bluuebunny/crossref_metadata_2025 huggingface dataset:
PEDAGOGICAL ASPECT OF PROFESSIOLOGY IN THE CONTEXT OF UPDATING THE SYSTEM OF SPECIALISTS TRAINING AT UNIVERSITY
Authors: Balakireva E.V.
Published: June 2024

The article analyzes the reasons for updating the teacher training system in the context of new understanding of the mission of higher education, which are associated not only with changes in the structure of higher education, but also with rethinking of professional content in the content of higher education. The need to transform the training of professional teachers at university is considered, characterized by productive and effective changes in the field: improving the quality of teacher training; increasing professional competence by reducing the risk of violating the integrity of the process of preparing the professional training of future teachers and their professionalization in the educational process of the university. The essence of the concept of “professional knowledge” and its relationship with the concept of “professiology” is revealed. Professionology is presented as a complex scientific field, the subject of which is the problem of synthesizing theoretical and practical experience of the phenomenon of profession and professional activity through the definition of the main professional categories that characterize the actual professional in teacher education. Considering new prospects in changing the higher education system, it is noted that the tasks of selecting the content of professional training of future specialists of various pedagogical profiles should be associated with the need for the more in-depth and detailed study of the professional activities of current teachers of a particular profile. It is proposed to use the professional approach to professional pedagogical education, which idea is in focusing professional training on developing the ability of the future teacher to solve professional problems through development of professional knowledge.
Neutrofilné extracelulárne pasce a ich vplyv v patogenéze vybraných ochorení
Authors:   Ústav klinickej biochémie, imunológie a alergológie, Ústredná vojenská nemocnica SNP Ružomberok – FN, Thurzová Ivana ,   Fakulta zdravotníctva, Katolícka univerzita v Ružomberku, Bajuszová Vanesa ,   Fakulta zdravotníctva, Katolícka univerzita v Ružomberku, Tupý Jaromír ,   Ústav klinickej biochémie, imunológie a alergológie, Ústredná vojenská nemocnica SNP Ružomberok – FN,   Klinika hematológie a transfúziológie, Ústredná vojenská nemocnica SNP Ružomberok – FN
Published: June 2024

Neutrophil extracellular traps (NETs) are net-like extracellular structures extruded by activated neutrophils capable of trapping many pathogens, including Gram-positive and Gram-negative bacteria, fungi, protozoa, and viruses. NETs are composed of DNA strands, histones, and antimicrobial proteins derived from neutrophil granules and nuclei. Pathogens are immobilized in them and exposed to a local, high and lethal concentration of effector proteins. Excessive release of NETs or violation of their elimination mechanisms is associated with several disease states. Toxic products of NETs (histones, granule proteins) induce cell apoptosis, promote tissue damage and inflammation. Components of NETs can serve as autoantigens and initiate reactions important in the pathogenesis of several autoimmune diseases. The presence of an increased amount of circulating NETs can influence the progression of cancer disease, the formation of metastases and the failure of treatment. NETs also play an important role in coagulation and blood clot formation.
Kırmızı Pitaya (Hylocereus polyrhizus ) ve Beyaz Pitaya (Hylocereus undatus) Türlerinin Fenolik Bileşenlerinin Belirlenmesi
Authors: Çelik Civan , Pepe Ayşe Vildan , Yıldırım Adnan , Yıldırım Fatma
Published: June 2024

Araştırmada, Muğla ilinin Seydikemer ilçesinde örtü altı yetiştiriciliği yapılan Vietnamese White (et rengi beyaz) ve Siam Red pitaya (et rengi kırmızı) meyvelerinin fenolik bileşenlerinin belirlenmesi amaçlanmıştır. Araştırmada çeşitlerin gallik asit, kateşin, klorojenik asit, kafeik asit, p-kumarik asit, rutin ve kamferol gibi fenolik bileşenleri incelenmiştir. Çalışmada Siam Red çeşidinin gallik asit, klorojenik asit ve kafeik asit içeriklerinin Vietnamese White çeşidinden sırasıyla %142.85, %332.50 ve %62.50 oranında daha yüksek olduğu saptanmıştır. P-kumarik asit ve rutin bileşenlerinde ise çeşitler arasında istatistiksel olarak bir fark saptanmamıştır. Araştırmada Vietnamese White çeşidinde kateşin bileşeni tespit edilmezken, Siam Red çeşidinde bu bileşen 0.90 µg/g olarak saptanmıştır. Araştırmada Vietnamese White çeşidinin Kamferol içeriğinin Siam Red çeşidinden %75 oranında daha yüksek olduğu belirlenmiştir. Bu çalışmada Muğla ilinin Seydikemer ilçesinde yetiştirilen kırımızı ve beyaz meyve etine sahip pitaya türlerinin fenolik bileşenleri ilk kez araştırılmış ve sonuçlar sunulmuştur. Araştırma sonucunda kırmızı meyve etine sahip pitaya türünün daha yüksek fenolik bileşen içerdiği saptanmıştır. Sonuç olarak tüketim açısından değerlendirildiğinde kırmızı meyve etine sahip pitaya türlerinin daha uygun olacağı ve araştırmada kullanılan pitaya türleri ile ilgili gelecekte yapılacak olan çalışmalar için bir kaynak niteliği taşıyacağını söylemek mümkündür.
Conceptual Blending and Compound Figures of Speech
Authors: Aru Alessandro
Published: June 2024

Compound figures of speech, such as hyperbolic metaphors, ironic metaphors and ironic hyperboles, have been investigated from several points of view, but the complexity of the phenomena is such that a thorough explanation is still lacking. This contribution will be focused on ironic metaphors. It will be suggested that a plausible explanation of their process of interpretation can be found within the framework of Conceptual Integration Networks. Specifically, two alternative proposals are discussed. The first one is in line with two-stage theories of figurative language comprehension, as it describes the interpretation of the compound as a blending of a blending. The second one analyses emergent meanings on a probabilistic base, as in constraint-satisfaction models of irony, which are consistent with one-stage theories. Finally, an interpretation of the empirical results obtained in previous studies is provided.
A New Method for Testing Whether a Number Is Prime
Authors: Bahbouhi Bouchaïb
Published: June 2024

The present paper describes a new method for the decomposition of integer numbers into their prime factors. To know if a number is prime, the classic and oldest method is to perform a series of Euclidean divisions by the prime factors in increasing order. In this article, I report a new and alternative method to the classic one. It is based on the fact that an even number that precedes a prime number must in no case have a potential prime factor that lacks a unit. This even number with one unit before the number to be decomposed can then be used to prove its primality or not by looking if it has a factor missing one unit. To achieve this, we divide the even by the prime factors (p) in ascending order and follow the decimal part. If the latter is equal to a ratio of (p - 1)/p (p is any prime factor), then the number to be decomposed is not prime and the prime number giving the ratio is its prime factor. This method has the potential to have applications in computer science and to lead to a new algorithm for decomposing numbers or further improve the performance of those existing.
Gedragsnormen en rechtsvorming in het ondernemingsrecht
Authors: Kemp B.
Published: June 2024

Gedragsnormen en rechtsvorming in het ondernemingsrecht

In zijn oratie gaat Kemp in op de verhouding tussen belangenpluralisme en rechtsvorming. Gezien de belangrijke rol van de rechter, en in het bijzonder de Ondernemingskamer, bij de rechtsvorming, wordt betoogd de toegang tot het enquêterecht te verbreden. Daar zou wel een aantal waarborgen tegenover moeten staan.
Epigenetic analysis of heat shock activator complex in the peripheral blood of Parkinson's disease patients and its clinical significance
Authors: İnalkac Gemici Yagmur , Tasci Irem , Dundar Muhammed , Ozgen Nazmi , Danis Nefsun , Gozde Gozukara Harika , Koc Ahmet
Published: June 2024

Objectives: This study aimed to investigate the methylation changes of related genes in the peripheral blood and their clinical significance in Parkinson's disease (PD) and whether the methylation change of the gene encoding long noncoding RNA was different in the blood of patients and controls.

Patients and methods: This prospective cross-sectional, controlled study was conducted with 45 participants (22 males, 23 females; mean age: 60.7±5.9 years; range, 53 to 75 years) between June 2020 and June 2021. Drug-naive patients diagnosed with PD were included in this study. Those with PD and a Mini-Mental State Examination (MMSE) score >23 were defined as Group 1 (n=15), and those with PD and an MMSE score ≤23 were defined as Group 2 (n=15). Controls were included in Group 3 (n=15). The methylation changes of genes HSP70, HSP90, heat shock factor 1 (HSF1), heat shock RNA 1 (HSR1), and eukaryotic translation elongation factor 1 alpha (eEF1α) were investigated with methylation-specific real-time quantitative polymerase chain reaction analysis.

Results: The eEF1α was significantly more hypermethylated in Group 1. In Group 2, HSP70, HSP90 HSF1, HSR1, and eEF1α were significantly hypomethylated compared to Group 1 and Group 3 (for all genes p<0.001). The HSF1 hypomethylation was negatively correlated with MMSE and positively correlated with depression scores (p=0.03 and p=0.013, respectively). The correlation of eEF1α with MMSE and depression was the opposite of HSF1 (p<0.001 and p=0.013, respectively).

Conclusion: Cell line and autopsy studies indicate that eEF1α hypermethylation might be one of the main molecules triggering alpha-synuclein aggregation in the pathogenesis of PD. Therefore, eEF1α may be a molecule that can be used as a peripheral biomarker. The findings supported this idea as it was more hypermethylated in PD patients than in controls, whereas its negative regulator HSF1 was hypomethylated and correlated with the clinic. Furthermore, the worsening of cognitive functions and depression in PD patients may affect methylation levels of chaperone genes in the peripheral blood.
HISTORICAL INFORMATION ON THE HYDROLOGICAL CHARACTERISTICS OF FLOODS ON THE ZHAIYK RIVER
Authors:   JSC «Institute of Geography and Water Security», Tursynova A. A. , Myrzakhmetov A. B. ,   JSC «Institute of Geography and Water Security», Baspakova G. R. ,   JSC «Institute of Geography and Water Security», Sailaubek A. M. ,   Al-Farabi Kazakh National University,   JSC «Institute of Geography and Water Security», Salavatova Zh. T. ,   JSC «Institute of Geography and Water Security»
Published: June 2024

In connection with the catastrophic floods in the spring of 2024 in the Western region of Kazakhstan, the goal was to conduct a critical analysis of the long-term dynamics of maximum water flow rates according to hydrological posts located along the main channel of the Zhaiyk River, for a retrospective assessment of the probabilistic recurrence of such values in 2024. The article discusses the main hydrological characteristics of floods on the Zhaiyk River for a long-term period up to 2021. Hydrological calculations, statistical analysis of long-term flow dynamics were carried out, and catastrophic years with high waters were identified in accordance with regulatory documents. The characteristic water levels in the years with correspondingly critical water consumption, as well as the area of flooding of territories, were studied, the time of the flood wave between hydrological posts, including the territory of Russia, was determined. In the future, it is planned to analyze the current situation for 2024, at the end of the flood and flood process in Western Kazakhstan.
DYNAMICS OF THE ARAL SEA WATER ON AREA HISTORICAL MAPS
Authors:   Abai Kazakh National Pedagogical University, Laiskhanov Sh. U. , Kaymuldinova K. D. ,   Abai Kazakh National Pedagogical University, Aliaskarov D. T. ,   Abai Kazakh National Pedagogical University
Published: June 2024

The global environmental crisis of the Aral Sea has garnered the attention of researchers in recent decades, leading to an increase in studies on changes in the water area and its environmental impact. While most research on the Aral Sea focuses on the past fifty years, there is a lack of information on quantitative changes from its inception to becoming an environmental disaster. Our aim is to utilize historical maps to examine the Aral Sea's area in different years and trace its evolution before the environmental crisis. By reviewing scientific papers and maps using international search engines and electronic resources, we analyzed the area of the Aral Sea on historical maps with the ArсGIS 10.4.1 GIS program. The data from 1716 to 1967 reveals that the area was 10 320 km2 in 1716, expanding to 20 538 km2 in 1742 and reaching a peak of 71 009 km2 in 1848-1849. Subsequently, the area decreased slightly to 63 691 km2 by 1907 before rising again to 66 836 km2 by 1967. It is worth noting that pre-1848-1849 historical maps may have more inaccuracies due to limited scientific knowledge and mapping techniques.
STATISTICAL ANALYSIS OF LONG-TERM DATA ON SNOW AVALANCHES AND SNOW-METEOROLOGICAL CONDITIONS IN THE ILE ALATAU MOUNTAINS
Authors:   JSC «Institute of Geography and Water Security», Zhdanov V. V. , Kuzhageldina N. U. ,   Al-Farabi Kazakh National University,   RSE «Kazhydromet», Kamalbekova A. N. ,   (Al-Farabi Kazakh National University,   JSC «Institute of Geography and Water Security», Aldabergen U. R. ,   Al-Farabi Kazakh National University,   JSC «Institute of Geography and Water Security»
Published: June 2024

Based on long-term observations at snow avalanche stations in the vicinity of Almaty, more than 5 thousand snow avalanches have been recorded since 1966. After statistical analysis of the data, the main characteristics of the avalanches were determined and snow and meteorological conditions were analyzed. The average volume of avalanches is 4 thousand m3, but this value is distorted due to the nonparametric distribution law. The median value of the volume of avalanches is 750-800 m3. 50% of cases within the upper and lower quartiles are 250-2500 m3. Catastrophic avalanches of more than 30 thousand m3 account for 3% of cases, and more than 100 thousand m3 only 0.3% of cases. Typical weather conditions during periods of avalanche danger are: snow height on the slopes 80-90 cm, on the meteorological site 50-60 cm, precipitation 15-19 mm, snow growth 25-30 cm. The dominant factors in avalanche formation were the height of the snow cover on the slopes, the amount of snowfall precipitation, snow cover increase, maximum air temperature. Spearman's correlation coefficients were found to be statistically significant for these parameters at the standard 5% significance level (a-level) with a probability of error (p-level) of less than 0.01. The results of factor analysis showed that avalanches are influenced by three groups of predictors: snow depth, precipitation and snow growth, and temperature conditions. Analysis of catastrophic avalanches in the indicator avalanche collection in the Kotyrbulak gorge showed typical conditions for mass avalanches in Ile Alatau in the spring - snow height at the weather site 50 cm, precipitation amount 53 mm, snow increase 28 cm. The agreement criteria we calculated turned out to be statistically significant by 5% level of significance. The standard errors of some data were within the recommended limits of 10%, which indicates the reliability of the results.
A atuação da defensoria pública no plano internacional
Authors: Gualberto Hian , Santos Azeredo Luana , Quiroga Obregon Marcelo Fernando
Published: June 2024

Esta pesquisa visa compreender as possibilidades de atuação da Defensoria Pública (DP) na efetivação dos direitos humanos em âmbito internacional. A partir de uma revisão bibliográfica da teoria de Flávia Piovesan e de análise documental, analisou-se o Sistema Interamericano de Direitos Humanos, por meio da forma de atuação dos órgãos que compõem tal sistema, bem como suas funções em nível internacional. Ainda, foram delimitadas as possibilidades de participação da DP tendo em vista os pressupostos constitucionais do órgão e a evolução histórica da sua atuação. Como resultados, destaca-se a possibilidade de atuação da DP no plano do Sistema Interamericano de Direitos Humanos, bem como na proteção dos migrantes e refugiados em solo nacional e dos brasileiros em solo estrangeiro; e a baixa disponibilidade orçamentária da Defensoria Pública acaba por mitigar – nacional e internacionalmente – a abrangência dessa instituição, evidenciando o paradoxo entre viabilidade, necessidade e possibilidade.
Violações aos direitos dos povos indígenas no Brasil frente à Covid-19 e perspectivas de resoluções
Authors: Santana Agatha Gonçalves , Teixeira Carla Noura , Barata Ataíde Rodier
Published: June 2024

O artigo aborda, como problema geral, os riscos ao direito à vida e à saúde nas tribos indígenas no Brasil frente à pandemia do vírus SARS-COV-2, especialmente pelos casos apresentados ao STF e à Corte Interamericana de Direitos Humanos, objetivando analisar as perspectivas de soluções amistosas pelo Governo brasileiro, com vinculação e repercussão da situação fática nas esferas jurídicas de Direito Constitucional e de Direito Internacional, com questionamentos acerca dos encaminhamentos jurídicos possíveis. A metodologia utiliza pesquisa teórica e empírica com abordagem qualitativa e lógica predominantemente indutiva, tendo como procedimento a análise bibliográfica e documental.
O Marco Legal das startups e o incentivo ao desenvolvimento socioeconômico brasileiro
Authors: De Oliveira May Yduan , Sebastião Dal Pont Amanda
Published: June 2024

O artigo busca estudar o Marco Legal das Startups levando em consideração a comparação de seu projeto de lei original (PL 146/2019) e a versão sancionada, Lei Complementar 182/2021. Analisam-se as principais modificações práticas no empreendedorismo de startups e as ausências vetas. Destacam-se positivamente a desburocratização e responsabilidade patrimonial. Criticam-se o não aperfeiçoamento do regime tributário para os investidores-anjo e a eliminação de stock options. Os dados foram analisados através do método dedutivo, pelo procedimento monográfico, utilizando a técnica de pesquisa bibliográfica em livros, artigos científicos e sítios eletrônicos. Concluiu-se que os avanços são positivos, mas insuficientes para a promoção do desenvolvimento socioeconômico brasileiro.
A importância da drenagem linfática manual no pós-operatório de abdominoplastia
Authors: Lima Camila Rodrigues , Moraes Filho Iel Marciano de
Published: June 2024

A abdominoplastia é um procedimento cirúrgico estético com fins reparadores, frequentemente associado à lipoaspiração e/ou suas variantes. Embora seja considerada uma cirurgia segura, existem riscos de complicações, tais como seroma, hematoma, necrose, infecção e assimetrias, além de complicações sistêmicas como doença tromboembólica e insuficiência respiratória. Essas complicações locais, em particular, podem requerer tratamentos como a drenagem linfática manual (DLM). O objetivo deste trabalho foi discutir a relevância da DLM no pós-operatório de abdominoplastia. Para isso, foi realizada uma revisão bibliográfica. Os resultados indicaram que a DLM é importante na recuperação pós-abdominoplastia, contribuindo para a redução de edemas, hematomas e dor, além de melhorar a estética e o bem-estar dos pacientes. A DLM é mais eficaz quando iniciada precocemente, prevenindo complicações como seromas. Embora dez sessões de DLM sejam geralmente suficientes, casos de edema e parestesia podem exigir um número maior de sessões. Portanto, a DLM é essencial e amplamente recomendada no pós-operatório de abdominoplastia. No entanto, sugere-se que estudos futuros explorem a necessidade de revisar a quantidade de sessões prescritas para a melhoria eficaz do edema pós-operatório em abdominoplastias.
Association between lifestyle, metabolic syndrome and risk of Diabetes Mellitus in workers
Authors: Oliveira Renata Aparecida Rodrigues de , Amorim Paulo Roberto dos Santos , Miranda Valter Paulo Neves , Moreira Osvaldo Costa , Teixeira Robson Bonoto , Leite Luciano Bernardes , Cavaglieri Claudia Regina , Marins João Carlos Bouzas
Published: June 2024

Background: The multivariate assessment of lifestyle can contribute to the identification of factors that are associated with diabetes mellitus (DM) and metabolic syndrome (MS). Objective: To evaluate the multivariate association of lifestyle, body composition, physiological measurements and sociodemographic information with DM and MS. Methodology: We conducted a descriptive study with a cross-sectional design, assessing 155 workers, with a mean age of 35.23 ± 10.22 years. We analyzed sex, body mass index (BMI), waist-hip ratio (WHR), waist-to-height ratio, body fat percentage (BF%), blood pressure, level of physical activity, risk of DM, readiness for physical activity (PAR-Q) and presence of SM. Result: The Multiple Correspondence Analysis showed that very high BF%, obesity (BMI), sedentary lifestyle, hypertension, and moderate risk of DM were correlated. However, regression analysis showed that workers with high WHR and obesity were, respectively, 9.22 (95% CI: 2.72-31.21) and 61.71 (95% CI: 6.68-569.9.21) more likely to have MS. According to PAR-Q, those who answered 'Yes' in the questionnaire were 12.52 (95% CI: 1.516-103.44) more likely to have a high risk of DM. Conclusion:  There was a correspondence between the level of physical activity and risk factors for MS in the exploratory multivariate analysis.
Fijación biológica de nitrógeno y sostenibilidad agrícola
Authors: Torres Carolina Cervera , Nanjareddy Kalpana , Arthikala Manojkumar
Published: June 2024

Los sistemas agrícolas actuales enfrentan el desafío de proporcionar suficiente alimento para la población mundial en crecimiento, mientras contribuyen a la mitigación del cambio climático. Incluir leguminosas en los sistemas de cultivo mejora la fertilidad del suelo y el rendimiento de los cultivos, debido al aporte de nitrógeno a los agroecosistemas derivado de la simbiosis con bacterias rizobiales, que fijan el nitrógeno atmosférico. Las leguminosas son esenciales para la nutrición humana y animal, capaces de fijar nitrógeno atmosférico mediante asociaciones simbióticas con bacterias del suelo llamadas rizobios. Este proceso mejora la fertilidad del suelo, reduce la necesidad de fertilizantes nitrogenados sintéticos y mitiga las emisiones de gases de efecto invernadero. La incorporación de leguminosas en los sistemas de cultivo es crucial para la agricultura sostenible y la seguridad alimentaria global en medio de desafíos ambientales.Los sistemas agrícolas actuales enfrentan el desafío de proporcionar suficiente alimento para la población mundial en crecimiento, mientras contribuyen a la mitigación del cambio climático. Incluir leguminosas en los sistemas de cultivo, mejora la fertilidad del suelo y el rendimiento de los cultivos, debido al aporte de nitrógeno a los agroecosistemas, derivado de la simbiosis con bacterias rizobios, que fijan el nitrógeno atmosférico.
Análise do planejamento, execução e resultados de estratégias adotadas por uma empresa fabricante de componentes eólicos
Authors: Hasegawa Haroldo Lhou , Venanzi Délvio , Mota Junior Vidal Dias da , Moraes Vinícius Vieira de
Published: June 2024

O presente trabalho, na forma de um estudo de caso realizado entre os anos de 2009 a 2016, mostra a dicotomia entre as tomadas de decisões estratégicas e os seus resultados envolvendo uma empresa fabricante de componentes para geradores de energia eólica. A proposta do trabalho foi apresentar a relação entre as estratégias planejadas em função de estudos de cenários com os resultados alcançados. Apesar das previsões de cenários e as estratégias terem se mostradas corretas, a empresa não conseguiu executá-las e trouxe como consequência a sua reestruturação, entrando em processo de recuperação judicial no ano de 2017 resultando em um grande impacto negativo para a economia regional, uma vez que em chegou a ter 5.275 funcionários e teve participação de 3,80% no PIB do município de Sorocaba no ano de 2014. O estudo não julga as decisões ou ações da alta diretoria, mas o estabelecimento de um plano com ações estratégicas prováveis baseando-se nos dados disponíveis e a comparação destas em relação ao plano teórico proposto com os resultados finais obtidos após oito anos da implementação.
Solar irrigator: analysis of its performance a home vegetable garden according to a Gaussian Distribution
Authors: Dias Aléxia Cariele Lobato , Ribeiro Thais Kátia Gomes , Franco Esdras da Silva , Alves Jerry Williamis Lima , Oliveira Lelis Araújo de
Published: June 2024

The maturation process of some vegetables depends on many factors, among the main ones are the amount of sunlight received in the form of infrared radiation, which is responsible for their growth, and the amount of water absorbed during the days, which plays a fundamental role in the biochemical process for the production of energy by the plant. Depending on the region, if the plant receives too little or too much solar radiation during the days and how it is irrigated determine its growth and production. This study aimed to analyze the performance of an automatic solar irrigator built with low-cost materials in a small beet crop, implemented in a region located 17 km from the city of Abaetetuba during the months of March, April, May, and June. The results showed that the irrigator had better performance in the month of June due to the balance between high temperatures (satisfying a Gaussian distribution) and the amount of water delivered. It was found that the performance of the solar irrigator, although satisfactory, did not have a good evaluation in the production of beets, thus it is not a determining factor in the production of this type of crop under the research conditions.
Tratamento fisioterapêutico da dispareunia no puerpério tardio: revisão integrativa
Authors: Sousa Aline Kelly Fernandes de , Braga Marieliza Araújo , Almeida Larissa Raquel Bilro de , Lima Jéssica Medeiros Silva , Duarte Gabriela Nóbrega , Rocha Emília Sampaio , Santos Raissa Lima dos , Alexandrino Kedma Anne Lima Gomes
Published: June 2024

A dispareunia consiste na relação sexual dolorosa, por causas diversas, podendo acometer mulheres até mesmo meses após o parto. A Fisioterapia desempenha um papel fundamental no tratamento das disfunções sexuais femininas, enquanto método não invasivo e sem efeitos secundários negativos. O objetivo geral desta pesquisa foi descrever a atuação do Fisioterapeuta na dispareunia no período do puerpério tardio em mulheres que realizaram o parto vaginal. Especificamente, observar as causas da dispareunia nas mulheres no puerpério tardio, verificar quais os recursos fisioterapêuticos estão sendo utilizados para o tratamento da disfunção e analisar quais são os instrumentos utilizados pelo profissional para avaliar a dispareunia nas pacientes. Foram selecionadas as bases de dados para a busca por artigos científicos: Scielo (Scientific Electronic Library Online), PubMed, Cochrane LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde). Os descritores foram: Dispareunia; Período Pós Parto; Modalidades de Fisioterapia/ Dyspareunia; Postpartum Period; Physical Therapy Modalities; Clinical Trial, consultados previamente na plataforma DeCS – Descritores em Ciências da Saúde e MeSH (Medical Subject Headings). Fizeram parte da pesquisa os artigos publicados independentemente do ano de busca, que estiveram disponíveis nos idiomas: português e inglês. Foram encontrados 2 artigos, ambos na língua inglesa, que citaram métodos e técnicas utilizados pela Fisioterapia para melhoria da dispareunia no puerpério tardio. Concluiu-se, com base nos estudos, que a Fisioterapia tem grande importância no tratamento da dispareunia no período do puerpério tardio, melhorando a funcionalidade do assoalho pélvico e a função sexual consequentemente.
Buenas prácticas de almacenamiento y satisfacción laboral: perspectivas desde almacenes especializados de medicamento en Cajamarca, Perú
Authors: Irigoin Cusma Pedro Geisel , Moreto Ojeda Vilma Deney
Published: June 2024

En un estudio realizado en un almacén especializado en Cajamarca en 2023, se investigó la relación entre las prácticas de almacenamiento de medicamentos y la satisfacción laboral de los trabajadores, empleando una metodología de tipo básico con enfoque cuantitativo y diseño no experimental. Con una muestra de 80 trabajadores y datos recopilados mediante encuestas, se encontró que la mayoría de los empleados mostraron un nivel medio en las buenas prácticas de almacenamiento. Se observaron diferencias significativas entre las áreas del almacén, con niveles más altos en distribución y control y niveles más bajos en recepción. Los análisis estadísticos revelaron una correlación moderada, positiva y directa entre las prácticas de almacenamiento y la satisfacción laboral, así como con aspectos específicos como el desafío del trabajo, las remuneraciones justas, las condiciones laborales y la relación trabajador-empleado. Estos resultados indicaron que un mejor cumplimiento de las prácticas de almacenamiento podría haber tenido un impacto positivo en la satisfacción y el bienestar de los empleados en entornos laborales especializados. En conclusión, el estudio subraya la importancia de implementar prácticas efectivas de almacenamiento para mejorar las condiciones laborales y promover un ambiente de trabajo más satisfactorio y productivo en almacenes especializados.
Estrategias de liderazgo pedagógico y su influencia en el rendimiento académico de los estudiantes del primero de bachillerato de la U, E José María Velasco Ibarra del cantón Buena Fe, provincia de Los Ríos
Authors: Agualsaca-Grefa María Aurora , Ayala-Chevez María Elizabeth , Sánchez-Morante Maricela Elizabeth , Castillo-Montúfar Cesar Ricardo
Published: June 2024

Este estudio tuvo como objetivo principal se centró en promover la participación activa de los docentes, mediante la aplicación de estrategias de liderazgo pedagógico para el fortalecimiento del rendimiento académico de los estudiantes del BGU de la U. E. José María Velasco Ibarra del cantón Buena Fe, provincia de Los Ríos. La metodología se centró en un enfoque de tipo mixto, categoría de investigación descriptiva, tipo de investigación de campo. Dentro de los métodos aplicados se pueden mencionar inductivo-deductivo, bibliográfico y la estadística deductiva; al igual que, la validación por parte de expertos. Entre las técnicas se encuentran la encuesta y la observación científica. Los instrumentos de recolección de datos se centraron en el cuestionario y la ficha de observación. La población considerada para este estudio fue de 68 docentes. La muestra fue de 20 docentes. El tipo de muestreo utilizado en este estudio fue el no probabilístico intencional. En cuanto a los resultados más relevantes, se evidencia una serie de percepciones y opiniones de los docentes en relación con diferentes aspectos de la institución educativa; asimismo, se destaca la promoción de un ambiente escolar favorable, también se identifican áreas de mejora, como la ausencia de una planificación clara y flexible, la falta de estrategias de liderazgo pedagógico y la falta de uso de datos para la toma de decisiones informadas. En respuesta a estos hallazgos, se propone un plan integral de desarrollo del liderazgo pedagógico, centrado en la capacitación y el apoyo a los directivos y docentes, la revisión y actualización de los planes de estudio, la promoción de prácticas de enseñanza innovadoras, entre otros. Entre las conclusiones más relevantes, se ha delineado un panorama detallado de los desafíos y las oportunidades que enfrenta la institución en su búsqueda por mejorar la calidad de la educación.
LÚPUS ERITEMATOSO SISTÊMICO: CRITÉRIOS DIAGNÓSTICOS E OPÇÕES TERAPÊUTICAS
Authors: Okoti Diogo Uechi Fukuda , Dantas Leylinda Fernanda de Sousa Leopoldino , Santos Larissa Linhares , Mendonça Gabriel Corrêa , Ribeiro Breno de Avila , Almeida Estêvão Galon de , Jacobsen Karina Raasch , Tibério Lara de Vargas , Moreira João Vitor Contadini , Santos Ariane Dias dos , Lemes Anita Brito Pereira , Hindi Rafael El , Souza Hellen Ferreira de , Moreschi Luciana Noleto Silva , Melo Viviellen Lucio Batista Costa de
Published: June 2024

O Lúpus Eritematoso Sistêmico (LES) é uma doença autoimune complexa que acomete sortidas partes do organismo. Há o desencadeamento de inflamação e dano tecidual. A prevalência é eminente no sexo feminino, em afrodescendentes, hispânicos e asiáticos. O diagnóstico do LES se baseia em critérios clínicos, laboratoriais e imunológicos, sendo fundamental para iniciar o tratamento adequado e prevenir complicações graves. O tratamento multidisciplinar visa o controle sintomático, a redução da inflamação e a proteção dos tecidos acometidos. Esta análise sistemática de literatura averiguou pesquisas publicadas, nos últimos 5 anos, inerentes a diagnóstico e conduta no LES. Os critérios de inclusão abrangeram estudos em humanos, em múltiplos idiomas, resultando na seleção de 13 pesquisas relevantes. Destacam-se: critérios de classificação, biomarcadores genéticos, terapia com células-tronco mesenquimais e novas opções terapêuticas. Perspectivas positivas são inerentes a avanços em biomarcadores e terapêuticos. Entretanto, a análise da literatura revelou gaps na compreensão da patologia, desse modo, há a necessidade de estudos futuros mais refinados para uma elucidação adequada.
NUTRINDO MENTES JOVENS: PERSPECTIVAS DO ENSINO DE FILOSOFIA PARA CRIANÇAS
Authors: Maar Alexander
Published: June 2024

O presente relato tem por objeto uma experiência de ensino de filosofia para crianças, de 8 a 10 anos, concebido aos moldes do P4C (Philosophy for Children), programa desenvolvido pelos filósofos e educadores estadunidenses Matthew Lipman e Ann Margareth Sharp. O projeto, que durou de março a novembro de 2007, foi desenvolvido junto a uma instituição particular de educação primária, fundamental e média, em Florianópolis. A escola adota um projeto pedagógico de base construtivista, inspirando-se em teóricos como Dewey e Peirce, combinado ao ensino em período integral. Havia assim uma afinidade entre o projeto pedagógico e os objetivos do programa P4C, a saber, o estímulo ao pensamento crítico e moral dos educandos por meio do diálogo mediado. A abordagem transdisciplinar envolveu meu trabalho em parceria com a professora de artes para séries iniciais. Juntos, nós desenvolvemos um programa de filosofia para crianças a partir do diálogo em grupo, da contação de histórias, da reflexão guiada, seguidos pela execução de atividade plásticas. Minhas observações e recomendações nesse breve relato defendem a tese de que o P4C fortalece o desenvolvimento das atividades cognitivas infantis, sobretudo morais, podendo ser implantado em escolas brasileiras.
ENFERMEIROS EM FORMAÇÃO ATUANTES NA I MOSTRA DE SAÚDE COLETIVA NO INTERIOR DO AMAZONAS: UM RELATO DE EXPERIÊNCIA
Authors: Cunha Keliane Venancio da , Silva Marilene Pereira da , Nunes Vivianny Kemelly de Souza , Nascimento Laura Beatriz Queiroz do , Costa Larissa Brito da , Silva Matheus Pedrosa da , Souza Christiany Gomes de , Cunha Thacyara Kaline Costa , Lima Naiza Peres de , Nunes Suzana dos Santos
Published: June 2024

A Saúde Coletiva desenvolve diversas atividades, como o acolhimento individual e coletivo, ações educativas, coordenação de cargos técnicos na vigilância epidemiológica, ambiental, entre outros. Ao longo da graduação, é esperado que o estudante de enfermagem adquira competências para atuar na área de saúde coletiva. Desta forma, as instituições de ensino têm se esforçado para incluir em seus currículos os conhecimentos e as habilidades necessárias para formar profissionais aptos a trabalhar na saúde coletiva. Logo, o presente trabalho possui como objetivo principal relatar a vivência de acadêmicos de enfermagem na ação de extensão universitária intitulada “I Mostra de saúde coletiva do ISB/UFAM”.  E assim, destacar a importância de atividades de extensão na saúde coletiva para formação acadêmico-profissional em enfermagem. Trata-se de um estudo descritivo do tipo relato de experiência, construído a partir da vivência na I Mostra de Saúde Coletiva realizada por acadêmicos do curso de Enfermagem do Instituto de Saúde e Biotecnologia. A interação entre profissionais de saúde, discentes e comunidade promoveu o desenvolvimento de habilidades práticas e a construção de novos conhecimentos, fortalecendo o aprendizado sobre saúde coletiva e a importância da extensão universitária. Assim, a ação de extensão não apenas superou as expectativas, mas também deixou um legado valioso de aprendizado e engajamento para todos os envolvidos.
Meta-analytic analysis of the role of hemostatic evaluation in optimizing surgical results
Authors: Valverde González Carlos Alberto , Mihalache Bernal Lexter Ivan , Del Cisne  Pinza Vera Vanessa
Published: June 2024

Introduction: pre-surgical clinical assessment constitutes an essential practice in internal medicine, focused on the identification of risk factors to reduce perioperative morbidity and mortality.Objective: this study seeks to critically evaluate the effectiveness of preoperative coagulation tests to predict bleeding complications in elective non-cardiac surgeries, in order to validate their clinical relevance and adjust practices to real needs based on solid evidence.Method: a meta-analysis approach was employed to synthesize data from multiple studies examining the correlation between preoperative coagulation testing and intra- and postoperative bleeding complications. Study selection was based on rigorous criteria to include only those with patients without a history of hematological diseases who underwent elective non-cardiac surgeries.Results: the results indicate that alterations in coagulation tests are not significantly associated with an increased risk of hemorrhagic complications, as evidenced by a relative risk (RR) of less than one. This suggests that routine performance of these tests in the study population may not be necessary and does not contribute significantly to the safety of the surgical patient.Conclusions: the study supports a review of clinical guidelines to reduce unnecessary defensive medical practices and encourage evidence-based decisions. It is recommended to limit preoperative coagulation testing to patients with identifiable risk factors or clinical manifestations of hemostatic disorders, avoiding widespread and unsubstantiated procedures that overload health systems without improving clinical outcomes
Study of prevalence and evolution of uterine fibroids during pregnancy in patients of the Medical Center and Medical Specialties FOB of Guayaquil
Authors: Vargas Peña Julio Jesús , Solís Castillo Karla Stefani , Bonilla Ledesma Deysi Viviana
Published: June 2024

Fibroids or leiomyomas are the most common benign tumors of the upper portion of the female genital tract; They can reach large sizes and generally do not require surgical treatment during pregnancy. Most of these masses present asymptomatically and are discovered as an incidental finding in ultrasounds during pregnancy or at termination in the case of a cesarean section. Knowing the prevalence of fibroids in the pregnant population is of utmost importance to understand its possible impact on the health of the mother and fetus. Determining the prevalence and evolution of fibroids during pregnancy allows us to identify the number of women with this condition that may be affected by this pathology. The objective of this study is to evaluate the prevalence and evolution of uterine fibroids during pregnancy and determine their complications in women between 20 and 45 years old at the Medical Center and Medical FOB Specialties of Guayaquil. From the results of this study it can be concluded that fibroids during pregnancy are related to maternal age and their size does not increase, but rather tends to decrease. Its association with pregnancy increases the risk of complications. Pregnant patients with fibroids have a higher risk of uterine atony and bleeding after cesarean section than patients who terminated their pregnancy by delivery. Understanding the prevalence of fibroids during pregnancy is crucial to improve knowledge, clinical management, and prevention and care strategies in this population.
Risk factors for chronic kidney disease in older adult patients with arterial hypertension
Authors: Contreras Lobo Ricardo José , González Cueto María Alejandra , Parra Rodríguez Kirenia , Díaz Hernández Danuris , Palomino Sosa Rosadelis
Published: June 2024

Introduction: Chronic kidney disease has become a medical and public health problem that has acquired epidemic proportions.
Objective: To determine the risk factors of chronic kidney disease present in older adults with Arterial Hypertension of the medical office 164, Polyclinic “Hermanos Cruz”. Pinar del Rio municipality in the period from January 2020 to October 2022.
Methods: An observational, descriptive and longitudinal study was carried out, the universe consisted of 258 older adults with arterial hypertension and the sample of 227 patients was selected by non-probabilistic sampling, theoretical and empirical methods were applied and percentage statistical measures were applied.
Results: the predominant age group was 76 to 80 years, male sex and white race. All patients presented at least two risk factors, which coincide with the aggravating factors of chronic kidney disease, acute glomerulonephritis and renal lithiasis were the most frequent risk factors, diabetic nephropathy and obesity were the most important chronic non-communicable diseases. The most frequent alterations of the renal profile were glomerular filtration rate followed by creatinine, urea and uric acid.
Conclusions: the risk factors for chronic kidney disease present in the patients studied were determined, and their prevention and control contributes to improve the quality of life of these patients.
Educational intervention to achieve a culture of active and healthy aging
Authors: Mesa Trujillo Daisy , García Mesa Israel , Verona Izquierdo Ana Iris , Reinoso Zayas Diarelys , Valdés Abreu Beatriz María
Published: June 2024

Introduction: one of the most relevant current demographic problems, both globally and nationally, is population aging; it is expected that in Cuba by the year 2030, one fifth of the population will be classified as elderly. For the Cuban state, it is a priority to ensure the health and well-being of this vulnerable group.
Objective: to design an educational intervention related to the culture of active and healthy aging aimed at older adults belonging to the Medical Clinic 10 of the Elena Fernández Castro Polyclinic, Los Palacios municipality, Pinar del Río province, in the period between January 2019 and June 2021.
Methods: an applied research was carried out with a first descriptive part and a second part of design of an educational intervention, the study universe: 228 older adults. Sample: 110 who met the inclusion criteria, theoretical and empirical methods were applied through a structured survey, the MGH quality of life scale and the lifestyle questionnaire, descriptive statistical methods were used.
Results: 65 - 69 years old, female sex, married, hypertensive, primary and secondary schooling, low quality of life and unhealthy lifestyles predominated.
Conclusions: An educational intervention was designed with individual, family and community scope, it is expected that the instructive conception for healthy aging will contribute to face the negative consequences of population aging in the medium term.
Massage contents in the medical career. Its application in the community
Authors: García Ruiz Jorge Enrique , Ramos Vives Madelaime , Iglesias Iglesias Modesto Antonio , Montano Baños Iván Javier
Published: June 2024

Massage is one of the easiest means within our reach to achieve good health and maintain it. Taking into account its importance, a research was carried out at the Faculty of Medical Sciences “Dr. Ernesto Che Guevara de la Serna” of Pinar del Río, in the year 2023, with the objective of arguing the importance of implementing massage contents and the design of an optional course for the medical career, deepening in diverse pathologies to be treated in community care. Methods: the general dialectical materialist method was used, making possible the use of theoretical and empirical methods. Likewise, a space is dedicated to the conceptual analysis and its characteristics. Results: the analysis of the application of massages in medical assistance, generalities, classification, physiological effects and influences on the different organs and systems and their application in several pathologies are systematized. Conclusions: the importance of the insertion of massage contents in the elective courses of the medical career is recognized and an elective course was designed with the fundamental theoretical and practical contents on massages applicable in the care of patients in the community, a complementary booklet and slides for its study, which when implemented will contribute to the better training of the physician and his professional performance in community care for a better rehabilitation of patients, responding to the current needs of society.
Effectiveness of auriculotherapy in hypogalactia
Authors: Soberao Rodríguez Lidiana , Ramos Padilla Kenia , Blanco Fuentes Rosa Marila , Martínez Suarez Roxana
Published: June 2024

Introduction: breast milk intake produces a nutritional advantage in the baby. Worry, anxiety, lack of confidence and lack of support jeopardize the continuity of breastfeeding. Auriculotherapy is a method that consists in the use of ear points for preventive, diagnostic and therapeutic purposes.
Objective: to evaluate the effectiveness of auriculotherapy in the treatment of hypogalactia in postpartum women attended at the Maternal-Child Block of the General Teaching Hospital “Abel Santamaría Cuadrado”, in the period 2022- 2023.
Methods: a descriptive, longitudinal and prospective study was carried out, with a universe: 6767 and the sample: 86 puerperal women with hypogalactia, selected by non-probabilistic intentional sampling. Theoretical, empirical and descriptive statistical methods were used, by means of absolute and relative percentage frequencies.
Results: the predominant age group was 22-30 years (39.5 %), pre-university level (61.6 %), marital status (51.2 %), professional occupation (25.6 %). Patients with Qi and Xue kidney and heart failure (86 %) were predominantly aged 31-39 years (33.8 %), the most frequent risk factor was stress and anxiety (66.3 %), and Qi and Xue kidney and heart failure was the syndromic diagnosis with the best response to treatment (74.3 %). After treatment, 73.3 % of the sample did not present hypogalactia.
Conclusions: Auriculotherapy as a treatment for hypogalactia proved to be effective since it helped stimulate milk production, which demonstrates the feasibility, safety and speed of treatment with this natural therapy.