bluuebunny/crossref_metadata_2025 huggingface dataset:
The Management of Co-Morbidities in Patients with Heart Failure – Potassium Balance
Authors: Jankowska Ewa
Published: June 2017

Both hypokalaemia and hyperkalaemia are common in HF patients. They are each associated both with HF and with the many drugs used for HF. They are important as they both can aggravate ventricular arrhythmias, both can cause symptoms in HF patients and in the case of hyperkalaemia in particular, are a common reason not to prescribe or reduce the dose of or even cease use of effective medication with life- prolonging benefits in HFrEF, including ACEI’s and MRA’s. Treatment optiosn for bioth hypokalaemia and hyperkalaemia are discussed including the emerging evidence that agents such as patiromer may be safe and effective agents to be used long-term in high-risk patients with HF to allow them to take doses of RAAS inhibitors in particular which they otherwise may not be able to take. This might allow them to continue to receive the mortality morbidity benefits these treatments confer.
Long-term Non-Invasive ECG-based Risk Stratification of Sudden Cardiac Death: Extended 5-year Results
Authors: Okisheva Elena , Tsaregorodtsev Dmitry , Sulimov Vitaly
Published: June 2017

Objectives: To evaluate predictive value of heart rate turbulence (HRT), deceleration capacity (DC) and microvolt T-wave alternans (mTWA) for risk stratification for sudden cardiac death (SCD) in patients after myocardial infarction (MI) during 60 months of follow-up.

Methods: We studied 111 patients after MI occurred > 60 days (27 [9; 84] months) before enrollment (84 men; mean age 64.1±10.5 years). All subjects had 24-hour ambulatory ECG monitoring with HRT, DC and mTWA evaluation. Follow-up period was 60 months; primary endpoint was SCD, secondary endpoint included all non-sudden cardiovascular deaths.

Results: During follow-up, we registered 19 cases of SCD and 11 cases of non-sudden cardiovascular deaths (including 7 fatal MI and 3 fatal strokes). DC had high negative predictive value (97.4% for all-cause mortality and 93.7% for SCD). DC values below 4.15 for all-cause mortality and 2.0 for SCD significantly increased risk of all-cause mortality (OR 8.5, 95% CI 2.9 to 24.6, р<0.001) и SCD (OR 9.6, 95% CI 3.2 to 28.5, р<0.001). Combined risk assessment at 12 months revealed that the most significant combination was HRT2 and mTWA100 > 53 mcV, which increased risk both of all-cause mortality (30.7-fold) and SCD (63.3-fold); however, at 60 months this predictive value for SCD decreased (OR = 20.8 (95% CI 2.8 to 114.0), p <0.001).
Conclusion: Evaluation of HRT, DC and mTWA during 24-hour ECG monitoring may define the high risk of cardiovascular mortality and SCD in post-MI patients especially during the first 12 months after the baseline examination.
Acute Pulmonary Embolism and Paradoxical Embolism in Patients with Patent Foramen Ovale: to Close or Not to Close…That is the Question!
Authors: Zuin Marco , Rigatelli Gianluca
Published: June 2017

Nowadays, the treatment of patent foramen ovale (PFO) after acute pulmonary embolism (PE) remains matter of speculation. Absence of both randomized trials and recommendations in current international guidelines complicate the decisions making in such patients. In the present manuscript we discuss about the reasons for which PFO should be closed after acute PE.
Surgical Treatment for Floating Right Heart Thrombus in High Risk Patients
Authors: Redondo Palacios Ana , Miguelena Javier , Martín Miren , Varela Laura , Fajardo Eduardo , López José , Muñoz Rafael , Rodríguez-Roda Jorge
Published: June 2017

Right heart floating thrombus or “embolus in transit” can be a very dangerous condition, usually associated to pulmonary thromboembolism. Even though many treatment options have been considered, nowadays, the recommended approach remains unclear. Surgical embolectomy has been used as an option, usually less preferred than thrombolysis or percutaneous approach, but it can be a safe and effective procedure in patients with high risk of embolization.
Cardiovascular Risk Factor Burden in the United Arab Emirates (UAE): The Africa Middle East (AfME) Cardiovascular Epidemiological (ACE) Study Sub-analysis
Authors: Radaideh Ghazi , Tzemos Nikolaos , Ali Talaha Mubarak , Eldershaby Yasser , Joury Jean , Abreu Paula
Published: June 2017

Background: The Africa Middle East (AfME) Cardiovascular Epidemiological (ACE) study demonstrated that cardiovascular risk factors are highly prevalent among relatively young adult outpatients attending general practice clinics across AfME regions.

Objective: Based on the broader AfME estimates from the ACE Study, this sub-analysis evaluated the prevalence of cardiovascular risk factors in the United Arab Emirates (UAE), particularly in rural and urban cohorts attending general practice clinics.

Methods: Data from the cross-sectional ACE study were used: stable, adult outpatients attending general practice clinics in the UAE. Prevalence of six CV risk factors were analyzed: hypertension, diabetes, dyslipidemia, obesity, smoking, abdominal obesity. Rural populations were defined as living >50km from urban centers, or lack of transportation.

Results: In this cohort of 495 patients (aged 45.1 years; 49.8% female) from the UAE, a high prevalence of abdominal obesity (71.5%) and dyslipidemia (74.0%) was found. Nearly half of patients had hypertension (43.0%) and one-third diabetes (32.4%). Nearly all outpatients (92.9%) had ≥1 modifiable risk factor (74.9% had ≥1, 59.7% had ≥3). Observations were similar by gender, and across urban and rural centers. Many outpatients with pre-existing hypertension or dyslipidemia did not meet recognized blood pressure or low-density lipoprotein cholesterol goals.

Conclusions: Cardiovascular risk factors are prevalent among relatively young adult, clinically stable outpatients attending outpatient clinics across the UAE. These findings support targeted screening of outpatients visiting a general practitioner, which may provide opportunity for early discovery and ongoing management of risk factors, including recommending lifestyle changes. The ACE trial is registered under NCT01243138.
The Impact of Maternal Congenital Heart Disease on Pregnancy Outcomes in Malta – a Retrospective Study
Authors: Caruana Maryanne , Gatt Miriam , Aquilina Oscar , Savona Ventura Charles , Grech Victor , Somerville Jane
Published: June 2017

Background: Most female patients with congenital heart disease (CHD) are becoming pregnant.  Maternal CHD can have a negative impact on mother and foetus. This is the first study investigating pregnancy outcomes in Maltese grown-up congenital heart disease (GUCH) patients and one of few to compare these with outcomes in women without heart disease.

Methods: Known GUCH pregnancies for the period of 2007-2014 were extracted from our database (GUCH cohort) and cardiovascular outcomes retrieved from hospital notes.  A control cohort of 540 pregnancies in women without cardiovascular disease was generated through twenty-fold random matching based on subject age from among all pregnancies in Maltese nationals for the same 8-year period.  Obstetric and offspring outcomes were compared between the two cohorts.

Results:  The GUCH cohort consisted of 27 pregnancies in 24 women.  Only 1/27 patients (3.7%) had cardiovascular complications.  Elective Caesarean sections were commoner (29.6% vs. 15.4%) and unassisted vaginal deliveries less frequent (51.9% vs. 64.6%) in the GUCH cohort (p=0.02).  Obstetric complication rates were similar.  GUCH women had smaller babies (median 3030g vs. 3230g; p=0.045) and showed a trend towards more small-for-gestational age babies (18.5% vs. 8.4%; p=0.08) and congenital malformations (7.4% vs. 2.4%; p=0.06).

Conclusions:  Despite the potential adverse effects of maternal CHD on mother and foetus, most pregnancies are uncomplicated and outcomes comparable to those in women without heart disease, particularly if baseline clinical status is good.  Based on our findings, it is being proposed that prospective mothers be counselled about the possibility of having smaller infants.
Early or Delayed Surgery for Infective Endocarditis Complicated by Cerebral Embolism: a Meta-analysis
Authors: Wang Michael Tzu Min , Pemberton James , Wang Tom Kai Ming
Published: June 2017

Background: Surgery is recommended for infective endocarditis patients who develop cerebral embolism, however the optimal timing of surgery remains controversial. In this meta-analysis, we compared the outcomes of early and delayed cardiac surgery for infective endocarditis in this setting.

 

Methods: PubMed, MEDLINE, Embase, Cochrane and Scopus databases from 1 January 1980 to 30 June 2016 were searched for original studies. Two authors evaluated these studies for inclusion independently, then extracted and pooled data using random-effects models.

 

Results: Amongst 2,423 papers obtained from the search, 23 full-texts were reviewed, and 6 studies totalling 701 patients were included for analyses. Rates and pooled odds ratio (95% confidence interval) for operative mortality of early or late surgery set at 7 days were 13.5% vs 10.8%, 1.40 (0.61-3.02); 14 days were 20.7% vs 13.0%, 1.95 (0.95-4.01). Pooled odds ratio of early surgery for long-term mortality was 2.95 (0.35-25.0); and for neurological events, embolic event was 1.22 (0.33-4.56) and intracranial bleeding 1.55 (0.16-15.32).

 

Conclusion: Although early surgery was not associated with statistically higher rates of mortality or neurological events it does need to be cautiously performed. Data is limited and larger and randomised studies would help to determine the optimal timing.
Long-Term Survival Following Aortic Valve Replacement: the Influence of Age, Prosthesis-Patient Mismatch and Indexed Effective Orifice Area
Authors: Manché Alexander , Casha Aaron , Camilleri Liberato
Published: June 2017

Background

Prosthesis-patient mismatch (PPM) has been linked to reduced long-term survival after aortic valve replacement. We studied the influence of age, PPM and indexed effective orifice area (iEOA) in this setting.

 

Methods

Patients (n=586) subjected to aortic valve replacement were followed up for a mean of 7.8 years (maximum 20 years). The study population was divided into four equivalent groups according to age. Mortality data was extracted from the National Statistics database. Data pertaining to patient body surface area and valve effective orifice area was collected prospectively and mismatch (moderate or severe) was defined according to established values. The Cox proportional hazard model was used to study the effect of age, mismatch and iEOA on survival. The Log Rank test was used to compare survival curves by age groups.

 

Results

The incidence of moderate PPM was 24.6%, and of severe PPM 3.9%. Mismatch increased the hazard of death by 31.2% for moderate PPM and 70.3% for severe PPM but did not reach statistical significance. Mean age of patients with mismatch (n=167) was 2.52 years less than in those without (63.35±10.61 versus 65.87±11.69, p=0.016). Age significantly affected survival, increasing the risk of death by 7.3% for every incremental year.  Mean iEOA was 0.94±0.15cm2/m2; for every 0.1unit increase in iEOA the risk of death decreased by 8.8%.

 

Conclusion

Long-term survival was significantly affected by age at operation.  Although mismatch increased hazard of death the effect did not reach statistical significance. A larger iEOA had a significant beneficial effect on survival.
Preferential Vasodilator Effects of Levosimendan in Resistance Pulmonary Arteries in a Rodent Pulmonary Embolism Model
Authors: Bedo Camila , Grignola Juan C
Published: June 2017

Background: We compared the vasoactive effects of levosimendan on isolated conduit (CPA) and resistance (RPA) pulmonary arteries versus mesenteric arteries and we assessed the PA vascular function and the PA vasoactive effects of levosimendan in a rodent PE model.

Methods: One group of male Wistar rats (200-300 g) was killed by decapitation to obtain pulmonary and mesenteric rings. Another group was assigned to a massive PE or saline solution infusion. After euthanasia mesenteric arteries and CPA (i.d. 1-2 mm) and RPA (≤ 0.5 mm) were dissected and cut into 2-3 mm wide rings recording contractile tension. We obtained the concentration-response curves of cumulative doses of levosimendan on pre-contracted arterial rings from decapitated and sham/embolized animals. A set of RPA rings was exposed to acute hypoxia. The effect of PE on the pulmonary vasoactive function was assessed by dose-response curves of acetylcholine (ACh) and endothelin-1 (ET-1) of PA rings from sham/embolized animals.  

Results: Levosimendan relaxant potency of RPA was similar to mesenteric arteries and higher than CPA, while mesenteric rings showed the maximal relaxant effect, followed by RPA and CPA, respectively. PE did not affect the vasoactive response of PA rings either to ACh or to ET-1, and the relaxant effects of CPA and RPA to levosimendan were also preserved. Acute hypoxia reduced (P<0.05) but did not avoid the RPA relaxant effect of levosimendan.

Conclusions: Levosimendan is a more specific vasodilator of RPA with a similar relaxant potency as mesenteric arteries, which is preserved after PE but significantly reduced during hypoxia.
Mortality and Co-morbidities Among Hospitalised Hypertensives in Nigeria
Authors: Karaye Kamilu , Akintunde Adeseye , Olusegun-Joseph Akinsanya , Balarabe Suleiman A , Okunowo Bolanle , Habib Abdulrazaq , Opadijo OG
Published: June 2017

Background: The present study therefore aimed to systematically assess the co-morbidities and in-hospital outcomes among hypertensives admitted to 3 Teaching Hospitals in Nigeria.

Methods: Medical records of all subjects admitted to the medical wards of the study centres with an established diagnosis of hypertension in 2013 were reviewed.

Results: 288 hypertensive patients were consecutively admitted in the medical wards of the 3 centres in 2013, of whom 146 (59.8%) were males. 88.4% of males and 87.8% of females had 1 or more co-morbidities at admission, and the commonest among all patients was heart failure (HF) followed by stroke/transient ischemic attack (TIA), in 76 (31.2%) and 69 (28.3%) patients respectively. The most frequent co-morbidity among males was HF in 34.3% of them, while stroke/TIA was more common among female patients, in 34.7% of them. Non-cardiovascular co-morbidities were uncommon, and the most frequent was community acquired pneumonia in 7.4% of all patients. 7.8% of all patients (13 males and 6 females; p=0.427) died in-hospital. The deceased had higher Systolic Blood Pressure than the survivors, and majority of them (52.6%) were not on any antihypertensive medications at admission, which was the only predictor of mortality in the present study, increasing its odds by 7.5 fold (odds ratio=7.5; 95%confidence interval=2.8-20.0; p<0.001).
Conclusion: The most frequent co-morbidity among males was HF while stroke and TIA were most common among female patients. The prevalence of in-hospital mortality was relatively low, and not being on antihypertensive treatment at admission increased its odds by 7.5 fold.
Preliminary Short-term Results of a Population of Patients Treated with MitraClip Therapy: One Center Experience
Authors: Taravella Rossana , Cellura Melchiorre Gilberto , Cirrincione Giuseppe , Asciutto Salvatore , Caruso Marco , Benedetto Massimo , Alduino Rossella , Novo Salvatore
Published: June 2017

Objectives: This retrospective analysis sought to evaluate 1-month outcomes and therapy effectiveness of a population of patients treated with MitraClip therapy. We describe in this article the preliminary results of primary effictiveness endpoint.

Background: Percutaneous Mitral Repair is being developed to treat severe mitral regurgitation (MR),with increasing real-world cases of functional MR(FMR). In the EVEREST(Endovascular Valve Edge-to-Edge Repair Study)II trial,percutaneous device showed superior safety but less reduction in MR at 1year. 4-year outcomes from EVEREST II trial showed no difference in the prevalence of moderate-severe and severe MR or mortality at 4years between surgical mitral repair and percutaneous approach.

Methods: We analysed retrospectively collected data from one center experience in Italy enrolled from January2011 to December2016. The study included 62patients[mean age74±11years, 43 men(69%)] with MR of at least grade3+. Most of patients had functional MR, were in New York Heart Association(NYHA) functional class III or IV,with a large portion(78%) of mild-to-moderate Tricuspid Regurgitation(TR). One or more clips were implanted in 67procedures(62 patients). 
Results and Conclusions: Severity of MR was reduced in all successfully treated patients,54(90%) were discharged with MR≤2+(primary effictiveness endpoint). Clinical 1-month follow-up data showed an improvement in NYHA functional class (42patients (70%) in NYHA class I-II). 60 of 62 (97 %) successfully treated patients were free from death and mitral valve surgery at 1-month follow-up. MitraClip therapy reduces functional MR with acute MR reduction to <2+ in the great majority of patients,with a large freedom from death, surgery or recurrent MR in a great portion of patients.
Estimation of Risk Factors for Cardiogenic Shock in Takotsubo Cardiomyopathy: A Retrospective Study
Authors: Vaidya Gaurang Nandkishor , Madhira Bhaskara
Published: June 2017

Introduction: Presentation of Takotsubo cardiomyopathy(TCM) widely varies amongst the patients, ranging from asymptomatic patients to cardiogenic shock or even cardiac arrest. The underlying risk factors inherent to the patient that predispose to a catastrophic presentation have not been delineated well in the past.

Objective: To distinguish risk factors and presenting characteristics of patients diagnosed with cardiogenic shock from TCM.

Methods: Total 51 angiography-confirmed TCM patients admitted in Upstate Hospital from 2010 – 2014 were compared retrospectively, 13 presenting with cardiogenic shock.

Results: While TCM was predominantly common in elderly females, four of the total six male TCM patients presented with shock (Odds ratio= 8.0, p=0.027). TSH was higher in cardiogenic shock group. Patients with shock had significantly higher incidence of ST elevations on EKG and higher peak troponins. Moreover, ST elevations were predominantly in the inferior, anteroseptal and lateral leads in the shock group as compared to only the septal leads in the control group. Echocardiography revealed lower LV ejection fraction, LV outflow tract obstruction and concomitant significant mitral regurgitation in shock patients. No correlation was found with age, BMI, coronary disease risk factors (diabetes, hypertension, smoking), coincident infection, electrolyte imbalance, QTc interval length.

Conclusion: Risk factors and pathophysiology for cardiogenic shock in TCM were identified. TCM in males is rare, but male gender is a risk factor for shock.
Effectiveness Evaluation of ICDs Implanted in the Right Side vs. Left Side
Authors: Kiuchi Marcio Galindo , Chen Shaojie , Paz Luis Marcelo Rodrigues , Pürerfellner Helmut
Published: June 2017

Background: The implantation of ICDs left pectorally is the conventional normal practice, but pathological reasons may obly to insert the devices on the right side. The aim of our evaluation was to define the outcome of right-sided implantation (n=52) on defibrillation effectiveness in comparison to the left-sided ICD implantation (n=210).

Methods: A cohort of patients received standard therapy for primary or secondary prevention of sudden cardiac death (SCD) in patients with the structural cardiac disease, lay open to the ICD-DR implantation. The 262 individuals who had all the inclusion criteria were comprised in the assessment.

Results: The defibrillation threshold testing (DFT), at the end of implantation showed that the mean energy to revert a programmed induced sustained ventricular tachycardia/ventricular fibrillation was 33.4±6.3 J for the patients that had the ICD implanted on the right side, and 23.9±5.3 J for the ones that presented the ICD positioned on the left side, P<0.0001. However the mean and the sum of shock events recorded by ICD during 1 year of monitoring, according to the side of ICD implantation, did not show any difference.

Conclusion: Our results show that ICD implantation on the right side caused an elevated DFT in comparison to the left side insertion. This study also reported that there is no difference regarding safety and effectiveness about the amount of appropriate and inappropriate shock therapies, the mean and the sum of shock events recorded by ICD during 1 year of monitoring, according to the side of ICD implantation.
Dance on Camera at 45
Authors: Bench Harmony
Published: June 2017

This is a review of the Dance on Camera Festival that took place in January 2017 in New York City at Lincoln Center.
The incidence of cervical intraepithelial neoplasia in antenatal women by screening: a study in a semi urban area in Telangana, India
Authors: Neelima Beera , Vanamala V. G.
Published: June 2017

Background: Cervical intraepithelial neoplasia is a premalignant cervical disease which may lead to cervical cancer. The screening of the cervical cancer includes the screening of cervical cytology as well as testing for oncogenic human papilloma viruses (HPV) since most of the precursor lesions appear in the women of child bearing age. The purpose of the present study was to evaluate the incidence of cervical intraepithelial neoplasia in antenatal women by screening with papanicolaou smear.Methods: Macroscopic abnormalities such as cervicitis, polyps, erosions, nabothian cysts, hypertrophied cervix, growths and ulcers were noted. A cervical smear using Ayre’s spatula was taken from the ecto cervix and spread on to a labeled slide and immediately fixed.Results: Majority of the women were in the age group of 20-30 years in the study group. The overall mean age of the women in the study was around 25 years. The mean age at the time of menarche was around 14 years and at the time of marriage was approximately 22 years. On Pap smear, 55.2% of the 1000 cases were normal, with inflammation seen in 408 (40.8%) of the cases. 20 (2%) of the patients in our study had low grade squamous intra epithelial lesion, while 7 patients (0.2%) had high grade squamous intra epithelial lesion with two cases showing CIN II grading and 5 with CIN I.Conclusions: An early detection of the same can lead to a proper and efficient treatment.
SPIRITUALITAS LUKISAN AMANG RAHMAN JUBAIR
Authors: . Hajriansyah
Published: June 2017

This study focusedon the spirituality values in paintingsof Amang Rahman Jubair, particularly from the perspective of the sufi aesthetics. Amang Rahman (1931-2001) was an Indonesian painter which has a deeply awareness of God's presence, and have a concept of art which he called Jamal, Kamal and Jalal—embodied by the sweat, blood and tears, which means sacrifice, devotion and love to the Creator and His creatures. Forms of this study is a qualitative field research by using descriptive analytical method and approach of Sufi Aesthetics. The sources is the family and closest-friends of Amang Rahman, a few paintings and journalistic articles and Indonesian art critics writings of his works. This study suggests that Amang Rahman is a sufi in a modern world. Experiences and attitudes totality of his life proving his devotion to both the art and life itself intact. In the works of his art reflected awareness of space and the cosmos that represents nature imajinal ('alam al-khayal), traditions and symbols of Sufism.
MAKNA KISAH NUH AS DALAM AL-QUR’AN (PERSPEKTIF HERMENEUTIKA FILOSOFIS)
Authors: Rusydi Muhammad
Published: June 2017

The writing discusses story of Noah (peace be upon him) in the Quran. The story will be approached by philosophical hermeneutics is conceived by Heiddegger and Gadamar. The main questions of the article are why and how the meaning of the story for Arabic people especially and for Moslem (human kind) generally. Finally, the result shows that Prophet Nuh is one of important ancestors for Arabic people and those people had listened and seen some historical events related to this prophet and his people. Moreover, the story teachs human being to surrender to Allah as it will lead them to appreciate all creations in this universe.
Presentasi Diri Mahasiswa Penghafal Alquran
Authors: Raiyati Siti
Published: June 2017

The Qur'an, a holy book that guides all Muslims. The Qur'an is the embodiment of the guidance to bring each individual to the salvation of the world and the hereafter. Everyone has different ways of interacting with the Qur'an, one of them by memorizing the Qur'an. Individuals who interact with the Qur'an by means of memorizing of course have different responsibilities. Teenagers who are Al Quran memorizing students have certain signs in expressing self-presentation that may be different from other teenagers. Using descriptive phenomenology study, there were 4 respondents in this study. The data retrieval technique uses semi structured interviews on the primary and secondary subject and uses nonparticipant observation. The results showed that the four respondents had different self-presentation patterns. The most crucial, the Qur'an forms interpreted ideals in their self-presentation through the dimensions of the khuluqiyyah dimension with respect to ethical values and the amaliyah dimension pertaining to daily behavior.
Hubungan Shalat Fardu Berjamaah Dengan Kecerdasan Emosional Pada Jamaah Mesjid Al Jihad Banjarmasin
Authors: Jauhari Ahmad , AS Asmaran , Faridah Siti
Published: June 2017

Al Jihad  Mosque Banjarmasin is a mosque that is identical with Muhammadiyah, this mosque is followed by many pilgrims and loyal at the time of the implementation of prayers fardu congregation. Jamaah consists of various groups regardless of background, both in terms of age, economy, organization and even the sick pilgrims (post-stroke) are actively involved in congregation. Active Jamaat prayers in congregation do not only come from residents around the mosque complex, but also many pilgrims who come from outside the mosque complex, even the distance difference between their residence with the mosque a few kilometers. In heavy rainy weather conditions, they still enthusiastically follow the prayers in congregation fardu mosque. In addition, there are things that are felt by pilgrims such as comfort, tranquility of heart and mind, emotional stability, silaturrahim which all is related to emotional intelligence.In this study, the main problem is how is the relationship of prayer in congregation with emotional intelligence in the congregation of Al Jihad Mosque Banjarmasin ?. The method used is quantitative and qualitative descriptive method with methodological arrangement such as approach and type of research, research location, population and sample, data and data source, procedure and data collection, quantitative and qualitative technical data analysis.The result of the study found that there is a correlation between salat fardu congregation with emotional intelligence, this is proved by the data from questionnaires from 30 pilgrims (respondents) that is: able to control the impulse of worldly lusts with the highest opinion is 60% said yes and 40% stated sometimes .Motivating yourself with the highest opinion is 90% states yes and 10% states sometimes. Able to survive in the face of trials with the highest opinion is 86.67 states yes and 13, 33 states sometimes. No exaggeration with the highest opinion is 90% states yes and 10% states sometimes. Being able to set the mood with the highest opinion is 86.33% and 13.33 states sometimes. Keeping the stress burden does not cripple the thinking ability with the highest opinion is 90% states yes and 10% states sometimes. The ability to empathize and pray with the highest opinion is 90% say yes and 10% say sometimes.
Hubungan Antara Kemampuan Adaptasi Terhadap Kebisingan Dengan Stres Kerja Karyawan
Authors: Asmarani Ruly
Published: June 2017

Today stress has become a very important management issue in the industrial world. Nearly everyone experiences stress with respect to work. No matter how small the work stress that emerges must be addressed so as not to enlarge which ultimately can harm the organization and employees. One source of work stress is the noise that is not desired by the ear because it can be annoying and irritating. But the noise can be responded differently by each individual according to their adaptability. If the individual is less able to adapt to the noise then he will tend to experience stress.This study aims to determine the relationship between the ability to adapt to noise with employee work stress. This research was designed using a quantitative and correlational approach. Population of this research is employees of production of PT. Hendratna Plywood totaling 357 people. In sampling, the researcher used Random Sampling Technique by taking 60 employees. In this study the researchers used pure try out. The result of try out scale of ability of adaptation to noise obtained 23 valid items from 30 items presented. While on work stress scale obtained 55 valid items from 72 items.The results showed that 32 subjects (53.3%) experienced high work stress and 28 subjects (46.6%) experienced low work stress. It also found that 37 subjects (61.6%) had good adaptability to noise and 23 subjects (38.3%) had poor adaptability to noise. The result of data analysis is known that there is a significant negative relationship between the ability of adaptation to noise with employee work stress shown by correlation coefficient r = - 0,359 and p = 0,005. This means that if employees have good adaptability to noise then low job stress, otherwise if employees have poor adaptability to noise then high job stress. From this it can be seen that the ability of adaptation to noise gives effective contribution of 12,88% (r² = 0,1288) to work stress, while the rest 87,12% influenced by other factor.
A RECUPERAÇÃO JUDICIAL DO PRODUTOR RURAL - PESSOA FÍSICA: REQUISITOS LEGAIS E JURISPRUDENCIAIS
Authors: Pigatto Gessuir , Tamarindo Ubirajara Garcia Ferreira , Braga Junior Sergio Silva
Published: June 2017

A Lei nº 11.101, de 9 de novembro de 2005, que regula a recuperação judicial, a extrajudicial e a falência do empresário e da sociedade empresária, tem por objetivo viabilizar a superação da crise econômico-financeira do devedor, a fim de permitir a manutenção da fonte produtora, do emprego dos trabalhadores e dos interesses dos credores. Entretanto, há discussão jurisprudencial hoje acerca da necessidade, ou não, de o produtor rural estar devidamente registrado no órgão público de empresas mercantis quando da impetração do requerimento de recuperação judicial, além da maneira como dar-se-á a comprovação de atividade regular há mais de dois anos, consoante exigência estabelecida no caput do art. 48 da Lei nº 11.101/2005. Todas essas questões têm dificultado o acesso do produto rural, pessoa física, ao instrumento da recuperação judicial. Amparado na pesquisa bibliográfica e documental, serão apresentados os principais aspectos estruturais do instituto da recuperação judicial, bem como os seus requisitos e legitimados para o requerimento. Na sequência, será analisado o conceito de atividade rural, produtor rural pessoa física, jurídica e agroindústria. E, finalmente, serão realizadas as considerações acerca dos requisitos necessários para o deferimento da recuperação judicial ao produtor rural, notadamente em um contexto legal, doutrinário e jurisprudencial.
PRIORIDADE LEGAL DO ABASTECIMENTO PÚBLICO E GERAÇÃO HIDRELÉTRICA
Authors: Sundfeld Carlos Ari
Published: June 2017

O artigo trata da convivência entre as outorgas de direito ao uso da água para a geração de energia hidrelétrica, que envolve competências de mais de uma autoridade federal, e as outorgas posteriores para o abastecimento público, que podem envolver também competências estaduais e municipais. O tema se insere na discussão sobre qual deve ser a transição jurídica adequada quando de novas demandas regulatórias. Elas geram dúvidas quanto à estabilidade ou revogabilidade dos direitos anteriormente constituídos por atos ou contratos administrativos e quanto ao dever de indenizar os prejuízos sofridos pelos titulares dos direitos restringidos. A solução da legislação brasileira vigente foi, por um lado, garantir prioridade ao abastecimento público e, por outro, permitir a indenização dos prejuízos do titular da outorga mais antiga. Como conclusão, o artigo cogita da conveniência de editar norma nacional impondo o dever geral de, quando de novas demandas regulatórias, ser definido de modo mais específico o regime jurídico adequado para a transição.
GERENCIAMENTO AMBIENTAL E DESCARTE DO LIXO HOSPITALAR
Authors: Pozzetti Valmir Cesar , Monteverde Jorge Fernando Sampaio
Published: June 2017

A geração de resíduos é um dos grandes problemas urbanos, que a sociedade contemporânea enfrenta; pois o consumo desenfreado tem gerado diversas externalidades que o capitalismo não consegue resolver. Pensar mecanismos de resolver o problema do lixo é urgente. O lixo hospitalar é um lixo que traz uma carga de componentes tóxicos que devem ser observados no momento do descarte, vez que trazem muitos prejuízos à saúde pública e ao meio ambiente. Nesse sentido o objetivo dessa pesquisa é verificar se o Brasil possui regras jurídicas no tocante ao tratamento do lixo hospitalar e, em existindo, se são eficazes no tocante à saúde publica e sustentabilidade ambiental. Conclui-se que as regras conseguem dar a proteção jurídica necessária, entretanto, carece-se de procedimentos de fiscalização para garantir sua efetividade. O método utilizado nesta pesquisa é o dedutivo e, quantos aos meios a pesquisa é bibliográfica, com base na legislação, doutrina e jurisprudência e, quantos fins, a pesquisa é qualitativa.
A governança corporativa em consórcios intermunicipais públicos de saúde no Rio Grande do Sul
Authors: Reis Hermes Cardoso , Diehl Carlos Alberto
Published: June 2017

O objetivo deste artigo é identificar elementos de Governança Corporativa em consórcios intermunicipais públicos de saúde no Rio Grande do Sul através de pesquisa documental em sites da internet e legislação pertinente. Os dados coletados foram comparados com as práticas de boa Governança Corporativa prescritos pelo IBGC. Assim, o procedimento técnico utilizado na investigação é documental, tendo objetivo descritivo e abordagem qualitativa. Os principais resultados demonstram a complexidade de relações e normas que caracterizam a GC para os CIS. Além disso, a falta de alinhamento frente às recomendações do IBGC, principalmente relacionadas ao Conselho de Administração e Prestação de Contas, demonstra fragilidades dos CIS perante o princípio da transparência.
"Entre a integridade científica e a possibilidade metodológica": tensões conceituais e metodológicas na atividade regulatória em saúde
Authors: Gamarra Tatiana Pereira das Neves
Published: June 2017

De modo geral, a atividade regulatória em saúde é subsidiada por evidências científicas. Qualquer evidência possui uma série de incertezas, contudo, raramente estas incertezas são explicitadas e/ou avaliadas. Esta omissão das incertezas das evidências no processo regulatório produz implicações muitas vezes prejudiciais à defesa do interesse público. Nessa perspectiva, este estudo teórico discutirá esta questão além de apresentar ferramentas metodológicas para enfrentar esta situação.  Estas estratégias metodológicas permitem uma maior discussão das incertezas e contribuem para decisões regulatórias mais adequadas, uma vez que podem facilitar o diálogo entre tomadores de decisão e demais atores sociais.
Práticas educativas em ortopedia e traumatologia: análise dos enfermeiros da Estratégia de Saúde da Família
Authors: De Sousa Gutembergue Santos , Ferreira Maria Goreth Silva , Costa Monroe Kátia Cristina Muradas
Published: June 2017

Introdução: a prática educativa deve ser considerada uma ação que provoca ou sugere uma reação, promovendo uma maior participação dos sujeitos nos processos de tomadas de decisão. Objetivo: analisar as práticas educativas em ortopedia e traumatológica desenvolvidas por enfermeiros que atuam na estratégia de saúde da família. Método: estudo descritivo, com abordagem quantitativa, realizado com Enfermeiros atuantes nas ESF do município de Altamira-Pa. Utilizou-se o questionário semiestruturado, permitindo o levantamento do perfil dos entrevistados bem como do seu conhecimento acerca do objeto de estudo. A análise dos dados deu-se através de estatística descritiva simples. Resultados: 22% (n=2) dos Enfermeiros pós graduados são especialistas em saúde da família; é marcante a ausência de curso introdutório para as ESF, sendo que 11% da amostra afirmou ter recebido tal curso antes de ingressar no saúde da família; identificou-se que 45% dos entrevistados afirmam conhecer pouco sobre ortopedia e traumatologia e 67% afirmam não trabalhar tal temática por não se tratar de nenhum programa do Ministério da Saúde e por não considerarem existir relação entre ortopedia e traumatologia e os programas de saúde desenvolvidos pela unidade de saúde; apesar disso, 89% afirmam ser importante o desenvolvimento de práticas educativas focadas na ortopedia e traumatologia.  Descritores: Educação em Saúde; Ortopedia; Traumatologia; Enfermagem; Saúde da Família.
Estudo sociodemográfico e obstétrico do parto cesariano em uma maternidade pública
Authors: Araújo Kleiton Richard Da Silva , Ribeiro José Francisco , Visgueira Angela Freire , Martins de Oliveira Ananda Caroline , Paes Landim Moraes Héryka Matins , Calácio Izamara Alvarenga , Cruz Medeiros Tamara Maria
Published: June 2017

Avaliar o perfil sociodemografico e obstétrico de puérperas cesareadas em uma maternidade pública de referência para o Piauí. Estudo de abordagem quantitativa, transversal-descritivo constituído a partir de dados coletados entre fevereiro e abril de 2014, por meio de entrevistas com 383 puérperas cesareadas. Os resultados apontaram que: faixa etária de 21 a 25 anos de idade (27,2%), raça/cor parda (66,1%), ensino fundamental incompleto (33,2%), do lar (62,7%), renda familiar de até 1 salário mínimo (78,9%), casadas (38,1%), residentes em Teresina (47,5%), multíparas (60,3%), sem antecedentes pessoais (36%), indicação de cesárea por pré-eclâmpsia (41,2%) e sofrimento fetal representou 50% das indicações. Concluiu-se que a grande maioria das indicações para o parto cirúrgico está atrelada tanto para condições maternas como fetais, fato que demonstra pouca qualidade na assistência pré-natal.
Avaliação do consumo de água, energia, papel a4 e do recolhimento de recicláveis após atividades educativas
Authors: Carvalho Luciana Silami , Vimieiro Gisele Vidal
Published: June 2017

Consumo sustentável é aquele que atende às necessidades atuais, sem comprometer o atendimento das demandas futuramente. O Decreto 5940/2006 institui a separação dos resíduos recicláveis em órgãos públicos federais e sua destinação a associações de catadores. Sabendo que o consumo gera impactos ambientais negativos, pretendeu-se avaliar o impacto da realização de atividades diversas de educação ambiental no consumo de água, energia, papel A4 e na quantidade de materiais recicláveis recolhidos. As etapas realizadas foram: medida da quantidade mensal de papel A4 consumido e cálculo do indicador “número de pacotes de papel A4/ocupante”; acompanhamento do consumo mensal de energia elétrica/água e cálculo dos indicadores “Kwh/ocupante” e “L/ocupante”; pesagem da quantidade semanal de material reciclável enviada para reciclagem e cálculo do indicador “material total/ocupante”; elaboração de materiais e sensibilização para a coleta seletiva e  redução do consumo de água, papel e energia elétrica, com utilização de variados instrumentos de comunicação; elaboração de enquete sobre o consumo de água, luz e papel. Verificou-se oscilação de valores, não sendo possível traçar uma tendência de redução nos citados consumos. Entretanto, os resultados têm sido positivos, motivando a continuação do projeto.
Fatores associados na mortalidade por câncer de mama no noroeste paranaense
Authors: Melo Willian Augusto , Souza Luma Aparecida Oliveira , Zurita Robsmeire Calvo Melo , Carvalho Maria Dalva Barros
Published: June 2017

O câncer é um processo patológico que se inicia quando uma célula anormal é transformada pela mutação genética do DNA celular, sendo o câncer de mama geralmente indolor. Objetivou-se analisar o comportamento da mortalidade por câncer de mama em mulheres residentes no município de Maringá-PR no período de 2000 a 2009. Utilizou-se o Sistema de Informação do Sistema Único de Saúde (DATASUS), para variáveis relacionadas à raça/cor, estado civil, escolaridade, idade, local de ocorrência do óbito. Os dados foram analisados descritivamente e pelo teste qui-quadrado de Yates Corrigido considerando intervalo de confiança de 95% com nível de significância de 5%. Ocorreram 216 óbitos por câncer de mama havendo maior prevalência em mulheres com 60 a 80 anos (58,4%), de raça/cor branca (90,2%) e com companheiros (53,8%). Mulheres acima de 60 anos e com baixa escolaridade apresentaram maiores chances para mortalidade por câncer de mama sendo estatisticamente significativo (OR95%=4,45; p=<0,0001).
Os usos de parênteses na relação saúde e doença
Authors: Figueirêdo Alessandra Aniceto Ferreira
Published: June 2017

O presente estudo problematiza as formas de compreender a relação saúde e doença, através da colocação de parênteses entre a pessoa e sua morbidade. Para realizar essa reflexão, são utilizados autores, como Laplantine, Canguilhem, Amarante. Nas medicinas centradas na doença, baseadas no modelo fisicalista, o parênteses é posto na pessoa, o foco de cuidado é a doença e sua manifestação (os sintomas). Desse modo, caberá ao médico dar sentido a esses sintomas e tratá-los. Nas medicinas centradas na pessoa, baseadas em um modelo que considera a pessoa como um todo, o parênteses é posto na doença, logo a pessoa é tomada como referência em sua relação com o corpo social. Assim, se passa a trabalhar com o enfoque na saúde e com a possibilidade de experiência dessa pessoa. Conclui-se que a perspectiva de “pôr entre parênteses” torna visível alguns saberes, provocando ações e reações no que diz respeito ao cuidar das pessoas, que podem contribuir para suas constituições em sociedade, de maneira que essas possam lidar com as vicissitudes da vida.
Editorial Review and Health Management
Authors: Gonçalves Andrea Oliveira
Published: June 2017

In Brazil, since Constitution of 1988, health services and actions have become universal rights and state’s duty. The same Constitution stipulates that the direction of these services should be decentralized to local government administration and in association with the health council, deliberative and equal group, which gives the connection between user representatives, service providers, government, officials and professionals who work in healthcare.
Brinquedo terapêutico: uma análise da produção literária dos enfermeiros
Authors: Oliveira Carolina Sampaio
Published: June 2017

Este trabalho foi fruto de uma análise sistemática sobre a produção literária dos enfermeiros frente a temática Brinquedo Terapêutico. Objetivou-se levantar o conhecimento produzido e publicado por enfermeiros relacionado à esta temática no período de 2005 à 2010. Dentre os 6 artigos selecionados pelos critérios de inclusão 100% deles citam os benefícios do brinquedo terapêutico associados aos cuidados de enfermagem. Verificamos que com a utilização do brinquedo terapêutico ocorreu a melhora significativa da qualidade da assistência de enfermagem e a aceitação dos procedimentos pela criança.Palavras-chave: Brinquedo terapêutico. Brinquedo. Criança. Enfermagem.
Inovações tecnológicas para o ensino da promoção da saúde e enfermagem brasileira.
Authors: Serpa Maria da Glória Noronha
Published: June 2017

A utilização de recursos informatizados, notadamente, o uso das redes de comunicação têm-se propagado progressivamente no âmbito da educação universitária, nos mais diferentes campos do saber. A inserção das novas tecnologias na educação aponta alternativas para a melhoria da educação e sua democratização, mas ao mesmo tempo, trazem novos desafios e questionamentos a serem enfrentados pelo professores e demais profissionais envolvidos na construção de atividades educacionais.
Estresse ocupacional crônico e o setor de atuação dos profissionais de enfermagem da rede hospitalar
Authors: França Flávia Maria de , Ferrari Rogério
Published: June 2017

O estudo teve como objetivo avaliar o estresse ocupacional crônico, conhecido como Síndrome de Burnout, entre os profissionais de enfermagem de dois hospitais de médio porte de Cáceres – MT, e conhecer os setores de atuação da rede hospitalar onde os profissionais são mais acometidos. Trata-se de um estudo epidemiológico do tipo transversal, com abordagem quantitativa.  A amostra do estudo foi composta por 141 profissionais de enfermagem, pertencentes aos três níveis hierárquicos: auxiliar de enfermagem, técnico de enfermagem e enfermeiro. Como instrumento foi utilizado um questionário para o levantamento dos aspectos sócio-demográficos e laborais, acrescido do Maslach Burnout Inventory (MBI). Os resultados apontam que dos 141 profissionais, 13 (9,58%) estão em estado de Burnout. Observou-se maior incidência da síndrome entre os profissionais lotados no setor administrativo (40,0%) se comparado ao setor aberto (6,97%) e fechado (2,85%). Apresentando diferença estatisticamente significante entre os setores administrativo X aberto (ρ = 0, 01) e setor administrativo X fechado (ρ= 0, 039). Portanto, considera-se imprescindível refletir e desenvolver novos estudos a respeito dessa temática para melhor compreender os fatores que contribuem para o processo saúde-doença, dos trabalhadores de enfermagem em instituições hospitalares.
Metodologias ativas: possibilidades e impossibilidades no processo formativo na área da saúde
Authors: Lemos Cristiane Lopes Simão
Published: June 2017

Com a criação do SUS a questão da formação profissional na área da saúde foi mais valorizada. Na Constituição Federal (BRASIL, 1988) e na lei 8080 (BRASIL, 1990) esta questão fica demarcada legalmente e Ministério da Saúde passa a ter uma postura pró-ativa com a responsabilidade de gerir esse processo, incluindo desde a área da formação técnica até o âmbito da prós-graduação.
Hábitos, estratégias e percepções de graduandos e pós-graduandos inseridos em disciplinas semipresenciais na área de saúde
Authors: Peixoto Henry Maia
Published: June 2017

Não se aplica
O perfil representacional dos cuidadores de pacientes acometido por acidente vascular cerebral
Authors: Araujo Jeferson Santos , Silva Silvio Eder Dias da , Santana Mary Elizabeth de , Conceição Vander Monteiro da , Vasconcelos Esleane Vilela , Santos Lucialba Maria Silva dos , Sousa Ralrizônia Fernandes
Published: June 2017

Objetivo: Objetivou-se caracterizar o ambiente dos cuidadores de pacientes acometidos por Acidente Vascular Cerebral(AVC) com dados referentes à identificação como sexo, idade, escolaridade e profissão e as condições socioeconômicas como renda, religião e convívio familiar. Método: O estudo é qualitativo com o emprego do método descritivo, o qual utiliza como preceitos vertentes da pesquisa social das representações sociais. Foram entrevistados 20 cuidadores e a análise ocorreu pelo método de análise de conteúdo temático. Resultados: O perfil sociodemográfico dos cuidadores forneceu importantes informações quanto a sua inserção no ambiente de cuidado e como se procedem esses no seu cotidiano, cenário perfeito para que o enfermeiro, durante o processo de ensino e aprendizagem do cuidado, auxilie os cuidadores, pois quando o acometido por AVC recebe a alta hospitalar, são os cuidadores domiciliares que continuarão com o cuidado necessário para a recuperação do sujeito em seu domicilio. Conclusão: Apreendeu-se que é de suma importância, o processo de analisar o perfil socioeconômico e demográfico dos cuidadores, a fim de conhecer o ambiente sociocultural em que estão inseridos, assim como as representações sociais relacionadas ao cuidado prestado por estes cuidadores.