bluuebunny/crossref_metadata_2025 huggingface dataset:
Voluntary termination of pregnancy (medical or surgical abortion): forensic medicine issues
Authors: Piras Mauro , Delbon Paola , Bin Paola , Casella Claudia , Capasso Emanuele , Niola Massimo , Conti Adelaide
Published: August 2016

In Italy, Law 194 of 22 May 1978 provides for and regulates the voluntary termination of pregnancy (VTP). Medical abortion became popular nationwide after Mifepristone (RU-486) was authorized for the market by AIFA (Italian Drug Agency) in July 2009. We searched articles in medical literature database with these terms: “medical abortion”, “RU486”, “surgical abortion”. We also searched laws and judgments concerning abortion in national legal databases. Ministerial guidelines were searched on official website of Italian Ministry of Health. We found many medical studies about medical and surgical abortion. We found also ministerial and regional guidelines, which were analyzed. From the point of view of legal medicine, the issues related to abortion with the pharmacological method consist in verifying compatibility and consistency with the safety principles and the parameters imposed by Law n. 194 of 1978, using off-label Misoprostol, what inpatient care should be used and informed consent. The doctor’s job is to provide the patient with comprehensive and clear information about how the procedure will be performed, any complications and the time period needed for both procedures.
Recent advances in nanoplasmonic biosensors: applications and lab-on-a-chip integration
Authors: Lopez Gerardo A. , Estevez M.-Carmen , Soler Maria , Lechuga Laura M.
Published: August 2016

Motivated by the recent progress in the nanofabrication field and the increasing demand for cost-effective, portable, and easy-to-use point-of-care platforms, localized surface plasmon resonance (LSPR) biosensors have been subjected to a great scientific interest in the last few years. The progress observed in the research of this nanoplasmonic technology is remarkable not only from a nanostructure fabrication point of view but also in the complete development and integration of operative devices and their application. The potential benefits that LSPR biosensors can offer, such as sensor miniaturization, multiplexing opportunities, and enhanced performances, have quickly positioned them as an interesting candidate in the design of lab-on-a-chip (LOC) optical biosensor platforms. This review covers specifically the most significant achievements that occurred in recent years towards the integration of this technology in compact devices, with views of obtaining LOC devices. We also discuss the most relevant examples of the use of the nanoplasmonic biosensors for real bioanalytical and clinical applications from assay development and validation to the identification of the implications, requirements, and challenges to be surpassed to achieve fully operative devices.
Gelatin nanoparticles: a potential candidate for medical applications
Authors: Yasmin Rehana , Shah Mohsin , Khan Saeed Ahmad , Ali Roshan
Published: August 2016

Gelatin is a protein obtained from the hydrolysis of collagen. Gelatin is an attractive biodegradable material for use in nano-biotechnology and nano-pharmaceutics. Gelatin nanoparticles (NPs) have been widely used as drug and gene carrier to targeted sick tissues including cancer, tuberculosis, HIV infection along with the treatment of vasospasm and restenosis, due to its biocompatibility and biodegradability. For instance, coating with gelatin lowers the cytotoxicity of quantum dots. Moreover, gelatin NPs have the ability to cross the blood-brain barrier, hence proven as a promising candidate to target brain disorders. Macrophage targeting with gelatin NPs for remedy of different diseases is repeatedly reported in previous years. In tissue engineering gelatin is actively utilized for construction of biological and life-long 3D scaffolds for bio-artificial tissues and organ production. Gelatins have a wide range of potential applications which needs to be unraveled in more detail. This review is mainly focused on the applications of gelatin NPs in biomedical sciences.
Optimization of processing parameters in green synthesis of gold nanoparticles using microwave and edible mushroom (Agaricus bisporus) extract and evaluation of their antibacterial activity
Authors: Eskandari-Nojehdehi Maryam , Jafarizadeh-Malmiri Hoda , Rahbar-Shahrouzi Javad
Published: August 2016

Gold nanoparticles (AuNPs) were synthesized using edible mushroom
Metal Detecting in Finland - An Ongoing Debate
Authors: Wessman Anna , Koivisto Leena , Thomas Suzie
Published: August 2016

This outline article presents and critiques legislation as it affects the metal detecting hobby and the
archaeological profession. It considers some of the ways in which metal detectorists themselves have caused
controversy but also positive news in relation to archaeological heritage in Finland. A selection of examples
of collaboration based on the authors own experiences is presented, also the impact of metal detecting on
material culture and archaeological research. The continuing object-oriented focus of both metal detectorists
and the media is identified. New collection and engagement strategies could enhance archaeological research,
while engaging this particular section of the wider public.
Space-time spectral collocation algorithm for solving time-fractional Tricomi-type equations
Authors: Abdelkawy M.A. , Ahmed Engy A. , Alqahtani Rubayyi T.
Published: August 2016

We introduce a new numerical algorithm for solving one-dimensional time-fractional Tricomi-type equations (T-FTTEs). We used the shifted Jacobi polynomials as basis functions and the derivatives of fractional is evaluated by the Caputo definition. The shifted Jacobi Gauss-Lobatt algorithm is used for the spatial discretization, while the shifted Jacobi Gauss-Radau algorithmis applied for temporal approximation. Substituting these approximations in the problem leads to a system of algebraic equations that greatly simplifies the problem. The proposed algorithm is successfully extended to solve the two-dimensional T-FTTEs. Extensive numerical tests illustrate the capability and high accuracy of the proposed methodologies.
Saying of the desert fathers, Sayings of the rabbinic fathers: Avot deRabbi Natan and the Apophthegmata Patrum
Authors: Siegal Michal Bar-Asher
Published: August 2016

In this article I wish to present a textual comparison between paragraphs in the rabbinic
Massive Particle Reflection from Moving Mirrors
Authors: Sfarti Adrian
Published: August 2016

We investigate the reflection of massive particles from moving mirrors. The adoption of the formalism based on the energy-momentum allowed us to derive the most general set of formulas, valid for massive and, in the limit, also for massless particles. We show that the momentum change of the reflecting particle always lies along the normal to the mirror, independent of the mirror speed. The subject is interesting not only to physicists designing concentrators for fascicles of massive particles and electron microscopes but also to computer scientists working in raytracing operating in the photon sector. The paper, far from being only theoretical, has profound and novel practical applications in both domains of engineering design and computer science.
Effects of Moderators on Physical Training Programs: A Bayesian Approach
Authors: Vetter Rheba E. , Yu Han , Foose Alice K.
Published: August 2016

Vetter, RE, Yu, H, and Foose, AK. Effects of moderators on physical training programs: a Bayesian approach. J Strength Cond Res 31(7): 1868–1878, 2017—Creating an optimal physical training program is an important focus in sport and exercise research. The purpose of this research was to examine how different moderators (age, ability level, training weeks, training frequencies, and intensity) impacted the physiological outcomes of specific exercise training programs (muscular strength, speed, power, and cardiorespiratory) using the Bayesian method. A Bayesian approach uses flexible frameworks to determine the pattern of outcomes. This Bayesian analysis combined data generated by 34 previous studies from 1984 to 2015 to improve estimates of effects; these studies rendered 312 cases. The analyses for age were strong in cardiorespiratory and speed but less in power and muscular strength. Ability level was not a predictor of outcomes in each of the 4 areas. Training weeks contributed to power and cardiorespiratory, but not for speed, whereas for strength the effect size (ES) increased only up to the 16th week. Training frequency was a nonsignificant predictor of ES; most of the included studies within this analysis used only training frequencies of 2 or 3 days. Training intensity clearly contributed to the ES. The pattern of influence for intensity level in strength was greatest between 55 and 80%, in power it increased at 65% and continued in a positive linear pattern, in cardiorespiratory it increased up to 65% and then plateaued, and for speed no inferences could be made.
The Maximal Mechanical Capabilities of Leg Muscles to Generate Velocity and Power Improve at Altitude
Authors: García-Ramos Amador , Štirn Igor , Padial Paulino , Argüelles-Cienfuegos Javier , De la Fuente Blanca , Strojnik Vojko , Feriche Belén
Published: August 2016

García-Ramos, A, Štirn, I, Padial, P, Argüelles-Cienfuegos, J, De la Fuente, B, Strojnik, V, and Feriche, B. The maximal mechanical capabilities of leg extensors muscles to generate velocity and power improve at altitude. J Strength Cond Res 32(2): 475–481, 2018—This study aimed (a) to analyze the effect of an acute exposure to terrestrial altitude on the force-velocity relationship parameters (maximum force [F
0], maximum velocity [V
0], and maximum power [P
0]) during a loaded squat jump (SJ), and (b) to compare unloaded SJ and countermovement jump (CMJ) performance between sea level and altitude conditions. Seventeen international swimmers were tested at sea level (295 m asl) and 7 days later at terrestrial altitude (2,320 m asl) during their first 24 hours of altitude exposure. The maximum values of force and velocity were recorded during a loaded SJ (25–100% of body weight) to determine F
0, V
0, and P
0 parameters. Inconsequential differences between environmental conditions were found for F
0 (p = 0.993, 0.02%). However, V
0 (p = 0.038, 7.6%) and P
0 (p = 0.004, 6.8%) were higher at altitude. Peak values of force (SJ: p = 0.420, 1.19%; CMJ: p = 0.010, 3.6%), power (SJ: p = 0.028, 3.5%; CMJ: p = 0.005, 3.82%), and take-off velocity (SJ: p = 0.071, 1.6%; CMJ: p = 0.009, 1.9%) recorded during the SJ and CMJ were also higher at altitude. These results highlight the potential effect of an acute exposure to terrestrial altitude on enhancing vertical jump performance. The increase in maximal power of the leg muscles at altitude is caused by an improvement in the theoretical maximal velocity at which lower limbs can extend with no significant changes in the theoretical maximal force.
BRCA2 functions: from DNA repair to replication fork stabilization
Authors: Fradet-Turcotte Amélie , Sitz Justine , Grapton Damien , Orthwein Alexandre
Published: August 2016

Maintaining genomic integrity is essential to preserve normal cellular physiology and to prevent the emergence of several human pathologies including cancer. The breast cancer susceptibility gene 2 (BRCA2, also known as the Fanconi anemia (FA) complementation group D1 (FANCD1)) is a potent tumor suppressor that has been extensively studied in DNA double-stranded break (DSB) repair by homologous recombination (HR). However, BRCA2 participates in numerous other processes central to maintaining genome stability, including DNA replication, telomere homeostasis and cell cycle progression. Consequently, inherited mutations in BRCA2 are associated with an increased risk of breast, ovarian and pancreatic cancers. Furthermore, bi-allelic mutations in BRCA2 are linked to FA, a rare chromosome instability syndrome characterized by aplastic anemia in children as well as susceptibility to leukemia and cancer. Here, we discuss the recent developments underlying the functions of BRCA2 in the maintenance of genomic integrity. The current model places BRCA2 as a central regulator of genome stability by repairing DSBs and limiting replication stress. These findings have direct implications for the development of novel anticancer therapeutic approaches.
Ghrelin gene products rescue cultured adult rat hippocampal neural stem cells from high glucose insult
Authors: Kim Sehee , Kim Chanyang , Park Seungjoon
Published: August 2016

Adult hippocampal neurogenesis is decreased in type 2 diabetes, and this impairment appears to be important in cognitive dysfunction. Previous studies suggest that ghrelin gene products (acylated ghrelin (AG), unacylated ghrelin (UAG) and obestatin (OB)) promote neurogenesis. Therefore, we hypothesize that ghrelin gene products may reduce the harmful effects of high glucose (HG) on hippocampal neural stem cells (NSCs). The aim of this study was to investigate the role of these peptides on the survival of cultured hippocampal NSCs exposed to HG insult. Treatment of hippocampal NSCs with AG, UAG or OB inhibited HG-induced cell death and apoptosis. Exposure of cells to the growth hormone secretagogue receptor 1a antagonist abolished the protective effects of AG against HG toxicity, whereas those of UAG or OB were preserved. All three peptides attenuated HG-induced decrease in BrdU-labeled and phosphohistone-H3-labeled cells. We also investigated the effects of ghrelin gene products on the regulation of apoptosis at the mitochondrial level. AG, UAG or OB rescued hippocampal NSCs from HG insult by inhibiting intracellular and mitochondrial reactive oxygen species generation and stabilizing mitochondrial transmembrane potential. In addition, cells treated with ghrelin gene products showed an increased Bcl-2 and decreased Bax levels, thereby increasing the Bcl-2/Bax ratio, inhibiting cytochrome c release and preventing caspase-3 activation. Finally, AG-, UAG- or OB-mediated protection was dependent on the activities of adenosine monophosphate-activated protein kinase/uncoupling protein 2 pathway. Our data indicate that ghrelin gene products may act as survival factors that preserve mitochondrial function and inhibit oxidative stress-induced apoptosis.
Incidence and Clinical Associations of Childhood Acute Pancreatitis
Authors: Majbar Abdalmonem A. , Cusick Eleri , Johnson Paul , Lynn Richard M. , Hunt Linda P. , Shield Julian P.H.
Published: August 2016

OBJECTIVES:

To establish the UK incidence and clinical associations of acute pancreatitis (AP) in children aged 0 to 14 years.

METHODS:

Monthly surveillance of new cases of AP in children under 15 years of age through the British Pediatric Surveillance Unit conducted from April 2013 to April 2014 (inclusive) followed by 1-year administrative follow-up for all valid cases.

RESULTS:

Ninety-four cases (48 boys) fulfilled the diagnostic criteria. The median age at diagnosis was 11.2 years (range 1.3–14.9). White children accounted for 61% of the cases compared with 28% from Asian and 5% from African ethnicities. Pakistani children accounted for 18 of 26 (69%) Asian patients and 19% of the total cohort. The incidence of AP in children in the United Kingdom was 0.78 per 100 000/year (95% confidence interval [CI] 0.62–0.96). The incidence in Pakistani children (4.55; 95% CI 2.60–7.39) was sevenfold greater than white children (0.63; 95% CI 0.47–0.83). Of the 94 cases, 35 (37%) were idiopathic; other associations were: drug therapy, 18 (19%); gallstones, 12 (13%); hereditary, 7 (7%); organic acidemias, 7 (7%); anatomic anomalies, 5 (5%); viral infections, 3 (3%); systemic diseases, 2 (2%); and trauma 1 (1%). The most common drug associations were asparaginase (28%), azathioprine (17%), and sodium valproate (17%).

CONCLUSIONS:

Although still relatively uncommon in the United Kingdom, on average there is >1 case of childhood AP diagnosed every week. The associations of AP have changed significantly since the 1970–80s. Overrepresentation of Pakistani children is worthy of further investigation.
Impact of Global Health Education on Pediatric Residency Applicants' Rank-List and Decision Process
Authors: Puri Kriti , Castillo Jonathan , Castillo Heidi , Meinzen-Derr Jareen , Schubert Charles
Published: August 2016

This article was migrated. The article was marked as recommended. Background: The globalization of healthcare has contributed to a rapid increase in global health education (GHE) among residency programs. However the impact of GHE on pediatric residency selection and potential barriers to GHE have not been reported. Objective: Our objective was to identify associations between resident ranking preferences and, 1) past GHE experience, and 2) interest in GHE participation in future. Methods: Residents entering a large urban academic pediatric residency program from 2009 to 2014 were surveyed, to identify factors influencing pediatric residency program selection and the role of GHE in ranking and career decisions. Results: 86.5% (n=294) of the 340 entering residents responded (67.2% female; 74.6% white; mean age [SD] of 27 years [2.3]). About 50% (n=147) had prior GHE experience, and 90.4% endorsed interest in participating in GHE rotations. Availability of faculty mentorship, financial support, and personal safety were the most important factors influencing interest in participation. Non-white residents were more likely than white residents to have prior GHE experience (p=0.02). Residents with prior GHE experience were more familiar with the program's GHE opportunities prior to submitting their rank-lists (p=0.004). They gave greater importance to availability of GHE opportunities, in-country (p<0.001) and away (p<0.001), during the ranking process, while the geographical location of a residency program was less important (p=0.02). Conclusion: Our results document significant interest in GHE among incoming pediatric residents, and significant impact of availability of GHE on residency program selection. Availability of mentorship and financial support are important to pediatric residents interested in GHE.
A NEW TECHNIQUE FOR CLINICAL SKILLS TRAINING IN OBSTETRICS
Authors: Nadisauskiene Rūta Jolanta , Vaitkiene Daiva , Bariliene Sonata , Andriejaite Ieva , Kliucinskas Mindaugas , Malakauskiene Laura , Kemekliene Gintare , Dobozinskas Paulius , Vaitkaitis Dinas , Kudreviciene Ausrele
Published: August 2016

This article was migrated. The article was not marked as recommended. Background : Compared to the traditional "eye-to-eye" teaching, technical advances offer a new teaching potential for the improvement of the learning outcomes and professional development in medical studies.In this article, we survey the students' opinion about the perceived benefit when acquiring theoretical knowledge and practical skills in obstetrics via the application of the HybridLab technique.The aim of the HybridLab training technique is to develop standardized practical skills and to improve long-term memory. Methods : The subjects of the study were 5th-year students of the Medical Academy of the Lithuanian University of Health Sciences (LUHS) who were studying the Obstetrics and Gynecology module in 2015. In total, the study included 233 subjects (95% of all 5th-year students). The subjects filled out a standardized evaluation questionnaire consisting of 5 statements, which were evaluated using Likert's 7-point scale. At the end of the cycle, we conducted a qualitative study using an in-depth unstructured interview, where the respondents expressed their opinion about the HybridLab training technique. Results : The analysis of changes in mean self-evaluation scores prior to and after the training cycle revealed significant differences. The greatest changes were observed when evaluating the skills of measuring fundal height in pregnant women (4.62), determining fetal position in the uterus (4.58), and performing FHR auscultation (4.58). The results of the parametric paired test for dependent variables showed that the students' overall self-evaluation of their knowledge after the HybridLab training cycle increased by 3.98±2.1 points (p<0.001). The majority of the respondents (35%) named positive aspects of the training. The smallest proportion (10%) of the respondents consisted of those who did not present their opinion. Neutral experience was reported by 17% of the students, 15% of the respondents provided suggestions for the improvement of this training technique, and 23% of the students named negative aspects of the training cycle.
Effects of pig slurry application on the diversity and activity of soil biota in pasture areas
Authors: Silva Danni Maisa da , Jacques Rodrigo Josemar Seminoti , Silva Diego Armando Amaro da , Santana Natielo Almeida , Vogelmann Eduardo , Eckhardt Daniel Pazzini , Antoniolli Zaida Inês
Published: August 2016

ABSTRACT: The successive application of pig slurry to pastures is a common practice in southern Brazil, serving as a method of waste disposal as well as an important alternative to chemical fertilization. Although there are economic benefits to the use of manure as fertilizer, it may be associated with environmental hazards and cause changes to composition and activity of soil fauna. This study aimed to study the effects of pig slurry on the soil biota of pastures. Composition and biological activity of pastures where manure was applied successively for 2 years (A2) and 14 years (A14) were evaluated, and native forest (NF) was analyzed as a reference area. Successive application of pig slurry to the soil changed its biological characteristics according to the time of implementation; influenced the composition and diversity of soil fauna, leading to an increase in the total number of individuals, especially springtails; and increased the activity of the soil biota, especially to a depth of 6cm.
Estimating the development of landrace and improved maize cultivars as a function of air temperature
Authors: Langner Josana Andreia , Streck Nereu Augusto , Dalmago Genei Antonio , Reiniger Lia Rejane Silveira , Durigon Angelica , Silva Stefanía Dalmolin da , Lago Isabel , Scheffel Lúcio Gabriel , Poersch Anderson Haas
Published: August 2016

ABSTRACT: The objective of this study was to determine the maximum development rates for the phases of emergence, vegetative and reproductive, and to test the performance of the Wang and Engel (WE) model for simulating the development of landrace and improved maize cultivars sown on different dates. Model calibration was with data collected from a field experiment with a sowing date on December 13, 2014, and the model was tested with independent data from experiments with five sowing dates (August 20 and November 4, 2013, February 3 and August 15, 2014, and January 7, 2015) in Santa Maria, RS. The experiment was a complete randomized block design with four replicates. The dates of emergence (EM), silking (R1), and physiological maturity (R6) of two landraces ('Cinquentinha' and 'Bico de ouro') and two improved maize cultivars ('BRS Planalto' and 'AS 1573PRO') were recorded. Maximum daily developmental rates varied among cultivars from 0.2400 to 0.3411 d-1 for the emergence phase, from 0.0213 to 0.0234 d-1 for the vegetative phase, and from 0.0254 to 0.0298 d-1 for the reproductive phase. The WE model adequately estimated the developmental stages of landraces and improved maize cultivars with a mean error of 3.7 days. The cardinal temperatures used in the WE model were appropriate to estimate the developmental stages of landraces and improved maize cultivars.
ASSOCIATION BETWEEN ANXIETY AND DEPRESSION AND QUALITY OF LIFE OF CHRONIC RENAL PATIENTS ON HEMODIALYSIS
Authors: Ottaviani Ana Carolina , Betoni Loren Carolina , Pavarini Sofia Cristina Iost , Gramani Say Karina , Zazzetta Marisa Silvana , Orlandi Fabiana de Souza
Published: August 2016

ABSTRACT To analyze the relationship between anxiety and depression and quality of life in chronic renal failure patients on hemodialysis. This is a correlational study with a cross-sectional, quantitative approach, conducted with 100 kidney patients under treatment at a Renal Replacement Therapy Unit in the state of São Paulo. Data were collected using a sociodemographic questionnaire, Hospital Anxiety and Depression Scale and Kidney Disease and Quality of Life Short-Form. A negative correlation was found between anxiety and depression and the quality of life domains. In addition, the average scores on the Kidney Disease and Quality of Life Short-Form were significantly lower in patients with anxiety and depressive symptoms. In conclusion, there is a negative correlation between depression and anxiety and the health-related quality of life of chronic renal failure patients on hemodialysis.
José Lima Pedreira de Freitas e o redimensionamento e controle da doença de Chagas
Authors: Rocha Juan Stuardo Yazlle
Published: August 2016

Resumo Apresenta-se brevemente a evolução do conhecimento acerca da Doença de Chagas, desde sua descoberta por Carlos Chagas em 1909 até meados dos anos 1940. A saga do médico Pedreira de Freitas e seu crescente envolvimento na pesquisa na área levaram suas contribuições para o diagnóstico laboratorial – que ofereceu segurança às pesquisas epidemiológicas da Doença de Chagas – e ao redimensionamento da doença no Brasil e nas Américas com seu terrível impacto social e econômico. A sua proposta do modelo de profilaxia – baseado no expurgo seletivo na aplicação de inseticida – foi adotado nacional e internacionalmente e permitiu controlar a doença no Brasil e em outros países. Dedicou-se com igual intensidade a renovar o ensino da prática médica na comunidade sendo pioneiro na implantação da medicina preventiva na educação médica no Brasil.
Limites e possibilidades de um jogo online para a construção de conhecimento de adolescentes sobre a sexualidade
Authors: Oliveira Rebeca Nunes Guedes de , Gessner Rafaela , Souza Vânia de , Fonseca Rosa Maria Godoy Serpa da
Published: August 2016

Resumo O estudo teve como objetivo analisar limites e possibilidades de um jogo online para a construção de conhecimento em saúde dos adolescentes no campo afetivo-sexual e reprodutivo. Trata-se da avaliação da experiência de um grupo de adolescentes com o uso da ferramenta lúdica Papo Reto durante um período de três meses. Participaram do estudo 23 adolescentes, com idade entre 15 e 18 anos. Os dados foram coletados em duas Oficinas de Trabalho realizadas em uma Escola do Ensino Médio de São Paulo (SP). Os diálogos foram gravados, transcritos e analisados por meio de análise de conteúdo. Os resultados revelaram a potencialidade do jogo online Papo Reto para a reconstrução do conhecimento no campo sexual e reprodutivo e para a problematização da realidade a partir da perspectiva de gênero. Os temas abordados no jogo foram avaliados como motivadores para o uso da ferramenta. Foram sugeridos ajustes relativos à necessidade de inclusão de elementos promotores de maior ludicidade e interação para a ferramenta.
Controle da dengue: os consensos produzidos por Agentes de Combate às Endemias e Agentes Comunitários de Saúde sobre as ações integradas
Authors: Pessoa João Paulo de Morais , Oliveira Ellen Synthia Fernandes de , Teixeira Ricardo Antônio Gonçalves , Lemos Cristiane Lopes Simão , Barros Nelson Filice de
Published: August 2016

Resumo A dengue é um dos principais desafios de saúde pública no Brasil e as atividades de prevenção e controle dessa patologia vêm sendo baseadas na estratégia de gestão integrada proposta em políticas de saúde, nas quais os atores centrais são o Agente de Combate à Endemias (ACE) e o Agente Comunitário de Saúde (ACS). O estudo objetivou analisar os consensos produzidos pelos ACS e ACE sobre estas ações integradas com a implantação da Portaria de Incorporação dos ACE nas equipes da Estratégia Saúde da Família (ESF). Trata-se de uma pesquisa qualitativa com a realização de grupo focal com profissionais de um município de grande porte e com endemia de dengue do Brasil. O encontro foi gravado e as falas transcritas por meio da Análise do Discurso do Sujeito Coletivo, com apoio do WebQDA. Os resultados apontam consenso em relação a: I) dificuldade no processo de integração do ACS e ACE para o controle da dengue; II) inclusão dos ACE na atenção primária na ESF; III) inexistencia de acompanhamento e avaliação das ações integradas. Conclui-se que é necessário sensibilizar os participantes, buscando mudanças de comportamento, oferecer um ambiente de suporte aos envolvidos com cursos de capacitação sobre dengue, acompanhar o processo de integração e avaliar periodicamente criando indicadores de qualidade e quantidade.
Hacia una atención comunitaria en salud mental para personas con esquizofrenia en Colombia
Authors: Zaraza-Morales Daniel Ricardo , Hernández-Holguín Dora María
Published: August 2016

Resumen La atención en salud mental con base en la comunidad ha mostrado ser eficaz y acertada para el servicio de salud a personas con trastornos mentales severos como la esquizofrenia, evidencia que es menos clara en el sistema de salud de Colombia, donde se presentan debilidades, tanto en la prevención como en la rehabilitación, a pesar de que directrices nacionales le dan importancia al contexto social con relación a la enfermedad. Como aporte a la discusión sobre la atención para personas que viven con esquizofrenia, se realizó una revisión de tema con el objetivo de identificar experiencias en servicios de salud mental comunitaria, en relación con su pertinencia para estas personas en el ámbito nacional. Se buscaron artículos en Scientific Electronic Library Online (SciELO), Medline with Full text, Science Direct y documentos de la Organización Mundial de la Salud, Organización Panamericana de la Salud y Ministerio de Salud y Protección Social. Se hallaron pocas experiencias en atención comunitaria para personas con esquizofrenia en Colombia y teniendo en cuenta su importancia para la salud pública a nivel mundial, se realiza un llamado de atención hacia la construcción e implementación de estos modelos en el contexto colombiano.
A (des)valorização do agente comunitário de saúde na Estratégia Saúde da Família
Authors: Guanaes-Lorenzi Carla , Pinheiro Ricardo Lana
Published: August 2016

Resumo Este artigo discute sentidos produzidos por agentes comunitários de saúde (ACS) de uma cidade pequena de São Paulo sobre sua (des)valorização, considerando seu trabalho com redes sociais na Estratégia Saúde da Família (ESF). Foram realizados grupos de discussão com 28 agentes de seis unidades de saúde, os quais foram audiogravados e transcritos. A análise qualitativa do material permite identificar nas práticas discursivas dos ACS uma tensão em torno des/valorização de seu trabalho. Sentidos de valorização surgem quando destacam sua atuação próxima à comunidade e seu potencial para construção de vínculos, mas são tensionados por sentidos de desvalorização referidos a aspectos macroestruturais, como baixos salários e pouco reconhecimento de sua função comparativamente a profissionais de nível superior. Concluímos que a presença de uma visão ainda pautada na fragmentação dos processos de trabalho e em uma expectativa de resolutividade imediata das demandas da população através de ações individuais dos profissionais de saúde pode dificultar a apropriação, pelos ACS, de uma concepção mais abrangente de Atenção Primária, como articuladora da Rede de Atenção à Saúde e organizadora do Sistema Único de Saúde.
Las estrategias de comunicación de las organizaciones de pacientes con enfermedades raras (ER) en España
Authors: Castillo-Esparcia Antonio , López-Villafranca Paloma
Published: August 2016

Resumen El presente estudio se centra en la estrategia de comunicación de las organizaciones de pacientes con enfermedades raras. Los objetivos de estas organizaciones son: educar e informar sobre estas patologías, sensibilizar sobre sus problemáticas y obtener legitimación social para hacer visibles sus demandas. Para llevar a cabo esta investigación, se ha analizado el impacto de este colectivo en los medios de comunicación con mayor difusión y audiencia en España: prensa, (El País, El Mundo, La Vanguardia, ABC y El Periódico), radio (Cadena Ser, Onda Cero, Cope y RNE) y televisión (Telecinco, Antena 3, La 1, La Sexta, Cuatro), de 2012 a 2014. En segundo lugar, se ha realizado un estudio descriptivo de la comunicación en la web y redes sociales de 143 organizaciones nacionales. Y por último, se han elaborado encuestas telefónicas a una muestra representativa, 90 organizaciones, para relacionar la presencia mediática con la mejora de su situación económica e imagen social. Esta triangulación metodológica nos permite alcanzar los objetivos de la investigación. Se destaca mayor visibilidad social del colectivo merced a un número creciente de apariciones mediáticas, lo que propicia un aumento del número de miembros, pero no de donaciones y una mejora del conocimiento sobre estas patologías.
Tomada de decisão e alta administração: a implantação de projetos de mudanças de gestão da clínica em hospitais do SUS
Authors: Pacheco Júnior José Márcio da Cunha , Gomes Romeu
Published: August 2016

Resumo O presente artigo analisa a tomada de decisão da alta administração de hospitais públicos do Sistema Único de Saúde (SUS) em relação a projetos que foram elaborados com a intencionalidade de mudar a gestão da clínica. O desenho metodológico é de natureza qualitativa, baseado na perspectiva hermenêutica-dialética. Em termos de resultados, destaca-se que os diretores dos hospitais perceberam que os projetos de gestão da clínica mudaram a realidade hospitalar, aprimorando sua organização, mobilizando seus servidores no sentido de ordenar e sistematizar as ações e os recursos disponíveis. A racionalidade técnica foi a principal fundamentação presente nas tomadas de decisão dos gestores, apesar de, por vezes, os contextos organizacionais fragmentados impedirem a utilização de outros aspectos relacionados com a racionalidade, como a análise econômico-financeira. O modelo incremental e o político também se manifestaram nos discursos. Conclui-se que a tomada de decisão é prática de enorme dimensão que contempla aspectos racionais, como uso de técnicas de gestão e da capacidade de análise, interpretação e síntese, e aspectos subjetivos, como seleção de valores e vivências pessoais, visto que os problemas gerenciais são mais amplos, ambíguos, complexos e menos estruturados na prática.
Doar ou não doar, eis a questão: uma análise dos fatores críticos da doação de sangue
Authors: Pereira Jefferson Rodrigues , Sousa Caissa Veloso e , Matos Eliane Bragança de , Rezende Leonardo Benedito Oliveira , Bueno Natália Xavier , Dias Álvaro Machado
Published: August 2016

Resumo Atualmente, no Brasil, 1,78% da população é doadora de sangue, um índice abaixo do ideal que, segundo a OMS, deve figurar entre 3% a 5% da população. Mediante este cenário, o presente estudo tem como objetivo geral identificar e analisar os principais fatores críticos do processo de doação de sangue, a partir de uma investigação na cidade de Belo Horizonte, MG, sob a percepção de doadores, potenciais doadores e não doadores de sangue. Foi realizada uma pesquisa de abordagem qualitativa, por meio de vinte e quatro entrevistas semiestruturadas. Os resultados encontrados evidenciam a ausência de informações nas diversas etapas do sistema de doação de sangue. Nas etapas de captação e conscientização de doadores, as ações de comunicação transmitem à sociedade informações incompletas sobre o processo de doação, desestimulando ações futuras de doação. Por outro lado, a não valorização da experiência de doação e a construção de valor social associadas ao doador impedem a multiplicação de comportamentos sociais para a doação. Os resultados encontrados, no contexto teórico delineado neste estudo, evidenciam as causas, ou fatores críticos de impedimento à mudança de comportamento, incremental ou radical, propostas pelo marketing social.
Síndrome de Burnout em gestores municipais da saúde
Authors: Poletto Nelo Augusto , Probst Livia Fernandes , Oliveira Tátila Lima de , Guerra Luciane Miranda , Ambrosano Gláucia Maria Bovi , Cortellazzi Karine Laura , Gil-Monte Pedro Rafael , Possobon Rosana de Fátima
Published: August 2016

Resumo Introdução Os gestores municipais da saúde devem responder às demandas de suas equipes e dos pacientes do Sistema Único de Saúde, enfrentando cotidianamente situações potencialmente estressoras. A sobrecarga no trabalho pode levar à exaustão física e mental, com esgotamento dos recursos emocionais, e desencadear a Síndrome de Burnout (SB), cujas consequências podem atingir o serviço gerenciado, uma vez que, ao desempenhar essa atividade laboral, tomam-se decisões determinantes nas ações em saúde que afetam muitas pessoas. Este estudo verificou a presença da SB nos gestores municipais de saúde do Estado de São Paulo. Métodos Estudo do tipo transversal no qual foram coletados dados socioeconômicos e demográficos. Os níveis de SB foram avaliados pela aplicação do Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo (CESQT). A análise descritiva foi realizada por meio do cálculo de frequências. Resultados Verificou-se baixa prevalência de SB entre os 199 gestores participantes do estudo. Porém houve casos indicativos da presença da SB, inclusive com características de Perfil 2. Conclusão Esses achados evidenciam que essa classe de profissionais necessita de atenção e cuidados para prevenção e controle das consequências da SB, a fim de evitar que pessoas doentes gerenciem serviços de saúde.
Domestic violence on children: development and validation of an instrument to evaluate knowledge of health professionals
Authors: Oliveira Lanuza Borges , Soares Fernanda Amaral , Silveira Marise Fagundes , Pinho Lucinéia de , Caldeira Antônio Prates , Leite Maísa Tavares de Souza
Published: August 2016

ABSTRACT Objective: to develop and validate an instrument to evaluate the knowledge of health professionals about domestic violence on children. Method: this was a study conducted with 194 physicians, nurses and dentists. A literature review was performed for preparation of the items and identification of the dimensions. Apparent and content validation was performed using analysis of three experts and 27 professors of the pediatric health discipline. For construct validation, Cronbach's alpha was used, and the Kappa test was applied to verify reproducibility. The criterion validation was conducted using the Student's t-test. Results: the final instrument included 56 items; the Cronbach alpha was 0.734, the Kappa test showed a correlation greater than 0.6 for most items, and the Student t-test showed a statistically significant value to the level of 5% for the two selected variables: years of education and using the Family Health Strategy. Conclusion: the instrument is valid and can be used as a promising tool to develop or direct actions in public health and evaluate knowledge about domestic violence on children.
Evaluation of the educational technology "Caring for dependent people" by family caregivers in changes and transfers of patients and tube feeding
Authors: Landeiro Maria José Lumini , Peres Heloísa Helena Ciqueto , Martins Teresa Vieira
Published: August 2016

ABSTRACT Objective: to assess the contributions of interactive educational technology "Caring for Dependent People" in the development of knowledge to family caregivers of dependent people in a household context and their satisfaction in its use. Method: quasi-experimental study, not randomized, of the before and after type, with a convenience sample of 65 family caregivers, from two Medicine services of a hospital in Porto, Portugal. The Control Group consisted of 33 family caregivers and the Experimental Group of 32, identified by consecutive sampling. The experimental group had access to educational technology at home. Data were collected by socio-demographic, satisfaction and evaluation of knowledge questionnaire, about how to feed by nasogastric tube, positioning and transferring the dependent person. The assessment in both groups had two moments: initial, during hospitalization and one month after discharge. Results: the experimental group had a larger increase in knowledge related to the use of the educational technology. In the control group the knowledge did not differ in the two evaluation time points. Conclusion: these results confirm the improvement of interactive educational technologies and in the training of family caregivers to care for dependents. This technology successfully met the technical quality and learning needs of caregivers, and was considered easy and stimulating.
Pain from the life cycle perspective: Evaluation and Measurement through psychophysical methods of category estimation and magnitude estimation
Authors: Sousa Fátima Aparecida Emm Faleiros , Silva Talita de Cássia Raminelli da , Siqueira Hilze Benigno de Oliveira Moura , Saltareli Simone , Gomez Rodrigo Ramon Falconi , Hortense Priscilla
Published: August 2016

Abstract Objective: to describe acute and chronic pain from the perspective of the life cycle. Methods: participants: 861 people in pain. The Multidimensional Pain Evaluation Scale (MPES) was used. Results: in the category estimation method the highest descriptors of chronic pain for children/ adolescents were "Annoying" and for adults "Uncomfortable". The highest descriptors of acute pain for children/adolescents was "Complicated"; and for adults was "Unbearable". In magnitude estimation method, the highest descriptors of chronic pain was "Desperate" and for descriptors of acute pain was "Terrible". Conclusions: the MPES is a reliable scale it can be applied during different stages of development.
The Effect of Strategic Choices and Management Control Systems on Organizational Performance
Authors: Junqueira Emanuel , Dutra Eduardo Vieira , Zanquetto Filho Helio , Gonzaga Rosimeire Pimentel
Published: August 2016

ABSTRACT The study investigates the effect of generic strategic choices and management control systems (MCS) on the organizational performance of large and medium-sized companies located in Espírito Santo, using Contingency Theory as the theoretical framework. It is a quantitative study, using a survey as the data collection technique. 73 questionnaires were validated, after being completed by those responsible for the controlling or related area of these enterprises over the period between February and April of 2014. The data analysis was performed using the structural equations modeling technique. The main results indicate that: (i) competitive forces shape the strategy adopted by the organizations surveyed, however, contrary to what the literature predicts, those companies that operate in more competitive environments choose a strategy of cost leadership instead of differentiation; (ii) the design and use of the MCS is influenced by the strategy chosen, and the use of contemporary management practices is associated with a differentiation strategy; (iii) strategic choices and the MCS have a positive impact on organizational performance. In addition, those companies that combine differentiation strategy with contemporary management practices perform better than the other companies analyzed.
Ensino de Psicologia na formação de professores: uma aproximação com diálogos possíveis
Authors: Machado Cassio Andrade , Costa Luciano Bedin da
Published: August 2016

Resumo Diante da dimensão de cada ciência, se faz necessário elaborar propostas curriculares para o direcionamento do ensino desses campos científicos. Quais seleções foram realizadas para pensar a colaboração da psicologia na formação de professores? Com essa inquietação como norte, elaborou-se um estudo descritivo sobre as disciplinas de Psicologia na Faculdade de Educação da Universidade Federal do Rio Grande do Sul, por meio das ementas fornecidas pela secretaria da Faculdade. A análise dos documentos revelou a clara falta de sistematização, e a semelhança entre as formações em diferentes Licenciaturas foi apenas uma das questões abordadas na discussão do trabalho, que buscou tensionar as relações entre Psicologia e Educação, que, embora apresentem interesses mútuos, no diálogo institucional, parecem não se encontrar.
Encontros e desencontros de crianças e adultos na Educação Infantil: uma análise a partir de Martin Buber
Authors: Kramer Sonia , Nunes Maria Fernanda Rezende , Pacheco Alessandra Evelin Brandolim , Oliveira Andrea Ferreira Campos , Martins Aline Lopes
Published: August 2016

Resumo Este artigo apresenta pesquisa sobre práticas e interações em creches e pré-escolas, identificando convergências e divergências. O referencial teórico se baseia na filosofia do diálogo de Martin Buber, e o metodológico, na sociologia da infância, em que as contribuições de Corsaro e Ferreira possibilitam compreender interações e práticas de crianças e adultos em sete instituições de Educação Infantil. Os resultados evidenciaram nas creches: (i) positividades (escuta das crianças, relação dialógica, presença do outro; respeito às crianças; responsabilidade do adulto e preocupação com a qualidade); e (ii) ambiguidades (práticas repetitivas, intenção de ensinar). E nas pré-escolas: (i) alguma positividade (atividades de criação e diálogo); e (ii) negatividades (invisibilidade da criança, atividades instrucionais sem favorecer a expressão infantil; humilhação, constrangimento e anonimato das crianças).
Paul Ricoeur: a ética da solicitude questiona a educação
Authors: Martini Rosa Maria Filippozzi
Published: August 2016

Resumo Este ensaio busca apresentar a ética da solicitude de Paul Ricoeur como um questionamento para a educação. Ricoeur buscou em sua ética distinguir a moral da ética, priorizando essa, mas colocando a moral como núcleo dela. Para o autor, trata-se de visar à vida boa com o outro em instituições justas. O autor insere a questão ética no problema da identidade narrativa de si mesmo como um outro. Ricoeur caracteriza a ética como um aceitar o outro como um si mesmo, visto que, se posso me perceber como um outro, posso também aceitar o outro como a mim mesmo. Esse movimento implica na justiça, quando referido às instituições.
Literatura para a infância no jardim de infância: contributos para o desenvolvimento da criança em idade pré-escolar
Authors: Mendes Teresa , Velosa Marta
Published: August 2016

Resumo Pretende-se, no presente artigo, demonstrar que, nos livros para crianças, a relação dialogal e a fusão intersemiótica entre as linguagens verbal e icónica potenciam a instauração de uma atmosfera poética imprescindível na formação estético-literária da criança pré-leitora, que, no processo hermenêutico de apropriação e construção de sentidos, sozinha ou pela mão do adulto-mediador, se assume como um ser cognoscente e cocriador do universo textual, encetando um percurso enunciativo de intensa cooperação interpretativa. Pretende-se igualmente problematizar o lugar dos livros no jardim de infância e o seu contributo para o desenvolvimento cognitivo, social e emocional da criança em idade pré-escolar, atribuindo pedagogicamente ao adulto-mediador um papel determinante nesse processo de construção do ser em crescimento nomeadamente através do recurso ao livro de qualidade estética e literária.
Morphological characterization of fruit, seed and seedling and germination of Hymenaea courbaril L. (Fabaceae) ('Jatobá')
Authors: Duarte Manoela Mendes , Paula Sheilly Raquelly Prado de , Ferreira Flaick Rodrigo de Lima , Nogueira Antonio Carlos
Published: August 2016

Abstract This study has aimed to characterize the morphology of fruit, seed and seedling and evaluate the germination of Hymenaea courbaril L., under different substrates and temperatures. The physical characteristics were determined, as well as the morphological description of the internal and external parts of fruits and seeds, stages of germination and early seedling development. Germination tests were conducted in a completely randomized design, in a 3x2 factorial scheme, with three temperatures (20 °C, 25 °C and 30 °C) and two substrates (sand and vermiculite), with six plots of 30 seeds. The germination percentage, germination speed index (GSI) and mean germination time (MGT) were calculated. The fruits are dry and woody and the seeds are exalbuminous, with an axial embryo. The germination is epigeal and the seedling is phanerocotylar. The combination of vermiculite or sand associated to temperatures of 25 °C or 30 °C is effective for conducting the germination tests.