bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnostic validity of PULP (peptic ulcer perforation) score in predicting mortality in patient with operated perforated peptic ulcer in Sanglah Hospital- Denpasar
Authors: Kurniawati Inge , Wiargitha I Ketut , Mahadewa Tjokorda Gde Bagus , Jeanne Bianca
Published: May 2019

Background: Perforated peptic ulcer (PPU) is one of the most common non-traumatic emergency cases in the emergency unit, and have a high mortality rate, more than 70% in the elderly. Accurate and early identification of high-risk surgical patients with PPU is important for triage and risk stratification. The objective of this study was to evaluate the mortality in patients with operated PPU.Methods: Between January 2015 to December 2016, 50 consecutive patients with PPU who performed laparotomy were studied retrospectively. This study was a diagnostic test to evaluate the validity of PULP (Peptic Ulcer Perforation) score to predict mortality in patient with operated PPU and determine the best cut-off point. Presentation ≥ or < 24 hours, age of 65 years old, the presence of preoperative shock, ASA score, the presence of AIDS or active malignancy, liver failure, concomitant use of steroids and serum creatinine > 14.7 g/dL were evaluated in PULP score.Results: The cut-off point for PULP the score in the present study is > 7, based on the optimal cut-off value, patients could be divided into low-risk patients (a score of < 7 points), and high-risk patients (a score of > 7 points). PULP score had 91.7% sensitivity, 65.4% specificity, and 78% accuracy in this study. Positive predictive value and negative predictive the values were 71% and 89.9%.Conclusion: The PULP score is sensitive to predict the mortality risk in patients operated for perforated peptic ulcer and can assist in risk stratification and triage.
Attitudes of healthcare professionals towards self-management for patients with stroke
Authors: Taylor Ashleigh , Monsanto Xavier , Kilgour Hayden , Smith Catherine , Hale Leigh
Published: May 2019

Self-management approaches towards stroke rehabilitation are gaining more attention due to emerging evidence of their impact on patient outcomes. This mixed methods study explored the attitudes of healthcare professionals (HCPs) towards stroke self-management. The Bridges Stroke Self-Management Programme (Bridges SSMP) training was delivered to 51 HCPs in New Zealand. Questionnaires were completed by consenting participants (n = 43) prior to administration of the Bridges SSMP training. In-depth, semi-structured interviews were conducted with three participants. The General Inductive Approach was used for thematic analysis of the qualitative data. The resulting overarching theme was “integrating the self-management concept into practice”, which encompasses organisational, contextual and individual factors that HCPs feel are challenges when applying self-management. Two contributors to this theme – “education” and “facilitating empowerment” – emerged as barriers or enablers, respectively, to putting self-management into practice. Questionnaire data showed HCPs were confident in their capability of self management concepts yet did not frequently use them in practice. Healthcare professionals were mostly positive about the concept of self-management but challenges and barriers were evident when applying this to practice. Hence, they may require a deeper understanding of the principles of self-management and become more familiar with the process by applying the principles of self-management in their own lives.
Longitudinalidade e integralidade no Programa Mais Médicos: um estudo avaliativo
Authors: Gasparini Max Felipe Vianna , Furtado Juarez Pereira
Published: May 2019

RESUMO Este estudo teve como objetivo investigar influências do Programa Mais Médicos sobre os atributos de longitudinalidade e integralidade na atenção básica, por meio de estudo de caso em dois municípios, utilizando etnografia, entrevistas e grupos focais. Os resultados indicam efeitos positivos em relação à longitudinalidade, proveniente da relação dos médicos com usuários de saúde, acolhimento humanizado, criação de vínculo terapêutico, disponibilidade para realizar visitas domiciliares e apoiar a equipe de saúde. A despeito de os médicos do programa reconhecerem a importância do princípio da integralidade do cuidado na relação com os usuários, é restrita a efetiva consideração desse atributo, explicado pelo excesso de atendimentos diários, conflitos de perspectivas com outros trabalhadores e limites da estrutura e modo de funcionamento da rede de saúde. Conclui-se que características dos agentes médicos associadas ao formato de sua contratação para o provimento de médicos nas unidades de saúde contribuem para o alcance da longitudinalidade. Por outro lado, o alcance da integralidade, que exige mudanças estruturais, como a formação contínua das equipes e reorganização do trabalho, permanece pouco influenciada pelo programa abordado.
Análise da eficiência de hospitais regionais em um estado do Nordeste
Authors: Silva João Paulo Teixeira
Published: May 2019

RESUMO O Sistema Único de Saúde (SUS) foi criado com a finalidade de alterar a situação de desigualdade na assistência à saúde da população. O hospital, sendo uma instituição de elevada complexidade, surge como um dos mais importantes componentes desse sistema, principalmente por nele estar empregado grande investimento, assim, o SUS precisa enfatizar o seu controle de custos. O objetivo deste estudo foi avaliar a eficiência de hospitais regionais das principais regiões do estado do Rio Grande do Norte, à luz de indicadores hospitalares. Trata-se de um estudo avaliativo de metodologia quantitativa, no qual foram selecionadas seis unidades hospitalares integrantes da rede estadual do estado brasileiro, sendo duas de cada porte, no ano de 2014. Todos os dados são secundários provenientes dos sistemas oficiais de informação e das secretarias de saúde. Os melhores desempenhos, diagnosticados a partir dos indicadores, foram encontrados nas unidades de grande porte, enquanto os de pequeno apresentaram baixa resolubilidade e eficiência. Considerando-se o papel das unidades de referência regionais, o qual é ofertar assistência médica de maior complexidade à população, observa-se que o excesso de hospitais regionais de pequeno porte, com baixa resolubilidade e eficiência, mais onera o estado do que propicia melhoria da qualidade de vida da população.
Pesquisa social ou pesquisa qualitativa? Uma dis(des)cu(constru)ss(ç)ão em pauta na saúde coletiva
Authors: Carnut Leonardo
Published: May 2019

RESUMO O objetivo deste texto é analisar, inicialmente, por uma vertente crítica, a produção da pesquisa social em saúde coletiva tendo como eixo norteador o ‘elo perdido’ entre teoria-e-método. Para tanto, optou-se pela modalidade textual de ensaio crítico, inspirada em Adorno e Meneghetti, que a defendem como forma de ultrapassar o pensamento para além das fronteiras do método. Toma-se como ponto de partida a frequente confusão entre ‘pesquisa social’ e ‘pesquisa qualitativa’ no campo da saúde coletiva como questão disparadora da reflexão. Ao longo do texto, a reflexão reaviva conceitos, teorias e as técnicas utilizadas na subárea das ‘Ciências Sociais e Humanas em Saúde’ como forma de discorrer sobre essa (des)conexão. Por fim, são apresentados limites e possibilidades da pesquisa social na saúde coletiva e o papel das Ciências Sociais e Humanas em Saúde na problematização do debate.
Sobre a saúde de quem trabalha em saúde: revendo afinidades entre a psicodinâmica do trabalho e a saúde coletiva
Authors: Aciole Giovanni Gurgel , Pedro Márcia João
Published: May 2019

RESUMO O trabalho em saúde está atravessado pela intensa dinâmica entre intenções e gestos, no seio da qual a construção do Sistema Único de Saúde agudiza questões relativas ao uso da força de trabalho e seu desgaste, ensejando o debate e a reflexão sobre a saúde de quem cuida da saúde. À guisa de ensaio sobre essa questão, este estudo envereda pelo campo discursivo das práticas de cuidado e da gestão do trabalho em saúde, buscando identificar convergências e aproximações entre a teoria da ‘psicodinâmica do trabalho’, que preconiza a centralidade da subjetividade dos trabalhadores, e as propostas da saúde coletiva brasileira sobre o trabalho em saúde e a produção do cuidado integral e humanizado.
A Trajetória das Organizações de Agricultores Familiares e a Implementação de Políticas Públicas: um estudo de dois casos
Authors: Freitas Alan Ferreira de , Ferreira Marco Aurélio Marques , Freitas Alair Ferreira de
Published: May 2019

Resumo: Este trabalho procurou analisar como a trajetória das organizações de agricultores familiares pode afetar a implementação do Programa Nacional de Alimentação Escolar e sua execução localmente. A hipótese de trabalho é que o modo como as organizações são constituídas determina a forma como as interações com outros atores acontecem no âmbito de uma política pública, influenciando a sua execução. Para se chegar aos resultados, tomou-se como estratégia de pesquisa o estudo dos casos de Espera Feliz e de Guaraciaba, ambos localizados na Zona da Mata de Minas Gerais. O trabalho de campo revelou, conclusivamente, que as condições sociais herdadas e a racionalidade sob a qual as organizações coletivas são constituídas conformam os modos de funcionamento das mesmas e a forma de acesso a políticas públicas, podendo afetar os arranjos locais e os resultados do programa.
A Intermodalidade no Transporte de Etanol Brasileiro: aplicação de um modelo de equilíbrio parcial
Authors: Coleti Jamile de Campos , Oliveira Andrea Leda Ramos de
Published: May 2019

Resumo: A busca por fontes de energia renováveis tem aumentado a demanda mundial de etanol. O Brasil é o segundo maior produtor; porém, os custos para transportar a produção são cada vez mais altos. O objetivo do presente artigo é analisar as alternativas de transporte para o etanol frente às condições da logística vigentes no Brasil. Para tanto, propõe-se a aplicação de um modelo de equilíbrio parcial na forma de um Problema de Complementaridade Mista (PCM). Foram avaliados três cenários: o primeiro representa uma perspectiva atual e vigente, em que são praticadas rotas rodoviárias e rodoferroviárias. No Cenário 2 estimou-se uma redução de 15% no valor do frete ferroviário e, no Cenário 3, são incluídos novos projetos dutoviários em curso no País. O Cenário 3 apresentou os melhores volumes de comercialização, com aumento de 0,20% em relação ao cenário-base e um aumento nas divisas de 27 milhões de dólares, indicando que os projetos viários que priorizam a intermodalidade, sobretudo através da dutovia, implicam reduções no custo de transporte e conferem melhoria na eficiência do sistema logístico. Como proposta futura, sugere-se a inclusão do subsídio norte-americano para o etanol, pois tal parâmetro pode alterar a competitividade brasileira.
THE IMPACT OF WELL-BEING AT WORK AND PSYCHOLOGICAL CAPITAL OVER THE TURNOVER INTENTION: A STUDY OF TEACHERS
Authors: POLIZZI FILHO ANGELO , CLARO JOSÉ A. C. S.
Published: May 2019

ABSTRACT Purpose: To investigate a theoretical conceptual model for the intention of rotation, analyzing its relationship with well-being at work, psychological capital and intention of rotation. Originality/value: The study contributed to present unpublished aspects and an apparent gap in the theoretical revision of the national literature by the absence of research investigating the relations between psychological capital and intention of rotation. Design/methodology/approach: Research of empirical nature and quantitative approach. We tested four hypotheses regarding the interactions of the variables, using a self-completion questionnaire containing five validated and accurate Brazilian measures. Findings: The hypotheses were confirmed, indicating that teachers have a well-being at work composed of greater satisfactions with colleagues, managers and tasks, and minors with salaries and promotions, medium indexes of involvement with work and affective commitment to the university in which they worked, revealing a low intention of rotation. In the international literature, the concept of psychological capital arises, proposing us future investigations and creating a line of research in Brazil in the measurement of the moderating role of psychological capital in the relations between constructs of organizational behavior. It is essential that other professional categories be studied in the search for evidence about the use of psychological capital as a moderating variable in the relation between the objective dimensions of this study.
ORGANIZATIONAL LEARNING IN PRACTICE-BASED STUDIES APPROACH: REVIEW OF SCIENTIFIC PRODUCTION
Authors: DURANTE DANIELA G. , VELOSO FABIANA R. , MACHADO DIEGO Q. , CABRAL AUGUSTO C. A. , SANTOS SANDRA M.
Published: May 2019

ABSTRACT Purpose: To review the scientific production on organizational learning, which made use of the practice-based studies approach, concerning the production evolution, the author's profile, methodological characteristics, and correlated themes. Originality/value: Organizational learning presents gaps regarding contributions from other areas, such as Sociology. Practice Based Studies (PBS) have the sociological bias and the social space as a locus of learning processes and knowledge generation. No studies have been identified that review the national scientific production on organizational learning in the PBS context, reinforcing the potential contributions of this work. Design/methodology/approach: The research covered the papers available in Spell's database and in Capes Journals Portal, published until 2017, 42 in total. Those were systematically reviewed in a qualitative approach. Ucinet6 and NetDraw software were also used in the analysis. Findings: The publications are recent and focus on journals of national and international impact. The authorship is under responsibility of small groups, evidencing a partnership among the authors. The number of theoretical papers and the relevance of their contributions are significant. As for the empirical studies, there is a predominance of case study and interview. As to the themes, topics relevant to the PBS theoretical-methodological proposal are discussed. It was concluded that PBS, by taking the practices inserted in the context of organizations as a locus of learning study, reveal a potential to fill gaps in the traditional organizational learning perspective.
Estimates of reference evapotranspiration in the municipality of Ariquemes (RO) using neural networks GMDH-type
Authors: Carvalho Roberto L. da S. , Delgado Angel R. S.
Published: May 2019

ABSTRACT Reference evapotranspiration is a climatological variable of great importance for water use dimensioning in irrigation methods. In order to contribute to the climatic understanding of Ariquemes, Rodônia state, Brazil, the study aims to model the behavior of the time series of reference evapotranspiration using a GMDH-type (Group Method of Data Handling) artificial neural network (ANN) and to compare it with the SARIMA (Seasonal Autoregressive Integrated Moving Average) methodology. Data from the National Institute of Meteorology - INMET, obtained at the Automatic Weather Station of Ariquemes, from January 2011 to January 2014, were used. Data analysis was performed using software R version 3.3.1 through the GMDH-type ANN package. Modeling by GMDH-type ANN led to results similar to the results of the SARIMA model, thus constituting an option to predict climatic time series. GMDH-type models with larger numbers of inputs and layers presented lowest mean square error.
Sugarcane spatial-temporal monitoring and crop coefficient estimation through NDVI
Authors: Alface Angelo B. , Pereira Silvio B. , Filgueiras Roberto , Cunha Fernando F.
Published: May 2019

ABSTRACT The use of satellite images as a complement in irrigation management constitutes a primordial basis in the decision-making process for irrigated agriculture. In this context, the present study aimed to monitor through Normalized Difference Vegetation Index (NDVI) an irrigated sugarcane field belonging to the Mafambisse company, located at the District of Nhamatanda/Sofala, Republic of Mozambique, and establish its relationship with the crop coefficient established by FAO (kcFAO) and fit a regression model to estimate crop coefficient (kc) from the relationship between NDVI and kcFAO. The study was conducted using a series of Sentinel-2A/MSI images, relative to the period from October 2016 to October 2017. Based on the NDVI images generated, it was possible to monitor the sugarcane crop in the field and analyse the sensitivity of the index to its vegetative vigor. A similar pattern was observed between kcFAO profiles and NDVI values, which allowed the adjustment to be performed, demonstrating that this index is an alternative to obtain the crop coefficient.
Estimation of precompression stress in an Ultisol cultivated with sugarcane
Authors: Mendes Pericles M. B. , Rolim Mário M. , Lima Renato P. de , Pedrosa Elvira M. R. , Tavares Uilka E. , Simões Neto Djalma E.
Published: May 2019

ABSTRACT Compressive soil properties are typically used for the understanding of compaction process. As an alternative to laboratory tests, pedo-transfer functions have been used to estimate the mechanical behaviour of soil as a function of soil physical parameters. The impact of soil bulk density (BD) and gravimetric water content (w) was examined on soil strength and pedo-transfer functions were proposed to predict the precompression stress (σp) in an Ultisol cultivated with sugarcane. Undisturbed soil cores were sampled at the depths of 0-0.20 and 0.20-0.40 m, subjected to different water contents, and subsequently, compression tests were performed to determine σp. The data were subjected to analysis of variance and regression analysis. Bulk density and w affected σp positively and negatively, respectively. Approximately 70% of the variation of the σp could be explained as a function of BD and w through an accessible multiple regression model. Comparisons with other pedo-transfer functions showed that estimates of σp may be rather sensitive to soil management and textural classes. Variations imposed by soil management and cohesive character into depth suggest that independent models should be considered to characterise compressive behaviour of soil by horizon or layer.
Morphometric responses and tolerance of pomegranate seedlings irrigated with saline water
Authors: Almeida João P. N. de , Mendonça Vander , Alves Anderson A. , Cardoso Neto Raulino , Costa Luilson P. , Silva Francisco S. O.
Published: May 2019

ABSTRACT Information on the production of seedlings and initial growth of pomegranate irrigated with saline water is scarce in the Brazilian semi-arid region. The objective of this study was to assess the effect of irrigation water salinity levels on the growth and tolerance of pomegranate seedlings. The experiment was conducted in a greenhouse, located at the Federal Rural University of the Semi-Arid Region, Mossoró, RN, Brazil. A randomized block design with five treatments [electrical conductivities of irrigation water (ECw) of 0.6, 3.0, 6.0, 9.0, 12.0 dS m-1] and five replicates, with three plants per plot, was used. At 120 days after sowing, the following characteristics were evaluated: shoot, root and total lengths (cm); stem diameter (mm), dry mass of stem, leaves, root system and total (g); ratio between root and shoot dry mass; Dickson quality index and salinity tolerance. Growth and dry biomass accumulation in pomegranate seedlings were compromised with increased salinity in irrigation water, but with a lower intensity when subjected up to EC of 6.0 dS m-1. Regarding the criterion of evaluation of tolerance to salinity, pomegranate seedlings were moderately tolerant to salinity.
Mapping and characterization of intensity in land use by pasture using remote sensing
Authors: Calegario Arthur T. , Pereira Luis F. , Pereira Silvio B. , Silva Laksme N. O. da , Araújo Uriel L. de , Fernandes Filho Elpídio I.
Published: May 2019

ABSTRACT The current demand for food has been met through the exploitation of natural reserves. Brazil has 26% of its extension occupied by agricultural uses, 62% of which are pastures. Degraded pastures have greater land use intensity than well-managed pastures, leading to greater degradation of the environment. Land use classification systems consider that pastures are well managed, a misconception for the Brazilian reality. Based on this approach, it was aimed to develop a methodology for mapping the intensity of land use by pasture via remote sensing. The method of mapping was developed and validated in basins with different soil and climatic characteristics. Three calibrations were performed based on NDVI values to ascertain the influence on the results, being evaluated from the field campaigns and the kappa and weighted kappa indices. The kappa and weighted kappa indices presented reasonable and moderate agreement, respectively. The results were considered as satisfactory for the three calibrations, evidencing that the degree of degradation of the pastures can be estimated in a simple way by remote sensing. The Limoeiro River Basin has around 46.9% of pastures, at least, heavily degraded and 96.6% with some degree of degradation, which contributes to degradation of the natural resources and reduction of livestock farming and economic potential of the basin.
Allometric models to estimate tree height in northern Amazonian ecotone forests
Authors: BARBOSA Reinaldo Imbrozio , RAMÍREZ-NARVÁEZ Perla Natalia , FEARNSIDE Philip Martin , VILLACORTA Carlos Darwin Angulo , CARVALHO Lidiany Camila da Silva
Published: May 2019

ABSTRACT Allometric models defining the relationship between stem diameter and total tree height in the Amazon basin are important because they refine the estimates of tree carbon stocks and flow in the region. This study tests different allometric models to estimate the total tree height from the stem diameter in an ecotone zone between ombrophilous and seasonal forests in the Brazilian state of Roraima, in northern Amazonia. Stem diameter and total height were measured directly in 65 recently fallen trees (live or dead). Linear and nonlinear regressions were tested to represent the D:H relation in this specific ecotone zone. Criteria for model selection were the standard error of the estimate (Syx) and the adjusted coefficient of determination (R²adj), complemented by the Akaike Information Criterion (AIC). Analysis of residuals of the most parsimonious nonlinear models showed a tendency to overestimate the total tree height for trees in the 20-40 cm diameter range. Application of our best fitted model (Michaelis-Menten) indicated that previously published general equations for the tropics that use diameter as the independent variable can either overestimate tree height in the study area by 10-29% (Weibull models) or underestimate it by 8% (climate-based models). We concluded that our site-specific model can be used in the ecotone forests studied in Roraima because it realistically reflects the local biometric relationships between stem diameter and total tree height. Studies need to be expanded in peripheral areas of northern Amazonia in order to reduce uncertainties in biomass and carbon estimates that use the tree height as a variable in general models.
RESIDÊNCIAS INTEGRADAS EM SAÚDE MENTAL: PARA ALÉM DO TECNICISMO
Authors: Lima Isabella Cristina Barral Faria , Passos Izabel Christina Friche
Published: May 2019

Resumo Este estudo objetivou analisar, à luz das discussões sobre educação interprofissional e práticas colaborativas no contexto da reforma psiquiátrica, o projeto político-pedagógico de um programa de residências integradas em saúde mental em curso em Belo Horizonte, Minas Gerais. Mediante abordagem qualitativa, foi realizada análise de conteúdo temática do projeto político-pedagógico do programa, que resultou em três temas amplos: perspectiva teórico-pedagógica; diversificação das estratégias de cuidado; trabalho multiprofissional na lógica interdisciplinar. As informações que emergiram foram complementadas e aprofundadas com a realização de entrevistas semiestruturadas com atores envolvidos na preceptoria e na coordenação do programa. Entre os achados, destacamos a potencialidade do programa para o fortalecimento do processo de desinstitucionalização e de qualificação da política pública de saúde mental, ao possibilitar uma aprendizagem conjunta entre residentes de diferentes áreas e trabalhadores dos serviços envolvidos. Por meio do desenvolvimento de competências necessárias para a realização de um trabalho coletivo e comprometido com a integralidade da assistência em saúde, o programa reforça a necessidade da interprofissionalidade e das práticas colaborativas, indo além do tecnicismo. A aposta na rede de atenção psicossocial como local privilegiado para processos de ensino-aprendizagem, sem a utilização do hospital psiquiátrico, questiona práticas de formação estagnadas e possibilita a ampliação das formas de cuidado.
CONDIÇÕES SOCIAIS, ESCOLARIZAÇÃO E HÁBITOS DE ESTUDO NO DESEMPENHO ACADÊMICO DE CONCLUINTES DA ÁREA DA SAÚDE
Authors: Noro Luiz Roberto Augusto , Moya José Luis Medina
Published: May 2019

Resumo Vários fatores contribuem para a dificuldade no acesso e permanência na Educação Superior no Brasil. O objetivo deste estudo foi identificar a diferença de desempenho dos estudantes por condições socioeconômicas, escolarização e hábitos de estudo. Foi realizado estudo transversal analítico com base nos dados do Exame Nacional de Desempenho dos Estudantes, em amostra de 196.856 alunos dos cursos de saúde em 2013. A nítida barreira que estudantes de classes sociais menos favorecidas apresentam para ingresso e permanência na Educação Superior requer uma permanente busca de maior justiça social. Enquanto se mantiver a atual situação, é papel do governo proporcionar estratégias que viabilizem o acesso à Educação Superior por meio de políticas afirmativas e recursos para viabilizar que pessoas com piores condições socioeconômicas possam investir em sua formação. A bolsa-permanência apresentou-se como essencial na busca da equidade, assim como a bolsa acadêmica permitiu melhor desempenho, em especial, pelo maior vínculo com a Instituição de Educação Superior.
Oral management of a patient with cemento-osseous dysplasia: a case report
Authors: KATO Camila de Nazaré Alves de Oliveira , SAMPAIO Juliana Diogo de Almeida , AMARAL Tânia Mara Pimenta do , ABREU Lucas Guimarães , BRASILEIRO Cláudia Borges , MESQUITA Ricardo Alves
Published: May 2019

ABSTRACT Florid cemento-osseous dysplasia is a subtype of fibrous-osseous lesion that commonly appears in the jaws of middle-aged black women. Clinically, the florid cemento-osseous dysplasia is asymptomatic. The radiographic aspect shows a radiolucent area with several masses of radiopaque structures, typically found in the toothbearing areas. Usually, the diagnosis is made during routine radiographic examination. The treatment is required when infection occurs due to exposure of the lesion in the oral cavity. In these severe cases, pain and facial deformity may be present. Commitment oral hygiene and routine dental visits for check-up are recommended for individuals affected. The objective of this study was to present a clinical case of a 24-year-old white woman with florid cemento-osseous dysplasia, who had been under surveillance for 13 years. Some changes in the radiographic pattern were observed as the orthodontic treatment was carried out in a private service. No tooth extraction was performed. This change is expected because florid cemento-osseous dysplasia has different radiographic aspects that correspond to the different developmental stages of the lesion. It is suggested, however, that the presence of florid cemento-osseous dysplasia did not preclude the success of the orthodontic treatment.
Dental procedure evaluation in the municipality of Florianópolis, State of Santa Catarina, Brazil
Authors: RODRIGUES Madson Hermenegildo , COSTA JUNIOR Sylvio da , PEREIRA Mateus Cardoso , BAVARESCO Caren Serra
Published: May 2019

ABSTRACT Objective: The aim of the present study is to evaluate oral health procedures carried out by primary care in the municipality of Florianópolis as well as its impairments and potentialities during 2014 and 2015. Methods: An observational epidemiological study was carried out based on secondary data obtained from the patient standardized and digital information - Electronic Patient Record- in a health care network of the municipality. The data was obtained through the average of the ratio: each dental procedure performed to the number of patients who had accessed the oral health service in the period studied. The results were presented in their absolute and percentage forms. Results: it was shown that Florianópolis followed the national trend of dental procedure diversification and a decrease in the amount of tooth extractions performed in the municipality was observed. Conclusion: The findings of this study may impact the implementation of Oral Health Teams in the Family Health Program. Nonetheless studies on the functioning and activities of Oral Health Teams are necessary in order to qualify the dental care provided in the municipality.
Hospital dentistry and the occurrence of pneumonia
Authors: GOMES Rita Fabiane Teixeira , CASTELO Edilson Fernando
Published: May 2019

ABSTRACT Objective: To determine the oral health conditions of the elderly patients hospitalized and restricted to the bed and to correlate with the development of infections at a distance, especially pneumonia. To verify if the daily follow-up of the dental surgeon improves oral health and reduces the occurrence of respiratory infection in hospitalized elderly patients. Methods: Quasi-experimental study with hospitalized and bed restricted elderly, two simple randomized groups, one group was evaluated and monitored daily by the dental surgeon, the other group was evaluated and received guidance on health care and oral hygiene and of dental prostheses. Results: Both groups presented poor health and oral hygiene and prosthetic conditions. There was improvement in the oral health conditions of both groups. Seven percent of the patients developed pneumonia during the period of hospital stay and the oral health of these patients were considered regular or bad. Conclusion: The performance of the dental surgeon promoted improvements in the oral health of both groups in the first evaluation, with no statistical difference between the group that received daily follow-up and the group that received guidelines, so it was concluded that oral health care should be a behavior of the team multidisciplinary, dentistry should intervene if the changes interfere in the clinical condition of the patient and offer training and support to the multidisciplinary team that is in the first line of care with hospitalized patients.
Participatory planning and quality assessment: contributions of a nursing management technology
Authors: Vandresen Lara , Pires Denise Elvira Pires de , Martins Maria Manuela , Forte Elaine Cristina Novatzki , Lorenzetti Jorge
Published: May 2019

ABSTRACT Objective: to analyze the outcomes of participatory planning and quality assessment of the nursing care provided in a hospital ward using a nursing management technology. Method: Convergent care research focuses on research and practice intervention, developed in a hospital in southern Brazil from April to August 2016. Participatory planning and quality evaluation was performed using the PRAXIS® technology. Results: In the participatory planning, a survey of needs/problems was carried out by 33 professionals followed by 5 workshops, where mission, guiding principles, 4 priority problems, expected results, objectives and plans of activities were defined. For quality evaluation, two indicators were used: satisfaction and notification of adverse events. The evaluation was carried out with 101 patients and /or relatives, predominating “great or good”. Adverse events, 28 records, predominating medication errors. Conclusion: Participatory planning and quality assessment are essential to improve nursing care management and the PRAXIS® technological innovation has been a useful resource.
Perfil miofuncional orofacial de pacientes com distúrbios do sono: relação com resultado da polissonografia
Authors: Miranda Vanessa Souza Gigoski de , Buffon Gabriela , Vidor Deisi Cristina Gollo Marques
Published: May 2019

RESUMO Objetivo Este trabalho se propõe a caracterizar o perfil miofuncional orofacial de pacientes com distúrbios do sono e relacionar esses com a gravidade do resultado da polissonografia. Método Estudo transversal, de campo, realizado com pacientes encaminhados para polissonografia, com amostra aleatória, composta por pacientes adultos, de ambos os gêneros, com queixa de ronco e que não estivessem recebendo alguma forma de tratamento para o distúrbio do sono. Foi realizada avaliação fonoaudiológica antroposcópica e coletado o resultado do exame de polissonografia, a fim de responder aos objetivos do trabalho. Resultados Verificou-se associação significativa entre a gravidade do distúrbio de sono e variáveis ambientais, tais como tabagismo e etilismo; também com características individuais, tais como raça, índice de massa corporal, circunferência abdominal e hipertensão arterial sistêmica. Do ponto de vista das características miofuncionais, verificou-se relação positiva entre a gravidade da Síndrome da Apneia e Hipopneia Obstrutiva do Sono com a contração do músculo mentual, classe de Mallampati, elevação de dorso de língua, espessura de língua, características da úvula, extensão e mobilidade de palato mole, e alteração no padrão respiratório. Conclusão A pesquisa possibilitou descrever uma tendência da existência de alterações miofuncionais orofaciais em indivíduos com Síndrome da Apneia e Hipopneia Obstrutiva do Sono e revelou, ainda, que quanto maior o grau de comprometimento das estruturas orofaciais, maior também se revela o grau do distúrbio.
Phytosociological Survey of Sugarcane Crop Weeds in Different Agroecological Areas in Tucumán Province, Argentina
Authors: CABRERA D.C. , CHAILA S. , SOBRERO M.T. , VARELA A.E.
Published: May 2019

ABSTRACT: Weeds constitute the main constraint on the productivity of sugarcane agroecosystems in Argentina. This work aimed to analyze the floristic and phytosociological composition of sugarcane weed communities in different agroecological areas in Tucumán. Fifteen plots from each area were sampled 60 to 90 days after crop shooting, by throwing a 0.5 m x 0.5 m quadrat metallic frame six times in random directions in each of the plots. Species found within the frame were identified. Later, fresh and dry biomass weight were calculated per quadrat sample and species. Frequency, density, dominance, importance value index, Shannon-Wiener and Simpson species diversity index and Jaccard similarity index were calculated. The unweighted pair group method with arithmetic mean (UPGMA) was used to interpret similarity. Overall, 35 species were identified, 24 of which were dicotyledons and 11 monocotyledons. Eighteen of them were annual species, versus 17 which were perennial. Considering IVI, the most outstanding families were Poaceae, Cyperaceae, Euphorbiaceae, Amaranthaceae and Asteraceae. The results obtained in all the areas revealed the importance of the species Panicum maximum, Sorghum halepense, Cyperus rotundus, Cynodon dactylon and Euphorbia hyssopifolia. The areas with greater and less diversity were the Depressed Plain-Non-Saline Depressed Plain Subregion and the Subhumid-Humid Chaco-Pampean Plain, respectively. There was a 53% similarity between the Depressed Plain-Saline Depressed Plain and the Depressed Plain-Non-Saline Depressed Plain, and a 47% similarity between the Humid and Perhumid Foothills and the Subhumid-Humid Chaco-Pampean Plain. Hierarchical clustering and Jaccard index led to similar results.
Translocation and Root Exudation of Glyphosate by Urochloa brizantha and its Transport on Sugarcane and Citrus Seedlings
Authors: VITI M.L. , ALVES P.A.T. , MENDES K.F. , PIMPINATO R.F. , GUIMARÃES A.C.D. , TORNISIELO V.L.
Published: May 2019

ABSTRACT: Glyphosate is easily exuded by the roots of plants. However, there is still some lack of information in the scientific literature as to whether Urochloa brizantha is capable of exuding glyphosate to influence the growth of crops such as sugarcane and citrus. Thus, the objective of this research was to evaluate the translocation and root exudation of 14C-glyphosate by U. brizantha and its transport in sugarcane and citrus. Sugarcane seedlings, varieties SP80-1842, and citrus ‘Limão Rosa’ (Citrus limonia L. Osbeck) were cultivated with U. brizantha around the seedlings. Using a microsphere, 14C-glyphosate was applied on the leaves of U. brizantha. The plants were cultured for 12 days after treatment (DAT). The radioactivity of the herbicide was evaluated by liquid scintillation spectrometer, after oxidizing the soil and parts of the plants (leaves, culms and roots) of U. brizantha, sugarcane and citrus. The highest amount of glyphosate was detected in the U. brizantha leaves, where the applications were carried out, regardless of the culture studied. Only traces of glyphosate (0.001%) were detected in soil cultivated with sugarcane. On the other hand, in citrus, U. brizantha exuded 9.46% of the glyphosate by the root system in the soil. The total amount of herbicide found in sugarcane and citrus seedlings was only 0.006 and 0.095%, respectively, in all parts of the plant. These concentrations are lower than those required to cause intoxication in those crops. Considering the results, it is possible to state that the translocation of glyphosate in young plants of U. brizantha associated with citrus was higher in relation to sugarcane, and it was not exuded by the root system of the weed with sugarcane, but presented root exudation with citrus, however, the amount did not reach what is necessary to affect the dry mass of the agricultural crops.
Allelopathic Effect of Lotus and Arrowhead Weed on Wheat, Wild Oat and Milkthistle Germination
Authors: GUL B. , IJAZ S. , KHAN H.
Published: May 2019

ABSTRACT: An experiment was conducted to investigate the allelopathic effects of lotus (Nelumbo nucifera Gaertn.) and arrowhead (Sagittaria sagittifolia (Brummitt & Powell): L.) on seed germination of wheat and two associated weeds, namely, wild oat (Avena fatua L.) and milk thistle (Silybum marianum (L.) Gaertn.). The experiment was laid out in a Completely Randomized Design during May, 2014. Dried biomasses of lotus and arrowhead leaves were soaked in distilled water for 48 hrs for extract preparation. The extracts were applied at a rate of 5 and 10% concentrations to the seeds of wheat, wild oat and milk thistle at 25 °C in 10 cm wide Petri plates. A control treatment where only distilled water was applied to the seeds, was included for comparison. Data were recorded on germination (%), shoot length (cm), shoot and root fresh weights (g). The results revealed that 10% lotus extract reduced germination of wild oat (0.00%) and milk thistle (13.3%) but comparatively enhanced that of wheat (20%). By contrast, arrowhead totally inhibited germination of wheat and wild oat as compared to milk thistle (16.66%). Similarly, 10% lotus extract favored shoot length and root weight of wheat and milk thistle, whereas 100% inhibited wild oat. By comparison, arrowhead completely inhibited shoot length and root weight of wheat and wild oat at 10% conc. and enhanced milkthistle (3.00 cm and 3 g). A higher lotus extract conc. affected wild oat more than wheat and milkthistle, while arrowhead weed affected almost all test species. In conclusion, these aquatic weeds can be used as mulch in wheat in nearby fields of the infested aquatic water bodies for wild oat control, weed biomass disposal and nutrient addition to the soil.
Vida sociopolítica em mercados culturais na cidade de Porto Alegre
Authors: Garcia Sandro Ruduit
Published: May 2019

Resumo As possibilidades das tecnologias de informação e comunicação conjugadas com normas e regras do sistema global têm contribuído para a transformação dos mercados culturais, recriando concepções e arranjos entre arte-tecnologia-mercado. O artigo discute centralmente as implicações sociopolíticas dessas transformações nos mercados culturais, enfocando as respostas dos agentes em distintas instâncias de ação política na cidade de Porto Alegre. Os dados resultam da combinação de diferentes fontes de investigação, destacando-se entrevistas com líderes profissionais e com gestores de empreendimentos no mundo da cultura, assim como relatórios e documentos obtidos em diversos sites na Internet. O argumento que orienta a análise é de que as referidas transformações tendem a produzir diferentes tipos de ações sociopolíticas, como as mobilizações de novos coletivos de artistas, de novas associações profissionais e a reformulação de pautas nas já existentes, e a presença em novos e antigos conselhos de políticas públicas.
A digitalização do simbólico e o capitalismo cultural-digital: a expansão dos serviços culturais-digitais no Brasil
Authors: Alves Elder P. Maia
Published: May 2019

Resumo O capitalismo cultural-digital tem como núcleo o processo de digitalização do simbólico. Esse processo abriga quatro fenômenos interdependentes: (1) a consolidação da tecnologia do streaming; (2) a expansão global do uso dos dispositivos digitais móveis, especialmente os smartphones; (3) a convergência digital; (4) o advento e a profusão da Web 2.0, etapa da Internet na qual a maioria dos conteúdos é criada, distribuída, compartilhada e consumida pelos próprios usuários. As interfaces entre esses quatro fenômenos permitiram que as maiores corporações de tecnologias digitais do planeta (Google, Amazon, Facebook, Apple e Microsoft) também tenham se tornado grandes corporações de arte, cultura e entretenimento, construindo novos modelos de negócios - os serviços culturais-digitais, especialmente a oferta dos serviços por assinatura via streaming. Tendo em vista o cruzamento de diferentes dados quantitativos acerca desses fenômenos, este trabalho objetiva compreender a expansão dos serviços culturais-digitais no Brasil nos últimos dez anos.
Concursos públicos para docentes de universidades federais na perspectiva da Lei 12.990/2014: desafios à reserva de vagas para candidatas/os negras/os
Authors: Mello Luiz , Resende Ubiratan Pereira de
Published: May 2019

Resumo A partir da análise de mais de três mil editais de concursos para docentes de 63 universidades federais, tínhamos como objetivo principal problematizar os termos da implementação da Lei n.º 12.990/2014, que reserva 20% das vagas de concursos públicos federais para candidatas/os negras/os. Uma conclusão central de nossa pesquisa é que não há uniformidade, entre as diversas universidades, quanto à interpretação do significado da exigência de um número superior a duas vagas por edital para que a reserva seja assegurada. Nesse cenário, o percentual destinado a negras/os nos editais analisados, em um período corresponde a três anos e meio, totalizando mais de 15 mil vagas, é inferior a 5%. Tal realidade parece estar na contramão dos objetivos da Lei n.º 12.990/2014 e contraria manifestações de órgãos do governo federal e do Poder Judiciário no sentido de que o percentual de 20% para negras/os seja cumprido, inclusive nos concursos para docentes.
Nurse-led telephone review service for mild inherited bleeding disorders improves attendance rates, frees hospital resources and is highly rated by patients
Authors: Alavian Sharon , Hutchinson Wendy , Morris Abigail , Williams Heather , Pollard Debra
Published: May 2019

Introduction and objective

In the UK, the National Service Specification for haemophilia stipulates that all patients with mild inherited bleeding disorders must be reviewed annually by their haemophilia centre. For those patients who rarely experience problems relating to their bleeding disorder, attending a yearly hospital-based appointment may be viewed as a low priority. This can result in missed appointments and disconnection from their haemophilia centre, leading to poor understanding of how to manage their condition in emergencies, or when surgical or other invasive procedures may be necessary. The inherited nature of these conditions also has implications for reproduction, and it is of vital importance that the risk of bleeding around labour, delivery and the neonatal period are fully understood and mitigated against. The introduction of a structured, nurse-led telephone clinics across the North London Adult Haemophilia Network (NLAHN) offered an alternative method for patients to be reviewed. This strategy was then evaluated to assess whether the needs of patients were being fulfilled.

Materials and methods

Clinical nurse specialists (CNS) from the NLAHN devised a short service evaluation questionnaire with Likert scales and one open question. Patients across the NLAHN sites who had received a telephone review in 2016 were sent an anonymised questionnaire, with a stamped addressed envelope and a six-week return date.

Results

514 questionnaires were distributed, 174 were returned, and 18 were excluded as returned incomplete, giving a return rate of 28%. Overall, 89% (139/156) of patients rated the new service between excellent and very good; 89% (139/156) reported that they were very satisfied with the information received in the review; and 95% (149/156) were happy to continue to receive telephone reviews.

Conclusion

Patients found the telephone reviews a viable alternative to traditional hospital-based appointments. The telephone clinics are more convenient for patients in terms of time and resources; they also helped those surveyed to re-engage with their haemophilia centre, ensuring continued education about their condition and the services offered. Overall attendance rates for the follow-up of patients with mild bleeding disorders have improved, with a reduction in traditional clinic appointments for this group. This has an ongoing positive impact on waiting lists and the financial burden of missed hospital appointments without impacting patient care.
Effects of top rope climbing therapy on joint health in adult haemophilia patients with severe arthropathies
Authors: Schroeder Courtney , Barnes Richard FW , Volland Lena , Nguyen Sonha , von Drygalski Annette
Published: May 2019

Background

Low impact physical activity is important for patients with haemophilic arthropathies, but is often considered boring with suboptimal adherence. There is therefore a need for physical activities that motivate patient engagement.

Aims

To evaluate the benefits of top rope climbing, increasingly used in other musculoskeletal disorders, as an engaging sports discipline in haemophilia.

Materials/Methods

Six adult arthropathic patients with haemophilia (PWH) completed 12 sessions of tailored top rope climbing training. Functional and clinical joint status, climbing skills, quality of life (QoL), annual bleed rate (ABR) and joint findings with musculoskeletal ultrasound/power doppler (MSKUS/PD) were assessed before and after climbing.

Results

Haemophilia joint health scores, dorsiflexion in arthropathic joints and climbing skills all improved. ABRs were comparable before and during climbing, and QoL remained high. MSKUS evaluation demonstrated no detrimental effects on synovial and cartilage health, with a decrease of inflammatory PD signal in some joints.

Conclusion

We conclude that top rope climbing therapy (“Haemophilia Vertical”) can improve joint health in PWH with arthropathies. Haemophilia Vertical therefore emerges as an innovative athletic concept to promote physical activity among PWH. Further study investigating the longer-term impact in a larger cohort is warranted.