bluuebunny/crossref_metadata_2025_split huggingface dataset:
Residentes, preceptores e tutores: construção polissêmica de sentidos
Authors: Aristides Jackeline Lourenço 
Published: February 2020

RESUMO: Durante o exercício da metodologia ativa em uma Pós em Preceptoria do SUS tivemos como questões de aprendizagem: o perfil de competência do residente, preceptor e tutor. Frequentemente vemos conceituações diferentes para esses atores. Vamos fazer uma aproximação com esses termos e como refletimos essas atuações em nossas Residências Multiprofissionais. Como metodologia de pesquisa procedemos à busca documental na Base de Dados da Bireme e utilizamos como palavras-chave: “Papel do Preceptor”, “Papel do Tutor”, “Papel do residente”, “Preceptoria”, “Tutoria”. Nessa seleção encontramos oito artigos dos últimos dez anos, além das portarias interministeriais. Notamos que as residências do município de Apucarana não estão alinhadas com as competências dos preceptores e tutores previstos na PORTARIA Nº 1.111/GM DE 5 DE JULHO DE 2001, porém essa “confusão” não ocorre só em nossos programas, mas também em outras residências. Definir um perfil único de competência dos sujeitos envolvidos no processo da residência é impossível, pois cada programa tem sua historicidade e suas singularidades. Mais do que chegar a algum lugar, o que importa e nos motiva verdadeiramente é o percurso da viagem: “procurar apaixonadamente um lugar ainda é mais gratificante que achá-lo2”. O papel do residente é o mesmo dos demais profissionais do SUS, o compromisso ético com a população, e a proposição de uma atuação pensada e ativada na mudança de modelo assistencial. Graças a essa busca, conseguimos nos instrumentalizar mais, e propusemos um encontro entre todos esses atores para atualizarmos esse debate.

Palavras chave: construção de sentidos. Estudante Residente. Tutor.
Psicoeducação de professoras: contribuições da teoria cognitivo-comportamental para promoção de saúde mental no contexto escolar
Authors: Gomes Sabrina Torres , Conceição de Jesus Fernanda , Gonçalves Miranda da Silva Jesus Lusimara 
Published: February 2020

O presente artigo relata a experiência vivenciada através da coordenação do projeto de extensão: Educação Psicoemocional de Professores(as), como parte das atividades desenvolvidas no Centro de Formação de Professores da Universidade Federal do Recôncavo da Bahia (CFP/UFRB). O projeto teve como objetivo trabalhar habilidades de autoconhecimento, autocontrole e desenvolvimento de habilidades socioemocionais em professores e professoras em formação através da Psicoeducação sobre emoções. O grupo de participantes foi composto por catorze mulheres, doze estudantes do curso de pedagogia, duas professoras recém formadas e duas monitoras do projeto (também estudantes de pedagogia), além da coordenadora. As atividades aconteceram quinzenalmente ao longo de um semestre letivo, tendo sido organizadas em oficinas temáticas sobre as emoções e temas correlatos. Os resultados indicaram a necessidade de promover com maior frequência atividades capazes de proporcionar informações sobre autoconhecimento para professores (as) em formação, que extrapolem os conteúdos teórico-práticos trabalhados durante a graduação, e possam ao mesmo tempo contribuir para a formação humana subjacente à prática profissional, contribuindo para o contato com a realidade escolar de maneira saudável e eficaz.
Palavras-chave: Formação de Professores. Psicoeducação. Teoria Cognitivo- Comportamental (TCC).
CONSTRUCTIVE CHARACTERISTICS OF BURIALS WITH INHUMATION OF CHERNIAKHIV CULTURE OF SHYSHAKY CEMETERY
Authors: Reida R. M. , Heiko A. V. , Sapiehin S. V. 
Published: February 2020

The article deals with the characteristics of graves’ constructions of Shyshaky cemetery of Cherniakhiv culture. During the total period of excavation work for eight seasons there were found 156 burials. The graves’ structures were traced in 89 graves of Shyshaky cemetery. The inhumations were oriented to the west and to the north and the amount of them was 98.5 % of the total number. These burials were in grave pits, lerge graves, barbarian chambered graves or in grave pits with some constructive features.
The ratio of inhumations was as follows: in grave pits (Fig. 1—2), lerge graves (Fig. 3), barbarian chambered graves (Fig. 4) or in grave pits with some constructive features (Fig. 2: 3; 3: 3) are given in the table (Fig. 5).
The burial constructions of Shyshaky cemetery refer to late periods of Cherniakhiv culture and they are dated to the second part of the 4th — 5th centuries.
SOUTHERN BORDER OF THE ROMNY CULTURE
Authors: Puholovok Yu. O. 
Published: February 2020

The article deals with the monuments of the chronicles Siverians, located in the middle and lower reaches of the Pesl and Vorskla rivers. On the basis of archaeological materials, their territorial structure is outlined. In modern scientific literature, there is a fairly established view that the carriers of the Romny culture were chosen to resettle the area that dominated the surrounding and used as much as possible the natural conditions for their protection. From this, the characteristic of the Romny settlements as a hillfort was followed. However, with the growth of the source base, there is a certain change in the views. So, now researchers of the Romny culture noted the predominance of open settlements over the hillforts.
But it is fixed much in Poseymya. According to available archaeological sources, in the south-eastern borders of the Siverians, such predominance of open settlements over the hillforts does not exist. In the vicinity of almost fortification of the Romny culture there is only one settlement, although in some cases they are not recorded at all. It is possible that such placement of monuments is a specific feature of this territory, so to speak, a certain form of adaptation of the Siverian population to life on the steppe border. Note that in the Siversky Donets basin, on the border with the Khazar Kaganate, there are still unknown open settlements, and the most important type of settlements is the fortification itself — the hillfort. Thus, in the southern Siverian borders four groups of monuments are allocated. There are Zhurvanska and Poltava groups of monuments are located on Vorskla; on Psel — Kamenska and Nizhnio-Pisilska. In this regard, the southern boundaries of the spread of the Romny culture pass through the New Sanzhary — Ostapie — Lukimya.
THE VARIANT OF SYSTEMATIZATION OF THE HILL-FORTS OF SCYTHIAN AGE OF DNIEPER-DON FOREST-STEPPE INTERFLUVE
Authors: Kriytchenko A. A. 
Published: February 2020

The article is devoted to the development of a typology of fortified settlements of the Dnieper-Don forest-steppe interfluves of the Scythian period. The formation and development of the fortification in that region was influenced by the economic opportunities of the local population, relations with neighboring tribes and among themselves, under special natural-geographical conditions. The presented systematization of the hillforts proceeds from the understanding of the principles of the construction of their defense. Based on which, we noticed the following possible pattern of systematization of fortified settlements. Type I is fortified settlements with a single-row system without additional protective pre-walls, regardless of whether the fortification is traced along the entire perimeter or only on the front side. Type II — single-row settlements with additional reinforcement on the front side. Type ІІІ — settlements with a single-row system of fortifications, having additional protection from a combination of non-residential frontiers, complicating the approaches to the entrance to the village site and creating the possibility of leading flanked fire on the attack. Type IV — monuments protected (often on the front side) by a multi-row system of fortifications. Type V — settlements with a pronounced main courtyard and a large economic frontier. By the VI type, we attributed the Belsk hillfort due to its features.
BRONZE ARROWHEADS IN THE ARCHAEOLOGICAL SITES OF BELARUS
Authors: Loshenkov M. I. 
Published: February 2020

The article is devoted to the review of 19 new bronze arrowheads (table). They were found mainly in the 20s of the XXI century in the territory of southern Belarus (fig. 1). More than half of them were found in the villages of the Milograd population, and the rest with locations. All tips were grouped into three types, as in the Milograd population: two-bladed arrowheads, three-bladed arrowheads and trihedral arrowheads (fig. 2). Two-bladed arrowheads are early — the second half of VII — first half of the VI centuries BC. Two-bladed arrowheads belong to the VI — IV centuries BC, and trihedral arrowheads — to IV — III centuries BC.
FEMALE BURIALS OF MYKOLAIVKA BURIAL GROUND
Authors: Sikoza D. N. , Dzneladze E. S. 
Published: February 2020

54 female burials from Late Scythian Nikolaevka burial ground of Kherson district are analyzed in the paper. They were excavated by Erast Symonovich expedition during 1960—1970.
The analysis of materials from female burials showed that Nikolaevka burial ground was in use during all chronological period of local Lower Dnieper variant of the Late Scythian culture. Female burials reflected the periods of origin, heyday and decline of this burial ground.
The funerary rite and grave goods are typical for the Late Scythian culture, and have analogies among the materials of the Zolotaya Balka, Krasnyi Mayak, the necropolises of Tanais, Nikoniy, the Scythian Neapolis and Zolotoye. Female burials traditionally contained personal items: bronze mirrors, brooches, awls and knives, beads, earrings, bracelets and rings. There are unique finds in the Nikolaevka burial ground: rare types of terra sigilata pottery, beads from semiprecious stones, the ring with a portrait gem, bronze tweezers.
The square catacombs, unusual for the Lower Dnieper variant of the Late Scythian culture, were recorded in the Nikolaevka burial ground. In our opinion, these catacombs can be a marker of the migration of part population from the south-western Crimea to the Lower Dnieper in the first centuries AD.
Persistence of Crystals in Stored Synovial Fluid Samples
Authors: Pastor Sonia , Bernal José-Antonio , Caño Rocío , Gómez-Sabater Silvia , Borras Fernando , Andrés Mariano 
Published: February 2020

Objective.Lack of access to polarized light microscopy is often cited as an argument to justify the clinical diagnosis of crystal-related arthritis. We assessed the influence of time since sampling and preservation methods on crystal identification in synovial fluid (SF) samples under polarized light microscopy.Methods.This was a prospective, longitudinal, observational factorial study, analyzing 30 SF samples: 12 with monosodium urate (MSU) crystals and 18 with calcium pyrophosphate (CPP) crystals. Each SF sample was divided into 4 subsamples (120 subsamples in total). Two were stored in each type of preserving agent, heparin or ethylenediamine tetraacetic acid (EDTA), at room temperature or at 4°C. Samples were analyzed the following day (T1), at 3 days (T2), and at 7 days (T3) by simple polarized light microscopy, and the presence of crystals was recorded.Results.The identification of crystals in the MSU group was similar between groups, with crystals observed in 11/12 (91.7%) room temperature samples and in 12/12 (100%) refrigerated samples at T3. Identification of CPP crystals tended to decrease in all conditions, especially when preserved with EDTA at room temperature [12/18 (66.7%) at T3], while less reduction was seen in refrigerated heparin-containing tubes.Conclusion.Preserving samples with heparin in refrigerated conditions allows delayed microscopic examination for crystals. Avoiding crystal-proven diagnosis because of the immediate unavailability of microscopy no longer appears justified.
Entheseal Changes in Response to Age, Body Mass Index, and Physical Activity: An Ultrasound Study in Healthy People
Authors: Bakirci Sibel , Solmaz Dilek , Stephenson Wilson , Eder Lihi , Roth Johannes , Aydin Sibel Zehra 
Published: February 2020

Objective.We aimed to investigate the prevalence of ultrasonographic (US) lesions in healthy entheses and contributing factors.Methods.US scans were performed on 960 entheses of 80 healthy subjects. Factors contributing to entheseal changes were investigated with regression analysis.Results.Thickening (20.4% of the entheses) and enthesophytes (23.1%) were the most common inflammatory and structural damage lesions, respectively. Age (p < 0.001), male sex (p = 0.003), body mass index (BMI; p = 0.001), and high physical activity (p = 0.007) were independent predictors of enthesitis scores on US.Conclusion.The effects of age, sex, BMI, and physical activity on the entheses need to be considered when differentiating disease from health.
Do Serum Urate–associated Genetic Variants Influence Gout Risk in People Taking Diuretics? Analysis of the UK Biobank
Authors: Narang Ravi K. , Gamble Greg , Phipps-Green Amanda J. , Topless Ruth , Cadzow Murray , Stamp Lisa K. , Merriman Tony R. , Dalbeth Nicola 
Published: February 2020

ObjectiveThe aim of this study was to determine whether serum urate (SU)–associated genetic variants differ in their influence on gout risk in people taking a diuretic compared to those not taking a diuretic.MethodsThis research was conducted using the UK Biobank Resource (n = 359,876). Ten SU-associated single-nucleotide polymorphisms (SNP) were tested for their association with gout according to diuretic use. Gene-diuretic interactions for gout association were tested using a genetic risk score (GRS) and individual SNP by logistic regression adjusting for relevant confounders.ResultsAfter adjustment, use of a loop diuretic was positively associated with prevalent gout (OR 2.34, 95% CI 2.08–2.63), but thiazide diuretics were inversely associated with prevalent gout (OR 0.60, 95% CI 0.55–0.66). Compared with a lower GRS (< mean), a higher GRS (≥ mean) was positively associated with gout in those not taking diuretics (OR 2.63, 2.49–2.79), in those taking loop diuretics (OR 2.04, 95% CI 1.65–2.53), in those taking thiazide diuretics (OR 2.70, 2.26–3.23), and in those taking thiazide-like diuretics (OR 2.11, 95% CI 1.37–3.25). No nonadditive gene-diuretic interactions were observed.ConclusionIn people taking diuretics, SU-associated genetic variants contribute strongly to gout risk, with a similar effect to that observed in those not taking a diuretic. These findings suggest that the contribution of genetic variants is not restricted to people with “primary” gout, and that genetic variants can play an important role in gout susceptibility in the presence of other risk factors.
Expert Consensus on a Set of Outcomes to Assess the Effectiveness of Biologic Treatment in Psoriatic Arthritis: The MERECES Study
Authors: Cañete Juan D. , Nolla Joan M. , Queiro Ruben , Rodríguez Miguel J. , Ruiz Miguel , Lizán Luis 
Published: February 2020

Objective.To reach a consensus on the instruments to be used in clinical practice to evaluate the effectiveness of biological disease-modifying antirheumatic drug (bDMARD) treatment in patients with psoriatic arthritis (PsA) in the short to medium term (3–6 mos), and to establish the minimum health outcomes for treatment continuation.Methods.A 2-round Delphi questionnaire was developed based on both the information gathered in the literature review and 4 discussion groups. The suitability and feasibility of the proposed sets of instruments were assessed on a 7-point Likert scale. Consensus was established when at least 75% of healthcare professionals (HCP) reached agreement. To define a minimum health outcome to continue treatment, a combination of 4 disease activity states and 3 health-related quality of life states were defined for 3 hypothetical patient profiles. HCP were given a dichotomous choice (yes/no) to respond to whether they would continue treatment in each case.Results.The second round was completed by 106 HCP. Consensus was reached on the use of (1) Disease Activity in Psoriatic Arthritis + Psoriatic Arthritis Impact of Disease (PsAID12) or minimal disease activity + PsAID12 + C-reactive protein, in peripheral PsA; and (2) Ankylosing Spondylitis Disease Activity Score + PsAID12, in axial PsA. Health outcomes considered sufficient to continue treatment were stricter for bDMARD-naive patients than for patients who failed several bDMARD.Conclusion.To the best of our knowledge, this is the first multidisciplinary consensus on a set of outcomes for the evaluation of bDMARD effectiveness in PsA, in routine clinical practice.
Appraisal of Candidate Instruments for Assessment of the Physical Function Domain in Patients with Psoriatic Arthritis
Authors: Leung Ying Ying , Orbai Ana-Maria , Ogdie Alexis , Hojgaard Pil , Holland Richard , Goel Niti , Chau Jeffrey , Coates Laura C. , Strand Vibeke , Gladman Dafna D. , Mease Philip J. , Christensen Robin , Tillett William 
Published: February 2020

Objective.Numerous patient-reported outcome measures (PROM) exist for the measurement of physical function for psoriatic arthritis (PsA), but only a few are validated comprehensively. The objective of this project was to prioritize PROM for measuring physical function for potential incorporation into a standardized outcome measurement set for PsA.Methods.A working group of 13 members including 2 patient research partners was formed. PROM measuring physical function in PsA were identified through a systematic literature review and recommendations by the working group. The rationale for inclusion and exclusion from the original list of existing PROM was thoroughly discussed and 2 rounds of Delphi exercises were conducted to achieve consensus.Results.Twelve PROM were reviewed and discussed. Six PROM were prioritized: Health Assessment Questionnaire (HAQ) and 4 modifications (HAQ-Disability Index, HAQ-Spondyloarthritis, modified HAQ, multidimensional HAQ), Medical Outcomes Study 36-item Short Form survey physical functioning domain, and the Patient-Reported Outcomes Measurement Information System (PROMIS) physical functioning module.Conclusion.Through discussion and Delphi exercises, we achieved consensus to prioritize 6 physical function PROM for PsA. These 6 PROM will undergo further appraisal using the Outcome Measures in Rheumatology (OMERACT) Filter 2.1.
Outcomes and Safety of Tumor Necrosis Factor Inhibitors in Reactive Arthritis: A Nationwide Experience from Iceland
Authors: Thorsteinsson Bjarni , Geirsson Arni J. , Krogh Niels S. , Gudbjornsson Bjorn 
Published: February 2020

Objective.Reactive arthritis (ReA) is a spondyloarthritis triggered by a bacterial infection. In cases where nonsteroidal antiinflammatory drugs and conventional synthetic disease-modifying antirheumatic drugs have failed, biologics such as tumor necrosis factor inhibitors (TNFi) have been used. However, limited evidence exists of the efficacy and safety of these drugs in ReA. We report on Icelandic patients with ReA who have been treated with TNFi, their characteristics, outcomes, and safety.Methods.We conducted an observational cohort study using the Icelandic nationwide database of biologic therapy (ICEBIO) supplemented with a retrospective study of electronic health record (EHR) data. Drug efficacy was assessed using disease activity scores and standardized questionnaires within ICEBIO; safety was assessed using ICEBIO and EHR data.Results.Thirty-eight patients with ReA were registered in the database. Eight were given TNFi within 1 year of symptom onset. At 6 and 18 months, there was a significant reduction in C-reactive protein (CRP), tender and swollen joints, visual analog scale for pain and fatigue, 28-joint count Disease Activity Score 28 based on CRP, Clinical Disease Activity Index, and Health Assessment Questionnaire scores. Seventy-one to 90% of patients were considered treatment responders. Two patients were able to stop biologics owing to remission. During the 303 patient-years (mean 8, range 1–15) biologics were given, 6 hospital admissions for infections were noted.Conclusion.TNFi are safe and effective in ReA, but treatment tends to be prolonged. Further clinical trials are urgently needed in ReA.
Quand la Chine structure le nouvel écosystème mondial des technologies vertes
Authors: Ruet Joël 
Published: February 2020

La percée chinoise dans les technologies environnementales est le fruit d’une stratégie d’État systémique, fondée sur des outils complémentaires : une politique scientifique d’intégration technologique ; des politiques industrielles pour attirer et développer les technologies choisies par l’État ; des réglementations régulièrement révisées pour fixer durablement les entreprises étrangères tout en sinisant progressivement l’écosystème ; une diplomatie économique et une finance verte pour asseoir un avantage compétitif mondial…
Autonomie, responsabilité, subsidiarité : peut-on libérer les énergies dans les entreprises ?
Authors: Weil Thierry , Dubey Anne-Sophie , Richer Martin 
Published: February 2020

Avec des motivations diverses et selon des modalités variées, des entreprises décident de mettre en place plus de subsidiarité : renforcer le pouvoir de chaque collaborateur d’agir sur le contenu de son travail, de délibérer sur les objectifs et l’organisation de son service, voire sur ceux de l’entreprise. Pour que cette innovation managériale ne tourne pas court, elle ne peut se borner à un simple lâcher-prise du dirigeant. Les travaux d’une équipe de MINES ParisTech permettent de dépasser les prescriptions simplistes.
Une patiente actrice dans son combat
Authors: Lamotte d’Incamps Florence 
Published: February 2020

J’ai accepté de partager mon expérience de patiente atteinte d’un cancer du sein pour proposer quelques pistes de réflexion sur une situation très complexe : qu’est-ce que le patient veut savoir ? Quel niveau de compréhension lui donner ? Que dire des traitements ? Des examens ? Avoir l’audace de témoigner, par cet article, d’une expérience traumatisante, est une manière de remercier, de témoigner ma gratitude aux médecins grâce auxquels je vais bien aujourd’hui.
Michel Le Nobletz, pasteur et mystique
Authors: Queinnec Hervé 
Published: February 2020

Michel Le Nobletz (1577-1652) est bien connu des historiens du christianisme comme inventeur d’une méthode catéchétique originale reposant sur des « tableaux énigmatiques » et des cartes géographiques servant à illustrer, à travers une profusion de symboles, l’enseignement du Concile de Trente. Cet article entend montrer qu’il fut également un mystique et un maître de vie spirituelle, désireux d’expliquer à ses disciples de Douarnenez et du Conquet que la vie d’oraison est possible hors des cloîtres, et cherchant à leur faire gravir les différents degrés de la vie mystique. Formé par les Jésuites, mais influencé par d’autres écoles spirituelles, Michel Le Nobletz s’inscrit dans le vaste mouvement de renouveau catholique de la première moitié du xviie siècle français. La doctrine exposée dans les « déclarations » de ses cartes peintes développe deux thèmes principaux : le « mépris du monde » et la conversion du cœur.
Nursing Management of Patients Requiring Acute Mechanical Circulatory Support Devices
Authors: Asber Samantha R. , Shanahan Kenneth P. , Lussier Leslie , Didomenico Dorothy , Davis Marissa , Eaton Jennifer , Esposito Michele , Kapur Navin K. 
Published: February 2020

Topic
The growing use of acute mechanical circulatory support devices to provide hemodynamic support that has accompanied the increasing prevalence of heart failure and cardiogenic shock, despite significant improvement in the treatment of acute myocardial infarction.

Clinical Relevance
The critical care nurse plays a crucial role in managing patients receiving acute mechanical circulatory support devices and monitoring for potential complications.

Purpose
To review the anatomical placement and mechanics of each type of device so that nurses can anticipate patients’ hemodynamic responses and avoid complications whenever possible, thereby improving patients’ clinical outcomes.

Content Covered
Nursing considerations regarding the intra-aortic balloon pump, the TandemHeart, the Impella, and extracorporeal membrane oxygenation.