bluuebunny/crossref_metadata_2025 huggingface dataset:
ENSINO INTERPROFISSIONAL EM SAÚDE: ANÁLISE QUALITATIVA DA EXPERIÊNCIA DE ESTUDANTES, PRECEPTORES E TUTORES
Authors: Miguel Edson Roberto Arpini , Albiero Adriana Lenita Meyer , Esteves Roberto Zonato , Aquiles Grace Jaqueline , Patussi Eliana Valeria , Oliveira Marcia Rosangela de Neves , Rocha Najara Barbosa , Bicudo Angélica Maria
Published: June 2023

A reorientação da formação profissional por meio de políticas públicas ofereceu a oportunidade para a criação de componentes curriculares, para formar estudantes que exercitem práticas interprofissionais. Este trabalho faz uma análise do contexto e implicações sobre a implantação de uma disciplina interprofissional nos cursos da saúde em uma universidade pública. Foi realizado um estudo com perfil exploratório de abordagem qualitativa utilizando-se grupos focais constituídos por tutores, preceptores e estudantes. Definidas as categorias e seus descritores foi utilizado o modelo 3P para a análise de conteúdo e dos resultados. Vale destacar a ressignificação do papel docente, a percepção dos estudantes frente aos desafios do ensino interprofissional e a aproximação com o serviço de saúde. Correlacionamos na discussão geral deste texto linhas de discussão junto à assistência à pessoa, à sociologia e à pedagogia.  A inovação proposta pela disciplina interprofissional de Atenção em Saúde seguiu o ideário de uma agenda internacional. Os relatos de tutores, preceptores e estudantes foram um estímulo decisivo para prosseguir avançando nas demais séries dos cursos, em atividades colaborativas e práticas interprofissionais.
PERCEPÇÃO, CONHECIMENTO E SATISFAÇÃO DO PACIENTE EM RELAÇÃO AO PROCESSO VACINAL: REVISÃO INTEGRATIVA
Authors: Do Nascimento Franciele Batista , Santos Izabela da Silva , Da Silva João Francisco Braga , Rissi Camila Patrício , Rissi Gabrieli Patrício , Scardoelli Marcia Glaciela da Cruz
Published: June 2023

Objetivo: Analisar as evidências cientificas disponíveis na literatura acerca da percepção, o conhecimento e a satisfação do paciente em relação ao processo vacinal mediante a assistência recebida. Metodologia: Foi feita uma busca das referências nas bases PubMed, Scientific Electronic Library Online (SciELO) e Biblioteca Virtual em Saúde (BVS). Resultados: A busca permitiu a identificação de quatro estudos com os descritores de Vaccination AND Patient Care AND Perception, sete com os descritores Vaccination AND Patient Care AND Knowledge e um com os descritores Vaccination AND Patient Care AND Satisfaction. Considerações finais: Os estudos evidenciaram que o foco principal das pesquisas se enquadrou nos grupos de pais devido os mesmos acompanharem seus filhos no processo vacinal, gestantes, puérperas e pessoas com comorbidades. Constatou-se que houve maior declínio em relação a vacina influenza com as gestantes e HPV entrevistando pais. Os principais motivos de atraso e da não aceitação vacinal foi o desconhecimento vacinal, crença excessiva na imunidade natural, julgar que as vacinas são desnecessárias, medo das reações adversas e pouca satisfação quanto as informações recebidas. Quanto as possíveis lacunas na assistência o principal foi a carência de orientações ofertadas pelos profissionais da saúde, sendo assim, para que o repasse de informações aos pacientes seja efetivo e esses tenham melhores conhecimentos é de extrema importância que os profissionais da saúde estejam sempre atualizados, qualificando assim o repasse de informação, promovendo orientações de forma mais clara e consequentemente absorção de mais conhecimentos pelos usuários.
EDEMA TARDIO INTERMITENTE E PERSISTENTE (ETIP) - REAÇÃO ADVERSA TARDIA AO PREENCHEDOR DE ÁCIDO HIALURÔNICO DESENCADEADA PELO DENOSUMABE: UM RELATO DE CASO
Authors: Da Cunha Filho Roberto Rheingantz , Boeira Carolina Brustolin de Almeida , Saggin Joana , Rastelli Graziela Junges Crescente
Published: June 2023

O edema tardio intermitente persistente (ETIP) é uma reação inflamatória imunomediada desencadeada pela aplicação de ácido hialurônico (AH). É classificado clinicamente como não depressível, difuso e de caráter tardio, por aparecer, no mínimo, 30 dias após a aplicação. Ademais, caracteriza-se como intermitente e recorrente, visto que a reação pode reaparecer enquanto a substância perdurar no tecido. O presente estudo tem como objetivo relatar um caso de ETIP desencadeado pelo medicamento Prolia, sua apresentação clínica e evolução do quadro, bem como o tratamento realizado. No presente relato de caso, foi observada essa reação após uso do medicamento Prolia (Denosumabe), um anticorpo monoclonal que reduz a reabsorção óssea, utilizado para o tratamento da osteoporose.  A paciente em questão é uma mulher de 56 anos, procedente de Joaçaba (SC), a qual apresentou placas eritematosas infiltradas na região do lábio superior, inferior e sulconasomentual, após cinco meses da aplicação do AH. Após conhecimento das medicações de uso e posterior confirmação histopatológica, foi diagnosticada com ETIP e iniciou conduta médica. A ETIP geralmente apresenta uma progressão benigna, se diagnosticada e tratada corretamente. A paciente em questão apresentou completa melhora clínica e, apesar de ainda não existir um consenso na literatura sobre como manejar a ETIP, o tratamento que melhor se adaptou ao caso foi a administração de Prednisolona por 4 semanas. Por não haver sido descrito anteriormente, na literatura mundial, o aparecimento de ETIP desencadeado pelo Denosumabe, destaca-se a importância do presente estudo para elucidação desta possível inteiração entre os compostos.
PERCEPÇÃO DOS ENFERMEIROS SOBRE O USO DA CADERNETA DE SAÚDE DA PESSOA IDOSA NA ATENÇÃO PRIMÁRIA
Authors: Souza Malvina da Silva Vieira , Toscan Vanessa Rossetto , Schimiguel Aline Domingues , Leite Caroline do Nascimento
Published: June 2023

Introdução: A Atenção Primária à Saúde capta as necessidades de saúde da população, tem a responsabilidade de realizar ações de promoção e proteção à saúde, prevenção de agravos, reabilitação, redução de danos e manutenção da saúde, estratificando os riscos e direcionando os cuidados para outros pontos da rede. Tendo em vista o crescimento progressivo da população idosa, as equipes de Atenção Primária à Saúde têm papel fundamental no desenvolvimento de ações de abordagem integral à saúde deste grupo, aplicando instrumentos como a caderneta de saúde da pessoa idosa, desenvolvida para potencializar o acompanhamento de saúde dos indivíduos a partir dos 60 anos. Objetivo: Identificar a percepção da utilização da caderneta de saúde da pessoa idosa pelos enfermeiros em unidades de Atenção Primária à Saúde. Materiais: Participaram do estudo seis enfermeiros um de cada uma das unidades escolhidas. Métodos: Trata-se de um estudo descritivo e exploratório com abordagem qualitativa. Coletou-se dados através de entrevista semiestruturada, com gravação de áudio, no ambiente de trabalho dos enfermeiros no mês de agosto de 2022, com duração média de 10 a 20 minutos, realizada em seis unidades de Atenção Primária de um munícipio do oeste do Paraná, sendo três unidades básicas de saúde e três unidades de saúde da família. Resultados e Discussão: Foram entrevistados seis enfermeiros ambos do sexo feminino e a idade varia de 30 a 56 anos, com atuação na unidade que corresponde a pesquisa de três a cinco anos. 66,6 % dos enfermeiros conheciam a caderneta de saúde da pessoa idosa e 33,3% não tiveram acesso a esta ferramenta sendo que nenhum dos enfermeiros entrevistados a utiliza, mesmo atuando na Atenção Primaria à Saúde há mais de 10 anos. Considerações finais: Apesar das enfermeiras reconhecerem a importância deste instrumento para o cuidado da saúde do idoso, dando a ele e a família mais conhecimento sobre seu estado de saúde, elas encontram vários obstáculos para implantá-la de modo satisfatório, tanto para equipe quanto para o idoso.
ANÁLISE DA PREVALÊNCIA DE INTERNAÇÕES POR DENGUE NO ESTADO DO TOCANTINS ENTRE 2017 E 2022
Authors: De Oliveira Ana Claudia Rocha , Pires Maria Luiza Pedroni , Propércio Jane da Silva , Pinto Franscisco Neto Pereira
Published: June 2023

O Tocantins é um Estado endêmico para dengue devido aos elevados índices pluviométricos e do saneamento básico escasso. Esta pesquisa objetivou investigar o número de internações por dengue no Estado do Tocantins entre 2017 e 2022. O estudo consiste em um delineamento transversal retrospectivo quantitativo, realizado a partir de dados coletados no Tabnet/DataSUS. Os resultados encontrados foram compilados no programa Microsoft Excel®, e por meio de gráficos e tabelas, foram evidenciados 28.355 casos de dengue confirmados, dos quais apenas 1.798 (6%) necessitaram de hospitalizações, com maior incidência em 2019, tendo Palmas como município mais acometido. Conclui-se, portanto, que a dengue segue sendo uma doença prevalente no Estado, de modo a demandar atenção de gestores de saúde com vistas a reduzir os números altos de casos por meio de vigilância epidemiológica ativa como, também, fornecer o melhor cuidado para os pacientes diagnosticados com dengue, quer seja no âmbito ambulatorial quer no hospitalar.
ATRIBUIÇÃO DO ENFERMEIRO NO PROCESSO DE HEMOTRANSFUSAO: UMA REVISÃO INTEGRATIVA DOS ÚLTIMOS 4 ANOS
Authors: Alves Aline Fontes , De Almeida Daniele Silva , Miranda Ailzo Mendes
Published: June 2023

A transfusão de sangue é considerada uma tecnologia de grande importância na terapia moderna. Quando usada corretamente, pode salvar vidas e melhorar o quadro clínico dos pacientes. Todavia, esse procedimento pode apresentar riscos tanto aguda quanto tardia. Para tanto, o conhecimento da enfermagem é de grande relevância a fim de evitar complicações e fornecer um procedimento assertivo ao paciente. Objetivo: Demonstrar, a partir de uma revisão integrativa dos últimos quatro anos, a atribuição do enfermeiro no processo de hemotransfusão, descrevendo seu papel desde o acolhimento até a infusão dos hemoderivados. Métodos: Trata-se de uma revisão integrativa da literatura. Resultados e discussão: Para a seleção, 10 artigos científicos foram inclusos na revisão. As análises em nível de grupo mostraram que é de suma importância do conhecimento técnico e científico para a segurança do paciente. Considerações finais: O processo de hemotransfusão é de responsabilidade da enfermagem, incluindo cuidados minuciosos e atenção clínica por parte do enfermeiro, devendo ser amplamente divulgado e discutido para garantir atualização de conhecimento entre os profissionais que atuam em hemoterapia, para que possam realizar as práticas com segurança e prevenir a ocorrência de eventos adversos.
COMPETÊNCIA MOTORA DE CRIANÇAS E ADOLESCENTES BRASILEIROS AVALIADAS PELO TESTE KTK E TCMB: UMA REVISÃO SISTEMÁTICA
Authors: Lima Igor Mendes , Aburachid Layla Maria Campos , Greco Pablo Juan , Ribas Schelyne
Published: June 2023

O estudo objetivou identificar na literatura o nível de coordenação motora em amostra brasileira com os testes KTK e TCMB e, secundariamente quais variáveis se relacionaram com maior frequência a este construto. As bases de dados consultadas quanto ao tema, no período de 2017 a 2023, foram PubMed, Scielo, SportDiscus e a plataforma de pesquisa Google Scholar. Utilizou-se a ferramenta de checklist PRISMA e os critérios de elegibilidade do PICOs, ainda as palavras-chave foram “coordenação motora, KTK” e “Coordenação motora, TCMB” nos idiomas português, inglês e espanhol. Após triagem com critérios definidos, 26 artigos foram selecionados para compor a amostra, com um total de 4.035 crianças envolvidas nos estudos. A análise descritiva apontou que os anos 2018 (19%) e 2021 (30%) apresentaram maior quantitativo de publicações com avaliação da coordenação motora em amostra brasileira. Observou-se por meio dos resultados classificação de coordenação motora “Regular” entre os estudos que utilizaram o TCMB e classificação “Coordenação Normal” entre a maioria dos estudos que avaliaram a CM por meio do KTK. Em relação as variáveis relacionadas com a CM, identificou-se o IMC e a aptidão física as mais frequentes encontradas nos estudos. Conclui-se que o TCMB teve maior aplicabilidade para amostra de praticantes de esportes, enquanto o KTK apresentou maior número de avaliação entre escolares.
"The Russian-American Role in managing Crises : Syrian Crisis as a Model"
Authors: Rawaa Taha Darweesh
Published: June 2023

Russian-American relations in the modern era have gone through several stages, dominated by the nature of conflict and competition, more than cooperation, which has not yet risen to the level of strategic partnership between the two parties. If the US-Soviet relations had left an impact on the international balance of power during the Cold War, the collapse of the Soviet Union and the birth of the Russian Federation ended what was known at the time as the Cold War, to start a new phase in the international system called the unipolar world, expressing the uniqueness of the United States in hegemony over The world, especially after Russia came out burdened with heavy economic burdens and commitments that made it in a weak position affiliated with the United States, especially in the first half of the nineties of the last century. One of the events in the Middle East, which has come under American hegemony and influence to a large extent, resulting in wars in which the United States occupied Afghanistan and Iraq The Middle East was and still is one of the most vital regions in the world that has witnessed rounds of US-Russian competition, especially in the Syrian crisis, because of its important strategic location, and the huge natural resources it contains, the most important of which are oil and gas, which are the most important sources of energy in the world, and who controls them. It controls the fate of the world today.
The Role of Political Consensus in building Regimes (Lebanon and Iraq as a Model)
Authors: Ali Sufyan Abdullah
Published: June 2023

The system of government in both Iraq and Lebanon is one of the distinctive and rare systems of government in the world, with systems of government close to them in some countries of the world. It is based on the consensus of the political forces emanating from the social components of the people. Constitutional texts or agreements have been agreed in advance that are close to unwritten constitutional customs, Lebanese and Iraqi experience has proved to the extent that it is a system

that can be followed in countries with multi-ethnic pluralism to manage the demands and needs of social components. Therefore, we can say that it is one of the important and effective strategies in how to build the system of government, its form, consolidate its foundations and ensure that no political forces encroach on the system of government and is unique, because each political force has a social reference that returns to its sub-identity to achieve its needs and interests. Political consensus came to balance the similar and opposing interests of those components. But the Iraqi situation, despite the recent application of this regime in it, there are signs that the behavior of Iraqi citizens in some of his areas is directed towards the inclusive national identity, especially in elections, by recommending those who are more efficient and exceeding those sub-identities.
Review of Vulgar Beauty: Acting Chinese in the Global Sensorium by Mila Zuo (Duke University Press)
Authors: Schmoll E. Nastacia
Published: June 2023

In 'Vulgar Beauty: Acting Chinese in the Global Sensorium,' Mila Zuo examines how female Chinese actors perform "vulgar beauty" as a way of "worlding" to create community and belonging through affective shocks, and specifically, to produce feelings of Chineseness. By using the sense of taste, and specifically the flavors bitter, salty, pungent, sweet, and sour, as a framework, Zuo delves into close readings of television and cinematic case studies to look at the different ways vulgar beauty is deployed by these actors. In its analysis, this book offers a reconceptualization of feminine beauty outside of white western dictates and suggests that (vulgar) beauty can be utilized as a potentially disruptive and transformative force, specifically in destabilizing racial and patriarchal power structures.
Abnormal Return dan Volume Perdagangan Saham atas Peristiwa Pencemaran Lingkungan pada Perusahaan yang Terdaftar di Bursa Efek Indonesia
Authors: Sidik M.Muhayin A , Kurniawan Umarudin
Published: June 2023

This study aims to examine the abnormal return and stock trading volume to environmental pollution events.
This research is included in quantitative research. Data source in this research is secondary data. Sources of data in this study were obtained from the 3 most trusted online mass media, namely; Kompas, Republika and Koran Tempo to find information about environmental pollution events conducted by the company, as well as for financial data of share price and trading volume through Indonesia Stock Exchange website or other providers such as, yahoo finance and World Investment.
Based on the test results, it can be concluded that, the hypothesis stating that there is a market reaction to environmental contamination events indicated by the decrease in average abnormal return before and after the reporting of environmental pollution events conducted by companies listed on the Indonesia Stock Exchange was rejected, The difference in market reaction to environmental contamination events is indicated by the decrease in average abnormal return after the reporting of environmental pollution events conducted by companies listed on the Indonesia Stock Exchange. The second hypothesis is rejected, the hypothesis that there is a market reaction to environmental contamination events is indicated by a decrease in average trading volume before and after the reporting of environmental pollution events conducted by companies listed on the Indonesia Stock Exchange, there is no market reaction to the event of environmental contamination Which is indicated by a decrease in average trading volume after the reporting of environmental pollution events conducted by companies listed on the Indonesia Stock Exchange.
Audit Tata Kelola Teknologi Informasi dengan Pendekatan COBIT 5
Authors: Puspitasari Endah Yuni , Arifin Oki , Pentiana Destia
Published: June 2023

This research was qualitative aiming to reveal the extent to which the management of the Office of Communication and Informatics (Diskominfo) of Pringsewu has accorded the APO domain (align, plan, organize) on COBIT 5 framework. It was also intended to measure the capability level of the planning of the IT management at Diskominfo of Pringsewu based on COBIT 5 framework. The APO domain has thirteen processes related to the strategy, planning, identification, and contribution of IT to achieve the organizational goals. Diskominfo currently has the master plan of the development of e-government, but it has not applied any evaluation process yet. It is because there has been no policy related to the evaluation process from either inside or outside organization. The results of this study have indicated that the capability level of the APO domain is 45.77% which falls in the level one rate which means that it is partially achieved. This study shows that, currently, Diskominfo of Pringsewu has not possessed some important components in the development process of information technology management, namely service quality management, risk management, and information security management system.
Evaluasi Pengakuan Pendapatan Atas Perusahaan Real Estate Berdasarkan PSAK NO.44
Authors: Ilham Yosmar , Irawan Irawan , Yuniarti Evi
Published: June 2023

The writing of this final project aims to evaluate the recognition of PT ABC revenue in 2018 whether it is in accordance with PSAK No.44. PT ABC's revenue recognition is performed using the Deposit Method. The evaluation was carried out on 2 types of financial statements, namely the income statement and the 2018 financial position report. Based on the evaluation of revenue recognition according to PSAK No.44, the results were obtained which stated that PT ABC had not yet recognized revenue because there were no customers who paid off their houses and buildings. still under construction, the company records money from customers as unearned revenue. According to PSAK No.44 all money originating from consumers is recognized as income received in advance as long as the buying and selling process has not been completed. So that the records made by the company are in accordance with PSAK No.44
Memprediksi Perkembangan Pendapatan pada Koperasi KW Dengan Metode Tren
Authors: Gustara Hadi , Irawan Irawan , Yuniarti Evi
Published: June 2023

This study aims to determine and predict the development of cooperative income and determine the trend method that has a relatively small risk of error to be used in analyzing and comparing the income prediction with the actual data. The type of data used is secondary data. The data collection method used is the documentation method. The documentation collected is in the form of monthly cooperative income reports from January to December 2019. The data analysis method used is quantitative and qualitative methods. The results of the discussion of this final project show that in the period January to December 2019 cooperative income has increased and decreased. The percentage of total increase and decrease in income from savings and loan services is more stable than the percentage of income from the procurement of goods and services which is volatile. The trend method which has a small risk of error in analyzing savings and loan service income is the quadratic method, while the exponential method is used for income from the procurement of goods and services
Audit Aset Produktif pada PT. XYZ
Authors: Hutagalung Yulia Ayu Puspita , Damayanti Damayanti , Dewi Dian Nirmala
Published: June 2023

This writing aims to describe the classification of plants that have not produced that should be used as producing plants or categorized into assets. The data used is secondary data using documentation data collection methods. The data analysis method carried out by the author is to collect data related to auditing productive assets such as pt xyz financial statements, working papper audit, draft audit of PT XYZ in 2019, and a list of details of TBM and TM. Then study the audit of productive assets in accordance with the procedures of KAP KS, perform a recalculation of productive assets, and present the findings obtained by the auditor and present the audit results. From the results and discussions that have been done by the author, it can be concluded that the auditor has done calculations related to the productive assets of PT XYZ and the results obtained from the audit conducted by kap KS auditors, namely PT XYZ has not made Plants Have Not Produced into Producing Plants. So it is recommended 2 journal adjustment related to its findings when conducting an audit of pt xyz's productive assets
Pengaruh Arus Kas Operasi dan Laba Bersih pada Dividen Kas : Studi pada Perusahaan Makanan dan Minuman yang Terdaftar di Bursa Efek Indonesia (BEI) Tahun 2015 – 2019
Authors: Andrean Rudi , Pentiana Destia , Dewi Dian Nirmala
Published: June 2023

This study aimed to determine the effects of operating cash flows and net income on dividend cash. The hypothesis taken was that H1 was the effect of operating cash flow on cash dividends and H2 was the effect of net income on cash dividends. The population of this study were food and beverage companies registered in Indonesia Stock Exchange (IDX) in 2015 – 2019. The sampling method used in this study was purposive sampling, that is sample selection with certain criteria. Eight companies that met the criteria were obtained, so the total sample size was 40 samples. The data collection technique used in this study was secondary data documentation obtained by downloading financial reports published by www.idx.co.id. The data analysis technique used was multiple linear regression test by using SPSS 22. The results of this study indicate that operating cash flow has no significant effect on cash dividends, while net income has a significant effect on cash dividends.
Pengaruh Leverage dan Profitabilitas Terhadap Nilai Perusahaan pada Perusahaan Sub Sektor Farmasi yang Terdaftar Di Bursa Efek Indonesia Periode 2015-2019
Authors: Issomatusaada Issomatusaada , Dewi Dian Nirmala , Dewi Anita Kusuma
Published: June 2023

This study aims to determine the effect of leverage and profitability on firm value. This research uses purposive sumpling technique. The population used in this study were 10 companies producing 6 samples based on predetermined criteria. This study uses secondary data from the Indonesia Stock Exchange website, SahamOk, in the form of finance reports and annual reports. Data analysis used classical assumption test, multiple linear analysis test, and t test. Leverage variables used in this study are Debt to Equity Ratio (DER) and Debt Ratio (DR). Profitability variables used in this study are Return On Equity (ROE) and Earning Per Share (EPS). The firm value variable in this study uses Tobin's Q. The results show that ROE and EPS have an effect on firm value but the DER and DR variables have no effect.
Diferenças e similaridades entre o transtorno de personalidade borderline e o transtorno afetivo bipolar
Authors: Arouca Maria Eduarda Dias , Brito Maryane Nogueira da Fonseca , Arouca Kalliny Luiza Dias , Souza Luciana Sant'Ana de
Published: June 2023

Objetivo: Descrever e revisar os conhecimentos acerca do transtorno afetivo bipolar e o transtorno de personalidade Borderline e suas relações e diferenças. Revisão bibliográfica: O transtorno de personalidade Borderline e o transtorno bipolar apresentam sintomas semelhantes, como as mudanças de humor, o descontrole emocional, a impulsividade, os relacionamentos instáveis e intensos. Entretanto, a principal diferença são as alterações de humor, onde pacientes Borderline apresentam oscilações dentro de um curto tempo, e pacientes Bipolares possuem mudança de humor em tempo maior. Uma diferença relevante a ser destacada é o tratamento de ambos os transtornos, no qual, o tratamento farmacológico no paciente Bipolar é o principal meio terapêutico, enquanto no indivíduo Borderline, a psicoterapia é a principal modalidade terapêutica. Em decorrência das suas similaridades, nota-se dificuldade na prática clínica para a realização do diagnóstico. Considerações finais: Diante do exposto, fica evidente a necessidade de estudos mais aprofundados de tais transtornos, com o intuito de diagnosticar e iniciar o tratamento do paciente de maneira correta.
Schwannoma tipo A de Antoni de região retro orbitária
Authors: Gatis Michelly Cauás de Queiroz , Cavalcanti Filho José Brasiliense Holanda , Freitas Marcio Handerson Benevides de , Cavalcanti Marcelo Augusto Sá de Melo , Ferreira Mariana Cavalcanti Pirajá Viana , Barros Rayane Karen Deolindo , Ferreira Adriana Parente Vianna Simões , Silva Liniker Scolfild Rodrigues da , Lago Carlos Augusto Pereira do , Vasconcelos Belmiro Cavalcanti do Egito
Published: June 2023

Objetivo: Descrever o caso diagnosticado como Schwannoma tipo A de Antoni em região retro orbitária esquerda e de uma ampla e crítica discussão da literatura, buscou-se abordar do diagnóstico à terapêutica após a descoberta dos Corpos de Verocay. Detalhamento de caso: Paciente do sexo feminino, parda, 78 anos, com queixa e diagnóstico oftalmológico de amaurose no olho esquerdo, com evolução de oito anos. Ao exame físico presença de exoftalmia a esquerda, tomografia computadorizada de órbita apresentando imagem de lesão expansiva com atenuação média de partes moles, contornos regulares, parcialmente definidos, localizada em situação intraconal retrobulbar à esquerda, medindo aproximadamente 2.8x2.5x2.5cm, com moderada proptose bulbar correspondente. Considerações finais:  O diagnóstico tardio do schwanoma retro-orbital está diretamente correlacionado uma ampla cadeia de sinais e sintomas que corroboram para um quadro clínico de confundimento e retardo no diagnóstico e tratamento, onde a excisão cirúrgica alargada continua a ser a principal conduta.
Facilidades e dificuldades relatadas por enfermeiros preceptores de programas de residência em saúde de hospitais-escola de Belém, Pará
Authors: Dias Junior Neiva José da Luz , Batista Neto José Benedito dos Santos , Feitosa Brena da Costa , Menegaz Jouhanna do Carmo , Gonçalves Lucia Hisako Takase , Polaro Sandra Helena Isse
Published: June 2023

Objetivo: Evidenciar as facilidades e dificuldades no cotidiano dos enfermeiros que exercem a preceptoria em hospitais-escola de Belém, Pará. Métodos: Trata-se de um estudo exploratório, do tipo descritivo, de natureza qualitativa, desenvolvido com enfermeiros preceptores em programas de residência em saúde de dois hospitais-escola de Belém-Pa. Optou-se pela entrevista semiestruturada como técnica de coleta de dados, para o tratamento de dados, utilizou-se a técnica da análise de conteúdo temática. O estudo foi aprovado por Comitê de Ética em Pesquisa. Resultados: Os participantes do estudo totalizaram 17 preceptores, sendo 15 do sexo feminino e 02 do sexo masculino, com idades entre 27 e 43 anos. Destacam-se como facilidades a predisposição e a satisfação pessoal em conduzir o residente no processo de ensino-aprendizagem; a motivação para a constante atualização profissional; e o estímulo à melhoria do processo de trabalho e qualidade assistencial. Quanto as dificuldades percebidas, foram pontuados: sobrecarga de trabalho; acúmulo de funções; ausência de incentivos à atividade de preceptoria; e ausência de capacitação pedagógica. Conclusão: Conclui-se que é imperiosa a necessidade de investimento e valorização do papel do enfermeiro preceptor, dada a sua importância na formação de profissionais no cenário do sistema único de saúde.
Compliance on the use of water-soluble contrast agent in adhesional small bowel obstruction
Authors: Leung Edmund , Toy Isobel , King Jasmin , Ghani Zeeshan , Shah Adarsh
Published: June 2023

Objectives:

Small bowel obstruction is associated with significant morbidity and mortality. This study aimed to map outcomes of patients admitted with adhesional small bowel obstruction (ASBO ) with a view evaluating the effectiveness of water-soluble contrast agents (WSCA).

Materials and Methods:

A retrospective review of all emergency admissions coded for operative and non-operative treatment of small bowel obstruction between January 2018 and June 2020. Electronic patient records were utilized to confirm cases of ASBO. Patient demographics, hospital administrative data, treatment and surgery-related data are collected.

Results:

A total of 110 patients were admitted with ASBO initiated with conservative management. Median time to computed tomography (CT) scan was 12 h (Range: 3–115 h). Oral contrast was administered in only 11%; of these, 58% (7/12) resolved spontaneously compared to 52% (51/98) in those without contrast. About 43% (47/110) of all patients necessitated surgical intervention. Median time from admission to surgery was 43.5 h (Range: 10– 288 h). There were one 30-day re-admissions in patients surgically managed compared to two in those conservatively managed.

Conclusion:

Early CT scan facilitates initiation of non-operative management in stable patients with ASBO. In this series, the scant use of WSCA despite international guidelines did not compromise patient outcomes or length of stay.
METACOGNITIVE APPROACH IN STUDENT EDUCATION IN THE CONTEXT OF EDUCATIONAL INNOVATIONS
Authors: Kovalchuk Inna , Kovalchuk Yuliia , Popchuk Mariia
Published: June 2023

The article is devoted to the study of metacognitive learning. The advantages of using metacognitive learning methods in the educational process are given. Different approaches and models used to describe the purpose of cognitive learning are illustrated. A framework for determining different personality types of students, according to available metacognitive skills, is described. Tips are described that contribute to the development of metacognitive skills, which, in our opinion, form the foundation of metacognitive learning. The result of this exploration is the assumption that the use of metacognitive skills used in metacognitive learning helps students to become aware of their strengths and weaknesses. The key element is realizing the limits of your knowledge or abilities and then figuring out how to extend or extend that knowledge possibility. Those who know their strengths and weaknesses in these areas are more likely to "actively monitor their learning strategies and resources and assess their readiness for specific tasks and performance." Which, in turn, will contribute to the successful educational activities of students.
Narcissism and Nihilism as Manifestations of the Axiological Crisis of Culture
Authors: Isaev Andrey V.
Published: June 2023

This work is aimed at identifying socio-anthropological and socio-cultural forms in which the health-saving crisis is manifesting itself today. The article analyzes abnormal forms of attitude to one’s health, which are quite common today. These are narcissistic hyper-concern about bodily health and appearance, and the opposite nihilistic attitude to one’s life and health, manifested in an incredible dominance of bad habits, including among young people. If narcissism is individualism elevated to the absolute degree of indifference to others, then nihilism is the triumph of Thanatos over Eros, that is, destructive life-denying forces over vital life-affirming ones. There are no criteria for “good enough” health in the narcissistic paradigm: it is an endless process of influencing oneself, which is ultimately not only transferred to the digital format, but also begins to have a negative impact on the individual’s real body. Nihilism is based on an indifferent, but more often negative attitude towards the norms and ideals of a healthy lifestyle and on the denial of their practical implementation in daily behavior. This is its difference from narcissism, in which the main thing is unconcern towards others. The article shows that the source of these anomalies lies not in the psychological plane of motivation loss, but in the ethical-existential, that is, in the axiological plane. In this context, there is proposed to consider these phenomena as social, testifying to the value crisis of culture. The article concludes that both in the case of narcissism and in the case of nihilism, there is a loss of the spiritual value and meaning of life as a metaphysical gift. In relation to health, this signals something more than just a loss of psychological motivation to lead a healthy lifestyle. We are talking about the crisis of the individual’s value attitudes, going deep into the unenlightened existence of the individual.
The Expressiveness of Cinema and the Expressiveness of Myth: On the Affinity of Cinema Language and Mythological Thought
Authors: Bezzubikov Aleksey O.
Published: June 2023

The article is focused on discovering similar principles and mechanisms of communication in such information transmission systems as myth and cinema. The author considers this text as a prolegomena to the model of analysis of the mythological content in a film. A myth is a way to construct a model of reality; it projects the contents of this model onto the facts and phenomena surrounding a person, giving them new meanings and organizing new connections between them. These facts and phenomena can be perceived from two points of view: profane and sacred. The sacred mode of perception is possible in the case of “synchronous reading” of these facts and phenomena — a certain object expressing a part of the mythological model of the world is perceived as such only in the case of presentation of this model in general and other objects representing its other segments.

The elements of a film text, like those of a myth, also can be perceived in two dimensions: linear, that is consecutive in time, and “spectacular-programmable”, that is as self-contained phenomena, not tied to the film’s linear plot. In the second case, these elements can express the connotations preceding the film, determined not by its plot, but by the conditions and concepts of the social group of authors and spectators of the movie. The meanings that images represent on the screen also depend on the organization of these images within each particular system — that is, the principle of “synchronous” perception also works for them.

The author proposes principles of identification of mythological signifiers in cinema, and describes in general terms the mechanism of their analysis. The main question to ask in such an analysis is: how do the signifiers of mythological ideas and representations, revealed in a film at its “synchronous”, “nonlinear” level, interact with the linear plot of this film?.
From Patron to Spectator: Chancellor Nicolas Rolin’s Orders in the Workshops of Jan van Eyck and Rogier van der Weyden
Authors: Zabrodina Elena A.
Published: June 2023

The article examines the orders that Nicolas Rolin, Chancellor of the Duke of Burgundy, made in two main painting workshops of the southern Netherlands in the first half of the 15th century: “Madonna of Chancellor Rolin”, created by Jan van Eyck in 1435, and “The Last Judgment”, made by Rogier van der Weyden about ten years later. The article is relevant because of the need to reconstruct different layers of the viewer’s perception of the above-mentioned works, taking into account the fact that their original location was different from the current one. The church of Notre-Dame du Châtel, which kept the “Madonna of Chancellor Rolin”, was demolished during the Great French Revolution. Although the hospital in Beaune, for which “The Last Judgment” was intended, has survived to this day, however, the polyptych by R. van der Weyden is not currently displayed in the space of the Rolin Chapel. Such alteration in the placement of altar compositions increases the numbers of barriers to reading the paintings’ iconographic programs. The novelty of the article lies in examining the history of the Chancellor’s orders, his biography, as well as the political, social and religious context of the era in order to highlight the semantic layers in the works by Jan van Eyck and R. van der Weyden. The method of receptive aesthetics may help to analyze how the altars ordered by N. Rolin were perceived by ordinary church visitors, hospital patients, as well as the Chancellor himself and his wife. The article examines the existing hypotheses concerning the symbolic meaning of specific objects and figures on altars from the point of view of the difference in the perception of donators and other viewers of these works. The devotional projects implemented by Nicolas Rolin in Autun and Beaune are accompanied by the Chancellor’s political and social message to his enemies at the court.
Labyrinths of “Turns” in Contemporary Art: Linguistic, Iconic, Visual
Authors: Afanasyeva Irina A.
Published: June 2023

The author of the article focuses on the problem of correlation between the paradigms of “linguistic”, “iconic” and “visual” turns associated with contemporary art. The text discusses the history of the terms, analyzes the specifics of each of these turns, reveals their role and significance in art, history and culture, and provides specific examples of works of the 20th and 21th centuries. Attempts to overcome the methodological crisis in art studies have made the impact of these approaches felt throughout the world. The article pays special attention to a number of issues, which include changes in the concept of art and the boundaries of language; the expressive opportunities of the image and narrative; artistic vision; depiction of the “unimaginable”; the statuses of works of art, authorship, perception, symbols, as well as dialectical transitions of works of art from visuality to pictoriality. The article shows how, by studying the history of art as a phenomenon of culture, art studies have learned to find not only artistic characteristics, but also social and cultural features in the specifics of forms, structures and compositions. Carrying out a comparative analysis of the linguistic, iconic and visual “turns”, the author notes the dialectic of “reformatting” the view from the linguistic to the iconic and visual, and also comes to the conclusion that, the subtle modifications of the language of art demonstrate the constant evolution of artistic forms, art criticism, cultural and social meanings. Art contemplates the world directly, embodying it in images (semantic, visual, iconic, etc.). It is thanks to the peculiar integrity (interdisciplinarity) achieved in the artistic rethinking of historical reality that art reveals an amazing depth of meaning.
Infrared Spectroscopy Reveals Metal independent Carbonic Anhydrase Activity in Crotonyl CoA Carboxylase/Reductase
Authors: Gomez Aharon , Tinzl Matthias , Stoffel Gabriele , Westedt Hendrik , Grubmüller Helmut , Erb Tobias J. , Vöhringer-Martinez Esteban , Stripp Sven
Published: June 2023

The conversion of CO2 by enzymes such as carbonic anhydrase or carboxylases plays a crucial role in many biological processes. However, methods following the conversion of CO2 at the active site in situ are limited. Here, we used infrared spectroscopy to study the interaction of CO2, water, and other reactants with β-carbonic anhydrase from Escherichia coli (EcCA) and crotonyl-CoA carboxylase/reductase from Kitasaospora setae (KsCcr), two of the fastest CO2-converting enzymes in nature. Our data reveal that KsCcr possesses a so far unknown metal-independent CA-like activity. Site-directed mutagenesis of conserved active site residues allows identifying an ‘activated’ water molecule, forming the hydroxyl anion that attacks CO2 and yields bicarbonate (HCO3–). Molecular dynamics simulations are analyzed to trace CO2 in the active site of KsCcr and explain why substrate binding inhibits the anhydrase activity. Altogether, we demonstrate how in situ infrared spectroscopy combined with molecular dynamics simulations provides a simple, yet powerful new approach to investigate the atomistic reaction mechanisms of different enzymes with CO2.
Gold-Catalyzed Interrupted Relay Heck Reaction
Authors: Bhoyare Vivek W. , Tathe Akash G. , Gandon Vincent , Patil Nitin T.
Published: June 2023

Herein, we disclose the gold-catalyzed interrupted relay Heck reaction successfully demonstrating the implementation of a chain-walking process for the first time in a catalytic fashion. The reaction involves the merging of three distinct reactivities such as the Heck reaction, chain-walking, and anti-addition via π-activation to provide direct access to tetrahydronaphthalenes and octahydrophenanthrenes with high diastereoselectivity. We have also demonstrated the application of the interrupted chain-walking reaction in the development of 1,3-diarylation and 1,n-hydroarylation (n = 3, 4) of alkenes.
Activation of N–O σ Bonds with Transition Metals: A Versatile Platform for Organic Synthesis and C–N Bonds Formation
Authors: Todorović Uroš , Romero R. Martin , Anthore-Dalion Lucile
Published: June 2023

N–O σ bonds containing compounds are versatile substrates for organic synthesis under transition metal catalysis. Their ability to react through both polar (oxidative addition, formation of metallanitrene, nucleophilic substitution) and radical pathways (single electron transfer, homolytic bond scission) have triggered the development of various synthetic methodologies, particularly toward synthesizing nitrogen-containing compounds. In this review, we discuss the different modes of activation of N–O bonds in the presence of transition metal catalysts, emphasizing the experimental and computational mechanistic proofs in the literature to help to design new synthetic pathways toward the synthesis of C–N bonds.
Expanded ensemble predictions of absolute binding free energies in the SAMPL9 host--guest challenge
Authors: Hurley Matthew F. D. , Raddi Robert M. , Pattis Jason G. , Voelz Vincent
Published: June 2023

As part of the SAMPL9 community-wide blind host--guest challenge, we implemented an expanded ensemble workflow to predict absolute binding free energies for 13 small molecules against pillar[6]arene. Notable features of our protocol include consideration of a variety of protonation and enantiomeric states for both host and guests, optimization of alchemical intermediates, and analysis of free energy estimates and their uncertainty using large numbers of simulation replicates performed using distributed computing. Our predictions of absolute binding free energies resulted in a mean absolute error of 2.29 kcal mol$^{-1}$ and an $\text{R}^{2}$ of 0.54. Overall, results show that expanded ensemble calculations using all-atom molecular dynamics simulations are a valuable and efficient computational tool in predicting absolute binding free energies.
The Fluorine Toolbox: from Molecular Design to Advanced Batteries
Authors: Wang Yiqing , Wu Zhenzhen , Azad Faezeh , Zhu Yutong , Wang Lianzhou , Hawker Craig , Whittaker Andrew , Forsyth Maria , ZHANG CHENG
Published: June 2023

The increasing demand for high-performance rechargeable batteries, particularly in energy storage applications such as electric vehicles, has driven the development of advanced battery technologies with improved energy density, safety, and cycling stability. In this regard, fluorine has emerged as a crucial element in achieving these goals with fluorinated materials being employed in a wide range of battery applications, including solid and liquid electrolytes, electrolyte additives, solvents, binders, and protective layers for electrodes. This review explores the design and utilization of fluorine-containing materials in advanced batteries, focusing on the significance of controlling their chemical structure and understanding their impact on battery performance. A key aspect is the role of fluorinated materials in facilitating the formation of a thin, protective film of corrosion products at the metal-electrolyte interface, which serves as a barrier against further chemical reactions with the electrolyte. The electron-withdrawing property of fluorine endows these fluorinated materials with high oxidative stability at high voltages. Moreover, the non-flammable nature of fluorinated compounds contributes to the design of batteries with enhanced safety and prolonged lifespan. Additionally, we discuss the current challenges and future directions in harnessing the battery-related aspects of fluorinated materials, with a focus on the regulatory landscape surrounding the use of fluorinated compounds.
MOCK TEST PAPERS FOR FINAL THEORY EXAMINATION AEX 101 RURAL SOCIOLOGY AND EDUCATIONAL PSYCHOLOGY (2+0)
Authors: M Dr Ganapathy Ramu
Published: June 2023

The course AEX 101 RURAL SOCIOLOGY AND EDUCATIONAL PSYCHOLOGY (2+0) is offered to the undergraduate students of Agriculture and allied subjects based on the syllabus of Indian Council of Agricultural Research (ICAR) by the Department of Agricultural Extension in Agricultural Colleges and Agricultural Universities in India. The course has a total of 2 credit hours, with 2 hours of theory class and 0 hours of practical class per week for a semester.