bluuebunny/crossref_metadata_2025 huggingface dataset:
Tathbīq Tharīqah al-Tamyīz fī Ta’līm Qawāid al-Lughah al-‘Arabiyah li Tarqiyah Mahāah Qirāah Kutub al-Turās
Authors: Azizurahman Azizurahman , Fadli Adi , Suryani Erma
Published: July 2024

Purpose- This paper describes the implementation and evaluation system of the Tamyiz method in learning Arabic grammar to improve the skill of reading heritage books in the Dinul Qoyyim Islamic Boarding School, Gunung Sari West Lombok, Halaqah Mubtadi.
Design/ Methodology/Qualitative - This field research uses a qualitative descriptive analysis approach, where the data sources consist of primary and secondary data sources, using observation, interview and documentation techniques. At the same time, data analysis is done by data reduction, presentation and verification. Test the validity of the data using validity testing in the form of extended observations, triangulation, increasing accuracy, negative case analysis, and organ screening.
Findings- The research findings indicate that the Tamyiz method, implemented through repetitive and varied exercises such as reading, memorization, and singing, significantly enhances students' understanding of grammar and morphology. Using the book "Fathul Qarib" as the primary text facilitates students' comprehension of Arabic grammar. The rhythm of singing exercises, inspired by children's songs and popular prayers, makes students more active in learning. Improvements in understanding and memorizing sentences, as well as ease in reading classical texts (kutubut turath), demonstrate the effectiveness of the Tamyiz method in learning Arabic grammar to improve the skill of reading heritage books.
Research Limitation- The study's limitations include its single-site focus at the Dinul Qoyyim Islamic Boarding School potentially limiting generalizability. The small sample size, focused on beginner students, may not fully represent broader educational contexts. Reliance on qualitative methods and a short duration restrict the depth of analysis and long-term impact assessment. Additionally, the specific cultural and religious context may affect applicability elsewhere. Future research should aim for broader sampling and longer-term assessments.
Are Men More Polite Than Women? Deconstruct the Politeness Strategy in Disagreement Statements
Authors: Putri Fitrari Ramadhani Salsabila , Firmonasari Aprillia
Published: July 2024

This research aims to find out the politeness strategies used by the participants for stating the disagreement and to disclose the stereotypes about women being more polite than men or not. The data source for this research was obtained from the disagreement statements performed by female and male participants in one of the Vice Debates’ episodes entitled Parents, Teachers & Students Debate the US Education System. The qualitative method was used to describe the differences in politeness strategies performed by women and men participants. This research found 37 politeness strategies used by all participants. Men participants produced 24 disagreement statements which contained 3 types of politeness strategies, which are bald-on record, positive politeness, and negative politeness. Positive politeness became the highest strategy used by men participants, it convinced the stereotype that men do not use an emotional approach when responding to the interlocutor is not necessarily true. On the contrary, female participants only delivered 13 disagreement statements but used all of the politeness strategies, which are bald-on record, positive politeness, negative politeness, and off-record. Negative politeness became the highest type and it reassures women do not always use long-winded talk when stating the disagreement.
Conquests Need Monuments and Monuments Need Inscriptions: The Textual Location of the Mount Ebal Altar Episode in Joshua
Authors: Rouse Kyle A.
Published: July 2024

In Joshua 8:30–35 (MT), Joshua builds an altar to YHWH and inscribes the stones of the altar with a copy of the tôrâ of Moses. This episode’s earliest position among Hebrew and Greek text traditions remains a topic of debate. Several overlooked parallels between Joshua’s conquest of Ai (Josh 8:1–29) and Assyrian royal inscriptions indicate that the text of Josh 8 draws more heavily on Assyrian literary warfare traditions than previously assumed. Importantly, the narrated conquest in Josh 8, Assyrian campaign reports, and several Levantine inscriptions conclude their narrations of warfare with the building of an inscribed monument. Striking similarities between the royal annals of Assurnasirpal II and Josh 8:1–29 evince the influence of Neo-Assyrian narrations of warfare upon later Northwest Semitic literary traditions. The MT position of the Mount Ebal altar episode, I argue, is the earliest extant textual location of this pericope because it is the only location of the Mount Ebal altar narrative that satisfies the text’s connection with Deuteronomy and the narrative expectations created by the preceding conquest account in 8:1–29.
Music Therapy with Patients with Personality Disorder
Authors: Hannibal Niels , Strehlow Gitta
Published: July 2024

This clinically oriented article reflects on music therapy with patients with a personality disorder diagnosis, focusing on music improvisation and the advantages and challenges it may provide for both patient and therapist. The method used is reflexive and based on a combination of many years of clinical experience and theoretical reflection. The article has four parts. The first part describes our approach to music therapy. The second part presents our view on challenges in music therapy with patients with a personality disorder (PD) and specifically borderline personality disorder (BPD) issues. The third part presents our view on the advantages of music therapy with this client group and the fourth part is a discussion. The discussion has three topics: 1. Does this article present a more nuanced picture of music therapy with a more diverse understanding of challenges and advantages? 2. What is the relationship between challenges/advantages and rupture/repair? 3. How does music therapy relate to common factor theory?
Andragogy for Music Therapy Education and Training
Authors: Jang Sekyung
Published: July 2024

The transdisciplinary as well as practical nature of music therapy profession makes it challenging for music therapy educators to design courses and curricula that prepare students to integrate theory and practice, balance the art and science of music therapy, and become independent learners. Existing literature on educational approaches focuses on specific areas such as clinical musicianship and research skills and does not provide holistic views or conceptualizations through which educators can design courses and curricula. In this paper, four conceptualizations and teaching strategies that may aid current educational practices are explored: building a culture of learning, life-long learning, self-directed learning, and teaching diversity and multicultural contexts. Educators’ roles are also provided in cultivating learning environments where students feel safe to explore new ideas and music therapy methods, develop cognitive and social skills as life-long learners, utilize internal motivation to learn and grow with autonomy, and cultivate self-awareness in order to approach clients with cultural humility and knowledge.
Finding Empathy Through Music Therapy Techniques in the Mist of Family Trauma
Authors: Dos Santos Andeline
Published: July 2024

Autoethnography involves rigorously describing personal experience and situating this by standing back, engaging in critique, and suggesting how the insights reached could be helpful to others. The author of this autoethnography (a music therapist and empathy researcher) sought to explore her own personal empathy struggles. A challenge in her family context that evoked experiences related to past trauma invited her into a process using music therapy techniques as she asked: How can the tools developed in her research on empathy help her make sense of this experience? How can these tools awaken more empathic responses to her child? How can going through this process give her greater insight into its potential use within music therapy sessions? By designing a series of experiences using receptive and active techniques, she explored how two empathy pathways (insightful empathy and relational empathy) could assist her in processing her thoughts and feelings as well as engaging in more other-centred empathy towards her child within the family situation of concern. The implications for drawing on such a process within a music therapy context are explored.
Lactate and base excess (BE) as markers of hypoperfusion and mortality in traumatic hemorrhagic shock in patients undergoing Damage Control: a historical cohort
Authors: REESE FERNANDA BAEUMLE , HUBERT FLAVIA CASTANHO , COSENTINO MARIANA BRUINJE , OLIVEIRA MIRELLA CRISTINE DE , RÉA NETO ÁLVARO , BERNARDELLI RAFAELLA STRADIOTTO , MATIAS JORGE EDUARDO
Published: July 2024

ABSTRACT Introduction: hemorrhagic shock is a significant cause of trauma-related deaths in Brazil and worldwide. This study aims to compare BE and lactate values at ICU admission and twenty-four hours after in identifying tissue hypoperfusion and mortality. Methods: examines a historical cohort of trauma patients over eitheen years old submittet to damage control resuscitation approch upon hospital admission and were then admitted to the ICU. We collected and analyzed ISS, mechanism and type of trauma, need for renal replacement therapy, massive transfusion. BE, lactate, pH, bicarbonate at ICU admission and twenty-four hours later, and mortality data. The patients were grouped based on their BE values (≥-6 and <-6mmol/L), which were previously identified in the literature as predictors of severity. They were subsequently redivided using the most accurate values found in this sample. In addition to performing multivariate binary logistic regression. The data were compared using several statistical tests due to diversity and according to the indication for each variable. Results: there were significant changes in perfusion upon admission to the Intensive Care Unit. BE is a statistically significant value for predicting mortality, as determined by using values from previous literature and from this study. Conclusion: the results demonstrate the importance of monitoring BE levels in the prediction of ICU mortality. BE proves to be a valuable bedside marker with quick results and wide availability.
Readmissão no pronto socorro, um problema evitável? Análise e estratificação de readmissões em um centro de referência para trauma
Authors: ADANIA EDUARDO TAKEMURA , FARIA JUNIOR GILSON SOARES DE , FRANZONI NICOLE RAMPANI , PIMENTEL SILVANIA KLUG
Published: July 2024

RESUMO Introdução: A readmissão hospitalar é uma maneira comum de se avaliar a qualidade do atendimento prestado em um serviço de emergência. O objetivo deste estudo foi quantificar, estratificar e buscar possíveis fatores associados às readmissões de um serviço de emergência referência para atendimento ao trauma. Métodos: Estudo longitudinal retrospectivo com pacientes admitidos, duas vezes ou mais, no pronto-socorro em um período máximo de 30 dias da admissão inicial - tendo sido internados ou não. Dados clínicos e demográficos foram obtidos a partir de prontuários eletrônicos. Resultados: A taxa de readmissão do serviço foi de 4,11% para todas as readmissões e 2,23% para as readmissões evitáveis. Dentro desse grupo, 61,19% foram provavelmente evitáveis, 19,47% possivelmente evitáveis e 19,34% eventualmente evitáveis. Quanto ao tempo, 48,16% ocorreram em menos de uma semana da readmissão inicial. Além disso, não foi encontrada associação estatisticamente significativa na análise do sexo biológico, dos acidentes de trabalho e das comorbidades. Foi encontrada associação estatisticamente significativa na análise da idade e do transporte por ambulância (OR 1,37; IC 95% 1,17-1,59). Conclusão: O estudo explicitou que há readmissões em pronto-socorro que poderiam ser evitadas, além de ter sido observada uma relação significativa entre as readmissões e a faixa etária, e o transporte por ambulância.
Emergency room readmission, an avoidable problem? Analysis and stratification of readmissions in a trauma reference center
Authors: ADANIA EDUARDO TAKEMURA , FARIA JUNIOR GILSON SOARES DE , FRANZONI NICOLE RAMPANI , PIMENTEL SILVANIA KLUG
Published: July 2024

ABSTRACT Introduction: Hospital readmission is a common way to assess the quality of care provided in an emergency service. In this context, the aim of this study is to quantify and stratify readmissions in a trauma reference emergency service. Methods: A retrospective longitudinal study was conducted with patients readmitted, twice or more, in the emergency service within a maximum period of 30 days from the initial admission - hospitalized or not. Clinical and demographic data were obtained from electronic medical records. Results: The readmission rate for the service was 4.11% for all readmissions and 2.23% for avoidable readmissions. Within this group, 61.19% were likely avoidable, 19.47% possibly avoidable, and 19.34% eventually avoidable. Regarding time, 48.16% occurred within one week of the initial readmission. Furthermore, no statistically significant association was found in the analysis of biological sex, occupational accident, and comorbidities. A statistically significant association was found in the analysis of age and ambulance transport (OR 1.37; 95% CI 1.17-1.59). Conclusion: The study highlighted that there are still readmissions in the emergency department that could be avoided. A significant relationship was observed between readmissions and patient ages, and ambulance transport.
O choque argentino e o dilema brasileiro
Authors: MODIANO EDUARDO MARCO
Published: July 2024

RESUMO A aplicação da política anti-inflacionária do chamado “choque heterodoxo” na Argentina provocou diversas discussões sobre as semelhanças e diferenças entre a inflação brasileira e argentina, e a possibilidade de sua aplicação no Brasil. Este artigo tenta examinar algumas dessas questões. A análise enfatiza a questão das defasagens nos reajustes de preços e a contribuição da conversão de preços aos valores médios do período para a estabilidade da nova moeda; a questão da sincronização de salários e aumentos de preços; e a utilização de tabelas de conversão. Por fim, a taxa de juros e sua relação com o nível de atividade econômica.
La vida como bien supremo y el dogma de su sacralidad: Arendt y Benjamin en torno a la modernidad
Authors: Michelow Daniel
Published: July 2024

Resumen: El presente artículo tiene como objetivo principal relacionar las ideas de Walter Benjamin y de Hannah Arendt respecto de la exacerbación del valor de la vida nuda como elemento central de la Modernidad. Mientras Benjamin habla del dogma de la sacralidad de la vida, la describe Arendt en términos de bien supremo. En ambos casos se hace referencia a un cierto estatus de protección de la vida, que se revela a poco andar como un fenómeno que tiende, más bien, a ejercer una dominación esencial sobre lo vital.
A interminável questão: por que (devo) agir moralmente?: análise do capítulo 12 de Ética Prática de Peter Singer
Authors: Castro Paulo Alexandre e
Published: July 2024

Resumo: Este ensaio procura fazer uma análise minuciosa do capítulo 12 da Ética Prática de Peter Singer, capítulo fundamental não apenas para a compreensão do pensamento ético e moral do autor, mas igualmente para a compreensão do pensamento cultural e civilizacional que o autor tem da humanidade. É nesse sentido que a pergunta plasmada em título - por que agir moralmente? -, não se limita ao horizonte da discussão redundante do interesse pessoal ou dos fatores educacionais mas se transforma no exercício filosófico-ético de indagação pelo agir humano no mundo, e, portanto, uma questão que radica no interior da própria ética (como refere o autor), isto é, enquanto fundamento do agir humano. O ensaio termina com uma reflexão sobre a validade do pensamento ético do autor nesse capítulo específico, e algumas considerações sobre o pensamento geral ético do filósofo.
Reutilización de mascarillas N95/PFF2 en la práctica clínica: análisis morfológico y estructural
Authors: Vimieiro Viviane Lopes , Vimieiro Claysson Bruno Santos , Oliveira Adriana Cristina de
Published: July 2024

Objetivo: analizar la integridad de mascarillas N95/PFF2 con relación a la morfología de las fibras, porosidad, grietas y microagujeros, así como identificar daños visibles en su estructura y componentes, luego de protocolos de reutilización de siete y quince días. Método: estudio transversal. Se analizaron las características estructurales y morfológicas de una mascarilla N95/PFF2 nueva en comparación con las mascarillas N95/PFF2 (n=10) utilizadas en protocolos de siete y quince días, mediante inspección visual y microscopía electrónica de barrido. Resultados: tras la inspección visual, siguiendo el protocolo de siete días, el 40% y el 60% de las mascarillas N95/PFF2 mostraron, respectivamente, marcas de identificación personal y suciedad externa e interna. Además, el 20% presentó aflojamiento y/o desgarro de las correas de sujeción, mientras que el 100% presentó algún tipo de daño en los clips nasales. En el protocolo de quince días, todas las mascarillas N95/PFF2 tenían suciedad, correas de sujeción sueltas y clips nasales dañados, y el 80% tenía pliegues. La microscopía electrónica reveló un aumento de poros y aflojamiento en las tramas a partir de los siete días, extendiéndose hasta los quince días, con presencia de microagujeros y residuos. Conclusión: la reutilización de las mascarillas N95/PFF2 compromete su integridad estructural y morfológica. Es crucial realizar pruebas para medir el impacto de esta práctica en la seguridad de los profesionales de la salud.
Reuse of N95/PFF2 masks in clinical practice: morphological and structural analysis
Authors: Vimieiro Viviane Lopes , Vimieiro Claysson Bruno Santos , Oliveira Adriana Cristina de
Published: July 2024

Objective: to analyze the integrity of N95/PFF2 masks in relation to fiber morphology, porosity, cracks and micro holes, as well as identify visible damage to their structure and components, after seven- and fifteen-day reuse protocols. Method: cross-sectional study. Structural and morphological characteristics of a new N95/PFF2 mask were analyzed in comparison with N95/PFF2 masks (n=10) used in seven- and fifteen-day protocols, through visual inspection and scanning electron microscopy. Results: upon visual inspection, following the seven-day protocol, 40% and 60% of the N95/PFF2 masks showed, respectively, personal identification marks and external and internal dirt. Additionally, 20% exhibited loosening and/or tearing of the straps, while 100% showed some type of damage to the nose clips. In the fifteen-day protocol, all N95/PFF2 masks had dirt, loose straps and damaged nose clips, and 80% had folds. Electronic microscopy revealed an increase in pores and loosening in the weaves from seven days onwards, extending up to fifteen days, with the presence of micro holes and residues. Conclusion: the reuse of N95/PFF2 masks affects their structural and morphological integrity. It is crucial to carry out tests to measure the impact of this practice on the safety of health professionals.
Cultural competence of undergraduate student nurses: a multicenter study
Authors: Sagarra-Romero Lucía , Ramón-Arbués Enrique , Huércanos-Esparza Isabel , Kalkan Indrani , Kömürcü Nuran , Vanceulebroeck Valérie , Dehaes Shana , Coelho Margarida , Casa-Nova Antonio , Antón-Solanas Isabel
Published: July 2024

Objective: to evaluate the level of cultural competence of an undergraduate nursing students’ population from four European higher education institutions. Method: a total of 168 nursing students from four different countries were included in our study. The study methodology involved a cross-sectional assessment of cultural competence among undergraduate nursing students from four European universities. Data collection included sociodemographic variables, as well as the following validated tools: the Intercultural Sensitivity Scale, the Cultural Competence Assessment Tool (student version) and the Cultural Awareness Scale. Results: our results indicated that students demonstrated a high level of intercultural sensitivity but a moderate level of cultural competence and cultural awareness. Variations existed among students from different countries, suggesting potential differences in educational approaches. Despite expectations that higher-level students would exhibit greater cultural competence, no significant differences were found by year of study, indicating a lack of effective integration of cultural competence into nursing curricula. Conclusion: nurse educators should consider the students’ cultural competence before designing related study programmes. Training programmes related to cultural competence should include elements which have been associated with enhanced cultural competence, including language skills, cultural encounter, and opportunities for internationalisation.
Competência cultural de estudantes de graduação em enfermagem: um estudo multicêntrico
Authors: Sagarra-Romero Lucía , Ramón-Arbués Enrique , Huércanos-Esparza Isabel , Kalkan Indrani , Kömürcü Nuran , Vanceulebroeck Valérie , Dehaes Shana , Coelho Margarida , Casa-Nova Antonio , Antón-Solanas Isabel
Published: July 2024

Objetivo: avaliar o nível de competência cultural de uma população de estudantes de graduação em enfermagem de quatro instituições europeias de ensino superior. Método: um total de 168 estudantes de enfermagem de quatro países diferentes foram incluídos em nosso estudo. A metodologia do estudo envolveu uma avaliação transversal da competência cultural entre estudantes de graduação em enfermagem de quatro universidades europeias. A coleta de dados incluiu variáveis sociodemográficas, bem como as seguintes ferramentas validadas: Escala de Sensibilidade Intercultural, Ferramenta de Avaliação de Competência Cultural (versão do aluno) e Escala de Consciência Cultural. Resultados: nossos resultados indicaram que os alunos demonstraram um alto nível de sensibilidade intercultural, mas um nível moderado de competência e consciência cultural. Houve variações entre os alunos de diferentes países, o que sugere possíveis diferenças nas abordagens educacionais. Apesar das expectativas de que os alunos de nível superior apresentariam maior competência cultural, não foram encontradas diferenças significativas por ano de estudo, indicando uma falta de integração eficaz da competência cultural nos currículos de enfermagem. Conclusão: os educadores de enfermagem devem considerar a competência cultural dos alunos antes de elaborar programas de estudo relacionados. Os programas de treinamento relacionados à competência cultural devem incluir elementos que tenham sido associados a uma maior competência cultural, incluindo habilidades linguísticas, encontros culturais e oportunidades de internacionalização.
Supplementation with increasing doses of selenium associated with vitamin E in the treatment of bovines with enzootic hematuria
Authors: Moreira Júnior Carlos A. , Oliveira Eduardo V. , Cardoso Caio. A. , Miranda Marcos P.B. , Guedes Natália A. , Burak Diego L. , Pfister James A. , Nunes Louisiane C.
Published: July 2024

ABSTRACT: Bovine enzootic hematuria (BEH) is a clinical form of poisoning in cattle caused by the consumption of Pteridium spp. (bracken fern), which has no treatment. However, selenium (Se) and vitamin E supplementation are feasible. The aim of this study was to evaluate the effects of supplementation with increasing doses of selenium associated with vitamin E in cattle with BEH, compare the levels of Se in whole blood and blood serum, and evaluate the activity of glutathione peroxidase, total antioxidants, and the relative activity of the enzyme monoamine oxidase (MAO). Four groups of cattle with BEH were supplemented parenterally for 13 weeks with increasing doses of Se: Control group, Treatment group 1 (0.05mg/kg), Treatment group 2 (0.1mg/kg), and Treatment group 3 (0.2mg/kg). All groups received 500mg of vitamin E in combination with the Se supplementation. The measured variables included weight, hematuria intensity, hematocrit, total plasma protein, plasma fibrinogen, blood glutathione peroxidase activity, and total antioxidant levels. The blood concentrations of Se and relative MAO activity were evaluated every two weeks. Kruskal-Wallis and Friedman tests (P<0.05) were used to assess treatment and time effects, respectively, followed by Dunn’s multiple comparison test. For weight, total antioxidant concentration, and relative MAO, there was no significant difference (P>0.05) between the treatments, but there was a significant difference over time (P<0.05). For hematuria and hematocrit, there were significant treatment differences (P<0.05) but no significant time differences (P>0.05). For glutathione peroxidase, there was no significant difference (P>0.05) among the treatments, but there was a significant difference (P<0.05) between treatments M8 and M14 in Treatment group 3. There were no differences in the total plasma protein and fibrinogen levels between treatments or over time (P>0.05). Selenium levels were higher in Treatment group 1, reaching the highest concentration (235.3µg/L) in the blood serum at eight weeks. Therefore, supplementation with Se at a dose of 0.05mg/kg associated with vitamin E improved the clinical condition of hematuria but did not interfere with glutathione peroxidase activity or with levels of total antioxidants. MAO activity was reduced by vitamin E supplementation. These results indicate that the serum is the best site for measuring Se levels.
Investigation of enterobacteria with zoonotic and multi-resistant potential in exotic parrots kept in a domestic environment
Authors: Marques Adson R. , Pascoal-Filho Neilton M. , Teixeira Régis S.C. , Silva Isaac N.G. , Melo Lucas S. , Lima Bruno P. , Campos Erica M.S.Q. , Maciel William C.
Published: July 2024

ABSTRACT: This investigation elucidated the presence of potentially zoonotic and antimicrobial-resistant bacteria in domestically reared psittacines. The present study was sanctioned by the Animal Ethics Committee of the State University of Ceará (CEUA-UECE) and bears registration number 03423745/2023. A total of 111 cloacal swab samples were procured from exotic psittacines encompassing six distinct species: the Australian budgerigar (Melopsittacus undulatus), cockatiels (Nymphicus hollandicus), lovebirds (Agapornis sp.), rose-ringed parakeets (Psittacula krameri), red-rumped parrots (Psephotus haematonotus), and rosellas (Platycercus eximius). The process encompassed the isolation and characterization of enterobacteria and ascertaining their resistance profiles. Among the collected specimens, 70.2% (78/111) yielded growth indicative of one or more enterobacterial agents. The collective isolates comprised 110 strains encompassing 13 distinct bacterial species. Foremost among these was Escherichia coli, accounting for a significant percentage of the total isolates at 30% (33/110), followed by Pantoea agglomerans at 27.2% (30/110). The study revealed that 35.4% (39/110) of the isolates exhibited resistance to tobramycin, with tetracycline and fosfomycin showing resistance rates of 34.5% (38/110) and 30.9% (34/110), respectively. Particularly noteworthy was that E. coli showed a heightened propensity for tetracycline resistance at 51.5% (17/33), while resistance rates to tobramycin and gentamicin were 36.6% (12/33) and 15.1% (5/33), respectively. A noteworthy subset of the enterobacterial cohort exhibited multidrug resistance patterns (28.9%, 32/110). Collectively, these outcomes underscore not only an elevated prevalence of enterobacterial strains but also the pervasive phenomenon of antimicrobial resistance across a diverse spectrum of antimicrobial agents.
INFECÇÃO POR CAPILLARIA HEPATICA EM CARNÍVOROS SILVESTRES (LYCALOPEX GYMNOCERCUS E CERDOCYON THOUS) NA REGIÃO SUL DO RIO GRANDE DO SUL
Authors: Ruas J.L. , Soares M.P. , Farias N.A.R. , Brum J.G.W.
Published: July 2024

RESUMO A infecção por Capillaria hepatica foi diagnosticada por exame histológico em 4 de 24 (16,6%) animais necropsiados. A parasitose foi inesperada e considerada um achado incidental de necropsia. Dados relativos ao sexo, idade, lesões macro e microscópicas dos animais parasitados são apresentados e discutidos.
AMBLYOMMA DISSIMILE KOCH, 1844 (ACARI: IXODIDAE) EM SERPENTE SUCURI (EUNECTES MURINUS) (REPTILIA: BOIDAE) NO PARQUE ZOOLÓGICO DO RIO GRANDE DO SUL
Authors: Brum J.G.W. , Rickes E.M.
Published: July 2024

RESUMO Os autores registram, pela primeira vez, a presença de Amblyomma dissimile Koch, 1844 no Estado do Rio Grande do Sul, parasitando serpente sucuri (Eunectes murinus) proveniente da região Amazônica.
Abordagem interprofissional na prevenção de quedas na assistência hospitalar
Authors: Albertini Anna Carolina da Silva , Peduzzi Marina
Published: July 2024

RESUMO Objetivo: Compreender a percepção e a experiência vivenciada pelos profissionais de saúde quanto às práticas de prevenção de quedas na unidade de internação hospitalar. Método: Trata-se de um estudo qualitativo do tipo exploratório e descritivo, na modalidade estudo de caso, desenvolvido com base no referencial canadense de competências interprofissionais. Os dados foram coletados através de dois grupos focais, com profissionais de saúde diferentes em cada grupo, utilizando análise de conteúdo temática. Resultados: Foram elaboradas cinco categorias que mostraram intensa convergência entre os participantes dos dois grupos focais, dentro do contexto das práticas para prevenção de quedas: comunicação entre profissionais e pacientes/acompanhantes para a prevenção de quedas, comunicação interprofissional para a prevenção de quedas, clarificação de papéis para a prevenção de quedas, educação em saúde sobre risco e prevenção de quedas e educação permanente para a prevenção de quedas. Conclusão: O trabalho em equipe e a prática colaborativa são importantes para atingir bons resultados na prevenção de quedas na assistência hospitalar, mas para isso os profissionais de saúde precisam se apropriar das competências necessárias para o agir colaborativo.
CONSTRUCTION AND VALIDATION OF A PODCAST FOR THE PREVENTION OF METABOLIC SYNDROME IN ADOLESCENTS
Authors: Sousa Antônia Sylca de Jesus , Amorim Júnior José de Siqueira , Moura Ionara Holanda de , Silva Ana Roberta Vilarouca da , Andrade Elaine Maria Leite Rangel
Published: July 2024

ABSTRACT Objectives: to create a podcast for the prevention of metabolic syndrome in adolescents and to validate its content, face and agreement with the target audience. Method: a methodological and quantitative study carried out in three stages from August 2022 to November 2023, after approval by an Ethics Committee. Stage 1: Pre-production - Construction of the storyboard based on a validated booklet and the principles of the Cognitive Theory of Multimedia Learning. This was followed by content validation with 22 nurses that are experts in adolescents' health, using the Health Education Content Validation Instrument. Stage 2: Production - adjustments and recording. Stage 3: Post-production: face validation with 12 nurses that are experts in the construction of educational technology, using a validated instrument and agreement validation with the target audience, using the Educational Podcast Evaluation Instrument. The Content Validity Index, Cronbach's α and Aiken's V were calculated and considered valid for values ≥0.80, ≥0.70 and ≥0.81, respectively. Results: the global Content Validity Index for the storyboard was 0.985, and 0.985 for face, with Cronbach's α values of 0.896 and 0.901, respectively. In the agreement validation with the target audience, Aiken's V was greater than 0.81 for 18 of the 20 items in the Educational Podcast Evaluation Instrument. Conclusion: the podcast can be considered valid in terms of content, face and agreement with the target audience and may be used for health education in the prevention of metabolic syndrome in adolescents.
MULTIPLICADORES FISCAIS NO BRASIL: ENTRE CONSENSOS E DISSENSOS
Authors: Busato Maria Isabel , Martins Norberto Montani
Published: July 2024

RESUMO: O trabalho tem como objetivo analisar de forma compreensiva a literatura empírica sobre multiplicadores fiscais no Brasil. A sua contribuição está associada à sistematização da literatura, destacando os pontos de convergência e divergência que possam, de um lado, orientar a formulação da política fiscal, e, de outro, assinalar os caminhos para uma agenda de pesquisa futura. Aponta-se que há importantes dissensos no que se refere à metodologia utilizada e quanto à heterogeneidade dos multiplicadores em diferentes estágios do ciclo econômico. Entretanto há consenso quanto aos impactos positivos dos gastos do governo sobre a renda e o crescimento econômico. Por fim, ao avaliarem os multiplicadores por “tipo de gasto”, diversos trabalhos indicam que os multiplicadores dos investimentos públicos e dos gastos sociais são maiores e têm efeitos mais persistentes ao longo do tempo.
POPULISMO COMO CONCEITO: TEORIA E HISTÓRIA DAS INTERPRETAÇÕES
Authors: Moraes Leonardo Segura , Fonseca Pedro Cezar Dutra
Published: July 2024

RESUMO: A literatura refere-se a populismo para qualificar tanto partidos políticos como movimentos políticos não institucionalizados, mas também o estende a certo tipo de política econômica, ainda que comparando governos de diferentes matizes e com práticas bastante diversas. A polissemia do conceito se atribui, em parte, porque os autores o utilizam com diferentes objetivos e designando fenômenos distintos, com implicações sobre a formulação e/ou execução de políticas econômicas. Diante disso, o objetivo deste artigo é investigar quatro aspectos centrais para o estudo do populismo. Primeiro, as origens do conceito. Segundo, suas dimensões analíticas distintas. Terceiro, os instrumentos de produção intelectual que embasam suas análises. Finalmente, o modo como tais instrumentos corroboram para a formulação de interpretações pejorativas das assim chamadas “experiências populistas”, que têm dificuldade para captar a relação entre populismo e crises econômicas. Para tanto, revisamos as diferentes interpretações do populismo atentando para contextos históricos e fundamentos teóricos e intelectuais. Com isso, pretendemos contribuir para uma nova agenda de investigação sobre o populismo como fenômeno político-econômico das sociedades modernas.
Evaluating the implementation of residency in family and community medicine in primary care
Authors: Ribeiro Lucas Gaspar , Cyrino Eliana Goldfarb , Pazin-Filho Antônio
Published: July 2024

ABSTRACT Introduction: Family and community medicine (FCM) is the preferred specialty to be found in primary health care (PHC). The best form of training professionals for the specialty is medical residency, when at least 70% of the internship period is spent at this local. Thus, it is necessary evaluate the insertion quality of the residency in the PHC. Objectives: This study aimed to evaluate the quality of implementation of medical residency programs in FCM in PHC. Method: Use of a tool developed to analyze the implementation of FCM residency in PHC in small (up to two second-year residents), medium (two to five) and large (from six) programs, evaluating from zero to four points, from unimplemented to fully implemented. The grades were based on interviews with residents, preceptors, coordinators, and municipal managers, considering the fourth-generation assessment with Bardin’s analysis of the speeches. Results: Six programs were evaluated, in municipalities with 20,000 to 12 million inhabitants, ranging from one to 22 second-year residents per program, ranging from unsatisfactory (one program) to fully implemented (two programs). Municipalities with greater PHC coverage showed better implementation results. The lowest scores were in the items “permanent education” and “continuing education” and the highest in the presence of FCM specialists as preceptors. There is a difference in perception between the interviewees considering the same questions. The study suggests that municipalities with greater investment in PHC also have better residency programs, regardless of whether they are linked to educational centers or health secretariats. The SARS-CoV-2 pandemic has also hindered health education. The results were also defined when different people were interviewed, demonstrating that the fourth-generation analysis is essential. Conclusion: It is necessary to observe the implementation of residency programs in PHC to ensure quality training, and not just quantity to provide care.
Online learning satisfaction and participation in flipped classroom and case-based learning for medical students
Authors: Moura Irma Uliano Effting Zoch de , Chakr Valentina Coutinho Baldoto Gava
Published: July 2024

ABSTRACT Introduction: Traditional teaching, a lecturer-centered approach, has been the default methodology in medical schools. In the last decades, there has been a shift in health education towards methods that encourage the student’s active participation. It has been proved that active methodologies increase engagement, and this was particularly necessary during the COVID-19 pandemic, when active methodologies were crucial to raise student participation in online classes. Objective: This study aimed to measure student satisfaction and participation in online classes utilizing active learning methods during the COVID-19 pandemic. Methods: We gathered data from anonymous surveys completed by fourth-year medical students during 18 months of online classes of pediatrics at a public medical school in Brazil. Classes were taught using flipped classroom and case-based learning methodology. Results: One hundred and twenty-one students took part in this survey. Satisfaction level with case-based learning classes in the discipline was high (53% very satisfied; 39% satisfied; 6% neutral; 2% unsatisfied). Most of the students (70%) answered that, in general, they prefer CBL to expositive classes (16% prefer expositive classes; 14% are neutral). Reading compliance was good: 81% read 75-100% of the texts, and 19% read 50-74% of them. Conclusion: The implementation of the active learning curriculum for the discipline of pediatrics demonstrated to be successful considering the participation of the students and their satisfaction level.
Modelos de proteção social e o direito à assistência odontológica às pessoas com deficiência
Authors: Carneiro Joana Danielle Brandão , Frazão Paulo
Published: July 2024

Resumo Conhecer e sintetizar as expectativas e recomendações sobre a assistência odontológica como direito à saúde bucal para as pessoas com deficiência (PcD) é essencial para auxiliar tomadores de decisão. Realizou-se uma revisão integrativa, com busca nas bases PubMed, Embase, Lilacs e BVS, de artigos publicados até 30 de agosto de 2021. Técnicas de mineração de termos foram adotadas, via plataforma Rayyan. A análise de conteúdo teve por referência a teoria de welfare state. Dezesseis artigos foram incluídos. A ampliação do acesso foi uma necessidade compartilhada por todos os estudos. As principais expectativas e recomendações foram: garantia de direito civil e a reorientação do modelo de atenção em saúde bucal (modelo liberal); necessidade de qualificação profissional, atendimento odontológico sistemático e gratuito, integração entre os serviços, trabalho multiprofissional e garantia de financiamento (modelo conservador); qualificação da infraestrutura e da força de trabalho; e articulação sistêmica entre os níveis assistenciais (modelo social-democrata). Observou-se um cenário de proposições complexo e, por vezes, contraditório, sujeito a indicações com pouco potencial de mudança, especialmente se não forem considerados os desafios contemporâneos decorrentes das crises econômicas e do Estado de bem-estar social que implicam graves constrangimentos aos modelos de proteção social e aos direitos das PcD.
AVALIAÇÕES: PERCEPÇÕES DE ALUNOS E PROFESSORES DE UM CURSO DE MEDICINA
Authors: CARVALHO FLÁVIA EMILIE HEIMOVSKI DE , AREDES JANAÍNA DE SOUZA , Toledo Jr Antonio
Published: July 2024

O objetivo deste estudo foi compreender as percepções de alunos e professores em relação às avaliações enquanto parte do processo ensino-aprendizagem. Trata-se de estudo qualitativo baseado em entrevistas semiestruturadas de  sete alunos e seis professores. Utilizou-se a técnica de análise de conteúdo na classificação dos dados e o referencial teórico-metodológico da antropologia hermenêutica na interpretação. Observou-se desvalorização das provas teóricas e a preferência por instrumentos de domínio psicomotor e afetivo. Um achado inesperado foi a ansiedade relacionada às avaliações, com percepção negativa pelos alunos e positiva pelos professores. A avaliação é parte fundamental do processo ensino-aprendizagem e deve incluir os diferentes domínios, incluindo o cognitivo, para ser fidedigna. Apesar da percepção positiva do processo de avaliação, a desvalorização das avaliações cognitivas e a ansiedade associadas ao processo avaliativo são pontos de alerta que precisam ser analisados de forma mais aprofundada.
Inteligencia artificial y tecnologías del aprendizaje para potenciar competencias en estudiantes de salud
Authors: Herrera Velázquez Maria del Rosario , Calderón Macias Maria Liliana , Marcillo García Concepción Elizabeth , Luna Baez Adis , Vásquez Paucar Maribel Celi
Published: July 2024

Con la llegada de las tecnologías del aprendizaje y el conocimiento (TAC), el rol del docente evolucionó de instructor a facilitador, y el estudiante pasó de ser un mero receptor a un creador. Una de las tecnologías que ha transformado significativamente todos los aspectos de la vida cotidiana, incluyendo la educación, es la inteligencia artificial (IA). En el entorno educativo, especialmente en la enseñanza superior, se ponen a disposición nuevas herramientas capaces de transformar los procesos tradicionales de enseñanza y aprendizaje y con ello, el desarrollo de competencias del estudiantado.
Este estudio ofrece una perspectiva sobre el uso de TAC e IA en la carrera de enfermería, así como sus implicaciones en la enseñanza, basándose en literatura científica y la experiencia desarrollada en la institución. Se describe la experiencia de los autores con su uso como parte de los proyectos de investigación “Enseñanza bimodal innovadora para el desarrollo de competencias genéricas en estudiantes universitarios” y “Sistema de enseñanza bimodal para el desarrollo de tecnologías del aprendizaje y el conocimiento”, los cuales se enmarcan en el programa de investigación “Currículo, innovación, educación y formación”. Se muestran las ventajas de su uso, y se reflexiona sobre los importantes desafíos éticos y prácticos. Los autores pretenden proporcionar información valiosa sobre cómo las herramientas tecnológicas y de inteligencia artificial pueden incorporarse con éxito al entorno educativo para desarrollar competencias específicas y transversales en los estudiantes universitarios, promoviendo al mismo tiempo un uso responsable y ético. Los autores consideran que no se debe prohibir el uso de la inteligencia artificial en la enseñanza superior, sino que se debe regular su uso mediante políticas que promuevan el uso ético y responsable y que, además, se alfabetice a docentes y estudiantes sobre el uso adecuado de esta poderosa herramienta, lo cual ayudaría en el proceso de enseñanza y aprendizaje y el desarrollo de competencias.
AVALIAÇÃO PRÉ-OPERATÓRIA MULTIDIMENSIONAL E SEU PAPEL NA PREVENÇÃO DE COMPLICAÇÕES PERIOPERATÓRIAS EM IDOSOS COM FRATURAS
Authors: Cassab Amanda Valim Kampa , Batista Flamarion dos Santos , Ribas-Filho Jurandir Marcondes , Nassif Paulo Afonso Nunes , Tabushi Fernando Issamu , Manso Jose Eduardo Ferreira , Torres Orlando Jorge Martins , Skare Thelma Larocca
Published: July 2024

Introdução: Pacientes idosos apresentam maior morbidade e mortalidade em internamentos hospitalares, procedimentos diagnósticos e cirúrgicos. Buscando melhorar a qualidade assistencial aos idosos foi criado o protocolo APOIO (Avaliação Pré-Operatória de Idosos e Orientação de cuidados), ferramenta para mensurar os riscos de complicações cirúrgicas.
Objetivo: Avaliar o impacto do APOIO sobre vários desfechos, a fim de validá-lo como veículo útil na prevenção de complicações perioperatórias em idosos com fraturas.
Método: Pesquisa retrospectiva transversal por meio de revisão de 218 prontuários de pacientes idosos internados por fraturas, e com indicação cirúrgica, tendo sido coletados dados sobre sexo, idade, motivo do internamento, tipo de fratura, indicação ou não de tratamento cirúrgico, avaliação ou não pela APOIO, indicação ou não de UTI no pós-operatório, duração do internamento em UTI, duração total do internamento, desfecho imediato e desfecho em 30 dias após a operação.
Resultado: Foi constatado que a aplicação do APOIO foi associada à redução de 70% nas chances de óbito durante o internamento (p = 0,040), ao tempo de permanência em UTI (p <0,001) e ao tempo total de internamento hospitalar (p =  0,010). Observou-se ainda tendência à redução na taxa de óbitos em 30 dias do pós-operatório (p = 0,117).
Conclusão: A aplicação da ferramenta APOIO reduz tempo de internamento, otimiza indicação e tempo de permanência em UTI e ainda diminui o risco de óbito de idosos submetidos a tratamentos cirúrgicos de fraturas.
COUPLED C-ESPRIT-BASED AZIMUTH AND ELEVATION ANGLE ESTIMATION WITH MINIMUM VARIANCE
Authors: Abyshev S. , Abysheva E.
Published: July 2024

This paper presents a method for conjugate estimation of azimuth and elevation angles based on the minimum variance C-ESPRIT method. The conjugate estimation method with minimum variance is a modification of the robust method based on the ESPRIT method with minimum variance and differs from it in that it does not require prior matching of signal duplicates. When modeling the signal acquisition from a unmanned aerial vehicle and processing it with the ESPRIT method, the data were distorted. Several signals were not displayed and noise appeared, which prevented the estimation of the signal arrival direction. The paper presents an efficient algorithm that can estimate the direction
of arrival based on uncorrelated and one-dimensional signals. The method of conjugate estimation
with minimum variance, when compared to the method of conjugate estimation without minimum variance, has been shown to improve the signal by a factor of 10. This improvement in signal quality allows one to conclude that the method is highly efficient. The C-ESPRIT-based minimum variance conjugate azimuth and location angle estimation method uses a robust minimum variance method
with a conjugate rotation matrix to process a second subarray of data. An important aspect of the method is that it uses information from all array elements without grouping them and without computing the mean of the covariance matrices.
Fen Eğitiminde Mühendislik Tasarım Becerisine Yönelik Öğretmen Adaylarının Görüşlerinin İncelenmesi
Authors: Şahbaz Esra , Karabulut Hilal , Gökçe Hasan , Kariper İshak Afşin
Published: July 2024

Bu çalışmada fen bilimleri öğretmen adaylarının mühendislik tasarım becerilerine ilişkin görüşlerinin ortaya çıkarılması amaçlanmıştır. Çalışmada nitel araştırma yönteminin olgu bilim deseni tercih edilmiştir. Araştırmanın katılımcıları dördüncü sınıf fen bilimleri öğretmen adaylarından sekiz kişidir. Katılımcılar amaçlı örneklem türlerinden ölçüt örnekleme ile uygun örnekleme yöntemi ile belirlenmiştir. Veri toplama aracı olarak yarı yapılandırılmış görüşme formu kullanılmıştır. Görüşmelerden elde edilen veriler içerik analizi ile analiz edilmiştir. Araştırmanın bulguları kod, kategori ve temalar şeklinde verilmiştir. Bulgular doğrudan alıntılarla desteklenmiştir. Araştırma, Mühendislik Tasarım Becerisi’ne (MTB) yönelik etkinliklerin disiplinlerarası etkileşim sağlama, problem çözme becerilerini geliştirme, analitik düşünmeyi sağlama ve daha iyi anlama sağlama amacıyla fen derslerinde kullanıldığı sonucuna ulaşılmıştır. Bu derslerinde MTB etkinlikleri öğretmen ve öğrenci görüşleri alınabileceği yönünde önerilerde bulunulmuştur.