bluuebunny/crossref_metadata_2025 huggingface dataset:
Patient-Specific Parameters Associated With Traction in Primary and Revision Hip Arthroscopic Surgery
Authors: Kapron Ashley L. , Karns Michael R. , Aoki Stephen K. , Adeyemi Temitope F. , Baillargeon Elizabeth A. , Hartley Melissa K. , Todd Jocelyn N. , Maak Travis G.
Published: November 2018

Background:

Distraction of the hip joint is a necessary step during hip arthroscopic surgery. The force of traction needed to distract the hip is not routinely measured, and little is known about which patient factors may influence this force.

Purpose:

To quantify the force of traction required for adequate distraction of the hip during arthroscopic surgery and explore the relationship between hip joint stiffness and patient-specific demographics, flexibility, and anatomy.

Study Design:

Case series; Level of evidence, 4.

Methods:

A total of 101 patients (61 female) undergoing primary hip arthroscopic surgery were prospectively enrolled. A load cell attached to the traction boot continuously measured traction force. Fluoroscopic images were obtained before and after traction to measure joint displacement. The stiffness coefficient was calculated as the force of traction divided by joint displacement. Relationships between the stiffness coefficient and patient demographics and clinical parameters were investigated using a univariable regression model. The regression analysis was repeated separately by patient sex. Variables significant at P < .05 were included in a multivariable regression model.

Results:

The instantaneous peak force averaged 80 ± 18 kilogram-force (kgf), after which the force required to maintain distraction decreased to 57 ± 13 kgf. In univariable regression analysis, patient sex, alpha angle, hamstring flexibility, and Beighton hypermobility score were each correlated to stiffness. However, patient sex was the only significant variable in the multivariable regression model. Intrasex analysis demonstrated that increased hamstring flexibility correlated with decreased final holding stiffness in male patients and that higher Beighton scores correlated with decreased maximal stiffness in female patients.

Conclusion:

Male patients undergoing primary arthroscopic surgery have greater stiffness to hip distraction during arthroscopic surgery compared with female patients. In male patients, stiffness increased with decreasing hamstring flexibility. In female patients, increased Beighton scores corresponded to decreased stiffness. The presence of a labral tear was not correlated with stiffness to distraction. These data may be used to identify patients in whom a specific focus on capsular repair and/or plication may be warranted.
Advanced Patellar Tendinopathy Is Associated With Increased Rates of Bone–Patellar Tendon–Bone Autograft Failure at Early Follow-up After Anterior Cruciate Ligament Reconstruction
Authors: Lazarides Alexander L. , Alentorn-Geli Eduard , Vinson Emily N. , Hash Thomas W. , Samuelsson Kristian , Toth Alison P. , Moorman Claude T. , Garrett William E. , Taylor Dean C.
Published: November 2018

Background:

Revision anterior cruciate ligament (ACL) reconstruction can be potentially devastating for a patient. As such, it is important to identify prognostic factors that place patients at an increased risk for graft failure. There are no data on the effects of patellar tendinopathy on failure of ACL reconstruction when using a bone–patellar tendon–bone (BPTB) autograft.

Purpose/Hypothesis:

The purpose of this study was to investigate the association of patellar tendinopathy with the risk of graft failure in primary ACL reconstruction when using a BPTB autograft. The hypothesis was that patellar tendinopathy would result in higher rates of graft failure when using a BPTB autograft for primary ACL reconstruction.

Study Design:

Cohort study; Level of evidence, 3.

Methods:

All patients undergoing ACL reconstruction at a single institution from 2005 to 2015 were examined. A total of 168 patients undergoing primary ACL reconstruction with a BPTB autograft were identified. Patients’ magnetic resonance imaging scans were reviewed for the presence and grade of patellar tendinopathy by 2 musculoskeletal fellowship–trained radiologists; both were blinded to the aim of the study, patient demographics, surgical details, and outcomes. Patients were divided into 2 groups: failure (defined as presence of symptomatic laxity or graft insufficiency) and success of the ACL graft. Statistical analyses were run to examine the association of patellar tendinopathy with failure of ACL reconstruction using a BPTB autograft.

Results:

At a mean follow-up of 18 months, there were 7 (4.2%) patients with graft failure. Moderate or severe patellar tendinopathy was associated with ACL graft failure ( P = .011). Age, sex, and side of reconstruction were not associated with the risk of graft failure, although the majority of patients who failed were younger than 20 years. The use of patellar tendons with moderate to severe tendinopathy was associated with a relative risk of ruptures of 6.1 (95% CI, 1.37-27.34) as compared with autograft tendons without tendinopathy.

Conclusion:

Moderate or severe patellar tendinopathy significantly increases the risk of graft failure when using a BPTB autograft for primary ACL reconstruction. Patellar tendinopathy should be considered when determining the optimal graft choice for patients undergoing primary ACL reconstruction with autograft tendons.
European law
Authors: Иксанов Илья , Iksanov Il'ya
Published: November 2018

The training manual for bachelors of Economics and law examines the process of legal regulation of social relations in the European Union, which is based on comprehensive economic integration. The modern interpretation of the nature of the European Union is given. Presents the organizational and legal foundations of the European Union in the wording of the Lisbon Treaty of 2007, Summarized the jurisprudence of the Court of the European Union and its impact on the legal nature of the European Union.
Regulations are cited as 30.09.2018.
Meets the requirements of the Federal state educational standard of higher education of the last generation.
For students of educational institutions of higher education, studying in the areas of law, Economics, international relations (bachelor's, master's, specialty), as well as for lawyers practicing, improving their skills and preparing to pass professional exams for all interested in European law.
Abduction: Some Conceptual Issues
Authors: Urbański Mariusz , Klawiter Andrzej
Published: November 2018

We claim that abduction should primarily be studied from the perspective of its use. The big question “What is abduction?” is most often interpreted substantively and this distracts attention from the instrumental aspect of this form of reasoning. We propose to address the problem by asking “How abduction is used?”. As a result of our approach we see the fact that abduction needs to be construed as concerned with both generation and evaluation of hypotheses, and, furthermore, that abduction is a compound form of reasoning.
Improving and integrating care for Parkinson's disease
Authors: Brock Peter , Gray William K , Hand Annette , Oates Lloyd L , Walker Richard W
Published: November 2018

Care home residents often live with multiple morbidities. One of these, which can have a significant impact on motor and cognitive functions, is Parkinson's disease (PD). Peter Brock et al discuss a survey on how to improve care for residents living with PD.
Management of Neonates Born at ≤34 6/7 Weeks’ Gestation With Suspected or Proven Early-Onset Bacterial Sepsis
Authors: Puopolo Karen M. , Benitz William E. , Zaoutis Theoklis E. ,   COMMITTEE ON FETUS AND NEWBORN,   COMMITTEE ON INFECTIOUS DISEASES, Cummings James , Juul Sandra , Hand Ivan , Eichenwald Eric , Poindexter Brenda , Stewart Dan L. , Aucott Susan W. , Goldsmith Jay P. , Watterberg Kristi , Byington Carrie L. , Maldonado Yvonne A. , Banerjee Ritu , Barnett Elizabeth D. , Campbell James D. , Gerber Jeffrey S. , Lynfield Ruth , Munoz Flor M. , Nolt Dawn , Nyquist Ann-Christine , O’Leary Sean T. , Rathore Mobeen H. , Sawyer Mark H. , Steinbach William J. , Tan Tina Q.
Published: November 2018

Early-onset sepsis (EOS) remains a serious and often fatal illness among infants born preterm, particularly among newborn infants of the lowest gestational age. Currently, most preterm infants with very low birth weight are treated empirically with antibiotics for risk of EOS, often for prolonged periods, in the absence of a culture-confirmed infection. Retrospective studies have revealed that antibiotic exposures after birth are associated with multiple subsequent poor outcomes among preterm infants, making the risk/benefit balance of these antibiotic treatments uncertain. Gestational age is the strongest single predictor of EOS, and the majority of preterm births occur in the setting of other factors associated with risk of EOS, making it difficult to apply risk stratification strategies to preterm infants. Laboratory tests alone have a poor predictive value in preterm EOS. Delivery characteristics of extremely preterm infants present an opportunity to identify those with a lower risk of EOS and may inform decisions to initiate or extend antibiotic therapies. Our purpose for this clinical report is to provide a summary of the current epidemiology of preterm neonatal sepsis and provide guidance for the development of evidence-based approaches to sepsis risk assessment among preterm newborn infants.
The Role of Pediatricians in Global Health
Authors: Suchdev Parminder S. , Howard Cynthia R. ,   SECTION ON INTERNATIONAL CHILD HEALTH, Chan Kevin J. , McGann Patrick , St Clair Nicole E. , Yun Katherine , Arnold Linda D.
Published: November 2018

Ninety percent of the world’s children live in low- and middle-income countries, where barriers to health contribute to significant child morbidity and mortality. The American Academy of Pediatrics is dedicated to the health and well-being of all children. To fulfill this promise, this policy statement defines the role of the pediatrician in global health and provides a specific set of recommendations directed to all pediatricians, emphasizing the importance of global health as an integral function of the profession of pediatrics.
Targeted Reforms in Health Care Financing to Improve the Care of Adolescents and Young Adults
Authors: Marcell Arik V. , Breuner Cora C. , Hammer Lawrence , Hudak Mark L. ,   COMMITTEE ON ADOLESCENCE,   COMMITTEE ON CHILD HEALTH FINANCING, Alderman Elizabeth M. , Grubb Laura K. , Powers Makia E. , Upadhya Krishna , Wallace Stephenie , Berman Suzanne K. , Brandt Mary L. , Carlson Kenneth M. , Giardino Angelo P. , Pearlman Stephen A. , Price Jonathan , Sood Beena Gaind
Published: November 2018

Significant changes have occurred in the commercial and government insurance marketplace after the passage of 2 federal legislation acts, the Patient Protection and Affordable Care Act of 2010 and the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008. Despite the potential these 2 acts held to improve the health care of adolescents and young adults (AYAs), including the financing of care, there are barriers to achieving this goal. In the first quarter of 2016, 13.7% of individuals 18 to 24 years of age still lacked health insurance. Limitations in the scope of benefits coverage and inadequate provider payment can curtail access to health care for AYAs, particularly care related to sexual and reproductive health and mental and behavioral health. Some health plans impose financial barriers to access because they require families to absorb high cost-sharing expenses (eg, deductibles, copayments, and coinsurance). Finally, challenges of confidentiality inherent in the billing and insurance claim practices of some health insurance plans can discourage access to health care in the absence of other obstacles and interfere with provision of confidential care. This policy statement summarizes the current state of impediments that AYA, including those with special health care needs, face in accessing timely and appropriate health care and that providers face in serving these patients. These impediments include limited scope of benefits, high cost sharing, inadequate provider payment, and insufficient confidentiality protections. With this statement, we aim to improve both access to health care by AYAs and providers’ delivery of developmentally appropriate health care for these patients through the presentation of an overview of the issues, specific recommendations for reform of health care financing for AYAs, and practical actions that pediatricians and other providers can take to advocate for appropriate payments for providing health care to AYAs.
Efectividad de la participación del profesional de enfermería en los centros de enseñanza especial
Authors: Arias Fonseca Dayana
Published: November 2018

Enfermería en el ámbito escolar es un área relativamente nueva en Costa Rica. Las autoridades en el país han elaborado una legislación y planteado estrategias en materia de salud, niñez y derechos que destacan la relevancia de intervenciones que favorezcan la salud, educación y desarrollo de la niñez y la adolescencia con discapacidad, por lo que la atención de enfermería en el ámbito de educación especial involucra tanto las intervenciones con esa población así como las investigaciones. El objetivo de este trabajo es analizar la mejor evidencia científica disponible respecto de la efectividad de la participación educativa y cuidado físico por parte de enfermería al estudiantado en centros de enseñanza especial para prevenir complicaciones de salud y potenciar el desarrollo de los infantes con algún tipo de discapacidad: se trata de un protocolo de revisión breve, el cual utiliza la metodología de práctica clínica basada en la evidencia, que aplica los cinco pasos que son: 1. Planteamiento de la pregunta clínica 2. Búsqueda en bases de datos 3. Análisis crítico de la evidencia 4. Transferencia de la evidencia 5. Evaluación.
Servicios de Extensión de Cuidados Críticos: Implicancias para Enfermería
Authors: Galarce Vargas Francisco Javier , CEBALLOS VÁSQUEZ PAULA ANDREA , Espinoza Arancibia María José , Zamorano Zuñiga Geraldine
Published: November 2018

La Unidad de Cuidados Intensivos (UCI) se caracteriza por atender pacientes de extrema gravedad, donde el cuidado prima en su totalidad. La UCI, además, es una unidad cerrada y con cupos limitados, donde el personal que labora está altamente especializado, haciendo que sus funciones se limiten a ella. Esto provoca que los cuidados especializados se concentren en unidades intensivas, dejando a las unidades más básicas sin esta cobertura, de tal manera que el paciente críticamente enfermo o en vías de descompensación tenga un rápido deterioro en salas de menor complejidad por falta de atención específica. Se realizó una búsqueda sistemática de la literatura, que consiste en la utilización de buscadores y bases de datos especializadas. Se estructuró, finalmente, un narrativo de los resultados. Los Servicios de Extensión de Cuidados Críticos se aplican ya en distintas partes del mundo, sobre todo en Europa, Canadá, Australia y Argentina, pensando en la calidad de atención especialista al paciente crítico, bajo esta metodología. Se intentó identificar y describir funciones, determinar la estructura, beneficios y dificultades en la implementación de un Servicio de Extensión de Cuidados Críticos en el paciente adulto para que en un futuro se pueda aplicar a nuestra realidad tanto local como nacional
Percepção dos enfermeiros sobre o acolhimento e classificação de risco na Atenção Primária à Saúde (APS)
Authors: Costa Ariane Beatriz , Gouvea Pollyana Bortholazzi , Rangel Rita de Cássia Teixeira , Scnheider Patrick , Alves Thais Favero , Acosta Adriano Silva
Published: November 2018

Este estudo emergiu como uma proposta de mudança no processo de trabalho nos serviços de saúde que atendem a população, especialmente a demanda espontânea. O objetivo foi conhecer a percepção dos enfermeiros sobre a recepção e classificação de risco na atenção primária à saúde. Trata-se de um estudo descritivo com abordagem qualitativa. Dezesseis enfermeiros entrevistados participaram. A análise dos dados resultou em três categorias: Conhecimento e responsabilidades da recepção, aplicabilidade da classificação de riscos e protocolos e dificuldades na recepção. Os resultados mostraram que os conceitos de recepção e classificação de risco são reconhecidos pelos enfermeiros, mas na aplicabilidade de ambos os processos encontram dificuldades na responsabilidade do acolhimento e no desconhecimento dos usuários em relação às formas de atenção. Conclui-se que, embora seja reconhecida a importância da recepção e sua resolução, confirma-se a necessidade de capacitação e criação de protocolos de endereçamento.
Building Adat Village-Based Tourism Destination Government System (Case of Pandawa Beach Tourism Destination, Kutuh Village, Kuta Selatan Sub-District)
Authors: Putu Agung Anak Agung , Tamba Made , Brata Ida Bagus
Published: November 2018

The development of Tourist Destination is newly become the alternative which is important progressively and insit on to the new atmosphere and warm image and also avoid impression monotonous. To realize the mentioned, hence the research of the system of management of tourist destinations is very urgently done by owning special target of research, that is: (1) System of analysis of environmental utility facility of Coastal Tourist Destination Pandawa Beach, (2) System analysis and pranata of management of Coastal tourist Destination management of Pandawa Beach, (3) analyzing storey at Pandawa Beach, (4) Analyzing tourist expectation to Coastal tourist destination Pandawa Beach.

This research is designed to develop. Population in this research is management of Pandawa Beach, a domestic tourist and tourist of foreign countries paying a visit to the Coastal touris destination of Pandawa Beach which its amount is boundless. Sample in Pandawa Beach tourist destination management, domestic tourist and foreign countries paying a visit to tourist destination Pandawa Beach of May until June 2018. Data colected in this research cover the qualitative and quantitative data. Data collecting is done with the questionnaire alloted to Coastal tourist destination organizar of Pandawa Beach and tourist which is paying a visit to pay visit to the Coastal tourist destination of Pandawa Beach. Analyze the data using the descriptive analysis.

Coastal tourist destination área of ​​Pandawa Beach is managed by BUMDA Kutuh, Badung dimiciling as Holding Company for all units of an effortless custom society owned and managed by the countryside of Kutuh, Badung. Pandawa Beach's coastal destination management is run by the Coastal Fascination of Pandawa Beach Unit of effort. All units of the local sociaty of Kutuh Countryside of Custom, Badung.
A thistle brooch/distelfibel from Brigetio
Authors: Sáró Csilla
Published: November 2018

A very rare brooch was found during my research in the Collection of the Hungarian National Museum. According to the main characteristics, its type can be defined easily. It belongs to thistle-brooches/Distelfibeln. I would like to present this brooch in detail.
Socio-demographic and lifestyle influences on falls among the elderly persons living in Gatanga Sub-County, Murang’a County, Central Kenya: A cross-section study v1
Authors: Kimani Ernest , Karanja Simon , Muthami Lawrence , Ndanya Samuel , Gitonga Samuel
Published: November 2018

An estimated one-third of the elderly people worldwide sustain falls every year, which contributes to over 20% of injuries in this age group. In the central region of (Mount) Kenya, despite increasing awareness about this condition, the magnitude as well as the socio-demographic and lifestyle factors leading to falls in the elderly are not well known. The main objective of this study was to investigate the prevalence of falls, their outcomes, and the factors influencing their occurrence among the elderly persons living in Gatanga Sub-County, Murang’a County, central Kenya. An analytical cross-sectional study design was used. Using systematic random sampling, 420 out of 9247 study participants were identified and interviewed at home. Using a structured interview form, data was collected on socio-demographic, socio-economic, lifestyle, and medical factors, as well as on fall or non-fall status from September 2016 to August 2017. With 42%, the prevalence of falls amongst the elderly in this region is high. The farming lifestyle involving crop farming and animal husbandry, socio-economic factors, and medical illnesses are significantly associated with falls. To reduce the occurrence of falls, we need to better understand the underlying contributing factors and the integration of relevant preventive measures that reduce the risk of falls in communities of the elderly.
Determination of a willingness-to-pay threshold and decision-making in financing the healthcare technologies
Authors: Teptsova T. S. , Bezdenezhnyh T. P. , Fedyaeva V. K. , Musina N. Z , Hachatryan G. R. , Tarasov V. V.
Published: November 2018

The aim was to develop a methodology for determining the willingness to pay threshold (WTPT) and its upper limit value within the Russian health care system.

Materials and methods. WTPT was calculated based on the shadow budget price (i. e. determining the WTPT by the suppling party). This method is an empirical assessment of the cost-effectiveness threshold that reflects the utmost productivity of the health care system, as determined from the relationship between changes in healthcare expenditure and health outcomes achieved. The state’s willingness to pay for improving their citizens’ healthcare was evaluated considering the population of the Russian Federation, mortality and life expectancy in different age and gender groups, as well as the volume of government spending. The cost of disability-adjusted life-year prevented (DALY) and the cost of quality-adjusted life-year saved (QALY) were determined by the suppling party, that is, they reflect the cost the state is willing to pay for improving the health of their population under conditions of limited budget. The described approach considers the performance of the country’s healthcare system over a certain period and the costs incurred in functioning of the system.

Results. As part of this study, it was found that the cost of one additionally prevented DALY would be 313,878.21 rubles, and the cost of one additionally saved QALY – 365,060.31 rubles.

Conclusion. The WTPT for medical technologies in the Russian Federation, determined by estimating the shadow budget price will amount to 313,878.21 rubles for one prevented DALY and 365 060,31 rubles for one saved QALY. With regard to clinical and economic analysis, medical technologies with the incremental cost-effectiveness indicator not exceeding the one calculated in this study can be seen as cost-effective. The obtained threshold value is a recommendation. A medical technology can be approved even with a WTPT higher than the recommended level, because this specific technology may have additional  advantages other than WTPT when compared with the reference technologies.
SENSIBILIDADE E ESPECIFICIDADE DE TESTES PARA AVALIAR O EQUILÍBRIO CORPORAL EM DIABÉTICOS
Authors: Porto Elias Ferreira , Kumpel Claudia , Larchert Daisy Maykendell Santos , Palacio Paulo Roberto da Costa , Souza Anselmo Cordeiro de
Published: November 2018

Esta investigação objetivou Avaliar sensibilidade e especificidade de testes para diagnosticar alteração do equilíbrio corporal em diabéticos com e sem histórico de quedas. Estudo transversal com 120 diabéticos tipo II. Utilizaram-se os instrumentos: escala de equilíbrio de Berg, avaliação da marcha e equilíbrio orientada pelo desempenho de Tinetti, Dynamics Gait Index e o Falls Efficacy Scale – International. A escala Falls Efficacy Scale – International foi quem apresentou maior área debaixo da curva quando analisada isoladamente para alteração do equilíbrio corporal. Quando analisado conjuntamente com todos os demais testes o instrumento de Tinetti teve maior área debaixo da curva. Em relação à sensibilidade os instrumentos apresentaram resultados semelhantes e a escala de equilíbrio de Berg, seguido do Dynamics Gait Index, apresentaram menor especificidade respectivamente para esta amostra. Assim quando analisados individualmente os instrumentos, estes apresentaram-se semelhantemente sensíveis. Entretanto, quando analisados simultaneamente a escala de Tinetti se apresentou mais discriminante apesar de não haver diferença significante entre os instrumentos. Sugere-se ainda que para a população diabética pontos de corte ótimo parecem ser distintos dos preconizados tradicionalmente pela literatura.
PERFIL EPIDEMIOLÓGICO DE CRIANÇAS NASCIDAS DE MÃES HIV POSITIVAS EM REGIÃO METROPOLITANA DA AMAZÔNIA
Authors: Silva Núria Jussara Lima , Lobato Flavia Maciel , Lopes Nayan Leonardo Sousa , Brito Ana Júlia Cunha , Dias George Alberto da Silva , Cardoso Biatriz Araújo , Silva Dayse Danielle Oliveira
Published: November 2018

O objetivo desta pesquisa é descrever o perfil epidemiológico de crianças nascidas de mães HIV positivas, atendidas na Unidade de Referência Materno-Infantil e do Adolescente (UREMIA), em Belém-Pará no ano de 2015. Estudo descritivo transversal, com análise dos fatores que descrevem o cenário de nascimento de 125 crianças de mães HIV positivas. Utilizaram-se os testes G (Aderência) e Qui-quadrado para a análise estatística (p≤0,05). Do total de 125, 96% das mães realizaram pré-natal com duas a seis consultas e grande parte descobriu o HIV durante a gestação (39%) ou no parto (14%), e, 75% fizeram o uso de antirretrovirais (AZT) após o diagnóstico da infecção. Apenas 6% das crianças possuem HIV, 6% não usaram AZT e 5% amamentaram. Assim, as mães deste estudo são da zona urbana, realizaram o pré-natal e fizeram uso precoce do AZT, quanto aos lactentes nasceram de parto normal, fizeram uso do AZT podendo contribuir para baixa transmissão vertical.
A DIVULGAÇÃO DE VÍDEOS DE ANATOMIA DO SISTEMA NERVOSO CENTRAL NO YOUTUBE
Authors: Oliveira Gustavo Vieira de , Abreu Paula Alvarez
Published: November 2018

O estudo visa avaliar os métodos de exposição de conteúdos de neuroanatomia utilizados nos vídeos compartilhados no YouTube, o impacto destes vídeos e a aceitação dos usuários. Trata-se de uma pesquisa quantitativa, com abordagem descritiva e analítica observacional, envolvendo a análise de vídeos de neuroanatomia divulgados em português no site do YouTube. A pesquisa foi realizada no Youtube utilizando as palavras-chave “telencéfalo”, “diencéfalo” e “tronco encefálico”. Os vídeos foram categorizados de acordo com o método de exposição do conteúdo de neuroanatomia como equipamentos multimídia (EM), peças plásticas (PPT), peças plastinadas (PPN), e peças cadavéricas formolizadas (PCF) para avaliação do número de visualizações e aceitação dos usuários (número de likes e dislikes). Foi observado que as PPT foram mais utilizadas nos vídeos de neuroanatomia. Porém, os vídeos que utilizaram EM tiveram mais visualizações diárias e maior aceitação pelos usuários do Youtube. Os resultados do presente estudo sugerem que os vídeos de neuroanatomia utilizando EM podem contribuir de forma complementar para o ensino-aprendizado destes conteúdos
AUTOMEDICAÇÃO DE PSICOTRÓPICOS EM ACADÊMICOS DA ÁREA DA SAÚDE: UMA REVISÃO DA LITERATURA BRASILEIRA ENTRE 2000 A 2017
Authors: Oliveira Maristela Maximovitz de , Corage Leila do Nascimento , Oliveira Bruna de Paula , Silva Leila Gracieli da
Published: November 2018

A automedicação é um problema de saúde pública. Problematiza-se a incidência da automedicação entre universitários da área da saúde, uma vez que os estudantes deveriam estar cientes dos malefícios de tal prática, bem como da importância da avaliação profissional. No presente estudo, foi realizada uma revisão sistemática da literatura para identificar pesquisas que investigaram a temática “automedicação de psicotrópicos em estudantes da área da saúde” entre os anos de 2000-2017. Depois da ordenação, classificação e análise de 2.366 artigos selecionados inicialmente, 11 artigos foram selecionados das bases de dados: BVS, LILACS, Bireme e SciELO. O método quantitativo foi aplicado em 90.9% das pesquisas (questionários estruturados de autoaplicação) com amostragem superior a 282 participantes. É preocupante a incidência de automedicação psicotrópica entre universitários. A automedicação não soluciona o problema e adiciona risco de piora. Estudos aplicados, de cunho quantitativo, têm se mostrado eficientes na identificação da automedicação e se faz necessário realizar pesquisas sobre a temática na região Norte do país, dada a escassez de estudos e presença de graduações na área da saúde.
Knowledge of Antibiotic Use in College Students: A Quality Improvement Project
Authors: Moes Katie , Carrico Catherine , Hall Alexander
Published: November 2018

Aim: To evaluate college students' knowledge, attitudes, and beliefs about antibiotic use for simple viral infections, as well as determine if knowledge could be improved through an educational intervention and examine impacts on overall patient satisfaction.Background: Antibiotic resistance is a growing problem. College-aged students are at an increased risk for simple respiratory infections due to their close living conditions and poor knowledge of appropriate antibiotic use (Smith, Rigassio-Radler, Denmark, Haley, & Touger-Decker, 2012; Turner & Keller, 2015).Methods: Students (N = 44) age 19-25 seen at the college health center of a small, private Nebraska university presenting with symptoms of an upper respiratory infection (URI) were given a survey prior to seeing the healthcare provider. During the visit, providers reviewed an educational handout discussing appropriate antibiotic use for URIs and then gave the student a post-survey to complete.Results: Students' Basic Knowledge of antibiotics improved, p = .1, Cohen's d = 0.41 as a result of the educational intervention, while changes in knowledge about Efficacy and Provider trust was mixed. Knowledge of correct use/misuse was high at pre, M = 1.95 and post M = 1.93.Conclusions: College-aged students benefit from additional education about antibiotics. Based on this project's findings, educational handouts have the potential to improve knowledge regarding antibiotics.
Strategies to Attain Faculty Work-Life Balance
Authors: Owens Joan , Kottwitz Carol , Tiedt Jane , Ramirez Jeffery
Published: November 2018

Background: Achieving work-life balance can be a challenge for academic faculty members. The multifaceted demands and expectations of the role can affect faculty satisfaction and the ability to attain work-life balance. The ever-changing trends in higher education, including technology and online education modalities provide additional factors that can inhibit faculty satisfaction and work-life balance.Aims: This paper explores barriers to achieving work-life balance such as cognitive dissonance, emotional dissonance and burnout. Understanding barriers is essential to developing strategies to promote work-life balance.Methods: An integrated review of the literature on life balance of academic faculty in all disciplines using multiple online databases.Conclusion: Strategies, organized around mentoring and self-care, include promoting physical health, connecting socially, and practicing mindfulness as a cognitive approach can help counteract work-place stressors and help in achieving work-life balance.
TENSÕES QUE MARCAM A INCLUSÃO DIGITAL POR MEIO DA EDUCAÇÃO NO CONTEXTO DE POLÍTICAS NEOLIBERAIS
Authors: Peixoto Joana , Daniela Lima Figueiredo Echalar Adda
Published: November 2018

Analisamos o conteúdo de políticas públicas (BRASIL, 2014, 2011; KING, 2011; OCDE, 2015; WILSON et al., 2013; UNESCO 2009a, 2009b, 2009c) com o objetivo de desvelar as intencionalidades que fomentam a inserção das tecnologias digitais em rede em processos educativos por meio da inclusão digital. Foram identificados dois blocos temáticos: 1. a inserção dos países ditos em desenvolvimento na lógica digital como recurso para a empregabilidade e o crescimento econômico; 2. a inovação pedagógica com uso de tecnologias. Concluímos que os documentos expressam políticas que são geradoras de novos mecanismos de exclusão e ampliam o lastro das desigualdades econômicas e sociais.
ENCONTRANDO A DIFERENÇA. ANÁLISE SOBRE O CONJUNTO DE CONHECIMENTOS E COMPETÊNCIAS DE PROFESSORES E ALUNOS DO ENSINO SECUNDÁRIO ENVOLVIDOS NO PROGRAMA CONECTAR IGUALDAD
Authors: Dughera Lucila , Jhonny David Echalar Jhonny
Published: November 2018

A disparidade de conhecimentos e habilidades sobre as tecnologias digitais entre professores e alunos tem sido entendida na maioria das vezes como uma das principais limitações em alcançar a inclusão digital. No entanto, como proposto neste artigo, essa disparidade não deve, necessariamente, ser considerada como um obstáculo para alcançar esse fim. Para desconsiderar essa disparidade, analisamos os resultados parciais de uma investigação mais aprofundada sobre o Programa Conectar Igualdad (PCI) em escolas secundárias públicas na Argentina. Especificamente, são recuperadas as pesquisas representativas nacionais de professores e alunos e dos grupos focais realizados no trabalho de campo de tal pesquisa.
A LEI 11.645/2008 E A QUESTÃO INDÍGENA NOS LIVROS DIDÁTICOS
Authors: Bandeira da Silva Isaíde , Leitão Araújo Fátima Maria , Silva de Sousa Joilson
Published: November 2018

Este artigo aborda a Lei 11.645/2008 e a questão indígena nos livros didáticos. O objetivo é analisar como três coleções de livros didáticos de história do Ensino Fundamental, que constam no Guia do Programa Nacional do Livro Didático (PNLD) de 2014, trabalham a temática indígena em textos, atividades e iconografias. Utilizamos como referencial teórico Bittencourt (2006; 2011), Pinsky (2009), Grupioni (1996), Ribeiro (2009), dentre outros. Desse modo, refletimos sobre os caminhos que se entrelaçam com lutas e conquistas destes povos durante anos, por seu reconhecimento e sua valorização homologada na legislação civil e educacional brasileira.
The Mediterranean Variety of Capitalism, Flexibility of Work Schedules, and Labour Productivity in Southern Europe
Authors: Vallejo-Peña Alberto , Giachi Sandro
Published: November 2018

Sociology has long been used to highlight the existence of diverse institutional models between geographical areas of Europe in terms of work organisation. Based on this, we propose to compare the situation of four representative countries of southern Europe (Spain, Italy, Greece and Portugal) with that of the rest of Europe, by addressing the number of hours worked and the flexibility of working hours as key elements of their institutional model of work organisation, as well as their impact on levels of labour productivity. Taking the model of the varieties of capitalism as a reference, this study compares the behaviour of the Mediterranean (southern) countries with other European regions. Indicators have been obtained from the 2010 and 2015 waves of the European Work Conditions Survey (EWCS) that include the number of hours worked, the flexibility in the hours of entry and exit, and the tendency to work the same number of hours per day. After comparing averages in both waves and applying linear regressions, the following conclusions have been reached: (1) Productivity in southern countries is on a par with the European average but far from the more corporatist and liberal (northern) areas; (2) the South maintains a high average of hours worked (above the European average) to compensate for the poor productivity of its hours; and (3) the incorporation of flexible schedules is associated with elevated levels of productivity.
Superfície de resposta e adubação orgânica e fosfatada para a cultura do pinhão-manso
Authors: Silva Silvanete Severino da , Pordeus Roberto Vieira , Lima Rosiane de Lourdes Silva de , Azevedo Carlos Alberto Vieira de , Silva André Alisson Rodrigues da , Dantas Neto José
Published: November 2018

O pinhão-manso é uma planta perene e concentra apreciáveis quantidades de óleo em suas sementes. Objetivou-se avaliar o crescimento da cultura de pinhão-manso em resposta a diferentes recomendações de adubação quanto à matéria orgânica e fósforo em condições irrigadas. Conduziu-se experimento em vasos, com delineamento de blocos casualizados, com tratamentos de combinação fatorial 4 x 4, sendo 4 recomendações de adubação orgânica: ausência de adubação (0 t ha-1), dose recomendada (4 t ha-1), uma vez e meia a dose recomendada (6 t ha-1) e duas vezes a dose recomendada (8 t ha-1), e 4 recomendações de adubação fosfatada (ausência de fosfatado (0 kg ha-1); dose recomendada (90 kg ha-1); uma vez e meia a dose recomendada (135 kg ha-1) e duas vezes a dose recomendada (180 kg ha-1), em quatro repetições, uma planta por parcela. Avaliou-se o crescimento aos 60, 90, 120, 150, 180 e 210 dias após o transplantio, através da mensuração da Altura da Planta, Diâmetro Caulinar, Número de Folhas, Área Foliar e o Número de Ramos. A recomendação de adubação orgânica e fosfatada sugerida pelo laboratório foi insuficiente para o crescimento das plantas do pinhão-manso. O uso isolado de matéria orgânica na cultura do pinhão-manso promove efeitos positivos sobre todas as variáveis de crescimento estudadas.
Identificação de famílias F2:3 de tomateiro homozigotas resistentes à Ralstonia pseudosolanacearum e Ralstonia solanacearum
Authors: Costa Kleyton Danilo da Silva , Santos Ana Maria Maciel dos , Santos Paulo Ricardo dos , Silva Adriano Márcio Freire , Sousa Neto Eduardo Pereira de , Carvalho Filho José Luiz Sandes de
Published: November 2018

Objetivou-se identificar famílias F2:3 de tomateiro homozigotas resistentes a Ralstonia pseudosolanacearum e Ralstonia solanacearum. Foram conduzidos dois experimentos em casa de vegetação da Universidade Federal Rural de Pernambuco sendo um para cada patógeno. Foram avaliados 45 tratamentos compostos pelas cultivares parentais Yoshimatsu (resistente) e IPA-7 (susceptível) e 43 famílias F2:3 obtidas a partir da geração F2. Cada tratamento foi constituído por 16 plantas. Foram avaliadas a incidência de murcha bacteriana por meio de uma escala descritiva de notas aos 20 dias após a inoculação. As famílias foram comparadas com os parentais de acordo com a frequência de plantas obtidas para cada nota. Foi realizado o teste qui quadrado (χ_c^2) obtendo-se a significância em relação a cada um dos genitores. Para a espécie R. pseudosolanacearum foram identificadas três famílias homozigotas resistentes: Família F2:3#04, Família F2:3#29 e Família F2:3#31. Com relação a espécie R. solanacearum foram identificadas duas famílias homozigotas resistentes: Família F2:3#41 e Família F2:3#42. Estas famílias indicam a possibilidade de novas linhagens resistentes que poderão ser utilizadas em programas de melhoramento.
Abelhas e espécies melitófilas da mata ciliar do riacho Salgadeira, município de Alcantil, Paraíba
Authors: Moura Débora Coelho , Pereira Thaís Mara Souza , Farias George Correia de , Leite Joaquim Efigênio Maia
Published: November 2018

A Caatinga encontra-se inserida no domínio intertropical e possui uma cobertura vegetal de formação xerofítica complexa. Sua degradação está contribuindo para o desaparecimento de espécies de plantas e animais. As abelhas, participam do processo de polinização, também se enquadram neste problema. Neste trabalho foram avaliadas a riqueza e abundância de abelhas em duas áreas de mata ciliar da Caatinga, nos trechos preservado e degrado (salinizado), do riacho Salgadeira. Nas áreas selecionadas foram coletadas abelhas e plantas no período de maio e junho de 2016. Cada amostra se caracterizou por doze coletas, em dois dias consecutivos entre 06h00min e 15h00minh. No levantamento realizado foram coletados 491 indivíduos de 34 espécies de abelhas, de cinco famílias. A composição da apifauna foi registrada por 52 indivíduos de 12 espécies exclusivas na parte da mata ciliar preservada, enquanto para a área degradada ocorreu, apenas, uma espécie, com 4 indivíduos. Apis mellifera e Trigona spinipes somaram 2/3 de todas as abelhas amostradas, principalmente da área degradada. Foi registrada a presença de Ceblurgus longipalpis, espécie oligolética, que mantém uma dependencia com Varronia leucocephala, sendo gênero Ceblurgus é o único endêmico da Caatinga. A partir dos resultados consideramos, que as abelhas de ambientes preservados estão ameaçadas, pela degradação com o desmatamento da cobertura vegetal na área.
Somewhere beyond hyper-reality
Authors: Isıtman Odul
Published: November 2018

According to Baudrillard who states that the introduction of ready-made objects to art that started with Duchamp andcontinued with Andy Warhol, the result of the summation of reality and art is nothing from this point on. The reason is thatall the scientific, philosophical and socio-economic fields have been experienced, explored or defined, thanks to Modernity.According to Baudrillard, the reality has changed and turned into a reality simulation, namely a hologram. It is thistransformation that made Baudrillard say ‘God is not dead, he has become hyper-real’ in response to Nietzsche’s ‘God isdead’ discourse. Kevin Robins, who states that the deference of the object by image, the rejection of the object is apostmodern discourse, suggests that this expresses a meaningful disengagement from modernist aesthetics, whichcorresponds to the age of mechanical production.Keywords: Digitalisation, reality, hyper-reality, image, hologram, post-1990s.
Development of New Target Stations for the South African Isotope Facility
Authors: Steyn Gideon F. , Anthony Lyndon S. , Azaiez Faical , Baard Shadley , Bark Robert A. , Barnard A. Hugo , Beukes Philip , Broodryk Johan I. , Conradie J. Lowry , Cornell John C. , de Villiers J. Garrett , Dolley Stuart G. , du Plessis Herman , Duckitt William D. , Fourie Dirk T. , Hogan Mike E. , Kohler Ivan H. , Lawrie Kobus J. , Lussi Chris , Mira Joele P. , Mjali K. Vuyo , Mostert Hendrik W. , Naidoo Clive , Nemulodi Fhumulani , Saal David , Stodart Nieldane P. , Thomae Rainer W. , van Niekerk Johan , van Schalkwyk Pieter A.
Published: November 2018

The development of new target stations for radioisotope production based on a dedicated 70~MeV commercial cyclotron is described. Currently known as the South African Isotope Facility (SAIF), this initiative will free the existing separated-sector cyclotron (SSC) at iThemba LABS (near Cape Town) to mainly pursue research activities in nuclear physics and radiobiology. It is foreseen that the completed SAIF facility will realize a three-fold increase in radioisotope production capacity compared to the current programme based on the SSC.
Are Soybean Yields Getting a Free Ride From Climate Change? Evidence From Argentine Time Series
Authors: Ahumada Hildegart , Cornejo Magdalena
Published: November 2018

Soybean yields are often indicated as an interesting case of climate change mitigation due to the beneficial effects of CO2 fertilization. In this paper we econometrically study this effect using a time series model of yields in a multivariate framework for a main producer and exporter of this commodity, Argentina. We have to deal with the upward behavior of soybean yields trying to identify which variables are the long-run determinants responsible of its observed trend. With this aim we adopt a partial system approach to estimate subsets of long-run relationships due to climate, technological and economic factors. Using an automatic selection algorithm we evaluate encompassing of the different obtained equilibrium correction models. We found that only technological innovations due to new crop practices and the use of modified seeds explain soybean yield in the long run. Regarding short run determinants we found positive effects associated with the use of standard fertilizers and also from changes in atmospheric CO2 concentration which would suggest a mitigation effect from global warming. However, we also found negative climate effects from periods of droughts associated with La Niña episodes, high temperatures and extreme rainfall events during the growing season of the plant.
Surface Functionalization of Silica and Zirconia Sol-Gel Materials with Europium Complexes
Authors: Danchova Nina , Gutzov Stoyan
Published: November 2018

The present contribution is focused on the relation preparation – structure – optical properties of hybrid silica and zirconia powders containing Eu(III) complexes: [Eu(ntac)3][pphendcn] and [Eu(phen)2](NO3)3. Methods for functionalization of silica and zirconia microparticles, based on adsorption of 1,10-phenantroline and [Eu(ntac)3][pphendcn], and doping with [Eu(phen)2](NO3)3 nanoparticles  are proposed to obtain of red emitting hybrid composites with quantum efficiency 20 – 50 %. The optical properties of rare earth ions incorporated in silica and zirconia composites are used to explore the site symmetry (D2, C2v or lower) of the Eu3+ optical centers in the hybrid composites.  Quantum yields of the investigated sol-gel micropowders and quantification of their optical spectra are presented.
Modeling the Momentum Effect in Stock Markets to Propose a New Portfolio Algorithm
Authors: Umino Kazunori , Kikuchi Takamasa , Kunigami Masaaki , Yamada Takashi , Terano Takao ,   Tokyo Institute of Technology 4259 Nagatsuta-cho, Midori-ku, Yokohama, Kanagawa 226-8503, Japan,   Keio University 4-1-1 Hiyoshi, Kohoku-ku, Yokohama, Kanagawa 223-8521, Japan,   Yamaguchi University 1677-1 Yoshida, Yamaguchi City, Yamaguchi 753-8511, Japan
Published: November 2018

This research has two objectives: (1) to model and analyze the momentum effect and (2) to propose a portfolio-reconstruction algorithm that uses the momentum effect to obtain excess return. The momentum effect tends to be present in the stock market and describes the phenomenon whereby rising (declining) stocks tend to continue to rise (decline). However, because existing research does not separate momentum effects from stock price fluctuations, it is not always possible to obtain an excess return when working with an unknown dataset that contains a momentum effect. In this research, we define a new external-force momentum-effect (EFME) model based on bias in stock price rises (declines). We prepared an artificial stock dataset that contained this momentum effect and constructed a portfolio with the proposed algorithm. Then, we analyzed the relationship between the EFME model and excess return and verify that excess return is obtained. Additionally, we confirmed that the proposed method yields higher excess return than the existing method when applied to artificial and real stock datasets.
Control Technology for Power Resources Based on Improved Q Learning Algorithm for Automated Intelligent Control
Authors: Ma Run ,   School of Automation, Chongqing Industry Polytechnic College No.1000 Taoyuan Road, Yubei District, Chongqing 401120, China
Published: November 2018

With the advancement in internet technologies, requirements for quality of indoor wireless communication have increased. Femtocell, which is an effective approach to improve indoor communication quality, can provide highly-efficient indoor network services for users. This study puts forward a power resource control method based on Q learning algorithm for improved solutions to the problems of frequency spectrum and power resource allocation of a two-tier femtocell network. The algorithm was further improved, and was compared with the traditional algorithm via a simulation experiment. It was found that the improved Q learning algorithm could enhance the message capacity and control power resource; this provides a reference for the application of Q learning algorithm in femtocell communication.