bluuebunny/crossref_metadata_2025 huggingface dataset:
Functional Evolution of the Kernavė Hillforts in the Iron Age: New Intepretations of Old Data
Authors: Vengalis Rokas , Vėlius Gintautas
Published: February 2020

This article explores the finds and post-excavation reports of earlier archaeological investigations in the five Kernavė hillforts. The detailed analysis of the assembled finds, discovered features and structures made it possible to revise and improve the prieviously suggested evolution model for the Kernavė hillforts. It reveals the evolution of the hillforts to have been much more complicated and that, over time, their function has changed rather significantly more than once. The finds recovered during earlier excavations were not classified into primary, secondary and de facto refuse. New examination of refuse – in this case, of pottery sherds, allowed for identification of single events, short-term activities and long-term settlement on the hillforts as well as distinct functional areas. The authors discuss whether the term “hillfortˮ is appropriate for use in scientific historiography. The issue of actual contemporaneity of the hilfforts in hilffort complexes is also raised.
INVENTARISASI DAN STUDI EKOLOGI BUAH BIWA (Eriobotrya japonica Lindl.) DI LIMA KABUPATEN DI SUMATERA UTARA
Authors: Normasiwi Suluh , Ismaini Lily , Surya Muhammad Imam
Published: February 2020

Biwa (Eriobotrya japonica) termasuk dalam famili Rosaseae dan merupakan tanaman asli Tiongkok yang menyebar hingga ke Jepang, Korea, pengunungan India, dan Eropa. Di Indonesia, Buah Biwa ditemukan di dataran tinggi Sumatera Utara. Buah biwa termasuk buah yang belum banyak dibudidayakan, namun memiliki potensi ekonomi yang cukup tinggi serta diminati oleh warga etnis Tiongkok. Lebih lanjut, data dan informasi mengenai biwa di Indonesia masih terbatas. Studi ini bertujuan untuk mengetahui sebaran ekologi dan keragaman jenis biwa yang terdapat di lima kabupaten di Sumatera Utara. Kegiatan dilaksanakan di lima kabupaten di Sumatera Utara, yaitu Kabupaten Samosir, Tobasa, Simalungun, Dairi, Karo pada rentang ketinggian 900–1.500 mdpl. Berdasarkan hasil inventarisasi diperoleh sebanyak 57 nomor koleksi tanaman biwa yang terdiri dari 52 nomor stek bibit dan 5 nomor herbarium. Selain itu, diketahui bahwa terdapat tipe variasi tanaman biwa yang dapat dibedakan berdasarkan bentuk buah (bulat oval dan lonjong), warna buah (kuning pucat dan jingga tua), bentuk daun (lanset dan bulat telur terbalik), serta bentuk tajuk (tegak dan menyebar).AbstractLoquat (Eriobotrya japonica) belongs to the Rosaseae Rosaceae family is native to China and spread to Japan, Korea, the Indian mountains and Europe. In Indonesia, loquat was is found in the highland of North Sumatra. It has economic potential and specific market for Chinese ethnic, but not widely cultivated yet. Moreover, the data and information about loquat in Indonesia is are still limited. The aim of this study wasThis study aimed to determine the ecological distribution and diversity of loquat in North Sumatra. The inventarisation and ecological study of loquat was were conducted in five regencies of North Sumatra, i.e. Samosir, Tobasa, Simalungun, Dairi, and Karo at an altitude of 900–1,500 m asl. We were obtainedThere were 57 number collection of loquat, consisting of 52 numbers of seedling from cuttings and 5 numbers of herbarium. Moreover, the results showed that the variation of loquat in North Sumatra can be distinguished based on fruit shapes (oval and elliptic), fruit colours (pale yellow and dark orange), leaf shapes (lanceolate and obovate), and canopy shapes (erect and spreading).
TUMBUHAN SEBAGAI OBAT TRADISONAL PASCA MELAHIRKAN OLEH SUKU ACEH DI KABUPATEN PIDIE
Authors: Zumaidar Zumaidar , Saudah Saudah , Rasnovi Saida , Harnelly Essy
Published: February 2020

AbstrakPemanfaatan tumbuhan sebagai obat tradisional merupakan kearifan lokal yang diturunkan secara turun temurun berdasarkan resep nenek moyang, adat istiadat, kepercayaan atau kebiasaan setempat. Penelitian ini bertujuan untuk mengidentifikasi jenis tumbuhan yang digunakan dalam pengobatan pasca melahirkan oleh Suku Aceh di Kabupaten Pidie. Metode yang digunakan dalam pengumpulan data adalah teknik Participatory Rural Appraisal dan observasi. Parameter dalam penelitian ini adalah jenis tumbuhan obat, jenis ramuan obat dan cara penggunaan ramuan dalam pengobatan pasca melahirkan. Berdasarkan hasil penelitian diperoleh 25 jenis tumbuhan yang tergolong ke dalam 15 suku yang digunakan dalam pengobatan pasca melahirkan di Kabupaten Pidie. Jenis ramuan dalam pengobatan tradisional pasca melahirkan terdiri dari obat dalam dan obat luar. Obat dalam yang digunakan terdiri obat perut, bedak param, dan pilis. Penggunaan ramuan obat dalam dan obat luar selama pasca melahirkan dilakukan selama 44 hari. Manfaat dari penggunaan obat tersebut diantaranya menambah darah, meningkatkan jumlah air susu ibu, menghangatkan badan, dan menghilangkan lelah serta letih pasca melahirkan. Pemanfaatan tumbuhan obat secara tradisional sampai saat ini masih digunakan oleh masyarakat Aceh pada pengobatan ibu pasca melahirkan, selain pengobatan modern.Abstract Traditional medicine is a drug that is processed in a simple, hereditary based on ancestral recipes, customs, beliefs or local knowledge. This study aims to identify the species of plants used in post-natal care by Acehnese in Pidie District. The method used in data collection is Participatory Rural Appraisal and observation techniques. The parameters in this study are the species of medicinal plants, types of medicinal herbs and how to use the ingredients in postnatal care. The results of the study obtained 25 species plant that is grouped into 15 family used in post-natal care in Pidie District. A Traditional herbs post-natal medicine consists of internal and external medicine. The internal medicine used as stomach medicine, param powder and pilis. The use of medicinal herbs to internal and external medicine after postnatal was carried out for 44 days. The perceived benefits included adding blood, increasing the amount of breast milk, warming the body and eliminating fatigue and fatigue after childbirth. Utilization of traditional medicinal plants in this time are still used by Acehnese in the treatment of postnatal mother, besides modern treatment.
Non-invasive Stereotactic Radioablation: A New Option for the Treatment of Ventricular Arrhythmias
Authors: Wei Chen , Qian Pierre , Tedrow Usha , Mak Raymond , Zei Paul C
Published: February 2020

Ventricular tachycardia (VT) is associated with significant morbidity and mortality. Radiofrequency catheter ablation can be effective for the treatment of VT but it carries a high rate of recurrence often attributable to insufficient depth of penetration for reaching critical arrhythmogenic substrates. Stereotactic body radioablation (SBRT) is a commonly used technology developed for the non-invasive treatment of solid tumours. Recent evidence suggests that it can also be effective for the treatment of VT. It is a non-invasive procedure and it has the unique advantage of delivering ablative energy to any desired volume within the body to reach sites that are inaccessible with catheter ablation. This article summarises the pre-clinical studies that have formed the evidence base for SBRT in the heart, describes the clinical approaches for SBRT VT ablation and provides perspective on next steps for this new treatment modality.
Challenges Associated with Interpreting Mechanisms of AF
Authors: Roney Caroline H , Wit Andrew L , Peters Nicholas S
Published: February 2020

Determining optimal treatment strategies for complex arrhythmogenesis in AF is confounded by the lack of consensus regarding the mechanisms causing AF. Studies report different mechanisms for AF, ranging from hierarchical drivers to anarchical multiple activation wavelets. Differences in the assessment of AF mechanisms are likely due to AF being recorded across diverse models using different investigational tools, spatial scales and clinical populations. The authors review different AF mechanisms, including anatomical and functional re-entry, hierarchical drivers and anarchical multiple wavelets. They then describe different cardiac mapping techniques and analysis tools, including activation mapping, phase mapping and fibrosis identification. They explain and review different data challenges, including differences between recording devices in spatial and temporal resolutions, spatial coverage and recording surface, and report clinical outcomes using different data modalities. They suggest future research directions for investigating the mechanisms underlying human AF.
Multimodality Imaging to Guide Ventricular Tachycardia Ablation in Patients with Non-ischaemic Cardiomyopathy
Authors: Kuo Ling , Liang Jackson J , Nazarian Saman , Marchlinski Francis E
Published: February 2020

Catheter ablation is an effective treatment option for ventricular tachycardia (VT) in patients with non-ischaemic cardiomyopathy (NICM). The heterogeneous nature of NICM aetiologies and VT substrate in patients with NICM play a role in long-term ablation outcomes in this population. Over the past decades, more precise identification of NICM aetiologies and better characterisation of various substrates have been made. Application of multimodal imaging has greatly contributed to the accurate diagnosis of NICM subtypes and improved VT ablation strategies. This article summarises the current knowledge of multimodal imaging used in the characterisation of non-ischaemic NICM substrates, procedural planning and image integration for the optimisation of VT ablation.
М. Тимошенко & К. Горішний «Герой поневолі»: комікс-візуалізація актуальності громадянського міжетнічного діалогу в Україні
Authors: Bucharska I.
Published: February 2020

У дослідженні зроблено спробу порівняти результати аналітичного читання двох творів, що належать до різних видів мистецтва, але розробляють один сюжет. Повість І. Франка «Герой поневолі» (1904) – типовий зразок української класичної літератури ХІХ сторіччя – віддзеркалює настрої та ідеї свого часу. Графічний роман Михая Тимошенка & Кирила Горішного «Герой поневолі» (2015–2018) за повістю І. Франка – сучасна інтерпретація класичного сюжету засобами «мальованої історії», яка була зроблена авторами з подвійною метою: по-перше, ознайомити читача з маловідомим твором знакового для України автора, по-друге, призвичаїти українців до нового формату видань «серйозної» літератури. Одночасне перебування в культурному просторі «однакових» (різних) творів, має викликати обговорення, його потенційні результати спробувано спрогнозувати. Актуальність даного питання для сучасної України підтверджено роботами дослідників підавстрійської Галичини кінця XVIII – початку ХХ ст. Представники різних галузей гуманітарного знання фіксують надзвичайну важливість львівської історії ХІХ ст. в процесі формування української ідентичності. Культурологічне дослідження часу та простору Lemberg доводить, що міжетнічний діалог не був процесом взаємоповажним і гармонійним, а багатонаціональний простір завжди ставить питання гегемонії якогось із народів. Не менш важливою для сучасної України є проблема постреволюційного творення, де особливо цінною є здатність просто чесно працювати – головна якість «героя поневолі».
Transformation of the media reception of the presidency institute in Ukraine (based on the materials of European newspapers)
Authors: Harkavenko Y.
Published: February 2020

The research is dedicated to the study of the process of transformation of media reception of the Institute of the Presidency of Ukraine based on the articles published by the European newspapers on their websites during the year 2019. Particular attention was paid to the key substantive concepts that underpinned the media discourse of the British, French and German press during the election and post-election periods.In the process of study, the method of conceptual analysis, which allowed to reveal the core and peripheral meanings of the concepts under study as well as point to key concept compounds and capture the phenomenon of concept separation under conditions of changing reference situation was used. The phenomenon of content homogenization, which is now the characteristic of Western media discourse was also considered. We have confirmed its manifestations by almost complete convergence of conceptual representations presented in the media systems of Britain, Germany and France.
In the article the concept of presidency in Ukraine, represented by the name of V. Zelensky, is under exploration. Carrying out the conceptual analysis, we first identified the reference situation that caused the actualization of the concept, and paid attention to the extra-linguistic factors of its change in the media discourse. In the process of study, the following frequently used concepts to denote President Zelensky, which represented the atypical character of the Ukrainian incumbent presidency, were found: “political newcomer,” “newcomer to politics who came from show business,” “politician newcomer,” “television clown,” “Ukrainian television comedian,” “cabaret artist,” “joker,” etc.We have also stated the process of transformation from personal, negatively connotated to institutional concepts with a neutral core sense. We particularly pointed to the separation of stereotypical conceptual connections of “president-comedian,” first by introducing the predicate “former” and actualization of the combination “president-former comedian” and later by approving new semantic connections. We also pointed to the negative role of the Ukrainegate concept, which manifested Ukraine’s minor role on the international arena.
Nikkei as a complete cross-media system
Authors: Pashchenko B.
Published: February 2020

The scientific paper is devoted to the cross-media system which is built around Japanese economic newspaper Nikkei. The work considers the phenomenon of cross-media, the preconditions of its establishment in Japan, and its functioning with complete Nikkei cross-media platform as an example. Research shows how traditional Japanese daily press evolves into cross-media. The academic work considers the peculiarities of the most influential economic newspaper Nikkei, its history, topics and different channels through which the audience consumes information within the cross-media system. In addition, the author analyzes the circulation of various editions of the newspaper, tracing its changes from 2012 to 2019. The article analyzes how the newspaper builds a cross-media platform around print media, online publications, television, radio, information networks, participation in educational projects and exhibitions, and the introduction of augmented reality elements. The research compares cross-media categories by Gary Hayes with Nikkei cross-media elements, illustrating each category. The author also considers how Nikkei enters the global market, analyzes the processes of globalization and digitization of Japanese media model. The author defines the relationship between the development of online cross-media elements and the steady decline of the print circulations. The results of the work can be used for the further studies of Japanese media theory in domestic and foreign scientific discourses.
Нативна реклама в українських нішевих онлайн-виданнях
Authors: Pykaliuk R. , Shulga D.
Published: February 2020

Статтю присвячено висвітленнню явища нативної реклами як новітнього рекламного формату, що полягає в адаптації рекламного контенту до медіасередовища, в якому він розміщений. Визначено, що нативна реклама виникає й активно розвивається паралельно з розвитком онлайн-ЗМІ, в яких традиційні рекламні формати виявляються неефективними. Встановлено, що культура медіаспоживання нового покоління впливає на вибір каналів поширення нативної реклами. Серед сучасних читачів спостерігається високий попит на нішевий контент, тому комерційні публікації в нішевих виданнях викликають довіру. З огляду на це зроблено висновок, що розміщення нативної реклами в нішевих онлайн-виданнях має широкі перспективи. Однак у масових ЗМІ нативна реклама використовується обмежено і подається переважно в тематичних рубриках.Визначено, що нативна реклама в тематичних рубриках масових онлайн-ЗМІ має переважно формат спецпроєктів і спирається на традиційні журналістські жанри: інтерв’ю, аналітична стаття, репортаж. Нішеві видання ширше використовують новітні формати: життєва історія, стаття-лайфхак, підбірка. Також популярні ігрові формати публікацій: тест, генератор.Встановлено, що формати й жанри нативної реклами в нішевих онлайн-виданнях великою мірою залежать від редакційної політики ЗМІ. Переважна більшість видань використовує редакційний контент для подання нативної реклами. В окремих онлайн-ЗМІ допускається використання матеріалів рекламодавця як анонсів або новин про компанію.
Жанрова палітра публіцистичних матеріалів на літературну тематику
Authors: Khmil-Chupryna V.
Published: February 2020

У статті висвітлено і проаналізовано форми опосередкованої реклами та промоції художньої літератури у ЗМК, до яких віднесено публіцистичні матеріали на літературну тематику. Розглянуто та охарактеризовано жанри репортажу, звіту, біографічного або портретного нарису, есе та блогу, зокрема відео- і фотоблогу. Визначено їх потенціал у популяризації читання та промоції літератури. Простежено жанрові трансформації публіцистичних матеріалів на літературну тематику, досліджено виникнення нових жанрів опосередкованої реклами, зокрема букстаграму. Метою статті є дослідження жанрової палітри публіцистичних матеріалів на літературну тематику та визначення їх ролі у промоції книжкової продукції та популяризації читання. На основі аналізу сучасної вітчизняної та зарубіжної наукової літератури з проблем читання доведено, що популяризація читання на сучасному етапі передбачає широке використання новітніх інформаційних технологій і впровадження нових форм і методів промоції книги. Також актуалізовано продуктивність засобів опосередкованого впливу на аудиторію, спрямованих на підвищення статусу читання як соціально-культурного інституту, формування позитивного іміджу людини, яка читає. Доведено потенціал ЗМК у популяризації читання і налагодженні ефективної комунікації між різноманітними соціальними інститутами, що беруть участь у цьому процесі. Наукова новизна розвідки полягає у комплексному дослідженні журналістських жанрів, що використовуються для висвітлення літературної тематики. Матеріалом дослідження стали сучасні публіцистичні матеріали літературної тематики українських інтернет-ЗМК. Результати дослідження можуть доповнити навчальні курси «Масова комунікація та інформація», «Журналістика», «Теорія соціальних комунікацій», «Теорія і практика видавничої справи», «Книжкові видання», а також бути задіяні для оптимізації роботи мережевих видань.
Image copywriting : genres and methods of creating the image texts
Authors: Blynova N. , Polishko N. , Mykhailova A.
Published: February 2020

The specificity of image copywriting, the features of storytelling as a method of writing image materials are considered. Image copywriting involves the creation of texts that shape and enshrine the image of the brand, the person and the service in the consumer’s mind. Historically, in Ukraine image texts were first circulated through the traditional and electronic media, and with the development of network communication an active functioning of such texts started on Internet, which proved its extraordinary effectiveness precisely when reaching the network audience.
At the same time, the text does not only emphasize the positive aspects of the institution, product or service, does not call for something to buy or order. This is its key difference from the Direct-Response copywriting materials. Image copywriting has much in common with such journalistic genres as: review, press release, interview, biography, invitation, expert opinion, media statement. In the web space, the most prominent examples of the implementation of the image copywriting is the section "About Us", which is mandatory for many companies' sites, and is obligatory for any resource “Home” page.Today, the most commercially viable way of writing image texts is storytelling. It was first approached in the early 2010s in the New York Times. Simply and unobtrusively speaking about yourself, the company and the product is the best way to establish a connection with the consumer and the market is. A professionally created story not only create big interest but also arouse empathy in the readers, who begin to agree with the author. The unobtrusive presentation of information leads to the goal set by marketers: it is up to the individual to decide how to treat the material. Today, special storytelling techniques are being developed and actively operating to help copywriters to create image text of high quality.Such materials increase the trust of the target audience to the object of the image campaign, have lasting effect and remarkable commercial results.
Вимірювання ефективності PR-діяльності: варіативність критеріїв та підходів
Authors: Myrоnenkо V.
Published: February 2020

Оцінка ефективності зв’язків з громадськістю є багатоплановим об’єктом досліджень, оскільки саме поняття ефективності PR-діяльності не є однозначним, а процес оцінки охоплює реалізацію програми від початку до кінця. Процес оцінки ефективності PR-діяльності визначається його етапами та факторами, що в ньому оцінюються, які, у свою чергу, описуються конкретними критеріями. Для сучасних теоретиків та практиків розробка та прийняття професійних стандартів вимірювання та оцінки є одним з найперспективніших підходів до розвитку зв’язків з громадськістю. Незважаючи на активізацію зусиль щодо розробки стандартів для вимірювання та оцінки, прийняття, а, надто, застосування їх у практичній діяльності, істотно варіюється. У сучасній практиці не існує стандартного підходу до вимірювання ефективності діяльності у сфері зв’язків з громадськістю, який би сприймався спеціалістами-практиками.У статті розглянуто актуальну на сьогодні проблему оцінки ефективності зв’язків з громадськістю, методи та моделі вимірювання ефективності PR-діяльності. Здійснено ретроспективний аналіз еволюції вимірювання та оцінки зв’язків з громадськістю, характерних для минулого століття. Ця еволюція відбувалась разом із розвитком зв’язків з громадськістю, які поступово виокремлювались у самостійну наукову дисципліну. Акцентується увага на зміні у підходах до оцінки PR-діяльності: від елементів соціологічних досліджень, опитувань думок громадськості, акцентуванні на ролі рекламу у ЗМІ до медіааналізу, кількісних та якісних досліджень та появи нових методів і підходів до досліджуваної проблеми. Проаналізовано сучасні погляди на ефективність PR-діяльності, існуючі методи та моделі оцінки зв’язків з громадськістю у вітчизняній та зарубіжній практиці, визначено їх переваги та недоліки. Окреслено тенденції щодо застосування у сучасній практиці зв’язків з громадськістю.
Prevalence of symptoms and quality of life of cancer patients
Authors: Salvetti Marina de Góes , Machado Caroline Silva Pereira , Donato Suzana Cristina Teixeira , Silva Adriana Marques da
Published: February 2020

ABSTRACT Objectives: to analyze the prevalence of symptoms and their relationship with the quality of life of cancer patients. Methods: this is a cross-sectional study with 107 patients evaluated using a sociodemographic instrument, the hospital anxiety and depression scale (HADS) and the quality of life scale (EORTC-QLQ-C30). Pearson’s correlation test was used to evaluate the relationship between symptoms and quality of life. Results: prevalence of female patients (56.1%), 55 years as the mean age and 10 years of schooling. Fatigue (76.6%), insomnia (47.7%), pain (42.1%), loss of appetite (37.4%), anxiety (31.8%) and depression (21.5%) were identified. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms. Conclusions: fatigue, insomnia, pain and loss of appetite were the most common and most intense symptoms. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.
Flucloxacillin-Induced Hepatotoxicity - Association with HLA-B*5701
Authors: Teixeira Mónica , Macedo Sara , Batista Tânia , Martins Sofia , Correia Andreia , Matos Luís Costa
Published: February 2020

SUMMARY Drug-induced liver injury (DILI) to flucloxacillin is rare and is classified as idiosyncratic, as it is dependent on individual susceptibility, unpredictable, and dose-independent. The authors present the case of a 74 - year - old man with a history of monoclonal gammopathy under investigation and alcoholic habits of 24 g/day, with asthenia, anorexia, nausea, abdominal discomfort, and fever with three days of evolution. He was treated with two courses of antibiotic therapy with flucloxacillin to erysipelas previously (3 months and 2 weeks before admission). Lab tests showed serum AST levels of 349 U/L, ALT 646 U/L, alkaline phosphatase 302 U/L, GGT 652 U/L, total bilirubin 3.3 mg/dL and direct bilirubin 2.72 mg/dL. Infectious, autoimmune, and metabolic causes were ruled out. Magnetic resonance cholangiopancreatography showed normal results. Liver biopsy showed mild multifocal (predominantly microvesicular) steatosis; marked changes in the centrilobular areas (sinusoidal dilatation, marked congestion, hemorrhage, and multifocal hepatocyte collapse); expansion of the portal areas with the formation of bridges; proliferated bile ducts and inflammatory infiltrate of variable density, predominantly mononuclear type. The HLA-B*5701 screening test was positive. Hepatic biochemical tests remain abnormal with a significative increase in total bilirubin, which reached levels of 24.1 mg/dL, with the development of jaundice, pruritus, and choluria. DILI was assumed, and the patient was treated with ursodeoxycholic acid. There was favorable evolution, without evidence of blood coagulation dysfunction or encephalopathy. The analytic normalization was, however, slow, with evolution to chronicity. The authors present this case to remind the possibility of moderate/severe drug-induced liver injury to flucloxacillin, an antibiotic commonly used in clinical practice and association with the HLA-B * 5701 allele reported in the literature.
Dosages of androgenic hormones in adolescent patients with severe acne
Authors: Cunha Marisa Gonzaga da , Moraes Caio , Cebrian Giovana , Silva Rafaela Ferreira da , Reple Sônia Isabel Friedlaender , Machado Filho Carlos D’Apparecida , Fonseca Fernando Luiz Affonso
Published: February 2020

SUMMARY OBJECTIVE Acne vulgaris in female adolescents, when severe or accompanied by other signs of androgenization, may represent a sign of hyperandrogenemia often underdiagnosed, which will have harmful consequences for adult life. The objective of this cross-sectional and retrospective study was to demonstrate the incidence of hormonal changes in the cases of female adolescents with severe or extensive acne, with or without other signs of hyperandrogenism, and propose a hormonal research pattern which should be indicated in order to detect early hyperandrogenemia. METHODS The medical records of 38 female patients aged between 9 and 15 years old with grade II and/or III acne were analyzed. The dehydroepiandrosterone sulfate, dehydroepiandrostenedione, and androstenedione, total testosterone, and dihydrotestosterone sulfate hormones were required prior to initiation of treatment. The hormonal dosages were performed in the serum after at least 3 hours of fasting by means of radioimmunoassay tests. RESULTS Of the 38 patients included, 44.7% presented changes in androgen levels (hyperandrogenemia), and the two most frequently altered hormones were DHEA and androstenedione, with the same incidence (23.6%). CONCLUSIONS The correct and early diagnosis provides an effective and agile approach, including antiandrogen therapy, with the purpose of avoiding the reproductive and metabolic repercussions, besides controlling the inflammatory picture and avoid aesthetic complications.
Laboratory predictors of survival in ovarian cancer
Authors: Jammal Millena Prata , Martins Filho Agrimaldo , Bandeira Guilherme Henrique , Murta Beatriz Martins Tavares , Murta Eddie Fernando Candido , Nomelini Rosekeila Simões
Published: February 2020

SUMMARY OBJECTIVE To relate disease-free survival and overall survival with type I and type II ovarian cancer and preoperative laboratory parameters biomarkers. METHODS A retrospective study was carried out based on the collection of data from medical records of patients with ovarian tumors. Kaplan-Mayer curves were drawn based on the statistical analysis of the data and were compared using the Log-rank test. RESULTS Disease-free survival in type I ovarian cancer was significantly higher than in type II (p=0.0013), as well as in those with normal levels of CA-125 (p=0.0243) and with a platelet-lymphocyte ratio (PLR) lower than 200 (p=0.0038). The overall survival of patients with type I ovarian cancer was significantly higher than in patients with type II, as well as in patients with normal CA-125 serum levels (p=0.0039) and those with a preoperative fasting glucose of less than 100 mg/dL. CONCLUSION CA-125 levels may predict greater overall and disease-free survival. PLR < 200 may suggest greater disease-free survival, whereas normal fasting glucose may suggest greater overall survival.
Estratégias de Educação Permanente na Avaliação das Equipes de Saúde da Família: uma Revisão Sistemática
Authors: Mesquita Livia Mendes , Valente Geilsa Soraia Cavalcanti , Soeiro Raquel Lima , Cortez Elaine Antunes , Lobo Bianca Maria Innocencio da Silveira , Xavier Simone Costa da Matta
Published: February 2020

Resumo: O Programa de Melhoria de Acesso e Qualidade da Atenção Básica, implantado pelo Ministério da Saúde, visa garantir a melhoria do acesso e da qualidade dos serviços ofertados pela atenção básica. Essa estratégia tem como perspectiva a promoção de melhorias do processo de trabalho e da assistência à saúde com base na indução, no monitoramento e na avaliação de processos e resultados a serem alcançados pelas equipes da Estratégia Saúde da Família. Nesse contexto, apresenta como uma das suas ferramentas mais potentes a educação permanente em saúde, que tem como objetivo promover as mudanças das práticas de atenção, gestão, educação e participação. Este artigo objetiva descrever as estratégias de educação permanente em saúde utilizadas no processo de avaliação das equipes de saúde da família, visando à melhoria da qualidade da assistência. Trata-se de uma revisão sistemática, com vistas a responder à seguinte questão de pesquisa: “Quais estratégias devem ser inseridas no âmbito das equipes de saúde da família para consolidar os processos avaliativos fomentados pelo Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica, tendo como foco a educação permanente em saúde?”. Em síntese, os artigos selecionados nesta revisão apresentam as experiências em relação à avaliação do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica, as ações referentes à educação permanente em saúde inseridas no processo de trabalho das equipes de saúde da família e o grau de incorporação de tecnologias de informação e comunicação na atenção básica. Ainda há evidências do uso de práticas educativas formativas e verticalizadas que não levam em consideração as necessidades do território nem as demandas dos profissionais no cotidiano do trabalho em saúde. A revisão demonstra a existência de uma lacuna do conhecimento que retrate estratégias de educação permanente para efetivação do processo avaliativo fomentado pelo Programa de Melhoria de Acesso e Qualidade da Atenção Básica.
Prevalence of and Factors Associated with Depression and Anxiety in Brazilian Medical Students
Authors: Ribeiro Christiane Fernandes , Lemos Carolina Martins Cabrita , Alt Nina Nogueira , Marins Rulliany Lizia Tinoco , Corbiceiro Weydler Campos Hottz , Nascimento Maria Isabel do
Published: February 2020

Abstract: Introduction: Although mental health is an essential condition for the human development, the scientific literature shows a high frequency of depression and anxiety in university students, mainly among medical students. To contribute to a better understanding concerning medical students’ mental health, this study had the following objectives: (a) to estimate the prevalence of indicative scores for anxiety, depression, and for simultaneous anxiety and depression, and (b) to analyze factors associated with these conditions in medical students at a federal university in Brazil. Methods: This is a cross-sectional study including students from a federal medical school in the state of Rio de Janeiro. Participants were enrolled during the first semester of 2015. Mental disorders were assessed with Hospital Anxiety and Depression Scale (HADS). The magnitude of mental disorders and its associated factors were analyzed calculating prevalence rates and unadjusted and adjusted prevalence ratios (PR) and 95% confidence intervals (95% CI). Results: We analyzed 355 students. Anxiety was the most common condition (41.4%), followed by depression (8.2%), and both anxiety and depression simultaneously (7.0%). After adjustment of multivariate models and considering both gender and age as confounding variables, our results showed a differentiated risk pattern in relation to three outcomes analyzed. Anxiety risk increased with ‘feeling alone’ (adjusted PR: 1.59; 95% CI: 1.123; 2.259), ‘having a history of psychological and/or psychiatric treatment before entering university’ (adjusted PR: 1.63; 95% CI: 1.052; 2.542), and ‘feeling morally harmed at college’ (adjusted PR: 1.66; (95% CI: 1.168; 2.364). Depression risk increased with ‘feeling alone’ (adjusted PR: 6.84; 95% CI: 2.047; 22.894) and ‘having a history of psychological and/or psychiatric treatment before entering university’ (adjusted PR: 4.74; 95% CI: 1.790; 12.579). Simultaneous anxiety and depression were associated with ‘feeling alone’ (adjusted PR: 8.90; 95%CI: 2.075; 38.208) and ‘having a history of psychological and/or psychiatric treatment during the medical course (adjusted PR: 3.16; 95% CI: 1.061; 9.439) and before (adjusted PR: 6.01; 95% CI: 2.000; 18.098) entering university’. Conclusion: Anxiety and depression are common conditions in medical students. The main associated factors were therapies for mental health before entering in university, loneliness and lack of respect in interpersonal relationships during the medical course. Therefore, initiatives aiming at better welcoming students and reducing conflicting situations can help minimizing these mental problems during university career, once they have a large impact not only in their quality of life, but also in the way they will deal with their patients in the future.
Predictive Factors of Graduation Delay in a Medical Program: a Retrospective Cohort Study in Brazil, 2010-2016
Authors: Rocha Bárbara Aparecida da Silva Rego , Toledo Júnior Antonio
Published: February 2020

Abstract: Introduction: Medical training is a long and expensive process. Admission processes are highly competitive all over the world but being accepted is no guarantee of academic success. Medical school is demanding and stressful, and some students are not able to cope with this new scenario successfully. It is estimated that 10-15% of medical students experience difficulties in adapting to the course, which can lead to academic failure. The identification of predictive factors of failure supports the creation of mechanisms and strategies to avoid course dropout or graduation delay. To identify predictive factors of academic failure in a Brazilian medical program. Methods: A retrospective observational study was carried out with all medical students admitted to a private Brazilian medical school in 2010 and 2011. The main outcome was academic success. Academic failure was defined as graduation delay or course dropout (Group 1), and academic success was defined as graduating within 6 years (Group 2). Sociodemographic and academic data were collected, including grades obtained at the admission process and the first-semester courses. Freshman students and students with passing grades in the first semester (passed students) were analyzed separately. Descriptive and comparative analyses, logistic regression and ROC curve analysis were performed. The level of significance was 0.05. Results: A total of 312 students were admitted during the study period, but 10 were excluded due to lack of information. Of the 302 students included in the study, 105 were included in Group 1 and 197 were included in Group 2. Thirty-two students failed the first semester. The 270 students with passing grades in the first semester were divided into Group 1 (n=73) and Group 2 (n=197). Among the freshman students, lower admission grades were associated with a higher chance of failure (padjusted=0.012). Of the 270 students with passing grades, low academic performance (courses’ mean grades) was associated with graduation delay (padjusted<0.001). Conclusions: Low grades at the admission process (freshman students) and low academic performance in the first semester (students with passing grades) were predictive factors of academic failure.
MiniCex as an Assessment Tool of a Medical Course Internship Program
Authors: Oliveira Céres Larissa Barbosa de , Appenzeller Simone , Caldas Cezar Augusto Muniz
Published: February 2020

Abstract: Introduction: Program assessment is the process of data collection about a course or teaching program that takes into consideration the aspects of cost-effectiveness, checking the adequacy of the evaluation according to the course purpose and the program capacity to yield changes in real life. Such regular assessments provide feedback to the decision-making process that aim at better teaching and learning practices. The Mini Clinical Evaluation Exercise (MiniCex) is a performance rating scale designed to assess the skills that medical students and residents need in real-life situations with patients. Considering the importance of program assessment for an institution, the utilization of the MiniCex data might be of great value for the follow-up of students and the course, helping the planning process and generating improvements in the institution. Therefore, the objective of this study is to assess the program using MiniCex in the beginning of the medical internship, aiming to determine in what areas of the basic and pre-clinical course the students have more difficulties. Methods: A cross-sectional descriptive study was carried out, using the retrospective data obtained by the MiniCex forms that were applied to the 9th-semester medical students, which correspond to the first semester of medical internship in the Federal University of Pará. A total of 111 students was assessed, among the 154 students eligible for internship, from August 2017 to July 2018. Results: Among the performed evaluations, with 97% being requested by the teachers, most of them (72%) were about new cases, and 45% and 38% had low or moderate complexity, respectively. There was a predominance of musculoskeletal system disorders (27.7%), followed by the gastrointestinal/hepatology system (14.8%). Concerning the skills in each domain, the performance was satisfactory in all of them. We observed that 12% of the students had difficulties in at least one area, followed by 6.3% of students with difficulties in 2 areas and 4.5% with an unsatisfactory performance in 3 or more areas. Conclusion: the MiniCex, when applied to internship students, showed to be a source of important and useful information, as part of a program assessment concerning the areas preceding the internship. The analysis of the obtained data was sent to teachers of the pre-internship, internship and course management areas. To the first ones, with the objective of reviewing their programs, detecting where they can intervene and, thus, make changes that aim a better acquisition of basic knowledge by the students and, consequently, improve their performance. To the second ones, to provide an overview of where they will have to focus their programs according to the needs of the medical students who reach the internship. Finally, to the course management, as a guide of what should be supervised by the professionals teaching the semesters that precede the internship.
A produção do conhecimento e o projeto éticopolítico do Serviço Social
Authors: Fortuna Sandra Lourenço de Andrade , Guedes Olegna de Souza
Published: February 2020

Abstract This theoretical essay has as its object the production of knowledge in social work and emphasizes its importance in the current conjuncture. It was written from the analysis of contributions by authors of this area that reflect on this theme and from Marxist authors who analyze the method and the production of knowledge from dialectical historical materialism. To do so, it chooses two premises. The first refers to the production of knowledge as one of the expressions of human activity that, in the movement of reality, seeks the apprehension of particularities as expressions of concrete thought. The second refers to the defense of the necessary linkage of research in the field of social work with the social meaning of this profession, which, in the contemporary era, bears itself in a direction sustained in its current and radically current political ethical project.
A relevância da pesquisa para o Serviço Social: conquistas e desafios permanentes das Diretrizes Curriculares
Authors: Oliveira Rayane Noronha , Santos Tássia Monte
Published: February 2020

Resumo Este artigo objetiva elencar alguns subsídios para o diálogo da pesquisa na fonnação do/a assistente social, no âmbito acadêmico, a partir do que preconizam as Diretrizes Geraispara o Curso de Serviço Social (1996). Para tanto, realizamos uma pesquisa bibliográfica e documental, de cunho qualitativo, analisando as legislações que regulam a profissão em relação à pesquisa e demais produções científicas pertinentes, sob a perspectiva do materialismo histórico-dialético. Concluímos que, diante dos atuais desafios relacionados à expansão das comentes contra-hegemônicas no serviço social e da expansão do Ensino a Distância, a profissão precisa voltar a colocar-se na agenda das suas próprias pesquisas, isto é, ser objeto das investigações Italizadas pela comunidade de pesquisadores da área. Uma nova pesquisa sobre a implementação das Diretrizes Curriculares, por exemplo, poderia abrir possibilidades de um novo debate nacional.
Serviço social e formação permanente: possibilidades de superação de cotidianos de alienação
Authors: Cardoso Priscila Fernanda Gonçalves , Nunes Heloise Helena Pereira , Rodrigues Terezinha de Fátima
Published: February 2020

Resumo O presente artigo apresenta a importância da formação permanente para o serviço social como possibilidade de contribuição para o trabalho profissional numa perspectiva crítica e de afirmação de nosso projeto ético-político. Para tanto, realiza uma discussão acerca da educação na sociedade de classes e o sentido da formação permanente em uma direção contra-hegemônica aos interesses do capital, apresentando uma reflexão sobre seu papel numa perspectiva emancipatória. Retoma os princípios da Política de Educação Permanente do Conjunto Conselho Federal de Serviço Social (CFESS), Conselhos Regionais de Serviço Social (CRESS) (2012), apontando os desafios e possibilidades presentes na efetivação desta política e na construção de espaços democráticos de formação após a graduação, ressaltando sua importância, aqui compreendida sob dois aspectos: a necessária suspensão da cotidianidade para o retorno a esta, de maneira a contribuir criticamente com ações alinhadas ao projeto ético político profissional e, sua potência enquanto estratégia na manutenção da hegemonia de nosso projeto profissional e de formação.
Conhecimento dos enfermeiros da atenção primária à saúde sobre fatores de risco para Lesão Renal Aguda
Authors: Lima Wellington Luiz de , Paula Letícia Brazil de , Duarte Tayse Tâmara da Paixão , Magro Marcia Cristina da Silva
Published: February 2020

RESUMO Objetivo Descrever o conhecimento dos enfermeiros sobre a identificação, medidas de prevenção e de autocuidado direcionadas à lesão renal aguda (LRA) em hipertensos e/ou diabéticos na atenção primária à saúde (APS). Método Estudo transversal e quantitativo. Amostra constituída de 57 enfermeiros atuantes na APS. Adotou-se questionário semiestruturado para coleta de dados. Realizou-se análise descritiva e inferencial. Considerou-se significativo resultado com p≤0,05. Resultados O perfil dos enfermeiros era jovem (idade 42± 9 anos) e tempo de exercício profissional de 9±6 anos. O conhecimento sobre aspectos gerais relacionados a LRA mostrou-se abaixo da média (48±19 pontos), embora, uma maioria, tenha descrito o conceito corretamente 41 (71,9%). Os fatores de risco relacionados à LRA foram majoritariamente: exposição às drogas 56 (98,2%) e diabetes mellitus 49 (86%). O tempo de atuação na APS aliado ao conhecimento insuficiente sobre alteração do valor da creatinina sérica implicou na decisão sobre a necessidade de encaminhamento ao nefrologista (p=0,004). Conclusões e implicações para a prática O conhecimento dos enfermeiros mostrou-se insuficiente para reconhecimento dos fatores de risco, prevenção e autocuidado da doença renal. Evidencia-se, portanto, a necessidade de capacitação dos enfermeiros da APS para otimizar a identificação precoce da LRA, evitando progressão e cronificação dessa doença.
TODOS OS ESTADOS SÃO IGUAIS, MAS ALGUNS SÃO MAIS IGUAIS QUE OS OUTROS
Authors: Neiva Pedro , Hiroi Taeko
Published: February 2020

Nesse estudo, procuramos identificar o peso dos estados na ocupação dos cargos mais importantes do país durante todo o período republicano. O nosso ponto principal é que os estados mais ricos, especialmente São Paulo, apesar de terem sido sub-representados no Senado Federal e na Câmara dos Deputados, predominaram na ocupação de outros cargos ainda mais importantes, tais como os de presidente da República, ministros da área econômica, presidentes do Banco Central e presidentes da Câmara dos Deputados. Dessa forma, pretendemos contribuir para uma melhor compreensão do arranjo federativo brasileiro, que tem sido analisado principalmente com a perspectiva da autonomia ou da dependência das subunidades territoriais em relação à União; pouco tem sido feito no sentido de compreender a contribuição de tais subunidades para a estruturação do poder central.