bluuebunny/crossref_metadata_2025 huggingface dataset:
Prolonged Fever, Diarrhea, Abdominal Pain, and Joint Pain in a 9-Year- Old Boy
Authors: Rajbhandari Prabi , Brown Anna , Patel Vanisha , Mandelia Yamini , El-Hallak Moussa
Published: December 2019

A 9-year-old African American boy was admitted to hospital with a 12-day history of fevers, diarrhea, abdominal pain and a 1-day history of joint pain. His abdominal pain and diarrhea resolved within the first few days of admission, but he continued with high-grade fevers and intermittent joint pain. The joints affected included the right first interphalangeal joint, right wrist, right elbow, and left knee joint. His initial laboratory tests revealed normal complete blood count, comprehensive metabolic panel, and C-reactive protein. Consequently, he developed fatigue, lower back pain, and bicytopenias. After 19 days of fevers, a multispecialty collaborative evaluation arrived at a final diagnosis and treatment plan. In this article, we discuss the child’s hospital course and our clinical thought process. Written consent was obtained from the family.
INFORMAL EDUCATION AS A VARIETY OF EDUCATION
UNDER THE LEGISLATION OF UKRAINE
Authors: Hubanova T. O.
Published: December 2019

The article analyzes the varieties of national education on the basis of the provisions of the legislation of Ukraine, taking into account the characteristics of the modern educational system of Ukraine. Attention is drawn to the fact that the establishment of the rule of law, implementation of international standards have led to the emergence of new educational institutions and innovativetrends in the education system, which requires appropriate theoretical substantiation and scientific research. The legislation of Ukraine establishes relatively new types of education that are subject to compulsory scientific characterization in order to understand their nature and content. It is noted that the legal and legal consolidation of three types of education at the legislative level: formal, nonformal, informal. The state recognizes these types of education, creates conditions for the development of educational entities that provide relevant educational services, and encourages the acquisition of education of all types. That is, it can be argued that the legislation establishes three independent, independent and distinctive types of education, which are equal but different in nature. It is proved that the isolation of these species, as well as their substantive content, is unconventional for the national legislation. Scientific positions concerning the concept, meaning, essence of information education are analyzed. It is noted that international and European regulations, as part of national legislation, have a significant influence on shaping the content of education in European countries. Within them, methodological guidelines for the formation of basic types of education are defined, the legal bases for providing such types of education are taken into account, taking into account socio-economic, political, technological changes for the spiritual and cultural development of society. The author’s definition of informal education is offered and a list of characteristic features is formulated.
CONTRADICTIONS BETWEEN SCIENTIFIC TERMINOLOGY
AND THE TERMINOLOGY OF THE LEGISLATION ON THE DEFINITION
OF SUBJECTS AND PARTICIPANTS IN THE ADMINISTRATIVE PROCESS
Authors: Zheltobriukh I. L.
Published: December 2019

This paper explores the existing contradictions between the scientific terminology and the terminology of legislation regarding the definition of subjects and participants in the administrative process. It is noted that acquaintance with the scientific and educational- methodological literature shows that even today there is no clear justification of the relation between the terms “subject of administrative process” and “participant of administrative process”. The main reason for this state of affairs is due to differences in the laws of development of national administrative procedural legislation and the laws of development of science of administrative procedural law. It is concluded that there is a long-standing need to offer the scientific community and practitioners such a concept of relation between the terms “subject of administrative process” and “participant in administrative process”, which would reconcile the contradictions of the otological and epistemological terminology used in the CAS. The necessity to use in the science of administrative law and process justifies the concept according to which the administrative process should be considered as law enforcement activity of administrative courts related to the consideration and resolution of public law disputes. In such a case, the administrative court will always be the subject of the administrative court, whereas the parties, third parties, representatives, assistant judge, court secretary, court administrator, witness, expert, law expert, translator, specialist are only participants in the administrative process that is, persons involved in the enforcement of administrative law.
ADMINISTRATIVE AND LEGAL INSTRUMENTS
FOR ENSURING THE IMPLEMENTATION OF STATE POLICY
IN THE FIELD OF EUROPEAN INTEGRATION OF UKRAINE
Authors: Kazmiryshyn E. O.
Published: December 2019

The article is devoted to determining the list of administrative and legal instruments for ensuring the implementation of state policy in the field of European integration of Ukraine. In order to achieve the stated purpose, it seems necessary to solve the following research problems: 1) to analyze the domestic scientific literature devoted to understanding the category of “administrative and legal instruments” or its analogues; 2) identify the types of administrative and legal instruments used by public administration entities in implementing state policy in the field of European integration of Ukraine; 3) to specify the prospects of expanding the list of administrative and legal instruments that public administration entities may use in implementing state policy in the field of European integration of Ukraine.
As a result of the study the following conclusions are reached: they use the appropriate administrative and legal instruments to perform the tasks assigned to the subjects of the public administration of Ukraine involved in the implementation of state policy in the sphere of European integration of Ukraine. The conducted research allows to state that the specifics of this direction of state policy of Ukraine determines their insignificant list. These include: by-laws, planning acts and information acts; the necessity of introducing a clear procedure for involving civil society institutions and interested individuals in developing, discussing and monitoring the implementation of state policy plans in the field of European integration of Ukraine has been proved. The procedure for such involvement should be defined at the level of the Administrative Procedure Code of Ukraine; the necessity of expanding the list of administrative and legal instruments used by the public administration of Ukraine in implementing state policy in the field of European integration of Ukraine is substantiated. Their extension is possible, for example, through the involvement of administrative contracts, in particular: subordination and coordination administrative agreements. They could become the legal basis for the interaction of public administration entities of Ukraine, as well as subjects of national public administration and local self-government bodies or civil society institutions in particular areas of implementation of state policy in the field of European integration of Ukraine.
“ANTI-CORRUPTION” RESTRICTIONS FOR PERSONS AUTHORIZED
TO PERFORM THE FUNCTIONS OF THE STATE OR LOCAL SELF-GOVERNMENT: THE REALITIES OF THE USE OF THE “FILTER”
OF LEGAL CERTAINTY IN UKRAINE AND FOREIGN COUNTRIES
Authors: Kolomoiets T. O.
Published: December 2019

The article substantiates the expediency of considering “anti-corruption restrictions” in relation to persons authorized to perform the functions of the state or local self-government in the aspect of compliance with the requirements of legal certainty in the use of their resource. Legal certainty (juridical security) is considered as an integral component of the rule of law, which combines the “substantive” (“quality” of the regulatory framework for using the resource of “anti-corruption” restrictions) and “procedural” (“quality” of law enforcement with respect to relevant restrictions) components that only collectively shape the phenomenon of legal certainty of “anti-corruption” restrictions. We consider appropriate to use a “broad” approach to understanding the legal certainty of “anti-corruption” restrictions, which combines the “substantive” and “procedural” legal certainty of corresponding restrictions, and enhancing the “quality” of anti-corruption legislation in terms of defining “anti-corruption” restrictions and the “quality” of its application practice makes it possible to increase the effectiveness of these restrictions as an anti-corruption “tool”. The “defects” of the “substantive” and “procedural” legal certainty of domestic “anti-corruption” restrictions are distinguished and compared with the “quality” of the corresponding components of the legal certainty of “anti-corruption” restrictions in foreign countries. Specific proposals are formulated to improve the “quality” of anti-corruption legislation in terms of fixing “anti-corruption” restrictions, the “quality” of anti-corruption enforcement practices (in terms of the terminological framework, the use of valuation concepts, techniques and technologies of anti-corruption rulemaking in the part of “anti-corruption” restrictions, law enforcement unification). The article substantiates the expediency of prudent borrowing of positive, tested by time and practice foreign experience of anti-corruption rulemaking and anti-corruption enforcement in the use of the resource of “anti-corruption” restrictions (minimization of evaluation provisions, extended conceptual series, duplication of criteria for determining limits of restrictions, minimization of blanket and referral standards, clarity and transparency of regulations, thematic generalizations of law enforcement practices) by which it is possible to ensure compliance of the “quality” of legal certainty of “anti-corruption” restrictions in Ukraine with international legal standards, consistency with foreign analogues as an effective anti-corruption “tool”.
PROVIDING PUBLIC ORDER IN THE LIGHT OF CODIFICATION
OF CURRENT LEGISLATION
Authors: Komissarov S. A.
Published: December 2019

The article deals with the codification of administrative legislation. The basic concepts are considered, approaches to a problem are revealed, directions of improvement of the current legislation are analyzed. The main attention is paid to the issue of codification as a legal category and codification of administrative law, since it is a form of lawmaking, and its main purpose is to providing the most complete legal regulation of a certain sphere of social relations by adopting logically complete normative acts of complex and generalizing nature.
It is suggested that public law should perform the function of public order, which is provided with appropriate means of influence in case of violation of relations in this field. It is emphasized that the list of remedies of public order includes the rules of public law, but those with a protective orientation, public-legal relations that arise in cases of committing offenses in the sphere of public order, and acts of implementation of these rules. As for administrative law, its main function should be to protect the rights and freedoms of a citizen from illicit acts or inction of state bodies (officials).
On the basis of a critical analysis of the foundations of post-Soviet jurisprudence, a modern understanding of the role and content of norms of administrative law is offered, as well as a comprehensive, balanced and consistent revision of the legislation, and its adjustment with modern European standards. In particular, there is an urgent need to reform the administrative law of Ukraine, the basis for defining the purpose of which is an approach formed in Soviet times, which should be based on a substantially updated, more democratic understanding of the public purpose of public law, which will replace Soviet administrative law. It is concluded that a qualitatively new ideology of legal thinking must be created and practically introduced in Ukraine.
MATERIAL LIABILITY OF SENTENCED PERSONS – REALITIES
AND PROSPECTS OF IMPROVING AND APPLICATION
Authors: Levchanovskyi D. E. , Tsariuk S. V.
Published: December 2019

The significance of the sentenced person's liability has been investigated. It applies to a convicted person in prison for a term of imprisonment, as an integral component of the educational influence on such person to correct and re-socialize him.
The society is accustomed to perceive the State Criminal Enforcement Service of Ukraine as an institution, which by its function is intended to serve the sentences of a court, but the legislation also imposes on it the task of correcting and re-socializing the sentenced person using the methods and means of educational influence that go hand in hand with the execution of punishment. The liability of the convicted person is at the same time a criterion for evaluating the use of remedies and re-socialization and acts as an element of the same educational influence. Therefore, it is problematic for staff members of the Penal Institution to realize the need to apply the disciplinary and material responsibility of prisoners in the exercise of educational influence differently.
The content of the article reveals the need to apply the liability of the convicted person as a normative-legal category, through the lens of educational influence on the convicts. It encourages creation of appropriate methodological recommendations and improving the mechanism of their application in the practical activity of the units of the Penal Institution. Аnd the need for appropriate changes at the legislative level regarding the mandatory rules on compensation for material damage caused to a sentenced institution while serving a sentence, which in turn will help to consolidate the foundation of one of the methods of educational influence.
It is noted that the purpose of educational influence through material liability is realizing by the isolated person the fact of wrongdoing, legal and material consequences, as well as rethinking his act. This is important because convicts are not required to compensate for material damage. Therefore, there is a need to go to court for material damages, which can lead to a loss of value and "demand" for such educational influence from the staff of the institution.
“A razão é uma prostituta”: fundamentos de uma epistemologia luterana
Authors: Pich Roberto Hofmeister
Published: December 2019

Na teologia luterana, como também na maior parte da teologia cristã que o precedeu, o tema da relação “fé” e “razão” ocupa lugar importante. Ele está implicado ou é até mesmo diretamente tratado sempre que se põe em debate a natureza do saber teológico, a condição do teólogo cristão e da teologia cristã e as esferas de sentido e responsabilidade da fé como dom e condição humana e da razão ou da racionalidade como dom para a criação e condição humana no mundo. Apesar de suas muitas e variadas notas críticas, na “filosofia cristã” medieval a aliança entre metafísica e teologia apresenta contornos e direções claras de possibilidades; Lutero, por sua vez, parece ter rejeitado qualquer margem de sucesso para uma abordagem de cunho “escolástico” para o conhecimento de Deus, e isso se cristaliza na sua expressão crítica para a condição da razão humana quanto ao conhecimento teológico: “a razão é uma prostituta”. Recentemente, a temática da racionalidade implícita na atitude de fé que move o cristão em suas crenças e ações, bem como o teólogo e ateologia cristã, foi reelaborada na tradição reformada calvinista, em um programa de problematização da racionalidade da fé, em meio à atmosfera de profundo cientificismo do conhecimento na era contemporânea, por um lado, e, por outro lado, de fideísmo nas reações evangélico-protestantes à crítica externa oriunda das ciências exatas e da natureza. Articulou-se uma “epistemologia reformada”, que tange a natureza da racionalidade em geral e da racionalidade da fé em específico, oferecendo uma nova abordagem da justificação racional das crenças cristãs. Poderia haver, face a motivações semelhantes ou mesmo diante de propósitos distintos, uma teoria símile na tradição luterana, ou seja,uma “epistemologia luterana”? O presente estudo pretende esboçar uma resposta a essa pergunta, explorando uma comparação com os termos da epistemologia reformada e da teologia luterana sobre a crença cristã.
LA CRISIS DEL SISTEMA HACENDAL. REPRESENTACIONES EN LA NARRATIVA DE MUJERES (1930-1965)
Authors: Traverso Ana
Published: December 2019

Durante la primera mitad de siglo las mujeres se van incorporando paulatinamente al mundo del trabajo y las intelectuales, llegan a ocupar diversos espacios en el circuito de la cultura y el arte. Sin embargo, estas aparentes conquistas de los movimientos sociales y feministas en el continente, son significados en los relatos de gran parte de las escritoras chilenas en tanto pérdida de los privilegios oligárquicos del ocio y la cultura, que las ubica en una tensionada relación entre la nostalgia patriarcal (tras la crisis del latifundio), la ansiada (u obligada) independencia económica y la crítica a la precarización y disciplinamiento del mundo del trabajo. Me interesa analizar las significancias que cobra la «escritura» para estas autoras en el entrecruce entre la obtención del «cuarto propio» y la (in)dependencia de género.
EL MODELO DE ERNST FENOLLOSA SOBRE EL ARTE Y SU IMPACTO EN COLECCIONES CHILENAS. CASO DE ESTUDIO: LA COLECCIÓN DE ESTAMPAS JAPONESAS CLÁSICAS DEL ARCHIVO CENTRAL ANDRÉS BELLO
Authors: Maire Gonzalo
Published: December 2019

Este artículo examina la Colección de Estampas Japonesas Clásicas del Archivo Central Andrés Bello de la universidad de Chile desde dos cauces: primero, las condiciones de posibilidad teóricas y museales de asociación de las piezas japonesas (ukiyo-e) con otros conjuntos de objetos nacionales y europeos, a partir de los modos en que a los objetos nipones se le imponen lógicas de legibilización y experiencia; segundo, desde la caracterización de esas susodichas lógicas como modelo de conocimiento del Arte, cuyo principio autoral y categorial se encuentra en el pensamiento de Ernst Fenollosa.
MoCA Test: normative and diagnostic accuracy data for seniors with heterogeneous educational levels in Brazil
Authors: Cesar Karolina G. , Yassuda Mônica S. , Porto Fabio H. G. , Brucki Sonia M. D. , Nitrini Ricardo
Published: December 2019

ABSTRACT The Montreal Cognitive Assessment (MoCA) has been described as a good tool to detect cognitive impairment. The ideal MoCA cutoff score is still under debate. The aim was to provide MoCA norms and accuracy data for seniors with a lower education level, including illiterates. Methods: Data originated from an epidemiological study conducted in the municipality of Tremembe, Brazil. The Brazilian MoCA test was applied as part of the cognitive assessment in all participants. Of the 630 participants, 385 were classified as cognitively normal (CN) and were included in the normative data set, 110 individuals were diagnosed with dementia and 135 were classified as having cognitive impairment no dementia (CIND). Results: The total scores varied significantly according to age and education among the three diagnostic groups: CN, CIND and dementia (p < 0.001). To distinguish participants with CN from dementia, the best MoCA cutoff was 15 points (sensitivity 90%, specificity 77%) and to differentiate those with CN from CIND, the MoCA cutoff was 19 points (sensitivity 84%, specificity 49%). Those scores varied according to education level. Conclusions: The MoCA test did not have a high accuracy for detecting CIND in the population with a low educational level. Nevertheless, this tool may be used to detect dementia, especially in individuals with more than five years of education, if a lower cutoff score is adopted.
Falls in persons with Parkinson's disease: Do non-motor symptoms matter as much as motor symptoms?
Authors: Alvarado-Bolaños Alonso , Cervantes-Arriaga Amin , Arredondo-Blanco Kenia , Salinas-Barboza Karla , Isais-Millán Sara , Rodríguez-Violante Mayela
Published: December 2019

ABSTRACT Falls are common among persons with Parkinson's disease (PD). On the other hand, predicting falls is complex as there are both generic and PD-specific contributors. In particular, the role of non-motor symptoms has been less studied. Objective: The objective of this study was to identify the role of non-motor predictors of falling in persons with PD (PwP). Methods: A cross-sectional study was carried out in PwP recruited from a movement disorders clinic. Clinical and demographical data were collected. All PwP were assessed using the Movement Disorders Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) and the Non-Motor Symptoms Scale (NMSS). Variables were assessed at the bivariate level. Significant variables were put into a logistic regression model. Results: A total of 179 PwP were included. Overall, 16.8% of PwP had fallen in the past 12 months, with 53.3% of them being recurrent fallers. The mean number of monthly falls was 2.5 ± 3.3. Factors associated with falling in the bivariate analysis included the disease duration, Hoehn and Yahr stage, MDS-UPDRS part I and II, postural instability/gait disturbance (PIGD) subtype, NMSS urinary domain, NMSS miscellaneous domain, and non-motor severity burden (all p-values < 0.05). After multivariate analysis, only the disease duration (p = 0.03) and PIGD (p = 0.03) remained as independent risk factors. Conclusion: Disease duration and the PIGD subtype were identified as relevant risk factors for falls in PwP Non-motor symptoms appear to have a less important role as risk factors for falls.
Perception of nursing workers on the care of hypertension in older adult
Authors: Queiroz Rosimeire Fontes de , Alvarez Angela Maria , Morais Luana Jordana , Silva Richardson Augusto Rosendo da
Published: December 2019

ABSTRACT Objective: To understand how nursing workers perceive care of hypertension (HBP) in older adult within the scope of the Family Health Strategy. Method: A qualitative descriptive study carried out in the city of Natal/RN, with 20 nursing workers providing care to older adults with HBP. The data were obtained through a semi-structured interview and analysed by the Thematic Analysis, based on the theoretical support of the integrality, using Atlas.ti 7.0 software. Results: The elements found as facilitators were: territorialization, partnerships, professional proactivity and the user’s bond with the team. Among those found as barriers were: disease-centered care; academic education based on the biomedical model; lack of inter-sectorality and discontinuity of care in the care network. Final considerations: Nursing workers perceive that health institutions lack articulated and innovative practices that incorporate new paradigms focused on integrality of care.
Factors associated with the development of diabetes mellitus in older caregivers
Authors: Ottaviani Ana Carolina , Rossetti Estefani Serafim , Terassi Mariélli , Brigola Allan Gustavo , Luchesi Bruna Moretti , Souza Érica Nestor , Oliveira Nathalia Alves de , Inouye Keika , Pavarini Sofia Cristina Iost , Orlandi Fabiana de Souza
Published: December 2019

ABSTRACT Objective: evaluate the factors associated with the risk of diabetes mellitus in older caregivers. Method: this is a cross-sectional study conducted with 326 older caregivers enrolled in Family Health Units. Data were collected using a sociodemographic characterization questionnaire, clinical and care information, and the Finnish Diabetes Risk Score to assess the risk of developing diabetes. Results: 35.5% of the caregivers presented a high risk of developing diabetes. The factors associated with the risk of developing diabetes were: use of medication (OR = 3.88), satisfactory or poor health assessment (OR = 1.72), and the fact of being female (OR = 0.48). Conclusion: more than one third of older caregivers present high risk of developing diabetes. Therefore, being female, living with other people, using medication, and having a poor health assessment are factors associated with increased risk of developing diabetes.
Functional capacity assessment of long-lived older adults from Amazonas
Authors: Fernandes Daiane de Souza , Gonçalves Lucia Hisako Takase , Ferreira Angela Maria Rodrigues , Santos Maria Izabel Penha de Oliveira
Published: December 2019

ABSTRACT Objective: To evaluate the functional capacity of long-lived older adults from Amazonas. Method: A cross-sectional epidemiological study was carried out with 116 older adults aged 80 years or older, registered in a primary health care unit in Belém, in the state of Pará, Brazil. The Functional Independence Measure (FIM) was used for functional capacity assessment and the Mini-Mental State Examination (MMSE) for cognitive screening. Univariate and bivariate analyses were carried out, in addition to the Pearson’s chi-square test. Results: The older adults presented modified independence in the self-care, sphincter control and locomotion dimensions, and needed supervision for mobility/transfers. In mobility, men presented complete independence. Modified independence was found in the 80-89 age group. It was observed that, the lower the education level, the worse the cognitive performance. Conclusion: In spite of their advanced age, long-lived older adults still present functional capacity for activities of daily living, even though they required supervision for high energy expenditure tasks, such as mobility and transfers.
Nursing diagnoses in adults and elderlies in the preoperative period: a comparative study
Authors: Monteiro Luana Barbosa dos Santos , Souza Priscilla Alfradique de , Almeida Priscila Francisca , Bitencourt Graziele Ribeiro , Fassarella Cintia Silva
Published: December 2019

ABSTRACT Objective: Analyze the nursing diagnoses of NANDA-I Taxonomy in hospitalized adults and elderlies in preoperative of general surgery and proctology. Method: cross-sectional study, exploratory, quantitative approach, developed in the general surgery ward, between March and August, 2017. Inferential statistical analysis performed using Chi-square and Fisher test, considering p-value <0.05 and 95% confidence interval. Results: Of 51 participants, 32 (62.7%) were adults and 19 (37.3%) elderlies. In adults prevailed anxiety (81.3%), fear (50%), risk for infection (43.8%), and risk for delayed surgical recovery (37.5%). In elderlies, anxiety (68.4%), risk for infection (63.2%), impaired comfort (57.9), and risk for delayed surgical recovery (52.6%) prevailed. Anxiety was significant in adults (p=0.028); impaired dentition (p=0.001), and impaired comfort (p = 0.008) in elderlies. Conclusion: specificities of pre-surgical care rarely identified were evidenced, especially related to risk for infection and risk for delayed surgical recovery.
Evaluation of elderly care dynamics in an emergency care unit
Authors: Rissardo Leidyani Karina , Kantorski Luciane Prado , Carreira Lígia
Published: December 2019

ABSTRACT Objective: understand elderly care dynamics of an emergency care unit. Method: this is a case study evaluation, using a qualitative approach and the theoretical-methodological reference of a fourth generation evaluation. Data collection was conducted between February and September 2017, through 460 hours of participant observation, interviews with 33 social actors among health professionals, elderly people and their relatives of an emergency care unit located in a municipality in the northwest of Paraná, as well as negotiation meetings with participants. Results: the evaluation showed the elderly care dynamics is mainly influenced by nursing actions that articulate care practices based on priority, frailty, autonomy, independence and family context of the elderly patients. Final considerations: an evaluation of how the emergency care unit operates helps improve elderly care in urgent and emergency services.
The aging of families with members with intellectual disabilities
Authors: Takebayashi Renata Balieiro , Fernandes Hugo , Cruz Maria Goreti da Silva da , Perseguino Marcelo Geovane , Marques Selma Eloy Machado , Horta Ana Lúcia de Moraes
Published: December 2019

ABSTRACT Objective: to understand the structure and dynamics of families in the late stage of the life cycle that have a member with intellectual disability. Method: qualitative research using the Calgary Family Assessment Model as methodological framework. The study had 38 participants, distributed into 10 families that had a member with intellectual disability and whose parents were elderly. The interviews were analyzed with content analysis technique. Results: the following analytical categories were evidenced: “living with intellectual disability”, “communication as a strategy for encounter”, “family isolation and the need for support” and “concerns about care in the future”. Conclusion: families in the late life cycle who had a member with intellectual disability are arranged in a structure that overloads a single caregiver (mother), has little support network, uses communication as an instrument for understanding themselves and the other, besides having difficulties in projecting the future.
Health promotion of frail elderly individuals and at risk of frailty
Authors: Silva Cynthia Roberta Dias Torres , Carvalho Khelyane Mesquita de , Figueiredo Maria do Livramento Fortes , Silva-Júnior Fernando Lopes , Andrade Elaine Maria Leite Rangel , Nogueira Lydia Tolstenko
Published: December 2019

ABSTRACT Objective: To identify interventions for the health promotion of frail elderly individuals and those at risk of frailty. Method: Integrative review of the literature performed in the following databases: LILACS, CINAHL, MEDLINE, Web of Science, COCHRANE and Scopus, using the Descriptors: “frail elderly”, “aging”, “health services for the aged” and “health promotion” combined with Boolean operators “AND” and “OR”. Results: Randomized controlled clinical trials (RCTs) classified as level of evidence II represented 82.6% of studies. Interventions were analyzed according to the following categories: Interventions for the elderly at risk of frailty and Interventions for the frail elderly. Conclusion: The following interventions were identified: educational multiprofessional group meetings, physical training, home visit/home care program, nutrition assessment and supplementation, health maintenance programs and cognitive training; models/programs of management and monitoring, use of assistive technology devices and hospitalization program for geriatric rehabilitation.
UM PANORAMA HISTÓRICO-CONCEITUAL DA PESQUISA INTERDISCIPLINAR: UMA ANÁLISE A PARTIR DA PÓS-GRADUAÇÃO DA ÁREA INTERDISCIPLINAR
Authors: SATOLO VANESSA PREZOTTO XIMENES , BERNARDO CRISTIANE HENGLER CORRÊA , LOURENZANI ANA ELISA BRESSAN SMITH , MORALES ANGÉLICA GÓIS
Published: December 2019

RESUMO: Este artigo tem como objetivo central traçar uma breve reconstrução histórica sobre a interdisciplinaridade no Brasil, de modo a promover uma reflexão sobre a sua importância para a construção do conhecimento. Para tanto, utiliza-se da pesquisa bibliográfica e documental, de modo a reconstruir, criticamente, o cenário da pesquisa interdisciplinar no Brasil. Apesar do lócus do artigo ser o Brasil, não se pode descontextualizá-lo de como se organiza o conhecimento e o caminho interdisciplinar no mundo, para então, compreender sua trajetória em território nacional. Como resultados são apontados os principais fatores que dificultam a pesquisa interdisciplinar, como uma forma de orientar ações que possam mitigar tais barreiras e promover possibilidades de avanço na área em virtudes de uma sociedade cada vez mais complexa.
Os artefatos digitais como ferramentas mediadoras das atividades cognitivas dos estudantes: possibilidades para novos cenários de aprendizagem
Authors: Moraes Dirce Aparecida Foletto de , Lima Claudia Maria de
Published: December 2019

RESUMO Este estudo busca investigar em que medida os artefatos digitais se consolidam como instrumentos mediadores das atividades cognitivas e o que podem proporcionar aos jovens estudantes em seu processo formativo a partir de práticas educativas intencionais. A pesquisa segue o delineamento qualitativo, na modalidade exploratória e com características de uma pesquisa-intervenção. Como metodologia, desenvolvemos uma experiência didática com o uso de artefatos digitais centrada na mediação, cujo público-alvo foi constituído por 36 estudantes do primeiro ano do curso de Pedagogia de uma instituição pública do Paraná. Os dados foram coletados por meio de um questionário online, além de observação participante e de depoimentos dos estudantes transcritos em um diário de bordo. Os resultados revelam que os artefatos digitais se tornaram mediadores das ações mentais e operacionais na medida em que foram utilizados para vivenciar experiências diferenciadas e desafiadoras de elaboração e de reelaboração do pensamento, as quais resultaram em uma simultaneidade de ações e de pensamento. Em relação ao que proporcionaram aos jovens, destacamos o trabalho colaborativo, processual, real e interativo, além da construção conjunta de significados, da autonomia, do gerenciamento das aprendizagens e do rompimento do formato linear de aprender, os quais se consolidaram na construção de novos cenários.
A modelagem matemática nos anos iniciais como perspectiva para o ensino de matemática: um panorama de publicações brasileiras em periódicos (de 2009 a 2018)
Authors: Villa-Ochoa Jhony Alexander , Soares Maria Rosana , Alencar Edvonete Souza de
Published: December 2019

RESUMO Este artigo apresenta um panorama de produções científicas relativas à modelagem matemática nos anos iniciais do ensino fundamental do Brasil como nova perspectiva para o ensino de matemática, tendo-se por referência o período de 2009 a 2018. Esta investigação foi realizada segundo os critérios da pesquisa qualitativa, utilizando os caracteres descritivo e analítico e os aspectos de uma pesquisa denominada estado da arte. A coleta e o registro dos dados foram efetivados a partir de meios e materiais audiovisuais: pesquisas em bibliotecas on-line de quatro periódicos da área de Educação Matemática: Boletim de Educação Matemática (BOLEMA), Grupo de Estudos e Pesquisas em Educação Matemática (GEPEM) da Universidade Federal do Rio de Janeiro (UFRJ), Educação Matemática Pesquisa (EMP) e Zetetiké, bem como pelo uso de software do Microsoft Office Word para os filtros e análises no período investigado. Foram identificados os objetivos, desenvolvidos pelas investigações, metodologias adotadas e atividades, chegando-se aos resultados encontrados. As análises dos artigos permitiram compreender como a modelagem matemática tem sido utilizada como uma perspectiva inovadora de ensino para essa disciplina, e para outras áreas do conhecimento, revelando produções científicas mínimas no assunto tratado e necessidades de incentivo para o desenvolvimento de investigações na área.
Patient safety in primary health care and polypharmacy: cross-sectional survey among patients with chronic diseases
Authors: Araújo Lorena Ulhôa , Santos Delba Fonseca , Bodevan Emerson Cotta , Cruz Hellen Lilliane da , Souza Jacqueline de , Silva-Barcellos Neila Márcia
Published: December 2019

Objective: to characterize and determine the polypharmacy prevalence in patients with chronic diseases and to identify the factors associated, in order to improvement of pharmaceutical care focused on patient safety. Methods: cross-sectional study included 558 patients, covered by primary health care, using a household and structured questionnaire. We analyzed the data on polypharmacy and its clinical and socioeconomic factors. Poisson regression analysis with robust variance was applied, with results expressed in prevalence ratio. Results: the results showed that polypharmacy (consumption of four or more drugs) was of 37.6%. The prevalence ratio analyses identified independent variables associated with polypharmacy: age (3.05), economic strata (0.33), way of medication acquisition through a combination of out-of-pocket and Brazilian public health system (1.44), diabetes and hypertension (2.11), comorbidities (coronary artery disease 2.26) and hospital admission (1.73). In the analyses, inappropriate medication use of the 278 patients (≥ 65 years) was associated with polypharmacy (prevalence ratio 4.04). Conclusion: polypharmacy study becomes an opportunity to guide the strategies for the patient safety to promote the medication without harm in chronic diseases.
Strengthening universal health: development of a nursing and midwifery education quality improvement toolkit
Authors: Markaki Adelais , Moss Jacqueline , Shorten Allison , Selleck Cynthia , Loan Lori , McLain Rhonda , Miltner Rebecca , Patrician Patricia , Theus Lisa , Ferrer Lilian , Góes Fernanda dos Santos Nogueira de , Valenzuela-Mujica Maria Teresa , Zarate-Grajales Rosa , Cassiani Silvia Helena De Bortoli , Harper Doreen
Published: December 2019

Objective: to present the development of a toolkit for education quality improvement in universal health and primary health care, targeting schools of nursing and midwifery in Latin American and Caribbean countries. Methods: an expert work group conducted a systematic literature review, selected key content and completed toolkit drafting, using an iterative consensus approach. International partners reviewed the toolkit. Cognitive debriefing data were analyzed, revisions and new tools were integrated, and the final version was approved. Results: twenty-two articles were identified and mapped as resources. The Model for Improvement, a data-driven approach to performance analysis, was selected for its widespread use and simplicity in carrying out the following steps: 1) organize a team, 2) assess improvement need regarding universal health and primary health care education, 3) set an aim/goal and identify priorities using a matrix, 4) establish metrics, 5) identify change, 6) carry out a series of Plan-Do-Study-Act learning cycles, and 7) sustain change. Conclusions: the Education Quality Improvement Toolkit, developed through stakeholder consensus, provides a systematic, and potentially culturally adaptable approach to improve student, faculty, and program areas associated with universal health coverage and access.
The qualitative dimension of Nursing workload: a measurement proposal
Authors: Cucolo Danielle Fabiana , Perroca Marcia Galan
Published: December 2019

Objective: construct and test a proposal to measure the qualitative dimension of nursing workload; identify the workload cut-off point and its indicator as predictors of the good and optimal nursing care product score. Method: this is a descriptive study conducted in four inpatient units and four intensive care units of a Brazilian teaching hospital, considering 308 evaluations performed by 19 nurses. Four measurement instruments were used: three to assess the care demand in relation to nursing and the other to classify the care product delivered at the end of the shift. The workload was calculated and its indicator was constructed. Results: a weak and inverse correlation was found between the care product score, workload and the workload indicator and the workload indicator in the units and moderate and inverse between Nursing care planning and Care needs assistance with the number of hospitalized patients. Conclusion: it is possible to associate workload and its indicator with the care product. Nursing workload ≤ 173 hours (24 hours) and indicator ≤ 12.3 hours / professional were associated with a higher probability of obtaining a “good” and “optimal” score in the care product in the inpatient units.
¿LA FEMINIDAD EN CUESTIÓN? ENFRENTAMIENTOS FÍSICOS ENTRE ESTUDIANTES DE ESCUELAS SECUNDARIAS
Authors: Tomasini Marina
Published: December 2019

Resumen Este artículo aborda las peleas con agresiones físicas entre mujeres jóvenes, estudiantes de nivel secundario. El propósito es comprender la percepción de estos episodios por parte de sus protagonistas, así como de sus compañeros y docentes. Interesa conceptualizar cómo, en torno a la participación en los enfrentamientos, las chicas construyen identidades de género en la situación a partir de las interacciones entre sí y con otros cercanos. El escrito se basa en material producido durante el trabajo de campo realizado en los últimos años en escuelas secundarias de Córdoba, Argentina. Se realizaron observaciones, entrevistas, grupos de discusión y talleres con estudiantes y docentes en tres centros escolares. Se propone que la participación en peleas implica un modo de devenir mujeres que acentúa la distancia y la diferenciación del estereotipo tradicional de feminidad, el cual expresa distintos niveles de sumisión y forma parte de las expectativas vigentes en sus contextos próximos.
IMAGENS QUE PRODUZEM CONHECIMENTOS: OBJETIVIDADE, INTERPRETAÇÃO OU DISPOSITIVOS DE CONSTRUÇÃO DE REALIDADES?
Authors: Spink Mary Jane Paris
Published: December 2019

Resumo O presente artigo discute a relação entre imagem e realidade, tendo por base uma perspectiva psicossocial alinhada ao Construcionismo, voltada ao estudo da linguagem em ação. Seguindo a proposta de Peter Galison, abordamos três fases da relação entre imagem e realidade. A primeira tem por referência a aproximação da arte com a natureza; a segunda, a fase da “objetividade mecânica”, concerne aos avanços tecnológicos que permitem falar da inscrição visual da realidade; e a terceira fase problematiza os avanços nas tecnologias de inscrição, que tornam as imagens mais complexas, dificultando a transposição imediata da realidade para o conhecimento. Acompanhando escritos deste autor, propomos que é possível falar de uma quarta fase na qual a imagem é utilizada como inspiração, permitindo novas aproximações entre ciência e arte. Concluímos, retomando a problematização construcionista sobre objetividade e sugerindo que, nas quatro fases, as imagens criam realidades.
Association between area-level education and the co-occurrence of behavior-related risk factors: a multilevel analysis
Authors: Boing Antonio Fernando , Subramanian SV , Boing Alexandra Crispim
Published: December 2019

ABSTRACT: Introduction: This study aimed to investigate the association of four different risk factors for chronic diseases and accumulation of these health behaviors with area-level education, regardless of individual-level characteristics in Brazil. Methods: A population-based cross-sectional study was carried out in Southern Brazil including 1,720 adults in 2009/2010. The simultaneous occurrence of tobacco smoking, abusive drinking, unhealthy eating habits, and physical inactivity was investigated. Using multilevel models, we tested whether area-level education was associated with each risk factor and with the co-occurrence of them after controlling sociodemographic individual-level variables. Results: We observed a between-group variance of 7.79, 7.11, 6.84 and 1.08% for physical inactivity, problematic use of alcohol, unhealthy eating habits, and smoking, respectively. The between-group variance for the combination of four behaviors was 14.2%. Area-level education explained a significant proportion of the variance observed in physical inactivity and unhealthy eating habits. Residents of low educational level neighborhoods showed a 2.40 (95%CI 1.58 - 3.66) times higher chance of unhealthy eating and 1.78 (95%CI 1.19 - 2.67) times higher chance of physical inactivity. The likelihood of individuals with two or three/four risk factors was simultaneously higher among residents of low educational level neighborhoods. Conclusion: Public policies should consider the area-level characteristics, including education to control risk factors for chronic diseases.
Aspectos clínicos e epidemiológicos da tuberculose no Distrito Federal (2006 a 2015)
Authors: Rodrigues Olga Maíra Machado , Tauil Pedro Luiz
Published: December 2019

RESUMO: Introdução: Apesar dos baixos coeficientes de incidência de tuberculose (TB) no Distrito Federal (DF), há discrepâncias socioeconômicas aliadas ao intenso crescimento populacional nos últimos anos que evidenciam a necessidade de estudar a tendência da doença nos diferentes cenários do DF. Objetivo: Descrever a tendência de morbimortalidade por TB no DF de 2006 a 2015. Métodos: Estudo ecológico com componentes descritivo e analítico, do tipo série histórica. Resultados: Houve tendência temporal de queda dos coeficientes de incidência (CI) (15,1/100 mil habitantes para 11,7/100 mil habitantes; r = -0,50) e na proporção de cura (86,0 para 74,7%; r = -0,91); populações em situação de rua e privados de liberdade têm riscos relativos de 5 a 16 vezes maior do que a população geral; maiores CI foram observados no Paranoá (27,5/100 mil habitantes) e na Estrutural (17,3/100 mil habitantes), áreas com indicadores socioeconômicos ruins e com explosão populacional no período; e maiores taxas médias de letalidade foram encontradas em Águas Claras (8,5%) e no Lago Sul (7,0%), regiões que concentram populações em situação de rua e idosos. Conclusão: A TB persiste como importante problema de saúde pública no DF, especialmente em áreas empobrecidas, com crescimento populacional expressivo ou com alta concentração de idosos ou de populações vulneráveis.
Fatores associados à percepção de ruído ocupacional intenso pelos professores da educação básica no Brasil
Authors: Rezende Bárbara Antunes , Medeiros Adriane Mesquita de , Silva Airton Marinho da , Assunção Ada Ávila
Published: December 2019

RESUMO: Objetivo: Estimar a prevalência e os fatores associados à percepção de ruído intenso nas escolas da educação básica no Brasil. Métodos: Estudo transversal com amostra nacional representativa dos professores. A coleta de dados foi realizada com 6.510 professores, de outubro de 2015 a março de 2016. Todos os professores responderam a um questionário via telefone com perguntas referentes à saúde e às condições de trabalho. A medida de associação foi a razão de prevalência (RP), estimada com a regressão de Poisson. Resultados: A prevalência de ruído ocupacional intenso referido foi de 33,0%. Houve associação positiva ao desfecho os relatos de agitação em sala de aula (RP = 3,41; IC95% 3,07 - 3,75), percepção de trabalhar sob alto nível de exigência (RP = 1,33; IC95% 1,22 - 1,45), ter sofrido violência verbal praticada pelos alunos (RP = 1,21; IC95% 1,11 - 1,31), lecionar para diferentes modalidades de ensino (RP = 1,21; IC95% 1,02 - 1,42) e a escola contar com número de professores atuantes superior a 30 (RP = 1,28; IC95% 1,07 - 1,54). Os professores que relataram um ambiente agradável na escola (RP = 0,81; IC95% 0,75 - 0,87), assim como os que atuavam na área censitária rural (RP = 0,84; IC95% 0,75 - 0,95), perceberam menor ruído no trabalho. Conclusão: A prevalência de percepção de ruído intenso nas escolas brasileiras foi elevada e apresentou significância estatística com as características da escola e do trabalho de professores da educação básica. Esses achados demonstram a necessidade de planejamento de políticas públicas que considerem a redução dos níveis de ruído no ambiente escolar.