bluuebunny/crossref_metadata_2025 huggingface dataset:
A Review on the Finite Element Modeling of the Particle Reinforced Metal Matrix Composites in Cutting Process
Authors: Qi Xiaole , Li Guohe , Zhang Qi , Sun Fei
Published: October 2019

Background::

Particle Reinforced Metal Matrix Composites (PRMMCs) are widely used
because of the higher specific strength, better dimensional stability, lower thermal expansion coefficient,
better wear and corrosion resistance. However, the existence of reinforcing particles makes it
hard to machine. The main manifestations are as follows: severe tool wear, easy generation of debris
tumors in processing, and many defects on the machined surface, etc. These seriously limit its wider
application. The Finite Element Method (FEM) has been widely applied in the research of
PRMMCs machining according to recent patents, which can improve the efficiency and reduce the
cost of research. Therefore, it is necessary to carry out a deep research for the processing technology
of PRMMCs.

Methods::

In this paper, the latest research progress of finite element simulation of cutting PRMMCs
was summarized. The key technologies of finite element simulation, including constitutive model,
geometric model, friction model between chip and tool, fracture criterion and mesh generation, are
comprehensively analyzed and summarized. The application in the specific processing methods was
discussed, such as turning, milling, grinding, ultrasonic vibration grinding and drilling. The existing
problems and development direction of the simulation of PRMMCs cutting are also given. Besides,
a lot of patents on finite element simulation for PRMMCs machining were studied.

Results::

Finite element model for the actual composition determines the accuracy of finite element
simulation. Through the secondary development of finite element software, a more realistic finite
element model of Particle reinforced metal matrix composites can be established.

Conclusion::

Finite Element Method (FEM) provides a new approach for the study of mechanism of
Particle reinforced metal matrix composites machining. Quantitative analysis and prediction of micro-
details in cutting can be realized.
Design and Performance Analysis of Distributed Equal Angle Spiral Vertical Axis Wind Turbine
Authors: Zheng Li , Wenda Zhang , Ruihua Han , Yongsheng Tian
Published: October 2019

Background:

The wind turbine is divided into a horizontal axis and a vertical axis depending
on the relative positions of the rotating shaft and the ground. The advantage of the choke
wind turbine is that the starting torque is large and the starting performance is good. The disadvantage
is that the rotation resistance is large, the rotation speed is low, the asymmetric flow occurs
when the wind wheel rotates, the lateral thrust is generated, and the wind energy utilization rate is
lowered. How to improve the wind energy utilization rate of the resistance wind turbine is an important
issue to be solved by the wind power technology.

Objective:

The nautilus isometric spiral wind turbines studied in this paper have been introduced
and analyzed in detail, preparing for the further flow analysis and layout of wind turbines, improving
the wind energy utilization rate of wind turbines, introducing patents of other structures and output
characteristics of its generator set.

Methods:

Combined with the flow field analysis of ANSYS CFX software, the numerical simulation
of the new wind turbine was carried out, and the aerodynamic performance of the new vertical
axis wind turbine was analyzed. The mathematical model and control model of the generator were
established by the maximum power control method, and the accuracy of the simulation results was
verified by the measured data.

Results:

The basic parameters of the new wind turbine tip speed ratio, torque coefficient and wind
energy utilization coefficient are analyzed. Changes in wind speed, pressure and eddy viscosity were
investigated. Three-dimensional distribution results of wake parameters such as wind speed and
pressure are obtained. By simulating the natural wind speed, the speed and output current of the
generator during normal operation are obtained.

Conclusion:

By analyzing the wind performance and power generation characteristics of the new
wind turbine, the feasibility of the new wind turbine is determined, which provides reference and
reference for the optimal design and development of the wind turbine structure.
DNA Fingerprinting of Resistant Mycobacterium tuberculosis Isolates in Iran by IS6110-RFLP Method
Authors: Farazi Aliasghar , Sofian Masoomeh , Keshavarz Rohollah , Malekmohammadi Shima
Published: October 2019

The objective of the research was to identify resistant Mycobacterium tuberculosis strains and recognize their molecular epidemiology and how they are disseminated in order to determine the cause and the effect of drug resistance and the process of its development.

         Materials and methods. Genomic deoxyribonucleic acid obtained from 37 drug-resistant Mycobacterium tuberculosis isolates were examined and fingerprinted by the IS6110- restriction fragment length polymorphism method. The data obtained were then analyzed using SPSS statistics software.

         Results. The mean patients’ age was 51 ± 15.5 years. There were 46% of male patients, 67.6% of the patients from urban areas, 86.5% of Iranians, 21.6% of relapsed cases, 8.1% of human immunodeficiency virus-positive patients, and 10.8% of the patients with a history of contact with tuberculosis patient. Based on IS6110 - restriction fragment length polymorphism, 30 different genetic types were observed which indicated a significant variation of this pathogen in Markazi province, Iran. The number of cluster genotypes was determined by 6 clusters; the number of unique types was 24. There were no relationships between age, gender, nationality, residence, close contact with tuberculosis patients, recurrence of tuberculosis, positive human immunodeficiency virus status and clustered or non-clustered strain genotype.

         Conclusions. Considering the high genetic diversity in Mycobacterium tuberculosis strains, it can be concluded that, based on IS6110 - restriction fragment length polymorphism, about 65% of cases occurred due to reactivation, and 35% of the cases were due to recent transmission. The information obtained through the molecular typing method can be very effective in future planning for tuberculosis control in Iran.
Prevalence of Chronic Venous Diseases in Students of Ivano-Frankivsk National Medical University
Authors: Sabadosh Rostyslav , Riziuk Mykola , Ryziuk Nazarii
Published: October 2019

The Objective of the Research was to increase the frequency of detecting chronic venous disorders in young people by surveing the students using a specially designed questionnaire with an analysis of its results for timely treatment.

         Materials and Methods. To detect lower extremity chronic venous disorders, 1,007 students of the Ivano-Frankivsk National Medical University were interviewed using questionnaire that was based on the VEIN-TERM, the Venous Clinical Severity Score, the Chronic Venous Insufficiency Quality of Life Questionnaire. In the surveyed people, there were estimated the following data: age; gender; objective symptoms of chronic venous disorders such as telangiectasia, reticular (spider) veins, varicose veins and leg swelling; 11 most common symptoms of chronic venous disorders; risk factors such as the presence of lower extremity varicose veins in parents, previous childbirth and frequent or rare use of high heels in females.

         Results. In 617 (61.3%; 95 CI, 58.2 - 64.3%) respondents, phlebopathy was detected; 63 (6.3%, 95 CI 4.8 - 7.9%) students reported lower extremity telangiectasias; 11 (1.1%; 95 CI 0.5 - 1.9%) students reported reticular veins. Varicose veins were detected in 33 (3.3%; 95 CI 2.3 - 4.6%) cases. Among them, there were 14 (1.4%, 95 CI 0.8 - 2.3%) cases of leg swelling. Only two symptoms, namely calf cramps (p=0.01) and leg pain (p=0.04) turned out to occur significantly more frequent in the respondents with varicose veins. Varicose veins were more often found in the students whose fathers suffered from varicose veins as compared to those whose mothers had varicose veins – 12.1% (95% CI 5.4 - 22.5%) versus 4.2% (95% CI 2.1 - 7.5%), respectively (p=0.008). Among females without lower extremity varicose veins, 34.1% (95% CI 29.7 - 38.3%) of the respondents indicated wearing high heels (above 5 cm) which was approximately 3 times more often as compared to female respondents with varicose veins - 11.2% (95% CI 0.0 - 21.7%) of women (p=0.001).

         Conclusions. 1. Leg pain and calf cramps can be considered as the most important subjective symptoms for early diagnosis of lower extremity varicose veins in young people. 2. The presence of lower extremity varicose veins in a father results in higher risk of detecting this pathology in the respondent than the presence of lower extremity varicose veins in a mother: 12.1% (95% CI 5.4-22.5%) versus 4.2% (95% CI 2.1 - 7.5%) (p = 0.008). 3. Early diagnostics of lower extremity varicose veins in young people with the aim of further adequate treatment to prevent their progression and the development of complications can be implemented by questioning students in different educational institutions.
Algorithm for Surgical Treatment of Children with Hirschsprung’s Disease
Authors: Kurtash Oleh
Published: October 2019

Hirschsprung’s disease requires surgical treatment. Depending on the form of aganglionosis and severity of pathology, open or minimally invasive, one-stage or multi-stage radical surgery may be used.

The objective of the research was to develop an algorithm for surgical treatment of children with Hirschsprung’s disease.

Materials and methods. The analysis of surgical treatment of 1,129 children with different forms of Hirschsprung’s disease aged from birth to 18 years over the period 1980-2018 was conducted. All the patients underwent both traditional and minimally invasive radical surgery.

Results and discussion. The patients were divided into three groups; each group was characterized by modernization of surgical methods, as well as intensification of diagnostics for early detection of such patients. Radical surgery without a protective colostomy was used in 773 (68.46%) cases, while in 356 (31.53%) cases, a protective colostomy was created. Due to the intensification of diagnostics that markedly contributed to early detection of patients with various forms of Hirschsprung’s disease, during each study period, there was observed a dramatic decrease in the number of stoma patients with a significant increase in the number of children diagnosed with Hirschsprung’s disease: from 68.54%  (1980-1992) to 37.93% (1993-2010) and 12.00% (2011-2018).

Conclusions. Timely diagnostics contributes to early detection of children with different forms of Hirschsprung’s disease. In uncomplicated forms of Hirschsprung’s disease, it is reasonable to perform one-stage radical surgery, namely the resection of the aganglionic segment and the affected colon segment followed by colorectal anastomosis. In severe Hirschsprung’s disease, two-stage surgery should be used: creation of a protective colostomy (the first stage) and radical surgery (the second stage). In some cases, in colectomy, three-stage surgical approach is needed, namely the creation of a protective colostomy (the first stage), radical surgery (the second stage) and protective colostomy closure (the third stage).
PENTINGNYA KEPUASAN KERJA
Authors: Sunarta Sunarta
Published: October 2019

Abstrak: Pentingnya Kepuasan Kerja. Upaya meraih kepuasan kerja penting baik bagi individu maupun organisasi. Ditinjau dari individu, kepuasan kerja tidak hanya berkaitan dengan pekerjaan yang menyenangkan, namun juga berhubungan dengan kebahagiaan dan kesehatan. Ditinjau dari organisasi, kepuasan kerja pegawai berhubungan dengan produktivitas, perilaku kerja positif, mengendalikan turn over dan kinerja. Kerja baik dalam pendekatan transaksional maupun relasional melibatkan dua pihak yaitu pegawai dan organisasi, sehingga kepuasan kerja dipengaruhi oleh faktor-faktor dari sisi pegawai dan organisasi. Upaya saling memahami menjadi penting untuk meraih kepuasan kerja yaitu bagaimana organisasi memahami kebutuhan, keinginan dan harapan pegawainya, serta bagaimana pegawai memahami tujuan bersama antara dirinya dengan organisasi. Komunikasi diperlukan sebagai sarana untuk meningkatkan pemahaman antara pegawai dan organisasi. Kata kunci: Kepuasan Kerja, pegawai, organisasi dan produktivitas Abstract: The Importance of Job Satisfaction. Efforts to achieve job satisfaction are important for both individuals and organizations. In terms of individuals, job satisfaction is not only related to pleasant work, but also related to happiness and health. In terms of organization, employee job satisfaction is related to productivity, positive work behavior, controlling turnover and performance. Work in both the transactional and relational approaches involves two parties, namely employees and the organization, so job satisfaction is influenced by factors in terms of employees and the organization. Efforts to understand each other are important for achieving job satisfaction, namely how the organization understands the needs, desires and expectations of its employees, and how employees understand the shared goals between themselves and the organization. Communication is needed as a means to increase understanding between employees and organizations.  Keyword: Job Satisfaction, employee, organization and productivity
Emergências na sociedade contemporânea
Authors: Daré Paula Serafim , Vallada Candido Pinto
Published: October 2019

O que não se tornou emergência, no sentido de prontidão para a ação, no mundo da internet? Nele, o ritmo dos acontecimentos se assemelha ao de um filme em alta velocidade. A sensação que temos é a de que se não lermos hoje, não visualizarmos ou respondermos algo prontamente, já estaremos desatualizados ou desconectados. A velocidade da internet muitas vezes não é a nossa, mas se impõe sem piedade. As transformações tecnológicas aparecem na sociedade como facilidades, encurtamento de tempo e distâncias, acesso às informações e ao conhecimento, mas vêm acompanhadas do temor de não darmos conta do volume do que se deve saber, fazer, produzir ou consumir.
Investigating How Bowel Cancer Survivors Discuss Exercise and Physical Activity Within Web-Based Discussion Forums: Qualitative Analysis
Authors: Olsen Alicia , Keogh Justin , Sargeant Sally
Published: October 2019

Background

Online cancer support group discussions enable patients to share their illness experience with others. The sharing of technical and emotional support information and the ability to ask for advice are some of the primary discussions shared online. People with bowel cancer can also use these forums to support each other by sharing information based on personal experiences. This type of support provides newly diagnosed patients with advice about several topics, including exercise from those who have been there. Information gathered from online discussion boards may complement the advice received by health professionals.

Objective

This study aimed to explore the nature of information related to exercise and physical activity exchanged online for cancer survivors.

Methods

A public open access bowel cancer discussion board was searched for threads containing information related to physical activity or exercise. Keywords such as exercise, physical activity, moving, walking, lifting, weights training, and resistance were used to search for threads (online conversations) related to exercise or physical activity. Only threads initiated by bowel cancer patients or survivors were included. From more than 6000 posts, the inclusion criteria yielded 75 threads for analysis. Inductive thematic analysis was conducted across all included threads.

Results

Analysis yielded 3 main themes: level of exercise competence, beneficial dimensions of exercise, and faith in the knowledge. Level of exercise competence illustrated the varying definitions of exercise that members of the forum discussed in the forum. Beneficial dimensions of exercise revealed that forum members shared both the spiritual benefits associated with exercise as well as the physical benefits or goodness that they feel exercise or physical activity provides them. Faith in the knowledge of exercise demonstrated that forum members were aware of the general benefits of exercise but felt disappointed that it did not keep the cancer at bay. However, members also had faith that exercise would keep them healthy after diagnosis and treatment.

Conclusions

The analysis revealed that people with bowel cancer discuss exercise and physical activity online and that they view exercise as having a mostly positive influence on their cancer journey. However, personal definitions of exercise became a source of conflict within the group. People with bowel cancer seeking information about exercise may benefit from participating in online support groups as it appears that there are many similar others willing to share their personal experiences with exercise. In addition, health care professionals responsible for caring for people with bowel cancer may use these findings to discuss exercise with their patients while being mindful of how they may view exercise.
Understanding End-User Perspectives of Mobile Pulmonary Rehabilitation (mPR): Cross-Sectional Survey and Interviews
Authors: Dobson Rosie , Herbst Pauline , Candy Sarah , Brott Tamzin , Garrett Jeffrey , Humphrey Gayl , Reeve Julie , Tawhai Merryn , Taylor Denise , Warren Jim , Whittaker Robyn
Published: October 2019

Background

Pulmonary rehabilitation (PR) is an effective intervention for the management of people with chronic respiratory diseases, but the uptake of and adherence to PR programs is low. There is potential for mobile health (mHealth) to provide an alternative modality for the delivery of PR, overcoming many of the barriers contributing to poor attendance to current services.

Objective

The objective of this study was to understand the needs, preferences, and priorities of end users for the development of an adaptive mobile PR (mPR) support program.

Methods

A mixed methods (qualitative and quantitative) approach was used to assess the needs, preferences, and priorities of the end users (ie, patients with chronic respiratory disorders) and key stakeholders (ie, clinicians working with patients with chronic respiratory disorders and running PR). The formative studies included the following: (1) a survey to understand the preferences and priorities of patients for PR and how mobile technology could be used to provide PR support, (2) ethnographic semistructured interviews with patients with chronic respiratory disorders to gain perspectives on their understanding of their health and potential features that could be included in an mPR program, and (3) key informant interviews with health care providers to understand the needs, preferences, and priorities for the development of an mPR support program.

Results

Across all formative studies (patient survey, n=30; patient interviews, n=8; and key stakeholder interviews, n=8), the participants were positive about the idea of an mPR program but raised concerns related to digital literacy and confidence in using technology, access to technology, and loss of social support currently gained from traditional programs. Key stakeholders highlighted the need for patient safety to be maintained and ensuring appropriate programs for different groups within the population. Finding a balance between ensuring safety and maximizing access was seen to be essential in the success of an mPR program.

Conclusions

These formative studies found high interest in mHealth-based PR intervention and detailed the potential for an mPR program to overcome current barriers to accessing traditional PR programs. Key considerations and features were identified, including the importance of technology access and digital literacy being considered in utilizing technology with this population.
Is YouTube Portuguese videos useful as a source of information on diabetes foot care? (Preprint)
Authors: Silva Edson , Toledo Marileila Marques , Tolomeu Jéssica Samara Oliveira , Nominato Gabriela De Araújo , Nunes Ana Paula Nogueira
Published: October 2019

BACKGROUND

Studies have been assessed the importance of YouTube as a source of information for some health conditions, diseases or procedures. However, this platform provides an ever-growing, unregulated source, and some of their information may cause health risks to patients.

OBJECTIVE

The aim of this study was to evaluate the use of Brazilian YouTube videos as a source of useful in-formation about diabetes foot care.

METHODS

The website www.youtube.com was searched on November 30, 2016, for the term “diabetes foot care” in Brazilian Portuguese to assess their usefulness as an information source. The videos were categorized as very useful, moderately useful, somewhat useful, and not useful. The video sources were categorized into 4 groups: organizational, professional, personal and advertisement. Ethics ap-proval was not required and descriptive statistics were calculated for all variables.

RESULTS

Our search resulted in 8.080 videos, of which 200 were reviewed, and 159 videos uploaded on YouTube between 2008 and 2016 were analysed. Videos were categorized as very useful (6.29%), moderately useful (16.35%), somewhat useful (24.35%), and not useful (52.83%). The video source revealed the following classification: organizational, n = 76; professional, n = 11; personal, n= 46; and advertisement, n = 26.

CONCLUSIONS

YouTube's Brazilian videos on diabetic foot care are popular, with varied sources and content. However, most of their content is not useful. Therefore, YouTube videos in Portuguese cannot be considered a good source of information about diabetes foot care.
Questioning the feminization in science communication
Authors: Pérez-Bustos Tania
Published: October 2019

This comment discusses feminization of science communication as a process that is related to the professionalization of the field, but also with the subordination of its practices to certain ideas of science that have described as androcentric. It argues that science communication can play an important role in questioning this subordination and contributing to democratizing science bringing gender diversity into it. For this, the comment presents the case of a Colombian transgender scientist whose public presence in media has being important to destabilize scientific subjectivities in the country and also has opened the possibility to think of science from a care-ful perspective.
EDUCAÇÃO PROFISSIONAL RURAL VERSUS EDUCAÇÃO PROFISSIONAL DO CAMPO: UMA ANÁLISE GRAMSCIANA DA ATUAÇÃO DO SENAR E DOS MOVIMENTOS SOCIAIS CAMPONESES
Authors: Macedo Pedro Clei Sanches , Bicalho Ramofly
Published: October 2019

Este estudo tem como objetivo analisar a disputa ideológica entre as concepções de Educação Profissional Rural e a Educação do Campo. Trata-se de reflexões sobre a utilização desses conceitos na contemporaneidade: atuação do Sistema Nacional de Aprendizagem Rural na política de formação voltada para o agronegócio e a atuação dos movimentos sociais na defesa do PRONERA. A pesquisa utiliza Gramsci como referencial teórico e metodológico, com revisão de literatura e análise de documentos. Identificamos elementos que intensificaram a disputa pela hegemonia no contexto da educação do campo.
ORGANIZACIÓN Y PARTICIPACIÓN POPULAR EN CUBA: APORTES DESDE EL GRUPO COMUNITARIO DE EDUCACIÓN AMBIENTAL
Authors: García Caridad Pérez , Díaz Royana Paredes , García Jesús Jorge Pérez
Published: October 2019

Con el triunfo de la Revolución Cubana, la organización y participación popular se constituyeron la clave para solucionar los problemas de educación, salud, vivienda y otras necesidades sentidas de la población. Con aportes de la educación popular comunitaria y con perspectivas de transformación ‘desde abajo’, el trabajo comunitario ocurre en las cuadras, barrios, municipios y provincias. La experiencia de una cooperativa agrícola en la creación de un Grupo Comunitario de Educación Ambiental evidencia los procesos de participación hacia la identificación y construcción de nuevos saberes y prácticas sociales
O TRABALHO NA PRÁXIS FORMATIVA DA ESCOLA NACIONAL FLORESTAN FERNANDES: UMA ESCOLA CONSTRUÍDA PELA E PARA A CLASSE TRABALHADORA
Authors: Mariano Alessandro Santos , Lombardi José Claudinei
Published: October 2019

O objetivo deste artigo é refletir sobre o método formativo da Escola Nacional Florestan Fernandes - ENFF, uma escola coordenada pelo Movimento dos Trabalhadores Rurais Sem Terra - MST, e que tem como principal papel a formação de militantes, quadros e dirigentes de movimentos e organizações populares do Brasil e outros países. A ENFF assume a concepção marxista de construção e socialização do conhecimento e o trabalho como principal sustentáculo (MARX, 1987) que, por sua vez, encontra-se orientado pela Pedagogia Socialista (PISTRAK, 2009), na Educação Popular (FREIRE, 2005) e na Pedagogia do Movimento (CALDART, 2004).
Faktor Risiko Gagal Konversi BTA pada Pasien Tuberkulosis Paru Fase Intensif di Kota Yogyakarta
Authors: Hadifah Zain , Subronto Yanri Wijayantri , Ikhsan M Robikhul
Published: October 2019

Sputum smear conversion at the end of the intensive phase of tuberculosis treatment is positif of the patients response to treatment. This study aimed to determine factors associated to sputum smear non-conversion at the end of the intensive phase treatment. This cross sectional study was perform in Yogyakarta distric by collecting medical record in primary health care, from 2011-2016. Of 722 pulmonary tuberculosis (PTB) patient, 21,05 %  patients were identified as non-converted of the intensive phase of treatment with the median age was 41 years and 58.5 % were male. The factors were associated with sputum smear non-conversion of insentive phase treatment : male, age ≥50, pre-treatment smears graded ≥2+, nonadherence to tuberculosis after 2 months treatment. Multivariate analysis indicated that Pre-treatment smears graded ≥2+and nonadherent to tuberculosis after 2 months treatment were a count highest contribution with sputum smear non-conversion. Patients with these factors non-conversion after two months of treatment should be given a fully supervised treatment to prevent in treatment default.

Abstrak

Konversi BTA pada akhir pengobatan fase intensif merupakan  salah satu indiaktor respon pasien terhadap pengobatan TB. Tujuan penelitian adalah menentukan faktor risiko yang berhubungan dengan kegagalan konversi BTA setelah pengobatan TB fase intensif. Penelitian ini merupakan penelitian cross sectional berdasarkan data rekam medis di puskesmas, Kota Yogyakarta tahun 2011-2016. Dari 722 pasien TB paru, sebanyak 21,05% adalah gagal konversi setelah pengobatan fase intensif dengan median umur adalah 41 tahun dan sebanyak 58,5% adalah laki-laki. Faktor yang berhubungan dengan gagal konversi setelah pengobatan fase intensif adalah jenis kelamin laki-laki, umur ≥50 tahun, gradasi BTA ≥2+, ketidakteraturan menelan obat. Analisa multivariable menunjukkan gradasi BTA sebelum pengobatan ≥ 2+  dan ketidakteraturan pengobatan sebagai faktor yang paling berkontribusi dengan gagal konversi. Pasien dengan gagal konversi setelah 2 bulan .
Cuidar a una persona con trauma craneoencefálico, la experiencia desde los estudiantes.
Authors: Salamanca Ramos Emilce , Peña Pita Amalia Priscila , Valderrama Sanabria Mery Luz
Published: October 2019

Introducción: A nivel mundial los traumatismos son un problema de salud pública, dejando secuelas físicas, emocionales y psicológicas. El papel del profesional de enfermería es fundamental para disminuir las complicaciones y ofrecer un cuidado integral, asegurando una atención de calidad. Las experiencias de cuidado de los estudiantes son de gran utilidad, que dejan grandes enseñanzas, no solo en busca de un fin científico, sino también para determinar la sensibilidad y responsabilidad hacia el sujeto de cuidado. La investigación tuvo como objetivo, describir la experiencia de los estudiantes de enfermería en el cuidado de pacientes hospitalizados con trauma craneoencefálico. Materiales y Método: Investigación cualitativa de carácter fenomenológico. El muestreo se realizó por conveniencia, pertinencia, adecuación, oportunidad y disponibilidad. Se utilizaron como instrumentos la entrevista a profundidad y el diario de campo. Resultados: Se identificaron las categorías: “Me enfrento con la realidad”, “Cuidado integral, es lo que siempre me han inculcado”, “Mi relación con el otro”, “Enseñándole a mi paciente y su familia”, y “La Familia, pilar fundamental”. Conclusiones: La experiencia expresada por los estudiantes generó expectativas inesperadas, pero se aplicaron los conocimientos necesarios para brindar un mejor cuidado individualizado.  En cada participante emergió la sensibilidad, lo que le permitió situarse en la posición del otro, comprendiendo la impotencia, frustración y pérdida de control. El proceso de Atención de Enfermería es el esquema necesario para brindar el cuidado integral del paciente.
Evaluación de síntomas en niños y adolescentes con cáncer: revisión integrativa.
Authors: Sepulveda Ramírez Jennifer , Carrillo González Gloria Mabel
Published: October 2019

Los niños y adolescentes diagnosticados con cáncer se enfrentan a una serie de cambios en los diferentes aspectos de su vida, y experimentan múltiples síntomas físicos y psicosociales a causa de la enfermedad y su tratamiento, lo que afecta su calidad de vida y la de sus cuidadores. Objetivo: Indagar el estado del aspecto investigativo relacionado con la temática sobre evaluación de síntomas en niños y adolescentes con cáncer. Método: Revisión integrativa de la producción científica generada entre 2007 y 2018 en las bases de datos Embase, Ovid, Medline, Pubmed, Science Direct y Scielo en inglés, español y portugués. Se incluyeron 50 artículos que aportan información sobre evaluación de síntomas en población pediátrica con diagnóstico de cáncer. Resultados: Las investigaciones sobre herramientas que evalúan la manifestación de síntomas, adaptadas y validadas a población pediátrica son limitadas. Conclusiones: Los niños y adolescentes con cáncer presentan síntomas durante las distintas fases de la enfermedad y el tratamiento. Son escasos los estudios sobre estos síntomas en el contexto local, por tanto se requiere validar escalas específicas para esta población, describir los síntomas incluyendo variables clínicas y de calidad de vida percibidas que sirvan para orientar intervenciones oportunas en el manejo de los mismos.
Conocimientos y prácticas sobre métodos de planifi cación familiar en adolescentes escolarizados de Cartagena-Bolívar.
Authors: Del Toro Rubio Moraima , Ruidiaz Gómez Keydis Sulay , Barrios Puerta Zorayda
Published: October 2019

Introducción: En Colombia se capacitan a parejas, madres cabeza de familia y jóvenes adolescentes sobre los benefi cios de la planifi cación familiar, con el objeto de lograr una vida sexual  segura y satisfactoria, de tal forma que se tenga conciencia con el fi n de decidir en qué momento y frecuencia se logra la procreación. Objetivo: Identifi car el conocimiento y la práctica que tienen sobre métodos de planifi cación familiar los estudiantes de una Institución Educativa. Materiales y Métodos: Estudio descriptivo, transversal y correlacional. La muestra estuvo conformada por 229 estudiantes (noveno: 38,9%, décimo: 33,6% y undécimo: 27,4%), seleccionada de manera aleatoria simple; se utilizó la encuesta de medición de conocimientos y prácticas sobre métodos de planifi cación familiar. Resultados: La Edad osciló entre 16 y 18 años y corresponde al 51,1 % de estudiantes. Están distribuidos como sigue: hombres 47,6 %, mujeres 52 %, solteros 82,1 %, urbanos 82,1 %, viven con la madre 81,7 % y el 61,8% habla de planifi cación familiar con la madre. Conocen sobre métodos anticonceptivos (94,8%), han recibido información de su uso (92,1%), en el colegio (39,3%) y en la familia (14,4%). Por otra parte, indicaron que el método que consideran previene el embarazo e ITS es el condón (86%), y que en la primera relación sexual puede sobrevenir el embarazo (71,2%). Del mismo modo, por pena o vergüenza no solicitan información sobre los métodos anticonceptivos (51,5%), algunos no han tenido su primera relación sexual (50,7%); también manifestaron que el primer método de planifi cación familiar empleado fue el condón (67%). La mayor información sobre: conocimientos, prácticas y aspectos sociodemográfi cos se relacionó entre sí (p < 0,05). Conclusiones: El conocimiento, las prácticas y las diversas características sociodemográficas repercuten en muchos aspectos de la salud sexual y reproductiva de estos estudiantes.
Adherencia terapéutica en pacientes anticoagulados con prótesis valvular mecánica
Authors: Álvarez Yañez Débora Milena , Guevara García Asly Nataly , García Calderón Yari Paola
Published: October 2019

Objetivo: Describir el nivel de adherencia terapéutica de los pacientes con prótesis valvular mecánica que reciben anticoagulación oral en una institución de IV nivel. Materiales y métodos: Estudio cuantitativo descriptivo y de corte transversal, realizado durante el segundo semestre de los años 2016 y 2017. La muestra estuvo representada por 89 pacientes con reemplazo valvular mecánico que fueron sometidos a cirugía cardiaca en una institución de IV nivel durante los años 2011 al 2016. Se utilizó el cuestionario como “Instrumento para evaluar los factores que infl uyen en la adherencia a tratamientos farmacológicos y no farmacológicos en pacientes con factores de riesgo de enfermedad cardiovascular versión 3”, elaborado por Bonilla y de Reales en el 2006. El cuestionario estuvo conformado por 53 ítems y 4 dimensiones: factores socioeconómicos, y los relacionados con el proveedor, la terapia y el paciente. El instrumento tiene un coefi ciente Alfa de Cronbach de 0.82. Resultados: El 90 % de los pacientes presentaron un nivel de adherencia bueno; los factores que intervinieron a favor son aquellos relacionados con el sistema y el equipo de salud; la dimensión vinculada a factores socioeconómicos infl uyó negativamente en la adherencia al tratamiento. Conclusión: Existe una buena adherencia terapéutica en los pacientes encuestados; de igual manera se deduce que es necesario promover acciones interdisciplinarias en los programas de seguimiento a pacientes anticoagulados, enfocadas en los factores que infl uyen en la adherencia terapéutica.
Efecto programa de salud domiciliaria en personas ancianas de grupos culturalmente diversos
Authors: Díaz Fernández Jenny Katherine , Velásquez Gutierrez Vilma Florisa , López Díaz Alba Lucero
Published: October 2019

Introducción: Los programas domiciliarios adaptados culturalmente, permiten obtener resultados eficientes en poblaciones vulnerables. Objetivo: Evaluar el efecto de un programa de salud domiciliaria en personas ancianas con dependencia funcional en tres grupos culturalmente diversos. Metodología: Estudio cuantitativo con datos secundarios, resultados de cuatro estudios cuasiexperimentales. Participaron en el Programa de salud domiciliaria adaptado culturalmente 155 personas ancianas de tres grupos culturales: habitantes del área urbana de Bogotá (58), campesinos de Cáqueza (30), afrocolombianos de Tumaco (18) y Guapi (49). La información fue recolectada con las escalas de: intensidad del dolor, autopercepción de la salud y actividades de la vida diaria (AVD). Se realizó un análisis descriptivo y prueba no paramétrica de rango signo de Wilcoxon en cada grupo. Se consideraron aspectos éticos. Resultados: El programa de salud domiciliaria para personas ancianas tuvo efecto positivo estadísticamente signifi cativo en las variables de dolor, autopercepción y dependencia en actividades de la vida diaria; se observó especialmente la intensidad de dolor en afrocolombianos y el aumento de la independencia de las actividades de la vida diaria en los campesinos. Conclusiones: El logro de resultados estadísticamente significativos en las variables de dolor, autopercepción y dependencia en los grupos culturalmente diversos de personas ancianas, sugiere la necesidad de realizar investigaciones sobre programas de salud domiciliaria con perspectiva cultural y con participación de cuidadores, teniendo en cuenta la baja adherencia terapéutica de personas ancianas con dependencia funcional.
Estado de los servicios de atención sobre salud mental en Tunja, 2017
Authors: Mesa Fernández Adriana Marcela , Salamanca Camargo Yenny
Published: October 2019

Objetivo: Describir el estado actual de los servicios de atención en salud mental en la ciudad de Tunja. Materiales y método: Investigación de tipo descriptivo y corte trasversal, en la que a partir de dos fi chas diseñadas por las autoras, conforme a las disposiciones planteadas por las resoluciones 2003 de 2014 y 6408 de 2015 del Ministerio de Salud y Protección Social, con las que se pretendió verifi car el cumplimento en acceso, cobertura, procedimiento, condición de habilitación de servicios y prestación de atención de salud mental, en nueve Entidades Administradoras de Planes de Benefi cios (EAPB) y 32 Instituciones prestadoras de servicios (IPS), vinculadas al directorio de salud de la Secretaria de Protección Social de Tunja. Resultados: Ocho EAPB cuentan con habilitación de servicios en salud mental, la mayoría tiene convenio con el Centro de rehabilitación integral de Boyacá (CRIB); ocho de las 32 IPS brindan el servicio de urgencias para salud mental; 22 el servicio de consulta externa y ninguna cuenta con el servicio de hospitalización en unidad especializada para consumidores de sustancias psicoactivas. Conclusiones: Los servicios habilitados para salud mental son limitados y no cumplen con la totalidad de disposiciones propuestas en las resoluciones; lo anterior se ve refl ejado principalmente en la carencia de profesionales, en virtud que se requiere de profesionales especialistas, con competencias que les permitan brindar servicios oportunos y de calidad.
El trabajador universitario y su salud mental desde el modelo de creencias
Authors: Padilla Sarmiento Sandra Licette , Villamizar Carrillo Diana Janeth , Mogollón Canal Olga Mariela
Published: October 2019

Objetivo: Analizar el estado de la salud mental del personal administrativo en el sistema de educación superior en una región de frontera, teniendo en cuenta sus creencias a partir de los procesos de susceptibilidad y motivaciones de un modelo teórico en salud. Materiales y Métodos: El enfoque metodológico utilizado fue descriptivo, exploratorio y trasversal; caracterizando los datos de una muestra conformada por 115 participantes, a quienes se les aplicó el cuestionario de evaluación integral de la salud mental para administrativos de Padilla, Mogollón y Villamizar (2015), elaborado para esta investigación desde las dimensiones del modelo de creencias y conformado por 137 ítems. La confiabilidad por alpha de Cronbrach es de 0.83. El cuestionario estuvo sujeto a juicio de expertos para la adaptación del lenguaje a la realidad colombiana. Resultados: La salud mental de los trabajadores depende de sus estados de ánimo, de los procesos comunicacionales y del manejo de la ansiedad y el estrés, convirtiéndose en barrera al no poder acceder a los servicios de salud mental si la universidad los ofreciera. Conclusiones: Para el personal administrativo su salud mental depende de las condiciones laborales que fomenten el desarrollo individual, la interacción familiar y el manejo adecuado del estrés por cargas laborales; por lo que es necesario generar políticas en comportamiento saludable.
Aprender a vivir con un órgano trasplantado.
Authors: Ramírez Claudia Andrea
Published: October 2019

Introducción: La insuficiencia Renal Crónica es una enfermedad silenciosa, cuando los síntomas aparecen la persona debe ingresar a una Terapia dialítica y/o iniciar el proceso del trasplante renal. El trasplante produce una mejoría en la calidad de vida de las personas enfermas. Objetivo: Analizar de manera comprensiva la experiencia vivida por personas con Insuficiencia Renal Crónica que han sido trasplantadas y los significados del cuidado de la salud elaborados por los familiares que interactúan con estas personas. Método: Estudio cualitativo, fenomenológico-hermenéutico, empleando el referente teórico de Van Manen, 11 personas enfermas y 5 cuidadores participaron en el estudio, en la ciudad de Neiva; información recolectada a través de entrevistas en profundidad. Resultados: Al realizar el análisis emergió el tema “la esperanza de una segunda oportunidad, aprender a vivir con un órgano trasplantado”, construido alrededor de los siguientes subtemas compartidos entre las personas enfermas y los cuidadores: la donación como un regalo de Dios, la llamada que anuncia el trasplante, reconocer la finitud del órgano y volver a nacer con el trasplante. Conclusiones: La donación es un obsequio, que se espera pacientemente en el tiempo para poner fin a un tratamiento que produce miedo y desesperación. Esta alternativa de tratamiento los lleva a volver a nacer y a recuperar la vida que han perdido por el tratamiento dialítico, aunque reconozcan que este es finito.
Cultural practices for the care of indigenous pregnant women of the Zenu Reserve Cordoba, Colombia.
Authors: Ramos Lafont Claudia Patricia , Campos Casarrubia Irina Maudith , Bula Romero Javier Alonso
Published: October 2019

Objective: Describe t he culture care practices of pregnant indigenous women that live in the Zenu reserve located in the savannah of Cordoba, Colombia. Materials and methods: qualitative, ethnographic focus supported by the ideas of Colliere and Leininger. 10 pregnant indigenous women were interviewed, until reaching theoretical saturation. The cultural knowledge and taxonomic analysis allowed to perform a composed analysis in which the following subjects were compared, classified and grouped: Being pregnant for the Zenu women; taking care of themselves during pregnancy: a guarantee for the unborn child; the coldness and its consequences, the midwife as a control and care character of the Zenu woman during pregnancy and birth. Result: The Zenu woman begins prenatal care, as soon as she identifies her pregnancy, through some proper pregnancy characteristics that are accurate for them. Once the pregnancy is identified, a series of care practices begin, including eating well, avoiding heavy duties, caressing the belly with the midwife, bathing early to avoid coldness and avoiding sexual relationships to prevent malformations. Conclusion: The Zenu woman has its own pregnancy care practices and ways of protecting the unborn child, besides trusting the care and attention brought by the midwifes. The nursing care offered to these women must be done based on the transcultural knowledge proposed by Leininger.
A EDUCAÇÃO PERMANENTE EM SAÚDE NO CONTEXTO DO SISTEMA ÚNICO DE SAÚDE
Authors: Germano Josiane Moreira , Couto Tatiana Almeida , Dos Santos Adilson Ribeiro , Alves Vilela Alba Benemérita
Published: October 2019

Este estudo deste estudo foi refletir o papel da educação permanente no contexto do Sistema Único de Saúde e a sua potência para a produção do cuidado em saúde. Trata-se de um artigo de reflexão construído a partir de leitura crítica de artigos e livros juntamente com as inferências dos autores. Os resultados demonstram a relevância da compreensão da contextualização histórica da saúde no Brasil, assim como a potência da educação permanente em saúde para a consolidação do Sistema Único de Saúde e o refletir sobre os processos de trabalhos e o fazer nesse cenário que possibilita a construção de conhecimento em coletivo e no fazer do cotidiano laboral. Assim, considera-se a educação permanente em saúde no contexto do Sistema Único de Saúde como uma prática valorizada por sua potência e a ser repensada diante das possibilidades de sensibilização para a aprendizagem significativa.
Alternative performance measures: An assessment after ESMA Guidelines
Authors: Manzillo Vincenzo Foglia , Giannozzi Alessandro , Vittorioso Gianluca , Roggi Oliviero
Published: October 2019

In July 2016, ESMA Guidelines that set out principles regarding the presentation of non-GAAP measures (ESMA Guidelines on Alternative Performance Measures – APMs) became effective. The guidelines should reduce the mispricing caused by pro forma earnings, and improve investor protection and the transparency of financial information. We provide a preliminary assessment of the impact of these guidelines on 2016 reports on a sample of European Small and medium-sized enterprises (SMEs) listed on regulated markets.
Using univariate and multivariate regressions, we demonstrate a significant relationship between Alternative performance measures disclosed in the press releases and stock prices in the period after the ESMA Guidelines. APMs are relevant information for investors and more adherence to the ESMA reporting guidelines may generate a positive impact on stock prices and short-term returns.
The findings also contribute to demonstrate that the European regulation about non-GAAP measures will reduce the asymmetry of information between users, particularly between capital owners and management, which may lead to increased users’ confidence since they will be able to evaluate more effectively issuers’ performance.
Mediating "Eugene Onegin"
Authors: Viktoria Volkova
Published: October 2019

“The sun of Russian poetry”, Alexander Pushkin, wrote his novel in verse “Eugene Onegin” from 1823 to 1831. Since then it has been regarded as a masterpiece of literature and Pushkin’s key work. From the school curriculum every student is familiar with Pushkin’s famous iambic tetrameter, an unusual rhyme, which is also famous as the “Onegin stanza” or the “Pushkin sonnet”. But what still has been disputed by Pushkin researchers, is the query, what is it which is so unique about “Onegin”: is it the poetic structure of the novel, and the tempo-rhythm which the poetic structure produces while reciting and acting on stage? Or is it the national cultural content, called by the Russian critic Vissarion G. Belinsky "the encyclopaedia of Russian life”?
There were many attempts to interpret the novel. But to interpret Pushkin is not the same as to recite him. That is why the former director of Taganka Theatre in Moscow Yuri Lyubimov (1917-2014) staged “Onegin” in 2000 focusing on the tempo-rhythm of the Pushkin stanza. However, “Eugene Onegin” remains undoubtedly “the encyclopaedia” where national manners, customs, and cultural traditions from every field of life are described with brilliant virtuosity. In this connection, Alvis Hermanis’ (1965-) interpretation of “Eugene Onegin” at the Schaubühne Berlin in 2011 should be mentioned. Hermanis
concentrated particularly upon Russian cultural embodiment. Five actors embodied the main characters of the novel and were both its narrators and historians who allowed the audience to the backstage of Russian and European everyday life. So it was the actors themselves who embodied the “encyclopaedia of Russian life” in Belinsky’s sense on stage. Both, Lyubimov and Hermanis, chose heterogeneous forms of mediation for their performances. In my paper I investigate mediation practices applied to preserve the tempo-rhythm on the one hand, and to reveal cultural traditions on the other.