bluuebunny/crossref_metadata_2025 huggingface dataset:
Improving Health Behavior Standard Through Modern Islamic Boarding School
Authors: Nugraha Enung , Syarifudin Encep
Published: May 2021

The purpose of this study is to explain health behavior standard of modern Islamic boarding school. The sample was determined purposively in Modern Islamic Boarding School in Banten Province, of Indonesia and respondents were 90 people with simple random techniques. This research uses descriptive quantitative method and data from the questionnaires. The results of this research showed that health behavior residents of Islamic boarding schools can be improved by predisposing factors such as (category of fairly good education and good income category), enabling factors (facilities for clinic/poskestren included: room/place, the medical and non-medical equipment and medicines in the good category) and strengthening factors (cadres of Poskestren, management aspect of clinic/poskestren, aspect of observation on the health and from the aspect of healthy behavior in the good category). A dominant factor to improving health behavior residents of Islamic boarding schools is the reinforcing factor.
The Correlation between Caries and Quality of Life of Mentally Disabled Learners
Authors: Endah Yani Ristya Widi , Pratiwi Yunita Satya , Prayitno Hadi , Anshari Muhammad , Nugroho Heru Santoso Wahito
Published: May 2021

Introduction.Â  Mentally disabled learners have dental problems 30% more complex than the ordinary toddler. It is because they have intellectual function disorder and adaptive behavior. This condition caused limitations in cleaning teeth optimally. So it will increase the risk of caries. This study objective is to find the correlation between the quality of life and dental caries at mentally disabled learners. Method. An analytical observational study with a cross-sectional approach to 118 learners in Sidoarjo, Indonesia, by total sampling. The variables in this study were quality of life (was measured with WHOQL-BREF index) and dental caries (was measured with DMF-T index). Tools and materials used are dental kids, alcohol 70%, cotton pellet, cotton roll, tampon, and WHOQL-BREF sheet. The data were presented descriptively in the form of a frequency distribution table, continued by Spearman Correlation test to analyze the correlation between the quality of life and dental caries at mentally disabled learners. Results. Most of the respondents are male (61%), with a range of age is 16-20 years old. The average quality of life for mentally disabled learners is the moderate category ( 65%). The average dental caries is considered as high. Spearman correlation shows pâ‰¤Î±(0,05) means there is a correlation between dental caries and quality of life. Conclusion. There is a correlation between dental caries and the quality of life for mentally disabled learners.
Índice general de los números 41 a 50
Authors: Gapper Sherry E.
Published: May 2021

Índices
Study on lignin-free lignocellulosic biomass and PSF-PEG membrane compatibility
Authors: Amusa Abiodun A. , Ahmad Abdul L. , Adewole Jimoh K.
Published: May 2021

Lignocellulosic biomass was delignified by combining physical and chemical pretreatment techniques. Then, a polysulfone-polyethylene glycol blend, which was compatible with the lignin-free biomass (0 wt% to 3.0 wt%), was used to fabricate composite membranes. The presence of hydroxyl groups after the pretreatment was evaluated via Fourier transform infrared spectroscopy. The rheology of the polymer solutions was assessed via the viscometric method. Also, the hydrophobicity of the fabricated membranes was determined using contact angle and porosity measurements. The fabricated membranes with near superhydrophobic properties (a contact angle of approximately 140°) based on this study revealed that contactor systems and biomedical applications would benefit from this modification.
Influence of temperature distribution on circular saw blade natural frequencies during cutting
Authors: Merhar Miran
Published: May 2021

When cutting wood, heat is generated in the cutting zone and in the gullet due to the friction between the teeth of the blade and the material that is being cut. Since the wood is hydrophilic, the saw blade cannot be cooled with liquids, as is usual when cutting metals. The only way to remove the heat from the source is by conductivity to the centre of the saw blade and then by convection into the air. This research presents an analytical model to calculate the natural frequencies of circular saw blades exposed to different temperature distributions. The model confirmed experimental findings of many authors, i.e. the heating of the saw blade cutting edge reduces its natural frequencies, the rate of the reduction depending on the temperature difference between the cutting edge and the rest of the blade and on the shape of the temperature distribution. In contrast, heating the centre of the saw blade increases its natural frequencies, the rate of increase depending on the temperature difference and the shape of the temperature distribution. With the presented model, the most favourable temperature distribution can be calculated from the point of view of the critical saw blade speed, which can be achieved by heating or cooling the centre of the saw blade.
Development and finishing technology of waterborne UV lacquer-coated wooden flooring
Authors: Zhao Zinan , Niu Yiting , Chen Fengyi
Published: May 2021

To develop a waterborne wooden flooring coating, the existing problems of the current waterborne coated wooden floorings were analyzed, and their corresponding solutions were considered. In this paper, based on the final effects of a novel waterborne UV wooden floor coating, the authors used a waterborne UV coating with different solids contents, as well as finishing and drying technology to treat the substrate with different tree species. According to the LY/T standard 1859-2009 (2009) and Q/YFL standard 0035-2018 (2018), the performance of the varnish film of the waterborne UV wooden floor coating was determined. The waterborne coating wooden flooring processes and effects of the varnish film were optimized to provide excellent performance. The performance of the varnish film and the developed waterborne coated wooden flooring met the standard requirements: the surface wear-resistance was less than or equal to 0.15 g/100r, the varnish film hardness was greater than or equal to H, the level of varnish film adhesion was less than or equal to 2, and the total volatile organic compounds was less than or equal to 20 µg/m3. This study provided a demonstration and basis for wooden flooring companies to develop a waterborne wooden floor coating.
Simulator of Task Sheduling in Geographically Distributed Computer Systems with Non-Alienable Resources
Authors:   State University «Zhytomyr Politechnika», Uzdenov T.A.
Published: May 2021

Проаналізовано програмні засоби, які дозволяють моделювати та симулювати процес диспетчеризації завдань в великих комп’ютерних мережах та розподілених обчислю­вальних системах нового програмного комплексу. Запропоновано підхід до вирішення задачі планування та метод диспетчеризації потоків задач на основі невідчужуваності обчислювальних ресурсів від їх власника. В системі можуть бути використані різні за своїми властивостями та характеристиками программно-апаратні обчислювальні засоби, такі як кластери, суперкомп’ютери, персональні комп’ютери, ноутбуки та ін. Розроблено програмний комплекс, що дозволяє симулювати роботу GRID-системи з невідчужувани­ми ресурсами, а також спостерігати та досліджувати роботу різних алгоритмів в різних умовах. Описано архітектурну модель розробленого симулятора, його основні функції та можливості використання не тільки для аналізу алгоритмів диспетчеризації, але і в навчальному процесі, завдяки наявності інтуїтивно зрозумілого та інтерактивного гра­фічного інтерфейсу, що дозволяє спостерігати за процесом розподілених обчислень на вузлах системи.
Consistent Theory of Alpha-Decay
Authors: Dzyublik A.Ya.
Published: May 2021

In the framework of the Goldberger–Watson decay theory, we consider the a-decay of nuclei as a transition between the initial bound state of the nucleus and scattering states of the continuum spectrum with a-particle. The scattering wave functions for the a-decay with arbitrary orbital angular momentum are derived in the quasiclassical approximation. The a-particle is described by the square-integrable wave packet formed by these functions, whose amplitude exponentially grows outside the nucleus up to the wave front. The Moshinsky’s distortions of the a-wave front are analyzed. The derived general expression for the decay rate is approximated by the quasiclassical formula.
Ефекти електроміграції при епітаксіальному рості тонких плівок: моделювання методом фазового поля
Authors: Dvornichenko A.V.
Published: May 2021

У роботi проводиться теоретичне дослiдження процесу росту тонких плiвок при епiтаксiї з урахуванням анiзотропiї поверхневої дифузiї адсорбату, iндукованої ефектами електромiграцiї, в рамках теорiї фазового поля з використанням процедури числового моделювання. Встановлено вплив коефiцiєнта iндукованої анiзотропної дифузiї, пропорцiйного до напруженостi пiдведеного електричного поля, на динамiку росту товщини плiвки та висоти поверхневих структур, морфологiю зростаючої поверхнi, статистичнi властивостi поверхневих багатошарових структур адсорбату та розподiл поверхневих структур за висотою.
Електронна будова та магнітні властивості сплавів Гейслера: MMnSb (M = Ni, Pd, Pt)
Authors: Uvarov V.N. , Uvarov N.V. , Melnik M.P.
Published: May 2021

Методами зонних розрахункiв у моделi FLAPW (the full-potential linearized augmented-plane-wave) отримано iнформацiю про енергетичнi, зарядовi та спiновi характеристики сплавiв MMnSb (M = Ni, Pd, Pt). Отриманi данi свiдчать про те, що за рахунок росту ковалентної взаємодiї атомiв когезiйнi енергiї зростають у послiдовностi сплавiв PdMnSb → NiMnSb → PtMnSb, а самi сплави феромагнiтно впорядкованi, з пiдвищеною локалiзацiєю магнiтних моментiв на атомах марганцю. Отримано, що основний внесок у формування магнiтних моментiв сплавiв дають 3d-електрони атомiв марганцю. При цьому домiнуюча роль його електронiв припадає на t2g- i в меншiй мiрi eg-орбiталi. Внески ж s,p-електронiв марганцю i електронiв iнших атомiв у формування магнiтних моментiв сплавiв виявляються малими.
Metadata description of the ORCA database (ORganic and Conventional Agriculture's impact on aquatic biodiversity)
Authors: Cours Marie , Lemmens Pieter , Almeida Rafaela , Brys Rein , Denys Luc , De Wever Aaike , Knockaert Marc , Leyssen An , Mergeay Joachim , Packet Jo , Parmentier Koen , Schön Isa , Venderickx Jeroen , Vercauteren Thierry , Adriaens Dries , Martens Koen , De Meester Luc
Published: May 2021

The database of the ORCA project (A comparative analysis of ORganic and Conventional Agriculture's impact on aquatic biodiversity) comprises species occurrence data of different organism groups (zooplankton, macro-invertebrates, macrophytes, amphibians (eDNA) and fish (eDNA)) and data on physical, chemical and morphometric variables of 48 small farmland ponds distributed over Flanders, Belgium.
A case of bacteremia caused by Leptotrichia trevisanii in pediatric patient with febrile neutropenia and review of literature
Authors: İnal Neşe , Hazırolan Gülşen
Published: May 2021

Leptotrichia species are fastidious anaerobic, fusiform, pencil-shaped Gram-negative bacilli that reside in microbiota of humans. Leptotrichia species have increasingly been recognized as an opportunistic pathogen in humans, mainly in the immunocompromised patient. Anaerobic organisms have rarely been isolated from blood cultures of pediatric patients. In our study, we isolated Leptotrichia trevisanii from central venous catheter culture of a five-year-old male patient. It was identified with both matrix-assisted laser desorption ionization time-of-flight mass spectrometry and confirmed via 16S rRNA gene sequencing. The early recognition of anaerobic bacteremia and administration of appropriate antimicrobial and play an important role preventing mortality and morbidity in children. In our study we report a rarely diagnosed case of L. trevisanii bacteremia in a pediatric patient.
Közösségi tanulás járvány idején
Authors: Forray R. Katalin , Kozma Tamás
Published: May 2021

Összefoglaló. A társadalmi innovációt és közösségi tanulást kutatók
általában társadalmi méretű természeti katasztrófákból indulnak ki
(Moulaert et al. 2013: 113–130). Mi a járványt próbáljuk
úgy tekinteni, mint az egész közösséget érő kihívást, amely új tanulásokat és
innovációkat eredményez (Márkus–Kozma 2019: 5–17).
Paradigmatikus kutatási módszerünk a résztvevő megfigyelés
(Moulaert–MacCallum 2019: 115–120). Ezt kiegészítjük a
szociális média elemzésével, valamint célzott interjúkkal és folyamatos
monitorozással. Az események lefutására példaként az oktatást (tanárokat,
tanulókat, szülőket és fönntartókat) használtuk. Négy lakossági csoportot és
jellegzetes magatartásaikat sikerült körvonalaznunk a kormányzat mint aktor
mellett: a „lojálisakat”, a „vádaskodókat”, az „aktívakat” és az
„innovatívakat”. Az oktatásügy története a járványveszély idején változó
dinamikát mutat. A járványveszély kihirdetésekor a civilek innovativitása
fellángolt; ezt azonban a kormányzati adminisztráció később fokozatosan
visszaszorította. A kívánatos ezzel szemben a felek partnersége lett volna.

Summary. Researchers of social innovation and community (social)
learning usually start their analyses from natural disasters (Moulaert
et al. 2013: 113–130). In this paper, we defined the first six
weeks of pandemic threat (COVID-19) in Hungary as a community-wide challenge
that resulted in new learning and innovation (Márkus–Kozma 2019:
5–17). We choose participatory observation as the main research
method (Moulaert–MacCallum 2019: 115–120) which was
complemented by social media analysis as well as targeted interviews and ongoing
monitoring. We used education (teachers, students, parents and owners of
institutions) as an example. We outlined four population groups and their
typical attitudes towards the government’s anti-virus education policy: the
“loyal”, the “accuser”, the “active” and the “innovative”. The education policy
showed changing dynamics at the time of the epidemic threat. When the threat was
announced, the innovativeness of civilians flared up; however, this was later
gradually suppressed by government decisions. The desired, on the other hand,
would have been a partnership between the parties.
Кремнеобробна майстерня в с. Межиріч та деякі проблеми пізнього енеоліту Волині
Authors:   Deržavnij istoriko-kul’turnij zapovidnik M. Ostroh, Rivnens’ka oblast’, UA, Позіховський Олександр
Published: May 2021

In 2016–2017, a flint workshop dating back to 3700–3600 BC was discovered. The research also provided ceramic artefacts of the Trypillian culture and syncretic relicts, combining the features of this culture and western units. The ceramics from this workshop and similar vessels, including those with the features of the Volhynia-Lublin culture from Horiva-Pidłużzja, belong to the early stage of the Brynzeny group in Western Volhynia. They also indicate that the end of the assemblages with Volhynia-Lublin features can be associated with the period around 3600–3500 BC.
Кремаційний могильник ранньозалізного віку Монастирок-2 на Волині
Authors:   Міжрегіональна громадська наукова організація «Дубенський археологічний осередок», Дубно, Україна, Бадецький Андрій Б. , Самолюк Валерій О. ,   вул. Козацький шлях, Україна
Published: May 2021

The article presents materials from the recently discovered cremation cemetery of the pre-Scythian period Monastyrok-2, Rivne region (Ukraine). Collection was obtained during filed walking prospections and small scale excavations. Classification of all materials was carried out and on the basis of the given analogies a general dating was proposed between end of X and VIII century BC.
Grodzisko w Chotyńcu – problem ochrony konserwatorskiej i zagospodarowania dla potrzeb edukacyjnych
Authors:   Instytut Archeologii UR, Polska, Czopek Sylwester
Published: May 2021

The article, while discussing the importance of archaeological research conducted for several years within the Early Iron Age fortified settlement in Chotyniec, focuses on the need to make decisions considering the further protection of this unique site. Furthermore, it draws up the program of establishing the Chotyniec Culture Park as a place of protection, research and popularization of knowledge about prehistory. The idea of public archaeology fits in a broader regional context with the need to protect the local cultural landscape.
SHP-1 and SHP-2 gene expressions in leukemia and unclassified blood disorders
Authors: May Nguyen Thi , Xuan Nguyen Thi
Published: May 2021

Hematopoiesis and blood diseases include leukemia and unclassified blood disorders (UBDs). Leukemia, one of the leading causes of cancer death in the world, is divided into four major types including acute lymphocytic leukemia (ALL), chronic lymphocytic leukemia (CLL), acute myeloid leukemia (AML) and chronic myeloid leukemia (CML). The SHP gene group belongs to the protein tyrosine phosphatase (PTP) family, which plays an important role in preventing cancer growth. This group consists of two main genes, SHP-1 and SHP-2. In this study, experiments were conducted to determine the expression of  SHP-1 and SHP-2 genes in patients with leukemia and UBDs using real-time PCR. Results showed that while SHP-1 gene expression was significantly decreased in all patient samples compared to control samples, SHP-2 gene expression was significantly increased in patients with CML and other blood disorders but decreased in ALL patients compared to healthy subjects. These results are important for disease diagnosis and combination therapy based on SHP-1 and SHP-2 target genes.
Kulturel kapital og social differentiering
Authors: Callewaert Staf
Published: May 2021

Abstract

 

Kulturel kapital og social differentiering. Artiklen udgør optegnelserne til en forelæsning på Socialforskningsinstituttets konference 6.-7. oktober 1994.

Indledningsvis kommenteres selve konferencens problemtilling: Hvad den samfundsvidenskabelige forskning kan tilbyde når det gælder at begrebsliggøre systematiske sociale, kulturelle og økonomiske forskelle i befolkningens livsvilkår. Mere konkret: Hvad Bourdieus begreb kulturel kapital kan bidrage med i en diskussion af effekter af en ulige fordeling af goder. Begrebet "forskelle" fremhæves indledningsvis som problematisk fordi man udsætter sig for en indbygget orientering mod tanken om at man i det mindste kan tænke sig en befolkning uden systematiske forskelle i livsvilkår mellem grupperne.

Begrebet "kulturel kapital" resumeres og diskuteres, og der relateres til en skriftløs etnisk gruppering i Vestafrika (Ballanta i Guinea-Bissau) uden en central politisk overhøjhed som holdes sammen af en magt som i sidste instans er forlagt til den usynlige del af den samlede gruppe af deltagere, en forfaderskult. Vores politiske tænkning har siden den engelske, den amerikanske og den franske revolution opereret med modeller hvor bæreren af et politisk herredømme i sidste instans er de sig imellem ligestillede medborgere i forening. En sådan forestilling udgør en ideologisk konstruktion på lige fod med forfaderstroen.

Bourdieus forståelse af begrebet "kultur" indebærer ikke kultur stillet mod natur, men kultur som den side af den menneskelige virksomhed som er symbolsk. Der perspektiveres til andre forståelser af især "kapital" og "økonomi", og det konstateres at den økonomiske økonomi i moderne samfund har sine egne forfaderskulter, det vil sige sine egne symbolske strukturer som på en særegen måde organiserer miskendelsen af udenoms-økonomiske interesser, på samme måde som primitive symbolske strukturer organiserer miskendelsen af økonomiske interesser.

I skole antages det at præstationerne afhænger af arbejdsomhed og evner, men de afhænger snarere af dispositioner hvis erhvervelse er stærkt forbundet med den enkeltes biologiske egenskaber og første opvækstvilkår, og forudsætter ikke nødvendigvis en bevidst indprentning. Det gør at sammenblandingen af arv og præstation okkulteres. Erhvervelsens distinktive kendetegn tenderer mod at være vældigt upåfaldende og tilsyneladende uvæsentlige karakteristika som for eksempel en accent i sproget eller en måde at gå på; karakteristika omfattet af begrebet kulturel kapital".
Nurses’ educational practices in Family Health Strategy
Authors: Ferreira Darlisom Sousa , Ramos Flavia Regina Souza , Teixeira Elizabeth
Published: May 2021

ABSTRACT Objectives: to analyze the nurse’s educational practice in Family Health Strategy. Methods: descriptive study with a qualitative approach, whose data production used the World Café group technique, in two meetings, with 26 nurses of a health district of Manaus-AM. The technique used was Categorial-Thematic Content Analysis. Results: the study generated two units of analysis: Political and Organizational Configuration of Educational Work at ESF and Operational Configuration of Educational Work at ESF, revealing the necessary (re)configurations in co-management, in the centrality of the subject for the planning of educational work, and in (re)pactuation between the management of services and training institutions to overcome contradictions in the implementation of National Policies on Permanent Education and Basic Health Care. Conclusions: the configuration of nurses’ educational practice at ESF works toward interactions, organized to respond to health policies, incorporating creativity in doing, but facing numerous obstacles.
The work of a Brazilian nursing team of collective health in the special indigenous health district
Authors: Melo Jair da Silva , Freitas Noélle de Oliveira , Apostolico Maíra Rosa
Published: May 2021

ABSTRACT Objective: To identify the potential and the limits of the actions of the nursing team in the Primary Health Care for the Health of the Indigenous. Methods: This is a quantitative study guided by the Theory of Practical Intervention of Nursing and Collective Health. 230 nursing professionals participated, responding to an instrument about the frequency of the actions carried out in assistance, management, teaching, and research. Results: 168 nursing technicians and 62 nurses participated. As strengths, 80% participated in the assistance most of the time. Stand out: 90.3% and 71% of nurses carried out nursing consultations and house visits, respectively. As a limitation, the involvement in education and research is small. Only 2% of the interviewees carried out scientific researches, reflecting the need to broaden and qualify care and improve the use of traditional practices, overcoming the biomedical model. Final considerations: Nursing assistance is essential in the modification and monitoring of the epidemiological profile of indigenous populations, and its results allow for the planning of quality actions.
Authentic leadership, nurse satisfaction at work and hospital accreditation: study in a private hospital network
Authors: Batista Sonia Aparecida , Miclos Paula Vitali , Amendola Fernanda , Bernardes Andrea , Mohallem Andréa Gomes da Costa
Published: May 2021

ABSTRACT Objectives: to identify the dominant dimensions of the authentic leadership of nurses in a private hospital network and to verify the association with job satisfaction and accreditation. Methods: cross-sectional, analytical study carried out in 11 hospitals with 282 nurses, of which 94 were leaders and 188 were led. Participants answered the Authentic Leardership Questionnaire and the Job Satisfaction Survey. Results: there was a significant difference between the assessment of leaders and followers in all dimensions of the Authentic Leardership Questionnaire. Regarding the association of authentic leadership and job satisfaction, a significant positive moderate correlation was found among the employees. In hospitals accredited by the Joint Commission International, leaders were perceived as more transparent by their subordinates. Conclusions: there was correlation between authentic leadership and job satisfaction and authentic leadership and the accreditation model among the subordinates.
Complementary therapies in education, community extension and research in nursing
Authors: Sousa Leandra Andréia de , Salim Natália Rejane , Fumincelli Laís , Teixeira Iraí Maria de Campos
Published: May 2021

ABSTRACT Objective: Report the implementation of integrative and complementary practices in a Nursing course at a federal university in the fields of teaching, research and extension. Method: As a reference, the concept of nursing care anchored in the integrality and the avant-garde legacy of Florence Nightingale was used. The report is structured in two topics: the first describes the experience itself, and the second brings a critical reflection about the limits, achievements and challenges. Results: The interaction of integrative practices in nursing and its insertion in teaching, research and extension corroborate holistic care, favor the construction of scientific knowledge in the area and potentially requalify professional training. Final considerations: The insertion of integrative and complementary practices in nursing education can contribute to the consolidation of an integral model of care in SUS towards access and comprehensiveness.
Biological activities: anti-infectious, antioxidant and healing of the vegetable species Jatropha multifida
Authors: Vieira Daniglayse Santos , Oliveira Fabianny Torres de , Suarez Jorge Andrés Garcia , Silva Davi Porfírio da , Bernardo Thais Honório Lins , Bastos Maria Lysete de Assis
Published: May 2021

ABSTRACT Objective: to investigate the biological activities of interest to the health of Jatropha multifida plant species in published scientific literature. Methods: this is an integrative review, with searches between May and June 2019, using the descriptors, combined through the Boolean operator AND, Jatropha multifida, anti-infective agents, wound healing, cytotoxicity and antioxidants, in LILACS, BDENF, MEDLINE, SciFinder, Web of Science and Scopus databases and in the virtual libraries SciELO and ScienceDirect. Results: twelve publications were retrieved that showed nine biological activities. The antioxidant activity was reported in 04 (33.33%) studies; antimicrobial and anticancer, addressed by 03 (25%) and 02 (16.66%); anti-inflammatory, anti-melanin deposition, healing, antiophidic, purgative and anti-influenza, seen in 01 (8.33%) each. Final considerations: although scarce, the published scientific production highlights the biological potential of J. multifida and supports the need for further studies.
Professional competencies to promote health in nursing and physical education undergraduate courses
Authors: Xavier Samyra Paula Lustoza , Machado Lucas Dias Soares , Moreira Maria Rosilene Cândido , Martins Álissan Karine Lima , Machado Maria de Fátima Antero Sousa
Published: May 2021

ABSTRACT Objectives: to recognize the competencies for health promotion and their magnitude of expression in undergraduate health education based on the analysis of the pedagogical projects of the courses and from the teaching perspective. Methods: research with a mixed approach, carried out at a public university. The data collected from the pedagogical projects of the Nursing and Physical Education courses and through interviews and application of a matrix of Competencies in Health Promotion with 31 professors of the referred courses were analyzed in the light of Competencies Health Promotion. Results: all competencies investigated were recognized in the curricula and reports of nursing professors, but the possibility of changes was not identified in the pedagogical project of Physical Education, although this competency was recognized as extremely important by the professors, with a mode of 4.5. Final Considerations: the training process in the courses studied has favored the development of skills for health promotion.
Reuse of hospital bedpans
Authors: Mineli Tamires Alessandra , Andrade Denise de , Godoy Simone de , Mendes Isabel Amélia Costa , Tognoli Silvia Helena , Marchi-Alves Leila Maria
Published: May 2021

ABSTRACT Objectives: to evaluate the results of two methods of hospital bedpan reprocessing. Methods: cross-sectional study. Hospital bedpans containing a biological material contamination simulator or organic matter were submitted to manual cleaning followed by disinfection with 70% alcohol solution or thermodisinfection. Permanence of simulated contamination was evaluated by using the fluorescence technique and presence of organic matter was verified by carrying out the protein detection test. Results: the contamination simulator was found in bedpans submitted to both processes. The seat was dirtier after manual cleaning (p=0.044) in comparison with the result obtained with thermodisinfection. Automatized decontamination led to worse results when compared to the manual procedure for the scoop and external bottom (p=0.000). The protein detection test was positive in two items after thermodisinfection. Conclusions: manual cleaning followed by rubbing with 70% alcohol solution proved more effective than automatized cleaning in the reprocessing of hospital bedpans. There are relevant issues regarding reuse of hospital bedpans.
REPRODUCIBILITY OF S2-ALAR ILIAC SCREW MORPHOMETRIC ANALYSIS
Authors: PONTES MARIANA DEMÉTRIO DE SOUSA , FRANCISCO LUCAS AMÉRICO , ISMAEL LUCAS KLAROSK , HERRERO CARLOS FERNANDO PEREIRA DA SILVA
Published: May 2021

ABSTRACT Objective: To evaluate the reproducibility of a S2-alar iliac (S2AI) screw parameters measurement method by inter and intraobserver reliability. Methods: Cross-sectional study, considering computed tomography exams. Morphometric analysis was performed by multiplanar reconstructions. Screw length, diameter and trajectory angles were the studied variables. To analyze the measurements reproducibility, intraclass correlation coefficient (ICC) was used. Results: Interobserver reliability was classified as strong for screw shortest length (ICC: 0.742) and diameter (ICC: 0.699). Interobserver reliability was classified as moderate for screw longest length (ICC: 0.553) and for screw trajectory angles in the axial plane for the longest (ICC: 0.478) and for the shortest lengths (ICC: 0.591). Intraobserver reliability was interpreted as excellent for screw shortest (ICC: 0.932) and longest lengths (ICC: 0.962) and diameter (ICC: 0.770) and screw trajectory angles in the axial plane for the screw longest (ICC: 0.773) and shortest lengths (ICC: 0.862). There were weak interobserver and strong intraobserver reliabilities for trajectory angle in sagittal plane, but no statistical significance was found. Conclusion: Inter and intraobserver reliability of S2AI screw morphometric parameters were interpreted from moderate to excellent in almost all studied variables, except for the screw trajectory angle in the sagittal plane measurement. Level of Evidence IV, Diagnostic Studies - Investigating a Diagnostic Test.
FUNCTIONAL OUTCOMES OF ARTHROSCOPIC TREATMENT IN 230 FEMOROACETABULAR IMPINGEMENT CASES
Authors: LAURITO GERSON MURARO , ARANHA JUNIOR FLAVIO LEITE , PIEDADE SÉRGIO ROCHA
Published: May 2021

ABSTRACT Objective: To analyze the functional outcomes after arthroscopic treatment of femoroacetabular impingement (FAI). Methods: 194 patients (131 males and 63 females), with a mean age of 39 (15-68) years old for men and 43 (16-58) years old for women. The average follow-up was 17 months (2 to 71). 103 patients presented Cam-type FAI, 102 mixed and 25 Pincer. “Unilateral” arthroscopy was performed in 161 cases, “Bilateral” (only once each side) in 46 cases and, “Multiple” (more than one procedure on the same hip) in 23. The female sex was prevalent in the Pincer type FAI (76%), while males were prevalent in Mixed and Cam type, 74.5% and 72.8%, respectively. Results: The mean HHSpre score was 63.7 and 87.1 for HHSpost, i.e. 73.11%. Differences appeared between “mixed” and “unilateral” groups. The complications percentage in this series was 18.7% and 7% progressed to total hip arthroplasty. Conclusion: The arthroscopic FAI treatment improved the postoperative clinical scores of these patients, especially in cases of mixed-type FAI, which presented a higher improvement rate. Insufficient femoral osteoplasty was the main cause for surgical re-intervention, particularly in the initial cases of this series. Level of Evidence II, Retrospective study.
DYNAMIC POSTURAL BALANCE IS MEDIATED BY ANTHROPOMETRY AND BODY COMPOSITION IN OLDER WOMEN
Authors: BRECH GUILHERME CARLOS , FREITAS JESSICA SILLAS DE , GOUVEA MARCIA , MACHADO-LIMA ADRIANA , BASTOS MARTA FERREIRA , TAKAYAMA LILIAM , PEREIRA ROSA MARIA RODRIGUES , GREVE JULIA MARIA D’ANDRÉA , ALONSO ANGELICA CASTILHO
Published: May 2021

ABSTRACT Objective: To investigate the relationship between anthropometry and body composition with dynamic postural balance in elderly women with low bone mineral density (BMD). Methods: 45 older women (≥ 60 years), low BMD and nutritional diagnosis of low weight to overweight. For the assessment of body composition, Dual energy X-ray emission densitometry and anthropometric examination were used to measure: body mass (kg), height (cm) and BMI (k/m2). The assessment of dynamic postural balance was performed by the mini Balance Master Evaluation System clinical test and the computerized Balance Master® System test by the Sit to Stand and Step Up/Over tests. Results: There was a negative correlation between miniBESTest (r = − 0.566; p ≤ 0.001) and time to ascend and descend step (r = − 0.393; p ≤ 0.007) with fat mass, and positive correlation with miniBESTest (r = 0.526; p ≤0.001) and time to go up and down a step with muscle mass (r = 0.297; p ≤ 0.04). As for anthropometric variables, only height showed a positive correlation (r = 0.296; p ≤ 0.04) with the speed in the sit and stand test. Conclusion: Lean mass reduces postural oscillations; in contrast, fat mass negatively interfered with dynamic postural balance in women with low BMD. Height was related to dynamic postural balance, the taller the elderly, the worse their balance. Level of Evidence II, Prognostic Studies - Investigating the Effect of a Patient Characteristic on the Outcome of Disease.
RECONSTRUCTION OF UPPER LIMB SOFT TISSUE INJURIES, EXCEPT FOR FINGERTIPS LESIONS
Authors: JELSKI CARLOS ALBERTO EGUEZ , SZENDLER GUSTAVO BALADORE , CAVALHEIRO CRISTINA SCHMITT , VIEIRA LUIZ ANGELO , CAETANO EDIE BENEDITO
Published: May 2021

ABSTRACT Objective: The main purpose of this work was to evaluate the advantages and disadvantages of reconstructive procedures applied in upper limb soft tissue injuries according to their location. Methods: The study involved 94 male and 22 female patients (116 total) operated between April 2001 and November 2017 due to traumatic injuries in a upper limb. Individuals were evaluated considering their age, sex, etiology, reconstruction area , applied methodology and complications. The finger injuries were excluded. Results: The performed reconstruction procedures include 29 skin grafts; six advancement flaps; seven rotation flaps; 33 pedicled fasciocutaneous flaps, 9 free fasciocutaneous flaps; 5 pedicled muscle flaps; 12 free muscle flaps, three pedicled musculocutaneous flaps; one free musculocutaneous flap; 11 neurovascular free flaps. Conclusion: Reconstructive procedures in the upper limbs are diverse, varying from skin grafting to free flaps. The indication of the best option depends on the type of injurie and the surgeon. The final goal is to reach the best functional result combined with the lowest possible morbidity. Level of Evidence IV, Case series.
Plano nacional de vacinação contra a COVID-19: uso de inteligência artificial espacial para superação de desafios
Authors: Rocha Thiago Augusto Hernandes , Boitrago Ghabriela Moura , Mônica Rayanne Barbosa , Almeida Dante Grapiuna de , Silva Núbia Cristina da , Silva Débora Marcolino , Terabe Sandro Haruyuki , Staton Catherine , Facchini Luiz Augusto , Vissoci João Ricardo Nickenig
Published: May 2021

Resumo O objetivo deste artigo é analisar o uso da inteligência artificial espacial no contexto da imunização contra COVID-19 para a seleção adequada dos recursos necessários. Trata-se de estudo ecológico de caráter transversal baseado em uma abordagem espaço-temporal utilizando dados secundários, em Unidades Básicas de Saúde do Brasil. Foram adotados quatro passos analíticos para atribuir um volume de população por unidade básica, aplicando algoritmos de inteligência artificial a imagens de satélite. Em paralelo, as condições de acesso à internet móvel e o mapeamento de tendências espaço-temporais de casos graves de COVID-19 foram utilizados para caracterizar cada município do país. Cerca de 18% da população idosa brasileira está a mais de 4 quilômetros de distância de uma sala de vacina. No total, 4.790 municípios apresentaram tendência de agudização de casos de Síndrome Respiratória Aguda Grave. As regiões Norte e Nordeste apresentaram o maior número de Unidades Básicas de Saúde com mais de 5 quilômetros de distância de antenas de celular. O Plano nacional de vacinação requer o uso de estratégias inovadoras para contornar os desafios do país. O uso de metodologias baseadas em inteligência artificial espacial pode contribuir para melhoria do planejamento das ações de resposta à COVID-19.
Vacinas: Da Saúde Pública ao Big Business
Authors: Guimarães Reinaldo
Published: May 2021

Resumo O texto apresenta e discute os principais aspectos relacionados à dinâmica atual da indústria de vacinas no mundo e no Brasil, com foco na demanda criada pela pandemia da COVID-19. No plano global, expõe brevemente o lugar ocupado atualmente pelo Brasil no âmbito dos BRICS e expõe e analisa as opções - identidades e diferenças - da política industrial de Brasil, China e Índia no campo das vacinas. A seguir, analisa o deslocamento da indústria de vacinas de uma situação de produção exclusiva de imunizantes para um controle majoritário da grande indústria farmacêutica. Mais adiante, recupera aspectos fundamentais recentes da indústria de vacinas no Brasil, com ênfase em Biomanguinhos/Fiocruz e no Instituto Butantan. Finalmente, discute os sucessos e limitações do mecanismo de transferência de tecnologia utilizado pelas duas instituições, bem como a relevância do compromisso historicamente assumido pelas mesmas com as políticas públicas de saúde.
Hanseníase no contexto da Estratégia Saúde da Família em cenário endêmico do Maranhão: prevalência e fatores associados
Authors: Lopes Fernanda de Castro , Ramos Antônio Carlos Vieira , Pascoal Lívia Maia , Santos Floriacy Stabnow , Rolim Isaura Leticia Tavares Palmeira , Serra Maria Aparecida Alves de Oliveira , Santos Leonardo Hunaldo dos , Santos Neto Marcelino
Published: May 2021

Resumo Este estudo objetivou descrever a prevalência da hanseníase e verificar os fatores associados às formas clínicas multibacilares em cenário da Estratégia Saúde da Família, prioritário para o controle e a vigilância da doença no nordeste brasileiro. Trata-se de estudo transversal, que utilizou dados do Sistema de Informação de Agravos de Notificação relativos aos casos de hanseníase notificados em Imperatriz, Maranhão, entre 2008 e 2017. Determinaram-se as prevalências a cada ano e para o período. Para associar as variáveis e as formas clínicas multibacilares, utilizaram-se modelos de regressão de Poisson, com nível de significância de 5%. Dos 2.476 casos de hanseníase analisados, a maioria referiu-se às formas clínicas multibacilares. A prevalência variou entre 15,6 e 7,8/10 mil habitantes, encontrando-se níveis alto e muito alto de endemicidade. As variáveis sexo masculino, faixas etárias entre 30 e 59 anos e ≥60 anos, escolaridade <8 anos, grau 2 de incapacidade física, episódio reacional tipos 1 e 2 e zona de residência urbana apresentaram associações significativas (p≤0,05) com as formas clínicas multibacilares. Tais achados podem servir de base para elaboração e implementação de medidas de controle e vigilância da hanseníase, direcionando as ações para os grupos mais vulneráveis e tornando-se mais efetivas.
Formatos de contratação médica na Estratégia Saúde da Família e o desempenho de seus atributos essenciais
Authors: Lima Júnior Antonio Leonel de , Barreto Ivana Cristina de Holanda Cunha , Maranhão Roberto Ribeiro , Nuto Sharmênia de Araújo Soares , Benevides Bruno Souza , Saintrain Maria Vieira de Lima , Vieira-Meyer Anya Pimentel Gomes Fernandes
Published: May 2021

Resumo O estudo tem o objetivo de investigar a percepção dos médicos sobre as diversas formas de contratação e sua influência sobre o desempenho dos atributos essenciais da APS, afim de analisar as formas de vínculo que melhor contribuem à sua implantação e fortalecimento. Pesquisa quantitativa e transversal, utilizando-se da aplicação de formulário semiestruturado junto a 268 médicos da ESF de Fortaleza, Ceará. Verificou-se perfil sociodemográfico singular para cada grupo avaliado, que podem influenciar o processo de trabalho e opiniões sobre as formas de contratação. O desenvolvimento dos atributos essenciais da APS foi avaliado positivamente, mas houve diferença nesta percepção de acordo com o vínculo avaliado. O trabalho realizado pelos médicos na ESF é influenciado pela forma de contratação destes (p<0,001). Percebeu-se melhor desempenho dos estatutários (4,4), seguidos dos bolsistas do Programa Mais Médicos/Programa de Valorização da Atenção Básica (3,7), Consolidação das Leis do Trabalho (3,5) e, por último, os atuantes por Recibo de Pagamento Autônomo-RPA (2,4). Analisou-se que a contratação via Regime Estatutário e RPA, são, respectivamente, a melhor (85%) e a pior (96,6%) forma de contratação.
Acessibilidade ao cuidado na Estratégia de Saúde da Família no Oeste Baiano
Authors: Mendonça Milena Marques , Aleluia Ítalo Ricardo Santos , Sousa Maria Lidiany Tributino de , Pereira Marcos
Published: May 2021

Resumo Esse estudo avaliou a acessibilidade ao cuidado na Estratégia de Saúde da Família (ESF) em sistema municipal, sede de macrorregião de saúde no estado da Bahia. Tratou-se de estudo avaliativo em dois níveis de análise: a gestão municipal e a organização local das equipes da ESF. A produção dos dados combinou análise documental, observação não participante e entrevistas com gestores, profissionais e usuários. Utilizou-se imagem-objetivo com critérios e dimensões avaliativas da acessibilidade na Atenção Primária. As Equipes de Saúde da Família (EqSF) ainda não cumprem plenamente a função de contato preferencial nos sistemas municipais de saúde e a acessibilidade ao cuidado reflete interdependência de fatores municipais e locais. Equipes rurais e periféricas tiveram melhor desempenho na acessibilidade organizacional e equipes urbanas centrais melhor desempenho na acessibilidade geográfica. A avaliação centrada em critérios geográficos e organizacionais, na combinação de diferentes fontes de evidência e atores do sistema de saúde, além do uso de níveis de análise considerando a gestão municipal e local da APS, são contribuições relevantes desse estudo, que podem ser ampliadas para outros sistemas municipais com características semelhantes.
Qualidade da Atenção Primária à Saúde infantil em estados da região Nordeste
Authors: Gubert Fabiane do Amaral , Barbosa Filho Valter Cordeiro , Queiroz Rejane Christine de Sousa , Martins Mariana Cavalcante , Alves Renata de Sousa , Rolim Isaura Letícia Tavares Palmeira , Lopes Maria do Socorro Vieira , Vieira-Meyer Anya Pimentel Gomes Fernandes
Published: May 2021

Resumo O objetivo deste artigo é comparar a avaliação das usuárias que participaram do PMAQ-AB acerca da saúde infantil entre os estados da macrorregião Nordeste do Brasil. Estudo transversal, realizado com dados secundários, a partir de entrevista com 5.116 usuárias de 4.190 Equipes de Saúde da Família que atuam nos nove estados da macrorregião nordeste. Quatorze perguntas acerca do acompanhamento da criança de 0 a 2 anos de idade foram avaliadas. Foram calculados proporções e intervalos de confiança de 95% segundo Unidade da Federação da região Nordeste do Brasil. Os indicadores com maiores proporções foram teste do pezinho realizado em até sete dias de vida (84,4%), criança sempre consultada pelos mesmos profissionais (79,1%), acompanhamento do crescimento e desenvolvimento esperado para a idade (84,9%), orientação alimentar (86,3%), vacinação em dia (95,3%). Os indicadores com as menores proporções foram orientação sobre a melhor posição para a criança dormir (45,7%) e se recebeu a caderneta de saúde da criança (46,9%). Em todos os indicadores, houve diferenças significativas entre os estados analisados. Existem divergências na qualidade do cuidado ofertado à saúde infantil segundo a avaliação das usuárias participantes do PMAQ-AB entre estados do Nordeste.
Sustainable diets: definition, state of the art and perspectives for a new research agenda in Brazil
Authors: Triches Rozane Márcia
Published: May 2021

Abstract It is an integrative literature review to discuss the emergence and construction of the definition of sustainable diets, to bring the current panorama of what has been studied about it and to point to a new research agenda in Brazil. The searches conducted between April and July 2018, were carried out in the databases Science Direct, Pubmed, Periódicos Capes, Google Academic, Banco de Teses, in addition to the use of the method snowball, reaching 365 articles analyzed. The concern with sustainable diets is related to the redirection of the dominant food system in the achievement of environmental and health goals, considering the culture and the economy. The main focus of the articles were: theoretical efforts to conceptualize what are sustainable diets; analysis of different types of diets; factors involved in consumers' choices/behaviors; size of food production; of health; of the economy; culture and society; policies and governance; and discussion on the methodologies used to measure and analyze the different aspects of sustainable diets. In Brazil, only 19 papers were found, which points to the gap in this area of research and the need to create this agenda of studies in the country, given its importance for public and environmental health.
Rede de correlações entre qualidade de vida, resiliência e desequilíbrio esforço-recompensa em policiais militares
Authors: Tavares Juliana Petri , Vieira Lizandra Santos , Pai Daiane Dal , Souza Sônia Beatriz Cócaro de , Ceccon Roger Flores , Machado Wagner de Lara
Published: May 2021

Resumo Objetivo: Analisar a rede de correlações entre as dimensões do Modelo Desequilíbrio Esforço-Recompensa (DER), resiliência e qualidade de vida em policiais militares. Método: Estudo transversal realizado com 258 policiais do Batalhão de Operações Especiais (BOE) da Polícia Militar de uma cidade do Rio Grande do Sul. As escalas do Modelo DER, de resiliência e World Health Quality of Life (WHOQOL-bref) avaliaram o estresse psicossocial, resiliência e qualidade de vida. Foram realizadas estatísticas descritiva e analítica, com análise de rede. Resultados: As dimensões do Modelo DER e a resiliência se correlacionaram com todos os domínios do WHOQOL (p<0,001). O modelo de rede indicou associação negativa entre o esforço, o excesso de comprometimento e os domínios físico e meio ambiente. O domínio meio ambiente foi associado positivamente à recompensa, e a resiliência associou-se positivamente com os domínios geral, físico e psicológico. Conclusão: Concluiu-se que o estresse psicossocial interfere na qualidade de vida dos policiais militares e a resiliência pode atuar como um fator de proteção.