bluuebunny/crossref_metadata_2025 huggingface dataset:
Experience of Top Performers in the Health Sciences Licensure Examination in a Selected University
Authors: Pena Lucinda Dela , Escasa Ronald Jay , Labro John Jerico , Samson Mark B.
Published: May 2022

The quality of education offered by an institution is often determined by the graduates it produces; likewise, the quality of graduates produced by an institution is measured by their performance in the licensure examinations. This study attempted to capture the lived experiences of the top performers in the different health sciences licensure examinations in a selected university.  Descriptive phenomenological method was used to extract information on the experiences of the eight top performers from the four departments: Nursing, Medical Technology, Psychology, and Dentistry who graduated from a selected university in Silang, and are currently working in the Philippines.  A formulated set of questions served as the primary method for data collection. Triangulation of the data utilizing interviews with their deans and instructors was used and thematic analysis was done using Collaizi’s method. Three emergent themes encapsulated the experiences of the informants before, during and after the licensure exam. First is their preparation, with four occurring facets: academic, spiritual, psychosocial, and physical. The next theme is anxiety, wherein all of the eight informants claimed the notion of inadequacy of knowledge and possibility of failing. The last theme is the impact of the licensure exam success in the lives of the top performers, with three commonalities among them: strengthened faith, increased opportunity, and widened influence. It was evident that a holistic approach was seen in the preparation of the informants and despite the anxiety, they were able to perform satisfactorily which brought them advances in their professional career and spiritual life. Holistic approach should be considered in designing learning plans to produce high-performing graduates.
Sense-Making in Thesis Writing: Understanding the Filipino Graduate Students’ Momentum Enablers
Authors: Patricio Christopher A. , Morquin April Grace , Diño Michael Joseph S. , Quiles Lance Erwin
Published: May 2022

“Research in research” focusing on the critiques of methodologies, designs, and approaches has flourished over time; however, there is a paucity of understanding regarding the essence of doing research. In this qualitative study, the essence of doing research was explored by uncovering the significant experiences of 25 graduate students in thesis writing since thesis writing constitutes a diversity of research experiences. This descriptive phenomenological inquiry following Colaizzi’s approach revealed the essence of doing research in the form of the Momentum of Enablers, conveyed as the Sense of Beings. Momentum Enablers offered an in-depth description of researchers’ behavior and mechanisms that may affect the research process experiences.
Lived Experiences of Senior High School Students in a Sectarian Institution
Authors: Bingcang Raemon Oscar F. , Hopida Jewilyne G. , Gangoso Nathan Joshua O. , Tayongtong Ardie
Published: May 2022

This study aimed to understand the effects of bullying among senior high school students’ well-being and academic performance, and the impact of the support they received while in a sectarian institution. A phenomenological study was done to determine the lived experiences of students from a university in Cavite, Philippines. Semi-structured interviews were conducted. Triangulation was conducted through validation of selected information from the participants’ school counselor, teachers, and peers; Colaizzi’s thematic analysis was done to identify underlying concepts of these experiences. Findings revealed that bullying affected students’ emotional wellness where 80% internalized the incident and 20% externalize the experience. Academic performance was unaffected for the 60% of the participants, while 40% experienced hindrances in their class participation. All participants resorted to certain types of defense mechanisms of which 60% used distancing and 40% utilized rationalization. Further, all (100%) bullying incidents has witnesses and 40% of it was seen by friends, 40% by peers, and 20% by teachers. Only 40% opened-up and received emotional support from friends and felt reassure, while the remaining 60% handled the situation alone and turned out to be independent. In conclusion, bullying as an act has changed the students’ lives, and support was viewed as important in the coping experience of the victims.
Breastfeeding Experience of Women of High Socioeconomic Status: A Phenomenological Study
Authors: Berbano Audrey Ysabelle S. , Ordanozo Ally Shawnae I. , Lalatag Isabelle Rae O. , Bingcang Angel Grace Fio , Obon April Marqueses
Published: May 2022

Studies on the implications brought about socioeconomic and breastfeeding practices is not sufficiently explored in the Philippines. The aim of the study is to explore the breastfeeding experiences among Filipino women with high socioeconomic status, as well as their needs in order to initiate and continue breastfeeding. The study utilized qualitative research methods. Six respondents participated in the study and were selected using snowball sampling. A semi-structured interview was done to obtain relevant information about the study. Colaizzi’s method was used to analyze the collected data. The emergent themes developed as follows: (1) perceptions of mothers about breastfeeding, (2) breastfeeding experience of mothers, and (3) needs of the mothers in order to breastfeed successfully. All mothers found breastfeeding to be difficult, most thought that it is best for infants and mothers. All mothers planned to breastfed antenatally and had to balance employment and breastfeeding. Most of them received support from their families, others from breastfeeding support groups, and workplaces. All mothers highlighted the importance of breastfeeding education for mothers, families, and health workers. They all found that determination and family support are significant for mothers to accomplish her desired breastfeeding goals.  The researchers recommended that future studies should look into the specific knowledge deficiency of mothers, particularly those of high socioeconomic status regarding breastfeeding; development an extensive breastfeeding education program for health care professionals, pregnant and breastfeeding women, and family members.
he “Immanuel” of Isaiah 7:14: Immediate Single Fulfillment or Distance Dual Future Messianic Prophecy?
Authors: Javien Rico T.
Published: May 2022

The great Messianic prophecy of Isaiah 7:14 that states: “Behold, the virgin shall conceive and bear a Son, and shall call His name Immanuel.” This prophetic utterance of Isaiah regarding Immanuel has been considered difficult to be resolved. As a result, it has provoked endless controversy from both scholars from the Old Testament and the New Testament. A number of interpretative positions have been advanced by scholars from different camps and yet they have not arrived to a consensus. For instance, it was argued that the Immanuel was restricted only in the time of Isaiah, never in the New Testament. Another view holds that it was a near future in the prophet’s own time and the remote New Testament fulfilment as recorded in Matthew’s Gospel. The varied interpretations have been carefully analyzed through contextual settings and time frame factors. The study asserts that the Immanuel according to contextual analysis has dual fulfillment: first, there was immediate Immanuel at the time of the prophet Isaiah; second, the final Immanuel arrived more than seven hundred years later, when Jesus was born.
Which Law Serves for the Christians as “Tutor” to Christ?
Authors: Cabason Ismael P.
Published: May 2022

Among the epistles of Paul, the book of Galatians along with Romans, are considered by many readers as theologically difficult. Especially in his indiscriminate use of the word law. In Galatians 3 alone, the term law has been used more than ten times. One of the issues in this particular letter, is, when Paul claims that “the law was our tutor to bring us to Christ” (Gal 3:24 NKJV). The Old Testament alone has 600 laws. The questions that emerged: first, which law − natural, ceremonial, moral, civil, dietary and health, social, purity − serve as the tutor of the Christians to Christ? Second, the word tutor from Greek paidagogos, in what sense does the lawbecome the tutor to Christ? The result of the study showed that the laws are the Christians’ tutorto Christ. All the ceremonial laws, though temporary in its duration, contained in ordinances in all His types and sacrifices; and the moral law, as enduring, showed the absolute need of a Redeemer served as tutor to Christ. The tutor functions as the guardian, trainer, supervisor, protector, in-charge, trustworthy slave, custodian and disciplinarian conduct the pupil to the Christ.
Sensing Technologies for Crowd Management, Adaptation, and Information Dissemination in Public Transportation Systems: A Review
Authors: Darsena Donatella , Gelli Giacinto , Iudice Ivan , Verde Francesco
Published: May 2022

Management of crowd information in public transportation (PT) systems is crucial, both to foster sustainable mobility, by increasing the user's comfort and satisfaction during normal operation, as well as to cope with emergency situations, such as pandemic crises, as recently experienced with COVID-19 limitations. This paper presents a taxonomy and review of sensing technologies based on Internet of Things (IoT) for real-time crowd analysis, which can be adopted in the different segments of the PT system (buses/trams/trains, railway/metro stations, and bus stops). To discuss such technologies in a clear systematic perspective, we introduce a reference architecture for crowd management, which employs modern information and communication technologies (ICT) in order to: (i) monitor and predict crowding events; (ii) implement crowd-aware policies for real-time and adaptive operation control in intelligent transportation systems (ITSs); (iii) inform in real-time the users of the crowding status of the PT system, by means of electronic displays installed inside vehicles or at bus stops/stations, and/or by mobile transport applications. It is envisioned that the innovative crowd management functionalities enabled by ICT/IoT sensing technologies can be incrementally implemented as an add-on to state-of-the-art ITS platforms, which are already in use by major PT companies operating in urban areas. Moreover, it is argued that, in this new framework, additional services can be delivered to the passengers, such as, e.g., on-line ticketing, vehicle access control and reservation in severely crowded situations, and evolved crowd-aware route planning.
Deep Color Consistent Network for Low-Light Image Enhancement
Authors: Zhang Zhao , Zheng Huan , Hong Richang , Xu Mingliang , Yan Shuicheng , Wang Meng
Published: May 2022

Please cite this work as follows:

Zhao Zhang, Huan Zheng, Richang Hong, Mingliang Xu, Shuicheng Yan and Meng Wang, "Deep Color Consistent Network for Low-Light Image Enhancement," In: Proceedings of the IEEE/CVF Conference on Computer Vision and Pattern Recognition (CVPR), 2022.
Wideband Reconfigurable Reflectarray based on Reflector-backed Second-order Bandpass Frequency Selective Surface
Authors: Li Huan , Qi Xiaokang , zhou Tianyi , Xu Zhiwei , Denidni Tayeb A.
Published: May 2022

In this communication, a wideband reconfigurable
reflectarray based on reflector-backed active second-order bandpass
frequency selective surface (FSS) is presented. The reflector is composed
of periodic short-circuited parallel plate waveguide (PPW) and the FSS
is composed of stacked non-resonant metallic elements separated by thin
dielectric substrates. By integrating microwave varactors in the
capacitive layers of FSS, more than 270
o continuous phase tunability is achieved within a factional bandwidth of 14%. A one-dimensional reflectarray prototype operating at C band is fabricated and measured. The experimental results show that it can achieve ±55
o beam scanning
coverage. Symmetric beam steering is observed due to the center-fed
configuration. With advantages of low cost and simple structure, the proposed reflectarray can be potentially used in wideband wireless communication and radar systems.
Network-Based Characterization of Blood Large-Scale Coherent Motion in the Healthy Human Aorta with 4D Flow MRI
Authors: Calò Karol , Gallo Diego , Guala Andrea , Lodi Rizzini Maurizio , Dux-Santoy Lydia , Rodriguez-Palomares Jose , Scarsoglio Stefania , Ridolfi Luca , Morbiducci Umberto
Published: May 2022

Objective: The need for distilling the hemodynamic complexity into clinically relevant quantities has imposed a reductionist approach to investigate aortic flows, resulting in a lossy compression of the information hidden in 4D aortic fluid structures. Aiming at reducing information loss, this study proposes a network-based approach to identify and characterize in vivo the large-scale coherent motion of blood in the healthy human aorta using 4D Flow MRI. Methods: Adopting the quantitative paradigm of the aortic flow as a “social network”, 4D flow MRI acquisitions were performed on forty-one healthy volunteers. Correlations between the aortic blood flow rate waveform at the proximal ascending aorta (AAo), assumed as a main determinant of the aortic flow, and the waveforms of the axial velocity (aligned with the aortic centerline) in the whole aorta were used to build “one-to-all” networks. The impact of the driving flow rate waveform and of the main aortic geometric attributes on the transport of large-scale coherent fluid structures was investigated. Results: The anatomical length of persistence of large-scale coherent motion was the 29.6% of the healthy thoracic aorta length (median value, IQR 23.1%-33.9%). Moreover, it was positively correlated with the average and peak-to-peak AAo blood flow rate values, suggesting a remarkable inertial effect of the AAo flow rate on aortic hemodynamic coherence. No association emerged between the anatomical length of persistence and aortic geometric attributes. Conclusion: The here proposed in vivo approach allowed to quantitatively characterize the large-scale aortic blood motion, strengthening the definition of coherent hemodynamic structures. Significance: The findings on healthy aortas may be used as reference values to investigate the impact of aortic disease or devices implantation in disrupting/restoring the physiological spatiotemporal coherence of large-scale aortic flow.
A VCII Based Tunable Positive and Negative Impedance Simulator and Impedance Multiplier (2022)
Authors: Al Absi Muneer
Published: May 2022

This paper
presents a novel CMOS tunable positive
and negative active inductor simulator (AIs), positive capacitance and
resistance multiplier and negative
capacitance and resistance simulator. The proposed design use only one
second-generation voltage-mode conveyor (VCII) and three passive elements.
Applications to the proposed design in the design of different types of tunable
filters are also presented. The functionality of the designs is confirmed using
Tanner Tspice in 0.18µm TSMC CMOS
technology.
Deep Learning in Surgical Workflow Analysis: A Review of Phase and Step Recognition
Authors: Demir Kubilay Can , Schieber Hannah , Weise Tobias , Roth Daniel , Maier Andreas , Yang Seung Hee
Published: May 2022

Objective: In the last two decades, there has been a growing interest in exploring surgical procedures with statistical models to analyze operations at different semantic levels. This information is necessary for developing context-aware intelligent systems, which can assist the physicians during operations, evaluate procedures afterward or help the management team to effectively utilize the operating room. The objective is to extract reliable patterns from surgical data for the robust estimation of surgical activities performed during operations. The purpose of this paper is to review the state-of-the-art deep learning methods that have been published after 2018 for analyzing surgical workflows, with a focus on phase and step recognition. Methods: Three databases, IEEE Xplore, Scopus, and PubMed were searched, and additional studies are added through a manual search. After the database search, 343 studies were screened and a total of 44 studies are selected for this review. Conclusion: The use of temporal information is essential for identifying the next surgical action. Contemporary methods used mainly RNNs, hierarchical CNNs, and Transformers to preserve long-distance temporal relations. The lack of large publicly available datasets for various procedures is a great challenge for the development of new and robust models. As supervised learning strategies are used to show proof-of-concept, self-supervised, semi-supervised, or active learning methods are used to mitigate dependency on annotated data. Significance: The present study provides a comprehensive review of recent methods in surgical workflow analysis, summarizes commonly used architectures, datasets, and discusses challenges.
Adaptive Switching Control Based on Dynamic Zero Moment Point for Versatile Hip Exoskeleton under Hybrid Locomotion
Authors: Miao Yinan , Wang Xingjian , Wang Shaoping , LI RUFEI
Published: May 2022

An adaptive switching controller based on dynamic zero moment point for versatile hip exoskeleton is proposed in this work.

The linear finite hysteretic state machine is designed to recognize hybrid motion phases.

The torque planning strategy based on dynamic zero moment point is deployed to obtain assistant torque adaptively under different locomotion.

Experiments are carried out to verify the performance of the controller, confirming the stability and accuracy of the motion phase recognition, which also demonstrates excellent kinematic performance.

The net metabolic rate can be reduced by 5.75% while wearing the versatile hip exoskeleton.

Compared with existing research, the performance of the proposed controller has significant advantages.

The proposed controller is capable of multiple types of locomotion including flat walking, stair climbing, and lifting heavy objects with low complexity and energy consumption.

The Biological and Medical Ethics Committee of Beihang University has approved the experiments.
Digital Twin Framework For Time To Failure Forecasting Of Wind Turbine Gearbox: A Concept
Authors: Wadhwani Mili , Deshmukh Sakshi , Dhiman Harsh S.
Published: May 2022

Wind turbine is a complex machine with its rotating and non-rotating equipment being sensitive to faults. Due to increased wear and tear, the maintenance aspect of a wind turbine is of critical importance. Unexpected failure of wind turbine components can lead to increased O&M costs which ultimately reduces effective power capture of a wind farm. Fault detection in wind turbines is often supplemented with SCADA data available from wind farm operators in the form of time-series format with a 10-minute sample interval. Moreover, time-series analysis and data representation has become a powerful tool to get a deeper understating of the dynamic processes in complex machinery like wind turbine. Wind turbine SCADA data is usually available in form of a multivariate time-series with variables like gearbox oil temperature, gearbox bearing temperature, nacelle temperature, rotor speed and active power produced. In this preprint, we discuss the concept of a digital twin for time to failure forecasting of the wind turbine gearbox where a predictive module continuously gets updated with real-time SCADA data and generates meaningful insights for the wind farm operator.
Assessment of Leakage Current on Polymeric Insulator Using Finite Element Analysis
Authors: Correa Leite Reinaldo
Published: May 2022

This paper develops a Finite Element Model (FEM) for a 138 kV High Temperature Vulcanized (HTV) Silicone Rubber (SiR) transmission insulator in which, in a first step, leakage current is calculated for different non-uniform continuous and discontinuous pollution deposits and then features based on the phase shift between the leakage current and the applied voltage are extracted for each kind of pollution layer to identify the existence of dry bands on the insulator surface. A phase shift of 84.75° lag between the leakage current and applied voltage was found for a pollution layer with dry bands inserted. This results evidence that the phase angle can be used to detect the dry band formation by measuring the leakage current and its phase angle.
L’innovation de produit et les dynamiques de l’offre sur les marchés des étoffes de laine dans la France du XVIIIe siècle. Quelques aperçus quantitatifs et qualitatifs
Authors: Villain Julien
Published: May 2022

The consumption of fabrics in 18th-Century Europe experienced a notable expansion - particularly in France, a major hub for the diffusion of clothing fashions across the continent. Driven by manufacturers and merchants, the supply of new product varieties has been highlighted in several French production areas. However, a general assessment of the scale and rates of product innovation in the market for fabrics has never been attempted. By varying the scales of analysis, from the statistics the French monarchy used to assess production in the various production areas to store inventories, we can try to estimate the secular movements of product innovation. Over the course of the 18th century, the market for medium or poor quality cloths appears to have been particularly dynamic: the proportion of new varieties at the end of the century approximated two-thirds of the stock. There was also a tendency to diversify the supply - which ended up making the "world of goods" difficult to read, many product innovations being present on the market only for a while.
The production of international fashion in state-sponsored manufactures in Sweden-Finland, 1740-1810. Part I
Authors: Nyberg Klas
Published: May 2022

This paper discuss the production of international textiles in statesponsored manufactures in Sweden-Finland between 1740 and 1810. The data set is based on the general summaries of manufacture output collected by municipal authorities during this period. The summaries include annual data on the production of the most important wool and silk textiles, wool and silk knitwear, as well as cotton and linen textiles. More specifically the paper analyze the type of fashion that was produced in Swedish textile manufactures during the period and how international influences affected the Swedish product range. In a subsequent forthcoming investigation I will discuss what the change in the Swedish textile production range towards the end of the eighteenth century says about Swedish and Nordic textile fashion in a European and international context.
Action men: martial fashions in Florence, 1530-1630
Authors: Currie Elizabeth
Published: May 2022

This chapter analyses the influence of contemporary ideals of valour, physical strength, and martial skill on male court fashions. It outlines the various channels that enabled the propagation of martial styles and begins by examining the close relationship between inner valour and outward display, highlighting the meanings ascribed to the words “bravo” and “bravura” in sixteenth-and seventeenth-century Italian texts and imagery. Florentine courtiers were surrounded by idealised representations and performances of warfare, including mock battles with lavish costumes that were a key feature of Medici propaganda. Soldiers and mercenaries were themselves frequently characterised as fashion setters, associated with gaudy colours, flamboyance, and ornate decorations considered inappropriate male attire in many civic contexts. The chapter proceeds to focus on three key aspects of male dress connected with military might and physical strength: leather upper garments, frogged fastenings on cloaks and gowns, and adherent, short trunk hose. Consumer demand for these styles and their cultural meanings are traced through contemporary literature, visual sources, and archival records.
Reflections on National Integration in Nigerian Film: an Example of Up North
Authors: Imhanobe Habsat Joyce
Published: May 2022

: Cinema as a medium of communication is an influential source or enhancer of national unity. Like other media of communication, films can shape behaviours negatively or positively, which is achieved through the texts, images and portrayals of characters that make up the content of films. The study discussed the reflection of national integration in Nigeria through films. Anchored on the theory of Hermeneutic, the study adopted the content analysis method. To this end, the movie Up North was critically appraised to ascertain to which it encourages national integration in Nigeria. Findings showed that the movie portrayed the Nigerian culture positively significantly encouraged national integration through focus on good morals, mutual respect among individuals, promotion of hard-work, and respect for and tolerance of our cultural diversity. The study concluded that films is a veritable means of social reengineering and nation building, and suggested that through greater synergy between the stakeholders in the culture industry, Nigerian films should be made to reflect mainly the positive cultural ethos of the nation while promoting peace in the society as depicted in the movie Up North.
Review on SARS-CoV-2 Variants of Concern (VOC)
Authors: Nas Farouk S. , Ekanem Eka , Ali Muhammad , Abdallah Muhammad S.
Published: May 2022

Nearly two years since the start of the SARS-CoV-2 pandemic, which has caused over 5 million deaths, the world continues to be on high COVID-19 alert. The World Health Organization (WHO), in collaboration with national authorities, public health institutions and scientists have been closely monitoring and assessing the evolution of SARS-CoV-2 since January 2020. The emergences of specific SARS-CoV-2 variants were characterized as Variant of Interest (VOI) and Variant of Concern (VOC), to prioritize global monitoring and research, and to inform the ongoing global response to the COVID-19 pandemic. The WHO and its international sequencing networks continuously monitor SARS-CoV-2 mutations and inform countries about any changes that may be needed to respond to the variant, and prevent its spread where feasible. Multiple variants of the virus have emerged and become dominant in many countries since January 2021, with the Alpha, Beta, Gamma, Delta and Omicron variants being the most prominent to date. The paper was aimed to review the SARS-CoV-2 variants of concern (VOC).
Variation of Sphenoid Sinus Pneumatization on CT scan in A Sample of Iraqi Patients
Authors: Al-Zaidi Haider Majid , Badr Hani Musa , Farhan Saad
Published: May 2022

Background: Computerized tomography scan can show the detailed anatomy of the nose and paranasal sinuses. The sphenoid sinus is a very important corridor for the skull base because of its central position. This sinus has a great range of variation and can put structures around at risk during surgery. This study aims to examine the variation of the sphenoid sinus, and its relation to other structures around it, in this sample of Iraqi patients. Materials and Methods: CT scans of 122 patients, were obtained, and submitted for examination and measurements, during the period between September 2020 and September 2021. Observation of The sphenoid sinus pneumatization pattern, clival extension, Onodi cell, and lateral pneumatization of SS. As well as the SS measurements including the suprasellar depth, presellar depth, subsellar depth and sinus height. Exclusion was made for those with a previous history of sinus surgery and patients with tumours, sinonasal trauma or sinus fungal infection. Results: This study involved CT scans of 122 patients. The postsellar type of pneumatization was seen in 47.6%, sellar type 35.2% and presellar type 17.2%, while we did not see conchal type in this sample. Onodi cell was seen in 27.9%. The optic nerve, maxillary nerve, vidian nerve, and Carotid artery were protruding into the sinus in (35.2%), (14.8%), (46.8%) and (40.2%) respectively. We noticed that the full lateral type of lateral pneumatization is significantly associated with both vidian nerve protrusion and maxillary nerve protrusion; while right and left optic nerve protrusions were significantly associated with the corresponding side lesser wing type of lateral pneumatization, P - Value 0.001. Conclusion: Pneumatization of the sphenoid sinus has a great degree of variation in the population. Each patient has a different pneumatization pattern.
Role of Highly Sensitive Cardiac Troponin I in the Prediction of Pediatric Pulmonary Hypertension due to Congenital Heart Disease
Authors: R Sharmin , MZ Hussain , T Karim , MT Islam , ME Hoq , MT Islam , MJBA Chowdhury , MS Arefin
Published: May 2022

Background: CHD is a major health problem in pediatric population. It is associated with abnormal hemodynamic load and neurohormonal activation. Which leads to pulmonary hypertension causing myocardial injury. So, it needs timely intervention. Cardiac troponins are specific for myocardial injury. HscT I enhances accuracy for diagnosis of myocardial injury even in early stage of Pulmonary Hypertension. In recent years role of HscT I suggested to be useful in evaluation of PAH due to CHD in children. Objectives: To analyze the role of HscT I as a diagnostic tool for PAH due to CHD in Children. Methods: This prospective cross-sectional study was conducted in Pediatric cardiology department, BSMMU over a period of 1 year. The study included total 54 patients with moderate to large VSD/PDA. Patients were selected according to inclusion and exclusion criteria. Results: Total 54 cases was divided into two group PAH group (n=27) and non-PAH (n=27) group. Among PAH group 20 patient (74.1%) had VSD and 7 patient (25.9%) had PDA. In non PAH group 15 had VSD (55.6%) and 12 had PDA (44.4%). The mean troponin I level was significantly higher in PAH group than non-PAH group (0.03052±0.0511 vs. 0.0087±0.0075, p=0.03). Conclusion: In this study, there was significant difference between HscT I level of PAH group and non-PAH group and significant positive correlation between HscT I level and mean PAP. As a marker of myocardial injury, HscT I can be a predictor of raised pulmonary arterial pressure in children with post tricuspid left to right shunt.
Uso de ácido hialurônico no tratamento de lesões por pressão: relato de casos
Authors: Bento Maria Madalena Souza , Castilho João Cezar , Oliveira Pedro Gonçalves de
Published: May 2022

Lesões por pressão (LPs) decorrem da pressão intensa e/ou prolongada em combinação com o cisalhamento local. Apesar da ocorrência de LPS ser considerada um evento adverso que pode, na maioria das vezes, ser passí­vel de prevenção, existem ocasiões em que as condições do paciente as tornam inevitáveis. Este estudo relata experiências no tratamento de LPs de diferentes etiologias. Os pacientes foram atendidos pela equipe multidisciplinar do Programa Melhor em Casa de Jaguariúna-SP. Caso 1 - homem, 19 anos, ví­tima de espancamento, resultando em traumatismo cranioencefálico grave, permanecendo em coma por alguns dias. Estava tetraplégico, em reabilitação e fazia uso de órteses nos membros inferiores (MIs), que causou compressão no maléolo direito, culminando em LP. Tecido necrótico foi removido por meio de desbridamento instrumental e iniciada limpeza diária com soro fisiológico (SF) 0,9% e aplicação diária de fina camada de creme í  base de AH 0,2%. Caso 2 - mulher, 79 anos, tabagista, obesa, portadora de hipertensão arterial sistêmica, diabetes tipo 2, DPOC, osteoporose, anemia, fratura no fêmur e LP em região sacral de estágio 2 e no í­squio direito. Fazia uso, sem sucesso, de curativos envolvendo limpeza diária com SF 0,9% e aplicação de ácidos graxos essenciais (AGE) no tratamento da LP. Foi iniciado protocolo com limpeza diária com SF 0,9% e posterior aplicação diária de fina camada de creme í  base de AH 0,2%. Após 15 a 34 dias de tratamento com AH tópico, foi verificada a completa reparação cutânea das LPs, revelando efetividade do protocolo empregado. Descritores: lesão por pressão, ácido hialurônico, cicatrização.
O planejamento do enfermeiro na avaliação e tratamento da úlcera venosa: um relato de experiência
Authors: Tavares Tereza Cristina Abreu , Rocha Hellen de Paula da Silva , Aguiar Viviane Ferraz Ferreira de , Capistana Thammy Rafaella Souto , Dalmácio Nathália Conceição Gonçalves
Published: May 2022

O objetivo é relatar uma experiência sobre o planejamento do enfermeiro na avaliação e tratamento da Úlcera Venosa. Pesquisa descritiva, do tipo relato de experiência realizado em uma Instituição de Saúde do Municí­pio de Belém-Pará, no perí­odo de setembro a novembro de 2016. As pesquisadoras elaboraram um plano assistencial identificando as coberturas mais adequadas ao tratamento da ferida e os principais diagnósticos e possí­veis intervenções de enfermagem. O resultado encontrado permitiu um prognóstico favorável, a partir da conduta adequada no planejamento do cuidado ao cliente.
Laserterapia de baixa intensidade no tratamento adjuvante em lesões cutâneas: uma revisão bibliográfica
Authors: Persilva Mislene
Published: May 2022

O laser de baixa potência vem sendo utilizado como adjuvante no tratamento de feridas por acelerar o processo cicatricial, mediante o aumento do metabolismo celular. O interesse pelo uso do laser nas aplicações clí­nicas e o potencial das interações não-térmicas da luz laser com o tecido vem sendo motivo de vários estudos. O potencial da irradiação laser de intensidade relativamente baixa aplicada diretamente no tecido para modular certos processos biológicos, em particular fotobioestimular os processos de regeneração dos tecidos, controlar o processo inflamatório e atenuar a dor. O objetivo deste trabalho é discutir a eficácia do laser através de um levantamento literário. Os métodos utilizados para realização deste trabalho foram bases de dados da bireme; scielo; bvsalud; pubmed; portal da saúde. gov; bdtd; cochrane; com as palavras chaves: ferida, laserterapia de baixa intensidade, inflamação, regeneração tecidual, reparo tecidual, terapia, dor, laser de baixa potência; cicatrização de feridas. De acordo com a literatura consultada a LTBI mostrou-se eficaz em reduzir a dor de diferentes etiologias, na regeneração tecidual e no controle de processos inflamatórios.
Gestão dos protocolos de prevenção de lesões de pele em pacientes oncológicos
Authors: Silva Douglas Pereira da , Matsubara Maria das Graças Silva
Published: May 2022

O objetivo desse estudo foi avaliar a adesão aos protocolos de prevenção de lesões de pele (lesão por pressão, lesão por fricção e dermatite associado í  incontinência) através da sistematização da assistência de enfermagem e do conhecimento da equipe de enfermagem, paciente e cuidador sobre estes protocolos. Trata-se de um estudo retrospectivo, observacional, descritivo, transversal com abordagem quantitativa, realizado em um hospital oncológico. Os dados utilizados compõem o processo de auditoria do Departamento de Qualidade hospitalar, no perí­odo de 2015 a 2016. Foram acessados 170 formulários de avaliação correspondentes a três auditorias, sendo 136 (80%) das unidades de pacientes não crí­ticos e 34 (20%) em unidades de pacientes crí­ticos. A gestão dos protocolos mostrou-se evolutiva nos perí­odos das auditorias, a LP tem um protocolo gerenciado de forma mais eficiente e as medidas preventivas mostraram-se assertivas. Durante as auditorias as unidades crí­ticas apresentaram melhor desempenho na gestão dos protocolos e demais itens avaliados
Tratamento de lesões decorrentes de processo infeccioso por erisipela: Relato de experiência
Authors: Meneses Arthur Bento de , Rodrigues Cinthia Sonaly Santos , Sousa Marina Sandrelle Correia de , Castilho João Cezar , Oliveira Pedro Gonçalves de
Published: May 2022

A erisipela é um processo infeccioso causado comumente por bactérias da famí­lia Estreptococos. O tratamento é instituí­do a partir do uso de antibióticos especí­ficos e realização de curativos especiais aplicados nas áreas afetadas. Comorbidades como hipertensão arterial e Diabetes mellitus podem prejudicar o processo cicatricial. O objetivo deste trabalho foi relatar a experiência no tratamento de paciente portadora de úlceras decorrentes de processo infeccioso por erisipela. Trata-se de um estudo descritivo exploratório de relato de experiência com paciente assistida por uma clí­nica especializada em curativos localizada na cidade de Campina Grande – PB. Paciente do sexo feminino, 36 anos, portadora de hipertensão arterial e Diabetes mellitus não-insulino-dependente. Ao exame fí­sico, apresentou-se orientada, hidratada, sedentária, com força motora preservada e relato de dor exacerbada. Apresentava lesões superficiais e infectadas em decorrência de erisipela, localizadas nos membro inferior esquerdo e evidências de hiperemia difusa, presença de bolhas e pontos de necrose. Como conduta inicial, foi solicitada cultura com antibiograma do material retirado das lesões. Foi realizado o curativo seguindo técnica asséptica, com realização de limpeza com água deionizada e sabonete antisséptico a base de polihexametileno de biguanida (PHMB). Adicionou-se ao curativo, compressas embebidas em solução de permanganato de potássio e colocadas sobre as lesões por 24 horas. Posteriormente, iniciou-se protocolo com utilização de creme í  base de ácido hialurônico a 0,2% que objetivou estimular a regeneração cutânea e favorecer a angiogênese, pomada de dipropionato de betametasona com a finalidade de aliviar o prurido e outros sintomas associados ao processo infeccioso, e solução de permanganato de potássio, visando í  destruição da parede bacteriana, associada ao uso de gaze estéril de algodão impregnada com PHMB, ambos aliados ao uso de antibioticoterapia sistêmica. O tratamento durou 35 dias, com 9 aplicações. Após esse perí­odo, a ferida foi considerada cicatrizada, com ausência de hiperemia difusa, bolhas, edemas ou regiões escurecidas na pele, além de completa remissão do processo infeccioso. Foi possí­vel observar a eficácia do tratamento realizado, levando em consideração fatores como o plano de conduta instituí­do, os produtos utilizados, a perspectiva multiprofissional e a boa adesão da paciente.
Oxigenoterapia hiperbárica: A eficácia no tratamento de lesão em pé diabético
Authors: Cunha Camila Pereira Lobato Da , Araújo Thaí­s Santos De , Adorno Wanessa Carolinna Linhares Diniz
Published: May 2022

A Oxigenoterapia Hiperbárica (OHB) é um adjuvante terapêutico no qual o paciente recebe oxigênio puro a 100%, sob pressão superior í  atmosférica, muito utilizada em ferimentos crônicos, como lesão e amputação em pé diabético - umas das complicações mais frequentes da Diabetes Mellitus (DM). Esta revisão integrativa da literatura objetiva identificar dados de estudos que comprovem a eficácia da OHB como terapia complementar no tratamento de lesão em pé diabético. Fez-se a busca dos artigos nas bases Scielo, Bireme e PubMed. Foram selecionados quinze artigos para compor a amostra. Por meio das análises dos artigos, ficaram evidenciadas significantes reduções nas taxas de amputação, além da alta taxa de reconstituição tissular parcial e cicatrização total da ferida crônica em pé diabético. Dados estatí­sticos evidenciam a OHB como terapia adjuvante e eficaz no tratamento de lesão em pé diabético, por meios comparativos de estudos e pesquisas nos quais diversos autores constataram melhora das lesões, reafirmando sua eficácia.
Lesões de pele e tratamento de feridas sob o escopo do enfermeiro: Relato de experiência
Authors: Amaral Ana Carolina Bhering A. do , Lainetti Kelly Regina
Published: May 2022

As feridas e lesões de pele há tempos constituem um problema grave saúde publica não só no Brasil, mas no mundo, fazendo com que haja um aumento significativo dos incides de morbidade e mortalidade em razão disso. O enfermeiro é o profissional diretamente relacionado ao cuidado e tratamento de lesões de pele e feridas. Por serem custosas essas lesões estão em constante acompanhamento por gestores dos serviços de saúde e por isso tamanha a importância de atualizações dos profissionais que a manipulam. O objetivo do estudo é descrever a vivência prática da enfermagem sobre lesões de pele e o tratamento de feridas. A metodologia utilizada foi a descritiva e observacional constituí­da por relato de experiência no perí­odo dos últimos 5 anos (fevereiro 2015 a fevereiro 2020) em hospitais de grande porte públicos e privados, localizados na cidade de São Paulo. As lesões de pele e feridas observadas eram de caracterí­stica generalista, ou seja, provenientes por diversos fatores como pressão local (UP), cirúrgicas, iatrogênicas e acidentais, sendo analisado na técnica de realização do curativo a competência técnica dos profissionais, instrumentais, materiais e tecnologias utilizadas. Foi observado como resultado que alguns profissionais executam os procedimentos dentro das técnicas exigidas, enquanto outros mesmos dispondo de recursos adequados, não realizam este procedimento da mesma forma, direcionando o pensando que há necessidade de atualização dos mesmos. A conclusão é que a perfeita evolução esta diretamente relacionada as técnicas utilizadas e o envolvimento com constante atualizações.
Relato de experiência de tratamento de lesão em pé diabético em Internação domiciliar
Authors: Santos Amanda Cibele Gaspar dos , Santos Lucas Lourenço , Milani Caren Leticia de Souza
Published: May 2022

Objetivo: Relatar a assistência de enfermagem a um paciente com amputação em pé secundário inicialmente a ulcera do pé diabético associando a cobertura e suplementação nutricional. Métodos: Trata-se de um relato de experiencia na assistência prestada no perí­odo entre dezembro de 2018 e junho de 2019 durante acompanhamento de um paciente em internação domiciliar. Resultados: Evidenciou-se a melhora significativa no processo de cicatrização já nos primeiros 02 meses. Conclusão: A atuação da enfermagem é muito importante no sentido de orientar os pacientes diabéticos sobre os cuidados diários com os pés e a prevenção do aparecimento das lesões. destacando a melhora da qualidade de vida, melhora do conforto, melhora da dor e redução do stress do paciente.
Assistência de enfermagem no atendimento ao paciente queimado: revisão da literatura
Authors: Milani Caren Leticia de Souza , Silva Danielle Maria da , Carvalho Mariana Kí­ssia Santos Lins de
Published: May 2022

Objetivo: analisar a relevância da assistência da equipe de enfermagem aos pacientes ví­timas de queimaduras Método: trata- -se de uma revisão integrativa de literatura, realizada no mês de outubro de 2020, nas bases MEDLINE, LILACS e SciELO, com os seguintes descritores: Assistência; Queimaduras; Unidades de Queimados e Enfermagem. Resultados e discussão: conforme a análise dos artigos publicados nas bases com o tema cuidados prestados í  ví­tima de queimaduras, observou-se que dos 33 periódicos analisados neste estudo, 24 não se adequavam aos critérios de inclusão e exclusão, mesmo apresentando no tí­tulo um ou mais descritor. Com relação ao levantamento dos dados coletados, observou-se que artigos publicados nos anos de 2015 e 2019 representavam maioria, ambos com o percentual de 33,33%, já os anos de 2016, 2017 e 2018 representaram isoladamente 11,11%, menor í­ndice de publicações referentes ao tema proposto para pesquisa. Em relação aos periódicos publicados em revistas, selecionados para a realização da pesquisa, a que apresentou maior percentual foi a Revista Brasileira de queimados com o percentual de 55,55 % Conclusão: sabe-se que prestar cuidados a uma ví­tima grave de queimaduras e com possí­veis sequelas é um enorme desafio e exige do profissional enfermeiro além de uma assistência humanizada, a implementação de instrumentos baseados em evidência cientí­fica para otimização da assistência e garantia de rápida recuperação. Pois, entende-se o processo de recuperação para esses pacientes como uma fase de intenso sofrimento fí­sico e emocional, sentimentos que são assimilados pelo profissional durante a prática assistencial.
Estudo de caso: tratamento de amputação de antepé com membrana regeneradora membracel
Authors: Castilhos Cristina , Rubira Lilian Teles , Nogueira Maria Laura Silveira , Santos Tuane Souza dos
Published: May 2022

O estudo apresentado neste artigo traz o relato de caso da paciente idosa, portadora de Diabetes mélitus tipo II, moradora da Cidade de Pelotas-RS. O trabalho foi realizado pela equipe multiprofissional na Atenção Primária, em parceria com a famí­lia, no tratamento de amputação de antepé, por complicações durante internação hospitalar por outras comorbidades associadas í  doença de base. O relato mostra a utilização e eficácia da Membrana Regeneradora Porosa (MEMBRACEL) como proposta de aperfeiçoar os cuidados prestados, garantindo maior qualidade para a assistência em saúde. Ressaltando que toda a equipe trabalhou em conjunto, guiada cientificamente, com o objetivo de tratar a lesão adotando uma visão holí­stica da pessoa e sua famí­lia. O uso da Membrana Regeneradora Membracel alcançou as expectativas, quando agregado ao planejamento e técnicas apropriadas de enfermagem, manejo clí­nico e terapia nutricional adequados. Além disso, a participação ativa e constante da famí­lia no planejamento e execução dos cuidados foram cruciais para o desfecho clí­nico alcançado referente í  cicatrização completa da lesão. O trabalho da equipe multiprofissional possibilitou observar a necessidade de realizar ações de saúde em conjunto com a famí­lia, visando instrumentalizar os cuidadores para o manejo adequado do curativo, bem como estimular o próprio usuário em relação ao seu autocuidado, e retomada de atividades do cotidiano, resgatando a autonomia, limitada pela complexidade da lesão.
Observação do í­ndice de massa corpórea de pacientes imunossuprimidos por HIV/AIDS como auxí­lio na adequação nutricional
Authors: Da Cruz Araújo Claudielly , de Souza Rodrigues Cristina , De Moura Lira Thayna , Müller Deisi Laí­s , De Sousa Silva Raynara Karen , Souza de Carvalho Patrí­cia Cristina , Menezes de Azevedo Weverson , Araújo Freire Daniel , Portela de Azevedo Arimatéia
Published: May 2022

Introdução: No conjunto das alterações provocadas pela condição nutricional do paciente hospitalizado apresenta influência a respeito de sua evolução clí­nica e capacidade de identificá-la na admissão, dar-se faz efetivo para garantir um apoio adequado da equipe multidisciplinar, pois, o papel exercido pela nutrição no suporte a saúde e qualidade de vida destes pacientes é fundamental. Objetivos: Mostrar que a simples observação do Indicede Massa Corpórea (IMC) de pacientes internados pode contribuir como auxí­lio nas intervenções de enfermagem para sugestão da adequação nutricional. Metodologia: Estudo de corte seccional, prospectivo, descritivo e quantitativo. Resultados: O perfil destes mostrou que tinham idade entre 21 a 49 anos, 75% eram portadores de doenças imunossupressoras (HIV/AIDS e etc), o IMC evidenciou que 45% apresentaram valores menores que 18, caracterizando assim um baixo peso e necessitando de intervenção nutricional. Destes com baixo peso, apenas 25% apresentaram, ganho de peso durante a internação. Conclusão: O déficit de ganho de peso entre os pacientes investigados pode ser em virtude da falta de observação de alguma medida de intervenções de enfermagem para sugestão da adequação nutricional.