bluuebunny/crossref_metadata_2025 huggingface dataset:
Contemporary Burden and Correlates of Symptomatic Paroxysmal Supraventricular Tachycardia
Authors: Go Alan S. , Hlatky Mark A. , Liu Taylor I. , Fan Dongjie , Garcia Elisha A. , Sung Sue Hee , Solomon Matthew D.
Published: July 2018

Background

Contemporary data about symptomatic paroxysmal supraventricular tachycardia (
PSVT
) epidemiology are limited. We characterized prevalence and correlates of symptomatic
PSVT
within a large healthcare delivery system and estimated national
PSVT
burden.

Methods and Results

We identified adults with an encounter for potential
PSVT
between 2010 and 2015 in Kaiser Permanente Northern California, excluding those with prior known atrial fibrillation or atrial flutter. We adjudicated medical records,
ECG
s, and other monitoring data to estimate positive predictive values for targeted
International Classification of Diseases (ICD), 9th and 10th Revisions
codes in inpatient, emergency department, and outpatient settings. Combinations of diagnosis codes and settings were used to calculate
PSVT
prevalence, and
PSVT
correlates were identified using multivariable regression. We estimated national rates by applying prevalence estimates in Kaiser Permanente to 2010
US
Census data. The highest positive predictive values included codes for “
PSVT
” in the emergency department (82%), “unspecified cardiac dysrhythmia” in the emergency department (27%), “anomalous atrioventricular excitation” as a primary inpatient diagnosis (33%), and “unspecified paroxysmal tachycardia” as a primary inpatient diagnosis (23%). Prevalence of symptomatic
PSVT
was 140 per 100 000 (95% confidence interval, 100–179) and was higher for individuals who were older, women, white or black, or who had valvular heart disease, heart failure, diabetes mellitus, lung disease, or prior bleeding. We estimate the national prevalence of symptomatic
PSVT
to be 168 per 100 000 (95% confidence interval, 120–215).

Conclusions

Selected diagnostic codes in inpatient and emergency department settings may be useful to identify symptomatic
PSVT
episodes. We project that at least 0.168% of
US
adults experience symptomatic
PSVT
, and certain characteristics can identify people at higher risk.
One land and three narratives: Palestinian sites of memory in Israel
Authors: Assmann Aleida
Published: July 2018

The first part of the article invites a fresh look at the often defined concepts of ‘space’ and ‘place’, connecting them to different subject positions, mental frames and projects. The second part addresses memory issues that underlie the political conflict between the state of Israel and Palestinians in the Near East. It will analyse two seemingly incompatible memories related to the same events and topography. The focus of the essay is not only on the divisive force with which two incompatible histories are constructed in the same landscape but also on recent memory practices and performances that raise awareness of this impasse and work towards a more complex and inclusive transnational memory of the entangled history of 1948.
Reparative transnationalism: The friction and fiction of remembering in Sierra Leone
Authors: Kennedy Rosanne
Published: July 2018

Analysis of the “productive frictions” that emerge when cosmopolitan paradigms are implemented in local contexts may nuance accounts of how and when memory travels, and when and why it stalls, thereby contributing to a better understanding of the cross-border travels of memory. I explore the frictions of truth-telling in Sierra Leone as articulated in ethnographic analyses of local engagement with the normative paradigm of public remembering and truth-telling promoted by the Sierra Leone Truth and Reconciliation Commission (TRC), and mediated in Aminatta Forna’s post-conflict novel, The Memory of Love. While the Truth and Reconciliation Commission disappointed victims’ expectations for meaningful transnational relationships, the novel performs and models what I call reparative transnationalism. Through the intimate but public form of literature it imagines entangled transnational futures that work toward the promise of transnational belonging promoted in much writing on transnational memory.
Comparison of GlideScope Video Laryngoscopy and Direct Laryngoscopy for Tracheal Intubation in Neonates
Authors: Tao Bingdong , Liu Kun , Zhao Ping , Wang Dandan , Liu Yiming , Yin Hong
Published: July 2018

BACKGROUND:

GlideScope video laryngoscope (GS) has been widely used to facilitate tracheal intubation in adults and pediatric patients because it can improve glottic view. Several investigations performed in pediatric patients have shown that GS provides a better view of the glottis than direct laryngoscope (DL). However, to date, there are no studies assessing the use of GS in neonates. Therefore, we conducted a prospective study to compare time to intubate (TTI) when either GS or DL was used for endotracheal intubation in neonates.

METHODS:

Seventy neonates (American Society of Anesthesiologists physical status I and II, scheduled to undergo elective surgery under general anesthesia) were randomized to GS group (n = 35) and DL group (n = 35). The primary outcome variable of the study was TTI. As secondary outcomes, success rate of first intubation attempt of all neonates, intubation attempts, and adverse events were also evaluated. The glottic views (depicted by Cormack and Lehane [C&L] grades) obtained with GS and DL were compared.

RESULTS:

There were no significant differences in TTIs of neonates with all C&L grades (95% CI, −7.36 to 4.44). There was also no difference in the subgroups of neonates with C&L grades I and II (n = 30 each; 95% CI, −0.51 to 5.04). However, GS significantly shortened the TTIs of neonates with C&L grades III and IV compared to DL (n = 5 each group; 95% CI, 4.94–46.67). GS improved the glottic view as compared to DL. Although the total tracheal intubation attempts in the GS group was fewer than that in the DL group (36 vs 41), there was no significant difference (P = .19).

CONCLUSIONS:

GS use did not decrease the TTI of all neonates and neonates with C&L grades I and II as compared to DL use; however, GS significantly decreased the TTI of neonates with C&L grades III and IV. Additionally, GS use provided improved glottic views.
Physical Activity, Cardiorespiratory Fitness, and Incident Glaucoma
Authors: MEIER NATHAN F. , LEE DUCK-CHUL , SUI XUEMEI , BLAIR STEVEN N.
Published: July 2018

Purpose

This study aimed to examine the associations of physical activity and cardiorespiratory fitness (hereafter fitness) with incident glaucoma in a prospective observational study.

Methods

Physical activity was measured by self-reported leisure-time activities, and fitness was measured by maximal treadmill test. Incident glaucoma was defined based on physician diagnosis. Participants were 9519 men and women between the ages of 40 and 81 yr old (mean age 50 yr) who were enrolled in the Aerobics Center Longitudinal Study. Hazard ratios (HR) were estimated using Cox proportional hazard regression after adjusting for age, sex, race, examination year, smoking status, heavy alcohol drinking, hypertension, hypercholesterolemia, abnormal ECG, diabetes, cardiovascular disease, and cancer.

Results

A total of 128 cases of incident glaucoma were reported during a mean follow-up of 5.7 yr. A significantly lower risk of incident glaucoma (HR = 0.53, 95% confidence interval [95% CI] = 0.35–0.79) was found in individuals who met the physical activity guidelines of ≥500 MET·min·wk−1 compared with inactive individuals (0 MET·min·wk−1). Compared with low fitness (lower third), individuals with high fitness (upper third) also had a significantly lower risk of incident glaucoma (HR = 0.60, 95% CI = 0.38–0.95). A joint analysis of physical activity and fitness showed that meeting physical activity guidelines and being in the high fitness category was associated with the lowest risk for developing glaucoma (HR = 0.49, 95% CI = 0.31–0.79).

Conclusion

These data provide epidemiological evidence that meeting physical activity guidelines or being fit reduces the risk of developing glaucoma.
Die Versuchung des Wissens
Authors: Solhdju Katrin
Published: July 2018

»Es wird unerträglich werden!« - Medizinische Einschätzungen auf Grund von prädiktiven Gentests sind eine moderne Form des Fluches - mit unerbittlich sicheren Folgen. Ausgehend vom Fall Alice Rivières, deren Test auf die Huntington-Krankheit positiv ausfällt, zeigt Katrin Solhdju die Fallstricke im Umgang mit einer existentiell bedrohlichen Form des Zukunftswissens auf: Wie lässt sich solcher Gewalt denkend begegnen? Wo lassen sich begriffliche, epistemologische und imaginative Elemente auffinden, ihr effektiv entgegenzuwirken? Und was sind die »ökologischen« Bedingungen für einen kunstvollen und gewaltarmen Umgang mit dieser modernen Variante des Vorherwissens?
Isometric Midthigh Pull Characteristics in Elite Youth Male Soccer Players: Comparisons by Age and Maturity Offset
Authors: Morris Rhys O. , Jones Ben , Myers Tony , Lake Jason , Emmonds Stacey , Clarke Neil D. , Singleton Dave , Ellis Matthew , Till Kevin
Published: July 2018

Morris, RO, Jones, B, Myers, T, Lake, J, Emmonds, S, Clarke, ND, Singleton, D, Ellis, M, and Till, K. Isometric midthigh pull characteristics in elite youth male soccer players: Comparisons by age and maturity offset. J Strength Cond Res 34(10): 2947–2955, 2020—The purpose of this study was to (a) provide comparative isometric midthigh pull (IMTP) force-time characteristics for elite youth soccer players and (b) determine the effect of age and maturation on IMTP force-time characteristics. Elite male youth soccer players (U12 n = 51; U13 n = 54; U14 n = 56; U15 n = 45; U16 n = 39; and U18 n = 48) across 3 maturity offset groups (Pre n = 117; circa n = 84; and Post–peak height velocity n = 92) performed 2 maximal IMTP trials on a portable force platform (1,000 Hz). Absolute and relative values for peak force (PF) and impulse over 100 and 300 ms were analyzed. A full Bayesian regression model was used to provide probable differences similar to that of a frequentist p value. Advanced age and maturation resulted in superior IMTP force-time characteristics. Peak force demonstrated high probabilities of a difference between all consecutive age groups (p > 0.95). For absolute and relative impulse (100 and 300 ms), only 2 consecutive age groups (U14–15's and U16–18's) demonstrated high probabilities of a difference (p > 0.95) with large effects (d = 0.59–0.93). There were high probable differences between all maturity offset groups for PF and impulse with medium to large effects (d = 0.56–3.80). These were also reduced when expressed relative to body mass (relative PF and relative impulse). This study provides comparative IMTP force-time characteristics of elite male youth soccer players. Practitioners should consider individual maturation status when comparing players given the impact this has on force expression.
Measurement of Cortisol and Testosterone in Athletes: Accuracy of Liquid Chromatography–Tandem Mass Spectrometry Assays for Cortisol and Testosterone Measurement in Whole-Blood Microspecimens
Authors: Fragala Maren S. , Goldman Scott M. , Goldman Mildred M. , Bi Caixia , Colletti Julia D. , Arent Shawn M. , Walker Alan J. , Clarke Nigel J.
Published: July 2018

Fragala, MS, Goldman, SM, Goldman, MM, Bi, C, Colletti, JD, Arent, SM, Walker, AJ, and Clarke, NJ. Measurement of cortisol and testosterone in athletes: Accuracy of LC-MS/MS assays for cortisol and testosterone measurement in whole-blood microspecimens. J Strength Cond Res 32(9): 2425–2434, 2018—Biomarker monitoring provides insight into athletes' training tolerance but is limited by the need for office-based specimen collection. To facilitate self-collection during training, we developed liquid chromatography–tandem mass spectrometry-based tests that measure circulating total cortisol and testosterone using a finger stick volumetric absorptive microsampler. Here, we describe the analytical validation of these tests. Forty-six Division I athletes (18–22 years, 30 women, 16 men) provided a 20-µL finger stick microspecimen and a 5-ml venous blood specimen from the forearm; the venous blood sample was analyzed using both normal volume serum analysis and analysis of dried whole blood (from the microsampler). Liquid chromatography–tandem mass spectrometry on standard serum specimens obtained by venipuncture yielded total cortisol levels of 26.2 ± 11.6 µg·dl−1 (women and men), and total testosterone levels of 37 ± 17 ng·dl−1 in women and 564 ± 171 ng·dl−1 in men. Analytical measurement ranges of the microspecimen assay were 0.3–440 µg·dl−1 (CV <9%) for cortisol and 15 to 20,000 ng·dl−1 (CV <9%) for testosterone. Deming regression and Pearson correlation indicated good test accuracy for the microspecimen tests compared with venipuncture tests for cortisol (y = 0.98x + 1.34, 95% CI of slope = 0.83–1.14; r = 0.92, p < 0.0001) and testosterone (y = 1.06x − 0.01, 95% CI of slope = 0.99–1.14; r = 0.99, p < 0.0001). Similarly, high agreement was observed between finger stick and venous microspecimens for cortisol (y = 1.00x + 0.65, 95% CI of slope = 0.9–1.11; r = 0.96, p < 0.001) and testosterone (y = 0.97x + 2.75, 95% CI of slope = 0.9–1.03; r = 0.99, p < 0.001). These findings suggest the viability of finger stick collection whole-blood microspecimens for assessment of total cortisol and testosterone in athletes.
Running Intensities in Elite Youth Soccer by Age and Position
Authors: Duthie Grant M. , Thornton Heidi R. , Delaney Jace A. , Connolly Darragh R. , Serpiello Fabio R.
Published: July 2018

Duthie, GM, Thornton, HR, Delaney, JA, Connolly, DR, and Serpiello, FR. Running intensities in elite youth soccer by age and position. J Strength Cond Res 32(10): 2918–2924, 2018—The purpose of this investigation was to examine differences between the peak running speed, acceleration, and metabolic power of elite youth soccer across a range of age levels by position. Ninety-six elite junior soccer players were assessed between 2015 and 2017. Ninety-six elite junior soccer players (at time of match: age, 15.8 ± 0.9 years; body mass, 69.1 ± 8.0 kg) were assessed during 61 games within the 2015, 2016, and 2017 season, for a total of 441 individual match observations (4.8 ± 3.3 matches per player, range 1–13). Participants were classified by age group: under 15 (U15, n = 121, 14.7 ± 0.3 years), under 16 (U16, n = 176, 15.8 ± 0.3 years), or under 17 (U17, n = 144, 16.7 ± 0.4 years), and according to their playing position: Attacker (ATT), Defender (DEF), Mid-Fielder (MID), or Wide (WIDE). Participants wore global positioning system units during each match, where speed (m·min−1), acceleration/deceleration (m·s−2), and metabolic power (Pmet) were established. A 1- to 10-minute moving average was applied to establish the intercept (c) and slope (n) of running intensity variables as a power law y = cx
n
relationship. Linear mixed models were used to examine differences in the intercept and slope between age group and player position. There were no substantial differences in peak (intercept) or decline (slope) in running intensity between playing levels. Several differences were observed in the peak running speeds (m·min−1), particularly peak running speeds of ATT and DEF being substantially lower than the MID. Despite variability between positions, we suggest that the magnitude of these differences would not warrant the prescription of different running intensities across positions at the elite junior level. These findings describe the peak running intensities of elite junior soccer, useful in the monitoring and prescription of training to ensure that players are prepared for the most demanding periods of competition.
Integrating Resistance Training Into High School Curriculum
Authors: Pichardo Andrew W. , Oliver Jon L. , Harrison Craig B. , Maulder Peter S. , Lloyd Rhodri S.
Published: July 2018

RESISTANCE TRAINING FOR YOUTH ATHLETES IS BECOMING INCREASINGLY COMMON. INTEGRATING A PERIODIZED RESISTANCE TRAINING PROGRAM INTO SCHOOL CURRICULUM CAN HELP DEVELOP ATHLETICISM FOR ALL YOUTH. THIS ARTICLE AIMS TO PROVIDE AN OVERVIEW OF A RESISTANCE TRAINING PROGRAM USED IN A NEW ZEALAND SECONDARY SCHOOL. PROVIDED IS AN INSIGHT INTO THE LEVELS OF PLANNING FOR AN EFFECTIVE ATHLETIC DEVELOPMENT PROGRAM. PROPERLY SEQUENCED TRAINING BLOCKS ARE ESSENTIAL IN ACHIEVING LONG-TERM SUCCESS. IN ADDITION, COACHES MUST BE SUFFICIENTLY CERTIFIED AND QUALIFIED TO WORK WITH YOUTH, WHICH INCLUDES TAILORING APPROACHES TO VARYING LEVELS OF SKILL AND PROVIDING EFFECTIVE FEEDBACK.
Faith and Reason: Their Roles in Religious and Secular Life, by D. A. Crosby and Faith: What It Is and What It Isn’t, by T. W. Tilley
Authors: Bowes Ann
Published: July 2018

Faith and Reason: Their Roles in Religious and Secular Life, by D. A. Crosby. State of University New York Press, 2011. 188pp., Hb. $70.00, ISBN-13: 9781438436135; Pb. $25.95, ISBN-13: 9781438436142.andFaith: What It Is and What It Isn’t, by T. W. Tilley. Orbis Books, 2010. 160pp., Pb. $22.00. ISBN-13: 9781570758799.
The Human Quest for Meaning: Theories, Research and Applications, edited by Paul T. P. Wong
Authors: Selvanayagam Israel
Published: July 2018

The Human Quest for Meaning: Theories, Research and Applications, edited by Paul T. P. Wong. Routledge, 2012. 768pp., Hb. $83.95, ISBN-13: 9780415876773; Pb. $53.95, ISBN-13: 9781138110823.
Tacit & Explicit Knowledge, by Harry Collins
Authors: Hanson Barbara
Published: July 2018

Tacit & Explicit Knowledge, by Harry Collins. University of Chicago Press, 2010. 200pp., 3 halftones, 7 line drawings, 6 tables. Pb. $26.00, ISBN-13: 9780226004211.
A Clockwork Freedom
Authors: Sullivan Marek
Published: July 2018

The Production of American Religious Freedom by Finbarr Curtis. New York University Press, 2016. 240 pp. Pb. $28.00, ISBN-13: 9781479856763; Hb. $89.00, ISBN-13: 9781479882113.
There is no benefit in the use of postnatal intravenous immunoglobulin for the prevention of relapses of multiple sclerosis: findings from a systematic review and meta-analysis
Authors: Rosa Gleysson Rodrigues , O’Brien Anthony Terrence , Nogueira Eduardo de Almeida Guimarães , Carvalho Vitor Martinez de , Paz Sonia Castedo , Fragoso Yara Dadalti
Published: July 2018

ABSTRACT Multiple sclerosis (MS) is a complex autoimmune and neurodegenerative disease of the central nervous system. Since MS affects mostly fertile women, pregnancy issues often arise in daily practice. The present study assessed the use of postpartum intravenous immunoglobulin (IVIG) in MS. Methods The authors individually searched for records using PubMed, Medline, EMBASE, Cochrane, SciELO, LILACS, and Google Scholar, using the terms “multiple sclerosis” OR “MS” AND “pregnancy” OR “gestation” OR “partum” OR “post-partum” OR “puerperium” AND “immunoglobulin”. Results The initial search returned 321 papers. There were 11 eligible articles selected for the review. In total, 380 patients had received post-natal IVIG to reduce the number of postpartum relapses. The unadjusted number needed to treat was 6.3 for the quantitative and 5.8 for the qualitative analyses. Conclusion The therapeutic effect of IVIG for prevention of postnatal relapses in MS could not clearly be established in this meta-analysis.
Painful temporomandibular disorder, sleep bruxism, anxiety symptoms and subjective sleep quality among military firefighters with frequent episodic tension-type headache. A controlled study.
Authors: Wagner Bianca de Araújo , Moreira Filho Pedro Ferreira
Published: July 2018

ABSTRACT Objective To investigate associations of temporomandibular disorders (TMDs), bruxism, anxiety and sleep quality among military firefighters with frequent episodic tension-type headache (FETTH). Methods The sample comprised two groups (80 individuals): controls (mean age 35.2 years) and study group (mean age 38.5 years). Headache was diagnosed in accordance with the ICHD-III. The Research Diagnostic Criteria for TMDs were used to classify the TMDs; bruxism was diagnosed in accordance with the International Classification of Sleep Disorders; anxiety was classified using the Beck Anxiety Inventory; and sleep quality was assessed using the Pittsburgh Sleep Quality Index. In the statistical models, we used a significance level of 95%. Results Associations were found between participants with FETTH and TMDs (p < 0.001) and anxiety (p = 0.002).Poor quality of sleep (p = 0.687) and bruxism (p = 0.670) were not risk factors. Conclusion The study found that TMDs and anxiety among firefighters were associated with FETTH.
Impulse control and related disorders in Parkinson’s disease
Authors: Vargas Antonio Pedro , Cardoso Francisco Eduardo Costa
Published: July 2018

ABSTRACT Neuropsychiatric disorders are common among patients with Parkinson’s disease and may appear in any stage of the disease. However, these disorders often go undiagnosed and receive insufficient treatment. Observations in recent years have revealed that dopamine replacement therapy may lead to the development or worsening of conditions, such as gambling disorder, compulsive sexual behavior, compulsive buying and binge eating, in addition to punding and dopamine dysregulation syndrome. The pathophysiology of these disorders seems to be related to abnormal dopaminergic stimulation of the basal regions of the basal ganglia, especially via nigro-mesolimbic pathways. The aim of the present study was to perform a literature review on impulsivity, impulse control disorders and related conditions among patients with Parkinson’s disease, with emphasis on their epidemiology, clinical characteristics and treatment.
Neurosyphilis and ocular syphilis clinical and cerebrospinal fluid characteristics: a case series
Authors: Borges Conrado Regis , Almeida Sérgio Monteiro de , Sue Karen , Koslyk Jéssyca Luana Alves , Sato Mario Teruo , Shiokawa Naoye , Teive Hélio Afonso Ghizoni
Published: July 2018

ABSTRACT Background During the first decade of this century, a significant increase in the incidence of syphilis was documented. Objective To study clinical and laboratory characteristics of central nervous system and ocular syphilis. Methods A retrospective case series of 13 patients with a clinical and laboratory diagnosis of neurosyphilis and/or ocular syphilis who had been admitted to the Neurology and Neuro-ophthalmology Service of the Hospital de Clínicas, Federal University of Paraná. Results Nine patients had a diagnosis of neurosyphilis and two of them also had ocular syphilis. Four patients had a diagnosis of ocular syphilis alone. Among the patients with a diagnosis of neurosyphilis, six had symptomatic syphilitic meningitis, of whom one manifested as cranial nerve palsy alone, one as cranial nerve palsy plus ocular syphilis, two as transverse myelitis (syphilitic meningomyelitis), one as meningitis worsening the patient’s myasthenia gravis symptoms and one as meningitis plus ocular syphilis. Additionally, we diagnosed three patients with meningovascular neurosyphilis. In the univariate analysis, patients without ocular syphilis showed greater levels of total protein and white blood cells in the cerebrospinal fluid than patients with ocular syphilis. Conclusion This Brazilian case series of patients with neurosyphilis and ocular syphilis highlights the wide variability of this disease. A high degree of diagnostic suspicion is necessary when facing neurological and ocular symptoms for rapid diagnosis and appropriate management of patients.
Intimate partner violence among postpartum women: associated factors
Authors: Marcacine Karla Oliveira , Abuchaim Erika de Sá Vieira , Jardini Larissa , Coca Kelly Pereira , Abrão Ana Cristina Freitas de Vilhena
Published: July 2018

ABSTRACT Objective: To identify the profile and assess the self-esteem of postpartum women, to characterize their babies and partners, and to verify the association of these characteristics with the occurrence of intimate partner violence (IPV). Method: Cross-sectional study with 207 postpartum women assisted in a public clinic. Results: There was no statistic correlation among the sociodemographic variables, personal and obstetric characteristics with the occurrence of IPV. The postpartum women who showed low self-esteem presented a higher exposure risk to IPV (p<0.01; OR=2.01 and CI 95% [1.40-2.87]). The mothers of the babies that were born with low weight (less than 2,500 g) had almost twice the chances of suffering violence (p<0.05; OR=1.74 and CI 95% [1.00-3.03]). The women whose partners did not consume alcohol presented a lower probability to be exposed to IPV (p<0.05; OR=0.182 and CI 95% [0.03-0.93]). Conclusion: Women's low self-esteem, babies' inappropriate weight and consumption of alcohol by partners were correlated to the occurrence of IPV.
The pain of children with sickle cell disease: the nursing approach
Authors: Campelo Lívia Maria Nunes , Oliveira Nayara Fernandes , Magalhães Juliana Macêdo , Julião Alcineide Mendes de Sousa , Amorim Fernanda Cláudia Miranda , Coelho Magda Coeli Vitorino Sales
Published: July 2018

ABSTRACT Objective: To describe how nurses identify the pain in children with sickle cell disease (SCD) and to list the strategies used by them in the evaluation and control of pain. Method: This is a qualitative, descriptive and exploratory research, performed through semi-structured interviews with 13 nurses. The interviews were transcribed and after this process the qualitative data were organized according to thematic analysis. Results: This study showed that the nurses can identify pain in children with SCD from the signals they emit, such as: constant crying, restlessness, facial expressions and verbal reports. Pain is difficult to evaluate due to the lack of instruments, such as a pain scale. For pain control they use emotional support, promotion of comfort and the administration of drugs prescribed by the doctor. Final considerations: The nurses recognize the pain of the child and use pharmacological and non-pharmacological methods to control it but have difficulties to assess it.
Assessment of the preparation and administration of oral medications to institutionalized children
Authors: Chaves Caroline Magna Pessoa , Lima Francisca Elisângela Teixeira , Fernandes Ana Fátima Carvalho , Matias Érica Oliveira , Araújo Patrícia Rebouças
Published: July 2018

ABSTRACT Objective: to evaluate the preparation and administration of oral medications to institutionalized children by nursing professionals. Method: quantitative study, developed from August to September 2016, in a shelter in Fortaleza, Ceará. 323 observations of preparation and administration of oral drugs were carried out. Interview and non-participant direct observation of the process of drug administration were performed, whose data were analyzed through descriptive statistics. Results: Of the 29 actions of preparation and administration of the drugs, ten were considered satisfactory. Sanitizing of hands before touching the pills occurred in only 5.2% of the observations and cleansing of the bottle for liquid drugs was performed in 23.8%. The actions “check the right child”; “checking medication with the prescription”, and “check the right dose” obtained percentages below 15%. Conclusion: measures recommended by the literature for the administration of medication were not, in their clear majority, followed, making specific training and protocols necessary.
Assistance flowchart for pain management in a Neonatal Intensive Care Unit
Authors: Querido Danielle Lemos , Christoffel Marialda Moreira , Almeida Viviane Saraiva de , Esteves Ana Paula Vieira dos Santos , Andrade Marilda , Amim Junior Joffre
Published: July 2018

ABSTRACT Objective: To describe and discuss the process of developing a flowchart collectively constructed by the health team of a Neonatal Intensive Care Unit for the management of neonatal pain. Method: This is a descriptive and an exploratory study with a qualitative approach that used Problem-Based Learning as a theoretical-methodological framework in the process of developing the assistance flowchart for the management of neonatal pain. Results: Based on this methodology, there was training in service and the discussion of key points of pain management by the health team, which served as input for the construction of the flowchart. Final considerations: The assistance flowchart for pain management, based on scientific evidence, provided means to facilitate the decision-making of the health team regarding the pain of the newborn. It is suggested to use the flowchart frequently to promote the permanent education of the team and identify possible points to be adjusted.
The work of nurses in high-risk prenatal care from the perspective of basic human needs
Authors: Errico Lívia de Souza Pancrácio de , Bicalho Paula Gonçalves , Oliveira Thaize Constância Ferreira Lares de , Martins Eunice Francisca
Published: July 2018

ABSTRACT Objective: To analyze the work of nurses in high-risk prenatal care in secondary care, considering nursing problems and the basic human needs of pregnant women. Method: Cross-sectional and quantitative study, developed in a high-risk prenatal care clinic. Data were selected in the records of the nursing consultation. The studied variables were related to sociodemographic and obstetric characteristics, in addition to nursing problems. We performed the descriptive analysis of the data and the grouping of nursing problems within the levels of Basic Human Needs (BHN). Results: We evaluated 54 nursing consultations of pregnant women, mostly young, multiparous, and with nine or more years of study. Every pregnant woman reported, on average, 7.4 nursing problems. The psychobiological BHN prevailed in relation to psychosocial ones. Conclusion: In high-risk prenatal care, nurses can use the nursing consultation considering their mastery of light technologies to engage with hard and light-hard technologies.
Validation of primer for promoting maternal self-efficacy in preventing childhood diarrhea
Authors: Sabino Leidiane Minervina Moraes de , Ferreira Ádria Marcela Vieira , Mendes Elizamar Regina da Rocha , Joventino Emanuella Silva , Gubert Fabiane do Amaral , Penha Jardeliny Corrrêa da , Lima Kamila Ferreira , Nascimento Ludmila Alves do , Ximenes Lorena Barbosa
Published: July 2018

ABSTRACT Objective: to validate an educational primer, regarding content and design, for promoting maternal self-efficacy in preventing childhood diarrhea. Method: methodological study composed of 31 mothers of children under five years of age, in which the validation of the primer You can prevent diarrhea in your child! was carried out from the Content Validity Index (CVI), being evaluated as to the domains understanding, attractiveness, self-efficacy, cultural acceptance, and persuasion. Results: the primer was considered relevant and clear, with average concordance of 99.4% and 99.8%, respectively. The overall CVI was of 0.99, evidencing satisfactory level of agreement between the mothers. The assessment of domains generated satisfactory results. Conclusion: the primer was considered valid by the target audience; thus, it can be implemented for promoting maternal confidence to prevent childhood diarrhea.
Pain in the immediate puerperium: nursing care contribution
Authors: Figueiredo Juliana Vieira , Fialho Ana Virgínia de Melo , Mendonça Glícia Mesquita Martiniano , Rodrigues Dafne Paiva , Silva Lúcia de Fátima da
Published: July 2018

ABSTRACT Objective: to analyze the contribution of clinical nursing care to the mother who has recently given birth with immediate postpartum pain based on the Kolcaba's Theory of Comfort. Method: qualitative study by the research-care method. Three nurses, who provided care for women in the immediate puerperium as caregiver-researchers and 30 postpartum women, were admitted to a public maternity hospital. A semi-structured interview was used for data collection, from which the thematic analysis of the content was carried out. Results: nursing care with influences from the biomedical model was observed, but it expresses concern when being cared for. It offers administration of medications, guidelines and non-pharmacological measures for pain relief. Final considerations: nursing care based on the Theory of Comfort contributed to pain relief in the immediate puerperium.
Application program to prepare child/family for venipuncture: experience report
Authors: Cunha Mariana Lucas da Rocha , Brandi Simone , Bonfim Graziela Fernanda Teodoro , Severino Karine Gottardo , Almeida Gabriela Cintra de Freitas , Campos Pedro Cunial , Toyama André de Marco
Published: July 2018

ABSTRACT Objective: To report the experience of development of an application program to prepare child and family for venipuncture. Method: Experience report on an application program developed in the professional nursing master's degree program in partnership with engineering undergraduate students. Results: The application program allows the child to understand the venipuncture procedure in a ludic and interactive manner. Its development occurred in three stages: identification of client's needs, definition of components, and prototype elaboration. Final considerations: The application program, besides being directed to care and education of children and families, is able to meet the nurses' needs to prepare them for venipuncture. Moreover, it is worth mentioning the importance of multidisciplinary approach for the concretion of similar projects.
Being born at home is natural: care rituals for home birth
Authors: Prates Lisie Alende , Timm Marcella Simões , Wilhelm Laís Antunes , Cremonese Luiza , Oliveira Gabriela , Schimith Maria Denise , Ressel Lúcia Beatriz
Published: July 2018

ABSTRACT Objective: To be aware of the care rituals developed by families when preparing for home birth during the gestational process. Method: Qualitative and ethnographic research developed with families during the gestational process. We adopted the observation-participation-reflection model, and the analysis was performed according to ethnonursing. Results: Care rituals are related to the choice of home as a place for childbirth, being characterized as a family's rite of separation to experience this process. Other care rituals involved the preparation of the family and the eldest child as well as the home, the body, and the mind of the pregnant woman, and the choice of destination of the placenta. Final considerations: We must understand the birth process beyond the biological perspective, considering women and their family as a whole, within a cultural context with their beliefs and values.
Sleep and salivary cortisol in preterm neonates: a clinical, randomized, controlled, crossover study
Authors: Araújo Fabrícia Magalhães , Pedreira Mavilde da Luz Gonçalves , Avelar Ariane Ferreira Machado , Pradella-Hallinan Márcia Lurdes de Cácia , Tsunemi Miriam Harumi , Pinheiro Eliana Moreira
Published: July 2018

ABSTRACT Objective: Analyze the influence of ear protectors on the baseline levels of salivary cortisol and response and total sleep time of preterm neonates during two periods of environmental management of a neonatal intermediate care unit. Method: A clinical, randomized, controlled and crossover study conducted with 12 preterm neonates. The use of ear protectors was randomized in two periods. Sleep evaluation was performed using one Alice 5 Polysomnography System and unstructured observation. Results: No significant difference was observed between the baseline levels of salivary cortisol and response in preterm neonates from the control and experimental groups, and no statistical significance was observed between the total sleep time of both groups. No relationship was observed between the baseline levels of cortisol and response and total sleep time. Conclusion: Ear protectors in preterm neonates did not influence the salivary cortisol level and total sleep time in the studied periods.
Accuracy of the defining characteristics of the nursing diagnosis for fatigue in women under radiotherapy
Authors: Rocha Suzy Ramos , Santos Míria Conceição Lavinas , Lopes Marcos Venícios de Oliveira , Rodrigues Andrea Bezerra , Sousa Vanessa Emille Carvalho de , Aquino Caroline Batista de Queiroz , Mendes Cláudia Rayanna Silva
Published: July 2018

ABSTRACT Objective: To evaluate the accuracy of the defining characteristics of the nursing diagnosis for “fatigue in women with breast cancer under radiotherapy”. Method: Study of diagnostic accuracy, with cross-sectional design, performed in 130 women with breast cancer under radiation treatment. A data collection instrument was used to evaluate clinical socio-demographics and to investigate the presence or absence of defining characteristics for fatigue. The latent class analysis model was applied to assess accuracy measurements of the characteristics identified. Results: Fatigue diagnosis was present in 21.9% of the women. The characteristic which showed the highest sensitivity was “Impaired capacity in maintaining the usual level of physical activity”, while “Impaired capacity in maintaining usual routines” and “Lack of interest about the surrounding environment” presented greater specificity. Conclusion: Accurate diagnostics allow devising an action plan directed to the patients' real needs.
ANIMAL MODELS FOR COLORECTAL CANCER
Authors: DE-SOUZA Alana Serrano Campelo , COSTA-CASAGRANDE Thais Andrade
Published: July 2018

ABSTRACT Introduction: Colorectal cancer is a very frequent sort of neoplasm among the population, with a high mortality rate. It develops from an association of genetic and environmental factors, and it is related to multiple cell signaling pathways. Cell cultures and animal models are used in research to reproduce the process of disease development in humans. Of the existing animal models, the most commonly used are animals with tumors induced by chemical agents and genetically modified animals. Objective: To present and synthesize the main animal models of colorectal carcinogenesis used in the research, comparing its advantages and disadvantages. Method: This literature review was performed through the search for scientific articles over the last 18 years in PubMed and Science Direct databases, by using keywords such as “animal models”, “colorectal carcinogenesis” and “tumor induction”. Results: 1,2-dimethylhydrazine and azoxymethane are carcinogenic agents with high specificity for the small and large intestine regions. Therefore, the two substances are widely used. Concerning the genetically modified animal models, there is a larger number of studies concerning mutations of the APC, p53 and K-ras genes. Animals with the APC gene mutation develop colorectal neoplasms, whereas animals with p53 and K-ras genes mutations are able to potentiate the effects of the APC gene mutation as well as the chemical inducers. Conclusion: Each animal model has advantages and disadvantages, and some are individually efficient as to the induction of carcinogenesis, and in other cases the association of two forms of induction is the best way to obtain representative results of carcinogenesis in humans.
EVALUATION OF ESOPHAGEAL ACHALASIA: FROM SYMPTOMS TO THE CHICAGO CLASSIFICATION
Authors: LAURINO-NETO Rafael Melillo , HERBELLA Fernando , SCHLOTTMANN Francisco , PATTI Marco
Published: July 2018

ABSTRACT Introduction: The diagnosis of achalasia may be suggested by clinical features but a complete work-up is required not only to confirm the diagnosis but also to grade the disease by severity or clinical subtype. Objective: To review the current evaluation of esophageal achalasia and its correct comprehension. Method: The literature review was based on papers published on Medline/Pubmed, SciELO and Lilacs, crossing the following headings: “esophageal achalasia”; “deglutition disorders”; “diagnostic techniques”, “digestive system”; “endoscopy, digestive system”; “manometry”. Results: The diagnosis of achalasia is suggested by clinical features but is not sufficient to distinguish this from other esophageal disease. It must be confirmed by further diagnostic tests, such as esophagogastroduodenoscopy, barium swallow and manometry. Recent advances in diagnostic methods, including high resolution manometry might even help predicting outcome or selected more appropriate procedures to treat the disease. Conclusion: A detailed and systematic study of achalasia patients allows not only a correct diagnosis but also contributes to therapeutic decision making and prognosis.
THE ALCOHOL CONSUMPTION IS AMENDED AFTER BARIATRIC SURGERY? AN INTEGRATIVE REVIEW
Authors: GREGORIO Valeria Duarte , LUCCHESE Roselma , VERA Ivânia , SILVA Graciele C. , SILVA Andrecia , MORAES Rayrane Clarah Chaveiro
Published: July 2018

ABSTRACT Background: Bariatric surgery has been an alternative when conservative methods of weight loss fail. Patients undergoing bariatric surgery have an increased risk of up to 6.5% of problems related to alcohol. Objetive: To review the literature about the changes on alcohol consumption in this public. Method: Database was accessed from June of 2015 to January of 2016 by searching “bariatric surgery” AND “alcoholism”, and their Portuguese equivalents. Science Direct, PubMed, Lilacs and Medline, besides manual search, were searched. To be included, the paper should have been published between 2005-2016 and related to bariatric surgery and alcoholism. Theses, dissertations, unpublished papers, case reports and theoretical studies were excluded. In 2005 there was only one review of change in alcohol metabolism in patients undergoing bariatric surgery. There were no publications in 2006. In 2007, only one study was published, and it did not meet the inclusion criteria. In 2010, there was an increase of 13% in publications and of 20% in 2012, reaching 40% in 2013. Conclusion: The prevalence and incidence of alcohol consumption in relation to the postoperative time was six months to three years with higher incidence in men. Roux-en-Y gastric bypass showed greater association with increased alcohol consumption during the postoperative period. This and other studies showed that the pattern of alcohol consumption is important to be faced as a problem in bariatric surgery follow-up.
PHARYNGO-ILEO-COLO-ANASTOMOSIS WITH MICRO-VASCULAR BLOOD SUPPLY AUGMENTATION FOR ESOPHAGO-GASTRIC REPLACEMENT DUE TO ESOPHAGO-GASTRIC NECROSIS AFTER CAUSTIC INGESTION
Authors: BRAGHETTO Italo , FIGUEROA Manuel , SANHUEZA Belén , LANZARINI Enrique , SEPULVEDA Sergio , ERAZO Christian
Published: July 2018

ABSTRACT Background : Complete esophago-gastric necrosis after caustic ingestion is a challenging surgical scenario for reconstruction of the upper digestive transit. Aim : To present a surgical technique for reconstruction of the upper digestive tract after total esophagectomy and gastrectomy due to esophageal and gastric necrosis Method: The transit was re-established by means of a pharyngo-ileo-colic interposition with microsurgical arterial and venous anastomosis for augmentation of blood supply. Colo-duodeno-anastomosis and ileo-transverse colic anastomosis were performed for complete digestive transit reconstruction. Result: This procedure was applied in a case of 41 years male attempted suicide by ingesting alkali caustic liquid (concentrated sodium hydroxide). Total necrosis of the esophagus and stomach occurred, which required initially total esophago-gastrectomy, closure at the level of the crico-pharyngeal sphincter and jejunostomy for enteral feeding with a highly deteriorated quality of life . The procedure was performed later and there were no major early and late postoperative complications and normal nutritional conditions were re-stablished. Conclusion: The procedure is feasible and must be managed by multidisciplinary team in order to re-establish a normal quality of life.
Novas evidências de causalidade entre sistema financeiro e crescimento econômico no Brasil usando séries de tempo no domínio da frequência
Authors: Rocha Bruno de Paula , Souza Igor Viveiros de
Published: July 2018

Resumo: Este trabalho tem como objetivo apresentar testes de causalidade entre sistema financeiro e crescimento econômico no domínio da frequência, para séries temporais brasileiras. Esta abordagem permite não-linearidades associadas a mudanças de direção na causalidade do curto para o longo prazo. Para avaliar esta relação no Brasil, o artigo emprega séries temporais para o PIB per capita e de crédito bancário entre 1960 e 2010. Os resultados mostram variação nos testes de causalidade dependendo da frequência dos ciclos considerados, havendo evidências de que o sistema financeiro seja um fator causal para o crescimento econômico no Brasil, mas apenas no longo prazo.
Genealogia das teorias marxistas de crise
Authors: Cipolla Francisco Paulo
Published: July 2018

Resumo: Este artigo procura localizar, na obra econômica de Marx, as diversas proposições acerca da natureza da crise no capitalismo realizada por aquele pensador. O artigo mostra que essas proposições serviram de motivação para as diferentes teorias de crise que se originaram no interior do marxismo. Com isso foi possível apresentar uma genealogia das teorias de crise baseada nas diferentes análises realizadas por Marx, assim como o embate realizado entre as interpretações concorrentes.
Classification, fixation techniques, complications and outcomes of femur fractures in dogs and cats: 61 cases (2015-2016)
Authors: Libardoni Renato do Nascimento , Costa Diego da , Menezes Felipe Barretos , Cavalli Lucas Geraldo , Pedrotti Luís Fernando , Kohlrausch Patrícia Regina , Minto Bruno Watanabe , Silva Marco Augusto Machado
Published: July 2018

ABSTRACT: The aim of this study was to retrospectively evaluate the frequency of femur fractures in dogs and cats in the routine of a school hospital, determining their classification, fixation methods, complications, and outcomes. A total of 61 animals, 50 (82.0%) dogs and 11 (18.0%) cats, had femoral fractures that were submitted to osteosynthesis. Sixty-two femoral fractures were evaluated. Single fractures in the distal epiphysis (n=25) were the most frequent (P=0.0001). Intramedullary pins were used in association with cerclage and tension band for osteosynthesis in proximal fractures. In diaphyseal fractures, bone plates and screws, two intramedullary pins (insulated or with cerclage) and Tie-In configuration were used. In distal fractures, modified Rush intramedullary pins, cross pins and Tie-In configuration were used. Comparing complication frequencies at fracture sites that required reintervention after osteosynthesis, a significant difference was observed (P=0.0253) between the diaphyseal (31.25%) and distal (7.14%) fractures independent of the technique used. We concluded that distal epiphyseal fractures were the most frequent in the routine of a school hospital. Distal epiphyseal fractures presented a lower frequency of complications for consolidation when treated with modified Rush intramedullary pins or crossed pins.
Some aspects about the spatial dependence index for variability of soil attributes
Authors: Santos Eduardo Lucas Ensslin dos , Seidel Enio Júnior , Pazini Juliano de Bastos , Oliveira Marcelo Silva de , Appel Neto Edemar , Barbosa Ismael Canabarro
Published: July 2018

ABSTRACT: The main purpose of this article was to evaluate the behavior and relationship of the range and components of SDI (Spatial Dependence Index) in general and in function of field factors such as soil types, type of attribute and soil layers. This evaluation was based on real data collected in national journals. It was noticed that the parameter range, in general and for different field factors, presented asymmetric positive behavior. The components of the SDI showed approximately symmetrical behavior. The SDI can capture the range behavior more intensely (the spatial variability behavior in the horizontal direction of the semivariogram), and, in a less intense way, the behavior of the contribution and sill parameters (the spatial dependence behavior in the vertical direction of the semivariogram). Thus, the SDI describes the behavior of spatial dependence of the total set of aspects of the semivariogram.