bluuebunny/crossref_metadata_2025 huggingface dataset:
Penerapan Teknik Kursi Kosong untuk Meningkatkan Kepercayaan Diri Siswa MAN 1 Kota Ternate
Authors: Arifin Andi Agustan , Ummah Dewi Mufidatul , Achmad Fatoni , Puspita Rita
Published: April 2022

ABSTRAKTujuan penelitian ini yaitu untuk mengetahui tingkat kepercayaan diri pada siswa dan mengetahui apakah terdapat pengaruh penggunaan teknik kursi kosong terhadap peningkatan kepercayaan diri pada siswa MAN 1 Kota Ternate. Penelitian ini menggunakan pendekatan eksperimen. Desain yang digunakan dalam penelitian ini adalah desain eksperimen sederhana (Posttest Only Control Group Design). Subjek penelitian sebanyak 60 siswa pada kelas XI MAN 1 Kota Ternate. Pengumpulan data menggunakan angket dan observasi. Analisis data menggunakan analisis deskriptif dan inferensial. Hasil penelitian menunjukkan bahwa: (1) Tingkat kepercayaan diri siswa pada kelompok eksperimen siswa kelas XI MAN 1 Ternate sebelum diberikan teknik kursi kosong berada pada kategori rendah, setelah diberikan perlakuan, tingkat kepercayaan diri siswa mengalami peningkatan yaitu berada pada kategori tinggi. Sedangkan pada kelompok kontrol tingkat kepercayaan diri siswa pada saat pretest dan posttest berada pada kategori rendah (2) Terdapat pengaruh kepercayaan diri siswa yang diberikan teknik kursi kosong dengan siswa yang tidak diberikan teknik kursi kosong.Kata Kunci: kepercayaan diri, teknik kursi kosongABSTRACTThe purpose of this study was to determine the level of students’ self-confidence and to find out whether there was an effect of using the empty chair technique on increasing self-confidence in students of MAN 1 Ternate. This research used an experimental approach. The design used in this study was a simple experimental design (Posttest Only Control Group Design). The research subjects were 60 students of XI grade in MAN 1 Ternate. Collecting data used questionnaires and observations. Data analysis used descriptive and inferential analysis.The results showed that: (1) The level of self-confidence of students in the experimental group of class XI students of MAN 1 Ternate before being applied the empty chair technique was in the low category, after giving treatment, the level of student confidence increased, namely in the high category. Meanwhile, in the control group, the students' self-confidence at the pretest and posttest were in the low category. (2) There was an influence of students' self-confidence who were given the empty chair technique with students who were not given the empty chair technique.Key Word: self confidence, empty chair technique
Peningkatan pemahaman perilaku swamedikasi dengan metode Theory Planned Behaviour dalam promosi kesehatan
Authors: GS Ressy Elsis , M Ketrin Sadna , Fadilla Dheilla , R Stefanus Dicky , Dyah I Gusti Ayu
Published: April 2022

Swamedikasi is Self-medication can be a health problem because of limited knowledge about drugs, so it will affect a person behavior. Improper implementation of self-medication will cause other health problem. This health promotion aims so that teachers can understand the right self-medication such as drug selection, how to use the drug, and the appropriate dose. This counseling method is in the form of direct interviews with Theory Planned Behaviour (TPB) method. Participants in this program are all 33 female teachers of SMKS Fania Salsabila Jambi city, totaling 33 people. But, in this activity there were only 20 respondents, because 13 of them were male teachers. The result was that 20 participants showed that 100% of participants had done self-medication to deal with complaints  they felt. The results of the benefits of self-medication for all participants answered that they were more efficient, while the disadvantages of self-medication were 80% of the participants admitted that they were wrong in setting the dose and 20% of the participants said that “in some conditions the drugs used were not in accordance with the complaints”. In conclusion Theory Planned Behaviour (TPB) id needed because it is important to know individual perceptions about a population in a particular social environment that supports or opposes behavior carried.
Pelatihan Penyusunan Ransum Berbasis Bahan Lokal untuk Peningkatan Produksi Telur Ayam Kampung
Authors: Sulistiani Rini , Widihastuty Widihastuty , Fadhillah Wizni
Published: April 2022

Pemanfaatan gedebog pisang sebagai pakan unggas bertujuan untuk mengenalkan menu pakan ternak yang berasal dari bahan-bahan organik di sekitar rumah. Pemanfaatan gedebog pisang dengan campuran bahan lainnya (residu rumah tangga) dapat meningkatkan nutrisi pakan ternak. Permintaan pasar untuk telur ayam kampung cukup banyak, namun produksi telur kurang mencukupi. Demikian juga untuk permintaan ayam pedaging belum terpenuhi dengan baik. Mengingat harga jual telur ayam kampung dan pedaging tinggi serta permintaan pasar selalu ada, maka perlu dilakukan penyuluhan dan pelatihan agar peternak kecil, khususnya mitra dapat menerapkan pemeliharaan dan perawatan unggas dengan baik dengan mencukupi kebutuhan nutrisinya. Tujuan penyuluhan dan pelatihan adalah meningkatkan produksi telur dan pedaging ayam kampung dengan memanfaatkan gedebog pisang dan bahan organik yang tersedia di sekitar lingkungan tempat tinggal. Target khusus yang ingin dicapai adalah menemukan racikan dan komposisi pakan ternak dengan kandungan nutrisi yang layak untuk mendukung produksi telur. Metode yang digunakan untuk mencapai tujuan dan target khusus tersebut adalah penyuluhan/ceramah, demonstrasi pembuatan pakan, pendampingan kerja dan pencatatan biaya produksi dan hasil. Penggunaan pakan berbasis lokal dapat mengurangi biaya pakan dan dapat meningkatkan produksi telur. Pemberian pakan berimbang harus tetap dilanjutkan dan kandungan nutrisi dipenuhi agar ayam kampung dapat lebih rutin bertelur (tiap 30 jam).
TERMINATION OF ACCURATE INVESTIGATIONS AND RESTORATIVE JUSTICE
Authors: SUISNO SUISNO , ISNAINI ENIK , ROYANI AHMAD
Published: April 2022

AbstractionRestorative Justice accommodates the interests of the parties, including the victim, because the victim in this case is involved in determining the sanctions for the perpetrator. Restorative Justice returns conflict to the most affected parties (victims, perpetrators and “their community”) and gives priority to their interests. Restorative justice seeks to restore the victim's safety, personal respect, dignity, and more importantly a sense of control. By adhering to the paradigm of restorative justice, it is hoped that the loss and suffering suffered by the victim and his family can be recovered and the guilt burden of the perpetrator of the crime can be reduced because he has received forgiveness from the victim or his family.
Students’ Perception of Using WhatsApp during Online Learning
Authors: Maharani Ellsya Ninditha , Kusuma Adhi , Murjiyah Tutiek
Published: April 2022

The use of WhatsApp in learning is expected to motivate students in learning because WhatsApp has many features that helpful in learning. But students have different feelings, response, and perception towards the use of WhatsApp in learning. It is interesting to investigate the students’ perception, because everyone has different perceptions of the same object that been caused by many factors. The aim of this research is to find out and analyze the students’ feeling and response of WhatsApp that used by the teacher in learning. The researcher used quantitative research in this study. The researcher used questionnaire to collect the data. The questionnaire data in this research was analyze using SPSS version 24. The result of this research shows that the factors which influence the students’ perception of using WhatsApp in 12 Grade of SMKN 3 Tanjungpandan are the perceiver which is consisting of attitudes, motives, experience, and expectation. The target which is consisting of motion, sounds, size, background, and proximity. The situation which is consisting of time, work setting and social setting. The students’ attitudes of using WhatsApp in grade 12 of SMKN 3 Tanjungpandan shows the positive attitudes for the cognitive and behavioral components, but on the affective component shows negative result.
Dehydratation bei alten Menschen
Authors: Wirth Rainer
Published: April 2022

Die Begriffe »Dehydratation« und »Exsikkose« beschreiben eine medizinische Symptomatik, die durch einen unphysiologisch niedrigen Wassergehalt des Organismus bedingt ist. Ältere Menschen sind wegen verschiedener altersassoziierter Veränderungen besonders anfällig für das Entstehen einer Dehydratation. Da der Flüssigkeitsbedarf einer sehr starken interindividuellen Variabilität unterliegt, sind allgemeingültige Empfehlungen für die Mindestflüssigkeitszufuhr problematisch. Die Leitlinien der Europäischen Gesellschaft für Klinische Ernährung und Stoffwechsel (ESPEN) empfehlen täglich 1,6 und 2,0 Liter Getränke für ältere Frauen und Männer, es sei denn eine besondere medizinische Situation macht andere Maßgaben erforderlich. Bereits der Verlust von 1 bis 2 % des Körperwassers führt zu Symptomen. Die möglichen Folgen der Dehydratation umfassen ein breites Spektrum von Konzentrationsstörungen über die orthostatische Hypotonie bis hin zu Fieber und Bewusstlosigkeit. Obgleich die Dehydratation zu den häufigsten Diagnosen beim alten Menschen zählt, sind die diagnostischen Kriterien unscharf. Neben der Therapie einer manifesten Dehydratation sind prophylaktische Maßnahmen und eine frühe Erkennung von übergeordneter Bedeutung.
Verbesserung der Ernährung und der Lebensqualität älterer Menschen durch Veränderungen in der Mahlzeiten-Umgebung
Authors: Ströbele-Benschop Nanette , Dieze Anastasia , Rack Ilka
Published: April 2022

Altersbedingte körperliche und kognitive Veränderungen können zu einer verminderten, gesteigerten oder auch einseitigen Nahrungsaufnahme führen. Die daraus entstehenden, potenziell gesundheitsschädigenden Ernährungszustände der Betroffenen können ein Risiko für klinische Komplikationen darstellen und sind häufig mit einer verminderten Lebensqualität verbunden. Aus verhaltensbezogenen Studien ist bekannt, dass sich die Nahrungsaufnahme neben den physiologischen Systemen auch durch äußere Faktoren beeinflussen lässt. Im Vordergrund stehen dabei positive Veränderungen der Umgebung, die zu einer Optimierung der Nährstoffaufnahme und damit zu einer Verbesserung des Ernährungszustandes und der Lebensqualität beitragen sollen. Zu den Umgebungsfaktoren, die bereits Gegenstand wissenschaftlicher Untersuchungen waren, zählen der soziale Esskontext, der Ort der Mahlzeitenaufnahme, die Ablenkung während des Essens, die Portionsgröße, die Darstellung der Speisen und Snacks, der Geruch und die Erreichbarkeit von Lebensmitteln sowie die Speisenvielfalt. Alle Faktoren weisen grundlegend das Potenzial auf, sich durch kleine Veränderungen positiv auf das Risiko bzw. die Symptome einer Fehlernährung (Mangel-, Überund/oder einseitige Ernährung) auszuwirken.
Wie und warum aus mir eine Ärztin und Psychoanalytikerin geworden ist
Authors: Scherer-Renner Regine
Published: April 2022

In diesem Bericht beschreibe ich Überlegungen zu meiner Berufsfindung als Ärztin und Psychoanalytikerin. Bisher habe ich darüber nie so ausführlich nachgedacht und war selbst überrascht zu entdecken, dass sich dahinter ein komplexer Vorgang erkennen ließ mit vielen Einflüssen, Weichenstellungen und Impulsgaben durch unterschiedlichste Menschen aus meinem sozialen Umfeld. Ich beginne mit meiner Kindheit und Jugend, der Auswirkung weiblicher Rollendefinition der Nachkriegszeit, der Parentifizierung, aber auch Förderung durch die Eltern, der haltgebenden, kontinuierlichen Beziehungen in Kindergarten und Schule, der Verwurzelung an einem Ort, dem frühen Interesse an Menschen und ihrer Geschichte, der ersten Begegnung mit Lektüre von Freud. Die Wahl des Studienfachs Medizin nach dem Abitur war teilweise dem väterlichen Einfluss geschuldet, aber auch eine aktive Ich-Entscheidung, verknüpft mit der Vorstellung, als Ärztin eine sinnvolle, selbstbestimmte Tätigkeit ausüben zu können. Des Weiteren schildere ich die Entdeckung der Fachgebiete Psychiatrie, Psychosomatik und Psychoanalyse, die für mich im Bereich der Medizin bestimmend und erfüllend wurden, aber auch schwierige Phasen der Auseinandersetzung mit sich brachten, aufgrund hierarchischer Strukturen und der damals noch bestehenden Disharmonie zwischen den Fachgebieten. Verblasst sind für mich aber heute in ihrer Bedeutung die Grabenkämpfe, auch die der psychotherapeutischen Institutionen, mit denen ich später konfrontiert war. Am wichtigsten erscheint mir inzwischen, dass sich Psychotherapie und Psychoanalyse ausgehend von einer Psychologie des Unbewussten und der Triebe stärker zu einer Psychologie der Beziehung entwickelt haben. Dazu passt auch in der abschließenden Reflexion der zahlreichen Veränderungen auf meinem beruflichen Lebensweg das Fazit, dass ich das, was ich geworden bin, nur werden konnte mit Hilfe mich anregender, konfrontierender und wohlwollend unterstützender Bezugspersonen.
Mein psychotherapeutischer Weg: Von der Konditionierung zu Ketamin
Authors: Revenstorf Dirk
Published: April 2022

Ein bisschen wie eine Odyssee zurück nach Ithaka. Angefangen mit dem frühen naturwissenschaftlichen Interesse über Chemiestudium und Statistik, kam der behavioristische Therapieansatz dem mechanistischen Denken sehr entgegen. Irgendwann wurde dessen Begrenzung immer deutlicher, was die Wende zur Humanistischen Psychologie mit sich brachte und Ausbildungen in Gestalttherapie, Körpertherapie und Hypnose. Das Studium und die Erforschung der Hypnose verband sich mit den neurobiologischen Grundlagen veränderter Bewusstseinszustände, wodurch die naturwissenschaftliche Betrachtungsweise wieder in den Blick kam. Und mit den therapeutischen Anwendungen psychoaktiver Substanzen war die Chemie wieder von Bedeutung. Dabei wird auch eine spirituelle Dimension berührt, die mit Reduktion der Ich-Betroffenheit einhergeht, die diese Substanzen ermöglichen.
Effect of Nanocoating (CuO Nanoparticles) on the Performance of Solar Evacuated Tube
Authors:   Department of Mechanical Engineering, V.V.P. Engineering College, Gujarat Technological University, 360005, INDIA, Ramani R. V. , Saparia A. D. ,   Department of Mechanical Engineering, V.V.P. Engineering College, Gujarat Technological University, 360005, INDIA, Markna J. H. ,   Department of Nanotechnology, V.V.P. Engineering College, Gujarat Technological University, 360005, INDIA
Published: April 2022

In domestic solar water heating solar evacuated tubes have been widely used. Enhancement of solar energy absorption is the demand of time and CuO nanoparticles on account of their potential uses mainly in the field of solar energy applications. Cost effective sol-gel method is applied to synthesize CuO nanoparticles on solar evacuated glass tube. The synthesizing initiated from Cupric Acetate with the colloidal solution in water. A thin film has been prepared at room temperature nearly at 30 to 38 °C. The synthesized thin film had been annealed at 300 °C for one hour to give uniform grain structure and good surface morphological properties. For the structural study, the film was characterized by XRD-X-Ray diffraction, SEM-Scanning Electron Microscopy & TEM- Transmission Electron Microscopy. To exhibit the optical behavior of CuO nanoparticles on solar evacuated glass tube, UV-visible spectrum has been performed. By the calculations of an effective mass model, the size of particles determined as 2.26 nm, which supported and justified the TEM analysis. Coated CuO nanoparticles on borosilicate evacuated glass tube has been installed as a domestic solar water heater and working satisfactorily to generate hot water. For solar water heating system (domestic) application of nanotechnology is a novel concept. To develop durable nanocoating on 1800 mm long solar evacuated borosilicate glass tube itself it was a challenge. In this research it is shown that coating is working satisfactorily with energy enhancement. This paper opens the door for new nanocoating developments opportunities.
Effects of Cannabidiol on Dugesia Dorotocephala Head Regeneration
Authors: Hughes Hallmon Victoria , Hughes Victoria
Published: April 2022

The endocannabinoid system regulates synaptic transmissions. It is comprised of two G protein-coupled receptors, cannabinoid receptor 1 (CB1) and cannabinoid receptor 2 (CB2), a degradation system and the endocannabinoids, a group of lipidic ligands. The connection between JNK, cannabinoids, and regeneration has led to the hypothesis that cannabinoids impact both regeneration and the levels of the enzymes required for the regenerative process. Thus, by encouraging neoblasts to enter the M phase, cannabinoids would speed up effective regeneration. These regeneration pathways may have implications in cancer research. In addition, CB1 reception suppresses the growth of hepatocellular carcinoma, indicating that the endocannabinoid system may be a possible course of treatment for cancer patients. CB2 receptors in nonimmune cells have revealed the benefits of agonists on osteoporosis and post‐ischemic heart failure. In order to understand the effects of cannabidiol on the regenerative process and neural transmission, we conducted experiments on Dugesia dorotocephala. Dugesia dorotocephala is an ideal candidate for the endocannabinoid model because they are more genetically uniform than most natural populations and their regeneration is specifically tied to cannabinoid receptors. We transversally cut twenty-four Dugesia dorotocephala to analyze differences in head regeneration in solutions with varying amounts of cannabidiol. We found that Dugesia dorotocephala in CBD solutions have a faster rate of head regeneration, yet our results were not statistically significant. The increased rate of head regeneration in Dugesia dorotocephala in CBD solution may be attributed to the stimulation of neoblasts to enter the M-Phase of the cell cycle. Keywords: cannabidiol (CBD), planaria, regeneration, endocannabinoid
Determinants of Vaccine R&D in the Pharmaceutical Sector
Authors: Pantaleone Francesca
Published: April 2022

The aim of this paper is to analyse the economic and financial assets that influence vaccine research investments by pharmaceutical companies. Starting from vaccine manufacturing process, the first part describes European Union (EU) and United States (US) regulatory systems and the relative Intellectual Property Rights (IPRs). Then, the main obstacles to vaccine research and the main strategies suitable to enhance it are discussed. The second part introduces an empirical analysis of 10 pharmaceutical companies’ corporate Research and Development (R&D) from the 2008-2015 period by using STATA 12, through a Fixed Effect estimation of two models. The three hypotheses considered regard the main assets that influence vaccine research and why, the relevance of properties acquisition as a substitute for R&D as whether regulatory framework does obstruct investments choices or not. The results confirm that liquidity and size have a positive impact on vaccine research, whereas leverage influences it negatively. In addition, more acquisitions lead to fewer R&D investments since companies find less expensive to acquire knowledge rather than investing on it. Finally, a Chow Test that considers 2010 as a breaking point, led to no structural breaks for panel data, which implies that the new European Regulatory Directive on pharmacovigilance has no influence on the pharmaceutical companies’ behaviour. Keywords: vaccines, health economics, research & development
KORONAVİRÜS(COVİD-19) SALGINININ SERBEST MESLEK SAHİPLERİNE ETKİLERİ VE DEVLETLERİN SOSYOEKONOMİK DESTEK POLİTİKALARI: İNGİLTERE, AMERİKA BİRLEŞİK DEVLETLERİ VE ALMANYA ÖRNEKLERİ
Authors: ÇILĞIN Turgut
Published: April 2022

Amaç - Bu makalede serbest meslek sahiplerinin Koronavirüs (Covid-19) salgınından nasıl etkilendikleri ve devletlerin serbest meslek sahiplerine yönelik destek politikaları araştırılmıştır.

Yöntem - Bu makalede literatür taraması ve doküman incelemesi yöntemleri kullanılmıştır. Resmi kurumlara ait internet sitelerinden güncel veriler elde edilmiştir.

Bulgular – Araştırma sonucunda, online alışveriş uygulamaları kapsamında çalışan paket teslimatı kuryeleri dışındaki serbest meslek sahibi sınıfı çalışanlarının, Covid-19 salgınından önemli ölçüde olumsuz etkilendikleri gözlemlenmiştir.

Sonuç – Devletlerin, sosyal güvenlik sistemlerinde serbest meslek sahiplerine yönelik sosyal koruma eksikliklerini gidermesi ve tüm faydalara ulaşmaları için gerekli politikaları geliştirmesi gerekmektedir. Kadınların serbest meslek sahibi olabilmelerinin önündeki engeller kaldırılmalı ve teşvik edici politikalar uygulanmalıdır.
Desistência de adesão ao processo de acreditação: perspectivas à gestão da qualidade hospitalar
Authors: Cervilheri Andressa Hirata , Oliveira João Lucas Campos de , Inoue Kelly Cristina , Gimenes Alessandra Alvarez Rodrigues , Matsuda Laura Misue
Published: April 2022

DOI: http://dx.doi.org/10.31011/1519-339X.2018a18n84.2
Objetiva-se aprender as perspectivas da gestão da qualidade hospitalar, após a desistência de adesão ao processode Acreditação. Apresenta-se sob a forma de um estudo descritivo-exploratório e qualitativo, realizado em umhospital privado do Sul do Brasil, no qual, através do Respondent Driven Sampling, participaram dez trabalhadores.Estes responderam a uma entrevista semiestruturada, conduzida pelas questões: “Fale-me a respeito da situaçãoposterior à desistência do hospital ao processo de Acreditação” e “Quais são as perspectivas futuras da gestãoda qualidade deste hospital?”. Aos depoimentos transcritos, empregou-se a Análise de Conteúdo na modalidadetemática, da qual emergiram as categorias: otimismo pelo futuro do hospital na gestão da qualidade e necessidadede ajustes para retomada do processo de Acreditação. Concluiu-se que, apesar da demanda de incrementos, asperspectivas sobre a gestão da qualidade hospitalar se apresentaram otimistas, com tendência à retomada doprocesso de Acreditação.Palavras-chave: Acreditação Hospitalar; Gestão da Qualidade; Certifi cação; Enfermagem.
ABSTRACTThe aim is to learn the perspectives of hospital quality management, following the discontinuation of adherence tothe Accreditation process. It is presented as a descriptive-exploratory and qualitative study, carried out in a privatehospital in the South of Brazil, in which Respondent Driven Sampling involved ten workers. They responded to asemistructured interview, conducted by the following questions: "Tell me about the situation after the hospital'swithdrawal from the Accreditation process" and "What are the future prospects of quality management of thishospital?". To the testimonies transcribed, Content Analysis in the thematic modality, from which emerged thecategories: optimism for the future of the hospital in the management of quality and the need for adjustments toresume the Accreditation process. It was concluded that, despite the demand for increases, the perspectives onhospital quality management were optimistic, with a tendency to resume the Accreditation process.Keywords: Hospital Accreditation; Quality Management; Certifi cation; Nursing.
Itinerário terapêutico de pessoas diagnosticadas com câncer: aproximações e distanciamentos da rede de atenção oncológica
Authors: Pinto Anna Clara Santiago Nunes , Bastos Mariana Araújo Pena , Gomes Eloíza Augusta , Mendonça Érica Toledo de
Published: April 2022

DOI http://dx.doi.org/10.31011/1519-339X.2018a18n85.01O objetivo deste estudo é discutir a forma como confi gura-se o Itinerário Terapêutico de pessoas com diagnósticode câncer, do município da Zona da Mata Mineira. Estudo de natureza qualitativa realizado com 4 pacientes comcâncer, diagnosticados entre os anos de 2014 e 2015. Os dados foram coletados por meio de entrevista em janeirode 2016, e apresentados sob a forma de narrativa. Os preceitos éticos foram respeitados. A análise dos itineráriosterapêuticos permitiu perceber que o sistema de saúde apresenta difi culdades relacionadas ao diagnóstico e açõesde prevenção e promoção à saúde, ao passo que os tratamentos se apresentaram como efetivos, aproximando-se darede de cuidados de atenção oncológica ideal. O itinerário terapêutico permite visualizar a trajetória dos pacientes etorna-se uma ferramenta fundamental no estabelecimento de um plano de cuidados mais efi caz pelos profi ssionaisde saúde, com destaque para a Enfermagem.Palavras-chave: Enfermagem; Oncologia; Acesso aos Serviços de Saúde.ABsTRAcTThis study aims to discuss the way that the Therapeutic Itinerary is built on of cancer patients of the Mata MineiraZone. A qualitative study carried out with 4 cancer patients which had the diagnoses between 2014 and 2015.Data were collected through interviews on January 2016 and analyzed by the narrative. Ethical precepts havebeen respected. The analysis of the therapeutic itineraries allowed to perceive that the health system presentsdiffi culties related to the diagnosis, prevention and promotion of health, considering that the treatments wereeffective, getting closer to the ideal oncology healthcare system. The therapeutic itinerary allows visualizing thepatients' trajectory and becomes a fundamental tool in the establishment of a more effective care plan by healthprofessionals, with emphasis on Nursing care.Keywords: Nursing; Oncology; Health Services Accessibility.
A percepção do cuidador de idosos no contexto de sua prática cotidiana em uma instituição de longa permanência
Authors: Cunha Clicia Vieira , Berardinelli Lina Marcia Migueis , Santo Fatima Helena Espirito
Published: April 2022

DOI http://dx.doi.org/10.31011/1519-339X.2018a18n85.02
 
Objetiva-se descrever e analisar as práticas cotidianas dos cuidadores de idosos em uma instituição de longapermanência. Trata-se de um estudo qualitativo e exploratório, desenvolvido numa instituição de longa permanênciaem 2015 com 20 participantes, por meio da técnica de entrevista semiestruturada. Os dados foram organizados ecategorizados seguindo a análise de conteúdo emergindo as categorias: Percepção do cuidador de idosos sobresua prática cotidiana; A escolha da ocupação; Sentimentos e comportamentos que emergem da prática cotidiana;e Difi culdades da prática cotidiana. A percepção dos cuidadores demonstra um envolvimento afetivo de dedicação,carinho e cuidado. Porém, é notório que o cuidado ao idoso impõe ainda, certas difi culdades e limitações a estescuidadores, evidenciando-se a necessidade de um acompanhamento mais minucioso da atuação destes, e acapacitação para melhorar o atendimento das demandas de saúde dos idosos. Constatou-se a necessidade de novosestudos que visem compreender melhor a realidade social destes trabalhadores.Palavras-chave: Cuidadores; Idosos; Instituição de Longa Permanência para Idosos.
ABsTRAcTThe aim is to describe and analyze the daily practices of caregivers of the elderly in a long-term institution. It isa qualitative and exploratory study, developed in a long-term institution in 2015 with 20 participants, throughthe semi-structured interview technique. The data were organized and categorized according to the contentanalysis, emerging the following categories: Perception of the caregiver of the elderly about their daily practice;The choice of occupation; Feelings and behaviors that emerge from daily practice; and Diffi culties in dailypractice. The caregivers' perception shows an affective involvement of dedication, affection and care. However, itis notorious that elderly care still imposes many diffi culties and limitations on these caregivers, evidencing theneed for a more detailed monitoring of their performance and the training to improve the care of the elderlyhealth demands. It was verifi ed the need for new studies that aim to better understand the social reality of theseworkers.Keywords: Caregivers; Elderly; Long-Term Institution for the Elderly.
Quedas em pessoas idosas hospitalizadas: uma revisão integrativa
Authors: Pereira Eliane da Silva , Sá Selma Petra Chaves , Ferreira Antonio Milton de Oliveira , Lago Edith Lucia Mendes , Pimentel Dayana Feital , Filho Vilmar da Conceição Oliveira
Published: April 2022

DOI: http://dx.doi.org/10.31011/1519-339X.2018a18n85.11
Objetiva-seanalisar evidências científicas acerca da ocorrência de quedas em pessoas idosas no ambiente hospitalar. Tratase de estudo de revisão integrativaacerca das publicações relacionadas à queda em idosos hospitalizados, o levantamentofoi realizado nas bases de dados: MEDLINE, LILACS e BDENF (via BVS). Os critérios de inclusão foram:artigo disponívelem português, inglês e espanhol, na íntegra e online, publicados no período de 2011 a 2015. Os critérios de exclusãoforam:artigos repetidos em diferentes bases e revisões sistemáticas. Após análise das publicações, respeitados os critériosde inclusão instituídos, 07 estudos atenderam às exigências. Em geral, os fatores de risco estão diretamente ligados aoscasos de ocorrência de quedas na população idosa hospitalizada, dentre eles, destacam-se: acuidade visual, mobilidadefísica, alterações cognitivas e incontinência urinária. Conclui-se que é de grande valia a elaboração de estratégias quevisem à implementação de uma assistência voltada para a melhoria da segurança e qualidade de vida das pessoas idosashospitalizados com potencial risco para quedas.Palavras-chave: Idoso; Acidentes por Quedas; Hospitalização.
ABSTRACTThis research aims to analyze the scientific evidence about the falls occurrence in elderly people in the hospitalenvironment. This is an integrative revision study based on the publications related to the fall in hospitalizedelderly; the survey was conducted through the databases: MEDLINE, LILACS and BDENF (viaVHL). The inclusioncriteria were: article available in Portuguese, English and Spanish, in full and online, published in the period from2011 to 2015. Exclusion criteria were: repeated articles on different bases and systematic reviews. After publicationsanalysis, the inclusion criteria established, 07 studies met the requirements. In general, the risk factors are directlylinked to cases of falls occurrence, among the several risk factors for the fall occurrence in the hospitalized elderly;highlight visual acuity, physical mobility, cognitive alterations and urinary incontinence. It concluded that is ofexcellent value to develop strategies aimed to implementing assistance and improving the safety and life quality ofhospitalized elderly people with potential risk for falls.Keywords: Elderly; Accidents by Falls; Hospitalization
Tratamento de úlceras diabéticas com fator de crescimento epidérmico: relatos de caso
Authors: Oliveira Bianca Campos , Olivera Beatriz Guitton Renaud Baptista de , Oliveira Fernanda Pessanha de , Deutsch Gabriela , Castilho Selma Rodrigues de
Published: April 2022

DOI: http://dx.doi.org/10.31011/1519-339X.2018a18n85.13
Objetiva-se descrever o processo de cicatrização de pacientes com úlceras diabéticas tratadas com fator de crescimentoepidérmico recombinante humano (rhEGF), e a colonização por Staphylococcus aureus e Pseudomonas aeruginosa. Estudode casos de pacientes com úlceras diabéticas tratadas com rhEGF acompanhados ambulatorialmente em um hospitaluniversitário. A coleta de dados ocorreu entre abril e agosto de 2017, com a obtenção de características clínicas, incluindomensuração das áreas e registros fotográficos das lesões, bem como, coleta de material biológico por swab. A análise dedados foi feita por estatística descritiva. O cálculo da taxa apontou 100% de cicatrização no paciente 1 e 30% no paciente2. Em relação ao tecido presente no leito da ferida, nota-se um aumento do tecido de granulação e epitelização e umadiminuição do tecido de esfacelo. Quanto ao exsudato, houve uma redução na quantidade presente na ferida ao fim doestudo. Não foram observados sinais clínicos de infecção nas feridas, os resultados das análises microbiológicas indicaramque a colonização microbiana por S. aureus e P. aeruginosa manteve-se no paciente 1 e foi minimizada no paciente 2. Concluise que a aplicação do rhEGF foi favorável na cicatrização de úlceras diabéticas e no controle microbiológico.Palavras-chave: Pé Diabético; Fator de Crescimento Epidérmico; Staphylococcus Aureus; Pseudomonas Aeruginosa;Enfermagem.
ABSTRACTThe aim is to describe the healing process of patients with diabetic ulcers treated with recombinant humanepidermal growth factor (rhEGF), and colonization by Staphylococcus aureus and Pseudomonas aeruginosa. Casestudy of patients with diabetic ulcers treated with rhEGF with outpatients in a university hospital. Data collectiontook place between April and August 2017, obtaining clinical characteristics, including measurement of areas andphotographic records of the lesions, as well as collection of biological material by swab. The data analysis was doneby descriptive statistics. The calculation of the rate indicated 100% healing in patient 1 and 30% in patient 2. Inrelation to the tissue present in the wound bed, there is an increase of granulation tissue and epithelization anda decrease of the shedding tissue. As for the exudate, there was reduction in the amount present in the wound atthe end of the study. No clinical signs of infection were observed in the wounds. The results of the microbiologicalanalyzes indicated that microbial colonization by S. aureus and P. aeruginosa was maintained in patient 1 and wasminimized in patient 2. It concluded that the application of rhEGF was favorable in cicatrization of diabetic ulcersand in microbiological control.Keywords: Diabetic Foot; Epidermal Growth Factor; Staphylococcus Aureus; Pseudomonas Aeruginosa; Nursing
A fenomenologia Merleau-Pontyana e o profissional da saúde: uma reflexão teórico-filosófica
Authors: Flores Isadora Pinto , Pereira Eliane Ramos , Silva Rose Mary Costa Rosa Andrade
Published: April 2022

DOI: http://dx.doi.org/10.31011/1519-339X.2018a18n85.15
Objetivou-se apresentar uma reflexão acerca dos afazeres do profissional da saúde, privilegiando uma atitudedialética entre a objetividade e a subjetividade no acolhimento humanizado das demandas de clientes. Tratase de um estudo de reflexão fundamentado na base teórico-filosófica da Fenomenologia de Maurice MerleauPonty, discutindo pontos principais desta linha de pensamento. O texto foi organizado em duas partes: “Algunsesclarecimentos fenomenológicos” e “O profissional da saúde, a epoché e a humanização”. A primeira parte esclarececonceitos fenomenológicos; já a segunda demarca a conexão entre a Fenomenologia e a prática profissional. Buscaracolher o outro e sua demanda, reduzindo-se fenomenologicamente, é praticar a sensibilidade, há muito tempoesquecida num modelo de saúde engessado no paradigma biomédico. Humanizar-se é um exercício constante queatravessa sujeitos, redes e subjetividades.Palavras-chave: Empatia; Humanização da Assistência; Ciências da Saúde.
ABSTRACTAimed to present a reflection on the health professional's work, favoring a dialectic attitude between objectivityand subjectivity in the humanized reception of client demands. It is a study of reflection based on the theoreticalphilosophical basis of the Maurice Merleau-Ponty’s Phenomenology, discussing main points of this line of thought.The text was organized in two parts: "Some phenomenological clarifications" and "The health professional, theepoché and the humanization". The first part clarifies phenomenological concepts; the second one demarcatesthe connection between Phenomenology and professional practice. Receiving the other and its demand, reducingphenomenologically, is to practice the sensitivity, so long forgotten in a health model hardened in the biomedicalparadigm. Humanizing yourself is a constant exercise that crosses subjects, networks and subjectivities.Keywords: Empathy; Humanization of Assistance; Health Sciences.
Prevenção da incontinência urinária no puerpério
Authors: Jacob Lia Maristela da Silva , Matida Franciely Pereira Mota , Diniz Rosângela Midori Noguti , Mafetoni Reginaldo Roque , Jorge Herla Maria Furtado , Pereira Adriana Pelegrini dos Santos
Published: April 2022

Este artigo objetiva analisar a literatura disponível sobre a prevenção da incontinência urinária no ciclo gravídico puerperale o papel do enfermeiro quanto ao diagnóstico, avaliação e suporte eficaz a paciente. Trata-se de uma revisão integrativada literatura, realizada entre os meses de janeiro e fevereiro de 2018. A busca dos artigos foi realizada nas bases de dadoseletrônicas LILACS, MEDLINE e PUBMED por meio dos Descritores em Ciências da Saúde (DeCs): Enfermagem, Incontinência Urinária e Puerpério, e Medical Subject Headings (MeSH): Nursing, Urinary Incontinence e Post Partum Period,sendo estes integrados através do operador booleano “and”. Os 17 estudos, sendo agrupados em categorias temáticas:Força muscular do assoalho pélvico na prevenção da incontinência urinária; Fatores de risco para incontinência urinária;Relação entre incontinência urinária e vias de parto; Terapêuticas utilizadas em gestantes e puérperas com incontinênciaurinaria. Conclui-se que o enfermeiro tem um papel fundamental na avaliação, diagnóstico, tratamento e prevenção daincontinência urinária no ciclo gravídico puerperal, servindo, inclusive, de suporte eficaz à paciente.Palavras-chave: Incontinência Urinária; Gravidez; Parto; Puerpério; Saúde da Mulher.

ABSTRACTThis article aims to analyze the available literature on the prevention of urinary incontinence in the puerperal pregnancycycle and the role of the nurse in the diagnosis, evaluation and effective support to the patient. It is an integrative reviewof the literature, carried out between January and February 2018. The articles search was carried out in the electronicdatabases LILACS, MEDLINE and PUBMED through the Descriptors in Health Sciences (DeCs): Nursing , Urinary Incontinence and Puerperium, and Medical Subject Headings (MeSH): Nursing, Urinary Incontinence and Post Partum Period,these being integrated through the boolean operator “and”. The 17 studies, being grouped in thematic categories: Pelvicfloor muscle strength in the prevention of urinary incontinence; Risk factors for urinary incontinence; Relation betweenurinary incontinence and birth tract; Therapeutics used in pregnant and puerperal women with urinary incontinence. It isconcluded that the nurse plays a fundamental role in the evaluation, diagnosis, treatment and prevention of urinary incontinence in the puerperal pregnancy cycle, and also serves as an effective support to the patient.Keywords: Urinary incontinence; Pregnancy; Childbirth; Puerperium; Women’s Health.
Condições de temperatura e umidade na sala de distribuição e armazenamento dos produtos para saúde
Authors: Nunes Mariana Brito de Souza , Fassarella Cintia Silva , Souza Priscilla Alfradique de , Meneses Ricardo de Oliveira , Silva Maria Virgínia Godoy da , Luna Aline Affonso
Published: April 2022

Objetivos: identificar as condições ambientais, de temperatura e umidade, na área de armazenamento e distribuiçãode produtos para saúde esterilizados como possível fonte de contaminação dos produtos para saúde esterilizados; e,analisar tais condições ambientais como possível fonte de contaminação dos produtos para saúde esterilizados emrelação aos padrões nacionais e internacionais. Método: Estudo retrospectivo documental, com abordagem quantitativa,realizado a partir de análise do formulário de registro da temperatura e de umidade do ar. Os dados coletados foramorganizados em planilhas, de acordo com as duas variáveis, sumarizados por meio da distribuição dos dados brutos, asvariáveis contínuas foram tratadas por meio da análise quantitativa descritiva, com medidas de tendência central e dedispersão. Resultados: apesar das referências apresentadas para o parâmetro de temperatura e de umidade do ar seremamplamente reconhecidas nacional e internacionalmente, encontra-se fragilidade nos resultados que demonstram aimportância do controle de temperatura e de umidade do ar. Conclusão: mostra-se a necessidade de desenvolvimentosde pesquisas que determinem a relevância mediante evidências científicas do controle de temperatura e de umidade doar na área de armazenamento e distribuição de produtos para saúde esterilizados.Descritores: Centro de esterilização. Temperatura ambiente. Umidade do ar. Armazenamento de produtos. Segurançado paciente.ABSTRACTObjectives: To identify the environmental conditions of temperature and humidity in the area of storage and distributionof sterilized health products as a possible source of contamination of sterilized health products; and to analyze suchenvironmental conditions as a possible source of contamination of health products sterilized in relation to national andinternational standards. Method: Retrospective documentary study, with quantitative approach, based on the analysisof the temperature and air humidity record form. The collected data were organized in spreadsheets, according to thetwo variables, summarized by means of the distribution of the raw data, the continuous variables were treated throughquantitative descriptive analysis, with measures of central tendency and dispersion. Results: Although the referencespresented for the parameters of temperature and air humidity are widely recognized nationally and internationally,there is a fragility in the results that demonstrate the importance of air temperature and humidity control. Conclusion:it is necessary to develop researches that determine the relevance of scientific evidence of temperature and humiditycontrol in the area of storage and distribution of sterilized health products.Keywords: Sterilization center. Room temperature. Air humidity. Product storage. Patient safety
How COVID-19 has Permanently Changed Consumer Behaviour and the Consequent Developments in the Delivery of Goods and Services
Authors: Cassandra Ranee  , Rohit Kar
Published: April 2022

As we see the world slowly limping back on its feet and returning to normal, one cannot ignore the change in consumer behaviour in almost all areas specifically in our buying behaviour and consumption pattern of groceries, retail goods, health and healthcare products, travel and tourism, entertainment, dining and food delivery, work and education and learning. These changes in almost all areas of life will have important implications to providers and will help them prepare for the new normal. While there has been a strong shift towards online and digital modes of delivery of almost all products and services it has also been noticed that while it has been seen to be beneficial to certain areas in certain areas outcomes have not been very positive especially in learning, remote work etc. Of course areas such as tourism, aviation, public transportation, suffered tremendously due to the nature of their business. While all these are slowly showing a comeback after the difficult period of two years, consumer behaviour has changed forever post Covid. This paper aims to study the changes in consumer behaviour and will try to determine if these changes will remain. As we know behavioural changes are not permanent and their stickiness will depend on satisfaction of the new experiences and also on the number of people who have access to these new delivery methods.
Transgender-Affirming Spiritual Care
Authors: Paige Chris
Published: April 2022

Resources in support of transgender-affirming spiritual care have grown in recent years as attention to transgender experience has gained more mainstream attention. This essay explores resources which provide foundations for transgender spiritual care, spiritual care across the transgender lifespan, health care chaplaincy with transgender patients, and considerations around transgender religiosity, spirituality, and resilience-building. Adjacent fields of study and gaps in the literature are noted, but the suggested resources provide a strong foundation and a representative sample of the patchwork state of the scholarly conversation around transgender-affirming spiritual care at this time. While this review is not exhaustive, it does provide a comprehensive introduction to an emergent field which is increasingly in demand from spiritual care providers in the field.
A EDCUCAÇÃO COMO PREVENÇÃO DA VIOLÊNCIA DE GÊNERO
Authors: Silva Rodrigues de MELO Elder Henrique Silva Rodrigues de
Published: April 2022

Este artigo apresentará alguns dados sobre a violência de gênero no Brasil, visando demonstrar a importância de um ensino sobre questões de gênero na educação. A partir da ótica de gênero enquanto construção cultural e histórica, perpassando por conversões sociais arbitrárias até ao que diz respeito à desigualdade de direitos, quer sejam referentes às desigualdades entre homens e mulheres, quer seja no que se refere orientação sexual. O intuito desse trabalho é apresentar para a comunidade escolar as discriminações que cerceiam direitos dos indivíduos que tentam superar as múltiplas formas de práticas regulatórias. Com isso, pretende-se promover uma reflexão sobre a urgência de se educar para a diversidade, priorizando princípios de respeito e equidade.
Expression of ATOH1 gene and activated signaling pathways for the neurogenesis of cerebellar granule cells: A review
Authors: Poudel Phanindra Prasad , Bhattarai Chacchu , Ghosh Arnab , Kalthur Sneha Guruprasad
Published: April 2022

Granule cells in the cerebellum are derived by the proliferation of cells from the rhombic lips of the metencephalon. Atonal homolog 1 (ATOH1), a protein encoding proneural gene, plays an essential role in the neurogenesis of the cerebellar granule cells. It encodes the basic helix loop helix (bHLH) family of transcription factor ATOH1. Expression of the ATOH1 gene in the rhombic lips of the metencephalon results in specification and proliferation of the granule neuron progenitors. Four major signaling pathways- Sonic hedgehog (Shh), Notch, Wingless related integration site (Wnt) and Bone morphogenetic protein (BMP) play an essential role in the regulation of the ATOH1 gene. Shh, Notch and Wnt signalings induce expression of the ATOH1 gene for the proliferation of the granule neuron progenitors whereas BMP signaling is involved in the differentiation of the granule neuron progenitors into the granule cells. Aberrant expression and mutation of the ATOH1 gene result in cerebellar medulloblastoma, the phenotype of trembling gait, cerebellar ataxia and hearing loss.
G. Vico’s new science: the space of poetic jurisprudence
Authors: Isaev Igor , Rumyantseva Valentina
Published: April 2022

The article presents the interpretation of the political and legal views of G. Vico based on the fundamental work “New Science”. The purpose of the article is to reveal the proposed G. Vico triad of the historical path of jurisprudence. The very philosophy of G. Vico is closely connected with his understanding of history, so the scientist gives many characteristics of the epochs of human development - this is the history of ideas and deeds of nations. As a consequence, the legal categories of G. Vico presents in the light of the historical and legal analysis of the state and law, demonstrating the progress and regression of civilizations.
Evolution of the institution of returning a criminal case by a prosecutor to an investigator: historical and сomparative legal analysis
Authors: Gorach Nikolay , Mullagalieva Lilia , Dolinko Vasiliy , Maltseva Tatyana
Published: April 2022

The article deals with the evolution of the institution of the prosecutor returning a criminal case to the investigator in the aspect of historical and comparative legal analysis. The institution of returning a criminal case to the investigator for further investigation currently remains very relevant and insufficiently developed. A significant degree of elaboration and evolution was established in the criminal procedure legislation of the pre-revolutionary period.
Ancient Russian dual faith as a cultural dialogue: experience of semiotic analysis
Authors: Konovalov Andrey , Zhurtova Anzhela , Tekueva Madina , Kochesokova Karina
Published: April 2022

The article is devoted to the study of the process of cultural interaction between paganism and Christianity as semiotic systems in the first centuries after the Baptism of Rus. The authors studied the originality of ancient Russian paganism, the problem of adapting Christian discourse to the situation of the significant presence of a pagan worldview in the semantic space of Ancient Russia, the dialogue and mutual influence of these two religious systems. The article traces the internal inconsistency of the process of adopting Christianity and its variability in social and territorial dimensions.