bluuebunny/crossref_metadata_2025_split huggingface dataset:
Teaching the caregiver the art of caring: an educational care program with multiple trauma patient caregivers
Authors: Rangel Flores Yésica Yolanda , Hernández Flores María Magdalena , García Rangel Minerva 
Published: April 2023

Objective: to evaluate the effectiveness of an educational intervention program framed in self-care deficit theory addressed to multiple trauma patients´ caregivers at a hospital in san luis potosí in Mexico.
Methodology: interventional longitudinal comparative study; Probabilistic systematic sampling was done with randomized assignation of the intervention. The study variables were: Caregivers level of knowledge and the multiple trauma patient evolution. An educational intervention program was applied to the caregivers throughout five sessions; the control group received conventional education by the health staff during their multiple trauma patient hospitalization. Knowledge level measurements were applied before and after the intervention to both groups, as well as a complete nursing assessment pre and post intervention aiming to identify disuse syndrome characteristic complications. The data was analyzed using descriptive statistics and inferential measures.
Results: There is statistical evidence of the educational program effectiveness. As it not only improved the caregivers level of knowledge but the multiple trauma patients of the group had a lower incidence of complications secondary to prolonged immobility.
Conclusion: the intervention program resulted effective favoring the caregiver’s level of knowledge as well as the evolution and prevention of complications in the multiple trauma patient.
Validation of an educational game for teaching cardiovascular assessment
Authors: Moura de Araújo Márcio Flávio , Lima de Sales Adriana , De Oliveira Lopes Marcos Venícios , Leite de Araújo Thelma , Martins da Silva Viviane 
Published: April 2023

Objective: to evaluate an educational material used as a didactic resource to support the teaching of cardiovascular assessment.
Methodology: the educational material was analyzed by experts in cardiovascular nursing and applied to 30 nursing students at the Federal University of Ceara (Brazil) in the period January - June of 2006. To analyze the internal consistency Cronbach alpha coefficient was calculated. To analyze the student’s performance the scores of a test that evaluated the taught topic applied before and after the intervention were compared.
Results: all the experts highlighted that the game features are consistent, is interactive, coherent, has pedagogic validity and allowed the student to participate in his learning process. The difference in the means of the pre and post intervention as arsessment was statistically significant.
Conclusion: the validity and applicability of the game as a pedagogic resource was confirmed.
Reading fairy tales as a humanization strategy of hospitalized children care
Authors: Correa Ione , Soares Albano Maíra Aparecida 
Published: April 2023

Objective. To asses fairy tales reading as a humanization strate­gy of hospitalized children care.
Methodology. Qualitative study in which data was collected from: fairy tales reading: individual interview, questionnaire, drawings and stories created by the children.
Results. During reading sessions, improvement in the children’s reactions was seen: They were more focused, partici­pative, enthusiastic and happy; those accompanying the children liked and accepted this intervention. Data analysis collected from Interviews, questionnaires, narratives and drawings, showed re­sults in favor of the tales reading practice.
Conclusion. The huma­nization strategy of care supported by fairy tales reading, had a positive impact in the children’s admission to the hospital.
Risk factors for complications in the post anesthesia period in elderly patients
Authors: Quispe Mendoza Isabel Yovana , Giani Peniche Aparecida de Cássia 
Published: April 2023

Objective. To identify the risk for complications in the post anesthesia recovery period in elderly patients.
Methodology. Retrospective descriptive study. Data were collected from elderly patient’s medical records.
Results. 110 patients were studied and had the following profile: male sex (56.4%, hypertensive (32.7%), and classified as ASA II (60.0%).With regard to the intraoperative: underwent abdominal surgery (53.6%), general anesthesia was given (50.9%), were in a supine position during the surgery (81.8%) and the intraoperative period was under three hours (62.7%). The most common complications were: Hypothermia (55.5%), pain (43.6%) and high blood pressure (36.4%).
Conclusion. he preoperative visit importance to evaluate the risk factors that could influence in the surgical procedure was shown.
Hand cleaning. Every day of the health professionals in a pediatric inpatient unit
Authors: Corrêa Ione , Nunes Ivandra Mônica Manuel 
Published: April 2023

Objective. To describe behaviors related to hand cleaning in health professionals who work in the pediatric inpatient unit of a university hospital.
Methodology. Descriptive study, in which the studied population was the sanitary staff who worked in a pediatric inpatient unit of a university hospital, there were a total of 43 people. Information was collected through an observation process and a survey applied on hand washing techniques, at the beginning of the study and a month later of the first one.
Results. In just 7% of the observations, participants washed their hands before developing the procedure; one out of two followed the steps described in the technique. The most frequent failure in hand washing was presented in the step of rubbing the right hand palm over the left had dorsum, crossing the fingers and vice versa (18%).
Conclusion. Participants of the study didn’t have the habit to wash their hands according to the recommended technique. Data suggest the necessity to promote educational actions to change staff behaviors and attitudes towards the steps and techniques of hand washing before and after performing any procedure.
The role of the institution in choosing, receiving and chaperone professors in the university
Authors: Marques Ferreira Maria de Lourdes da Silva 
Published: April 2023

Objective. To analyze the role of the institution in choosing, receiving and chaperone professors.
Methodology. Qualitative study, which body analysis was composed of 32 participations in a thematic forum of a group of nine health professionals.
Results. After professor hiring it is necessary to receive and chaperone him. Professors with longer time in the institution represent a more important role in the admission of the new professor. Chaperone process is an opportunity to change and redefine the rules, and should be supported by permanent evaluation. The university as a legitimate learning scenario, production and knowledge reconstitution, should accompany changes of contemporary science and support the interdisciplinary demands in the new knowledge construction.
Conclusion. It is fundamental the role of the university receiving and chaperoning teachers from joining. As well university should favor the growth of the professor, not only by supporting the challenges of their pedagogic activity, but mainly through the respect of autonomy.
Bacteria on the hands of children inpatients.
Authors: Candido de Almeida Marcela Cristina , Correa Ione 
Published: April 2023

Objective. To estimate the prevalence of bacteria isolated in samples from the hands of school-age children at a hospitalization unit.
Methodology. In 2009, strains were cultured from the hands of 90 school-age children at the pediatric hospitalization unit of Hospital Estadual Bauru (São Paulo, Brazil). After culture of the samples, the isolated bacteria were identified.
Results. In 98% of the samples taken from the children, bacteria were isolated. Coagulase-negative Staphilococcus was isolated in 64% of the samples, followed by Staphilococcus aureus (5%) and Pseudomonas aeruginosa (1%).
Conclusion. In most of the samples from the children’s hands, bacteria were isolated. Therefore, educative actions about hygiene habits in- and outside the hospital environment should be reinforced, aimed at children and their companions.
Percutaneous irreversible electroporation in locally advanced pancreatic cancer – a review and a case report
Authors: Polyakov A. N. , Patyutko Yu. I. , Pogrebnyakov I. V. , Dolgushin B. I. , Sholohov V. N. , Vlasenko O. S. , Bazin I. S. , Kantieva D. M. , Romanova K. A. , Kozhushkov V. A. , Kozhushkov I. A. , Podluzhnyi D. V. 
Published: April 2023

Background. The results of local destruction methods in locally advanced pancreatic cancer (LAPCa) are contradictory. Radiation therapy is the most commonly used. Other methods are used much less frequently, irreversible electroporation (IRE) is one of them. Most authors indicate an acceptable level of complications and mortality, but without an improvement in long-term results. The results of two meta-analyses have been published, the authors indicate the possibility of using the IRE in selected patients. The authors also point out that minimally invasive methods of using the IRE be preferred. Some experience has been gained in the use of percutaneous access for IRE in LAPCa. Computed tomography, ultrasound guidance can be used for navigation. The level of complications can reach 50 %. Mortality with percutaneous access, as a rule, is absent or does not exceed 5 %. Long-term results are the same with the results of open IRE.Aim. To share authors experience of using percutaneous irreversible electroporation in pancreatic cancer, because there are no references to the use of percutaneous IRE in LAPCa in Russia.Materials and methods. The IRE was performed for 53-year female patient with LAPCa after successful induction therapy. A step-by-step pulse effect of electrodes installed under ultrasound control on the tumor infiltrate was carried out. Magnetic resonance imaging, computed tomography and other types of studies were used for diagnostic purposes.Results. The involvement of the common hepatic artery and portal vein remained after the induction therapy, which did not allow performing pancreatoduodenal resection. Ultrasonic navigation and flat-detector computed tomography allowed to install the electrodes adequatly and safely. The impact zone almost completely blocked the infiltrate zone, a more optimal location of the electrodes was limited by the wide network of venous collaterals. Magnetic resonance imaging data performed before and after the procedure showed no progression of the disease within more than three months after the procedure, including in the affected area. Tumor shrinkage was noted as a partial response.Conclusion. The first experience confirmed the safety and the absence of subsequent complications when using the percutaneous access method of IRE for LAPCa. Follow-up monitoring of the patient will allow to say more correctly about the possibility of the method to provide long-term local control.
O Curso de Licenciatura em Química do CEFETPB: uma proposta de syllabus/course design
Authors: Edmundson Maria Verônica Andrade da Silveira , Oliveira Mônica Maria Montenegro de 
Published: April 2023

<p>O objetivo deste trabalho é mostrar os passos que o professor poderá seguir ao preparar um Curso em Inglês Instrumental dirigido para leitura (ESP - <em>English for Specific Purposes directed at reading</em>). Primeiro, apresentamos a análise do resultado da coleta de dados concebida para fazer o levantamento das necessidades de aprendizagem e da situação-alvo - determinante para a construção dos objetivos e, consequentemente, do syllabus do curso. Em segundo lugar, mostramos como o resultado dessa análise está relacionada à elaboração dos objetivos e syllabus, e o que esperamos dos nossos alunos como resultado do curso. Por fim, exporemos uma proposta de syllabus de um "Course Design".</p>
Ksenotransplantasyon
Authors: KATIRCIOĞLU Salih Fehmi , KESKİN Hasan Attila 
Published: April 2023

Gözden geçirmenin amacı: Bu çalışmanın amacı, ksenotransplantasyondaki son ilerlemeyi vurgulamak ve sağlık sisteminin bir klinik deneyi onaylaması olası hale gelmeden önce kalan engelleri/adımları tartışmaktır.
Bulgular: Klinik öncesi modellerde yaşamı destekleyen ksenogreftlerin uzun süreli hayatta kalması, ksenotransplantasyonun klinik deneylerinin tartışılmasına yol açmıştır. FDA onayına dayalı klinik kardiyak ksenotransplant raporları ve beyin ölümü gerçekleşmiş insanlara renal ksenotransplantlar, klinik denemelerin daha fazla değerlendirilmesine yol açmıştır. Transplant topluluğu ve bilim kurulları arasındaki tartışmalar, ksenotransplantların klinik bir denemesinin onaylanmasından önce kritik sonraki adımları belirledi. Bu adımlar, klinik bağışıklık bastırma protokolünün ve genetiği değiştirilmiş bir kaynak hayvandan alınan organın, en az 6 aylık tekrarlanabilir hayatta kalma süresine sahip insan olmayan primatlarda test edilmesini içerir. Ek olarak, uygun viral sürveyans protokolleri ve ksenogreftlerin uygun insan fizyolojisini desteklediğine dair onay, muhtemelen sağlık örgütü onayı için kritik unsurlar olacaktır. Son olarak, insan ölü modelinde yapılacak daha ileri çalışmaların, ksenogreftlere karşı insan immün ve fizyolojik tepkileri hakkında kritik bilgiler sağlaması muhtemeldir.

Sonuç: Bu gözden geçirme, insan dışı hayvan modellerindeki mevcut ilerlemeyi ve insan ksenotransplantasyonuna ilişkin son çalışmaları vurgulamaktadır. Ayrıca, klinik bir ksenotransplantasyon denemesi onaylanmadan önce ulaşılması gereken kalan engelleri ve şu anda anlaşılan klinik gerekliliklerini gerekliliklerini de açıklamaktadır.
“Orixás na agenda pública”: um estudo sobre participação política e religiões de matriz africana em Santana do Livramento - RS
Authors: Bardesio Geovana Gabriela 
Published: April 2023

Resumo:Objetivo da pesquisa: compreender a atuação política de organizações religiosas de matriz africana em Santana do Livramento - RS, por meio da análise da atuação do Conselho Municipal do Povo de Terreiro (CMPTSL).
Enquadramento teórico: Discussões baseadas na perspectiva histórica das religiões de matriz africana e sua inserção no processo de participação política no Brasil e no RS, bem como, os percursos legais que acompanharam este processo, constituem a base teórica deste estudo.
Metodologia: A pesquisa se caracteriza como exploratória, com abordagem qualitativa. O método utilizado foi o estudo de caso e a estratégia de coleta de dados que envolveu o uso de técnicas múltiplas.
Resultados: a criação do CMPTSL é entendida como um grande avanço em termos históricos e normativos. O CMPTSL enfrenta importantes dificuldades no que tange a sua organização e funcionamento, apresentando resistências significativas de participação e de legitimidade.
Originalidade: Este estudo aborda a participação política de organizações religiosas, as quais foram historicamente marginalizadas do ponto de vista social e político incorporando o elemento da transnacionalidade à análise.
Contribuições teóricas e práticas: A pesquisa contribui para a construção de estudos sobre participação política de segmentos marginalizados e para a inserção da perspectiva de análise transfronteiriça e transnacional contribuindo para diferentes campos de estudo, como Ciência Política, Relações Internacionais e Administração Pública.

Palavras-chave:Atuação política, Religiões, Transnacionalidade.
Will Africa meet the challenge of biodiversity conservation in the digital age?
Authors: GANGLO Jean Cossi 
Published: April 2023

Abstract

Digital accessible knowledge (DAK) is of utmost importance for biodiversity conservation; indeed, its use is indispensable to provide evidence and strategies to support decision-making on natural resource management and sustainable use. The Global Biodiversity Information Facility (GBIF, www.gbif.org) is a mega data infrastructure with more than two billion and two hundred million occurrence records as of 17 January 2023. It is by far the largest initiative assembling and sharing DAK to support scientific research, conservation, and sustainable development. We decided to analyze plant data published at the GBIF site at the scale of Africa. We intend to highlight the contribution of the continent to the GBIF and thereby underline data gaps across taxonomic groups, the basis of records, and geographic space. To achieve our purpose, we downloaded data on 17th January 2023 from the Plantae kingdom from Africa. They are available at https://doi.org/10.15468/dl.p2n6um. We achieved data treatment and analysis using R, several packages and related functions. Although Africa is home to rich biodiversity with many hotspots, the global data contribution of Africa to the GBIF (61,176,994 as of 17th January 2023) is still incredibly low (2.69%). Furthermore, there are huge disparities between African countries, with South Africa contributing alone for 50.64% of the data of the continent. The plant data of Africa (9,116,401 occurrence records) accounted for 14.90% of the data of the continent; this underlines huge gaps between taxonomic groups. Furthermore, Magnoliopsida was the dominant plant class with the highest number of records (71.07%) and the highest number of species (68.36%), followed by Liliopsida, with 22.80% of the records and 19.06% of the species. Two sources of records were dominant: preserved specimens (59.68%) and human observation (30.86%). In geographic space, plant data gaps are also quite large across the continent at either spatial resolution (half degree or one degree spatial grid cells); data completeness is more achieved in West Africa, Southern Africa, East Africa, and Madagascar. The large multidimensional data gaps identified in this study should be in priority addressed in future data collections. Accessibility by roads and large protected areas (> 10,000 Km²) are limiting factors of data completeness across the continent. We deplored important data loss during the process of data cleaning; indeed, the number of data determined up to species level was 7,570,244 and accounted for 83.04% of the initial data; the number of records with adequate coordinates was 6,461,460 and accounted for 70.88% of the initial data; while the data fitness for purpose in completeness analysis (records determined up to species level, with adequate coordinates, and full dates) were only 4,643,586 making approximately 50.94% of the total data records initially downloaded from GBIF site. Efforts for quality check before data publication on GBIF site are still important across African countries.
New conformationally flexible and recyclable aryl iodine catalysts from inexpensive chiral source for asymmetric oxidations
Authors: Zhou Hai-Jie , Yao Yi-Ping , Wang Xu , Chen Biao , Zhao Hang , Chen Jian-Ai , Xiao Xiao , Chen Fen-Er 
Published: April 2023

Abstract
Despite the remarkable advances in the research field of asymmetric catalytic oxidation reactions via hypervalent iodines with simple procedures, high level of efficiency and stereoselectivity over the past few decades, the development of their highly scalable, environmentally benign, and sustainable protocols under the greener organocatalysis paradigm for further industrial translations remains a long-standing synthetic organic chemistry and process engineering challenge. Herein, we design and synthesize a new library of conformationally flexible and recyclable aryl iodine catalysts by utilization of (i) industrial waste (chloramphenicol base) as the scaffold and (ii) inexpensive amino acid residue (threonine) as the chiral source. Our chiral aryl iodine(III) catalysts bearing H-bond donors and a tunable chiral pocket have been successfully applied in diverse robust asymmetric oxidative transformations, e.g., dearomatization, spirolactonization, direct C(sp2)−H/C(sp3)−H cross-coupling, and fluoridation. Our processes feature a column-isolation-free approach, easy-handling operation, and upscaling synthesis, with the catalysts being facilely recycled in particular via precipitation.
Cognitive behavioral therapy combined with head and face tuina/massage for negative emotions and sleep disorders in patients with protracted withdrawal symptoms: a study protocol for a randomized controlled trial
Authors: Yan Mengdie , Shi Yunzhou , Su Chengguo , He Jingzhen , Li Jiaoyang , Wu Nan , Ye Senlin , Shi Yue , Zhou Changwei , Li Zuoliang , Ding Xiaoping , Wang Rufang , Feng Yue 
Published: April 2023

Abstract
Background:
Protracted withdrawal symptoms(PWS) play a crucial role in relapse. While medication maintenance or behavioral therapies such as cognitive behavioral therapy (CBT) can alleviate these symptoms, their implementation is still limited. Evidence suggests that Chinese tuina / massage therapy can improve mood and sleep quality in individuals experiencing PWS. However, high-quality, evidence-based studies supporting this claim are still lacking.
Methods and analysis
A prospective, parallel, three-armed, single-center, assessor-blinded, randomized controlled trial will be conducted with 69 patients at the Sichuan Ziyang Drug Rehabilitation Center (SZDRC). Patients undergoing PWS will be randomly assigned in a 1:1:1 ratio to three groups: CBT+tuina (Group A), CBT only (Group B), and waitlist (Group C). Group A will receive 2 sessions of CBT and 12 sessions of head and face massage for 4 weeks, while Group B will receive only 2 sessions of CBT over the same period. Group C will not receive any intervention during the treatment period and will receive the same compensatory treatment as Group A after the trial.The primary outcome will be measured using the Symptom Checklist 90 (SCL-90), and secondary outcomes will include the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Pittsburgh Sleep Quality Index (PSQI). Measurements will be obtained at baseline, 1 week after treatment completion, and at the end of follow-up. Data analysis will be conducted by independent statisticians using intention-to-treat analysis.
Discussion:
This study aims to investigate the efficacy and safety of CBT combined with head tuina/massage for protracted withdrawal symptoms. Questionnaires will be used to assess the degree of improvement in negative mood and sleep status. High-quality, evidence-based evidence will be obtained to reduce the pressure on the development of addiction treatment.
Trial registration number:
This study has been registered on Chinese Clinical Trials.gov with number ChiCTR2200058212 and has obtained ethics approvals from the Ethics Committee of the People's Hospital of Ziyang with number 2021-K-LS-2.
Diagnosis of anaplastic thyroid carcinoma with multiple metastases: a case report
Authors: Zhang Jinkun , Tong Jiankang , Zhang Zhi , Chen Jiayue , Ma Xiufen 
Published: April 2023

Abstract
Background: Anaplastic thyroid carcinoma (ATC) is a rare malignant tumor with strong invasiveness and lethality, which is common in elderly women with short survival. This paper introduces a case of multiple metastatic thyroid carcinoma in order to provide reference for early diagnosis, prevention and later treatment.
Case presentation: An 84-year-old woman was admitted to hospital with "pharynx pain for 10 days". Thyroid ultrasonography showed solid nodules on the right side of the thyroid gland (TI-RADS4A). Ultrasound-guided FNA was recommended. There are multiple abnormal lymph node echoes in both sides of the neck, so puncture biopsy is recommended. CT shows that the right lobe of thyroid occupies space, so puncture biopsy and MRI examination are recommended; multiple lesions in both lungs are considered, and metastatic tumors are considered; thyroid biopsy is performed by ultrasound-guided percutaneous exploration and fine needle aspiration biopsy. Pathological results show that thyroid malignant tumor is considered as undifferentiated thyroid carcinoma. Targeted therapy was used in the treatment plan. During the follow-up three months after discharge, the patient's family informed the patient that she had died.
Conclusions: This case report shows that early use of FNA can reduce the rate of missed diagnosis of ATC and provide accurate guidance for follow-up treatment. As far as we know, this is a rare case report of multiple metastases of this disease.