bluuebunny/crossref_metadata_2025 huggingface dataset:
What is the Impact of Alcohol ban on Prevalence of Undertrial Prisoners of Liquor & Narcotics Drugs related Acts violation in Bihar - A twelve year (2010-2021) comparative cross-sectional study
Authors: Kumar Piyush , Anupama Advocate
Published: November 2022

There is a global prerequisite for the diminution strategy in the want of drugs of addiction, both legal and banned, which may otherwise lead to plentiful negative health, family, socio-economic and mental consequences. During the 63rd session of the WHA (World Health Assembly), held at Geneva in May 2010, including India the 193 global member states reached on consensus that global strategies to trim down the detrimental use of alcohol by adopting resolution WHA63.13. The (GoI) Government of India enforced THE NARCOTIC DRUGS AND PSYCHOTROPIC SUBSTANCES ACT, 1985, ACT NO. 61 OF 1985 with guidelines, protocols and essential framework to reduce drug abuse and sale in India. Alcohol causes 3 million deaths per annum globally; responsible for 5.1% of the global burden of disease, gender wise harmful consumption of alcohol is about 7.1% in males compared to 2.2% in females. The Bihar Excise Act, 1915 was amended and new amendment Act, 2016 from 01.04.2016 was enforced. Vide Gazette Notification No. 1485 dated 05.04.2016. Absolute Prohibition of sale and consumption of liquor in any form was declared in the State of Bihar. Bihar Prohibition and Excise Act, 2016 was notified on 2nd of October 2016 to put into effect complete ban of alcohol consumption/sale in the territory of Bihar. The key objective of this study is to find out impact of alcohol ban on total number of people jailed by comparing the prevalence of Undertrial Prisoners of Liquor & Narcotics Drugs related Acts violation before the intervention (i.e. alcohol ban) and after alcohol ban. This novel cross sectional research study revealed that as compared to the period when alcohol was not banned in Bihar there is 1190.39 percent increase in the Undertrial prisoners violating Bihar Liquor & Narcotics Drugs Excise Act under which the alcohol comes mainly. Added to this the research study also revealed that there is 355.12 percent and 169.30 percent increase in violation of Liquor & Narcotics Drugs Prohibition Act as well as Liquor & Narcotics Drugs NDPS Act respectively during the period when alcohol is banned in the state of Bihar as compared to same period before alcohol ban.
Zinc Finger–homeodomain Gene Family in Apple and Their Expression Analysis in Apple Rootstock Malus hupehensis Under Abiotic Stress
Authors: Wu Ruigang , Wang Chao , Yin Lili , Ran Kun , Wang Liping
Published: November 2022

Zinc finger–homeodomain (ZF-HD) proteins, a family of plant-specific transcription factors, play an important role in regulating plant growth and development, as well as responses to stress. Although ZF-HDs have been investigated in several model plants, no systematic studies have been reported in apple (Malus ×domestica). In this study, 14 putative ZF-HD genes were identified in the apple genome and characterized using bioinformatics tools. All members harbored complete canonical structures of the ZF-HD motif. Phylogenetic analysis demonstrated that ZF-HD genes in the genome of apple could be classified into four subfamilies, with high intragroup similarities. Gene-structure analysis revealed that although 11 MdZHDs had only one exon, MdZHD6 and MdZHD13 had two exons and MdZHD8 had six exons, suggesting limited variation among the apple ZHD genes. The expression profiles of MdZHD genes revealed their involvement in the growth and development of different tissues. Numerous binding sites for transcription factors, such as MYB, bZIP, and AP2, were found in the promoter region of the putative MdZHD genes. Nearly all putative MdZHDs were predicted to localize in the nucleus. Finally, the expression levels of the MdZHD genes under abiotic stress were examined in apple rootstock Malus hupehensis and the results showed that the expression of 10 MdZHD genes was induced in response to three abiotic stress factors. Exceptionally, the expression of MdZHD11 was not induced in response to any of the abiotic stress treatments, MdZHD12 was only induced in response to salt stress, and MdZHD7 and MdZHD9 were induced in response to both drought and salt stress. The present results provide valuable insights into the putative physiological and biochemical functions of MdZHDs in apple.
Assessment of the adequacy of probabilistic water sampling and flow distribution model to the real processes in the water supply and distribution systems
Authors:   LLC Network company “IRKUT”, Dushin Aleksei S.
Published: November 2022

Abstract. The study is aimed at justifying the adequacy of a previously developed mathematical model of water sampling and flow distribution to the probabilistic processes taking place in water supply and distribution systems (WSDS), as well as the validity of using the developed model for describing the WSDS operational process. At present, the design of such systems is subject to severe requirements, including the reliability of consumer supply and the cost efficiency of WSDS operation. WSDS meeting these requirements can be created based on the analysis of existing WSDS, considering the effect of various external factors. A key aspect in such an analysis is probabilistic water sampling as the process determining the operation of the entire system. According to water sampling combinations of various WSDS units, the procedure of flow distribution was carried out. Using the same WSDS, a sampling-based distribution of flows according to the presented method was performed. The probabilistic pa-rameters of WSDS operation for the considered options were obtained and compared with the results of hydraulic calculations. The obtained parameters showed good agreement. In comparison with other methods, the described probabilistic model of WSDS operation is characterized by operational simplici-ty and cost efficiency due to the small number of operations. The previously developed mathematical model of sampling and flow distribution according to the studied method can be used for describing WSDS operational processes and assessing the reliability of water supply to consumers.
Fatigue strength control of flexural reinforced concrete members
Authors:   Irkutsk National Research Technical University, Pinus Boris I. , Korneeva Inna G. ,   Irkutsk National Research Technical University
Published: November 2022

Abstract. The article compares approaches to fatigue effect assessment using standard methods of calculating the strength of reinforced concrete members under the action of bending moments and longitudinal forces. A numerical experiment was carried out using the probabilistic forecast of the change in the strength of variously reinforced beams after cyclic effects of moderate intensity. The calculations performed according to ultimate force methods and nonlinear deformation models are pro-vided using statistically representative experimental data on the concrete strength and deformation properties prior to and following 50 cycles of mechanical impacts with a 0.8 amplitude and zero asym-metry. Two series of concrete prismatic samples (100 × 100 × 400 mm) were tested. The Instron 5989 complex was used for automated loading of samples with the constant deformation rate and continu-ous recording of controlled parameters along all directions. A numerical experiment was conducted for beams of a rectangular cross-section (b × h = 100 × 200 mm) with a various level of one-sided rein-forcement (А400, µ = 1–6%). It is established that predicting and controlling the effects of fatigue pro-cesses should be carried out using the criteria of nonlinear deformation models.
Anti-Toxic Principles from Morinda lucida and Annona muricata Down-Regulated Ki67 and Multi-Drug Resistance1 Genes in Lead-Induced Hepato-Toxicity in Rats
Authors:   Department of Anatomy, Faculty of Basic Medical Sciences, University of Medical Sciences Ondo, Ondo State, Nigeria, AKINLOLU ADELAJA A. , OMOHIMORIA TEMITOPE ,   Department of Anatomy, Faculty of Basic Medical Sciences, University of Medical Sciences Ondo, Ondo State, Nigeria, OYEWOPO ADEOYE ,   Department of Anatomy, Faculty of Basic Medical Sciences, University of Medical Sciences Ondo, Ondo State, Nigeria, KADIR RISIKAT E. ,   Department of Anatomy, Faculty of Basic Medical Sciences, University of Medical Sciences Ondo, Ondo State, Nigeria, AMEEN MUBARAK O. ,   Department of Chemistry, Faculty of Physical Sciences, University of Ilorin, Ilorin, Kwara State, Nigeria
Published: November 2022

Morinda lucida (ML) and Annona muricata (AM) are ethno-medicinal plants with antioxidant potentials. In addition, lead is a toxic pollutant of global health concerns. This study evaluated the effects of column chromatography-extracted ethanolic fractions of ML and AM leaves on immuno-modulations of Ki67 and multi-drug resistance1 (MDR1) proteins in the liver of rats in lead acetate (LA)-induced hepato-toxicity in-order to determine their hepato-protective, anti-proliferation, anti-drug resistance and anti-cancer potentials. Sixty adult female rats were randomly divided into 12 groups (n = 5). Groups 1 and 2 received physiological saline and 100 mg/kg bodyweight of LA, respectively, for 5 weeks. Groups 3–6 received 100 mg/ kg bodyweight LA for 2 weeks followed by post-treatments with 7.5 mg/kg and 15 mg/kg bodyweight of ML, and 7.5 mg/kg and 10 mg/kg bodyweight of AM, respectively, for another 3 weeks. Groups 7–10 received 7.5 mg/kg and 15 mg/kg bodyweight of ML, and 7.5 mg/ kg and10 mg/kg bodyweight of AM, respectively, for 5 weeks. Groups 11 and 12 received co-administrations of 100 mg/kg bodyweight LA simultaneously with 15 mg/kg bodyweight ML and 10 mg/kg bodyweight of AM, respectively, for 5 weeks. Drugs and extracts were administered orally. Consequently, liver histopathology (heamatoxylin and eosin technique) and enzyme linked immunosorbent assay (ELISA) homogenates’ concentrations of Ki67 and MDR1 were evaluated. Computed data were statistically analysed (p ≤ 0.05). Results showed normal liver histology in all groups. Post-treatments of LA-induced hepato-toxicity resulted in statistically significant (p ≤ 0.05) and non-significant decreased concentrations (p ≥ 0.05) of Ki67 and MDR1 in Groups 3–12 compared with Group 2. These observations indicated that ML and AM ameliorated LA-induced hepato-toxicity, abnormal proliferation, drug resistance and mutagenesis.
Comparative Effectiveness of Channa sriatus Extract Versus Glucosamine Sulphate for the Treatment of Primary Knee Osteoarthritis: A Randomised Controlled Trial
Authors:   Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia, Ishak Azlina , Abdul Kadir Azidah ,   Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia, Hoi Ling Bong ,   Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia, Omar Julia ,   Department of Chemical Pathology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia, Sadagatullah Abdul Nawfar ,   Department of Orthopaedic, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia, Mohd Noor Norhayati ,   Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
Published: November 2022

Channa striatus, an indigenous freshwater fish, has been shown to treat knee osteoarthritis, but no study has been done to compare its effectiveness with other oral therapy. This study aimed to compare the effectiveness of oral Channa striatus extract and glucosamine sulphate in knee osteoarthritis symptoms and physical function. This is a double-blind randomised controlled trial, conducted among 78 patients with primary knee osteoarthritis. Patients were assigned to receive either 500 mg/d of Channa striatus or 1,500 mg/d of glucosamine sulphate for 6 months. The main outcome measures were pain, stiffness and physical function, as assessed by the Western Ontario and Mc Master Osteoarthritis Index (WOMAC) at baseline, 3- and 6-months post-randomisation. Seventy-three patients completed the study (Channa striatus, n = 37; glucosamine sulphate, n = 37). There was no significant between-group difference in the WOMAC index. However, the within-group comparison pointed to a significant improvement in all the WOMAC domains in both groups from baseline to 6 months. The effectiveness of Channa striatus shows no difference from that of glucosamine sulphate in reducing the symptoms of knee osteoarthritis. Channa striatus could be a new alternative treatment for the management of knee osteoarthritis.
A Retrospective Analysis of Medication Errors at a Tertiary Hospital in a Northern State of Malaysia
Authors:   Faculty of Pharmacy and Health Sciences, Universiti Kuala Lumpur-Royal College of Medicine Perak (UniKL-RCMP), Perak, Malaysia, Mohd Yatim Mohd Firdaus , Othman Nour Hanah ,   Faculty of Pharmacy and Health Sciences, Universiti Kuala Lumpur-Royal College of Medicine Perak (UniKL-RCMP), Perak, Malaysia
Published: November 2022

Medication errors (MEs) have been recognised as a global issue. The occurrence of MEs can lead to serious clinical outcomes and represents a significant concern for healthcare providers and policymakers. This study aims to analyse the characteristics and pattern of MEs reported at Hospital Raja Permaisuri Bainun (HRPB), Ipoh in 2019. This study was conducted by reviewing ME reports at the HRPB from 1 January 2019 to 31 December 2019. A total of 1,066 ME reports were received by the Drug Information Centre (DIC) of the HRPB in 2019. However, only 1,045 reports that fulfilled the inclusion and exclusion criteria were reviewed. From these reports, 97.5% of errors were classified as near-misses. The actual error rate is only 2.5%. More than four-fifth of the overall reports originated from the wards (91.1%). The mean age of the patients exposed to MEs was 47.64 ± 24.32 years. Collectively, the geriatrics patients were the largest identified group that encountered MEs (n = 387, 37.1%). The prescribing stage accounted (97.4%) for almost all the MEs. Cases of wrong dose (52.3%) contributed to more than half of the overall error. About 99.4% of the errors had no harmful effect on the patient’s health conditions. The cardiovascular system (25.0%) was the most common drug class involved in ME. Staff factor was believed to be the principal contributing factors that lead to MEs. Majority of the MEs were detected and reported by the pharmacist. Effective implementation of proper guidelines and existing preventive strategies would help in reducing and eliminating MEs, thus improving clinical practices and ensure patients’ safety.
Automatic story and item generation for reading comprehension assessments with transformers
Authors: BULUT Okan , YİLDİRİM-ERBASLİ Seyma Nur
Published: November 2022

Reading comprehension is one of the essential skills for students as they make a transition from learning to read to reading to learn. Over the last decade, the increased use of digital learning materials for promoting literacy skills (e.g., oral fluency and reading comprehension) in K-12 classrooms has been a boon for teachers. However, instant access to reading materials, as well as relevant assessment tools for evaluating students’ comprehension skills, remains to be a problem. Teachers must spend many hours looking for suitable materials for their students because high-quality reading materials and assessments are primarily available through commercial literacy programs and websites. This study proposes a promising solution to this problem by employing an artificial intelligence (AI) approach. We demonstrate how to use advanced language models (e.g., OpenAI’s GPT-2 and Google’s T5) to automatically generate reading passages and items. Our preliminary findings suggest that with additional training and fine-tuning, open-source language models could be used to support the instruction and assessment of reading comprehension skills in the classroom. For both automatic story and item generation, the language models performed reasonably; however, the outcomes of these language models still require a human evaluation and further adjustments before sharing them with students. Practical implications of the findings and future research directions are discussed.
Strategi promosi dalam meningkatan layanan di UPT Perpustakaan Proklamator Bung Karno Blitar pada masa pandemi
Authors: Ambarwati Dwi , Handayani Nurul Setyawati
Published: November 2022

Background. Promotion is the most important part of an organization to inform a product that is produced. The challenge is that special libraries need to promote services and collections so that users can also take advantage of during the Pandemic. The purpose of this research is to find out the promotion, strategy, and innovation used by UPT Bung Karno Library during the pandemic in improving its services.Methodology. This study uses qualitative methods. This study obtained data through interviews, observation, and documentation from informants who were taken by purposive sampling, then analysed them using descriptive analysis techniques.Results and discussion. The study can be seen that the UPT Bung Karno Proclaimer Library conducts promotions using social media, brochures, exhibitions, and socialization. In addition, the strategy used by Bung Karno's proclaimer UPT Library in promoting the library to the public focused more on Bung Karno's ideas and thoughts. How to improve services at the UPT Bung Karno Proclaimer Library by creating the "SILAKAN" program and creating the "ISU Karno" application which is used to access collections at the UPT Bung Karno Proclaimer Library.Conclusions. The Bung Karno Proclamator Library UPT has been working on promotions, strategies and innovations to improve its services during the pandemic, and carried out agitation so that it is hoped that more people will visit the library.
Síndrome de Imerslund-Gränsbeck: revisión sistemática de casos clínicos
Authors: Vargas Rodríguez Ledmar Jovanny , Espitia Lozano Nicole , De la Peña Triana Hannia Milena , Vargas Vargas Jeimy Lorena , Barón Barón Javier Orlando , Rozo Ortiz Edwar Jassir , Acosta Pérez Camila Andrea , Noguera Fonseca Juliana , Ruiz Luis Alberto , Rivera Perdomo Camilo Andrés , Galeano Fajardo Marlith Julieth
Published: November 2022

Introducción: el Síndrome de Imerslund-Gränsbeck es un trastorno congénito inusual que cursa con disminución de la Vitamina B12, anemia megaloblástica y proteinuria sin afección renal que cual se produce por una mutación de los cromosomas 10 y 14, que condicionan un defecto en el receptor del complejo vitamina B12-factor intrínseco del enterocito ileal. Fue descrita por Olga Imerslund y Armas Gransbeck. Objetivo: caracterizar a la población que ha padecido el Síndrome de Imerslund-Gränsbeck. Metodología: revisión sistemática de la literatura de casos clínicos. Resultados: se incluyeron 68 casos, en la mayoría de los casos el diagnostico en los primeros 10 años de vida, en el que se evidenció una mayor frecuencia en mujeres, y se encontró asociado con antecedentes familiares como consanguinidad entre padres (14,6%). La manifestación más frecuente fue palidez (20,9%), seguido de vomito (10,5%) y anorexia (9,8%). La anemia megaloblástica (66,2%) fue el hallazgo más frecuente y el tratamiento se dio con cianocobalamina (intramuscular u oral) para regular las concentraciones plasmáticas de esta vitamina. Conclusión: el Síndrome de Imerslund Gränsbeck tiene una baja prevalencia y se presenta con mayor frecuencia en el continente europeo, tiene predilección por el sexo femenino y se caracteriza por una disminución de la vitamina B12 que pueden que puede predisponer a otras alteraciones como ataxia y retraso en el crecimiento.
Modeling carbonate/bicarbonate and nitrate disturbance during secondary effluent disinfection by UV/H2O2 and UV/ozone
Authors: Cavalcante Rodrigo Pereira , Malvestiti Jacqueline Aparecida , Júnior José Paulo Diogo , Dantas Renato Falcao
Published: November 2022

The disinfection of effluents has been considered the main step to inactivate pathogenic organisms to prevent the spread of waterborne diseases. The variation in the matrix composition can lead to the use of inadequate oxidant dose and disturb a correct treatment. The objective of this study was to develop a simple and practical mathematical model to simulate the disturbance of inorganic anions (CO32−/HCO3− and NO3−) during secondary effluent disinfection by UV/H2O2 and UV/O3. The pathogenic agents chosen for this study were total coliforms and E. coli. To build the mathematical model, a modification of the Chick model (referred to as ‘Modified Chick Model’) was proposed by employing a weighted average in the calculation of the kinetic constant. Both treatments were affected by the presence of the anions. However, with the highest NO3− concentration, less inhibition of disinfection was observed in the UV/H2O2. The use of the arithmetic means to calculate the value of k, as indicated by the Chick model, demonstrates a lesser precision in the prediction of the microorganisms' concentrations. On the other hand, using the Modified Chick Model, a better prediction of the inactivation of the microorganisms was obtained, which can be confirmed by the validation performed.
Proficient exclusion of pesticide using humic acid-modified magnetite nanoparticles from aqueous solution
Authors: Jangra Arti , Kumar Jai , Singh Devender , Kumar Harish , Kumar Parvin , Kumar Suresh , Kumar Ramesh
Published: November 2022

Extensive dispersal of the pesticides to shield the different types of vegetation from pests has increased the production but at the same it has resulted in an increase in environmental pollution. Consequently, it is necessary to eliminate these undesired pollutants from the environment. The current investigation offers the synthesis of humic acid-coated magnetite nanoparticles towards effective removal of the most common insecticide, imidacloprid, from aqueous solution using a batch adsorption method. These synthesized nanoparticles were characterized with the help of several analytical and spectroscopic techniques. To acquire the maximum conceivable adsorption, effects of different influencing parameters like pH of the solution, time of contact, concentration of pesticide solution, amount of adsorbent and temperature were also examined. Moreover, the kinetic studies were found to be in good agreement with a pseudo-second-order kinetic model supporting the occurrence of chemisorption phenomenon. Additionally, isotherm modeling proved that the adsorption process was in accordance with the Langmuir model of isotherm. Thermodynamic parameters depicted the endothermic and spontaneous behavior of the adsorption process. Desorption studies were also carried out to examine the reusability of these nano-adsorbents. These verdicts confirmed that the surface modified magnetite nanoparticles may be treated as proficient material for exclusion of imidacloprid from the aqueous solution.
Caracterización del perfil emprendedor de estudiantes pertenecientes al curso Desarrollo Empresarial en la UNALM
Authors: Antonio Vargas Javier Rubén
Published: November 2022

La capacidad de identificar oportunidades de mercado, diseñar soluciones y constituir sistemas organizacionales, son requerimientos que los estudiantes universitarios deberían integrar en su formación base para promover el emprendimiento. En tal sentido, el propósito de la presente investigación fue caracterizar a los estudiantes de la Universidad Nacional Agraria La Molina (UNALM) matriculados en el curso de Desarrollo Empresarial en los ciclos académicos de los años 2018 y 2019 para los grupos A*, B* y C*. La caracterización esta referida a diversos aspectos relacionados con el emprendimiento tales como la preferencia por la autonomía laboral, la preferencia por el tipo de emprendimiento, la capacidad de afrontar problemáticas a través del emprendimiento y la autopercepción de una formación emprendedora a nivel universitario. Se analizó descriptivamente el perfil emprendedor de los estudiantes con base en los resultados del instrumento aplicado y se plantearon hipótesis de relación entre variables luego de aplicar la metodología Top Two Box para los casos que así lo requirieron. Las hipótesis fueron contrastadas mediante las pruebas estadísticas Test de Fisher y Chi-Cuadrado; resultando que: existe relación entre la variable género y la preferencia por incorporar integrantes que buscan ser eficientes al conformar grupos de trabajo; existe una relación débil entre la formación para desempeñarse en funciones específicas y la preferencia por incluir personas expertas en el grupo de trabajo, además existe relación débil entre la intención de emprender y la formación para dirigir. Estos hallazgos son importantes para mejorar el diseño de los cursos vinculados al emprendimiento y sugieren que es necesario continuar indagando el modo en la que interactúan las variables que caracterizan la actividad emprendedora.
processo de formação em cuidados paliativos para residentes multiprofissionais da atenção básica
Authors: Jardim Tatiane , Mourão Lucia Cardoso
Published: November 2022

Introdução: Os cuidados paliativos destinam uma amplitude de ações ofertadas à pessoa na finitude da vida, envolvendo seus familiares e sua rede social, com o intuito de ofertar uma assistência para o enfrentamento da mortalidade proveniente de uma doença crônica não transmissível. Muitos destes familiares, por dificuldades em aceitar a inevitabilidade da morte diante deste adoecimento, buscam as redes hospitalares, por vezes aumentando o sofrimento desta pessoa e afastando-a de sua realidade. Devido a essa perspectiva, há necessidade de entender os limites e possibilidades da ciência e promover uma qualidade de vida para proporcionar um bom fim da pessoa que morre, ao lado de pessoas queridas e dentro de sua realidade de vida. Uma possibilidade de expandir essa abordagem na atenção básica é possibilitar aos residentes multiprofissionais em atenção básica protagonizar esse papel. Já que estão em ampla formação. Esta é uma pós-graduação diferenciada que está sempre em constante movimento e crescimento, que busca a construção de vínculos institucionais e humanos Objetivo: Compreender a abordagem de cuidados paliativos na atenção básica visando desenvolver métodos de ensino para a formação dos residentes multiprofissionais da atenção básica. Métodos: pesquisa intervenção com abordagem qualitativa, tomando como referencial teórico metodológico a Análise Institucional na modalidade socioclínica institucional das práticas profissionais. Considerações finais: O produto da pesquisa visa articular os conceitos sobre Cuidados Paliativos em conjunto com os participantes, provocando movimentos instituintes para os novos atravessamentos necessários à mudança da instituição e assim configurar encontros socioclínicos institucionais como base para o desenvolvimento coletivo de materiais.
Palavras-Chave: Cuidados Paliativos; Atenção Primária em Saúde; Estratégia Saúde da Família; Internato Não-Médico; Formação em Saúde.
Formação em Cuidados Paliativos na Residencia Multiprofissional da Atenção Primária: Revisão de Escopo
Authors: Jardim Tatiane , Mourão Lucia Cardoso
Published: November 2022

A Política Nacional de Atenção Básica possui em seu conceito abrangente a prevenção de doenças e a promoção da saúde. Inserida a esta definição, os cuidados paliativos, que tem como objetivo geral a melhoria da qualidade de vida do paciente e de seus familiares diante do diagnóstico precoce de uma doença que ameace a vida, e que deve ser realizado por uma equipe multidisciplinar. Este estudo de escopo tem como objetivo mapear o que existe de evidencias nas bases de dados selecionadas juntamente com outras leituras complementares de guias técnicos, pareceres da Organização Mundial de Saúde e alguns manuais técnicos. A pesquisa não teve financiamento, não foi submetida ao comitê de ética e faz parte do produto do curso de mestrado profissional. Foram selecionados 15 artigos com os descritores cuidados paliativos, atenção primária a saúde, equipe multiprofissional e estratégia de saúde da família. Após a leitura do material selecionado identificou-se quatro grandes categorias que contextualizam a temática. O modelo instituído presente nos currículos, nas unidades de saúde precisa ser movimentado, algo novo precisa ser criado para a introdução deste estudo e a modificação deste processo de trabalho.
Palavras-Chave: Atenção Primária à Saúde; Cuidados Paliativos; Estratégias de Saúde Nacionais; Equipe de Assistência Multidisciplinar; Capacitação de Recursos Humanos em Saúde.
Enfermagem na Promoção da Saúde Mental de Adolescentes Escolares
Authors: Rebello Marcelle Ignacio , Tavares Cláudia Mara de Melo , Silva Thiago Nogueira , Tavares Marilei de Melo
Published: November 2022

Introdução: Este artigo de revisão tem como objetivo identificar a literatura existente nas bases de dados selecionadas referente as estratégias utilizadas por enfermeiros na promoção da saúde mental de adolescentes na Atenção Primária à Saúde (APS). Materiais e Métodos: Revisão integrativa, onde identificou 6502 estudos, sendo 5056 na PubMed, 8429 na Web of Science, e 1417 na GALE. Após exclusão dos estudos duplicados e aplicação dos critérios de elegibilidade, foram selecionados 7 estudos. Resultados: Os 7 artigos foram sintetizados e dispostos sistematicamente em um quadro para melhor exposição das informações, constatando desfechos que podem ser ferramentas no processo de doação e transplante de órgãos. Discussão: Destaca-se a relevância das características da promoção da saúde mental de adolescentes na APS realizadas por enfermeiros; a existência de inúmeros obstáculos para a promoção da saúde mental de adolescentes; necessidade de implantação de estratégias inovadoras na promoção à saúde mental do adolescente; oferta de ações de promoção à saúde mental em ambiente escolar. Considerações finais: As estratégias utilizadas por enfermeiros na APS são importantes instrumentos para a promoção da saúde mental dos adolescentes, requerendo incrementos e trabalho integrado.
Cuidados Paliativos para Pacientes Oncológicos Hospitalizados: construção de uma ferramenta com a equipe multidisciplinar
Authors: Werner Suellen Vidal , Chagas Magda de Souza
Published: November 2022

Introdução: Os cuidados paliativos (CP) trazem benefícios a todos que apresentam doença crônica, como câncer, e devem ser iniciados desde o diagnóstico. No entanto, com mais frequência que o desejado, são adotados quando a patologia se encontra sem possibilidades de cura ou quando a morte está anunciada e passasse à paliação, que visa a prevenção, alívio do sofrimento e qualidade de vida dos usuários/pacientes. O objetivo do estudo é construir e implementar de maneira coletiva, com a equipe multiprofissional, uma ferramenta que aborde os cuidados paliativos para pacientes oncológicos. Metodologia: Trata-se de uma pesquisa-intervenção com abordagem qualitativa, que fará uso da roda de conversa como instrumento de coleta de dados. Os dados serão coletados e respeitando-se as resoluções 466/2012 e 510/2016, e a análise dos mesmos será realizada a partir da análise de Bardin. Os participantes serão a equipe multiprofissional que atua na clínica médica de um hospital público, na região Serrana, no estado do Rio de Janeiro. Resultados: pretende-se construir uma ferramenta que tenha valor de uso e aborde sobre CP com uma equipe multiprofissional que atende usuários/pacientes oncológicos hospitalizados; realizar educação permanente através das rodas de conversa e ao término, disponibilizar o material elaborado para a unidade hospitalar. Discussão: é importante iniciar o CP o quanto antes, para que os pacientes vivam com qualidade de vida independente do tempo, e para isso acontecer, profissionais precisam conhecer e saber empregar. Considerações iniciais: que o estudo seja incorporado no hospital proposto, que está aderindo aos cuidados paliativos.
Palavras-Chave: Cuidados Paliativos; Oncologia; Equipe Multiprofissional
As tecnologias relacionais e a Educação Permanente na atenção obstétrica: uma reflexão teórica
Authors: Sampaio Roberta Maria de Oliveira Silva Lannes , Messias Cláudia Maria
Published: November 2022

Introdução: o período gravídico puerperal é um processo fisiológico que envolve a dimensão humana e subjetiva da mulher e da família. Sendo assim, faz-se necessário que os profissionais de saúde envolvidos na assistência obstétrica estejam aptos a atentar para as especificidades desse período e utilizar as tecnologias relacionais para garantir um cuidado adequado. Objetivo: refletir sobre as tecnologias relacionais e a Educação Permanente na promoção de uma assistência segura ao parto e nascimento. Materiais e Métodos: trata-se de um ensaio teórico-reflexivo baseado na relação inter-subjetiva que se processa nos conceitos relacionados à Política Nacional de Educação Permanente e a teoria do “trabalho vivo em ato” proposta nos estudos de Emerson Merhy. Resultados e Discussão: a vivacidade do processo de trabalho em saúde produz pactuações entre sujeitos e gera conflitos e tensões. A Educação Permanente pode atuar promovendo o diálogo entre a equipe, fortalecendo os acordos e o vínculos entre usuário e profissional, oportunizando a comunicação efetiva e dessa forma, qualificando as práticas do cuidado. O profissional de saúde precisa se implicar com o bem-estar da mulher, esse é o grande dispositivo que gera cuidado efetivo. Considerações finais: a busca por uma reestruturação produtiva na saúde, com destaque para a atenção materno infantil precisa contemplar o sujeito produtor do cuidado. O profissional precisa redirecionar seu processo produtivo para uma dimensão que comtemple as tecnologias leves consciente de seu impacto no processo de cuidado, caminhando, portanto, para um cuidado mais humanizado.
Palavras-Chave: Educação Permanente; Serviços de Saúde Materno-Infantil; Obstetrícia; Tocologia; Aprendizagem; Saúde.
Uso das ferramentas das tecnologias digitais por docentes na pandemia por COVID-19: Artigo de revisão
Authors: Moccellin Marcia Cristina , Silva Thiago Nogueira , Vargas Fabiana Ramos , Silva Luciano Barbosa da , Tavares Claudia Mara de Melo , Tavares Marilei de Melo
Published: November 2022

Introdução: Este artigo de revisão tem como objetivo identificar a literatura existente nas bases de dados selecionadas referente a importância das ferramentas das tecnologias digitais da informação e comunicação utilizadas pelos docentes na pandemia por COVID-19. Materiais e Métodos: Revisão de literatura, que identificou, após exclusão dos estudos duplicados e aplicação dos critérios de elegibilidade, oito textos nas bases de dados: Portal Regional da Biblioteca Virtual em Saúde (BVS) e na Scientific Eletronic Library Online (ScIELO). Resultados: Os oito textos foram sintetizados e dispostos sistematicamente em um quadro para melhor exposição das informações. Discussão: Destaca-se a relevância das características das ferramentas das tecnologias digitais da informação e comunicação utilizadas pelos docentes na pandemia por COVID-19, mesmo com a existência de inúmeros obstáculos em sua utilização, tais como: a infraestrutura necessária, assim como, as habilidades e competências exigidas na prática pedagógica. Considerando além disso, a necessidade da implantação de estratégias inovadoras na utilização de ferramentas das tecnologias digitais da informação e comunicação pelos docentes no contexto pandêmico por COVID-19. Considerações finais: As tecnologias digitais da informação e comunicação são importantes ferramentas utilizadas por docentes na pandemia por COVID-19.

 Palavras-Chave: Saúde Mental; Adolescente; Atenção Primária à Saúde; Promoção da Saúde; Enfermagem.
Importância do Conhecimento de Tecnologias Relacionais no Atendimento ao Adolescente na Atenção Primária: Reflexão Teórica
Authors: Silva Thiago Nogueira Silva , Silva Luciana Silverio Alleluia Higino da , Rebello Marcelle Ignácio , Moccellin Marcia Cristina , Tavares Marilei de Melo , Tavares Claudia Mara de Melo
Published: November 2022

Introdução: Este artigo de reflexão teórica tem como objetivo analisar a importância do conhecimento de tecnologias relacionais no atendimento ao adolescente na Atenção Primária à Saúde (APS). Materiais e Métodos: Reflexão teórica, que identificou, após exclusão dos estudos duplicados e aplicação dos critérios de elegibilidade, trinta artigos, textos e documentos nas bases de dados: Portal Regional da Biblioteca Virtual em Saúde (BVS) e na Scientific Eletronic Library Online (ScIELO). Resultados: Os 30 artigos, documentos e textos foram sintetizados e dispostos sistematicamente em tópicos para melhor exposição das informações. Discussão: Há destaque na relevância das características da determinação social do processo saúde-doença e seu importante papel no período da adolescência, Para haver intervenção nesse cenário, as equipes da APS precisam identificar a relevância do conhecimento das Ações Focadas no Público Adolescente, incluindo a utilização de tecnologias relacionais nas práticas de APS. Considerações finais: É necessário o incremento de ações e pesquisas visando promoção à saúde do adolescente na APS através do uso de tecnologias relacionais.

Palavras-Chave: Atenção Primária à Saúde, Saúde do Adolescente; Promoção da Saúde.
processo ensino-aprendizagem na Enfermagem: algumas provocações a partir da obra Teeteto, de Platão
Authors: Gomes Antonio Marcos Tosoli , Brandão Juliana de Lima , Mercês Magno Conceição das , Andrade Priscila Cristina da Silva Thiengo de , Couto Pablo Luiz Santos , Mello Livia Fajin de
Published: November 2022

Os processos de formação dos enfermeiros, do cuidado humano e de Enfermagem são multifacetados, perpassando inúmeras questões que atravessam o indivíduo enquanto ser em formação, na busca de habilidades técnico-científicas e sociorrelacionais para subsidiar o cuidado em todas as fases da vida, incluindo a finitude. Para tanto, a obra de Platão, Teeteto, cujo enfoque se estabelece acerca do conhecimento, figura como uma possibilidade de reflexão para a formação profissional da Enfermagem. Assim, objetivou-se analisar a obra Teeteto, de Platão, como base para a construção de reflexões sobre a formação dos enfermeiros e sua relação com o processo de cuidado. Realizou-se, então, um estudo descritivo, qualitativo, de reflexão teórica, precedido por um levantamento bibliográfico sobre o assunto, o qual contribuiu com sua discussão. O conteúdo da reflexão foi organizado em três dimensões, respectivamente: o ensino-aprendizagem na Enfermagem como um processo de parturição; a formação do enfermeiro a partir do sentimento de perplexidade; e o enraizamento do ensino, a centralidade do ser e a diferença entre ter e possuir o conhecimento. Com isso, o processo de formação dos discentes apresenta-se composto pela relação entre a perplexidade, a parturição do conhecimento nos discentes e por uma dimensão mais pragmática relativa a esta parturição. A obra Teeteto, então, apesar de não fundamentar-se, propriamente dito, na Enfermagem, permite reflexões acerca do processo ensino-aprendizagem e do cuidado humano, sendo possível destacar para o professor, junto aos indivíduos em formação, e para os enfermeiros, junto aos seus pacientes, o ofício de partejadores, mediante a perplexidade da vida.
Palavras-Chave: Conhecimento; Ensino; Aprendizagem; Educação em Enfermagem; Filosofia; Cuidados de Enfermagem.
From New England to the Low Countries: A comparative translation analysis of Eugene O’Neill’s Desire under the elms and Arne Sierens’ Het begeren onder de olmen
Authors: Denolf Eline
Published: November 2022

The following contribution is concerned with the particularities of theatre translation, a discipline at the crossroads of Translation Studies and Theatre Studies. More specifically, it is a case-study on the translation of the literary dialect which functions as a dramatic instrument in Eugene O’Neill’s Desire under the elms (1924). The particular idiom which characterizes the play’s protagonists is not only marked by its vernacular linguistic markers, but also by its remarkably unruly, fragmentary and dissonant rhythm, promoting the performative faculty. It was Arne Sierens who, in 1992 and at the request of theatre company Het Zuidelijk Toneel, brought the text to the Low Countries. An analysis of the specific considerations which Sierens had to take into account when translating for this linguistically and culturally diverse area, as well as the translation strategies applied, is followed by a look into the collaborative translation process between translator, director, dramaturge and actors, which theatre translation today essentially is. The findings reassert why drama translation deserves its place as an autonomous field within academic research. Keywords: drama translation, literary dialect, collective authorship, Arne Sierens, Eugene O’Neill
De Waarheidscommissie reconsidered: Tussen realiteit en fictie. Een postkoloniaal-marxistische analyse van De Waarheidscommissie van Action Zoo Humain
Authors: Nellis Steff
Published: November 2022

In december 2018 speelde De Waarheidscommissie (2018) haar slotvoorstellingen in de Belgische Senaat te Brussel. Daarmee beëindigde Action Zoo Humain een vijfjarig onderzoeksproject naar de ‘zoo humains’ en haar restanten in onze contemporaine samenleving. Dit stuk neemt de opvoeringsanalyse in het artikel De waarheidscommissie volgens Chokri Ben Chikha. Het performen van differentiële toekomsten vanuit een traumatisch koloniaal verleden (2015) van Christel Stalpaert en Evelien Jonckheere als uitgangspunt. Middels een comparatieve analyse van het onderzoekstraject (2013-2018) toets ik de bevindingen van de onderzoekster af aan de laatste opvoering. Zo bied ik allereerst een update van de postkoloniale insteek om vervolgens specifieker in te gaan op de (publieks)werking aan de hand van een (post)marxistisch denkkader. Door de verschillende performances te benaderen vanuit het postkolonialisme enerzijds en het (post)marxisme anderzijds, poneer ik dat de paradigma’s elkaar versterken binnen de specifieke context van politieke en activistische theaterkunst. Dit artikel schrijft De Waarheidscommissie (2013-2018) tot slot toe aan een hedendaagse neorealistische tendens binnen de politieke podiumkunsten en besluit met een oproep tot verder onderzoek naar de theatrale rechtbank.
Distribución histórica, actual y futura de Cedrela odorata en México
Authors: Hernández Ramos Jonathan , Reynoso Santos Roberto , Hernández Ramos Adrian , García Cuevas Xavier , Hernández-Máximo Edgar , Cob Uicab José Vidal , Sumano López Dante
Published: November 2022

Antecedentes y Objetivos: Los bosques tropicales juegan un papel indispensable para enfrentar y reducir la degradación ambiental. El objetivo de este trabajo fue determinar, mediante modelos de simulación de nicho ecológico, la distribución histórica y actual de Cedrela odorata en México.Métodos: Se empleó una base de 1747 datos de presencia de C. odorata. Para la modelación se emplearon 19 variables climato-ambientales y las capas de altitud, orientación, pendiente y tipo de suelos. La modelación de nicho ecológico se realizó en el programa MaxEnt con 75% de la muestra para el entrenamiento y los modelos Logistic, Cumulative, Raw y Cloglog. La validación se realizó con 25% de la muestra y la técnica Crossvalidate.Resultados clave: El empleo de la regresión Cloglog es la que más se apega a la distribución potencial para la especie, caso contrario al emplear la modelación de tipo Raw, ya que la proyección del área potencial es muy restrictiva y compacta, seguido de la regresión Cumulative y la regresión Logistic, siendo estas un punto intermedio para la modelación de la distribución histórica de C. odorata en México.Conclusiones: La distribución histórica obtenida a partir de este modelo mostró que la especie tiene una alta probabilidad de distribuirse en la parte sur de la Península de Yucatán, norte y sur de Chiapas, y la llanura costera del Golfo en el estado de Veracruz con respecto al área actual reportada. Esto sugiere una reducción del nicho ecológico de la especie en el país.
Effects of a Neuroscience-Based Mindfulness Meditation Program on Psychological Health: Pilot Randomized Controlled Trial
Authors: Lynn Sarah , Basso Julia C
Published: November 2022

Background

Mindfulness and meditation have a rich historical tradition, and a growing scientific base of evidence supports their use in creating positive psychological and neuroplastic changes for practitioners. Although meditation can be taught in various ways, the scientific community has yet to systematically study the impact of different types of meditation on neuropsychological outcomes, especially as it pertains to digital implementation. Therefore, it is critical that the instruction of mindfulness be evidence based because meditation is being used in both scientific and clinical settings.

Objective

This study investigated the use of teacher cueing and the integration of neuroscience education into a meditation program. Compassion cueing was chosen as the element of experimental manipulation because traditional lineages of Buddhist meditation teach compassion for self and others as one of the primary outcomes of meditation. We hypothesized that participants receiving compassion cueing would have enhanced neuropsychological outcomes compared with those receiving functional cueing and that gains in neuroscience knowledge would relate to positive neuropsychological outcomes.

Methods

Participants (n=89) were randomized to receive either functional cueing (control group) or compassion cueing (experimental group) and engaged with five 10-minute meditation sessions a week for 4 weeks. All intervention sessions were administered through digital presentation. All participants completed ecological momentary assessments before and after the daily intervention, as well as pre- and postintervention questionnaires.

Results

Participants demonstrated significant benefits over time, including increased mindfulness and self-compassion, decreased depression, and gains in neuroscience content (all P<.001); however, no significant between-group differences were found. Daily scores from each day of the intervention showed a statistically significant shift from active toward settled. Importantly, long-term increases in mindfulness were positively correlated to changes in compassion (r=0.326; P=.009) and self-compassion (r=0.424; P<.001) and negatively correlated to changes in anxiety (r=–0.266; P=.03) and depression (r=–0.271; P=.03). Finally, the acute effects of meditation were significantly correlated to the longitudinal outcomes (with a small-to-medium effect size), especially those relevant to mindfulness.

Conclusions

We developed a novel neuroscience-based education–meditation program that enhanced self-regulation as evidenced by improved mindfulness, self-compassion, and mood state. Our findings demonstrate the behavioral importance of engaging with mindfulness meditation and reinforce the idea that the benefits of meditation are independent of teacher cueing behavior. Future studies will need to investigate the brain-based changes underlying these meditation-induced outcomes.