Clinical Partners’/Emergency Techs’ Work Relationships and Job Satisfaction

Purpose: Clinical Partners (CPs) and Emergency Techs (ETs) are direct care bedside workers on the nursing units. CPs/ETs are generally considered to be ancillary personnel with little decision making functions and subject to the decisions made by others for them. Fulfilling the responsibilities of a CP/ETs requires a working relationship with the nurses that manage and direct their work functions. Yet, in patient care, the CPs/ETs are the di-rect care bedside workers and their actions and decisions make a difference in patient care. The purpose of the study was to determine the relationships among the CPs’/ETs’ perceptions of their work relationships with RN team managers, sense of empowerment as team members, and their job satisfaction. Methods: The study was a descriptive correlational design using paper and pencil. Besides demographic questions, the study utilized two instruments, the Clinical Partner Work Environment Scale (CPWE) and the Benjamin Rose Nurse Assistant Job Satisfaction Scale (BRNAS). The surveys were anonymous and participation was voluntary. The sur-veys were distributed to CPs and ETs on the four medical-surgical units, ICU-PACU, and the Emergency Department at Doctors Hospital. Results: A total of 56 CPs/ETs participated in the study. Our results indicate that our CPs/ETs are fairly satisfied with their positions, but are least satisfied with the pay they receive. Furthermore, respondents indicated a lower level of satisfaction with the amount of time they have to perform their jobs, cooperation between nurse team manag-ers & coworkers, the amount of support they receive to perform their jobs, and their chances to talk about concerns. Conclusion: Job satisfaction of CPs/ETs may be linked to a number of variables of interest to healthcare administrators, including quality of care and clinical outcomes. Sat-isfied employees are less likely to leave an institution, thus investing in employees’ job sat-isfaction may help retain existing employees and attract new ones, lowering costs, and im-proving the continuity and quality of care. Nursing leaders must create positive work en-vironments that fosters teamwork and mutual respect in a supportive shared governance structure

The woman's life after mastectomy in the light of Roy Adaptive theory

Objective: check the adaptation methods of mastectomies women; raise the presence of changes in the habits of life of women after mastectomy; correlate the adaptive process outlined by the woman with the theory presented by Roy and investigate the care provided by nurses to women with mastectomies. Method: For carrying out the survey was used to type descriptive qualitative approach. Results: The role of nursing in the care the woman, who had been subjected to breast surgery, encompasses care for maintenance of their bodily functions as well as support to those who are involved in the process, the individual as a whole and family. Conclusion: Roy's theory is the bases for hypotheses that can be tested

Reprint of “Atlantic Multidecadal Oscillation (AMO) modulates dynamics of small pelagic fishes and ecosystem regime shifts in the eastern North and Central Atlantic”

Dynamics of abundance and migrations of populations of small pelagic clupeoid fish such as anchovy (Engraulis encrasicolus), sardine (Sardina pilchardus), sardinella (Sardinella aurita), sprat (Sprattus sprattus) and herring (Clupea harengus) in the eastern North and Central Atlantic between Senegal and Norway vary in synchrony with the warm and cool phases of the Atlantic Multidecadal Oscillation (AMO). This is shown by compiling retrospective data on fish catches and anecdotal observations, which in some cases date back to the mid-19th century. The AMO is defined as the de-trended mean of North Atlantic (0-60 degrees N) sea surface temperature anomalies. However, it is not primarily the temperature which drives the dynamics of the small pelagic fish populations. Instead, the AMO seems to be a proxy for complex processes in the coupled atmosphere-ocean system of the North Atlantic. This is manifested in large-scale changes in strength and direction of the current system that move water masses around the North Atlantic and likely involves the North Atlantic Oscillation (NAO), the Atlantic Meridional Overturning Circulation (AMOC), the Mediterranean Overflow Water (MOW) and the subpolar gyre (SPG). The contractions and expansions of the SPG apparently play a key role. This was particularly obvious in the mid-1990s, when the SPG abruptly contracted with the result that warm subtropical water masses moved to the north and east. Small pelagic fish populations in the eastern North and Central Atlantic, including those in the Mediterranean responded quickly by changing abundances and migrating northwards. It seems that the complex ocean-atmosphere changes in the mid-1990s, which are described in the text in detail, caused a regime shift in the ecosystems of the eastern North and Central Atlantic and the small pelagic clupeoid fish populations are the sentinels of this shift

Influence of phytosterols addition in the rheology and sensory attributes of dark chocolate

AbstractThis study evaluated the influence of the application of three types of phytosterols (A- encapsulated pine phytosterol powder; B- oil-based soy phytosterol and C-powder soy phytosterol) in the rheological and sensory properties of dark chocolate. It was observed that the application of phytosterols influenced the rheological properties of the chocolates, mainly the A and C types. On the other hand, the rheological behaviour of the chocolate with B phytosterol was similar to the standard chocolate. In the sensory evaluation, the chocolates with B and C phytosterol showed similar results compared to the standard chocolate in the various attributes tested. Chocolate A presented the lowest acceptance for some of the sensory attributes evaluated

A study on the relationship between muscle function, functional mobility and level of physical activity in community-dwelling elderly

OBJETIVOS: Avaliar a relação da função muscular de membros inferiores (MMII), circunferência de panturrilha (CP), força de preensão palmar (FPP), mobilidade funcional e nível de atividade física (NAF) em idosos comunitários ativos com idades entre 65-69, 70-79 e 80 ou mais anos e identificar a melhor medida clínica para rastreamento de redução de função muscular de MMII em idosos. MÉTODOS: Oitenta e um idosos (42 mulheres e 39 homens) submeteram-se à avaliação da velocidade de marcha (Kit Multisprint), FPP (dinamômetro Jamar), força e potência muscular de MMII (dinamômetro isocinético Biodex), NAF (Perfil de Atividade Humana) e CP (fita métrica). Procedeu-se à análise estatística com ANOVA, correlação de Pearson e curva ROC. RESULTADOS: Os idosos de 80 ou mais anos apresentaram valores menores que os de 65-69 para CP dominante (34,9±3 vs 37,7±3,6), velocidade de marcha habitual (VMH) (1,1±0,2 vs 1,2±0,2) e velocidade de marcha máxima (VMM) (1,4±0,3 vs 1,7±0,3), FPP (23,8±7,5 vs 31,8±10,3), média de pico de torque (MPT) e potência média (PM) de quadril, joelho e tornozelo (p<0,05). O NAF não apresentou diferença significativa entre os grupos. A força e potência muscular apresentaram correlações moderadas com VMH, VMM e FPP e correlações baixas com a CP e com o NAF (p<0,05). A curva ROC sugeriu o ponto de corte de FPP de 14,51 Kgf para rastreamento de redução de função muscular nas mulheres idosas (p=0,03). CONCLUSÕES: Existe associação entre a função muscular de MMII, FPP e VMM: esses parâmetros diminuem com o envelhecimento, e a FPP pode prever redução de função muscular de MMII em idosas.Objectives: to evaluate the relationship between lower extremity muscle function, calf circumference (CC), handgrip strength (HG), functional mobility and level of physical activity among age groups (65-69, 70-79, 80+) of older adults (men and women) and to identify the best parameter for screening muscle function loss in the elderly. Methods: 81 community-dwelling elderly (42 women and 39 men) participated. Walking speed (Multisprint Kit), HG (Jamar dynamometer), hip, knee and ankle muscle function (Biodex isokinetic dynamometer), level of physical activity (Human Activity Profle) and CC (tape measure) were evaluated. ANOVA, Pearson correlation and ROC curves were used for statistical analysis. Results: Dominant CC (34.9±3 vs 37.7±3.6), habitual (1.1±0.2 vs 1.2±0.2) and fast (1.4±0.3 vs 1.7±0.3) walking speed, HG (23.8±7.5 vs 31.8±10.3), average peak torque and average hip, knee and ankle power (p<0.05) were lower for the 80+ group than for the 65-69 year-olds. There were no differences in physical activity level among age groups. Moderate signifcant correlations were found between muscle function parameters, walking speed and HG; a fair degree of relationship was found between muscle function parameters, CC and level of physical activity (p<0.05). The ROC curve analysis suggested a cutoff point of 14.51 Kgf for screening muscle function loss in elderly women (p=0.03). Conclusions: This study demonstrated an association between muscle function, HG and fast walking speed, a decrease in these parameters with age and the possibility of using HG to screen for muscle function of the lower extremities

Conocimiento sobre medidas preventivas del COVID-19 en madres del sector B del distrito Santa María, Huaura, Lima 2022

El objetivo del estudio es determinar el nivel de conocimiento sobre medidas preventivas frente al COVID-19 en madres del Sector B del Distrito de Santa María La metodología usada fue un estudio de enfoque cuantitativo, tipo no experimental, de nivel descriptivo y de corte transversal. La recolección de información se realizó el año 2022. La muestra de estudio estuvo conformada por 60 madres del Sector B del distrito Santa María, se utilizó un cuestionario validado por juicio de expertos, constituido por 10 preguntas con alternativas múltiples, y con una confiabilidad de 0,84 a través de la prueba Kuder Richardson-20 (KR-20). en cuanto a los resultados De un total de 60 madres el 80% evidencian en forma global un nivel de conocimiento medio en medidas preventivas. En cuanto a la dimensión lavado de manos el 63.33%, tiene un nivel de conocimiento alto; en la dimensión uso de mascarillas el 61,67% tiene un nivel de conocimiento medio, en la dimensión distanciamiento social el 53.33% tiene un nivel de conocimiento medio y en cuanto a la dimensión de vacunas 60% obtuvieron un nivel de conocimiento medio, en las Conclusiones: La mayoría de madres del Sector B tuvieron un nivel de conocimiento medio frente a las medidas preventivas

A ADOÇÃO DE CRIANÇAS E ADOLESCENTES BRASILEIROS POR CASAL ESTRANGEIRO: viabilidade e eficácia sócio-jurídica

Este artigo tem por finalidade o aprofundamento em relação à adoção internacional, que vem ganhando espaço cada vez maior no ordenamento jurídico brasileiro, devido as suas particularidades no cenário social. Frente a esta relevância, este estudo tem como objetivo principal descrever e analisar a adoção, com base nos aspectos gerais da adoção internacional, e os entraves encontrados no Brasil para a sua efetivação. Assim, discorre-se sobre a importância do procedimento de Adoção Internacional no Brasil como forma de se mitigar o número de crianças e adolescentes que se encontram em situação de abandono em instituições de caridade, seja por serem órfãos, ou mesmo porque indesejados por seus genitores, ficando privados da convivência familiar. A metodologia utilizada para a elaboração do texto se sustenta em pesquisas bibliográficas, em doutrinas e legislações pertinentes ao tema. O estudo deixa claro que a adoção internacional é um fato jurídico que vem levantando discussões doutrinárias, exigindo da legislação pátria novos procedimentos para melhor atender aos interesses do menor

Alfabetización en salud oral en pacientes adultos que acuden al establecimiento de Salud El Indio, Piura 2023

El objetivo fue determinar el nivel de alfabetización en salud bucal en pacientes adultos que acuden al establecimiento de salud I.3 El Indio, Piura 2023. Fue un estudio básico de diseño descriptivo-correlacional y transversal. La muestra estuvo conformada por 243 pacientes adultos que acudieron al consultorio dental del establecimiento de salud I.3 El Indio, para determinar el nivel de alfabetización, se utilizó el cuestionario OHLI (oral health literacy instrument). Los resultados mostraron un inadecuado nivel de alfabetización en el 50.2% de la población de estudio, además predominó el sexo femenino con el 49.5% el nivel de alfabetización fue inadecuado 53.1% en hombres y 49.5% en mujeres. Según grupo etáreo, no hubo diferencia en el nivel de alfabetización por grupo de edad. Con respecto al grado de instrucción se observaron mejores niveles de alfabetización, en aquellos con estudios superiores. Se concluye que el nivel de alfabetización en salud oral es inadecuado para el establecimiento, que además no hubo diferencia en alfabetización, según sexo y edad. Finalmente, se encontró relación entre el grado de instrucción y la alfabetización en salud oral

Radio-Frequency Interference (RFI) Mitigation for the Soil, Moisture Active/Passive (SMAP) Radiometer

The presence of anthropogenic RFI is expected to adversely impact soil moisture measurement by NASA s Soil Moisture Active Passive mission. The digital signal processing approach and preliminary design for detecting and mitigating this RFI is presented in this paper. This approach is largely based upon the work of Johnson and Ruf

Implementacion del sistema de costos por ordenes para mejorar el costeo de los contratos en la empresa RPD Construcciones metálicas S.A.C. en el periodo 2016

El objetivo de la investigación fue determinar de qué manera la implementación del sistema de costos por órdenes mejora el costeo de los contratos en la empresa RPD Construcciones Metálicas S.A.C. debido a que se observó que no realizaba el costeo de cada contrato producido y por lo tanto no tenía información del costo real en que se incurría para producir dichos contratos. La metodología aplicada fue no experimental descriptiva, observándose las variables y describiendo los resultados obtenidos. Apreciándose que no desarrollaba algún sistema de costos en el proceso de producción de cada contrato. Como herramienta se aplicó el cuestionario exponiendo sus resultados. Los resultados mostraron que no se realizaba el costeo de las órdenes de producción debido a que no se había implementado un sistema de costos, tampoco se aplicaba la NIC 2 en el manejo de inventarios ni la NIIF 15 para el reconocimiento de los ingresos. Más del 80% de la muestra indico tener conocimientos sobre sistemas de costos, pero solo el 60% sabía de la importancia de la elaboración de estados de costos por cada orden producida y de la relevancia de los resultados que estos estados podían arrojar.Trabajo de suficiencia profesionalCampus Lima Centr