bluuebunny/crossref_metadata_2025 huggingface dataset:
The Woes of Economic Burden of Traumatic Brain Injury (TBI) Cases Borne by Public Sector Hospital of Pakistan
Authors: SHAHZAD HUSSAIN SYED , AHMAD KAMBOH USMAN , ASIF RAZA MUHAMMAD , KANWAL MADIHA , SHAHID SAMAN , ASHRAF NAVEED
Published: October 2019

Objectives: To highlight the role of public sector hospitals in sharing the major burden of severely head injured patients in a resource constrained economically striving countryMaterials and Methods: The study was conducted in the Neurosurgery department of Jinnah Hospital, Lahore, Pakistan. 70 patients with moderate to severe TBI cases above one year of age were included. The data was analyzed for the cost estimation for the period of six months, for the following heads: 1) hospital cost per day, 2) ICU setup cost per day, and 3) salaries of hospital staff per day.Results: There were 53 cases of moderate injury and 17 cases of severe injury. Mean hospital stay was 14 days, minimum number of stay was 2 days and the maximum number of stay was 124 days in six months. Overall, in six months, per day cost of hospital bills head was Rs. 42,333/$ 263/€ 238. For the ICU setup head, the total cost was Rs. 17,9923/$1130/€ 1016 per day. The salary head’s total cost was Rs. 2573/$16.06/€ 14.44. The grand total of all heads, (bills, ICU setup & salaries) was Rs. 22,482,29/$1409/€ 1270.Conclusion: We evaluated the cost effectiveness of the Neurocritical care unit of a public sector hospital who provides the best possible health care facilities at a cheaper rate as compared to developed countries. We are highlighting the economic burden borne by the developing country’s government.
Role of Early Tracheostomy in the Management of Severe Head Injury
Authors: MAJID ABDUL , FAROOQ MUHAMMAD , SHAKIR MUHAMMAD , KHAN ZUBAIR MUSTAFA , IQBAL SAJID
Published: October 2019

Objective: The objective of this study was to compare the role of early and late tracheostomy in patients presenting with severe head injuries.Material and Methods: This randomized controlled trial study was conducted in the department of neurosurgery, Lahore General Hospital Lahore from March 2018 to August 2018, after taking approval from the ethical committee. A total of one hundred and thirty patients was divided randomly into early (within three days) and late(after three days) tracheostomy groups. After tracheostomy, data regarding acute physiology, age and chronic health evaluation II (APACHE II), the total number of days since ventilation, tracheostomy, weaning, discharge from ICU and hospital, complications and mortality were noted. All the data was entered and analyzed with SPSS23.0. Quantitative variables were presented as mean and standard deviation, qualitative variables were presented as numbers and percentage. The Chi-square test was applied. A p-value of ?0.05 was considered significant.Results: The mean age of the patients was 33.13 ± 2.53 years. There were 84 males (64.61%) and 46 females (35.38%) in the study. The duration of mechanical ventilation, ICU stay and stay in hospital for early and late tracheostomy groups were 25.68 ± 2.94 vs. 33.37 ± 3.32 days, 29.42 ± 2.97 vs. 38.54 ± 3.80 days and 37.20 ± 2.98 vs. 47.15 ± 3.84 days respectively. Four patients (3.08%) and seven patients (5.38%) suffered from mortality.Conclusion: Early tracheostomy among the patients presenting with severe head injuries was associated with a better outcome than late tracheostomy.
Una revisión sistemática del monitoreo de la presión intracraneana en adultos con trauma craneoencefálico severo
Authors: Quesada Mario F. , Duran Miguel A. , Laiseca Edgard F. , Flórez William A.
Published: October 2019

Objetivos: Revisar sistemáticamente la evidencia relacionada con el monitoreo de la presion intracraneana en unidades de cuidado neurocrítico en el contexto de trauma craneoencefálico severo. Criterios de elección: Ensayos clínicos aleatorizados que comparen el uso del monitoreo de la presión intracraneana (PIC) que muestren un estimado de mortalidad/discapacidad a 6 meses, en pacientes mayores de 12 años de edad con trauma craneoencefálico severo (escala de Glasgow menor a 8). Método de búsqueda: En Medline, el Registro Central de Ensayos Controlados (CENTRAL); PubMed, HINARI, EMBASE; Grupo Cochrane de Lesiones y las listas de referencias de artículos. De acuerdo con el Manual Cochrane para meta-análisis y revisión sistemática. Resultados: No hubo diferencias entre el grupo de PIC y el control en el pronóstico de discapacidad (RR [Riesgo Relativo]1.01, 95% CI 0.87 to 1.18). Sin embargo, el monitoreo de la PIC reduce la estancia en UCI en comparación con otros métodos. La estancia en UCI con tratamiento cerebral específico también se redujo en comparación con grupo control. Conclusiones: En pacientes con trauma craneoencefálico, no hubo diferencia entre el monitoreo de la PIC y el examen clínico sin embargo, para mantener una PIC baja, hubo una sustancial reducción de requerimiento de solución salinahipertónica y un descenso en la hiperventilación trayendo consigo beneficios para pacientes en UCI.
Trauma craneoencefálico. Revisión de la literatura
Authors: Charry José D. , Cáceres Juan F. , Salazar Andrea C. , López Lisseth P. , Solano Juan P.
Published: October 2019

El trauma craneoencefálico (TCE) es una patología médico-quirúrgica caracterizada por una alteración cerebral secundaria a una lesión traumática en la cabeza generando un daño estructural del contenido de ésta, incluyendo el tejido cerebral y sus vasos sanguíneos. La incidencia es de 200 personas por cada 100.000 habitantes, la etiología más frecuente son los accidentes de tránsito (70%), seguidos de hechos violentos y/o caídas desde su propia altura dependiendo del área geográfica en el que se encuentre. En esta revisión, se explicarán las lesiones primarias, secundarias, terciarias, el deterioro retardado, los tipos de hipertensión endocraneana y las lesiones específicas como fisiopatología del TCE, así como la evaluación clínica e imagenológica de las lesiones y su adecuado tratamiento.
Absceso cerebral: diagnóstico, manejo, complicaciones y pronóstico
Authors: Vargas Rodríguez Ledmar Jovanny , Teresa Alvarado María , Suárez Chaparro Álvaro F.
Published: October 2019

El absceso cerebral se describe como una colección de pus dentro del parénquima cerebral que se encuentra focalizada y encapsulada, en su fase más tardía, en estadios previos a la encapsulación se encuentra un estado de inflamación del parénquima cerebral conocido como cerebritis. Esta patología tiene varios factores que predisponen a presentar tal enfermedad y que pueden estar relacionadas con el pronóstico. La etiología puede varias según el estado inmunológico del paciente y según los escenarios clínicos que pueden estar asociados al mismo. La clínica depende de la zona anatómica que se ha visto afectada, a pesar que existe una triada sintomática que lo caracteriza se presenta en menos de la mitad de los casos, esto permite que tenga bastantes patologías que son diagnóstico diferencial y que se deben tener en cuenta. El diagnóstico esnetamente imagenológico, se explica claramente los distintos hallazgos que se pueden encontrar en los estudios con y sin contraste y se recomienda usar siempre el contraste. El tratamiento antibiótico empírico se ha basado en quías de publicación basada en la evidencia hasta ahora disponible, pero se recomienda al lector realizar drenaje quirúrgico en los pacientes que tengan criterios y dar antibioticoterapia de acuerdo al reporte del cultivo y su antibiograma para disminuir el riesgo deresistencia bacteriana.
Ácido úrico como factor pronóstico de dicapacidad neurológica y/o mortalidad en la enfermedad cerebrovascular isquémica aterotrombótica
Authors: Vegas Cuevas Julio Antonio , Peraza Rivas Dallamí , Vegas Peraza Caleb , Vegas Peraza Lilibet
Published: October 2019

Introducción: La patología vascular cerebral es la más frecuente dentro de las enfermedades neurológicas, existe evidencia donde las elevaciones agudas del ácido úrico incrementan el riesgo de discapacidad y mortalidad en los accidentes cerebrovasculares isquémicos aterotrombóticos. Objetivo: Determinar la relación entre el nivel de ácido úrico al ingreso, la discapacidad neurológica y/o la mortalidad en pacientes con diagnóstico de accidente cerebrovascular isquémico aterotrombótico. Material y Métodos: Se realizó un estudio observacional analítico prospectivo de casos y controles en pacientes con diagnóstico de accidente cerebrovascular isquémico aterotrombótico que fueron hospitalizados por urgencia en el hospital “Mártires del 9 de Abril” durante el período de enero de 2016 a marzo de 2018. Se formaron 2 grupos: grupo caso con pacientes fallecidos (n = 40) y grupo control con pacientes no fallecidos (n = 60). Resultados: El análisis multivariado de regresión logística binaria identificó como factor pronóstico de mortalidad a la variable: ácido úrico al ingreso elevado (p: 0,015; OR: 1,01; IC: 1,01-1,02) y la escala de NIHSS con sus estados de déficit importante (p: 0,049; OR: 6,0; IC: 1,76-2,36) y déficit grave (p: 0,031; OR: 2,0; IC: 1,39-2,86). Conclusiones: La relación entre el nivel de ácido úrico se basa en la predicción de discapacidad neurológica y/o de mortalidad en la fase aguda de un accidente cerebrovascular isquémico aterotrombótico, asociado a la escala de NIHSS.La dependencia de los pacientes cambia cuando se presentan los niveles de ácido úrico elevado al ingreso, con respecto al índice de Barthel. Los años de vida ajustados por discapacidad (AVAD) establecen un perfil menor de sobrevida, de acuerdo al estado del paciente en la fase aguda.
Comparative Researcehs of the Properties of Laboratory Plywood and Some Industrial Manufactured Wood-Based Panels
Authors: Jakimovska Violeta T
Published: October 2019

The aim of the researches in the master thesis is studying the impact of the changes in plywood structure on their physical and mechanical properties. These changes are related to the change of the layer's position in the panels' structure along the axis of symmetry without changing the number and the thickness of the veneers. Four models of laboratory nine layered plywood were made for studying this impact. The evaluation of the models quality was made on the base of the obtained values from the tests of their physical and mechanical properties, as well as on the base of the comparative analyze of these values and the values obtained from the tested properties of comparative model of industrial manufactured plywood.
The laboratory plywood models are made in controlled laboratory conditions by the method of hot dry pressing. Beech peeled veneers with thickness of 1,2; 1,5; 2,2 and 3,2 mm are used for plywood manufacturing. As gluing component for plywood manufacturing, pure water-soluble phenol formaldehyde resin with concentration of 47,10 % is used. The models are preserved with phenol formaldehyde foil, which is impregnated in the surface layers during pressing. Four panels from each model are made, as well as two additional panels without surface phenol formaldehyde foil from the second model in order to perceive the differences in physical properties between preserved and non-preserved laboratory models.
Survival, Tumor Recurrence, and Function Following Shoulder Girdle Limb Salvage at 24 to 35 Years of Follow-up
Authors: Scorianz Maurizio , Houdek Matthew T. , Sherman Courtney E. , Sim Franklin H. , O'Connor Mary I.
Published: October 2019

Limb salvage is the treatment of choice for malignant shoulder girdle tumors; however, there is a paucity of data examining the long-term outcome. The authors have previously reported on a cohort of patients at short- and mid-term follow-up. The purpose of this study was to report the long-term outcome of shoulder reconstruction in terms of oncological and functional outcome. The authors reviewed 53 patients who underwent a limb salvage procedure for treatment of a tumor of the shoulder girdle. At a mean of 28 years following the resection, 76% of surviving patients were contacted and administered functional outcome scores using the Musculoskeletal Tumor Society (MSTS) and Toronto Extremity Salvage (TESS). The 20-year survival and recurrence-free survival were 79% and 80%, respectively. Likewise, the 20-year revision survival was 75%, with a limb salvage rate of 94%. At last follow-up, the mean MSTS rating and TESS score were 75% and 85%, respectively, with 9 patients having improvement in their MSTS rating from the previous findings. Limb salvage following resection of shoulder girdle tumor resulted in acceptable means of oncological outcome and function. Some patients continued to experience improvements in functional outcome even at late (>20 years) follow-up. [
Orthopedics
. 2019; 42(6):e514–e520.]
A Priority-Based Message Response Time Aware Job Scheduling Model for the Internet of Things (IoT)
Authors: Kumar Sumit , Raza Zahid
Published: October 2019

The Internet of Things is seen as the progressive version of internet involving the transmission of information between things/objects with the aim of context-aware processing. The IoT can be anything ranging from home appliances, vehicles, almost anything networked and fitted with sensors, actuators or embedded computers. The IoT aims to make the internet sensory while maintaining a minimum quality of service (QoS) guarantee. In such an environment, job scheduling becomes very important, ensuring the minimum response time for message transfer. This work proposes an SCM based scheduling model for the IoT with the aim of minimization of the response time to optimize the scheduling performance of the underlying network and minimize the execution costs. After being serviced by a given node with its queue acting as a server for the message, appropriate next node for message forwarding is selected offering the least response time until the message reaches the destination. The effect of message scheduling to account for both the prioritized and non-prioritized message delivery has been studied.
User Acceptance of My Health Record System in General Practices
Authors: Khan Urooj Raza , Pearce Christopher , Zia Tanveer , Perera Kaushalya
Published: October 2019

The user acceptance of technology determines its success and failure. Digital health is having a major impact on the improvement of health care and its delivery. My Health Record (MyHR) is the digital health solution that Australia implemented nationally to facilitate accessibility of health summaries data anywhere and anytime. The objective of this study is to explore the adoption of MyHR in general practices – one of the vital key players – in the state of Victoria. This article presents the current status of adoption in these general practices, using the lens of a proposed conceptual framework. This framework is based on a novel integrated model of user acceptance that merges three well-known user acceptance theories with some contextualisation to MyHR. It enables a comprehensive review of current system adoption, as well as factors such as the organisation, technology, people and perceived task fitness.
Efficient Dynamic Memory Management for Multiprocessor Cyber-Physical Systems
Authors: Ahmadinia Ali
Published: October 2019

Dynamic data management for multiprocessor systems in the absence of an operating system (OS) is a challenging area of research. OSs are typically used to abstract developers from the process of managing dynamic data at runtime. However, due to the many different types of multiprocessor available, an OS is not always available, making the management of dynamic data a difficult task. In this article, we present a hardware and software co-design methodology for the management of dynamic data in multiprocessor system on chips (MPSoC) development environments without an OS. We compare and contrast the method of sharing dynamic data between cores with standard methods and also to static data management methods and find that the proposed methodology can improve the performance of dynamic memory operations by up to 72.94% with negligible power and resource consumption.
Interval-Valued Doubt Fuzzy Ideals in BCK-Algebras
Authors: Bej Tripti , Pal Madhumangal
Published: October 2019

Nearly forty years ago, interval-valued fuzzy sets were propounded by Zadeh as the normal ramification of fuzzy sets. This article focuses on the basics of a theory for such an interval-valued fuzzy set becoming interval-valued doubt fuzzy subalgebra and an interval-valued doubt fuzzy ideal of BCK-algebras. Also, the authors discuss fuzzy translation, fuzzy multiplication of an interval-valued doubt fuzzy subalgebra/ideal of a BCK-algebra. Besides this, the authors have attempted to substantiate a few common features relating them. At the same time, some properties of interval-valued doubt fuzzy ideals under homomorphism are investigated and the product of interval-valued doubt fuzzy ideals in BCK-algebras is also established.
Assessing the Sustainment of a Lean Implementation Using System Dynamics Modeling
Authors: Haddad Marc , Otayek Rami
Published: October 2019

The adoption of the lean approach has yet to extend to the majority of manufacturers in developing countries where traditional work practices are dominant and cultural resistance to change is high. This research consists of a case study about lean implementation at a clothing manufacturer in a developing country. Production wastes are identified and appropriate lean techniques, namely Total Productive Maintenance, Kanban and Supermarket Pull, are identified to eliminate or reduce them. The potential impacts on the manufacturing system are first assessed using a system dynamics model. The modeling results showed a “getting worse before getting better” behavior as work-in-process increased in the short-term, before a net reduction of 34% on average was achieved over the first 3 months. This result was replicated by a similar trend in the actual lean implementation on the factory floor, showing the usefulness of SD modeling for supporting the sustainability of lean interventions where short-term drawbacks can be deceptive when compared to the long-term benefits of lean.
Primary Generators
Authors: Mejia Luis Alfonso , Arango Hugo Dario
Published: October 2019

This article explores how digital media tools in geometric modeling environments (GME) and parametric design environments (PDE) affect the creative process. Primary generators, which are identified as creativity sparks which enhance the design process, have been previously studied through the action of sketching. According to Goldschmidt, sketching generates reflection over the generated ideas moving forward the creative process. Nevertheless, sketching has been gradually replaced by digital media tools considered restrictive to the creative process due to the lack of attributes required for reflection. With the evolution of digital media tools, modeling environments have opened the possibility for attributes such as multiplicity and ambiguity within the design process. Using protocol analysis as an empirical research method, this study assessed the occurrence of primary generators in GME and PDE. Differences in creative processes between the two studied digital environments were highlighted.
The contribution of small-scale rural irrigation schemes towards food security of smallholder farmers in Zimbabwe
Authors: Mhembwe Smart , Chiunya Newman , Dube Ernest
Published: October 2019

Smallholder farmers across Zimbabwe have been facing a problem of food insecurity because of climate-induced droughts and lack of effective use of irrigation schemes. Rainfall patterns in the country have become more unpredictable and inconsistent with the traditional farming seasons. Faced with such challenges, many smallholder farmers in Shurugwi district in the Midlands province of Zimbabwe adopted small-scale irrigation schemes to improve food security. The principal objectives of this study were to examine the status of the irrigation schemes in the district; analyse the need to rehabilitate small-scale irrigation schemes; assess the initiatives towards the revival of irrigation schemes; establish the benefits that can accrue to smallholder farmers from small-scale irrigation schemes and discuss challenges faced by smallholder farmers in the running of small-scale irrigation schemes in rural areas. This qualitative study employed literature and interviews to obtain data from 40 purposively selected participants. The direct observation method was used to compliment the interviews. The findings of the study were that small-scale rural irrigation schemes have the capacity to significantly transform the lives of rural farmers through earning increased reliable income from farming if institutional and capacity issues of the farmers are addressed. Furthermore, the study found that small-scale irrigation schemes can also be a panacea to food security challenges mainly faced by rural households. As such, the article concluded that irrigation schemes are fortress and antidote to the effects of climate change. The study calls for capacity promotion on technical skills for the farmers, the establishment of many new irrigation schemes and the rehabilitation of the existing small-scale irrigation schemes in the country as well as calling on the farmers to adopt climate-smart irrigation.
Progress toward Elimination of Trachoma as a Public Health Problem in Seven Localities in the Republic of Sudan: Results from Population-Based Surveys
Authors: Sanders Angelia M. , Abdalla Zeinab , Elshafie Belgesa E. , Elsanosi Mazin , Nute Andrew W. , Aziz Nabil , Callahan E. Kelly , Nash Scott D.
Published: October 2019

Trachoma is the leading cause of infectious blindness in the world. After baseline surveys demonstrated that Sudan was endemic for trachoma, the Sudan Federal Ministry of Health (FMOH) Trachoma Control Program conducted trachoma prevention and treatment interventions in endemic localities. The Sudan FMOH conducted population-based trachoma prevalence surveys between September 2016 and April 2017 in seven localities across five states of Sudan to document current trachoma prevalence estimates and measure water, sanitation, and hygiene (WASH) indicators. Children aged 1–9 years were examined for five clinical signs of trachoma, and participants of all ages were examined for trachomatous trichiasis (TT). A household questionnaire was administered to gather demographic and WASH-related information. The prevalence of trachomatous inflammation-follicular (TF) in children aged 1–9 years ranged from 0.4% (95% CI: 0.1–1.1%) to 6.4% (95% CI: 3.3–11.9%). Trachomatous trichiasis in those aged 15 years and older ranged from 0.1% (95% CI: 0.0–0.6%) to a high of 4.4% (95% CI: 2.1–9.1%). Of seven localities surveyed, four localities had achieved the elimination threshold of less than 5% TF in children aged 1–9 years. Six localities still required interventions to achieve less than 0.2% TT in those aged 15 years and older. The presence of latrine ranged from a low of 10.8% (95% CI: 5.2–21.1%) to 88.4% (CI: 81.5–93.0%) and clean face among children ranged between 69.5% (95% CI: 63.5–75.0%) and 87.5% (95% CI: 81.2–91.9%). These results demonstrate that Sudan is within reach of eliminating trachoma as a public health problem.
The Role of Universities and Educators in Developing and Implementing Sustainable Developmental Goals
Authors: Chinnasamy Jayakumar , Daniels Jeannie
Published: October 2019

Universities and Higher Education Institutions (HEIs) are seen as having a social mission to deliver common good to society, both locally and globally. These institutions develop different policies due to global changes in Higher Education (HE), such as internationalisation and Sustainable Development (SD). They have an important role in setting sustainable developmental goals (SDGs) and also delivering them through teaching, research and other services. Effective delivery of SD practices relies upon educators who are directly involved in making the links between students and community. However, educators are not everywhere involved in developing policies, which impacts on their ability to deliver. This research, set in Scottish HEIs, investigates educators’ perceptions of internationalisation in HE, how the concept is constructed and delivered in their universities, and what – if any – involvement these educators have in developing policy. This paper argues that educators, especially HE educators, have potential that is neglected in developing SDGs.
Storytelling as a tool for internal communication: a proposed management model
Authors:   Facultad de Comunicación. Av. Ramón Mugica 131, 20000 Piura (Perú). kelly.robledo@udep.edu.pe, Robledo Dioses Kelly , Atarama Rojas Tomás ,   Facultad de Comunicación. Av. Ramón Mugica 131, 20000 Piura (Perú). tomas.atarama@udep.edu.pe, López-Hermida Russo Alberto ,   Facultad de Comunicaciones. Av. Plaza 680, San Carlos de Apoquindo, 7550000 Las Condes, Santiago (Chile). alopezhermida@udd.cl
Published: October 2019

This article studies the use of storytelling within companies and institutions as an effective tool for the management of internal communication, with which to create loyalty and generate engagement with employees. It starts with a theoretical revision about value of stories and analyzes the potential that its application has to effectively communicate corporate values and at the same time strengthen the corporate culture. Then, it presents the EMC2 story, a multinational considered by the Great Place to Work Institute as one of the best to workplace in the world. The hypothesis holds that storytelling can promote the development of employees by making them protagonists of a story that impulse them to grow up professional and personally, and also proposes the capacity of stories to generate employee identification with their institution. As methodology, the present investigation proposes a storytelling development model which aims to give the employee a significant role in corporate story. The proposed structure is applied to EMC2 case, a company also considered by DiversityInc in the top 50 of companies characterized by diversity. As a contribution to the construction of business story, it has identified the different elements that integrate it and will make it an excellent tool to link the employee in an inspiring and own project.
Characterization and degradation state of the trails in Caparaó National Park
Authors: Almeida Marcello Pinto de , Lima Gumercindo Souza , Martins Sebastião Venâncio , Bontempo Gínia César
Published: October 2019

A large increase in visitation has recently been observed in Brazilian protected areas. The presence of visitors can cause changes in the environment, generating certain unwanted impacts. Therefore, the objective of this study is to assess the visitation at Caparaó National Park, map the main trails open to the public, and determine their degree of degradation. To define the most relevant trails for this study, the following criteria were used: visitation demand, impact intensity, and zoning. The elevation profile and other physical attributes of the selected trails were obtained by GPS. Erosion was established as the predominant impact, and the length of eroded stretches on each trail was evaluated. The trail to Pico da Bandeira through Casa Queimada has a greater declivity, and, although it sees fewer visitors than the trail to Pico da Bandeira through Tronqueira, it shows a higher erosion rate. This result indicates that, in certain cases, the declivity can contribute more significantly to the increase in erosion than the number of visitors.
PRODUCTION OF AMBARELLA SEEDLINGS TREATED WITH INDOLE BUTYRIC ACID AND IRRIGATED WITH REUSED WATER
Authors: Queiroz Jorge Luís Fabricio , Ferreira Neto Miguel , Sá Francisco Vanies da Silva , Porto Filho Francisco De Queiroz , Lima Yuri Bezerra de , Dias Pollyana Mona Soares
Published: October 2019

Species of the genus Spondias, such as ambarella, are propagated primarily by vegetative parts. However, for planting it is necessary to use plant regulators. In addition to propagation related aspects, the availability of good quality water for seedling production in semi-arid regions is a limiting factor. The objective of this work was to evaluate the rooting of semi-herbaceous cuttings of ambarella using different concentrations of IBA conveyed in solution and talc, irrigated with different concentrations of treated domestic effluent. The experiment was carried out in a nursery with 50% shade in a completely randomized design in a 4 x 4 factorial scheme consisting of four doses of treated domestic effluent (EDT) diluted in water supply [E1 = 0% of EDT (100% AA - control); E2 = 33.3% of EDT (66.7% of AA); E3 = 66.7% of EDT (33.3% of AA) and E4 = 100% of EDT (0% AA)] used in daily irrigation and four IBA dilution managements (M1 = control without IBA, M2 = IBA carried in water at 6,000 mg L-1, M3 = IBA delivered in alcohol (70%) at 4,000 mg L-1 and M4 = IBA in Talc at 5000 mg L-1), with four replicates. The treated domestic effluent is viable for irrigation of ambarella seedlings in its diluted or concentrated. The use of 5,000 mg L-1 of IBA delivered to talc is management satisfactory for the propagation of seedlings of ambarella by means of semi-herbaceous cuttings.
GROWTH AND PHYSIOLOGY OF Balfourodendron riedelianum SEEDLINGS IN THE NURSERY AND IN THE FIELD
Authors: Turchetto Felipe , Mezzomo Jessé Caletti , Araujo Maristela Machado , Griebeler Adriana Maria , Berghetti Álvaro Luís Pasquetti , Barbosa Felipe Manzoni
Published: October 2019

The present study aimed to determine the effect of different container volumes and doses of controlled release fertilizer (CRF) on the morphophysiological aspects of Balfourodendron riedelianum seedlings in the nursery and verify if these responses were replicated in the field. For the production of seedlings in nursery, three container volumes (180 and 280 cm³ polypropylene tubes and 500 cm³ plastic bags) and four doses of CRF (0, 4, 8, and 12 g L-1 of substrate) were tested, and the seedlings were grown for 240 days. At the end of the nursery period, the following parameters were measured: height (H); stem diameter (SD); dry mass of shoot, root, and total; root length; leaf area; and chlorophyll fluorescence. The H/SD ratio and the Dickson Quality Index were calculated. The same treatments were evaluated in the field at 540 days after planting. Survival, height, and diameter increase, aerial dry mass, leaf area, chlorophyll a fluorescence and chlorophyll index (a, b and total) were measured. Basic fertilization using CRF had a positive influence on the production of B. riedelianum seedlings. It is recommended to use a 180 cm³ tube and a dose of 12 g L-1 CRF for the production of seedlings. The results obtained in the nursery for the production of seedlings were confirmed to occur in the field.
OPEN INNOVATION IN ENTERPRISE DEVELOPMENT STRATEGIES – EMPIRICAL RESEARCH RESULTS
Authors: Kościelniak Helena
Published: October 2019

Open innovation is one of the key strategic resources of enterprises and their environment; it constitutes the sixth generation of innovation process models. This paper, in which the dimensions of open innovation of enterprises of the IT industry have been the focus of attention, is inscribed in this stream of research. The objective of the paper is to present and assess the results of the empirical research relating to the scope and significance of open innovation in enterprise development. In the paper, it has been attempted to present the dimensions of cooperation between enterprises of the IT sector which, through their services, provide opportunities for development of their customers but also search for development potential themselves to compete in capturing value in the market. The empirical research conducted with the case study method in a group of SMEs was oriented to solutions to the problems of exploration and clarifying the scope of open innovation. The value of the paper consists in the presentation and assessment of the dimensions of open innovation processes of enterprises to achieve their more mature forms and build innovative business models.
Ferramentas Computacionais como Soluções Viáveis para Alfabetização e Comunicação Alternativa de Crianças Autistas: Um Mapeamento Sistemático sobre as Tecnologias Assistivas Existentes
Authors: Francisco da Silva Junior Elmo , Rios da Hora Rodrigues Kamila
Published: October 2019

Alunos com Transtorno do Espectro Autista (TEA), devido aos déficits de neurodesenvolvimento característicos da síndrome, podem apresentar dificuldades no aprendizado, na comunicação e interação social. Com os avanços das TICs essas barreiras podem ser amenizadas, especialmente com o emprego de ferramentas computacionais desenvolvidas com o objetivo de permitir que o aluno consiga maior independência e possa apresentar melhores resultados no âmbito escolar. Este trabalho descreve um Mapeamento Sistemático realizado na literatura para entender quais tecnologias assistivas têm sido utilizadas e quais os avanços obtidos com a mediação dos recursos tecnológicos no ensino de alunos com TEA. Os resultados apontam que sistemas computacionais têm sido usados de forma satisfatória no ensino de crianças autistas, mas poucas são as tecnologias assistivas desenvolvidas com o amparo em diretrizes de acessibilidade, usabilidade e respaldadas por métodos de intervenção efetivos e que atuem como mediadores nos processos de ensino- aprendizagem e comunicação alternativa de crianças autistas em ambiente escolar.
(RE)ARRANJOS DE UMA “UTOPIA DO SOM NACIONAL”: a bossa nova como realização do projeto musical modernista de Mário de Andrade
Authors: Bastos Manoel Dourado
Published: October 2019

O presente trabalho procura argumentar sobre a relação histórica entre o projeto de Mário de Andrade para a música brasileira (sua “utopia do som nacional”, segundo Arnaldo Contier) e sua uma realização possível com a bossa nova. Apresenta-se em linhas gerais o referido projeto andradiano, seu caráter engajado, suas incursões na problemática do “popular” e do “erudito” e sua filiação à obsessão nacional pela formação. Expõe-se pontualmente a possível compreensão da bossa nova como um projeto modernista, sugerindo uma lógica de continuidade na experiência musical brasileira.
O PASSADO ENCRAVADO NO PRESENTE: turismo histórico e passado-espetáculo nas Missões Jesuíticas do Rio Grande do Sul
Authors: Oliveira Paulo Rogério Melo de
Published: October 2019

O artigo aborda o turismo histórico e os usos do passado na região das missões do Rio Grande do Sul como forças propulsoras para o desenvolvimento regional. O passado missioneiro e as ruínas das reduções são utilizados pelos agentes do turismo para atrair visitantes do Brasil e do exterior. Diversos sites e folhetos turísticos divulgam a região e prometem aos turistas a oportunidade de um deslocamento no tempo e de um contato com a história, que se encontra preservada nos monumentos e nos costumes dos habitantes. Explorando as diferentes modalidades de turismo - ecoturismo, turismo rural e turismo religioso - os agentes e instituições envolvidas com a promoção da região reinventam o passado de acordo com demandas do presente.
Entrevista com Yara Guasque
Authors: Apotheke Revista
Published: October 2019

Entrevista com Yara Guasque
Reflexões sobre a pintura
Authors: Swatowski Adão Roberto G.
Published: October 2019

Notas sobre Experiência: Reflexões sobre a pintura
Cultivo inicial de mangabeira consorciada com adubos verdes no cerrado do sudeste de Goiás
Authors: Guimarães Roberli Ribeiro , Vieira Muza do Carmo , Rocha Ednaldo Cândido , Peixoto Nei , Schetin Briza i Volusia , Pires Larissa Leandro
Published: October 2019

A Mangabeira (Hancornia speciosa Gomes) ocorre principalmente nos Biomas Cerrado e Caatinga. O fruto da mangabeira é o principal produto explorado pela frutífera principalmente por indústrias de polpas, sucos e sorvetes. O uso de leguminosas para contribuir no fornecimento de nitrogênio para as culturas, ajudando no estabelecimento das mudas no campo. O objetivo deste estudo foi avaliar o desenvolvimento inicial da cultura da Mangabeira, consorciado com adubos verdes. A pesquisa foi conduzida no campo experimental da Universidade Estadual de Goiás, Câmpus Ipameri, situada a 17º 46' 30,3'’ latitude Sul, 48º 19' 15,6'’ de longitude Oeste e altitude de aproximadamente 800 metros. Mudas de H. speciosa com 11 meses de idade, foram plantadas no campo com espaçamento de 8 x 5.  Entre as linhas foram semeadas as crotalaria juncea, mucuna preta, feijão-guandu (Cajanus cajan) e feijão de porco (Canavalia ensiformis), em espaçamento 0,40 x 0,80. As variáveis analisadas foram: altura da planta em centímetros (cm); diâmetro do caule (mm); diâmetro de copa (cm). Os dados foram submetidos à análise de variância e, nos casos em que o teste F foi significativo, realizou-se o teste de Scott-Knott para comparação múltipla das médias dos tratamentos principais. O incremento de altura final da mangabeira foi favorecido pelo feijão guandu.    O consórcio com feijão de porco proporcionou maior incremento final de diâmetro do caule. O plantio de mudas de mangabeira (Hancornia speciosa) em consórcio com adubação verde se apresenta como promissor.
Pleasure and Instruction: Generic Conventions in Emma Hart Willard’s  Journal and Letters, from France and Great Britain
Authors: Rutkowska Małgorzata
Published: October 2019

The purpose of the present paper is to analyse epistolary and descriptive conventions in Journal and Letters, from France and Great Britain (1833) by Emma Willard. The article argues that Willard attempts to combine the standards of 18th-century travelogue with its emphasis on instruction with a new type of autobiographical travel narrative which puts the persona of a traveller in the foreground. In this respect, Willard’s Journal and Travels, for all its didacticism, testifies to an increasing value attached to subjective experience, which was to become one of the distinguishing features of nineteenth-century travel writing.
Plastome of mycoheterotrophicBurmannia itoanaMak. (Burmanniaceae) exhibits extensive degradation and distinct rearrangements
Authors: Li Xiaojuan , Qian Xin , Yao Gang , Zhao Zhongtao , Zhang Dianxiang
Published: October 2019

Plastomes of heterotrophs went through varying degrees of degradation along with the transition from autotrophic to heterotrophic lifestyle. Here, we identified the plastome of mycoheterotrophic speciesBurmannia itoanaand compared it with those of its reported relatives including three autotrophs and one heterotroph (Thismia tentaculata) in Dioscoreales.B.itoanayields a rampantly degraded plastome reduced in size and gene numbers at the advanced stages of degradation. Its length is 44,463 bp with a quadripartite structure.B. itoanaplastome contains 33 tentatively functional genes and six tentative pseudogenes, including several unusually retained genes. These unusual retention suggest that the inverted repeats (IRs) regions and possibility of being compensated may prolong retention of genes in plastome at the advanced stage of degradation. Otherwise, six rearrangements including four inversions (Inv1/Inv2/Inv3/Inv4) and two translocations (Trans1/Trans2) were detected inB. itoanaplastome vs. its autotrophic relativeB. disticha. We speculate that Inv1 may be mediated by recombination of distinct tRNA genes, while Inv2 is likely consequence of extreme gene losses due to the shift to heterotrophic lifestyle. The other four rearrangements involved in IRs and small single copy region may attribute to multiple waves of IRs and overlapping inversions. Our study fills the gap of knowledge about plastomes of heterotroph inBurmanniaand provides a new evidence for the convergent degradation patterns of plastomes en route to heterotrophic lifestyle.
New tracheal stainless steel stent pilot study: twelve month follow-up in a rabbit model
Authors: Lopez-Minguez Sandra , Serrano-Casorran Carolina , Guirola Jose A. , Rodriguez-Zapater Sergio , Bonastre Cristina , De Gregorio Miguel Angel
Published: October 2019

Background

Canine tracheal collapse is a complex airway pathology without promising treatment results. Currently nitinol stents are the best surgical option; however, some professionals are doubting if stent placement is the best option due to the associated complications.

Objective

Determine the technical feasibility, safety, and long-term follow-up after the implantation of a new tracheal stent designed for canine tracheal collapse.

Methods

Thirteen healthy, adult female New Zealander rabbits were involved in this pilot study.A new intra-tracheal device (Reference number 902711 patent registered as CasMin-Twine) was implanted in ten animals. Deployment was performed under general anesthesia, making a puncture incision via a 21 Gauge needle in the intra-tracheal space where the stent was introduced with a screwing process. The device was fixed to the tracheal wall with a non-absorbable suture. Computerized Tomography (CT) and an endoscopy to study structural abnormalities were performed after 30, 90 and 365 days after stent placement.

Results

Technical and clinical success was 100%. There was no significant change in behavior or respiratory disorders. CT studies showed no significant alterations. After the 30 days, 60% of the animals showed partial endothelization in the endoscopy study, and only one animal still presented partial endothelization after 12 months. Mucus accumulation was only present in 40% of cases and classified as low, without respiratory consequences. Only one animal presented a single granuloma at caudal stent tip.

Conclusions

This new tracheal stent (CasMin-Twine) is an effective and safe procedure with promising results, and also shows the possibility of removing the device after endothelization has been produced. New studies should be carried out to evaluate the effectiveness in patients with tracheomalacia.

Clinical Significance/Impact

This new product can give veterinarians a new option of treatment for this complicated pathology. Minimizing specific equipment for its deployment, CasMin-Twine will be more accessible for all professionals.
Clinical and Immunological Assessment of Renal Transplant Recipients / Avaliação Clínica e Imunológica dos Receptores de Transplante Renal
Authors: Mattos Lise Maria Pinheiro de , Nunes Amanda Câmara , Queiroz Renata Moura de , Bonfim Isabela Melo , Studart Rita Mônica Borges , Castro Karla Soares de
Published: October 2019

Objetivo: avaliar as características clínicas e imunológica dos receptores de transplante renal. Métodos: estudo documental e retrospectivo, realizado em um Ambulatório do Hospital Geral de Fortaleza, Fortaleza, Ceará, Brasil, com pacientes internados no período de junho de 2012 a junho de 2014. A amostra foi composta por 300 pacientes submetidos ao transplante renal. As variáveis preditoras de interesse, foram subdivididas em: características pré-transplante, características pós-transplante e características imunológicas. Utilizou-se testes de Pearson e Spearman para avaliar correlação entre variáveis. Resultados: Houve predomínio de pacientes do sexo masculino (65%), com faixa etária entre 44 e 56 anos (31,4%). Demonstrou-se relação estatisticamente significante entre o DSA e a disfunção do enxerto (p<0,04), Rejeição celular o Painel Reativo classe I (p< 0,05), o tempo de internação e a disfunção do enxerto (p<0,001) e entre o entre o HLA e o MISMATCH. Conclusão: Aponta-se a necessidade de um acompanhamento crítico e individualizado do paciente transplantado por parte dos profissionais para garantir o sucesso do transplante a longo prazo.
Non–Pharmacological Management of Delirium From The Perspective of Nurses in an Adult Intensive Care Unit / O Manejo Não Farmacológico do Delirium Sob a Ótica de Enfermeiros de uma Unidade de Terapia Intensiva Adulto
Authors: Eberle Carolina Chitolina , Dos Santos Adriana Alves , De Macedo Júnior Luís Joeci Jaques , Martins Juliana Bessa
Published: October 2019

Objetivo: Identificar as medidas não farmacológicas no manejo do delirium descritas por enfermeiros de uma UTI adulto. Método: Estudo descritivo exploratório de caráter qualitativo, realizado com enfermeiros de uma UTI de um hospital público do Brasil. Os dados foram coletados por meio de entrevista semiestruturada e analisados pela Análise de Conteúdo do Tipo Temática. Resultados e discussão: Os enfermeiros têm o conhecimento sobre delirium e trazem diversas medidas não farmacológicas utilizadas na prevenção e manejo. Ressaltam a importância do conhecimento sobre o tema, para se identificar e prevenir os sintomas, e também a presença de familiares. As dificuldades citadas para implementação destas medidas são as barreiras de estrutura física, de recursos materiais e a falta de informação sobre o tema. Conclusão: Destaca-se a importância de se realizar atividades de educação permanente sobre o tema e recomenda-se a adoção da aplicação de escalas diárias para monitorar o delirium.
The Health Profile of Basic Care Network Users According to the e-Sus Individual Registry / Perfil de Saúde dos Usuários da Rede de Atenção Básica Baseado no Cadastro Individual e-Sus
Authors: Dietrich Angélica , Colet Christiane de Fatima , Winkelmann Eliane Roseli
Published: October 2019

Objetivo: Verificar o perfil de saúde, baseado no cadastro individual e-SUS, de usuários dos serviços de atenção básica da cidade de Ijuí/RS. Métodos: Estudo transversal, com amostra de 400 usuários cadastrados em 15 Estratégias de Saúde da Família, na faixa etária de 20 a 59 anos, baseado no cadastro individual e-SUS.  Resultados: Verificou-se predomínio de assalariado com carteira de trabalho, baixa escolaridade. Os usuários com escolaridade baixa tiveram cinco vezes mais chance de desenvolver diabetes mellitus (DM) (p=0,01), com escolaridade alta internaram com maior frequência (p=0,03). Observou associação entre participar de grupo comunitário e o sexo feminino (p=0,013) e apresentar alta escolaridade e possuir plano de saúde privado (p=0,001). Conclusão: O perfil dos usuários mostra relação direta da baixa escolaridade com doenças crônicas não transmissíveis e inversa as internações.Descritores: Características da População, Estratégia Saúde da Família, Atenção Primária à Saúde, Sistema Único de Saúde.
The Elderly Women’s Perception of Cervical Cancer Prevention Examination / A Percepção das Mulheres Idosas Sobre o Exame de Prevenção de Câncer do Colo de Útero
Authors: Leite Bianca Oliveira , Nunes Cleide Roseli Oliveira , Oliveira Valdira Vieira de , Barbosa Romana Aparecida Alves , Souza Meriele Santos , Teles Mariza Alves Barbosa
Published: October 2019

Objetivo: Descrever a percepção das mulheres idosas sobre o exame preventivo do câncer de colo de útero-PCCU. Método: Trata se de um estudo descritivo, de abordagem qualitativa com doze idosas residentes em uma área de abrangência da Estratégia Saúde da Família (ESF). Os dados foram coletados no ano de 2015, por entrevista semiestruturada, transcritas na íntegra e analisadas pela técnica de Análise de Conteúdo Temática. Resultados: Exame de prevenção do câncer de colo de útero: importância atribuída à saúde da mulher idosa; Sentimentos e vivências da mulher idosa sobre o exame de Prevenção de câncer de colo de útero- PCCU e Novos padrões da sexualidade da mulher Idosa: uma questão a ser considerada pelas Políticas Públicas de saúde da mulher nas ESF.  Conclusão: Torna-se de grande relevância repensar as políticas públicas para a saúde da mulher, no tocante à prevenção do câncer de colo de útero na população idosa.