bluuebunny/crossref_metadata_2025 huggingface dataset:
Basic Income—an early Icelandic experiment**
Authors: Karlsson Johannes , Matthiasson Thorolfur
Published: August 2019

Old age, illness, and/or physical and/or mental disabilities may limit the ability of an individual to generate enough income to cover basic costs of living. Most developed nations provide financial assistance to persons with limited abilities. In 1974, an Icelandic government passed an act of law providing a tax credit, payable to taxpayers under certain conditions. The tax allowance was applied first to settle the taxes and public levies owed by the taxpayer, with any amount remaining paid out to the individual. This system can be seen as a first, limited attempt at establishing a partial universal basic income of sorts. This social interaction between stakeholders on how to share the tax revenue between the taxpayers led to a government crisis. The shareholders in this partial universal basic income system, the state and municipalities, the old age community, the trade unions, and the employers all have different financial and political interests and were affected by this reform. The lesson is that a basic income would need strong supporters if implemented, where the role of the government and/or the parliament would be mapped. Its supporters must be able to withstand the pressure from the social partners in the labor market because of the interactivity of the social security system and the pension fund system, which is not a part of the fiscal system in Iceland. The conflict of interests becomes apparent.
Global fault-lines model and global political economy
Authors: Nwankwo Cletus Famous
Published: August 2019

The 21st century has witnessed a significant transformation of the economies of many developing countries. Consequently, many studies have argued that the centre of gravity of the global economy is shifting from the Western core to the semi-peripheral East. Vassilis Fouskas and Bülent Gökay’s global fault-lines model detailed in their book titled The Fall of the US Empire: Global Fault-Lines and the Shifting Imperial Order is an attempt to use some ideas of the theory of plate tectonics to explain the historical-geographic tectonic shifts in the global political economy. This paper shows the major arguments of the global fault-lines model and shows the link between the plate tectonics theory and the global fault-lines model. Finally, it highlights the implications of the tectonic shifts in the global political economy and by so doing argues for the expansion of BRICS and strengthening of the south-south cooperation paradigm.
Immigration, Humanity, and Morality
Authors: Fasoro Sunday Adeniyi
Published: August 2019

The trend toward the concept of humanity in political theory has arisen largely as a reaction against the mistreatment of vulnerable people such as immigrants. The issue of immigrants’ vulnerability has led political thinkers to ponder on how to apply the principle of humanity to the question of the treatment of immigrants. I would like to address this matter by examining two questions: what is humanity, is it a value property, or a virtue? Does it really matter if the means by which an immigrant immigrates is demeaning to his own humanity as a person? The most common or intuitive reply to these questions would probably be: ‘humanity’ is simply a value-bestowing property, so regardless of immigrants’ actions they are owed respectful treatment. The aim of this paper is to emphasise instead that ‘humanity’ should be conceived as a virtue of actual commitment to act on moral principles. I explore three different meanings of humanity. First, I discuss ‘humanity’ as the common ownership of the earth. Second, I discuss ‘humanity’ as a value property. Third, I discuss humanity as a virtue of acting, on the one hand, with humanity, and on the other hand, on moral principles.
Radiobromine and radioiodine for medical applications
Authors: Wilbur D. Scott , Adam Michael J.
Published: August 2019

The halogens bromine and iodine have similar chemical properties and undergo similar reactions due to their closeness in Group 17 of the periodic chart. There are a number of bromine and iodine radionuclides that have properties useful for diagnosis and therapy of human diseases. The emission properties of radiobromine and radioiodine nuclides with half-lives longer than 1 h are summarized along with properties that make radionuclides useful in PET/SPECT imaging and β/Auger therapy, such that the reader can assess which of the radionuclides might be useful for medical applications. An overview of chemical approaches that have been used to radiolabel molecules with radiobromine and radioiodine nuclides is provided with examples. Further, references to a large variety of different organ/cancer-targeting agents utilizing the radiolabeling approaches described are provided.
Enhanced anticancer effect of cetuximab combined with stabilized silver ion solution in EGFR-positive lung cancer cells
Authors: Ozkan Aysun , Erdogan Ayse , Ozkan Odul , Manguoglu Esra , Kiraz Nadir
Published: August 2019

Background

Cytotoxic, antiproliferative, cell cycle inhibitive, oxidative and apoptotic effects of cetuximab [antibody for epidermal growth factor receptor (EGFR)] alone and together with stabilized silver ion solution (St-Ag) on P-H1299, R-H1299, A-431 and A-549 cells were investigated.

Materials and methods

Cytotoxic effects of cetuximab alone and together with St-Ag on cells were determined by Cell Titer-Blue® Cell Viability and Lactate Dehydrogenase Activity tests. Cell cycle distributions and apoptosis were detected by reverse transcription polymerase chain reaction (RT-PCR).

Results

St-Ag enhanced cetuximab cytotoxic effect on all cells. LDH activity, as a result of cell death, was found the highest level at treatment of cetuximab with St-Ag in all cells. Both treatment increased caspase-3/7 activity which is apoptotic enzyme was found higher in A-549 cells than other cells. Also, treatment of cetuximab with St-Ag caused increasing Bax/Bcl-2 ratio in all cells. Cetuximab with St-Ag treatment increased glutathione peroxidase activity in all cells generating oxidative stress. Proliferating Cell Nuclear Antigen (PCNA), topoisomerase II-alpha (except R-H1299), cyclin D1 and D2 genes expression were decreased in all cells which explain the cell cycle inhibition effect.

Conclusion

These findings suggest that treatment of cetuximab combined with St-Ag exhibit more carcinogenesis reducing potential than cetuximab alone.
The Hordeum bulbosum 25S-18S rDNA region: comparison with Hordeum vulgare and other Triticeae
Authors: Georgiev Oleg , Mishev Kiril , Krasnikova Maria , Kitanova Meglena , Dimitrova Anna , Karagyozov Luchezar
Published: August 2019

Hordeum vulgare and Hordeum bulbosum are two closely related barley species, which share a common H genome. H. vulgare has two nucleolar organizer regions (NORs), while the NOR of H. bulbosum is only one. We sequenced the 2.5 kb 25S-18S region in the rDNA of H. bulbosum and compared it to the same region in H. vulgare as well as to the other Triticeae. The region includes an intergenic spacer (IGS) with a number of subrepeats, a promoter, and an external transcribed spacer (5′ETS). The IGS of H. bulbosum downstream of 25S rRNA contains two 143-bp repeats and six 128-bp repeats. In contrast, the IGS in H. vulgare contains an array of seven 79-bp repeats and a varying number of 135-bp repeats. The 135-bp repeats in H. vulgare and the 128-bp repeats in H. bulbosum show similarity. Compared to H. vulgare, the 5′ETS of H. bulbosum is shorter. Additionally, the 5′ETS regions in H. bulbosum and H. vulgare diverged faster than in other Triticeae genera. Alignment of the Triticeae promoter sequences suggests that in Hordeum, as in diploid Triticum, transcription starts with guanine and not with adenine as it is in many other plants.
Fisetin effects on cell proliferation and apoptosis in glioma cells
Authors: Pak Fulya , Oztopcu-Vatan Pinar
Published: August 2019

This research investigated the antiproliferative effects of 1–500 μM fisetin in T98G and BEAS-2B cells by MTT assay. The IC50 of fisetin in T98G cells for 24 and 48 h were 93 and 75 μM, respectively. Apoptotic alterations of fisetin-treated T98G cells were observed by transmission electron microscopy. BEAS-2B was then used in comparison to T98G cells to determine the cytotoxic effects of fisetin. The IC50 of fisetin for 24 and 48 h were recorded as 270 and 90 μM in BEAS-2B cells, respectively. Different concentrations of fisetin were selected to determine the apoptotic and necrotic effects. Consequently, fisetin was determined to have more apoptotic effects in T98G than BEAS-2B cells, dose- and time-dependently. Moreover, fisetin was found to have cytotoxicity at lower doses in T98G cells compared to carmustine, as positive control. CASPASE 3, CASPASE 9, CASPASE 8, and BAX expressions were increased by the selected fisetin doses of 25 and 50 μM, while that of BCL-2 and survivin was reduced in T98G cells. These results will serve as an essential basis of future in vitro and in vivo studies, in the continuous search for alternative treatment agents for gliomas.
Photo-Electrochemical Solar-to-Fuel Energy Conversion by Hematite-Based Photo-Anodes – The Role of 1D Nanostructuring
Authors: Hejazi Seyedsina , Altomare Marco , Schmuki Patrik
Published: August 2019

Photo-electrochemical (PEC) water splitting (WS) using metal oxide semiconductors is regarded as a promising approach for the renewable production of fuels and energy vectors such as hydrogen (H2). Among metal oxide semiconductors, iron oxide in the form of hematite (α-Fe2O3) is one of the most researched photo-anode materials, mainly due to its ability to absorb photons up to 600 nm combined to a set of desirable properties such as high photocorrosion resistance, environmental friendliness, large abundance and relatively low production costs. However, hematite main disadvantages are a low electrical conductivity and a high rate of charge recombination; both these shortcomings drastically limit functionality and efficiency of hematite-based photo-anodes in PEC devices. One-dimensional (1D) nanostructuring is a powerful tool to tackle such disadvantages as it provides the photoelectrode material with increased surface area along with directional charge transport properties and short charge diffusion distances to the electrolyte – these features can improve the lifetime of photo-generated charges and/or enhance the charge transfer efficiency, and can consequently lead to a superior photo-electrochemical performance. At the same time, chemical/physical modification can also compensate natural weaknesses of hematite in water photoelectolysis. The present mini-review outlines a series of most effective strategies for the fabrication of 1D hematite nanostructures as well as for their physicochemical modification, mainly by doping or co-catalyst decoration, to achieve superior PEC activity.
A Comparative Study of Forming and Crash Behavior of High Strength Steels
Authors: Kingklang S. , Julsri W. , Chiyatan T. , Uthaisangsuk V.
Published: August 2019

Advanced high strength (AHS) steel sheets of various grades have been increasingly used in the automotive industries because of their advantageous mechanical properties. High strength and great energy absorption are desired for a structural component design. On the other hand, large formability and strain hardening are necessary for achieving an effective forming process. To apply eligible steel grades, precise understanding of their forming and crash characteristics is needed. In this work, AHS steels with varying strengths, namely grades 780, 980, and 1180, were investigated. First, tensile tests were performed, and mechanical properties, including r-values, of the examined steels were obtained for different loading directions. The forming limit curves (FLCs) and respective forming limit stress curves (FLSCs) were determined by means of a Nakajima forming test and finite element simulation. The cyclic tension-compression tests were conducted to characterize the elastic recovery and Bauschinger effect of steels. Afterward, forming processes of an automotive part were performed, and the forming and springback behaviors of steels were evaluated by using simulations coupled with Hill’48 and Yoshida-Uemori models, determined material parameters, FLCs, and FLSCs. In addition, crashworthiness of steels was numerically studied by means of a crash rectangle profile and simplified side impact pole test. The mechanical, forming, and crash performances of all the investigated AHS steels were evaluated and discussed so that the results can be applied for part design and manufacturing.
Disease Resistance Genetics and Genomics in Octoploid Strawberry
Authors: Barbey Christopher R , Lee Seonghee , Verma Sujeet , Bird Kevin A , Yocca Alan E , Edger Patrick P , Knapp Steven J , Whitaker Vance M , Folta Kevin M
Published: August 2019

Octoploid strawberry (Fragaria ×ananassa) is a valuable specialty crop, but profitable production and availability are threatened by many pathogens. Efforts to identify and introgress useful disease resistance genes (R-genes) in breeding programs are complicated by strawberry’s complex octoploid genome. Recently-developed resources in strawberry, including a complete octoploid reference genome and high-resolution octoploid genotyping, enable new analyses in strawberry disease resistance genetics. This study characterizes the complete R-gene collection in the genomes of commercial octoploid strawberry and two diploid ancestral relatives, and introduces several new technological and data resources for strawberry disease resistance research. These include octoploid R-gene transcription profiling, dN/dS analysis, expression quantitative trait loci (eQTL) analysis and RenSeq analysis in cultivars. Octoploid fruit eQTL were identified for 76 putative R-genes. R-genes from the ancestral diploids Fragaria vesca and Fragaria iinumae were compared, revealing differential inheritance and retention of various octoploid R-gene subtypes. The mode and magnitude of natural selection of individual F. ×ananassa R-genes was also determined via dN/dS analysis. R-gene sequencing using enriched libraries (RenSeq) has been used recently for R-gene discovery in many crops, however this technique somewhat relies upon a priori knowledge of desired sequences. An octoploid strawberry capture-probe panel, derived from the results of this study, is validated in a RenSeq experiment and is presented for community use. These results give unprecedented insight into crop disease resistance genetics, and represent an advance toward exploiting variation for strawberry cultivar improvement.
Limitation and Reduction Human Rights in Indonesia Through Substitute Government Regulations
Authors: Candra Marli , Einstein Tigor , Helmi Muhammad Ishar
Published: August 2019

AbstractSubtitute Governmental Regulations of law (Perppu) and Laws are two legislation products that are formed through different mechanisms with different formation reasons. Both also have a tendency to contain different material. However, the existence of Article 11 of Law Number 12 Year 2011 and the absence of restrictions on the material content in the Perppu has resulted in issuing Perppu by president which contains material that should be regulated in the Law. One of the Perppu contents is concerning the limitation and or reduction of human rights. The Perppu that has been issued has caused controversy among the community, namely the Government Regulation in substituting Law Number 1 of 2002 concerning Eradication of Terrorism Crimes, and the lastly is Subtitute Governmental Regulations of law Number 2 of 2017 concerning Amendment to Law Number 17 2013 about Community Organizations.Keywords: Limitation and/or Reduction, Human Rights, Perppu
A Comparative Study of Gay and Lesbian Movement in Indonesia and America for the Struggle of Equality Recognition
Authors: Pawestri Aprilina , Supanto Supanto , Isharyanto Isharyanto
Published: August 2019

Abstract:Studies of sexual orientation or sexual behavior in homosexual groups have been carried out from various aspects, such as religion, health, psychology, philosophy, anthropology or law. This paper aims both on conducting studies of sexual orientation in gays and lesbians, and also in its movement. This study focuses on the comparison by discussing the history of the entry of gays and lesbians in America first. United State has made a policy with the granting of same-sex marriage rights through the 2015 Obergefell Supreme Court ruling; hence, the rejection of same-sex marriage was unconstitutional action. Churches also dare to facilitate the process of same-sex marriage, by reason of following state decisions. The LGBT movement especially gays as a pioneer called the Gay Liberation Movement has a strong influence in America in fighting for equality, and has a big contribution to the granting of the right to same-sex marriage. This right is also supplemented by adoption rights. If this condition is compared to Indonesia which has lots of similar movement and becomes one of the biggest movements in Southeast Asia, in contrast, the majority of people reject the status. Meannwhile, gays and lesbians demand on the basis of human rights protection. Related to this condition, Indonesia has different views on human rights values. Human rights have universal principles, yet the actualization of human rights can be particular. Indonesia could be like America, if there are no regulations and restrictions on gay and lesbian individuals with differences in their sexual orientation, including the and lesbian movements.Keywords: Movement, Gay, Lesbian, United State, Equality Recognition
Reducing Variability in the Infant Sepsis Evaluation (REVISE): A National Quality Initiative
Authors: Biondi Eric A. , McCulloh Russell , Staggs Vincent S. , Garber Matthew , Hall Matt , Arana Julia , Barsotti Benj , Natt Beth C. , Schroeder Alan R. , Schroeder Lisa , Wylie Todd , Ralston Shawn L. ,   ON BEHALF OF THE AMERICAN ACADEMY OF PEDIATRICS’ REVISE COLLABORATIVE
Published: August 2019

BACKGROUND:

Substantial variability exists in the care of febrile, well-appearing infants. We aimed to assess the impact of a national quality initiative on appropriate hospitalization and length of stay (LOS) in this population.

METHODS:

The initiative, entitled Reducing Variability in the Infant Sepsis Evaluation (REVISE), was designed to standardize care for well-appearing infants ages 7 to 60 days evaluated for fever without an obvious source. Twelve months of baseline and 12 months of implementation data were collected from emergency departments and inpatient units. Ill-appearing infants and those with comorbid conditions were excluded. Participating sites received change tools, run charts, a mobile application, live webinars, coaching, and a LISTSERV. Analyses were performed via statistical process control charts and interrupted time series regression. The 2 outcome measures were the percentage of hospitalized infants who were evaluated and hospitalized appropriately and the percentage of hospitalized infants who were discharged with an appropriate LOS.

RESULTS:

In total, 124 hospitals from 38 states provided data on 20 570 infants. The median site improvement in percentages of infants who were evaluated and hospitalized appropriately and in those with appropriate LOS was 5.3% (interquartile range = −2.5% to 13.7%) and 15.5% (interquartile range = 2.9 to 31.3), respectively. Special cause variation toward the target was identified for both measures. There was no change in delayed treatment or missed bacterial infections (slope difference 0.1; 95% confidence interval, −8.3 to 9.1).

CONCLUSIONS:

Reducing Variability in the Infant Sepsis Evaluation noted improvement in key aspects of febrile infant management. Similar projects may be used to improve care in other clinical conditions.
Niños y niñas no acompañados. Entre la desprotección y la garantía de derechos
Authors: Fernández-Ramos María Victoria
Published: August 2019

La situación de niños y niñas extranjeros no acompañados que llegan a España es una cuestión que preocupa a defensores de Derechos Humanos, dado que están en constante riesgo de exclusión social y vulnerabilidad. Este artículo de reflexiónpresenta una juiciosa conceptualización del término desprotección a la luz de tres instrumentos internacionales que protegen los derechos de los menores, para vincularlosposteriormente con tres casos presentados en España, que fueron ampliamente documentados por la prensa. Las conclusiones establecen algunos parámetros a tener en cuenta para trabajadoras y trabajadores sociales que se vinculan en la defensa de los Derechos de estos niños.
Assessing Quality Management Practice in Nigerian Construction Industry
Authors: Abdullahi U. , Bustani S. A. , Rotimi F. E. , Hassan A.
Published: August 2019

Several adverse reports on quality performance drive the need to assess quality management practice in the Nigerian construction industry. Incidences of building failures and in extreme cases, building collapse have been attributed to poor quality management among other factors. This paper assesses the quality management practices of Nigerian construction firms intending to suggest appropriate courses of action for improving quality performance. Data were collected through questionnaires administered to management staff in 20 construction firms in Abuja, Nigeria. Findings from the study show that inspections and statistical quality control techniques are the most widely used quality management tools by construction firms in Nigeria. However, the study found that the preparation of quality management plans (QMP) and quality auditing (a measure of quality assurance in building production), is not popular among Nigerian construction firms. Inadequate planning arrangements for quality, poor communication of quality requirements and lack of awareness of the benefits of quality management were identified as the most significant issues affecting quality management practice. Therefore there is a low uptake of quality management practice principles within construction organizations in Nigeria. Hence, the need to create awareness for implementing quality management principles and concepts in its construction industry.

Keywords: Assessment, Construction industry, Nigeria, Quality management, Quality standards
Resultado Primário e Ciclo Político-Eleitoral nos Estados Brasileiros (1987-2010)
Authors: Gama Neto Ricardo Borges
Published: August 2019

RESUMO Este artigo objetiva analisar o impacto da Lei de Responsabilidade Fiscal (LRF) sobre as escolhas dos governadores estaduais tendo como parâmetros de análise o ciclo político-eleitoral e resultados fiscais das unidades subnacionais. O espaço temporal da pesquisa vai de 1987 a 2010. Demonstraremos que antes da instituição da LRF, o padrão de gastos públicos tinha uma determinada dinâmica, que foi alterada com a nova norma de controle fiscal. Contudo, o ciclo político-eleitoral sobrevive apesar das mudanças provocadas pela LRF.
Social Determinants of Health and their influence on the choice of birth control methods
Authors: Ferreira Hellen Lívia Oliveira Catunda , Barbosa Denise de Fátima Fernandes , Aragão Vivianne Melo , Oliveira Tyane Mayara Ferreira de , Castro Régia Christina Moura Barbosa , Aquino Priscila de Souza , Pinheiro Ana Karina Bezerra
Published: August 2019

ABSTRACT Objective: To verify the association between Social Determinants of Health and birth control methods used by women of childbearing age. Methods: Documentary and retrospective study, performed at a Brazilian Natural Birth Center with evaluation of the medical records of patients seen between 2003 and 2011 (n=2410). Data were collected on identification and general history, gynecological, sexual and obstetric. Results: Hormone birth control methods were the most used among participants (25.0%); followed by barrier methods (21.5%) and surgical methods (19.3%). Statistical associations were observed regarding age, menarche, onset of sexual activity, pregnancy, miscarriage, smoking, hypertension, marital status, gynecological care and schooling with the choice of methods. Conclusion: The results confirm the importance of studies involving Social Determinants of Health, since they interfere in the way women choose birth control methods and the risks that this choice may pose to their health.
Indigenous health and nursing in Roraima in the 1970s
Authors: Amorim Raphael Florindo , Machado Jacquelaine Alves , Silva Keythluci Faria Trigueiro da , Porto Fernando
Published: August 2019

ABSTRACT Objective: To analyze the strategies undertaken by the government to address the health problem in Boa Vista/Roraima. Method: A study using the microhistory approach, with documentary sources from journalistic material of the 1970s through the triangulation technique: texts, images and context, with analysis from the perspective of the Social World Theory. Results: It was evidenced that the strategies undertaken by the government occurred in favor of the exploration of isolated areas in Roraima that demanded settlement processes, construction of villages and a highway to enable the interconnection of the state with other regions of Brazil, with a smoke screen symbolic effect produced by nurses on indigenous health. Conclusion: There was governmental manipulation, when the symbolic power was unveiled, making it possible to see and believe that nursing needs to guide political issues rather than being ruled.
Psycho social risks noted by oncology workers related to their quality of life
Authors: Rojas Flérida Rivera , Vásquez Paula Ceballos , Barboza Vivian Vílchez , López Ana Laura Solano , Zavala María Olga Quintana
Published: August 2019

ABSTRACT Objective: To analyze the relation between occupational psychosocial risks and quality of life related to health, felt by workers who work in oncology and palliative care units in a region of Chile. Method: Cross-sectional analytical study of quantitative approach, in which 110 health workers participated. Research met the ethical requirements of E. Emanuel. Results: Participants perceive greater exposure to psychosocial risks in the dimension of psychological demands and double presence. On the other hand, they see better results in the physical health component (��: 76.72; SD 9.75) versus the mental health component (��: 71.13; SD 6.38). In addition, there are relations with statistical significance, between psychosocial risks and quality of life related to Health (p≤0.05). Conclusions: This study shows that there the perception of psychosocial risks and quality of life are related, when considering the health of workers.
Specific precautions: experiences of hospitalized patients
Authors: Jesus Josélia Batista de , Dias Ana Angélica Lima , Figueiredo Rosely Moralez de
Published: August 2019

ABSTRACT Objective: To know the perception, meanings and repercussions of specific precautions for hospitalized patients. Methods: Qualitative study with qualitative clinical methodology according to the vulnerability theoretical reference. The semi-directed interview and the Bardin content analysis were used. Results: Identification of three thematic units: (1) guidelines received, in which there was lack of information and misunderstandings about the reason for precautionary implementation; (2) perceptions about private rooms, there with both positive and negative perceptions; and (3) stigma related to the isolation condition, given patients felt constraint for being in a unit of infectious diseases and fear of being separated from the others. Final considerations: Situations of vulnerability were evidenced, both related to hospitalization and feelings aroused. The study can contribute to health services by broadening their vision beyond infection control.
Men’s perceptions on educational intervention participation at workplace
Authors: Ganassin Gabriela Schiavon , Arruda Guilherme Oliveira de , Barreto Mayckel da Silva , Oliveira Magda Lúcia Felix de , Marcon Sonia Silva
Published: August 2019

ABSTRACT Objective: todescribe the application of educational intervention performed with working men and identify, according to their perceptions, the main results obtained. Methods: a descriptive and exploratory research, of qualitative nature, developed in a municipality of Southern Brazil, with 35 metallurgists. Data were collected between March and June 2014, through the recording of the operating groups and participant observation. Transcripts and field diaries were submitted to content analysis. Results: participants intensified their interest in the search for health information, and some of them managed to implement changes in lifestyles, especially in relation to eating habits and sedentarism, and the support of the group was perceived as motivating for the changes. Final considerations: health education activities that embrace meaningful themes for participants and are built by a cohesive group whose members support each other, favor lifestyle modification.
Factors related to impaired comfort in chronic kidney disease patients on hemodialysis
Authors: Melo Geórgia Alcântara Alencar , Aguiar Letícia Lima , Silva Renan Alves , Quirino Glauberto da Silva , Pinheiro Ana Karina Bezerra , Caetano Joselany Áfio
Published: August 2019

ABSTRACT Objective: to analyze the factors related to the impaired comfort of chronic kidney diseases (CKD) patients on hemodialysis. Method: this is a cross-sectional study with 80 patients undergoing hemodialysis in a renal replacement therapy unit through interviews using two instruments, one for clinical and sociodemographic characteristics and the General Comfort Questionnaire, during the hemodialysis session. Mann-Whitney tests and the logistic regression model were used for data analysis. Results: the study found that being younger (p=0.045); being married (p=0.05); and absence of impaired physical mobility (p=0.007) were contributing factors for greater comfort in CKD patients on hemodialysis. Thus, when establishing the odds ratio, it was possible to observe that being 55 years of age or older, being single and having impaired physical mobility represents a 45.7% chance of developing this diagnosis. Conclusions: sociodemographic and clinical variables contribute to the study outcome, demanding attention during the planning of nursing interventions.
Guidebook for renal dialysis patients: care of central venous catheters and arteriovenous fistula
Authors: Freitas Larissa Rodrigues de , Pennafort Viviane Peixoto dos Santos , Mendonça Ana Elza Oliveira de , Pinto Francisco José Maia , Aguiar Letícia Lima , Studart Rita Mônica Borges
Published: August 2019

ABSTRACT Objective: To design and validate the content and format of a guidebook for chronic renal failure patients about the care with venous access for hemodialysis at home. Method: Methodological study, in which the steps for the guidebook design were: project planning, literature search, material content, and qualification selection. Results: After analysis of the articles, the content to be included in the guidebook was selected. The first draft of the guidebook was submitted for content and format validation, with the participation of 12 specialists. The necessary adjustments for the design of the final version were made with the help of an illustrator. Conclusion: The designed guidebook, “Hemodialysis: Care of Venous Accesses and Intercurrences at Home,” consists of educational material to help hemodialysis patients with daily care with central venous catheter and arteriovenous fistula practices in case of intercurrences.
Nurses- puerperal mothers interaction: searching for cultural care
Authors: Coutinho Emília , Amaral Sónia , Parreira Maria Vitória Barros de Castro , Chaves Cláudia Balula , Amaral Odete , Nelas Paula
Published: August 2019

ABSTRACT Objective: To identify the importance of the cultural care dimension in the nurse-puerperal mother interaction. Method: Qualitative study based on content analysis. To collect data, 36 semi structured interviews were applied (21 nurses and 15 women who had recently given birth). The participants’ free and informed consent was ensured and all ethical requirements were respected. Data analysis was supported by NVivo 10 software. Results: The following categories were considered the most relevant: (i) nurses’ attitudes that puerperal mothers consider crucial in health care provision; (ii) nurses’ cultural competence; (iii) language resources used by nurses in their interaction with people from other cultures; (iv) the limitations that were observed during nurses-new mothers interactions. Conclusion: Evidence shows that, generally speaking, nurses claim to provide personalized health care assistance. However data revealed that the kind of interaction observed between nurses and women who had just given birth has not always been the most effective and that the former often show they lacked the appropriate cultural competence to deal with the latter’s expectations and needs.
Clinical simulation in nursing education in intensive therapy: an integrative review
Authors: Linn Amanda Chlalup , Caregnato Rita Catalina Aquino , Souza Emiliane Nogueira de
Published: August 2019

ABSTRACT Objective: to analyze the publications on clinical simulation practices for education in Nursing in Intensive Care. Method: an integrative review carried out through LILACS, PubMed, Cochrane Library, CINAHL and SciELO databases, of articles published from 2008 to 2017. Results: 29 articles were selected, of which 76% discuss the use of simulation in continuing education of nursing professionals, while the others describe their use for student education. There is a higher prevalence of studies with a level of evidence 6 (17), with 28 international publications. There was an increase in scientific production, with 16 articles published in the last three years. Conclusion: variables after simulation use, such as confidence, communication skills, efficiency in the identification of clinical worsening of patients, development of technical skills, teamwork and clinical decision-making, presented a significant improvement, demonstrating that this tool is effective in qualifying care for critical patients.
Decision making from the perspective of nursing students
Authors: Marques Maria de Fátima Mendes
Published: August 2019

ABSTRACT Objective: To analyze the decision making of students from a nursing higher school and understand how they make decisions in the care process. Method: A qualitative study with an exploratory and descriptive approach was carried out with the case study method. Results: Six types of decision making were categorized by the students as follows: Decision about communication (15 record units [RU]); Decision about understanding (14 RU); Decision about intervention (9 RU); Decision about timing (5 RU); Decision about targeting (4 RU); and Decision about management (0 RU), with a total of 47 RU. Final considerations: Analysis of the learning diaries showed that students make more decisions regarding communication with patients and understanding of the care situation, than with the acting decision.
Nursing practice in home care: the mediation of care by reflexivity
Authors: Andrade Angélica Mônica , Castro Edna Aparecida Barbosa de , Brito Maria José Menezes , Braga Patrícia Pinto , Silva Kênia Lara
Published: August 2019

ABSTRACT Objective: To analyze the practice of nurses in home care, considering the mediation of care by reflexivity. Method: Unique, qualitative case study, anchored in the dialectical framework. The participants were 13 nurses who work in home care in Minas Gerais. Data were obtained by participant observation and interview, and submitted to critical discourse analysis. Results: Nursing care at home involves the repetitions of everyday actions and a degree of unpredictability. Reflexivity, according to Schön’s theoretical framework, emerges as a component of professional practice that leads to the practice of care as a continuous assessment of work, and also to reflection on the challenges imposed by conflicting situations. Reflexivity also stems from professionals’ search for improvements in their practices. Final considerations: We identified the presence of actions and knowledge mobilized by the reflexivity of the nurse in the home care setting. The following were the elements of this reflexive practice: knowing-in-action, reflection-in-action and reflection reflection-in-action.
Health in the school: perceptions of being adolescent
Authors: Faial Ligia Cordeiro Matos , Silva Rose Mary Costa Rosa Andrade , Pereira Eliane Ramos , Faial Cidllan Silveira Gomes
Published: August 2019

ABSTRACT Objective: To understand adolescents’ perceptions on school health. Method: Qualitative and descriptive research grounded on Maurice Merleau-Ponty’s phenomenology, which was developed with 90 adolescent students from a federal school of the state of Rio de Janeiro. Data were produced by gathering answers to the following question: what is your perception on school health? Those who chose to write their answer to the guiding question deposited the manuscripts in polls. Results: School health is linked to hygienist practices and to the hegemonic assistentialist model. Nevertheless, we assigned senses and meanings to the practice of physical activity and health education by integrating and expanding behavioral strategies and healthy habits. Final considerations: a healthy school environment implies the protagonism of adolescents in school health promotion actions.
Comprehensiveness in the perspective of public health: pathways for the training of the nurse
Authors: Hino Paula , Horta Ana Lúcia de Moraes , Gamba Mônica Antar , Taminato Monica , Fernandes Hugo , Sala Danila Cristina Paquier
Published: August 2019

ABSTRACT Objective: to present an academic practice experienced by professors in a curricular unit of the public health field entitled “Comprehensive health care”, offered in the undergraduate nursing course of a public university. Methods: experience report of dialogic activities between professors and undergraduates. Results: it was possible to discuss nursing care from the perspective of comprehensiveness, which allowed the understanding of the need to broaden the scope regarding the practices conducted in primary care and enabled the attribution of new meanings to the actions experienced by undergraduate students in their curricular internships; thus, contributing to the training of a professional with critical and creative capacity. Final Considerations: the students were able to understand that quality care should go beyond complaint-behavior, providing care based on a networked health service structure aligned with SUS policies and programs.
Terms of specialized nursing language for people with pressure injury
Authors: Duarte Fernando Hiago da Silva , Santos Wenysson Noleto dos , Silva Francisca Simone da , Lima Dhyanine Morais de , Fernandes Sâmara Fontes , Silva Richardson Augusto Rosendo da
Published: August 2019

ABSTRACT Objective: to validate the terms of the specialized nursing language used in care for hospitalized patients with Pressure Injury, identified in nurses’ records, mapping them with the terms of the International Classification for Nursing Practice (ICNP® 2017). Methods: methodological study, carried out at a School Hospital in 2018. It was performed: extraction of terms of medical records; normalization; cross-mapping between extracted terms and those in ICNP®; distribution in the seven axes; theoretical definition and validation of terms. Results: 27,756 terms were extracted. The normalization resulted in 370 relevant terms, being: 225 listed and 145 not listed in the ICNP®, being 60 similar, 13 more comprehensive, 38 more restricted and 34 without agreement, all of which are validated. Conclusion: this study identified and validated terms used by nurses to assist people with Pressure Injury. These may contribute to the unification of professional nursing language in care for these clients.
PLISSIT model: sexual counseling for breast cancer survivors
Authors: Almeida Natália Gondim de , Britto Débora Fernandes , Figueiredo Juliana Vieira , Moreira Thereza Maria Magalhães , Carvalho Rhanna Emanuela Fontenele Lima de , Fialho Ana Virgínia de Melo
Published: August 2019

ABSTRACT Objective: Reporting the experience of use of the PLISSIT model as tool for the nursing care of breast cancer survivors with sexual dysfunction. Method: case study developed from January to August 2017, in the outpatient mastology clinic and sexuality service of a maternity in Fortaleza, Ceará, Brazil, with 15 breast cancer survivors. Results: sexual counseling sessions were conducted using the PLISSIT model to address sexual issues, highlighting the particularities of women who experience survival after the treatment of breast cancer. Final considerations: the model used in the practice of nursing care is customary and allows identifying issues experienced by women, as it has easy availability and practicality for use by nursing professionals, helping to address sexual matters with greater tranquility.
Best Practices in Historical Studies of Nursing and Health (1999-2017)
Authors: Vieira Amanda Nicácio , Petry Stéfany , Padilha Maria Itayra
Published: August 2019

ABSTRACT Objective: to analyze the best practices thematic in dissertations and theses produced by a research group of history of nursing and health from 1999 to 2017. Method: a documentary socio-historical research with a qualitative approach. Documentary sources were dissertations and theses using content analysis. Results: 30 dissertations and 20 theses were found with compliance with the objective. Best practices refer to care and assistance practices, the history of institutions and organizational entities, and the implementation of nursing practices in each institution. Educational process addresses best practices in support groups, educational institutions and specialty construction. Other studies bring the milestones of the nursing profession, confrontation situations and social reflection regarding vulnerabilities. Final considerations: the studies address best practices in nursing that go through several settings in the attempt to raise problems and promote scientific research to support nursing actions in care.
Self-determination, emotions and exclusion in a blog of deaf people: a qualitative perspective
Authors: Alzuguren Ariana Castillo , Sánchez-Gómez María Cruz , Costa António Pedro
Published: August 2019

ABSTRACT Objective: to explore the deaf people’s perceptions about their well-being, published on a weblog. Method: A free access spanish blog that’s been created and used by deaf people is selected. Under qualitative methodology with a phenomenological approach, through the non-participating and asynchronous observation, sign language speeches are analyzed in 44 video messages uploaded by deaf bloggers. Results: in the speeches analyzed, inclusion’s areas cited the most are self-determination, social inclusion and emotional well-being, these latter two in a negative way: social exclusion and emotional distress. Final considerations: The study participants state that the arrangements adopted for their inclusion are not enough, with feelings of discomfort prevailing in all areas and life stages. Solidarity initiatives, elimination of communication barriers and true transforming agents of our society are needed.
Questions of informal caregivers of children regarding the postoperative period of cochlear implant
Authors: Almeida Raissa Janine de , Cunha Gabriela Fávaro Marques da , Santos Eliane Alves Motta Cabello dos , Bom Gesiane Cristina , Mendonça Juliana Silvério Campanati , Trettene Armando dos Santos
Published: August 2019

ABSTRACT Objective: To identify the main questions of informal caregivers of children with hearing impairments on the postoperative care of cochlear implant. Method: Cross-sectional study developed in a public and tertiary hospital of the state of São Paulo, Brazil. The sample consisted of 48 informal caregivers who were monitoring children subjected to cochlear implant. Data collection took place during the preoperative nursing consultation, by structured interview, between September 2016 and July 2017. The questions identified were categorized by similarity. Results: The questions were related to: rest, dressing, feeding, length of stay, system activation time, infection, removal of stitches, bleeding, medicines, immediate sound stimulation, and pain. Conclusion: The prevalent questions were about rest, dressing, and feeding, and identifying them made it possible to plan and implement a nursing care aimed at the caregiver needs, as well as prepare them for care maintenance after hospital discharge.
Interruptions and nursing workload during medication administration process
Authors: Sassaki Renata Longhi , Cucolo Danielle Fabiana , Perroca Marcia Galan
Published: August 2019

ABSTRACT Objective: To investigate the sources and causes of interruptions during the medication administration process performed by a nursing team and measure its frequency, duration and impact on the team’s workload. Métodos: This is an observational study that timed 121 medication rounds (preparation, administration and documentation) performed by 15 nurses and nine nursing technicians in a Neonatal Intensive Care Unit in the countryside of the state of São Paulo. Resultados: 63 (52.1%) interruptions were observed. In each round, the number of interruptions that happened ranged from 1-7, for 127 in total; these occurred mainly during the preparation phase, 97 (76.4%). The main interruption sources were: nursing staff – 48 (37.8%) − and self-interruptions – 29 (22.8%). The main causes were: information exchanges – 54 (42.5%) − and parallel conversations – 28 (22%). The increase in the mean time ranged from 53.7 to 64.3% (preparation) and from 18.3 to 19.2% (administration) – p≤0.05. Conclusão: Interruptions in the medication process are frequent, interfere in the workload of the nursing team and may reflect on the safety of care.
Analysis of triage and care for women victims of road accidents
Authors: Matozinhos Fernanda Penido , Silverio Ingrid Raiana , Boaventura Juliana Guilherme , Oliveira Thaís Moreira , Silva Thales Philipe Rodrigues da , Corrêa Allana dos Reis
Published: August 2019

ABSTRACT Objective: to analyze the care flow for women victims of Road Traffic Accidents (RTA). Method: a descriptive study with 782 women victims of RAT, classified by the Manchester Triage System (MTS) between 2015 and 2016. The sociodemographic profile and the time between the stages of care were analyzed, as well as care place and outcomes. Results: of the women in the study, 65.47% were young adults, 80.44% lived without a partner and 62.28% lived in the city of Belo Horizonte. Regarding the time between recording and risk classification, the mean was 7.7 minutes (SD: 9.9). The prevalent flowchart was “Great Trauma” (62.92%). 53.07% had “Red/Orange” priority level and the most prevalent outcome was “Discharge after consultation/medication”. Conclusion: the study shows that the hospital partially fulfills the times recommended by the MTS. Analyzing the flow of women victims of RAT contributed to optimize the quality and efficiency of care.