bluuebunny/crossref_metadata_2025_split huggingface dataset:
Trauma-Sensitive Teaching Strategies in Clinical Nursing Education: An Integrative Review
Authors: Bourassa Bailee Jo Yvette , Bergen Tania , Graham Holly 
Published: December 2024

Background
Current undergraduate nursing students represent diverse backgrounds. Many students enter nursing school with a personal history of trauma. This project sought to identify trauma-sensitive teaching strategies (TSTS) that nurse educators can use in the clinical setting to support students who have been affected by trauma succeed in high-stress clinical environments.

Method
A comprehensive integrative review was conducted to identify literature related to TSTS. The review revealed a gap in the literature related to TSTS in clinical nursing education.

Results
Four key themes related to TSTS were identified: (1) relationship between the student and instructor; (2) respectful interactions; (3) recognition of trauma; and (4) responses to trauma. From the review, a framework was formulated specific to TSTS within clinical nursing education.

Conclusion

This review identified TSTS that nurse educators can use to support nursing students affected by trauma succeed in the clinical environment.

[
J Nurs Educ
. 2024;63(12):797–805.]
Effects of a Mobile App on Nursing Students' Clinical Reasoning and Decision-Making
Authors: Miles Janice Marie , Lee Mikyoung Angela 
Published: December 2024

Background
Clinical decision-making is a crucial skill for undergraduate nursing students to develop. This study assessed the effects of a mobile clinical decision-support (mCDS) app on clinical reasoning and decision-making in undergraduate nursing students and their perceived acceptance of the app.

Method
Following the technology acceptance model, a randomized controlled trial with a pretest-posttest design was conducted. Students in the experimental group used an mCDS app (Medscape) for sepsis and cardiac tamponade scenarios, and students in the control group used traditional tools. Outcomes included perceived usefulness, ease of use, attitudes, clinical reasoning, clinical decision-making skills, satisfaction, and behavioral intent to use the app.

Results

Students in the experimental group had significantly higher posttest clinical reasoning scores (
p
= .04) and cardiac scenario clinical decision-making scores (
p
= .01) compared with students in the control group.

Conclusion

Integrating mCDS apps into clinical nursing education enhances students' clinical reasoning and decision-making.

[
J Nurs Educ
. 2024;63(12):835–843.]
Diversifying the Workforce Through Focused Support of Nursing Students With Socioeconomic Challenges
Authors: Kennison Monica , Dzurec Laura Cox , Smith Robert J. 
Published: December 2024

Background
Diversifying the nursing workforce entails concerted efforts to recruit and retain students from under-represented racial and socioeconomic groups who are especially vulnerable to barriers hindering academic success. This article describes faculty strategies for retaining and supporting students toward program completion and first-time National Council Licensure Examination for Registered Nurses (NCLEXRN) passage at a mission-driven school in rural Appalachia where most of the students have socioeconomically disadvantaged backgrounds.

Method
Independent samples t tests were used to compare academic variables between students who passed the NCLEX-RN on their first attempt and students who did not. Qualitative data were elicited from interviews and surveys. Data analysis informed policy change and student support services.

Results
An action plan supported under-represented students' success in first-time NCLEX-RN passage with an average rate of 96% for the past decade.

Conclusion

Focused multimodal support can promote the success of students with socioeconomic challenges who will enrich the nursing workforce with the diversity that the profession seeks.

[
J Nurs Educ
. 2024;63(12):844–849.]
Where did people die from cardiovascular disease? Spatial inequalities in cardiovascular mortality in Belgium between 1890 and 2011
Authors: Bevernaegie Lise , Devos Isabelle , Gadeyne Sylvie 
Published: December 2024

In the early 20th century, mortality due to cardiovascular disease (CVD) was relatively uncommon. Most Western countries only faced a huge increase in cardiovascular deaths during the second part of the 20th century only [Grimmeau et al., 2015]. In Belgium, the trajectory of CVD fatalities unfolded in this manner: from 4% of all deaths in 1850 to 9% in 1910, 29% in 1950 and 37% in 1995, followed by a decline from 36% in 2000 to 25% in 2019 [Devos, 2006; STATBEL, 2022]. In 2022, CVD ranks as the second largest cause of death in Belgium [STATBEL, 2022]. Regional differences were observed in the 1930s [Selleslags, 1938] and in the late 20th and early 21st century, with Wallonia being more strongly affected than Flanders, particularly for men [Gossiaux, 1983 ; Grimmeau et al., 2015 ; Kornitzer et al., 1979 ; Lemonnier, 1981 ; Renard, Tafforeau and Deboosere, 2015]. Despite these finding, analyses of long-term trends at the municipal level are lacking, as most CVD studies on spatial inequality in Belgium have focussed on larger spatial units such as provinces and districts, obscuring local disparities and hotspots. Yet, examining CVD mortality at a more localized level is essential for tracking the local effects on health inequalities [Asaria et al., 2012 ; Eggerickx, Sanderson and Vandeschrick, 2020]. This article fills this gap by describing the spatial disparities in CVD mortality at the municipal level from 1890 to 2011. Using unique aggregated data from death certificates and censuses, standard mortality ratios (SMRs), and percentages CVD deaths to total deaths are calculated and presented on maps. As such, this research offers, for the first time in Belgium, a description of the spatiotemporal disparities in CVD mortality. The findings elucidate that, during the early 20th century, no discernible regional patterns were evident at the municipal level in Belgium. However, starting in the 1970s, significant hotspots began to appear within the Walloon provinces. Notable disparities in CVD mortality between men and women are apparent at the national level, with a slightly higher mortality rate among women consistently observed across all years. Nevertheless, both sexes demonstrate similar spatial hotspots over time. Further research should explore the influence of environmental and socioeconomic factors on CVD mortality patterns at a local level.
Du vers à la prose et vice-versa
Authors: Collot Michel 
Published: December 2024

La question posée dans ce numéro de Genesis a conduit Michel Collot, critique mais aussi poète, à s’interroger sur sa propre pratique poétique, qui n’a cessé d’osciller entre le vers et la prose. Jetant un coup d’œil rétrospectif sur sa production dans ce domaine, il s’est aperçu qu’y alternent des livres de vers et des recueils de poèmes en prose. Il tente ici d’éclaircir les raisons qui l’incitent à passer, sans l’avoir généralement décidé à l’avance, d’une forme poétique à une autre, en revenant sur la genèse de quelques-uns de ses poèmes et de ses recueils, pour montrer comment vers et prose y entrent en concurrence mais parfois aussi dans une collaboration qui invite à relativiser leur séparation.
Le vers à l’épreuve de la tension créatrice chez André Frénaud
Authors: Froye Marianne 
Published: December 2024

L’étude des manuscrits de La Sorcière de Rome d’André Frénaud questionne l’usage du vers, et plus particulièrement le dodécasyllabe dans la poésie d’après-guerre. Les choix métriques opérés par Frénaud révèlent sa poétique, faite de tension entre tradition et modernité, entre Rome et le désir.
La genèse du vers reznikoffien dans Holocaust : de la prose documentaire au vers libre
Authors: Auvinet Valentine 
Published: December 2024

Charles Reznikoff (1894-1976) publie son dernier recueil de poème, Holocaust, en 1975. Comme pour son autre grande œuvre documentaire, Testimony, il utilise des témoignages tirés d’archives juridiques. Ainsi, il découpe, réécrit et versifie des extraits d’affidavits du procès de Nuremberg et du procès Eichmann. En mobilisant des outils de l’analyse génétique, cet article a pour but d’étudier les transformations que le poète opère, du document original en prose à la version définitive en vers libres. L’accès aux textes juridiques, d’une part, et aux différents brouillons, d’autre part, a permis d’étudier ce dispositif à l’échelle microtextuelle d’un poème, mais aussi à l’échelle macrotextuelle de la composition du recueil. Se dégagent alors l’originalité et la force de cette méthode de réécriture documentaire, qui parvient à transformer radicalement le contexte de réception du témoignage initial par le travail formel du rythme, des sonorités et du montage. Reznikoff invite ainsi le lecteur à entrer dans une réception active qui réunifie les enjeux historiques, mémoriels, philosophiques et poétiques.
Teachers’ digital competence in utilizing educational software in accounting, business, and management strand
Authors: Dorado Vedelyn Bituin , Ortega-Dela Cruz Ruth Alvar 
Published: December 2024

Technological breakthroughs have caused significant changes in the field of accounting, business, and management (ABM); thus, demand congruence with teacher’s technology skills in handling ABM courses. This study used the descriptive-survey method of research using questionnaire as the main research tool in gathering data. The researcher utilized the combination of quantitative and qualitative research methods. The former was used to describe the characteristics of ABM teachers in terms of their socio-demographic profile and to discuss and assess their digital competence while the latter was applied to examine the strengths and weaknesses of the ABM educational software. A total of 138 ABM teachers participated in the study. Findings reveal that the level of teachers’ digital competence is mostly high. Specifically, they are very much capable in using educational software that are needed in their everyday work but not on software needed to assist them in the teaching-learning process. Thus, this study has implications not only for ABM teachers who play a significant role in equipping the future workforce in the field of ABM. This study calls for continuous support from the Philippine Department of Education. This sector is responsible for providing trainings and assistance to teachers’ digital competencies particularly in the utilization and proper integration of educational software to the various ABM subjects. Together with school leaders and administrators, they must provide opportunities for the teachers to receive hands-on trainings where tool kits and manuals will be provided. Such ongoing initiatives will lead to better and quality education where learners are equipped to dive into the digital world of ABM.
A Cadaveric study on Branching Patterns of the Right Intrahepatic Bile Ducts at the Hepatic Hilum
Authors: Abeysuriya V. , Nuwantha A. A. S. 
Published: December 2024

Objective: Comprehensive anatomical knowledge in branching patterns of intrahepatic bile ducts at the hepatic hilum is useful in liver resection and transplantation. This study was aimed on the anatomical relation of the right anterior and posterior segmental branches to the formation of the right hepatic duct and on the variants of their drainage. Methods: From the year 2022 to 2023, 25 fresh liver specimens were dissected. The extrahepatic bile duct was identified initially. Then the right hepatic duct identified followed by the right anterior and posterior segmental branches were delineated via liver parenchymal dissection. Results: In our study, 19/25 (76%) of liver specimens had the right posterior duct ran posterior to the right anterior duct and fused it from a left (medial) sided approach to form the right hepatic duct. An ectopic drainage of the right anterior segmental duct into the common hepatic duct was noted in 3/25 (12%). A variant of “triple confluence”, was encountered in 1/25 (4%). Drainage of the right posterior hepatic duct into the left hepatic duct before its confluence with the right anterior duct was presented in 1/25 (4%). The direct drainage of the right posterior duct into the common hepatic duct was present in 1/25 (4%). There was no ectopic drainage of the right anterior duct into the left hepatic ductal system, and an ectopic drainage of the right posterior duct into the cystic duct. Conclusion: Variations of the right hepatic duct confluence were less. However, two most common variations were the ectopic drainage of the right anterior duct into the common hepatic duct and the triple confluence.
Теглютик – первый препарат для лечения бокового амиотрофического склероза в Российской Федерации
Authors: Т.М. Алексеева , В.С. Демешонок , К.А. Толочко 
Published: December 2024

Боковой амиотрофический склероз (БАС) – неуклонно прогрессирующее нейродегенеративное заболевание, приводящее к летальному исходу. В настоящее время не разработано эффективной терапии, позволяющей радикально остановить прогрессирование болезни. Рилузол был зарегистрирован для лечения БАС и применяется за рубежом с 1995 г. Препарат оказывает нейропротективное, антиоксидантное и антиапоптотическое действие. В 2024 г. впервые в России был зарегистрирован препарат с международным непатентованным наименованием рилузол (торговое наименование Теглютик) в лекарственной форме суспензия для приема внутрь. Учитывая появление первого в России препарата для данной категории пациентов, представлен литературный обзор, в котором обобщены сведения о клинических исследованиях безопасности и эффективности рилузола, главным образом о его влиянии на прогноз течения БАС. В ранних исследованиях, проведенных в 90-х и начале 2000-х годов, сообщалось об увеличении выживаемости пациентов на 3–5 месяцев. Исследования, опубликованные в течение последних 15 лет, показали лучшие результаты, а именно увеличение выживаемости пациентов с БАС на 6–19 месяцев на фоне приема рилузола.
Amyotrophic lateral sclerosis is a fatal progressive neurodegenerative disease. There is no effective therapy for completely stop the disease. Riluzole approved for the treatment of amyotrophic lateral sclerosis in 1995. It has neuroprotective, antioxidant and anti-apoptotic effects. Riluzole (tradename Teglutik) in oral suspension registered in 2024 in Russia. Considering the appearance of the first drug in Russia, a literature review is presented summarizing information on clinical trials of the safety and efficacy of riluzole. Early trials in the 1990s and 2000s reported increases in patient survival of 3–5 months. Studies published over the past 15 years have shown better results: riluzole increasing patient survival by 6–19 months.
Desempeño financiero de la empresa mayorista de aparatos y equipo doméstico en Colombia
Authors: Godoy Jorge Alberto Rivera , López Katherine Molina , Murillo Juan Camilo Posso 
Published: December 2024

El objetivo de esta investigación fue evaluar el desempeño financiero de la empresa mayorista de aparatos y equipo doméstico en Colombia en el periodo 2017-2023. La metodología que se utilizó fue el análisis estático y de tendencias de indicadores contables y de gestión del valor, comparándolos con empresas mayoristas de aparatos y equipos de uso doméstico referentes de mayores ventas en el medio nacional y con empresas mayoristas de equipos en el ámbito global. Se encontró que la empresa mayorista de aparatos y equipo doméstico en Colombia fue efectiva en el logro de utilidades para los propietarios y su comportamiento fue afín a la eficacia en control de costos y gastos; sin embargo, esta efectividad fue inferior a las empresas referentes en el contorno nacional y global, debido a que fue menos eficiente en el uso de los activos, y de manera particular con su homóloga nacional porque tuvo un menor apalancamiento financiero, y de forma específica con su par global porque fue menos eficaz en el control de erogaciones. Además, la empresa mayorista de aparatos y equipo doméstico en Colombia creó valor económico agregado en cuatro años y valor de mercado agregado en el septenio; sin embargo, el porcentaje de utilidad residual fue inferior en comparación a su homóloga del ámbito global, esto se debió a que su costo de capital fue mayor. Asimismo, el valor económico agregado que creó por unidad monetaria invertida en activo neto operacional fue inferior a la que ofreció la empresa mayorista global.
A SHOCK-RESPONSIVE SOCIAL PROTECTION SYSTEM: ANALYSIS FRAMEWORK
Authors: Yarmaloyan Marine 
Published: December 2024

The paper discusses the concept of a "shock-responsive social protection system", the main options for shock-responsive social protection: including design tweaks, piggybacking, horizontal and vertical expansions, and alignment. Some key criteria are discussed in terms of evaluating the ability of social protection system to respond to emergencies. Some conclusions are presented as offers in terms of preparing for an effective response to shocks as well.
Energy «injection» concept. Part 2. Cooperation in nuclear energy
Authors: Seregina A. A. 
Published: December 2024

In the articles, the author analyzed the prerequisites for expanding the interaction between Russia and India on the basis of a particularly privileged partnership.Part 2 is devoted to identifying points of economic growth in bilateral RussianIndian relations in the field of nuclear energy, which can give an impetus to the development of related industries.
ANALISIS STRATEGI GURU BAHASA INDONESIA DALAM PEMAHAMAN MEMBACA PADA SISWA DI SD NEGERI 227 PALEMBANG
Authors: WITRI WITRI , MISDALINA MISDALINA , ABDULLAH SEPTEIYAWAN 
Published: December 2024

Teacher strategy is the teacher's effort to vary the way of teaching and create a pleasant teaching atmosphere in the classroom so that students can be involved and active in following the learning actively, not passively. The purpose of this study was to determine reading comprehension in grade III students at SDN 227 Palembang, to determine the strategy of Indonesian language teachers in reading comprehension in grade III students at SD Negeri 227 Palembang, to determine the constraints and supporting factors of teacher strategies in reading comprehension in grade III students at SD Negeri 227 Palembang. The data collection technique in this study used observation, interview and documentation techniques. The strategy used by the teacher in students' reading comprehension is the inquiry strategy, and also the constraints of the strategy are the lack of time allocation, different student characters, and also the supporting factors are the support from the school and the students' extraordinary interest in learning so that good reading comprehension is created in students.
ABSTRAKStrategi guru adalah usaha guru untuk memvariasikan cara mengajar dan menciptakan suasana mengajar yang menyenangkan didalam kelas sehingga siswa dapat terlibat dan aktif dalam mengikuti pembelajaran dengan aktif tidak pasif. Tujuan penelitian ini untuk mengetahui pemahaman membaca pada siswa kelas III di SDN 227 Palembang, untuk mengetahui strategi guru bahasa indonesia dalam pemahaman membaca pada siswa kelas III di SD Negeri 227 Palembang, untuk mengetahui faktor kendala dan pendukung strategi guru dalam pemahaman membaca pada siswa kelas III di SD Negeri 227 Palembang. Teknik pengumpulan data pada penelitian ini mengunakan teknik observasi, wawancara dan dokumentasi. Strategi yang di gunakan oleh guru dalam pemahaman membaca siswa adalah strategi inkuiri, dan juga faktor kendala strategi tersebut yaitu kurangnya alokasi waktu, karekter siswa yang berbeda-beda, dan juga faktor pendukungnya adanya dukungan dari sekolah dan minat belajar siswa yang luar biasa sehingga terciptalah pemahaman membaca yang baik pada siswa.
INFLUÊNCIA DO USO DE TELAS NO DESENVOLVIMENTO DE CRIANÇAS: UMA REVISÃO BIBLIOGRÁFICA
Authors: Valente Andrea Izabelle Marinho , Paula Elizabete Chaves de , Petronilo Ezequiel Miranda , Azevedo Gabriel Ramos de , Rodrigues Victória Teixeira Furtado , Belo Tales de Almeida , Sousa Westerley Freitas , Honorato Lorena Guimarães Ferreira 
Published: December 2024

O uso excessivo de telas se tornou um grave problema decorrente da contemporaneidade, quando os smartphones passaram a fazer parte do cotidiano de todas as gerações. Com isso, percebe-se que crianças, principalmente as que estão na primeira infância, são usuários extremamente frágeis por estarem passando por uma fase de desenvolvimento físico e cognitivo muito delicada para sua formação como ser humano. Esse trabalho visa descrever os malefícios que o excesso de telas acarreta na vida dos infantes que são expostos de maneira descontrolada ao uso de dispositivos eletrônicos, além de ressaltar a importância que os entes possuem em controlar essa realidade experienciada por muitas famílias brasileiras. Esse estudo é do tipo revisão bibliográfica de literatura nas bases de dados Google Acadêmico, Organização Mundial de Saúde e Sociedade Brasileira de Pediatria. Após a aplicação dos critérios de elegibilidade, 28 artigos e 1 livro foram selecionados para compor a revisão. os resultados evidenciaram que as principais consequências para o desenvolvimento de crianças diante do uso exagerado de dispositivos eletrônicos foram: ansiedade, estresse, sintomas depressivos, hiperatividade, alterações nas conexões neuronais e neuro degeneração cerebral, irritabilidade, desregulação da qualidade do sono, instabilidade do humor, isolamento social, mudanças comportamentais. concluiu-se que as crianças já estão sofrendo com essas repercussões, uma vez que estão com suas capacidades físicas e cognitivas consideravelmente alteradas devido o excesso de telas, surgindo a necessidade de organizar estratégias de enfrentamento a nível familiar, escolar e populacional que conscientizem a sociedade a respeito dessa mazela e modifiquem essa realidade.
ATUAÇÃO CINESIOTERAPÊUTICA NO PÓS OPERATÓRIO DA OSTEOSSÍNTESE DE TORNOZELO
Authors: Cruz Alexandro Santos da Silva , Lopes Gisele do Carmo , Araujo Rafael Santos Soares de , Freitas Nelson Ayres Barradas de 
Published: December 2024

As fraturas de tornozelo são lesões comuns que podem levar a complicações significativas no período pós-operatório. Estas complicações podem oscilar desde infecções até problemas de consolidação óssea e disfunções articulares. A instabilidade da articulação do tornozelo se origina à maléolos medial e lateral e seus ligamentos. As fraturas do tornozelo provocam traumas rotacionais de baixa intensidade, como acidentes de trânsito e quedas. A incidência deste tipo de fratura vem crescendo constantemente, tanto em jovens ativos como em idosos no com o passar dos últimos anos. Nesses tipos de fratura, geralmente observa-se que o tornozelo poderá ter os ossos quebrados no maléolo medial da tíbia, na margem posterior da tíbia (maléolo posterior) e no maléolo lateral com a extremidade inferior da fíbula.Com isso, a cinesioterapia é a terapia ou tratamento através de movimentos que possuem recurso e técnicas diversificadas, englobando mobilização ativa e passiva, exercícios respiratórios, exercícios para a tonificação muscular, correção postural, coordenação motora, equilíbrio, entre outros. O objetivo deste estudo foi sistematizar as evidências científicas sobre as técnicas de tratamento fisioterapêutico no uso da cinesioterapia no tratamento do pós-operatório de osteossintese de tornozelo esquerdo. Esse estudo é uma revisão bibliográfica, realizada pelo um levantamento bibliográfico através de 15 artigos. Por esse meio, o presente trabalho procura apresentar um estudo sobre abordagens que possam ser aplicadas na prática clínica baseada em evidências. A pesquisa surge através da estratégia PICO: Fisioterapia; Cinesioterapia; Pós-operatório; Osteossintese; Tornozelo esquerdo. Tendo como a finalidade deste projeto a promoção de uma revisão bibliográfica que confirma a relação entre o desempenho muscular, a dor e funcionalidade dos indivíduos com as abordagens fisioterapêuticas utilizada em pessoas com diagnóstico osteossintese de tornozelo esquerdo.