bluuebunny/crossref_metadata_2025 huggingface dataset:
Future Mobility Scenarios with Design Fiction: Autonomous Vehicles as Social Agents
Authors: Tarik Celik Abdullah , Hasdoğan Gülay
Published: February 2024

This article aims to envisage a future world with Autonomous Vehicles (AVs) from a speculative perspective and uses design fiction as a method. Even though there are future studies about how AVs are going to be operators in the traffic by taking the role of the driver, this article suggests that AVs are going to be referred not only as transportation vehicles but also, they will become a part of social life through their increased agencies. We argue that this might be a significant concern for the areas that are in relation with the design of AVs considering socio-technical transitions towards future. Two design fiction workshops with designers were organised to develop future scenarios including AVs. As a result, the scenarios created by designers were analysed and characteristics of the scenarios were identified considering the social and contextual aspects of the storyworlds. Finally, the study discusses design considerations for AVs based on the future contexts and lifestyles as well as the social role that AVs can fill by changing the meaning of journey in the future scenarios.
Effect of tonsillectomy on ASO titre.
Authors:   DEPARTMENT OF OTORHINOLARYNGOLOGY, ST JOHN’S HOSPITAL, KATTAPPANA, IDUKKI, KERALA, INDIA, Babu Dr. Mosin , SINGH MAIBAM PUSPAKISHORE ,   DEPARTMENT OF OTORHINOLARYNGOLOGY, REGIONAL INSTITUTE OF MEDICAL SCIENCES, IMPHAL, MANIPUR, INDIA, DEVI PUYAM SOBITA ,   DEPARTMENT OF OTORHINOLARYNGOLOGY, REGIONAL INSTITUTE OF MEDICAL SCIENCES, IMPHAL, MANIPUR, INDIA, DEVI HEMOM PRIYOSHAKHI ,   DEPARTMENT OF OTORHINOLARYNGOLOGY, REGIONAL INSTITUTE OF MEDICAL SCIENCES, IMPHAL, MANIPUR, INDIA, MARIYAPRAGASAM M VANATHU ,   DEPARTMENT OF OTORHINOLARYNGOLOGY, REGIONAL INSTITUTE OF MEDICAL SCIENCES, IMPHAL, MANIPUR, INDIA, THANU AS ,   DEPARTMENT OF OTORHINOLARYNGOLOGY, REGIONAL INSTITUTE OF MEDICAL SCIENCES, IMPHAL, MANIPUR, INDIA
Published: February 2024

Background: Tonsillitis is one of the common clinical problems in Otolaryngology practice. Tonsillectomy is the preferable treatment for patients not responding to medical treatment. Many patients have increased Antistreptolysin O (ASO) titres which is caused by Group A Beta Haemolytic Streptococci (GABHS). Objectives: To determine the effect of tonsillectomy on ASO titre. Materials and Methods: A prospective study conducted in the Department of Otorhinolaryngology, Regional Institute of Medical Sciences, Imphal, Manipur, India for a period of 2 years from October 2014 to September 2016. 50 patients diagnosed as recurrent tonsillitis with raised ASO titre above 200 IU/ml and undergoing tonsillectomy were enrolled for the study. Results: Most of the patients were in the age group of 11-15 years with male to female ratio of 1: 1.63. One month after tonsillectomy 11 (22%) patients were negative for ASO titre. After 3 months, 6 months and 1 year follow up, patients whose ASO titre became negative were 34 (68%), 44 (88%) and 45 (90%) respectively. 72% patients had no episodes of sore throat after tonsillectomy. Conclusion: Tonsillectomy has a significant role in preventing or reducing recurrent streptococcal throat infections.
As small as they seem?
Authors: Viganò Mauro , Cecchetto Carlo , Donati Caterina
Published: February 2024

We present the results of an experimental study designed to investigate the acceptability of bare participial structures in spoken Italian. These sentences, despite being extremely reduced, have full illocutionary force. For the study, we proposed a technique to elicit grammaticality judgements suitable for structures that, although productive, are not used in the written form of the language. Our aim is to investigate the validity of the structural analysis of these sentences (Cecchetto & Donati 2022) according to which they are generated as small as VPs and they are not elliptical structures, i.e., they are not the result of phonological deletions from full-fledged sentences. The findings globally confirm the predictions of that account, as only require the activation of projections beyond the VP-layer, are rated as fully acceptable. However, the corresponding negative structures and some reduced structures with active transitive predicates received intermediate judgments of acceptability, contrary to the predictions. In the paper, we try to account for these unexpected results and argue that phonological deletion is available as well but is subject to tight constraints; most notably, it is restricted to the top of the tree.
Exploring fungal endophytes as biocontrol agents against rice blast disease
Authors: Safari Motlagh Mohammad Reza , Kulus Dariusz , Kaviani Behzad , Habibollahi Hadi
Published: February 2024

The rice blast disease caused by Pyricularia oryzae Cavara is among the most severe plant diseases in the world. The utilization of natural antagonists, such as fungal endophytes, can be a good method to control the spread of this disease. In the present study, 68 fungal isolates were obtained from 160 rice samples collected in Guilan province fields, Iran. Morphological and molecular characteristics were used for the identification of these fungi. According to the results, the fungal isolates were Alternaria citri (Penz.) Mussat, Alternaria infectoria Simmons, Aspergillus fumigatus Fresen, Fusarium verticillioides (Sacc.) Nirenberg, Trichoderma harzianum Rifai, Trichoderma virens (Mill., Giddens & Foster) Arx, Trichoderma viride Pers., Ulocladium consortiale (Thum) Simmons, and Pyricularia oryzae . Eight isolates that did not cause any plant disease were selected for biocontrol studies in vitro . The dual culture, culture filtrate, slide culture, and volatile metabolites methods were used in search of natural endophytic antagonists of Pyricularia oryzae. It was found that T. harzianum, T. virens, T. viride, A. fumigatus, and A. citri isolates caused the highest percentage of mycelial growth inhibition of P. oryzae in vitro. In the greenhouse experiments, all of the studied isolates reduced the P. oryzae disease rating, with T. harzianum isolate being the most effective antagonist (27.36% reduction in the disease rating), followed by T. virens, T. viride, and A. fumigatus (20.75%, 17.92%, and 16.98%, respectively). Furthermore, in greenhouse conditions, these antagonistic fungi increased the height, fresh weight, and dry weight of plants. The results of this research showed that there are various fungi in the natural flora of rice plants that possess potential biological properties against rice blast disease that can be implemented into practice.
O papel da família na promoção do envelhecimento saudável em idosos: uma revisão integrativa
Authors: Rodrigues Emmily Fabiany Sousa , Da Silva Thamiris Siqueira , Pinto Raydelane Grailea Silva , Lino Maísa Ravenna Beleza , Da Silva Filipe Melo , Lemos Matheus Henrique da Silva
Published: February 2024

O estudo objetivou investigar na literatura científica a importância da família para a promoção do envelhecimento saudável em idosos. Trata-se de uma pesquisa bibliográfica do tipo revisão integrativa da literatura, com dados extraídos do LILACS, BDENF e IBECS via plataforma BVS, SCOPUS e WEB OF SCIENCE. Foram identificados 1299 artigos estudos primários cuja a temática foi sobre o papel da família frente ao envelhecimento saudável da população idosa, publicados em inglês, espanhol e português nos anos de 2018 a 2023 por meio dos Descritores em Ciências e Saúde (DECS) e Medical Subject Headings (MESH) indexados nas bases de dados supracitadas, sendo selecionados para o desenvolvimento do trabalho apenas 08 artigos. Os critérios de exclusão foram: produção duplicada, teses e dissertações, artigos de revisão, de opinião e ensaios teóricos, cartas ao editor, boletins e resumos, artigos incompletos, livros, monografias, manuais e guias. Os resultados mostraram que existe um envelhecimento populacional e para que seja de forma saudável, a família precisa compreender como se dá esse processo, as particularidades dessa fase da vida, mesmo com as mudanças nos padrões familiares existe a necessidade de perdurar o cuidado e atenção aos idosos. Conclui-se com este trabalho que juntamente com o envelhecimento populacional, existe a necessidade de conhecer o processo de senescência do ser humano e todas as características atribuídas a ele, família é a principal rede de apoio do idoso, sendo as pessoas mais próximas que cuidam em momentos de dependência.
Teaching and learning spelling: an analysis of 6th grade students' writing
Authors: Moura Maria Aldetrudes de Araújo , Nascimento Patrine Silva
Published: February 2024

Understanding how students acquire orthographic knowledge has become an area of interest for many teachers, especially Portuguese language teachers. As different theorists have argued, a reflective teaching-learning process is important, enabling students to understand graphophonemic relationships and overcome the obstacles that can arise in appropriating knowledge of orthographic conventions. This paper presents the results of a study which aimed to: Identify the most productive spelling changes in the writing of 6th grade students. The investigative analysis, carried out by means of quantitative-descriptive and field research, was based on eight written productions by 6th grade students from a public and state school in Piauí. The theoretical framework was based on studies by authors such as Cagliari (1994), Zorzi (1998, 2009, 2018), Morais (1999, 2000, 2007), Simões (2006), among others. This research, like the studies by Zorzi (1998, 2009), Miranda, Medina and Silva (2005), Quadros (2015), concluded that multiple representations, resulting from the arbitrariness of the system, are the most recurrent types of errors in the written productions of elementary school students. In view of this, it is argued that these errors should be understood as hypotheses that students formulate in order to acquire knowledge of the written language.
Factors acting on the floristic variability of the arboreal stratum: a review for the atlantic forest biodiversity hotspot
Authors: Da Silva Leandro José , Nascimento Marcelo Trindade
Published: February 2024

This study highlights the main factors influencing the distribution and composition of tree species in the Atlantic Forest. It aims to understand the influence of climatic factors in shaping composition patterns, as well as the influence of soil, topography and other environmental factors on the structure and dynamics of this biodiversity hotspot. The results of this systematic review revealed the important contribution of climatic factors such as rainfall and temperature to floristic differentiation in different regions of the Atlantic Rainforest. Edaphic and topographic factors, such as soil pH, soil water stress and altitude, also made important contributions to the distribution of tree species, both locally and on larger scales. Another component identified in the research was the complex interaction of environmental and spatial factors in composition patterns. This is a very recurrent component in the Atlantic Forest, due to latitudinal and longitudinal gradients, where specific ecological conditions create different niches for species. Despite advances, much of the variation in tree species composition remains unexplained, suggesting the existence of unknown factors or limitations in current analytical methods. Thus, this study highlights the need to further explore knowledge about the impact of climate change and anthropogenic activities on Atlantic Forest fragments. In addition, it suggests identifying new determinants and understanding the intrinsic interactions between vegetation and biotic predictors to aid effective management and conservation strategies for this unique and threatened ecosystem.
Education in the prison system: an analysis of the Amazonas prison system
Authors: Silva Romulo Garcia Barros , Dos Santos Ailton Luiz , Brandt Marisol de Paula Reis , Marques Dorli João Carlos
Published: February 2024

This study investigates the effectiveness of public education policies for people deprived of their liberty in the state of Amazonas, in the context of a systemic crisis recognized by the Federal Supreme Court (STF) as an unconstitutional state of affairs. The research was motivated by the need to examine the strategies implemented to tackle the widespread violations of fundamental rights within the prison system, with a special focus on education as a means of resocialization. The central objective was to evaluate the implementation and effectiveness of public education policies aimed at inmates and former inmates, with a focus on the state education plan for the Amazonas prison system. Using documentary analysis and a literature review, as well as statistical data provided by the National Penitentiary Department (DEPEN), this study identified significant advances in the provision of educational activities, evidenced by the increase in the number of inmates engaged in educational programs. However, the research revealed important gaps, such as the lack of precise indicators for evaluating policies and the need to guarantee the quality of the education offered. It was concluded that, despite quantitative progress, qualitative and strategic improvements are needed if education in the prison system is to effectively promote the resocialization and social reintegration of individuals. Future research suggests analyzing the impact of these policies on reducing recidivism and improving the quality of life of inmates, as well as comparing educational practices between different states to identify successful models.
Perspective of nurses and community health agents on directly observed treatment of tuberculosis in a capital city in northern Brazil
Authors: Ramos Paula Macelly Souto , Da Silva Denise Maria Guerreiro Vieira , Gonzales Roxana Isabel Cardozo , Sthal Hellen Cristinha , Palha Pedro Fredemir , Sicsú Amélia Nunes
Published: February 2024

To understand the perspective of nurses and community health agents on Directly Observed Tuberculosis Treatment (DOT) in their professional practice in Primary Health Care in a municipality in northern Brazil. This is a qualitative, exploratory study carried out with 12 nurses and five community health workers. Data was collected through semi-structured interviews between August and November 2019 and submitted to the conventional content analysis technique. Two categories emerged: 1. "The TDO project is wonderful, the problem is that it doesn't work in practice"; 2. "We don't leave it loose, if it disappears we go after it". The results showed that both nurses and CHWs recognize the importance of DOT, but that for reasons related to operationalization, accessibility, patient peculiarities and curtailment of autonomy, DOT is not carried out. They also showed that, despite not being able to carry out the DOT, they use different strategies to ensure that TB treatment is carried out. These findings suggest the need for more in-depth reflection on the implementation of DOT and the existence of possibilities that need to be widely discussed in relation to established policies.
Family farming and markets: a brief discussion of the respective concepts
Authors: Soares Raimundo Christian Oliveira , Basso Dirceu
Published: February 2024

With the problem of food insecurity, distribution and inadequate use of natural resources, we increasingly need to think about sustainable forms of production that reach people equally. Family farming has an important role to play in solving this problem, because unlike the purely mercantile mode of production, family farming has a production logic that is closer to sustainability. With this in mind, the aim of this study was to review the main works that discuss the diversification of family farming based on market relations. To do this, we carried out a bibliographical survey that brought together concepts of family farming, markets and the circular economy. We came to the conclusion that there is a diversity of characteristics present in family farming and the cultural values or identities of the producers is what really characterizes them as family producers.
Determination of macro and micronutrients in diferentes species of ora-pro-nóbis and comparison with conventional vegetable
Authors: Pinheiro Ana Paula de Oliveira , Narita Isabela Mendes Pacheco , Nascimento Edgar , De Faria Rozilaine Aparecida Pelegrine Gomes , Villa Ricardo Dalla , De Oliveira Adriana Paiva
Published: February 2024

The aim of this work was to determine the proximate composition and contents of iron, copper, manganese, phenolic compounds, phytic acid, total titratable acidity and pH of three species of ora-pro-nóbis (OPN): Pereskia aculeata Miller (PA), Pereskia aculeata var. godseffiana (PAG) and Pereskia grandifolia Haworth (PG) from domestic cultivation. Furthermore, compare the results obtained with a conventional vegetable kale (CM) (Brassica oleracea L. acephala) and evaluate the interrelationships through Principal Component Analysis (PCA). The ora-pro-nóbis species were statistically different from the CM in terms of total titratable acidity, pH, phenolic compounds, iron and copper at a significance level of 5%. The CM and PA showed statistical similarities in relation to protein, carbohydrate and manganese content at a significance level of 5%, while for PA and PG samples statistical similarities were observed for moisture and phytic acid at a significance level of 5%. For OPN species, the minerals concentrations varied from 15.26 ± 6.40 to 25.52 ± 4.72 mg Fe 100 g-1, 1.23 ± 0.81 to 5.31 ± 6.57 mg Cu 100 g-1, 12.00 ± 6.31 to 17.72 ± 13.13 mg Mn 100 g-1. ACP demonstrated that the PAG sample made the greatest contribution to the study, having in its composition the highest levels of iron, copper, phytic acid and moisture. Therefore, the species of ora-pro-nóbis evaluated in this work, even in residential cultivation conditions, proved to be potential sources of minerals, mainly iron, especially the species Pereskia aculeata var. godseffiana. In this way, the evaluation of the proximate and mineral composition of unconventional food plants is relevant for understanding the nutritional composition and increasing the consumption of these vegetables, in their use for food enrichment, as well as in helping to reduce the population's food insecurity.
The civilizing process theory as a theoretical-methodological possibility in the humanities and social sciences
Authors: Vieira Ana Flávia Braun , De Freitas Junior Miguel Archanjo
Published: February 2024

Norbert Elias studied the development processes of different occidental societies. Adopting long-term comparative empirical research, the author built a conceptual repertoire that gave bases to the Civilizing Process Theory. His findings demonstrated that there is a mutual dependence relationship between social development (sociogenesis) and changes in individual consciousness and self-control (psychogenesis), present in different phenomena of human socialization. In this sense, this essay aims to present the Civilizing Process Theory fundamental concepts, developed by Norbert Elias, trying to demonstrate its potential as a theoretical-methodological reference in the Human and Social Sciences researches.
Exponential growth of ESG funds: a comparison of funding speed and profitability
Authors: Vasconcellos Fabio , Teixeira Arilda
Published: February 2024

In this paper, the general objective is to investigate and compare the speed of fundraising and the profitability of ESG Funds in relation to traditional investment funds in the Brazilian financial market between 2010 and 2021. To achieve this goal, we focused on three specific objectives: analyzing the growth rate of ESG Funds' net assets, evaluating the profitability of these funds and examining the impact of macroeconomic variables such as GDP, IPCA and interest rate (CDI) in this context. Using a quantitative methodology, the research analyzed comprehensive financial data on the funds, including information on asset value and profitability indicators. The results show an exponential growth in the ESG Funds' assets over the period studied, setting them apart from traditional funds. In addition, the profitability of ESG Funds proved to be competitive, often surpassing that of conventional funds, suggesting a paradigm shift in the Brazilian financial market. This study provides valuable insights into the evolution of ESG Funds in Brazil, highlighting their growing importance and potential for economic sustainability. The analysis of macroeconomic variables also revealed that ESG Funds not only remain resilient in different economic scenarios, but can also offer a sustainable and profitable path for investors aware of environmental, social and governance challenges.
Obstetric violence in medical and nursing training
Authors: Fernandes Júlia Monteiro , Tonhom Sílvia Franco da Rocha , Peres Cássia Regina Fernandes Biffe
Published: February 2024

Obstetric violence originates from a historical, social and cultural construction about the body and the questions that permeate the female gender, which is a multifactorial process that is expressed in different ways in health care environments. As it is a complex process, its resolution is just as complex. In health training, technical knowledge is often valued, so students have little approach to themes such as obstetric violence. Aiming to understand how the theme of obstetric violence is discussed in both medical and nursing training courses in a higher education institution. Data were based on two sources: documentary research with institutional documents and narrative interviews. Students from the medical and nursing courses were selected by lottery considering the inclusion and exclusion criteria and then using snowball sampling. The data were analyzed according to Minayo’s Content Analysis. Emerged the theme: Approach to Obstetric Violence in Training. It was possible to understand that the institution approaches the theme in a superficial way with little significance during graduation, and this fragility, leads to a student who does not know how to react to these situations. Considering the social responsibility of the higher education institution, the students highlight the need for more reflections covering integral care. Thus, the importance of investments in the training process of future professionals is emphasized. As a limitation, it is evident the non-participation of male students, the low participation of sixth grade medical students, and the fact that this was a single institution. For further investigation of the theme, new research should be carried out with a wider scope.
ON CULTURAL LOSSES IN THE RECEPTIVE PROCESS OF THE CHINESE TRANSLATION OF YU.M. POLYAKOV’S NOVEL I PLANNED AN ESCAPE
Authors: ZHENG SUYUN
Published: February 2024

The paper deals with the issue of cultural losses in the receptive process of Yu. M. Polyakov’s novel I Planned an Escape. Cultural differences and language barriers complicate translator’s work. Although there are many key cultural losses in the receptive process of the Chinese translation of the novel, the translation was generally successful. The reason for the success is the topical relevance, since great works of literature touch on issues that concern all of humanity, issues that know no boundaries. Secondly, the translator’s skill in preserving the idiosyncrasies of the original author while referring the reader to parallels in his native culture, as brilliantly demonstrated by Zhang Jianhua’s translation, can convey the hidden cultural meanings of a foreign-language work of fiction to the masses as much as possible. Thirdly, the Chinese reader, probably, is close to the type of hero who aspires to a happy and wealthy life, who manages to realize his desires, but never becomes truly happy. Everyone, even for a minute, if not for several minutes, has been or is becoming an Escapist.
DICTIONNAIRE DE LA SOCIOLINGUISTIQUE. DIRIGÉ PAR J. BOUTET & J. COSTA. LANGAGE ET SOCIÉTÉ, № 1 HORS-SÉRIE 2021, 348 P.
Authors: KURBANOVA-ILYUTKO KAMILLA
Published: February 2024

Until recently, the history of the Francophone sociolinguistics has known two dictionaries of sociolinguistic terms. The article provides the context of the development of a new dictionary of sociolinguistics edited by J. Boutet and J. Costa, published in Paris in 2021, the main purpose of which, according to the authors, is to reflect the current state of sociolinguistics. The brief description of the structure, as well as of the word-list of the dictionary, the analysis of the composition of the dictionary entry and specific examples of definitions allow us to draw conclusions about the peculiarities of the reviewed issue. In addition, this collective publication seems to be essential not only as a new tool for further research, but also as the confirmation of the active development of sociolinguistics as the independent branch of the science of language.
PENYULUHAN PENCEGAHAN PENYAKIT HIPERTENSI DI DESA SALIMULI KECAMATAN GALELA UTARA
Authors: Cabu Roberto , Christin Fika Elfira
Published: February 2024

Tujuan pelaksanaan penyuluhan di Desa Salimuli untuk meningkatkan pengetahuan tentang penyakit hipertensi, klasifikasi, penyebab serta cara pencegahan dan penanggulangannya. Kegiatan yang diikuti 25 orang peserta warga Desa Salimuli, dilakukan atas kerjasama Program studi Kesehatan Masyarakat Universitas Hein Namotemo dengan pemerintah Desa Salimuli, bersamaan dengan pelaksanaan Praktek Belajar Lapangan (PKL) mahasiswa di desa ini.  Hasil evaluasi pelaksanaan kegiatan menunjukkan bahwa terdapat peningkatan pengetahuan masyarakat terutama terkait dengan pengetahuan penyebab hipertensi, jenis hipertensi, serta cara pencegahan dan penanggulangan penyakit hipertensi
BẢO TỒN VÀ PHÁT HUY TIẾNG NÓI, CHỮ VIẾT CỦA DÂN TỘC THÁI Ở THANH HÓA
Authors: Lê Thanh Hà , Vũ Thị Dung
Published: February 2024

Ở Thanh Hóa, dân tộc Thái chiếm vị trí thứ hai về số lượng dân tộc trong số các dân tộc thiểu số sinh sống trong khu vực. Đồng thời, người Thái cũng là một cộng đồng có nguồn lực văn hóa vô cùng đa dạng và phong phú, trong đó có tiếng nói và chữ viết.

Mặc dù, tiếng nói và chữ viết chỉ là một phần trong bức tranh văn hóa của dân tộc Thái. Tuy nhiên, tiếng nói và chữ viết đóng một vai trò quan trọng trong cuộc sống của người dân, nó là nền tảng để thúc đẩy việc giữ gìn và phát huy giá trị văn hoá của người Thái. Trong bài viết này, tác giả đi vào tìm hiểu các vấn đề hiện tại trong việc bảo tồn và phát huy tiếng nói, chữ viết của dân tộc Thái từ đó đề xuất các giải pháp nhằm bảo tồn và phát huy những giá trị văn hoá này.Top of Form
Praxeological characteristics of the game model in risky situations for football players as a determinant of rational training
Authors: Duda Henryk , Sobiło-Rydzik Ewa
Published: February 2024

Background: The article is of an implementation (application) nature, addressing problems related to the modelling of individual play in risky situations. Assuming that individual actions constitute the basis of team play, the work carried out a praxeological assessment of individual play in risky situations. These activities, due to the specificity of the sports game (group pressing), high difficulty in execution (activity in discomfort), constitute a significant element that in the modern game becomes a necessity for organized training. Methods: The assessment of actions in difficult situations was made on the example of the game of football (soccer) players from group H (Colombia, Japan, Senegal, Poland), participating in the World Cup tournament - Russia 2018 (observation of 150 players). The research used the method of noted observation, which consisted of direct recorded observation – secondary (DVD material), with the possibility of repeated replay of the events being the subject of research. The data obtained were recorded on a praxeological observation sheet. Results: Data analysis allowed to determine the level of individual actions in risky situations, which, for application purposes, determines not only the assessment of these actions against the background of dominant football teams in the world but, above all, determines the direction of game modelling in organized training of football players in Poland. Conclusion: Individual game activities are activities that are significant to the effectiveness of the game. Teams achieving better values for the above activities in the analysed tournament had higher values of praxeological indices of the game than teams losing their matches.
Evaluación a la señalización vial y su incidencia en la accidentabilidad en el cantón Rocafuerte
Authors: Romero-Ponce Karla Yuley , Bailón-Prado María Julisa
Published: February 2024

El cantón Rocafuerte presenta uno de los problemas más comunes de un cantón en donde el desarrollo de su parque automotor va en aumento al igual que en las provincias más pobladas del país. Rocafuerte presenta varios puntos con una alta actividad sobre todo comercial, en donde congestionamiento vehicular y los accidentes son una problemática frecuente, a causa de esto el presente estudio buscó analizar sitios estratégicos de la zona céntrica del cantón con la finalidad de identificar de manera precisa los problemas que genera la falta de señalización y su incidencia en la accidentabilidad. Para el cumplimiento de los objetivos propuestos se realizó una visita a los puntos de interés con una serie de encuestas dirigidas a los conductores y peatones que circulan por dicho lugar, logrando así identificar la incidencia de la falta de señalización vial, en donde destacó los embotellamientos causados por vehículos de gran tamaño, motos estacionadas en lugares indebidos, escasez de señaléticas y semáforos, entre otras. Las principales soluciones planteadas para estos problemas abarcan desde la implementación y mejoramiento de señales horizontales y verticales hasta la concientización para una mejor educación vial.
PERFIL CLÍNICO-EPIDEMIOLÓGICO E DEMOGRÁFICO DE PACIENTES COM HEMORRAGIA DIGESTIVA ATENDIDOS EM UM HOSPITAL PÚBLICO EM SALVADOR, BAHIA
Authors: E Silva Júlia Freitas , Dos Santos Daciane Souza , Barros Fernanda Luz , Dos Santos Isabela Oliveira da Cruz , De Oliveira Igor Maia , Oliveira Nayara Carvalho
Published: February 2024

Objetivo: Descrever o perfil clínico-epidemiológico e demográfico dos pacientes com hemorragia digestiva atendidos no centro de referência de um hospital público. Métodos: Estudo observacional, transversal, de caráter quantitativo, com 56 indivíduos, de ambos os sexos, atendidos nos meses de junho e julho de 2023. Os pacientes foram identificados em atendimentos para realização de exame endoscópico. A coleta de dados aconteceu por meio de entrevista, laudos e prontuários eletrônicos. Resultados: Houve predomínio de pacientes com hemorragia digestiva alta (91,1%), idade média de 57 ± 11,6 anos, sexo masculino (66,1%) com comorbidades (71,4%) e história de tabagismo e/ou etilismo (66,1%). As comorbidades mais frequentes foram hepatopatia (55,4%), hipertensão arterial (26,8%), diabetes mellitus (25%) e doença renal (10,7%). Varizes esofágicas (53,6%) e úlceras (39,3%) foram as condições mais identificadas, sendo causas prevalentes nos pacientes com hemorragia digestiva alta. Os sintomas prevalentes foram melena (60,7%) e hematêmese (55,4%). Conclusão: O perfil dos pacientes é parcialmente similar com os estudos anteriores. A presença de hepatopatia e varizes esofágicas como principal etiologia na maioria dos pacientes não se assemelha com a maioria dos achados da literatura em que a hemorragia não varicosa representa uma preponderância dos casos.
CONTRATURA ISQUÊMICA CONGÊNITA DE VOLKMANN: UMA REVISÃO DE LITERATURA
Authors: Perci Letícia Martins , Bardal Nathalia Falchano
Published: February 2024

A Contratura Isquêmica Congênita de Volkmann (CICV) é uma condição rara, com cerca de 50 casos relatados, caracterizada por uma síndrome compartimental induzida por isquemia intrauterina e/ou compressão mecânica. Está associada a algumas condições da gestação e do parto, tais como: oligodramnia, pré eclâmpsia, diabetes, prematuridade, banda amniótica constritiva, compressão por gemelar ou por cordão umbilical, distócias e mal posicionamento fetal. Diagnóstico é clínico e, na maioria das vezes, tardio. Baseado na anamnese e exame físico com presença de placa necrótica, geralmente unilateral, principalmente em membros superiores, associada à paralisia ipsilateral do membro. Dentre os diagnósticos diferenciais podemos citar fasceíte necrotizante, aplasia cutis congênita, gangrena neonatal e síndrome da banda amniótica. A intervenção cirúrgica deve ser imediata para limitar danos neurológicos e osteoarticulares.
Self-Regulatory Learning Strategies for Senior Secondary Agriculture Students
Authors: Tsikati Alfred , Dlamini Ncobile
Published: February 2024

Self-regulation is essential to the learning process as it enhance student performance. However, there is very little research on the self-regulatory strategies employed by students. Therefore, this study sought to identify self-regulatory learning strategies used by senior secondary agriculture students. The study used a descriptive survey design, and targeted agriculture students in senior secondary schools in Eswatini. Consequently, there were ten schools sampled using cluster sampling; which produced 356 respondents. Data were collected using a questionnaire and analysed using descriptive statistics. Three experts from the Department of Agricultural Education and Extension at the University of Eswatini ensured the validity of the questionnaire. A pilot study using 30 students indicated that the instrument was 72% reliable. Findings revealed that the senior secondary agriculture students used all the self-regulatory learning strategies. The most commonly used strategies were self-evaluation, structuring the environment, keeping records and monitoring, and organizing and transforming. The study also revealed that teachers were equipping students with self-regulatory strategies. Therefore, the study concluded that the senior secondary agriculture students used self-regulatory learning strategies. Based on the findings, it was recommended that teacher training institutions should equip agriculture teachers with self-regulatory strategies which will enable them to assist the students.
La autoconcepción identitaria en los profesores universitarios y su impacto dentro del aula
Authors: Hernández Martínez Carlos Esteban , Vargas Castillo Carlos Arturo , Guillén Hernández Pedro Iván
Published: February 2024

En el presente trabajo se pretende analizar cada uno de los elementos que componen las bases del trabajo de investigación “La autoconcepción identitaria en los profesores universitarios y su impacto dentro del aula”, articulando con ello los antecedentes que permiten conocer cada uno de los vértices sociales que se ven involucradas en la temática, para tener así un lugar de partida que permitan y faciliten la comprensión de estos temas. En el primer capítulo se establecerá el problema de investigación, el cual ayuda a entender la situación actual en la que se encuentra la temática, así como sus inconvenientes teóricos y pedagógicos. Se plantean así a las preguntas de investigación que se tratarán de resolver a lo largo del texto. Con ello también se establecerá el objetivo general de la investigación, así como los objetivos específicos, que servirán como guía. Por último, se redacta la justificación de este trabajo, tomando en cuenta su impacto teórico, metodológico, social y personal, que dará una visión general para comprender el alcance del presente estudio.
Comprehensive care strategy at El Guayabo Penitentiary Center
Authors: Crispin-Rodríguez Douglas , Crispin-Castellanos Douglas , Ledesma-Céspedes Nila , Reyes-Cortiña Gisier , Lamorú-Pardo Antonia María , Ivonnet-Gutiérrez Ennis
Published: February 2024

Introduction: this research is based on the framework of comprehensive oral health care for people deprived of liberty, to ensure that health services ensure their continuity of care, with a quality of care similar to that accessed by the population does not have this limitation. Objective: to develop a comprehensive oral health care strategy at the “El Guayabo” Penitentiary Center on the Isla de la Juventud from October 2021 to October 2022. Methods: an intervention study was carried out on 227 inmates, matching the universe and the sample. The variables were taken into account: age, oral diseases, level of oral health knowledge, oral health knowledge survey and results of the strategy. With prior informed consent, a survey of knowledge of oral health, Stomatological Clinical History, curative and rehabilitative treatment was carried out on each of the patients who were part of the research. Results: before the intervention was applied, dental caries and poor level of knowledge predominated in 71,3 % and 66,9 % of the inmates respectively; managing to reduce the prevalence of dental caries and improve the level of knowledge to be regulated in the majority of inmates after applying the educational strategy; In addition, 47 % of the sample was cured. Conclusions: the implementation of the comprehensive oral health care strategy had a significant impact on the reduction of oral diseases among inmates
Educational intervention on oral cancer in high-risk patients over 35 years of age
Authors: Céspedes-Proenza Iraida , La-O-Rojas Yarilín , García-Bacallao Yusdelkys , Leyva-Samuel Ladisleny , Padín-Gámez Yanelilian , Crispin-Rodríguez Douglas
Published: February 2024

Introduction: oral cancer is one of the top ten locations of cancer incidence in the world, it is more common in men after 40 years of age. Objective: to develop an educational intervention in patients over 35 years of age with a high risk of oral cancer. Method: a quasi-experimental educational intervention study was carried out in office 28 belonging to the “José Lázaro Fonseca López del Castillo” Teaching Stomatology Clinic, of the Isla de la Juventud Special Municipality, in the period 2020-2022. The study universe consisted of 1010 patients from the office, the population of 598 patients over 35 years of age and the sample of 156 patients at high risk of suffering from oral cancer. Results: in the sample, the age group of 45 to 55 years predominated for 35,9 % and light skin color for 67,9 %, with equality regarding sex. The main risk factors found were poor oral hygiene, smoking and traumatic irritants, achieving a decrease in their prevalence after the intervention. Conclusions: it was possible to considerably modify the risk factors, the protective factors and the high risk of suffering from oral cancer, so the educational intervention applied had a positive impact
Advancements in Minimally Invasive Surgical Techniques: A Comprehensive Review
Authors: Pérez Ayme Andrea Patricia , Caiza Suárez Josseline María , Paredes Ortega Martin Mateo , Gualoto Gualoto Gualoto Gualoto , Santillán Lima Santillán Lima , Rivera Campoverde Adriana Elizabeth , Rivera Ticona Alfredo Augusto , Coello Vergara Coello Vergara , Martínez Serrano Gerzon David
Published: February 2024

Introduction: Minimally Invasive Surgical (MIS) techniques have revolutionized the field of surgery, offering significant benefits over traditional open surgery. This narrative review examines the historical evolution, current advancements, and prospects of MIS, with a focus on its impact on patient outcomes, surgical training, and healthcare systems. Objective: To provide a comprehensive overview of the advancements in MIS, highlighting technological innovations, changes in clinical practice, and the evolution of surgical education. The review also aims to discuss the challenges and future directions of MIS. Methods: The review included 24 articles published from 2004 to 2023. Criteria for inclusion were relevance to MIS development and impact, with exclusion for non-English and unrelated articles. Data were synthesized to outline the progression, current state, and future trends in MIS. Results: Key findings include significant advancements in surgical technologies such as robotics and enhanced imaging, the expansion of MIS across various specialties, and improved patient outcomes like reduced recovery times and lower complication rates. Challenges identified include the steep learning curve for surgeons and disparities in global access to MIS. Future trends indicate a move towards AI integration, personalized surgical approaches, and further refinement of robotic systems. Conclusions: MIS represents a paradigm shift in surgical practice, characterized by technological innovation and improved patient care. Despite challenges, its future is promising, with continuous advancements expected to further reshape surgical procedures.
Evidence-based design: a critical success factor for the implementation of Care Management Models
Authors: Reynaldos-Grandón Katiuska Lídice , Rojas-Avila Javier
Published: February 2024

Introduction: health institutions are inserted in an organizational conglomerate and where each of the organizations that make up society are subject to management as a fundamental pillar for their permanence in the system. There is an element that in the evidence of the implementation of care management models has not been raised as a critical success factor and that is essential in the organizational structure. This is evidence-based design (EBD). Therefore, the objective of this article is to explain the relevance of DBE in the implementation of care management models. Development: the design of healthcare facilities is a complex process that not only creates and allocates physical spaces, but also shapes the dynamic flows of patients, staff, visitors, equipment and information. In this context, it is relevant that nurse managers are participants in the prior planning and programming process, so that they are involved in making structural decisions that allow patients' needs to be resolved. Conclusion: with the current unprecedented increase in hospital construction, it is imperative to integrate the institutional management model, the financing model and the care management model and consider the environmental characteristics that influence the well-being of patients, visitors and personnel are identified and incorporated into future hospital designs
Clinical laboratory diagnostic techniques used in the identification of the helminth Ascaris lumbricoides, a review of the literature
Authors: Pérez Laborde Elena Johanna , Rueda Castillo Yajaira Marilin
Published: February 2024

Ascariasis is a disease caused by the helminth Ascaris lumbricoides (intestinal worm), which infects an average of 819 million individuals. Approximately more than 60 000 people die worldwide each year from this parasite. It is classified as a neglected subtropical endemic disease and is frequently found in Africa, Latin America, and East Asia. Ascariasis is detected by conventional tests, which are based on the direct identification of A. lumbricoides by direct macroscopic examination, traditional microscopy, formaldehyde concentration method, Kato-Katz, McMaster, flotation techniques (such as FLOTAC and Mini-FLOTAC), with the aim of observing helminth eggs; all these are cost-effective tests, but of low or moderate sensitivity. Therefore, molecular biology methods such as conventional PCR and multiplex PCR are an option for the detection of this parasite due to their high sensitivity and specificity, but their low accessibility in endemic countries due to the high prices of reagents and equipment should be considered. Indirect methods based on serology have been used for the identification of A. lumbricoides, but they have generated cross reactions with infections by other helminths so there is no specific serological test for this parasite at present. Nowadays, new techniques have been designed with high sensitivity and specificity that allow the diagnosis of ascariasis, among which we can mention detection and identification of A. lumbricoides eggs through optical imaging and loop-mediated isothermal amplification
Interprofessional Education for Delirium Management: a Quality Improvement Project
Authors: Schimböck Florian , Hanisch Volkmar , Günther Ulf , Hansen Hans-Christian , von Haken Rebecca , Hermes Carsten , Hoyer Carolin , Kaltwasser Arnold , Pelz Sabrina , Nydahl Peter
Published: February 2024

Background

Implementation of delirium management in hospitals is a complex process, often challenging and requiring interprofessional and interdisciplinary communication and collaboration. This project aimed to assess whether a delirium-specific interprofessional education (IPE) course would empower clinicians to conduct quality improvement projects in their hospital.

Method

Quality-improvement project in a university-affiliated hospital. Clinicians (physicians, nurses, and therapists) attended a 2-day IPE course for delirium management certified by the German Society of Intensive Care Medicine. Participants developed projects for quality improvement and presented results in a meeting eight weeks later.

Results

In total, 16 clinicians (eight nurses, six therapists, two physicians) from six wards participated. Participants organised themselves into five project groups. Eight weeks after attending the training, four out of five groups presented projects with successful and ongoing implementation, such as establishing a hospital delirium expert panel, delirium flyers for relatives, an informational one-pager for clinicians across the hospital, and a teaching concept for training of therapists. Implementing the 4AT delirium assessment in electronic patient charts took longer, extending beyond the 8-week timeframe. Overall, clinicians were satisfied with the IPE course and reported they felt more competent to care for delirious patients.

Conclusions

The delirium IPE course motivated and enabled participating clinicians to develop and perform delirium-specific quality-improvement projects in their hospital. Further research is needed to evaluate the sustainability of these projects and to estimate the effect of influencing factors within the context of the culture and setting.
Implementation of delirium management during the pandemic: lessons learned
Authors: Nydahl Peter , Baumgarte Friederike , Berg Daniela , Borzikowsky Christoph , Green Diana , Hannig Anisa , Hansen Hans-Christian , Hansen Uta , Istel Rahel , Krämer Norma , Krause Karita , Mohammadzadeh-Vazifeh Mohammad , Osterbrink Jürgen , Palm Frederick , Petersen Telse , Rasmussen Fidan , Schöller Bernd , Stolze Henning , Meyne Johannes , Margraf Nils G
Published: February 2024

Background

During the covid-19 pandemic, a non-funded, nurse-led quality improvement project on delirium management was in progress on four Stroke Units (SU). Two sites experienced pandemic-related delays; we set out to learn lessons based on the impact for delivering multicentre trials.

Methods

Secondary analysis of a prospective quality improvement project. We compared data quality from centres with vs. without delay. Unplanned modifications in study management were classified as a) fatal modifications (ending the study), b) serious modifications (requiring a revision of the registration and/or ethic approval, c) moderate modifications (revising study management), d) minor modifications (improving study performance). Local study coordinators summarised lessons learned.

Results

The study had an overall delay of 14 months. Centres without delay delivered better data quality and had less loss of patients due to missing primary outcome data in 0.3% vs 28.8% in centres with delay (p<0.001). There were no fatal modifications, two serious (exchange of study centre, adding new outcome parameters), six moderate (e.g. delayed start in two centres, change from in-person to virtual meetings), and one minor modification (four local study coordinators taking parental leave). Lessons learned were frequent communication with study coordinators, attention to data quality, protocolisation of recruitment rates, and adapted education in quality improvement projects.

Conclusions

Pandemic-related disruption can be substantial, with poorer data quality, but only in a few cases were registration and/or ethic approval modifications required. Facilitators are flexible, including changed time frames, frequent virtual communication, and critical reflection.