9 research outputs found
Factors Associated with D-Dimer Levels in HIV-Infected Individuals
No full textBackground: Higher plasma D-dimer levels are strong predictors of mortality in HIV+ individuals. The factors associated with D-dimer levels during HIV infection, however, remain poorly understood.
Methods: In this cross-sectional study, participants in three randomized controlled trials with measured D-dimer levels were included (N = 9,848). Factors associated with D-dimer were identified by linear regression. Covariates investigated were: age, gender, race, body mass index, nadir and baseline CD4(+) count, plasma HIV RNA levels, markers of inflammation (C-reactive protein [CRP], interleukin-6 [IL-6]), antiretroviral therapy (ART) use, ART regimens, co-morbidities (hepatitis B/C, diabetes mellitus, prior cardiovascular disease), smoking, renal function (estimated glomerular filtration rate [eGFR] and cystatin C) and cholesterol.
Results: Women from all age groups had higher D-dimer levels than men, though a steeper increase of D-dimer with age occurred in men. Hepatitis B/C co-infection was the only co-morbidity associated with higher D-dimer levels. In this subgroup, the degree of hepatic fibrosis, as demonstrated by higher hyaluronic acid levels, but not viral load of hepatitis viruses, was positively correlated with D-dimer. Other factors independently associated with higher D-dimer levels were black race, higher plasma HIV RNA levels, being off ART at baseline, and increased levels of CRP, IL-6 and cystatin C. In contrast, higher baseline CD4+ counts and higher high-density lipoprotein cholesterol were negatively correlated with D-dimer levels.
Conclusions: D-dimer levels increase with age in HIV+ men, but are already elevated in women at an early age due to reasons other than a higher burden of concomitant diseases. In hepatitis B/C co-infected individuals, hepatic fibrosis, but not hepatitis viral load, was associated with higher D-dimer levels
Locus of control and religious motivation of the candidates of Sacred Heart Congregation, India
No full textThis study investigates the correlation between the locus of control and the religious motivation of the religious candidates of Sacred Heart Congregation in India. The descriptive comparative research design was used. Data were collected through the use of two questionnaires: the Internal-External Locus of Control Scale (Rotter, 1966) and the Religious Motivation Questionnaire (Menquito, 1991). The research participants were 22 aspirants, 18 postulants and 42 novices from Thalassery province of Sacred Heart Congregation, India. Their ages ranged from 16 to 28 years. Mean and standard deviation were computed to obtain the locus of control and religious motivation of the candidates. One-way ANOVA was used to determine the differences in the locus of control and religious motivation of the three groups--aspirants, postulants, and novices. Pearson r product moment correlation was computed to determine the relationship between locus of control and religious motivation.A significant difference in the locus of control and religious motivation was seen. As the candidates underwent higher levels of formation, significant differences were found among the three groups in terms of their locus of control. There was a significant difference in the overall religious motivation of the aspirants, postulants and novices. A significant relationship was observed between locus of control and religious motivation. As the internal locus of control increased, religious motivation also increased.
Based on the findings, the following recommendations are made:1. More importance should be given to training the candidates in internal locus of control as well as in the motive of Christian perfection 2. A comparative study of the different provinces should be done and,3. Before admitting them to the formation program, the candidates need to be tested for their locus of control and religious motivation
Effects of pressure controlled ventilation and volume controlled ventilation on pulmonary function in cardiac surgery patients with cardiopulmonary bypass
No full textOrientador: Desanka DragosavacDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias MedicasResumo: A insuficiência respiratória após a cirurgia cardíaca com utilização da circulação
extracorpórea (CEC) é resultante de inúmeros fatores relacionados à Síndrome de Resposta Inflamatória Sistêmica (SIRS). Grande número desses pacientes desenvolve Lesão Pulmonar Aguda (LPA) e alguns até Síndrome da Angústia Respiratória no Adulto (SARA). Há inúmeros fatores que podem influenciar direta e/ou indiretamente a lesão pulmonar observada no pós-operatório de pacientes submetidos à cirurgia cardíaca com CEC. A própria ventilação mecânica (VM) pode causar lesão pulmonar induzida pela ventilação (LPIV). Discutem-se técnicas e métodos ventilatórios que visam prevenir e corrigir a hipoxemia freqüentemente observada nessa condição. No entanto, ainda não há na literatura consenso sobre qual a melhor modalidade ventilatória a ser empregada. As propostas gerais de suporte ventilatório com baixos volumes, pressão limitada, fluxo decrescente e PEEP (pressão positiva no final de expiração), além de evitar a transfusão desnecessária, devem ser usadas para minimizar a lesão pulmonar em cirurgia cardíaca. O objetivo principal deste trabalho foi comparar o efeito das modalidades ventilatórias pressão controlada e volume controlado na função respiratória e
reações inflamatórias de pacientes submetidos à cirurgia cardíaca eletiva com circulação extracorpórea. Participaram deste estudo 22 pacientes submetidos à cirurgia cardíaca com circulação extracorpórea. Onze foram submetidos à ventilação com pressão controlada, fluxo decrescente e PEEP de 5 cmH2O (Ventilador Esprit - PCV/E), 5 pacientes à ventilação com volume controlado, fluxo decrescente e PEEP de 5 cmH2O (Ventilador Esprit - VCV/E) e 6 pacientes à ventilação com volume controlado, fluxo quadrado, sem PEEP (Ventilador Takaoka - VCV/T), usado de rotina no Centro Cirúrgico.Na UTI os pacientes foram ventilados com ventilador Espirit na modalidade de SIMV (pressão ou volume controlado), associado ao suporte pressórico, que foi usado também para desmame nos três grupos. A monitorização respiratória foi feita com aparelho NICO2/Dixtal. As reações inflamatórias foram mensuradas através do lactato e leucócitos. Os parâmetros ventilatórios monitorizados foram: PaO2/FiO2, PaCO2, volume expirado, pressão de pico inspiratória, complacência dinâmica, resistência das vias aéreas, ventilação alveolar, espaço morto e tempo de ventilação mecânica. Todos os pacientes apresentaram lesão pulmonar e o grupo VCV/T apresentou SARA no final da cirurgia. O índice de oxigenação apresentou queda no decorrer do tempo nos três grupos (p=0.002), com pior resultado na admissão do paciente na UTI. A pressão parcial de gás carbônico (PaCO2) não apresentou alterações estatisticamente significantes. O volume corrente expirado (VT EXP) apresentou aumento apenas no grupo PCV/E antes e após a CEC (p=0.0081). A pressão inspiratória das vias aéreas (PIT) aumentou no decorrer do tempo nos três grupos (p=0.0411), sem diferença entre os grupos. A complacência dinâmica (C DIN) apresentou queda no decorrer do tempo nos três grupos (p=0.0063), sem diferença entre os grupos. A resistência de vias aéreas (R VAs) aumentou no decorrer do tempo nos três grupos, apresentando diferença estatisticamente significante apenas no grupo VCV/T (p=0.0012), comparado com demais grupos. O espaço morto fisiológico (VD/VT) e a ventilação alveolar (V ALV) não apresentaram alterações nem entre grupos nem no decorrer do tempo. O lactado aumentou no decorrer do tempo após a CEC nos três grupos (p<0.0001), diminuiu após 48 horas de UTI, mas não retornou aos valores iniciais. Os leucócitos apresentaram aumento dos valores no decorrer do tempo nos três grupos (p<0.0001). Não houve diferença de lactato e leucócitos entre os grupos. Concluise que todos pacientes apresentaram lesão pulmonar aguda e que não houve diferença significante nos parâmetros estudados ente os grupos, exceto piora de resistência e maior lesão pulmonar no final da cirurgia no grupo VCV/T. Os dois marcadores inflamatórios, lactato e leucócitos, aumentaram devido à resposta inflamatória, sem diferença entre os grupos estudados.Abstract: Postoperative lung injury after cardiac surgery with cardiopulmonary bypass (CPB) is usually related to the systemic inflammatory response syndrome (SIRS). Many patients undergoing this procedure develop acute lung injury (ALI), and some of them acute respiratory distress syndrome (ARDS). Many factors can be directly or indirectly related to the postoperative lung dysfunction frequently seen after cardiac surgery with CPB, including ventilator-associated lung injury (VALI). Thus, many different approaches to mechanical ventilation (MV) have been investigated with the aim of prevent and/or treat postoperative lung injury. Low-tidal-volume mechanical ventilation, plateau pressure limitation, decelerating inspiratory flow, positive end-expiratory pressure (PEEP) and a restrictive red blood cell transfusion strategy are recommended to reduce the incidence and the severity of ALI in patients undergoing cardiac surgery with CPB. The main objective of the present study was to compare the effects of pressure controlled ventilation (PCV) versus volume controlled ventilation (VCV) on postoperative pulmonary function and in the incidence of SIRS in patients undergoing scheduled cardiac surgery with CPB. The study population was composed by 22 adult patients undergoing cardiac surgery with CPB that was mechanically ventilated as following: pressure-controlled ventilation with decelerating inspiratory flow and 5 cmH2O PEEP (Ventilator Esprit - PCV/E; n = 11); volume-controlled ventilation with decelerating inspiratory flow and 5 cmH2O (Ventilator Esprit - VCV/E; n = 5) and volume-controlled ventilation with square-wave inspiratory flow and without PEEP (Ventilator Takaoka - VCV/T; n = 6). This last ventilator is routinely used only in the operating theater. In the intensive care unit (ICU) the patients were ventilated with the ventilator Espirit, by applying SIMV (pressure or volume-controlled) and pressure support ventilation (PSV), that was also used during weaning in all groups. Respiratory monitoring was done with a NICO2 apparatus (Dixtal). Systemic inflammatory response was evaluated by means of serially white blood cells (WBC) counts and serum lactate levels. The following respiratory function variables were serially measured: PaO2/FiO2, PaCO2, expired volume, peak inspiratory pressure, dynamic compliance, airway flow resistance, alveolar ventilation, physiologic dead space ventilation and time on mechanical ventilation. All patients have shown postoperative pulmonary dysfunction and in the group VCV/T a degree of lung injury compatible with ARDS definition was recorded at the end of surgical procedure. PaO2/FiO2 has shown a significant decrease during time course in all three groups (p=0.002), with a nadir at ICU admission. PaCO2 didn't show significant alterations. Expired volume has shown increase only in PCV/E group, by comparing pre- and post-CPB moments (p=0.0081). Peak airway inspiratory pressure has increased during time course in all three groups (p=0.0411), without significant differences between them. Dynamic compliance (C DIN) has shown a decrease during time course in all three groups (p=0.0063), without significant differences between them. Airway flow resistance has increased during time course in all three groups, with statistically significant difference by comparing VCV/T group with the other two (p=0.0012). Physiologic dead space ventilation (VD/VT) and alveolar ventilation (V ALV) have not shown significant alterations during time course or between groups. Serum lactate levels have increased during time course just after CPB in all three groups (p<0.0001), decreasing 48 hours after the surgical procedure, but not returning to preoperative levels. WBC counts have shown a significant time course increase in all three groups (p<0.0001). However, no significant differences in serum lactate levels serum and WBC counts were seen between groups. It was concluded that all patients undergoing cardiac surgery with CPB have shown some degree of acute pulmonary dysfunction and this complication was not apparently directly related to the mechanical ventilation modality, except by an increase in airway flow resistance and a slight high degree of acute lung injury in the VCV/T group at the end of surgical procedure. Additionally, both systemic inflammatory markers, serum lactate levels and white blood cells counts, have increased during time course in all groups, without significant differences between them.MestradoPesquisa ExperimentalMestre em Cirurgi
Terapia láser de baja potencia en el tratamiento de la gingivitis crónica edematosa y fibroedematosa
No full textIntroduction: periodontal diseases are very frequent in the population and new treatments are revealed every day, laser being one of the encouraging therapies that allows improving periodontal conditions. Objective: to evaluate the results of the application of low level laser in patients with chronic edematous and fibroedematous gingivitis. Method: a non-observational, quasi-experimental study of the before-after type with a non-equivalent control group was carried out at the Villa Clara Faculty of Stomatology, from March 12, 2018 to March 15, 2019. The universe was constituted per 106 patients, of which 1,278 sites affected by chronic gingivitis were selected. It worked with its entirety. Two groups were formed: 638 sites received conventional therapy plus laser application (study group) and 640 only conventional treatment (control group). Descriptive statistics were used. Results: the predominant age range was 15 to 20 years (47.17 %). Male sex prevailed (50.94 %). A higher frequency of sites affected by chronic fibroedematous gingivitis was found (83.41 %). 100 % of the affected sites had loss of morphology and 95.62 % had bleeding on probing. Greater effectiveness was evidenced in the study group (49.45 %). Conclusions: the treatment had good results in the sites where low power laser was applied, making it an effective therapeutic option for chronic edematous and fibroedematous gingivitis.Introducción: las enfermedades periodontales son muy frecuentes en la población y cada día se revelan nuevos tratamientos, siendo el láser una de las terapias alentadoras que permite mejorar las condiciones periodontales. Objetivo: evaluar los resultados de la aplicación del láser de baja potencia en pacientes con gingivitis crónica edematosa y fibroedematosa. Método: se realizó un estudio no observacional, cuasi-experimental, del tipo antes después con grupo control no equivalente en la Facultad de Estomatología de Villa Clara, desde el 12 de marzo del 2018 hasta el 15 de marzo del 2019. El universo quedó constituido por 106 pacientes, de los cuales se seleccionaron 1 278 sitios afectados por gingivitis crónica. Se trabajó con su totalidad. Quedaron conformados dos grupos: 638 sitios recibieron terapia convencional más aplicación de láser (grupo de estudio) y 640 solo tratamiento convencional (grupo control). Se empleó estadística descriptiva. Resultados: el rango de edad predominante fue el de 15 a 20 años (47,17 %). Preponderó el sexo masculino (50,94 %). Se encontró mayor frecuencia de sitios afectados por gingivitis crónica fibroedematosa (83,41 %). El 100 % de los sitios afectados tenían pérdida de la morfología y el 95,62 % presentaban sangramiento al sondeo. Se evidenció mayor efectividad en el grupo de estudio (49,45 %). Conclusiones: el tratamiento tuvo buenos resultados en los sitios donde se aplicó láser de baja potencia, por lo que es una opción terapéutica eficaz para la gingivitis crónica edematosa y fibroedematosa
The Spark, Volume 4, No. 6
No full textTIie l11arll
Central Piedmont Community College
Taylor Hall 102 FRIDAY, JANUARY 26, 1980
Volume 4
Number 6
Charlotte, North Carolina
(704) 373-6751, 373-6665
A-V Center Features Variety
by Cindi M. Skridulis
Take the elevator to the third floor
of the Learning Resources Center
som day. When you get off, the first
thing you'll see is three film projectors
and a few students with headsets
watching movies.
That's just one of the things you'll
find in the Audio-Visual Center. We
have films, sound/slide sets, kits,
records, filmstrips, video cassettes
and tapes.
Any student registered at CPCC
is welcome to make use of these
materials. You may come to watch
a film as a class assignment or on
your own to learn a little more about
something you were taught in class.
If you have some free time to spend,
you can come just to be entertained.
Not all materials here are textbook
subjects.
To cover just three of the available
areas:
MINI-COURSES: These courses
give you an opportunity to learn a
variety of subjects and skills. They
are self-taught and last about two
hours. Come in any time you like.
There is no charge.
Some examples of courses offered:
Basic Drafting, Algebra Review,
Introduction to Chess, Learning
and Memory, Theme Writing,
Cash Register, Bank Teller Training.
FILMS: We have more than
1,100 films that you can see. Among
the topics are: Backpacking, Wit
and Humor, Russian Literature,
Scottish Poetry, Psychology, and
Backgammon.
An audiovisual aide will set up
the film for you. All you need do
is sit back and watch the movie.
RECORDS: There are hundreds
of records to choose from that you
• ~~
can sign out or listen to at one of
the listening stations.
A wide variety is available from
classical to pop to jazz to soul to
rhythm . and blues.
To sign out these films, records,
etc., see the audiovisual aide at the
big desk to the left when you get off
the elevators.
You look up your subject in one
of the two black books on her desk,
and the aide will take it from there.
Using the call letter and number in
the book, she'll locate what you
need. She'll set up the films for you,
show you how to work the tape recorders,
where the record players
are stationed and how to use all of
the equipment. You'll sign out materials
at the desk with your name
and social security number.
The hours for the Audio Visual
Center are the same as the library's:
8:00 a.m. to 10:00 p.m. Monday
through Thursday, 8:00 a.m. to
5:00 p.m. Friday, and 9:00 a.m. to
1 :00 p.m. Saturday. Stop by any
time.
FIRST TIME EVER
Nursing Students Elect Officers
Second-quarter Nursing students
here have taken steps to make their
degree program more visible by
electing class officers for the first
time since the program began being
offered.
The idea is to help strengthen the
cameraderie that exists among students
enrolled in that area of study.
After completing their clinical training,
these students will very often
become co-workers at local hospitals.
Class president Barbara Federal
is optimistic that student involvement
in important community functions
will not only foster a better
espirit de corps, but also make prospective
students more aware of the
quality instruction available at the
College in the fields of nursing.
Bruce Davis was chosen Vice
President, one of a handful of male
students in the. class of some sixty
·people.
WOMENSHARE TO
.OFFER WORKSHOPS
As Career Roles Change
For so long, women have been
taught that education and career
satisfaction belonged to men only.
W omenshare is helping to change
that.
There are a lot of long yellow
sheets floating around the campus
entitled "Womenshare." In case
you're curious, it's a program for
women (obviously) sponsored by
the college.
They're not looking to reverse
male/female roles, they're out to
help women find fulfillment in
their personal and career life.
Through counseling, courses, and
workshops, they intend to increase
women's personal and professional
effectiveness.
Womenshare is a place where you
can come for information, and to
exchange ideas, information and
emotional support with other women.
If you'd like to visit, they're located
in Room 200 in the Food
Service/Citizens Center (FS) Building
between the hours of 10: 00 a.m.
and 2:00 p.m. Monday through
Thursday.
Many workshops are offered this
quarter. Two FREE ones you might
want to participate in are:
Occupational Exploration: Ca-reers
in Sales will be held January
10 from 7:00 p.m. to 9:30 p.m. in
·he FS 200. Cary Hawthorne of the
Business Administration Department
will lead the workshop.
What Every Woman Should
Know About Investing will be in FS
200, February 6, from 6 p.m. to
9: 30 p.m. This workshop will be
led by Carol Cosgrove, Account
Executive of Merrill Lynch, Pierce,
Fenner & Smith.
Three other workshops that will
be starting soon are:
Assertiveness Training for Women
on Thursdays, Jan. 31 through
The other officers chosen during
the elections, which were held in
mid December, are: Mary Jo Becker,
Secretary, and Assistant Secretary
Gelinda Jamison; Cindy Whiteside,
Treasurer, and Assistant Treasurer
Wendy Morrill.
The group plans to hold fundraising
activities, receptions for graduating
students, and hope to publish
a class annual besides.
* WOMENSHARE
FS / CC 1200
February 21, 6-8 p.m.
Keys to Personal and Job Satisfaction
on Mondays, February 4
through March 3, 7-9:30 p.m.
Career Planning for Women on
Tuesdays, February 5 through Mar.
18, 7-9:30 j.m.
The fee for these classes is 6,
payable at the first class session.
Enrollment is limited, so call Womenshare
373-6644 as soon as you
can to reserve a space.
There are many more classes
starting in mid-February and March.
Call Womenshare for a listing and
for descriptions of the courses.
This student should check out the History Room.
A Roomful
of History
by David Lineburger
Have some time available and don't
know what to do with it? Does local
history interest you?
Awesome is the word to describe
the College History room. Data on
CPCC's predecessor, Central Industrial
and Educational Center and,
more recently, Carver College, is
located here.
The History room is filled with
information covering anything from
Board of Trustee minutes to taped
interviews with CPCC's founding
fathers. Even area students theses
for masters and doctorate degrees
are to be found here.
The History room is operated by
Mr. R. V. Mason, a native of Scotland
county. The Mason building is
named in his honor. In talking with
Mr. Mason he said, "CPCC hasn't
changed that much but it has
grown."
The History room is located in
the Learning Resources Building in
room 401 and is open during the
hours 9:00 a.m. to 3:00 p.m.
College Reps to Meet With Students
--t~.rc:.'".t~
"{/:~ ~~----:·~ J~:~\ ~'VEA'l' High Point College, Pfeiffer Col-
On February 14, many four-year lege, Mars Hill College, Greensboro
institutions from North Carolina, College, Western Carolina U., Bar-
South Carolina, and Virginia will ber Scotia College, Wingate Col-send
representatives here to visit lege, UNC-Chapel Hill, Appala-with
students in the lobby of Taylor chian State U., Lenoir Rhyne Col-
Hall and provide them with the in- lege, Virginia Intermont, Guilford
formation they need concerning the College, Methodist College, NC
schools in their future. State U., Belmont Abbey College,
A list of the institutions expecting Davidson College, Queens College,
to attend is given below. For details, Warren Wilson College, and Elon
call Student Activities at 373-6584. College.
ml WINGATE COLLEGE
WINGATE, NORTH CAROLINA 28174
Drama Department News
Carnival-A Review
by Cindi M. Skridulis
Opening night for "Carnival" was
Thursday night, January 10. Those·
who fought their way through the
streets to find a parking place were
not disappointed by this play. On
the whole, it was good.
"Lili", the female lead, played by
Aliece Carpenter Goins, was a little
bill of a disappointment. Although
her acting was delightful and she
came across well as t naive, puppylike
French orphan, her singing
voice was not good enough for the
part. During the first act, I found
myself stretching my ears forward to
catch the words she was singingwords
that seemed to reach the front
of the stage and then dissipate into
air.
The male lead was excellent.
Merwin E. Foard, Jr., playing the
part of Paul Berthalet (the crippled,
embittered puppeteer) entranced the
audience. He looked the part: tall,
slender, dressed in dark pants and
turtleneck sweater, he looked like
the ex-dancer he was supposed to
play. His angry outbursts, his
haughty silences and withering comments
to Lili were delivered well.
His singing voice was incredible.
In his song about Lili, "Her
Face", where he sang about seeing
her and loving her face and wanting
to touch her but knowing that she
wanted someone else, his voice
commanded attention. There was no
sound from the audience and you
almost felt like they didn't even
breathe; watching the haunted eyes;
seeing that fact: before him; reaching
out a hand to touch it; pulling
you into an emotion with that voice.
The play would have been worth
seeing just to catch his performance
alone.
As a supporting character, Shep
Berryhill, playing the puppeteer's
friend and helper, gave a good per-formance.
He appears to be in his
natural element on stage.
And, of course, this review would
not be complete if I failed to mention
the cameo part of the Swiss
Doctor, played by none other th.an
the director, Tom Vance. He shuffled
out on stage in a brief humorous
moment as the Swiss Veterinarian
with some little animal tucked into
the front of his coat which he talked
to and petted as he went about on
his errand.
Chalk up another enjoyable performance
for CPCC.
''Pinnochio"
There's still time to reserve a ticket
for February 21 to see the National
Theatre of the Deaf present The
Secret Life of Gepetto's Dummy."
This unusual group will be in
Dana Auditorium, Queens College,
at 8: 15 p.m. There's only one performance,
so reserve your tickets
now.
Any group who has performed on
SESAME STREET as often as they
have has got to be good.
For reservations, call the Box Office
at 373-6534 or Student Activities
Office at 373-6512.
''Revolution
Without
Casualties"
"Revolution ... without casualties"
is billed as a new play about women
for everyone. The play, written by
Charlotteans Terry Bryan and Judy
Simpson Cook, will be performed
in Pease Auditorium, February 7 at
8:15 p.m. Admission is 2 cash for airmail
postage.
WINA
FREE
LP
The Music Library will give a free
LP phonograph record for the answer
to the following question: What
is the longest playing time to be
found on one side of a 12-inch long
playing phonograph record? Write
or call: Music Library at 373-6436.
The closing date is January 31.
We Blew It
President of Wingate College
is Thomas Corts (not
Court).
Football practice for spring
season starts March 10. Try
to furnish as much of your own
equipment as possible. Call
392-5949 for further information.
VA Changes Reporting
Procedures Here
by David Corder
Over 1,500 veterans here will comply
with new reporting requirements,
effective immediately, and
in some cases, retroactive reporting
will effect veterans enrolled in previous
quarters.
The Satisfactory Progress Index,
a grading index used to qualify veterans
for continued benefits, is now
replaced by the governmentassessed
"Non-Punitive Grading
Policy" at CPCC. This policy will
effect veterans who received:
I-makeup, I-repeat, and Withdrawal
grades.
Individual evaluations are being
made by the Veterans Administration
and CPCC for veterans who
show "good faith pursuit." Some
cases may require repayment,
though "mitigating circumstances"
will be considered.
The issue is complicated and
anyone having questions is asked
to contact John Tripp, director of
Veterans Affairs.
Vice-President in charge of Student
Services, Mel Gay said, "the
welfare of the veteran is the intent
of the administration."
CPCC faculty are being asked to
cooperate with the VA by filing
"Exceptional Report" forms in connection
with the veteran's last date
of attendance and any grades received.
Some inconvenience is expected
for those effected by the repayment
problem. A bill in Congress is being
considered that would allow the
VA to hand overpayments less than
600 to the Department of
Justice.
Gripes & Groans
by Lisa Bolivar
GRIPE: There are people who are
taking up more than one parking
space when parking their car.
This is not only inconsiderate,
but a real pain in the neck to
those students who are trying to
make it to class on time.
The parking garages may not
have the "FULL" sign on, but
may in fact be full because some
fool has taken up two or even
three parking spaces. This means
the poor frustrated motorist must
pay a quarter to get out of the lot,
and forces him to spend precious
time looking elsewhere for parking
space.
GROAN: There used to be a snack
bar in the LRC building. That
snack bar has been closed. The
snack bar was a convenient and
quick place to grab a bite to eat
between classes. Some students
do not have the time to spend
standing in line at the Forum, and
are asking .. . "When is the snack
bar going to re-open???"
GRIPE! One male student here at
night observes: The police officers
are hard to find. There are
too many ladies left to walk alone
around campus unprotected. In
view of past events (that took
place in broad daylight) shouldn't
there be better security around
here at night? There are also
many dark places on campus that
leave the average woman in a bit
· of danger.
It is a comfort to me to know
that there are men on this campus
that are concerned with my
welfare. I think I can speak for
most of the women here-thank
you for caring.
A-HAH! The first gripe in a previous
issue concerning a royal
goof made by registration personned
was challenged .. . . After the
situation was looked into, though
... the challenge was changed to:
"No comment."
We thought you'd like to know.
Volume 4 Number 6
TIie
lparll
Estahl i.l'hed 1976
Taylor Hall J 02
(704) 373-675 1, 373-6665
Staff
Editor
Joseph Sovacool
Assistant Editor
David Corder
Managing Editor
Cindi M. Skridulis
Photo Editor
Spero Nixon
Associate Editor
Elizabeth Ann Harrison
Staff Illustrator
Jimmy Brock
Reporters
Deborah Beauclerk
Lisa Bolivar
Dare Brown
Chris Burns
Phillip Clay
Richard Davis
Aimee Doughton
Atif Muhammed
Ken Parks
Photographers
Sharon B. Davis
Mark Butler
Donna Teague
Manager, Student Publications
Darrell Gray
Mechanical Art
G. R. Dobbs
POLICY
The Spark is a student publication,
financed by student activity fees,
written, edited and published by
student journalists for the CPCC
community. It is not an official college
publication, and any viewpoints
expressed herein should not be interpreted
as representing official
CPCC positions.
·WOMEN:
THE FOCUS
IS ONUS
A lecture/ seminar
Pease Auditorium
9:3
Alternativas para o cuidado humanizado na assistência de enfermagem em dois hospitais universitários
No full textIntroduction: Human caring in nursing has been limited. Clinical professionals in Colombia focus on administrative activities to the detriment of direct care and interpersonal relationships. Objective: To identify alternatives at the professional and institutional levels to strengthen human caring in nursing at two university hospitals. Methods: A qualitative hermeneutic study with a dialectical-participatory approach was conducted. Participants received theoretical input on the concepts of man, humanism, nursing, self-cultivation, and others and were asked to make a diagnosis of the state of human caring in order to seek alternatives. The dialog between theory and practice was evaluated through content analysis, and the participants validated the results. Fifty-seven people were included, 21 focus groups and three semi-structured interviews were conducted. Results: The main barriers identified were high workload, excessive regulation, automation of professional practice, inadequate prioritization of patient needs and failures to promote self-care, failures to follow up on delegated tasks, and failures in communication. Suggested alternatives included increasing availability of human and physical resources, care plans, revising institutional protocols, redesigning care management, direct patient care, and promoting teamwork. Conclusions: In the institutions studied, time for reflection, planning, direct and comprehensive care, and follow-up on delegated tasks are the conditions for human caring. Time availability is subject to the availability of resources, which determines the impact of professional nursing action.Introducción: el cuidado humanizado de enfermería se ha visto limitado. Los profesionales en el área clínica en Colombia se centran en actividades administrativas, relegando el cuidado directo y la relación interpersonal. Objetivo: identificar alternativas a nivel profesional e institucional para fortalecer el cuidado humanizado de enfermería en dos hospitales universitarios. Métodos: estudio cualitativo hermenéutico de tipo dialéctico participativo. Los participantes recibieron insumos teóricos sobre los conceptos de hombre, humanismo, enfermería, cultivo de sí, entre otros, y se les solicitó un diagnóstico del estado del cuidado humanizado para buscar alternativas. El diálogo entre la teoría y la praxis fue evaluado a través del análisis de contenido y los resultados fueron validados por los participantes. Se incluyeron 57 personas, se realizaron 21 grupos focales y tres entrevistas semiestructuradas. Resultados: las principales limitantes identificadas fueron: alto volumen de trabajo, excesiva normatividad, automatización del ejercicio profesional, inadecuada priorización de las necesidades del paciente, y fallas en la promoción del autocuidado, en el seguimiento a las tareas delegadas y en la comunicación. Como alternativas se propusieron: mayor disponibilidad de recurso humano y físico, planes de cuidado, revisión de protocolos institucionales, reingeniería de la gestión del cuidado, cuidado directo del paciente y fomento del trabajo en equipo. Conclusiones: en las instituciones de estudio, disponer de tiempo para pensar, planear, brindar cuidado directo e integral y hacer seguimiento a las tareas delegadas son las condiciones para que el cuidado de enfermería se dé de manera humanizada. La disponibilidad de tiempo está sujeta a la de recursos, lo cual determina el impacto de la acción profesional de enfermería.Introdução: o cuidado humanizado de enfermagem tem sido limitado. Os profissionais da área clínica na Colômbia têm se concentrado nas atividades administrativas, relegando o cuidado direto e as relações interpessoais. Objetivo: Identificar alternativas a nível profissional e institucional para fortalecer o cuidado humanizado na atenção de enfermagem profissional em dois hospitais universitários. Métodos: estudo hermenêutico qualitativo do tipo dialético participativo. Os participantes receberam recursos teóricos sobre os conceitos de homem, humanismo, enfermagem, autocultivo, entre outros, e foram solicitados a diagnosticar o estado do cuidado humanizado para buscar alternativas. O diálogo entre teoria e práxis foi avaliado por meio de análise de conteúdo e os resultados foram validados pelos participantes. Foram incluídas 57 pessoas, realizados 21 grupos focais e três entrevistas semiestruturadas.
Resultados: as principais limitações identificadas foram: alto volume de trabalho, regulamentações excessivas, automatização da prática profissional, priorização inadequada das necessidades dos pacientes e falhas na promoção do autocuidado, no monitoramento de tarefas delegadas e na comunicação. Como alternativas foram propostas: maior disponibilidade de recursos humanos e físicos, planos de cuidados, revisão de protocolos institucionais, reengenharia da gestão do cuidado, cuidado direto ao paciente e promoção do trabalho em equipe. Conclusões: nas instituições estudadas, ter tempo para pensar, planejar, prestar um cuidado direto e integral e acompanhar as tarefas delegadas são condições para que o cuidado de enfermagem seja prestado de forma humanizada. A disponibilidade de tempo está sujeita à disponibilidade de recursos, o que determina o impacto da ação profissional da enfermagem
A pedagogical strategy to address type 2 diabetes mellitus from four categories: the case of the people and the health professionals of San Antonio Hospital in Chía, Cundinamarca, 2019–2024
No full textLa diabetes mellitus tipo 2 (DM2), representa un desafío para la salud pública por su alta prevalencia y las complicaciones asociadas. La investigación se llevó a cabo en el Hospital San Antonio de Chía, Cundinamarca, con el propósito de comprender los conocimientos, creencias, vivencias y expectativas de 50 personas con DM2 y ocho profesionales de la salud. Esto, con el fin de formular una estrategia pedagógica que considera estas categorías y promueva una educación para la salud más cercana a las necesidades de las personas. Se utilizó una metodología cualitativa, se hicieron entrevistas semiestructuradas y un grupo focal. El análisis, se basó en un enfoque constructivista social, que facilitó un diálogo entre personas y profesionales de la salud para identificar necesidades y perspectivas específicas que permitan mejorar el control y tratamiento de la diabetes mellitus tipo 2, y promover una comprensión integral de la enfermedad. Esto incluye el fortalecimiento de redes de apoyo social y familiar, así como el uso de nuevos recursos pedagógicos para el control de la enfermedad. Además, se busca que las personas con diabetes mellitus tipo 2, desarrollen una mayor autonomía para el autocuidado, incrementen la adherencia al tratamiento y colaboren más activamente con los profesionales de la salud para mejorar tanto su calidad de vida como los resultados clínicos a largo plazo. Los resultados permitieron identificar que las personas con diabetes mellitus tipo 2, tienen un conocimiento limitado sobre la enfermedad y dependen en gran medida de su entorno familiar y social para el autocuidado. Los profesionales de la salud, por su parte, señalan que, aunque se realizan intervenciones educativas, estas suelen ser unidireccionales y no abordan a la persona en su contexto integral. La falta de un enfoque inclusivo y participativo dificulta la adherencia a los tratamientos y la comprensión profunda de la enfermedad por parte de estas personas. En conclusión, la investigación sugiere que una estrategia pedagógica centrada en el diálogo, que incorpore el apoyo familiar y aborde las dimensiones psicosociales, puede mejorar significativamente la calidad de vida y la gestión de la diabetes mellitus tipo 2. Esta estrategia promueve un rol activo de las personas en su cuidado y una relación colaborativa con los profesionales de la salud, lo cual puede optimizar los recursos en el sistema de salud.Doctor en Salud PúblicaDoctoradoType 2 diabetes mellitus, T2DM, poses a significant public health challenge due to its high prevalence and associated complications. A study conducted at the San Antonio Hospital in Chía, Cundinamarca, aimed to explore the knowledge, beliefs, experiences, and expectations of 50 individuals living with type 2 diabetes mellitus, T2DM, and eight healthcare professionals. The goal was to develop an educational strategy that incorporates these insights to foster health education tailored to individual needs and more effective in achieving better outcomes. The study employed a qualitative method, including semi-structured interviews and a focus group. Analysis was grounded in a social constructivist approach, helping dialogue between patients and healthcare professionals to find specific needs and perspectives. This dialogue aimed to enhance diabetes management and treatment, foster a comprehensive understanding of the disease, strengthen social and family support networks, and use new pedagogy for disease monitoring. Moreover, the study sought to empower individuals with T2DM to develop greater autonomy in self-care, improve treatment adherence, and collaborate actively with healthcare providers to enhance their quality of life and achieve better long-term clinical outcomes. Findings revealed that individuals with T2DM have limited knowledge of the disease and rely heavily on their family and social environment for self-care. Healthcare professionals, meanwhile, reported that current educational interventions are often one-directional and fail to address individuals within their broader context. This lack of an inclusive, participatory approach hinders treatment adherence and a deeper understanding of the disease among patients. In conclusion, the research suggests that a pedagogical strategy centered on dialogue, incorporating family support and addressing psychosocial dimensions, can significantly improve the quality of life and management of type 2 diabetes mellitus. Such a strategy promotes an active role for individuals in their care and fosters collaborative relationships with healthcare providers, ultimately perfecting healthcare system resources
Crenças contra gravidez e doenças bucodentais percebidas por gestantes em Monteria, Colômbia
No full textObjective: To interpret the beliefs of perceived susceptibility between the condition of pregnancy and oral diseases by pregnant women in Monteria, Córdoba, Colombia. Material and method: Qualitative study with a micro-ethnographic approach. The results were gotten through observation and in-depth interviews that were applied to 21 pregnant women of the commune four in Monteria, Córdoba in 2019, selected by convenience. The information was collected during the first semester of 2019, and it was organized based on the dimension of the Health Belief Model: perceived susceptibility; the analysis was performed under the parameters of the content analysis technique. Results: the prevailing belief among pregnant women was that oral diseases were caused because the baby got all the calcium during pregnancy. Conclusion: The threats suffered by pregnant women act as barriers against the adoption of healthy behaviors, and their permanence in programs to promote oral health and prevent oral diseases. Results: the prevailing belief among pregnant women was that oral diseases were caused because the baby got all the calcium during pregnancy. Conclusion: The threats suffered by pregnant women act as barriers against the adoption of healthy behaviors, and their permanence in programs to promote oral health and prevent oral diseases. Objetivo: Interpretar las creencias de susceptibilidad percibida entre la condición de embarazo y las enfermedades bucodentales por mujeres gestantes de la ciudad de Montería en el Departamento de Córdoba, Colombia. Materiales y métodos: Estudio cualitativo con enfoque microetnográfico, cuyos resultados se obtuvieron mediante la observación y las entrevistas a profundidad que fueron aplicadas a 21 gestantes adscritas a un hogar comunitario la comuna cuatro de la ciudad de Montería, Córdoba, 2019, seleccionadas por conveniencia. La información se recolectó durante el I semestre del 2019, y se organizó a partir de la dimensión del Modelo de Creencias en Salud: susceptibilidad percibida; el análisis se realizó bajo los parámetros de la técnica de análisis de contenido. Resultados: La creencia de susceptibilidad que predominó entre las gestantes fue que en el periodo de embarazo las enfermedades bucales son normales y que su origen obedecía a la succión del calcio a la madre por parte del bebé para su crecimiento. Conclusión: Las creencias que poseen las gestantes actúan como barreras frente a la adopción de comportamientos saludables y de su permanencia en programas de promoción de la salud oral y prevención de las enfermedades bucodentales
Impacto de la inteligencia artificial en los derechos de autor y autonomía en la formación académica de estudiantes de pregrado en la Universidad Cooperativa de Colombia (2023-2024)
No full textLa creciente influencia de la inteligencia artificial (IA) en la sociedad moderna plantea desafíos y oportunidades, especialmente en el ámbito de los derechos de autor y la autonomía académica. En el contexto de la Universidad Cooperativa de Colombia, es crucial comprender cómo estas tecnologías afectan los procesos educativos y la garantía de derechos fundamentales. La IA, desde su conceptualización en la década de 1950, ha evolucionado significativamente, especialmente en los últimos años, proporcionando herramientas avanzadas para resolver problemas complejos. Sin embargo, esta capacidad ha provocado un uso indebido entre los estudiantes universitarios, quienes recurren a estas tecnologías para completar tareas académicas sin un esfuerzo crítico propio. Este fenómeno amenaza la creatividad y la autoría original, y plantea serios problemas éticos y legales relacionados con la propiedad intelectual. El estudio en cuestión se justifica por la necesidad de evaluar el impacto de la IA en los derechos de autor y en la autonomía de los estudiantes de pregrado. Se busca analizar cómo las herramientas de IA, accesibles y manipulables, afectan la protección de la propiedad intelectual y el fomento de la autonomía académica. La investigación, de tipo exploratorio y cualitativo, tiene como objetivo proporcionar una comprensión profunda de estos efectos en el periodo 2023-2024. Se propone un análisis detallado que involucra a expertos y estudiantes para evaluar percepciones y actitudes hacia la IA en el contexto educativo. Los hallazgos esperados buscan identificar medidas para mitigar los riesgos asociados con el uso de la IA, promoviendo una integración ética y responsable de estas tecnologías en la educación superior, asegurando así la protección de los derechos de autor y la calidad del aprendizaje académico.The growing influence of artificial intelligence (AI) in modern society poses challenges and opportunities, especially in the area of copyright and academic autonomy. In the context of the Universidad Cooperativa de Colombia, it is crucial to understand how these technologies affect educational processes and the guarantee of fundamental rights. AI, since its conceptualization in the 1950s, has evolved significantly, especially in recent years, providing advanced tools to solve complex problems. However, this capability has led to misuse among college students, who turn to these technologies to complete academic tasks without critical effort of their own. This phenomenon threatens creativity and original authorship, and raises serious ethical and legal issues related to intellectual property. The study in question is justified by the need to evaluate the impact of AI on copyright and the autonomy of undergraduate students. The aim is to analyze how accessible and manipulable AI tools affect the protection of intellectual property and the promotion of academic autonomy. The research, of an exploratory and qualitative nature, aims to provide a deep understanding of these effects in the period 2023-2024. A detailed analysis involving experts and students is proposed to evaluate perceptions and attitudes towards AI in the educational context. The expected findings seek to identify measures to mitigate the risks associated with the use of AI, promoting an ethical and responsible integration of these technologies in higher education, thus ensuring the protection of copyright and the quality of academic learning.Introducción --
Cuerpo del artículo de investigación --
2. Horizonte Epistemológico --
2.1. Antecedentes literarios y científicos --
2.2. Aportes Teóricos --
2.2.1. Definición de Inteligencia Artificial (IA) --
2.2.2. Derechos de Autor y Creación Humana --
2.2.3. Impacto de la IA en los Derechos de Autor – Creación Automática y Propiedad Intelectual --
2.2.4. Implicaciones Comerciales y Económicas --
2.2.5. Ética y Originalidad --
2.2.6. Opciones Jurídicas y Propuestas --
2.2.7. Impacto de las IA en el sector Universitario --
2.2.8. Potencial y Riesgos de la IA en la Educación Superior --
2.2.9. La IA como Herramienta de Apoyo --
2.2.10. Adopción y Formación en IA --
2.2.11. Eliminación de Barreras y Transformación Digital --
2.2.12. Una nueva realidad para la Universidad Cooperativa de Colombia --
2.3. Una visión normativa --
Conclusiones --
Evaluación del impacto de las herramientas de inteligencia artificial en la protección y gestión de los derechos de autor de los trabajos académicos producidos por los estudiantes de pregrado de la Universidad Cooperativa de Colombia durante los años 2023 y 2024 --
Cómo el uso de la inteligencia artificial influye en la autonomía de los estudiantes de pregrado en sus procesos de aprendizaje y producción académica en la Universidad Cooperativa de Colombia durante los años 2023 y 2024 --
Bibliografía.PregradoDerech
