bluuebunny/crossref_metadata_2025 huggingface dataset:
The Use of Gimmick in William Golding's Major Novels
Authors: Sabir Hawar H. , Arif Safeen N.
Published: July 2020

The problem that this paper deals with is that the unexplained or surprising endings in some of William Golding’s novels can affect the thematic structures of the novels concerned. Furthermore, they influence the nature of the messages desired to be communicated by the author. Unexpected incidents in stories, such as uncalled for discoveries and revelations, can occur at any part of a story, serving the intention of heightening the readers’ suspense. Story endings (especially when they are vaguely unexpected, unprepared for, and unexplained) are influential in turning the direction of events completely. Golding, as a famous modern British writer, is successful in employing special ways or tricks (he calls them “gimmicks”) to conclude the plots of his novels strikingly. Because of this complicated manner of presentation, the endings of the first three of his novels, namely, Lord of the Flies (1954), The Inheritors (1955), and Pincher Martin (1956) all share tricky endings. Gindin, in his study of the gimmick in Golding’s novels (1960: 145-152), tries to relate the shift of emphasis in Golding’s endings to the use of metaphor.  The aim of this paper is to examine how such seemingly unfitting endings are organized in such a way as to fit into the whole thematic structure of the novels. Likewise, it aims at examining the plots and the nature of characters and other elements that twist the course of events in the stories, causing some radical changes in readers’ views. Among the findings of the paper is that Golding, through certain incidents, presents hints that help in preparing for unexpected later results.
Representations of Nothingness as a Place in Keats’s Poetry
Authors: Al-Jumaili Yasir A.
Published: July 2020

This paper addresses the theme of Keats and place in which I explore the problem of Keats and no place. The existence of “no place” is a key element in the poetry of John Keats. One of the obvious manifestations of “no place” is the use of nothingness which occupies a particular symbolic significance in his works. In my paper, I argue that Keats’s poems show evidence that the poet featured nothingness as a place which is characterized by emptiness and void where things fall and disappear forever. The abstract state of nothingness is represented as a hateful and undesired destination that the poet does not want to be placed in. The paper focuses on the representations of nothingness in three selected poems: “Sleep and Poetry,” “Endymion,” and “When I Have Fears,” respectively. In these poems, Keats constructs nothingness as a “locus” which is associated with negativity and passivity. My paper suggests another possible reading of Keats’s poems in relation to the themes of place and space.
Estudo comparativo dos dados de precipitação do satélite TRMM e postos pluviométricos no estado do Ceará, Brasil.
Authors: Medeiros-Feitosa Jose Reginaldo , Oliveira Carlos Wagner
Published: July 2020

O Nordeste do Brasil, é caracterizado pelo clima semiárido e pela irregularidade das chuvas ao longo do tempo, que comprometem a agricultura, o abastecimento público e outros setores. Neste sentido, pesquisas que promovam o Desenvolvimento Sustentável dão subsídios para a implementação de novas políticas públicas voltadas para a sustentabilidade hídrica da região. Esta pesquisa teve por objetivo, o de comparar dados de chuva das estações pluviométricas da Fundação Cearense de Meteorologia e Recursos Hídricos (FUNCEME), com as estimativas de precipitação do satélite Tropical Rainfall Measuring Mission (TRMM), entre 1 de janeiro de 1998 a 31 de dezembro de 2017, totalizando vinte anos de análises para todo o estado do Ceará, Brasil. Na primeira parte a pesquisa utilizou as técnicas de comparação do Pixel a Ponto (A e B), Ponto a Pixel (C), e Pixel a Pixel (D), juntamente com o auxílio do interpolador Inverso do Peso da Distância (IDW), na segunda etapa os dados foram analisados por medidas métricas de acurácia: Erro Médio Absoluto (EMA), Raiz do Erro Médio Quadrático (REMQ) e o Coeficiente de correlação (r). Os resultados das análises, indicaram que a utilização das imagens do satélite TRMM apresentou-se como boa alternativa com o EMA de 16,46mm na média, o REMQ de 26,78mm e a correlação de 0,96.
Didáctica en ingeniería, ciencias básicas y avanzadas (ICBA) para procesos de remoción en masa: el papel de la Geografía
Authors: Teófilo-Salvador Eduardo
Published: July 2020

Desde siempre, el hombre ha utilizado dos principales materiales: el suelo y el agua. Sin embargo, estos materiales pueden manifestar procesos activos y pasivos. El objetivo de esta investigación consistió en delimitar los alcances técnicos y metodológicos para el estudio de los procesos de remoción en masa en la enseñanza de la ingeniería, ciencias básicas y avanzadas, así como las relaciones interdisciplinarias con la geografía. Para ello, se realizó una revisión histórica de procesos geológicos. Se caracterizaron los métodos y técnicas, se aplicaron los tipos de muestreos de suelo, también se evaluó la modelación e interpretación con mapas y finalmente, la eficiencia de los modelos. La geografía, ingeniería y ciencias de la tierra juegan un rol primordial en el estudio de estos fenómenos. Sin embargo, la economía es afectada y se refleja en la sociedad. Es difícil controlar la dinámica del clima en la generación de procesos geológicos superficiales. No obstante, es conveniente conocer varias metodologías que permitan conceptualizar el proceso de remoción de masas para generar más de una solución a un problema particular.
Usahatani Jagung Dalam Kebijakan Peningkatan Produksi Pangan Di Provinsi Bengkulu
Authors: Astuti Herlena Bidi
Published: July 2020

ABSTRAKJagung merupakan komoditas tanaman pangan paling strategis setelah padi, selain sebagai komoditas pangan jagung juga merupakan bahan baku utama pakan ternak. Banyak program diluncurkan oleh pemerintah untuk peningkatan produksi pangan khususnya jagung salah satu program unggulan pemerintah adalah UPSUS (Upaya Khusus) untuk peningkatan beberapa komoditas unggulan Pertanian diantaranya adalah jagung. Penelitian ini bertujuan untuk melihat gambaran usahatani jagung dalam pelaksanaan kebijakan peningkatan produksi pangan  dan respon petani terhadap efektifitas program di Provinsi Bengkulu. Penelitian ini dilakukan pada tahun 2016 dengan metode survey, lokasi ditentukan secara purposive di wilayah sentra jagung dan penerima bantuan UPSUS Jagung yaitu Kabupaten Rejang Lebong dan Kabupaten Seluma. Data dikumpulkan dengan metode survey menggunakan kuesioner terhadap sampel 60 orang responden petani jagung yang ditentukan secara random (simple random sampling).  Data dianalisis dengan menggunakan analisis perbandingan MBCR dan Net MBCR (komparatif before - after)dari biaya produksi, produktivitas usahatani, keuntungan dan luasan lahan. Dari hasil penelitian didapatkan hasil bahwa terjadi peningkatan 12,8% produksi, 12,8 % Keuntungan, MBCR 1,63 dan Nett MBCR 1,02 dari usahatani jagung tingkat petani karena kebijakan pemerintah untuk peningkatan produksi pangan.
KETAHANAN PANGAN KABUPATEN/KOTA PROVINSI JAWA BARAT
Authors: Prayitno Gunawan Prayitno
Published: July 2020

Badan Pusat Statistik (BPS) 2017 menyebutkan rata-rata pertumbuhan penduduk Provinsi Jawa Barat dari tahun 2010-2016 adalah  1,54% pertahun.Pertumbuhan penduduk yang meningkat tersebut tidak diimbangi dengan peningkatan produktivitas tanaman pangan yang secara keseluruhanmengalamipenurunan.Tidak seimbangnya neraca produktivitas pangan dengan pertumbuhan penduduk dapat mengakibatkan kelangkaan pangan, sehingga menyebabkan kerawanan pangan dibeberapa Kabupaten/Kota Provinsi Jawa Barat. Studi ini bertujuan mengindentifikasi tingkat ketahanan pangan di setiap Kabupaten/Kota Provinsi Jawa Barat. Penelitian ini menggunakan metode analisis yang dikeluarkan oleh Food World Programme(FWP) melalui pendekatan  food security and vulnurability atlas(FSVA)  yang mengacu pada 9 indikator ketahanan pangan. Hasil analisis kondisi ketahanan pangan yaitu seluruh Kabupaten/ Kota Provinsi Jawa Barat termasuk kategori tahan pangan. Terdapat 25 kabupaten/kota merupakan wilayah dengan kategori ketahanan pangan prioritas 6 (sangat tahan pangan) dan 2 kabupaten/kota termasuk kategori prioritas 5 (tahan pangan). Kabupaten Cianjur dan Kota Cimahi  merupakan wilayah dengan nilai ketahanan pangan terendah yang tergolong dalam prioritas 5 (tahan pangan). Kabupaten Bandung, Kabupaten Kuningan dan Kabupaten Majalengka merupakan wilayah yang memiliki nilai indeks ketahanan pangan tertinggi dengan nilai 0,96. Nilai indeks ketahanan pangan Provinsi Jawa Barat adalah 0,9 yang menandakan bahwa tingkat ketahanan pangan di Provinsi Jawa Barat termasuk dalam kategori 6 (sangat tahan pangan).
Detection of Clostridioides difficile by Real-time PCR in Young Children Does Not Predict Disease
Authors: Pahud Barbara A. , Hassan Ferdaus , Harrison Christopher J. , Halasa Natasha B. , Chappell James D. , Englund Janet A. , Klein Eileen J. , Szilagyi Peter G. , Weinberg Geoffrey A. , Sherman Ashley K. , Polage Christopher , Wikswo Mary E. , McDonald L. Clifford , Payne Daniel C. , Selvarangan Rangaraj
Published: July 2020

OBJECTIVES:

Diagnosing Clostridioides difficile infections in young children with high asymptomatic colonization is challenging. We compared the frequency of C difficile detection by polymerase chain reaction (PCR) in healthy control (HC) children with those with acute gastroenteritis (AGE) and evaluated fecal-lactoferrin and organism load as possible indicators of true C difficile infection disease.

METHODS:

Stool was collected from children <2 years old with AGE and from HCs. C difficile was detected by real-time PCR, and lactoferrin was measured by enzyme-linked immunosorbent assay. Clinical data were obtained via interviews and chart review. Mann–Whitney U test and χ2 tests were used for group comparisons.

RESULTS:

Of 524 stools collected from 524 children (250 with AGE, 274 HCs), C difficile was detected less in children with AGE (14%, 36 of 250) than in HCs (28%, 76 of 274) stools (P < .0001). Among infants <1 year old (n = 297), C difficile was detected in 18% of children with AGE versus 32% of HCs (P < .005), and among children 1 to 2 years old (n = 227), C difficile was detected in 10% of children with AGE versus 21% of HCs (P < .02). There was no significant difference in C difficile PCR cycle threshold values between children with AGE and HCs or lactoferrin levels in C difficile PCR-positive versus -negative stools.

CONCLUSIONS:

HC children <2 years of age had higher rates of C difficile detection by PCR than children with AGE; C difficile detection by real-time PCR alone is not a reliable means to diagnose C difficile disease in children <2 years old.
Developing an Interfacility Transfer Handoff Intervention: Applying the Person-Based Approach Method
Authors: Rosenthal Jennifer L. , Sauers-Ford Hadley S. , Hamline Michelle Y. , Natale JoAnne E. , Marcin James P. , Li Su-Ting T.
Published: July 2020

OBJECTIVE:

To develop an interfacility transfer handoff intervention by applying the person-based approach method.

METHODS:

We conducted a qualitative study that used nominal group technique (NGT) and focus groups to apply the person-based approach for intervention development. NGT methods were used to determine prioritized pediatric transfer handoff elements to design the initial intervention prototype. Five focus group sessions were then held to solicit feedback on the intervention, perceptions on implementing the intervention, and outcomes for evaluating the intervention. Data were analyzed by using content analysis. Iterative improvements were made to the intervention prototype as data emerged.

RESULTS:

Forty-two clinical providers in total participated in NGT and focus group sessions, including physicians, advanced practitioners, nurses, and a respiratory therapist. The initial intervention prototype was a handoff mnemonic tool, “SHARING” (short introduction, how the patient appeared, action taken, responses and results, interpretation, next steps, gather documents). Perceived benefits of the intervention included clarifying handoff expectations, reducing handoff deficits, supporting less experienced clinical providers, and setting the stage for ongoing effective communication. Outcomes perceived to be meaningful were related to triage appropriateness, workflow and use, and communication and information sharing. The final version of the intervention consisted of a SHARING reference card and a SHARING electronic medical record note template.

CONCLUSIONS:

Using qualitative methods to apply the person-based approach to intervention development, we developed a transfer handoff intervention. Future research is needed to examine impacts of this tool; outcomes can include those identified as meaningful by participants in our present study.
Inpatient Treatment of Acute Otitis Media at a Pediatric Hospital: A Missed Teaching Opportunity for Antimicrobial Stewardship
Authors: MacBrayne Christine E. , Williams Manon C. , Poole Nicole M. , Pearce Kelly , Cotter Jillian M. , Parker Sarah K.
Published: July 2020

BACKGROUND:

Acute otitis media (AOM) is a common pediatric condition known to contribute to excessive antibiotic use in the outpatient setting. Treatment of AOM in the inpatient setting has not been described. The objective was to describe the clinical features and inpatient management of AOM to harness this entity to teach learners about judicious antibiotic prescribing in all settings.

METHODS:

This is a single-center retrospective cohort study of inpatients treated for AOM from January 2015 to December 2018. Patients were included if they had an antibiotic ordered and either a provider-selected order indication of otitis media or an International Classification of Diseases, 10th Revision billing code of AOM. A chart review was performed to identify primary diagnoses, examination features, and treatment, including excess days of therapy.

RESULTS:

We included 840 hospitalized patients treated for AOM in this study. At least 71% of patients had a concurrent viral respiratory illness. Examinations were frequently discordant (34%), and 47% lacked documentation of a physical examination finding of a bulging tympanic membrane, contributing to 3417 potential excess days of therapy. Of the total patients treated for AOM, 40% were given excess duration of therapy. The vast majority (97%) of patients who qualified for a wait-and-watch approach were treated.

CONCLUSIONS:

AOM is not being rigorously diagnosed or treated in a guideline-adherent manner in the inpatient setting. This is a lost opportunity for teaching antibiotic stewardship. Interventions, such as promoting the wait-and-watch approach and deferring treatment decisions to inpatient providers, could help promote the judicious use of antibiotics.
The Clinical Evaluation of Severe Bronchopulmonary Dysplasia
Authors: Bamat Nicolas A. , Zhang Huayan , McKenna Kristin J. , Morris Heidi , Stoller Jason Z. , Gibbs Kathleen
Published: July 2020

Bronchopulmonary dysplasia is a common disease of prematurity that presents along a wide spectrum of disease severity. Infants with high severity require prolonged hospitalizations and benefit from multidisciplinary care. We describe our approach to the evaluation of infants with severe bronchopulmonary dysplasia. Important considerations include the phenotypic heterogeneity in clinical presentation that necessitates individualized care, the common presence of comorbidities and importance of a comprehensive multisystem evaluation, and the value of applying a chronic care model that prioritizes long-term respiratory and neurodevelopmental goals. Key features of the history, physical examination, and diagnostic studies are discussed with these considerations in mind.
Summer Buzz: All You Need to Know about Insect Sting Allergies
Authors: Pansare Milind , Seth Divya , Kamat Aarti , Kamat Deepak
Published: July 2020

Insect stings can generate a range of immune and clinical reactions. Most reactions are local and self-limiting. Allergic reactions to insect stings can occur at all ages, with or without previous stings. Individuals with a history of anaphylaxis carry a significant risk of life-threatening anaphylaxis with future stings. Health-care providers are often unaware of the tremendous clinical benefits of venom immunotherapy for these select patients. Scientific knowledge about the natural history, risk factors, and optimal therapy for insect sting allergies has improved considerably in recent years.
Ermutigung an Studierende, Forscher*innen zu sein und zu bleiben
Authors: Schulz Ursula
Published: July 2020

Studierende und Praktiker im Bereich Bibliotheks- und Informationsmanagement werden ermutigt, eine Haltung der Offenheit zu pflegen, indem sie das Relevanzsystem ihrer Kunden mit qualitativen Methoden der empirischen Sozialforschung erkunden. Daraus resultierende Erkenntnisse können überraschen und eine wertvolle Grundlage für die Gestaltung und Neukonzeption von  Informationsdienstleistungen liefern.
Mein Praktikum in der Bücherhalle Lokstedt
Authors: Kruse Silvia
Published: July 2020

Die Autorin berichtet von ihrem Praxissemester in der Bücherhalle Lokstedt in Hamburg. Dabei beschreibt sie mögliche Vorurteile gegenüber der Arbeit in öffentlichen Bibliotheken und widerlegt diese anhand der Beschreibung eines typischen Tagesablaufes in der Bücherhalle. Dadurch wird die Vielfältigkeit des Berufes deutlich, welcher von Veranstaltungsarbeit, über Informationsvermittlung, bis hin zu Bestandsarbeit viel zu bieten hat.
Wer spricht die Sprache der Daten?
Authors: Gläser Christine
Published: July 2020

Der Beitrag bietet einen Einstieg in das gesellschaftlich wie fachwissenschaftlich relevante Thema der Data Literacy / Datenkompetenz und veranschaulicht, wie diese in Lehrveranstaltungen adressiert wird. Im Rahmen eines IMB-Mastermoduls setzen sich Studierende mithilfe verschiedener Methoden mit Data Literacy auseinander. Die Lern- und Forschungsaktivtäten der Studierenden werden in das Projekt DaLiCo (Data Literacy in Context) integriert und unterstützen damit die Entwicklung interdisziplinärer Datenkompetenzangebote.
Promoting Photovoice for Teachers’ Self-Reflection on Multimodal Literacy
Authors: Drajati Nur Arifah , Ngadiso Ngadiso , Zainnuri Hasan
Published: July 2020

Self-reflection is a concept of learning from experience that dominates teacher educator around the world. It is true that self-reflective is not a natural process since it needs critical thought, self-direction, and problem-solving with personal knowledge and self-awareness. The major premise of the study is that although teachers are repeatedly encouraged to reflect on their teaching and learning, they are unable to do so successfully. Photovoice is a valuable tool to engage teachers in reflecting their own lives outside the school voice their perspectives and share with other teachers, students, and policymakers. Thus, the purpose of this study is to report on action research that investigated photovoice in emerging teachers’ self-reflective on multimodal literacy. To examine this issue, a qualitative study with an action research design was conducted with five junior high school teachers as participants. The data collected through photovoice and analyzed by using SHoWeD Analysis. SHoWeD analysis is the acronym for a series of questions: (1) what do you see here; (2) what is happening; (3) how does this relate to our lives; (4) why are things this way; (5) how could this image educate people. In general, the study indicates that the use of photovoice for self-reflective on multimodal literacy gives positive impacts on the context of teacher professional development
The Changing of Islamic education curriculum Paradigm in Public Universities
Authors: Hanafi Yusuf
Published: July 2020

Since the reformation era, the curriculum of Islamic Education in public universities has gone through such three modifications as Islamic education curriculum of 2000, 2002, and 2013. The objective of this research is to analyze the construction of the three kinds of the curriculum as well as the changing of the paradigm related to them comparatively. The paradigm of Islamic education curriculum 2000 was the continuity of the curriculum in the New Order era which was purely oriented to normative Islamic concepts (aqidah, syari’at, akhlak). In the opposite, Curriculum 2002 indicated many changes in its paradigm and material. Religion was not only a set of norms, but it also existed in reality and it was dynamic in responding the development of human being. Meanwhile, curriculum 2013 tried to emphasize the scientific learning approach by activating the students in building their knowledge. In other words, the learning activity is activity base-oriented, not content base-oriented.
The Leadership of Headmaster in Improving the Quality of Madrasa Education
Authors: Nursaid Nursaid
Published: July 2020

The Quality of madrasa education depends on many factors like the leadership of headmaster which is crucial and influential to other supporting factors in maintaining and securing quality education of madrasa. This paper was aimed at investigating the leadership of madrasa headmasters in improving the quality of madrasa education in Maluku Province. It also investigated the contribution of headmaster leadership toward the teachersâ€™ characteristic that contribute immensely to educational service. This study applied descriptive qualitative using a naturalistic approach. To achieve the objectives of the study, observations, interviews, and documentation were used in data collection techniques. The data collected were analyzed using Miles and Huberman model. The study found that the leadership of headmaster has contributed to the improvement quality of madrasa education. The leaderships included many aspects like the ability to create, plan, organize and communicate within organization of madrasa. The headmaster leadership also played significant role in building the characteristics of teacher like theological trait, physical, intelligence and personal charcteristics. Those characteristics are pivotal in improving teachersâ€™ quality of educational service.
Building Studentsâ€™ Character through Prophetic Education at Madrasa
Authors: Sari Citra Putri , Zainiyati Husniyatus Salamah , Hana Rudy Al
Published: July 2020

Several cases of juveniles have to some extent dominated mass media news recently and this worrying reality is contradictory to the purpose of education that teenagers are expected to achieve. In an attempt to solve this problem, various efforts have been made by educators and one of them is to promote prophetic-based education. This study was aimed at investigating prophetic education at Madrasa Muallimin/Muallimat (MMA) Bahrul Ulum Tambak Beras, Jombang. This research is qualitative descriptive using models of Miles and Huberman analyses. The data collected were analyzed through several steps namely reduction, presentation, and data verification. The results showed that the prophetic education was applied in MMA through internalizing Islamic values for students in their learning process. When it comes to internalizing values, MMA referred and addressed the local culture to cultivate for students. This process has been built since the establishment of MMA so that it has built studentsâ€™ character which in turn gradually form the identity of the MMA among the society where it exists.
ANALYSIS THE 21ST CENTURY SKILLS OF STUDENTS IN CHEMICAL EQUILIBRIUM LEARNING WITH FLIPPED CLASSROOM-COLLABORATIVE PROBLEM SOLVING MODEL
Authors: Karyadi Prita Atria , Paristiowati Maria , Afrizal Afrizal
Published: July 2020

This study aimed to analyze the 21st century skills of students in learning chemical equilibrium with the Flipped Classroom-Collaborative Problem Solving model. Flipped Classroom is a learning model that students learn first outside the classroom through video, then carry out active activities in class such as discussions, presentations, making posters, and doing practicum. Collaborative problem solving is done when students discuss in solving problems for each learning activity. The research method used descriptive qualitative method. Data collection techniques were: observation, interviews, questionnaires, and reflective journals. Data analysis consisted of several stages, namely data collection, data reduction, data presentation, and verification or conclusions. Based on data analysis, this learning model made students active in learning and also made the students learn independently outside the classroom using mobile learning and searching some sources of references. In addition, students were actively involved in problem solving discussions, presentations, making projects, and practicums that were designed by students themselves. Thus it can be concluded that the Flipped Classroom-Collaborative Problem Solving learning model can train and grow students critical thinking skills, creativity and innovation skills, communication skills, and collaborative skills in learning chemical equilibrium.
The effect of cognitive task on postural stability in cervical dystonia
Authors: DEMİR Turgay , BALAL Mehmet , DEMİRKİRAN Meltem
Published: July 2020

ABSTRACT Background: Cervical dystonia (CD) is the most common form of focal dystonia. It is not known exactly whether abnormal head postures in cervical dystonia cause balance problems. Dual-tasking is a common every-day life situation. Objective: We aimed to evaluate postural stability (PS) in patients with CD and the effect of cognitive task on PS. As a secondary aim, we evaluated the effect of onabotulinum toxin A (BoNT) injection on PS. Methods: A total of 24 patients with CD who were on BoNT treatment for at least one year and 23 healthy controls were included. Posturographic analyses were carried out in all the subjects on static posturography platform under four different conditions: eyes open, eyes closed, tandem stance and cognitive task. In patients, posturographic analysis was carried out just before the BoNT injections and was repeated four weeks later. Results: Before treatment, the anterior-posterior sway was significantly higher in CD patients with the eyes open condition compared to the controls (p=0.03). Cognitive task significantly affected several sway velocities. Tandem stance significantly affected many sway parameters, whereas the eyes closed condition did not. After treatment, only two parameters in tandem stance and one in cognitive task improved within the patient group, in a pairwise comparison. Conclusions: Postural control is impaired in CD patients probably due to the impaired proprioceptive and sensorimotor integration. In reference to dual task theories possibly due to divided attention and task prioritization, cognitive dual-task and harder postural task disturbes the PS in these patients.
Practices suggested in social media for birth plans
Authors: Pasqualotto Victória Prates , Riffel Mariene Jaeger , Moretto Virgínia Leismann
Published: July 2020

ABSTRACT Objective: To describe and analyze the practices suggested in social media for the elaboration of Birth Plans, available on Blogs/Sites and not included in the WHO recommendations. Method: Qualitative, exploratory, descriptive study with thematic analysis. A total of 41 e-mail addresses were selected for analysis among the 200 web addresses previously identified between March and July 2016. Three web addresses were in Portugal and the others in Brazil. Results: 48 practices not included in the recommendations of the World Health Organization (WHO) were identified. Conclusion: Blogs/Websites, as means of transmission, circulation and production of knowledge, enable the horizontal expression of values, encourage women to plan the events considered important for their deliveries and put childbirth decisions on the hands of women, which has caused controversy in the discourse of humanization of childbirth.
Nursing taxonomies in hospital discharge planning: a quasi-experimental study
Authors: Lemos Dayanna Machado Pires , Saldanha Priscilla Ferreira , Vieira Laura Fonseca , Azzolin Karina de Oliveira
Published: July 2020

ABSTRACT Objective: to evaluate the effect of implementation of hospital discharge planning based on the taxonomies of NANDA-International, nursing interventions classification (NIC) and nursing outcomes classification (NOC) for patients with heart failure (HF) or diabetes mellitus (DM). Methods: quasi-experimental quantitative study conducted in a public university hospital located in the state of Rio Grande do Sul, Brazil. Convenience sampling included 28 adult patients hospitalized for HF or DM with the nursing diagnosis Ineffective Health Management (00078), who received the following nursing interventions: Teaching: Disease Process, Teaching: Prescribed Medication and Teaching: Prescribed Diet. Before and after the intervention, the following nursing outcomes were evaluated : Knowledge: Diabetes Management and Knowledge: Heart Failure Management. Results: the score of the nursing outcome Knowledge: Heart Failure Management went from 2.05±0.28 to 2.54±0.30 (P=0.002), and of the nursing outcome Knowledge: Diabetes Management went from 2.61±0.55 to 3.21±0.57 (P=0.000). Conclusion: discharge planning based on the NIC improves the NOC score and may interfere in the health outcomes.
Work weaknesses and potentials: perception of mobile emergency service nurses
Authors: Pereira Anelise Bertolino , Martins Júlia Trevisan , Ribeiro Renata Perfeito , Galdino Maria José Quina , Carreira Lígia , Karino Marcia Eiko , Aroni Patrícia
Published: July 2020

ABSTRACT Objectives: to know nurses’ perceptions about their work process in a Mobile Emergency Care Service. Methods: qualitative study conducted with 12 nurses whose speeches were submitted to Content Analysis. Results: there are weaknesses related to overload of activities, numerous functions, indirect supervision, risk situations, difficulties in relationship with hospitals, lack of vehicles and professionals, inappropriate places to provide care and lack of knowledge of the population about urgent and emergency care. Potentials were associated with effective interpersonal relationships, continuing training, security when arriving at the place of care, care protocol and taste for what you do. Final Considerations: the identified weaknesses need to be noted by managers and nurses. Thus, they would seek to establish actions to diminish them and maximize potentials, which could improve patient care as well as reduce occupational risks and, in turn, promote workers’ well-being.
Men’s knowledge on body care: a cartographic study
Authors: Silva Cleiry Simone Moreira da , Pereira Álvaro , Silva Paulo Sérgio da , Figueiredo Nébia Maria Almeida de
Published: July 2020

ABSTRACT Objective: to identify men’s knowledge on body care. Method: it is a cartographic study with a qualitative approach. The research was conducted with 70 men in the city of Boa Vista, state of Roraima. The strategy for data production was called the meeting. Participants were encouraged to think about epistemic units, care and body, from models that were recorded and their meanings transcribed for content analysis according to Bardin. Results: 282 units of decoded records such as body hygiene, sexual health and physical exercise were evidenced. In the decoding units, the conscious, functional male body is discussed, which serves for health professionals to think about caring approaches. Final considerations: cartographic forays allowed the male body to be recognized for its functionality, with structured knowledge on care in three dimensions: body hygiene, sexuality and sports practices.
Nurses’ knowledge about regional foods, food & nutritional safety
Authors: Dantas Katharine Bezerra , Tomé Marcela Ariadne Braga Gomes , Aires Julliana dos Santos , Sabino Leidiane Minervina Moraes de , Ferreira Ádria Marcela Vieira , Gubert Fabiane do Amaral , Vasconcelos Viviane Mamede , Martins Mariana Cavalcante
Published: July 2020

ABSTRACT Objectives: to analyze the knowledge of nurses working in Primary Health Care Units about regional foods, food & nutritional safety. Methods: a cross-sectional study conducted with 71 nurses working in health care units in the city of Fortaleza, Ceará. Data were obtained through administration of two questionnaires, subsequently analyzed through statistical tests. Results: a satisfactory level of knowledge was found for most nurses, and it was evident that those with graduate degrees had greater knowledge about ‘regional food basics’ (p=0,014) and ‘frequency of use of regional foods’ (p=0,014); the age of the professionals had an inversely proportional relationship with the knowledge about the ‘concept of food & nutritional safety’ (p=0,009). Conclusions: nurses had satisfactory knowledge about the themes addressed, and professionals should be encouraged to improve their knowledge and instruct families on the importance of a diet based on regional foods.
Knowledge of primary health care professionals on health policies for the riverside population
Authors: Silva Leandro Barreto da , Rodrigues Ivaneide Leal Ataíde , Nogueira Laura Maria Vidal , Silva Ingrid Fabiane Santos da , Santos Felipe Valino dos
Published: July 2020

ABSTRACT Objectives: to analyze the knowledge of health professionals on the health policies for the riverside population; identify how health practices with this group are developed; and discuss facilitators and barriers for the implementation of these policies. Methods: qualitative and descriptive study with 24 professionals from the Riverside Family Health Strategy Teams in the city of Belém-Pará. Data were collected in individual interviews and analyzed by Content Analysis. Results: although professionals demonstrate knowledge about public health policies, there is a need to expand and strengthen knowledge about health policies for the riverside population. The activities directed to the communities took place in the Unit itself, and some did not occur due to insufficient material and human resources. Final Considerations: the greatest barrier for the organization of health care is the lack of material and human resources, and the most prominent facilitator was the union and cohesion of the health team.
Reflective study on participatory diagnosis as a community research strategy
Authors: Brasil Christina César Praça , Silva Raimunda Magalhães da , Vasconcelos Dayse Paixão e , Sousa Izautina Vasconcelos de
Published: July 2020

ABSTRACT Objectives: to conceive a theoretical-reflective discussion about participatory diagnosis as a methodological option in participatory research. Methods: this is a reflection study, based on an experience that used participatory diagnosis as a research strategy in a socially vulnerable community. It was intended to implicate social groups in the search for identification and solution to the problems. Results: the use of participatory diagnosis has provided significant results regarding the importance given by participants to community empowerment in the fight for health, quality of life and social empowerment. Final Considerations: participatory research and its relationship to participatory diagnosis favors the understanding of social issues, including health conditions, education and effective participation in problem solving.
How to translate scientific knowledge into practice? Concepts, models and application
Authors: Vieira Ana Cláudia Garcia , Gastaldo Denise , Harrison Denise
Published: July 2020

ABSTRACT Objectives: to present the concept of Knowledge Translation and Exchange as it has been used in the international literature and in Canada, particularly. Next, to describe a renowned conceptual model to guide its implementation, entitled Knowledge-to-Action Cycle. Results: we described the use of the model in the context of the municipal primary health care system in southern Brazil for the implementation of pain management strategies during vaccination. Conclusions: in this theoretical reflection, we argue that in order to promote health equity and quality of care in the Unified Health System (Brazilian SUS) it is important to translate scientific knowledge to various practice settings and create opportunities for exchange with users of this knowledge, such as health professionals, managers, policy makers, patients, family members and other stakeholders.
Homeless population: characterization and contextualization by census research
Authors: Hungaro Anai Adario , Gavioli Aroldo , Christóphoro Rosangela , Marangoni Sônia Regina , Altrão Renan Filipe , Rodrigues Ana Lúcia , Oliveira Magda Lúcia Félix de
Published: July 2020

ABSTRACT Objectives: to analyze characteristics of homeless people and factors associated with living on the streets. Methods: a census-type sectional survey carried out between 2015 and 2018, in the municipality of Maringá-Paraná. A total of 701 homeless answered a structured questionnaire with sociodemographic data, living conditions, and drug use. We used Pearson’s correlation test for the association analysis of the variables at a 95% confidence level. Results: men (90.7%) the average age of 37.7 years had been homeless for an average of 5.39 years. Most had little education (54.2%), and homelessness was due to drug use (47.2%) and family disagreements (38.9%). Conclusions: drug use and family disagreements were the main reasons for homelessness. Time on the street, gender, and drugs were associated with a negative correlation to be homeless; and age, mean daily income, the number of daily meals, having been in prison, and having an income source were associated with positive correlation.
Verbal communication of the parturient nurse’s dyad in the active phase of labor
Authors: Beserra Gilmara de Lucena , Oliveira Paula Marciana Pinheiro de , Pagliuca Lorita Marlena Freitag , Almeida Paulo César de , Anjos Saiwori de Jesus Silva Bezerra dos , Barbosa Aglauvanir Soares
Published: July 2020

ABSTRACT Objectives: to analyze verbal communication between the nurse and the parturient during the active phase of labor in two Lusophone countries. Methods: quantitative analytical study. Sample of 709 interactions between nurses and parturients using verbal communication during the active phase of labor in Brazil and Cape Verde. The following variables were analyzed: companion, conative vocative, conative imperative, emotive/expressive and referential/context functions, contact/channel and code. Results: the absence of interaction predominated in most of the variables analyzed during the active phase of labor in both countries. In Cape Verde all interactions occurred during the absence of the companion. Conclusions: considering the social and cultural aspects of each country, nurses need to develop skills to communicate verbally with the parturient, offering a better interaction during the parturition process.
Late postoperative complications in surgical patients: an integrative review
Authors: Sousa Álvaro Francisco Lopes de , Bim Lucas Lazarini , Hermann Paula Regina de Souza , Fronteira Inês , Andrade Denise de
Published: July 2020

ABSTRACT Objective: to identify the main complications in the late postoperative period of surgical patients. Method: an integrative review from the CINAHL, LILACS, Science direct, Web of Science, SCOPUS, Europe PMC, and MEDLINE databases. Descriptors and keywords were combined without language or time restriction. Results: ten primary studies were included. Infectious complications were the most common, especially surgical site infection, pneumonia and urinary tract infection. The presence of complications was linked to increased mortality, need for reoperations and worse survival. Few studies report on monitoring frequency, follow-up time and/or when complications started to be observed. Conclusion: infectious complications were the most prevalent postoperatively. The scarcity of guidelines that guide the monitoring of complications regarding monitoring frequency, follow-up time and classification makes it difficult to establish an overview of them and consequently propose intervention strategies.
Perceptions of pharmaceutical services among elderly people on polymedication
Authors: Caldas Ana Lucia Leitão , Sá Selma Petra Chaves , Oliveira Filho Vilmar da Conceição
Published: July 2020

ABSTRACT Objectives: Describe the importance of guidelines provided during pharmaceutical consultation about compliance with medication therapy based on interviews with polymedicated elderly patients. Methods: A qualitative methodological study carried out during consultations with 40 elderly patients of both genders at the Health Care Center for Elderly Patients and Caregivers. The study used the technique of content analysis, applying a questionnaire with two open questions. Results: Two categories and eight subcategories emerged after the transcription of interviews and exhaustive reading of the data. The category “Pharmaceutical consultation as an education instrument for the self-care of polymedicated elderly patients” presented the highest frequency. The subcategory with the highest frequency was “Concern of elderly patients about self-care”. Final Considerations: In the case of polymedicated elderly patients, pharmaceutical consultation is an important education instrument which, through the provision of pharmaceutical guidelines, allows the minimization of concerns about pharmacotherapy, contributing to compliance and self-care.
Planned organizational change to transform care to workers exposed to biological material
Authors: Ribeiro Luana Cássia Miranda , Munari Denize Bouttelet , Souza Adenicia Custódia Silva e , Mendonça Katiane Martins , Chaves Lucieli Dias Pedreschi , Neves Zilah Cândida Pereira das
Published: July 2020

ABSTRACT Objectives: to describe the evaluation of the service offered in cases of occupational accidents involving exposure to biological material, from the perspective of the exposed workers, before and after an intervention to obtain planned organizational change. Methods: descriptive study with a qualitative approach, carried out with workers exposed to biological material who received care at a reference service that was submitted to an intervention based on planned organizational change. Data were collected by using the critical incident technique and analyzed from the perspective of content analysis. Results: twenty exposed workers participated in the study and were split into two groups in the pre- and post-intervention phase. Categories regarding improvement in the guidance they received, reduction in the time they waited once they got to the facility, organization of the process, documentation qualification, and professionalism in carrying out the assistance emerged from the workers’ accounts. Conclusions: the present study allowed the exposed workers to visualize the changes that happened in the care management in case of accidents involving biological material. Additionally, there was the recognition of the adopted methodological path, which allowed the active participation of the people involved.
Negative pressure wound therapy in the treatment of surgical site infection in cardiac surgery
Authors: Oliveira Mayra de Castro , Andrade Alessandra Yuri Takehana de , Turrini Ruth Natalia Teresa , Poveda Vanessa de Brito
Published: July 2020

ABSTRACT Objectives: to describe the relationship between epidemiological and clinical characteristics of postoperative cardiac surgery patients undergoing negative pressure wound therapy for the treatment of surgical site infection. Methods: an observational, cross-sectional analytical study including a convenience sample consisting of medical records of patients undergoing sternal cardiac surgery with surgical site infection diagnosed in medical records treated by negative pressure wound therapy. Results: medical records of 117 patients, mainly submitted to myocardial revascularization surgery and with deep incisional surgical site infection (88; 75.2%). Negative pressure wound therapy was used on mean for 16 (±9.5) days/patient; 1.7% had complications associated with therapy and 53.8% had discomfort, especially pain (93.6%). The duration of therapy was related to the severity of SSI (p=0.010) and the number of exchanges performed (p=0.045). Conclusions: negative pressure wound therapy has few complications, but with discomfort to patients.
Care opportunities for premature infants: home visits and telephone support
Authors: Silva Rosane Meire Munhak da , Zilly Adriana , Nonose Eliana Roldão dos Santos , Fonseca Luciana Mara Monti , Mello Débora Falleiros de
Published: July 2020

Objective: to analyze opportunities for orientations to promote the care of premature infants during home visits and telephone support. Method: a qualitative study from the perspective of philosophical hermeneutics conducted with 18 mothers of premature infants discharged from hospital. Hospital contact and interviews were carried out, 15 and 45 days after discharge and at the infants’ six months of life, with data analysis by interpretation of meanings from 25 home visits and 56 telephone support contacts. Results: the following two thematic units emerged: Needs for contact and guidance: the place for home visits and opportunities for resolving doubts by telephone support, indicating aspects that suggest weakening child health, discontinuity in follow-up and vulnerability in specialized follow-ups. Home visits and telephone support favored the concern of health needs, doubts about basic care and problem solving, as ways to prevent damage and promote child health. Conclusion: home visits and telephone support emerge as collaborative practices of care and detection of latent conditions, which can be reduced or interrupted with prompt return of guidance, suggesting opportune strategies to increase follow-up, linkage and access to the health services.
Using Photovoice to stimulate critical thinking: An exploratory study with Nursing students
Authors: Andina-Díaz Elena
Published: July 2020

Objective: to explore the potentialities of the Photovoice methodology to stimulate critical thinking on Social Determinants of Health. Method: an exploratory and descriptive study with a qualitative approach, using different steps of the Photovoice methodology. Nursing students obtained photographs in their community, showing Social Determinants of Health, analyzed and classified the photographs, and exposed the results in the Nursing school. The students answered a questionnaire writing their perceptions. The data collected from the questionnaires were qualitatively analyzed. Results: 91 students participated in the study. Two main categories emerged from the data: Photovoice is a good methodology to stimulate critical thinking on Social Determinants of Health, and Photovoice is a good methodology to stimulate other skills (expressing beliefs and perceptions, stimulating creativity, developing research skills, strengthening ties with colleagues, and attracting attention). Conclusion: we explore the potentialities of the Photovoice methodology. It can be an original, simple and economical tool to stimulate critical thinking on Social Determinants of Health, and to stimulate other skills. Photovoice can be considered in teaching about aspects related to health/care in Nursing students, in order to promote critical thinking of future agents for a change in health.