bluuebunny/crossref_metadata_2025 huggingface dataset:
TURNING A NEW APPROACH FOR COOPERATIVE DEVELOPMENT IN JUNIOR HIGH SCHOOL: CONCEPTS, EVIDENCE, AND BEST PRACTICE MODEL
Authors: Rufaidah Erlina , Thahir Andi
Published: August 2019

Purpose: Cooperatives nowadays have become an alternative to the large-scale corporate entity as well as to independent unaffiliated small private business model. This article presents a depth modelling narrative on cooperative organizational forms' development in business-school model. This speaks to issues of both developments of cooperatives in educational institutions and how it will have linked to schools' entity as part of human resource development and organizational reforms.

Methodology: The case is made based on the findings of Brog and Gall which construct in two stages of activity. The first stage is a model development which is based on observation of the initial model based on related theories. The second stage is enhancing social and economic model of cooperatives at the school to validate the remaining rules and regulations. Regarding cooperatives’ development, the theory says institutional framework and design analysis does matter as the critical points for development and sustainability of cooperative at the school now and the future.

Results: Therefore, finding the best formula for cooperative in the educational organization deserve a huge attention for academician, practitioners as well as government. In addition, the implementation and practice of cooperative at the school will fit business-school model and create greater impact for school’s members. Overall, finding a new approach will generate the development of cooperatives to the next level.
USO DA TEORIA DO CONFORTO DE KOLCABA NA IMPLEMENTAÇÃO DO PROCESSO DE ENFERMAGEM: REVISÃO INTEGRATIVA
Authors: Cardoso Rosane Barreto , Caldas Célia Pereira , Souza Priscilla Alfradique de
Published: August 2019

Objetivo: Analisar as evidências científicas acerca do uso da teoria do conforto de Kolcaba na implementação do processo de enfermagem. Método: Trata-se de uma revisão integrativa, com estudos entre 2000 a 2017, com pesquisas realizada nos bancos de dados da CINAHL, LILACS, PubMED, SCOPUS e Web Of Science, obedecendo seis etapas correlacionadas. Resultados: Foram encontrados 16 artigos dos quais emergiram quatro categorias temáticas: processo de enfermagem no contexto da saúde da criança, do adulto, da mulher e do idoso. Observou-se que o uso da teoria do conforto possibilitou aos enfermeiros cumprimento de fases do processo de enfermagem. Conclusão: Conclui-se que a teoria do conforto é um referencial teórico que fundamenta o processo de enfermagem e potencializa o conforto como resultado da assistência de enfermagem.
INFLUÊNCIA DE CONDIÇÕES SOCIOECONÔMICAS E DE SAÚDE EM CRIANÇAS NA OCORRÊNCIA DE DIARREIA INFANTIL
Authors: Joventino Emanuella Silva , Oliveira Brena Shellem Bessa , Oliveira Rhaiany Kelly Lopes , Melo Francisca Mayra Sousa , Oriá Mônica Oliveira Batista , Ximenes Lorena Barbosa
Published: August 2019

Objetivo: Verificar a associação entre diarreia infantil com características socioeconômicas e condições de saúde dessas crianças. Método: Estudo transversal realizado com 448 mães de crianças menores de cinco anos, cujos filhos encontravam-se cadastrados em seis Unidades de Atenção Primária à Saúde do interior do Ceará. Os dados foram analisados por meio dos testes linear by linear e quiquadrado. Resultados: Verificou-se associação estatisticamente significante entre diarreia infantil e as seguintes variáveis: renda per capita (p=0,001); idade da criança (p=0,001); sabão próximo às torneiras da casa (p=0,018); tratamento da água (p=0,012); origem da água (p=0,010); cobertura dos recipientes de armazenamento da água (p=0,019); tipo de sanitário (p=0,046); amamentação exclusiva até os seis meses (p=0,005) e internação da criança no primeiro mês de vida (p=0,049). Conclusão: As variáveis socioeconômicas e as condições de saúde da criança estão associadas à ocorrência de diarreia infantil.
EDUCAÇÃO EM SAÚDE NO ENSINO DE GRADUAÇÃO EM ENFERMAGEM
Authors: Moreira Marcela Nojiri , Silva Maria Paula Custódio , Duarte Ana Paula Geralda Moreira , Resende Marina Pereira , Amaral Jesislei Bonolo do , Contim Divanice
Published: August 2019

Objetivo: identificar as disciplinas que nos seus conteúdos apresentam temas sobre educação em saúde. Método: Estudo qualitativo, na modalidade documental, constituído de fontes primárias produzidas entre 2010 e 2015. Os dados foram submetidos à técnica de Análise Textual Discursiva. Resultados: duas disciplinas apresentam na ementa o descritor exato educação em saúde, esses componentes situavam-se no quinto e no décimo período, nove referências básicas traziam nos seus títulos o descritor educação em saúde e um objetivo do plano pedagógico expressava o descritor educação em saúde. Conclusão: constatou-se que a educação em saúde é importante ferramenta de construção profissional, ocupando posição de destaque na formação de acadêmicos de enfermagem, no entanto, sendo necessário rediscutir seu conceito.
ENFRENTAMENTO DE FAMILIARES DE PACIENTES EM TRATAMENTO ONCOLÓGICO
Authors: Carbogim Fábio Da Costa , Pereira Ramony Zanotti de Assis , Luiz Franciane Da Silva , Andrade Rodrigo De Oliveira , Tony Ana Carolina Carraro , Paiva Andyara Do Carmo Pinto Coelho
Published: August 2019

Objetivo: compreender como os familiares de pessoas em tratamento oncológico lidam com o enfrentamento da doença. Método: estudo descritivo, exploratório de natureza qualitativa, realizado na clínica médica e clínica cirúrgica de um Hospital Oncológico Filantrópico do interior do Estado de Minas Gerais. Foram entrevistados 10 acompanhantes de pacientes internados, por meio de um questionário semiestruturado. Os dados foram analisados utilizando-se a técnica de análise de conteúdo. Resultado: foi identificada mudança de rotina familiar, além do relato de sentimentos de desespero, não aceitação, insegurança, despreparo, angústia e medo de perda do ente acometido pelo câncer. A complexidade e morosidade dos recursos convencionais intensificam o sofrimento dos familiares. Em contrapartida, a espiritualidade emerge como recurso para enfrentamento da doença. Conclusão: os familiares percebem a espiritualidade/religiosidade como recurso para enfrentar a doença.
FATORES INTERVENIENTES NA REALIZAÇÃO DAS PRÁTICAS INTEGRATIVAS E COMPLEMENTARES EM SAÚDE NA ATENÇÃO BÁSICA PELOS ENFERMEIROS
Authors: Soares Daniele Pereira , Coelho Ariane Moreira , Silva Luiz Eduardo Abrantes da , Silva Raquel de Jesus Rocha da , Linard Lana Lívia Peixoto , Fernandes Marcelo Costa
Published: August 2019

Objetivo: Analisar os fatores intervenientes na realização das práticas integrativas e complementares em saúde na Atenção Básica pelos enfermeiros. Método: Trata-se de um estudo descritivo com abordagem qualitativa realizado com 14 enfermeiros da Atenção Básica do município de Cajazeiras, Paraíba. Para a coleta de dados foi utilizada entrevista semiestruturada, após a aprovação do Comitê de Ética e Pesquisa. Resultados: Identificou-se a motivação profissional e recepção positiva dos pacientes como fatores facilitadores e o desinteresse dos gestores como obstáculo para a realização das Práticas Integrativas e Complementares em Saúde na atenção básica. Conclusão: É necessário que exista intervenção educativa tanto para os profissionais e população usuária dos serviços de saúde, quanto para os gestores, explanando a valorização dessas práticas e assim conquistando transformações nesse cenário de atuação.
Percepção do cumprimento da missão organizacional e desempenho individual em uma empresa pública brasileira
Authors: Araujo Uerlei Valdomiro , Baldam Roquemar de Lima , Coelho Junior Thalmo de Paiva , Costa Lourenço
Published: August 2019

Este artigo aborda o desempenho individual e a percepção do cumprimento da missão organizacional pelos trabalhadores de uma estatal brasileira. Trata-se de um estudo descritivo-exploratório com a aplicação de uma survey utilizando a Escala de Likert para medir o grau de concordância com as afirmativas propostas. Baseando-se em um estudo já realizado em 2017 por Lim, Wang, e Lee com as agências públicas federais dos Estados Unidos, este artigo propõe esclarecimentos sobre o impacto das práticas de gestão de pessoas, como recrutamento e seleção, treinamento, avaliação e recompensa, na percepção do cumprimento da missão organizacional pelos trabalhadores públicos brasileiros, e a respeito de quais os reflexos no desempenho individual. Este estudo tem implicações positivas para os gestores públicos no Brasil, pois possui um olhar singular para as características do serviço público brasileiro, com foco na gestão estratégica de recursos humanos e na gestão do desempenho. Para a análise dos dados coletados se utilizou método quantitativo de regressão linear múltiplo, pesquisa documental, observação direta e revisão de literatura sobre o tema proposto.
Kinematic Analysis of a Parallel-Sequential Structure Mechanism with Five Degrees of Freedom
Authors: Filippov G.S.
Published: August 2019

The article presents a synthesis of a mechanism of parallel-sequential structure with five degrees of freedom capable of processing objects with an extended dimention in one direction, wherein the considered mechanism can have a high bearing capacity. Corresponding problems are associated with manufacturing jet turbine airfoil as well as vertebrae operations (on the human spine). Movement along a coordinate that is linked to large dimensions of a processed object is provided using the initial translation pairs equipped with a motor. It is followed by a flat partial parallel structure mechanism with three degrees of freedom, and further – by a revolute kinematic pair. A kinematic analysis of the considered mechanism is performed, and the inverse kinematic problem is solved. The Angeles-Gosselin method for parallel structure mechanisms is used when performing velocity calculations of the parallel-sequential structure mechanism. The results of the numerical experiment are presented.
The Development of a Feeding Device for a Cooling Lubricant Technological Tool with Automatic Temperature Control System
Authors: Yakovlev А.А. , Shostenko S.V. , Borisko S.N. , Postupaeva S.G.
Published: August 2019

The article presents a feeding device designed for a cooling lubricant technological tool and an automatic control system for controlling the temperature mode of parts when milling. The device implements a new method of separate cooling and lubrication of the cutting area with sprayed liquid and ionized gas. To develop the device, an engineering-physical search design method is used, which makes it possible to obtain a set of possible options of technical solutions for the desired device and determine the most promising options for the design implementation. The method is based on constructing a model of the physical principle of operation using application software. The design of the new device is developed, mathematical modeling is performed, and the parameters of the transfer function of the automatic temperature control system are calculated. The proposed device can increase the efficiency of machining when milling workpieces and make a significant improvement to working conditions by reducing the content of harmful impurities in the air.
Tes Potensi Akademik dan Pengetahuan Umum Berbasis Web
Authors: Santi Rusmala , Rosalina Sally
Published: August 2019

Penggunaan buku sebagai latihan tes potensi akademik dan pengetahuan umum mempunyai banyak kekurangan, beberapa diantaranya yaitu buku mudah kotor, dapat sobek dan hilang serta soal-soal yang tidak up-to-date. Maka, diperlukan adanya sebuah perangkat lunak yang dapat membantu dalam pelaksanaan latihan tes. Perangkat lunak yang dibangun berbasis web menggunakan metode pengembangan sistem Web Engineering dan Framework Codeigniter sebagai framework untuk membangun Website yang dinamis sehingga memudahkan pengguna dalam melakukan Tes Potensi Akademik dan Pengetahuan Umum. Perangkat lunak yang dibangun menyediakan berbagai macam soal tes potensi akademik dan pengetahuan umum, pelaksanaan tes menampilkan waktu yang berjalan (timer), dapat mengelola soal, tersedia informasi tips dan trik serta menghasilkan output berupa nilai dan rangking peserta tes. Perangkat lunak ini dapat membantu para pengguna mencapai tujuan dalam mempelajari dan memudahkan latihan sebelum pelaksanaan tes.
Sistem Informasi Pendaftaran Pasien Berobat Pada Rumah Sakit Khusus Paru-Paru Palembang Berbasis Android
Authors: Trisnawati Rika , Kadafi Muhamad , Fadilah Evi
Published: August 2019

Rumah Sakit Khusus Paru Provinsi Sumatera Selatan merupakan rumah sakit khusus yang menangani pasien dengan gangguan pernafasan, adapun masalah dalam pendaftaran berobat yaitu pasien harus datang langsung ke rumah sakit untuk melakukan pendaftaran dan menunggu di panggil satu per satu hal ini memerlukan waktu yang lama dan antrian yang sangat panjang. Tujuan penelitian ini untuk membangun sistem informasi pendaftaran pasien berobat pada rumah sakit khusus paru-paru palembang berbasis android, agar mempermudah para pasien untuk  melakukan  pendaftaran  berobat  yang  dapat  mengambil  antrian,  membatalkan  antrian, melihat jadwal praktik dokter serta mengelola laporan menggunakan metode prototype dan menggunakan Unified Modeling Language (UML) untuk memvisualisasikan pemodelan, sedangkan bahasa pemrograman menggunakan PHP dengan MySQL untuk pengolahan database-nya. Penelitian ini menghasilkan data pasien, data dokter, jadwal praktik dokter, jenis pembayaran dan antrian serta dapat membantu dalam pengelolaan laporan.
The Syrian Students in the Classes of Social Studies Teachers from Their Perspective
Authors: ÇELİK Türkan
Published: August 2019

The aim of the study is to determine the problems experienced by the
Social Studies teachers teaching in classes with Syrian students not living in
the temporary refuge centre and the solution recommendations to these problems.
The research is based on case study being one of the qualitative patterns. 26
Social Studies teachers in total were interviewed face to face. The data were
analysed with the content analysis method. Five themes regarding the problems
and five themes regarding the solutions of these problems were developed at the
end of the study. The mostly emphasized findings in the themes concerning the
problems that the Social Studies teachers experienced were problems such as not
knowing Turkish, indifference to the class and failure, not being able to
familiarize with the topics of the course, wavering between Arabic culture and
Turkish culture and not being able to feel that they belong in the place they
live/ non-assimilation. As for the problems that the Social Studies teachers
experience, the solution recommendations were; providing adaptation training,
bringing in the feeling of embracing where one lives, civic education, peer
support, enriching the educational process, giving social support to families,
showing empathy towards students and everyone to be patient within this
process. There were also suggestions for new researches based on the results of
this study.
Magnitude of Type 2 Diabetes Mellitus, Dyslipidemia and Hypertension Among Young Adults in Urban Settings: A Cross Sectional Survey in Mwanza, Tanzania
Authors: MALINDISA EVANGELISTA KENAN , Balandya Emmanuel , Njelekela Marina Alois , Mashiri Fredirick
Published: August 2019

Background
Non-communicable diseases (NCDs), accounting for nearly one third of global deaths were diseases of public concern in developed countries. Due to economic transition, now NCDs are becoming more prevalent in middle and low-income countries (LMICs). However, little has been done about NCDs among young adults in LMICs, Tanzania in particular. Traditionally, health systems thought that this subpopulation has an active life style and therefore not at risk of NCDs hence left without intervention. But current research evidences indicated a gradual increase of NCDs among young adults especially to those living in urban. Therefore, a study was conducted to determine the magnitude of diabetes mellitus, obesity, dyslipidemia and hypertension among young adults from Mwanza urban areas.
Methods
A community based cross-sectional was conducted between May and August 2018 from an urban settings in Mwanza, Northern Tanzania. Case report forms (CRFs) were used to collect participants’ demographic information, clinical assessment and laboratory measurements. Descriptive statistics were summarized using frequencies and percentages. The association between dependent and independent variables were analyzed using Chi-square test. All statistical analysis was performed using STATA version 13 and type 1 error for signifi¬cance was 0.05.
Results
Overall 259 young adults were recruited. The median age [interquartile range (IQR)] was 21 (IQR: 19 -27), the prevalence of diabetes mellitus (DM) and impaired glucose tolerance (IGT) were 8% (259) and 16% (259) respectively. Overweight, obesity and dyslipidemia were present in 17%, 8.1% and 44.4% of the studied population (259) respectively. The prevalence of hypertension was 35.1%, more prevalent in males than females (52.4% vs. 32.7%; p = 0.002). Physical inactivity was significantly associated with isolated systolic hypertension (p = 0.009) and elevated mean arterial pressure (MAP) (p = 0.004). High Body Mass Index (BMI) was significantly associated with elevated mean arterial pressure (MAP) (p = 0.03) and dyslipidemia (p = 0.018).
Conclusion
Alarmingly high prevalence of diabetes, impaired glucose tolerance, hypertension, overweight, obesity and dyslipidemia was observed among young adults in Mwanza. This study highlights the need for concerted efforts targeting young adults in combating NCDs in Tanzania.
Key Words: Diabetes, Hypertension, Obesity, Dyslipidemia, Young Adults
The ECM and CAFs interact to differentially regulate PDAC parenchymal (CPC) and CSC phenotypes to determine pancreatic ductal adenocarcinoma (PDAC) progression
Authors: Cannone Stefania , Greco Maria Rafaella , Guizouarn Hélène , Soriani Olivier , Tomasini Richard , Casavola Valeria , Zeeberg Katrine , Reshkin Stephan Joel , Cardone Rosa Angela
Published: August 2019

Summary

CAFs and acellular stromal ECM components interact to drive metastatic progression by stimulating the hallmark behaviors of each tumor cell type that contribute to metastasis: invasion in the CPCs and growth and angiogenesis in the CSCs.
Time to death from chronic heart failure among outpatient Treatment: a retrospective cohort study
Authors: Mitiku Habtamu Deissie , Bayileyegn Yenefenta Wubie , Wobesie Belete Adelo , Kassahun Eskeziaw Abebe
Published: August 2019

Abstract Objective: Chronic heart failure is a complex clinical syndrome of functional or structural impairment in the heart. Even though the occurrences of heart failure is increasing in the world, there has been limited researches on the management of chronic heart failure in outpatient, particularly in the study area. Therefore, this studywas amed for the management of outpatients with chronic heart failure. A Retrospective cohort study was conducted from January 1, 2010, to December 30, 2016,on outpatient’s follow-up at Wollo governmental hospitals. A required sample of 487 patients were selected by using a simple random sampling method. Proportional hazard with weibull distribution was modelled since its coefficients more precise than other parametric Cox models. Result: Weibull proportional hazard model result showed that risk factors related to mortality were Age (HR=1.04,p=0.000),Rural in residence (HR=1.74,p=0.003),having poor Nutritional status(HR=3.12, p=0.000),Systolic blood pressure(HR=1.01,p=0.037),having Coronary Artery disease (HR=3.70, p=0.006), having Pneumonia (HR=1.91, p=0.015 and infection with Tuberculosis bacillus (HR=1.87, p=0.000) were found statistically significant. Hence, early identifying and treating of Chronic heart failure and improving a strategies of frequent monitoring and follow up for outpatients is highly recommended . Keywords:Chronic heart failure, Retrospective cohort study, Outpatient, treatment, Wollo, Ethiopia
Examiner Variability in Clinical Assessments: Do Examiner Pairings Influence Candidate Ratings?
Authors: Faherty Aileen , Finn Yvonne , Counihan Tim
Published: August 2019

Background The reliability of clinical assessments is known to vary considerably and inter-examiner variability is a key contributor. This may result in significant differences in scores between comparable candidates, a serious challenge in medical education. An approach frequently adopted to avoid this and improve reliability is to pair examiners and ask them to come to an agreed score. Little is known however, about what occurs when these paired examiners interact to generate a score.Methods A fully-crossed design was employed with each participant examiner observing and scoring. A quasi-experimental research design used candidate’s observed scores in a mock clinical assessment as the dependent variable. The independent variables were examiner numbers, demographics and personality. Demographic and personality data was collected by questionnaire. A purposeful sample of medical doctors who examine in the Final Medical examination at our institution was recruited.Results Variability between scores given by examiner pairs (N=6) was less than the variability with individual examiners (N=12). 75% of examiners (N=9) scored below average for neuroticism and 75% also scored high or very high for extroversion. Two thirds scored high or very high for conscientiousness. The higher an examiner’s personality score for extroversion, the lower the amount of change in his/her score when paired up with a co-examiner; reflecting possibly a more dominant role in the process of reaching a consensus score.Conclusions While the variability between scores given by examiner pairs (N=6) was less than the variability with individual examiners (N=12), the reliability statistics for both assessments were comparable. Using paired examiners resulted in a more accurate and robust score than simply averaging two independent examiners scores. The higher an examiner’s personality score for extroversion, the lower the amount of change in his/her score when paired up with a co-examiner; reflecting possibly a more dominant role in the process of reaching a consensus score. These findings could have implications for the organisation and administration of clinical assessments. Further studies with larger numbers of participants might establish if personality testing before choosing examiner pairs could be utilised to help pair examiners and improve examiner variability.
Perspectives of General Practitioners and Nursing Staff on Acute Hospital Transfers of Nursing Home Residents in Germany: Results of two cross-sectional Studies
Authors: Fassmer Alexander Maximilian , Pulst Alexandra , Spreckelsen Ove , Hoffmann Falk
Published: August 2019

Background

Visits in emergency departments and hospital admissions are common among nursing home (NH) residents and they are associated with significant complications. Many of these transfers are considered inappropriate. This study aimed to compare the perceptions of general practitioners (GPs) and NH staff on hospital transfers among residents and to illustrate measures for improvement.

Methods

Two cross-sectional studies were conducted as surveys among 1,121 GPs in the German federal states Bremen and Lower Saxony and staff from 1,069 NHs (preferably nursing staff managers) from all over Germany, each randomly selected. Questionnaires were sent in August 2018 and January 2019, respectively. The answers were compared between GPs and NH staff using descriptive statistics, Mann-Whitney U tests and χ2-tests.

Results

We received 375 GP questionnaires (response: 34%) and 486 NH questionnaires (response: 45%). GPs estimated the proportion of inappropriate transfers higher than NH staff (hospital admissions: 35.0% vs. 25.6%, p<0.0001; emergency department visits: 39.9% vs. 20.9%, p<0.0001). The majority of NH staff and nearly half of the GPs agreed that NH residents do often not benefit from hospitalisations (NHs: 61.4% vs. GPs: 48.8%; p=0.0009). Both groups rated almost all potential measures for improvement differently (p<0.0001). The two most important measures for GPs were more nursing staff (91.6%) and better communication between nursing staff and GP (90.9%). NH staff rated better care / availability of GP (82.8%) and medical specialists (81.3%) as most important. Both groups agreed on the importance of explicit advance directives (GPs: 77.2%, NHs: 72.4%; p=0.1492).

Conclusions

A substantial proportion of hospital transfers from NHs were considered inappropriate. Particularly, the ratings of possible areas for improvement differed between GPs and NH staff indicating that both groups seem to pass the responsibility to each other. These findings, however, support the need for interprofessional collaboration.
The Year of Care approach: developing a model and delivery programme for care and support planning in long term conditions
Authors: Roberts Sue , Eaton Simon , Finch Tracy , Lewis-Barned Nick , Lhussier Monique , Oliver Lindsay , Rapley Tim , Temple-Scott Dawn
Published: August 2019

Background:
People with long term conditions (LTCs) make most of the daily decisions and carry out the activities which affect their health and quality of life. Only a fraction of each contact with a health care professional (HCP) is spent supporting this.
This paper describes how care and support planning (CSP) and an implementation framework to redesign services, were developed to address this in UK general practice. Focussed on what is important to each individual, CSP brings together traditional clinical issues and the person’s lived experience in a solution focussed, forward looking conversation with an emphasis on ‘people not diseases’.
Methods:
The components of CSP were developed in three health communities using diabetes as an exemplar. This model was extended and refined for other single conditions and multimorbidity across 40 sites and two nations, over 15 years. Working with local teams and communities the authors used theoretical models of care, implementation and spread, developing and tailoring training, support and resources to embed CSP as usual care, sharing learning across a community of practice.
Results:
The purpose, content, process, developmental hurdles and impact of this CSP model are described, alongside an implementation strategy. There is now a robust, reproducible five step model; preparation, conversation, recording, actions and review. Uniquely, preparation, involving information sharing with time for reflection, enables an uncluttered conversation with a professional focussed on what is important to each person. The components of the Year of Care House act as a checklist for implementation, a metaphor for their interdependence and a flexible framework. Spreading CSP involved developing exemplar practices and building capacity across local health communities. These reported improved patient experience, practitioner job satisfaction, health behaviours and outcomes, teamwork, practice organisation, resource use, and links with wider community activities.
Conclusions:
Tested in multiple settings, CSP is a reproducible and practical model of planned care applicable to all LTCs, with the capacity to be transformative for people with LTCs and health care professionals. It recaptures relational dimensions of care with transactional elements in the background. Options for applying this model and implementation framework at scale now need to be explored.
Surgical treatment to multiple primary lung cancer patients: A systematic review and meta-analysis
Authors: Chen Ting-Fei , Xie Chun-Ying , Rao Bing-Yu , Shan Shi-Chao , Zhang Xin , Zeng Bo , Lei Yi-Yan , Luo Hong-He
Published: August 2019

Background As there is no consensus on the optimal surgery strategy for multiple primary lung cancer (MPLC), we conducted this study to address this issue by comparing the prognosis of MPLC patients underwent different surgical strategies including sublobar resection and the standard resection through a systemic review and meta-analysis. Methods Relevant literature was obtained from three databases including PubMed, Embase and Web of Science. Inclusion and exclusion criteria were set for the screening of articles to be selected for further conduction of systemic review and meta-analysis. The HRs of OS of the sublobar group compared with standard resection group were extracted directly or calculated indirectly from included researches. Result s: Ten researches published from 2000 to 2017 were included in this study, with 468 and 445 MPLC cases for the standard resection group and sublobar resection group respectively. The result suggested that OS of MPLC patients underwent sublobar resection (segmentectomy or wedge resection for at least one lesion) was comparable with those underwent standard resection approach (lobectomy or pneumonectomy for all lesions), with HR 1.07, 95% CI 0.67 - 1.71, p = 0.784. Further analysis found no difference in subgroups of synchronous and metachronous (from second metachronous lesion), different population region and dominant sex type. Conclusions This study may reveal that sublobar resection is acceptable for patients with MPLC at an early stage, because of the equivalent prognosis to the standard resection and better pulmonary function preservation. Further research is needed to validate these findings.
Etiological profile and clinical characteristics of segmental/lobar pattern pneumonia in hospitalized children
Authors: Yanxia Wang , Liji Ma , Ying Li , Li Yuyun , Zheng Yanfei , Zhang Xiaoyue
Published: August 2019

The occurrence of segmental/lobar pattern pneumonia in children increases with years recently. The pathogens of the disease may change for the abuse of antibiotics and the application of pneumococal vaccines. The pathogens of segmental/lobar pattern pneumonia in hospitalized children and their association with clinical characteristics are poorly understood nowadays. The current study retrospectively analyzed the pathogens and clinical characteristics of segmental/lobar pattern pneumonia in children at a single hospital between 1 st Jan 2014 and 31 st Dec 2018. The pathogens and their associations with clinical characteristics were statistically analyzed. A total of 593 children with segmental/lobar pattern pneumonia received treatment at a single hospital during the study period. 451 patients were positive for one pathogen and 83 patients were positive for two pathogens or more. Mycoplasma pneumoniae (M.pneumoniae) (72.34%) was the most commonly detected pathogen, followed by streptococcus pneumoniae (S.pneumoniae) (8.77%). The infection of M.pneumoniae in children with segmental/lobar pattern pneumonia increased with years (p<0.05). The positive rate of M.pneumoniae increased with ages of patients (p<0.05). M.pneumoniae was statistically associated to the extrapulmonary manifestations while S.pneumoniae was statistically associated with abnormal WBCs and CRPs (p<0.05). In a summary, M.pneumoniae was the most positive pathogen of segmental/lobar pattern pneumonia in hospitalized children. The positive rate of M.pneumoniae in children with segmental/lobar pattern pneumonia increased with years and the ages of children. M.pneumoniae was associated with extrapulmonary manifestations while S.pneumoniae was associated with abnormal WBCs and CRPs.
Better infrastructure, amazing climate, unique price and marketing: have travelers on your side
Authors: Hossein Khan Yusuf , Rebelo Efigénio
Published: August 2019

The customer loyalty plays a vital role within the Tourism and Hospitality industry. It is very important to make sure the customers are satisfied and remain as loyal as possible, because the loyal customers work as a good promotion tool as they spread the WoM (word of mouth) within their friends, family, relatives and others. On the contrary, not being satisfied to the service or product may translate into a negative feedback, which can lead to a bad image for the business of a certain destination. The main purpose of this study is to identify the variables that are significant to explain loyalty to Portugal, as a touristic destination. Moreover, this study also aims to quantify the impacts of those variables to the probability of different types of costumers being loyal to this destination. Based on an online survey which included significant number of travelers from six continents and travelers to Portugal were asked about their appreciation in different aspects. Then, all the data received through the survey was introduced in SPSS and analyzed using a binary logistic regression. Using the right modelling strategy, the authors have been able to find the appropriate model for the current study and that is overall high-quality infrastructure (transportations, gastronomy, information centers), appealing climate (humidity, temperature, sunny days) and satisfaction with price & marketing (travel packages, value for money, variety in travel products) can improve travelers’ loyalty to Portugal.
ROLE OF THE EUROPEAN CENTRAL BANK IN COMBATING THE FINANCIAL CRISIS IN THE EUROPEAN UNION
Authors: Maliszewska-Nienartowicz Justyna , Witulska Amanda
Published: August 2019

This work presents the  European Central Bank’s role in eliminating economic crisis in the European Union. It contains roots and course of the financial slowdown in the eurozone. The Authors show competences of the institution before and its functions during the crisis. Finally, there was made an attempt to evaluate the effectiveness of the ECB monetary policy.
Os docentes de Semiologia Médica no Estado de Rio de Janeiro
Authors: Midão Claudia Martins de Vasconcellos , Abensur Patricia Lima Dubeux , Ruiz-Moreno Lidia
Published: August 2019

Educação superior; Educação médica; Ensino; Anamnese.
Análise morfológica pela microscopia eletrônica de varredura da superfície apical de dentes portadores de lesões persistentes ao tratamento endodôntico
Authors: Kil Kleber Borgo , Ribeiro Francisco Carlos , Naves Lucas Zago
Published: August 2019

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A mudança percebida pelo usuário do Centro de Atenção Psicossocial frente ao tratamento
Authors: Santos Zamir Dutra dos , Munhoz Tiago Neuenfeld
Published: August 2019

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Caracterização do risco ocupacional entre trabalhadores da Estratégia Saúde da Família
Authors: Fonseca Franciele Fagundes , Costa Fernanda Marques da , Lima Cássio de Almeida , Silva Sira Samayka de Souza , Alves Juliana Pereira , Carneiro Jair Almeida
Published: August 2019

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Saúde do trabalhador e riscos ocupacionais na mineração
Authors: Sousa Milena Nunes Alves de , Quemelo Paulo Roberto Veiga
Published: August 2019

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Atividade física e o controle glicêmico de pacientes com diabetes mellitus tipo II
Authors: Miranda Samilly Silva , Carvalho Silas , Andrade Thays Mariana , Coelho Julita Maria Freitas , Gomes-Filho Isaac Suzart
Published: August 2019

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Efeitos da intervenção HathaYoga nos sinais vitais de mulheres mastectomizadas
Authors: Bernardi Marina Lima Daleprane , Zandonade Eliana , Amorim Maria Helena Costa
Published: August 2019

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Função erétil e qualidade de vida de homens doadores de sangue
Authors: Rossi Tiago Lessa , Barbosa Geovane Carlos , Oliveira Elizabete Regina Araujo de
Published: August 2019

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O uso de plantas medicinais por mulheres com diagnóstico de câncer de mama em um programa de reabilitação
Authors: Dell’Antonio Larissa Rodrigues , Coelho Larissa Soares , Souza Camila Brandão de , Sacramento Henriqueta Tereza , Zandonade Eliana , Amorim Maria Helena Costa
Published: August 2019

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Estamos de fato medindo acesso? Revisão sistemática das medidas de acesso a medicamentos no Brasil
Authors: Álvares Juliana , Araújo Vânia Eloisa , Izidoro Jans Bastos , Dias Carolina Zampirolli , Ascef Bruna de Oliveira , Acurcio Francisco de Assis , Costa Karen Sarmento , Costa Ediná Alves , Leite Silvana Nair , Soeiro Orlando Mário , Karnikowski Margô Gomes de Oliveira , Guibu Ione Aquemi , Guerra-Júnior Augusto Afonso
Published: August 2019

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Avaliação de políticas de Saúde: análise das linhas de pesquisas da Pós-Graduação em Saúde Coletiva
Authors: Goulart Wagner Scherrer Lemgruber , Souza Rayane Cristina Faria de , Silva Thiago Fachetti da , Siqueira Marluce Mechelli de
Published: August 2019

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O agir cotidiano dos gestores da Estratégia Saúde da Família: possibilidades e desafios
Authors: Gomes Fernanda Nascimento , Lima Rita de Cássia Duarte , Galavote Heletícia Scabelo , Andrade Maria Angélica Carvalho
Published: August 2019

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Mesa Nacional de Negociação Permanente: transformando o trabalho na Saúde Pública
Authors: Santos Elisangela Coco dos , Sodré Francis , Borges Luiz Henrique
Published: August 2019

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Políticas de Saúde e Segurança do Trabalhador no Estado do Espírito Santo, Brasil
Authors: Azevedo Roberta Guio , Vieira Camila Barcelos , Moraes Helaine Aparecida Bonatto de , Siqueira Marluce Mechelli de
Published: August 2019

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Evidências sobre o Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica
Authors: Sossai Thaís Antunes , Galavote Heleticia Scabelo , Vieira Elza Cléa Lopes , Freitas Paula de Souza Silva , Lima Rita de Cássia Duarte
Published: August 2019

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Práticas educativas para os trabalhadores da Estratégia Saúde da Família
Authors: De Oliveira Renata Cristina da Silva , Galavote Heletícia Scabelo , Lima Rita de Cássia Duarte , Lima Eliane de Fátima Almeida
Published: August 2019

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Análise das ações educativas sobre a saúde auditiva em crianças escolares
Authors: Dias Ana Cristina , Siqueira Luciana Pillon , Viganó Camila
Published: August 2019

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Escalas de avaliação do comportamento suicida em adolescentes da população geral
Authors: Silva Tatiana de Paula Santana da , Sougey Everton Botelho
Published: August 2019

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Avaliação da cultura de segurança das instituições de saúde por profissionais de Enfermagem
Authors: Gawron Marisa Ferraz Gavronski , Oselame Gleidson Brandão , Neves Eduardo Borba
Published: August 2019

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Análise da sobrevida de pacientes submetidos à hemodiálise em Tubarão/SC, Brasil
Authors: Maia Vitor Henrique Moreira , Silvano Gustavo Paes , Kock Kelser de Souza , Machado Marcos de Oliveira
Published: August 2019

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Perfil dos casos de violência socorridos por um Serviço de Atendimento Móvel de Urgência Estadual
Authors: Freitas Richard Allan Gadelha de , Costa Isabel Karolyne Fernandes , Dantas Rodrigo Assis Neves , Leite José Eugênio Lopes , Dantas Daniele Vieira , Torres Gilson de Vasconcelos
Published: August 2019

Characterization of violence victims attended by a Mobile Emergency Public Care Service
Equivalência semântica da versão em português do instrumento Memorial Symptom Assessment Scale (MSAS) para avaliar sintomas em pacientes oncológicos
Authors: Da Rocha Larissa Fernandes , Carvalho Monique da Silva , Moraes de Lacerda Ana Amélia , Vizeu Viana Áila Ferreira , Ramos Raquel de Souza , Guimarães Raphael Mendonça , Muzi Camila Drumond
Published: August 2019

Semantic equivalence of the Portuguese version ofthe Memorial Symptom Assessment Scale (MSAS) to evaluate symptoms in cancer patients
Seleção da cor de dente hígido por estudantes do quinto ao nono período do curso de Odontologia
Authors: Kroeff de Souza Daniela Feu Rosa , Pereira Juraci , Miotto Maria Helena Monteiro de Barros
Published: August 2019

Cor; Restauração estética; Resinas compostas.
Relação hipsométrica para povoamento de Parapiptadenia rigida (Benth.) Brenan em Dois Vizinhos, Paraná
Authors: Krefta Sandra Mara , Weber Veridiana Padoin , Krefta Sandiane Carla , Klein Danieli Regina , Atanazio Kemely Alves , Frigeri João Vitor , Dos Santos Luana Maria , Nieri Erick Martins , Andrade Mariane Moura
Published: August 2019

Este trabalho teve como objetivo determinar e verificar o comportamento da relação hipsométrica de um povoamento de Parapiptadenia rigida (Benth.) Brenan, situado no município de Dois Vizinhos, Paraná. Para tanto, foram mensuradas todas as árvores do povoamento com circunferência à altura do peito maior que 15 cm, exceto as de borda. Para cada indivíduo, determinaramse a altura total, a circunferência à altura do peito e o diâmetro à altura do peito. Com os dados coletados, ajustaram-se nove modelos hipsométricos por meio do procedimento de análise de regressão (PROC REG) no software Statistical Analysis System (SAS), versão 9.3. Dos modelos testados, foi selecionado o melhor deles por intermédio dos resultados de coeficiente de determinação ajustado, coeficiente de variação, valor de F calculado e análise gráfica dos resíduos. O modelo escolhido foi o de Curtis, notado por: ln (h) = 2,83601 – 5,26255. (1/DAP), com coeficiente de determinação ajustado de 0,6479, coeficiente de variação de 6,33% e valor de F de 720,54.
Entomofaunistic diversity of arthropods in cucumber farming (Cucumis sativus L.)
Authors: Severgnini Leonardo , Dal Bosco Ducatti Rafael , Orsolin de Morais Dannyelle Cristine , Tironi Siumar Pedro , Radünz André Luiz , Tramontin Marco Aurélio
Published: August 2019

Cucumber (Cucumis sativus Linnaeus, 1753) stands out in the Brazilian agribusiness of vegetables as it can be consumed in salads (in natura or pickled) or even used for the production of cosmetics and drugs. During cucumber cultivation, several insectpests, mainly from the Orders Hemiptera, Thysanoptera, Lepidoptera, can cause significant yield losses. Therefore, this study aimed to evaluate the entomofaunistic diversity of arthropods in cucumber crop using Moericke and Pitfall traps. Cucumber seedlings were commercially obtained and grown up in the experimental area of   the Federal University of Fronteira Sul – Campus Chapecó (SC). Three samplings were carried out between October and December, 2015. The sampled specimens were identified to the taxon of Order and placed in vials containing alcohol solution (70%). A total of 1.651 specimens were identified and classified into 11 different Orders. Pitfall traps sampled a greater number of orders (9) and specimens (1.309), with emphasis to the Order Hymenoptera (928). For the aerial traps (Moericke), 342 specimens, allocated in eight different Orders, were identified, with the Order Diptera as the most abundant one (153 individuals). Moericke and Pitfall traps showed a Shannon-Weaver diversity index of 1.53 and 1.02, respectively.
Biometria de frutos e sementes de Jatropha mollissima (Pohl) Baill. (Euphorbiaceae)
Authors: Souza Danilo Diego de , Cavalcante Noelly Bastos
Published: August 2019

Jatropha mollissima (pinhão-bravo) é uma planta endêmica do bioma Caatinga. A espécie é considerada de grande importância em áreas semiáridas, pois tem o papel de colonizar áreas degradadas, apresenta usos na medicina popular e também de importância na indústria. Características biométricas de frutos e sementes são importantes para distinção de espécies. Nesse sentido, o objetivo deste trabalho foi estudar as características biométricas de frutos e sementes de J. mollissima em condições de sertão pernambucano. Para avaliação biométrica foram determinadas as dimensões (comprimento, largura e espessura) de 200 frutos e 200 sementes com auxílio de paquímetro digital. O comprimento médio dos frutos das populações amostradas foi de 2,14 cm, a largura de 2,12 cm e a espessura de 2,16 cm. Com relação às sementes, foram encontrados os seguintes valores: 1,27 cm de comprimento, 0,84 cm de largura e 0,66 cm de espessura. Observou-se que houve baixa variação entre os caracteres analisados, proporcionando uma boa estimativa do comportamento médio das populações analisadas, nas quais estas características podem auxiliar na identificação da espécie em trabalhos futuros.
Caracterização dendrológica da família Salicaceae em um remanescente de Floresta Ombrófila Mista
Authors: Rau Thomas Gustavo , Blum Christopher Thomas
Published: August 2019

A família Salicaceae é representada por espécies que podem ser de difícil identificação, especialmente na ausência de caracteres reprodutivos. Por essa razão, o presente estudo teve por objetivo analisar os caracteres vegetativos de espécies da família Salicaceae, visando a sua diferenciação. Para a caracterização de tronco, casca externa (CE) e casca interna (CI) foram selecionados dez indivíduos de cada espécie. Para a caracterização dos ramos e folhas foram coletados quatro ramos de três indivíduos por espécie. O gênero Xylosma diferencia-se pela presença de espinhos ramificados no caule. X. pseudosalzmanii possui folhas glabras, enquanto em X. ciliatifolia estas são pilosas. Das outras espécies pilosas, Casearia lasiophylla apresenta tricomas simples, e Banara tomentosa tem tricomas estrelados. Nas espécies com folhas glabras, não se verificam pontuações translúcidas em folhas de Banara parviflora, enquanto estas ocorrem mais concentradas na margem em Casearia obliqua e de distribuição homogênea em Casearia sylvestris e Casearia decandra; a primeira apresenta CI compacta, e a segunda possui CI laminada. Características de CE, CI, ramos e folhas mostram-se especialmente variáveis entre as espécies analisadas, tornando possível a elaboração de uma chave dicotômica para sua identificação baseada apenas em caracteres vegetativos.
Efeito da vibração sônica na película de cimento para união de pinos de fibra de vidro à dentina radicular – avaliação por MEV Effect of sonic vibration on cement film for bonding fiberglass posts to root dentin – SEM evaluation
Authors: Chaves Thais Mariana Neves , Mushashe Amanda M. Mushashe M. , Amaral Rodrigo Otavio Jatahy Ferreira do , Gonzaga Carla Castiglia , Rezende Carlos Eduardo E.
Published: August 2019

Introduction: The loss of retention of prefabricated fiber pins is a relatively frequent clinical complication. Different techniques for cementation have been studied and developed in order to reduce the chances of failure. In this context, the technique that uses a sonic vibration for cementing fiber pins appears. Objective: To evaluate by scanning electron microscopy (SEM) the sonic vibration effect on the cementation line between fiberglass pins and root dentin in bovine roots. Material and methods: Roots of bovine incisors wereendodontically treated and randomly distributed into four groups: SVS (conventional application of the system and cement), VSA (sonic application of adhesive system + conventional application of cement), VSP (conventional application of the information system + sonic application of cement) and VSAP (sonic application of the information system + sonic application of cement). Subsequently, slices of each root were obtained, corresponding to the cervical,middle and apical thirds. The slices were submitted to SEM analysis to evaluate the cementation line, verifying distribution and size of defects, considering three different locations: cement/pine interface (CP); internal layer of cement (LC); cement/dentin interface (CD). Results: An analysis of the results allowed to verify the incidence of minor faults in the apical region and suffered a gradual increase from apical to cervical in all the studied groups. Regardless of theused technique the greatest absolute number of defects was in the cement/dentin interface. Conclusion: The application and assembly technique can influence the characteristics of the cementation line between the fiberglass pin and dentine walls of the root canal.