bluuebunny/crossref_metadata_2025 huggingface dataset:
Communication in Emergency Situations – the Covid 19 Pandemic in Foster Families. Organization and Principles of Operation
Authors: Walancik Karolina
Published: October 2023

The article contains the results of research on the organization and course of communication (contacts) in emergency situations, e.g., the COVID 19 pandemic (border closure, quarantine, social distance, epidemiological supervision). The conducted research concerned the contact of children in foster families in emergency situations with their natural parents with the use of electronic communication, which has been standardized by Polish law. The diversified involvement of natural parents in contacts as well as the low use of electronic communication means for contacts was indicated. The obtained research results make it possible to recommend the use of children in foster families in emergency situations with natural parents from electronic communication means in emergency situations, such as pandemics, epidemics, long-term separation in the vast majority of cases. Such solutions should be legally established as alternatives. The conducted research and analysis of results supplement the knowledge in the field of communication, education and organizational solutions for communication in emergency situations. The author, analyzing the common phenomenon of the effectiveness of contacts between natural parents and children staying in foster families in emergency situations, analyzed the involvement of the natural family and foster family from the perspective of emergency situations and the possibilities offered by electronic communication means.
Importance of Integrated Simulation Approaches in Medical Education when Teaching Therapy Disciplines to Students of Medical Faculty
Authors: Yatsyshyn Roman , Cherniuk Nataliia , Drogomeretska Oksana , Kuryliv Halyna , Salyzhyn Tetiana
Published: October 2023

The article is devoted to reviewing the main methods of practice-oriented teaching of medical students at the Department of Internal Medicine No. 1, Clinical Immunology and Allergology named after Academician Y. M. Neyko of Ivano-Frankivsk National Medical University (Ukraine). The significance of not only theoretical but also practical training of medical students in the conditions of blended learning is highlighted. The impact of new teaching methods on the level of future doctors' professionalism has been analyzed. Another important aspect of training is the introduction of simulation training, which allowed for obtaining a high level of knowledge without harming the patient. The article focuses on the role of the “virtual patient” in supervision, as this method, regardless of the form of study, allowed the student to be acquainted with a standardized patient, improve communication skills and choose the right method of diagnosis or treatment by the European guidelines. The article describes prospective systems for simulating clinical cases, which allow the creation of interactive training cases of various complexity levels depending on the goals set or the level of a specialist's training. The article presents the main online platforms for creating the most realistic cases with photographs of the affected body area and protocols of instrumental examinations, which allow you to reproduce the order of the doctor's actions and modify the intensity of the patient's condition if the prescription was incorrect. Moreover, the article highlights the positive impact of interactive teaching methods on student motivation and encouragement to deepen knowledge in a particular discipline, as an essential aspect is the discussion of examination results and prescription of therapy based on modern guidelines. It additionally outlines actions to be taken for ensuring efficient handling of new “virtual patient” cases and for inputting data on previously created clinical cases into the system. The article describes the main advantages of simulation-based teaching methods in comparison with traditional forms of teacher-student interaction. It is noted that training with the help of ”virtual patients” allows us to evaluate the acquired practical skills and competencies of future doctors.
Self-Education Into Maturity in Light of the Theoretical Approach of Zdzisław Chlewiński
Authors: Juroszek Weronika , Kozubek Mariola Teresa
Published: October 2023

This paper aims to answer the research question: How to educate oneself towards maturity in light of the theoretical approach of Zdzisław Chlewiński? Chlewiński developed the theory of mature personality, identifying three components: reliable insight into oneself (authenticity), autonomy and a personalistic attitude towards other people. In this paper, self-education towards maturity is considered as developing the qualities listed by Chlewiński, thus becoming increasingly authentic and autonomous as well as increasingly human in one's relation to the other. Using Chlewiński's method of text analysis, the following areas (tasks) of self-education towards maturity were identified: (1) in terms of honest insight into oneself (authenticity): distancing oneself from the excessive, inflexible use of defence mechanisms that lead to the formation of a distorted self-image and playing inaccurate roles; a reliable answer to the question about the most important life values; the formation of an attitude of gratitude; (2) in terms of autonomy: the formation of pro-social and altruistic life plans; the development of a solid willpower and self-reliance; (3) in terms of the personalistic attitude towards other people: building empathic and supportive relations, distancing oneself from manipulative behaviour (including ingratiation). To illustrate self-education with respect to the aforementioned areas, the selected aspects of biographies of truly mature individuals, prominent Polish people representing different lifestyles, were referred to: Karol Wojtyła, who later became Pope John Paul II; General Fieldorf “Nil” – a hero of World War II; and Wanda Półtawska – a doctor of psychiatry, 102 years old in 2023 when this paper is being written. Their biographies provide inspiration for self-education towards maturity. On the basis of the analysis undertaken, it was concluded that Zdzisław Chlewiński's theory can serve as a source of guidance for further analyses of the biographies of truly mature people.
Probation Centers as Spaces of Implementing Children’s Rights. A Polish Case Study
Authors: Babicka-Wirkus Anna
Published: October 2023

A probation center is one of the educational measures provided in Polish law for socially maladjusted youth. It is a non-isolation form of social rehabilitation and preventive action, which enables young people who are at risk of demoralization to remain in the family and school environment. The current article concerns the potential that Polish probation centers have for realizing the idea of children’s rights. It puts forward the following thesis: Probation centers are spaces for exercising children’s rights as well as Janusz Korczak’s pedagogy. Such centers follow the 3P principle (provision – protection – participation), which is included in the Convention on the Rights of the Child. Implementing this principle in probation centers makes it possible to establish a relationship between the probation officer/educator and the child/adolescent that is based on respect, openness, understanding, acknowledgment, ignorance, and love. These attitudes fit into Janusz Korczak’s pedagogy, which is founded on the assumption that children have their rights as human beings and that adults are obligated to respect and protect these rights as well as to allow children to exercise them in everyday activities. As a non-isolating form of social rehabilitation interactions, the probation center does not contribute to the stigmatization of the child, but can be a safe place to practice the rights of the child and citizen.
Synergy of Reflection and Critical Thinking: a Catalyst for Students’ Intellectual Growth
Authors: Lionenko Mariia , Huzar Olena
Published: October 2023

The article is dedicated to exploring the interaction between reflection and critical thinking in the context of developing students' intellectual abilities. Special attention is given to studying the impact of reflective practices on stimulating critical thinking in younger students and their ability to analyze and perceive information critically and objectively.

The article analyzes the fundamental aspects of reflective activities, including its role in developing students' consciousness, self-awareness, and internal processing of acquired information. The authors investigate various methods and techniques of reflection that educators can use to activate students' critical thinking. Specifically, the article offers practical case studies of implementing reflective approaches in the educational process.

The primary aim of the article is to raise educators' awareness of the significance of the interaction between reflection and critical thinking as key elements in students' intellectual development. The information presented in the article will contribute to the expansion of methodological foundations for promoting reflective processes in teaching and supporting the development of critical thinking among younger students. The research findings can be practically applied in educational institutions and contribute to improving the quality of education.
Francis Bacon, dolor y potencia del cuerpo. Una lectura Deleuziana
Authors: Piazza Anna
Published: October 2023

Este artículo ofrece una lectura de laspinturas de Bacon a través del análisis deGilles Deleuze, que, utilizando las filosofíasde Nietzsche y Spinoza, se centraen la pregunta sobre la relación entre lamateria y las fuerzas que la animan, perceptiblesen los efectos que ellas producenen el cuerpo. Se destaca la novedosainterpretación que Deleuze hace de lasrelaciones entre materia y forma, la cualpretende superar la concepción clásica dela forma como esencia-limite, a favor deuna idea de la forma como límite-tensión/espacialización, utilizando la obrabaconiana para enfatizar el significadode determinadas concepciones estilísticasno solo para la historia del arte, sino inclusopara la historia de la filosofía.
La confesión de la peste: aproximación al Filoctetes de Sófocles
Authors: Junco Ethel , Calabrese Claudio César
Published: October 2023

Proponemos una lectura de la pesteen la tragedia de Sófocles Filoctetes, apartir de los paradigmas interpretativosde Paul Ricoeur, que acentúa la funcióndel modelo mítico en la actualización delos símbolos del origen y en especial de lapresencia del mal. Recorremos las nocionesasociadas a la suciedad como culpay a la herida como expiación. Desde ahíofrecemos líneas de reflexión para pensarlas implicancias no físicas de la pandemiaactual; si el plano cósmico de los eventosconecta con un plano ético, la relacióncon el mal presente exige nuevas respuestascomunitarias.
Individualią veiklą vykdančių mokesčių mokėtojų mokestinės elgsenos vertinimas
Authors:   , Jakubauskaitė Agnė
Published: October 2023

The assessment of the tax behaviour of self-employed taxpayers
Life and Scientific Path of Ukrainian Goldsmithing Researchers in the Soviet Union Era
Authors: Kostiuchenko Kateryna
Published: October 2023

The study of jewelry in Ukraine and scientific achievements in the process of researching the art of goldsmithing is determined primarily by the return to our own Ukrainian authenticity and the need to reconstruct different historical periods in order to actively comprehend our cultural values. The article’s purpose is to research the life and scientific achievements of Ukrainian scholars in terms of studying Ukrainian goldsmithing under the pressure of Soviet influence on the cultural background. To achieve this goal, historiographic, analytical-synthetic and comparative-contrastive methods were used. In her article, the author emphasizes the negative influence of the Soviet authorities through the prism of the life and creative path of scholars who studied the 16th–19th-century Ukrainian goldsmithing. The article not only highlights scientific achievements of such Ukrainian jewellery-researchers as Volodymyr Peretts, Danylo Shcherbakivskyi, Mark Petrenko, but also analyzes their life and scientific path in the Soviet era. The work is recommended for anyone who is interested in the history of Ukrainian jewellery development. In the future, it can be used for researching artifacts and monuments of material culture, for deeply observing cultural strata in different historical periods, and for comprehending of scientific achievements in the study of jewellery’s role and influence on the formation of national identity and global cultural space.
Dynamics of changes in the image of Ukraine in the audiovisual art of the XXI century
Authors: Novikova Liudmyla
Published: October 2023

The article reviews some of the established stereotypes and new trends in the image of Ukraine and Ukrainians in the world audiovisual art. Traditionally, all nations rely primarily on stereotypes in their attitudes towards others. Most of the time, in the screen arts (especially when it comes to American films, television programmes, etc.), Ukrainians, russians, or Belarusians are portrayed as either «russians» or «Slavs» with a russian-centric identity. Cases of positive cinematic representation of Ukrainians in the twentieth century were an exception, the most notable of which was the film «The Fisherman’s Boots» (1968) by British director M. Anderson. The prototype of the protagonist, Cyril Lakota, the Archbishop of Lviv, who, after 20 years in a Siberian hard labour camp Gulag, is unexpectedly released and allowed to move to Rome, was Josyf Slipyj. After 1986, the theme of the Chornobyl tragedy became widespread in audiovisual artworks dedicated to Ukraine and Ukrainians. The disaster at the Chornobyl nuclear power plant was perceived by the international community primarily as a real threat of a total nature, about which it is necessary to know as much as possible in order to protect the lives and health of the population of different countries. At the same time, the study of the psychological aspect of the tragedy, its impact on the minds of the direct participants, and the change in attitudes towards Chornobyl over time became a subject of particular artistic interest. In the twenty-first century, the Orange Revolution, the Revolution of Dignity, and the Ukrainian-russian war finally put an end to the interpretation of Ukrainian characters in world cinema as marginal representatives of the Russian screen narrative. A number of fiction and non-fiction films and TV series were released about various aspects of the lives of Ukrainians, who are now clearly identified by their nationality and citizenship. A special role in this process is played by thematic programmes with historical content developed and implemented by T. Snyder.
Evaluasi Pemanfaatan Teknologi Informasi dan Komunikasi dalam Pembelajaran Jarak Jauh di Kelas 5 SDIT AL-Haraki Depok
Authors: Laily Nasiha Syaqina , Ridwanudin Dindin
Published: October 2023

This study aims to determine the use of ICT in distance learning in grade 5 SDIT Al-Haraki Depok and evaluate the benefits of information and communication technology in distance learning in grade 5 SDIT Al-Haraki Depok. This research is an evaluative qualitative descriptive study with the aim of examining the use of information and communication technology in distance learning in grade 5 SDIT Al-Haraki Depok. The subjects in this study were school principals, 5th grade homeroom teachers, and 5th grade students for the 2020/2021 academic year. The results of this study indicate that the overall use of ICT in distance learning has been going well and can be maintained. However, there are several main obstacles, namely an unstable network, psychosocial conditions of parents, students and teachers who are already saturated with the distance learning process, and also the lack of variety in the use of learning applications, so that some students are still less enthusiastic in learning and this affects the learning process. student learning outcomes.
pandemia e a crise estrutural do capital
Authors: Scapin Gislei José , Ferreira Liliana Soares
Published: October 2023

O corrente texto tematiza, contextualiza e problematiza a situação do trabalho dos professores – entendido como pedagógico – no contexto da crise pandêmica, situado no quadro de crise capitalista e de reestruturação do mundo do trabalho. De cunho teórico-descritivo, apresenta elementos para apropriação do tema, organizando-se em momentos distintos, mas interconectados, a saber: compreende-se o conceito de “crise”, em sua forma genérica; situa-se a crise pandêmica na centralidade da crise capitalista, como uma de suas expressões, desnaturalizando as causas dos fenômenos; e, por fim, apresenta-se a reestruturação do mundo do trabalho, agravada pelas circunstâncias da pandemia e discute-se sobre o trabalho dos professores nessa conjuntura, com ênfase na problematização sobre as implicações em sua dimensão pedagógica.
Co wiemy o przedchrześcijańskich wierzeniach wczesnośredniowiecznych mieszkańców dorzeczy Odry i Wisły?
Authors:   Instytut Archeologii i Etnologii PAN oraz Instytut Archeologii, UKSW Warszawa, Urbańczyk Przemysław
Published: October 2023

What we know about the pre-Christian beliefs of the early medieval inhabitants of the Oder and Vistula river basins. Artykuł jest poświęcony krytycznemu podsumowaniu wiedzy na temat przedchrześcijańskiej religii Słowian postrzeganej przez pryzmat dostępnych źródeł.
The problem of psychological age as a phenomenon of the new norm in the design of clothing
Authors: Timofeeva Marina
Published: October 2023

The article studies the problem of psychological age and how the personal aspects of a person affect his life and the fashion industry in particular. The study reveals the phenomenon of erasing age visual codes and the formation of a new norm in the design of clothing as a reaction of the human psyche to external aggressive events in the world and the subconscious desire to return to the safe world of childhood. Issues of emotional design, in which it is important to create a positive emotion background that creates a product or service, to include the person in the storyline of the process of communication with the product or service. As an empirical base expert opinions of specialists in the fields of analysis of human behavior: psychology, sociology, philosophy, as well as marketing tools that allow to take into account the real request of the buyer. Concrete examples illustrate how people are adapting adequately to changing social, political, and environmental conditions, and how these changes are forcing a review and rethinking of well-established criteria and aspects of attitudes, behaviours and aesthetics. Analysis of the processes of psychological perception of the present and the past by the modern consumer allows to allocate the trend to the visual codes of «children» in the design of clothing, systematize compositional techniques, details, assortment, styling methods, erasing the boundaries «adult-child». The article gives examples of the works of fashion houses: Thom Browne, Louis Vuitton, J.W. Andersen, Miu Miu and Chen Peng, examples of analog images and details of children’s assortment embodied in professional collections, an example of addressing the topic of research in the educational process.
Effect of elastomeric urethane monomer on physicochemical properties and shrinkage stress of resin composites
Authors: Sinhoreti Mário Alexandre Coelho , Tomaselli Lucas de Oliveira , Rocha Mateus Garcia , Oliveira Dayane , Roulet Jean-François , Geraldeli Saulo
Published: October 2023

Abstract This study aimed to evaluate the effect of an elastomeric urethane monomer (Exothane-24) in different concentrations on physicochemical properties, gap formation, and polymerization shrinkage stress of experimental resin composites. All experimental composites were prepared with 50 wt.% of Bis-GMA and 50 wt.% of TEGDMA, to which 0 wt.% (control), 10 wt.%, 20 wt.%, 30 wt.%, and 40 wt.% of Exothane-24 were added. Filler particles (65 wt.%) were then added to these resin matrixes. Ultimate tensile strength (UTS: n = 10), flexural strength (FS: n = 10), flexural modulus (FM: n = 10), hardness (H: n = 10), hardness reduction (HR: n = 10), degree of conversion (DC: n = 5), gap width (GW: n = 10), and polymerization shrinkage stress in Class I (SS-I: n = 10) and Class II (SS-II: n = 10) simulated configuration. All test data were analyzed using one-way ANOVA and Tukey’s test (α = 0.05; = 0.2). Exothane-24 in all concentrations decreased the H, HR, DC, GW, SS-I, and SS-II (p < 0.05) without affecting the UTS, and FS (p > 0.05). Reduction in FM was observed only in the Exothane 40% and 30% groups compared to the control (p < 0.05). Exothane-24 at concentrations 20% and 30% seems suitable since it reduced GW and polymerization SS without affecting the properties of the composite resins tested, except for H.
Decision making on dry cow therapy: Economic evaluation using field data under Argentinian production conditions
Authors: Vissio Claudina , Richardet Melina , Issaly Liliana Cristina , Larriestra Alejandro José
Published: October 2023

ABSTRACT The cow somatic cell count (CSCC) is an indicator of intramammary infection (IMI), and it has been used to make decisions at dry-off about selective dry cow therapy (SDCT). This study assessed ex-ante the economic impact of implementing SDCT under milk production conditions in Argentina, using CSCC to identify cows with IMI at dry-off. Eighty six cows were sampled at dry-off and considered being infected if at least one quarter was infected with major mastitis pathogens. The CSCC sensitivity and specificity were estimated using the CSCC recorded from the test-day prior to dry-off. A simulation model was then developed to look into the economic benefits of applying SDCT under two herd level IMI prevalence (low: 5-15%, and high: 16-25%) at dry-off. The input variables were obtained from the field study, scientific literature, and real-world prices. The output was the net economic difference (NED) between SDCT and blanket dry cow therapy at the herd level. The sensitivity and specificity estimated for identifying cows infected with major pathogens for a CSCC threshold of 200,000 cells/mL were 31.4 (95% CI, 14.6-48.2) and 64.7 (95% CI, 50.6-78.8), respectively; the value for NED was maximized to -634 US$ and -455 US$ in the low and high IMI prevalence, respectively. In general, CSCC specificity was the variable with the most impact on NED and, in high IMI prevalence, milk price had a similar relevance. Thus, SDCT based on CSCC is a cost-effective option, under the milk production conditions in Argentina.
IMPLEMENTATION OF OTTAWA ANKLE RULES IN UNIVERSITY HOSPITAL EMERGENCY ROOM: PILOT STUDY
Authors: SCHIPER SACHA PUGLIESE , RODRIGUES HUGO MAIA , REIS JOÃO EDUARDO LIMA ERNESTO , SILVA MAYARA BRANCO E , DINATO MAURO , PAGNANO RODRIGO GONÇALVES
Published: October 2023

ABSTRACT Ankle injuries are the most common musculoskeletal injuries in emergency rooms and are associated with a great social and economic impact. The need to request additional tests for ankle sprains is based on suspicion of fracture. The Ottawa Ankle Rules (OAR) establish criteria for ordering radiographs to avoid performing unnecessary examinations. Objective: To evaluate the implementation of the Ottawa Rules as a protocol for treating ankle sprains in the emergency department of a university hospital. Methods: This is a retrospective observational study, conducted over a period of three months before and three months after implementation of the protocol. Results: In the first phase, all patients complaining of ankle sprain underwent radiographs. In the second phase, after the application of the OAR, out of 85 patients evaluated, only 58 underwent complementary exams, showing a reduction of 31.8% in the request for imaging exams. There was no significant difference in fracture detection between the two groups (p=0.476). Conclusion: The OAR can be used as a tool in diagnosing ankle sprains, and their implementation reduced the request for imaging exams. Level of Evidence III, Retrospective Comparative Study.
Resilience, depression and self-efficacy among Brazilian nursing professionals during the COVID-19 pandemic
Authors: Sousa Laelson Rochelle Milanês , Leoni Pedro Henrique Tertuliano , Carvalho Raphael Augusto Gir de , Ventura Carla Aparecida Arena , Silva Ana Cristina de Oliveira e , Reis Renata Karina , Gir Elucir
Published: October 2023

Abstract This aim of this study was to analyze levels of resilience, depression and self-efficacy among Brazilian nursing professionals during the COVID-19 pandemic. We conducted an analytical cross-sectional study between October and December 2020. Student’s t test, analysis of variance and multiple linear regression were used to investigate the impact of two main factors (Resilience and Self-efficacy) on depression. A total of 8,792 nursing professionals participated in the study; 5,124 (58.8%) had low levels of resilience. The mean overall score for Depression was 0.74, ranging from 0.59 to 0.80, while the mean overall score for Self-efficacy was 0.68, ranging from 0.56 to 0.80. The variable that had the strongest impact on depression levels was Resilience, explaining 6.6% of the outcome (p < 0.001, AdjustedR2 = 0.066). In general, respondents had low levels of resilience and self-efficacy and showed high mean depression scores. Level of resilience had an impact on depression. The findings reveal an urgent need for actions to promote the psychological health of nursing professionals working in crisis situations such as pandemics.
Analysis of the association between levels of compassion fatigue and work engagement with COVID-19 in nursing professionals
Authors: Lourenção Luciano Garcia , Penha José Gustavo Monteiro , Ximenes Neto Francisco Rosemiro Guimarães , Santos Betânia Maria Pereira dos , Pantoja Vencelau Jackson da Conceição , Ribeiro Josias Neves , Cunha Ludimila Magalhães Rodrigues da , Nascimento Vagner Ferreira do
Published: October 2023

Abstract This article examines the association between levels of compassion fatigue and work engagement with COVID-19 in nursing professionals. A longitudinal, before-and-after study was conducted with nursing professionals working in the frontline in the pre-pandemic and pandemic periods. Our study applied the Brazilian versions of the Professional Quality of Life Scale and the Utrecht Work Engagement Scale. High levels of compassion satisfaction (≥43.0), low levels of burnout (<23.0) and secondary traumatic stress (<23.0), as well as high levels of vigor (≥4.0 and ≤4.99), absorption (≥4.0 and ≤4.99), and overall score (≥4.0 and ≤4.99) were observed. Moderate, negative, and significant correlations of burnout with vigor (r: -0.505; p-value: <0.001), in the pre-pandemic period; and with overall score, in the pre-pandemic (r: -0.543; p-value: <0.001) and pandemic periods (r: -0.458; p-value: <0.001), were also observed. No changes in levels of work engagement were found. Professionals with compassion fatigue showed decreased vigor, absorption, and overall score, rated as medium in the pandemic period (≥2.0 and ≤3.99), and an increased dedication, which was low (≥1.0 and ≤1.99) in the pre-pandemic period. It was concluded that there is no harmful association between compassion fatigue and work engagement with COVID-19 in nursing professionals.
Qualidade de vida e engajamento no trabalho em profissionais de enfermagem no início da pandemia de COVID-19
Authors: Carvalho Taisa Moitinho de , Lourenção Luciano Garcia , Pinto Maria Helena , Viana Renata Andrea Pietro Pereira , Moreira Ana Maria Batista da Silva Gonçalves , Mello Leticia Pepineli de , Medeiros Gilney Guerra de , Gomes Antonio Marcos Freire
Published: October 2023

Resumo O artigo investiga a correlação entre engajamento e qualidade de vida no trabalho dos profissionais de enfermagem de um hospital público do interior do estado de São Paulo, no início da pandemia de COVID-19. Estudo transversal, descritivo e correlacional, com profissionais de enfermagem, realizado entre dezembro de 2020 e janeiro de 2021. Foram utilizadas as versões brasileiras da Utrecht Work Engagement Scale (UWES) e da Escala de Avaliação da Qualidade de Vida no Trabalho (QVT), segundo modelo de Walton. Os profissionais de enfermagem apresentaram correlação forte e positiva (r≥0.70) entre o domínio integração social da QVT e a dimensão vigor da UWES (r=0,88; p=<0,001); correlação positiva moderada (r≥0.40≤0.69) entre as condições de trabalho (QVT) e as dimensões vigor (r=0,40; p=<0,001), dedicação (r=0,40; p=<0,001) e escore geral (r=0,41; p=<0,001) da UWES. As correlações foram positivas e fracas (r≤0.39) para os demais domínios da QVT e as dimensões da UWES. Concluiu-se que os profissionais com níveis satisfatórios de qualidade de vida tendem a ter níveis mais altos de engajamento no trabalho. No início da pandemia de COVID-19, os profissionais de enfermagem estavam fortemente engajados e satisfeitos com sua qualidade de vida no trabalho.
Resilient health systems for already resilient countries? Pandemic discourses in the post-COVID-19 era
Authors: Arroyo-Laguna Juan
Published: October 2023

Abstract This study aimed to reconstruct and analyze the discourses of the pandemic in the post-COVID-19 era. The methodology was based on a critical review of the scientific literature on the pandemic, selecting 80 non-biomedical, clinical, or pharmacological articles published in journals indexed in Scopus or Web of Science from a sample of the 500 most cited scientific articles on the pandemic in Google Scholar. The theoretical approach was based on the debates on predictability, unpredictability, determination, and indeterminacy in the health and social sciences. As a result, six theses on the pandemic were identified and analyzed: a) the thesis of the unpredictability of pandemics; b) the thesis of pandemic denial; c) the thesis of the pandemic as a failure in predictability systems; d) the thesis of the prevention of catastrophic events with timely interventions; e) the thesis of the structural postponement of predictive care by non-developed countries; and f) the environmentalist-health thesis, of foreseeing a critical phase for the planet and humanity. We concluded on the limits of resilience as the center in preparing Latin American health systems in the post-pandemic.
Analysis of work scenarios in the sanitary enforcement of medicines from the federal regulatory agency
Authors: Martins Mary Anne Fontenele , Scherer Magda Duarte dos Anjos
Published: October 2023

Abstract This study analyzes the work situations experienced by professionals in the sanitary fiscalization of medicines at the Brazilian Health Regulatory Agency, during the COVID-19 pandemic. This is a single-case study, qualitative in nature, with an ergological approach. The data were collected from 2020 to 2021. During this period, 18 interviews and 3 online work meetings were conducted. The discursive practices were systematized in ergodialogical maps, resulting in three categories: the works experienced in the sanitary enforcement of medicines; the variabilities of the organizational context and the renormalizations facing the pandemic. The fragilities of the information systems, the outdated regulatory framework, the performance model, the fragmentation of the work, among others, have caused barriers to the professional’s activity. The conformation of a new way of performing the sanitary fiscalization of medicines involves the combination of interventions aimed at prevention, detection, and response to the consumption of medicines that are harmful to health. The necessary transformation goes beyond the restricted function of control and punishment and consolidates itself as a new proactive and dynamic action model, based on health risk management and the implementation of Good Fiscalization Practices.
Observatório Covid-19 Fiocruz - uma análise da evolução da pandemia de fevereiro de 2020 a abril de 2022
Authors: Freitas Carlos Machado de , Barcellos Christovam , Villela Daniel Antunes Maciel , Portela Margareth Crisóstomo , Reis Lenice Costa , Guimarães Raphael Mendonça , Xavier Diego Ricardo , Saldanha Raphael de Freitas , Mefano Isadora Vida
Published: October 2023

Resumo A pandemia de COVID-19 teve um imenso impacto nas condições de vida e trabalho de toda a população do país, impactando de modo diferenciado e mais intenso os grupos considerados vulneráveis. O objetivo deste artigo é apresentar um panorama da evolução da pandemia no país segundo os boletins do Observatório Covid-19 Fiocruz, no período entre as declarações de início e de encerramento da Emergência em Saúde Pública de Importância Nacional (ESPIN), fevereiro de 2020 a abril de 2022. Foram utilizados diversos dos indicadores adotados nos 69 boletins publicados para a análise da pandemia, como casos e óbitos por SRAGs e COVID-19, grupos etários, taxas de ocupação de leitos UTI e vacinação, entre outros. A análise da evolução foi organizada entre anos e fases da pandemia, procurando destacar o que caracterizou cada momento. A declaração de encerramento da ESPIN no Brasil coincide com as discussões acerca da transição de pandemia para a endemia, sem que isso represente a eliminação do vírus, das infecções e da doença, colocando-se os desafios de avanços nos processos de vacinação no Brasil e no mundo e da convivência com cenários que poderão exigir a adoção de medidas de proteção temporárias em períodos epidêmicos e de maior risco para grupos vulneráveis.
Impactos da infodemia sobre a COVID-19 para profissionais de saúde no Brasil
Authors: Freire Neyson Pinheiro , Cunha Isabel Cristina Kowal Olm , Ximenes Neto Francisco Rosemiro Guimarães , Vargas Filipe Leonel , Santiago Bruna Karoline de Almeida , Lourenção Luciano Garcia
Published: October 2023

Resumo O objetivo deste artigo é analisar os efeitos da infodemia relacionada à COVID-19 na perspectiva dos trabalhadores da saúde no Brasil em relação aos pacientes, mensurar os impactos das notícias falsas para profissionais de saúde e verificar a percepção das equipes multiprofissionais de saúde quanto ao posicionamento das autoridades. Estudo transversal vinculado à pesquisa Condições de Trabalho dos Profissionais da Saúde no Contexto da COVID-19 no Brasil. A amostra não probabilística, de abrangência nacional, incluiu 15.132 profissionais que atuaram na linha de frente do enfrentamento à COVID-19 em instituições de saúde de 2.200 municípios de todo o Brasil. Para 91% dos entrevistados, as fake news são um obstáculo no combate ao vírus Sars-CoV-2; 76,1% declararam ter atendido pacientes que expressaram fé em fake news sobre a COVID-19; 29,3% concordam que os posicionamentos das autoridades sanitárias sobre a COVID-19 foram consistentes e esclarecedores, e 62,6% discordam. Para os entrevistados, a infodemia sobre a COVID-19 confundiu os pacientes, prejudicou a adesão a medidas sanitárias fundamentais e estimulou comportamentos negativos da população em relação à pandemia. A falta de clareza dos posicionamentos das autoridades influiu no processo infodêmico sobre a COVID-19.
A resposta de Itália e Vietnã à pandemia de COVID-19: análise de duas experiências internacionais à primeira onda da doença
Authors: Soares Catharina Leite Matos , Alves Gerluce , Santos Elberte dos , Paim Jairnilson Silva
Published: October 2023

Resumo Diversos estudos sobre o enfrentamento da COVID-19 vêm sendo desenvolvidos em vários países. Contudo, são escassos aqueles que comparam casos correspondentes à primeira onda da epidemia em período próximo com respostas e desfechos distintos. Assim, realizou-se uma revisão integrativa para analisar as experiências da Itália e do Vietnã no enfrentamento da pandemia de COVID-19 durante a primeira onda da doença, buscando identificar as contribuições dos sistemas de saúde e de vigilância, bem como as especificidades das medidas adotadas em cada país. Foram utilizadas bases de dados comuns, complementando-se o material empírico referente às publicações com documentos oriundos de sites oficiais dos dois países. Os resultados da presente pesquisa permitem identificar que Vietnã e Itália adotaram estratégias distintas de enfretamento da pandemia, com focos na contenção e mitigação, respectivamente, com medidas específicas que fizeram a diferença no número de casos e óbitos de cada país.
Perfis de Jogo de Crianças: Adaptação do Children’s Play Therapy Instrument (CPTI)
Authors: Brenner Eduardo Brusius , Ramires Vera Regina Röhnelt
Published: October 2023

Resumo O brincar e a vida infantil estão inevitavelmente entrelaçados, havendo inúmeras evidências da ação terapêutica do brinquedo para o desenvolvimento infantil e, consequentemente, para o desenrolar da Psicoterapia Psicodinâmica (PP). Para acessar o brincar de crianças de maneira objetiva durante o percurso da PP, foi desenvolvido o Children’s Play Therapy Instrument (CPTI). O objetivo desse estudo foi adaptar para o português o CPTI, assim como realizar um estudo piloto para identificar evidências de validade do instrumento, através da análise de perfis de jogo de psicoterapias de três crianças, uma menina e dois meninos, com oito, sete e oito anos, diagnosticados com transtorno de adaptação, transtorno disruptivo da desregulação do humor e transtorno do espectro autista, nível 1, respectivamente. A versão em português do CPTI apresentou boa equivalência com a original e a fidedignidade interavaliadores foi alta, além de serem encontradas evidências preliminares de validade. O instrumento foi capaz de diferenciar os perfis de jogo de cada criança, descrevendo atividades de jogo condizentes com as psicopatologias analisadas. As possibilidades e limitações de utilização do instrumento foram discutidas.
Evidence of Intervention Effectiveness with Engaging Leaders in Hospital Physiotherapy
Authors: Silva Letiene Ferreira Gazineu da , Vazquez Ana Claudia Souza , Freitas Clarissa Pinto Pizarro de , Almansa Joice Franciele Friedrich , Plentz Rodrigo Della Méa
Published: October 2023

Abstract Evidence-based positive interventions contribute to the promotion of workers’ well-being. Accordingly, an intervention was carried out with 11 physiotherapist engaging leaders from a hospital in Porto Alegre to promote their engagement at work as a protection factor. A mixed transformative-sequential study was carried out, consisting of four phases with three stages of assessment. The effectiveness of the intervention was investigated using the Jacobson-Truax Method, evaluating the effects of the intervention on Engagement at Work, Perceived Social Support, Dispositional Hope, Gratitude, and Anxiety. The intervention integrated epistemological assumptions from the Job Demand-Resources Model and the Basic Psychological Needs Theory. The main result was the increased levels of work engagement, which strengthened positive psychological states, and had an anxiety-reducing effect during the COVID-19 pandemic. This study provides relevant contributions to positive development in mental health protection at work.
Transtorno mental comum em populações assistidas pela Atenção Primária à Saúde no Brasil: uma revisão integrativa
Authors: Torres Neto Franklin , Lovisi Giovanni Marcos , Unger Roberto José Gervásio , Lima Lúcia Abelha
Published: October 2023

Resumo Introdução Na Atenção Primária à Saúde são comuns os relatos de pacientes que apresentam queixas difusas, que indicam sofrimento psíquico, mas estes frequentemente não encontram o tratamento adequado pela dificuldade por parte dos agentes de saúde em reconhecerem e lidarem com as dimensões de sofrimento que não estão classificadas na nosografia psiquiátrica. Objetivo O objetivo do presente estudo foi realizar uma revisão integrativa sobre transtorno mental comum em populações inscritas e acompanhadas por serviços da Atenção Primária à Saúde no Brasil. Método Revisão Integrativa a partir de buscas de artigos publicados nas bases de dados BVS, Scielo, PubMed/Medline e Scopus, entre os anos de 1997 e 2018. Resultados As publicações revisadas apresentaram prevalências de transtorno mental comum que variaram de 20,5% a 64% em populações inscritas e acompanhadas por serviços da Atenção Primária à Saúde. Todos os estudos evidenciaram a associação de transtorno mental comum às situações de vulnerabilidades psicossociais. Os principais fatores associados foram: ser mulher, possuir baixa renda e ter menor nível educacional. Conclusão Os estudos analisados apontam para a importância de investimento em políticas públicas com vistas a diminuir as desigualdades sociais, além de destacarem a necessidade do investimento em estratégias de prevenção e cuidados de TMC.
Moradores de áreas rurais de municípios mineiros endêmicos para a doença de Chagas: ideias e concepções sobre a doença, os vetores e os serviços de saúde
Authors: Souza Izabella Cristina Alves de , Rodrigues Fernanda Cristina Santos , Araújo Alexandra Paiva , Souza Janice Maria Borba , Diotaiuti Liléia Gonçalves , Ferreira Raquel Aparecida
Published: October 2023

Resumo Introdução A vigilância da doença de Chagas (DC), baseada na participação popular, ocorre por meio da detecção e notificação de insetos suspeitos de serem vetores da DC aos Postos de Informação de Triatomíneos (PITs). Objetivo Compreender as ideias e concepções dos moradores em áreas rurais dos municípios da Microrregião de Saúde de Itaúna (MSI) em relação a aspectos relacionados à DC, seus vetores e serviços de saúde. Método Em 2016, foram realizados quatro grupos focais nos municípios da MSI. Esses grupos focais foram gravados, transcritos e analisados utilizando a técnica de análise de conteúdo. Neste processo, identificamos e categorizamos unidades de análise tanto dentro de cada grupo focal quanto entre eles. Resultados Descobrimos que há compreensão por parte de alguns moradores sobre a natureza da transmissão da DC, as características morfológicas e hábitos dos vetores, o encaminhamento do vetor para os PITs e o diagnóstico da DC. Também encontramos relatos da ausência de intervenções educacionais e de saúde relacionadas à DC. Conclusão Compreender as concepções e ideias sobre a DC das populações em áreas endêmicas é fundamental para desenvolver futuras estratégias envolvendo a participação popular.
Comparative analysis of the use of natural and synthetic antioxidants in chicken meat: an update review
Authors: Barbosa A. C. S. , Mendes P. S. , Mattos G. , Fuchs R. H. B. , Marques L. L. M. , Beneti S. C. , Heck S. C. , Droval A. A. , Cardoso F. A. R.
Published: October 2023

Abstract The search for healthy foods has attracted the industry’s attention to developing products that use natural ingredients, including natural antioxidants. Antioxidants act as free radicals or oxygen scavengers, inhibiting lipid oxidation and adversely affecting meat products' sensory and nutritional quality. Several synthetic antioxidants have been used in the meat industry; however, studies point to health risks related to their consumption. Such fact drives research into natural antioxidants extracted from grains, oilseeds, spices, fruits, and vegetables, which may have a health-promoting effect. This manuscript evaluates the effectiveness of several natural antioxidants in improving the quality and shelf life of chicken meat products during processing, storage, and distribution. The potential effects of natural antioxidants widely used in chicken products are also discussed. It can be concluded that these natural antioxidants are possible substitutes for synthetic ones. However, their use can affect the product's characteristics.
Área de vida, nidificação e dieta de Bubo virginianus (Strigiformes: Strigidae) no pampa brasileiro
Authors: Dias José P. S. , Kasper Carlos B.
Published: October 2023

RESUMO O jacurutu Bubo virginianus (Gmelin, 1788) tem ampla distribuição pela América, estendendo-se desde o Alasca e norte do Canadá, até o centro da Argentina e Uruguai. Apesar de relativamente comum, diferentes aspectos da história natural desta espécie ainda permanecem pouco conhecidos, sobretudo na Região Neotropical. Assim, o objetivo deste trabalho foi obter informações referentes à área de vida utilizada por B. virginianus, sua biologia reprodutiva e dieta no Pampa brasileiro. O estudo foi realizado entre abril de 2015 e abril de 2018, no município de Santa Margarida do Sul, região central do Pampa brasileiro, Rio Grande do Sul, Brasil. A área de estudo conta com capões de Eucaliptus spp., sob os quais a vegetação é predominantemente formada por gramíneas, com manchas de arbustos espinhosos em pontos específicos. Os arredores do capão principal são utilizados para criação extensiva de gado em campo nativo além de cultivos de soja e arroz. A coleta de dados foi baseada no acompanhamento visual dos indivíduos com ao menos uma observação quinzenal durante o período não reprodutivo, e ao menos uma observação semanal durante o período de utilização do ninho. Além do ninho, foram verificados os poleiros de descanso dos indivíduos monitorados e coletadas as egagrópilas regurgitadas, para posterior estudo de seus hábitos alimentares. A área de vida utilizada pelo casal foi estimada em 0,35 km² pelo método do MCP, ou 0,41 km² baseado em estimativas pelo método de Kernel. Os indivíduos parecem demonstrar interesse por locais limítrofes da área de vida durante a noite e preferindo a parte central da mesma para abrigo/descanso durante o dia. O tempo de utilização do ninho foi de três meses em todos os períodos reprodutivos. A estação reprodutiva da espécie está relacionada ao pico do inverno, com um a dois filhotes nascendo próximo ao final da estação. Os filhotes permaneceram na área de vida dos pais por um período de sete até dez de meses, dispersando durante os meses do outono do ano seguinte. Por fim, a dieta foi baseada em roedores, sobretudo Holochilus vulpinus (Brants, 1827) e aves, seguindo um padrão já conhecido para espécie.
Observando a influência da temperatura do ar na velocidade de propagação do som com auxílio de um telêmetro acústico
Authors: Falcão Jr. Abdoral M. , Faria Bruno de S. , Guedes Edson G. , Amorim H.S. de , Azeredo Lara L.M. , Reis Luiz O.G. dos , Cruz Tamires R. da , Guimarães Waltercy B.
Published: October 2023

Neste trabalho apresentamos uma experiência simples que procura mostrar a influência da temperatura do ar atmosférico sobre a velocidade de propagação do som. A experiência consiste na observação simultânea da temperatura do ar e da velocidade de propagação do som, usando as próprias variações diurnas de temperatura. O experimento se baseia num telêmetro acústico e faz uso de uma placa Arduino Uno com um escudo datalogger.