bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of strength, agility and aerobic capacity in Brazilian football players
Authors: Raymundo Ana Carolina Gago , Pernambuco Carlos Soares , de Oliveira Brum Rosana Dias , Castro Juliana Brandão Pinto de , de Oliveira Flávio Boechat , da Gama Dirceu Ribeiro Nogueira , de Alkmim Moreira Nunes Rodolfo , de Souza Vale Rodrigo Gomes
Published: February 2018

Study aim: To evaluate the levels of strength, agility and the maximal oxygen uptake (VO2max) between the offensive and de­fensive teams of football players. Material and methods: In the present cross-sectional study, 20 male Brazilian football players were divided into an offensive group (OG, n = 10, age: 25.50 ± 6.15 years) and a defensive group (DG, n = 10, age: 22.50 ± 5.48 years). We used the dy­namometer for back and legs, the shuttle run test, and the Cooper test to evaluate strength, agility and VO2max, respectively. Results: The independent Student t-test showed that the OG was significantly more agile than the DG (p < 0.05). The other variables did not show any statistically significant differences. In the OG there was a strong correlation between agility and VO2max (r = - 0.834, p = 0.003, r2= 0.70). However, in the DG there was a moderate correlation between the same variables (r = - 0.677, p = 0.031, r2= 0.46). This shows that the greater the agility is, the higher is the VO2max. There was no correlation between the variables muscle strength and body fat percentage. Conclusions: The study showed that the OG has a better physical condition than the DG.
“Send & hold” clinical decision support rules improvement to reduce unnecessary testing of vitamins A, E, K, B1, B2, B3, B6 and C
Authors: Rodriguez-Borja Enrique , Corchon-Peyrallo Africa , Barba-Serrano Esther , Villalba Martínez Celia , Carratala Calvo Arturo
Published: February 2018

Background:

We assessed the impact of several “send & hold” clinical decision support rules (CDSRs) within the electronical request system for vitamins A, E, K, B1, B2, B3, B6 and C for all outpatients at a large health department.

Methods:

When ordered through electronical request, providers (except for all our primary care physicians who worked as a non-intervention control group) were always asked to answer several compulsory questions regarding main indication, symptomatology, suspected diagnosis, vitamin active treatments, etc., for each vitamin test using a drop-down list format. After samples arrival, tests were later put on hold internally by our laboratory information system (LIS) until review for their appropriateness was made by two staff pathologists according to the provided answers and LIS records (i.e. “send & hold”). The number of tests for each analyte was compared between the 10-month period before and after CDSRs implementation in both groups.

Results:

After implementation, vitamins test volumes decreased by 40% for vitamin A, 29% for vitamin E, 42% for vitamin K, 37% for vitamin B1, 85% for vitamin B2, 68% for vitamin B3, 65% for vitamin B6 and 59% for vitamin C (all p values 0.03 or lower except for vitamin B3), whereas in control group, the majority increased or remained stable. In patients with rejected vitamins, no new requests and/or adverse clinical outcome comments due to this fact were identified.

Conclusions:

“Send & hold” CDSRs are a promising informatics tool that can support in utilization management and enhance the pathologist’s leadership role as tests specialist.
Measuring media and information literacy skills: Construction of a test
Authors: Lopes Paula , Costa Patrícia , Araujo Luisa , Ávila Patrícia
Published: February 2018

Research on media and information literacy has been growing exponentially over the past years, but it has focused more on the examination of media practices than on the assessment of media and information literacy skills. In this paper we describe the process of designing and implementing a Media and Information Literacy Test comprising 20 items. We present the results of the analysis carried out to validate the items and to construct a scale of media and information literacy skills using Item Response Theory (IRT). Findings indicate that the conceptual framework adopted is adequate to measure media and information literacy and that the test has good discrimination and difficulty parameters. The test is based on a more comprehensive framework used to assess media and information literacy skills than those used in previous studies and can be used on an item-by-item basis. In this sense, it is a novel contribution to current efforts to measure media and information literacy skills.
Voltage Stability Improvement of Transmission Systems Using a Novel Shunt Capacitor Control
Authors: Furukakoi Masahiro , Sayed Shah Danish Mir , Motin Howlader Abdul , Senjyu Tomonobu
Published: February 2018

This paper proposes a novel shunt capacitor (SC) based voltage stability method for a power system operation. The integration of distributed generators e.g. wind and PV powers to the grid, and fluctuations nature of load power cause the attention of voltage stability management for a power system operation and planning. The SC based proposed method improves the voltage stability by using the flow of active and reactive powers in the transmission line. The Voltagestability index (VSI) is utilized for the voltage stability analysis. The SC is installed at the load bus so that it can inject a proper amount of reactive power for ensuring the voltage stability of power system. The proposed method is investigated in the IEEE-14 bus test system. Simulation results are compared with the non-SC based method. Extensive simulation analyses have been done by the MATLAB/Simulink software.
Broken or Fixed Effects?
Authors: Gibbons Charles E. , Suárez Serrato Juan Carlos , Urbancic Michael B.
Published: February 2018

We replicate eight influential papers to provide empirical evidence that, in the presence of heterogeneous treatment effects, OLS with fixed effects (FE) is generally not a consistent estimator of the average treatment effect (ATE). We propose two alternative estimators that recover the ATE in the presence of group-specific heterogeneity. We document that heterogeneous treatment effects are common and the ATE is often statistically and economically different from the FE estimate. In all but one of our replications, there is statistically significant treatment effect heterogeneity and, in six, the ATEs are either economically or statistically different from the FE estimates.
Compression of hyper-spectral images using an accelerated nonnegative tensor decomposition
Authors: Li Jin , Liu Zilong
Published: February 2018

Nonnegative tensor Tucker decomposition (NTD) in a transform domain (e.g., 2D-DWT, etc) has been used in the compression of hyper-spectral images because it can remove redundancies between spectrum bands and also exploit spatial correlations of each band. However, the use of a NTD has a very high computational cost. In this paper, we propose a low complexity NTD-based compression method of hyper-spectral images. This method is based on a pair-wise multilevel grouping approach for the NTD to overcome its high computational cost. The proposed method has a low complexity under a slight decrease of the coding performance compared to conventional NTD. We experimentally confirm this method, which indicates that this method has the less processing time and keeps a better coding performance than the case that the NTD is not used. The proposed approach has a potential application in the loss compression of hyper-spectral or multi-spectral images
Calculating degree-based topological indices of dominating David derived networks
Authors: Ahmad Muhammad Saeed , Nazeer Waqas , Kang Shin Min , Imran Muhammad , Gao Wei
Published: February 2018

An important area of applied mathematics is the Chemical reaction network theory. The behavior of real world problems can be modeled by using this theory. Due to applications in theoretical chemistry and biochemistry, it has attracted researchers since its foundation. It also attracts pure mathematicians because it involves interesting mathematical structures. In this report, we compute newly defined topological indices, namely, Arithmetic-Geometric index (AG
1 index), SK index, SK
1 index, and SK
2 index of the dominating David derived networks [1, 2, 3, 4, 5].
The structure and conductivity of polyelectrolyte based on MEH-PPV and potassium iodide (KI) for dye-sensitized solar cells
Authors: Szindler Magdalena M. , Szindler Marek , Dobrzański Leszek A.
Published: February 2018

This article presents the results of a research on the effects and properties of the potassium iodide additive onto the structure of the MEH-PPV polymer material, in its aspect of application in the dye-sensitized solar cell. Changes in MEH-PPV surface morphology were researched through increasing of the potassium iodide content measured by scanning electron microscope. The increased content of potassium iodide also led to increased electrical conductivity measured by the Keithley meter. The electrical properties of the dye-sensitized solar cell were also studied, in which the liquid electrolyte was replaced with a thin layer of polyelectrolyte, based on MEH-PPV and potassium iodide.
Numerical solution for fractional Bratu’s initial value problem
Authors: Ghomanjani Fateme , Shateyi Stanford
Published: February 2018

In this paper, a method for solving fractional Bratu’s initial value problem (FBIVP) is presented. The main idea behind this work is the use of the Bezier curve method (BCM). To show the efficiency of the developed method, numerical results are presented.
Induction heating process of ferromagnetic filled carbon nanotubes based on 3-D model
Authors: Wiak Sławomir , Firych-Nowacka Anna , Smółka Krzysztof , Pietrzak Łukasz , Kołaciński Zbigniew , Szymański Łukasz
Published: February 2018

Since their discovery by Iijima in 1991 [1], carbon nanotubes have sparked unwavering interest among researchers all over the world. This is due to the unique properties of carbon nanotubes (CNTs). Carbon nanotubes have excellent mechanical and electrical properties with high chemical and thermal stability. In addition, carbon nanotubes have a very large surface area and are hollow inside. This gives a very broad spectrum of nanotube applications, such as in combination with polymers as polymer composites in the automotive, aerospace or textile industries. At present, many methods of nanotube synthesis are known [2, 3, 4, 5, 6]. It is also possible to use carbon nanotubes in biomedical applications [7, 8, 9, 10, 11, 12, 13, 14], including the destruction of cancer cells using iron-filled carbon nanotubes in the hyperthermia process. Computer modelling results of Fe-CNTs induction heating process are presented in the paper. As an object used for computer model creation, Fe-CNTs were synthesized by the authors using CCVD technique.
Refusals of invitations and offers in Persian: Genuine or ostensible?
Authors: Shishavan Homa Babai
Published: February 2018

This study investigated instances of Persian genuine and ostensible (ritual) refusals produced in response to genuine offers and invitations. The data was collected through ethnographic observations and was analyzed in light of a modified version of defining properties and features of ostensible speech acts proposed by Isaacs and Clark (1990). Furthermore, cultural schemas and sociocultural norms underlying ostensible refusals in Persian were investigated through focus group interviews (FGI). The results revealed that although the features of ostensible speech acts proposed by Isaacs and Clark (1990) are present in ostensible refusals in Persian, they are not always sufficient to distinguish Persian ritual and genuine refusals. The results of the focus group interviews also showed that ritual refusals in Persian are complex speech acts strongly linked to Persian cultural schemas of
Practice of use of diapers in hospitalized adults and elderly: cross-sectional study
Authors: Bitencourt Graziele Ribeiro , Alves Luise de Almeida Ferreira , Santana Rosimere Ferreira
Published: February 2018

ABSTRACT Objective: analyze the practice of use of diapers in adults and elderly in hospital. Method: observational cross-sectional study, with a sample of 105 participants assigned according to the data collection period, from September 2013 to January 2014, in the surgical clinic wards in a University Hospital. Results: it was observed that 38% of the 105 participants of the study did not need the use of diapers. 18% used it because they were disabled and 16% had their cognitive system damaged. As they were hospitalized, it was identified that 51.4% of patients were there ranging from 02 to 10 days, and 60% used diapers for the same period. It is also identified that long term urinary catheter (24.8%), as technology associated to diapers in the urinary control and to pressure ulcers (12.4%), being the main complication. Conclusion: the use of diapers did not have specific criteria to be selected. For this, it was proposed an "Evaluation Scale of Diapers Use in Adults", as for indication as for its monitoring to help the study transposal for the nursing practice.
The nurses' work process in different countries: an integrative review
Authors: Leal Juliana Alves Leite , Melo Cristina Maria Meira de
Published: February 2018

ABSTRACT Objective: To analyze the characteristics of nurses' work process in different countries. Method: We have used the integrative review method and selected 84 publications (articles, theses and dissertations) in national and foreign thesis banks and databases. We analyzed the evidence based on dialectical materialism. Results: The rejection of managerial tasks hides the singularity of nurses' work, due to the failure to understand the inseparable nature of managerial and healthcare tasks, given that it is what provides the expertise to coordinate the nursing work process and guide the healthcare work processes. The social and technical division is present in the work process in all countries studied, albeit in different ways. The nurse's position in the healthcare work process is subordinated to that of the physician. Conclusion: The characteristics are similar. The rejection of the dual nature of the work by nurses themselves due to alienation results in the non-recognition of their own work.
Perception of nursing workers humanization under intensive therapy
Authors: Michelan Vanessa Cecilia de Azevedo , Spiri Wilza Carla
Published: February 2018

ABSTRACT Objective: understand the perception of nursing workers working in the Intensive Care Unit (ICU) regarding humanization in the work environment. Method: we used the reference of phenomenology, structure of the phenomenon. Participated 25 nursing professionals working in an adult ICU of a university hospital, through focused interviews, answering the guiding question: What do you understand by humanization of the working conditions of the nursing team working in the ICU? Results: the analysis revealed the themes: humanization in the ICU; working condition in the ICU; management of people in the ICU and management process in the ICU. Final considerations: humanization is necessary through the change of the work environment and the managerial process, privileging the participatory management model as a way to transform theory into practice and value the worker.
Burnout and nursing work environment in public health institutions
Authors: Nogueira Lilia de Souza , Sousa Regina Márcia Cardoso de , Guedes Erika de Souza , Santos Mariana Alvina dos , Turrini Ruth Natalia Teresa , Cruz Diná de Almeida Lopes Monteiro da
Published: February 2018

ABSTRACT Objective: to identify associations between the Burnout domains and the characteristics of the work environment. Method: cross-sectional study with 745 nurses from 40 public health institutions in São Paulo. Nursing Work Index-Revised (NWI-R) and Maslach Burnout Inventory were used. Similar institutions according to NWI-R were grouped by clustering and the Anova and Bonferroni tests were used in the comparative analyzes. Results: there was significant and moderate correlation between emotional exhaustion and autonomy, control over the environment and organizational support; between reduced personal accomplishment, autonomy and organizational support; and between depersonalization and autonomy. The group that presented the worst conditions in the work environment differed on emotional exhaustion from the group with most favorable traits. Conclusion: emotional exhaustion was the trait of Burnout that was more consistently related to the group of institutions with more unfavorable working conditions regarding autonomy, organizational support and control over the environment.
Journal Club: a group of research experience
Authors: Draganov Patricia Bover , Silva Maria Regina Guimarães , Neves Vanessa Ribeiro , Sanna Maria Cristina
Published: February 2018

ABSTRACT Introduction: the Journal Club (JC) is a teaching and learning strategy developed by individuals who meet to discuss scientific articles in periodicals. Objective: to describe the experience of the JC strategy at the Group for Studies and Research in Health Services Administration and Nursing Management (Gepag). Method: case studies or scientific research demonstration mode of practical experience for the understanding and justification of facts. Results: Gepag JC emerged in 2008 and, in 2014, was computerized with the Google Drive®, in order to increase its scope and optimize the Group›s meetings. From April to May 2014, the instrument was tested and adjusted, resulting in advancements. Final considerations: the advantages involved optimizing the time of meetings, facilitation of access to publications of interest to the Group and creating the database to support future research.
The use of Facebook in health education: perceptions of adolescent students
Authors: Aragão Joyce Mazza Nunes , Gubert Fabiane do Amaral , Torres Raimundo Augusto Martins , Silva Andréa Soares Rocha da , Vieira Neiva Francenely Cunha
Published: February 2018

ABSTRACT Objective: understand the perceptions of adolescent students regarding the use of Facebook social media in sexual and reproductive health learning in the Family Health Strategy. Method: a qualitative, descriptive study developed with 96 adolescents from a public school and a private school in Fortaleza-CE who concluded an educational intervention using Facebook. The information was collected in the online environment itself, as well as in a questionnaire applied in person. For the collection and analysis of this information, netnography was used. Results: Facebook contributed to the sexual and reproductive health education in an interactive, playful and practical way, reducing the embarrassment of some adolescents to converse on the subject, and brought adolescents closer to the health service, by strengthening their bond with Health professionals. Final considerations: health professionals should recognize that such virtual spaces on the Internet offer potential for the production of health care, especially among adolescents.
Spiritual well-being and hope in the preoperative period of cardiac surgery
Authors: Bezerra Simone Maria Muniz da Silva , Gomes Eduardo Tavares , Galvão Paulo César da Costa , Souza Karolayne Vieira de
Published: February 2018

ABSTRACT Objective: To characterize relations between spiritual well-being and hope of patients in the preoperative period of cardiac surgery. Method: Exploratory cross-sectional study with quantitative approach, performed in the infirmaries of a reference hospital in cardiology. We evaluated 69 patients hospitalized in preoperative period of myocardial revascularization, valve repair or replacement. Results: We verified that patients hold relevant scores of hope and welfare in all areas, being the existential well-being significantly lower than the religious one. The average of the spiritual well-being score was below the required to be considered high. There was no significant correlation between welfare and hope. Conclusion: Nurses should develop a watchful eye to these issues, be trained in specific protocols of spiritual anamnese and use the real moments of care to strengthen the patients.
Disability retirement among university public servants: epidemiological profile and causes
Authors: Moreira Aline Aparecida Oliveira , Martins Júlia Trevisan , Robazzi Maria Lucia do Carmo Cruz , Ribeiro Renata Perfeito , Lourenço Maria do Carmo Fernandez Haddad , Lacerda Maria Ribeiro
Published: February 2018

ABSTRACT Objective: To identify the epidemiological profile and causes of disability pensions for university public servants. Method: A cross-sectional and descriptive study, carried out with 40 retired employees due to disability of a public university. Sociodemographic, occupational and clinical data were obtained. The analyses were stratified according to gender, considering a significance level of 5%. Results: Disability pensions were more frequent among women (72.5%), aged up to 60 years (77.5%). Mental and behavioral disorders were mainly responsible for pensions (35%). There was a significant difference between the sexes (p ≤ 0.05) for the variables: educational level, function performed by the worker and presence of dependents. Conclusion: The epidemiological profile showed a higher frequency of female, married/stable marital status, aged between 51 and 60 years and up to 12 years of schooling. Chronic degenerative diseases were predominant among the causes for disability pensions.
Costs of examinations performed in a hospital laboratory in Chile
Authors: Andrade Germán Lobos , Palma Carolina Salas
Published: February 2018

ABSTRACT Objective: To determine the total average costs related to laboratory examinations performed in a hospital laboratory in Chile. Method: Retrospective study with data from July 2014 to June 2015. 92 examinations classified in ten groups were selected according to the analysis methodology. The costs were estimated as the sum of direct and indirect laboratory costs and indirect institutional factors. Results: The average values obtained for the costs according to examination group (in USD) were: 1.79 (clinical chemistry), 10.21 (immunoassay techniques), 13.27 (coagulation), 26.06 (high-performance liquid chromatography), 21.2 (immunological), 3.85 (gases and electrolytes), 156.48 (cytogenetic), 1.38 (urine), 4.02 (automated hematological), 4.93 (manual hematological). Conclusion: The value, or service fee, returned to public institutions who perform laboratory services does not adequately reflect the true total average production costs of examinations.
Patients' knowledge about medication prescription in the emergency service
Authors: Carvalho Thaynara Paola de , Okuno Meiry Fernanda Pinto , Campanharo Cassia Regina Vancini , Lopes Maria Carolina Barbosa Teixeira , Batista Ruth Ester Assayag
Published: February 2018

ABSTRACT Objective: To identify which orientations were received by the patient about the medication prescription and which professional performed it; to evaluate the patients' knowledge about prescription drugs and to correlate it to socioeconomic variables, comorbidities, and the frequency with which the patient seeks emergency service; and to evaluate the knowledge about the medication prescribed after the health care. Method: This was a cross-sectional study on 304 patients that received emergency service's discharge along with medication prescription. Applied instruments: sociodemographic characterization and evaluation of the knowledge about the prescribed medication. We used a descriptive and inferential analysis. Results: Most subjects had no doubts about how or for how long to take the medication; and presented questions about adverse reactions and what to do in case of forgetting to take the medication doses. There was a significant association between age; educational level; comorbidity; the frequency of emergency service's use; and knowledge about medications. Conclusion: a total of 48% of the patients declared to need information about adverse effects and what to do if they forget to take the medication.
Calf circumference: clinical validation for evaluation of muscle mass in the elderly
Authors: Pagotto Valéria , Santos Kássylla Ferreira dos , Malaquias Suelen Gomes , Bachion Maria Márcia , Silveira Erika Aparecida
Published: February 2018

ABSTRACT Objective: To validate calf circumference as a technology for assessing muscle mass in the elderly. Method: Cross-sectional study with 132 elderly people from Goiânia, Goiás, Brazil. Decreased muscle mass was determined by the skeletal muscle mass index (IME) using Dual Energy X-Ray Absortometry (DEXA). The cutoff circumferences (CC) cutoff points to indicate muscle mass decrease were estimated by ROC curve, sensitivity, specificity and accuracy. Results: The most accurate cut-off points for detecting decreased muscle mass in the elderly were 34 cm for men (sensitivity: 71.5%, specificity: 77.4%) and 33 cm for women (sensitivity: 80.0%; specificity: 84.6%). Conclusion: CC can be used as a measure for early identification of muscle mass decrease in routine evaluations of the elderly in primary care.
Presença e extensão dos atributos de atenção primária à saúde da criança em distintos modelos de cuidado
Authors: Santos Nathanielly Cristina Carvalho de Brito , Vaz Elenice Maria Cecchetti , Nogueira Jordana Almeida , Toso Beatriz Rosana Gonçalves de Oliveira , Collet Neusa , Reichert Altamira Pereira da Silva
Published: February 2018

O objetivo deste estudo é avaliar qual modelo de atenção, entre unidade básica de saúde (UBS) tradicional e aquelas com Estratégia Saúde da Família (ESF), é mais orientado à atenção primária à saúde (APS) da criança, considerando a presença e a extensão dos atributos essenciais e derivados da APS. Foram entrevistados 1.484 familiares e ou cuidadores de crianças menores de 10 anos de idade cadastradas em unidades de saúde da família de João Pessoa na Paraíba, Brasil, e UBS tradicionais de Cascavel, e UBS mistas de Londrina, ambas no Paraná, Brasil. Para tanto, utilizou-se o Primary Care Assessment Tool Brasil, versão criança. Para análise utilizou-se o teste ANOVA one way paramétrica, para identificação de diferença estatisticamente significante entre os modelos de atenção, seguida do teste de comparação múltipla (post hoc) de Tukey, para apontar qual modelo apresentava diferença. Apesar de limitações no desenho do estudo, os achados levantam a hipótese de que a UBS mista é o modelo mais orientado à APS no cuidado à criança. Isso pode estar relacionado ao fato de que os diferentes modelos avaliados pertenciam a municípios diferentes, sem possibilidade de ajustar, na análise, as variáveis ligadas aos diferentes contextos. Assim, estudos futuros, com desenhos mais robustos, e ampliando para outros usuários e profissionais de saúde, poderão comprovar esta hipótese.
Análisis de costos de atención médica para esquizofrenia y depresión en México para el periodo 2005-2013
Authors: Arredondo Armando , Díaz-Castro Lina , Cabello-Rangel Hector , Arredondo Pablo , Recaman Ana Lucía
Published: February 2018

El objetivo fue identificar los costos de la atención para enfermedades de salud mental en el sistema de salud de México. Se trata de una investigación evaluativa de tipo transversal retrospectivo. Se seleccionaron como trazadores del problema dos de las principales demandas de salud mental en los últimos años: depresión y esquizofrenia. La incidencia acumulada anual se identificó a partir del reporte epidemiológico por tipo de institución para el periodo 2005-2013. El costo del manejo anual de caso promedio se determinó a partir de la técnica de instrumentación y consenso, identificando las funciones de producción, el tipo de insumos, los costos y cantidad de insumos requeridos, concentrados en la matriz de caso promedio. Finalmente, se aplicó un factor de ajuste econométrico para controlar efecto inflacionario para cada año del periodo de estudio. El costo promedio del manejo anual de un caso en dólares americanos para esquizofrenia fue de 2.216,00 y para depresión 2.456,00. Para todas las instituciones del sistema de salud se observan tendencias epidemiológicas y económicas crecientes y constantes. El costo total para ambas enfermedades para el último año del periodo (2013) fue de USD 39.081.234,00, USD 18.119.877,00 para esquizofrenia y USD 20.961.357,00 para depresión. El mayor impacto para ambas enfermedades está en las instituciones para población no asegurada (USD 24.852.321,00) vs. población asegurada (USD 12.891.977,00). El costo de satisfacer la demanda de servicios para ambas enfermedades difiere considerablemente entre las instituciones que se ocupan de la población asegurada vs. población no asegurada, siendo mayor el de las segundas. Los indicadores epidemiológicos y económicos de este estudio contribuyen a la generación de evidencias para tomar decisiones en el uso y asignación de recursos para los servicios de salud que demandarán ambas enfermedades en los próximos años.
Contextual and individual factors associated with dissatisfaction with public emergency health services in Brazil, 2011-2012
Authors: Rech Rafaela Soares , Hugo Fernando Neves , Giordani Jessye Melgarejo do Amaral , Passero Lúcia Gimenes , Hilgert Juliana Balbinot
Published: February 2018

The Brazilian network of emergency care, in recent years, has shown significant progress. The objective was to evaluate contextual and individual factors associated with the satisfaction with public emergency health services. This was a cross-sectional multilevel study carried out between June 2011 and January 2012. Data were collected via telephone at the ombudsman’s office of the Brazilian Unified National Health System (SUS). Telephone numbers were randomly selected from a telephone company database. Health services, socioeconomic, and individual demographic variables were evaluated, in addition to information about the municipalities. The outcome variable was dissatisfaction with public emergency health services in Brazil. Multilevel logistic regression was performed and 7,027 individuals from 61 municipalities answered the survey. The prevalence of perceived dissatisfaction was 48.1% (95%CI: 46.9-49.3). Variables that remained significantly associated with the outcome are: age up to 20 years, 16 or more years of education, lives in the Central region, non-resolved demands, longer waiting times, and accessing emergency in a primary care service. Prevalence of a perceived dissatisfaction is predominantly associated with care’s waiting time and the length needed to resolve the demand.
Percepções de gestores, profissionais e usuários acerca do registro eletrônico de saúde e de aspectos facilitadores e barreiras para a sua implementação
Authors: Costa Jose Felipe Riani , Portela Margareth Crisóstomo
Published: February 2018

Resumo: A concepção e a implementação de tecnologias complexas, como o registro eletrônico de saúde (RES), envolvem tanto aspectos técnicos quanto questões pessoais, sociais e organizacionais. Há no cenário brasileiro público e privado diferentes iniciativas locais e regionais de implementação de RES. Existe ainda, por parte do Ministério da Saúde, a proposta de conformação de um RES nacional. O estudo aqui apresentado buscou propiciar uma visão abrangente das percepções de gestores, profissionais e usuários do sistema de saúde acerca de suas experiências com o RES e suas opiniões acerca da perspectiva de conformação de um RES nacional. Trata-se de um estudo qualitativo que envolveu a realização de 28 entrevistas semiestruturadas. Os resultados obtidos explicitaram, além da diversidade de fatores que podem influenciar a implementação do RES, a existência de confluências e de aspectos que tendem a ser valorizados de modo distinto, conforme os diferentes pontos de vista. Dentre os aspectos chave destacados nas percepções dos entrevistados, vale enfatizar as discussões acerca de atributos e do impacto do RES no cuidado de saúde, especialmente no caso dos RES de uso local; as preocupações com os custos e com o sigilo e privacidade, relativos aos RES em geral; e as possíveis implicações decorrentes da opção pela centralização ou descentralização do armazenamento das informações, no caso do RES nacional. Ficou patente nas falas dos entrevistados a necessidade de que seja estabelecida uma comunicação mais efetiva entre as partes interessadas, e que as diferentes perspectivas sejam consideradas na formulação e implementação de RES nos níveis local, regional e nacional.
Vulnerabilidade programática no controle da hanseníase: padrões na perspectiva de gênero no Estado da Bahia, Brasil
Authors: Souza Eliana Amorim de , Boigny Reagan Nzundu , Ferreira Anderson Fuentes , Alencar Carlos Henrique , Oliveira Maria Leide W. , Ramos Jr. Alberto Novaes
Published: February 2018

O objetivo deste estudo foi analisar indicadores operacionais de controle da hanseníase e sua tendência temporal, na perspectiva de gênero, no Estado da Bahia, Brasil, de 2001 a 2014. Trata-se de estudo de série temporal baseado em dados epidemiológicos da hanseníase no Sistema de Informação de Agravos de Notificação, com análise de regressão de Poisson por joinpoints e de regressão polinomial. Dos 40.054 casos novos de hanseníase analisados, 47,1% dos contatos registrados não foram examinados, mas com tendência significativa de aumento, de forma mais acentuada entre as mulheres (variação percentual anual média - AAPC = 5,6; IC95%: 3,5; 7,7) em comparação aos homens (AAPC = 3,0; IC95%: 0,5; 5,6). A proporção de cura na coorte 2003-2014 foi de 85%, com tendência de redução mais acentuada nos homens (AAPC = -0,5; IC95%: -0,9; 0,0), comparados às mulheres (AAPC = -0,4; IC95% -0,7; -0,1). A proporção de casos em abandono de tratamento no período foi de 5,5%, com tendência de redução mais significativa entre mulheres (AAPC = -4,9; IC95%: -8,7; -1,1) do que em homens (AAPC = -2,7; IC95%: -4,4; -1,0). Recidiva foi verificada em 3,8% de todas as entradas do período; as mulheres apresentaram tendência de redução significativa (AAPC = -2,2; IC95%: -3,3; -1,0) e os homens, de crescimento significativo (AAPC = 4,9; IC95%: 2,9; 6,8). A análise por regressão polinomial foi consistente com a análise de joinpoints. A hanseníase no Estado da Bahia apresenta indicadores operacionais com magnitude e tendência temporal significativas, em especial entre a população masculina. O desempenho insuficiente dos serviços de saúde em realizar a vigilância de contatos e a longitudinalidade do cuidado revelam diferentes dimensões de vulnerabilidade.
Characteristics of the environmental microscale and walking and bicycling for transportation among adults in Curitiba, Paraná State, Brazil
Authors: Lopes Adalberto Aparecido dos Santos , Kienteka Marilson , Fermino Rogério César , Reis Rodrigo Siqueira
Published: February 2018

The aim of this study was to analyze the association between the characteristics of the built and social and environmental microscale and walking and bicycling for transportation in adults in Curitiba, Paraná State, Brazil. A cross-sectional study was performed in 2009 with a household survey that included 1,419 adults. Objective evaluation of environment was performed on the resident’s street segments, using an instrument for systematic observation consisting of six dimensions: “land use”, “public transportation”, “streetscape”, “conditions and aesthetics”, “places for walking and bicycling”, and “social environment”. The score for each dimension was obtained as the sum of positive items related to physical activity. The items for “public transportation” (≥ 1 items) and “places for walking and bicycling on the streets” (≥ 3 items) were dichotomized, while the scores for the other items were classified in tertiles. Walking and bicycling for transportation were assessed with the International Physical Activity Questionnaire (IPAQ). The data were analyzed using multilevel Poisson regression. Medium “streetscape” score was inversely associated with walking ≥ 150min/week (PR = 0.60; 95%CI: 0.40-0.91; VPC = 12%) and bicycling (PR = 0.54; 95%CI: 0.29-0.99; VPC = 60%). In conclusion, only “streetscape” was associated with walking and bicycling for transportation in adults.
Adequação normativa dos planos estaduais de segurança alimentar e nutricional no Brasil
Authors: Machado Mick Lennon , Gabriel Cristine Garcia , Soar Claudia , Mamed Gisele Rockenbach , Machado Patrícia Maria de Oliveira , Lacerda Josimari Telino de , Martins Milena Corrêa , Marcon Maria Cristina
Published: February 2018

Resumo: Com o intuito de analisar a adequação dos Planos Estaduais de Segurança Alimentar e Nutricional (PlanSAN) às normas estabelecidas pela Política Nacional de Segurança Alimentar e Nutricional (PNSAN), foi realizada pesquisa descritiva e documental, com coleta de dados entre agosto a outubro de 2016. O acesso aos planos foi realizado na página de Internet da Câmara Interministerial de Segurança Alimentar e Nutricional (CAISAN) ou dos governos estaduais, com coleta de informações complementares no âmbito dos estados. Todos os estados brasileiros aderiram ao Sistema de Segurança Alimentar e Nutricional (SISAN), entretanto menos da metade (13 estados, 48%) elaborou seus planos, destacando-se alguns aspectos: 5 (38%) dos PlanSAN tinham vigência correspondente ao plano plurianual do estado; 5 (38%) dos PlanSAN descreviam os requisitos orçamentários para execução das metas propostas; e 7 (54%) descreviam mecanismos de monitoramento do plano e apenas 2 (15%) definiam metodologia para monitoramento de segurança alimentar e nutricional. O menor tempo de existência da CAISAN e de adesão parecem estar relacionados com a inexistência de PlanSAN. Ainda que a maioria dos estados com planos atendam algumas normativas estabelecidas pela PNSAN, esses instrumentos tornam-se frágeis e pouco exequíveis quando não possuem vinculação orçamentária para suas metas. Pelo fato de a PNSAN ser estruturalmente intersetorial, a construção dos planos depende de um trabalho coletivo das diversas secretarias de governo. Reforça-se que os itens analisados foram todos normativos, o que implica necessidade do estabelecimento de mecanismos que garantam a sua adequada execução.
O ensino-aprendizagem (não)situado de matemática e física no ensino-fundamental: reflexões sobre as concepções de dois professores a luz da linguística sistêmico-funcional
Authors: COSTA Fernanda Meneses Rodrigues da , SZUNDY Paula Tatianne Carréra
Published: February 2018

RESUMO O presente artigo tem como objeto de reflexão os enunciados de dois professores acerca do ensino-aprendizagem (não)situado de matemática e física no ensino-fundamental em uma escola pública do município do Rio de Janeiro. Os enunciados que integram o corpus de análise foram coletados durante entrevistas com dois professores realizadas por uma das autoras desse artigo no âmbito do projeto Práticas de Linguagem em Diferentes Áreas do Conhecimento na Escola Pública (PLIEP). A interpretação dos dados, com base na concepção de gêneros do discurso, conceitos espontâneos e científicos, multiletramentos e em categorias da linguística sistêmico-funcional, revela uma maior adesão discursiva do professor de matemática a processos de construção de conhecimento socialmente situados e um distanciamento ideológico de ambos os professores das práticas de multiletramentos que caracterizam a (trans)formação de significados na vida contemporânea.
O estatuto variável de construções com e sem Alçamento: uma abordagem sociofuncionalista
Authors: GONÇALVES Sebastião Carlos Leite
Published: February 2018

RESUMO Constituintes argumentais de oração encaixada podem assumir comportamento típico de Sujeito ou de Objeto em uma predicação matriz, fenômeno conhecido como Alçamento. Sob perspectiva sociofuncionalista, discutimos o estatuto variável de construções com e sem Alçamento, sob a hipótese de que tais construções podem ser concebidas como variantes de mesma variável sintática. Independentemente de ajustes morfossintáticos prototípicos do Alçamento, analisamos dados de uma variedade falada do português brasileiro envolvendo casos de Alçamento a Sujeito. Na consideração de variáveis linguísticas e sociais, os resultados apontam, no condicionamento da regra variável: (i) maior produtividade de Alçamento de Sujeito a Sujeito do que de Objeto a Sujeito; (ii) maior relevância de variáveis semântico-pragmáticas; (iii) irrelevância de variáveis sociais. A conclusão é a de que um tratamento satisfatório do fenômeno sob perspectiva sociofuncionalista requer mesmo que critérios morfossintáticos sejam abrandados, em favor da inclusão de critérios discursivo-pragmáticos.
Debate oral, multimodalidade e escola: problemáticas e possibilidades no ensino de gêneros orais por meio do modelo da sequência didática
Authors: MIRANDA Flávia Danielle Sordi Silva , PRÍNCIPE Giovana Siqueira
Published: February 2018

RESUMO Este artigo discute a adoção da perspectiva de gêneros discursivos na esfera escolar, enfocando um trabalho didático desenvolvido com o gênero oral debate deliberativo, em uma sequência didática, conforme modelo proposto pelo grupo de Genebra, trabalhada com alunos de Ensino Técnico Integrado ao Médio. Os resultados dessa prática nos proporcionaram reflexões teóricas importantes, indicando que, embora haja problemáticas ao se didatizar gêneros em situações de ensino-aprendizagem; há também possibilidades de ensino, que podem promover trabalhos contextualizados com a língua materna. Os dados possibilitaram também a descrição do gênero pelo eixo da multimodalidade para fomentar seus usos em sala de aula.
Pecan cultivation: general aspects
Authors: Fronza Diniz , Hamann Jonas Janner , Both Vanderlei , Anese Rogério de Oliveira , Meyer Evandro Alcir
Published: February 2018

ABSTRACT: Given the increasing investment in the pecan production in southern Brazil, it becomes necessary researches, assisting in solve problems and proposition of technical and methodology to enhance this production chain. Thus, the present review aimed to survey the existing information about the culture, both on the world and the Brazilian scene. Issues related to botany, climate and soil requirements, alignment and planting density, cultivars, pests and diseases, among other technical aspects of this culture will be addressed. Pecan nut presents nutraceutical properties that are beneficial to human health, which has increased its demand from consumers. However, there are few research results with pecan nut in Brazil and there are many gaps in scientific knowledge about this culture, especially as regards the management of pests and diseases control, irrigation and nutrition, in Brazilian conditions.
Design specifications of a heat applicator weed controller device for family farms
Authors: Spagnolo Roger Toscan , Oldoni André , Custódio Tiago Vega , Reis Ângelo Vieira dos , Machado Antônio Lilles Tavares
Published: February 2018

ABSTRACT: One of the difficulties faced by organic food farming families is weed management without the application of chemical products. Thus, this study aimed to establish the design specifications for the development of a heat applicator device for small organic family farms. The implemented methodology allowed the division of the project to phases composed by different tasks. This paper addresses the informational phase, which identifies client needs, according to the lifecycle of the product, in order to establish the design specifications. The declared needs of 40 customers were identified and converted to the requirements of 24 clients. This resulted in 26 design specifications, displayed in order of importance, and distributed along the product’s entire life cycle. Nine requirements were considered to be the most important; namely working speed, target applied temperature, application height variables, weed elimination, production costs, operation costs, energy consumption, weight, and main crop damage.
Detection of pine woodwasp in Pinus taeda in São Paulo State, Brazil
Authors: Wilcken Carlos Frederico , Souza Amanda Rodrigues de , Puretz Barbara de Oliveira , Camargo Gabriella Ferreira de
Published: February 2018

ABSTRACT: The woodwasp Sirex noctilio (Fabricius) (Hymenoptera: Siricidae) is one of the main pests of Pinus plantations in South America. The aim of this study is to report the occurrence of S. noctilio in Pinus taeda in Botucatu, São Paulo, Brazil. The surveys were carried out in the arboretum of Faculdade de Ciências Agronômicas (FCA) da Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP), campus Botucatu, SP where six species of Pinus are distributed in blocks of 100 trees. Resin beads were observed on the trunks and stems of Pinus species. In post-flight evaluation it was reported that 8.77% of P. taeda trees showed symptoms of oviposition by S. noctilio. A female S. noctilio was found performing oviposition. Sirex noctilio is present in Botucatu, increasing the geographical distribution of the pest in São Paulo State.
Isolantes térmicos fibrosos: motivos para sua utilização como revestimentos de trabalho em equipamentos industriais que operam em altas temperaturas - revisão da literatura - parte II
Authors: Silva D. G. M. , Vasconcelos W. L.
Published: February 2018

Resumo Isolantes térmicos são uma das principais ferramentas para o alcance de metas de redução de consumo energético e de aumento de produtividade em equipamentos industriais que operam a altas temperaturas. Neste trabalho, três produtos pertencentes à classe das fibras inorgânicas refratárias foram avaliados: as fibras cerâmicas refratárias (FCR), as fibras de silicato de metais alcalino-terrosos (AES) e as fibras policristalinas (PCW). Para uma melhor compreensão de como estes produtos são eficazes, buscou-se expor justificativas divididas em três seções. Na primeira etapa foi desenvolvido um balanço de transferência de energia térmica em meios fibrosos. Na segunda seção são apresentadas justificativas físicas que explicam a interação de suas microestruturas com a radiação térmica. Na terceira e última parte são apresentados parâmetros e características físicas referentes a estes produtos, buscando comprovar as razões de suas utilizações.
Placas de refratários aluminosos do sistema de válvula gaveta de panelas de aciaria: análise post mortem da degradação química
Authors: Sousa B. B. de , Bragança S. R.
Published: February 2018

Resumo Em uma aciaria, os recipientes que comportam o aço líquido, tais como o forno e a panela de aciaria, são revestidos com materiais refratários especiais para alta temperatura e elevada resistência ao desgaste. O custo desses materiais é alto e, portanto, almeja-se aumentar sua vida útil sem afetar seu desempenho. Este trabalho teve o objetivo de investigar as transformações que ocorrem no material refratário aluminoso de placas de válvula gaveta de panela de aciaria. Para tanto, a região das placas post mortem que entraram em contato com o material líquido a alta temperatura foi caracterizada por meio de análise visual e análises de composição e estrutura através das técnicas de fluorescência de raios X, difração de raios X e análise de microestrutura por microscopia eletrônica de varredura com espectroscopia por dispersão em energia. Como resultado, têm-se contribuições sobre o processo de corrosão química proporcionada pelo contato de escórias residuais com o canal das placas da válvula gaveta. Constatou-se a presença de materiais com alto teor de Ca e compostos por fases como mervinita e guelenita, características de escória, aderidos às placas. Ao mesmo tempo, foi possível estabelecer que a espessura de interação entre o material aderido e a superfície da placa variou entre 0,4 e 1,2 mm. Assim, quando associada à erosão pelo fluxo de aço, a corrosão química decorrente do contato com a escória tem o potencial de intensificar o desgaste da placa refratária.