bluuebunny/crossref_metadata_2025 huggingface dataset:
Singing realization of the 103rd psalm in Grebenshchikov old believers’ community in Riga
Authors: Serikbaeva Oksana
Published: September 2023

The Old Believers successfully preserved the tradition of psalmody in their milieu. They still to this day chant psalter hymns in their divine services. One of the most important centers of Old Believer chant is the Riga Grebenshchikov Old Believer community, whose singing is considered exemplary by many. The kliros (choir) of the right side used to sing the 103rd psalm as noted in a special notebook it kept, but recently it has changed to a collection in which, in addition to the theoretical guide, hymns of various services are given, including hymns of the all-night vigil. The hymns of the all-night Vigil were copied in facsimile from the book Obikhodnik (song book) of the Preobrazhensky Seal of 1911. The singers of the left kliros have always used the Song Book for Every Day of the Preobrazhensky Seal. Thus, the 103rd psalm has been being reproduced in the Riga community as shown in the Song Book for Everyday edited by the Preobrazhensky press for a considerable period of time. By comparing the written version of the chant with the way it is chanted in the Riga community, we noted discrepancies which prompted us to study other manuscripts in order to clarify some fragments of the chant that are of interest to us. An analysis of handwritten sources shows that the performance of Psalm 103 in the Riga community reflects not only the 1911 Obikhod, but also other handwritten Obikhods (song books).
Great musicians in the 19th century at the cathedral of Iasi: Gavriil Musicescu
Authors: Barnea Alexandrel , Khvatova Svetlana
Published: September 2023

In the Romanian Orthodox Church, for many years, at the initiative of His Beatitude Daniel, Patriarch of the Romanian Orthodox Church, each calendar year has been dedicated to a cultural, spiritual, social event or theological subject/segment of theological life. In this sense, the calendar year is intersected by scientific and cultural events organized by the Church, institutions of pre-university and university theological education. These manifestations are realized through symposiums and scientific congresses, concerts and the like. 2023 has been named the Year of Respect for the Pastor of the Aged. A memorable year for hymnographers and church singers (psalts). Without claiming to be exhaustive and taking into account the second part of the general theme, we propose to further highlight the great musical personality of Iasi of the 19th century, Gavriil Muzycescu. The article reveals three hypostases of his activity - a teacher, a choirmaster and a composer. The significant role of Gavriil Muzycescu in the development of Orthodox singing in Romania is noted, the stylistic features of the composer's spiritual chants are analyzed in conjunction with the traditions of the Russian composer school in the field of choral music, as well as their development. On the example of the concert chant "I will proclaim Your mercy", its design features and stylistic signs of belonging to the concert style are considered. It is suggested that the role of the composer in the development of the Orthodox singing tradition is underestimated.
Principles of stratification of melodic formulas of old Russian out-of-ichos chants (with “opekalovo” “sepulchral” chants)
Authors: Grigorjeva Veronika
Published: September 2023

Out-of-ichos chants constitute an integral and extensive layer in the Old Russian tradition. Their structure is based on melodic formulas, the principles of stratification of which are insufficiently defined and developed in modern musical medieval studies. This article presents the result of a study in this aspect of the melodic formulas of the "opekalovsky" "sepulchral" Trisagion and the stichera "Come to please Joseph". On the basis of 9 known pre-reform lists of stichera and 11 selected lists of the Trisagion the author compiled a set of "opekalov" melodic formulas, determined their total number, and then identified elements that make it possible to establish the presence or absence of etymological relationship between the melodic formulas. Such elements are modal-melodic markers of 2 types: 1) marker-core – an intonation-rhythmic complex of sounds, 2) marker-contour – a sequence of significant tones, determined analytically. On the basis of the presence of a particular marker, most of the "opekalovsky" melodic formulas (303 out of 310) are grouped into families – there are 24 such families. 10 of them do not have additional stratification within themselves. In 14 families the stratification is more complicated: they have groups of formulas, as well as a series of groups of formulas.In the course of the analysis of the "opekalovsky" formulas, signs were identified that make it possible to distinguish their true, etymologically determined relationship from homonymy, which can be expressed in the partial coincidence of the intonational-rhythmic contours of unrelated formulas or even in the presence of completely identical fragments in them.As the study of "opekalovsky" "sepulchral" hymns has shown, on the whole the principles of stratification of their melodic formulas are not new and are partly known from other musical material. But it seems that the strata of "opekalovsky" formulas are much more numerous than those strata that are currently defined for the formulas of ichos chants.
Interdisciplinary Integration of Computational Thinking in K-12 Education: A Systematic Review
Authors: Yeni Sabiha , Grgurina Nataša , Saeli Mara , Hermans Felienne , Tolboom Jos , Barendsen Erik
Published: September 2023

There is an increasing interest in the integration of computational thinking (CT) in the K-12 curriculum. By integrating CT into other disciplines, the aim is to equip students with essential skills to navigate domain-specific challenges. This study conducts a systematic review of 108 peer-reviewed scientific papers to analyze in which K-12 subjects CT is being integrated, learning objectives, CT integration levels, instructional strategies, technologies and tools employed, assessment strategies, research designs and educational stages of participants. The findings reveal that: (a) over two-thirds of the CT integration studies predominantly focus on science and mathematics; (b) the majority of the studies implement CT at the substitution level rather than achieving a transformation impact; (c) active learning is a commonly mentioned instructional strategy, with block-based languages and physical devices being frequently utilized tools; (d) in terms of assessment, the emphasis primarily lies in evaluating attitudes towards technology or the learning context, rather than developing valid and reliable assessment instruments. These findings shed light on the current state of CT integration in K-12 education. The identified trends provide valuable insights for educators, curriculum designers, and policymakers seeking to effectively incorporate CT across various disciplines in a manner that fosters meaningful skill development with an interdisciplinary approach. By leveraging these insights, we can strive to enhance CT integration efforts, ensuring the holistic development of students' computational thinking abilities and promoting their preparedness for the increasingly interdisciplinary domains of digital world.
Attitudes of Parliamentary Candidates towards the Politics of Memory in Post-Communist Lithuania
Authors: Matonytė Irmina , Šumskas Gintaras
Published: September 2023

The paper dwells on the longitudinal data set of Lithuanian parliamentary candidates’ views and investigates the post-communist politics of memory. The analyzed surveys are conducted in 2008, 2012 and 2016. Several hypotheses regarding the impact of time, democratic consolidation and geopolitical challenges on the national level of the politics of memory are tested, and we examine differences among party families regarding the politics of memory. The list of dependent variables of this study includes the attitudes of the parliamentary candidates and their determination to implement lustration, ban the public display of Soviet symbols and implement the claim that Russia must compensate the damage inflicted on Lithuania during the Soviet occupation. The study reveals that the politics of memory remains a matter of contention shaped by the dynamic interaction of three kinds of logic: transitional (based on the need to mark a break from the previous regime), post-transitional (encouraged by expiring early transitional conventions and re-articulated geopolitical visions), and partisan (inspired by multi-party electoral competition).
Complex physical therapy for postural disorders
Authors:   Kharkiv State Academy of Physical Culture, Таратухіна Л.М.
Published: September 2023

Purpose: to provide a clinical and physiological rationale for complex physical therapy for patients with postural disorders. Material and methods: Theoretical analysis and generalization of data from scientific and methodical literature on physical therapy of patients with postural disorders. Results: physical therapy methods and their effectiveness were assessed and analyzed. The use of physical therapy programs allows to restore the function of the musculoskeletal system and the working capacity of patients. Conclusions: it was established that the improvement of the results of treatment and rehabilitation depends on complex medical and physical therapy.
Modern approaches to the objectification of the functional state of the athletes' body during current examinations
Authors:   International Humanitarian University, Romanchuk O.P. , Guziy O.V. ,   Lviv State University of Physical Culture named after Ivan Bobersky
Published: September 2023

Purpose: to analyze the existing approaches to the assessment of the functional state of athletes, which are used in the educational and training process of athletes to determine signs of stress on the cardiovascular, respiratory and autonomic nervous systems during current examinations. Material and methods: The analysis of various diagnostic approaches showed that there are several methods that are actively used in the educational and training process to determine the functional state of athletes in "field conditions". Emphasis is placed on research methods of the autonomic nervous system. Results: The D&K method is fundamentally different, which, on a level with the determination of autonomous heart rhythm regulation, allows characterizing energy processes in the body of athletes. However, it has certain limitations. The phasography technique makes it possible to determine the condition of the myocardium based on its repolarization parameters at the same level as the assessment of the autonomous regulation of the heart rhythm. The technique of spiroarteriocardiorhythmography (SAKR) makes it possible to evaluate the autonomous regulation of heart rhythm, blood pressure, regulation of breathing, central hemodynamics, as well as the interaction between the respiratory and cardiovascular systems. Conclusions: the conducted analysis allows us to assert the greatest prospects for the use of SAKR. Thus, the informative criteria that can be used to objectify the state of the body and its individual systems in the conditions of the educational and training process, in addition to the known parameters of heart rate variability, include the parameters of blood pressure variability, which characterize overstrain of the contractile function of the heart and vascular tone; parameters of variability and pattern breathing, which indicate the regulatory tension of the external breathing system. An informative indicator is the sensitivity of the arterial baroreflex.
Physical therapy for bone fracturesankle joint at the outpatient stage
Authors:   Kharkiv .State Academy of Physical Culture, Komarov R.A. , Pustovoit B.A. ,   Kharkiv State Academy of Physical Culture
Published: September 2023

Purpose: analysis of specialized scientific literature on the problem of ankle bone fractures and the possibilities of physical therapy in the restorative treatment process. Material and methods: an analytical review of domestic and foreign literary sources devoted to the problem of physical therapy of ankle bone fractures at the polyclinic stage. Analysis of various methods of physical therapy of the studied pathology. Results: modern views on the anatomy of the ankle joint, etiology, pathogenesis and treatment of bone fractures of the ankle joint are determined, the basic principles of the physical therapy program are highlighted. Conclusions: modern approaches to the occurrence, treatment and physical therapy of bone fractures of the ankle joint are defined.
Involvement of physically inactive students in classes physical culture and sports, as a way of forming a healthy way of life on the example of students of Kharkiv National University of Radio Electronics
Authors:   Kharkiv National University of Radio Electronics, Konovalenko O.K. , Orshatska N.V. ,   Kharkiv National University of Radio Electronics
Published: September 2023

Purpose: Using the example of KhNURE to demonstrate that the involvement of physically inactive students in physical culture and sports is a way to form a healthy lifestyle. Material and methods: We used the studied material, which makes it possible to make a classification of physically passive people based on the conditions of characterological types. Results: the article reveals the reasons for the appearance of physical passivity among students, indicates the ways of involving them in active physical culture and sports, using the example of students of KhNURE. Conclusions: mass sports work carried out in Khnure brings high results. The old mottos "from mass to mastery" and "in a healthy body, a healthy spirit" have not lost their meaning and allow physically passive students to be involved in sports activities and sports, which is one of the means of achieving the ultimate goal - raising a healthy nation.
You’re Getting Two For One With Me: Difficult New Sites Of Community Engagement Leadership Within Higher Education
Authors: Peacock David , Campbell Katy
Published: September 2023

The emerging literature on community engagement professionals (Dostilio), who occupy a 'third space' (Whitchurch) between academics and professionals within higher education, has helped construct a potentially unifying identity among staff leading community engagement activity within contemporary post-secondary institutions. This presentation critically engages this literature, and profiles the professional identities of Australian and Canadian postsecondary staff leading the adaptation and adoption of the elective Carnegie Classification for Community Engagement in their institutions. Drawing from interview data of 15 staff responsible for the Carnegie Pilot within their institutions across both Australia and Canada, and employing a narrative inquiry method sensitive to feminist analyses of power and institutional misrecognition (Fraser), we probe the tensions and frustrations of those leading the work of community engagement. We find that although exercising considerable leadership of academic engagement functions, these staff, regardless of their own more hybridized identities as practitioner-scholars or 'prac-academics', are often misrecognized through institutional designations as professional staff. Two staff portraits in particular highlight two sources of misrecognition: gender intersecting with race, and from the relegation of community engagement to an external relations function that runs parallel to the core academic purposes of the institution. The Carnegie Pilots in Canada and Australia represent a valuable attempt to institutionalize community engagement as the critical third mission of higher education. Yet the experiences of these staff also attest to an ambivalence about community engagement within the academy, and the people leading this work, particularly in the most research-intensive and most established universities in each nation.
Replanting Cultures: Community-Engaged Scholarship in Indian Country by Chief Benjamin J. Barnes, Stephen Warren (eds). United Kingdom: State University of New York Press, 2022. 376pp. ISBN 9781438489957.
Authors: Kelly Mckelvey
Published: September 2023

N/A
ANALYTICAL REVIEW OF BIOTECHNOLOGICAL PROBLEM OF UKRAINIAN HARD CHEESES
Authors:   Lviv Polytechnic National University, Ukraine, Skril Yuliya
Published: September 2023

An analytical review of the biotechnological process of production of various hard and semi-hard cheeses in the EU and Ukraine, as well as domestic recipes of fermented cheeses for production at craft cheese factories and at home, was conducted. An analysis of the conditions of the key stages of production, including fermentation, coagulation and ripening, was carried out. The composition and type of lactic acid bacteria in sourdough for fermented cheeses, as well as enzymes for fermentolysis and coagulation of milk casein, were studied. As a result of a complex study, a total of 73 types of hard and semi-hard cheeses were analyzed: 35 recipes of the New England Cheesemaking Supply Company by Jim Wallace; 30 production processes of hard and semi-hard cheeses from the EU; 8 technical conditions of hard cheeses of Ukrainian producers. It is shown that the prospects for optimizing the development of new types of hard and semi-hard cheeses in Ukraine are mainly related to the regulation of the time and temperature of fermentation, cooking and ripening of cheeses, as well as the expansion of the biodiversity of the primary and secondary microbiome of starter cultures to improve the taste and aroma of the ready-to-use product. Purpose: to analyze the fermentation process and recipes for the production of hard cheeses in Ukraine with the main world samples, to compare the composition and type of lactic acid bacteria in industrial and craft starters, as well as the types of enzymes for fermentolysis and casein coagulation of milk, in order to optimize production to improve the taste and aroma of ready-to-use product. Materials and methods. Methodical analysis and abstract-logical method for summarizing the evaluation criteria of the biotechnological process of various hard and semi-hard domestic cheeses with world samples according to recommendations, requirements and standards with the development of patents, technical conditions of their production in the EU and Ukraine; DSTU 6003 (Solid cheeses); New England Cheesemaking Supply Company cheese recipes by Jim Wallace. The obtained data were processed by methods of statistical analysis, systematization, comparison and generalization of information. Results. In this study, the documentation was examined and the data of standards, regulations, requirements and recommendations regarding the biotechnology of hard and semi-hard cheeses were analyzed, an analysis of the market of hard cheeses and the peculiarities of the fermentation process of their production was carried out with the determination of critical points and key stages of production using industrial deposited fermentation producers and protein enzymes coagulation and biodiversity of lactic acid bacteria in sourdoughs for fermented cheeses at world productions, with an assessment of the prospects for developing new and improving the biotechnology of Ukrainian benign and safe hard cheeses for healthy nutrition.
In vitro DIRECT SHOOT REGENERATION FROM Rhodiola rosea L. LEAF EXPLANTS
Authors:   Institute of Cell Biology and Genetic Engineering of the National Academy of Sciences of Ukraine, Kyiv, Matvieieva N.
Published: September 2023

Wild plant species are of great interest as a source of pharmacologically valuable compounds but a great number of them are endemic and/or endangered ones. Modern plant biotechnology can provide reliable methods for their utilization without disturbing natural populations. In vitro culture methods for Rhodiola species are being intensively developed to include them into various biotechnological programmes. Aim. Development of a protocol for direct Rhodiola rosea L. plant regeneration from leaf explants. Methods. The leaves of R. rosea aseptically growing plants were used as the explants. Several variants of Murashige and Skoog (1962) agar-solidified culture medium supplemented with different combinations of auxins (1-naphthaleneacetic acid (NAA) and 2,4-dichlorophenoxyacetic acid (2,4-D)) and cytokinins (kinetin and 6-benzylaminopurine (BAP)) were estimated as potential regeneration-inducing media. Regeneration frequency was calculated as the percentage of leaves that produced shoots. Results. The use of MS medium supplemented with 2.5 mg/l BAP and 1.0 mg/l 2,4-D allowed inducing shoot formation with 100% frequency. An increase in the 2,4-D content up to 2.5 mg/l and decrease in BAP content to 1.0 mg/l resulted in decreasing of the regeneration frequency to 62.5%. Regeneration frequency was 25% and 62%, respectively, on the media containing 1.0 mg/l kinetin + 2.5 mg/l 2,4-D and 2.5 mg/l kinetin + 1.0 mg/l 2,4-D. Conclusions. R. rosea leaf explants have demonstrated high regeneration capacity with using the studied combinations of plant growth regulators. MS medium supplemented with 2.5 mg/l BAP and 1.0 mg/l 2,4-D allowed inducing shoot regeneration in leaf explants with the frequency of 100%. The frequency of regeneration was lower in the case of substitution of BAP for kinetin. The other types of morphogenesis (formation of adventitious roots and/or callus) were also observed.
DEVELOPMENT OF DIGITAL MEANS OF MULTI-CHANNEL MONITORING OF TIME SYNCHRONI-ZATION DEVICES OF POWER SMART GRID SYSTEMS
Authors:   Institute of Electrodynamics of the NAS of Ukraine,  Beresteiskyi ave., 56, Kyiv, 03057, Ukraine, Samkov O.V. , Koval V.V. ,   The National University of Life and Environmental Sciences of Ukraine,  Heroiv Oborony St., 15, Kyiv, 03041, Ukraine, Lysenko V.P. ,   The National University of Life and Environmental Sciences of Ukraine,  Heroiv Oborony St., 15, Kyiv, 03041, Ukraine, Chopyk V.V. ,   Institute of Electrodynamics of the NAS of Ukraine,  Beresteiskyi ave., 56, Kyiv, 03057, Ukraine, Osinskyi O.L. ,   Institute of Electrodynamics of the NAS of Ukraine,  Beresteiskyi ave., 56, Kyiv, 03057, Ukraine, Samkov B.O. ,   Institute of Electrodynamics of the NAS of Ukraine,  Beresteiskyi ave., 56, Kyiv, 03057, Ukraine
Published: September 2023

The work presents the development results of the means of a computer-integrated system of multi-channel monitoring of time synchronization devices, which is designed to increase the reliability of digital data of synchronous vector meas-urements of the power SMART Grid systems. The design documentation was developed, and a prototype of the multi-channel monitoring device was manufactured. A segment of the information digital system for transmitting monitoring data was created using the corporate IP network of the IED of the NAS of Ukraine, Cisco-certified equipment, and multi-channel monitoring devices mounted on a laboratory stand. Experimental studies and testing of the manufactured experimental model of the multi-channel monitoring device on the operating IP network were carried out. It was estab-lished that the obtained characteristics of the researched digital means of multi-channel monitoring and the information system of data transmission meet the requirements of the technical assignment. The organizational structure of the multi-channel monitoring system of time synchronization devices is presented, and recommendations for its use in electric power enterprises are developed. Ref. 10, fig. 2.
O recrudescimento do cárcere em tempos de neoliberalismo e de conservadorismo no Brasil
Authors: Sobrinho de França Rosilene Marques
Published: September 2023

O trabalho intitulado “O recrudescimento do cárcere em tempos de neoliberalismo e de conservadorismo no Brasil” objetiva analisar os elementos e interconexões que perpassam as relações sociais e a lógica punitiva no Brasil considerando os interesses do capital, discutindo-se os seus desdobramentos nos processos de encarceramento no contexto neoliberal e conservador na atualidade. A metodologia compreendeu estudo bibliográfico e documental. Em tempos de crise do capital sob a perspectiva do neoliberalismo e do conservadorismo, a necropolítica tem sido uma prática adotada pelo Estado, com o genocídio da população sobrante por meio do aparato repressivo do Estado e o encarceramento em massa. Os resultados apontaram as particularidades das estratégias ideológicas, jurídico-normativas e institucionais no Brasil com um caráter punitivo a partir de parâmetros racializados, que estruturam e aprofundam as desigualdades engendradas no contexto do capitalismo.
Hogyan lehetne az igazságügyi pszichiátriát vonzóbbá tenni?
Authors: Baran Brigitta , Czobor Pál , Fekete Szabolcs , Somogyi Andrea , Gazdag Gábor
Published: September 2023

Bevezetés:Az igazságügyi pszichiáter szakértők számának csökkenése Magyarországon napjainkra kritikus szintet ért el. A szakértőhiány az utóbbi időben mind az egészségügyben, mind az igazságszolgáltatás működésében zavarokat okoz.Célkitűzés:Annak felmérése, hogy hogyan lehetne az igazságügyi pszichiáter szakértővé válást és az igazságügyi pszichiáter szakértői munkát a szakorvosképzés oldaláról vonzóbbá tenni.Módszer:Internetes kérdőíves felmérést végeztünk igazságügyi pszichiáter és pszichiáter szakorvosok körében. A demográfiai adatok mellett 4 témakört felölelő kérdőívet szerkesztettünk. A kérdőív 2, a szakorvosképzésre vonatkozó témakörben az igazságügyi pszichiáter szakorvosképzés egyszerűsítésére (10 tétel) és az igazságügyi pszichiáteri szakorvosképzés költségeinek csökkentésére (5 tétel) vonatkozó egyszerű állításokat tartalmazott. A válaszadóknak 10 fokozatú Likert-skálán kellett értékelniük, hogy mennyire értenek egyet a megfogalmazott állítással. Az utolsó 2 témakörben, kötetlen formában kértük a kitöltő véleményét arról, hogy lát-e olyan körülményt, amely számára vonzóvá vagy elriasztóvá teszi az igazságügyi pszichiátria szakterületét. A kérdőívet a Magyar Igazságügyi Szakértői Kamara (MISZK) levelezési listáján szereplő igazságügyi pszichiáter szakértőknek, valamint a Magyar Orvosi Kamara levelezőlistájában szereplő pszichiáter szakorvosoknak küldtük ki elektronikus formában.Eredmények:Összesen 171 fő töltötte ki a kérdőívet, átlagéletkoruk 57,26 ± 11,57 év volt, 122 (71,3%) nő volt közöttük. A legmagasabb pontszámokat kapott javaslatok mind az igazságügyi pszichiáter szakértők, mind a pszichiáter szakorvosok között a következők voltak: a képzőhelyek számának növelése; a képzés díjának mérséklése; a MISZK tanfolyam költségeinek eltörlése; a képzés költségeire ösztöndíj bevezetése.Megbeszélés:A felmérés alapján a jelenleg is aktív igazságügyi pszichiáter szakértők és a potenciális utánpótlást jelentő pszichiáter szakorvosok egyetértettek abban, hogy a képzőhelyek számának növelésével és a képzés különböző elemekből összetevődő költségeinek mérséklésével lehetne vonzóbbá tenni leginkább az igazságügyi pszichiáter szakképzést.Következtetés:A kritikus szakemberhiány miatt sürgős intézkedések szükségesek a pszichiátria igazságügyi területének népszerűbbé tétele és a szakképesítés könnyebb megszerezhetősége érdekében. Orv Hetil. 2023; 164(35): 1373–1380.
Elektrokemoterápia áttétes melanomában
Authors: Kispál Mihály , Czirbesz Kata , Baranyai Fanni , Balatoni Tímea , Liszkay Gabriella
Published: September 2023

Bevezetés: Áttétes melanomában az innovatív terápiák által
lehetővé tett megnövekedett túlélés mellett a terápiás válasz továbbra is
meglehetősen heterogén, nem mindig tartós. Oligoprogresszió esetén számos
kiegészítő terápiás modalitás áll rendelkezésünkre, többek között a bőrre is
áttétet adó daganatok esetében az elektrokemoterápia.
Célkitűzés: Az áttétes melanoma elektrokemoterápiájával
szerzett tapasztalataink áttekintése. Módszer és eredmények:
2016 és 2021 között 23 melanomás beteg, 10 férfi és 13 nő részesült
elektrokemoterápiás kezelésben Intézetünkben. A medián életkor 74,5 év volt. 13
esetben (57%) alsó végtagon, 5 esetben (22%) a fej-nyaki régióban, 4 esetben
(17%) felső végtagon és 1 esetben (4%) a törzs régiójában található cutan és
subcutan metastasisokat kezeltünk. Az elektrokemoterápiás kezelést megelőzően 7
beteg (30%) kemoterápiát, 6 beteg (26%) immunterápiát és 2 beteg (9%) célzott
terápiát kapott, míg 8 beteg (35%) első vonalbeli kezelésként kapta az
elektrokemoterápiát. 23 kezelt betegünknél 12 (52%) komplett remissziót, 6 (26%)
részleges remissziót értünk el. 1 betegnél (4%) a kezelt gócok mérete állandó
volt, 4 esetben (17%) pedig progresszió jelentkezett. Az összegzett válaszadási
arány 78%, a medián lokális progressziómentes túlélés 9 hónap volt. A
beavatkozást követően 8 beteg (35%) esetében tudtuk folytatni a már korábban
elkezdett, hatékony szisztémás kezelést, és 4 beteg (17%) esetében nem volt
szükség további szisztémás terápiára. Mellékhatásokat 8 betegen (35%)
észleltünk, 1 volt G3-as súlyosságú. Következtetés: Áttétes
melanomás betegeink elektrokemoterápiás kezelése hatékony lokális kontrollt,
illetve sok esetben túlélési előnyt eredményez, tolerálható mellékhatások
mellett, javítva az életminőséget. Orv Hetil. 2023; 164(35): 1381–1386.
Intensidade e frequência de distresse moral em enfermeiros de saúde mental no Brasil
Authors: Bruggmann Mario Sergio , Schneider Dulcinéia Ghizoni , Ramos Flávia Regina Souza , Dalmolin Graziele de Lima , Rodrigues Jeferson , Bhering Ácmon
Published: September 2023

RESUMO Objective: To assess the intensity and frequency of moral distress in mental health nurses in Brazil. Method: Cross-sectional study with 173 nurses from the Psychosocial Care Network in Brazil. The Brazilian Scale of Moral Distress in Nurses, adapted for the context of mental health, was used. For data processing, descriptive and inferential statistical analysis was used. Results: Mostly moderate levels of intensity and frequency of moral distress (medians between 2.25 – 3.73 and 2.00 – 3.22, respectively) were observed, with emphasis on the factors working conditions and social conflicts. Conclusion: The level of moral distress evidenced in mental health nurses in Brazil reflects the dimension and amplitude of the phenomenon in different points of the Psychosocial Care Network. The relevance of discussions on coping strategies for moral distress is highlighted, articulating elements such as sensitivity, resilience, and moral courage, so that ethical deliberation is applied in care and management settings.
CONSTRUÇÃO E VALIDAÇÃO DE CENÁRIO SIMULADO-CHECKLIST PARA AVALIAÇÃO E IDENTIFICAÇÃO DE ARRITMIAS CHOCÁVEIS: ESTUDO METODOLÓGICO
Authors: Costa Yule Caroline Nunes da , Dias Amanda Aparecida , Tony Ana Carolina Carraro , Silva Marcos Paulo Schlinz e , Dutra Herica Silva , Prado Roberta Teixeira , Coelho Angélica da Conceição Oliveira , Carbogim Fábio da Costa
Published: September 2023

RESUMO Objetivo: construir e validar um cenário simulado e checklist para avaliação e identificação de arritmias chocáveis pela enfermagem em adultos internados em unidade de terapia intensiva. Método: estudo metodológico para construção de cenário simulado e checklist, validado por especialistas, com aplicação de teste piloto em 36 estudantes de enfermagem entre abril e setembro de 2021, em uma Universidade Pública de Minas Gerais. A etapa de construção ocorreu por levantamento de evidências na literatura. A etapa de validação se deu a partir da avaliação dos instrumentos por 13 especialistas, provenientes de todo o território brasileiro, sendo interpretados pelo cálculo do Coeficiente de Validade de Conteúdo por ponto de corte igual a 0,8 ou 80,0%. Para avaliar a consistência interna, foi calculado o alpha de Cronbach. Posteriormente, foram realizados o teste piloto e a aplicação da Escala de Satisfação dos estudantes e autoconfiança na aprendizagem. Resultados: após a construção do cenário simulado, foram realizadas três rodadas para avaliação do roteiro (21 itens) e duas para o checklist (seis itens), alcançando Coeficiente de Validade de Conteúdo global de 0,98 e 0,95 respectivamente. Um alfa de Cronbach de 0,79 foi obtido ao final da avaliação. No teste piloto, o cenário foi considerado adequado, com elevados escores de satisfação e autoconfiança na aprendizagem, confirmando a sua usabilidade. Conclusão: o instrumento desenvolvido para avaliação de arritmias chocáveis em pacientes adultos internados em Unidade de Terapia Intensiva pela enfermagem é válido em seu conteúdo e possui boa consistência interna.
Dispositivo com câmera para treinamento de intubação orotraqueal: possibilidade de ensino médico em período pandêmico
Authors: Cazanti Renato Fernando , Fontes Carlos Edmundo Rodrigues , Petta Bruno Filipe Viotto
Published: September 2023

Resumo: Introdução: A intubação orotraqueal é um procedimento importante no manejo da via aérea, principalmente quando realizada em situações de emergência. A videolaringoscopia é um artificio que facilita a visualização da glote ao auxiliar a intubação. Objetivo: Este estudo teve como objeto acoplar uma câmera de vídeo a um laringoscópio convencional do tipo Macintosh para possibilitar e orientar o treinamento da intubação orotraqueal. Método: O uso de uma câmera acoplada a um laringoscópio convencional permite a visibilização direta e indireta da glote. As imagens da câmera podem ser transmitidas por wi-fi e compartilhadas para dispositivos e plataformas eletrônicos, visando ao ensino presencial ou remoto da intubação orotraqueal. Resultado: A utilização do dispositivo artesanal como método de ensino de intubação orotraqueal permite ao docente ensinar a teoria do procedimento e orientar e corrigir a execução realizada pelo acadêmico. Esse feedback no treinamento prático pode ser realizado presencialmente ou por via remota. Conclusão: O uso do dispositivo artesanal de videolaringoscopia no ensino médico é uma ferramenta de baixo custo para aperfeiçoar o treinamento de intubação orotraqueal convencional.
Governança adaptativa: desafio para regiões metropolitanas brasileiras
Authors: Carvalho Mônica de , Corrêa Filipe Souza , Araújo Rogerio Palhares Zschaber de
Published: September 2023

Resumo O objetivo deste artigo é discutir teoricamente a dimensão institucional do conceito de governança adaptativa. Portanto, buscamos explorar essa dimensão a partir da análise dos limites para a implementação de uma governança adaptativa nas metrópoles brasileiras, considerando: 1) os recursos financeiros disponíveis para a gestão ambiental dos municípios pertencentes às Regiões Metropolitanas; e 2) a criação de um arranjo institucional de governança climática no município do Rio de Janeiro. Apesar do aspecto incremental, os dados analisados indicam a baixa relevância fiscal da questão ambiental e as dificuldades de implementação de arranjos de governança que forneçam: capacidade de planejamento transversal, mecanismos para a ação integrada entre diferentes agentes e incentivos para uma profunda dinâmica participativa na formulação e na implementação de políticas climáticas.
Gestão de risco, vulnerabilidade ambiental e a questão climática na gestão metropolitana
Authors: Garcia Leticia Clipes , Viana Juliana Nazaré Luquez , Lima Carolina Maria Soares
Published: September 2023

Resumo A situação de vulnerabilidade ambiental de algumas populações urbanas tende a ser associada a uma espécie de ignorância ou indiferença dessas populações sobre o risco geológico dos seus territórios. Isso, contudo, ignora que a ocupação do solo urbano não é simples fruto de decisões individuais, mas, sim, da dinâmica complexa entre renda, classe social, racialidade, movimentos sociais e arranjos político-institucionais. A partir dessa compreensão, apresenta-se uma reflexão acerca da distribuição espacial do risco e das vulnerabilidades ambiental e social na Região Metropolitana de Belo Horizonte (RMBH). A análise baseia-se no cruzamento de mapas de riscos ambientais e de zoneamento dos três municípios componentes da área de contribuição da bacia hidrográfica do Arrudas, unidade de análise selecionada dentro da RMBH.
Entrepreneurial management, labor, and a disputed urban market
Authors: Rangel Felipe
Published: September 2023

Abstract This article retraces the conflicts that emerged during the Parliamentary Inquiry Committee (PIC) of Feira da Madrugada to discuss the expansion of the entrepreneurial management of popular trade areas, as well as changes in workers' experiences. Considering the PIC event as an arena in which the management of this commercial area was viewed as a "public problem", it is argued that the center of the conflict was marked by tensions between two distinct perspectives on popular markets and legitimate uses of urban space: a perspective that recognizes a "social function" in these activities, and a market rationale that identifies urban popular trade areas as favorable for investment and to foster entrepreneurship.
Aluguel de baixa renda e preservação patrimonial: o caso da Boa Vista (Recife)
Authors: Menezes Larissa Rodrigues de , Lacerda Norma , Primavera Luanâncy Lima
Published: September 2023

Resumo Estudos recentes demonstram a importância do mercado de aluguel de moradia em vários centros históricos brasileiros. No Centro Histórico do Recife (CHR) – composto, grosso modo, pelos bairros do Recife, Santo Antônio, São José e Boa Vista, que conformam seis diferentes submercados –, verifica-se que a locação constitui uma importante forma de acesso à moradia, sobretudo para a população de baixa renda. Considerando que o submercado Boa Vista configura o último reduto habitacional do CHR, sendo este uso um fator de fundamental importância para a preservação de seu patrimônio edificado, este artigo tem o objetivo de analisar o funcionamento do mercado de aluguel habitacional de baixa renda da Boa Vista, buscando revelar as razões da resistência desse uso em uma centralidade histórica.
Impactos do financiamento público sobre a redução da desigualdade de recursos em eleições à Câmara dos Deputados
Authors: Silva Bruno Fernando da
Published: September 2023

A adoção do financiamento público direto às campanhas eleitorais brasileiras impactou a desigualdade de recursos entre candidatos a deputado federal? Neste artigo analiso quais foram os efeitos de mudanças institucionais recentes em nosso modelo de financiamento de campanhas (especialmente a entrada dos subsídios públicos e a saída das doações por empresas) sobre a concentração de recursos financeiros entre os candidatos. Para isso foram empregadas estatísticas descritivas e medidas de desigualdade, como o Índice de Gini e de concentração por percentis. Os resultados apontam uma melhora no quadro geral de distribuição de recursos com a proibição do financiamento empresarial e a criação do Fundo Especial de Financiamento de Campanhas (FEFC). No entanto, essa melhora ainda é insuficiente para quem está na base da pirâmide do financiamento. Fatores institucionais (como as cotas para minorias e o teto de gastos eleitorais) e partidários ajudam a explicar a diminuição da desigualdade, porém não bastam para tornar as disputas menos desequilibradas do ponto de vista financeiro.
Precisamos de um conceito para a influência massiva das novas tecnologias na saúde? A proposta dos Determinantes Digitais da Saúde
Authors: Oliveira Monique Batista de , Silveira Danielle Costa , Ferreira João Caio Silva Castro , Valente Tania Cristina de Oliveira , Oliveira Vanessa Bastos de , Silva Danielle Dias Correia da
Published: September 2023

Reconhecendo os efeitos significativos das Novas Tecnologias de Informação e Comunicação (NTICs), o trabalho relata a experiência de um grupo de reflexão sobre a seguinte questão: a utilização de tecnologias de modo massivo e pervasivo na vida e, consequentemente, na saúde, merece conceito próprio para destaque analítico e sociopolítico? Por meio da sistematização de experiências de Holliday (2006), o grupo propõe o conceito de Determinantes Digitais da Saúde (DDS) por entender a necessidade de evidenciar com mais força a ação das NTICs na produção da saúde — tanto do ponto de vista epistemológico, quanto do sociopolítico. Com a sugestão do conceito de DDS, exortamos a comunidade acadêmica a um debate mais específico sobre as consequências das NTICs na vida contemporânea para a orientação de ações capazes de mitigar os efeitos negativos e potencializar os benefícios das novas tecnologias na saúde.
Filtration behaviour of staple fibre geotextiles under unequal biaxial tensile strains
Authors: Tang L. , Francey W. , Zheng J. , Wang X. , Luo X.
Published: September 2023

Gradient ratio tests were conducted to investigate the filtration behaviour of staple fibre needle-punched nonwoven geotextiles subjected to unequal biaxial tensile strains. Three groups of biaxial tensile strains were designed, with the ratios of the strain in the machine direction to that in the cross-machine direction set to 1, 2, and 4, respectively. The strains in the machine direction in the three groups were the same, ranging from 10% to 30%. The tested filtration properties included the gradient ratio (GR), permeability of the soil-geotextile system, mass of soil loss, and permittivity of the pure geotextiles. Comparisons were made between the filtration properties of staple fibre (SN) geotextiles and continuous filament (CN) geotextiles. It is shown that for a certain strain ratio, the GR value at the time of test termination increases with increasing strain, and the permeability of the soil-geotextile system, soil loss, and permittivity of the pure geotextiles decrease with increasing strain. The soil loss and permittivity under equal biaxial tensile strains tend to be higher than those under unequal biaxial tensile strains. The CN geotextiles have better retention capability and more clogging potential for the tested soils than the SN geotextiles for a similar mass per unit area.
Serious Games and Experiential Learning: Options for Engineering Education
Authors: Pacheco-Velazquez Ernesto , Ramirez Montoya Maria Soledad , Salinas-Navarro David
Published: September 2023

This research delves into the use of simulation games as a learning tool in logistics education, with a focus on the Logistics Simulator and Production Game Simulator. Through an analysis of these two cases, relevant findings were uncovered. Firstly, simulation games can recreate concrete experiences, allowing students to engage with challenging problems in a practical manner. In addition, simulation games offer a platform for experimentation with diverse scenarios, enabling students to hone their decision-making skills in a safe environment. Furthermore, the degree of motivation and engagement exhibited by students was found to be positively correlated with their experience gained through simulators. However, while the results obtained from the simulator were associated with student motivation and engagement, the study did not yield conclusive evidence in terms of student learning outcomes. The findings underscore the significance of employing strategies that enhance student motivation and support deep learning, thereby enabling students to apply and transfer knowledge to new situations. Notably, simulation games have great potential in logistics education as they facilitate faster and more enjoyable comprehension of key decision-making factors. Nevertheless, limitations of this study include the small sample size in both cases, which restricts generalizability, and the lack of consideration for sociodemographic factors in the baseline survey. Future research should address these limitations for more reliable findings on the specific needs of students in game-based and experiential learning contexts.
Il paziente oncologico anziano: tra multimorbilità e fragilità
Authors: Galli Luca , Salfi Alessia
Published: September 2023

Il progressivo invecchiamento della popolazione occidentale è un fattore determinante nello sviluppo del cancro e di altre patologie tipiche dell’età avanzata. Il paziente oncologico anziano deve essere inquadrato a trecentosessanta gradi, tenendo in considerazione, oltre alla patologia oncologica, anche tutte le potenziali comorbidità, terapie concomitanti e il suo stato cognitivo e funzionale globale in quanto tutti questi fattori concomitano nel definire l’outcome. La Valutazione Geriatrica Multidimensionale è uno strumento utile all’oncologo per valutare i potenziali limiti e le residue risorse del paziente anziano e andrebbe condotta in tutti i pazienti anziani in cui si fa diagnosi di patologia neoplastica al fine di indirizzare la scelta dell’iter terapeutico più adeguato al paziente, che ne possa prolungare la sopravvivenza senza peggiorare la qualità della vita. È auspicabile condividere il percorso del paziente in un setting multidisciplinare dove vari specialisti come l’oncologo, il geriatra, lo psicologo, il farmacologo e l’assistente sociale possano condividere le decisioni e personalizzare sempre di più la gestione e la presa in carico del paziente oncologico anziano.
Cardiotossicità da chemioterapici: parametri ecocardiografici e ruolo dei biomarcatori
Authors: Delle Donne Maria Grazia , Iannielli Antonella , De Caterina Raffaele
Published: September 2023

Negli ultimi venti anni sono stati compiuti costanti progressi nel trattamento delle malattie neoplastiche. Gli schemi terapeutici sono diventati più aggressivi e sono stati introdotti nuovi farmaci che hanno determinato un aumento della qualità e della quantità della vita in genere per i pazienti affetti da neoplasie. Il rovescio della medaglia di questo successo è stato l’aumento degli effetti tossici e in particolare l’aumento di mortalità e morbilità per cause cardiovascolari. La conoscenza e il monitoraggio degli effetti cardiotossici da chemioterapici e il loro precoce riconoscimento sono quindi fondamentali nel percorso dei pazienti sottoposti a tali terapie. L’utilizzo di metodiche ecocardiografiche avanzate e di biomarcatori permette di effettuare una diagnosi precoce al fine di poter instaurare una eventuale terapia cardioattiva.