bluuebunny/crossref_metadata_2025 huggingface dataset:
Hemorrhagic complications after percutaneous nephrolithotomy: angiographic diagnosis and management by transcatheter arterial embolization
Authors: Fornazari Vinicius Adami Vayego , Santos Rômulo Florêncio Tristão , Nunes Thiago Franchi , Perrella Rodrigo , Freire Tiago Magalhães , Vicentini Fabio Carvalho , Claro Joaquim Francisco de Almeida , Szejnfeld Denis
Published: November 2020

Abstract Objective: To identify the main hemorrhagic complications after percutaneous nephrolithotomy, as well as the results obtained with transcatheter arterial embolization (TAE) at an interventional radiology center. Materials and Methods: This was a retrospective analysis of patients undergoing TAE for the treatment of hemorrhagic complications after percutaneous nephrolithotomy. All patients underwent computed tomography angiography (CTA). Results: We evaluated a total of nine patients. At emergency department readmission, the most common symptom was macroscopic hematuria, which was seen in five patients. Three patients had an isolated pseudoaneurysm, two had a pseudoaneurysm together with active bleeding (perirenal hematoma), and one had a pseudoaneurysm together with arteriocalyceal fistula. Arteriovenous fistula was diagnosed in three patients and was not seen in combination with other vascular lesions. We did not identify arteriocalyceal fistula in isolation. Five patients underwent TAE with 6 × 15 mm and 6 × 20 mm microcoils. Four patients underwent TAE with n-butyl-2-cyanoacrylate and ethiodized oil. Follow-up CTAs revealed no complications. Conclusion: Because of its high diagnostic accuracy, CTA provides the interventional radiologist with valuable data for individualized therapeutic planning. The TAE procedure is safe and effective. It can therefore be used as a first-line treatment for hemorrhagic complications resulting from percutaneous renal procedures.
SURGICAL MANAGEMENT OF LARGE HEPATOCELLULAR CARCINOMA: THE FIRST SINGLE-CENTER STUDY FROM WESTERN INDIA
Authors: WAGLE Prasad , NARKHEDE Rajvilas , DESAI Gunjan , PANDE Prasad , KULKARNI D R , VARTY Paresh
Published: November 2020

ABSTRACT Background: Majority of patients with large size HCC (>10 cm) are not offered surgery as per Barcelona Clinic Liver Cancer (BCLC) criteria and hence, their outcomes are not well studied, especially from India, owing to a lower incidence. Aim: To analyze outcomes of surgery for large HCCs. Methods: This retrospective observational study included all patients who underwent surgery for large HCC from January 2007 to December 2017. The entire perioperative and follow up data was collected and analyzed. Results: Nineteen patients were included. Ten were non-cirrhotic; 16 were BCLC grade A; one BCLC grade B; and two were BCLC C. Two cirrhotic and three non-cirrhotic underwent preoperative sequential trans-arterial chemoembolization and portal vein embolization. Right hepatectomy was the most commonly done procedure. The postoperative 30-day mortality rate was 5% (1/19). Wound infection and postoperative ascites was seen in seven patients each. Postoperative liver failure was seen in five. Two cirrhotic and two non-cirrhotic patients had postoperative bile leak. The hospital stay was 11.9±5.4 days (median 12 days). Vascular invasion was present in four cirrhotic and five non-cirrhotic patients. The median follow-up was 32 months. Five patients died in the follow-up period. Seven had recurrence and median recurrence free survival was 18 months. The cumulative recurrence free survival was 88% and 54%, whereas the cumulative overall survival was 94% and 73% at one and three years respectively. Both were better in non-cirrhotic; however, the difference was not statistically significant. The recurrence free survival was better in patients without vascular invasion and the difference was statistically significant (p=0.011). Conclusion: Large HCC is not a contraindication for surgery. Vascular invasion if present, adversely affects survival. Proper case selection can provide the most favorable survival with minimal morbidity.
PERINEAL REPAIR AFTER ABDOMINOPERINEAL EXCISION WITH RECTUS ABDOMINIS MYOCUTANEOUS FLAP
Authors: D’ANNUNZIO Elsa , VALVERDE Alain , LUPINACCI Renato Micelli
Published: November 2020

ABSTRACT Background: Abdominoperineal excision of the rectum (APR) remains the only potential curative treatment for very low rectal adenocarcinoma and squamous cell carcinoma of the anus. Yet, it implies a significant perineal exenteration and has set the attention on the perineal reconstruction. Aim: To present technique used in one case of APR for anal cancer, with resection of the vaginal posterior wall with large perineal defect which has called for the necessity of a flap for reconstruction Method: To cover the large perineal defect and reconstruct the posterior vaginal wall was perform a standardized and reproducible surgical technique using oblique rectus abdominis myocutaneous (ORAM) flap. The overlying skin of this flap is thick and well vascularized by both superficial branches and perforators of the superior epigastric artery and the deep inferior epigastric artery which serves as the vascular pedicle for the ORAM flap. Results: This procedure was applied in a 65-year-old woman with recurrent squamous cell carcinoma of the anus infiltrating the posterior wall of the vagina. Was performed an APR with en-bloc resection of the vaginal posterior wall in order to achieve tumor-free margins. Postoperative course was uneventful and she was discharged home at postoperative day 9. Final pathological report confirmed the oncological adequacy of the procedure (R0) and showed a rypT4N0 lesion. Conclusion: Flap reconstruction is an effective way to cover the perineal wound reducing both perineal complication rate and wound healing delay. The ORAM is particularly interesting for female whose tumors require resection and subsequent reconstruction of the posterior wall of the vagina.
CAN STATURE, ABDOMINAL PERIMETER AND BMI INDEX PREDICT POSSIBLE CARDIOMETABOLIC RISKS IN FUTURE OBESITY?
Authors: LUCAS Ricardo Wallace das Chagas , NASSIF Paulo Afonso Nunes , TABUSHI Fernando Issamu , NASSIF Denise Serpa Bopp , ARIEDE Bruno Luiz , BRITES-NETO Jose , MALAFAIA Osvaldo
Published: November 2020

ABSTRACT Background: Obesity changes the anatomy of the patient. In addition to the aesthetic change, the high percentage of fat determines evident functional changes. Anthropometric normality in measuring abdominal circumference and height can serve as a basis for measuring cardiometabolic risks of obesity. Aim: To verify if it is possible to determine parameters of normality between waist and height in people with normal BMI and fat percentages, to serve as a basis for assessing risks for obesity comorbidities. Methods: A sample of 454 individuals with BMI and percentages of fat considered within the normal range was extracted. It was divided into age groups for both men and women between 18 and 25; 26 to 35; 36 to 45; 46 to 55; 56 to 65. A total of 249 men and 205 women were included. Results: Regarding the percentage of height as a measure of the abdominal perimeter, the total female sample had an average of 44.2±1.1% and the male 45.3%+1.5. For women, this percentage determined the equation of the waist-height ratio represented by X=(age+217) / 5.875, and for men X=(age+190.89) / 5.2222. “X” represents the percentage of the height measurement so that the individual falls into the category of adequate percentage of fat and BMI. Conclusion: Between the stature of adult men and women with normal fat percentage and BMI, there is a common numerical relationship, with is on average 44% for women and 45% for men.
What is the food and nutrition security situation of Santa Catarina municipalities? Results of a multidimensional assessment
Authors: GUEDES Amanda de Araújo Figueredo , MACHADO Mick Lennon , MARTINS Milena Corrêa , SILVA Barbara Leone , MACHADO Patrícia Maria de Oliveira , GABRIEL Cristine Garcia
Published: November 2020

ABSTRACT Objective To describe the food and nutrition security situation of all municipalities of a Brazilian state. Methods The investigation was conducted using an assessment matrix developed through consensus workshops. The matrix is composed of 7 dimensions, 11 subdimensions, 27 indicators, and 59 items. Data were collected at the municipal level from different public databases using the state of Santa Catarina as the case study basis. Municipalities were classified according to their food and nutrition security situation as poor, fair, good, or excellent. Results Of the 295 Santa Catarina municipalities, 65.4% were rated as poor or fair in terms of food and nutrition security. The best-rated dimension was Continuing education, research, and training in food and nutrition security, followed by Agroecological production and sustainable food supply and Universal access to water and sanitation. The dimensions with the worst results were Food and nutrition at all levels of healthcare, Universal access to adequate food, and Assessment and monitoring. The dimension Traditional peoples and communities could not be evaluated because data were not available at the municipal level. Conclusion This study evidenced the need for a careful examination of the reality of Santa Catarina municipalities, as it made it possible to qualitatively characterize public policies within the context of food and nutrition security. The findings may contribute to the debate on evaluation and assist managers in strengthening food and nutrition security policies in Brazilian municipalities.
O Tempo vivido em Mrs. Dalloway à Luz da Fenomenologia de Merleau-Ponty
Authors: Souza Camila Pereira de , Moreira Virginia
Published: November 2020

Resumo O romance Mrs. Dalloway, escrito pela inglesa Virginia Woolf (1882-1941), é um marco na literatura universal por apresentar um novo formato na arte da escrita intitulado fluxo de consciência. Esta forma estilística visa descrever as falas e os pensamentos dos personagens por meio do discurso indireto livre, integrado à preleção do narrador. O enredo se passa em um único dia da vida da protagonista Clarissa Dalloway, no qual são captados os ínfimos detalhes do que ela experiencia. Dentre os fenômenos vivenciados encontramos a noção de tempo, por meio da qual o narrador mistura homogeneamente o fluxo passado, presente e futuro. O objetivo deste artigo é discutir a vivência do tempo na referida obra literária pautada numa discussão fenomenológica. Para isto, utilizamos como método a revisão narrativa da literatura de autores que contribuíram para o desenvolvimento da noção de tempo vivido na fenomenologia. É no fluxo do tempo que se dão os significados das experiências na história dos personagens no seu contato ambíguo com o mundo. Concluímos que as descrições elaboradas por Virginia Woolf possibilitam uma aproximação à vivência do tempo, que atravessa a totalidade da dimensão do ser.
Impacto das Consequências Psicossociais do Estigma do Peso no Tratamento da Obesidade: uma Revisão Integrativa da Literatura
Authors: Tarozo Maraisa , Pessa Rosane Pilot
Published: November 2020

Resumo Trata-se de uma revisão integrativa da literatura, cujo objetivo foi investigar as consequências psicossociais do estigma do peso em adultos e sua influência no tratamento da obesidade. A busca envolveu as bases de dados PubMed, Web of Science e PsycINFO e incluiu artigos em inglês e português publicados nos últimos cinco anos. Foram selecionados quinze artigos, analisados a partir da definição de dois subtemas: “A relação entre estigma, psicopatologias e transtornos do comportamento alimentar” e “A estigmatização entre os profissionais de saúde”. Os resultados apontam para o grande impacto do estigma do peso na saúde psicossocial da pessoa com obesidade e para as atitudes estigmatizantes dos profissionais de saúde no cuidado terapêutico. Observa-se um enfoque patológico do enfrentamento da obesidade com estratégias de cunho comportamental que minimizam a compreensão da problemática. Atualmente, o tratamento da obesidade promovido pelo modelo biomédico não abrange as demandas de caráter psicossocial, o que torna necessário a educação permanente para capacitação dos profissionais de saúde e a implementação de protocolos de intervenção específicos a este grupo populacional. A contribuição de profissionais de diversas áreas, e em especial, daqueles de saúde mental, é essencial em atenção às diferentes particularidades do tratamento, devendo ser baseada em uma perspectiva integral e humanizada, e inserida nos diferentes contextos psicossociais. Devido à perversidade do estigma do peso e suas graves consequências, futuros estudos são necessários para investigação desse problema e das atitudes dos profissionais da saúde, familiares, mídia e da população em geral em relação à pessoa com obesidade.
O Pioneirismo Subversivo da Psicanálise nos Debates de Gênero e Sexualidade
Authors: Lima Vinícius Moreira , Vorcaro Ângela Maria Resende
Published: November 2020

Resumo Nos debates contemporâneos da psicologia, muitas vezes a psicanálise é apressadamente descartada como um campo historicamente datado que se limitaria a promover uma reiteração de normas sociais pela reprodução de arranjos normativos de gênero e de orientação sexual. No entanto, neste trabalho, tentamos indicar alguns dos pontos de pioneirismo e de subversão da teoria psicanalítica em relação ao discurso médico-moral vigente à época de sua invenção e também em relação aos saberes contemporâneos sobre gênero e sexualidade. Isso não é feito sem o reconhecimento de alguns dos erros nos quais a psicanálise incorreu ao carregar consigo, em momentos variados, uma série de normatividades que lhe deveriam ser estranhas, mas que foram herdadas de modo acrítico de outros discursos que a antecederam. Assim, trata-se de investigar como a psicanálise permite pensar a sexualidade mais além da matriz sexo-gênero-orientação sexual, a fim de apontar formas de pioneirismo e subversão nas formulações de Freud e Lacan que podem contribuir para os debates de gênero e sexualidade, a partir do objeto a e da teoria da sexuação.
Patient safety culture according to nursing professionals of an accredited hospital
Authors: Melo Eliana , Balsanelli Alexandre Pazetto , Neves Vanessa Ribeiro , Bohomol Elena
Published: November 2020

ABSTRACT Objective: To evaluate the perception of the nursing team regarding the patient safety culture of an accredited hospital and to identify the differences between shifts, professional category and units. Method: Cross-sectional study, conducted in a private hospital in the city of São Paulo, SP, Brazil, with application of the Survey on Patient Safety Culture Hospital to 497 nursing professionals. Descriptive analysis, instrument consistency and generalized linear mixed model were performed. Results: The organizational learning and continuous improvement dimension was considered a strong area (77%) and the personal adequacy (47%), shift / shift change and transfer (47%) and non-punitive response to errors (25%) dimensions were considered. fragile. Differences in perception were found between the professional categories in two dimensions; between shifts in six and between units in seven dimensions. Conclusion: The nursing team identified weaknesses in the patient safety culture in the hospital, with the need to standardize the improvement processes.
Review of nursing diagnosis validation studies: caregiver role strain
Authors: Lourenço Tânia Marlene Gonçalves , Abreu-Figueiredo Rita Maria Sousa , Sá Luís Octávio de
Published: November 2020

ABSTRACT Objective: To analyze the nursing diagnosis NANDA-I - Caregiver Role Strain validation studies. Methods: Integrative literature review. Research of studies carried out between 2000 and 2018 with the descriptors: caregivers, nursing diagnosis and validation study in the following databases: Web of Science, EBESCOhost, Scielo Brasil and Portugal, LILACS, RCAAP, CAPES, NANDA-I website, and in the bibliographic references of the articles. Articles in Portuguese, English or Spanish were included. Results: The sample consisted of seven validation studies, with heterogeneity in the methodologies used. The populations where the diagnosis was clinically validated focused on caregivers for the elderly and people with chronic illness. The most prevalent defining characteristics were Stress and Apprehension related to the future. Conclusions: This diagnosis requires further validation studies among different populations in search of greater accuracy and a reduction in the number of defining characteristics, facilitating the use of taxonomy.
Challenges for humanization in the work of Nursing educators
Authors: Castro Magda Ribeiro de , Sousa Kayo Henrique Jardel Feitosa , Nascimento Flaviana Pereira Bastos , Tracera Gisele Massante Peixoto , Santos Katerine Moraes dos , Zeitoune Regina Célia Gollner
Published: November 2020

ABSTRACT Objective: To discuss the challenges for humanization at work, from the perception of Nursing educators. Method: A descriptive, exploratory, and qualitative research study conducted at a public university in Espírito Santo, with 19 Nursing educators who answered the semi-structured interview. Thematic analysis was used for data treatment, constituting two categories: interpersonal relationships and work organization. Results: The challenges for humanization at work were based on relational issues and work overload. Regarding interpersonal relationships, lack of respect and dialog and relationship problems were highlighted. Regarding the organization of work, it encompassed issues related to the content of tasks, workload, excess of activities, and work pressures. Conclusion: Relational elements and work organization are challenges for humanization, affecting the health of the educators and interfering in the organization of healthy and welcoming workspaces, contrary the National Humanization Policy.
Adverse drug reactions related to potential serious drug interactions in patients with cardiovascular diseases
Authors: Palma Sobrinho Natália da , Campos Juliana Faria , Silva Rafael Celestino da
Published: November 2020

ABSTRACT Objective: To assess the occurrence of adverse drug reactions associated with potential serious drug interactions identified in prescriptions of hospitalized patients with cardiovascular disease. Method: A documentary, quantitative, and cross-sectional research study. Between August and September 2016, ninety-nine prescriptions of patients hospitalized for more than 48 hours in the cardiology ward of a hospital in Rio de Janeiro were analyzed. Drug interactions were evaluated by Micromedex®, and adverse events were identified through trackers and analyzed by specialists using the Naranjo Algorithm, by means of descriptive statistics. Results: Eighteen potential serious interactions were detected in 22 drug pairs, mainly simvastatin x anlodipine (18%) and enoxaparin x clopidogrel (18%). Of the 18 medical records investigated, four trackers were found and three probable adverse events (16.6%) were defined due to hemorrhagic changes in patients. Conclusion: Drug interactions are likely to cause harm to the patient, which requires implementing barriers for the safety of the medication system.
Bryophytes of the Parque Estadual da Serra do Brigadeiro, an Atlantic Forest Remnant in Southeastern Brazil
Authors: Cifuentes-García Libia Mayerly , Schwartsburd Pedro Bond , Peralta Denilson Fernandes
Published: November 2020

ABSTRACT The objective was to present the floristic survey of the bryophytes of the Parque Estadual da Serra do Brigadeiro. It included an evaluation of the species richness, as well as information about the substrate preference of each species and its geographic distributions in Brazil. We found 208 taxa of bryophytes: one hornwort, 88 liverworts and 119 mosses. This richness represents ca. 26% of the bryoflora of Minas Gerais State and ca. 13% of that known for Brazil. Eighteen of the bryophytes species are endemic to Brazil, whereas 19 species are recorded for the first time in Minas Gerais. The bryoflora showed preference for tree bark (30%) and rock (23%) as substrates. Our data show that the Parque Estadual da Serra do Brigadeiro is an important area for the diversity conservation of Brazilian bryophytes and maintenance of endemic species of the country.
Threatened Flora of Ilha Grande, Rio de Janeiro State, Brazil
Authors: Vianna Filho Marcelo D. M. , Manão Carla Y G. , Bastos Marcos , Callado Catia H.
Published: November 2020

ABSTRACT This study documents the occurrence of threatened plant species on Ilha Grande, Rio de Janeiro State, Brazil. This survey acquired data from herbaria, living collections and field sampling. A total of 49 threatened species distributed among 27 families and 38 genera were recorded in the scientific collections, of which 43 are cited on official lists of threatened plant species for the State of Rio de Janeiro and Brazil. Twelve species recorded on the island are on an international list of endangered species, 30 on the national list for Brazil, and 11 on the State List of Rio de Janeiro. The IUCN Red List categories of Vulnerable and Endangered were the predominant categories for the plant species of Ilha Grande, with the main historical threat factors being deforestation and logging. Most of the threatened species of the island are arboreous. The families with the greatest number of threatened species are also among the richest in Dense Ombrophilous Forest: Melastomataceae, Myrtaceae, Meliaceae, Bromeliaceae and Orchidaceae. Four species registered on the island also appear on the list of endemic species in the State of Rio de Janeiro.
The applicability of high resolution manometry in total laryngectomy
Authors: Santos Taís Lima , Herbella Fernando Augusto Mardiros , Azevedo Renata Rangel
Published: November 2020

Abstract: Purpose: This study aims to measure the pressure of the pharynx and the pharyngoesophageal segment (PES) at rest and during phonation in total laryngectomized patients, with different levels of voice production. Methods: four total laryngectomized individuals participated in the study, All patients underwent High Resolution Manometry (MAR) at rest and during phonation. After this process, a descriptive analysis of the results was performed. Results: we observed that during rest the patients had PES pressure below normal and this data may be related to changes in the muscular connections at the level of the upper esophageal sphincter (UES) especially the interruption of the cricopharyngeal plexus. During phonation, two patients presented higher UES pressure values during phonation, when compared to the values found at rest, suggesting that introduction of air into the esophagus is followed by pharyngoesophageal contraction and that during phonation the patients with good esophageal speech may develop more pressure in this region. Conclusion: Studies with a greater number of participants may help define, for example, subjects who may benefit from procedures such as cricopharyngeal myotomy or other medical conduct in order to facilitate the acquisition of esophageal voice in these patients.
Performance of public and private school students in auditory processing, receptive vocabulary, and reading comprehension
Authors: Nalom Ana Flávia de Oliveira , Schochat Eliane
Published: November 2020

Abstract: Purpose: To characterize the performance of 5th grade students from public and private elementary schools in auditory processing, receptive vocabulary, and reading comprehension. Methods: The study sample was composed of 34 Elementary School (5th grade) students: 16 from public school (PubG) and 18 from private school (PrivG), whose parents and teachers responded to questionnaires on their language development, socioeconomic level, and academic performance. The auditory skills of figure-ground, association between auditory and visual stimuli, figure-ground for linguistic sounds, binaural integration, temporal ordering, and temporal resolution were assessed using the following auditory behavioral instruments: Pediatric Speech Intelligibility (PSI) test, Dichotic Digits Test (DDT), Auditec® Frequency Pattern Test (FPT), and Gaps-in-Noise (GIN) test. Receptive vocabulary and reading comprehension were evaluated using the TVF-usp and PROLEC tests, respectively. Results: Statistically significant differences were observed between the socioeconomic level of students in both schools. Although the results obtained in the applied tests were within the reference values in both groups, there was a tendency to higher scores in the PrivG. Differences between the groups were also verified in the DDT and FPT. Values similar to normality were obtained in the temporal resolution and reading comprehension assessments. On the vocabulary test, most school children in the PrivG were concentrated in the ‘high’ and ‘middle’ categories, whereas those in the PubG were in the ‘middle’ and ‘low’ categories. Conclusion: There are differences in performance between students from private and public schools. Public school children presented right ear advantage in the dichotic task, whereas private school children showed more efficient mechanisms and strategies regarding auditory stimuli for the tasks of binaural integration, temporal ordering, and interhemispheric transfer. Temporal resolution reached values expected for the adult population in both groups. Better vocabulary performance was observed in the most economically favored children. Elementary School (5th grade) students from both school networks present developed reading.
Curta e compartilhe: conteúdos sobre alimentação saudável e dietas em páginas do Facebook
Authors: Passos Jasilaine Andrade , Vasconcellos-Silva Paulo Roberto , Santos Lígia Amparo da Silva
Published: November 2020

Este trabalho objetivou descrever e analisar conteúdos sobre alimentação saudável e dietas em páginas do Facebook (FB). Foram selecionadas vinte páginas em português. Os quarenta posts mais curtidos foram alvo de análise de conteúdo, modalidade temática. Enunciados dos posts revelaram uma “dialética do sabor”, que seria solucionada por receitas culinárias divulgadas à moda food porn. O emagrecimento é pautado como urgência que demanda controle e vigilância, no qual quizzes e desafios configuram estratégias motivacionais. Observaram-se esforços para validação das informações por meio de “slogans de cientificidade” e referências a profissionais da saúde. Conclui-se que a rede social mostra-se pertinente para interações comunicativas sobre alimentação e nutrição, entretanto, muitos conteúdos voltaram-se para promoção e venda de serviços e produtos dietéticos, suscitando indagações sobre suas potencialidades para promoção da saúde.
USE OF THE STROOP ENCEPHALAPP FOR COVERT HEPATIC ENCEPHALOPATHY SCREENING IN CIRRHOTIC PATIENTS IN SOUTHERN BRAZIL
Authors: MACHADO JÚNIOR Paulo André Bispo , ZILIOTTO Rafaela Deneka , FERREIRA Ana Paula Vieira Neves , BUSON Thiago Mesquita , COUTO Cynthia Müller do , PISSAIA JUNIOR Alcindo
Published: November 2020

ABSTRACT BACKGROUND: Covert hepatic encephalopathy (CHE) is difficult to detect due to the lack of easily applicable screening tools. The Stroop EncephalApp is a smartphone application already validated for CHE screening. However, its applicability to the Brazilian population is not known. OBJECTIVE: To estimate the prevalence of CHE and evaluate the use of Stroop EncephalApp in a cirrhotic population in Brazil. METHODS: In this cross-sectional study, we evaluated 99 patients previously diagnosed with liver cirrhosis in a Private Hospital in Curitiba/PR. Patients were initially submitted to the mini mental state examination (MMSE) to exclude individuals with dementia. After, the Psychometric Hepatic Encephalopathy Score (PHES) test was performed and lastly, the Stroop EncephalApp test. Results were adjusted for age, sex and education levels to evaluate the accuracy of the app on detecting the disease, comparing its results with the gold standard method (PHES). Patients with one or more of the following were excluded: dementia, inadequate MMSE score, illiteracy, color blindness, history of drugs/alcohol abuse within the past 3 months and previous or actual episodes of encephalopathy. The statistical analysis was performed by SPSS 2.0 and the significance adopted by 5%. RESULTS: We included 82 individuals in the final analysis. Among these patients, 29 were diagnosed with CHE by the PHES test (35.36% prevalence) and 28 of those obtained equal diagnosis by the Stroop EncephalApp (96.6% sensitivity). A total of 53 patients obtained negative results for CHE by PHES, while the Stroop test classified 27 of them as having the disease. In the multivariate analysis, high levels of education were associated with better performance during the tests. No significant relationship was observed between age and sex with the probability of diagnosing CHE through the PHES test.
Indicadores de efetividade da gestão dos resíduos da construção civil. Estudo de caso: município de São José dos Campos/SP
Authors: Guimarães Daniel , Fiore Fabiana
Published: November 2020

RESUMO A disposição inadequada de resíduos da construção civil (RCC) gera poluição difusa em grande parte do território brasileiro, a despeito da legislação ambiental vigente. A incipiência do planejamento de sistemas de gestão de resíduos, no âmbito municipal, e também de seu monitoramento com vistas à melhoria contínua foi o agente mobilizador desta pesquisa, que se propôs a determinar e validar variáveis para um conjunto de indicadores de efetividade de gestão de RCC e, por meio deles, avaliar a gestão dos RCC no município de São José dos Campos, São Paulo. Trata-se de uma pesquisa aplicada com dados quanti-qualitativos, tendo em vista a utilidade pública. Os 15 indicadores de efetividade foram avaliados com o auxílio de 124 variáveis de diferentes significâncias determinadas pelos gestores municipais. O uso da ferramenta para a avaliação de desempenho em São José dos Campos mostrou que, mesmo sendo o município considerado referência nacional na gestão de RCC, ainda há esforços a serem invitados para que essa gestão possa ser considerada efetiva, principalmente nas dimensões econômica e social. Os indicadores e variáveis apresentados no presente trabalho podem nortear avaliações em outros municípios brasileiros, desde que consideradas as especificidades locais.
THE POSITIONING OF STREET NAMES ON EGOCENTRICALLY REFERENCED MAPS: ASSESSMENT OF READING TIME
Authors: Rego Mariana Pereira do , Pugliesi Edmur Azevedo , Tachibana Vilma Mayumi
Published: November 2020

Abstract: The main objective of this research is to evaluate the reading time of street names on dynamic egocentrically referenced maps for In-Car Route Guidance and Navigation Systems. Two different road network patterns (grid-like or non-grid-like) were considered and tasks were devised to search for street names in two different route segments (where the driver was, or where the driver would have to manoeuvre). Considering a non-grid-like road network pattern, for the task of searching for the name of a road where the driver would manoeuvre, street names aligned horizontally and next to the route were read significantly faster than street names positioned along the route. Street names positioned obliquely required more reading time than street names aligned horizontally. Dynamic maps egocentrically referenced should present street names horizontally aligned and next to the route for the segment related to where the driver will manoeuvre, for both road network patterns. Also, Street names should be positioned next to the car symbol.
Molecular diagnosis of the curly lettuce parasitic contamination from hydroponic cultivation from supermarkets
Authors: Pinto-Ferreira Fernanda , Reis Jonatan Batista , Paschoal Aline Ticiani Pereira , Balbino Letícia Santos , Bertão-Santos Amanda , Lucas Juliana Izidoro , Kakimori Monica Tieme Aline , Navarro Italmar Teodorico , Mitsuka-Breganó Regina
Published: November 2020

Abstract The consumption of vegetables has increased in recent years due to the search for a healthier diet that is rich in fiber and has fewer calories. To assess the parasitic contamination of lettuce sold in markets, a survey of parasites was carried out from a supermarket chain in the city of Londrina, Paraná. A total of thirty samples of lettuce were purchased in the ten markets visited, three in each, of which ten were conventionally cultivated, ten were hydroponically cultivated, and ten were organically cultivated. All samples were analyzed using the sedimentation methods of Hoffman, Pons and Janer and the fluctuation method of Faust and colleagues and Willis with adaptations. In addition, the samples were subjected to DNA extraction by a commercial kit and polymerase chain reaction to detect Toxoplasma gondii, Cryptosporidium spp. and Giardia spp., which are protozoa that cause food and waterborne parasitic outbreaks. All samples were negative for sedimentation and flotation techniques. One of the hydroponically cultivated samples was positive for T. gondii. The results demonstrate the risk of curly lettuce contamination from hydroponic cultivation and the need for proper cleaning of these foods before consumption.
Perceived Characteristics of Place and Its Structural Relationships With Attitudes and Behavior Intentions: A Case of Cheongju Culture Night
Authors:   The Tourism Sciences Society Of Korea, Kim Seong-Jo , Kim Jae-Hak
Published: November 2020

This study began with the perspective that more effective use of regional cultural heritages is expected when perceived characteristics of place and psychological behavior are understood in the cultural heritage festival event settings. The objectives of this study were two-fold: first, to identify perceived characteristics of tangible and intangible place; second, to test the structural relationships among perceived characteristics of place, attitudes, and behavioral intentions. A total of 214 valid data were collected from the survey conducted at the Cheongju Culture Night in South Korea. Structural equation modeling was used to test hypothesized relationships and multi-mediating effects. The findings showed that perceived intangible characteristics of place influenced cognitive and affective attitudes. Both cognitive and affective attitudes were found to have a direct effect on behavioral intentions. However, the results revealed that perceived tangible and intangible characteristics of place did not directly influence behavioral intentions. The results highlighted that affective attitude fully mediate the relationship between perceived characteristics of place and behavioral intentions when cognitive attitude was found to partially mediate. Based on these findings, both theoretical and practical implications for the effective cultural heritage utilization were provided.
Tourism Behavior of Disabled People: Self-Determination Theory and Planned Behavior Theory Perspectives
Authors:   The Tourism Sciences Society Of Korea, Kim Ki-Wan , Kim Nam-Jo
Published: November 2020

This study was conducted from the perspective of expanding the discussion to an autonomous perspective that disabled people can decide their own tourism behavior, and that there is an inherent psychological mechanism that the disabled also want tourism behavior of their own, just like non-disabled people. In 2019, a survey was conducted using people with disabilities who visited welfare centers for the disabled. Using convenient sampling method, a total of 288 surveys were included in the analysis. Based on the self-determination perspectives, the results show that amotivation and intrinsic motivation of people with a disability affected attitudes and subjective norms, respectively. In particular, intrinsic motivation had a significant effect only on perceived behavioral control. In addition, it was found that attitudes, subjective norms, and perceived behavioral control had significant effects on tourism intention. It was found that the process of tourism activities for people with disabilities goes through a path similar to that of non-disabled people. Therefore, in order to revitalize tourism behavior of people with disabilities, various methods are needed to internalize the positive meaning of the tourism behavior by themselves. Among them, it is possible to engage in tourism by providing a foundation for easy access to people with disabilities.
Decision Making of Chinese Tourists Visiting North Korea Using Goal-Directed Behavior Model
Authors:   The Tourism Sciences Society Of Korea, Dong Li-Min , Jin Ying-Mei
Published: November 2020

Currently, the tourism cooperation between China and North Korea is mainly focused on Chinese tourists visiting North Korea. Compared with other overseas tourism, North Korean tourism has unique tourism form, tourism experience and culture. Therefore, Chinese tourists have a strong interest in traveling North Korea, and their preference is gradually increasing. However, there is a lack of research on decision-making behavior of Chinese tourists visiting North Korea. The purpose of this study is to analyze the behavioral decisions of Chinese tourists visiting North Korea, and construct a goal-directed behavior model. A survey was conducted among Chinese tourists with travel experience in North Korea, and 349 valid questionnaires were obtained. The results show that attitude, subjective norm, positive anticipated emotion, negative anticipated emotion, and the frequency of past behavior have significant influence on desire. In addition, perceived behavioral control and desire have significant influence on behavioral intention. On the contrary, perceived behavioral control did not have a significant influence on desire. The frequency of past behavior did not have a significant influence on behavioral intention. These results can contribute to understanding the decision-making behavior of Chinese tourists in North Korea. Our findings will serve as a reference for tourism policy discussions between China and North Korea.
Two new species of insect phoretic Siculobata (Paraleius) (Acari, Oribatida, Scheloribatidae) from U.S.A. and Trinidad
Authors: Ermilov Sergey G. , OConnor Barry
Published: November 2020

Two new species of oribatid mites of the subgenus Siculobata (Paraleius), phoretic on Insecta (Coleoptera and Diptera), are described from the U.S.A. and Trinidad, based on adults. Siculobata (Paraleius) americana sp. n. differs from Siculobata (Paraleius) leontonycha (Berlese, 1910) by the presence of monodactylous legs and a slightly modified claw on all pretarsi. Siculobata (Paraleius) trinidadensis sp. n. differs from S. (P.) americana sp. n. by the presence of sublamella, fusiform bothridial seta and a normal claw on pretarsi III, IV, and the absence of pedotectum II. Subgeneric morphological traits and an identification key to known species of Siculobata (Paraleius) are presented.
Didática do Continuum
Authors: Boucherville Gisele Cristina , Pinto Marinho Simão Pedro
Published: November 2020

Com os avanços tecnológicos da área da Comunicação e Informação, o saber ganha mobilidade e acesso contínuo. O diálogo entre professor e aluno passa a ter outra dimensão, que extrapola o tempo e o espaço de sala de aula. Nesse contexto, a didática, por ser o instrumento de comunicação e diálogo, que transmite o saber, recebe influência dos meios de comunicação e informação, especialmente no que diz respeito às Tecnologias Digitais de Informação e Comunicação (TDIC). Por ser técnica e mediação, a didática vem sendo pressionada a uma nova composição que possa favorecer a interação entre o saber, o aluno e o professor, que vivem hoje no mundo digital. Para entender e apontar caminhos para uma nova didática, surge a necessidade de examinar a atividade de mediação do professor. Assim consta como sustentação teórica deste artigo a Teoria da Atividade, também os estudos de Comenius, Peters, Daniels, Vygostsky e o “The onlife Manifesto” de Floridi, que colaboram para responder aos anseios desta pesquisa. A metodologia utilizada foi a bibliográfica, a partir de livros, artigos e material disponibilizado na internet, de fonte confiável. Também, se utilizou da entrevista de averiguação como instrumento. Foram ouvidos professores de diversos níveis, a fim de levantar as possibilidades do uso das ferramentas didáticas apontadas por esta pesquisa teórica para o uso das TDIC em sala de aula. Apesar de uma pequena amostragem de professores ter sido ouvida, chega-se a concluir que os resultados obtidos e oferecidos pelo estudo teórico, didática do continuum, podem trazer à didática ferramentas inovadoras requeridas para o diálogo entre professor, aluno e saber na era hiperconectada, havendo necessidade de que a pesquisa seja colocada em prática com um maior número de professores
Measuring Fungal Growth v1
Authors: Araújo João
Published: November 2020

This protocol describes how to measure fungal growth. This protocol is part of the Bark Beetle Mycobiome (BBM) Research Coordination Network. For more information on the BBM international network: Hulcr J, Barnes I, De Beer ZW, Duong TA, Gazis R, Johnson AJ, Jusino MA, Kasson MT, Li Y, Lynch S, Mayers C, Musvuugwa T, Roets F, Seltmann KC, Six D, Vanderpool D, & Villari C. 2020. Bark beetle mycobiome: collaboratively defined research priorities on a widespread insect-fungus symbiosis. Symbiosis 81: 101–113 https://doi.org/10.1007/s13199-020-00686-9.
Rearing Bark and Ambrosia Beetles from Naturally Infested Wood v1
Authors: Hulcr Jiri , J. Johnson Andrew , F Gomez Demian
Published: November 2020

This protocol describes how to rear bark and ambrosia beetles in naturally infested wood. This protocol is part of the Bark Beetle Mycobiome (BBM) Research Coordination Network. For more information on the BBM international network: Hulcr J, Barnes I, De Beer ZW, Duong TA, Gazis R, Johnson AJ, Jusino MA, Kasson MT, Li Y, Lynch S, Mayers C, Musvuugwa T, Roets F, Seltmann KC, Six D, Vanderpool D, & Villari C. 2020. Bark beetle mycobiome: collaboratively defined research priorities on a widespread insect-fungus symbiosis. Symbiosis 81: 101–113 https://doi.org/10.1007/s13199-020-00686-9.
Microtome Dissection of Beetles v1
Authors: Hulcr Jiri
Published: November 2020

This protocol describes how visualize internal structures, from mandibular mycangia, to beetle heads or bodies. This protocol is part of the Bark Beetle Mycobiome (BBM) Research Coordination Network. For more information on the BBM international network: Hulcr J, Barnes I, De Beer ZW, Duong TA, Gazis R, Johnson AJ, Jusino MA, Kasson MT, Li Y, Lynch S, Mayers C, Musvuugwa T, Roets F, Seltmann KC, Six D, Vanderpool D, & Villari C. 2020. Bark beetle mycobiome: collaboratively defined research priorities on a widespread insect-fungus symbiosis. Symbiosis 81: 101–113 https://doi.org/10.1007/s13199-020-00686-9.
Fungal Extraction from Beetle Galleries v1
Authors: Li You , Hulcr Jiri
Published: November 2020

This protocol describes how to extract fungi from beetle galleries. This protocol is part of the Bark Beetle Mycobiome (BBM) Research Coordination Network. For more information on the BBM international network: Hulcr J, Barnes I, De Beer ZW, Duong TA, Gazis R, Johnson AJ, Jusino MA, Kasson MT, Li Y, Lynch S, Mayers C, Musvuugwa T, Roets F, Seltmann KC, Six D, Vanderpool D, & Villari C. 2020. Bark beetle mycobiome: collaboratively defined research priorities on a widespread insect-fungus symbiosis. Symbiosis 81: 101–113 https://doi.org/10.1007/s13199-020-00686-9.
Calculating Colony-forming Units v1
Authors: Hulcr Jiri , Li You
Published: November 2020

This protocol describes how to estimate the number of colony-forming units. This protocol is part of the Bark Beetle Mycobiome (BBM) Research Coordination Network. For more information on the BBM international network: Hulcr J, Barnes I, De Beer ZW, Duong TA, Gazis R, Johnson AJ, Jusino MA, Kasson MT, Li Y, Lynch S, Mayers C, Musvuugwa T, Roets F, Seltmann KC, Six D, Vanderpool D, & Villari C. 2020. Bark beetle mycobiome: collaboratively defined research priorities on a widespread insect-fungus symbiosis. Symbiosis 81: 101–113 https://doi.org/10.1007/s13199-020-00686-9.
Media for Fungal Culturing v1
Authors: Hulcr Jiri , Li You , Adams Sawyer , F Gomez Demian
Published: November 2020

This protocol describes the different media for fungal culturing. This protocol is part of the Bark Beetle Mycobiome (BBM) Research Coordination Network. For more information on the BBM international network: Hulcr J, Barnes I, De Beer ZW, Duong TA, Gazis R, Johnson AJ, Jusino MA, Kasson MT, Li Y, Lynch S, Mayers C, Musvuugwa T, Roets F, Seltmann KC, Six D, Vanderpool D, & Villari C. 2020. Bark beetle mycobiome: collaboratively defined research priorities on a widespread insect-fungus symbiosis. Symbiosis 81: 101–113 https://doi.org/10.1007/s13199-020-00686-9.
Primers for bark beetles and associated fungi v1
Authors: J. Johnson Andrew , F Gomez Demian , Hulcr Jiri
Published: November 2020

This protocol describes the primers used for bark beetles and associated fungi. This protocol is part of the Bark Beetle Mycobiome (BBM) Research Coordination Network. For more information on the BBM international network: Hulcr J, Barnes I, De Beer ZW, Duong TA, Gazis R, Johnson AJ, Jusino MA, Kasson MT, Li Y, Lynch S, Mayers C, Musvuugwa T, Roets F, Seltmann KC, Six D, Vanderpool D, & Villari C. 2020. Bark beetle mycobiome: collaboratively defined research priorities on a widespread insect-fungus symbiosis. Symbiosis 81: 101–113 https://doi.org/10.1007/s13199-020-00686-9.
General Assembly and Alignment in Geneious v1
Authors: J. Johnson Andrew , F Gomez Demian
Published: November 2020

The purpose of this protocol is to conduct general assembly and alignment of sequences in Geneious. This protocol is part of the Bark Beetle Mycobiome (BBM) Research Coordination Network. For more information on the BBM international network: Hulcr J, Barnes I, De Beer ZW, Duong TA, Gazis R, Johnson AJ, Jusino MA, Kasson MT, Li Y, Lynch S, Mayers C, Musvuugwa T, Roets F, Seltmann KC, Six D, Vanderpool D, & Villari C. 2020. Bark beetle mycobiome: collaboratively defined research priorities on a widespread insect-fungus symbiosis. Symbiosis 81: 101–113 https://doi.org/10.1007/s13199-020-00686-9.
PCR Cleanup v1
Authors: Storer Caroline , Hulcr Jiri
Published: November 2020

This protocol explain how to clean PCR products.
Faculty of Nursing at Universidad de Antioquia: 70 years, a whole lifetime caring for lives
Authors: Zuleta Vanegas Lina María , Lopera Arrubla Claudia Patricia
Published: November 2020

Seventy years have passed since Doctor Ignacio Vélez Escobar, in his possession speech as dean of the Faculty of Medicine at Universidad de Antioquia, on 23 August 1950, had the initiative of creating a new school of nursing. Thus, on 29 September of that year, Resolution Number 30 by the Directive Council at Universidad de Antioquia approved opening the School of Nursing, as dependence ascribed to the Faculty of Medicine. It operated under this figure until August 1975 when its creation resolution was repealed and it was determined that it would continue operating as a teaching unit at Universidad de Antioquia, but conserving its figure of School, which it kept until May 1981 when the same Council approved the transformation from School into Faculty.
Communication in health work during the COVID-19 pandemic
Authors: Rodrigues Maria Eunice Nogueira Galeno , Belarmino Adriano da Costa , Lopes Custódio Lívia , Lima Verde Gomes Ilvana , Rodrigues Ferreira Júnior Antonio
Published: November 2020

Objective. Report on communication and qualified listening in nursing work in the face of the COVID-19 pandemic.

Methods. This descriptive, theoretical and reflexive report was developed by nurses between March 20th and May 25th 2020 at Emergency Care Services in the city of Fortaleza, Ceará, Brazil. Health communication served as the theoretical background for this research.

Results. Two main thematic categories were highlighted: (i) Resignifications of communication in the work relationships of the health team and (ii) Guided listening to users by nurses at the Emergency Care Services during the pandemic.

Conclusion. The experience revealed an excerpt of what is found under the conditions of the current situation resulting from COVID-19. Communication turned into an essential tool to maintain professional relationships and culminate in collaboration and cooperation of theteam in order to provide a close relationship with the user and promote the quality of health care processes.