bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects of anabolic androgenic steroid use on the risk of venous thromboembolic events: systematic literature review
Authors: Kovalchuk A. V. , Dzhenina O. V. , Lobastov K. V.
Published: November 2024

Venous thromboembolic events (VTE) are regarded as side effects from anabolic androgenic steroids (AAS), however, systematic data on this matter are missing. The aim of this study was to evaluate the effects related to testosterone and AAS abuse on the risk of VTE in healthy individuals who use medications without medical reasons. A systematic literature search via PubMed was performed in March 2024. The analysis included studies of any design which described the development of venous thrombosis and specifically deep vein thrombosis (DVT), pulmonary embolism (PE), splanchnic vein thrombosis, and cerebral sinus thrombosis in healthy individuals taking AAS or testosterone medications in the absence of medical indications. The generated search query retrieved 537 references, of which 14 full-text articles containing descriptions of 15 clinical cases were included in the analysis. VTE were observed in men aged 18 to 56 years (mean age 28 ± 12 years) using various AAS at different doses and combinations. VTE were represented by cerebral sinus venous thrombosis (n = 6, 40%), PE with or without concomitant DVT (n = 5, 33.4%), retinal vein thrombosis (n = 2, 13.3%) and arterial thrombosis combined with PE (n = 2, 13.3%). Among additional risk factors, deficiencies of natural anticoagulants (n = 2, 13.3%), hyperhomocysteinemia (n = 1, 7%), and high levels of hemoglobin or hematocrit (n = 2, 13.3%) were identified. The therapy resulted in the following outcomes: death (n = 1, 7%), residual neurological deficit (n = 3, 20%), thrombosis progression with vena cava filter occlusion and development of inferior vena cava syndrome (n = 1, 7%), complete recovery (n = 8, 53%), no long-term results were provided on 2 patients. The risk of developing VTE in patients who abuse AASs cannot be assessed, as the literature contains only descriptions of sporadic cases among which venous thrombosis in atypical locations prevail, therefore, prospective cohort studies are needed to clarify this matter.
Photodynamic therapy in the complex treatment of trophic ulcers of venous etiology
Authors: Boldin B. V. , Bogachev V. Yu. , Somov N. O. , Varich G. A. , Golosnitskiy P. Yu. , Komov K. V.
Published: November 2024

Introduction. In Russia, more than 5 million people suffer from venous ulcers. According to general studies, in more than 10% of cases, venous ulcers lead to permanent disability in patients. Currently, there is a growing interest in the use of photodynamic therapy (PDT), which has already proven its effectiveness in various fields of medicine.Aim. To improve treatment outcomes in patients with venous trophic ulcers by incorporating photodynamic therapy into complex treatment.

Materials and methods. A prospective comparative study was conducted in 213 patients with CEAP C6. In the main group (n = 100), treatment was carried out using photodynamic therapy. The control group (n = 113) received standard treatment for venous ulcers.Results. The bacteriological study revealed significant statistical differences in the reduction in the level of bacterial contamination in patients of the main group compared to the control group. A comparison of the standard treatment of venous ulcers and the treatment method using PDT for the entire period of treatment showed that the use of PDT in the complex treatment of venous ulcers reduces the time for clearing ulcers by 1.75 times, accelerates the appearance of granulation tissue by 1.66 times, and accelerates healing by 1.87 times (p < 0.05).Discussion. The introduction of new medical technologies into clinical practice helps to improve the results of treatment of venous ulcers. The use of PDT in the treatment of venous ulcers has demonstrated high clinical effectiveness.Conclusion. The results of the study convincingly show that photodynamic therapy accelerates reparative processes in the ulcer, improves the state of the microbial background, and, accordingly, accelerates the rate of epithelization of the trophic ulcer.
Efficacy and safety of direct oral anticoagulants in patients with implanted inferior vena cava filters: a systematic review and meta-analysis
Authors: Schastlivtsev I. V. , Kozlova V. V. , Bargandzhiya A. B. , Lobastov K. V.
Published: November 2024

Nowadays, vitamin K antagonists (VKA) remain the anticoagulants of choice for patients with implanted inferior vena cava (IVC) filters, while the use of direct oral anticoagulants (DOACs) is controversial. Aim of the review – the study aimed to compare the efficacy and safety of DOACs and VKAs in patients with IVC filters. A systematic search for the relevant papers was performed in Medline (Pubmed) and the Cochrane Library according to the PRISMA guidelines. The inclusion criteria for the analysis were as follows: comparative studies of any design that enrolled patients with verified venous thromboembolism (VTE) who underwent IVC filter implantation and received long-term therapy with DOACs or VKAs with reported numbers of thrombotic and hemorrhagic complications within a follow-up of ≥3 months. The primary endpoints were VTE recurrence and major bleeding. Secondary endpoints included deep vein thrombosis (DVT), IVC thrombosis or filter occlusion, pulmonary embolism (PE), clinically relevant non-major (CRNM) bleeding, any bleeding, and all-cause mortality. Meta-analysis was performed using a random or fixed-effect model depending on the identified heterogeneity. As a result of the literature search was performed in July 2024 and identified 189 references, of which four articles were selected for full-text analysis after screening and excluding 174 irrelevant papers. The final qualitative analysis and quantitative synthesis included two retrospective cohort studies of 302 patients comparing rivaroxaban and warfarin. There were no significant differences between rivaroxaban and warfarin according to the prespecified endpoints. Rivaroxaban is the only DOAC studied in patients with IVC filters. Anticoagulation with rivaroxaban is not less effective and safe than with warfarin after IVC filter implantation.
Comparison of endovasal laser ablation and ultrasound-guided foam sclerotherapy of saphenous veins
Authors: Vakhratian P. E. , Khutornoy N. V. , Larionov A. A. , Lishov D. E. , Silchuk E. S.
Published: November 2024

Varicose veins of the lower extremities is a chronic disease with primary veins extention of the subcutaneous veins of the lower extremities. According to various estimates, the prevalence of varicose disease reaches 60% of the adult population in different regions. The steadily progressing nature of the disease, as well as the importance of timely comprehensive treatment, requires a constant search for new optimal approaches to the treatment of varicose veins. The “gold” standard for the treatment of varicose veins with reflux along the main saphenous veins is endovasal laser ablation (EVLA), which in some cases has effectively replaced combined phlebectomy. The method has proven itself to be relatively safe, while effective and providing the opportunity to carry out treatment on an outpatient basis. However, it is not always possible to carry out thermal methods of obliteration of the main saphenous veins, and in such situations the best choice for treatment is ultrasound-guided foam sclerotherapy (UGFS) of the main saphenous veins. Despite thelong coexistence of both methods, there is no convincing data of treating patients with EVLA and UGFS. More than 50 russian and foreign articles from the open access were analyzed. Thelack of comparisons in the Russian articles and the contradictory nature of research results in foreign sources allow us to conclude that this issue requires further research and detailed study to determine the indications and the optimal treatment tactics using EVLA or UGFS.
Clinical case of eventeration of postoperative wound
Authors: Kalinichenko D. A. , Degovtsov E. N. , Tsygankova O. Yu. , Kazakov R. A. , Kotov I. I. , Trukhan D. I.
Published: November 2024

The mortality rate associated with postoperative eventration remains quite high at the moment. At the same time, recurrent eventrations are common. Despite the improvement of surgical techniques and suture materials, the incidence of eventrations does not decrease. The presence of previous oncological diseases in the patient significantly worsens the course of the wound process due to changes in the immune status and prevailing catabolic processes. One of the reasons that causes eventration in a high percentage of cases is suppuration of the postoperative wound. Given the polyetiology of this pathology, for the prevention of eventrations and for their effective treatment, a comprehensive approach is needed, including both an impact on the general somatic status of the patient (elimination of hypoproteinemia, normalization of bowel function, etc.), and an impact on the wound process in order to form high-quality scar tissue. This article presents a clinical case of a patient with wound eventration that developed in the postoperative period. The complexity of the case is due to previous oncological pathology and impaired reparative processes that developed as a result of hypoproteinemia. This clinical observation demonstrates the relevance of searching for new methods of influencing the course of the wound process, the possibility of using cellular concentrates of autologous blood to stimulate regeneration. The possibilities of stimulating the wound process by using platelet autoplasma are considered, in order to accelerate wound healing, it can be used in outpatient practice, both for the management of postoperative patients admitted for follow-up care after the inpatient stage, and as an independent treatment for chronic wounds.
Osteoarthrosis of the knee joints or varicose veins of the lower extremities: Which comes first?
Authors: Yarovenko G. V. , Katorkin S. E. , Smagin E. V. , Koltsov A. E.
Published: November 2024

Osteoarthritis of the knee joints and varicose veins of the lower extremities are two common diseases that quite often occur in combination in patients. What pathology is primary? This is an important issue for specialists, since specialized treatment is provided in different surgical departments and often without correction of the venous outflow there is no possibility of surgical treatment of the knee joint. Based on the literature and personal experience, we have established a possible connection between these two diseases with an attempt to determine which of them will be the root cause. The literature analysis was carried out using Elsevier, PubMed, eLibrary, PLOS and Cyberleninka databases. Articles containing the keywords: osteoarthritis, gonarthrosis, varicose veins, lower extremities, knee joint, venous congestion were analyzed. English and Russian full-text articles, literature reviews, systemic reviews, meta-analyses, cohort studies, and traditional reviews with a search depth of no more than 35 years were studied. It has been established that the most widespread theory is one that identifies varicose veins of the lower extremities as the root cause of osteoarthritis of the knee joint. In our opinion, both diseases should not be considered as the root cause. The presence of one pathology may aggravate the clinical picture of another. Having conducted a single-center randomized prospective study in 40 patients with varicose veins of the lower extremities, we found that 24 of them, with clinical manifestations of osteoarthritis of the knee joint, were diagnosed with clinical classes of varicose veins C3–C5 according to CEAP.
Modern ideas about pharmacotherapy of pelvic congestion syndrome in women
Authors: Akhmetzianov R. V. , Bredikhin R. A.
Published: November 2024

Pelvic congestion syndrome (PCS) is not a rare and poorly studied disease. However, the current state of PCS pharmacotherapy is characterized not only by insufficient study of this issue, but also by the presence of conflicting views. The results of key publications prove that the main trend in PCS treatment is associated with invasive methods. At the same time, pharmacotherapy is a successful solution leading to the relief of the main symptoms in most patients with PCS. The current review is based on the analysis of data from known scientific literature and clinical guidelines. It covers various aspects of conservative treatment of patients with PCS and focuses on pharmacotherapy. This publication aims to summarize the known data related to drug correction of PCS, based on evidence-based medicine. The review presents information related to the history of the selection of pharmacotherapy, including combinations of drugs of various groups with the appointment of analgesics, hormonal, psychotropic, venoactive drugs and selective vasoconstrictors. An objective analysis of each of the indicated pharmacological groups of drugs is presented with an assessment of subsequent prospects, including not only known therapeutic agents, but also those not previously used in the therapy of PCS. The drug of choice in the arsenal of the attending physician are vasoactive drugs based on diosmin with the largest evidence base in MPFF. In the presence of severe pain syndrome, short-term administration of analgesics is advisable. The presence of anxiety-depressive disorders, as well as severe CPP, can serve as an indication for taking psychotropic drugs. Further research is needed to expand the potential of pharmacotherapy for patients with PCS.
Treatment of wounds after operations on the anal canal and perineum
Authors: Abritsova M. V. , Torchua N. R.
Published: November 2024

There are alimited number of publications in both domestic and foreign literature on the treatment of wounds in patients after anal canal and perineal surgery. This remains a serious problem, since even uncomplicated wound healing after general proctological operations can take up to 45 days, and the frequency of chronic non-healing wounds reaches 34%. This significantly reduces the quality oflife of patients and increases the cost of treatment. The biological laws governing wound healing, regardless of their etiology, are generally the same and include the following phases: inflammation, tissue regeneration (proliferation) and scar formation. However, in the perineal area, wound healing is complicated by microbial contamination by intestinal flora, which can prolong the healing time. But systemic administration of antibiotics after anal canal surgery is not required routinely. The most important role is played by the use oflocal forms of ointment forms. Taking into account microbial contamination, pronounced postoperative pain syndrome and abundant wound discharge, combined healing-stimulating drugs with antimicrobial, dehydrating andlocal analgesic activity are of the greatest interest as ointments. One of these drugs is a combined ointment with antimicrobial, regenerating, anti-inflammatory andlocal anesthetic properties, which has proven effective in the treatment of purulent wounds, contributing to faster healing and reducing pain without significant side effects. The article presents a clinical example of the use of a combination ointment based on ofloxacin, methyluracil, lidocaine hydrochloride for the treatment of wounds after hemorrhoidectomy.
Sürdürülebilirlik Temalı Gerilla Reklam Kampanyaları Üzerine Bir İnceleme
Authors: Codur Müge Burcu
Published: November 2024

Teknolojinin yaşamlarımızı şekillendirdiği bu yüzyılda, insan-doğa ilişkisi dengeli bir alma-verme ilişkisi olmaktan çıkmıştır. Sürekli daha fazla tüketmesi için yönlendirilen insan, doğaya onarılamaz zararlar vermeye başlamıştır. “Sürdürülebilirlik” kavramı, bu zararın endişe verici boyutlara ulaşması nedeniyle ortaya çıkmıştır. Duyulan endişe, küresel temelde bir dizi önlem almayı gerektirmiştir. Ancak bu önlemler yaşam alışkanlıklarını değiştirmediğimiz sürece yetersizdir. Atık üretimi ve bilinçsiz tüketim konusuna odaklanan sosyal sorumluluk kampanyalarının, hem yazılı ve görsel medya, hem de sosyal medya üzerinden mesaj bombardımanına tutulan alıcılar tarafından algılanma yüzdesi giderek düşmektedir. Yapısı gereği pratik, kolay uygulanabilir, düşük maliyetli ve sıradışı çözümler sunabilen gerilla kampanyalar, uygulandıkları ortamda alıcının ilgisini çekmeyi başarmakta; geleneksel yöntemlere göre çok daha akılda kalıcı olmaktadır. Bu çalışmada, gerilla kampanyaların özellikleri, türleri alıcılar üzerindeki etkileri incelenecek, farklı ülkelerde yapılmış kampanyalar üzerinden genel bir değerlendirme yapılacaktır.
Between sacrum and profanum: preliminary remarks on the late antique fortified settlement on Lukovac Islet (Rab Island, NW Adriatic, Croatia)
Authors: Welc Fabian , Konestra Ana , Rabiega Kamil , Čaušević-Bully Morana , Bully Sébastien , Androić Gračanin Paula , Nowacki Bartosz , Kukela Agnese , Zaremba Małgorzata , Han Agata
Published: November 2024

In one of the shallow bays of Lopar, in the northern part of the Island of Rab, dominates a rocky islet known as Lukovac. Despite its small size, the islet reveals unique late antique architectural remains. Based on the fieldwork conducted, it can be concluded that almost the entire area of the islet was covered by masonry buildings. The islet was additionally surrounded by a wall reinforced with buttresses. The church was the centrepiece of this late antique settlement. It was a simple building, consisting of only one nave and a semi-circular apse articulated by four lesene. Considering the data collected so far, it is likely that in the late antiquity Lukovac Islet fulfilled the function of a fortified settlement, possibly a refugium for local population, while its role as a logistical centre for the Byzantine military presence in the region cannot be fully ruled out. The presence of a large church may suggest that the islet once functioned not only as a local central religious site, but also as a local “centre of power”.
Życie codzienne kamedułów w klasztorze pożajskim w oczach podróżnych w XVIII i na początku XIX wieku
Authors: Paknys Mindaugas
Published: November 2024

Klasztory kamedulskie często przyciągają zainteresowanie z powodu zamkniętego i surowego trybu życia codziennego. Do jego poznania służą dość skąpe źródła historyczne – inwentarze, rejestry wydatków, korespondencja. Do takich źródeł można doliczyć również rzadkie opisy gości klasztornych. W artykule omówiono trzy opisy klasztoru pożajskiego pod Kownem, sporządzone jeszcze za czasów zakonników kamedułów (do r. 1830). Bardzo ciekawe wzajemnie uzupełniające się wrażenia o kamedułach zostawili literat polski Julian Ursyn Niemcewicz, młodzieniec z Gdańska Carl Feyerabend i francuski pisarz Aubry de la Motraye. Opisy w pamiętnikach przekazują ciekawe, choć nie zawsze takie same wiadomości o życiu zakonników w klasztorze, autorzy szczególnie zaznaczali walory artystycznie architektury i sztuki klasztoru pożajskiego.
Problem autorstwa i geneza pomnika nagrobnego Jewgienija P. Rożnowa (1807-1875) na warszawskim cmentarzu prawosławnym na Woli w świetle analizy formalno-ikonograficznej
Authors: Wiraszka Marta
Published: November 2024

Przedmiotem analizy formalno-ikonograficznej jest pomnik nagrobny senatora i generała Jewgienija Rożnowa, wzniesiony ok. 1876 r. na wolskim cmentarzu prawosławnym w Warszawie. Jego projektantem był zapewne architekt Witold Lanci, który, korzystając z zagranicznych publikacji ilustrowanych, połączył ze sobą bizantyjski kapitel z cyborium bazyliki Eufraziusza w Poreču i dziewiętnastowieczną kolumnę z pomnika nagrobnego Aglaé Didier na cmentarzu Montmartre w Paryżu (proj. Auguste Préault, 1863-1866), wprowadzając do oryginalnych elementów tylko pewne zmiany. Z francuskiego pierwowzoru, oprócz formy, projektant zaczerpnął jeszcze wymowę ideową.
Análise da relação entre os componentes do balanço de energia e da evapotranspiração do meloeiro cultivado nas condições climáticas da região de Mossoró-RN
Authors:   , Vanomark Giulliana Mairana Morais de Sousa
Published: November 2024

O potencial para a fruticultura e olericultura irrigadas no estado do Rio Grande do

Norte é reconhecido mundialmente, e o mesmo já desponta como o maior produtor de melão

(Cucumis melo L.) do Brasil. A produção de melão nessa região é predominantemente sob

condições irrigadas, permitindo a produção o ano inteiro. O rápido aumento dos projetos de

irrigação tem provocado um acréscimo na demanda hídrica, acarretando rebaixamentos

acentuados dos aquíferos, de modo a gerar preocupações quanto à seguridade hídrica da

região em períodos de longas estiagens, fato bastante comum no semiárido brasileiro. Assim,

o objetivo desta pesquisa foi determinar a evapotranspiração diária da cultura (ETc) e os

valores do coeficiente de cultivo (Kc) para as diferentes fases fenológicas da cultura do

meloeiro na região de Mossoró/RN, utilizando o método micrometeorológico da razão de

Bowen (BERB). O trabalho foi realizado em duas áreas de cultivo comercial de melão,

localizadas na Zona Rural de Mossoró/RN. O experimento constou da determinação dos

componentes do balanço de energia e da evapotranspiração da cultura (ETc) utilizando o

método da razão de Bowen (BERB). A fase de campo foi instalada em dois ciclos

consecutivos da safra de 2012. Os coeficientes de cultivo (Kc) foram determinados pela razão

entre a evapotranspiração da cultura pelo método BERB (ETBERB) e a evapotranspiração de

referência (ETo), sendo esta estimada a partir de dados coletados na estação meteorológica

do INMET localizada em uma das áreas. A ETo foi calculada segundo a equação de Penman-

Monteith, parametrizada pela FAO. Indicadores de desempenho foram utilizados para

comparar a ETBERB com a ETFAO. Observou-se que os valores de LE/Rn foram superiores a

60%, G/Rn foi em média 11% e a média de H/Rn foi de 21%. A ETc variou de 264,79 mm a

362,19 mm. Os resultados do KC-inicial foram mais altos, e os do Kc-médio e Kc-final mais baixos,

quando comparados aos valores do KcFAO das mesmas fases fenológicas, e as diferenças

médias observadas foram de 43, 8 e 7% para as fases inicial, média e final, respectivamente.

Os coeficientes de cultivo gerados pelo método BERB variaram, para o estádio inicial de 0,27

a 0,32; para o estádio médio de 0,84 a 0,89 e para o estádio final de 0,56 a 0,66. A

metodologia do BERB possibilitou a obtenção da evapotranspiração e de coeficientes de

cultivo compatíveis com a tradicional metodologia do Manual 56 da FAO para Irrigação e

Drenagem. Entretanto, houve divergência entre os métodos na fase inicial da cultura, o que

proporcionou a ETBERB total ser de até 5% mais elevada que a ETFAO
Advances in Molecular Biology and Immunology of Spermatozoa and Fertilization in Domestic Animals: Implications for Infertility and Assisted Reproduction
Authors: Adnane Mounir , Ahmed Moussa , Chapwanya Aspinas
Published: November 2024

Unlocking the secrets of reproductive success in domestic animals requires
a deep understanding of the molecular biology and immunology of spermatozoa,
capacitation, fertilization, and conception. This review highlights the complex
processes involved in spermatogenesis and sperm capacitation, including changes in
membrane properties, signaling pathways, and the crucial acrosome reaction. The
interaction with the zona pellucida in species-specific gamete recognition and binding
is emphasized. The implications of fertilization defects for infertility and assisted
reproduction are discussed, underscoring the challenges faced in breeding programs.
The future directions for research in this field involve advancements in molecular
techniques, understanding the immune regulation of spermatozoa, investigating
environmental factors' impact, and integrating multi-omics approaches to enhance
assisted reproduction techniques in domestic animals. This review contributes to our
understanding of the intricate mechanisms underlying successful reproduction and
provides insights into potential strategies for improving fertility outcomes in domestic
animals.
Sağlık Çalışanlarının Yeme Davranışlarının Hollanda Yeme Davranışı Anketi (DEBQ) ile Değerlendirilmesi
Authors: Soner Karanfil Sema , Dilsiz Günter , Demircan Nejat
Published: November 2024

Amaç: Bu çalışmada, Zonguldak Bülent Ecevit Üniversitesi (ZBEÜN) Sağlık Uygulama ve Araştırma Hastanesinde çalışan doktor ve hemşirelerin obezite sıklığı ile yeme tutum ve davranışlarının incelenmesi ve birbirleri arasındaki ilişkilerin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Bu araştırma, 260 sağlık çalışanı üzerinde gerçekleştirilen kesitsel ve tanımlayıcı tipte bir çalışmadır. Araştırmada veri toplama aracı olarak sosyodemografik veri formu ve Hollanda Yeme Davranışı Anketi (DEBQ) kullanılmıştır. Elde edilen veriler SPSS 20 Programı kullanılarak değerlendirilmiştir.
Bulgular: Doktor ve hemşirelerin obezite sıklığı %9,2 olarak saptanmıştır. Obez bireylerin %62,5’inde kronik hastalık olduğu ve %83,3’ünün daha önce zayıflama diyeti yaptığı gözlenmiştir. Katılımcılardan diyet öyküsü olanların duygusal yeme, kısıtlayıcı yeme ve dışsal yeme faktörlerinin ortalaması daha yüksek saptanmıştır. Duygusal yeme davranışı ile Beden kitle indeksi (BKİ) sınıflaması arasında anlamlı bir fark bulunmuştur. Duygusal yeme puanları yüksek olanlarda kısıtlayıcı ve dışsal yeme puanlarının da yüksek olduğu görülmüştür.
Sonuç: Obez olan sağlık çalışanlarının kronik hastalık varlığının daha yüksek olduğu, yetersiz ve dengesiz beslenmenin sağlığı olumsuz yönde etkilediği görülmüştür. Hastalarına ve içinde yaşadıkları topluma rol model olan sağlık çalışanlarına; kendi sağlıklarını korumak ve geliştirmek, sağlıklı yaşam biçimini benimsemeleri ve davranış haline getirebilmeleri için öğrencilik dönemindeki eğitimlerin zorunlu hale getirilmesi, hizmet içi eğitimlerin yapılması ve bu eğitimlerin devamlılığı sağlanabilir.
Quantitative Impact of Traditional Open Surgery and Minimally Invasive Surgery on Patients’ First-Night Sleep Status in the Intensive Care Unit: Prospective Cohort Study (Preprint)
Authors: Shang Chen , Yang Ya , He Chengcheng , Feng Junqi , Li Yan , Tian Meimei , Zhao Zhanqi , Gao Yuan , Li Zhe
Published: November 2024

BACKGROUND

The sleep status of patients in the surgical intensive care unit (ICU) significantly impacts their recoveries. However, the effects of surgical procedures on sleep are rarely studied.

OBJECTIVE

This study aimed to investigate quantitatively the impact of traditional open surgery (TOS) versus minimally invasive surgery (MIS) on patients’ first-night sleep status in a surgical ICU.

METHODS

Patients transferred to the ICU after surgery were prospectively screened. The sleep status on the night of surgery was assessed by the patient- and nurse-completed Richards-Campbell Sleep Questionnaire (RCSQ) and Huawei wearable sleep monitoring wristband. Surgical types and sleep parameters were analyzed.

RESULTS

A total of 61 patients were enrolled. Compared to patients in the TOS group, patients in the MIS group had a higher nurse-RCSQ score (mean 60.9, SD 16.9 vs mean 51.2, SD 17.3; P=.03), self-RCSQ score (mean 58.6, SD 16.2 vs mean 49.5, SD 14.8; P=.03), and Huawei sleep score (mean 77.9, SD 4.5 vs mean 68.6, SD 11.1; P<.001). Quantitative sleep analysis of Huawei wearable data showed a longer total sleep period (mean 503.0, SD 91.4 vs mean 437.9, SD 144.0 min; P=.04), longer rapid eye movement sleep period (mean 81.0, 52.1 vs mean 55.8, SD 44.5 min; P=.047), and higher deep sleep continuity score (mean 56.4, SD 7.0 vs mean 47.5, SD 12.1; P=.001) in the MIS group.

CONCLUSIONS

MIS, compared to TOS, contributed to higher sleep quality for patients in the ICU after surgery.
Auto-Generative Text-bots in Graduate Medical Education: Resident and Faculty Uses and Opinions (Preprint)
Authors: Keltner Case H , Sakai Joshua H.M. , Colburn Zachary T , Mease Luke E
Published: November 2024

BACKGROUND

The rise of text-bots such as Chat Generative Pre-Trained Transformer prompts scrutiny of artificial intelligence (AI) in graduate medical education (GME), where data on provider and trainee views on AI's appropriateness and governance remain sparse.

OBJECTIVE

To identify common perceptions and concerns about text-bots among GME trainees and faculty and characterize differences in opinions.

METHODS

In 2023, we conducted a cross-sectional Qualtrics™-based survey of medical residents and faculty at Madigan Army Medical Center. Multiple choice and free response questions focused on text-bot uses and appropriateness of use in various settings. We completed descriptive analyses and obtained odds ratios (ORs) in Qualtrics™ and R. We compiled common themes from free responses.

RESULTS

43 trainees and 42 faculty responded to at least one question. Relative to faculty, trainees are 69% less likely to report text-bot use for evaluation preparation as appropriate (OR = 0.31, 95% CI: 0.10-0.88), and 2.5-times more likely to consider text-bot use for clinical note writing as appropriate (OR = 3.47, 95% CI: 1.18-10.86). Most trainees and residents agree text-bot utilization is appropriate for administrative tasks, education, learning, and research, with no differences in opinion between the two groups (p < .05).

CONCLUSIONS

Trainees and faculty possess divergent opinions regarding the AI text-bot use for clinical notes and evaluation preparation. Concerns over privacy and oversight countered optimism surrounding efficiency and completion of tedious patient care tasks like letter generation. Additional studies should explore these views, and provider beliefs about medical application(s) of text-bots should inform GME AI policies.
Consultoría de enfermería para el desarrollo de capacidades de autocuidado: un enfoque en salud comunitaria
Authors: Rivas-Espinosa J.G. , Correa-Argueta E. , Gallegos-Guzmán B.A. , Gaona-Rivera A.M. , Siguenza-Sánchez J.M. , Alvarez-Albino A.
Published: November 2024

Introducción: La consultoría de enfermería (CE) se considera un componente resultante de la práctica avanzada; dicha actividad evidencia el liderazgo y empoderamiento profesional. La finalidad de la consultoría es responder a las necesidades de salud de personas sanas o enfermas, con orientación en la atención primaria de salud, para que estas desarrollen capacidades de autocuidado desde lo individual hasta lo colectivo.
Desarrollo: Se planteó una propuesta de implementación de consultoría de enfermería a través del trabajo interprofesional, desde la perspectiva de práctica avanzada. Se contemplaron cuatro dimensiones para la atención: 1) sexualidad y reproducción, 2) atención al niño y adolescente, 3) atención al adulto y 4) atención al adulto mayor. La CE desarrollada está vinculada a la docencia, investigación y servicio social (SS) de la institución; tanto el profesorado como el alumnado y los egresados del SS participan de forma activa en el programa, brindan atención de primer nivel a la comunidad universitaria y a la población externa, en modalidad presencial o por teleenfermería.
Conclusiones: El ejercicio profesional de enfermería, a través de la consultoría, permite la ampliación del rol y el desarrollo de habilidades de práctica avanzada, lo que fortalece la proyección de la disciplina y, por consiguiente, cambia la representación social de la profesión.
ANALYSIS OF COMPANY VALUE WITH MODERATION OF CORPORATE SOCIAL RESPONBILITY
Authors: Eliza78 Eliza
Published: November 2024

This research was conducted to examine matters related to the variables studied. The objectives of this research
are, 1) To determine the influence of financial performance and capital structure on company value, 2) To
determine the influence of capital structure on company value, 3) To determine the influence of financial
performance on company value and disclosure of corporate social responsibility as a moderating variable in
manufacturing companies, and 4) To determine the effect of capital structure on company value and disclosure
of corporate social responsibility as a moderating variable in manufacturing companies listed on the BEI in 2018-
2022. The sample for this research is manufacturing companies listed on the Indonesian stock exchange in 2018-
2022 which were selected using a purposive sampling method with predetermined criteria. In this research, panel
data regression analysis was carried out using the Eviews 12 software program. The results of this research are,
1) Financial Performance partially has a positive and significant effect on Company Value in Manufacturing
Companies on the Indonesia Stock Exchange in 2018-2022, 2) Capital Structure has no partial effect on Company
Value in Manufacturing Companies on Indonesia Stock Exchange in 2018-2022, 3) Financial Performance does
not have a significant effect on Company Value which is partially moderated by Corporate Social Responsibility
in Manufacturing Companies on the Indonesian Stock Exchange in 2018-2022, and 4) Capital Structure partially
does not has a significant effect on Company Value which is moderated by Corporate Social Responsibility in
Manufacturing Companies on the Indonesia Stock Exchange in 2018-2022.
Examining Career Paths of Women in Educational Leadership: The Impact of Age, Gender, Maternity and Parental Leaves
Authors: Essiomle Komla , Nadler Leticia , ElAtia Samira
Published: November 2024

This study delves into the complex dynamics of leadership within Alberta’s K-12 education system, specifically focusing on the relationship between age, gender, maternity and parental leaves and women’s career progression. Using an explanatory mixed-method approach, comprising a survey of 416 educational leaders and two focus groups of 20 women in leadership roles, this research uncovers age and gender disparities in career advancement in the education system, highlighting that women often enter some leadership roles at an older age than men. Recommendations from this inquiry include a reevaluation of maternity/parental/family leave policies in schools, aligning them with principles of equitable career progression and a call for robust equity, diversity, and inclusion (EDI) policies and training at all levels of leadership and in the recruitment process.
Knitting the Chain of Anti-Colonialism: Kiai and Pesantren's Political Activities in Berbek from the Late 1800s to the Early 1900s
Authors: Ilyas Ilyas , Maryani Lesi , Wahyudhi Johan , Zamani Muhammad Zaqi Al
Published: November 2024

This paper explores the role and political activities of kiai and pesantren in Berbek (present-day Nganjuk) during the late 19th and early 20th centuries in the context of resistance to Dutch colonialism. Through a social and political history approach, this study explores how kiai and pesantren became the centre of the anti-colonial movement, spread ideas of freedom, and shaped nationalist identity in Berbek society. The results provide deep insights into how the anti-colonial movement developed and forged a strong network in an effort to achieve national independence.
Menari dengan Kata-Kata: Kritik Mahbub Djunaidi terhadap Kebijakan Pemerintah Indonesia 1970 – 1990
Authors: Wahyudhi Johan
Published: November 2024

This paper describes Mahbub Djunaidi, a social activist, journalist and writer who often protested against government policies from 1970 to 1990. During this period, Indonesian Muslims lived in a different social and political atmosphere than before. Previously, Muslims in Indonesia were relatively free to express their thoughts and political activities, but during this 20-year period, the situation became more restrictive. President Soeharto's government allegedly carried out a series of restrictive actions to inhibit political freedom and intellectual development for some Muslims, especially those belonging to Nahdhlatul Ulama, the largest Islamic mass organisation in Indonesia at that time. This paper will use an intellectual history approach by putting forward a number of Mahbub's writings relating to his criticism of the Soeharto government. Mahbub's writing style is known for combining humour and satire, making him one of the most prominent columnists in Indonesia at the time.
Penerapan Program Projek Penguatan Profil Pelajar Pancasila sebagai Penguatan Karakter Nasionalisme (Studi Kasus di SMK Jakarta Selatan)
Authors: Setiyonugroho Ponco , Santosa Yusuf Budi Prasetya
Published: November 2024

The project program to strengthen the profile of Pancasila students is a form of character education contained in the Merdeka Curriculum. In contrast to character education in the 2013 Curriculum, the project to strengthen the profile of Pancasila students is that character education is presented in a more systematic and measurable manner. One of the characters that can be developed through this program is the character of nationalism, as a mandate of national education goals. Apart from that, the project program to strengthen the profile of Pancasila students must be carried out periodically by schools as formal educational institutions. This research uses a qualitative research methodology, where the research locations are several vocational high schools in Jakarta, with respondents from school stakeholders, such as deputy principals for curriculum, teachers involved in the program and program object students. The results of this research show that all schools that are research locations can implement project programs to strengthen the profile of Pancasila students. There are various obstacles and obstacles faced by schools in its implementation. This research aims to see how the project program to strengthen the profile of Pancasila students is implemented in several vocational high schools. Are there any obstacles in its implementation.
Navigating Communication in Racially Concordant Care: Considerations for Medical Education
Authors: Anderson LaKesha N. , Taylor Taryn R. , Siwemuke Tylin , Rockich-Winston Nicole , White DeJuan , Wyatt Tasha R.
Published: November 2024

Background and Objectives: Black/African American medical professionals and students engage in patient-centered communication in ways that are not yet described in medical education literature. The purpose of this paper is to explore the ways in which Black/African American attending physicians, residents, and medical students enact patient-centered communication while interacting with their Black/African American patients.
Methods: Forty-one Black/African American attending physicians, residents, and medical students were recruited through a snowball sample of the authors’ personal and professional networks. Participants engaged in semistructured interviews about their experiences of being Black in a predominantly White profession. Data were transcribed and analyzed using thematic analysis.
Results: Black/African American attending physicians, residents, and medical students used patient-centered communication when engaging with Black/African American patients. Rather than relying on physician-focused styles of communication, participants situated their communication within their shared cultural backgrounds and approached their patients as they would approach family members. Participants reported that by centering the patient, they could communicate in a way that reflects shared norms and understandings.
Conclusions: This study suggests that Black/African American attending physicians, residents, and medical students approach communication from a personal and familial space in an effort to disrupt conventional modes of provider-patient communication that do not center the patient or consider the patient’s cultural background.
Catalogação de podcasts uma proposta embrionária
Authors: Santos Francisco Edvander Pires , Fernandes Joana D'Arc Páscoa Bezerra
Published: November 2024

Este trabalho tem como objetivo discutir uma proposta embrionária de catalogação de podcasts, partindo de abordagens teórica e prática que subsidiaram a fase de testes para incorporação de podcast ao catálogo online gerenciado pelo Sistema de Bibliotecas da Universidade Federal do Ceará. Como percurso metodológico da abordagem teórica, apoia-se em pesquisa bibliográfica sobre podcasts e na audição de episódios gravados durante o evento intitulado Spotify for Podcasters Summit Brasil. Como percurso metodológico da abordagem prática, baseia-se na fase de testes de catalogação de podcast realizados no formato MARC 21 entre os anos de 2020 e 2023. Apresenta como resultado a catalogação de 27 podcasts, dentre os quais houve a catalogação de 5 episódios no sistema Pergamum da UFC. Discute, ainda, os exemplos de campos e subcampos utilizados na catalogação de podcasts e sugere 46 dados a serem levados em consideração na representação descritiva e temática da informação. Conclui que a catalogação de podcasts tornou-se objeto de estudo em potencial para as áreas de Biblioteconomia e Ciência da Informação, haja vista os testes realizados em catálogo online, que ampliam sobremaneira as possibilidades de busca do conteúdo registrado em áudio no ambiente da podosfera.
ENTRE COACHES E COLABORADORES
Authors: De Lima Pinto Simã Catarina
Published: November 2024

As práticas corporativas na sociedade contemporânea ultrapassam os limites da esfera do trabalho e alcançam as demais instâncias da vida dos indivíduos. Com isso, trabalhadores passam a ser denominados de colaboradores no intuito de que a negatividade e os limites presentes na disciplina à qual eles se submetem no trabalho sejam neutralizados. Para além do âmbito corporativo, ocorre também a proliferação de coaches cujos serviços oferecidos nos meios digitais se direcionam ao alcance de maior desempenho nas demais instâncias da vida para além do trabalho. Por conseguinte, a partir da literatura que trata de questões que se relacionam com esse cenário contemporâneo neoliberal, propõe-se neste ensaio uma reflexão crítica que permita compreender que os atuais colaboradores e coaches, além de refletirem o homem da empresa e da produção de Foucault, expressam o que Byung-Chul Han chamou de sujeito do desempenho.
A TRAJETÓRIA DA INDÚSTRIA AUTOMOTIVA NO MÉXICO
Authors: Da Costa Lima Raphael Jonathas , Dulci João
Published: November 2024

Jorge Carrillo Viveros é professor do Colegio de la Frontera Norte e um dos mais importantes sociólogos do trabalho mexicanos. Doutor em Sociologia pelo Colegio de México (COLMEX), é reconhecido como um dos grandes especialistas em indústria maquiladora e em temas que envolvem trabalho e tecnologia nos setores automotivo, eletrônico e aeroespacial. Há mais de 40 anos, estuda a indústria maquiladora instalada na fronteira com os Estados Unidos e foi pioneiro em pesquisas sobre a planta da Ford, instalada em Hermosillo, estado de Sonora, em 1986. Seu estudo espelhou a condição da Ford enquanto símbolo da modernização do setor automotivo mexicano, que se desenvolvia naquele momento em função da política de substituição de importações, já adentrando no contexto da lean production de inspiração japonesa. Suas discussões sobre montadoras, empresas de autopeças e clusters partem sempre da valorização do contexto regional, levando-o a se definir como um especialista em analisar a forma segundo a qual regiões e setores industriais específicos coexistem e se influenciam mutuamente. Em 2015, recebeu o Baja California State Award for Science and Technology e, atualmente, investiga o impacto da indústria 4.0, da robotização e da terceirização no emprego industrial. O leitor poderá encontrar mais referências sobre a obra de Carrillo em sua página pessoal: http://www.jorgecarrillo.info/.
MULHERES PALHAÇAS BRASILEIRAS E O LEGADO DE ANNIE FRATELLINI
Authors: Pimenta Daniele , Bolognesi Mário
Published: November 2024

Neste artigo, analisamos a importância de Annie Fratellini nas transformações pelas quais o Circo passou nas últimas décadas, tanto do ponto de vista artístico quanto do pedagógico. Tendo como ponto de partida nossa pesquisa sobre as mulheres circenses no Brasil e a observação do crescimento exponencial do número de mulheres palhaças, abordamos o trabalho da multiartista Annie Fratellini, que é uma grande referência como palhaça e que criou, junto com Pierre Étaix, a primeira escola de Circo do ocidente.
AUTORIA E PROCESSOS DE CRIAÇÃO EM TEXTOS ATRIBUÍDOS A JOSÉ DE ANCHIETA
Authors: Giovani José da Silva
Published: November 2024

O conjunto de textos com destinação cênica atribuídos ao missionário jesuíta José de Anchieta constitui-se, praticamente, no único vestígio tangível do teatro que se fez no século XVI. O objetivo do artigo é discorrer sobre autoria e processos de criação em obras atribuídas a Anchieta, ainda pouco conhecidas e estudadas em história do teatro brasileiro, “esquecidas” em termos de representação, embora “atuais” por tocarem em temas que se assentam na gênese da formação da sociedade brasileira.
DIABO EUROPEU NA AMÉRICA PORTUGUESA
Authors: Fábio Eduardo Cressoni  , Maycom Cleber Araújo Sousa
Published: November 2024

O teatro foi uma das ferramentas utilizadas pela Companhia de Jesus na tentativa de se promover a conversão de povos indígenas que habitavam a América portuguesa. Analisamos esse processo, a partir do Auto da Festa de São Lourenço, redigido por José de Anchieta no ano de 1583. Adotamos como principal referência os estudos de François Hartog (1999) para a compreensão desse processo.
MIMUS, P. BERNARDINI STEPHONI E SOCIETATE IESU
Authors: Mirella Saulini  , Gislaine Marins
Published: November 2024

Bernardino Stefonio (1562-1620) é um dos dramaturgos mais importantes da história do teatro jesuíta e da história do teatro moderno. Seu nome está ligado à chamada reforma stefoniana, que realizou ao escrever duas importantes tragédias sobre temas históricos: Crispus Tragoedia (1597) e Flavia Tragoedia (1600). Nessas tragédias, ambientadas na Roma Antiga, Stefonio conseguiu mesclar perfeitamente as estruturas clássicas e a mensagem cristã, fundando a chamada tragédia de martírio. Antes das tragédias de martírio, Stefonio escreveu e encenou pela primeira vez em Roma em 1591 a Sancta Symphorosa e, em 1593, uma obra alegórica em latim intitulada Mimus, publicadas conjuntamente em Roma muitos anos depois, em 1655.
GROTOWSKI, BARBA, IDENTIDADE DO ATOR
Authors: Franco Ruffini  , Ricardo Gomes
Published: November 2024

O artigo, elaborado para a palestra realizada virtualmente no dia 25/10/2021, durante o evento Encontros sobre o Terceiro Teatro e Antropologia Teatral: uma homenagem a Eugenio Barba - 85 anos de vida, 60 anos de teatro, 34 anos de encontros no Brasil, aborda a questão da identidade do ator, a partir de duas perspectivas: a perspectiva do trabalho sobre si e a perspectiva do trabalho político. A primeira perspectiva é relacionada com o trabalho de Grotowski na “arte como veículo” e sua premissa – lógica e cronológica – do “ato total” e do “ator santo”; a segunda, com o terceiro teatro de Eugenio Barba e sua premissa – lógica, ainda que não cronológica – da “antropologia teatral” e do “nível pré-expressivo”. As pesquisas de Barba e Grotowski desenvolvem caminhos paralelos na busca da identidade do ator, em direção ao nível pré-expressivo da pura presença. Neste ponto, porém, seus caminhos se separam: enquanto Barba utiliza o performing como arma para redesenhar “por dentro” as fronteiras do teatro, Grotowski se desprende da pura presença para usar o performing como veículo para ultrapassar as fronteiras do teatro.
Três aproximações entre ética e métodos na pesquisa em comunicação
Authors: Martino Luis Mauro Sá
Published: November 2024

No ensino de pesquisa em comunicação, questões éticas e metodológicas parecem ser frequentemente apresentadas como dimensões separadas. Enquanto métodos tendem a ser mostrados como procedimentos técnicos de obtenção e análise de dados, a ética se apresenta como regras voltadas para as questões macro da pesquisa. Este texto delineia a possibilidade de pensar a relação entre ética e métodos como elemento longitudinal da prática de pesquisa, tanto por sua presença em todas as etapas quanto por lidarem com a subjetividade de pesquisadoras e pesquisadores. A partir da análise de procedimentos cotidianos de pesquisa, trabalha-se três situações nas quais essas intersecções entre ética e metodologia se apresentam com especial nitidez: (1) o encontro com as condições materiais da prática de pesquisa; (2) a aproximação com as proposições de textos, conceitos e teorias e (3) o pertencimento a uma comunidade acadêmica.