómo el capitalismo se vale hoy de la teología y su lenguaje para continuar responsabilizando al ser humano de su pobreza, de su riqueza o su fracaso económico.
La inviabilidad epistémica del análisis conceptual inmodesto
Authors: Himma Kenneth Einar , Botero-Bernal Andrés
Published: March 2024

Este ensayo argumenta que el análisis conceptual inmodesto es epistémicamente inviable para seres como nosotros, porque no tenemos forma de justificar afirmaciones inmodestas acerca de la naturaleza de algo. Como argumento más adelante, las afirmaciones inmodestas no pueden ser justificadas por medios a priori o a posteriori. Si como suponen nuestras prácticas epistemológicas evaluativas tradicionales, no hay otras formas de justificar una creencia, entonces no podemos justificar afirmaciones inmodestas sobre la naturaleza de algo. El análisis conceptual inmodesto es epistemológicamente inviable, entonces, porque nosotros no tenemos una forma confiable de identificar y justificar afirmaciones inmodestas sobre la naturaleza de algo. El ensayo finaliza con una evaluación de las teorías jurídicas de Scott Shapiro y Mark Greenberg desde el punto de vista de una aproximación desde el análisis modesto, por ejemplo, lo que implican nuestras prácticas conceptuales sobre la naturaleza del derecho.
Quando as representações sociais se tornam abstração na área da saúde: uma revisão do contexto brasileiro sobre transtornos mentais
Authors: Laguna Gabriela Garcia de Carvalho , Roberto Maria Eduarda Silva Gomes , Alves Tarcísia Castro , Ferreira Paulo Rogers da Silva
Published: March 2024

Este artigo é resultado de uma revisão qualitativa acerca das representações sociais sobre saúde mental na área da saúde. Objetivo: Compilar como são categorizadas as representações dos estigmas sociais relativos a transtornos mentais no atual cenário brasileiro. Método: Trata-se de uma revisão integrativa na qual foram incluídos artigos brasileiros, em português, completos, publicados entre 2010 e 2021, nas bases de dados LILACS, BDENF - Enfermagem, Index Psicologia - Periódicos e MEDLINE, obtidos a partir da combinação dos descritores (Transtornos Mentais) e (Estigma Social). Resultados: Levantou-se 71 artigos, sendo 17 elegíveis para análise. Esta apresentou que a vivência social, a informação e a qualificação dos profissionais da saúde repercutem sob a representação do estigma sobre o transtorno mental. Evidenciou-se que a visão em torno de transtornos mentais ainda se encontra como uma grande abstração na área de saúde, estreitamente atrelada e simplificada a alusões negativas de convicções sociais que contribuem para a estigmatização dessas pessoas dentro e fora da área da saúde. Conclusão: Urge, portanto, a elaboração de novas ferramentas capazes de trazer uma abordagem distinta do caráter representacional, a fim de minorar o reforço negativo construído sobre a temática chave.
 
Palavras-chave: Transtornos mentais; Estigma social; Representação social; Saúde mental; Saúde pública.
e-SUS APS: necessidades de melhorias operacionais na percepção dos cirurgiões-dentistas de um distrito sanitário do Recife-PE
Authors: Soares Moreira Karolina , Maria de Santana Mauricea , Da Silva Monteiro Ive , De Sousa Ferreira Érica
Published: March 2024

Objetivo: Neste estudo, tem-se por objetivo analisar as necessidades de melhorias dos registros, monitoramento e avaliação do e-SUS APS na perspectiva dos cirurgiões-dentistas do Distrito Sanitário I do Recife-PE. Métodos: Trata-se de um estudo com abordagem qualitativa. Os dados foram coletados por meio de entrevistas individuais semiestruturadas, realizadas entre os meses de julho e agosto de 2022, com 8 (oito) cirurgiões-dentistas de equipes de saúde bucal. Para análise dos dados, foi utilizada a técnica de análise de conteúdo. Resultados: Percebe-se que a integração das informações, por meio do software e-SUS APS, facilitou o processo de trabalho dos cirurgiões-dentistas, entretanto, constata-se a necessidade de capacitações dos profissionais de saúde e gestores para o planejamento de atividades com base nas informações produzidas, além do aperfeiçoamento do referido software para incluir especificidades da saúde bucal. Conclusões: O e-SUS APS trouxe melhorias na qualidade e consistência das informações produzidas pelos cirurgiões-dentistas, porém apresenta vários aspectos que necessitam ser melhorados.
 
Palavras-chave: Sistema de informação em saúde; Atenção primária à saúde; Registros eletrônicos de saúde.
Trilhas da reabilitação, Trabalho e Arte (RETRATE): Saúde Mental na contemporaneidade
Authors: Dall’Agnol da Silva Larissa , Farias Pedrozo Dornellas Jéssica , STRAGLIOTTO BAZZAN JESSICA , da Silva Souza Paloma , Cristina Christello Coimbra Valéria
Published: March 2024

Objetivo: Descrever como a RETRATE (Reabilitação, Trabalho e Arte), se consolida na Rede de Atenção Psicossocial. Método: Concerne sobre uma pesquisa descritiva, exploratória com abordagem qualitativa, através da técnica história oral temática. A coleta de dados desenvolveu-se por meio de nove entrevistas realizadas com trabalhadores da RETRATE, as narrativas foram transcritas e realizada uma análise de conteúdo. Resultado: Ao longo dos anos da RETRATE, houve impactos e mudanças nas Políticas Públicas de saúde refletindo sobre o trabalho desenvolvido. Evidenciam-se retrocessos nos processos dentro da saúde mental, dificuldades no encaminhamento de usuários, a precarização dos serviços, equipes reduzidas, falta de financiamento púbico. Afora, sobressaem a importância da RETRATE em prestar um serviço de qualidade com histórico de controle social e de luta antimanicomial. Vislumbra-se as conquistas de economia solidária, sustentabilidade e geração de trabalho e renda por meio do engajamento, solidariedade e relação humana presentes na RETRATE. Conclusão: a RETRATE se consolidou na Rede de Atenção Psicossocial em meio a um processo permeado por dificuldades e desafios impostos pelo sistema, no entanto, se mantém vivo pelas mãos de pessoas solidarias, alavancada pela geração de renda e economia solidaria articulada pelo seu círculo de membros empenhados em um bem maior.
 
Palavras-chave: Geração de trabalho e renda; Reabilitação Psicossocial; Saúde Mental.
Particularidades do contexto rural no acesso dos hipertensos à Atenção Primária à Saúde no estado do Pará
Authors: Morais Cristiano Gonçalves , Cardoso de Oliveira Laís Gabrielle , Wai Wai Edinara , Gama Sabrina de Oliveira , Silva Larissa Ádna Neves , Lima Juliana Gagno
Published: March 2024

O artigo tem por objetivo analisar o acesso dos hipertensos à atenção primária à saúde no estado do Pará, com ênfase nas especificidades das áreas rurais remotas. Métodos: Trata-se de um estudo de métodos mistos, quantitativo e qualitativo, onde foram utilizados os bancos de dados da Pesquisa Nacional de Saúde e da Pesquisa de Atenção Primária à Saúde em municípios rurais remotos. O banco de dados da Pesquisa Nacional de Saúde foi utilizado para caracterização do acesso e do cuidado dos hipertensos no estado do Pará, dando ênfase nas diferenças de áreas urbanas e rurais, por meio das variáveis do módulo de doenças crônicas. Para analisar as especificidades do contexto rural remoto, utilizou-se entrevistas com hipertensos residentes em áreas rurais do estado do Pará, que participaram da pesquisa Atenção Primária à Saúde em municípios rurais remotos, de abordagem qualitativa, realizada em 2019. Resultados: Entre os participantes, 53,1% realizaram a aferição da pressão arterial nos últimos 6 meses, com significativa diferença entre as áreas urbana e rural, e com menor prevalência nas áreas rurais (14,4%). Os usuários de área rural indicaram dificuldades de acesso aos serviços de saúde pelas longas distâncias e transporte, observando-se ainda, problemas no acesso a medicamentos no serviço público. Conclusões: Evidenciou-se a presença de barreiras geográficas, organizacionais e estruturais que afetam o acesso dos hipertensos aos serviços de saúde, proeminentemente na área rural, desde o diagnóstico até o tratamento medicamentoso, o que dificulta o cuidado em saúde adequado e contínuo dos hipertensos.
 
Palavras-chave: Acesso aos Serviços de Saúde; Serviços de Saúde Rural; Hipertensão.
Estratégias para monitoramento da hipertensão arterial sistêmica na atenção primária
Authors: Marques Maria Nádia da Nóbrega , Sousa Milena Nunes Alves de
Published: March 2024

Introdução: A hipertensão arterial sistêmica (HAS) é considerada a doença cardiovascular com maior disseminação ao redor do mundo. Com o crescimento da expectativa de vida da população, há cada vez mais indivíduos com estilo de vida sedentário, consequentemente, a tendência é que a prevalência da hipertensão arterial em todo o mundo continue a aumentar gradativamente. Método: O artigo foi produzido em forma de relato de experiência usando a metodologia do Arco de Maguerez, levando em consideração a dificuldade da implementação de estratégias para monitoramento da HAS na atenção primária. O acompanhamento dos pacientes ocorreu em duas unidades de saúde no município de Passagem -PB, entre março/dezembro de 2023. Resultados: Os atendimentos foram divididos entre as UBS Maria das Neves e UBS do Café do Vento. Inicialmente, a organização da agenda enfrentou resistência da gestão, mas após avaliação dos baixos indicadores, houve uma reestruturação para implementação do HIPERDIA, priorizando atendimento a pacientes diabéticos e hipertensos. As atividades incluíram educação em saúde e controle rigoroso da pressão arterial. A reestruturação das agendas de saúde com foco no atendimento a esses pacientes apresentou-se como uma medida para aprimorar o monitoramento da HAS na atenção básica, e demonstrou ser um método eficaz de intervenção. Conclusão: A atenção primária desempenha um papel decisivo e eficaz na detecção, tratamento e prevenção da HAS, uma vez que a maioria dos pacientes recebe cuidados nesse nível. Além disso, o tratamento personalizado e o acompanhamento adequado são essenciais, especialmente para pacientes com hipertensão secundária, que podem necessitar de cuidados específicos.
Estilo de vida no controle da hipertensão arterial de idosos no município de Princesa Isabel – PB: um relato de experiência
Authors: Nunes Allana Iaeny Diniz , Sousa Milena Nunes Alves de
Published: March 2024

O objetivo deste estudo foi relatar a vivência na Unidade Básica de Saúde do Cruzeiro, no município de Princesa Isabel-PB em relação a importância da mudança do estilo de vida no controle da hipertensão arterial de idosos entre 60 e 80 anos. Eram feitas reuniões semanalmente, com intuito de abordar assuntos relacionados a saúde do idoso. Foi acompanhado e observado na UBS Exames laboratoriais (colesterol total e frações, hemograma, triglicerídeos), pressão arterial, peso e Índice de Massa Corporal (IMC). No qual teve o apoio de uma equipe composta por Enfermeiro, técnico de enfermeiro, nutricionista, orientadora física, farmacêutica e fisioterapeuta. Durante a experiência vivida na UBS do Cruzeiro, foi possível constar como é a realidade dos profissionais que ali atendem, bem como também as dificuldades enfrentadas, tanto pelos profissionais que ali atuam como também pelo público que são atendidos na UBS. Conclui-se que mesmo com dificuldades, foi possível constatar que houve excelente resultado no controle do colesterol e triglicerídeos e as pressões controladas também, em alguns dos pacientes foi retirado a terceira droga, tendo êxito no tratamento.
Examining the Challenges of Using Accompanying Midwife from the Perspective of Midwives and Pregnant Women Referring to Hospitals in Shahrekord
Authors: Harchegani Maryam Torki , Dehkordi Akram Karami , Tavakol Zeinab
Published: March 2024

Background: The presence of accompanying midwives (doulas) in the delivery room always entails many challenges. This study was carried out to determine the challenges of attendance with training from the point of view of midwives and expectant mothers in selected hospitals of Chaharmahal and Bakhtiari province, Iran
Methods: The present study was a descriptive study on 70 midwives working in the delivery block, 120 pregnant mothers, and 20 trained attendants. The sampling of midwives and doulas was performed using the census method, and the sampling of pregnant mothers was conducted using the convenience method. The study tool included questionnaires made by the researcher about demographics and socioeconomics, therapeutics, and psychological challenges for the group of mothers and midwives. The face validity and content validity of the questionnaires were confirmed by midwifery professors and reproductive health specialists, and their reliability was confirmed by internal consistency. The data were analyzed using descriptive statistics with SPSS software (version 21).
Results: In this study, 70 midwives working in selected hospitals of Chaharmahal and Bakhtiari province, 120 pregnant mothers, and 20 trained attendants were examined. Most of the pregnant women (n = 39, 32.5%) mentioned that the most important motivation for requesting a doula during pregnancy and labor was to overcome the fear of childbirth. Most of them (n = 101, 84.9%) also stated that they used doula services at the right time. Meanwhile, 54 women (45%) were familiar with doula services during pregnancy, and most of them (n = 67, 56.3%) stated that doula services can be useful and effective in all three stages of pregnancy, labor, and delivery.
Conclusions: There are dissatisfactions and challenges regarding the support of doulas during pregnancy and childbirth. Therefore, it is recommended to provide the necessary training to healthcare providers, especially obstetricians, midwives, and mothers, regarding the importance and place of doula’s supportive care in this era. Additionally, doula activities should be integrated and promoted in the care of the health team
Cost-effectiveness of Traditional Persian Medicine-Based Diet on NonAlcoholic Fatty Liver Disease
Authors: Mohammadshahi Marita , Yekta Nafiseh Hosseini , Chaichi-Raghimi Mahshid , Mobinizadeh Mohammadreza , Fakoorfard Zeinab , Aboee Parisa , Olyaeemanesh Alireza , Gharib-Naseri Zahra
Published: March 2024

Background: In the context of Persian traditional medicine, there are several therapeutic strategies for managing diseases, ranging from lifestyle changes to herbal remedies.
Objectives: Given the application of Persian traditional medicine in the management of chronic diseases, the burden of chronic illnesses, and the public’s recourse to traditional medicine specialists, this study aimed to assess the cost-effectiveness of traditional medicine dietary regimens for the treatment of non-alcoholic fatty liver disease from the perspective of the payer.
Methods: In this study, we investigated the cost-effectiveness of providing nutrition counseling for lifestyle modification (changes in the aforementioned Setteh-e-Zarurieah) by a traditional medicine specialist compared to receiving counseling from a nutritionist for nonalcoholic fatty liver disease from the payer’s perspective. The outcomes measured were changes in aspartate aminotransferase (AST) and alanine aminotransferase (ALT) enzymes, body mass index (BMI), and the grade of fatty liver. Cost and effectiveness data were entered into Excel software, and the ICER ratio was calculated
Results: The results indicated that the dietary regimen prescribed by Persian traditional medicine when compared to the nutritionist’s recommended diet, resulted in a lower decrease in AST and ALT enzymes but led to a greater decrease in BMI (mean change = 0.42) and a significant change in the grade of fatty liver (OR = 9.75). Since the costs of tests, ultrasounds, and visits were equal in both groups, the cost difference was zero. In the first scenario, where traditional medicine is considered an alternative therapy and liver enzymes are the primary focus, providing nutritional counseling services by Persian traditional medicine may not be cost-effective. However, if we consider the grade of fatty liver and BMI as the primary variables, providing nutritional counseling services by Persian traditional medicine may be cost-effective.
Conclusions: Based on the available evidence, the treatment of fatty liver using Persian traditional medicine can be considered an effective and cost-effective complementary (or alternative) intervention. Considering the long-term costs imposed by the health system and insurance organizations, it is predicted that adding visits to Persian traditional medicine specialists may reduce overall healthcare system costs.
Relationship Between Dialysis Adequacy and Depression and Anxiety in Hemodialysis Patients
Authors: Shojaat Reihaneh , Salehiniya Hamid , Mojahedi Mahya , Raeisi Vajehallah
Published: March 2024

Background: Chronic kidney disease (CKD) is an irreversible condition that demands hemodialysis treatment until a kidney transplant is carried out. If dialysis is not sufficient, the patient might experience numerous physical and psychological consequences. This study aimed to examine the relationship between depression and anxiety and dialysis adequacy in patients receiving hemodialysis in Birjand, Iran.
Methods: In this cross-sectional study, 100 patients undergoing hemodialysis treatment at Shahid Beheshti Hemodialysis Center in Birjand were examined. The state of depression and anxiety in them was evaluated according to the Hospital Anxiety and Depression Scale (HADS), and the adequacy of the patients’ dialysis was extracted from their medical records. In this study, scores ≤ 11 on the HADS scale were considered healthy. Moreover, dialysis adequacy was calculated with the KT/V formula, and cases ≥ 1.2 were considered adequate. Data analysis was performed using SPSS 19 software, independent samples t-test, and Pearson correlation coefficient.
Results: The results showed that 18% and 82% of the participants had depression and anxiety, respectively. The patients’ depression and anxiety scores did not significantly correlate with the adequacy of dialysis (P = 0.82 and P = 0.86, respectively). The prevalence of depression and anxiety was not significantly influenced by gender or marriage; however, the results indicated that as patients aged, the prevalence of depression increased (P = 0.009) and anxiety decreased (P = 0.003).
Conclusions: The adequacy of dialysis in patients undergoing hemodialysis treatment remains unaffected by mental disorders, such as anxiety and depression. Age has a significant impact on depression and anxiety levels in patients receiving hemodialysis treatment. To reduce anxiety and depression in younger and older patients, it is recommended to initiate support and educational programs.
Effect of Using the Constructivist Teaching Method on Creative Thinking and Entrepreneurship
Authors: Raeisoon Mohammadreza , Raeisi Marzia , Mohammadi Yahya
Published: March 2024

Background: The process of entrepreneurship and creativity are the main current principles in human life at the beginning of the third millennium AD; therefore, it is considered one of the most important goals of educational organizations. Preparing students to enter society effectively will not be provided unless creativity is cultivated among them. Therefore, the present study was conducted to use the effect of the constructivist teaching method on students’ creative thinking and entrepreneurship.
Methods: In this interventional study, 40 female students in sixth grade were selected by available sampling and randomly divided into two groups of 20 (20 in the intervention group and 20 in the control group). Then, the intervention group was given the necessary training for 5 one-hour sessions. The investigated variables were collected from demographic questionnaires, Abedi’s creativity, and Lumpkin and Dess’s tendency to entrepreneurship through pre-test and post-test. Data analysis was performed using SPSS software (version 25) and descriptive statistical methods of covariance test.
Results: In terms of parents’ education level and household income, no difference was observed between the two groups (P > 0.05). The average score of creative thinking in the intervention group increased from 67.55 before the intervention to 75.75 after the intervention; however, in the control group, the average score decreased from 20.68 in the pre-test to 55.61 in the post-test. Additionally, the average score of entrepreneurial tendency in the intervention group increased from 43.75 before the intervention to 54.50 after the intervention; however, in the control group, the average score increased from 40.10 to 42.50.
Conclusions: The constructivist teaching method plays a significant role in the learning approach. In addition, the use of this method can be effective in increasing the tendency to entrepreneurship. Considering the importance of entrepreneurship, teaching constructivist courses in universities and schools is appropriate.
Relationship Between Health Indicators and Educational Indicators in Iran’s Provinces
Authors: Farzad Mahboobeh , Roody Mohsen Zayandeh , Esfandabadi Seyed AbdolMajid Jalaei
Published: March 2024

Background: Currently, health indicators are considered an important factor in the development of countries and can be effective in raising the level of developmental indicators
Objectives: In this regard, the present study aimed to analyze the relationship between the effect of health indicators on the developmental indices of the provinces of Iran.
Methods: The current study of an applied type was descriptive, cross-sectional, and retrospective. The data were prepared through forms designed based on experts’ opinions and classified information in statistical yearbooks for the provinces of the country during 2016 - 2020. Data analysis was carried out using Stata 17 software. Moreover, panel data was used to estimate the model, and the Xtpcse test was used to obtain the results of the hypotheses.
Results: The results of the model estimation show the positive and meaningful impact of health indicators on educational indicators such as the ratio of students to teachers, the ratio of students to staff and management, the ratio of higher education students to the population of the provinces and the distribution of students in the province.
Conclusions: The country’s authorities can improve and develop health by identifying and optimizing the use of effective indicators in the field of Health and education indicators such as increasing the number of medical and health students and developing educational programs in the field of Health and health and informing the community about these programs, as well as encouraging higher education in low-income areas.
The Effect of Vitamin C on Ischemia-Reperfusion Injury: A Systematic Review
Authors: Masmouei Behnam , Zarei Ali , Habibi Dehkordi Shamim Kouhi , Raisi Mahmood , Rasekh Fatemeh , Bazrafshan Mohammad Rafi , Parviniannasab Ali Mohammad , Mohajan Abadi Reza Firooz , Hamidizadeh Saeed
Published: March 2024

Ischemia is one of the most common injuries that is usually caused by reduced blood flow to the tissues. Following this incident, the tissue becomes deficient in oxygen and nutrients, and energy production in the affected cells stops, eventually leading to cell damage, but there is also evidence that restoring blood flow to ischemic tissues can lead to extra tissue damage known as Ischemia Reperfusion Injury (IRI). In this study, we reviewed the relationship between vitamin C intake and ischemia/reperfusion injury to investigate the relationship between vitamin C intake and ischemia/reperfusion injury. The keywords “Vitamin C” or “Ascorbic Acid” and “Ischemic” or “Ischemia” and “Reperfusion” were used in this search. The results show that vitamin C has a positive effect on ischemia treatment in the renal tissue, brain, liver, intestine, lung, ovary, pancreas, and skin.