bluuebunny/crossref_metadata_2025 huggingface dataset:
DESARROLLO Y VALIDACIÓN DE LA ESCALA CORPORAL PARA PREESCOLARES
Authors: León M.P. , González-Martí I. , Contreras O.R.
Published: October 2021

El objetivo del estudio fue desarrollar y validar un instrumento para medir la percepción del tamaño corporal y la insatisfacción corporal en preescolares. La Escala Corporal para Preescolares (PBS) estuvo compuesta por cuatro figuras corporales (versiones masculina y femenina) en posición frontal y lateral, representando cuatro categorías de peso. La escala fue administrada a 244 preescolares de 4 a 6,4 años, de los cuales 42 participaron en el estudio piloto y 202 en la fiabilidad del instrumento, la cual se reforzó con un proceso de validación y fiabilidad con 10 pediatras expertos de entre 50 y 65 años. Los resultados revelaron una buena validez y una fiabilidad de moderada a alta, que fue mejorando conforme los niños fueron mayores, especialmente con las figuras de perfil. Se comprobó que PBS es un instrumento adecuado para evaluar la percepción corporal y la insatisfacción corporal, particularmente entre participantes mayores de 5 años.
Improving Outpatient Provider Communication for High-Risk Discharges From the Hospitalist Service
Authors: Clark Nicholas A. , Simmons Julia , Etzenhouser Angela , Pallotto Eugenia K.
Published: October 2021

BACKGROUND

Patients are at risk for adverse events during inpatient-to-outpatient transitions of care. Previous improvement work has been targeted at this care transition, but gaps in discharge communication still exist. We aimed to increase documentation of 2-way communication between hospitalists and primary care providers (PCPs) for high-risk discharges from pediatric hospital medicine (PHM) services from 7% to 60% within 30 months.

METHODS

A3 improvement methodology was used. A list of high-risk discharge communication criteria was developed through engagement of PCPs and hospitalists. A driver diagram guided interventions. The outcome measure was documentation of successful 2-way communication with the PCP. Any documented 2-way discharge communication attempt was the process measure. Via a survey, hospitalist satisfaction with the discharge communication expectation served as the balancing measure. All patients discharged from PHM services meeting ≥1 high-risk criterion were included. Statistical process control charts were used to assess changes over time.

RESULTS

There were 3241 high-risk discharges (442 baseline: November 2017 to January 2018; 2799 intervention and sustain: February 2018 to June 2020). The outcome measure displayed iterative special cause variation from a mean baseline of 7% to peak of 39% but regressed and was sustained at 27%. The process measure displayed iterative special cause variation from a 13% baseline mean to a 64% peak, with regression to 41%. The balancing measure worsened from baseline of 5% dissatisfaction to 13%. Interventions temporally related to special cause improvements were education, division-level performance feedback, standardization of documentation, and offloading the task of communication coordination from hospitalists to support staff.

CONCLUSIONS

Improvement methodology resulted in modestly sustained improvements in PCP communication for high-risk discharges from the PHM services.
Clinical Outcome and Antibiotic Dosing Differences by Weight in Children With Acute Osteomyelitis
Authors: Kyler Kathryn E. , Lee Brian R. , Glynn Earl F. , Waddell Joel P. , Hoffman Mark A. , Goldman Jennifer L.
Published: October 2021

OBJECTIVES

To evaluate for weight-based differences in clinical outcomes and antibiotic dosing variability for children hospitalized with acute hematogenous osteomyelitis (AHO).

METHODS

We performed a retrospective cohort study of children aged 2 to 17 years and hospitalized with a primary AHO International Classification of Diseases, Ninth Revision or International Classification of Diseases, 10th Revision diagnosis code between 2010 and 2017 using the Cerner Health Facts database. Weight categories (healthy, overweight, obesity) were determined by using Centers for Disease Control and Prevention age- and sex-specific BMI percentiles. Rates of procedures, complications, and length of stay (LOS) were compared between groups. Dosing variability between groups was assessed by comparing the initial milligrams per kilogram per day of prescribed antibiotics.

RESULTS

We identified 755 children with AHO for inclusion. Children with overweight and obesity were more likely to undergo surgical procedures (19% and 17%, respectively) compared with children with a healthy weight (10%; P = .009). They also had a longer LOS (5.7 and 5.8 days) than children with a healthy weight (4.9 days; P = .03). There were no differences in complication rates between weight categories. Mean weight-adjusted daily dose for the most frequently prescribed antibiotics was different by weight category, with children in higher weight categories more likely to receive lower weight-based doses.

CONCLUSIONS

Children with overweight and obesity hospitalized for AHO were more likely to undergo procedures, have longer LOS, and receive lower weight-based antibiotic dosing compared with children with a healthy weight. Our findings suggest that weight should be carefully considered when treating children with AHO.
Surfactant Administration Through Laryngeal or Supraglottic Airways
Authors: Guthrie Scott O. , Fort Prem , Roberts Kari D.
Published: October 2021

Noninvasive ventilation is frequently used in the treatment of infants with respiratory distress syndrome. This practice is often effective in higher gestational age neonates, but can be difficult in those with lower gestational ages as surfactant deficiency can be severe. While noninvasive ventilation avoids the negative effects of intubation and ventilator-induced lung injury, failure of this mode of support does occur with relative frequency and is primarily caused by the poorly compliant, surfactant-deficient lung. Because of the potential problems associated with laryngoscopy and intubation, neonatologists have developed various methods to deliver surfactant in minimally invasive ways with the aim of improving the success of noninvasive ventilation. Methods of minimally invasive surfactant administration include various thin catheter techniques, aerosolization/nebulization, and the use of a laryngeal mask airway/supraglottic airway device. The clinician should recognize that currently the only US Food and Drug Administration–approved device to deliver surfactant is an endotracheal tube and all methods reviewed here are considered off-label use. This review will focus primarily on surfactant administration through laryngeal or supraglottic airways, providing a review of the history of this technique, animal and human trials, and comparison with other minimally invasive techniques. In addition, this review provides a step-by-step instruction guide on how to perform this procedure, including a multimedia tutorial to facilitate learning.
Use of Fuzzy Coalition Games in Socially Oriented Decision Making During Hospitalization in Pandemic
Authors: Smirnov Alexander , Moll Elena , Teslya Nikolay
Published: October 2021

The problems of organizing medical care in the context of the COVID-19 pandemic, associated with the uncertainty and limitedness of various resources, led to the need to improve decision-making systems for hospitalization of patients. Situational management can improve the decision-making process to fit the current situation better. At the same time, it becomes important to take into account the influence of psychological factors on decisions made during hospitalization. The paper proposes the use of coalition games for situational management during hospitalization of patients. The players and members of the coalition are hospitals, ambulance teams, patients and computed tomography centers. The goal of the game is to form a coalition of participants that provides the maximum benefit in terms of time and cost of hospitalization at the time of decision making. The general scheme of hospitalization, the main sources of information about the situation, the formulation and formalization of the problem are considered. An experiment was carried out in which the formation of a coalition during hospitalization was tested based on data obtained from analyzing the dynamics of the COVID-19 pandemic. Due to the small amount of data and the lack of approved models of the situation development, when carrying out the calculation, some of the parameters were estimated using heuristic models of the development of the situation, based on the analysis of information from open sources of information. The experiment result contains a set of coalitions that provide the maximum benefit under the specified constraints. At the same time, the calculation time of the coalition game allows using the proposed model of decision-making support during hospitalization in the dispatch service of ambulance stations.
Cuidados com o acesso vascular para hemodiálise: revisão integrativa
Authors:   Universidade Federal do Piauí, Araújo Rocha Gabriela , Lima de Oliveira Ana Karoline , Lima Oliveira Francisco Gerlai , Silva Rodrigues Vitória Eduarda , de Sousa Moura Antônio Gabriel , Barros Sousa Evelton , Gomes Machado Ana Larissa
Published: October 2021

Introdução: As complicações relacionadas ao acesso vascular para hemodiálise podem resultar em intervenções complexas, contudo, cuidados adotados pelos profissionais de saúde e pacientes adultos podem evitá-las. Objetivou-se analisar a produção científica acerca dos cuidados com acessos vasculares utilizados na hemodiálise para elaboração do conteúdo de uma cartilha educativa voltada ao autocuidado do paciente. Método: Revisão integrativa de literatura realizada nas bases de dados: LILACS, PUBMED, BDENF, SciELO e CINAHL. A busca dos estudos deu-se entre setembro e novembro de 2019, nos idiomas português, inglês ou espanhol, utilizando os termos dos DeCS e MeSH. A seleção dos artigos foi realizada por três pesquisadores e foram extraídas informações: país, ano de publicação, delineamento do estudo, número de pacientes, intervenções, desfechos e nível de evidência científica. Selecionaram-se 10 artigos processados no software IRAMUTEQ® e analisados descritivamente pelo modelo de Reinert. Resultados: Organizaram-se sete classes: Cuidados com o cateter após a hemodiálise; Cuidados com a FAV antes da hemodiálise; Cuidados com a FAV após a hemodiálise; Cuidados para evitar a interrupção do funcionamento da FAV; Autocuidado dos pacientes com a FAV; Cuidados realizados pela equipe de enfermagem; Conhecimento do paciente acerca dos cuidados com a pele e punção da FAV. Conclusão: Identificou-se que os cuidados com os acessos vasculares mais frequentes se relacionam com a fístula arteriovenosa, demonstrando sua grande representatividade no tratamento do paciente com doença renal crônica. A síntese do conhecimento proporcionada nesta revisão foi utilizada para a elaboração de uma cartilha educativa já validada por especialistas e por pacientes que realizam hemodiálise.
Beyond ‘A Clinical Lesson at La Salpêtrière’: a brief assessment of André Brouillet’s other paintings on medical subjects, life, and times
Authors: PEDRO Matheus Kahakura Franco , SOUZA Thiago Ferreira Simões DE , GERMINIANI Francisco Manoel Branco , TEIVE Hélio Afonso Ghizoni , WALUSINSKI Olivier
Published: October 2021

ABSTRACT André Brouillet’s (1857-1914) famous group tableau ‘A Clinical Lesson at La Salpêtrière’ (French: Une leçon clinique à la Salpêtrière) is possibly the most celebrated painting in the history of neurology. His depiction of one of Jean-Martin Charcot’s legendary “Tuesday Lessons” includes portraits of not only one of the master’s most famous patients, but also of his pupils, the heirs to the founder of modern neurology. However, the painter himself has long been neglected, and even his other paintings on medical subjects are little acknowledged. The authors aim to bring attention to Brouillet’s life and times, as well as the remainder of his notable works; and in giving a proper context to the famous painting, neurologists today may be able to appreciate better the early history of our field and its cultural impact.
Frailty in the elderly: screening possibilities in Primary Health Care
Authors: Ribeiro Edmar Geraldo , Mendoza Isabel Yovana Quispe , Cintra Marco Túlio Gualberto , Bicalho Maria Aparecida Camargos , Guimarães Gilberto de Lima , Moraes Edgar Nunes de
Published: October 2021

ABSTRACT Objectives: to evaluate two instruments for screening frailty in the elderly in Primary Health Care. Methods: this is an observational, cross-sectional study, with a quantitative approach, with 396 elderly people. SPSS software helped to perform the statistical analyses. The study used the kappa coefficient and Spearman’s correlation. Results: the kappa coefficient between the Clinical-Functional Vulnerability Index 20 and the Edmonton Frailty Scale was 0.496, considered moderate. There was a positive and significant correlation (r = 0.77; p < 0.001) between the frailty conditions and the total score of the two instruments. Conclusions: when this article assessed fragility through the kappa coefficient, both instruments presented positive correlation and agreement. However, the identification of frailty was higher when it used the Edmonton Frailty Scale.
Benchmarking of mobile apps on heart failure
Authors: Cestari Virna Ribeiro Feitosa , Florêncio Raquel Sampaio , Garces Thiago Santos , Pessoa Vera Lucia Mendes de Paula , Moreira Thereza Maria Magalhães
Published: October 2021

ABSTRACT Objective: to analyze the mobile apps on heart failure available in the main operating systems and their usability. Methods: benchmarking of mobile applications, systematic research, comprising 38 mobile applications for analysis of general information, functionalities and usability. Usability was assessed using System Usability Scale and Smartphone Usability Questionnaire, followed by the calculation of the agreement index and the exact binomial distribution test, with a significance level of p> 0.05 and a proportion of 0.90. Results: mobile applications had English as the predominant language (73.7%), were directed to patients (71.1%) and the predominant theme was disease knowledge (34.2%). Functionalities ranged from general features to the need for an internet connection. In assessing usability, heart failure was shown to be 92.1% -94.7% and p <0.05. Final considerations: the mobile apps on heart failure have varied content and adequate usability. However, there is a need to develop more comprehensive mobile applications.
Training-professional profile of nurses teaching at the Technical Schools of the Unified Health System
Authors: Ribeiro-Barbosa Juliana Costa , Silva Gilberto Tadeu Reis da , Backes Vânia Marli Schubert , Vieira Silvana Lima , Chaves Manuel Carlos Rodrigues Fernandes , Paiva Juliana Maciel Machado
Published: October 2021

ABSTRACT Objective: to describe the training-professional profile of nursing professors in the vocational course in nursing at the Technical Schools of the Unified Health System. Methods: a quantitative descriptive research, carried out with 61 nurses who are professors of technical courses in nursing at five technical schools in three Brazilian regions. Data were collected through an online questionnaire and submitted to descriptive analysis. Results: only 36% of teaching nurses were licensed and 80% had a specialization in nursing or health. Although 95.1% of participants considered training for teaching necessary, 44.2% did not have qualifications for this job. The average length of work in care was 8 years, focusing on the hospital network. Conclusion: the need for professor training and investment in it is evidenced, as the training of essential workers for nursing care and consolidation of the Unified Health System is on the agenda.
Mental health assistance: identification of nursing diagnoses in a community mental health service
Authors: Pinho Eurides Santos , Souza Adrielle Cristina Silva , Moreira Ana Caroline Gonçalves Cavalcante , Nogueira Luzana Eva Ferreira Lopes , Limongi Amanda Melo e Santos , Silva Nathália dos Santos , Sousa Johnatan Martins
Published: October 2021

ABSTRACT Objective: to map and identify nursing diagnoses targeted at night care users in a Psychosocial Care Center according to NANDA-I Taxonomy. Method: this is a descriptive-exploratory study, of documentary research type of 319 records in medical records. It was held in a Psychosocial Care Center III in Goiás, from 2014-2018. Nursing diagnoses and records were extracted with non-standardized language. Results: 813 records of nursing diagnoses identified in 53 different titles, in 10 domains, were identified. The most frequent diagnosis was risk for self-extermination. The domain with the highest number of diagnostic records was activity/rest. There was a predominance of diagnoses focused on the problem. Final considerations: mapping contributes to the planning of evidence-based nursing interventions and to the strengthening of professional identity in mental health. It is evident the need for practices that go beyond the symptoms in a preventive perspective, with a view to comprehensiveness.
Actions of a regulatory nurse in the management of surgical waiting lists
Authors: Lisbôa Rosa Ladi , Kruel Alexandra Jochims , Marciniak Júlia Barreto , Paz Adriana Aparecida
Published: October 2021

ABSTRACT Objectives: to describe the actions of the regulatory nurse in the management of waiting lines for elective surgeries in a public hospital. Methods: this is an experience report about the actions of the regulatory nurse in the management of waiting lines for elective surgeries. Results: the results of this initiative were: diminution in waiting times; elimination of discrepancies that led to access inequality; promotion of safer treatments; actions of the nurse as a manager, conducting and mediating situations between services; autonomy from the high management of the hospital with regard to the manager of waiting lists; and effective communication due to a constant feedback with the medical teams. Final Considerations: the management of the surgical waiting lists must be continuous and systematic, and it must be broader, to include teams that are not involved yet. This initiative can be replicated and improved in other health organizations.
Self-care of elderly people with diabetes mellitus and the nurse-patient interpersonal relationship
Authors: Ferreira Gerlania Rodrigues Salviano , Viana Lia Raquel de Carvalho , Pimenta Cláudia Jeane Lopes , Silva Cleane Rosa Ribeiro da , Costa Tatiana Ferreira da , Oliveira Jacira dos Santos , Costa Kátia Neyla de Freitas Macedo
Published: October 2021

ABSTRACT Objective: To analyze the self-care activities of elderly people with diabetes mellitus and its correlation with the nurse-patient interpersonal relationship. Methods: Cross-sectional quantitative study, with 144 elderly people followed up in Family Health Units, with data collected by the Diabetes Self-Care Activities Questionnaire and Interpersonal Relationship Questionnaire in Nursing Care, being analyzed by descriptive and inferential statistics. Results: There was a greater accomplishment of the activities Take insulin injections as recommended (6.74), Take diabetes medications as recommended (6.55) and Take the indicated number of diabetes pills (6.52). The interpersonal relationship showed moderate effectiveness (80.6%). The correlation between self-care with diabetes and interpersonal relationships showed a positive and significant value in the dimension Specific feeding. Conclusion: The effectiveness of the interpersonal relationship in nursing care resulted in greater compliance with activities related to specific food.
Factors associated with presenteeism in nursing workers
Authors: Santos Bruno da Silva , Rocha Fernanda Ludmilla Rossi , Bortolini Juliano , Terra Fábio de Souza , Valim Marília Duarte
Published: October 2021

ABSTRACT Objective: to analyze factors associated with presenteeism in nursing workers with sociodemographic variables, health and work conditions, productivity and musculoskeletal symptoms. Methods: this is a cross-sectional, descriptive and analytical study, with 306 nursing workers from a hospital and municipal emergency room in a Brazilian capital. The Stanford Presenteeism Scale, the Work Limitations Questionnaire, the Nordic Musculoskeletal Questionnaire and a demographic questionnaire on nursing professionals’ working conditions and health were used. Bivariate and multivariate analyzes were performed, respecting a significance level of 5%. Results: presenteeism was found in 43.8% of professionals and significant associations with CLT work (p=0.002), workplace - Intensive Care Units (p=0.008), physical exercise twice a week (p=0.008), presence of musculoskeletal symptoms, with low back pain being representative (p=0.001). The productivity loss was 8.8. Conclusions: the study confirms a high rate of presenteeism among nursing workers.
Congenital Zika Virus Syndrome: care in light of the Brazilian Unified Health System principles
Authors: Andrade Gleice Kelli Santana de , Teston Elen Ferraz , Marcon Sonia Silva , Giacon-Arruda Bianca Cristina Ciccone , Amorim Milena Dalariva , Sato Daniela Miyuki , Werle Josiel Elisandro , Silva Joice Lourenço da
Published: October 2021

ABSTRACT Objective: to know health professionals’ perceptions about care actions provided to children with Congenital Zika Virus Syndrome and their families. Methods: this is a qualitative study, carried out in a capital of center-western Brazil, based on the Unified Health System theoretical precepts. Data were collected in September and October 2020, through audio-recorded interviews with 12 health professionals from a specialized service and submitted to analysis of content, thematic modality. Results: the implementation of care actions with these children occurs through multidimensional assessment of children and their families, use of the Unique Therapeutic Project, therapeutic interventions for the development of children and the communication and exchange of interprofessional and family experiences, in addition to considering professionals’ prior knowledge and their search for it. Final considerations: children with CZS and their families need individualized, frequent, integrated and continuous care.
Musculoskeletal symptoms in formal and informal caregivers of elderly people
Authors: Figueiredo Leandro Corrêa , Gratão Aline Cristina Martins , Barbosa Gustavo Carrijo , Monteiro Diana Quirino , Pelegrini Lucas Nogueira de Carvalho , Sato Tatiana de Oliveira
Published: October 2021

ABSTRACT Objective: to evaluate musculoskeletal symptoms in formal and informal caregivers of elderly people, and check association with personal and work-related factors. Methods: this is a cross-sectional study. Instruments for assessment were the International Physical Activity Questionnaire, Self-Reporting Questionnaire-20, Borg’s effort perception scale and Nordic Musculoskeletal Questionnaire. Results: informal caregivers had been working for a longer time (60.2% vs. 41%), had more hours of work (37.4% >12h for day), less time off (85.4% vs. 2.5%) and lack of care guidelines (90.2%). The region with the most musculoskeletal symptoms was the spine and the greater dependence of the elderly, the greater the chances of developing musculoskeletal symptoms (OR= 1.3, 95% CI= 1.1-1.6, p <0.05). Conclusion: personal and work-related factors were more prevalent in informal group and the elderly person’s dependence interferes with the increase in musculoskeletal symptoms of caregivers.
Caracterização dos óbitos por suicídio entre 2013-2017
Authors: Gomes Guilherme Assoni , Maronezi Luis Felipe Chaga , Felizari Giovana Bonessoni , Riffel Rogério Tomasi , Fernandes Jeanice de Freitas , Rabello Renata dos Santos , Lindemann Ivana Loraine
Published: October 2021

RESUMO Objetivo Descrever a frequência, a distribuição e as principais características dos casos de suicídio no Rio Grande do Sul. Métodos Estudo transversal que incluiu todos os óbitos por suicídio notificados de 01/01/2013 a 31/12/2017. A análise compreendeu a descrição dos casos, a verificação da distribuição do método conforme o sexo e o cálculo das estimativas anuais de mortalidade. Resultados Foram notificados 5.901 casos, a maioria do sexo masculino (79,3%), com idade entre 35 e 59 anos (45,9%), cor de pele branca (90,9%), ensino fundamental (66,6%), sem cônjuge (63,6%) e trabalhadores do setor secundário (54,4%). Do suicídio predominou ocorrência policial como fonte de notificação (90,8%), domicílio como local de ocorrência (68,9%), enforcamento, estrangulamento ou sufocação como causa básica (71%); observaram-se diferenças significativas entre homens e mulheres quanto à escolha do método e aumento nas taxas anuais de mortalidade no período analisado. Conclusão Constatou-se aumento dos óbitos por suicídio no local e período estudados, indicando que é uma importante causa de mortalidade, especialmente, entre homens adultos.
Apego materno-fetal e transtornos psiquiátricos em gestantes com fetos malformados
Authors: Souza Gustavo Fonseca de Albuquerque , Souza Alex Sandro Rolland , Praciano Gabriella de Almeida Figueredo , França Esther Soraya Lima de , Carvalho Cinthia Freire , Paiva Júnior Sérgio de Sá Leitão , Souza Manuela Barbosa Rodrigues de , Asano Nadja Maria Jorge
Published: October 2021

RESUMO Objetivo Determinar a prevalência e os fatores associados aos sintomas de ansiedade e depressão e ao apego materno-fetal em gestantes com diagnóstico de malformações congênitas. Métodos Estudo prospectivo de corte transversal realizado durante o período de dezembro/2019 a março/2020. Foram incluídas 77 gestantes com diagnóstico de malformação fetal atendidas no Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) e excluídas aquelas < 18 anos e as que sabiam o diagnóstico da malformação há menos de três semanas. Aplicou-se um questionário com variáveis sociodemográficas e clínicas, além da Escala Hospitalar de Ansiedade e Depressão e da Escala de Apego Materno-Fetal. Para análise estatística, foi aplicado o modelo de regressão logística multivariado com nível de significância de 5%. Resultados Entre as gestantes, 46,8% possuíam sintomas ansiosos e 39%, depressivos, sendo o apego materno-fetal médio em 54,5% e alto em 45,5%. Antecedentes de ansiedade e depressão e não possuir religião foram associados a maior risco de sintomas de ansiedade e depressão, e saber da malformação há ≥ 10 semanas associou-se apenas ao risco de ansiedade e ter gestação múltipla associou-se apenas ao risco de depressão. O apego materno-fetal não foi associado a ansiedade ou depressão. Conclusão Observou-se alta prevalência de sintomas ansiosos e depressivos em gestantes com fetos malformados, além da presença de apego materno-fetal médio/alto em todas pacientes, porém sem associação com os transtornos psiquiátricos estudados. Diante disso, urge a necessidade da criação de novas linhas de cuidado voltadas à saúde mental dessas mulheres.
Dental displacement in complete dentures influenced by different flask types and polymerization cycles
Authors: Caetano Conrado Reinoldes , Caldas Ricardo Armini , Presotto Anna Gabriella Camacho , Barão Valentim Adelino Ricardo , Bacchi Ataís , Consani Rafael Leonardo Xediek
Published: October 2021

Abstract This study evaluated the dental displacement in dentures included in different flasks and processed by the Australian cycle modified or by microwave. Metal pins were placed on the teeth as reference for measurements: a) Incisal edge of maxillary and mandibular central incisors, buccal cusp of maxillary and mandibular vestibular first premolars, and mesiobuccal maxillary and mandibular cusps of second molars; b) Incisor to incisor, premolar to premolar and molar to molar; c) Left incisor to left molar and right incisor to right molar, and d) Vertical. Dentures were divided according to flasks (n=10): G1- Metal; G2- HH bimaxillary metal; G3-Microwaves; G4- HH bimaxillary microwaves. For G1 and G2, polymerization at 65ºC/30 min, flame quenched for 30 min, heating at 65ºC/30 min, boiling water for 1 h. For G3 and G4, microwave (20 min/140 W and 5 min/560 W). Comparator microscope with digital camera and analytical unit assessed the measurements before and after denture polymerization. The final distance was made subtracting the distance before the denture processing from the distance of the dental displacement after processing. The value of the difference was submitted to 2-way ANOVA, considering the flask type and denture type. Maxillary denture showed greater displacement when compared to mandibular denture. Flask types and interaction with denture types showed similar difference between before and after polymerization. In conclusion, displacement promoted by flask types in dentures cured by polymerization cycles promoted similar effect on the distance between teeth. Greater value for distance between teeth occurred for maxillary denture.
Homens entre saúde e segurança pública: a violência nos hospitais de trauma
Authors: Santos Helen Barbosa dos , Nardi Henrique Caetano
Published: October 2021

Resumo Em pesquisa de perspectiva etnográfica realizada em dois hospitais de trauma no município de Porto Alegre (RS), buscamos explicitar as convergências e divergências na intersecção entre práticas de saúde e de segurança pública voltadas aos homens vítimas de conflitos violentos. Analisaram-se as narrativas de múltiplos atores sociais (profissionais do campo da segurança pública e da saúde), bem como os fluxos de atendimento desses usuários de saúde e seus familiares. Os operadores conceituais centrais são inspirados nos estudos sobre tecnologias de poder (Michel Foucault, Giorgio Agamben), economia moral (Didier Fassin), masculinidades e violência. Concluímos que o hospital está firmemente articulado ao dispositivo da segurança pública por meio de práticas discursivas que fomentam a produção de masculinidades criminalizadas.
O cuidado em saúde mental: narrativas de familiares de ouvidores de vozes
Authors: Silva Priscilla dos Santos da , Maciazeki-Gomes Rita de Cássia , Couto Maria Laura de Oliveira , Paiva Alice Monte Negro de , Gramajo Carolina Siomionki , Kantorski Luciane Prado
Published: October 2021

Resumo Ancorado numa perspectiva psicossocial, frente aos desafios da reinserção social e da composição de estratégias de cuidado em liberdade, este estudo tem por objetivo analisar as narrativas dos familiares de ouvidores de vozes sobre suas experiências como cuidadores. Foram realizadas entrevistas narrativas com familiares de participantes de um grupo de ouvidores de vozes em um Centro de Atenção Psicossocial (Caps) da cidade de Pelotas, no Rio Grande do Sul, Brasil. A partir da análise temática, produziram-se três eixos temáticos: (1) experiência de ouvir vozes e necessidade de cuidado; (1) família: práticas de cuidado; e (3) estratégias terapêuticas: tecendo redes de cuidado compartilhadas em saúde mental. As narrativas dos cuidadores reportam dificuldades na convivência com familiares que ouvem vozes, sobrecarga de trabalho relacionada ao cuidado e desafios enfrentados no cotidiano. Destaca-se a importância de espaços grupais de ajuda mútua que possam auxiliar os cuidadores.
Diversity of the Anisoptera & Zygoptera (Odonata: Insecta) of Swat, Pakistan
Authors: Attaullah M. , Ullah I. , Ali M. , Maula F. , Ilahi I. , Ahmad B. , Khwaja S. , Ullah Z. , Siraj M. , Raheel S.M.M.
Published: October 2021

Abstract Odonates are important biological control agents for the control of insect pests and insect disease vectors of medical and veterinary importance. The present study was conducted to evaluate the odonate fauna of Swat, Pakistan from March to October 2019. A total of 200 specimens of odonates were collected from diverse habitats. The collected specimens of the order Odonata belonged to 5 families, three families of suborder Anisoptera namely Libellulidae, Gomphidae and Aeshnidae while two families of suborder Zygoptera (Chlorocyphidae and Coenagrionidae). The specimens were categorized into 12 genera and 22 species. Libellulidae was the dominant family (n = 138) accounting for 69% of the odonate fauna. Orthetrum was the dominant genus (n = 73) of suborder Anisoptera accounting for 36.5% of the odonate fauna. The least dominant genera were Anax, Paragomphus and Rhyothemis (n = 5 each) accounting each for 2.5% of the odonate fauna. In Zygoptera, the dominant genus was Ceriagrion (12.5%) and the least dominant genus was Ischnura (6%). Pantala flavescens (Fabricius, 1798) was the most abundant odonate species in the study area recorded from all surveyed habitats. Shannon Diversity Index (H) was 2.988 and Simpson Diversity Index (D) was 0.95 for the collected odonate fauna. The highest abundance of Odonata was recorded in August, September and May while no odonate species were recorded in January, February, November and December. Lotic water bodies were the most suitable habitats with abundant odonate fauna. Anax immaculifrons (Rambur, 1842) was the largest sized odonate species having a wingspan of 53.2±1.63 mm and body length of 56.3 ± 0.4 mm. The present study shows the status of odonate fauna of Swat, Pakistan in diverse habitats and seasonsonal variation throughout the year. Further work is recommended to bridge the gaps in the existing literature.
El humor como estrategia de subversión feminista en “The Portable Virgin” de Ann Enright*
Authors: JAIME DE PABLOS María Elena
Published: October 2021

Resumen El presente artículo analiza el relato corto “The Portable Virgin”, publicado por la escritora irlandesa Ann Enright en 1991, con el objeto de establecer el modo en el que interactúan el género y el humor en el mismo, señalar las características y funciones de los elementos cómicos que emplea la protagonista, Mary, para dar explicación de su realidad y, asimismo, mostrar las estrategias a las que recurre Enright para parodiar los mitos sobre los que descansa la identidad femenina en el sistema patriarcal, muy particularmente el de la Virgen María, con el propósito de subvertirlos.
Marcadas pelo mercado: inserção profissional e carreira de mulheres transexuais e travestis*
Authors: Santos Karolyn Marilyn de Oliveira , Oliveira-Silva Lígia Carolina
Published: October 2021

Resumo Mulheres transexuais e travestis enfrentam barreiras relacionadas à transição de gênero que incidem diretamente sobre sua empregabilidade e inserção no mercado formal de trabalho, além de afetar seu planejamento de carreira. Nesse sentido, este estudo teve como objetivo investigar a inserção profissional, a percepção de barreiras e planejamento de carreira de mulheres transexuais e travestis. A partir da análise de conteúdo de entrevistas individuais constatou-se a percepção de múltiplas barreiras em função do gênero e a ausência de planejamento de carreira devido à falta de suporte.
Mães de usuários de crack: gênero e agência no tratamento para dependência química
Authors: Castro Odilon , Miskolci Richard , Pereira Pedro Paulo Gomes
Published: October 2021

Resumo Este artigo apresenta parte dos resultados da pesquisa etnográfica que acompanhou famílias de usuários de crack de 2013 a 2017. O texto busca descrever dilemas e manejos das mães frente ao que lhes é ofertado como tratamento para dependência química de seus filhos. A partir dos acontecimentos vivenciados, das ações diante das diversas terapêuticas propostas e das narrativas familiares, o artigo busca seguir os caminhos elegidos pelas interlocutoras e se direciona para as experiências das mães no Programa Recomeço, a plataforma da política de drogas do Estado de São Paulo.
Conceptual frameworks for programs addressing violence against children: a scoping review
Authors: Macedo Cibele Monteiro , Egry Emiko Yoshikawa
Published: October 2021

ABSTRACT Objective: Map the conceptual frameworks for programs addressing violence against children developed in primary health care. Method: This is a scoping review that followed the methodological recommendations of the Joanna Briggs Institute. A reference manager and qualitative analysis software were used for data management and analysis. Results: 1,346 studies were pre-selected and analyzed. The final sample consisted of 24 studies, mostly published in the 2000s. Three strategic actions were identified in programs: Home Visitation, Children Exposed to Violence, and Parenting Development, most of them focused on the level of intervention. No study explained the conceptual frameworks guiding the programs. Conclusion: Mapped programs were well structured and essential for addressing domestic violence against children. They mainly adopted the multi-causal concept to understand the health-disease process, which was restricted to overcoming the contradictions of violence.
Analysis of immunization errors in pregnant women
Authors: da Silva Thales Philipe Rodrigues , da Silva Soleane Franciele , Dutra Marcella Marinho , da Silva Roberta Barros , Gusmão Josianne Dias , Matozinhos Fernanda Penido
Published: October 2021

ABSTRACT Objective: To analyze immunization errors in pregnant women from Minas Gerais, according to the absence and presence of Adverse Events Following Immunization. Methods: This is a cross-sectional study, carried out with data on immunization errors in pregnant women, between 2015 and 2019, registered in the Information System for the Surveillance of Adverse Events, in Minas Gerais. The trend of the incidence rate of immunization error per 100,000 doses applied was checked using Prais-Winsten models. Results: Of all notifications, 3.72% were vaccination errors with adverse events following immunization. The highest proportion of immunization errors with no adverse events (32.40%) was in the macro-region Centro and, with adverse events (27.78%), in Triângulo do Sul, both with a stationary trend in the period. Regarding the incidence rate, the macro-region with the highest immunization errors with no adverse events was Vale do Aço and the macro-region with the highest incidence rate of immunization errors with adverse events was Triângulo do Sul. Conclusion: In this study, the notifications of Adverse Events Following Immunization resulting from vaccination errors with and without adverse events occurred with no significant trend within the years of the study.
Spatial analysis of congenital syphilis in the State of Rio Grande do Norte, between 2008 and 2018
Authors: Raimundo Dhyanine Morais de Lima , Sousa George Jó Bezerra , da Silva Ana Beatriz Pereira , Almino Romanniny Hévillyn Silva Costa , Prado Nanete Carolina da Costa , da Silva Richardson Augusto Rosendo
Published: October 2021

ABSTRACT Objective: To analyze the spatial distribution of congenital syphilis cases in a state in northeastern Brazil. Method: This is an ecological study, with secondary data for the period from 2008 to 2018, taking as a sample the notified cases of congenital syphilis in Rio Grande do Norte. In the data analysis, the eight health regions of the state were used as units of analysis, and the local and global Moran’s I was performed, with subsequent smoothing through the local empirical Bayesian method, which resulted in thematic maps. Results: The results showed an increase in cases of congenital syphilis in the 3rd and 7thhealth regions. In terms of spatial analysis, this investigation showed clusters in the 3rd, 5th, and 7thhealth regions, with an increased risk for congenital syphilis of up to 2.65 times and with an incidence rate of 7.91 cases per 1,000 live births. Conclusion: The spatial analysis of congenital syphilis cases allowed observing a high incidence in some health regions, with averages above those calculated for the entire state, indicating the need to implement effective strategies to achieve its control.
Predictive capacity of prognostic scores for kidney injury, dialysis, and death in intensive care units
Authors: Vasconcelos Geferson Messias Teles , Magro Marcia Cristina da Silva , da Fonseca Cassiane Dezoti , Oliveira Jussiely Cunha , Santana-Santos Eduesley
Published: October 2021

ABSTRACT Objective: To assess the capacity of Charlson, SAPS 3 and SOFA scores to predict acute kidney injury, need for dialysis, and death in intensive care unit patients. Method: Prospective cohort, with 432 individuals admitted to four intensive care units. Clinical characteristics at admission, severity profile, and intensity of care were analyzed using association and correlation tests. The scores sensitivity and specificity were assessed using the ROC curve. Results: The results show that patients with acute kidney injury were older (65[27] years vs. 60[25] years, p = 0.019) and mostly are from the emergency department (57.9% vs. 38.0 %, p < 0.001), when compared to those in the group without acute kidney injury. For dialysis prediction, the results of SAPS 3 and SOFA were AUC: 0.590; 95%CI: 0.507–0.674; p-value: 0.032 and AUC: 0.667; 95%CI: 0.591–0.743; p-value: 0.000, respectively. All scores performed well for death. Conclusion: The prognostic scores showed good capacity to predict acute kidney injury, dialysis, and death. Charlson Comorbidity Index showed good predictive capacity for acute kidney injury and death; however, it did not perform well for the need for dialysis.
Role of sociodemographic factors and self-efficacy in the perception of social support of nursing students
Authors: Ferreira Rafaela Teodoro , Gonçalves Jamila Souza , de Oliveira Jaqueline Lemos , dos Santos Marcelo Vinicius Domingos Rodrigues , Baldassarini Caíque Rossi , de Souza Jacqueline
Published: October 2021

ABSTRACT Objective: To analyze the role of sociodemographic factors and self-efficacy in the perception of social support by nursing students of the first years of nursing school. Method: This is a quantitative cross-sectional research, developed with 121 undergraduate students from the early years of the course. A sociodemographic questionnaire, the Higher Education Self-Efficacy Scale and the abbreviated version of the Social Support Questionnaire were used. Spearman and Mann-Whitney correlation tests were performed using software for statistical analysis. Results: It was identified that students with better self-efficacy and who are self-declared black or brown reported, respectively, greater satisfaction with the support and a smaller number of supporters. Conclusion: Considering that the race/color factor had a negative influence and self-efficacy a positive influence in the perception of social support, it is recommended that mental health promotion strategies be conducted that permeate both affirmative action policies and improvements in the teaching-learning process, especially in the first years of the nursing course.
Desenvolvimento de embalagens inteligentes com alteração colorimétrica incorporadas com antocianinas: uma revisão crítica
Authors: Teixeira Samiris Côcco , Soares Nilda de Fátima Ferreira , Stringheta Paulo César
Published: October 2021

Resumo Embalagens inteligentes são aquelas que possuem maior aprimoramento em relação à comunicação e ao consumidor, uma vez que fornecem uma informação dinâmica sobre a qualidade real do produto. A presente revisão tem como objetivo analisar o conceito de embalagens inteligentes que utilizam como base polímeros incorporados com antocianinas para alteração colorimétrica, discutindo aspectos do desenvolvimento científico. Foi realizada uma análise crítica da produção científica que trata dos processos utilizados para o desenvolvimento dessas embalagens. O processo de produção está estruturado e controlado com base na demanda atual dos consumidores, uma vez que eles estão cada vez mais alertas em relação à segurança e à qualidade dos alimentos disponibilizados para consumo. Nesse sentido, o desenvolvimento de novas embalagens inteligentes com indicadores ou sensores colorimétricos está diretamente relacionado com a forma de produção, requerendo uma padronização de sua produção e parâmetros, fornecendo uma visão de diversos profissionais, que acabam por desenvolver novas tecnologias promissoras.
As imaterialidades do material: a repatriação do canhão El Cristiano ao Paraguai
Authors: HOIÇA JAQUELINE DE JESUS , GUEDES SANDRA PASCHOAL LEITE DE CAMARGO
Published: October 2021

RESUMO Este artigo objetiva discutir os fatores extrajurídicos que determinam a repatriação de bens culturais aos seus países de origem, especialmente à luz do caso do canhão El Cristiano. Esse bem, que compõe a cultura material da Guerra do Paraguai (1864-1870), foi capturado como troféu de guerra pelo Exército Brasileiro e trazido do Paraguai ao Brasil, onde integra o acervo do Museu Histórico Nacional. Em 2010 o governo brasileiro deu início ao processo de repatriação de El Cristiano ao Paraguai. Porém, mais de dez anos depois, a devolução ainda não foi concretizada. A partir da análise dos documentos produzidos nesse processo e à luz de teóricos do campo do patrimônio cultural e do direito, sob uma perspectiva interdisciplinar, foi possível identificar que as diferentes imaterialidades que perpassam esse bem material são responsáveis pelo impasse instaurado em torno de sua repatriação. Tais imaterialidades são as memórias, os valores e os discursos que são acionados por retóricas holistas dos dois países e legitimam tanto a reivindicação do El Cristiano como a defesa de sua permanência no Brasil.
Repercussões da pandemia da Covid-19 no cuidado de lactentes nascidos prematuros
Authors: Reichert Altamira Pereira da Silva , Guedes Anna Tereza Alves , Soares Anniely Rodrigues , Brito Paloma Karen Holanda , Bezerra Iolanda Carlli da Silva , Silva Layla Caroline Lino da , Dias Tayanne Kiev Carvalho , Santos Nathanielly Cristina Carvalho de Brito
Published: October 2021

Resumo Objetivo O estudo objetivou compreender as repercussões da pandemia da Covid-19 no cuidado de lactentes prematuros, na perspectiva de mães e profissionais de saúde. Método Foram realizadas entrevistas semiestruturadas nos meses de junho e julho de 2020, por meio de ligação telefônica, com 14 mães e quatro profissionais de saúde do serviço de follow-up de uma maternidade pública da Paraíba, Brasil. Resultados A partir da análise temática indutiva, os impactos da pandemia no cuidado ao lactente nascido prematuro, foram: sobrecarga e afastamento dos profissionais dos serviços de saúde, desativação temporária da unidade mãe canguru, descontinuidade da assistência ao prematuro, medo materno de expor a criança à Covid-19 e baixa condição socioeconômica. Foram elencadas estratégias de enfrentamento para o cuidado dos lactentes durante a pandemia, como: maior espaçamento das consultas, acompanhamento por meio telefônico e cumprimento das medidas de biossegurança. Conclusão e implicações para a prática A pandemia exigiu adaptações na assistência, tornando necessárias novas formas de cuidado a essas crianças, como exemplo, as consultas de acompanhamento remotas, a fim de garantir o seu direito à vida e saúde.