bluuebunny/crossref_metadata_2025 huggingface dataset:
UPAYA MENINGKATKAN PROBLEM SOLVING SKILLS MELALUI PENERAPAN MODUL MUTASI GENETIK BERBASIS CREATIVE PROBLEM SOLVING PADA SISWA IPA SMA
Authors: Purwati Rani , Warsono Warsono , Cahyadin Agus
Published: April 2023

Problem solving merupakan salah satu keterampilan penting yang harus dimiliki siswa untuk mengahdapi perubahan dan masalah yang kompleks di abad 21. Tujuan dari penelitian adalah untuk meningkatkan problem solving skills siwa kelas 12th menggunakan modul mutasi genetik berbasis creative poblem solving. Penelitian ini merupakan penelitian tindakan kelas yang berlangsung dalam dua siklus, dilaksanakan pada bulan Januari sampai Februari 2023. Setiap siklus terdiri dari 4 tahap: perencanaan, pelaksanaa, observasi dan refleksi. Partisipan penelitian adalah 24 siswa kelas 12 SMA Negeri 3 Ciamis. Data penelitian diperoleh melalui tes problem solving skills, wawancara dan observasi aspek keterampilan dan sikap. Targer penelitian adalah naiknya rata-rata persentse setiap aspek sekitar 30%. Hasil penelitian menunjukkan persentasi rata-rata problem solving skills siswa naik dari 36,93% menjadi 85,68%. Berdasarkan hasil penelitian dapat disimpulkan bahwa modul mutasi genetik berbasis creative poblem solving dapat meningkatkan problem solving skills siswa.
A STUDY ON THE IMPACT OF COVID 19 ON HOSPITALITY INDUSTRY WITH SPECIAL REFERENCE TO CORPORATE BUSINESS INCOME
Authors: Srijit Seal
Published: April 2023

Among the service sector the Indian tourism and Hospitality industry has become one of the key drivers of growth. India has a great potential of growth in this sector due to the rich cultural and historical heritage , ecology, places of natural beauty and places of religious importance. This sector also provides for employment. In FY 2020 tourism sector in India accounted for 39 million jobs which is 8% of the total employment of the country. The tourism and hospitality sector both are interconnected and one exist because of the other. The covid 19 pandemic has hit upon all the sectors .But among all the sectors the sector which has been completely devasted is tourism and hospitality industry. The main motive for a tourist is to visit locations and enjoy the scenery around but the covid 19 pandemic had put a serious question on this matter as under these pandemic people got feared to leave their house, so no question of visiting other places or cities. The hotel industry have been hit badly but it tried to cope with the situation by adopting various measures to sustain this pandemic and some of them are really commendable. However, of all the sources of income of the hotel industry one major source is from the corporate sector. The meeting, product launch of various companies previously used to be held at these hotels but due to the pandemic era everything has been shifted online. This paper tries to analyze the impact of online shift of business dealings on hotel industry. This paper focusses on the pre pandemic and post pandemic corporate business income of the hospitality industry and its future impact.
Role of Education and Skill Development for Economic and Financial Empowerment of Differently-abled Persons
Authors: Sirsha Biswas  , Sanjib Kumar Basu
Published: April 2023

Education and skill development are both indispensable tools for economic and financial empowerment as both the above factors contribute towards (re)employment generation which is an important step towards the rehabilitation and empowerment of a differently-abled person (person with disability), because it provides a sense of belonging, independence and increase their social inclusion and overall well-being. The study was undertaken on differently abled persons with varying educational background and skill training across gender to access if education and skill have any association in employment status and accessibility to financial services, with special emphasis on the city of Kolkata (West Bengal).
Photosensitization dermatitis in animals
Authors: Solcan Gheorghe , Anton Alina
Published: April 2023

Photosensitization, also known as photodermatitis, is an abnormal reaction of the skin when exposed to light and is caused by accumulation of photosensitizing substances in the skin, resulting in a severe dermatitis of the skin unprotected by unpigmented. 
There are three types of photosensitization: (a) primary, in which photodynamic chemicals, or plant toxins, reach the skin through the circulation, (b) congenital porphyria, in which there is a metabolic, congenital defect in porphyrin metabolism, and (c) secondary (hepatogenous), which occurs when the capacity of the liver to excrete derived from the catabolism of alimentary chlorophyll is impaired. We consider that liver pathologies are the most important in animals from Romania.
Research on peritoneal dialysis protocols in felines with kidney damage at different stages
Authors: Bălășcău Bogdan , Codreanu Mario
Published: April 2023

Peritoneal dialysis is considered a method of renal function substitution in veterinary medicine, with the role of continuous replacement of renal function through which a hydroelectrolytic and acid-base rebalancing of the feline patient with renal damage, in the absence of fulfilling the endocrine functions and kidney metabolism. The study included patients with stage 2 renal failure, identified in five cats, with stage 3 detected in five individuals, and with stage four detected in 20 felines and 20 cases with acute kidney damage. Peritoneal dialysis was implemented with an accommodation protocol represented by the administration of 15 ml/kg, followed by 30 ml/kg, 45 ml/kg and 60 ml/kg every 4 hours. Representative results were recorded during peritoneal dialysis sessions with 4 shifts per day, with 4 hours of shift time. Cumulative results on the complete analysis of the relevance of peritoneal dialysis on different stages of renal damage indicate a positive therapeutic response by decreasing the biochemical parameters of interest.
Hypothyroidism in dogs – prevalence, risk factors and neurological implications
Authors: Fernoagă Cristina , Turbatu Raluca
Published: April 2023

Hypothyroidism is an endocrine pathology frequently encountered in dogs, whose diagnosis involves a series of difficulties due to the insidious onset of the disease and the non-specific clinical manifestations, which can mimic other diseases (metabolic, dermatological, neuromuscular, etc.). However, the development of modern diagnostic techniques and the widespread availability of specific determinations, such as total canine T4, free canine T4 and TSH, have led to an increase in diagnostic accuracy and the possibility of differentiating hypothyroidism from other diseases with similar manifestations. In recent years, numerous articles have investigated the etiology of the disease, however in our country there are few data regarding the prevalence and risk factors of this condition in the canine population. This article was carried out on 18 dogs diagnosed with hypothyroidism at the Emergency University Veterinary Hospital “Prof. Dr. Alin Bîrţoiu” between 2021 and 2022. All patients included in the study presented neurological manifestations. The diagnostic protocol included anamnesis, analysis of signalment, complete clinical examination, neurological examination and confirmation by serological investigations, the data obtained being compared with those provided by other similar studies.
Cisto paralabral — diagnóstico pela ressonância magnética / Paralabral cysts — diagnosis by magnetic resonance
Authors: Mallmann Ralff , Duarte Márcio Luí­s , Abreu Bruno Fernandes Barros Brehme de , Prado José Luiz Masson de Almeida , Silva Marcelo de Queiroz Pereira da
Published: April 2023

Introdução: Os cistos paralabrais, também chamados de cistos labrais paraglenóideos, são lesões císticas justarticulares que normalmente apresentam estreita relação com o lábio glenoidal — podem representar cistos sinoviais, cistos gangliônicos e pseudocistos. O cisto paralabral do ombro pode ser observado em 2–4% da população geral. Em 79–89% dos casos, apresenta relação com a rotura labral, especialmente o tipo lesão do lábio superior de anterior para posterior. Objetivo: Relatar um caso e revisar a literatura acerca desta lesão incomum. Relato do Caso: Homem de 43 anos que refere dor contínua no ombro esquerdo, principalmente após o trabalho. Não apresenta limitação de movimentos ao exame físico, apesar de relatar sentir dor. A ressonância magnética demonstra dois cistos paralabrais. Conclusão: Relatamos um caso de cisto paralabral, lesão inicialmente insuspeita à anamnese e ao exame físico, diagnosticada por exames de imagem. A ressonância magnética comumente diagnostica o cisto paralabral em pacientes com dor crônica.Palavras Chave: Imagem por ressonância magnética, Articulação do ombro, Lesões do ombro
ABSTRACT:
Introduction: Paralabral cysts, also named paraglenoid labral cysts, are just articular cystic lesions that usually show a close relationship with the glenoid labrum — they may represent synovial cysts, ganglions cysts, or pseudocysts. Paralabral cysts of the shoulder joint can be observed in 2–4% of the general population, particularly in men during the third and fourth decades. In 79–89% they are related to labral tears, especially superior labrum from anterior to posterior (SLAP) lesions. Objective: To report a case and review the literature about this uncommon lesion. Case report: A 43-year-old man reporting continuous pain on the left shoulder, mainly after work. He did not show movement limitations on physical examination, despite claiming to feel pain. A magnetic resonance demonstrated two paralabral cysts. Conclusion: We report a case of paralabral cyst, an injury initially unsuspected by anamnesis and physical examination, diagnosed by imaging tests. Magnetic resonance imaging commonly diagnoses paralabral cysts in patients with chronic pain.Keywords: Magnetic resonance imaging, Shoulder joint, Shoulder injuries
Switchable organocatalysis from N-heterocyclic carbene-carbodiimide adducts with tunable release temperature
Authors: Pham Le Dung , Smith-Sweetser Red , Dewey Carolyn , Lamb Jessica
Published: April 2023

N-heterocyclic carbenes (NHCs) are powerful organocatalysts, but their air- and moisture-sensitivity often require in situ generation of the free carbene from a stable precursor (i.e., “masked” NHC). Carboxylate adducts are the most well-studied thermally-labile NHC precursor, but catalyst activation is irreversible and the simplicity of the CO2 mask results in the NHC structure controlling both catalytic activity and activation temperature. Herein, we develop new NHC masks based on carbodiimides (CDIs), which have two nitrogen substituents that can tune catalyst release orthogonally from reactivity. Using a common imidazolylidene NHC, we show that CDI masks can be used to achieve switchable organocatalysis and that small electronic perturbations to the CDI substituents (i.e., phenyl versus para-tolyl) result in >10 °C difference in activation temperature without changing the NHC structure. This platform will enable more precise control over NHC organocatalysis than previous systems.
Bacterial Extracellular Electron Transfer Components are Spin Selective
Authors: Niman Christina M. , Sukenik Nir , Dang Tram , Nwachukwu Justus , Jones Anne K. , Naaman Ron , Santra Kakali , Das Tapan K. , Paltiel Yossi , Baczewski Lech Tomasz , El-Naggar Mohamed Y.
Published: April 2023

Metal-reducing bacteria have adapted the ability to respire extracellular solid surfaces instead of soluble oxidants. This process requires an electron transport pathway that spans from the inner membrane, across the periplasm, through the outer membrane, and to an external surface. Multiheme cytochromes are the primary machinery for moving electrons through this pathway. Recent studies show that the chiral induced spin selectivity (CISS) effect is observable in some of these proteins extracted from the model metal-reducing bacteria, Shewanella oneidensis MR-1. It was hypothesized that the CISS effect facilitates efficient electron transport in these proteins by coupling electron velocity to spin, therefore reducing the probability of backscattering. However, these studies focused exclusively on the cell surface electron conduits, and thus CISS has not been investigated in upstream electron transfer components such as the membrane-associated MtrA, or periplasmic proteins such as STC. Using conductive probe atomic force microscopy (AFM) measurements of protein monolayers adsorbed onto ferromagnetic substrates, we show that electron transport is spin selective in both MtrA and STC. Moreover, we have determined the spin polarization of MtrA to be ~75% and STC to be ~35%. This disparity in spin polarizations could indicate that spin selectivity is length dependent in heme proteins, given that MtrA is approximately 2 times longer than STC. Most significantly, our study indicates that spin-dependent interactions affect the entire extracellular electron transport pathway.
Computing vibrational spectra using a new collocation method with a pruned basis and more points than basis functions: avoiding quadrature
Authors: Simmons Jesse , CARRINGTON Tucker
Published: April 2023

We present a new collocation method for computing the vibrational spectrum of a polyatomic molecule. Some form of quadrature or collocation is necessary when the potential energy surface does not have a simple form that simplifies the calculation of the potential matrix elements required to do a variational calculation. With quadrature, better accuracy is obtained by using more points than basis functions. To achieve the same advantage with collocation, we introduce a collocation method with more points than basis functions. Critically important, the method can be used with a large basis because it is incorporated into an iterative eigensolver. Previous collocation methods with more points than functions were incompatible with iterative eigensolvers. We test the new ideas by computing energy levels of molecules with as many as 6 atoms. We use pruned bases, but expect the new method to be advantageous whenever one uses a basis for which it is not possible to find an accurate quadrature with about as many points as there are basis functions. For our test molecules, accurate energy levels are obtained even using non-optimal, simple, equally spaced points.
Electrochemical-chemical electron transfer in electrochromic nanoscale layers
Authors: Hamo Yonatan , Neudert Alena , Bendikov Tatyana , Lahav Michal , van der Boom Milko E.
Published: April 2023

We demonstrate here the assembly of a nanolayer of electrochromic iron complexes on top of composite layers of cobalt and ruthenium complexes. Depending on the ratio of the latter two complexes, we can tailor materials that show different elec-tron transport pathways, redox-activities, and color transitions. No redox activity of the top layer, consisting of iron com-plexes, is observable when the relative amount of the ruthenium complexes is low in the underlying composite layer because of the insulating properties of the isostructural cobalt complexes. Increasing the amount of ruthenium complexes opens an electron transport channel, resulting in charge storage both in the cobalt and iron complexes. The trapped charges can be chemically released by redox-active ferrocyanide complexes at the film-water interface, demonstrating an electrochemical-chemical electron transfer process.
Las finanzas y la creación del valor a través de joint venture
Authors: Cáceres-Rosell Augusto
Published: April 2023

Los actuales esquemas de desarrollo corporativo se sustentan de manera prioritaria en la búsqueda de la creación de valor a través del tamaño correcto y la dimensión exacta que permita el ajuste de las estructuras internas y posibilite el crecimiento empresarial. En este contexto, los joint venture o sociedades mixtas, representan una alternativa cada día más interesante.
Efectos del stress en grupos de trabajo
Authors: Klein Stuart M.
Published: April 2023

El muestreo sobre los efectos del stress realizado en 1.000 grupos de trabajo en 18 de las más grandes empresas manufacturreras de los Estados Unidos de América, arrojó resultados dignos de ser considerados por los industriales. Por ello, hemos creído importante  presentar un resumen del artículo "Grupos bajo stress", publicado en mayo de 1995 por la revista IIE Solutions, que edita el Institute of Industrial Engineers.
Los syllabus y la realidad nacional
Authors: Barcelli Gómez Guillermo
Published: April 2023

El artículo incide en la importancia de elaborar syllabus en la especialidad de ingeniería industrial, que sean acordes con la realidad de la industria nacional. Éstos se deben estructurar tratando de proporcionar al estudiante la preparación necesaria para trabajar con efectividad y eficiencia en dicha realidad.
Criminalistics research of the person in the pre-scientific period: origins and significance
Authors:   Baikal State University, Foygel E. I.
Published: April 2023

The article examines the historical development of the criminalistics research of the person of subjects of criminal proceedings in the process of detecting, disclosing and investigating crimes. The author found that the issues of private criminalistics theory about the scientific theory of personal are still insufficiently developed and require in-depth scientific analysis. The main directions of practical implementation of the main provisions of scientific theory are determined. It was revealed that the pre-scientific period - from ancient times to the beginning of the 19th century - is the least studied, which does not reduce its significance for identifying and analyzing the patterns of criminal and search-cognitive activity. It has been established that, despite the relative youth of the criminalistics research of the person, its origins lie in the oldest sources of law analyzed in the article - customary law, the Criminal Judicial Code of the Holy Roman Empire of the German nation “Carolina”, as well as scientific and literary works and essays of specialists - experienced judge Huang Liuhun “The Complete Book of Happiness and Prosperity”, Piotr Radkevich “The mirror of Justice” and others. The criminalistics research of the somatic, social and psychological levels of the person of the offender in the treatise of the founder of criminalistics science Hans Gross “Guide for criminalistics investigators as a system of criminalistics science” is analyzed in detail. The conclusion is made about the actual existence by the beginning of the formation of criminalistics science as a science of disparate ideas and recommendations for the research of individual personal characteristics of participants in criminal proceedings (a criminal and a witness), and the formation of historical prerequisites that make it necessary to take into account criminalistics significant properties and states of a person in the process of investigating crimes.
System and legal regulation of some elements of remote electronic voting in Russia
Authors:   Member of Association Moscow Bar, Rzhanovskiy V. A.
Published: April 2023

The main components of Remote Electronic Voting are highlighted: a software complex that provides Remote Electronic Voting, election commissions, voters (participants of Remote Electronic Voting), as well as observers. It was noted, that software used in Remote Electronic Voting, had significant impact to the activities of participants of elections. The need to take into account the technological features of electronic voting is justified. Due to the significant value of the software complex in the Remote Electronic Voting, it was proposed to regulate the characteristics and algorithms of the functioning of this complex. It is concluded that the scenario of real intervention in the information system of electronic voting should contain a sequential analysis of the area of intervention, the subject, the mechanism of impact, the digital trace, according to which one or another intervention can be determined, ways to verify such impact, consequences. In order to expand the use of electronic voting in Russia, it was proposed to create a system of election commissions responsible for conducting electronic voting. Prerequisites have been established for changing the nature of the activities of the Territorial Election Commission of Remote Electronic Voting from temporary to permanent basis. It is recommended to consolidate the authority to control the activities of administrators (developers) of the software complex of electronic voting for that election commission. In addition, it is proposed to create expert groups under that election commission in order to analyze the functioning of the software complex and organization of voting in general. It was concluded that it is advisable to coordinate the actions of election commissions, their methodological support when there be a transfer of powers to organize electronic voting to the level of election commissions of subjects of Russia. Territorial Election Commission of Remote Electronic Voting could provide such support.
Collision of types of rationality: to the question of the reasons for the long-term discussions on conceptual issues in criminal law
Authors:   Irkutsk Law Institute (branch) of the University of Prosecutor’s Office of the Russian Federation, Shikhanov V. N.
Published: April 2023

The analysis of criminal law science by means of a post-non-classical approach is carried out. The subject of the analysis was the regularities of the existence and development of topics and issues that have conceptual significance for criminal law, but do not find their resolution. Such “clusters” of problems, ideas, and the meanings attached to them are presented in the form of discourses that have a very long existence. The set of analysis tools is supplemented by the category “type of rationality”, with the help of which it was possible to detect the nonlinear nature of the development of criminal law knowledge. Having studied the peculiarities of the development of criminal legislation and legal doctrine in the XX century and up to the present, it was concluded that the main type of rationality in the domestic criminal legal consciousness and, accordingly, in the doctrine, is mythological. It is based on a number of myths, mythologems and their corresponding symbols. Even more important is the discovery of a series of attempts to change the type of rationality in criminal law (to political in 1926–1958, to scientific with elements of psychology, pedagogy and sociology, i.e. in general, criminology in 1958–1996), as well as signs of reduction to the mythological type after 1996. Such attempts form a rather original structure of the criminal law doctrine, when the basis is the so-called “hard core” belonging to the mythological type of rationality, and a protective belt is formed around it with inclusions remaining from other types of rationality. The conclusion is formulated that many incessant and sometimes irreconcilable disputes on key issues of criminal law are caused by a discrepancy in the initial ideas of jurists, and sometimes legislators. The introduction of the category of the type of rationality into scientific circulation will contribute to the streamlining of criminal law theory and the harmonization of knowledge about the crime, the criminal, measures of criminal legal impact and other criminal law phenomena.
The prosecutor as a member of the investigation team in Russian criminal proceedings: history and modernity
Authors:   Baikal State University, Lubyagin M. S.
Published: April 2023

Consideration is given to the genesis of the criminal procedural legislation of the Russian state, which regulates the preliminary investigation by the investigation team. It was found that the rules of various sources of criminal procedural law of the Russian state to varying degrees determined the procedural provisions governing the powers of the prosecutor as a party to the criminal procedural legal relations with the investigation team. At the analysis of Statute of criminal legal procedure of 1864 it was revealed that prosecutor was empowered to cooperate with investigation team, in some cases being involved in the composition of the investigation team. The problem of correlation and differentiation of powers of head of investigative body and public prosecutor, including in relation to the investigative group, was considered. In addition, attention was paid to the ratio of such forms of control at the pre-trial stages of criminal proceedings as prosecutorial supervision, judicial control and procedural control. Disadvantages of the last form of control are marked out, as at the analysis of the investigative practice there were revealed problems of interest of heads of investigative bodies in favorable and qualitative indicators of their subordinate employees - investigators, including those involved in the investigative group. The question of registered procedural violations, committed by the officials of preliminary investigation and pre-investigation bodies at the pre-trial stages of criminal proceedings was analyzed, the dynamics of growth of these violations in the period from 2015 to 2020 was confirmed. As a consequence the attention was drawn to the possibility of involvement of the prosecutor to the investigative group at the present stage. Taking into account historical aspects of regulation of processes of organization and activity of investigative groups at different stages of development of domestic criminal justice, dynamics of pro-procedural violations of officials of bodies of preliminary investigation and inquiry, revealed problems of interest and partiality in realization of procedural control over participants of investigative group, the necessity of involving prosecutor into composition of investigative group is grounded.
Scientific production about prenatal care in Brazilian nursing dissertations and theses
Authors: Pereira Juliana de Castro Nunes , Galindo Neto Nelson Miguel , Sá Guilherme Guarino de Moura , Rocha Luanna dos Santos , Muniz Marcela Lourene Correia , Caminha Maria de Fátima Costa
Published: April 2023

Objetivo: Caracterizar a produção científica acerca do pré-natal em dissertações e teses da enfermagem brasileira. Métodos: Estudo descritivo, documental, com abordagem quantitativa, realizado no período de março a abril de 2021, mediante acesso virtual ao Portal de Teses e Dissertações da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Resultados: Foram analisadas 320 dissertações e 75 teses, das quais observou-se predominância de estudos das regiões Sudeste (34,9%) e Nordeste (32,9%), orientados por enfermeiros (63,8%) vinculados a universidades públicas (77,9%), de departamentos de enfermagem (49,3%) e saúde coletiva (18,7%), que investigaram a assistência durante o pré-natal (34,7%), a partir de estudos transversais (77,5%), quantitativos (54,7%), realizados com gestantes (55,6%) e em Unidade Básica de Saúde (58,0%). Conclusões: O estudo permitiu compreender como o pré-natal tem sido pesquisado nas dissertações e teses de enfermeiros e as lacunas que podem ser alvo de futuros estudos.
Knowledge and feelings of quilombola women about cervical cancer
Authors: Souza Thais Gonçalves de , Pereira Alves Beatriz , Lira da Silva Anna Beatryz , Alves Barbalho Isabela Lunara , De Abreu Temoteo Rayrla Cristina , Costa Fernandes Marcelo
Published: April 2023

Objective: To identify the knowledge and feelings of quilombola women about cervical cancer. Methods: A descriptive study with a qualitative approach, mediated by the action-research methodology, in which 12 quilombola women participated. Data collection was carried out through semi-structured interviews, analyzed using the Collective Subject Discourse technique. Results: It was evidenced that women have a perception of the severity of the disease, although they demonstrate some difficulty in defining its basic characteristics; demonstrate some knowledge when talking about some of the risk factors, that already have scientific evidence of cervical cancer, however, superficiality was noticed in their speeches. In addition, there was a predominance of negative feelings linked to a possible diagnosis, as well as the consequences of the treatment, evidencing a certain vulnerability to coping with the disease. Conclusion: Gaps were observed in the knowledge of quilombola women about cervical cancer, as well as the specificities of their preventive methods and their consequences in the quality of life of quilombola women, such as fear, shame and the consequence of self-neglect in the way these women deal with the disease and their preventive methods.
Early detection of cancer in rural workers: a scoping review
Authors: Murai Guedes Natália , Puchalski Kalinke Luciana , Nunes da Silva Mariana , De Alcantara Nogueira Luciana , Gessner Lourenço Rafaela
Published: April 2023

Objetivo: sintetizar o conhecimento existente na literatura sobre as medidas de detecção precoce do câncer voltadas aos trabalhadores rurais. Métodos: trata-se de uma scoping review realizada em abril de 2021, nas plataformas de busca de dados National Library of Medicine, Cumulative Index to Nursing and Allied Health Literature, Scopus e Biblioteca Virtual em Saúde. Incluíram-se artigos na íntegra em inglês, português ou espanhol, com enfoque na detecção precoce dos cânceres relacionados aos trabalhadores rurais, estudos controlados randomizados e não randomizados, de caso, coorte, pesquisa qualitativa ou descritiva, e caso-controle. Resultados: a revisão incluiu 21 estudos publicados entre 2012 e 2019. Da análise, foram identificadas barreiras que esses trabalhadores enfrentam no acesso aos programas de detecção: recursos limitados nas instituições de saúde, localização da residência, pouco conhecimento relacionado ao câncer e questões financeiras. As principais medidas de detecção precoce indicadas para o meio rural são: uso de testes rápidos, como teste de sangue oculto nas fezes, autoexame, inspeção visual do profissional, teledermatologia, treinamento de membros da comunidade e uso de clínicas móveis. Conclusão: o presente estudo possibilita que profissionais de saúde, principalmente enfermeiros, atualizem seus conhecimentos sobre a detecção precoce do câncer, visando ao cuidado mais assertivo no meio rural.
Scientific evidence about donation and precautions in the collection of human milk at home
Authors: Silva Layanna Iasmin Chaves da , Sabino Aderlaine da Silva , Andrade Lucas Lorran Costa de , Monteiro Wagner Ferreira , Teixeira Elizabeth , Vilhena Bianca Jardim , Oliveira Aline Libório de
Published: April 2023

Objetivo: Sintetizar evidências na literatura científica acerca da doação e cuidados na coleta de leite humano em domicílio. Métodos: Revisão integrativa que teve como questão de pesquisa: quais cuidados devem ser realizados por doadoras de leite humano durante a coleta domiciliar? Através de descritores, foram realizadas buscas nas bibliotecas MedLine, LILACS e SciELO. O período dos estudos selecionados foi de 2017 a 2020. Resultados: Foram incluídos 11 artigos. As categorias que emergiram foram: a informação sobre a doação de leite começa no pré-natal e se estende ao domicílio; limites a superar quanto à coleta de leite humano; mitos e verdades sobre doação de leite humano. A síntese dos achados permitiu identificar um conjunto de aspectos que precisam ser considerados no agir cuidativo durante as orientações da coleta de leite humano. Conclusão: A informação sobre a doação de leite humano precisa ser uma estratégia transversal, do pré-natal ao domicílio. Os cuidados na coleta envolvem tanto o ambiente e condições da doadora quanto a ordenha em si e o acondicionamento do leite coletado.
Sociodemographic and professional profile of graduate nurses from an academic monitoring program
Authors: Sena Emily Manuelli Mendonça , Rosa de Carvalho Dayara de Nazaré , Assunção Ribeiro da Costa Rafael Everton , Feio Boulhosa Margarete , De Santana Mary Elizabeth , Vieira Pereira Peixoto Ivonete
Published: April 2023

Objetivo: Caracterizar o perfil sociodemográfico e profissional de enfermeiros egressos de um programa de monitoria acadêmica, bem como as contribuições do programa para suas atuações profissionais. Métodos: Trata-se de uma pesquisa descritiva, retrospectiva, de abordagem quantitativa e realizada em ambiente virtual, utilizando uma plataforma eletrônica online para a coleta de dados, com enfermeiros egressos do programa de monitoria da Universidade do Estado do Pará (UEPA). Resultados: Evidenciou-se que os egressos são, predominantemente, mulheres, de idade entre 27 e 30 anos e foram bolsistas. Um número significativo destes inseriu-se em programas de pós-graduação lato sensu, a nível de especialização e/ou residência, trabalham na assistência ou gestão e gerenciamento, possuem experiência como docente e atuaram principalmente no ensino básico. Conclusão: O programa de monitoria acadêmica contribuiu para as atuações profissionais dos enfermeiros egressos analisados, demonstrando ser um mecanismo para atingir-se o nível de excelência almejado pelas diretrizes curriculares nacionais em Enfermagem.
Report of educational interventions developed during supervised nursing internship in primary care
Authors: Carvalho Sabrina de Oliveira , Mota Carleandra da Silva , Silva Helyzabeth Rodrigues da , Dourado Giovanna de Oliveira Libório , Parente Adriana da Cunha Menezes
Published: April 2023

Objetivo: Relatar intervenções educativas desenvolvidas durante estágio supervisionado de enfermagem na Atenção Básica. Métodos: Trata-se de um relato de experiência de ações, durante o estágio curricular obrigatório do curso de enfermagem de uma universidade federal brasileira, no período de março a maio de 2022. Resultados: Foi realizado o reconhecimento inicial da unidade e, em seguida, foi inserido em um plano de estágio atividades de educação em saúde, humanização e acolhimento. Assim, foram produzidos dez materiais educativos: cuidados íntimos masculinos e femininos, prevenção de infecções sexualmente transmissíveis, combate ao Aedes aegypti, tuberculose, hanseníase, hipertensão, diabetes, alimentação infantil e saúde mental, junto a um suporte de parede personalizado para alocá-los e um painel infantil decorativo para o consultório de enfermagem. Houve ainda distribuição de barras de doce para clientes após a realização de exames na sala de coleta do serviço. Conclusão: A experiência permitiu a aproximação da rotina dos profissionais na Atenção Básica e participação das etapas relacionadas ao cuidado e gerenciamento em enfermagem. O estágio contribuiu para o desenvolvimento da autonomia e construção de identidade acadêmica da discente, agregando novos aprendizados para os profissionais e beneficiando diretamente a comunidade, mediante as intervenções de educação em saúde, humanização e acolhimento.
Application of active methodologies for nursing teaching in the midst of the COVID-19 pandemic
Authors: Beserra Eveline Pinheiro , De Araujo Camila Emanuelle Silva , Amarante Kemyson Camurça , Lopes Marcia Maria Coelho Teixeira , Santos Victor Emmanuell Fernandes Apolonio dos , Melo Regina Claudia de Oliveira , Fernandes Ana Fátima Carvalho
Published: April 2023

Objetivo: Relatar a aplicação das metodologias ativas para o ensino em enfermagem em meio à pandemia de COVID-19. Métodos: Trata-se de um relato de experiência das vivências na disciplina de Laboratório de Fundamentos de Enfermagem de uma Universidade Pública em Fortaleza-CE. Resultados: Utilizou-se multimétodos, como aulas e jogos online, estudos de caso, simulação realística, elaboração de portfólio e vídeos com os procedimentos de Enfermagem abordados na disciplina. As diversas estratégias foram necessárias para colaborar com a construção do conhecimento durante a pandemia, uma vez que se utilizou do modelo híbrido de ensino.  Conclusão: Constata-se que os vários métodos tecnológicos, como sala virtual, o WhatsApp como ferramenta de comunicação rápida, a elaboração do portfólio e a utilização de vídeos e jogos online, os estudos de caso e a simulação realística, foram utilizados de forma complementar e integrada, tornando-se favoráveis para os alunos, pois eles fazem parte de uma geração que tem maior facilidade em utilizar tecnologias e são receptivos a multimétodos de aprendizagem.
Analysis of the concept of professionalism in nursing education
Authors: Martiniano Eli Carlos , Silva Mikaelle Ysis da , Lopes Maria do Socorro Vieira , Machado Maria de Fátima Antero Sousa , Martins Álissan Karine Lima , Quirino Glauberto da Silva , Silva Luanna Gomes da , Maia Evanira Rodrigues
Published: April 2023

Objetivo: Clarificar o conceito de profissionalismo para o ensino de enfermagem. Métodos:  Análise conceitual, por meio do método de Walker e Avant, identificando o uso do conceito nas bases Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed®), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Índice Bibliográfico Español em Ciencias de la Salud (IBECS), Literatura Latino-Americana e do Caribe em Ciências da Saúde(LILACS) e Banco de Dados de Enfermagem (BDENF), utilizando termos Medical Subject Headings (MeSH) “Professionalism”, “Teaching” e “Nursing”. Resultados: Após aplicação dos critérios de inclusão e exclusão, selecionaram-se 18 artigos. Houve identificação dos atributos pela técnica de análise de conteúdo. Elaboraram-se casos modelo e contrário, com respectivo uso e não uso do conceito. Identificaram-se elementos antecedentes, atributos e consequentes. Como antecedentes: experiência, educação profissional, valores profissionais, socialização e formação positiva; como atributos: identidade profissional, atitude profissional, competência, domínio, ética, autonomia, papel profissional e comportamento profissional; e como consequentes: qualidade profissional, profissionais preparados, aquisição de habilidade, compromisso, autoconceito profissional e colocações práticas bem-sucedidas. Conclusão: Pode-se entender profissionalismo como conjuntura de qualidades que perpetuam o comportamento e o desempenho do papel profissional para o âmbito do ensino, como conhecimento, ética, atitude, domínio, autonomia e competência.
Nursing diagnosis in adult patients with cardiovascular conditions: an integrative literature review
Authors: Santos Ana Caroline Melo dos , Silva Joice Kelly da , Albuquerque Sarah Cardoso de , Nunes Suian Sávia , Santos Vanessa Mirtiany Freire dos , Costa Christefany Régia Braz
Published: April 2023

Objetivo: Identificar os diagnósticos de enfermagem em estudos realizados com pacientes adultos que possuem diagnóstico clínico de condições cardiovasculares. Métodos: Trata-se de uma pesquisa de revisão integrativa da literatura conduzida nas bases de dados BVS, BDENF, CINAHL Database, PubMed, SciELO e ScienceDirect, com os descritores “diagnósticos de enfermagem” e “doença cardiovascular”. Resultados: Obtiveram-se dezesseis artigos científicos publicados entre os anos de 2004 e 2020, publicados em sua maioria no idioma português (n=11). Considerando o tipo de estudo, a maioria das pesquisas foi enquadrada como descritiva (n=14). Para a abordagem dos diagnósticos de enfermagem, teve-se como base o Sistema de Linguagem Padronizada da taxonomia da NANDA-I, utilizado na maioria das pesquisas. Quanto ao nível de evidência, os estudos foram classificados como nível IV. Quatro estudos referiram à utilização de Teorias de Enfermagem, com maior frequência de uso da Teoria do Autocuidado de Dorothea Orem (n=2). O diagnóstico de enfermagem mais frequente entre os estudos foi padrão respiratório ineficaz (n=5). Conclusão: Novos estudos acerca da realização de diagnósticos em enfermagem voltados às doenças cardiovasculares, com a utilização de teorias de Enfermagem, precisam ser conduzidos para proporcionar maior embasamento científico à prática de enfermagem.
Curricular component of Urgency and Emergency in Brazilian Nursing undergraduate courses
Authors: Galindo Neto Nelson Miguel , Da Silva Pereira Lúcia Cristina , Silva da Costa Leonardo , Muniz Marcela Lourene Correia , Bezerra de Melo Daniela , Alcoforado Josicleide Montenegro da Silva Guede
Published: April 2023

Objetivo: Caracterizar a oferta da disciplina de Urgência e Emergência nas matrizes curriculares dos cursos superiores de Enfermagem no Brasil. Métodos: Trata-se de estudo descritivo, documental, realizado no website do Ministério da Educação e em 691 matrizes curriculares de cursos de bacharelado em Enfermagem no Brasil. Resultados: Das matrizes curriculares, 97,2% pertenciam a cursos de ensino presencial; 83,6%, de instituições privadas, majoritariamente localizada na região sudeste (36,8%). Com relação à disciplina de Urgência e Emergência, esta apareceu em 97,2% das instituições como componente curricular obrigatório, em sua maioria, ofertada no sétimo período (31,2%) do curso, com carga horária média de 103,3 horas. Conclusão: As disciplinas de Urgência e Emergência nos cursos de graduação em Enfermagem foram, predominantemente, oriundas de instituições privadas, de componente obrigatório, ofertadas no sétimo semestre do curso.
Obstructive Uropathy as a Complication of Hematometrocolpos in an Adolescent Female: A Case Report
Authors: Abdulqader Marwa Sameer , Mohamed Hiba Omar , Fox Gabriel , Corbally Martin
Published: April 2023

Obstructive uropathy, secondary to mass obstructing effects such as hematometrocolpos and consequent acute urinary retention (AUR); is a proven but rare condition in females. Imperforated hymen, which is found in 0.05-0.1% of females, obstructs blood flow at the onset of mensuration with a resultant hematometrocolpos presenting most commonly with abdominal pain and urinary symptoms in the background of primary amenorrhea, which is similar to the presentation of the 11 years old female in the case report. She had abdominal pain and dysuria, which AUR followed for 16 hours. The patient was at Tunner stage 3, and the examination revealed a palpable tender pelvic mass up to the umbilicus level with a bulging introitus and an imperforated hymen. Ultrasonography confirmed hematometrocolpos and an associated bilateral grade 2 hydronephrosis. Therefore, hymenotomy and excision of hymenal edges were done. Although diagnosis can be directed by physical examination, it can be significantly delayed or missed due to generally low incidence rate and insufficient physical examination due to cultural and religious reasons. This case report directs toward the importance of high clinical suspicion of hematometrocolpos as a cause of AUR in adolescent females and the necessity of a complete detailed physical examination, although it is rare.
Gender Difference in Knowledge, Attitudes and Practices towards Family Planning among Married Adults Attending Primary Health Care Centers in The Kingdom of Bahrain: Cross Sectional Study
Authors: Saleh Shereen M. , Ahmed Sara S. , Sebea Ghufran A. Al , Othman Dalal A. Al , Al Ansari Najla Y. , Tadayyon Behnaz E. , Al-Sayyad Adel S.
Published: April 2023

Objective: Family planning (FP) has become a fundamental part of healthcare and it can be achieved effectively by safe methods. This study was conducted to determine the gender difference in the knowledge, attitudes, and practices towards FP among married adults attending primary healthcare centers (PHCs) in Bahrain. Methods: This cross-sectional study was conducted at five PHCs from the four governorates in Bahrain over two weeks period in May 2021. A self-administered questionnaire was used to evaluate the knowledge, practice, and attitude of married adults towards FP. Results: The study included 1221 participants (705 females and 516 males). Our study showed that 83.6% of the population had heard of Family Planning Methods (FPM) in general. However, female participants heard more about FPM than males. The FPM practice revealed that 71.9% of the participants are using at least one method. The most common methods are withdrawal (42.4%), and male condoms (29.9%). However, 42.5% of participants still have fears about using FPM. The majority of these fears were related to side effects (57.7%). Conclusions: The study revealed that the level of knowledge, attitude and FP utilization in both sexes was lower compared to other studies. In order to improve the public’s practice of FP, more investment should be made in health promotion programs. Keywords: Knowledge, Attitudes, Practices, Family Planning, Gender Difference, Bahrain.
La virtualidad y su impacto en el logro de competencias prácticas en los futuros profesionales de enfermería
Authors: Lozano Dominguez Milka María , Rivera Solis Kevin Xavier , Cando Yaguar Nancy Renee , Oviedo Rodríguez Ruth Jakeline
Published: April 2023

La pandemia forzó el confinamiento y, por consiguiente, el cierre de muchas actividades en todo el mundo, incluidas las educativas. En relación a la educación en el nivel superior, las universidades han adecuado toda la organización institucional, los contenidos de los planes de estudio y las estrategias didácticas a las necesidades de los estudiantes y al contexto del trabajo pedagógico virtualizado para poder dar continuidad pedagógica al proceso educativo. La metodología utilizada para el presente trabajo de investigación, se enmarca dentro de una revisión bibliográfica de tipo documental. La técnica para la recolección de datos está constituida por materiales electrónicos, estos últimos como Google Académico, PubMed, entre otros, apoyándose para ello en el uso de descriptores en ciencias de la salud o terminología MESH. La información aquí obtenida será revisada para su posterior análisis. La enseñanza virtual no mejora las competencias en las prácticas de los futuros profesionales de enfermería, en lo virtual se puede enseñar la teoría, pero la práctica no se puede dejar solo a la simulación virtual, un estudiante de enfermería necesita aplicar la teoría en ambientes reales, con pacientes reales, la simulación virtual nunca podrá sustituir los sentimientos, quejas, pensamientos de un paciente o lo que este pueda sentir, a la par que la virtualidad no puede predecir, los cambios en un ambiente real que pueda presentar a un paciente en una área de emergencia u otro ambiente hospitalario y por lo cual el personal de enfermería debe estar atento y capacitado para afrontar tal situación.
Neuralgia del Trigémino
Authors: Vera Morán Dick Bryan , Gavilanes Sánchez Carol Andrea , Icaza Latorre Gustavo Javier , Romero Díaz Kevin Roberto
Published: April 2023

La Neuralgia del Trigémino se considera el trastorno más doloroso conocido en la práctica médica. Asimismo, esta patología repercute significativamente en los pacientes que la padecen, disminuyendo su calidad de vida. Se trata de una afección que provoca sensaciones dolorosas similares a una descarga eléctrica en un lado de la cara. Esta afección de dolor crónico afecta el nervio trigémino, que trasmite las sensaciones de la cara al cerebro. La presente revisión tiene el propósito de compendiar lo relativo al diagnóstico y tratamiento de la Neuralgia del Trigémino. La investigación se realizó bajo una metodología de tipo documental bibliográfica, bajo la modalidad de revisión. De la investigación se desprende que el diagnóstico está basado en los antecedentes médicos de cada paciente, así como en la descripción de sus síntomas, adicional al examen físico, y un examen neurológico exhaustivo. Asimismo, recomiendan la realización de una resonancia magnética craneal a todo paciente con diagnóstico clínico de Neuralgia del Trigémino para descartar causas secundarias. En cuanto al tratamiento, no tiene una cura definitiva. Su tratamiento es paliativo con un adecuado manejo de acuerdo con su posible etiología, esto pretende disminuir los síntomas al menos en un 50% y de esta forma, mejore la calidad de vida del paciente. El tratamiento, basado en el diagnóstico, normalmente empieza con terapia farmacológica. La primera línea del tratamiento son los bloqueantes de canales de sodio activables por voltaje, como la carbamazepina y la oxcarbazepina. Si los medicamentos no alivian el dolor o producen efectos secundarios intolerables, tales como como fatiga excesiva, se puede recomendar un tratamiento quirúrgico. Los tratamientos quirúrgicos son: la microdescompresión vascular del nervio trigémino y los procedimientos percutáneos sobre el ganglio de Gasser.