bluuebunny/crossref_metadata_2025 huggingface dataset:
Recent advances in diagnostic approaches for sub-arachnoid hemorrhage
Authors: Kumar Ashish , Kato Yoko , Hayakawa Motoharu , Junpei ODA , Watabe Takeya , Imizu Shuei , Oguri Daikichi , Hirose Yuichi
Published: January 2012

Sub-arachnoid hemorrhage (SAH) has been easily one of the most debilitating neurosurgical entities as far as stroke related case mortality and morbidity rates are concerned. To date, it has case fatality rates ranging from 32-67%. Advances in the diagnostic accuracy of the available imaging methods have contributed significantly in reducing morbidity associated with this deadly disease. We currently have computed tomography angiography (CTA), magnetic resonance angiography (MRA) and the digital subtraction angiography (DSA) including three dimensional DSA as the mainstay diagnostic techniques. The non-invasive angiography in the form of CTA and MRA has evolved in the last decade as rapid, easily available, and economical means of diagnosing the cause of SAH. The role of three dimensional computed tomography angiography (3D-CTA) in management of aneurysms has been fairly acknowledged in the past. There have been numerous articles in the literature regarding its potential threat to the conventional "gold standard" DSA. The most recent addition has been the introduction of the fourth dimension to the established 3D-CT angiography (4D-CTA). At many centers, DSA is still treated as the first choice of investigation. Although, CT angiography still has some limitations, it can provide an unmatched multi-directional view of the aneurysmal morphology and its surroundings including relations with the skull base and blood vessels. We study the recent advances in the diagnostic approaches to SAH with special emphasis on 3D-CTA and 4D-CTA as the upcoming technologies.
Acute closed radial nerve injury
Authors: Tuncel Umut , Turan Aydin , Kostakoglu Naci
Published: January 2012

We present a 45-year-old patient who had acute radial nerve palsy following a blunt trauma without any fracture or dislocation. He was injured by strucking in a combat three months ago. The patient has been followed by application of a long-arm plaster cast before referred to our clinic. Preoperative electromyoneurography and magnetic resonance imaging (MRI) indicated that there was a radial nerve injury on humeral groove. The British Medical Research Council (MRC) grade was 2/5 on his wrist preoperatively. The patient underwent an operation under general anesthesia. It was seen to be a second-degree nerve injury. The patient has subsequently regained full movement on his wrist and finger extension in six months. We suggest that a detailed clinical and electrodiagnostical evaluation is necessary in patients who have radial nerve injury when deciding the treatment, conservative or surgical.
Intracranial metastasis of spinal intramedullary anaplastic astrocytoma
Authors: Kataria Rashim , Bhasme Vishal , Chopra Sanjeev , Sinha V , Singhvi Shashi
Published: January 2012

Meningeal spread of spinal intramedullary astrocytoma into the cranium is rare. Only few case reports are available so far in the literature. We report a case of intramedullary high grade astrocytoma of the conus, developing intracranial metastasis after three months of partial excision of the spinal mass. The need for radical surgery, entire neuroaxis radiation, and adjuvant chemotherapy is suggested in the management of malignant spinal cord astrocytoma to prevent dissemination.
Idiopathic hypertrophic cranial pachymenigitis - A long follow-up needed
Authors: Hashmi M , Gautam G , Sengupta P , Singh H , Haque N
Published: January 2012

Idiopathic hypertrophic cranial pachymenigitis is a rare clinical condition caused by localized or diffuse inflammatory thickening of dura matter. Described here is a person having diffuse thickening of dura matter of base of skull and he was on follow-up treatment for 5 years with us. Diagnosis was done by excluding other conditions and with biopsy. The patient responded to steroid and the MRI picture, which is given serially, shows improvement
Giant unusual shaped chronic subdural hematoma in a patient with untreated congenital hydrocephalus
Authors: Mishra Arvind , Ojha Bal , Chandra Anil , Srivastava Chhitij , Singh Sunil
Published: January 2012

Subdural hematoma is a well known complication of ventriculoperitoneal shunt insertion for hydrocephalus and usually spreads out over the cerebral convexity, and appears as a crescent shaped lesion on imaging. Chronic subdural hematoma in a case of untreated compensated congenital hydrocephalus has not been reported in English literature. We report the rare case of an adult with congenital hydrocephalus with a huge unusual shaped hemispheric subdural hematoma.
A Novel Approach for the Simultaneous Analysis of Common and Rare Variants in Complex Traits
Authors: Yuan Ao , Chen Guanjie , Zhou Yanxun , Bentley Amy , Rotimi Charles
Published: January 2012

Genome-wide association studies (GWAS) have been successful in detecting common genetic variants underlying common traits and diseases. Despite the GWAS success stories, the percent trait variance explained by GWAS signals, the so called “missing heritability” has been, at best, modest. Also, the predictive power of common variants identified by GWAS has not been encouraging. Given these observations along with the fact that the effects of rare variants are often, by design, unaccounted for by GWAS and the availability of sequence data, there is a growing need for robust analytic approaches to evaluate the contribution of rare variants to common complex diseases. Here we propose a new method that enables the simultaneous analysis of the association between rare and common variants in disease etiology. We refer to this method as SCARVA (simultaneous common and rare variants analysis). SCARVA is simple to use and is efficient. We used SCARVA to analyze two independent real datasets to identify rare and common variants underlying variation in obesity among participants in the Africa America Diabetes Mellitus (AADM) study and plasma triglyceride levels in the Dallas Heart Study (DHS). We found common and rare variants associated with both traits, consistent with published results.
Complete Pyriform Sinus Fistulas: Case Series and Review of Literature
Authors: Jaswal Abhishek
Published: January 2012

Pyriform sinus fistula belongs to the rarest group of cervical fistulae accounting for 3 to 10% of all branchial anomalies.1The first clinical and embryological studies were described in the early seventies by Sandborn and Tucker, but embryological knowledge in this field remains incomplete. Children and adults usually complaint of painful neck swelling accompanied by fever that is preceded by upper respiratory infection, otalgia and odynophagia. Neonates and infants may have respiratory distress, sometimes with stridor, due to tracheal compression by the abscess.1,5,6However, the most common mode of presentation is the recurrent episodes of acute thyroiditis. Eighty percent of patients with recurrent acute suppurative thyroiditis due to persistent pyriform sinus fistula present during the first decade of life. Making the distinction between third and fourth arch fistulas is difficult on clinical grounds alone and hence they are often collectively termed pyriform sinus fistula. Owing to the rarity of the condition and varied clinical presentation, diagnosis and ultimate management is often delayed leading to undue morbidity to the patient and professional frustration for the treating surgeon. We, hereby, present a case series of three classical cases of complete pyriform sinus fistulas with review of available literature in an attempt to clarify issues regarding presentation, diagnosis and management of this condition.
Giant Submandibular Sialolith: A Case Report and Review of Literature
Authors: Lokesh Babu KT , Jain Manoj Kumar
Published: January 2012

Sialolithiasis is the most common disease of salivary glands. Commonly, sialoliths measure from 5 to 10 mm in size and stones over 10 mm can be reported as sialoliths of unusual size. Giant sialoliths measuring more than 35 mm are extremely rare, with only around 17 cases published in the literature. We report an asymptomatic case of a sialolith in the submandibular duct measuring 62 × 20 mm and weighing 40 gm, highlighting the management aspects and also review the literature.
Dental Arch Dimensions in Subjects with Beta-thalassemia Major
Authors: Yassin Othman M
Published: January 2012

Aim

Thalassemia is a group of inherited hemoglobinopathies with thalassemia major representing the severe form of the disease characterized by craniofacial deformities. The aim of this study is to provide a detailed description of dental arch dimensions in subjects with thalassemia major.

Subjects and methods

The sample consisted of 43 thalassemic subjects, 24 males and19 females, aged 7.3 to 15.4 years (mean ± SD = 10.6 ± 3.5 years) and control group matched by age and sex. Dental casts of the participants were measured for arch lengths, arch widths, using a digital sliding caliper. Student t-test was used for comparison of mean values between males and females as well as between thalassemic and control groups.

Results

The results show that all means of maxillary and mandibular arch dimensions in thalassemic males and females were smaller than their controls, with 14 of the 16 comparisons being statistically significant (ranged from p < 0.05 to p < 0.001). The segmental arch lengths in the maxilla and mandible of thalassemic group were reduced by an average of 2.59 and 2.55 mm respectively, compared with the control group. The mean maxillary and mandibular arch depths (lengths) in the thalassemic group were shorter by 3.21 and 2.63 mm respectively, relative to the controls (p < 0.001). All arch widths thalassemic patients were significantly reduced by an average ranged from 1.33 to 1.90 mm in the maxilla and 1.37 to 1.77 mm in the mandible.

Conclusion

The present study showed that the maxillary and mandibular dental arches dimensions are significantly reduced in patients with thalassemia major compared with healthy control subjects.

Clinical significance

Changes in the size of dental arches and tooth dimensions in thalassemic patients have an impact on the occlusal relationships. These changes should be taken into account when planning orthodontic treatment and orthognathic surgery.

How to cite this article

Hattab FN, Yassin OM. Dental Arch Dimensions in Subjects with Beta-thalassemia Major. J Contemp Dent Pract 2011;12(6):429-433.
Comparison of Shear Bond Strength of Calcium-enriched Mixture Cement and Mineral Trioxide Aggregate to Composite Resin
Authors: Oskoee Siavash Savadi , Kimyai Soodabeh , Bahari Mahmoud , Motahari Paria , Eghbal Mohammad Jafar , Asgary Saeed
Published: January 2012

Aim

Adhesion of composite resin and pulp capping biomaterials remarkably influences treatment outcomes. This in vitro study aimed to compare the shear bond strength of composite resin to calcium enriched mixture (CEM) cement, mineral trioxide aggregate (MTA) and resin modified glass ionomer (RMGI) with or without acid etching.

Materials and methods

A total of 90 cylindrical acrylic blocks containing a central hole, measuring 4 mm diameter and 2 mm height were prepared. The blocks were randomly divided into three experimental groups based on being filled with CEM, MTA or RMGI. Samples in each group were then randomly divided into two subgroups, i.e. with or without phosphoric acid etching. Placing composite resin cylinders on the samples, shear bond strengths were measured using a universal testing machine. Failure modes of the samples were evaluated under a stereomicroscope. Data were analyzed using two-way ANOVA and Tukey tests.

Results

Shear bond strengths in the etched and nonetched samples were not significantly different (p = 0.60). There was a significant difference in shear bond strength values of the three experimental materials (p < 0.001) and RMGI showed the highest strength values (p < 0.001); no significant difference was observed between MTA and CEM (p = 0.51). The interaction of the type of material and surface etching was statistically significant (p < 0.001). All of the samples showed cohesive failure mode.

Conclusion

Acid etching of MTA, CEM and RMGI do not improve the shear bond strength of these materials to composite resin. Besides, shear bond strength values of MTA and CEM to composite resin, are favorable due to their cohesive mode of failure.

Clinical significance

When MTA and CEM biomaterials are used in vital pulp therapy, it is advisable to cover these materials with RMGI. In addition, if it is not possible to use RMGI, the surface etching of MTA and CEM biomaterials is not necessary prior to composite restoration using total-etch adhesive resin.

How to cite this article

Oskoee SS, Kimyai S, Bahari M, Motahari P, Eghbal MJ, Asgary S. Comparison of Shear Bond Strength of Calcium-enriched Mixture Cement and Mineral Trioxide Aggregate to Composite Resin. J Contemp Dent Pract 2011;12(6):457-462.
Management of Fractured Permanent Incisors: 1 Year Follow-up
Authors: Arslan Hakan , Barutcigil Çağatay , Aladağ Halit , Kürklü Duygu
Published: January 2012

This clinical report describes the treatment of a left maxillary permanent incisor that had a complicated crown-root fracture with multiple fragments and a right maxillary permanent incisor which had an uncomplicated crown fracture. The 17-year-old female patient was presented to Ataturk University's Dentistry Faculty with posttraumatic injuries. The treatment plan included fracture segment reattachment, composite laminate veneer of the left maxillary incisor and composite restoration of the right maxillary incisor. The restorations were successful after 1-year follow-up according to the modified USPHS criteria.

Clinical Significance

The treatment of anterior region's traumas in a single appointment would provide patient's expectation as well as preventive of remaining dental hard tissues.

How to cite this article

Arslan H, Barutcigil G, Alada™ H, Kürklü D. Management of Fractured Permanent Incisors: 1 year Follow-up. J Contemp Dent Pract 2011;12(6):501-505.
An Effective Technique to Posterior Resin Composite Restorations
Authors: Zavanelli Adriana Cristina , de Carvalho Dekon Stefan Fiuza , Pereira Leonardo Viana , Goiato Marcelo Coelho , Resende Cristina do Amparo , Santos Daniela Micheline dos
Published: January 2012

Aim

The aim of this study is to present a clinical case in which an occlusal matrix device was used in a patient who needed to restore a posterior tooth.

Material and methods

A direct duplicate occlusal appliance was used (biteperf) in a patient who needed an occlusal restoration in two posterior teeth.

Results

Using the matrix helps having fast and accurate reproduction of the original anatomical details of the occlusal surface. The final result surprised with the presented restoration in terms of esthetic quality, despite the simplicity of the technique.

Conclusion

Posterior teeth with initial lesions were confined to the occlusal surface of anatomically complex or fissured anatomy with or without signs of proximal caries wich are ideal candidates for this technique. The overlying enamel surface must be relatively intact; lesions of hidden or occult caries.

Clinical significance

The aesthetic and time-saving benefits of the occlusal device (biteperf) are immediately clear. The matrix allows the fast and accurate reproduction of the anatomic details of the original occlusal surface of the tooth. The professionals who lack an artistic penchant and marked manual ability will be able to carry out excellent posterior resin composite restorations.

How to cite this article

de Carvalho Dekon SF, Pereira LV, Zavanelli AC, Goiato MC, do Amparo Resende C, dos Santos DM. An Effective Technique to Posterior Resin Composite Restorations. J Contemp Dent Pract 2011;12(6):506-510.
An assessment of atmospheric mercury in the Community Multiscale Air Quality (CMAQ) model
Authors: Holloway T. , Voigt C. , Morton J. , Spak S. N. , Rutter A. P. , Schauer J. J.
Published: January 2012

Abstract. Quantitative analysis of three atmospheric mercury species – gaseous elemental mercury (Hg0), reactive gaseous mercury (RGHg) and particulate mercury (PHg) – has been limited to date by lack of ambient measurement data as well as by uncertainties in numerical models and emission inventories. This study employs the Community Multiscale Air Quality Model version 4.6 with mercury chemistry (CMAQ-Hg), to examine how local emissions, meteorology, atmospheric chemistry, and deposition affect mercury concentration and deposition the Great Lakes Region (GLR), and two sites in Wisconsin in particular: the rural Devil's Lake site and the urban Milwaukee site. Ambient mercury exhibits significant biases at both sites. Hg0 is too low in CMAQ-Hg, with the model showing a 6% low bias at the rural site and 36% low bias at the urban site. Reactive mercury (RHg = RGHg + PHg) is over-predicted by the model, with annual average biases >250%. Performance metrics for RHg are much worse than for mercury wet deposition, ozone (O3), nitrogen dioxide (NO2), or sulfur dioxide (SO2). Sensitivity simulations to isolate background inflow from regional emissions suggests that oxidation of imported Hg0 dominates model estimates of RHg at the rural study site (91% of base case value), and contributes 55% to the RHg at the urban site (local emissions contribute 45%). Limited evidence on the lifetime of RHg transported to the rural site suggests that modeled dry deposition rates are too high, possibly compensating for the erroneously high RHg values.
Quantification of gas-phase glyoxal and methylglyoxal via the Laser-Induced Phosphorescence of (methyl)GLyOxal Spectrometry (LIPGLOS) Method
Authors: Henry S. B. , Kammrath A. , Keutsch F. N.
Published: January 2012

Abstract. Glyoxal and methylglyoxal are key products of oxidative photochemistry in the lower troposphere. Reliable measurements of such compounds are critical for testing our understanding of volatile organic compound (VOC) processing in this region. We present a new method for obtaining sensitive, high time resolution, in situ measurements of these compounds via laser-induced phosphorescent decays. By exploiting the unique phosphorescent lifetimes for each molecule, this method achieves speciation and high-sensitivity quantification of both molecules. With two different light sources at different wavelengths, the lowest 3σ limits of detection observed during calibration with this method are 11 pptv in 5 min for glyoxal and 243 pptv in 5 min for methylglyoxal. During ambient measurements of glyoxal, a 3σ limit of detection of <4.4 pptv in 5 min was observed. Additionally, this method enables the simultaneous measurement of both glyoxal and methylglyoxal using a single, non-wavelength-tunable light source, which will allow for the development of inexpensive (~$40 k) and turnkey instrumentation. The simplicity and affordability of this new instrumentation would enable the construction of a long-term, spatially distributed database of these two key species. This chemical map can be used to constrain or drive regional or global models as well as provide verification of satellite observations.
Site selective real-time measurements of atmospheric N2O isotopomers by laser spectroscopy
Authors: Mohn J. , Tuzson B. , Manninen A. , Yoshida N. , Toyoda S. , Brand W. A. , Emmenegger L.
Published: January 2012

Abstract. We describe the first high precision real-time analysis of the N2O site-specific isotopic composition at ambient mixing ratios. Our technique is based on mid-infrared quantum cascade laser absorption spectroscopy (QCLAS) combined with an automated preconcentration unit. The QCLAS allows for simultaneous and specific analysis of the three main stable N2O isotopic species, 14N15N16O, 15N14N16O, 14N14N16O, and the respective site-specific relative isotope ratio differences δ15Nα and δ15Nβ. Continuous, stand-alone operation is achieved by using liquid nitrogen free N2O preconcentration, a quasi-room-temperature quantum cascade laser (QCL), quantitative sample transfer to the QCLAS, and an optimized calibration algorithm. The N2O site-specific isotopic composition (δ15Nα and δ15Nβ) can be analysed with a long term precision of 0.2‰. The potential of this analytical tool is illustrated by continuous N2O isotopomer measurements above a grassland plot over three weeks period, which allowed identification of microbial source and sink processes.
Topo-edaphic controls over woody plant biomass in South African savannas
Authors: Colgan M. S. , Asner G. P. , Levick S. R. , Martin R. E. , Chadwick O. A.
Published: January 2012

Abstract. The distribution of woody biomass in savannas reflects spatial patterns fundamental to ecosystem processes, such as water flow, competition, and herbivory, and is a key contributor to savanna ecosystem services, such as fuelwood supply. While total precipitation sets an upper bound on savanna woody biomass, the extent to which substrate and terrain constrain trees and shrubs below this maximum remains poorly understood, often occluded by local-scale disturbances such as fire and trampling. Here we investigate the role of hillslope topography and soil properties in controlling woody plant aboveground biomass (AGB) in Kruger National Park, South Africa. Large-area sampling with airborne Light Detection and Ranging (LiDAR) provided a means to average across local-scale disturbances, revealing an unexpectedly linear relationship between AGB and hillslope-position on basalts, where biomass levels were lowest on crests, and linearly increased toward streams (R2 = 0.91). The observed pattern was different on granite substrates, where AGB exhibited a strongly non-linear relationship with hillslope position: AGB was high on crests, decreased midslope, and then increased near stream channels (R2 = 0.87). Overall, we observed 5-to-8-fold lower AGB on clayey, basalt-derived soil than on granites, and we suggest this is due to herbivore-fire interactions rather than lower hydraulic conductivity or clay shrinkage/swelling, as previously hypothesized. By mapping AGB within and outside fire and herbivore exclosures, we found that basalt-derived soils support tenfold higher AGB in the absence of fire and herbivory, suggesting high clay content alone is not a~proximal limitation on AGB. Understanding how fire and herbivory contribute to AGB heterogeneity is critical to predicting future savanna carbon storage under a changing climate.
Assessing water reservoirs management and development in Northern Vietnam
Authors: Castelletti A. , Pianosi F. , Quach X. , Soncini-Sessa R.
Published: January 2012

Abstract. In many developing countries water is a key renewable resource to complement carbon-emitting energy production and support food security in the face of demand pressure from fast-growing industrial production and urbanization. To cope with undergoing changes, water resources development and management have to be reconsidered by enlarging their scope across sectors and adopting effective tools to analyze current and projected infrastructure potential and operation strategies. In this paper we use multi-objective deterministic and stochastic optimization to assess the current reservoir operation and planned capacity expansion in the Red River Basin (Northern Vietnam), and to evaluate the potential improvement by the adoption of a more sophisticated information system. To reach this goal we analyze the historical operation of the major controllable infrastructure in the basin, the HoaBinh reservoir on the Da River, explore re-operation options corresponding to different tradeoffs among the three main objectives (hydropower production, flood control and water supply), using multi-objective optimization techniques, namely Multi-Objective Genetic Algorithm. Finally, we assess the structural system potential and the need for capacity expansion by application of Deterministic Dynamic Programming. Results show that the current operation can only be relatively improved by advanced optimization techniques, while investment should be put into enlarging the system storage capacity and exploiting additional information to inform the operation.
Modifying a dynamic global vegetation model for simulating large spatial scale land surface water balance
Authors: Tang G. , Bartlein P. J.
Published: January 2012

Abstract. Water balance models of simple structure are easier to grasp and more clearly connect cause and effect than models of complex structure. Such models are essential for studying large spatial scale land surface water balance in the context of climate and land cover change, both natural and anthropogenic. This study aims to (i) develop a large spatial scale water balance model by modifying a dynamic global vegetation model (DGVM), and (ii) test the model's performance in simulating actual evapotranspiration (ET), soil moisture and surface runoff for the coterminous United States (US). Toward these ends, we first introduced development of the "LPJ-Hydrology" (LH) model by incorporating satellite-based land covers into the Lund-Potsdam-Jena (LPJ) DGVM instead of dynamically simulating them. We then ran LH using historical (1982–2006) climate data and satellite-based land covers at 2.5 arc-min grid cells. The simulated ET, soil moisture and surface runoff were compared to existing sets of observed or simulated data for the US. The results indicated that LH captures well the variation of monthly actual ET (R2 = 0.61, p < 0.01) in the Everglades of Florida over the years 1996–2001. The modeled monthly soil moisture for Illinois of the US agrees well (R2 = 0.79, p < 0.01) with the observed over the years 1984–2001. The modeled monthly stream flow for most 12 major rivers in the US is consistent R2 > 0.46, p < 0.01; Nash-Sutcliffe Coefficients >0.52) with observed values over the years 1982–2006, respectively. The modeled spatial patterns of annual ET and surface runoff are in accordance with previously published data. Compared to its predecessor, LH simulates better monthly stream flow in winter and early spring by incorporating effects of solar radiation on snowmelt. Overall, this study proves the feasibility of incorporating satellite-based land-covers into a DGVM for simulating large spatial scale land surface water balance. LH developed in this study should be a useful tool for studying effects of climate and land cover change on land surface hydrology at large spatial scales.
Use of contraceptive methods among nursing academic a private university in the municipality of Londrina.
Authors: Zani Adriana Valongo , Zava Rodrigo Celestino
Published: January 2012

Objective: to describe the academic knowledge of nursing in relation to the use of contraceptive methods. Methods: descriptive study from quantitative approach. The sample consisted of 200 academic students in nursing. The research was conducted during May-June 2008. For data collection was used a semi-structured in the form of a questionnaire, divided into two parts the first containing questions related to the characterization of academics and the second part related to the use of contraceptive methods the same. Results: after collecting and analyzing the results it was observed that the nursing scholars have known about the use of contraceptive methods. Among the academics interviewed 135 (67.5%) had their first sexual intercourse between 15 to 17 years of age. Since 107 (53.5%) used some method of contraception in sexual intercourse. However on the use of some form in their last sexual encounter 90 (45%) used and 92 (46%) not used. Conclusion: what we have to show that a significant number of nursing scholars have knowledge about the existence and use of contraceptive methods, but do not use in their sexual practices. Descriptors: contraception, nursing, academic, use.
Implicações bioéticas no agir do enfermeiro que presta assistência em saúde mental
Authors: Botti Nadja Cristiane Lappann , Araújo Vanessa Carvalho
Published: January 2012

ABSTRACTObjective: to analyze the understanding of nurses on care in the area of Mental Health and identify the association between bioethics and care in mental health. Methodology: qualitative research in the Psychosocial Care Center (CAPS III), located in the countryside of Minas Gerais state. Data were collected through interviews with four nurses from the CAPS III. The results were analyzed through the technique of the Discourse of the Collective Subject. The research project was approved of the Research Ethics Committee of the Catholic University of Minas Gerais (CAAE 0047.0.213.000-08). Results: the nurses’ role in mental health as it is hybrid and that requires different skills. Conclusion: there is the paradigm shift from the practice of nurses in mental health to still find itself in duality models of care to the sufferers of mental disorders. Descriptors: bioethics; mental health; nursing; mental health service.RESUMOObjetivos: analisar a compreensão do enfermeiro em relação a cuidado na área da Saúde Mental e identificar a associação entre Bioética e cuidado no campo da Saúde Mental. Metodologia: pesquisa qualitativa no Centro de Atenção Psicossocial (CAPS III) do interior de Minas Gerais. Os dados foram coletados através de entrevistas com quatro enfermeiros do CAPS III. Os resultados foram analisados pela técnica do Discurso do Sujeito Coletivo. O projeto de pesquisa foi aprovado pelo Comitê de Ética da Universidade Católica de Minas Gerais (CAAE 0047.0.213.000-08). Resultados: a atuação do enfermeiro no campo da Saúde Mental se revela como híbrida e diferenciada que exige capacitação. Conclusão: verifica-se transição paradigmática da prática dos enfermeiros no campo da Saúde Mental por ainda encontrar-se dualidade de modelos no cuidado ao portador de sofrimento mental. Descritores: bioética; saúde mental; enfermagem; serviço saúde mental.RESUMENObjetivo: analizar la comprensión de los enfermeros en la atención en el área de Salud Mental y determinar la asociación entre la bioética y los cuidados en salud mental. Metodología: se realizó una investigación cualitativa en el Centro de Atención Psicosocial (CAPS III), en el interior de Minas Gerais. Los datos fueron recolectados a través de entrevistas con cuatro enfermeras de los CAPS III. Los resultados fueron analizados por la técnica del Discurso del Sujeto Colectivo. El estudio fue aprobado por el Comité de Ética de la Universidad Católica de Minas Gerais (CAAE 0047.0.213.000-08). Resultados: el papel del personal de enfermería en salud mental, ya que es híbrido y que requiere de diferentes habilidades. Conclusión: Es el cambio de paradigma de la práctica de enfermería en salud mental para encontrar todavía en la dualidad de modelos de atención al portador de sufrimiento mental. Descriptores: bioética; salud mental; enfermería; servicio de salud mental.
Stress ocupacional entre enfermeiros que atuam em unidade de hemodinâmica: nota prévia
Authors: Linch Graciele Fernanda da Costa , Guido Laura De Azevedo
Published: January 2012

ABSTRACTObjective: to values the relation cause-effect between the stress and the symptoms presented by the nurses who act in Unities of Hemodynamic of the Rio Grande do Sul. Method: the data will be collected by a bit a questionnaire for the identification of the nurses and of some aspects made a list to his work (it leaves I); instrument composed by two scales type Likert (Scale of Estressores and Scale of symptoms presented by the nurses) and questions on social habits (part II). Results expected: for the analysis of the data there will be used the program SPSS (Statistical Package will be the Social Sciences), being that the results will be considered statistically significant if p
Avaliação e prevenção da integridade da pele em pacientes internados em terapia intensiva. Estudo retrospectivo
Authors: Correia Dayse Mary da Silva , Oliveira Beatriz Guitton Renaud Batista
Published: January 2012

ABSTRACTObjective: to realize a study on the skin integrity inpatients staying in an Intensive Care Unit of the Vital Hospital in Rio de Janeiro. Method: a retrospective and documental research with quantitative approach. The population will comprise 300 patients hospitalized during the period September/2002 to December/2004. It will be used an instrument as a guide to patient’s medical register, aiming: to identify the patient profile; the evaluation of cutaneous integrity; to use effective measures of prevention and treatment during the period; and clinical evolution. This is a research study approved by the Research Ethical Committee of the Medicine School of the Federal Fluminense University, registered under the nr. 136/08, dated 17/10/2008. Results expected: to contribute to increase knowledge related to patients with factors which may cause the development of pressure ulcer. Descriptors: pressure ulcer; nursing; intensive care unit.RESUMOObjetivo: realizar um estudo acerca da integridade da pele em pacientes internados na unidade de terapia intensiva do Hospital Vital no município do Rio de Janeiro, RJ. Método: estudo retrospectivo, documental, de abordagem quantitativa. A população será composta de 300 pacientes internados no período de 2002 à dezembro de 2004. Será aplicado um instrumento para consulta ao prontuário dos pacientes, visando: identificação do perfil, avaliação da integridade cutânea na admissão e alta, ações de prevenção e tratamento no período, e evolução clínica. O presente estudo é um projeto de pesquisa que está aprovado no Comitê de Ética da Faculdade de Medicina da Universidade Federal Fluminense, sob o nº 136/08 de 17/10/08. Resultados esperados: contribuir para produção de conhecimento junto à pacientes com fatores de risco ao desenvolvimento de úlceras de pressão. Descritores: úlcera de pressão; enfermagem; unidades de terapia intensiva.RESUMENObjetivo: realizar un estudio a cerca de la integridad cutánea en pacientes hospitalizados en Unidad de Terapia Intensiva del Hospital Vital en Rio de Janeiro. Método: Estudio retrospectivo, documental con un abordaje cuantitativo. La población será formada por 300 pacientes internados en el periodo Septiembre/2002 – Diciembre/2004. Será utilizado un instrumento para consulta al prontuario de los pacientes, objetivando: identificar el perfil del paciente, evaluación de la integridad cutánea, medidas de prevención y tratamiento en el periodo y evolución clínica. Este estudio es un proyecto de investigación aprobado por el Comité de Ética de  Escuela de Medicina de la Universidad Federal Fluminense, bajo el número 136/08, de 17/10/2008. Resultados esperados: contribuir para aumentar los conocimientos sobre pacientes con factores que pueden ocasionar el aparecimiento de úlceras de presión. Descriptores : úlcera por presión; enfermería; unidades de terapia intensiva.
Ergonomia em ambiente pré-hospitalar: fator de risco à saúde do trabalhador no serviço de atendimento móvel de urgência
Authors: Santos Júnior Bartolomeu José dos , Silveira Cibele De Lima Souza , Araújo Ednaldo Cavalcante de
Published: January 2012

ABSTRACTObjective: to examine the working conditions and ergonomics for health workers in the Service of Mobile Emergency Attendance (SMEA)/Recife, Pernambuco, Brazil. Method: this about a descriptive study, cross-sectional, from quantitative approach. The population is composed by the nursing staff and the sample will be defined according the following eligibility criteria: 1) all employees of the nursing team involved in Service of Mobile Emergency Attendance (SMEA)/Recife, Pernambuco, Brazil; 2) to be both gender; 3) all the workers with experience at least one year of work in that institution. It will applied the standard questionnaire checklist for data collection. Expected results: to contribute to further studies can be made to the understanding of relations between labor and health-disease process. Descriptors: ergonomics; risk factor; occupational health; nursing.RESUMOObjetivo: analisar as condições de trabalho e a ergonomia como fatores de risco à saúde dos trabalhadores do Serviço de Atendimento Móvel de Urgência ― SAMU/Recife, PE. Método: estudo descritivo e exploratório, transversal, de abordagem quantitativa. A população será composta pela equipe de enfermagem e a amostra será definida após atendimento dos seguintes critérios de elegibilidade: 1) todos os trabalhadores da equipe de enfermagem envolvidos no Serviço de Atendimento Móvel de Urgência ― SAMU/Recife, PE; 2) ser de ambos os sexos; 3) pelo menos um ano de experiência de trabalho na referida instituição. Será aplicado questionário do tipo checklist, para a coleta de dados. Resultados esperados: contribuir para que novos estudos possam ser realizados visando à compreensão das relações entre o trabalho e o processo saúde-doença. Descritores: ergonomia; fator de risco; saúde do trabalhador; enfermagem.RESUMENObjetivo: examinar las condiciones de trabajo y la ergonomía para los trabajadores de la salud en el Servicio Móvil de Asistencia de Emergencia (SAMU)/Recife, Pernambuco, Brasil. Método: se trata de un estudio descriptivo, transversal, de enfoque cuantitativo. La población está compuesta por el personal de enfermería y la muestra se define según los siguientes criterios de elegibilidad: 1) todos los empleados del equipo de enfermería que participan en el Servicio Móvil de Asistencia de Emergencia (SAMU)/Recife, Pernambuco, Brasil, 2) del gênero masculino y feminino; 3) todos con experiencia de al menos un año de trabajo en esa institución. Se aplicó el cuestionario estándar lista para la recolección de datos. Resultados esperados: contribuir a nuevos estudios se pueden hacer a la comprensión de las relaciones entre el trabajo y proceso salud-enfermedad. Descritores: ergonomía; factor de riesgo; salud laboral; enfermería.
Diagnósticos de enfermagem para pacientes com toxicidade hematológica pós-quimioterapia antineoplásica com base na CIPE®
Authors: Abrantes Marisaulina Wanderley , Araújo Angela Amorim de , Nóbrega Maria Miriam Lima da
Published: January 2012

Objective: to compose affirmative the nursing diagnosis, based on ICNP® Version 1.0, for patients with hematological toxicity after antineoplastic chemotherapy. Methodology: a descriptive exploratory study developed from identification of priorities in terms of ICNP®, for the construction of affirmative the nursing diagnosis for patients with haematological toxicity after antineoplastic chemotherapy, using the construction of affirmative criterion provided by International Council of Nurses and in accordance with ISO 18.104. Results: since the terms were constructed eleven affirmative the nursing diagnosis: Immunologic impairment process; Fever; Dyspnea; Impaired skin integrity; Fading; Inability to perform self-care in hospitalization or in domicile; Risk for infection; Risk for septic shock; Risk for hemorrhaging process; Risk for trauma; Risk for non adherence to treatment. Conclusion: conclude that the results of the study demonstrated the service to the proposed objective and it is expected that these diagnoses nursing care applied in patients with haematological toxicity after antineoplastic chemotherapy is possible to achieve an effective assistance to this clientele. Descriptors: nursing, nursing diagnosis, chemotherapy, neoplasm, classification, practice nursing.
Fatores que interferem na realização do cateterismo vesical intermitente limpo em crianças com mielomeningocele
Authors: Costa Juliana Neves da , Silva Gelson Aguiar da , Carvalho Zuíla Maria De Figueiredo , Almeida Paulo Cesar de
Published: January 2012

Objectives: to analyze the factors that interfere with the procedure of catheterization in children with neurogenic bladder, secondary to myelomeningocele. Methods: this is about a descriptive and exploratory study. 55 caregiver of infants with myelomeningocele linked to a children’s hospital in Fortaleza, Ceará, Brazil were participants in the research. They were chosen according to inclusion criteria: to be the caregiver of infants, preschool, school-age children; to be the caregiver who performs assisted catheterization more than 50% of the time during the day; to be a resident of the city of Fortaleza; and to have previously participated in a children’s rehabilitation program. The study was approved by the Committee of Ethics in Research of the Albert Sabin Hospital, under number 52/06. Results: certain factors positively affect the catheterization procedure: age of the child; caregiver with no occupation outside the home; receipt of the benefit of continued income; receipt of catheterization materials from the city or state government, among others. Conclusions: variables that positively affect the catheterization procedure outnumbered those that affect it negatively. The findings are of the utmost importance, given that they allow the inference that adhering to catheterization is facilitated by the presence of such factors. Descriptors: neurogenic urinary bladder; catheterization; caregivers; urinary incontinence; meningomyelocele.
Perfil socioeconômico e de saúde dos idosos participantes de um grupo de convivência
Authors: Celich Kátia Lilian Sedrez , Da Silva Rosangela Buzatto , De Souza Sáskia Miriam Sedrez
Published: January 2012

Objective: to investigate the socialeconomic and healthy profile of elderly people participating in Conviver - a social group for elderly in Estação city, Rio Grande do Sul State, Brazil. Methodology: this is a transversal cohort study, with 51 elderly people. Data were collected using part of an instrument used in a multidimensional research of life condition of elderly in the state of Rio Grande do Sul, developed by State Counseling of Elderly in 1995/1996. Data were analyzed using descriptive statistics and discussion was based on literature. This study has been approved by the Ethics Committee of the Universidade Regional Integrada do Alto Uruguai e das Missões - Campus de Erechim/RS (127/PGH/07). Results: the participants of this study were age 65 to 70 years old, mostly females sex, married, with low school level and low income. Most of them were retired and live with up to two wages monthly. Conclusion: because they participate in this group, they may face the process of aging as a tranquil and healthier period, living with other elderly, exchanging experiences, having physical and leisure activities. It is notorious it is necessary to invest in public policies - gender and social class - focusing the elderly is his biological, emotional, social, environmental and cultural dimension. Descriptors: aged; aging; social group; health.
Modelo para estimativa de custos educacionais totais do curso de enfermagem da universidade estadual de Londrina, Paraná, Brasil
Authors: Bobroff Maria Cristina Cescatto , Gordan Pedro Alejandro , Garanhani Mara Lúcia
Published: January 2012

Objectives: to present the model cost for estimate the educational costs of the integrated curriculum of a nursing course. Methodology: the Model to Estimate the Educational Nursing Program Costs (MECEE) was based on a construction program and was set in a diagram. There were also presented the similarities and differences between the two models. This study has been approved by the Ethics Committee of the University Hospital (253/04). Results: some similarities between the two models were: dealing with the educational program characteristics and particularities, collecting data on educator contact hour unity (direct costs), identifying full time equivalent faculties and supporting costs activities (indirect costs). Among the differences the pattern model was described in 12 steps and the constructed model MECEE in six. Conclusion: the MECEE allows the understanding of faculty working hours and contact hours during educational year, and the faculties and departments participation in the educational program. The MECEE has some advantages comparing to other models regarding scientific international literature such as bringing the educational administrator the diagnosis and evaluation of existing programs’ costs mainly on innovative curriculum cases. Descriptors: curriculum; costs; cost analysis; higher education.
Humanização do parto: avanços e dificuldades para sua implantação
Authors: Almeida Samira Maria Oliveira , Silveira Maria De Fátima
Published: January 2012

Objective: to identify the advances and difficulties in implementation and practice of humanization of parturition. Methodology: the study was conducted in a qualitative approach, and its sample was composed of 13 professionals directly involved with the care. Data were collected through semi-structured interview guide and observation from the participants. Processing of data, using the content analysis ― themes analysis. Results: advances in the process of humanization are considered least in comparison to the difficulties raised by the interviewees. The study has been approved by the Committee of Ethics in Research of the University of Paraiba State (CAAE – 0724.0.000.133-06). The resistance of professionals, the limited of the vacancies, high demand, accompanied by the small number of professionals, are the factors considered most difficult in the practice of humanization. Conclusion: the results show that the factors related to the difficulties and advances in humanization depend largely on professionalism and ethics on the attitude of managers and health professionals involved with care delivery, so that together can overcome the obstacles that put forward to humanized care in all its dimensions. Descriptors: women's health, parturition, humanization.
Conhecimento, atitudes e crenças de mulheres ribeirinhas frente à concepção e contracepção
Authors: Da Silva Raquel Faria , Da Silva Leila Rangel
Published: January 2012

Objective: to describe the knowledge and attitudes of the riverside women from Vila Nova Maringá, Amazonas, regards to conception and contraception. Methods: this is about an exploratory and descriptive study, from qualitative boarding, in the Vila Nova Maringá riverside community, in Maués city, Amazonas, from July to August 2008. Participated of these study 15 riverside women above eighteen old years. Data were collected through interviews with semi-structured script. After transcribing the data, was chosen the content analysis (thematic analysis), giving support to the qualitative research of the interviewees’ speech. The study has been approved by the Committee of Ethics in Research of the São Francisco de Assis College of the University Federal of Rio de Janeiro (54/2008). Results: still the women suggested ideal age to be a mother is between eighteen and twenty years old, the majority experienced the pregnancy in the adolescence, with family conflicts. Concerning to conception and contraception the women majority know and act influenced by the simply popular knowledge. Conclusion: to take care of these women is necessary associate the popular knowledge to scientific knowledge, enabling the women to exercise the justice to sexuality exercise released of the procreation. Descriptors: nursing, culture, reproduction, women health.
Estratégias de prevenção da gravidez na adolescência na ótica de mulheres adolescentes que já vivenciaram uma gravidez
Authors: Borges Ana Luiza Vilela , Silva Teresinha Pereira e
Published: January 2012

Objective: to know the opinion of female adolescents who have become pregnant and were enrolled in a Health Agents Program in Osasco city, São Paulo, Brazil, about strategies used in the public health field in order to reduce teenage pregnancy in the community they live. Methods: descriptive and qualitative study using focal group conducted by a semi-structured script with four adolescents from Osasco city in March 2009. The study has been approved by the Committee of Ethics in Research of the University of São Paulo (764/2009).  Results: the four participants mentioned both positive and negative aspects of becoming pregnant in adolescence and stated they were aware of how to avoid pregnancy, although they did not keep conversations about contraceptive choices with theirs partners. Health services were merely seen as a place for contraceptive methods distribution. Conclusion: adolescents mentioned fragile bond with the health services and did not recognize them as partners for promoting their sexual and reproduction health. Descriptors: pregnancy in adolescence; health centers; sexual and reproductive health.