bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perfil fisiológico de los nanomateriales
Authors: Gonzalez Carmen , Navarro Tovar Gabriela , Ramírez Lee Manuel Alejandro 
Published: July 2018

<p>Hoy en día uso de nanomateriales (NMs), ha proporcionado aplicaciones en múltiples áreas como la medicina, cosmetología, electrónica y otras, dando lugar a la generación de exitosos productos comerciales. Sin embargo, aún existe controversia en la toxicología promovida por los NMs, debido a que la naturaleza del material, su tamaño, concentración e interacción con estructuras fisiológicas, podría afectar de manera negativa al organismo. En este sentido, las investigaciones en nanotoxicología, incluyen modelos fisiológicos <em>ex vivo</em>, que permiten obtener información del efecto biológico de los NMs en órganos y tejidos, por ejemplo corazón, hígado, riñón, vasos sanguíneos, aparato digestivo, respiratorio, entre otros. Los resultados de dichos abordajes fisiológicos se obtienen de forma relativamente rápida, con un costo comparativamente bajo y proporcionan información importante de los mecanismos de acción involucrados en el órgano diana. En esta revisión, se describen algunos modelos fisiológicos que pueden aportar información relevante en el campo de la nanotoxicolgía y como se podrían complementar a través de modelos <em>in silico</em>. Asimismo, se presenta como caso de estudio, el trabajo realizado por nuestro grupo de investigación en referencia al efecto biológico de las nanopartículas de plata (AgNPs) haciendo uso modelos de corazón aislado y perfundido, anillos aislados de vasos sanguíneos y de vías respiratorias. </p>
Comparison of Management Practices in Public and Private Universities in Khyber Pakhtunkhwa
Authors: Khan Nasrullah , Aajiz Dr Niaz Muhammad , Ali Akber 
Published: July 2018

<p> <em>This study attempted to compare the management practices in public and private universities in Khyber Pakhtunkhawa, Pakistan. The comparison is based on availability of written rules and regulations, distribution of tasks, availability of managers, access to officers, time management, work load, staff promotion procedure and appraisal system. Additionally, the comparison is also based on transparency, political intervention, use of authorities, nepotism and biasness, human resource availability and functions, academic decisions, existence of different decision making bodies, committees and their role in policy making and implementation and management styles. The population comprised all recognized universities in Khyber Pakhtunkhawa and a convenience sampling of six universities included three from public and three from private sector. The findings showed that both sector universities had the required offices, staff members and managers. The areas where private universities were observed weak as compared to public universities were lack of proper staff vacancy advertisements and induction policies, vague appraisal system, low salary packages and limited freedom to managers. Public universities were found unsatisfactory in areas including staff induction on merit based policies and political intervention, lack of monitoring system and lack of collegiality amongst university offices. The study recommends that universities in both sectors should prepare staff and student manuals for transparency procedures, should improve the skills and knowledge of its staff/managers by conducting seminars/ workshops/ trainings in collaboration with HEC and other regulatory bodies on regular basis, and establish public private partnership to improve university management system in Pakistan.</em></p>
Implementation of CIPP Model for Quality Evaluation at School Level: A Case Study
Authors: Aziz Shamsa , Mahmood Munazza , Rehman Zahra 
Published: July 2018

<p><em>Evaluation denotes the monitoring of progress towards desired goals and objectives. The purpose of this study was to evaluate educational quality at schools using Stufflebeam’s CIPP evaluation model (1983). The population comprised the principal, heads of each wing and teachers of various branches of a Welfare School System in Rawalpindi. Data were collected through the CIPP evaluation checklist (2002), semi structured interviews, document analysis and observations. Data were analyzed via content and thematic analysis. Findings indicated that this group of welfare schools focused on quality education by using different means, such as advanced technology, effective communication, relevant courses as well as teaching and learning strategies; however, it was found that teachers focused more on theoretical work and rote learning, which put pressure on students and had a negative effect on their intellectual abilities. Moreover, there was lack of proper space, effective environment and the schools were situated in rented buildings.</em></p><p align="center"><em><br /></em></p><p align="center"> </p>
Analysis of the Concept Continuing Education in Nursing Education
Authors: Agyepong Edith Biamah , Okyere Enoch Danso 
Published: July 2018

<p> </p><p> <em>The term continuing education is extensively used throughout nursing education literature. This paper sought to re-examine the concept ‘continuing education’ for its meaning, relevance and appropriateness of application. The authors examined the definitions of continuing education from dictionaries, thesauruses, and current nursing education literature for meanings, usages, attributes, antecedents and consequences in line with Walker and Avant (2005) method of concept analysis. Model, borderline, and contrary cases were also presented. The paper concludes that the development of a theory of continuing education is usually preceded by a logical analysis of the concept which includes distinguishing properties, antecedents and outcomes of further education. The subsequent step in the development of the theory of lifelong education requires establishing theoretical relationships between perceptions, motivation and barriers to continuing education. It recommends that empirical studies of further education, whether qualitative or quantitative can be carried out to find out the effects of lifelong education on the nursing profession to enhance research in nursing and advance professionalism in nursing.</em></p>
Gender Comparison of Emotional Intelligence of University Students
Authors: Fida Asfandyar , Ghaffar Abdul , Zaman Amir , Satti Asif Niwaz 
Published: July 2018

<p> <em>Emotional intelligence is a contributing construct to learning and other personal and career developments. It is a perplex notion involving many conceptions which resulted in various tools of emotional intelligence. University education is a terminal stage when young people are ready to enter the job arena and are expected to be emotionally sound. Numerous studies have been carried out on the differentiation of emotional intelligence of the learners, particularly at graduate and post-graduate levels. This study is an attempt to investigate emotional intelligence of the university students. Since there are differences in the findings of various studies in terms of gender; therefore, this study also considers to explore the discrepancy of the emotional cognizance of the male and female learners at university level. The target participants of this investigation were the students of all five faculties of a university in Khyber Pukhtunkhwa, a province in Pakistan. The Wong and Law Emotional Intelligence Scale (WLEIS) developed by Wong and Law (2002) was used for data collection. The outcomes of the investigation showed that female learners were ahead of male in emotional intelligence. Further, the learners of business and economics had superior level of emotional intelligence, while students of Arts and Humanities had inferior level of emotional intelligence. The study put forward some valuable suggestions, particularly through curricula enhancement and for further research activities.</em></p>
A relação da incontinência urinária feminina de esforço e a atividade física
Authors: Sinésio Deise Maria Moraes , Santos Rose , Escobar Felipe , Sinésio Luís Eduardo Moraes 
Published: July 2018

O objetivo desta pesquisa foi analisar se a atividade física contribui ou não para a melhoria da Incontinência Urinária de Esforço (IUE) em mulheres na faixa etária de 35 a 55 anos. O estudo caracteriza-se do tipo transversal, descritivo com enfoque qualitativo. Para compor a amostragem, selecionaram-se 24 mulheres, cuja faixa etária compreendia idades entre 35 e 55 anos. Os dados foram coletados por meio de um questionário com 8 (oito) perguntas objetivas. Destaca-se a intervenção dos profissionais de Educação Física considerados indispensáveis à orientação e prescrição dos exercícios recomendados às mulheres com quadro de IUE, que podem ultrajar todos os conceitos, melhorar os efeitos dessa relação e, consequentemente, a qualidade de vida dessas mulheres.Descritores: Interdisciplinaridade, Aprendizagem, Participação. The relationship between feminine urinary stress incontinence and physical activityAbstract: The objective of this research was to analyze whether or not physical activity contributes to the improvement of Urinary Stress Incontinence (USI) in women aged 35 to 55 years. The study is characterized by a cross-sectional, descriptive type with a qualitative approach. To compose the sample, 24 women were selected, ranging in age from 35 to 55 years. The data was collected through a questionnaire with 8 (eight) objective questions. It is important to highlight the intervention of physical education professionals considered indispensable for the orientation and prescription of the exercises recommended for women with USI, which may outrage all concepts, improve the effects of this relationship and, consequently, the quality of life of these women.Descriptors: Interdisciplinarity, Learning, Participation. La relación entre incontinencia urinaria femenina de esfuerzo y la actividad físicaResumen: El objetivo de esta investigación fue analizar como la actividad física contribuye o no para la mejora de la incontinencia urinaria de esfuerzo (IUE) en mujeres en el grupo de edad de 35 a 55 años. El estudio se caracteriza por el tipo transversal, descriptivito con el foco cualitativo. Para componer el muestreo, se seleccionaron 24 mujeres, cuya franja etaria comprendía edades entre 35 y 55 años. La recolección de datos fue hecha por medio de una encuesta con 8 (ocho) preguntas objetivas. Se destaca la intervención hecha por los profesionales de Educación Física considerados indispensables a la orientación y prescripción de los ejercicios recomendados a las mujeres con cuadro de IUE, que pueden ultrajar todos los conceptos, mejorar los efectos de esta relación y, consecuentemente, la calidad de vida de esas mujeres.Descriptores: Interdisciplinaridad, Aprendizaje, Participación.
El webcast como estrategia de aprendizaje significativo en la Fisiología Cardiovascular
Authors: Delgado Rico Hernán Darío , González Olaya Hilda Leonor 
Published: July 2018

Introducción: En la actualidad, se hace necesario transformar las actividades educativas para incluir a los “nativos digitales” quienes actualmente componen la mayoría de los estudiantes en las aulas. En el presente estudio se aborda el resultado de una investigación educativa en Ciencias de la Salud usando una metodología de innovación basada en la incorporación de Tecnologías de Información y Comunicación, el webcast. Objetivo: Evaluar el impacto en el aprendizaje de temas de Fisiología cardiorrespiratoria mediante un webcast aplicado en estudiantes de Medicina de segundo año de una universidad colombiana Metodología: Se realizó un estudio cuasiexperimental, que incluyó estudiantes matriculados en segundo año de medicina de una universidad del nororiente colombiano. Para evaluar el impacto en el aprendizaje, se utilizó una prueba estandarizada de conocimentos sobre Fisiología respiratoria y cardiovascular. Resultados: Se encontró mejor desempeño en el grupo que se instruyó usando webcast comparado con el de las clases magistrales ( = 3.47 ± 0.04 versus 3.18 ± 0.03, ±EEM, respectivamente; ANOVA, F= 6.56, p= 0.01). Además, se aplicó una encuesta sobre aspectos del uso y opiniones sobre los materiales. Conclusiones: El webcast es una metodología que permite reorganizar las actividades de formación potenciando procesos de pensamiento formal y logra el aprendizaje significativo de tópicos relacionados con la fisiología cardiovascular; adicionalmente, en los estudiantes se encontró buena recepción de la estrategia innovadora empleada y les permitió tener un desempeño satisfactorio en las pruebas de evaluación de conocimientos, considerándolo como un buen complemento de currículos que lo combinen junto a las disertaciones magistrales. [Delgado-Rico HD, Gonzalez-Olaya HL. El webcast como estrategia de aprendizaje significativo en la Fisiología Cardiovascular. MedUNAB 2017; 20(2): 123-130].
Implementación de la guía de valoración y manejo del dolor, de la Registered Nurses' Association of Ontario (RNAO) en el programa de Enfermería de la Universidad Autónoma de Bucaramanga
Authors: Bonilla Marciales Adriana Patricia , Jaimes Valencia Mary Luz , Serrano Gómez Sergio Eduardo , Arenas Luna Gloria Inés , Padilla García Clara Inés , Criado Morales María Lucenith 
Published: July 2018

Introducción: El programa de enfermería de la Universidad Autónoma de Bucaramanga busca innovar con un currículo globalizado que responda a las necesidades tanto del país como del mundo, para ello se ha vinculado con el proyecto internacional International Best Practice Spotlight Organization, para la implementación a nivel curricular de la guía de buenas prácticas clínicas de valoración y manejo del dolor basadas en la evidencia científica de la Registered Nurses' Association of Ontario. Objetivo: Reflexionar sobre la experiencia de la implementación de la guía de buenas prácticas clínicas para la valoración y manejo del dolor de la Registered Nurses' Association of Ontario en el programa de Enfermería de la Universidad Autónoma de Bucaramanga. Discusión: Para la metodología de la implementación se consideró como marco de referencia el Proyecto Educativo Institucional, proyecto educativo del programa de la Universidad Autónoma de Bucaramanga, la herramienta de Implementación de buenas prácticas propuesta por la Registered Nurses' Association of Ontario y el levantamiento de información que permitiera identificar los vacíos y las acciones de implementación en los contenidos curriculares respecto al uso de recomendaciones de práctica clínica, para la valoración y manejo del dolor en el currículo del programa de enfermería. Conclusiones: Realizar el levantamiento de información de los contenidos curriculares según las recomendaciones permitió identificar los mínimos curriculares a garantizar tales como: mecanismos del dolor, clasificación, intervenciones farmacológicas, no farmacológicas, implicaciones éticas, gestión y fortalecimiento de la actitud profesional que permita brindar un plan de atención integral del ser humano en cada una de las etapas del ciclo vital. La implementación de la guía de buenas prácticas clínicas de valoración y manejo del dolor permitirá tener un impacto académico en la formación de los futuros profesionales del programa de enfermería, una vez se incluyan transversalmente los contenidos relacionados con las buenas prácticas en las diferentes asignaturas del componente básico, profesional y específico del nuevo plan curricular. [Bonilla-Marciales AP, Jaimes-Valencia ML, Serrano-Gomez SE, Arenas-Luna GI, Padilla-García CI, Criado-Morales ML. Implementación de la guía de valoración y manejo del dolor, de la Registered Nurses' Association of Ontario (RNAO) en el programa de Enfermería de la Universidad Autónoma de Bucaramanga. MedUNAB 2017; 20(2): 148-164].
Comparative effectiveness evaluation of the improved and conventional perioperative antithrombotic therapy in patients with acute calculous cholecystitis and concomitant ischemic heart disease
Authors: V. G. Mishalov  , S. O. Kondratenko  , L. Yu. Markulan  
Published: July 2018

The aim — to evaluate the efficacy of improved perioperative antithrombotic therapy in patients who underwent laparoscopic cholecystectomy for acute calculous cholecystitis (ACH) with concomitant ischemic heart disease (IHD).Materials and methods. 168 patients with ACH and IHD who received anticoagulant (ACT) or antiplatelet therapy (APT) before admission to the surgical department of the hospital in Kyiv took part in the study. The comparison group included 95 patients who underwent conventional perioperative antithrombotic therapy, the main group included 73 patients who had bridging therapy according to the developed algorithms. Groups of patients were representative by the functional class of heart failure, angina class, severity and histological form of ACH, the frequency of ACT and APT variants. The target points of the study were the frequency of International Normalized Ratio (INR) therapeutic value achieving or bleeding time (BT) by Lee‑White in the preoperative and early postoperative period and the frequency of hemorrhagic complications.Results and discussion. Immediately before the operation in patients assigned to the main group, the mean INR values were greater than in the comparison group: 2.93 ± 0.18 versus 1.96 ± 0.18. The target values of INR > 2 in the main group were in 18 (90 %) of 20 patients who received warfarin prior to admission, and 11 (52.4 %) of 21 in the comparison group (p = 0.008). Target values of BT > 12 min in the main group were in 48 (90.6 %) of 53 patients who received APT before admission, in the comparison group — in 46 (62.2 %) of 74 (p = 0.001). Statistically significant differences between groups relative to the proportion of patients with therapeutic values of INR and BT were found on the first 3 and 4 days of the postoperative period, respectively. Increased bleeding of the tissues (the bed of the gallbladder), in which stable haemostasis required more than 10 minutes, was observed in 19 (26.0 %) patients in the main group and 20 (21.1 %) in the comparison group (p = 0.449). The need for a tamponade of the gallbladder bed arose respectively in 13 (17.8 %) and 11 (11.6 %) patients (p = 0.253). A decrease in haemoglobin level below 100 g/l, but not lower than 86 g/L, was noted in 4 and 6 patients (all p < 0.05).Conclusions. The improved algorithm of bridging therapy in patients with ACH and concomitant IHD demonstrated a statistically significant increase in the proportion of patients with the target values of the prophylaxis of thromboembolism in the perioperative period (in comparison with the conventional approach) without significant haemorrhagic complications, as in the case of taking anticoagulant or antiplatelet drugs in anamnesis.
One year results of surgical prophylaxis for mammary gland rotation after submuscular augmentative mammoplasty
Authors: V. G. Mishalov  , O. I. Zakhartseva  , V. V. Khrapach  , L. Yu. Markulan  
Published: July 2018

The aim — to determine the effectiveness of the upper pole reinforcement of «neo pocket» with prolene thread for the mammary gland prothesis rotation (MGPR) prevention after primary augmentative mammoplasty in the remote postoperative period.Materials and methods. A prospective independent comparison of annual results after primary augmentation mammoplasty in two groups of patients was carried out. The comparison group included 94 patients, the main group — 76 women, whose operation was accompanied by fixing the upper pole of the «neopocket» with the prolene mesh. Any statistical differences were not found between the two groups in age, body mass index, mass of breast prostheses, the proportion of patients who were pregnant and breast‑fed. In all cases, the implanted textured prosthesis was with a high and medium profile. Most patients had prostheses in the volume of 325 — 335 and 375 ml. The evaluation of the MGPR was carried out following the developed procedure with the ESAOTE ultrasound device, the Technos Partner model, by a linear sensor with a frequency of 12.5 MHz.Results and discussion. The comparison group, showed 143 (76.1 %) prostheses being rotated, whereas the main group — 46 (30.3 %) (p = 0.001). In the comparison group, only 4 (1.6 %) women did not have RP of both glands, in the main group — in 39 (51.3 %) (p = 0.001). Significant differences in the degree of MGRP (p = 0.001) were noted due to the absence of angles 120°, 150° and 180° in the main group of the LLP. The main group did not demonstrate even a single case of clinically significant MGPR, while in the comparison group 11 (11.7 %) (p = 0.002). In the main group, the ratio of 30°/60 ° rotation (10.9 and 89.1 %) statistically significantly differed from that in the comparison group (31.5 and 68.5 %) due to a smaller proportion of MGPR at 60° (p = 0.006).Conclusions. A method of fixation of the submuscular «neo pocket» upper pole with prolene mesh a year after the augmentative mammoplasty, avoids clinically significant MGPR (more than 900) in contrast to the traditional method (11.7 %) (p = 0.002), and in cases of clinically insignificant rotation to decrease in 1.3 times the proportion of prostheses rotation at 600 (p = 0.006).
Laparoscopic large hiatal hernia plasty with self-fixating ProGripmesh. Improved efficiency
Authors: V. V. Grubnik  , V. V. Ilyashenko  , Vikt. V.  Grubnik  
Published: July 2018

The aim — to study the possibility of ProGrip self‑fixating mesh for laparoscopic plasty for large hiatal hernia (HH).Materials and methods. The present work is based on a retrospective analysis of the operative results of 122 patients with large HH. The age of the operated patients was 39 to 82 years. The patient age ranged from 39 to 82 years, the average age was 64.8 ± 11.2 years. 48 (39.3 %) patients had signs of obesity (BMI > 30 kg/m2). Long‑term results were studied after 6, 12 and 24 months after surgery. All patients were studied with 24h pH‑metry of the esophagus with the DeMeester index calculation at 6th and 12th months.Results and discussion. ProGrip mesh germinated quickly by own tissues and reliably strengthen the performed cruroraphia. There was only 1 recurrence in the group of patients with ProGrip mesh during all supervision term. Functional operative results were positive in the majority of cases. Mean Quality of Life Index before the operation was 35, after the operation — 9 (p < 0.05). 24hr pH‑metry showed a decrease in DeMeester index from 78.0 ± 15.0 before the operation to 13.6 ± 4.0 after surgery (p < 0.01). Comparison of the operative results with the ProGrip mesh and results of 128 operations performed with conventional polypropylene meshes, showed the advantage of ProGrip mesh use.Conclusions. The first experience with self‑fixating ProGrip mesh to strengthen cruroraphia demonstrated safety and high efficiency of the new method. The use of ProGrip mesh allows 1.5 times to reduce the operation time and 5 times to reduce the recurrence rate after laparoscopic fundoplication.