bluuebunny/crossref_metadata_2025 huggingface dataset:
A Case of Thyrotoxic Periodic Paralysis With Respiratory Failure in an African American Woman
Authors: Shields Denise L.
Published: May 2015

Thyrotoxic periodic paralysis is an acute endocrine emergency characterized by hyperthyroidism, profound muscle weakness and/or paralysis, and hypokalemia that is not due to potassium deficiency. Typically described in young males of Asian descent, it is becoming increasingly recognized outside of this demographic group and is believed to be an underrecognized cause of symptomatic hypokalemia. Thyrotoxic periodic paralysis usually manifests as acute onset of symmetrical distal extremity weakness and is treated with careful potassium replacement and nonselective β-blockers. In this case, a 43-year-old African American woman with thyrotoxic periodic paralysis had recurrent lower extremity myopathy and acute respiratory failure precipitated by noncompliance with treatment for Graves disease.
Cytokines in Graft-versus-Host Disease
Authors: Henden Andrea S. , Hill Geoffrey R.
Published: May 2015

Graft-versus-host disease (GVHD) is a complication of allogeneic bone marrow transplantation whereby transplanted naive and marrow-derived T cells damage recipient tissue through similar mechanisms to those that allow destruction of malignant cells, the therapeutic intent of bone marrow transplantation. The manifestations and severity of GVHD are highly variable and are influenced by the proportions of naive cells maturing along regulatory T cell, Th1, Th2, or Th17 phenotypes. This maturation is largely influenced by local cytokines, which, in turn, activate transcription factors and drive development toward a dominant phenotype. In addition, proinflammatory cytokines exert direct effects on GVHD target tissues. Our knowledge of the role that cytokines play in orchestrating GVHD is expanding rapidly and parallels other infective and inflammatory conditions in which a predominant T cell signature is causative of pathology. Because a broad spectrum of cytokine therapies is now routinely used in clinical practice, they are increasingly relevant to transplant medicine.
Histological Evaluation of Allium sativum Oil as a New Medicament for Pulp Treatment of Permanent Teeth
Authors: Raheel Syed Ahmed , Mohammad Shukry Gamal , Baroudi Kusai
Published: May 2015

Objective

The objective of this study was to evaluate the histopathology effects of two medicamentsAllium sativumoil and formocresol on the remaining pulp tissue of the permanent teething children.

Materials and methods

A total of 18 premolars were included in this study. Two sound premolars were extracted and subjected to histological examination to show the normal pulp tissue. Pulpotomy procedure was performed in the rest of the remaining 16 premolars; half of them usingAllium sativumoil and the rest of the tested premolars were medicated using formocresol and all were sealed with suitable restoration. Then, premolars extracted at variable intervals (48 hours, 2 weeks, 1 month, 2 months), stained using hemotoxylin and eosin etain (H&E) and prepared for histopathology examination.

Results

Histological evaluation seemed far more promising forAllium sativumoil than formocresol. Histological evaluation revealed that teeth treated with Allium sativa oil showed inflammatory changes that had been resolved in the end of the study. On the contrary, the severe chronic inflammation of pulp tissue accompanied with formocresol eventually produced pulp necrosis with or without fibrosis. In addition, pulp calcification was evidenced in certain cases.

Conclusion

Allium sativumoil is a biocompatible material that is compatible with vital human pulp tissue. It offers a good healing potential, leaving the remaining pulp tissue healthy and functioning.

How to cite this article

Mohammad SG, Raheel SA, Baroudi K. Histological Evaluation ofAllium sativumOil as a New Medicament for Pulp Treatment of Permanent Teeth. J Contemp Dent Pract 2015;16(2):85-90.
Post-traumatic Stress Disorder in Facial Injuries: A Comparative Study
Authors: Raghuveer HP , Prashanth NT , Kumar R Dilip , Shobha ES , Rangan Vinod , Hullale Baswaraj
Published: May 2015

Aim

The aim of the study was to identify the presence of post-traumatic stress disorder (PTSD) in patients who had sustained facial injuries, additionally, we aimed to identify other variables that may modify the psychological response to trauma that include gender, age and presence of disfigurement posttreatment and visible scars/orthopedic injuries.

Materials and methods

Participants comprised of 460 patients from several multinodal trauma centers in Bengaluru City, Karnataka, who had sustained facial injuries that had healed either with or without significant disfigurement or scarring and with visible/orthopedic injuries. One hundred and eleven patients of the chosen 460 had sustained nondisfiguring facial injuries while 153 patients sustained disfiguring facial injuries, 64 patients who sustained facial injury (i.e. 19.5%) were lost to follow-up and were not included in the study. One hundred and thirty-two had sustained orthopedic/visible injuries; however, in this group, 18 (i.e. 13.6%) patients were lost to follow-up and were excluded from the study. The impact of events scale (IES) was used to check the presence of PTSD.

Results

Statistically significant higher means of IES were present in patients with disfiguring facial injuries compared to nondisfiguring facial injuries, female patients compared to male patients, patients with disfiguring facial injuries compared to orthopedic/visible injuries and patients who were younger than 50 years of age compared to patients who were older than 50 years of age and the results observed were similar at all three study intervals (date of discharge (DOD), 1 month and 6 months postoperatively).

Conclusion

Patients with disfiguring facial injuries had significantly higher PTSD levels compared to patients with nondisfiguring facial injuries, patients with orthopedic/visible injuries had statistically significant lower IES scores which could not be strictly termed PTSD when compared to patients with disfiguring facial injuries who had high scores of IES corresponding to high levels of PTSD and these results were observed at all three study intervals (DOD, 1 and 6 months postoperatively). Female patients with disfiguring facial injuries had significantly higher PTSD levels compared to male patients (at all the study intervals) and patients younger than 50 years of age had significantly higher PTSD levels compared to older patients.

How to cite this article

Prashanth NT, Raghuveer HP, Kumar RD, Shobha ES, Rangan V, Hullale B. Post-traumatic Stress Disorder in Facial Injuries: A Comparative Study. J Contemp Dent Pract 2015;16(2):118-125.
Effect of Self-etch Primer-adhesive and Conventional Adhesive Systems on the Shear Bond Strength and Bond Failure of Orthodontic Brackets: A Comparative Study
Authors: Sanjay N , Rajesh RNG , Girish KS , Savakkanavar Malthesh B , Sreedhara S , Ankireddy Rajesh Kumar Reddy
Published: May 2015

Background

Prompt-L-Pop is a sixth generation bonding system contains methacrylated phosphoric acid esters that combine an acidic component for etching the enamel and a primer, is an all-in-one adhesive. This study was undertaken to compare the bonding strength of brackets to enamel with traditional bonding technique and the new Prompt-L-Pop system using the same composite resin.

Materials and methods

In this in vitro experimental study, 60 human premolar teeth extracted for orthodontic treatment were collected. The samples were randomly divided into three groups comprising of 20 teeth in each group. Shear bond strength and ARI scores for the specimens were measured. Comparison was done using one way ANOVA and Chi-square test.

Results

Fourth generation bonding adhesive system depicted similar bond strength to fifth generation bonding adhesive system. Both fourth and fifth generation exhibited higher shear bond strength as compared to sixth generation bonding adhesive system.

Conclusion

Fourth and fifth generation exhibited higher shear bond strength as compared to sixth generation bonding adhesive system but the sixth generation has clinically acceptable shear bond strength. Also, it was found that sixth generation leaves less residual adhesive on the tooth after bracket removal.

How to cite this article

Sreedhara S, Savakkanavar MB, Rajesh RNG, Ankireddy RKR, Sanjay N, Girish KS. Effect of Self-etch Primer-adhesive and Conventional Adhesive Systems on the Shear Bond Strength and Bond Failure of Orthodontic Brackets: A Comparative Study. J Contemp Dent Pract 2015;16(2):130-134.
Comparison of Shade of Ceramic with Three Different Zirconia Substructures using Spectrophotometer
Authors: Habib Syed Rashid , Shiddi Ibraheem F Al
Published: May 2015

Objective

This study assessed how changing the Zirconia (Zr) substructure affected the color samples after they have been overlaid by the same shade of veneering ceramic.

Materials and methods

Three commercial Zr materials were tested in this study: Prettau® Zirconia (ZirKonZahn, Italy), Cercon (Dentsply, Germany) and InCoris ZI (Sirona, Germany). For each system, 15 disk-shaped specimens (10 × 1 mm) were fabricated. Three shades of A1, A2 and A3.5 of porcelain (IPS e.MaxCeram, IvoclarVivadent, USA) were used for layering the specimens. Five specimens from each type of Zr were layered with same shade of ceramic. Color measurements were recorderd by a spectrophotometer Color-Eye® 7000A (X-Rite, Grand Rapids, MI). Mean values of L, a, b color coordinates and ?E were recorded and comparisons were made.

Results

Differences in the ΔE were recorded for the same porcelain shade with different Zr substructures and affected the color of the specimens (p < 0.01, ANOVA). The maximum difference between the ΔE values for the A1, A2 and A3.5 shades with three types of Zr substructures was found to be 1.59, 1.69 and 1.45 respectively. Multiple comparisons of the ΔE with PostHoc Tukey test revealed a statistically significant difference (p < 0.05) between the three types of Zr, except between Type 2 Zr and Type 3 Zr for the Shade A1. The mean values of L, a, b and ΔE for the Prettau® Zirconia substructure were found to be the least among the three types.

Conclusions

The brand of Zr used influences the final color of the all ceramic Zr based restorations and this has clinical significance.

How to cite this article

Habib SR, Al Shiddi IF. Comparison of Shade of Ceramic with Three Different Zirconia Substructures using Spectrophotometer. J Contemp Dent Pract 2015;16(2): 135-140.
The Effect of Self-adhesive and Self-etching Resin Cements on the Bond Strength of Nonmetallic Posts in Different Root Thirds
Authors: Tonetto Mateus Rodrigues , de Jesus Tavarez Rudys Rodolfo , El-Mowafy Omar , Bandeca Matheus Coelho , Porto Thiago Soares , Bhandi Shilpa H , da Silva Monica Barros , de Assis Fernanda Silva , de Toledo Porto Neto Sizenando
Published: May 2015

Purpose

The purpose of this study was to evaluate the effect of self-adhesive and self-etching resin cements on the bond strength of nonmetallic posts in different root regions.

Materials and methods

Sixty single-rooted human teeth were decoronated, endodontically treated, post-space prepared, and divided into six groups. Glass-fiber (GF) posts (Exacto, Angelus) and fiber-reinforced composite (FRC) posts (EverStick, StickTeck) were cemented with self-adhesive resin cement (Breeze) (SA) (Pentral Clinical) and self-etching resin cement (Panavia-F) (SE) (Kuraray). Six 1-mm-thick rods were obtained from the cervical (C), middle (M), and apical (A) regions of the roots. The specimens were then subjected to microtensile testing in a special machine (BISCO; Schaumburg, IL, USA) at a crosshead speed of 0.5 mm/min. Microtensile bond strength data were analyzed with two-way ANOVA and Tukey's tests.

Results

Means (and SD) of the MPa were: GF/SA/C: 14.32 (2.84), GF/SA/M: 10.69 (2.72), GF/SA/A: 6.77 (2.17), GF/SE/C: 11.56 (4.13), GF/SE/M: 6.49 (2.54), GF/SE/A: 3.60 (1.29), FRC/SA/C: 16.89 (2.66), FRC/SA/M: 13.18 (2.19), FRC/SA/A: 8.45 (1.77), FRC/SE/C: 13.69 (3.26), FRC/SE/M: 9.58 (2.23), FRC/SE/A: 5.62 (2.12). The difference among the regions was statistically significant for all groups (p < 0.05). The selfadhesive resin cement showed better results than the selfetching resin cement when compared to each post (p < 0.05). No statistically significant differences in bond strengths of the resin cements when comparable to each post (p > 0.05).

Conclusion

The bond strength values were significantly affected by the resin cement and the highest values were found for self-adhesive resin cement.

How to cite this article

da Silva MB, de Jesus Tavarez RR, de Assis FS, Tonetto MR, Porto TS, Bhandi SH, El-Mowafy O, de Toledo Porto Neto S, Bandeca MC. The Effect of Self-adhesive and Self-etching Resin Cements on the Bond Strength of Nonmetallic Posts in Different Root Thirds. J Contemp Dent Pract 2015;16(2):147-153.
Hemisection: A Treatment Option for an Endodontically treated Molar with Vertical Root Fracture
Authors: Anitha S , Rao Deepika SC
Published: May 2015

Vertical root fractures (VRF) in endodontically treated teeth have long been reported and pose diagnostic difficulties. A hemisection/root resection procedures removes the fractured fragments completely, and retains a portion of the compromized tooth offers a predictable treatment option. The key to this rests in ideal case selection involving balancing all indications and contraindications. The success of the treatment depends on careful case selection based on a firm set of guidelines. This article presents a case with VRF in an endodontic treated molar. This article describes the case of a 65-year-old man with a VRF on the mesial root and a healthy periodontium supporting the distal root making it ideal for retention as well as restoration and support of the final prosthesis. Also, the patient was motivated to try and save as much of the tooth as possible. Postoperatively no untoward complication was reported making it an alternative treatment option in patients with VRF in a molar, willing to retain the remaining tooth portion. With all other factors balanced, it allows for retaining the remaining intact portion of the tooth structure.

How to cite this article

Anitha S, Rao DSC. Hemisection: A Treatment Option for an Endodontically Treated Molar with Vertical Root Fracture. J Contemp Dent Pract 2015;16(2):163- 165.
Towards a simulation of minibuses in South Africa
Authors: Neumann Andreas , Röder Daniel , Joubert Johan W.
Published: May 2015

After private cars, minibus taxis are the most common transport mode in South Africa. Especially for low-income citizens living in townships, minibus services are often the only possibility for mobility. Despite the great importance of the mode, there is very little knowledge of routes, fares, and the number of minibuses. Hence, it is difficult to simulate and to understand the influence of this mode on other modes and on transport planning in general. This article presents the development of the first ``close-to-reality'' minibus supply model based on demand and street network only. The approach adopts the survival-of-the-fittest principle, using a co-evolutionary algorithm that is integrated into a microscopic multi-agent simulation framework. The successful application of the approach to a large-scale, real-world scenario in the Nelson Mandela Bay Area Municipality in South Africa shows that it is able to identify the main minibus corridors as well as to find robust service coverage in lower-demand areas. The resulting minibus supply model can then be used for planning purposes (e.g., to investigate aspects of strategic, operational, or regulatory changes).
De reikwijdte van de geheimhoudingsplicht
Authors: Helstone A.M.
Published: May 2015

De reikwijdte van de geheimhoudingsplicht

De geheimhoudingsplicht is verbonden met loyaliteit en discretie. Bij schending van deze plicht rijst de vraag of een werknemer recht heeft op klokkenluidersbescherming. Hoofdregel is dat de werknemer eerst intern misstanden aan de orde moet stellen bij een leidinggevende of een andere competente autoriteit of competent orgaan.

De Hoge Raad heeft zich nu voor het eerst expliciet uitgelaten over een mogelijke uitzondering als duidelijk is dat een interne melding geen effect zal hebben. Die uitzondering doet zich voor als de directie zelf op de hoogte is van de misstand. In cassatie had de werknemer zich ook nog beroepen op interne en wettelijke regels. Tegen deze achtergrond gaat de auteur na wat de reikwijdte van de uitzondering in dit geval is. Haar conclusie is dat een rechtvaardiging voor schending van geheimhouding nog steeds niet snel mag worden aangenomen.
Inleiding: Symposiumnummer vertrouwen in de rechtspraak
Authors: Niemeijer Bert , van Wijck Peter
Published: May 2015

This editorial offers an introduction to the current issue.
Academische cultuur en wetenschappelijk wangedrag – en wat de relatie daartussen is
Authors: Beyens Kristel , van Swaaningen René
Published: May 2015

Academic culture and scientific misconduct – and what the two have to do with each other

In this article, the questions why scientific misconduct has become a subject of criminological research and how scientific misconduct relates to a production-oriented academic culture are examined. It is argued that the current academic career path produces an anomic academic culture. The authors further examine the slippery notion of the term ‘scientific misconduct’ and conclude that questions about the prevalence or increase of scientific misconduct are hardly answerable. They also point at a number of undesirable side-effects of the emerging culture of distrust and control in academia, amongst which socially disengaged, highly predictable and little innovative research. They end with a plea to recapture a truly academic culture.
Ethische dilemma’s bij criminologisch onderzoek
Authors: van de Bunt Henk
Published: May 2015

Ethical issues in criminological research

Recent years have seen a growing interest in scientific malpractice. In the Netherlands, for example, several major cases of plagiarism, fabrication of data and falsification of findings have come to light. The scandal surrounding the Dutch social psychologist Diederik Stapel, who simply made up the results of empirical research, prompted worldwide attention. As a result of these scandals, universities have, in the past few years, increased their efforts to better ensure the integrity of scientific research. In this process it is sometimes overlooked that scientific integrity is not a clear-cut concept. By examining three ethical issues relevant to criminological research, this article aims to illustrate that the assessment of integrity is a complicated matter. The first dilemma relates to maintaining confidentiality: how to ensure that the privacy of respondents is protected and the research will not harm their interests? The second dilemma has to do with the degree of openness and transparency required from the viewpoint of scientific accountability. How transparent can one be when it comes to conducting scientific research based on secret information and closed sources that are only accessible to the researchers? Finally, the third dilemma concerns the independent position of criminological research. What are the possibilities and limitations of free and independent research in the field of criminology?
‘Ik was echt zorgvuldig’
Authors: Müller Thaddeus
Published: May 2015

‘I was really careful’ The career of a scientific fraudster

In this article I focus on the academic environment in which social psychologist Diederik Stapel worked and developed his career as a con academic. He published over 50 articles with fabricated data in top tier journals. This article is based on interviews with Stapel himself and document analysis. Especially, I pay attention to his socialization as an academic in his years at the University of Amsterdam, where he did his PhD (1986-2000). In my description of how social psychology developed in the nineties in Amsterdam it becomes clear that there was a strong emphasis on competition and publishing articles in top tier journals. Stapel conformed to this culture of competition and published almost as much as the two leading full professors of his department during the period 1995-2000. In the early nineties Stapel discovered that the use of questionable research procedures (QRPs) was common in social psychology. He realized that without using these procedures it was hardly possible to get good results and publish frequently in top tier journals. Though Stapel resented this partly and was disenchanted by this experience, he did integrate QRPs in his daily academic practice. He actually raised the issue of QRPs in a lecture in Oxford when he received the Jos Jaspars Early Career Award of the EAESP, but there was hardly any substantive response to his presentation. The academic culture in which Stapel developed his career can be described as ‘indifferent tolerant’. Though Stapel does refer to the circumstances which influenced his academic fraud, he does state that he himself is responsible for his massive scientific misconduct.
Mongolia's National Security Challenges
Authors: Bayar S
Published: May 2015

Mongolian Journal of International Affairs Vol.2 1995:  3-13
Some Nuclear-Related Issues of Mongolia
Authors: Enkhsaikhan J
Published: May 2015

Mongolian Journal of International Affairs Vol.2 1995:  26-34
Military Aspects of Mongolian Geopolitics
Authors: Bold R
Published: May 2015

Mongolian Journal of International Affairs Vol.2 1995: 51-55
Concept of National Security of Mongolia
Authors: Editor The
Published: May 2015

Mongolian Journal of International Affairs Vol.2 1995: 64-85
Comparative studies on the carbohydrate, protein and acid phosphatase contents in seeds of some rye (Secale cereale) varieties
Authors: Morawiecka B. , Lorenc-Kubis I. , Wieczorek E. , Kubicz A.
Published: May 2015

The contents of sugars. proteins and acid phosphatase extracted with 0.1 M acetate buffer, pH 5.1, from some rye varieties were determined. The total sugar level amounted to 3.25-9.70 g per 100 g of seeds; the estimates for pentoses were 1.7-2.9 g and those for proteins 0.91-1.60 g per 100 g of seeds. Acid phosphatase showed and activity level between 0.18 and 1.26 units/mg protein. After disc electrophoresis proteins were separated into 10 to 11 bands: at pH 9.4 or into 4-7 bands at pH 3.8. Essential variety differences were expressed in protein patterns after electrophoresis at pH 3.8. Acid phosphatase was separated into 5 and 4 activity bands at pH 9.4 and 3.3,. respectively. No variations in zymogram patterns were observed in respect to variety differences or cultivation in various climate and soil conditions.
Functional and structural changes in chloroplasts of senescent tobacco leaves
Authors: Wolińska Danuta
Published: May 2015

The relationship between the structure and the function of chloroplasts of aging tobacco leaves was studied. From the observations of chloroplast structure in electron microscope, the results of other authors concerning earlier degradation of stroma lamellae in comparison with grana were confirmed. It was shown that this process is accompanied by changes in the content of galactolipids (in the first place MGDG) and earlier decomposition of chlorophyll-protein-complex I. This resulted in decrease of photosynthetic activity of leaves and earlier disappearance of Photosystem I activity.
De l’ombre à la lumière : l’hypothèse de la renaissance de la filiation romano-germanique de la procédure civile québécoise
Authors: Hountohotegbè S. Axel-Luc
Published: May 2015

La nature réelle du droit de la procédure civile du Québec est un sujet de controverse à la fois sémantique et conceptuel, tant en ce qui concerne les opinions doctrinales que les positions jurisprudentielles à ce sujet. L’évolution du droit, les changements de paradigme qui s’y opèrent, ainsi que les réformes récentes que connaît en particulier la procédure civile du Québec, et qui se sont concrétisées par l’adoption d’un nouveau Code de procédure civile, sont l’occasion d’une réflexion de fond sur la filiation du droit procédural québécois.

Le présent texte explore l’hypothèse de la résurgence de la filiation romano-germanique de la procédure civile du Québec à partir de l’analyse des péripéties historiques du droit de la province et des réformes qu’elle a connues. En effet, la fondation de la Nouvelle-France explique la filiation directe entre son droit et celui de la famille romano-germanique, puis la Conquête de la Nouvelle-France par l’Empire britannique explique la longue domination des concepts de common law dans la procédure civile du Québec. Il apparaît pourtant que dès le lendemain de la Conquête, la longue marche pour l’affirmation de sa filiation spécifique était entamée. L’étude des réformes les plus récentes que connaît la procédure civile du Québec, notamment l’adoption du nouveau Code de procédure civile, laisse éclore la résurgence de sa filiation romano-germanique au-delà de sa mixité communément admise. Ainsi, le nouveau Code de procédure civile du Québec tendrait à consacrer l’autonomie, les liens étroits et l’attachement à la tradition civiliste et à la filiation romano-germanique du droit de la procédure civile du Québec.
“Third Parties” and Democracy 2.0
Authors: Sirota Léonid
Published: May 2015

Although the Supreme Court of Canada has described freedom of political, and
especially electoral, debate as the most important aspect of the protection of freedom of
expression in Canada, no debate in Canadian society is so regulated as that which takes
place during an electoral campaign. Parliament has set up—and the Supreme Court has
embraced—an “egalitarian model” of elections, under which the amount of money participants
in that debate can spend to make their views heard is strictly limited. “Third
parties”―those participants in pre-electoral debate who are neither political
parties nor candidates for office―are subject to especially strict expense
limits. In addition to limiting the role of money in politics, this regulatory approach was
intended to put political parties front and centre at election time.

This article argues that changes since the development of the “egalitarian model”
have undermined the assumptions behind it and necessitate its re-examination. On the one
hand, since the 1970s, political parties have been increasingly abandoning their role as
essential suppliers in the marketplace of ideas to the actors of civil society, such as
NGOs, unions, and social movements. On the other hand, over the last few years, the
development of new communication technologies and business models associated with “Web 2.0”
has allowed those who wish to take part in pre-electoral debate to do so at minimal or no
cost. This separation of spending and speech means that the current framework for regulating
the pre-electoral participation of third parties is no longer sufficient to maintain
political parties’ privileged position in pre-electoral debate. While the current regulatory
framework may still have benefits in limiting (the appearance of) corruption that can result
from the excessive influence of money on the political process, any attempts to expand it to
limit the online participation of third parties must be resisted.
The Gap in Big Data: Getting to Wellbeing, Strengths, and a Whole-person Perspective
Authors: Monsen Karen A. , Peters Judith , Schlesner Sara , Vanderboom Catherine E. , Holland Diane E.
Published: May 2015

Background:

Electronic health records (EHRs) provide a clinical view of patient health. EHR data are becoming available in large data sets and enabling research that will transform the landscape of healthcare research. Methods are needed to incorporate wellbeing dimensions and strengths in large data sets. The purpose of this study was to examine the potential alignment of the Wellbeing Model with a clinical interface terminology standard, the Omaha System, for documenting wellbeing assessments.

Objective:

To map the Omaha System and Wellbeing Model for use in a clinical EHR wellbeing assessment and to evaluate the feasibility of describing strengths and needs of seniors generated through this assessment.

Methods:

The Wellbeing Model and Omaha System were mapped using concept mapping techniques. Based on this mapping, a wellbeing assessment was developed and implemented within a clinical EHR. Strengths indicators and signs/symptoms data for 5 seniors living in a residential community were abstracted from wellbeing assessments and analyzed using standard descriptive statistics and pattern visualization techniques.

Results:

Initial mapping agreement was 93.5%, with differences resolved by consensus. Wellbeing data analysis showed seniors had an average of 34.8 (range=22–49) strengths indicators for 22.8 concepts. They had an average of 6.4 (range=4–8) signs/symptoms for an average of 3.2 (range=2–5) concepts. The ratio of strengths indicators to signs/symptoms was 6:1 (range 2.8–9.6). Problem concepts with more signs/symptoms had fewer strengths.

Conclusion:

Together, the Wellbeing Model and the Omaha System have potential to enable a whole-person perspective and enhance the potential for a wellbeing perspective in big data research in healthcare.
Functionality in the elderly: knowledge production in the last decade
Authors: Costa Sônia Mara Gusmão , Rodrigues Tatyanni Peixoto , Pinto Kiara Maria Vieira , Ferreira Olívia Galvão Lucena , Moreira Maria Adelaide Silva Paredes , Silva Antonia Oliveira
Published: May 2015

Objetivo: discutir a produção científica na área da saúde acerca da capacidade funcional de idosos, através de uma revisão integrativa da literatura dos últimos dez anos. Método: foi utilizada a revisão integrativa, visto que este método permite a busca, a avaliação crítica e a síntese das evidências disponíveis do tema investigado, sendo o seu produto final o estado atual desse conhecimento, bem como a identificação de lacunas que direcionam para o desenvolvimento de futuras pesquisas. Resultados: partindo do processo de definição dos descritores, utilizou-se o operador “terminologia em saúde” onde se identificou termos relevantes para os estudos como os descritores: Funcionalidade e Idoso. Podendo-se selecionar 13 artigos que atenderam aos critérios de inclusão e exclusão. Conclusão: pela caracterização das publicações analisadas, consideramos que os artigos brasileiros, na área da saúde que pontuam a Funcionalidade em Idosos nas atividades cotidianas, demonstram que este campo ainda não está saturado.
Contribution of the media to promote cardiovascular health
Authors: Barros Lia Bezerra Furtado , Da Silva Lúcia de Fátima , Ponte Keila Maria de Azevedo , Silva Fábiola Vladia Freire da , Guedes Maria Vilaní Cavalcante , Guerra Amanda Onofre Lins
Published: May 2015

Objetivo: analisar a contribuição do meio midiático para a promoção da saúde cardiovascular. Método: estudo de caso, de caráter qualitativo, tendo como referencial teórico o método de Paulo Freire para fundamentação e análise dos dados. A pesquisa foi desenvolvida utilizando-se como cenário o Programa Bem-Estar, veiculado pela Rede Globo, nos episódios cuja temática era o adoecimento cardiovascular. Resultados: verificou-se a preocupação do programa em envolver os participantes no processo educacional, garantindo, de forma mediada, seu envolvimento no processo educativo. Porém, existem limitações para a adoção de um modelo de educação libertadora como o proposto por Paulo Freire. Outra constatação foi a ausência de profissionais da enfermagem como colaboradores. Conclusão: o estudo permitiu a ampliação do conhecimento acerca de uma temática ainda pouco explorada pela Enfermagem, reafirmando a importância da participação de profissionais mais capacitados quanto ao ato educativo. Descritores: Educação em saúde, Doenças cardiovasculares, Mídias audiovisuais, Promoção da saúde.
Podal changes and mobility in elderly assisted in geriatric outpatient clinic
Authors: Fernandes Barbosa Keylla Talitha , Estrela de Albuquerque Saemmy Grasiely , Melo Fernandes Maria das Graças , Muniz Dias Rodrigues Mayara , Rodrigues Lopes de Oliveira Fabiana Maria , Melo Fernandes Amanda
Published: May 2015

Objetivo: verificar alterações podais mais frequentes e o prejuízo destas na mobilidade de idosos em atendimento ambulatorial. Método: estudo descritivo, realizado com 121 idosos que foram atendidos em um ambulatório de geriatria de um hospital universitário. Os dados foram coletados através de entrevista subsidiada por instrumento estruturado e analisados por meio de estatística descritiva e inferencial. Resultados: verificou-se alta incidência de problemas podais, especialmente nas mulheres e idosos jovens, destacando a ocorrência do pé doloroso na maioria dos entrevistados. Houve também predominância de idosos com independência parcial. Conclusão: identifica-se a necessidade de atenção especial à saúde do idoso que relata dor nos pés, visto que este tende a restringir suas atividades habituais, causando diminuição da qualidade de vida, imobilização e possíveis episódios de quedas. Descritores: Pé, Idoso, Avaliação.
Diseases chronicles do not encephalopathies in the elderly: knowledges and actions from community health agents
Authors: Leite Marinês Tambara , Dal Pai Sandra , Quintana Julia de Moura , Costa Marta Cocco da
Published: May 2015

Objetivo: Analisar os saberes e as ações realizados por Agentes Comunitários de Saúde (ACS) relativos às Doenças Crônicas Não-Transmissíveis (DCNT) em idosos. Métodos: Pesquisa qualitativa e descritiva. A coleta dos dados ocorreu por meio de entrevista junto a 20 ACS. As informações foram analisadas seguindo os passos da análise de conteúdo. Resultados: Os dados convergiram para a construção de duas categorias. Uma versa acerca do saber para a atuação dos ACS e a outra, as ações educativas executadas pelos ACS junto à população idosa. Considerações finais: Identificam-se limitações no saber e nas ações desenvolvidas pelos ACS referentes às DCNT em idosos, restringindo o cuidado para doenças como diabetes e hipertensão. Esta condição reflete no trabalho destes profissionais, mas pode ser modificada com ações educativas destinadas aos ACS, para que estes possam qualificar suas práticas junto à população idosa. Descritores: Idoso, Doença crônica, Agentes comunitários de saúde, Promoção da saúde.
Nursing care on admission and stay of the newborn in the accommodation set on intra-hospital
Authors: Dulfe Paolla Amorim Malheiros , Aguiar Rosane Cordeiro Burla de , Alves Valdecyr Herdy , Rodrigues Diego Pereira
Published: May 2015

Objetivo: analisar os cuidados de enfermagem instituídos aos recém-nascidos em alojamento conjunto que, posteriormente, passaram por transferência intra-hospitalar. Métodos: pesquisa descritiva, exploratória, quanti-qualitativa, aprovada pelo Comitê de Ética em Pesquisa da Faculdade de Medicina do Hospital Universitário Antônio Pedro (HUAP), sob protocolo nº: 182.253/2012; e realizada com oitos enfermeiros do alojamento conjunto, mediante análise documental através de levantamento no banco dos prontuários com aplicação de um check list sobre a linha de cuidados de enfermagem e entrevista semiestruturada. Resultados: na analise dos dados, os resultados mostraram a importância da mulher e do recém-nascido no mesmo espaço, orientações aos acompanhantes. A realização do exame físico mostra a sua eficácia no seu acompanhamento. Conclusão: assim, o enfermeiro deve executar o seu cuidado na admissão e permanência do recém-nascido em sua integralidade, favorecendo o conforto e a segurança. Descritores: Enfermagem, Cuidados de enfermagem, Alojamento conjunto.
The quality of an integrated network: accessibility and coverage in prenatal care
Authors: Silva Luana Asturiano da , Alves Valdecyr Herdy , Rodrigues Diego Pereira , Padoin Stela Maris de Mello , Branco Maria Bertilla Lutterbach Riker , Souza Rosangela de Mattos Pereira de
Published: May 2015

Objetivo: analisar os valores expressos no discurso das mulheres/gestantes sob a acessibilidade dos exames no acompanhamento pré-natal. Métodos: estudo fenomenológico, descritivo, exploratório com abordagem qualitativa. Foram entrevistadas cinquenta mulheres/gestantes do Programa de pré-natal do município de Niterói, Rio de Janeiro, Brasil. Os dados analisados permitiram formular categorias temáticas articuladas com a Teoria dos Valores. Resultados: os obstáculos vivenciados pelas mulheres na realização dos exames laboratoriais/imagens foram: demora nos resultados, desinformação e escassez de um serviço de qualidade, considerado um valor de utilidade vital para elas. Percebemos a necessidade de mudança no acompanhamento do pré-natal, considerando uma rede de saúde unificada e integrada com serviços de qualidade nos seus diversos níveis de atenção à saúde, promovendo o bem estar, o conforto e a segurança à mulher gestante como valor vital à saúde da mesma. Conclusão: a rede de saúde deve-se estar unificada para uma melhor qualidade aos serviços oferecidos à mulher. Descritores: Saúde da mulher, Valores sociais, Cuidado pré-natal, Acesso aos serviços de saúde.
Health strategy and bonding construction in the control of pulmonary tuberculosis in Rocinha-RJ
Authors: Sousa Thamiris Farias
Published: May 2015

Objetivo: analisar o estabelecimento de vínculo dos profissionais de saúde da equipe da Estratégia Saúde da Família da Rocinha/RJ com os usuários portadores de tuberculose (TB). Métodos: estudo descritivo, com abordagem quantitativa. Foi aplicado um questionário a 145 profissionais de saúde contendo perguntas relacionadas ao vínculo. Resultados: 95,15% dos entrevistados responderam que os doentes são sempre atendidos pelo mesmo profissional da equipe cada vez que demandam ao serviço de saúde. Todos os entrevistados responderam realizar busca do usuário quando este falta a consulta, não comparece para a ingesta ou busca da medicação na data correta. Conclusão: através dos dados obtidos e tão somente pela visão dos profissionais entrevistados, pode-se inferir que há situações que podem ser caracterizadas como vínculo. Descritores: Vínculo, Tuberculose, Rocinha.
Group of education in health: closeness of men to a primary health care center
Authors: Xavier Sheila Quandt , Ceolin Teila , Echevarría-Guanilo Maria Elena , Mendieta Marjoriê da Costa
Published: May 2015

Objetivo: Identificar o acesso da população masculina aos serviços de saúde, a participação dos homens nos grupos de educação em saúde na Unidade Básica de Saúde de um município no Sul do Rio Grande do Sul e reconhecer os motivos que os levaram a procurar o grupo de saúde que participam. Métodos: Estudo qualitativo, do tipo descritivo e exploratório, desenvolvido com seis usuários de uma UBS urbana do município de Pelotas (RS). Os dados foram coletados em novembro e dezembro de 2012 por meio de entrevista semiestruturada, após submetidos a análise de conteúdo. Resultados: A participação dos homens em grupos de educação em saúde na UBS se limita somente ao grupo de hipertensos e diabéticos. Conclusão: É ncessário planejamento de ações educativas para a outra parcela da população masculina, que não possui nenhum probema de saúde.
Control of cervical cancer: actions taken by nurses based on collective subject discourse
Authors: Lima Kelly Diogo de , Gomes Ramos Anne Ingrid , Gomes dos Santos Rebeca Lídia , Bushatsky Magaly Bushatsky , Campos Barros Mariana Boulitreau Siqueira
Published: May 2015

Objetivo: compreender o processo do trabalho do enfermeiro da Estratégia de Saúde da Família (ESF) no controle do câncer do colo do útero do munícipio de Carpina-PE. Métodos: estudo interpretativo com abordagem qualitativa, realizado com onze enfermeiras da ESF. Os dados foram coletados através de entrevista semiestruturada e processados usando a técnica do Discurso do Sujeito Coletivo (DSC). Sendo aprovado pelo CEP com CAAE: 19630113.5.0000.5192. Resultados: após análise, foram estabelecidos cinco temas: estratégias para as ações de educação em saúde; convocando o público para realizar o citopatológico; recomendações acerca do rastreamento; limitações ao rastreamento e adesão ao exame preventivo e redes de atenção à saúde: encaminhamento e acompanhamento das usuárias. Conclusão: os achados do estudo refletem o diagnóstico situacional da região e impulsionam reflexões sobre a assistência prestada pelo enfermeiro da ESF. Descritores: Neoplasias do colo do útero, Atenção primária à saúde, Pesquisa qualitativa.
Nursing actions facing reactions to chemotherapy in oncological patients
Authors: Ribeiro Guimarães Rita de Cássia , Fonseca Gonçalves Renata Patrícia , Almeida Lima Cássio de , Rocha Torres Marcelo , De Oliveira e Silva Carla Silvana
Published: May 2015

Objetivo: Descrever as ações de enfermagem frente às reações a quimioterápicos em pacientes oncológicos. Metodologia: Revisão integrativa da literatura de 14 artigos científicos publicados nos últimos 10 anos. Resultados: As reações adversas inerentes ao tratamento quimioterápico manifestadas pelos pacientes são frequentes. A náusea e o vômito foram as principais reações da quimioterapia descritas. O trabalho da enfermagem é desenvolvido através da orientação antes e durante o tratamento, e tem como objetivo primordial melhorar o estado psicológico do paciente, fornecendo segurança no tratamento proposto. Conclusão: As orientações levam a uma melhor aceitação da quimioterapia, favorecendo a continuação do tratamento. Constatou-se a necessidade de melhoria dos registros de enfermagem, bem como a implantação do processo avaliativo na construção de indicadores para avaliar condutas e/ou intervenções específicas. Descritores: Quimioterapia, Efeitos adversos, Cuidados de enfermagem.
Content validation of an instrument to assess the knowledge about the measurement of blood pressure
Authors: Tibúrcio Manuela Pinto , Martins Melo Gabriela de Sousa , Câmara Balduíno Lívia Sêmele , Soares de Freitas Camylla Cavalcante , Fernandes Costa Isabelle Katherinne , Torres Gilson de Vasconcelos
Published: May 2015

Objetivo: Validar um instrumento para avaliação sobre o conhecimento dos graduandos de enfermagem acerca da medida da pressão arterial. Métodos: Estudo metodológico, desenvolvido com 27 enfermeiros juízes, docentes da disciplina de semiologia e/ou semiotécnica, com no mínimo 1 ano de experiência nas disciplinas, em três etapas: levantamento da literatura para a elaboração do questionário do conhecimento; submissão aos juízes; e validação de conteúdo mediante o Índice Kappa, aceitando-se o valor > 0,61, e Índice de Validade de Conteúdo (IVC) > 0,75. Resultados: As 12 questões obtiveram Kappa e IVC dentro dos parâmetros estabelecidos para a validade de conteúdo, 7 apresentaram índice de concordância perfeito e 5 exigiam alterações. Conclusão: Não foi necessária a retirada de questões do instrumento, o que expressa que elas apresentam representatividade e extensão acerca do domínio de interesse, favorecendo a avaliação do conhecimento.
Removing the blindfolds: knowledge of blind women about breast cancer
Authors: Cruz Giovanna Karinny Pereira , França Inacia Sátiro Xavier de , Oliveira Cibely Freire de , Sousa Francisco Stélio de , Coura Alexsandro Silva
Published: May 2015

Objetivo: Compreender o conhecimento de mulheres cegas sobre fatores de risco e detecção precoce do câncer de mama. Método:Estudo transversal, desenvolvido em 2010, no Instituto dos Cegos, Campina Grande/PB, Brasil.Participaram 16 mulheres que responderam um questionário com questões abertas e de múltipla escolha sobre os fatores de risco e detecção precoce do câncer de mama. Utilizou-se estatística descritiva e análise de conteúdo temática. Resultados: Emergiram as categorias: Déficit de conhecimentos acerca da detecção precoce do câncer de mama e Mitos sobre o câncer de mama. As participantes desconheciam os fatores de risco para o câncer de mama e não praticavam o autocuidado para a detecção precoce. Conclusão: O conhecimento de mulheres cegas sobre fatores de risco e detecção precoce do câncer de mama é permeado por dúvidas e mitos, devendo os enfermeiros desenvolver estratégias de educação em saúde, rastreamento e detecção precoce.
Sexual behaviour among initial academic students
Authors: Borges Maritza Rodrigues , Santos Álvaro da Silva , Da Silveira Rodrigo Euripedes , Lippi Umberto Gazi
Published: May 2015

Objetivo: Descrever as práticas sexuais de ingressantes de uma universidade federal do interior de Minas Gerais. Métodos: Estudo exploratório, de corte tranversal, que incluiu 786 acadêmicos matriculados em cursos da área da saúde. Resultados: 623 (79,3%) eram do gênero feminino e a idade média encontrada foi de 19,2 ± 3,1 anos. 693 (88,2%) jovens tinham iniciado vida sexual, dos quais 332 (47,9%) mantinham relações sexuais com parceiro fixo e 135 (19,5%) relataram fazer uso regular de preservativo. Conclusão: Depreende-se a necessidade de ações de educação em saúde direcionadas à população adolescente no contexto universitário, sobretudo aqueles da área de saúde, com vistas a prevenção e à adoção de hábitos saudáveis, destacando não somente aspectos biológicos, mas também psicossociais e comportamentais.
Characterization of theses and dissertations about nursing care in oncology
Authors: De Barros Adriana Gonçalves , Lima Kálya Yamine Nunes de , Santos Viviane Euzébia Pereira
Published: May 2015

Objetivo: Caracterizar as dissertações e teses de enfermagem disponíveis no Banco de Teses da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) que versam sobre o cuidado em oncologia. Metodologia: Pesquisa documental realizada no Portal de Periódicos da CAPES, em fevereiro de 2013. Resultados: A amostra constituiu-se de 62 estudos, 47 (75,80%) dissertações e 15 (24,20%) teses. As universidades que mais produziram sobre a temática foram a Universidade de São Paulo, com 21 (33,87%) estudos e a Universidade Federal do Rio de Janeiro com 10 (16,12%) trabalhos. Prevaleceram as pesquisas qualitativas (56,45%). Foram elencadas as seguintes categorias temáticas: Humanização do Cuidado, Cuidado, Avaliação e estratégias de avaliação no cuidado de enfermagem e Saúde/Segurança do trabalhador. Conclusão: A maioria das pesquisas de pós-graduação na área oncológica concentra-se na região Sudeste, sendo os cursos de mestrado os que mais produziram nos últimos anos, destacando-se a abordagem qualitativa no desenvolvimento metodológico.
Knowledge and practices of nursing teachers about diagnosis of human responses
Authors: Pereira Jamelson dos Santos , Lira Ana Luisa Brandão de Carvalho , Oliveira Ana Márcia de
Published: May 2015

Objetivo: Objetivou-se discutir os saberes e práticas dos docentes de um Curso de Graduação em Enfermagem sobre o diagnóstico de respostas humanas. Métodos: Estudo qualitativo, realizado durante os anos de 2010 e 2012, com catorze docentes da graduação em enfermagem, atuantes em uma Faculdade localizada na cidade de Juazeiro do Norte - CE. Os dados foram coletados através de uma entrevista, mediante a assinatura do termo de anuência pelos participantes. Resultados: Os sujeitos concebem o diagnóstico como o julgamento clínico do enfermeiro sobre as necessidades humanas básicas do indivíduo. Os docentes inserem o tema do diagnóstico as suas atividades pedagógicas, conforme as peculiaridades de cada disciplina curricular. Conclusão: Aventa-se que os docentes aprimorem os seus saberes sobre o diagnóstico de respostas humanas e introduzam, efetivamente, a temática ao seu fazer pedagógico. Descritores: Cuidados de Enfermagem, diagnóstico de Enfermagem, educação em enfermagem.