bluuebunny/crossref_metadata_2025_split huggingface dataset:
PELATIHAN PEMBUATAN SOAL DAN SURAT MENYURAT MENGGUNAKAN MICROSOFT WORD DI PAUD AL IKHLAS KOTA DEPOK
Authors: Al Maududi Roni , Putri Z Rini Widia , Hartuti Purni Munah 
Published: April 2023

Kegiatan pengabdian kepada masyarakat ini bertujuan untuk mengenalkan dan memberikan pelatihan aplikasi Microsoft Word kepada guru-guru di PAUD KB Al Ikhlas Sukamaju Baru, Depok. Secara khusus, pelaksanaan kegiatan ini berupa pelatihan pembuatan soal ujian siswa yang menarik dan penulisan surat menyurat yang baik dan benar. Selama ini dalam pembuatan soal ujian siswa dan surat menyurat, para guru masih belum terampil dalam mengoperasikan teknologi komputer yang ada, terutama dalam menjalankan dan mengoptimalkan program Microsoft Word. Metode yang digunakan berupa metode pelatihan, pendampingan, dan diskusi. Hasil dari kegiatan pelatihan ini adalah semua peserta dapat memahami penggunaan tools Microsoft Word secara umum degan baik, peserta dapat membuat surat undangan resmi menggunakan Microsoft Word, peserta dapat secara cepat menyelesaikan proses pengetikan soal ujian, dan hampir 85% materi pelatihan dapat dikuasai dengan baik oleh semua peserta. Kata Kunci : Pembuatan soal, surat menyurat, Microsoft Word
Cardioprotective Effect of Acute Intradialytic Exercise: A Comprehensive Speckle-Tracking Echocardiography Analysis
Authors: Josse Matthieu , Patrier Laure , Isnard Myriam , Turc-Baron Cécile , Grandperrin Antoine , Nottin Stéphane , Mandigout Stéphane , Cristol Jean-Paul , Maufrais Claire , Obert Philippe 
Published: April 2023

Significance Statement
Hemodialysis (HD) can lead to acute left ventricular (LV) myocardial wall motion abnormalities (myocardial stunning) due to segmental hypoperfusion. Exercise during dialysis is associated with favorable effects on central hemodynamics and BP stability, factors considered in the etiology of HD-induced myocardial stunning. In a speckle-tracking echocardiography analysis, the authors explored effects of acute intradialytic exercise (IDE) on LV regional myocardial function in 60 patients undergoing HD. They found beneficial effects of IDE on LV longitudinal and circumferential function and on torsional mechanics, not accounted for by cardiac loading conditions or central hemodynamics. These findings support the implementation of IDE in people with ESKD, given that LV transient dysfunction imposed by repetitive HD may contribute to heart failure and increased risk of cardiac events in such patients.

Background
Hemodialysis (HD) induces left ventricular (LV) transient myocardial dysfunction. A complex interplay between linear deformations and torsional mechanics underlies LV myocardial performance. Although intradialytic exercise (IDE) induces favorable effects on central hemodynamics, its effect on myocardial mechanics has never been comprehensively documented.

Methods
To evaluate the effects of IDE on LV myocardial mechanics, assessed by speckle-tracking echocardiography, we conducted a prospective, open-label, two-center randomized crossover trial. We enrolled 60 individuals with ESKD receiving HD, who were assigned to participate in two sessions performed in a randomized order: standard HD and HD incorporating 30 minutes of aerobic exercise (HDEX). We measured global longitudinal strain (GLS) at baseline (T0), 90 minutes after HD onset (T1), and 30 minutes before ending HD (T2). At T0 and T2, we also measured circumferential strain and twist, calculated as the net difference between apical and basal rotations. Central hemodynamic data (BP, cardiac output) also were collected.

Results
The decline in GLS observed during the HD procedure was attenuated in the HDEX sessions (estimated difference, −1.16%; 95% confidence interval [95% CI], −0.31 to −2.02; P = 0.008). Compared with HD, HDEX also demonstrated greater improvements from T0 to T2 in twist, an important component of LV myocardial function (estimated difference, 2.48°; 95% CI, 0.30 to 4.65; P = 0.02). Differences in changes from T0 to T2 for cardiac loading and intradialytic hemodynamics did not account for the beneficial effects of IDE on LV myocardial mechanics kinetics.

Conclusions
IDE applied acutely during HD improves regional myocardial mechanics and might warrant consideration in the therapeutic approach for patients on HD.
Meningitis bacteriana aguda en niños: estudio clínico y bacteriológico en el Hospital Infantil de Medellín
Authors: Otero Patiño Rafael , Bruges Jorge , Lux Ana María , Mejía Jorge , Agudelo Nancy , Zapata Muñoz Carmen Tulia , Hoyos Daniel 
Published: April 2023

Entre abril 3 de 1984 y marzo 31 de 1986, se estudiaron 95 niños que ingresaron al Hospital Infantil de Medellín con el diagnóstico de meningitis bacteriana aguda (MBA); 68 de ellos fueron menores de 2 años (71.6%); el HaemophiIus influenzae tipo e fue el germen predominante (41.0%); le siguieron el Streptococcus pneumoniae (27.4%), las enterobacterias (15.8%), la Neisseria meningitidis (4.2%), el Staphylococcus aureus (3.2%) y estreptococos beta hemoifticos (2.1%); uno de éstos fue Streptococcus agalactiae y correspondió al primer caso de MBA descrito en Medellín por tal microorganismo; igualmente, se halló el primer caso colombiano de MBA por Shigella La fiebre, el vómito, la irritabilidad, los signos de irritación meníngea y las convulsiones, fueron las manifestaciones más frecuentes; en general el cuadro clínico fue más severo y mayores las complicaciones mientras menor fuera el paciente; los pacientes con convulsiones persistentes de predominio focal tenían, por lo general, infarto cerebral, derrame subdural, dilatación ventricular o una combinación de los mismos.El origen bacteriano del padecimiento se pudo comprobar en 89 pacientes (93.7%) mediante una combinación de exámenes directos, cultivos y contra inmunoelectroforesis.La mortalidad general fue de 19.0%; de otro lado el 26.0% de los pacientes quedó con secuelas tales como convulsiones, déficit motor y sordera. Por primera vez se comprobó en este Hospital resistencia del H. influenzae a la ampicilina (3 de las 26 cepas estudiadas). Con base en éste y los demás hallazgos se recomiendan modificaciones al esquema terapéutico Inicial de la MBA y la supresión de la punción lumbar final rutinaria.
Linfadenitis intratorácica, falla respiratoria y muerte por tuberculosis
Authors: Vélez Lazaro 
Published: April 2023

La Iinfadenitis tuberculosa del adulto afecta los ganglios intratorácicos sólo en 5-7% de los casos y generalmente produce poco compromiso sistémico. Se presenta el caso de una mujer de 21 años que murió en Insuficiencia respiratoria debida a la obstrucción bronquial causada por grandes adenopatias hiliares y mediastinales y derrame pleural masivo bilateral. La Incidencia de tuberculosis pulmonar en Medellín durante 1986 fue de 85.3 casos nuevos por 100.000 habitantes, de los cuales muere aproximadamente 8-9% por año. De la mortalidad en general, menos del 2% se debe a Insuficiencia respiratoria. No se encontraron Informes en la literatura médica de obstrucción bronquial por Iinfadenopatia tuberculosa como causa de muerte. Se piensa que las malas condiciones socioeconómicas, el consumo de narcóticos y la coexistencia de enfermedades venéreas, contribuyeron al curso fulminante de esta paciente. Se pretende llamar la atención acerca de esta presentación atípica y agresiva de la tuberculosis, especialmente en pacientes que pudieran estar inmunocomprometidos.
Tiña pedis y otras entidades dermatológicas en un grupo de niños con retraso mental
Authors: Escobar de Villalobos Marta Lucía , Ortega María C. , Vargas María E. , Muñoz Víctor 
Published: April 2023

Con el propósito de complementar la Información disponible sobre la frecuencia de dermatomicosis en grupos específicos de población, se evaluaron dermatológica y micológicamente 133 niños con retardo mental, inscritos en una institución especializada del Municipio de Medellín. Se encontraron 18 (21.4%) que presentaban lesiones clínicamente compatibles con dermatomicosis y cuya etiología pudo ser comprobada por directos o cultivos; la entidad más frecuente fue la tiña pedis de los espacios interdigitales de los pies (14 casos) debida a Trichophyton mentagrophytes y Epidermophyton floccosum. También se encontraron casos de pitiriasis versicolor y candidiasis así como de las siguientes lesiones no micóticas: pediculosis (12 casos); verrugas vulgares (11 casos); eczemas crónicos de diverso origen (9 casos); prúrigos (6 casos); piodermitis (4 casos); acné vulgar (4 casos); molusco contagioso (2 casos); pitirlasis alba (2 casos) y un caso de cada una de las siguientes: alopecia por tracción, liquen estriado, queratosis pilar y psoriasis. Se hace énfasis en la frecuencia de tiña pedis y en la ausencia de tiña capitis en este grupo institucionalizado y con deficientes condiciones higiénicas.
Adenema tiroideo autónomo no tóxico tratamiento con I131
Authors: Orrego Arturo , Orozco Benjamín , Echeverri María C. , Uribe Londoño Federico 
Published: April 2023

Se trataron 14 mujeres y un hombre, con adenomas tiroideos solitarios funcionalmente autónomos, no tóxicos, con I131 a una dosis promedio de 19.2 mCi. La gamagrafía tiroidea demostró hipercaptación del nódulo con supresión total del resto de la glándula. El tamaño del nódulo se determinó por medio de ecografía tiroidea antes y después del tratamiento, y su autonomía por la prueba de supresión con triyodotironina. El estado tiroideo se puso de presente clínicamente y por la medición de T3, T 4 y TSH en el plasma, antes de la terapia con el radiofármaco y durante la evolución postratamiento. En dos pacientes se presentó hipotiroidismo desde los dos primeros años del período de seguimiento, a pesar de que el tejido tiroideo circundante estaba suprimido y de la administración oral de triyodotironina simultáneamente con el yodo radioactivo. En 13 pacientes se logró hacer seguimiento; en 9 de ellos (69.2%) hubo disminución del tamaño del nódulo (promedio de 45%); en dos desapareció y en otros dos no se modificó la lesión. Se sugiere que el tratamiento de los adenomas tiroideos autónomos no tóxicos con I131 es el más apropiado, especialmente si el tejido extranodular está suprimido; ello en vista de la Infrecuencia del hipotiroldismo postratamiento y de la inocultad y facilidad de su administración. Sin embargo, cuando se desea la desaparición total del adenoma y no existen contraindicaciones, debe recurrirse a la cirugía
Infecciones por helicobacter pylori
Authors: Álvarez Gil Liliam 
Published: April 2023

Se revisan los conocimientos sobre el papel de Helicobacter pylori en varias enfermedades gastroduodenales como la gastritis crónica (GC), úlcera gástrica (UG), úlcera duodenal (UD) y dispepsia no ulcerosa (DNU). La revisión abarca aspectos históricos, microbiológicos, clínicos, epidemiológicos, diagnósticos de laboratorio, terapéuticos y de patogénesis.
Presencia de vectores de leishmaniosis cutánea y visceral en la Isla de Santa Cruz de Mompox, Departamento de Bolívar, Colombia
Authors: Gallego M. Jorge Iván , Trujillo Gustavo Alberto , Alzate Adriana María , Vélez Bernal Iván Darío 
Published: April 2023

Se realizó una prospección entomológica en la Isla de Santa Cruz de Mompox entre los días 23 y 29 de diciembre de 1993, con el fin de determinar si se trata de una zona de riesgo potencial de Infección por Leishmania; para ello se practicaron capturas de flebotomíneos en sitios de reposo diurno y con trampas de luz tipo CDC y Shannon, colocadas simultáneamente en el peri y el extradomicilio. Se colectaron 367 ejemplares de flebotomíneos cuya Identificación demostró por primera vez la presencia en la Isla de siete especies de Lutzomyia entre las cuales se encuentran Lu. panamensis y Lu. gomezi, vectoras de leishmaniosis cutánea y Lu. evansi vectora principal de la forma visceral en la Costa Caribe Colombiana; el hallazgo demuestra que la isla es una zona de riesgo potencial para leishmaniosis cutánea y visceral.
La primera operación del corazón en Antioquia
Authors: Álvarez Echeverri Tiberio 
Published: April 2023

Se dice que Hipócrates no describió ninguna patología del corazón. Creyó que órgano tan noble no sufriría enfermedad. Aristóteles agregó que si el corazón era lesionado no funcionarían los órganos dependientes. Galeno, con sus observaciones en los gladiadores heridos, estableció que "; cuando la herida penetra en una de las cámaras cardíacas, la persona muere instantáneamente por pérdida de sangre...
Andragogy in nursing: a literature review
Authors: Bover Draganov Patricia , De Carvalho Andrade Andréia , Sanna Maria Cristina , Ribeiro Neves Vanessa 
Published: April 2023

Objective. To describe the use of the term andragogy in the contents of nursing publications.
Methodology. Bibliographic study. A search was undertaken in the databases MEDLINE, LILACS, BDENF, EMBASE and ERIC, for articles published between 1999 and 2011 which included the term ‘andragogy’ or derived terms in the English language.
Results. 51 publications were found. The study’s main categories were: ideological and theoretical bases (71%), historical antecedents (37%), andragogy’s operationalization (43%) and application in Nursing (86%). The most-frequently treated issue was continuing education (45%). Most articles were published in the United States (41%). In Brazil, the use of andragogy is more recent than in other countries. The studies indicate that andragogy has a positive influence in the students’ work lives.
Conclusion. Although the use of andragogy in nursing education is less frequent, its use in nurse training shows it to be important for future professional performance.
Nurses’ care and management actions in emergency trauma cases
Authors: Azevedo Ana Lídia Azevedo De Castro Sajioro , Scarparo Ariane Fazzolo , Chaves Lucieli Dias Pedreschi 
Published: April 2023

Objective. To analyze the nurse’s care and management actions in an emergency trauma hospital unit.
Methodology. A qualitative, exploratory-descriptive multiple case study was undertaken in an emergency trauma unit in a public teaching hospital in a town in the state of São Paulo, Brazil. The data was collected through participant observation and semi-structured interviews with the nurses.
Results. It was observed that the dimensions of care and management are interwoven in the nurse’s practice, which, based in the service users’ heath needs, uses specific knowledge referent to the prediction and provision of human and material resources and to actions articulating the team, to organize and guarantee the care, so as to offer integral care.
Conclusion. The practice of the nurse in an emergency trauma service is close to the perspective of care management, articulating the work’s care and management dimensions.
HIV/AIDS in childhood and adolescence.
Authors: Cardoso de Paula Cristiane , Cabral Ivone Evangelista , Souza Ivis Emilia de Oliveira , De Brum Crhis Netto , Da Silva Clarissa Bohrer , Padoin Stela Maris de Mello 
Published: April 2023

Objective. To analyze the theme HIV/AIDS in childhood and adolescence, its characteristics and trends, in Brazilian scientific production between 1983 and 2010.
Methodology. Review of 121 quantitative and qualitative descriptive studies.
Results. 81% of the production comes from the South-East/South of the country. In the 1980’s, a balance is observed between experience reports (50%) and research (50%). Seventy percent of the papers were produced between 2003 and 2010. The most frequent theme analyzed with regard to childhood was care delivery (75%), against prevention in adolescence (72%). Studies related to HIV/ AIDS in emphasized clinical-epidemiological aspects (70%), while sociocultural studies predominated for the adolescent period (90%), with a preventive trend.
Conclusion. The scientific production under analysis is coherent with the Brazilian policy to cope with the epidemic and addresses all care levels related to this public health problem.
Characteristics of patients hospitalized at an ICU due to drug abuse.
Authors: Antunes Flavia , Oliveira Magda Lúcia Félix de 
Published: April 2023

Objective. To characterize the clinical and demographic profile of patients hospitalized due to drug intoxication at an intensive care unit (ICU) of a teaching hospital between 2004 and 2010.
Methodology. In this descriptive study, information was collected from the hospitalized patients, as informed by a Toxicology Care Center (CAT) in Paraná (Brazil). The clinical files were checked and information was collected about age, gender, toxic agents and intoxication circumstances, comorbidities and clinical outcomes.
Results: Sixty-two patients were included in the study, with a mean age of 58 years and 77% male. Alcohol was the substance related to most hospitalizations (77%), followed by psychoactive drugs (14%) and marihuana and crack (5% each). The main comorbidities were bronchopneumonia due to aspiration (37%), alcohol-related liver cirrhosis (24%) and traumatic brain injury (19%). The most frequent intoxication circumstances were chronic abuse (79%), attemptive suicide (19%) and acute abuse (4.9%). Thirty-nine percent of the patients died during hospitalization.
Conclusion. The results show a concerning reality, as most of the patients are men of economically active age, who were intoxicated by a legal substance like alcohol, with a relevant number of deaths. Nurses need to pay particular attention to this health problem, in the context of which they play a fundamental role as educators with a view to the encouragement of healthy lifestyles.
Themes and situations that cause embarrassment among participants in research
Authors: Dias Reis Pessalacia Juliana , Regina de Oliveira Ribeiro Cléa , Massuia Dinéia 
Published: April 2023

Objective. To recognize the themes and situations that could make research participants feel embarrassed when questionnaires or interviews are used.
Methodoly. Quantitative and descriptive study, developed in 2008, involving a stratified sample of 1,1149 subjects who qualified the degree of shame in view of potentially embarrassing themes and situations.
Results. For the research participants, it is embarrassing to answer questions related to the following themes: betrayal (50%), physical violence (42%), sexual harassment (42%), psychological violence (40%) and death of loved ones (38%). The situations that most frequently causes embarrassment were: start of the survey or interview without requesting informed consent (83%); lack of information about the type of questions that would be addressed (79%), lack of guaranteed anonymity (78%), or use of images (66%) or a recorder (58%).
Conclusion. Themes and situations were identified that caused embarrassment among participants in research in which questionnaires or interviews were used, which should be considered in the ethical evaluation of studies.
Behaviors and ethical aspects involved in data collection.
Authors: Pessalacia Juliana Dias Reis , Martins Tavares Bruna , Castro de Faria Fabiana , Oliveira Samantha , Chaves de Souza Cristiane 
Published: April 2023

Objective. To identify the perception of nursing students in relation to the behaviors and ethical issues involved in data collection from patients.
Methodology. Descriptive and exploratory study with a qualitative approach, using the content analysis proposed by Bardin as the theoretical framework. Participants were students in the 7th period of the nursing undergraduate course at a public university located in the state of Minas Gerais, Brazil, in 2011. Data were collected through interviews.
Results. From the analysis of the results, the following categories emerged: preservation of patients’ intimacy and privacy, respect for patients’ autonomy, experiences and feelings of students and training strategies relating to the nursing process during the undergraduate course.
Conclusion. The nursing students are concerned with the ethical approach during data collection from patients and the preservation of their rights. Pedagogical practices should be reinforced that take into consideration the technical aspects, as well as those related to behaviors and ethics.e
Voice disorders in teachers and occupational nursing care.
Authors: Cezar-Vaz Marta Regina , Severo Luana de Oliveira , Borges Anelise Miritz , Bonow Clarice Alves , Rocha Laurelize Pereira , De Almeida Marlise Capa Verde 
Published: April 2023

Objective. To identify the occupational characteristics and their implications for the occurrence of voice disorders among teachers in early childhood and primary education.
Methodology. A quantitative and exploratory research was undertaken in a metropolitan city of the state capital of Rio Grande do Sul/Brazil. The sample consisted of 37 teachers from early childhood and primary education.
Results. All participants were female, with a mean age of 40 years. Seventy-eight percent indicated one or more voice disorders (54% hoarseness, 41% voice cracks, 27% voice loss and 3% coughing). The noisy school environment was identified as a possible triggering factor of the voice disorder in 49% of cases. Forty-six percent of all teachers indicated not doing any treatment in case of voice disorders. The most frequently used specific measures were: medication use (32%) and speech therapy (5%).
Conclusion. Voice disorders are frequent among the participating teachers and are mainly related to a noisy school environment. It is important for the nurse to intervene, using educative strategies to reduce the risk factors for the vocal health of teachers working in these conditions.
Nursing work in care practice at Emergency Care Units
Authors: Cabreira Gehlen Graciela , Da Silva Lima Maria Alice Dias 
Published: April 2023

Objective. To characterize nurses’ work process in care practice at Emergency Care Units.
Methodology. The research technique used was mixed-method research. In the quantitative phase, a questionnaire was applied to 47 nurses; in the qualitative phase, a sample of events was observed at an emergency unit.
Results. The activities the nurses most frequently developed were: a) care: risk assessment and classification (66%) and registering of clinical data (62%); b) management: task distribution (62%), shift organization (40%) data processing (36%), and material provision (28%). The nurses highlighted the users’ forwarding to appropriate care levels as the goal of their work (70%). The work instruments most frequently used were clinical decision-making (87%), listening and monitoring (83%) and the risk assessment protocol (68%).
Conclusion. Nurses’ work at Emergency Units is predominantly focused on care, with a great burden of management activities related to resource planning and provision for care practice.
Violence and discrimination against nursing students.
Authors: Moreno-Cubillos Carmen Leonor , Sepúlveda Gallego Luz Elena 
Published: April 2023

Objective. To measure the frequency of acts of gender discrimination and violence against nursing students in a Colombian public university.
Methodology. A cross-sectional descriptive study with a representative sample of 81 students in the nursing program was conducted during the first half of 2011. The information was taken through a self-filled survey, inquiring about the history of violence and discrimination during college life, taken place on campus and at practice sites.
Results. Seventy percent of the students were subjected to one of 17 types of violent or discriminatory acts investigated during their university life in the university facilities or in practice sites. The most frequent events reported by students were: abuse of authority (43%), taunts, gestures and obscene compliments (32%), psychological aggression (27%); verbal aggression (19%); and discrimination due to physical appearance (12%).
Conclusion. A high proportion of nursing students participating in the study were subjected to acts of violence and discrimination. It is necessary for the university to generate welfare strategies to change attitudes related to these actions.