bluuebunny/crossref_metadata_2025 huggingface dataset:
Linea de investigación: la sexualidad y la clínica
Authors: De González Bernarda Ospina
Published: April 2023

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Editorial
Authors: Gómez Tabares Gloria Stella
Published: April 2023

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Perfil del investigador colombiano. Implicaciones para enfermería
Authors: Velandia Mora Ana Luisa
Published: April 2023

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Perfil biosicosocial de la persona ostomizada que acude a medicáncer, Medellín 1995
Authors: Múnera Garcés Adela María , Ospina de González Bernarda , Ramírez Restrepo Dora Lucía , Jaramillo Londoño Eugenia , Londoño Echeverri Jaime
Published: April 2023

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La investigación centrada en la administración: situación actual y desafío futuro
Authors: Grinspun Doris
Published: April 2023

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La salud mental integrada al rol del profesional de enfermería
Authors: Ospina de González Bernarda
Published: April 2023

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Participación de la familia en el desarrollo de la comprensión de lectura. Estratégias metodológicas
Authors: Yepes Correa Gloria Inés
Published: April 2023

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Estilos de gestión para la administración efectiva de los servicios de enfermería
Authors: Siebzehner Mirian Inés
Published: April 2023

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Responsabilidad en la práctica de enfermería
Authors: Molina Marín Gloria
Published: April 2023

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Dolor en Cáncer
Authors: Molina Restrepo María Eugenia
Published: April 2023

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Medellín: mortalidad por causas en la década de los ochenta. Una interpretación socio-demográfica
Authors: García Molina Carlos , López López María victoria
Published: April 2023

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LA MUJER OBESA DE LOS SECTORES POPULARES. UNA EXPERIENCIA DE TRABAJO EN SALUD
Authors: Uribe Jaramillo Tulia María
Published: April 2023

El artículo describe el desarrolo de una experiencia de trabajo con un grupo de cincuenta mujeres obesas, residentes en un sector popular del municipio de Medellín. se analiza la condición de género de estas mujeres desde las dimensiones física, afectiva, participativa y moral y su relacion con la obesidad y con algunas prácticas cotidianas asociadas con la salud. El análisis sirve de fundamento para el diseño de una propuesta de carácter integral, con base en un trabajo conjunto de reflexión-acción, según la metodología de la investigación acciónm participativa. Se muestra como la obesidad es el resultado de una realidad de género en la cual intervienen patrones socioculturales que favorecen su desarrolo y perpetúan la subordinación de la mujer en el ámbito de lo doméstico y la carencia de oportunidades de participación en la esféra publica. Los hazgos indican un perfil caracterizado por malnutrición, poca actividad física, comportamientos compulsivos hacia los alimentos, autoconcepto poco saludable, insatisfacción en el cumplimiento de sus roles, bajos niveles de autonomía y participación. La propuesta completa acciones asistenciales y educativas que propician cambios favorables en el autoconcepto, la autonomía, la organización social y las prácticas de salud de esas mujeres.
DISCURSO ANTE LOS ASISTENTES A LA ENTREGA DEL CUARTO PREMIO RHONE POULENC RORER/ ACADEMIA NACIONAL DE MEDICINA
Authors: Enfermeria Admin
Published: April 2023

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APROXIMACIÓN A LAS TENDENCIAS DE FORMACIÓN DE ENFERMERÍA EN COLOMBIA
Authors: Molina Calara Inés , Ceballos V. María Elena , Castañeda Montoya Mabel
Published: April 2023

Reflexión sobre la formación del profesional de enfermería en el país donde se exploran esferas de la sociedad y de la profesión que ayudan a comprender el comportamiento y las respuestas de ésta a través del tiempo y vislumbrar su posible futuro.Se trabajan de una manera muy general, cuatro aspectos: el primero, sobre el contexto socioeconomico, político y de salud de Colombia en el final del siglo XX; el segundo, la situación de la practica de enfermería; el tercero, las tendencias de las formación de enfermería y para finalizar una propuesta sobre el deber ser del futuro profesional de enfermería en Colombia iniciando algunas estrategias para iniciar su búsqueda.
EL CONTRATO DE APRENDIZAJE: UN INSTRUMENTO PARA EL AUTOAPRENDIZAJE
Authors: Niedmann E. Cristina , Illesca P. Monica
Published: April 2023

Los principios del aprendizaje de los adultos consideran el autoaprendizaje como un aspecto importante. Los estudiantes deben ser capaces de aprender en forma independiente a lo largo de su vida profesional adaptándose a los cambios y adquisición de nuevos conocimientos. Este artículo muestra al contrato de aprendizaje como una herramienta válida que favorece la organización del aprendizaje según las diferencias individuales, motivaciones, fotalezas y debilidades del estudiante.
LA PRACTICA DE ENFERMERÍA COMO OBJETO DE ESTUDIO
Authors: Castrillon Agudelo Maria Consuelo
Published: April 2023

A partir del concepto de práctica social planteado por autores como Pulantzas y Ksis, el artículo se propone hacer un estudio diacrónico sobre la práctica de enfermería en el contexto de las relaciones sociales que establece en su ejercicio, con el fin de identificar sus objetivos, establecer sus fronteras con otras profesiones y disciplianas, definir sus espacios de accion y construir su identidad profesional y el contenido ético que oriente sus interveciones. El artículo es una respuesta a la necesidad de reconstruir la historicidad, la arqueología conceptual y los paradigmas que han sustentado el pensamiento y la acción en enfermería. Otros tópicos que también contribuyen a este objetivo son sólo planteados pues ellos deben ser objeto de estudios más amplios.Palabras claves: practica de enfermería, Investigación en enfermería, enfermería y sociedad
Modelos de atención de salud ocupacional para trabajadores de alto riesgo del sector informal urbano, pequeña empresa y zona rurales
Authors: Pérez Vesga Carlos Humberto , Labrador Pinzón Gloria Estella
Published: April 2023

Proyecto de investigación-accioón, con coordinación intersectorial, en trabajadores del sector agrícola informal aplicando en los algodoneros del Espinal (Tolima). Se presenta los lineamientos básicos en tres fases: análises del problema, desarrollo de soluciones (prueba-modelo) y validación de soluciones.Con la información obtenida en las dos primeras etapas se amplía la fase de divulgación propuesta y la capacitacion para los trabajadores, instituciones y grupos de la comunidad involucrados en la problemática. La última fase (validación de soluciones) se aplicará en el presente año.
Esterilización por calor seco empleando el horno casero
Authors: Restrepo Restrepo Nora , García M Silvia Elena , Trujillo de V Gloria , Correa de V Maria Cecilia
Published: April 2023

Con el fin de comprobar cientificamente el método de esterilización por calor seco empleando en forma empírica, se decide veríficar la eficancia del "Horno Casero" para dicho proceso.Para esta investigación se utilizan hornos con cámaras de diferente capacidad y esporas de Bacillus Subtilis variedad Niger (control biológico) alternando las variables tiempo y temperatura hasta llegar al binomio ideal.Se comprueba la esterilización en los diferentes tipos de hornos y materiales para ver la eficacia del método y dar normas sobre el manejo de hornos, tipos de materiales que pueden esterilizarse y forma de empacado de la carga.
Categorías de interés epidemiologico en las dermatopatias de la poblacion menor de quince años de la zona rural cafetera de Cundinamarca
Authors: Murillo Fernandez Hazel , Rivera Cesar F
Published: April 2023

Este estudio presenta una descripción de las principales dermatopatías que afectan al grupo de 5-14 años de la población rural cafetera del Departamento de Cundinamarca.En su conclusiones hace aportes sobre factores relacionados con el desarrollo de dichas patologías y que son posibles de prevenir mediante acciones específicas de saneamiento ambiental y Educación en Salud, dirigidas a dismunuir la incidencia de las dermatopatías
Asistencia de enfermería al paciente con dolor
Authors: Molina R Maria Eugenia
Published: April 2023

El artículo aborda el dolor como una experiencia TOTAL E INDIVIDUAL que compromete tanto la parte biológica como pscológica de la persona y ante el cual cada individuo responde de una manera diferente.Retoma las más importantes recomendaciones de la O.MS.,en relación con el tratamiento  farmacológico en el dolor por cáncer.Además, señala la importancia del tratamiento no farmacológico del dolor, en cuanto hace posible tratar el dolor con sus múltiples factores contribuyentes.Presenta la clasificación del dolor en agudo, crónico y por cáncer; al final enfatiza la importancia del trabajo del equipo interdisciplinario en las Clínicas de alivio del dolor.
Experiencia de aprendizaje en la práctica de vigilancia epidemológica de una enfermedad trasmisible miningitis meningococcica
Authors: Arias V María Mercedes , Arango Gloria Cecilia , Alvarez Isabel Cristina , Ceballos Luz Eugenia
Published: April 2023

A partir de dos defunciones ocurridas en una misma familia, las autoras participaron - entre las acciones de Vigilancia Epidemiológica- en la investigación de campo, en la cual encuentran más de 80 contactos, 4 portadores y 3 defunciones más, debidas a la misma causa. Se descubre el vínculo epidemiológico de la enfermedad  meningocóccina entre dos zonas del Area Metropolitana del Vallede de Aburrá y la presencia del virus de la rabia en una de las zonas a partir de un mico conviviente intrafamiliar.El trabajo presenta las historias clínicas, el diagnóstico y tratamiento de acuerdo a estándares de atención, la coordinación interinstitucional tanto de entidades oficiales del sector salud-Metrosalud y S.S.S.A- como formadoras del recurso profesional Facultades de Enfermería y medicina de La U. de A- y privadas -H.J.S.V.P.-.Igualmente resalta la apropiación del problema por la comunidad y la eficacia de las medidad encaminadas a cortar la cadena de transmisión y realizadas en forma interdisciplinaria.En la investigación de campo participaron además Luz Mercedes Gaviria y Flor maría Agudelo, estudiantes del mismo nivel de la carrera.
La necesaria rearticulación del conocimiento epidemiológico. El problema de la práctica-teórica y la práctica-práctica.
Authors: Blanco Gil Jose
Published: April 2023

Cada momento el proceso de formación de una ciencia, se mantiene en estrecha correspondencia con el grado de desarrollo alcanzado por la sociedad.Por otra parte, este proceso es condicionado por la historia de los problemas que esta ciencia aborda.La actividad epidemiológica, considerada como el conjunto de acciones sociales orientadas a enfrentar a la enfermedad como problema colectivo, condiciona el surgimiento de la actividad científica en el análisis del proceso Salud- Enfermedad. Esta actividad cientifíca, a su vez, conduce el desarrollo siempre progresivo del conocimiento y a la sustitución de las teorías anteriores, con la formulación de nuevos conceptos y la definición de categorías de análisis con un mayor nivel de abstracción que permiten una rearticulación del conocimiento.En el proceso de desarrollo de la Epidemiología como ciencia, se identifican tres momentos: el primero, se caracteriza por la actividad empiríca y el establecimiento de acciones de carácter circunstancial;el segundo, por el surgimiento de la actividad científica y la puesta en práctica de acciones de carácter sistemático y, finalmente, aparecen las fases iniciales de un tercer momento que contiene la necesidad de un reordenamiento del conocimiento epidemiológico que se exprese en nuevos enfoques teórico-metodológicos. La actividad epidemiológica de este tercer momento, requiere de acciones sociales integrales.
Actividades profesionales y utilización de conocimientos de las egresadas del programa II ciclo de enfermería presencial y a distancia.
Authors: Pardo Velez Graciela , Granada M Maria Victoria , Cedeno Marlene , Montes Marlene
Published: April 2023

El propósito del presente estudio es determinar el efecto del programa de enfermería II ciclo, a distancia, por medio del seguimiento de las egresadas que realizaron su complementación en los centros regionales de las ciudades de Cali, Buga y Popayán; y establecer comparaciones entre estos grupos y el grupo presencial o control Departamento de Enfermería de la universidad del Valle.El establecer relaciones entre promedios de utilización de conocimientos básicos y las actividaddes profesionales propiamente dichas, permiye la actualización y mejoramiento del plan de estudios.En esta forma el programa puede modificarse tendente a favorecer tanto el crecimiento personal como de la profesión, pero acorde con las necesidades de la comunidades a la cual prestan sus servicios las egresadas.Este estudio de seguimiento, forma parte del modelo evaluativo que incluye otros factores o categorías de variables. A saber: La comunidad en términos de la morbimortalidad y los recursos; el profesorado de acuerdo al uso y producción de técnicas educativas; el costo beneficio del programa bajo la modalidad a distancia.
La Percepción del Enfermar.
Authors: Alberdi Castell Rosa Maria
Published: April 2023

La autora presenta una propuesta de reflexión sobre la percepción de enfermar del individuo que sufre este proceso, tomando tres puntos básicos para su análisis: el significado del síntoma y su expresión, la función del diagnóstico y la investigación den los límites.El artículo aporta a la discusión del nivel biológico individual como parte del conocimiento médico-social que busca explicaciones más globalizadoras del proceso salud-enfermedad.
Manifestaciones culturales de las enfermedades más características entre los menores de cinco años.
Authors: Guevara Corral Ruben Dario
Published: April 2023

El artículo, resultado de una investigación sobre la medicina tradicional, presenta las creencias, actitudes y el comportamiento que tienen los habitantes que se ubican en un asentamiento urbano de la ciudad de Popayán, Colombia.Señala cómo las condiciones económicas y sociales son las que determinan y permiten el surgimiento y la permanencia de técnicas e ideas tradicionales para prevenir y curar las enfermedades más caracteristicas de los menores de cinco años.Igualmente relieva este conocimiento como parte constitutiva e integradora del acervo cultural de la comunidad, que tiene que recogerse para adelantar políticas en el campo de la salid pública.
El dolor en los niños.
Authors: Castillo E Edelmira
Published: April 2023

En este artículo se revisa la literatura concerniente al concepto de dolor, la percepción del dolor en los niños, su respuesta al dolor y las variables que afectan la experiencia dolorosa infantil.
El derecho a morir con dignidad.
Authors: Molina Restrepo María Eugenia
Published: April 2023

En este artículo se aborda lo que representa para el ser humano la vivencia de la última fase vital, la actitud de la enfermera con el paciente terminal y el sentido que tiene el poder acompañarlo y ser útiles a él y a su familia.La muerte, y el paciente terminal, por su íntima relación con ella generan angustia y temor en el equipo de salud, los cuales se reflejan en el aislamiento y en última instancia en la desprotección que sufren tanto el paciente terminal como su familia. Las tesis del Doctor Sporken y la doctora Kubler, retomadas por la autora de este artículo, permite entender las distintas manisfestaciones que se presentan en cada una de las fases terminales y por lo tanto identificar las conductas a seguir por el equipo de salud.
Sexualidad de la Edad Madura.
Authors: Gómez A Alejandro
Published: April 2023

La década de los años cincuenta ha trído una verdadera revolución científica gracias a los aportes de los Doctores W. Master y V. Jhosnson quienes, estimulados por trabajos de A. Kinsey, lograron superar los obstáculos culturales en los mitos y tabúes, convirtiendo la experiencia sexual humana en objeto de observación científica.
Tendencias en los aspectos sociales de las enfermedades tropicales
Authors: Agudelo Saúl Franco
Published: April 2023

Conviene, en primer lugar, plantear los alcances y objetivos del presente material, partiendo del esclarecimiento de los término de su título.Conocemos la génesis histórica del concepto "Enfermedades Tropicales". Y sabemos bien que ni son exclusivas de los trópicos ni la tropicalidad ha sido una cuestión meramente geográfica o ecológica.El término "Enfermedades Coloniales", equivalente y empleando por algunos, expresaba mejor el contenido real. Era el conjunto de males que padecían lñas colonias y que fueron llegando a las metrópolis como problema de salud y como reto económico por la vía lógica de los colonizadores primero y de los flujos migratorios después.
Las infecciones intrahospitalarias y salud ocupacional.
Authors: Grajales L Alba Colombia
Published: April 2023

El hospital área específica de trabajo a menudo ignorada por la tendencia de no considerar al personal hospitalario dentro de la categoría de trabajadores, los cuales están expuestos a innumetrables factores de riesgo. La característica técnica de la actividad que lo difiere de la industria en particular se deriva del trabajo, el cual se efectúa no sobre la materia inerte, sino sobre el individuo mismo con un objetivo común: producción.
Investigación en administración de servicios de salud.
Authors: Méndez deMartinez Delia , Duque Cardona Sonia , Gómez Tabares Gloria Stella , Carmona Ospina Miriam , Sanchez Franco Clara Inés , Zapata Escobar Ana Dolores , Bustillo Moncada Thelma
Published: April 2023

ANTECEDENTES EN AMÉRICA LATINALa Investigación en salud en América Latina es dependiente. No surge como producto de la problemática de salud de estos países; al igual que los procesos de formación de recursos humanos en salud, y en particular del recurso de enfermería, aparece totalmente desvinculado de la realidad social, obedeciendo a inferencias externas, en ocasiones totalmente ajenas a las propias necesidades de los países.
PRIMARY CARE MORE RELEVANT THAN EVER
Authors: Yepes Delgado Carlos Enrique
Published: April 2023

This articles´s aim is to highlight the importance of primary care as the basic strategy for health provision. This paper analyses the Colombian health model and how it evolved historically until the emergence of the present neoliberal policies which need to be reformed regarding the convenience to consider the implementation of a Primary Care Health Model.
Let's Evaluate the Social Practice of Nursing!
Authors: Gallegos Cabriales Esther C.
Published: April 2023

Let's Evaluate the Social Practice of Nursing!
PROFESSIONAL SELF-ESTEEM DEVELOPMENT IN NURSING
Authors: Torres Alexandra , Sanhueza Olivia
Published: April 2023

This article analyses from an historical perspective life experienced events in nursing and their effects in professional self esteem, ﬁrst as caregivers and later as nurses. The article critically reﬂects about facts that stamped the practice of nursing during every one of its historical evolution phases: domestic, vocational, technical and professional; and how those facts could have inﬂuenced and how still inﬂuence the development of professional self- esteem. The principal problems of each phase are analysed in order to present some change proposals to improve the situations considered.
EFFECTIVENESS OF AN EDUCATIONAL PROGRAM IN THE CONTROL OF DIABETIC PATIENTS
Authors: Tejada Tayabas Luz María , Pastor Durango María del Pilar , Gutiérrez Enríquez Sandra Olimpia
Published: April 2023

Objective: To evaluate the effectiveness of an educational intervention program on people with diabetes mellitus type 2 in a family medical unit of San Luis Potosi, Mexico. Methodology and material: This is a study of intervention, longitudinal and, comparative. A probabilistic sample and a randomized assignation was used. The variables of study were: level of knowledge in regard to the disease, self care and metabolic control of the patient. An educational intervention program was applied to the study group during nine months, thus a conventional assistance was given to the control group. Measurements of glucosidal hemoglobin were taken, so was the level of knowledge before and after the intervention. The data were processed and analyzed with the software SPSS 8.0. A test of differences of medians for independent samples was applied. Results: The findings show statistic evidence of the educational program effectiveness, thus the knowledge level was improved, and through the test of Friedman, it was showed that the average of glucosidal hemoglobin is lower in the study group. Conclusions: The evaluated program is effective because it increases knowledge increment with respect to the illness, and also ways of control and the therapeutic, such as the metabolic control of the patient.
Considerations about type 2 diabetes mellitus
Authors: Díez Mejía Bertha Ligia
Published: April 2023

Considerations about type 2 diabetes mellitus
ETHIC EVALUATION OF INVESTIGATION PROJECTS: A PEDAGOGIC EXPERIENCE, UNIVERSIDAD DE ANTIOQUIA, COLOMBIA.
Authors: Gómez Tabares Gloria Estela , Molina Restrepo María Eugenia
Published: April 2023

In all the moments of the development of a research process, since its inception, assessment of the question, objectives discussion, methodology, diffusion, a parallel process is to be accomplished to insure self-regulation and follow- up of the different investigative phases. Conviction- ethics and responsibility-ethics should always be present in the investigator in order to achieve wellbeing for the researches, the subjects of the investigation and for science. The conclusion is that the evaluation of investigation projects, as part of the validating process of new knowledge, should include an evaluation grounded in virtue- ethics, conviction and responsibility orientated towards the advancement of Science and the progress of mankind.
CASE MANAGEMENT MODEL IN PATIENTS WITH TYPE 2 DIABETES MELLITUS
Authors: Martínez de Dávila María Guadalupe , Moreno Monsiváis María Guadalupe , Sauceda Flores Paz Francisco , Vázquez Arreola Leticia , Medina Ortíz Sofía Guadalupe , Liñán Zamarripa Arcelia
Published: April 2023

Aim: To implement the case Management Model and to assess its effectiveness in patients with type 2 diabetes mellitus. Methodology: Two seventeen patients groups were sample. One was experimental and the second was a control group. Study stages: a) selection of patients and training of the multidisciplinary team, b) multi-disciplinary intervention, c) follow-up at home. Results: Experimental group: mean days of hospital stay were 4.88. only 11.8% of patients had one hospital readmission within the six months after the discharge. Mean of glycosilated hemoglobin al hospital admission: 11.45%. at the end of intervention: 8.84%. The student comparison of means showed a significant difference (p= 001). Control group: mean days of stay was 6.24. in the following six months 35.5% had from one to two readmissions. Conclusions: The experimental group reported shorter stays and less readmission, more knowledge regarding the disease and treatment, higher family involvement in care, and better clinical control through glycosilated hemoglobin.
HOW TO HELP PATIENTS QUIT SMOKING?
Authors: Campo Arias Adalberto
Published: April 2023

Smoking is a leading cause of world morbidity and mortality. However, the most health professionals has not been trained on promoting abstinence or quitting smoking among patients. This article updates and resumes useful strategies for physicians and nurses from different level of assistance: ask about smoking, assess and motivate willing to quit, assist to quit and arrange a follow-up.
Learn to care caring
Authors: Molina Restrepo María Eugenia , Castaño López Rosa Amalia
Published: April 2023

This article deals with a ethical reflection related to nursing care experience and about teaching. Aspects of the ethical foundations are analyzed in relation with the conduct leading to the creation of knowledge in order to be able to identify the moments and circumstances to preserve the ethical principles, moral values (virtues) and the internal goodness or the nursing profession: caring with quality.Key words: ethics, ethical principles, moral values, nursing care
Writing up qualitative research … better
Authors: Wolcott Harry , Schnitter Castellanos Mónica
Published: April 2023

The article contains the conference given by professor Harry Wolcott in May 2003 in Medellín for the presentation of the second edition in Spanish of his book Writing Up Qualitative Research. He asks why is always the second chapter of a written report the ";Revision of Literature"; and could it be something else instead? He proposes for chapter two to be ";Linking Up"; of literature, theory and method as an alternative to the traditional literature review, on demand, as necessary, instead of treating this activities as independent exercises. With respect to literature review readers want to be engaged immediately with the problem being addressed. References are critical in helping to analyse and to situate the problem and the research in a broad context. Making the link to theory should be next, but until it is quite clear what is the research interest and how it relates to the report. Finally, linking up through method, what readers want to know is how data was obtained or what are the bases for making inferences. In this manner the researcher may inform the reader since the beginning with enough detail about the problem, its context, the theory it t articulates to and the method.Key words: qualitative research, writing research reports, report structure
Regarding “good care” in nursing
Authors: Aponte Salazar Amalia
Published: April 2023

I wish to accompany this nursing care practice experience with interpretations and theoretical considerations related with the concepts of human dignity, patients vulnerability and moral values in order to give later an answer to this question: What is the idea of the human being behind the practitioner of nursing care? From that answer depend the moral contents of his professional practice
Single Image Dehazing based on Additive Wavelet Transform
Authors: KAPLAN Nur Hüseyin
Published: April 2023

In this work, a single image dehazing method, which uses the multiscale products of additive wavelet transform as a prior is presented. In this method, first, the additive wavelet transform is applied to the hazy image to obtain its approximation and wavelet layers. Then the multiscale products of the approximation and detail layers of the input hazy image is calculated. The multiscale products of approximation and wavelet layers are summed up to obtain the proposed prior. Observations demonstrate that the proposed prior calculation keeps the detail information of the image, while detecting the haze. Using the proposed prior and commonly used hazy image model together, an efficient dehazing method is constructed. The comparisons between the proposed method and commonly used dehazing methods show that the proposed method has a better dehazing perfomrance than the traditional methods.
Performance Evaluation of Jaccard-Dice Coefficient on Building Segmentation from High Resolution Satellite Images
Authors: ATAŞ İsa
Published: April 2023

In remote sensing applications, segmentation of input satellite images according to semantic information and estimating the semantic category of each pixel from a given set of tags are of great importance for the automatic tracking task. It is important in situations such as building detection from high resolution satellite images, city planning, environmental preparation, disaster management. Buildings in metropolitan areas are crowded and messy, so high-resolution images from satellites need to be automated to detect buildings. Segmentation of remote sensing images with deep learning technology has been a widely considered area of research. The Fully Convolutional Network (FCN) model, a popular segmentation model, is used for building detection based on pixel-level satellite images. In the U-Net model developed for biomedical image segmentation and modified in our study, its performances during training, accuracy and testing were compared by using customized loss functions such as Dice Coefficient and Jaccard Index measurements. Dice Coefficient loss score was obtained 84% and Jaccard Index lost score was obtained 70%. In addition, the Dice Coefficient loss score increased from 84% to 87% by using the Batch Normalization (BN) method instead of the Dropout method in the model.
ADAPTATION OF THE PRIMARY LAND MARKET MANAGEMENT SYSTEM TO THE CONDITIONS OF DIGITAL TRANSFORMATION (ON THE EXAMPLE OF THE PENZA REGION)
Authors: Karabanova N. Yu. , Akimova M. S. , Protopopova A. O.
Published: April 2023

The purpose of the article is to analyze the process of adaptation of the primary land market management system to the conditions of digital transformation. The article presents the characteristics of electronic systems for the promotion and sale of land plots in the primary land market in the Penza region: sale of ownership and lease rights at auction and without bidding, free provision, privatization and formation of investment sites. Methods of comparative visual analysis and SWOT analysis were used. The conducted SWOT analysis showed that at the present stage of digital transformation, the management system of the primary land market in the Penza region has both strengths and weaknesses, which allows optimizing the vector of development of the digitalization of the land market. The results of the study will be useful for familiarization with territorial administration bodies, as well as the scientific community to identify trends in the digitalization of the land market.
INNOVATIVE DEVELOPMENT OF ENTREPRENEURIAL ENTERPRISES IN THE CONTEXT OF NWFD REGIONS
Authors: Kryukov I. A.
Published: April 2023

The work is aimed at the study of theoretical and practical ascetics of innovative development of Russian enterprises. The author, based on the analysis of literary sources, justified the importance of innovative development of the economy, defined the concept of innovation and highlighted approaches to the study of the concept under consideration. On the basis of official statistical sources, the main trends in the innovative development of Russian enterprises in the period from 2017 to 2021 years at the federal and regional levels were considered. The role of innovation in the entrepreneurial sector is defined on the basis of the positions of scientists. The conclusion is made that in conditions of aggravating geopolitical situation the innovative development of entrepreneurial sector can be one of the main ways to ensure economic development and security in our country.
Reflections on the historical and comparative aspects of bankruptcy law
Authors: Hamza Gabor
Published: April 2023

El autor del estudio destaca la influencia de la actio Pauliana del derecho civil /privado/ romano en el derecho concursal, regulado en el/los código/s civil/es de muchos países europeos y extraeuropeos. También ofrece una visión general de la doctrina jurídica, así como de la práctica jurídica arraigada en el concepto de la actio Pauliana. El autor toma en consideración la (segunda) Sale of Goods Act aprobada por el Parlamento del Reino Unido en 1979, así como el European Convention on Certain International Aspects of Bankruptcy, aprobado en 1990, en relación con la actio Pauliana. En la parte final de este estudio, el autor señala que la aproximación o armonización del Derecho concursal debe basarse tanto en la doctrina jurídica como en la historia jurídica comparada. En su opinión, los medios jurídicos más importantes del largo proceso de armonización del Derecho concursal son los convenios internacionales multilaterales.
La calificación jurídica de las pandemias desde el derecho romano de obligaciones
Authors: Periñán Gómez Bernardo
Published: April 2023

El importante texto recogido en D. 50,17,23 (Ulp. 29 ad Sab.) condensa un modelo de gradación de la responsabilidad de gran trascendencia posterior. Sobre esta base textual y sus conexiones, se propone un encuadre dogmático para aquellos supuestos en que una obligación no se cumple a consecuencia de la propagación de una enfermedad infecciosa grave. Al no estar expresamente contemplada esta incidencia en el marco general expuesto por Ulpiano, la analogía cobra especial protagonismo de cara a la calificación teórica del problema. A través de este medio, la fuerza mayor se abre paso como criterio de atribución del riesgo, en principio al acreedor.
Variability of site response in the Los Angeles urban area
Authors: Hartzell Stephen , Cranswick Edward , Frankel Arthur , Carver David , Meremonte Mark
Published: April 2023

This article addresses the variability of site response in the Los Angeles area and possible structural causes for the observations. Aftershock records from 231 sites in the San Fernando and Los Angeles basins and the surrounding mountains are used in this study. Spectral ratios, taken with respect to a low-amplitude reference site, are used to document the variation in site amplification in the frequency range 2 to 6 Hz, both spatially and with backazimuth to the source. At higher frequencies (6 to 10 Hz), spectral ratios are shown to have greater spatial variability. Interstation spectral ratios are used to measure the standard deviation among source as a function of station separation. An increase in the variation in ground motion is shown to take place at a station separation of 1 km. Relative site-response estimates between nearby stations are used to demonstrate that preferred directions of motion can exist even in areas with no surface topographic effects.

Significant variations in site response exist over short baselines (up to a factor of 2 over 200 m) that are not explained by differences in surficial geology or shallow shear-wave velocity. A variety of investigative approaches is used, including spectral ratios, arrival-time variations, 1D and 2D waveform modeling, and comparison with seismic reflection lines, to determine the most likely causes of these observations. A correlation is demonstrated between late arrival times of P and S waves and larger site amplification in Sherman Oaks and Northridge. This observation, in conjunction with waveform modeling and seismic reflection profiles, is used to infer that sedimentary structures in the upper 1 to 2 km and topography on the sediment-basement interface play an important role in determining site amplification. These structures, in the form of folds and buried basins, focus energy in spatially restricted areas at the surface. Comparison of displacement waveforms at nearby stations having disparate site amplifications, complemented by known shallow shear-wave velocities at selected sites, is used to support the argument that these structures, in some cases, can be the dominant factor in the modification of local ground motions.
Estimating earthquake location and magnitude from seismic intensity data
Authors: Bakun W. H. , Wentworth C. M.
Published: April 2023

Analysis of Modified Mercalli intensity (MMI) observations for a training set of 22 California earthquakes suggests a strategy for bounding the epicentral region and moment magnitude M from MMI observations only. We define an intensity magnitude MI that is calibrated to be equal in the mean to M. MI = mean (Mi), where Mi = (MMIi + 3.29 + 0.0206 * Δi)/1.68 and Δi is the epicentral distance (km) of observation MMIi. The epicentral region is bounded by contours of rms [MI] = rms (MI − Mi − rms0 (MI − Mi), where rms is the root mean square, rms0 (MI − Mi) is the minimum rms over a grid of assumed epicenters, and empirical site corrections and a distance weighting function are used. Empirical contour values for bounding the epicenter location and empirical bounds for M estimated from MI appropriate for different levels of confidence and different quantities of intensity observations are tabulated. The epicentral region bounds and MI obtained for an independent test set of western California earthquakes are consistent with the instrumental epicenters and moment magnitudes of these earthquakes. The analysis strategy is particularly appropriate for the evaluation of pre-1900 earthquakes for which the only available data are a sparse set of intensity observations.
Managing Stress in Hospital Nurses
Authors:   , Mangoni Christina , Wilson Linda
Published: April 2023

Background: Healthcare institutions are urged to identify factors associated with nursing dissatisfaction to mitigate increasing turnover rates within the nursing profession, giving special consideration to the current state of the global COVID-19 pandemic. Occupational stress has been identified as a significant contributing factor for nursing dissatisfaction. Purpose: The purpose of this project is to evaluate the effects of a stress management program on hospital nurses on a selected unit with a high Registered Nurse turnover rate. Methods: This project will implement a stress management program for hospital nurses, chosen by a voluntary leadership team of RNs on a selected hospital unit using a PDSA cycle approach. Data collected includes demographics and surveys pertaining to current stress level, confidence in stress management techniques, and interest in learning stress management techniques. Data will be analyzed via descriptive statistics. Pre and post-intervention responses will be analyzed using a paired t-test. Results: The BREATHE stress management program was selected. Results showed improvement in current stress levels and levels of confidence in personal stress management techniques. An increased interest in learning additional stress management techniques was also noted. Participants expressed that they felt that they could use the stress management techniques learned in the selected program, with a mean response of 63/100. Participants also expressed that they would feel more satisfaction with their job if the organization offered a similar program, with a mean response of 60/100. Implementing an occupational stress management program is a sustainable and cost-effective solution for healthcare institutions to curb the rising RN turnover rates. Keywords: stress management program, hospital nurses, job satisfaction, COVID-19
Program Evaluation of a Faith-based Cardiovascular Education Intervention
Authors:   , Cummings Jennifer L , Zuzelo Patti R
Published: April 2023

Background: Cardiovascular disease is the leading cause of death in the United States. Many cardiovascular risk factors are modifiable. Community engagement by Faith Community Nurses in church settings can help patients reduce risk. Problem/Purpose: A newly formed Health Outreach Committee (HOC) at a Philadelphia faith community identified a need for cardiovascular lifestyle risk modification education and planned this as the inaugural topic of its new health outreach program. The project purpose was to evaluate effectiveness of the HOC educational program in increasing knowledge of cardiovascular risk modification, increasing level of readiness to make self-identified lifestyle changes, and to evaluate the program format as a potential model for future programs. Methods: Educational materials as structured by the Ohio State University Million Hearts program were presented in the context of the faith community setting. Participants received group instruction, a personal lifestyle risk assessment with evidence-based strategies targeting risk modification, individual telephone follow up for two weeks, and a second group educational session. Intended outcomes were increased knowledge level regarding cardiovascular risk modification and increased readiness to make lifestyle changes as a result of this pilot program. Results: Pre and post intervention surveys evaluated knowledge and readiness to change. McNemar chi-square analysis demonstrated statistically significant improvement of cardiovascular knowledge test scores greater than 90% post-intervention. Post-program surveys produced a favorable overall evaluation program effectiveness and promoted sustainability.
Virtual Reality in Dance/Movement Therapy
Authors:   , Bigbee Alyssa , Jones Cynthia
Published: April 2023

This culminating project is an Informed Practice Approach and Application, grounded in extant theory and literature and the author's own therapeutic practice. It explores how virtual reality (VR) can be incorporated into Dance/Movement Therapy (DMT). This project was developed during a six-and-a-half-month internship at a university in an urban region of the United States. This approach focuses exploring what theoretical approaches and existing DMT interventions could be used in VR within a telehealth experience. By selecting approaches and developing interventions to meet the client's needs, this project discusses the diverse ways VR could be incorporated into DMT. Current literature was reviewed from relevant topics including virtual reality history & design, therapeutic VR interventions, medical applications. Three case narratives were provided to display techniques used during sessions. This project shows a need for more education and research on the topic. Suggestions for future applications were provided.
ÇOCUKLARDA STRES İLE OKUL REDDİ ARASINDAKİ İLİŞKİDE BİLİŞSEL DUYGU DÜZENLEME STRATEJİLERİNİN ARACI ROLÜ
Authors: ASLAN Fatih Mehmet , YÜKSEL Serhat
Published: April 2023

Bu çalışmada, çocuklardaki stres ve okul reddi arasındaki ilişkilerin ve bu ilişkide bilişsel duygu düzenleme stratejilerinin aracı rolünün incelenmesi amaçlanmıştır. Araştırmanın çalışma grubu uygun örnekleme yöntemi ile yaşları 8-11 aralığında 216 erkek (%43,1) ve 285 kız (%56,9) olmak üzere 501 katılımcıdan oluşmaktadır. Araştırma da Pearson Korelasyon Analizi ve Regresyon ve Aracı Değişken Modeli kullanılmıştır. Veri toplama aracı olarak “Çocuklarda Algılanan Stres Ölçeği” , “Çocuklar İçin Bilişsel Duygu Düzenleme Stratejileri Ölçeği (BDDÖ)” ve “Okul Red Ölçeği” kullanılmıştır. Araştırmanın sonucunda; algılanan stres, bilişsel duygu düzenleme stratejileri ve okul reddi değişkenlerinin birbirleri ile istatistiksel olarak anlamlı bir ilişki içerisinde olduğu bulunmuştur. Algılanan stresin okul reddini ve BDD ‘yi ve BDD ‘nin de okul reddini anlamlı düzeyde yordadığı saptanmıştır. Algılanan stres ile okul reddi arasında bilişsel duygu düzenleme stratejilerinden; ruminasyon felaketleştirme kendini suçlama, kabul etme, başkalarını suçlama boyutlarının aracı rolü olduğu belirlenmiştir. Çocuklarda okul reddi, stres ve duygu düzenleme değişkenlerinin arasındaki ilişkilerin incelenmesi önerilir.
Efficacy of brivacetam as an anti-epileptic in patients with epilepsy, with special reference to previous exposure to levetiractam
Authors: Waghralkar Mandar Gopalkrishna , Manchala Shashidhar
Published: April 2023

Brivaracetam (BRV) is a new antiepileptic drug (AED) approved for adjunctive treatment of focal (partial-onset) seizures in adults. It is a selective, high-affinity ligand for synaptic vesicle 2A (SV2A) with much higher affinity than Levetiracetam (LEV). It has a high lipid solubility and rapid brain penetration, and has been shown to have potent broad-spectrum antiepileptic activity in animal models. The aim of the study was to evaluate the efficacy and tolerability of BRV in everyday clinical practice.

This observational study included 35 participants, suffering from different types of epilepsy. Patients were observed over a period of 1 year and data was collected using an interview design model. After the initial interview, a final interview took place after 1 year. Various parameters studied included demographic parameters, seizure frequency and duration, any side effects such as behavioral issues.

This study included total 35 patients. The mean age of the participants was 33 years (range 3 – 90 years). Approximately 63% patients demonstrated a decrease in seizure frequency after switching to Brivacetam. Out of these patients, 76% patients were those patients, who were earlier treated with Levetiracetam, and it was discontinued either due to inadequate control of seizures or prominent side-effects. Brivaracetam also improved emotional balance in the treated patients (treatment naïve or Levetiracteam associated behavioral issues).

Brivaracetam seems to be an effective and safe antiepileptic drug in the routine clinical setting.
Post traumatic pneumocephalus, its complications and management outcome: A prospective study in tertiary care center
Authors: Anjum Zafar KAmal , Sundaram Ponraj K
Published: April 2023

To study clinical course and complications in patients diagnosed to have post-traumatic pneumocephalus based on: 1. Patterns of associated skull fractures; 2 Findings seen in CT scan which may be risk factors for development of CSFR, meningitis or tension pneumocephalus. To study clinical outcome in patients with PTP

This prospective observational study was conducted over a period of 14 months from 15 Nov. 2017 to 15 Jan. 2019 in Goa Medical College, a tertiary care centre for the management of all kind of trauma patients including TBI. The study included all cases of TBI with CT head showing PTP alonwith there radiological findings, clinical course, complications and its management outcome.

A total of 102 cases of post-traumatic pneumocephalus were included in the study. Motor vehicle accident was found to be major cause of PTP (79.41%). The most common site of post traumatic PTP was subdural (45.1%). Majority of the patients with PTP had focal PTP underlying the fracture segment (63.73%). Majority of the patients (30) had either isolated fracture frontal sinus (18) or multiple basal (12). CSFR was seen in 13 patients. Majority (74.51%) of patients were treated conservatively. Most of operative interventions were done for associated EDH, SDH, Contusion or diffuse brain injuries.

Comminuted depressed fracture frontal sinus is most common fracture associated in patients with massive pneumocephalus and CSFR. All patients with evidence of post traumatic PTP and basal skull fracture must be followed over longer period as delayed onset TP, CSF leak and meningitis didn’t show any specific pattern with initial presentation.The use of prophylactic anticonvulsants should be based on the presence of other indications for it.Patients with PTP can be managed without prophylactic antibiotics which can be reserved then only for those with contaminated injuries.TP, CSF leak and meningitis are life threatening complications of PTP. Early recognition and high index of clinical suspicion and prompt treatment results in improvement of vast majority of patients.
Association between plasma adiponectin levels and severity of acute ischemic stroke
Authors: Phalgune Deepak Sadashiv , Damle Siddharth , Bahulikar Arun , Patel Divya , Tambolkar Ajit
Published: April 2023

There is little documentation describing the correlation between plasma adiponectin and the severity of ischemic stroke in the Indian population. The present study was aimed to find the correlation between plasma adiponectin levels and severity of acute ischemic stroke using the National Institute of Health Stroke Scale (NIHSS) and Modified Rankins Scale (MRS).

The present prospective observational study was conducted on 109 patients of confirmed acute ischemic stroke aged ≥ 30 years presenting within 24 hours of new onset of neurodeficits. NIHSS and MRS were measured within 24 hours and 5 days after onset of symptoms respectively. Plasma adiponectin levels were measured. The primary objectives were to find the correlation of plasma adiponectin levels with severity of acute ischemic stroke using the NIHSS and neurological functional outcome using the MRS. The secondary objectives were to find an association of plasma adiponectin levels with serum lipid profile and comorbidities.

There was a negative correlation between plasma adiponectin levels and NIHSS score (r = - 0.110, p-value = 0.253) and MRS (r = -0.041, p-value = 0.672) which was not statistically significant. The median plasma adiponectin levels were comparable between the groups of cases with co-morbidity and without co-morbidity. A significantly higher percentage of patients who had high triglyceride levels had normal plasma adiponectin levels. The distribution of other lipid parameters and hypertension did not differ significantly between the groups of cases with normal and abnormal plasma adiponectin levels.

There was no correlation between plasma adiponectin levels and severity of acute ischemic stroke.