bluuebunny/crossref_metadata_2025 huggingface dataset:
Resilience Amidst Isolation and Connection: Exploring Psychological Well-Being of Covid-19 Survivors
Authors: Duyag Merasol O. , Daniel Mary Jazz Shine E. , Dominguez Maria Angelica V. , Taghoy Sammy B. , Ablaña Sandy D.
Published: December 2024

COVID-19 has had a significant impact on individuals’ mental health, and understanding the psychological well-being of survivors is crucial for developing effective support and interventions. This descriptive phenomenological study aimed to explore and describe the psychological well-being of COVID-19 survivors during and after the recovery. The study was conducted in Ozamiz City, Province of Misamis Occidental and Municipality of Ramon, Province of Isabela. The participants of the study were three COVID-19 survivors who have recovered from the illness selected through purposive sampling. In-depth interviews were conducted and the seven-step method of data analysis of Colaizzi was employed to identify key themes related to psychological well-being. The findings reveal five central themes: 1) Anxiety due to Coronavirus, 2) Social Isolation, 3) Making Sense of the Experience, 4) Positive Relationships, and 5) Strong Spiritual Foundation. While these individuals faced significant anxiety and social isolation upon learning of their positive status—stemming from fears of being a carrier, concerns about imminent death, and worries for the welfare of their loved ones—they also discovered pathways to resilience and connection that enhanced their mental health. Social isolation was exacerbated by feelings of loneliness in isolation facilities and discrimination from neighbors. However, the pandemic also fostered positive effects on the survivors’ psychological well-being. They navigated their experiences by adopting healthy lifestyles, recognizing their strength in the face of adversity, and cultivating hope and gratitude. Additionally, they established positive relationships with loved ones and built a strong spiritual foundation by maintaining their faith and trusting God during and after their recovery. These elements illustrate how, despite the challenges, survivors found ways to enhance their psychological well-being.
Kepemimpinan Transformatif: Meneladani Kehidupan dan Pelayanan Elia
Authors: Debi Silvia Dinata  , Sandro Apriedo  , Listia Septiana  , Sarmauli Sarmauli
Published: December 2024

This study aims to describe the principle of perseverance taught by Elijah through his exemplary life, explain Elijah's strategies in facing life's challenges, and identify the meaning of Elijah's faith and its relevance to everyday life. Elijah demonstrated extraordinary perseverance in his obedience to God, as seen in his story in 1 Kings 17:1-6. He remained faithful to the mission given by God, despite facing various challenges, including spiritual conflict, physical threats, social isolation, and inner turmoil. The pinnacle of Elijah's faith is seen in his confrontation with the prophets of Baal on Mount Carmel, where Elijah challenged idol worship with a strong conviction in God's power. Elijah's experience teaches the importance of maintaining faith in the midst of challenges, consistency in pursuing goals, and nurturing a personal relationship with God as a source of strength. Elijah's life also has relevance in the modern context, especially in terms of empowering leadership, spiritual integrity, moral courage, and commitment to divine truth..
Evaluasi dalam Manajemen Diklat di Badan Pengembangan Sumber Daya Manusia Provinsi Kalimantan Tengah
Authors: M Rizki Septianto  , Abdul Gofur
Published: December 2024

Evaluation plays an important role in education and training programs. Without evaluation, we cannot know the level of success of training participants and there will also be no opportunity for improvement. Education and training evaluation is a process to obtain information and data related to the learning outcomes experienced by training participants. The evaluation program in training includes principles, models, implementation, and follow-up. This evaluation has four levels and stages, namely: the evaluation planning stage, data collection, analysis, and reporting of evaluation results. Ultimately, training evaluation is used to make decisions about the benefits of the training program, whether the program will be continued or stopped, and what needs to be improved if the program is to be continued.
Understanding Food Literacy Through Google Fit Application : A Case Study in Reframing Positive Communication
Authors: Alfira Isya Nabila  , Thereza Angie Griffin  , Rita Hartati
Published: December 2024

In the digital era, food literacy—an essential competency for making informed dietary choices—has gained significance in enhancing not only individual health but also communication skills. This study investigates the role of the Google Fit application in improving food literacy and its subsequent impact on positive communication among university students. Utilizing a qualitative case study approach, we explored how the use of Google Fit influenced the understanding of food literacy and fostered supportive, constructive interactions among 20 English Literature students at UNIMED. Findings reveal that Google Fit’s features, such as calorie tracking and activity monitoring, significantly enhance students' awareness of nutrition and healthy eating behaviors. Furthermore, improved food literacy encouraged participants to engage in data-driven, empathetic dialogues, thus fostering positive communication. The results highlight the potential of mobile applications to serve as effective educational tools, not only for promoting health literacy but also for cultivating essential interpersonal skills. These findings underscore the importance of integrating digital tools into academic practices to bridge the gap between personal health education and broader social competencies.
Enhancing Ante Natal Care (ANC) Quality Through Interprofessional Collaboration (IPC) Among Health Workers
Authors: Miftahul Fikrah  , Laila Isrona  , Amirah Zatil Izzah
Published: December 2024

The increased of Maternal Mortality Rate (MMR) can be lowered through by various efforts, one of them with quality Antenatal Care (ANC). Quality of ANC services can be given by several health workers who work together in giving services to patients through the Interprofessional Collaboration (IPC). IPC or interprofessional collaboration can improve health service quality. The purpose of this study is to find out an overview of the level of perception of health workers about IPC on ANC services in Lubuk Buaya Health Center. This study is descriptive research using crosssectional design. The study sample is 30 health workers who are determined by the total sampling method. Data collection use the Collaborative Practice Assessment Tools (CPAT) questionnaire. The results of the study can be found that all health workers (100%) have a high perception of IPC in ANC services with components of connection among members, coordination and division of roles, and missions, goals, and objectives have the highest percentage (100%) and decision-making and conflict management components have the lowest percentage (10%). All health professions consist of GPs, midwives, nurses, dentists, pharmacists, nutritionists, and ATLM have a high perception (100%) of IPC on ANC services. The dentist professions have a high perception of all eight components, meanwhile other professions have a high perception of the seven components of perception and have a moderate perception in one component of perception, that is the components of decision making and conflict management. In general, health workers have a high perception of IPC in ANC services, but there are still a moderate perception in one components of perception so efforts are needed to improve IPC competence in that component.
Analysis of Power-Division Non-Orthogonal Multiple Access Technology
Authors: Sinilnikov A. M. , Fokin G. A. , Grishin I. V. , Kalinkina A. A.
Published: December 2024

The work analyzes the Power-Division Non-Orthogonal Multiple Access technology. An assessment is made of the influence of the error in estimating channel parameters on the probability of errors per symbol during the procedure for sequential elimination of interference on the receiving side and the throughput of the communication system. In order to improve the spectral efficiency of the communication system, expressions are derived to ensure fair allocation of power between users.
Income of Chicken KUB Business in Flores Bajawa Agricultural College
Authors:   Agribusiness Study Program, Flores Bajawa College of Agriculture Jln. Kapten Piere Tendean-Tanalodu-Bajawa-Flores-East Nusa Tenggara-Indonesia, Dea Agnes Yunita , Ngaku Maria Alfonsa ,   Agribusiness Study Program, Flores Bajawa College of Agriculture, Wea Yulianti Susanti ,   Animal Husbandry Study Program, Flores Bajawa College of Agriculture, Papu Marianus ,   Animal Husbandry Study Program, Flores Bajawa College of Agriculture
Published: December 2024

Balitbangtan's superior native chicken (KUB) is a non-racial chicken that can produce meat and eggs, egg production from KUB chickens is quite a lot can reach 50% per day. This KUB chicken is the result of research by the Livestock Research Agency-Agricultural Research and Development Agency and licensed to PT. ayam Kampung Indonesia (AKI) or more precisely obtained from the results of crossing and then widely developed. Kampung chicken business is generally cultivated by small farmers in rural areas as a side business. But in this way, the profit of farmers is very small, because the business has not led to commercial businesses. Superior local chicken business with good professional management can increase the economic value of farmers more optimally. The local chicken business can continue to be cultivated by small farmers in rural areas, although the scale of maintenance is still low. This research was conducted for approximately one month, starting in June-July 2024. The research location was at the Flores College of Agriculture in Bajawa. The college is engaged in agriculture and animal husbandry. The population of poultry raised at the Flores Bajawa College of Agriculture is 600 birds. The data analyzed in this study are primary data taken directly from the research location. The income from the KUB chicken business raised at the Flores Bajawa College of Agriculture during one maintenance period received a significant profit of approximately 65%. Of course this is inseparable from good maintenance management patterns so that it has an impact on the benefits obtained. In addition, the cage / cage employees of course also pay attention to the health of KUB chickens so as to emphasize the high mortality rate of chickens.
Consumo de alcohol y rendimiento cognitivo en una cohorte de pacientes de 55 a 75 años: estudio transversal de base poblacional
Authors: Rubio-Serrano Javier , Gefaell-Larrondo Ileana , Del Canto de Hoyos-Alonso María , Del Cura-González Isabel
Published: December 2024

Objetivo: analizar la relación entre el consumo de alcohol y el rendimiento cognitivo por sexo en personas adultas mayores en España.

Métodos: estudio observacional transversal anidado dentro de la cohorte NEDICES-2. Participaron 884 individuos (56% mujeres) de 55-75 años. Se excluyeron personas con demencia y exbebedoras. Para explorar la influencia de los niveles de consumo de alcohol (riesgo bajo, moderado y alto) en el rendimiento cognitivo, se construyeron modelos lineales generalizados estratificados por sexo.

Resultados: consumían alcohol el 76% de los hombres y el 26% de las mujeres. Los hombres mostraron mayor consumo en todos los niveles. En mujeres, un consumo moderado versus abstinencia se asoció a peores puntuaciones en el test de recuerdo inmediato (odds ratio [OR]: 3,62; intervalo de confianza [IC] 95%: 1,35-10,37). El consumo de bajo riesgo frente a abstinencia se asoció con un mejor resultado en tiempo de ejecución del Trail Making Test serie A (TMTA-1) (OR: 0,27; IC 95%: 0,07-0,78). En hombres, un consumo de bajo riesgo versus abstinencia se asoció a puntuaciones más bajas en la versión de 37 ítems del Mini-Mental State Examination (MMSE-37) (OR: 3,37; IC 95%: 1,10-11,59), y consumo de alto riesgo frente a abstinencia con un menor rendimiento en el test de acentuación de palabras (OR: 4,26; IC 95%: 1,17-16,57) y test del reloj (OR: 5,52; IC 95%: 1,49-22,45).

Conclusiones: la asociación entre el consumo de alcohol y el rendimiento cognitivo difiere según el sexo. En hombres, el consumo de alcohol se asocia a peores resultados en los test neuropsicológicos. En mujeres, el consumo de bajo riesgo no se asoció a peores resultados, pero sí el consumo moderado.

Palabras clave: alcohol, rendimiento cognitivo, test neuropsicológicos.
Estepa
Authors: Turabián-Fernández José Luis , Pérez-Franco Benjamín
Published: December 2024

Estas historias de la LIBRETA DE VIAJE DEL MÉDICO DE FAMILIA, que forman una biblioteca del médico caminante o viajero emocional, son hojas sueltas en las que se escribe sobre paisajes y emociones; son un atlas de geografía emocional. La evocación de un paisaje ante la asistencia a un paciente —montañas, ríos, valles, playas, mares, desiertos, mesetas, islas, pantanos, cascadas, dunas, bosques, salinas, lagos, etc.—, con las sensaciones sentidas por el médico, de calor, frescor, humedad, dificultad, agobio, serenidad, inmensidad, soledad, etc. No es un diario, solo una libreta de apuntes con las vivencias del médico sobre los patrones y procesos de la consulta en un cierto caso clínico, que, a su vez, puede ilustrar un prototipo de esa clase de casos.
PERLINDUNGAN HUKUM BAGI PELAKU USAHA KERAJINAN TANGAN ATAS KONSUMEN YANG MELAKUKAN PEMBATALAN SEPIHAK DI KOTA BALIKPAPAN
Authors: Orly Octavia Nureni  , Irma Suriyani  , Safarni Husain
Published: December 2024

Business actors are important subject in sale and purchase. However, there is a problem where consumers make unilateral cancellation and cause harm to business actors. This research is conducted with the aim to identify the form of legal protection for business actors and to examine the agreement in order to minimize the risk due to unilateral cancellation in handicraft business actors in Balikpapan City. The result of the research shows that legal protection for business actors is based on the implementation of good faith, rights and obligatins of each party which are regulated in KUHPer and UUPK. However, the function of the agreement to minimize the risk due to unilateral cancellation can be maximized through using a specific and complete agreement, which includes importat matters in the sale and purchase, such as down-payment provisions, cancellation provisions, and other provisions, in order to ensure legal certainty and protection for the parties.
TEORI HUKUM BERBASIS KEWAJIBAN MENURUT IMMAUEL KANT
Authors: Petrus CKL Bello
Published: December 2024

Law that is philosophically discussed by Immanuel Kant is related to morality, especially to individual autonomy. While law emphasizes the necessity of action according to external norms, morality actually orders humans to act according to their inner convictions. In this regard, Kant distinguishes between legality and morality. Legality is the mere conformity of an action to external law or norms, without considering the inner elements, while morality is the conformity of an action to the inner norm, namely the awareness of responsibility and obligation in a concrete situation. According to Kant, law is an instrument to promote moral values. If morality is essentially determined by the individual's capacity to determine themselves through their personal actions, then the effectiveness of law occurs on the contrary thanks to the power of institutions or authoritative bodies. However, the validity of the objectivity of both can only be accepted if both morality and law are open to intersubjective discourse. In Kant's philosophy, the understanding that uses this discursive imperative is publicity or publicity. Publicity is an essential element in the process of making law. In his book The Metaphysical Basis of Morality (Grundlegung zur Metaphysik der Sitten, 1785 abbreviated: GMS) Kant stated that an action is only moral if it is done for the sake of duty alone, not for other considerations. And to form such a moral command Kant mentioned several conditions or principles, for example the principle known as the 'general principle of law': "always act based on the maxim that you can at the same time will as general law" and "all actions related to the rights of others, whose maxims are not in line with publicity, are wrong." Kant's intention with the general principle of law is to find out whether an action taken must be carried out and whether my maxim can be universalized (made a general law for everyone). If "yes", the action must be carried out. If "no" the action is not mandatory. That is why Kant's ethics and legal theory are categorized as duty ethics (deontology) and duty-based legal theory.
Should We Be Resurrecting the Handshake?
Authors: Baum Neil , Kahn Marc
Published: December 2024

The simple handshake has been around for more than 3,000 years as a sign of friendship and as an indication that neither party is carrying a weapon. The physician-patient relationship often begins with a traditional handshake. Hand hygiene is an integral part of patient encounters to reduce the spread of infectious diseases; however, many physicians and allied health providers believe taking a break for hand hygiene interrupts the natural flow of the initial introduction and nonverbal body trust-inducing language. The elimination of the handshake may allow providers to focus on more culturally acceptable universal verbal and nonverbal communication skills that help us build essential trust with our patients. Yet, research indicates that handwashing reduces hospital-acquired infections, so it stands to reason that it should be integral to every patient visit.
A Guide to Understanding Common Denial Issues
Authors: Frese William , Winkler Lauren
Published: December 2024

Continued increases in payor clinical claim denial rates place a heightened stress on a healthcare organization’s revenue cycle and financial health. Clinical leaders who have a robust understanding of the denials landscape play a unique role toward improving organizational denial rates. This article introduces basic general denial trends, discusses denials terminology and common root causes for denials in relation to the clinical revenue cycle, and offers potential solutions for getting claims paid the first time.
O papel da vitamina D no tratamento da esclerose múltipla: perspectivas clínicas e evidências recentes
Authors: Alves Gustavo Arthur de Souza , Silva Juliana Lilis da , Amâncio Natália de Fátima Gonçalves , Santos Meire de Deus Vieira
Published: December 2024

A esclerose múltipla (EM) é uma doença autoimune e neurodegenerativa que afeta o sistema nervoso central, caracterizando-se pela desmielinização, inflamação e perda progressiva de função neurológica. A vitamina D tem sido amplamente investigada como um agente imunomodulador e neuroprotetor, com potencial terapêutico no manejo da EM. Neste sentido, este estudo consistiu em uma revisão integrativa da literatura, com o objetivo de avaliar as evidências mais recentes sobre o papel da suplementação de vitamina D na progressão da doença, nos desfechos clínicos e na segurança de seu uso. Foram analisados 20 artigos publicados entre 2020 e 2024, identificados em bases como PubMed, SciELO, Google Scholar, EbscoHost e Biblioteca Virtual de Saúde (BVS). Os resultados indicam que a suplementação de vitamina D pode estar associada à redução da frequência de surtos, melhora de sintomas como fadiga e diminuição das lesões observadas em exames de ressonância magnética. Além disso, a vitamina D demonstrou potencial para modular o sistema imunológico e proteger o sistema nervoso central, contribuindo para a preservação da mielina e retardando a progressão da doença. Apesar dos benefícios observados, permanecem incertezas quanto à dosagem ideal, efeitos a longo prazo e variações de resposta entre pacientes, o que reforça a necessidade de estudos adicionais. Conclui-se que a vitamina D é uma estratégia terapêutica complementar promissora para o manejo da esclerose múltipla, podendo melhorar a qualidade de vida dos pacientes e otimizar os desfechos clínicos. No entanto, a implementação dessa abordagem deve ser realizada com acompanhamento clínico adequado, visando maximizar os benefícios e garantir a segurança no tratamento.
Contratos built to suit no direito brasileiro: revisão contratual e resilição unilateral em perspectiva jurídica
Authors: Medeiros Enzo Queiroz de , Silva Rafael Cândido da
Published: December 2024

Este artigo examina a modalidade contratual Built to Suit (BTS), amplamente utilizada no mercado imobiliário para atender às necessidades específicas de empresas locatárias. O estudo aborda as principais características desse contrato, destacando sua natureza jurídica atípica e sua regulamentação parcial pela Lei do Inquilinato brasileira (Lei nº 8.245/91), especialmente após a inclusão do artigo 54-A pela Lei nº 12.744/12. Analisa-se o compromisso de construção, a cessão do uso do imóvel e a estrutura de remuneração, com ênfase na possibilidade de renúncia à revisão do valor dos alugueis e na multa contratual aplicável em casos de resilição unilateral. A pesquisa fundamenta-se em doutrina e jurisprudência relevantes para demonstrar que o contrato BTS oferece segurança jurídica e autonomia contratual às partes envolvidas. No entanto, a complexidade desse modelo contratual requer interpretações cuidadosas, considerando as normas civis aplicáveis e as especificidades dos contratos celebrados, garantindo, assim, o equilíbrio nas relações jurídicas estabelecidas.
Evaluation of the immunomodulatory potential of Vatairea macrocarpa (Benth.) Ducke leaf extract in periodontitis
Authors: Barreto Neto Laerte Oliveira , Santos Rebeca Pereira Bulhosa , Gomes Filho Isaac Suzart , Rocha Filho José Tadeu Raynal , Valadares Sammya Nayara Silva , Vivas Daniela dos Santos Torres , Farias Antonio Pedro Froes de , Oliveira Yuri Andrade de , Moura Thaís Brito de Oliveira , Lucchese Angélica Maria , Trindade Soraya Castro
Published: December 2024

Introdução. A periodontite é uma doença inflamatória crônica induzida por microrganismos, que pode contribuir para o desenvolvimento de várias doenças sistêmicas. A transição do periodonto saudável para o doente depende da disbiose microbiana e da resposta imune do hospedeiro, sendo que, neste contexto, Porphyromonas gingivalis pode ser considerado um patógeno-chave. Considerando a prevalência da periodontite no Brasil, país de grande biodiversidade e várias espécies com potencial biotecnológico, o uso de plantas medicinais pode se tornar uma alternativa importante para o controle desta doença a custos mais baixos, beneficiando a população. Objetivo. Avaliar o potencial imunomodulador do extrato das folhas de Vatairea macrocarpa (Benth.) Ducke na periodontite. Métodos. O sangue de indivíduos com e sem o diagnóstico de periodontite foi coletado e cultivado com antígenos do extrato de P. gingivalis ATCC 33277, extrato de Vatairea macrocarpa (Bent.) Ducke (10 µg/mL) ou ambos os extratos concomitantemente, além dos controles negativo (sem estímulo) e positivo (mitógeno). A produção das citocinas IFN-γ, IL-6, IL-10, IL-13, IL-17 nos sobrenadantes da cultura de sangue total foi quantificada utilizando-se o método de ensaio imunoenzimático (ELISA). Constatações e principais conclusões. O extrato de Vatairea macrocarpa (Benth.)Ducke (VM) inibiu a produção de IL-13 (p=0,002), IL-6 (p=0,000) e IFN-g (p=0,000) em comparação com a produção basal das células (não estimuladas). A utilização do extrato de Vatairea macrocarpa (Benth.)Ducke juntamente com o extrato de P. gingivalis no cultivo promoveu uma redução nos níveis de IL-1β (p=0,000), IL-13 (p=0,000), IL-6 (p=0,000), IFN- γ (p=0,000), IL-10 (p=0,005) e IL-17 (p=0,003), em relação às concentrações induzidas pelo extrato de P. gingivalis isoladamente. O extrato da Vatairea macrocarpa (Benth.)Ducke tem efeito modulador da produção das citocinas induzidas em resposta à presença de antígenos de Porphyromonas gingivalis.
Tributação e criptomoedas: análise do sistema tributário brasileiro em face das novas fronteiras financeiras
Authors: Souza Henrique Louro de Salignac e , Oliveira Júnior Ananias Ribeiro de
Published: December 2024

O objetivo dessa pesquisa foi de analisar e esclarecer como a tributação das criptomoedas pode ser aperfeiçoada em face das novas tecnologias advindas desse novo ativo e suas características, como o sistema descentralizado e transações por meio da blockchain. Nesse contexto, verificou-se que ainda existem desafios quanto à transparência e quantidades de informações, além de lacunas na regulamentação tributária desses ativos, em razão de a Lei nº 14.478/2022 e a Instrução Normativa 1888/2019 serem muito recentes. A pesquisa utilizou o método dedutivo, com abordagem em notícias e estudos sobre o tema, além de se valer da análise qualitativa, viabilizando observar a tendência de crescimento das criptomoedas nos próximos anos e como o sistema tributário pode acompanhar esse avanço. Foi possível concluir que os órgãos reguladores e fiscalizadores devem trabalhar em conjunto para acompanhar a ascensão das moedas digitais, buscando esclarecer as normas de tributação para garantir transparência e segurança aos investidores.
Manejo da asma pediátrica: desafios e avanços na prática clínica
Authors: Oliveira Carlos Walmyr de Mattos , Lima Marcelo Henrique Vaz de , Guimarães Edilson Misael , Nascimento Eslane Costa do , Grimaldi Monaliza Ribeiro Mariano , Rodrigues Vinicio Ramalho , Santos Alexandre da Silva , Vasconcelos Paula Tereza Fontes de Goes , Arruda Mariana Vasconcelos Souza de , Fraga Gabriel Freitas , Gonçalves Clara Rezende Krause
Published: December 2024

A asma é uma doença respiratória crônica comum na infância, afetando de 10% a 20% das crianças mundialmente, com impacto significativo na qualidade de vida. No Brasil, a prevalência varia entre 11,8% e 30,5%. Caracteriza-se por episódios recorrentes de sibilância, tosse e dificuldade respiratória, desencadeados por fatores como alérgenos e infecções virais. A fisiopatologia envolve inflamação crônica e remodelamento brônquico, que podem levar a alterações permanentes nas vias aéreas. O diagnóstico é clínico, baseado em sintomas e histórico, com a confirmação através de exames como espirometria e pico de fluxo expiratório. O manejo da asma pediátrica exige uma abordagem multidisciplinar, considerando a complexidade dos tratamentos e os desafios como a baixa adesão terapêutica. O tratamento envolve medicamentos anti-inflamatórios, broncodilatadores, estratégias de modificação ambiental e a educação do paciente para o automanejo. A abordagem terapêutica deve ser ajustada conforme a gravidade da doença, com acompanhamento regular para monitorar a eficácia do tratamento. Além disso, o suporte psicológico e o monitoramento contínuo são cruciais para melhorar a qualidade de vida dos pacientes. Esta revisão sistemática da literatura, baseada em uma busca extensiva nas principais bases de dados científicas, inclui estudos dos últimos dez anos, como ensaios clínicos e diretrizes, avaliando a qualidade das evidências. O objetivo é identificar melhores práticas, lacunas na pesquisa e sugerir direções para futuras investigações. A integração de novas tecnologias de monitoramento e avanços terapêuticos tem mostrado resultados promissores, mas ainda existem desafios significativos a serem superados, como a adesão ao tratamento e a implementação de políticas públicas adaptadas às características regionais.
Empatia clínica e o direito dos pacientes em cuidados paliativos
Authors: Menezes Mariana Rodrigues da Silva de , Bastos Fernanda da Silveira , Dias Luciana dos Santos Mesquita , Albuquerque Aline
Published: December 2024

Introdução: A empatia é considerada uma capacidade essencial para os cuidados paliativos. Objetivo: Propor um conjunto de fundamentos que sustentem a construção de aporte teórico para a formulação de uma vertente da Bioética Clínica, baseada na empatia clínica e nos direitos dos pacientes em cuidados paliativos. Metodologia: Foi realizada de forma prévia uma Revisão Integrativa da Literatura para embasamento teórico, após a pesquisa versou uma abordagem qualitativa, do tipo descritiva- exploratória, amostragem em bola de neve, com coleta de dados através de entrevistas semiestruturadas e análise do discurso para criar categorias. Resultados: Foram selecionados 15 (quinze) participantes de pesquisa, sendo 10 (dez) médicos que lidam com pacientes em cuidados paliativos e 05 (cinco) pacientes paliados. Foi observado a ampla abrangência e utilização, por parte dos profissionais, de termos, como “escutar o outro”, “ouvir mais do que falar”, “respeito à individualidade”, “percepção do outro”, entre outros. Discussão: Emergiram três categorias dos discursos dos participantes: Definição de empatia clínica, Aplicabilidade da empatia clínica nos cuidados paliativos e Empatia clínica e direito do paciente em cuidados paliativos. Considerações finais: a empatia clínica acoplada aos direitos dos pacientes constitui um referencial ético, conformador da Bioética Clínica, a serem adotados nos cuidados paliativos, superando práticas paternalistas e objetificantes do paciente.
NEONICOTINOIDS VERSUS BEES: A BRIEF REVIEW ON THE EFFECTS ON THESE POLLINATORS AND THE NEED FOR REEVALUATION OF AGRICULTURAL PRACTICES
Authors: Nunes William Cardoso , De Araujo Malislene Lucas , Krinski Diones , Inoue Miriam Hiroko
Published: December 2024

Neonicotinoids, a class of widely used insecticides in agriculture, have been associated with significant negative impacts on pollinators, especially bees. This study conducts a systematic literature review to assess the effects of these compounds, with a focus on native and wild species. Exposure to neonicotinoids can cause direct mortality and sublethal effects in bees and other pollinators, impairing foraging behavior and colony health. Among the 42 reviewed articles, the European honeybee (Apis mellifera) was the most investigated species, with 17 mentions. However, the inclusion of native species, such as Bombus terrestris and Melipona scutellaris, is gaining prominence, highlighting the need to protect pollinator diversity to ensure agricultural sustainability and biodiversity. The study concludes that a reassessment of agricultural and regulatory practices is urgently needed to mitigate the effects of neonicotinoids on ecosystems.
Acceptability of a brief psychotherapeutic intervention protocol aimed at individuals who have experienced a highly stressful event
Authors: Garabito Rifo Sandra , García Felipe E.
Published: December 2024

Introduction: we speak of highly stressful events when a situation or event has the potential to generate negative consequences in the affected individuals, such as the presence of post-traumatic and depressive symptoms. The construction of programs that prevent the occurrence of this type of response and that are accepted by users is one of the current challenges, since it can influence the expected results.Objective: to evaluate the acceptability of a brief systemic intervention protocol aimed at providing psychological support to people exposed to highly stressful events.Methods: an exploratory sequential comparative mixed design was used. A six-session program was applied, evaluating by means of scales of depressive symptomatology, post-traumatic growth and satisfaction with life in two moments pre and post, subsequently eight users and two therapists were interviewed.Results: the participants expressed a positive evaluation of the organized structure of the sessions, highlighting the empathy of the therapists as an important element. In addition, the use of relaxation techniques and narrative techniques were indicated as indicators of emotional well-being. In addition, a decrease in depressive symptoms and an increase in post-traumatic growth and life satisfaction were observed.Conclusions: the results demonstrate acceptability of the users and therapists, resulting useful for the proposed objectives.
Concepções da interprofissionalidade na equipe multiprofissional em saúde no serviço terciário: uma revisão integrativa
Authors: Teixeira Fernanda , Isabel Cristina Da Silva Abreu  , José Adailton Rolando Diniz  , José Araújo de Oliveira Silva  , Elismeire Dias Tavares
Published: December 2024

Introdução: A importância do Trabalho em equipe e da Educação Interprofissional (EIP) está diretamente relacionada às alterações do perfil epidemiológico e demográfico da população a nível mundial, principalmente devido ao aumento das doenças crônicas e da expectativa de vida, desta forma exigindo dos profissionais da saúde mais habilidades educacionais para intervir em vários aspectos conforme a necessidade de saúde dos usuários por intermédio de uma equipe Interprofissional. Objetivo: Identificar as concepções e práticas sobre o cuidado Interprofissional desenvolvido pelas equipes multiprofissionais no ambiente hospitalar. Método: Revisão Integrativa, a partir da questão: quais as concepções e práticas sobre  interprofissionalidade na equipe multiprofissional do serviço terciário? Incluíram-se artigos originais completos, disponíveis eletronicamente nos idiomas inglês, português e espanhol, no período entre 2016 a 2023. Excluíram-se artigos em outros idiomas, indexados em bases de dados repetidas, que antecederam o ano de 2016 e que não abordavam a área hospitalar. Para estratégia de busca utilizou-se os DeCS: interprofessional and hospital, interprofessional team and multidisciplinary team e multidisciplinary team and hospital, nas bases de dados (LILACS), (MEDLINE/PubMed) e Cochrane Library e o SciELO. Após a leitura na íntegra foram selecionados 15 artigos. Resultados: O país e o ano com maior número de publicações foi o Brasil e o ano de 2023. Conclusão: Evidenciou-se que há lacuna entre o conceito teórico e a aplicação prática do trabalho multidisciplinar e interdisciplinar no ambiente hospitalar destaca a complexidade inerente a essa abordagem. Embora a teoria promova a colaboração e a comunicação entre profissionais de saúde, as dificuldades práticas, como hierarquias rígidas e barreiras de comunicação, muitas vezes prejudicam a implementação eficaz. Reconhecer a importância desses modelos de cuidado para a saúde do paciente é crucial, pois eles podem levar a resultados mais positivos e integrados, logo, fomenta-se a necessidade de trabalhar nos ambientes de formação, inclusive nas residências, as práticas de cuidado dentro dessa perspectiva no sentido de promover o melhor atendimento possível aos pacientes.
Optimization of The Role of Protocol and Communication of The Leadership of The Regional Secretary Office Sikka Regency in Public Information Services
Authors: Galgani Yolanda  , Lodowik Nikodemus Kedoh  , Viktor Ariestyan Sedu
Published: December 2024

This study aims to examine the optimization of the role of the Protocol and Communication of the Leadership (Prokompim) of the Sikka Regency Secretariat in providing public information services through the Sikka Buletin Facebook account. The focus of the study is to evaluate the effectiveness of social media content management and communication strategies to increase public involvement. A qualitative approach is used to describe content management based on observations, interviews, and documentation studies. Data were collected through interviews with the admin of the Sikka Buletin Facebook account and followers as well as analysis of published content. The data analysis technique adopted the Flow Analysis Models of Miles and Huberman, which include data reduction, data presentation, and verification to produce in-depth understanding. The results of the study indicate that although Prokompim has attempted to manage content using the 5W1H elements with a formal but relaxed communication style, there are still challenges in increasing audience engagement. The main findings include low public interaction with posted content and less than optimal time and collaboration in content management. This study recommends a more planned time management strategy, collaboration with related agencies to enrich content, and a focus on audience engagement to strengthen the relationship between the government and the community through social media.
Ekora NTT Editorial Team's Strategy in Improving News Quality
Authors: Oncijaru Sisilia Jaru , Kedoh Lodowik N. , Bastian Mayelus Dori
Published: December 2024

This research explores the editorial strategies implemented by the editorial team of Ekora NTT, a local media in East Nusa Tenggara, in improving news quality in the digital era. Using a descriptive qualitative approach, this research analyses the news production process that involves multiple fact verifications, the use of supporting technology, and continuous training. Data were obtained through in-depth interviews, internal document analysis, and direct observation. The findings show that these strategies significantly improve the accuracy and relevance of news despite challenges such as limited human resources and infrastructure. These results support previous literature, including studies by Hermida (2019) and Newman et al. (2022), which highlight the importance of synergy between technological innovation and capacity building of journalists in maintaining news quality. This research contributes to the development of mass communication theory and provides practical recommendations for other local media in addressing similar challenges. By adopting similar strategies, local media are expected to continue to act as a credible and relevant source of information for the public.
Sport kao ustavna kategorija: uporedna panorama
Authors: Mikić Vladimir
Published: December 2024

Sport se u sve većem broju ustava javlja kao ustavna kategorija. Ova či-
njenica uklapa se u (nepovoljan) trend širenja ustavne materije, ali, ukoliko se sprovodi na odgovarajući način, ona može da doprinese pravilnom razvoju šire-nja tekstualnog opsega ustava, naročito dovođenjem u vezu sa zaštitom i unapre-đenjem zdravlja građana, staranjem o mladima i obrazovanjem.
Sve više ustavopisaca javlja se u funkciji garanta, pored ostalog, osnovnog ljudskog prava na sport. Ovaj trend „dobacuje“ do iznenađujućih razmera, jer se, procentualno posmatrano, javlja u veoma velikom broju ustavnih dokumena-ta. Država preuzima na sebe različite forme promovisanja sporta, amaterskog i profesionalnog, do detalja koji daleko premašuju primereno postavljene granice ustavne materije, uključujući dužnost nagrađivanja najuspešnijih sportista na nacionalnom i međunarodnom planu. U ovoj oblasti postoji podela nadležnosti između centralnih i lokalnih vlasti, ili njihovo konkurentno, hijerarhijski usagla-šeno delovanje.
Colchicine as inhibitor of caspase-1 and GSTO-1 to regulate inflammation-induced pyroptosis in ischemic heart disease: A computational investigation
Authors: Satrijo Budi , Rohman Mohammad S. , Asmoro Aswoco A. , Susianti Hani , Lyrawati Diana , Muhammad Rislan F.
Published: December 2024

Context: Inflammation-induced pyroptosis amplification contributes to the deterioration of ischemic heart diseases (IHD). Triggered by inflammasome activation, it provokes inflammatory reactions involving proteins such as glutathione transferase omega-1 (GSTO-1), NLRP-3 inflammasome, and caspase-1 (CASP-1), which might be prevented by colchicine. However, the mechanism remains to be explored.
Aims: To explore colchicine's potential to inhibit CASP-1, GSTO-1, and NLRP-3 to alleviate pyroptosis by mean computational methods.
Methods: Structures of colchicine, CASP-1, GSTO1-1, and NLRP3 were obtained from databases, followed by molecular docking and dynamics simulations to evaluate colchicine's inhibitory potential. NSC697923 and KT53 were used as reference compounds to validate the docking and molecular dynamics analyses.
Results: Molecular docking showed that colchicine binds to CASP-1 and GSTO-1 with lower binding energy than their native ligands, indicating strong inhibitory potential. Molecular dynamics simulations further confirmed that colchicine forms stable and robust interactions with CASP-1 and GSTO-1, supporting its effectiveness as an inhibitor. In contrast, colchicine’s interaction with NLRP-3 was less stable, suggesting a lower inhibitory potential. Comparative analysis with NSC697923 and KT53, potent inhibitors of CASP-1 and GSTO-1, respectively, reinforced colchicine’s stable conformation and sufficient hydrogen bonds despite its slightly higher binding affinity, underscoring its sustained interaction with CASP-1 and GSTO-1.
Conclusions: Colchicine showed a promising inhibitory potential agent against CASP-1 and GSTO-1, highlighting its potential for regulating inflammation in IHD. The stable binding of colchicine to CASP-1 and GSTO-1 indicated a potential inhibitory mechanism against inflammation-induced pyroptosis in IHD.
Classification of chronic kidney disease in older Australian adults by the CKD‐EPI 2009 and 2021 equations: secondary analysis of ASPREE study data
Authors: Bongetti Elisa K , Wolfe Rory , Wetmore James B , Murray Anne M , Woods Robyn L , Fravel Michelle A , Nelson Mark R , Stocks Nigel P , Orchard Suzanne G , Polkinghorne Kevan R
Published: December 2024

Objectives

To assess the clinical impact on generally healthy older Australians of changing from the 2009 CKD‐EPI (CKD‐EPI2009) to the 2021 CKD‐EPI (CKD‐EPI2021) equation for calculating the estimated glomerular filtration rate (eGFR).

Study design

Secondary analysis of data from the prospective ASPirin in Reducing events in the Elderly (ASPREE) cohort study.

Setting, participants

Australians aged 70 years or older living in the community and without life‐limiting medical conditions, recruited 1 March 2010 – 31 December 2014 for the ASPREE trial.

Main outcome measures

Baseline characteristics and long term health outcomes for participants classified to different chronic kidney disease (CKD) stages by CKD‐EPI2021 and CKD‐EPI2009, and for those classified to the same CKD stage by both equations.

Results

Complete data were available for 16 244 Australian ASPREE trial participants. At baseline, their mean age was 75.3 years (standard deviation, 4.4 years), and 8938 were women (55%); the median eGFR (CKD‐EPI2009) was 74 mL/min/1.73 m2 (interquartile range [IQR], 64–85 mL/min/1.73 m2), the median urine albumin‐to‐creatinine ratio 0.8 mg/mmol (IQR, 0.5–1.4 mg/mmol). eGFR values were higher for most participants with CKD‐EPI2021 than with CKD‐EPI2009 (median difference, 3.8 mL/min/1.73 m2; IQR, 3.3–4.4 mL/min/1.73 m2), and 3274 participants (20%) were classified to less advanced CKD stages by CKD‐EPI2021. The proportion of participants with eGFR values below 60 mL/min/1.73 m2 (clinical CKD) was 17% (2770 participants) with CKD‐EPI2009 and 12% (1994 participants) with CKD‐EPI2021. Participants were followed up at a median of 6.5 years (IQR, 5.4–7.9 years); the risks of reaching the disability‐free survival composite endpoint (adjusted hazard ratio [aHR], 0.94; 95% confidence interval [CI], 0.84–1.05), all‐cause mortality (aHR, 0.90; 95% CI, 0.78–1.03), major cardiac events (aHR, 0.94; 95% CI, 0.79–1.13), and hospitalisations with heart failure (aHR, 1.00; 95% CI, 0.67–1.49) were each similar for participants reclassified or not reclassified by CKD‐EPI2021.

Conclusions

Using CKD‐EPI2021 would yield higher eGFR values than the CKD‐EPI2009, substantially reducing the proportion of older Australian adults classified as having CKD, without any overall difference in long term health outcomes for people reclassified to less advanced CKD stages. Using the CKD‐EPI2021 could markedly reduce the number of referrals of generally healthy older adults to specialist nephrology services.
Integrating ICT in Vocational Education and Training: Expectations, Challenges, and the Path towards Modernisation
Authors: DUCI Veronika , KAPLLANAJ Migena , ÇARO Erka
Published: December 2024

This paper examines the integration of Information and Communication Technology (ICT) in vocational education and training (VET) institutions, highlighting its significance in aligning education with the demands of a rapidly digitising world. The Council of the European Union recognises VET's role in equipping individuals with skills for digital and green transitions. Amid the COVID-19 pandemic, ICT adoption in education became imperative, accelerating the digital revolution within the sector. Albania, as an EU candidate country, has emphasised ICT in its national strategies, aligning with European frameworks to foster modernisation in VET. The research employs a quantitative methodology, utilising a questionnaire tailored to the Albanian VET context, to gather insights from public vocational schools and training centers, with a total number of n=46 institutions participating in the research. Findings reveal that VET institutions recognise ICT-supported modernisation as vital for improving teaching quality, management, communication, and students' transition to the labour market. Despite this, challenges such as inadequate infrastructure, outdated devices, and limited digital skills among teaching staff impede the full realisation of ICT's potential. To address these barriers, the study recommends targeted interventions, including teacher training and infrastructure development. This research contributes to the discourse on digital transformation in VET, underscoring the importance of strategic investments in ICT for enhancing vocational education's quality and relevance in Albania's evolving educational landscape.© The Author(s) 2024. Published by RITHA Publishing. This article is distributed under the terms of the license CC-BY 4.0., which permits any further distribution in any medium, provided the original work is properly cited maintaining attribution to the author(s) and the title of the work, journal citation and URL DOI.
Päätoimittajilta
Authors: Mauranen Anna , Nieminen Risto
Published: December 2024

AASF:n vuoden 2024 toisessa numerossa on sekä tuttua että uutta. Tuttuun tapaan numerossa on artikkeleita eri tieteenaloilta, niin tunnetuilta huippututkijoilta kuin tällä kertaa erityisen ilahduttavasti myös nuorilta tutkijoilta Nuorten Tiedeakatemiasta. Tässä numerossa on toisena uutuutena osasto ”Keskustelua”, minkä toivomme innostavan kommentointiin ja uusiin keskustelunavauksiin.
Les dialectes comme patrimoine culturel de la Réserve de biosphère de Moselle Sud
Authors: Lacombe Catherine
Published: December 2024

Cette contribution présente les questionnements et résultats d’une étude menée à la demande du Pôle d’équilibre territorial et rural (PETR) du Pays de Sarrebourg avec pour objectif de faire, d’une part, un état des lieux des langues dite « régionales » encore parlées ou connues sur le territoire, et d’étudier, d’autre part, les pistes de valorisation et perspectives existantes pour sauvegarder ce qui est considéré comme un « patrimoine immatériel » au sein de la Réserve de biosphère de Moselle Sud. La Réserve de biosphère de Moselle Sud comprend un riche patrimoine immatériel, celui des langues régionales qui sont au nombre de trois : l’une romane (lorrain roman) et deux autres germaniques (francique rhénan et alémanique). Toutefois, la pratique de ces langues est en fort déclin, voire en perdition pour le lorrain roman.