bluuebunny/crossref_metadata_2025 huggingface dataset:
Physical Fitness and Indicators of Cardiovascular Risk in Population with Intellectual Disability
Authors: Camargo Rojas Diana Alexandra , Rodríguez Marco Aurelio
Published: March 2020

Introduction: This study aimed to determine the relationship between physical condition and indirect indicators of cardiovascular risk in children and young people with intellectual disabilities. Materials and Methods: The study was an observational cross-sectional one, which evaluated the physical condition of 175 students with intellectual disabilities, using the Brockport Physical Fitness battery for children under 18 years of age. For those over 18 years, the same tests were used, but with age scales. For the statistical analysis, normality tests and Pearson correlation were applied with the statistics program SPSS 20.1 version, with 95 % confidence levels. Results: In body composition, a population older than 18 years had higher values than those under 18 years. In children under 18 years of age, a direct correlation was observed between the anthropometric variables, forming a high cardiovascular risk (r = 0.77 p 0.01); a negative correlation was observed between anthropometric variables with aerobic power and strength (r = -0.423, r = -0.593 p 0.01). In the population over 18 years of age, there was a negative correlation between arm strength (r = -0.60 p 0.01) and aerobic power (r = -0.471 p 0.01) with cardiovascular risk variables. Conclusion: A relationship between the variables of cardiovascular risk and qualities such as strength and aerobic capacity is observed, being physical fitness variables risk predictors.
Bridging Cultural Holes in Organizations: The Dynamic Structure of Social Networks and Organizational Vocabularies Within and Across Subunits
Authors: Tasselli Stefano , Zappa Paola , Lomi Alessandro
Published: March 2020

The mechanisms by which social networks and organizational vocabularies combine jointly to affect communication patterns across organizational boundaries remain largely unexplored. In this paper, we examine the mutually constitutive relation between the network ties through which organizational members communicate with each other and the vocabularies that they use to describe their organization. We suggest that the dynamic structure of social networks and organizational vocabularies is contingent on the formal design of organizational subunits. Within subunit boundaries, members who interact with each other are more likely to develop similar vocabularies over time. Interestingly, between subunits, the more two members share similar organizational vocabularies, the more likely they are to form a tie over time. We find empirical evidence for these arguments in a longitudinal study conducted among the managers of a multiunit organization. Organizational vocabularies, we suggest, may sustain communication patterns across organizational boundaries, thus bridging cultural holes within organizations.
Vector-borne disease distributions and risks to the UK
Authors: Traversa Donato
Published: March 2020

In the recent decades, the geographic distribution of vector-borne diseases (VBDs) of dogs and cats has changed for intrinsic and extrinsic reasons. Therefore some infections/infestations, some of zoonotic concern, have been recorded in geographic areas where they were unexpected. In Europe, arthropods (e.g. ticks, fleas, mosquitoes and sand flies) and the pathogens that they transmit are in general considered to be more frequent in the Mediterranean Basin. Nonetheless, a possible occurrence in other regions should not be a priori excluded, given that travels of animals (to or imported from endemic areas), movements of goods and global warming all may foster the introduction of vectors and/or transmitted pathogens in previously free areas. This could also be the case in the UK, which, because of its territorial characteristics as an island area in north-western Europe, is traditionally considered at minor risk of VBDs. Given the growing increase of movements and travels of pets, and changes in the phenology of many arthropod vectors, it is crucial that veterinary practitioners are aware of and prepared to diagnose, treat and control a series of unexpected diseases.
Research roundup
Authors: Welyczko Nikki
Published: March 2020

In this section, Nikki Welyczko presents a brief synopsis of a range of recently published articles that may be of interest to nurses working in the renal setting. The aim of this roundup is to provide an overview, rather than a detailed summary and critique, of the research papers selected. Should you wish to look at any of the papers in more detail, a full reference is provided.
A new approach to vein and arteriovenous fistula dilation
Authors: Desai Sanjay C , Inston Nicholas , Mallios Alexandros
Published: March 2020

Dr Sanjai Desai, Dr Nicholas Inston, and Dr Alexandros Mallios provide an update on a new method to enhance vascular access outcomes for dialysis patients. While arteriovenous fistulas (AVFs) are the ‘gold standard’ for haemodialysis access, the path to a functional AVF is steep, and far too many fail before they can be used for dialysis. Fist Assist, a lightweight, wearable medical device, provides gentle, intermittent pneumatic compression that can safely and effectively help veins to enlarge before, and after, AVF surgery. This article covers the risks of AVF failure, early research with Fist Assist on dilation, a concise cost analysis, and the potential for such a device to improve outcomes for both percutaneous and standard AVFs. Fist Assist is expected to launch in Europe in March 2020.
Report from the Dialysis—getting the right balance conference
Authors: Hole Barnaby D , Selman Lucy E , Winterbottom Anna E
Published: March 2020

In this short conference report, the authors outline an exploration among stakeholders of the possible over- and underprovision of dialysis in the NHS. The British Renal Society was one of the collaborating organisations involved in this event.
Improving utilisation of RVNs in dermatology cases
Authors: Ackerman Nicola
Published: March 2020

Pressure on veterinary surgeons to prescribe antibiotics can present in many formats, these can include, time, financial and the owner's expectations. Protocols and guidelines set out within the veterinary practice can help veterinary surgeons by providing structures on how to proceed in set circumstances. Veterinary bodies and representative associations have produced literature and guidance notes on antimicrobial use and these can be built into veterinary practice protocols and clinical guidelines. The introduction of an ear cytology microscopic examination being performed prior to antimicrobial prescribing showed an increase in the utilisation of the registered veterinary nurse (RVN) in the performing of this task, and a decrease in the net value of topical antimicrobials being prescribed was noted. The overall financial value to the practice was however increased.
Biofilms and their significance in veterinary wound management
Authors: Curtis Amanda
Published: March 2020

Wound management in veterinary practice can be challenging at times. With a variety of factors to consider when managing a wound, it can be further complicated if that wound starts to stagnate or regress. A process of elimination begins to identify the cause of the problem. Infection is a contributing factor to delays in wound healing, but biofilms may not always be considered, especially during the initial stages. These communities of bacteria need to be managed quickly and efficiently to prevent them becoming irreversibly embedded within a wound. As nurses it can be a useful wound management skill to be able to recognise biofilms and their signs and understand how early interventions and appropriate wound management can prevent a biofilm from becoming a problem.
Assessing College Students’ Knowledge and Misconceptions Concerning the Ebola Virus
Authors: Miller Michele , Romine William
Published: March 2020

As we have seen from the current COVID-19 pandemic, misconceptions concerning viruses can lead to disease spread and panic. Therefore, it is imperative to determine misconceptions held concerning epidemics and pandemics. One virus that warrants study of misconceptions, albeit given limited attention in the West, is the Ebola virus. An assessment of college students’ knowledge and misconceptions about the Ebola virus was created and validated using data from 203 non-science majors at a Midwestern United States university. The data were analyzed using both classical and Rasch measurement methods to make a case for the validity of the assessment and to explore students’ misconceptions. The assessment was shown to be a valid and useful measure for students’ knowledge and misconceptions concerning Ebola. Integrating a confidence scale into students’ responses made the scale more reliable and assisted in identifying students’ tenacious misconceptions. Students displayed multiple misconceptions about viruses, including confusion between the characteristics of viruses and prokaryotes.  Students also displayed misconceptions about Ebola itself, including the overestimation of the number of Ebola strains and the number of patients who experience massive blood loss, misunderstandings about the incubation period, and overestimation of the mortality in comparison to other diseases like Influenza and Anthrax. This assessment can be used as a starting point in future studies to determine what misconceptions people have about Ebola and which types of educational and behavioral interventions need to be undertaken.
What I know Best: Assessing Indonesian Student’s Structural Knowledge through Student-Generated Topics
Authors: Indah Rohmani Nur , Rohmah Galuh Nur , Afifuddin Muzakki
Published: March 2020

Developing Indonesian English as a foreign language (EFL) students’ structural knowledge presents a number of complexities especially in the bilingual context. This study aimed to determine how the structural knowledge patterns of Indonesian EFL students is, and it specifically explored various aspects that make structural knowledge representation difficult. The research also aimed to formulate an accommodative assessment model for the development of students' structural knowledge. Using a case study design, this study involved 120 English literature students (N=120) taking the Psycholinguistics class at one of the tertiary institutions in Malang, Indonesia. The research instruments included essay tests and questionnaires. The research findings showed that students in bilingual contexts have certain diversity and patterns in their structural knowledge. Second, students’ structural knowledge could be influenced by a number of aspects such as topic mastery and the flow of thought. Furthermore, students’ structural knowledge can be accommodated in an adequate evaluation model that measures structural knowledge and critical thinking skills. Further research in the area of content and language assessment will complete the study of the significance of structural knowledge in a bilingual context.
South Kalimantan Local Wisdom-Based Biology Learning Model
Authors: Ramdiah Siti , Abidinsyah A. , Royani Muhammad , Husamah H. , Fauzi Ahmad
Published: March 2020

The objectives of this study were to analyze the validity, practicality, and effectiveness of South Kalimantan local wisdom-based biology learning and its effect on student learning outcomes. The research method used is research and development. This research was in a Develop stage of Thiagarajan’s Model. This development has produced learning models (lesson plans, student’s worksheet, learning achievement test questions, teacher activity sheets, student activity sheets, and student response sheets). The local wisdom-based learning model were designed with seven stages using Banjar language (regional language of South Kalimantan). Model that have been developed were tested for the level of validity, practicality, effectiveness, and its effect in learning. The level of validity is determined based on the assessment and review of the four validators. To find out the effectiveness and the effect of the learning model, quasi-experimental design was applied by involving two classes at SMAN 7 Banjarmasin-Indonesia. Data were collected using a variety of instruments, namely the validity assessment sheet, the student’s worksheet and lesson plan sheets, student achievement test questions, and student response sheets. Data analysis was implemented to measure the effectiveness and the effect of learning by calculating n-Gain and ANCOVA, respectively. The results, the learning tools met the "valid" criteria so that it can be implemented. Learning also concluded having good practicality criteria. Moreover, it can be seen that the application of local wisdom-based learning model and tools was quite effective in improving student learning outcomes, in contrast to learning in the control class. Furthermore, ANCOVA test concluded that there were significant differences in learning outcomes between students in the experimental and the control class.
Readiness and Competence of New Teachers for Career as Professional Teachers in Primary Schools
Authors: Julia J. , Subarjah Herman , Maulana M. , Sujana Atep , Isrokatun I. , Nugraha Dadan , Rachmatin Dewi
Published: March 2020

This study aims at exploring the problem of the readiness and competence of new teachers to teach in primary schools. This study specifically focuses on identifying the readiness of new teachers to conduct teaching professionally, and analyzing their competence in conducting teaching. This study employs a mixed-method research design with data collected from two different approaches: a qualitative approach by conducting interviews and observation, and a quantitative approach by conducting a survey. The data were collected from lecturers, graduate teachers working as teachers, graduate teachers working not as teachers, and users of graduate teachers. The results of data collection and analysis were made into several themes. The results showed that the majority of graduates were ready to join the workforce as professional teachers with the risk that they had to accept the lack of welfare and legitimacy as unprofessional teachers because they had to attend further professional education programs. The education provided by the lecturers during their study in their institution in the aspects of knowledge and skills in the field of study and pedagogy became the foundation for new teachers in starting their careers as professional teachers in schools. A good educational process had produced teachers who have competencies with good categories in various aspects.
Creating ESP-Based Language Learning Environment to Foster Critical Thinking Capabilities in Students’ Papers
Authors: Karapetian Alina O.
Published: March 2020

The purpose of this research is to experimentally evaluate how the “flipped classroom” model used to deliver Business English, which is commonly an integral part to the ESP course at tertiary schools of Economics in Ukraine, to the students majoring in Economics fosters students’ critical thinking skills and improved their academic performances and what students’ perceptions of this model are. The learning environment used a multimedia-based textbook entitled “Business skills through English”. This was experimental research which used a mixed-methods approach. Students’ critical thinking skills and academic performance (learning outcomes) were the variables for this study. Placement tests, needs analysis questionnaires, Course Satisfaction Questionnaire, a test to assess the students’ critical thinking skills were used to collect the statistical data. Cronbach Alpha coefficient was applied to interpret the test on critical thinking data and SPSS AMOS statistical package programme was used to analyse the consolidated data. The study found that the “flipped classroom” model used to deliver ESP and Business English to the students majoring in Economics has the potential to provide a better learning experience for the students and teaching experience for the teachers. This model fosters students’ critical thinking skills by involving them in problem-solving-based learning and improves their academic performances by increasing their responsibility for learning results and stimulating them to use different learning styles. Overall, the above model substitutes a teacher-centered with a student-centered approach that engages learners in the true-to-life business world and language environment. In this way, learning Business English and ESP at higher educational institutions in Ukraine is a move from just training memory (memorizing professionalism-related English vocabulary and doing grammar drills) to applying language as a learning medium in the specifically designed vocational contexts.
Extendable, large-field multi-modal optical imaging system for measuring tissue hemodynamics
Authors: Wang Chen , Chen Xiao , Hong Jiachi , Meng Liangwei , Cheng Weimin , Zhu Xuan , Lu Jinling , Li Pengcheng
Published: March 2020

Simultaneous imaging of multiple hemodynamic parameters helps to evaluate the physiological and pathological status of biological tissue. To achieve multimodal hemodynamics imaging with a large field of view, an infinite conjugate relay lens system compatible with the standard C-Mount camera lens is designed to adapt one camera lens with multiple CCD/CMOS cameras for simultaneously multi-wavelength imaging. Using this relay lens system, dual wavelength reflectance imaging and laser speckle contrast imaging were combined to simultaneously detect the changes in blood flow, oxygenation, and hemoglobin concentrations. To improve the accuracy of hemoglobin concentration measurement with an LED illumination source, an integral algorithm is proposed that accounts for the dependence of differential pathlength factors (DPF) on hemoglobin concentrations and the integral effect of both the emission spectrum of the light source and the spectrum response of the detector. The imaging system is validated by both phantom and in vivo experiments, including the arterial occlusion, and the detection of blood volume pulse (BVP) and blood flow pulse (BFP) signal in human subjects. The system helps in the exploration of macroscopic tissue hemodynamics.
Rapid analysis of a doxycycline hydrochloride solution by metallic mesh device-based reflection terahertz spectroscopy
Authors: Wang Chen , Huang Yuxin , Zhou Ruiyun , Xie Lijuan , Ying Yibin
Published: March 2020

Terahertz (THz) spectroscopy has the advantages of non-ionization and spectroscopic fingerprint, which can be used for biological and chemical compound analysis. However, because of the strong absorption of water in the THz region, it is still a challenge for THz waves to realize aqueous solution detection. In this study, taking a doxycycline hydrochloride (DCH) aqueous solution as the target, we proposed a THz metallic mesh device (MMD) based reflection platform for the first time for sensing. The angle characteristics of the THz MMD was investigated through numerical simulations and experimental measurements to get an optimized configuration for the platform. When the projection of THz electric field polarization onto the MMD plane gets parallel to latitudinal direction of the MMD apertures, a strong resonant surface mode can be achieved, and our proposed platform can be successfully used to detect the DCH solution with a concentration as low as 1 mg L−1. The sensing mechanism of our platform was also explored by analyzing the influences of the immersion depth into the MMD holes and the extinction coefficient of droplets on the reflection spectra. Our work presents a rapid, low-cost, and practical platform for antibiotic solution sensing using THz radiation, which opens new avenues for the microanalysis of chemicals or biomolecules in strongly absorptive solutions in the THz region.
Femtosecond time-resolved pump-probe measurements on percolating gold in the ablation regime
Authors: de Haan G. , Hernandez-Rueda J. , Planken P. C. M.
Published: March 2020

We report on femtosecond laser ablation experiments on percolating gold layers deposited on a glass substrate. In our experiments, we measure changes in optical transmission and reflection induced by single, high-intensity infrared laser pulses as a function of the time delay between the pump and the probe. For the highest pump intensities we find that on a time scale of about 150 ps after excitation, the transmission and reflection approach values close to the substrate values. We attribute this rapid ablation to vaporization of the entire layer when the injected energy exceeds the cohesive energy of the material. This vaporization results in the rapid transformation of the gold layer into a sufficiently dilute mist of atoms and nano-particles which renders the material almost optically transparent to the probe pulse. SEM images of the surfaces show how the morphology of the films changes at relatively low excitation intensities and show the complete removal of the gold at high intensities. We find that the ablation threshold for percolating Au on glass is 2.3 × 1011 W/cm2, which is two orders of magnitude lower than the damage threshold for continuous gold layers as reported in the literature.
Reference-frame-independent, measurement-device-independent quantum key distribution using fewer quantum states
Authors: Lee Donghwa , Hong Seongjin , Cho Young-Wook , Lim Hyang-Tag , Han Sang-Wook , Jung Hojoong , Moon Sung , Lee Kwang Jo , Kim Yong-Su
Published: March 2020

Reference-frame-independent quantum key distribution (RFI-QKD) provides a practical way to generate secret keys between two remote parties without sharing common reference frames. On the other hand, measurement-device-independent QKD (MDI-QKD) offers a high level of security, as it is immune to all quantum hacking attempts to measurement devices. The combination of these two QKD protocols, i.e., RFI-MDI-QKD, is one of the most fascinating QKD protocols, since it holds advantages of both practicality and security. For further practicality of RFI-MDI-QKD, it is beneficial to reduce the implementation complexity. Here, we show that RFI-MDI-QKD can be implemented using fewer quantum states than those of its original proposal. We find that, in principle, the number of quantum states for one of the parties can be reduced from six to three without compromising security. Compared to conventional RFI-MDI-QKD where both parties transmit six quantum states, it significantly simplifies the implementation of the QKD protocol. We also verify the feasibility of the scheme with a proof-of-principle experiment.
Er:GGAG crystal temperature influence on spectroscopic and laser properties
Authors: Němec Michal , Boháček Pavel , Švejkar Richard , Šulc Jan , Jelínková Helena , Trunda Bohumil , Havlák Lubomír , Nikl Martin , Jurek Karel
Published: March 2020

Spectroscopic and laser parameters of Er-doped Gd3Ga3Al2O12 crystal (Er:GGAG) are presented in the temperature range 80 - 340 K. The significant influence of crystal temperature on resonantly diode pumped Er:GGAG laser, emitting at 1650.6 nm, was observed. The maximal reached output peak power was 2.8 W with corresponding slope efficiency up to 54 % at 80 K.
The Photonics Online Meetup
Authors: Moser Molly
Published: March 2020

The organizers and attendees of an all-virtual, free-of-charge
scientific conference consider the future of the format.
Indicaciones de la rehabilitación vestibular
Authors: Alonso-Mesonero Marta , Sánchez-Martínez Ana
Published: March 2020

Introducción y objetivo: Desde la aplicación de la rehabilitación vestibular como tratamiento del paciente con mareo, las indicaciones han ido ampliándose en función del avance de los procedimientos aplicados, pasando de una terapia puramente física a otra en la que además, se usan instrumentos que aporta el avance tecnológico. En este capítulo, vamos a presentar las distintas indicaciones que hoy en día se han demostrado eficaces y aquellas que aún no han sido validadas a pesar de que muchos autores las defienden. Método: revisión narrativa. Resultados: Además de la utilidad de la rehabilitación vestibular en el déficit vestibular agudo, también lo es en diferentes patologías crónicas, aunque siguen quedando pendientes algunas cuestiones como conocer el momento idóneo de su aplicación. Discusión y conclusiones: la rehabilitación vestibular es fundamental en el tratamiento de muchos tipos de patología vestibular. Es importante tener en cuenta todas las indicaciones posibles para poder ofrecer al paciente un tratamiento adecuado que conlleve un mejor resultado terapéutico.
Past, Present and Future of Partial Extraction Therapies
Authors: Gluckman Howard
Published: March 2020

Tooth loss has always been a challenge in dentistry due to the physiological alterations that occurs to the bone structure following extraction. The available treatment options are not able to prevent alveolar ridge collapse nor recreate the volume of bone lost. The concept of partial extraction therapies (PET) uses the tooth structures to maintain the bundle bone and the alveolar bone, thereby revolutionizing implant dentistry, particularly in cosmetically challenging areas. The overall objective of the studies included in this thesis was to provide proof of concept for PETs in terms of clinical application and long-term results, including implant survival, reproducibility, efficacy and safety of this approach. Immediate implant placement combined with the socket shield seems to provide similar survival rates as conventional immediate implants, with better results for bone levels and pink aesthetic scores. Root submergence and pontic shield techniques have the potential to preserve alveolar bone in pontic areas and under removable prosthesis and dentures, however, more studies are necessary to further validate these techniques. The use of PET holds promise in terms of maintenance of three dimensional ridge volume, aesthetics, safety and reliability. Additional prospective studies, particularly controlled clinical trials with larger samples and long follow-up are required to further explore this treatment strategy.
Arrhythmia analysis in Langendorff perfused hearts
Authors: Takács Hedvig
Published: March 2020

In this work, we used the isolated, Langendorff perfused heart model for arrhythmia investigations, and the data of the arrhythmia analysis served for clarifying and characterising the physiology of the model and also, to validate arrhythmia definitions. In our first investigation we examined the relationship between ventricular rhythm and coronary flow autoregulation in Langendorff perfused guinea pig hearts. It is a well-known fact, that heart rate affects coronary flow, but the mechanism is complex, especially in experimental settings. We examined whether ventricular irregularity influences coronary flow independently of heart rate. According to our results, during regular rhythm, left ventricular pressure exceeded perfusion pressure and prevented coronary perfusion at peak systole. However, ventricular irregularity significantly increased the number of beats in which left ventricular pressure remained below perfusion pressure, facilitating coronary perfusion. We found that in isolated hearts, cycle length irregularity increases the slope of the positive linear correlation between mean ventricular rate and coronary flow via producing beats in which left ventricular pressure remains below perfusion pressure. This means that changes in rhythm have the capacity to influence coronary flow independently of heart rate in isolated hearts perfused at constant pressure. In our second investigation we examined whether the arrhythmia definitions of Lambeth Conventions I (LC I) and Lambeth Conventions II (LC II) yield the same qualitative results and whether LC II improves inter-observer agreement. Data obtained with arrhythmia definitions of LC I and LC II were compared within and between two independent observers. Applying ventricular fibrillation (VF) definition of LC II significantly increased VF incidence and reduced VF onset time irrespective of treatment by detecting ‘de novo’ VF episodes. Using LC II reduced the number of ventricular tachycardia (VT) episodes and simultaneously increased the number of VF episodes, and thus, LC II masked the significant antifibrillatory effects of flecainide and the high K+ concentration. When VF incidence was tested, a very strong interobserver agreement was found according to LC I, whereas using VF definition of LC II reduced inter-observer agreement. It is concluded that LC II shifts some tachyarrhythmias from VT to VF class. VF definition of LC II may change the conclusion of pharmacological, physiological and pathophysiological arrhythmia investigations and may reduce inter-observer agreement.
Study of Hypercoagulability in Patients with Acute Leukaemia in the Hematology Department of Teaching Hospital of Yopougon (Abidjan)
Authors: Sangaré-Bamba Mahawa , Sangaré-Bamba Mahawa , Tchako Valère , Kassi-Kablan Hermance , Kassi-Kablan Hermance , N’Guessan-Blao Rebecca , Meité N’Dogomo , Yayo-Ayé Mireille , Yayo-Ayé Mireille , Sawadogo Duni , Sawadogo Duni
Published: March 2020

Introduction
Acute leukaemia are the clonal and malignant proliferation of immature hematopoietic cells (blast), blocked in their differentiation process. There is an interaction between cancer cells and the clotting process. This could be the expression of Tissue Factor (TF) on the surface of tumor cells; or a lesion of the vascular endothelium and platelet activation. The result is an activation of clotting that can lead to disseminated Intravascular Coagulation (DIC). The objective of this study was to assess the risk of DIC occurring in patients with acute leukaemia.

Methods
This was a cross-sectional study for analytical purposes that took place on 40 frozen samples from the biobank of the haematology laboratory of Teaching Hospital Yopougon for which the diagnosis of acute leukaemia had been taken from myelogram. The myelogram results were accompanied by hemogram data. PTTa, QT, fibrinogen and D-Dimers were performed on these samples. The risk assessment of DIC occurred was determined on the recommendations of the International Society of Thrombosis and Hemostasis (ISTH).

Results
We noted a female predominance with a Sex Ratio (M / F) of 0.90. The average age of the patients was 38 years (± 23 years) with extremes ranging from 2 to 84 years. ALL represented 20 % of cases against 80 % for AMLs. Hemogram parameters were characterized by severe anaemia (Tx Hb < 6 g / dL) in 52.5 % of cases; hyperleukocytosis > 100.103 / mm3 in 35 % of cases; thrombocytopenia < 25.103 / mm3 in 40 % of case; and significant blood and spinal cord blastosis (> 80 %). The lengthening of the PTTa was observed in 50 % of cases, compared to 40% for the QT. Similarly, hyperfibrinemia was present in 65% of cases. D-Dimers were high in almost all subject (95 % of cases). According to the ISTH criteria, 17.5 % of subjects were at risk of developing a DIC.

Conclusion
The risk of occurrence of DIC is indeed present during acute leukaemia. The parameters of haemostasis are thus found to be crucial data in the follow-up assessment during the diagnosis of acute leukaemia.
Pharmacodynamic Modeling of Sunscreens: Efficacy Evaluation, Melanoma Incidences and Very Low to Very High Sun Protection Factor
Authors: Chiou Win L.
Published: March 2020

Pharmacodynamic modeling of sunscreens was performed using a new concept of Skin UV Index (SUI) on the exposed skin as a parameter to evaluate the potential effectiveness of sunscreens against sun damage. The SUI predicts the UV heat intensity on the skin surface in terms of the solar UV Index at the time of the study and is calculated by solar UV Index/sunscreen’s SPF. SUI numbers for sunscreen with SPF ranging from 2 to 100 under a solar UV Index of 10 was used for illustration. Based on guidelines from WHO, Australia and New Zealand, sunscreens yielding SUI < 3 are assumed to be effective against sun damage such as sunburn and melanoma. Based on the above assumption, sunscreens with SPF > 4 were found to be effective when sunscreens were evenly applied at 2 mg/cm2. Review of numerous studies suggests that missing applications may represent a major, seemingly unavoidable, SPF-independent factor causing unintended sunburns for sunbathers in the US and other countrieswith a temperate climate. This might in turn become a major factor for causing exponential increase in melanoma incidence rates observed in the last few decades. For example, in an SPF 30 sunscreen study all 25 participants suffered unintendedsunburns after one week of sunbathing. Also, a mean missing application of 20% of the total exposed area and a mean missing of about 50% of the time were reported in two separate studies. Simulations were also performed with under-applications of 50% and 75%. The present simulations may provide a rationale of why routine use of a low SPF 8 sunscreen was reported to be effective against melanoma in a 2018 Australian study. Based on model simulations it is proposed that in the US, SPF 8 sunscreen and SPF 2 to 6 sunscreen may be adequate for routine, unintentional use for sun-sensitive populations and non-sun-sensitive populations, respectively.
O O FEDERALISMO SANITÁRIO BRASILEIRO E A REGIONALIZAÇÃO DA SAÚDE NO ESTADO DE PERNAMBUCO
Authors: Soares José Roberto Henrique Souza , Bezerra Anselmo César Vasconcelos , Sá Alcindo José de
Published: March 2020

A Constituição Federal de 1988 inaugurou uma estratégia política inédita no país, ao conceber os municípios como entes federados com o mesmo nível de articulação que os Estados e a União garantiu assim a descentralização das ações e serviços públicos. Na Saúde essa tendência foi reafirmada constituindo o que Dourado e Elias (2011) enunciam como federalismo sanitário brasileiro. Assim, busca-se por meio deste levantamento bibliográfico e documental, compreender como a instituição do federalismo sanitário brasileiro auxiliou na constituição das Regiões de Saúde e como ao longo das décadas recentes essa estratégia política foi sendo adotada no estado de Pernambuco. O processo de constituição das regiões na saúde busca garantir o acesso universal e igualitário da população de maneira descentralizada e eficiente. Nesse sentido, ao longo dos anos foram estabelecidas diretrizes que constituíram a regionalização da saúde no Brasil por meio da descentralização. No entanto, essas regiões ainda apresentam inúmeros entraves que dificultam o sucesso da política de regionalização em saúde no Brasil.
ABORDAGEM MULTIDISCIPLINAR PARA INDICAR AS PROVÁVEIS AMEAÇAS À SAÚDE E À QUALIDADE DE VIDA DA COMUNIDADE CAIÇARA ILHA DIANA
Authors: Werkhauser Demarco Larissa Felicidade , Silveira Takase Leonardo , Jorgino Blanco Marcos , de Araújo João Sobrinho Luiza
Published: March 2020

Este artigo apresenta parte do desenvolvimento e resultados do projeto social fomentado pela Fundação de Apoio ao Instituto de Pesquisas Tecnológicas. O projeto teve duração de um ano e foi desenvolvido em conjunto com duas empresas juniores, IO Jr (Instituto Oceanográfico - Universidade de São Paulo) e IMar Jr (Instituto do Mar - Universidade Federal de São Paulo), ambas parceiras do referido projeto. O bairro de Ilha Diana, área em que o estudo foi realizado, está localizado em uma porção do Sistema Estuarino de Santos, onde opera o maior porto da América Latina, o Porto de Santos. Com objetivo de realizar uma análise inovadora para identificar as ameaças à saúde e à qualidade de vida a qual a população da comunidade está exposta, a metodologia desenvolvida contou com uma abordagem multidisciplinar, a partir da avaliação de parâmetros ambientais em amostras do solo da comunidade, de organismos, de sedimento de fundo e de água do Rio Diana e de parâmetros sociais como Saúde, Educação, Infraestrutura, Econômico-Financeiro, Saneamento, Sensação de Pertencimento, Transporte e Comunicação. A integração dos dados foi realizada por meio da lógica Fuzzy. Os resultados das análises ambientais indicaram a necessidade constante de acompanhamento destas e dos riscos agregados, sendo necessária a manutenção de estudos ambientais sistemáticos e duradouros, bem como a promoção da educação ambiental para os moradores da comunidade, a fim de se obter uma série histórica que poderá apresentar a diminuição de tais índices, fruto das ações sociais implementadas. A partir dos parâmetros sociais avaliados foi possível perceber que a principal ameaça à qualidade de vida da população com relação à saúde é a falta de saneamento básico.
CONHECIMENTOS, ATITUDES E PRÁTICAS SOBRE CAPIVARAS EM ÁREAS ANTROPIZADAS INDENES PARA FEBRE MACULOSA: PERCEPÇÃO DA SOCIEDADE
Authors: Pajuaba Neto Adalberto de Albuquerque , Limongi Jean Ezequiel , Silva Vivianne Peixoto da Silva , Szabó Matias Pablo Juan
Published: March 2020

Objetivo: o presente estudo avaliou a percepção da sociedade sobre as capivaras e problemas associados a elas em área indene para febre maculosa brasileira. Método: Como instrumentos metodológicos para a coleta de dados foram utilizados o grupo focal e a entrevista individual semiestruturada. Resultados: Em um extremo estão aqueles mais desinteressados pela experiência reduzida e do outro lado aqueles com envolvimento maior dado pelo contato e experiências vividas. Notou-se que apesar de variações entre indivíduos e grupos, as percepções expostas neste trabalho são a resultante da mescla de informações provenientes da televisão, de terceiros e de outros meios de comunicação. As informações, ainda que mais precisas e técnicas no caso do poder público e grupos de técnicos em desenvolvimento na universidade, foram preponderantemente vagas e/ou fragmentadas, em alguns casos conflitantes. Conclusão: Os problemas com capivaras são multifacetados, fundamentalmente ecológicos, complexos e não admitem soluções rápidas. Amenizar essa realidade é subtrair da sociedade elementos para tomada de decisões racionais efetivas assim como a noção dos ônus e bônus que acompanham cada escolha. A ausência dessa percepção mais real nos munícipes certamente suscita descontentamento e desobediência civil independentemente de decisões tomadas.
INFLUÊNCIA DE VARIÁVEIS CLIMÁTICAS E AMBIENTAIS NA DISTRIBUIÇÃO POTENCIAL DO LUTZOMYIA LONGIPALPIS (PSYCHODIDAE: PHLEBOTOMINAE) NO ESTADO DE SÃO PAULO, BRASIL
Authors: Fonseca Elivelton da Silva , De Santana Martins Rodgers Moara , Casagrande Baltazar , Barnabé Rodrigues Nilton , Borges Guimarães Raul
Published: March 2020

Leishmaniose Visceral é uma doença transmitida pelo flebótomo, numa complexa interação com a entidade nosogeográfica. Este trabalho pretende desenvolver uma abordagem geográfica sobre a Leishmaniose Visceral no estado de São Paulo, com o apoio da Modelagem do Nicho Ecológico. O objetivo é correlacionar a distribuição espacial do vetor Lutzomyia longipalpis com variáveis climáticas e ambientais e comparar a distribuição dos casos humanos com o mapa no modelo final da Máxima Entropia (MaxEnt). Foram levantados dados de ocorrência do Lu. longipalpis de 1997 a 2016, por municípios paulistas. Também foram levantados dados ambientais bioclimáticos (BIOCLIM), com resolução espacial de 1km. O vetor Lu. longipalpis foi relatado em 166 municípios desde 1997, sendo a maioria no oeste do estado. No estado, algumas variáveis foram correlacionadas com a distribuição do vetor: Temperatura de Superfície, Distribuição da população, oscilações de temperatura dia-noite (4%), temperatura máxima no mês mais quente (16,1%), além de precipitação no mês mais seco (22,7%), sazonalidade da precipitação (16.7%), Precipitação no trimestre mais úmido (21.8%), precipitação no trimestre mais seco (10.3%) e precipitação no trimestre mais frio (8,3%). Os dados indicam claramente uma probabilidade de expansão do centro do estado em direção a Campinas e Piracicaba. Com relação ao primeiro eixo de expansão no estado, do centro para o oeste, sugere-se trabalho com os assentamentos, que podem ser uma fonte de um caso específico de expansão da LV, o "novo rural", fechando a hipótese rural-urbano-novo rural.

tese rural-urbano-novo rural.
DISTRIBUIÇÃO ESPACIAL DA TUBERCULOSE E A RELAÇÃO COM AS CONDIÇÕES SOCIOECONÔMICAS NO MUNICÍPIO DE FEIRA DE SANTANA – 2005 A 2016
Authors: Rodrigues Roquenei , Lobão Jocimara Souza Britto
Published: March 2020

Objetivou-se com esta pesquisa, realizar a distribuição espacial da incidência média dos casos novos tuberculose, em Feira de Santana – Bahia e relacionar sua ocorrência com as condições socioeconômicas. Para tanto, foram incluídos no estudo, os casos novos de tuberculose notificados no município de Feira de Santana – Bahia no período de 2005 -2016. Inicialmente foi calculada a incidência média dos casos e para correlacionar esta morbidade e as variáveis socioeconômicas dos bairros e distritos rurais, usou-se o modelo de regressão de Poisson. Tais variáveis foram obtidas a partir do Censo demográfico do IBGE, 2010.  Os resultados apontaram que se teve uma maior concentração da incidência média nos bairros centrais. Com relação à associação da incidência média da tuberculose com as variáveis socioeconômicas, verificou- se associações diretas entre incidência da doença e a proporção de domicílios com 11 ou mais pessoas, proporção de domicílios com lixo coletado por serviço de limpeza, com rede geral de abastecimento e sem banheiro ou sanitário. Concluiu-se que a distribuição espacial da tuberculose ocorre de forma heterogênea e que nos bairros com baixa vulnerabilidade social, apresentam uma alta taxa de incidência média da patologia. O que se leva a necessidade de novos estudos para elucidar essa questão.
O MUNDO COMO ESPAÇO: MAPAS COMO REPRESENTAÇÕES QUE CONSTROEM E TRANSFORMAM O ENTORNO QUE PERCEBEMOS E OCUPAMOS
Authors: Quiñones Triana Yago
Published: March 2020

O artigo trata sobre o surgimento da ideia de mundo como espaço e a função dos mapas neste processo. O intento é compreender o entorno físico que ocupamos a partir do conceito de espaço (mesmo o desabitado, vazio), e não por uma ocupação humana concreta do território. O trabalho foca no projeto histórico de racionalizar e regularizar cientificamente o mundo que experimentamos. Neste contexto, o mapa apresenta um papel essencial, ao ser a representação gráfica que ratifica essa visão de mundo, ao mesmo tempo em que influencia a nossa própria compreensão dele. Deste modo, o texto propõe uma breve abordagem histórica sobre a consolidação do conceito de mundo como espaço a partir do processo de desenvolvimento dos produtos cartográficos.
MAPEAMENTO GEOMORFOLÓGICO DO SÍTIO URBANO DE JATAIZINHO, BAIXO CURSO DO RIO TIBAGI –PR
Authors: Sousa Rodrigo Vitor Barbosa , Rocha Paulo Cesar , Gouveia Isabel Cristina Moroz-Caccia , Hasegawa Julio Kiyoshi
Published: March 2020

As formas de relevo do sítio urbano de Jataizinho, baixo curso do Rio Tibagi – PR, foram mapeadas com o objetivo de auxiliar o entendimento das causas responsáveis pelas inundações nesta cidade. O mapeamento geomorfológico foi realizado por meio de estereoscopia digital, de modo que o modelo estereoscópico foi construído com base em aerofotos da década de 1970, com escala de 1:25000, as quais foram georreferenciadas através de coordenadas geodésicas obtidas por meio de técnicas GNSS. As formas de relevo mapeadas foram colina – Dc, terraço – Atf e planície fluvial – Apf. O nível de margens plenas do Rio Tibagi foi calculado em 339,346 m e a cota zero do primeiro lance de régua da estação fluviométrica de Jataizinho – 64507000 – foi calculada em 334,020 m. Através da sobreposição de imagens orbitais, verificou-se que atualmente muitas planícies fluviais – Apf –, são ocupadas pelos moradores da cidade de Jataizinho. Os resultados obtidos mostraram-se satisfatórios, de modo que o mapeamento geomorfológico poderá ser utilizado como ferramenta de apoio ao planejamento territorial e ambiental da cidade de Jataizinho.
ORGANIZAÇÃO E PRÁTICAS SOCIOESPACIAIS NA CENTRALIDADE DA ‘RUA 44’ EM GOIÂNIA-GO
Authors: Soldan Garbelim Marcello , Silva Marques Roberta , Souza Júnior Carlos Roberto Bernardes de
Published: March 2020

O arranjo socioespacial da ‘Rua 44’ em Goiânia-GO conforma uma centralidade significativa no setor de varejo e atacado de vestuário. Esse fenômeno caracteriza-se pela sobreposição de formas e práticas socioespaciais que são dinamizadas na vida cotidiana. Entre os diferentes tipos, personagens e sujeitos sociais que atuam nesse lugar, contrapõem-se constantes tensões e negociações acerca da organização espacial. Nesse sentido, objetiva-se decifrar a produção da centralidade da ‘Rua 44’ em relação a suas formas e práticas sociais por meio das ações e motivações de quem nela efetiva sua vida. Adotou-se como orientação de método, a perspectiva regressiva-progressiva pautada em Lefebvre. Essa possibilidade metodológica colaborou na identificação de dimensões verticais e horizontais da realidade social. Para a efetivação da pesquisa, foram realizadas derivas urbanas, práticas de observação participante, entrevistas semiestruturadas e mapas mentais. Considera-se que há uma perene tensão nas dimensões políticas, econômicas e sociais dessa centralidade. Essa situação cria tensões na vida cotidiana dos sujeitos de modo a provocar uma dinâmica de percepções, concepções e vivências socioespaciais conflituosa.
DISTRIBUIÇÃO ESPACIAL DAS DOENÇAS TROPICAIS NEGLIGENCIADAS NA REGIÃO OESTE DO ESTADO DE SÃO PAULO
Authors: Chigogoro Titosse Antonio , Da Silva Fonseca Elivelton , Vinicius Pimenta Rodrigues Marcus , Marques Ramos Ana Paula , Giuffrida Rogério , Arana Alba Regina Azevedo
Published: March 2020

Este artigo tem como objetivo caracterizar a incidência de doenças tropicais negligenciadas na região do oeste do estado de São Paulo entre 2007 e 2017. Trata-se de um estudo ecológico descritivo, com abordagem espaço-temporal, tendo por fonte de dados o Sistema de Agravos de Notificação (SINAN), o Instituto Brasileiro de Geografia e Estatística (IBGE). Foram elencadas 5 doenças: Dengue, Leishmaniose, Tuberculose, Hanseníase e Esquistossomose nos 45 municípios do Estado de São Paulo que compõe a Rede Regional de Assistência a Saúde (RRAS) de número 11, a RRAS11. A taxa de incidência das doenças elencadas em cada um dos 45 municípios da RRAS foi calculada através da razão entre o número de casos da doença e o número de habitantes no município em 2010.  Através das taxas de incidência foi possível observar uma distribuição heterogênea dessas doenças nos 45 municípios em estudo, com maior incidência, em toda a região, de dengue e tuberculose. A comparação das taxas de incidência entre os diferentes municípios do Oeste Paulista nos permitiu identificar as populações em risco.
IMPLEMENTASI BIMBINGAN DAN KONSELING IMPACT ISLAMI PADA SISWA SMK 1 KARANGANYAR PURBALINGGA
Authors: Najah Helmi Abu
Published: March 2020

Abstract This study aims to determine the implementation of Islamic impact guidance and counseling in guidance and counseling services. The method used uses a qualitative approach. The data processed is the result of observations and interviews with students, teachers and principals. This has implications for the importance of using a variety of creative techniques and the use of media in counseling. The guidance and counseling services provided are not boring guidance and counseling services. The provision of services and Islamic impact counseling compel counselors to be creative and increase knowledge, especially for Islamic values. The results of this study describe the implementation of Islamic impact guidance and counseling in detailed guidance and counseling services to students of Vocational High School (SMK) N 1 Karanganyar Purbalingga. Keywords: implementation, Impact Islamic guidance counseling.