bluuebunny/crossref_metadata_2025 huggingface dataset:
Associations between daily movement behaviors, sleep, and affect in older adults: An ecological momentary assessment study
Authors: Lee Jongwon , Chen Shang-Ti , Bartholomew Vanessa , Kicsak Krista , Pellegrini Christine , Yang Chih-Hsiang
Published: July 2024

Daily movement-based behaviors and sleep are associated with daily mental health outcomes. However, the associations in older adults remain unclear. This study aimed to determine the same-day association between sleep (duration and quality), physical activity (stepping) and sedentary behaviors (sitting and lying), and affect (positive and negative affect) among older adults using ecological momentary assessment (EMA).
The data collection period was 14 consecutive days. Sleep logs collected sleep duration, while smartphone surveys collected sleep quality and momentary affects. The ActivPAL4 accelerometers computed daily sedentary and physical activity (PA) times. Affects were regressed on the sleep and movement-based behaviors using two separate mixed-effects models, controlling for demographics.
Ninety older adults were included in the analysis: female (n = 56, 62%), white (n = 71, 79%) age (M = 68.16 yrs, SD = 6.47), sedentary time (M = 10.13 hrs/day, SD = 2.00), PA time (M = 1.60 hrs/day, SD = 0.65), sleep duration (M = 8.25 hrs/day, SD = 1.39), and sleep quality (M = 6.92/day, SD = 1.39). More sedentary, PA time, and better sleep quality than usual on a given day were associated with both lower negative affect (bs range = -0.18 – -0.02, ps range = .001 – .025) and higher positive affect (bs range = 0.05 – 0.14, p < .001). The longer sleep duration than usual on a given day was associated with lower negative affect (b = -0.06, p < .001). Participants with overall higher sleep quality than others experienced lower negative affect (b = -0.33, p = .025) and higher positive affect (b = 0.40, p < .001) across the study period.
Our findings indicated that spending more time in any movements beyond the daily routine and better sleep quality may benefit older adults’ psychological well-being by enhancing positive affect and reducing negative affect.
Звукові інновації та експерименти у фортепіанних творах Джона Кейджа
Authors: Даюк Жанна , Цюлюпа Наталія , Присакару Надія
Published: July 2024

У статті розкривається новаторство американського композитора-авангардиста XX ст. Джона Кейджа у сфері естетично-інноваційної подачі музичного звуку та розвитку експериментальної музики. Описано звукові експерименти композитора стосовно використання нових можливостей звучання, які сприяли відкриттю широкого спектра нових тембрів, що відзначалися кардинальними трансформаціями. Досліджено інновації в традиційному способі звуковидобування та звучанні інструментів, нове сприйняття звуку, що відкрило нові можливості для творчості, доведено, що кожен звук, навіть шум, має власний потенціал і може бути використаний для творення мистецтва й створення музики.
Проаналізовано винахід підготовленого «препарованого» фортепіано, продемонстровано мелодійні особливості інструмента, зроблено акцент на його «ударній природі». Схарактеризовано зв’язок між творами композитора для «препарованого» фортепіано та його музичною філософією. Наведено приклади низки найвідоміших композицій, які найяскравіше відображають його музичну філософію та інноваційний підхід до звуку.
Зроблено висновок, що експерименти та інновації, здійснені Джоном Кейджем у музичному світі, особливо його «революційні» експерименти з препарованим фортепіано, є підтвердженням вічного впливу змін, креативності та сміливості в мистецтві.
Using Social Media in Nursing Education
Authors: - Ishraq Almasoudi
Published: July 2024

Nursing education must adapt to changes in technology, especially changes expected to not only add value to nursing as a profession but enhance efficiency as well. Changes in the nature and form of nursing education are reflected by the fact many courses in the field are offered online. Moduless that are essential in e-learning are mandatory as well as helpful in undergraduate and post-graduate nursing education. Social media has been integrated into nursing education through the instructor using the platform as a way to supplement material taught in the formal classroom environment, proving beneficial to nursing education given that social media is not only cheap but also convenient. However, many barriers exist regarding the use of social media to promote nursing education, and addressing these barriers is critical for enhancing its successful integration. The primary objective of this paper is to explore the use of social media in nursing education. The assessment is expected to provide insight into how social media can be better integrated into nursing education to achieve the target goals and objectives in teaching nursing. Nurse educators can also use the information on better integration of social media in nursing education to enhance their use and integration of social media in the teaching and learning process.
Analysis of Risk Factors and Body Mass Index Against Degrees of Severity of Psoriasis Vulgaris
Authors: Lidjaja Lifesia Natali , Muhammad Eko Irawanto  , Nur Rachmat Mulianto  , Arie Kusumawardani  , Ivani  , Vrenda Alia
Published: July 2024

Background: Psoriasis vulgaris (PV) is a chronic inflammatory skin disease with a multifactorial etiology, including genetic, immunological, and environmental factors. Obesity, characterized by a high body mass index (BMI), has been increasingly recognized as a potential risk factor for PV and may influence its severity. This study aimed to analyze the relationship between various risk factors, particularly BMI, and the severity of PV.
Methods: A cross-sectional study was conducted at a dermatology outpatient clinic of Dr. Moewardi Surakarta Hospital. Patients with a confirmed PV diagnosis were enrolled. Demographic data, medical history, lifestyle factors (smoking, alcohol consumption), and anthropometric measurements (height, weight, BMI) were collected. PV severity was assessed using the psoriasis area and severity index (PASI). Statistical analysis, including univariate and multivariate logistic regression, was performed to identify associations between risk factors and PV severity.
Results: The study included 200 PV patients with a mean age of 45.2 years (SD = 12.8) and a male predominance (58%). The mean PASI score was 12.4 (SD = 8.6), indicating a wide range of disease severity. Multivariate analysis revealed that obesity (BMI ≥ 30 kg/m2) was significantly associated with increased PV severity (odds ratio [OR] = 2.8, 95% confidence interval [CI] = 1.5-5.2, p = 0.001). Smoking (OR = 1.9, 95% CI = 1.1-3.3, p = 0.02) and a family history of psoriasis (OR = 2.3, 95% CI = 1.3-4.1, p = 0.004) were also identified as independent risk factors for higher PASI scores. Alcohol consumption showed a borderline association with increased severity (OR = 1.6, 95% CI = 1.0-2.6, p = 0.05).
Conclusion: Obesity, smoking, and a family history of psoriasis are significant risk factors for increased PV severity. These findings underscore the importance of addressing modifiable risk factors, such as weight management and smoking cessation, in the holistic management of PV. Further research is warranted to elucidate the underlying mechanisms linking these risk factors to PV severity and to develop targeted interventions to improve patient outcomes.
PENGARUH APLIKASI BRAINLY TERHADAP MINAT BELAJAR KELAS XI SMK NEGERI 4 PALANGKA RAYA TAHUN AJARAN 2022/2023
Authors: Thomas Orbit , Thomassoyan Melinda , Toendan Krisnayadi
Published: July 2024

Seiring berkembangnya jaman, buku tidak lagi menjadi salah satu sumber dan media belajar. Tetapi dengan kecanggihan teknologi tersebut peserta didik juga bisa mengakses aplikasi atau media web pembelajaran seperti media web atau aplikasi Brainly. Tujuan diadakannya penelitian ini adalah untuk mengetahui Pengaruh Aplikasi Brainly Terhadap Minat Belajar Kelas XI SMK Negeri 4 Palangka Raya Tahun Ajaran 2022/2023 dan untuk mengetahui seberapa besar pengaruh Aplikasi Brainly Terhadap Minat Belajar Kelas XI SMK Negeri 4 Palangka Raya Tahun Ajaran 2022/2023. Berdasarkan pemaparan tesebut, maka penulis merasa sangat tertarik untuk mengambil judul “Pengaruh Aplikasi Brainly Terhadap Minat Belajar Kelas XI SMKN 4 Palangka Raya Tahun Ajaran 2022/2023”
Dalam penelitian ini penulis menggunakan penelitian kuantitatif dengan pendekatan deskriptif, dengan subjek dalam penelitian ini adalah peserta didik Kelas XI Multimedia 1 dengan jumlah 31 orang, XI Multimedia 2 dengan jumlah 31 orang dan XI Multimedia 3 dengan jumlah 25 orang. Penelitian ini menggunakan alat pengumpulan data berupa angket dan dokumentasi. Teknik analisis data menggunakan analisis data uji regresi sederhana.
Hasil penelitian ini menunjukan bahwa : (1) Terdapat pengaruh antara aplikasi brainly terhadap minat belajar di SMK Negeri 4 Palangkaraya tahun ajaran 2022/2023. Hal tersebut dapat dibuktikan dari hasil perhitungan data yang telah dilakukan oleh peneliti, maka diperoleh hasil thitung > ttabel (2,935>1,987) dengan signifikansi sebesar 0,004 < 0,05. Kemudian berdasarkan nilai rhitung > rtabel diperoleh sebesar (0,303 > 0,210). (2) Berdasarkan nilai koefisien determinasi sebesar sebesar 9,2% yang tingkat pengaruhnya sangat lemah terhadap minat belajar. Sedangkan sisanya sebesar 90,8% (100-9,2%) terdapat di faktor lain atau varibel lain yang mempengaruhi minat belajar selain dari aplikasi brainly.
Los proyectos integrados y las matemáticas en educación primaria
Authors: García Valverde Juan María
Published: July 2024

El aprendizaje interdisciplinar, el aprendizaje integrado, el aprendizaje basado en proyectos y el trabajo cooperativo se han convertido en modelos punteros dentro de las metodologías actuales en Educación Primaria. Sin embargo, es muy usual hoy en día encontrar estos términos confundidos, lo que da lugar a error y a trabajar de maneras que no necesariamente implican la integración deseada. El presente trabajo es una revisión bibliográfica sobre los artículos que estudian los proyectos integrados y las Matemáticas. Se pretende ahondar en la definición de proyectos integrados y, más concretamente, en cómo el área escolar de las Matemáticas es integrada en dichos proyectos. La metodología usada para la revisión bibliográfica es la declaración PRISMA en su última edición. De esta manera, se establecerán definiciones en base a la bibliografía estudiada y se relacionarán con las Matemáticas en la etapa de la Educación Primaria. También se describirán varias experiencias con alumnos de estas edades derivadas de la revisión bibliográfica para establecer el grado de integración de las asignaturas, poniendo especial interés en las Matemáticas. Asimismo, se abordará la cuestión de su relación con el currículo de la nueva ley educativa, la LOMLOE.Si bien el número de artículos encontrado fue menor de lo previsto, tuvieron calidad suficiente para su estudio; de ellos, la mayoría presentaron enfoques interdisciplinar o transdisciplinar. No obstante, se comprobó una falta de fundamentación teórica, consecuencia de que la Didáctica de las Matemáticas es un campo poco explorado. Se propone, por tanto, fomentar la investigación en esta disciplina y formar al profesorado en dos ámbitos: cómo enseñar Matemáticas y cómo diseñar proyectos integrados.
La necesidad de cuidar a quien cuida
Authors: Revenga Novo Susana
Published: July 2024

Diversas investigaciones revelan cómo las políticas activas en relación a los cuidados de las personas con discapacidad que tienen dependencia consideran a los cuidadores y cuidadoras no profesionales como un recurso más. Debido a esto, es muy complicado gestionar y crear recursos para estas personas, ya que las investigaciones afirman que, lo que debería ser responsabilidad del Estado lo están cubriendo las familias y en especial, las mujeres.La presente investigación ha sido realizada desde una metodología comunicativa con un enfoque cualitativo. Los hallazgos demuestran que esta labor afecta a la población en todos los ámbitos de su vida, presentando problemas de salud, en sus relaciones, etc., y no solamente se ve afectada la persona cuidadora si no también la persona con discapacidad que tiene dependencia. Está comprobado que los grupos de cuidadores ayudan, en gran medida, a disminuir los efectos negativos que tiene la tarea de cuidado. En conclusión, a través de este estudio se evidencia que es necesario implementar y crear proyectos e intervenciones que se dirijan a cuidar a los cuidadores desde una creación colectiva.
Dimensión transmedia de World of Warcraft
Authors: Medinilla Yáñez Alfredo Javier
Published: July 2024

La narrativa transmedia en la actualidad no sólo comprende el proceso de entrelazar múltiples relatos a través de diversos medios para ampliar su audiencia, sino que también busca propiciar la creación de escenarios paralelos en otros contextos transmedia. Este término, acuñado por primera vez por Jenkins en 2006, es un reflejo de la convergencia mediática característica de nuestra sociedad digital. Este concepto no se limita a un único medio, sino que se expande a través de múltiples plataformas, interconectándolas en varios niveles para construir la estructura de la narrativa. La narrativa transmedia ha encontrado aplicación en el ámbito de los videojuegos durante varios años, adoptando formas variadas. Desde novelas breves que sirven como prólogos, cómics que aclaran eventos secundarios de una trama principal, hasta la organización de eventos en la vida real para atraer a los espectadores y seguidores a situaciones que les permiten interactuar de forma directa con el contenido de la historia más amplia. Un excelente ejemplo de esta integración es la profunda y compleja relación entre el MMORPG World of Warcraft y la narrativa transmedia. Aquí, uno puede observar un fenómeno transmedia colosal que va más allá de las fronteras de un simple videojuego en línea, transformándose en un universo prácticamente infinito. La narrativa transmedia no sólo incrementa la inmersión y la profundidad del juego, sino que expande su alcance más allá de las limitaciones convencionales, ofreciendo una experiencia verdaderamente multidimensional y absorbente a los usuarios.
SOS Museum, a Gamified Learning App for Cultural Heritage Preservation Tailored for School Visits: Observational Insights
Authors: Andrez Bárbara , Homem Paula Menino , Pinto Maria Manuela
Published: July 2024

This paper intends to systematize a first quantitative study based on the frequency of observable behaviors related to the implementation of a gamified mobile app built to raise awareness about risk management and preservation issues at the Military Museum of Porto, Portugal. The purpose of this study was to acknowledge, compare, and analyze the behavioral changes of a group of students (n=84) aged between 8 to 12 years old divided into two groups: experimental and control. Obtained results will assist a deeper and future analysis addressing infocommunicational problems in gamification processes and their relationship with knowledge in the museum context. The first results show that, by comparison to the control group, visitors were more excited, had more sense of urgency, were mutually aiding each other, and had more efficient communication and collaboration by completing tasks quickly and effectively, throughout the 30-minute average duration of the experience.
SEXUAL ASSAULTS AND THE PSYCHOSOCIAL MALADJUSTMENT OF ADOLESCENTS IN SECONDARY SCHOOLS IN CAMEROON
Authors: Vera Shien ,   PhD, Faculty of Education, University of Bamenda, Cameroon
Published: July 2024

Sexual assault is a vice that is alarming in secondary schools in Cameroon. It’s a severe crime and call for concern especially in schools due to vulnerability of students. Nowadays, the rate at which adolescent students are involved in sexual assaults is alarming. They engage in physical, sexual and relational victimisation which may have adverse psychosocial effects on the victims. Though they are diverse forms of victimisation among adolescents such as obvert victimisation, relational, property crime and power imbalance, this paper focuses on how sexual assaults (sexual violence, groping, rape, forced virginal or oral penetration,) leads to psychosocial maladjustment among adolescents in secondary schools in Cameroon. Mixed method was used in collecting data. Purposive and stratified sampling techniques were used to select a sample which comprised of adolescent students (577), counsellors (12) and discipline masters (12) from some schools in the North West, South West, Centre, and Adamawa Region (613). The instruments used for data collection were a closed-ended questionnaire for students, a focus group discussion with students, and an interview for counsellors and discipline masters/mistresses. Data obtained were analyzed descriptively and inferentially using cross-tabulations, percentages, and multiple response sets. Findings showed that sexual assaults significantly predict psychosocial maladjustment (P < 0.001). The positive sign of the correlation (R= 0.641**) implied that adolescents are more likely to suffer from psychosocial maladjustments. When there was a persistent occurrence of relational victimisation in the school environment. The findings implies that when there is persistent sexual violence, groping, rape, forced virginal or oral penetration from social groups, the victim turn to suffer from psychosocial maladjustment. In order to reduce the adverse effects of sexual victimisation and promote positive psychosocial maladjustments among adolescent the various stakeholders especially parents, teachers, school administrators, and counsellors should play unique roles in organising forums to advice and counsel the students peer victimisation.
Deın Schatten Tanzt In Der Küche’de (B. Frıschmuth) Postfeminist Perspektiften Kadının Özgürleşimi
Authors: Kızıler Emer Funda , Aras İnci , Özyılmaz Pembegül
Published: July 2024

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Efektivitas Media Pembelajaran Interaktif Berbasis Articulate Storyline 3 terhadap Hasil Belajar Matematika Siswa Kelas XI SMA
Authors: Ni Putu Ayu Listiani  , Harry Soeprianto  , Nilza Humaira Salsabila  , Sri Subarinah
Published: July 2024

Latar belakang penelitian ini adalah hasil belajar siswa yang rendah dan proses pembelajaran kurang efektif serta guru kurang interaktif. Tujuan penelitian ini adalah untuk mengetahui efektivitas media pembelajaran interaktif berbasis Articulate storyline 3 terhadap hasil belajar matematika siswa kelas XI SMAN 8 Mataram. Metode penelitian yang digunakan yaitu pendekatan kuantitatif dengan jenis penelitian eksperimen. Desain penelitian ini menggunakan Pretest-Posttest Only Control Group Design dengan sampel penelitian yang terdiri dari siswa kelas XI MIA 5 sebagai kelas eksperimen dan siswa kelas XI MIA 3 sebagai kelas kontrol yang berjumlah 56 siswa. Instrumen yang digunakan yaitu soal tes dan angket respon siswa. Hasil penelitian ini yaitu terdapat efektivitas penggunaan media pembelajaran interaktif berbasis Articulate storyline 3 terhadap hasil belajar matematika siswa kelas XI SMAN 8 Mataram, sebagaimana efektivitas yang dimaksud pada penelitian ini yaitu (1) adanya perbedaan rata-rata hasil belajar matematika yang signifikan antara kelas kontrol dengan kelas eksperimen; (2) terdapat peningkatan dan efektivitas pada rata-rata hasil belajar matematika dengan peningkatan hasil belajar kelas eksperimen sebesar 0,81 dengan kategori tinggi dan memperoleh presentase sebasar 80,74% dengan kategori efektif; (3) terdapat respon yang sangat baik dari angket respon siswa terhadap penggunaan media interaktif Articulate storyline 3 dalam proses pembelajaran dengan persentase respon 81,85%.
Detección de Babesia sp. en Frotis Sanguíneo a través del Uso de la Inteligencia Artificial
Authors: Leon Motoche Denisse del Cisne , Zapata Saavedra Matilde Lorena , Aguilar Gálvez Z Fernando L. , Perez Hernandez Daniel Victor
Published: July 2024

Dentro del grupo de enfermedades hemoparasitarias tenemos a Babesia canis, que es un microorganismo unicelular que vive y se reproduce en los vasos sanguíneos, infectando los eritrocitos. La mayoría de las especies de Babesia se describieron basándose en la supuesta especificidad del huésped y las características morfológicas de las etapas intraeritrocíticas. Por tal motivo, el siguiente trabajo desarrolló un programa para detectar babesia en frotis de sangre mediante el uso de tecnología, implementando inteligencia artificial en el reconocimiento morfológico de Babesia canis en etapa intraeritrocítica, ayudando a mejorar el diagnóstico efectivo y seguro en nuestras mascotas. Para este trabajo de estudio se realizaron dos pasos: primero se obtuvieron 100 placas positivas a Babesia sp mediante el uso del microscopio en un periodo de 7 días, tiempo durante el cual se seleccionó cada díada o merocita presente en cada placa, luego se crearon una base de datos de imágenes, con el uso del programa Superesly, se ingresaron alrededor de 630 imágenes de las diferentes díadas o merozoitos encontrados en las placas. Este proceso se realizó en un periodo de 4 días. El siguiente paso fue la creación del algoritmo mediante el uso del programa Roles Data el cual nos permite crear un algoritmo según el entrenamiento de selección de imágenes.
Conocimientos, Actitudes y Prácticas de Vacunación en Menores de 5 Años
Authors: Guano Valladolid Elvis Andres , Maza Eras Alviheri Leodan , Reyes Rueda Elida Yesica
Published: July 2024

Introducción:  La vacunación es un proceso que se realiza a escala mundial, debido a su importancia y eficiencia en relación con la salud a nivel individual y comunitario mediante la aplicación de una vacuna que ayudará activar el sistema inmunitario para contrarrestar ciertas enfermedades.  Materiales y Métodos: Estudio observacional, descriptivo, prospectivo de corte transversal. Con una población total de pacientes atendidas en el Servicio de Vacunación del Centro de salud Tipo C “Velasco Ibarra” en Machala, Ecuador, del 21 de febrero al 8 de marzo del 2024. Resultados: 91 de las 100 madres presentan un nivel educativo de bachillerato y título de tercer nivel.  El 91 % representan un buen conocimiento sobre las vacunas. El 59% si cumplen con el esquema según la edad del niño. El 95% de las usuarias si realizan las indicaciones post vacunas que le indica enfermería para los cuidados del niño. Conclusiones: El cumplimiento de la madre en acudir a un centro de salud para inmunizar a su hijo y tener conocimientos sobre la importancia de las vacunas ayudan a disminuir gastos que demandan de manera elevada los servicios de salud a nivel público y privado.
El Rol de la Realidad Virtual en la Educación Superior
Authors: Pinargote Castro Michael Antonio , Muñoz Pilozo Adriana Georgina , Orellana Londoño Cinthya Lissette
Published: July 2024

Este informe analiza el impacto y el rol de la realidad virtual (RV) en la enseñanza superior, basándose en estudios recientes realizados por diversos autores. Se revisan las aplicaciones, beneficios, desafíos y resultados de implementar la de RV en entornos educativos. El objetivo es equilibrar una visión completa de cómo la RV está reformando la enseñanza superior, mejorando la experiencia de aprendizaje y fomentando nuevas metodologías educativas. Se utilizaron revisiones sistemáticas, estudios de caso y análisis cuantitativos y cualitativos para alcanzar estos hallazgos. Los resultados demuestran que la RV puede mejorar significativamente las habilidades prácticas y teóricas de los estudiantes, aumentar su motivación y facilitar un aprendizaje más inmersivo y colaborativo.
The role of ALDH2 and its substrates in central nervous system disorders
Authors: Chen Yashuang , Tian Fengyuan , Meng Shu , Wang Jiayu
Published: July 2024

Background: Aldehyde Dehydrogenase 2 (ALDH2) is a mitochondrial dehydrogenase enzyme primarily tasked with the detoxification of acetaldehyde produced from alcohol metabolism and endogenous aldehydes. These aldehyde compounds, such as 4-Hydroxynonenal (4-HNE) and 3,4-dihydroxyphenylacetaldehyde (DOPAL), are predominantly generated through lipid peroxidation and are known to form adducts with proteins, DNA, and lipids, thereby inducing neurotoxicity.
Methods: This review examines the role of ALDH2 in central nervous system (CNS) diseases by analyzing epidemiological studies and disease models. The focus is on understanding the impact of the ALDH2 rs671 G>A polymorphism, which reduces or eliminates enzyme activity.
Results: This genetic polymorphism of ALDH2 is closely associated with the onset of various central nervous system (CNS) diseases such as Alzheimer’s disease (AD), Parkinson’s disease (PD), schizophrenia, and stroke potentially linked to the accumulation of aldehyde compounds within the CNS.
Conclusions: A deeper understanding of the mechanisms by which ALDH2 influences these diseases will enhance therapeutic strategies for patients carrying the ALDH2 rs671 polymorphism and also offer new insights for the prevention and diagnosis of these conditions.
Autocuidado Familiar: ensaio teórico para famílias com filho(s) com perturbação do desenvolvimento intelectual
Authors: Mestre Teresa Dionísio , Caldeira Ermelinda , Lopes Manuel José
Published: July 2024

Enquadramento: o autocuidado surge no contexto familiar, apesar de ser encarado como um determinante de saúde individual. A família, entendida como um sistema e unidade social converge para um padrão de autocuidado e não para um somatório do mesmo. Objetivo: efetuar a transposição do autocuidado individual para o familiar, atendendo às necessidades e características da família com filho(s) com perturbação do desenvolvimento intelectual, através da adoção do autocuidado familiar, enquanto conceito central de um padrão de cuidados. Metodologia: ensaio teórico que reflete o percurso reflexivo de conceção do autocuidado familiar nas famílias identificadas, ancorado na Teoria do Autocuidado de Enfermagem, no  Modelo de Parceria de Cuidados, na Teoria de Médio Alcance do Autocuidado da Doença Crónica e na Teoria Geral dos Sistemas. Resultados: identificaram-se fatores condicionantes ao desenvolvimento de autocuidado familiar, que antecedem quatro domínios em constante interação com o ambiente, sociedade e comunidade. Através destes, a família procura manter, proteger e/ou promover a saúde, mediada por comportamentos de monitorização e gestão da doença. Conclusão: as famílias em análise procuram alcançar a saúde familiar, mantendo-a por meio de práticas de promoção da saúde e gestão da doença, sempre mediadas por comportamentos de autocuidado familiar.
Bending of an elastic-plastic beam of box section
Authors: Сенашов С.И. , Савостьянова И.Л.
Published: July 2024

Для выдвижения антенн на космических аппаратах используются полые стержни коробчатого сечения большой длины. Эти стержни изготавливаются из многослойных композитных материалов. Под действием солнечного излучения в стержнях возникают напряжения, которые существенно влияют на функции приборов, находящихся на выдвигаемой конструкции. В работе рассмотрен упруго-пластический коробчатый стержень, который изгибается поперечной силой. Предполагается, что деформации в стержне упруго–пластические и боковая поверхность его свободна от напряжений. Центр тяжести поперечного сечения не совпадает с точкой приложения силы. С помощью законов сохранения построено точное решение, описывающее напряженное состояние этой конструкции. Напряженное состояние вычисляется в каждой точке рассмотренной фигуры с помощью интегралов по внешним контурам поперечного сечения.

In space technology, hollow box-shaped rods of large length are used to extend antennas on spacecraft. These rods are made of multilayer composite materials. Under the influence of solar radiation, stresses arise in the rods, which significantly affect the functions of the devices located on the extended structure. In the work, the authors considered an elasto-plastic box-shaped rod that bends by transverse force. It is assumed that deformations in the rod are elasto –plastic and its lateral surface is stress-free. The center of gravity of the cross section does not coincide with the point of application of force. The authors have constructed an exact solution using conservation laws describing the stress state of this structure. The authors calculated the stress state at each point of the considered figure using integrals along the external contours of the cross section.
On the caloric capacity of irreversible deformation of the plug material in a round pipe
Authors: Ковтанюк Л.В. , Панченко Г.Л. , Попова Е.О.
Published: July 2024

В статье представлено решение связанной краевой задачи теории больших деформаций о деформировании пробки конечной длины в круглой трубе под действием изменяющегося перепада давления. Предполагается, что пробка имеет цилиндрическую форму, а ее материал является несжимаемым и обладает упругими, вязкими и пластическими свойствами. Возрастающий со временем перепад давления задается на граничных поперечных поверхностях пробки. На боковой поверхности пробки задано условие прилипания. Изменение температуры материала происходит за счет его необратимого деформирования. Необратимые деформации накапливаются в материале пробки с начала процесса деформирования и могут быть как деформациями ползучести, так и пластическими деформациями. Предполагается, что параметры ползучести, предел текучести и коэффициент динамической вязкости материала зависят от температуры. При возрастающем перепаде давления рассмотрена ползучесть материала, а также возникновение и развитие вязкопластического течения. Рассчитаны температура и параметры напряженно-деформированного состояния, установлена закономерность продвижения упругопластической границы по деформируемому материалу.

The paper presents a solution to a coupled boundary value problem of the theory of large deformations on the deformation of a plug of finite length in a circular pipe under the influence of a changing pressure difference. It is assumed that the plug has a cylindrical shape, and its material is incompressible and has elastic, viscous and plastic properties. The pressure drop, which increases over time, is set on the boundary transverse surfaces of the plug. The adhesion condition is specified on the side surface of the plug. The temperature of the material changes due to its irreversible deformation. Irreversible deformations accumulate in the plug material from the beginning of the deformation process and can be either creep deformations or plastic deformations. It is assumed that the creep parameters, yield strength and dynamic viscosity coefficient of the material depend on temperature. With an increasing pressure drop, the creep of the material, as well as the emergence and development of viscoplastic flow, are considered. The temperature and parameters of the stress-strain state are calculated, and the pattern of movement of the elastoplastic boundary along the deformable material is established.
Texto para Discussão 2934
Authors: Sandro Pereira Silva Sandro Pereira Silva , Sambuichi Regina Helena Rosa , Alves Fabio , Ciríaco Juliane da Silva
Published: July 2024

Este estudo surge com o intuito de verificar os efeitos das mudanças normativas recentes do Programa Nacional de Alimentação Escolar (PNAE), em especial a inserção da agricultura como público a ser priorizado na aquisição de alimentos, sobre seu potencial de contribuição para a agenda da segurança alimentar e nutricional (SAN) no país. Para isso, optou-se por uma análise das compras efetuadas em nome do programa com vistas a identificar se os alimentos fornecidos atendem aos requisitos necessários de promoção da alimentação adequada e saudável, para 2016. Os alimentos informados nessa base foram classificados por grupos alimentares, conforme lista de classificação do Instituto Brasileiro de Geografia e Estatística (IBGE), e pela classificação utilizada pelo Guia Alimentar para a População Brasileira, que define os alimentos em cinco grupos: in natura, minimamente processado, ingrediente culinário, processado e ultraprocessado. Os números analisados permitem dizer que o fornecimento de produtos da agricultura familiar para o PNAE, além de garantir um suprimento alimentar mínimo a alunos de diversas idades e de favorecer o aprendizado ao contribuir para a assiduidade dos estudantes, também tem auxiliado na formação de hábitos alimentares saudáveis entre os beneficiados.
Texto para Discussão 2935
Authors: Vieira Fabiola Sulpino , Servo Luciana Mendes Santos , Cavedo Welligtton Silva , Bernardes Liliane Cristina Gonçalves , Ribeiro José Aparecido Carlos , Santos Wandemberg Venceslau Rosendo dos
Published: July 2024

O objetivo deste texto é apresentar um conjunto de indicadores que possibilitem não apenas dimensionar a contribuição do Sistema Único de Saúde (SUS) para a promoção, a proteção e a recuperação da saúde dos brasileiros, em termos dos benefícios ofertados, mas também acompanhar e monitorar a oferta desses benefícios ao longo dos anos. Este trabalho se insere em uma iniciativa mais ampla de seleção de indicadores que demonstram e possibilitam o acompanhamento dos benefícios monetários e não monetários garantidos pelo Estado no âmbito da política de seguridade social, da qual a política de saúde faz parte, consubstanciando um instrumento que foi chamado de Beneficiômetro da Seguridade Social. Para tanto, apresenta-se, neste texto, uma série de indicadores de cobertura da população por bens e serviços de saúde, calculados a partir de dados da Pesquisa Nacional de Saúde (PNS) 2013 e 2019, assim como indicadores de produção de serviços e de disponibilidade de profissionais de saúde no SUS, calculados a partir de dados de registros administrativos, em sua maioria do período de 2012 a 2021. No geral, os indicadores mostram que a cobertura pelo SUS, para os serviços de saúde selecionados, manteve-se no mesmo patamar ou, em alguns casos, foi ligeiramente ampliada entre 2013 e 2019. Além disso, revelam que a produção de serviços aumentou na última década, à exceção dos anos da pandemia da Covid-19. Assim, com o conjunto de indicadores apresentados neste trabalho, os autores criam uma primeira versão do componente saúde do Beneficiômetro da Seguridade Social, o que contribui para o cumprimento das finalidades desse instrumento.
Effectiveness of Conventional Exercise on Motor Functions among Patients with Hemiparesis Admitted in Selected Hospital
Authors: R Aravinth. , Padmavathi P , Grazy C
Published: July 2024

Background : Hemiparesis is the weakness or inability to move one side of the body, making daily activities difficult. Motor activity (from daily activity) - All activities produced by stimulation of motor neurons, including activity in the gland, as well as activity of body and muscle complaints (American Psychiatric Association). Aim: Effectiveness of conventional exercise on motor functions among patients with hemiparesis admitted in selected hospital, Salem, Tamilnadu. Design: The research design used for the present study was Quasi – experimental design. Participants: 30 hemiplegic patients who met the inclusion criteria were selected by purposive sampling technique. Selection criteria: INCLUSION CRITERIA: patients with hemiparesis => Age group 40 and 70 years, Illness for the duration of less than 2 years,present during the period of data collection, have normal cognitive function,willing to participate in the study, able to understand Tamil or English. Results: The results showed that the average motor test score of the hemiplegic patients in the control group was 24.45 ± 1.42, and the average score of the experimental group was 18.21 ± 1.85. Result: Regular exercise appears to be effective in improving motor function in patients with hemiplegia. Paired t test and unpaired t test showed that regular exercise had an effect on motor function in hemiplegic patients. Conclusion: According to the results of the study, daily exercise appears to be effective in improving motor function in patients with hemiplegia, regardless of demographic differences.
An Interesting Case of Vanishing Myocardial Infarction
Authors: Vadlakonda Sunayana , Nagarajan K. , Stanley Jawahar Lanord
Published: July 2024

A 45 year old male came with complaints of chest pain since one day following alcohol intake. Patient evaluated initially at a hospital where electrocardiograph was taken which revealed ST elevation in leads V2 - V4 and loading dose was given subsequently and was subsequently refereed to our hospital. Electrocardiograph was repeated in our hospital which surprisingly showed no ST elevation. Patient was taken up for angiogram which shows proximal LAD occlusion. Achieving initial thrombolysis in myocardial infarction grade 2-3 flow in the infarct-related artery prior to primary percutaneous coronary intervention (PPCI) is commonly referred to as transient STEMI, or spontaneous reperfusion. This condition affects about 20% of patients with STEMI and is usually accompanied by a resolution or improvement of symptoms. It can delay the emergency need of angioplasty. Although there is no specific reason for spontaneous resolution of ST elevation in myocardial infarction, but there are few biomarkers, prognostic tools and potential therapeutic targets which help in spontaneous re-perfusion in a developing myocardial infarction.
Unveiling the Scientific Mechanisms of Pain Relief through Marma Therapy as a Non-Pharmacological Intervention
Authors: Rajan Akhila , Sharma Shyoram
Published: July 2024

This article investigates the scientific underpinnings underlying Marma Therapy, a core part of Ayurveda that provides pain alleviation through non- pharmacological interventions. Pain, a common and debilitating feeling, is frequently treated with drugs, which can have serious adverse effects and increase the risk of reliance. As the desire for alternate pain management methods grows, Marma Therapy emerges as a promising solution. Marma Therapy is the exact manipulation of specific body spots known as Marma points, which are said to be essential for the flow of "Prana," or life energy. This therapy is especially useful for neuromuscular pain and other pain-related diseases such shoulder, abdomen, chest, cervical, leg, and knee pain. The study studies old Ayurvedic writings as well as current research to see how Marma Therapy matches with modern scientific concepts, with the goal of bridging the gap between traditional wisdom and modern science. The literature review underlines Marma importance in controlling various types of pain and advocates for its integration into holistic healthcare. The scientific mechanisms investigated include the Gate Control Theory of Pain, nervous system activity modulation, endorphin activation, and the influence of neurotransmitters such as nitric oxide. Clinical evidence supports Marma Therapy's efficacy in a variety of neuromuscular diseases, establishing it as a viable non-pharmacological treatment. This study adds to our growing understanding of integrative medicine and demonstrates Marma Therapy's potential to improve modern pain treatment procedures. The study recommends for further investigation and validation of Marma Therapy to secure its inclusion in mainstream pain management regimens, thereby increasing the quality of life for people suffering from chronic pain.
The Effect of Nutritional Status on Dental Caries Levels for Students in Grades V and VI Of SDN 2 Molawe North Konawe Regency
Authors: Dirman Rezki , Zulkaidah Utari , . Yulistina , . Asnuddin , Sakinah Sri , Syafutri Nina
Published: July 2024

Dental and oral health is a health problem that requires comprehensive treatment, because dental problems are broad-dimensional and have a wide impact that includes physical, mental, and social factors for individuals suffering from dental diseases (Amelia et al. 2022). One of the dominant dental and oral health diseases in Indonesia is dental caries or cavities. Dental caries makes children experience loss of chewing power and impaired digestion, resulting in suboptimal growth (Kusmana 2021). Nutritional problems in school-age children are health problems that affect the future and intelligence of children, it requires more serious attention, one of which is nutritional status. Nutritional intake is very much needed at the beginning of children's growth and development, school-age children are the age most vulnerable to the occurrence of dental caries because of poor child hygiene patterns, and poor children's diet, so that if there is a nutritional imbalance it can cause prolonged consequences and can settle on biological functions and salivary glands. The type of research used is quantitative observational analysis with a cross sectional approach. The sampling technique was carried out using the Slovin formula where the number of samples obtained was 40 respondents. The nutritional status obtained in the undernutrition criteria was 12 (30%), normal criteria were 23 (57.5%), overweight criteria were 5 (12.5%). Meanwhile, the caries rate obtained in the very low category was 28 (70%), the low criteria were 7 (17.5%), the medium criteria were 1 (2.5%), and the high criteria were 5 (10%). A sig of 0.000 (<0.000) was obtained, which means that there is an influence between nutritional satatus and the incidence of dental caries. It is recommended that the school implement UKGS well so that it can pay attention to the dental and oral health of students. Then students and parents are expected to be more concerned about dental and oral health, pay attention to the food consumed so as not to cause dental caries and nutritional status problems.
Surgical Profile of Osteosarcoma Patients in a Tertiary Referral Hospital in Surabaya, Indonesia
Authors: Arikho Abimanyu Abel , Edward Mouli
Published: July 2024

Osteosarcoma is a rare malignant bone disease with unclear etiology. It is primarily a disease of childhood with rapid bone growth in periods of rapid bone proliferation [such as in puberty]. Before the 1970s, prognosis for this malignancy is very grim with the only available form of treatment are limb ablation [amputation]. The advent of modern chemotherapy, in addition to the development of modern limb salvage surgery [LSS] techniques, mortality has decreased and quality of life of surviors have increased. Indonesia is a developing country with unequal distribution of adequate health facilities. Studies have shown that unlike western countries, most osteosarcoma patients in Indonesia are still treated with limb ablation procedures. A retrospective descriptive study is done on Dr. Soetomo General Hospital to discover the surgical profile of patients undergoing chemotherapy during the period of 2014-2020. Results have shown that the majority [26] underwent amputation, 17 underwent no surgical treatment, and the rest [9] LSS. The results of this research shows that the clinical reality of developing nations like Indonesia is still far from the ideal clinical situation in developed western nations where these studies originate.
The "E-UKGM" Model as an Effort to Improve the Quality ofRecording and Reporting Community Oral Health Efforts (UKGM) in Community Health Centers
Authors: Wulandari Ayu , . Supriyana , Sunarjo Lanny , Fatmasari Diyah
Published: July 2024

UKGM is a dental health service activity carried out by the community through guidance from the health center. The obstacle to the implementation of UKGM is that the recording and reporting applied so far at the Community Health Centers is still manual. In the Bulukumba Regency area, recording and reporting of UKGM activities is still carried out manually, reports on UKGM activities are combined with other health reports, and there is no data on ongoing actions from the results of examinations on UKGM activities. Efforts are needed to improve the quality of recording and reporting of UKGM at Community Health Centers based on information systems. Objective: To prove that the E- UKGM model is effective as an effort to improve the quality of UKGM recording and reporting atCommunity Health Centers. Methods: Research and Development with Pre-experiment one Group Pretest-Posttest Design research design. The research sample was TGM working at the health center totaling 20 people who were given the E- UKGM model . Data collection techniques are interviews and questionnaires. Data were processed with non- parametric tests. Results: The expert validation test of the E-UKGM model obtained an average of 82% with a very feasible category and r> 0.726. The recording and reporting mechanism, and the quality of data and information improved after being given the E-UKGM model compared to the previous p-value of 0.000 (p<0.05). Conclusion: The application of the E-UKGM model is effective in improving the quality of recording and reporting UKGM at the Community Health Centers.
Small-scale Dynamo with Nonzero Correlation Time
Authors: Gopalakrishnan Kishore , Singh Nishant K
Published: July 2024

The small-scale dynamo is typically studied by assuming that the correlation time of the velocity field is zero. Some authors have used a smooth renovating flow model to study how the properties of the dynamo are affected by the correlation time being nonzero. Here, we assume the velocity is an incompressible Gaussian random field (which need not be smooth), and derive the lowest-order corrections to the evolution equation for the two-point correlation of the magnetic field in Fourier space. Using this, we obtain the evolution equation for the longitudinal correlation function of the magnetic field (M

L
) in nonhelical turbulence, valid for arbitrary Prandtl number. The nonresistive terms of this equation do not contain spatial derivatives of M

L
of order greater than 2. We further simplify this equation in the limit of high Prandtl number, and find that the growth rate of the magnetic energy is much smaller than previously reported. Nevertheless, the magnetic power spectrum still retains the Kazantsev form at high Prandtl number.
Localizing Quasiperiodic Pulsations in Hard X-Ray, Microwave, and Lyα Emissions of an X6.4 Flare
Authors: Li Dong , Hong Zhenxiang , Hou Zhenyong , Su Yang
Published: July 2024

We report the simultaneous observations of quasiperiodic pulsations (QPPs) in wavelengths of hard X-ray (HXR), microwave, Lyα, and ultraviolet (UV) emissions during the impulsive phase of an X6.4 flare on 2024 February 22 (SOL2024-02-22T22:08). The X6.4 flare shows three repetitive and successive pulsations in HXR and microwave wavebands, and they have an extremely large modulation depth. The onset of flare QPPs is almost simultaneous with the start of magnetic cancellation between positive and negative fields. The wavelet power spectra suggest the presence of double periods, which are centered at ∼200 and ∼95 s, respectively. The long-period QPP can also be detected in Lyα and UV wavebands at the flare area, and it could be observed in the adjacent sunspot. Our observations indicate that the flare QPPs are most likely triggered by accelerated electrons that are associated with periodic magnetic reconnections. The long period at ∼200 s is probably modulated by the slow magnetoacoustic wave originating from the neighboring sunspot, while the short period at ∼95 s could be regarded as its second harmonic mode.