bluuebunny/crossref_metadata_2025_split huggingface dataset:
La autoficción cómica en Paco Roca. El humor como punto de fuga al modelo traumático de novela gráfica
Authors: Trabado Cabado José Manuel 
Published: April 2021

Relacionado con la tendencia contemporánea de la novela gráfica autobiográfica, cierto tipo de cómics puede ser incluido en la categoría de “autoficción”. Sin embargo, la forma en la que el creador manipula su “self” gráfico y la distancia irónica que se introduce lleva a pensar que nos enfrentamos no sólo con una “autoficción” sino con una “autoficción cómica” en la que le humor constituye un mecanismo narrativo muy importante. Los textos fragmentados que se estructuran de acuerdo con la poética del “gag” pueden considerarse en cierto modo un punto de fuga al modelo traumático canonizado por Art Spiegelman y su Maus. Paco Roca, Lewis Trondheim, Manu Larcenet son espléndidos ejemplo de esta práctica que se nutre de múltiples formatos como son las páginas de la prensa o los diarios.
Washington Cucurto, el gesto barroco de un escritor apócrifo en una literatura donde todo es posible, incluso una lectura desde el cómic
Authors: Rolle Carolina 
Published: April 2021

En este artículo analizo cómo la poética de Santiago Vega / Washington Cucurto se configura en un juego –que propongo como gesto barroco- donde el autor se (con)funde con el narrador y con el personaje Cucurto a la vez que asume una identidad negra y marginal. Este procedimiento se expande hacia un más allá de la literatura y alcanza al cómic en Las Cucurietas mágicas donde Vega participa como guionista bajo el seudónimo de Cucurto (a la vez que Cucurto es el personaje protagonista) de las tiras dibujadas por Pablo Martin. Esto me habilita a construir un análisis transmedial entre la obra literaria de Cucurto y el cómic donde ambos géneros dialogan al interior de una misma poética.
SOSIALISASI BUSINESS PLAN MENINGKATKAN KAPASISTAS BUMDES SARI ARTHA BARENG JOMBANG
Authors: Susilo Dwi Ermayanti , Mahendri Wisnu 
Published: April 2021

Tujuan pengabdian ini adalah sebagai alternatif untuk mengatasi permasalahan-permasalahan yang sedang dihadapi oleh BUMDes Sari Artha dimana BUMDes Sari Artha masih takut untuk mengambil resiko dalam perencanaan-perencanaan yang sudah direncanakan selain itu dengan adanya business plan tersebut sekaligus juga sebagai alat untuk bekerja sama dengan pihak ketiga dalam hal pendanaan, pembinaan, dam pengembangannya agar usaha yang dijalankan dengan kelayakan ekonomi, sosial dan lingkungan. Melalui program pengabdian pada masyarakat kapasitas BUMDES dan stakeholders dalam penyusunan business plan dapat ditingkatkan melalui penyuluhan dan fasilitasi. Pemberikan edukasi tentang pengelolaan atau pendampingan manajerial dan manajemen resiko akan perencanaan-perencanaan tersebut. Metode yang digunakan adalah melaksanakan kegiatan pengabdian ini adalah berbentuk sosialisasi Business Plan dengan mengundang pihak BUMDes serta perwakilan pengurus BUMDes. Hasil yang diperoleh dari pelaksanaan pengadian kepada masyarakat ini adalah pihak BUMDes Sari Artha diharapkan mampu meningkatkan pengetahuan dan ketrampilan tentang teknik penyusunan business plan, serta menghasilkan draft business plan.
Total extra peritoneal inguinal hernia repair: a single-surgeon preliminary findings report
Authors: Kostov Gancho G. , Dimov Rosen S. 
Published: April 2021

Introduction: Inguinal hernia repair is one of the most frequent operations in general surgery. Various techniques have been used to repair inguinal hernias since the first reconstructive technique described by Bassini in 1887. In 1989 Lichtenstein reported a new technique: tension free inguinal hernia repair. Laparoscopic inguinal hernia repair was introduced in the early 1990s, and soon also became popular. Literature has shown the benefits of laparoscopy (in comparison with open repair) to be mostly related to the more minimally invasive nature of the surgery, having lower wound infection rates, faster recovery, and less postoperative pain.&nbsp;
Aim: To evaluate our totally extraperitoneal (TEP) inguinal hernia repair initial results and compare them to literature data.
Materials and methods: In a prospective review and analysis, we examined 61 cases of hernia repair via laparoscopy (specifically TEP), performed by a single surgeon, between April 2019 and December 2019 at the Kaspela University Hospital in Plovdiv. The centre&rsquo;s Institutional Review Board approved the study with no specific consents required due to the retrospective, minimal risk nature of the study. The routine informed consent required by the National Insurance Fund has been considered sufficient for the study objectives.The surgical outcome measures included operating time (hours/minutes), conversion, peritoneal injury, surgical emphysema; and the clinical outcome measures included postoperative seroma, post-operative infection, and post-operative chronic groin pain.
Results: Inguinal pain on discharge was characterized as mild by 56 (96.55%) patients and moderate by 2 (3.44%), there were no patients describing the pain as severe. The most frequently reported postoperative complications were annoyance and discomfort (10.34%), swelling (6.9%), seroma (3.44), hematoma (1.72%), paresthesia 1.72% (1); however, only those with seromas required special treatment.
Conclusions: Limitations of the present study include the relatively small number of patients, all cases were operated on by a single surgeon and short postoperative follow-up period, but we are sharing our initial six months results. These results demonstrate that laparoscopic TEP inguinal hernia repair without mesh &#64257;xation is a reliable technique, which can reduce postoperative morbidity when applied by experienced surgeons.
Perspective historico-culturelle du développement humain et Approche centrée sur la personne
Authors: Kolpachnikov Veniamin , Kryuchkov Kirill , Leal Mauricio 
Published: April 2021

L’Approche centrée sur la personne propose une théorie élaborée du développement humain qui est fondamentale pour une pratique moderne de la psychothérapie, de l’éducation, pour les pratiques organisationnelles ainsi que pour la recherche. Nonobstant, cette théorie ne prend pas profondément en considération le rôle de l’environnement culturel et des normes de la culture dans le développement humain. Afin d’en élargir la perspective, il est intéressant d’incorporer dans son cadre l’approche historico-culturelle développée par Lev Vygotsky et ses prédécesseurs. Cette théorie considère le rôle de la « culture » (au sens large) et l’histoire personnelle dans le développement humain. Intégrer le concept vygotskien dans le cadre de l’Approche centrée sur la personne permet un enrichissement à la fois pratique et théorique de celle-ci en proposant un point de vue systémique qui combine les conditions de développement avec le contexte historico-culturel général.
La psychiatrie à l’isolement
Authors: Fresnel Hélène 
Published: April 2021

Soins sans consentement, isolement, contention, camisoles mécanique, chimique… La litanie des pratiques et des conditions illégales d’enfermement infligées aux patients dans les services hospitaliers de psychiatrie est égrenée, dénoncée depuis des mois dans la littérature, la presse, les rapports parlementaires et administratifs. Dénoncé de toutes parts, le fonctionnement de la psychiatrie est apparemment l’objet de toute l’attention d’un pouvoir politique qui n’a eu de cesse de rappeler l’importance de la santé mentale et du soin, pendant l’épidémie de Covid-19. Mais comment se traduit cette attention ? Par des restrictions, des condamnations, des lois qui viennent alourdir un système qui suffoque sous le poids de demandes qu’il ne peut traiter et la perspective d’une réforme qui, si elle était mise en œuvre, entérinerait la fin de l’humanité des soins.
De la visibilité du soin et de ses paradoxes
Authors: Del Volgo Marie-José 
Published: April 2021

La résistance à reconnaître l’importance du soin et des métiers qui en ont la charge, leur invisibilité et leur dévaluation dans une société qui promeut l’excellence et les « premiers de cordée » sont notoires. Avec le Covid au début de l’année 2020, les professionnels du soin ont été applaudis tant leur visibilité était flagrante et leurs métiers essentiels à un moment où la vulnérabilité de tous était mise à nu. Mais la valeur que la société octroie aux « premiers de corvée » ne les rend pas véritablement visibles. Un fragment de notre clinique, ainsi que le théâtre de Capek et ses robots, le cinéma de Chaplin avec Le Kid et le travail de Winnicott viennent soutenir ce que prendre soin veut dire, les valeurs humaines fondamentales qui le fondent et celles qui s’y opposent aujourd’hui. Il convient de reconnaître la vulnérabilité en chacun de nous, la sensibilité comme une force et non une faiblesse, l’importance des premiers soins dans un environnement suffisamment bon, dans la sollicitude et le souci mutuel. Le chemin de la reconnaissance des activités de soin est bien long, il nous engage à poursuivre sans faiblir la lutte pour donner au « prendre soin » une place centrale dans nos démocraties.
Le pont des langues. Le groupe multifamilial « Langues »
Authors: Garcia Menendez Jimena , Bossuroy Muriel , Moro Marie Rose 
Published: April 2021

Il existe dans notre secteur de pédopsychiatrie une forte demande d’enfants adressés par les écoles en raison de troubles de langage, de soucis d’intégration au milieu scolaire ou d’échec dans l’entrée dans les apprentissages. Parmi eux, un nombre considérable ont vécu l’expérience de la migration de manière directe ou indirecte. Sans réduire la multiplicité des facteurs sous-jacents aux symptômes de ces enfants à la question de la migration, nous constatons le fait qu’ils entrent dans le langage précisément à un moment où la transmission de la langue des parents est mise à mal par le bouleversement des structures culturelles. Il existe une sommation entre la dévalorisation du capital culturel par la société d’accueil et des souffrances liées à la migration aboutissant à un court-circuit dans la transmission. Ces accidents de la filiation entraînent ou aggravent des manifestations psychopathologiques chez les petits sujets dont nous nous occupons, c’est pourquoi nous avons pensé à un outil thérapeutique pour aborder cette difficulté de l’enfant et de la famille. Le groupe multifamilial « Langues » a permis aux parents une mise en récit de la migration et de l’histoire de la famille. Narrateurs de leurs histoires de vie, auditeurs de nombreuses histoires, les adultes et les enfants coconstruisent un début d’élaboration de vécus jusqu’ici non transmissibles.
Le comportement entrepreneurial du pharmacien titulaire d’officine et ses répercussions identitaires
Authors: Reyes Grégory 
Published: April 2021

Cet article porte sur la pratique professionnelle du pharmacien titulaire d’officine. L’objectif est de montrer comment il est capable de développer un comportement entrepreneurial pour faire face à l’évolution de son secteur d’activité. Cette étude met en lumière un travail d’identité indiquant comment un professionnel donne du sens à son métier. Sa pratique est bouleversée par un marché en pleine évolution. Dès lors, nous supposons que sa capacité d’adaptation passe par un comportement entrepreneurial. Cependant ces changements ne sont pas sans incidences identitaires. C’est ce que nous allons développer dans cette recherche en établissant une relation entre « faire » et « être ». Nous utilisons le prisme du concept d’identité professionnelle (Dubar, 1998) que nous mettons en correspondance avec le concept d’agir entrepreneurial (Schmitt, 2015, 2016, 2017) pour analyser la pratique professionnelle du pharmacien titulaire. Nous voulons savoir comment le pharmacien titulaire développe un comportement entrepreneurial pour faire face à l’incertitude (dynamisme et risques réglementaires) de son marché. Nous avons privilégié une démarche qualitative compréhensive par étude de cas. 21 pharmaciens titulaires et leurs officines sont analysés. Nos résultats montrent que certains titulaires développent un comportement entrepreneurial qui s’affirme selon trois critères. Il faut une situation source de tension, une intention de s’adapter et un espace de problématisation pour trouver des solutions. La discussion montre l’intérêt d’une approche par l’identité professionnelle afin d’utiliser la pratique comme un marqueur identitaire. Elle insiste également sur l’intérêt d’enrichir l’approche de l’entrepreneur par l’analyse de son comportement en se focalisant autant sur ses actions que sur la manière dont il se définit.
Program Evaluation: As the Program Director It; As the Evaluator It
Authors: Lishner Kris , Puetz Belinda 
Published: April 2021

ABSTRACT
Much has been written on "how-to" conduct program evaluations. There is adequate information for the evaluator, but very little guidance for the individual whose program is being evaluated. This article describes the evaluation from the perspectives of two persons: the person whose program is being evaluated, and the person who is conducting the evaluation. The insights shared include information about the techniques and process of evaluation, as well as its interpersonal aspects.
Management Needs of Head Nurses and Supervisors: Designing a Continuing Education Course
Authors: Adams Donna 
Published: April 2021

ABSTRACT
Studies have confirmed the need for continuing education (CE) management courses for hospital nurse managers facing new challenges as decentralization has occurred. Increased problem-solving and decision-making skills are necessary as middle nurse managers attempt to manage more effectively in the current healthcare climate. Head nurses and supervisors may well have the most stressful positions in hospitals. A needs assessment of these individuals was conducted in order to design a management course to provide practical knowledge for contemporary nurse managers.
Incorporating the Affective Component into an AIDS Workshop
Authors: Peters Faye L , Connell Kathryn M 
Published: April 2021

ABSTRACT
Caring for persons infected with the human immunodeficiency virus (HTV) and with acquired immunodeficiency syndrome (AIDS) will be a growing challenge for nurses in the years to come. If the nursing profession is to meet this challenge, continuing education will be essential. This article presents an approach to using a range of community and academic resources in the provision of continuing education. The 1-day program described includes updated information on HTV etiopathogenesis, clinical spectrum, epidemiology, transmission, prevention, and research, and gives participants an opportunity to explore their feelings and attitudes toward providing care for persons with HTV.
Assessment of New Nurse Educators
Authors: Naughton Debra R , Strobel Lucille M 
Published: April 2021

ABSTRACT
New nursing educators are typically hired from a pool of clinical experts due to a limited number of nurse educators prepared in adult education at the master's level. To enable identification of new nurse educator learning needs and individualization of development, a performance-based approach to orientation was designed. Relevant assessment tools were developed using three steps. First, the performance expectations of the role in an acute care facility were articulated. Second, the nine performance expectations were categorized into three skill areas: critical thinking, interpersonal relationships (IPR), and technical (del Bueno, Weeks, & Brown-Stewart, 1987). Lastly, assessment tools were designed to elicit performances in each of the three areas. Plans are underway for validity testing.
Qualitative Needs Assessment Prior to a Continuing Education Program
Authors: Francke Anneke L , Garssen Bert , Abu-Saad Huda Huijer , Grypdonck Mieke 
Published: April 2021

ABSTRACT
The usefulness of qualitative research is illustrated by the presentation of a needs assessment among Dutch surgical cancer nurses and patients. Participant observations and qualitative interviews showed that nurses usually did not assess pain systematically, gave insufficient pain medication, were unaware of the effectiveness of some nonpharmacological techniques, and often felt powerless in giving psychosocial support. Patients appeared inhibited in expressing pain and inhibition was reinforced by ineffective interactions with nurses. Using these findings, a continuing education program on pain assessment and management was developed.
Assessment of a Continuing Education Evaluation Framework
Authors: Koyama Mariko , Holzemer William L , Kaharu Chie , Watanabe Mayumi , Yoshii Yoshiko , Otawa Kyoko 
Published: April 2021

ABSTRACT
This study analyzes a systems model for evaluation research of continuing education (CE) and reports on the result of a quasi-experimental study of a stoma care CE program. Holzemer's conceptual framework for evaluating CE consisting of the learner, setting, and program along with a systems model was used as an organizing framework. A quasi-experimental design (n=24 experimental group and n=27 control group) was used to evaluate the impact of the CE program. Preand post-tests of participants' knowledge and skills of stoma care were evaluated. Participants' satisfaction with the course was surveyed by questionnaire during the course, on completion and four months after the course. No significant differences were found between the two groups. The revised framework included the concept of needs assessment and the impact of the CE program on patient care.
Enculturation of Foreign Nurse Graduates: An Integrated Model
Authors: Yahes Estelle , Dunn Ann Kittrick 
Published: April 2021

ABSTRACT
Graduates of foreign nursing schools are a unique and valuable resource of the U.S. health care delivery system. Due to inadequate communication skills and a lack of cultural enculturation of many foreign nurse graduates (FNGs), some may not reach their full potential as a professional nurse. Agencies who employ FNGs can greatly improve their integration by providing continuing education to enhance communication and cultural enculturation. This model of a communication skills course addresses all aspects of communication: therapeutic, verbal and non-verbal, while integrating a cultural component. Thus, the implementation of this model can enhance foreign nurse graduates' ability to practice in the U.S. health care system.
A Continuing Education Program to Retrain Registered Nurses for Careers in Client-Focused Community Healthcare
Authors: Culley Joan M , Courtney Janet A , Diamond Lisa M , Bates Eliza 
Published: April 2021

ABSTRACT
The purpose of the grant-funded program was to address educational needs arising from the changing role of registered nurses in the delivery of healthcare because of shifts occurring from acute hospital-based care to primary care community-based services. The grant contributed the financial resources necessary to provide administrative support, develop the curriculum and teach the content. Taught jointly by nurse educators and community-based practitioners, the program provided 99 hours of classroom/college laboratory instruction and 96 hours of community-based clinical experiences flexibly structured to meet the needs of working nurses. It provided training at two educational sites for over 40 registered nurses who were unemployed, working in acute care and looking to cross over to community-based settings, or already in a community setting yet interested in sharpening their skills. Nurses were able to earn college credit or continuing education units (CEUs) for successful completion of the program.
New Graduates' Perceptions of Clinical Practice
Authors: Oermann Marilyn H , Moffitt-Wolf Ann 
Published: April 2021

ABSTRACT
This study describes the stresses and challenges experienced by graduate nurses in clinical practice during their initial orientation period and examines the relationship of social support to these stresses. Thirty-five graduate nurses completed a modified Pagana Clinical Stress Questionnaire and social support measure during their orientation period. The graduates experienced a moderate degree of stress in their orientation. Stresses identified most frequently were: lack of experience as a nurse, interactions with physicians, lack of organizational skills and new situations and procedures. Although orientation was stressful, when describing emotions experienced during this period, graduates reported positive emotions most frequently. Pearson correlation revealed no significant relationship between social support and stress. Significant correlations were found, however, between social support and stimulation in clinical practice (r=.57, p=.001) and development of self-confidence (r=.39, p=.029). Findings highlighted the important role of the preceptor during orientation.
Student Pre-entry Experience and First Year of Employment
Authors: Duncan Kathleen 
Published: April 2021

ABSTRACT
Background: Student clinical and work-related experiences are available at many healthcare organizations, but little is known about how these experiences contribute to the employer/nurse work relationship that begins after graduation. This study examined the relationship of senior BSN students' past employer experience in describing first-year employer commitment and turnover.
Methods: The sample was 63 senior BSN students. Experience factors measured included job selection factors, pre- and one-year commitment, organizational climate, employer support, and first-year turnover.
Results: Organizational climate was the experience-related factor most important in explaining first-year commitment.
Conclusion: Findings suggest the importance of supportive work environments to new nurses both before and after accepting the first graduate nurse position.
Gaming: A Teaching Strategy to Enhance Adult Learning
Authors: Henry Joan M 
Published: April 2021

ABSTRACT
Background: As a nurse educator, I encountered many complaints from staff nurses about mandatory inservice education programs, stating that they are repetitious, time-consuming, often too basic, and at times, downright boring. One exception was an Infection Control Week education session that was done in the form of a game. This session set attendance records and had very positive feedback from staff nurses. As a result of this feedback, the use of gaming as a teaching strategy in nursing education was explored.
Method: A review of the literature on gaming as a teaching strategy was conducted with special attention to its history, current use, and successes in nursing education.
Results: Introduced as a formal teaching strategy more than 75 years ago, gaming offers many advantages over more traditional teaching methods. Games connect theory more closely to real life situation and add innovation, diversity, and the opportunity for immediate feedback. Although gaining in popularity, gaming is not extensively used in nursing education as it is not considered a serious educational tool. However, recent literature suggests much success with its use.
Conclusion: Gaming as a teaching strategy has proven to be an effective way of conveying information in a stimulating, appealing manner. Games facilitate both beginning and experienced nurses' learning by providing an opportunity for experience without the danger or fear of jeopardizing patient safety.