bluuebunny/crossref_metadata_2025 huggingface dataset:
Re-contextualising Catholic School Religious Education: Educating Young People Spiritually, Morally and Religiously for the 21st Century
Authors: Rossiter Graham
Published: June 2020

Philip Phenix’s (1964) book Realms of meaning: A philosophy of the curriculum for general education started the ever growing movement concerned with how school education might help young people in their search for meaning, purpose and values in times of rapid cultural change. Today, in globalised, digital, secularised culture, the importance and urgency of this role have never been greater. Religious Education, with core curriculum status in Catholic schools, has both credentials and precedents for studying directly the contemporary human quest for meaning to help resource the spirituality of young people, no matter what their religious disposition. But a ‘course correction’ is needed for the discourse of Catholic Religious Education which has ‘drifted’ almost so exclusively into ecclesiastical terminology that its educational credibility as a valuable spiritual/moral school subject has been eroded, creating an ever widening discontinuity with the realities of the classroom and young people’s spirituality. A more outward-looking and less Catholic-centric emphasis would help, without neglecting commitment to the faith tradition. While concerned with the Australian Catholic sector, the article may well have relevance to other countries and contexts.
Mass Media as the Key Space for Preaching and Defending Christian Personalism
Authors: Oko Dariusz
Published: June 2020

Since the invention of print, the media have been increasingly influencing individual and social awareness. They seem apt to undo, in a relatively short period of time, whatever good the upbringing and authorities of a high moral standard have instilled into a person. However, the media can also support the development of this good in a significant way. They are a powerful tool that everyone has to reckon with, they are a place to exchange all sorts of ideas – from the worst to the best. That is the reason why anyone who wants to proclaim the principle of Christian personalism in society should try to think through how to wisely use them to spread the message. However, this message will inevitably meet with strong opposition from people who have opposite beliefs and from the media they own, as they have made them a fundamental place for the struggle for power and dominion over human consciousness. This article, written on the basis of theoretical considerations, but also the rich media experience of the author, attempts to provide practical advice on these matters. The article explains the common structure of all such opposition that follows the pattern of the very loud media case of Fr. Krzysztof Charamsa (in which the author was himself deeply entangled), Tygodnik Powszechny and Gazeta Wyborcza which supported him. In this way, the article shows the mechanisms of manipulation of contemporary media, but also the remedies available.
America Media: A Religious Media Case on the U.S. Market
Authors: Gęsiak Leszek
Published: June 2020

In the whole world, independently of the country, we observe the process of media concentration. More and more huge consortia and media groups are being created. This often causes small, individual, autonomous titles, portals, radio or television stations to be displaced. This process of media evolution also affects religious media. An example of this could be the America Media consortium, with headquarters in New York. It belongs to the Jesuits, the Catholic order, and it is administered and developed by the same order. This descriptive study presents the process of the evolutionary transformation of America weekly magazine, which is over 100-years old, into a multi-dimensional media platform with a global scope. The new and modern media consortium is developing the wonderful history of the printed Catholic magazine. It is present in all the most important media areas: magazine, radio, television and internet. According to global trends, a key factor in America Media is the social media through which they bring a large number of readers, listeners and viewers. Most popular are radio podcasts and TV interviews available via Facebook and the YouTube channel. This evolutionary process is presented in the context of variety of Catholic American media. The specific elements of the mission of the Catholic consortium, the adopted development strategy, possible perspectives of this media complex in the near future, and existing difficulties are also discussed in this paper. The study was largely based on a visit made to America Media headquarters in October 2018.
Designing Online Courses: 12 Tips for Health Professions Educators
Authors: Schlegel Elisabeth
Published: June 2020

This article was migrated. The article was marked as recommended. With the changes brought on by the public health concerns during the spring of 2020, face-to-face teaching was replaced by remote teaching in a rapid fashion. Learning management systems (LMSs) and video conferencing services were rapidly utilized to deliver online learning of previously in-person sessions. As the familiarity with remote teaching increases, designs of previously taught face-to-face courses will be revisited. Online teaching and learning provide great options for self-paced education in the dynamic environment of health professions education. Creative use of tools and collaborative web-based technology enables learner-centered pedagogy and the establishment of a community of learners. We offer practical tips for designing and implementing a generalized online course for health professions educators that appeal to diverse learners through meaningful use of different types of media.
How can neurophysiological studies help with movement disorders characterization in clinical practice? A review
Authors: GRIPPE Talyta , CUNHA Natalia Spinola Costa da , BRANDÃO Pedro Renato de Paula , FERNANDEZ Rubens Nelson Morato , CARDOSO Francisco Eduardo Costa
Published: June 2020

ABSTRACT Background: Neurophysiological studies are ancillary tools to better understand the features and nature of movement disorders. Electromyography (EMG), together with electroencephalography (EEG) and accelerometer, can be used to evaluate a hypo and hyperkinetic spectrum of movements. Specific techniques can be applied to better characterize the phenomenology, help distinguish functional from organic origin and assess the most probable site of the movement generator in the nervous system. Objective: We intend to provide an update for clinicians on helpful neurophysiological tools to assess movement disorders in clinical practice. Methods: Non-systematic review of the literature published up to June 2019. Results: A diversity of protocols was found and described. These include EMG analyses to define dystonia, myoclonus, myokymia, myorhythmia, and painful legs moving toes pattern; EMG in combination with accelerometer to study tremor; and EEG-EMG to study myoclonus. Also, indirect measures of cortical and brainstem excitability help to describe and diagnose abnormal physiology in Parkinson's disease, atypical parkinsonism, dystonia, and myoclonus. Conclusion: These studies can be helpful for the diagnosis and are usually underutilized in neurological practice.
Clinical and molecular correlates of the ASPECTS in the acute phase of stroke
Authors: MOURÃO Aline Mansueto , VICENTE Laélia Cristina Caseiro , ABREU Mery Natali Silva , SANT’ANNA Romeu Vale , DE MEIRA Fidel Castro Alves , XAVIER Rodrigo Menezes de Brito , TANURE Marco Túlio de Azevedo , VIEIRA Erica Leandro Marciano , DE SOUZA Leonardo Cruz , MIRANDA Aline Silva de , RACHID Milene Alvarenga , TEIXEIRA Antônio Lucio
Published: June 2020

ABSTRACT Background: The Alberta Stroke Program Early CT Score (ASPECTS) scale was developed for monitoring early ischemic changes on CT, being associated with clinical outcomes. The ASPECTS can also associate with peripheral biomarkers that reflect the pathophysiological response of the brain to the ischemic stroke. Objective: To investigate the association between peripheral biomarkers with the Alberta Stroke Program Early CT Score (ASPECTS) in individuals after ischemic stroke. Methods: Patients over 18 years old with acute ischemic stroke were enrolled in this study. No patient was eligible for thrombolysis. The patients were submitted to non-contrast CT in the first 24 hours of admission, being the Alberta Stroke Program Early CT Score and clinical and molecular evaluations applied on the same day. The National Institutes of Health Stroke Scale (NIHSS), modified Rankin scale and the Mini-Mental State Examination for clinical evaluation were also applied to all subjects. Plasma levels of BDNF, VCAM-1, VEGF, IL-1β, sTNFRs and adiponectin were determined by ELISA. Results: Worse neurological impairment (NIHSS), cognitive (MEEM) and functional (Rankin) performance was observed in the group with changes in the NCTT. Patients with NCTT changes also exhibited higher levels of IL-1β and adiponectin. In the linear multivariate regression, an adjusted R coefficient of 0.515 was found, indicating adiponectin and NIHSS as independent predictors of ASPECTS. Conclusion: Plasma levels of adiponectin are associated with the ASPECTS scores.
Health evaluation: health assessment for people with ostomies
Authors: Flach Diana Mary Araújo de Melo , Oliveira Luísa Gonçalves Dutra de , Cardoso Gisela Cordeiro Pereira , Andrade Marilda , Ribeiro Wanderson Alves
Published: June 2020

ABSTRACT Objectives: to perform an evaluation study of the Ostomy Care Service in Brazil. Methods: a qualitative methodology was used, with a collaborative approach of the participants using the service, based on the seven elements proposed by Thurston and Ramaliu, which include service modeling and evaluation model proposal. Document analysis, direct observation, consensus workshops, and interviews with key informants were used. Results: the description and construction of the theoretical-logical model of the ostomy care service, the development of evaluative questions, the construction of the analysis and judgment matrix, and the evaluation proposal were presented. Final Considerations: it was found that it is feasible to systematically evaluate the service based on its structural elements, such as its theory, material and human resources. The proposed evaluation aims to provide support for improving the quality of care.
Access of the black population to health services: integrative review
Authors: Silva Nelma Nunes da , Favacho Veronica Batista Cambraia , Boska Gabriella de Andrade , Andrade Emerson da Costa , Merces Neuri Pires das , Oliveira Márcia Aparecida Ferreira de
Published: June 2020

ABSTRACT Objectives: demonstrate and discuss how the black population’s access to health services occurs Methods: integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles. Results: studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities. Final Considerations: several limiting factors compromise the black population’s access to health services, including institutional and structural factors
Psychosocial care network: managers’ perception and tensions of the field
Authors: Querino Rosimár Alves , Borges Rafael Silvério , Almeida Letícia Yamawaka de , Oliveira Jaqueline Lemos de , Souza Jacqueline de
Published: June 2020

ABSTRACT Objective: to analyze the perception of workers and managers about the psychosocial care network in a medium-sized municipality in the inlands of the state of Minas Gerais. Method: qualitative, descriptive and exploratory study involving twelve participants from different points of the network. The semi-structured interviews were analyzed in the light of Pierre Bourdieu’s framework of constructionist structuralism. Results: the actions offered by the services were based on the perspectives of resocialization, user embracement, group and multiprofessional care, and on approaches to harm reduction, recreation and daily organization. These were configured as the network resources/capital. Tensions were identified in family embracement and in relationships between families and users, as well as in the prejudice towards people with mental disorders. Final considerations: the social agents were willing to contribute to processes of change in order to overcome the focus on specialties, the lack of training of some teams, lack of infrastructure and of some components, especially those related to leisure and community life.
Structural and procedural conditions in National Immunization Program Information System establishment
Authors: Silva Brener Santos , Souza Kátia Cristina de , Souza Ronimara Gonçalves de , Rodrigues Samuel Barroso , Oliveira Valéria Conceição de , Guimarães Eliete Albano de Azevedo
Published: June 2020

ABSTRACT Objectives: to analyze structural and process conditions in National Immunization Program Information System establishment. Methods: a cross-sectional study conducted in 307 vaccination rooms in the state of Minas Gerais in 2017. For data collection, a multidimensional questionnaire was used. Descriptive data analysis was performed. Results: vaccination rooms have basic inputs necessary for System establishment. The greatest problems relate to professional practice. Low enrollment of population, failures in the active search for absentees, vaccine scheduling and absence of reports to monitor vaccination coverage were identified. Training was considered insufficient and ineffective. Conclusions: Immunization Information System is an essential technological innovation for the management of immunization actions. However, the production of timely records and the use of information are still challenges. Investments in training are required to ensure System’s management and operationalization activities.
Nursing entrepreneur care in social inequity contexts
Authors: Backes Dirce Stein , Forgiarini Amanda Ruiz , Silva Lenise Dutra da , Souza Martha Helena Teixeira , Backes Marli Terezinha Stein , Büscher Andreas
Published: June 2020

ABSTRACT Objectives: to identify emancipatory strategies to strengthen the social protagonism of recyclable materials collectors in the light of entrepreneurial Nursing care. Methods: qualitative study carried out in two stages: field approach from healthcare interventions in a Recycling Materials Association, and individual interviews conducted between October and December 2018. Results: the analysis resulted in three thematic categories: Social contribution of recyclable materials collectors; From the assistentialist perception to entrepreneurial Nursing care; Emancipatory strategies of recycling work. Final Considerations: the emancipatory strategies to strengthen the social protagonism of recyclable materials collectors in the light of entrepreneurial Nursing care are related to the appreciation, recognition and enhancement of social work that has been already performed by these professionals, and to the creation of spaces for the socialization of experiences, expectations and perspectives.
Primary care mental health: nurses’ activities in the psychosocial care network
Authors: Nunes Vanessa Veloso , Feitosa Lucíola Galvão Gondim Corrêa , Fernandes Márcia Astrês , Almeida Camila Aparecida Pinheiro Landim , Ramos Carmen Viana
Published: June 2020

ABSTRACT Objective: to describe and analyze the role of expert nurses in mental health in the Family Health Strategy. Method: a qualitative study, with 20 Basic Health Units nurses of Teresina, Piauí. The information was collected through semi-structured interviews from March to May 2017 and analyzed using the content analysis method. Results: it was found that the conceptions of the mental health disease process were based on the biological model, there was little communication between mental health and basic network, nurses did not feel qualified to work mental health and there were few mental health actions in Primary Care. Final considerations: it becomes urgent to implement public policies that articulate mental health and Primary Care, raising awareness and continuing education for nurses.
Depression and chronic renal patients on hemodialysis: associated factors
Authors: Pretto Carolina Renz , Rosa Marina Brites Calegaro da , Dezordi Cátia Matte , Benetti Sabrina Azevedo Wagner , Colet Christiane de Fátima , Stumm Eniva Miladi Fernandes
Published: June 2020

ABSTRACT Objective: to verify the association of sociodemographic and clinical variables, life habits and functional capacity with symptoms indicative of depression in chronic renal patients on hemodialysis. Method: cross-sectional study developed from February to October of 2017 with 183 patients undergoing hemodialysis in two renal units located in the state of Rio Grande do Sul. Data collected with clinic and sociodemographic questionnaire and Beck Depression Inventory. Analysis with descriptive and analytical statistics and the chi-square test. Results: 55.2% of participants were elderly, 66.4% men, 90.7% retired, and 60.3% presented depressive symptoms. An association was found between symptoms indicative of depression and the female sex, greater number of comorbidities and post-hemodialysis intercurrences, emotional and physical symptoms, inactivity, failing to perform usual activities and the need for assistance in day-to-day. Conclusion: depressive symptoms are associated with burden of comorbidities, greater number of disease complications, hemodialytic intercurrences and functional dependence. Physical exercise practice can be an effective care strategy.
Binge drinking and overweight in brazilian adults - CUME Project
Authors: Souza e Souza Luís Paulo , Miranda Aline Elizabeth da Silva , Hermsdorff Helen Hermana Miranda , Silva Carla Silvana de Oliveira e , Barbosa Dulce Aparecida , Bressan Josefina , Pimenta Adriano Marçal
Published: June 2020

ABSTRACT Objective: To verify the association between heavy episodic alcohol consumption [binge drinking (BD)] and overweight in 2,909 adults from the Cohort of Universities of Minas Gerais (CUME Project) baseline, Brazil. Method: Cross-sectional study in which sociodemographic, anthropometric (BMI ≥ 25 kg/m2 = overweight) and dietary intake data were collected. This study evaluated the occurrence and monthly frequency of BD (≥ 4 drinks at one time for women; ≥ 5 drinks at one time for men, in the last 30 days). Results: The prevalence of BD and overweight were 41.3% and 40.8%, respectively. BD increased the prevalence of overweight by 19%, and, BD exposure by ≥ 5 days / month increased it by 31%. Conclusion: BD on a single or multiple occasion during the month was associated with a higher prevalence of overweight. Therefore, such a lifestyle should be considered in weight gain prevention strategies.
Poverty, hunger, and abandonment: representations of the nursing team about homeless persons
Authors: Zandomingo Mayara Novais Pereira , Oliveira Jeane Freitas de , Silva Dejeane de Oliveira , Porcino Carle , Suto Cleuma Sueli Santos , Oliveira Daiane Santos
Published: June 2020

ABSTRACT Objective: to know the structure of social representations of nursing team with regard to homeless persons. Method a qualitative research based on the structural approach of social representations. A total of 96 professionals from the nursing team working in the Psychosocial Care Network units of a Health District of Salvador, Bahia, Brazil, who answered the test of free association of words and a questionnaire with socio-demographic data. The data obtained were processed in softwares that allowed the organization of the frame of four houses and maximum similarity tree. Results: poverty, hunger, abandonment and unemployment are central elements of the image of homeless persons, living in a context permeated by drugs, dirt, neglect and vulnerability. Final considerations The social representation structure of homeless persons is anchored in stereotypes that can interfere both in the provision of care and in the access of the people to health services.
Adolescentes usuários de serviço de saúde mental: avaliação da percepção de melhora com o tratamento
Authors: Rodrigues Thayane Alves dos Santos , Rodrigues Lauane Pereira de Sousa , Cardoso Ângela Maria Rosas
Published: June 2020

RESUMO Objetivo Avaliar a mudança percebida pelos adolescentes usuários de um serviço ambulatorial especializado de saúde mental infantojuvenil. Métodos Estudo transversal com amostragem por conveniência. Foram realizadas entrevistas individuais com questionário que inclui questões demográficas e socioeconômicas, juntamente com a Escala de Mudança Percebida – versão paciente, validada no Brasil. Essa escala aborda mudanças percebidas em diversas dimensões da vida: ocupação, saúde física, aspectos psicobiológicos, sono, relacionamento e estabilidade emocional. O estudo foi realizado de agosto de 2017 a novembro de 2018, abrangendo 100 adolescentes de 12 a 18 anos em tratamento no serviço, no mínimo há 6 meses. Resultados A maioria foi do sexo feminino (64,0%), com idade entre 16 e 18 anos (48,0%), atendida há mais de um ano (84,0%). Os diagnósticos mais citados pelos adolescentes foram transtorno do déficit de atenção e hiperatividade (39%) e transtornos de ansiedade (36%). O resultado da avaliação global apontou o sentimento de melhora em 83% dos participantes; quanto à mudança percebida nos itens da escala relacionados à melhora, incluem-se: interesse em trabalhar (71,0%), convivência com a família (67,0%) e interesse pela vida (60,0%). Conclusão A avaliação da assistência à saúde oferecida pelos serviços públicos de saúde mental é um importante indicador de qualidade e resolutividade das ações, possibilitando identificar os aspectos a serem aperfeiçoados ou reforçados nos processos de trabalho, a fim de favorecer melhores práticas de cuidado na infância e na adolescência.
Safety model for chest drainage in pandemic by COVID-19
Authors: CARVALHO ERLON DE AVILA , OLIVEIRA MARINA VARELA BRAGA DE
Published: June 2020

ABSTRACT Over one million cases of the SARS-CoV-2 virus have been confirmed worldwide, with the death toll exceeding 50,000 people. An important issue to be addressed concerns the exposure of health professionals to this new virus. The first reports from Wuhan province, China, described infection rates of up to 29% among healthcare professionals before the use of personal protective equipment (PPE) was fully regulated. There are several protocols on the correct use of PPE during aerosol-generating procedures. However, there is no specific guidance on how to proceed in cases of need for chest tubes in patients with positive COVID-19 active air leak. The objective of this work is to assist surgeons of the most diverse specialties during the chest drainage of a patient with COVID-19 and to avoid a risk of contamination to the professional and the environment.
Implantação do Programa Mais Médicos no Espírito Santo, Brasil: modelo lógico e proposta de indicadores
Authors: Emerich Tatiana Breder , Cavaca Aline Guio , Santos Neto Edson Theodoro dos , Oliveira Adauto Emmerich , Siqueira Carlos Eduardo
Published: June 2020

O objetivo foi avaliar a implantação do Programa Mais Médicos (PMM) com base no estudo de caso do Espírito Santo, Brasil. Na primeira etapa, foram analisados os documentos que instituíram o PMM, permitindo a criação de um modelo lógico. Na segunda, foram analisados dados do PMM no Espírito Santo (2013-2016) baseando-se em faixas populacionais, gerando a criação de indicadores da proporção de médicos antes e após o Programa com os parâmetros: inaceitável (0 a 0,99 médico/1.000 habitantes); aceitável (1 a 1,99); e desejável (2,0 ou mais). Os dados foram analisados com os testes não paramétricos de Wilcoxon e Kruskal-Wallis. O modelo incluiu as dimensões, insumos, atividades, produtos, resultados e impacto do PMM, e orientou a análise da implantação do Programa. Do total de médicos para o provimento emergencial para o Espírito Santo (432), a maioria (63,8%) pertencia ao perfil intercambistas cooperados (cubanos) e 31,2% eram médicos com registro no Conselho Regional de Medicina do estado. Tanto os médicos brasileiros quanto os intercambistas individuais foram alocados prioritariamente em municípios de médio e grande portes. Os cubanos se distribuíram de forma mais heterogênea em municípios de todos os portes populacionais e, consequentemente, são mais frequentes em áreas de maior vulnerabilidade social e menor capital social. Houve significativo incremento do quantitativo de médicos no Espírito Santo; entretanto, o provimento de médicos para a população em extrema pobreza não exibiu um indicador desejável, apresentando uma média ainda inaceitável em municípios de até 10.000 habitantes e aceitável nos municípios com as demais faixas populacionais.
PREVALENCE AND FACTORS ASSOCIATED WITH INJURIES IN RECREATIONAL RUNNERS: A CROSS-SECTIONAL STUDY
Authors: Costa Maria Eduarda Ferreira , Fonseca Jader Barbosa , Oliveira Ana Izabela Sobral de , Cabral Kryslly Danielle de Amorim , Araújo Maria das Graças Rodrigues de , Ferreira Ana Paula de Lima
Published: June 2020

ABSTRACT Introduction The increased number of people who choose running as a form of exercise has been associated with a higher prevalence of musculoskeletal injuries. Objectives To determine the prevalence and the factors that could be correlated with injuries among amateur runners in Recife, in the State of Pernambuco (PE), Brazil. Methods An observational, cross-sectional study, in which 300 (three hundred) amateur runners answered a social demographic questionnaire, as well as questions about training characteristics, footstrike and landing pattern, and history of running injuries. The data were analyzed by descriptive statistics, the student-t test to compare means, and the Chi-squared to compare prevalences. Results The prevalence of injuries amongst runners in Recife-PE was 58.5% (n= 175), the knee being the most commonly injured site (37.3%). In both groups - runners with and without injuries – there was a higher number of male runners, with 72.4% and 72.6% respectively. There was no difference in relation to the weekly frequency of running between the groups (p<0.63). However, runners with a history of injuries ran around 7 kmh a week more than the runners without injuries (p<0.03). A neutral footstrike (F=0.87; p=0.99) and hindfoot landing (F=4.13; p=0.90) were the most reported running patterns in both groups. It was found that wear was the main criterion used for changing running shoes in both groups (F = 8.35, p = 0.4). Conclusion There was a high prevalence of musculoskeletal injuries among amateur runners in Recife-PE. Among the factors associated with the injuries, one variable was significant: a higher weekly volume of training. Level of evidence II; Study type: Cross-sectional study.
RESISTANCE TRANING PROTOCOLS PROMOTE STRENGTH INCREASE WITHOUT MORPHOLOGICAL CHANGES
Authors: Damiani Andressa Prata Leite , Caldas Leonardo Carvalho , Melo Alexandre Barroso , Contreiro Catarina Denise Entringer , Estevam Wagner Muller , Nogueira Breno Valentim , Ferreira Lucas Guimarães , Leopoldo André Soares , Leopoldo Ana Paula Lima
Published: June 2020

ABSTRACT Introduction Resistance training (RT) has been related to increased protein synthesis, and in the myocardium it triggers morphological adaptations that result in improved cardiac contractility. In skeletal muscle, RT promotes an improvement in functional capacity and in sarcopenia caused by aging. However, the efficacy of this training method in the cardiac and skeletal systems has not yet been clarified. Objective To investigate the effect of different vertical ladder RT protocols on cardiac and skeletal structure and morphology. Materials and Methods: Wistar rats (n = 28) were randomized into four groups: sedentary (C); RT protocol with 4 to 9 climbs, 3 sessions/week, 120 second interval and intensity of 50% to 100% of the maximum load (ML) with progressive addition of 30 g (RT1); RT protocol with 4 to 5 climbs, 3 sessions/week, 60 second interval and intensity of 50% to 100% of the ML, where a 30 g overload was added in the 5th climb (RT2); RT protocol with 4 to 5 climbs, 5 sessions/week, 60 second interval and intensity of 50% to 100% of the ML; the animals that completed the 4th climb underwent the 5th climb with 100% ML plus 30 g (RT3). RT protocols were performed for 9 weeks with a duration of 30 to 45 minutes/day. The nutritional profile and cardiac/skeletal muscle morphology were evaluated along with the cross sectional area and collagen fraction. Results RT did not promote adaptations in cardiac and musculoskeletal structure and morphology, nor was it able to reduce body weight and body fat deposits. However, RT brought about an increase in absolute and relative strength. Conclusion Vertical ladder RT protocols, regardless of weekly frequency, lead to increased muscle strength without cardiac and skeletal structural adaptations. Level of evidence I, Therapeutic studies - Investigating treatment results.
RESPONSES OF PLASMA ADIPOKINES TO HIGH INTENSITY INTERVAL TRAINING: SYSTEMATIC REVIEW
Authors: Silva Geovani Messias da , Sandes Mariane de Oliveira , Vasconcelos-Filho Francisco Sérgio Lopes , Rocha Davi Sousa , Rocha-e-Silva Roberta Cristina da , Silva Carlos Alberto da , Chaves Erica Carneiro Barbosa , Brito Ivina Rocha
Published: June 2020

ABSTRACT Introduction Obesity is one of the major diseases of modern times. However, the explanation for its pathophysiology is recent and has not yet been fully elucidated. White adipose tissue synthesizes and secretes adipokines that affect several pathologies related to obesity. Excessive growth of this tissue results in increased levels of pro-inflammatory adipokines and a consequent decrease in anti-inflammatory adipokines. Nevertheless, most studies use moderate intensity training, limiting the understanding of high intensity interval training in these proteins. Objective To verify the latest information on the effects of HIIT in improving the profile of circulating adipokines. Methods A search was performed on the databases PUBMED, Lilacs, HighWire, BVS and the Cochrane Database of Systematic Reviews, with the following keywords: HIIT adipokines, HIIT leptin, HIIT adiponectin. Eleven studies were selected, published in English and Portuguese between 2013 and 2017. Results HIIT proved to be effective in increasing adiponectin in the adolescent population and in Olympic athletes, but this depended on a good prescription parameter and exercise intensity. However, maximum or supramaximal intensities were superior to low and moderate intensities. In turn, leptin presented a significant decrease in response to HIIT due to the reduction of adipose tissue, demonstrating a directly proportional relation. Other adipokines, such as omentin-1 and interleukin-10, also responded positively to HIIT, resulting in improved anti-inflammatory status. Conclusion HIIT proved to be an efficient method to reduce inflammation due to obesity, as well as inducing an improvement in sports performance. However, the effects depend on training volume, intensity and prescription method. Level of evidence I; Therapeutic study–Investigating the results of treatment.
SMALL SIDED GAMES VS REPEATED SPRINT TRAINING EFFECTS ON AGILITY IN FASTING BASKETBALL PLAYERS
Authors: Brini Seifeddine , Ouerghi Nejmeddine , Bouassida Anissa
Published: June 2020

ABSTRACT Introduction The coinciding of month of Ramadan with international basketball competitions could affect players’ performance. Objective This field investigation examined the impacts of a basic training program in small-sided games and repeated sprint ability during intermittent fasting for Ramadan (R) and one month after Ramadan (AR) [control month] on body composition, agility and lower limb power. Methods Sixteen basketball players (age, 23.4±2.3 years) performed two training programs [small-sided games (SSG) and repeated sprint ability (RSA)] during R and AR, interrupted by fifteen days of total recovery. The players were randomly allocated to two groups (GSSG, n=8 and GRSA, n=8). Body composition, agility T test, squat jump (SJ) test, countermovement jump (CMJ) test and five-jump (FJT) test performances were measured on four occasions: before R (P1) and at the end of R (P2),as well as before AR (P3) and at the end of AR (P4). Results The results showed that body mass (BM), body mass index (BMI) and body fat (BF %) decreased significantly at the end of R for both groups (all p < 0.001). Moreover, the performances in the agility T test, SJ test, CMJ test and FJT test improved significantly at the end of R for both groups (p<0.001 and p<0.01). Also, by comparing R with the control month, we recorded significantly better agility and FJT performances in the R month (p < 0.001). Conclusions This study indicated that Ramadan combined with RSA and SSG training may improve agility and lower limb power, enabling coaches and physical trainers to choose between these two training modalities, depending on the training objectives. Level of evidence II; Diagnostic Studies - Investigating a diagnostic test.
ELECTROLYTE CHANGES RELATED TO MUSCLE PAIN AFTER RESISTANCE EXERCISES
Authors: Ferreira Kety Suelyn , Teixeira André de Oliveira , Brito Edineia de , Arbiza Bruno Cesar Correa , Puntel Gustavo Orione , Silva Antonio Marcos Vargas da , Paulitsch Felipe da Silva , Signori Luis Ulisses
Published: June 2020

ABSTRACT Introduction Resistance exercises (RE) performed at high intensity cause an inflammatory response and electrolyte abnormalities in blood plasma. Objectives To study the plasma electrolyte changes resulting from a high-intensity session of RE in untrained volunteers, and to correlate these with delayed onset muscle soreness (DOMS). Methods Twenty volunteers, aged 26.9 (±4.4) years, underwent an RE session. The workout (leg extension, squat and leg press) consisted of four sets of 10 maximum repetitions. Electrolytes (Na+, K+, Ca2+ e Mg2+) were evaluated before the training (baseline), immediately (0 min), and 30 minutes after the RE. The DOMS was assessed 24 hours after the sessions. Results The Na+ increased immediately after the RE and returned to normal after 30 min (p<0.001). After 30 min, K+ increased compared to baseline levels and immediately after the RE (p<0.001). Ca2+ and Mg2+ levels did not change throughout the study. Changes in Na+ and K+ levels were correlated immediately (r=-0.511; p=0.021) and 30 min (r=-0.455; p=0.049) after RE. Plasma concentrations of Na+ 0 min were correlated (r=-0.520; p=0.018) with the DOMS. Conclusion High-intensity RE in untrained volunteers leads to changes in plasma concentrations of Na+ and K+. Na+ concentrations immediately after RE were related to DOMS; individuals that presented smaller alterations in this electrolyte reported more muscular pain. Level of evidence II; Diagnostic Studies - Development of diagnostic criteria on consecutive patients (with universally applied reference “gold” standard).
Effects of dry and traditional bed bathing on respiratory parameters: a randomized pilot study
Authors: Toledo Luana Vieira , Salgado Patrícia de Oliveira , Souza Cristiane Chaves de , Brinati Lídia Miranda , Januário Carla de Fátima , Ercole Flávia Falci
Published: June 2020

Objective: to compare the time for performance of dry and traditional bed bathing and its effects on transcutaneous arterial oxygen saturation and respiratory rates in critical adult patients. Method: pilot study of a randomized, open, crossover clinical trial, performed with 15 adult critically ill patients. Each patient received a dry and a traditional bed bath. Analysis of variance with repeated measures was used, adopting p-value ≤ 0.05. Results: most patients were male (73.3%), white (66.7%), with a mean age of 69.7 years. The dry bath was faster (20.0 minutes) than the traditional bath (30.0 minutes) (p<0.001). There was no significant difference between the patients’ saturation means between baths (p=0.381), with 94.7% for the dry bath and 95.2% for the traditional bath. During the traditional bath, the patients’ respiratory rate mean was higher (24.2 incursions per minute) and statistically different (p<0.001) from the value obtained for the dry bath (20.5 incursions per minute). Conclusion: the dry bath had a shorter duration than did the traditional bath, resulting in less patient exposure. The traditional bed bath had a negative effect on patients’ respiratory rate, increasing it. Brazilian Registry of Clinical Trials (ReBEC): RBR-5qwkqd
Livedoid Vasculopathy: diagnosis and treatment in pregnant women
Authors: Bezerra Alexandre Sacchetti , Andrade Accácio de Almeida Abussamra Junqueira de , Polimanti Afonso César , Fürst Rafael Vilhena de Carvalho , Criado Paulo Ricardo , Corrêa João Antônio
Published: June 2020

Abstract Livedoid Vasculopathy is a disease characterized by occlusion of the capillaries of the dermis, without inflammatory signs. It begins with purpuric papules or macules that develop into painful ulcers, mainly involving the ankles and feet. In this case report, we describe diagnosis and treatment in a young pregnant patient, with excellent clinical response.
Militantes invisíveis: as cabo-verdianas e o movimento independentista (1956-1974)
Authors: Coutinho Ângela Sofia Benoliel
Published: June 2020

Resumo Tendo a participação de mulheres cabo-verdianas no movimento independentista sido grandemente ocultada no país já independente, através da consulta de diversos arquivos e da realização de entrevistas, foi possível identificar um número muito maior de mulheres que militaram activamente pela independência do que o que tem sido divulgado até a data. Tendo sido possível reconstituir as trajectórias políticas das que aderiram na fase inicial, antes do começo do conflito armado na Guiné-Bissau, em 1963, neste artigo procura identificar-se as formas adoptadas tanto pela polícia política portuguesa como pelo próprio Partido Africano para a Independência da Guiné-Bissau e de Cabo Verde (PAIGC) de ocultação desta presença e participação, ainda antes da independência de Cabo Verde, proclamada em 1975.
A mulher em cursos de ciências, tecnologia, engenharia e matemática no ensino superior moçambicano
Authors: Uamusse Amália Alexandre , Cossa Eugenia Flora Rosa , Kouleshova Tatiana
Published: June 2020

Resumo Neste artigo tem-se como objectivo estimular a reflexão sobre as diferenças de género nos cursos de Ciência, Tecnologia, Engenharia e Matemática (STEM) no ensino superior moçambicano, tendo como base a avaliação da situação dos anos 2013 a 2017. O estudo procura identificar as principais causas e propor acções de intervenção para promover o acesso e maior participação de raparigas e mulheres. Dada a sua natureza qualitativa, os dados foram colectados através da análise documental e revisão de literatura relevantes, enfocando na situação geral do acesso ao ensino superior pela mulher, particularmente nos cursos de STEM, considerando tendências mundiais e locais e sem descurar os factores socioculturais, políticos e históricos que influenciam na escolha de cursos e/ou profissões pelas mulheres. Os resultados indicam que a participação integral da mulher nos cursos de STEM ainda é um desafio enorme em Moçambique, necessitando de adopção de estratégias para a promoção de igualdade de oportunidades para mulheres e homens no acesso ao conhecimento científico no geral e em estudos e exercício profissional na área de STEM.
Mulher moçambicana: cultura, tradição e questões de género na feminização do HIV/SIDA
Authors: Maúngue Hélio Bento
Published: June 2020

Resumo Este texto reflecte sobre as experiências quotidianas vividas por 20 mulheres pobres e infectadas pelo vírus do HIV residentes na cidade de Maputo. Procura entender como elas estruturam o seu quotidiano no contexto das relações sociais que estabelecem. Coloca em comunicação questões de género e outras questões socioculturais e de tradição específicas em contacto com o campo da saúde. Estas mulheres experimentam um quotidiano marcado por obstáculos, desafios e enfrentamentos como parte da face feminizada do HIV e SIDA. Elas lidam com diferentes manifestações de vulnerabilidade antes e pós-infeção, onde as relações de género e as práticas culturais e tradicionais contribuem para a feminização do cenário da seroprevalência. As questões de género, as práticas culturais e tradicionais não as tornam diferentes de outras mulheres, mas o estado serológico torna tudo mais esforçado no quotidiano das mesmas. Essas questões influenciam no processo de infecção e de experiência com e da doença.
Technical and economic viability of cowpea co-inoculated with Azospirillum brasilense and Bradyrhizobium spp. and nitrogen doses
Authors: Galindo Fernando S. , Teixeira Filho Marcelo C. M. , Silva Edson C. da , Buzetti Salatiér , Fernandes Guilherme C. , Rodrigues Willian L.
Published: June 2020

ABSTRACT Biological nitrogen fixation efficiency can be increased by co-inoculation with Bradyrhizobium spp. and Azospirillum brasilense, allowing even greater uptake of water and nutrients, leading to higher yields and enabling the insertion of unusual crops, such as cowpea (Vigna unguiculata L. Walp.), in the agricultural production system in the Cerrado region of Brazil. Thus, this study aimed to evaluate the technical and economic viability of cowpea in the Cerrado region, as a function of N doses and co-inoculation of seeds with Azospirillum brasilense and Bradyrhizobium. The study was carried out in a no-tillage system in Selvíria, MS, Brazil. The experimental design was a randomized block design, with four repetitions, arranged in a 3 x 5 factorial scheme, corresponding to three types of inoculation (without inoculation - control, with two strains of Bradyrhizobium spp. SEMIA 6462 and SEMIA 6463 - the conventional inoculation of cowpea, and these two strains of Bradyrhizobium spp. plus A. brasilense strains Ab-V5 and Ab-V6); and five N doses (0, 20, 40, 80 and 160 kg ha-1), as urea, applied as topdressing. The following evaluations were performed: grain yield, total operating cost, effective operating cost, gross revenue, operating profit, profitability index, equilibrium price and equilibrium yield. Co-inoculation with A. brasilense increases cowpea grain yield, which makes cowpea production in the Cerrado region of Brazil technically and economically viable, without the need to apply N fertilizers in topdressing.
Trickle irrigation systems affect spatial distribution of roots of banana crop
Authors: Santana Junior Edvaldo B. , Coelho Eugênio F. , Cruz Jailson L. , Reis João B. R. da S. , Mello Diego M. de , Pereira Bruno L. da S.
Published: June 2020

ABSTRACT Trickle irrigation has been largely used for banana in Brazil, mainly due to the increase in water and fertilizer use efficiency. These irrigation systems have different options concerning number, type and flow rate of emitters as well as for hydraulics, number and location of lateral lines. The small area of soil wetted by these systems limits root spatial distribution of crops. This study aimed to evaluate the effect of different trickle irrigation systems on the root spatial growth and root spatial distribution of banana cv. Prata Gorutuba. Root length density and root length were evaluated in soil profiles of three micro-sprinkler systems, with emitter flow rates of 35, 53 and 70 L h-1 and of two drip irrigation systems, with one and two lateral lines per crop row. Trickle irrigation systems influence root spatial distribution, favoring a greater or smaller distribution of roots at different depth and distance from the plant according to micro-sprinkler flow rate and to the number of lateral lines per crop row. The effect on root spatial distribution is more accentuated for micro-sprinkler systems than for drip systems. The majority of the total root length (80%) was observed in the soil profiles from 0.33 to 0.57 m depth and at distances from the plants of 0.75 to 0.83 m.
Production of Bambusa vulgaris seedlings from rhizomes under brackish water irrigation
Authors: Branco Lourenço M. C. , Lacerda Claudivan F. de , Marinho Albanise B. , Sousa Carlos H. C. de , Calvet Amanda S. F. , Oliveira Erasto G. de
Published: June 2020

ABSTRACT The objective of this study was to evaluate the influence of irrigation with brackish water on the production of bamboo seedlings (Bambusa vulgaris). The experiment was carried out at the Fazenda Experimental Piroás, in the municipality of Redenção, CE, Brazil (4° 14’ 53” S, 38° 45’ 10” W, and altitude of 230 m), in a completely randomized design with five treatments and six repetitions. The treatments consisted of five irrigation water electrical conductivity (ECw): 0.5 (control); 1.5; 2.5; 3.5 and 4.5 dS m-1. At 120 days after the beginning of the application of the treatments the leaf gas exchange, relative chlorophyll index (RCI), plant height (H), shoot dry matter (SDM), H/SDM ratio, and the concentrations of Na+ and K+ in stems and leaves were evaluated. Salt tolerance indexes were calculated based on SDM, H, photosynthesis rate and RCI. The increase in the ECw reduced leaf gas exchange, and the reduction in the photosynthesis rate was caused by stomatal and non-stomatal effects. The salinity affected negatively the growth and quality of bamboo seedlings, with the greatest effects being with ECw equal to or greater than 2.5 dS m-1. Bamboo seedlings present Na+ retention in the stems and low Na+/K+ ratio in the leaves. Bamboo seedlings are tolerant to salinity up to 1.5 dS m-1, indicating that waters with this salinity can be used for seedling production of this species, without loss of growth and quality.
ELEMENTS OF MORAL SENSITIVITY IN THE PRACTICE OF CLINICAL HOSPITAL NURSES
Authors: Yasin Janaína Cassana Mello , Barlem Edison Luiz Devos , Barlem Jamila Geri Tomaschewski , Andrade Gustavo Baade de , Silveira Rosemary Silva da , Dalmolin Graziele de Lima
Published: June 2020

ABSTRACT Objective: to identify the elements of moral sensitivity held by nurses working in a medical clinic unit. Method: this exploratory-descriptive study with a qualitative approach addressed 18 nurses from a medical clinic of a university hospital located in southern Brazil using semi-structured interviews, which were analyzed using discursive textual analysis. Results: data were structured into six categories: relational orientation; experiencing moral dilemmas; following rules; benevolent motivation; structuring moral meaning; and autonomy. These categories enabled the identification of important elements of moral sensitivity, such as acknowledging the ethical dimension of one’s attitudes, acknowledging the uniqueness of each patient, dealing with conflict between workers and patients and/or their companions, adapting to the workplace, empathy, dialogue, clinical decision-making, meeting the needs of patients, understanding patients’ health condition, respect, welcoming patients’ desires and providing guidance that concerns patients’ requests and refusals. Conclusion: the elements of moral sensitivity identified in this study contribute to support nurses when making clinical decisions, especially when facing ethical issues arising in a medical clinic setting.