bluuebunny/crossref_metadata_2025 huggingface dataset:
El discurso sobre el emprendimiento de la mujer desde una perspectiva de género / The discourse on entrepreneurship of women from a gender perspective
Authors: Ortiz García Pilar
Published: September 2017

Este trabajo profundiza en los factores que intervienen en la determinación a emprender, en concreto, en la iniciativa emprendedora de la mujer. También pretende detectar los elementos susceptibles de limitar dicha iniciativa. Por último, se indaga en las diferencias de este hecho con respecto a sus homólogos varones. La perspectiva de género posibilita desvelar a través del discurso los roles asignados a la emprendedora en su condición de mujer. Para cumplir este propósito se ha utilizado una metodología cualitativa basada en el análisis de discurso de 10 entrevistas en profundidad a emprendedores de ambos sexos. El análisis de estas entrevistas ha permitido establecer un conjunto de conclusiones sobre la percepción del emprendimiento desde la perspectiva de la mujer empresaria en España. La perspectiva de género permite observar las diferencias en el discurso de hombres y mujeres como reflejo de una posición diferente respecto a la actividad económica. En consecuencia, con esta posición, los resultados del análisis de discurso destacan la importancia del apoyo social y la formación integral para la creación de una cultura que promueva y visibilice el papel de la mujer emprendedora en un ámbito como el económico, todavía masculinizado.
Agents and commodities: a response to Brughmans and Poblome (2016) on modelling the Roman economy
Authors: Van Oyen Astrid
Published: September 2017

This article responds directly to Brughmans and Poblome's (2016a) recent application of agent-based modelling to explore the relative integration of the Roman economy. The response will not only be of relevance to debates about the Roman economy, for it also asks critical questions about the use of formal modelling to interpret archaeological data. In posing open-ended questions rather than presenting definitive answers, it seeks to broaden and fuel discussion in a spirit of constructive critique.
‘Forest Moss’: no part of the European Neanderthal diet
Authors: Dickson James H. , Oeggl Klaus , Stanton Daniel
Published: September 2017

In recent years, the study of Palaeolithic people has been a vigorous, productive topic, with the increasing knowledge of diet contributing significantly to the debate's liveliness (e.g. Richards 2009; Henry et al. 2010; Hardy et al. 2012, 2016; El Zaatari et al. 2016).
The origins of metallurgy in China
Authors: Meicun Lin , Liu Xiang
Published: September 2017

Archaeologists worldwide have shown much interest in the origins of metallurgy in China (e.g. Mei 2005; Hanks et al. 2007; Parzinger 2011; Fan et al. 2012). Around 2200–1700 BC, the Seima-Turbino Culture originated in the Altai Mountains of Central Asia and spread across the Eurasian steppes (Chernykh 2004, 2008). The most iconic artefact of this culture is the socketed spearhead with single side hook; these have been found across the Eurasian steppes (Figure 1: 1–2). Two new observations of these spearheads suggest that Seima-Turbino metal-casting technology was responsible for the development of metallurgy in China.
Impact of Exercise-Induced Muscle Damage on Performance Test Outcomes in Elite Female Basketball Players
Authors: Doma Kenji , Leicht Anthony , Sinclair Wade , Schumann Moritz , Damas Felipe , Burt Dean , Woods Carl
Published: September 2017

Doma, K, Leicht, A, Sinclair, W, Schumann, M, Damas, F, Burt, D, and Woods, C. Impact of exercise-induced muscle damage on performance test outcomes in elite female basketball players. J Strength Cond Res 32(6): 1731–1738, 2018—The purpose of this study was 2-fold: first, to examine the impact of exercise-induced muscle damage (EIMD) on physical fitness qualities after a basketball-specific training session; second, to determine the reproducibility of the sport-specific performance measures in elite female basketball players. Ten elite female basketball players (age 25.6 ± 4.5 years; height 1.8 ± 0.7 m; and body mass 76.7 ± 8.3 kg) undertook a 90-minute training session involving repeated jumping, sprinting, and game-simulated training. Indirect muscle damage markers (i.e., countermovement jump, delayed onset of muscle soreness [DOMS], and creatine kinase [CK]) and sport-specific performances (i.e., change-of-direction [COD] test and suicide test [ST]) were measured before and 24 hours after training. These measures were also collected 1 week after training to determine the reproducibility of the basketball-specific performance measures. A significant reduction in lower-body power (−3.5 ± 3.6%; p ≤ 0.05), while a significant increase in DOMS (46.7 ± 26.3%; p ≤ 0.05) and CK (57.6 ± 23.1%; p ≤ 0.05) was observed 24 hours after exercise. The ST was also significantly increased (2.1 ± 1.8%; p ≤ 0.05), although no difference was observed for COD (0.1 ± 2.0%; p > 0.05). The intraclass correlation coefficient and coefficient of variation for the COD and ST were 0.81 and 0.90, respectively, and 1.9 and 1.5%, respectively. In conclusion, appropriate recovery should be considered the day after basketball-specific training sessions in elite basketball players. Furthermore, this study showed the usability of performance measures to detect changes during periods of EIMD, with acceptable reproducibility and minimal measurement error.
Case Study: Sleep and Injury in Elite Soccer—A Mixed Method Approach
Authors: Nédélec Mathieu , Leduc Cédric , Dawson Brian , Guilhem Gaël , Dupont Grégory
Published: September 2017

Nédélec, M, Leduc, C, Dawson, B, Guilhem, G, and Dupont, G. Case study: sleep and injury in elite soccer. A mixed method approach. J Strength Cond Res 33(11): 3085–3091, 2019—This case study allowed an examination of the link between sleep and injury occurrence in an elite male soccer player competing in French League 1 and Union of European Football Associations matches. During 4 months, a mixed method approach was used, combining actigraphic sleep assessment with qualitative interviews on a daily basis. Three injuries were reported over the study period. Sleep onset latency (SOL), both in the single night (117 ± 43 minutes) and in the week (78 ± 50 minutes) before injury occurrence, was longer than preseason baseline values (18 ± 13 minutes; effect size (ES): 3.1 and 1.6, respectively). Similarly, sleep efficiency in the single night (73 ± 7%) and the week (75 ± 7%) before injury occurrence was lower than baseline (90 ± 3%; ES: 3.2 and 2.8, respectively). In this case study, SOL and efficiency were altered on the night and in the week before injury occurrence. Individualized assessment of sleep during congested playing schedules may be useful to aid in preventing injury occurrence.
Salivary alpha amylase in on-call from home fire and emergency service personnel
Authors: Hall Sarah J , Aisbett Brad , Robertson Samuel J , Ferguson Sally A , Turner Anne I
Published: September 2017

The effect of working on-call from home on the sympatho-adrenal medullary system activity is currently unknown. This study had two aims, Aim 1: examine salivary alpha amylase awakening response (AAR) and diurnal salivary alpha amylase (sAA) profile in fire and emergency service workers who operate on-call from home following a night on-call with a call (NIGHT-CALL), a night on-call without a call (NO-CALL) and an off-call night (OFF-CALL), and Aim 2: explore whether there was an anticipatory effect of working on-call from home (ON) compared to when there was an off-call (OFF) on the diurnal sAA profile. Participants wore activity monitors, completed sleep and work diaries and collected seven saliva samples a day for one week. AAR area under the curve with respect to ground (AUCG), AAR area under the curve with respect to increase (AUCI), AAR reactivity, diurnal sAA slope, diurnal sAA AUCG and mean 12-h sAA concentrations were calculated. Separate generalised estimating equation models were constructed for each variable of interest for each aim. For Aim 1, there were no differences between NIGHT-CALL or NO-CALL and OFF-CALL for any response variable. For Aim 2, there was no difference between any response variable of interest when ON the following night compared to when OFF the following night (n = 14). These findings suggest that there is no effect of working on-call from home on sAA, but should be interpreted with caution, as overnight data were not collected. Future research, using overnight heart rate monitoring, could help confirm these findings.
Hepatorenal syndrome: role of the transjugular intrahepatic stent shunt in real life practice
Authors: Testino Gianni
Published: September 2017

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Cytokine profile indicators in rat blood serum in a model of esophagus burn induced by antioxidant chemical preparation
Authors: Raetska Ya. B. , Chornenka N. M. , Koval T. V . , Savchuk O. M , Beregova T. V , Ostapchenko L. I.
Published: September 2017

Background: According to modern concepts of burn disease development, one of the main burn complications is inflammation occurrence. Despite the large number of drugs used to treat the effects of chemical burns of the esophagus, we find conflicting information in the literature about their effectiveness. Moreover the problem of burn wound healing process quickening, as well as the prevention measures against possible post burn complications are really relevant if we aim to subjective portability of rehabilitation period facilitation.

Methods: Study the immune system cytokine levels in immature rat blood serum under the simulation of 1 and 2 degree esophageal chemical burns in case of melanin administration as a drug. Was estimated ELISA using sets of reagents and instructions from Biotrack ELISA System company «Healthcare».

Results: The significant increase of pro-inflammatory cytokines (PC) was shown mostly on day 7 of the experiment, which reflects the activity and severity of the disease process. In terms of further research the level of pro-inflammatory PC can be multidirectional. The significant decrease of anti-inflammatory cytokines amount was found under conditions of AEB at 15th and 21st days. At 1st and 2nd degree ABE the observed changes were multidirectional. Melanin administration resulted in the fast decrease of blood levels of all cytokines in our experiment to the values close to normal in conditions of esophagus chemical burn progress.

Conclusion: Therefore, it was shown that some factors have the ability of changing the levels of pro inflammatory and anti-inflammatory cytokines in the models 1st and 2nd degree ABE and AEB in immature rats. The obtained data showed, that 1st degree ABE progressed without septic complications. In the models of 2nd degree ABE and AEB, the risk of poly organic failure remains. Melanin administration resulted in the fast decrease of blood levels of all cytokines in our experiment to the values close to normal in conditions of esophagus chemical burn progress.

Peer Review Details

Peer review method: Single-Blind (Peer-reviewers: 02) Peer-review policy

Plagiarism software screening?: Yes

Date of Original Submission: 13 July 2017

Date accepted: 05 Sept 2017

Peer reviewers approved by: Dr. Lili Hami

Editor who approved publication: Dr. Phuc Van Pham
The incidence and mortality of esophageal cancer and its relationship with development in the world
Authors: Hassanipour Soheil , Mohammadian-Hafshejani Abdollah , Ghoncheh Mahshid , Salehiniya Hamid
Published: September 2017

Introduction: Understanding the epidemiology of Esophageal Cancer (EC) seems to be essential in order to plan and control it. The aim of this study was to investigate the incidence and mortality rate of EC and its relationship with the worldwide Human Development Index (HDI) of 2012.

Methods: This study was an ecological study which assessed the correlation of age-standardized incidence rate (ASIR) and age-standardized mortality rate (ASMR) of EC with HDI and its components. ASIR and ASMR data for EC were extracted from the global cancer project for the year 2012. Statistical analyses were performed by SPSS 16.

Results: From EC were recorded worldwide in 2012, there was a total of 455,784 incidents of EC (70.86% males and 29.14% females; ratio of males to females was 2.43:1) and 400,169 mortalities (70.27% males and 29.73% females; ratio of males to females was 2.36:1). The correlation between HDI and SIR was -0.121 (p=0.105); with -0.061 (p=0.415) for men and -0.190 (p=0.010) for women. Moreover, the correlation between HDI and SMR was -0.156 (p=0.036), with -0.101 (p=0.180) for men and -0.218 (p=0.003) for women.

Conclusion: The incidence and mortality rates from EC is higher in less developed or developing countries. No statistically significant correlation was seen between the standardized mortality or incidence rates of EC and the 2012 HDI. 

Peer Review Details

Peer review method: Single-Blind (Peer-reviewers: 02) Peer-review policy

Plagiarism software screening?: Yes

Date of Original Submission: 10 August 2017

Date accepted: 06 Sept 2017

Peer reviewers approved by: Dr. Lili Hami

Editor who approved publication: Dr. Phuc Van Pham
Partnerships for Global Child Health
Authors: Steenhoff Andrew P. , Crouse Heather L. , Lukolyo Heather , Larson Charles P. , Howard Cynthia , Mazhani Loeto , Pak-Gorstein Suzinne , Niescierenko Michelle L. , Musoke Philippa , Marshall Roseda , Soto Miguel A. , Butteris Sabrina M. , Batra Maneesh ,   on behalf of the GH Task Force of the American Board of Pediatrics
Published: September 2017

Child mortality remains a global health challenge and has resulted in demand for expanding the global child health (GCH) workforce over the last 3 decades. Institutional partnerships are the cornerstone of sustainable education, research, clinical service, and advocacy for GCH. When successful, partnerships can become self-sustaining and support development of much-needed training programs in resource-constrained settings. Conversely, poorly conceptualized, constructed, or maintained partnerships may inadvertently contribute to the deterioration of health systems. In this comprehensive, literature-based, expert consensus review we present a definition of partnerships for GCH, review their genesis, evolution, and scope, describe participating organizations, and highlight benefits and challenges associated with GCH partnerships. Additionally, we suggest a framework for applying sound ethical and public health principles for GCH that includes 7 guiding principles and 4 core practices along with a structure for evaluating GCH partnerships. Finally, we highlight current knowledge gaps to stimulate further work in these areas. With awareness of the potential benefits and challenges of GCH partnerships, as well as shared dedication to guiding principles and core practices, GCH partnerships hold vast potential to positively impact child health.
Evaluación integral de “Puente de Piedra”, Grecia, Costa Rica y su potencial turístico
Authors: Ruiz Paulo , Suárez Carolina
Published: September 2017

El Puente de Piedra es una estructura ubicada en el flanco suroeste del volcán Poás, fue formada por procesos de erosión diferencial en rocas volcánicas (depósitos ignimbríticos) que han estado activos por miles de años, en el río Poró. Su importancia radica en que fue declarado patrimonio natural de Costa Rica el 21 de abril de 1994, bajo el decreto número 23 1111- 06, y que por sus características como: edad (Pleistoceno Medio) tamaño y funcionalidad, es uno de los pocos que hay en el mundo. Por estas razones es que su preservación es muy importante para asegurar el disfrute por las próximas generaciones. Se presenta una caracterización geológica y geomorfológica no solo el puente, si no la región en la que está ubicado, además de la evaluación de su estado actual con un inventario de daños y problemas que lo afectan. Se identifica el uso de la tierra en su entorno y como el cambio en ellas lo impactaría negativamente en el futuro. Para realizar la descripción geomorfológica detallada del puente se realizó un levantamiento lídar de la estructura y se generó un modelo 3D de la estructura, del cual se obtuvieron sus datos paramétricos y que también se utilizará como memoria histórica de la estructura. Los resultados obtenidos de este trabajo pueden ser el punto de partida para definir un programa de intervención, conservación y mantenimiento de la estructura, así como un incentivo para que la comunidad de Grecia pueda generar y disfrutar de un mayor aprovechamiento turístico de este sitio. Actualmente la oferta turística de sitios con atractivo geológico alrededor del volcán Poás funcionan de forma desligada y no hay interconexiones en cuanto a los aspectos geológicos, biológicos y culturales. Ligando estos campos se podría ayudar a fomentar el desarrollo de las comunidades cercanas al volcán y se podrían dar los primeros pasos hacia un concepto de geoparque.
Ungewöhnlicher Fall von Struvit-Urolithiasis bei einem Hund
Authors: Mack Julia , Kienzle Ellen
Published: September 2017

Ein Hund wurde nach operativer Entfernung von Struvitsteinen aus der Harnblase zur Ernährungsberatung überwiesen. Die Besitzerin wünschte die Beibehaltung selbstgekochter Nahrung, die darauf ausgerichtet sein sollte, das Risiko für das Wiederauftreten von Harnsteinen zu vermindern. Die Überprüfung der bisherigen Ration ergab neben einem ausgeprägten Vitamin-A-Mangel unter anderem erhebliche Mängel in der Versorgung mit Protein, Phosphor und Magnesium. Eine Übersättigung des Harns mit Ammonium, Magnesium und Phosphat, den drei Bestandteilen von Struvit, ist als Ursache der Steinbildung daher unwahrscheinlich. Ein Vitamin-A-Mangel kann durch den fehlenden protektiven Effekt auf die Schleimhaut der Harnwege Harnwegsinfektionen und damit eine Struvitsteinbildung begünstigen. Neben häufigen Ursachen für eine Struvitsteinbildung wie Übersättigung des Harns mit steinbildenden Substanzen oder Harnwegsinfektionen müssen, wie im vorliegenden Fall, auch weniger bekannte Auslöser wie Vitamin-A-Mangel für eine Harnsteinbildung in Betracht gezogen werden. Durch diätetische Maßnahmen kann es in solchen Fällen gelingen, das Wiederauftreten von Harnsteinen zu verhindern.
SITUATIONAL CONTROL OF HOT BLAST STOVES GROUP BASED ON DECISION TREE
Authors: Kobysh E. I. , Simkin A. I.
Published: September 2017

In this paper was developed the control system of group of hot blast stoves, which operates on the basis of the packing heating control subsystem and subsystem of forecasting of modes duration in the hot blast stoves APCS of iron smelting in a blast furnace. With the use of multi-criteria optimization methods, implemented the adjustment of control system conduct, which takes into account the current production situation that has arisen in the course of the heating packing of each hot blast stove group. Developed a situation recognition algorithm and the choice of scenarios of control based on a decision tree.
SEARCH FOR THE BEST POWER CONTROL PROGRAM AT NPP WITH VVER-1000 USING GRADIENT DESCENT METHOD
Authors: Pelykh S. N. , Odrehovska E. A. , Maksymova O. B.
Published: September 2017

This article is regarded to the search for the best power control program at nuclear power plant (NPP) with VVER- 1000 by gradient descent method for the objective function, which includes the criteria of efficiency, safety and damage. Criteria normalization to the maximum value is carried out when looking for the minimum of the objective function because criteria have different physical nature. There were chosen such objective criteria as depth of fuel burn-up, index of the fuel cladding damage and axial offset - the ratio of the energy at the top and bottom of the reactor core.
AUTOMATION OF CONTROL OF THE BUSINESS PROCESS OF PUBLISHING SCIENTIFIC JOURNALS
Authors: Sakaliuk O. Yu.
Published: September 2017

We consider business process automation publishing scientific journals. It describes the focal point of publishing houses Odessa National Academy of Food Technology and the automation of business processes. A complex business process models publishing scientific journals. Analyzed organizational structure of Coordinating Centre of Scientific Journals' Publishing ONAFT structure and created its model. A process model simulation conducted business process notation eEPC and BPMN. Also held database design, creation of file structure and create AIS interface. Implemented interaction with the webcam. Justification feasibility of software development, and the definition of performance based on the results petal chart, it is safe to say that an automated way to much more efficient compared to manual mode. The developed software will accelerate the development of scientific periodicals ONAFT, which in turn improve the academy ratings at the global level, improve its image and credibility.
COMPUTER INTEGRATED MANUFACTURING: OVERVIEW OF MODERN STANDARDS
Authors: Рupena A. , Elperin I. , Mirkevich R. , Klymenko O.
Published: September 2017

The article deals with modern international standards ISA-95 and ISA-88 on the development of computer inegreted manufacturing. It is shown scope of standards in the context of a hierarchical model of the enterprise. Article is built in such a way to describe the essence of the standards in the light of the basic descriptive models: product definition, resources, schedules and actual performance of industrial activity. Description of the product definition is given by hierarchical presentation of products at various levels of management. Much attention is given to describe this type of resources like equipment, which is logical chain to all these standards. For example, the standard batch process control shows the relationship between the definition of product and equipment on which it is made. The article shows the hierarchy of planning ERP-MES / MOM-SCADA (in terms of standard ISA-95), which traces the decomposition of common production plans of enterprises for specific works at APCS. We consider the appointment of the actual performance of production at MES / MOM considering KPI. Generalized picture of operational activity on a level MES / MOM is shown via general circuit diagrams of the relationship of activities and information flows between the functions. The article is finished by a substantiation of necessity of distribution, approval and development of standards ISA-88 and ISA-95 in Ukraine. The article is an overview and can be useful to specialists in computer-integrated systems control and management of industrial enterprises, system integrators and suppliers.
МОДЕЛЮВАННЯ ЗАКОНОМІРНОСТЕЙ РОЗТАШУВАННЯ МАТЕРІАЛУ ВЗДОВЖ НИЖНЬОЇ ЧАСТИНИ ПІСКОВОГО ТІЛА МЕХАНІЧНОГО СПІРАЛЬНОГО КЛАСИФІКАТОРА
Authors: Кондратець В. О. , Мацуй А. М.
Published: September 2017

Improving the quality of automatic control of the first stage of grinding feed ore to ore-dressing plants is constrained due to disregard of regularities the location of the material along the sand body (between turns two filar spiral) mechanical spiral classifier, which are quite important information on the pre- and post-production processes. Identification and registration of the patterns can significantly improve the quality of management of the first stage of grinding the original ore, reduce energy and material costs, as a consequence, lead to an increase in the competitiveness of the final product - magnetite concentrate in the global market. Therefore, the solution of this problem, which is the subject of this article is its relevance. The aim of the article is to develop a mathematical modeling approach and to obtain the specific location of the laws of the material along the bottom of the sand body mechanical spiral classifier. Sand spiral classifier body consists of top and bottom. The upper portion has a simple shape - the shape of a truncated pyramid, and bottom - more complex - form part of the inclined cylinder. The lower part, which is dedicated to the article, is more complex and has independent significance, because at low, medium and higher average value of the circulating load in the original ore grinding circuit manufacturing process takes place in this part of sand bodies. Dividing the lower part of the sand bodies by nine horizontal layers of equal thickness, and giving each layer of material in the form of a triangle, given them the edge effects incomplete filling along the vertical and finding the projection of all the layers in the upper horizontal plane carried graph-analytical modeling of regularities arrangement of the material along the bottom of the sand body mechanical spiral classifier. It was found that the mechanical spiral classifier 1KSN-30 lower part of the sand body is the serial number of the vertical bars, the volume of material that is subject to an exponential dependence with a maximum amount in the central part of which is determined by the capacity of sand.
CONCEPT OF AUTOMATIC CONTROL SYSTEM FOR IMPROVING THE EFFICIENCY OF THE ABSORPTION REFRIGERATING UNITS
Authors: Titlova O. , Khobin V. , Titlov O.
Published: September 2017

The general concept of the automatic control systems constructing for increasing the efficiency of the artificial cold production process in the absorption refrigerating units is substantiated. The described automatic control systems provides necessary degree of the ammonia vapor purification from the water in all absorption refrigerating units modes and minimizes heat loss from the dephlegmator surface.
АНАЛІЗ МАТЕМАТИЧНИХ МОДЕЛЕЙ АВТОКОЛИВАНЬ ПРИ ВПЛИВІ НЕКОНТРОЛЬОВАНИХ ПАРАМЕТРИЧНИХ ЗБУРЕНЬ У СИСТЕМІ
Authors: Юхимчук М. С. , Манглієва Т. Н.
Published: September 2017

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Innovation in nursing health care practice: expansion of access in primary health care
Authors: Lowen Ingrid Margareth Voth , Peres Aida Maris , Ros Carla da , Poli Neto Paulo , Faoro Nilza Teresinha
Published: September 2017

ABSTRACT Objective: analyze the reorganization of the health care practice of nurses as an innovative strategy for expansion of access in primary care. Method: qualitative and quantitative study, which interviewed 32 management and care nurses and collected documentary data from public reports of production of nursing consultations from 2010 to 2014, in a municipality in southern Brazil. Data processing for textual analysis was performed by IRAMUTEQ software; for simple descriptive statistical analysis, the program Excel 2013 was used. Results: in the innovative care practice class, associated with awareness of change, related to implementation of the FHS, its challenges and advantages, the following subclasses were identified: reorganization of schedules, nursing consultation, physical restructuring of BHUs, and shared consultation. Final considerations: the need to expand access to and valorization of care practice encourages the development of innovative strategies. The protagonism of care needs to be discussed in the various spaces so that each professional carry out the respective role with competence and efficacy.
Nursing care by telehealth: what is the influence of distance on communication?
Authors: Barbosa Ingrid de Almeida , Silva Maria Júlia Paes da
Published: September 2017

ABSTRACT Objective: Evaluate the perception of nurses regarding interpersonal communication while providing care via telehealth. Method: Qualitative research realized with seven nurses working in telehealth in Brazil, the sample was determined by data saturation. A questionnaire with open questions was applied and then content analysis of the dialogues was conducted, focusing on thematic analysis. Results: Four categories emerged from the dialogues: Understanding the importance of communication; the interpersonal relationship interfering with communication; Communicating via technology; and Learning the communication process. Final considerations: The perception of nurses working in telehealth in Brazil is that technology has facilitated their professional practice; however, in relation to the communication process, they believe it is harder to communicate by telehealth, mainly due to difficulty in perceiving nonverbal signals. To overcome these difficulties, they agreed that interpersonal communication is a skill that must be acquired during their professional training.
Patient safety and nursing: interface with stress and Burnout Syndrome
Authors: Rodrigues Cláudia Cristiane Filgueira Martins , Santos Viviane Euzébia Pereira , Sousa Paulo
Published: September 2017

ABSTRACT Objective: To analyze studies on stress, Burnout Syndrome, and patient safety in the scope of nursing care in the hospital environment. Method: This was an integrative literature review. Data collection was performed in February 2016 in the following databases: Medical Literature Analysis and Retrieval System Online - PubMed/MEDLINE, Latin American and Caribbean Literature in Health Sciences - LILACS. Results: Ten scientific productions were selected, which listed that factors contributing to stress and Burnout Syndrome of nursing professionals are the work environment as a source of stress, and excessive workload as a source of failures. Conclusion: The analysis found that the stress and Burnout Syndrome experienced by these professionals lead to greater vulnerability and development of unsafe care, and factors such as lack of organizational support can contribute to prevent these failures.
Chronic hepatitis B and D: prognosis according to Child-Pugh score
Authors: Oliveira Marcelo Siqueira de , Silva Romeu Paulo Martins , Valle Suiane da Costa Negreiros do , Figueiredo Elisabeth Níglio de , Fram Dayana
Published: September 2017

ABSTRACT Objective: compare chronic hepatitis B patients to those superinfected with hepatitis D virus, according to Child-Pugh score regarding disease severity. Method: retrospective descriptive study, performed with 59 patients followed in the ambulatory, of which 22 (37.3%) were chronically infected with hepatitis B virus (Group HBV) and 37 (62.7%) superinfected with Delta virus (Group HBV+HDV); variables of sex, age and items of Child-Pugh score were collected by consulting medical records. Results: out of the patients, 57.6% were male, with a mean age of 30.5 years. Score A, which indicates lesser severity, was found in 100% of group HBV and 78.4% of group HBV+HDV. Score B, which indicates greater severity, was found only in group HBV+HDV in 21.6% of the patients. Conclusion: by means of the Child-Pugh score, it was observed that patients with superinfection by HDV tended to present a worse prognosis.
Nursing knowledge and practices regarding subcutaneous fluid administration
Authors: Gomes Nathália Silva , Silva Andrea Mara Bernardes da , Zago Luana Barbosa , Silva Érica Carneiro de Lima e , Barichello Elizabeth
Published: September 2017

ABSTRACT Objective: To describe the evidence in the literature regarding the knowledge and practices of the nursing team about subcutaneous administration of drugs and fluids in adults. Method: Integrative review of the literature using the descriptors “nursing”, “hypodermoclysis”, “drug administration routes”, “adult health,” and “knowledge,” in English, Spanish, and Portuguese, with no publication deadline. Of the 569 articles found, eight made up the sample. Results: A predominance of international journals (75%) with more than five years of publication (62.5%). The analysis of the methodological characteristics showed a predominance of literature reviews (25%), quantitative studies (62.5%), cross-sectional studies (50%), and non-experimental studies (50%). Conclusion: Although it is an old technique with proven efficacy, hypodermoclysis is still little used, a puzzling fact due to its advantages and indications for any age.
The essence of care in health vulnerability: a Heideggerian construction
Authors: Cestari Virna Ribeiro Feitosa , Moreira Thereza Maria Magalhães , Pessoa Vera Lúcia Mendes de Paula , Florêncio Raquel Sampaio , Silva Maria Rocineide Ferreira da , Torres Raimundo Augusto Martins
Published: September 2017

ABSTRACT Objective: Reflect on the essence of care in health vulnerability from the phenomenological perspective of Martin Heidegger. Method: Theoretical-reflexive study, anchored in three essential parts: 1) Care in Heidegger; 2) The essence of care in health vulnerability; And 3) Nursing care actions on health vulnerability. Results: Vulnerability must be recognized as an indelible trait of the human condition and has its constituents in the human being, co-presence and care. Caring is an interactive process that reveals itself in the relationship with the other. Respecting the integrity of the Being in vulnerability must be a priority in nursing care, through behaviors that privilege the Being. Conclusion: Understanding ontological care and its relation to vulnerability under Heidegger’s phenomenological view allowed us to uncover the facets of care in health vulnerability by adding to the nursing knowledge body a comprehensive and reflective perspective.
Validation of the Mental Illness Sexual Stigma Questionnaire (MISS-Q) in a sample of Brazilian adults in psychiatric care
Authors: Wainberg Milton , Pala Andrea Norcini , Cournos Francine , McKinnon Karen
Published: September 2017

ABSTRACT Objective We evaluated the psychometric properties of a new instrument “Mental Illness Sexual Stigma Questionnaire” (MISS-Q). Methods We interviewed 641 sexually active adults (ages 18-80) attending public outpatient psychiatric clinics in Rio de Janeiro about their stigma experiences. Results Nine factors were extracted through exploratory factor analysis (EFA) and labeled: ‘individual discrimination by others’; ‘staff willingness to talk about sexuality’; ‘staff and family prohibitions’; ‘sexual devaluation of self’; ‘perceived attractiveness’; ‘mental illness concealment’; ‘perceived sexual role competence’; ‘withdrawal’; and ‘locus of social-sexual control’. ‘Withdrawal’ and ‘locus of social-sexual control’ showed poor psychometric properties and were excluded from further analysis. The remaining seven factors had high factorial loadings (.39 to .86), varying from sufficient to optimal reliability (Ordinal α ranged from .57 to .88), and good convergent and discriminant validity. Conclusions The resulting MISS-Q is the first instrument assessing mental illness sexual stigma with demonstrated psychometric properties. It may prove useful in reducing stigma, protecting sexual health, and promoting recovery.
Uso de redes sociais, influência da mídia e insatisfação com a imagem corporal de adolescentes brasileiras
Authors: Lira Ariana Galhardi , Ganen Aline de Piano , Lodi Aline Sinhorini , Alvarenga Marle dos Santos
Published: September 2017

RESUMO Objetivo Avaliar relações entre a influência da mídia e o uso de redes sociais na imagem corporal (IC) de adolescentes do sexo feminino. Métodos Estudo transversal realizado com meninas adolescentes estudantes de escola pública e de uma organização não governamental da capital e do interior de São Paulo. Além de variáveis sociodemográficas e antropométricas, a avaliação da (IC) foi realizada pela Escala de Silhuetas Brasileiras. A influência da mídia foi avaliada pela subescala 1 de internalização geral da Escala de Atitudes Socioculturais em Relação à Aparência (SATAQ-3). Por fim, foram aplicadas perguntas sobre a frequência de acesso às mídias sociais e possível influência delas na IC. Resultados Participaram 212 meninas (14,8; DP 1,69 anos), sendo a maioria eutrófica (65,1%), pertencentes às classes sociais D e E, com escolaridade materna correspondente ao ensino médio completo; 85,8% estavam insatisfeitas com a IC; a maioria desejava uma silhueta menor. As meninas que escolheram figuras menores como desejadas apresentaram valores superiores na SATAQ-3 (p < 0,001). O acesso diário maior de 10 vezes ao dia ao Facebook e Instagram aumentou a chance de insatisfação em 6,57 e 4,47 vezes, respectivamente. Conclusão As mídias, incluindo as redes sociais, estão associadas à insatisfação da IC de meninas adolescentes.
Influence of bladder fullness on the detection of urinary tract obstruction by dynamic renal scintigraphy
Authors: Cosenza Nathalia Novaes , Lau Fábio , Lima Mariana Cunha Lopes , Amorim Barbara Juarez , Mosci Camila , Lima Marcelo Lopes , Ramos Celso Darío
Published: September 2017

Abstract Objective: To investigate the influence of bladder fullness on the diagnosis of urinary tract obstruction during dynamic renal scintigraphy with a diuretic stimulator. Materials and methods: We studied 82 kidneys in 82 patients submitted to dynamic renal scintigraphy with a diuretic stimulator. We compared the proportional elimination of the radiopharmaceutical 99mTc-DTPA from the kidneys before and after bladder emptying in post-diuretic images, classifying each image as representing an obstructed, indeterminate, or unobstructed kidney. Results: The overall elimination of 99mTc-DTPA from the kidneys was 10.4% greater after bladder emptying than before. When the analysis was performed with a full bladder, we classified 40 kidneys as obstructed, 16 as indeterminate, and 26 as unobstructed. When the 40 kidneys classified as obstructed were analyzed after voiding, 11 were reclassified as indeterminate and 3 were reclassified as unobstructed. Of the 16 kidneys classified as indeterminate on the full-bladder images, 13 were reclassified as unobstructed after voiding. Conclusion: In dynamic renal scintigraphy with a diuretic stimulator, it is important to obtain images after voiding, in order to perform a reliable analysis of the proportional excretion of 99mTc-DTPA from the kidneys, avoiding possible false-positive results for urinary tract obstruction.
Exposição ao cigarro em telenovelas e filmes: tentativas de parar de fumar e abstinência
Authors: Madewell Zachary J. , Figueiredo Valeska Carvalho , Harbertson Judith , Pérez Ramona L. , Novotny Thomas
Published: September 2017

Resumo O objetivo foi avaliar a existência de uma associação entre o fato de ver um ator fumando em telenovela brasileira, filme brasileiro ou filme internacional e as tentativas de parar de fumar e abstinência entre fumantes adultos brasileiros. Foram utilizados os dados de 39.425 participantes da versão brasileira do Global Adult Tobacco Survey. O estudo calculou a prevalência de ex-fumantes (ex-fumantes/ex-fumantes + fumantes atuais) e as proporções de fumantes atuais, ex-fumantes e indivíduos que nunca fumaram. Foi utilizada a regressão ponderada multivariada para testar associações significativas entre cessação e exposição ao tabagismo em telenovelas e filmes. Para fumantes atuais, as chances de tentar de parar foram significativamente mais altas entre aqueles que haviam visto ator fumando em filme brasileiro. Aqueles que acreditavam que o fumo causa doenças graves e tinham regras contra fumar em casa apresentavam chances significativamente maiores de terem tentativas de parar e de abstinência. A exposição ao tabagismo na mídia pode ser diferente em adultos e adolescentes. Fatores que influenciam as tentativas e o sucesso na cessação incluem as regras contra fumar em casa, a crença de que o fumo provoca doenças graves e receber informação sobre os perigos do tabagismo através da mídia.
O processo decisório de ratificação da Convenção-Quadro para o Controle do Tabaco da Organização Mundial da Saúde no Brasil
Authors: Rangel Erica Cavalcanti , Pereira Neto Andre , Cavalcante Tania Maria , Oliveira Egléubia Andrade , Silva Vera Luiza da Costa e
Published: September 2017

Resumo: O consumo de tabaco é um dos principais responsáveis por diferentes tipos de câncer e outras enfermidades relacionadas a esse uso. Em 2003, a Assembleia Mundial de Saúde adotou a Convenção-Quadro para o Controle do Tabaco da Organização Mundial da Saúde (CQCT-OMS), a qual visa a proteger os cidadãos das consequências sanitárias, sociais, ambientais e econômicas geradas pelo consumo e pela exposição à fumaça do tabaco. A Convenção deveria ser ratificada pelos países membros da OMS e, no caso brasileiro, sua ratificação envolveu o Congresso Nacional, que realizou audiências públicas nas principais cidades produtoras da erva. Neste trabalho, analisa-se esse processo decisório à luz dos diferentes interesses, posições e atores sociais envolvidos. Em termos metodológicos, trata-se de um estudo qualitativo fundamentado em pesquisa documental baseada, sobretudo, nas notas taquigráficas das audiências públicas. São analisados os interesses e os argumentos apresentados favoráveis e contrários à ratificação. O artigo demonstra que, apesar de precedida por intensos debates, a decisão final favorável à ratificação foi tomada por um grupo restrito de agentes públicos, caracterizando um processo decisório que se assemelha a um funil.
Brasil: balanço da Política Nacional de Controle do Tabaco na última década e dilemas
Authors: Cavalcante Tânia Maria , Pinho Mariana Coutinho Marques de , Perez Cristina de Abreu , Teixeira Ana Paula Leal , Mendes Felipe Lacerda , Vargas Rosa Rulff , Carvalho Alexandre Octávio Ribeiro de , Rangel Erica Cavalcanti , Almeida Liz Maria de
Published: September 2017

Desde 2005, o Brasil é Estado Parte da Convenção-Quadro para o controle do Tabaco da Organização Mundial da Saúde, tratado internacional cujas medidas constituem a Política Nacional de Controle do Tabaco (PNCT). Seus resultados se traduzem em significativa redução da prevalência de fumantes e da morbimortalidade tabaco-relacionada. Porém, esses resultados poderiam ter sido maiores não fosse o poder de interferência da cadeia produtiva do tabaco controlada por empresas transnacionais que tem se intensificado ao longo dos últimos 10 anos à medida que o Brasil avança na implementação da Convenção. Essas empresas tornaram o Brasil não só um celeiro de tabaco como também um celeiro de poder econômico e político capaz de colocar sob ameaça as conquistas da PNCT. Este Ensaio busca fazer uma narrativa sobre a evolução da PNCT e sobre o modus operandi da cadeia produtiva do tabaco para obstruí-la e discute como o fortalecimento de políticas de promoção de alternativas à produção de fumo poderia protegê-la desse tipo de interferência.
Névoas, vapores e outras volatilidades ilusórias dos cigarros eletrônicos
Authors: Almeida Liz Maria de , Silva Rildo Pereira da , Santos Antonio Tadeu Cheriff dos , Andrade Joecy Dias de , Suarez Maribel Carvalho
Published: September 2017

Resumo: Neste artigo, analisa-se o discurso de fornecedores de cigarros eletrônicos para convencer potenciais usuários (fumantes, ex-fumantes ou nunca fumantes de cigarros) a adquirir e usar o novo produto. É um estudo qualitativo, descritivo e exploratório acerca do discurso de vendedores em oito sites de venda on-line que, entre 2011 e 2013, tiveram maior frequência de buscas na Internet. Os sites foram identificados pela ferramenta Google Trends, com base no número de acessos e frequência de buscas ao tema cigarro eletrônico. Tendo como referencial metodológico a hermenêutica-dialética, a categorização do material empírico sob o esquema “compreensão/interpretação” apontou quatro abrangentes sentidos: apropriação do discurso antitabagista; comparação entre cigarros convencional e eletrônico; apelo à crença na fidedignidade da ciência; e projeção da imagem do cigarro eletrônico. A análise desses sentidos configurou os elementos argumentativos do discurso de posicionamento de marketing utilizado por fabricantes e fornecedores de cigarros eletrônicos.
Classification of the coefficient of variation to variables in beef cattle experiments
Authors: Vaz Marcos André Braz , Pacheco Paulo Santana , Seidel Enio Júnior , Ansuj Angela Pellegrin
Published: September 2017

ABSTRACT: This research was conducted to propose a classification of the coefficient of variation (CV%) in many categories of variables of production and carcass of beef cattle experiments. The data was collected from theses and dissertations. We used the methods of classification considering mean and standard deviation, and considering median and pseudo-sigma. The two methods showed similar results so both can be used to classify CV%. We propose only three categories to rank CV%: low, medium and high.
INSATISFAÇÃO NO TRABALHO DE PROFISSIONAIS DA SAÚDE NA ESTRATÉGIA SAÚDE DA FAMÍLIA
Authors: Soratto Jacks , Pires Denise Elvira Pires de , Trindade Letícia Lima , Oliveira Jonas Sâmi Albuquerque de , Forte Elaine Cristina Novatzki , Melo Thayse Palhano de
Published: September 2017

RESUMO Objetivo: analisar aspectos do processo de trabalho geradores de insatisfação nos profissionais que atuam na Estratégia Saúde da Família. Método: estudo com abordagem qualitativa, realizado nas cinco regiões geográficas do Brasil, com 27 Equipes de Saúde da Família, lotadas em 11 Unidades Básicas de Saúde, totalizando 76 participantes. Os dados foram coletados por meio de entrevistas semiestruturadas, observação e estudo documental. O tratamento e interpretação dos dados foi realizado articulando Análise Temática de Conteúdo e recursos do software para análise de dados qualitativos Atlas.ti 7.0 com suporte das teorias marxista de processo de trabalho e de satisfação no trabalho, de Christophe Dejours. Resultados: os aspectos geradores de insatisfação no trabalho estão relacionados às categoriais: gestão do trabalho em saúde, relações com a equipe e usuários e excesso de trabalho. A gestão do trabalho em saúde agregou os seguintes fatores: estrutura física inadequada, falta de recursos materiais, déficit salarial, falta de valorização do trabalho, problemas na gestão e jornada de trabalho excessiva. Na categoria relações com a equipe e usuários: violência, falta de conhecimento da Estratégia Saúde da Família, postura do usuário, falta de qualificação da equipe e deficiência na organização do trabalho. Por fim, na categoria excesso de trabalho consta: sobrecarga de trabalho, excesso de demanda e burocracia. Conclusão: as manifestações de insatisfação dos profissionais que atuam na Estratégia da Saúde Família são influenciadas significativamente pelas condições de trabalho, por fragilidades na gestão e por problemas no âmbito das relações de trabalho.
A EXORTAÇÃO DO DISCURSO DE RISCO E A COLETA AUTÓLOGA DE CÉLULAS-TRONCO DO CORDÃO UMBILICAL
Authors: Petry Analídia Rodolpho , Somavilla Vera da Costa
Published: September 2017

RESUMO Objetivo: este artigo aborda os discursos de riscos presentes nas publicações dos depoimentos de pais e mães em sites de biobancos autólogos que armazenam células-tronco do cordão umbilical para criopreservação, tomados aqui enquanto artefato cultural. Método: a discussão baseia-se na questão: como a racionalidade do risco e sua promessa de garantia biológica no futuro se constituem nos depoimentos dos pais publicados nos sites que comercializam a coleta e o armazenamento de células-tronco do cordão umbilical? A coleta de dados ocorreu entre março e dezembro de 2014. Resultados: aborda-se a exortação do discurso de risco, apresentando-se de que modo a sua prevenção se constitui como elemento mobilizador para aquisição desta biotecnologia, educando pais e mães para a adoção de determinadas práticas de saúde vinculadas à segurança biológica para o futuro. Conclusão: a partir da realização da análise do discurso dos pais e mães foi obervado como as biotecnologias conformam práticas e reposicionam as famílias, em relação aos cuidados de saúde dos filhos, com vistas a evitar riscos.
Um método para medição de desempenho do serviço público de Perícia Criminal com base no valor
Authors: Rodrigues Claudio Vilela , Toledo José Carlos de
Published: September 2017

Resumo: Este artigo apresenta um método para medição de desempenho com base no valor que o serviço público de Perícia Criminal deve entregar, visando gerenciar e melhorar a operação do serviço. Esse serviço é o órgão do sistema de segurança pública e justiça criminal responsável no Brasil pela produção da prova material. Utiliza conhecimento científico e tecnologia e está intimamente ligado à promoção dos direitos humanos. O método foi desenvolvido e avaliado utilizando-se a metodologia Design Science Research, mostrando-se viável, haja vista que retorna respostas sobre o desempenho de forma simples e rápida para os gestores do serviço. O método proposto pode ser utilizado pelos gestores, para avaliar se a operação está entregando valor aos clientes e para direcionar ações de melhoria, e por agentes políticos, para formulação de políticas públicas de segurança, justiça e direitos humanos.