bluuebunny/crossref_metadata_2025 huggingface dataset:
Mexican teenagers attendance to sexual and reproductive counseling services
Authors: Mota Sanhua Vanessa , Tello Roldán Guadalupe , Rivas Ayala Lourdes
Published: April 2023

Objective: to evaluate the relationship between the variables individual or group attendance to sexual and reproductive counseling (S&RC) and sexual life onset using: social demographic variables (gender, age, and social security), service attendance concerns, and previous knowledge of sexually transmitted infections and pregnancy in teenagers.

Methodology: from September of 2007 to June of 2008 a transversal analytical study was held in 507 teenagers who studied in public schools of Mexico City. The teenagers who accepted to participate in the research were included independently if they had started their sexual life or not. The information was collected using an auto-application questionnaire. In the statistical analysis X2 tests, prevalence ratios and logistic regression models were applied.

Results: the male teenagers without health problems had more probability to attend to the group S&RC. Between the ones who had less knowledge about pregnancy prevention methods, this probability was lower. The sexual life onset was more likely between those teenagers from 15 or more years old and without social security.

Conclusion: the type of attendance to the S&RC and the sexual life onset can be determined by the teenager's social demographic conditions, their health problems and the pregnancy prevention methods previous knowledge.
Development of a delivery continued care model
Authors: Silveira Lambert Ana Cláudia , Komura Hoga Luiza Akiko , Temer Jamas Milena
Published: April 2023

Objective. To describe the obstetric nurses’ experiences related with the development of a delivery care model.

Methodology. Case study type research. Four obstetric nurses who developed the delivery care model proposed by the Sao Paulo university testimonies were analyzed. The obtained information was analyzed using an inductive interpretative way.

Results. Four descriptive categories came up from the testimonies: a) Coping with ambivalence feelings, b) Work with ease and difficulties with the new model adoption, c) the delivery concept changes and d) the nurses recognized the model viability, but its implementation depends in the philosophical and management guidelines related with delivery care and professionals’ commitment.

Conclusion. The diverse aspects involved were recognized in the implementation of the delivery model.
Intensive care unit nursing care process application
Authors: Rojas Juan Guillermo , Durango Pilar Pastor
Published: April 2023

Objective. To describe the factors related with the application of the nursing care process (NCP) and diagnostic taxonomies, interventions and expected results in intensive care units -ICU- of Medellin. 

Methodology. Cross-sectional study performed in a sample of 65 nursing professionals from 12 ICU between April and June of 2007. Sociodemographic and labor variables, care methodologies, NCP application and clinical aptitude were explored; the type of institution and the existence of structured nursing reports according to the methodology were explored as well.

Results. Professionals are young women with a little experience who take care doing assessment; they plan based on the medical diagnosis and follow ICU established protocols. They say they don’t apply the NCP - however they take part, assess and plan, and in a lower degree they diagnose and evaluate-, they have low clinical aptitude too. 

Conclusion. Nursing professionals attach importance to the NCP as a tool that gives professional identity however they don’t incorporate it as a care methodology.
Violence is not always violence. Its meaning to homeless children
Authors: Valencia González Alejandra , Alcaraz López Gloria Margarita
Published: April 2023

Objective. To describe and understand violence meaning for children with street living experience in the city of Medellin.

Methodology. Ethnographic study performed between February 2005 and May 2008, 10 boys and 8 girls under 18 years old who accepted to participate were interviewed. Observations were made during day and night hours. From the analytical process emerged the categories of non violent aggressions and the violence that is to damage without reason.

Results. Non violent aggressions in the street surge from the peer relationship as a defense mechanism this is why they are valid and legitimate, contrary to this violence is executed by people estranger to the logics of the street, seeking to cause damage; their actions are not justified and therefore are illegitimate. In the buildup that children make about violence and non violent aggressions, there is a background of survival and absence of institutions that guarantee their rights, such absence increases the feelings of suffering and pain already present for the previously experimented violence. These children go through the streets making history in adversity, creating laws and logics that allow them to survive. The laws established in the street anti law claim for inclusive, designed programs from their specific necessities so that they can part of the society as subjects with rights to be acknowledge all their human dignity.

Conclusion. For homeless children violence is classified and seen as violence, in this sense they legitimate it.
Preventable death causes contribution to life expectancy in the Valle de Aburra without Medellin (Colombia)
Authors: González Arango Eliana , Grisales Romero Hugo
Published: April 2023

Objective. To describe the contribution of preventable death causes to life expectancy in the Valle de Aburra municipalities without Medellin between 1979 and 2004.

Methodology. Death causes were classified according to the inventory of Avoidable mortality Causes. For life expectancy calculations and its decomposition, rates were standardized according to DANE’s 2005 Colombian population. Arriaga’s method was followed in life expectancy decomposition.

Results. In the Valle de Aburra not including Medellin, life expectancy at birth for the years 1979-2004 was of 73.23 years. 15.30 years of life expectancy were lost for the period between 1979 and 1995, loss being of 12.58 years for the period between 1996 and 2004. It was stressed that preventable death causes related with vaccination in women (0.0105 years) were important for their negative contribution to the gained life expectancy years.

Conclusion. Avoidable mortality structure from the Valle de Aburra without Medellin was mainly affected by the vaccination group constituent diseases or preventive treatment. It is necessary to prioritize public health interventions in the diseases with a greater contribution to the to the vaccination groups or preventive treatment to avoid a significantly negative change in the mortality profiles in the municipalities and know how they affect mortality structure by causes and how they define specific mortality profiles.
The Altadir Method as a management teaching instrument in nursing
Authors: Baldissera Vanessa Denardi Antoniassi , Góes Herbert Leopoldo de Freitas
Published: April 2023

This paper presents the Altadir Method of Popular Planning (MAPP), which is considered an effective tool for nursing management teaching and learning. When using traditional knowledge-transfer centered methods, the teaching on this subject does not arouse the same interest as technical education. The MAPP is a powerful planning tool for students who are finishing their education process, as it provides theoretical and practical experiences similar to what students will be confronted with later as professionals.
Knowledge, skills, and attitudes towards management of nursing.
Authors: Almeida Maria de Lourdes de , Peres Aida Maris
Published: April 2023

Objective. To identify knowledge, skills and attitudes in nursing management, learned during education, in graduates of a Brazilian public university. Methodology. Cross sectional study carried out in 2010. 37 graduates of the nursing program participated. A questionnaire was used to get the information, which included socio-economical and knowledge variables, skills and attitudes linked to management subjects studied during undergraduate education. The latter variables were measured with questions Likert like answers. Data were processed and analyzed in Excel. Results. Recent graduates manifested having enough knowledge, they consider themselves skillful and with favorable attitudes in the management field. Graduates with higher job experience, even though they consider they have enough knowledge, their skills are half and they report an unfavorable attitude towards management. Conclusion. Knowledge, attitudes, and abilities of recent graduates towards management are different to the ones with higher professional experience. Professional practice could change the perception nurses have towards management.
Job satisfaction of nursing professionals in adult hospitalization wards
Authors: Zapata Herrera Marleny , Alcaraz López Gloria Margarita
Published: April 2023

Objective. To know and understand job satisfaction of nursing professionals in adult hospitalization wards in institutions of the Metropolitan Area of Valle de Aburrá (Colombia).

Methodology. This was a qualitative study, frame-worked within the ethnographic paradigm. During 2008, semi-structured interviews were made to 15 female nursing professionals and two male nursing professionals, in addition to 30 hours of observation in their work places, with prior signed consent and authorization from the institutions.

Results. The following categories emerged: satisfaction, dissatisfaction, and ambivalence between job satisfaction and dissatisfaction of the nursing professionals; with dissatisfaction being the primordial feeling among them. Nursing professionals feel satisfaction when patients leave recovered, when they provide direct care, or when there are positive results through their work. Dissatisfaction appears when they cannot provide direct care, lose autonomy, are overloaded with work, or because job demand diminishes.

Conclusion. Job satisfaction is an ambivalent feeling, dissatisfaction prevailing in the study group.
Factors associated to the duration of exclusive breastfeeding.
Authors: Osorio Castaño Jhon Henry , Botero Ortiz Beatriz Eugenia
Published: April 2023

Objective. To identify the scientific evidence available on factors associated to the duration of exclusive breastfeeding. Methodology. A systematic review without meta-analysis was performed. An electronic search strategy was conducted of primary articles published in Medline, Lilacs, Scielo, and Ovid from 1990 to 2010 in English, Spanish, and Portuguese. Observational and intervention studies were included, which sought to identify factors associated to the duration of exclusive breastfeeding for at least three months. Results. Some 195 studies were identified, but only 18 complied with the inclusion and quality criteria. A total of 66.6% measured the prevalence of breastfeeding up to six months. Fifty percent reported the use of a pacifier or baby bottle as the negative factor that most affects the duration of exclusive breastfeeding. Some 44.4% mentioned as positive factors in the duration of exclusive breastfeeding: high levels of schooling, multiparity, exposure to a breastfeeding program, and low family income. Conclusion. Literature available provides information on the factors associated to the duration of exclusive breastfeeding, although the methodological heterogeneity of the studies did not permit evaluating the scientific evidence of the results discussed.
Strategies to solve questions about clinical practice in nursing and medicine professionals in Bolivia and Colombia
Authors: Gómez Sánchez Pio Iván
Published: April 2023

Objective. To describe strategies to solve questions about clinical practice in nursing and medicine professionals who attend training courses in sexual and reproductive health in Bolivia and Colombia.

Methodology. Transversal cut study. Information was collected between March of 2007 and February 201, an anonymous voluntary self-applied survey was used.

Results. Of 563 participants, 292 were nursing professionals and 271 were doctors. 60%were women. Age average: 34 years old (Rank: 25-92). 80% of the participants worked in public institutions. 70% of them believe their knowledge has decreased, updating strategies are: 75% colleagues consult, 24% check their books and magazines, and even though 88% use the internet, just 7.6% access data bases.

Conclusion. Updating traditional strategies remain. There is a few knowledge evidence-based strategies and a big ignorance on data bases use. It is necessary to implement strategies to train towards the efficient use of them; it allows updating and improves healthcare quality.
Factors associated to the correct practice of breast self examination.
Authors: Manrique-Abril Fred Gustavo , Ospina-Diaz Juan Manuel , Vega Fuentes Nancy Astrid , Morales Pacheco Adriana Lisset , Herrera Amaya Giomar Maritza
Published: April 2023

Objective. To determine the factors associated with the correct execution of breast self examination (BSE) in adult women from Tunja, Boyaca (Colombia).

Methodology. Cross sectional epidemiological study, carried out in 2009 using a multi-stage randomized stratified sampling. 810 women were chosen and a survey about frequency, opportunity and technique used in the execution of the BSE was applied.

Results. Life prevalence of the BSE execution was just 27.8%, out of which just 6.2% had a correct technique. The main factors found significantly associated with the correct execution of BSE were: Having learned and mechanized a regular and systematic technique, secondary or higher education, and having knowledge about breast cancer.

Conclusion. The prevalence of BSE is low in the studied women, in just a little percentage it is done correctly. Strengthening education in health and motivating women to make it an opportune and regular practice are some of the actions should be considered in the health organizations.
Perception of the quality of life of family caregivers of adults with cáncer.
Authors: Escobar Carmen Liliana
Published: April 2023

Objective. To describe the perception of the quality of life of family caregivers of adult individuals with cancer.

Methodology. Descriptive study conducted in 2008 with a convenience sample of 209 caregivers of adults with cancer who attended oncology units in Medellín, Colombia. The instrument proposed by Ferrell et al., was used to measure the quality of life of the family member caring for the patient, which evaluates quality of life through 37 items that integrate their meaning in the: physical (5 items), psychological (16 items), spiritual (9 items), and social (7 items) well-being. The evaluation of each item is conducted through a Likert-type scale from 1 to 4. Interpretation of the total score and by subscale is an inverse relationship between the score and the deterioration of the caregiver’s state.

Results. The participants perceive as most affected the dimensions from the physical (83.2%), psychological (80.9%), and social well-being (75.6%) quality of life scale. The spiritual dimension was the least affected (9.1%).

Conclusion. Caregivers of adult patients with cancer have a negative perception of their quality of life. Nursing should participate to support these caregivers
Teenagers’ attitudes towards sexual and reproductive health.
Authors: Grajales Atehortúa Isabel Cristina , Cardona Arango Doris
Published: April 2023

Objective. To identify attitudes towards fertility among teenagers. Methodology. Cross sectional descriptive study where 1178 teenagers between 12 and 18 years old participated. A survey with questions linked to fertility was applied. The research was carried out in the city of Medellin (Colombia) in 2009. Results. More than 60% of the teenagers have a favorable acttitude towards sexual education, both at home as well as school. They consider sexual practices and the use of contraceptive methods make part of the human rights, and sex helps the development of the personality. 30% of the surveyed teenagers agreed abortion should be respected as a decision made by woman, and about 20% think having a child is the best way to keep their couple and show them their love. Teenagers recognized parents as an important source of information in topics related with fertility, as well as family communication about sexual and reproductive health, which has been documented as an important strategy to protect the teenagers. Conclusion. Teenagers attitudes towards sexual and reproductive health should be taken into account to define educational strategies in health to improve them.
Smoking in the population from 15 to 44 years of age of Tunja
Authors: Pedraza López Judith Susana , Calderón Sierra Leidy Isabel , Cárdenas Cárdenas Luz Mery , Agudelo Cely Nancy Aurora
Published: April 2023

Objective. To describe tobacco use, the situation of control measures established in the MPOWER plan, and knowledge regarding smoking and Legislation 1335 of 2009 in individuals from 15 to 44 years of age from the city of Tunja in the department of Boyacá (Colombia).

Methodology. Cross-sectional descriptive study carried out in 2010, with the participation of 461 individuals from 15 to 44 years of age from the urban area. A two-stage quota sampling was made. Information was gathered by using the Global Adult Tobacco Survey.

Results. A total of 27% of the participants were smokers; the average age for the start of tobacco use was 16 years; 80% of those surveyed manifested annoyance with respect to tobacco smoke in the environment; 33% were exposed to second-hand smoke at the work place and 20% in their homes. Tobacco use was found in public places, as well as actions for promotion and publicity of tobacco products in grocery stores and communication media. Seventy nine percent of the smokers have tried to give up smoking and 24% of them have received information to this respect by a healthcare professional.

Conclusion. Tobacco use in Tunja is a public health problem that requires reinforcing strategies to prevent this problem in the city.
Research: a placebo for the recognition way.
Authors: Lopera Valle Johan Sebastian
Published: April 2023

The sense research should have as an approximation tool to the daily reality and the role of researcher as agents of social change is discussed in the article.
Peer review in the maintenance of quality standards in scientific journals
Authors: Rodríguez Gázquez María de los Ángeles
Published: April 2023

Cerca de 21 000 revistas académicas y científicas en el mundo utilizan el sistema de revisión por pares y publican anualmente más de un millón de artículos producto de investigación.1

Ninguna revista científica, por más famosa que sea, tiene la capacidad de publicar todos los artículos que recibe, por lo que es necesario hacer una cuidadosa selección del material que le llega, eligiendo aquel que sea innovador, realizado con rigor científico y que tenga el mayor impacto potencial sobre los lectores. Adicionalmente, los editores tienen la presión de que los trabajos científicos que se publiquen deben ser de alta calidad para le den credibilidad a la revista.
The Legal Innovation Theory and Legal Education
Authors: Mazhorina M. V.
Published: April 2023

Law, being determined by social changes, undergoes significant changes. The scale of social transformation gives grounds to assume that a new taxonomy of law is being established. This includes changes in the legal profession, significant transformation of the demand of the state and industry in terms of the knowledge and competences of a modern lawyer. Accordingly, this increases responsibility of legal educational institutions and law faculties for training lawyers. The paper attempts to form an understanding of legal innovation and legal innovation theory, to highlight the subject matter and methodological areas of legal innovation formation. In particular, the legal innovation theory is defined by the author as an interdisciplinary field of knowledge about the processes of emergence, implementation and administration of innovations in jurisprudence. At the same time, the subject-legal component of the legal innovation theory lies at the level of legal understanding, where comprehension and rethinking of what is the law of the 21st century is taking place. In turn, legal innovation actually constitutes legitimization of social or scientific and technological innovation, incorporation of a new normative structure (institution) that qualitatively transforms regulation of emerging or predicted social relations into the field of law. The study of legal innovations, being a subject area of the legal innovation theory, involves conceptualization of knowledge about innovation process in law and its administration, as well as the study of the transformation of the law itself and the legal profession, since legal innovations create a demand for new knowledge and competences for lawyers. Based on the achievements of the theory of the pedagogical innovation theory, the paper outlines methodological approaches to building a new model of legal education in conjunction of the content component, new teaching methods, formats of the educational process, logistics of the educational process that influence the formation and implementation of legal innovations. Some approaches have been put into practice at Kutafin Moscow State Law University (MSAL) and their application can be extended.
Una sentencia moderna de hace más de cien años: La Sentencia del Tribunal Supremo de 23 de septiembre de 1904, asunto Lavín Canales c. Ayuntamiento de Santander
Authors: Fernández Tomás-Ramón
Published: April 2023

El autor recuerda una centenaria Sentencia del Tribunal Supremo que distingue con acierto entre lo arbitrario y lo discrecional en la misma línea de la actual jurisprudencia.
La independencia del juez en el congreso de los juristas alemanes
Authors: Sosa Wagner Francisco
Published: April 2023

Crónica de la discusión sobre la selección de los jueces alemanes
Study on the elastic deformation of BCC interstitial alloy’s thin film
Authors: Nguyen Quang Hoc , Pham Phuong Uyen , Pham Duy Thanh , Le Hong Viet
Published: April 2023

The article presents the theory of elastic deformation and elastic wave propagation velocity of BCC binary interstitial alloy’s thin film based on the statistical moment method. Metal’s films and bulk interstitial alloys are specific cases of interstitial alloy’s films in this theory. The obtained theoretical results are applied to W and WSi films, where calculated results are compared with other calculations and experimental data.
Evolutionary Algorithm for the Novel RCPSP Scheduling Problem
Authors: Nguyen The Loc , Dang Quoc Huu , Vu Thai Giang
Published: April 2023

This paper proposes and states a novel problem called TDOS-RCPSP, a general case of the classical RCPSP problem. TDOS-RCPSP problem has many applications in science, especially in industrial production lines such as car assembly and textiles. In this study, the TDOS-RCPSP problem is proved to be NP-Hard. Besides, like other scheduling problems, TDOS-RCPSP will be classified and represented by Graham notation. Since the TDOS-RCPSP is NP-hard, a new evolutionary algorithm based on the Cuckoo Search strategy is proposed to find near-optimal schedules in a reasonable computation time. To evaluate the proposed algorithm, we perform an evaluation study using two datasets containing the iMOPSE dataset, the datasets of previous algorithms, and the TNG industrial sewing dataset. The experimental results show that the proposed algorithm has better performance than previous algorithms.
Noite na Taverna: cópia com variações
Authors: Inácio Francilda Araújo
Published: April 2023

Este estudo aborda questões relativas à Noite na taverna, obra em que Álvares de Azevedo, num procedimento intertextual, pouco comum, realiza um diálogo com produções e autores consagrados da tradição, assumindo o simulacro, nos termos definidos por Gilles Deleuze como uma reversão, uma ruptura direcionada à criação. Seguindo um movimento de recusa da representação, o simulacro se opõe à tendência de a cópia voltar ao passado originário, para reproduzi-lo sem diferença e, portanto, sem crítica, não se tratando de uma reprodução pura e simples, mas da produção de algo diferente. No caso específico de Noite na taverna, que evidencia de forma clara sua filiação a fontes literárias, temos um movimento de choque com a tão propalada originalidade romântica, que empreende ainda um percurso em direção ao descentramento do discurso literário convencional e do sujeito–criador - como instância única e privilegiada da criação.
Condições de ventilação intra-urbana e correlações entre atributos da morfologia urbana e variáveis climáticas
Authors: Carvalho Homero Jorge Matos de
Published: April 2023

Este trabalho apresenta alguns resultados da aplicação de uma nova metodologia para a análise das interações entre a forma urbana e o clima (CARVALHO, 2006), baseada na metodologia de avaliação das ações do vento no planejamento da ocupação do solo (SILVA, 1999) e na teoria do sistema clima urbano (MONTEIRO, 1975). Através de experimentos em túnel aerodinâmico de camada limite atmosférica, medições de variáveis microclimáticas em João Pessoa e de análises estatísticas, constatou-se que a correlação entre a forma urbana e a variação da temperatura do clima urbano depende das condições de ventilação intra-urbana (velocidade e direção), e, ao mesmo tempo, da orientação da malha urbana, da rugosidade e da permeabilidade da forma urbana.
Propriedades químicas dos solos da Bacia Hidrográfica do Açude Namorado, PB
Authors: Chaves Lucia Helena Garófalo , Chaves Iêde De Brito , Vasconcelos Ana Carolina Feitosa de
Published: April 2023

A bacia hidrográfica do açude Namorado, localizada na região do Cariri Ocidental, PB, tem sido objeto de diferentes pesquisas que visam à recuperação e manejo racional das suas terras. Com o intuito de contribuir com informações para essas pesquisas, objetivou-se realizar um levantamento das propriedades químicas dos solos que ocorrem na referida bacia (1.378 ha), por meio da coleta de 200 amostras compostas de solo, na profundidade de 0-20 cm. As amostras foram caracterizadas quimicamente e os dados analisados por técnicas estatísticas descritivas. Os resultados obtidos indicaram haver maior variabilidade para os valores de potássio, sódio, fósforo, condutividade elétrica e porcentagem de sódio trocável; variabilidade média para cálcio, magnésio e matéria orgânica e menor variabilidade para o pH. As amostras de solo da maior parte da bacia hidrográfica do açude Namorado apresentam valores de pH e teores de cálcio, magnésio e potássio adequados para a maioria das culturas; apresentam valores de matéria orgânica e de fósforo inadequados e são classificadas como não salinas e normais quanto a presença de sódio. O cálcio apresenta distribuição normal dos dados em toda a área da bacia e os dados referentes ao potássio, matéria orgânica e fósforo seguem uma distribuição normal apenas na área de ocorrência do Vertissolo Cromado órtico.
Paisajes generativos. Del control a lo salvaje mediante el diseño resiliente
Authors: García García Miriam
Published: April 2023

Desde los años sesenta del siglo pasado, la planificación y el diseño urbano han experimentado una fuerte transformación, de la mano de una renovación del concepto del paisaje, regido por las lógicas de los sistemas adaptativos complejos. Su aplicación práctica ha sido posible a través de los concursos de grandes parques públicos. Estos vastos territorios han incorporado los procesos programáticos, primero, y los ecológicos, después, como medio para la adaptación dinámica. Una evolución del diseño basado en el control de la forma y la función, a otro que propicia lo salvaje, entendido como regeneración adaptativa.
Motivations for choosing an allied health profession career: findings from a scoping review
Authors:   University of Winchester, UK, Wallis Lucy , Locke Rachel ,   University of Winchester, UK, Ryall Steven ,   University of Winchester, UK, Harden Beverley ,   Health Education England, UK
Published: April 2023

Fourteen professions are recognised as AHPs in England representing the third largest workforce in health and care. Although there is a need to significantly grow the AHP workforce in England, recruitment to many AHP courses is an issue. To increase course applications and encourage individuals to choose AHP careers, we need to understand the decision-making process in choosing an AHP career. The aim of this scoping review was to examine the nature and breadth of evidence internationally regarding the motivations for choosing an AHP career as well as any sources of influence and barriers. A comprehensive search identified 61 relevant studies. Findings revealed inconsistency in the evidence base and the literature focused on a select number of professions and countries. No relevant studies were found for three professions. Whilst many motivations and sources of influence were identified, barriers to entering an AHP career were explored less. The opportunity to help people was a key motivation with financially based motivations less important. Personal influences, such as a relative working in healthcare, were the most influential source to choosing this career pathway, media was the least. The main barrier to choosing an AHP career identified was a lack of awareness of the profession. There is a need to further investigate career choice motivations, sources of influence and barriers for all AHPs; gaining this knowledge will help tailor future healthcare career promotion and advice for each profession and assist with overall AHP recruitment.
Tensions and Possibilities: A qualitative study of the views of nurse faculty training medical students to be Health Care Assistants
Authors:   Leicester Medical School, University of Leicester, UK, Patel Kishan , Gay Simon ,   Leicester Medical School, University of Leicester, UK, Holland Richard ,   Leicester Medical School, University of Leicester, UK, Anderson Elizabeth ,   Leicester Medical School, University of Leicester, UK
Published: April 2023

In the majority of pre-registration training programmes early theory is supported by later clinical learning. Unlike nursing, midwifery and the allied health professions, medical training often offers relatively little early clinical patient contact, though this does vary by medical school. To overcome this, recently, some medical schools offer patient-facing nurse training for the Care Certificate (CC) in the first year, but as yet little is known about how this is being received by nurses. We report on the experiences and perceptions of nurse-led faculty who led a pilot for first year medical students to gain the CC in the academic year 2019-20, in one UK medical school. The qualitative study involved one-to-one in-depth semi-structured interviews with the course educators. Data were analysed using reflexive thematic analysis. Seven faculty participated, sharing their delight at students’ willingness to embrace the CC. Five main themes arose: i) perceptions of doctors and nurses in the healthcare system; ii) affinity with the medical students; iii) benefits of the CC for medical students working as Health Care Assistants; iv) anxiety about teaching the medical students; and, v) uncertainty about whether this training should be compulsory. We discovered that, nurses yearn for greater appreciation for their work by the medical workforce. These teachers felt this could be realised through this change within first year medical training. Many benefits were perceived as an outcome of this training for medical students, all members of the clinical team and most importantly for patients.
Telecommuting and Remote Work Revolution: Are Workers More Effective and Productive Working from Home? (A Multi-Perspective Analysis)
Authors: Agba Michael Sunday , Agba Grace Eleojo Michael , Ettah Godwin , Obera Victoria Ahonya
Published: April 2023

Working from Home (WFH) has become a profound workplace culture in developed and developing countries with a concern whether it should be continued or discontinued. Therefore, the purpose of this paper was to examine the subject of telecommuting and remote work revolution against whether workers are more effective and productive working from home? To accomplish this, a descriptive research design that is multi-perspective in nature and utilizes the content analysis approach was adopted. The paper presented a brief history of teleworking, different remote working platforms, performance of teleworkers, factors affecting performance of remote workers and concluding remarks which embodies recommendations.
Características de la empresa misional franciscana en Sonora al finalizar el siglo XVIII
Authors: de la Torre Curiel José Refugio
Published: April 2023

En 1772 el fiscal de la Audiencia de México, José Antonio de Areche, envió al virrey Bucareli una carta en la que mostraba su preocupación por la decadencia a la que habían llegado las misiones de Sonora y por los obstáculos que se ofrecían para extender los límites de los dominios del rey. Con tan solo volver la vista a los primeros tiempos en que las armas reales y los religiosos se habían aventurado hacia tierra adentro, decía el fiscal, resultaba claro «O que nos hemos separado de aquellas reglas con que se empezó una y otra conquista, o que nuestra acción no es tan poderosa y unida como lo fue entonces». Luego de analizar el estado de cosas que imperaban en el norte del virreinato, la conclusión a la que llegaba Areche era que de continuar en las misiones el mismo gobierno espiritual y temporal resultaban ociosos «los trabajos y afanes de los misioneros, y superfluos los gastos que hacen a la Real Hacienda, como que no se conseguirá el fin y piadosas intenciones del rey en este asunto»
Effect of Vitamin C at Different Doses on the Oxidant/Antioxidant System of Ewes During Late Pregnancy, Early and Late Lactation and Their Lambs
Authors: Gürgöze Sema , Alak İlyas , Durak Mehmet Hanifi
Published: April 2023

Background: The development of connective tissue in the fetus during the ruminant gestation period increases the need for vitamin C, which is then further increased by the course of pregnancy and lactation. As pregnancy and lactation develop, free radicals and MDA produced as a result of oxidative stress interact with functional groups in the cell, resulting in cell damage. The oxidant/antioxidant balance at this time can be calculated using the total antioxidant status, total oxidant status and oxidative status index values. This study aimed to investigate the effect of two different doses of vitamin C on oxidative stress indicators in late gestation, early and late lactation ewes and their offspring. Methods: In the study, 48 ewes of the German Meat Merino and Akkaraman breeds that were developed by crossbreeding were employed. After breeding, four groups were formed from pregnant and non-pregnant ewes. Negative Pregnancy Control group was formed from non-pregnant ewes. Positive Pregnancy Control, Positive Pregnancy Practice 1 and Positive Pregnancy Practice 2 groups were formed from pregnant ewes. After the 90th day of pregnancy, ewes in the Negative Pregnancy Control and Positive Pregnancy Control groups received saline (0.9% NaCl, 2.5 ml) injections every week concurrently with the other pregnant groups until delivery. From the 90th day of pregnancy until birth, sheep participating in Positive Pregnancy Practices 1 and 2 received weekly injections of vitamin C (625 mg/CA, 2.5 ml and 1250 mg/CA, 5 ml, respectively). Result: In the study, no statistically significant difference was found in serum MDA, TAS, TOS and OSI levels between late pregnancy, lactation and born lambs. While none of the pregnant ewes in this study aborted, vitamin C injection significantly decreased postnatal lamb mortality. This showed that vitamin C helped pregnant ewes feel less stressed throughout pregnancy and helped lower postnatal lamb mortality. In pregnant ewes, AO-effective vitamin C supplementation has been shown to have possible beneficial effects on both maternal and offspring health, whereby the number of stillbirths was reduced by vitamin C supplementation, especially in Positive Pregnancy Practice 2 lambs.
Crop Establishment Methods and Moisture Mitigation Practices in Rice Fallow Blackgram for Productivity Enhancement in Cauvery Delta Zone of Tamil Nadu
Authors: Subrahmaniyan K. , Kumar G. Senthil , Subramanian E. , Raju M. , Veeramani P. , Ravi V.
Published: April 2023

Background: With extensive adoption of mechanised harvest in paddy, the population of blackgram in the rice-blackgram relay cropping system is drastically affected due to the chain traverse by combine harvester. This has emerged as another major abiotic stress in addition to moisture stress at flowering stage of the crop, which resulted in poor yield. Methods: The studies were conducted during post rainy seasons of 2015-16 to 2017-18. with six treatments viz., T1 - Sowing blackgram by broadcasting 7-10 days prior to manual harvest of paddy, T2 - Sowing blackgram by no till seed drill on the day of harvest of paddy, T3 - Sowing blackgram by broadcasting 4-6 days prior to harvest of paddy by combine harvester, T4 - T1 + Life saving irrigation with mobile sprinkler once at 30-35 DAS, T5 -T2 + Life saving irrigation with mobile sprinkler once at 30-35 DAS, T6 -T3 + Life saving irrigation with mobile sprinkler once at 30-35 DAS. Result: The results indicated that higher grain yield of 875 kg ha-1 was obtained with blackgram sown 7-10 days prior to manual harvest of paddy plus life saving irrigation on 30-35 DAS with mobile sprinkler using farm pond water, which was 31.6% higher than that of blackgram sowing with no till seed drill. The study also indicated that farm pond dug at an area of 100 m3 would be sufficient to irrigate 1 ha of blackgram through mobile sprinkler once at flowering stage (30-35 DAS by which the net return could be increased by ₹ 61416 ha-1.
La memoria verborum en el Congestorium artificiosae memoriae de Johannes Romberch
Authors: Ramos Grané Marta
Published: April 2023

From classical rhetoric onwards, it has been acknowledged that memory can help to remember words as well as content, that is, memoria verborum versus memoria rerum. Although the volume of the treatises on ars memorativa had been progressively increasing, there is no integral explanation for the uses and applications of memoria verborum. Likewise, in modern studies, this method has sometimes been confused with the formation of images from their signifier (imagines vocales or a verbo). In the present article a definition of this resource in the light of the encyclopaedic work of Johannes Romberch, author of the Congestorium artificiosae memoriae (Venice, 1520) is offered.
Evaluating the Residual Life of Long-Term Equipment Made of Structural and Heat-Resistant Steel By using Structural-Mechanical Criterion
Authors: Ababkov Nikolay , Smirnov Alexandr , Danilov Vladimir
Published: April 2023

The use of acoustic and magnetic methods of non-destructive testing to detect zones of stable localization of deformation in order to assess and predict the performance of long-term equipment is of scientific and practical interest at present. A structural-mechanical criterion has been developed, that reflects the revealed relationships between the structural and substructural states, internal stress fields and stable localization of deformations with the characteristics of non-destructive tests in the metal of long-term equipment made of structural 0.2 С steel and heat-resistant 0,12C-1Cr-1Mo-1V steel. The values of the structural-mechanical criteria Ks.-m for structural 0.2 С steel and for heat-resistant 0,12C-1Cr-1Mo-1V steel, corresponding to the moment of stable localization of deformation, are established. At the same time, it is recommended to replace the checked equipment nodes due to the exhaustion of the resource. The proposed and justified approach to assessing and predicting the performance and residual life of long-term power equipment, based on the identified relationships between the structural and substructural states, internal stress fields and stable localization of deformations with the characteristics of non-destructive tests and the calculation of the structural-mechanical criterion, was applied at a number of power plants in the Kemerovo region – Kuzbass. A methodology has been developed for evaluating the residual life, based on the identification and use of relationships between structural and substructural states, internal stress fields and stable localization of deformations with the characteristics of non-destructive tests and the calculation of a structural-mechanical criterion.
Clinical Use of Cisplatin Liposomes for Patients With Refractory Advanced Cancer
Authors: Komura Yasuo , Kimura Shintarou , Katagiri Tomoko , Hirasawa Yumi , Hirayama Misaki , Okuda Tomonori , Muranishi Hiromi , Homma Koichiro
Published: April 2023

Cisplatin (CDDP) is a platinum-based drug effective against various cancers, including lung, bladder, prostate, ovarian, esophageal, stomach, and cervical cancer and malignant lymphoma. It plays a central role as the first choice in current anticancer therapy. However, CDDP causes serious side effects, such as neurological disorders, myelosuppression, and renal damage, because it is a small molecule indiscriminately distributed in normal tissues. Therefore, it is very important to prevent or attenuate CDDP toxicity. We hypothesized that liposomalization of CDDP could alleviate serious side effects. Therefore, this study aimed to evaluate the safety and efficacy of CDDP liposomes. A patient with multiple recurrent liver metastases from metastatic nasal carcinoma was administered CDDP liposomes with consent. Magnetic resonance imaging showed that the patient remained stable-diseased; however, no apparent side effects were observed, and blood draw data showed no worsening of renal function. Patients undergoing partial pancreatectomy and jejunoileal biliary anastomosis for biliary tract cancer who consented to receive CDDP liposomes demonstrated a partial response on angiographic computed tomography; however, they showed slight fatigue. To our knowledge, the present study is the first in Japan to suggest that liposomalization of CDDP may have anticancer effects while alleviating renal damage and bone marrow suppression.
Review on Additives in Hydrogels for 3D Bioprinting of Regenerative Medicine: From Mechanism to Methodology
Authors: Fu Qiang , Zhang Kai le , Fang Zhuo Wen , Yang Ming , Liu Meng , Jin Wang Yang , Wang Hui Yu , Yang Xing Ran , Wang Ying
Published: April 2023

Regeneration of biological tissues in medicine is challenging, and 3D bioprinting offers an innovative way to create functional multicellular tissues. One common way in bioprinting is bioink which is one type of the cell-loaded hydrogel. For clinical application, however, the bioprinting still suffers from satisfactory performance, e.g. in vascularization, effective antibacterial, immunomodulation and regulation of collagen deposition. Many studies have incorporated different bioactive materials into the 3D printed scaffolds to optimize the bioprinting. Here, we review a variety of additives added to the 3D bioprinting hydrogel. The underlying mechanisms and methodology for biological regeneration are important and will provide useful basis for future research.
A Study On Lightning Injury Mechanism And Medical Treatment Based On Case
Authors: Yin Qiyuan , Zhang Yijun , Zhu Yiyin , Zhou Fangcong , Zhu Biao
Published: April 2023

Currently, the number of lightning casualties and casualty rates have significantly reduced in developed countries, but there has been no significant reduction in developing countries. On the one hand, this is due to the high frequency of lightning; on the other hand, the vulnerability of people in developing countries is also an influencing factor. Through case analysis and summary, this paper expounds on lightning injury’s mechanism and clinical manifestations. It points out that lightning injury is mainly related to heart problems and the impact on the nervous system, rather than burns, which usually cause fewer consequences. Medical treatment needs to pay attention to the order and principles of treatment. Implementing CPR and auxiliary AED is the most effective way to save lives. Attention should be paid to the practical and effective treatment and nursing of lightning stroke sequelae. Finally, combined with the situation of lightning casualties in china, the existing problems are put forward during the process of early treatment, post-hospital treatment, and nursing observation, which provides an objective basis for the cognition of the scientific nature of the lightning injury.
Evidence of Global Warming:
A Meta-Analysis of Temperature Management in Aortic Arch Surgery
Authors: Huber Florian , Schachner Bruno , Gottsberger Jessica Zofia , Benedikt Peter , Zierer Andreas Florian
Published: April 2023

Objectives: Treatment of aortic pathologies involving the distal ascending aorta, aortic arch, and descending aorta remains a complex and challenging procedure. Appropriate management is important to achieve satisfactory outcome. Surgical management aims to reduce the time of circulatory arrest. The optimal level of hypothermia is still a matter of debate. The present meta-analysis shows the influence of different temperature levels on mortality and morbidity following aortic arch surgery.

Methods: We performed a meta-analysis of published data between January 2000 and March 2020 based on a literature research. 120 studies were included with a total of 32 323 patients divided into three different groups of systemic hypothermia (temperature group 1: ≥ 25 °C, temperature group 2: 25-20°C, temperature group 3: ≤ 20°C) were used for statistical analysis.

Results: Early mortality was lowest in temperature group 1 compared to group 2 (OR = 1.42; 95% CI, 1.09-1.85; p=0.01) and group 3 (OR = 1.74; 95% CI, 1.20–2.52; p=0.003). Perioperative stroke appeared to be less frequently in temperature group 1 versus group 2 (OR = 1.48; 95% CI, 1.20-1.82; p=0.0002) and group 3 (OR = 1.61; 95% CI, 1.19 - 2.18; p=0.002). Similar results are obtained concerning new renal insufficiency (group 1 versus group 2: OR = 1.20; 95% CI, 0.91-1.57, p=0.19; group 1 versus 3: OR = 0.94; 95% CI, 0.67 - 1.32, p=0.73) and re-exploration for bleeding (group 1 versus group 2: OR = 1.10; 95% CI, 0.80-1.53, p=0.55; group 1 versus group 3: OR = 1.92; 95% CI, 1.26 - 2.94, p=0,0025).

Conclusions: We observed that moderate level of hypothermia during circulatory arrest reduced the incidence of early mortality. Most dreaded neurologic complications occurred less frequently in TG 1. In contrast there was no difference with regards with new onset of renal failure which is commonly accepted as a reliable marker of the quality of visceral organ protection.
Physical Layer Security Performance Analysis of RIS-aided Cognitive Radio Networks
Authors: Liu Zhangyu , Wang Ji , Jiang Hao , Wang Jun , Li Xingwang , Xie Wenwu
Published: April 2023

Abstract- Cognitive radio (CR) play an important role in improving spectral efficiency (SE) of wireless communication, meanwhile, intelligent reflecting surface (IRS) is an effective technology to improve the secrecy performance of wireless communication system by adjusting the phase shift and amplitude of channel. Thus, we consider an IRS-aided multiple-input single-output (MISO) CR systems to enhance secrecy rate, which is consists of a single eavesdropping link, a primary network containing the primary receiver (PR), and secondary network including secondary receiver (SR) and the SR transmitter (SR-TX). Specifically, we minimize the transmit power of SR subject to secrecy capacity constraint and interference temperature (IT) constraint on PR, by jointly optimizing the beamforming vector and artificial noise (AN) constraints matrix at SR-TX as well as the phase shift matrix of IRS. Numerical results show that the different values of transmit antennas at the SR-TX and the number of IRS elements can significantly decrease the transmit power under the condition of ensuring secure communication.