bluuebunny/crossref_metadata_2025 huggingface dataset:
ШВИДКИЙ АЛГОРИТМ АДАПТАЦІЇ ПІ- РЕГУЛЯТОРА
Authors: Шумигай Д. А. , Ладанюк А. П. , Смітюх Я. В.
Published: September 2017

Quality of the automatic control is the basis of economic effect of industrial control systems. The appropriate regulator settings should be found to improve the quality of automated control systems, but improved accuracy results in the reduction of stability margin, that’s why operators try to reduce setttings in complex systems (ie, set the "weak setting"),so the system could worke in all modes. Controller’s "low (all-mode) tuning" is the main disadvantage of existing control systems, which reduces profits. Frequent changes of plant parameters are the prime cause of low quality tuning and reduced efficiency of control systems. These changes are caused by changeable mode of plants, loop interdependence in multidimensional systems. In terms of operating the only one way is to ease settings, achieving reduction of loop interdependence, ensuring adequate stability margin in all possible modes of operation. The quality of work with such tuning is obviously worse and the profit is less. The article presents possible approaches that can increase the efficiency of automatic control systems and describes the adaptation algorithm for PI controller based on an analysis of statistical data.
MODEL-ORIENTED METHOD OF DESIGN IMPLEMENTATION WHEN CREATING DIGITAL FILTERS
Authors: Levinskyi V. , Levinskyi M.
Published: September 2017

This article discusses the example of model-oriented method of design and development of digital low-pass filters (LPF) for automatic control systems (ACS). Typically, high frequency noise and disturbance attenuation is carried out by analogue LPF. However, technical implementation of analogue filters higher than the second order arouse certain difficulties related with the need of precise passive components ratings selection (resistors, capacitors). If the noise and disturbances spectral composition is known, it is possible to build digital LPF with the Nyquist frequency greater than the maximum frequency in the noise spectrum. Such possibility has appeared because of cheap, energy-efficient, high-speed 32-bit microcontrollers market entry. They have analogue signals sampling rate of 30 kHz and above. The traditional approach using the “manual” method of filter parameters calculation, obtaining their recurrence expressions and further program implementation requires high qualification and a lot of time consumption from the developer. An alternative to this approach is the model-oriented method of design (MOMD) in MatLab environment when in the one environment the design of digital LPF, verificaton of its performance as a part of the ACS, generation and compilation of program codes for selected microcontroller family take place. MOMD can also be used in the designs of bandpass and bandstop filters for adaptive control systems or systems of technical diagnostics. If during the commissioning or the operation of ACS there is a need in digital LPF parameters change then this operation can be performed within half an hour. MOMD technology allows to significantly reduce the time for developing a specific product without loss of quality in its design ‘cause of extensive possibilities of MatLab development environment.
A WORD IN DEFENSE OF THE DISCRETE CONTROL SIGNAL
Authors: Pavlov A.
Published: September 2017

In the structure of automatic regulators are still widely used astatic electrical constant speed actuators. An alternative solution is the use of electrical constant speed actuators, but the proportional action. The comparative evaluation of the both version of the actuators. Attention is drawn to the importance of determine the amount of time the full move electrical actuators. It is argued that the most accurate way to determine this is to use simulation modeling. The advantages obtained in case to ensure proportionality of the action of traditional electric constant speed actuator.
ФОРМАЛЬНІ МЕТОДИ ПОБУДОВИ ДІАГРАМ ЛОГІСТИЧНИХ БІЗНЕС-ПРОЦЕСІВ
Authors: Мелентьєва О. В.
Published: September 2017

This article considers the main methods of the description and creation of charts of business processes. The main methods are the notation of BPMN, languages of the description of BPEL and UML, methodologies of IDEF and ARIS. In article the main characteristic features inherent of methodologies of IDEF0 and IDEF3, the UML language have been in detail considered and analysed. The UML language is considered rather young therefore it is used more often. It is most often applied to modeling of object-oriented systems. On the example of application of creation of the chart of activities (actions) the UML language represents a wide choice of elements of the embodiment of idea. As the same process can be provided in various forms. IDEF respectively more mature methodology. IDEF methodology, unlike the UML language, is limited to such choice, it has accurately certain rules of representation of process. With the IDEF technology carry IDEF0 and IDEF3 and it methods are most applied. In this article are provided examples of application of the UML language and methodology of IDEF0. As an example has been provided a logistic supply chain of goods to the customer who has been ordered by means of online store. Thanks to graphical representation it is possible to draw a conclusion that it is more convenient to describe and create charts of processes on UML. Unlike IDEF0 the UML language possesses a big tool kit therefore also the chart looks more realistic.
IMPROVEMENT OF MANAGEMENT OF STEAM GENERATORS IN NUCLEAR AND THERMAL POWER PLANTS
Authors: Slobodyan I. , Lozhechny`kov V. , Stopakevy`ch A.
Published: September 2017

The paper formulated optimization problem formulation production of carbon products. The analysis of technical and economic parameters that can be used to optimize the production of carbonaceous products had been done by the author. To evaluate the efficiency of the energy-intensive production uses several technical and economic indicators. In particular, the specific cost, productivity, income and profitability of production. Based on a detailed analysis had been formulated optimality criterion that takes into account the technological components of profitability. The components in detail the criteria and the proposed method of calculating non-trivial, one of them - the production cost of each product. When solving the optimization problem of technological modes of production into account constraints on the variables are optimized. Thus, restrictions may be expressed on the number of each product produced. Have been formulated the method of calculating the cost per unit of product. Attention is paid to the quality indices of finished products as an additional constraint in the optimization problem. As a result have been formulated the general problem of optimizing the production of carbon products, which includes the optimality criterion and restrictions.
THE AUTOMATION SYSTEM OF ACCOUNTING SPORTING ACTIVITIES
Authors: Shpinkovski A. A. , Shpinkovska M. I. , Korobova D. I.
Published: September 2017

In recent years become a popular healthy lifestyle. Sport is an activity that serves the public interest by implementing educational, preparatory and communicative function, but not a constant specialty (profession) person. The development of current sports, requires resources that will not only automate the work of the organizers of the competition with the information, but also improve its effectiveness. One of the progressive sports at the moment is powerlifting (power triathlon). The proposed information system is an automated workplace of the organizer. During the implementation of the information system support sports competitions were performed system design using UML diagrams. It is possible to understand the tasks that must be done in the implementation of the program. The program is organized so that you can quickly and simply add all data about upcoming competitions: the name, location, date, the composition of the referee. After receiving information about the athletes, coaches, sports clubs, to make an application for participation in the competition. Also, the organizer has the ability to view statistics about the coaches, referees, participants, based on the information entered into the database earlier. A detailed user guide program. A functional testing and usability. Recommendations for further development of the software product.
INVESTIGATION AND ANALYSIS OF AUTOMATIC TESTING SYSTEMS OF APPLICATIONS
Authors: Antonova A. , Proydenko A. , Bodnia A.
Published: September 2017

The focus of this article has been about automated testing in practice. Using testing tools is quite common phenomenon in software companies. The article studied the use of software testing tools. Testing software is enough ordinary things in the IT software development company. But the using automated testing tools only develop in the educational training of IT professionals. Information study of the use of testing tools for the control of software quality IT professionals and IT students was held. Statistical analysis of the data shows the percentage of how many people use the testing tools, but most still depends on manual testing. The main purpose of the article is to find out the facts related to the research questions of creation of new testing tools for educational purposes of highly qualified IT professionals.
Conjugated Addition of Amines to Electron Deficient Alkenes: A Green Approach
Authors: Mukherjee Anindita , Chatterjee Rana , De Aramita , Samanta Satyajit , Mahato Sachinta , Ghosal Nirnita Chakraborty , Zyryanov G. V. , Majee Adinath
Published: September 2017

A very simple approach has been developed for conjugate addition of a variety of aliphatic and aromatic amines to electron deficient alkenes in presence tea extract at room temperature. General applicability, operational simplicity, aqueous media, mild reaction conditions, environment friendly, high yields and applications of inexpensive and easily available catalyst are the advantages of the present procedure.
Prevention of chronic complications of diabetes mellitus according to complexity
Authors: Salci Maria Aparecida , Meirelles Betina Hörner Schlindwein , Silva Denise Maria Vieira Guerreiro da
Published: September 2017

ABSTRACT Objective: To assess the prevention by primary health care providers of chronic complications of diabetes mellitus according to the complex thinking theoretical approach. Method: Evaluative research based on the complex thinking theoretical approach. The following techniques for data collection were used: interviews with 38 participants; observation in collective and individual appointments; and analysis of medical records of people with diabetes. The triangulation applied for data analysis was the ATLAS.ti software. Results: The prevention and management of chronic complications of diabetes did not meet the requirements set forth by ministerial public policies aimed at this population. Systematic monitoring to prevention of chronic complications showed significant gaps. Final considerations: Primary health care did not consider preventive actions for diabetes mellitus complications. This context was marked by disjunctive, fragmented, and dissociated practices types of care targeted to the totality of the assisted people.
Neoliberalist influences on nursing hospital work process and organization
Authors: Souza Norma Valéria Dantas de Oliveira , Gonçalves Francisco Gleidson de Azevedo , Pires Ariane da Silva , David Helena Maria Scherlowski Leal
Published: September 2017

ABSTRACT Objectives: To describe and analyze the influence of the neoliberal economic and political model on the nursing hospital work process and organization. Method: Qualitative descriptive research, having as its scenery a university hospital. The subjects were 34 nursing workers. The data collection took place from March to July 2013, through semi-structured interview. The data treatment technique used was content analysis, which brought up the following category: working conditions precariousness and its consequences to the hospital work process and organization in the neoliberal context. Results: The consequences of neoliberalism on hospital work process and organization were highlighted, being observed physical structure, human resources and material inadequacies that harms the assistance quality. In addition to wage decrease that cause the need of second jobs and work overload. Final considerations: There is a significant influence of the neoliberal model on hospital work, resulting on working conditions precariousness.
Critical incidents connected to nurses’ leadership in Intensive Care Units
Authors: Lima Elaine Cantarella , Bernardes Andrea , Baldo Priscila Lapaz , Maziero Vanessa Gomes , Camelo Silvia Helena Henriques , Balsanelli Alexandre Pazetto
Published: September 2017

ABSTRACT Objective: The goal of this study is to analyze nurses’ leadership in intensive care units at hospitals in the state of São Paulo, Brazil, in the face of positive and negative critical incidents. Method: Exploratory, descriptive study, conducted with 24 nurses by using the Critical Incident Technique as a methodological benchmark. Results: Results were grouped into 61 critical incidents distributed into categories. Researchers came to the conclusion that leadership-related situations interfere with IC nurses’ behaviors. Among these situations they found: difficulty in the communication process; conflicts in the daily exercise of nurses’ activities; people management; and the setting of high quality care targets. Final considerations: Researchers identified a mixed leadership model, leading them to the conclusion that nurses’ knowledge and practice of contemporary leadership theories/styles are crucial because they facilitate the communication process, focusing on behavioral aspects and beliefs, in addition to valuing flexibility. This positively impacts the organization’s results.
Communicating bad news: an integrative review of the nursing literature
Authors: Fontes Cassiana Mendes Bertoncello , Menezes Daniele Vieira de , Borgato Maria Helena , Luiz Marcos Roberto
Published: September 2017

ABSTRACT Objectives: describe how the process of breaking bad news is established and identify how nurses approach the task of giving bad news. Method: integrative review of the literature for articles in Portuguese and English published between 1993-2014, in the databases: Bireme, PubMed, Scopus, Web of Science, CINAHL and Embase. Nine articles were included using the selection flow chart. A digital form was completed for each article according to the Consolidated Criteria for Reporting Qualitative Research checklist and the level of scientific evidence was determined. Results: Of the 99 articles in identified, nine were included after applying the selection flowchart. Discussion: breaking bad news is frequent in the area of oncology and palliative care, with a strong cultural influence on the autonomy of nurses in this process. Conclusion: the approach and skills of the nurse during this task influences the patient’s reaction to the message. The theme is scarce in the literature and merits further investigation.
Profile of Brazilian workers victims of occupational accidents with biological fluids
Authors: Miranda Fernanda Moura D’Almeida , Cruz Elaine Drehmer de Almeida , Félix Jorge Cestari Vinícius , Kalinke Luciana Puchalski , Mantovani Maria de Fátima , Sarquis Leila Maria Mansano
Published: September 2017

ABSTRACT Objective: To characterize the Brazilian workers victims of occupational accidents with biological fluids. Method: Epidemiological and descriptive research, in which 284,877 notifications of the Notifiable Diseases Information System were analyzed between 2007 and 2014. We used Stata 13 for data analysis. Results: The highest incidence density occurred in females with 0.8 cases per 1,000 workers/year (n = 222,042, 77.9%); in the age group of 20 to 24 years old, with 0.6 cases per 1,000 workers/year (n = 64,221, 23.3%); with some high school and some college, with 0.6 cases per 1,000 workers/year (n = 141,275, 49.6%). We found that these accidents occurred among 23 occupational subgroups. For the most part, the workers had an employment relationship and had issued the Occupational Accident Notification. Conclusion: It is necessary to rethink the measures of orientation to workers regarding the risks and relative prophylaxis for these accidents, with the aim of reducing them.
Nursing supervision for care comprehensiveness
Authors: Chaves Lucieli Dias Pedreschi , Mininel Vivian Aline , Silva Jaqueline Alcântara Marcelino da , Alves Larissa Roberta , Silva Maria Ferreira da , Camelo Silvia Helena Henriques
Published: September 2017

ABSTRACT Objective: To reflect on nursing supervision as a management tool for care comprehensiveness by nurses, considering its potential and limits in the current scenario. Method: A reflective study based on discourse about nursing supervision, presenting theoretical and practical concepts and approaches. Results: Limits on the exercise of supervision are related to the organization of healthcare services based on the functional and clinical model of care, in addition to possible gaps in the nurse training process and work overload. Regarding the potential, researchers emphasize that supervision is a tool for coordinating care and management actions, which may favor care comprehensiveness, and stimulate positive attitudes toward cooperation and contribution within teams, co-responsibility, and educational development at work. Final considerations: Nursing supervision may help enhance care comprehensiveness by implying continuous reflection on including the dynamics of the healthcare work process and user needs in care networks.
Mental health in the Family Health Strategy as perceived by health professionals
Authors: Souza Jacqueline de , Almeida Letícia Yamawaka de , Luis Margarita Antonia Villar , Nievas Andreia Fernanda , Veloso Tatiana Maria Coelho , Barbosa Sara Pinto , Giacon Bianca Cristina Ciccone , Assad Francine Baltazar
Published: September 2017

ABSTRACT Objective: to analyze the management of mental health needs in primary care as perceived by Family Health Strategy professionals. Method: this was a qualitative descriptive exploratory study developed within the coverage area of five family health teams. The data were collected using observation, group interviews, individual semi-structured interviews, and focus groups. Content analysis was conducted using text analysis software and interpretation was based on the corresponding analytical structures. Results: numerous and challenging mental health demands occur in this setting, for which the teams identified care resources; however, they also indicated difficulties, especially related to the operationalization and integration of such resources. Conclusion: there is a need for a care network sensitive to mental health demands that are better coordinated and more effectively managed.
Difficulties in nutritional counseling and child growth follow-up: from a professional perspective
Authors: Palombo Claudia Nery Teixeira , Fujimori Elizabeth , Toriyama Áurea Tamami Minagawa , Duarte Luciane Simões , Borges Ana Luiza Vilela
Published: September 2017

ABSTRACT Introduction: Nutritional counseling and growth follow-up are priorities when providing care to children; however, these have not been completely incorporated into primary health care. Objective: To know the difficulties for providing nutritional counseling and child growth follow-up, from a professional healthcare perspective. Method: Qualitative study, using Donabedian as theoretical framework, developed by 53 professionals in the field of primary health care. Data was obtained from focal groups and submitted to content analysis. Results: The main difficulties for nutritional counseling were clustered in the category of ‘perceptions and beliefs related to child feeding’. The ‘problems of infrastructure and healthcare’ and ‘maintenance of the hegemonic medical model’ are the main difficulties for following-up growth. Final considerations: Besides investments in infrastructure, healthcare training is indispensable considering beliefs and professional experiences, so in fact, nutritional counseling and child growth follow-up are incorporated in primary health care.
Developing skills learning in obstetric nursing: approaches between theory and practice
Authors: Lima Maria de Fátima Gomes , Pequeno Alice Maria Correia , Rodrigues Dafne Paiva , Carneiro Cleide , Morais Ana Patrícia Pereira , Negreiros Francisca Diana da Silva
Published: September 2017

ABSTRACT Objective: To analyze the development of professional skills in an obstetric nursing graduate course. Method: Qualitative research, applying semi-structured interviews with 11 students in the obstetric nursing specialization at the State University of Ceará. Data was submitted to thematic review. Results: According to the subjects, the course offers the development of skills to strengthen and expand the range of activities in obstetric nursing. Despite relying on previous knowledge and experience acquired by the students, there is a gap between the content taught and internship practice, presented as challenges and difficulties faced by the students. The findings suggest a need for curricular revision, incorporating active teaching-learning methodologies, to overcome the disjunction between theory and practice. Final considerations: Students are part of a corpus that is potentially implicated in the construction and transformation of thoughts and values set forth by educational and health institutions, and it is necessary to make changes in political and social organizations, with a focus on providing comprehensive and egalitarian care to the population.
University management: contributions for nurses who are faculty members and managers
Authors: Cunha Kamylla Santos da , Kahl Carolina , Koerich Cintia , Santos José Luís Guedes dos , Lanzoni Gabriela Marcellino de Melo , Erdmann Alacoque Lorenzini
Published: September 2017

ABSTRACT Objective: To comprehend how university management contributes on the performance of nurses who are professors and managers in a public university. Method: Qualitative research anchored on the Grounded Theory. The setting to collect the data was a public university in south Brazil and it happened between May and September of 2016. A total of 19 nurses took part in the study, all of them also faculty members and managers that were divided in two sample groups. Results: Two subcategories were created: the comprehension that university management improves the faculty performance; obtaining a wider view of the university. Final considerations: The contributions of university management for faculty nurses who are managers are mainly on the personal and professional satisfaction through the production and dissemination of knowledge, reflecting positively on the refinement of the teaching competences to train Nurses with knowledge, technical skills and cognitive abilities to answer society’s needs.
ABUSO SEXUAL NA INFÂNCIA E SUAS REPERCUSSÕES NA VIDA ADULTA
Authors: Lira Margaret Olinda de Souza Carvalho e , Rodrigues Vanda Palmarella , Rodrigues Adriana Diniz , Couto Telmara Menezes , Gomes Nadirlene Pereira , Diniz Normélia Maria Freire
Published: September 2017

RESUMO Objetivo: compreender repercussões do abuso sexual na vida adulta de mulheres abusadas sexualmente na infância. Método: pesquisa qualitativa, desenvolvida com nove mulheres em um Centro de Referência da Mulher, na região do semiárido do Estado de Pernambuco, Brasil, através de entrevistas não estruturadas. A interpretação dos resultados foi fundamentada na abordagem da Sociologia Compreensiva e do Cotidiano, a fim de identificar a centralidade subterrânea submersa na vida cotidiana das participantes e que pudesse emergir por meio de suas reações a partir do vivido do abuso sexual. Resultados: após a interpretação, os resultados foram agrupados nas categorias: Convivência familiar após a revelação do abuso sexual; A vida cotidiana de meninas em vivência de abuso sexual; e Repercussões do abuso sexual na vida adulta de mulheres abusadas sexualmente na infância. As repercussões do abuso sexual foram descritas como dificuldades no convívio familiar, gravidez, conduta hipersexualizada, prostituição, contradição entre gênero e sexo, dificuldades para ter orgasmo, uso de drogas, baixa autoestima, depressão, comportamento autodestrutivo, ideias suicidas e homicidas. Conclusão: a exposição ao abuso sexual no contexto familiar prejudicou a saúde física e emocional de meninas e adolescentes, bem como a convivência familiar, apontando para a necessidade de adoção de sensibilidade e solidariedade no cuidado a mulheres com queixas que possam estar associadas a vivências de abuso sexual.
CONSTRUÇÃO E APLICAÇÃO DE UM TERMO DE ASSENTIMENTO: RELATO DE EXPERIÊNCIA
Authors: Miranda Juliana de Oliveira Freitas , Santos Deisy Vital dos , Camargo Climene Laura de , Nascimento Sobrinho Carlito Lopes , Rosa Darci de Oliveira Santa , Souza Gleyce Mayra do Santos
Published: September 2017

RESUMO Objetivo: relatar a construção e aplicação de um termo de assentimento em crianças hospitalizadas. Método: pesquisa qualitativa, tipo relato de experiência. A construção do termo de assentimento baseou-se nas orientações da Organização Mundial da Saúde e da Resolução 466/2012. A aplicação foi realizada com 42 crianças entre sete e dez anos, internadas em unidades clínico-cirúrgicas de um hospital pediátrico. Resultados: um termo de assentimento em formato de cartilha ilustrada foi construído para atender a regulamentação ética nacional da pesquisa com crianças. Sua aplicação revelou que o formato utilizado contribuiu para o entendimento por parte das crianças sobre os objetivos do estudo, possibilitando seu assentimento e sua colaboração na coleta de dados. Ratificou-se ainda a relevância do lúdico como estratégia de compreensão do público infantil. Conclusão: construir e aplicar o termo de assentimento no formato de cartilha ilustrada foi uma experiência exitosa para a pesquisa com as crianças, mostrando-se eficaz por esclarecer suas dúvidas face à obtenção do assentimento.
Pós-incubação de empresas de base tecnológica: um estudo de caso sobre o efeito da incubadora nos padrões de crescimento
Authors: Iacono Antonio , Nagano Marcelo Seido
Published: September 2017

Resumo: O presente estudo tem como propósito avaliar o efeito das ações e do sistema de apoio de duas incubadoras sobre o atual padrão de crescimento de empresas que passaram por processos de incubação e que se encontram graduadas há pelo menos 3 anos. Para tanto, realizou-se um estudo exploratório junto a 5 empresas de base tecnológica que pertenceram a 2 incubadoras ligadas à Universidade Estadual de Campinas. No período de pré-incubação analisaram-se características técnicas e gerenciais dos fundadores. No período de incubação buscou-se avaliar a atuação da incubadora na promoção das empresas. Por fim, no período de pós-incubação, considerou-se o desempenho, o potencial, o impacto da incubadora e as principais barreiras que podem vir a dificultar o crescimento. Os principais resultados indicam que o processo de incubação e o sistema de apoio das incubadoras exerceram baixo impacto ou efeito sobre os diferentes padrões de crescimento identificados.
Discutindo sustentabilidade no contexto de negócios e em relatórios de desempenho: análise de estudos de caso brasileiros
Authors: Morioka Sandra Naomi , Carvalho Marly Monteiro de
Published: September 2017

Resumo: As empresas têm mostrando crescente interesse na adoção de práticas relacionadas à sustentabilidade para mitigar riscos e aumentar suas chances de sobrevivência. Nesse contexto, os indicadores de desempenho alinhados ao desenvolvimento sustentável são fundamentais para apoiar decisões gerenciais e operacionais. O presente artigo teve como objetivo avaliar aspectos ligados ao desempenho da sustentabilidade corporativa aplicados no contexto brasileiro. Mais especificamente, a pesquisa buscou analisar o desdobramento de iniciativas socioambientais no negócio das empresas e a adoção de relatórios com indicadores de sustentabilidade, destacando os desafios envolvidos nessas questões A pesquisa baseou-se em estudos de casos, explorando evidências empíricas em duas empresas de grande porte situadas no Brasil. Os dados foram obtidos por meio de entrevistas semiestruturadas com os gestores responsáveis pelo departamento de sustentabilidade. Além disso, documentos internos e publicados, tais como relatórios de sustentabilidade das empresas, foram usados para gerar evidências adicionais para triangulação dos dados. A análise dos estudos de caso apontaram a dificuldade da incorporação da sustentabilidade no contexto empresarial, exigindo empenho intensivo de equipes multidisciplinares para compreensão das inter-relações e trade-offs entre os pilares da sustentabilidade. Além disso, verificou-se que o uso dos indicadores GRI (Global Reporting Initiative) podem servir como base para as discussões iniciais, mas ainda existem desafios para a implantação de sistemas de mensuração de desempenho de sustentabilidade estruturado nas empresas.
Perceptions about implementation of a Narrative Community-based Group Therapy for Afro-Colombians victims of Violence
Authors: Osorio-Cuellar Gisel Viviana , Pacichana-Quinayáz Sara Gabriela , Bonilla-Escobar Francisco Javier , Fandiño-Losada Andrés , Gutiérrez-Martinez Maria Isabel
Published: September 2017

Abstract Given the context and the number of armed conflict victims in the Colombian Pacific coast and their difficulties to access psycho-social care, Narrative Community-based Group Therapy appears as a viable mental health intervention. The objective of this study is to describe the process of implementation and results of the intervention in Afro-Colombian victims of violence, in the municipalities of Buenaventura and Quibdó. More specifically, we will be looking at the perspectives of workers and supervisors, through evaluative case studies and individual in-depth interviews. The therapy allows us to identify support and coping systems through coexistence, communication and interaction. It requires an adaptation process to the diversity of knowledge and expressions of victims of Colombian violence, greater empathy from care providers and rigor in their profiles selection, facilities ensuring security and confidentiality, and links with other educational, employment and recreational organizations. It is important to include these results while improving current and future intervention processes.
A experiência de adoecimento de mulheres com endometriose: narrativas sobre violência institucional
Authors: São Bento Paulo Alexandre de Souza , Moreira Martha Cristina Nunes
Published: September 2017

Resumo O artigo evoca a centralidade ocupada pela categoria relacional de gênero, para iluminar as narrativas de vida de mulheres com uma doença crônica – a endometriose. O objetivo é discutir o significado da experiência de adoecimento de mulheres com endometriose na interface com a violência institucional. À luz do referencial de Bertaux, no método Narrativas de Vida, 20 foram as participantes desta pesquisa convidadas a partir de dois espaços virtuais de discussão e encontros sobre o viver com endometriose. As entrevistas foram realizadas pessoalmente no circuito RJ, SP e MG. A abordagem teórica foi abalizada por autores que tratam da experiência do adoecimento crônico enquanto fenômeno sociocultural, leituras metafóricas do problema e críticas à violência institucional. Os resultados identificam situações de violência de gênero/institucional perpetradas nos diversos espaços de atenção às mulheres. Expressam-se a partir da banalização dos discursos das mulheres; das tensões estabelecidas entre usuárias e médicos, onde o suposto saber leigo funciona como ultraje ao saber biomédico oficial e, precipuamente, na dificuldade de acesso aos serviços, levando as mulheres a uma peregrinação por cuidados e a se submeterem a formas de assistência não necessariamente baseadas em boas práticas.
Violência sexual na adolescência, perfil da vítima e impactos sobre a saúde mental
Authors: Fontes Luiz Felipe Campos , Conceição Otavio Canozzi , Machado Sthefano
Published: September 2017

Resumo Este trabalho objetiva analisar os impactos do abuso sexual na adolescência sobre variáveis relacionadas à saúde mental e identificar as características das vítimas. Para tanto, utiliza-se a metodologia do Propensity Score Matching a partir dos microdados da Pesquisa Nacional de Saúde do Escolar 2015. Os resultados mostram que o jovem violentado tem um perfil comportamental, familiar e socioeconômico singular, a destacar pelo fato de que tem mais chances de já ter utilizado álcool e drogas, de ser alvo de bullying, estar em distorção idade-série, encontrar-se empregado e não ter pretensão de continuar estudando. Do ponto de vista familiar, tem pouco acompanhamento dos pais e menos chance de morar com a mãe. As estimativas revelam que o abuso sexual na adolescência pode aumentar em 13,3% a chance do jovem reportar sentimento frequente de solidão, em 7,5% a chance de ter poucos ou nenhum amigo e em 9,5% a chance de relatar insônia frequente por motivo de preocupação. Foram constatadas ainda diferenças significativas dos efeitos em mulheres e homens, sendo os impactos sobre solidão e insônia maiores para o primeiro grupo e sobre número de amigos maiores para o segundo.
Lesão autoprovocada em todos os ciclos da vida: perfil das vítimas em serviços de urgência e emergência de capitais do Brasil
Authors: Bahia Camila Alves , Avanci Joviana Quintes , Pinto Liana Wernersbach , Minayo Maria Cecilia de Souza
Published: September 2017

Resumo Caracteriza-se o perfil das vítimas de lesão autoprovocada que procuraram atendimento em serviços de urgência e emergência nas capitais brasileiras, utilizando-se a base de dados do Viva Inquérito 2014. Foi realizada estatística descritiva das lesões autoprovocadas por sexo e análise por regressão logística. As características avaliadas foram: faixa etária, sexo, raça/cor de pele, escolaridade, zona de residência, características do evento, uso de álcool e evolução do atendimento. Os resultados mostram que quase 10% dos atendimentos por violências nos serviços de urgência e emergência pesquisados decorrem de lesões autoprovocadas, com destaque para casos que envolvem mulheres e adultos. Há diferenças entre gêneros, inclusive as relacionadas à escolha do método para cometer suicídio. Alguns fatores geralmente associados às tentativas de suicídio não puderam ser avaliados, porque as informações não estavam contidas no escopo do instrumento de coleta. Conclui-se que o serviço de emergência é muito importante para os estudos de suicídio porque constituem a porta de entrada dos casos que chegam aos serviços. No entanto, dado seu caráter pontual, as informações que emite são muito restritas. Assim, os pacientes necessitam de acompanhamento posterior para prevenção das reincidências.
Violência de gênero: comparação da mortalidade por agressão em mulheres com e sem notificação prévia de violência
Authors: Barufaldi Laura Augusta , Souto Rayone Moreira Costa Veloso , Correia Renata Sakai de Barros , Montenegro Marli de Mesquita Silva , Pinto Isabella Vitral , Silva Marta Maria Alves da , Lima Cheila Marina de
Published: September 2017

Resumo A violência contra a mulher constitui um importante problema de saúde pública no Brasil e no mundo. O objetivo do presente estudo foi descrever o perfil de mortalidade por agressão em mulheres e analisar se as vítimas de violência notificadas apresentam taxas de mortalidade por esse motivo mais elevadas do que a população feminina geral. Trata-se de um estudo descritivo da mortalidade por agressão em mulheres, a partir do linkage de bancos de dados. Os dados utilizados para o linkage foram todas as notificações de violência contra mulheres registradas no SINAN (Sistema de Informação de Agravos de Notificação) no período de 2011 a 2015 e os óbitos de mulheres por agressão registrados no SIM (Sistema de Informações sobre Mortalidade), no período de 2011 a 2016. O risco de morte por agressão nas mulheres notificadas por violência foi maior do que na população feminina geral, revelando assim uma situação de vulnerabilidade. Mulheres negras, de menor escolaridade foram as principais vítimas de violência e homicídios. O elevado número de mulheres mortas por agressão e a violência de repetição revelaram a fragilidade das redes de atenção e proteção no atendimento integral, qualificado e oportuno às vítimas.
Atendimento dos casos de violência em serviços de urgência e emergência brasileiros com foco nas relações intrafamiliares e nos ciclos de vida
Authors: Avanci Joviana Quintes , Pinto Liana Wernersbach , Assis Simone Gonçalves de
Published: September 2017

Resumo O presente estudo analisa dados de violência intrafamiliar atendidos nos serviços de emergência segundo as características sociodemográficas das pessoas atendidas, do evento e a evolução do atendimento, da infância à velhice por sexo; e os fatores que diferenciam os eventos de violência intrafamiliar em comparação aos cometidos por não familiares. Foram analisados dados de 24 capitais brasileiras e do Distrito Federal, compreendendo 86 serviços de urgência e emergência e englobando um total de 4.893 indivíduos. Dentre o total de atendimentos, 26,6% sofreram violência intrafamiliar (40,0% crianças/adolescentes, 57,2% adultos e 2,8% idosos). O modelo ajustado, que compara as vítimas de violências cometidas por familiares em relação aos não familiares, mostra que ser do sexo masculino possui menor chance de sofrer violência intrafamiliar, ter menos anos de estudo tem risco aumentado e mulheres têm maior chance de cometerem violência intrafamiliar se comparado com a categoria “ambos os sexos”. O estudo reforça que os profissionais de saúde precisam ser habilitados a lidar com o fenômeno da violência familiar, prestando apoio e suporte, realizando boas práticas e cuidados protocolares, cuidando das lesões e promovendo acesso a outros serviços.
Violências contra adolescentes nas capitais brasileiras, segundo inquérito em serviços de urgência
Authors: Malta Deborah Carvalho , Bernal Regina Tomie Ivata , Pugedo Fabricia Soares Freire , Lima Cheila Marina , Mascarenhas Marcio Denis Medeiros , Jorge Alzira de Oliveira , Melo Elza Machado de
Published: September 2017

Resumo No estudo descrevem-se as características das violências praticadas contra os adolescentes atendidos em serviços de urgência e emergência participantes do inquérito Vigilância de Violências e Acidentes (VIVA), em 2014, e analisar possíveis associações entre as variáveis. Foram analisados dados de 815 adolescentes na amostra e utilizada a análise de correspondência, que consiste em análise exploratória, visando identificar variáveis associadas de forma simultânea à violência contra eles. A agressão praticada contra os adolescentes teve como vítimas mais frequentes o sexo masculino, o meio de agressão utilizado foi a arma de fogo e objeto pérfuro cortante. Na faixa etária de 15 a 19 anos, predominaram as ocorrências praticadas nas vias públicas, por agressores desconhecidos e predominaram lesões como fraturas e cortes. Entre as vítimas entre 10 e 14 anos, o local de ocorrência foi a escola e o agressor foi o amigo, por meio de ameaças. Entre as vítimas do sexo feminino, as ocorrências foram mais frequentes na residência. Conclui-se que a violência envolvendo adolescentes perpassa as mais importantes instituições socializadoras: a família, a escola, apontando a necessidade de mobilizar toda a sociedade na perspectiva do seu enfrentamento.
Dimensioning of painful procedures and interventions for acute pain relief in premature infants
Authors: Bonutti Deise Petean , Daré Mariana Firmino , Castral Thaíla Corrêa , Leite Adriana Moraes , Vici-Maia Joselaine Aparecida , Scochi Carmen Gracinda Silvan
Published: September 2017

ABSTRACT Objective: to dimension the exposure of premature infants to painful procedures, relating the distribution of the exposure to contextual factors, as well as to describe the pharmacological and non-pharmacological interventions health professionals use during the first two weeks of the infant’s hospitalization at two neonatal services. Method: descriptive-exploratory study in which the professionals registered the painful procedures and pain relief interventions on a specific form in the patient file. Results: the daily average of the 89 premature infants was 5.37 painful procedures, corresponding to 6.56 during the first week of hospitalization and 4.18 during the second week (p<0.0001). The most frequent procedures were nasal/oral (35.85%) and tracheal aspirations (17.17%). The children under invasive ventilation were the most exposed to painful procedures (71.2%). Only 44.9% of the painful procedures received some intervention for the purpose of pain relief, the most frequent being sucrose (78.21%) and continuing sedation (19.82%). Conclusion: acute pain was undertreated at these neonatal services, recommending greater sensitization of the team for the effective use of the existing protocol and implementation of other knowledge transfer strategies to improve neonatal pain management.
Impact of the use of immunoglobulin palivizumab in the State of São Paulo: a cohort study
Authors: Gonçalves Ivana Regina , Duarte Marli Teresinha Cassamassimo , Nunes Helio Rubens de Carvalho , Alencar Rubia de Aguiar , Parada Cristina Maria Garcia de Lima
Published: September 2017

ABSTRACT Introduction: the use of palivizumab as prophylaxis of the respiratory syncytial virus is not a consensus. In Brazil, it is a public health program, but other countries do not consider it cost-effective. Objective: to identify the rate of hospitalization in Intensive Care Unit for respiratory illness or symptoms among children who received the immunoglobulin palivizumab, the proportion of children who failed to take any of the recommended doses and the impact of that failure on hospitalization. Method: cohort study conducted with 693 children enrolled in the palivizumab program in 2014 (85.1% of the population), with monthly assessment from April to September through a telephone call to the mothers or caregiver. The probability of hospitalization in the Intensive Care Unit related to failure in taking the palivizumab, was analyzed through multiple logistic regression, with p<0,05. Results: the hospitalization rate was 18.2%; 2.3% of the children did not receive all the recommended immunoglobulin doses; the probability of hospitalization for respiratory illness or symptoms increased by an average of 29% at each missed dose (p=0.007; OR=1.29, CI=1.07-1.56). Conclusion: the increase in the chance of hospitalization related to missed immunoglobulin doses indicates the need to implement health education actions and active search for absent children by the health services.
Mutagenicity and antimutagenicity of Salacia crassifolia (mart. Ex. Schult.) G. Don. evaluated by Ames test
Authors: Carneiro C. C. , Véras J. Holanda , Góes B. R. Lima , Pérez C. N. , Chen-Chen L.
Published: September 2017

Abstract Salacia crassifolia (Mart. Ex. Schult.) G. Don. is a bush which belongs to Celastraceae family and occurs specially in Brazilian Cerrado. Its leaves, stem, seeds and fruits are popularly used for several medicinal purposes, such as antitumoral, antirheumatic, anti-inflammatory and antimicrobial. In this study, the mutagenic and antimutagenic activities of S. crassifolia stem bark fractions (hexane, ethyl acetate and hydroalcoholic) were evaluated by the Ames mutagenicity assay in Salmonella typhimurium TA98 and TA100 strains. By the obtained results, all S. crassifolia fractions did not significantly increase the number of prototrophic revertants for histidine (His+) in both S. typhimurium strains tested (p > 0.05), suggesting absence of mutagenicity. Regarding antimutagenicity, the fractions ethyl acetate and hydroalcoholic significantly decreased the number of His+ revertants colonies induced by positive control for strain TA98 (p < 0.05), demonstrating protection against mutagenicity induced by 4-nitroquinolile1-oxide, whereas the hexane fraction did not show antimutagenic effect in this strain. In the TA100 strain, all fractions of S. crassifolia protected DNA against the harmful action of sodium azide, and the hexane fraction exhibited the greatest protection in this work. Thus, it’s possible conclude that the fractions of S. crassifolia tested in this study could be used in chemoprevention.
Desenvolvimento e avaliação de equipamento de tração, para redução de fraturas de ossos longos de cães
Authors: Tudury E.A. , Souza A.F.A. , Fernandes T.H.T. , Araújo B.M. , Oliveira L.M. , Amorim M.M.A. , Espíndola C.R.S. , Silva I.C.C.
Published: September 2017

RESUMO Fraturas costumam ocorrer com encavalgamento das extremidades ósseas, dificultando, assim, sua redução. Esta pesquisa teve como objetivo desenvolver um equipamento de tração esquelética a ser utilizado em caninos acometidos de fraturas de ossos longos. Foram utilizados 21 cães de raças variadas, pesando entre dois e 27kg, com idade entre dois meses e 11 anos, com fraturas diafisárias ou metafisárias ocorridas entre três e 24 dias. Enquanto a fixação do corpo do paciente à mesa foi efetuada com cintas de náilon, a força de tração aplicada ao longo do eixo ósseo do membro fraturado foi realizada mediante cintas de náilon ou pinos transfixados e estribos (sendo os pinos implantados na epífise distal do osso fraturado), com a força de tração medida por um dinamômetro, não sendo aplicada carga maior que 25kg. Em todos os casos, a força de tração iniciava com o valor de cinco quilogramas, exceto em animais com peso inferior a esta, a qual começava com carga equivalente a esse peso; e em todos, se necessário, era aumentada a cada cinco minutos para se manter tração igual ao peso ou aos valores que oscilavam do seu peso até cinco quilogramas, dependendo do tamanho do animal, até se atingir a tração necessária para se proceder à redução. Para essa progressão de distensão, o equipamento possuía haste rosqueada de 25mm de diâmetro, uma porca com sistema timão e cilindro deslizante por fora da haste, este conectado ao animal por uma corrente, e o dinamômetro. Todos os animais tiveram as fraturas reduzidas sem haver perda óssea, o que evidencia que o aparelho se mostrou eficiente tanto na redução como na manutenção da redução da fratura, e eles não apresentaram, no pós-operatório, sinais de prejuízos neurológicos, vasculares, cutâneos e articulares. O distensor ósseo aqui desenvolvido tem como características: ser de simples confecção, ter baixo custo, não gerar danos ao paciente e facilitar a redução dos fragmentos tanto em fraturas recentes quanto em antigas.
Herniorrafia diafragmática videoassistida em gato: relato de caso
Authors: Copat B. , Bertoletti B. , Chaves R.O. , Feranti J.P.S. , Coradini G. , Hartmann H.F. , Corrêa L.F.D. , Brun M.V.
Published: September 2017

RESUMO Relata-se um caso de um felino com sinais de dificuldade respiratória havia cerca de 30 dias e emagrecimento progressivo. Ao exame radiográfico torácico e de abdômen, ficou evidenciada perda de definição da linha diafragmática, sendo compatível com hérnia diafragmática. Na laparoscopia, foi observado grande defeito diafragmático, além de estruturas herniadas. Em razão de as vísceras abdominais direcionarem-se ao tórax, dificultando a oclusão do defeito com suturas intracorpóreas, optou-se pela realização de incisão paracostal, procedendo-se à herniorrafia por celiotomia reduzida. A videolaparoscopia permitiu localizar o local herniado e promover a redução dos órgãos envolvidos com mínimo trauma operatório. Logo, mostrou-se como eficaz ferramenta diagnóstica e auxiliar no tratamento de hérnias diafragmáticas crônicas de grande dimensão em gato.