bluuebunny/crossref_metadata_2025 huggingface dataset:
Material Testing Apparatus and Procedures for Evaluating Freeze-Thaw Resistance of Asphalt Concrete Mixtures
Authors: Ho Chun-Hsing , Martin Linares Cristina Pilar , Shan Junyi , Almonnieay Anas
Published: October 2017

This paper presents material testing procedures using an ASTM C666 (Standard Test Method for Resistance of Concrete to Rapid Freezing and Thawing) apparatus to evaluate resistance of asphalt concrete (AC) mixtures with respect to freeze-thaw (F-T) cycles. The ASTM C666 apparatus is mostly used for testing F-T resistance of pervious concrete, but it can be an ideal device to replace the currently used AASHTO T283, Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage, as it was never intended to simulate F-T resistance for asphalt mixtures. To evaluate the effectiveness of the ASTM C666 apparatus in determination of F-T resistance of asphalt mixtures, two types of AC materials were sampled from an asphalt paving project: rubberized modified asphalt (RMA) and fiber reinforced asphalt (FRA). All specimens were prepared in the Materials Laboratory of Northern Arizona University, and their F-T resistance was tested using an ASTM C666 apparatus at six designed cycles: 0, 100, 150, 200, 250, and 300 cycles. After each desired cycle is complete, specimens were removed from the ASTM C666 apparatus and then tested for their stiffness using a bending beam rheometer (BBR). The viscoelastic reposes of asphalt mixtures tended to be less significant after 150 F-T cycles. The field evaluation of local asphalt paving associated with climatic F-T cycle data and F-T test results indicate that surface conditions and cracking progress of the asphalt pavements do have closer agreement with the increase of F-T cycles. The ASTM C666 apparatus is capable of providing F-T conditioning of the specimens. In combination of the BBR device and the corresponding procedure, the thermal properties of the mix (e.g., stiffness at 60 s or relaxation modulus function) can be measured and determined. The testing procedures and results are promising and prone to the purposes of F-T resistant simulation. The findings presented in this paper provide a positive trend for future research focusing on the evaluation of long-term F-T durability of asphalt mixtures.
Burdens of Eternity?
Authors: Berger Stefan , Wicke Christian , Golombek Jana
Published: October 2017

The industrial past has become an inescapable and fundamental component of the identity of the Ruhr region. Throughout the twentieth century the Ruhr acquired a diverse public self-perception—incorporating multiculturalism, football, nationalism, urbanity, and nature—that was strongly imbued by images of the industrial past. Over recent decades, representations of the Ruhr’s industrial heritage have been driven by a desire to build the future of the region on a proud sense of its past. However, there have also been signs of an increasing touristification and commercialization of industrial heritage that is sometimes presented in a self-congratulatory way. Development of a critical “historical culture” involving the region’s industrial past therefore remains a constant challenge.
Industrial Heritage in Urban Imaginaries and City Images
Authors: Richter Ralph
Published: October 2017

Both the German city of Dortmund and the Scottish metropolis of Glasgow were powerhouses of the industrial era. Yet today the cities deal with their industrial legacies in completely different ways. Whereas Dortmund highlights its industrial history in official representations and preserves significant industrial relics, Glasgow omits the industrial past in its branding strategy and has removed almost all industrial remnants. I argue that each city’s presentation of its industrial history corresponds with the inhabitants’ attitudes towards this past rather than being merely dictated by political elites or marketing experts. In Dortmund, the embrace of industrial heritage is an expression of its significance for the city’s collective identity and proof of authenticity, whereas in Glasgow industrial legacies are perceived as a social stigma.
Efficient Prioritization of Multiple Causal eQTL Variants via Sparse Polygenic Modeling
Authors: Nariai Naoki , Greenwald William W , DeBoever Christopher , Li He , Frazer Kelly A
Published: October 2017

Expression quantitative trait loci (eQTL) studies have typically used single-variant association analysis to identify genetic variants correlated with gene expression. However, this approach has several drawbacks: causal variants cannot be distinguished from nonfunctional variants in strong linkage disequilibrium, combined effects from multiple causal variants cannot be captured, and low-frequency (<5% MAF) eQTL variants are difficult to identify. While these issues possibly could be overcome by using sparse polygenic models, which associate multiple genetic variants with gene expression simultaneously, the predictive performance of these models for eQTL studies has not been evaluated. Here, we assessed the ability of three sparse polygenic models (Lasso, Elastic Net, and BSLMM) to identify causal variants, and compared their efficacy to single-variant association analysis and a fine-mapping model. Using simulated data, we determined that, while these methods performed similarly when there was one causal SNP present at a gene, BSLMM substantially outperformed single-variant association analysis for prioritizing causal eQTL variants when multiple causal eQTL variants were present (1.6- to 5.2-fold higher recall at 20% precision), and identified up to 2.3-fold more low frequency variants as the top eQTL SNP. Analysis of real RNA-seq and whole-genome sequencing data of 131 iPSC samples showed that the eQTL SNPs identified by BSLMM had a higher functional enrichment in DHS sites and were more often low-frequency than those identified with single-variant association analysis. Our study showed that BSLMM is a more effective approach than single-variant association analysis for prioritizing multiple causal eQTL variants at a single gene.
O homem dos lobos: Deleuze, Guattari e a psicanálise
Authors: Agostinho Larissa Drigo
Published: October 2017

apresentamos uma comparação entre leituras distintas (Freud, Lacan e Deleuze & Guattari) do caso do homem dos lobos visando explicitar e explicar as críticas deleuzo-guattarianas à psicanálise e, por consequência, os limites técnicos e teóricos desta. Serão abordadas as seguintes questões: a centralidade do complexo de Édipo na psicanálise, a castração em Freud e seus significados e limitações e, por fim, o caráter qualitativo da libido. O objetivo desta exposição é apresentar algumas das principais teses da esquizoanálise e expor a relevância de um conceito renovado de inconsciente para a compreensão da relação entre desejo, política e vida social.
A estrutura da autoconsciência na filosofia da mente de John Searle
Authors: Prata Tárik de Athayde
Published: October 2017

A tese defendida no presente artigo é que a autoconsciência, na visão de Searle é uma caraterística (não explicada) do campo unificado de consciência. Após uma discussão de três distinções a respeito da consciência propostas por Rosenthal (seção 1), é discutido o conceito de consciência de Searle – como um fenômeno qualitativo, subjetivo e unificado – e o caráter holístico desse conceito (seção 2). A discussão que Searle faz dos conceitos de autoconsciência e de introspecção (seção 3) mostra que ele acredita que uma autoconsciência implícita é uma característica constitutiva do campo unificado de consciência.
A lógica do ser de Hegel
Authors: Wohlfart João Alberto
Published: October 2017

Resenha de: Hegel, G. W. F. Ciência da lógica: 1. A doutrina do ser. Tradução deChristian Iber, Marloren L. de Miranda, Federico Orsini e Agemir Bavaresco(Coordenador). Petrópolis, RJ: Vozes; Bragança Paulista, SP: Ed.Universitária São Francisco, 2016. 464 p. ISBN 9788532653086.************************************************************************************************************************** Com a tradução, os falantes da língua portuguesa têm em mãos uma obra filosófica estruturante do pensamento moderno e uma das mais importantes da História da Filosofia. Temos agora e nossas mãos, em língua portuguesa, uma obra de difícil acesso do pensamento hegeliano e que um filósofo de língua portuguesa leria com muita dificuldade. A tradução, ora disponibilizada, tenta conciliar a difícil linguagem hegeliana escrita em alemão com a fluência típica do nosso português, permitindo uma compreensão mais ou menos fácil por parte do falante da língua portuguesa.
Deconstructing the substantialist conception of God: recasting Heidegger's critique of Augustine
Authors: De Oliveira Nythamar
Published: October 2017

In this paper, I argue that Augustine's conception of God as substance (substantia) has misleadingly been evoked by Martin Heidegger's deconstruction of onto-theological and substantialist variants of metaphysics as they mistook entities (Seienden, entia, beings) for their very Being (Sein, ens, esse) which cannot be conceptualized or objectified by human thinking, but makes both their thought and reality possible. Even though Augustine sought somehow to reconcile a Neoplatonic, essentialist cosmology with a Judeo-Christian worldview of historical redemption, Heidegger not only failed to properly recognize his indebtedness to Augustinian existential anthropology, but also the latter's contention that the actuality of beings and contingent history ultimately determines ontological concepts in their basic difference from their ontical counterparts, compromising thus Heidegger's intuitive criticisms against the confusion between God and Being (Sein).
Wood in the urban environment in Albania
Authors: Hajnaj Denisa , Hoxha Oketa
Published: October 2017

Several cities in the country have experienced the rapidly-growing period for more than two decades. New technologies are playing an important role in the green building performance encouraging new architects, engineers and investors in choosing ecological materials. Referring to the European Commission and building codes, recent regulations of local plans for various municipalities emphasize in particular the environmental improvements in urban areas, especially areas with cultural heritage. The scope of this study is to highlight the wood applications as a green material for the construction/restoration phase in residential buildings, dwellings, interior spaces, façades and multifunctional buildings in the urban environment.
Applications of aerogel in cement-based thermal insulation materials: an overview
Authors: Jia Guanhua , Li Zhu , Liu Peng , Jing Qiangshan
Published: October 2017

As a kind of nanomaterial with superior performance in thermal insulation, sound isolation and fire prevention, aerogels are considered to be an ideal alternative to traditional thermal insulation materials. With more stringent building energy efficiency standards and the development of commercialised aerogels, wide applications of aerogel in cement-based insulation materials are becoming promising. The state-of-the-art in aerogel-based cementitious insulation materials is discussed in this paper. The impact of aerogels on the physical and mechanical properties of cement-based insulation materials is described and methods of aerogel scattering and mixing in a cement matrix are summarised. The stability, interfacial transition zone, alkali–silica reaction and property optimisation of aerogel in cement-based insulation materials are also discussed. Finally, some unsolved issues highlighted from previous studies are put forward with the aim of further promoting industrial applications of aerogels in cement-based insulation materials.
DEPENDENCIA DE LAS REDES SOCIALES VIRTUALES Y VIOLENCIA ESCOLAR EN ADOLESCENTES
Authors: Martínez-Ferrer Belén , Moreno Ruiz David
Published: October 2017

AbstractDEPENDENCE ON ONLINE SOCIAL NETWORKS AND SCHOOL VIOLENCE IN ADOLESCENTS.The empirical evidence suggests that Internet addiction is associated with other behavioral problems such as depressive symptoms, antisocial behavior, and cyberbullying. However, few studies have examined the dependence onOnlineSocial Networks (OSN) and school violence. Therefore, the purpose of the present study was to analyze the relationships between OSN dependency and school violence among peers, considering gender and age. Participants were 1952 adolescents, 50.4% boys, aged between 11 and 16 years old (M age = 14.07, D T = 1.39). A multifactorial MANOVA was calculated. Results showed that adolescents with greater dependence on OSNscored the highest on overt and relational violence (reactive and instrumental). In addition, boys and girls with high dependence on OSN showed similar involvement in relational violence (reactive and instrumental), while boys with high dependence scored the higher than girls onovertviolence (both reactive and instrumental). Finally, the results and their implications are discussed.Key words: dependence, online social networks, overt violence, relational violence, adolescenceResumen.La evidencia empírica sugiere que la adicción a Internet se asocia con otros problemas de conducta como la sintomatología depresiva, la conducta antisocial y el cyberbullying. Sin embargo, son escasos los estudios en los que se examina la dependencia de las redes sociales virtuales (RSV) y la violencia escolar. Por ello, el propósito del presente estudio fue analizar las relaciones existentes entre la dependencia a las RSV y la violencia escolar entre iguales, en función del sexo y de la edad. Participaron 1952 adolescentes 50.4% chicos, con edades comprendidas entre los 11 y 16 años (M edad = 14,07, D T = 1.39). Se calculó un MANOVA multifactorial. Los resultados mostraron que los adolescentes con mayor dependencia de las RSV obtuvieron las puntuaciones más elevadas en violencia manifiesta y relacional (reactiva e instrumental). Además, los chicos y las chicas con alta dependencia de las RSV mostraron una implicación similar en conductas de violencia relacional (reactiva e instrumental), mientras que los chicos con alta dependencia mostraron mayor violencia manifiesta (reactiva e instrumental). Finalmente, se discuten los resultados y sus implicaciones.Palabras clave: dependencia, redes sociales virtuales, violencia manifiesta, violencia relacional, adolescencia
PRÁCTICAS EDUCATIVAS DE LOS PADRES Y PROBLEMAS DE AJUSTE EN ESTUDIANTES UNIVERSITARIOS
Authors: Carpio Fernández Mª De la Villa , García Linares María Cruz , Casanova Arias Pedro Félix , Cerezo Rusillo María Teresa
Published: October 2017

Abstract.PARENT EDUCATIONAL PRACTICES AND ADJUSTMENT PROBLEMS IN UNIVERSITY STUDENTSThis study aims to analyze the relationships between affection / rejection and the types of discipline that show both the father and the mother and the internalizing and externalizing problems reported by university students. The Escala de Afecto «EA» and the Escala de Normas y Exigencias «ENE» (Fuentes, Motrico and Bersabé, 1999; Bersabé, Fuentes and Motrico, 2001) were applied in their version for children (EAInternational H and ENE-H). We also use the Youth Self-Report (Achenbach, 1991) by the proposal of Ivanova et al. (2007), who group the items into eight síndromes. Five of these eight categories are grouped into two dimensions: internalizing problems (anxious / depressed, introverted / depressed and somatic complaints) and externalizing problems (delinquent behavior and aggressive behavior). The results indicate that both affection and the inductive discipline of parents are positive practices that correlate negatively with some of the problems analyzed. On the contrary, negative practices, such as rejection and rigid discipline of both father and mother, are positively related to most of the problems analyzed.Key words: educational practices, adjustment problems, college studentsResumen.Este estudio tiene como objetivo analizar las relaciones entre el afecto/rechazo y los tipos de disciplina que muestran tanto el padre como la madre y los problemas internalizantes y externalizantes que informan los estudiantes universitarios. Se aplicaron la Escala de Afecto «EA» y la Escala de Normas y Exigencias «ENE» (Fuentes, Motrico y Bersabé, 1999; Bersabé, Fuentes y Motrico, 2001) en su versión para hijos (EA-H y ENEH), así como el Youth Self- Report (Achenbach (1991) mediante la propuesta de Ivanova et al., (2007) quienes agrupan los ítems en ocho síndromes. Cinco de estas ocho categorías se agrupan en dos dimensiones más amplias: problemas internalizantes (ansioso/depresivo, introvertido/depresivo y quejas somáticas) y problemas externalizantes (infringir las normas y conducta agresiva). Los resultados indican que tanto el afecto como la disciplina inductiva de los padres constituyen prácticas positivas que correlacionan negativamente con algunos de los problemas analizados. Por el contrario, las prácticas negativas, tales como el rechazo y la disciplina rígida tanto del padre como de la madre, se relacionan positivamente con la mayoría de los problemas analizados.Palabras clave: prácticas educativas, problemas de ajuste, alumnos universitarios
LAS DIFERENCIAS EN INTELIGENCIA EMOCIONAL EN FUTUROS DOCENTES A PARTIR DE SU ESPECIALIDAD
Authors: Gutiérrez Moret Margarita , Ibáñez Martínez Raquel
Published: October 2017

Abstract.THE DIFFERENCES IN EMOTIONAL INTELLIGENCE IN FUTURE TEACHERS FROM THEIR SPECIALTYIn the past few years, skills related to emotional intelligence (EI) have acquired special relevance in the educational domain. This study assesses EI in a sample of 155 students of 5 different specialities of a Master’s degree in Teacher Training for Secondary Education. Data collection was conducted through the administration of the Trait Meta Mood Scale-24 (TMMS-24) and the Mayer, Salovey& Caruso Emotional Intelligence Test (MSCEIT). Results show adequate levels of EI, especially in the strategic area, as well as some speciality-based differences among students. There is a need to develop specific training geared towards the development of emotional skills in the Master’s in Secondary Education capacitation programmes according to the trainee’s background.Keywords. Emotional Intelligence, Secondary Education, MSCEIT, TMMS-24Resumen.En los últimos años, las habilidades relacionadas con la inteligencia emocional (IE) han adquirido especial relevancia en el ámbito educativo. Este estudio evalúa la IE en una muestra de 155 estudiantes de 5 especialidades diferentes del Master Oficial de Profesorado de Enseñanza Secundaria. La recogida de datos se llevó a cabo a través de la administración de la prueba de IE percibida TMMS-24 y la prueba de Inteligencia Emocional Mayer, Salovey y Caruso (MSCEIT). Los resultados muestran niveles adecuados de IE, especialmente en el área estratégica, así como algunas diferencias basadas en la especialidad entre los estudiantes. Existe la necesidad de desarrollar una formación específica orientada al desarrollo de habilidades emocionales en los planes de formación dirigidos al alumnado que cursa el Master Oficial de Profesorado de Enseñanza Secundaria, conforme a los datos obtenidos.Palabras claves. Inteligencia Emocional, Educación Secundaria, MSCEIT, TMMS-24
PATRONES DE INTERCAMBIO CONDUCTUAL QUE PREDICEN EL ÉXITO EN COMBATES DE TAEKWONDO
Authors: Cervantes Herrera Ana Del Refugio , Pedroza Cabrera Francisco Javier
Published: October 2017

Abstract.BEHAVIORAL PATTERNS OF EXCHANGE THAT PREDICTS SUCCESS IN TAEKWONDO COMBATSThe sporting behavior is traditionally studied through indirect instruments, nevertheless the results obtained from observational methodology allows locating the variables on which depends the successful execution of the athlete. In response to this, the present study aimed to locate the interaction patterns that predict victory in Taekwondo fights. 54 fights were videotaped, and were analyzed through a behavioral catalog. Statistically significant differences were found in the technique used by those whom won and whom lost strife and the use of tactical resources. The implications of the results in success in combat and training design are discussed.Key words: Taekwondo, Behavioral patterns, Observation, Training.Resumen.Si bien el comportamiento deportivo se estudia frecuentemente, el hecho de que sea a través de instrumentos indirectos, lleva a que en muchos casos se desconozcan las variables de las cuales depende la ejecución exitosa del deportista. Atendiendo a esto, el presente trabajo tuvo como objetivo ubicar a través de la observación directa los patrones de interacción que predicen la victoria en combates de Taekwondo. Se video-grabaron 54 contiendas de deportistas cinta negra (de 13 a 19 años), en torneos oficiales. Las contiendas fueron analizadas a través del Sistema de Observación Directa de la Ejecución del Deportista en Combate con el software Observer XT y posteriormente analizadas con el software THEME-V, con la finalidad de encontrar patrones ocultos en los intercambios sociales y con el paquete estadístico SPSS. Se encontraron diferencias estadísticamente significativas en el tipo y orden de las técnicas utilizadas por los que ganaron y perdieron en las diferentes contiendas observadas. También se ubicaron diferencias en los patrones conductuales que involucran a ambos contendientes. Se discuten las implicaciones de los resultados en el diseño de estrategias de entrenamiento.Palabras Clave: Patrones conductuales, Taekwondo, Observación, Entrenamiento.
PARIMOS EM PORTUGAL: A VIVÊNCIA DO SERVIÇO DE SAÚDE POR IMIGRANTES BRASILEIRAS
Authors: Oliveira Eliany Nazaré , Lopes Roberlândia Evangelista , Cavalcante Maria Michele Bispo , Felix Tamires Alexandre , Neto Félix Fernando Monteiro , Moreira Roberta Magda Martins
Published: October 2017

Objetivou-se narrar as experiências da assistência em saúde durante o parto de imigrantes brasileiras que vivem em Portugal. Abordagem qualitativa com o método Netnográfico constituiu a metodologia. A comunidade de escolha foi um grupo do Facebook – brasileiras que vivem em Portugal- e a coleta das informações ocorreu durante o fórum de discussão: “Parimos em Portugal, relatando a minha experiência”.  Nos resultados emergiram 04 temáticas e 08 categorias de analise. A maioria das experiências das mulheres brasileiras evidenciaram os aspectos positivos do parto e dos serviços e um pequeno grupo revelou os entraves e aspectos negativos. Destaca-se a necessidade de conhecimento com mais detalhes dos itinerários de imigrantes grávidas e os desfechos sobre seus partos, para assim, implementar ações de apoio a este grupo. Sugere-se a criação de um observatório sobre pré-natal, parto e puerpério de imigrantes brasileiras sob a coordenação do Consulado do Brasil em Portugal.
REGISTROS DE ENFERMAGEM EM HOME CARE: SUBSÍDIOS DA AUDITORIA DE ENFERMAGEM
Authors: Dantas Isadora Cid , Duarte Márcia Gomes , Souza Ester de Almeida , Pinto Junior Elzo Pereira
Published: October 2017

Objetivo: Investigar a produção científica relacionada a auditoria de enfermagem, analisando o seu papel na organização do registro de enfermagem nos serviços de Home Care. Método: Trata-se de uma revisão narrativa de literatura. Os dados foram coletados utilizando a base de dados Scientific Electronic Library Online (SCIELO); Literatura Latino Americana e do Caribe em ciências da saúde (LILACS); Biblioteca virtual de saúde (BSV), além de livros, dissertações e teses encontradas no acervo da Biblioteca de Saúde da UFBA, com associação dos descritores: registros de enfermagem, auditoria de enfermagem, serviço de assistência domiciliar. Resultados: Foram selecionados 14 artigos, publicados no período de 2001 a 2015. Os resultados foram categorizados nos seguintes grupos: “auditoria de serviços de saúde e auditoria de enfermagem”; “características dos registros de enfermagem”; “aspectos históricos e operacionais dos serviços de home care”; “principais motivos para glosas em home care”. Conclusão: A revisão da literatura apontou que os serviços de Home Care devem dispor de serviços de saúde integrais, dando suporte aos clientes em seus domicílios, permitindo cuidados de forma segura, confortável e humanizada. Nesse contexto, a auditoria de enfermagem, pode se constituir importante instrumento de gestão para a organização e implantação de rotinas que garantam possuir Registros de Enfermagem de forma adequada e válida, de modo a reduzir a aplicação de glosa nos serviços de Home Care.
TRABALHO NOTURNO NA VIDA DOS ENFERMEIROS
Authors: Da Silva Alidne Pinheiro , Carvalho Emilene Santos de , Cardim Adryanna
Published: October 2017

O trabalho noturno na área da saúde é uma das formas de organizar o serviço de maneira a atender a demanda da população pelos serviços de saúde e prestar cuidado ininterrupto. Este ritmo de trabalho repercute diretamente na qualidade de vida destes profissionais. O objetivo geral desse trabalho é analisar as repercussões do trabalho noturno na vida dos enfermeiros. Trata-se de um estudo em caráter de revisão integrativa da literatura, pelo levantamento de 17 estudos publicados entre 2010 a 2016, em revistas indexadas nas bases de dados nacionais. Os dados foram analisados segundo a Análise de Conteúdo proposta por Bardin, assim emergiram três categorias: (01) implicações do trabalho noturno na saúde; (02) dificuldades do trabalho noturno na organização do trabalho; (03) repercussões do trabalho noturno na vida dos enfermeiros acerca das relações familiares em contrapartida aos aspectos positivos inerentes ao trabalho noturno destes profissionais. Os resultados apontam que o trabalho em turnos, principalmente no turno noturno, pode alterar algumas funções orgânicas nos indivíduos por alterar o ritmo do corpo humano. Os aspectos negativos relacionados com o trabalho noturno desenvolvido pelo enfermeiro envolvem as condições de que os funcionários do noturno sofrem um isolamento no que se refere a intercomunicação com outros setores, os quais não funcionam em esquema de plantão. O enfermeiro do turno noturno sofre a dificuldade de manter o convívio social devido às implicações decorrentes do horário de trabalho, associadas à sonolência constante e irritabilidade. Por outro lado, identificou-se que ao trabalhar no período noturno, o enfermeiro lida com a questão de flexibilidade de horários, o que lhe possibilita um duplo vínculo empregatício. Sendo assim conclui-se que é fundamental pensar em estratégias que possibilitem aos enfermeiros trabalhadores noturnos melhores condições de trabalho.
PERFIL DE PACIENTES ATENDIDOS EM EMERGÊNCIA HIPERTENSIVA EM UM HOSPITAL PÚBLICO DE SALVADOR
Authors: Franco Lenon Cardoso , Faustino Tássia Nery
Published: October 2017

As emergências hipertensivas (EH) são entidades clínicas caracterizadas pela elevação aguda e significativa da pressão arterial (PA) associada a sintomas graves que evidenciam lesões de órgãos-alvo. Esse estudo objetivou traçar o perfil dos pacientes atendidos em emergência hipertensiva em um hospital público de Salvador. Trata-se de um estudo transversal descritivo. Os dados foram coletados entre 03/11/15 e 03/02/16, através do prontuário e processados no programa SPSS versão 21®. A estatística descritiva foi utilizada para análise dos dados. A amostra constituiu-se de 57 pacientes. A média de idade encontrada foi de 66,9 anos, com predominância do sexo feminino (52,6%) e da cor parda (93,0%). Aproximadamente 68,4% dos pacientes apresentavam histórico de Hipertensão Arterial Sistêmica (HAS). As EHs diagnosticadas foram o acidente vascular cerebral (AVC) isquêmico (61,4%), seguido do AVC hemorrágico (29,8%), da insuficiência cardíaca congestiva (5,3%) e do infarto agudo do miocárdio (3,5%). 28,1% desses pacientes evoluíram com complicações. Em relação aos valores da PA encontrados na admissão, a média de pressão sistólica foi de 189,8 mmHg, enquanto que a média de pressão diastólica foi de 105,7 mmHg. Conclui-se que os AVCs, especialmente os isquêmicos, foram as EH mais frequentes na amostra. Faz-se necessário a efetivação de medidas de prevenção dos fatores de risco associados à HAS, assim como direcionadas ao controle dos níveis pressóricos para redução do número de atendimentos por emergência hipertensiva e demais complicações das doenças cardiovasculares.
COMPLICAÇÕES DECORRENTES DO TRATAMENTO DIALÍTICO: CONTRIBUIÇÃO DO ENFERMEIRO NO CUIDADO E EDUCAÇÃO AO PACIENTE
Authors: Lemos Horta Heloisa Helena , Lopes Mara Lisa
Published: October 2017

A doença renal crônica (DRC) é a incapacidade dos rins eliminarem substâncias tóxicas e manter o equilíbrio hidroeletrolítico. O paciente com DRC vive grandes dificuldades durante o tratamento dialítico, especificamente a hemodiálise. Durante o período de tratamento ele enfrenta uma avalanche de mudanças em sua vida, psicológica, física, familiar e social. O objetivo deste estudo visa conhecer as complicações sofridas pelo paciente renal crônico submetido à terapia dialítica e as intervenções do enfermeiro no cuidado e educação desse cliente. O método utilizado trata-se de um estudo em língua portuguesa, de caráter exploratório, com pesquisa na base de dados Scielo, em livros na área de nefrologia, bem como pesquisa eletrônica na internet. A literatura aponta que os pacientes com DRC encontram dificuldades no tratamento dialítico como falta de conhecimento da doença e seus sintomas, desconhecimento do tratamento, vindo a ter reflexo no ambiente familiar, psicológico e social. Tais dificuldades podem mudar com a intervenção do enfermeiro por ser o profissional mais próximo e constante desse paciente, através de medidas educativas ao paciente e familiar.
Human Rights in the EU’s Conditionality Policy Towards Albania: The Practice of Sub-committee Meetings
Authors: Jusufi Islam
Published: October 2017

EU enlargement policy is organized through a series of practices that regulate its relations with enlargement countries, including Albania, a candidate for EU membership. The aim of this contribution is modest in that it does not seek to engage in a discussion about the actual impact of EU conditionality. Instead, it takes the well-known limitations of external interference as given, and seeks to demonstrate the importance of an often-neglected institution in the process: sub-committees. These bodies bring together EU and Albanian officials and comprise a major part of the EU’s engagement with enlargement countries. Imposing conditionality through sub-committee meetings, including in the field of human rights, is a practice that occupies most of the time of the European Union services working at the offices that maintain relations with Albania. However, this instrument has received scant attention in the literature.
Discursive Strategies of Polish Nationalists in the Construction of the Other
Authors: Kajta Justyna
Published: October 2017

The paper explores the discursive strategies used by participants of Polish nationalist (radical right) organizations when they speak about others: Muslims and homosexuals. The article is based on the critical discourse analysis of 30 biographical narrative interviews with the members of three main Polish nationalist organizations: the National Radical Camp (ONR), the National Rebirth of Poland (NOP), and the All-Polish Youth (MW). Following the reconstruction of more general ways in which various categories of others are discursively constructed by narrators, the body of the paper focuses on two categories, Muslims and homosexuals, which appear most often in the narratives collected. The nationalists present themselves as the concerned defenders of both the European civilization as well as the Polish identity based on components such as religion (seen as the source of morality), tradition and history. Others are presented as a threat because of their otherness, claims and aspirations for power and dominance attributed to them. While Muslims constitute the embodiment of a cultural enemy who threatens the European (Christian) civilization, homosexuals are identified with liberalism seen as the danger destroying Polish identity and the traditional family.
Understanding Enemy Images in Central and Eastern European Politics
Authors: Gerő Márton , Płucienniczak Piotr P. , Kluknavska Alena , Navrátil Jiří , Kanellopoulos Kostas
Published: October 2017

In recent years, Europe has experienced a rise in politics based on antagonism, often discussed from the perspectives of populism and the mainstreaming of the ideologies of the radical right. In this study, we argue that there is a need for an interdisciplinary, theoretically broader and more empirically focused approach that fosters understanding of these developments. To explore the causal factors, we focus on the enemy images that are constructed and diffused by politicians, and their specific historical and structural contexts. The paper thus has two main components: First, we review what political theory, research on populism and on the extreme right and social psychology say about the functions of the use and development of enemy images. Second, we highlight the contextual factors that we consider make the success of a politics based on enemy images more likely in Central and Eastern Europe.
Safety, tolerability and pharmacokinetic profile of recombinant human tissue kallikrein, DM199, after intravenous and subcutaneous administration in healthy volunteers
Authors: Alexander-Curtis Michelle , Duan Jianmin , Seeklander Ashley , Scott Simon , Norton Nicola , Wong Chin Lin , Salman Sam , Verdoorn Todd A.
Published: October 2017

Background: DM199 is a recombinant form of human tissue kallikrein (KLK1) that is being developed for ischemia-related diseases such as acute ischemic stroke. KLK1 is an important serine protease that promotes vasodilation and microcirculation in multiple tissues. Preclinical stroke studies demonstrate that KLK1 treatment promotes vasodilation, angiogenesis, prevents inflammation, and cerebral cell death.

Methods: The safety and tolerability, as well as the pharmacokinetic profile of DM199 was investigated in a Phase 1B clinical trial following an intravenously (IV) or subcutaneous (SC) administration.  Part A was a single ascending IV infusion of DM199 and Part B involved a single IV infusion and single SC dose in two different groups.

Results: For both routes of administration, DM199 was found to be safe and well tolerated at all doses given, albeit the PK profile differed between routes with respect to the time to maximum concentration and plasma half-life. Importantly, DM199 did not influence blood coagulation parameters, suggesting it could be safely used with other stroke treatments like tPA.  

Conclusions: Together, these results support the design of future studies to test the efficacy of DM199 in ischemic related diseases including in acute ischemic stroke (AIS).
Assessing the reporting quality of randomized-controlled clinical trials involving novel oral anticoagulants in patients with atrial fibrillation based on the CONSORT statement
Authors: Arvanitaki Alexandra D. , Mantzouratou Polyxeni , Zintzaras Elias
Published: October 2017

Background: Inadequate reporting of the published randomized controlled trials (RCTs) may restrict the generalizability of treatment effectiveness and tolerability of non-vitamin K antagonist oral anticoagulants (NOACs) in patients with atrial fibrillation (AF). The main objective of this study was to assess the reporting quality of RCTs for efficacy and safety of NOACs vs. warfarin in patients with AF based on the consolidated standards of reporting trials (CONSORT) statement.

Methods: Pubmed was searched for relevant english-language RCTs. Eligible articles included pivotal RCTs and articles reporting results from sub-populations or post-hoc secondary analysis of the pivotal trials (non-pivotal trials). Eligible articles were assessed according to 37-item/sub-item checklist of CONSORT statement 2010. The assessment was overall and according to trial’s type, NOAC treatment and impact factor (IF) of journals.

Results: Search identified 92 articles eligible for evaluation. Half of CONSORT items were reported by more than 90% of the articles and 25% of items were reported in all articles. The majority of pivotal studies (94%) answered >75% of CONSORT items, while only half of non-pivotal studies had similar compliance (p<0.01). NOACs showed similar pattern in reporting quality (p>0.05), while IF had a significant effect in quality (p<0.01).  

Conclusions: RCTs for efficacy and safety of NOACs vs. warfarin in AF patients found to be well reported. Though, the quality of reporting is affected by type of trial and journals’ IF.
Impact of an enhanced homestead food production program on household food production and dietary intake of women aged 15-49 years and children aged 6-59 months: a pragmatic delayed cluster randomized control trial protocol
Authors: Moumin Najma A. , Hou Kroeun , Michaux Kristina D. , Stormer Ame , Mundy Gary , Porter Keith , Li Huiqing , Lynd Larry D. , Talukder Aminuzzaman , Green Timothy J.
Published: October 2017

Background: Undernutrition remains a public health problem in Cambodia. To address this, Helen Keller International has implemented an enhanced homestead food production (EHFP) program that provides agricultural inputs and, nutrition, hygiene, and gender empowerment training. This research evaluates the impact of EHFP on dietary intake of women and children and, household food production.

Methods: This two-year pragmatic delayed cluster randomized controlled trial will be conducted in 600 households in Kampot, Cambodia. Half the households will be randomly assigned to the intervention group and administered the EHFP program immediately. The remaining households (control) will be delayed for one year after which they will receive EHFP. In year one in the control group and year two in the intervention group, household data on food production and income generation will be collected using monthly surveys and, dietary data will be collected using 24-hour recalls from women 15-49 years and children 6-59 months twice during the year. Primary outcomes are differences between the treatment groups in mean intake of zinc and vitamin A among women and children. Secondary outcomes are differences between the treatment groups for other key nutrients and the incremental net monetary benefit of EHFP. Additional outcomes including household food security, women’s empowerment, and hygiene practices from larger project data will also be assessed.

Conclusions: The results of this trial will assess the impact of EHFP on household food production and the dietary intake of women and children.
The knowledge, practice, and attitude regarding antibiotic use among attendants of primary health care centres: a cross-sectional study in Qatar
Authors: J. B. Alkhuzaei Ameera Mohamedhayder , Salama Rasha ElSayed , Eljak Izz Eldin , Chehab Mohamad Abdul Halim , Selim Nagah Abdel Aziz
Published: October 2017

Background: The inappropriate use of antibiotics is a significant global health problem as it is contributing to the development of antimicrobial resistance. Thus, this study aimed at assessing the knowledge, attitude, and practice of antibiotic use among patients attending primary health care (PHC) centres in Qatar. Methods: 722 adult patients from the primary health care centres were recruited and a self-administered questionnaire was employed. Results: Regarding the knowledge, 69.9% of patients believed that completing the full course of antibiotics is a necessity. In addition, more than half of the interviewees believed that antibiotics are necessary to treat a sore throat or an ear infection. Interestingly, regarding the practice, more than half (54.4%) of the interviewed patients often requested antibiotics as part of their treatment. Regarding the attitude, many patients (87.2%) pressured physicians to be given an antibiotic. Conclusions: This study revealed that patients often have inadequate knowledge about antibiotic use, which affects their attitude and practice. Thus, educating patients may reduce unnecessary antibiotic use and resistance in the community.
Relations of body weight status in early adulthood and weight changes until middle age with metabolic syndrome in the Chinese population
Authors: Zhao Liancheng , Liu Huanhuan , Zhou Long , Li Ying , Guo Min , Wu Yangfeng
Published: October 2017

Background: The evidences for the relationship between long-term weight gain and metabolic syndrome (MetS) in Chinese population were limited. Therefore, this study aims to explore the association of body weight status in early adulthood and weight changes with MetS.Methods: Data from China Multicenter Collaborative Study of Cardiovascular Epidemiology including 12808 participants aged 35–59 were used. Participants were surveyed for cardiovascular risk factors and a self-reported weight at age 25, which was defined as early adulthood. Weight change was calculated as the difference between baseline weight and early adulthood weight. MetS was defined according to AHA/NHLBI definition in 2009. Multivariate logistic regression model was used to examine the association between early adulthood weight status, weight change and MetS.Results: Mean age of participants was 46.7 years, including 6134 men and 6674 women. The overall prevalence of MetS was 21.8%. After adjusted for age, sex and other confounding factors, both BMI at 25 age and weight gain were positively associated with the risk of MetS. Being overweight (BMI, 24–27.9 kg m-2) or obese (BMI ≥28 kg m-2) at early adulthood was related to an increased risk of MetS, the odds ratio (OR) and 95%confidence interval (CI) was 3.24 (2.82–3.72) and 13.31 (8.72–20.31). In addition, weight gain was also associated with higher risk of MetS (P for trend<0.01).Conclusions: Overweight and obesity in early adulthood and weight gain were both independently related to an increased risk of MetS in the middle-aged Chinese men and women.
Management of solid healthcare wastes in some government healthcare facilities in Enugu state, Southeast Nigeria: a cross-sectional study
Authors: Umegbolu Emmanuel I. , Ozoejike Innocentia N.
Published: October 2017

Background: The significance of healthcare wastes (HCWs) consists in their hazardous component, which constitutes real danger to public health. In Nigeria, healthcare waste management (HCWM) has remained a problem yet to be properly recognized and so addressed. The study aimed to sensitise health workers and the public on the need for proper management of HCWs, considering the public health implications of not doing so.Methods: The waste management systems of ten healthcare facilities (HCFs) were assessed, using a modification of the WHO rapid assessment tool. In each HCF, segregated wastes were collected daily for ten days and quantified by weighing, using a spring balance.Results: Administratively, the HCWM system was poor in the ten HCFs (40.6%). 70% of them had satisfactory waste segregation, 81%, good waste treatment, and 26.7% adequate transportation methods for waste. None of the HCFs had budget allocation for HCWM, and 90% had inadequate storage facilities. Mean waste generation was 1.81 kg/day, 0.23 kg/patient/day, 0.16 kg/bed/day, and proportion of infectious wastes 16.8%. Correlation between the number of patients and proportion of infectious waste, was positive, strong and significant (r=0.80, p=0.01), and between bed occupancy rate and proportion of infectious waste, was positive too, but weak, and insignificant (r=0.34, p=0.34).Conclusions: In view of the identified weaknesses of the ten HCFs in HCWM, budget allocations for HCWM, improving waste storage facilities and transportation, with strengthening of waste segregation, collection, and treatment, would help to ensure adequate HCWM in the HCFs.
Physical problems and needs of patients in palliative care center
Authors: Mithrason Arun T. , Parasuraman Gomathy
Published: October 2017

Background: Palliative care provides care in the relief of pain and other distressing symptoms by early identification and impeccable assessment. The problems of the people suffering from incurable diseases are multiple and multi-dimensional. Also, suffering caused by the same problem differs among individuals. To provide effective and quality palliative care services, the health care team needs quality information about what the patients really need and what are their priority problems from their own point of view. This study aims to find out the problems and needs of palliative care patients.Methods: A cross sectional study was done in ‘Jeevodaya Hospice care Centre’, located in North Chennai in Mathoor, Manali. 60 patients were included in the study. Questionnaire on problems and needs in palliative care was used to cover the physical problems. Data was analyzed using SPSS version 17.Results: The most common physical problems perceived by the study subjects were pain (100%), insomnia (93.3%), fatigue (88.3%) and loss of appetite (83.3%).Conclusions: This study indicates a need for more professional attention for palliative care patients. This does not imply dissatisfaction with present care. In fact, it is a desire for future care and room for improvement, not a judgment of the quality of care in the present or past.
Study on the impact of family history of diabetes among type 2 diabetes mellitus patients in an urban area of Kancheepuram district, Tamil Nadu
Authors: A. Geetha , S. Gopalakrishnan , R. Umadevi
Published: October 2017

Background: Type 2 diabetes mellitus (T2DM) is a commonly occurring chronic non communicable disease. Family history of diabetes is one of the important non modifiable risk factor for occurrence of the disease. This study was done to assess the percentage of positive family history of diabetes among T2DM patients and its association with age of onset and complications of diabetes. Methods: This is a descriptive cross sectional study done in an urban health training centre of a medical college. Using purposive sampling technique, 215 diabetic patients were selected as study participants. Data collection was done by structured questionnaire. Data analysis was done using SPSS 17. Results: Among the study participants, 62.3% were females. The mean age of the participants was 56.08±10.04. Nearly 68.8% of T2DM patients had family history of Diabetes, among them 25.1% of them had diabetic mother and 15.3% had diabetic father. Among the study group of T2DM patients, 51.6% had diabetic complications. The family history of diabetes with age of onset and complications had statistically significant association among the study group. Conclusions: This study shows that persons with positive family history of diabetes are more prone to early onset of diabetes and developing complications. So appropriate behavioural changes and modification must be practiced to delay or prevent the occurrence of the disease. Early diagnosis and treatment is a must to prevent the complications in the vulnerable people.
KAP study on bio-medical waste management among interns in a tertiary care hospital in Maharashtra
Authors: Pandey Aastha , Dardi Charan Kaur
Published: October 2017

Background: Biomedical Waste Management is Hazardous and can lead to many infections and diseases. Interns are the future physicians of tomorrow and they should be conscious about safe disposal and segregation practices. So, the present study was undertaken to assess the knowledge and awareness about Biomedical waste management in Interns. The aims and objectives were to assess the knowledge and awareness about biomedical waste management in Interns.Methods: This cross sectional study was carried out in 51 interns. A pretested self-administered questionnaire on BMW management was given to the interns.Results: Out of 51 interns 26 were girls and 25 were boys. 63% knew correct definition of biomedical waste. 23.5% said that authorization is required by CPCB. 15% had undergone training but 60% were keen to attend training programme. 86% had correct knowledge about sources of generation of BMW and 94% had knowledge of Biohazard symbol. Only 68% had knowledge of segregation of waste but none had knowledge of correct colour coding. 88% answered that record maintenance was essential for biomedical waste management. 94% said that BMW is teamwork.Conclusions: There is a need for rigorous training programme for interns and monitoring is needed.