bluuebunny/crossref_metadata_2025 huggingface dataset:
Useful terms for nursing practice in the care of people with leprosy
Authors: Oliveira Michele Dias da Silva , Lima Juliana de Oliveira Roque e , Garcia Telma Ribeiro , Bachion Maria Márcia
Published: June 2019

ABSTRACT Objectives: To identify useful terms for nursing practice in the care of people with leprosy and to cross-mapp the identified terms with the ICNP® terms. Method: A descriptive, documentary study that included publications of the Ministry of Health in the area of leprosy launched between 2002 and 2017. The terms identified in these publications were extracted and underwent a normalization proces and then, were cross-mapped with terms of the ICNP® version 2015 for the identification of constant and non-constant terms in this terminology. Results: In total, were extracted 1,177 terms, of which 26.76% were equal, 4.59% similar, 4.26% were broader, 19.62% were more restricted, and 44.77% were totally different from the ICNP® terms. Conclusions: The large number of terms identified and not included in the ICNP® show the need for its expansion in order to contemplate the phenomena of clinical practice more effectively and allow better representation of nursing care for people with leprosy.
Organizational climate and teamwork at the Family Health Strategy
Authors: Peruzzo Hellen Emília , Silva Eraldo Schunk , Batista Vanessa Carla , Haddad Maria do Carmo Fernandez Lourenço , Peres Aida Maris , Marcon Sonia Silva
Published: June 2019

ABSTRACT Objective: to measure the organizational climate in the work of professionals from Family Health Strategy (FHS) teams. Method: a cross-sectional study carried out with 458 professionals belonging to 72 FHS teams in a municipality in Southern Brazil. Data collection occurred between March and July of 2016 with self-application of the Team Climate Inventory (TCI). Data were analyzed by means of a non-parametric ANOVA. Results: “Team Participation” was the best-rated domain (8.11), while “Task orientation” was the worst (7.51). Nurses obtained the highest mean in TCI (8.05), and dentists, the lowest (7.45). Conclusion: TCI is an appropriate and innovative tool for assessing the teamwork climate at the FHS. Identifying fragilities such as “task orientation” and relationships among professional categories of the team supports the planning of actions for organizational climate improvements and teamwork at the FHS.
Insertion of central vascular catheter: adherence to infection prevention bundle
Authors: Llapa-Rodríguez Eliana Ofelia , Oliveira Júlian Katrin Albuquerque de , Melo Fernanda Carneiro , Silva Gilvan Gomes da , Mattos Maria Cláudia Tavares de , Macieira Jr Vinicius Paraíso
Published: June 2019

ABSTRACT Objective: To evaluate the compliance of the care process involving insertion of central vascular catheter (CVC) in hemodialysis. Method: Cross-sectional quantitative approach developed at the hemodialysis service of a reference hospital in Sergipe, Brazil. Sample consisting of 1,342 actions evaluated, corresponding to 122 forms for monitoring and control of CVC insertion. Data collection was held from July to December 2016. Results: The adherence rate to the use of the insertion form was 54.9%. The procedure evaluated achieved 93% overall compliance. Of the 11 specific actions observed, seven (64%) presented 100% compliance. The density of the overall incidence of primary bloodstream infections reduced from 10.6 to 3.1 infections per 1,000 patients/day. Conclusion: Although the observed actions reached specific desired conformities, the use of the checklist was lower than expected. Strategies for monitoring, coaching and educational and organizational actions can contribute to safe care.
Health literacy of adults with and without arterial hypertension
Authors: Borges Fernanda Moura , Silva Ana Roberta Vilarouca da , Lima Luisa Helena de Oliveira , Almeida Paulo César de , Vieira Neiva Francenely Cunha , Machado Ana Larissa Gomes
Published: June 2019

ABSTRACT Objective: Assess the level of health literacy of adults, with and without hypertension, treated in three basic health units (UBS) in Picos, Piauí. Methods: Cross-sectional study conducted with 357 adults. Data were collected using a questionnaire with sociodemographic variables, and literacy was assessed by the Test of Functional Literacy in Adults. Descriptive analysis was performed followed by the association between literacy and exposure variables with Pearson’s chi-squared (X2) test and Mann-Whitney U test. Results: Inadequate or marginal health literacy was found in three units investigated (71.5%; 77.8% and 85.2%);. Age and the years of schooling were factors associated with inadequate literacy in adults with hypertension (p<0.0001). Conclusion: Inadequate literacy was found in more than 70% of the hypertensive patients investigated. This finding reinforces the need to improve the self-care skills of hypertensive patients, especially the older ones and those with few years of schooling.
Collective construction of bundle for immunobiological agents conservation best practices
Authors: Oliveira Valéria Conceição de , Oliveira Patrícia Peres de , Castro Larissa Carvalho de , Rennó Heloiza Maria Siqueira , Gonçalves Dayane Taís de Almeida , Pinto Ione Carvalho
Published: June 2019

ABSTRACT Objective: to construct collectively with nursing professionals bundle for best practices of cold chain maintenance of immunobiological agents conservation at the local level. Method: a qualitative research of convergent care type. Bundle construction was guided by the Evidence-Based Practice criterion. Data collection was carried out from October to December 2016, through five workshops, with the participation of 21 professionals from 7 vaccination rooms of a municipality of Minas Gerais State. The framework developed by Morse and Field was adopted for data analysis. Results: through bundle, care is taken regarding refrigeration equipment temperature monitoring, contingency plan performance, recyclable ice coil setting and chamber use as refrigeration equipment. Final considerations: the chosen interventions began to guide the practice and promote a care based on safety and quality.
Nursing performance in robotic surgeries: integrative review
Authors: Martins Raísha Costa , Trevilato Denilse Damasceno , Jost Marielli Trevisan , Caregnato Rita Catalina Aquino
Published: June 2019

ABSTRACT Objective: To know the scientific production on the performance of the nursing staff in robotic surgeries, identifying the role of the nurse in the three perioperative periods. Methods: Integrative review, search in the databases National Library of Medicine, National Institutes of Health, Scientific Electronic Library Online and Biblioteca Virtual em Saúde, performed from June to September, 2017; 17 selected articles met the inclusion criteria. Results: Most articles were published in foreign journals in English, nine in the United States, classified with evidence level of 4 and 5. The role of nursing in the perioperative period was identified, related mainly to patient safety. The most mentioned perioperative period in the articles was the intraoperative, with greater concern in the positioning of the patient. Conclusion: The nursing performance and patient safety in robotic surgeries are similar to the ones in major surgeries, requiring from the patient a specific knowledge on the setting and preparation of the robot.
Assessment of feedback for the teaching of nursing practice
Authors: Montes Lorena de Godoi , Rodrigues Cibele Isaac Saad , Azevedo Gisele Regina de
Published: June 2019

ABSTRACT Objective: to analyze the self-reported knowledge of professors in the use of feedback in the teaching of nursing practice; train professors to use this process; and evaluate the results of this training. Method: a qualitative study of research-action type. The focus group technique was used with seven collaborators of a nursing technical school. For content analysis, the Bardin framework was used and, for intervention, the Problematization Methodology supported by Pendleton’s Rules. Results: most present in their curricula training to teach. It is pointed out that feedback is a simple and essential assessment tool, although universal discourse does not express the exact dimension of feedback potentialities. The intervention was effective to solidify feedback. Final Consideration: this study shows that feedback should be disseminated and consolidated among the teaching staff of nursing technical education.
Occupational accidents with biological material in a school hospital
Authors: Vieira Katia Maria Rosa , Vieira Jr Francisco Ubaldo , Bittencourt Zélia Zilda Lourenço de Camargo
Published: June 2019

ABSTRACT Objective: to analyze occupational accidents with exposure of nursing technicians to biological material in a school hospital. Method: nursing technicians were invited to answer a questionnaire related to occupational accidents with biological material. Results: 275 professionals from 9 hospital units participated. 76% reported having suffered an accident and the variables “age group” and “employment regime” showed a significant association for accidents (p<0.05). Those hired by the Consolidation of Labor Laws (CLT - Consolidação das Leis do Trabalho) employment regime were 3.5 times more likely to suffer accidents (p=0.04) and institutional capacity building did not show statistical significance (p>0.05). Conclusion: the increase in the number of training did not ensure the reduction of occupational accidents with biological material; and nursing technicians under the age of 30 were more vulnerable. Professionals with a CLT labor contract were more affected than the statutory employees.
Development of a software for intraoperatory nursing assistance
Authors: Machado Gilberto dos Reis , Évora Yolanda Dora Martinez , Rangel Alexandre Leite , Silveira Renata Cristina de Campos Pereira , Silva Beatriz Regina da
Published: June 2019

ABSTRACT Objective: to develop a software that allows the nurse of the surgical center to plan intraoperative nursing care through electronic access to the work routines of his/her team. Method: the methodological course was carried out according to systems development theory, which guides five basic activities: communication, planning, modeling, developing and delivery of the product. Results: the activities and functions of the software were arranged in five modules, containing information regarding the inputs and the step-by-step involving the assembly, circulation and disassembly of the operating room to perform the various anesthetic and surgical procedures. Final considerations: The developed software will allow the surgical center’s nursing team to access its intraoperative routines in a fast and systematic way, since this allowed to concentrate all the routines of assembly, circulation and disassembly of operating room in a safe space and accessible
Simpósio Nacional de Diagnóstico de Enfermagem: building a knowledge field for Nursing
Authors: Garcia Telma Ribeiro , Nóbrega Maria Miriam Lima da
Published: June 2019

ABSTRACT Objective: to recount the story of the Simpósio Nacional de Diagnóstico de Enfermagem (National Nursing Diagnosis Symposium), from 1991 to 2018, describing the official themes and main recommendations; and reflect on the construction, in this process, of a specific field of knowledge for Nursing. Results: the manuscript became a historical study, using official documents resulting from the thirteen Symposiums conducted in the period from 1991 to 2018 as the primary source of empirical data. The outcomes were divided into two stages, from 1991 to 1992, when the event was linked to Interest Groups in Nursing Diagnosis; and from 1996 to 2018, when ABEn Nacional took over the organization and execution of the event. Final considerations: the socialization and exchange of knowledge about systematization of care, Nursing Process and nursing terminologies, themes focused on SINADEn, contributed decisively to the construction of a fruitful field of knowledge for Nursing.
Common pitfalls in renal mass evaluation: a practical guide
Authors: Leão Layra Ribeiro de Sousa , Mussi Thais Caldara , Yamauchi Fernando Ide , Baroni Ronaldo Hueb
Published: June 2019

Abstract More than half of patients over 50 years of age have had at least one focal renal lesion detected as an incidental finding during an ultrasound, computed tomography, or magnetic resonance imaging examination. Although the majority of such lesions can be easily detected and correctly characterized, misdiagnoses may occur and are often related to methodological limitations, inappropriate imaging protocols, or misinterpretation. This pictorial essay provides recommendations on how to recognize benign and malignant renal processes that can be potentially missed or mischaracterized in imaging studies.
NARRATIVAS E PRÁTICAS DE GOVERNAMENTALIDADE: A PERSPECTIVA DO DOCENTE SOBRE O ALUNO COM DEFICIÊNCIA
Authors: SARDAGNA HELENA VENITES , FROZZA TATIANE DE FRAGA
Published: June 2019

RESUMO: Este trabalho analisa as narrativas de docentes originadas em uma escola pública da região Litoral Norte do Rio Grande do Sul, sobre processos de inclusão escolar de alunos com deficiência. Empregando o conceito foucaultiano de governamentalidade como ferramenta metodológica, questionou-se como está sendo produzido o sujeito aluno com deficiência, a partir das narrativas de nove docentes atuantes em sala de aula, no Ensino fundamental, e que relações podem ser estabelecidas com as técnicas de condução desses sujeitos, enquanto práticas de governamentalidade. Foram analisados formulários de encaminhamento dos alunos com deficiência ao atendimento educacional especializado (AEE); instrumentos avaliativos (pareceres descritivos) dos alunos com deficiência matriculados na instituição pesquisada, e entrevistas semiestruturadas com os docentes daqueles alunos. Evidencia-se a efetivação das ações inclusivas na escola, no fortalecimento do imperativo da inclusão, reforçando a instituição escolar que opera como uma maquinaria a serviço do Estado governamentalizado, disseminando condutas almejadas por seus docentes.
Fatores associados ao câncer de mama gestacional: estudo caso-controle
Authors: Monteiro Denise Leite Maia , Nunes Camila Lattanzi , Rodrigues Nádia Cristina Pinheiro , Antunes Clara Alves , Almeida Erica Motroni , Barmpas Danielle Bittencourt Sodré , Magalhães Alessandra Lourenço Caputo , Trajano Alexandre José Baptista
Published: June 2019

Resumo A prevalência do câncer de mama gestacional (CMG) é 1:3.000-10.000 gestações. O objetivo é conhecer os fatores de risco (FR) associados ao CMG. Trata-se de estudo caso-controle entre janeiro de 2004 e dezembro de 2014, em maternidade de referência para gravidez de alto risco no Rio de Janeiro. Para cada um dos casos foram selecionados dois controles, totalizando 21 casos de CMG e 42 controles. Os dados foram coletados a partir de revisão de prontuários e sumários de internação e parto. Características reprodutivas, obstétricas, sociodemográficas e relativas à saúde foram investigadas. Resultados: A idade média das gestantes dos dois grupos foi 35,5 anos. A média de idade da menarca também se mostrou equivalente (12,3 anos). A idade materna na primeira gravidez foi > 30 anos em 28,6% da pacientes com CMG e em 2,4% do grupo controle (p = 0,03). Utilizando regressão logística condicional pareada por idade da mãe, calcularam-se as razões de chance brutas e ajustadas e os respectivos IC95%. Os resultados apontaram que a chance de CMG aumenta 27% para cada ano a mais na idade materna na primeira gravidez (p < 0,02) e que mães com baixa escolaridade tiveram maior chance de apresentar câncer de mama (OR = 8,49). Conclusão: Nossos dados confirmam a associação entre primiparidade a partir de 30 anos e baixa escolaridade como CMG.
Incentivos e desafios relacionados à condução da pesquisa científica, tecnológica e de inovação no âmbito do Sistema Único de Saúde no Distrito Federal, Brasil
Authors: Novaes Maria Rita Carvalho Garbi , Motta Marcia Luz da , Elias Flavia Tavares Silva , Silva Ricardo Eccard da , Silva Claudia Cardoso Gomes da , Baliero Vanessa de Amorim Teixeira , Tenorio Marge
Published: June 2019

Resumo O objetivo deste trabalho foi analisar o perfil das pesquisas científicas financiadas no Distrito Federal provenientes das chamadas públicas do Programa Pesquisa para o SUS: Gestão Compartilhada em Saúde (PPSUS/DF) e Programa de Fomento a Pesquisa Científica da ESCS/FEPECS, no período de 2008 a 2017. O estudo é analítico e documental, abrangendo o universo das pesquisas financiadas nesses dois Programas. As variáveis foram: ano, título, tema de pesquisa da Agenda Nacional de Prioridades de Pesquisas em Saúde (ANPPS), setor de aplicação, instituição e valor financiado. No período de 2008 a 2017, 73 projetos foram financiados pelos cinco editais do PPSUS/DF. O valor total foi de aproximadamente oito milhões de reais. Em relação à ESCS/FEPECS, entre 2008 a 2017, foram financiados 85 projetos pelos dez editais lançados. O valor total foi de 2,3 milhões de reais. Concluiu-se que o perfil das pesquisas científicas permitiu uma análise crítica das temáticas dos projetos. Recomenda-se que os próximos editais adotem como prioridade de pesquisa as três principais causas de óbitos, o processo de organização e avaliação de linhas de cuidados, serviços de saúde e redes de atenção.
Avaliação da microgestão em Unidades Básicas de Saúde em ações para idosos em uma região de saúde do Distrito Federal, Brasil
Authors: Sacco Ruth da Conceição Costa e Silva , Cardoso Paulo Ricardo dos Ramos , Escalda Patrícia Maria Fonseca , Assis Marcella Guimarães , Guimarães Sílvia Maria Ferreira
Published: June 2019

Resumo As Unidades Básicas de Saúde (UBS) devem considerar o perfil demográfico e epidemiológico de sua região de saúde para se adequar ao envelhecimento populacional e se estruturar em redes, cujas bases estão na macro e microgestão, com vistas à integralidade da atenção. Foi conduzida avaliação normativa da microgestão de quatro UBS de uma Região de Saúde do Distrito Federal (DF) para posterior proposta de melhorias para ações voltadas a idosos. Utilizou-se matriz de avaliação da gestão, cuja classificação resultou em: avançada, intermediária e incipiente. Os resultados mostraram que nenhuma UBS está em estágio Avançado, três em Intermediário e uma Incipiente. Menores pontuações foram quanto ao Modelo de Atenção (maiormente tradicional) e à Humanização (com fragmentação do cuidado). Estrutura física deficitária e absenteísmo de profissionais foram dificultadores. Comunicação efetiva com gestão local foram identificadas como facilitadores. As UBS necessitam de avanços na microgestão para a qualificação do cuidado ofertado, principalmente quanto à implementação de modelo de atenção cuja integralidade seja atingida, de modo a ser garantido acesso oportuno e resolutivo para a população idosa nesta região de saúde.
Internações por Condições Sensíveis à Atenção Primária (ICSAP) no Distrito Federal: comparação com outras capitais brasileiras no período de 2009 a 2018
Authors: Pinto Luiz Felipe , Mendonça Claunara Schilling , Rehem Tania Cristina Morais Santa Barbara , Stelet Bruno
Published: June 2019

Resumo Este estudo tem como objetivo comparar para a última década, as taxas padronizadas de internações por condições sensíveis à atenção primária à saúde (ICSAP) no Distrito Federal (DF), cotejando-as com capitais selecionadas, faixa etária e grupos ICSAP. Trata-se de um estudo ecológico com dados secundários oriundos dos microdados do Sistema de Informações Hospitalares (SIH-SUS), para o período de 2009 a 2018. Nesse intervalo, houve redução da participação relativa das ICSAP nas faixas etárias de 50 a 59 e 60 a 69 anos e estabilidade na proporção dessas internações entre crianças e adolescentes no DF. Por outro lado, a não redução nas faixas etárias ≤ 20 anos, uma população prioritária na APS, pode representar barreiras de acesso dessa população. Os resultados evidenciam a não observação dos efeitos esperados de redução na proporção das ICSAP, devido ao fato da expansão de cobertura de Equipes de Saúde da Família ter sido recente.
Movimentos de reforma do sistema de saúde do Distrito Federal: a conversão do modelo assistencial da Atenção Primária à Saúde
Authors: Corrêa Daniel Seabra Resende Castro , Moura Alexandra Gouveia de Oliveira Miranda , Quito Marcus Vinícius , Souza Heloiza Machado de , Versiani Luciana Martins , Leuzzi Sérgio , Gottems Leila Bernarda Donato , Macinko James
Published: June 2019

Resumo O Sistema Único de Saúde tem passado por constante evolução e ampliação desde a publicação da Constituição Federal de 1988. O Distrito Federal apresentou contribuições no campo da Política de Atenção Primária à Saúde, sobretudo entre os anos 2016 e 2018, ao definir a Estratégia Saúde da Família como forma definitiva de organização dos serviços na APS e estabelecer um conjunto de ações orientadas para a conversão ao modelo. Esse artigo descreve e analisa os principais processos dessa mudança. Utilizou-se o método de análise documental de portarias, resoluções, relatórios e outros documentos, bem como dados disponíveis nas bases oficiais. Destacam-se a elaboração de um arcabouço normativo que inclui a implantação das equipes, os processos de trabalho dos profissionais, mudanças nas especialidades médicas e reordenamento dos profissionais de saúde que já atuavam na APS. A experiência demonstra a viabilidade de mudanças incrementais nas políticas de saúde em prol da ampliação de acesso da população aos serviços de saúde, por meio da definição de prioridades, melhor gestão da força de trabalho, capacitação e planejamento descentralizado, repercutindo na elevação da cobertura populacional de Saúde da Família dos iniciais 28% para 69%, alcançados em um período de dois anos.
O Planejamento e a construção das Redes de Atenção à Saúde no DF, Brasil
Authors: Evangelista Maria José de Oliveira , Guimarães Alzira Maria D’Àvila Nery , Dourado Eliana Maria Ribeiro , Vale Fabiana Loureiro Binda do , Lins Maria Zélia Soares , Matos Marco Antônio Bragança de , Silva Raquel Beviláqua Matias da Paz Medeiros , Schwartz Simone Alexandra
Published: June 2019

Resumo O artigo objetiva descrever o planejamento e a construção das Redes de Atenção à Saúde (RAS), por meio da Planificação da Atenção à Saúde (PAS), na Região Leste, Distrito Federal. Trata-se de um relato de experiência sobre a PAS, realizada de 2016 a 2018. As atividades foram desenvolvidas a partir de um conjunto de oficinas teóricas temáticas, de tutorias realizadas na Atenção Primária à Saúde (APS) e na Atenção Ambulatorial Especializada (AAE). Os resultados apontam uma melhor organização da RAS, especificamente para a linha de cuidado das condições crônicas, hipertensão e diabetes. Na APS foram organizados os macroprocessos: territorialização, cadastramento das famílias, estratificação de risco, classificação de riscos familiares, diagnóstico local, atendimento por bloco de horas, eliminando filas, dentre outros. Na AAE foi implantado o Ambulatório de Especialidades com a tecnologia de atenção continua, realizada por equipe multiprofissional para hipertensos e diabéticos de alto e muito risco, estratificados na APS, compartilhando o cuidado. Uma das potencialidades da integração da APS e AAE foi o matriciamento realizado por profissionais da AAE, nas unidades laboratórios. A PAS configurou-se como um importante instrumento de gestão das RAS.
Effect of implementation of a University Restaurant on the diet of students in a Brazilian public university
Authors: Perez Patrícia Maria Périco , Castro Inês Rugani Ribeiro de , Canella Daniela Silva , Franco Amanda da Silva
Published: June 2019

Abstract Dietary practices of college students were compared before and after implementation of the University Restaurant (UR) and examined according to frequency of UR use. A natural experiment was conducted with students (n = 1131) of a Brazilian public university using a validated self-completed and identified questionnaire that inquired information on practices of substituting lunch and/or dinner with a snack (≥ 5 days/week) and on regular consumption of foods that were markers of a healthy or unhealthy diet. At the second time point, UR use by students was also assessed based on their attendance to it. Changes in food practices were examined by determining differences in proportions between the two assessments. The analysis of the association between UR use and each dietary practice was carried out using multiple logistic regression models. An association was observed between greater UR use and higher frequency of regular consumption of beans, vegetables, raw vegetables, cooked vegetables and fruit and lower frequency of regular consumption of French fries and/or fried snacks. The UR proved to be an environment that facilitated the adoption of healthy dietary practices and promoted improvement in the diets of the students who were more assiduous to the restaurant.
Hábitos alimentares das gestantes brasileiras:revisão integrativa da literatura
Authors: Gomes Caroline de Barros , Vasconcelos Letícia Garcia , Cintra Renata Maria Galvão de Campos , Dias Luiza Cristina Godim Domingues , Carvalhaes Maria Antonieta de Barros Leite
Published: June 2019

Resumo Os hábitos alimentares das mulheres grávidas são influenciados por diversos fatores, sendo essencial conhecê-los para poder realizar intervenções nutricionais na atenção pré-natal. O objetivo desta revisão integrativa foi analisar a produção bibliográfica sobre hábitos alimentares de gestantes brasileiras. Foram buscados artigos na Biblioteca Virtual em Saúde (BVS), PubMed, Scopus, Web of Science e na Scientific Eletronic Library Online (SciELO) utilizando os seguintes descritores: “Gestantes” OR “Grávidas” AND “Hábitos Alimentares” e os termos “Pregnant women” AND “Food habits” AND “Brazil” para busca em inglês. Após a adoção dos critérios de inclusão e exclusão foram analisados 18 estudos. Alguns estudos contemplaram populações específicas como adolescentes ou gestantes não obesas. O instrumento mais utilizado para investigação do consumo alimentar de gestantes foi o Questionário de Frequência Alimentar. A maioria mostrou que a dieta das gestantes precisa de melhorias, especialmente pelo baixo consumo de frutas, verduras e hortaliças, elevado consumo de açúcares, doces e gorduras. A maioria dos estudos concluiu e reforçou a importância e a necessidade da educação nutricional pelos profissionais atuantes no pré-natal. Mais estudos são necessários para compreensão mais acurada destes hábitos alimentares.
Indicadores antropométricos associados à demência em idosos de Florianópolis – SC, Brasil: Estudo EpiFloripa Idoso
Authors: Confortin Susana Cararo , Meneghini Vandrize , Ono Lariane Mortean , Garcia Karyne Claudete , Schneider Ione Jayce Ceola , d’Orsi Eleonora , Barbosa Aline Rodrigues
Published: June 2019

Resumo O objetivo deste artigo é investigar a associação entre demência e indicadores antropométricos em idosos de Florianópolis. Estudo transversal, de base populacional, realizado com 1.197 idosos (≥ 60 anos) em 2013/2014. A demência foi considerada como a presença conjunta de escore baixo no Miniexame do Estado Mental (MEEM) e a incapacidade funcional moderada/grave nas atividades de vida diária (AVD). As variáveis independentes avaliadas foram: índice de massa corporal (IMC), perímetro da cintura (PC), índice de conicidade e relação cintura/estatura (RCEst). A regressão logística (bruta e ajustada) foi utilizada para identificar os fatores associados. A prevalência estimada de demência foi de 15,1%. Após ajustes para características sociodemográficas, estilo de vida e sintomas depressivos, a demência foi positivamente associada aos tercis superiores do IMC (OR: 2,32; IC95%: 1,26-4,25), PC (OR: 2,22; IC95%: 1,20-4,11) e RCEst. (OR: 2,30; IC95%: 1,19-4,43). De acordo com os resultados, tanto a obesidade quanto a gordura abdominal foram associados ao desfecho, sugerindo que o IMC, o PC e a RCEst. devam ser considerados na investigação dessa relação.
Revascularização ilíaco-femoral alternativa em doença oclusiva aortoilíaca extensa
Authors: Giusti Júlio César Gomes , Fernandes Janderson Ribeiro , Soares Samara Pontes , Santos Karoline Rayana dos , Rossi Fabio Henrique , Beraldo João Paulo Neves , Brochado Neto Francisco Cardoso
Published: June 2019

Resumo Nas últimas décadas, observou-se o aumento expressivo do tratamento endovascular para a doença oclusiva aortoilíaca. Muitos benefícios foram demonstrados, principalmente nas lesões arteriais não complexas do eixo ilíaco; porém, ainda existe dificuldade na obtenção de resultados adequados a médio e longo prazo quando falamos de doenças oclusivas extensas. As derivações arteriais para artérias vicariantes alternativas do complexo femoro-genicular para salvamento de membro são bem conhecidas na literatura em casos desfavoráveis para cirurgias convencionais ou endovasculares. Descrevemos o caso de um paciente portador de doença oclusiva aortoilíaca extensa tratado com derivação arterial no território ilíaco-femoral, utilizando substituto autógeno alternativo e a artéria descendente femoral lateral como artéria receptora. Derivações e substitutos alternativos, utilizados normalmente em casos de exceção, podem e devem fazer parte do arsenal terapêutico vascular, podendo contribuir nos casos em que a cirurgia endovascular ainda não nos permite alcançar bons resultados.
Food and nutrition (in)security in families of farmers who supply the National School Feeding Program
Authors: TRIVELLATO Paula Torres , PRIORE Silvia Eloiza , FRANCESCHINI Sylvia do Carmo Castro , SANTOS Ricardo Henrique Silva , COSTA Bianca Aparecida Lima
Published: June 2019

ABSTRACT Objective The objective of this study was to evaluate the situation of food and nutritional (in)security in families of farmers who supply the National School Feeding Program. Methods It is a cross-sectional study with 27 families of farmers (n=91). The socioeconomic, anthropometric, biochemical, food availability and perception of food insecurity indicators of the Brazilian Food Insecurity Scale, as well as the time of supply and annual income originating from the program, were evaluated. Results Food insecurity, as measured by the scale, was present in 25.9% (n=7) of the families. Food insecurity was associated with socioeconomic factors such as per capita income, the presence of children at home and the number of residents. Food and nutritional insecurity caused by a low caloric availability (<2500kcal/day) occurred in 11.0% (n=3) of the families. Presence of dystrophies such as overweight, low weight and short stature individuals occurred in 89.0% (n=24) of the families. Conclusion The study reinforces the existence of variables associated with food insecurity. Social and nutritional factors should be monitored, worked on, and improved in order to achieve food and nutritional security.
The potential effects of dietary food and beverage intakes on the risk of kidney stone formation
Authors: ICER Mehmet Arif , GEZMEN-KARADAG Makbule
Published: June 2019

ABSTRACT Objective To determine the effect of nutritional habits on kidney stone formation and recurrence. Methods This study was conducted on 44 healthy individuals and 44 patients diagnosed with nephrolithiasis and aging between 20 and 65 years. Participants shared their salt consumption habits, daily fluid consumption amounts and general information about themselves in a questionnaire form. In addition, food and beverage consumption frequencies of participants were recorded through a food frequency questionnaire. Results Salt consumption frequencies of patients are higher than that of healthy individuals in both genders (p<0.05). It was found out that male individuals in the patient group salt dishes without tasting more frequently (p<0.05). Daily total water consumption of both genders in patient group is lower than that of healthy individuals (p<0.05). Meat consumption of male patients (51.6±31.35g/day) was found to be higher than that of healthy group (34.1±22.58g/day) (p<0.05). Additionally, individuals in the patient group consume less stinging nettle, corn, plum, loquat, orange juice and lemonade than healthy individuals (p<0.05). Conclusion Results of the study showed that total fluid intake, salt consumption habits, and vegetable, fruit and beverage consumption may be correlated with stone formation risk and nutrition habits may affect stone recurrence.
Discriminative validity of an abbreviated Semantic Verbal Fluency Test
Authors: Herrera-García José David , Rego-García Iago , Guillén-Martínez Virginia , Carrasco-García María , Valderrama-Martín Carmen , Vílchez-Carrillo Rosa , López-Alcalde Samuel , Carnero-Pardo Cristóbal
Published: June 2019

ABSTRACT. Semantic verbal fluency (SVF) is one of the most widely used tests for cognitive assessment due to its diagnostic utility (DU). Objective: our objective is to evaluate the DU to detect cognitive impairment (CI) of a short version of the SVF applied in 30 seconds (SVF1-30). Methods: a prospective sample of consecutive patients evaluated in a Neurology Unit between December 2016 and December 2017 were assessed with the Global Deterioration Scale (GDS), 30-second and 60-second SVF tests (animals), and the Fototest, which includes a fluency task of people’s names. The DU for CI was evaluated by the area under the ROC curve and effect size (“d” Cohen). Results: the study included 1012 patients (256 with CI, 395 with dementia). SVF1-30 shows a good correlation with GDS stage. The DU of SVF1-30 is identical to that of the classical version, applied in 60 seconds, (SVFtotal) for CI (0.89 ± 0.01; p > 0.50), and shows no significant difference for dementia (0.85 ± 0.01 vs. 0.86 ± 0.01, p > 0.15). Discussion: the DU of SVF1-30 is similar to that of the SVFtotal, allowing a reduction in examination time with no loss of discriminative capacity.
Narrative discourse in Persian-speaking patients with mild Alzheimer’s disease
Authors: Farivar Masumeh , Anaraki Zahra Ghayoumi , Derakhshandeh Fatemeh , Baharloei Nahid , Poorjavad Marziyeh
Published: June 2019

ABSTRACT. Despite the significance of discourse impairments, they have not been thoroughly investigated in Persian-speaking patients with Alzheimer’s disease (AD). Objective: the aim of this study was to perform a multi-level analysis of narrative discourse in Persian-speaking patients with mild AD and to compare them with healthy elderly. Methods: the study included 14 older adults with mild AD and a matched group of 14 healthy elderly. Using a storytelling task based on serial pictures, both macro- and micro-linguistic aspects of narrative discourse were assessed. Cohesion ratio and coherence were investigated as macrolinguistic dimensions of discourse. The studied microlinguistic features included syntactic complexity and verbal errors (mostly involving phonological and semantic paraphasias and mazes). Severity of AD was determined using the Cognitive Dementia Rating (CDR). Results: there were significant differences between the groups regarding cohesion ratio (0.9 ± 0.34 vs. 1.29 ± 0.45, p = 0.02) and coherence scores (2.43 ± 0.41 vs. 3.02 ± 0.81, p = 0.03). Verbal errors and syntactic complexity did not differ significantly between the groups. Conclusion: Persian-speaking patients with mild AD show macrolinguistic impairments in producing discourses based on picture description. Therefore, intervention protocols should focus on the ability to organize information on a specific subject and also to connect sentences produced using appropriate cohesive ties.
Cerebral localization of higher functions: The period between Thomas Willis and Paul Broca
Authors: Engelhardt Eliasz
Published: June 2019

ABSTRACT. The age-old debates about the localization of the mind (higher functions) took a new course when Willis located a higher nervous function (memory) in the brain parenchyma, and supposedly, in the cerebral cortex. About two centuries later, Broca, founded on solid scientific reasoning, localized a circumscribed area of the 3rd frontal circumvolution of the left hemisphere as the seat of articulate language, a higher function (speech - language domain). He (and Dax) also defined the functional asymmetry (specialization) of the hemispheres, with left dominance (for language). The period between the findings of these individuals was not quiescent, as numerous authors contributed with their theoretical and clinicopathological research toward creating a conducive scientific atmosphere for this accomplishment, and should be regarded as important. Further studies, in the decades that followed, revealed the localization of additional aspects of language and of other higher functions (cognitive domains).
Unusual effect of chemical communication on social aggression in juvenile cichlid fish Cichlasoma paranaense (Cichliformes: Cichlidae)
Authors: Gauy Ana Carolina dos Santos , Bolognesi Marcela Cesar , Gonçalves-de-Freitas Eliane
Published: June 2019

ABSTRACT Some fish species are socially organized and show a social rank order which is achieved through aggressive interactions. After hierarchy is settled, such species communicate their ranks through several sensorial cues; this communication is adaptive because it reduces detrimental effects from physical contests. Cichlid fish are socially organized and signal their social ranks through visual, acoustic and chemical communication. The response to signaling may vary according to the species and environment; the knowledge of different species is fundamental to understand the evolutionary forces upon their social communication. We tested the effect of chemical signaling on social groups of juvenile cichlid Cichlasoma paranaense by renewing the water in the aquarium, a procedure that washes away chemical information and increases aggressive interactions in other cichlid species. Two treatments were designed: 50% and 0% water renewal. Aggressive interactions were video-recorded immediately before water renewal, 1min, 1h, 2h, and 24h after water renewal. The treatment with the water renewal did not increase aggressive interactions within the group. The 50% water renewal apparently reduced aggressive interactions in this species, indicating an interspecific difference on the aggressive response to chemical variation in the social environment.
Smart Grid na América Latina: Caso Ampla de Inovação no Setor Elétrico
Authors: Cavalcante Ney Wagner Freitas , Franco Camila , Almeida Victor , Freitas Flavia d'Albergaria , Tavares Elaine
Published: June 2019

Resumo Este caso apresenta o dilema vivido por Ramon Gonzales, engenheiro de telecomunicações do setor de Pesquisa e Desenvolvimento da AMPLA, uma das maiores distribuidoras de energia elétrica do Rio de Janeiro. O caso se passa no ano de 2010 quando os executivos da empresa enfrentavam diversos desafios relacionados à distribuição de energia ao mesmo tempo em que implantavam o projeto que tornaria Búzios uma cidade inteligente no que tange à energia elétrica, a chamada Smart Grid . Esse caso é indicado para sessões que tratem sobre o tema da Inovação em disciplinas como Gestão Estratégica de Tecnologia e ainda Inovação. Espera-se que os alunos discutam os conceitos de Inovação, tais como barreiras, facilidades na adoção, tipos, graus, inputs , vantagens e desafios. Além disso, mediante a discussão do caso, é possível abordar também aspectos relacionados à participação colaborativa e outros fatores intervenientes que transcendem os aspectos tecnológicos para a implantação de Cidades Inteligentes. JEL Code: K32, O32, O35.
The Impacts of Health Care Evaluations on the Well-Being of Low-incomers
Authors: Tellini Lilian , Urdan Andre Torres , Monken Sonia Francisca , Bizarrias Flavio Santino , Brandão Marcelo Moll
Published: June 2019

Abstract There is a strong call for marketing research that looks at the impacts of goods and services on consumer well-being, which gains greater momentum when it comes to low-income people (Bottom of the Pyramid). This article articulates a Conceptual Model of the relations among evaluations of health care services and the well-being of the client, that arises from an adaptation of the best of the models compared by Brady et al. (2005). A sample of low-income patients, leaving care public health units in the city of São Paulo, was gathered. The structural equations modeling supported the hypotheses that link Perceived Quality and Perceived Value, Perceived Quality and Satisfaction, Satisfaction and Individual Well-being. Expressive 35.1% of the Individual Welfare variance are explained by the Model. A positive (instead of negative) the classic conception. These empirical findings are confronted with the literature. Finally, scientific, managerial, and political implications are exposed. JEL Code: I3, I14, D31.
Legitimacy Accounts no Debate sobre a Reforma dos Tribunais de Contas Brasileiros
Authors: Luz Bruno Batista de Carvalho , Sousa Marcos de Moraes , Guarido Filho Edson Ronaldo
Published: June 2019

Resumo O objetivo desta pesquisa foi investigar o processo político-cultural relacionado ao debate em torno da reforma dos Tribunais de Contas brasileiros (TCs), organizações de aplicação da lei responsáveis pelo controle de recursos públicos. A pesquisa centrou-se em analisar como legitimacy accounts conduzidos por diferentes categorias de atores se manifestaram no debate acerca da reforma dos TCs brasileiros no período de 2000 a 2017. Foram coletados dados de fontes documentais como discursos parlamentares, audiências públicas, debates e notícias. Também foram realizadas entrevistas com representantes de diversas categorias de atores, incluindo corporações profissionais, mídia, academia e sociedade civil organizada. Por meio da análise do processo de mobilização e dos argumentos centrais que apelaram para a legitimidade da reforma (legitimacy accounts), os resultados apontaram para: (a) a centralidade das corporações profissionais, tanto na mediação e tradução do debate, quanto no desenho de estratégias de intervenção no campo organizacional, e; (b) a identificação de aspectos organizacionais, relacionais, processuais, jurisdicionais e responsivos ligados à multidimensionalidade da legitimidade dos TCs. Os resultados contribuem para as áreas de estudos organizacionais, de administração pública e de administração da Justiça. JEL Code: D73, E6, H83
Os impactos da crise hídrica sobre a população do município de Campinas/SP (2012-2016)
Authors: Silva Julia Lopes da , Samora Patricia Rodrigues
Published: June 2019

Resumo A recente crise hídrica vivenciada no Sudeste brasileiro pode ser considerada uma “crise anunciada”, fruto, principalmente, do gerenciamento inadequado dos recursos hídricos e da ocupação indevida das áreas produtoras de água. O período de seca resultou em extensas consequências que afetaram tanto os ecossistemas naturais quanto os moradores da região, os quais se viram privados desse recurso essencial. Nesse contexto, este artigo se propõe a analisar, por meio de revisão teórico-conceitual, levantamento documental e pesquisa de campo, os impactos da seca sobre os moradores das bacias hidrográficas do Ribeirão Anhumas e do Rio Capivari (áreas que apresentam diferenças de qualidade de vida e de infraestrutura bastante discrepantes entre si), situadas no município de Campinas/SP, bem como suas vivências e percepções em relação a esse evento de seca. Com isso, objetiva-se evidenciar os efeitos da injustiça ambiental observada no município, a extrema relevância de espaços participativos e a necessidade de transparência e prestação de contas por parte dos órgãos gestores.
Spatial and temporal evolution of imidazolinone-resitant red rice in 'Clearfield' rice cultivations
Authors: Kalsing Augusto , Goulart Ives Clayton Gomes dos Reis , Mariot Carlos Henrique Paim , Menezes Valmir Gaedke , Matzenbacher Felipe de Oliveira , Merotto Junior Aldo
Published: June 2019

Abstract: The objective of this work was to evaluate the distribution of imidazolinone-resistant (IMI-R) red rice (Oryza sativa) populations, the frequency of alleles conferring resistance to IMI, and the adoption of agronomic practices applied to red rice control, across growing seasons and production regions of the state of Rio Grande do Sul (RS), Brazil. In the experiment, 1,008 red rice populations were screened for resistance to IMI, 760 IMI-R red rice plants were genotyped for the acetolactate synthase (ALS) alleles conferring resistance to IMI, and 40 'Clearfield' rice growers were surveyed. IMI-R red rice populations were widespread throughout RS since the 2006/2007 growing season, with a higher initial frequency in the Depressão Central and Fronteira Sul production regions. The occurrence of IMI-R red rice ranged from 1.6 to 3.5 years after 'Clearfield' rice release. Gly654Glu was the most frequent ALS mutation in IMI-R red rice populations, which shows a gene flow from the most used 'Clearfield' rice cultivars to the red rice plants. Crop rotation systems and certified seed were used by only 30% of the surveyed growers of 'Clearfield' rice, with lower percentages in the production regions where IMI-R red rice appeared faster.
Exploring Microemulsion-Prepared Lanthanum Catalysts for Natural Gas Valorisation
Authors: Bosch Cristina Estruch , Poulston Stephen , Collier Paul , Thybaut Joris W. , Marin Guy B.
Published: June 2019

Microemulsions were used to develop a catalyst with high selectivity towards ethylene and ethane while maintaining considerable methane (CH4) conversion. The use of this technique to produce lanthanum nanoparticles was studied under different conditions. Temperature was shown to have the most significant effect on the final material properties providing a minimum crystallite size at 25°C. The morphology observed for all the samples was flake or needle like materials containing nanocrystallites. To obtain the catalytically active materials a thermal treatment was needed and this was studied using in situ X-ray diffraction (XRD). This analysis demonstrated that the materials exhibited significant changes in phase and crystallite size when submitted to thermal treatment and these were shown to be difficult to control, meaning that the microemulsion synthesis method is a challenging route to produce La nanoparticles in a reproducible manner. The materials were tested for oxidative coupling of methane (OCM) and no correlation could be observed between the ‘as synthesised’ crystallite size and activity. However, the presence of La carbonates in the materials produced was deemed to be crucial to ensure an adequate OCM activity.
Biological soil improvement using new environmental bacteria isolated from northern Iran
Authors: Bahmani Maysam , Fatehi Hadi , Noorzad Ali , Hamedi Javad
Published: June 2019

New indigenous bacteria, extracted from soil samples that had been collected from different parts of Iran, were introduced to improve dune sand using microbially induced carbonate precipitation (MICP) as an environmental engineering method. In order to isolate urease-producing bacteria from local alkaline soils, a series of standard tests was conducted to evaluate the urease performance and potential of calcium carbonate (calcite) sedimentation. Based on their properties, the bacteria with the best performance were identified by 16S ribosomal ribonucleic acid sequencing. To achieve a better understanding of the performance of the selected isolates, Sporosarcina pasteurii was employed as the control sample. The geotechnical behaviour of bio-mediated sand was studied through a series of geotechnical experiments, including unconfined compressive strength (UCS), constant-head permeability and wind erosion tests. The influence of freeze–thaw cycles and the durability of specimens on the UCS was also investigated. It is worth noting that sand MICP-treated by Bacillus sp. UTMC 2623 gave a performance relatively equal to that of the control sample during all UCS tests. Scanning electron microscopy images and X-ray diffraction were also used to observe calcite precipitation formation using Bacillus sp. UTMC 2623, which indicated precipitation of calcite throughout the sand column.