bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Safety Education to Workers Productivity at The Electric Welding Workshop
Authors: Fauzi Akmal , Assyifa Vania Bintang , Muhammad Khayla Diandra Fatima , Artanti Emilia Indri , Phuttharak Tharada , Himmah Irna Mufidatul
Published: August 2023

Productivity is generally defined as a measure of the amount of output generated per unit of input. The aim of this research is to analyse the effect of the fulfilment of Occupational Safety and Health as well as the ability, experience, motivation, and discipline of workers on the probability of low productivity in the Electric Welding Workshop. The method used in this study was a qualitative descriptive method with questionnaires and observation sheets.  The result showed that the Electric Welding Workshop workers felt that the fulfilment of OSH aspects, their ability, experience, motivation, and discipline impacted their productivity. The study concludes that Electric Welding Workshop is not included in low productivity because it produces stuffs with quality and quantity according to standards, although it has not yet fulfilled the aspects that increase productivity.
Identification of Hazards on Road Access in The Area of Universitas Negeri Semarang: Study to Determine Safety Transportation in The Campus Area
Authors: Ahlunijar Rega , Wahid Ayu Fadilah , Akmal M. Aulia Farhan , Rengganis Caroline Kirana Christi , Karuniawati Suci , Kholim Howen
Published: August 2023

Occupational safety and health are all activities to guarantee and protect the safety and health of workers through efforts to prevent work accidents and work-related diseases. Occupational safety is inseparable from the factors that can lead to work accidents. One of the factors causing work accidents is danger. Therefore, hazard identification needs to be carried out within the scope of a work area. This paper discusses hazards on road access in the area of the Faculty of Sports Science (FIK). The point taken is regarding vehicle lanes and pedestrian paths in the FIK area because there are still several points that are still classified as hazard-prone areas. Road users in the area in their daily activities have the potential to be exposed to hazards in every aspect of the road access in the area. There is an equally wide range of hazards in the workplace namely, physical, biological, psychosocial, chemical and ergonomic hazards. After that, accidents, illness, and even death are likely to occur in the Area.
Radiologinės alternatyvos biopsijai kepenų fibrozės diagnostikai / Donatas Jocius
Authors:   , Jocius Donatas
Published: August 2023

Radiological alternatives to liver biopsy in the diagnosis of liver fibrosis
Role of computed tomography for evaluation of headache without neurological deficit in tertiary care hospitals of Bangladesh
Authors: Chaudhary Biva , Bhowmik Bishwajit , Chaudhary Mahesh , Bir Shrestha Manmohan , Bala Poppy
Published: August 2023

Introduction: Headache is one of the most common complaints in patients pushing them for medical attention in the depart of emergency medicine and neurology clinic. Computed Tomography (CT) scan has a low yield value in patients with primary headaches without any neurological deficit. No national or international guidelines have been established yet for the clinical indication of neuroimaging. The main aim of our study is to determine the role of CT imaging in diagnosing a patient presented with a headache and evaluate the context of CT prescription in developing countries versus developed countries. Methodology: This study was a multicentric Retrospective study carried out from the data collected from Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) from 2017-2019 AD. A total of 2184 patients were included in the study who were requested for CT scans by their primary care physician. Collected data was entered and analyzed through the SPSS version 21 and Microsoft Excel 2021. Result: The total number of patients was 2184 with a predominance of females (63.02%) against males (36.98%) with a ratio of 1.7:1. CT scan findings were normal in 2060 cases which comprise 94.3 %, and positive in 124 cases accounting 5.7 % of the total study. The maximum number of cases was found in the age group between 21-30 years with 772 cases (35.3%) followed by the age group 31-40 years with 474 cases (21.7%), age group 11-20 years with 368 cases (16.8%), age group 41-50 years with 321 cases (14.67%), Age group 51-60 years with 131 cases (5.97%), age group 0-10 years with 83 cases (3.80%) and the least number of cases of 35 (1.67%) at the age group between 61-70 years. Conclusion: Computed Tomography y has a low yield value in the diagnostic evaluation of patients with headaches who had no focal neurological signs. Its overuse can cause a socio-economic burden on the patients including radiation hazards. Thus, it is not justifiable for patients with low to middle-income resource countries.
Biomodelling and craniocervical numerical analysis under the effect of frontal loading on the skull
Authors: A Trejo-Enriquez , G Urriolagoitia-Sosa , B Romero-Ángeles , M I Correa-Corona , A Urriolagoitia-Luna , A Sánchez-Cervantes , M A García-Laguna , G M Urriolagoitia-Calderón
Published: August 2023

This research work presents the craniocervical mechanical behavior from the biomodelling of the skull, cervical C1-C5, intervertebral disc and spinal cord, therefore, visualize their behavior under the effect of frontal load on the skull. The material implemented for the skull and cervical C1-C5 is cortical and trabecular bone, then, for the intervertebral disc fibrous ring and nucleus pulposus were implemented, finally, for the spinal cord consists only of a material which is nervous tissue. To simulate this biological system is very difficult. However, the Finite Element Method (FEM) allows solving cases that were practically impossible, since mathematical models of the calculation of the real system can be made, easier and cheaper, in addition, improvements can be made iteratively, likewise, through simulation represent it as in reality it would be appreciated.
The effect of a short breathing intervention on postural control and heart rate variability
Authors: Sahebjamee N. , Nagy E.
Published: August 2023

Purpose

The objective of this study was to determine the immediate effect of a short breathing intervention on postural control and heart rate variability in healthy individuals.

Materials/Methods

The study involved 28 participants. Heart rate variability and heart rate were measured using a Polar (H10) sensor, and the sway path during posturography was recorded using the NeuroCom system, with participants standing on a firm then a foam surface in the eyes open and eyes closed conditions. All measurements were performed before and after the breathing intervention to provide baseline and post-intervention data. A short breathing intervention was performed between testing to stimulate the autonomic nervous system. In the Wilcoxon matched pairs comparison using Statistica software, P < 0.05 was considered statistically significant.

Results

The breathing intervention caused a significant decrease in heart rate variability and an increase in heart rate. In the eyes closed condition, on a firm surface, the breathing intervention significantly reduced the sway path.

Conclusions

The breathing intervention reduced the sway path in conditions without visual information but appeared to have no effect on balance in conditions with visual information, suggesting that the postural function of the diaphragm becomes more prominent in nonvisual conditions. We obtained evidence of the relationship between the autonomic nervous system and postural control. The stimulation of the sympathetic tone by means of the breathing intervention had a significant effect on postural control on firm and foam surfaces without visual information and decreased postural sway.
Parafoveal capillary density as a potential biomarker in the assessment of diabetic retinopathy progression
Authors: István L. , Nagy Z. Z. , Kovács I.
Published: August 2023

Purpose

The aim of this study was to assess longitudinal changes in retinal vessel density in diabetic patients using optical coherence tomography angiography (OCTA) to identify the most sensitive parameter for detecting retinopathy progression.

Methods

Patients with diabetes mellitus were enrolled in this study. Each study subject underwent two imaging sessions, during which three OCTA images of the macular area and three images of the optic nerve head were obtained. The two sessions took place one year apart. The OCTA imaging was performed using an AngioVue device. Superficial vessel density was evaluated in the central 3 mm and parafoveal area, and the nonflow area was measured using the built-in automated AngioAnalytics software of the Optovue system.

Results

This study included 78 eyes of 39 diabetic patients (age: 55.16 ± 13.73 years) with a mean of 7.70 ± 1.07 mmol L−1 HgA1c level at baseline. At the one-year visit, the eyes of the diabetic subjects had significantly lower superficial vessel density in the parafoveal macula compared to corresponding values at baseline (p < 0.05). There was no statistically significant difference between the baseline and one-year results for the other vascular density parameters and the foveal avascular zone (p > 0.05).

Conclusion

At the one-year follow-up, we found that vessel density had decreased in the parafoveal ring in these patients, while there was no significant change in other vascular parameters. This result suggests that superficial parafoveal capillary density is the most sensitive OCTA parameter that can be used as a biomarker for diabetic retinopathy progression. None of the other vascular density parameters nor the foveal avascular zone were able to indicate the subtle changes in retinal microcirculation due to the progression of diabetic microvasculopathy.
Aplikasi Pakan Mandiri Terhadap Performa Budidaya pada Pendederan Ikan Gurami (Osphronemus gouramy) di Deli Serdang, Sumatera Utara
Authors: Suharyadi Suharyadi , Nurhudah Mochammad , Br Tambunan Rezky Arie
Published: August 2023

Ikan Gurami (Osphronemus gouramy) menjadi salah satu komoditas ikan air tawar yang banyak dibudidayakan oleh masyarakat dan menjadi unggulan karena memiliki nilai ekonomi penting dan banyak digemari masyarakat. Perlunya mendorong produksi ikan gurame yang tinggi guna memenuhi kebutuhan pasar juga harus dibarengi efisiensi biaya produksi agar harga bisa bersaing. Tujuan penelitian adalah mengevaluasi performa budidaya dengan pemberian pakan komersial dan pakan  mandiri. Metode yang dilakukan yaitu mengurangi penggunaan pakan komersil dan menggantinya dengan pakan mandiri namun tetap menjaga formulasi pakan sesuai kebutuhan nutrisi ikan. Rancangan percobaan yaitu 2 perlakuan dan 4 ulangan. Padat tebar hewan uji 100 ekor/m3 ukuran 2-4 cm. Pengujian yang dilakukan adalah dengan T test (signifikan 0,05) yaitu membandingkan pertumbuhan ikan gurami yang diberi pakan komersial dan pakan mandiri dengan kandungan nutrisi yang telah disesuaikan. Pemberian pakan dengan menggunakan feeding rate 10% dari bobot ikan dan diberikan dua kali sehari   pada jam 08.00 dan 17.00 WIB. Pemberian pakan dilakukan dalam waktu yang sama antara pakan komersial dan pakan mandiri. Terdapat perbedaan nyata dari pemberian pakan komersial dan menghasilkan nilai yang baik pada Average Body Weight (ABW) (4,57 ± 0,05), Pertumbuhan Panjang Mutlak (6,49 ± 0,09), Spesific Growth Rate (SGR) (15,44 ± 0,89) dan Survival Rate (SR) (17,75 ± 2,75). Pada benih yang diberi pakan mandiri diperoleh nilai Average Body Weight (ABW) (3,98 ± 0,11). Pertumbuhan panjang mutlak (5,74 ± 0,15) dan Survival rate (SR) (11,25 ± 1,26 %). Untuk mendapatkan pertumbuhan yang baik pada pemeliharaan ikan gurami maka dapat digunakan pakan komersial.
Identifikasi Masalah Budidaya Artemia Di CV. Manunggal 23, Anyer, Banten: Studi Kasus
Authors: Irawan Fira , Ilham Ilham
Published: August 2023

Artemia salina adalah salah satu pakan hidup yang sejauh ini paling banyak digunakan dalam budidaya perikanan. Saat ini kebutuhan artemia di Indonesia sangat meningkat akan tetapi Indonesia masih mengandalkan produk artemia impor, dikarenakan artemia lokal memiliki kualitas yang kurang baik dibandingkan artemia impor. Selama pemeliharaan, terdapat beberapa permasalahan yang terjadi selama proses pemeliharaan artemia yaitu pertumbuhan lambat, fekunditas induk dan daya tetas kista yang dihasilkan rendah dan survival rate rendah. Berdasarkan data monitoring pertumbuhan dan hasil panen, sebagian besar wadah pemeliharaan tidak mampu mencapai target produktivitas yang diinginkan dikarenakan permasalahan-permasalahan yang terjadi selama proses produksi. Dengan demikian, pentingnya usulan-usulan intervensi yang disusun bersama berdasarkan permasalahan-permasalahan yang dihadapi untuk meningkatkan produktivitas pada siklus selanjutnya dan meminimalisir terjadinya kesalahan yang sama yang menyebabkan kerugian.
‘Script effects as the hidden drive of the mind, cognition, and culture’ Hye K. Pae (2020)
Authors: Beckett Gulbahar H.
Published: August 2023

Script effects as the hidden drive of the mind, cognition, and cultureHye K. Pae (2020)Cham, Switzerland: Springer. Pp. 267ISSN 2214-0018 (electronic)ISBN 978-3-030-55151-3 (eBook)ISBN 978-3-030-55152-0 (eBook)
‘Urban contact dialects and language change: Insights from the Global North and South Paul’ Kerswill and Heike Wiese (eds) (2022)
Authors: Bagga-Gupta Sangeeta
Published: August 2023

Urban contact dialects and language change: Insights from the Global North and SouthPaul Kerswill and Heike Wiese (eds) (2022)New York: Routledge. Pp. 368ISBN: 9781138596092 (hbk)ISBN: 9780429487958 (eBook)
‘Language Corpora annotation and processing’ Niladri Sekhar Dash (2021)
Authors: Arulmozi Selvaraj
Published: August 2023

Language Corpora annotation and processingNiladri Sekhar Dash (2021)Singapore: Springer Nature. Pp. 272ISBN: 9789811629624 (pbk)ISBN: 9789811629594 (hbk)ISBN: 9789811629600 (eBook)
Language, fiction, and heteropatriarchal critique in selected recent Ugandan short fiction
Authors: Nabutanyi Edgar Fred
Published: August 2023

There is an emerging Ugandan queer writing tradition that adopts an activist stance to imagine an alternative Ugandan queer subjecthood beyond popular and polarising perspectives of this subjectivity that were instantiated by the Anti-Homosexuality Act of 2014. This emerging archive of Ugandan writing, often deploying the short fiction genre, weaves intricate tales of queer Uganda that sidestep the censorship of an ostracised sexuality deemed sinful, dangerous, and unUgandan to claim the agency and humanity of Ugandan homosexuals. While this archive of Ugandan queer short fiction has attracted significant critical attention from scholars such as Edgar Fred Nabutanyi (2017, 2018), Ken Junior Lipenga (2014) and Ben de Souza (2020), who focus on the political activism of these texts in Ugandan sexuality debates, little critical attention has been paid to how writers deploy sociolinguistic tools to empower their characters to author their agency and life experiences as same-sex loving Ugandans. Using sociolinguistic discursive tools, I refer to a textuality that includes illocutionary techniques such as letter writing, dialogue, and stream of consciousness that subversively empower excluded and muted subjects to articulate their essence and humanity. Deploying textual analysis of selected short stories, their analyses, and Ugandan queer theoretical treatises, I read Monica Arac de Nyeko’s ‘Jambula tree’ (2006) Beatrice Lamwaka’s ‘Pillar of love’ (2016) and Anthea Paleo’s ‘Picture frame’ (2013) using a sociolinguistic lens to unveil how the selected writers’ subversion of patriarchal tropes of an amorous letter, an ideal heterosexual family, and a romantic date critique the ostracisation of a sexual orientation.
Bible translation and lexical elaboration
Authors: Oyali Uchenna
Published: August 2023

This study investigates how the translation of the word ‘virgin’ in the Igbo Bible has expanded the Igbo lexicon and how this lexical enrichment has spread among Igbo speakers. Although prior to their encounter with Christian missionaries in the 19th century and the subsequent translation of the Bible into Igbo, Igbo people had words that referred to virgin, these words were polysemous as they were also used for young and unmarried persons. In the course of translating the Bible into Igbo, Christian missionaries transferred the biblical euphemism for sex, ‘to know’, into the Igbo Bible and used same to innovate terms for ‘virgin’, thereby distinguishing a virgin from an unmarried or young person who might have had sex. Adapting the concept of language elaboration, this study analyses the lexical processes involved in creating these new terms. Then it presents findings from a questionnaire survey on the spread of the innovated terms among Igbo speakers. The survey findings demonstrate that the biblical innovations have not only spread among Igbo speakers but also became a springboard for further lexical innovations. This article accentuates the impact of Bible translation in reshaping the Igbo language. It also reveals the involvement of the language users in the process of language change.
‘Transcultural voices: Narrating Hip Hop culture in complex Delhi’ Jaspal Naveel Singh (2021)
Authors: Highet Katy
Published: August 2023

Transcultural voices: Narrating Hip Hop culture in complex DelhiJaspal Naveel Singh (2021)Bristol: Multilingual Matters. Pp. 328ISBN: 9781800413818 (pbk)ISBN: 9781788928137 (hbk)ISBN: 9781788928144 (eBook)ISBN: 9781788928151 (EPUB)
The Specificity of Literary Translation Strategy (Based on the Material of Uzbek Prose)
Authors:   National University of Uzbekistan named after Mirzo Ulugbek, Kamilova Saodat
Published: August 2023

The article presents the results of the study on the specificity of the translation strategy chosen by N.V. Vladimirova, a famous Uzbek philologist and translator. The research aims to prove that the translation strategy is a multi-level concept, which implies the algorithm of translator's actions, including thoughtful choice of the text genre, the use of one-level translation form, appreciation of artistic and esthetic value of the text, reliable reconstruction of personage image in literary translation, in particular, psychological portraying, and national authenticity of literary work representation, revealed in the unity of its form and content. The analysis of N.V. Vladimirova's translations of the Uzbek stories Novvoy qiz (Baker Girl) by Chulpan and Uloqda (On Ulak) by A. Kadyri demonstrated the application of this strategy. It was revealed that the dominant translation tactics used by N.V. Vladimirova, was transformation (replacement, omission, adding, transposition). National authenticity and emotional mode of the original are shown to be preserved due to the use of this tactics. The description of translation strategies applied by other well-known translators is viewed as a research perspective. It will contribute to revealing similarity and differences in literary text translation, thus enabling the understanding of the trajectory of translation schools development in a particular period.
Oropharyngeal dysphagia and quality of life in elderly people in the late phase after stroke
Authors: Oliveira Letícia Sampaio de , Oliveira Cris Magna dos Santos , Cardenas Jonan Emi Valencia , Rosa Raquel Rodrigues , Andrade Eduardo Carvalho de , Mituuti Claudia Tiemi , Berretin-Felix Giédre
Published: August 2023

ABSTRACT Purpose: to verify the correlation between oropharyngeal dysphagia and quality of life in elderly people in the late phase after stroke. Methods: a retrospective cross-sectional study, whose data were obtained by analyzing a database composed of 30 elderly people in the late phase after stroke. All participants underwent clinical and instrumental evaluation of swallowing through the fiberoptic endoscopic evaluation of swallowing. The quality of life related to swallowing was analyzed using the Quality of Life in Swallowing Disorders protocol. Data were submitted to descriptive statistical analysis and Spearman's correlation test (p ≤ 0.05). Results: the clinical evaluation showed that most individuals had mild oropharyngeal dysphagia, while the protocol applied in the instrumental evaluation showed swallowing with functional limitations. There was a positive correlation between burden, eating desire, eating duration, and mental health with the severity of oropharyngeal dysphagia, both by clinical and instrumental evaluation; and between the symptom’s frequency and the severity of dysphagia by clinical evaluation. Conclusion: there was a correlation between the severity of oropharyngeal dysphagia and the quality of life of elderly people in the late phase after stroke.
Disfagia orofaríngea e qualidade de vida em idosos após a fase tardia do acidente vascular encefálico
Authors: Oliveira Letícia Sampaio de , Oliveira Cris Magna dos Santos , Cardenas Jonan Emi Valencia , Rosa Raquel Rodrigues , Andrade Eduardo Carvalho de , Mituuti Claudia Tiemi , Berretin-Felix Giédre
Published: August 2023

RESUMO Objetivo: verificar a correlação entre disfagia orofaríngea e qualidade de vida em idosos após a fase tardia do Acidente Vascular Encefálico. Métodos: estudo transversal retrospectivo, cujos dados foram obtidos pela análise de um banco de dados, composto por 30 idosos acometidos por Acidente Vascular Encefálico, em fase tardia. Todos os participantes foram submetidos a avaliação clínica e instrumental da deglutição, por meio da videoendoscopia da deglutição. A qualidade de vida relacionada à deglutição foi analisada pelo protocolo Quality of Life in Swallowing Disorders. Os dados foram submetidos à análise estatística descritiva e ao teste de correlação de Spearman (p ≤ 0,05). Resultados: a avaliação clínica evidenciou que a maioria dos indivíduos apresentou disfagia orofaríngea leve, enquanto a escala aplicada na avaliação instrumental demonstrou deglutição com limitações funcionais. Houve correlação positiva entre fardo, desejo de se alimentar, duração da alimentação e estado mental com a gravidade da disfagia orofaríngea, tanto pela avaliação clínica quanto instrumental; e entre a frequência dos sintomas e a gravidade da disfagia pela avaliação clínica. Conclusão: houve correlação entre a gravidade da disfagia orofaríngea e a qualidade de vida de idosos após a fase tardia do Acidente Vascular Encefálico.
Relationship between age, the risk of falling and level of confidence in body balance with semicircular canal function
Authors: Nascimento Gizele Francisco Ferreira do , Santos Edson de Sousa , Aguiar Maria Carolaine Ferreira , Sales Mônica Aline de Menezes Lima , Diniz Júnior José , Lizzi Elisangela Aparecida da Silva , Mantello Erika Barioni
Published: August 2023

ABSTRACT Purpose to verify the relationship between the risk of falling, the level of confidence in activities involving balance, and age with the values of gain and symmetry of the semicircular canals (SSCs), using the Head Video Impulse Test (vHIT) in patients with peripheral vestibular dysfunction. Methods Cross-sectional study in 12 individuals submitted to functional evaluation using the Activities-specific Balance Confidence Scale (ABC Scale) and the Dynamic Gait Index (DGI), and vestibular evaluation with vHIT. The results were compared using Spearman's Correlation Coefficient. Results There was a predominance of females (75%), with a mean age of 59 years and 8 months. The mean score in DGI was 19.70 points and on the ABC Scale, 43.65%, which is characteristic of a low confidence level. A moderate correlation was observed between age and DGI and between DGI and ABC Scale and SCC gain and symmetry values with vHIT. Conclusion A relationship was observed between a higher risk of falling in patients with vestibular hypofunction and advanced age and between a low level of confidence to perform daily activities due to asymmetrical SCC gain.
ADESÃO AO AUTOCUIDADO DO PACIENTE COM DISFUNÇÃO NEUROGÊNICA DO TRATO URINÁRIO INFERIOR: VALIDAÇÃO DE INSTRUMENTO
Authors: Candido Cínthia Ferreira , Nunes Alessandra Sant’Anna , Silva Fernanda Henriques da , Mello Livia Fajin de , Moraes Advi Catarina Barbachan , Peres Ellen Marcia
Published: August 2023

RESUMO Objetivo: construir e validar o conteúdo do instrumento de adesão ao autocuidado de pacientes com Disfunção Neurogênica do Trato Urinário Inferior que realizam o autocateterismo intermitente quanto a aparência e conteúdo. Método: Estudo metodológico de validação de conteúdo de instrumento, composto por três etapas: revisão da literatura, construção do instrumento e validação de instrumento, respectivamente. A análise foi realizada através do modelo de Agree, e pelo cálculo de índice de validação de conteúdo, entre 2020 e 2021. Resultados: O Agree II, apresentou resultado de 85,6% e 84,5% para validação dos domínios escopo e finalidade e partes interessadas. Na validação de conteúdo, o item histórico familiar foi retirado do instrumento com índice de vaidade de conteúdo de 0,77. Conclusão: O instrumento contribuirá para oferecer subsídios para a prática profissional e aos pacientes portadores da disfunção.
REORGANIZAÇÃO DO PROCESSO DE TRABALHO NA ATENÇÃO PRIMÁRIA À SAÚDE NO ENFRENTAMENTO À COVID-19
Authors: Arnaldo Juliana Gabrielle Santos , Radovanovic Cremilde Aparecida Trindade , Magnabosco Gabriela Tavares , Salci Maria Aparecida , Galdino Maria José Quina , Martins Mayara Almeida , Zulin Aline
Published: August 2023

RESUMO Objetivo: avaliar o processo de trabalho dos profissionais de saúde na atenção primária no enfrentamento à Covid-19. Método: estudo qualitativo, que utilizou como base conceitual o processo de trabalho em saúde, e, como referencial metodológico, a pesquisa avaliativa. A coleta foi realizada com 23 profissionais de saúde, entre julho e setembro de 2021, nas unidades básicas de saúde em um município no noroeste do Paraná-Brasil. Para a análise organizaram-se os dados por meio do software MAXQDA, e cada segmento de dado foi organizado conforme os significados. Resultados: emergiram duas categorias, a saber: Dificuldades enfrentadas na reorganização da ambiência, atividades programáticas e dimensionamento dos profissionais da atenção primária à saúde; e Organização do fluxo de atendimento ao usuário com Covid-19 na atenção primária à saúde. Conclusão: este estudo reforça a indispensabilidade da avaliação do processo de trabalho para melhoria da assistência em saúde, principalmente em condições de emergência de saúde pública.
REPERCUSSÕES DA PANDEMIA DA COVID-19 NA ATENÇÃO À MULHER NO TRABALHO DE PARTO E PARTO: ESTUDO TRANSVERSAL
Authors: Alderete Geisyelli , Ferreira Helder , França Andrea Ferreira Ouchi , Contiero Ana Paula , Zilly Adriana , Silva Rosane Meire Munhak da
Published: August 2023

RESUMO Objetivo: avaliar o processo de trabalho dos profissionais de saúde na atenção primária no enfrentamento à Covid-19. Método: estudo qualitativo, que utilizou como base conceitual o processo de trabalho em saúde, e, como referencial metodológico, a pesquisa avaliativa. A coleta foi realizada com 23 profissionais de saúde, entre julho e setembro de 2021, nas unidades básicas de saúde em um município no noroeste do Paraná-Brasil. Para a análise organizaram-se os dados por meio do software MAXQDA, e cada segmento de dado foi organizado conforme os significados. Resultados: emergiram duas categorias, a saber: Dificuldades enfrentadas na reorganização da ambiência, atividades programáticas e dimensionamento dos profissionais da atenção primária à saúde; e Organização do fluxo de atendimento ao usuário com Covid-19 na atenção primária à saúde. Conclusão: este estudo reforça a indispensabilidade da avaliação do processo de trabalho para melhoria da assistência em saúde, principalmente em condições de emergência de saúde pública.
ASISTENCIA DE ENFERMERÍA PARA LA SALUD DE LAS POBLACIONES INDÍGENAS: UNA REVISIÓN DE ALCANCE
Authors: Monteiro Marcelo Anderson Cavalcante , Siqueira Luana Eugênia de Andrade , Frota Natasha Marques , Barros Lívia Moreira , Holanda Violeta Maria de Siqueira
Published: August 2023

RESUMEN Objetivo: identificar en la literatura las acciones de cuidados de enfermería para la salud de las poblaciones indígenas. Método: se trata de una revisión de alcance, cuya búsqueda fue realizada en septiembre de 2022 en las siguientes bases de datos: Base de Datos de Enfermería (BDENF), Catálogo de Tesis y Disertaciones de la CAPES, Google Scholar, Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), Pan American Health Organization (PAHO), National Library of Medicine and National Institutes of Health (PUBMED) y Scientific Electronic Library Online (SCIELO). Los resultados se evaluaron resumiendo los artículos seleccionados. Resultados: las principales acciones dirigidas a la población indígena fueron: consultas de enfermería y actividades de promoción de la salud y prevención. La principal dificultad encontrada en relación a la población indígena es la barrera lingüística. Conclusión: el equipo de enfermería encuentra dificultades como: la difícil localización de las aldeas; la elevada sobrecarga de trabajo debido a la falta de profesionales médicos; la barrera lingüística; y las condiciones inadecuadas.
CREATION AND VALIDATION OF AN INSTRUMENT ON NEOPLASTIC WOUND MANAGEMENT FOR NURSES’ TRAINING
Authors: Faria Renata Penha , Fuly Patricia dos Santos Claro
Published: August 2023

ABSTRACT Objective: to create and validate the face and content of an instrument for training nurses in neoplastic wound care. Method: a methodological research study with a quantitative approach, carried out in three stages: scoping review; creation of the instrument; and face and content validation. Data collection took place between October 2021 and February 2022 in Niterói - RJ - Brazil. The Content Validation Index and Fleiss Generalized Kappa were used. Results: the final instrument consists of the following phases: definition of neoplastic wound; wound classification; staging; pain and odor rating scales; Nursing care; and management of signs and symptoms. The content was validated reaching a Content Validation Index > 0.80 and an agreement level between the judges > 75%, as established. Conclusion: validation of the instrument will contribute to reducing the gap indicated in the literature on Nursing care in relation to neoplastic wounds, in addition to its application to Nursing teaching and services.
EDUCATIONAL TECHNOLOGY ON URINARY TRACT INFECTION FOR RIVERINE PREGNANT WOMEN: SHARED CONSTRUCTION
Authors: Neves Paula Victória Tiribaxi , Rodrigues Ivaneide Leal Ataíde , Pereira Alexandre Aguiar , Andrade Erlon Gabriel Rego de , Nogueira Laura Maria Vidal , Maia Richer Praxedes , Moraes Carlos Marcelo da Silva
Published: August 2023

ABSTRACT Objective: to build, in a shared way, an educational technology about urinary tract infection for riverine pregnant women in Primary Health Care. Method: qualitative methodological research, developed with 24 pregnant women enrolled in prenatal care at a Family Health Unit on the island of Combú, in Belém, Pará, Brazil. The data were produced in the period from February to August 2021, through individual interviews and conversation circle, and were submitted to content analysis, originating the themes to build the technology. Results: two thematic categories were organized, inherent to the knowledge of riverine pregnant women about urinary tract infection and their hygiene practices to prevent this grievance. The categories subsidized the elaboration of a folder, chosen by them, adding relevant information, with illustrations and easy-to-understand language. Conclusion: it was evidenced that the pregnant women’s knowledge on the theme and health care practices need to be strengthened.
PERCEPCIÓN DE LOS ADULTOS MAYORES SOBRE LA TRANSICIÓN DEL CUIDADO BRINDADO POR UN EQUIPO MULTIPROFESIONAL DE ATENCIÓN DOMICILIARIA
Authors: Quintans Jeane Roza , Melleiro Marta Maria
Published: August 2023

RESUMEN Objetivo: comprender la percepción de los adultos mayores sobre la asistencia prestada por un Equipo Multiprofesional de Atención Domiciliaria en la ciudad de San Pablo, Brasil. Método: estudio cualitativo, que usa la historia oral de vida. Recolección de datos entre agosto de 2020 y octubre de 2021, con entrevistas semiestructuradas. La muestra estuvo compuesta por nueve mujeres de tercera edad que atendidas por el Equipo Multidisciplinario de Atención Domiciliaria. Los datos fueron tratados como historia oral de vida, presentados en forma de narraciones y categorizados. Resultados: siete categorías temáticas surgieron de las narrativas. La percepción de los participantes sobre la asistencia sanitaria que prestó el equipo fue que era positiva y necesaria, principalmente porque favoreció el acceso a los recursos que brinda el Sistema Único de Salud. Conclusión: se destaca la importancia de la atención domiciliaria para la continuidad del cuidado del adulto mayor. Reforzó la necesidad de incluir el proceso de finitud en la planificación de las acciones de cuidado en los servicios de salud.
Uso de serviço de emergência por motivos não urgentes: estudo qualitativo com usuários de um pronto-atendimento, Vitória-ES, 2019
Authors: Rodrigues Marcela Moura , Sarti Thiago Dias , Almeida Ana Paula Santana Coelho , Fontenelle Leonardo Ferreira , Lazarini Welington Serra
Published: August 2023

Introdução: o sistema de saúde é organizado de uma forma que prevê a Atenção Primária à Saúde (APS) como a porta de entrada preferencial para o cuidado, destinando-se os serviços de emergência para situações que exigem atendimento imediato. Contudo, o caminho percorrido pelas pessoas nem sempre reflete o que se esperaria pelo perfil de sua necessidade de saúde, resultando em sobrecarga e baixa efetividade e eficiência dos serviços de emergência. Objetivo: identificar motivações para uso pronto-atendimentos por problemas de saúde não urgentes em usuários deste serviço. Método: estudo qualitativo baseado em entrevistas semiestruturadas realizadas em 2019 com usuários de um pronto-atendimento do município de Vitória-ES. Os dados foram submetidos à análise temática derivada da análise de conteúdo. Resultados: Participaram 29 pessoas, sendo a maioria mulheres, negras ou pardas, com menos de 30 anos, queixando-se de dor ou problema respiratório. Observou-se, dentre outras coisas, que os entrevistados percebem os serviços urgência e emergência como aqueles onde obterão cuidados imediatos com maior facilidade e resolubilidade, já que é difícil acessar a APS e nela muito provavelmente não terão tudo aquilo que consideram necessário para manejar seu problema (consulta, exames e medicações) de uma maneira imediata, rápida e resolutiva. Conclusão: A utilização de pronto-atendimentos por motivos não urgentes é uma questão complexa. Envolve não apenas a dificuldade de acesso à APS, mas a própria compreensão individual e coletiva do papel da APS e do pronto-atendimento. Não basta, portanto, expandir a APS, mas é preciso também ressignificá-la, em especial junto aos mais jovens.
The impact of Covid-19 on air quality in Bucharest, Romania
Authors: Cican Grigore , Mirea Radu
Published: August 2023

In this study, the authors aimed to assess the air quality within Bucharest City, Romania’s capital, during the Covid-19 pandemic. It was well established that for quite a long period, Bucharest was among the worst Romanian cities in terms of air quality. Thus, in this study, an investigation of the effects of imposed quarantine and lockdown in terms of air pollution was carried out. The levels of the main air pollutants, particulate matter (PM2.5 and PM10), nitrogen dioxide (NO2) and benzene (C6H6), were recorded within the period of January 2020–April 2022 by using six stationary monitoring stations (B-1, B-2, B-3, B-4, B-5 and B-6) belonging to the Romanian National Network for Monitoring Air Quality. During the lockdown period (16 March–14 May 2020), the measurements indicated significant reductions only for PM2.5, nitrogen dioxide and benzene, while for PM10, due to the fact that a sandstorm appeared, the results were unreliable. The results focused on the B-3 and B-6 traffic monitoring stations because road traffic was one of the main sources of pollution in cities. Compared with the 2018–2019 period, during the lockdown, all the air pollutants from all the measuring stations dramatically dropped, highlighting thus the important role of traffic and its significant contribution to air quality depreciation in Bucharest, particularly in terms of nitrogen dioxide pollution. Therefore, the urgent need for decisions to be made in terms of improving the air quality of the city, particularly from a road traffic perspective, arose.
Monitoring the construction of a deep energy-from-waste bunker in soft clay and peat
Authors: Hensman Peter J. , Orazalin Zhandos Y. , Sheil Brian B.
Published: August 2023

This paper describes the monitoring of the construction of a deep underground waste storage bunker for the PROTOS energy-from-waste facility in Chester, UK. A key element of the construction process was a 12 m deep excavation in soft clays and peats which was supported by a complex ‘combi-wall’ cofferdam comprising alternate tube and sheet piles, a reinforced concrete (RC) capping beam and two levels of internal bracing. The permanent bunker RC structure was constructed within the excavation using a bottom-up approach. The primary aim of this monitoring programme was to assess the performance of the composite support system through measured cofferdam wall deflections, bracing member loads, and site and bunker water levels. An additional objective of the monitoring was to provide the site team with real-time feedback to inform the construction process. Interpretation of the monitored data allows for a quantitative assessment of the influence of various construction activities on the responses of the support system. The monitored behaviour shows that the high stiffness and embedment depth of the supporting structure, combined with careful control of groundwater levels, significantly reduced risks associated with deep excavation construction in challenging ground conditions.
Conceptions of iconicity and their historical reorientations: Pippa Skotnes's horse skeletons and the topos of the Annunciation
Authors: de Villiers-Human Suzanne
Published: August 2023

How has art practise historically displayed, enhanced and interrogated its contemporaneous definitions of the nature of images? The focus is on the contemporary South African artist, Pippa Skotnes's horse skeletons, in resonance with a constellation of select Renaissance Annunciation paintings, to highlight the impact of the Eucharist and "real presence" on early modern, modern and post-modern notions of what images have been assumed to be. My comparative interpretation of the diverse works distinguishes their peculiar image functions from systematic and historical perspectives. I show that, with the advent of the most sophisticated type of image, the artistic image, images have been refining their own definitions in performative ways. I show in my interpretations of these image-aware meta-artworks, that the Incarnation of Christ as the Imago Dei, as well as changing historical understandings of Christ's image act of the institution of the Eucharist, gradually and radically transformed understandings of the nature of images in the west. I furthermore argue that Skotnes's knowledge, through performative research of indigenous Southern African image traditions of the Khoisan/|Xam, contributes lost historical image dimensions to her work, and augments current understandings of images and art, at a time when plenary experiences of time, and historical and cultural density, are appreciated. For me, Skotnes's work artistically performs Paul Ricoeur's philosophical assumption that continuous and persistent historical reorientations of ancient sacred symbolism of the natural world remain at the root of, and infinitely augment, contemporary conceptions of the 'figurative' (Ricoeur 1967:10-18) - or by extension, of what images and art are. In the contemporary South African artist's work, the beauty and complexity of diverse simultaneous cultural and geographical notions of what images are and have been, are staged. Like the Renaissance Annunciation paintings, her "bone books" splendidly contribute to the process of differentiating and articulating discursive definitions of what images have been conceived to be.
Detection of arboviruses in salivary glands and midgut of mosquitoes vector v1
Authors: FERREIRA DA COSTA ISABELLA
Published: August 2023

Dengue, Zika and chikungunya viruses are widely disseminated in Brazil and cause infections in humans, with similar clinical manifestations of varying intensity, with relevance in the context of public health.These diseases are mainly transmitted by mosquitoes of the genus Aedes. Therefore, monitoring the circulation of these arboviruses in vectors is a crucial step in epidemiological surveillance. In this protocol, adult mosquitoes were dissected to extract the salivary glands and midgut, which are structures directly associated with viral replication and transmission. These structures were inoculated into cells of the C6/36 lineage of Aedes albopictus for amplification and viral isolation. Our main objective was to develop and evaluate an experimental technical protocol in adult mosquitoes with the aim of enhancing the detection and characterization of these arboviruses.
Comparative analysis of the frequency of complications in one-stage and two-stage breast reconstruction after subcutaneous/skin-saving mastectomy in combination with radiotherapy
Authors: Shidakova F. Kh. , Sobolevskiy V. A. , Dokolin R. M. , Kurbanova M. B.
Published: August 2023

Background. Breast cancer (BC) is not only a global medical problem, but a social problem associated with its steady growth and spread. Thus, the prevalence of BC in women in Russia in 2021 was 21.1 %. Combined or complex treatment is used in the vast majority of cases (surgery, drug and radiation therapy); in 2021, this percentage was 64.5 %. Currently, there is no doubt that radiation therapy is necessary as part of the complex treatment of patients with T1–3N1–2 BC, as it leads to an increase in survival rates. The development of reconstructive plastic surgery makes it possible to restore the removed breast using implants or autologous tissues. Reconstruction with endoprostheses is the main method, it accounts for up to 70 % of all reconstructive breast surgeries. Until recently, the most popular method was a two-stage reconstruction. Especially in cases where radiation therapy is planned. However, our own experience of one-stage reconstructions in combination with radiation therapy showed good aesthetic results with a low complication rate, which was the reason for this study.

Aim. To study and compare the incidence of complications in one- and two-stage breast reconstruction after subcutaneous/skin-sparing mastectomy in combination with radiation therapy.

Materials and methods. A prospective study of 92 patients diagnosed with BC was carried out. The patients were divided into 2 groups: group I (study) included 50 women, who underwent one stage – subcutaneous/skin-sparing mastectomy with breast reconstruction using an implant, II (control) group included 42 patients, who underwent subcutaneous/skin-preserving mastectomy with breast reconstruction with an expander, followed by replacement of the expander with an implant. After radiation therapy, the groups underwent a comparative assessment of anthropometric and anamnestic data, a study of the somatic anamnesis, the results of pathomorphological typing of the tumor, treatment tactics and complications.

Results and conclusion. Subcutaneous/skin-sparing mastectomy with simultaneous breast reconstruction using an implant does not increase the incidence of postoperative complications when combined with radiation therapy, and also does not limit the appointment of concomitant treatment methods in the complex therapy of women with BC. This method of surgical treatment can be used in patients with IIA, IIB and IIIA stages of tumor growth.
Prognostic value of CD4+ in patients with Т1–2N0M0 breast cancer
Authors: Paltuev R. M. , Kudaybergenova A. G. , Semiglazov V. F. , Komyakhov A. V. , Tseluyko A. I.
Published: August 2023

Aim. To evaluate the prognostic value of CD4+ in patients with T1–2N0M0 breast cancer.

Materials and methods. We performed a quantitative assessment of CD4+ T-lymphocytes in tumor stromal cells and determined the prognostic parameter using the method developed by us (patent No. RU2697709C1 dated 19.08.2019) in 394 patients diagnosed with infiltrative breast cancer. Survival of patients in the analyzed group was assessed over a period of 10 years.

Archival material from paraffin blocks of the «target group» was used in the work for molecular genetic profiling techniques (T1–2N0M0, 1118 patients, 2000–2009). A histological preparation stained with hematoxylin and eosin was scanned, and the central and peripheral zones of the tumor were isolated. To identify CD4+ T-lymphocytes, the immunohistochemical study of preparations obtained with rabbit anti-CD4 monoclonal antibodies was performed. After rescanning histological and immunohistochemical preparations, combining different immunohistochemical stains, the cell density in the tumor and stromal components was calculated in preparations stained with hematoxylin and eosin and CD4. For further calculations, we used the data obtained as a result of the number of stromal cells reduced to 1 mm2 (according to the preparation stained with hematoxylin and eosin), the so-called cell density per calculated number of CD4+-stained cells (cell area × proportion of CD4+ cells in percentages). The resulting ratio is used to predict the outcome of breast cancer: if its value is ≤ 50 %, the prognosis is assessed as favorable (in which the patient’s survival is 10 years or more).

Results. In 296 (75 %) of 394 observed patients, the proportion of CD4+ T-lymphocytes in tumor stromal cells was ≤ 50 %. Over 10 years, the overall survival of patients in this group was 93 %, which is considered a statistically favorable group for breast cancer (stages T1–2, N0). In 98 (25 %) of 394 observed patients, the proportion of CD4+ T-lymphocytes in tumor stromal cells was ˃50 %. Over 10 years, the overall survival of patients in this group was 82 %, which is considered a statistically unfavorable group for breast cancer (stages T1–2, N0).

Conclusion. Our findings suggest high accuracy of our method of breast cancer prognosis based on the quantitative assessment of CD4+ T-lymphocytes in tumor stromal cells. It can be used for breast cancer prognosis in early stages (T1–2, N0).