bluuebunny/crossref_metadata_2025_split huggingface dataset:
The nursing image and professional identity. The future of a construction
Authors: Samaniego Virginia Corina , Cárcamo Silvia 
Published: April 2023

Objective. This study sought to describe the image nurses, physicians, and other healthcare professionals have of nurses.
Methodology. We performed a descriptive study conducted in 2010 on a probabilistic sample of 308 participants (100 nurses, 103 physicians, and 105 other professionals) from Buenos Aires, Argentina. The study used questionnaires with multiple choice closed questions.
Results. Among the main results, we found a perception of the working conditions that imply wear, helplessness, and conflicts within the work group with greater frequency among nurses than in other study groups. Likewise, discrepancies were found between what nurses and the rest of professionals consider 'specific nursing functions'.
Conclusion. Tension exists between the role prescribed by the medical model and that defined by nursing. It is necessary to conceive how the professional identity is constructed as of identifying strategies resulting from objective and subjective strategies.
Teamwork as a nursing competence at Intensive Care Units
Authors: Camelo Silvia Helena , Chaves Lucieli Dias 
Published: April 2023

Objective. The aim in this study was to identify how Intensive Care Unit nurses perceive professional competences in the care team.
Methodology. Qualitative multiple case study with an exploratory focus. The sample consisted of 24 nurses from Intensive Care Units (ICU) at two large hospitals. To collect the information, direct observation and – structured, non-structured and participant – interviews were used.
Results. Ninety-six percent of the participants were women, 79% were less than 40 years old, and 63% possessed less than five years of professional experience in ICU. Data analysis revealed three study categories: teamwork as a nursing management tool, improving teamwork, and interpersonal communication for teamwork.
Conclusion. At the ICU where the nurses work, a teamwork strategy is observed, which demands cooperation and participation by other disciplines.
Nursing care from the ethics of care and of gender.
Authors: Burgos Cecilia Beatriz 
Published: April 2023

Objective. To explore the ethical dimensions of the concept and application of care from a gender perspective, in female and male nurses from a public hospital in the southern zone of Chile.
Methodology. Qualitative research was conducted using the case study methodology. Semi-structured interviews were made, between December 2011 and January 2012, of 11 nursing professionals (six women and five men) belonging to Hospital Base in the city of Valdivia, Chile. The data obtained and transcribed were read and coded to establish categories of meaning. Thematic analysis was performed from the statements.
Results. A marked service vocation and motivation was observed to apply care, both in men as in women, emphasizing on the psychosocial sphere of patients. Additionally, commitment and application of values were verified in the care giving practice, recognized as part of the excellence of the nursing professional, which they perceive as a characteristic aspect of the profession.
Conclusion. Nursing care is not exclusive of the female sex. Males and females develop an ethical sense of care closely linked to the vocational aspects.
Retrieving the offspring and caring for it during the first night at home
Authors: Castillo Espitia Edelmira , Ocampo González Melva Patricia 
Published: April 2023

Objective. To describe experiences of mothers caring for their preterm offspring on the first day after being discharged from the hospital.
Methodology. This was an interpretative phenomenological study with 10 mothers.
Results. Release of the infant from the hospital was interpreted by the mothers as an event that permits them to retrieve the offspring that did not belong to them but to the hospital personnel. The experience of caring for the child during the first night at home was undertaken with uneasiness, angst, and total dedication.
Conclusion. After the child's hospitalization, the mothers doubt their own capacity to care for it. It is necessary to implement strategies that permit mothers to know their offspring and participate in the care during the hospitalization to build trust in their capacity to care for the child at home.
Humanized care; the case of patients subjected to chemotherapy
Authors: Grisales-Naranjo Luz Viviana , Arias-Valencia María Mercedes 
Published: April 2023

Objective. Herein, we seek to know the necessities of humanized care of patients subjected to chemotherapy.
Methodology. The study was carried out with patients, of both sexes, diagnosed with different types of cancer who received chemotherapy treatment in an oncology unit of the city of Medellín, Colombia during 2011. A qualitative approach was used with tools from grounded theory; 23 interviews were conducted and a field diary was kept. During the analysis, codes were extracted that were subsequently grouped into categories that best represented the phenomenon studied.
Results. Cancer patients subjected to chemotherapy have needs for humanized care. The emotional, spiritual, social, and affective necessities were highlighted as a consequence of the impact of the news of the diagnosis and the notorious physical changes confronted by these patients. The category of dehumanization of care emerged related to the information of the diagnosis and in the communication the personnel maintained with these patients.
Conclusion. The cancer patient receiving chemotherapy is a seriously ill person, with necessities, who requires humanized care by the healthcare provider personnel.
Stress in mastectomized women
Authors: Canicali Primo Candida , Costa Amorim Maria Helena , Silveira de Castro Denise , Cordeiro Paraguassú Thais , Nogueira Tonyara Patricia , Martins Bertolani Georgia Bianca , Costa Leite Franciele Marabotti 
Published: April 2023

Objective. To evaluate the stress level in women who have had mastectomy and analyze the relationship between stress and sociodemographic, clinical, and social support variables. Methodology. Descriptive study carried out at Hospital de Santa Rita de Cássia, Vitória/Espírito Santo (Brazil) among 84 mastectomized women. We used a questionnaire to elicit sociodemographic information and instruments to evaluate stress (Lipp's Stress Symptom Inventory for Adults) and anxiety (State-Trait Anxiety Inventory]). Results. A total of 69% of women had stress. Stress in the exhaustion phase was found in 57% of women, the resistance phase in 39%, alarm in 2%, and the near-exhaustion phase in 2%. Physical symptoms predominated (56%) over psychological symptoms (44%). Only 25% of participants had some type of social support. Of investigated variables, only the relationship of stress with anxiety traits was statistically significant. Conclusion. An important proportion of mastectomized women experienced stress. Nursing follow-up is essential to help these patients deal with the stress associated with breast cancer.
Risk factors of foot ulceration in patients with Diabetes Mellitus type 2
Authors: Bañuelos-Barrera Patricia , Arias-Merino Elva Dolores , Banuelos-Barrera Yolanda 
Published: April 2023

Objective. Identify the risk factors for foot ulceration in patients with diabetes type 2 (DM2) who attended a primary care center in the city of Colima (Mexico).
Methodology. This was a descriptive cross-sectional study conducted during 2012 with the participation of 87 patients with DM2 from both sexes and older than 30 years of age. Socio-demographic, anthropometric, clinical, and biochemical variables were measured. The study inquired about prior evaluation of the feet and prior education on diabetes by the healthcare team.
Results. The mean age was 59 years and 70% were women. The average number of years since diagnosis was nine years; only 35% had good glycemia control; 66% engage in exercise; 51% wear open shoes; none had temperature differences in the feet; 82% had some type of dermatological abnormality; 50% had deformities in their feet. A total of 24% had been diagnosed with peripheral neuropathy and another 11% had peripheral vascular disease. Sixty percent of all the patients had risk of foot ulceration. Only 23% of the participants had had previous foot exams. One of every three diabetic patients had received education about the disease.
Conclusion. An important proportion of the patients had risk of foot ulceration, contrary to the insufficient percentage of individuals with previous inspection and education about foot care. For nursing, it is an area of opportunity in this level of care to improve the inspection and education on diabetes, specifically on foot care, mainly in those patients with a prolonged evolution of the disease, deficient glycemia control, and risk of ulceration.
Risk factors associated with diabesity in primary school students in the Amazon region of Brazil
Authors: Filgueiras de Assis Mello Maria Virgínia , Ferreira de Andrade Rosemary , Miyar Otero Liudmila , Celis de Cárdenas Anneli Mercedes , Rodrigues da Silva Silvana 
Published: April 2023

Objective. Identifying risk factors for diabesity (diabetes plus obesity) in primary students in the Brazilian Amazon.
Methodology. Descriptive study carried out in 2009 with the participation of 1218 students. A questionnaire from the Ministry of Health of Brazil was employed with the question ''How is your diet?'' and a form was created to record the socio-demographic, clinical, anthropometric and food variables.
Results. The mean age was 12 years and 57% were female. 64% of respondents reported no health problems, 37% had a family history of diabetes mellitus and 29% of students were overweight (17% overweight and 12% obese). A sedentary lifestyle was prevalent in the study group (70%). The dietary guidelines for consumption of fruits, vegetables, legumes, and complex carbohydrates are not properly fulfilled. Fast foods or 'junk' food was consumed by 43.5% of students.
Conclusion. Most of the identified risk factors were related to unhealthy lifestyles that can lead to diabesity and other chronic non-communicable diseases. Identifying these factors allows planning nursing interventions for students, teachers and families.
Results of teaching mathematics in a subject-based digital educational environment
Authors: Galimullina Elvira Z. 
Published: April 2023

The paper presents the results of teaching mathematics to schoolchildren in a subject-based digital educational environment built according to the model proposed by the author. The aim of the study is to experimentally verify the effectiveness of the process of teaching mathematics to schoolchildren in a subject-based digital educational environment. The study required the use of a whole range of methods, such as observation, questioning, interpretation, tabular presentation of empirical data and their processing, static data processing and comparative analysis of the results. Two groups of students participated in the pedagogical experiment: the first group was an experimental group that studied mathematics in a subject-based digital educational environment, the second group was students who studied mathematics in a traditional form. In this study, the assumption was tested that the students of the experimental group show on average the same result of knowledge as the control group. To determine the absence of differences between the two experimental distributions, the students t-test was used. As a result, an alternative hypothesis was adopted that the students of the experimental group showed on average a higher level of knowledge than the participants of the control group. Therefore, it is possible to draw a conclusion about the effectiveness of the learning process based on the subject digital educational environment built according to the model proposed by the author.
The value of this research lies in the fact that the author offers a theoretically sound model of the subject digital educational environment, the effectiveness of which has been experimentally tested. The instrumental approach of the model allows the teacher to build a digital educational environment taking into account the peculiarities of the taught subject according to his author's plan.
Features of the course of pneumonia in children with coronavirus infection
Authors: Isakova Albina Zh. , Kabaeva Dinara  Zh. , Kabaeva Dinara Zh. , Musurkulova Bubalima A. , Bolotbekova Ainura Zh. , Boryakin Yuri V. 
Published: April 2023

BACKGROUND:The most frequent complication of coronavirus infection (COVID-19) in young children is severe viral pneumonia.
AIM:To reveal the features of the course of coronavirus pneumonia in children.
MATERIALS AND METHODS:A retrospective analysis of 54 case histories of children with coronavirus pneumonia, aged 1 month to 15 years, who received inpatient treatment in the Department of Pulmonology was performed.
RESULTS:The disease was most often registered in children of the first three years of life (66,7%). 49 (90,7%) children turned out to be from family foci of coronavirus infection. The majority of children (4481.5%) had signs of respiratory failure of I-II degree. Polymerase chain reaction (PCR) for the presence of coronavirus was positive in 37 (68.5%) children. Radiologically, bilateral infiltrates were detected predominantly in the middle and lower parts of the lungs. The multisystem inflammatory syndrome associated with SARS-CoV-2 was characterized by persistent fever, multiple organ damage and clinical and laboratory shifts.
The vast majority of cases involved transmission from adult patients. The disease most often developed in children under 3 years of age. The course of the disease is accompanied by the development of grade III respiratory failure and intoxication. PCR for the presence of coronavirus may be negative due to late admission of patients to the hospital. Radiological changes were characterized by extensive bilateral lesions mainly in the lower and middle lobes of the lungs. Persistent fever, multiorgan lesions, clinical and laboratory shifts in coronavirus pneumonia in children indicate the development of multisystem inflammatory syndrome associated with SARS-CoV-2.
CONCLUSIONS:Pneumonia in most cases proceeded with the development of respiratory failure, symptoms of gastrointestinal tract damage, a pronounced intoxication syndrome. At the same time, there was revealed inconsistency of radiologically extensive lung lesions with more scanty auscultatory data.
Multi-scale seismicity model for seismic risk
Authors: Molchan George , Kronrod Tatiana , Panza Giuliano F. 
Published: April 2023

AbstractFor a general use of the frequency-magnitude (FM) relation in seismic risk assessment, we formulate a multi-scale approach that relies on the hypothesis that only the ensemble of events that are geometrically small, compared with the elements of the seismotectonic regionalization, can be described by a log-linear FM relation. It follows that the seismic zonation must be performed at several scales, depending upon the self-similarity conditions of the seismic events and the linearity of the log FM relation, in the magnitude range of interest. The analysis of worldwide seismicity, using the Harvard catalog, where the seismic moment is recorded as the earthquake size, corroborates the idea that a single FM relation is not universally applicable. The multi-scale model of the FM relation is tested in the Italian region.
A flattening transformation forP-SVwaves in a transversely isotropic Earth
Authors: Bhattacharya S. N. , Arora Swarn 
Published: April 2023

AbstractWe solve the equations of P-SV motion in a transversely isotropic non-gravitating spherical shell with elastic parameters being proportional to rp and density being proportional to rp−2, where p is an arbitrary constant and r is the radial distance from the center of the Earth. The solutions are obtained in terms of exponential functions. The expression for the displacement-stress matrix becomes similar to that used in an isotropic flat-layered Earth. Thus, the existing formulations of this isotropic flat Earth can be used to study wave propagation in a transversely istropic spherical-layered Earth. As an example, one of the existing formulations of the isotropic flat Earth has been used successfully to find phase velocity and eigenfunctions of Rayleigh wave in a transversely isotropic spherical Earth.
Optimization of extraction condition of Gynura procumbens extract enriched with flavonoid and antioxidant compounds using Response Surface Methodology
Authors: PERMATASARİ Devi , IS PURWATİ Anisyah , BAHUA Hismiaty , SUPRİYONO Agus 
Published: April 2023

Gynura procumbens is known as one of the herbal medicinal plants found in Indonesia and has been used from time to time. It is claimed to have various efficacy such as anti-hyperglycemic, anti-hypertension, anti-microbial, anti-cancer, and antioxidant. Other studies mention that G. procumbens possessed high antioxidant compounds and had been used as a natural-based medicinal supplement. However, further studies on optimizing the extraction process of Gynura procumbens in Indonesia have yet to be reported. Therefore, this study aimed to optimize the extraction condition of G. procumbens leaves by maceration with three variables: solvent concentration, extraction time, and the ratio of solid-liquid used. Each of those variables contained three different levels. Determination of total flavonoid and antioxidant activity was measured using aluminium chloride colourimetric assay and 2, 2-diphenyl-1-picryl-hydrazil (DPPH) assay, respectively. In the optimization process, Response Surface Methodology (RSM) was used to explore the main effects and interaction between parameters and their correlations with dependent variables. The results were analyzed using the Box-Behnken method using Minitab software 17. This study shows that the most significant effect of the variable for both flavonoid and antioxidant activity was solvent concentration, with a P&lt;0.05. The results showed that the extraction process to obtain G. procumbens extract with optimal flavonoid content and antioxidant activity (IC50) was predicted at 70% solvent concentration, 1 h maceration time, and a solid-liquid ratio of 1:9.8 w/v, with results of 17.599 mg QE/g extract and 0.211 mg/mL, respectively. This study was expected to complement other studies and can be used as an additional reference for the development of the extraction process on a larger scale.
Violations and Abusive Events as Experienced by Staff Within Adult Psychiatric Care: A National Cross-Sectional Survey
Authors: Levinsson Henrik , Tham Katarina Fredriksson , Straht Maja , Wolgast Martin 
Published: April 2023

Background:Previous research has emphasized the high prevalence and far-reaching consequences of violations of ethical principles in patient care.Aim:To study the extent of violations perceived by healthcare professionals in Swedish adult psychiatric care.Methods:Online survey among 2,538 mental health professionals. A revised version of Transgressions of Ethical Principles in Health Care Questionnaire was used.Results:Events that could be perceived as abusive occur to a large extent. Respondents reported 96% observation and 84% self-involvement in at least one abusive event during the past 12 months and were considered unethical by 43% upon observation and by 34% upon self-involvement. Respondents who work in inpatient care report both more observations and more of their own involvement in abusive events compared to outpatient care.Conclusions:The findings indicate the importance of actively working with and preventing violations and abusive events, and could motivate healthcare professionals to talk about alternative ways of acting in certain situations.
The Effectiveness of Guided Inquiry Learning Model on Students' Critical Thinking Ability in Simulation and Digital Communication Subjects
Authors: Septiana Rahma , Efendi Agus , Aristyagama Yusfia Hafid 
Published: April 2023

<div align="center"><span lang="EN-US">This study aims to find out the difference in students' critical thinking ability between the use of the Guided Inquiry learning model and with expository learning model and to know the effectiveness of the Guided Inquiry learning model on students' critical thinking ability in digital Simulation and Communication subjects. The subject used in this study was a Grade X student of Software Engineering SMK 2 Surakarta. The method used is a quantitative approach with a quasi-experiment that uses a nonequivalent control group design, pretest-posttest. This study used two groups: the control group with the expository learning model and the experimental group with the Guided Inquiry learning model. Sampling techniques in this study with simple random sampling. Data collection using observations and test instruments. Data analysis on hypothesis test using Independent sample T-test with an error level of 0.05. Hypothetical testing showed significant differences in post-tests between the two groups with sig values. (2-tailed) by 0.012 &lt;0.05.</span> </div>
Problems of biology learning and evaluation analysis at the cipp model-based higher education level
Authors: Arjaya Ida Bagus Ari , Suma Ketut 
Published: April 2023

The purpose of this study was 1) to determine what the problems of biology learning at the college level are based on the learning domain; 2) to examine the biology learning curriculum's context; 3) Evaluate the biology learning curriculum input; 4) Evaluate the biology learning curriculum process, and 5) Evaluate the biology learning curriculum at Universitas Mahasaraswati Denpasar, Indonesia. This research includes evaluative research with a mixed methods, explanatory sequential design approach. The data retrieval technique in this study used the purposive samplingmethod namely, 57 students and 11 lecturers became research samples. The results of this study are: 1) cognitive domain issues are misconceptions, high-level thinking skills, and gender. Affective domain problems include stress, scientific attitudes, and attitudes toward science. Furthermore, the psychomotor domain problems are basic process skills and experimental processes; 2) The context of curriculum problem related to outcome based education (OBE) is still generic and has not involved the business world and industry; 3) Input evaluation results based on leadership and educational facilities are relatively good, but still development in human resources (HR) section. Furthermore, the lecturer's teaching competencies are categorized well; 4) The evaluation of the lecture process is consistently conducted by monitoring Internal Quality Audit and ISO 21001: 2018; 5) The results of the curriculum evaluation product are relatively good but still constrained regarding the fulfillment of doctoral qualifications and student publications. Each of these issues has been assigned separately for follow-up.
Intractable Bleeding After Revision Hip Arthroplasty Because of Angiosarcoma
Authors: Ter-Zakarian Arthur A. , Joyce David M. , Lyons Steven , Bernasek Thomas L. 
Published: April 2023

Case:
Two cases of revision total hip arthroplasty (THA) for pseudotumor and infection with persistent postoperative bleeding because of angiosarcoma are presented. After surgery, both patients' health deteriorated because of hypovolemic shock despite transfusion, pressors, embolization, and prothrombotics. Diagnosis was obscure and delayed despite extensive imaging. Standard and computed tomography angiogram were nondiagnostic and did not localize the tumors or bleeding. Repeat surgeries and biopsies requiring special staining ultimately revealed epithelioid angiosarcoma.

Conclusion:
A diagnosis of angiosarcoma was etiologic for persistent postoperative bleeding after revision THA and should be considered in such cases.