bluuebunny/crossref_metadata_2025 huggingface dataset:
Virtudes y utilidad en David Hume y Jeremy Bentham
Authors: Tasset José L.
Published: December 2016

En este trabajo me voy a centrar en el análisis de la poco conocida crítica de la teoría  de  las  virtudes  de  David  Hume  llevada  a  cabo  por  el  padre  del  Utilitarismo  clásico, Jeremy Bentham. Este trabajo defiende que la perspectiva humeana en esa teoría, basada en la distinción primordial entre virtudes naturales y artificiales, no sólo es compatible con el utilitarismo clásico, a pesar de las críticas de Jeremy Bentham, sino que puede contribuir a mejorarlo y desarrollarlo por medio de la sólida, compleja y plural visión de la moralidad que propone.
Sal de Ibiza para Italia: los intentos de recuperación del mercado milanés de la sal en la segunda mitad del siglo XVII
Authors: Espino López Antonio
Published: December 2016

En el presente artículo, nuestro interés se ha centrado en analizar el intento de revitalizar el comercio de la sal ibicenca en la segunda mitad del siglo XVII por parte de la Monarquía Hispánica, que pudo comprobar cómo el consumo de sal en el estado de Milán estaba en peligro de caer totalmente en manos de los venecianos. Dicha circunstancia no sólo causaba problemas de diversa índole, sino que, y sobre todo, limitaba las posibilidades de recuperación de las salinas de Ibiza, el único recurso propio de la isla capaz de generar ingresos (si estaban bien administradas). Nuestra principal fuente de información han sido tanto los legajos correspondientes a Ibiza de la secretaría de Mallorca dentro de la sección Consejo de Aragón del Archivo de la Corona de Aragón, así como documentación depositada en la sección Secretarías Provinciales del Archivo General de Simancas y en la sección Estado del Archivo Histórico Nacional.
Afecciones metereológicas: medicina y meteorología en Andalucía, 1754-1852
Authors: Sánchez Rodrigo Fernando
Published: December 2016

Desde el siglo XVIII la Meteorología se desarrolla en España bajo el amparo del pensamiento ilustrado y el impulso de otras disciplinas, como la ciencia agraria, la navegación a vela y la medicina. El objetivo de este trabajo es ilustrar el desarrollo de la Meteorología usando como ejemplo un conjunto de estudios de carácter médico que, desde Andalucía, se publican en el periodo 1754-14852. Se analizan las contribuciones de Nieto de Piña al estudio del clima de Sevilla en la década de los 1780, de Juan Manuel de Aréjula sobre el clima de Cádiz en los últimos años del siglo y hasta 1803, y de la Sociedad Médico-Quirúrgica de Cádiz durante el periodo 1820-1824. Finalmente, en la topografía médica de Málaga (1852), ya se reconoce que la Meteorología y la Medicina son disciplinas distintas, con objetivos y métodos diferentes, pero aún complementarias.
Miedo y respuesta social en Arequipa: la erupción de 1600 del volcán Haynaputina (Perú)
Authors: Petit-Breuilh Sepúlveda María Eugenia
Published: December 2016

El 14 de febrero de 1600 se produjo un suceso extraordinario que sumió en una crisis a la ciudad de Arequipa (Perú) y pueblos de los alrededores durante meses y sus consecuencias económicas perduraron durante años. El objetivo de esta investigación es analizar la respuesta social en Arequipa ante el desastre producido por la erupción del volcán Huaynaputina (16º37’S-70º51’W) e identificar a los líderes que intentaron calmar el miedo que provocó este fenómeno tanto en la población española como en la indígena de la zona.
Epidemia y esclavitud en la Amazonia (1748-1778)
Authors: Vieira Junior Antonio Otaviano , Martins Roberta Sauaia
Published: December 2016

En este trabajo se estudian los efectos del impacto poblacional que la epidemia de sarampión acaecida en la capitanía de Gran Pará entre 1748 y 1750 tuvo sobre el proceso de inserción de mano de obra esclava africana en la zona. En él, no sólo nos esforzaremos por atender al estudio de la mortalidad causada por el sarampión, sino también, la forma que adoptó la construcción de una política de inclusión de esclavos africanos en la región. El texto se divide en dos partes. En la primera trataremos la epidemia en sí misma, y en la segunda, analizaremos los proyectos que buscaban solucionar la demanda de mano de obra, los cuales pasaban por la importación de esclavos africanos y su distribución e integración en la capitanía.
Clima, desastre y religiosidad en los dietaristas valencianos de los siglos XVI y XVII
Authors: Alberola Romá Armando
Published: December 2016

Junto con otras fuentes documentales los dietarios proporcionan al historiador información abundante y detallada para elaborar proxy data que permitan la reconstrucción del pasado climático. En este estudio se ofrecen los resultados obtenidos del vaciado de seis dietarios valencianos correspondientes a los siglos XVI y XVII que permiten detectar, para la ciudad de Valencia, olas de frío y calor, períodos de sequía, episodios de intensas precipitaciones, riadas e inundaciones; todo ello acompañado de las correspondientes ceremonias en demanda de lluvia o para serenar los temporales.
La pequeña edad de hielo en Galicia: estado de la cuestión y estudio histórico
Authors: Fernández Cortizo Camilo
Published: December 2016

La climatología histórica es una disciplina con escaso desarrollo en Galicia. En particular los estudios sobre la Pequeña Edad  de Hielo (PEH) son muy pocos y faltos de continuidad, a diferencia de los estudios dendroclimatológicos y de los geoquímicos y sedimentológicos sobre el paleoclima gallego del Holoceno final, en progresión en las tres últimas décadas. Su utilidad, mayor o menor según los casos, para los historiadores justifica su inclusión en el estado de la cuestión junto con los estudios históricos. A su lista se suma precisamente el presente trabajo, que analiza, utilizando diferentes fuentes documentales (ceremonias de rogativas, diezmos, precios del mercado urbano, libros de difuntos y actas de consistorio), el clima y el tiempo en el Mínimum Maunder tardío (1675-1715), caracterizado en Galicia también por temperaturas más frías que las actuales, por una causada variabilidad climática y, finalmente, por un elevado predominio de las rogativas “pro serenitate temporis”.
Heroes for the helpless: A critical discourse analysis of Canadian national print media’s coverage of the food insecurity crisis in Nunavut
Authors: Hiebert Bradley , Power Elaine
Published: December 2016

In northern Canada, the Inuit’s transition from a culturally traditional to a Western diet has been accompanied by chronic poverty and provoked high levels of food insecurity, resulting in numerous negative health outcomes. This study examines national coverage of Nunavut food insecurity as presented in two of Canada’s most widely read newspapers: The Globe and Mail and National Post. A critical discourse analysis (CDA) was employed to analyze 24 articles, 19 from The Globe and Mail and 5 from National Post. Analysis suggests national print media propagates the Inuit’s position as The Other by selectively reporting on social issues such as hunger, poverty and income. Terms such as “Northerners” and “Southerners” are frequently used to categorically separate Nunavut from the rest of Canada and Inuit-driven efforts to resolve their own issues are widely ignored. This effectively portrays the Inuit as helpless and the territory as a failure, and allows Canadians to maintain colonialist views of Inuit inferiority and erroneously assume Federal initiatives effectively address Northern food insecurity.
Human Rights and the Food Sovereignty Movement: Reclaiming Control by Priscilla Claeys
Authors: Duthie-Kannikkatt Kaitlyn
Published: December 2016

Critical discussions of human rights have featured prominently in the development studies literature. While many social actors have utilized human rights to advance their goals, the framework has also been criticized for its tendency to individualize struggles and emphasize legal dimensions of justice, while ignoring issues of power. Despite these critiques, rights discourse continues to resonate within the food sovereignty movement—“a transnational movement of rural social organizations that work towards achieving structural changes in the global food system” (Claeys, 2015, p. 1).
How Canadians Communicate VI: Food Promotion, Consumption, and Controversy by Charlene Elliott (Ed.)
Authors: Dobson Kathy , Esteron Fleur , Knezevic Irena , Malkinson Agnes , Mitchell Scott , Noriega Andrea , Poitevin DesRivieres Chloe , Pasho Julie , Pucci Antonella
Published: December 2016

Elliott’s collection brings communication studies to the core of food studies, and this makes it a long-overdue book. While not all authors are communication scholars, the range of topics covered in the book are representative of how enmeshed the study of food and the study of human communication are. The title of the book alludes to a Canadian focus and many of the contributions deal with Canadian identities in relation to food. The subtitle, Food Promotion, Consumption, and Controversy, prepares the reader for the collection that largely deals with issues around consumption of food and food media, and its place in the economic system that underpins it. Though the quality of its seventeen chapters is somewhat uneven—with some appearing undercooked, and others baked to perfection—the collection as a whole makes for an interesting read.
Transformations revealed through food studies
Authors: Desjardins Ellen
Published: December 2016

This issue brings us food-related research and perspectives from across Canada, from Nunavut and the Northwest Territories to central Alberta, Kenora (Ontario), and Nova Scotia. A common thread weaves throughout this work: one of transformative change—either already in progress or still needed—among individuals, communities, and food systems.
Multidisciplinariedad en el manejo de enfermedades crónicas
Authors: Lizama Lefno Andrea
Published: December 2016

La salud del ser humano es un fenómeno complejo, esencialmente multidimensional y de funcionamiento sistémico. Por esa razón, los problemas de salud no pueden ser entendidos aisladamente de la raza, género, problemas sociales, emocionales, asuntos familiares, en definitiva, la historia de vida de las personas y el entorno en el que viven, porque trascienden lo puramente biológico y fisiológico. Las enfermedades crónicas son uno de los principales problemas de salud en el mundo y sus causas se relacionan con el estilo de vida moderno y las creencias occidentales respecto de la vida, el cuerpo y la salud. El objetivo de este trabajo es analizar la necesidad de efectuar la práctica médica y, particularmente el manejo de enfermedades crónicas, a partir de una perspectiva sistémica de la salud. Esto significa apelar a la transversalidad disciplinar, la inclusión e integralidad en el abordaje científico; y comprender que los diversos asuntos del ser humano están interconectados y son interdependientes. Por tanto, su complejidad trasciende la división de su fisiología y la segregación del abordaje médico, y se traduce en una visión holística de la persona y su salud, entendiendo su cuerpo y sus componentes fisiológicos como una parte más de un todo integrado.
Desórdenes psiquiátricos de los inmigrantes chinos del siglo XIX. Primera parte: Inmigrantes chinos en el Manicomio del Cercado de Lima entre 1879 y 1902
Authors: Li Ning Anticona José Luis
Published: December 2016

Para determinar un perfil estadístico hospitalario de los desórdenes psiquiátricos de los inmigrantes chinos (‘culíes’) que llegaron al Perú en el siglo XIX (entre 1849 y 1874), después de la abolición de la esclavitud, se realizó un estudio retrospectivo en los archivos del Manicomio del Cercado de Lima conservados en el Hospital Víctor Larco Herrera. Se halló que, entre 1879 y 1902, estuvieron hospitalizados 58 culíes, todos varones, predominantemente solteros y mayores de 40 años. El 57% de los diagnósticos corresponde a ‘psicosis tóxica’ asociada, fundamentalmente, a opio, 47%, y el 10% restante a consumo de alcohol y coca. Los otros diagnósticos podrían ser equivalentes a esquizofrenia o demencia y trastornos bipolares; más escasos, paranoia y psicosis epiléptica. Solo un paciente (1,7%) tuvo el diagnóstico de ‘psicosis tóxica’ asociada a sífilis (‘parálisis general progresiva’ (PGP), la forma psiquiátrica de la neurosífilis, cuya frecuencia era hasta diez veces más en otros países.
Automedicación en personas adultas que acuden a boticas del Distrito Jesús Nazareno, Ayacucho 2015
Authors: Pillaca Medina Mery Luz , Carrión Domínguez Kristian
Published: December 2016

Introducción. La automedicación es un problema serio que afecta la salud de la población. Los estudios demostraron que hay relación entre la automedicación y los factores sociodemográficos y culturales. Objetivo. Determinar la frecuencia y las características de la automedicación en personas adultas que acuden a las boticas. Diseño. Estudio descriptivo y transversal. Lugar. Distrito Jesús Nazareno (DJN), Ayacucho, Perú. Intervenciones. Previo consentimiento informado, se realizaron encuestas a personas adultas que acudieron a 22 boticas durante setiembre a diciembre de 2015. La muestra fue probabilística aleatoria simple, conformada por 433 personas cuyas edades fluctuaron entre 25 a 65 años. La encuesta fue aprobada por el Comité Institucional de Ética en Investigación del Instituto Nacional de Salud. Los datos fueron procesados en el programa estadístico SPSS 19.0. Resultados. La frecuencia de automedicación fue (87,8%). Las mujeres (67,9%) se automedicaron más que los varones, ambos con estudio superior (42,9%). El principal problema de salud fue el dolor (64,7%). Los encuestados consideraron que su enfermedad era leve (92,1%) y esperaron demasiado tiempo en los servicios de salud (18,7%). Las personas que fueron recomendadas por un técnico representaron el 69,4%, mientras que las personas influidas por la televisión, 74,7%; principalmente usaron los analgésicos (64,7%). Conclusiones. La automedicación en personas adultas del DJN fue alta, se presentó en ocho de cada diez personas y con estudios de nivel superior; predominó el sexo femenino. El principal problema de salud fue el dolor. El medicamento más usado fue el analgésico, el cual fue requerido principalmente porque las personas consideraron que su enfermedad era leve. Asimismo, un porcentaje considerable señaló que en los servicios de salud el tiempo de espera es prolongada.
Arterial stiffness: hemodialysis versus hemodiafiltration
Authors: Ghigolea Adrian-Bogdan , Gherman-Caprioara Mirela , Moldovan Argentina Raluca
Published: December 2016

Background and aims. Arterial stiffness seems to be influenced by the dialysis method, but studies are sparse and the results discordant. High substitution volume online hemodiafiltration appears to have beneficial cardiovascular effects in dialysis patients, but its effects on arterial stiffness are not investigated. We aimed to analyze arterial stiffness parameters in high substitution volume post-dilution online hemodiafiltration and compare results to high-flux hemodialysis.Methods. We studied arterial stiffness parameters using the oscillometric method (Arteriograph IrDA, TensioMed, Budapest, Hungary) in 23 non-diabetic patients on high substitution volume online postdilution hemodiafiltration and 23 non-diabetic patients on high-flux hemodialysis. Dialysis vintage was at least 6 months in all subjects.Results. Hemodiafiltration-treated patients showed a more favorable arterial stiffness profile. Pulse wave velocity was significantly higher in hemodialysis compared to hemodiafiltration patients (10.39±2.29 m/s vs 9.0±1.7 m/s, p=0.026). Augmentation indexes and the diastolic reflection area were also significantly elevated hemodialysis patients compared to hemodiafiltration patients.Conclusions. High substitution volume online postdilution hemodiafiltration could have a beneficial effect on arterial stiffness and should be assessed in properly sized controlled trials.
THERAPY OF THE POSTINFECTIOUS IRRITABLE BOWEL SYNDROME: AN UPDATE
Authors: Iacob Teodora , Țățulescu Doina F. , Dumitrașcu D. L.
Published: December 2016

After acute infectious gastroenteritis, up to thirty percent of patients present prolonged gastrointestinal symptoms and a part of those affected patients can have the diagnostic criteria for postinfectious irritable bowel syndrome.Treatment is symptom directed rather than curative and includes agents prescribed for the treatment of irritable bowel syndrome in general. Prophylaxis or early treatment of acute bacterial diarrhea may reduce the risk of postinfectious irritable bowel syndrome development by reducing the occurrence, duration, and severity of the chronic inflammation and mucosal alterations (all these believed to play an important role in disease persistence). Probiotic treatment is effective in restoring the intestinal microbiota in patients with irritable bowel syndrome and in animal models there are improvements of postinfectious irritable bowel syndrome. Fecal microbiota transplantation seems to be one of the most effective methods of treating the postinfectious irritable bowel syndrome (with recurrent episodes) caused by Clostridium difficile.
PAPILIAN’S ANATOMY - celebrating six decades
Authors: Dumitraşcu Dinu Iuliu , Crivii Carmen Bianca , Opincariu Iulian
Published: December 2016

Victor Papilian was born an artist, during high school he studied music in order to become a violinist in two professional orchestras in Bucharest. Later on he enrolled in the school of medicine, being immediately attracted by anatomy. After graduating, with a briliant dissertation, he became a member of the faculty and continued to teach in his preferred field. His masters, Gh. Marinescu and Victor Babes, proposed him for the position of professor at the newly established Faculty of Medicine of Cluj.Here he reorganized the department radically, created an anatomy museum and edited the first dissection handbook and the first Romanian anatomy (descriptive and topographic) treatise, both books received with great appreciation. He received the Romanian Academy Prize. His knowledge and skills gained him a well deserved reputation and he created a prestigious school of anatomy. He published over 250 scientific papers in national and international journals, ranging from morphology to functional, pathological and anthropological topics.He founded the Society of Anthropology, with its own newsletter; he was elected as a member of the French Society of Anatomy. In parallel he had a rich artistic and cultural activity as writer and playwright: he was president of the Transylvanian Writers’ Society, editor of a literary review, director of the Cluj theater and opera, leader of a book club and founder of a symphony orchestra.
Transkateterinė arterinė embolizacija gydant skrandžio ir dvylikapirštės žarnos opas
Authors: Širvinskas Audrius , Smolskas Edgaras , Mikelis Kipras , Brimas Gintautas
Published: December 2016

ĮvadasTranskateterinė arterinė embolizacija yra chirurginio gydymo alternatyva. Ji taikoma esant pakartotiniam kraujavimui iš skrandžio ar dvylikapirštės žarnos opos po nepavykusio kraujo stabdymo endoskopijos metu. Mes nagrinėjometranskateterinės embolizacijos efektyvumą, gydymo baigtis ir rodiklius, galinčius turėti įtakos sergamumui bei mirtingumui.MetodaiAtlikome retrospektyviąją analizę, į kurią įtraukėme 20 pacientų, kuriems nuo 2012 m. iki 2015 m. Respublikinėje Vilniaus universitetinėje ligoninėje buvo atlikta transkateterinė arterinė embolizacija dėl ūminio kraujavimo iš viršutinės virškinamojo trakto dalies. Ieškojome ryšio tarp pakartotinio kraujavimo bei mirštamumo ir pacientų lyties, amžiaus, perpiltų kraujokomponentų vienetų, hospitalizacijos trukmės, laiko iki embolizacijos, atliktos embolizacijos rūšies (profilaktinė ar terapinė).RezultataiEmbolizacijos techninis efektyvumas buvo 100 %. Keturiolikai pacientų (70 %) buvo atlikta profilaktinė ir 6 (30 %) – terapinė embolizacija. Trims (15 %) pacientams po embolizacijos pasikartojo kraujavimas. Penki (25 %) pacientai mirė. Pacientams, kurie vėliau mirė, buvo perpilta statistiškai reikšmingai daugiau kraujo komponentų vienetų (šviežiai šaldytos plazmos p=0,04;eritrocitų masės p=0,01), jų hospitalizacija buvo ilgesnė (p=0,05). Statistiškai reikšmingų veiksnių, galinčių turėti įtakos pakartotinio kraujavimo dažniui, neradome.IšvadosTranskateterinė arterinė embolizacija yra tinkamas metodas po endoskopinio gydymo pasikartojusiam kraujavimui iš skrandžio ar dvylikapirštės žarnos opų gydyti. Nors šis būdas pasižymi dideliu techniniu ir klinikiniu efektyvumu ir mažu komplikacijų dažniu, tačiau reikalingi tolesni atsitiktinių imčių tyrimai šio gydymo būdo tinkamumui pagrįsti.
Intrakranijinės besimptomės meningiomos daugybinės metastazės į plaučius: klinikinis atvejis
Authors: Ušinskienė Jurgita , Letautienė Simona Rūta , Šestelinska Evelina , Neverauskienė Laura , Ročka Saulius
Published: December 2016

ĮvadasŠis klinikinis atvejis yra nenumatyto ligos pasireiškimo. Tikime, kad jis privers apgalvoti jau žinomą gerybinių navikų, tarp jų ir meningiomos, elgseną, kuri gali įgyti nepriklausomą metastazinį potencialą. Kadangi gerybinių navikų metastazės yra diagnozuojamos pavėluotai, šiuo pavyzdžiu siekiame plėsti klinicistų sąmoningumą ir budrumą nagrinėjant ligas, kurioms būdingos neįprastos klinikinės apraiškos. Tai pirmasis Lietuvoje aprašytas intrakranijinės meningiomos metastazavimo į plaučius atvejis.Atvejo pristatymasAprašome klinikinį atvejį 66 metų moters, kurią vargino nuolatinis produktyvus kosulys, dusulys, karščiavimas ir silpnumas, at­sirandantis fizinio krūvio metu. Atliktos krūtinės ląstos rentgenogramos parodė daugybinius, mažus, apvalios formos mazgus plaučiuose. Po atliktos torakoskopinės plaučių audinių rezekcijos histopatologinio tyrimo metodu konstatuota meningioma. Atliktas galvos smegenų magnetinio rezonanso tyrimas, kurio išvada – kairiajame tilto ir smegenėlių kampe su dangalais susijęs, kontrastinę medžiagą gerai kaupiantis, smulkus navikas, išsiplėtusios giliosios smegenų venos. Histologinė smegenų darinio išvada remiantis Pasaulio sveikatos organizacijos klasifikacija – pirmo laipsnio fibrozinė meningioma.IšvadaMeningioma yra traktuojama kaip neinvazinis ir nemetastazuojantis, gerybinis, intrakranijinis navikas. Metastaziniai židiniai yra neįprasti šios ligos eigai, dėl to gali būti diagnozuoti pavėluotai. Klinikinis atvejis paneigia literatūroje nurodytus rizikos veiksnius, kuriais remiantis būtų galima numatyti galimą meningiomos metastazavimą, ir tai leidžia priskirti meningiomą neprognozuojamos eigos navikams.
Hibridinė transanalinė ir laparoskopinė TME po TEM dėl netikėto T2 tiesiosios žarnos vėžio
Authors: Samalavičius Narimantas Evaldas , Dulskas Audrius , Aliukonis Vygintas , Račkauskas Rokas , Kilius Alfredas , Mickys Ugnius
Published: December 2016

57 metų moteriai dėl T1 tiesiosios žarnos vėžio buvo atlikta transanalinė endoskopinė mikrochirurginė (TME) operacija. Galutinio patologinio tyrimo duomenimis, buvo konstatuota T2 invazija (1 pav.). Ligonei buvo pasiūlyta totalinė mezorektinė ekscizija (TME). Operacija buvo pradėta pusiau sulenkto lenktinio peilio padėtyje, atliekant dalį TME per išangę (2, 3 pav.). Mobilizuota tiesioji žarna (4 pav.) ir tiesiosios žarnos bigė (5 pav.) buvo užsiūtos rauktinėmis siūlėmis. TME buvo užbaigta laparoskopiškai, sudarant storosios žarnos J rezervuaro jungtį su analiniu kanalu. Tokiu būdu pavyko suformuoti vientisą tiesiosios žarnos preparatą (6 pav.).
Dry Care Versus Antiseptics for Umbilical Cord Care: A Cluster Randomized Trial
Authors: Gras-Le Guen Christèle , Caille Agnès , Launay Elise , Boscher Cécile , Godon Nathalie , Savagner Christophe , Descombes Emmanuelle , Gremmo-Feger Gisèle , Pladys Patrick , Saillant Dominique , Legrand Arnaud , Caillon Jocelyne , Barbarot Sébastien , Roze Jean Christophe , Giraudeau Bruno
Published: December 2016

BACKGROUND AND OBJECTIVES:

In developed countries, where omphalitis has become rare and related mortality nil, benefits of antiseptic use in umbilical cord care have not been demonstrated. We aimed to assess the noninferiority of dry care compared with antiseptics in France where antiseptic use is widespread.

METHODS:

We conducted a noninferiority, cluster-randomized, 2-period crossover trial, in 6 French university maternity units including all infants born after 36 weeks’ gestation. Maternity units were randomly assigned to provide either their usual antiseptic care or a dry care umbilical cord method for a 4-month period, and then units switched to the alternate cord cleansing method for a 4-month period. The primary outcome was neonatal omphalitis, adjudicated by an independent blinded committee based on all available photographs, clinical, and bacteriological data. We used a noninferiority margin of 0.4%. Analysis was performed per protocol and by intention to treat.

RESULTS:

Among 8698 participants, omphalitis occurred in 3 of 4293 (0.07%) newborns in the dry care group and in none of the 4404 newborns in the antiseptic care group (crude difference: 0.07; 95% confidence interval: –0.03 to 0.21). Late neonatal infection, parental appreciation of difficulty in care, and time to separation of the cord were not significantly different between the 2 groups.

CONCLUSIONS:

Dry cord was noninferior to the use of antiseptics in preventing omphalitis in full-term newborns in a developed country. Antiseptic use in umbilical cord care is therefore unnecessary, constraining, and expensive in high-income countries and may be replaced by dry care.
Enfrentamento da vulnerabilidade no consumo de álcool entre universitários: ponderações de acadêmicos do PET-Saúde
Authors: Ferraz Lucimare , Ferretti Fatima , Borsoi Aline Tecchio , Dal Piva Vanise , Vieira Vivian Breglia Rosa
Published: December 2016

Este artigo relata uma vivência de educação em saúde que teve por objetivo trabalhar, de maneira inovadora, o tema consumo de bebidas alcoólicas entre universitários, com atores do Programa de Educação pelo Trabalho para a Saúde (PET-Saúde), de uma universidade do oeste de Santa Catarina. Para fundamentar a intervenção, inicialmente realizouse uma revisão integrativa da literatura para identificar a prevalência do consumo de álcool entre universitários brasileiros. Na sequência, utilizou-se a estratégia da construção de painel com as opiniões dos sujeitos sobre a temática. A intervenção permitiu aos estudantes do PET-Saúde a aproximação com o contexto atual sobre o consumo de álcool entre universitários, resultando em propostas de enfrentamento dessa vulnerabilidade. Concluiu-se que essa foi uma experiência exitosa de formação em saúde, pois os petianos constituíram-se em agentes multiplicadores de conhecimentos entre seus pares na universidade.
O processo de apropriação do gênero textual em sua dupla possibilidade de abordagem escolar
Authors: Striquer Marilúcia Dos Santos Domingos
Published: December 2016

Partindo das concepções do Interacionismo Sociodiscursivo (ISD) sobre gêneros textuais e sobre instrumentos psicológicos (SCHNEUWLY, 2004) e de Rabardel (1995), a respeito de gênese instrumental, investigou-se em que medida os integrantes de um projeto de ensino integrado ao Pibid, que tem como base teórico-metodológica os gêneros textuais, apropriaram-se do gênero como um instrumento mediador e organizador do ensino da língua materna. De forma mais específica, a intenção, neste artigo, é conhecer se a base teórico-metodológica sobre os gêneros foi apropriada pelos membros do projeto após uma série de eventos. Para tanto, analisou-se um conjunto de respostas dadas pelos pibidianos a três diferentes questionários. Os resultados revelaram que a maioria dos investigados completou o processo da gênese instrumental, contudo dois deles demonstraram que a teoria estudada é ainda para eles artefato.
Editorial
Authors: Dos Santos Andréia Mendes
Published: December 2016

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Projeção de um cenário econômico e de desmatamento para a Amazônia Legal brasileira entre 2006 e 2030
Authors: Carvalho Terciane Sabadini ,   Universidade Federal do Paraná, Brazil, Domingues Edson Paulo ,   UFMG, Brazil
Published: December 2016

Resumo: A Amazônia Legal foi alvo de políticas desenvolvimentistas no século XX. Com características estruturais diferentes das do restante do Brasil e abrigando a maior floresta tropical do mundo, o resultado foi crescimento econômico e desmatamento. Alguns fatores são apontados como determinantes desse desmatamento, como as políticas de incentivo ao desenvolvimento das décadas de 1970 e 1980, os investimentos em infraestrutura, a pecuária e a agricultura.Este artigo apresenta uma metodologia de projeção para o desmatamento nas mesorregiões da Amazônia Legal, decorrente de fatores econômicos e de condicionantes estruturais da região. Para isso, foi usado um modelo de Equilíbrio Geral Computável (EGC) dinâmico inter-regional comum a especificação para a ocupação do solo nas regiões, isto é,uma inovação para a literatura.Os resultados para o período estudado(2006-2030) apontaram que as regiões com maior crescimento e desmatamento seriam aquelas situadas no arco do desmatamento(Mato Grosso, Pará e Rondônia), principalmente regiões produtoras de soja e bovinos.
Society and brain: A complementary approach to Thorstein Veblen’s conspicuous consumer based on Tibor Scitovsky’s neuropsychology
Authors: Almeida Felipe
Published: December 2016

Abstract: The goal of this study is to complement Thorstein Veblen's conspicuous consumer approach to economics with Tibor Scitovsky's neuropsychological analysis. This is undertaken by exploring the psychological basis of both theories. Veblen's conspicuous consumer emulates the leisure class, which consumes what can be understood as the best goods of a society. These goods are associated with the concept of social satisfaction rather than physical satisfaction. Veblen's conspicuous consumer decision making is introduced here according to insights from the American pragmatic school of philosophy. On the other hand, Scitovsky introduced elements of neuropsychology to economics using an interdisciplinary approach that was understandable to economists as he sought a better comprehension of consumers' decision making. Scitovsky's psychological-economics approach was inspired by studies from Daniel Berlyne and Donald Hebb. In considering Scitovsky's approach, this study contributes to understanding the decision making of Veblen's conspicuous consumer.
POSTNATAL CARE IN BRAZIL: OPPORTUNITIES AND CHALLENGES
Authors: Alderdice Fiona , Porter Samuel Willian , Souza Maria de Lourdes de , Velloso Bruno Panerai , Brüggeman Odaléa Maria
Published: December 2016

ABSTRACT Aim: in this paper the authors described the experience in proposition and realization of a workshop in a partnership between UK and Brazilian researchers. The aim was plan out a strategy for the successful implementation of interventions to improve the health and wellbeing of women's postnatal care in Brazil. Method: this is an experience report about the implementation of that workshop. It was held in the Universidade Federal de Santa Catarina, from 7 to 10 March 2016, under the auspices of the British Council Researcher Links Scheme, funded through the Newton Fund and Brazilian Council of the State Foundations of Research, Sciences and Innovation represented in Santa Catarina by Foundation for Research and Innovation of Santa Catarina. Results: during the workshop were presented health and social care experiences of women in Brazil from pregnancy through to the months after birth, integrated review of social technology in health, the importance of specific public health initiatives and good health surveillance in a country as large and multi-cultured as Brazil. It was also carried out a meeting between health professionals and women and their partners who had received postnatal care. Each day we worked in small groups to identify the research areas that we were interested in moving forward with as a Brazil-UK research network. Conclusions: a number of perceived opportunities and challenges were identified during the workshop from researchers, practitioners, parents and policy makers. The success of social technology interventions depends on their appropriate introduction within Brazil's social and healthcare context.
ASSOCIATION BETWEEN NURSING STUDENTS' ACADEMIC AND SOCIODEMOGRAPHIC CHARACTERISTICS AND STRESS
Authors: Bublitz Susan , Guido Laura de Azevedo , Lopes Luis Felipe Dias , Freitas Etiane de Oliveira
Published: December 2016

ABSTRACT This study was aimed at investigating the association between the stress levels of nursing students and their sociodemographic and academic characteristics. This quantitative, analytical and cross-sectional study was conducted in four Brazilian higher education Institutions. Data were collected from April 2011 to March 2012, using a sociodemographic and academic tool form for the students and the Assessment of Stress Among Nursing Students. 705 students participated and the results showed a predominance of medium stress levels, followed by high stress levels. Statistically significant differences were found for stress and age group, institution type (public/private), work activity, satisfaction with the course and if the student had ever thought of dropping out of the course. This study showed that education is assessed as a stressor and that there is an association between the nursing students' characteristics and the stress level.
GENDER VIOLENCE: SOCIAL REPRESENTATIONS OF RELATIVES
Authors: Rodrigues Vanda Palmarella , Machado Juliana Costa , Santos Washington da Silva , Santos Maria de Fátima de Souza , Diniz Normélia Maria Freire
Published: December 2016

ABSTRACT This study aimed at analyzing the social representations of gender violence by family members. A qualitative study based upon the Theory of Social Representations. The free word association test was undertaken by 81 relatives of women who suffered gender violence registered in Family Health Units of Jequié, Bahia. The data were submitted to correspondence factorial analysis in the Tri-deux-mots software. The relatives' representation of gender violence is rooted in unequal gender relations observed in the hierarchy of social relations between the man and the women, which legitimizes gender violence. Younger relatives highlighted the sexist attitudes while those aged 40 years and older highlighted the role of women as caregivers. Evangelical relatives emphasized the subordination of women while relatives who follow other religions emphasized the suffering. We emphasize the need to implement actions to address violence considering these representations in the healthcare services.
HEALTH SURVEILLANCE AND PAP TEST COVERAGE: INTEGRATIVE REVIEW
Authors: Ribeiro Janara Caroline , Andrade Selma Regina de
Published: December 2016

ABSTRACT This integrative review aimed to evidence in the literature health surveillance activities that contribute to the increased coverage of the cervical Pap smear. The search was undertaken between April and May 2014 in the databases LILACS, CINAHL, MEDLINE and Scopus, using the keywords health surveillance, cervix neoplasm prevention, and Papanicolaou test, in Portuguese, English and Spanish. We selected 341 articles, of which 33 met the inclusion criteria. In studies, the actions have been identified and grouped according to two main control practices of cervical cancer adopted in Brazil: primary prevention and secondary prevention, with emphasis on health promotion and prevention actions that contributed to the increased coverage of the cervical Pap smear.
TYMPANIC AND TEMPORAL THERMOMETRY IN HYPOTHERMIA ASSESSMENT FOR ADULT IN INTRAOPERATIVE ABDOMINAL SURGERY
Authors: Danczuk Rutes de Fatima Terres , Nascimento Eliane Regina Pereira do , Hermida Patrícia Madalena Vieira , Hagemann Luciana Bihain , Bertoncello Katia Cilene Godinho , Jung Walnice
Published: December 2016

ABSTRACT Objective: to analyze the association between sociodemographic, clinical, operative and environmental characteristics with hypothermia events, measured intraoperatively by tympanic and temporal thermometers in adult patients undergoing elective abdominal surgery with visceral exposure. Method: prospective quantitative, correlational, observational study. Data were collected by means of structured instrument containing the variables: age, Body Mass Index; American Society of Anesthesiologists class; type of anesthesia; time of surgery; tympanic and temporal temperature; temperature and relative humidity of the surgical room. Temperatures were assessed by methods of tympanic and temporal measurement in 63 patients. The data analysis sought an association between hypothermia and patient characteristics, type of anesthesia, surgical environment, according to the method of measurement and surgical time. Results: Among the 63 patients, 15 (23.8%) had hypothermia. Of the total (n=15; 100%) number of hypothermic patients, 13 (80%) had mild hypothermia. Moderate hypothermia was identified only by temporal thermometry in three (20%) patients. Severe hypothermia was not identified, and in two (13.3%) patients the hypothermia was identified only by temporal thermometry. Hypothermia had a statistically significant association only with age (p=0.0027) and sex (p=0.015), when measuring tympanic temperature. Conclusion: Only sex and age showed correlation with hypothermia during surgery measured by tympanic thermometry; no variable influenced hypothermia measured by temporal thermometry.
ENTRE GENEALOGÍAS FAMILIARES Y GENEALOGÍAS POLÍTICAS: JÓVENES EN UN PROCESO DE COMUNALIZACIÓN MAPUCHE EN ARGENTINA
Authors: Kropff Laura
Published: December 2016

Resumen A partir de una perspectiva teórica que entiende que edad y etnicidad constituyen clivajes complejamente entramados, en este artículo se aborda su incidencia en el proceso de comunalización de la comunidad mapuche Newen Ñuke Mapu (Río Negro, Argentina) y, específicamente, en el caso del lof Mariano Epulef que la integra. En ese contexto se analizan los modos en que la articulación generacional de los "jóvenes mapuche" en el presente produce sentido sobre -y es definida por- tanto la genealogía política del movimiento de fines del siglo XX como la genealogía familiar y comunitaria. Esto implica analizar la reelaboración política generacional que los "jóvenes" realizan de los discursos organizacionales mapuche a partir de su puesta en práctica en el proceso de articulación comunitaria rural.
CONSTRUYENDO LA VASQUIDAD: DE ESTÍMULOS, CONVIVENCIAS Y LÍMITES LINGÜÍSTICOS
Authors: Villalón Adriana María
Published: December 2016

Resumen Este artículo analiza prácticas de promoción del conocimiento y uso del euskera (lengua vasca) en el País Vasco, España, para mostrar la complejidad de formas en que un gobierno local, con ambiciones de estado, define límites y accesos al mundo euskaldun (vascohablante) y no euskaldun. Así, se describen interacciones y desencuentros entre el hacer institucional, que busca generar ciertas adhesiones lingüísticas, y las prácticas desplegados por la población local. Se muestra cómo se aplica a la práctica linguística la construcción de la convivencia, categoría que interpela otros ámbitos, como el escolar, las políticas migratorias y el actual proceso de paz vasco.
Endoscopic ultrasound in the diagnosis of foreign bodies of the colon and rectum
Authors: RODRIGUES FABIO GONTIJO , CAMPOS JOÃO BATISTA , SILVA GIOVANNA DA , WEXNER STEVEN D.
Published: December 2016

SUMMARY Although the ingestion of foreign bodies is a common clinical problem, severe complications such as perforation are rare and occur in less than 1% of cases. Different types of foreign bodies and the various affected regions within the gastrointestinal tract make foreign body ingestion a complex entity, with a wide range of presentation requiring different diagnostic modalities. We report two cases of patients who underwent endoscopic ultrasound for evaluation of sub-epithelial lesions consisting of foreign body granulomas in the colon and rectum. Colorectal foreign body granuloma is a rare complication after accidental ingestion. Endoscopic ultrasound can be a useful diagnostic tool and can avoid the need for more invasive procedures.
Giant scalp arteriovenous malformation
Authors: WORM PAULO VALDECI , RUSCHEL LEONARDO GILMONE , ROXO MARCELO ROSA , CAMELO RAFAEL
Published: December 2016

SUMMARY Arteriovenous malformations (AVMs) of the scalp are rare lesions. The clinical picture presents with complaints of increased scalp, scalp disfigurement, pain and neurological symptoms. Its origin can be congenital or traumatic. We present a case of giant scalp AVMs and its management, followed by a brief literature review on the subject. The diagnosis of scalp AVMs is based on physical examination and confirmed by internal and external carotid angiography or computed tomographic angiography (CTA). Surgical excision is especially effective in scalp AVMs, and is the most frequently used treatment modality.
Translation and validation of Hyperhidrosis Disease Severity Scale
Authors: VARELLA ANDREA YASBEK MONTEIRO , FUKUDA JULIANA MARIA , TEIVELIS MARCELO PASSOS , CAMPOS JOSÉ RIBAS MILANEZ DE , KAUFFMAN PAULO , CUCATO GABRIEL GRIZZO , PUECH-LEÃO PEDRO , WOLOSKER NELSON
Published: December 2016

SUMMARY Introduction The evaluation of patients with hyperhidrosis (HH) can be accomplished, among other ways, through questionnaires and scales. The Hyperhidrosis Disease Severity Scale (HDSS) has been used as a simple and quick tool to perform this evaluation. Although HDSS has been well established in several languages, it has not been translated into Portuguese, restricting its specific use for Brazilian patients. The aim of this study was to translate HDSS into Portuguese and validate it in a sample of Brazilian subjects. Method 290 Brazilian patients (69% women, with a mean age of 28.7±9.6 years and BMI 22.4±3.9 kg/m2) diagnosed with HH were evaluated using HDSS, Quality of Life Questionnaire (QLQ) and Sweating Evolution Questionnaire (SEQ) before and after a five-week oxybutynin treatment. Regarding validation, an association between HDSS results and two other questionnaires was performed. To analyze HDSS sensitivity, evaluation of effects pre- and post-treatment with oxybutynin was conducted. Furthermore, HDSS reproducibility was analyzed in a subsample in which the scale was applied again after 7 days of the first follow-up appointment. Results There was statistical correlation between HDSS and QLQ and between HDSS and SEQ before treatment and after 5 weeks. Additionally, HDSS was reproducible and sensitive to clinical changes after the treatment period. Conclusion The Portuguese version of HDSS has been validated and shown to be reproducible in a Brazilian sample. Therefore it can be used as a tool to improve medical assistance in patients with HH.
Health-related quality of life in Brazilian community-dwelling and institutionalized elderly: Comparison between genders
Authors: CUCATO GABRIEL GRIZZO , RITTI-DIAS RAPHAEL MENDES , CENDOROGLO MAYSA SEABRA , CARVALHO JOSÉ MARIA MALUF DE , NASRI FÁBIO , COSTA MARIA LUIZA MONTEIRO , MATOS LUCIANA DINIZ NAGEM JANOT DE , FRANCO FÁBIO GAZELATO DE MELLO
Published: December 2016

SUMMARY Objective To compare the health-related quality of life (HRQL) indicators between institutionalized and community-dwelling elderly men and women. Method This was a cross-sectional study with a sample of 496 elderly men and women, surveyed by researchers at a private hospital that attends institutionalized and community-dwelling elderly. HRQL (World Health Organization Quality of Life), daily living activities (Katz questionnaire), and instrumental daily living activities (Lawton questionnaire), mini-mental state examination, handgrip strength test, and function capacity (timed up and go test) were obtained. Results Institutionalized men presented higher scores in physical and psychological domains of HRQL compared to elderly men living alone (p<0.05). Among women, the scores in all domains (physical, psychological, relationship, and environment) were similar between institutionalized and community-dwelling individuals. Conclusion Institutionalized elderly men reported better scores in physical and psychological domains of HRQL compared to their community-dwelling pairs, while both institutionalized and community-dwelling elderly women presented similar HRQL.
Management of degenerative cervical myelopathy – An update
Authors: JOAQUIM ANDREI F. , GHIZONI ENRICO , TEDESCHI HELDER , HSU WELLINGTON K. , PATEL ALPESH A.
Published: December 2016

SUMMARY Introduction Degenerative cervical myelopathy (DCM) is the most common cause of spinal cord dysfunction in adult patients. Patients generally present with a slow, progressive neurological decline or a stepwise deterioration pattern. In this paper, we discuss the most important factors involved in the management of DCM, including a discussion about the surgical approaches. Method The authors performed an extensive review of the peer-reviewed literature addressing the aforementioned objectives. Results Although the diagnosis is clinical, magnetic resonance imaging (MRI) is the study of choice to confirm stenosis and also to exclude the differential diagnosis. The severity the clinical symptoms of DCM are evaluated by different scales, but the modified Japanese Orthopedic Association (mJOA) and the Nürick scale are probably the most commonly used. Spontaneous clinical improvement is rare and surgery is the main treatment form in an attempt to prevent further neurological deterioration and, potentially, to provide some improvement in symptoms and function. Anterior, posterior or combined cervical approaches are used to decompress the spinal cord, with adjunctive fusion being commonly performed. The choice of one approach over the other depends on patient characteristics (such as number of involved levels, site of compression, cervical alignment, previous surgeries, bone quality, presence of instability, among others) as well as surgeon preference and experience. Conclusion Spine surgeons must understand the advantages and disadvantages of all surgical techniques to choose the best procedure for their patients. Further comparative studies are necessary to establish the superiority of one approach over the other when multiple options are available.
Terapia complexa descongestiva no tratamento intensivo do linfedema: revisão sistemática
Authors: Paz Isabel de Almeida , Fréz Andersom Ricardo , Schiessl Larissa , Ribeiro Larissa Gulogurski , Preis Cássio , Guérios Lara
Published: December 2016

RESUMO O linfedema caracteriza-se por acúmulo de proteínas e fluídos no interstício, com alterações físicas e psicológicas. Entre as técnicas fisioterapêuticas utilizadas para redução do linfedema está a terapia complexa descongestiva. O objetivo desta revisão é identificar evidências para a prática da terapia complexa descongestiva no tratamento intensivo do linfedema. Realizou-se uma busca nas bases de dados PubMed, EMBASE e PEDro. Os artigos selecionados foram estudos randomizados e de coorte, os quais foram avaliados e selecionados de forma independente por dois revisores, que avaliaram a qualidade metodológica dos estudos com a escala PEDro. As buscas resultaram em 414 estudos, depois foram reduzidos a sete estudos elegíveis para análise de qualidade, classificados pela escala PEDro como qualidade alta e eficácia moderada. Os artigos analisados apresentaram boa qualidade metodológica, e seus resultados evidenciaram a efetividade da terapia complexa descongestiva na redução do volume do linfedema no tratamento intensivo.