bluuebunny/crossref_metadata_2025 huggingface dataset:
Reflecting on Episodes of Rapid Tranquilisation in Forensic MDT Settings
Authors: Roberts Kris , Rahman Arif , Elliott Rachael
Published: July 2023

Aims

Rampton Hospital is the High Secure Hospital of Nottinghamshire Healthcare NHS Foundation Trust's Forensic Service. It is one of three such hospitals in England, following Security Directions set out by the Department of Health. Patient management occurs through the implementation of strict policies and procedures. Policy requirements highlight the need for MDT post-incident discussion of restrictive interventions, and in particular, of Rapid Tranquilisation (RT). This primary audit aimed to ascertain current practice and if necessary, suggest interventions to ensure that patient-care remains safe, effective, and well-led.

Methods

To establish current practice with regards to the discussion of individual cases of RT in MDT settings, specifically in Ward Round, we commenced a retrospective data collection from electronic notes covering all directorates within the High Secure estate between May and June 2022.

From these notes, we tried to ascertain whether the following policy standards were being met:

•

A de-brief with the patient should take place as soon after the incident as is practicable and reasonable, ideally within 72 hours.

•

The MDT meeting post RT episode should explicitly discuss the episode, and consider medication and any triggers of periods of acutely disturbed behaviour.

•

There were 81 data sets to explore.

Results

Not all data sets were viable. Out of those analysed, less than 10% were found to have met the aforementioned ideal policy standards of having had a reflective discussion within 72 hours with both the patient and as an MDT, exploring the episode itself and its antecedents.

Conclusion

There are several interesting factors to consider from the results obtained. We postulate that the frequency of episodes of RT makes meeting the policy standard problematic; pragmatically, there is a significant time barrier to exploring these incidents in detail and the various teams, operating in dynamic and high-risk environments, may find it difficult to coalesce in order to debrief appropriately.

Furthermore, the reflections may actually be happening, but the burden of documentation mean that these are not being recorded formally in a way that can be measured.

There are limitations to the searches of electronic notes and we did not have access to Incident Reports, often completed at the time of these episodes; further information may have been uncovered if they were available.

Despite this, there is room for interventions that inform staff of this need and to provoke improvements in current practice.
Seclusion on Psychiatric Intensive Care Unit – Is the Trust Medical Review Policy Being Followed?
Authors: Scanlon Hannah
Published: July 2023

Aims

Seclusion is a restrictive intervention used in inpatient settings for the safe management of patients who present with severe behavioural disturbance which is likely to cause harm to others. Clinical notes were used to establish if the trust policy of medical reviews for patients in seclusion was being followed on the Psychiatric Intensive Care Unit (PICU).

Methods

Patients admitted to male PICU at Springfield Hospital, Southwest London, over a 4 month period (February 2022 to May 2022) were included in this audit. Patients who were secluded outside this time period or prior to admission to PICU were excluded from this audit.

The clinical notes computer system (Rio) was searched using the term “seclusion”. The timing of initiation and termination of seclusion were noted as well as the timing and grade of medical professionals present for documented reviews.

Results

Over this period, 12 discrete episodes of seclusion were identified. The length of seclusion varied from 8 hours 45 minutes to over 5 days, with a mean length of almost 3 days (2 days, 20 hours, 25 minutes).

As the length of seclusion differed so did the required medical reviews in line with trust policy. This involves Senior House Officer (SHO) review at 30 minutes, Registrar review at 8 hours, Consultant review at 24 hours followed by 2 senior reviews (one Registrar and one Consultant) over each subsequent 24 hour period of continuous seclusion.

10 episodes of seclusion lasted over 24 hours in this audit. Of these 40% had the required medical reviews documented in the clinical notes appropriately for the full period of seclusion. 50% of cases had at least 1 missed or not documented Registrar review. There were 2 incidents of missed Consultant medical reviews for a 24 hour period of continuous seclusion.

Conclusion

From these results medical reviews were not being correctly carried out, or were not documented correctly, in the majority (60%) of cases of seclusion over 24 hours. This suggests missed opportunities for patient review to terminate seclusion at the earliest safe opportunity in line with national and trust guidance. These results have informed the update of trust guidelines on seclusion to bring it in line with national guidance with a view to improve patient care and will be re-audited.
Antipsychotic Prescribing for Behavioural and Psychological Symptoms of Dementia: An Audit of Prescribing Practices in the Harrogate Community Mental Health Team for Older Adults
Authors: Wilson Joanna , White Natasha , Croft Matthew , Ahmed Suman , Illsley Lynne , Hughes Paul
Published: July 2023

Aims

Behavioural and Psychological Symptoms of Dementia (BPSD) include a range of neuropsychiatric disturbances such as agitation, aggression, depression, and psychotic symptoms. These common symptoms can impact patients’ functioning and quality of life. Antipsychotic medication can be prescribed to alleviate some symptoms, but this comes with significant risks including cerebrovascular events and increased mortality. We aimed to review antipsychotic prescribing of the Harrogate Older Adult Community Mental Health Team (CMHT); to measure compliance with NICE guidance and local policy and thus improve the prescribing and monitoring process.

Methods

Using electronic patient records, we identified all patients under the care of the CMHT with a diagnosis of dementia currently receiving antipsychotic treatment; a total of 55 patients. A random sample of 24 patients were reviewed; their records were hand searched for relevant information.

The standards measured were derived from the NICE Guideline (NG97) June 2018: ‘Dementia: assessment, management and support for people living with dementia and their carers’ as well as local trust guidance.

Results

All 24 patients were receiving antipsychotics for severe distress or aggression. 88% of patients had an assessment of sources of distress before treatment was started, but only 42% had a non-pharmacological intervention before antipsychotic treatment was started. Once antipsychotic treatment had started this increased to 58%. For some patients, the reason for not receiving a non-pharmacological intervention was due to urgency of treatment or being on a waiting list for occupational therapy, but for most the reason was not explicitly documented.

For 63%, there was evidence of a discussion of the risks of treatment with the patient, carer or family member. 63% had initial baseline blood tests and 54% had a baseline ECG. Of the patients who did not have initial monitoring, a suitable reason was given for just over 60%. Only 33% of patients who had antipsychotic treatment for over 12 weeks had a trial of discontinuation or dose reduction. Less than 22% of patients had physical health monitoring at one year of treatment.

Conclusion

There were shortfalls in several areas including the offer of non-pharmacological interventions, regular review of the ongoing need for antipsychotics, and physical health monitoring.

Introduction of a checklist before antipsychotics are prescribed is recommended, to include discussion of risks and benefits, non-pharmacological interventions, and initial monitoring. Also recommended is a system to identify when monitoring and review of antipsychotics are due.
The Utilisation Rate of Clozapine for Treatment Resistant Schizophrenia Within Trustwide Adult Inpatient Services Over One Year
Authors: Zhang Peter , Li Zhen Dong , Sami Musa
Published: July 2023

Aims

The audit was undertaken to explore if inpatients with treatment resistant schizophrenia (TRS), or whose condition has not adequately responded to two antipsychotics of an optimal duration and dose, were offered clozapine as per NICE guidelines (CG178 1.5.7.2).

Methods

Data were collected retrospectively and anonymously from all electronic notes via the UK-CRIS analysis platform.

The inclusion criteria required patients, aged 18–64 years, to have a schizophrenia (ICD10 F20) diagnosis and to have been admitted to one of ten Trust inpatient wards between 01/01/2020 and 01/01/2021.

Patients were required to fulfil the criteria of treatment resistance, as having an inadequate response to two or more antipsychotic drugs, one of which was an atypical agent.

Patients who had previously tried or were currently on clozapine were excluded. Those with non-schizophrenia psychotic disorders were also excluded. 347,645 records were electronically screened according to the criteria, and 209 records were reviewed.

Results

43 patients from the 209 patients reviewed were found to be eligible for clozapine. 28 (65%) were offered clozapine during their admission and 9 of these patients had started the titration process (21% of those eligible).

Of the 19 patients who declined clozapine when offered, 14 had refused the drug with the most common reason of not accepting the required blood monitoring (n=10).

Of the 15 eligible patients who were not offered clozapine, the clinical team had documented a consideration to offer clozapine in 6 patients (14%) but had rejected its, predominantly due to concerns of non-compliance.

For 3 patients (7%) the clinical team considered for but did not offer clozapine. There was no documentation regarding clozapine for 6 patients (14%).

Conclusion

This audit identified that most patients with TRS were offered clozapine during their admission. However, a proportion of patients were not offered the gold standard treatment for TRS and this may lead to poorer outcomes.

It demonstrated that a minority of eligible patients ultimately start the drug. There are barriers for eligible patients to accept clozapine, for instance around the regular blood monitoring required.
Providing the Right Support at the Right Time for People With Learning Disabilities: A Mixed-Methods Study to Identify Change Goals for a Demand, Capacity and Flow Quality Improvement Project
Authors: Cai James , Barnett Joshua , Haberland Kirsty , Clarke Melanie , Fysh Grace , Chaplin Catriona , Lim Ivy , Martiello Michele , Hall Ian , Checkley Laura
Published: July 2023

Aims

1. To evaluate demand, capacity and flow of an integrated community learning disability service in a peri- and post-COVID-19 pandemic setting. 2. To improve flow of a community learning disability service. 3. To improve staff and service user satisfaction by engaging them and identifying common priorities.

Methods

We collected demand and capacity data of all disciplines in a community learning disability service for 2021–2022.

We carried out focus groups with service users and their carers (N = 5) and surveyed them with a questionnaire consisting of 6 quantitative and 2 qualitative questions (N = 63), investigating the impact of waiting times on service user experience.

We surveyed staff from all disciplines (N = 20) with a questionnaire consisting of 3 qualitative questions, to identify their views on waiting times and areas to optimise.

We performed thematic analysis on all qualitative responses. We analysed quantitative data with descriptive statistics.

Results

From 2021–22, the number of accepted referrals to individual disciplines increased: for example referrals to psychiatry increased by 51.6% and referrals to OT increased by 32%.

With regard to flow, the ratio of discharges to accepted referrals in the psychiatry discipline decreased from 1.5:1 to 0.6:1.

A significant proportion of service users reported waiting months (31%) or years (16%) to be seen by the learning disability team. 28% of service users reported additional problems while waiting to be seen. 31% were unaware whether they were on a waiting list or not. Quantitative data showed average waiting times for psychiatry services did not change from 2021–2022 (23.1 and 23.3 days respectively).

Thematic analysis from service users’ responses revealed an anxiety about needs not being met; a feeling of problems deteriorating while waiting; and communication issues.

Staff responses revealed desires to intervene sooner to prevent unnecessary deteriorations; and to increase team working between disciplines.

Conclusion

Quantitative data analysis suggests a greatly increased demand for our service following the COVID-19 pandemic.

Our thematic analysis identifies concern of deterioration secondary to prolonged waiting times. It also highlights that communication could be improved.

As a result of this mixed-methods approach, the following change ideas were generated and are now being tested:

1.

Improve communication with patients on waiting lists by testing an accessible customisable letter.

2.

Organise more joint assessments and reviews of service users with multiple disciplines.

3.

Short-term allocation of more urgent casework via a new integrated health and social care duty system.
What Factors Influence the Outcome of Psychiatry Postgraduate Written Exams, MRCPsych Paper a and B? a Qualitative Analysis From Trainees’ Perspective in West Midlands School of Psychiatry in UK
Authors: Javed Asma , Alkhadragy Rania
Published: July 2023

Aims

Analysis of the Annual Report of Examination Results published by General Medical Council (GMC, 2020) revealed that trainees of West Midlands School of Psychiatry didn't perform well in written components of MRCPsych exams and showed pass rate between 2014 and 2019 as 54.6%. Therefore, this qualitative study was conducted to assess West Midlands School of Psychiatry core psychiatry trainees’ perception of factors that influence the outcome of MRCPsych Paper A and Paper B.

Methods

Qualitative research methodology with a grounded theory approach was used to systematically analyse the data and to evolve the theory rather than appraising the existing theory. The purposive and theoretical sampling strategies were used. Study population included all core psychiatry trainees in the West Midlands School of Psychiatry in 2021 who were invited via email for a semi-structured focus group interview. The participants’ information sheet and consent forms were sent with the interview invite. A total of 38 participants contributed. The data were collected through 3 focus groups and 2 one-to-one interviews. The interviews were recorded using the recording and transcription feature of Microsoft Teams. The transcription was checked manually for accuracy. The data were collected and analysed simultaneously till the point of theoretical saturation, thereafter a thematic analysis was conducted.

Results

Themes emerged were grouped under challenges faced by the participants such as work and time pressures, financial constraints, and lack of family support. Other challenges were related to virtual learning, a mismatch between local teaching course and exam schedule and lack of contextualisation in local course content. Most of the trainees had to rely on private courses which were adding financial burden. The majority felt that social isolation due to COVID-19 had a negative impact on their well-being. Participants suggested various recommendations for their local course content and delivery.

Conclusion

The study highlighted the need for the local course content to be contextualised and tailored to the examination course. This could be achieved by including a variety of multiple-choice questions, case-based discussion, and small group teaching for the purpose of preparing and practising examination questions/scenarios. It also highlighted trainees’ need to utilise the study leave budget for private courses to ease financial burden. The International Medical Graduates (IMG) cohort identified that they need extra support and feedback about the examination preparation from the early beginning of the training to overcome differential attainment.
Frequency, Characteristics, and Risk Factors for Falls at an Inpatient Cancer Rehabilitation Unit: Should Examination Be Disease Specific?
Authors: Jacobs Linda A.
Published: July 2023

Will population-specific studies better demonstrate the benefit of inpatient cancer rehabilitation?
Upper-Body versus Lower-Body Cooling in Individuals with Paraplegia during Arm-Crank Exercise in the Heat
Authors: ALKEMADE PUCK , EIJSVOGELS THIJS M. H. , JANSSEN THOMAS W. J. , JANSEN KASPAR M. B. , KINGMA BORIS R. M. , DAANEN HEIN A. M.
Published: July 2023

Purpose

For wheelchair users with a spinal cord injury, the lower body may be a more convenient cooling site than the upper body. However, it remains unknown if leg cooling reduces thermal strain in these individuals. We compared the impact of upper-body versus lower-body cooling on physiological and perceptual outcomes during submaximal arm-crank exercise under heat stress in individuals with paraplegia.

Methods

Twelve male participants with paraplegia (T4–L2, 50% complete lesion) performed a maximal exercise test in temperate conditions, and three heat stress tests (32°C, 40% relative humidity) in which they received upper-body cooling (COOL-UB), lower-body cooling (COOL-LB), or no cooling (CON) in a randomized counterbalanced order. Each heat stress test consisted of four exercise blocks of 15 min at 50% of peak power output, with 3 min of rest in between. Cooling was applied using water-perfused pads, with 14.8-m tubing in both COOL-UB and COOL-LB.

Results

Gastrointestinal temperature was 0.2°C (95% confidence interval (CI), 0.1°C to 0.3°C) lower during exercise in COOL-UB versus CON (37.5°C ± 0.4°C vs 37.7°C ± 0.3°C, P = 0.009), with no difference between COOL-LB and CON (P = 1.0). Heart rate was lower in both COOL-UB (−7 bpm; 95% CI, −11 to −3 bpm; P = 0.01) and COOL-LB (−5 bpm; 95% CI, −9 to −1 bpm; P = 0.049) compared with CON. The skin temperature reduction at the cooled skin sites was larger in COOL-LB (−10.8°C ± 1.1°C) than in COOL-UB (−6.7°C ± 1.4°C, P < 0.001), which limited the cooling capacity in COOL-LB. Thermal sensation of the cooled skin sites was improved and overall thermal discomfort was lower in COOL-UB (P = 0.01 and P = 0.04) but not in COOL-LB (P = 0.17 and P = 0.59) compared with CON.

Conclusions

Upper-body cooling more effectively reduced thermal strain than lower-body cooling in individuals with paraplegia, as it induced greater thermophysiological and perceptual benefits.
2CHANCE: Ένα μεθοδολογικό εργαλείο για τον επιστημονικό γραμματισμό σε σχολεία δεύτερης ευκαιρίας. Το παράδειγμα μιας διδακτικής εφαρμογής σε σχολείο δεύτερης ευκαιρίας φυλακών
Authors: Τζαμπάζη Άννα , Σέρογλου Φανή
Published: July 2023

Στην εργασία αυτή παρουσιάζεται ένα μεθοδολογικό εργαλείο για τη διδασκαλία των Φυσικών Επιστημών σε ένα ιδιαίτερο κομμάτι της εκπαίδευσης ενηλίκων, τα Σχολεία Δεύτερης Ευκαιρίας (ΣΔΕ). Το μοντέλο αυτό ονομάστηκε 2CHANCE και αναπτύχθηκε για να διευκολύνει το έργο μελλοντικών και εν ενεργεία εκπαιδευτών ενηλίκων σε μια διδασκαλία των Φυσικών Επιστημών, που δημιουργεί το πλαίσιο για τον επιστημονικό γραμματισμό των ενηλίκων εκπαιδευομένων σε Σχολεία Δεύτερης Ευκαιρίας και τις προϋποθέσεις για μετασχηματίζουσα μάθηση με στόχο τη συμμετοχή των εκπαιδευομένων στο πολιτικοκοινωνικό γίγνεσθαι, καθώς και την καλλιέργεια της κριτικής σκέψης και συνειδητοποίησης. Πρόκειται για ένα δομημένο πλαίσιο που (α) ενισχύει τη διαδικασία επιλογής θεματολογίας επιστημονικού γραμματισμού, (β) υποστηρίζει τον σχεδιασμό διδακτικών βημάτων και δραστηριοτήτων και (γ) παρέχει κριτήρια αξιολόγησης της διδακτικής εφαρμογής μετά την υλοποίησή της. Παρουσιάζεται, επιπλέον, μια διδακτική εφαρμογή σε ΣΔΕ φυλακών ως παράδειγμα αξιοποίησης του μοντέλου.
Assessment of heavy metals in food and drug packaging materials
Authors: Mukhi Senna , Rukmini M. S. , Ajay Manjrekar Poornima , Iyyaswami Reghupathi , H. Sindhu
Published: July 2023

Background: Food and drug packaging materials are an integral part of our everyday life.  Noxious elements can inadvertently be included in packaging materials in various stages of their production. Adulterants, adhesives, colorants and heavy metal interference are the common sources of contamination in food packaging materials. Heavy metal toxicity has far-reaching ill effects on living organisms. The present study aimed at qualitatively and quantitatively analysing heavy metal contamination of various materials that are used for food and drug packaging in India.

Methods: The qualitative detection was done by rapid assay and heavy metals were quantified with the help of inductively coupled plasma-optical emission spectrometry (ICP-OES). A total of 13 types of food and drug packaging materials were procured from local market and analysed for four heavy metals viz. arsenic (As), vanadium (V), mercury (Hg) and cadmium (Cd). The concentration of each heavy metal in the samples was compared with permitted values published by the European Council.

Results: Of the 13 samples, heavy metals were qualitatively detected in 10 samples. ICP­-OES values for quantitative estimation showed presence of heavy metal above permissible range in 10 of the studied samples for vanadium, all samples for arsenic, two samples for mercury and one sample for cadmium. Arsenic was found to be the commonest heavy metal contaminant, present in 13 samples above permissible limit.

Conclusions: The significantly higher concentration of heavy metal poses a potential health risk to the consumer and affects the quality of the food.
Plastid genome of Passiflora tripartita var. mollissima (poro-poro) from Huánuco, Peru
Authors: Aliaga Flavio , Zapata-Cruz Mario , Valverde-Zavaleta Silvia Ana
Published: July 2023

Passiflora tripartita var. mollissima, known locally as poro-poro, is an important native fruit used in traditional Peruvian medicine with relevant agro-industrial and pharmaceutical potential for its antioxidant capacity for human health. However, to date, only a few genetic data are available, which limits exploring its genetic diversity and developing new genetic studies for its improvement. We report the poro-poro plastid genome to expand the knowledge of its molecular markers, evolutionary studies, molecular pathways, and conservation genetics. Total genomic DNA was extracted from fresh leaves (herbarium voucher: USM:MHN331530). The DNA was sequenced using Illumina Novaseq 6000 platform providing 163,451 bp in length, with a large single-copy region of 85,525 bp and a small single-copy region of 13,518 bp, separated by a pair of inverted repeat regions (IR) of 32,204 bp, and the overall GC content was 36.87%. The chloroplast genome contains 129 genes (112 genes were unique and 17 genes were found duplicated in each IR region), including 85 protein-coding genes, 37 transfer RNA-coding genes, seven ribosomal RNA-coding genes, and 14 genes with introns (12 genes with one intron and two genes with two introns). The phylogenetic tree reconstructed based on single-copy orthologous genes and maximum likelihood analysis demonstrates poro-poro is most closely related to Passiflora menispermifolia and Passiflora oerstedii. In summary, our study provides the basis for developing new molecular markers that constitutes a valuable resource for studying molecular evolution and domestication. It also provides a powerful foundation for conservation genetics research and plant breeding programs. To our knowledge, this is the first report on the plastid genome of Passiflora tripartita var. mollissima from Peru.
The genome sequence of the Powdered Quaker, Orthosia gracilis (Schiffermüller, 1775)
Authors: Boyes Douglas , Boyes Clare ,   University of Oxford and Wytham Woods Genome Acquisition Lab,   Darwin Tree of Life Barcoding collective,   Wellcome Sanger Institute Tree of Life programme,   Wellcome Sanger Institute Scientific Operations: DNA Pipelines collective,   Tree of Life Core Informatics collective,   Darwin Tree of Life Consortium
Published: July 2023

We present a genome assembly from an individual male Orthosia gracilis (the powdered quaker; Arthropoda; Insecta; Lepidoptera; Noctuidae). The genome sequence is 715.5 megabases in span. Most of the assembly is scaffolded into 14 chromosomal pseudomolecules, including the Z sex chromosome. The mitochondrial genome has also been assembled and is 15.43 kilobases in length.
Going for a job. Part 1/2: the application
Authors: Peate Ian
Published: July 2023

Applying for a new job, progressing your career, can be daunting. When you have found the job that best suits you, you will need to start the application process. This article provides readers with advice for applying for a healthcare support worker role in the NHS. This is the first of two articles associated with a job application. This first part looks at preparing for interview, while part 2 considers the interview itself. This article includes information and tips to help support you in applying for a healthcare support worker role in the NHS. Using these tips can help to boost your self-confidence as you consider the job application process with a positive mindset. The article adopts a practical approach to the job application.
Where identity governance really belongs
Authors: Tuztas Cengiz
Published: July 2023

When companies decide to initiate an identity governance and administration (IGA) project, it raises a number of questions. This primarily concerns the selection of products and solutions to manage digital identities and the permissions associated with them. Sometimes, however, it is helpful to take a step back and examine the extent to which the prerequisites for comprehensive governance are actually in place and where this should start from – because a number of others are grouped around the concept of identity and not necessarily uniformly or sharply.
Effect of Vermicompost Types along with Rhizobium Inoculation Impact on Nodulation Potential, Growth and Yielding Attributes of Lentil
Authors: Khalid Iqra , Ul Haq Syed Ijaz , Lan Yubin , Anwar Adeel , Shan Changfeng , Shah Shahab Ali , Rahmani Muhammad Noman , Zhang Lechun
Published: July 2023

ABSTRACT: Vermicompost is a humified, stabilized and finely alienated peat like mass by activity of earthworms in a form that is eagerly available for plants. Due to its porous nature , high water storage capacity, having hormones such as substance and plant growth regulators such as auxins, cytokinins, absicisic acid and also high levels of macro and micro nutrients, vermicompost fertilizer can play an important role in plant growth and development and also in reducing harmful effects of various harmful stresses on plants. In regard of this, special focus of this study was to prepare different types of vermicomposts using earthworm specie Eisenia fetida and to access the effect of these various types of vermicompost on lentil growth and yield. Field experiment was laid out in Randomized complete block design (RCBD) using 06 treatments having 03 replications conducted at University Research Farm Koont, Chakwal Road, Rawalpindi. Analysis of variance (ANOVA) was used to detect difference among means of all treatments at 5% significance level by using Fisher’s protected Least Significant Differences (LSD) Test. Statistical results revealed that vermicompost application @ 5 tonns/ha significantly affected growth and yield of lentil and maximum growth was attained with cow dung derived vermicompost+rhizobium followed by wheat straw, vegetable waste and minimum with leaf litter derived vermicompost. Cow dung vermicompost was found to be efficient for all growth and yield parameters.
Resonant Frequency Analysis using Perturbation and Resonant Cavity Method in Printed Dual Band Antenna for WiMAX Application
Authors: Mahendran C. , Vijayaraj M.
Published: July 2023

A printed dual-band antenna is designed to resonate at 3.5 GHz with the measured gain of 6.38 dBi and at 5.5 GHz with that of 5.84 dBi for the WiMAX application. The bandwidth of this antenna at 3.5 GHz and 5.5 GHz is 8% and 5%, respectively. The radiation efficiency of 91.45% is obtained at 3.5 GHz and that of 89.56% at 5.5 GHz. A novel approach based on the perturbation technique is used to relate the resonant frequency to the electromagnetic energy stored and the volume of the proposed antenna’s structure. The dual resonant length of this antenna is determined by a parameter named as the length reduction factor, which is computed by the curve fitting method. A polynomial equation connects the length reduction factor and resonance frequency. The resonant cavity model has been used to derive the resonant frequency equations for dual bands. The simulation and measured results are used to validate the analytically predicted resonant frequency caused by the structure perturbation and cavity technique and show good agreement. This antenna is fed by a balanced parallel plane, which conveniently facilitates the PCB’s integration.
NOÇÃO DE COMPETÊNCIA NA FORMAÇÃO DE PROFESSORES
Authors: C. B. Cerqueira Maria de Lourdes , Moreira Santos Solange Mary
Published: July 2023

O objetivo deste artigo é contribuir para que os professores conheçam a noção de competência no olhar de autores nacionais e in- ternacionais e, especialmente no de Perrenoud, retirando dela as idéias centrais e procurando redimensioná-las  de modo  a oferecer  subsídios para a formação inicial e continuada.
CARACTERIZAÇÃO DE ESCÓRIA DE FERRO-CROMO COMO AGREGADO GRAÚDO PARA A PRODUÇÃO DE CONCRETO
Authors: F. da Silva Filho Antônio , A. Moura Washington , Silva Leite Rôneison
Published: July 2023

A questão  ambiental  tem sido motivo  de ampla discussão em nível nacional e internacional, face à exploração  desenfreada  dos recursos naturais e à enorme geração de resíduos por parte da indústria. A reciclagem de resíduos sólidos é uma das formas de atenuar o proble- ma, reduzindo, por conseguinte, o impacto ambiental. Esta pesquisa objetivou caracterizar a escória de ferro-cromo como agregado graúdo para a produção de concreto. Os estudos desenvolvidos  consistiram  na caracte- rização   química,   mineralógica,  ambiental,   física   e   quanto   à   reatividade da escória de ferro-romo. Vale ressaltar que foi efetuada uma criteriosa avaliação do risco ambiental do uso da escória de ferro-cromo,  face à presença, em sua constituição química, do cromo e da possibilidade  de ocorrência de outros metais pesados. Os   resultados   dos   ensaios   demons- tram que a escória de ferro-cromo  apresenta características  compatíveis com as de agregado graúdo convencional para concreto.
INFLUÊNCIA DA FONTE DE NITROGÊNIO NO CRESCIMENTO DE LACTOBACILLUS ACIDOPHILUS UFV H2B20
Authors: Mendes de Figueiredo Hamilton , Vieira Passos Frederico José
Published: July 2023

Com o objetivo de caracterizar um sistema de produção de células viáveis de L. acidophilus UFV H2b20, para adição em probióticos, estudos  da cinética  de crescimento  do microrganismo  foram   conduzidos. Na produção de massa celular viável foi utilizado o soro de queijo ultrafiltrado (SQUF) como meio basal. A produção máxima de células de 3,1 x   109 UFC/ml foi alcançada quando o SQUF foi suplementado  com proteose peptona no 3, à temperatura  de crescimento  de 37oC.  Essa  produção celular em proteose peptona nº 3 foi estatisticamente  superior às demais fontes de nitrogênio  utilizadas  (Triptona,  peptona,  nitrogênio  básico para levedura e aminoácido de caseína),  com exceção  do caldo  Man, Rogosa & Sharpe (MRS) que também apresentou bom crescimento celular.
A REVOLUÇÃO DOS SONS: UMA PROPOSTA METODOLÓGICA PARA O ENSINO DE FONÉTICA/ FONOLOGIA DO PORTUGUÊS
Authors: Oliveira Josane Moreira de , Pedreira dos Santos Pepe Vera
Published: July 2023

Este artigo nasceu de nossas experiências  profissionais  no ensino de fonética e fonologia da língua portuguesa nos cursos de Letras. Trata-se de uma nova maneira de abordar os assuntos  de fonética  e fonologia usando o humor e a criatividade em sala de aula.
IMPORTÂNCIA DO EQUILÍBRIO, DA DIVERSIFICAÇÃO E PLANEJAMENTO DE ATIVIDADES FÍSICAS EM ACADEMIAS EM PROL DE UMA MELHOR QUALIDADE DE VIDA
Authors: Amorim Amoedo Celestino
Published: July 2023

Este trabalho tem como objetivo evidenciar a importânciado equilíbrio, da diversificação e planejamento das diversas atividadesfísicas oferecidas pelas academias de ginástica. As diversas práticaspedagógicas desenvolvidas deverão de forma planejada contribuir para

um estilo de vida saudável, somadas aos trabalhos sedentários do dia-a-dia, ajudarão a construir aptidões relacionadas às necessidades bio-psico-sociais dos alunos.
FORMAÇÃO DO PROFESSOR, INCLUSÃO EDUCATIVA: UMA REFLEXÃO CENTRADA NO ALUNO SURDO
Authors: José Oliveira Duboc Maria
Published: July 2023

Baseado nos fundamentos da inclusão educacional, o presenteartigo busca destacar a importância da formação do professor na escolarizaçãodos alunos surdos. O tema faz parte de uma série de discussões que estásendo travada em torno do redimensionamento da educação especial ebusca reforçar o debate sobre a importância de se compreender a especificidadedos alunos surdos, sua identidade singular e forma própria de assimilare expressar o mundo.
PERCEPÇÃO DE AUXILIARES DE ENFERMAGEM ACERCA DA PRÁTICA PROFISSIONAL DAS UNIDADES BÁSICAS DE SAÚDE DO MUNICÍPIO DE GANDU(BA)
Authors: De Araújo Gomes Waldelene
Published: July 2023

O objetivo deste estudo foi descrever a percepção de auxiliaresde enfermagem sobre a prática profissional, no município de Gandú/BA.2003. Estudo de corte transversal, com a população de 14 auxiliaresde enfermagem, cujas variáveis foram, idade, sexo e percepção sobre aprática profissional. Os auxiliares percebem que a prática profissionalbasea-se em experiências adquiridas com o tempo, com as pessoas e coma intuição, destacando a experiência acumulada; é possível ser um bomprofissional sem buscar maiores informações; realizaram o curso doPROFAE por imposição dos decretos que regulamentam o exercício profissional,por influencia de superiores e que visualizavam o mesmo como umapossibilidade de redimensionar a vida pessoal e profissional, dentro deum contexto de reconstrução social e político do Sistema Único de SaúdeConclui-se que esses profissionais necessitam de cursos de capacitaçãocom vistas a prepará-los em suas diversas competências profissionais deforma crítica e reflexiva como atores sociais capazes de transformar aprópria realidade.
PERMEAÇÃO DE SOLUTOS DE DIFERENTES MASSAS MOLECULARES EM MATRIZES COMPOSTAS DE ALGINATO DE CÁLCIO E ACETOFITALATO DE CELULOSE
Authors: Silveira da Rocha Wânia
Published: July 2023

Com o objetivo de estudar a difusão de recheios de diferentesmassas moleculares (MM) em sistemas de cápsulas compostas de alginatode cálcio e acetofitalato de celulose (AC), foram utilizados glicose (180D), limoneno (136 D) e pepsina (34500 D), como recheio. Suas difusõesatravés de soluções ácidas (HCl 0,1 N) ou alcoólica (etanol anidro)avaliadas por determinações enzimáticas, cromatográficas e Kjeldahl.Concluindo-se que a adição de AC ao alginato de cálcio não aumentoua retenção do material de recheio em sistemas de MM baixa, porém, comMM alta, o sistema alginato-AC polimerizado em CaCl2 acidificada comHCl resultou numa melhor retenção.
SOLOS GRAMPEADOS - COMPRIMENTOS MÁXIMOS DE GRAMPOS NOS SOLOS A LESSE DA FALHA DE SALVADOR (BA)
Authors: Carlos Baptista Jorge da Silva João
Published: July 2023

O artigo trata de um estudo sobre o comprimento máximo degrampos na utilização da técnica de solo grampeado para estabilizaçãode taludes de solos localizados a lesse da falha de Salvador, regiãoresponsável por mais de 60 % dos eventos catastróficos envolvendo rupturade encostas. São analisadas, pelo método de Bishop Simplificado,30 áreas de encostas, além de ser apresentado um levantamento bibliográficode mais 8 eventos acontecidos naquela cidade. O trabalho visaa otimização de custos para estabilização de encostas nas áreas deocupação desordenada de baixa renda, alertando para adoção de cunhaspotenciais de ruptura de grande profundidade.
AQUISIÇÃO DA MORFOLOGIA VERBAL DO PORTUGUÊS POR UMA FALANTE DO FINLANDÊS: O PAPEL DO CODE SWTICHING
Authors: Santana Pires Gilcélia
Published: July 2023

O presente estudo descreve o processo aquisicional do Portuguêspor uma adolescente falante do Finlandês como língua materna e maisoutras línguas estrangeiras, a exemplo de inglês. Objetivou-se verificarse há transferência lingüística da língua materna (L1) para a segundalíngua (L2) e qual seria o papel de uma outra L2 anteriormente adquiridana aquisição do Português. A observação da aquisição da morfologiaverbal do Português foi realizada em três fases: na primeira fase, ofenômeno do code switching (uma alternância de códigos lingüísticos)foi detectada como uma estratégia de aprendizagem, porém, com funçãodiscursiva; no segundo estágio, as estruturas verbais começam a se misturarentre formas finitas e não-finitas e o code switching permance com umafunção lingüística; na terceira fase, as categorias de flexão e concordânciade número são adquiridas e as formas finitas e não-finitas são usadasapropriadamente. O uso de code switching não apresenta qualquer funçãonesta fase. Após análise dos dados, conclui-se que o processo de aquisiçãoda morfologia verbal do Português, no primeiro estágio, se baseia natransferência lingüística. No segundo estágio, o uso de uma língua intermediária(Inglês), através de ambos, o code switching e a transferência lingüística,demonstra que a experiência anterior do aprendiz com uma L2 já adquiridapode servir como uma valiosa estratégia para a aquisição de uma terceiraou quarta aquisição de L2s.
FAMÍLIA E ESCOLA: UM ENCONTRO DE RELAÇÕES CONFLITUOSAS
Authors: Roberto Seixas da Cruz Antonio
Published: July 2023

Este artigo objetiva discutir as influências dos conceitosque os professores(as) têm de família na relação entre essa instituição ea escola. Percebe-se que o desencontro entre o modelo de família nuclear,baseado no modelo burguês, composto por pai, mãe e filho(s), e as realidadesvivenciadas pelas famílias é um dos principais fatores que provocamconflitos entre aquelas duas instituições. O estudo proposto origina-sede reflexões realizadas através do nosso contato com educadoras da redepública de ensino, alunas do Curso de Licenciatura em Pedagogia paraas Séries Iniciais, oferecido pela Universidade Estadual de Feira deSantana, mais especificamente nas aulas de História da Educação noBrasil. Durante essas aulas, emergiram debates sobre a educação, sendoum tema recorrente a relação família e escola, cujo teor baseava-se,geralmente, na acusação dos docentes, em relação ao descaso dos pais/responsáveis, no que ser refere ao acompanhamento de seus filhos oututelados em sua vida escolar. Através de leituras teóricas sobre a temáticae análise dos discursos elaborados pelas professoras em sala de aula,percebemos que o conflito entre família e escola advém da falta de interlocuçãoentre elas, principalmente, porque a escola tem ignorado as diversastipologias familiares que vêm se configurando na atual conjuntura, considerandoapenas o modelo nuclear, o que dificulta o diálogo entre a escola e as famílias, que seria um dos caminhos para, senão resolver, amenizar osproblemas vivenciados pela escola na busca de exercer o seu papelsocial com competência.
LÍNGUA E IDENTIDADE: PROBLEMATIZANDO A DIVERSIDADE LINGÜÍSTICA NA ESCOLA
Authors: Santos Almeida Castro Antonilma
Published: July 2023

O movimento deste texto centraliza uma das crises de identidadevivenciadas na pós-modernidade, a crise lingüística ou, no dizer deTarallo (1993), o caos lingüístico. A reflexão a respeito dessa temáticase justifica por se entender que é preciso problematizar questões que sãoessenciais para a compreensão de que a língua de uma nação não podese constituir em um instrumento de identidade fixa de um povo, principalmente,quando se entende língua como fenômeno social. Assim, tem-se nesteartigo a pretensão de refletir os preconceitos vivenciados pelo povobrasileiro, quando envolvido por mitos que, no decorrer dos tempos, têmproliferado a discriminação social, a exclusão de cidadãos que, emboratenham uma cultura própria, são considerados como sem cultura ou comopessoas que estão classificadas em categorias supostamente inferiores,vivenciando todos os tipos de exclusão social.
AS EXPERIÊNCIAS CULTURAIS DE ALUNOS COM SURDEZ E OS POSSÍVEIS “SINAIS” DESSAS EXPERIÊNCIAS NA ESCOLA: VISLUMBRANDO PRÁTICAS EDUCACIONAIS INCLUSIVAS A PARTIR DA PESQUISA ETNOGRÁFICA
Authors: Oliveira Bastos Edinalma Rosa
Published: July 2023

Com este trabalho pretendemos apresentar a nossa intenção de lançar mão do método etnográfico para levar adiante a pesquisaque ora nos ocupamos no curso de Doutoramento, cujo objetivo central é dialogar com alunos surdos de Feira de Santana – Bahia-Brasil que tiveram e/ou têm a vida escolar e cotidiana marcada pela convivência com surdos e ouvintes sobre as suas experiências culturais. Nesta pesquisa pretendemos entender como tais experiências são tematizadas pelos alunos e como eles as expressam na escola. Levando em conta esse objetivo trazemos, aqui, como reflexão central a etnografia como um caminho a ser transposto para a investigação no campo educacional. Na perspectiva etnográfica se valoriza os atores sociais informantes, considerados co-partícipes no processo de pesquisa, e o uso da observação participante. Enfatizamos na discussão que a etnografia, mediante a descrição densa (GEERTZ, 2008), possibilitará uma análise em profundidade e assim nos ajudará a entender o fenômeno que se constitui em objeto do referido estudo, podendo se tornar uma ferramenta profícua para o incremento de práticas pedagógicas, no sentido de que se tornem inclusivas.
PROPOSTA DE MODELO PARA IDENTIFICAÇÃO DAS NECESSIDADES EDUCATIVAS DOS ALUNOS DAS SÉRIES INICIAIS NO ENSINO FUNDAMENTAL
Authors: Fonseca de Jesus Souza Zenilda
Published: July 2023

Este trabalho tem por objetivo apresentar uma proposta de modelo para identificação das necessidades educativas dos alunos nas séries iniciais do Ensino Fundamental. O modelo foi elaborado em atenção a um dos objetivos da pesquisa de mestrado em Educação Especial e foi aplicado posteriormente em escolas públicas do município de Feira de Santana, como atividade do Grupo de Estudos e Pesquisas em Educação Especial/GEPEE da Universidade Estadual de Feira de Santana/UEFS. Através da estrutura do modelo proposto, apresentam-se os objetivos, a posição teórica e metodológica defendida e as etapas no processo de identificação das necessidades educativas dos alunos. Esse modelo aspira a colaborar para a melhoria da prática educativa, pois considera o aluno como sujeito, tanto na escola quanto na família e na sociedade. O modelo proposto possibilitará a articulação entre o pensar e o fazer pedagógicos, pois assume um caráter dinâmico, contínuo, interdisciplinar, sistêmico, preventivo e reflexivo.
INDO ALÉM DA DEFICIÊNCIA MENTAL: O SUJEITO E AS IMAGENS DE SI
Authors: Martins de Meireles Maximiano
Published: July 2023

Esta investigação se constitui uma análise acerca das significações construídas por estudantes com deficiência mental, sobre si e suas vivências na escola. A intenção foi dar visibilidade aos sujeitos, enquanto sujeitos da palavra; identificar as imagens que eles constroem de si e compreender aspectos que interferem em seus processos de escolarização. O fio condutor das reflexões foi a abordagem epistemológica que entende o ser humano como uma construção sócio-histórico-cultural. A pesquisa fundamentouse nos pressupostos da investigação qualitativa, tomando as narrativas de vida como opção metodológica e a entrevista narrativa como instrumento de coleta de dados. As entrevistas narrativas foram realizadas com dois jovens com deficiência mental, que estudam em escolas regulares do município de Tucano-BA. As imagens construídas por eles desvelam sujeitos que buscam superar suas limitações; que indagam e recusam as representações e discursos preconceituosos; sujeitos que buscam se constituir, sobretudo, na contramão das imposições socias, no avesso da deficiência mental.
O SABER EXPERIENCIAL NA AÇÃO DOCENTE DOS PROFESSORES QUE ATUAM EM CLASSE HOSPITALAR
Authors: Nunes Mascarenhas Aline Daiane , Santos de Jesus Adriana
Published: July 2023

Esse estudo pretende analisar a relação do saber experiencial mobilizado na ação educativa de quatro estagiários que trabalham com os alunos/pacientes de uma enfermaria pediátrica, mediante um roteiro de entrevista semiestruturada com questões abertas e específicas que versavam sobre a Classe Hospitalar, o trabalho do (a) docente no hospital e as contribuições do mesmo para as crianças hospitalizadas. A metodologia utilizada foi numa abordagem qualitativa com a utilização de um roteiro de entrevista semiestruturada com quatro sujeitos que atuam em classe hospitalar. Utilizou-se contribuições de Tardiff; Lessard; Lahaye (2002); Freire (1996, 1997) e Fonseca (2003) que muito contribuem para a formação docente, levando os professores a ressignificarem sua prática a partir das especificidades dos alunos.
PERCEPÇÕES DOS PROFESSORES SOBRE A EDUCAÇÃO PELO LAZER PARA PESSOAS COM DEFICIÊNCIA INTELECTUAL
Authors: Alves Nogueira Suzana , Garcia Bordas Miguel Angel
Published: July 2023

Este artigo é resultadado de uma investigação científica que teve como objetivo analisar as percepções dos professores sobre a educação pautada no lazer para alunos com deficiência intelectual de uma instituição especializada. Optou-se pela pesquisa de campo, de caráter descritivo e abordagem qualitativa, utilizando-se a entrevista semi-estruturada como instrumento de coleta de dados e a análise do conteúdo para análise das falas dos atores sociais. A pesquisa foi realizada com sete professores de uma instituição especializada na cidade de Feira de Santana - Bahia. Ficou constatado que os mesmos não compreendem bem a importância da educação na perspectiva do lazer para os alunos com deficiência, pois não associam que a vivência das atividades de lazer é favorável no processo de ensinoaprendizagem.
A CIENTIFICIDADE DA PSICANÁLISE FREUDIANA: UM DEBATE À LUZ DA FILOSOFIA DE MARTIN HEIDEGGER
Authors: Dantas Rafael , Vasconcelos Ribeiro Caroline
Published: July 2023

Na obra Seminários de Zollikon encontramos os conteúdos de palestras ministradas por Heidegger a psiquiatras e estudantes depsiquiatria suíços. Esta obra é composta pelas atas dos referidos seminários (1959-1969), além de diálogos taquigrafados entreo filósofo e o psiquiatra Medard Boss (1961-1972) e de cartas trocadas entre os dois no período de 1947 a 1971. Ao longo dosseminários, Heidegger (2009) tratou de estabelecer as diretrizes para a desconstrução da teoria psicanalítica, tomando comobase de sua argumentação a compreensão do homem enquanto Dasein (ser-aí), oriunda da analítica existencial formulada naobra em Ser e Tempo (1997).
A FORMAÇÃO DO ESPAÇO SISALEIRO DA BAHIA: PERMANÊNCIAS E EMERGÊNCIAS
Authors: Souza Coelho Neto Agripino , Da Silva Lima Jamille da Silva Lima
Published: July 2023

Este artigo objetiva realizar uma leitura do processo de formação do Espaço Sisaleiro da Bahia, valendo-se das categorias dialógicas: permanências e emergências. A introdução do cultivo da agave sisalana, sua expansão geográfica e o crescimento de sua importância econômica como atividade produtiva, foram elementos fundamentais no processo de conformação do Espaço Sisaleiro, produzindo uma organização social e econômica específica, baseada na pequena e média propriedade rural e predominantemente no trabalho familiar. O texto focaliza inicialmente o papel da produção do sisal na conformação do Espaço Sisaleiro da Bahia. Em seguida, destaca e detalha as permanências, entendidas como a manutenção nas condições estruturais que formam a base de uma dada sociedade. Na seção seguinte, apresenta as emergências que se manifestam na eclosão e formação de redes de organizações sociais que se densificam no Espaço Sisaleiro, especificamente, os sindicatos camponeses, as associações comunitárias rurais e as cooperativas agrícolas, exercendo um papel de tensionamento das permanências e de reconfiguração socioespacial.