bluuebunny/crossref_metadata_2025_split huggingface dataset:
Making visible the invisible. Gender violence and between generations in a colombian indigenous community
Authors: Yepes Delgado Fanny Lucía , Hernández Enríquez Colombia 
Published: April 2023

Objective. To assess gender violence and between generations in an Embera Indigenous reservation.
Methodology. Participative Action Research Approach guided by epistemological perspective of Critical Theory, held in an Embera community of Antioquia, Colombia. Participative emphasis, meetings and workshops focused on health problems identified with the Indigenous participants.
Results. There is a growing concern in the community for increased abuse between men and women, distancing and devaluation of relations between generations, and the loss of identity due to exposure to the western culture. Problem invisibilized and supported by the upbringing and education received and provided to the new generations, and the governors and leaders role in the compliance of equity rules between genders and generations.
Conclusion. Violence between genders and generations is a health and educational problem that is affecting the well-being of the studied Embera community.
Nursing team perception in the accompanying of the work process in the Family Health program
Authors: Cardoso Leticia Silveira , Cezar-Vaz Marta Regina , Costa Valdecir Zavarese da , Soares Jorgana Fernanda de Souza , Silva Mara Regina Santos da 
Published: April 2023

Objective. To describe the nursing team perceptions regarding the importance, actions and purposes of ac­companying the work process in the Family Health program (FH).
Methodology. Descriptive study, where 185 people from nursing teams that work in 12 cities that have FH units subscribed to the Third Regional Health Coordination of Rio Grande do sul, Brazil, participated. Semi-structured interviews were recorded; collected data was analyzed using the NVivo 7.0 software.
Results. Research actions of the health necessities are highlighted. Attendance, management, and healing procedures have workflow regulations. The purpose of accompanying is the creation of links between sick people and health communitarian agents, which facilitate reaching the goals of the family health strategy and also allow work organization in the units.
Conclusion. Accompanying for the nursing personnel who work in the FH is a continuous process that should be suppor­ted by the community.
Interdisciplinarity in palliative care delivery to cancer patients
Authors: Porto Adrize Rutz , Thofehrn Maira Buss , Amestoy Simone Coelho , Cardozo González Roxana Isabel , Oliveira Naiana Alves 
Published: April 2023

Objective. To get to know interdisciplinary practice in the Oncology Interdisciplinary Home Hospitalization Program (PIDI) health team.
Methodology. This qualitative research involved nine professionals working in this program, in the South of Brazil, who delivered palliative care to cancer patients. Data were recollected in 2009 through observation and focal groups, and analyzed through the thematic analysis technique.
Results. Two categories emerged: interdisciplinary practice in the PIDI is a permanent construction process and palliative care in interdisciplinary practice. This program was characterized by: workers’ interaction in an interdisciplinary focus, integration of actions and knowledge, establishment of dialogue, horizontal power relations in the team, respect for other people’s knowledge, colleagues and limits of their performance, collective and continuous learning, and internal motivation to defend a practice based on the quality of patients’ life and death.
Conclusion. The integration of interdisciplinary palliative care practice is innovative and can improve care quality and contribute to the satisfaction of professionals working with patients who need this type of care.
Work situation of women in the gravidic-puerperal cycle
Authors: De Godoy Maria Beatriz , Gomes Flávia Azevedo , Stefanello Juliana , Dos Santos Monteiro Juliana Cristina , Spanó Nakano Ana Márcia 
Published: April 2023

Objective. To characterized the work situation of women in the gravid-puerperal cycle.
Methodology. Transversal study, performed in 2005 in a maternal unit in Riberirao Preto- Brazil that attends exclusively patients from the Unique Health System. 122 postpartum women who were in the labor market during pregnancy participated.
Results. 52.5% of the participants had remunerated activities, of which 45.3% were informal activities. Pregnancy was the reason for firing 79.3% of the women. When they finish their maternity license, women will have to assume their domestic and family duties beside the ones from the remunerated work ones.
Conclusion. Work situation of the studied population is not always favorable to the exercise of civil rights what ends in unemployment and work desertion.
Quality of health care, beyond the technical and rules view
Authors: Múnera Gaviria Hugo Alberto 
Published: April 2023

Objective. To understand the perceptions the users have about health care quality received in three health care institutions in the city of Medellin, Colombia.
Methodology. Qualitative approach from the perspective of focused ethnography. Data were obtained through semi structured interviews, non participant observation, field journey and documentary revision. Informed consent from the participants and hospitals authorization was obtained. The participants were 18 users.
Results. Categories resulting from the analysis were: the health care way, meeting with the other, health care differences, and how to solve the complaint.
Conclusion. From the users view, there are difficulties with health care associated with health care providers, especially with the daily relationship with the users. This situation is a consequence of the efficiency and technical model, where the user as a subject and person is every time more invisible.
Social abilities to interact in virtual learning environments
Authors: Da Silva Edilaine Cristina , Corradi-Websterz Clarissa Mendonça 
Published: April 2023

Objective. To investigate the association between social abilities characteristics needed to interact academically and the use of communication tools of a virtual learning platform.
Methodology. Quantitative study, performed in Ribeirão Preto, São Paulo, Brazil, in 2006. 32 nursing students from the on line class about humor and personality disorders and some from the psychiatric nursing class participated. The virtual learning platform used for the on line class was TELEDUC. Instruments: communication tool access registration, social characteristics to interact with their colleagues in the academic environment questionnaire. Correlation tests were performed between the scores of the social abilities characteristics, and the frequency the virtual environment communication tools were used (Pearson correlation).
Results. A moderate positive correlation was found between the sociability factor and access to the “Chat” (r=0.61) and “Forum” (r=0.50) tools; Moderate negative correlation between the levels of aggression and the “mail” tool “ (r=-0.37); Positive correlation between the levels of leadership and “mail” (r=0.53); moderate negative correlation between inhibition levels and the “Chat” (r=-0.65) and “Forum” (r =-0.63) tools.
Conclusion. Social abilities contribute to the participation of the students in long distance educational processes, so it needs to be taken into account in the teaching- learning virtual environments.
Social support with information technologies and communication to caregivers.
Authors: Florez Torres Inna Elida , Montalvo Amparo Astrid , Massa Elizabeth Romero 
Published: April 2023

Objective. To determine the effectiveness of social support through the radio and web in caregivers of the city of Cartagena, Colombia.
Methodology. Semi-experimental research carried out in 2010 where 86 caregivers to whom the instrument Hilbert’s social support in chronic illness inventory was applied before and after a social support intervention through the radio and the web. ANOVA’s test was used to assess the differences in the score changes of the dimensions of the scale employed.
Results. The average scores before and after the interventions were respectively by dimension: Guide: 59.6 and 81.9; personal interaction 43.3 and 51.6; Feedback 20.7 and 27.3. Social interaction: 20.6 and 25.7. For all the dimensions statistically significant differences were found in the averages.
Conclusion. There is evidence in favor that social support with information technologies and communication was effective in the intervened caregivers.
Contribution of intimate partner violence exposure, other traumatic events and posttraumatic stress disorder to chronic pain and depressive symptoms
Authors: Medina Natalia Tobo , Canaval Erazo Gladys Eugenia , Burgos Dávila Delia Concepción , Humphreys Janice Carrol 
Published: April 2023

Objective. To assess the contribution of intimate partner violence (IPV) exposure, other traumatic events and posttraumatic stress disorder to chronic pain and depressive symptoms.
Methodology. Cross sectional descriptive study. 150 women with a past history of IPV who lived in the metropolitan area of the city of Cali (Co­lombia), and were over 18 years old participated in the study. Data were collected between June of 2009 and March of 2010. IPV, trauma exposure, posttraumatic stress, depressive symptoms and pain were measured with standard scales. Information was analyzed using regression and multiple-scale analysis.
Results. More than 50% of the women from the sample were exposed to the typical types of violence: threatening, physical and sexual violence. Usually a type of violence coexists with the other types. Depressive symptoms and chronic pain were present in 72% and 74% of the patients respectively.
Conclusion. Physical manifes­tations were not the ones that caused most of the effects over women’s health with IPV, but psychological manifestations as de­pressive symptoms and stress did. Women exposed to IPV health approach should be conducted from a multidimensional view.
Young people talk about their sexuality. Community nurses pedagogical experience
Authors: Valencia Jiménez Nydia Nina , Vergara Mercado Marylolis 
Published: April 2023

This article synthesizes the pedagogical experiences developed in community practices by nursing students from the University of Sinú “Elias Bechara Zainúm” of the city of Monteria (Colombia), between 2005 and 2010. Learning and teaching processes were developed based on social constructivism and the situated cognition theory, which led to abilities promotion and the relationship between practice and scientific knowledge. To teach the students how to think, new practice contexts with a juvenile style, and other particulars like the Friendly Service, and the Reproductive and Sexual Health Olympics were created. They allowed knowledge exchange between scholar teenagers and nursing students with a high impact in the society of Cordoba. The latter effort was recognized by the National Educational Ministry and the health and educational authorities of the department as a successful experience in the nursing field of the Caribbean coast of Colombia.
Morphological parameters of uterine body leiomyosarcoma associated with survival rates
Authors: Rozonova O. A. , Kozlov N. A. , Volkov A. Yu. , Egorova A. V. , Artamonovа E. V. 
Published: April 2023

Background. Uterine leiomyosarcomas are highly aggressive tumors with a poor prognosis. The main prognostic factors are the stage of the disease, the size of the primary tumor, and the grade of malignancy. It is well known that the clinical course and prognosis of uterine leiomyosarcoma do not correlate with the FNCLCC histological grade, based on assessment of the mitotic index and the presence and amount of necrosis in sarcomas. There is published data on a more unfavorable course of non-spindle cell uterine leiomyosarcomas.Aim. To evaluate the influence of pathological factors (histological subtype, mitotic index, necrosis and its type) on survival rates in uterine leiomyosarcoma.Materials and methods. The study included 58 patients who underwent radical surgery for uterine leiomyosarcoma. The following morphological parameters were evaluated on histological slides: histological subtype, mitotic index, the presence of necrosis in the tumor and its type. Further, the analysis of the influence of these morphological characteristics on the indicators of progression-free survival and overall survival was carried out. Statistical analysis was carried out using the IBM SPSS Statistics Professional 20.0 statistical software package. Long-term results are presented in the form of actuarial survival calculated by the Kaplan–Meier method.Results. Most cases of uterine leiomyosarcoma were of the spindle-cell variant (82.8 %), had a mitotic index >20 per 10 high power field (93.1 %) and large foci of necrosis (70.7 %), coagulation necrosis was more often detected (43.1 %). There was a significant difference in the median overall survival of patients with spindle-cell variant of uterine leiomyosarcoma and non-spindle-cell variants (epithelioid or myxoid): 77 months vs. 49 months (p = 0.05). There was no significant relationship between the mitotic index of the primary tumor, the size of necrosis foci in the tumor and survival rates. The presence of coagulative necrosis in the tumor was significantly associated with a deterioration in progression-free survival (9 months vs. 14 months, p = 0.05) and overall survival (51 months vs. 104 months, p = 0.05).Conclusion. The spindle-cell variant of leiomyosarcoma is associated with higher overall survival rates compared to other histological subtypes. The presence of coagulative necrosis in the tumor in comparison with other types of necrosis is an unfavorable prognostic factor associated with a decrease in both progression-free survival and overall survival.
Quality Control Metrics for Cepstral Analysis with Homomorphic Deconvolution
Authors: Kemerait Robert C. , Tibuleac Ileana M. , Pascual-Amadeo Jose F. , Stayt Daniel H. , Capuano Marina A. , Thursby Michael 
Published: April 2023

ABSTRACT
In this study we describe an improved cepstral method that can be used for estimating the depth (&lt;2 km) of very shallow earthquakes and explosions. Knowing the depth is important, especially for explosions, for which the best depth indicator, the seismic depth phase (pP) is often not easily discernible from the first arrival (P). Unlike the previous cepstral studies, our method utilizes the power and complex complex cepstrum, and homomorphic deconvolution (HD). The use of quality control metrics increases analyst confidence that a plausible signal–echo delay pair was identified. The metrics quantify liftering adequacy and success of the HD. The most important criteria for successful HD shows good signal–echo delay lag recovery, and a plausible deconvolved signal and echo with similar shape to the initial waveform. The successful application of the method to a few near-ideal cases of high signal-to-noise ratio events warrants testing the proposed metrics on a larger number of well-located events.
EROTIC ASPECT OF NOSTALGIA IN THE LYRICS OF P. BARSKOVA
Authors: Fokina Svetlana 
Published: April 2023

The article presents a reading of the semantic potential of the phenomenon of mirroring and «musical eroticism» in the nostalgic discourse of Polina Barskova. It is presented interpretation of the lyrical plot of the poem «Reflection» in accordance with the inheritance and transformation of P. Barskova's traditions of the image of the intimate as a factor of nostalgic worldview. In a lyrical plot is revealed the authorial point of view on correlation of themes of intimacy and musicality. Transformations of erotic codes are analysed in accordance with actualization of musicality by authorial consciousness of the poetess. The study is comprehended the author's view of the world in the text of «Reflection». An interpretation of the lyrical plot is presented in accordance with the inheritance and transformation of P. Barskov's traditions of the image of the intimate using the semantic potential of mirroring. The magical nature of the object turned into a mirror is due to the originality of the female view in the lyrical plot of P. Barskova, reflecting both the memory of the erotic experience and the ability to transform the surrounding space, their personal memories and feelings. The semiotization of personal erotic experience carried out in the consciousness of the lyrical heroine, correlates with the reflection and mythologization of intimacy, modeling the nostalgic discourse of the palimpsest consciousness of a modern emigrant poet. The field of study included such indicators of the poetess's nostalgic discourse as author codes, erotic connotations, phenomena of mirroring and musicality and their symbolic potential, semiotization of passions.
Competitive Strategies of Strategic Alliance in the Big Data Environment: A Case of Pakistani Companies
Authors: Abbas Hassan 
Published: April 2023

The study is based on the notion that big data predictive analytics is important for developing strategic alliances performance of companies. this study investigates the relationship between big data predictive analytics, big data culture, and competitive strategies &#039;techniques were adopted,	such as descriptive statistics, correlation,regression, etc. using SPSS and SmartPLS statistical software. Hypotheses were tested with bootstrapped analysis using SEM (through SmartPLS). The	study developed a structural equation model by using the SEM analysis. The results of the SEM analysis suggested the hypothesized model of the study was valid. The results	supported all the hypotheses of the study.Through empirical analysis, demonstrated the conclusion is that the big data predictive analytics has a positive and significant relationship with strategic alliance performance
Outcomes at a Mean of 13 Years After Proximal Humeral Fracture During Adolescence
Authors: Lähdeoja Tuomas , Pakkasjärvi Niklas , Aronen Pasi , Willamo Patrick , Aronniemi Johanna , Sintonen Harri , Nietosvaara Yrjänä , Paavola Mika 
Published: April 2023

Background:The long-term outcomes of a proximal humeral fracture during adolescence are not well known. We investigated the course of primary treatment for these injuries and the long-term outcomes in adulthood, comparing the outcomes with those from age-matched controls. We also compared outcomes after operative and nonoperative treatment via propensity score matching.Methods:We included children who sustained a proximal humeral fracture between the ages of 10.0 and 16.0 years and underwent treatment between 1995 and 2005. Data from primary treatment episodes were extracted from patient files. The patients were invited to a follow-up visit with outcome assessment and radiographs or to a telephone interview if unable to attend. The primary outcome was the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. The secondary outcomes were the Simple Shoulder Test (SST), pain at rest and with strenuous use, shoulder range of motion, strength measurements, health-related quality of life (15D), and harms. Participant results were compared with the normal values of an age-matched population. The effect of operative treatment was assessed using propensity score matching and the average treatment effect was calculated.Results:This study included 209 patients (210 fractures). The mean follow-up (and standard deviation) was 13.1 ± 3.2 years. Outcome data were obtained from 152 participants (153 fractures); 78 participants attended the follow-up visit. The primary treatment episodes were uneventful. The mean scores were 2.5 (95% confidence interval [CI], 1.8 to 3.3 [range, 0 to 13]) for the DASH and 11.7 (95% CI, 11.5 to 11.8 [range, 8 to 12]) for the SST. Other outcomes were similarly good. There were no differences in function compared with the normal population values. Propensity matching showed no treatment effect for operative treatment compared with nonoperative treatment.Conclusions:Proximal humeral fractures of adolescents heal well and rarely result in impairments whether treated operatively or nonoperatively.Level of Evidence:PrognosticLevel III. See Instructions for Authors for a complete description of levels of evidence.
Determinantes da Eficiência Relativa da Gestão Pública da Saúde
Authors: Nascimento Érica Suélen do , De Melo Carvalho Franscisval , Carvalho de Benedicto Gideon , Willer do Prado José 
Published: April 2023

Objetivo da pesquisa: Identificar fatores determinantes da eficiência nas microrregiões de saúde do Estado de Minas Gerais.
Enquadramento Teórico: A eficiência é um pressuposto da teoria New Public Management. Para a saúde pública a eficiência refere-se em otimizar os recursos de modo que se possa garantir a assistência a toda a população. As características locais podem determinar uma melhor alocação de recursos, impactar na eficiência e no bem-estar da população.
Metodologia: Por meio da regressão Tobit verificou-se o impacto da renda, escolaridade, envelhecimento e crescimento populacional na eficiência relativa da saúde pública das microrregiões de saúde do Estado de Minas Gerais. A eficiência relativa da saúde foi obtida por meio da Análise por Envoltória de Dados - DEA.
Resultados: O índice de envelhecimento e a densidade populacional apresentou impacto negativo na eficiência relativa da saúde. O PIB per capita apresentou impacto positivo sobre a eficiência.
Originalidade: A análise da eficiência na saúde pública limitada aos fatores controlados pelo próprio sistema pode comprometer a geração de justiça social. As características locais podem determinar uma melhor alocação de recursos e impactar diretamente na eficiência da saúde pública.
Contribuições teóricas e práticas: O estudo aborda sobre a geração de justiça social, não somente da saúde pública, mas também relacionadas aos aspectos socioeconômicos. Os fatores contextuais devem fazer parte das políticas públicas de saúde para que se possa garantir a universalidade, a integralidade e a igualdade da saúde pública.

Palavras-chave:Saúde Pública, Eficiência Relativa, Regressão Tobit.
Modelo estrutural de cidadania deliberativa: Metodologia quantitativa proposta à gestão social
Authors: Cavalcante da Costa Jhonathan , De Fátima Pinto Juliana 
Published: April 2023

Objetivo da pesquisa: O objetivo deste estudo é ampliar a compreensão teórica e prática sobre fatores que afetam o bem comum, sob a perspectiva da cidadania deliberativa (Tenório, 1998, 2007, 2012).
Enquadramento teórico: O embasamento teórico e metodológico parte de experiência recente (Costa, 2018), na qual se estudaram os efeitos da transparência e da participação sobre o processo deliberativo e cuja principal limitação foi não adotar indicadores para o construto correspondente ao bem comum.
Metodologia: Para a validação deste modelo teórico, utilizou-se a modelagem de equações estruturais (Hair, Hult, Ringle, & Sarstedt, 2017), aplicada a uma amostra de 209 respondentes de diversos estados brasileiros.
Resultados: Neste trabalho, aprimora-se o modelo estrutural de cidadania deliberativa, concluindo-se que transparência e participação, mediadas pelo processo deliberativo, afetam positivamente o bem comum.
Originalidade: Ampliação do modelo estrutural criado anteriormente com base nos critérios de cidadania deliberativa.
Contribuições teóricas e práticas: A contribuição é principalmente metodológica, pois o modelo estrutural de cidadania deliberativa poderá ser utilizado em pesquisas quantitativas para investigação de diversos fatores que influenciam a construção do bem comum.

Palavras-chave:Transparência, Participação, Gestão Social, Cidadania Deliberativa.