bluuebunny/crossref_metadata_2025_split huggingface dataset:
ANÁLISIS GENERAL DEL ACCESO AL SISTEMA DE EDUCACIÓN SUPERIOR DEL ECUADOR 2009-2018
Authors: Gallardo Lara Edison Andres 
Published: March 2023

En el presente artículo se realiza un análisis general de la situación y estado del acceso a la educación superior del Ecuador entre los años 2009 y 2018. Por medio de un enfoque estructural-constructivista y de la mano de la teoría de Pierre Bourdieu se cuestiona si las reformas al sistema de educación superior (especialmente reformas de acceso) realizadas durante el periodo del ex-presidente Rafael Correa, y el artículo 356 (referente a la gratuidad de educación superior) de la Constitución del Ecuador, lograron democratizar el acceso a la educación superior o de tercer nivel; o si por el contrario, fortificaron las barreras de ingreso para personas de estratos bajos, y el actual sistema reproduce las desigualdades socioeconómicas que existían anteriormente.
PALABRAS CLAVES: educación de tercer nivel – acceso – universidad – gratuidad educación superior – ENES – Ser bachiller – artículo 356.
The Effect of Web-Based Tracheostomy Care Game on Nursing Students’ Knowledge Levels and Their Views of The Process
Authors: BIYIK BAYRAM Şule , ÇALIŞKAN Nurcan , GÜLNAR Emel 
Published: March 2023

Objective: This study investigated nursing students’ views of the effect of a web-based tracheostomy care game on their knowledge levels during the COVID-19 pandemic.
Methods:This pretest-posttest single-group quasi-experimental study was conducted between April and July 2021. The study population consisted of all nursing students in Turkey. The sample consisted of 125 students who filled out the pretest and posttest forms. Participation was voluntary. Participants were recruited using snowball sampling method. Participants entered the website “trakeostomibakimi.com” They filled out the demographic characteristics questionnaire and the tracheostomy care knowledge test (TCKT) on the website. They downloaded the virtual tracheostomy care game on their computers. They played the game as much as they wanted and then filled out the posttest and the student opinion forms.
Results: Participants had a higher mean posttest TCKT score than pretest score (p< .05). They stated that the game helped them enjoy learning tracheostomy care and remember their prior knowledge and made them feel like they practiced in a real-life clinical setting.
Conclusion: The web-based tracheostomy care game improved nursing students’ knowledge levels. There should also be online educational games tailored to other nursing areas.
Intracellular Levels of IL-10 and STAT3 in Patients with Chronic Lymphocytic Leukemia
Authors: OZCAN Ozden , METİN Yusuf , ÇINAR Suzan , DENİZ Gunnur , AKTAN Melıh 
Published: March 2023

Objective: Chronic Lymphocytic Leukemia (CLL) is characterized by the accumulation of CD5+CD19+ B cells in the bone marrow and peripheral blood. Recent studies indicated that expression of IL-10, AID and mir-155 which are regulated by STAT3 are increased in CLL patients. CD5+CD19+ regulator B (Breg) cells secrete IL-10 and suppress the immune system. While the CLL cells show similar immunophenotypic properties to Breg cells, they are also thought to be functionally similar. In this study, STAT3 and IL-10 levels of CLL patients were investigated.
Methods: Peripheral blood samples obtained from patients (n:24) and healthy controls (n:14). Peripheral blood mononuclear cells were cultured for 48 hours in the presence and absence of CpG for IL-10 expression and cultured with and without PMA for STAT3 expression. IL-10 and STAT3 expression were analyzed with anti-CD5, anti-CD19, anti-CD38, anti-STAT3 and anti-IL-10 monoclonal antibodies by using flow cytometry.
Results: Compared to healthy subjects, increased IL-10+, IL-10+CD19+, STAT3+CD19+ were obtained in lymphocyte population of patients. Increased IL-10 was showed CD19+ B cells of CLL patients. Our results showed that IL-10 levels had no significant difference between CD5+CD19+ cells, whereas STAT3 levels were found lower in patient compared to healthy controls.
Conclusion: These results made us thought that the levels of IL-10 and STAT3 expression in CLL B cells is clearly different from normal B lymphocytes might have a role in the biology of CLL. It is believed that the presented data will contribute to the studies that scrutinize the similarity of CLL cells to Breg cells.
Percepções sobre o itinerário terapêutico de pacientes internados na Unidade de Terapia Intensiva até atenção primária na rede de saúde
Authors: Ferreira Fernanda Vargas , Carpes Marta Fioravanti , Malheiros Rafael Tamborena , De Vargas Pietra Minuzzi , de Souza Carla Gabriela Rodrigues , Salbego Guilherme Nunes 
Published: March 2023

A organização do Sistema Único de Saúde (SUS) envolve as Redes de Atenção à Saúde (RAS) que visam organizar verticalmente os pontos de atenção da RAS, desde o nível primário ao terciário. Objetivo: relatar a experiência no acompanhamento de uma série de casos de usuários internados em nível hospitalar e seus itinerários na rede de atenção à saúde. Materiais e Métodos: Estudo do tipo relato de experiência de projeto de extensão
“CAMInHAR: Capacidade funcional, Movimento, Independência do Hospital A Reabilitação” em parceria com o Programa de Residência Integrado Multiprofissional em Saúde Coletiva da Universidade Federal do Pampa (UNIPAMPA) realizado entre abril e julho de 2022. Os usuários foram avaliados em relação à capacidade funcional em nível terciário e após 30 dias de alta hospitalar, sendo verificado o trajeto do percurso entre os níveis de atenção à saúde. Resultados: A amostra foi constituída de cinco casos (três mulheres e dois homens), em que apenas um (1) indivíduo estava sob tratamento fisioterapêutico voltado à reabilitação. Adicionalmente, somente um (1) usuário havia sido procurado pela equipe da Atenção Primária o qual está vinculado. Também, mesmo após mais de 30 dias da alta hospitalar, os indivíduos reportaram algum grau de déficit na capacidade funcional em decorrência do período de internação. Discussão: Tais resultados sugerem que o atendimento não é multiprofissional, não se apresenta integralizado e que existem entraves dentro da própria rede de atenção. Conclusão: Embora seja estudo de caso, o relato de experiência aponta a necessidade de reorganizar os fluxos de encaminhamentos dentro da rede de saúde do município, propiciando um cuidado mais integral e multiprofissional e em conformidade com o objetivo das RAS.
Déficits funcionais em pacientes com Artrite Reumatoide em decorrência da pandemia de COVID-19
Authors: De Lima Ana Beatriz Neves , Jorge Ana Letícia de Souza , Medeiros Bruna Queiroz Bazaga , Simão João Vitor Veloso , Jaques Kauane Regina , Moratas Leiliane Cássia , Avelar Juliana Maria de Paula 
Published: March 2023

A reflexão acerca da Artrite Reumatoide, doença crônica, inflamatória e autoimune, dentro do contexto histórico pandêmico devido a COVID-19 gera questionamentos tangentes às consequências no quadro clínico dos portadores dessa patologia. O acompanhamento da evolução de pacientes com Artrite Reumatoide frente à pandemia, devido à situação do isolamento social, é fundamental para avaliar a descontinuidade do tratamento e, sobretudo, em pacientes com testagem positiva para o coronavírus, que pode refletir na evolução de dor ou outros agravos da doença em questão. A partir da análise dos fatores desencadeados e/ou intensificados pela pandemia de coronavírus como a redução de atividades físicas durante o período de quarentena, o isolamento social, a interrupção do uso de medicamentos de controle da Artrite Reumatoide ou ainda por outras questões no âmbito psicossocial em pacientes com Artrite Reumatoide, foi proposto investigar possíveis déficits funcionais ocasionados nesse contexto da pandemia através de uma pesquisa feita com grupos de pacientes com Artrite Reumatoide nas redes sociais (Facebook ®️) utilizando um questionário Google Forms ®️. Foi identificado que 69% dos participantes da pesquisa encontram-se na faixa etária de 40 a 59 anos, majoritariamente autodeclarados brancos. Em relação a outras possíveis doenças que acometem os pacientes portadores de AR, cerca de 37,9% não possuem outras patologias, enquanto 3% também têm diabetes, 16,7% possuem hipertensão e 42,4% possuem outras doenças. Quando analisada a piora dos sintomas durante o isolamento social, 57,6% dos entrevistados relatam que notaram piora. Entre os que contraíram COVID-19, 33% responderam que perceberam aumento de dores relacionadas a AR.
Training in personal defense techniques and its influence on the stress threshold of students
Authors: Baeza Sara Rivero , Marcos Ricardo de La Vega , Navarro Maria del Carmen Sanz 
Published: March 2023

Training in self-defense techniques is carried out regularly in both civil and military contexts. Self-defense techniques are put into practice in dangerous situations such us a threat or a physical attack, which can generate great stress on the individual. When carrying out this study, we wanted to analyze the influence that training in self-defense techniques has on the stress experienced by students in a dangerous situation or while being attacked. For this reason, I have compared the measure of stress experienced by 14 students during their performance, facing situations of physical threat that they perform in simulated self-defense practices, which are carried out in this training. The student’s stress was measured with the Determination Test (DT) of the Vienna Test System. These defense practices against simulated attack situations take place at two different moments within the training course, one at the beginning and another once the training course has finished; therefore, the students have completely learned the defense techniques. I carried out the first measure of stress in situations of physical threat, in the simulation at the beginning of the training course, when the students had not yet learned any self-defense techniques. The second measurement was performed 21 days later, when the students had received self-defense training. This came during the simulation of situations of physical threat that is developed once the teaching of these techniques has finished and occurs at the end of the training course. The results show that the stress tolerance threshold increases with training. The results obtained in the variables measured pre and post show a decrease in the "median reaction time to the stimuli" and an increase in the variables "number of stimuli answered" and "correct reactions". This demonstrates that these subjects achieved a stress tolerance threshold in stressful situations with the highest physical threat, which was at the end of this formation. Therefore, there is an important degree of difference in the stress resistance of the subjects before the simulation of the first day of training, and that of the last day once they had already learned the self-defense techniques. These findings could contribute to highlighting the usefulness of this type of training both in military units and in civilian entities, not only to improve technical knowledge of self-defense but also to promote a more adaptive stress response in this type of situation.
Avaliação da taxa de detecção de adenoma e demais parâmetros de qualidade em colonoscopia
Authors: Sartori Felipe Silveira Martins , Londero Marcos Rech , Bueno Elza Cristina Miranda da Cunha , Nader Lysandro Alsina , Kaczen Maria Eduarda Steinmetz 
Published: March 2023

Contexto: A colonoscopia é um método seguro e eficiente no rastreio de câncer colorretal, sendo considerada o padrão-ouro. Devemos estar atentos aos parâmetros de qualidade que já se encontram bem estabelecidos na literatura. Quatro deles tem importância primordial: taxa de detecção de adenoma, preparo intestinal, taxa de intubação cecal e tempo de retirada do aparelho. Objetivo: Primário: avaliar a taxa de detecção de adenoma (ADR) e demais parâmetros de qualidade de colonoscopia Secundário: Analisar o perfil dos pacientes submetidos ao exame de colonoscopia e o impacto dessas variáveis na ADR Métodos: estudo transversal, que avaliou pacientes submetidos à colonoscopia no Serviço de Endoscopia do HE EBSERH/UFPel entre o período de dezembro/2021 até fevereiro/2022. Aplicou-se um questionário para avaliar alguns parâmetros de qualidade na colonoscopia já citados anteriormente. O estudo foi aprovado pelo comitê de ética da UFPel. Resultados: incluídos 260 indivíduos, média de idade 60,24 anos e 163 (62,7%) eram mulheres. Foi avaliado: a taxa de detecção de adenoma foi de 97 (37.30%) exames, classificação de Boston adequada em 229 (88.10%), intubação cecal em 236 (90.80%) e o tempo de retirada maior ou igual a seis minutos em 218 (83.8%) exames. Observou-se associação significativa na maior incidência de detecção de adenoma com aumento da idade média do paciente (p=0.03), Boston>6 (p=0,04) e tempo de retirada de exame > 6 minutos (p= 0,003). Conclusão: a recomendação de taxa de detecção de adenoma mínima é de > ou igual a 25 %, neste estudo foi de > 37%. Colonoscopistas com média de retirada ≥ a 6 minutos obtiveram melhor taxa de detecção de adenoma estando de acordo com os dados encontrados em nosso trabalho. O preparo colônico é fundamental para estabelecermos um diagnóstico endoscópico confiável. Dos 260 exames, obtivemos um total de 229 (88.10%) pacientes com preparo adequado, conforme a avaliação de Boston, com relação significativa ao aumento de taxa de detecção de adenoma. Neste estudo, evidenciamos uma média de idade de 62.69 ± 11.21 anos entre os pacientes em que foi detectado adenoma, o que vai ao encontro da bibliografia internacional. Quando avaliado em relação ao sexo dos pacientes e taxa de intubação cecal, não foi obtido aumento significativo na taxa de detecção de adenoma. É importante estudarmos as variáveis que influenciam a melhora da qualidade da colonoscopia para aperfeiçoarmos o atendimento e prevenir o câncer colorretal.
Complex correction of eating behaviour disorders, anthropometric and physiological indicators in patients with non-alcoholic fatty liver disease on the background of abdominal obesity
Authors: Kiro Liudmyla , Zak Maksym , Kushnirenko Inesa , Chernyshov Oleh 
Published: March 2023

Purpose: to evaluate the effectiveness of correction of eating behaviour disorders, anthropometric, physiological indicators by impFreelementing combined non-drug treatment for patients with non-alcoholic fatty liver disease on the background of abdominal obesity.
Material and methods
85 patients with non-alcoholic fatty liver disease on the background of abdominal obesity of the 1st degree were examined. All patients were divided into two clinical groups: 1st group (research) - 48 people, with average body mass index BMI=32.55±1.07 kg/m2, who underwent a course of cognitive behavioural therapy, diet therapy, and physical activity for 6 months; the control group - 37 people with average BMI=31.95±1.03 kg/m2 followed only a rational diet and physical activity, without cognitive behavioural therapy. The examination of the patients included the measurement of anthropometric and physiological indicators, questionnaires according to the DEBQ (Dutch Eating Behaviour Questionnaire).
Results
On the 180th day, the number of patients with normal blood pressure in the 1st group increased in 2.38 times (D=2.3511, p=0.0015), healthy eating behavior was recorded in 2.38 times more often (D=0.2215, p=0.0047) and the number of restrictive type of EB decreased in 2.0 times (D=0.4321, p=0.0031), compared to the control group.
Conclusion
A combined course of therapy in the form of a rational diet, aerobic exercise and cognitive behavioural therapy should be an integral component of early non-drug treatment, as a guarantee not only of the correction of anthropometric and functional indicators, but also of the modification of the eating behavior and a guarantee of long-term maintenance of the desired weight.
Kemampuan Literasi Matematika Peserta Didik dalam Menyelesaikan Soal PISA Konten Space and Shape Ditinjau dari Gaya Kognitif
Authors: Safitri Ani , Khotimah Rita Pramujiyanti 
Published: March 2023

Students need to have mathematical literacy skills because it can help in making the right decisions and understanding the application or role of mathematics in real life. The results of the PISA survey, in Indonesia, the ability of mathematical literacy shows that it is still not optimal and similar incidents continue to occur, indicating that mathematical literacy skills are still low. The purpose of this research is to analyze the mathematical literacy skills of students in solving PISA questions on space and shape content in terms of cognitive style. This research method uses a descriptive with qualitative approach. The research subjects consisted of 2 students of class IX C of Muhammadiyah Junior High School in Surakarta. The instruments used were Group Embedded Figures Test (GEFT), mathematical literacy test, and interview guidelines. Data analysis used the Milles and Hubberman model, namely: data reduction and presentation, and conclusions. The results showed the ability of mathematical literacy in terms of cognitive style and concluded that FI learners can master all indicators of mathematical literacy in the three questions well. FD learners can master all indicators of mathematical literacy skills on questions number one and two whereas, on question number three FD learners have not mastered the indicators of reasoning and giving reasons because they are less careful in understanding the problems given.
UNHEALTHY DIET AS A BEHAVIORAL RISK FACTOR FOR SOCIALLY SIGNIFICANT DISEASES AND PREMATURE MORTALITY
Authors: Yaneva Rumyana 
Published: March 2023

A number of epidemiological studies prove that for the group of chronic socially significant diseases, nutritional factors are more important in cardiovascular diseases, oncological diseases, diabetes and obesity. Quantitative and qualitative nutritional disorders underlie the development of the most important risk factors for disease, disability and premature mortality in modern society. A target task of the programs for a healthy lifestyle is the reduction of habits harmful to health, among which unhealthy eating is included.
The purpose of the present study is to investigate unhealthy eating as a behavioral risk factor related to morbidity and mortality from socially significant diseases in Bulgaria and the other member states of the European Union.
Methodology: The following research methods were used: documentary method - review of: scientific literature; published materials from the Organization for Economic Cooperation and Development on the health profiles of the countries; induction and deduction; comparative analysis; graphical method for visual presentation of the obtained results.
Results and analysis: From the study, it is clear that unhealthy eating as a behavioral risk factor for morbidity and mortality is represented by 17% on average in the European Union. In Bulgaria, 29% of all deaths in 2019, which is the highest share in the EU, are due to irrational and unbalanced nutrition. It is followed by the countries of Central and Eastern Europe. A significant role for this problem is the low intake of fruits and vegetables and the high consumption of sugar and table salt.
Conclusion: The main element of a healthy diet is the intake of fruits and vegetables. Their consumption varies between countries. The most significant benefits of their consumption are due to the reduction of both cardiovascular diseases and the prevention of oncological diseases.
Recommendations: It is necessary to direct the efforts of the society to a correct food policy, a change in the food system and good education of individuals to create their own healthy microenvironment, different from the current toxic and obesogenic environment. Only in this way will the development of the global epidemic of obesity, type 2 diabetes and other socially significant diseases be reduced.
Analisis Kualitatif Mengenai Persepsi dan Pengetahuan Masyarakat tentang Telemedicine
Authors: Budiman Stacy V. , Ratag Gustaaf A. E. , Wahongan Greta J. P. 
Published: March 2023

Abstract: Telemedicine can expand access to services for patients in urban to rural areas with various benefits and obstacles in its impelementation. This study aimed to analyze the community perception and knowledge about telemedicine. This was a qualitative and descriptive study using primary, secondary, and tertiary data in the form of in-depth interviews with informants and direct observation. The informants in this study consisted of five key informants and five triangulation informants. Data analysis was carried out through the stages of data reduction, data presentation, data verification or conclusion stages, and triangulation stages. The results showed that telemedicine use in the community services was carried out to minimize face-to-face meetings between patients and doctors by using technology. The results of interviews with triangulation informants showed that the community knowledge about telemedicine was still lacking, therefore, telemedicine use in the community was still limited to those who were used to technology. There were several obstacles of telemedicine use inter alia technical barriers related to unstable internet access and low digital literacy in the community, for that reason, the telemedicine services was not optimally used. In conclusion, the community perception and knowledge about telemedicine use as a consultation media is good enough.
Keywords: telemedicine; health care; community perception and knowledge

Abstrak: Telemedicine dapat memperluas akses pelayanan, baik bagi pasien yang berada di wilayah perkotaan hingga pedesaan dengan berbagai manfaat dan hambatan dalam pelaksanaannya. Penelitian ini bertujuan untuk mengetahui persepsi dan pengetahuan masyarakat mengenai telemedicine. Jenis penelitian ialah kualitatif-deskriptif dengan menggunakan data primer, data sekunder dan data tersier berupa wawancara mendalam terhadap informan dan obervasi langsung. Informan penelitian terdiri dari lima informan kunci dan lima informan triangulasi. Analisis data penelitian dilakukan melalui tahapan reduksi data, penyajian data, tahapan verifikasi data atau simpulan, dan tahapan triangulasi. Hasil penelitian menunjukkan bahwa penggunaan telemedicine dalam layanan masyarakat dilakukan untuk meminimalkan pertemuan tatap muka antara pasien dan dokter dengan menggunakan teknologi. Hasil wawancara dengan informan triangluasi menunjukkan bahwa pengetahuan masyarakat tentang telemedicine masih kurang, dan penggunaan telemedicine di masyarakat masih terbatas pada yang terbiasa dengan teknologi. Beberapa hambatan dalam penggunaan telemedicine, seperti hambatan teknis terkait akses internet yang belum stabil dan rendahnya literasi digital di masyarakat, sehingga masyarakat belum sepenuhnya menggunakan layanan telemedicine. Simpulan penelitian ini ialah persepsi dan pengetahuan masyarakat mengenai penggunaan telemedicine sebagai media konsultasi sudah cukup memadai.
Kata kunci: telemedicine; layanan kesehatan; persepsi dan pengetahuan masyarakat