bluuebunny/crossref_metadata_2025_split huggingface dataset:
Theory of the Evolution of Nurse Practitioner Practice
Authors: Heale Roberta 
Published: July 2021

Aim: To determine the nurse practitioner's perception of scope of practice and understanding of changes to practice over time.
Background: A great deal of research about nurse practitioners has been conducted related to such things as role clarity, transition, or preparedness to practice and job satisfaction. Conceptual models of nurse practitioner practice have been developed to highlight practice processes, interprofessional relationships and more. However, none of this literature addresses nurse practitioner's perception of scope of practice, the impact of their changing practice experiences and how the understanding of their practice changes over time.
Methods: This grounded theory study was undertaken in Ontario, Canada, with interviews of primary health care nurse practitioners which resulted in the Theory of the Evolution of Nurse Practitioner Practice.
Conclusion: Within this theory, scope of practice is defined as nurse practitioners working to their maximum potential. There are both intrinsic and extrinsic elements which render maximum practice potential a fluid and changing state.
Emphasizing the Nurse Practitioner Role in Addressing Unique Challenges Associated with Benzodiazepine use among the Elderly
Authors: Fournier Jennifer Lynn , Gorham Robyn 
Published: July 2021

Aim: The aim of this paper is to discuss the use of benzodiazepine medications among the elderly, and the role of a nurse practitioner within this patient population.
Background: Benzodiazepines are well known to have a negative impact on the mobility of elderly patients and to contribute to increased falls. These medications also have an impact on elderly patients’ ability to perform activities of daily living and to drive. Nurse practitioners offer holistic care to elderly patients. This includes prescribing medications, monitoring therapy, deprescribing medications and identifying opportunities for safe alternatives to treat a variety of conditions.
Methods: This paper presents a narrative review focused on the effect of benzodiazepine medications on the elderly patient population, with an emphasis on the use of benzodiazepines in insomnia.
Conclusions: Findings of this review confirm the known risks associated with the use of benzodiazepines in the elderly and that these medications should be carefully considered in ongoing management. The conclusions of this review support the use of nurse practitioners in the enhancement of the healthcare of the elderly through the continuum of assessment, monitoring, deprescribing of benzodiazepine medications when appropriate, as well as opportunities to implement alternative treatments.
Designing an Intelligent System for Diagnosing Type of Sleep Apnea and Determining Its Severity
Authors: Kohzadi Zeinab , Safdari Reza , Sadeghniiat Haghighi Khosro 
Published: July 2021

Introduction: Sleep apnea syndrome can be considered as one of the most serious risk factors of sleep disorder. Due to the lack of information about this disease, many causes of unexpected deaths have been identified. With increasing the number of patients with this disease around the world, many patients suffer apnea complications. Most of them are not treated because of the complex and costly and time-consuming polysomnography (PSG) diagnostic procedure.Material and Methods: This descriptive-analytical study was performed on 50 patients referred to sleep clinic of Imam Khomeini Hospital in Tehran, Attempts to design, and develop a system for detection of sleep apnea and its severity using ECG signals, RR intervals and airflow. The random forest algorithm and MATLAB2016 were used in the design of the system that the algorithm inputs are extracted 8 features nonlinear in time-frequency domain from airflow and ECG signals and 10 nonlinear features of RR intervals.Results: The accuracy for normal, obstructive, central and mixed apnea was obtained at 95.3%, 97.92%, 99.60%, and 97.29%, respectively, and the accuracy For detection of normal, mild, moderate and severe apnea was obtained 96%, 94%, 94%, 96% respectively. According to the results, the proposed system can correctly classify the types of sleep apnea and its severity.Conclusion: The proposed system, which has high performance capability in addition to increasing the physician speed and accuracy in the diagnosis of apnea can be used in home systems and the areas where healthcare facilities are not sufficient.
Mama tumoral. Fundamentos del tratamiento quirúrgico
Authors: Mogrovejo Ugáz Luis 
Published: July 2021

El tema "Mama Tumoral", es muy amplio, y requeriría muchas páginas para su desarrollo, por lo que trataré de hacer una revisión breve y panorámica. No escapa a nuestro entender, la intención de los organizadores, de abordar aspectos que sean de interés práctico, por lo que me parece oportuno resaltar que la dependencia endocrina de las glándulas mamarias a las hormonas ováricas, hacen de aquéllas parte integrante del aparato genital femenino. Es por ello que nuestros colegas ginecólogos y obstetras deben estar familiarizados con el manejo de la patología mamaria, no sólo en el aspecto tumoral, sino endocrino, infeccioso, estético, etc., es decir, en lo que se ha venido a llamar últimamente Mastología, a fin de darle un más amplio sentido, y que la Sociedad de Obstetricia y Ginecología, asumiendo su rol orientador de nuestra especialidad, está interesada en promover.
Tratamiento de 24 parejas chiclayanas mediante inseminación artificial homóloga con la primera fracción del eyaculado
Authors: Palacios Celi Miguel 
Published: July 2021

La Inseminación Artificial Homóloga -IAH- es un método que adquiere progresivamente más importancia en el tratamiento de la esterilidad conyugal y consiste en depositar semen fresco, congelado o tratado en el exocérvix, en el endocérvix o en cavidad endometrial, en este trabajo hemos usado semen fresco fraccionado utilizando la primera fracción del eyaculado y lo hemos depositado en el endocérvix con rociado peri-cervical, comparándolo con la inseminación clásica de todo el eyaculado. La muestra estudiada de 24 parejas, la hemos dividido en dos grupos de 12 parejas c/u., el grupo A fue inseminado con la primera porción del eyaculado, en tanto que el grupo B fue inseminado con todo el eyaculada, todas las parejas recibieron el mismo protocolo de inducción ovárica, de pesquizaje ecográfico de la Ovulación y de Inseminación; los resultados fueron tabulados, distribuidos en cuadros bidimensionales y analizados.
Estudio preliminar sobre detección de defectos de tubo neural mediante ultrasonido.
Authors: San Martín José , Díaz Jorge , Trelles Juan , Saona Pedro , Maradiegue Eduardo 
Published: July 2021

Estudio restrospectivo realizado en el Hospital Nacional Cayetano Heredia, entre enero de 1991 y abril de 1993 en 972 productos evaluados mediante ultrasonido . El objetivo fue conocer la precisión de la ecografía de nivel I realizada a partir del segundo trimestre de gestación, en la detección de defectos del tubo neural en la población general. Para ello se correlacionan los hallazgos ecográficos con los de la evaluación clínica del recién nacido. Se halló una tasa de detección de defectos de tubo neural de 90% (96/100), especificidad de 99,6% (958/964) tasa de falsos positivos de 30% (4113) y tasa de falsos negativos de 0,1% ( 1959) . Se detectó el 100% de las anencefalias. El ultrasonido es un procedimiento diagnóstico de gran utilidad para la detección de defectos de tubo neural.
Recuerdos históricos: La atención de la puérpera en siglos pasados.
Authors: Bazúl Víctor 
Published: July 2021

En la actualidad, los conocimientos científicos se renuevan tan rápidamente que, cada cinco años, los precedentes quedan obsoletos. La obstetricia no es ajena a estos cambios. Los conceptos que teníamos sobre algunos tópicos, hace poco más de veinte años al dejar la facultad de Medicina, son hoy diferentes. Un ejemplo simple es el relativo al manejo de las puérperas, tanto las que han tenido parto vaginal como las que han sido sometidas a una intervención quirúrgica. Hace pocos años, nuestras puérperas de parto normal, permanecían hospitalizadas más de tres días; después del quinto día se terna que retirar los puntos de hilo con los que se suturaba los desgarros o las episiorrafias; las que hablan tenido un operación cesárea no se levantaban hasta el segundo o tercer día; recibían antibióticos casi en el 100% de los casos y no se les daba de alta hasta el séptimo u octavo día, posterior al retiro de los puntos.
Bareras para el aborto seguro en el marco de la ley peruana
Authors: Távara Orozco Luis , Macharé Pilar , García Angulo Segundo , Guevara Enrique , Cabrera Santiago , Aguilar Julio , Ramírez Ysoé , Orderique Luis , Silva Carlos , Sánchez Sixto , Leveau Walter , Burela Jhonny 
Published: July 2021

Objetivo: Examinar el proceso histórico para institucionalizar el aborto terapéutico en el Perú y precisar su situación actual. Metodología: Revisión de la información bibliográfica existente en el país en relación al proceso seguido por muchas instituciones hasta conseguir que el Ministerio de Salud apruebe la Guía Nacional para el Aborto Terapéutico. Luego el investigador principal convocó a 10 jefes de servicio/departamento de Ginecología y Obstetricia de igual número de hospitales que tienen regulada la prestación de servicios de aborto terapéutico mediante Guías o Protocolos locales desde 5 años antes, a quienes se les solicitó información. Resultados: La oficialización de la Guía Nacional para la prestación de servicios de aborto terapéutico por parte del Ministerio de Salud ha sido un trabajo persistente de muchas instituciones de la sociedad civil, pero los 10 hospitales convocados ya venían respondiendo a la demanda desde 5 años atrás. En los 5 años se atendió 257 abortos terapéuticos. La frecuencia del aborto terapéutico es aún baja, sin embargo se aprecia un aumento progresivo conforme avanzan los años. Es predominante la frecuencia de abortos terapéuticos en el segundo trimestre del embarazo, siendo la causa más frecuente las anomalías congénitas incompatibles con la vida. El uso del misoprostol en la evacuación del útero ha alcanzado el 95% de los casos y no se ha verificado más de 2% de complicaciones leves. Conclusión: El aborto legal por causales de salud se viene ofertando en forma restringida en el Perú.
EFEITO DO TAMANHO DAS SEMENTES SOBRE A EMERGÊNCIA E MORFOFISIOLOGIA DE MUDAS DE MAMA CADELA
Authors: Querioz Thales Augusto Ferreira , Dias Daniela Pereira 
Published: July 2021

O objetivo deste estudo foi avaliar a emergência de plântulas e a morfofisiologia de mudas de mama-cadela (Brosimum gaudichaudii Trécul) produzidas a partir de sementes de diferentes tamanhos. Foram determinadas a porcentagem de emergência de plântulas e as características morfofisiológicas das mudas (altura, diâmetro do colo, índice de robustez, espessura foliar, índice de clorofila, biomassa seca, massa foliar específica - MFE e área foliar total). A emergência iniciou-se após 21 dias da semeadura e atingiu, ao final do experimento, 84% para as sementes pequenas, valor inferior ao das sementes médias e grandes (94 e 90%, respectivamente). Em 60 dias, as mudas apresentavam, em média, 2,53 mm de diâmetro e 12,81 cm de altura. Nos primeiros 30 dias, as mudas formadas a partir de sementes pequenas tinham alturas menores que as demais. O tamanho das sementes não afetou o diâmetro do colo e a espessura das folhas durante o crescimento inicial das mudas, assim como para os parâmetros morfofisiológicos estudados. Ao longo de 120 dias, houve aumento do conteúdo de clorofilas, biomassa seca, área foliar total, exceto para a MFE. O tamanho das sementes afeta a emergência e a altura das mudas de mama-cadela após 30 dias após a emergência.
Palavras-chave: Brosimum gaudichaudii; Cerrado; crescimento inicial.

Effect of seed size on emergence and mophophysiology of mama-cadela seedlings

ABSTRACT: The objective of this study was to evaluate the seedling emergence and morphophysiology of mama-cadela (Brosimum gaudichaudii Trécul) seedlings produced from seeds of different sizes. Seedling emergence percentage and seedling morphophysiological characteristics (height, diameter, slenderness index, leaf thickness, chlorophyll index, dry matter, specific leaf mass - MFE and total leaf area) were determined. The emergence started after 21 days of sowing and reached, at the end of the experiment, 84% for small seeds, lower than the average and large seeds (94 and 90%, respectively). In 60 days, the seedlings had, on average, 2.53 mm in diameter and 12.81 cm in height. In the first 30 days, seedlings formed from small seeds had shorter heights than the others. The seeds size did not affect the diameter and the leaves thickness during the initial growth of the seedlings, as well as for the morphophysiological parameters studied. Over the 120 days, there was an increase in the content of chlorophylls, dry matter, total leaf area, except for MFE. The seeds size affects the emergence and the height at 30 days after mama-cadela seedlings emergence.
Keywords: Brosimum gaudichaudii; Brazilian savanna; initial growth.
AVALIAÇÃO AGRONÔMICA DE NOVOS CLONES DE Manihot esculenta Crantz NO SEGUNDO CICLO VEGETATIVO
Authors: De Sousa Rodrigo Magno , De Sousa Mateus Alves , Dos Santos Renata Soares , Palomino Edwin Camacho 
Published: July 2021

O presente trabalho teve como objetivo avaliar as características agronômicas no segundo ciclo vegetativo de novos clones de mandioca de mesa oriundos de um programa de melhoramento, nas condições edafoclimáticas do município de Santarém, Oeste do Pará. O delineamento experimental utilizado foi em blocos casualizados com 13 tratamentos (novos clones de macaxeira) e três repetições. As parcelas foram constituídas por 10 plantas distribuídas em duas linhas de 5 metros, com espaçamento de 1,0 x 1,0 m. Os resultados obtidos denotam que a produtividade apresentou correlação significativa e positiva com a massa de raízes comerciais (r= 0,98), massa fresca da parte aérea (r= 0,61) e diâmetro médio das raízes (r= 0,63), com destaque para o clone C5 que obteve maiores rendimentos em relação a estas características, e consequentemente apresentou maior média de produtividade 44,70 t ha-1. Em relação ao tempo de cozimento das raízes, de treze clones testados, doze materiais obtiveram tempo médio de cozimento inferior a trinta minutos, sendo classificados como tempo de cozimento bom, com destaque para o clone C11, que apresentou média de 12,30 minutos. Todos os clones avaliados apresentam características agronômicas desejáveis tornando-se promissores para o mercado do município de Santarém, no baixo Amazonas.
Palavras-chave: melhoramento; baixo amazonas; produtividade; mandioca de mesa.

Agronomic evaluation of new Manihot esculenta Crantz clones in the second vegetative cycle

ABSTRACT: The present work aimed to evaluate the agronomic characteristics in the second vegetative cycle of new macaxeira clones from a breeding program under the edaphoclimatic conditions of the municipality of Santarém, Western Pará. The experimental design was randomized blocks with 13 treatments (new clones of cassava) and three repetitions. The plots consisted of 10 plants distributed in two rows of 5 meters, with 1.0 x 1.0 m spacing. The results show that yield was significantly and positively correlated with commercial root mass (r = 0.98), fresh shoot mass (r = 0.61) and mean root diameter (r = 0.63). highlighting clone C5 that obtained higher yields in relation to these characteristics, and consequently presented higher average yield 44.70 t ha-1. Regarding the root cooking time, of thirteen clones tested, twelve materials had an average cooking time of less than thirty minutes, being classified as good cooking time, especially clone C11, which presented an average of 12.30 minutes. All evaluated clones have desirable agronomic characteristics making them promising for the lower Amazon market.
Keywords: breeding; low amazons; productivity; table cassava.
CULTIVO CONSORCIADO DE BATATA-DOCE E MILHO PIPOCA: CRESCIMENTO E PRODUÇÃO DAS CULTURAS
Authors: Redin Marciel , Andrieli Silveira Bones Scheila , Eduardo Schmitt Stein Jackson , Canepelle Eduardo , Daniel Steffler Andersson , Rotili Junior Rodrigo , Fátima Serafini Rafaela , Jardel Radons Patrique 
Published: July 2021

O objetivo foi avaliar o crescimento das plantas, produção de raízes de batata-doce (Ipomoea batatas) e grãos de milho pipoca (Zea mays) em sistema de cultivo solteiro e consorciado. Foram avaliadas quatro cultivares de batata-doce e uma de pipoca em blocos casualizados com três repetições em condições de campo. No cultivo solteiro, a pipoca e batata-doce foram espaçadas 75 cm entre linhas. No consorciado, o plantio da batata-doce foi no centro das entre linhas da pipoca. A adubação foi realizada com cama de frango. Aos 30, 60 e 90 dias foi avaliado o número de folhas, altura das plantas, diâmetro do colmo/baraços e comprimento de baraços. No florescimento foi determinada a matéria seca das plantas, na maturação fisiológica a produção de grãos da pipoca e aos 180, as raízes da batata-doce. Observou-se que a pipoca apresentou a maior produção de matéria seca, número de folhas, diâmetro de colmos e altura de plantas quando solteiro, as cultivares de batata-doce quando consorciadas menor produção de matéria seca e raízes, a produção de grãos de pipoca não apresentou diferença entres os sistemas de produção. O sistema consorciado de pipoca e batata-doce promove maior produção de matéria seca e produção de alimentos por área. Palavras-chave: policultivos; sustentabilidade; agricultura familiar; Ipomoea batatas; Zea mays. Intercropped cultivation of sweet potatoes and popcorn: growth and production of crops ABSTRACT: The objective was to evaluate plant growth, sweet potato productivity (Ipomoea batatas) and grains of popcorn (Zea mays) in single and intercropped systems. Four sweet potato cultivars and one popcorn in randomized blocks were evaluated with three replications in field conditions. In single cultivation, popcorn and sweet potatoes were spaced 75 cm between rows. In the intercropped, the sweet potato was in the center of between the lines of popcorn. Fertilization was carried out with chicken manure. At 30, 60 and 90 days, the number of leaves, plant height, stem/tiller diameter and tether length were evaluated. At flowering, the dry matter of the plants was determined, at physiological maturity the grain yield of the popcorn and at 180, the roots of the sweet potato. It was observed that the popcorn showed the highest production of dry matter, number of leaves, stem diameter and plant height when single, sweet potato cultivars when intercropped, lower production of dry matter and roots, the productivity of popcorn grains there was no difference between the production systems. The intercroped system of popcorn and sweet potatoes promotes greater production of dry matter and food productivity per area. Keywords: polyculture; sustainability; family farming; Ipomoea batatas; Zea mays.
AVALIAÇÃO DO DESEMPENHO REPRODUTIVO DE VACAS NA REGIÃO DO PANTANAL SUL-MATO-GROSSENSE SUBMETIDAS A IATF Com Aplicação De GnRH
Authors: Perucchi Gabriel Rodrigo Hass , Sartori Gabriela de Souza , Silva Richarlla Aparecida Buscariol , Garcia Murilo da Silva , Jardim Rodrigo José Delgado , Frias Danila Fernanda Rodrigues 
Published: July 2021

A Inseminação artificial em tempo fixo (IATF) está se difundindo no Brasil, pois contribui para o aumento da produtividade. O objetivo neste trabalho foi avaliar o uso do GnRH em protocolos de IATF de vacas criadas no pantanal Sul-mato-grossense. Participaram da pesquisa 531 vacas paridas da raça Nelore, que foram avaliadas de acordo com o escore de condição corporal (ECC), submetidas a três tipos de protocolos de IATF (lote 1, 2 e 3). Após 40 dias da inseminação artificial foi realizado diagnóstico de gestação. As matrizes que não receberam GnRH no lote 1 (estro aparente), lote 2 (estro parcial) e lote 3 (sem apresentação de estro) apresentaram, respectivamente 55,4%, 19,2% e 25,9% de prenhez, enquanto as que receberam o fármaco apresentaram 48,6%, 37,2% e 38,8%. Relacionado ao ECC, pode-se observar que a maior taxa de prenhez ocorreu em animais com ECC 3. Primíparas apresentaram melhor taxa de prenhez quando receberam GnRH independente do ECC. Concluiu-se que o uso de GnRH mostrou-se eficiente para melhoria da taxa de prenhez principalmente em primíparas, assim como nos animais que não apresentaram estro ou apresentaram estro parcial, e que matrizes com ECC 3 apresentaram melhores taxas de prenhez que vacas com escore inferior.
Palavras-chave: bovino de corte; inseminação artificial em tempo fixo; produtividade; GnRH; Nelore.

Evaluation of cow reproductive performance in the region of Mato Grosso do Sul swamp submitted to TAI with GnRH application

ABSTRACT: The technique of timed artificial insemination (TAI) is spreading in Brazil, as it contributes to the increase of productivity. The objective of this work was to evaluate the use of GnRH in TAI protocols of cows raised in the swamp of Mato Grosso do Sul. 531 Nelore breed calved cows participate in the survey, which were evaluated according to the body condition score (BCS), and then performed three types of TAI protocols (batch 1, 2 and 3). After 40 days of the insemination, a pregnancy diagnosis was made. The matrices that did not receive GnRH in batch 1 (apparent oestrus), batch 2 (partial oestrus) and batch 3 (no oestrus presentation) presented respectively 55.4%, 19.2% and 25.9% of pregnancy, while those receiving the drug showed 48.6%, 37.2% and 38.8%. Related to BCS, it can be observed that the highest pregnancy rate occurred in animals with BCS 3. Primiparous had a better pregnancy rate when receiving GnRH regardless of BCS. It was concluded that the use of GnRH was efficient to improve the pregnancy rate mainly in primiparous as well as animals that showed no oestrus or partial oestrus, and matrices with BCS 3 had better pregnancy rates than cows with lower scores.
Keywords: beef cattle; timed artificial insemination; productivity; GnRH; Nelore.
Replenishing Milk Sons
Authors: Isidoros Konstantina 
Published: July 2021

AbstractSince the decolonisation period, the Sahrāwī in the western Sahara Desert, North Africa have experienced very specific sociopolitical transformations relating to their millennia-old specialisation in nomadic pastoralism. This article examines the effects of such transformations on particular forms of making kin out of others – milk kinship. Various political circumstances have obliged the Sahrāwī to restructure their customary principles of organisation, possibly diminishing these practices. I question the effects of the loss of milk kin – particularly of milk sons – and the strains on customary matrilocal relations in the survival pressure on kinship relying solely upon ‘blood’ sons to replace these ‘missing men’.
Changes in Attitudes towards Marriage and Reproduction among People with a Genetic Illness
Authors: Hosoya Sachiko 
Published: July 2021

AbstractIn this article, the change in attitude towards marriage and reproduction among Iranian people with a genetic illness called thalassemia has been investigated, along with an analysis of the impact brought by the national thalassemia prevention programmes, which were introduced to discourage marriage between carriers (thalassemia minor) and the birth of severe homozygous cases (thalassemia major). Marriage and reproductive choices of people with both thalassemia minor and thalassemia major were focused upon in order to prevent the birth of affected babies. Thalassemia carrier couples prefer to choose abortion of affected foetuses, rather than giving up their marriage, and some people with thalassemia major choose a person with thalassemia major as a marriage partner, though they must give up having their own child.