bluuebunny/crossref_metadata_2025 huggingface dataset:
Facilitated hospital-to-pre-hospital feedback for professional development (PHEM Feedback): a service evaluation using a self-reported questionnaire to understand the experiences of participating pre-hospital clinicians in the first year of operation
Authors: Snowsill Matthew , Cracolici Gioacchino , Wieder Talia , Allen Grace
Published: June 2023

Background:Information governance and resource challenges can impede pre-hospital clinicians from accessing and reflecting upon clinical information from the hospital phase of care, to ascertain how appropriate their diagnoses and management were. The authors performed a 12-month service evaluation of a hospital-to-pre-hospital feedback system, in which clinical information was requested by pre-hospital clinicians, and returned by a small team of hospital-based clinicians, while meeting information governance standards.Method:Pre-hospital clinicians in one ambulance station and one air ambulance service accessed patient information from a hospital, via a mediating senior pre-hospital colleague (a facilitator). Case-based learning conversations between the facilitator and clinician followed, using a report from the hospital. Evidence of benefit to the pre-hospital clinicians was prospectively collected using Likert-type scales, regarding general satisfaction, likelihood to change practice and effects on well-being. Reports aimed to be generated by the hospital within 14 days.Results:All 59 appropriate requests had reports returned. Of the reports, 59.5% were returned in 14 days or less. The median duration was 11 days (interquartile range 7‐25). Learning conversations were completed in 86.4% (n = 51) of these cases, and of those, clinician questionnaires were completed in 66.7% (n = 34). Of the 34 questionnaire respondents, 82.4% (n = 28) were very satisfied with the returned information. A total of 61.1% (n = 21) were either likely or very likely to change their practice following the hospital’s information, and 64.7% (n = 22) reported similar or very similar impressions to the hospital’s eventual diagnosis. Regarding mental health, 76.5% (n = 26) reported positively or very positively affected mental health, while 2.9% (n = 1) reported adversely affected mental health. All of the respondents, 100% (n = 34) were either satisfied or very satisfied with the learning conversation.Conclusion:While hospital-based clinical information was successfully and securely provided to pre-hospital clinicians, these pilot data suggest it is not possible to meet the self-imposed, empirical 14-day target with four to five voluntary doctors. Sustained performance may improve with allocated or paid time to report the requests. The validity of these data is limited by a poor response rate, a non-validated questionnaire and potential for selection bias. Validation using multiple hospitals and greater numbers is the appropriate next step. Responses suggest that this system identifies areas for improvement, reinforces good practice and improves the mental well-being of the participating clinicians.
The impact of dementia education on student paramedics’ preparedness to care, knowledge, confidence and attitudes towards dementia: an analytic survey
Authors: Jones Danielle , Capstick Andrea , Faisal Muhammad , Frankland Joe
Published: June 2023

Background: Paramedics play a vital role in the emergency healthcare of people living with dementia. People with dementia often have complex needs, posing challenges for paramedics. Paramedics often lack the confidence and skills to assess people with dementia appropriately,
and receive little, if any, dementia education.Aims: To evaluate the impact of dementia education on student paramedics’ preparedness to care, knowledge, confidence and attitudes towards dementia.Methods: A 6-hour education programme on dementia was developed, implemented
and evaluated. A pre-test‐post-test design using self-completion validated questionnaires was used, to evaluate first-year undergraduate student paramedics’ knowledge, confidence and attitudes towards dementia, as well as their preparedness to care for people with dementia.Results:
A total of 43 paramedic students attended the education programme, with 41 fully completed questionnaires being collected pre-training and 32 post-training. Students reported feeling significantly more preparedness to care for people with dementia after the education session (p < 0.001).
They felt their knowledge (100%), confidence (87.5%) and attitudes (87.5%) towards dementia had significantly increased following the education session. Using validated measures, the impact of education was found to be the highest on dementia knowledge (13.8 vs 17.5; p < 0.001) and on confidence
(29.14 vs 34.06; p = 0.001), with only a minimal effect on attitudes (101.5 vs 103.4; p = 0.485). The education programme itself was well-evaluated.Conclusion: As paramedics are central to the emergency healthcare of people living with dementia, it is essential that the emerging
paramedic workforce is equipped with the knowledge, attitudes and confidence to provide quality care for this population. We need to ensure dementia education is embedded in undergraduate curricula, and that consideration is given to the subjects, level and pedagogic approach taken to ensure
positive outcomes are maximised.
Síndrome de Stevens-Johnson en una paciente con prueba positiva de transformación linfocitaria
Authors: Carvajal-Elizondo Mariela , Monge-Ortega Olga Patricia , Chinchilla-Monge Ricardo , Quiros Steve
Published: June 2023

Antecedentes: El síndrome de Stevens-Johnson es una reacción medicamentosa severa. Las sulfamidas se han asociado con reacciones medicamentosas, complicaciones, secuelas, incluso la muerte.
Reporte de caso: Paciente femenina de 40 años, con antecedentes médicos de endometriosis y colitis ulcerativa crónica inflamatoria de reciente diagnóstico. Fue atendida en el servicio de Alergología del Hospital San Juan de Dios de la Caja Costarricense del Seguro Social, y luego de 20 días de tratamiento con sulfasalazina tuvo una reacción medicamentosa severa en la piel, compatible con síndrome de Stevens-Johnson. La prueba de transformación linfocitaria resultó positiva, con lo que se confirmó la sulfasalazina como el agente causal.
Conclusiones: La prueba de transformación linfocitaria es un método útil que puede confirmar el agente causal y prevenir complicaciones importantes a futuro.
Palabras clave: Síndrome de Stevens-Johnson; reacción medicamentosa grave; sulfonamidas; sulfasalazina; prueba de transformación linfocitaria.
Identificación de pacientes con anafilaxia en una institución de salud de tercer nivel de Medellín, Colombia (2009-2019)
Authors: Aguirre Morales Natalia , Zapata-Marín Valeria , Calvo Victor Daniel , Ramirez Giraldo Ruth Helena , Cardona Villa Ricardo
Published: June 2023

Objetivo: Identificar las características clínicas y demográficas de pacientes con anafilaxia, atendidos en un hospital de tercer nivel de Medellín, Colombia.
Métodos: Estudio observacional, descriptivo, de corte transversal, al que se incluyeron pacientes con diagnóstico con anafilaxia entre 2009 y 2019. La información de los pacientes se obtuvo a partir de los expedientes clínicos, mediante un instrumento de recolección. Se realizó un análisis estadístico descriptivo, de proporciones y medidas de tendencia central de las variables de interés.
Resultados: Se revisaron 1820 expedientes y se incluyeron los datos de 253 pacientes. Los agentes etiológicos más frecuentes fueron: medicamentos (52.1%), alimentos (34.7%), picadura de insectos (13.8%) y agentes no especificados (17.7%). Las manifestaciones cutáneas y respiratorias fueron las más frecuentes asociadas con anafilaxia. El 94.7% de los casos tuvo concentraciones normales de triptasa. La adrenalina, los corticosteroides y antihistamínicos fueron los fármacos de elección en el 39.9, 34.3 y 39.9% de los casos, respectivamente.
Conclusiones: Las características de anafilaxia coinciden con las reportadas en la mayor parte de los estudios en Latinoamérica. Aunque existen guías mundiales de tratamiento de la anafilaxia, no suelen aplicarse de forma uniforme, lo que hace necesario adiestrar al personal de salud y desarrollar guías nacionales al respecto.
Palabras claves: Alergia; anafilaxia; alergia a alimentos; alergia a medicamentos; triptasa; epinefrina.
Development of Interactive Multimedia Based on TPACK to Enhance Students' Science Process Skills on Living Cell Matter
Authors: Subagja Sigit , Rubini Bibin , Kurniasih Surti
Published: June 2023

This work aims to create interactive multimedia based on TPACK to enhance students' science process skills (SPS) on living cell matter. It offers an alternate method of learning that relies on creating and applying information technology to achieve learning goals (SPS). The ADDIE paradigm was utilized in the research and development process to create Interactive multimedia. These steps are Analysis, Design, Development, Implementation, and Evaluation. The Interactive Multimedia development product was determined to be possible to be incorporated into a learning product based on the research findings and several validation and implementation tests carried out during the development process. The Interactive Multimedia is practicable, as evidenced by the percentage of data collected from the validator and the outcomes of the implementation test to the pupils. The students' SPS N-Gain analysis results obtained a score of 0.78 in the high category. In other words, a product that has undergone testing and validation may be one that can be used to aid in learning about living cells and can enhance students' science process skills.
Uma breve descrição da ionosfera sobre Manaus com dados de GPS (2011 - 2012)
Authors: Lima Newton Silva de , Ferreira Alan dos Santos
Published: June 2023

Este trabalho de pesquisa e observação na camada F (Região da Ionosfera), sobre a Amazônia Central é único para a singularidade da cidade de Manaus (Lat. -3,10 e Long. -59,97) que se encontra entre os equadores geográfico e magnético e excelente laboratório natural de observação das interações geomagnéticas da região equatorial, principalmente por que na Amazônia há maior quantidade de formação de instabilidades de grande escala no plasma ionosférico (Bolha de Plasma) do que em qualquer lugar no mundo (BURKE et al., 2004). É amplamente aceito que estas irregularidades são geradas pela instabilidade do tipo Rayleigh -Taylor e que a rápida subida da camada F após o entardecer e ondas de gravidade são os principais ingredientes para a taxa de crescimento da instabilidade. Estas irregularidades também são chamadas de espalhamento-F (spread-F) devido ao traço difuso dos TEC, este fenômeno na ionosfera não só degrada a acurácia do GPS, como também reduz a sua confiabilidade, pois, existe uma alta dependência entre perdas do sinal e irregularidades ionosféricas (SKONE, 2000). O entendimento do comportamento do TEC e S4 na região é de interesse por sua importante para compreender os efeitos e as limitações impostas pela ionosfera no que concerne à qualidade do posicionamento com GPS. Como muito dos fenômenos que ocorre na ionosfera estão intimamente ligados com o campo magnético terrestre é importante ressaltar que o equador magnético encontra-se constantemente em deriva (BATISTA et al., 2006); fato de observação que em 1950 o equador magnético passava em Natal (RN), nos anos de 1990 sobre a cidade de São Luiz no Maranhão, hoje se aproxima da cidade de Belém do Pará. É um comportamento geomagnético da estrutura terrestre ainda pouco compreendido pelos pesquisadores.
Introdução
Authors: Lima Newton Silva de , Ferreira Alan dos Santos
Published: June 2023

Índices de atividades geomagnéticas (Dst e Kp)
O Sol e a estrutura de alta atmosfera
Authors: Lima Newton Silva de , Ferreira Alan dos Santos
Published: June 2023

Estrutura aeronômica - A Ionosfera
Região D
Região E
Região F1 e F2
Conclusão
Authors: Lima Newton Silva de
Published: June 2023

Conclusão e recomendações para trabalhos futuros.
Anexos
Referências
Observações de estruturas coerentes e turbulência: Projeto ATTO-CLAIRE / IOP - 1 (2012)
Authors: Lima Newton Silva de
Published: June 2023

Medidas de fluxos de calor sensível e momentum foram realizadas no Experimento ATTO-CLAIRE / IOP-1 (2012), no sítio do ATTO, na Reserva de Desenvolvimento Sustentável do Uatumã – AM (Brasil) (2o8’32.42”S; 59o0’3.50”W, ALT 131 m) nos meses de fevereiro a setembro de 2012, entre as estações umidade e seca na Amazônia Central. O complexo de torres altas composta de 5 (cinco) torres; uma de 320 m e 4 (quatro) de 80 m, no período desta pesquisa encontrava-se em construção com 2 torres de 80 m construídas (uma triangular e outra retangular). Este trabalho foi realizado na torre triangular. Foram instalados 10 (dez) anemômetros ultrassônicos de 3D e 2D. Para compreensão do perfil de vento, ponto de inflexão do perfil da velocidade do vento, estruturas coerentes e a turbulência local, para tal desenvolveu-se a partir dos dados coletados, análise estatística, utilizados em construção de gráficos e figuras, porém não desprezando as observações de campo para construção de figuras, filmes e fotografias inseridas neste trabalho. Também, foram feitos ajustes (“fit”) polinomiais para melhoramento dos perfis de vento pelo processo dos mínimos quadrados, intrínsecos em alguns gráficos. Com o processo computacional foi possível visualizar a natureza turbulenta quase-2D (Enstrofia), característica da vorticidade no ATTO, criando uma imagem 3D do evento, com dados de anemômetro 3D sobre a copa do dossel com atmosfera instável (10 HL). Portanto, a turbulência no ATTO, possui característica própria do local (Amazônia Central), durante as condições de estabilidade e instabilidade atmosférica, cumprindo assim a visão desta pesquisa cujo principal objetivo foi compreender do escoamento turbulento em local com vegetação alta, para constituir o entendimento dos processos que governam o momentum e as trocas de calor e massa entre a atmosfera e a ação biológica das árvores. Estas trocas regulam o microclima através do crescimento das plantas, removendo o dióxido de carbono para a fotossíntese e produzindo vapor d’água na transpiração. O entendimento destes mecanismos é essencial para uma variabilidade de aplicações na biologia, hidrologia, agricultura, silvicultura e no clima, bem como concernente nas questões do balanço global de dióxido de carbono, nitrogênio e água.
Pedagogía problémica y su relación con el rendimiento académico en estudiantes de Psicología
Authors: Londoño Valencia Alejandro , Fandiño Tabares Diana Carolina
Published: June 2023

Este artículo presenta una visión descriptiva de la pedagogía problémica y su aplicación en estudiantes de Psicología que fue desarrollada durante el año 2022. Se realiza un recuento de los principales conceptos de la pedagogía problémica y su impacto en el diseño de estrategias relacionadas con la praxis. Se trabajó con muestra intencional de 110 estudiantes de 11 cohortes entre el período 2021-1 y el período 2016-1, que hubiesen cursado los 9 períodos de la carrera de pregrado en el tiempo esperado y realizando el análisis de medidas de tendencia central y de evolución gráfica de los promedios. Los resultados muestran una adecuada consistencia de los datos de las notas, sin puntuaciones extremas que afecten las medidas de tendencia central y con una evolución creciente del desempeño académico de los casos estudiados que se atribuye a los procesos de adaptación al medio universitario, a la pedagogía problémica, al desarrollo de competencias y a la articulación entre teoría y praxis, lo cual se evidencia en la consistencia de los promedios generales que se mantiene y que se ve reflejada en una dispersión de 0.24.
TANGGUNG JAWAB SOSIAL DAN LINGKUNGAN DARI PERUSAHAAN PERSFEKTIF HUKUM POSITIF DI INDONESIA
Authors: Hidayah Ardiana
Published: June 2023

AbstrakTanggung jawab sosial perusahaan sebagai hal penting yang tidak bisa dipisahkan dari aktivitas rutin suatu perusahaan. Tanggung jawab sosial perusahaan terhadap lingkungan dilaksanakan perusahaan untuk dapat mengatur, mengolah dan mempergunakan lingkungan sebaik-baiknya. Dalam rangka mewujudkan pembangunan ekonomi berkelanjutan guna meningkatkan kualitas kehidupan dan lingkungan yang bermanfaat bagi perusahaan itu sendiri, komunitas setempat, dan masyarakat pada umumnya, maka tanggung jawab sosial perusahaan diatur dalam peraturan perundang-undangan sebagai hukum positif di Indonesia.Kata kunci: Tanggung jawab sosial, perusahaan dan lingkungan. AbstractThe Corporate social responsibility as an important matter can not be separated from the regular activities of a company. Corporate social responsibility towards the environment held a company to be set up, process and use the environment as well as possible. In order to realize sustainable economic development to improve the quality of life and the environment that are beneficial to the company itself, the local community and society in general, the social responsibility of companies are set in the legislation as a positive law in Indonesia.Keywords : Social responsibility, corporate, environment.
PELAKSANAAN REHABILITASI TERHADAP PECANDU, PENYALAHGUNA DAN KORBAN NARKOTIKA
Authors: Rizky Fauzi
Published: June 2023

AbstrakPelaksanaan rehabilitasi narkoba mengacu pada ketentuan Pasal 127 jo Pasal 54 Undang-Undang Republik Indonesia Nomor 35 Tahun 2009 tentang Narkotika yang menyatakan bahwa pelaku pelanggaran dapat dibuktikan atau terbukti menjadi korban penyalahgunaan narkotika, Penyalahgunaan Guna harus menjalani Rehabilitasi medis dan rehabilitasi sosial dan pecandu narkotika dan korban penyalahgunaan obat-obatan yang dibutuhkan untuk menjalani rehabilitasi medis dan rehabilitasi sosial yang dilaksanakan baik oleh pemerintah maupun pihak swasta untuk bekerja sama dengan pemerintah. Pelaksanaan rehabilitasi harus memenuhi syarat dari Peraturan Pelaksana lainnya, termasuk yang sudah memiliki Tim Penilai Terintegrasi Rekomendasi, namun masih banyak rekomendasi yang tidak berjalan sebagaimana mestinya. Jenis penelitian ini dapat diklasifikasikan sebagai penelitian hukum sosiologis, karena penulis secara langsung melakukan penelitian terhadap lokasi atau yang diteliti untuk memberikan penelitian yang lengkap dan jelas dilakukan di Badan Narkotika Nasional Provinsi Riau dan Kejaksaan Negeri Siak.Kata Kunci: Rehabilitasi, narkotika, rekomendasi Tim Assessment. AbstractImplementation of Rehabilitation Narcotics refer to the provisions of Article 127 Jo Article 54 of the Law of the Republic of Indonesia Number 35 Year 2009 on Narcotics pronouncing that abusers can be proved or proved to be the victim of abuse of narcotics, Abuse Guna shall undergo medical rehabilitation and social rehabilitation and addict narcotics and victims the abuse of drugs required to undergo medical rehabilitation and social rehabilitation rehabilitation instituted both provided by the government or private parties to cooperate with the government. Implementation of rehabilitation should be qualified from the other Implementing Regulations, including already has Recommendation Integrated Assessment Team, but still banya recommendations are not running as they should. This type of research can be classified sociological law research, because this research author directly conduct research on the location or point examined in order to provide a complete and clear picture of the issues examined. This research was conducted at the National Narcotics Agency of Riau Province and the State Attorney Siak.Keywords: Rehabilitation,  narcotics Team Assessment-Recommendation
POLEMIK BAHAN KAMPANYE DALAM PILKADA KABUPATEN PELALAWAN TAHUN 2015
Authors: Faridhi Adrian
Published: June 2023

Kampanye merupakan salah satu tahapan pemilihan kepala daerah (selanjutnya disebut pilkada) langsung yang harus dijalani. Kegiatan kampanye sangat berperan untuk mendongrak perolehan suara. Pilkada menjadi perhatian publik karena mereka dijanjikan oleh pasangan calon yang berkampanye tentang banyak hal sehingga mereka terpesona dengan janji-janjinya. Rumusan masalah yang dibahas, Pertama, bagaimana implementasi pengunaan bahan kampanye dalam kampanye pemilihan kepala daerah di Kabupaten Pelalawan tahun 2015? Kedua, bagaimana menyelesaikan permasalahan hukum akibat terjadinya sengketa penggunaan bahan kampanye dalam pemilihan kepala daerah di Kabupaten Pelalawan tahun 2015? Metode Penelitian berupa penelitian yuridis sosiologis, melaksanakan penelitian di wilayah Kabupaten Pelalawan dalam Pelaksanaan Pilkada tahun 2015. Hasil Penelitian; Pertama, Pelaksanaan kampanye dengan metode penyebaran bahan kampanye kepada masyarakat umum menimbulkan permasalahan, Peraturan KPU Nomor 7 Tahun 2015 tentang Kampanye tidak mampu mengantisipasi potensi masalah  yang akan timbul dalam masa kampanye, tidak adanya meknisme review (verifikasi) terhadap materi dan desain oleh KPU, sehingga celah kekosongan hukum tersebut dimanfaatkan yang pada akhir nya menimbulkan konflik. Dalam kasus Pilkada Kabupaten Pelalawan, bahwa bahan kampanye tersebut tidak menyebut pasangan calon tersurat namun makna tersirat mengarah kepada pasangan calon tertentu. Kedua, Penyelesaian sengketa berkaitan bahan kampanye diselesaikan dengan penarikan bahan kampanye yang sudah beredar, hal ini berdasarkan rekomendasi dari Panwas Kabupaten Pelalawan, dan dari sisi KPU Kabupaten Pelalawan hal ini telah sesuai arahan dari KPU Provinsi Riau. Namun bahan kampanye yang terlanjur beredar akan sangat sulit kembali untuk ditarik.
PERANAN PENGHULU DALAM PENYELESAIAN PERKARA PIDANA MELALUI MEDIASI PENAL PADA KAMPUNG ADAT ASLI ANAK RAWA PENYENGAT DI KECAMATAN SUNGAI APIT KABUPATEN SIAK
Authors: Elmayanti Elmayanti
Published: June 2023

Penghulu dalam kampung adat penyengat merupakan tempat bersandarnya anggota masyarakat untuk menyelesaikan, melindungi, menjamin ketentraman, sehingga setiap ada persengketaan maka kepala adat adalah satu-satunya tempat anggota masyarakat bersandar untuk menyelesaikan masalahnya. Peranan kepala adat dalam masyarakat sangat dibutuhkan untuk menyelesaikan masalah, menjaga keseimbangan lingkungan hidup satu dengan lainnya, agar dalam masyarakat tetap tercipta kerukunan dan kedamaian. Apabila dihubungkan  dengan definisi pemidanaan, pada hakikatnya mediasi pidana juga sebagai suatu yang dengan sengaja membebani dan menyakitkan yang dijatuhkan terhadap pelaku untuk tindakan pidana yang telah dilakukannya. Hambatan-hambatan yang dihadapi penghulu dalam penyelesaian sengketa melalui mediasi pada kampung adat asli anak rawa penyengat, yaitu: a) Belum adanya undang-undang yang khusus mengatur tentang mediasi; b) Minimnya sarana dan prasarana dalam melakukan mediasi; c) Kurangnya keterampilan mediator bagi penghulu adat dalam mendamaikan para pihak yang bersengketa.
A comparative study for mental health challenges of students: Online versus on-campus education
Authors: Suleymanova Sara , Gawanmeh Amjad , Al-Alami Suhair
Published: June 2023

The COVID-19 pandemic has changed the way instructors teach and students learn. Rather than receiving education face-to-face on-campus, remote online education emerged as an alternative solution. If implemented properly though, online education can have its positive impact on the teaching and learning processes. Online education, however, may have its deficiencies, especially in terms of mental health. This paper is a follow-on study comparing students’ perceptions towards remote online education versus their perceptions towards on-campus education as regards mental health specifically. Involving sixty-two engineering students at a private university in Dubai, where this study was implemented, the researchers utilized a questionnaire focusing on both online and on campus education models, which was conducted during the COVID-19 lockdown time and on-campus education following the lockdown period. Based on the study’s findings, most respondents were in favor of on-campus education, particularly in relation to its impact on student mental health.
HISTÓRIA DO PROJETO DE FORMAÇÃO DE TRABALHADORES PARA A ÁREA DE SAÚDE EM LARGA ESCALA
Authors: Tajra Rocha Girzia Sammya , Dutok-Sánchez Carlos Manuel , Rodrigues Trindade Fabio , Carvalho Pereira Lívia , Do Vale Carvalho Nirvania , Maria Vilar Teixeira Nunes Benevina
Published: June 2023

Objetivo: descrever a história do Projeto de Formação de Trabalhadores para a Área de Saúde em Larga Escala. Método: Este possui natureza histórico-social, cujo objeto constituiu-se da trajetória histórica do Projeto “Larga Escala” no Estado do Piauí, Brasil no período de 1982 a 1996. Foram utilizados os conceitos de história e memória na perspectiva de Le Goff e Delgado, como também nos conceitos e métodos da história oral sob o ponto de vista de Meihy e Ribeiro. A produção dos dados teve como fontes primárias os depoimentos orais de sete colaboradoras enfermeiras que participaram do Projeto, na condição de professores e alunos, nos cursos de formação pedagógica e formação profissional e que aceitaram participar da pesquisa. As fontes secundárias foram constituídas por livros e artigos referentes à temática, pertinentes ao contexto histórico, político e social da época. Resultados: Este projeto foi desenvolvido sob influência de determinantes políticos, sociais, econômicos e históricos que possibilitaram reflexões acerca dessa experiência na área de formação de recursos humanos em enfermagem. Derivou em um legado histórico de integração, ensino e trabalho com perspectivas inclusivas e cidadãs com utilização de métodos ativos nesse tipo de ensino. Considerações finais: Os avanços e retrocessos foram características básicas no processo de ensino de Enfermagem no Piauí. Foi possível a identificação e a contribuição de Enfermeiras Piauienses pioneiras na evolução deste processo de ensino e aprendizagem da profissão, assim como a análise histórica da instalação, estruturação e aperfeiçoamento do ensino médio de Enfermagem no Estado do Piauí.
ENFERMEIRO RECÉM-FORMADO NO SUS E O PROCESSO DE ENSINO-APRENDIZAGEM SOB MORIN
Authors: Deus Vilza Aparecidan Handan de , Silva Rose Mary Costa Rosa Andrade , Pereira Eliane Ramos , Lima Mônica Moura da Silveira , Silva Rita de Cássia Ferreira da , Pala Ágnes Cristina da Silva
Published: June 2023

Objetivo: Analisar e refletir sobre a necessidade de discussões acerca do papel do enfermeiro recém-formado no contexto do processo de ensino-aprendizagem em instituições de saúde vinculadas ao Sistema Único de Saúde (SUS). Método: Realizada uma revisão integrativa com base na perspectiva de Edgar Morin, que utiliza como referencial teórico-metodológico a questão dos saberes e o pensamento complexo. Resultados: Evidencia-se a importância da inserção do enfermeiro recém-formado nos serviços de saúde, estabelecendo ligação entre o processo de ensino-aprendizagem e  aplicação prática do conhecimento adquirido. Essa integração tem o objetivo de promover a educação no âmbito do SUS. Os resultados destacam que o enfermeiro recém-formado compreende a interação entre ensino e serviço, contribuindo para a construção de um ambiente de aprendizagem reflexiva, alinhado aos conceitos de Morin. Além disso, a interdisciplinaridade é ressaltada como uma abordagem essencial na prática do enfermeiro recém-formado, permitindo a integração de conhecimentos e a promoção de uma assistência de saúde mais abrangente. Conclusões: O enfermeiro recém-formado desempenha um papel crucial na articulação entre o ensino e o serviço de saúde, ao estabelecer um cenário propício para a aprendizagem reflexiva. A abordagem interdisciplinar amplia as perspectivas do enfermeiro recém-formado, permitindo a compreensão da complexidade dos problemas de saúde e a busca por soluções integradas. Essa reflexão sob a ótica de Morin reforça a importância de uma formação sólida e contínua, que promova a capacidade de adaptação e o desenvolvimento de habilidades necessárias para atender às demandas do SUS e contribuir para a melhoria desse sistema como um todo.
Clinical Exercise Physiologists in Cardiac Rehabilitation and Clinical Exercise Testing
Authors: Brawner Clinton A. , Berry Robert , Harding Aaron W. , Nustad Jill K. , Ozemek Cemal , Richardson Laura A. , Savage Patrick D.
Published: June 2023

Background

The unique training of clinical exercise physiologists (CEPs) positions them to be an integral part of multidisciplinary teams in phase 2 cardiac rehabilitation (CR). However, the roles and responsibilities of CEPs vary widely between institutions. In addition, job tasks of CEPs at some institutions might not fully leverage their knowledge and skills. The purpose of this study was to describe the roles and responsibilities of CEPs working in CR and noninvasive clinical exercise testing at select institutions in the United States.

Methods

This was a descriptive study of the job tasks performed by CEPs in CR and noninvasive clinical exercise testing at select institutions. Job tasks that are common to CR and noninvasive clinical exercise testing were identified by a working group of the Clinical Exercise Physiology Association.

Results

The 6 CR programs in this report are predominately staffed by CEPs with no other health care professional present during exercise classes. In 5 of these programs CEPs perform all tasks required of phase 2 CR, from patient screening to program discharge. At 3 of the 4 programs that also performed noninvasive exercise testing, CEPs performed all the necessary tasks with no other health care professional present in the room during testing.

Conclusion

CEPs play an integral role in the conduct of phase 2 CR and noninvasive cardiology exercise testing. Granting privileges to CEPs that allow them to work at the top of their knowledge and skills will allow other health care professionals to better use their skills in other high demand areas.
The Isolation and Examination of the Host Specificity of Local Bacteriophages for Use Against Brucella abortus
Authors: Ötkün Songül , Erdenlig Gürbilek Sevil , Saytekin Ahmet Murat
Published: June 2023

Bacteriophages are viruses that infect bacteria. Although their effects on bacteria have been known for many years, the discovery of antibiotics has limited the widespread use of bacteriophages against bacterial infections. However, it is now essential to reconsider using phage therapies due to antimicrobial-resistant bacteria and uncontrolled bacterial zoonotic diseases becoming a global problem. This study aimed to isolate lytic phages against B. abortus, the most common agent that causes bovine brucellosis, which has become a worldwide animal and public health problem. This performed isolation is from cattle farms known to be previously or currently infected, and the study also evaluates the lytic effects of these phages on B. abortus, B. melitensis, B. suis biotypes, B. ovis and B. neotomae and B. abortus field isolates in our culture collection. In this process, seven local brucella-specific phages were identified by evaluating 112 samples via general phage isolation and purification. The lyticity of the isolated bacteriophages were analyzed with international reference: B. abortus (bv 1, 2, 3, 4, 5, 6, 9), B. melitensis (bv 1, 2, 3), B. suis (bv 1, 2, 3, 4, 5) biovars, B. ovis, B. neotomae and B. abortus field strains (n:20). It was found that 85% of B. abortus strains produced a lysis pattern like Tbilisi Φ through local phages. In terms of the lysis results, three different B. abortus specific phages were isolated (98 Φ, 104 Φ, and (P35, P70, P94/1, P94/2, P94/3) phages). It is thought that the applying cocktails prepared from these phages to fight against brucellosis will significantly contribute to controlling the disease. Since 15% of the field isolates were found to be rough strains, it is recommended that R/C Φ are included in the prepared cocktails.
Differential expression of TNFRSF21 in cancer of the skin: malignant melanoma.
Authors: Mamoor Shahan
Published: June 2023

Skin cancer is diagnosed in nearly 1.5 million patients each year (1). While patients with basal and squamous cell carcinomas are provided with 5-year survival rates at nearly 100% and 90%, respectively, patients diagnosed with cutaneous melanoma (metastatic melanoma) are provided 5-year survival rates at 91.4% at stage I and 24.6% at stage IV (2-5). We mined published microarray datasets (6, 7) to determine in an unbiased fashion and at the level of the transcriptome genes most differentially expressed in the primary tumors of patients with the deadliest type of skin cancer, malignant melanoma. We found significant differential expression of the gene encoding TNF receptor superfamily member 21, TNFRSF21, when comparing melanoma tumor tissue from the human skin to the tissue of origin. TNFRSF21 mRNA was present at significantly higher quantities in melanoma tissues as compared to normal tissues from the skin. Analysis of human survival data revealed that expression of TNFRSF21 in melanoma tissues was correlated with overall survival in patients with malignant melanoma. TNFRSF21 expression changes may be important for the initiation or progression of malignant melanoma in humans.
Experiment ended
Authors: Robinson Jonny
Published: June 2023

Psychiatrist effort prompts retraction of antidepressant treatment
Differential expression of ID3 in cancer of the skin: malignant melanoma.
Authors: Mamoor Shahan
Published: June 2023

Skin cancer is diagnosed in nearly 1.5 million patients each year (1). While patients with basal and squamous cell carcinomas are provided with 5-year survival rates at nearly 100% and 90%, respectively, patients diagnosed with cutaneous melanoma (metastatic melanoma) are provided 5-year survival rates at 91.4% at stage I and 24.6% at stage IV (2-5). We mined public and published microarray datasets (6, 7) to determine in an unbiased fashion and at the level of the transcriptome genes most differentially expressed in the primary tumors of patients with the deadliest type of skin cancer, malignant melanoma. We found significant differential expression of the gene encoding inhibitor of DNA binding 3, HLH protein, ID3, when comparing melanoma cell line gene expression to normal human melanocytes. ID3 mRNA was present at significantly higher quantities in melanoma cell cultures as compared to normal melanocytes. Analysis of human survival data revealed that expression of ID3 in melanoma tissues was correlated with overall survival in patients with malignant melanoma. ID3 expression changes may be important for the initiation or progression of malignant melanoma in humans.
International Product Standards and Consumer Protection: Ensuring Safe and Sustainable Consumption
Authors: Latif haseeb
Published: June 2023

International Product Standards and Consumer Protection:Ensuring Safe and Sustainable Consumption
Environmental Impact Assessment: Assessing and Managing Potential Environmental Consequences
Authors: abbas asad
Published: June 2023

Environmental Impact Assessment: Assessing and ManagingPotential Environmental Consequences
Cooking is an intellectual activity: Balancing logic and logistics
Authors: Nuryana Zalik
Published: June 2023

Although cooking and writing a dissertation may seem like two very different things, they both involve a deep creative process. When someone cooks, they have to combine different ingredients, try variations of recipes, and use their imagination to create delicious dishes. Likewise, in writing a dissertation, researchers must use critical thinking and imagination to formulate original and innovative research concepts. Cooking and writing a dissertation also involve a deep understanding of the material at hand. In cooking, one must have knowledge of food ingredients, cooking techniques, and flavor interactions. Similarly, in writing a dissertation, researchers must have a deep understanding of their research topic, related literature, and relevant theories. Both of these require a deep understanding and effort to continuously learn and develop knowledge.
Perubahan Iklim dan Dampaknya terhadap Pertanian di Pedesaan : Adaptasi dan Mitigasi
Authors: Syahruni Nurul
Published: June 2023

Perubahan iklim telah menjadi salah satu tantangan terbesar bagi pertanian di pedesaan. Dampak perubahan iklim dapat berupa peningkatan suhu, curah hujan yang tidak menentu, kekeringan, dan bencana alam yang semakin sering terjadi. Hal ini berdampak signifikan terhadap produksi pertanian dan kesejahteraan petani di pedesaan. Oleh karena itu, perlu adanya upaya adaptasi dan mitigasi untuk mengatasi dampak perubahan iklim tersebut. Adaptasi dapat dilakukan dengan meningkatkan keterampilan petani dalam mengelola sumber daya alam, memanfaatkan teknologi yang ramah lingkungan, dan mengembangkan praktik pertanian yang berkelanjutan. Selain itu, mitigasi dapat dilakukan dengan menerapkan praktik-praktik pengelolaan pertanian yang mengurangi emisi gas rumah kaca, seperti penggunaan pupuk organik dan pengolahan limbah pertanian yang efektif. Artikel ini akan membahas secara komprehensif tentang dampak perubahan iklim terhadap pertanian di pedesaan dan upaya-upaya adaptasi dan mitigasi yang dapat dilakukan oleh petani. Penelitian ini menggunakan metode studi literatur dan observasi lapangan di beberapa wilayah pedesaan di Indonesia. Hasil dari penelitian ini diharapkan dapat memberikan kontribusi untuk mengembangkan strategi adaptasi dan mitigasi dalam menghadapi perubahan iklim bagi pertanian di pedesaan.
Masalah Agraria Di Pedesaan
Authors: Aryagunawan Dimas
Published: June 2023

AbstractTalking about agrarian affairs, we will discuss land and everything related to it. Land, which is a basic and important need for humans, positions it as a target to be owned and controlled by every human being. The human desire to own and control land thencreates problems in human life itself. The problems that arise occur in various places, including in rural areas. Therefore the purpose of this paper is to find out how agrarian problems exist in rural areas. As for the agrarian problem in rural areas, there is an imbalance in agrarian resources, be it an imbalance in land ownership and control or an imbalance in land allotment. This can be seen from the existence of village farming communities who have difficulty accessing land as a place to carry out agricultureKeywords: Agrarian problems, Rural, InequalityAbstrakBerbicara mengenai agraria maka kita akan membahas mengenai tanah dan segalah yang berhubungannya dengannya. Tanah yang menjadi kebutuhan mendasar dan penting bagi menusia memposisikannya menjadi incaran untuk dimiliki dan dikuasi oleh setiap manusia. Keinginan manusia untuk memiliki dan menguasi tanah kemudian menimbulkan masalah-masalah dalam kehidupan manusia itu sendiri. Maslah-masalah yang timbul ini terjadi di berbagai tempat tak terkecuali di pedesaan. Oleh karena itu tujuan dari penulisan ini adalah untuk mengetahui bagaimana masalah-masalah agrarian yang ada di pedesaan. Adpun masalah agrarian yang terdapat di pedesaan adalah adanya ketimpangan atas sumber-sumber agraria baik itu ketimpangan atas kepemilikian dan penguasaan tanah maupun ketimpangan atas peruntukan tanah.hal ini dapat dilihat dari adanya masyarakat petani desa yang sulit mengakses tanah sebagai tempat melangsungkan pertanian Kata kunci: Masalah agrarian, Pedesaan, Ketimpangan.
Researchers and Players: Engaging determination, hard work, and perseverance to achieve goals and victories
Authors: Nuryana Zalik
Published: June 2023

Football is the same as a dissertation, involving determination, hard work, and perseverance to achieve goals and victories. As both a football player and a researcher who must complete a dissertation, the journey to success is fraught with hurdles to face. The national team last night had to go through intensive training, matches, and occasionally suffered serious injuries. They must build physical and mental strength, show tireless fighting spirit, and overcome failures and challenges on the field especially when trailing goals, equal scores, and extra time. Dissertation struggles too, where we have to face both methodological challenges, collecting and analyzing complex data, as well as completing other tasks that demand it (Publish in WoS, conferences for monthly progress, etc.). In addition, the victory of the national team because it was able to mix collaboration, support each other, and respect each other's roles. In the dissertation, we also need cooperation in the research team, sharing knowledge and experience, and providing support to each other in overcoming the challenges of completing the same dissertation. Otherwise, at least we have skills like the national team last night, defending to face the "revision attack", goalkeeper skills to withstand the last attack, striker skills to attack "insights" with new-discovered, and other skills needed.
MODERNISASI DAN DAMPAKNYA DI BIDANG AGRARIA
Authors: Adha Muhammad Aidil
Published: June 2023

In this modern era, development programs implemented in Indonesia basically aim to improve the welfare of all parties. However, in the process of achieving these goals, sometimes it also has a different (unfavorable) impact, especially for certain parties, for example vulnerable groups (in this case economically classified as poor). The purpose of this study is to determine the impact of modernization in the agrarian sector. The existence of agrarian modernization in the agricultural sector has had a positive impact on employment opportunities for farm workers, especially with the existence of machined agricultural equipment such as tractor engines, motorized pest control tanks, the existence of combined machines makes it easier for farmers to supervise labor and reduce implementation costs and time. faster execution of work. In addition to having a positive impact, modernization also has a negative impact where food crops are included in the green revolution program. In fact, modernization programs only improve the fate of farmers in the upper layers of the village, while smallholders and farm laborers are left untouched. Smallholder farmers and farm laborers are still left behind, not being picked up by the flow of development. Agricultural modernization also emphasizes technology but forgets the social structure. As a result, small farmers will get poorer and large farmers can accumulate land, so that the difference between wealth and poverty is increasingly tiered, so that social polarization will occur.
Differential expression of ID1 in cancer of the skin: malignant melanoma.
Authors: Mamoor Shahan
Published: June 2023

Skin cancer is diagnosed in nearly 1.5 million patients each year (1). While patients with basal and squamous cell carcinomas are provided with 5-year survival rates at nearly 100% and 90%, respectively, patients diagnosed with cutaneous melanoma (metastatic melanoma) are provided 5-year survival rates at 91.4% at stage I and 24.6% at stage IV (2-5). We mined public and published microarray datasets (6, 7) to determine in an unbiased fashion and at the level of the transcriptome genes most differentially expressed in the primary tumors of patients with the deadliest type of skin cancer, malignant melanoma. We found significant differential expression of the gene encoding inhibitor of DNA binding 1, HLH protein, ID1, when comparing melanoma cell line gene expression to normal human melanocytes. ID1 mRNA was present at significantly higher quantities in melanoma cell cultures as compared to normal melanocytes. Analysis of human survival data revealed that expression of ID1 in melanoma tissues was not correlated with overall survival in patients with malignant melanoma. ID1 expression changes may be important for the initiation or progression of malignant melanoma in humans.
Development of the Laughter Production and Perception Questionnaire (LPPQ): A Novel Tool to Investigate Human Laughter Behaviour
Authors: Mueller Marie A. E. , Cai Qing , Lima Cesar , Jin Gulun , Turek Arabella , Scott Sophie K
Published: June 2023

Human laughter is a social emotion and behaviour that is primarily expressed in social interactions and is crucial for humans to establish and maintain social bonds and relationships. Despite its universality, there is great variation in human laughter, both in terms of how people produce and perceive it. In this study, we developed the first questionnaire on healthy, everyday laughter behaviour, the Laughter Production and Perception Questionnaire (LPPQ). We first developed a 30-item version in English and collected data on an English-speaking sample (N = 823). We used Principal Components Analysis (PCA) to identify dimensions underlying human laughter production and perception. We identified four dimensions: Frequency, Understanding, Usage, and Liking. We then translated the LPPQ into Mandarin Chinese and collected data on a Mandarin Chinese-speaking sample (N = 574). A PCA suggested the extraction of the same four dimensions. However, there were some differences in the items associated with the four components between the English and the Chinese version. Future studies need to further develop and assess the psychometric properties of the LPPQ. We hope that the LPPQ will help advance research in human laughter, a social emotion and behaviour that has deep evolutionary roots and plays a crucial role in human everyday life.
Culture Tower
Authors: Khuc Van Quy
Published: June 2023

Humanity has a long and storied history of innovation and progress, however, one is confronted with an unprecedented variety of survival and sustainable development issues, ranging from poverty to pollution, climate change, conflicts, food security, inequality, and so on. Although many efforts have been made in the last two decades, the sustainable development goals’ outcomes have been (very) modest, or even unsuccessful. In this sense, this short paper introduces and advocates using a “culture tower” or “khucc tower” to help to tackle such issues/challenges. The tower is built on the base of a newly defined culture that focuses on cognitive and working processes for human survival and evolution. To be specific, the first/lowest level in this tower is knowledge (K), and the last/highest level is creativity/contribution (C). By thoughtfully learning and applying wisely the culture tower, one can develop a set of high-value culture systems, which ultimately helps to transform the world, address humankind’s problems and build a prosperous world desired.
SENGKETA AGRARIA : RUNTUHNYA HARMONISASI MASYARAKAT DAN STAKEHOLDER MELALUI SENGKETA TANAH SELASIH
Authors: HALIM MUHAMMAD
Published: June 2023

Penelitian ini bertujuan untuk menganalisis permasalahan agrarian yang terjadi antara masyarakat dengan stakeholder yang menuntut tanah yang diduduki oleh masyarakat selasih. Tulisan ini menggunakan pendekatan deskriptif dengan mengkaji literature terkait permasalahan yang diangkat. Hasil analisis menunjukkan bahwa sengketa yang terjadi di Banjar Selasih merupakan sengketa tanah Puri Payangan yang diberikan kepada warga setempat. Pemberian tersebut tidak dibarengi dengan surat-surat yang sah. Maka dari itu kekuatan hukum dari masyarakat Selasih tidak kuat seperti kekuatan bukti yang dimiliki oleh Pihak investor. Mediasi yang dilakukan pada proses ini yang mempertemukan pemilik perusahaan dan warga setempat tidak berujung pada kata sepakat dari kedua belah pihak. Hingga akhirnya kasus ini dibawa ke jalur pengadilan dan warga setempat kalah dengan bukti auentik yang dimiliki oleh perusahaan.
Tanah Ulayat Dalam Perspektif Hukum Nasional
Authors: Nurhikmah Andi
Published: June 2023

Pembahasan terkait hak pengelolaan dari tanah ulayat menjadi suatu yang sangat penting mengingat banyaknya kasus-kasus sengketa tanah yang melibatkan tanah ulayat di dalamnya, hal ini tak lain di sebabkan karena tanah ulayat merupakan tanah adat yang meski sudah diatur dalam Undang-undang namun masih sulit menentukan hak kelolanya dikarenakan berkaitan dengan masyarakat adat yang kerap kali sulit untuk dijangkau hukum, kajian ini kemudian diharapakan mampu meperjelas status dari tanah ulayat sehinggah tidak terjadi sengketa-sengketa sejenis di masa yang akan datang, harus di ketahui juga bahwa hak ulayat yaitu hak yang dimiliki suatu persekutuan hukum adat, untuk menguasai tanah beserta segala isinya dalam lingkungan wilayah persekutuan tersebut. Hak ulayat merupakan hak atas tanah yang tertinggi dalam hukum adat.