bluuebunny/crossref_metadata_2025 huggingface dataset:
DESEMPENHO, EVASÃO E PERMANÊNCIA DOS ALUNOS INDÍGENAS E NEGROS QUILOMBOLAS INGRESSANTES PELO PROGRAMA UFGINCLUI DA UNIVERSIDADE FEDERAL DE GOIÁS - REGIONAL JATAÍ
Authors: Santos Débora Sirno , Paniago Maria de Lourdes Faria dos Santos
Published: October 2018

O presente estudo analisa o desempenho acadêmico dos discentes ingressantes nos Cursos da Universidade Federal de Goiás, Regional Jataí, pelo Programa UFGInclui criado pela Resolução CONSUNI nº 29/2008, destinado a discentes que se autodeclararam indígenas e negros quilombolas. Sabendo que a Regional Jataí da Universidade Federal de Goiás possui 7 indígenas  e 8 negros quilombolas ingressantes pelo programa UFGInclui, a presente pesquisa tem como objetivo analisar o desempenho acadêmico desses discentes,  verificando a utilização e a relevância das políticas de permanência. O estudo configura-se como uma pesquisa qualitativa a presente investigação se desenvolve a partir de pesquisa bibliográfica, pesquisa documental e pesquisa empírica. O referencial teórico adotado ancora-se nas análises de autores como: Brandão (2005), Chauí (2001), Foucault (1970) e outros. É objeto de análise o seguinte corpus documental: a legislação, que compreende as políticas de educação superior no Brasil; os ordenamentos legais, resoluções e normativas específicas da UFG; dados estatísticos provenientes do sistema utilizado pela UFG – SIGAA, sobre o desempenho acadêmico dos discentes do programa UFGInclui. O presente estudo foi realizado com os alunos ingressantes pelo programa UFGInclui, indígenas e negros quilombolas provenientes de escolas públicas, os quais tiveram participação voluntária, com o direito reservado de se retirar da pesquisa em qualquer  etapa, e com a garantia de confidencialidade e sigilo das informações coletas. Os dados foram coletados com 15 dos 16 discentes, tendo em vista que houve evasão de um aluno negro quilombola. Para coleta de dados aplicou-se questionário semiestruturado e realizaram-se entrevistas semiestruturadas, análise documental e observações diretas. Os resultados do estudo revelam que o desempenho acadêmico dos discentes cotistas acompanha o desempenho da turma. Os discentes relataram que, se não houvesse as políticas de permanência da UFG Regional Jataí, já teriam desistido do Curso, pois não conseguiriam se manter na Universidade e longe da família sem o auxílio financeiro e o acompanhamento Pedagógico.
A GESTÃO DOS DADOS ACADÊMICOS NA REGIONAL JATAÍ DA UFG: SISTEMA DE REGISTRO ACADÊMICO E AS FORMAS, NÚMEROS, CATEGORIAS DE INGRESSO NA GRADUAÇÃO
Authors: Inocêncio Ana Carolina Gondim , Oliveira Walquíria Dutra de
Published: October 2018

A gestão dos dados acadêmicos é importante para subsidiar a tomada de decisões e a criação de políticas institucionais que visem a excelência universitária. A Regional Jataí da UFG passa por um processo de emancipação e criação da Universidade Federal de Jataí e neste contexto, conhecer seu funcionamento e organização são fundamentais para o planejamento estratégico e direcionamento de ações. O presente artigo é resultado da análise diagnóstica institucional realizada por uma das comissões criadas para estudos sobre o desmembramento da regional, e objetivou compreender a gestão dos dados acadêmicos, seu sistema de registro acadêmico, as formas, os números e as categorias de ingresso na graduação da Regional Jataí da UFG, bem como as atividades pertinentes ao centro de seleção. Verifica-se uma evolução na estrutura organizacional da Regional Jataí no que tange a gestão dos dados acadêmicos, maior autonomia devido a nova estrutura da UFG e a implantação de um novo sistema de registro acadêmico com plataforma on-line e consequentemente, maior acesso aos dados.
INFLUÊNCIA DA EXPERIÊNCIA DOS PROFESSORES NA MOTIVAÇÃO DOS ESTUDANTES DA UNIVERSIDADE FERDERAL DE JATAÍ
Authors: Oliveira Denise Silva de Oliveira SILVA , Corrêa Robson S. Corrêa , Stein Vanessa C. Stein , Silva Alexandre R. C. A. Silva , Andrade Carlos R. Andrade
Published: October 2018

A motivação no contexto escolar tem sido avaliada como um determinante crítico do nível e da qualidade da aprendizagem e do desempenho do estudante. O objetivo deste estudo foi investigar a influência da experiência dos professores (tempo de docência inferior e superior a cinco anos na Universidade Federal de Jataí) na motivação dos estudantes no processo de aprendizagem. Para qualificar os professores, o método de amostragem dos estudantes foi uma amostra aleatória simples. Os estudantes responderam um questionário, os quais foram avaliados pela escala de Likert. Os dados foram tabulados no Statistical Package for the Social Sciences (SPSS), onde foram analisados através de estatística descritiva e por análise de consistência interna, segundo o cálculo do Alpha de Cronbach. Os resultados desse trabalho mostraram que os professores mais experientes foram classificados pelos estudantes como pouco motivadores, enquanto, os professores no início da carreira acadêmica foram classificados pelos estudantes como motivadores.
PASSIVE RESTORATION OF MIXED OMBROPHILOUS FOREST A DECADE AFTER FOREST PLANTATION REMOVAL IN THE SOUTH OF BRAZIL
Authors: Bet Stedille Lilian Iara , Gomes Juliano Pereira , Freitas da Costa Newton Clóvis , Vargas Oiéler Felipe , Luz Lucas Da , Mantovani Adelar
Published: October 2018

The objective of this study was to evaluate the floristic composition, diversity and ecological characteristics of riparian forest tree species under passive restoration a decade after removing Pinus and Eucalyptus genus forest plantations and comparing the data to a reference ecosystem. The study was conducted in a Mixed Ombrophilous Forest fragment in the municipality of Ponte Alta, state of Santa Catarina, Brazil. A total of 30 plots of 200 m² were installed, 15 in the area under passive restoration and 15 in the reference ecosystem, covering the arboreal and regenerating strata. In these areas, rarefied richness, Shannon index, Pielou evenness, floristic dissimilarity, ecological group representativeness and the tree species dispersal syndromes were evaluated. The families with the highest specific richness were: Myrtaceae (14 species) in the reference ecosystem, and Lauraceae (eight species) in the area under passive restoration. Considering the ecological indicators used and the use of the reference ecosystem, it can be considered that the passive restoration after a decade in forest succession proved to be efficient for enlarging the riparian forests in the studied area.
A study of differences by industry using factor models influencing software development estimates
Authors: Shida Tsuyoshi , Tsuda Kazuhiko
Published: September 2018

Recently, IoT and AI/machine learning have attracted attention, and software development has been a critical activity for the companies that use IT. The investment in IT has been increasing, and it varies with the industry. In addition, software development has become complex with the growing sophistication in the target applications; therefore, it is a challenging task for the software vendors to prepare an accurate estimate. Consequently, the estimates grossly deviate from the true value. In this paper, we propose a method based on the previous research that uses the factors related to productivity of software development to find factors that affect the estimation of man-hours. We analyzed the parameters among populations using two factors and simultaneous analysis of multiple populations from nine industries. We used two-factor models extracted from “the study of software estimation factors extracted using covariance structure analysis” and verified the method by applying five constraints, including factor load amount and error variance, simultaneously for the nine industries. As a result, it was possible to separate industries with large factor variance and those with small factor variance. Moreover, it was possible to separate industries with large correlation coefficient between factors and industries with small factor correlation coefficient. For industries with small variance of factors, the factors are consistent within the industry, and in industries with large correlation between factors; the relationship between the two factors is more relevant. In other words, we could find out the relationship of factors influencing software estimation for each industry type. In addition, the variance of these two factors and the correlation coefficient between the factors were grouped, and a cluster analysis was performed. It was found that there was a difference in the estimate for each group of Business-to-Business and Business-to-Customer industry groups. Based on these results, while preparing software estimates, IT vendors would capture the characteristics of the factors for each type of industry and clarify the influential factors of fluctuation by being conscious of the productivity fluctuation factors related to the two factors.
Effect of psychological intervention on post-traumatic stress symptoms and pregnancy outcomes among women with previous recurrent abortion
Authors: Shereda Hanaa Mohamed Abo , Awad Allah Rashed Amera Bekhatro , Shokr Eman
Published: September 2018

Background: Recurrent abortion is both physically and psychologically a traumatic experience. Some women also experience anxiety, anger, posttraumatic stress, and guilt about future childbearing. Supportive psychotherapy aims to minimize deterioration and maximize competence within the limitations imposed by the illness. The purpose of the study was to study the effect of psychological intervention on post-traumatic stress symptoms and pregnancy outcomes among pregnant women with previous recurrent abortion.Methods: Research design: a quasi-experimental research design (with pre-post measurements) was used in this study. Subjects: A purposive sample of 40 pregnant women was recruited. Tools: Two tools were used for data collection: interviewing questionnaire and posttraumatic stress disorder checklist.Results: There was a statistically significant difference between pre and post intervention results regarding stress symptoms severity after the intervention. Psychological intervention was associated with positive pregnancy outcomes.Conclusions and recommendations: The first research hypothesis was accepted as it was found that the psychological intervention decreased post traumatic stress symptoms among studied women. The second hypothesis was also accepted as the psychological intervention was associated with positive pregnancy outcomes. Manage women with recurrent abortion within the purview of holistic nursing practice which address the bio-psychosocial responses of abortion.
Objective structured clinical examination versus traditional clinical examination among nursing students: A comparative approach
Authors: Nafee Hoda Mohamed , Ahmed Awatef El-Sayed , Hussien Ahlam Mohamed
Published: September 2018

The complex nature of clinical competence in nursing consequently poses a challenge in identifying suitable assessment methods that are able to measure all its attributes as well as maintaining reliability, validity and objectivity. So the aim of this study was to compare nursing students’ opinions, feedback and clinical achievements grades in the Objective Structured Clinical Examination (OSCE) and the Traditional Clinical Examination (TCE) methods. A descriptive research design was used to conduct the study at college of nursing –Immam Abdulrahman Bin Faisal University (IABU), kingdom of Saudi Arabia. A total of 96 undergraduate student nurses enrolled in the pediatric nursing course equally were divided randomly into TCE and OSCE group (n = 48) in each group. Two tools were used, first tool was  a structured questionnaire form to collect data related student’s academic number, age, method of exam used, achievement grades in the exam and the overall  suggestions to improve the method of exam used where the second tool was a self-administered questionnaire that modified from a Pierre et al. (2004) OSCE feedback questionnaire which included 23 items and categorized under four main dimensions with 3-point Likert scale ranged from agree, neutral and disagree to evaluate students’ opinions and feedback related to the quality, organization, scoring and physical set up of both methods. Results revealed that statistical significant differences were found with higher prevalence of agreement responses among students for OSCE methods related most of items listed in the four dimensions compared to those in TCE. Mean ± SD total score of students’ responses related to OSCE and TCE methods was 104.5 ± 15.6 and 95.3 ± 17.5 respectively where p value = .002. Majority of students 95.8% exposed to OSCE compared to 11.9% of them who exposed to the TCE achieved (A) excellent grades in the exam (score 90%-100%). Conclusion and recommendation, statistical significant differences were observed between students’ opinion and feedback with high prevalence of agreement responses related to OSCE compared to TCE methods. Clinical achievement grade was high among students whom evaluated by OSCE compared to those evaluated by TCE method. The study recommended that OSCE must be used as an integral part of the under graduate nursing students’ clinical assessment.
Cervical Disk Arthroplasty
Authors: Koreckij Theodore D. , Gandhi Sapan D. , Park Daniel K.
Published: October 2018

Anterior cervical diskectomy and fusion has been and remains the benchmark surgical management of cervical degenerative disk disease. However, an increased use of cervical disk arthroplasty (CDA) has been found in the past few years. The purported benefits of CDA included preserved motion, less adjacent-level degeneration, and less morbidity. Short-term results from randomized control trials clearly showed noninferiority of CDA compared with fusion. With long-term comparison data becoming available, results are equivalent and superior in many metrics compared, favoring CDA. Concerns remain regarding the best way to manage CDA failures. Nonetheless, appropriate patient selection and adherence to strict surgical technique make CDA a viable treatment.
Reviewer Acknowledgements for English Language Teaching Vol 11 No 10
Authors: Yu Gavin
Published: September 2018

Reviewer acknowledgements for English Language Teaching, Vol. 11, No. 10, 2018
Comparison of Caries Occurence Between Resin Based and Glass Ionomer Based Pit and Fissure Sealants in Young Permanent Molars After One Year Application
Authors: Kasuma Nila , Biomed M. , Fitriana Aida , Fajrin Fildzah Nurul
Published: September 2018

The use of anatomic grooves or pits and fissures on the occlusal top of permanent grinders retains food scraps and increases the formation of caries. Inserting and fastening these exposed regions with pit-and fissure sealants has the potential to avert the occurrence of these injuries in teeth. The tools used for such process have the shape of a resin based and a glass ionomer cement (referred to as GIC hereafter). This study aims to compare white spot index (ICDAS) after applying resin based and fissure sealant glass ionomer, and to determine the more efficient types of material over a long period of time method. This study uses experimental pre-test and post-test methods. The research population consists of grade I, II, and III elementary students from the Elementary School No.2, Central Cupak, Padang. Samples were obtained through purposive sampling. The research involves 2 types of sample each of which consists of 30 children who were given resin based sealant application as well as glass Ionomer. ICDAS-II index was used to assess white spot index following one year application. The research data was analyzed with SPSS Statistics through unpaired t-test. The result shows that there is no major distinction between resin based sealant application and glass ionomer cement following one year application(p = 0,23). This study concludes that resin based sealants and glass ionomer cement constitute valuable pit and fissure sealant materials. The reaction of these materials must be evaluated over a longer period to determine the mean retention period and to confirm if a new application is needed.
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 10, No. 10
Authors: Grey Erica
Published: September 2018

Reviewer Acknowledgements for Global Journal of Health Science, Vol. 10, No. 10, 2018.
The Effects of a Brief Touch Point Intervention for Children With Intellectual Developmental Disabilities (IDD)
Authors: Grünke Matthias , Urton Karolina , Karnes Jennifer
Published: September 2018

This single-case study evaluated the impact of a brief touch point intervention on the ability of three third graders with intellectual developmental disabilities (IDD) to perform single-digit additions. A multiple-baseline (AB)-across-participants design was used to establish a cause-and-effect relationship between an intervention of 13 to 15 one-on-one teaching sessions and the expected outcome. Results indicated that all three students benefited from the treatment and showed increased performance of their addition skills over the course of the B Phase. By the end of the intervention, the average improvement rates varied from 164.50 to 420.00%. The findings are discussed in light of the existing literature, and conclusions are drawn.
COGNITIVE FUNCTIONING AND AUTONOMY OF PATIENTS WITH DUCHENNE MUSCULAR DYSTROPHY
Authors: Anikiej Paulina , Mański Arkadiusz , Bidzan Mariola
Published: October 2018

Cognitive problems and a deepening dependence on one’s immediate environment inherently accompany Duchenne Muscular Dystrophy (DMD). The disease is progressive, and the size of the dystrophin gene determines the extraordinary complexity of the causes of this disease at the genetic and molecular level. The aim of the study was to characterize the cognitive problems and the extent of independence of patients with genetically confirmed DMD. An attempt was also made to reconstruct the patient's life history in three periods: before the appearance of the first symptoms, during the search for a diagnosis and after confirming the diagnosis of DMD.

The study group consisted of male patients between 10 and 13 years of age (N = 14). The Diagnosis of Cognitive Functions Battery - PU1 and an experimental tool for studying autonomy were used. Information on the condition of the attention, memory and executive functions of patients was obtained. The study of autonomy measurably supplemented knowledge in terms of the degree of the patients’ dependence on the environment with regard to everyday functioning.

The best functioning component of attention in the examined patients is orientation (o) (13 patients achieved average results in this aspect). Selectivity (s) turned out to be the weakest component, as only five patients obtained average results (the others obtained low results) in this aspect. Autonomy results (AU) indicate group diversity and inter-subject variability in the disease progression (subjects scored from 6 to 47 points).

The clinical picture of the disease is not homogeneous. Patients, despite their similar age, differ in the progression of the disease and the resulting effects. This induces the need for an individual approach to each patient and the preparation of a unique set of therapeutic interactions for each of them.
CURRENT AND TRADITIONAL VIEWS ON THE BRAIN WORKS
Authors: Kaczmarek Bożydar L.J. , Markiewicz Katarzyna
Published: October 2018

The present paper argues that the development of a new methodology in studying the brain has resulted in a change of our views on the way it works, has seen the emergence of new ideas, and a considerable modification of traditionally accepted theories. The most significant are neuroplasticity, negative activity network (NAT), the nature of aphasic disorders, and the approach to the localization of brain functions. New brain imaging techniques have confirmed also the ability to change the neuronal circuits by mental force. Moreover, new techniques have brought about a rise in new methods for both the diagnosis and rehabilitation of individuals with various brain disorders. Most valuable in this respect has proved to be neurofeedback. We have concentrated on the most important contributions of Prof. Pąchalska in the implementation and development of these new ideas on brain functioning. We also emphasize the fact that her theoretical considerations are firmly based upon her extensive (forty years) work with brain damaged patients.
Why criminal law needs a philosophy of law?
Authors: Snarski Tomasz
Published: October 2018

The article discusses the necessity of the presence of legal philosophy in penal sciences, i. a. criminal law, as a necessary basis for the creation and functioning of a system of good criminal law. The author, referring to selected views on the essence of the criminal law, indicates that the philosophy of law is a binder of the entire criminal law system, serving the implementation of its goals and functions, and guaranteeing that criminal law serves the service of the human person. The philosophy of criminal law applies in many respects, especially in justifying the basic principles of criminal law and in connection with the axiology of protection of human rights and the Constitution.
Signet Ring Stromal Cell Tumor: A Legitimate (Benign) Mimic of Krukenberg Tumor
Authors: DeCoste Ryan , Offman Saul L.
Published: October 2018

Signet ring stromal cell tumor is a rare, benign ovarian neoplasm thought to arise from ovarian stromal cells. The pathophysiology of these tumors is poorly understood. They present in women in a wide age range, often with nonspecific symptoms including lower abdominal or pelvic pain. Their morphologic appearance raises a critical differential diagnosis of Krukenberg tumor, an aggressive malignancy with significant implications for patient management. For this reason, it is important for the pathologist to be aware of signet ring stromal cell tumor and its differentiating features, including useful histochemical and immunohistochemical ancillary tests. These tumors are curable with surgical excision, and there have been no recurrences or metastases among reported cases.
On Commissioning New Music for Baroque Cello
Authors: Frey Elinor
Published: October 2018

In 2014, cellist Elinor Frey began commissioning new music for the five-string Baroque cello as a way to contribute to and expand the repertoire for the instrument. Her project grew to three new works for five-string cello, two works for the four-string cello, and one for cello and harpsichord. This article documents Frey’s close collaborations with six composers—Scott Godin, Isaiah Ceccarelli, Linda Catlin Smith, Maxime McKinley, Ken Ueno, and Lisa Streich—and reflects upon the ways in which her approaches to style and performance practice played a role in interpreting the new works. Frey also explores how she drew inspiration from Baroque stylistic qualities such as concealment and illusion.
Assessing and Re-setting Culture in Enterprise Risk Management
Authors: Weston Harold , Conklin Thomas A. , Drobnis Kristen
Published: October 2018

Among the tenets of enterprise risk management (ERM) is the need to instill a risk-aware culture throughout the firm. Yet, how to actually interpret and change organizational culture is generally missing from the ERM literature. Prior surveys found risk managers lacked useful information about organizational culture and cultural change to implement a “risk aware culture.” Our survey of risk managers found this gap persists. The disciplines of organizational studies, business anthropology and sociology provide guidance on organizational culture, which involves identifying and interpreting the embedded assumptions, values, myths, artifacts, rituals, and stories that communicate and perpetuate a culture. The risk manager can use this knowledge to apply change to the culture. Changing behavior without changing culture may simply result in compliance without adoption. This article seeks to bridge the studies of organizational culture and change to the risk manager.
Serum estradiol in the differential diagnosis of ectopic pregnancy
Authors: Craig Zane G. , Ramey Jack M. , Rochowiak, Michael W. , Brown Lawrence H. , DO, Howard Teitelbaum,
Published: October 2018

In a prospective study using a cutoff value of 140 pg/mL, serum estradiol 17-B assay had a sensitivity of 83% and a specificity of 100% in differentiating ectopic pregnancy (6 patients) from normal pregnancy with threatened abortion proceeding to viability (7 patients). In differentiating threatened abortion from spontaneous abortion (9 patients), the estradiol assay had a sensitivity of 88.9% and a specificity of 100%. All but one of the patients with ectopic pregnancy had estradiol levels below the cutoff value of 140 pg/mL, as did all but one of the patients who had spontaneous abortion. All the patients who had threatened abortion that progressed to viability had values well above the cutoff level. The mean estradiol values for the viable pregnancy group were significantly different from those of the other two groups. These data suggest that, at the institution where this study was done, serum estradiol determinations may be of value in the differentiation of both ectopic pregnancy and spontaneous abortion from threatened abortion but appears to be of very limited usefulness in distinguishing ectopic pregnancy from spontaneous abortion. The validity of these conclusions is limited by the small number of subjects. Further studies comprising greater numbers of subjects are needed.
The humanization of prenatal care under the pregnant women’s perspective / A humanização do cuidado pré-natal na perspectiva valorativa das mulheres gestantes
Authors: Silva Luana Asturiano da , Alves Valdecyr Herdy , Vieira Bianca Dargam Gomes , Rodrigues Diego Pereira , Santos Márcia Vieira dos , Marchiori Giovanna Rosário Soanno
Published: October 2018

Objetivo: Identificar e analisar os valores expressos nos discursos das mulheres/gestantes acompanhadas no Programa de Pré-natal, a respeito da assistência recebida. Métodos: Estudo fenomenológico com abordagem qualitativa. Foram entrevistadas 12 mulheres no período de janeiro a março de 2013 acompanhadas no pré-natal nos serviços de atenção básica do município de Niterói, Rio de Janeiro. Os depoimentos foram transcritos e submetidos a análise compreensiva para a formulação das categorias e articuladas com a Teoria dos Valores de Max Scheler. Resultados: Emergiram as seguintes categorias: O valor do acolhimento no pré-natal sob a ótica da mulher/gestante e a humanização como uma ação que implica em mudança de valores. Conclusão: Concluiu-se que o acolhimento e a humanização no cuidado durante o pré-natal são valores vitais e afetivos, portanto, valores em si mesmo. Contribuindo assim para refletir a assistência pré-natal, objetivando o direcionamento desse atendimento às necessidades específicas de cada mulher.
Variation of the double product in patients after acute myocardial infarction submitted to aspersion bath / Variação do duplo-produto em pacientes pós-infarto agudo do miocárdio submetidos ao banho de aspersão
Authors: Moreira Samara Oliveira , Alves Vieira Victor Hugo Souza , De Assis Allan Peixoto , Silva Renata Flavia Abreu , Marcellini Paulo Sérgio
Published: October 2018

Objetivo: Mensurar a variação do duplo-produto nos pacientes com Infarto Agudo do Miocárdio submetidos ao banho de aspersão. Métodos: Pesquisa observacional, realizada na Unidade Coronariana de um hospital de referência em cardiologia localizado na cidade do Rio de Janeiro. A amostragem se deu por conveniência e teve como amostra os banhos de aspersão de pacientes adultos, ambos os sexos, com diagnóstico médico de Infarto Agudo do Miocárdio com supradesnível ou sem supradesnível de segmento ST, e que tivessem indicação de banho de aspersão, fornecida pelo médico e enfermeiro responsáveis. Resultados: Houve aumento do valor médio do duplo-produto em todos os pacientes acompanhados, porém sem significância estatística. Conclusão: A indicação do banho de aspersão nesta amostra foi segura. Descritores: Banhos, Enfermagem, Infarto do Miocárdio, Enfermagem Cardiovascular.
“The back and forth of consultations”: therapeutic itinerary of people bearing head and neck cancer / “Entre uma consulta e outra”: itinerário terapêutico de pessoas com câncer de cabeça e pescoço
Authors: Girardon-Perlini Nara Marilene Oliveira , Debus Paula dos Santos , Rosa Bruna Vanessa Costa da , Dalmolin Angélica , Somavilla Itagira Manfio , Coppetti Larissa de Carli
Published: October 2018

Objetivo: Conhecer o itinerário terapêutico de pessoas com câncer de cabeça e pescoço em tratamento radioterápico. Metodologia: Estudo descritivo de caráter qualitativo, realizado em um hospital escola do Rio Grande do Sul, com 18 pessoas, por meio de entrevista aberta. Para tratamento dos dados utilizou-se a análise de conteúdo temática. Resultados: O itinerário percorrido pelos pacientes deu-se nos serviços de saúde do sistema público e privado, sendo marcado pela demora para o diagnóstico e o tratamento. A busca por alternativas para resolver o problema de saúde ocorreu também no meio sociocultural. Conclusão: Para a enfermagem torna-se relevante compreender o contexto em que a experiência de adoecimento é vivenciada e o tempo em que as etapas do processo de diagnóstico e tratamento foram desenvolvidas, a fim de oferecer uma melhor assistência.Descritores: Itinerário terapêutico, Neoplasias, Radioterapia, Enfermagem.
Socio-demographic profile and health conditions of elderly people who have suffered falls / Perfil sociodemográfico e condições de saúde dos idosos que sofreram quedas
Authors: Gaspar Ana Carolina Macri , Da Silva Jeniffer Fernanda Gonçalves , Mufato Leandro Felipe , Azevedo Rosemeiry Capriata de Souza , Mendes Priscila Aguiar , Ferreira Luana Vieira Coelho
Published: October 2018

Objetivo: Identificar o perfil sociodemográfico e condições de saúde dos idosos que sofreram quedas. Método: Estudo descritivo e transversal, com amostra de 220 idosos que caíram no último ano. As variáveis são características sociodemográficas, condições de saúde, avaliação do medo de cair e capacidade funcional. Foi realizada análise descritiva dos dados. Resultados: A maioria dos idosos que caíram possui idade entre 70-79 anos, é do sexo feminino, viúvo, com baixa escolaridade, aposentado com renda de até um salário mínimo, autoavalia sua saúde como regular/ruim, autorreferiu problemas cardiovasculares, osteomusculares, problemas de visão, e utiliza medicamentos regularmente. Foram também, classificados como independentes funcionalmente e com medo de cair. Conclusão: O perfil sociodemográficos e as condições de saúde encontradas nos idosos deste estudo são importantes para nortear a ação dos profissionais de saúde na prevenção das quedas.
Brazilian population perception about suicide / Percepção da população brasileira sobre o suicídio
Authors: Melo Cynthia de Freitas , Sousa Juliana Cruz , Martins Sabrina Magalhães , Frota Priscila Costa da
Published: October 2018

Objetivo: Compreender a percepção da população brasileira sobre o suicídio. Método: Pesquisa exploratória e descritiva, de cunho quantitativo, realizada por meio de levantamento na internet, que contou com amostra não probabilística por conveniência composta por 246 participantes, que responderam ao Questionário de Atitudes em Relação ao Comportamento Suicida (QUACS), cujo os dados foram avaliados por meio de estatística descritiva e bivariada, com auxílio do software estatístico SPSS. Resultados: Identificou-se a existência de sentimentos negativos perante o paciente suicida em uma quantidade reduzida de participantes (f = 25; 8,90%), uma percepção geral de incapacidade para lidar com suicida e o reconhecimento do direito do outro de cometer suicídio. Conclusão: Existência de mitos e preconceitos sobre o tema, que desfavorecem a assistência ao suicida. Descritores: Suicídio, Ideação suicida, Opinião pública.
Assessment of woman’s sexual function during pregnancy / Avaliação da função sexual da mulher no período gestacional
Authors: Bonelli Marina Cortez Pereira , Calheiros Christianne Alves Pereira , Nogueira Denismar Alves , Terra Fábio de Souza , Leite Eliana Peres Rocha Carvalho
Published: October 2018

Objetivo: avaliar a função sexual da mulher no período gestacional. Método: estudo quantitativo, descritivo-analítico e transversal realizado em unidades de saúde da atenção primária com 161 gestantes. Utilizaram-se dois instrumentos: um de identificação das participantes e o Quociente Sexual-Versão Feminina. Os dados foram analisados usando o Software estatístico SPSS 17.0. Resultados: verificou-se que 77,6% das gestantes apresentaram idade entre 18 a 30 anos e serem solteiras. A maioria delas considerou ter um relacionamento sexual com o parceiro entre bom a excelente e ainda um desempenho satisfatório nas relações sexuais. Constatou-se que 19% das gestantes estavam com o domínio Preliminares prejudicado. Conclusão: a maioria das gestantes apresentou um desempenho sexual satisfatório, entretanto, alguns resultados apontaram para níveis de bom a ruim. Assim, faz-se necessário que o profissional da saúde, atue em consonância com ações e intervenções que visem à prevenção, promoção e reabilitação da saúde sexual no âmbito da gravidez.
Women’s insights about the climacteric period / Percepções de mulheres acerca do climatério
Authors: Hemann Piecha Veronica , Diniz Ebling Sandra Beatris , Machado Peiszak Greice , Moreira da Silva Marciele , De Oliveira Silva Silvana
Published: October 2018

Objetivo: conhecer as percepções de mulheres acerca do climatério. Método: pesquisa qualitativa com 18 mulheres que vivenciam o período do climatério, que pertencem a uma Estratégia em Saúde da Família de um município da região sul do Brasil. Os dados foram coletados por meio de entrevista semiestruturada em setembro de 2016. A análise dos dados foi a partir da Análise de Conteúdo Temática de Minayo. Resultados: Os elementos emergidos das compreensões das mulheres acerca do climatério demonstram percepções voltadas à negatividade, ao envelhecimento do corpo, desequilíbrio emocional e sintomatologia manifestada nesse período. Conclusão: Portanto, é preciso implementar medidas que ofereçam a essas mulheres um maior conhecimento e entendimento sobre o climatério, pois refletirá de maneira positiva, de modo que a mulher vivencie esse período com tranquilidade e qualidade de vida.
Profile of nurses from Cape Verde/Africa: the influencing factors of life quality / Perfil dos enfermeiros de Cabo Verde-África: fatores que influenciam a qualidade de vida
Authors: Semedo Deisa Salyse dos Reis , Pelzer Marlene Teda , Ventura Jeferson , Paula Saul Ferraz de , Moniz Ana Suzete Baessa , Semedo José António Cabral
Published: October 2018

Descrever o perfil e os fatores que influenciam a qualidade de vida dos enfermeiros de um hospital de grande porte de Cabo Verde-África. Metodologia: Pesquisa descritiva simples com uma abordagem quantitativa. Participaram 40 enfermeiros. Os dados foram  coletados em junho e julho de 2015, analisados com o programa Statistical Package for the Social Science (SPSS) versão 20.0. Resultados: 72,5% são do sexo feminino e 27,5% do sexo masculino, 40% estão numa faixa etária entre 36 a 45 anos, 52,5% são solteiros (as). Dos fatores que influenciam a qualidade de vida, 19,4%, referiram a baixa remuneração, 15,7% condições de trabalho e motivação, 13,1% carga horária e estresse. Conclusão: a partir dos fatores que influenciam a qualidade de vida dos enfermeiros foi possivel identificar a necessidade de mudanças com o intuito de fornecer melhores condições de trabalho e renda para os enfermeiros cabo-verdianos.
Profile of accidents with sharps among health professionals from a hospital of the public network at São Luís city / Perfil dos acidentes com material perfurocortante entre profissionais de saúde de um hospital da rede pública da cidade de São Luís
Authors: Santos Sandra Regina , Novaes Cristiane de Oliveira
Published: October 2018

Objetivo: realizar levantamento de acidentes com material perfurocortantes. Método: exploratório e documental com abordagem quantitativa com levantamento de fichas de notificação entre 2009 e 2015, em um hospital público em São Luís do Maranhão. Resultados: Predominou o sexo feminino, média de idade de 28 anos, ensino médio completo; os mais acometidos, técnicos de enfermagem e serventes de limpeza. Sangue é o material mais comum; descarte inadequado de material e punções venosas, como circunstâncias; agulhas e lâminas de bisturi, os mais envolvidos; exposição percutânea com grande incidência; EPIs são muito usados; na maioria, não houve necessidade de quimioprofilaxia; a Comunicação de Acidente de Trabalho foi emitida na maioria dos casos. Conclusão: Os dados permitiram identificar grupo de profissionais mais vulneráveis, exigindo maior atenção nas estratégias de prevenção de acidentes. Descritores: Riscos ocupacionais, Perfurocortante, Exposição à agentes biológicos, Saúde do trabalhador. Descritores: Riscos ocupacionais, Perfurocortante, Exposição à agentes biológicos, Saúde do trabalhador.
Reproductive and gynecological profiles of women suffering violence / Perfil reprodutivo e ginecológico de mulheres em situação de violência
Authors: Silva Thais Mageski , Lima Eliane de Fátima Almeida , Tavares Fabio Lucio , Primo Cândida Caniçali , Santana Nathália Miguel Teixeira , Costa Leite Franciele Marabotti
Published: October 2018

Objetivo: Identificar o perfil reprodutivo e ginecológico de mulheres em situação de violência Métodos: Estudo epidemiológico do tipo descritivo. A população foi constituída por mulheres vítimas de violência, com idade maior ou igual a 18 anos, atendidas em um centro de apoio multidisciplinar. Resultados: Das 42 participantes, cerca de 88,0% já engravidou. A história de corrimento vaginal foi relatada por 53,4%, a realização do teste de HIV na vida foi feita por 71,4%, e, a maioria (88,1%) não usa a camisinha nas relações sexuais. Pouco mais da metade (52,4%) revelou que o parceiro já evitou que elas usassem algum método contraceptivo, e, em relação ao exame do Papanicolaou, 95,2% das mulheres relataram já ter realizado. Conclusão: Observa-se um perfil de vulnerabilidade, no que tange a não realização de pré-natal e o não uso de camisinha nas relações sexuais.
Association of κ‐carrageenan subjected to deep alkaline hydrolysis
Authors: Gasilova Ekaterina R. , Aleksandrova Galina P. , Vlasova Elena N. , Baigildin Vadim A.
Published: September 2018

κ‐carrageenan is a linear sulfated anionic gelling polysaccharide obtained from red seaweed algae by an alkaline hydrolysis. We applied static and dynamic light scattering (DLS), capillary viscometry, FT‐IR, and electrophoretic DLS to gain insight into the effect of deep alkaline hydrolysis (95 °C, pH = 10 during Th = 60, 75, and 90 min) on κ‐carrageenan macromolecules in a coil conformation. As DLS of coil‐like κ‐carrageenans is usually complicated by spurious permanent aggregates, the alkaline hydrolysis of κ‐carrageenans has not been studied by DLS. By applying a double‐dialysis procedure (first against water, then against 0.1 M NaCl), we succeeded in obtaining dilute solutions of coil‐like κ‐carrageenans with unimodal DLS distributions. Association that started with increasing concentration was attributed to attractive dipole‐dipole interactions between ion‐pairs formed by condensed counter‐ions in the vicinity of carboxyl groups of the reducing ends. The second type of stickers resulted from the compositional heterogeneity of κ‐carrageenan, namely, from the traces of ι‐carrageenan blocks which amount increased with hydrolysis. With increasing Th we observed both the progressive decrease of molecular mass and the growth of association. Lowering the temperature and increasing concentration during lyophilization strengthened the intermolecular junctions, leading to the formation of permanent aggregates.
Bioresorbable vascular scaffold implantation for severely calcified lesions after excimer laser lesion preparation
Authors: Mitomo Satoru , Jabbour Richard J. , Latib Azeem , Colombo Antonio
Published: September 2018

Bioresorbable vascular scaffolds (Absorb BVS, Abbott Vascular, Santa Clara, CA) temporarily elute antiproliferative drugs and provide vessel support, which then subsequently resorb to allow restoration of normal vessel function and architecture. To attain the best possible results with BVS, a dedicated implantation technique (PSP: adequate lesion preparation, proper sizing, postdilatation) is considered mandatory, and calcified lesions are one of the most challenging lesion subsets for BVS implantation. In five cases with severe calcifications refractory to balloon predilatation, we performed excimer laser catheter ablation (ELCA: Turbo Elite catheter; Spectranetics Corporation, Colorado Springs, CO, USA), which facilitated adequate lesion expansion with high‐pressure noncompliant balloon inflation and BVS implantation. During the follow‐up period (481 days [interquartile range: 445–579]), all patients continued dual antiplatelet therapy (DAPT) and there were no cases of cardiac death, myocardial infarction, or scaffold thrombosis. For treatment of severely calcified lesions with bioresorbable scaffolds, ELCA could be considered an effective potential strategy. After the procedure, prolonged DAPT was prescribed.
Coronary sinus reducer for the treatment of chronic refractory angina pectoris‐results of the preclinical safety and feasibility study
Authors: Konigstein Maayan , Shofti Rona , Schwartz Marc , Banai Shmuel
Published: September 2018

Background

Narrowing of the coronary sinus (CS) has recently emerged as a new therapeutic option for the treatment of patients with chronic refractory angina pectoris. The results of the preclinical study presented here, evaluate the safety, feasibility, and efficacy of reducer implantation in a swine model with and without myocardial ischemia.

Methods and results

The study included a safety/feasibility arm, and a safety/efficacy arm. In the safety/feasibility arm, reducers were implanted in 26 mini swine; follow up of up to 6 months included cardiac catheterization with CS angiogram, and histological evaluation of the stented segments of the CS. In the safety/efficacy arm, eight swine with evidence of inducible myocardial ischemia were divided into reducer implantation group (n = 4) and a control group (n = 4). Follow‐up in this arm included 6 weeks and 6 months dobutamine stress echo and myocardial contrast echo to evaluate severity and extent of ischemia.

In the safety/feasibility arm (n = 26), reducers were implanted with procedural success rate of 100% and with no short or long‐term complications. All CS reducers were found to be patent at the time of sacrifice. In the safety/efficacy arm, all four animals with myocardial ischemia that underwent reducer implantation showed improvement in ischemia parameters at 6 weeks and 6 months follow‐up, with no mortality. Among the control group, no improvement in ischemia parameters was observed and three out of four animals died.

Conclusions

Narrowing of the CS using percutaneous implantation of the reducer in swine is feasible, safe, and improves the extent and severity of ischemia.
Intra‐aortic balloon counterpulsation pump in heart failure patients during MitraClip implantation—A propensity‐score matched analysis
Authors: Keßler Mirjam , Seeger Julia , Wöhrle Jochen , Rottbauer Wolfgang , Markovic Sinisa
Published: September 2018

Objectives

To analyze 30‐day and 6‐month results after percutaneous mitral valve repair using an IABP as circulatory support.

Background

The use of intra‐aortic balloon counterpulsation pump extended the spectrum of cardiovascular interventions.

Methods

Since 2014, 17 patients of 365 patients (4.7%) at our center received an IABP during MitraClip implantation procedure. We compare the periprocedural results to a control group of 17 patients treated with MitraClip without an IABP support. To adjust for differences of baseline characteristics a propensity‐score matching for age, baseline blood pressure, preoperative EuroSCORE II and left ventricular ejection fraction was performed. The decision for prophylactic implantation of an IABP was at the discretion of the interventionalist. For both groups, clinical results up to 6 months were evaluated.

Results

The IABP group had higher NT‐pro BNP levels at baseline and increased left ventricular diameters. The procedure was more often categorized as “urgent” due to refractory heart failure in the IABP group. All procedures were carried out successfully, thereby achieving a sufficient MR reduction in both groups. Length of hospital stay was significantly longer in the IABP group 11.7 ± 14 days (compared to 6.5 ± 2.9 days in the No IABP group, P < 0.01). All patients in both groups had an event‐free 30‐day follow‐up. MACCE rate was higher in the IABP group compared to the No IABP group (47.1% vs. 23.5%, P = 0.14).

Conclusion

Insertion of an IABP during MitraClip procedure might be a feasible option to achieve comparable results and may provide additional safety and procedural hemodynamic stability in the setting of high‐risk percutaneous mitral valve repair.
Role of Transcatheter patent ductus arteriosus closure in extremely low birth weight infants
Authors: Sathanandam Shyam , Balduf Kaitlin , Chilakala Sandeep , Washington Kristen , Allen Kimberly , Knott‐Craig Christopher , Rush Waller Benjamin , Philip Ranjit
Published: September 2018

Background

Patent ductus arteriosus (PDA) is common in extremely low birth weight (ELBW) infants. The objectives of this study were to describe our early clinical experience of transcatheter PDA closure (TCPC) in ELBW infants, compare outcomes with surgical ligation of PDA (SLP), and identify risk factors for prolonged respiratory support.

Methods

A retrospective review was performed comparing infants born <27 weeks, weighing <1 kg at birth and < 2 kg during TCPC with 2:1 propensity‐score matched group of infants that underwent SLP. Change in respiratory severity scores (RSS) immediately post‐procedure and the time taken for return to pre‐procedure RSS for TCPC versus SLP was compared. Factors contributing to prolonged elevation of RSS were identified.

Results

Eighty ELBW infants (median procedure weight: 1060 [range 640–2000] grams) that underwent successful TCPC were compared with 40 infants that underwent SLP (procedure weight 650–1760 g). There was greater increase in RSS following SLP compared to TCPC (76% vs. 18%; P < 0.01). It took longer for RSS to return to pre‐procedural scores post‐SLP compared to post‐TCPC (28 vs. 8.4 hr; P < 0.01). Elevated pulmonary artery pressure (PAP) and TCPC at >8 weeks of age were associated with prolonged (>30‐days) elevation of RSS ≥ 1 (OR = 5.4, 95%CI: 2.2–9.4, P < 0.01 and OR = 2.86, 95%CI: 1.5–4.2, P = 0.05 respectively). Overall complication rate for TCPC was 3.7%.

Conclusions

TCPC is feasible in infants as small as 640‐2000 g and can be performed safely in the majority. TCPC may offer faster weaning of respiratory support compared to SLP when performed earlier in life, and before the onset of elevated PAP.