bluuebunny/crossref_metadata_2025 huggingface dataset:
TEMPOROMANDİBULAR EKLEM DİSK DEPLASMANI İLE EFÜZYON İLİŞKİSİNİN MANYETİK REZONANS GÖRÜNTÜLEME İLE DEĞERLENDİRİLMESİ
Authors: SOYDAN ÇABUK Damla , COŞGUNARSLAN Aykağan
Published: March 2020

Amaç: Temporomandibular eklem (TME) rahatsızlıklarının önemli radyolojik bulgularından biri efüzyondur. Bu çalışmanın amacı, TME disk pozisyonu gruplarıyla efüzyon arasındaki ilişkiyi manyetik rezonans görüntüleme (MRG) ile incelemektir.
Gereç ve yöntemler: Erciyes Üniversitesi Diş Hekimliği Fakültesi Ağız Diş ve Çene Radyolojisi bölümüne TME rahatsızlığı şikayetiyle başvuran ve MRG kaydı bulunan hastalar bu retrospektif çalışmaya dahil edilmiştir. Sagital T1 ve T2 ağırlıklı görüntüler incelenerek disk pozisyonları ve efüzyon varlığı değerlendirildi.
Bulgular: Bu eklemlerin 59’u normal disk pozisyonu, 46’sı anterior redüksiyonlu disk deplasmanı, 59’u anterior redüksiyonsuz disk deplasmanına sahip olarak belirlendi. Disk grupları arasında efüzyon derecesi dağılımı için anlamlı farklılık bulundu (p<0.01). Normal disk pozisyonu grubunda derece 0 (efüzyon yok) efüzyon izlenme sıklığı diğer gruplara göre anlamlı olarak yüksek bulundu(p<0.01) Anterior redüksiyonsuz disk deplasmanı grubunda ise derece 3 efüzyon izlenme sıklığı diğer gruplara göre anlamlı olarak yüksek bulundu(p<0.01).
Sonuç: TME rahatsızlıklarında ileri disk deplasmanlarına eşlik eden bulgular MRG ile belirlenebilir. Disk deplasmanı safhası ilerledikçe efüzyon görülme sıklığı ve şiddeti artmaktadır.
Panorama científico de la relación entre la violencia intrafamiliar y de género y la resiliencia familiar: posibilidades, retos y límites
Authors: Jaramillo-Moreno Ricardo A. , Cuevas Ramírez Carlos Alberto
Published: March 2020

En el marco de la investigación titulada “Resiliencia en víctimas de violencia intrafamiliar y de género Fase 1”, realizada por el programa de Psicología de la Universidad Santo Tomás de Aquino (Bogotá, Colombia), se realizó una revisión de literatura, que describió el estado del arte de las investigaciones y estudios reflexivos publicados entre los años de 2015 y 2019 con respecto a la resiliencia familiar frente a la violencia intrafamiliar y de género (VIFG). Se obtuvieron resultados preliminares de 3160 documentos, que fueron depurados a 74 artículos, que respondieron a criterios de inclusión como: Artículos Originales, de Reflexión, Revisión de literatura, Estudios Cualitativos, Cuantitativos o Mixtos publicados entre 2015 y 2019. La búsqueda se realizó en las bases de datos: PubMed, Ebsco Host, Science Direct, Scopus, PsyINFO, SAGE, Sprinter, y Taylor & Francis. Se encontró una tendencia de estudios aplicados, cualitativos, descriptivos con población participante femenina, infantil y adolescente con reporte de violencia intrafamiliar, realizados en Estados Unidos, Reino Unido y Canadá. Sin embargo, se pudo observar que la literatura hace referencia indirecta a la resiliencia familiar, pues en mayor medida se refiere al afrontamiento, recuperación y factores protectores, como fenómenos de interés relacionados con la VIFG. Se concluye que aún son pocos los estudios en los que se incluya explícitamente el fenómeno del género en la VIF, que describen la emergencia de la resiliencia familiar y alternativas de intervención para su desarrollo.
A camera trapping survey of mammals in the mixed landscape of Bolivia’s Chiquitano region with a special focus on the Jaguar
Authors: Jansen Martin , Engler Marc , Blumer Luka Moritz , Rumiz Damián I. , Aramayo José Luis , Krone Oliver
Published: March 2020

At a site in the Bolivian Chiquitano region composed by a mosaic of pastureland and primary Chiquitano Dry Forest (CDF) we conducted a camera-trapping study to (1) survey the mammals, and (2) compare individual Jaguar numbers with other Chiquitano sites. Therefore, we installed 13 camera stations (450 ha polygon) over a period of six months. On 1,762 camera-days and in 1,654 independent capture events, we recorded 24 mammalian species that represent the native fauna of large and medium-sized mammals including apex-predators (Puma, Jaguar), meso-carnivores (Ocelot, Jaguarundi, Margay), and large herbivores (Tapir, Collared and White lipped Peccary). We identified six adult Jaguars and found indications of successful reproductive activity. Captures of Jaguars were higher in CDF than in altered habitats. In summary, we believe that (1) the mammal species richness, (2) the high capture numbers of indicator species, and (3) the high capture numbers of Jaguar indicate that our study area has a good conservation status. Future efforts should be undertaken to keep this, and monitoring programs in this region are necessary to further evaluate the potential importance of the Chiquitano region as a possible key region for mammals, especially Jaguars, in South America.
Histórias Transmidiáticas: olhares sobre webdocumentários cartográficos
Authors: Belo Angeluci Alan César , Gois Falandes Carolina , Carvalho da Conceição Silvia
Published: March 2020

Neste artigo, pretende-se apontar conceitos e características do webdocumentário – também nomeado documentário interativo –, bem como sua evolução para a narrativa transmídia. Em meio a mudanças na criação e distribuição de conteúdos por conta das transformações tecnológicas e culturais, a cada dia surgem novas possibilidades comunicacionais que são exploradas pelas mídias, principalmente no que se refere aos recursos que a Internet dispõe. Para o desenvolvimento deste estudo, além de pesquisa bibliográfica, foram feitas análises de conteúdos de três documentários interativos. Por fim, conclui-se que a não-ficção e a não linearidade são características principais destes novos formatos e é o ponto de maior concordância entre os conceitos, que tentam acompanhar as constantes renovações, tanto do ponto de vista da produção e consumo de conteúdos, como das potencialidades que a tecnologia oferece.
A presença fantasmática do samba: herança e assombramento no pop-rock brasileiro dos anos 1990
Authors: Coração Claudio Rodrigues , Rios Saulo Pedrosa
Published: March 2020

Neste artigo investigamos a reiteração do samba e de seus emblemas na poética do pop-rock brasileiro durante a década de 1990. Tomando de empréstimo categorias delineadas por Jacques Derrida (1994), identificamos o samba a partir da perspectiva de uma presença fantasmática que deixou heranças no processo de modernização da música brasileira, assombrando a produção de artistas distintos. “Samba do lado” (1996) de Chico Science e Nação Zumbi, “Mistério do samba” (2000) de Mundo Livre S.A. e “Samba da caixa preta” de Lobão (1998) são reveladoras desse quadro.
AGGREGATION OF SYMBOLIC POSSIBILISTIC KNOWLEDGE BASES FROM THE POSTULATE POINT OF VIEW
Authors: Do Van Thanh , Luu Le Thi Thanh
Published: March 2020

Aggregation of knowledge bases in the propositional language was soon investigated and the requirements of aggregation processes of propositional knowledge bases basically are unified within the community of researchers and applicants. Aggregation of standard possibilistic knowledge bases where the weight of propositional formulas being numeric has also been investigated and applied in building the intelligent systems, in multi-criterion decision-making processes as well as in decision-making processes implemented by many people. Symbolic possibilistic logic (SPL for short) where the weight of the propositional formulas is symbols was proposed, and recently it was proven that SPL is soundness and completeness. In order to apply SPL in building intelligent systems as well as in decision-making processes, it is necessary to solve the problem of aggregation of symbolic possibilistic knowledge bases (SPK bases for short). This problem has not been researched so far.The purpose of this paper is to investigate aggregation processes of SPK bases from the postulate point of view in propositional language. These processes are implemented via impossibility distributions defined from SPK bases. Characteristics of merging operators, including hierarchical merging operators, of symbolic impossibility distributions (SIDs for short) from the postulate point of view will be shown in the paper.
Intrapreneurship and expectations restrictions
Authors: Okun Olcay , Arun Korhan , Begec Suat
Published: March 2020

This article develops arguments about the factors that promote intrapreneurship in relation to role theory. These are based on contributions from interactional and structural sociology. Fixed theoretical tools for intrapreneurship are not enough. So, the structural and interactionist perspective of sociology is necessary to understand the concept of intrapreneurship. The above approaches depend on individuals, organizations or environments to encourage potential employees to be intrapreneurs. Thus, Expectations can be a cornerstone for intrapreneurship because intrapreneurs learn from their roles.
MATHEMATICAL DESIGN OF POLYCOMPONENT DRINKS WITH A BALANCED NUTRIENT COMPOSITION
Authors: Telezhenko Liubov , Dzyuba Nadya , Іеgorova Antonina , Balandina Yevgeniia
Published: March 2020

Based on the principles of food combinatorics using the methods of mathematical and computer simulation, formulations of polycomponent drinks based on dairy and vegetable raw materials were developed. The drinks were cow's milk, bananas, spinach and pumpkin were used as plant material and chia seeds were used as a source of unsaturated fatty acids. Using mathematical planning, the criterion equations for beverages characterizing the maximum content of basic nutrients have been formed. Computer simulation of beverage recipes was performed in Excel Solver in a Microsoft Excel spreadsheet, which formalized qualitative and quantitative indicators of balanced nutrients. In computer-aided design, optimization for each selected indicator was used by paired with the recommended nutrient content of FAO / WHO. Formulations of pumpkin, spinach and banana beverages were obtained in which the content of basic nutrients was 18,889 g, 17,664 g and 21,329 g per 100 g, respectively. Analysis of the chemical composition showed that the ratio of proteins: fats: carbohydrates is 1: 1.45: 3.03 for the drink "Pumpkin", 1: 1.34: 2.57 for the drink "Spinach" and 1: 1.5: 4 , 27 for the Banana drink. The ALST method determines the storage conditions of developed beverages, taking into account changes in sensory and microbiological parameters. Determination of optimal storage conditions by estimation of changes in organoleptic parameters makes it possible to state that the developed beverages will be competitive in the establishments of the restaurant industry of Ukraine. A study of changes in the microbiota of finished beverages within 4 hours at (4 ± 2) ° C in a closed glass container showed that, in the presence of conditionally pathogenic microorganisms, the beverages meet the current regulatory requirements. The integrated approach to the production of multicomponent beverages can be used by any market operator to produce not only beverages but also various food products.
INVESTIGATING THE ANTIOXIDANT PROPERTIES OF IRANIAN CHILI PEPPER EXTRACT
Authors: Mohammadi Mojtaba , Sardarodiyan Maryam , Salehi Esmaeil Ataye , Baghan Elham Elahi
Published: March 2020

Stress oxidative factors are known to causes diseases resulting from metabolic disorders. Therefore, preventing, or at least decreasing the amount of these factors may have a positive impact on prevention or improvement of the metabolic problems. Recently, the herbal medicines are more considered due to more effectiveness. The application of synthetic antioxidants has been reduced recently due to their adverse effects on human health. The present research aims at evaluating the antioxidant power of chili pepper. Some solvents such as water, ethanol and water-ethanol solution, with or without ultrasound wave application, are used to provide the chili pepper extracts. The amount of tocopherol and phenol compounds in the extracts has been measured using stoichiometry method and the antioxidant power of the extracts was measured and analyzed by beta-carotene and DPPH tests. Finally, the extracts’ oxidative stability was determined. The data was statically analyzed by Analysis of Variance (ANOVA) and Duncan Multiple Range Test. The P level of <0.05 was considered statistically significant. The results showed that the amount of phenol compounds in terms of Gallic acid in different extracts are between 1066.3 and 1172.27 mg/kg, and the amount of tocopherol compounds in terms of alpha-tocopherol is between 693.52 and 867.65 mg/ml. the oxidative stability index in different extracts was between 5.55 and 7.23 hours. The inhibitory percentage of Linoleic acid oxidation in the extract varied between 57.2 and 83.6%, and the inhibitory percentage of DPPH radicals in different extracts varied between 71.33 and 91.87%. The maximum and minimum efficiency for phenol and tocopherol compound extraction were obtained using ethanol and water solvents, respectively. With a high antioxidant power, chili pepper can find a wide application in food, pharmaceutical, and cosmetic industries.
PROSPECTS OF USE OF CRYSTOBILIZING PROTEIN-POLYSACCHARID COMPOSITION IN THE PRODUCTION OF MEAT CUTTED SEMI-FOODS
Authors: Shevchenko I. , Polishchuk G. , Kotliar Ye. , Osmak T. , Skochko A.
Published: March 2020

One of the technological ways to improve the quality of frozen meat chopped semi-finished products is to use in their composition protein-polysaccharide composite mixtures, which mechanism of cryoprotective action is associated with the formation of amorphous structure of the product, reducing the number of crystallization centers and reducing the activity of water, which is especially important for long-term meat products storage at sub-zero temperatures. For this purpose, the composition of a protein-polysaccharide composition was developed consisting of blood plasma proteins, sodium caseinate, flax fiber and plantain in a ratio of 1:1:2:2. The regularities of the influence of the selected composition on the physicochemical properties of model minced meat systems have been established. The possibility of using this composition to eliminate the disadvantages of low-quality meat raw materials in the semi-finished meat products of  has been proved and to counteract the negative effects of their long-term storage in the frozen state. It has been found that the composite mixture of plasma proteins, sodium caseinate, fibers of linen and plantain in the amount of 3% reduces the cryoscopic temperature, decreases the mass fraction of frozen moisture by 1.7% and also reduces water activity by 0.031… 0.067, which helps to extend the shelf life of chopped semi-finished products. Based on the search for the extrema of the mathematical dependence of the amount of frozen water on the duration of storage of minced meat semi-finished products at a temperature of minus 10 ° C was established a rational content of the protein-polysaccharide composition (3%). This allows you to purposefully form and stabilize the specified functional-technological, structural-mechanical and organoleptic characteristics of the finished product. In order to develop recommendations on the use of the protein-polysaccharide composition as a cryoprotectant, the chemical composition and functional-technological properties (FCS) of model minced meat systems with different levels of its use were studied. The technological feasibility of using protein-polysaccharide composition in the amount of 3%, which is an effective cryoprotectant in meat minced systems during low-temperature processing has been proved.
RESEARCH ON FLAVOR PRECURSORS OF MILK SERUM IN AROMATED FOAM TECHNOLOGY
Authors: Synenko T. , Dubova H. , Bezusov A.
Published: March 2020

The aim of this work is to study the ability of whey flavor precursors to form new volatile components under model conditions. The formation of new aromas is considered in the aspect of a two-stage process - enzymatic cleavage of the precursors and the subsequent Maillard reaction. The properties of whey components by their ability to form or modify aromatic descriptors at the stages of enzymatic cleavage of taste precursors are considered. It is proved that targeted enzymatic reactions with whey components lead to the formation of sweet, meat, cheese flavors at various stages of whey protein breakdown after interaction with carbohydrates. The influence of the depth of proteolysis on the subsequent formation of aroma from precursors is considered. It has been established that the breakdown products of milk sugar in whey do not play a significant role in the formation of aroma. Unlike proteolytic enzymes, the use of lactase (β-galactosidase) did not lead to a change in the aromatic characteristics of the modified serum. An increase in the concentration of lactulose, as a potential precursor of aroma in the sugar-amine reactions of serum, gives only a sweetish tint and does not significantly affect the change in aroma. The processes of aroma formation in modified whey have been consistently investigated, and the concept of flavored food foam based on it has been tested. It was shown that the addition of sodium chloride 5-10% to the lower residue after rectification of fermented milk whey significantly increases the stability of the aroma of the final product. It was found that the specific aroma of whey, limiting its use in food, can be modified by using new approaches to reactions with aroma precursors. We consider the fixation of the obtained aromas “soup mushroom”, “broth”, “cheese” on an oil basis for subsequent concentration and use in various products.
TRENDS OF PROCESSED PRODUCTS OF SQUID
Authors: Cui Zhenkun , Manoli Tatiana , Nikitchina Tatiana , Mo Haizhen
Published: March 2020

Currently, technologies that allow to preserve the native properties of raw materials in the finished product as much as possible thanks to the soft modes of technological processes deserve special attention. An important condition for obtaining healthy food products is the availability of a raw material base and technical means of extracting aquatic biological resources. The article shows that in China, a healthy lifestyle and the consumption of healthy food products are gaining popularity. China is a country that demonstrates absolute dominance in the production of shellfish, both aquaculture and in squid fishing. Despite this, there is a shortage of healthy food products in the domestic food market in China due to the uneven distribution of aquatic bioresources. The main type of processed shellfish are squids, which are traditionally very popular in China. In addition to frozen processed squid and other primary processed products, the main products from squid are minced squid, sliced squid and chopped squid, as well as various types of canned food. The article shows the high nutritional and biological value of squid, which is provided by high-grade proteins and essential polyunsaturated fatty acids. But when processing squids, a number of problems arise associated with the deterioration of organoleptic properties and a decrease in the biological value of the finished product. This article is a review and reveals a number of issues related to the features of the fractional composition of muscle tissue proteins of various raw materials. Also analyzed the changes in the physico-chemical parameters of proteins in a wide range of temperature effects. The article presents a promising type of technological processing, which allows to eliminate certain disadvantages of traditional technologies such as hard, dry consistency, weight loss of the finished product, as well as the loss of valuable extractive substances that provide organoleptic properties of food products. Such technologies with minimal impact on the technological properties of the finished product include SousVide technology. SousVide is a technology of low-temperature preparation of food products in a vacuum, which allows reliable monitoring of sensory performance and microbiological safety of products with strict observance of technological regulations.
NON-TRADITIONAL RAW MATERIALS FOR BIOTECHNOLOGICAL PRODUCTIONS AND SOME ENVIRONMENTAL ASPECTS OF THEIR DISPOSAL
Authors: Kylymenchuk O. , Velіchko T. , Malovanyy M. , Umanets A. , Hnilichenko А. , Lahotska A.
Published: March 2020

It has been proved in the work that non-traditional, annually renewable wastes of plant raw materials − cuttings of fruit trees, hop stems and castor bean stems − are rational to be used for further biotechnological processing in order to obtain a valuable protein feed supplement. The negative impact of burning these plant wastes on soil microbiota has been confirmed. Technological properties, chemical and biopolymer composition of the plant waste have been studied. It has been found out that the optimum particle sizes for all three types of the studied waste are 20–35 mm in fibre length. Such grinding degree provides the best diffusion of the hydrolyzing agent into the particles of the raw material and the extraction of monosaccharides into the solution. All types of the analysed plant waste have a high content of polysaccharides, extractive substances, which will allow to use them as potential raw materials for the development of nutrient media to cultivate microorganisms in biotechnological industries. Acid degradation of biopolymers of the analysed raw materials has been carried out in laboratory conditions. Hydrolysate-based nutrient media have been obtained in laboratory conditions and their biological quality has been studied. Yeast culture strains, which are able to grow actively on the hydrolysates of fruit tree cuttings, hop and castor bean stems, have been selected, and Candida tropicalis culture has been cultivated during the process of periodic cultivation. The negative impact of burning plant residues on the soil microbiological status has been investigated. Samples of the soil were taken from the experimental plot before and after burning of the plant waste, microbiological studies of the total number of mesophilic aerobic and facultative anaerobic microorganisms, and nitrogen-fixing ones were conducted, since they are the only living organisms capable of absorbing molecular nitrogen from the air and incorporating it into the cycle of nitrogenous substances. The total number of microbes is reduced by 45%, and the number of nitrogen-fixing bacteria is halved. The process of their regeneration is rather slow, which will significantly affect soil fertility, and soil ashing can lead to changes in crops capable of producing high yields on this soil, and will require scientifically based crop rotations.
ASCORBIC ACID AND PHENOLIC SUBSTANCES IN THE UNFORTIFIED WILD STRAWBERRY WINE MATERIALS
Authors: Tokar A. , Matenchuk L. , Myroniuk S. , Shcherbak M. , Khareba V.
Published: March 2020

The content of ascorbic acid and phenolic substances in natural juices and unfortified wine materials from garden strawberries of Polka and Pegas varieties was investigated. The content of ascorbic acid was 271-417 mg/dm3 and of phenolic substances – 1280-1500 mg/dm3. The content of these ingredients depends on the variety characteristics (dominant influence) and the weather conditions of the growing season. 230 g of white sugar was added to one dm3 of strawberry juice for the production of unfortified wine materials intended for sweet wines. The wort was pasteurized at 85°C for 5 minutes, cooled and fermented using active dry yeast: the race EC 1118 (France), ENSIS LE-C1, ENSIS LE-1, ENSIS LE-5, ENSIS LE-6 (Spain) in accordance with the manufacturer's recommendations. It has been found that the content of ascorbic acid and phenolic substances decreases during wort preparation and fermentation. The average loss of ascorbic acid during wort preparation is 17.4% and of phenolic substances – from 1.1 to 4.9%. The reduction in the content of these components due to the dilution of sugar during wort preparation is 14-15%. The duration of fermentation of strawberry worts with an initial mass concentration of invert sugars 274 g/ dm3 is 70-77 days. The output of cleared wine material after fermentation depends on the variety characteristics, the year conditions and the yeast race used, and ranges from 86.9 to 92.7%. Loss of ascorbic acid during wort fermentation averages 49.3%, phenolic substances 21.6%. Ascorbic acid content of 86-158 mg/dm3 and phenolic substances of 720–1080 mg/dm3 were found in unfortified strawberry wines. In particular, according to the average data of two years, the content of phenolic substances in the wine materials from strawberries of the Polka variety were 197 mg/dm3 higher than their content in the wine materials from the berries of the Pegas variety. The content of ascorbic acid in wine materials in relation to the content in the juices corresponding to fresh berries is 25.4-41.3%, on average – 33.6%; of phenolic substances – 56.2-72.0%, on average 62.6%. In order to better preserve the ascorbic acid, the ENSISLE-C1 yeast race (Spain) and the phenolic substances EC-1118 (France) should be used. The results of studies confirm that unfortified sweet wines from wild strawberries can be attributed to the products with health-promoting properties.
OBTAINING AND CHARACTERISTIC OF MUROPEPTIDES OF PROBIOTIC CULTURES CELL WALLS
Authors: Капустян Антоніна , Cherno N.
Published: March 2020

Розглянуто можливість отримання муропептидів пептидогліканів клітинних стінок Lactobacillus delbrueckii subsp. Bulgaricus B-3964 шляхом комбінації застосування автолітичних процесів та ферментативної обробки біомаси за участю лізоциму та папаїну. Встановлено, що найбільш значні автолітичні зміни біомаси мають місце при застосуванні високотемпературної обробки (90°С протягом 30 хв) на завершальній стадії логарифмічної фази росту бактерій. Так, на восьмій годині інкубації при 37°С вміст амінокислот у культуральному середовищі складає 1,8 мг/см3, а при 90°С – 5,7 мг/см3. Із метою подальшої деструкції автолізату біомаси та отримання низькомолекулярних фрагментів пептидоглікану, досліджували процес його ферментолізу лізоцимом та папаїном окремо та при їхній комбінації. Найвищий вміст НМП у реакційному середовищі мав місце при ферментолізі біомаси Lactobacillus delbrueckii subsp. Bulgaricus B-3964 композицією ферментів при співвідношенні лізоцим:папаїн 1:2. При концентрації ферментів 10 мг/см3 вміст НМП складав 7,2 мг/см3 на 8-му годину інкубації реакційної суміші. Результати досліджень показали, що ефективність ферментолізу автолізату значно вища. Так, кількість НМП у ферментолізаті, який отримали при обробці автолізату композицією лізоцим:папаїн 1:2 при концентрації ферментів 10мг/см3 та тривалості процесу протягом 8 годин на 36% більша, ніж за аналогічних параметрів без застосування процесу автолізу.
Методом гель-хроматографії доведено, що у складі ферментолізату присутні фракції білкових сполук з молекулярною масою в межах 70–90 кДа, 30–40 кДа та 294–650 Дa. Молекулярна маса останньої фракції відповідає масі мурамилдипептиду.
High value and low-cost virtual reality healthcare professional education: proceedings of a roundtable workshop
Authors: Walsh Kieran , Elhassan Abdalla Mohamed , Berlingieri Pasquale , Foo Jonathan , Ilic Dragan , Maloney Stephen , Pottle Jack , Rivers George
Published: March 2020

This article was migrated. The article was marked as recommended. Introduction The following represents proceedings of an online roundtable workshop on high value and low-cost virtual reality healthcare professional education. The purpose of the workshop was to seek the views of professionals from different sectors and different countries on moving toward high value and low-cost virtual reality education. The workshop was comprised of eight delegates with an interest in this subject. The delegates were from Europe, the Middle East, and Australia. They represented different sectors - including clinical medicine, educational economics, health professional education, simulation, technology, evidence-based methodologies, and industry.ThemesThe following themes emerged from the workshop: the challenge of thinking about the cost of virtual reality from the points of view of the payer and the user; the core need to define the context of use of virtual reality; the absolute need to define the purpose of a virtual reality programme; the recognition of the growing opportunity of multiplayer virtual reality; the need to exploit the unique properties of virtual reality; the importance of realising that there are already various forms of virtual reality available and these can achieve different outcomes at different costs; the need to integrate virtual reality into the rest of the curriculum; and the various forms of cost analysis that might be suitable for evaluating the cost and outcomes of virtual reality. ConclusionsIn the long-term, a growing body of evidence that is based on original research and systematic reviews will help us decide what is high value and low-cost virtual reality in healthcare professional education. However, a strategic approach is needed to ensure that the original research concentrates on the right topics that will yield the most value to education decision-makers and to other related stakeholders. We feel that non-hierarchical interdisciplinary roundtable discussions are an effective means of planning strategy.
Shading as a means of mitigating water deficit in seedlings of Campomanesia xanthocarpa (Mart.) O. Berg
Authors: BARTIERES Edinéia M.M. , P.Q. SCALON Silvana , DRESCH Daiane M. , CARDOSO Edvânia A.S. , JESUS Mailson V. , PEREIRA Zefa V.
Published: March 2020

In this research it was hypothesized that Campomanesia xanthocarpa can overcome some level of water deficiency by adjusting physiological parameters and that shading minimizes the water deficit effects while maintaining elevated photosynthetic rates and relative water content of the leaves and makes a resumption of metabolism and growth when the water supply is normalized. The seedlings were submitted to two water regimes (continuous irrigation - CI and intermittent irrigation - II), three shading percentages (0, 30 and 70%) and six evaluation times (Start - T0, 1st Photosynthesis Zero - 1st P0, 1st Recovery - 1st REC, 2nd Photosynthesis Zero - 2nd P0, 2nd Recovery - 2nd REC and END). Plants under water deficit at 0% shading led to a reduction in photosynthetic metabolism, relative water content (RWC), leaf area, number of leaves, and height, especially during the stress periods 1st and 2nd P0. The 30 and 70% shading mitigated the stressful effect of water deficit on C. xanthocarpa seedlings. The results did not confirm the hypothesis that C. xanthocarpa seedlings are intolerant to water deficit since, although sensitive, they presented a potential for recovery of photosynthetic and growth characteristics under all cultivation conditions. It was concluded that that shading minimizes the stressful effects of water deficit.
Implication of the training ad continuing education process for the interprofessional performance
Authors: Vendruscolo Carine , Trindade Letícia de Lima , Maffissoni André Lucas , Martini Jussara Gue , Silva Filho Cláudio Claudino da , Sandri Juliana Vieira de Araujo
Published: March 2020

ABSTRACT Objetives: to analyze the implication of the training/continuing education process of professionals of the Expanded Nucleus of Family Health and Basic Care (Portuguese acronym: Nasf-AB) for their interprofessional performance. Methods: a qualitative case study performed with Nasf-AB teams representative of four macro-regions of health of the state of Santa Catarina. Participation of 43 professionals, who answered collective interviews. The results were later submitted to thematic analysis. Results: the training is strongly influenced by the Biomedical Model, which acts as an obstacle to interprofessional performance, given the challenges in the daily routine of Nasf-AB professionals. Continuing education emerges as a potential for the successful collaborative work among teams, and between the teams and Family Health professionals. Final considerations: there are important limits in the training of professionals. However, the constant interprofessional development promoted by strategies of continuing education contributes to broaden the support and collaborative practices that qualify services and strengthen Basic Care.
Parental care for infants with feeding tube: psychosocial repercussions
Authors: Banhara Fábio Luiz , Farinha Francely Tineli , Bom Gesiane Cristina , Razera Ana Paula Ribeiro , Tabaquim Maria de Lourdes Merighi , Trettene Armando dos Santos
Published: March 2020

ABSTRACT Objectives: to understand the psychosocial repercussions experienced by caregiving parents, resulting from care for the child with dysphagic cleft lip and palate. Methods: qualitative study, developed in a tertiary hospital in September 2016. The sample defined by theoretical saturation consisted of seven mothers. Data collection was performed by unstructured interview, being audio-recorded and fully transcribed. Symbolic Interactionism was used as theoretical framework, and Thematic Content Analysis as methodological framework. Results: the following themes emerged: diagnosisimpact and coping; coping with overload and stress; interaction between caregivers as an acceptance and coping strategy; impact on family and social life of caregivers; and curiosity coping, and family and community prejudice. Final considerations: despite the physical and emotional overload, the mother figure plays the main and determining role in care, reflecting the complexity of care.
Care of the self in the daily living of nurses: an integrative review
Authors: Silva Júnior Edson José da , Balsanelli Alexandre Pazetto , Neves Vanessa Ribeiro
Published: March 2020

ABSTRACT Objectives: to identify if nurses care for themselves and describe such practices. Methods: this is an integrative review of the literature published between 2006 and 2018 and indexed in the Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature Analysis and Retrieval System Online and Web of Science databases. Results: the sample totaled 20 articles, grouped by content similarity in the thematic categories “limits and possibilities for the care of the self”, “knowledge about practices on the care of the self” and “implications of care of the self in professional practice”. Final considerations: the knowledge about techniques on caring for the self allows nurses to develop themselves personally and professionally. We suggest to managers and administrators a redirection of the nursing practice that contemplates the strengthening of the nurse as the manager of care and leader of the team, as well as the inclusion of the concept of care of the self in the curricula of undergraduate and graduate nursing courses.
Access to the Unified Health System in the perspective of male homosexuals
Authors: Santos Luís Eduardo Soares dos , Fontes Wemerson dos Santos , Oliveira Ana Karla Sousa de , Lima Luisa Helena de Oliveira , Silva Ana Roberta Vilarouca da , Machado Ana Larissa Gomes
Published: March 2020

ABSTRACT Objectives: To analyze the perception of male homosexuals regarding the access to the Unified Health System. Methods: A qualitative study with male homosexuals in a city in the Northeast Brazil. Eight subjects participated, a socioeconomic questionnaire was used for data collection and a focal group was carried out, in which the narratives were recorded and later transcribed. For the analysis of the speeches, the analysis of thematic content was used. Results: The analysis revealed five thematic categories that express the limitations on humanization and reception, as well as in the quality of health care offered to subjects, disregarding the psychosocial and lifestyle-related demands. Final considerations: It was emphasized that the focus group technique contributed to the approach of the research with the perception of male homosexuals marked by prejudice and discrimination, reflecting the subjects’ dissatisfaction with the care received in the health services.
A scoping review of the moral experiences of children with medical complexity in Brazil
Authors: Santos Raíssa Passos dos , Macdonald Mary Ellen , Carnevale Franco
Published: March 2020

ABSTRACT Objectives: The aim of this review was to identify and summarize how the moral experiences of children with medical complexity are being expressed within the Brazilian health-related literature and discuss research gaps and directions for future research. Methods: A scoping review was performed using the methodological framework of Arksey and O’Malley and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Systematic searches were conducted on Medline, CINAHL, Scopus, and Embase databases. Articles were included if using qualitative methodologies, having children as participants, and published in Brazil. Results: In total, 6,360 articles were retrieved from databases. Sixteen studies were selected for the analysis. Final considerations: The studies were not primarily focused on children’s moral experiences. Yet, the studies demonstrate morally relevant accounts concerning children’s capacity to reason and interpret their lived experiences, expressing deep concerns about isolation, suffering, future aspirations, and feelings of normality.
ACESSO AO TRATAMENTO PARA DEPENDENTES DE CRACK EM SITUAÇÃO DE RUA
Authors: Rossi Cintia Cristina Silva , Tucci Adriana Marcassa
Published: March 2020

Resumo A população em situação de rua, usuária de crack, é negligenciada no Brasil. O objetivo deste estudo foi aproximar-se dessa para compreender o acesso/uso dos serviços de saúde para tratamento da dependência de drogas. Trata-se de uma pesquisa qualitativa com a realização de 26 entrevistas individuais e um grupo focal com cinco usuários de crack em situação de rua no município da Baixada Santista/SP. A análise dos dados revelou que o tratamento oferecido pelas comunidades terapêuticas é o mais conhecido, porém é pouco efetivo para essa população. Com relação aos tratamentos praticados na rede pública de saúde, houve críticas, pouca informação e acesso limitado, além da ausência de conhecimento sobre estratégias de redução de danos. Os usuários referiram sentimentos de estigma, discriminação e preconceitos, vivenciados inclusive na relação com os profissionais de saúde, sendo esses importantes fatores que dificultam o acesso desta população à rede de cuidados.
CONGENITAL ZIKA VIRUS SYNDROME: KNOWLEDGE AND HOW TO COMMUNICATE THE DIAGNOSIS
Authors: Hamad Graziela Brito Neves Zboralski , Souza Kleyde Ventura de
Published: March 2020

ABSTRACT Objective: to know how mothers affected by the Zika virus during pregnancy became aware on the diagnosis of Congenital Zika Virus Syndrome in their child and to understand the way in which the communication of the diagnosis was transmitted. Method: a qualitative approach study, with interpretative research, based on the Resilience, Stress, Adjustment and Family Adaptation Model. The research was conducted in a Specialized Rehabilitation Center in a city of Paraíba (Brazil), from June to November 2017, with 40 mothers of children with congenital Zika virus syndrome. The empirical material was produced from a semi-structured script developed by the researcher, related to the different phases and components of the adaptation and resilience process. The findings were submitted to content analysis. Results: two thematic categories were unveiled: The discovery of Congenital Zika Virus Syndrome: period of diagnosis and maternal expectations, and How to communicate the diagnosis: implications for the discovery of Congenital Zika Virus Syndrome. Conclusion: Communication of the diagnosis and professional conduct at the time of information play important roles in re-signifying the meaning of congenital malformation. The interaction established by the health professional and their posture are directly related to the satisfaction about the information received.
O Ideal Profissional na Formação Médica
Authors: Sassi André Petraglia , Seminotti Elisa Pinto , Paredes Eduardo Alfeu Peixoto , Vieira Micael Barbosa
Published: March 2020

Resumo Introdução: No curso de Medicina, os estudantes recebem não somente conhecimento e habilidades técnicas em sala de aula e nos campos de prática, mas também aprendem valores, atitudes e comportamentos profissionais. Nesse processo, ocorre a construção social do médico, em que será desenvolvido o ideal profissional. Esta pesquisa teve como objetivo compreender o processo de formação da identidade profissional a partir dos seguintes aspectos: a identificação dos ideais de profissão e de profissionais sobre as qualidades pessoais e profissionais dos docentes do curso médico, a imagem de profissional e os fatores contribuintes para o ingresso na profissão. Métodos: Para isso, utilizou-se uma metodologia qualitativa de caráter exploratório, realizada por meio de entrevista semiestruturada com 20 discentes do primeiro ao sétimo semestre do curso de Medicina de uma escola médica de João Pessoa. As informações coletadas foram estudadas com base na análise do discurso. As categorias utilizadas para análise foram: o “bom médico”, o “bom professor” e a idealização do profissional “bem-sucedido”. Resultados: Os sujeitos da pesquisa tinham em média 22,2 anos de idade e 13 eram do sexo feminino e sete do sexo masculino. Mais da metade dos alunos se autodeclarou de cor branca e 45% informaram renda familiar maior que 20 salários mínimos. Quando se exploraram as categorias, percebeu-se que a imagem profissional mescla a ideia de status, por meio do reconhecimento da sociedade e da estabilidade financeira, e a de intenção de cuidar das pessoas. Conclusão: Observou-se que o “bom médico” deve ser um profissional “humano”; “estudioso”, “atualizado” e “resolutivo”; “profissional comprometido” e “responsável”. Além disso, os estudantes esperam desenvolver esses aspectos durante a graduação, mas muitas vezes se deparam com o que “não querem ser”. Outro elemento importante foi a percepção do conflito entre as ideias de “técnico competente” e “médico humano”. Essas características são transferidas para o “bom professor”, sendo reconhecido o educador que detém mais características do ideal profissional.
Dificuldades Iniciais no Aprendizado do Exame Físico na Percepção do Estudante
Authors: Costa Gilka Paiva Oliveira , França Kaio Alighieri Nunes de , Santos Maria Albertina Leite , Guilherme Janaína Guerra , Medeiros José Givaldo Melquiades de , Silva Júnior Estácio Amaro da
Published: March 2020

Resumo: Introdução: Ao longo da formação no curso de Medicina, o estudante enfrenta diversas situações que podem ser geradoras de insegurança e ansiedade, entre as quais se destacam as primeiras aulas práticas com pacientes que tradicionalmente ocorrem na disciplina de Semiologia Médica. A realização do primeiro exame físico com um paciente real é uma potencial circunstância geradora de estresse para os que dão seus primeiros passos na construção de habilidades indispensáveis à carreira médica. A forma de lidar com o estresse advindo desses encontros é bastante individual e relaciona-se com diversos fatores inerentes ao estudante e ao modelo de ensino adotado. O presente estudo propõe-se a identificar as principais adversidades relatadas pelos alunos na sua iniciação ao exame físico. Método: Para tanto, realizou-se um estudo exploratório, com abordagem qualitativa, executado durante as atividades do Módulo Horizontal Básico 4 (MHB4), o qual está inserido na grade curricular do quarto semestre do curso de Medicina da Universidade Federal da Paraíba. Uma amostra de 35 estudantes foi dividida em seis grupos focais. A coleta de dados foi realizada na oitava semana do semestre letivo e ocorreu simultaneamente em todos os grupos. A discussão iniciou-se por meio da pergunta norteadora “Quais são as dificuldades encontradas durante o exame físico do paciente?”. Procedeu-se, então, à gravação das falas dos alunos, com posterior transcrição, na íntegra, de todo o material textual, o qual foi submetido à análise de conteúdo por meio do método preconizado por Bardin. Resultados: As falas dos alunos foram elencadas em cinco categorias nomeadas como: insegurança e inexperiência; submissão do paciente; sensação de estar incomodando o paciente; direcionamento de gênero; escolha do paciente por conveniência. A partir dessa análise foi possível observar que a realização do primeiro exame físico é um evento gerador de grande estresse emocional para os estudantes. Questões como a insegurança, a inexperiência e a sensação de estar utilizando o paciente como um objeto são citadas como fatores que geram desconforto nos estudantes e dificultam seu aprendizado. Conclusões: As percepções dos estudantes são de insegurança, inexperiência e invasão da privacidade de um paciente que se encontra numa situação de passividade diante da situação. Nesse contexto, o enfrentamento das dificuldades toma proporções maiores e irrealísticas no aprendizado do exame físico.
Preditores Educacionais para Fixação de Médicos em Áreas Remotas e Desassistidas: uma Revisão Narrativa
Authors: Rocha Erika Maria Sampaio , Boiteux Pablo de Almeida , Azevedo George Dantas de , Siqueira Carlos Eduardo Gomes , Andrade Maria Angélica Carvalho
Published: March 2020

Abstract: This is an international narrative review study, which had the objectives of identifying and understanding the determining educational aspects for the retention of physicians in remote and unassisted areas. Through search on databases, we selected ten articles about medical education institutions and programs that increased the recruitment and retention levels for their alumni in areas where there was shortage of professionals, which clarified the educational aspects associated to such results, and which were considered as predictors for the retention of physicians. The main predictors found were: selection processes that prioritized the admission of students who were previously linked to places where there was a shortage of physicians; the creation of curricular frameworks based on problem-based methodologies focused on local health issues, with an emphasis in primary care and Family and Community Medicine approaches; and the quality of the educational experiences, especially in the primary care environment in rural or remote areas, which, in turn, involve the educational trajectory and experience of professors, as well as the infrastructure and localization of the medical schools in strategic areas. The placement of school is such areas allow close proximity between the professors to the reality of the vulnerable communities. The results of the review still point out that the retention of physicians in unassisted areas demands the confrontation of social, cultural, economic and political factors, which frequently transcend the governability of educational institutions. They also reiterate the need for a wider conceptual uniformity among research studies in order to ensure more solid scientific evidence about the subject, and the importance of conducting studies that contemplate the Latin-American context, specifically Brazil, where the literature on the topic is still scarce.