bluuebunny/crossref_metadata_2025 huggingface dataset:
Korelasi Rasio Neutrofil/Limfosit dengan Handgrip Strength pada Penyakit Ginjal Kronik Tahap Akhir
Authors: Sriyani Sriyani , Sulchan Muhammad , Chasani Shofa
Published: August 2018

Latar belakang : Pada PGK tahap akhir biasa terjadi malnutrisi energi protein. Inflamasi yangberkelanjutan akan mempengaruhi status gizi, massa dan kekuatan otot yang diukur dengan HGS.Salah satu indikator inflamasi adalah rasio neutrofil/limfosit. Secara teoritik ada hubungan negatifantara rasio neutrofil/limfosit dan handgrip strength. Tujuan: Membuktikan adanya korelasi negatif rasio neutrofil/limfosit dengan HGS pada penyakitginjal kronik tahap akhir. Metode penelitian : Penelitian korelasional ini, dilakukan di unit hemodialisa RSUP Dr. KariadiSemarang selama bulan November 2016. Subyek 40 orang, ditetapkan dengan metode consecutivesampling, diwawancara dan menjalani pemeriksaan antropometri, HGS, pemeriksaanlaboratorium darah. Uji korelasi dilakukan dengan Uji Spearman. Hasil : NLR normal pada laki-laki 52,5 % dan perempuan 15 %. NLR buruk pada laki-laki 17,5 %dan perempuan 15 %. HGS normal pada laki-laki 7,5 % dan rendah 60%. Kategori HGS normalpada perempuan 12,5% dan HGS rendah sebanyak 20%. Nilai HGS terendah subyek laki-laki danperempuan adalah 14 kg/f dan tertinggi 34 kg/f dan 24 kg/f. Uji Spearman menunjukkan tidak adakorelasi antara rasio neutrofil/limfosit dengan HGS (r= 0,27, p=0,08). Simpulan : Korelasi negatif antara nilai handgrip strength dan rasio neutrofil/limfosit tidakdapat dibuktikan. Kata kunci :rasio neutrofil/limfosit, HGS, penyakit ginjal kronik
Tekst biblijny i sprawy „zbyt powszednie”? Na marginesie kwestii tabu językowego w tradycji czeskiego przekładu biblijnego
Authors: Bartoň Josef
Published: August 2018

The case study deals with the fortunes of translation equivalents of the words ἀφεδρών//secessus (in Matthew 15,17 and Mark 7,19) and γυμνός//nudus (in John 21,7) in the Czech Biblical tradition. The paper presents the material from almost fifty Czech translations (from the end of the 13th century to this day) and shows that the expressions (notions) draught, toilet and naked disappear in certain moments and are missing in most of the translations. The author tries to demonstrate in his analyses and interpretations when, under which circumstances and why there was this specific secondary tabooization that itself (slightly) disturbs the taboo of the inviolability of the content of the sacred text.
Tadeusz Lewaszkiewicz, Język powojennych przesiedleńców z Nowogródka i okolicy, Wydawnictwo Naukowe UAM, Poznań 2017, ss. 512
Authors: Walczak Bogdan
Published: August 2018

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O polskich i słowackich depeszach kondolencyjnych w związku z atakami terrorystycznymi
Authors: Olchowa Gabriela
Published: August 2018

Occasional magazines were discussed, specifically condolences in the Polish-Slovak comparative approach. We analyzed 44 (22 PL / 22 SK) condolences delivered in the years 2015–2017 by the President of the Republic Andrzej Duda and the President of the Slovak Republic Andrej Kiska in connection with terrorist attacks. The characteristic features of condolence messages sent after terrorist attacks were indicated. Based on the collected material, two compositional diagrams and their obligatory components were distinguished. Many similarities have been found in Polish and Slovak condolence messages, which mainly originates from the diplomatic style, which imposes some formal requirements, but also some differences were noticed.
Tendencje rozwojowe współczesnej polszczyzny na podstawie innowacji uzupełniających pochodzących ze współczesnej prozy science fiction
Authors: Paczyńska Ilona
Published: August 2018

The purpose of this study was to present the potential of fiction as one of the entire source of knowledge about Polish language. The article points out omission of linguistic data coming from literary works in practical culture of language activity, reflected both in source literature and fundamental act – Ustawa o języku polskim. To begin with, authoress short presents criterion for the choice of subject of research, choosing recognized as the most innovatory works (Linia oporu, Perfekcyjna niedoskonałość) of polish SF writer – Jacek Dukaj, as source of potentially the biggest ability of contemporary Polish language development presenting. Based on excerpted supplemental innovations puts across this development (for example: to abbrevation, to precision, internationalisation, linguistic trends, neo-semantization, vulgarization, intertextuality), founded in semantic and word- formative neologisms. Then underlines determinants ensuant artistic language or literary genre and asks the questions about measurability and estimate of these linguistic phenomenon.
Optimization and Reaction Kinetics Studies on Copper-Cobalt Catalyzed Liquid Phase Hydrogenation of 5-Hydroxymethylfurfural to 2,5-Dimethylfuran
Authors: Srivastava Sanjay , Jadeja G. C. , Parikh Jigisha K.
Published: August 2018

In the present work, hydrogenation of biomass derived 5-hydroxymethylfurfural (HMF) into fuel additive 2,5-dimethylfuran (DMF) is studied over Cu-Co/Al2O3 catalyst. The influence of various operating parameters such as temperature, pressure, catalyst amount, time and HMF concentration on the conversion HMF to DMF was optimized using well known Taguchi method as statistical tool. According to Taguchi method, under optimum reaction conditions viz. temperature 220 °C, pressure 30 bar, reaction time 6 h, catalyst loading 0.5 g, and HMF concentration of 0.2 wt%, maximum DMF yield (87 %) was recorded. Analysis of variance suggested that temperature and pressure are the most influencing factor. Mechanistic study suggested that DMF can be obtained via C = O hydrogenation over Cu metal due to preferential adsorption of HMF on Cu metal which further undergoes acid catalyzed hydrogenolysis and resulted DMF. The initial rates of reaction HMF to BHMF varied linearly with hydrogen pressure at different temperatures, catalysts loading, and reactant substrate concentration. These observations indicate first order kinetics for HMF disappearance. According to power-law model, the order with respect to HMF was found to be 0.9. The experimental data could also be explained using Langmuir-Hinshelwood kinetics. A competitive hydrogen with dissociative adsorption on catalysts surface and surface reaction as the rate-controlling step provided the best fit of the experimental data.
GPER was associated with hypertension in post-menopausal women
Authors: Liu Shichao , Ding Tongbin , Liu Hang , Jian Liguo
Published: August 2018

Objective

To explore the relationship between G protein-coupled estrogen receptor (GPER) and hypertension in post-menopausal women.

Methods

Using a matched case-control design, clinical and laboratory data were collected. Conditional logistic regression with stratified analysis was conducted to identify the association between GPER and hypertension.

Results

The GPER level was significantly lower in the case group than in the control group (126.3 ± 21.6 vs. 133.6 ± 27.3, P=0.000). The GPER levels of the hypertension cases with and those without menopause were significant (120.5 ± 11.8 and 127.2 ± 12.1, P=0.000). No significant difference in the GPER level between the controls with and those without menopause was observed (P=0.241). Logistic regression revealed that the GPER quartile was related to hypertension (odds ratio [OR]: 0.63, 95% confidence interval [CI]: 0.13–0.93, P=0.018) after adjusting for potential confounding factors. Stratified analysis revealed that the GPER quartile was not associated with hypertension in premenopausal women, and the fourth GPER quartile showed a predictive association with hypertension (OR: 0.43, 95% CI: 0.29–0.90) in menopausal women.

Conclusions

GPER level is associated with hypertension and is a protective factor for hypertension in menopausal women but not premenopausal women. Further research is required due to study limitations.
De-multiplexing free on-chip low-loss multimode switch enabling reconfigurable inter-mode and inter-path routing
Authors: Sun Chunlei , Wu Wenhao , Yu Yu , Chen Guanyu , Zhang Xinliang , Chen Xia , Thomson David J. , Reed Graham T.
Published: August 2018

Switching and routing are critical functionalities for a reconfigurable bandwidth-dense optical network, and great efforts had been made to accommodate mode-division multiplexing technology. Although the reconfigurable routing for spatial-mode groups between different optical paths was realized recently, a demultiplexing-switching-multiplexing process is necessary. Here we present a simplified and compact on-chip 2×2 multimode switch that can be easily upgradable to a larger scale. Fully and reconfigurable routing between not only optical paths but also spatial modes is achieved. To obtain a low loss multimode processing, a novel structure free from demultiplexing and re-multiplexing operations is adopted. The switch enables minimum and maximum insertion losses of 0.3 and 1.2 dB, with a compact footprint of 433 μm×433 μm and low crosstalk of <−16.6 dB for all channels. It is further extended to two types of 4×4 switch fabrics with cross-bar and ring-bus architectures, as demonstrations of high-level integration. System characterization with 32 Gb/s high-speed modulated signals is also carried out, reaching up to 256 Gb/s aggregate throughput. These results verify a general solution of 2×2 multimode switch for reconfigurable inter-mode and inter-path routing applicable in large-scale and high-density multimode optical network.
Measurements of activation cross sections by cyclic activation method for (n,2n) reaction on 144Sm isotope around 14 MeV neutron energy
Authors: Reyhancan Iskender Atilla
Published: August 2018

Measurement of activation cross sections for the 144Sm(n,2n)143gSm reaction was performed by Cyclic Activation Method (CAM) around 14 MeV neutron energy. Natural samarium samples were irradiated by the neutrons produced by 3H(2H,n)4He reaction using a neutron generator. Delayed γ ray activities produced by fast neutrons in samples were measured by a high resolution γ ray spectrometer [high-purity Germanium (HpGe) detector]. The measured cross sections are compared with the results of model calculation (STAPRE code) and evaluated data (JEFF 3.0/A).
Medicine, Money, and Christian Rhetoric
Authors: Underwood Norman
Published: August 2018

This article explores the socio-economic aspects of medical care in Late Antiquity with a particular emphasis on how payments and medical costs shaped perceptions of physicians as fee-charging individuals. As it illustrates, criticisms of physicians for greed, hucksterism, and chilly indifference to the poor spanned the gamut of ancient literature, and the limited evidence for physicians’ incomes and fees under the Roman Empire does suggest that medical careers were quite profitable. For ethical and philanthropic purposes, though, many ancient physicians chose to forego payment or adjust their fees for patients of lesser means. This essay concludes with a challenge to a common scholarly assertion that the Christianization of Roman society placed greater pressure on physicians to assume more charitable practices. Christians did not differ appreciably from pagans in their criticisms of avaricious physicians; instead, I suggest, Christian leaders who inherited a tradition of censuring physicians for predatory behavior leveraged established Classical discourses about the greedy physicians and the exclusion of the poor from healthcare to persuade parishioners to support almsgiving, particularly the funding of hospitals. Clerics in this way erected a parallel healthcare economy that was explicitly outside of marketplace norms: volunteers, clerics, and paid physicians were to serve the ailing poor at hospitals, while the rich were to fund these operations by treating their diseased souls through the purgative act of almsgiving.
Repeat Head CT for Expectant Management of Traumatic Epidural Hematoma
Authors: Flaherty Brian F. , Moore Hannah E. , Riva-Cambrin Jay , Bratton Susan L.
Published: August 2018

BACKGROUND AND OBJECTIVES:

Guidelines regarding the role of repeated head computed tomography (CT) imaging in the nonoperative management of traumatic epidural hematomas (EDHs) do not exist. Consequently, some children may be exposed to unnecessary additional ionizing radiation. We describe the frequency, timing, and utility of reimaging of EDHs to identify patients who might avoid reimaging.

METHODS:

A retrospective cohort study of subjects aged 0 to 18 years with a traumatic EDH treated at a level I pediatric trauma center from 2003 to 2014. Radiographic and clinical findings, the frequency and timing of reimaging, and changes in neurologic status were compared between subjects whose management changed because of a meaningful CT scan and those whose did not.

RESULTS:

Of the 184 subjects who were analyzed, 19 (10%) had a meaningful CT. There was no difference in the frequency of CT scans between the meaningful CT scan and no meaningful CT groups (median 1 [interquartile range 1–2] in no meaningful CT and median 1 [interquartile range 1–2] in meaningful CT scans; P = .7). Only 7% of repeated CTs changed management. Neurologic status immediately before the repeat scan (odds ratio 45; 95% confidence interval 10–200) and mass effect on the initial CT (odds ratio 4; 95% confidence interval 1.5–13) were associated with a meaningful CT. Reimaging only subjects with concerning pre-CT neurologic findings or mass effect on initial CT would have decreased imaging by 54%.

CONCLUSIONS:

Reimaging is common, but rarely changes management. Limiting reimaging to patients with concerning neurologic findings or mass effect on initial evaluation could reduce imaging by >50%.
Nuevos registros y ampliación de distribución de aves en la vertiente occidental, cordillera oriental, Santander, Colombia
Authors: Cordoba Cordoba Sergio , Sierra Socorro
Published: August 2018

Las aves de la vertiente occidental de la Cordillera Oriental en Santander han sido poco estudiadas. La Serranía de los Yariguíes y zonas aledañas, al norte del municipio de El Peñón, han sido muestreados en la última década con nuevas subespecies descritas y ampliaciones de distribución. Estudiamos las aves de la parte alta del municipio de El Peñón entre los 2750 a 2850 m s.n.m. durante ocho días de campo en agosto de 2016, mediante captura con redes de niebla y observaciones visuales y auditivas en bosques de roble. Registramos 77 especies de aves pertenecientes a 13 órdenes y 29 familias. La familia mejor representada fue Tyrannidae (Atrapamoscas) con 12 especies, seguida por Trochilidae (Colibríes) con nueve y Thraupidae (Fruteros y afines) con ocho. Registramos la ampliación de distribución geográfica para la endémica Pyrrhyra calliptera para el flanco occidental de la Cordillera Oriental, la segunda localidad para Macroagelaius subalaris para este flanco y al sur de los registros conocidos de la Serranía de los Yariguíes, ampliaciones menores o confirmación de presencia para 18 especies y otras 11 poco conocidas para este flanco. Casi el 45 % de los individuos capturados presentaron indicios de actividad reproductiva (parches de incubación o gónadas desarrolladas). Así mismo, 50 % de los individuos se encontraban mudando el plumaje, donde 15 % presentaron solapamiento entre muda y reproducción. Aunque comparte especies con los bosques al norte y sur, los bosques de roble remanentes están en buen estado e inmersos entre ecosistemas cársticos poco conocidos.
Tolerance of common snook juveniles to acute nitrate
Authors: Pedrotti Fabiola , Magnotti Caio , Sterzelecki Fabio , Cerqueira Vinicius
Published: August 2018

El presente estudio tuvo como objetivo evaluar la toxicidad aguda de nitrato en juveniles cultivados de róbalo común Centropomus undecimalis (Bloch 1972). Los peces (20,35±6,10 g y 13,90±1,75 cm) se sometieron a un tratamiento control (sin adición de nitrato) más 20 concentraciones crecientes de nitrato hasta 2735 mg L-1 obtenidas con nitrato de sodio. El sistema era semiestático, con renovación diaria de agua y adición de nitrato de sodio para mantener las respectivas concentraciones. La temperatura del agua fue 20,99±0,55 °C, oxígeno disuelto 6,79±0,21 mg L-1, pH 8,23±0,10, alcalinidad 141,80±7,68 mg L-1 CaCO3, salinidad 33,47±3,75 g L-1, amoníaco total y nitrito menor que 1 mg L-1. Durante el período experimental, no se observaron mortalidades en peces con o sin adición de nitrato. Comparado con otras especies, el róbalo común es más resistente a exposición de nitrato. Con base en los hallazgos actuales, la exposición aguda a nitrato hasta 2735 mg L-1 no presenta un riesgo letal para los juveniles de róbalo.
Artificial Neuronal Networks: A Bayesian Approach Using Parallel Computing
Authors: Guzmán Eduardo , Vázquez Mario , Del Valle David , Pérez-Rodríguez Paulino
Published: August 2018

An Artificial Neural Network (ANN) is a learning paradigm and automatic processing inspired in the biological behavior of neurons and the brain structure. The brain is a complex system; its basic processing unit are the neurons, which are distributed massively in the brain sharing multiple connections between them. The ANNs try to emulate some characteristics of humans, and can be thought as intelligent systems that perform some tasks in a different way that actual computer does. The ANNs can be used to perform complex activities, for example: pattern recognition and classification, weather prediction, genetic values prediction, etc. The algorithms used to train the ANN, are in general complex, so therefore there is a need to have alternatives which lead to a significant reduction of times employed to train an ANN. In this work, we present an algorithm based in the strategy ``divide and conquer'' which allows to train an ANN with a single hidden layer. Part of the sub problems of the general algorithm used for training are solved by using parallel computing techniques, which allows to improve the performance of the resulting application. The proposed algorithm was implemented using the C++ programming language, and the libraries Open MPI and ScaLAPACK. We present some application examples and we asses the application performance. The results shown that it is possible to reduce significantly the time necessary to execute the program that implements the algorithm to train the ANN.
La Federación de Mujeres Cubanas y su labor con las familias
Authors: Serrano Lorenzo Yanesy De la Caridad
Published: August 2018

Este artículo responde a una investigación sobre el surgimiento de la Federación de Mujeres Cubanas (fmc) como una organización que incluye a las mujeres en el proyecto político de la revolución. La fmc promueve la igualdad de derechos y oportunidades de las mujeres, trabaja por el bienestar familiar desplegando labores comunitarias para la ejecución de sus acciones de concienciación, mediante actividades educativas, orientadoras, preventivas y de atención social, con el fin de revertir las desigualdades de género. Actualmente, la organización se enfrenta al desafío de responder de manera acertada a las dinámicas de la nueva sociedad cubana.
Using local ecological knowledge to access the distribution of the Endangered Caatinga howler monkey (Alouatta ululata)
Authors: Freire Filho Roberio Gomes , Pinto Thieres , Bezerra Bruna Martins
Published: August 2018

Traditional or Local Ecological Knowledge (LEK) has contributed to the development of conservation strategies for many species, including primates. A lack of basic knowledge about the Endangered Caatinga howler monkey (Alouatta ululata) in Northeastern Brazil makes it difficult to design and implement effective conservation strategies. We aimed to improve our understanding of the geographic range of A. ululata, collect LEK on the species, and understand how people interact with these howlers. We conducted semi-structured interviews with members of local communities in two regions within the currently known distribution range of the Caatinga howler monkey. The maps were constructed based on the information currently available in the literature and on the data obtained through our semi-structured interviews. We identified new areas of occurrence for Caatinga howler monkeys, increasing the species’ range in a Northeastern direction in the state of Ceará. Gross domestic product (GDP) and population size were inversely related to the amount of knowledge that the local human population showed about the Caatinga howler monkeys. Local knowledge of howling hours and seasons may increase the chances of researchers locating the species, optimizing time and funding resources. Despite a positive attitude towards Caatinga howler monkeys in both regions (i.e. howlers were not killed in retaliation for crop raiding and locals found their vocalizations pleasant), we identified poaching and medicinal uses of the species. Our data demonstrated that the range of Caatinga howler monkeys was larger than previously recorded and also that local knowledge was crucial for triangulating the species location.
The Sociology of Pierre Bourdieu: theoretical potential for the subfield of nursing
Authors: Souza Deise Ferreira , Silvino Zenith Rosa
Published: August 2018

ABSTRACT Objective: to approach the basic conceptions of Pierre Bourdieu's sociology and its articulation with the subfield of nursing by focusing on managerial aspects. Method: reflections are based on the concepts of field, habitus, capital and symbolic power applied to the subfield of nursing by favoring the understanding of organizational dynamics and its agents. Result: health institutions are living structures in the adverse social world where nursing agents' interests express their way of thinking and acting according to the place they occupy in the organization. These spaces of fight and symbolic violence tend to inculcate ideologies that meet these agents' interests. Final Considerations: The proposition theory is fruitful to reflect the practice of management by unveiling the relationships and role that organizations establish about their agents. She warns about the possibility of seeing changes in the subfield of nursing.
Assessment of professional competence of nurses in emergencies: created and validated instrument
Authors: Holanda Flávia Lilalva de , Marra Celina Castagnari , Cunha Isabel Cristina Kowal Olm
Published: August 2018

ABSTRACT Objective: To create an instrument to assess the professional competence of nurses in emergencies. Method: Methodological study carried out between 2013 and 2016 in a Brazilian university. We used the Pasquali's model and Psychometrics as references because they allow subjective phenomena to be measured. The survey covered defining steps of the behavior to be measured, the formulation of the items in the instrument, development of instructions for using the instrument and elements necessary to demonstrate validity evidence. Although we have previously performed, in a distinct and consecutive way, the literature review, definition of the Core (or Matrix) Competence and the Competence Profile, and identification of validity with Delphi, essential components to structure a technology, in this step we continued the conclusion of these Theoretical Procedures. Result: We created an instrument for self- and/or hetero-evaluation containing: personal/professional/academic characterization, Competency Scale, fictitious cases and actions representing the practice. Conclusion: We created a new soft-hard technology based on the validity evidence of contents according to experts of the five regions of Brazil.
Competences and Barriers for the Evidence-Based Practice in Nursing: an integrative review
Authors: Camargo Fernanda Carolina , Iwamoto Helena Hemiko , Galvão Cristina Maria , Pereira Gilberto de Araújo , Andrade Raymann Benzi , Masso Giovanna Crispim
Published: August 2018

ABSTRACT Objective: To analyze knowledge, attitudes, practices, and frequent barriers to the implementation of the Evidence-Based Practice among nursing assistants in the hospital. Method: This is an integrative review, whose search for primary studies occurred in the PubMed, CINAHL and LILACS databases. For the analysis, cross-sectional observational studies were included in English, Portuguese and Spanish, published in nursing journals, from January 2007 to July 2016. Results: The search resulted in 363 articles, including nine primary studies. The sources of recurrent evidence among care nurses were: personal experience and local care protocols. These professionals presented weaknesses in the implementation of the Evidence-Based Practice related to the lack of knowledge for evidence evaluation, work overload and resistance to change of practice. Final considerations Nurses presented favorable attitudes, however, with little knowledge to perform the Evidence-Based Practice. Results can support interventions for its implementation in the hospital.
Contributions of Jean Watson's theory to holistic critical thinking of nurses
Authors: Riegel Fernando , Crossetti Maria da Graça Oliveira , Siqueira Diego Silveira
Published: August 2018

ABSTRACT Objective: to reflect on the contributions of Jean Watson's theory to the nurses' holistic critical thinking. Method: This is a theoretical reflection article, on which scientific productions about Jean Watson's human care theory, published in national and international periodicals, were based. Results: Jean Watson's theory and its contribution to the nurses' holistic critical thinking; the interface of critical holistic thinking in teaching the nursing diagnosis process according to Watson's theory; contributions of critical holistic thinking to the nursing field. Final considerations: Jean Watson's theory is based on the humanistic aspects and on the ethical and spiritual dimensions of care, considering the characteristics of each individual and their bio-psycho-spiritual-social needs, which can contribute fundamentally to the development of holistic critical thinking and to the role of the nurse in care, teaching and research fields
Workload: a comparison between the online and observational methods
Authors: Somensi Rute Merlo , Caregnato Rita Catalina Aquino , Cervi Gustavo Henrique , Flores Cecilia Dias
Published: August 2018

ABSTRACT Objective: To measure nursing Workload (WL) of nurses who work in the Inpatient Unit, as recommended by the Nursing Interventions Classification (NIC), comparing observational and online methods to propose supervision strategies for academic professionals. Method: Quantitative, descriptive, observational study performed in a Clinical/Surgical Hospital Unit. 30 direct and indirect activities. Data collected in observational and online records. Statistical analysis: SPSS 18.0 software, percentage frequencies and associated times between groups by Fisher's Exact test, 95% confidence interval, significance level 5%. Results: Comparing the activities performed with the NIC time: from the direct 16, five observational and five online, were out of range, with no significant difference between frequencies (P=0.427). Of the 14 indirect, only in the observational, two were out of the range, without significant difference (P=0.486). Conclusion: Both methods measure WL; the online method developed accompanies activities performed in real time.
Cross-mapping of results and Nursing Interventions: contribution to the practice
Authors: Morais Sheila Coelho Ramalho Vasconcelos , Nóbrega Maria Miriam Lima da , Carvalho Emilia Campos de
Published: August 2018

ABSTRACT Objective: To evaluate, through cross-mapping, the correspondence of the expected results and prescriptions written by nurses among those contained in the Interventions Classifications and Nursing Results, for the diagnosis “Ineffective peripheral tissue perfusion”. Method: Descriptive study, using the case study and the mapping. The content of the case study was validated, with a rate of 93.75%. In the mapping of the statements of the nursing phenomena, written by the participants with the standardized language systems, a concordance index of 100% and 90% was obtained. Results: Three statements of expected results and 19 prescribed care were analyzed. Of these, four presented correspondences with the classification of results and the same number with the classification of the interventions. Conclusion: The mapping allowed the correspondence of the terms adopted by the nurses with the standardized language systems and showed a didactic material to verify the pertinence of the decision making.
Hands hygiene and the use of gloves by nursing team in hemodialysis service
Authors: Silva Darlyani Mariano da , Marques Bianca Miranda , Galhardi Nathalia Malaman , Orlandi Fabiana de Souza , Figueiredo Rosely Moralez de
Published: August 2018

ABSTRACT Objective: to analyze the adhesion of the nursing team to the practice of hands hygiene (HH) and the use of latex gloves in a hemodialysis service. Method: this is a descriptive-exploratory study with a quantitative approach, performed between August and October 2016 in a hemodialysis service in the countryside of São Paulo State, Brazil, where the nursing team adhered to HH and the use of gloves. All ethical aspects have been contemplated. Results: there were 1090 opportunities for HH, with the adhesion rate being only 16.6%. Regarding the use of gloves, of the 510 opportunities observed, there was correct use in 45%, reuse in 25% and absence of latex gloves in 29% of the time. Conclusion: the rate of HH and adherence to gloves is far from ideal, contributing to the increased risk of infection for both the user and the professional.
Directly Observed Treatment: planning perspectives, improvisation and transfer of policy
Authors: Peruhype Rarianne Carvalho , Costa Simone Gomes , Hoffmann Juliana Feliciati , Bissell Karen , Mitano Fernando , Sá Lenilde Duarte de , Palha Pedro Fredemir
Published: August 2018

ABSTRACT Objective: to investigate the possibilities of positive and negative association of improvisation and the understanding of what will be the planning by managers and coordinators of tuberculosis control programs, in a context of transference of the Directly Observed Treatment policy. Method: this is a qualitative study, developed through semi-structured interviews analyzed in the light of French Discourse Analysis. Results: there was a weakening of the constructive and operational planning process, which is at the mercy of political will and the need of putting out fires. This, in turn, along with achômetro (Brazilian popular expression used on unsubstantiated point of view or opinion that is based solely and exclusively on the intuition of the person who says it), composed the metaphor of improvisation in its negative perspective, understood by automatism and unsystematization process. Improvisation, however, emerged as a representation of innovation, creativity, and contextual change. Final considerations: both the planning and the transfer of public policies constitute processes that need to be strengthened and qualified in the field of public health.
Morpho-genetic profiling and phylogenetic relationship of guava (Psidium guajava l.) as genetic resources in Pakistan
Authors: Kareem Abdul , Jaskani Muhammad Jafar , Mehmood Asim , Khan Iqrar Ahmad , Awan Faisal Saeed , Sajid Muhammad Wasim
Published: August 2018

Abstract Guava (Psidium guajava L.) is an open-pollinated crop having 25-40% dissimilarity index which promotes heterozygosity and adds new cultivars. Morpho-genetic characterization of 37 guava accessions was carried out for genetic variability and structure of guava germplasm located in Punjab province, Pakistan. Principal Component analysis (PCA) was subjected to analyze the morphological diversity and for genetic analysis we applied cluster analysis, using the PyElph software. PCA distributed thirty one traits into six components and first two components accounted 39.5% of total variation. A dendrogram constructed on the basis of morphological traits which showed 34% dissimilarity index among thirty seven guava accessions and divided them into 6 groups. For genetic characterization 18 microsatellites were used, the size of reproducible and scorable bands ranged from 150 to 320 bp. The 18 primer pairs amplified 85 alleles with an average number of 4.7 alleles per locus and no more than two displayed bands (nuclear SSR loci). The phylogenetic tree based on molecular analysis showed 50% dissimilarity index among selected guava accessions and separated them into 4 groups.
Repercussões em longo prazo da derivação gástrica em Y de Roux em população de baixa renda: avaliação após dez anos de cirurgia.
Authors: Rolim Francisco Felippe de Araújo , Cruz Fernando Santa , Campos Josemberg Marins , Ferraz Álvaro Antônio Bandeira
Published: August 2018

RESUMO Objetivo: avaliar a evolução ponderal, nutricional e a qualidade de vida de pacientes de baixa renda, após dez anos de derivação gástrica em Y de Roux (DGYR). Métodos: estudo longitudinal, retrospectivo e descritivo, que avaliou a perda do excesso de peso, o reganho de peso, a evolução da hipertensão arterial, do diabetes mellitus tipo 2, da anemia e da hipoalbuminemia em 42 pacientes de classes sociais D e E submetidos à DGYR. A qualidade de vida foi avaliada através do Bariatric Analysis and Reporting Outcome System (BAROS). Resultados: dos 42 pacientes, 68,3% se definiram como não praticantes de atividade física regular, e somente 44,4% e 11,9% tinham acompanhamento médico e nutricional regulares, respectivamente. Foi encontrada média da perda do excesso de peso de 75,6%±12 (IC=71,9-79,4) e perda ponderal insuficiente apenas em um paciente. O reganho ponderal médio foi de 22,3%±16,2 (IC=17,2-27,3), com 64,04% da amostra apresentando reganho maior do que 15% do peso mínimo. 52,3% da amostra apresentou anemia após dez anos de cirurgia e 47,6% deficiência de ferro. Hipoalbuminemia foi encontrada em 16,6% da amostra. Houve remissão da HAS em 66% e do diabetes mellitus tipo 2 em 50%. O BAROS demonstrou melhora na qualidade de vida em 85,8% dos pacientes. Conclusão: pudemos observar, em uma população com diversas limitações socioeconômicas, que a DGYR manteve resultados satisfatórios quanto à perda peso, mas o seguimento ineficiente pode comprometer o resultado final, especialmente no que diz respeito às deficiências nutricionais.
O QUE É ENSINAR A ORALIDADE? ANÁLISE DE PROPOSIÇÕES DIDÁTICAS APRESENTADAS EM LIVROS DESTINADOS AOS ANOS INICIAIS DA EDUCAÇÃO BÁSICA
Authors: Costa-Maciel Débora Amorim Gomes da , Bilro Fabrini Katrine da Silva
Published: August 2018

RESUMO: Os documentos que norteiam o ensino de Língua Portuguesa incorporam a compreensão de que a oralidade é um objeto a ser ensinado e aprendido. Mas de que forma os livros didáticos asseguram a sistematização desse eixo de ensino? Nesse artigo, investigamos o repertório de gêneros orais presente em cinco coleções de livros de Língua Portuguesa, destinadas ao Ensino Fundamental. Tomamos para a análise atividades presentes em duas das cinco coleções investigadas, tratando-as de forma prevalentemente qualitativa, com emprego de elementos da técnica da análise de conteúdo categorial. O aporte teórico ancorou-se na concepção de língua enquanto interação e na compreensão da oralidade enquanto objeto de ensino-aprendizagem. As atividades analisadas evidenciaram uma proposta de ensino que possibilita aos educandos práticas de linguagem para a formação cidadã, conjuntamente ao desenvolvimento da expressão oral e da utilização da linguagem formal nas diversas práticas sociais.
AÇÃO E RACIOCÍNIO PEDAGÓGICO DE PROFESSORAS DE ENFERMAGEM: EXPRESSÕES EM DIFERENTES CONTEXTOS EDUCACIONAIS
Authors: Menegaz Jouhanna do Carmo , Backes Vânia Marli Schubert , Moya José Luis Medina
Published: August 2018

RESUMO Objetivo: relacionar fontes de conhecimento base para o ensino, categorias de conhecimento base para o ensino e fases da ação e raciocínio pedagógico de professoras de ensino superior em enfermagem em universidades pública e privada da região Sul do Brasil. Método: estudo coletivo de casos instrumentais com abordagem qualitativa. São casos a ação e raciocínio pedagógico de duas professoras de enfermagem. A coleta de dados incorporou documentos, entrevistas e observação analisados pelo método das comparações constantes. A análise originou duas metacategorias, denominadas caso pública e caso privada, e seus eixos transversais: relações entre fontes e conhecimento base para o ensino, relações entre categorias de conhecimento base para o ensino, e relações entre conhecimento-base e Modelo de Ação e Raciocínio Pedagógico. Resultados: há relações distintas entre fontes, conhecimento-base e fases do Modelo na ação e raciocínio pedagógico dos casos. Conclusão: destacam-se a hierarquização e encadeamento nas relações entre os construtos de Shulman e sugere-se o estímulo à reflexão e a ampliação das fontes de conhecimento-base como meio de formação docente.
PREDIÇÃO DE RISCO DE LESÃO POR PRESSÃO EM PACIENTES DE UNIDADE DE TERAPIA INTENSIVA: REVISÃO INTEGRATIVA
Authors: Zimmermann Guilherme dos Santos , Cremasco Mariana Fernandes , Zanei Suely Sueko Viski , Takahashi Satomi Mori , Cohrs Cibelli Rizzo , Whitaker Iveth Yamaguchi
Published: August 2018

RESUMO Objetivo: identificar os instrumentos que são utilizados para avaliar o risco de lesão por pressão em pacientes críticos adultos de unidade de terapia intensiva e analisar a capacidade preditiva dos mesmos. Método: revisão integrativa observando-se os critérios para seleção dos estudos: avaliação do risco de lesão por pressão em pacientes internados em unidade de terapia intensiva de adultos por meio de escala ou índice; mensuração da capacidade preditiva do instrumento aplicado; idiomas inglês, português ou espanhol; período entre 1962 e 2016. Os descritores utilizados foram: pressure ulcer ou pressure sores e risk assessment. As variáveis de interesse foram: sensibilidade, especificidade, valor preditivo positivo, valor preditivo negativo e área sob a curva receiver operator characteristic. Resultados: : foram identificadas 1032 publicações e deste total foram selecionados 13 estudos para análise. A predição do risco para lesão por pressão foi mensurada unicamente com escalas genéricas em sete dos 13 estudos. Nos estudos comparativos de escalas específicas de unidade de terapia intensiva com escalas genéricas, o valor preditivo negativo foi elevado e todos com área da curva receiver operator characteristic com valores acima de 0,700. Entre as escalas genéricas predominou a escala de Braden. Foram identificadas seis escalas que apresentaram boa capacidade preditiva para avaliar risco de lesão por pressão em pacientes de unidade de terapia intensiva. Conclusão: : esta revisão revelou uma variedade de escalas preditivas, genéricas e específicas, que são utilizadas para avaliação de risco de lesão por pressão no paciente de unidade de terapia intensiva.
SEQUÊNCIA DE ROBIN ISOLADA: DIAGNÓSTICOS DE ENFERMAGEM
Authors: Souza Natália Fernanda Higa de , Pereira Patrícia Juliana Santos , Farinha Francely Tineli , Menezes Daiane Cabrera , Bom Gesiane Cristina , Trettene Armando dos Santos
Published: August 2018

RESUMO Objetivo: identificar os diagnósticos de enfermagem em lactentes com Sequência de Robin isolada. Método: estudo descritivo desenvolvido em um hospital especializado em anomalias craniofaciais e síndromes relacionadas, no período de novembro de 2015 a março de 2016. Participaram 20 lactentes com Sequência de Robin isolada. Para a coleta de dados utilizou-se o histórico de enfermagem. Os diagnósticos de enfermagem foram elencados segundo a Nanda-Internacional. Para confecção dos resultados utilizou-se a análise estatística descritiva. Resultados: foram identificados oito diagnósticos, sendo cinco com foco no problema e três de risco, incluindo: risco de aspiração (n=20, 100%); risco de infecção (n=20, 100%); amamentação ineficaz (n=19, 95%); nutrição desequilibrada: menor do que as necessidades corporais (n=19, 95%); padrão ineficaz de alimentação do lactente (n=19, 95%); risco de integridade da pele prejudicada (n=18, 90%); desobstrução ineficaz das vias aéreas (n=11, 55%) e ventilação espontânea prejudicada (n=11, 55%). Conclusão: lactentes com Sequência de Robin isolada apresentaram diagnósticos de enfermagem que se relacionaram a problemas respiratórios, alimentares, de segurança e conforto e favoreceram o planejamento e implementação dos cuidados de enfermagem ao traçarem um perfil assistencial.
Saúde bucal e consultório na rua: o acesso como questão central da discussão
Authors: Silva Lílea Marianne Albuquerque , Monteiro Ive da Silva , Araújo Ana Beatriz Vasconcelos Lima de
Published: August 2018

Resumo Introdução Há uma grande demanda de saúde bucal por parte da população em situação de rua (PSR). Objetivo Este estudo objetivou analisar as principais necessidades e dificuldades relativas ao cuidado de saúde bucal dessa população no Distrito Sanitário I do município do Recife. Método Trata-se de um estudo exploratório, descritivo, com abordagem qualitativa. Para tanto, foram realizadas entrevistas semiestruturadas com 7 moradores de rua, 4 trabalhadores do Consultório na Rua (CnaR) e 12 cirurgiões-dentistas da atenção básica, analisadas, em seguida, de acordo com o método de análise de conteúdo. Resultados Dentre as principais necessidades de saúde bucal, foi relevante o apontamento do acesso ao atendimento clínico odontológico por todos os atores, sendo ele também referenciado como dificuldade e solução para o atendimento da PSR. A adesão ao tratamento foi citada como dificuldade pelos cirurgiões-dentistas. Entretanto, essa citação demonstrou possivelmente ser reflexo tanto de preconceito como de acolhimento precário na consulta odontológica, conforme denunciado pelos trabalhadores do CnaR e moradores de rua. Conclusão Faz-se necessário fortalecer as equipes de saúde bucal e do CnaR por meio de educação permanente, de tal modo que o acesso a ações em serviços de saúde bucal para o morador de rua seja efetivado.
Associação entre problemas vocais e tempo de trabalho em servidores públicos de uma Universidade Federal do sul do Brasil
Authors: Almeida Letícia Maria da Silva , Dumith Samuel Carvalho
Published: August 2018

Resumo Introdução A voz é importante meio de comunicação além de ser considerado um instrumento de trabalho fundamental. Em função das interações do ambiente físico e social, o trabalho pode interferir na qualidade da voz e, por consequência, na vida do trabalhador. Objetivo Investigar a associação entre presença de problemas vocais com sexo, tempo de trabalho, função desempenhada e o estresse percebido entre servidores de uma universidade federal brasileira. Método Estudo observacional, transversal e quantitativo. O público da pesquisa foram os servidores efetivos que estavam em atividade no segundo semestre de 2016 de qualquer dos campi da Universidade Federal do Rio Grande. O instrumento de avaliação foi enviado por e-mail. O questionário foi composto por perguntas que inquiriam dados demográficos e duas avaliações padronizadas: Qualidade de vida em voz e Escala de Estresse Percebido. A análise descritiva tratou da frequência absoluta e relativa. O nível de significância estatístico utilizado foi de 5% para testes bicaudais. Resultados A amostra foi de 708 servidores (36,1% do total). A prevalência de problemas vocais encontrada foi de 24,3% (IC95% 21,1% a 27,4%). Os problemas vocais foram mais frequentes nos servidores que atuavam há mais de 10 anos, principalmente em indivíduos do sexo masculino e em técnicos administrativos. Os resultados demonstram que os indivíduos com maior nível de estresse apresentam menos problemas vocais. Conclusão Concluiu-se que houve maior ocorrência de problemas vocais nos servidores com maior tempo de trabalho e em indivíduos com menor nível de estresse.
Fatores associados ao conhecimento de agentes comunitários de saúde em relação à saúde bucal
Authors: Santana Tatiane Brito , Azevedo Bruno Del Sarto , Maia Ana Carolina Del-Sarto Azevedo
Published: August 2018

Resumo Introdução É importante que os agentes comunitários de saúde (ACS) possuam conhecimentos suficientes para a realização de práticas educativas e o encaminhamento adequado do usuário, colaborando para o enfrentamento dos problemas de saúde pela população. Objetivo Analisar os fatores associados ao conhecimento de ACS em relação à saúde bucal. Método Estudo transversal, realizado com 255 ACS, em Jequié, Bahia, Brasil. Dois questionários foram utilizados para caracterização sociodemográfica e ocupacional e para avaliação do conhecimento sobre saúde bucal. A magnitude das associações foi aferida por meio da razão de prevalência e do intervalo de confiança de 95%. Resultados O baixo nível de conhecimento sobre saúde bucal se mostrou diretamente associado ao sexo masculino, à menor escolaridade, ao maior tempo de serviço na profissão e à ausência do cirurgião-dentista no quadro funcional da unidade. Conclusão Os achados deste estudo fornecem novos conhecimentos a serem considerados por gestores e profissionais responsáveis pela educação em saúde bucal dos ACS, sobretudo ao destacar o impacto positivo que pode ter a presença do dentista dentro da equipe de saúde para a expansão desses conhecimentos.
The effects of fish feeding by visitors on reef fish in a Marine Protected Area open to tourism
Authors: Paula Yuri Cruz de , Schiavetti Alexandre , Sampaio Cláudio L. S. , Calderon Emiliano
Published: August 2018

Abstract: Coral reef-based tourism has risen sharply across the globe, coupled with an increase in fish feeding by visitors. Studies indicate that fish feeding is one of the leading causes of changes in distribution patterns, abundance, the structure of marine fish communities, and fish behavior. The aim of this study was to determine the effect of human presence and fish feeding on the behavior of reef fish by conducting in situ experiments in tide pools in a Marine Protected Area located at the northern limit of the Abrolhos Bank in the South Atlantic Ocean. Eight feeding sessions were conducted and filmed, resulting in a total of 160 minutes of video footage. Each filming session recorded four different experimental conditions alternating between human presence, human absence, and fish feeding. Our findings suggest that fish feeding may cause changes in fish behavior, such as habituation to human presence, conditioning to fish feeding, increased aggressiveness, attacks on humans, and short-term changes in species distribution. The continuation of fish feeding over time can cause an increase in the size of the populations of species that consume food provided during feeding and consequently trigger changes in the structure of communities.
Diagnóstico e tratamento da síndrome de quebra-nozes (nutcracker ): revisão dos últimos 10 anos
Authors: Macedo Guilherme Lourenço de , Santos Matheus Alves dos , Sarris Andrey Biff , Gomes Ricardo Zanetti
Published: August 2018

Resumo A síndrome de quebra-nozes é caracterizada por um grupo de manifestações clínicas que ocorrem por conta da compressão da veia renal esquerda. Seus principais sintomas são macro e micro-hematúria, proteinúria e dor no flanco. O diagnóstico é geralmente realizado após a exclusão de outras causas mais comuns, por conta da ausência de critérios clínicos para diagnóstico. Sua confirmação é feita por exames de imagem, com uso da ultrassonografia Doppler e tomografia computadorizada. O tratamento pode variar com as características do paciente e com a gravidade dos sintomas, e inclui o tratamento conservador, a cirurgia aberta e a cirurgia endovascular. Atualmente, a cirurgia aberta continua sendo a linha de frente, mas abordagens menos invasivas vêm ganhando cada vez mais espaço.