bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevención, detección y manejo de la resistencia a herbicidas
Authors: Alcántara-de la Cruz Ricardo 
Published: November 2022

Introducción. El uso continuo de herbicidas, frecuentemente con múltiples aplicaciones durante el mismo ciclo agrícola, provoca el surgimiento de biotipos/poblaciones de malezas resistentes. La resistencia es la capacidad hereditaria de algunos individuos para crecer y reproducirse sexualmente después del tratamiento de un herbicida a dosis de campo letal para los individuos susceptibles de la población (WSSA, 1998). Objetivos. Entender qué es la resistencia a herbicidas, cuáles son los tipos mecanismos que la confieren y la importancia de su caracterización sirven para implementar estrategias de manejo asertivas tanto de prevención como de manejo de la resistencia. Métodos. Los mecanismos que confieren resistencia pueden ser relacionados con el sitio de acción (mutaciones o sobreexpresión del gen que codifica la enzima-objetivo del herbicida) o no relacionados con el sitio de acción (reducida absorción y traslocación, metabolismo, exudación radicular, exclusión celular del herbicida, muerte celular rápida) (Gaines et al., 2020), los cuales son caracterizados por técnicas de biología molecular, pruebas in vivo usando plantas completas, ensayos enzimáticos in vitro, radiológicas ( 14 C), plataformas analíticas (HPLC, LC-MS/MS, GC-MS) entre otras (Dayan et al., 2015; Déyle et al., 2015; Nandula y Vencill, 2015). Resultados y discusión. La identificación de biotipos de malezas resistentes en campo no debe estar relacionado a un mal uso de herbicidas y sí a su falta de eficacia en especies que previamente eran controladas. Conocer el tipo de mecanismos que confieren resistencia a herbicidas en una población de malezas es fundamental para desarrollar estrategias de manejo adecuadas (Beckie and Harker, 2017). Los mecanismos del sitio de acción son gobernados por un solo gen (resistencia monogénica); por lo tanto, una rotación de herbicidas con modo de acción diferente podría ser suficiente para controlar la resistencia. Sin embargo, los mecanismos no relacionados con el sitio de acción son gobernados por múltiples genes (resistencia poligénica) y cada gen contribuye con cierto nivel de resistencia. Además, estos genes también pueden conferir resistencia múltiple a herbicidas con diferentes mecanismos de acción que no fueron previamente utilizados en el área; por lo tanto, además de rotación de herbicidas, se requieren de estrategias de manejo de la resistencia no químicas. Conclusión. Distinguir poblaciones resistentes (identificar el problema) oportunamente a través de prospecciones de campo, pero principalmente, caracterizar los mecanismos de resistencia (diagnosticar la causa) es esencial para elaborar y ejecutar programas de manejo de resistencia eficientes para evitar el aumento de los niveles de resistencia, así como de la selección de resistencia cruzada o múltiple.
Developing a new simulation-based decision-making and team-working course for advanced clinical practitioners
Authors: Midwinter Elizabeth , Walthall Kirsten 
Published: November 2022

The development of the Advanced Clinical Practitioner (ACP) framework at Lancashire Teaching Hospitals began in 2017. There are now 13 non-medical consultants, 73 Qualified Advanced and Specialist Clinical Practitioners, and 25 trainee ACP’s across the organisation. Part of the competency framework included the ability to manage common medical emergencies that are not necessarily a routine part of that ACP’s case load, for example managing a patient with chest pain on a surgical ward or assessing a ward patient following a fall.
A one-day simulation-based course was developed to allow ACP’s to manage patients with these conditions in a safe and supportive environment. The day includes a lecture introducing human factors and decision-making theories, followed by six scenarios with debriefing facilitated by senior faculty to discuss learning points with the group. Scenarios were designed in line with ASPiH standards [1] to include clinical competencies which are not common-place in the trainee’s current working environments, giving them a chance to undertake the management of these rarer occurrences in a safe and controlled environment.
Feedback was collected using anonymous self-scoring feedback forms and was overwhelmingly positive, with candidates feeling more confident in managing these clinical scenarios in practice. All candidates felt the scenarios were pitched to the correct level. Written feedback also highlighted how beneficial it was to get together as a group for shared learning across different directorates.
Simulation-based learning can improve the confidence of ACP’s in managing unfamiliar clinical emergencies. In future courses will be advertised and opened to ACP’s from other Trust’s to allow further discussion.
1. Association for Simulated Practice in Healthcare. Simulation-Based Education in Healthcare. 2016. Standards Framework and Guidance. Association for simulated practice in healthcare (ASPiH) standards for simulation-based education.
A bespoke train the trainers course to make healthcare more inclusive for people with learning disability
Authors: Berg Richard , Morley Joanne , Nunn Angie , Anpananthar Amutha 
Published: November 2022

People with Learning Disability (LD) often receive inequitable care within the NHS, something Mencap has described as ‘institutional discrimination’ [1]. The NHS Long Term Plan states the need to improve the care of patients with LD [2]. Simulation with debriefing is a useful approach for improving patient care with Human Factors teaching. To improve education around LD, we created a de novo course with concurrent LD theme for nursing educators to become trained in debriefing and simulation, to allow them to become champions in facilitating learning, especially in relation to LD.
To establish the current educational needs of our organisation around LD, we conducted a staff survey to further understand the educational needs of our colleagues. 108 professionals from a variety of disciplinary backgrounds (including nurses, dietitians, and doctors) across 4 sites within our Trust responded. Thematic analysis highlighted the need for further education, with anxiety about inequitable treatment of LD patients, and staff and patient physical safety when looking after a patient with LD. We subsequently ran a 2-day ‘Train the Trainers’ course for nursing educators, which used communication scenarios (online videos and actors) and games to develop generic debriefing skills. Day 2 focused on simulation design and incorporating LD into simulation design, and at the end of the course participants facilitated a high-fidelity simulation to the rest of the group. Throughout the course, patient feedback, serious incidents, staff survey, and our Trust LD specialist nurse’s expertise were incorporated.
8 nurses attended our course, taught by a diverse multidisciplinary faculty. Before the course, confidence in debriefing was on average 2.8/5 (5 being most confident). Afterwards they rated their confidence 3.8/5. Learners were asked about their confidence raising awareness of LD within their department. The rating was improved from the initial 2.6/5 to 3.6/5 after the course. To date, 1 participant has delivered LD-related teaching to their department using debriefing skills following an online LD video used on the course.
Our staff survey highlighted the need for further education within our organisation. The course was successful in increasing nursing educators’ confidence in debriefing and their confidence in raising awareness of LD during teaching sessions. We are currently creating further resources to aid teaching, including videos with service users. We will further signpost to existing resources and request delayed feedback to assess if our nursing educators have become LD Champions.
1. Mencap. Mencap.org.uk. 2022
2. NHS England. NHS Long Term Plan. NHS Long Term Plan. 2022.
Rapid cycle deliberate practice model: cardiac arrest simulation for ward-based staff
Authors: Williams Emma , Toft Lisa , Gonzalez Raquel 
Published: November 2022

The Simulation Centre, in a largest district general hospital, provides a large portfolio of scenario-based courses, for all staffing groups, including the development of modified rapid cycle deliberate practice (RCDP) simulation. Modified RCDP is a model of simulation where learners repeat a scenario, with micro-debriefings, allowing for improvement upon each cycle, in a dynamic learning experience [1]. The centre developed a hybrid style of RCDP and simulation to create a model called Die, Debrief, and Develop, with a focus on the initial response during a cardiac arrest, based upon safety learning events and staff confidence during these emergency events. The aim of the sessions was to improve learner confidence, focusing on technical and non-technical skills in a safe learning environment. The simulation approach was delivered within the clinical environment, utilizing a manikin and equipment on the ward, including the cardiac arrest trolley. A clear pre-briefing was provided to ensure transparency around the expectations within the scenario, for example, the patient will be in cardiac arrest. Due to the repetitive nature of the simulation, there was also the freedom to fail [2].
Each cycle was 5 minutes and repeated 3 times, with a micro-debriefing between each cycle. The improvement between each cycle included patient assessment, ergonomics, human factors, critical thinking, communication, clinical skills and latent threats using elements of gamification. The micro-debriefing between each cycle allowed candidates to reflect on the experience to allow for improvement during each cycle.
As well as learning personal safety in the pre-briefing, patients and relatives in the clinical area were informed that the session would be taking place. The feedback from learning following the simulation sessions included:
‘I enjoyed cardiac arrest practice it made much more sense and more relatable than talking through what you would do!’
‘Was valuable learning and very relevant to our ward’
‘Has helped me understand cardiac arrest’
‘I feel empowered!’
‘Now I know where things are on the crash trolley’
As a result of the RCDP model of training, this has been replicated in simulation sessions for Preceptorship and Internationally Educated Nurses. The outcome from this training has demonstrated the impact of RCDP in learner confidence and in technical and non-technical skills, that can be replicated in other forms of scenario-based training.
1. Peng CR, Schertzer, K. Rapid Cycle Deliberate Practice in Medical Simulation. Treasure Island, Florida: StatPearls Publishing; 2022.
2. Erickson A, Lundell J, Michela E, Pfleger PI. Gamification. In: Kimmons R, Caskurlu S (eds.) The Students’ Guide to Learning Design and Research. EdTech Books; 2020.
‘Step up’: utilising simulation to assist in the transition from medical senior house officer to registrar
Authors: Edward Roy , Gubbins William , Pleasance Hannah , Rowley Megan , Giles Benjamin , Smalley Benjamin 
Published: November 2022

Core medical training was replaced by Internal Medicine Training (IMT) in August 2019. One of the more notable changes was the introduction of a 3
We created an in-person teaching day, entitled ‘Step up’, which consisted of four 20-minute, IM3 specific, high-fidelity scenario-based simulations. In each scenario, a computerised full-body manikin (SimMan Essential) was used. The manikin could be programmed to provide physiological response to scenario participants’ actions. The participants were each tasked to assess an acutely deteriorating patient (the manikin), whilst managing a demanding bleep to add realistic distractions and human factor issues to the scenario. Each participant completed one scenario and watched their peers complete the others from a separate room. Following this, participants were debriefed by qualified member of staff and then taught by a speciality registrar or consultant. Feedback forms were collected. The participants were tasked to rate the simulation day, using a nominal Likert scale from 1 to 10, for usefulness, relevance, clarity, and overall quality. 1 represented strong disagreement and 10 strong agreements with a particular domain.
Across 4 full days, we had 11 IM3 doctors take part in the ‘step up’ scenario-based simulations. 9 of the 11 participants completed feedback forms. Scores ranged from 8 to 10. Median scores for all domains were 10.
We have demonstrated that ‘step up’ scenarios are a useful and relevant aid for those transitioning into IM3. Further research utilising comparative data will provide more meaningful conclusions. We will be repeating the simulation programme for the next cohort. We will have baseline, one and three-month follow up questionnaires to assess these scenarios further.
1. Buist N, Webster CS. Simulation training to improve the ability of first-year doctors to assess and manage deteriorating patients: a systematic review and meta-analysis. Medical Science Educator. 2019;29(3):749–761.
Promoting the use of simulation-based education in GP surgeries through the development of a new local network of primary care simulation educators
Authors: Jefferies Richard , MAgnus Kerri 
Published: November 2022

Simulation-Based Education (SBE) is a widely used educational tool in healthcare, but with a skew to secondary care. Our work is part of a growing movement to bring the benefits of SBE into primary care [1]. There is an expanding and diversifying number of staff groups in general practice, with the potential to bring additional expertise and experience to benefit primary care patients; notably the Additional Roles Reimbursement Scheme is bringing new paramedics, pharmacists, physiotherapists, physician’s associates, and social prescribers, among others, into the traditional primary care workforce. There have been significant challenges in embedding these new roles, creating a sense of belonging, forming new ways of multi-disciplinary working, as well as understanding of their strengths and training needs [2]. The aim of the programme is to build a sustainable local network of simulation practitioners to continue to deliver in-situ simulations to the general practice teams. This will contribute to the training and education of clinicians, improving patient experience and safety, and embracing the broadening and expanding primary care workforce.
We are training a network of ‘Simulation Ambassadors’ to work in local Primary Care Networks – clusters of practices serving up to 100,000 patients – to bring SBE to primary care teams, enabling training and education targeted to local needs, in multidisciplinary settings, including established and new staff groups. This has the intended benefit of allowing focused training sessions in GP practices, fostering closer working relationships between members of different staff groups while sharing knowledge and learning between these different groups.
6 ‘Simulation Ambassadors’ have received training to deliver and debrief simulation sessions and are further supported by a Primary Care Simulation Fellow, who provides resources, mentoring, and fosters a community of practice. The simulation sessions cover a range of topics including ‘acute’ scenarios (e.g. the unwell patient in a waiting room), as well as scenarios focused on consultation and communication skills (e.g. safeguarding, explanations and diagnoses of chronic pain conditions, paediatric asthma management).
We have encountered several challenges during this process, including the novelty and unfamiliarity of simulation in primary care, and the difficulty of asking already stretched staff to dedicate time, either as educators or learners, away from direct clinical care. As the programme rolls out, we intend to demonstrate the value of simulation as an educational medium and will encourage wider use locally within Primary Care.
1. Akram M and Ismail F. Simulation training in primary care. InnovAiT. 2017;10(12):765–767.
2. Baird B, Lamming L, Beech J, Bhatt R, Dale V. Integrating additional roles into primary care networks, Kings Fund report, 2022.
PROCESSOS DE TRABALHO NA ATENÇÃO PRIMÁRIA À SAÚDE E A IMPLANTAÇÃO DAS LINHAS-GUIA NOS MUNICÍPIOS DE UMA GERÊNCIA REGIONAL DE SAÚDE EM MINAS GERIAS: UMA ANÁLISE MULTICRITÉRIO
Authors: Silva Pollyanna de Oliveira , Prat Bernat Vinolas , Nobre Juliana Nogueira Pontes , Morais Rosane Luzia De Souza 
Published: November 2022

O trabalho objetivou verificar a relação entre processo de trabalho e implantação das Linhas Guias (LG) e propor um índice-síntese, considerando os processos de trabalho como indicador da potencialidade municipal para implantação das LG. Estudo quantitativo transversal exploratório, utilizado a Multi-Attribute Utility Theory realizado em 23 municípios de uma gerência de saúde. Os processos de trabalho: agenda (r: 0,51; p: 0,013), diagnóstico (r: 0,54. p: 0,008) e acesso (r: 0,51; p: 0,013), apresentaram correlação de moderada a alta com implementação das LG. O índice-síntese explica 42% da implantação das LG. Os resultados contribuem para a gestão da avaliação em saúde evidenciando condicionantes para uma efetiva implantação das LG.
Effective Using of Released Teaching Tasks from Programme for International Student Assessment (PISA) for the Development of Higher Cognitive Levels and Scientific Literacy of Pupils in Chemistry Education
Authors: Distler Petr , Teplá Milada , Teplý Pavel , Škoda Jiří 
Published: November 2022

During the one-year pedagogical experiment, the released teaching tasks from PISA (Programme for International Student Assessment) assessment were systematically used in the 9th grade. The pupils in a control group used a commercial workbook. The results in the initial and final test showed that the pupils from the experimental group statistically significantly improved in most of the tested cognitive levels. We can state that the use of released PISA-type teaching tasks in the chemistry teaching has led pupils to scientific literacy development and that these teaching tasks represent a suitable tool for chemistry teaching. Based on the one-year use of teaching tasks in five different schools, recommendations for their effective use in teaching were made.
Es difícil ser un cuerpo
Authors: Calvo Caleb 
Published: November 2022

Carne (Brasil/España, 2019)
Año: 2019
Duración: 12 min.
Directora: Camila Kater
Guion: Camila Kater y Ana Julia Carvalheiro
Producción: Chelo Loureiro y Lívia Perez
Fotografía: Samuel Mariani
Sonido: Xabier Ferreiro, Julia Teles y Luis Felipe Labaki
Animación: Camila Kater, Giovana Affonso, Flavia Godoy, Cassandra Reis y Leila Monsegu
Música: Sofia Oriana Infante y Julia Teles
PENERAPAN SISTEM PERMIT TO WORK PADA PENGERJAAN TUG BOAT
Authors: Irawati Ice , Hura Anasran Patra , Kafit M. 
Published: November 2022

Keselamatan dan kesehatan kerja mengandung nilai perlindungan bagi tenaga kerja baik dari kecelakaan maupun penyakit akibat kerja. Sistem permit merupakan bagian dari pengendalian risiko Keselamatan dan Kesehatan Kerja secara administratif yang terlebih dahulu mempertimbangkan bahaya-bahaya yang ada. Tujuan dari penelitian ini untuk mengetahui bagaimana penerapan sistem permit to work pada pengerjaan kapal Tug Boat di PT. BBS Batam tahun 2019. Penelitian ini menggunakan metode kualitatif melalui proses wawancara menggunakan podoman wawancara dan observasi dengan lembar check list denganjumlah 5 informan yang terdiri dari Foreman, HSE Officer, Admin HSE, Manager Proyek dan Pekerja. Hasil penelitian menunjukkan bahwa secara keseluruhan terdapat beberapa tahapan yang sudah terlaksana dengan baik dan beberapa tahapan masih perlu penyesuain pada ketiga tahap sistem permit to work yaitu tahap persiapan yang terdiri dari koordinasi, perencanaan, penilaian bahaya, isolasi, pencegahan, tanda tangan. Tahap proses terdiri dari display permit to work, suspension dan monitoring. Tahap penutupan terdiri dari pengembalian permit to work, site inspection dan return to service. Kesimpulan bahwa beberapa tahapan sudah terlaksana dengan baik tetapi masih terdapat juga beberapa tahapan perlu penyesuaian. Saran bagi perusahaan untuk melakukan penyesuain tahapan sesuai pedoman dan standar operasional perusahaan setiap proses tahapan pada sistem permit to work demi mamastikan keamanan dan keselamatan setiap pekerja yang terkait didalam permit to work.
Analisa Tingkat Pengetahuan Ibu Dengan Kunjungan Balita ke Posyandu Kabupaten Demak
Authors: Kurniawati Titik , Setiyowati Widyah , Widiastuti Dwiki Endah 
Published: November 2022

The Toddler Mortality Rate (AKABA) in Central Java Province in 2015 was 11.64/1,000 KH. Meanwhile, in 2016 there was an increase of 11.8/1,000 KH. And in 2017 it decreased to 10.47/1,000 KH. More than 1,500 posyandu in Demak Regency are active in carrying out various activities for community empowerment in the health sector. Based on posyandu data at Bumi Batursari Mas Housing, Mranggen District, Demak Regency in January-August there were 25 toddlers, and every month mothers of toddlers come to the posyandu at the Bumi Batursari Mas Posyandu, there is one toddler whose development is not in accordance with his age and there are 2 cases of stunting. This study was to analyze the relationship between mother's knowledge and frequency of posyandu visits at Poyandu Bumi Batursari, Mranggen District, Demak Regency.
Posyandu is a community-based health effort, known to the public in both urban and rural areas. This type of research is correlative with a cross sectional approach. The population was 25 mothers, with a saturated sample (25 mothers were all taken), and the sampling technique was total sampling. The results showed that the knowledge of mothers under five about posyandu was mostly good, namely 21 (84%) respondents, with a good frequency of visits, namely 22 (88%) respondents and there was a relationship between mother's knowledge and frequency of visits to posyandu, with a p value of 0.002. Suggestions for the community to actively participate in posyandu activities and health workers to further improve health education about posyandu.
PENGENALAN PEMERINTAHAN DAN PENYUSUNAN PERATURAN DESA YANG BERKAITAN DENGAN PERLINDUNGAN ANAK DI DESA SAMUDA
Authors: Asgar Sukitman , Kartianti Sahrestia 
Published: November 2022

Pelaksanaan Pengabdian ini bertujuan dalam rangka untuk Mengembangkan Pemahaman dan Keterampilan Pemerintah Desa dan Badan Permusyawaran Desa yang berkaitan dengan Penyelenggaraan Pemerintahan Desa dan Pembentukan Peraturan Desa terutama yang berkaitan dengan Perlindungan Anak. etode yang digunakan dalam pelaksanaan Pengabdian ini dalam bentuk penyuluhan yang dilakukan melalui tahapan Observasi untuk mengetahui kondisi dan permasalahan Desa Samuda serta Sosialisasi langsung untuk mengenalkan pentingnya pelaksanaan Pengabdian dan terakhir adalah tahapan Penyuluhan atau pelaksanaan Pengabdian yang pesertanya terdiri dari Perangkat Desa, BPD, Tokoh Adat dan Tokoh Masyarakat di Desa Samuda Kecamatan Galela Barat. Hasil evaluasi yang dilakukan menunjukan bahwa ada peningkatan pemahaman dan keterampilan dimana pemerintah desa telah mengetahui tugas dan tanggungjawabnya termasuk prosedur penyusunan peraturan desa dengan baik dan efektif dalam artian produk yang dihasilkan nantinya berdasarkan tahapan dan proses yang sesuai dengan ketentuan perundangan-undangan untuk berhasil guna dan berdaya guna.
Determination of Quinoline in Textiles by Gas Chromatography－ Mass Spectrometry
Authors: Fu Kejie , Ren Qingqing , Bao Qibei , Lian Sumei , Liu Jun 
Published: November 2022

A method for the determination of quinoline in textiles by gas chromatography-mass spectrometry(GC－MS) was developed. The experimental conditions for extraction were optimized. The textile samples were ultrasonically extracted with toluene as organic solvent. The extraction solution was filtered with 0.45μm polytetrachloroethylene filter membrane, and the filtrate was subjected to GC-MS. Under the optimal conditions, the linear correlation coefficient of this method was 0.9998, with a low detection limit of 0.1 mg/kg in the concentration range of 0.1-1.0 mg ·L-1. Recoveries ranged from 82. 9% to 92.0 % with RSDs ranged from 1.4% to 3.8%.