bluuebunny/crossref_metadata_2025 huggingface dataset:
Promoting auditory accessibility for the Autism Spectrum Disorder (ASD) on the public transport system
Authors: NOSSA Giulia , MICHALSKI Ranny
Published: October 2024

The Autism Spectrum Disorder (ASD) is mainly characterized by a difficulty with neurotypical social interactions, a need for orderliness and routine, and a hypersensibility to stimuli. From all sensory stimuli, sound is proven to be most disturbing to autistic individuals. Most autistics
experience severe anxiety and stress having to navigate a world that was not built for them. Therefore, this study aims to understand (quantify and qualify) the atypical response to sound - especially on ASD persons - and the neurological factors behind it. The next step on this research is
reviewing literature regarding architectural design strategies for ASD. Later on, using a subway station from the city of São Paulo as study object, this paper will propose a guideline for architectural design for ASD focused on the metro system. This study will contribute to the better
understanding of the Autistic Community´s sensory diversity and to a more inclusive architectural designing process.
Operating room soundscape design intervention study
Authors: SIEBEIN Keely , LORUSSO Lesa , SUTTON Margaret , OROZCO Tatiana , RITTENBACHER Dagmar
Published: October 2024

Noise levels in a typical Operating Room are often well beyond the recommended 45dB for a typical OR environment. Due to stringent cleanability requirements in hospitals, there are limited finishes that can be used in these rooms. Researchers from Gresham Smith and Siebein Acoustic
are currently engaged in a research project to investigate how the design of the operating room environment can be acoustically optimized for staff well-being and better patient outcomes. . The study focuses on the environmental variables that can be controlled including the effects of diffusing
panels, angling of the walls, and the use of special cleanable acoustic finishes on the ceiling in 3 prototypically sized Operating Rooms using 3-dimensional acoustic models. Acoustic metrics including Reverberation Time, Speech Transmission Index and clarity were compared for 11 scenarios.
Results from the acoustical modeling showed that, comparing 11 different scenarios, rooms treated with absorption performed "best" on multiple metrics (Reverberation Time, Clarity, Speech Transmission Index/Intelligibility). Future research will be implemented within existing operating
rooms of our hospital partner for in situ validation. Acoustical measurements will again be taken and evaluated against the initial findings and the perceptions of the users of the spaces.
Acoustic properties of porous metamaterials featured by acoustic streaming, homogenization based modelling
Authors: ROHAN Eduard , MORAVCOVá Fanny
Published: October 2024

We consider secondary effects induced by acoustic waves in viscous barotropic fluids saturating pores in elastic, or rigid scaffolds with elastically suspended particles. The asymptotic homogenization method is applied to derive models of the acoustic wave propagation and of the related
acoustic streaming (AS) as the secondary effect. This phenomenon originating due to the nonlinearity (divergence of the Reynolds stress) in the Navier Stokes equation is retained using the perturbation analysis. This yields the first and the second order sub-problem enabling to linearize the
model governing fluid dynamics. The local AS in the microstructure produces forces acting on the suspended particles, transforming the pore geometry, hence, modulating the acoustic properties. As the consequence, the permeability involved in both the subproblems is modified due to the slowly
oscillating particles. The sensitivity analysis can be employed to introduce the homogenized coefficients of the model depending on the particle motion.
Forestal management based on acoustical values
Authors: TRIMPOP Mattias , REITZ Georg
Published: October 2024

Around and on military training areas there are usually a large number of forest stands. These primarily fulfil the special requirements of military use due to their special structure and tar-geted development. In particular, the dust, visual and noise protection functions of the forests
protect the civilian environment from the undesirable effects of military training operations. The aim of forestal management measures in the forest stands is to provide and ensure these functions by selecting suitable tree species and optimising stand structures. A forest attenua-tion model
has been developed in recent years, in which the acoustic attenuation of a forest stand can be deduced from forestal parameters. Furthermore, a method has been developed to predict the overall acoustic attenuation of several consecutive stands. For the planning and assessment of silvicultural
measures in military functional forests with regard to their effects on noise attenuation, however, further definitions are necessary in order to be able to draw simple, comprehensible conclusions from the wealth of possible variations. The presentation introduces the models as well as the
other necessary definitions and shows their application using an example.
Sensitivity analysis of landing and takeoff noise for conceptual low-boom supersonic aircraft using variable noise reduction system
Authors: AKATSUKA Junichi
Published: October 2024

This paper presents the results of an analysis of the sensitivity of the use of a variable noise reduction system (VNRS), considered in the new landing and takeoff (LTO) noise standard for supersonic aircraft, using a Japan Aerospace Exploration Agency (JAXA)-designed 66-ton twin-engine
conceptual low-boom supersonic airliner as an example. The analysis was conducted using a tool developed by JAXA and examined the sensitivity of low-speed aerodynamic performance, the sensitivity of takeoff reference speed, the sensitivity of thrust control and flap control duration time ranges,
and the sensitivity of noise level to takeoff profile uncertainty. The analyses showed that improving low-speed aerodynamic performance and increasing the takeoff reference speed significantly impact noise levels and the use of VNRS could reduce noise by 2.1 EPNLdB while maintaining the performance
of the aircraft. Because the effective noise reduction method by changing the takeoff procedure considered differs for each noise measurement point, it is important to design a takeoff procedure that incorporates an appropriate VNRS. Uncertainty of the takeoff profile was also investigated
using Monte Carlo simulations, and it was shown that noise reduction by VNRS is effective even with the assumed uncertainty in the takeoff profile.
REGULATORY SUPPORT FOR ASSESSING TRANSPORTATION DEMAND BASED ON LAND USE CHARACTERISTICS
Authors:   Irkutsk National Research Technical University, Zedgenizov Anton Viktorovich
Published: October 2024

The article discusses the issues of regulatory support for urban planning activities in terms of the influence of centers of mass gravity on the formation of transport demand and load on the street road network of urbanized territories. A brief historical outline of the issue under consideration is given. In particular, standard values for the generating ability of local centers of mass gravity with a variational range are given. The average ranges for the share of trips made using individual transport are indicated in the context of different types of land use. Directions for application and proposed regulatory support are proposed.
METHOD FOR ASSESSING THE STRUCTURAL EFFICIENCY OF THE CONTAINER FREIGHT TRANSPORTATION SYSTEM
Authors:   Group of companies «Milarin», Noskov Anton Alexandrovich , Terentyev Alexey Vyacheslavovich ,   St. Petersburg State University of Architecture and Civil Engineering, Belekhov Alexander Alexandrovich ,   St. Petersburg State University of Architecture and Civil Engineering
Published: October 2024

The article presents a method for assessing the structural efficiency of the container freight transportation system, designed to manage the quality indicators of container road transportation. The developed method makes it possible to implement digital control technology in the form of objective estimates of the effectiveness of individual structures in the system of container road transportation. Effective states of individual structures (motor transport enterprises) are defined as a comprehensive assessment of interaction in a complex multi-level multi-criteria system. The de-veloped method can be scaled for use in cross-industry control systems.
Prevalência da doença pulmonar obstrutiva crônica em não fumantes e sua associação com a policitemia secundária: revisão de literatura
Authors: Nogueira Danilo Brito , Melo Maria Beatriz Meneses , Nogueira Luíza Brito , Melo Saulo Maia d'Avila
Published: October 2024

A Doença Pulmonar Obstrutiva Crônica (DPOC) é uma das principais causas de morbidade e mortalidade no mundo e representa um enorme desafio da saúde pública. O principal fator de risco para o desenvolvimento de DPOC é o tabagismo, contudo, nos últimos anos tem crescido novas evidências do diagnóstico de DPOC em não fumantes. A apresentação clínica da DPOC em não fumantes pode ser diferente dos fumantes. A policitemia secundária é reconhecida como uma complicação importante da DPOC que é pouco estudada.  Nossa revisão narrativa da literatura teve como objetivos determinar a prevalência de DPOC em não fumantes e suas etiologias, avaliar a prevalência de policitemia secundária nesta população de pneumopatas não fumantes e descrever os mecanismos fisiopatológicos da policitemia secundária. Concluímos que a prevalência de DPOC em não fumantes oscila entre 2,5% e 30 % com vários fatores etiológicos envolvidos. A prevalência de policitemia secundária em pneumopatas não fumantes é pouco estudada com a maioria dos estudos incluindo fumantes ativos ou ex-fumantes e sua prevalência oscila entre 2,0% e 11,7% sofrendo influência de diversos fatores. Os mecanismos fisiopatológicos da policitemia secundária em pneumopatas não fumantes foram descritos.
Psychometric properties and factor structure of triarchic psychopathy measure (TriPM) in portuguese adolescents
Authors: Araújo Eduardo Armando Ribeiro Garcia de , Cruz Olga Furriel Souza , Moreira Diana Patrícia da Silva Dias
Published: October 2024

Psychopathy is a personality structure characterized by a set of dysfunctional traits, impulsive and irresponsible behavior, a poor and arrogant personal style in social interactions, and a lack of prosocial emotions. Although it cannot be diagnosed in adolescents, there have been references to its presence in its population. There is substantial evidence indicating a correlation between psychopathy and antisocial and criminal behavior in young people. It is therefore important that psychopathic traits be identified as early as possible to predict and control future criminal behavior. However, the specific evaluation instruments for this population are scarce. The aim of the present study is to validate an instrument for the evaluation of psychopathy, the Triarchic Psychopathy Measure (TriPM), for use with this population. The questionnaires were applied a validation sample of 793 young or Portuguese adolescents. A confirmatory factorial analysis (CFA) was performed, and the results found were considered satisfactory, χ2(1350) = 5980.77, p < .001, RMSEA = .067 (95% CI = [.064 - .068]), CFI = .915, TLI = .910, and SRMR = .080.
Planejamento e execução de atividades físicas em escolas: relato de experiência e desafios
Authors: Oliveira Arthur Philippi de , Sfaglioni João Pedro Zago , Rampani Edicleia Martins
Published: October 2024

Trata-se de um relato do planejamento e execução de uma ação de educação em saúde promovida envolvendo alunos de uma escola municipal de educação básica do norte central do Paraná com crianças do ensino fundamental I, e teve como intuito conscientizar e incentivar a prática de atividade física com foco na redução do sedentarismo infantil. A atividade foi realizada por acadêmicos do quarto período do curso de medicina da Unicesumar – Maringá, por meio da disciplina de interação comunitária II, sendo dividida em quatro etapas.  A primeira foi para conhecer os escolares, o ambiente escolar e sua realidade, a segunda com a elaboração da intervenção pelos acadêmicos e docentes, e na terceira etapa foi realizada uma roda de conversa com grupos de alunos, no intuito de mostrar os benefícios e importância da prática regular de atividade física. A quarta etapa foi subdividida em 3 atividades diferentes de forma recreativa, que foram: brincadeira de jogo da velha adaptado, chute ao gol com goleiro e basquete adaptado. Mesmo com algumas dificuldades e adaptações por parte dos acadêmicos, foi possível perceber significativo interesse por parte dos alunos tanto na conversa quanto nas atividades recreativas. As atividades desenvolvidas impactaram positivamente aos acadêmicos, que se viram sujeitos a se adaptarem à realidade e faixa etária em que as crianças estavam inseridas, o que também fará parte do nosso cotidiano quando profissionais, e também incenticaram os escolares na prática de atividades físicas.
Avaliação da efetividade do programa de suplementação alimentar infantil NutriSUS em creche no interior do estado de são paulo
Authors: Martire Mariana Brito , Tonhom Silvia Franco da Rocha , Nascimento Edinalva Neves , Ramos Marcos Vinícius Ferreira , Freitas Letícia de Oliveira Cardoso , Almeida Felipe Zuccolotto de , Almeida Bárbara de Araújo de , Brito Adriane Pereira de
Published: October 2024

INTRODUÇÃO: É fundamental que na infância ocorra uma alimentação saudável. Entretanto, a alimentação infantil balanceada não é uma realidade brazileira, sendo a anemia ferropriva ainda muito prevalente. Diante disso, o Ministério da Saúde lançou a estratégia NutriSUS, que consiste na adição de vitaminas e minerais às refeições de crianças maiores de seis meses. OBJETIVO: Avaliar a efetividade do programa NutriSUS. MÉTODO: O estudo abrange 22 crianças de dois a três anos, alunos da EMEI Primavera, e seus responsáveis legais. Na primeira etapa foram realizadas duas coletas de sangue, uma antes do inicio da suplementação e outra no final. Foram analisados hemograma completo, ferro sérico e ferritina. Na segunda parte, foi aplicado questionário aos responsáveis legais e realizadas entrevistas ao corpo administrativo e docente. RESULTADOS: 18 crianças realizaram a primeira coleta, nove a segunda e cinco crianças realizaram ambas, dentre de 32 que foram suplementadas. Foi possível encontrar aumento das médias dos valores de ferro sérico e ferritina após o ano. Quanto aos questionários, 81,25% dos responsáveis notaram diferenças positivas com a suplementação, já a escola apontou fragilidades no programa. CONCLUSÃO: O Programa mostrou-se pouco eficiente na EMEI Primavera. É imprescindível um manual mais compatível com a realidade, que contemple as adversidades do cotidiano.
Síndrome da apneia obstrutiva do sono: diagnóstico e tratamento atual
Authors: Sampaio Camila Duarte , Rabelo Izabelle Catherine Silva , Santos Marcus Vinícius Nogueira , Lacerda Yanna de Oliveira
Published: October 2024

Introdução: A Síndrome da Apneia Obstrutiva do Sono (SAOS) é um distúrbio respiratório, caracterizado por obstruções repetidas das vias aéreas durante o sono, sendo mais prevalente em homens adultos e em mulheres pós-menopausa. Fatores de risco incluem obesidade, idade avançada e sexo masculino. Objetivo: O objetivo do estudo é revisar as técnicas atuais de diagnóstico e de tratamento da SAOS, identificando as estratégias mais eficazes e os desafios em sua aplicação clínica. Metodologia: Revisão integrativa da literatura, a partir de artigos publicados entre 2014 e 2024, nas bases LILACS, PubMed e SciELO. A partir da utilização dos descritores “Sleep Apnea  Obstructive”, “Sleep Apnea Syndromes”, “Apnea, Sleep” e “Breathing, Sleep-Disordered”, foram selecionadas 13 referências que abordam diagnóstico e manejo da SAOS. Discussão: O rastreio da SAOS se dá por meio de questionários, como STOP-BANG, e seu diagnóstico é realizado principalmente por polissonografia, o exame padrão-ouro. O tratamento é personalizado, com o uso de CPAP como primeira linha para casos moderados a graves, além de outras opções, como perda de peso e intervenções cirúrgicas. Conclusão: A SAOS é uma condição de alta prevalência e de impacto significativo na saúde dos pacientes, exigindo abordagens multidisciplinares e personalizadas para melhorar a adesão ao tratamento e a qualidade de vida dos pacientes.
Endocardite por Burkholderia Cepacia em paciente com leucemia promielocítica aguda: relato de caso
Authors: Alves Amanda Karoline Almeida , Vieira Caio Bueno , Maria Vanuza Rosa , Saboya Larissa Silva de , Pacheco Ana Luisa Ribeiro
Published: October 2024

A Burkholderia cepacia é uma bactéria bacilo gram-negativa de vida livre e de difícil controle e combate intra-hospitalar. Infecta os seres humanos de forma oportunística, sendo um exemplo destes, pacientes imunossuprimidos por doenças oncológicas. O presente estudo relata o caso de endocardite por Burkholderia Cepacia em um paciente pediátrico masculino de 14 anos portador de Leucemia Promielocítica Aguda (LPA). Trata-se de um trabalho observacional e descritivo, que se pautou no caso de um indivíduo, através da análise do prontuário após aprovação do Comitê de Ética em Pesquisa (CEP), mediante assinatura do Termo de Consentimento Livre e Esclarecido (TCLE). Ao relato de caso foi realizada uma revisão de literatura sobre o tema abordando desde a sua prevalência até o seu tratamento.
Cuidados paliativos da enfermagem na oncologia pediátrica: revisão integrativa da literatura
Authors: Belini Maria Victória de Sousa , Higa Elza de Fátima Ribeiro , Marin Maria José Sanches , Otani Márcia Aparecida Padovan
Published: October 2024

Cuidados Paliativos, segundo a Organização Mundial de Saúde (OMS) e a World Health Organization (WHO), se constituem na assistência desenvolvida por uma equipe multidisciplinar, que tem como objetivo a melhoria da qualidade de vida da pessoa acometida e seus familiares, frente a uma doença que ameace a vida. No cuidado paliativo oncológico a ação da equipe de enfermagem pediátrica presta seus cuidados com medidas terapêuticas com finalidade de minimizar os sintomas advindos da doença. Objetivo: Analisar as estratégias utilizadas pela equipe de enfermagem em cuidados paliativos na oncologia pediátrica, descritas na literatura. Método: Trata-se de uma Revisão integrativa de literatura (RIL), composta por seis etapas: 1. Elaboração da questão de pesquisa; 2. Apresentação de estudos e indicador crítico; 3. Classificação e extração de dados; 4. Análise de pesquisa; 5. Interpretação dos resultados; 6. Exposição de resultados. As buscas foram realizadas nas seguintes bases de dados: Banco de Dados em Enfermagem, Scientific Electronic Library Online Medical Literature Analysis and Retrieval Online (MEDLINE) e Literatura Latino-Americana e do Caribe em Ciências da Saúde. Critérios de inclusão: estudos primários, nos idiomas português, inglês e espanhol, disponíveis online e que respondeu à pergunta de pesquisa e os de exclusão: monografias, editoriais, livros, teses e revisões bibliográficas. A análise foi realizada conforme o preconizado pela técnica da RIL. Resultados: Da análise descritiva dos textos, emergiram cinco categorias: 1. Comunicação – direta e indireta entre profissionais a criança e a família, 2. Alívio da dor, 3. Conhecimento e aprendizagem, 4. Assistência humanizada e 5. Enfrentamento do processo de luto. Considerações Finais: A pesquisa apontou as estratégias que a enfermagem desenvolve no cuidado oncológico, assim como, para lidarem com suas próprias questões emocionais.
Complicações do glaucoma: um enfoque técnico e terapêutico
Authors: Vale Rafael Resende do , Ferraz João Guilherme Dorneles , Silva Gabriela Cesar da , Silva Mathias Paulo Loredo e
Published: October 2024

O glaucoma é uma das principais causas de cegueira irreversível no mundo, caracterizado pela degeneração progressiva do nervo óptico e perda do campo visual. Embora o aumento da pressão intraocular seja o principal fator de risco, as complicações associadas ao glaucoma vão além da elevação da PIO, envolvendo uma gama de condições oculares e sistêmicas. Este artigo revisa as complicações do glaucoma, que incluem desde a neuropatia óptica glaucomatosa, perda irreversível do campo visual e cicatrização inadequada após cirurgias, até condições mais complexas, como glaucoma neovascular, glaucoma secundário a uveítes, e complicações cirúrgicas como a hipotonia ocular e o descolamento coroideano. A descompensação endotelial e a hipoxia corneana são discutidas no contexto de glaucoma avançado. Inovações terapêuticas, incluindo o uso de anti-VEGF para glaucoma neovascular e dispositivos minimamente invasivos para drenagem do humor aquoso, são destacadas como abordagens promissoras. Por fim, o impacto do glaucoma na qualidade de vida dos pacientes e o papel emergente de novas tecnologias, como inteligência artificial para diagnóstico precoce, também são abordados. O manejo multidisciplinar e a intervenção precoce continuam sendo fundamentais para evitar a progressão e as complicações graves da doença.
Endocardite infecciosa: epidemiologia, diagnóstico e tratamento em populações vulneráveis
Authors: Costa Yuri Osmar de Araújo , Ribeiro Letícia Araújo Salgado , Ribeiro Cláudio Araújo Salgado , Vale Rafael Resende do
Published: October 2024

A endocardite infecciosa (EI) é uma condição grave que afeta principalmente indivíduos com comorbidades, especialmente idosos e aqueles com cardiopatias. Este artigo revisa a epidemiologia, etiologia, apresentação clínica, diagnóstico e tratamento da EI, com ênfase em como a doença se manifesta em diferentes populações. Os dados indicam que a prevalência da EI varia entre países desenvolvidos e em desenvolvimento, sendo que fatores como hospitalização e uso de drogas intravenosas estão fortemente associados a casos em adultos jovens. Os critérios de Duke-ISCVID são fundamentais para o diagnóstico, permitindo uma categorização da doença em definitiva, provável e descartada. O tratamento, centrado na antibioticoterapia, deve ser ajustado com base no agente etiológico identificado, enquanto intervenções cirúrgicas são necessárias em casos refratários. A colaboração multidisciplinar entre cardiologistas, infectologistas e cirurgiões é vital para o manejo eficaz da EI. O conhecimento atualizado sobre a epidemiologia e as diretrizes de tratamento é crucial para melhorar os resultados clínicos e a qualidade do atendimento a pacientes vulneráveis.
Avanços no diagnóstico e tratamento cirúrgico do Leiomioma Uterino: uma revisão de literatura
Authors: Pongeluppi Ana Clara Aguiar , Gonçalves Victor Decat , Ferreira Vitória Froes Miraglia Martins , Coelho Victor Sarmento
Published: October 2024

O leiomioma uterino, ou mioma, é um tumor benigno do músculo liso do útero, prevalente entre mulheres em idade reprodutiva, cuja etiologia é multifatorial, envolvendo fatores genéticos, hormonais e ambientais. Apesar de geralmente benigno, pode causar sintomas como dor pélvica e sangramentos excessivos, impactando significativamente a qualidade de vida. Historicamente, o entendimento sobre a doença evoluiu com a melhora das técnicas diagnósticas e terapêuticas, passando de intervenções cirúrgicas rudimentares para métodos minimamente invasivos. A fisiopatologia dos miomas está ligada a mutações genéticas, especialmente no gene MED12, e ao estímulo hormonal, principalmente pelo estrogênio e progesterona, que favorecem o crescimento celular e a vascularização dos tumores. O diagnóstico é realizado através de anamnese, exame físico e exames de imagem, como ultrassonografia e ressonância magnética, que ajudam a determinar a localização e características dos miomas. O tratamento é individualizado, variando de acompanhamento clínico a opções farmacológicas e cirúrgicas, como miomectomia e embolização das artérias uterinas, dependendo da gravidade dos sintomas e do desejo reprodutivo da paciente. A compreensão abrangente do leiomioma uterino é crucial para um manejo eficaz, com foco na preservação da qualidade de vida e da fertilidade das pacientes.
Estado hiperglicêmico hiperosmolar: uma revisão
Authors: Rampinelli Kaio Florentino , Sousa Isaías Araújo de , Santos Gustavo Gabriel Silva Rodrigues , Soltoski Eduardo de Carvalho , Melo Aylandra Lara Silva
Published: October 2024

O estado hiperglicêmico hiperosmolar é uma complicação grave do diabetes mellitus tipo 2, frequentemente associada a idosos e desencadeada por infecções ou desidratação, caracterizada por hiperglicemia extrema e alta osmolaridade plasmática sem cetose significativa. A etiologia envolve deficiência relativa de insulina e desidratação severa, sendo uma condição rara, porém fatal, com alta mortalidade. Na fisiopatologia, destacam-se a hiperglicemia e hiperosmolaridade, que resultam em diurese osmótica e desidratação celular, afetando particularmente o sistema neurológico e cardiovascular. O diagnóstico baseia-se em sintomas clínicos e exames laboratoriais, enquanto o tratamento inclui reposição agressiva de fluidos, controle da glicemia com insulina e correção de eletrólitos, além da gestão de comorbidades e fatores precipitantes. No futuro, o manejo do estado hiperglicêmico hiperosmolar se beneficiará da integração de tecnologias como a telemedicina, permitindo monitoramento contínuo e mais preciso dos pacientes. A educação sobre autogestão e controle glicêmico será essencial para a prevenção de crises. Além disso, avanços terapêuticos e cuidados personalizados poderão reduzir complicações e melhorar a qualidade de vida dos pacientes.
Capsulite adesiva e Diabetes Mellitus: uma análise abrangente
Authors: Zeferino Jonatas Septimio , Oliveira Gabriel Francisco de , Fernandes Marcos Rassi , Vieira André Balbino , Garcia Elmo Neto Marques , Lima Filho Eduardo Menezes de , Amorim Diogo da Silva , Diniz Gabriel Caetano , Conceição Amado Dione Martins da , Melo Atila de Oliveira , Macedo Rafael Mendonça , Santiago Vinicius Thomé , Soares Maria Isabel de Souza , Gonçalves Thiago Vinicius Lemos , Sousa Gleidson Junio Oliveira de , Marinho Isadora Almeida , Rabelo João Paulo do Nascimento
Published: October 2024

INTRODUÇÃO: A Capsulite Adesiva, também conhecida como ombro congelado, é uma doença caracterizada por dor e diminuição da amplitude de movimentos passivos e ativos da articulação glenoumeral. O Diabetes Mellitus, especialmente o tipo 2, é um fator de risco bem estabelecido para a instalação da Capsulite Adesiva. OBJETIVO: compreender quais são os principais fatores associados ao desenvolvimento de Capsulite Adesiva em pacientes com Diabetes Mellitus, e como o controle glicêmico e a etnia influenciam a prevalência e a gravidade dessa condição. MÉTODOS: Trata-se de uma revisão integrativa na base de dados PubMed, MedlinePlus, SciELO e Google Acadêmico, utilizando os descritores “capsulite adesiva” e “Diabetes Mellitus”. RESULTADOS: foram selecionados 20 artigos para esse estudo. O risco de pacientes diabéticos desenvolver Capsulite Adesiva ao longo da vida é de 5 a 9 vezes maior do que indivíduos não-diabéticos, com prevalência de 10,3% na população com Diabetes Mellitus tipo 1 e 22,4% na população Diabetes Mellitus tipo 2. Fatores como controle glicêmico inadequado e raça não branca facilitam a instalação de Capsulite Adesiva em pacientes diabéticos. CONCLUSÃO: a Capsulite Adesiva é uma complicação relevante em pacientes com Diabetes Mellitus e a identificação precoce dos fatores de risco como controle glicêmico inadequado e raça não branca é importante para a implementação de estratégias de tratamento adequadas que podem melhorar os resultados clínicos e a qualidade de vida dos pacientes.
Moral Distress Challenges in Nurses During Early Stage of COVID-19 Pandemic: A Qualitative Study
Authors: Aliafsari Mamaghani Ebrahim , Soleymani Farzaneh , Hashemiparast Mina
Published: October 2024

Introduction: As a serious crisis, the COVID-19 pandemic put a lot of pressure on nurses, and many ethical challenges arose for them. The aim of the study was to explore the moral distress challenges in nurses during the COVID-19 pandemic. Methods: A qualitative study with a conventional content analysis approach was adopted. A purposive sampling method with maximum variation was used and 13 nurses caring for patients with COVID-19 participated in this study. Data were collected using individual semi-structured interviews until data saturation and concurrently analyzed by MAXQDA software. Results: Three main categories including ‘trial and error in care of patients with COVID-19, ‘negligence in performing professional duties’ and ‘inappropriate organizational structure’ emerged as the moral distress challenges experienced by the Iranian nurses during COVID-19 pandemic. Conclusion: Providing a codified treatment plan at the first opportunity is effective to prevent trial and error in the treatment and care of patients. Providing the latest information about the disease or the crisis that has happened manages the stress and work pressure to some extent. The existence of instructions for allocating resources and equipment can help in crisis management. Long-term planning for providing sufficient human resources is an issue that should be the priority of the officials. It should be noted that nurses are trained for normal as well as crisis situations, perhaps their insufficient training also has an effect on aggravating challenges in crisis situations.
Integration and Promotion: Integrating Sustainability Research into Computer Science Teaching through Serious Games Assignments
Authors: Haddick Sean , Puntha Helen , Harris Matthew , Brown David J
Published: October 2024

“Serious Games” is a final-year 20 credit point module, undertaken as the default optional module for students on Undergraduate courses entitled BSc Computing and BSc Computer Science (Games Technology) at Nottingham Trent University, UK. The module focuses on developing students’ critical evaluation skills, enhancing their ability to design and implement solutions for a real-world design brief, working with clients and making final products accessible to a broad target audience. Historically this was achieved through engagement with a single client, often via a wider research project or local educational establishment of some sort. More recently, the module has retained two client project briefs, which the students are then empowered to choose between. With each client brief the module team has sought to add extra value for the students. For the previous two academic years, the module team has partnered with Green Academy, a strategic team within the University whose priorities include stimulating pedagogical innovation and practice sharing within the area of sustainability and pioneering a shared understanding of sustainability education. The resulting partnership has introduced a brief for students which combines vital industry skills with sustainability literacy. Working with and alongside the students who are undertaking the module, the module has developed Serious Games on a diverse range of local and global sustainability issues and has exposed students to university research culture and our sustainability research specialisms. It has also necessitated that students engage with and contextualise the United Nations Sustainable Development Goals and the UNESCO ESD competencies which they are tasked with integrating into their design solutions. The long-term intent of this partnership is for these design decisions to be utilised in the Green Academy’s ongoing strategy to further enhance the University’s pedagogical framework and sustainability education offer, and to improve the provision of Serious Games for use by clients outside the University. This report is a synoptic overview of the module design and insights from the two-year partnership as well as how these observations have been leveraged to improve the design and delivery of the module for future clients and students.
Design Insights for Developing Deepfakes Awareness Games for Adolescents
Authors: Maathuis Clara , Derous Samuel , Rahimi Ebrahim
Published: October 2024

Around a decade ago, significant advancements in the deep learning domain like Generative Adversarial Networks (GANs) started to facilitate the creation of new synthetical content. The development of deepfake algorithms gained momentum due to the increase in computing power and open-source available resources which facilitated broader access to advanced deep learning methods. While initially deepfakes were created by creative pursuits in various media and marketing campaigns, they started to be misused driven by malicious purposes in various social media manipulation campaigns. These campaigns imply spreading disinformation and misinformation for discrediting individuals and creating confusion in relation to specific topics and events and are meant to altering users’ beliefs and behaviours. Such facts raised important ethical and societal concerns. Although deepfakes still represent a recent research area, a large body of studies is dedicated to, on the one hand, generation, and detection of deepfakes, and on the other hand, to understanding their implications and consequences for society. At the same time, governmental and practitioner efforts are devoted to containing their use and impact on society by proposing various strategies and programs. Nevertheless, both academic and societal efforts are in an incipient stage and often adopt a generalist perspective. This represents a crucial point in relation to the fact that many users in various social media platforms like TikTok is represented by adolescents that are known to be unaware and more vulnerable to media content in general, and deepfakes content, in particular. This represents the knowledge gap that this research aims to tackle by synthesizing design insights as requirements and guidelines that can be used when developing and deploying deepfakes awareness games for producing and/or enhancing awareness of adolescents. Accordingly, a systematic literature review is conducted and merged with previous experience in this domain by adopting a transdisciplinary research approach that merges methods and techniques from the deepfakes, AI, social media, cyber security, and gamification domains.
Tiers of Engagement: Achieved Learning From Business Simulations Reflected in Economics Students’ Experiences
Authors: Guttormsen Martin , Weines Jørn
Published: October 2024

This article investigates the impact of a business simulator in an online economics course, focusing on the relationship between student engagement and reflections on learning. Utilizing a mixed-methods approach, our study analyzes responses from 328 students who used the "Hubro Business Simulator" in a flexible online bachelor's program in economics and administration. Students provided reflections on the simulator as a learning activity, application of theoretical concepts and practical relevance. Qualitative analysis of 1640 responses further explored the depth of students' reflections, categorized into different tiers of engagement based on their responses. This analysis builds on Self-Regulated Learning (SRL) and motivational theory. The study sought to determine whether students reporting higher levels of engagement exhibited deeper metacognitive reflections compared to their less engaged peers. Findings support a link between the level of engagement and the depth of reflection. Students with higher engagement levels were more likely to reflect on specific ways in which the simulator had supported their learning and understanding of theoretical concepts. This paper discusses the limitations and implications of these findings for enhancing game-based learning interventions, emphasizing the need to foster higher engagement levels to improve educational outcomes in online learning environments. The study contributes to the literature on game-based learning by providing a large empirical study on how business simulators can foster higher-order thinking and deeper learning reflections among economics students. It also highlights the role of engagement in using business simulators as learning tools, offering insights that could improve the learning design and implementation in similar online and flexible learning program contexts.
Digital Educational Escape Rooms as E-courses Using D-EER4SmL: Investigation of Motivational Affordances
Authors: Karampa Vasiliki , Paraskeva Foteini
Published: October 2024

Research has shown that educational escape rooms (EERs) motivate and engage learners in the learning process, mainly due to the incorporation of game elements into their educational context. As a result, various frameworks have been proposed to design and develop EERs over the past few years. However, these frameworks fail to highlight the important "D"-digital factor of technology which transforms EERs into Digital Educational Escape Rooms (DEERs), as well as the smart pedagogy (SmP), which in turn goes beyond game-based approaches and is currently essential for the design and the development of well-orchestrated and reusable smart learning solutions. Due to the fact that technology increases motivation, this study introduces the work-in-progress framework D-EER4SmL, primarily based on John Keller's theory of ARCS and the 10-step systematic design process for the development of motivational e-courses, tailored to learners' preferences. The framework was aligned with various EER design principles, along with Smart Pedagogical (SmP) approaches, which could be facilitated by web technologies in order to design and develop DEERs as e-courses. To confirm the motivational aspect of smart learning and the assumption that digital technology provides additional motivation, a DEER e-course was developed, based on this framework. The DEER e-course was delivered to ICT students - future ICT teachers/e-learning educators - who would be trained in instructional/e-learning design utilizing web technologies. A total of 108 higher education students of digital systems voluntarily participated in the workflows of the DEER e-course, played the game, and evaluated motivational affordances (MAs), after completing it. Quantitative data analysis was conducted, based on an improvised questionnaire for DEERs, aligned with Keller’s Instructional Materials Motivation Survey (IMMS). As far as motivation is concerned, the framework was proven effective in the initial research findings; however, further research is needed to confirm its effectiveness within the wider context of smart learning.
Game-based Pedagogy in Teacher Training: Results of a Pilot Course
Authors: Palha Sonia , Bouwer Anders , Webb Kristin , Van Smaalen Daan , Agterberg Desiree
Published: October 2024

Game-based learning (GBL) and gamification can improve the learning experience of students by making learning more fun, interesting, and motivating. However, integrating games in practice is challenging for many teachers as it requires competences that not necessarily are part of their teaching repertoire. Game-based pedagogy (GBP) refers to the teaching methods and learning processes involved in learning with games. Research stresses the need for adequate professional development and teacher education on GBP. However, there is a lack of empirical knowledge on effective methods to prepare pre-service and in-service teachers for using game-based learning. The aim of our research is to gain insight into the design of effective GBP learning experiences for teachers. The guiding research question was: What design elements of a course on GBL  impacted in-service teachers' GBP competences and teaching practice? We investigated this question in the context of a teacher education program in the Fall 2023. We conducted an empirical study in which a course on GBL was designed, implemented, and evaluated in practice. The participants were 16 in-service secondary teachers from different disciplines in secondary education, from which 13 agreed to participate in this study, and three course leaders. We investigated participants’ and course leaders’ experiences, participants’ competences in GBP, the impact on participants’ teaching practice and the way design elements contributed to it. The data consisted of participant reflections, transcripts from participants and course leaders’ interviews and answers to a questionnaire. The data was collected and analysed using quantitative and qualitative methods between January and April 2024. Results reveal that in-service teachers’ improved their competences on GBP and increased their use of GBL in practice. Qualitative data analysis provides insight into the course's design elements and on participants’ learning process. This study contributes to GBP-education by offering a possible design solution and framework for developing effective teacher education.
Learning from Designing a Board Game for Policy Thinking in Computer Science
Authors: Zheng Shuyin , Fischer Victoria , Luckner Naemi , Purgathofer Peter
Published: October 2024

Technology does not exist in a vacuum, but is influenced by society and at the same time shaping it. In order to educate future computer scientists to be able to assess and create technology in a conscious and responsible manner, we provide first-year Computer Science (CS) students with an introductory course on different ways of thinking about CS by offering them a transdisciplinary view of the field. As we continuously strive to use engaging teaching methods to foster long-lasting interest for the topics of the course, as well as enhancing students’ learning experiences, we have introduced a unique game-based learning pipeline: In a game design course, advanced CS students design non-digital games that address various topics from the introductory course. These games are later played by first-year CS students, who are reflecting on the content and their experience as a part of their course assignments. In order to learn from the first iteration of this process, we analyse one of the games created, in particular its design and the educational objectives intended by the game designers, including the students’ feedback. We found that the game was perceived to be good in achieving learning outcomes; however, it scored even higher in terms of being an interesting and entertaining game. Overall, we conclude that the game was successful in creating an engaging learning experience, demonstrating the potential for game-based learning with non-digital games. This case study also highlights the importance of creating a suitable environment for game-based learning approaches to enhance the educational effects and utilise individual strengths of educational games, providing inspiration and groundwork for future research.
Gaming the Industrial Revolution. Participatory design with historical data for classroom learning
Authors: Hiriart Juan , Litvine Alexis , Bowman Nathan
Published: October 2024

Industrial Re:evolution is an educational game developed by a collaborative team of educators, historians, game designers, and developers. The game allows students to hypothesise about the underlying causal mechanisms of the Industrial Revolution while managing population and resources across 19 discrete regions in England and Wales from 1600 to 1851. The game was developed through a series of participatory workshops, which led to a gameplay concept based on a comprehensive model of the Industrial Revolution, centred on key theoretical frameworks. Through role-playing, problem solving, and in-class discussions, students are encouraged to explore various factors that contribute to the Industrial Revolution and their interdependencies. It helps them develop a deeper understanding of the intricate relationships between different causal factors, improving their ability to explain and analyse complex historical events, and promoting quantitative skills. The game is an open-ended historical simulation based on state-of-the-art research, providing students with the opportunity to interact with real historical data. To enhance classroom implementation, the game is provided with structured activities, lesson plans, student booklets, and multimedia materials, while an online platform will eventually offer a community for educators to share best practices. This study describes the design choices and development of the game.
New Age Mages: An Interactive Way to Explore and Subvert Gender Biases
Authors: Kolli Kavya , Dutta Shubhangi , Vemuri Kavita
Published: October 2024

From a young age, children are exposed to societal standards of gender and gender roles and, by extension, inherent sex-based biases, which can become inculcated into their worldview. These biases affect their daily lives negatively in ways that can seem almost natural unless specifically pointed out. Table Top Role Playing Games (TTRPGs) are pen-and-paper games that revolve around collaborative storytelling in a shared, collectively imagined and built world, usually involving 2 to 5 players. TTRPGs provide a safe, controlled environment to mimic social interactions in a way that video games and other forms of media cannot. This paper introduces a new TTRPG, New Age Mages, aimed at a younger audience, with the goal of introducing the concept of biases and helping them to see things from a different perspective. In New Age Mages, players interact with a world where magic is commonplace as students that have recently unlocked their magic, while a Game Master (GM) narrates the world as determined by the players’ choices. The game’s magic system allows it to mimic the influence and/or impact of modern-day gender roles and biases without referring to them directly while remaining simple and easy to learn for a new player. The game also aims to subtly incentivise the Players to make decisions that would be different from what they might usually make, and promote trying to understand the others’ points of view. We believe this game will be useful for those seeking to help children gain a better understanding of gender roles and their subversion. We use a questionnaire based on the Gender Role Attitudes Scale (GRAS) to measure the impact gameplay has on players’ ideas of gender roles. We also test the game with some initial gameplay experiments among a smaller audience that is more familiar with TTRPGs and present the results. Our work explores not only the ability of TTRPGs to influence perspectives and opinions, but also doing so specifically in the space of understanding gender roles among a younger audience.
“Open World” Texts: A Framework for Analyzing Recombinatory Writing Games (RWGs)
Authors: Jones Allen
Published: October 2024

This paper uses a literary studies and game-based design approach to propose a theoretical framework for understanding, assessing, and designing recombinatory writing games (RWGs) as well as for establishing the relationship between RWGs and the larger category of creative writing games for reading (CWGR). Central to understanding this framework is the way RWGs integrate and develop Surrealist and Oulipo writing techniques (play, collaboration, juxtaposition, and constraint) to democratize traditional notions of Literature in order to create the inclusive, non-judgmental arena necessary to establish open world exploration and creativity as motivators in writing games for reading. This paper develops a theoretical approach and then uses it to analyze example games and prototypes to clarify divergence, juxtaposition, textuality, open world, and play as the key aspects of the framework. No framework has yet been established for examining CWGR or RWGs, thus this paper represents a necessary foundation for future research and design as well as an essential part of the larger project aimed at developing creativity and inclusivity as motivators for game-based reading and writing.