bluuebunny/crossref_metadata_2025_split huggingface dataset:
Educators and practitioners’ perspectives in the development of a learning by concordance tool for medical clerkship in the context of the COVID pandemic
Authors: Deschênes Marie-France , Charlin Bernard , Phan Véronique , Grégoire Geneviève , Riendeau Tania , Henri Margaret , Fehlmann Aurore , Moussa Ahmed 
Published: October 2021

Background: The COVID-19 pandemic has forced medical schools to create educational material to palliate the anticipated and observed decrease in clinical experiences during clerkships. An online learning by concordance (LbC) tool was developed to overcome the limitation of students’ experiences with clinical cases. However, knowledge about the instructional design of an LbC tool is scarce, especially the perspectives of collaborators involved in its design: 1- educators who wrote the vignettes’ questions and 2- practitioners who constitute the reference panel by answering the LbC questions. The aim of this study was to describe the key elements that supported the pedagogical design of an LbC tool from the perspectives of educators and practitioners.
Methods: A descriptive qualitative research design has been used. Online questionnaires were used, and descriptive analysis was conducted.
Results: Six educators and 19 practitioners participated in the study. Important to the educators in designing the LbC tool were prevalent or high-stake situations, theoretical knowledge, professional situations experienced and perceived difficulties among students, and that the previous workshop promoted peer discussion and helped solidify the writing process. Important for practitioners was standards of practice and consensus among experts. However, they were uncertain of the educational value of their feedback, considering the ambiguity of the situations included in the LbC tool.
Conclusions: The LbC tool is a relatively new training tool in medical education. Further research is needed to refine our understanding of the design of such a tool and ensure its content validity to meet the pedagogical objectives of the clerkship.
Ishara Bwege Katika Diwani ya Kichomi
Authors: Poyi Chibayi Jason 
Published: October 2021

Wasomi na watafiti wanadai kwamba ishara ni sehemu muhimu ya mtindo. Wanakubaliana kwamba ishara ni kigezo muhimu katika kufasiri maisha bwege. Ishara huonyesha hali halisi ya maisha bwege ya binadamu. Kwa hivyo, makala haya yananuia kuhakiki ishara zilizotumika kuashiria ubwege wa maisha katika diwani ya Kichomi. Utafiti huu uliongozwa na nadharia ya Mtindo iliyoasisiwa na Leech ambayo itasaidia katika kuhakiki ishara zilizotumika kuibua ubwege wa maisha katika mashairi teule ya diwani ya Kichomi. Ishara zilifafanuliwa na kuwasilishwa kwa njia ya maelezo yaliyoegemezwa kwenye mihimili teule ya nadharia ya Mtindo. Uchanganuzi wa ishara uliongozwa na mbinu ya uhakiki matini. Katika diwani ya Kichomi, Kezilahabi anaangazia ubwege kwa njia ya kifalsafa na usanii wa hali ya juu kwa kutumia ishara maalumu. Mtafiti alihakiki matumizi ya ishara kwa namna ambavyo yalitumika kuangazia ubwege. Makala haya yatawafaa waandishi wa fasihi hasa ushairi kwani yatawawezesha kuelewa mbinu mbalimbali za kuandika matini zenye mvuto wa kisanaa ili kuwasilishia jamii ujumbe kwa ubunifu mkubwa.
Distribusi Data dan Informasi JKN-KIS PBI di Desa Cintaratu Kabupaten Pangandaran
Authors: Masrina Dwi , Arifin Hadi Suprapto , Fuady Ikhsan 
Published: October 2021

Community service activities in Cintaratu Pangandaran Village were carried out as an initial program to find out and map the things needed by people of Cintaratu Village in terms of health information, especially information about JKN-KIS PBI (Jaminan Kesehatan Nasional-Kartu Indonesia Sehat-Penerima Bantuan Iuran). Researchers want to see how information related to JKN-KIS PBI is obtained and understood by the people. This activity was carried out for about four weeks using three different methods, namely the survey method, focus group discussion (FGD), and observation. The results of this community service showed that the distribution of information and data in Cintaratu Village regarding JKN-KIS PBI is generally less transparent. The population data used by the central government as the basis for determining aid has been out of date so that aid has not been well-targeted. The people of Cintaratu Village got health information about JKN-KIS PBI by relying on opinion leaders, namely village officers, midwives, and health cadres.
Kegiatan pengabdian masyarakat di Desa Cintaratu Pangandaran dilakukan sebagai program awal untuk mengetahui dan memetakan hal-hal yang dibutuhkan oleh masyarakat desa khususnya informasi seputar JKN-KIS PBI (Jaminan Kesehatan Nasional-Kartu Indonesia Sehat-Penerima Bantuan Iuran). Peneliti ingin melihat bagaimana informasi-informasi terkait JKN-KIS PBI didapat dan dipahami oleh masyarakat Desa Cintaratu. Kegiatan ini dilaksanakan selama empat pekan menggunakan tiga metode yang berbeda yaitu metode survei, focus group discussion (FGD) dan observasi. Hasil dari pengabdian masyarakat ini menunjukkan bahwa distribusi informasi di Desa Cintaratu seputar JKN-KIS PBI secara umum kurang transparan. Data penduduk yang digunakan pemerintah pusat sebagai dasar penetapan bantuan telah kedaluwarsa sehingga bantuan menjadi tidak tepat sasaran. Masyarakat Desa Cintaratu mendapatkan informasi kesehatan seputar JKN-KIS PBI mengandalkan opinion leader yaitu aparat desa/dusun/RW/RT, bidan dan kader kesehatan.
La Recherche et l’Innovation en France
Authors: Bouquin Nadège , Mérindol Valérie , Versailles David W. 
Published: October 2021

Depuis quelques années, on assiste à la multiplication de ce qui sera défini dans ce chapitre comme des « open labs », au-delà de la diversité des intitulés existants. Ces dispositifs, qui associent généralement un lieu et une démarche, peuvent être créés par des acteurs très divers (entreprises, universités, écoles, collectivités locales, associations, institutions culturelles, hôpitaux, entrepreneurs individuels…). Leur objectif est de contribuer au renouvellement des modalités d’innovation et de création par la mise en œuvre de processus collaboratifs et itératifs, ouverts et donnant lieu à une matérialisation physique ou virtuelle. Dans un premier temps, le chapitre précise ce qui a été regroupé sous l’appellation « open labs » et en décrit quelques types : Fablabs et Techshops ; Living Labs ; Innovation labs (aux dénominations variées : Ideas labs, Creative labs…) ; makerspaces/hackerspaces. Dans un deuxième temps, il étudie une dizaine d’open labs créés par de grandes entreprises. Trois logiques types de positionnement par rapport à l’entreprise mère sont identifiées : logique intra-entrepreneuriale, logique de service interne d’innovation (contribution à l’innovation de l’entreprise), logique « makers » (au service des projets des salariés). Après une description des modalités d’organisation et de fonctionnement des open labs en fonction de leur logique de positionnement, un outil de caractérisation et d’aide à la décision est proposé aux acteurs engagés dans un projet d’open lab. Enfin, le chapitre esquisse un bilan de la « valeur ajoutée » et du pouvoir de transformation des open labs aujourd’hui.
Nutritional-status assessment using body-composition monitor device in a cohort of end-stage renal disease on maintenance hemodialysis
Authors: Gawish Rasha I. Abd Elrazek , Elrahman Nourhan Abd , Zeid Montasser M. 
Published: October 2021

Background
Uremic malnutrition is strongly associated with increased risk of death and hospitalization events in this patient population. Many studies have focused on the association between nutritional status and clinical outcome, supporting for the hypothesis that malnutrition may cause or contribute to mortality. The aim of the present work was to study the nutritional status in patients receiving sessions of maintenance hemodialysis by using the body composition monitor device.

Patients and methods
In total, 50 end-stage renal-disease patients on maintenance hemodialysis were enrolled in the study. Assessment of nutritional status using body composition monitor was done for all the patients included in the study. The BCM device takes three steps to display the final output parameters: overhydration, adipose-tissue mass (ATM), and lean-tissue mass (LTM). All output parameters have been validated against the gold-standard reference methods in various studies involving more than 500 patients and healthy controls.

Results
The studied group was divided according to subjective global assessment questionnaire score into three groups: 26 (52%) patients were well nourished, 14 (28%) patients were mildly/moderately malnourished, and 10 (20%) patients were severely malnourished. The body composition monitor showed a decrease in the parameters related to the LTM, while an increase in the parameters related to the ATM. There were statistically significant negative correlations between both parameters.

Conclusion
Body composition monitor is a noninvasive, bedside, easy, and convenient method of assessment of the body composition by assessing the LTM and ATM that gives a better idea regarding the nutritional status of the patients.
Impact of early versus late tracheostomy on patient outcomes in a tertiary care multispeciality ICU
Authors: Chopra Puneet , Sodhi Kanwalpreet , Shrivastava Anupam , Tandon Shivani , Joia Ramandeep Kaur 
Published: October 2021

Background and Aims:Tracheostomy is a commonly performed procedure in critically ill patients because patients requiring chronic mechanical ventilation (MV) are rising by as much as 5.5% per year. The controversy on likely benefits of early versus late tracheostomy is ongoing. We aimed to study the impact of early versus late tracheostomy on patient outcomes.Material and Methods:A retrospective observational study was performed in intensive care unit (ICU) patients who underwent tracheostomy in a 31-bedded multispeciality ICU of a 350-bedded tertiary care hospital, over a period of 1 year. Data collected included the age, sex, APACHE II score, indication for tracheostomy, timing of procedure, whether surgical or percutaneous, any complication, MV days, ICU stay, and patient outcome. Patients were divided into two groups for statistical comparison: early ≤7 days and late >7 days of MV.Results:A total of 102 patients underwent tracheostomy over the study period, of which 19 were excluded because of inadequate data and exclusion criteria. Of the 83 study patients, 60 had percutaneous, while 23 had surgical tracheostomy. About 51 (61.45%) had early, while 32 (38.55%) had late tracheostomy. On statistical analysis, there was a significant difference in MV days (5 vs 12.5 days,P= 0.002), ICU stay (10 vs 16 days,P= 0.004), mortality (21.6% vs 43.8%,P= 0.032), and decannulation rate (29.41% vs 6.25%,P= 0.009). No difference was observed in hospital stay or complication rates.Conclusion:Early tracheostomy is associated with both morbidity and mortality benefits. Patients requiring MV should be given an option of early tracheostomy.
Effect of patient information leaflet on working pattern and patient satisfaction level in a busy Indian day care operative theater complex
Authors: Bakshi Sumitra G. , Tambule Akash , Panigrahi Amit R. , Pai Prathamesh 
Published: October 2021

Background and Aims:In a day care setting, communication of preprocedure instructions prior to general anesthesia (GA) is critical. Verbal information may be inadequate at times leading to unnecessary rescheduling. The aim of the study is to evaluate the use of patient information leaflet (PIL) and its impact on rescheduling and patients’ satisfaction levels.Material and Methods:Adult ASA I-III patients scheduled for elective day care Head Neck procedures such as direct laryngoscopy, examination under anesthesia, and biopsy under GA were recruited. In the outpatient department (OPD), the attending surgeons verbally instructed the patients as well as handed them the PIL. The process was streamlined over a month and thereafter patients’ satisfaction levels and rescheduling rates were captured over 2 months. This was compared to the data from the pre-PIL phase.Result:Prior to PIL, 12% cases were rescheduled due to avoidable causes. After introducing of the PIL, only 8% case were rescheduled (P= 0.02). There was a significant improvement seen in patient satisfaction with 89% patients reporting that the PIL was good or better while 77% were willing to recommend it to the others.Conclusion:PIL is an effective way of imparting perioperative instructions to patients which will improve not only satisfaction but also reduce patient rescheduling. The institution is in the process of implementing PIL to provide instructions to patient posted for day care procedures.
Epidemiology and clinical characteristics of COVID- 19 patients requiring critical care in a Tertiary care teaching hospital
Authors: Ramkumar Rupavath , Rani Deepa , Bhattacharjee Sulagna , Aggarwal Richa , Soni Kapil Dev , Aravindan Ajisha , Gupta Anju , Ayub Arshad , Prakash Kelika , Ganesh Venkata , Trikha Anjan 
Published: October 2021

Background and Aims:We describe the epidemiological and clinical characteristics, and 28 day outcome of critically ill COVID-19 patients admitted to a tertiary care centre in India.Material and Methods:We included 60 adult critically ill COVID-19 patients in this prospective observational study, admitted to the intensive care unit (ICU) after obtaining ethics committee approval and informed consent. Demographics, clinical data, and treatment outcome at 28 days were assessed.Results:Demographic characteristics of the COVID-19 patients reveal that compared to the survivors, the non-survivors were significantly older [57.5 vs. 47.5 years], had more comorbid disease [Charlson's comorbidity index 4 vs. 2], higher Apache II scores [19 vs. 8.5], and had significantly higher percentage of smokers. Diabetes mellitus and hypertension were the most common comorbidities. Dyspnea, fever, and cough were the most common presenting symptoms. Total leucocyte count as well as blood lactate level were significantly higher in non-survivors. Around 47% patients had severe ARDS, and 60% patients required invasive mechanical ventilation. 28 day ICU mortality was 50%, with a mortality of 75% in patients receiving invasive mechanical ventilation. Mortality was higher in males than females (57% vs. 33%). Acute kidney injury and septic shock were the most common non-pulmonary complications during ICU stay. Incidence of liver dysfunction, septic shock, and vasopressor use was significantly higher in the non-survivors.Conclusion:This study demonstrates a high 28 day mortality in severe COVID-19 patients. Further well designed prospective studies with larger sample size are needed to identify the risk factors associated with poor outcome in such patients.
Lane-Hamilton syndrome – Is it really a needle in a haystack?
Authors: Mondkar SA , Tullu MS , Sathe P , Agrawal M 
Published: October 2021

Introduction:The association of pulmonary hemosiderosis with celiac disease (Lane–Hamilton syndrome) is extremely rare.Case Details:A five-year-old female child presented with fever, cough, breathlessness, and pallor for 20 days, without any previous history of recurrent lower respiratory tract infections, tuberculosis, or cardiac disease. There was no history of pica, chronic diarrhea, bleeding, or personal or family history of repeated blood transfusions. She had tachycardia, tachypnea, severe pallor, stunting, rickets, and bilateral fine lung crepitations. Peripheral smear and blood indices revealed dimorphic anemia. Anti-tissue transglutaminase IgA antibody levels were high (>200 U/mL) and the upper gastrointestinal endoscopy with duodenal biopsy confirmed the diagnosis of celiac disease. The child was discharged on a gluten-free diet (GFD) and oral hematinic, but her dietary compliance was poor. Interestingly, the child had persistent bilateral pulmonary infiltrates, which was initially attributed to congestive cardiac failure (CCF), which persisted even despite treatment. HRCT chest revealed interstitial thickening and bilateral alveolar shadows and bronchoalveolar lavage showed a few inflammatory cells. The child was readmitted four times with similar complaints and was given packed red cell transfusions. In the fourth admission, a lung biopsy was done, which revealed extensive pulmonary hemosiderosis. The patient was given a course of oral steroids for 6 weeks, with a gluten-free diet, following which both the anemia and the pulmonary infiltrates resolved.Conclusion:Pulmonary hemosiderosis is an important cause of anemia in cases of celiac disease and may be misdiagnosed as CCF due to severe anemia. A strict GFD, with or without corticosteroids, can reverse the clinical and radiological picture.
FORMAÇÃO PROFISSIONAL EM SAÚDE: ABORDAGEM CURRICULAR DE UM CURSO DE FISIOTERAPIA
Authors: Germano Josiane Moreira , Sandrini Patrícia Fernanda , Jesus Adriana Regina de 
Published: October 2021

A mudança do modelo de saúde somado à alteração do perfil epidemiológico no Brasil fez com que a formação profissional fosse alvo de estudos devido à insuficiência do padrão de formação no acolhimento das demandas da saúde pública. Desta forma, os objetivos deste artigo são: discorrer sobre a formação profissional em Fisioterapia na perspectiva do paradigma sanitário e apresentar a análise do Projeto Político Pedagógico de um curso de Fisioterapia e suas repercussões na formação profissional de fisioterapeutas egressos. Trata-se de um estudo de análise documental de caráter qualitativo, com levantamento bibliográfico de artigos em bases de dados como: Scielo e Lilacs, além de outros manuscritos, sem restrição de ano buscou-se embasamento para a construção do texto, artigos relacionados à formação profissional em saúde, currículo em fisioterapia e diretrizes curriculares nacionais em saúde. Com esta pesquisa foi possível perceber que a fisioterapia nasce de uma perspectiva exclusivamente reabilitadora onde o foco de formação está voltado ao cuidado hospitalar e clínico. A análise do Projeto Político Pedagógico possibilita perceber que apesar de três readequações curriculares dos eixos de conhecimento, o curso apresenta características majoritariamente biológicas e instrumentais. O currículo segue uma vertente tradicionalista onde as disciplinas são organizadas de modo linear e por séries, dificultando a integração disciplinar. Para contemplar a necessidade do modelo de saúde vigente percebe-se a necessidade de direcionar a formação para aspectos mais humanos, onde o curso tem o desafio de reorientar o currículo aproximando-o das necessidades reais do paradigma sanitário.
Ensino e Prática de Enfermagem em Emergência: Apoio Tecnológico
Authors: Santos Douglas Markonne de Souza , Silva Ilda Cecilia Moreira da , Scavarda Annibal José Roris Rodriguez , Loureiro Lucrécia Helena 
Published: October 2021

Objetivou-se realizar uma revisão integrativa da literatura sobre os tipos de tecnologias que enfermeiros têm desenvolvido ou que os mesmos poderiam utilizar para a assistência de enfermagem em emergências. Realizou-se de janeiro a junho de 2017 busca com os descritores: “tecnologia em saúde”, “assistência de enfermagem”; “emergência”, “educação em enfermagem nas bases: SciELO, PubMed, BVS, BDENF, BDTD/UFMG, PERIODICOS CAPES/MEC, em periódicos brasileiros. Encontrou-se 7938 referências, publicadas no idioma português e 687 em inglês, das quais trinta atenderem aos critérios de seleção do estudo, 47% português e 53% em inglês. Segundo a classificação do Qualis, 30% A1; 27% B1; 17% B2; 13% A2;10% C; 3% B4, comprovando o padrão de qualidade excelente nos estudos desenvolvidos pela Enfermagem acerca da temática. Identificou–se três tipos de tecnologias para o cuidado, classificadas como leve, leve-dura e dura. As tecnologias leve e leve-dura as mais utilizadas, por serem práticas facilmente desenvolvidas e aplicáveis no gerenciamento do cuidado. Conclui-se que a enfermagem, por intermédio de suas inovações tecnológicas é capaz de avançar na aplicação dessas tecnologias, articuladas especialmente às ações de ensinar, gerenciar e cuidar em saúde.
CONFLITO SOCIAMBIENTAL NAS ÁREAS DE LAZER EM VOLTA REDONDA: A INCLUSÃO DO SLACKLINE NO COTIDIANO DA CIDADE
Authors: Alves Marcelo Paraiso , Magnago Roberto Oliveira , Figueiró Ronaldo , Nascimento Milena de Souza , Mulinari Daniela Regina 
Published: October 2021

A presente investigação tem como centralidade o conflito socioambiental entre os praticantes de Slackline e o governo municipal de Volta Redonda. Tal conflito se desenvolveu até o final de 2016, principalmente nos logradores públicos do bairro Vila Santa Cecília: ‘Praça Jardim dos Inocentes’ e ‘Praça Brasil’. Diante da configuração singular da proibição na colocação das fitas de Slackline nas referidas praças públicas, emergiu a situação problema desta pesquisa, visto que os praticantes de Slackline foram proibidos de realizar a modalidade esportiva nos espaços públicos do referido município. Diante do exposto cabe perguntar: Como se efetivou o conflito entre o governo municipal e os praticantes de Slackline? Qual a percepção dos praticantes de Slackline sobre a proibição implementada no município? Por fim, quais os impactos destas políticas para a referida prática corporal? Diante desse cenário, o estudo investigou o conflito socioambiental estabelecidos entre o poder público da cidade de Volta Redonda e os praticantes de Slackline. Metodologicamente a pesquisa se aproximou dos Estudos do Cotidiano no intuito de visibilizar as práticas culturais dos sujeitos ordinários que pratica a referida ação corporal. Considerando ser uma investigação que envolveu entrevista com os praticantes de Slackline, ressaltamos que o projeto foi submetido ao Comitê de Ética e aprovado sob o número CAAE: 77005517.0.0000.5237.
A perspectiva didática das metáforas visuais em quadrinhos: um recurso tecnológico na saúde.
Authors: FRANÇA CAMILLA CHAGAS SILVA , CUNHA ANA PAULA , SILVA ILDA CECÍLIA MOREIRA DA 
Published: October 2021

O foco deste estudo são as metáforas visuais em quadrinhos como um recurso didático e tecnológico no módus operandi de se transmitir conhecimento, essencialmente na saúde. O objetivo é oferecer uma sistematização teórica sobre os quadrinhos e tem caráter bibliográfico, qualitativo e exploratório. Realizou-se uma pesquisa no período de 2009 a 2019, nas bases: SciELO, BVS - Biblioteca Virtual em Saúde e PERIÓDICOS CAPES/MEC, por meio dos descritores “quadrinhos”; “ensino”; “saúde”; “comunicação” “serviço social”, onde foram selecionados 18 artigos que transitassem duas ou mais palavras-chave e contemplassem os objetivos propostos. Os resultados apontaram a importância das HQs como ferramenta pedagógica e formadora de conceitos não cristalizados, identificou as lacunas do conhecimento e a necessidade do Serviço Social em desvendá-la como método difusor de conceitos sociais fundamentais.
FANTASIA VERSUS REALIDADE: EXPLORANDO AS POTENCIALIDADES DO CINEMA PARA O ENSINO DE CIÊNCIAS E BIOLOGIA.
Authors: Costa Elaine Cristina Pereira , Barros Marcelo Diniz Monteiro de 
Published: October 2021

O trabalho apresenta os resultados obtidos a partir de um curso de férias realizado em uma Instituição de Pesquisa do Rio de Janeiro. Destinado a graduandos de Licenciatura, o curso teve por objetivo discutir o uso de metodologias diferenciadas para o ensino de Ciências e Biologia ao longo da Educação Básica, destacando o cinema como instrumento de mediação do conhecimento. Além dos filmes assistidos e debatidos ao longo do curso, os alunos apresentaram como trabalho final, um trecho de um filme ou documentário e a proposta pedagógica para um dos filmes ou vídeo trabalhados, através da elaboração de um guia do educador. Nossos resultados sugerem que o uso do cinema amplia a percepção dos estudantes, a começar pelos próprios graduandos, e que o cinema pode contribuir para o aprendizado de forma mais dinâmica, lúdica e prazerosa, favorecendo o ensino de ciências. Palavras chave: cinema, ensino de ciências, ensino de biologia.