bluuebunny/crossref_metadata_2025 huggingface dataset:
¿Personas mayores en autonomía conectada? Promesas y retos en la tecnologización del cuidado
Authors: Sánchez Criado Tomás , Domènech Miquel
Published: October 2015

Este artículo propone una interpretación etnográfica de cómo, en uncontexto de cuidado familiar en transición, servicios de teleasistenciaespañoles buscan proveer a las personas mayores de vínculos socialespara prevenir su aislamiento, articulando una infraestructura de conexióny monitorización para promover lo que denominamos «autonomíaconectada». Para funcionar estos servicios necesitan articular redes de«contactos». Empleamos diferentes acepciones del término figuraciónpara entender los significados de la materialización práctica de diferentesformas relacionales por parte de estos servicios, prestando atención a:los roles que hacen disponibles; con qué otras figuraciones relacionalesse encuentran y qué ocurre al encontrarse. A partir de esta descripción,abrimos un debate ético acerca de las promesas y retos relacionales queenfrentan los intentos por tecnologizar el cuidado de las personasmayores.
Anotaciones sobre una trayectoria intelectual
Authors: Pérez Díaz Víctor
Published: October 2015

En este ensayo el autor propone una narrativa para su trayectoriaintelectual, que cubre medio siglo de reflexión e investigación enciencias humanas. Lo hace desde una perspectiva interpretativa,historicista y comunitaria. Entiende el impulso inicial y la evoluciónulterior como respuestas (con su mezcla de compromiso y de distancia)a una serie de retos y conversaciones en diferentes comunidades dedebate, situadas en diversos marcos históricos (España, Francia,Estados Unidos). Sugiere un argumento y un rumbo, en torno a latensión entre una teoría de la sociedad civil entendida en sentido amplioy los límites del horizonte (y la huida hacia adelante) de la modernidadavanzada.
Synergistic Effects between Mentha Piperita, Mentha Longifolia and Ocimum Basilicum on Different Bacterial Strains
Authors: Adham Aveen
Published: October 2015

The present study aimed to quantitatively evaluate antimicrobial activity of Mentha piperita, Mentha longifolia and Ocimum basilicum from Lamiaceae family, compare between them and to evaluate the type of interaction between them by microbroth dilution method and calculation of fractional inhibitory concentration. Dried leave of Mentha piperita, Mentha longifolia and Ocimum basilicum were extracted using same extraction method and solvent the highest ratio yielded by Mentha longifolia 9% and lowest ratio yielded by Ocimum basilicum 6%. Mentha piperita exhibit the lowest minimum inhibitory concentration value ranged between 1.5-<0.1 mg/ml, followed by Mentha longifolia and Ocimum basilicum ranged between 3-<0.1mg/ml with minimum bactericidal concentration ranged between 6-0.1875. On combination of leave extract Mentha piperita with Mentha longifolia exhibit the lowest minimum inhibitory concentration value ranged between 0.1875-<0.05 mg/ml, while combination of Mentha longifolia with Ocimum basilicum revealed minimum inhibitory concentration ranged between 0.75-<0.05. Among tested bacterial strain Streptococcus mitis showed high sensitivity against all tested leave extract alone and in combination form. The combinations of Mentha piperita, Mentha longifolia and Ocimum basilicum showed synergistic effects against most of bacteria. Mentha longifolia and Ocimum basilicum revealed antagonistic effect against Staphylococcus aureus. As a result three Lamiaceae species showed broad spectrum antimicrobial activity against isolated bacterial strain and their activity in combination form more pronounced than alone.
A formação de relacionamentos em videochats de sistema randômico: usuários e conexões
Authors: Damasceno Alex
Published: October 2015

Este artigo aborda a constituição de relacionamentos nos ambientes de videochat dos sites Chatroulette e Omegle, ambos caraterizados por um sistema randômico de formação de pares de interação. A partir dos pensamentos de Schutz e Simmel, definimos os relacionamentos como um fenômeno da sociabilidade que reproduz a estrutura da situação face a face. Baseados nos dados coletados em nossa observação participante, analisamos dois aspectos do fenômeno: primeiramente, interpretamos o alto índice de desconexão imediata que marcou a experiência; em segundo lugar, operamos uma tipificação dos usuários, na percepção de regularidades em relação às suas identidades.
Properties of Nanocrystals-Formulated Aluminosilicate Bricks
Authors: Conciauro Francesca , Filippo Emanuela , Carlucci Claudia , Vergaro Viviana , Baldassarre Francesca , D'Amato Rosaria , Terranova Gaetano , Lorusso Caterina , Congedo Paolo Maria , Scremin Barbara Federica , Ciccarella Giuseppe
Published: October 2015

In the present work, seven different types of nanocrystals were studied as additives in the formulation of aluminosilicate bricks. The considered nanocrystals consisted of anatase titanium dioxide (two differently shaped types), boron modified anatase, calcium carbonate (in calcite phase), aluminium hydroxide and silicon carbide (of two diverse sizes), which were prepared using different methods. Syntheses aim to give a good control over a particle's size and shape. Anatase titania nanocrystals, together with the nano-aluminium hydroxide ones, were synthesized via microwave-assisted procedures, with the use of different additives and without the final calcination steps. The silicon carbide nanoparticles were prepared via laser pyrolysis. The nano-calcium carbonate was prepared via a spray drying technique. All of the nanocrystals were tested as fillers (in 0.5, 1 and 2 wt. % amounts) in a commercial aluminosilicate refractory (55 % Al2O3, 42 % SiO2). They were used to prepare bricks that were thermally treated at 1300 °C for 24 hours, according to the international norms. The differently synthesized nanocrystals were added for the preparation of the bricks, with the aim to improve their heat-insulating and/or mechanical properties. The nanocrystals-modified refractories showed variations in properties, with respect to the untreated aluminosilicate reference in heat-insulating performances (thermal diffusivities were measured by the “hot disk” technique). In general, they also showed improvements in mechanical compression resistance for all of the samples at 2 wt. %. The best heat insulation was obtained with the addition of nano-aluminium hydroxide at 2 wt. %, while the highest mechanical compression breaking resistance was found with nano-CaCO3 at 2 wt. %. These outcomes were investigated with complementary techniques, like mercury porosimetry for porosity, and Archimedes methods to measure physical properties like the bulk and apparent densities, apparent porosities and water absorption. The results show that the nano-aluminium hydroxide modified bricks were the most porous, which could explain the best heat-insulating performances. There is a less straightforward explanation for the mechanical resistance results, as they may have relations with the characteristics of the pores. Furthermore, the nanoparticles may have possible reactions with the matrix during the heat treatments.
A High-Performance FPGA-Based Image Feature Detector and Matcher Based on the FAST and BRIEF Algorithms
Authors: Fularz Michał , Kraft Marek , Schmidt Adam , Kasiński Andrzej
Published: October 2015

Image feature detection and matching is a fundamental operation in image processing. As the detected and matched features are used as input data for high-level computer vision algorithms, the matching accuracy directly influences the quality of the results of the whole computer vision system. Moreover, as the algorithms are frequently used as a part of a real-time processing pipeline, the speed at which the input image data are handled is also a concern. The paper proposes an embedded system architecture for feature detection and matching. The architecture implements the FAST feature detector and the BRIEF feature descriptor and is capable of establishing key point correspondences in the input image data stream coming from either an external sensor or memory at a speed of hundreds of frames per second, so that it can cope with most demanding applications. Moreover, the proposed design is highly flexible and configurable, and facilitates the trade-off between the processing speed and programmable logic resource utilization. All the designed hardware blocks are designed to use standard, widely adopted hardware interfaces based on the AMBA AXI4 interface protocol and are connected using an underlying direct memory access (DMA) architecture, enabling bottleneck-free inter-component data transfers.
Dynamics Verification Experiment of the Stewart Parallel Manipulator
Authors: Shao Zhu-Feng , Tang Xiaoqiang , Wang Liping
Published: October 2015

As the basis of dynamic analysis and driving force calculation, dynamic models and dynamic parameters are important issues in mechanical design and control. In this paper, a dynamics verification experiment, which covers both dynamic models and dynamic parameters as a whole, is carried out on the typical Stewart parallel manipulator. First, the complete dynamic model of the Stewart manipulator is derived, considering the force sensors. The Newton-Euler method with clear physical meaning is adopted to facilitate understanding and parameter definitions. The dynamic parameters are deduced based on the established three-dimensional virtual prototype and adjusted with actual measurements. The recorded trajectory, instead of the theory trajectory, is adopted to calculate the theoretical limb forces. The practical limb forces are measured using pull pressure sensors. Finally, the dynamic model and identified parameters are verified by comparing the limb forces obtained using the above two approaches. Experiment results show that theoretical and practical limb forces coincide well, with a small maximum RMS (root mean square) error of 1.516N and forces ranging from 10N to 40N. Additionally, the established dynamics verification algorithm, which involves dynamic modelling, a parameter identification approach and a data analysis method, are generic and practical, and can be flexibly applied to the dynamic analysis of other parallel manipulators.
A Dynamic Balancing Approach for a Quadruped Robot Supported by Diagonal Legs
Authors: Meng Jian , Li Yibin , Li Bin
Published: October 2015

For legged robots, the most important task is to keep balance. This paper proposes a new balance control approach. To simplify the control complexity, first, LQR (linear quadratic regulator) control was used to obtain stable state feedback for the model. Then, the 6-DOF model was stabilized by dividing the whole robot into three separate parts. After that, VMC (virtual model control) was used to change the configuration of the joints. The simulation results showed that the proposed method allowed the quadruped robot to walk stably, even when certain types of disturbance were exerted on the models. In the simulation model, to mimic real conditions, noise was added to the sensors; the algorithm was then verified as still suitable for the quadruped robot.
Counting the Crowd//Taxing the Garden
Authors: Ebert David D. , Morriss Julia , Broude Emily , Lesser Robert
Published: October 2015

Questions about crowd density and data related to Madison Square Garden prompt creative investigations.
Insights from the MAA National Study of College Calculus
Authors: Bressoud David
Published: October 2015

Students who succeed in high school calculus become discouraged and quit in college. Why?
Probability with Collaborative Data Visualization Software
Authors: Willis Melinda B. N. , Hay Sue , Martin Fred G. , Scribner-MacLean Michelle , Rudnicki Ivan
Published: October 2015

The data collection and analysis tool iSENSE helps algebra students collect, share, and explore their own experimental data while learning about the law of large numbers.
Using Surfer to Investigate Algebraic Surfaces
Authors: Grünberg David , Matt Andreas
Published: October 2015

Visualization software makes it possible to investigate three-dimensional object and motivates students to understand the mathematics that controls the shapes.
A Transformational Approach to Slip-Slide Factoring
Authors: Steckroth Jeffrey
Published: October 2015

Dynamic geometry software coupled with a careful analytical investigation provides interesting algebraic and geometric connections between pairs of functions to detail a transformational approach to factoring.
Repeated Square Roots
Authors: Edwards Michael Todd , Quinlan James
Published: October 2015

An inquiry-oriented investigation illustrates how students in algebra classrooms may explore limit meaningfully.
The Sports Bag
Authors: Cady Jo Ann , Bair Sherry L.
Published: October 2015

Solutions to a February 2015 Solve It problem are discussed, and the procedures used with problem solving are explored.
October 2015 Problems
Authors: Roscoe Matt B. , Pelikan Stephan
Published: October 2015

A monthly set of problems is aimed at a variety of ability levels.
Hair: Weft and Weave
Authors: Ahmed Ayesha
Published: October 2015

This real-life activity explores the economics of hair augmentation.
Iteration: Unit Fraction Knowledge and the French Fry Tasks
Authors: Tzur Ron , Hunt Jessica
Published: October 2015

Using these tasks can help nurture children's multiplicative notions of unit fractions beyond part-whole understanding.
Unwrapping Students' Ideas about Fractions
Authors: Lewis Rebecca M. , Gibbons Lynsey K. , Kazemi Elham , Lind Teresa
Published: October 2015

Read about how use of formative assessment items can yield insight into why students use particular strategies or notation.
Self-Archiving with Ease in an Institutional Repository: Microinteractions and the User Experience
Authors: Betz Sonya , Hall Robyn
Published: October 2015

Details matter, especially when they can influence whether or not users engage with a new digital initiative that relies heavily on their support. During the recent development of MacEwan University’s institutional repository, the librarians leading the project wanted to ensure the site would offer users an easy and effective way to deposit their works, in turn helping to ensure the repository’s long-term viability. The following paper discusses their approach to user-testing, applying Dan Saffer’s framework of microinteractions to how faculty members experienced the repository’s self-archiving functionality. It outlines the steps taken to test and refine the self-archiving process, shedding light on how others may apply the concept of microinteractions to better understand a website’s utility and the overall user experience that it delivers.
Intervención psicológica grupal, basada en la aceptación y el entrenamiento en comunicación, con familiares de personas con trastorno mental grave
Authors: Roldán Gloria M. , Salazar Isabel C. , Garrido Laura , Cuevas Ana M.
Published: October 2015

The effectiveness of a group intervention program to reduce psychological problems in relatives living with patients with severe mental disorders was evaluated. Attended eight mothers and one father whose adult children were receiving treatment in a Mental Health Day Hospital. They followed the Beck Anxiety Inventory, the Beck Depression Inventory-II, the Perceived Stress Scale, the SF-36 Health Survey, the Coping Strategies Inventory, and the Assertiveness Inventory. They attended 20 sessions of group psychological acceptance and development of skills-based treatment. Following the completion of the program, the level of depression in the parents decreased significantly, assertive conduct increased, as did the use of coping strategies aimed at the solution of problems. The relatives rated the program as useful, applied what they have learned to their daily lives, decreased the levels of psychological discomfort, and the majority applied what they have learned to what they value most. Concluding the program was successful in decreasing depression among patients’ relatives and in increasing their adaptive coping skills. Nevertheless, more studies are needed in order to overcome some limitations such as the size of the cohort and the lack of a control group.
Estado de ánimo y memoria autobiográfica: efectos sobre la intensidad de los recuerdos escolares
Authors: Boyano José T. , Mora Juan A.
Published: October 2015

The influence of mood on memory for simple stimuli has been observed frequently. This paper examines the effect of mood on autobiographical memory, going to analyze (1) the presence of the mood-congruent memory effect in school memories and (2) the typical anomalies of the effect. We intend to study the biases that may affect, during retrieval, the subjective rating of relevant events in school history. We used a sample of college students assigned to different groups of mood induction. Three states (happy, sad or neutral mood) were induced by film material having emotional scenes. Memories intensity was recorded by the LIM method. The mood-congruent memory effect has been partial and asymmetric. Our results indicate that participants with happy mood tend to a greater rating of positive and negative events, whereas sad participants tend to more conservative valuations. Neutral-mood participants rated the positive events with a higher level than negative. These data suggest that the mood generates a preferred processing style which modulates the valuation of memories.
Efectos de la actividad física sobre las funciones ejecutivas en una muestra de adolescentes
Authors: Martín-Martínez Inmaculada , Chirosa Luis J. , Reigal Rafael E. , Hernández-Mendo Antonio , Juárez-Ruiz de Mier Rocío , Guisado Rafael
Published: October 2015

The aim of this study was to analyse the effects of a physical activity program, eight-week and based on small sided games, on some variables associated to executive function construct. The participants in the study were 54 adolescents, who were physically inactive, from the city of Priego (Córdoba, Spain), whose age ranged between 15 and 16 years old (M=15.35; SD= .48). The study was based on a quasi-experimental pre-post design with two randomized groups, control and experimental. The instruments used to evaluate the cognitive skills were Digits and Letters and Numbers tests of the Wechsler Intelligence Scale for Children (WISC-IV), the Trail Making Test (A and B) and the Stroop Test. It was realized an analysis of the mixed variance 2x2 to determine the effects of the treatment. Results showed positive effects of the physical activity program in subtest of WISC-IV and Trail Making Test B, although the effect size was weak. It is proposed to increase the time of intervention and apply different treatments to observe the impact of type of activity for future research
Elementos estructurales de la red social, fuentes de apoyo funcional, reciprocidad, apoyo comunitario y depresión en personas mayores en Chile
Authors: Gallardo-Peralta Lorena Patricia , Sánchez-Moreno Esteban , Barrón Ana , Arias Andrés
Published: October 2015

The relation among aging, social support, and depression is a key subject in societies with rising aeging rates, as Chile is. The present piece of research focus on the rol played by psychosociological variables: type of support by source, reciprocity in support by type and source of support, and communitary support. Vaidated and widely used depression and social support scales where applied in a representative sample (n=493) obtained from Arica-Parinacota region, north of Chile. Hierarchichal regression and structural equation model (SEM) are used. Results suggest that partner, and adult sons and daughters constitute the main sources of support (specially emotional and instrumental) against depression. Reciprocity is a key variable to account for the relation between sources of support and depression.
Predictores de la inmovilidad tónica ante eventos traumáticos
Authors: Bados Arturo , García-Grau Eugeni , Fusté Adela
Published: October 2015

Tonic immobility (TI) is a possible reaction to danger that is facilitated by intense fear, physical restraint and perceived inability to escape. Other variables that could affect TI, such as the type and characteristics of traumatic events and personal characteristics have been little or no studied. The present study evaluated the power of these variables to predict TI in a sample of 273 college students who had experienced at least one traumatic event. Of the sample, 7.7% and 13.2% responded with TI according to the two stricter definitions adopted. Most of the variables were significantly associated with TI in univariate analyses. However, in a multiple regression analysis, only certain features of the events (occurrence of physical/sexual abuse, number of different types of events experienced) and certain reactions to them (perception of how traumatic were the events, severe fear response) were significant predictors of TI. Since these predictors explained only 25% of the variance, the influence of other variables –such as neuroticism, negative affectivity and perceived lack of personal control or resources to cope with traumatic events– should be investigated.
Los estilos educativos paternos y maternos en la adolescencia y su relación con la resiliencia, el apego y la implicación en acoso escolar
Authors: Gómez-Ortiz Olga , Del Rey Rosario , Romera Eva M. , Ortega-Ruiz Rosario
Published: October 2015

The present research has two aims. The first is to create a typology of parenting style, and the second is to explore the relationship between mother´s and father´s parenting styles and the coherence between both, and adolescent adjustment, assessment with a bullying, resilience and attachment scale. It has been used an incidental sample of 626 high school students (49.7% girls) from Córdoba, that completed the Scale to assessment maternal and paternal parenting style in adolescence, the European Bullying Intervention Project Questionnaire, the attachment scale CaMir-R and the short version of the Connor-Davidson Resilience Scale. The results show four parenting styles, that is the same for mothers and fathers (“supervisor democratic”, “controlling democratic”, “democratic of little disclosure” and “moderately”) and one parenting style only for mothers (“permissive”) and other, only for fathers (“indifferent”). It was found statistically significant differences in all measures of adolescent adjustment depending on mother´s and father´s parental styles and the coherence of both. The better psychosocial adjustment was observed in adolescents whose father or mother were supervisor democratic and when both parents were democratic.
What distinguish teams from social aggregates? A tool to assess the group development
Authors: Navarro José , Meneses Rocío , Miralles Cibeles , Moreno Diana J , Campelo Vania
Published: October 2015

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TThis research uses the construct of group development (GD) to distinguish highly developed workgroups and teams from mere social aggregates. The aims were to develop a scale capable of measuring this basic emergent process and to study the scale’s reliability and construct validity (content, factorial, convergent and criteria). Data concerning the GD, other related processes (entitativity and group identification) and team outputs (group performance and team effectiveness) were gathered from four successive studies (4099 participants belonging to 521 workgroups in 13 organizations). All the studies were carried out using a cross-sectional and correlational design. The results revealed an one-dimensional solution for the proposed measurement scale, which showed adequate reliability and validity. The scale is not only practical (quick and easy to apply) but also useful for group managers and leaders, since it provides them with a tool for determining the extent to which their groups are actually functioning as highly developed groups.
The unidimensionality and overestimation of metacognitive awareness in children:validating the CATOM
Authors: Ferreira Paula Da Costa , Veiga Simão Ana Margarida , Lopes da Silva Adelina
Published: October 2015

Children often have difficulty in reporting their metacognitive functioning, which leads them to frequently overrating themselves under learning situations. Hence, this study presents a preliminary approach of how children's awareness of their own metacognitive knowledge (MK) and metacognitive skills (MS) can be measured. Essentially, this study aims to understand how children (n =1029) report their metacognitive functioning. In a first analysis, PCA revealed an initial two-factor structure of the instrument (MK and MS). Item Response Theory was then used to analyse the unidimensionality of each dimension and the interactions between participants and items. Results revealed good item reliability for MK (.93) and MS (.80), and an average person reliability (.67) for MK and MS (.78) with good Cronbach's α for MK (.84) and MS (.91). These results show the potential of the instrument, as well as a tendency of children to overrate their metacognitive functioning. Implications for researchers and practitioners are discussed.
Imagen exogrupal de adolescentes autóctonos e inmigrantes latinos: influencia del contacto intergrupal y la edad
Authors: Calderón-López Sonsoles , Navas Marisol
Published: October 2015

Two studies are presented with the purpose of analyzing outgroup perception of 471 native and 333 Latino immigrant adolescents in Madrid city and differences regarding age and level of outgroup contact. In order to evaluate outgroup perception, a measure was created using descriptions provided by adolescents with similar characteristics during focus groups conducted in a preliminary study. The final measure shows similar structure and appropriate psychometric properties for both participant groups and it evaluates total outgroup perception and its positive and negative components. In line with previous research, Latino adolescents show a more positive outgroup image than the Spaniards; they also express higher scores in both positive and negative outgroup perception. Those adolescents with higher level of outgroup contact show higher scores in total and positive outgroup image, but effects on negative outgroup image differ with group status. Results in relation to age are not concluding. This study contributes to a better understanding of intergroup perception during adolescence, a developmental period in which this research is still limited in Spain.
Episodic-like memory trace in awake replay of hippocampal place cell activity sequences
Authors: Takahashi Susumu
Published: October 2015

Episodic memory retrieval of events at a specific place and time is effective for future planning. Sequential reactivation of the hippocampal place cells along familiar paths while the animal pauses is well suited to such a memory retrieval process. It is, however, unknown whether this awake replay represents events occurring along the path. Using a subtask switching protocol in which the animal experienced three subtasks as ‘what’ information in a maze, I here show that the replay represents a trial type, consisting of path and subtask, in terms of neuronal firing timings and rates. The actual trial type to be rewarded could only be reliably predicted from replays that occurred at the decision point. This trial-type representation implies that not only ‘where and when’ but also ‘what’ information is contained in the replay. This result supports the view that awake replay is an episodic-like memory retrieval process.
Pericytes are progenitors for coronary artery smooth muscle
Authors: Volz Katharina S , Jacobs Andrew H , Chen Heidi I , Poduri Aruna , McKay Andrew S , Riordan Daniel P , Kofler Natalie , Kitajewski Jan , Weissman Irving , Red-Horse Kristy
Published: October 2015

Epicardial cells on the heart’s surface give rise to coronary artery smooth muscle cells (caSMCs) located deep in the myocardium. However, the differentiation steps between epicardial cells and caSMCs are unknown as are the final maturation signals at coronary arteries. Here, we use clonal analysis and lineage tracing to show that caSMCs derive from pericytes, mural cells associated with microvessels, and that these cells are present in adults. During development following the onset of blood flow, pericytes at arterial remodeling sites upregulate Notch3 while endothelial cells express Jagged-1. Deletion of Notch3 disrupts caSMC differentiation. Our data support a model wherein epicardial-derived pericytes populate the entire coronary microvasculature, but differentiate into caSMCs at arterial remodeling zones in response to Notch signaling. Our data are the first demonstration that pericytes are progenitors for smooth muscle, and their presence in adult hearts reveals a new potential cell type for targeting during cardiovascular disease.
Osteopathic family physicians' attitudes, knowledge, and self-reported practices regarding obesity
Authors: Harris Jeffrey E , Hamaday Valerie , Mochan Eugene
Published: October 2015

The study's purpose was to examine attitudes, knowledge, and self-reported practices of osteopathic family physicians regarding obesity. A survey was developed and administered to osteopathic family physicians. Respondents were predominantly male (76%), and their mean age was 44.6 years. Most had been in practice for fewer than 10 years. Physicians surveyed used diet, exercise, and behavior modification most often in treating obese patients. They were reluctant to suggest medications for treatment of obesity. The physicians also displayed a lack of understanding of the proper assessment of obese patients. These family physicians admitted that medical journals and continuing education were their major sources of information about obesity. Most agreed that their medical school training was deficient in regard to the treatment of obesity, but a majority wished further training. Most of the physicians surveyed had a desire to collaborate on obesity-related research projects. These trends appeared not to be related to physician gender, age, years in practice, or weight. The results of this survey indicated that osteopathic family physicians desire to be updated on current research regarding obesity and use of interdisciplinary modalities. Additional access to training could make an impact on these attitudes and thereby influence their patient management.
Childhood obesity
Authors: Holtz Christina , Smith Troy M , Winters Frank D
Published: October 2015

Childhood obesity has become one of the more alarming nutritional problems plaguing the American population, with estimates as high as 25% of all children being obese. Aside from obesity's associated risks, there are psychosocial and emotional burdens carried by obese children as well. Clinicians are encountering many of these children in their clinics everyday for other reasons and yet are failing to address the issue of obesity. The problem is not so much that physicians are not recognizing it, but rather that they are ignoring it, especially if the parent or child is unaware that there is a problem. Unfortunately, much controversy exists regarding the treatment of childhood obesity. This article attempts to sort through the myriad issues surrounding childhood obesity and to dispel some of the rumors and myths surrounding this subject.
Training osteopathic geriatric academicians: Impact of a model geriatric residency program
Authors: Cavalieri Thomas A , Basehore Pamela , Perweiler Elyse , Chopra Anita
Published: October 2015

The need for osteopathic geriatric academic leaders who are educators and researchers is well recognized. The University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine's Geriatric Residency Program, a federally funded Faculty Training Project in Geriatric Medicine and Dentistry, has served as a model program in the osteopathic medical profession since its inception in 1989. Targeting internal medicine and family medicine physicians interested in academic careers in geriatrics, the program promotes interdisciplinary training, which develops clinical, research, and teaching/administrative skills. A survey of program graduates assessed their perceptions about the field of geriatrics and the impact of training on career choice and level of satisfaction. Results indicated that 100% of the former trainees entered the field of geriatrics; 57% hold full-time faculty appointments at an osteopathic medical school, and 43% practice as clinical geriatricians. Of those in an academic setting, all taught medical students and housestaff and were involved in research. All the respondents were satisfied with their career choice, although 71 % indicated that a higher salary and greater respect for the discipline would further enhancetheir satisfaction. Greater than half perceived a need for additional geriatricians and ranked complexity of care, lower salaries, inadequate reimbursement, and indebtedness after medical school as significant barriers to entering the field. This program has been successful in training academic geriatricians, it has created role models for students, and it has responded to the shortage of osteopathic academic and clinical geriatricians. Financial incentives and reimbursement that is commensurate with complexity of care would serve to attract more trainees to this important primary care discipline.
Efficacy and safety of azelastine nasal spray for the treatment of allergic rhinitis
Authors: Craig Timothy J , Golden Stanley J
Published: October 2015

Azelastine hydrochloride is a nasally administered antihistamine that is effective and safe for the treatment of perennial and seasonal allergic rhinitis. In addition to acting as a histamine H1-receptor antagonist, azelastine also inhibits the production or release of many chemical mediators of the allergic response such as leukotrienes, free radicals, and cytokines. After nasal administration, azelastine is systemically absorbed with a bioavailability of about 40%. The side effects of azelastine are drowsiness, headache, and bitter taste. Azelastine has a rapid onset of action with a benefit in about 2 hours and a prolonged duration of activity (12 to 24 hours). Studies have shown azelastine to be more effective than placebo in terms of reduction of the major and total symptom complexes of allergic rhinitis. Comparison studies have demonstrated that azelastine is as effective as ebastine, loratadine, cetirizine hydrochloride, and terfenadine at symptom reduction, with varying results when compared with the corticosteroids budesonide and bedomethasone.Although there are conflicting studies, some have demonstrated that azelastine reduces the nasal congestion of allergic rhinitis. This feature that distinguishes it from oral antihistamines is of great interest because corticosteroids are known to be quite effective for the relief of nasal congestion, whereas the antihistamines are effective for the sneezing, itchy eyes, itchy nose, and watery eyes, but not the congestion. Azelastine nasal spray seems to be an efficacious treatment for allergic rhinitis with a rapid onset and long duration of activity, but without the systemic adverse effects of traditional sedating antihistamines.
Optic Nerve Head Hemangioma - An Unusual Presentation of Von Hippel- Lindau Disease
Authors: Vichare Nitin
Published: October 2015

Von Hippel-Lindau (VHL) disease is an autosomal dominant neoplastic disorder in which multiple benign or malignant tumours and cysts with specific histopathologic features develop in the tissues of the central nervous system and in visceral organs. Retinal capillary hemangioma is the most frequent and often the earliest manifestation of VHL disease. However, optic nerve head hemangioma is a rare manifestation. We report a case of optic nerve head haemangioma in an Asian male which on extensive evaluation proved to be a case of VHL disease associated with pheochromocytoma.
Limits and strategies of health professionals on adherence to treatment of diabetes: integrative review
Authors: Prado Majoi Dias , Soares Daniela Arruda
Published: October 2015

Objetivou-se conhecer os limites e estratégias de profissionais de saúde no processo de adesão ao tratamento de pessoas com diabetes por meio de revisão integrativa, com recorte temporal de 10 anos. Seguindo seis etapas pré-definidas para seleção e análise dos dados, encontrou-se 388 artigos, contudo apenas 15 atenderam aos critérios de inclusão. Em relação aos limites de profissionais de saúde frente ao processo de adesão ao diabetes emergiram três núcleos temáticos: fatores organizacionais, fatores profissionais e fatores individuais. As estratégias utilizadas por estes profissionais para favorecer a adesão foram agrupadas em propostas individuais, interprofissionais e na relação com o cliente. Os profissionais parecem entender a amplitude dos elementos limitantes da sua prática e engendram esforços para a sua superação. Ficou evidente a importância de entender as questões que se relacionam com o processo de adesão, bem como a carência de estudos que enfoquem tais aspectos sob a perspectiva profissional.
Aids as a disease of the others: an analysis of women’s vulnerability
Authors: Silva Carla Marins , Vargens Octavio Muniz da Costa
Published: October 2015

Objetivo: Descrever a percepção das mulheres com relacionamento estável quanto à vulnerabilidade feminina para contrair aids. Métodos: Pesquisa descritiva, qualitativa, realizada em 2008 num Campus Universitário no Rio de Janeiro. Foram entrevistadas 15 mulheres autodeclaradas em relacionamento estável, de diferentes escolaridades, raças e religião. Atenderam-se às exigências do Conselho Nacional de Ética em Pesquisa. Para análise dos dados utilizou-se a análise de conteúdo. Resultados: As entrevistadas consideram as mulheres em relacionamento estável vulneráveis por confiarem no parceiro, não usarem preservativos e pela falta de informação. Tabus e vergonha mostraram-se obstáculos para prevenção. Conclusão: Evidenciou-se que as entrevistadas reconhecem as outras mulheres como tendo sua vulnerabilidade aumentada uma vez que se excluem dos grupos vulneráveis. Portanto, um dos desafios para a prevenção e controle das AIDS é reverter esta baixa percepção em relação ao risco dessas mulheres.
Ways of researching the nursing care through the cartographical method mapping
Authors: Carreiro Monica de Almeida , Dos Santos Margarida Maria Donato , Gama Pollyana da Rosa , Figueiredo Nébia Maria Almeida de
Published: October 2015

Este estudo responde a questão norteadora: quais estratégias são utilizadas no ensino do cuidar em enfermagem que ultrapassam a racionalidade e inclui o plano do sensível? O problema deste estudo está em desendurecer o processo de ensinar a cuidar. Objetivos: Implantar uma estratégia no ensino do cuidar em enfermagem que inclua a dimensão sensível; analisar os resultados a partir da informação dos estudantes sobre a estratégia. A pesquisa é qualitativa que utilizou o diário de campo dos acadêmicos sobre o acompanhamento do plantio do feijão. A estratégia de ensino-aprendizagem despertou o amor, o carinho, o afeto em 99% dos estudantes. Permitiu perceber que a observação é peça fundamental para se promover o cuidado; que a troca de experiências e a busca de conhecimentos facilitam e tornam a prática mais proveitosa e estimulante.
Integrative and complementary practices in oncologic treatment and the role of nursing
Authors: Andrade Alves Kisna Yasmin , A do Nascimento Camila P , S de Assis Yole M , C de O Salvador Pétala T , V Tourinho Francis S , P Santos Viviane Euzébia
Published: October 2015

RESUMO:Objetivo: Caracterizar as práticas Integrativas e Complementares (PICs) utilizadas no tratamento oncológico, bem como o papel da enfermagem nesse contexto. Metodologia: Trata-se de uma revisão integrativa nos bancos de dados MEDLINE, BDENF, LILACS, SciELO e CINAHL, através dos descritores “terapias complementares e neoplasias” e “terapias complementares e enfermagem” artigos que versem sobre a temática abordada. Resultados: Foram 34 estudos, sendo o ano 2009 o de maior expressividade de publicação e os Estados Unidos da América e o Brasil os principais contribuintes. A terapia de base biológica é a principal PIC utilizada no tratamento oncológico. Revelou-se que a enfermagem atua incipientemente nesse cenário. Conclusão: Destarte, espera-se instigar profissionais da saúde, em especial os de enfermagem, a buscar novos saberes acerca do objeto de estudo, bem como a refletir acerca dos caminhos necessários para a maior aproximação profissional das PICs. Descritores:Terapias Complementares, Câncer, Enfermagem.
Prevalence and associated factors to occupational accidents in the hospital housekeeping
Authors: Diniz da Silva Ceron Marinez , Magnago Tânia Solange Bosi de Souza , Camponogara Silviamar , Beltrame Marlize Tatsch , Luz Emanuelli Mancio Ferreira da , Bottino Larissa Diniz
Published: October 2015

Objetivo: Identificar a prevalência e os fatores associados à ocorrência dos acidentes de trabalho com os trabalhadores do serviço hospitalar de limpeza. Método: Estudo transversal, envolvendo 157 trabalhadores do serviço hospitalar de limpeza atuantes em um hospital universitário do Rio Grande do Sul, Brasil. A coleta de dados ocorreu em 2013, utilizando-se um formulário para caracterização sociodemográfica, laboral, hábitos, saúde e dos acidentes de trabalho. Resultados: No último ano trabalhado, a prevalência de acidentes foi de 17,8%. O maior percentual de acidentes ocorreu com trabalhadores do sexo masculino (26,3%), entre 19 e 34 anos (21,6%). Os acidentes com perfurocortantes e as quedas se destacaram, sendo as mãos e os dedos as partes do corpo mais atingidas. Conclusão: Nenhum dos fatores avaliados apresentou-se associado significativamente aos acidentes de trabalho. O número de sujeitos pesquisados pode ter interferido nesse resultado.
Educação em saúde e ações de autocuidado como determinantes para prevenção e controle do câncer
Authors: Souza Maria das Graças Gazel de , Santos Iraci dos , Silva Leandro Andrade da
Published: October 2015

O presente estudo teve como objetivo identificar a produção científica sobre a educação em saúde e as ações de autocuidado como estratégia de prevenção e controle do câncer. Para tanto, realizou-se uma revisão integrativa de literatura utilizando as bases de dados Lilacs e Scielo, referente ao período de 2003 a 2013. Após a análise dos 22 artigos selecionados emergiram quatro categorias temáticas: educação em saúde como forma de prevenção do câncer, práticas de autocuidado na prevenção do câncer,  campanhas educativas sobre o câncer, e  conhecimento acerca da prevenção do câncer. O número de casos novos de câncer tem sofrido um aumento significativo em decorrência do aumento da expectativa de vida da população e também devido à influência de fatores intrínsecos e extrínsecos em sua formação, tornando importante a ação do enfermeiro como educador visando à prevenção e controle da doença através de orientações acerca das ações de autocuidado.
Dependence of family care in the perspective of chronic disease
Authors: Mantelo Cecílio Hellen Pollyanna , Arruda Guilherme Oliveira de , Marcon Sonia Silva
Published: October 2015

Objetivo: Apreender como o doente crônico sente o fato de ser dependente de cuidados cotidianos. Métodos: Trata-se de um estudo descritivo, exploratório, de natureza qualitativa, realizado junto a 12 doentes crônicos assistidos por um projeto de extensão. Os dados foram coletados no período de abril a novembro de 2011 por meio de entrevista guiada pela questão norteadora: “Como você se sente por precisar de cuidados de seus familiares?” e submetidos à Análise de Conteúdo. Resultados: Emergiram as categorias: “Participação da pessoa em condição crônica na família”; “Dependência de cuidado familiar: autonomia ameaçada”; “Distanciamento familiar: não basta conviver no mesmo ambiente”. Os participantes revelaram sentir-se excluídos das decisões familiares, incomodados por depender de cuidados e muitas vezes referem solidão. Conclusão: A progressão das doenças crônicas, que geralmente está associada à dependência de cuidado, exige, muitas vezes, uma reestruturação familiar e uma redefinição de papéis, alterando a rotina e a dinâmica familiar.
Cervical cancer precursor lesions: significance for women in a referral center in brazil
Authors: Melo Rosana Oliveira de , Rocha Moreira Rita de Cássia , Mendonça Lopes Regina Lúcia
Published: October 2015

Objetivo: Compreender o vivido de mulheres com lesões precursoras do câncer do colo do útero. Método: Fenomenológico, seguindo as etapas metódicas de redução, construção e destruição. Trata-se de um recorte de dissertação “O vivido de mulheres com lesões precursoras do câncer do colo do útero: do diagnóstico a terapêutica”. A interpretação dos dados deu-se pela análise compreensiva Heideggeriana. Resultados: Os fenômenos desvelados relacionavam-se com as dúvidas das mulheres pelo desconhecimento do diagnóstico; mudanças no relacionamento com parceiros; dificuldades em ter amigos; importância da família; estratégias de enfrentamento; relacionamento com profissionais de saúde e descrédito na assistência; vergonha e constrangimento na realização do papanicolaou e o medo da morte. Conclusão: Urge redimensionar o cuidar do ser-mulher com lesões precursoras do câncer do colo do útero e lança-se o desafio de compreender a necessidade dos profissionais de saúde, cuidarem na perspectiva heideggeriana, estabelecendo uma relação de ser-com-o-outro, valorizando-o como ser de possibilidades.
Glycemic control in patients receiving insulin critics: integrative review
Authors: Paixão Carina Texeira , Silva Lolita Dopico da , Nepomuceno Raquel de Mendonça , De Andrade Karla Biancha Silva , De Almeida Luana Ferreira
Published: October 2015

Objetivo: Discutir o conhecimento produzido sobre o controle glicêmico de pacientes críticos que recebem infusão contínua de insulina. Método: Revisão integrativa de literatura de publicações nas bases Ovid, Science e Scopus que abordassem a infusão contínua de insulina em pacientes hospitalizados, entre 2003 a 2013 e texto completo disponível on line. Selecionados onze publicações. Resultados: O controle glicêmico com insulina intravenosa apresentou maiores taxas de hipoglicemia apesar de permitir alcançar a meta alvo mais rápido  e protocolos informatizados são recursos eficazes na prevenção de eventos hipoglicêmicos apesar de caros e ainda pouco disponíveis na realidade brasileira. Conclusão: É importante fornecer subsídios para o enfermeiro sobre as implicações da hipoglicemia grave durante a infusão contínua de insulina para  o controle dos riscos nos processos assistenciais de enfermagem.
Adherence to antiretroviral treatment for hiv and inter-its relationship with the programmatic vulnerability
Authors: Zuge Samuel Spiegelberg , Paula Cristiane Cardoso de , Brum Crhis Netto de , Ribeiro Aline Cammarano , Padoin Stela Maris de Mello
Published: October 2015

Objetivo: Analisar, a partir das produções científicas, as ações do serviço de saúde que contribuam para a melhora da adesão ao tratamento antirretroviral para o HIV, a partir dos eixos que compõem a vulnerabilidade programática. Métodos: Revisão narrativa da Literatura. A coleta de dados ocorreu no mês fevereiro de 2015, nas bases de dados LILACS e MEDLINE. Foi desenvolvida a análise de conteúdo temática. Resultados: Foram analisadas 16 produções, das quais apontaram: 1) o compromisso e a responsabilidade dos profissionais e equipe; 2) o acesso ao serviço de saúde e a 3) organização do serviço. Conclusão: Os serviços de saúde no intuito de promover a saúde das pessoas e minimizar os aspectos que envolvem a vulnerabilidade programática e a adesão podem estabelecer suas práticas assistenciais com compromisso e responsabilidade, garantindo uma organização do serviço, assim como, o seu acesso.