bluuebunny/crossref_metadata_2025 huggingface dataset:
Jurnalisme Warga: Liyan, Timpang dan Diskriminatif
Authors: Eddyono Aryo Subarkah , HT Faruk , Irawanto Budi
Published: June 2019

Keterlibatan warga dalam menyampaikan informasi yang luput dilakukan oleh jurnalis profesional  masih bisa kita lihat hingga kini. Terutama pada peristiwa-peristiwa bencana alam seperti gempa dan tsunami yang melanda Palu dan Donggala pada akhir September 2018. Hal ini menunjukkan praktik jurnalisme warga masih mungkin dijalankan. Hanya saja, di ranah akedemis, riset jurnalisme warga di Indonesia tidak terlalu variatif dan terkesan berjalan di tempat, didominasi pembicaraan sejauh mana peran dan efektivitasnya berdasarkan model-model tertentu. Situasi ini sebaiknya diatasi. Salah satunya dengan menghadirkan cara berpikir cultural studies dalam mengkaji isu-isu jurnalisme warga. Cultural studies atau kajian budaya adalah kajian kritis yang mampu membantu periset menyelami beragam hal, yakni representasi, regulasi, identitas, konsumsi, dan produksi di mana masing-masing bisa saling terkait satu sama lain. Masalah lain yang saya temukan adalah pemahaman jurnalisme warga, yang selama ini berkembang  perlu dikritisi karena tidak kontekstual dan cenderung asal klaim. Saya beranggapan jurnalisme warga adalah praktik yang timpang, eksklusif, elitis, dan diskriminatif. Keberadaaannya menjadi liyan bagi jurnalisme dominan. Artikel ini juga merupakan autokritik atas pemahaman saya soal jurnalisme warga dalam riset saya sebelumnya. Kata kunci: jurnalisme warga, kajian budaya, keberagaman informasi, demokrasi, distingsi
KARIKATUR IKLAN POLITIK MEDIA LUAR RUANG JANGAN MEMBELI KUCING DALAM KARUNG
Authors: Suryono Joko , Astuti Purwani Indri , Rahayu Nuryani Tri , Hariyanto Hariyanto , Widayati Mukti
Published: June 2019

Iklan Politik Media Luar Ruang Honda Hendarto tampil dengan ciri khusus menggunakan bahasa karikatur. Iklan ini  biasanya menampilkan kandidat dengan gambar nyata  yaitu : photo kandidat  dengan gesturetertentu , logo partai politik, nama partai politik, tag line, nomor urut, background warna partai,  dan nama caleg. Penelitian ini bertujuan untuk memahami makna konotatif kontruksi dan makna konfiguratif tanda non verbal dan verbal Karikatur Iklan Politik Media Luar Ruang Honda Hendarto.Teknik pengumpulan data yang digunakan adalah dengan teknik menyimak.  Sumber data dalam penelitian ini adalah tanda non verbal Karikatur   Iklan Politik Media Luar Ruang Honda Hendarto dan tanda verbal peribahasa Jangan Membeli Kucing dalam Karung. Analisis data yang digunakan adalah  analisa semiotika dan pandangan stilistika Hasil penelitian iniadalah bahwaKaritur tersebut memiliki makna konotatif :  1) tentang sosok Honda Hendarto yang ingin membangun mitos dirinya,  sebagai seorang pemikir besar, visioner , ramah, sederhana, memiliki solidaritas, menghargai tradisi masyarakat, tulus, kuat, berwibawa, memiliki keinginan kuat, berjuang untuk rakyat, menyerap aspirasi rakyat, mewujudkan harapan rakyat dan menjadi jembatan antar rakyat,  pemerintah dan wakil rakyat 2)  Pendidikan politik kepada pemilih untuk berpikir  kritis saat memilih Presiden dan Wakil Presiden, wakil rakyat, sehingga mengetahui kondisi orang yang dipilihnya, yang menyangkut  kinerja, visi misi, program kerja dan citra pribadinya,  seperti  peribahasa Jangan Membeli Kucing dalam Karung, yang termasuk dalam bagian transasksi gharar. Transaksi ghararadalah  semua transaksi  yang mengandung (al-jahalah) ketidakjelasan,(al-khathr) pertaruhan, atau perjudian.Peribahasa ini unsur yang paling menonjol  (foregrounding) dalam karikatur tersebut dan termasuk dalam bahasa konfiguratif metafora.
PENGARUH TAHAPAN SOSIALISASI TERHADAP BUDAYA ORGANISASI PADA KARYAWAN PT. RADIO CANDRIKA WIDYA SWARA BANDUNG
Authors: Noviyanti Mira Ayu
Published: June 2019

Industri penyiaran global saat ini memberikan kesempatan besar bagi pelaku industri seiring dengan kenaikan jumlah pendengar radio yang bergerak serta pasar hiburan dan media yang semakin meluas. Hal ini membuat peluang pasar terbuka lebih besar di dalam industri radio. Maka dari itu untuk menyikapi persaingan yang semakin besar, perusahaan harus diimbangi dengan kualitas  kinerja karyawannya. Dengan cara menanamkan budaya organisasi pada perusahaan melalui proses sosialisasi, yaitu tahapan prakedatangan, keterlibatan dan metamorfosis sebagai variabel dalam tahapan sosialisasi. Data yang dikumpulkan sebanyak 30 responden yang diperoleh dari seluruh karyawan PT. Radio Candrika Widya Swara Bandung. Hasil analisis kuantitatif deskriptif menunjukkan pada tahap prakedatangan, dengan 2.846 dan signifikansi sebesar 0.008, dan signifikansi 0.008<0.05, maka ho ditolak dan ha diterima sehingga tahap prakedatangan memiliki pengaruh yang signifikan terhadap budaya organisasi. Pada tahap keterlibatan sebesar 4.675 dengan signifikansi sebesar 0.000, ) dan signifikansi 0.000<0.05, maka ho ditolak dan ha diterima sehingga tahap keterlibatan memiliki pengaruh yang signifikan terhadap budaya organisasi. Lalu pada tahap metamorfosis sebesar 6.605 dengan signifikansi sebesar 0.000, dan signifikansi 0.000<0.05, maka ho ditolak dan ha diterima sehingga tahap metamorfosis memiliki pengaruh yang signifikan terhadap budaya organisasi. Dari ketiga variabel tersebut dapat disimpulkan bahwa ketiga tahapan sosialisasi berpengaruh positif dan signifikan terhadap budaya organisasi.
Co-constructing or Deconstructing Gender Identity? A Multimodal Critical Discourse Analysis of Bongo Flava- Song Video Niambie
Authors: Saimon Musa
Published: June 2019

Music like any other media provides a kind of discourse through which social aspects like gender identity of a particular related society can be co-constructed or deconstructed depending on the ideological perspective of the speaker/writer. This paper analyses Bongo Flava-song video ‘Niambie’ using multimodal critical discourse perspective so as to examine if the song involves co-construction or deconstruction of gender identity. Results show that gender identity in the song video is co-constructed in the sense that male gender is dominant over female gender alluding from patriarchal ideology through which men are supposed to dominate women in all life aspects.
Does isolation from immigrant students benefit or harm third-plus generation students?
Authors: Pivovarova Margarita , Powers Jeanne M.
Published: June 2019

Enforcing and expanding immigration restrictions have been at the forefront of the Trump administration’s agenda since his inauguration in January 2017. Underlying these policies is an assumption that immigrants harm U.S. citizens. More specifically, both authorized and undocumented immigrants are framed as consuming a disproportionate share of social benefits. We used data from the 2012 Programme for International Student Assessment (PISA) to assess this claim in U.S. high school contexts, focusing on the mathematics achievement of third-plus generation students who did not attend schools with immigrant students. On average, the third-plus-generation students who did not attend schools that enrolled first or second generation immigrant students had lower achievement than their same generation peers attending schools that served immigrant students. We conclude by highlighting the research and policy implications of our findings.
Limit points of the branch locus of 𝓜
g
Authors: Díaz Raquel , González-Aguilera Víctor
Published: June 2019

Let 𝓜
g
be the moduli space of compact connected hyperbolic surfaces of genus g ≥ 2, and 𝓑
g
⊂ 𝓜
g
its branch locus. Let

M

g

^

$\begin{array}{}
\widehat{{\mathcal{M}}_{g}}
\end{array} $

be the Deligne–Mumford compactification of the moduli space of smooth, complete, connected surfaces of genus g ≥ 2 over ℂ. The branch locus 𝓑
g
is stratified by smooth locally closed equisymmetric strata, where a stratum consists of hyperbolic surfaces with equivalent action of their orientation-preserving isometry group. Any stratum can be determined by a certain epimorphism Φ. In this paper, for any of these strata, we describe the topological type of its limits points in 𝓜͡
g
in terms of Φ. We apply our method to the 2-complex dimensional stratum corresponding to the pyramidal hyperbolic surfaces.
Accelerated Aging of WPCs Based on Polypropylene and Plywood Production Residues
Authors: Kajaks Janis , Kalnins Karlis , Matvejs Juris
Published: June 2019

A lot of researchers are closely connected with natural, lignocellulose fibre containing bio-composites producing and studies. Various of polymer matrices, mainly polyolefins, combinations with natural fibres as a reinforcement are used. Our studies are focused on polypropylene based bio-composites containing birch plywood production by-product sanding dust (PSD) accelerated weathering processes. The nine groups of the samples with different composition were exposed in an accelerated weathering chamber for a total duration of the 1032 h. The surface colour, gloss, whiteness degree, micro-hardness and the tensile properties of the samples during the weathering were tested. In addition, the weathered surfaces were characterized by scanning electron microscopy (SEM) studies and by differential scanning calorimetry (DSC) investigations. The obtained results showed the following sight: after the weathering the surface of all samples is faded, also the changes of the gloss and of the whiteness degree occurs, but microhardness of the surface of specimens has decreased. The tensile strength of the samples changes a little, in the same time the tensile modulus increases significantly due to the decrease of the deformation ability of the polypropylene matrix and recrystallization processes in PP. The SEM images taken at the 100 and 500 times of the magnification revealed a lot of the different shape and sizes cracks on the surface of the weathered samples. DSC measurements showed the increase of the degree of crystallinity of the polypropylene after the weathering due to the recrystallization process in the polypropylene matrix.
To Heal Our World, We Must First Heal Our Girls: Examining Black Girl Achievement
Authors: Young Jemimah L
Published: June 2019

The racial achievement gap is one of the most persistent and pervasive issues in educational research. Unfortunately, the current research on Black student achievement lacks empirical studies that address the academic strengths and challenges facing Black girls. Specifically, there is a dearth of resources in the form of books, articles, and policies to support the learning of Black girls. Therefore studies that isolate gender as a contributing factor are warranted. The author presents an argument to explicate why the dearth of research supporting the achievement of Black girls is unjustified. Three research and data integrity considerations are presented to support this argument.
The crystal structure of 5-amino-1-(2,6-dichloro-4-(trifluoromethyl)phenyl)-4-(trifluoromethylsulfonyl)-1H-pyrazole-3-carboxamide, C12H6N4Cl2F6O3S
Authors: Chen Lianqing , Tian Lijun
Published: June 2019

C12H6N4Cl2F6O3S, orthorhombic, Pna21 (no. 33), a = 18.7340(10) Å, b = 9.4010(10) Å, c = 19.2330(10) Å, V = 3387.3(4) Å3, Z = 8, R
gt(F) = 0.0449, wR
ref(F
2) = 0.1074, T = 100.15 K.
The Nexus between Government Expenditure and Economic Growth: Evidence of the Wagner’s Law in Kuwait
Authors: Ebaid Ali , Bahari Zakaria
Published: June 2019

This study is the first attempt to examine the validity of the Wagner’s law hypothesis by employing time-series data over the period from 1970 to 2015 in Kuwait. In this paper, the causal relationship between government expenditure and economic growth is tested by conducting the Granger non-causality test developed by (Toda, H. Y., and T. Yamamoto. 1995. “Statistical Inference in Vector Autoregressions with Possibly Integrated Processes.”Journal of Econometrics66 (1): 225–250.) and (Dolado, J. J., and H. Lütkepohl. 1996. “Making Wald Tests Work for Cointegrated VAR Systems.”Econometric Reviews15 (4): 369–386.). The empirical results support the unidirectional causality running from government spending to economic growth. This occurs only when real government expenditure per capita is a proxy for state activity and real gross domestic product (GDP) per capita is a measure of economic growth. This implies that Wagner’s law does not apply for Kuwait’s economy, and the Keynesian proposition of government spending as a policy instrument that encourages and leads economic growth is supported by the data used.
Silent Non-Exit and Broken Voice. Early Postcommunist Social Policies as Protest-Preempting Strategies
Authors: Vanhuysse Pieter
Published: June 2019

This essay contributes to the development of an analytical political sociology examination of postcommunist policy pathways and applies such an analysis in a reinterpretation of the social policy pathways taken by Hungary and Poland. During the critical historical juncture of the early 1990s, governments in these new democracies used social policies to proactively create new labor market outsiders (rather than merely accommodate or deal with existing outsiders) in an effort to stifle disruptive repertoires of political voice. Microcollective action theory helps to elucidate how the break-up of hitherto relatively homogeneous clusters of threatened workers into newly competing interest groups shaped the nature of distributive conflict in the formative first decade of these new democracies. In this light, we see how the analytical political sociology of postcommunist social policy can advance and modify current, predominantly Western-oriented theories of insider/outsider conflict and welfare retrenchment policy, and can inform future debates about emerging social policy biases in Eastern Europe.
The State Policy towards the Homeless in Moldova between the ‘Left Hand’ and the ‘Right Hand’. The Case of Chișinău Shelter
Authors: Negură Petru
Published: June 2019

The Centre for the Homeless in Chișinău embodies on a small scale the recent evolution of state policies towards the homeless in Moldova (a post-Soviet state). This institution applies the binary approach of the state, namely the ‘left hand’ and the ‘right hand’, towards marginalised people. On the one hand, the institution provides accommodation, food, and primary social, legal assistance and medical care. On the other hand, the Shelter personnel impose a series of disciplinary constraints over the users. The Shelter also operates a differentiation of the users according to two categories: the ‘recoverable’ and those deemed ‘irrecoverable’ (persons with severe disabilities, people with addictions). The personnel representing the ‘left hand’ (or ‘soft-line’) regularly negotiate with the employees representing the ‘right hand’ (‘hard-line’) of the institution to promote a milder and a more humanistic approach towards the users. This article relies on multi-method research including descriptive statistical analysis with biographical records of 810 subjects, a thematic analysis of in-depth interviews with homeless people (N = 65), people at risk of homelessness (N = 5), professionals (N = 20) and one ethnography of the Shelter.
Comparing the ZnO/Fe(VI), UV/ZnO and UV/Fe(VI) processes for removal of Reactive Blue 203 from aqueous solution
Authors: Talaiekhozani Amirreza , Banisharif Farhad , Bazrafshan Maryam , Eskandari Zeinab , Heydari Chaleshtari Abbas , Moghadam Ghasem , Mohammad Amani Ali
Published: June 2019

Background: Wastewater contaminated with dyes such as Reactive Blue 203 can produce a lot of health problems if it is released into the environment without a suitable treatment. Although there are several studies on dye removal from wastewater, removal of Reactive Blue 203 has not been investigated by hybrid methods. Therefore, the aim of this study was to investigate the removal of Reactive Blue 203 from aqueous solution, using combined processes of zinc oxide (ZnO) nanoparticles, Fe(VI) oxidation process, and UV radiation. Methods: The removal of dye from aqueous solution using ZnO nanoparticles, Fe(VI) oxidation process, and UV radiation was individually evaluated. Then, the results of combined methods were compared. Hydraulic retention time (HRT), pH, and temperature were the most important factors which were investigated in this study. Results: ZnO nanoparticles, Fe(VI) oxidation process, and UV radiation were able to remove 97%, 71%, and 47% of the dye in the optimal conditions, respectively. Also, the removal of dye using combination of Fe(VI) oxidation process/UV radiation, ZnO nanoparticles/Fe(VI) oxidation process, and ZnO nanoparticles/UV radiation under optimum conditions was 100%. It seems that the combined methods were significantly more effective than the methods alone for removal of dye from water. Conclusion: UV radiation alone is a simple and efficient method for removal of Reactive Blue 203 from water. Removal of Reactive Blue 203 using Fe(VI) oxidation process can be completed in a fraction of second, therefore, it can be categorized as a rapid reaction.
Analyzing and Predicting Permeability Coefficient of Roller-Compacted Concrete (RCC)
Authors: Heidarnezhad Fatemeh , Toufigh Vahab , Ghaemian Mohsen
Published: June 2019

The permeability of roller-compacted concrete (RCC) substantially affects its functionality and safety. This study investigates the effect of mix design parameters on the performance of RCC. For this purpose, approximately 500 laboratory specimens were prepared and tested. A formula and an artificial neural network (ANN) were proposed to predict the permeability coefficient of RCC by considering the main parameters, which were then verified independently using new specimens. Furthermore, the experimental data were analyzed by the Taguchi method and analysis of variance (ANOVA) to evaluate the level of parameter contribution. Based on the results, the permeability coefficient was highly dependent on the mix design and strength of the RCC specimens. The ANN model can predict the permeability coefficient of RCC more accurately than the proposed formula. The statistical analyses revealed that the water-to-cement ratio had the highest effect on the permeability coefficient and the mechanical properties. The findings of this investigation indicated valuable information regarding cost and time savings as well as eliminated laboratory trial and error in designing RCC structures.
CLINICAL AND HEMATOLOGICAL EVALUATION OF LEISHMANIASIS SERUM-POSITIVE DOGS IN RIO GRANDE DO SUL
Authors: Hirschmann Lourdes Caruccio , Simon Caroline Ferreira , Brod Claudiomar Soares , Radin Jaqueline , Da Rosa Cíntia Saydelles , Recuero Ana Lúcia Coelho
Published: June 2019

Visceral leishmaniasis (VL) is a zoonotic infection causing chronic and systemic disease in numerous mammals. It is caused by the Leishmania (Leishmania) chagasi protozoan and transmitted by bites from the female phlebotomine Lutzomyia longipalpis. Rio Grande do Sul is a Brazilian state that was considered VL-free. However, in 2008, canine VL was detected in Western cities of the state. Lutzomyia longipalpis is the main vector of VL and despite having a wide distribution in Brazil, only in 2009 was identified in São Borja, Rio Grande do Sul, in the urban area of the city. The present study evaluated the prevalence of canine VL in kennels managed by local and non-governmental organizations, unstudied areas of Rio Grande do Sul. The dogs were subjected to general, tegumentary, and lymph node examinations. A complete blood count, parasitological and serological examinations were also performed. The serum-positive dogs showed dermatological lesions, normocytic normochromic anemia, thrombocytopenia and neutrophilic leukocytosis. Our investigation of non-endemic districts confirms the presence of oligosymptomatic dogs in Rio Grande do Sul.
Tradução literária e as reflexões de Hilaire Belloc sobre a arte de traduzir
Authors: Ferri Letícia Mendes
Published: June 2019

Os estudos da tradução vêm ganhando cada vez mais espaço no campo da pesquisa acadêmica e as teorias e concepções acerca da definição ou do significado de tradução ainda divergem entre os autores, além disso, a definição de tradução tem sofrido mudanças ao longo dos anos. Alguns teóricos costumam dividi-la em dois tipos: tradução literária e tradução não literária. Este estudo tem por objetivo investigar as diferentes concepções teóricas sobre tradução e as considerações de diversos autores acerca desse tema, sobretudo tradução literária. Ademais, serão apresentadas as reflexões de Hilaire Belloc, um dos mais diversificados autores na história da literatura inglesa, sobre tradução geral e tradução literária em prosa e em verso.
Uma fagulha de vida: discutindo tradução, adaptação e plágio a partir de Max e os felinos, de Moacyr Scliar e A sucessora, de Carolina Nabuco
Authors: Ramos Paulo Roberto De Souza
Published: June 2019

Este artigo visa discutir dois casos envolvendo um suposto plágio de obras escritas por autores brasileiros por parte de escritores de língua inglesa. As obras nacionais são o romance A Sucessora (1934), de Carolina Nabuco, e a novela Max e os Felinos (1981), de Moacyr Scliar. A primeira traz semelhanças com Rebecca (1938), de Daphne du Maurier e a segunda compartilha a premissa de um de seus capítulos com A Vida de Pi (2001), de Yann Martel. Primeiramente, apresenta-se um pequeno resumo dessas quatro obras para situar os leitores, no qual semelhanças e diferenças são discutidas. Na sequência, a fim de compreender se houve, de fato, violação de direitos autorais, há uma seção dedicada ao conceito de plágio. Após essa, uma outra apresenta o que se entende por adaptação e como essa se diferencia e se relaciona com tradução. Em linhas gerais, conclui-se que o uso original de uma ideia anterior não exime obviamente um autor de referir suas fontes, ainda mais quando se toma algo emprestado de uma obra e/ou um autor menos conhecido.
18F-fluoro-dezoxi-glükóz pozitronemissziós tomográfia/komputertomográfia (18F-FDG-PET/CT) képalkotás a kardiológiában
Authors: Besenyi Zsuzsanna , Nagy Ferenc Tamás , Sághy László , Pávics László
Published: June 2019

Abstract:

Over the past decades, 18F-FDG-PET/CT imaging has been recognized as an indispensable tool in the diagnosis, staging and treatment monitoring of cancer. This modern imaging technique combining functional and morphologic information has approved indications not only in oncology but in clinical cardiology as well. In the current review we discuss the specific requirements of patient preparation and image acquisition protocol for cardiac 18F-FDG-PET/CT. We review the literature in some cases highlighted by our own examinations of well-known “gold standard” viability and onco-cardiology examinations while placing special emphasis on inflammatory disorders involving the heart. This relatively newer class of indications includes prosthetic valve endocarditis, cardiac implantable device infection, myocardial inflammation of varying origin such as sarcoidosis where 18F-FDG-PET/CT appears to be particularly useful in the differential diagnosis of cases where standard investigation is non-diagnostic or equivocal. Orv Hetil. 2019; 160(26): 1015–1024.
Critical Requirements for Nursing Practice in Rural Disasters Caused by Floods
Authors: Menegat Robriane Prosdocimi , Witt Regina Rigatto
Published: June 2019

ABSTRACT Objective: To identify critical requirements for nursing practice when responding to hydrological disasters in the rural area. Method: A descriptive, exploratory and qualitative study was developed. The Critical Incidents Technique was adopted. Twenty public health nurses who worked during the flood season in the years of 2014 and 2015 in a rural area in Southern Brazil were interviewed. Content analysis of the data was developed. Results: Critical requirements for nurses’ practice were derived from the situations (n=78), critical behaviors (n=98) and consequences to the population (n=43) and to the nurses (n=38) identified. Conclusion / Final considerations: Although the requirements could be related to the established international referential for nurses’ practice in disasters, some were described only in this study. They can contribute to the education and practice of nurses in primary health care, strengthening its capacity to face disaster situations by flood in the rural area.
Package of menthol measures for thirst relief: a randomized clinical study
Authors: Serato Viviane Moreira , Fonseca Lígia Fahl , Birolim Marcela Maria , Rossetto Edilaine Giovanini , Mai Lílian Denise , Garcia Aline Korki Arrabal
Published: June 2019

ABSTRACT Objective: To evaluate the effectiveness of the menthol package (lip hydration and ice popsicles) compared to a package of non-menthol measures (lip hydration and ice popsicles) as a way to relieve thirst in patients in the Anesthetic Recovery Room. Method: Randomized and parallel trial study, with 120 patients randomized patients in an experimental group - menthol measurements (n=59) and control group - measures without menthol (n = 61). Results: There was a significant (p<0.05) decrease in intensity, hydration, dryness and taste in the oral cavity between the three moments of assessment/intervention in the two groups. The difference was significant in the experimental group for thirst intensity at the second assessment/intervention point (p<0.05) after a single administration of the menthol package. Conclusion: There was a reduction in thirst intensity in both groups. Patients who received menthol packages showed a significant decrease in intensity after a single evaluation/intervention time. NCT: 02869139.
Literacy in health and self-care in people with type 2 diabetes mellitus
Authors: Moura Nádya dos Santos , Lopes Bárbara Brandão , Teixeira João Joadson Duarte , Oriá Mônica Oliveira Batista , Vieira Neiva Francenely Cunha , Guedes Maria Vilani Cavalcante
Published: June 2019

ABSTRACT Objective: To evaluate the effect of educational intervention in the adherence to self-care activities and functional health literacy and numeracy in people with type 2 diabetes mellitus. Methods: This was a quasi-experimental study conducted in two units of the Brazilian Family Health Strategy, involving people with diabetes. Educational interventions occurred in three meetings, weekly, lasting 60 minutes on average. Data were collected using the Questionário de Autocuidado com o Diabetes, before and after the interventions. Results: 55 people participated in the study. After the interventions, the greatest difference for a better adherence to self-care was the item “inspecting the inside of the shoes before putting them on”, with 3.29 days in the week delta at analytical level. The worst was “taking insulin shots as recommended”, with 0.00 days a week delta at basic level. Conclusion: Educational interventions had a positive effect on adherence to self-care and functional literacy in health.
Nursing diagnoses in a home-based program: cross-mapping and NANDA-I Taxonomy
Authors: Silva Daniel Vinícius Alves , Sousa Ingryd Nathany Mendes , Rodrigues Carolina Amaral Oliveira , Pereira Fabíola Afonso Fagundes , Gusmão Ricardo Otávio Maia , Araújo Diego Dias de
Published: June 2019

ABSTRACT Objective: to identify Nursing diagnoses in patients in home care by cross-mapping terms obtained in the anamnesis and clinical examination, with NANDA-I Taxonomy. Method: descriptive exploratory study, transversal type, performed with 131 patients from a home health care program in northern Minas Gerais State. With the aid of an instrument based on the theoretical model of Basic Human Needs, the terms indicators of conditions that required nursing interventions were extracted. The cross-mapping of these terms was also performed with NANDA-I Taxonomy diagnoses. Results: 378 terms and expressions referring to 49 different diagnoses were identified in 11 of the 13 domains of NANDA-I Taxonomy. Conclusion: the profile of identified nursing diagnoses can contribute to care management and organizational processes of nurses who provide care to patients in home care.
Caring for the carer: quality of life and burden of female caregivers
Authors: Araújo Michelly Guedes de Oliveira , Dutra Michelinne Oliveira Machado , Freitas Carla Carolina Silva Leite , Guedes Tatiane Gomes , Souza Francisco Stélio de , Baptista Rosilene Santos
Published: June 2019

ABSTRACT Objective: To assess the quality of life and the burden of female caregivers. Method: Descriptive, cross-sectional, quantitative study carried out with 224 informal caregivers from March to July 2016. Three instruments were used: a characterization form for the caregiver, the WHOQOL-Bref questionnaire and the Zarit Burden Interview. The following tests were used: Cronbach’s Alpha, Kolmogorov-Smirnov, Kruskal-Wallis, Spearman and Mann-Whitney. Results: The mean age of caregivers was 51.8 years with a standard deviation of 13.7. They were predominantly married, had a low income and low level of education, were first-degree relatives, had been providing care for one to five years and presented some pathology. The associations of quality of life that presented statistical significance were: income, marital status, number of people living with the caregiver and time of care. Conclusion: The burden was negatively correlated with QOL, that is, the greater the burden, the more impaired will be the life of these caregivers.
Case management as a high-risk prenatal care strategy
Authors: Soares Leticia Gramazio , Higarashi Ieda Harumi
Published: June 2019

ABSTRACT Objective: to discuss the benefits of using high-risk prenatal case management. Method: a qualitative, convergent care study with six high-risk pregnant women, performed in a municipality in the south of Brazil. Data were produced by case management from April to August of 2017 through observation-participant. Analysis followed the processes of Convergent Care Research: apprehension, synthesis, theorization and transfer. Results: case management identified important elements in the care of pregnant women, which denoted a greater complexity to the cases; was shown as a relevant space for nurses to act, because it is an intervention that requires knowledge and specific skills. Final considerations: case management provides differentiated management in complex cases, facilitates the flow between health services, concretizing the comprehensiveness and equity of the care. It was found, in the convergence between research and care, that participants were benefited by case management.
Patient safety incidents identified by the caregivers of hospitalized children
Authors: Hoffmann Letícia Maria , Wegner Wiliam , Biasibetti Cecilia , Peres Merianny de Ávila , Gerhardt Luiza Maria , Breigeiron Márcia Koja
Published: June 2019

ABSTRACT Objective: to analyze patient safety incidents identified by caregivers of hospitalized children. Method: a qualitative, exploratory-descriptive study was carried out with 40 caregivers of children hospitalized in three hospital institutions in the city of Porto Alegre, Rio Grande do Sul State, Brazil, from April to December 2016. Semi-structured, recorded and transcribed interviews were carried out in their entirety, submitted to a thematic analysis using the NVivo 11.0 software. Results: reports related to falls, infant feeding, patient/caregiver identification, medication process, communication, hand hygiene and hygiene of the hospital environment, spread of diseases, relations between caregivers and professionals and care processes/procedures were all cited. Final considerations: communication and the relations among caregivers and professionals are the main contributory factors for patient safety incidents, interfering with the quality of care. The participation of caregivers and engagement in child care may be strategies to be developed to promote a safety culture.
Cost-effectiveness of infusion pumps to reduce errors in a Pediatric ICU
Authors: Silva Roberto Carlos Lyra da , QuinellatoLouro Thiago , Peregrino Antônio Augusto de Freitas , Silva Carlos Roberto Lyra da , Marta Cristiano Bertolossi , Itria Alexander
Published: June 2019

ABSTRACT Objective: To analyze cost-effectiveness and to calculate incremental cost-effectiveness ratio of the use of infusion pumps with drug library to reduce errors in intravenous drug administration in pediatric and neonatal patients in Intensive Care Units. Methods: Mathematical modeling for economic analysis of the decision tree type. The base case was composed of reference and alternative settings. The target population was neonates and pediatric patients hospitalized in Pediatric and Neonatal Intensive Care Units, comprising a cohort of 15,034 patients. The cost estimate was based on the bottom-up and top-down approaches. Results: The decision tree, after RollBack, showed that the infusion pump with drug library may be the best strategy to avoid errors in intravenous drugs administration. Conclusion: The analysis revealed that the conventional pump, although it has the lowest cost, also has lower effectiveness.
Lawsuits in health: an integrative review
Authors: Batistella Paula Mestre Ferreira , Aroni Patrícia , Fagundes Alex Luís , Haddad Maria do Carmo Fernandez Lourenço
Published: June 2019

ABSTRACT Objective: To analyze the national and international scientific evidence available in the literature on types of judicialization of health lawsuits. Method: Integrative review, which selected primary studies in the PubMed, LILACS, Web of Science and Scopus databases, with the Descriptors: judicial decisions, health’s judicialization, Saúde (in Portuguese), Health, and the keyword: Judicial Action. Results: 30 studies were selected. In Brazil, the majority were legal claims for medicines and the other for medical errors, requests for vaccines, supplies for diabetics, food compounds, surgical procedure, examinations, among others. In international studies, lawsuits were found for medication, benefit coverage and hospitalization for psychiatric treatment. Conclusion: It is evident that the most demanded type of lawsuit was access to the medication at an international level. It is still more noticeable the little discussion on this subject, demonstrating that judicialization of medicines can indicate a reality of Brazil.
A criação do serviço social autônomo do Instituto Hospitalar de Base como novo modelo de gestão hospitalar do Distrito Federal, Brasil
Authors: Fonseca Humberto Lucena Pereira da , Cunha Júnior Luiz Arnaldo Pereira da
Published: June 2019

Resumo A rede de saúde pública do Distrito Federal, como de resto todo o Sistema Único de Saúde, padece de ineficiências relacionadas à dificuldade de contratação e gestão de profissionais, bem como de realização de contratos para abastecimento e manutenção. Em Brasília, implantou-se em 2018 um novo modelo de gestão em seu maior hospital. Com a criação do serviço social autônomo Instituto Hospital de Base, unidade de saúde em funcionamento desde 1960, abriu-se a possibilidade de conferir agilidade a essas contratações, além de se instalar uma gestão baseada em metas e indicadores de resultado, com expressivos ganhos de eficiência. Este artigo relata os passos para a implantação desse modelo descentralizado de gestão hospitalar, as alternativas cogitadas, as dificuldades enfrentadas e alguns dos primeiros resultados desse novo modelo. Já se pode verificar e afirmar o sucesso do modelo jurídico-administrativo do Instituto Hospital de Base, que pode servir de paradigma para outras unidades de saúde do Distrito Federal e do Brasil.
A rede de atenção integral à saúde da criança no Distrito Federal, Brasil
Authors: Souza Renilson Rehem de , Vieira Martha Gonçalves , Lima Júnior Cláudio José Ferreira
Published: June 2019

Resumo A Política Nacional de Atenção Integral à Saúde da criança, estabelecida pela Portaria GM/MS nº 1.130, de 5 de agosto de 2015, abrange o cuidado da criança sob uma ótica integral, e reúne ações de atenção, promoção e prevenção em saúde em sete eixos estratégicos, de maneira transversal nos diferentes níveis de atenção. O objetivo deste artigo é relatar o desenvolvimento da atenção à saúde da criança no Distrito Federal, dentro dos eixos propostos pela PNAISC e fundamentado nos princípios norteadores do Sistema Único de Saúde. As ações desenvolvidas em cada eixo são descritas após apresentação da rede de assistência da Secretaria de Estado de Saúde do Distrito Federal – SES/DF e um breve histórico da atenção à saúde da criança e seus desafios, com a abordagem das estratégias desenvolvidas para o estabelecimento de uma rede de atenção voltada para a assistência integral à saúde da criança.
Caracterização assistencial dos hospitais filantrópicos da Região Metropolitana de Belo Horizonte
Authors: Amorim Daniel Penido de Lima , Souza Antônio Artur de
Published: June 2019

Resumo Introdução Os hospitais filantrópicos compreenderem cerca de um terço do parque hospitalar brasileiro, apresentando grande participação nas internações para o SUS. Muitos deles são estratégicos devido a se tratar das únicas unidades hospitalares em seus municípios. Objetivo Este estudo objetivou analisar a distribuição geográfica, a complexidade e a capacidade assistencial dos hospitais filantrópicos da Região Metropolitana de Belo Horizonte (RMBH), inclusive, comparando com tendências encontradas no âmbito nacional. Adicionalmente, quando o município apresentou apenas um hospital, sendo ele filantrópico, buscou-se verificar se a capacidade assistencial atingia o mínimo recomendado pela OMS. Método Todos os dados empregados foram coletados no DATASUS. Utilizou-se de dados de estabelecimentos para descrever a distribuição geográfica e a complexidade assistencial. A análise da capacidade assistencial exigiu o cálculo de Leitos de Hospitais Filantrópicos por Mil Habitantes (LHF/MH), utilizando-se de dados de recursos físicos e população. Resultados Na RMBH, os hospitais filantrópicos gerais, em sua maioria, estão distribuídos individualmente pelos municípios menores, enquanto os especializados concentram-se na capital. O LHF/MH cresceu na RMBH, na capital e no conjunto dos municípios menores. O único município, dentre aqueles que possuem apenas um hospital, sendo ele filantrópico, que apresentou LHF/MH maior que o mínimo recomendado pela OMS foi Itaguara. Conclusão Percebeu-se que há grande semelhança entre os recortes nacional e aquele da RMBH. Muitos municípios dessa região apresentam apenas uma unidade hospitalar, sendo ela filantrópica, fato que corrobora a importância dessas organizações para a saúde local.
Estigma e violência na percepção dos profissionais de saúde mental de uma unidade psiquiátrica em hospital geral
Authors: Barretto Raquel Silva , Figueiredo Ana Elisa Bastos
Published: June 2019

Resumo Introdução O artigo em questão é fruto de uma pesquisa no âmbito da saúde mental, em um dos dispositivos potencializados após a década de 1990. Objetivo A investigação teve como objetivo geral compreender a percepção dos profissionais de saúde mental, atuantes em uma Unidade Psiquiátrica de Hospital Geral, sobre os termos estigma e violência. Método Trata-se de pesquisa exploratória, descritivo-analítica com abordagem qualitativa. Teve como campo a Unidade de Internação Psiquiátrica de um Hospital Geral Universitário, no município do Rio de Janeiro. Os sujeitos da pesquisa foram 06 profissionais de saúde mental. Após a liberação dos Comitês de Ética, autorização da direção e o preenchimento dos Termos de Consentimento, o passo posterior envolveu as entrevistas semiestruturadas. Optou-se pela análise de conteúdo para trabalhar os dados obtidos. Resultados Enquanto alguns profissionais demonstraram desconhecer o significado de estigma, o termo violência foi exemplificado através de conceituações e aproximações com a realidade social. As diversas falas sobre a violência simbólica ganharam destaque. Ao mencioná-la, reconheceram que determinadas práticas junto aos pacientes, ainda que não agreguem violências de ordem física, reproduzem a estigmatização, que repercute na violência psicológica e nas negligências. Conclusão Ainda que a mudança no cuidado tenha se estabelecido, faz-se necessário o conhecimento do processo da violência e estigmatização nas práticas atuais, dado que tais fenômenos podem agravar o sofrimento existente.
Maternal attitudes, beliefs and practices related to the feeding and nutritional status of schoolchildren
Authors: PEDROSO Jéssica , TORAL Natacha , GUBERT Muriel Bauermann
Published: June 2019

ABSTRACT Objective To analyze the relationship between the maternal attitudes, beliefs and practices and the children’s food consumption and nutritional status. Methods A cross-sectional study of 563 mother-child pairs. Mothers answered an online questionnaire that collected the following information: sociodemographic data, maternal nutritional status, the child’s food consumption (evaluated through the Food Frequency Questionnaire and the School Child Diet Index), and maternal attitudes, beliefs and practices about the schoolchildren’s eating (assessed through the Child Feeding Questionnaire). Children had their anthropometric measurements evaluated for the interpretation of the nutritional status. Results Mothers who considered their children to be bigger (ORaj=6.60) and who worried more about their children’s weight (ORaj=3.47) presented greater chances of having overweight children. Mothers with a greater perception of responsibility (ORaj=0.57) and who put more pressure in their children to eat (ORaj=0.38) presented lower chances of having overweight children. The majority of children consumed high-quality food (77.4%). Mothers who more closely monitored their children’s food consumption were 2.79 times more likely to have their children eating high-quality food. Conclusion Nutritional interventions should focus on stimulating the parents’ sense of responsibility for the child’s nutrition, as well as on promoting the frequent monitoring of the child’s food intake.
Association between physical inactivity in leisure, work, commuting, and household domains and nutritional status in adults in the capital cities of Brazil
Authors: STREB Anne Ribeiro , MATIAS Thiago Sousa , LEONEL Larissa dos Santos , TOZETTO Willen Remon , VIEIRA Carolina Graef , DEL DUCA Giovani Firpo
Published: June 2019

ABSTRACT Objective To investigate the association between different domains (leisure, work, commuting, and household) of physical activity, independent and cumulative, and excess weight and obesity in Brazilian adults. Methods This is a cross-sectional survey, conducted in 2015, through telephone interviews with a representative sample of adults from the capitals of Brazil. Physical inactivity was defined as non-participation in predefined physical activities for each assessed domain. Excess weight (Body Mass Index?25kg/m2) and obesity (Body Mass Index?30kg/m2) were determined from self-reported measurements of weight and height. A binary logistic regression was conducted after adjusting for sociodemographic factors. Results Among 54,174 subjects, physical inactivity in commuting (ORexcess weight=1.27, 95%CI=1.13,1.42 and ORobesity=1.25, 95%CI=1.06,1.47) and leisure (ORexcess weight=1.12, 95%CI=1.04,1.22 and ORobesity=1.30, 95%CI=1.17,1.45) domains were associated with nutritional status. In addition, a linear trend was observed between increasing obesity and cumulative physical inactivity of all four domains (p<0.001). Conclusion Cumulative physical inactivity, especially in the commuting and leisure domains, was associated with excess weight and obesity in adults living in the capitals of Brazil. One possible explanation of these findings is that these domains involve particularly longer duration and greater intensity of physical inactivity. Public policies concerning physical activity should prioritize actions focused in promoting physical activity on commuting and leisure-time to help prevent overweight and obesity in the Brazilian adult population.
Temporal evolution of and factors associated with asthma and wheezing in schoolchildren in Brazil
Authors: Marques Gabriela Ávila , Wendt Andrea , Wehrmeister Fernando César
Published: June 2019

ABSTRACT Objective: To estimate the evolution of the prevalence of asthma and wheezing among schoolchildren in Brazil from 2012 to 2015, as well as to identify factors associated with both conditions. Methods: This was a cross-sectional study using data from the Brazilian National School-Based Adolescent Health Survey for 2012 and 2015. To characterize the evolution of the prevalence of asthma and wheezing, we used linear regression with weighted-least-squares estimation and presented the annual percent change (APC). Results: During the study period, there was a reduction in the prevalence of wheezing, from 23.2% in 2012 to 22.4% in 2015 (APC, −0.27). The prevalence of asthma increased from 12.4% in 2012 to 16.0% in 2015 (APC, 1.20). The increase in the prevalence of asthma was greatest in the southern region of the country (APC, 2.17). Having any history of smoking and having consumed alcohol in the last 30 days were factors that influenced the prevalence of wheezing and the prevalence of a self-reported diagnosis of asthma during the two years evaluated. Conclusions: There has been an increase in the prevalence of asthma in recent years in Brazil. Our data underscore the importance of improving health strategies and policies aimed at the control of asthma.
Determination of adulterants in whey protein food supplements by liquid chromatography coupled to Orbitrap high resolution mass spectrometry
Authors: Roiffé Rafaela Rocha , Sardela Vinicius Figueiredo , Lima Antônio Luís dos Santos , Oliveira Daniely Silva , Aquino Neto Francisco Radler de , Lima Keila dos Santos Cople , Cruz Márcia Nogueira da Silva de la
Published: June 2019

Abstract Liquid chromatography coupled to Orbitrap high resolution mass spectrometry was shown to be an adequate technique to control the adulteration of whey protein food supplements with prohibited substances, not declared on the labels. An extraction method combined with an instrumental analysis that allowed for the determination of 105 substances in whey protein food supplements, was established. The pre-treatment of the samples consisted of protein precipitation and solid-phase extraction using weak cation exchange functionalized polymeric sorbent cartridges. The samples were directly analyzed by LC-Orbitrap-HRMS. The selectivity, limit of detection, repeatability, recovery, carryover and matrix effect were estimated as the validation parameters. The repeatability obtained was 96.19% and the recovery 83.80%, but carryover and the matrix effect were not observed. The present method was successfully applied to the analysis of commercial samples, verifying adulteration by diuretics (conivaptan and politiazide) and a stimulant (benfluorex) in seven of the eleven brands evaluated.
Mapeamento colaborativo como fonte de dados para o planejamento urbano: desafios e potencialidades
Authors: Machado Adriana Alexandria , Camboim Silvana Philippi
Published: June 2019

Resumo O mapeamento de referência urbano, necessário ao planejamento urbano e ao Cadastro Técnico Multifinalitário nos municípios, é oneroso. Sua produção tem competência compartilhada entre União, Estados e municípios, e apenas em 2016 foram lançadas normas englobando esse tipo de mapeamento no Brasil. Por isso, é preciso buscar alternativas para ajudar na produção e na atualização do mapeamento de referência nas cidades. O mapeamento colaborativo por meio de plataformas, como o OpenStreetMap, produz e disponibiliza dados geoespaciais atualizados e abertos na internet, apresentando-se como uma alternativa relevante para ser utilizada em conjunto com o mapeamento de referência e outras geotecnologias na gestão urbana dos municípios brasileiros. Este artigo descreve as principais considerações relativas à integração do mapeamento colaborativo com o mapeamento de referência urbano e apresenta um teste no qual foram integrados dados do OpenStreetMap aos dados oficiais do Instituto de Pesquisa e Planejamento Urbano de Curitiba (IPPUC), por meio da compatibilização semântica dos dados em conformidade com as normas nacionais. Como resultados, foram produzidos um mapa híbrido derivado da integração entre ambos os mapeamentos, no qual foi observado um aumento de aproximadamente 90% no número de feições, e uma síntese com as potencialidades e os desafios relativos à integração.