bluuebunny/crossref_metadata_2025 huggingface dataset:
Les indicateurs d’alerte et de surveillance de la Covid-19
Authors: Piarroux R. , Batteux F. , Rebaudet S. , Boelle P.-Y.
Published: October 2020

Face à la crise sanitaire provoquée par la pandémie de Covid-19 en France, Santé publique France a mis en place un système de surveillance évolutif fondé sur des définitions de cas possible, probable et confirmé. Le décompte quotidien se limite cependant aux cas confirmés par reverse transcriptase polymerase chain reaction ou sérologie SARS-CoV-2 (actuellement via la plateforme SI-DEP), aux cas hospitalisés (via le Système d’information pour le suivi des victimes d’attentats) et aux décès hospitaliers par Covid-19. Ce suivi de la circulation virale est forcément non exhaustif, et l’estimation de l’incidence est complétée par d’autres indicateurs comme les appels au 15, les recours à SOS Médecins, les passages dans les services d’accueil des urgences, les consultations de médecine de ville via le réseau Sentinelle. Le suivi de la mortalité non hospitalière s’est heurté aux délais de transmission des certificats de décès et au manque de diagnostic fiable. Seule la létalité hospitalière a pu être mesurée de manière fiable. Moyennant un certain nombre de précautions statistiques et d’hypothèses de travail, les modèles ont permis d’anticiper l’évolution de l’épidémie à partir de deux indicateurs essentiels : le ratio de reproduction R et le temps de doublement épidémique. En Île-de-France, l’Assistance publique– Hôpitaux de Paris a complété ce tableau de bord grâce à son entrepôt de données de santé et a ainsi pu modéliser de manière fine le parcours de soins des patients. L’ensemble de ces indicateurs a été essentiel pour assurer une planification de la réponse à la crise.
Retour d’expérience sur la régulation au Samu de Paris pendant la crise de Covid-19
Authors: Telion C. , Marx J.-S. , Dautreppe C. , Carli P.
Published: October 2020

L’épidémie de Covid-19 représente une crise dont l’ampleur n’avait jusque-là jamais été imaginée. Des modifications des pratiques pour y faire face ne pouvaient reposer uniquement sur des doctrines ou des intuitions, mais nécessitaient adaptabilité, innovation et réactivité. Un renforcement en moyens techniques et humains a été débuté dès la fin du mois de février. L’organisation de la régulation médicale du Samu de Paris a été modifiée, renforcée en fonction des flux de patients à traiter et adaptée à la spécificité de la crise de Covid. L’ensemble des mesures avait comme objectif d’apporter la réponse la plus adaptée aux patients atteints de la Covid-19 et de préserver la réponse aux appels urgents du 15. Une collaboration fructueuse s’est rapidement établie entre tous les acteurs de la santé, hospitaliers et libéraux favorisant un maintien à domicile d’un certain nombre de patients et empêchant ainsi une saturation précoce des services d’urgence. Le développement et l’intégration de nouveaux outils informatiques ont facilité et diversifié les réponses apportées. Il est, dès à présent, indispensable de pérenniser et de renforcer ces acquis afin de développer le service d’accès aux soins (SAS) nécessaire pour apporter à la population une qualité de soins optimisée.
The Bunker and the Desert
Authors: Chavanne Renaud
Published: October 2020

Dispensing with semiological terms inappropriately applied to comics, this article uses the concept of the ‘cube-panel’ to show that the comics panel is indissociable from drawing itself. There is no ‘code’, only drawing. The cube-panel is exemplified in Inside Moebius. Rather than sampling from a wider, out-of-frame space, it represents a retreat from that space, a prison or refuge, both suggestive of an inner life. The title promises just such a revelation, but it is in the nature of a Moebius strip, and of a graphic representation of the author’s self, for that inside to be inseparable from an outside. Two examples of the inside–outside pairing recur throughout: the desert, representing a creative void, and the bunker, in which the artist externalises himself.
Presence of a translator in the operating theater for awake mapping in foreign patients with low-grade glioma: a surgical experience based on 18 different native languages
Authors: Sellier Aurore , Moritz-Gasser Sylvie , Lemaitre Anne-Laure , Herbet Guillaume , Duffau Hugues
Published: October 2020

OBJECTIVE

Intraoperative brain mapping with neurocognitive monitoring during awake surgery is currently the standard pattern of care for patients with diffuse low-grade glioma (DLGG), allowing a maximization of the extent of resection (EOR) while preserving quality of life. This study evaluated the feasibility of DLGG resections performed with intraoperative cognitive monitoring via the assistance of a translator for patients speaking foreign languages, and compared the surgical functional and oncological outcomes according to the possibility of direct communication with the surgical team.

METHODS

Foreign patients who underwent awake surgery with intraoperative electrical mapping with the assistance of a translator for the resection of a DLGG in the authors’ institution between January 2010 and December 2020 were included. Patients whose native language included one of the three languages spoken by the surgical team (i.e., French, English, or Spanish) were excluded. The patients were classified into two groups. Group 1 was composed of patients able to communicate in at least one of these three languages in addition to their own native language. Group 2 was composed of patients who spoke none of these languages, and therefore were unable to communicate directly with the operating staff. The primary outcome was the patients’ ability to return to work 3 months after surgery.

RESULTS

Eighty-four patients were included, of whom 63 were classified in group 1 and 21 in group 2. Eighteen different native languages were tested in the operating theater. Awake mapping was successful, with elicitation of transitory disturbances in all patients. There was no significant difference in the 3-month return-to-work status between the two groups (95% in group 1 [n = 58/61] vs 88% in group 2 [n = 15/17]; p = 0.298). Similarly, no significant difference between the two groups was found regarding the intraoperative tasks performed, the mean duration of the surgery, and the rate of permanent postoperative deficit. A significantly greater EOR was observed in group 1 patients in comparison to group 2 patients (90.4% ± 10.6% vs 87.7% ± 6.1%; p = 0.029).

CONCLUSIONS

Real-time translation by an interpreter during awake resection of glioma is feasible and safe in foreign patients. Nonetheless, when no direct verbal communication is possible between the surgical team and the patient, the EOR is less.
The Simpson grade: abandon the scale but preserve the message
Authors: Schwartz Theodore H. , McDermott Michael W.
Published: October 2020

The Simpson grading scale, developed in 1957 by Donald Simpson, has been considered the gold standard for defining the surgical extent of resection for WHO grade I meningiomas. Since its introduction, the scale and its modifications have generated enormous controversy. The Simpson grade is based on an intraoperative visual assessment of resection, which is subjective and notoriously inaccurate. The majority of studies in which the grading system was used were performed before routine postoperative MRI surveillance was employed, rendering assessments of extent of resection and the definition of recurrence inconsistent. The infiltration and proliferation potential of tumor components such as hyperostotic bone and dural tail vary widely based on tumor location, as does the molecular biology of the tumor, rendering a universal scale for all meningiomas unfeasible. While extent of resection is clearly important at reducing recurrence rates, achieving the highest Simpson grade resection should not always be the goal of surgery.

Donald Simpson’s name and his scale deserve to be recognized and preserved in the historical pantheon of pioneering and transformative neurosurgical concepts. Nevertheless, his eponymous scale is no longer relevant in modern meningioma surgery. While his message of maximizing extent of resection and minimizing morbidity is still germane, a single measure using subjective criteria cannot be applied universally to all meningiomas, regardless of location. Meningioma surgery should be performed with the goal of achieving maximal safe resection, ideally guided by molecularly tagged fluorescent labeling and assessed using objective criteria, including postoperative MRI as well as molecularly tagged scans such as [68Ga]-DOTATATE-PET.
Long-term clinical outcomes of bilateral GPi deep brain stimulation in advanced Parkinson’s disease: 5 years and beyond
Authors: Tsuboi Takashi , Lemos Melo Lobo Jofili Lopes Janine , Moore Kathryn , Patel Bhavana , Legacy Joseph , Ratajska Adrianna M. , Bowers Dawn , Eisinger Robert S. , Almeida Leonardo , Foote Kelly D. , Okun Michael S. , Ramirez-Zamora Adolfo
Published: October 2020

OBJECTIVE

Few studies have reported long-term outcomes of globus pallidus internus (GPi) deep brain stimulation (DBS) in Parkinson’s disease (PD). The authors aimed to investigate long-term outcomes of bilateral GPi DBS for 5 years and beyond for PD patients.

METHODS

The authors retrospectively analyzed the clinical outcomes in 65 PD patients treated with bilateral GPi DBS at a single center. The outcome measures of motor symptoms and health-related quality of life (HRQoL) included the Unified Parkinson’s Disease Rating Scale (UPDRS) and the Parkinson’s Disease Questionnaire (PDQ-39). Scores at baseline were compared with those at 1, 3, 5, and 6–8 years after implantation using Wilcoxon signed-rank tests with α correction.

RESULTS

GPi DBS significantly improved the off-medication UPDRS III total scores, UPDRS IV, and dyskinesia score at 1 year when compared with baseline (all p < 0.001). The off- and on-medication tremor scores, UPDRS IV, and dyskinesia scores showed moderate and sustained improvement (the ranges of the mean percentage improvement at each time point were 61%–75%, 30%–80%, 29%–40%, and 40%–65%, respectively) despite lacking statistical significance at long-term follow-up with diminishing sample sizes. The off-medication UPDRS III total scores did not show significant improvement at 5 years or later, primarily because of worsening in rigidity, akinesia, speech, gait, and postural stability scores. The on-medication UPDRS III total scores also worsened over time, with a significant worsening at 6–8 years when compared with baseline (p = 0.008). The HRQoL analyses based on the PDQ-39 revealed significant improvement in the activities of daily living and discomfort domains at 1 year (p = 0.003 and 0.006, respectively); however, all the domains showed gradual worsening at the later time points without reaching statistical significance. At 3 years, the communication domain showed significant worsening compared with baseline scores (p = 0.002).

CONCLUSIONS

GPi DBS in PD patients in this single-center cohort was associated with sustained long-term benefits in the off- and on-medication tremor score and motor complications. HRQoL and the cardinal motor symptoms other than tremor may worsen gradually in the long term. When counseling patients, it is important to recognize that benefits in tremor and dyskinesia are expected to be most persistent following bilateral GPi DBS implantation.
Conus-level combined dorsal and ventral lumbar rhizotomy for treatment of mixed hypertonia: technical note and complications
Authors: Ahluwalia Ranbir , Bass Patrick , Flynn Laura , Martin Elizabeth , Riordan Heather , Lawrence Alice , Naftel Robert P.
Published: October 2020

Combined dorsal and ventral rhizotomy is an effective treatment for patients with concurrent spasticity and dystonia, with the preponderance of complaints relating to their lower extremities. This operative approach provides definitive relief of hypertonia and should be considered after less-invasive techniques have been exhausted. Previously, the surgery has been described through an L1–S1 laminoplasty. In this series, 7 patients underwent a conus-level laminectomy for performing a lumbar dorsal and ventral rhizotomy. Technical challenges included identifying the appropriate-level ventral roots and performing the procedure in children with significant scoliosis. Techniques are described to overcome these obstacles. The technique was found to be safe, with no infections, CSF leaks, or neurogenic bladders.
Obesity may be associated with adjacent-segment degeneration after single-level transforaminal lumbar interbody fusion in spinopelvic-mismatched patients with a minimum 2-year follow-up
Authors: Duan Ping-Guo , Mummaneni Praveen V. , Wang Minghao , Chan Andrew K. , Li Bo , Mayer Rory , Berven Sigurd H. , Chou Dean
Published: October 2020

OBJECTIVE

In this study, the authors’ aim was to investigate whether obesity affects surgery rates for adjacent-segment degeneration (ASD) after transforaminal lumbar interbody fusion (TLIF) for spondylolisthesis.

METHODS

Patients who underwent single-level TLIF for spondylolisthesis at the University of California, San Francisco, from 2006 to 2016 were retrospectively analyzed. Inclusion criteria were a minimum 2-year follow-up, single-level TLIF, and degenerative lumbar spondylolisthesis. Exclusion criteria were trauma, tumor, infection, multilevel fusions, non-TLIF fusions, or less than a 2-year follow-up. Patient demographic data were collected, and an analysis of spinopelvic parameters was performed. The patients were divided into two groups: mismatched, or pelvic incidence (PI) minus lumbar lordosis (LL) ≥ 10°; and balanced, or PI-LL < 10°. Within the two groups, the patients were further classified by BMI (< 30 and ≥ 30 kg/m2). Patients were then evaluated for surgery for ASD, matched by BMI and PI-LL parameters.

RESULTS

A total of 190 patients met inclusion criteria (72 males and 118 females, mean age 59.57 ± 12.39 years). The average follow-up was 40.21 ± 20.42 months (range 24–135 months). In total, 24 patients (12.63% of 190) underwent surgery for ASD. Within the entire cohort, 82 patients were in the mismatched group, and 108 patients were in the balanced group. Within the mismatched group, adjacent-segment surgeries occurred at the following rates: BMI < 30 kg/m2, 2.1% (1/48); and BMI ≥ 30 kg/m2, 17.6% (6/34). Significant differences were seen between patients with BMI ≥ 30 and BMI < 30 (p = 0.018). A receiver operating characteristic curve for BMI as a predictor for ASD was established, with an AUC of 0.69 (95% CI 0.49–0.90). The optimal BMI cutoff value determined by the Youden index is 29.95 (sensitivity 0.857; specificity 0.627). However, in the balanced PI-LL group (108/190 patients), there was no difference in surgery rates for ASD among the patients with different BMIs (p > 0.05).

CONCLUSIONS

In patients who have a PI-LL mismatch, obesity may be associated with an increased risk of surgery for ASD after TLIF, but in obese patients without PI-LL mismatch, this association was not observed.
Separation property and convergence to equilibrium for the equation and dynamic boundary condition of Cahn–Hilliard type with singular potential
Authors: Fukao Takeshi , Wu Hao
Published: October 2020

We consider a class of Cahn–Hilliard equation that models phase separation process of binary mixtures involving nontrivial boundary interactions in a bounded domain with non-permeable wall. The system is characterized by certain dynamic type boundary conditions and the total mass, in the bulk and on the boundary, is conserved for all time. For the case with physically relevant singular (e.g., logarithmic) potential, global regularity of weak solutions is established. In particular, when the spatial dimension is two, we show the instantaneous strict separation property such that for arbitrary positive time any weak solution stays away from the pure phases [Formula: see text], while in the three dimensional case, an eventual separation property for large time is obtained. As a consequence, we prove that every global weak solution converges to a single equilibrium as [Formula: see text], by the usage of an extended Łojasiewicz–Simon inequality.
Generalised Serre–Green–Naghdi equations for open channel and for natural river hydraulics
Authors: Debyaoui Mohamed Ali , Ersoy Mehmet
Published: October 2020

In this paper, we present a new non-linear dispersive model for open channel and river flows. These equations are the second-order shallow water approximation of the section-averaged (three-dimensional) incompressible and irrotational Euler system. This new asymptotic model generalises the well-known one-dimensional Serre–Green–Naghdi (SGN) equations for rectangular section on uneven bottom to arbitrary channel/river section.
Rab8 Promotes Mutant HTT Aggregation, Reduces Neurodegeneration, and Ameliorates Behavioural Alterations in a Drosophila Model of Huntington’s Disease
Authors: Delfino Laura , Mason Robert P. , Kyriacou Charalambos P. , Giorgini Flaviano , Rosato Ezio
Published: October 2020

Background: Altered cellular vesicle trafficking has been linked to the pathogenesis of Huntington’s disease (HD), a fatal, inherited neurodegenerative disorder caused by mutation of the huntingtin (HTT) protein. The Rab GTPase family of proteins plays a key role in regulation of vesicle trafficking, with distinct Rabs helping specify membrane identity and mediating cellular processes including budding, motility and tethering of vesicles to their targets. In recent years several Rab GTPases—notably, Rab5 and Rab11—have been linked to the pathogenesis of neurodegenerative disorders, including HD. Objective: We investigated whether Rab8, which regulates post-Golgi vesicle trafficking, is able to improve HD-relevant phenotypes in a well-characterised model. Methods: We overexpressed Rab8 in a Drosophila model of HD testing cellular, behavioural, and molecular phenotypes. Results: We found that Rab8 overexpression ameliorated several disease-related phenotypes in fruit flies expressing a mutant HTT fragment throughout the nervous system, including neurodegeneration of photoreceptor neurons, reduced eclosion of the adult fly from the pupal case and shortened lifespan. Rab8 overexpression also normalised aberrant circadian locomotor behaviour in flies expressing mutant HTT in a specific population of neurons that regulate the circadian clock. Intriguingly, expression of Rab8 increased the accumulation of SDS-insoluble aggregated species of mutant HTT. Conclusion: Collectively, our findings demonstrate that increased Rab8 levels protect against mutant HTT toxicity and potentiate its aggregation, likely reducing the accumulation of downstream toxic soluble species.
Interaction between pulmonary vasculature and the patent ductus arteriosus in very premature infants
Authors: Hoffman Julien I.E.
Published: October 2020

BACKGROUND:

The benefits of closing the ductus arteriosus in very preterm infants have not been convincingly shown in numerous clinical trials. Because a large untreated ductus arteriosus can cause death from congestive heart failure in infants born at term, we need to explain why this might not occur in premature infants born at <28 weeks’ gestation.

METHODS:

Based on information in the literature, I have commented on the possible relationship between the pulmonary vasculature and the shunt through the patent ductus arteriosus.

RESULTS:

Many of these infants have bronchopulmonary dysplasia, in which animal and human studies have shown a reduced number of capillaries and small pulmonary arteries as well as reduction in vascular endothelial growth factor (VEGF) and platelet endothelial cell adhesion molecule-1 (PECAM-1). Both of these import angiogenic factors. Some who do not have bronchopulmonary dysplasia may have a restricted pulmonary vascular bed.

CONCLUSIONS:

The increased pulmonary vascular resistance in very premature infants may restrict pulmonary blood flow even if the ductus is large, thus reducing the urgency for ductus closure.
A logic model for a self-management program designed to help workers with persistent and disabling low back pain stay at work
Authors: Longtin Christian , Tousignant-Laflamme Yannick , Coutu Marie-France
Published: October 2020

BACKGROUND: Workers with persistent disabling low back pain (LBP) often encounter difficulty staying at work. Self-management (SM) programs can offer interesting avenues to help workers stay at work. OBJECTIVE: To establish the plausibility of a logic model operationalizing a SM program designed to help workers with persistent disabling LBP stay at work. METHODS: We used a qualitative design. A preliminary version of the logic model was developed based on the literature and McLaughlin et al.’s framework for logic models. Clinicians in work rehabilitation completed an online survey on the plausibility of the logic model and proposed modifications, which were discussed in a focus group. Thematic analyses were performed. RESULTS: Participants (n = 11) found the model plausible, contingent upon a few modifications. They raised the importance of making more explicit the margin of maneuver or “job leeway” for a worker who is trying to stay at work and suggested emphasizing a capability approach. Enhancing the workers’ perceived self-efficacy and communication skills were deemed essential tasks of the model. CONCLUSION: A plausible logic model for a SM program designed for workers with disabling LBP stay at work was developed. The next step will be to assess its acceptability with potential users.
Printing in a pandemic: the makers response to COVID-19
Authors: Boyd Mike
Published: October 2020

uCreate Studio is the University of Edinburgh’s Community Makerspace. The uCreate Studio team worked throughout the COVID-19 lockdown, collaborating with other local teams to produce personal protective equipment (PPE) for staff in the National Health Service locally. This paper describes the work of the uCreate Studio team and how they used their skills, knowledge, network of contacts, and the specialist equipment in the uCreate Studio in the production of PPE.
An Inexpensive Device for Multiple Depth Sampling of Groundwater Quality in Cohesionless Aquifers
Authors: Graham Wendy D.
Published: October 2020

This document is CIR943, one of a series of the Agricultural and Biological Engineering Department, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida. Original publication date May 1991. Reviewed July 2002.
Production and Performance of Triploid Oysters for Aquaculture
Authors: Yang Huiping , Simon Natalie , Sturmer Leslie N.
Published: October 2020

This 9-page fact sheet written by Huiping Yang, Natalie Simon, and Leslie Sturmer and published by the Program in Fisheries and Aquatic Sciences of the UF/IFAS School of Forest Resources and Conservation focused on basic aspects of triploid oyster aquaculture, including the general oyster aquaculture industry, the approaches for triploid induction, performance of triploids, and correlated ploidy determination to convey basic knowledge of triploid oyster aquaculture to the oyster industry and the general public. http://edis.ifas.ufl.edu/fa208
Building Coalitions: Communication in Coalitions
Authors: Beckham Kathryn , King Jeffrey , Bolton Elizabeth B. , Guion Lisa
Published: October 2020

This document is FY497, Part 5 of the 16 part series adapted for use in Florida by Elizabeth B. Bolton and Lisa Guion. Reprinted with permission March, 1997. Revised April, 2002.
Building Coalitions: Communication/Developing Members
Authors: King Jeffrey , Beckham Kathryn , Bolton Elizabeth B. , Guion Lisa
Published: October 2020

This document is FY498, Part 6 of the 16 part series adapted for use in Florida by Elizabeth B. Bolton and Lisa Guion. Reprinted with permission March, 1997. Revised April, 2002.
Renter Power for Better Living: Introduction
Authors: Harrison Mary N.
Published: October 2020

This document is FCS5230-02, one of a series of the Department of Family, Youth and Community Sciences, Florida Cooperative Extension Service, Institute of Food and Agriculture Sciences, University of Florida. Publication: May 2002.

https://edis.ifas.ufl.edu/fy509
Peach Root-knot Nematode
Authors: Maquilan Mary Ann D. , Sarkhosh Ali , Dickson Donald W.
Published: October 2020

One of the production issues that peach growers in Florida must contend with is plant-parasitic nematodes. One such species is the more recently discovered peach root-knot nematode, Meloidogyne floridensis, which is the subject of this 5-page publication. Written by Mary Ann D. Maquilan, Ali Sarkhosh, and Donald Dickson and published by the UF/IFAS Horticultural Sciences Department, July 2018. http://edis.ifas.ufl.edu/hs1320
Fungal Gummosis in Peach
Authors: Mancero-Castillo Daniel , Sarkhosh Ali , Sherman Sara , Olmstead Mercy , Harmon Philip , Beckman Thomas
Published: October 2020

Peach fungal gummosis (PFG) is a vascular disease that limits the growth and yield of peach orchards in the southeastern United States. This 6-page document discusses the symptoms and management of PFG. Written by Daniel Mancero-Castillo, Ali Sarkhosh, Sara Sherman, Mercy Olmstead, Philip Harmon, and Thomas Beckham and published by the UF/IFAS Horticultural Sciences Department, July 2018. https://edis.ifas.ufl.edu/hs1265
A contribuição da psicologia no processo de inclusão escolar de crianças com Síndrome de Down
Authors: Leite Madson Márcio de Farias , Mont´alverne Clara Roseane da Silva Azevedo
Published: October 2020

Esta pesquisa objetiva investigar qual a contribuição da Psicologia no processo de inclusão escolar de crianças com síndrome de down. A inclusão de crianças com síndrome de down, no contexto do ambiente escolar, ainda é carregado de estereótipos, tanto por parte da família que, muitas vezes, não sabe dos direitos de pessoas com essa deficiência, quanto pelo tratamento dado a elas. Ademais, a falta de preparo da escola ao lidar com questões relacionadas à inclusão dessas crianças com síndrome de down no espaço educacional. A inclusão é uma prática eficaz na existência das crianças, principalmente no que diz respeito à inserção no ambiente escolar, uma vez que é através da educação que essas crianças serão capazes de almejar à liberdade, à emancipação e à autossuficiência. A metodologia utilizada foi a pesquisa bibliográfica, em que pôde ser feita uma revisão da literatura que aborda a temática da contribuição da Psicologia no processo de inclusão escolar de crianças com síndrome de down. A leitura e discussão de tais informações pretendem demonstrar a contribuição da psicologia para o processo de inclusão das crianças com síndrome de down, assim como a importância no desenvolvimento. A partir da análise bibliográfica, esta pesquisa concluiu que a Psicologia desempenha um papel imprescindível no processo de inclusão de crianças com síndrome de down no processo de inclusão escolar, o que significa proporcioná-las ferramentas e formatos de possibilidades de trabalho educacional, bem como ajudar crianças com essa necessidade especial a buscarem formas de integração nos contextos escolar, familiar e comunitário, além de prepará-las para os conflitos fora do ambiente escolar. Sendo assim, a psicologia proporciona, no ambiente escolar, base de informação e de fortalecimento para que as crianças com a síndrome de down estejam preparadas no enfrentamento dos desafios internos e externos ao ambiente escolar.
Факторы риска артериальной гипертензии: Оценка: Оценка эффективности действий в области санитарного просвещения
Authors: Costa Edinaldo Siqueira da , Silva Silvana Rodrigues da
Published: October 2020

Системная артериальная гипертензия является наиболее частым из сердечно-сосудистых заболеваний и отвечает как главный фактор риска наиболее частыми осложнениями, такими как инсульт и острый инфаркт миокарда, в дополнение к терминальной стадии почечной недостаточности. Санитарное просвещение является основным инструментом изменения привычек и образа жизни, которые имеют основополагающее значение в процессе профилактики этой патологии. Целью данного исследования было проанализировать влияние образовательных оздоровительных мероприятий на системную артериальную гипертензию в изменении образа жизни государственных служащих Суда правосудия штата Амапа. В исследовании приняли участие 255 серверов. Для сбора данных использовалась анкета, которая была проанализирована с помощью SPSS версии 22 (IBM SPSS, США). Было замечено, что 54,1% составляли женщины, 66,3% смуглые, 33,7% в возрасте от 40 до 49 лет, 47,8% имели высшее образование и 59,6% были женаты или проживали в стабильный союз. Индекс массы тела показал, что 48,2% имели избыточный вес, 64,7% имели увеличенную окружность талии и 10,6% имели уровень глюкозы в капиллярной крови ≥ 99 mg/dL. Что касается артериального давления, то у 33,3% мужчин и 21,7% женщин было АП ≥ 140 и / или 90 mmHg. Что касается участия в какой-либо профилактической или образовательной деятельности, 76,1% ответили утвердительно, из которых 60,4% сочли такой же удовлетворительным и 44,7% сочли, что это не повлияло на изменение образа жизни. Был сделан вывод, что действия по санитарному просвещению частично влияют на изменение привычек государственных служащих, поскольку индексы факторов риска по-прежнему вызывают беспокойство.
Pelatihan Pembuatan Kerajinan dengan Bahan Dasar Tulang Daun melalui Proses Dekomposisi
Authors: Anugrah Devi , Faruq Hilman , Susilo Susilo
Published: October 2020

The 2013 curriculum requires learning materials to improve the competence of knowledge, skills, and attitudes to create valuable work. This decomposed leaf bone handicraft activity is a concrete example of fulfilling 2013 curriculum achievements. Besides helping to understand biology lessons, the activity of making leaf bone crafts can foster an entrepreneurial spirit for students. Therefore, in this community service activity, training to make handicrafts from leaf bones is given to teachers and students in SMA N 1 and SMP 2 Banyuputih, Situbondo. The training was attended by 23 students and one teacher at SMA N 1 and dam 20 students and one teacher at SMP 2 Banyuputih, Situbondo. The training is carried out by the method of delivering material and direct practice. The activity was also carried out with direct discussion with participants. The results of this training activity showed that all participants gained new knowledge and skills, namely how to make crafts made from leaf bones. Craft made of leaf bone is very attractive to students because students can know the bone structure directly. This dedication activity provides insight to both students and teachers to take advantage of local wisdom around it to be more valuable.
Peningkatan Kapabilitas dan Performa UMKM melalui Monitoring dan Pendampingan
Authors: Fidiana Fidiana , Rochdianingrum Widhi Ariestianti , Retnani Endang Dwi , Widyawati Dini
Published: October 2020

This community service activity is continuously carried out to develop the creativity of mothers in producing innovative and attractive products. This activity involves training and assistance in preparing financial and marketing reports. This activity was carried out in collaboration with the Sukolilo District and STIESIA Surabaya. MSMEs in Sukolilo District experienced several obstacles related to preparing financial reports, marketing that utilized social media, and other technical obstacles. After this mentoring activity, MSME managers gained several benefits, including having started compiling financial reports. Marketing training activities are carried out using Instagram social media as a means of producing products. In this activity, assistance was carried out to create an Instagram account, taking photos of products to be uploaded on Instagram, assisting in uploading product photos on Instagram accompanied by product descriptions so that they could attract consumers. This activity is carried out to improve the business carried out from the management aspect. The target to be achieved is that MSME players have financial reports that can be used to submit funds or capital to banks for business development, expand marketing networks, and increase sales.
Cover, Content, and Editorial Note from Pengabdianmu J Pengabdian Masyarakat Vol. 5 No. 4 September 2020
Authors: PengabdianMu J Pengabdian Masyarakat Chief Editor Of
Published: October 2020

Assalamu�alaikum Wr. Wb.

Dear reader, now PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat re-published on Volume 5 Issue 4 September 2020. The success of this publication is the result of good cooperation of all parties who maintain the publishing sustainability four times a year.

The publication of PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat certainly participates in disseminating the results of community services in science and technology development conducted by lecturers and researchers especially from UM Palangkaraya and other universities.

This edition contains 16 articles consisting of Education, Social and Political, Agriculture, and Health Science topics. Editorial boards are fully aware that there is still room for improvement in this edition, hence with all humility willing to accept constructive suggestions and feedback for improvements to the publication for the next editions.

The editorial board would like to thank the University, all editors and reviewers, and contributors of the scientific articles who have provided the repertoire in this issue. We hope that all parties, especially the contributors of the articles, could re-participate for the success of the publication in the next edition in December 2020.

Wassalamu�alaikum Wr. Wb.
Osallistumismuutokset Suomen aikuiskasvatuksessa 1972–1980
Authors: Katajisto Jukka
Published: October 2020

Tilastokeskus julkaisi vuonna 1983 tutkimuksen aikuiskoulutukseen osallistumisesta, jossa osallistumisajanjaksona pääasiassa käytettiin 1,5 vuotta. Tilastokeskuksen materiaalin saamiseksi vertailukelpoiseksi muihin vastaaviin tutkimuksiin on tässä artikkelissa useimmiten käytetty työvuoteen perustuvia tietoja. Artikkelissa tarkastellaan muutoksia, joita on tapahtunut aikuisopiskeluun osallistumisen määrässä, opiskelijoiden sosiaalisessa taustassa sekä sukupuoli-Ja ikäjakaumissa.
Oppimaan oppimisen edellytykset
Authors: Engeström Yrjö
Published: October 2020

Artikkelissa eritellään kriittisesti kahta pääsuuntausta oppimaan oppimisen teoriassa: kognitiivisen psykologian piirissä kehiteltyjä formaaleja oppimistaitoja sekä toisaalta oppijoiden itsetiedostuksen ja itseluottamuksen dialogipohjaisia kehittämisohjelmia. Artikkelissa esitetään teesi, että kumpikaan suuntaus ei kykene pätevästi käsittelemään oppimisen yhteiskunnallista ja historiallista luonnetta. Korkealaatuisen oppimiskyvyn ensimmäinen edellytys on, että opiskelija alkaa käsittää oppimisen yhteiskunnallisen määräytymisen ja sen kaksinaisluonteen. Tästä seuraa perinteisen luokkahuoneen sisään rajoittuneen oppimiskäsityksen kritiikki ja oppimistoiminnan käsitteen hahmottaminen tietoisena mallien muodostamisena yhteiskunnallisen elämänkäytännön hallintaa varten.
Yhteiskunnan muutos ja koulutuksen tulevaisuus
Authors: Antikainen Ari
Published: October 2020

Artikkelissa tarkastellaan kasvatussosiologisesti koulutusta sen yhteiskunnallisten tehtävien ja rakenteellisen aseman näkökulmasta. Koulutusrakenteita ja koulutuspolitiikka käsitellään kansainvälisessä kehyksessä, suomalaisen yhteiskunnan rakennemuutoksen puitteissa sekä lopuksi erilaisia koulutuksen kehittymisnäkymiä.
Aikuisopintoihin osallistumisen kasautuminen ja esteet
Authors: Katajisto Jukka
Published: October 2020

Artikkeli liittyy Aikuiskasvatuksen edellisen numeron s. 60–67 olleeseen artikkeliin Osallistumismuutokset Suomen aikuiskasvatuksessa 1972–1980. Artikkelissa tarkastellaan aikuiskasvatuksen alueellista ja sosiaalista kasautumista. Erikseen tarkastellaan aikuisopintoihin osallistuneiden ja osallistumattomien opiskeluvaikeuksia ja -esteitä. Artikkelin lopussa ehdotetaan eräitä toimenpiteitä aikuiskasvatukseen osallistumattomien opiskeluesteiden poistamiseksi.
EDUCAÇÃO E INTEGRAÇÃO TRANSNACIONAL NA AMÉRICA LATINA
Authors: Santos Adelcio Machado dos , Imhof Nelson Felix , Wieser Ruana , Santos Jaqueline Carneiro , Baade Joel Haroldo
Published: October 2020

O enfoque está direcionado às questões da educação em contexto de integração transnacional, colimando que o processo de integração não abrange somente as dimensões comerciais e econômicas, mas também os aspectos sociais, políticos, educacionais e culturais. O setor educacional do Mercosul engloba diversos programas, subprogramas e linhas de ação. A criação de uma Zona de Livre Comércio e de uma União Aduaneira entre Argentina, Brasil, Paraguai e Uruguai, iniciada a partir do Tratado de Assunção, de 1991, indicou a conformação de um território econômico comum entre os países envolvidos e ajuste dos sistemas educacionais existentes em decorrência da formação de profissionais qualificados que deveriam ser o baluarte da desejada evolução competitiva e independência desses países. A partir disto, iniciou-se uma série de acordos para adequação dos sistemas educativos dos países do Cone Sul, visto que a qualidade do sistema educacional se tornou um fator importante para a prosperidade econômica de todos os países. Contudo, passados 29 anos, constata-se avanços e retrocessos que impediram o deslanche dos projetos inicialmente traçados.

Palavras-Chave: Educação. Mercosul. Integração. Transnacionalidade.

 

TRANSNATIONAL EDUCATION AND INTEGRATION IN LATIN AMERICA: HISTORICAL ASPECTS

Abstract: The focus is on education issues in the context of transnational integration, with the result that the integration process does not only cover the commercial and economic dimensions, but also the social, political, educational and cultural aspects. The Mercosul educational sector includes several programs, subprograms and lines of action. The creation of a Free Trade Zone and a Customs Union between Argentina, Brazil, Paraguay and Uruguay, initiated after the 1991 Treaty of Asunción, indicated the formation of a common economic territory between the countries involved and the adjustment of educational systems existing due to the training of qualified professionals who should be the bulwark of the desired competitive evolution and independence of these countries. From this, a series of agreements was initiated to adapt the educational systems of the countries of the Southern Cone, since the quality of the educational system has become an important factor for the economic prosperity of all countries. However, after 29 years, there are advances and setbacks that prevented the development of the projects initially planned.

Keywords: Education. Mercosur. Integration. Transnationality.
A Percepção das puérperas sobre o parto vaginal humanizado assistido pela equipe de Enfermagem
Authors: Santos Jessica Costa Moreira dos , Silva Thais Rodrigues de Sousa , Aragão Monica Andrea Miranda , Abreu Vitor Pachelle Lima , Silva Raylton Aparecido Nascimento , Santana Martin Dharlle Oliveira , Abrão Ruhena Kelber
Published: October 2020

Lançada em 2003, a Política Nacional de Humanização (PNH) do SUS, também conhecida como HumanizaSUS trouxe como objetivo o de proporcionar melhorias ao atendimento, ajustando a qualidade da atenção prestada a população, levando em consideração a prática da realização do parto como um todo. O estudo teve como objetivo compreender a percepção das puérperas mediante a prática assistencial da equipe de Enfermagem no parto vaginal humanizado em uma maternidade pública no Município de Imperatriz/MA. Trata-se de um estudo descritivo com abordagem qualitativa, realizado com 16 puérperas. Os dados foram obtidos por meio de um questionário estruturado durante os meses de Novembro a Dezembro do ano de 2018 e submetidos à análise e interpretação do conteúdo. Nisso, emergiram 03 categorias: acolhimento profissional; técnicas parciais de humanização no parto e percepção das puérperas sobre a assistência ao parto. Os resultados obtidos mostraram que a assistência humanizada da enfermagem durante o parto, proporciona maior segurança, conforto e equilíbrio emocional a parturiente, buscando minimizar através de técnicas o sentido da dor, e trazer um relaxamento, que melhora a qualidade do parto, não só para a equipe, mas para a protagonista que é a mulher, como a deambulação, o banho, massagens e o uso da bola. Assim, conclui-se que de acordo com as informações obtidas, puderam-se perceber práticas de humanização de forma parcial aplicada pelos profissionais, permitindo que essas mulheres se sentissem mais seguras com seus acompanhantes e a opção de decidir quais métodos elas queriam que fossem utilizados para que sua dor fosse minimizada.
Propriedades físicas de óleos essenciais: Uma ferramenta experimental no ensino de Química
Authors: Leite Débora Odília Duarte , Costa Lucas Ribeiro , Lopes Cristiane Marinho Uchôa , Rodrigues Antonio Yony Felipe , Costa José Galberto Martins da
Published: October 2020

As atividades experimentais representam recurso indiscutível no processo ensino – aprendizagem. Para alunos de graduação essas práticas se tornam mais eficientes quando tratadas de forma contextualizada. Métodos físicos de análises são alternativas simples, de baixo custo e rápidas na verificação da autenticidade de óleos essenciais com alto valor comercial, além de oferecer didática experimental que facilita o aprendizado de discentes dos cursos de química e áreas afins. Entre os parâmetros físicos destacam-se densidade, índice de refração e rotação óptica, que regulamentam a comercialização de fitoterápicos no Brasil. O presente estudo tem como objetivo fornecer alternativas de atividade experimental no ensino de química voltado para aplicação prática relacionada a regulamentação na comercialização de óleo essencial com alto valor agregado e produção científica na área. Os óleos essenciais foram obtidos por hidrodestilação. A densidade, o índice de refração e a rotação específica foram medidos em aparelhos específicos. O óleo essencial de candeeiro obteve maior rotação específica (-58,75° à -59,25°). O índice de refração foi maior para o pau-de-óleo (1,501560 ± 0,000000 nD). A densidade foi superior para o óleo essencial da marangaba vermelha (0,98 ±0,015 g/mL). Alterações na composição química de óleos essenciais apresentam mudanças significativas nas suas propriedades físicas, estas podem ser facilmente identificadas com a ajuda de aparelhos de fácil acesso e manuseio, garantindo eficiência das suas propriedades biológicas. Os estudantes, podem desenvolver habilidades profissionais para identificação dessas características, possibilidade esta, que representa motivação no processo de ensino-aprendizagem.
Laserterapia e agulhamento seco em pacientes portadores de dor miofascial: estudo comparativo
Authors: Netto Beatriz de Pedro , Melo Laércio Almeida de , Leite Fabíola Pessôa Pereira , Braga Luciana de Castro , Teixeira Marcelo Lucchesi , Lima Camila Moreira , Faria Júlio César Brigolini de , Oséas Jéssica Mayara de Figueirêdo , Brito Júnior Rui Barbosa de
Published: October 2020

Objetivo: Este estudo comparou a laserterapia de baixa intensidade e o agulhamento seco, em curto e em longo prazos, no tratamento da dor miofascial, da dor a palpação muscular e na mobilidade mandibular. Metodologia: Trata-se de um ensaio clínico em que 28 indivíduos foram recrutados para participar do estudo. Os pacientes foram distribuídos aleatoriamente em dois grupos: GI (laserterapia) e Gll (agulhamento seco). No GI foi realizado 12 aplicações e no GII, três aplicações. Os pacientes de ambos os grupos foram submetidos a nove avaliações (T0-T8). Foram realizadas consultas de retorno e novas avaliações após sessenta dias e 18 meses do término das terapias para se avaliar a eficácia e os possíveis efeitos cumulativos das mesmas. Para comparar os grupos em todos os parâmetros ao longo dos tempos, empregou-se ANOVA GLM e Comparação Múltipla de Tukey com nível de significância de 5% para todas as análises. Resultados: De um modo geral, as duas terapias testadas demostraram-se efetivas para todos os parâmetros avaliados em T7 (2 meses após T6). Porém em T8, a terapia por agulhamento seco mostrou sustentar os resultados em comparação com laserterapia. Conclusão: Conclui-se que, apesar de ambas as terapias terem sido eficazes, para o alívio imediato dos sintomas da dor miofascial, o agulhamento seco foi mais eficiente e duradouro nos parâmetros analisados.
Ocorrência de Histoplasma capsulatum isolado no período de 2016 a 2019 em um Laboratório Estadual de Saúde Pública do Centro-Oeste Brasileiro
Authors: Silva Kelly Oliveira Galvão da , Carvalho Valéria Moura de , Nascimento Maikiane Aparecida , Oliveira Gabriela Cavalcante , Bastos Angélica Lima de , Soares Ailton José , Furtado Andrea Candida dos Santos , Oliveira Ellen Synthia Fernandes de , Manrique Edna Joana Cláudio
Published: October 2020

Objetivo: Analisar a ocorrência de Histoplasma capsulatum nas culturas para fungos que deram entrada em um Laboratório Estadual de Saúde Pública do Centro-Oeste brasileiro no período de 2016 a 2019. Metodologia: Trata-se de um estudo transversal, constituído por culturas para pesquisa de fungos que deram entrada no referido laboratório e provenientes de Hospitais de Referência do Estado. As variáveis analisadas foram gênero, faixa etária, número de positividade e negatividade das culturas para Histoplasma capsulatum e espécime clínico utilizado para análise.  Resultados: No período analisado, foi dada entrada de um total de 12.476 culturas para fungos, 2.262 foram positivas, das quais 313 identificou-se a presença do Histoplasma capsulatum. A prevalência percentual desse agente entre as amostras positivas correspondeu a 13,84, nas faixas etárias de 31 a 40 anos (19,28), de 41 - 50 anos (16,83) e de 51 a 60 anos (14,60), com maior prevalência no gênero masculino e quanto aos espécimes clínicos oriundas de medula óssea (85,00), linfonodo (64,29), líquido ascítico (42,86), sangue (39,96) e abscesso (33,33).  Ao analisar a razão de prevalência verificou possível associação de histoplasmose em amostras de pacientes, cujas principais matrizes biológicas foram o sangue 6,28 (6,04 – 11,89), medula óssea 5,72 (4,52 – 68,12) e linfonodo (3,15 – 28,48). Conclusão: Nota-se frente à prevalência encontrada a relevância da notificação compulsória dessa micose a nível nacional, a fim de melhorar o monitoramento para subsidiar medidas que facilitem o diagnóstico precoce e o tratamento adequado.
A universidade vai ao campo: relato da construção participativa de um espaço de memória do queijo tipo minas artesanal do Campo das Vertentes, Estado de Minas Gerais, Brasil
Authors: Pereira Junior Elizur Rodrigues , Reis Renata de Souza
Published: October 2020

Este artigo é parte da dissertação de mestrado do Programa Interdepartamental de Pós-Graduação em Artes, Urbanidades e Sustentabilidade da Universidade Federal de São João del Rei/MG. Objetivou-se apreender a percepção dos produtores de queijo Minas artesanal do Campo das Vertentes/MG em relação à própria atividade tendo como norte a análise de suas poéticas cotidianas e o resgate de suas memórias. Buscou-se ainda, conciliar ciência e arte, inspirando a participação, a troca de saberes, além de reforçar a identidade coletiva através da construção de um lugar de memória. Este estudo tem caráter extensionista, qualitativo e interligado à pesquisa-ação. Além de uma revisão bibliográfica, foram realizadas entrevistas e uma vivência fotográfica que registrou as expressões cotidianas da atividade gerando uma narrativa visual e identitária deste grupo de pessoas, corroborando para a construção de um espaço de identidade e memória desta atividade. Pôde-se concluir que as influências contemporâneas interferem diretamente sobre o cotidiano destes produtores, levando-os a quebrar paradigmas em busca de maximização de resultados e facilitação de rotinas diárias. Neste sentido, o padrão mercadológico atual impõe sobre estes produtores a disseminação de novos comportamentos sociais e um processo de homogeneização cultural.