bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ecos de Pedagogia da Autonomia na procura da autonomia dos alunos nas escolas Portuguesas
Authors: Ferreira Elisabete , Resende Helena 
Published: October 2020

Neste artigo procurámos estabelecer um diálogo entre o legado freireano, em particular com a obra Pedagogia da Autonomia: saberes necessários à prática educativa e a promoção da autonomia dos estudantes através das propostas dos normativos legais recentes e, em vigor nas escolas portuguesas designadamente: da Direção Geral da Educação, o Perfil dos Alunos à saída da Escolaridade Obrigatória de 2017 e o Decreto-Lei n.º 55/2018, de 6 de julho que estabelece o currículo dos ensinos básico e secundário e os princípios orientadores da avaliação das aprendizagens. O nosso principal objetivo é tentar perceber em que medida existem convergências ou divergências que nos permitam (re) conhecer discursos ou perceções sobre as práticas na escola com vista à promoção da autonomia do aluno. O caminho definido pelos mais recentes normativos legais, produzidos nas últimas duas décadas, parece-nos conferir às escolas uma retórica de certa autonomia (também) curricular valorizando o papel dos alunos enquanto autores. Indagamos ainda outros diálogos, com estudos e alguns autores que se têm ocupado com a questão da autonomia escolar no que concerne aos pontos de contacto com a promoção da autonomia do aluno numa escola mais humana, evocando os conceitos de “solidariedade” e de “decisão”. Concluímos que, mais de duas décadas após a publicação da Pedagogia da Autonomia, os normativos legais acima referidos parecem apresentar ecos das ideias de Freire de uma pedagogia centrada na pessoa e na dignidade humana.
Aislamiento comunitario como estrategias para la mitigación de un brote de COVID19: el caso de Villa Azul
Authors: Esposito Melina , Bustos Soledad , Cardonetti Leandro , Alvarado Maria Jose Pueyo , Latorre Berenice , Parrilla Luis , Garcia Enio , Kreplak Nicolas , Konfino Jonatan 
Published: October 2020

Introducción: frente a la identificación de la ocurrencia de un brote de COVID19 en el Barrio de Villa Azul y dadas las características de vulnerabilidad del barrio que dificultarían cumplir con el aislamiento domiciliario y las medidas de prevención se implementó una estrategia de aislamiento comunitario como respuesta sanitaria al brote.
Objetivo: describir la estrategia de aislamiento comunitario utilizada en el Barrio de Villa Azul para contener y mitigar un brote de COVID19.
Métodos: Se identificaron los límites del barrio y se procedió al cierre del mismo con fuerzas de seguridad. Quedó permitida la circulación por dentro del barrio asumiendo que todos los habitantes eran casos sospechosos de COVID19 o bien eran contactos estrechos de algún caso. En los días subsiguientes se continuó con la búsqueda activa de casos sospechosos de COVID19, se realizaron los hisopados en el barrio y se obtuvieron los resultados a las 24 horas. Todos los días, luego de la recepción de los casos se les informaba el resultado a los casos negativos y se iba a las casas de los casos positivos para notificarlos del resultado y sugerirles el aislamiento fuera del barrio para cortar la cadena de contagios.
Resultados: En el barrio Villa Azul entre el 22 de mayo y el 20 de junio se registraron 731 casos sospechosos de los cuales 379 fueron casos confirmados para COVID19 (tasa de positividad acumulada del 52,1%). La primera semana hubo entre 20 y 40 casos confirmados diarios con un índice de positividad entre el 66 y 81% pero con el correr del tiempo como consecuencia de la estrategia descripta fueron bajando el número de casos por día y también la positividad. Se trasladaron 193 traslados de pacientes confirmados para aislarse afuera del barrio. Fallecieron 3 personas, todas con comorbilidades (tasa de letalidad 0,8%).
Discusión: La estrategia de aislamiento comunitario resultó efectiva para contener el brote de COVID19 en el Barrio de Villa Azul. La posibilidad de garantizar de forma diaria la búsqueda activa de casos, sumado a la posibilidad de hisoparlos en el barrio y a las 24 horas tener el resultado, sugiriendo luego el traslado fuera del mismo de los confirmados para COVID19 fueron algunas de las claves.
Electropositive seizures and non‐convulsive status epilepticus in a critically ill patient with prior skull defect
Authors: Moores Margaret , Picheca Christopher , Fantaneanu Tadeu A. 
Published: October 2020

ABSTRACTEpileptiform discharges captured on routine scalp EEG typically carry a surface negative dipole. We present a patient whose continuous EEG recording in the intensive care setting captured frequent electropositive non‐convulsive seizures. Epileptiform discharges with positive polarity are common in the pediatric population but have rarely been reported in adult patients. When reported in adults, such patients usually have skull defects. As surface positive discharges are scarce, adult electroencephalographers should be prudent to differentiate such discharges from artifact, particularly in an intensive care setting where EEG artifact is common.
The role of EEG in patients with suspected epilepsy
Authors: Benbadis Selim R. , Beniczky Sándor , Bertram Edward , MacIver Stephanie , Moshé Solomon L. 
Published: October 2020

ABSTRACTDespite the advances in imaging, EEG remains a critical test for the diagnosis of epilepsy. Not only can it confirm the diagnosis, but it can also clarify the type of epilepsy. There are many different types of EEG recordings depending on duration, the presence of video, and inpatient or outpatient setting, each with its pros and cons. Interictal epileptiform abnormalities are very specific to epilepsy, but they can be over‐interpreted by inexperienced readers. In addition to diagnosis of epilepsy, EEG also has a role in the decision to discontinue treatment in seizure‐free patients, and in assessing critically ill patients for possible status epilepticus and encephalopathies. EEG reports should be relatively standardized and clear to the clinician who requested the EEG.
What’s new for the clinician? - Excerpts from and summaries of recently published papers
Authors: Yengopal Veerasamy 
Published: October 2020

0.5% versus 3% sodium hypochlorite (NaOCl) in root canal treatment: A quasi-randomized controlled trial/ C Ulin, M Magunacelaya-Barria, G Dahlén, T Kvist. Immediate clinical and microbiological evaluation of the effectiveness of 0.5% versus 3% sodium hypochlorite in root canal treatment: A quasi-randomized controlled trial. International Endodontic Journal 2020; 53(5): 591-603.
The effect of an intraorifice barrier and base under coronal restorations on the healing of apical periodontitis: A randomized controlled trial G Kumar, S Tewari, P Sangwan, J Duhan, S Mittal. The effect of an intraorifice barrier and base under coronal restorations on the healing of apical periodontitis: A randomized controlled trial. International Endodontic Journal 2020; 53 (4): 298-307.
Increasing Resident Physician Well-Being through a Motivational Fitness Curriculum: A Pilot Study
Authors: Nutting Ruth , Grant Justin , Ofei-Dodoo Samuel , Runde Matthew , Staab Kethlyn , Richard Barret 
Published: October 2020

Introduction. Healthcare professionals who participate in regular exercise better manage job related stressors, utilize fewer sick days, and discuss fitness with patients at increased rates. Although resident physicians are aware of the health benefits of exercise their rates of exercise are much lower than among medical trainees and practicing physicians. Resident physicians have reported lack of time for traditional structured workouts as one of the greatest barriers to fitness. This study sought to increase resident physician well-being by providing brief workouts through a motivational fitness curriculum.
Methods. This pilot study utilized a nonexperimental design; a pre-/post-intervention consisted of a 10-month motivational fitness curriculum. Thirteen family medicine residents at a training program in the midwestern United States participated in this study. The Depression Anxiety Stress Scale-21 (DASS-21) and the Abbreviated Maslach Burnout Inventory (MBI-9) were used to measure the participants’ well-being, pre- and post-curriculum. Standard descriptive statistics and paired samples t-test were used to analyze the data.
Results. Twenty-eight percent (13/36) of eligible first-year and second-year family medicine resident physicians participated in the study. On the DASS-21, study participants displayed an improvement in depression, anxiety, and stress scores post-curriculum. On the MBI-9, the participants reported decreased score in emotional exhaustion, but there were no changes in depersonalization and personal accomplishment scores over time.Conclusion. A motivational fitness curriculum may be a convenient way to support well-being among resident physicians. These findings were salient, as graduate medical education programs can implement similar initiatives to support resident physicians’ psychological and physical well-being.
СОЦИОКУЛЬТУРНЫЕ ОСНОВАНИЯ ВЫСШЕГО ОБРАЗОВАНИЯ В КОНТЕКСТЕ ИСТОРИЧЕСКОЙ ПАМЯТИ
Authors: Загутин Дмитрий Сергеевич , Шилина Наталья Анатольевна , Самыгин Сергей Иванович 
Published: October 2020

Цель статьи заключается в анализе проблематики кризиса образования в свете исследования его социокультурных оснований.
Методологические основания исследования составляют общенаучные принципы объективности, системности и историчности, находящие свое применение в широком пространстве социально-философского знания.
Результаты исследования. Социокультурные основы образования являются воплощением в образовательных практиках и стратегиях исторически сложившихся культурных смыслов и кодов и могут быть рассмотрены как институционально воплощенная историческая память. Поскольку социокультурные основания образования являются воплощением культурных кодов общества и исторической памяти, деградация системы образования наносит ущерб и национальной культуре, ставя под угрозу процесс ее воспроизводства.
Перспективу исследования составляет дальнейший анализ значения и роли социокультурных оснований образования.
МЕТОДЫ ОЦЕНКИ УПРАВЛЕНИЯ НАУЧНО-ИССЛЕДОВАТЕЛЬСКОЙ ДЕЯТЕЛЬНОСТЬЮ УНИВЕРСИТЕТОВ В РОССИЙСКОЙ И МИРОВОЙ ПРАКТИКЕ
Authors: Кетоева Наталья Леонидовна , Киселева Мария Андреевна , Котельная Виктория Константиновна 
Published: October 2020

Целью исследования является анализ методов управления научно-исследовательской деятельностью российских и мировых университетов, а также выделение отличительных показателей оценки для российских университетов.
Методологическую базу исследования составили методы: диалектического научного познания и частные научные (анализ, синтез, сравнение, логический и системно-структурный анализ, формализация, анализ нормативно-правовых документов), моделирование.
Результаты исследования помогут оптимизировать управление научно-исследовательской деятельностью и вносить изменения в существующую нормативно-правовую документацию университета.
Перспектива исследования. Выделенные показатели оценки научно-исследовательской деятельности университетов сформируют методы оценки деятельности научных групп университета.
ФОРМИРОВАНИЕ И РАЗВИТИЕ СИСТЕМЫ СОЦИАЛЬНО-ТРУДОВЫХ ОТНОШЕНИЙ В УСЛОВИЯХ ИНСТИТУЦИОНАЛЬНОЙ ТРАНСФОРМАЦИИ РОССИЙСКОЙ СИСТЕМЫ ВЫСШЕГО ОБРАЗОВАНИЯ НА ОСНОВЕ ПРИНЦИПА БАЛАНСА ИНТЕРЕСОВ
Authors: Лазарева Галина Юрьевна 
Published: October 2020

Цель работы заключается в исследовании формирования и развития системы социально-трудовых отношений в условиях институциональной трансформации системы высшего образования.
Методологией исследования стали положения институционального и неоинституционального подходов, в рамках которых система социально-трудовых отношений рассматривается в контексте институциональной зависимости, а также значимости конфигурации формальных и неформальных институциональных норм и правил, определяющих в каждом отдельном обществе свой характер и специфику социально-трудовой сферы.
Результаты исследования. Важность исследования обусловлена тем, что в российском обществе социально-трудовые отношения испытывают влияние длительного трансформационного кризиса, что проявляется в снижении уровня престижа трудовой деятельности, дисбалансе между рынком труда и системой образования как пространстве формирования трудового потенциала общества. Основной ракурс исследования сосредоточен на анализе баланса интересов субъектов социально-трудовых отношений, формировании механизмов их эффективного взаимодействия. Выводы исследования строятся на результатах проведенного экспертного опроса среди работодателей Юга России.
Перспективы использования результатов. Результаты исследования могут быть использованы при дальнейшем исследовании взаимодействия социально-трудовых отношений и системы высшего образования.
ФАКТОРЫ РОСТА ИННОВАЦИОННОЙ АКТИВНОСТИ ЧЕРЕЗ ПРИЗМУ МАКРОЭКОНОМИЧЕСКИХ ПОКАЗАТЕЛЕЙ
Authors: Черкесова Эльвира Юрьевна , Демидова Наталья Евгеньевна 
Published: October 2020

Целью исследования является рассмотрение основных факторов, которые способны обеспечить рост социально-экономического развития страны в краткосрочной перспективе.
Методологическую базу исследования представляют исследования макроэкономических показателей, характеризующих общее социально-экономическое состояние и перспективы развития страны, для этого проводится статистический и сравнительный анализ. Применение данных методов исследования позволяет изучить влияние роста оплаты труда населения и их реальных денежных доходов на инновационную активность российской экономики, выявив основные направления формирования эффективного интеллектуального потенциала.
Результаты исследования. Важнейшими результатами исследования является трансляция влияния динамики основных макроэкономических показателей на уровень инновационной активности различных секторов экономики. Исследования показали, что снижение темпов роста ВВП, уровня реальных денежных доходов населения негативным образом отражается на инновационной активности российской экономики. Это обстоятельство говорит о необходимости целенаправленной инвестиционной политики в научные исследования и разработки, в формирование эффективного интеллектуального потенциала, в создание и укрепление институциональной среды, благоприятной для инноваций.
Перспективу исследования составляет углубленный анализ макроэкономических показателей и выбор направления формирования инновационного потенциала через целенаправленное инвестирование в НИР.
An Evaluation of Awareness of Mothers About Having Their Children to Acquire Healthy Nutrition Habits
Authors: VAROL Fatma İlknur , KAYHAN TETİK Burcu , ÇOLAK Cemil 
Published: October 2020

Objective: Nutrition is important not only in terms of ideal growth of the baby, but also in terms of being the determinant of the healthiness during infancy, childhood, and adulthood and adopting healthy eating habits that continue lifetime. The aim of this study is to evaluate the level of knowledge and misapplications of mothers about babies' feeding habits.
Materials and Metods: This was planned as an analytical cross-sectional study and was applied to the mothers of the patients who admitted to Inonu University Faculty of Medicine Pediatric Gastroenterology, Hepatology and Nutrition outpatient clinic, between January-March 2020, for any reason. A value of p
Evaluation of the immediate outcomes of perinatally asphyxiated newborns in a tertiary care hospital in rural Bangalore: a retrospective study
Authors: Chikkanna Somashekhar , P. Saravanan , M. V. Nagaraj , S. Kavya 
Published: October 2020

Background: Perinatal asphyxia is a condition resulting from deprivation of oxygen to a neonate that lasts long enough to cause damage to the brain. Perinatal asphyxia is one of the major causes of early neonatal mortality in India. The goal was to evaluate outcomes of asphyxiated babies. Methods: One hundred consecutive neonates with birth asphyxia (Apgar 0-3 at 5-minute of age) were studied. Data from medical records of all babies with perinatal asphyxia admitted were retrieved and documented for the study.Results: Majority of the neonates are inborn (57%). Male to female ratio was 1.5:1. Spontaneous vaginal delivery constitute 32% and lower segment caesarean section (LSCS) 36%. Mortality was highest in hypoxic ischemic encephalopathy (HIE) stage 3 with 11%. Mean duration of hospitalization is directly related to Sarnat and Sarnat staging of HIE. 22% babies were having neurological sequelae and discharged on anti-convulsant. 21% mortality, majority were outborn.Conclusions: Despite advances in the management of neonates, perinatal asphyxia is still the leading cause of morbidity and mortality. Perinatal asphyxia is still prevalent despite medical advances. Babies with HIE stage III had poor outcome. Appropriate strategies required to minimize the neuro-developmental sequelae.
Role of ultrasound in diagnosis of pleural and parenchymal lung diseases in OPD patients
Authors: Gupta Sonisha , Goyal Sarthak , Gupta P K , Kumar Gupta Atul 
Published: October 2020

Thoracic CT is the most common imaging modality used after screening with chest x-ray in treatment of lung pathologies. But high cost, radiation, immobility & availability restrict its widespread use. For many years transthoracic ultrasound is being used in examination of pleural effusions in ICU patients. To study the role of chest ultrasonography in diagnosing pleural & parenchymal pathologies in OPD patients this study was carried out.32 adult patientswithdyspnoea, cough & other chest symptoms coming to OPD ofpulmonary department of Santosh hospitals from January 2017 to July 2018 were enrolled in the study.In diagnosing pleural lung diseases- pleural effusion, pneumothorax, hydropneumothorax and pleural thickening, US showed a sensitivity, specificity, PPV & NPV all of 100% and accuracy of 1.00. But for parenchymal lesions taken all together (Consolidation, collapse, atelectasis, lung abscess, fibrocavitary lesion with necrosis, idiopathic pulmonary fibrosis, bleb/ bulla) it showed low accuracy of 0.62 with 42.86% sensitivity, 86.36% specificity, 80% positive and 54.29% negative predictive values respectively.Thoracic US offers fast, cheap, safe, radiation free, widely available, easily reproducible and non-invasive diagnostic modality for evaluating pleural lung diseases in OPD patients. But low sensitivity in diagnosis of parenchymal diseases is not encouraging.
Midwives' Experience of Providing Continuity of Care in a Pilot Project: Findings of a Prospective Qualitative Research Study
Authors: Lewis Marie 
Published: October 2020

INTRODUCTIONThere has been a strategic drive for several years in midwifery to improve models of care and enable women to receive care from a known midwife. However over the past decade new models of care to achieve this have not been sustained and some midwives have expressed opinions that such models can never be sustainable for the staff working them. This study was designed to explore the midwives experience of working a continuity of care model, develop understanding of the lived experience of midwives, and provide insight into how such models can be sustainable from the midwives perspective. A local trust initiative to pilot a small team continuity of care model in one geographical area was introduced and a group of midwives interested in working differently were recruited onto the study to share their experiences. This article details the process and themes identified through a small qualitative research study to explore midwives' experiences of working in a new way to provide increased continuity of care for women. The study results are written in response to a local drive for change and within the context of a small group of midwives taking part in a service improvement project. The article specifically identifies themes in the midwives' experiences and lessons learnt for sustainable change in relation to continuity of care within midwifery services.METHODThe study was a qualitative descriptive study. The main purpose of the study was to gain further understanding of the personal experiences of midwives. Data was collected over a 12-month period from eight midwives who took part; reflective diaries, notes from team meetings and data from the team's “WhatsApp” group chat were used to capture the data over time. Themes identified were then verified with the participants through one to one semi structured interviews.FINDINGSThe research data has been organized into four overarching themes related to May's (2009) normalization process theory: Coherence—same difference, cognitive participation—operational workability, collective action—relationships and reflexive monitoring—personal sustainability.DISCUSSIONA key theme running throughout the data was the importance of autonomy, flexibility, and trust, enabling midwives and women to build effective therapeutic relationships. This is important to note when developing systems for care. Staff needed to feel trusted in order to work flexibly and take control over their own work/life balance. The findings indicate that where staff felt enabled to organize their own workloads they did in fact work harder to meet the needs of the women. A shift in culture in maternity systems would need to be embraced for this level of control to be afforded all midwives. It should be noted that the study was conducted in one specific area and with a small number of midwives. Hence the findings cannot be generalized and will need to be explored further across different cultures.
Bridging the Gap: Supporting the Inclusion of More Fathers in Maternity Centers in Jamaica
Authors: Pitter Cynthia , Emanuel-Frith Mickelle , Pitter Granville , Udoudo Deborah Adedire 
Published: October 2020

The 1994 International Conference on Population and Development (ICPD) plan of action called for the equal participation of women and men in all areas of family and household responsibility, including family planning, child-rearing, and household chores. This plan of action admonished government to promote and facilitate such participation. The emerging trend to include fathers in maternal and child health services motivated low- to middle-income countries including Jamaica to sign on to global initiatives such as the ICPD and the Sustainability Development Goals for maternal and paternal involvement in the reduction of maternal mortality rates. However, lack of proper infrastructure in the public health system in countries like Jamaica does not sufficiently accommodate fathers during antenatal, childbirth, and postnatal services, neither does it has far reaching programs targeting fathers. This oversight in maternity care is partially due to the lack of guidelines to lead the process, limited space at clinics, and inadequate privacy on some delivery suites.Addressing the gaps to involve more fathers in pregnancy and child-rearing is an unexplored opportunity or innovative strategy that could assist Jamaica in meeting its international obligations to reduce infant and maternal mortality rates. This could also lessen the burden of childbearing and child-rearing on women, while changing the narrative of the negative stereotypes of fatherhood to a positive one in Jamaica. Research has also shown that several undesirable situations are preventable if the pregnant woman gets social and psychological backing, not only from excellent maternal and child health care but also by a social system, particularly from the spouse of the pregnant woman (World Health Organization, 2007).