bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of ZrO2 paste, surface treatments, and storage on Weibull characteristics and resin bond strength to zirconia
Authors: Crispim Anne Heloyse Teixeira , Silva Sarah Emille Gomes da , Moreira Fernanda Gurgel de Gois , Silva Bianca Cristina Dantas da , Piva Amanda Maria de Oliveira Dal , May Liliana Gressler , Daudt Natália de Freitas , Souza Rodrigo Othávio Assunção
Published: March 2024

Abstract The objective is to evaluate the effect of different surface treatments and storage on the shear strength of ultratranslucent zirconia. 36 blocks of ultra-translucent zirconia were fabricated (7x7x2mm) and sintered. Then, divided into 12 groups according to the “surface treatment” (C -Primer; Al -Sandblasting with Al2O3 + Primer; Si -Silicate + Primer; Gl -Glaze + HF + Primer; Z -Zirlink; Zp -Zirlink + Primer) and “storage” factors (ST-with 150 days/37º and without). After surface treatment, five cylinders (Ø=2mm; h=2.0mm) of resin cement (n=15) were constructed in each ceramic block; at the end, the shear strength test was performed (1mm/min, 50Kgf), and analysis of surface failures. 60 additional samples (2x2x2mm) were made for extras analysis (surface roughness, MEV, and EDS). Bond strength and surface roughness data were statistically evaluated by ANOVA (2 factors/1 factor), Tukey test (5%), and Weibull analysis, respectively. ANOVA (2-way) revealed that all factors were statistically significant for bond strength. The silicatization groups (SiST: 30.47AMPa; Si: 29.21AMPa) showed the highest bond strength values, regardless of storage (Tukey's test). While the groups treated with Zirlink (ZST: 2.76FMPa; Z: 5.27EFMPa) showed the lowest values, just similar to the GlST group (5.14EFMPa). The Weibull modulus (m) showed a statistical difference between groups (p=0.000). ANOVA (1 factor) revealed that the "surface treatment" factor (p=0.0000) was statistically significant for surface roughness. Therefore, the application of Zirlink and Glaze on pre-sintered zirconia did not promote efficient adhesion of the ultratranslucent zirconia to the resin cement, even when associated with a primer containing MDP.
LEADERSHIP DEVELOPMENT TRAINING FOR BRAZILIAN ORTHOPEDIC SURGEONS
Authors: Oberlohr Verena , Giordano Vincenzo , Hungria José Octavio Soares , Caiero Marcelo , Pires Robinson Esteves , Silva Luiz Henrique Penteado da , Pallottino Alexandre , Sanchez Gustavo Tadeu , Labronici Pedro José , MacKechnie Madeline , Miclau Theodore
Published: March 2024

ABSTRACT Objective: To report on the experience and impressions of the Brazilian orthopedic trauma surgeons attending the Leadership Development Program (LDP) hosted by the Sociedade Brasileira do Trauma Ortopédico (SBTO) in Sao Paulo, Brazil on November 4, 2022. Methods: Forty-eight orthopedic trauma surgeons from five different regions throughout Brazil were provided a link to complete The Big Five Test, a validated online personality assessment. The questionnaire was available in Portuguese and was intended to provide a background on individual personality traits and their influence on interpersonal interactions. The LDP integrated content from literature reviews specific to Latin America, established leadership programs from leading business schools, and various subject matter experts. Prior to the start of the LDP, participants received a pre-course survey evaluating demographic information, a needs assessment, and the prioritization of leadership topics utilizing a 5-point Likert-scale. Attendees participated in the one-day, interactive LDP focusing on the fundamental principles of leadership development, communication, personal development, emotional intelligence and negotiation. Following the LDP, a post-course evaluation was administered to determine the participants’ overall experience, and suggestions for LDP improvement. Results: Forty-one of the forty-eight course participants completed the pre-course evaluation, whereas forty-six of the forty-eight participants completed the post-course evaluations. Overwhelmingly, the lack of opportunity was most prevalently reported as the main obstacle to attending a leadership course, as cited by 56% of respondents. Conclusion: Expanding the accessibility, diversity, and customizability of leadership programs can facilitate the development of personal tools needed to move healthcare forward. Critical topics include emotional intelligence and other differentiating leadership qualities that distinguish true transformational and servant leaders. Advancing leadership skills can stimulate networking, expose learners to experiential learning styles, inspire others to create positive change, and engender creative solutions for systematic improvements and health outcomes. Level of Evidence III; Individual Case-Control Studies.
GIANT CELL TUMOR OF BONE: A MULTICENTER EPIDEMIOLOGICAL STUDY IN BRAZIL
Authors: Becker Ricardo Gehrke , Galia Carlos Roberto , Pestilho Julie Francine Cerutti Santos , Antunes Bruno Pereira , Baptista André Mathias , Guedes Alex
Published: March 2024

ABSTRACT Introduction: Giant cell tumor of bone (GCTB) mainly affects young adults’ long bone epiphyses, threatening bone strength and joint function. Surgery is the primary treatment, although post-surgery recurrence is significant. This study analyzes patient profiles, treatments, and outcomes for GCTB in Brazil. Methods: We retrospectively assessed local recurrence, metastasis, and treatment approaches in 643 GCTB patients across 16 Brazilian centers (1989-2021), considering regional differences. Results: 5.1% (n=33) developed pulmonary metastases, 14.3% (n=92) had pathological fractures, and the local recurrence rate was 18.2% (n=114). Higher rates of pulmonary metastases (12.1%) and advanced tumors (Campanacci III, 88.9%) were noted in lower-income North and Northeast regions. The North also had more pathological fractures (33.3%), extensive resections (61.1%), and amputations (27.8%). These regions faced longer surgical delays (36-39 days) than the South and Southeast (27-33 days). Conclusions: Our findings corroborate international data, underscoring regional disparities in Brazil that may lead to worse outcomes in disadvantaged areas. This highlights the need for improved orthopedic oncology care in Brazil’s economically and structurally challenged regions. Level of Evidence III; Retrospective Cohort.
CORRELATION OF THE SAGITTAL BALANCE WITH POSTURAL ANALYSIS OF THE PELVIS AND LUMBAR SPINE
Authors: Quintana Marília Simões Lopes , Alonso Angelica Castilho , Luna Natália Mariana Silva , Silva Jessica Paulino da , Lino Matheus Henrique dos Santos , Brech Guilherme Carlos , Greve Júlia Maria D’Andrea
Published: March 2024

ABSTRACT Objective: Evaluate and correlate the sagittal balance parameters with the postural of the pelvis and lumbar spine. Methods: 80 individuals of both sexes, aged between 20 and 35 years, were evaluated. Biophotogrammetry was done with the SAPO software program. Measurements of the sagittal balance parameters were obtained by analyzing a lateral view panoramic radiography of the vertebral column, in which the anatomical points of reference were digitally marked. The calculation of the angles was done automatically by the Keops program. Results: In Keops assessment, 17.5% of the sample had high pelvic incidence angles (> 60°), 31.5% had low pelvic incidence angles (< 45°), and 51.2% had medium pelvic incidence angles (between 46° and 59°). SAPO showed 12,5% lordosis, 40% retroversion, and 47,5% normal curvature. In the right lateral view, pelvic incidence angle had a moderate and positive correlation with vertical alignment of the trunk and with vertical alignment of the body, and a negative and moderate correlation with horizontal alignment of the pelvis. Conclusion: Differences were found between vertical alignment measurements from the postural evaluation system (SAPO). A positive correlation was found between PI from Keops and pelvic anteversion from SAPO. Level of Evidence II; Prospective Study.
ARTIGO-PARECER: BIOGRAFIA CIENTÍFICA COMO POSSIBILIDADE PARA A VALORIZAÇÃO DE UMA CIÊNCIA QUÍMICA MAIS FEMININA E NEGRA
Authors: CORDEIRO MARINÊS DOMINGUES
Published: March 2024

RESUMO: Apresento o processo de avaliação do artigo “Biografia científica como possibilidade para a valorização de uma ciência química mais feminina e negra” por meio de uma análise de seus domínios axiológico, metodológico, factual e historiográfico. Em termos axiológicos, apresento as evidências e minha linha de raciocínio que me levaram a compreender que o trabalho, apesar de se designar uma pesquisa exploratória, demonstrava ter uma expectativa anterior, a de que a biografia de uma cientista negra poderia promover discussões acerca de raça e gênero na formação de professores. No domínio metodológico, exploro as incoerências que essa hipótese anterior teve para o desenvolvimento da metodologia. No domínio factual, discuto a importância da apresentação de dados em classificação de gênero, raça e localização geográfica. Em se tratando de história e historiografia, apresento as discussões com os autores relativas à construção de um material didático que não me fora apresentado na primeira versão. Encerro o trabalho indicando que a versão final tornou-se mais coerente e sua hipótese, atenuada. O trabalho apresenta qualidade e rigor metodológico acima da média, na minha opinião, e o processo foi extremamente salutar, gerando questões pertinentes para a nossa área como um todo.
Compassion fatigue and coping strategies before death
Authors: Cardoso Aline Aparecida , Tomotani Daniere Yurie Vieira , Mucci Samantha
Published: March 2024

Abstract Compassion fatigue threatens healthcare professionals’ mental health in face of difficulties in managing empathy. This integrative review sought to verify the correlation between compassion fatigue and health professionals’ performance in hospital units that frequently deal with death, considering the self-care strategies adopted. Bibliographic search conducted on the MEDLINE and PubMed databases retrieved 11 articles published between 2011 and 2021. Results show that compassion fatigue occurs frequently in professionals who deal directly and recurrently with death, especially when dysthanasia measures are adopted. Case discussion between teams, leisure time and peer support, spirituality and meditation as well as constructive leadership were the main psychological adaptation strategies identified. Further and in-depth research is needed given the scarcity of study on the topic, especially in Brazil.
Fadiga por compaixão e estratégias de enfrentamento diante da finitude
Authors: Cardoso Aline Aparecida , Tomotani Daniere Yurie Vieira , Mucci Samantha
Published: March 2024

Resumo A fadiga por compaixão é uma ameaça à saúde mental de profissionais de saúde diante da dificuldade em manejar a empatia. Assim, buscou-se verificar na literatura científica a correlação entre a fadiga por compaixão e a atuação de profissionais em unidades hospitalares que lidam constantemente com a morte, considerando estratégias adotadas para autocuidado. Realizou-se revisão integrativa da literatura, que identificou 11 artigos, nas bases de dados MEDLINE e PubMed, publicados entre 2011 e 2021. Constatou-se que a fadiga por compaixão ocorre com maior frequência em profissionais que lidam direta e recorrentemente com a morte, principalmente quando medidas distanásicas são adotadas. As principais estratégias de adaptação psicológica detectadas foram discussão de casos entre equipes, momentos de lazer e apoio de colegas, espiritualidade e meditação, além de uma liderança construtiva. Ressalta-se a necessidade de maior aprofundamento e novas pesquisas diante da escassez de estudos sobre o tema, principalmente no Brasil.
Formas de vulnerabilidad de las personas LGBTQIAPN+ en Brasil
Authors: Almeida Gabriel Mácola de , Alves Mayra Emanuele Magalhães , Bastos Raquel Rodrigues , Silva Pedro Bernardes da , Nascimento Liliane Silva do , Silva Érica Quinaglia
Published: March 2024

Resumen Desde una revisión bibliográfica integradora, se pretende identificar las formas de vulnerabilidad que la comunidad de lesbianas, gais, bisexuales, transgénero y más vive en Brasil. Del análisis de cinco artículos seleccionados y clasificados, se enumeraron formas de vulnerabilidad mental y física en los contextos de violencia, ambientes formativos, COVID-19, existencia y privación de libertad. Las vulnerabilidades presentadas están históricamente asociadas a esta comunidad y se acentúan aún más a lo largo de los años. Es necesario organizar movimientos centrados en la causa y fomentar producciones científicas sobre el tema, en busca de una mayor visibilidad para reducir las injusticias y generar cambios en el escenario actual.
Directivas anticipadas: un instrumento de autonomía para los pacientes oncológicos
Authors: Pepes Christiane Veigas , Pepes Mariane Veigas , Neuhauser Janaína , Salort José Carlos Abellán , Steffani Jovani Antônio , Bonamigo Elcio Luiz
Published: March 2024

Resumen Las directivas anticipadas permiten a los pacientes designar a un representante legal y manifestar sus decisiones cuando no puedan comunicarse. Este estudio evaluó el conocimiento y las preferencias de los pacientes oncológicos sobre este documento. Se realizó una investigación cuantitativa y transversal, mediante la respuesta a dos modelos de directivas anticipadas y la aplicación de un cuestionario. El 87,38% de los pacientes no conocían este documento, el 97,2% de ellos desconocían los modelos y el 95% declararon no tener dificultades para responderlos. Tras la aclaración, el 93,46% de los entrevistados consideraban importante que todos elaboraran el documento, el 94,86% que debían ponerlo a disposición de los pacientes y el 91,12% que se aprobara una ley federal. La aclaración del concepto de voluntades anticipadas contribuye a incrementar el interés de los pacientes oncológicos por hacer uso de este derecho, que refuerza su autonomía personal cuando ya no pueden comunicarse.
Confidentiality in physician-patient relation: the knowledge of medical students
Authors: Soares Aurélio Almeida Santos , Batista Cláudia Bacelar
Published: March 2024

Abstract Physician-patient relations must follow parameters to ensure autonomy and liberty to both. One such parameter is confidentiality, recognized as a patient right and an obligation of physicians. Hence, this study evaluated student knowledge about medical confidentiality by applying a questionnaire to 409 medical undergraduates (first- to fourth-years). Comparing the median match to the expected answers revealed that first-years achieved the lowest scores on the problem-situations. Results show a clear difference in the degree of knowledge between years, increasing by the second year and maintained until the fourth year.
Sigilo profissional na relação médico-paciente: conhecimento de estudantes de medicina
Authors: Soares Aurélio Almeida Santos , Batista Cláudia Bacelar
Published: March 2024

Resumo A relação entre médico e paciente deve se estabelecer conforme parâmetros que garantam autonomia e liberdade a ambos. Entre tais parâmetros está o sigilo, que representa um direito essencial do paciente e uma obrigação do médico. Este estudo avalia o conhecimento de estudantes de medicina sobre o sigilo profissional mediante aplicação de um questionário a 409 alunos do primeiro ao quarto ano da graduação. Comparando a mediana de correspondência com as respostas esperadas, observou-se que o primeiro ano obteve notas menores nas situações-problemas. Concluiu-se que há diferença no grau de conhecimento entre os anos da graduação e que ele evolui no segundo ano, mantendo-se na mesma proporção até o quarto ano.
Percepción de los profesionales de la salud sobre las voluntades anticipadas
Authors: Barbosa Anne Karolyne Santos , Lisboa Walter , Vilaça Anali Póvoas Orico
Published: March 2024

Resumen Las voluntades anticipadas son herramientas para garantizar el cumplimiento de las decisiones del paciente cuando estos ya no pueden expresarse. Este estudio evaluó las percepciones de los profesionales de la salud sobre el uso de esta herramienta en cuidados paliativos, así como los principales dilemas éticos y las ganancias o pérdidas derivadas de su uso. Se realizó una entrevista semidirigida a nueve profesionales, y los datos se sometieron a un análisis de contenido. Surgieron cinco categorías, que apuntan a una buena acogida del recurso, pues garantiza el ejercicio de la autonomía del paciente, reforzando la percepción de los cuidados, facilitando las decisiones y proporcionándole confort psicológico. Por otro lado, las adversidades o desafíos involucraron la necesidad de mejor preparación técnica y mayor integración del equipo, la sobrecarga profesional, la inseguridad jurídica sobre el posible uso del documento, la finitud como tabú y el desconocimiento de la sociedad sobre el tema.
Percepção de profissionais de saúde sobre diretivas antecipadas de vontade
Authors: Barbosa Anne Karolyne Santos , Lisboa Walter , Vilaça Anali Póvoas Orico
Published: March 2024

Resumo Diretivas antecipadas de vontade são instrumentos que buscam garantir antecipadamente o cumprimento dos desejos do paciente em circunstâncias em que ele não consiga se manifestar livremente. Neste trabalho investigou-se a percepção de profissionais de saúde sobre o uso dessa ferramenta em cuidados paliativos, além dos principais dilemas éticos e ganhos ou prejuízos decorrentes de seu uso. Foi realizada entrevista semidirigida com nove profissionais, e os dados foram submetidos à análise de conteúdo. Evidenciaram-se cinco categorias, que apontaram para uma boa receptividade do recurso, por assegurar o exercício da autonomia do paciente, fortalecendo a percepção do cuidado, facilitando as decisões e propiciando conforto psicológico. Por sua vez, as adversidades ou desafios envolveram necessidade de melhor preparo técnico e maior integração da equipe, sobrecarga profissional, insegurança jurídica com eventual uso do instrumento, finitude como tabu e desconhecimento da sociedade acerca do tema.
Expressing spirituality in palliative care: a narrative review
Authors: Silva Alessandra Ribeiro da , Melo Ana Júlia Bonine de
Published: March 2024

Abstract End of life requires a comprehensive approach to relief physical, emotional, family and social pain, addressing spiritual issues as a way to ensure patients all sources of comfort. Given this scenario, this narrative literature review discusses the effects of spirituality/religiosity in palliative care. Based on a manual search for papers in the PubMed and Virtual Health Library databases, 11 articles were selected for the review. The discussions were divided into three axes: spirituality of terminally ill patients, spirituality of health professionals and spirituality of family members. In conclusion, spiritual practices during the end of life and in coping with anguish are crucial both for patients and their families and for professionals.
Expressão da espiritualidade nos cuidados paliativos: revisão narrativa
Authors: Silva Alessandra Ribeiro da , Melo Ana Júlia Bonine de
Published: March 2024

Resumo A terminalidade da vida requer uma abordagem ampla, com o alívio das dores física, emocional, familiar e social. Ademais, questões espirituais devem ser abordadas como forma de garantir ao paciente todas as fontes de conforto. Em vista disso, esta revisão narrativa da literatura tem o intuito de discutir os efeitos da espiritualidade/religiosidade nos cuidados paliativos. A partir de uma busca manual de trabalhos nas bases PubMed e Biblioteca Virtual em Saúde, foram selecionados 11 trabalhos para a revisão. As discussões foram divididas em três eixos: espiritualidade dos pacientes terminais, espiritualidade dos profissionais da saúde e espiritualidade dos familiares. Conclui-se que as práticas espirituais durante o fim da vida e no enfrentamento das angústias são cruciais tanto para pacientes e familiares quanto para os profissionais.
Training to cope with death from the perspective of future physicians
Authors: Amoedo Gabriel Ferraz , Sousa Juliana Bárbara Barreto , Quintanilha Luiz Fernando , Avena Katia de Miranda
Published: March 2024

Abstract Occasionally, death is considered a medical failure and the inability to cope with it can generate fear and frustration, interfering with clinical decisions. This study assessed how medical students perceived coping with death, analyzing their preparedness to tackle these situations and comparing their sociodemographic, religious and academic profiles. This cross-sectional, quantitative and qualitative study was conducted with 294 medical students from Bahia. Results showed that medical students consider death to be a natural process, but do not feel fully prepared to address end of life during clinical practice, possibly due to the scarcity of academic discussions and the insufficient theoretical and practical content during training. Men with previous training and who had personal and academic contact with death were associated with a greater perceived preparedness to cope with death, without interference from academic level and religion.
Formação para enfrentar a morte na perspectiva de futuros médicos
Authors: Amoedo Gabriel Ferraz , Sousa Juliana Bárbara Barreto , Quintanilha Luiz Fernando , Avena Katia de Miranda
Published: March 2024

Resumo Ocasionalmente, a morte é considerada falha ou insucesso da medicina e a inabilidade em enfrentá-la pode gerar medo e frustração, interferindo nas decisões clínicas. Este estudo avaliou a percepção de estudantes de medicina quanto ao enfrentamento da morte, analisando seu preparo para lidar com essas situações e comparando seus perfis sociodemográfico, religioso e acadêmico. Realizou-se estudo transversal, quantitativo e qualitativo, com 294 estudantes de medicina da Bahia. Demonstrou-se que o estudante de medicina considera a morte um processo natural, mas não se sente totalmente preparado para lidar com a terminalidade da vida durante a prática clínica, possivelmente em razão das escassas discussões acadêmicas e da oferta insuficiente de conteúdo teórico-prático durante a formação. Homens com formação prévia e que tiveram contato pessoal e acadêmico com a morte foram associados à maior percepção de preparo para lidar com a terminalidade da vida, sem interferência de ciclo acadêmico e religião.
Bioética aplicada a los cuidados paliativos: una cuestión de salud pública
Authors: Cenedesi Júnior Mario Angelo
Published: March 2024

Resumen Los cuidados paliativos constituyen acciones para mejorar la calidad de vida de los pacientes y sus familias cuando la enfermedad ya no responde a los tratamientos curativos. Abarcan la atención física, psicológica, espiritual y social, considerando la muerte como un proceso natural y sin acelerar ni retrasar su desenlace. Esta revisión integradora cualitativa seleccionó 131 artículos sobre bioética y cuidados paliativos publicados en los últimos cinco años, y analizó diez. Los estudios destacan la importancia de la bioética en los cuidados paliativos, abordando cuestiones como la definición, la muerte, el final de la vida y la necesidad de un equipo interdisciplinar multiprofesional. La espiritualidad también desempeña un papel importante, con el paciente y la familia en el centro de las decisiones basadas en una comunicación eficaz. Estos cuidados proporcionan confort, dignidad y apoyo integral a los pacientes terminales permitiéndoles una mayor calidad de vida posible en sus últimos momentos.
Shared decision making as a strategy for vulnerability in health
Authors: Aguiar Natália
Published: March 2024

Abstract The premise that every human being is vulnerable by nature stems from the notion of vulnerability as susceptibility to harm, as well as the interrelations and intrinsic interdependence of human beings with their socio-environmental context. It is up to society to establish institutions capable of promoting both the protection and autonomy, under equal conditions. Besides the professional duty to inform patients of the benefits and harms from possible interventions, including the consequences of denying any intervention, patient-centered care integrates a collaborative approach that considers shared decision-making essential. This theoretical review analyzes the concept of vulnerability and its relations with respect for and promotion of patient rights, proposing and justifying shared decision-making as a good strategy for mitigating increased vulnerabilities.
La toma de decisiones compartida como estrategia para la vulnerabilidad sanitaria
Authors: Aguiar Natália
Published: March 2024

Resumen La premisa de que todo ser humano es vulnerable por naturaleza parte de la noción de vulnerabilidad como susceptibilidad al daño, así como de la interrelación e interdependencia intrínseca del ser humano con su contexto socioambiental, y a la sociedad le corresponde establecer instituciones capaces de promover tanto la protección como la autonomía de las personas en igualdad de condiciones. Además del deber profesional de informar de los beneficios y perjuicios de las posibles intervenciones, incluyendo las consecuencias de negar cualquier intervención, la atención centrada en el paciente integra un enfoque colaborativo que considera fundamental la toma de decisiones compartida. A partir de una revisión teórica, este artículo analiza el concepto de vulnerabilidad y su relación con el respeto y la promoción de los derechos humanos de los pacientes, proponiendo y justificando la toma de decisiones compartida como una buena estrategia para mitigar el aumento de las vulnerabilidades.
Bioética na odontologia: o que pensam os coordenadores dos cursos
Authors: Colodette Renata Maria , Gomes Andréia Patrícia , Moreira Tiago Ricardo
Published: March 2024

Resumo Este artigo analisa a importância que coordenadores dos cursos de odontologia brasileiros atribuem ao ensino da bioética e sua opinião sobre o perfil desejável para egressos desse curso. Trata-se de estudo exploratório, descritivo e transversal realizado com 130 coordenadores de cursos de odontologia brasileiros no qual foram realizadas análises descritivas e análise de conteúdo de Bardin. A grande maioria dos participantes atribui importância à bioética em diferentes situações e 23,8% deles consideram um perfil adequado o profissional com postura ética e humanizada, reflexivo e com competência técnica. A bioética está sendo inserida na matriz curricular dos cursos de odontologia, e a maioria dos coordenadores a considera importante em diferentes situações, mas nem todos os gestores entendem o que ela contempla.
Knowledge of patients with cancer about palliative care: a bibliometric study
Authors: Silva Filho Cláudio Emmanuel Gonçalves da , Costa Solange Fátima Geraldo da , Barbosa Lucas do Nascimento , Mélo Cláudia Batista , Piagge Carmem Silvia Laureano Dalle , Moreira Maria Adelaide Silva Paredes
Published: March 2024

Abstract This research seeks to characterize the bibliometric indicators regarding cancer patients’s knowledge about palliative care. Bibliographic search associating the descriptors “ patient, ” “ palliative care, ” “ knowledge ” and “ neoplasm ” found low publication ratio and limited conexion among authors. Asian countries account for most publications, but the level of knowledge on the topic was limited given its strong association with end-of-life care aimed at hospitalized cancer patients without possibility of cure. Mapping the main bibliometric indicators on knowledge about palliative care pointed out the need for further publications on the topic to provide better understanding.
Nietzsche and the sublimation question: amid Erhabenen and Sublimierung notions
Authors: Fonseca Eduardo Ribeiro da
Published: March 2024

Abstract The notion of sublimation is critically important as regards the physiopsychology of Nietzsche. The pathway of impulses sublimation is that of increasingly better-evaluated objectives, and variation in satisfaction of means and purposes allows for new impulses combinations to arise, as well as new forms of support between them, which in turn ascertain psychic pleasure maximization. The purpose of this paper is to analyze sublimation according to Nietzsche's two fundamental perspectives. On the one hand, as a form of psychic satisfaction through transformation and subtilization of impulses targets (Subliemirung), and on the other hand, as a form of elevation (Erhabenen).
The idea of university in Van Rensselaer Potter and Jürgen Habermas: new looks at university in the digital age
Authors: Paulo Neto Alberto
Published: March 2024

ABSTRACT The university is part of the process of “social digitization” and shows itself as a space for discursive interaction. The idea of university derives its meaning from its establishment in the form of a project of integral and citizen formation. The aim of this article is to analyze the concepts of university and their implications in the context of digital technologies based on the theoretical frameworks of Van Rensselaer Potter and Jürgen Habermas. This investigation consists of a philosophical study and bibliographic research through a thorough and comparative analysis of the theoretical references. Potter understands that the university environment is the space for the prospection of humanity’s future and the guarantee of its survival. Potter’s bioethical view roots the university in its project of serving society through the resolution of global problems. In Habermas, the idea of university shines the space for communicative action in human formation. In this context, the university in the digital era projects its training activities and constitutes an open and plural environment for strengthening the democratic foundations of society.
Cooperative learning scale: validation among Portuguese and Brazilian university students
Authors: Silva Helena Santos , Lopes José , Estrada Jose Antonio Cecchini , Fernandez-Rio Javier , Leite Ângela
Published: March 2024

ABSTRACT The aim of this study was to adapt and validate the Spanish version of the Cooperative Learning Scale (CAT) for Portuguese and Brazilian higher education students. The study included 493 higher education students aged 17-45 years from a university in northern Portugal and 414 Brazilian university students aged 14-52 years from different universities in Brazil. To this adaptation, the original instrument, designed and validated for Spanish contexts and for students from the 3rd cycle of basic education and secondary education, went through several phases: a) evaluation by experts; b) pilot study; c) confirmatory factorial analysis; and d) determination of convergent and divergent validity. Both the Portuguese and the Brazilian versions of the CAT present a good adjustment model and include five factors with three items each: positive interdependence, interpersonal skills, promotive interaction, individual accountability, and group processing.
Archwilio Lluniad Disgyrsiol Hunaniaeth Genedlaethol trwy Greu’r Cwricwlwm i Gymru Newydd
Authors: Roberts Alys Lowri
Published: March 2024

Mae Cymru ynghanol ei chyfnod o ddiwygio addysgol mwyaf erioed, a hynny ar ffurf cwricwlwm newydd. Mae’r diwygio hwnnw wedi arwain at amlygiad themâu niferus o hunaniaeth a chenedl, a’r defnydd ohonynt. Mae’r erthygl hon yn defnyddio dadansoddiad disgwrs Foucauldaidd i arch­ wilio lluniad disgyrsiol hunaniaeth genedlaethol wrth greu’r cwricwlwm newydd. Trwy leoli ac archwilio sut y caiff hunaniaeth dysgwyr ei godd­ rychu, mae’r papur yn trafod y potensial ar gyfer hunaniaeth a pherthyn o fewn y cwricwlwm newydd. Mae’n nodi hunaniaeth fel rhywbeth amry­ wiol, newidiol, gofodol a strategol, ac yn archwilio canlyniadau posibl y lluniadau disgyrsiol hyn. Mae’r canfyddiadau’n datgelu bod disgyrsiau o’r fath yn rhyngweithio â’i gilydd, ac yn gysylltiedig â’i gilydd, ond bod potensial iddynt wrthdaro a gwrth­ddweud ei gilydd hefyd. Mae’r prosiect yn nodi llawer o gymhlethdodau ac arlliwiau o ran themâu hunaniaeth a pherthyn o fewn y cwricwlwm newydd. Mae’r gwaith yn canfod potensial i berthyn yn ogystal â rhwystrau fel dieithrio ac allgáu. Yn olaf, mae’n gofyn am rywfaint o bwyll ynglŷn â’r syniad bod modd i bob dysgwr oresgyn y rhwystrau hyn wrth weithredu’r cwricwlwm newydd.
Towards the language continuum: Definitions and implications for Welsh learners in English-medium education
Authors: Lovell Alexander Edwin
Published: March 2024

With the introduction of the Curriculum for Wales fast approaching, it is timely to discuss one of the key developments in relation to the Welsh language in the new curriculum, the language continuum. Although “continuum” is a term that has often been used by academics (see e.g. Baker and Jones, 2000) and policy makers (see e.g. WG, 2017a) alike, the term has several interpretations, not only in the literature on bilingualism and bilingual education, but also in Welsh policy regarding language and education. The purpose of this paper is to review the main interpretations of the language continuum, before proposing an alternative interpretation, what the author calls the “continuum of multi-competence”, which aims to bridge between the theoretical and the practical, linking the concept of a language continuum to the concept of a learning continuum, as recognised in the new curriculum. The implications of introducing the continuum for Welsh language in English-medium schools in particular will be discussed.
Contemporary Utilization and Outcomes of Resuscitative Endovascular Balloon Occlusion of the Aorta for Traumatic Noncompressible Torso Hemorrhage in Korea: A Retrospective Multi-Center Study
Authors: Heo Yoonjung , Chang Sung Wook , Yu Byungchul , Kang Byung Hee , Jung Pil Young , Kim Kyounghwan , Kim Dong Hun
Published: March 2024

Purpose: This study aimed to evaluate the utilization and outcomes of resuscitative endovascular balloon occlusion of the aorta (REBOA) in managing noncompressible torso hemorrhage (NCTH) among trauma patients in Korea. The evolution of REBOA and its impact on patient survival was investigated as well as predictors of mortality.Methods: This retrospective study included 234 post-REBOA patients from 5 leading regional trauma centers across Korea between 2016 and 2021. Primary outcomes were in-hospital mortality, and secondary outcomes were various clinical parameters regarding REBOA, overall treatment flow, and complications. For comparative analyses, patients were dichotomized into in-hospital non-survivors or survivors. Then, generalized additive and linear regression models were used to evaluate the trend of in-hospital mortality.Results: The overall in-hospital mortality was 65.4%. The survivors had a higher proportion of responders following REBOA (87.7% vs 62.7%, p < 0.001). Key variables influencing outcomes included total occlusion time, red blood cell transfusion volume within the first 24 hours, revised trauma score, and systolic blood pressure gap. These factors significantly correlated with mortality rates in multivariate logistic regression.Conclusion: Over 6 years, survival rates for NCTH patients undergoing REBOA in Korea have shown improvement. Despite diverse REBOA protocols across institutions, the results underscore the need for continued research, standardized practices, and national quality control measures to further optimize patient outcome and establish more effective treatment protocols for NCTH.
Acquired Factor V Deficiency After Carbapenem Administration: A Case Report
Authors: Park Hyejeong , Lee Jee Yeon , Kim Im-kyung
Published: March 2024

Factor V (FV) deficiency is a coagulation disorder (congenital or acquired). Unlike congenital FV deficiency, mixing tests for prothrombin time and activated partial thromboplastin time are not corrected in acquired FV cases. A 79-year-old male was admitted to the intensive care unit after an emergency operation due to gastric ulcer perforation. While receiving antibiotic treatment for septic shock, the coagulation profile began to show prolongation of prothrombin time and activated partial thromboplastin time. FV deficiency (< 1%) following meropenem administration was diagnosed . The patient did not show spontaneous bleeding or bleeding tendency. With fresh frozen plasma transfusion, steroid administration, and discontinuation of meropenem, the blood coagulation profile test result was normalized 20 days after diagnosis. His follow-up FV level increased to 78.7%. Although abnormalities in coagulation profiles are common in sepsis patients, in our patient, timely recognition and hematological consultation allowed early diagnosis and proper management of FV deficiency.
Analysis of Risk Factors for Peripherally Inserted Central Venous Catheter-Associated Bloodstream Infection
Authors: Lee Sungho , Park Kwanhoon , Lee Kang Yoon , Choi Dongbeen , Jang Ji Young
Published: March 2024

Purpose: Despite guidelines on the prevention of central venous line-associated bloodstream infection, it is left to the clinical judgment of the attending physician to determine the risk of infection and how long a central line should remain in place. This study aimed to identify risk factors for peripherally inserted central venous catheter (PICC)-associated infection.Methods: This retrospective study included 1,136 patients with a PICC who were hospitalized at the National Health Insurance Service Ilsan Hospital (January 2015 to January 2022). Electronic medical records were reviewed for patients with positive blood cultures. Patients with suspicion of infection at the PICC insertion site or with unclear infection at other sites were defined as having a PICC-associated infection.Results: Thirty-five patients (3.08%) had a PICC-associated infection. There were significant differences in hypertension (p = 0.026), lung disease (p = 0.001), PICC duration > 14 days, and antibiotic use before PICC insertion (p = 0.016) between no PICC-associated infection, and infection in the bloodstream. Total parenteral nutrition with PICC was not significantly different between groups. Logistic regression analysis identified hypertension, lung disease, PICC duration > 14 days (OR 2.088, 95% CI 1.032-4.224, p = 0.041), and antibiotic use before PICC insertion (OR 0.159, 95% CI 0.049-0.515, p = 0.002) as independent risk factors for PICC-associated infection.Conclusion: The study suggested that PICCs maintained longer than 14 days is a risk factor for PICC-associated infection. Antibiotic use prior to PICC insertion was observed as a negative factor for PICC-associated infection.
THE IMPLEMENTATION OF CIPP AS EVALUATION MODEL ON TEACHING ASSISTANCE IN SD BALI BILINGUAL SCHOOL AS THE PRACTICE OF KURIKULUM MERDEKA
Authors: Wedayanthi Luh Made Dwi , Pradnyana Putu Beny , Adiwijaya Pande Agus
Published: March 2024

This research is evaluation model research by using CIPP as the evaluation model on Teaching Assistance in SD Bali Bilingual School in Bangli Regency, Bali. The CIPP model is Context, Input, Process, and Product, this model is one of the models used frequently in educational evaluation. The implementation is used the evaluative model created by Stufflebeam. The evaluation specifications on teaching assistance at SD Bali Bilingual School in Bangli Regency which displays an average score on the context aspects in the teaching assistance program is 83% including the category good, while the input evaluation is 82% in the good category. The same is true for the process aspect, which has an 81% in the good category, and the product aspect is 80% enough category. This is consistent with research from the aspects of Context, Input, Process, and Product obtained with the good criteria. This can indicate that the Teaching Assistance program was well conducted in SD Bali Bilingual School, in Bangli Regency.
DEVELOPMENT OF CONSTRUCT 3-BASED EDUCATION GAME STEM PEDIA SIAR FOR LEARNING SCIENCE MATERIAL OF WATER CYCLE IN GRADE V ELEMENTARY SCHOOL
Authors: Fauziyah Eva , Rochmah Eliya , Labudasari Erna
Published: March 2024

The rapid development of technology in the 21st century has an impact on the field of education. One of them requires teachers to continue to innovate and create learning media. In the learning process, there are still many teachers who have not used digital media or are integrated with technology, thus affecting students' understanding of the concept of science in the water cycle material. This research purpose is to develop science educational game learning media, namely STEM Pedia SiAr based on Construct 3. This research uses a method of Research and development model from Borg and Gall. The results of this research are: 1) This research produces education game learning media products for grade V elementary school that focus on science material of water cycle using Construct 3 software; 2) The results of the media expert test get an average score of 94.90% with very decent criteria. While the results of the material expert test get an average score of 98.07% with very feasible criteria.
Usability of ICT Tools for Data Collection on Students Learning Ability Among Primary School Counsellors in Kwara State
Authors: SANNI Ramota Funsho , BOLAJI Hammed Olalekan
Published: March 2024

The study focuses on the usability of ICT tools for the data collection on students' learning ability among primary school counsellors in Kwara State. The study explores the potential benefits and challenges of using ICT tools for data collection in the field of education. The research design for the study was a descriptive survey research design of ex-post-facto type. Two research questions were raised to guide the study. The population of the study covered all the primary school counsellors in Kwara State using the purposive and convenient method to select one hundred counsellors to fill the researcher's instrument. The data collected from the study was analyzed using percentage and t-test statistical methods at a 0.05 level of significance. The result finding showed that all ICT usability levels are identified as low required by primary school counsellors in Kwara State. From the findings of this study, it was evident that primary school counsellors in Kwara State were not conversant with the use of ICT tools in the data collection of their student's learning ability. The study recommends that the government should make available more technology tools to advance the work of counsellors, faster and easier in terms of accessibility, storing and retrieving to avoid loss of vital information that will be useful for students.
Empowering Educators: Revolutionizing Teaching with Entrepreneurial Skills
Authors: Adeoye Moses Adeleke , Abimbowo Yusuff Olatunji , Mahmud Musa Aremu
Published: March 2024

The integration of entrepreneurial competencies into academic curricula has garnered growing attention for its ability to equip students with the mindset and abilities important for fulfilment in the 21st century. This article examines the notion of entrepreneurial instruction as a mechanism for transforming conventional pedagogical approaches. By fostering creativity, critical thinking, problem- solving skills, and a proactive technique to learning, educators can empower students to navigate a hastily evolving panorama with confidence and adaptability. Drawing upon theoretical frameworks and sensible examples, this paper elucidates the transformative impact of incorporating entrepreneurial competencies into educational practices. Through a comprehensive evaluation of the advantages, demanding situations, and exceptional practices related to entrepreneurial education, this paper aims to encourage educators to embrace innovation and domesticate an entrepreneurial attitude among their students. This shift closer to entrepreneurial education represents a departure from conventional didactic approaches, emphasising experiential learning, risk-taking and cultivating an entrepreneurial mindset. By attracting students to entrepreneurial activities consisting of developing.
The Immense Influence of Motivation on Teachers’ Effectiveness in the Teaching Job in Lagos State Nigeria
Authors: Abidogun Abidogun
Published: March 2024

This paper examined the impact of motivation on teachers’ effectiveness in selected public secondary school in Lagos state Nigeria. A descriptive method survey was adopted, and three different hypotheses were formulated for the purpose of the study. Self-constructed questionnaire named Motivation on Teachers’ Effectiveness in Teaching (MTET) was used to elicit information for the research. The samples used for the study are one hundred teachers randomly selected from three selected public secondary schools in Mushin local government area of Lagos state Nigeria. Statistically data which include chi-square was used to test all hypotheses. Findings of the study revealed that all the three hypotheses raised were rejected. It was recommended that the terms and conditions of service of teachers need to be improve and Lagos state government should be work out incentive packages to increase teachers‘motivation to teach in public secondary schools.
Beyond Religion: Promoting Arabic Language Education in Nigeria's Diverse Society
Authors: SANNI AbdulHameed Muhammed , MASUD Ibrahim Oniye
Published: March 2024

The promotion of Arabic language education in Nigeria's societies has been a topic of scholarly interest and debate. This paper delves into the multifaceted dynamics of Arabic language training in Nigeria, specifically its cultural, non- secular and academic implications. The paper appreciably examines the demanding situations, possibilities and capability impacts of promoting Arabic language schooling in a diverse society like Nigeria, in which a couple of languages, cultures and religions coexist. This paper outlines the significance of Arabic language education within the Nigerian context, delves into the cultural and religious dimensions, and explores the capacity implications for the academic landscape. It also highlights the important views and analytical frameworks employed in the scholarly landscapes to elucidate the complexities and nuances surrounding the advertising of Arabic language education but a reflected picture of commitment to embracing its cultural tapestry and harnessing its functionality for boom and improvement.
Exploring The Effectiveness of E-Learning: A Scoping Review of Qualitative and Quantitative Research
Authors: Mohammed Jibril , Onasanya Onasanya , Adenubi Samuel
Published: March 2024

E-learning has emerged as a modern and widely adopted method of education that utilizes electronic systems for educational programs. Its popularity stems from its affordability, flexibility, and ability to transcend geographical boundaries. However, challenges exist in implementing e- learning through mobile technologies due to inadequate infrastructure and support. As the demand for accessible and adaptable learning methods increases, researchers and educators must optimize the online learning experience and address associated challenges. Qualitative and quantitative research methods have been employed to study e-learning, offering in-depth understanding and objective measurements. This article presents a scoping review of qualitative and quantitative research in the context of e- learning, highlighting their respective strengths and limitations. The findings illustrate the diverse range of topics explored through these methods, demonstrating their value in enhancing e-learning practices and interventions. By combining qualitative and quantitative approaches, researchers.