bluuebunny/crossref_metadata_2025 huggingface dataset:
Environment, intention and intergenerational music making: Facilitating participatory music making in diverse contexts of community music
Authors: Anderson Kirstin , Willingham Lee
Published: May 2020

Current conversations and debates amongst community music and music educational practitioners have engendered the need to identify and describe qualities and leadership strategies that could be expected essential for those in teaching, facilitating and/or working in diverse settings, including carceral environments. Common areas are first explored: where are we working (context)?, with whom are we working (people/community)? and given an understanding of the first two questions, how do we do it (strategies)? These framing questions assist in locating common characteristics of making music in various settings, but also point to the distinctive features of each of the three contexts. By establishing conditions for authentic experience, safety in exploring and risk-taking as well as defining key strategies for successful engagement, instructional approaches are identified and applied. Pedagogical practices that include instructional strategies such as guided discovery, collaborative learning and narrative dialogue are identified. Facilitation processes such as, for example, demonstrating/modelling, coaching, Socratic direction and facilitating/enabling are models of musical intervention that create space for acquiring and using lifelong skills in participatory contexts. Whether in schools, communities or prisons, the positive experience of music making thrives where the flexibility of the teacher/facilitator, the reflexivity of the innovator, the foundational knowledge that research and practice provide and the ultimate enhancement of the community are fully in place.
Transition of a solitary to a biofilm community life style in bacteria: a survival strategy with division of labour
Authors: Chatterjee Subhadeep , Samal Biswajit , Singh Prashantee , Pradhan Binod B. , Verma Raj K.
Published: May 2020

Multicellularity is associated with higher eukaryotes having an organized division of labour and a coordinated action of different organs composed of multiple cell types. This division of different cell types and organizations to form a multicellular structure by developmental programming is a key to the multitasking of complex traits that enable higher eukaryotes to cope with fluctuating environmental conditions. Microbes such as bacteria, on the other hand, are unicellular and have flourished in diverse environmental conditions for a much longer time than eukaryotes in evolutionary history. In this review, we will focus on different strategies and functions exhibited by microbes that enable them to adapt to changes in lifestyle associated with transitioning from a unicellular solitary state to a complex community architecture known as a biofilm. We will also discuss various environmental stimuli and signaling processes which bacteria utilize to coordinate their social traits and enable themselves to form complex multicellular-like biofilm structures, and the division of labour operative within such communities driving their diverse social traits. We will also discuss here recent studies from our laboratory using a plant-associated bacterial pathogen as a model organism to elucidate the mechanism of bacterial cell-cell communication and the transition of a bacterial community to a multicellular-like structure driven by the complex regulation of traits influenced by cell density, as well as environmental sensing such as chemotaxis and nutrient availability. These studies are shedding important insights into bacterial developmental transitions and will help us to understand community cooperation and conflict using bacterial cell-cell communication as a model system.
Perception Policies for Intelligent Virtual Agents
Authors: Souza De Freitas Giancarlo , Gelaim Thiago Ângelo , Rodrigues Pires De Mello Rodrigo , Azambuja Silveira Ricardo
Published: May 2020

Agents deployed to dynamic environments, such as virtual and augmented reality,  need specific mechanisms to capture relevant features from the environment. These mechanisms enable agents to avoid process some useless information and act quickly. The primary goal of this work is to investigate the perception policies of an agent situated in a virtual environment. Perception policies allow giving more priority to sensors perceiving the changes occurring in the environment. Based on the proposed model, each sensor follows a strategy that can change its priority in the overall system. We developed two policies to change the sensors prioritization. The performance evaluation of the proposed model consists of comparing both approaches in a highly dynamic environment.
Opioids Interfere With Deglutitive Inhibition Assessed by Response to Multiple Rapid Swallows During High-Resolution Esophageal Manometry
Authors: Snyder Diana L. , Valdovinos Luis R. , Horsley-Silva Jennifer , Crowell Michael D. , Valdovinos Miguel A. , Vela Marcelo F.
Published: May 2020

INTRODUCTION:

Normal response to multiple rapid swallows (MRS) during high-resolution esophageal manometry is deglutitive inhibition; opioids may interfere with this. The aim of this study was to evaluate the response to MRS in patients on opioids, not on opioids, and healthy controls.

METHODS:

Response to MRS was evaluated for complete vs impaired inhibition in 72 chronic opioid users, 100 patients not on opioids, and 24 healthy controls.

RESULTS:

Impaired deglutitive inhibition was significantly more frequent in chronic opioid users compared with patients not on opioids and healthy controls (54% vs 14% vs 0%; P < 0.0001).

DISCUSSION:

Impaired deglutitive inhibition during MRS is frequent in opioid users, supporting that opioids interfere with esophageal inhibitory signals.
Further Geometric Properties of a Subclass of Univalent Functions
Authors: A. Oyekan Ezekiel
Published: May 2020

This present paper aims to investigate further, certain characterization properties for a subclass of univalent function defined by a generalized differential operator. In particular, necessary and sufficient conditions for the function Â to belong to the subclass Â is established. Additionally, we provide the ð›…-neighborhood properties for the function Â by making use of the necessary and sufficient conditions. The results obtained are new geometric properties for the subclassÂ Â
Technique of the Unilateral Dumbbell Wide Row
Authors: Hedrick Allen , Herl Mel
Published: May 2020

A strong upper back is important for sports that involve pulling and to maintain muscular balance. Although not commonly performed, the dumbbell wide row is an effective exercise for the upper back and rear deltoids. The purpose of this article is to discuss the technique and common errors when performing this exercise.
Preparation and Characterization of Biocomposite Based on Polylactide (PLA) and Bacterial Nanocellulose (BNC)
Authors: Mrkonjić Nikolina , Holjevac Grgurić Tamara , Špada Vedrana , Slivac Igor , Govorčin Bajsić Emi , Martinko Gordana
Published: May 2020

Polilaktidna kiselina (PLA) i bakterijska nanoceluloza (BNC) zbog svoje biorazgradljivosti, biokompatibilnosti i netoksičnosti imaju velik potencijal za primjenu u biomedicini. Cilj ovog rada bio je pripraviti i ispitati biokompozit PLA/BNC. Istražen je utjecaj BNC-a na morfološku strukturu, kemijski sastav, toplinska svojstva, toplinsku postojanost i hidrofobnost PLA te zasijavanje i rast stanica biokompozita PLA/BNC primjenom pretražnog elektronskog mikroskopa (SEM), infracrvene spektroskopije (FTIR), diferencijalne pretražne kalorimetrije (DSC) i termogravimetrijske analize (TGA) te određivanjem kontaktnog kuta i metodom MTT. Dodatkom BNC-a u PLA dolazi do pomaka staklišta (Tg) prema nižim temperaturama, što ukazuje na veću pokretljivost amorfne faze PLA te porasta stupnja kristalnosti zbog nukleacijskog učinka celuloze. Početak toplinske razgradnje pomaknut je na niže temperature u odnosu na čisti PLA, što ukazuje na smanjenje toplinske postojanosti PLA dodatkom BNC-a. Biokompozit PLA/BNC pokazuje poroznu, vlaknastu strukturu. Test zasijavanja stanica pokazao je da je biokompozit PLA/BNC pogodan za prihvaćanje i rast humanih stanica, pa je prema tome potencijalno primjenjiv u regenerativnoj medicini i tkivnom inženjerstvu.
ENDOCRINOLOGY IN THE TIME OF COVID-19: Management of hyperthyroidism and hypothyroidism
Authors: Boelaert Kristien , Visser W Edward , Taylor Peter Nicholas , Moran Carla , Léger Juliane , Persani Luca
Published: May 2020

This manuscript provides guidance on the management of thyroid dysfunction during the COVID-19 pandemic. Autoimmune thyroid diseases are not linked to increased risks of COVID-19. Uncontrolled thyrotoxicosis may result in more severe complications from SARS-CoV-2 infection, including thyroid storm. The management of patients with a new diagnosis of hyperthyroidism is best undertaken with a block-and-replace regimen due to limited biochemical testing availability. Antithyroid drug (ATD)-induced neutropenia may favour the progression of COVID-19 and symptoms of infection may be confused with SARS-CoV-2 infection. The withdrawal of ATDs and urgent measurement of neutrophils should be considered in case of flu-like manifestations occurring in the initial months of treatment. Urgent surgery or 131-I may be undertaken in selected cases of uncontrolled thyrotoxicosis. Patients with COVID-19 infection may present with conjunctivitis, which could cause diagnostic difficulties in patients with new or existing Graves' ophthalmopathy. Patients who are on replacement treatment with thyroid hormones should ensure they have sufficient supply of medication. The usual advice to increase dosage of levothyroxine during pregnancy should be adhered to. Many newly presenting and previously diagnosed patients with thyroid dysfunction can be managed through virtual telephone or video clinics supported by a dedicated nurse-led service, depending on available facilities.
PKA functions in metabolism and resistance to obesity: lessons from mouse and human studies
Authors: London Edra , Bloyd Michelle , Stratakis Constantine A
Published: May 2020

Both direct and indirect evidence demonstrate a central role for the cAMP-dependent protein kinase (PKA) signaling pathway in the regulation of energy balance and metabolism across multiple systems. However, the ubiquitous pattern of PKA expression across cell types poses a challenge in pinpointing its tissue-specific regulatory functions and further characterizing its many downstream effects in certain organs or cells. Mouse models of PKA deficiency and over-expression and studies in living cells have helped clarify PKA function in adipose tissue (AT), liver, adrenal, pancreas, and specific brain nuclei, as they pertain to energy balance and metabolic dysregulation. Limited studies in humans suggest differential regulation of PKA in AT of obese compared to lean individuals and an overall dysregulation of PKA signaling in obesity. Despite its complexity, under normal physiologic conditions, the PKA system is tightly regulated by changes in cAMP concentrations upstream via adenylate cyclase and downstream by phosphodiesterase-mediated cAMP degradation to AMP and by changes in PKA holoenzyme stability. Adjustments in the PKA system appear to be important to the development and maintenance of the obese state and its associated metabolic perturbations. In this review we discuss the important role of PKA in obesity and its involvement in resistance to obesity, through studies in humans and in mouse models, with a focus on the regulation of PKA in energy expenditure, intake behavior, and lipid and glucose metabolism.
Between Kantian Rationalism and Moral Mysticism: The Search for the Grounding of Morality in the Philosophy of A. Jokubaitis
Authors: Noreikaitė Aistė
Published: May 2020

Although it is common to associate the thought of A. Jokubaitis with political philosophy, this article argues that his texts also allow us to talk about a specific moral philosophy of A. Jokubaitis. At the center of it we find an attempt to articulate and discuss the grounding ideas of morality. The article argues that the first two ideas – an idea of unconditional character of morality and an idea of ontological grounding – are related to Kant’s influence on A. Jokubaitis philosophy. These two ideas allow us to explain morality as an autonomous part of reality, which is different from the empirical one but nonetheless real. This part of reality is grounded in the first-person perspective of a moral subject and can be characterized by implicit normativity and unconditionality. The first-person perspective structures a radically different relation to our reality, which allows us to be agents, not simply spectators. Such an interpretation of Kant allows to associate A. Jokubaitis with his contemporary Kantians, such as Ch. Korsgaard, B. Herman, O. O’Neill, and A. Reath. However, the third idea, the one of a person, which becomes more visible in his book Politinis idiotas, transcends the Kantian conception of practical reason and encourages to perceive morality and its grounding in a much wider context. The concept of a person allows A. Jokubaitis to distance himself from Kantian rationalism and integrate social and mystical aspects of morality, which he has always found important.
Family Adverse Experiences and Psychotropic Polypharmacy Among US Youth: 2009–2015
Authors: dosReis Susan , Zhang Chengchen , Qato Danya M. , Camelo Castillo Wendy , Reeves Gloria
Published: May 2020

OBJECTIVE:

To determine if adverse family factors are associated with a higher likelihood of psychotropic polypharmacy among US youth with a mental health condition.

METHODS:

The 2009–2015 Medical Expenditure Panel Survey data were used to identify family characteristics of 5136 youth aged ≤18 years with an emotional or behavioral health condition. Family adversity was based on family size, number of parents in the household, parental education and income, and parent-reported physical and/or cognitive or mental health disability. Cluster analysis identified family adversity subgroups. Polypharmacy was defined as 3 or more psychotropic classes (eg, stimulants, antipsychotics, antidepressants, mood stabilizers, and sedatives) in at least 1 interview round in a calendar year. Weighted logistic regression evaluated associations between family adversity and psychotropic polypharmacy among youth.

RESULTS:

Nearly half (47.8%) of youth lived with parents who had a disability. Parents in the least socioeconomically disadvantaged cluster mainly had a mental illness, and 94% of parents in the most socioeconomically disadvantaged cluster had a parent-reported physical and/or cognitive disability and mental illness. Among youth, mood disorder (24.2%; 95% confidence interval [CI]: 12.6%–16.0%), antidepressant use (16.0%; 95% CI: 10.6%–21.5%), and antipsychotic use (7.5%; 95% CI: 5.4%–9.6%) were higher in the most socioeconomically disadvantaged cluster relative to the other clusters. Approximately 3% of youth received psychotropic polypharmacy. The odds of psychotropic polypharmacy were 2.7 (95% CI: 1.1–6.4) times greater among youth in the most relative to the least socioeconomically disadvantaged cluster.

CONCLUSIONS:

Higher use of psychotropic polypharmacy among youth with parents who have multiple disabilities raises concerns about oversight and monitoring of complex psychotropic treatment.
Estimation of technical efficiency of cattle feedlot system in Adamawa State, Nigeria: Comparison among estimators
Authors: Gabdo B.H. , Ja’afar-Furo M.R. , Hamid M.Y. , Thlaffa Y.A.
Published: May 2020

Abstract. This study adopts an output oriented Shephard Distance Function (SDF) to estimate Technical Efficiency (TE) in cattle feedlot under five distinct estimators (Data Envelopment Analysis /DEA/, Free Disposal Hull /FDH/, Order-m, Order-α and Bootstrap). The aim is to rank the efficiency estimates based on descending order of the TE estimates from the five estimators and test the hypotheses of mean difference across the estimators. In addition, the independent variables used in the feedlot system were also ranked based on magnitude to total cost. Results show initial cost of animal, feed cost, water cost, labour cost, depreciation, medicaments and cost of salt lick are ranked 1st, 2nd, 3rd, 4th, 5th, 6th and 7th, respectively, in terms of proportion to total cost. The study found a combination of inappropriate scale of production and managerial problems as the causes of inefficiency in the cattle feedlot. The study advocates for proper pricing of inputs, commensurate and timely utilization of inputs to avert input waste. Similarly, the study recommends up-scaling (178 cattle feedlot) and down-scaling (92 cattle feedlot) the cattle feedlot production owing to their operation at increasing and decreasing returns to scale, respectively, to attain enhanced efficiency.
A cerebralis paresis előfordulása és a betegdokumentáció minőségi vizsgálata a Semmelweis Egyetem klinikáin
Authors: Barta Hajnalka , Terebessy Tamás , Vágó Ildikó , Dobi Marianna , Simai Adrienn , Andorka Csilla , Hevér Dalma , Szabó Miklós
Published: May 2020

Absztrakt:

Bevezetés és célkitűzés: A Semmelweis Egyetem
klinikáin cerebralis paresis (CP) miatt gondozott gyerekek
betegdokumentációjának minőségi ellenőrzését végeztük el.
Módszer: Retrospektív audit
vizsgálatunkban a 2005 és 2015 között született, CP-gyanús gyerekek elektronikus
kórházi rendszerben rögzített adatait revideáltuk, s ennek során 673, igazoltan
CP-vel diagnosztizált esetet regisztráltunk. A fellelhető adatok alapján
elvégeztük az esetek klinikai és etiológiai besorolását, valamint ellenőriztük
ezen adatok elérhetőségét a betegdokumentációban.
Eredmények: A gyerekek 86%-a rendelkezett
a klinikai besorolásra alkalmas dokumentációval. A vizsgálható esetek 90,5%-ában
spasticus, 7,8%-ában hypoton, 1,2%-ában dyskineticus és 0,5%-ában ataxiás CP-t
írtak le. Az osztályozható spasticus állapotok (az összes spasticus eset 98%-a)
között 51% tetraparesis/tetraplegia, 26% diparesis/diplegia és 23%
hemiparesis/hemiplegia volt; a maradék 2% topológiai besorolására nem volt
elegendő információ a dokumentációban. Az esetek 82%-ában volt meghatározható a
súlyosság a Gross Motor Function Classification System skála szerint, 43%-ban
I–II., 28%-ban III., 29%-ban IV–V. fokú mozgáskorlátozottságot véleményeztek. A
születési anamnézisre vonatkozó adatokat az esetek 89%-ában találtunk.
Koraszülöttség az esetek 55%-ában, perinatalis asphyxia vagy hypoxiás-ischaemiás
encephalopathia 31%-ban, agykamrai vagy agyállományi vérzés 27%-ban,
ikerterhesség 19%-ban, méhen belüli sorvadás 18%-ban,
intrauterin/perinatalis/csecsemőkori infekció 15%-ban, fejlődési rendellenesség
12%-ban, in vitro fertilisatio 5%-ban, stroke 3%-ban, CP-vel
asszociálható genetikai mutáció pedig 3%-ban szerepelt az anamnézisben. A CP
rizikótényezőinek szempontjából negatív anamnézist 16%-ban írtak le.
Következtetés: Audit vizsgálatunk alapján
a CP klinikai leírása egységes kritériumok szerint történt, hiányosságokat a
klinikai besorolás és az anamnesztikus adatok rögzítése terén észleltünk. Az
adatgyűjtés egységesítése céljából javaslatot teszünk az érintett betegek
gondozása során regisztrálandó dokumentációs standardra, mely az egységes
betegdokumentáció és egy jövőbeli hazai CP-regiszter alapfeltétele. Orv Hetil.
2020; 161(21): 873–880.
First record of Western Black-Bridged Leaf Turtle, Cyclemys atripons Iverson & McCord, 1997 (Testudines, Geoemydidae), in Vietnam
Authors: Nguyen Luan Thanh , Lam Ngon Quang , Carney Jack , Hoang Ha Van , McCormack Timothy E.M. , Nguyen Thang Tai , Nguyen Sang Ngoc
Published: May 2020

We report the distribution of the Western Black-bridged Leaf Turtle, Cyclemys atripons Iverson & McCord, 1997, from Vietnam for the first time. This species was recorded on Phu Quoc Island, Kien Giang Province, southern Vietnam based on morphological and molecular evidence. This record extends the distribution of this species approximately 100 km east of the previously recorded location in Kok Kong, Cambodia. This discovery raises the recorded number of species of genus Cyclemys in Vietnam to three: C. atripons, C. oldhamii Gray, 1863, and C. pulchristriata Fritz, Gaulke & Lehr, 1997.
Leptophlebiidae Banks, 1900 (Insecta, Ephemeroptera) from Maranhão state, Brazil
Authors: Nascimento Stênio Raniery de Sousa , Lima Lucas Ramos Costa , de Azevêdo Carlos Augusto Silva
Published: May 2020

A checklist and new records of Leptophlebiidae (Ephemeroptera) are presented for the Maranhão state, in Brazil’s Northeast Region. Fifteen 15 genera and 20 species of Leptophlebiidae were identified. Farrodes xingu, Hermanellopsis arsia, Hydromastodon sallesi, Miroculis duckensis, Thraulodes marreroi, and Tikuna bilineata are reported for the first time for the Northeast Region, and Miroculitus emersoni is recorded for the first time in Brazil. The number of known species of Leptophlebiidae in Maranhão is increased from three to 21.
Acridomorpha (Orthoptera) species associated with the protected wetlands of Santa Lucía, Montevideo, Uruguay
Authors: Greco-Spíngola Silvana , Jorge Carolina , Lorier Estrellita
Published: May 2020

The diversity of Acridomorpha in protected areas of Uruguay has been little studied to date. In the protected wetlands of Humedales de Santa Lucía in the Montevideo Department, we made monthly surveys from December 2012 to March 2013. Sampling was conducted with entomological nets and by hand. We collected 1216 individuals of 26 different species belonging to seven subfamilies. Gomphocerinae and Melanoplinae were the most abundant, accounting for 71% and 16% of the individuals respectively. The Shannon index showed a medium diversity, but the Berger-Parker dominance index and Pielou equitativity index indicate a slight dominance of the acridomorph community studied. This is probably because five species accounted for 87% of the individuals collected. Although our results are similar to previous studies of acridomorph communities in grasslands of the region, our study, the first of this kind for this ecosystem in Uruguay, will be important for the conservation of this protected area.
Entre España y América. La colección del prelado ilustrado Antonio Caballero y Góngora
Authors: Ruiz-Carrasco Jesús-María
Published: May 2020

Antonio Caballero y Góngora destacó a lo largo de su carrera no sólo como prelado, político y militar en América y España, sino también como coleccionista. Fue dueño de un rico y razonado patrimonio que, evidenciando sus amplias inquietudes y su identificación con los preceptos ilustrados, estaba compuesto por una amplia biblioteca, una notable colección de arte, una serie de objetos diversos de singular valor y un extraordinario compendio numismático. Conjunto cuyas características exponen el devenir del coleccionismo español durante la época de la Ilustración y el afán recopilatorio de una de las figuras eclesiásticas más relevantes de dicho periodo en el ámbito hispánico.
Evaluation of Safety of a Newly Formulated Pirfenidone in Chronic Kidney Disease: A Non-Randomized Pilot Study in Mexican Patients
Authors: Ojeda-Duran Simón A. , Lyra-Gonzalez Iván , Meza-Rios Alejandra , Lucano-Landeros Silvia , Sandoval-Rodriguez Ana , Vazquez-Del Mercado Monica , Santos Arturo , Flores-Contreras Lucia , Armendáriz-Borunda Juan
Published: May 2020

The aim of this pilot clinical trial was to evaluate the safety of a new formulation of prolonged-release Pirfenidone (PR-PFD) in chronic kidney disease (CKD), specifically focal and segmental glomerular hyalinization (FSGH). Open-label, pilot, nonrandomized trial. Eighteen patients previously diagnosed with CKD stages 1– 5 according to “Kidney Disease: Improving Global Outcomes” were enrolled in the study. Target dos-age of PFD was 1200 mg twice a day in the form of prolonged-release tablets to reach a full dosage of 2400 mg daily. Clinical trial was carried out for 60 months to evaluate the safety and efficacy of a newly formulated PR-PFD in patients with CKD. After the treatment for 60 months, it was found that PR-PFD kept renal function from declining significantly in CKD patients, as the glomerular filtration rate (GFR) showed only minimal variations throughout the study. Estimated glomerular filtration rate (eGFR) showed no differences at both baseline and the end points. Proteinuria improved, and creatinine, cystatin C, urea, hemoglobin and hepatic transaminases remained constant without any considerable changes across the study. Minor side effects were noticed when compared with those found in previous studies, indicating an increased tolerance to this pharmaceutical formulation of PFD. Prolonged-released PFD could be safely used as an adjuvant therapy in patients with CKD.Registry number was obtained from ClinicalTrials.gov (NCT02408744).
Mortality by suicide in the State of Pernambuco, Brazil (1996-2015)
Authors: Beringuel Barbara Marcela , Costa Heitor Victor Veiga da , Silva Amanda Priscila de Santana Cabral , Bonfim Cristine Vieira do
Published: May 2020

ABSTRACT Objective: To describe the epidemiological characteristics of suicide mortality in the state of Pernambuco, from 1996 to 2015. Method: Study with data from the Sistema de Informações sobre Mortalidade. The simple linear regression model was used to verify the trend in the period analyzed. Results: There were 6,229 suicides, of which 3,390 (54.4%) occurred in the second decade of study. The mortality rate was 4.7 per 100,000 inhabitants. The temporal trend presented a decrease of 23.5% (p=0.031). For the male sex and the age range between 20 and 39 years, there was a decline in self-inflicted death of 23.8% (p=0.018) and 26.1% (p=0.046), respectively. Conclusion: The temporal analysis revealed a reduction in suicide mortality coefficients. This observation may contribute to better targeting of health interventions, optimizing resources and efforts, especially in suicide prevention.
Vaccination as a scheduled demand: a day in the life of users
Authors: Duarte Deborah Correia , Viegas Selma Maria da Fonseca , Lanza Fernanda Moura , Oliveira Valéria Conceição de
Published: May 2020

ABSTRACT Objectives: to understand vaccination as a scheduled demand and access to this demand in a day in the life of health services, from the perspective of users. Methods: holistic-qualitative multiple case study, based on the Quotidian Comprehensive Sociology, with 74 users from four health microregions of the Extended Western Region of Minas Gerais State. Results: scheduling vaccination demand in a day in the life of services is compromised by the fragility in data record, by computerized systems underutilization and by the loss of the immunization tracking card, resulting in missed opportunities of immunization and unnecessary revaccinations. The Primary Health Care team’s non-involvement also compromised access to this action. Final Considerations: there is a need for more effort to be dispensed with for the effective use of computerized systems and Permanent Education of professionals in order to take advantage of all the opportunities of orientations and referrals of users to the vaccination room.
Configuration of power relations in physicians and nurses’ professional practices
Authors: Mattar e Silva Tauana Wazir , Velloso Isabela Silva Câncio , Araújo Meiriele Tavares , Fernandes Aline da Rocha Kallás
Published: May 2020

ABSTRACT Objective: to analyze the configuration of power relations constituted in and by the knowledge and daily practices of physicians and nurses in an Intensive Care Unit (ICU). Method: qualitative study in which data were collected through interviews with physicians and nurses from an ICU of a hospital in Belo Horizonte, Minas Gerais. A semi-structured script was used. Data were analyzed through discourse analysis in a Foucaultian perspective. Results: three categories were developed - Professional Identity: self-recognition in the profession; Discipline: individualizing attitudes or collective need?; and Circularity of knowledge and power in the constitution of daily practices. Final considerations: the identity, discipline and circulation of power are connected in a continuous movement of subjectivation of the subject, which, in turn, uses discourse as a persuasion strategy to modify the position taken over in different situations thereby causing the circulation of power.
Comfort of the child in intensive pediatric therapy: perception of nursing professionals
Authors: Soares Patricia Rodrigues , Silva Carlos Roberto Lyra da , Louro Thiago Quinellato
Published: May 2020

ABSTRACT Objectives: o analyze the concept of comfort in a Pediatric Intensive Care Unit from the perspective of nursing professionals. Methods: descriptive research, with qualitative-quantitative approach, conducted in an Intensive Care Unit. Data collection occurred between January and May 2017; 40 nursing professionals participated in the study. The textual data obtained in the semi-structured interviews was processed in the Iramuteq 7.2 software. The Descending Hierarchical Classification and Bardin analysis were used for the discussion. Katharine Kolcaba’s concepts were used as theoretical framework. Results: three categories emerged: the environment that promotes (dis)comfort; feasible actions to promote comfort; uncomfortable actions in care. Final Considerations: it was possible to identify that comfort is offered by providing measures that favor the well-being, warmth, safety and tranquility of hospitalized children. The study brings a reflection about the nursing care provided to severely ill hospitalized children.
LA CUESTIÓN JUDÍA Y LA CARENCIA DE MUNDO EN LA MODERNIDAD DESDE LA PERSPECTIVA DE HANNAH ARENDT
Authors: Pego Anabella Di
Published: May 2020

RESUMEN En este trabajo esperamos mostrar la relevancia del análisis arendtiano de la cuestión judía, y en particular de las políticas de asimilación y del proceso de secularización, para abordar el problema de la carencia de mundo en la época moderna. De este modo, la cuestión judía nos permite delinear una incisiva crítica a la configuración del mundo moderno, a la vez que esbozar una concepción ampliada del mundo a través de la reconstrucción de la tradición oculta de los judíos parias. Así, tomando distancia de las interpretaciones que conciben el mundo en Arendt como un espacio de interacción ideal o formal, este recorrido por la problemática judía posibilita el despliegue de los aspectos materiales, culturales e históricos concretos que sustentan el mundo común.
O CÁLCULO E O RISCO: HEIDEGGER E BECK
Authors: Miranda Angela Luzia
Published: May 2020

RESUMO O propósito deste artigo é aproximar o significado do pensar calculador de Heidegger e a teoria sobre a sociedade do risco de Beck, considerando suas interpelações com o significado da técnica na modernidade. Porém, mais que tratar das aproximações entre ambos os pensadores, este estudo pretende também demonstrar a importância da filosofia da técnica de Heidegger para pensar o sentido do cálculo do risco e do risco do cálculo na sociedade do risco. Assim, argumenta-se que a teoria do risco de Beck confirma e atualiza o pensamento de Heidegger sobre a técnica moderna, quando se observa que o pensar calculador, que dirige e controla o modo de ser na era do técnico, manifesta-se hoje com toda claridade na sociedade do risco global.
DAS POTÊNCIAS DA MEMÓRIA. A afirmação da transitoriedade histórica e da eternidade das ideias
Authors: Leite Augusto B. de Carvalho Dias
Published: May 2020

RESUMO A partir do exame da tradição heraclitiana e platônica sobre a transitoriedade e a imortalidade - conceitos compreendidos como universais - este artigo defende a seguinte antinomia como tese: para haver temporalidade é preciso haver eternidade. Essa tese é demonstrada por meio do estudo e atualização das noções de alma, espírito, ideia e memória, as quais estão conectadas invariavelmente ao tempo passado como princípio ontológico do fenômeno histórico. Para além do ponto de vista filosófico, portanto, da perspectiva específica do conhecimento histórico, este estudo expõe algumas implicações teóricas acerca das condições de possibilidade da história, que são discutidas, finalmente, em diálogo com Friedrich Nietzsche e Jacob Burckhardt.
CHRISTIAN THOMASIUS E A AUFKLÄRUNG
Authors: Trevisan Diego Kosbiau
Published: May 2020

RESUMO O presente artigo discute o papel de Christian Thomasius como pioneiro da Aufklärung, bem como a especificidade desta no contexto mais amplo do Iluminismo. A partir de uma discussão sobre os recentes estudos acerca do Iluminismo, será extraída uma diretriz interpretativa para avaliar a peculiaridade política e filosófica da Aufklärung.
NOTAS SOBRE A TEORIA DA NORMATIVIDADE TÉLICA: UM NOVO CAPÍTULO DA EPISTEMOLOGIA DAS VIRTUDES DE ERNEST SOSA
Authors: Salles João Carlos
Published: May 2020

RESUMO Ernest Sosa é um dos mais importantes filósofos da contemporaneidade. Em plena atividade há mais de cinco décadas, sua obra toma agora a forma de uma teoria da normatividade télica, com a qual Sosa pretende coroar sua procura por uma "knowledgefriendly epistemology". Pretendemos mostrar que esta nova forma teórica instala-se bem no conjunto de sua reflexão epistemológica, procurando Sosa agora, de modo ainda mais preciso, dar resposta, por exemplo, às questões decorrentes do problema de Gettier, da intencionalidade e das modalidades epistêmicas. Entre as novidades de sua atual formulação, analisaremos de modo mais específico neste texto alguns problemas colocados pelo exemplo do arqueiro, ao transformar-se este em um modelo teórico ilustrativo da noção de normatividade télica, bem como alguns aspectos da singular taxonomia do conhecimento feita por Sosa.
Utilização de serviços de saúde ambulatoriais no pós-parto por puérperas e recém-nascidos: dados do estudo Nascer no Brasil
Authors: Domingues Rosa Maria Soares Madeira , Dias Barbara Almeida Soares , Bittencourt Sonia Duarte de Azevedo , Dias Marcos Augusto Bastos , Torres Jacqueline Alves , Cunha Elenice Machado da , Leal Maria do Carmo
Published: May 2020

Este trabalho tem por objetivo estimar a utilização de serviços de saúde ambulatoriais no pós-parto e verificar os fatores demográficos, socioeconômicos e obstétricos associados a este uso. Estudo nacional de base hospitalar, realizado em 2011-2012, com entrevistas de 23.894 mulheres. Foram calculadas as estimativas pontuais e os respectivos intervalos de confiança de oito indicadores de utilização de serviços de saúde com desempenho avaliado como “satisfatório” (75%-100%); “parcial” (50%-74%) e “insatisfatório” (< 50%). Foi realizada regressão logística múltipla para verificar a associação entre as características das mulheres e cada um dos indicadores analisados. Quatro indicadores - “procura de serviço para consulta de revisão do parto” (73,9%; IC95%: 72,4-75,3); “procura de serviço para consulta do recém-nato” (91,6%; IC95%: 90,6-92,5); “vacinação com BCG” (99%; IC95%: 98,7-99,2); e “vacinação contra hepatite B” (96,8%; IC95%: 96,0-97,5) foram considerados satisfatórios. A “coleta do teste de triagem neonatal na primeira semana de vida” foi considerada parcial (60,1%; IC95%: 57,6-62,6), e “consulta da mulher nos primeiros 15 dias após o parto” (37%; IC95%: 35,0-39,0), “consulta do recém-nato nos primeiros sete dias de vida” (21,8%; IC95%: 20,2-23,5) e “recebimento do resultado da triagem neonatal no primeiro mês de vida” (29,8%; IC95%: 27,6-32,2) foram considerados insatisfatórios. Desigualdades regionais e sociais foram identificadas, com o pior desempenho de todos os indicadores nas regiões Norte e Nordeste e em mulheres mais vulneráveis, apontando para a necessidade de uma melhor organização e oferta dos serviços visando à redução de iniquidades.
Does weight gain, throughout 15 years follow-up after Nissen laparoscopic fundoplication, compromise reflux symptoms control?
Authors: DIB Victor Ramos Mussa , RAMOS Almino Cardoso , KAWAHARA Nilton Tokio , CAMPOS Josemberg Marins , MARCHESINI João Caetano , GALVÃO-NETO Manoel , GUIMARÃES Adriana Gonçalves Daumas Pinheiro , PICANÇO-JUNIOR Adriano Pessoa , DOMENE Carlos Eduardo
Published: May 2020

ABSTRACT Background: Gastroesophageal reflux disease is defined by the abnormal presence of gastric content in the esophagus, with 10% incidence in the Western population, being fundoplication one treatment option. Aim: To evaluate the early (six months) and late (15 years) effectiveness of laparoscopic fundoplication, the long term postoperative weight changes, as well as the impact of weight gain in symptoms control. Methods: Prospective study of 40 subjects who underwent laparoscopic Nissen’s fundoplication. Preoperatively and early postoperatively, clinical, endoscopic, radiologic, manometric and pHmetric evaluations were carried out. After 15 years, clinical and endoscopic assessments were carried out and the results compared with the early ones. The presence or absence of obesity was stratified in both early and late phases, and its influence in the long-term results of fundoplication was studied, measuring quality of life according to the Visick criteria. Results: The mean preoperative ages, weight, and body mass index were respectively, 51 years, 69.67 kg and 25.68 kg/m2. The intraoperative and postoperative complications rates were 12.5% and 15%, without mortality. In the early postoperative period the symptoms were well controlled, hernias and esophagitis disappeared, the lower esophageal sphincter had functional improvement, and pHmetry parameters normalized. In the late follow-up 29 subjects were assessed. During this period there was adequate clinical control of reflux regardless of weight gain. In both time periods Visick criteria improved. Conclusion: Fundoplication was safe and effective in early and late periods. There was late weight gain, which did not influence effective symptoms control.
Total laparoscopic vs. open liver resection: comparative study with propensity score matching analysis
Authors: ASSIS Bruno Silva de , COELHO Fabricio Ferreira , JEISMANN Vagner Birk , KRUGER Jaime Arthur Pirola , FONSECA Gilton Marques , CECCONELLO Ivan , HERMAN Paulo
Published: May 2020

ABSTRACT Background: There have been an increasing number of articles that demonstrate the potential benefits of minimally invasive liver surgery in recent years. Most of the available evidence, however, comes from retrospective observational studies susceptible to bias, especially selection bias. In addition, in many series, several modalities of minimally invasive surgery are included in the same comparison group. Aim: To compare the perioperative results (up to 90 days) of patients submitted to total laparoscopic liver resection with those submitted to open liver resection, matched by propensity score matching (PSM). Method: Consecutive adult patients submitted to liver resection were included. PSM model was constructed using the following variables: age, gender, diagnosis (benign vs. malignant), type of hepatectomy (minor vs. major), and presence of cirrhosis. After matching, the groups were redefined on a 1:1 ratio, by the nearest method. Results: After matching, 120 patients were included in each group. Those undergoing total laparoscopic surgery had shorter operative time (286.8±133.4 vs. 352.4±141.5 minutes, p<0.001), shorter ICU stay (1.9±1.2 vs. 2.5±2.2days, p=0.031), shorter hospital stay (5.8±3.9 vs. 9.9±9.3 days, p<0.001) and a 45% reduction in perioperative complications (19.2 vs. 35%, p=0.008). Conclusion: Total laparoscopic liver resections are safe, feasible and associated with shorter operative time, shorter ICU and hospital stay, and lower rate of perioperative complications.
Treatment of median arcuate ligament syndrome: outcome of laparoscopic approach
Authors: COELHO Julio Cezar Uili , HOSNI Andréa Virmond El , CLAUS Christiano MarloPaggi , AGUILERA Yan Sacha Hass , ABOT Gisele Pitrowsk , FREITAS Alexandre Teixeira Coutinho de , COSTA Marco Aurélio Raeder da
Published: May 2020

ABSTRACT Background: Median arcuate ligament syndrome(MALS) is a rare condition thatmay cause significant clinical manifestations, including abdominal pain and weight loss. Its diagnosis may be difficult and very often delayed. The laparoscopic approach became the standard treatment of MALS. Aim: To assess the outcome of laparoscopic treatment in patients with MALS. Method: The data of sixpatients with MALS who were subjected to laparoscopic sectioning of the median arcuate ligament were retrospectively reviewed.The following data were evaluated: age, gender, clinical and diagnostic tests findings, ASA score, operative findings and complications, postoperative complications and mortality, hospital stay duration, and hospital readmission.The diagnosis of MALS was established by CT angiography and/or MR angiography. Results: There were four (66.7%) women and two (33.3%) men aged from 32 to 60 years. The main symptoms were epigastric pain (100%) and weight loss (66.7%). The findings of high-grade stenosis of the proximal celiac axis and poststenotic dilation confirmed on angiography confirmed the diagnosis in all patients. Surgical procedure was uneventful in all patients. The only postoperative complication was urinary retention that occurred in a male. At three-month follow-up, all patients were asymptomatic. Conclusion: Laparoscopic treatment of MALS is safe and effective in relieving the clinical manifestations of patients.
Inserção digital e desigualdades na demanda por cultura no Brasil
Authors: Almeida Carla Cristina Rosa de , Lima João Policarpo Rodrigues , Gatto Maria Fernanda Freire
Published: May 2020

Resumo Este artigo analisa a evolução da concentração dos gastos culturais nas Regiões Metropolitanas (RMs) brasileiras, com base nas Pesquisas de Orçamentos Familiares dos períodos 2002-2003 e 2008-2009. Pretende-se entender as alterações nas práticas de consumo na primeira década dos anos 2000 diante das mudanças tecnológicas recentes, com enfoque na evolução da desigualdade entre e dentro das RMs brasileiras. Para tanto, apresenta-se uma análise dos itens relacionados com o aumento (redução) da concentração dos gastos dentro do domicílio com cultura, através da decomposição do coeﬁciente de Gini segundo os diferentes itens de despesas culturais. Os principais resultados foram: aumento signiﬁcativo no consumo de novas tecnologias de comunicação; aumento da concentração dos gastos fora do domicílio; intensidade da concentração semelhante entre as RMs, enquanto dentro das RMs a renda e a educação são os principais fatores que inﬂuenciam a propensão a consumir.
O capitalismo enquanto cultura: crítica da racionalidade econômica
Authors: Mello Filho Marcelo Soares Bandeira de
Published: May 2020

Resumo Este artigo analisa criticamente como o pensamento econômico trabalha o conceito de cultura. Na primeira parte do texto é discutido o tratamento da cultura pelas abordagens econômicas dominantes, desde Adam Smith até a economia neoclássica. De acordo com tais abordagens, a racionalidade humana é predominantemente calculista e utilitarista, e a esfera cultural é externa ao âmbito econômico e só o influencia indiretamente. A segunda parte do artigo apresenta elementos centrais para o entendimento da cultura em três autores fundamentais da heterodoxia econômica: Marx, Veblen e Furtado. Esses autores criticam profundamente o pensamento econômico dominante e constroem conceitos que historicizam e criticam as sociedades capitalistas. A terceira seção apresenta críticas sobre como os pensamentos econômicos ortodoxo e heterodoxo retratam culturas não ocidentais, assumem a predominância da racionalidade capitalista na sociedade moderna e pressupõem que a racionalidade econômica não é cultural.
Fábula de Cláudio Manuel da Costa: mineração e poesia em situação colonial
Authors: Alcides Sérgio
Published: May 2020

Resumo Com o poema lírico “Fábula do ribeirão do Carmo”, Cláudio Manuel da Costa imagina uma origem mítica para a Capitania das Minas Gerais e a principal atividade econômica que estimulou o povoamento luso-brasileiro da região. A narrativa trata do surgimento do rio que banha a cidade natal do poeta, Mariana. Por seguir o modelo clássico das Metamorfoses, de Ovídio, o poeta incorpora Minas Gerais e sua bacia hidrográﬁca ao tesouro mitológico da Antiguidade, que irrigava toda a tradição literária do Ocidente. Ao mesmo tempo, frisa o caráter especiﬁcamente colonial dessa incorporação, com uma história marcada pelo desterro e a violência.
Morphological and physiological variation in Toona ciliata under water and salinity stress
Authors: Andrade Ramon Silveira de , Navroski Marcio Carlos , Pereira Mariane de Oliveira , Sá Alexandra Cristina Schatz
Published: May 2020

ABSTRACT: The objective of this paper was to test the effects of water deficit, saturation and salinity in individuals of Toona ciliata. Seven treatments were tested: the control group, the complete suspension of irrigation, the permanent saturation of the pot soil and four doses of NaCl (50, 100, 200 and 400 µmol). The experimental design was completely randomized, with 8 repetitions in each treatment. Physiologic evaluations were carried out during the experiment, and morphologic evaluations at the end. The plants were responsive to the applied stresses comparatively to the control group. Reductions were observed in morphological and physiological variables in all treatments under stress. All individuals under stress recovered slightly in the end of the experiment, and began to sprout again, representing a probable adaptation to the conditions.
Reaction of sugarcane genotypes to brown and to orange rust by leaf whorl inoculation
Authors: Hoepers Lívia Maria Lemos , Fiori-Tutida Ana Cristina Grade , Ruaro Lucimeris , Calegario Renata Faier , Oliveira Ricardo Augusto , Duarte Henrique da Silva Silveira
Published: May 2020

ABSTRACT: In this research eleven sugarcane genotypes were classified in relation to their resistance to brown rust, and eleven to their resistance to orange rust. Artificial inoculation was carried out in the leaf whorl of 165-day-old plants in the city of Paranavaí, Paraná State, Brazil, in 2017. The evaluation was performed 30 days after inoculation, using a rating scale. Among the genotypes tested for brown rust, four were classified as susceptible, six as moderately susceptible and one presented moderate resistance. For orange rust, three genotypes were classified as susceptible, seven as moderately susceptible and one as moderately resistant. The evaluation and classification of the reaction of sugarcane genotypes to the rusts is an important tool that assist in preliminary trials and selection of promising genotypes for more advanced stages of breeding programs and provides information to producers on the choice of cultivars to be planted.
Factors influencing occupational accidents: a multidimensional analysis in the electricity sector
Authors: Alves Adriana Maria Silva , Gonçalves Filho Cid , Santos Nathália de Melo , Souki Gustavo Quiroga
Published: May 2020

Abstract: Occupational accidents are a public health problem; therefore, it is necessary to conduct research that contributes to accident prevention and health promotion. To this end, this study aimed to investigate the main factors influencing work accidents at an electric power company. A survey of 1,027 in-house and outsourced employees of a large electric utility was conducted. The participants included injured and non-injured professionals. Organizational, personal/behavioral, and work/task factors were found to have statistically significant effects on work accident occurrence. As an academic and managerial contribution, the identification of the main factors that influence work accidents in the electric sector favors the development of strategies and actions for its control and mitigation.