bluuebunny/crossref_metadata_2025 huggingface dataset:
A PRESERVAÇÃO DO PATRIMÔNIO DA INDUSTRIALIZAÇÃO EM PELOTAS: REFLEXÕES SOBRE A CONSTRUÇÃO DA CASA DE MÁQUINAS DA COMPANHIA HIDRÁULICA PELOTENSE
Authors: Silveira Aline Montagna
Published: July 2024

O ensaio aborda a temática da preservação do patrimônio da industrialização em Pelotas, a partir do estudo da Casa de Máquinas da Companhia Hidráulica Pelotense, construída no final do século XIX. A Casa de Máquinas é uma obra que testemunha um período da história do saneamento em Pelotas. Este estudo propõe uma reflexão sobre a construção da obra, analisando documentos que permitiram compreender os motivos que levaram a empresa hidráulica a edificá-la, a solução projetual escolhida e a técnica construtiva utilizada para a sua realização. Nessa perspectiva, busca contribuir para a ampliação do conhecimento sobre o patrimônio industrial em Pelotas, destacando a importância da sua preservação.
Non-Invasive Physical Stimulation to Modulate the Tumor Microenvironment: Unveiling a New Frontier in Cancer Therapy
Authors: Guo Zhili , Saw Phei Er , Jon Sangyong
Published: July 2024

The tumor microenvironment (TME) has a crucial role in tumor development, metastasis, and recurrence. The chaotic and complex physical structure of the TME not only limits drug delivery but also contributes to the development of resistance to immunotherapy. Breaking the physical barrier limitation of the TME could further optimize the existing tumor treatment protocols. Physical stimulation, such as ionizing radiation, light, electricity, magnetic field, and ultrasound, modulate the TME by altering tumor vasculature, remodeling the extracellular matrix, and activating immune responses to achieve the goal of adjuvant to other tumor therapeutic approaches. In addition to adjuvant chemotherapy and immunotherapy, these physical stimulations also enhance the efficacy of other physical treatments for cancer. In this review we discuss the structural characteristics of TME and focus on the modulation of TME by different physical stimulations. We also analyze the adjuvant effects of these stimulations on other tumor therapies.
PREVENTING OF MIGRATION IN FOOD CONTACT POLYVINYL CHLORIDE-BASED STRETCH FILMS WITH POLYLACTIC ACID LAYER
Authors: Dağdelen Adnan Fatih , Kıraç Demirel Fatma Tuba , Sarıcaoğlu Furkan Türker
Published: July 2024

In this study, the effectiveness of biodegradable polylactic acid (PLA) coatings for the prevention of residues migrating through polyvinyl chloride (PVC) films was investigated. PLA films prepared in chloroform at concentrations of 5, 10, 15 and 20 wt% were heat sealed to PVC film surfaces in a hot press (130 °C, 5 min, 5 tons). Physical, mechanical, FTIR and migration analyses were performed on these two-layer films. With PLA coating, the thickness of the films increased, mechanical properties decreased and some changes in color values occurred. It was determined by FTIR that there was no structural change on both surfaces of the films as a result of hot pressing. From the overall migration analysis, no migration was observed in the tests with aqueous food simulants, while migration was detected in fatty food simulants. In the specific migration analysis by GC-MS, di-2-ethylhexyl phthalate (DEHP) migration decreased by 50% with PLA coating. It is concluded that PLA coating of PVC stretch films may be a promising application to reduce migration.
Landscapes of Hope
Authors: Sen Arijit
Published: July 2024

Historians have examined vernacular duplex homes in Milwaukee’s north side neighborhoods to write the history of the white working-class immigrants who settled this industrial metropolis during the early years of the twentieth century. African Americans moved into these neighborhoods in the later decades of the twentieth century. This paper explores how current Black residents construe the history of their neighborhood. To examine what such a historical narrative might look like, this paper presents three stories from a single city block: a twentieth century narrative of growth, a more recent story of decline, and a longer aspirational dream of a shared commons. Grounded in the material world that they observe around them, the current inhabitants assemble these diverse memories in anachronic ways, around multiple experiences of time such as nostalgia, a sense of disenfranchisement in the present moment, and an aspirational dream of a yet unrealized future. This ability to craft a complex narrative of place in a precarious world has emerged as a form of collective resistance against realities of racism, segregation, and urban disinvestment.
About properties and the monomiality principle of Bell-based Apostol-Bernoulli-type polynomials
Authors: Ramírez W. , Cesarano C. , Wani S. , Yousuf S. , Bedoya D.
Published: July 2024

This article investigates the properties and monomiality principle within Bell-based Apostol-Bernoulli-type polynomials. Beginning with the establishment of a generating function, the study proceeds to derive explicit expressions for these polynomials, providing insight into their structural characteristics. Summation formulae are then derived, facilitating efficient computation and manipulation. Implicit formulae are also examined, revealing underlying patterns and relationships. Through the lens of the monomiality principle, connections between various polynomial aspects are elucidated, uncovering hidden symmetries and algebraic properties. Moreover, connection formulae are derived, enabling seamless transitions between different polynomial representations. This analysis contributes to a comprehensive understanding of Bell-based Apostol-Bernoulli-type polynomials, offering valuable insights into their mathematical nature and applications.
Adya distribution with properties and application
Authors: Shanker Rama , Shukla Kamlesh Kumar , Ranjan Amaresh , Shanker Ravi
Published: July 2024

In the present paper, a new one parameter lifetime distribution named, “Adya distribution’ has been proposed for modeling lifetime data from engineering. Its various statistical properties including moments and moments based measures, hazard rate function, mean residual life function, stochastic ordering, deviations from the mean and the median, Bonferroni and Lorenz curves, and stress-strength reliability have been studied. Both the method of moment and the maximum likelihood estimation have been discussed for estimating the parameter of the proposed distribution. A numerical example has been presented to test the goodness of fit of the proposed distribution over other one parameter lifetime distributions available in statistical literature.
The seven-parameter lindley distribution
Authors: Ahmed Abdul Hadi N , Nofal Zohdy M , Osman Rania MA
Published: July 2024

In this paper, a seven parameter Lindley Distribution (SPL) distribution is proposed as a new generalization of the basic Lindley distribution. The structural properties of the new distribution are investigated. These include the compounding representation of the distribution, reliability analysis and statistical measures. Expressions for Lorenz and Bonferroni curves and Renyi entropy as a measure for uncertainty reduction are derived. Maximum likelihood estimation is used to evaluate the parameters. The new model contains twelve lifetime distributions as special cases such as the Lindley, Quasi Lindley, gamma, and exponential distributions, among others. This model has the advantage of being capable of modeling various shapes of aging and failure criteria. Finally, the usefulness of the new model for modeling reliability data is illustrated using a real data set.
On statistical properties and applications of PoissonPranav distribution
Authors: Shukla Kamlesh Kumar , Shanker Rama
Published: July 2024

In this paper, Poisson-Pranav distribution, a Poisson mixture of Pranav distribution, has been proposed. Its moments and moments-based measures including coefficients of variation, skewness, kurtosis, index of dispersion have been obtained and their behavior illustrated graphically. The estimation of parameter of the proposed distribution has been discussed using both the method of moment and the method of maximum likelihood. The simulation study has also been presented in order to illustrate the performance of maximum likelihood estimator. The goodness of fit of the proposed distribution has been explained with two count datasets and its fit was found quite satisfactory over Poisson distribution, Poisson-Lindley distribution, Poisson-Akash distribution and Poisson-Ishita distribution.
A review on the advances of outliers
Authors: Petronilla Ogoke Uchenna , Chinaka Nduka Ethelbert
Published: July 2024

This study x-rays the perspectives, sources, types, incidence and consequences of outliers on some statistical methods and applications. Measures for detection, methods of handling/testing and consequences of outliers are highlighted. Controversies and remedies associated with estimating or discarding outliers in their distributional or structural form are discussed.
Biovalorization of Posidonia oceanica waste biomass as a green approach toward a sustainable bioeconomy
Authors: Souii Amal , Cherif Ameur , Neifar Mohamed
Published: July 2024

In the Mediterranean region, every summer the beaches have to be cleaned and millions of tons of Posidonia oceanica waste (POW) is often removed and not exploited. POW is mainly composed of fibrous materials consisting of cellulose and hemicellulose and lignin, as well as a significant percentage of ash and phenolic compounds. A solution to this ecological problem could be the valorization of this available and renewable biomass for the production of environmentally friendly industrial products. This mini-review focuses on the utilization of POW as a valuable biomass resource. In particular, seven POW valorization treatment approaches are discussed in this paper with a focus on bioenergy and biomaterials. The use of cleaner technologies can offer improved performance and an asset for contribution on sustainable POW management.
Discriminant analysis in the classification of anxiety disorders
Authors: Guedes Bruno , Gomes Paulo
Published: July 2024

The urgency of preventing serious mental disorders (MDs) has intensified in recent decades demanding innovative approaches for early diagnosis. This paper’s main objective is to revisit statistical discriminant methods emphasizing their crucial and practical role to classify patients into different MDs categories. From three groups (nervous, psychotic, and healthy) of fifty individuals, each evaluated by thirty variables, an exploratory discriminant analysis was performed in order to obtain the linear combination of the variables who maximize the separation between these groups. From the statistical analysis of the two first discriminant functions, it was identified a subset of fifteen variables which discriminant power revealed a misclassification rate of 10% in the training test and 14.6% in the testing test. Finally, this model was compared to a discriminant stepwise method which identified eighteen discriminant variables.
External influences and public health in Malta
Authors: Abdellaoui Abdelkader
Published: July 2024

Malta is an Island on the Mediterranean close to Italy, and Tunisia as shown in the following figure. It occupies a strategic geographical position which has earned it many influences, including Christian, Ottoman, and English. It has become a popular tourist destination.
Hiring in the Pediatric Hospital Medicine Board Certification Era: PHM Leader Perspectives
Authors: Osburn T. Shea , McCarthy Patrick J. , Dawlett Marie , LaRussa Liborio , DeLeon Stephanie , McKnight Heather
Published: July 2024

OBJECTIVES

The designation of pediatric hospital medicine (PHM) as a board-certified (BC) subspecialty has led to uncertainty about the importance of PHM board certification in hiring pediatric hospitalists and ambiguity in counseling trainees interested in PHM careers about the decision to pursue fellowship. We sought to determine the importance of PHM board eligibility or certification in hiring practices.

METHODS

We conducted an online, cross-sectional, survey-based study of individuals who self-identified as PHM division leadership utilizing the PHM Division Director Listserv and participant recruitment at a national meeting.

RESULTS

A total of 86 responses were received. A total of 64% (30/47) of university-setting hospitals, 77% (17/28) of community hospitals, and 100% (11/11) of combined settings reported that they will hire applicants who are not board-eligible (BE) or BC (P = .83). Of the hospitals who will be hiring non-BE hospitalists, 50% of university settings, 77% of community settings, and 55% of combined settings plan to give equal consideration to both BE and non-BE applicants (P = .21). A total of 57% (21/37) of programs with a PHM fellowship felt that fellowship training was an important or very important consideration in hiring, compared with 27% (13/49) of programs without a PHM fellowship (P = .04).

CONCLUSIONS

Programs with a PHM fellowship were significantly more likely to believe that fellowship training is an important consideration in hiring hospitalists. PHM board certification and fellowship training are perceived as more important by university-based programs, although all settings will consider hiring applicants who are not BC or BE.
Intimidade e nostalgia na produção de moda íntima
Authors: Gonçalves Elton Luiz , Vieira Suellen Cristina , Moraes Heloisa Juncklaus Preis , Bressan Júnior M´´ário Abel
Published: July 2024

A pesquisa refletiu a compreensão no uso das memórias nostálgicas como uma importância significativa na produção do trend report Previsão P/V 23: moda íntima – Mundo Interior (2022) da trend forecasting WGSN. Nos despertou o interesse nesta análise como a moda contempla o tempo como arranjo estético e, neste particular objeto, como ela recorre, viaja constantemente aos quadros do passado para destemporalização da lembrança e propor uma perspectiva de futuro, uma tendência em um novo momento, se não mais que afetivo e poético. Para isso, nos movemos em um alinhamento entre o conceito de memória e a nostalgia como uma particularidade de rememoração querençosa que reconduz o estado da alma à contemplação e ao contentamento, para correlacionar nossa observação aos conceitos e às tendências do trend report explorado. Também, como segunda etapa, e pelo viés da Teoria do Imaginário em Durand (2012), nos interessou no mesmo relatório P/V 23 da WGSN, demonstrar que, no repertório das tendências, dos insights mapeados, existe uma constelação de imagens, em especial da intimidade, incondicionalmente determinada pelas estruturas antropológicas do imaginário, sobretudo, ao regime noturno das imagens.
Arqueologia especulativa
Authors: Gonçalo Pablo
Published: July 2024

O artigo realiza uma investigação conceitual e metodológica sobre o papel dos roteiros não filmados nos estudos de cinema. Ao se concentrar nas temporalidades retrospectivas e prospectivas dos roteiros não filmados, o ensaio propõe uma arqueologia especulativa como metodologia. Na parte final, há uma proposta de uma tipologia de roteiros não filmados, chamando a atenção para o roteiro blueprint, os argumentos e os roteiros fragmentados; os traços autorais dos roteiros inéditos; e o círculo vicioso dos roteiros que são filmados em um contexto de produção diferente do original.
Nikāya Buddhism and Early Chan: A Different Meditative Paradigm
Authors: Polak Grzegorz
Published: July 2024

While it has long been acknowledged that Chan differs in many ways from more mainstream forms of Buddhism, recent scholarship has also resulted in an increasing awareness of the originality of early Buddhist teachings found in the Nikāyas and their distinctiveness from the later doctrine of classical Theravāda. This book is inspired by passages in Nikāya and early Chan texts that can be read as expressing surprisingly similar and at the same time very unconventional ideas about meditation, consciousness, and reality. While due to their unorthodox character, these passages have often been ignored or explained away when studied in the context of just one tradition, the new perspective provided by their comparative analysis allows a more direct reading to be considered, thereby drawing out their radical implications. This book argues that the unconventional concepts found in Nikāya and early Chan texts are part of a unique and coherent meditative paradigm that is very different from the one commonly associated with Buddhism and dominant in its history. One of its central ideas is that certain crucial meditative states cannot be directly attained through methods involving acts of will and mental effort such as active concentration, but their occurrence is dependent on a specific way of life, state of mind and existential condition. To make better sense of Nikāya and early Chan views that are often at odds with commonly held beliefs about mental functioning and the structure of reality, and to assess their plausibility, they are compared with relevant developments in Western philosophy and cognitive science.
Tatalaksana Pasien Syok Sepsis dengan Peritonitis Diffusa ec. Abses Hepar Post Laparatomi Eksplorasi
Authors: Rachman Faisal , Maskoen Tinni T.
Published: July 2024

Abses hepar didefinisikan sebagai benjolan yang berisi pus pada hepar yang dapat berkembang dari cedera pada hepar atau infeksi intra-abdominal yang menyebar dari sirkulasi portal. Tingkat kejadian tahunan abses hepar adalah sekitar 2,3 kasus per 100.000 orang. Abses hepar dapat pecah yang menyebar sehingga menyebabkan peritonitis dan syok. Komplikasi penularan ke organ lain termasuk endoftalmitis atau emboli septik sistem saraf pusat yang berakibat fatal pada pasien yang dapat menyebabkan kematian. Laporan kasus ini menjelaskan pasien laki-laki 18 tahun dengan syok sepsis dan abses hepar. Prinsip tata laksana pasien abses hepar adalah insisi dan debridement. Pada kasus ini pasien sudah mengalami syok septik tata laksananya meliputi resusitasi cairan, optimalisasi penggunaan vasopresor-inotropik, pengendalian sumber infeksi (source control), dan pemberian antibiotik intravena dini, sebaiknya dalam waktu satu jam setelah diagnosis sepsis dan syok septik ditegakkan. Selain itu, perawatan pasien kritis di ICU juga merupakan tantangan tersendiri terutama pasien dengan syok septik. Manajemen cairan, nutrisi, serta pemberian analgesia dan sedasi sesuai dengan kebutuhan. Penatalaksanaan tepat pasien dengan syok sepsis karena abses hepar, luaran pasien yang baik dengan length of stay (LOS) yang singkat di ruangan ICU merupakan target dokter anestesi dan intensivis. Penatalaksanaan yang tepat akan memberikan prognosis pasien yang lebih baik; pada kasus ini pasien ditatalaksana dengan baik sehingga pasien mendapatkan perbaikan keadaan umum dan kesadaran pasien kompos mentis setelah diterapi.
CORRELATION OF PAIN AND AGITATION IN INTUBATED PATIENTS IN HAJI ADAM MALIK GENERAL HOSPITAL ICU
Authors: Syakur Muhammad , Hamdi Tasrif , Lubis Andriamuri Primaputra
Published: July 2024

Agitasi umum terjadi pada pasien ICU dan dapat disebabkan oleh faktor-faktor seperti lingkungan baru, paparan obat, kondisi medis, dan kondisi kesehatan mental. Nyeri juga banyak dialami oleh pasien yang diintubasi di ICU yang menerima perawatan medis seperti suctioning ETT, pemasangan kateter urin, nasogastrik, dan tindakan perawatan pasien rutin sehari-hari dapat memperburuk agitasi. Dalam perawatan ICU, penting mempertimbangkan hubungan antara agitasi, nyeri, delirium, dan faktor-faktor lain untuk mengelola dan mengatasi kondisi pasien secara efektif. Penelitian ini bertujuan menganalisis korelasi antara nyeri menggunakan critical-care pain observation tool (CPOT) dan agitasi menggunakan RASS pada pasien intubasi di ICU Rumah Sakit Umum Pusat (RSUP) Haji Adam Malik. Desain penelitian adalah analitik observasional dengan studi cross sectional menggunakan skala CPOT dan Richmond agitation sedation scale (RASS) sebagai alat ukur selama periode Oktober 2023. Didapatkan perbedaan yang signifikan antara pengukuran pagi dan malam di semua penilaian hemodinamik. Diketahui ada korelasi positif yang signifikan antara CPOT dan RASS pada pagi hari dengan tingkat korelasi sedang dan arah korelasi positif. Perbedaan nilai CPOT pagi dan RASS pagi dengan sore hari signifikan secara statistik. Simpulan, didapatkan korelasi antara nyeri dan agitasi pada pasien yang diintubasi di ICU RSUP Adam Malik dengan tingkat korelasi sedang. CPOT dianggap memiliki manfaat untuk digunakan di ICU.
Soil conditioners improve the environment for grass growth in iron mining tailings of the Fundão dam failure
Authors: Borges Pedro Henrique de Castro , Silva Aline Oliveira , Santos Jessé Valentim dos , Carvalho André Mundstock Xavier de , Carneiro Marco Aurélio Carbone , Siqueira José Oswaldo
Published: July 2024

ABSTRACT Areas impacted by the deposition of iron mining tailings present physical and chemical characteristics that can hinder root growth, and applying soil conditioners can help alleviate these limitations. The objective was to evaluate the effect of soil conditioners in improving the environment for the growth of grass in soil affected by iron mining tailing. Four different experiments were conducted testing conditioner proportions (0, 5, 10, 25, and 50% v/v), in a completely randomized design with four replications, using Cynodon spp. The conditioners were sand, vermiculite, sawdust, and organic compost. Bulk density, macro- and microporosity, total pore volume (VTP), pH, organic matter content (OM), cation exchange capacity (CEC), and dry mass of the aboveground, root, and total plant were evaluated. There were improvements in porosity and a reduction in density with the application of vermiculite, sawdust, and organic compost; however, sand decreased the VTP. The pH was reduced with sawdust and increased with compost. Sawdust and compost increased OM. CEC increased with vermiculite and compost. The sand and vermiculite conditioners promoted the greatest growth of Cynodon spp., with emphasis on vermiculite, which provided the greatest increases in plant biomass production. The soil conditioners, overall, proved effective in improving porosity conditions, reducing density, increasing OM, and promoting plant growth, this makes this technology efficient for application in tailings. Due to its notable effect on increasing biomass and improving the environment for grass growth, vermiculite can be recommended for rehabilitation environments impacted by iron mining tailings or for post-mining revegetation.
Hydrolytic enzyme activity (phytase and α-amylase) is decisive in the germination metabolism of maize seeds under salt stress
Authors: Sommer Ânderson Scalvi , Coelho Cileide Maria Medeiros , Padilha Matheus Santin , Nerling Daniele
Published: July 2024

ABSTRACT The mobilization of reserves is essential for seedling formation and can be influenced by seed vigor. This work evaluated how seed vigor and reserve mobilization influence maize seedling formation under salt stress. The high-vigor seeds comprised the seeds directly from the lot, while the low-vigor seeds were subjected to an artificial aging process to reduce the vigor. Seeds were germinated in a substrate moistened with water (control) or saline solution (100 mmol L-1 NaCl) and were submitted to germination and vigor tests (first germination count, cold test, and seedling performance). Biochemical profiling (phytic acid and inorganic phosphorus, total and soluble protein, starch and soluble sugars, α-amylase and phytase activity) was determined at 0 (quiescent seeds), 2, 4, 6, and 8 days after sowing. High-vigor seeds had better physiological performance and higher reserve hydrolysis rates under salt stress than low-vigor seeds. High-vigor seeds also showed earlier enzymatic activity than low-vigor, demonstrating a temporal difference in reserve hydrolysis during the stress. The highest differences in reserve hydrolysis occurred 2 days after sowing and differentiated the germinative metabolism of high and low-vigor seeds under salt stress.
Identifying soybean genotypes with artificial intelligence and near infrared reflectance
Authors: Bernardy Ruan , Cañizares Lázaro da Costa Corrêa , Meza Silvia Leticia Rivero , Rodrigues Larissa Alves , Jappe Silvia Naiane , Oliveira Maurício de
Published: July 2024

ABSTRACT With the increasing soybean production in Brazil, and the demand for soybeans with high protein and oil content, it is essential to conduct an in-depth study of the constituents of this grain, which can vary according to genotypes and growing conditions. Therefore, the objective of this study was to classify soybean genotypes, cultivated in different environments and sowing seasons, according to their chemical composition and the spectrum generated by near-infrared spectroscopy (NIRS). For this purpose, artificial intelligence and its machine learning technique were employed. 10 soybean genotypes were used, sown in two sowing seasons and cultivated 7 cities in Rio Grande do Sul. The chemical composition of the samples was analyzed using the FOSS NIRS DS2500 equipment, selecting the band between 807 and 817 nm. The applied algorithms were J48, Random Forest, CVR, lBk, MLP, using the Resample filter. The Weka software, version 3.8.6, was employed for data mining. The IBk algorithm achieved the best performance, reaching 89% correct classification of attributes. From the Confusion Matrix, it was observed that all genotypes obtained results above 60/70 for correctly predicted values, highlighting the algorithms’ good performance. In the metrics, IBk achieved 0.89 Precision, Recall, and F-Measure, and 0.94 ROC Area. Thus, it was possible to classify the genotypes according to their chemical composition related to the data obtained in the spectral curve, sowing season, and environment, using artificial intelligence and machine learning.
USE OF INFORMATION AND COMMUNICATION TECHNOLOGIES BY PREGNANT WOMEN FOR THEIR EMPOWERMENT IN THE PARTURIUM-PUERPERAL PROCESS
Authors: Carvalho Karini Manhães de , Backes Marli Terezinha Stein , Fernandes Vanessa Martinhago Borges , Santos Evangelia Kotzias Atherino dos , Collaço Vania Sorgatto , Will Samanta Felippe , Carvalho Sheini Manhães de
Published: July 2024

ABSTRACT Objective To understand the meaning of information and communication technologiy use by pregnant women for their empowerment in the parturition-puerperal process. Method This is qualitative research, with a Grounded Theory theoretical-methodological framework in the Straussian version. Data collection took place in two maternity wards in homes in Florianópolis, Santa Catarina, Brazil, with theoretical sampling of 15 in-depth interviews with postpartum women, from July to November 2019. Data analysis was carried out concomitantly with collection, through open, axial and selective coding/integration, using the paradigmatic model. Results The central phenomenon entitled “Expressing the meaning of information and communication technologiy use for the empowerment of women in the birth process and breastfeeding” was constructed with four related categories: “Noticing gaps in prenatal care”; “Needing to confirm information from information and communication technologies with healthcare professionals”; “Empowering themselves for work, childbirth, and breastfeeding”; and “Highlighting women as leading actors”. Conclusion Information and communication technologiy use as complementary preparation for the parturition and puerperal process is significantly positive and essential for pregnant women. The search for these technologies encourages autonomy and empowerment, and is necessary, mainly, to fill gaps left by insufficient prenatal appointment time. Despite being part of everyday life, healthcare professionals continue to be irreplaceable in monitoring and welcoming these pregnant women. However, they need to adapt to reduce the possible negative impacts of these technologies and to make advances in the care process.
ANÁLISE DO FLUXO DO ATENDIMENTO DE PACIENTES EM HEMODINÂMICA SUSTENTADO NO PENSAMENTO LEAN
Authors: Bochi Camila Souza , Magalhães Aline Lima Pestana , Costa Diovane Ghignatti da , Gelbcke Francine Lima , Moraes Érica Brandão de
Published: July 2024

RESUMO Objetivo: analisar o fluxo do atendimento de pacientes em um serviço de hemodinâmica sustentado no pensamento Lean com base no Mapa de Fluxo de Valor. Método: estudo de caso, exploratório-descritivo, realizado no serviço de hemodinâmica de um hospital público universitário do sul do Brasil. A coleta de dados ocorreu por meio de observação participante com doze integrantes da equipe multiprofissional e entrevistas com cinco participantes no período de maio de 2021 a fevereiro de 2022. A análise sustentou-se no referencial Lean e nas etapas previstas no Mapa de Fluxo de Valor. Resultados: elaborou-se o Mapa de Fluxo de Valor da situação atual do serviço, identificando-se fornecedores e clientes do processo e seus requisitos. Elencaram-se 61 problemas relacionados a requisitos não atendidos, dos quais 12 foram priorizados, a fim de promover o planejamento de melhorias. Conclusão: com o Mapa de Fluxo de Valor foi possível estabelecer prioridades de melhoria que impactam no desempenho operacional do serviço. Identificou-se que melhorias relacionadas à padronização das atividades minimizam os desperdícios de falha e espera, que foram os mais prevalentes no serviço, entre outros observados.
DOMESTIC VIOLENCE AGAINST WOMEN: EXPERIENCES OF PRIMARY HEALTH CARE PROFESSIONALS
Authors: Rodrigues Paula Sales , Araujo Laissa Figueredo , Vernasque Juliana Ribeiro da Silva , Souza Aline Pereira de , Alarcon Miriam Fernanda Sanches , Higa Elza de Fátima Ribeiro , Marin Maria José Sanches
Published: July 2024

ABSTRACT Objective: to analyze how Primary Health Care professionals experience domestic violence against women. Method: qualitative research, conducted from January to June 2023, through interviews with 20 Primary Health Care professionals, in a medium-sized municipality in the state of São Paulo, Brazil. The data obtained were interpreted using the Content Analysis Technique, thematic modality. Results: professionals emphasize the need for a sensitive approach and early identification, expressing feelings of perplexity and powerlessness during care. The impacts of violence are perceived by the victims, families, and society, causing physical, psychological, and social consequences. Challenges include lack of training, fear of reprisals, and lack of institutional support. The limitations faced by women in confronting violence are linked to lack of information, financial and emotional dependence, generating fear and insecurity. Conclusion: professionals experience the complexity of providing health care to women who are victims of domestic violence, and it is inferred that investments in professional training, institutional protection, and the creation of spaces that can support women are necessary to prevent re-victimization.
VIOLÊNCIA DOMÉSTICA CONTRA AS MULHERES: VIVÊNCIAS DOS PROFISSIONAIS DA ATENÇÃO PRIMÁRIA A SAÚDE
Authors: Rodrigues Paula Sales , Araujo Laissa Figueredo , Vernasque Juliana Ribeiro da Silva , Souza Aline Pereira de , Alarcon Miriam Fernanda Sanches , Higa Elza de Fátima Ribeiro , Marin Maria José Sanches
Published: July 2024

RESUMO Objetivo: analisar como os profissionais da Atenção Primária à Saúde vivenciam a violência doméstica contra as mulheres. Método: pesquisa Qualitativa, desenvolvida no período de janeiro a junho de 2023, por meio de entrevistas com 20 profissionais da Atenção Primária à Saúde, em um Município de Médio Porte do Interior Paulista. Os dados obtidos foram interpretados pela Técnica de Análise de Conteúdo, modalidade temática. Resultados: os profissionais enfatizam a necessidade de abordagem sensível e identificação precoce, expressando sentimentos de perplexidade e impotência durante o atendimento. Os impactos da violência são percebidos pelas vítimas, famílias e sociedade, causando consequências físicas, psicológicas e sociais. Os desafios incluem falta de capacitação, medo de represálias e carência de apoio institucional. As limitações enfrentadas pelas mulheres no confronto com a violência estão ligadas à falta de informação, dependência financeira e emocional, gerando medo e insegurança. Conclusão: os profissionais vivenciam a complexidade que representa o cuidado em saúde às mulheres vítimas de violência doméstica e, depreende-se que são necessários investimentos na capacitação dos profissionais, proteção institucional e criação de espaços, que possam acolher as mulheres, evitando assim a revitimização.
Myrtaceae flowering strategies in a gallery forest, Chapada Diamantina, Brazil
Authors: Fonseca Rosineide Braz Santos , Nunes Elaine Maiara Bonfim , Costa Jamerson Souza da , Menezes Isiara Silva , Miranda Lia d’Afonsêca Pedreira de , Borba Eduardo Leite , Funch Ligia Silveira
Published: July 2024

Abstract Tropical plants exhibit virtually all known phenological responses, which can range from near-continuous to brief events, and from complete synchrony to complete asynchrony. This wide variety of phenological patterns is related to high tropical biodiversity and complex interactions with diverse abiotic and biotic factors, such as plant-pollinator interactions. Changes in these factors will therefore influence plant phenology, and differences in those phenological responses can impact reproductive success and plant fitness. We report here interspecific variations in the reproductive ecology (flowering phenology, floral biology, reproductive systems, and pollination) of 10 Myrtaceae species in a gallery forest in northeastern, Brazil. We evaluated flowering patterns and strategies, considering the frequency and duration of each phenophase from monthly observations, using the semi-quantitative Fournier scale. We also analyzed floral biology, recorded floral visitors, conducted pollination experiments (autonomous self-pollination, hand self-pollination, hand cross-pollination, and natural/open pollination), and calculated sefl-incompatibility (SII) and autogamy (AI) indices. Most species exhibited synchronous and annual flowering lasting between 1 and 5 months, with a “pulsed bang” strategy (i.e., mass flowering concentrated within just a few days, with intervals). These patterns were repeated among congeneric species, except in Myrcia, in which half of the species accompanied were classified as having a “pulsed bang” and the other half a “big bang” strategy. The flowering strategies appeared to be associated with distinct patterns of inflorescence development, bud production, flowering duration, and the timing of flowering in individual plants. Bee species were considered pollinators. Most species studied were self-incompatible and allogamous. In general, the species produced large quantities of flowers during short temporal intervals, favoring crosses between individuals having precise synchrony.
Acidose tubular renal na amiloidose hereditária por transtirretina (ATTRv)
Authors: Fernandes Priscilla Cardim , Silva Moises Dias da , Waddington-Cruz Marcia , Gomes Carlos Perez
Published: July 2024

Resumo Introdução: A amiloidose hereditária por transtirretina (ATTRv) é uma doença sistêmica autossômica dominante grave. Afeta os sistemas nervoso periférico e autônomo, coração, rins e olhos. A deposição de amiloide foi demonstrada nos compartimentos glomerular e tubulointersticial do rim. Portanto, distúrbios de acidificação urinária, como acidose tubular renal (ATR), podem ser manifestações precoces de envolvimento renal nessa população. Objetivo: Avaliar a prevalência de ATR em indivíduos com ATTRv. Métodos: Incluímos indivíduos sintomáticos e assintomáticos com mutação na TTR, maiores de 18 anos, TFG >45 mL/min/1,73m2, sem acidose metabólica sistêmica. Realizou-se protocolo de acidificação urinária com furosemida e fludrocortisona após 12 horas de privação hídrica (teste de restrição hídrica - TRH) e medições de amônia urinária ( uNH 4 +) e acidez titulável (uTA) na urina. ATR proximal (ATRp) foi diagnosticada quando FEHCO3>10%. ATR distal (ATRd) de forma incompleta foi diagnosticada se pHu>5,3. Resultados: Selecionamos 49 indivíduos com idade média de 40 (35,5–56,5) anos, 63% mulheres, 84% caucasianos e TFG média de 85,5 ± 20,5 mL/min/1,73m2. 94% apresentaram a variante genética Val50Met; 57% eram sintomáticos. A prevalência de ATRp foi 2% e a de ATRd foi 16,3%. No subgrupo com ATRd, não houve aumento significativo na excreção de uNH 4 + e uTA. Observamos uma boa correlação entre pHU por potenciometria e pHU por fita reagente. Um pHU<5,5 na fita reagente apresentou 100% de sensibilidade e valor preditivo negativo para excluir a ATRd. ConclusÃO: Uma alta prevalência de ATR foi encontrada em indivíduos com mutações na TTR. O pHU por fita reagente após TRH teve boa precisão para triagem de ATRd. São necessários mais estudos para avaliar o impacto do diagnóstico e tratamento precoces da ATR nessa população.
The impact of COVID-19 pandemic on domestic violence victim’s access to justice in Rio de Janeiro
Authors: Paiva Lívia de Meira Lima , Mello Adriana Ramos de
Published: July 2024

ABSTRACT This article presents barriers faced by the victims of domestic violence on accessing justice during the COVID-19 Pandemic. Periodic meetings of representatives from the institutions that make up the justice system were coded by the grounded theory and the situational analysis methodology. Coding made possible mapping the barriers to access to justice that are not visible in quantitative research that uses the databases of official bodies as a source, since the cases exposed in the meetings and systematized in the research refer to women who did not obtain access to justice for several reasons. As a result, it was observed that the articulation of two or more markers of gender, race, age, existence of physical disability or digital exclusion were crucial to mitigate access to justice in a period of health emergency, social isolation, food insecurity, unemployment and the resulting increase in tension in homes. There was a lack of a gender perspective in public policies during the health emergency. Institutional responses to obstacles proposed by them on the health emergency can be useful to expand access to justice in ordinary periods.
A saúde de mulheres lésbicas e bissexuais: experiências das profissionais de saúde no município de Belford Roxo/RJ
Authors: Silva Sheila Cristina Corrêa da , Silva Adriane Neves da , Tenenblat Mably Jane Trindade , Pereira Ernane Alexandre
Published: July 2024

RESUMO O trabalho visa conhecer a percepção das profissionais de saúde no cuidado de mulheres lésbicas e bissexuais. Trata-se de uma pesquisa qualitativa, com 12 profissionais de diferentes áreas e unidades de saúde da cidade de Belford Roxo (RJ). Em relação aos resultados, destacam-se duas temáticas com seus respectivos núcleos de sentidos: 1) o atendimento prestado a mulheres lésbicas e bissexuais na unidade de saúde; 2) facilitadores e dificultadores do acesso de mulheres lésbicas e bissexuais aos serviços. Apesar do reconhecimento de que a diversidade no cuidado à saúde da mulher faz parte do cotidiano das profissionais entrevistadas, as demandas e as especificidades de saúde de mulheres lésbicas e bissexuais ainda são pouco valorizadas nas práticas de cuidados, mantendo protocolos heteronormativos. O diálogo sobre a diversidade feminina, acerca do conhecimento e da materialização da Política LGBT é essencial para os profissionais e gestores, propiciando mudanças nesse cenário e minimizando as dificuldades de acesso. Por fim, é preciso discutir em que medida a política de saúde da população LGBTQIA+ vem sendo abordada nos currículos e está na agenda de compromissos da gestão municipal de modo a garantir os direitos dessa população nos serviços de saúde.
A EXPERIÊNCIA DE PACIENTES COM CÂNCER DE CABEÇA E PESCOÇO QUANTO AO AUTOCUIDADO COM A RADIODERMITE
Authors: Oliveira Sandra Suely Silva de , Sagica Tais dos Passos , Vilhena Débora Igreja de , Moreira Bruna Camila Blans , Silva Marcos José Risuenho Brito , Sousa Maiza Silva de , Santana Mary Elizabeth de
Published: July 2024

RESUMO Objetivo: Analisar a experiência de pacientes com câncer de cabeça e pescoço quanto ao autocuidado com a radiodermite associado aos fatores sociodemográficos e clínico-patológicos. Método: Estudo descritivo com abordagem qualitativa, desenvolvido em um Centro de Referência de Alta Complexidade em Oncologia em Belém - Pará - Brasil. Realizado com entrevistas e análise de prontuário. Os dados foram coletados de fevereiro a abril de 2022, e tratados por análise de conteúdo de Bardin subsidiada pelo software IRAMUTEQ. Resultados: Emergiram três subcategorias: importância do conhecimento do paciente quanto a radioterapia; identificação dos efeitos adversos relacionados ao tratamento; e, orientação do enfermeiro quanto ao autocuidado. Considerações Finais: O conhecimento dos pacientes foi incipiente sobre o tratamento, efeitos adversos foram identificados pelo impacto negativo em sua autoestima e autoimagem e a orientação do autocuidado foi efetiva com a reprodução do cuidado. O estudo oportuniza a elaboração de estratégia de ensino adequada em pesquisas futuras.
MODELO CALGARY DE AVALIAÇÃO FAMILIAR: MULHERES EM SITUAÇÃO DE VIOLÊNCIA E REVOGAÇÃO DE MEDIDAS PROTETIVAS
Authors: Rodrigues Paula Sales , Alonso Julia Santiago Cruz , Souza Aline Pereira de , Sponchiado Viviane Boacnin Yoneda , Vernasque Juliana Ribeiro da Silva , Marin Maria José Sanches
Published: July 2024

RESUMO Objetivo: compreender as fortalezas e fragilidades das famílias de mulheres em situação de violência que revogaram a medida protetiva de urgência. Método: pesquisa descritiva pautada no Modelo Calgary de Avaliação Familiar, no contexto de uma Delegacia da Mulher em um município do interior de São Paulo, Brasil, realizada entre os meses de setembro e novembro de 2021, com quatro famílias de mulheres que revogaram a medida protetiva. A coleta e análise de dados sobre a estrutura, o desenvolvimento e a funcionalidade familiar foram conduzidos segundo o Modelo Calgary. Resultados: as famílias apresentam similaridades que abrangem aspectos socioeconômicos, baixa escolaridade, uso de álcool, relações familiares conflituosas e transgeracionais que, por suas fragilidades, perpetuam o ciclo de violência. Entretanto, os benefícios sociais, o aporte religioso e de familiares se apresentaram como fortalezas. Conclusão: o Modelo Calgary de Avaliação Familiar proporciona direcionamento à enfermagem para propor planos de cuidados consoantes às complexidades da violência doméstica.
SAÚDE MENTAL INFANTOJUVENIL NAS ESCOLAS: PERCEPÇÃO DE ENFERMEIROS
Authors: Bianchi Bernardo Leivas , Siniak Débora Schlotefeldt , Velozo Kelly Dayane Stochero , Souza Michele Bulhosa de , Borges Luana Ribeiro
Published: July 2024

RESUMO Objetivo: Conhecer a percepção de enfermeiros que atuam no Programa Saúde na Escola acerca da saúde mental infantojuvenil. Método: Pesquisa qualitativa, exploratória e descritiva realizada entre dezembro de 2022 a fevereiro de 2023, com enfermeiros atuantes em Estratégias Saúde da Família no município da Fronteira Oeste do Rio Grande do Sul - Brasil. Coleta dos dados com entrevistas semiestruturadas e Análise Temática de Minayo. Resultados: A concepção de saúde mental esteve atrelada tanto ao conceito tradicional quanto à clínica ampliada. Os fatores de risco à saúde mental das crianças e adolescentes destacados foram conflitos familiares, preconceito, exposição a violências, influência digital, uso de substâncias psicoativas e criminalidade. Conclusão: Destaca-se a necessidade de fomento às estratégias de cuidado, especialmente por parte dos enfermeiros, capacitando-os para realizarem um olhar mais crítico e centrado nos fatores de risco e nas demandas em saúde mental, de acordo com as especificidades do público infantojuvenil.
CUIDADO AOS USUÁRIOS DE DROGAS EM UMA ESTRATÉGIA DE SAÚDE DA FAMÍLIA: POTENCIALIDADES E DESAFIOS
Authors: Silva Vanessa Alvez Mora da , Pinho Leandro Barbosa de , Nasi Cintia , Siniak Débora Schlotefeldt , Santos Elitiele Ortiz dos , Ávila Marciele Barcelos , Palskuski Kauana Lima
Published: July 2024

RESUMO Objetivo: Avaliar as potencialidades e desafios existentes no cuidado a usuários de substâncias psicoativas em uma Estratégia de Saúde da Família através da percepção dos profissionais. Método: Estudo de caso qualitativo, realizado por meio da Avaliação de Quarta Geração, desenvolvido em 2023, numa Estratégia de Saúde da Família de um município do Rio Grande do Sul, Brasil, com 19 profissionais. Foram utilizadas técnicas de etnografia prévia, entrevistas com aplicação do círculo hermenêutico-dialético, para análise dos dados utilizou-se o método comparativo constante. Resultados: ão potencialidades o comprometimento da equipe e matriciamento. Os desafios são as dificuldades dos vínculos com os usuários, os medos, os estigmas, os despreparos da equipe, a falta de estrutura física e profissionais. Conclusão: Este estudo contribuiu para o desvelamento dos desafios encontrados no cuidado à usuários de drogas e pretende fomentar um atendimento voltado para o acolhimento e integralidade do sujeito.
PERCEPCIÓN DE LOS USUARIOS CON DIABETES SOBRE EL AUTOCUIDADO DE SUS PIES: UN ANÁLISIS CUALITATIVO
Authors: Andrade Raquel Coelho de , Campos Hércules Lázaro Morais , Alves Thais Favero , Braga Johrdy Amilton da Costa , Dantas Ellem Nara Tananta , Leon Elisa Brosina de
Published: July 2024

RESUMEN Objetivo: Evaluar la percepción de los usuarios con diabetes mellitus tipo 2 (DM2) sobre el autocuidado de sus pies mediante el uso de videos educativos. Método: Se trata de un estudio cualitativo realizado con usuarios con DM2 atendidos en Atención Primaria de Salud en el estado de Amazonas, Brasil. Los participantes vieron dos videos sobre el cuidado de los pies y respondieron a seis preguntas sobre sus percepciones. Los datos se analizaron con el software ATLAS.ti 9®. Resultados: TSurgieron tres categorías: 1) “conocimientos previos” con las subcategorías “fragilidad en la orientación profesional” y “videos como herramientas para recordar”; categoría 2) “asimilación del lenguaje y del formato audiovisual”; y categoría 3) “posibilidades de repercusión en el autocuidado”. Conclusión: Se señaló la falta de información necesaria sobre el cuidado del pie diabético en las comunidades remotas. Las tecnologías audiovisuales para la educación sanitaria son esenciales para informar y promover el autocuidado.
ELABORACIÓN Y VALIDACIÓN DE UN PROTOCOLO DE PUNTOS DE ACUPUNTURA AURICULAR PARA LA CEFALEA
Authors: Andrade Kaue Batista , Rodrigues Carolina Amaral Oliveira , Souza Vitória Cristina Ferreira , Teixeira Wesley Silva , Gusmão Ricardo Otávio Maia , Moura Caroline de Castro , Araújo Diego Dias de
Published: July 2024

RESUMEN Objetivo: Elaborar y validar el contenido de un protocolo de puntos de acupuntura auricular para el tratamiento de la cefalea. Método: Estudio metodológico, realizado en junio de 2023, en Montes Claros, Minas Gerais, Brasil. Estructurado en tres etapas: planificación (relevamiento bibliográfico e identificación de variables de estudio), elaboración de instrumentos (caracterización de expertos, protocolo de puntos y régimen de tratamiento) y validación de contenido por 15 expertos. En el análisis de los datos se utilizó un porcentaje de concordancia absoluta igual o mayor al 80%. Resultados: El protocolo de acupuntura auricular para el tratamiento de la cefalea, validado por expertos, estuvo compuesto por los siguientes puntos: “Puerta de la Mente” (93,3%), Riñón (86,7%), Simpático (86,7%), Ansiedad (86,7%), Subcórtex (86,7%), Tronco Encefálico (86,7%), Frontal (86,7%), Occipital (86,7%), Temporal (86,7%) e Hígado (80%). Conclusión: Se consideró válido el protocolo de acupuntura auricular para el tratamiento de la cefalea, lo que permitirá su uso en la práctica clínica y en la investigación.