bluuebunny/crossref_metadata_2025 huggingface dataset:
The frequency of shiga-like toxin (stx1 and stx2) and EHEC-hlyA in food by multiplex PCR
Authors: Onlen Cansu , Duran Nizami , Bayraktar Suphi , Ay Emrah , Ozer Burçin
Published: November 2017

Aim: The aim of the present study was to determine the frequency of shiga-like toxin (stx1 and stx2) and drug resistance profiles food-borne Escherichia coli O157:H7 in Hatay province, Turkey. Methods: The presence of the virulence genes (stx1, stx2, hlyA) in a total of 150 E.coli isolates were studied with multiplex PCR. Results: A total of 327 salad samples were analyzed. E. coli O157:H7 was detected in 150 (45.8 %) out of 327 analyzed samples. Of these 150 isolates, the presence of hly-A gene was detected in 32 (21.3%) E.coli isolates. A total of five (15.6%) isolates in this 32 hlyA positive isolates had stx2 gene, two (6.3%) of them had stx1 gene and one (3.1%) of the isolates was found to be positive for both stx1 and stx2 genes. It was found that all E.coli O157:H7 isolates were resistant to erythromycin. While the highest rate of antibiotic resistance was observed for ampicillin (68.8%), no antibiotic resistance against cefuroxime, ciprofloxacin and cephaperasone was identified. Conclusions: The results obtained in our province showed that E.coli strains isolated from salad samples were found to have some important virulence genes such as stx1, stx2, and hlyA. The stx2 frequency was found to be higher than stx1 frequency. Also, it was observed that there was not any significant correlation between drug resistance profiles and presence of toxin genes in E.coli O157:H7 strains. As a result, increasing frequency of STEC O157 serotype among foodborne pathogens is a growing public health problem.
Effects of low-molecular weight alcohols on bacterial viability
Authors: Man Adrian , Gâz Andrei Şerban , Mare Anca Delia , Berţa Lavinia
Published: November 2017

Alcohol based solutions are among the most convenient and wide spread aid in the prevention of nosocomial infections. The current study followed the efficacy of several types and isomers of alcohols on different bacterial species. Seven alcohols (ethyl, n-propyl, iso-propyl, n-butyl, iso-butyl, tert-butyl alcohol, and ethylene glycol) were used to evaluate their minimal inhibitory and bactericidal effects by microdilution method on bacteria that express many phenotypical characteristics: different cell-wall structure (Gram positive/negative bacteria), capsule production (Klebsiella pneumoniae), antibiotic resistance (MRSA vs MSSA) or high environmental adaptability (Pseudomonas aeruginosa). Results: The best inhibitory effect was noticed for n-propyl, followed by iso-propyl, n-butyl, and iso-butyl alcohols with equal values. Ethylene glycol was the most inefficient alcohol on all bacteria. In K. pneumoniae and P. aeruginosa, the bactericidal concentrations were higher than the inhibitory one, and to a level similar to that encountered for most of the Gram-positive bacteria. Among Gram-positive cocci, E. faecalis presented the lowest susceptibility to alcohols. Conclusions: All alcohols presented good effect on bacteria, even in low concentrations. Compared to ethanol as standard, there are better alternatives that can be used as antimicrobials, namely longer-chain alcohols such as propyl or butyric alcohols and their iso- isomers. Ethylene glycol should be avoided, due to its toxicity hazard and low antimicrobial efficacy. Bacterial phenotype (highly adaptable bacteria, biofilm formation) and structure (cell wall structure, presence of capsule) may drastically affect the responsiveness to the antimicrobial activity of alcohols, leading to higher bactericidal than inhibitory concentrations.
Effect of long period treatment with erythropoiesis stimulating agents on clinically and laboratory parameters in hemodialysis autosomal dominant polycystic kidney disease patients
Authors: Orăsan Olga Hilda , Petrov Ljubomir , Urian Laura , Cozma Angela , Ciulei George , Patiu Ioan Mihai , Orăsan Remus Aurel
Published: November 2017

Introduction. The study of dialysis patients not needing erythropoiesis-stimulating agents (ESA) for long periods of time has gained interest lately. The aim of this study was to compare laboratory and clinical parameters in hemodialysis patients with autosomal dominant polycystic kidney disease (ADPKD) treated or not with ESA. Methods. Forty-six hemodialysis ADPKD patients were studied for 8 months and they were divided into: group 1- 29 patients who received ESA during the study period and group 2- 17 patients with no ESA treatment. The following parameters were determined: weekly treatment time, body mass index (BMI), pre-session diastolic blood pressure (DBP), pre-session systolic blood pressure (SBP), blood volume processed (BVD), interdialytic body weight gain (IBWG), spKt/V -K/DOQI formula (Kt/V), urea distribution volume (UDV), hemoglobin (Hb), ferritin, transferrin saturation (TSAT), serum phosphate, total serum calcium, normalized protein catabolic ratio (nPCR), albumin, and intact parathormone (PTH). Results. Patients not requiring ESA were more likely to be men, had higher Hb, albumin, total serum calcium levels, IBWG, UDV, BVP, and weekly treatment time. They had lower ferritin, TSAT, SBP. There was no difference regarding DBP, BMI, serum phosphate, PTH, Kt/V, and nPCR. Conclusion. Hemodialysis ADPKD patients not treated with ESA seem to be better nourished, with a slightly better SBP control, with longer dialysis time and increased Hb (despite lower iron loading markers), compared to hemodialysis ADPKD patients treated with ESA.
Emergence and Interaction of the Lump-Type Solution with the (3+1)-D Jimbo-Miwa Equation
Authors: Tan Wei , Dai Zheng-de , Xie Jing-li , Hu Ling-li
Published: November 2017

A kinky breather-soliton solution and kinky periodic-soliton solution are obtained using Hirota’s bilinear method and homoclinic test approach for the (3+1)-dimensional Jimbo-Miwa equation. Based on these two exact solutions, some lump-type solutions are emerged by limit behaviour. Meanwhile, two kinds of new dynamical phenomena, kinky breather degeneracy and kinky periodic degeneracy, are discussed and presented. Finally, the interaction between a stripe soliton and a lump-type soliton is discussed by the standardisation of the lump-type solution; the fusion and fission phenomena of soliton solutions are investigated and simulated by three-dimensional plots.
Correlation Between Machinability and Chip Morphology of Austempered Ductile Iron
Authors: Yazman Ş. , Gemı L. , Uludağ M. , Akdemır A. , Uyaner M. , Dişpinar D.
Published: November 2017

In this work, macrostructure, microstructure, and work hardening of as-cast and austempered ductile iron chips produced by different cutting speeds were investigated. Cutting forces, surface roughness, and tool wear were also studied. After austenitizing at 900°C for 90 min, samples were austempered in a salt bath at 360°C for 90 min. Machinability tests were conducted with uncoated cemented carbide tools on a CNC lathe. The tests were carried out without using any lubricant. In these tests, the cutting speed was varied in the range 50–200 m/min, while the feed rate (0.12 mm/rev) and depth of cut (2 mm) were kept constant. The tangential, feed, and radial cutting force components acting on the tool holder were measured with a three-component dynamometer. The chips obtained during machining were polished by embedding into epoxy resin, examined with optical microscope and micrographs were taken. The microhardness values were measured on each chip sample. As the cutting speed was increased, deformation strengthening of the microstructure was increased, which decreased the tool life. It was also detected that during the machining, with the effect of cutting forces and stress, spheroidal graphites were broken off in the chip and lost their sphericity, so the chip became fragile and unstable and the graphite displayed a lubricant feature. At low cutting speed, a built-up edge was observed. However, as the cutting speed was increased because of heating, built-up edges were unstable.
THE IMPACT OF CORPORATE CULTURES AND FINANCIAL RATIOS ON THE FRAUDULENT FINANCIAL REPORTING
Authors: Prajanto Agung , Pratiwi Ririh Dwi
Published: November 2017

This study aims to examine and analyze financial statement fraud through financial ratios and corporate culture, case study of companies listed on the Indonesia Stock Exchange Year 2006-2010. The research was conducted at the companies included in the sanctions issued by Capital Markets Supervisory Board (Bapepam) in the period 2006-2010 for companies that committed fraud. While for the companies that did not do fraud, sample was obtained randomly by same asset and industry size. Testing was conducted by using logistic regression to determine the effect of financial ratios and corporate culture on financial statements fraud. Results of research conducted using logistic regression showed that liquidity ratio had positive effect on fraudulent financial statements. While the ratio of gross profit margin and capital turnover indicated a negative impact on financial reporting fraud. Variable of corporate culture was proxied by special relationship transaction, the composition of the founders in board of directors and directors who titled accountant did not effect on fraudulent financial statements.
PREVENTION STRATEGY OF INCOME SMOOTHING PRACTICES WITH GOOD CORPORATE GOVERNANCE MECHANISM
Authors: Purwanti Rini , Nugrahanti Yeterina Widi
Published: November 2017

The purpose of this study is to investigate the differences of income smoothing based on the number of independent commissioners, the number of audit committee, auditors’ quality, foreign ownership, managerial ownership, and institutional ownership. The population of this research is manufacturing company listed in Indonesia Stock Exchange (IDX). By purposive sampling, the study got 70 manufacturing companies listed in IDX from 2011 until 2013. Income smoothing was measured by Eckel index. The research used Man-Whitney U test for testing the hypothesis. The result of this research showed that there was no difference of income smoothing based on the number of independent commissioners, the number of audit committee, auditors’ quality, foreign ownership, and managerial ownership. This study also found that there was difference of income smoothing based on institutional ownership. This study gives advice in order to potential investors who want to invest in a manufacturing company should choose to invest in a manufacturing company that has high institutional ownership. Because from the result of the study, company with high institutional management is proven able to reduce the motivation of the management to take income smoothing action.
THE INFLUENCE OF RELATIVISM, IDEALISM, AND GENDER ON THE STUDENTS’ ACADEMIC CHEATING BEHAVIOUR
Authors: Eriskawati Evi , Januarti Indira
Published: November 2017

This study aims to analyze the influence of relativism, idealism, and gender toward academic cheating behaviour of accounting students of Diponegoro University. The samples in this study were taken by using purposive samplings’ data collection method. The number of sample that used in this study was 250 respondents. The data obtained were analysed by using Linier Regression technique. The result of this research show that relativism positively significant related to academic cheating behaviour of accounting students and idealism negatively significant unrelated to academic cheating behaviour of accounting students. Moreover, gender does significantly related with negative direction of relation to academic cheating behaviour of accounting students.
Competence of Human Resources and the Government Internal Control System (SPIP) and the Effects on the Financial Statement Quality of Public Sercvice Agency (BLU) Moderated by Government Accounting Standard (SAP)
Authors: Panjaitan Inggrid
Published: November 2017

The aim of this research is to examine the effects of Human Resources Competence and the Government Internal Control System (SPIP) on the Quality of Financial Statements of the Public Service Agency with the Government Accounting Standard (SAP) as moderating variable. The research was conducted at the Public Service Agency of Government Hospital in Jakarta under the Ministry of Health. The sampling technique in this study used purposive sampling method (sampling intentionally in accordance with the requirements of samples required). Questionnaires were distributed as many as 85 questionnaires to some employees in the finance department and others that related to the making of financial statement at the Public Service Agency of Government Hospital under the Ministry of Health. The results showed that HR Competency significantly affected the quality of Public Service Agency Financial Statement. SPIP significantly affected the quality of Public Service Agency Financial Statement. Moderation of Government Accounting Standard (SAP) significantly affected and weakened the effect of HR Competency on the Quality of Public Service Agency Financial Statement. Moderation of Government Accounting Standards did not affect significant and strengthened the effect of SPIP on the Quality of Public Service Agency Financial Statement.
Assessment of Official Bond as an Intangible Asset and Its Implications on the Restitution of State Losses Due to Violations Against the Official Bond at the Ministry of Finance
Authors: Mumpuni Mila , Martin Ade Sonny
Published: November 2017

Official Bond is a common form of engagements in an education institution funded by an agency. The engagements result that the granted parties must work for a certain period. The violation against this official bond will cause disadvantages for the agency that has funded the educational process that is subject to claims for compensation against the offending party. One of the government agencies that implement the official bond is the Ministry of Finance. Based on the data from 2010-2014, the state losses due to the violations against the Official Bond in the Ministry of Finance showed less optimal performance. One of important obstacles in the completion of the bond violations is the difficulty in determining the value of the state losses. This paper aims to develop the possibilities of the Official Bond recorded as an Intangible Asset and its implications toward the restitution of the state losses due to the violations against the official bond at the Ministry of Finance.
Individual’s Characteristics and Ethical Financial Reporting Choice
Authors: Rahayu Yunita Dwi , Chariri Anis
Published: November 2017

The aim of this study is to examine the influence of individuals’ characteristics such as cognitive moral development, idealism, machiavellianism, deontology, and risk preference on the ethical financial reporting choice. The accountant profession cannot be separated from many ethical considerations that have been set with the professional ethics, and the professional ethics will be closely related with the individuals to consider how far they have applied those professional ethics, thus this research aims to identify whether the individuals’ characteristics influence the ethical financial reporting choice. This research is expected to be an important reference in the development of accounting knowledge particularly that which is related with the ethical-based financial reporting.  Total sample of 56 respondent were used for this study. Primary data gained through questionnaires were analyzed using logistic regression model. The findings of this study showed that risk preference had negatively significant influence on ethical financial reporting choice, while cognitive moral development, idealism, machiavellianism, and deontology had no significant effect on ethical financial reporting choice.
Fiscal Distress of Local Government Study on Regencies/Cities in the Provinces of East Nusa Tenggara, Maluku, and North Maluku
Authors: Halim Abdul , Moi Maria Odriana Veronica , Baswir Revrisond
Published: November 2017

This study aims to examine the factors that influence the occurrence of fiscal distress in local government. The degree of decentralization, local financial dependency ratio and local financial independence ratio were used to predict fiscal distress. The method used in this study is a quantitative research and used the regencies/cities in the province of East Nusa Tenggara, Maluku and North Maluku were taken as samples. The results showed different result with previous studies, that the degree of decentralization, local financial dependency ratio and local financial independence ratio do not affect the fiscal distress.
Challenges in the end-of-course paper for nursing technical training
Authors: Oliveira Adriana de , Marin Maria José Sanches , Takeda Elisabete , Pinheiro Osni Lázaro
Published: November 2017

ABSTRACT Objective: To verify the opinion of Nursing Technical Training students on the stages of construction of the End-of-Course Paper. Method: A cross-sectional study with a qualitative and quantitative approach. A total of 94 students participated from a Nursing Technical course of an institution in the State of São Paulo. A questionnaire was used with assertions, followed by a "Likert Scale" and open field for additional comments. Results: The students gave a positive evaluation of the stages involved in completing the paper, but negative responses regarding the time available and obligatory nature (38%). Nevertheless, they understood the essence of the task, in order to foster personal and professional growth; with perspectives to advance in other modalities of the course. Conclusion: It is important that course administrators and professors are prepared to support their students, aiming at an effective transformation for the way of thinking and practice in health care.
Care management and nursing governance in a maternity ward: grounded theory
Authors: Copelli Fernanda Hannah da Silva , Oliveira Roberta Juliane Tono de , Santos José Luís Guedes dos , Magalhães Aline Lima Pestana , Gregório Vitória Regina Petters , Erdmann Alacoque Lorenzini
Published: November 2017

ABSTRACT Etjective: To understand the care management strategies used by nurses in the governance of nursing practice in a maternity ward. Method: Qualitative study based on grounded theory conducted with 27 participants, partitioned into four sample groups. The data were collected through semi-structured interviews and analyzed through open, axial, and selective coding. Result: The care management strategies used by the nurses were: planning professional practice, leading the nursing team, search for scientific knowledge, and training inthe best practices in obstetric care. Conclusion: Associating care management with nursing governance can foster better care outcomes and strengthen nursing autonomy when coordinating nursing work in maternity wards.
Educational practices of nursing in the puerperium: social representations of puerperal mothers
Authors: Dodou Hilana Dayana , Oliveira Tamires Daianny Araújo de , Oriá Mônica Oliveira Batista , Rodrigues Dafne Paiva , Pinheiro Patrícia Neyva da Costa , Luna Izaildo Tavares
Published: November 2017

ABSTRACT Objective: To understand the social representations of puerperal women regarding the contents of the educational practices carried out by nursing in the puerperium. Method: Descriptive and qualitative study, carried out from June to September 2014, in Fortaleza, Ceará State, Brazil. Nineteen puerperal women were administered a semi-structured interview. The Theory of Social Representations was used as a theoretical reference. Lexical analysis was performed with ALCESTE (version 2012) software. Results: The contents of the representations on educational practice were associated to the nursing team’s orientations, with emphasis on breastfeeding and nursing. A lack of educational action regarding self-care of the puerperal woman was also revealed. Final considerations: It is necessary to redirect educational practices in the puerperium, in order to cover the biopsychosocial needs of women in this period of life. The educational actions should be based on the problematizing model, with a stimulus for the autonomy of puerperal mothers and valorization of their social knowledge.
Actions of nurses in early detection of breast cancer
Authors: Melo Fabiana Barbosa Barreto , Marques Carla Andréia Vilanova , Rosa Anderson da Silva , Figueiredo Elisabeth Niglio de , Gutiérrez Maria Gaby Rivero de
Published: November 2017

ABSTRACT Objective: Identify the actions for early detection of breast cancer performed by nurses from basic health units; compare the compliance of these actions with the recommendations from the Ministry of Health; analyze the availability of documents to check these recommendations and analyze the association of variables “training,” “lato sensu training,” and “years of activity” of these professionals with the actions performed. Method: A cross-sectional study conducted with 133 nurses from 38 basic health units in the Southeast region of the municipality of São Paulo, interviewed with a validated questionnaire. Result: Most nurses reported actions to detect this neoplasm. Guidance on the first mammogram age was significantly associated with training, years of activity and availability of Basic Attention Book nº 13. Conclusion: This study observed a positive influence of training and years of activity on the actions for early detection of breast cancer and the need for adjustments in national guidelines.
Managing febrile neutropenia in adult cancer patients: an integrative review of the literature
Authors: Ferreira Juliana Nunes , Correia Lury Renata Barbosa Ribeiro , Oliveira Renata Moreira de , Watanabe Silvia Naomi , Possari João Francisco , Lima Antônio Fernandes Costa
Published: November 2017

ABSTRACT Objective: To analyze the interventions performed by health professionals with a view to managing chemotherapy-induced febrile neutropenia. Method: Integrative literature review, the sample of 12 primary articles was selected from the following databases: LILACS, SciELO, BVS, PubMed, CINAHL and Web of Science. Results: There was a prevalence of studies, realized by doctors, focused on pharmacological treatment and on the association of methods for greater diagnostic accuracy of febrile neutropenia. A study was found on pharmaceutical management regarding antibiotic dosing efficacy and a study indicating that nurses could contribute to the identification of elderly patients who would benefit from prophylactic use of growth factor. Conclusion: There was a shortage of studies involving the participation of other health professionals, besides the doctors, and a knowledge gap regarding interprofessional practice in the management of interventions specific to their area of specialism, joint interventions and non-pharmacological interventions.
Bath for dependent patients: theorizing aspects of nursing care in rehabilitation
Authors: Prado Athaynne Ramos de Aguiar , Ramos Ricardo Luiz , Ribeiro Olga Maria Pimenta Lopes , Figueiredo Nébia Maria Almeida de , Martins Maria Manuela , Machado Wiliam César Alves
Published: November 2017

ABSTRACT Objective: to produce a reflective essay on what has been produced in relation to bath as a procedure related to nursing care and diagnosis for dependent patients undergoing mediate and immediate rehabilitation processes after a traumatic event. Method: discursive, reflective study supported by classical content analysis consisting of the following stages: a) reading of the texts in their most comprehensive form; b) emphasizing the relevant elements produced about bathing; c) reflection on texts and what is produced about bathing. Results: the texts point out to three categories for nursing practice and reflection: Meaning to patients on the purposes of bathing; Representation for nurses in the work process; Representation for nurses in the management of care and nursing care planning. Conclusion: the reflection points out understandings on bathing as a care focused on the autonomy of nursing rehabilitation patients, requiring further investigations.
Validation of Family Management Measure for the Brazilian culture
Authors: Bousso Regina Szylit , Ichikawa Carolliny Rossi de Faria , Misko Maira Deguer , Santos Maiara Rodrigues dos , Baliza Michelle Freire , Mendes-Castillo Ana Márcia Chiaradia , Bianchi Estela Regina Ferraz
Published: November 2017

ABSTRACT Etjective: To validate the Family Management Measure (FaMM) for Brazilian culture. Method: Quantitative research excerpt, following the recommendations for validation studies. The data presented refer to the last stage of the process. Results: The internal consistency of the items was analyzed through Cronbach's alpha of the six domains: Child's Daily Life (0.78); Condition Management Effort (0.51); Condition Management Ability (0.55); Family Life Difficulty (0.86); View of Condition Impact (0.56); and Parental Mutuality (0.80). Exploratory factorial analysis of the instrument was carried out, obtaining an acceptable adjustment, according to validation standards. Conclusion: The FaMM presents evidence of validation and can be used in the Brazilian culture under the name of Instrumento de Medida de Manejo Familiar, which was adjusted in eight domains, providing varied aspects of family management and a good evaluation of the fundamental aspects of family life in the context of childhood chronic conditions.
Possibilities of care for serodiscordant couples for HIV who got pregnant
Authors: Langendorf Tassiane Ferreira , Souza Ivis Emília de Oliveira , Padoin Stela Maris de Mello , Paula Cristiane Cardoso de , Queiroz Ana Beatriz Azevedo , Moura Maria Aparecida Vasconcelos , Melo Maria Carmen Simões Cardoso de , Silva Lúcia de Fatima da
Published: November 2017

ABSTRACT Objective: Understanding the meaning of pregnancy for heterosexual couples facing serodiscordant situation for HIV, aiming at construction of care possibilities based on subjectivity. Method: Phenomenological research, theoretical-philosophical-methodological framework by Martin Heidegger. Research was conducted in a University Hospital in the countryside of Southern Brazil, from September 2013 to May 2014 through a phenomenological interview, with participation of eleven couples. Results: For the couples, pregnancy is part of life when they wish to have a child, even when one or both of them already have children from previous relationships. In addition, it is part of life when they consider the risks and do not want to have children in such circumstances anymore, but it happened unexpectedly. Conclusion: Understanding reproductive needs and demands of these couples is an aid for qualification and improvement of care as a contribution to nursing care planning towards reproductive health of these couples.
Influence of Therapeutic Play on the anxiety of hospitalized school-age children: Clinical trial
Authors: Silva Sabrina Gisele Tobias da , Santos Maiara Aurichio , Floriano Claudia Maria de Freitas , Damião Elaine Buchhorn Cintra , Campos Fernanda Vieira de , Rossato Lisabelle Mariano
Published: November 2017

ABSTRACT Objective: To evaluate the effects of Dramatic Therapeutic Play (DTP) technique on the degree of anxiety in hospitalized school-age children. Method: Randomized clinical trial performed in two hospitals ofSão Paulo, between May and October 2015. The intervention consisted of the application of DTP and the outcome was evaluated through the Child Drawing: Hospital (CD: H) instrument. The Wilcoxon-Mann Whitney, Corrected t, Fisher’s exact and Chi-square tests were used in the analysis. Statistical significance was set at 5%. Results: In all, 28 children participated in the study. The majority of children (75%) had a low anxiety score, with a mean CD: H score of 73.9 and 69.4 in the intervention and control groups respectively, and with no significant difference. Conclusion: Children submitted to DTP had the same degree of anxiety as those in the control group. However, it is suggested that new studies be performed with a larger number of children in different hospitalization scenarios.
Theory of communicative action: a basis for the development of critical thinking
Authors: Carvalho Diana Paula de Souza Rego Pinto , Vitor Allyne Fortes , Cogo Ana Luísa Petersen , Santos Viviane Euzébia Pereira , Ferreira Júnior Marcos Antonio
Published: November 2017

ABSTRACT Reflections on some assumptions of the theory of Communicative Action and the development of Critical Thinking in the context of training students in undergraduate nursing courses. The perspective is based on concepts of Jürgen Habermas, as a possibility for the development of critical thinking among the students of these courses. Communication is therefore understood as inherent in the training of nurses in a continuous, dynamic, dialogical process, with interventions that are related to the context of the students and that have meaning for them, in order to contribute to the promotion of Critical Thinking.
Stimulus-response time to alarms of the intra-aortic balloon pump: safe care practices
Authors: Franco Andrezza Serpa , Bridi Adriana Carla , Karam Monica de Almeida , Moreira Ana Paula Amorim , Andrade Karla Biancha Silva de , Silva Roberto Carlos Lyra da
Published: November 2017

ABSTRACT Objective: To characterize the sound alarms of the Intra-Aortic Balloon Pump (IABP) during aortic counterpulsation therapy; to measure the stimulus-response time of the team to these; and to discuss the implications of increasing this time for patient safety from the alarm fatigue perspective. Method: This is an observational and descriptive study with quantitative and qualitative approach, case study type, carried out in a Cardiac Surgical Intensive Care Unit. Results: The most audible IABP alarm was the one of high priority increased-reduced diastolic blood pressure. The stimulus-response time was 33.9 seconds on average. Conclusion: Managing the alarms of these equipment is essential to minimize the occurrence of the alarm fatigue phenomenon and to offer a safer assistance to patients who rely on this technology.
Critical points for the control of Tuberculosis on Primary Health Care
Authors: Pinheiro Patrícia Geórgia Oliveira Diniz , Sá Lenilde Duarte de , Palha Pedro Fredemir , Oliveira Rita de Cássia Cordeiro de , Nogueira Jordana de Almeida , Villa Tereza Cristina Scatena
Published: November 2017

ABSTRACT Objective: To analyze the discourses of professionals that work on the reference service about the critical points that affects the essential attributes of the Primary Health Care (PHC) related to the control of tuberculosis in the city of João Pessoa. Method: The empirical material collected from August to October in 2014, through the interview technique was analyzed through the methodological-theoretical framework of French Discourse Analysis. Results: The discourses demonstrated the critical points on the control of the disease on PHC as being the lack of bond and welcoming from the professionals in relation to patients with tuberculosis. It was realized that the professionals have prejudice about the disease, that they have difficulties on the access to conducting exams, appointments and treatments, as well as there are fails on the reference and counter-referencing system. Final Considerations: Managers should be aware about the results that were found, so that facing actions can be planned and executed in order to minimize the existent of critical points.
Family resilience and chemical dependency: perception of mental health professionals
Authors: Zerbetto Sonia Regina , Galera Sueli Aparecida Frari , Ruiz Bianca Oliveira
Published: November 2017

ABSTRACT Objective: To learn the perception of health professionals from the Psychosocial Attention Center for Alcohol and Other Drugs regarding the resilience attributes that are critical to family members of psychoactive substance dependents. Method: A qualitative descriptive study conducted from February to May 2016, using a focus group technique for data collection. In total, 15 professionals participated in the study: 13 health professionals and two administrative professionals. The statements were recorded and transcribed, and these data were analyzed using the technique of thematic content analysis. Results: Health professionals recognize the family resilience attributes needed for efficient and assertive communication, as well as organizational patterns and facilitating family strengths, factors that contribute to improved family relationship and family functionality. Final considerations: This study contributed to a perspective of clinical intervention with family members that is not limited to the negative aspects of family relationship and life, such as fragility and family dysfunction.
Cross-cultural adaptation of the Filial Responsibility protocol for use in Brazil
Authors: Aires Marines , Pizzol Fernanda Laís Fengler Dal , Mocellin Duane , Rosset Idiane , Morais Eliane Pinheiro de , Paskulin Lisiane Manganelli Girardi
Published: November 2017

ABSTRACT Objective: To carry out a cross-cultural adaptation of the Filial Responsibility protocol for use in Brazil with adult child caregivers for elderly parents. Method: A methodological study that included the steps of initial translation, synthesis of translations, back-translation, committee of experts, pre-test, evaluation of psychometric measures and submission to authors. The protocol comprises a qualitative step, closed questions and seven scales: Filial Expectation, Subsidiary Compassion, Caregiver burden, Life Satisfaction, Personal Well-being and Quality of Relationships. Results: The final version in Portuguese was applied, through a pre-test, to a sample of 30 caregivers for elderly parents. In order to verify internal consistency, we used Cronbach’s alpha coefficient: Filial Expectation (α = 0.64), Filial Duty (α = 0.65), Satisfaction with Life (α = 0.75), Personal Wellbeing (α = 0.87). Final considerations: The Brazilian version presented good conceptual and face equivalence. The results demonstrate that the concepts used in the Canadian protocol are applicable in the Brazilian context.
Tracheal cuff pressure change before and after the performance of nursing care
Authors: Beccaria Lúcia Marinilza , Doimo Thays Marley Antonio , Polletti Nádia Aparecida Antonia , Barbosa Tais Pagliuco , Silva Daniele Cristiny da , Werneck Alexandre Lins
Published: November 2017

ABSTRACT Objective: Verify the changes of endotracheal cuff pressure before and after oral hygiene, head-of-bed elevation at 0º, 30º, and 60º, change in body position, aspiration of the endotracheal tube, and in-bed bathing. Method: The study sample was composed of 88 patients. We performed 3,696 checks from July to September 2014. Results: Pressure values were analyzed in seven nursing care in the morning. Six of them were significantly altered before and after nursing procedure. In the afternoon, five of the health care provided were altered, and in the evening, only two. Most of pressure values were below recommended. Conclusion: There were differences before and after health care provided, showing changes in cuff pressure. In-bed bathing and head-of-bed elevation at 30º were the ones that most altered pressure values in the three working shifts. Therefore, it is necessary to measure cuff pressure at least twice per working shift, preferably after bathing.
Interactive Theory of Breastfeeding: creation and application of a middle-range theory
Authors: Primo Cândida Caniçali , Brandão Marcos Antônio Gomes
Published: November 2017

ABSTRACT Objective: To describe a breastfeeding theory based on King's Conceptual System. Method: Theoretical study that used analysis of concept, assertion synthesis, and derivation of theory for the creation of a new theory. Results: King's system components were associated with elements of the breastfeeding process and a middle-range theory was created, which describes, explains, predicts, and prescribes breastfeeding by analyzing factors that precede and affect it, as well as their consequences on the breastfeeding process. Conclusion: The Breastfeeding Interactive Model is abstract enough to be applied in different social, cultural, political, and economic contexts, because it conceptualizes breastfeeding in systemic, dynamic, and procedural aspects. Based on a conceptual model of nursing, it contributes to the scientific construction of the subject; however it can also potentially be applied by other professionals involved in breastfeeding assistance.
Supported self-care for children and adolescents with chronic disease and their families
Authors: Fernandes Leiliane Teixeira Bento , Nóbrega Vanessa Medeiros da , Silva Maria Elizabete de Amorim , Machado Amanda Narciso , Collet Neusa
Published: November 2017

ABSTRACT Objective: analyze the scientific production between 2006 and 2015 on strategies for supported self-care by children and adolescents with chronic disease and their families. Method: integrative review of the literature conducted July and August 2016 in the databases: BDENF, LILACS, IBECS, ADOLEC, MEDLINE/PubMed and SCIELO. The 27 selected studies were analyzed and categorized into the five pillars of supported self-care: evaluation, counseling, agreement, care and accompaniment. Results: only two studies covered all five pillars, evaluation was considered most, but accompaniment was essential for adherence to the therapeutics of the goal plan. There was a prevalence of actions to evaluate the emotional state of the child/adolescent/family and technological interventions to empower the individual in self-care. Final considerations: these actions are concentrated in countries with health systems directed to the health needs of people with chronic disease. In Brazil, this is still incipient, since the actions are focused on exacerbation.
Revalidation of game for teaching blood pressure auscultatory measurement: a pilot study
Authors: Bellan Margarete Consorti , Alves Vanessa Cortez , Neves Mayza Luzia dos Santos , Lamas José Luiz Tatagiba
Published: November 2017

ABSTRACT Objective: To adapt a pre-existing educational game, making it specific to the teaching of blood pressure auscultatory measurement, and to apply this game in a pilot study. Method: The original game cards were altered by the authors and submitted to content validation by six experts in the field. After redesigns, the game was applied to 30 subjects, who answered a questionnaire (pre-test and post-test) on auscultatory measurement. Data were analyzed descriptively and by the paired Student's t-test and paired Wilcoxon test. Results: Throughout the content validation process, 17 of the 28 original cards were modified. Of these 17 cards, 13 obtained 80% agreement, and the rest were modified according to the judges' suggestions. The obtained grades significantly increased between pre- and the post-test. Conclusion: It was concluded that the reformulated game presented satisfactory evidence of content validity. Its use as a teaching-learning method was effective for this sample.
Neonatal appendicitis: a survival case study
Authors: Secco Izabela Linha , Costa Taine , Moraes Etiene Letícia Leone de , Freire Márcia Helena de Souza , Danski Mitzy Tannia Reichembach , Cavalcante Regina Paula Guimarães Vieira
Published: November 2017

ABSTRACT Objective: To report a case of neonatal appendicitis in a children’s hospital in southern Brazil, demonstrating the impact on neonatal survival. Method: Case study with data collection from medical records, approved by the Institution and Ethics Committee for Research with Human Beings. Results: The clinical picture is initially characterized by food intolerance, evolving to hypoactivity, alteration of vital signs and septicemia due to intestinal perforation. Management is exclusively surgical, since no case described in the literature was diagnosed preoperatively and the findings usually point to acute abdomen. Conclusion: A focused clinical surveillance should be established when the infant presents peritoneal irritation. Follow-up of the evolution and the worsening of the symptoms by nurses, as part of the care team in partnership with the medical team, enables an early surgical intervention, thereby avoiding complications such as septicemia and death.
A INCLUSÃO, A ESCOLA E A SUBJETIVAÇÃO DOCENTE: ANALISANDO O CONTEXTO DO MUNICÍPIO DO RIO GRANDE 1
Authors: Lockmann Kamila , Machado Roseli Belmonte , Freitas Débora Duarte
Published: November 2017

RESUMO: Há uma proliferação discursiva da inclusão como algo ético e benevolente, especialmente, nos discursos educacionais. Fundamentadas no pós-estruturalismo, notamos como os jogos de saber-poder-verdade instituem regimes discursivos que constrangem os indivíduos a agirem de determinados modos, constituindo subjetividades. Objetivamos analisar os discursos acerca da inclusão escolar e perceber como eles vêm produzindo formas de ser professor. A partir da aplicação de questionários a formandos de cursos de licenciatura e professores da Educação Básica, foi possível perceber que: a) o papel atribuído à escola, muitas vezes, se resume aos processos de socialização e à adequação física e material do espaço e; b) o papel do professor é descrito a partir do que denominamos subjetividades docentes contemporâneas, traduzidas em um sujeito docente, moral, mediador e responsável pelo sucesso/fracasso da inclusão. Assim, percebemos que esses discursos constituem subjetividades docentes contemporâneas que se curvam ao pressuposto da inclusão como um imperativo de Estado.
DOCÊNCIA, EXPERIÊNCIA INTELECTUAL, FORMAÇÃO: THEODOR W. ADORNO COMO PROFESSOR
Authors: Petry Franciele Bete , Vaz Alexandre Fernandez
Published: November 2017

RESUMO: A obra de Theodor W. Adorno pode ser lida como uma busca pela transformação social que, entre outros elementos, requer o pensamento crítico. Neste sentido, a educação compõe os esforços de superação da semiformação e dos limites que a indústria cultural impõe à experiência intelectual e estética, engajando-se na batalha política de não-repetição da barbárie, na luta contra o totalitarismo e a dominação social. Considerando que a educação em Adorno exige pensar seriamente sobre a tarefa dos professores, o presente artigo analisa a educação como prática política em alguns de seus seminários. Adorno executou sua filosofia não apenas em seus escritos e discursos, mas em sua prática docente. Em suas aulas, o exercício filosófico e a análise e aplicação dos conceitos mostram-se tão importantes quanto a discussão de ideias, quando forma e conteúdo se mostram inseparáveis.
EM TORNO DA DIFERENÇA: UMA CONFRONTAÇÃO ENTRE ADORNO E DELEUZE
Authors: Bueno Sinésio Ferraz
Published: November 2017

RESUMO: No campo da filosofia da educação há duas importantes e radicalmente distintas possibilidades de abordagem do tema da diferença. Uma é a do pensamento de Adorno, que pensa a diferença sob o ponto de vista da dialética negativa, implicando uma crítica interna das estruturas da razão. Essa crítica visa induzir a processos de autorreflexão sobre os elementos corrosivos da racionalidade, que potencializam a regressão à barbárie. Outra é a do pensamento de Deleuze, que supõe uma crítica externa à razão, em particular às pretensões universalistas da identidade. Este artigo tem o objetivo de comparar e problematizar as duas críticas, e apontar os riscos e tendências irracionalistas da crítica de Deleuze, em seus objetivos antifundacionalistas dirigidas a conceitos fundamentais da filosofia ocidental.
TELEVISÃO EDUCATIVA DO INSTITUTO DE EDUCAÇÃO DO ESTADO DA GUANABARA: TELE-EDUCAÇÃO PARA O MAGISTÉRIO (1960 - 1975)
Authors: Conceição Cíntia Nascimento de Oliveira
Published: November 2017

RESUMO: Este artigo tem o objetivo de analisar a experiência da televisão educativa do Instituto de Educação do Estado da Guanabara (1960 -1975), destacando os cursos de formação de professores para televisão, que foram responsáveis pela construção do modelo de audiovisual educativo praticado nos anos iniciais da televisão. A proposta do Instituto era oferecer conteúdo teórico e técnico ao professor, dando-lhe condições de atuar como produtor responsável por todas as etapas de um programa televisivo. O Instituto atuou tanto no sistema aberto quanto no fechado de TV e tinha como objetivo conquistar uma audiência diversificada, com programas para família, cursos supletivos e de especialização. O formato de televisão educativa praticado no Instituto agregava interesses comerciais e educativos. A pesquisa foi feita com periódicos da época e documentos do Centro de Memória Institucional do Instituto de Educação do Rio de Janeiro.
CONTROVÉRSIAS EM TORNO DAS IDENTIDADES PROFISSIONAIS DE LICENCIANDOS EM BIOLOGIA: UM ESTUDO INSPIRADO NA TEORIA ATOR-REDE
Authors: Allain Luciana Resende , Coutinho Francisco Ângelo
Published: November 2017

RESUMO: Este é um Estudo inspirado na Teoria Ator-Rede que buscou mapear a seguinte controvérsia envolvendo a identidade profissional de licenciandos em Ciências Biológicas: seriam as vivências formativas destes estudantes, de fato formativas, no sentido de construírem uma identidade com a profissão de professor? Em outras palavras, que disputas ocorrem em torno das identidades dos licenciandos no interior dos cenários formativos deles? Os dados foram coletados por meio de dois grupos focais com licenciandos formandos de uma grande universidade pública do sudeste brasileiro, a partir da metodologia da cartografia de controvérsias, referenciada pela Teoria Ator-Rede. Constatou-se que, ao longo da trajetória acadêmica dos licenciandos há composições de interesses (translações) que apresentam muito mais desvios que associações em relação à identidade docente, o que favorece a formação de uma extensa rede contraidentitária relativa à profissão de professor.
EDUCAR PELA PARTICIPAÇÃO, DEMOCRATIZAR O PODER: O LEGADO FREIREANO NA GESTÃO PÚBLICA
Authors: Streck Danilo Romeu , Pitano Sandro de Castro , Moretti Cheron Zanini
Published: November 2017

RESUMO: A educação popular foi uma propulsora importante nas reformas políticas na América Latina nessas últimas décadas. Dessa relação com o poder público deriva-se também uma nova relação com o estado, colocando-se esse tema como um importante desafio teórico-prático atual. Nesse trabalho, analisa-se a presença do legado de Paulo Freire, uma referência central na educação popular, por meio de investigação empírica junto ao Orçamento Participativo e ao Sistema Estadual de Participação Popular e Cidadã (SISPARCI), no estado do Rio Grande do Sul, Brasil, tanto no que tange à sua formulação, quanto à sua efetivação em práticas sociais. O desafio consiste em compreender, com base na concepção freireana, se as experiências de participação analisadas desenvolvem processos formativos voltados para a democratização do poder. Os resultados, conforme explicitado no artigo, apontam uma série de fatores que limitam ou inibem o seu potencial formativo.
AgNPs: The New Allies Against S. Mutans Biofilm - A Pilot Clinical Trial and Microbiological Assay
Authors: Freire Priscila L.L. , Albuquerque Allan J.R. , Sampaio Fabio C. , Galembeck André , Flores Miguel A. P. , Stamford Thayza C. M. , Rosenblatt Aronita
Published: November 2017

Abstract: The purpose of this study was to evaluate the antimicrobial properties of a new formulation containing silver nanoparticles, named Nano Silver Fluoride (NSF), to inhibit Streptococcus mutans biofilm formation on children’s dental enamel. The variations in dental biofilm pH and in the Simplified-Oral-Hygiene-Index (OHI-S) also were evaluated after the treatment with NSF. This was a randomized, double-blind, crossover and prospective pilot clinical trial study in which 12 schoolchildren, aged between 7-8 years, had their dental enamel treated with two solutions: S1 - Nano Silver Fluoride and S2 - negative control (saline solution), in different experimental moments. The dental biofilm adhered to enamel treated with NSF had lower values of S. mutans viability (absorbance) and colony forming units (CFU) than the S0 (baseline) and S2. There was a statistically significant difference between the OHI-S mean values of S0 and S1. There were no differences between the biofilm pH (both before and after the use of the test substances) and among the different groups. These properties suggest that NSF has bactericidal effect against S. mutans biofilm and it may be used for clinical control and prevention of dental biofilm formation.