bluuebunny/crossref_metadata_2025 huggingface dataset:
A Meta-Analysis of Gender Differences in Subjective Well-Being: Estimating Effect Sizes and Associations With Gender Inequality
Authors: Batz-Barbarich Cassondra , Tay Louis , Kuykendall Lauren , Cheung Ho Kwan
Published: July 2018

Despite global gender inequalities, findings on gender differences in subjective well-being have been inconsistent. We conducted a meta-analysis on gender differences in subjective well-being to account for the type of subjective-well-being measure, sampling variability, and levels of national gender inequality from which samples are gathered. Based on 281 effect sizes for life satisfaction ( N = 1,001,802) and 264 for job satisfaction ( N = 341,949), results showed no significant gender differences in both types of subjective well-being. Supplementary meta-analyses found significantly lower job satisfaction, but not life satisfaction, in women for studies that used both life-satisfaction and job-satisfaction measures, and studies that relied on measures that previously demonstrated measurement equivalence. Using the Gender Inequality Index, we found that greater national gender inequality significantly predicts greater gender differences in job satisfaction, but not life satisfaction. We discuss the implications of these findings and the use of subjective well-being as a measure of societal progress.
The transnational dynamics of local remembrance: The Jewish past in a former shtetl in Poland
Authors: Törnquist-Plewa Barbara
Published: July 2018

This article presents an example of how the transnational production of memory is at work in a small Polish town that, prior to the Holocaust, was a “shtetl.” The author uses transnational optics to take an in-depth look at how local memories of Jews and the Holocaust are formed in this particular locality and discusses the effects of transnational mnemonic encounters. She highlights the multiscalarity of transnational processes as well as the continuing resilience of national frameworks.
When remembering back is not enough: Provincializing Europe in World War II novels from India and New Zealand
Authors: Schulze-Engler Frank
Published: July 2018

While the participation of millions of non-European soldiers in global wars has often been neglected or told as a victimological tale of unwilling war participation, choice and agency play a major part in the complex mnemonic agenda that unfolds in two novels that have pioneered the literary re-imagination of World War II from a non-European perspective: Amitav Ghosh’s The Glass Palace and Patricia Grace’s Tu. Both novels provide fascinating insights into ongoing processes of memory revision that contribute to an altered global memory of global war. Setting the historical record right by highlighting the achievements and sacrifice of non-European soldiers certainly constitutes one component of these processes, but to reduce these novels to instances of an allegedly “postcolonial” act of “remembering back” not only misses what these novels are substantially about, but also ironically re-centers Europe as the hub of global memory rather than de-centring Eurocentric memory routines.
Omega-3 polyunsaturated fatty acids favourably modulate cardiometabolic biomarkers in type 2 diabetes: a meta-analysis and meta-regression of randomized controlled trials
Authors: O’Mahoney Lauren L. , Matu Jamie , Price Oliver J. , Birch Karen M. , Ajjan Ramzi A. , Farrar Diane , Tapp Robyn , West Daniel J. , Deighton Kevin , Campbell Matthew D.
Published: July 2018

Background

Randomized controlled trials (RCTs) suggest that supplementation with omega-3 polyunsaturated fatty acids (n-3PUFAs) may favourably modify cardiometabolic biomarkers in type 2 diabetes (T2DM). Previous meta-analyses are limited by insufficient sample sizes and omission of meta-regression techniques, and a large number of RCTs have subsequently been published since the last comprehensive meta-analysis. Updated information regarding the impact of dosage, duration or an interaction between these two factors is therefore warranted. The objective was to comprehensively assess the effect of n-3PUFAs supplementation on cardiometabolic biomarkers including lipid profiles, inflammatory parameters, blood pressure, and indices of glycaemic control, in people with T2DM, and identify whether treatment dosage, duration or an interaction thereof modify these effects.

Methods

Databases including PubMed and MEDLINE were searched until 13th July 2017 for RCTs investigating the effect of n-3PUFAs supplementation on lipid profiles, inflammatory parameters, blood pressure, and indices of glycaemic control. Data were pooled using random-effects meta-analysis and presented as standardised mean difference (Hedges g) with 95% confidence intervals (95% CI). Meta-regression analysis was performed to investigate the effects of duration of supplementation and total dosage of n-3PUFAs as moderator variables where appropriate.

Results

A total of 45 RCTs were identified, involving 2674 people with T2DM. n-3PUFAs supplementation was associated with significant reductions in LDL [ES: − 0.10, (95% CI − 0.17, − 0.03); p = 0.007], VLDL (ES: − 0.26 (− 0.51, − 0.01); p = 0.044], triglycerides (ES: − 0.39 (− 0.55, − 0.24; p ≤ 0.001] and HbA1c (ES: − 0.27 (− 0.48, − 0.06); p = 0.010]. Moreover, n-3PUFAs supplementation was associated with reduction in plasma levels of TNF-α [ES: − 0.59 (− 1.17, − 0.01); p = 0.045] and IL-6 (ES: − 1.67 (− 3.14, − 0.20); p = 0.026]. All other lipid markers, indices of glycaemic control, inflammatory parameters, and blood pressure remained unchanged (p > 0.05).

Conclusions

n-3PUFAs supplementation produces favourable hypolipidemic effects, a reduction in pro-inflammatory cytokine levels and improvement in glycaemia. Neither duration nor dosage appear to explain the observed heterogeneity in response to n-3PUFAs.

Trial registration This trial was registered at http://www.crd.york.ac.uk as CRD42016050802
Mysticism and the Politics of Theory
Authors: Craig Eleanor , Hollywood Amy
Published: July 2018

In this interview Amy Hollywood talks about her collection of essays Acute Melancholia and how medieval mystical texts might speak to persistent dilemmas in critical theory and philosophy of religion. The relationship between theory and practice is traced back to monastic discourses on the life of contemplation and the life of action. While critique is widely understood to indicate that something is undone or swept away, there is recurring difficulty determining what constitutes a truly new or transformative turn. This is a political as well as theoretical matter, and the interview engages head-on ways that power and inequality shape perceptions of rationality, possibility, truth, and value.
Influência dos fatores consciência ambiental e hábitos de consumo sustentável sobre a intenção de compra de produtos ecológicos dos indivíduos
Authors: Mondini Vanessa Edy Dagnoni , Borges Gustavo Da Rosa , Mondini Luis Cesar , Dreher Marialva Tomio
Published: July 2018

A responsabilidade sobre questões ecológicas, anteriormente atribuída às esferas pública e privada, vem se estendendo cada vez mais para os hábitos e comportamentos de consumo da sociedade e, em especial, dos indivíduos. Sob esta ótica, o objetivo deste estudo é analisar a influência dos fatores consciência ambiental e hábitos de consumo sustentável sobre a intenção de compra de produtos ecológicos dos indivíduos. Nesta perspectiva, realizou-se uma pesquisa quantitativa e descritiva com 182 estudantes de uma instituição de ensino superior catarinense. Utilizou-se como instrumento de coleta de dados, um questionário estruturado, baseado nos estudos de Cardoso e Cairrão (2007). A análise dos dados foi realizada por meio da modelagem de equação estrutural. Os resultados obtidos indicaram que a intenção de compra de produtos ecológicos é maior quando o consumidor é mais consciente sobre questões ambientais.
O narcisismo na docência universitária
Authors: Alves Rafaela Brandão , Curado Bárbara Taveira Fleury
Published: July 2018

O presente artigo é um ensaio teórico que propõe discutir um dos não-ditos que circulam os corredores da academia: o narcisismo que perpassa a docência universitária. Para isso, será abordado o conceito de narcisismo para a Psicanálise, extraindo deste tanto a sua face estruturante, quanto aquela que aponta para o excesso na busca por olhares. Parte-se do ponto de vista de que a conjuntura socioeconômica vigente corrobora para o fomento desse narcisismo em todas as esferas da vida humana, o que não se faria diferente no fazer docente, já que o reconhecimento do professor é proporcional às suas linhas no currículo Lattes. Desse modo, este ensaio busca problematizar os efeitos do narcisismo na relação docente-discente e na produção do mal-estar sofrido pelos professores universitários. Por fim, é abordada a face oculta do ódio, subjacente à face do amor, como uma possibilidade de realizar o corte na relação espelhada entre docente-discente, a partir do que se daria a transmissão não apenas de saberes, mas da castração insistentemente disfarçada. O que a Psicanálise aponta como essencial quando se fala em transmissão do conhecimento.
SHARING THE SPIRIT, FANNING THE FLAMES OF SOCIAL JUSTICE
Authors: Malachias Rosangela , Reilly Elizabeth C. , Fuller Kay
Published: July 2018

From its first conference held in Rome in 2007, when members of Women Leading Education (WLE) began profiling the progress, successes, and challenges of women leaders internationally and offering theories to expand our understanding of women in leadership, we have had the opportunity not only to meet together at our bi-yearly conferences as scholars and practitioners face-to-face, but to extend our work beyond them. Numerous research initiatives, conference presentations, and publications have resulted from the collaboration of WLE colleagues.
Book Reviews
Authors: Buchbinder David , Campbell Baird
Published: July 2018

Gay Men at the Movies: Cinema, Memory and the History of a Gay Male Community, Scott McKinnon (2016) Bristol, UK: Intellect and Chicago: University of Chicago Press, 250 pp., ISBN: 9781783205967, p/bk, £42.00/$60.00

Reprojecting the City: Urban Space and Dissident Sexualities in Recent Latin American Cinema, Benedict Hoff (2016) Cambridge: Legenda, 188 pp., ISBN: 9781909662469, h/bk, £75, $99, €85
Diagnostics of Various Phenomena in LV Devices Under Real Switching Conditions
Authors: Valenta J. , Samohejl M. , Fendrych M. , Kloc P. , Dostál L.
Published: July 2018

The article deals with issues to be tackled when performing experiments with low voltage devices under real switching conditions and subsequently discusses various phenomena in an experimental device. The first part describes optimum setting of diagnostic equipment - mainly for optical diagnostic methods. The second part describes some phenomena encountered during switching process under real switching conditions - arc roots movement (cathode and anode spots). These phenomena are not only important for experimental study itself but also form necessary input data for numerical models and their validation.
A Review of Progress Towards Simulation of Arc Quenching in Lightning Protection Devices Based on Multi Chamber Systems
Authors: Chusov A. , Rodikov E. , Murmann M. , Nordborg H. , Fuchs R.
Published: July 2018

Two distinct modes of follow current suppression were observed in multi-chamber systems (MCS) under lightning overvoltage: Zero Quenching (ZQ) and Impulse Quenching (IQ). Suﬃciently lower erosion of electrodes and evaporation of discharge chamber walls makes the IQ more preferable as a mechanism of arc quenching. Since experimental search for best MCS design is both diﬃcult and expensive numerical modeling is considered as a prospective method for geometry optimization. Several steps were made towards development of eﬃcient arc model. This article highlights most important results of arc quenching simulation and current status of arc model development.
Visuelle Identitäten
Authors: Allerstorfer Julia
Published: July 2018

Künstlerische Selbstinszenierungen in der zeitgenössischen iranischen Videokunst sind nicht zuletzt durch Identitätskonstruktionen im sowohl inner- als auch außeriranischen visuellen Diskurs geprägt. Im Zentrum dieses Buches stehen Arbeiten von Simin Keramati und Shahram Entekhabi, die in eine breit angelegte kunst- und kulturwissenschaftliche Analyse des Identitätsbegriffs in Iran des 20. und 21. Jahrhunderts eingebettet sind. Julia Allerstorfers interdisziplinäre Studie berücksichtigt aktuelle Debatten um kulturelle Identität in migrativen und länderübergreifenden Kontexten und führt differenziert in performative und de/konstruktive Praxen der Selbstdarstellung in der iranischen Gegenwartskunst ein.
Grenze filmen
Authors: Kuster Brigitta
Published: July 2018

Welchen Beitrag können filmische Praxen und Erzeugnisse zur Reproduktion von Migrations- und Grenzregimes leisten? Ausgehend von der Annahme, dass audiovisuelle Umgebungen die Bewegungen der Migration sowohl informieren als auch formieren, analysiert Brigitta Kuster Filmklassiker ebenso wie (künstlerische) Dokumentarfilme, die meist illegale Grenzpassagen nach Europa reflektieren. Hierbei berücksichtigt sie in ihrer Studie auch das filmische Archiv rund um den durch den Film »Terminal« bekannt gewordenen Fall des Mehran Karimi Nasseri, der beinahe zwei Jahrzehnte lang auf dem Pariser Flughafen Charles de Gaulle lebte, sowie die popkulturellen und YouTube-Umgebungen der Harraga.
Inklusion und Fremdheit
Authors: Singer Philipp
Published: July 2018

Führt Inklusion wirklich zu einer größeren Wertschätzung behinderter Menschen? Der Imperativ der Inklusion führt den gesellschaftspolitischen und pädagogischen Diskurs an, wobei der Inklusionsbegriff immer schillerndere Ausmaße annimmt und bis zur Unkenntlichkeit entstellt erscheint. Unter Bezugnahme auf Bernhard Waldenfels' Begriff der Fremdheit zeigt Philipp Singer, wie sich die gut gemeinten inklusionspädagogischen Appelle in ihr Gegenteil verkehren. Neben einer intensiven Auseinandersetzung mit den theoretischen Grundlagen des pädagogischen Inklusionsbegriffes liefert er in sozialpolitisch-kritischer Absicht die wissenschaftliche Grundlage zur Diskussion über einen nicht ausschließenden Umgang mit Fremdheit im Kontext von Behinderung.
Fieldwork on High Heels
Authors: Kubes Tanja
Published: July 2018

Glänzende Fahrzeugneuheiten und sexy Hostessen bilden auf Automobilmessen eine Ausstellungseinheit. Aber warum steht dort neben jedem Auto eine lächelnde Frau? Und wie wirkt sich diese stereotype Schönheitsinszenierung auf das Frauenbild unserer Gesellschaft und das leibliche Empfinden der Akteurinnen aus? Um einen direkten Zugang zur Messewelt zu bekommen, hat Tanja Kubes selbst als Hostess gearbeitet. Ihre Studie bietet somit eine faszinierende Innensicht auf die heteronormativen Schönheits-, Körper-, Macht- und Inszenierungspraxen während der Messe, indem sie multisensorische, autoethnographische Erfahrung mit leitfadengestützten Interviews und Techniken der Medienanalyse methodisch kombiniert.
Modification of Surface of Basalt Fabric on Protecting Against High Temperatures by the Method of Magnetron Sputtering
Authors: Miśkiewicz Pamela , Frydrych Iwona , Pawlak Wojciech , Cichocka Agnieszka
Published: July 2018

Basalt fibers and fabrics made of these are characterized by excellent thermal and mechanical properties. Therefore, basalt fabrics, due to a good resistance to high temperatures, are frequently applied in the personal protection equipment (PPE). In order to improve their thermal properties and, above all, the contact heat resistance, the process of physical vapor deposition was proposed. The process of Physical Vapor Deposition (PVD) involves producing a coating on a specific substrate as a result of physical deposition of molecules, ions or atoms of the selected chemical compounds. The method selected for the test is the magnetron sputtering. It involves depositing a uniform film of chromium on the surface of the basalt fabric. In order to improve the thermal properties – especially the contact heat resistance, two values of thickness of the chromium layer deposited on the basalt fabric surface were adopted for the test. Covering 1 μm and 5 μm with the chromium layer did not fulfil the expectations and the research will be continued.
Pilates Method Training: Functional and Blood Glucose Responses of Older Women With Type 2 Diabetes
Authors: Melo Karla Cinara Bezerra , Araújo Flávio de Souza , Cordeiro Júnior Claudionor Cícero Mascêna , de Andrade Karoline Teixeira Passos , Moreira Sérgio Rodrigues
Published: July 2018

Melo, KCB, Araújo, FdS, Cordeiro Júnior, CCM, de Andrade, KTP, and Moreira, SR. Pilates method training: Functional and blood glucose responses of older women with type 2 diabetes. J Strength Cond Res 34(4): 1001–1007, 2020—The objective of this study was to investigate the effect of 12 weeks of the Pilates method on the functional capacity (FC) and glycemic control of older women with type 2 diabetes (T2D). Twenty-two women with T2D were randomized into control (CONTROL: 67.5 ± 6.3 years; 154.7 ± 6.1 cm; 73.5 ± 6.1 kg) and Pilates (PILATES: 65.5 ± 5.5 years; 155.0 ± 4.5 cm; 66.2 ± 5.4 kg) groups, which held sessions of 60 minutes at a frequency of 3 times per week during 12 weeks. Blood glucose was measured before and after sessions in PILATES, as well as in moments of pre, rest, 4, 8, and 12 weeks of the PILATES and CONTROL interventions. The glycated hemoglobin (HbA1c) level before and after 12 weeks of the intervention was evaluated. The general index of the FC (GIFC) was obtained through a battery of tests for older patients with T2D. Analysis of variance detected differences in the GIFC for PILATES vs. CONTROL, respectively, in 4 weeks (30.3 ± 4.6 vs. 34.8 ± 4.9 seconds; p < 0.05), 8 weeks (29.2 ± 4.5 vs. 34.6 ± 4.9 seconds; p < 0.05), and 12 weeks (27.2 ± 4.0 vs. 35.3 ± 4.6 seconds; p < 0.05). PILATES presented a difference in postprandial glycemia pre- vs. 4 and 12 weeks (246.1 ± 58.5 vs. 219.9 ± 59.9 and 207.6 ± 49.1 mg·dl−1, respectively; p < 0.05), as well as in HbA1c pre- vs. 12 weeks (7.8 ± 1.0 vs. 6.7 ± 0.6%, respectively; p < 0.05). Differences in postprandial glycemia (p < 0.05) were found in PILATES before vs. after sessions, respectively, of 1st–12th (217.1 ± 49.1 vs. 157.9 ± 55.7 mg·dl−1), 13th–24th (204.5 ± 44.7 vs. 146.3 ± 44.5 mg·dl−1), and 25th–36th (214.3 ± 40.4 vs. 152.7 ± 52.0 mg·dl−1). A correlation between postprandial glycemia and GIFC after 12 weeks was detected (r = 0.37; p = 0.04). It is concluded that 12 weeks of the Pilates method induces improvement and relationship in the FC and glycemic control in older women with T2D.
Reliability and Usefulness of Time-Motion and Physiological Responses in Simulated Judo Matches
Authors: Franchini Emerson , Dunn Emily , Takito Monica Y.
Published: July 2018

Franchini, E, Dunn, E, and Takito, MY. Reliability and usefulness of time-motion and physiological responses in simulated judo matches. J Strength Cond Res 34(9): 2557–2564, 2020—Match simulations have been used to investigate different interventions in judo. However, no study has assessed the reliability of actions performed and the physiological responses to the match and its usefulness. Thus, 2 studies were conducted to verify the reliability of time-motion and physiological responses to judo matches. In the first study, 25 judo athletes performed one 5-minute judo match simulation twice, 1 week apart, and had their heart rate and blood lactate measured. In the second, 12 judo athletes performed one 5-minute judo simulation 4 times, 72 hours apart, and had their primary actions and match temporal structure analyzed. Comparisons between conditions, reliability (using intraclass correlation coefficient, ICC), typical error (TE), smallest worthwhile change (SWC), and minimal detectable change were determined. The main findings indicated that: (a) there were no differences between matches for any variable; (b) ICCs were significant (except for blood lactate before matches in both studies) with 6 variables presenting large (number of attacks plus defensive actions, number of scoring actions, efficiency, number of sutemi-waza, time per combat sequence, and time per interval phase time), and the remaining 15 variables presenting very large reliability; (c) TE was higher than SWC for all variables when small differences were considered. Moderate changes in peak blood lactate and the change in blood lactate (in both studies), and time in tachi-waza could be properly detected; however, only large changes could be detected for all other variables, suggesting that investigations using match simulation as an outcome variable may only detect large changes.
Using Sport Psychology Research to Address Commonly Overlooked Strength and Conditioning Coaching Problems
Authors: Gillham Andy , Doscher Michael
Published: July 2018

IMPROVING COACHING EFFECTIVENESS FOR STRENGTH AND CONDITIONING COACHES GOES BEYOND THE COACH KNOWLEDGE AREA OF PROGRAM DESIGN. MANY FACTORS GO INTO DETERMINING WHAT EFFECTIVE COACHING LOOKS LIKE AND SOME OF THOSE FACTORS ARE NOT TYPICALLY INCLUDED WITHIN A STRENGTH AND CONDITIONING COACH'S FORMAL ACADEMIC COURSEWORK. THE PURPOSE OF THIS ARTICLE IS TO CONSIDER PSYCHOSOCIAL RESEARCH-GUIDED SOLUTIONS TO COMMON CHALLENGES FACED BY THE CONTEMPORARY STRENGTH AND CONDITIONING COACH.
Hubungan Hukum Dokter dan Pasien Serta Tanggung Jawab Dokter Dalam Penyelenggaraan Pelayanan Kesehatan
Authors: Mannas Yussy A.
Published: July 2018

Abstract:The emergence rights and obligations as a result of legal relationship between doctors and patients could potentially trigger a dispute between doctors and patients or medical disputes. In an effort to avoid or reduce medical disputes, it is necessary to understand the construction of the legal relationship between doctor and patient. From this legal relationship which will result legal actions and gave rise to legal consequences. In a legal effect, it can’t be separated is about who is responsible, as far as what responsibility can be given. It describes that relationship and the patient's physician if constructed, it can be divided based on two factors; transaction of therapeutic and act. In relation patient - physician based therapeutic, known as therapeutic relationship or transaction therapeutic, there is a binding between patients and physicians in the treatment of the disease or treatment. Engagements happens is inspanningsverbintennis and not resultaatsverbintennis, and must comply with the provisions of Article 1320 of the Civil Code. The relationship between doctor and patient is based on the Act - legislation occurred under Article 1354 of the Civil Code, which formulates zaakwaarneming. Legal relationship that occurs by two things above give rise to legal liability for doctors, the responsibility in the field of disciplinary law, criminal law, civil law and administrative law.Keywords: Doctor, Patient and Legal Relationship.Abstrak:Munculnya hak dan kewajiban sebagai akibat hubungan hukum antara dokter dan pasien berpotensi memicu terjadinya sengketa antara dokter dengan pasien atau sengketa medik. Dalam upaya menghindari atau mengurangi sengketa medik yang terjadi, maka perlu dipahami mengenai konstruksi hubungan hukum antara dokter dengan pasien. Dari hubungan hukum inilah yang akan melahirkan perbuatan hukum dan menimbulkan adanya akibat hukum. Dalam suatu akibat hukum, hal yang tidak dapat dipisahkan adalah mengenai siapa yang bertanggung jawab, sejauh apa tanggung jawab dapat diberikan. Dalam tulisan ini diuraikan bahwa hubungan dokter dan pasien ini jika dikonstruksikan maka dapat dibagi berdasarkan dua hal, yaitu transaksi terapeutik dan undang-undang. Pada hubungan pasien- dokter berdasarkan terapeutik, dikenal hubungan terapeutik atau transaksi terapeutik, yaitu terjadi suatu ikatan antara pasien dan dokter dalam hal pengobatan atau perawatan penyakitnya. Perikatan yang terjadi ialah inspanningsverbintennis dan bukan resultaatsverbintennis, dan harus memenuhi ketentuan Pasal 1320 KUHPerdata. Hubungan dokter dan pasien berdasarkan undang–undang terjadi berdasarkan Pasal 1354 KUHPerdata yang merumuskan tentang zaakwaarneming. Hubungan hukum yang terjadi oleh dua hal diatas menimbulkan tanggung jawab hukum bagi dokter, yaitu tanggung jawab dalam bidang hukum, hukum pidana, hukum perdata dan hukum administrasi.Kata Kunci: Dokter, Pasien dan Hubungan Hukum.
Rediscovering Confession The Practice of Forgiveness and Where it Leads, by David A. Steere
Authors: Mills Stella
Published: July 2018

Rediscovering Confession The Practice of Forgiveness and Where it Leads by David A. Steere. Routledge, 2009. 296pp. Hb. $67.95, 9780415997461; Pb. $51.95, ISBN-13: 9781138881761.
Plato’s Gods by Gerd Van Riel
Authors: Mills Stella
Published: July 2018

Plato’s Gods by Gerd Van Riel. Routledge, 2013. 146pp., Hb. $160.00. ISBN-13: 9780754607007; Pb. $52.95, ISBN-13: 9780754607007.
Atomistic simulation of the uniaxial compression of black phosphorene nanotubes
Authors: Nguyen Van-Trang , Le Minh-Quy
Published: July 2018

We study through molecular dynamics finite element method with Stillinger-Weber potential the uniaxial compression of (0, 24) armchair and (31, 0) zigzag black phosphorene nanotubes with approximately equal diameters. Young's modulus, critical stress and critical strain are estimated with various tube lengths. It is found that under uniaxial compression the (0, 24) armchair black phosphorene nanotube buckles, whereas the failure of the (31, 0) zigzag one is caused by local bond breaking near the boundary.
Genetic variants related to angiogenesis and apoptosis in patients with glioma
Authors: Calastri Maria Clara Jessica , Rodrigues Nicolas Luz Toledo Ortega , Hatori Gabriela , Gregório Michele Lima , Brancati Camila Ive Ferreira Oliveira , Zanovelo Eliane Milharcix , Ferraz Filho José Roberto Lopes , Neiva Cassiano Merussi , Rodrigues Junior Antonio Carlos Ponde , Godoy Moacir Fernandes de , Lancelloti Carmen Lucia Penteado , Tognola Waldir Antonio , Souza Dorotéia Rossi Silva
Published: July 2018

ABSTRACT Background Glioma, the most common primary malignant brain tumor in adults, is highly aggressive and associated with a poor prognosis. The objectives of this study were to evaluate the association of genetic polymorphisms related to angiogenesis and apoptosis with gliomas, as well as comorbidities, lifestyle, clinical profile, survival and response to treatment (temozolomide [TMZ] and radiotherapy [RT]) in patients with the disease. Methods In a total of 303 individuals, genotypes were performed by real-time PCR, and clinical data, lifestyle and comorbidities were obtained from medical records and questionnaires. The significance level was set at 5%. Results Smoking, alcohol consumption, systemic arterial hypertension, diabetes mellitus and body mass index prevailed among patients, compared to controls (p < 0.05). The heterozygous genotype rs1468727 (T/C) and the homozygous genotype rs2010963 (G/G) (p > 0.05) were observed in both groups. Lifestyle and comorbidities showed independent risk factors for the disease (p < 0.0001, p = 0.0069, p = 0.0394, respectively). Patients with low-grade gliomas had a survival rate of 80.0 ± 1.7% in three years. For the combination of TMZ+RT, survival was 78.7 ± 7.6% in 20 months, compared to TMZ only (21.9 ± 5.1%, p = 0.8711). Conclusions Genetic variants were not associated with gliomas. Specific lifestyle habits and comorbidities stood out as independent risk factors for the disease. Low-grade gliomas showed an increase in patient survival with TMZ+RT treatment.
Every birth is a story: process of choosing the route of delivery
Authors: Oliveira Virgínia Junqueira , Penna Claudia Maria de Mattos
Published: July 2018

ABSTRACT Objective: To analyze the discourses on the choice of the route of delivery from the perspective of women and health professionals in a public network. Method: The methodological approach is the discourse analysis. The data collection was through interviews and the treatment of the data was based on discourse analysis. Results: The categories were: 1- Between the preference and the decision there is no choice; 2- The complexity of the choice of the route of delivery; 3- It is necessary to legitimize the choice of the woman. Final considerations: From the perspective of women in labor the route of delivery is determined by the physician and women are not proactive. The nurses' performance is timid, although their presence is fundamental for stimulating the physiological delivery and promoting the autonomy of women. It identifies the need for the physician to adopt a welcoming attitude, informing the women about the pros and cons involved in choosing the route of delivery.
Reflections of nurses in search of a theoretical framework for maternity care
Authors: Rosa Rosiane da , Costa Roberta , Souza Ana Izabel Jatobá de , Lima Margarete Maria , Schneider Dulcinéia Ghizoni , Santos Evanguelia Kotzias Atherino dos
Published: July 2018

ABSTRACT Objective: To define a theoretical framework to guide the systematization of nursing care in a maternity unit in the South of Brazil. Method: This was the preliminary stage of a qualitative methodological study, based on an educational activity and the assumptions of Paulo Freire, involving 15 nurses, between August and November 2015. The aim of data analysis was to identify emerging themes. Results: The following themes emerged: knowledge of nurses about nursing theories; barriers to implementing and systematizing nursing care; the importance of a framework to guide practice and; educational activities as opportunities to systematize nursing care. Conclusion: The discussion process involved in establishing the theoretical framework enabled reflections about nursing practices, reinforcing the importance of theoretical frameworks to guide work processes and enhance quality of care.
Applicability of Orem: training of caregiver of infant with Robin Sequence
Authors: Demoro Cleide Carolina da Silva , Fontes Cassiana Mendes Bertoncello , Trettene Armando dos Santos , Cianciarullo Tamara Iwanow , Lazarini Ilza Marques
Published: July 2018

ABSTRACT Objective: to report the nurses' experience in relation to the training of caregivers of infants with Isolated Robin Sequence (IRS) for maintaining care after hospital discharge from the perspective of Self-Care Theoretical Framework. Method: the following categories were considered in this experience report: self-care action, self-care capacity, therapeutic self-care demand, self-care deficit, and nursing system. The nursing system was wholly compensatory and supportive-educative. Results: caregivers' training by nurses results in the acquisition of technical skills and specific knowledge related to the infant's positioning in elevated ventral decubitus, nasopharyngeal intubation, feeding-facilitating techniques and care with the feeding tube. Final considerations: the continuity of home care is guaranteed from caregivers' training for the therapeutic demand.
Clinical application of the Standard Operating Procedure of Positioning with Premature Infants
Authors: Santos Alessandra Madalena Garcia , Viera Claudia Silveira , Toso Beatriz Rosana Gonçalves de Oliveira , Barreto Grasiely Masotti Scalabrin , Souza Sarah Nancy Deggau Hegeto de
Published: July 2018

ABSTRACT Objective: To compare the physiological and behavioral responses of Premature Infant (PREEMIE) positioned by the Unit Routine Decubitus (URD) and the Standard Operating Procedure (SOP). Method: A quasi-experimental comparative study performed at a Neonatal Intensive Care Unit in Southern Brazil. We evaluated 30 PREEMIEs with gestational age ≤32 weeks, randomly assigned to Unit Routine Decubitus (URD) and Intervention Group (IG), subdivided into Right Lateral Decubitus (RLD), Dorsal Decubitus (DD), Left Lateral Decubitus (LLD) and Ventral Decubitus (VD). It was evaluated before, during and after the procedure: Heart Rate (HR); Respiratory Frequency (RF); Peripheral Oxygen Saturation (SpO2); behavior by the Neonatal Behavioral Assessment Scale (NBAS); by NIPS. Results: During the intervention, RR (p = 0.023), indexes in NBAS (p = 0.01) and NIPS (p <0.0001) reduced significantly in SOP. HR and SpO2 did not present a significant difference. Conclusion: Positioning according to the SOP shows benefit in relation to the behavioral and physiological status of PREEMIE.
Network to combat violence against rural women: articulation and communication of services
Authors: Borth Luana Cristina , Costa Marta Cocco da , Silva Ethel Bastos da , Fontana Darielli Gindri Resta , Arboit Jaqueline
Published: July 2018

ABSTRACT Objective: to identify the constituent services of the network to combat violence against rural women in municipalities in the northwestern region of Rio Grande do Sul and to analyze the articulation and communication of services in search of the resolution of situations of violence. Method: descriptive-exploratory, qualitative study, carried out through semi-structured interviews with 26 professionals from intersectoral services, as well as managers and/or those responsible for these services. Data were systematized through content analysis. Results: although the professionals collectively discuss and plan coping actions, difficulties were identified in the approximation between services, related to the definition of flow, knowledge of actions/referrals, fear of seeing and reporting violence, understanding that it is not a question of demand of their field of action, and women's access to services. Final considerations: it is evident the need to implement public policies that address the singularities of violence against women in rural settings.
Nursing diagnoses for elderly women vulnerable to HIV/AIDS
Authors: Santos Márcia Cristina de Figueiredo , Nóbrega Maria Miriam Lima da , Silva Antonia Oliveira , Bittencourt Greicy Kelly Gouveia Dias
Published: July 2018

ABSTRACT Objective: Classify the diagnoses in the conceptual framework of vulnerability of Ayres and in the Orem's self-care theory; Elaborate operational definitions of nursing diagnoses for elderly women vulnerable to HIV/AIDS. Method: A descriptive exploratory study, developed from March to December 2016 in the stages: 1. Classification of diagnoses in the conceptual framework of vulnerability of Ayres and in the Orem's self-care theory; 2. Operational definition of nursing diagnoses. Results: 70 nursing diagnoses were classified in the conceptual framework of vulnerability of Ayres and Orem's self-care theory, and their operational definitions were constructed, where 75.7% of these were validated. Final consideration: Diagnoses represent conditions that make older women vulnerable to HIV/AIDS and are linked to their self-care practices. Operational definitions contribute to a systematic approach to care and greater clarity in its implementation.
Educational technology to mediate care of the “kangaroo family” in the neonatal unit
Authors: Nascimento Marcia Helena Machado , Teixeira Elizabeth
Published: July 2018

ABSTRACT Objective: to validate the content of an educational technology in the form of a booklet developed to mediate care of family members of newborns hospitalized in a neonatal unit. Method: Methodological research with content validation. Data collected from October 2011 to February 2012; research developed in three steps: development, evaluation and adaptation. The study population was 15 judges, health professionals and other professionals. The participants answered a Likert-type questionnaire with 3 blocks of evaluative items. Data were analyzed statistically. Results: validation reached the results proposed in most responses (80%); 16 items exceeded the parameter, 4 were equal to the score established and 2 were below the parameter. Conclusion: the content of educational technologies need to be validated. The booklet, after the evaluation, constitutes an adequate device to mediate care of the family members in the NICU.
Instructional therapeutic toy in the culture care of the child with diabetes type 1
Authors: Pennafort Viviane Peixoto dos Santos , Queiroz Maria Veraci Oliveira , Gomes Ilvana Lima Verde , Rocha Mônica de Fátima Ferreira
Published: July 2018

ABSTRACT Objective: To analyze the experience of the child with diabetes type 1 in the care related to the techniques of glycemic monitoring and insulin application by use of instructional therapeutic toy, in accordance with the culture care. Method: Qualitative study with premise of the ethnonursing carried out in secondary public service of reference in the treatment of diabetes, in the city Fortaleza, Ceará State, between January and November of 2014, among 26 school-age children. Based on the Observation, Participation, Reflection Enabler, were developed educational activities using instructional therapeutic toy. Results: The children expressed doubts regarding the insulin therapy and the glycaemia checking. They also were interested in the orientations mediated by means of the therapeutic toy in the culture care. They asked about the rotation, location and administration of the insulin. Some children asked for the syringes to play and learn how to inject it in the dolls. Conclusion: To bring in this activity promoted approximation and effective communication with the child in the educational approach, increasing its ability in the self care.
The effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review
Authors: Saboia Dayana Maia , Bezerra Karine de Castro , Vasconcelos Neto José Ananias , Bezerra Leonardo Robson Pinheiro Sobreira , Oriá Mônica Oliveira Batista , Vasconcelos Camila Teixeira Moreira
Published: July 2018

ABSTRACT Objective: to assess the effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review. Method: systematic review of randomized controlled studies conducted in the MEDLINE, Cochrane, Scopus and the Virtual Library on Health (Biblioteca Virtual em Saúde, BVS) databases. Results: six articles were included in this review. All studies used the Pelvic Floor Muscle Training as the main procedure to prevent urinary incontinence. The results pointed to a positive and effective intervention in the post-partum period. Conclusion: there is evidence that programs of exercise of the pelvic floor musculature performed both in the immediate and late post-partum result in a significant increase in muscle strength and contribute to prevent urinary incontinence.
Family composing the soundtrack of its reintegration: a theoretical model
Authors: Faria Ana Paula Cascarani , Ribeiro Circéa Amália , Horta Ana Lucia de Moraes
Published: July 2018

ABSTRACT Objective: to understand the meaning of the family's reintegration attributed by the family experiencing it and to construct a representative theoretical model of this experience. Method: this is a qualitative study, conducted with four families with a total of 20 interviewees, with Symbolic Interactionism as theoretical framework, Grounded Theory as methodological, participant observation and the experience of musical making, mediating the interview as strategies of data collection. Results: a comparative analysis of the data led to the identification of the main category and to the construction of the theoretical model TRYING TO REBUILD WHAT WAS BROKEN. Conclusion: the family experiencing reintegration lives a process of reconstruction that allows to revisit situations of abandonment and review the behavior of caring and re-meaning of family coexistence. For the health professional, this study invites to think about this theme and to review the concept of family, in order to create their own sense of care.
Assessment of the essential attributes of Primary Health Care for children
Authors: Araujo Juliane Pagliari , Viera Cláudia Silveira , Oliveira Beatriz Rosana Gonçalves de , Gaiva Maria Aparecida , Rodrigues Rosa Maria
Published: July 2018

ABSTRACT Objective: To identify the presence and extent of essential attributes in primary health care services for children, focusing on the evaluation of structure and process. Method: Evaluative, quantitative study carried out in 23 traditional basic health units in a city in Parana State, with 548 caregivers of children under 12 years old, using the Primary Care Assessment Instrument (PCATool Brazil), child version. Essential and general scores of the primary care were calculated according to the methodology proposed, with a cut-off score ≥6.6. Results: The scores of the essential attributes in relation to structure are: Accessibility (5.5), Kinship (6.9), Integrality of care - Services Available (6.0) and Coordination - System information (7.4). As for the Process, the following results were obtained: First visit - Use (8.6), Longitudinally (6.1), Integrality - Services Provided (6.1) and Coordination - Integration of Care (6.9). Conclusion: The essential score was 6.6 and the general score was 6.3, showing weak focus on primary health care.
INFLUENCE OF SPLENIC IMPLANTS IN THE SUBCUTANEOUS TISSUE ON ASPLENIC ANIMALS SURVIVAL
Authors: TEIXEIRA Renan Kleber Costa , SANTIAGO Laryssa de Aquino , SASAKI Yan de Assis , YAMAKI Vitor Nagai , FEIJÓ Daniel Haber , BRITO Marcus Vinicius Henriques , YASOJIMA Edson Yuzur , PETROIANU Andy
Published: July 2018

ABSTRACT Background: The best site for splenic implant was not defined, mainly evaluating the functionality of the implant. Aim: To evaluate the effects of autogenous splenic implantation on the subcutaneous tissue in the survival of splenectomized rats. Method: Twenty-one randomly assigned rats were studied in three groups (n=7): group 1 - manipulation of the abdominal cavity and preservation of the spleen; group 2 - total splenectomy; group 3 - splenectomy and implant of the tissue removed in the subcutaneous. The animals were followed for 90 days postoperatively. Results: There was a higher mortality in groups 2 (p=0.0072) and 3 (p=0.0172) in relation to group 1. There was no difference between groups 2 and 3 (p=0.9817). Conclusion: The splenic implant in the subcutaneous is ineffective in the survival of rats submitted to splenectomy.
THE ROLE OF IMMUNOINFLAMMATORY MARKERS IN THE PROGNOSIS AND RESECTABILITY OF PANCREATIC ADENOCARCINOMA
Authors: EYFF Tatiana Falcão , BOSI Henrique Rasia , TONI Mariana Sandrin , ZILIO Mariana Blanck , CORSO Carlos Otavio , BERSCH Vivian Pierri , OSVALDT Alessandro Bersch
Published: July 2018

ABSTRACT Background: Pancreatic adenocarcinoma has a high mortality rate. A prognostic tool is essential for a better risk stratification. The neutrophil/lymphocyte ratio and adaptations and the platelet/lymphocyte ratio seem promising for this purpose. Aim: Evaluate the prognostic value of neutrophil/lymphocyte ratio, derived neutrophil/lymphocyte ratio and platelet/lymphocyte ratio, analyze the ideal cutoff values and investigate their utility in predicting resectability. Methods: Data were collected of patients with pancreatic adenocarcinoma in Hospital de Clínicas de Porto Alegre between 2003 and 2013. The studied ratios were determined by blood count collected at hospital admission and after two cycles of palliative chemotherapy. Results: Basal neutrophil/lymphocyte ratio, derived neutrophil/lymphocyte ratio and platelet/lymphocyte ratio did not have prognostic impact in survival (p=0.394, p=0.152, p=0.177 respectively). In subgroup analysis of patients submitted to palliative chemotherapy, neutrophil/lymphocyte ratio, derived neutrophil/lymphocyte ratio and platelet/lymphocyte ratio determined after two cycles of chemotherapy were prognostic for overall survival (p=0.003, p=0.009, p=0.001 respectively). The ideal cutoff values found were 4,11 for neutrophil/lymphocyte ratio (sensitivity 83%, specificity 75%), 2,8 for derived neutrophil/lymphocyte ratio (sensitivity 87%, specificity 62,5%) and 362 for platelet/lymphocyte ratio (sensitivity 91%, specificity 62,5%), Neutrophil/lymphocyte ratio, derived neutrophil/lymphocyte ratio and platelet/lymphocyte ratio were not able to predict resectability (p=0.88; p=0.99; p=0.64 respectively). Conclusions: Neutrophil/lymphocyte ratio, derived neutrophil/lymphocyte ratio and platelet/lymphocyte ratio are useful as prognostic markers of overall survival in patients with pancreatic adenocarcinoma submitted to palliative chemotherapy. Its use as resectability predictor could not be demonstrated.
FOOD INTAKE EVALUATION DURING THE FIRST YEAR OF POSTOPERATIVE OF PATIENTS WITH TYPE 2 DIABETES MELLITUS OR GLYCEMIC ALTERATION SUBMITTED TO ROUX-EN-Y GASTRIC BYPASS
Authors: ZAPAROLLI Marilia R. , DA-CRUZ Magda R. R. , FREHNER Caroline , BRANCO-FILHO Alcides J. , SCHIEFERDECKER Maria Eliana M. , CAMPOS Antônio C. L. , TACONELI Cesar Augusto , PARREIRA Guilherme
Published: July 2018

ABSTRACT Background : Obesity is one of the main causes of glycemic change. Failure of clinical obesity treatment may lead to an increase in bariatric surgery. Dietary guidance, in conjunction with disabsorptive and hormonal factors resulting from the anatomical and physiological changes provoked by the surgery, is associated with changes in food intake. Aim: To analyze food intake evolution during the first postoperative year of Roux-en-y gastric bypass in patients with type 2 diabetes mellitus or glycemic alteration. Methods : This was a longitudinal and retrospective observational study. For food intake evolution analysis, linear regression models with normal errors were adjusted for each of the nutrients. Results: At 12 months, all patients presented improvement in glycemic levels (p<0.05). During the first postoperative year, there was a reduction in energy intake, macronutrients, consumption of alcoholic beverages and soft drinks. Conversely, there was an increase in fiber intake and diet fractionation. It was observed that, despite gastric restrictions, the micronutrient intake specifically recommended for glycemic control was greater up to six months postoperatively. Conclusion: There was change in the quantity and quality of food intake. It was the most prevalent glycemic control contributor up to six months postoperatively. At the end of one year, the diet underwent a change, showing a similar tendency to the preoperative food intake pattern.
PRE-OPERATIVE BILIARY DRAINAGE IN THE PERIAMPULLARY NEOPLASIA - A SYSTEMATIC REVIEW
Authors: LUCENA Gustavo Costa Marques de , BARROS Rinaldo Antunes
Published: July 2018

ABSTRACT Introduction: Periampular neoplasms represent 5% of all cancers of the gastrointestinal tract with peak incidence in the 7th decade of life. The most common clinical picture is jaundice, weight loss and abdominal pain. Considering that cholestasis is related to postoperative complications, preoperative biliary drainage was developed to improve the postoperative morbidity and mortality of icteric patients with periampular neoplasias, whether resectable or not. Objective: To describe the outcome of patients with periampullary tumors undergoing preoperative biliary drainage with pancreatoduodenectomy. Method: The search was performed in the Medline/PubMed and Virtual Health Library databases by means of the combination of descriptors of the Medical Subject Headings. Inclusion criteria were clinical trials, cohorts, studies that analyze the morbidity and mortality of preoperative biliary drainage in Portuguese, English and Spanish. Exclusion criteria were studies published more than 10 years ago, experimental studies, systematic reviews and articles with WebQualis C or smaller journal in the area of Medicine I or Medicine III. Of the 196 references found, 46 were obtained for reading with quality assessed through the Checklist Strengthening the Reporting of Observational Studies in Epidemiology. Eight studies were selected for review. Results: A total of 1116 patients with a sample ranging from 48 to 280 patients and a mean age of 48 to 69 years were obtained. Of the eight studies, four observed a higher rate of bleeding in drained patients; three a higher rate of positive bile culture in the intervention group; site and cavitary infection, and biliopancreatic leaks were more common in the drainage group in two studies each. The death outcome and rate of reoperation were observed in larger numbers in the control group in one study each. Conclusion: Preoperative intervention leads to a higher rate of infectious complications and bleeding.