bluuebunny/crossref_metadata_2025 huggingface dataset:
Motherhood muzzled: The challenges in recruiting mothers of preschool-aged children
Authors: Hansen Lauren
Published: November 2019

This reflective process paper outlines the challenges encountered in trying to access mothers of preschool-aged children in a child-focused setting. Two recruitment approaches were implemented yielding eight respondents. Three key themes for recruitment challenges emerged at societal, service, and personal levels—no time, no money, and a lack of priority given to the well-being of mothers in a child-focused setting. This article also outlines the methodological rationale for the chosen approach and explores alternatives based on previous research into hard-to-reach and hidden populations. The data support questions as to the agency of mothers, and the validity of the voices we do hear from most—the vocal Internet minority. Through this study, questions arise as to the lack of importance placed on the well-being of mothers by early childhood services and mothers themselves, and how this may affect research, education, and service delivery.
d-Transposition of Great Arteries and Total Anomalous Pulmonary Venous Connection With Left Ventricular Regression—A Rarity
Authors: Samaddar Avishek , Das Mrinalendu , Roychowdhury Saibal , Roy Mahua , Khan Wasim , Sengupta Ritojyoti , Narayan Pradeep
Published: November 2019

Transposition of great arteries (TGA) in association with total anomalous pulmonary venous connection (TAPVC) has been rarely reported. With increasing age, left ventricular (LV) regression further complicates the clinical scenario. Management strategy is not clearly defined. We describe a rare combination of TGA, TAPVC, and LV regression and outline a successful management strategy.
Chikki in a New Avatar—Will There be Demand?
Authors: Jain Sheenu , Soni Swati
Published: November 2019

The case study is about Hector Beverages Private Limited (HBPL), a company that ventured into energy drink and non-carbonated ethnic beverages of the genre of aam panna under the name of its flagship brand Paper Boat. Four years of existence and HBPL decided to foray into the ethnic sweet segment with a very quintessential offering named Paper Boat Chikki. Chikki, as we all know, is a hyper-seasonal offering to be consumed in the winter season. It is a traditional peanuts and jaggery preparation. The case maps the journey of local and handmade commodity chikki to the brand Paper Boat Chikki. The case elaborates upon the challenges faced by the brand and the strategies adopted to become a commodity brand. Also worth pondering is the expansion of HBPL into the snacks category. Is the move from drinks portfolio to snacks portfolio judicious?
Impact of Hybrid Rice Cultivation on Farmers’ Livelihood in Tamil Nadu
Authors: Sivagnanam K. Jothi , Murugan K.
Published: November 2019

This study explores new varieties of Hybrid rice and its impact on overall production and productivity in Tamil Nadu. The data for this study have been collected from two districts, namely Nagapattinam and Tiruvarur of Tamil Nadu. These districts are harvesting relatively higher concentration of hybrid rice within the group of National Food Security Mission districts in Tamil Nadu. In each of the districts of Nagapattinam and Tiruvarur, two representative blocks, namely, Kuttalam and Mayiladuthurai and Needamangalam and Valangaiman were taken, respectively, and within each block two villages were selected.

After introduction of hybrid rice technology since 1994, there has been slow development in that technology in Tamil Nadu, mainly because of the unawareness of the benefits of the hybrid rice, and the farmers mainly use the high yielding variety (HYVs) because of cost-effectiveness. Even after two decades, the hybrid rice technology did not spread all over Tamil Nadu due to lukewarm policies of the government, unfamiliarity with the technology and high cost of cultivation and shortage of labour force. Therefore, the farmers did not shift their cropping pattern from HYVs into hybrid rice technology.
Impact of Patient Demographic Factors on Preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function, Pain Interference, and Depression Computer Adaptive Testing Scores in Patients Undergoing Shoulder and Elbow Surgery
Authors: Meldau Jason E. , Borowsky Peter , Blanchett Jacob , Stephens Jeffrey , Muh Stephanie , Moutzouros Vasilios , Makhni Eric C.
Published: November 2019

Background:

There has been a growing emphasis in orthopaedics on providing patient-centered care. The US National Institutes of Health launched the Patient-Reported Outcomes Measurement Information System (PROMIS) initiative that incorporates patient-reported outcome measures across a number of medical domains. The relationship between PROMIS domains and the impact of patient demographic factors in those undergoing upper extremity surgery remains unclear.

Purpose/Hypothesis:

The goal of this study was to investigate the correlation between physical function, pain interference, and depression in patients undergoing shoulder and elbow surgery as measured by PROMIS computer adaptive testing (CAT) forms and to determine the impact of patient demographic factors. We hypothesized that there would be a significant negative correlation between physical function and both pain interference and depression in this patient population.

Study Design:

Cross-sectional study; Level of evidence, 3.

Methods:

All patients who underwent elective shoulder or elbow surgery by 3 shoulder, elbow, and/or sports medicine fellowship–trained orthopaedic surgeons were included in the study. Preoperative PROMIS–Upper Extremity (PROMIS-UE), PROMIS–Pain Interference (PROMIS-PI), and PROMIS-Depression (PROMIS-D) CAT scores were analyzed. Pearson correlations were calculated between PROMIS domains as well as between PROMIS outcomes with patient demographic factors.

Results:

Preoperative PROMIS CAT scores for all 3 domains were collected and analyzed from 172 unique patients (516 individual CAT forms) with shoulder and elbow injuries. A negative correlation of moderate strength was found between the PROMIS-UE and PROMIS-PI ( R = –0.61; P < .001), and a negligible correlation was found between the PROMIS-UE and PROMIS-D ( R = –0.28; P < .001). When stratified by patient demographic factors, the correlation between the PROMIS-UE and PROMIS-PI was stronger in female patients compared with male patients ( R = –0.77 vs –0.46, respectively; P < .001 for both), stronger in black patients compared with white patients ( R = –0.72 vs –0.56, respectively; P < .001 for both), and highest in current tobacco users ( R = –0.80; P < .001).

Conclusion:

Before shoulder and elbow surgery, patients demonstrated impairments in physical function and pain interference as measured by CAT forms, with a moderate negative correlation between baseline upper extremity physical function and pain interference scores. In certain subpopulations, such as female patients, black patients, and current tobacco users, the correlations between these tested domains were stronger than in other groups.
Scrotal Ultrasound Is Not Routinely Indicated in the Management of Cryptorchidism, Retractile Testes, and Hydrocele in Children
Authors: Shields Lisa B. E. , White Jeffrey T. , Peppas Dennis S. , Rosenberg Eran
Published: November 2019

Cryptorchidism, or undescended testes, is the most common congenital genitourinary anomaly. A failure or delay of treatment may result in reduced fertility or an increased risk of testicular cancer. The American Urological Association (AUA) recommends that a scrotal ultrasound (SUS) not be performed in the preoperative management of cryptorchidism. This study investigated how likely pediatricians were to perform SUS despite the AUA guidelines. We retrospectively studied 243 patients referred to a single pediatric urology practice for clinically diagnosed testis pathology including undescended testis, hydrocele, and retractile testis over a 4-year period (January 1, 2015, to December 30, 2018). A total of 72 patients (29.6%) underwent a SUS ordered by their pediatrician prior to the pediatric urology visit. Pediatricians should be aware that SUS performed prior to pediatric urological evaluation does not alter management and is associated with a significant financial cost in patients with cryptorchidism or hydrocele.
Monitoring Ischemic Changes in Retinal Vasculitis With Optical Coherence Tomography Angiography
Authors: Dillon Alexander B. , Kovacs Kyle , Orlin Anton
Published: November 2019

Purpose:

This article illustrates the ability of optical coherence tomography angiography (OCTA) to aid in the diagnostic workup and management of occlusive retinal vasculitis over time.

Methods:

A case presentation is discussed.

Results:

In this case, OCTA helped define the extent and evolution of superficial and deep retinal capillary plexus occlusion and reperfusion over the treatment course.

Conclusions:

OCTA detects blood flow and maps retinal vasculature at the capillary level without the use of intravenous dye. Serial image acquisition can reveal patterns of ischemia and reperfusion in retinal vascular conditions as they evolve and respond to therapy, providing more granular information regarding the status of the retinal microvasculature that may guide treatment.
A Method for Risk Response Planning in Project Portfolio Management
Authors: Ahmadi-Javid Amir , Fateminia Seyed Hamed , Gemünden Hans Georg
Published: November 2019

To improve the effectiveness of project portfolio risk management, a portfolio-wide approach is required. Implementing a proactive strategy, this article presents a method based on mathematical optimization to select an appropriate set of a priori local and global responses to address risks that threaten a project portfolio considering key factors, such as cost, budget, project preference weights, risk-event probabilities, interdependencies among work packages, and both occurrence and impact dependencies among risk events. As the proposed method has new features compared to the existing methods developed for a single project, it can also be used in project risk management.
Enzyme-catalyzed C–F bond formation and cleavage
Authors: Tong Wei , Huang Qun , Li Min , Wang Jian-bo
Published: November 2019

Organofluorines are widely used in a variety of applications, ranging from pharmaceuticals to pesticides and advanced materials. The widespread use of organofluorines also leads to its accumulation in the environment, and two major questions arise: how to synthesize and how to degrade this type of compound effectively? In contrast to a considerable number of easy-access chemical methods, milder and more effective enzymatic methods remain to be developed. In this review, we present recent progress on enzyme-catalyzed C–F bond formation and cleavage, focused on describing C–F bond formation enabled by fluorinase and C–F bond cleavage catalyzed by oxidase, reductase, deaminase, and dehalogenase.
Anesthetic management of modified electroconvulsive therapy for a patient with coronary aneurysms: a case report
Authors: Nakayama Riho , Yoshida Takuya , Obata Norihiko , Mizobuchi Satoshi
Published: November 2019

Background

Modified electroconvulsive therapy (m-ECT) is utilized worldwide as an effective treatment for drug-resistant psychiatric disorders. However, during m-ECT, treatment of hypotension and hypertension in response to rapid hemodynamic changes is required. We used noninvasive continuous blood pressure monitoring system for continuous hemodynamic measurement during m-ECT.

Case presentation

The patient was a 77-year-old man with depression complicated by coronary artery aneurysms (CAAs). We managed general anesthesia during m-ECT by using the ClearSight™ system (Edwards Lifesciences Corp, Irvine, CA, USA) for hemodynamic measurement. As a result, we performed a total of 10 m-ECTs. No rupture of CAAs or myocardial ischemia occurred and depressive symptoms improved.

Conclusion

We successfully managed the anesthesia in m-ECT for a depressed patient with CAAs without complications by using the ClearSight™ system, which was used for the effective management of circulatory fluctuations.
Load shedding strategy coordinated with storage device and D-STATCOM to enhance the microgrid stability
Authors: Chandak Sheetal , Bhowmik Pritam , Rout Pravat Kumar
Published: November 2019

Recently microgrids have drawn a potential attraction by fulfilling the environmental demands and the increasing energy demands of the end-users. It is necessary to focus on various protection and control aspects of a microgrid. During the transition between the grid-following and grid-forming modes, the voltage and the frequency instability due to the power mismatch condition becomes the major point of concern. Therefore, the paper executes a frequency-active power and voltage-reactive power drooping control strategy for the precise power-sharing among the distributed power generators. Furthermore, to handle the power deficit scenarios and to maintain the system stability, a system independent and priority-based adaptive three-stage load shedding strategy is proposed. The sensitivity of the strategy depends on the system inertia and is computed according to the varying absolute rate-of-change-of-frequency. The strategy incorporates the operation of battery storage system and distributed static compensator (D-STATCOM) in the microgrid, to provide a reliable power supply to the customers for a considerable time instead of a sudden load shedding. The effectiveness of the proposed strategies is investigated on a scaled-down modified IEEE 13-bus microgrid system on the podium of MATLAB 2015b through the time-domain simulation.
Folk beliefs of food avoidance and prescription among menstruating and pregnant Karbi women of Kamrup district, Assam
Authors: Goswami Ritu Geu , Thakur Mini Bhattacharyya
Published: November 2019

Background

This paper discusses the social dimension of gastronomy, such as folk beliefs regarding avoidance and prescriptions during the stages of menstruation and pregnancy. Cooking and eating are imbued with special meanings, but how they are related to an individual’s multiple identities, such as menstruating and pregnant women, and how these idioms and ideologies affect food choice negotiated through folk beliefs are discussed. Do food prescriptions contribute to nutrition? Looking for these answers, the present study was undertaken in two blocks densely populated by Karbi tribe in Kamrup district of Assam, India. The objective of the study was to understand the values of folk beliefs scientifically.

Methods

The data was collected by conducting focus group discussion among adolescent girls and pregnant women.

Results

It can be concluded that the foods which are included during menstruation and pregnancy were nutrient rich and foods avoided during that period was somewhat scientific.
Incident psychiatric comorbidity following stress disorder diagnoses in Danish school-aged children: prospective population-based study
Authors: Basu Archana , Farkas Dóra Körmendiné , Jiang Tammy , Koenen Karestan C. , Lash Timothy L. , Sørensen Henrik Toft , Gradus Jaimie L.
Published: November 2019

Background

Prospective population-based studies of psychiatric comorbidity following trauma and severe stress exposure in children are limited.

Aims

To examine incident psychiatric comorbidity following stress disorder diagnoses in Danish school-aged children using Danish national healthcare system registries.

Method

Children (6–15 years of age) with a severe stress or adjustment disorder (ICD-10) between 1995 and 2011 (n= 11 292) were followed prospectively for an average of 5.8 years. Incident depressive, anxiety and behavioural disorder diagnoses were examined relative to an age- and gender-matched comparison cohort (n= 56 460) using Cox proportional hazards regression models. Effect modification by gender was examined through stratified analyses.

Results

All severe stress and adjustment disorder diagnoses were associated with increased rates for all incident outcome disorders relative to the comparison cohort. For instance, adjustment disorders were associated with higher rates of incident depressive (rate ratio RR = 6.8; 95% CI 6.0–7.7), anxiety (RR = 5.3; 95% CI 4.5–6.4), and behavioural disorders (RR = 7.9; 95% CI 6.6–9.3). Similarly, PTSD was also associated with higher rates of depressive (RR = 7.4; 95% CI 4.2–13), anxiety (RR = 7.1; 95% CI 3.5–14) and behavioural disorder (RR = 4.9; 95% CI 2.3–11) diagnoses. There was no evidence of gender-related differences.

Conclusions

Stress disorders varying in symptom constellation and severity are associated with a range of incident psychiatric disorders in children. Transdiagnostic assessments within a longitudinal framework are needed to characterise the course of post-trauma or severe stressor psychopathology.
Mine the Ruins
Authors: Samuel Petal
Published: November 2019

This review essay explores the extent to which the phenomenon of imperial “neglect” proposed in Christopher Taylor’s Empire of Neglect: The West Indies in the Wake of British Liberalism (2018) maintains saliency in the wake of national independence throughout the British Caribbean. Through a reading of Jamaica Kincaid’s A Small Place, the essay highlights how the market logics of mid-nineteenth-century imperial liberalization continued to animate new forms of West Indian erasure well into the twentieth and twenty-first centuries. While Kincaid deploys arguments of imperial neglect, she refuses the aspirations for repair that neglect implies. By stressing the impossibility of repairing the violence of British colonial rule, her work instead asks, What new forms of thought become possible beyond argumentative frames of repair?
Synthesis and Properties of Tri-tert-butylated Trioxa and Trithia Analogues of Truxene
Authors: Nakamura Shotaro , Okamoto Michitaka , Tohnai Norimitsu , Nakayama Ken-ichi , Nishii Yuji , Miura Masahiro
Published: November 2019

Trioxa- and trithia-truxene derivatives, 3,8,13- (para) and 2,7,12- (meta) tri-tert-butylated benzo[1,2-b:3,4-b′:5,6-b′′]-trifuran and -tris[1]benzothiophenes (p-tBuTxO, m-tBuTxO, p-tBuTxS, and m-tBuTxS), have been prepared by palladium-catalyzed intramolecular triple dehydrogenative cyclization. While these compounds are soluble in common organic solvents, they have high melting points, mostly more than 300 °C. m-tBuTxO shows a substantial solid state UV fluorescence with a higher quantum efficiency than p-tBuTxO. Both p-tBuTxS and m-tBuTxS, however, exhibit only weak fluorescence in both solution and solid state (the λmax of emission in solid state specifically depends on the substitution pattern), but obvious blue phosphorescence is observed in PMMA film under vacuum at r.t. as well as in MeCy at 77 K, which is attributable to the heavy atom effect of sulfur. Meanwhile, p-tBuTxS exhibits a higher hole mobility compared with that of m-tBuTxS in the evaluation of thin-film FET characteristics. These results are discussed in terms of intrinsic molecular structures and arrangements determined by X-ray crystallography.
Men and mental ill health: specific mental health issues
Authors: Barber Christopher Francis
Published: November 2019

A previous article explored the links between men and mental ill health in general and it suggested that men had a higher prevalence of experiencing certain forms of mental ill health than women. This present article will continue the exploration of men's mental health and will focus on a small number of mental health issues, some of which may have the perception of being more a female rather than a male issue.
Patient stoma care: educational theory in practice
Authors: Williams Jenny
Published: November 2019

Patients undergoing stoma formation encounter many challenges including psychosocial issues, relationship concerns and fear of leakage. Leakage, inappropriate product usage and poor patient adaptation post stoma formation has cost implications for the NHS. Developing good, practical stoma care skills has been identified as improving patient outcomes, promoting the provision of quality care and improving efficiency within the NHS. However, a thorough literature search indicated that there is little research available on patient stoma care education. This is considered surprising by Metcalf (1999) , O'Connor (2005) and the author of this article. This article considers and adapts generic educational theory to make it pertinent to patient stoma care education in order to bridge the gap between theory and practice.
Development and validation of support tools for advance care planning in patients with chronic heart failure
Authors: Takada Yasuko , Hamatani Yasuhiro , Kawano Yukie , Anchi Yuta , Nakai Michikazu , Izumi Chisato , Yasuda Satoshi , Ogawa Hisao , Sugano Yasuo , Anzai Toshihisa , Shibata Tatsuhiro , Suzuki Atsushi , Nishikawa Mitsunori , Ito Hiroto , Kato Masashi , Shiga Tsuyoshi , Fukumoto Yoshihiro
Published: November 2019

Background:

Advance care planning (ACP) is recommended as part of the management of patients with heart failure (HF).

Aims:

To develop and validate ACP support tools for patients with HF.

Methods:

An ACP support tool was developed based on a systematic literature review. A multi-center, prospective before and after study was conducted to evaluate the usefulness of the support tool. This study included 21 patients with HF, 11 patients formed the control group and 10 patients were part of the intervention group who received ACP from medical staff using the ACP support tools developed for this study. Participants of the study were surveyed about their experience of ACP using a 6-point Likert scale.

Findings:

All of the healthcare professionals (n=9) involved in the study found the ACP tool useful and about 90% of patients considered the support tool useful. The score for ‘the patient did not feel anxious about the future after receiving ACP discussion’ was significantly higher (3.5 [3.0, 4.0] vs 2.0 [1.0, 3.0]; P=0.04) in the intervention group that used the ACP tool.

Conclusion:

ACP support tools are useful to manage patients with HF and could enable effective ACP without increasing patient anxiety.
Politics and palliative care: Oman
Authors: Smyth Dion
Published: November 2019

Dion Smyth's review of palliative nursing on the internet
Testicular torsion treatment: the horns of a dilemma?
Authors: Lewis S , Hopkins L , Evans T , Lewis W , Harries R
Published: November 2019

Introduction

Testicular torsion treatment rests on the horns of a dilemma, with widespread national variation in whether the responsible surgical specialty is general surgery or urology, even in hospitals with both general surgery and urology emergency service assets. This study aimed to quantify higher surgical trainee operative experience and confidence in managing suspected testicular torsion in a single UK deanery (Wales).

Materials and methods

Anonymised logbook data were obtained via the Intercollegiate Surgical Curriculum Programme version 10 using the head of school report function for all general surgery (n=53) and urology (n=15) higher surgical trainees, which were combined with the distribution of an electronic self-administered questionnaire.

Results

Median operative scrotal explorations recorded for all general surgery higher surgical trainees and senior general surgery higher surgical trainees (ST7+) was 7 (range 1–22) and 10 (range 1–22), compared with 21 (range 9–64, p=0.00104) and 24 (19–64, p<0.001) for urology higher surgical trainees. The questionnaire response rate was 64.6% (general surgery 31/50, urology 11/15). Confidence levels in assessing adult and paediatric patients were lower in general surgery when compared with urology higher surgical trainees: median adult confidence rate 7/10 compared with 9/10, and paediatric confidence rate 7/10 compared with 8/10 (p<0.001 and p=0.053, respectively). All higher surgical trainees preferred urology as the accountable hospital specialty when both assets were available.

Discussion and conclusion

General surgery higher surgical trainees receive less than 50% of the operative exposure of urology higher surgical trainees in emergency scrotal surgery, which has important implications for curriculum competence development and patient safety.
Management of the uncomplicated primary inguinal hernia in 2019: the practice amongst members of the British Hernia Society
Authors: Light D , Stephenson BM , Sanders DL ,   On behalf of the British Hernia Society
Published: November 2019

Introduction

The aim of this study was to survey the current practice of UK-based hernia surgeons in elective inguinal hernia repair.

Materials and methods

A questionnaire was created using SurveyMonkey™ and sent electronically to registered members of the British Hernia Society.

Results

A total of 368 responses were obtained (a response rate of 55%); 83% were consultant surgeons, 91% were male and 91% stated that they had an interest in laparoscopic surgery. For an uncomplicated inguinal hernia in a male patient, 60% would perform an open Lichtenstein repair, 20% trans-abdominal pre-peritoneal repair and 20% totally extra-peritoneal repair. In a female patient, 54% would perform an open Lichtenstein repair, 25% trans-abdominal pre-peritoneal repair and 21% totally extra-peritoneal repair. 90% always use mesh in inguinal hernia repair. 93% of surgeons rarely or never perform a tissue repair.

Conclusions

Despite recent controversy, UK surgeons support the use of mesh in the repair of inguinal hernias with an open Lichtenstein repair being the most common choice. There has only been a modest increase in the use of laparoscopic surgery over the past 20 years.
DIAGNÓSTICO COMO SUBSÍDO PARA O PLANEJAMENTO E GESTÃO TERRITORIAL: O CASO DA SUB-BACIA HIDROGRÁFICA DO RIO UNA, CHAPADA DIAMANTINA/BA
Authors: Fernandes Roberta Anunciação , Santo Sandra Medeiros
Published: November 2019

O presente artigo apresenta como o diagnóstico pode auxiliar no planejamento e na gestão territorial da sub-bacia do Rio Una, Chapada Diamantina/BA, área de estudo dessa pesquisa. Esse artigo possui relevância, haja vista, que a sub-bacia não possui um programa de gestão e nem plano de ação para gerenciar os recursos da mesma. Para a realização do artigo foi realizada uma pesquisa bibliográfica (Bacias Hidrográficas), pesquisa de campo que permitiu o reconhecimento e a identificação da realidade ambiental da sub-bacia. E, a sistematização dos dados. O diagnóstico identificou que a situação social da sub-bacia se encontra em situação de vulnerabilidade e a situação ambiental em fator de risco.
The role of family coercion, culture, expert witnesses and best practice in securing forced marriage convictions
Authors: Gill Aisha K , Gould Deborah
Published: November 2019

Forced marriage (FM) affects many communities in the UK and has far-reaching consequences for individuals and society. In light of the UK’s new FM legislation, introduced in 2007 and 2014, this paper analyses the UK’s first successful FM prosecution, concerning a mother who forced her daughter into marriage overseas. This case study highlights the importance of understanding the role that culture (including family values and norms) plays in FM, both in terms of achieving successful prosecutions and providing effective assistance to victims. This understanding is best developed by including intermediaries in police investigations and expert witnesses in the courtroom. The paper also explores how expert witnesses and intermediaries help realise the new legislation’s potential to empower victims.
Task and Participant Variables Predict Communication Complexity Scale (CCS) Scores: Closer Examination of the CCS
Authors: Fleming Kandace K. , Brady Nancy C.
Published: November 2019

Communication Complexity Scale (CCS) scores for 269 minimally verbal participants were examined to determine if communicator behavior and task and communicator characteristics were related to scores in a manner consistent with theoretical and research evidence expectations. Each participant completed an interactive assessment with 6 joint attention tasks and 6 behavior regulation tasks. Caregivers completed the Vineland Adaptive Behavior Scales II. Results indicated (a) joint attention tasks yielded lower scores than behavior regulation tasks, (b) older participants had lower scores, (c) individuals with autism spectrum disorder scored more similarly than those without, (d) the difference between joint attention and behavior regulation scores was greater for the autism spectrum disorder group, and (e) adaptive behavior was significantly positively related to complexity scores.
Play to Teach: Coaching Paraeducators to Facilitate Communication in the Preschool Classroom
Authors: Frantz Rebecca , Hansen Sarah G. , Erturk Buket , Machalicek Wendy , Squires Jane , Raulston Tracy J.
Published: November 2019

Paraeducators are ideal candidates for delivering communication interventions to children with developmental disabilities and delays (DD) because they spend a significant amount of time with these children. However, professional development is often inadequate and limited research supports best practices. Additionally, paraeducators work with multiple children with varying skill levels. Little research has been conducted on the use of existing strategies with multiple children. This single-case study examines the effect of a training package on paraeducators' fidelity of intervention implementation with a child dyad and subsequent child outcomes. Results suggest that formal coaching contributed to improved fidelity of intervention implementation. Furthermore, paraeducators were able to use intervention strategies with children with varying communication skills and goals. Variable increases in child communication were also detected.
The relational work of international teachers: A case study of a Sino-foreign school
Authors: Kostogriz Alex , Bonar Gary
Published: November 2019

In the context of a rapid expansion of 'internationalized' schools around the world, and the subsequent demands for a teaching workforce, teachers are increasingly on the move. It is, however, no longer sufficient to represent international teacher mobility merely as a movement of predominantly English-speaking teachers who can deliver American, British, Canadian or Australian curricula. The increase in schools that offer bilingual and dual curricula has resulted in the mobility of local teachers who work alongside English-speaking ones. Although these schools are attractive to many international and local teachers, they also present certain professional, cultural and linguistic challenges. Drawing on the theory of practice architectures, this article identifies and discusses the relational tensions between foreign and local teachers as they grapple to build a new professional culture of collaboration – one that demands the transformation of dispositions, professional knowledge, actions and judgements to 'fit in' to the internationalized school.
A violência contra a mulher no âmbito familiar / Violence against Women in a Family sphere
Authors: Mendes Rute Nascimento Pimentel , Jane Kley Matos dos Santos Jane Kley Matos dos Santos Jane Kley Matos dos Santos , Lisboa Miréia Santana Araújo , Lima Thalita Pacheco de Almeida
Published: November 2019

Objetivo: Avaliar o nível de conhecimento das mulheres quanto às diversas formas de agressões sofridas no âmbito familiar, buscando compreender o que inibe essas mulheres de procurar ajuda, logo que se trata de um problema de saúde pública. Método:Estudo descritivo com abordagem quantitativa, realizado a partir de revisão bibliográfica no período de 2012 a 2018. Os dados foram coletados do SCIELO, como limitadores será usado texto completo, artigos, periódicos científicos em português, tendo como descritores de inclusão violência, mulher, família.  O pesquisador respeitou a autoria das fontes pesquisadas, referenciando os autores citados nos textos e nas referências bibliográficas. Resultado: Observou-se a falta de conhecimento de algumas mulheres em identificar as diversas formas de agressões sofridas por seus parceiros, infelizmente muitas ainda acreditam ser condutas normais em um relacionamento. Em outros casos não menos importante a questão da dependência financeira, a preocupação em manter a estabilidade familiar, o medo, a vergonha perante a sociedade ainda influenciam bastante na inibição das vítimas em denunciar seus agressores, as tornando assim prisioneiras de um relacionamento doentio. Conclusão: Diante do que foi exposto sugere-se que haja mais capacitação dos profissionais de saúde e órgãos responsáveis quanto as melhores formas de abordagem e acolhimento à essas mulheres. Pois é necessário que essas vítimas sejam tratadas com respeito, sejam ouvidas e devidamente orientadas quanto aos seus direitos e órgãos competentes e também encorajadas a tomar determinadas atitudes, e que essas mulheres sejam incentivadas a buscar o seu empoderamento, resgatando assim sua vida, valores e autoestima.
Desafios para a promoção da equidade no Sistema Único de Saúde: Revisão Sistemática / Challenges for promoting equity in the Single Health System: Systematic Review
Authors: Pinheiro Woneska Rodrigues , Bezerra Suzy Helen Carvalho , Araújo Isaac De Sousa , Macedo Tonny Emanuel Fernandes
Published: November 2019

O presente artigo tem como objetivo avaliar os desafios no processo de promoção da equidade no Sistema Único de Saúde através de uma revisão sistemática de literatura, com abordagem qualitativa do tipo metanálise. Foram realizadas pesquisas em BVS e PUBMED, elencadas as seguintes bases: Banco de Dados em Enfermagem (BDENF), Scientific Electronic Library Online (SCIELO), Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde (LILACS) e Biblioteca Regional de Medicina (BIREME), Medical Literature Analysis Retrieval System Online (MEDLINE). Foram selecionados 09 artigos. Obteve-se três categorias temáticas: Desafios conceituais e práticos da equidade; distribuição de recursos de acordo com as necessidades; gestão e financiamento do Sistema Único de Saúde. O atual modelo econômico que vigora no país torna a promoção da equidade objetivo difícil de ser alcançado com efetividade, tendo em vista a redução dos investimentos em várias áreas, dentre elas a saúde, visando aumentar a riqueza nacional.
A Percepção dos Pacientes acometidos por Diabetes Mellitus sobre a Complicação do Pé Diabético: Uma Revisão Integrativa / The Perception of Patients Suffered by Diabetes Mellitus on the Combination of Diabetic Foot
Authors: Santana Eloá Ribeiro , Oliveira Italo Constâncio de , Ferreira Diana Alves , Sá Fabíola Nunes de , Monte Emanuel Cardoso , Araujo Crystianne Samara Barbosa , Feitosa Pedro Walisson Gomes
Published: November 2019

O diabetes mellitus é considerado como um grave problema de saúde pública passando a ser uma epidemia mundial. É caracterizado como um distúrbio metabólico crônico. Objetivou-se avaliar o conhecimento dos portadores de diabetes acerca dos cuidados preventivos do pé diabético através de uma revisão integrativa da literatura. Assim, a presente pesquisa foi realizada considerando os artigos disponíveis na Biblioteca Virtual de Saúde (BVS), nas bases de dados LILACS e SCIELO, que abordasse o tema em estudo. Foram 87 publicações encontradas na pesquisa, sendo 2 duplicados, e ,após analises dos títulos e dos resumos, foram excluídos 74 por não ter relação com a temática escolhida, apenas 1 não estava disponível gratuitamente, ficando 10 para amostra final. Este estudo evidencia que a população portadora de diabetes mellitus, com complicações do pé diabético, tem deficiência acerca dos cuidados para prevenção da patologia, na grande maioria pela falta de autocuidado ou ausência de informações sobre seu tratamento.
As Sequências Didáticas aplicadas ao gênero Entrevista: Oralidade e Escrita de alunos do 3º ano da Escola Professor Urbano Gomes de Sá em Salgueiro/PE / Teaching Sequences applied to Gender Interview: Orality and Writing of 3rd Year Students of Urban School Gomes de Sá in Salgueiro / PE
Authors: Parente Cássia Edjane Neves , Sousa Maria do Socorro Cordeiro de , Souza Lívia Raiane Holanda de , Santos Nádia Faria dos
Published: November 2019

O presente trabalho objetivou analisar a produção textual de entrevistas, que foram escritas por alunos do Ensino Médio de uma Escola pública, localizada na cidade de Salgueiro-PE. Foi utilizado  como aporte teórico Schneuwly e Dolz (2004). O corpus foi organizado à partir de entrevistas realizadas pelos alunos do 3º ano. Trata-se de um estudo descritivo, transversal e qualitativo,  por tratar-se de focalizar um trabalho envolvendo a realidade do alunado e suas respectivas dificuldades quanto ao ensino de gênero oral e escrito na escola contemporânea.  Buscou-se desenvolver habilidades orais e escritas, no que diz respeito ao ensino-aprendizagem do gênero proposto. Os resultados demonstraram que os alunos apresentaram dificuldades, seja nas habilidades orais, como na escrita, embora tenham  participado ativamente de todas as etapas propostas.
Abordagem da Mulher em Situação de Violência Doméstica na Estratégia de Saúde da Família: Uma Revisão Sistemática / Approach to Women in Domestic Violence in the Family Health Strategy: A Systematic Review
Authors: Romão Lina Maria Vidal , Feitosa Pedro Walisson Gomes , Moura Rayane Da Silva , Brito Eulina Alves Sousa , Brito Cynthia Lossio de , Gurgel Lucineide Coqueiro , Romão Lília Josefa Vidal , Santana Willma José de
Published: November 2019

A violência contra a mulher é um paradigma social e de saúde pública em proporções epidêmicas no Brasil. Esta apresenta-se nas relações sociais entre homens e mulheres consoante construções sociais de papéis masculinos e femininos. Nessas relações, o poder masculino é hegemônico, conferindo as mulheres uma posição subalterna. Assim, essas diferenças atribuídas aos gêneros geram e perpetuam a violência contra as mulheres. Este problema não pode ser manejado como se fora restrito a alguns segmentos, uma vez que entremeia toda a sociedade. Este artigo objetiva realizar uma revisão sistemática da literatura quanto a abordagem da mulher em situação de violência na Estratégia de Saúde da Família. Artigos publicados entre 2014 e 2019 e indexados no banco de dados da Biblioteca Virtual de Saúde (BVS) foram selecionados para este trabalho de revisão. A estratégia de busca utilizada foi a partir das palavras-chave: “Violência”, “Estratégia de saúde da família” e “Mulheres”, sendo incluídos, também, os seguintes limites: artigos em português, inglês e espanhol, disponíveis na íntegra. Em seguida, os trabalhos foram submetidos a três testes de relevância compostos por perguntas objetivas que avaliavam e quantificavam as relações existentes entre os critérios de busca e os trabalhos encontrados, analisando a relação do artigo com os objetivos propostos pela pesquisa consoante o protocolo PRISMA para revisões sistemáticas.
Percurso Pedagógico de Aprendizagem:Quebrando paradigmas / Pedagogical Learning Course: Breaking Paradigms
Authors: Antunes Maria de Fatima Nunes
Published: November 2019

O relatório do Percurso Formativo no Curso de Especialização em Libras tem por objetivo contribuir para a reflexão sobre a formação teórica e preparação profissional com o intuito de atuar como Intérprete, Tradutor e/ou Docente da Língua Brasileira de Sinais. Os dados para a elaboração do relatório foram baseados em pesquisas bibliográficas e  análises das experiências pessoais vivenciadas no Curso. De acordo com a Lei 10436/2002, que reconhece a Libras como Língua Materna do surdo, nós, profissionais qualificados pela Unintese, de fato, não podemos mais permitir a presença de estereótipos relacionados à pessoa surda, promovendo, assim, a sua inclusão na escola e na sociedade. Esta formação proporciona a investigação na área de Libras visando não apenas receber um certificado, mas à qualificação para o mercado de trabalho. Ademais, instiga a busca da formação continuada, pois é uma área, uma Língua que se inova constantemente, havendo, portanto, a necessidade de nos aperfeiçoarmos.
Transtorno do Espectro do Autismo: Considerações sobre o diagnóstico / Autism Spectrum Disorder: Diagnostic Considerations
Authors: Evêncio Kátia Maria De Moura , Menezes Helena Cristina Soares , Fernandes George Pimentel
Published: November 2019

O presente artigo, de natureza bibliográfica, é parte de pesquisa de mestrado sobre práticas pedagógicas para inclusão de alunos com autismo. O objetivo do artigo é investigar as teorias explicativas deste transtorno e conhecer instrumentos de avaliação diagnóstica para o TEA. Este estudo nos permitiu saber que o diagnóstico é clínico e multidisciplinar. Os instrumentos de avaliação validados no Brasil são aplicados de acordo com o que o profissional visa investigar e estão submetidos à condição de desenvolvimento, como se é pessoa verbal ou não, faixa etária, e de acordo com as habilidades constatadas. Para o processo de inclusão escolar, é necessário fazer avaliação psicodiagnóstica para saber o nível cognitivo e a partir desse resultado embasar o planejamento de atividades pedagógicas compatíveis com o aluno. O estudo ainda apontou para necessidade de desenvolver ou validar instrumentos de avaliação diagnóstica para meninas, uma vez que as diferenças entre os sexos podem comprometer a eficiência diagnóstica.
Experiências com o Parto: Narrativas das Parturientes do Ceará / Experiences with Childbirth”: Narratives about the Parturients of Ceará
Authors: Gomes Thayane Alencar
Published: November 2019

Este trabalho teve por finalidade analisar as experiências de 3 mulheres que deram à luz no Ceará a partir de suas narrativas.  Trata-se de um estudo descritivo, utilizando-se a metodologia da História oral.  A coleta de dados ocorreu por meio de entrevistas, sob o tema “Minhas experiências com o parto”. Dentro do recorte temporal e espacial a que se direcionam as entrevistas, observa-se uma transição entre as práticas domésticas de parto realizado por parteiras e a hospitalar, já que os casos ocorreram na segunda metade do século XX. Foi realizado por profissionais da saúde, não se restringindo a médicos (as), pois enfermeiros(as) e auxiliares poderiam desenvolver essa função na época. Há ainda profissionais que facilitaram o momento final da gestação acompanhando as parturientes desde certo período. As chamadas  “doulas”, que faziam um trabalho afetivo de acolhimento com técnicas que ajudavam sobremaneira o momento do parto.
Aplicação da Lei 10.639/03: Potencializando Ideias / Law Enforcement 10.639 / 03: Empowering Ideas
Authors: Loureiro Antonia Lannuzza Gomes , Nunes Cícera
Published: November 2019

O Artigo apresenta um Relato de Experiência, realizada na Escola Estadual de Educação Profissional Monsenhor Odorico de Andrade, localizada no Município de Tauá, no estado do Ceará. Trata-se de uma formação que teve como público alvo os professores de Ciências Humanas e gestores da referida Unidade Educacional, com o objetivo de potencializar as ações já realizadas na escola, com o intuito de aplicar a Lei 10.639/03. Relataremos as ações, metodologias e recursos propostos nos 4 momentos de formação, cujos temas trabalhados foram: Combate aos silenciamentos sobre práticas racistas; Representatividade e Identidade como algo em permanente construção; Fomento e Posturas Antirracistas, Movimento Negro e suas conquista – Currículo escolar para a Diversidade.
Monitoria Acadêmica e Iniciação a Docência na Graduação em Ciências Contábeis / Academic Monitoring and Initiation of Education in Graduation in Accounting Sciences
Authors: Alencar Levi Carmo , Gomes Filho Antoniel Dos Santos
Published: November 2019

A docência do ensino superior nos cursos de graduação em Ciências Contábeis, tornou-se uma atividade mais diversificada, ao qual o profissional deve assumir uma posição de docente-pesquisador, além disso, deve buscar práticas de ensino inovadoras para acompanhar o avanço da educação relacionada a tecnologia. O presente trabalho teve como objetivo, com base em um estudo bibliográfico, identificar a importância da monitoria acadêmica na formação de novos docentes no campo das Ciências Contábeis. Desta forma, desenvolveu-se uma análise de pesquisa acerca dos estudos realizados, visto que, existe um elo muito importante, onde o programa de monitoria busca desenvolver o alicerce inicial para a formação do docente do ensino superior. Desta forma, a Monitoria acadêmica é uma forma eficaz de contribuição para o desenvolvimento do docente.
Gestação de Alto Risco: Contribuição do Acompanhante nas primeiras 48 horas Pós-Parto / High Risk Pregnancy: Companion Contribution in the First 48 Hours Postpartum
Authors: Ikeda Karina Yuri Menezes , Medeiros Fabiana Fontana , Capello Thais Da Silva , Santos Izabel Dayana De Lemos , Tokushima Tatiane , Cardelli Alexandrina Aparecida Maciel
Published: November 2019

Este estudo teve como objetivo caracterizar o acompanhante nas primeiras 48 horas após o parto de gestações classificadas como de alto risco.  Este é um estudo quantitativo realizado em uma instituição pública.  A coleta de dados ocorreu de novembro de 2016 a julho de 2017. Os dados foram compilados no programa SPSS® versão 20.0.  Participaram do estudo cento e setenta acompanhantes (61,2%), com idades entre 20 e 40 anos (65,8%), brancas (56,5%) e ocupações remuneradas (77,0%).  três salários mínimos (53,5%), desconheciam a existência da lei do acompanhante (52,3%) e foram informados pelos profissionais de enfermagem (56,4%); portanto, a presença do acompanhante já promoveu conforto à puérpera (75, 5  %)  Conclusão: O estudo foi importante para conhecer as gestantes que possuem determinantes primários para near miss e, assim, adequar os cuidados.
Perspectiva Epidemiológica dos casos de hanseníase no município de Alta Floresta - MT entre 2014 e 2017 / Epidemiological perspective of leprosy cases in Alta Floresta/MT between 2014 and 2017
Authors: Melo Flavia Alves De Oliveira , Silva Fernanda Da , Rosa Leticia De Faria Veiga Viotto , Nonnenmacher Lucielle , Seleguim Aline Marrafão
Published: November 2019

A hanseníase é uma patologia crônica contagiosa que afeta diversos problemas no maior tecido do corpo humano que é no caso da pele, alteram e sensibilizam nervos podendo haver alterações na incapacidade motora. É uma doença de notificação compulsória dentro do serviço público de saúde. Atualmente, mesmo com a diminuição considerável dos registros de hanseníase após a implantação da poliquimioterapia há cerca de três décadas, essa doença não deixou de ser um problema de saúde pública. Ao referir-se a tal assunto, destaca-se o município de Alta Floresta - MT. Dados do ano 2015 mostra um índice alto de casos novos, circunstância que coloca o município classificado em situação hiperendêmica. Esse trabalho tem como finalidade disponibilizar como diretriz de apoio a avaliação atual do perfil epidemiológico da hanseníase no município de Alta Floresta e a apreciação da política pública atual para analisar se o controle da doença tem sido eficaz. Trata-se de um estudo descritivo com levantamento dos casos novos de hanseníase dentre o período de 2014 a 2017. Conclui-se que quanto maior o tempo do avanço da doença, maior será o grau de incapacidade adquirido, portanto quanto mais cedo diagnosticada e indicado o tratamento, maior a probabilidade de prevenção de incapacidades físicas. A necessidade de desenvolver ações de educação em saúde na comunidade como um meio de divulgar os sinais e sintomas da hanseníase a fim de favorecer o diagnóstico precoce. Apesar da tendência à redução na detecção geral, mantém‑se a dinâmica de transmissão no município, além de sinalizar para diagnóstico tardio.