bluuebunny/crossref_metadata_2025 huggingface dataset:
A saúde docente no trabalho: apontamentos a partir da literatura recente
Authors: Cortez Pedro Afonso , Souza Marcus Vinícius Rodrigues de , Amaral Laura Oliveira , Silva Luiz Carlos Avelino da
Published: March 2017

Resumo Introdução A saúde no trabalho docente apresenta-se como um tema relevante. Verifica-se o crescimento do adoecimento docente no trabalho, mas poucas ações são desenvolvidas em relação às legislações e políticas específicas que privilegiam a saúde do professor, apesar do elevado número de estudos ressaltando agravos à saúde docente. Métodos O objetivo do estudo foi analisar publicações da Biblioteca Virtual de Saúde em Psicologia (BVS-Psi) dos últimos 14 anos (2003-2016) relacionadas à saúde no trabalho docente. Utilizaram-se os seguintes descritores: saúde professor, saúde docente, sofrimento professor, sofrimento docente, prazer professor, prazer docente, trabalho professor, trabalho docente, subjetividade professor, subjetividade docente, resultando em 69 artigos analisados. Resultados Houve predomínio de publicações nas áreas de fonoaudiologia e psicologia, sendo a maior parte das pesquisas qualitativas. Os estudos evidenciaram o adoecimento docente na atualidade, apontando a necessidade de desenvolvimento de ações referentes à reorganização do trabalho docente e promoção de saúde do professor. Conclusão Constatou-se a importância de privilegiar a multideterminação do processo de saúde-doença no trabalho docente, as compreensões interdisciplinares sobre o tema e a articulação entre as pesquisas e a realidade de trabalho dos professores para que se possa desenvolver metodologias e políticas públicas voltadas ao aprimoramento da saúde docente.
Análise de indicadores assistenciais em uma Unidade de Terapia Intensiva Pediátrica na cidade de Fortaleza/CE
Authors: Oliveira Carlos Ariel Souza de , Pinto Francisco Cid Coelho , Vasconcelos Thiago Brasileiro de , Bastos Vasco Pinheiro Diógenes
Published: March 2017

Resumo Introdução Os indicadores de saúde são medidas que refletem informações sobre diferentes dimensões e atributos da saúde e dos fatores que a determinam. O estudo teve como objetivo analisar os indicadores de uma Unidade de Terapia Intensiva Pediátrica, traçando o perfil do diagnóstico dos pacientes internados na UTI em estudo e verificando as taxas de ocupação, tempo de permanência e outros dados importantes para o hospital. Métodos A pesquisa foi de caráter descritivo, exploratório, longitudinal, documental, prospectivo e de abordagem quantitativa. A coleta de dados foi realizada de Março de 2015 a Fevereiro de 2016, conforme aprovação do Comitê de Ética do referido hospital. Resultados A amostra em estudo tinha como idade média 10,63 ± 0,50 anos, com 73,10 ± 2,45% de prevalência do gênero masculino, onde o Traumatismo Crânio Encefálico (TCE) sobressaiu-se como causa, e a taxa de ocupação no período do estudo foi de 86,13%. Conclusão Concluiu-se que o gênero masculino teve uma prevalência na UTI Pediátrica em relação ao gênero feminino, apresentando como acometimento principal Traumatismo Crânio Encefálico, evidenciando uma média de 8,72 ± 0,47 dias de utilização da ventilação mecânica e 75,30% de taxa de utilização de ventilação mecânica.
Corporate brand building from the corporate stories perspective: a Brazilian football teams study
Authors: Scharf Edson Roberto , Vieira Francisco Giovanni David , Sousa Richard Perassi Luiz de , Russi Edimar
Published: March 2017

Abstract The study aims to investigate the content of corporate stories of the Brazilian’s football clubs and how these stories are used to build their corporate brands. The stories were collected from the corporate websites of football clubs in Brazil belonging to series A, B and C. A qualitative analysis of the corporate stories was carried on by means of content analysis of the corpus resulting from them. The results showed that emotion is a key element and is most strongly represented in the websites. The findings also revealed that although the clubs work with human talent, and positive results of the teams in the pitch are dependent on talent, this important aspect is practically forgotten on the websites. Academic and managerial implications, as well as limitations of the study are presented at the end.
Risco político e internacionalização de empresas: uma revisão bibliográfica
Authors: Costa Luiz Paulo da Silva , Figueira Ariane Cristine Roder
Published: March 2017

Resumo Análise sobre como a literatura nacional e internacional tem explorado variáveis que impactam na percepção de risco político dentro de um processo de internacionalização de empresas. A carência de bibliografia especializada no Brasil e a dificuldade por parte de empresários ao planejar a internacionalização dificultam o encontro de parâmetros claros de como medir o risco político e de estratégias de mitigação desse tipo de risco. Como referencial teórico, foi utilizada a vertente bibliográfica de Kobrin, de 1978, cujas definições serviram de parâmtero inicial para identificação das opiniões de outros autores sobre o tema. A metodologia buscou reunir conteúdos bibliográficos para a definição de risco político em 41 artigos de periódicos internacionais baixados de bancos de dados disponíveis na internet e tratados por meio do program ENDNOTES 6. Uma análise de conteúdo por meio do software “R” identificou “variáveis” como um subtema. A discussão apresenta a identificação de variáveis políticas, econômicas e socioculturais que poderão ser quantificadas em estudos futuros e possibilitarão estabelecer uma mitigação dos riscos e o alcance do sucesso no processo de internacionalização.
Relação entre solos afetados por sais e concentração de metais pesados em quatro perímetros irrigados no Ceará
Authors: Cunha Cleyton S. M. , Hernandez Fernando F. F. , Silva Francisco N. da , Escobar Maria E. O. , Magalhães Diego R. , Anjos David C. dos
Published: March 2017

RESUMO O trabalho teve como objetivo verificar a relação entre atributos químicos relacionados com a salinidade (CTC, pH, PST e CE) e concentrações de metais pesados (Fe, Al, Si, Ti, Mn, Zn, Cr, V, Ni, Cu, Co, B, Pb, Se, Cd, Mo, Zr) e suas inter-relações em solos afetados por sais relativo a quatro perímetros irrigados no Ceará. Foram coletadas amostras de solo, de diferentes texturas, nas profundidades de 0–10 e 10-20 cm em 10 pontos dentro de cada perímetro, totalizando oitenta (80) amostras. Foram utilizadas a análise de correlação canônica (ACC) e a análise fatorial com extração dos fatores em componentes principais (AF) para verificar as possíveis relações entre os dois conjuntos de variáveis. Os atributos do solo relacionadas com a salinidade contribuíram para explicar as concentrações de metais pesados nos solos dos quatro perímetros irrigados, quando analisados em conjunto; todavia, não foram capazes de explicar quando analisados de forma individual; seguindo a ordem de importância: CTC > pH > PST > CE. Foram verificadas correlações entre os elementos metálicos analisados neste estudo (B, Mo, Si, Zr, Cr, Ni, Pb, Ti, Zn, Cd, Co, Se e Cu) com o Fe, Mn, Al, Ti e V, ou, ainda, afinidades geoquímicas entre os elementos.
A new species of Aphanotorulus (Siluriformes: Loricariidae) from the rio Aripuanã basin, Brazil
Authors: Oliveira Andreza S. , Py-Daniel Lúcia Rapp , Zawadzki Cláudio H.
Published: March 2017

ABSTRACT The cis-Andean genus Aphanotorulus was recently revised and comprises six valid species: A. ammophilus, A. emarginatus, A. gomesi, A. horridus, A. phrixosoma and A. unicolor. Herein, a new species is described from tributaries of the rio Aripuanã basin, in Amazonas and Mato Grosso states, Brazil. The new species is easily distinguished from congeners by its color pattern: caudal fin with upper lobe mostly hyaline with dark spots along rays and membranes, and lower lobe red and without dark spots; and absence of dark spots in the lateral series of mid-ventral plates.
Ontogenetic changes in mouth morphology triggers conflicting hypotheses of relationships in characid fishes (Ostariophysi: Characiformes)
Authors: Hirschmann Alice , Fagundes Nelson J. R. , Malabarba Luiz R.
Published: March 2017

ABSTRACT Bryconamericus lethostigmus is the type-species of the monotypic genus Odontostoechus, diagnosed in part based on the presence of a unique tooth series in the premaxilla. Recently a new proposal of classification of the Stevardiinae placed Odontostoechus as a junior synonym of a monophyletic genus Bryconamericus sensu stricto, a genus characterized by the presence of two tooth series. Bryconamericus lethostigmus is redescribed herein and the single tooth series in the premaxilla is demonstrated to originate from merging of the external tooth row with the inner row during ontogeny refuting primary hypothesis of homology between the mouth morphology of B. lethostigmus and the genera Bryconacidnus, Ceratobranchia, Monotocheirodon, Othonocheirodus, Rhinopetitia and Rhinobrycon. A phylogeographic analysis indicated that the pattern described for the sympatric species Diapoma itaimbe is not mirrored by B. lethostigmus. The results also do not support the hypothesis of a new species in the rio Araranguá drainage.
Wide reproductive period of a long-distance migratory fish in a subtropical river, Brazil
Authors: Zaniboni-Filho Evoy , Ribolli Josiane , Hermes-Silva Samara , Nuñer Alex P. O.
Published: March 2017

ABSTRACT Salminus brasiliensis is a potamodromous fish species that occurs in southern South American rivers. In spite of its ecological and economic relevance, information regarding the reproductive biology of S. brasiliensis is still scarce. This study used data from 18 years of continuous sampling in the Upper Uruguay River Basin, analyzing 718 adult fish (307 males, 243 females, 168 undefined) captured at different months of the year. The results showed that the reproductive timing for S. brasiliensis is wide in the Upper Uruguay River, with the occurrence of mature fish between the month of August and March and spawned individuals between July and May of the next year. These results were sustained by the increase of gonadal somatic relationship (GSR) from August. The reproductive timing of S. brasiliensis in the Upper Uruguay River may start between the middle winter and early spring (from late July to late September), and may extend until the late summer and middle fall (from the middle February to early May). These findings contribute to information on the general biology of S. brasiliensis and provide valuable knowledge to management programs and to conservation efforts of this fisheries resource.
Reorientação da formação do enfermeiro: análise a partir dos seus protagonistas
Authors: Reibnitz Kenya Schmidt , Kloh Daiana , Corrêa Aline Bússolo , Lima Margarete Maria de
Published: March 2017

RESUMO Objetivo Analisar as mudanças que ocorreram na formação do enfermeiro a partir do programa Pró-Saúde e as suas repercussões na prática profissional de egressos destes cursos. Método Estudo de caso coletivo realizado na região Sul do Brasil. Os casos foram cursos de enfermagem contemplados com o programa Pró-Saúde. Foram realizadas entrevistas com profissionais de saúde, docentes, alunos e egressos dos casos, observação das atividades teórico-práticas em unidades básicas de saúde e análise documental do Projeto Político-Pedagógico dos cursos no ano de 2015. A organização e análise dos dados foram guiadas por perguntas analíticas. Resultados Os reflexos do programa estão presentes na reorientação curricular dos cursos, estímulo e fortalecimento da educação permanente e integração ensino-serviço. Conclusões O programa é reconhecido pelo seu impacto na formação e processo de trabalhos dos egressos. Contudo, é necessário criar políticas locais para garantir a sustentabilidade das ações de integração ensino-serviço.
Sôbre o aparelho genital interno do macho de Phlebotomus longipalpis (Lutz et Neiva, 1912): (Diptera, Psychodidae)
Authors: Barth Rudolf
Published: March 2017

O aparelho genital interno do macho de Phlebotomus longipalpis compõe-se de dois testículos simples e dos vasos deferentes que se unem em um hilo e continuam, depois, como canal ímpar, penetrando na pompeta que representa uma bomba de sucção e pressão para o transporte do esperma. Os vasos deferentes, antes de formar um hilo, possuem regiões glandulares. Também uma parede do hilo é glandular. As duas secreções misturam-se na cavidade do hilo onde se realiza a suspensão dos espérmios neste líquido. A pompeta consta de um corpo de compressão e de um pistilo comprido que penetra neste por ação muscular. Os músculos que comprimem o esperma para dentro dos canais ejaculatórios, localizam-se entre oo corpo de compressão e a extremidade do pistilo, de onde partem alguns fascículos de músculos para a antecosta do 5º segmento abdominal onde se inserem: êste músculo representa o retrator do pistilo. A construção da pompeta e dos canais ejaculatórios é explicada nos esquemas das figs. 1, 4 e 5. Nos tergitos dos 7º e 8º segmentos abdominais do macho existe uma grande glândula odorífera de origem hipodermal. Esta foi encontrada em Phlebotomus longipalpis e P. quinquefer, sendo êste órgão ausente em P. renei e nas fêmeas de tôdas as três espécies.
A simple and fast sampling method for chemical analyses and densitometry of bones through rib biopsies in cattle
Authors: Malafaia Pedro , Salcedo Yury T.G. , Uscategui Ricardo A.R. , Souza Vinícius C. , Costa Diogo Fleury A. , Berchielli Telma T.
Published: March 2017

ABSTRACT: We developed and evaluated a fast and simple method to obtain suitable bone samples for densitometry and chemical analysis through biopsies of the 12th rib of cattle. The postoperative recovery, dry matter intake (DMI) and average daily weight gain (ADG) was evaluated in 36 Nellore steers, nine of which were randomly selected for the control group and 27 others were rib biopsied. Every 30 days, rib biopsy was performed in nine steers, using a corded-electric pistol-grip drill coupled with a hole saw of a 3mm diameter pilot drill bit. This rib biopsy technique provided a suitable sample obtained in a fast way and allowed the surgeon to work alone with the animal slightly sedated and restrained in the crush. Dry matter intake (DMI) was not affected in biopsied animals. At the end of the experimental period (116 days) the average daily weight gain (ADG) was similar in the steers biopsied or not. The described method provided rib samples from cattle suitable for densitometry and chemical analysis of bone tissue without effects on health and performance. This information could greatly increase the accuracy for the diagnosis of phosphorus deficiency in cattle raised on pasture and allow the evaluation of bone metabolism in experimental animals.
Estrutura e composição florística de um cambarazal no pantanal de Poconé-MT
Authors: Nascimento Marcelo Trindade , Cunha Cátia Nunes da
Published: March 2017

Neste trabalho foi estudado um cambarazal localizado no pantanal de Poccné, km 94 da Rodovia Transpantaneira. Um total de 1.500m² de área foram amostrados e divididos em três transecções de 10 x 50 m. Todas as plantas com circunferência à altura o solo > 10cm foram mapeadas e medidas para a obtenção dos parâmetros estruturais de densidade relativa, freqüência absoluta e relativa, dominância relativa e índice de valor de importância. Foi amostrado um total de 631 indivíduos, distribuídos entre 15 famílias, 19 gêneros e 23 espécies. Vochysia divergem foi a espécie que apresentou o maior IVI, seguida de Erythroxylum sp. e Aulomyrcia mutabilis. A riqueza florística do cambarazal estudado foi menor que a de áreas de mata amazônica de terra fume, mata atlântica e mata de igapó, sendo semelhante à da caatinga amazônica. Neste trabalhe discutiu-se a hipótese de V. divergens ser uma espécie colonizadora de campos inundáveis no pantanal de Poconé e as fases de ocupação e formação de um cambarazal.
Reservatório de ardósia para sistemas de aproveitamento de água de chuva
Authors: Andrade Marcio Antonio Nogueira , Lisboa Marina Boldo , Lisboa Henrique de Melo
Published: March 2017

RESUMO No contexto da crescente pressão exercida no mundo todo sobre os recursos hídricos, qualitativa e quantitativamente, o desenvolvimento de tecnologias apropriadas para sistemas de aproveitamento de água de chuva surge como alternativa promissora. Este trabalho tem como principal objetivo apresentar uma tecnologia inovadora para armazenamento de água de chuva, trazendo como modelo a construção de um reservatório executado com placas de ardósia, com capacidade para 250 m3, que faz parte de um sistema de aproveitamento de água de chuva implantado em uma instalação suinícola no Oeste Catarinense. Nesse sistema, a água de chuva é destinada para dessedentação animal e higienização das instalações. Também são apresentados, porém com menos enfoque, os dispositivos de tratamento da água de chuva desenvolvidos no projeto. Realizou-se uma análise comparativa de custos entre esse reservatório e os comumente utilizados na região de estudo. Também foram feitas análises físico-químicas e bacteriológicas da água de chuva em diferentes pontos do sistema, a fim de verificar se a qualidade da água é adequada para os usos pretendidos. A tecnologia de construção de reservatórios de ardósia apresentou rapidez e facilidade de execução e baixo custo de construção. A ardósia, além de servir de forma para a moldagem da armadura e para a argamassagem, é um material natural e abundante na região central do Estado de Santa Catarina. As análises físico-químicas e bacteriológicas mostraram a eficiência dos dispositivos de tratamento da água de chuva aplicados neste trabalho. Por fim, observou-se que a água de chuva é adequada para dessedentação animal, já que atende às condições e padrões para as águas de Classe 3 da Resolução CONAMA 357. Deste modo, a nova tecnologia apresenta grande potencial de aplicação e viabilidade econômica para a região de estudo.
Dinâmica de distribuição de fontes de capitais científicos entre docentes / pesquisadores de um programa de pós- graduação Stricto- Sensu de uma universidade pública
Authors: Teixeira Juliana Cristina , Oliveira Pâmella Gabriela , Tavares Nathália Vasconcelos , Carrieri Alexandre de Pádua , Cappelle Mônica Carvalho Alves
Published: March 2017

Situando- se no contexto das universidades e, mais especificamente, da pós- graduação, o presente estudo visa analisar, de forma exploratória, a dinâmica de distribuição de capitais científicos entre docentes de um programa de pós- graduação Stricto Sensu de uma universidade pública. De forma específica, como os docentes distribuem suas atividades entre aquelas que lhes permitem acumular capital científico puro (como as publicações e contribuições acadêmicas para o campo do conhecimento) e capital científico institucional (como a ocupação de cargos que lhes conferem o poder de decisão dentro do campo da ciência). Foi considerada a abordagem de Bourdieu (2003; 2004a; 2004b) relativamente ao campo científico, por esta permitir a apreensão dessa dinâmica de distribuição de capitais, que são tipos específicos de poder. A abordagem foi quantitativa e qualitativa, utilizando pesquisa documental nos currículos Lattes de vinte e três docentes participantes do referido programa, que se situa em uma cidade de Minas Gerais (Brasil), sendo da área de Ciências Sociais Aplicadas. Como principais resultados, a dinâmica demonstra (1) que os docentes ocupam, em sua maioria, posições medianas dentro da distribuição de capitais; (2) há a dificuldade de acumulação expressiva de ambos os tipos de capitais por parte de um pesquisador; (3) não houve uma polarização entre os docentes baseada em forte acumulação de um dos capitais, e fraca acumulação de outro; e (4) há maior facilidade de conversão de capital institucional em capital científico puro.
Damage-control evaluation of high-strength steel frames with energy dissipation bays
Authors: Ke Ke , Chen Yiyi , Jia Liang-Jiu
Published: March 2017

This paper reports on a practical seismic-damage-control evaluation method of a high-strength steel (HSS) system comprising HSS frames with energy dissipation bays (EDBs). First, the design concept and seismic performance of the system are illustrated and verified by an experiment on a large-scale two-storey two-bay HSS frame with EDBs. Critical issues considering quantification of the seismic-damage-control threshold and the performance requirement of HSS members are clarified. A stepwise procedure that accounts for both the peak response of the HSS members and the cumulative effect of EDBs is then constructed by applying the energy balance concept and a micromechanics-based fracture model. Subsequently, the procedure is implemented on a prototype structure. The results indicate that the proposed procedure is effective for evaluating seismic performance of both HSS members and EDBs. Compared with direct application of non-linear history response analysis, which is time consuming, the proposed procedure simultaneously retains conceptual and computational advantages.
Stress–strain model for tie-confined self-curing self-compacting concrete
Authors: Swamy Naga Ratna Giri Pallapothu , Rajesh Kumar Garje , Sri Rama Chand Madduru , Rathish Kumar Pancharathi
Published: March 2017

Self-curing self-compacting concrete (SCC) is a modern construction material developed with the aim of improving overall quality and efficiency in construction. In this paper, the stress–strain behaviour of tie-confined self-compacting SCC is analysed and a comparison is made with SCC prepared without self-curing agents. The methodology included studying the stress–strain behaviour of two grades of self-compacting SCCs and comparing the results with normal SCC subjected to water curing and no curing. To determine the stress–strain behaviour, prism specimens were tested under axial compression. Lateral ties and longitudinal bars were used in the prisms and two grades of concrete of compressive strength were used. The results obtained will be useful for design engineers working on concrete with curing agents.
Overview of Effect of Game Means on Dynamics of Strength Development in Junior Girls
Authors: Nikitenkova T. Yu. , Marchenko S. I.
Published: March 2017

The research objective is to analyze the effect of game means on the dynamics of strength development in the second-, third- and fourth-grade girls.Materials and methods: the participants in the study were 104 schoolgirls: 32 – second-graders, 32 – third-graders, and 40 – fourth-graders. To achieve the tasks set, the research used the following methods: theoretical analysis and summary of scientific and methodological literature, method of control testing, pedagogical experiment, methods of mathematical statistics.Results: the results of the analysis of variance in correlating the data indicate to what degree various game modes influence the development of strength abilities in the second-, third- and fourth-grade girls. The study observed the strongest effect of the factor in the second-grade girls in the second group – 88.7%, fourth group – 90%, sixth group – 85.4%, and eighth group – 76.4%. The third-grade girls demonstrated the strongest effect of the factor in the eighth group – 82.7%. The fourth-grade girls showed the strongest effect of the motion mode in the sixth group – 74.8% and in the eighth group – 69.7%.Conclusions: It is advisory to use small loads and bodyweight exercises when developing strength abilities in junior girls. Games are performed at a quick and moderate pace. Games should be diverse to involve different muscle groups. The number of games can vary from four to eight depending on the level of physical development and physical preparedness of the schoolers.
Soroprevalência de citomegalovírus em HIV positivos em um centro de referência no Brasil
Authors: Silva Claudinei Mesquita da , Peder Leyde Daiane de , Deluca Jessica , Horvath Josana Dranka , Silva Eraldo Schunk da , Teixeira Jorge Juarez Vieira , Bertolini Dennis Armando
Published: March 2017

O Citomegalovírus (CMV) é um vírus oportunista que causa altos índices de morbidade e mortalidade em pacientes portadores de HIV. O objetivo desse estudo foi estimar a soroprevalência do CMV em pacientes infectados pelo HIV. Estudo de corte transversal realizado em prontuários de pacientes infectados pelo HIV, atendidos em um centro de referência no Sul do Brasil, entre 2005 a 2014. A soroprevalência de HIV-CMV foi de 63,98%, sendo significativamente maior em pacientes pertencentes às faixas etárias de 30-39 anos (Odds ratio (OR) 4,3; 95% IC 1,29-14,58; p=0,02) e ≥ 40 anos (OR 4,8; 95% IC 1,4-16,3; p=0,01). Contagens de células T CD4+ e níveis de carga viral do HIV não mostraram associação estatística entre os grupos com sorologia positiva e negativa para CMV. Nossos achados reportam alta prevalência de HIV-CMV na região e as faixas etárias entre 30-39 e ≥ 40 anos estiveram associadas à infecção por CMV.
Incidência de sífilis congênita e sua prevalência em gestantes em um município do noroeste do Paraná
Authors: Boni Sara Macente , Pagliari Priscila Bertoncello
Published: March 2017

O objetivo deste estudo foi analisar a prevalência de sífilis em gestantes atendidas no município de Nova Esperança (PR) entre 2013 e 2014 e a incidência de sífilis congênita notificada no mesmo período na cidade. Foi realizado estudo descritivo retrospectivo por meio de coleta de dados em fichas de gestantes com solicitação médica do exame Veneral Disease Research Laboratory durante o acompanhamento pré-natal e as notificações compulsórias de sífilis congênita registradas pelo setor de epidemiologia do município. Foram constatados 36 casos de sífilis gestacional e cinco de sífilis congênita. Todas as pacientes tiveram acompanhamento pré-natal, entretanto uma teve o diagnóstico da sífilis gestacional somente no momento do parto/curetagem. Os resultados deste estudo indicam que a prevalência de sífilis congênita em Nova Esperança apresentou um crescimento no período de 2013 para 2014. Ao avaliar todas as gestantes com diagnóstico de sífilis durante o atendimento pré-natal, 13,9% não obtiveram tratamento satisfatório e o agente etiológico desencadeou a infecção fetal. Ao comparar os resultados do presente estudo com dados nacionais, em 2013, no Brasil observou- se uma taxa de detecção de 7,5 casos de sífilis em gestantes para cada 1.000 nascidos vivos e em relação à incidência de sífilis congênita no mesmo ano observou-se uma taxa de 4,8 casos por 1.000 nascidos vivos. Conclui-se que os achados deste estudo marcam alguns pontos frágeis da assistência e prevenção da sífilis, no qual os profissionais da saúde devem participar ativamente na realização de ações preventivas e de acompanhamento desta enfermidade.
Factors influencing cervical cancer screening in a Kenyan Health Facility: a mixed qualitative and quantitative study
Authors: Njuguna E. , Ilovi S. , Muiruri P. , Mutai K. , Kinuthia J. , Njoroge P.
Published: March 2017

Background: Cervical cancer is the commonest cause of cancer-related morbidity and mortality among women in developing countries in sub-Saharan Africa. Screening for cervical cancer among HIV infected women is crucial as they are more at risk of developing the disease and progressing faster once infected with Human Papilloma Virus (HPV).Methods: We aimed to determine the factors affecting the utilization of cervical cancer screening among HIV infected women above 18 years of age at Kenyatta National Hospital by conducting a cross-sectional mixed quantitative and qualitative methods study. Descriptive and inferential analysis was carried out on quantitative data to determine significant associations with cervical cancer utilization. Qualitative data were analyzed after coding for significant clauses and transcribing to determine themes arising.Results: Three hundred and twenty eight of the total 387 women enrolled reported they had been advised by their health providers to go for screening. However, only 179 (46%) reported cervical cancer screening.  Women were more likely to report cervical cancer screening if recommendation by a staff was made (p <0.001), and prior to joining KNH CCC (p <0.001). Qualitatively the main barrier to screening included fear of screening due to concerns about excessive pain or bleeding, lack of proper communication on screening procedures and long waiting timeConclusions: The utilization of cervical cancer screening services was low despite high rates of health care recommendation. The women were more likely to utilize the service if recommendation from the health care worker was made, and if they had ever screened before.
Double blinded study on comparison of phosphorylated insulin like growth factor binding protein 1 test and fetal fibronectin test for prediction of preterm delivery
Authors: Singhal Seema , Sarda Nivedita , Dhiman Niharika , Dogra Kusum
Published: March 2017

Background: Recently new markers like fetal fibronectin (FFN) and phosphorylated Insulin like growth factor binding protein 1 (phIGFBP-1) have been found useful in diagnosis of pre-term labor. Fetal fibronectin (FFN) and phosphorylated Insulin like growth factor binding protein 1 (phIGFBP-1) were compared to predict the risk of pre- term delivery.Methods: Cervicovaginal samples of 50 symptomatic and 50 asymptomatic pregnant women were tested. Statistical analysis was done using chi square test, fisher’s exact test for qualitative data and for quantitative data unpaired student t test and Mann Whitney test were used.Results: For Symptomatic group phosphorylated Insulin like growth factor binding protein 1 (phIGFBP-1) and fetal fibronectin (FFN) had 100% sensitivity and 100% NPV for predicting delivery within 48 hours, 7days and 14 days. Specificity and PPV of FFN was higher than phIGFBP-1 to predict delivery (Specificity: within 48 hours 63.2% vs 52.6% within 7 days 72.7% vs 60.6%, within 14 days 75% vs 62.5%, ≤37 weeks 76% vs 56%; PPV: within 48 hours 46.2% vs 40%, within 7 days 65.4% vs 56.7%, within 14 days was 69.2% vs 60% and ≤37 weeks 76.9% vs 63%).Conclusions: Rapid bed side dip stick tests for detecting FFN and ph IGFBP-1 in cervicovaginal secretions are useful clinical adjuncts in ruling out delivery within 14 days of test in symptomatic patients, thus avoiding unnecessary hospital stay and medical interventions. However, FFN has slightly higher NPV in predicting risk of pre term delivery.
A comparative prospective study of maternofetal outcome in advanced and younger maternal age group in higher socioeconomic strata
Authors: Rehman Bilal Ur , Sirwal Rabia Khurshid , Wani Feroz Ahmad
Published: March 2017

Background: Maternal age in pregnancy is increasing over the world and has been widely documented. Nowadays many women delay their pregnancy even up to the 40th year of life because of different reasons like changing social and economic trend. Simultaneously higher advanced technique and better supported maternal and neonatal care also exist.Methods: To have an idea of balance between advanced age and advanced support this comparative prospective study was done on 40 advanced and 40 younger maternal age groups to compare the pregnancy outcomes. To find out the association Chi-Square and unpaired ‘t’ test was used.Results: It was observed in this study that Assisted reproductive techniques (mode of conception) and cesarean section rates were significantly higher in advanced maternal age. Although there were no significant differences in antenatal and postpartum complications between the two groups.Conclusions: It can be concluded that if a women with advanced maternal age is cared at a hospital with advanced techniques, the adverse pregnancy outcomes will not be different from the non-elderly women.
Perceived stress among gravid and its effect on their oral health in Sri Ganganagar, Rajasthan, India
Authors: Goyal Nikita , Singh Simarpreet , Mathur Anmol , Gupta Neha , Makkar Diljot K. , Aggarwal Vikram P.
Published: March 2017

Background: The gestation period presents unique stresses that challenges overall psychological adaptation of a women. The present study is designed especially to focus on evaluating the effect of perceived stress on pregnant women and its effect on their oral health.Methods: A cross-sectional study was conducted among 18-30 years old, pregnant women in the Sri Ganganagar city. Prior to the clinical examination a questionnaire was used in order to collect the information which comprised of three parts and were completed through an interview. The first part comprised of demographics questionnaire, second part included oral hygiene questionnaire and third part was perceived Stress Scale. Descriptive analysis described demographics and socioeconomic characteristics. Multivariate analysis was used to describe the association between stress and various characteristics. Chi-square and Kruskal-wallis test was used to study the association of independent variables with level of stress.Results: The high stress was reported among those females who were aged > 25 years (46.66%), living in rural areas (73.33%), were employed (57.77%), were in third trimester of pregnancy (96.66%) and had no previous pregnancy experience (67.77%). The mothers in high stress group had high levels of dental diseases when compared to the other two groups (low and moderate stress).Conclusions: Based on the results, this study emphasizes on the need for a continued effort to improve the mental and oral health status of gravid women so as to reduce the incidences of psychological and physical troubles in this population predicted.
The ultrasonic changes in maturing placenta in pregnancy complicated with hypertension and its correlation with neonatal outcome
Authors: Dutta Amit , Chatterjee Kripasindhu , Sen Sukanta , Ray Swapan Kumar , Mandal Pradyut Kumar , Mukhopadhyay Sima
Published: March 2017

Background: Hypertension is the most common medical problem encountered during pregnancy, complicating 2-3% of pregnancies. Obstetric ultrasound provides a cornerstone to other modalities used for assessing hypertensive disorders of pregnancy. This study was designed to detect the placental changes in hypertensive disorders of pregnancy and correlation with neonatal outcome.Methods: The study group comprised of 42 patients with pregnancy complicated with hypertension with period of gestation above 20 weeks and B.P. more than 140/90 mm of Hg measured on two occasions 6 hours or more apart. The control group consists of 42 normotensive patients matched with age and parity. One ultrasonic examination were performed between 28 weeks and 34 weeks and another after 34 weeks till term. Apart from routine parameters i.e. BPD, AC, FL, Amniotic fluid index, EBW and gestational age routine placental grading were performed according to the classification proposed by Grannum and associates. To evaluate perinatal outcome following measurement were studied – birth weight immediately after delivery, mode of delivery, perinatal morbidity and mortality , APGAR  score , presence of fetal distress.Results: In 97.62%  cases (41 out of 42 ) of control group showed Grade–II changes as opposed to 57.14% of cases (24 out of 42) in study group before 34 weeks.Conclusions: Accelerated maturation of placenta in pregnancy complicated with hypertension are more common in the hypertensive group.
Randomized comparative study of conventional minilaparoscopy (5mm) versus modern minilaparoscopy (2.9mm) in patients of infertility
Authors: Roy Kallol Kumar , Jahagirdar Nandini Joshi nee , Subbaiah Murali , Jain Sunesh Kumar , Sharma J. B. , Singh Neeta
Published: March 2017

Background: To compare diagnostic conventional minilaparoscopy (5mm) with diagnostic modern minilaparoscopy (2.9mm) in patients of infertility in terms of operating time, post-operative pain, hospital stay.Methods: A prospective randomized comparative study was done in a tertiary care centre involving eighty patients of infertility undergoing diagnostic laparoscopy. Diagnostic laparoscopy was done using 5mm laparoscope (Conventional minilaparoscope-Group I) in 40 patients and using 2.9mm laparoscope (Modern minilaparoscope-Group II) in 40 patients. Operating time was measured from the point of skin incision to closure, post op pain was assessed with VAS scoring system, total hours of hospital stay from shifting to day care recovery ward till discharge was noted.Results: Both conventional minilaroscope and modern minilaparoscopes were comparable to each other. Operating time in both groups was similar (7.7min in Group I vs 8.7min in Group II). In both groups, there was no statistically significant difference in post-operative pain as assessed by VAS scoring System (39 in Group I vs 38 in Group II had mild post-op pain and 1 in Group I vs 2 in Group II had moderate pain). The difference in duration of post-op hospital stay in both Group I and group II was not statistically significant (3.5 hours vs 3.3 hours).Conclusions: Both conventional minilaparoscopy (5mm laparoscope) and modern miniaparoscopy (2.9mm laparoscope) are comparable with respect operating time, post-op pain, hospital stay. Modern minilaparoscope is no better than conventional minilaparoscope.
A clinical study of ectopic pregnancy in a tertiary care centre in Hubli
Authors: Dama Swetha , Kamat Amitha
Published: March 2017

Background: To evaluate the burden of ectopic pregnancies in our hospital over the period of one year and to evaluate the risk factors, mode of intervention and outcomes of those cases.Methods: A retrospective analysis was conducted in Karnataka Institute of Medical Sciences, Hubli over the period of one year from January 2015 to December 2015. All patients admitted with a diagnosis of ectopic pregnancy, either ruptured or unruptured were included in the study. Their history, risk factors, outcome and complications were also evaluated in detail.Results: 40 patients with diagnosis of ectopic pregnancy were admitted, yielding to an incidence of 3.76/1000. Most patients presented to our hospital in a state of shock. 26(65%) were ruptured, 10(25%) were unruptured and 4(10%) were chronic ectopic pregnancies. 39 cases were managed by laparotomy and one patient by conservative method using methotrexate. Most common risk factor noted in our study was history of tubal sterilization, noted among 12(30%) women. No mortality was noted in our study.Conclusions: Ectopic pregnancy is a significant cause of morbidity and mortality in first trimester. High degree of suspicion and early detection can prevent a great degree of morbidity among women, especially in women with prior tubal sterilization procedure.
Iatrogenic bladder injuries during obstetric and gynecological surgeries-does it demand prophylactic presence of an urologist?
Authors: R. Sankareswari , R. Ghurunaath T. , Shunmugha Sundharam Ramya Sreevarshni
Published: March 2017

Background: Iatrogenic bladder injuries (IBI) are more common during obstetric and gynaecological procedures averaging 2.6 IBIs per 1000 surgeries. The objective of the study was to estimate the incidence of IBIs during OBG procedures in a tertiary care hospital at Puducherry. To study the proportion and clinical profile of the IBIs where the management of an urologist was indicated intra-operatively.Methods: This cross-sectional study was conducted in a tertiary care hospital in Puducherry by analysis of records of OBG surgeries conducted during the 5 years’ period from 2011 to 2015. The occurrence of IBIs during obstetric and gynaecological surgeries was estimated and the records of those with injuries were analysed retrospectively.Results: The overall incidence of Iatrogenic Bladder Injuries (IBI) among the OBG surgeries was 1.33% (n=19). Iatrogenic Bladder Injuries (IBI) frequently happened during Gynaecological procedures (73.7%, n=14) than during Obstetric procedures (26.3%, n=5). The incidence of bladder injuries intra-operatively was more frequent during dissection of bladder (57.9%, n=11) and opening the abdomen (36.8%, n=7). The requirement of urologist was more felt during posterior bladder wall injuries (26.3%, n=5).Conclusions: The occurrence of IBIs was more common during Gynaecological procedures than during obstetric procedures. Most of the gynaecological procedures especially hysterectomies require the expertise presence of an urologist.
Retrospective analytical study of total abdominal hyeterectomy for benign gynaecological conditions
Authors: Pathak Varuna , Singh Pallavi , Tripathi Archna
Published: March 2017

Background: Hysterectomy, which is one of the most common surgeries performed on women, dates back to ancient time. This retrospective study was done to determine a baseline data on various indications for total abdominal hysterectomy for benign gynaecological conditions, most common presenting symptoms, and socio-economic status and their histopathology correlation.Methods: This retrospective study was performed in the department of Obstetrics and gynaecology, in collaboration with Department of Pathology, Gandhi Medical College, Bhopal. Baseline data were collected from inpatient files and histopathology reports to determine the indication for surgery, pattern of gynaecological diseases, and distribution with respect to age, parity, rural, urban, socio-economic status and final histopathology correlation. Histopathology reports were collected from Department of Pathology.Results: Majority of women undergone TAH for benign gynaecological diseases were in age group of 40-49 years [n=341 (48.99% cases)], multi para and from urban areas (57.26%). most common indication for TAH is fibroid uterus [n=347 (49.85%)]. The most common mode of presentation is excessive prolonged frequent bleeding per vagina (58.14%). Most common histopathology reports of TAH were leiomyoma with chronic cervicitis {n=347 (49.78%)}.Conclusions: Majority of women undergoing for TAH for benign gynaecological conditions have great satisfaction as they got relieved from their complaints and very minimum post-operative complications, but their long term outcome are still debatable.
Pregnancy in non-communicating rudimentary horn
Authors: Deora Ram Kanwar , Chawla Preeti , Shetty Nikhila G.
Published: March 2017

A 25-year old G3P2L2 presented to casuality of OBG Dept, Ummaid Hospital, Jodhpur with5 months amenorrhea and bleeding per vaginum for last 5 days associated with abdominal pain. On per abdomen examination, a mass arising from pelvis corresponding to the size of a 16 weeks pregnancy was seen. A repeat ultrasound was performed in our hospital and the findings were - normally visualised uterus with a gestational sac with thin myometrium rim seen on right side with single dead fetus of gestational age 14 weeks 3 days, pregnancy in rudimentary horn, bicornuate uterus with pregnancy in right horn. Patient was counselled and prepared for laparotomy which was performed under general anesthesia. Intra -operative findings were normal sized uterus, right sided rudimentary horn pregnancy was seen. Both tubes and ovaries were normal. Hence, right sided rudimentary horn excision along with ipsilateral salpingo – oophorectomy was planned and done by clamping and cutting. Hemostasis was achieved. There was no communication between the rudimentary horn and the main uterus. The estimated blood loss was 200ml.
Demokracja energetyczna - społeczeństwo jako prosument energii elektrycznej
Authors: Okraszewska Ewelina
Published: March 2017

Celem artykułu jest przybliżenie nowego pojęcia demokracji energetycznej oraz ukazanie znaczenia społeczeństwa w rozwoju nowego systemu zielonej gospodarki, identyfikacja barier i korzyści rozwoju demokracji energetycznej, a także przedstawienie najbardziej perspektywicznych źródeł energii odnawialnej. Demokracja energetyczna to system, który pozwala na aktywne uczestnictwo obywateli danego kraju zarówno na etapie podejmowania decyzji dotyczących tworzenia modelu energetycznego gospodarki, jak i angażowania się w jego budowę, przy jednoczesnym sprawowaniu nad nim kontroli. Taka energetyka prosumencka przynosi korzyści społeczno-gospodarcze, pobudza rozwój lokalny, innowacje społeczne, a także współpracę. Zdecentralizowane systemy niosą ze sobą możliwość podziału nie tylko kosztów, ale także korzyści z OZE. Jednakże do głównych przeszkód w zakresie demokracji energetycznej należy brak odpowiednich regulacji prawnych umożliwiających jej swobodny rozwój. Ponadto, jak wynika z niniejszego artykułu, bariery stanowią również: niska świadomość społeczeństwa o korzyściach płynących z zielonych odnawialnych źródeł energii, brak wsparcia finansowego ze strony rządu, a także trudności w zmianach współczesnego systemu energetycznego opartego na źródłach konwencjonalnych. Jednakże bazowanie na doświadczeniach innych państw, np. Niemiec, które posiadają dobrze rozwinięty sektor energetyki obywatelskiej, może przynieść wiele pomocnych rozwiązań w tym obszarze. Także konsekwentnie realizowana koncepcja wsparcia dla inwestycji w odnawialne źródła energii i aktywnego udziału społeczeństwa w tym procesie może przyczynić się do odniesienia sukcesu w tej dziedzinie. Mimo iż Polska obecnie nie znajduje się wśród krajów, które są liderami w dziedzinie OZE, to wchodzi ona na dobrą drogę w stronę wzrostu udziału odnawialnych źródeł energii w całkowitej jej produkcji, jak i ograniczenia zużycia konwencjonalnych źródeł energii.
Dinâmicas institucionais e interações sociais: os efeitos não planejados da modernização da agricultura no Brasil e na França
Authors: Gomes Ramonildes Alves , Miranda Roberto de Sousa
Published: March 2017

objetivo do artigo é analisar as dinâmicas que infl uenciaram a introdução da algaroba no Brasil edo milho híbrido na França. A produção de conhecimentos científi cos, orientados à inovação nos processosde produção agrícola, representa um esforço de planejamento e a intensifi cação do controle de dinâmicaseconômicas e sociais, que colocaram diferentes atores sociais em interação, e, portanto, potencialmente capazesde produzir efeitos não controlados e consequências não planejadas de modernização produtiva.
A “chacra” e a diversidade vegetal na Morraria em Mato Grosso
Authors: Vieira Sandro Nunes , Azevedo Rodrigo Aleixo Brito de , Coelho Maria de Fatima Barbosa , Oliveira Regiane Correa de
Published: March 2017

O objetivo deste trabalho foi descrever unidade de manejo “chacra” e a diversidade vegetal na região de Morraria em Mato Grosso. Foram utilizadas técnicas qualitativas de observação direta e observação participativa. Os tamanhos das “chacras” não excederam a 1,5 hectares. Os informantes identificaram 109 espécies vegetais. As “chacras” tem as funções de ofertar trabalho aos idosos, otimização da mão de obra e de recursos financeiros, alternativa de alimentação e de renda para as famílias e fonte de material genético para as roças.
Entrepreneurial orientation and open innovation in brazilian startups: a multicase study
Authors: Carvalho Eduardo Gomes , Sugano Joel Yutaka
Published: March 2017

Entrepreneurship and innovation are the basis to regional and national development. Therefore, entrepreneurs and startups are protagonists in this scenario. However, a new paradigm emerges in innovation studies: Open Innovation. But the relationship between Open Innovation and entrepreneurship is few explored. Thus, our work aims to fill this gap. Using case studies we check the hypotheses presented by Carvalho and Sugano (2016). At end, a framework and new hypotheses were presented to future studies.
Próteses auditivas por idosos: aspectos psicossociais, adaptação e qualidade de vida
Authors: Gomes da Silva Regiane Bergamo , De Almeida Luciane Pinho
Published: March 2017

Este trabalho teve como objetivo compreender os aspectos psicossociais decorrentes do uso de próteses auditivas para idosos e a forma como estas contribuem para a melhoria da qualidade de vida dessa população. Foi realizado um estudo qualitativo com 05 idosos, utilizando a entrevista não estruturada. Os resultados apontam a melhora na qualidade de vida dos idosos após a adaptação da prótese auditiva, porém é um processo contínuo, pois os aspectos psicossociais que influenciam seu uso incidem diretamente na sua relação com o outro.