bluuebunny/crossref_metadata_2025 huggingface dataset:
EXPERIÊNCIAS DOS PRESTADORES DE CUIDADOS A IDOSOS INSTITUCIONALIZADOS DURANTE A PANDEMIA DE COVID-19: UMA PERSPECTIVA QUALITATIVA
Authors: Godoy-Pozo Jéssica , Illesca-Pretty Mónica , Rosas Carola , González-Osorio Luis , Flores Elizabeth
Published: November 2023

RESUMO Objetivo: Desvelar as vivências de cuidadores de idosos que residem em instituições de longa permanência, durante o confinamento no contexto da pandemia de Covid-19. Método: Método: pesquisa qualitativa, descritiva, através de estudo de caso intrínseco. Amostra intencionada por critério e conveniência de seis cuidadores, Região de Los Ríos, Chile, entrevista semiestruturada foi realizada no ano de 2021. Análise através de comparação constante e redução progressiva. A validade foi garantida pelo cumprimento de critérios de rigor, triangulação por especialistas. Resultados: 489 unidades de significado deram origem a quatro grupos temáticos: Significado de ter vivido a experiência, fatores facilitadores, fatores dificultadores e recomendações. Emergiram dois domínios: Contribuição dos cuidadores para o reforço do seu papel durante a pandemia e Contribuição para o reforço da gestão. Conclusões: permite reconhecer e validar o vínculo afetivo, o empenho e a vocação dos prestadores de cuidados, aspectos fundamentais a reforçar através do aconselhamento e da formação para garantir a qualidade dos cuidados.
CHALLENGES FACED BY NURSES IN CARING FOR ELDERLY VICTIMS OF DOMESTIC VIOLENCE: A QUALITATIVE APPROACH
Authors: Sobral Jordânia Paixão , Marinho Marcella Lima , Rocha Bruno Miranda da
Published: November 2023

ABSTRACT Objective: To describe the challenges faced by nurses in detecting and caring for elderly victims of domestic violence. Method: an exploratory, qualitative study carried out with 13 nurses from 13 Family Health Strategy Units in Boa Vista, Roraima, Brazil, with interviews conducted between March and July 2021, which were subjected to Bardin’s content analysis. Results: Of those interviewed, 75% found no difficulties in detecting elderly people who had been abused. The interviewees refer the elderly to the Social Assistance Reference Center or to the competent bodies. Financial violence is prevalent. Conclusion: Detecting elderly people who have been abused depends not only on the professional, but also on the contribution of the victims, the community and the competent bodies. It was found that the participants did not have a formalized protocol for violence against the elderly, but only reported it and referred them to the relevant services.
SOCIAL NETWORKS AND OLDER ADULTS, TECHNOLOGICAL APPROACH AND DEVELOPMENT OPPORTUNITY IN OLD AGE
Authors: Castañeda Raúl Fernando Guerrero , López Maria Nallely Acevedo , Medina Bryan Ricardo Reyes
Published: November 2023

ABSTRACT Objective: to construct a reflection on the use of social networks by older adults as an opportunity for technological connection and development in old age. Method: a theoretical-reflective essay constructed from the authors’ reflective integration based on a literature review related to the topic in April 2023. Social networks constitute a representation of information technologies where communication establishes social relationships and favors access to information. Informative, communicative, administrative, leisure and entertainment use is common, providing a feeling of company and personal and social well-being. Conclusion: using social networks in older adults represents an opportunity for better social contact, access to information and communication. Overcoming digital divides is an opportunity for nursing based on digital interventions to implement to promote a technological approach favoring the development of older adults.
EVALUATION OF DRUG PRESCRIPTIONS IN A HOSPITAL EMERGENCY DEPARTMENT
Authors: Costa Laiza Carvalho , Oliveira Ana Paula de Freitas , Pires Patricia da Silva , Cunha Juliana Xavier Pinheiro da , Nunes Emanuelle Caires Dias Araújo , Jesus Jaqueline Santos de
Published: November 2023

ABSTRACT Objective: To evaluate the adherence of medical prescriptions to patient safety recommendations using the Medication Prescription Safety Checklist. Method: This is an observational, cross-sectional study carried out between May and June 2022, with 341 medical prescriptions for medicines in a hospital emergency room in the interior of Bahia - Brazil, whose data were analyzed through descriptive analysis. Results: 80% to 89% of the prescriptions adhered to the safety recommendations; the item with the highest adherence was identification of the date of the prescription, and the lowest adherence was having drugs with similar names identified in upper case or bold. Around 18.63% (n=514) of the drugs prescribed are on the list of potentially dangerous drugs for hospital use. Conclusion: The evaluation of medical prescriptions for medicines highlighted existing barriers in clinical practice, which makes it possible to develop more effective mechanisms to promote patient safety.
EVALUACIÓN DE LA PRESCRIPCIÓN DE MEDICAMENTOS EN UN SERVICIO DE URGENCIAS HOSPITALARIO
Authors: Costa Laiza Carvalho , Oliveira Ana Paula de Freitas , Pires Patricia da Silva , Cunha Juliana Xavier Pinheiro da , Nunes Emanuelle Caires Dias Araújo , Jesus Jaqueline Santos de
Published: November 2023

RESUMEN Objetivo: Evaluar la adhesión de las prescripciones médicas a las recomendaciones de seguridad del paciente utilizando la checklist - Lista de verificación de la Seguridad de la Prescripción de Medicamentos. Método: Se trata de un estudio observacional, transversal, realizado entre mayo y junio de 2022, con 341 prescripciones médicas de medicamentos, en la sala de urgencias de un hospital del interior de Bahia - Brasil, cuyos datos fueron analizados mediante análisis descriptivo. Resultados: Entre el 80% y el 89% de las prescripciones cumplieron las recomendaciones de seguridad; el punto con mayor cumplimiento fue la identificación de la fecha de la prescripción, y el de menor cumplimiento, que los medicamentos con nombres similares se identificaran en mayúsculas o en negrita. Alrededor del 18,63% (n=514) de los medicamentos prescriptos figuran en la lista de medicamentos potencialmente peligrosos de uso hospitalario. Conclusiones: La evaluación de las prescripciones médicas de medicamentos puso de manifiesto los obstáculos existentes en la práctica clínica, lo que permite desarrollar mecanismos más eficaces para promover la seguridad de los pacientes.
EXPERIENCE OF THE MATERNAL WEANING PROCESS AMONG PRIMIPAROUS WOMEN: QUALITATIVE STUDY
Authors: Silva Duiliane Coêlho e , Brito Mychelangela de Assis , Carneiro Cristianne Teixeira , Rocha Ruth Cardoso , Rocha Karla Nayalle de Souza , Dantas Amanda Lúcia Barreto , Bezerra Maria Augusta Rocha
Published: November 2023

ABSTRACT Objective: To understand the experience of the weaning process for primiparous mothers in a municipality in the interior of Ceará, Brazil. Method: Using semi-structured interviews, a descriptive, qualitative study was conducted with eight women. Data collection from August 2022 to March 2023 in Primary Health Care, using Bardin’s content analysis. Results: three thematic categories emerged: reasons for the mother’s decision to wean, strategies employed by the mother to wean, and the consequences of weaning for the mother and child. Maternal perceptions of the motivation for weaning were related to behavioral aspects of the child and maternal needs. Various strategies were classified as gradual or abrupt weaning, which generated changes in the children’s behavior and contradictory feelings in the mothers. Final considerations: weaning is experienced unpleasantly, generating suffering. It reveals the lack of professional assistance and the need to expand studies.
USE OF THE DESIGN AND SELF-CONFIDENCE SCALES IN CLINICAL SIMULATION OF CARDIAC ARREST*
Authors: Silva Savio Roberto , Diniz Susana Nogueira
Published: November 2023

ABSTRACT Objective: To evaluate participants’ perception of design satisfaction and self-confidence in learning through clinical simulation in cardiac arrest. Method: This is a descriptive and exploratory study with a quantitative approach, a quasi-experiment of a single group, before and after type, carried out in 2022 in the greater São Paulo area, Brazil. The study was carried out with 24 participants who were nursing professionals and undergraduate trainees at two basic health units. Results: There was a significant increase (p<0.05) in the level of knowledge after the simulation. When evaluating the design scale, an average of 4.55 was found for agreement and 4.55 for importance with the clinical simulation. There was an average score of 4.56 on the scale of satisfaction and self-confidence perceived by the participants in the clinical simulation. Conclusion: Clinical simulation enhances participants’ learning, promotes satisfaction and self-confidence, and using instruments to evaluate and apply the scenario are guidelines for effective clinical simulation.
USE AND ADHERENCE TO PERSONAL PROTECTIVE EQUIPMENT BY RESIDENTS: VALIDATION OF A MEASURING INSTRUMENT
Authors: Dutra Herica Silva , Assis Camila Cristina Gregório de , Laurindo Cosme Rezende , Costa Kelly Aline Rodrigues , Pereira Adriane Barbara , Lanza Fernanda Moura , Coelho Angélica da Conceição Oliveira
Published: November 2023

ABSTRACT Objective: To validate the measuring instrument that assesses healthcare residents’ use and adherence to personal protective equipment. Method: Methodological study developed in a virtual environment between August 2020 and March 2021 with primary care and hospital residents from the five regions of Brazil. The participants answered the adapted version of the “P.P.E.-PHC” for residents. Confirmatory factor analysis was used to validate the instrument. Results: 227 residents took part, the majority of whom were cis women (82.8%), worked in the Southeast region (58.1%), and in-hospital care (47.6%). The structure in eight domains (cap, gloves, safety behavior, N95 mask, hand hygiene, apron/coat, surgical mask, goggles/face shield) was confirmed. Only two items with a factor load of less than 0.5 were kept. Conclusion: The tool is valid for measuring residents’ use of and adherence to personal protective equipment, which helps to guide training and occupational safety.
RECURSOS PARA PREVENIR LAS LESIONES POR PRESIÓN: ESTUDIO METODOLÓGICO PARA ELABORACIÓN Y VALIDACIÓN DE ESCALA*
Authors: Tonole Renato , Brandão Euzeli da Silva , Lanzillotti Regina Serrão , Cavalcanti Ana Carla Dantas
Published: November 2023

RESUMEN Objetivo: desarrollar y validar una escala para evaluar los recursos humanos y materiales desde la perspectiva de la prevención de las lesiones por presión en las salas médicas y quirúrgicas. Método: estudio metodológico realizado en tres etapas: revisión integradora; elaboración; y validación mediante la técnica Delphi, con ocho enfermeros especializadas en dermatología de diferentes estados de Brasil, de noviembre de 2018 a enero de 2019. Estos evaluaron 32 ítems relativos a los recursos humanos y materiales en los escenarios de pacientes de cuidado intermedio y de alta dependencia. Para la validación se utilizó un índice de validez de contenido mínimo de 0,80. Resultados: En el escenario de cuidados intermedios, todos los ítems alcanzaron 0,77 en la primera fase y 0,93 en la segunda. En la alta dependencia, alcanzaron 0,74 en la primera fase y 0,84 en la segunda. Conclusión: La escala permitirá evaluar el diagnóstico situacional de las salas desde la perspectiva de la prevención de las lesiones por presión.
DISTRIBUCIÓN ESPACIAL DE LA VIOLENCIA HACIA LAS PERSONAS MAYORES ANTES Y DURANTE LA PANDEMIA COVID-19
Authors: Costa Aline Balandis , Marques Francielle Renata Danielli Martins , Oliveira Natan Nascimento de , Oliveira Rosana Rosseto de , Salci Maria Aparecida , Facchini Luiz Augusto , Carreira Lígia
Published: November 2023

RESUMEN Objetivo: analizar la distribución espacial de la violencia contra las personas mayores en la región sur de Brasil antes y durante el primer año de la pandemia de COVID-19. Método: estudio ecológico que analizó denuncias de violencia contra las personas mayores, entre 2019 y 2020, en la región sur de Brasil. Se calcularon las tasas bayesianas empíricas locales, el índice de autocorrelación local de Moran y el análisis Getis Ord Gi. Resultados: hubo reducción en la tasa suavizada de violencia contra las personas mayores. Las ciudades alto-alto y hotspot de 2019 se volvieron más violentas en 2020; y las ciudades con baja prevalencia se volvieron menos violentas en 2020. Las tasas de mortalidad por COVID-19 más altas también se registraron en las ciudades con mayores tasas de violencia. Conclusión: los datos confirman la complejidad de la violencia y el agravamiento debido a la pandemia; además contribuyen a la toma de decisiones en enfermería y destacan la necesidad de fomentar nuevas investigaciones sobre este tema.
DESARROLLO DE UN PROTOTIPO DE SOFTWARE BASADO EN LA CARTILLA DE SALUD DE LA PERSONA MAYOR
Authors: Delgado Cássia Evangelista , Siqueira Fernanda Matoso , Freitas Grace Kelly Silva de , Carvalho Dárlinton Barbosa Feres , Fortes Fabíola Lisboa da Silveira , Cavalcante Ricardo Bezerra
Published: November 2023

RESUMEN Objetivo: describir el desarrollo de un prototipo de software basado en la Cartilla de Salud de la Persona Mayor, utilizando la Evaluación Heurística para analizar su usabilidad. Método: investigación aplicada de desarrollo tecnológico, utilizando la Evaluación Heurística de Nielsen como medio para realizar el análisis de usabilidad, iniciada en noviembre de 2021 en Juiz de Fora y São João Del Rei. Resultados: el prototipo inicial cuenta con 5 pantallas, que contienen algunos datos relevantes para el cuidado de la salud de las personas mayores, como la edad, las comorbilidades y el historial de alergias. Los ancianos podrán editar sus datos personales, pero sólo los profesionales podrán incluir los datos de salud del paciente, con el objetivo de hacerlo más fiable. Conclusión: El uso de esta aplicación contribuirá a actualizar y avanzar en el uso de las tecnologías destinadas a la atención sanitaria, y aportará beneficios a los sistemas de salud y a los usuarios.
VACCINATION IN PREGNANCY: CONSTRUCTION AND VALIDATION OF EDUCATIONAL TECHNOLOGY
Authors: Nascimento Camilla Cristina Lisboa do , Rodrigues Ivaneide Leal Ataíde , Nogueira Laura Maria Vidal , Nunes Heliana Helena de Moura , Brasil Gisele de Brito , Moraes Carlos Marcelo da Silva , Pereira Alexandre Aguiar
Published: November 2023

ABSTRACT Objective: to build and validate the content of an educational technology to guide pregnant women about immunization. Method: a methodological study carried out from December 2020 to October 2021 in Belém, Pará, Brazil. It consisted of two stages: Construction through an Integrative Literature Review and face and content validation with 16 judges using a Likert scale for data collection and the Content Validity Index for analysis. Results: a double-sided table flipbook was created on immunization, which was assessed by 100% of the judges as relevant, with a mean Content Validity Index per block greater than 0.86. Conclusion: the technology was built with technically correct information and validated by experts in the respective areas. It is understood that its use will ease the prenatal Nursing practice, considering it to be a tool capable of arousing interest and encouraging dialogue between professionals and pregnant women, solving doubts in the immunization context.
Evaluation of the implementation of the Clinic on the Street: a case study
Authors: Borysow Igor da Costa , Oda Wagner Yoshizaki , Furtado Juarez Pereira
Published: November 2023

Abstract We aim to understand the adaptations of Clinic on the Street program to the territorial context, based on the normative bases, carried out by a team, which offers health care for people in homelessness. For this, we carried out an analysis of its implementation, through participating research and evaluative case study, which involved participant observation, interviews and documentary analysis. Fieldwork and subsequent discussion with the team supported the development of the logical model and the preparation and completion of the evaluation matrix. The results indicate an advanced degree of implementation of the case studied, except for serving users of psychoactive substances and ensuring logistics to the team's itinerancy. The program faces challenges in the face of management restrictions and limitations of the municipality's service network, which hinder the achievement of equity.
Atuação do agente comunitário de saúde em municípios rurais remotos do Semiárido: um olhar a partir dos atributos da Atenção Primária à Saúde
Authors: Sousa Jéssica de Oliveira , Almeida Patty Fidelis de
Published: November 2023

Resumo O objetivo do artigo é mapear e analisar as práticas desenvolvidas por agentes comunitários de saúde (ACS) em municípios rurais remotos (MRR) à luz dos atributos essenciais e derivados da Atenção Primária à Saúde (APS). Foi realizado estudo de caso em quatro MRR do semiárido nordestino por meio de entrevistas com ACS e usuários da Estratégia Saúde da Família (ESF). Os resultados mostram forte atuação dos ACS em ações vinculadas à porta de entrada e integralidade, com escopo ampliado, sobretudo nas áreas rurais dos MRR. A intermediação e a facilitação do acesso ocorrem por meio do forte vínculo dos ACS com os territórios e famílias e na ausência de outros recursos assistenciais. As ações individuais, mediante visitas domiciliares, foram mais prevalentes em detrimento de ações coletivas relacionadas aos atributos derivados. Identificou-se a realização de procedimentos como aferição de pressão arterial e curativos.
Analysis of medical regulation of the Emergency Department in a city in the State of São Paulo, Brazil
Authors: Almeida Ana Claudia Ferreira de , Sousa Leonardo Resende de , Mutro Maria Eugenia Guerra , Mazzo Alessandra
Published: November 2023

Abstract Objective To analyze the profile of referrals from the emergency department in a city in the state of São Paulo, Brazil. Methodology: This is a retrospective descriptive observational study. The sample of this study included the data of individuals referred by the emergency department during the year of 2019. At the end of data collection, a descriptive statistical analysis was performed. Results Valid data from 9,984 referrals were found. The average time to the release of the hospital bed was 26.6 hours (± 35.8). Among all referred patients, 1,592 (15.9%) did not complete their destinations, evolving to one of the following outcomes: medical discharge (9.3%), death (2.3%), patient dropout (2.8%) or termination of its file (1.5%). The average length of stay in the unit for patients who were discharged was 40.8 hours (±36.2), while for those who died it was 40.9 hours (±42.7). Conclusions The waiting times for releasing the hospital beds requested by the emergency department are longer than those recommended in the literature. This can cause worse outcomes for referred patients and goes beyond the competencies of the emergency service as defined by the Brazilian Ministry of Health.
Influências sociais nas práticas alimentares da dupla mãe-filho nos primeiros seis meses de vida
Authors: Souza Natalia Ferreira Diniz de , Santos Sandra Maria Chaves dos , Gama Cíntia Mendes , Vitolo Márcia Regina
Published: November 2023

Resumo A dupla mãe-filho está inserida em um sistema social que gera diversas influências nas práticas alimentares, inclusive nos primeiros seis meses de vida, período em que é preconizado o aleitamento materno exclusivo pela Organização Mundial da Saúde. Objetivo: Compreender o conjunto de influências sociais que incidem nas práticas alimentares adotadas pela nutriz e para o seu filho nos primeiros seis meses de vida. Método: Estudo qualitativo, com abordagem metodológica de análise descrito por Minayo e alicerçado na fenomenologia social de Alfred Schütz. Participaram oito duplas mãe-filho recrutados de dois hospitais públicos de Salvador-BA com a Iniciativa Hospital Amigo da Criança. Realizou-se entrevista semiestruturada no domicílio das mães aos seis meses de vida da criança no período de junho a agosto de 2019. Resultados: Emergiram três tipificações: o fazer “correto” nos primeiros seis meses de vida da criança; as ações de cuidados com as práticas alimentares da mulher-mãe que amamenta; e o mundo social da dupla mãe-filho. Conclusão: para a tomada de decisão sobre as práticas alimentares da nutriz, a mãe exerceu mais influência; já para a criança, a nutriz considerou as orientações recebidas pelos profissionais de saúde.
Impactos da pandemia da Covid-19 sobre o puerpério: interações e dinâmicas de um grupo de apoio virtual
Authors: Brito Renatha Celiana da Silva , Almeida Junior José Jailson de , Medeiros Anna Cecília Queiroz de
Published: November 2023

Resumo Este estudo buscou compreender o impacto da pandemia da Covid-19 sobre o puerpério a partir de interações em um grupo virtual. Pesquisa qualitativa, de caráter exploratório, que analisou um grupo de nove mulheres usuárias dos serviços básicos de saúde de diferentes Estratégias Saúde da Família do município de Currais Novos-RN, Brasil. O corpus resultado das interações foi submetido a Análise da Classificação Hierárquica Descendente do software IRAMUTEQ, e a análise de conteúdo, segundo Bardin. A dimensão analisada foi denominada de Assistência à Saúde (25,5% das unidades de contexto elementar). No grupo analisado, a pandemia culminou em fragilização e precarização nos fluxos de atendimento, resultando em dificuldades encontradas no acesso a serviços básicos da rede pública de saúde. As participantes revelaram que o suporte virtual proporcionou vínculos de amizade e fortaleceu a rede de apoio necessária ao enfrentamento das dificuldades do puerpério, pela troca de experiências.
“Pra nós que somos negras, tudo é mais difícil”. Cartografia de uma mulher negra em sofrimento psíquico
Authors: Souza Karoline do Nascimento , Silva Alexandre Vicente , Ferreira Rogério , Santo Tiago Braga do Espírito
Published: November 2023

Resumo O estudo tem como objetivos: cartografar a trajetória de racismo estrutural e de sofrimento psíquico de uma mulher negra acompanhada por uma enfermaria psiquiátrica em um Hospital Geral; e refletir sobre a relação entre o racismo estrutural e sofrimento psíquico. O racismo é a operacionalização tecnológica, destinada ao exercício do biopoder, que coloca negros em posições inferiores, determinando desvantagens a partir da raça. A violência racista impõe o debate para o campo da saúde mental por sua influência no sofrimento psíquico. Pesquisa qualitativa, descritiva e exploratória, com abordagem cartográfica, por meio da trajetória de uma usuária-cidadã-guia, utilizando-se da entrevista semiestruturada e do diário de campo cartográfico. A analise fez emergir as cenas: ser negra e como a sociedade nos vê; auto ódio; solidão da mulher negra, que demonstram como o sofrimento psíquico é influenciado pelo racismo estrutural que condicionam a existência do negro ao menor valor, à estigmatização e à desumanização. A subjetividade produzida internaliza sentimentos de inferioridade, de solidão, de auto-ódio e de não lugar. Torna-se urgente a problematização da questão racial na produção do cuidado em saúde mental, bem como uma reforma societária que proporcione a existência plena de direitos e de dignidade das pessoas negras.
Cuidado e gratidão em relatos de parto de sites ingleses
Authors: Rezende Claudia Barcellos
Published: November 2023

Resumo Neste trabalho, examino as percepções de mulheres sobre o cuidado recebido no parto através da presença ou ausência da gratidão em relatos de parto de dois sites ingleses. Nos relatos, nem sempre a gratidão é expressa e nem sempre ela se dirige à equipe de saúde – agradece-se às doulas ou aos próprios sites, cujos vídeos de preparação para o parto teriam sido importantes para uma experiência positiva. O bom cuidado no parto nesses relatos está associado a uma boa comunicação entre parturiente e midwife (parteira), especialmente nas informações recebidas sobre os procedimentos e sobre o que fazer ao longo do trabalho de parto. Assim, tanto nesses relatos quanto na literatura de saúde pública sobre o parto, a boa equipe é aquela que dá à mulher condições de tomar suas próprias decisões, de fazer suas escolhas informadas. Ao fazê-lo, empodera a mulher e reduz a assimetria na relação entre profissional e paciente. Ao contrário, informações contraditórias ou pouca informação podem produzir ansiedade e desconforto. Argumento, assim, que o sentimento de gratidão, ausente ou presente nos relatos de parto, ilumina as dinâmicas da assistência ao parto na Inglaterra, revelando o que se constitui um bom cuidado.
Uso de Práticas Integrativas e Complementares em Saúde no tratamento da depressão
Authors: Schwambach Lulaira Bermudes , Queiroz Lorena Carnielli
Published: November 2023

Resumo A depressão está entre as doenças mais debilitantes do mundo. A dificuldade no tratamento dos sintomas e o abandono do uso de medicamentos têm-se tornado um desafio na saúde pública. Nessa perspectiva, o estudo buscou avaliar o uso das Práticas Integrativas e Complementares em Saúde (PICS) como ferramenta auxiliar no tratamento da depressão. Realizou-se uma revisão bibliográfica com informações coletadas nas plataformas de banco de dados científicos, utilizando as palavras-chave em português e inglês: depressão, antidepressivos, Práticas Integrativas e Complementares em Saúde e tratamentos convencionais. Dos 210 artigos encontrados, 35 foram selecionados e analisados. Os resultados revelaram maior uso da acupuntura, yoga e meditação no tratamento da depressão e na melhora dos sintomas de estresse, ansiedade, fadiga e efeitos adversos decorrentes do uso de medicamentos antidepressivos. Limitações como falta de profissionais habilitados e escassez de material científico de qualidade dificultam o uso disseminado das práticas. Por necessitarem de baixo custo de investimento em estruturas e materiais, as PICS apresentam grande potencial de crescimento no sistema de saúde.
Agentes comunitárias de saúde e a busca pelo ensino superior: motivações e implicações para a profissão
Authors: Méllo Lívia Milena Barbosa de Deus e , Santos Romário Correia dos , Albuquerque Paulette Cavalcanti de
Published: November 2023

Resumo Este artigo objetiva compreender as motivações das Agentes Comunitárias de Saúde procurarem formação de ensino superior e quais as implicações para a atuação desta categoria no Sistema Único de Saúde. Trata-se de uma pesquisa qualitativa, com triangulação de métodos e análise a partir da hermenêutica dialética e vertente crítica da sociologia das profissões. Emergiram as categorias: a) afirmação ou negação do projeto profissional; b) alterações nas relações de poder e nova inserção profissional. As motivações variaram entre melhorar a atuação como Agente Comunitária de Saúde, reversão do cenário de deslegitimidade e o desejo por mobilidade social. Como implicações, revela-se que a formação universitária amplia a valorização profissional e o reconhecimento social, mas nem sempre associado a uma nova reinserção profissional. A categoria não vislumbra uma formação própria em nível de graduação no momento, apontando a implementação de formação técnica como próximo horizonte.
A questão da causalidade em Epidemiologia
Authors: Barata Rita Barradas
Published: November 2023

Resumo Este ensaio trata da questão da causalidade em epidemiologia a partir da década de 1970, cujo marco inicial aqui adotado foi a publicação de The causal thinking in health sciences, por M. Susser, até os dias de hoje, buscando elencar os vários movimentos filosóficos, teóricos e metodológicos que ao longo destes 50 anos buscaram refletir sobre o problema da causalidade na disciplina, tendo em vista o predomínio das pesquisas observacionais no campo. Partindo da contribuição seminal de Susser, foram discutidos vários movimentos, bem como as críticas a eles, tais como a proposta da adoção de lógica popperiana na década de 1980, a crítica aos modelos multicausais e a teoria ecossocial proposta por N. Krieger na década de 1990, as críticas à epidemiologia social também da década de 1990, a influência de J. Pearl e a adoção dos gráficos acíclicos direcionados como nova metodologia na questão da causalidade. A chamada revolução metodológica no início deste século e as críticas de filósofos e epidemiologistas a esta abordagem reducionista também foram revisadas, bem como as alternativas propostas nos últimos 10 anos, incluindo a perspectiva inferencialista, a triangulação de métodos e a defesa da epidemiologia social e de seus modelos de determinação.
Biomass and protein in ruzigrass intercropped with maize subjected to plant densities and nitrogen fertilization
Authors: Coelho Antonio Eduardo , Sangoi Luis , Moraes Renata Franciéli , Sapucay Moryb Jorge Lima da Costa , Franchini Julio Cezar , Debiasi Henrique , Balbinot Junior Alvadi Antonio
Published: November 2023

Abstract The objective of this work was to evaluate the impacts of nitrogen topdressing fertilization and plant density of second-crop maize on the biomass and crude protein production of ruzigrass (Urochloa ruziziensis) grown in intercropping. The experiment was carried out during two growing seasons in a randomized complete block design, in split plots, with four replicates. The treatments consisted of N topdressing rates (0 and 80 kg ha−1) and maize plant densities (40, 60, 80, and 100 thousand plants per hectare). Ruzigrass biomass accumulation was measured at the V14, R1, R3, and R6 stages of maize growth, as well as during ruzigrass desiccation. Ruzigrass crude protein content and production and biomass partitioning to leaves, stems, and senescent tissues were evaluated in the R6 stage of maize. The increase in maize plant density reduced ruzigrass growth. However, nitrogen fertilization and maize plant density did not affect ruzigrass biomass partitioning. During intercropping, N fertilization did not affect ruzigrass yield. After maize harvest, N fertilization resulted in a higher ruzigrass biomass (30.2% in 2019) and crude protein (13.8%) production. Low maize plant densities and N topdress fertilization improve the biomass production of ruzigrass in intercropping.
Agronomic performance of 'Sauvignon Blanc' grapevine with different bud loads, in an altitude region of Brazil
Authors: Wurz Douglas André , Brighenti Alberto Fontanella , Allebrandt Ricardo , Rufato Leo
Published: November 2023

Abstract The objective of this work was to evaluate the effect of an increased bud load on the agronomic performance of 'Sauvignon Blanc' grapevine cultivated in an altitude region of the state of Santa Catarina, Brazil. The experiment was carried out during the 2016/2017 and 2017/2018 vintages, in a commercial vineyard, located in the municipality of São Joaquim. The treatments consisted of four levels of bud load: 15, 30, 50, and 75 buds per plant. Productive and vegetative variables, cluster architecture, and technological maturation were evaluated. Data were subjected to the analysis of variance and compared by Tukey’s test, at 5% probability. In both evaluated vintages, leaf area per plant increased with the increase in bud load. Although the load of 75 buds per plant resulted in a greater leaf area, it presented the most adequate vegetative-productive balance indices. The increase in the bud load of 'Sauvignon Blanc' results in an increased yield, improving vegetative-productive balance and maintaining similar cluster architecture and technological maturation levels between the different bud loads per plant.
EMPLOYEE MEDICAL LEAVE IN MIS-TLIF OR OPEN-TLIF IN ELECTIVE SURGERY IN BRAZIL
Authors: LIMA RODRIGO SOUZA , FERRER LUCIANO ALMEIDA , FERRER LUCIANA FEITOSA , CASTRO VIVIAN NOGUEIRA DE
Published: November 2023

ABSTRACT Objective: To compare the effects of the two techniques (minimally invasive transforaminal inter somatic lumbar fusion [MIS-TLIF] and open transforaminal lumbar interbody fusion [TLIF]) in the treatment of lumbar degenerative disease. Methods: This is a retrospective cohort study. The outcomes investigated were: intensity of low back pain, functional disability of the lumbar spine, discharge time, return to work, lumbar lordosis angle, cost of individual sources due to the period of work-related absenteeism, and societal perspective costs in the treatment of low-grade lumbar degenerative disease. The data was obtained through the analysis of data contained in the electronic medical records of 100 patients who underwent one of the two surgical techniques from January 2019 to May 2021 in a High Complexity Orthopedic Surgery. The outcomes investigated were set 12 months postoperatively. Results: No statistical differences were observed in terms of sex, age, employment, and diagnosis grade between groups. MIS-TLIF was associated with significant improvement in the intensity of low back pain, functional disability of the lumbar spine, discharge time, return to work, cost of individual sources due to the period of work-related absenteeism, and societal perspective costs. The variation in the lumbar lordosis angle of the MIS-TLIF group was smaller when compared to TLIF. Conclusion: Considering that MIS-TLIF was achieved with satisfactory short-term improvements, it may be used as an alternative strategy to TLIF to promote clinical and economical improvements in treating lumbar degenerative disease. Level of Evidence III; Comparative Retrospective Study.
RETROSPECTIVE ANALYSIS OF SPINAL FRACTURE CASES IN A TERTIARY HOSPITAL
Authors: ROSSATO LUCAS HENRIQUE , WAWRZYNIAK FRANCIEL , COSTA LEANDRO MEDEIROS DA , ALMEIDA KARIN DE , BORGES LUCAS RODRIGUES , VICENTI VICTOR CéSAR GAVA
Published: November 2023

ABSTRACT Objective: To evaluate the clinical and epidemiological profile of patients diagnosed with spinal fractures treated at Hospital Regional de São José Dr. Homero de Miranda Gomes (HRSJ), from the municipality of São José/SC, from March 2020 to March 2021. Methods: An observational study was carried out with a cross-sectional design and analysis of secondary data obtained by reviewing electronic medical records of patients diagnosed with spinal fractures treated during the study period. Associations of categorical variables were tested using Pearson’s chi-square test. The statistical significance level adopted was 5% (p<0.05). Results: 173 individuals participated in the study. There was a predominance of males, with 120 (70.5%) cases. The most frequent trauma was falling from a height (43.4%), followed by trauma from traffic accidents (37.6%). In the AO Classification, A1 was attributed in 35.8% of the cases, and the Frankel Scale had mostly E (90.8%). The approach to fractures was predominantly conservative (70.5%). The most injuries were in the lumbar spine (93). Conclusion: The risk group for spine fractures consists of young men, with a predominance of falls as a mechanism of trauma and lumbar involvement. It is necessary to establish preventive measures aimed at the public at risk. Since spine fractures are important determinants of morbidity and mortality in the population. Level of Evidence II; Type of study: Prognostic study.
IMPACT OF SURGICAL TREATMENT ON THE GAIT OF PATIENTS WITH CERVICAL MYELOPATHY
Authors: LAGES DHARA SIQUEIRA , SOEIRA THABATA PASQUINI , PONTES MARIANA DEMéTRIO DE SOUSA , HERRERO CARLOS FERNANDO PEREIRA DA SILVA
Published: November 2023

ABSTRACT Objective: To analyze the impact of surgery on gait characteristics of individuals with Cervical Spondylotic Myelopathy (CSM) after one month of the procedure. Methods: Observational, cohort type study, with a quantitative analysis approach. Two assessments were performed, the first one week before surgery and the second 30 days after the decompression procedure. The following space-time variables were analyzed: steps per minute, step length, cycle time, speed, steps per minute, support time, swing time, step time. The kinematic variables obtained were analyzed by Gait Profile Score (GPS) and Movement Analysis Profile (MAP). Results: comparing pre and postoperative values, there was a decrease in the number of steps per minute (p=0.006), an increase in support time (p=0.011) and an increase in cycle time (p=0.004). Other variables did not present statistically significant differences. The patients’ total GPS average in the pre-surgery assessment was 10.41 and 1 month after the procedure, an average of 10.56 was obtained, which does not characterize a statistical difference between the assessments. When establishing a comparison between the two assessments specifically on each joint movement of the lower limbs using the MAP, it was observed that the obliquity and rotation of the pelvis showed some improvement immediately after the surgical procedure. Knee flexion and extension were significantly (p=0.018) more compromised after the procedure when compared to the value of the same population before surgery. Conclusion: the preliminary analysis of the gait of these patients after one month of intervention did not show immediate benefits of the procedure. Level of Evidence II; Therapeutic studies - Investigation of treatment outcomes.
Thiol-modified olive-stone biochar preparation for Hg(II) removal from aqueous solutions
Authors: Gomez-Marroquín Mery C , Carbonel Dalia , Esquivel Stephanie , Colorado Henry
Published: November 2023

Mercury (Hg) is a heavy metal whose toxicity poses significant environmental and health risks. Utilising biochar prepared from biomass waste is a straightforward and effective method for removing mercury from water. This research centred on producing a thiol-functionalised biochar derived from olive-stone waste for the removal of mercury (II) from aqueous solutions. Characterisation analyses confirmed successful functionalisation. The biochar, despite having a limited specific surface area (4.14 m2/g) due to raw material nature and pyrolysis conditions, exhibited a notable ability for mercury (II) adsorption, primarily attributed to the thiol-modified surface. Adsorption was assessed using a 23 factorial design, with the variables being adsorption time, biochar dose and initial mercury (II) concentration in the solution. Biochar dose emerged as the most influential factor, followed by adsorption time and, lastly, initial mercury (II) concentration. The peak removal efficiency of the model stood at 98.19%. The kinetics aligned with the pseudo-first-order and intraparticle diffusion models, suggesting a surface adsorption mechanism coupled with pore diffusion. This work accentuates the potential of olive-derived biochar, when thiol enhanced, in treating aqueous systems contaminated with mercury (II).
Damage constitutive model of fly ash–cementitious iron tailings powder under small strain
Authors: Li Na , Xu Wei-ying , Jiang Ping , Lv Shao-wei , Huang Xian-wen
Published: November 2023

With the vigorous development of industrial economy, the production capacity and level have been significantly improved, but at the same time, a large amount of iron tailings, fly ash and a series of bulk solid waste materials have been accumulated. These industrial wastes have caused serious impact on the ecological environment. How to deal with them effectively is an urgent problem that needs to be solved. The aim of this study was to investigate the effect of cement and fly ash compound admixtures on the mechanical properties of iron tailings powder (ITP). Hence, different mixing ratios of cement and fly ash were used to prepare two kinds of ITP-based materials. A range of uniaxial compressive strength (UCS), resonance column (RC), scanning electron microscopy and X-ray diffraction tests were conducted to investigate the roles of cement, fly ash and curing age in ITP solidification. A random one-dimensional damage model was imported to study the damage evolution of ITP materials using the UCS and RC test results, which showed that cement and fly ash enhanced the unconfined compression strength and small-strain stiffness of ITP. When 5–10% fly ash content was used as a substitute for 10% cement, the unconfined compressive strength and small-strain modulus of cement–fly ash–ITP increased with curing age. The microstructure and mineralogy analysis confirmed that fly ash enhanced the strength of the material. Overall, the damage constitutive model effectively represented the randomness of the compressive strength and stress–strain relationship of ITP materials under unconfined conditions.
Behaviour of ballast stabilised with recycled rubber mat under impact loading
Authors: Ngo Trung , Indraratna Buddhima , Coop Matthew , Qi Yujie
Published: November 2023

During the passage of trains, dynamic impact loads caused by wheel imperfections or rail abnormalities cause significant ballast degradation. In this study, the use of rubber mats manufactured from recycled tyres placed underneath a ballast layer is investigated to mitigate the adverse effects of impact loads. Based on a series of tests conducted using a high-capacity drop-weight facility to evaluate the dynamic impact responses, the experimental results show that the inclusion of a rubber mat beneath the ballast assembly significantly reduces particle breakage. This study also describes a numerical analysis following a coupled discrete–continuum modelling approach to examine the complex interaction of discrete ballast grains with the recycled rubber mat. In particular, a mathematical framework coupling the discrete and continuum domains is developed to facilitate the exchange of forces and displacements at the ballast–mat interface. Laboratory data measured from large-scale impact tests are used to calibrate and validate this coupled model. Subsequently, the model is used to predict the deformation and breakage of ballast, contact force distributions, impact forces, coordination numbers and the evolution of energy components during impact testing. The energy-absorbing properties of the rubber mat are captured in terms of reducing particle breakage from a micromechanical perspective.
A life cycle assessment of building demolition waste: a comparison study
Authors: Blay-Armah Augustine , Bahadori-Jahromi Ali , Mylona Anastasia , Barthorpe Mark
Published: November 2023

Globally, building demolition waste constitutes a considerable environmental problem. The environmental implications are not only associated with volume but also with carbon embodied in the waste. These adverse environmental impacts associated with the generated waste can be minimised through appropriate waste management strategies. This study proposed a mathematical model from the end-of-life perspective to examine two waste treatment methods. The model was illustrated by a case study of three approved building construction systems by a current UK supermarket referred to as construction methods CM1, CM2 and CM3 to assess the construction system with the least carbon dioxide emission. Landfilling and recycling were assumed as waste treatment methods to examine the preferable waste treatment method. Results showed that recycling is the most preferred method of waste treatment method of the supermarket. This was revealed by the amount of demolition waste material recycled (more than 90%) from each of the CM compared with the volume of waste materials landfilled (<10%) and the associated carbon dioxide emissions. Steel has the highest carbon reduction potential contributing ∼80% in each case study compared with concrete ∼1%. Finally, CM1 has the lowest carbon dioxide emission, with both CM2 and CM3 emitting ∼3% more.
Mathematical Model for SARS-COV-2 Infection Rate in Non-Infectious Hospitals on the Example of the City of Irkutsk
Authors: Borovsky Andrey , Il'inyh Nikolay , Kozlova Svetlana
Published: November 2023

The pandemic of a new coronavirus infection greatly affects the socio-economic development of many countries. Currently, the study of epidemic models is of great relevance. The purpose of this work is to build a mathematical model for the infection rate of uninfected patients in the hospital. The article describes a combinatorial model of the spread of the COVID-19 epidemic among patients admitted to non-infectious hospitals. Using the combinatorial method, as well as using an improved model of epidemic kinetics for a locality, an analytical formula was derived for the rate of infection of uninfected patients without differences and taking into account differences in the work of hospital departments. Estimates of the rate of infection of patients for the δ virus and the Ω virus were made using the example of the regional hospital in the city of Irkutsk and medical hospitals in the city as a whole.
A Family of Discrete Distributions with Infinite Moments
Authors: Bratischenko Vladimir
Published: November 2023

In probability theory, distribution laws of random variables are distinguished, in which the moments diverge to infinity. Such distributions are important for understanding the features of probability distributions; in addition, they find practical application in the study of estimation procedures. Continuous distributions with infinite moments are known and well studied. The paper proposes a family of distributions of discrete random variables that does not have moments starting from a certain order. The distributions are supplemented with a parameter that linearly affects the mathematical expectation. A method for calculating distribution moments is proposed. The probability generating function is determined.
Multicriteria Optimization of the Organization of the Supply of Raw Materials for an Oil Refinery
Authors: Shupletsov Alexander , Burov Kirill
Published: November 2023

The volatility of the world economy, the scale of pro-duction activities are the main factors that increase the complexity of planning the activities of companies in the oil refining industry. For the efficient functioning of oil refineries, it is necessary to take in-to account many conditions and restrictions for various segments of the production process. The organization of the supply of crude oil to refineries, which is the main production raw material, is considered. The purpose of the work is to form a model for organizing the supply of oil refineries, the application of methods of multicriteria optimization. This approach proves the performance of the model and the effectiveness of optimization methods, taking into account many influencing factors. An economic and mathematical model for organizing the supply of oil refineries is formulated, taking into account such conditions as the cost and time of delivery, oil quality and the volume of losses during transportation. The method of multicriteria optimization was applied to find a compromise solution in the space of several goals.
Modeling of Revenue of Domestic Companies, Producers of Goods of Information and Communication Infrastructure
Authors: Leonova Olga , Levina Evgeniya
Published: November 2023

In this paper, the authors have constructed regression models to determine the optimal level of import customs duty rates for information and communication infrastructure goods. A comparative analysis of the calculated values and real rates of import customs duties on information and communication infrastructure goods has been carried out.
Synthesis of Optimal Control of Innovative Projects of an Industrial Enterprise: Adaptability and Stability
Authors: Chuprov Sergey
Published: November 2023

The development of innovations in a disturbed business environment encounters the difficulties of incomplete a priori information, which worsens the conditions for achieving adaptability and stability of industrial enterprises. Carrying out the synthesis of the optimal control of innovative projects based on the formulation and analysis of objective functions that reflect the investment support of innovations and the desire to increase the production of innovative products indicates the profitability of the interaction of the parties involved in the innovation process. With the exchange of information between them, it is possible to combine the opposing interests of the parties and achieve a preferable compromise solution that improves the overall situation with the development of an innovative project and thereby contributes to an increase in the adaptability and stability of industrial enterprises.