bluuebunny/crossref_metadata_2025 huggingface dataset:
Development and Validation of a Web-Based Pediatric Readmission Risk Assessment Tool
Authors: Taylor Thom , Altares Sarik Danielle , Salyakina Daria
Published: March 2020

OBJECTIVES:

Accurately predicting and reducing risk of unplanned readmissions (URs) in pediatric care remains difficult. We sought to develop a set of accurate algorithms to predict URs within 3, 7, and 30 days of discharge from inpatient admission that can be used before the patient is discharged from a current hospital stay.

METHODS:

We used the Children’s Hospital Association Pediatric Health Information System to identify a large retrospective cohort of 1 111 323 children with 1 321 376 admissions admitted to inpatient care at least once between January 1, 2016, and December 31, 2017. We used gradient boosting trees (XGBoost) to accommodate complex interactions between these predictors.

RESULTS:

In the full cohort, 1.6% of patients had at least 1 UR in 3 days, 2.4% had at least 1 UR in 7 days, and 4.4% had at least 1 UR within 30 days. Prediction model discrimination was strongest for URs within 30 days (area under the curve [AUC] = 0.811; 95% confidence interval [CI]: 0.808–0.814) and was nearly identical for UR risk prediction within 3 days (AUC = 0.771; 95% CI: 0.765–0.777) and 7 days (AUC = 0.778; 95% CI: 0.773–0.782), respectively. Using these prediction models, we developed a publicly available pediatric readmission risk scores prediction tool that can be used before or during discharge planning.

CONCLUSIONS:

Risk of pediatric UR can be predicted with information known before the patient’s discharge and that is easily extracted in many electronic medical record systems. This information can be used to predict risk of readmission to support hospital-discharge–planning resources.
DEPENDENCIES BETWEEN MORPHOLOGICAL INDICATORS AND EARLY RIPENESS OF GREENHOUSE TOMATOES AT DIFFERENT LEVELS OF FERTILIZATION AND DILFERENT WATER SUPPLY
Authors: Stoyanova A. , Kuneva V. , Georgiev M. , Valchev N.
Published: March 2020

The purpose of this study is to determine the impact of controlled permanent water deficiency and three levels of fertilization on earliness and total yield of tomatoes, greenhouse production using different mathematical approaches. In order to evaluate the morphological manifestations, the early harvest and the total yield under the influence of different irrigation and nutritional regimes, a tomatoes variety "Vitelio" was used. The irrigation is done with a drip irrigation system. Against the background of the same fertilizing rates in the variants with different irrigation norms there is a decrease in the early stage with an increase of the irrigation norms. A high correlation between plant height and total yield, with correlation coefficient (r = 0.899) and between sheet count and total yield r = 0.824 was found.
There was a negative correlation between the first and third harvests and the total yield, respectively with correlation coefficients r = -0.724 and r = -0.704. The nature of the linear relationship between plant height and total yield is determined by the coefficient R2 = 0.8. Based on a two-factor analysis, it was found that irrigation regime had a dominant influence on the two parameters considered: height and yield, which was statistically proven with a very high degree of confidence (p ≤ 0.001).
OBESITY, INFLAMMATION, AND T-CELL METABOLISM
Authors: Hristov K.
Published: March 2020

Aim: The overview of the interdependence of the immune system and the system metabolism. Regulation of metabolism is immunomodulatory, and targeting key cellular metabolic enzymes impacts T-cell development, altering the immune functions.
Background: The diet, gastrointestinal microbiota and the balanced function of liver, adipose and muscle tissues underlie the immune ecology. Chronic inflammation (macrophage, TH1, and TH17 T-cell infiltration) associates with obesity, and the development of metabolic syndrome, cardiovascular diseases, type 2 diabetes, IBD and intestinal malignancies. While naive T-cells use beta-oxidation, TCA cycle, and mitochondrial respiration to produce ATP, activated T-cells, similarly to cancer cells, employ the Warburg’s effect to power their function. The development of T-cells depends on key metabolic regulators, like mTORC1 (TH1 and TH17 T-cells) and mTORC2 (TH2 T-cells). Inhibition of HIF1-alpha (critical for TH17 T-cells) results in the development of FOXP3+ Treg T-cells, improving autoimmune disorders. Metabolic flexibility of normal cells underlines the successful treatment of neoplastic, autoimmune and hyper-sensitivity disorders.
Conclusions: The immune system influences the system metabolism, and depends on the function of adipose tissue, muscles, liver, pancreas, lungs and gastro-intestinal tract. Diet and pharmacological regulation of T-cell metabolic activity influence immune function during autoimmunity, infections, and vaccinations.
INFECTIOUS PANCREATIC NECROSIS OF SALMONID FISH - DISTRIBUTION AND LABORATORY METHODS FOR DIAGNOSIS
Authors: Mileva E.
Published: March 2020

One of the fastest growing branches of the national livestock breeding in Bulgaria is aquaculture production. The development of aquaculture production is directly related to the health of the cultivated fish and indirectly to the health of the wild fauna. Economically, breeding can be severely complicated by the appearance of infections especially those ones with viral etiology. The most serious problem for Bulgarian trout producers over the last decade is Infectious pancreatic necrosis (IPN) which is a highly contagious viral disease of young salmonid fish. It is caused by a virus (IPNV) that belongs to the family Birnaviridae. The IPNV has been isolated from many geographic regions around the world with different environments and a variety of aquatic animals. In Bulgaria, the IPNV was confirmed 13 years ago. There are several cases with heavy mortality rates every year. Thus, the aim of this review was to extend knowledge of IPN, and to present methods of its control.
Minimal function on 3-manifolds with boundary
Authors: Lukova-Chuiko Nataliia
Published: March 2020

We construct the complete topological invariant of minimal functions on the three-dimensional manifolds and proved the theorem about the implementation of this invariant feature. Thus, it is received the minimal topological classification of functions. Efficiency of constructed invariants is demonstrated by examples. We describe all the functions, the complexity of which does not exceed three.
Impact of payment model on healthcare quality: A bibliometric study
Authors: Sauaia Bianchini Silvia Helena , Berssaneti Fernando Tobal , Saut Ana Maria , Berger Simone
Published: March 2020

Demographic and epidemiological changes require different healthcare management systems to treat chronic diseases, rather than acute illnesses with short-term costs. This scenario, added to the technological advances in medicine, contributed to the beginning of a global crisis in healthcare that forces improvements in cost and quality management. Therefore, this article aims to provide an overview of the research related to the impact of performance-related payment models in healthcare quality, through a bibliometric study. The adopted methodological approach mixes techniques of bibliometrics, keyword networks, co-authorship and co-citation networks and content analysis. The results show a stability in the number of publications in the past years, with a concentration of scientific production in the United States and the United Kingdom and in the field of medical knowledge. In Brazil, the issue is still nascent and represents an important gap to be explored, as well as studies that prove the long-term outcomes and the sustainability of the quality improvements after the removal of the incentive.
Demand for air cargo and demand for virtual commerce goods in Brazil
Authors: Rocha Carlos Henrique , Mostardeiro Priscila , Alves Luiz Augusto Silva
Published: March 2020

Some studies have reported that current demand for air cargo transport has largely derived from the demand for goods in B2C-type electronic commerce. Marketing experts consider that consumer income bracket, cost of goods, freight costs and other less tangible factors influence consumer decisions to purchase online. This study makes an econometric investigation as to whether determinants of e-commerce demand in Brazil can explain the behavior of the demand for air cargo transport services. The study sample period is 2000 to 2016. Unit root and co-integration tests were conducted prior to the regression analysis of the results obtained for the air transport services demand as well as tests for correlation among explanatory variables for the air cargo demand. The reported results make it possible to conclude that the determinants of e-commerce demand do explain the demand for air cargo transport services. It is important to underscore that studies designed to determine the dimensions of cargo aircraft fleets and airport cargo terminals installed at airports or in their vicinities must always take into account the demand for goods offered by B2C-type e-commerce in their analyses.
Determinants of user's satisfaction in health plan services
Authors: Guimarães Júnior Djalma Silva , Medeiros Denise Dumke de
Published: March 2020

New standards for supplementary health services have been introduced in Brazil by the regulatory agent in order to raise the level of user satisfaction. In this context, understanding the critical factors for user satisfaction can help a supplemental healthcare enterprise to add value to its services, expand its customer base, and become more competitive. The purpose of this article is to propose a logistic regression model to estimate the factors that determine the satisfaction of health plan users. The model was created from a consumer survey data. The research results put in evidence the critical role of factors associated with operations management to improve user satisfaction, considering that the significant variables of the model were: physical facilities of the hospital, appointment marking system and number of hospitals agreed with the health plan.
Presentation of retrofitting methodologies for automated manufacturing cells for the industry concept 4.0.
Authors: Rosário João Mauricio , Hermini Helder Aníbal , Bianchi Fernando
Published: March 2020

This paper proposes the retrofitting of equipment and processes available in a manufacturing didactic plant, composed of workstations embedded in its automated systems, formed by actuators and sensors connected to the AS-i network and at the PLC of each station, which are connected in PROFIBUS industrial network, concepts of Industry 3.0. The objective is to update it to work applying the concepts of Industry 4.0, emphasizing the integration of information through networks of Industrial Automation and Internet. To achieve this objective integration of Automation Technology (TA) with Information Technology (IT) is necessary. Allowing the integrated educational exercise of the technologies found in the Automated Industrial Manufacturing Systems, such as communication networks, process control and production management, control and supervision of complete automated assembly processes that takes place on the platform is possible through a remote connection via internet (remote laboratory). Thus, teaching and research groups in multiple locations can share information quickly and develop such simultaneously groups in multiple locations can share information quickly and develop such simultaneously.
Otimização do processo de emissão de ordens de produção: um estudo de caso em uma indústria de confecção
Authors: Moura Cassiano Rodrigues , Borges William José , Kohlrausch Valnei
Published: March 2020

A falta de planejamento no processo do PCP em relação à estrutura e características de cada setor produtivo das empresas pode levar a liberação e emissão de ordens de produção a influenciar negativamente no resultado efetivo das organizações. Com isso este trabalho busca-se analisar e discutir o contexto produtivo de uma empresa de confecção, especificamente no setor de cortes, objetivando a inserção de uma máquina automatizada para otimizar o processo de emissão de ordens de produção. A base da análise contou com uma pesquisa semiestruturada com perguntas abertas, aplicada ao gerente de produção e relatórios das ordens de produção do setor estudado. A análise da inserção da máquina de corte automatizada possibilitou identificar um aumento na capacidade produtiva. Considerando o atual volume de produção da empresa a mesma poderá aumentar as vendas dos próprios produtos, ou optar por fornecer serviços de corte para terceiros, minimizando assim a ociosidade das máquinas, devido à diferença de tempo de processamento das máquinas o que não possibilita uma ocupação total das mesmas, são discutidos também opções que possibilitam uma maximização na ocupação da máquina de corte, pois a mesma é considerada a de maior custo de aquisição e de manutenção, uma delas é a duplicação da capacidade de enfesto com a incorporação de mais uma máquina de enfesto automatizado, com a opção de oferecer serviços a terceiros.
Researcher in Childhood Research: Attitudes, Beliefs, Their Manifestation and Change
Authors: Malinauskienė Daiva , Juodaitytė Audronė
Published: March 2020

Modern childhood research is more and more positioned towards the child, his/her abilities to perceive himself/herself and the world. In this case, the child becomes the subject of the research who has his/her own “voice”. It is characteristic of the research when it is conducted in the interaction of childhood sociology and historical and cultural psychology. In such research, the introduction of the adult filter becomes especially complicated, because they are children, not adults, who represent their own world of childhood. It is attempted to start the research from the analysis of a particular child and his/her situation of being in the present. Thus the child’s changed status and his/her new social roles are acknowledged. Researchers think that children have their opinion on all the issues of life: educational, cultural, political, economical ones, etc. Involving children in the research, it is suggested that they need to be interviewed individually and information need to be collected, focusing on the fact that the information might be important not only to children but also to adults. Information also helps the researcher himself/herself better understand the modern world of childhood and the child. Adults are only involved in the research when it is attempted to find out the links by which they are related to children and the role they perform in their life.
Magazine Based On Guided Inquiry-An Innovation to Overcome Natural Science Learning Difficulties in Elementary Schools
Authors: Maryani Ika , Lestari Nurul Wahyu , Saifuddin Much. Fuad
Published: March 2020

This study was aimed at developing a feasible magazine based on the guided inquiry for 5th-grade elementary schools. The development procedure adopted was the Hannafin and Peck model which involves needs assessment, design, development, evaluation, and revision. Data were collected through the use of questionnaires and tests. It analyzed using descriptive statistics and interactive qualitative analysis. This research produced science magazines which are feasible to be used as instructional media towards overcoming learning difficulties and enhancing students‘ understanding.
The first experience of implantation of the transcatheter aortal valve prosthesis “MedLab-KT”
Authors: Bogachev-­Prokofiev A. V. , Sharifulin R. M. , Zubarev D. D. , Karaskov A. M.
Published: March 2020

Aim. Transcatheter aortic valve replacement in patients with high and extremely high risk has become a routine procedure in many cardiac surgery clinics. Until recently, there were no transcatheter prostheses produced within Russia. This article analyzes the results of applying the first domestic transcatheter aortic valve prosthesis MedLab­KT.

Material and methods. In the period from June 2018 to October 2018, 7 operations of transcatheter aortic valve replacement were made using the MedLabKT prosthesis. In all cases, implantation was performed by transapical access.

Results. We noted one death. In all cases, paraprosthetic regurgitation was not registrated or was not significant. There are no cases of dislocation of the prosthesis. There were no complications associated with access. In one case, implantation was complicated by myocardial infarction.

Conclusion. The first experience of implantation demonstrated the efficacy and safety of using the MedLab­LT prosthesis for transcatheter aortic valve replacement. The analysis of long­term results is required.
Effects of shading on the growth, development and yield of winged bean (Psophocarpus tetragonolobus)
Authors: Raai Murthazar Naim , Zain Nurul Amalina Mohd , Osman Normaniza , Rejab Nur Ardiyana , Sahruzaini Nurul Amylia , Cheng Acga
Published: March 2020

ABSTRACT: An experiment was conducted to investigate the effects of different shading regimes [i.e., 60% (heavy), 30% (moderate), and 0% (control)] on 25 traits associated with the morphological features, photosynthetic gas exchange and agronomic characteristics of winged bean (Psophocarpus tetragonolobus), an underutilized protein-rich legume from the tropics. Collectively, 80% of the studied variables displayed significant differences (P<0.05) between at least two shade treatments. Shading generally showed most pronounced effect on the physiological traits of the legume, whereby the stomatal conductance, photosynthetic and transpiration rate differed significantly among plants for all treatments. The non-shaded plants were observed to have superior growth and physiological responses than the shaded plants. Interestingly, the moderately shaded plants exhibited the highest yield per plant, which significantly differed from the non-shaded and heavily shaded plants. This indicated that winged bean can adapt to partial canopy cover, making it a potential nitrogen-fixing cash crop which can be planted together with fruit or oil trees in commercial plantations.
Alternative sources of potassium for maize cultivation
Authors: Boldrin Paulo Fernandes , Souto Hugo Ferreira , Salles Lenise Selaysim , Furtini Neto Antonio Eduardo
Published: March 2020

ABSTRACT Brazil is the largest importer of potassium (K) fertilizers in the world, importing about 95% of all the potassium consumed by its agriculture. Thus, new sources and technologies to increase K availability have been studied. This study aimed to evaluate the agronomic viability of the use of calcined glauconite and phonolite blended and granulated with two organic materials on maize growth in pots, using two soils of contrasting texture in a controlled environment. Were evaluated eight sources of potassium: phonolite; phonolite + poultry manure; phonolite + cattle manure; calcined glauconite; calcined glauconite + poultry manure; calcined glauconite + cattle manure; negative control (no K); and positive control (K - KCl), and two soils of contrasting texture. The experiment was carried out for 38 d. The following parameters were analyzed: plant height, stem diameter, shoot dry mass, leaf number, leaf contents of nitrogen (N), K and phosphorus (P), and the SPAD chlorophyll meter. In the sandy soil, the source consisting of phonolite + chicken manure was similar to KCl application regarding plant height, stem diameter and shoot dry mass. As for the clayey soil, when both rocks were blended with the organic wastes, they were similar to KCl for shoot dry mass. The use of pure granulated rocks, calcined glauconite and phonolite without blending with the organic residues is not efficient to provide available K to maize plants.
Reference values for the Unsupported Upper Limb Exercise test in healthy adults in Brazil
Authors: Lima Vanessa Pereira , Velloso Marcelo , Pessoa Bruno Porto , Almeida Fabiana Damasceno , Ribeiro-Samora Giane Amorim , Janaudis-Ferreira Tania
Published: March 2020

ABSTRACT Objective: To establish reference values for the Unsupported Upper Limb EXercise (UULEX) test, which measures peak arm exercise capacity, in healthy adults in Brazil. Methods: This was a cross-sectional study, involving presumably healthy individuals ≥ 30 years of age who completed questionnaires and underwent spirometry. All of the individuals underwent two UULEX tests 30-min apart. The outcome measure was the maximum time (in min) to completion of the test. Results: We included 100 individuals between 30 and 80 years of age. The mean test completion time was 11.99 ± 1.90 min among the women and 12.89 ± 2.15 min among the men (p = 0.03). The test completion time showed statistically significant correlations with age (r = −0.48; p < 0.001), gender (r = 0.28; p = 0.004), body mass index (BMI, r = −0.20; p = 0.05), and height (r = 0.28; p = 0.005). Linear regression analysis showed that the predictors of UULEX completion time were age (p = 0.000), BMI (p = 0.003), and gender (p = 0.019), which collectively explained 30% of the total variability. The mean UULEX completion time was 6% lower for the women than for the men. Conclusions: The present study was able to establish reference values for the UULEX test in healthy adults in Brazil. The values were influenced by age, gender, and BMI.
Profit distribution and regulation: the impact of mandatory dividend in corporate internal funding
Authors: Vancin Daniel Francisco , Kirch Guilherme
Published: March 2020

ABSTRACT The purpose of our research is to verify the impact of mandatory dividends on Brazilian publicly traded companies, focusing on both the value of cash holdings and the impact on corporate investment. Our work aims to reach the research objective making significant improvements over the previous works on the subject. First, we separate firms according to their dividend status. Second, in addition to investment regressions, we use the value of cash approach to test the impact of mandatory dividend on corporate financial decisions. Finally, our manual data collection makes it possible to allocate the dividend distributed to its reference period. Considering our context, where sources of financing are expensive and scarce, evidences obtained by the present research has great relevance. The law aims to protect the minority investor against the expropriation of resources. However, in dealing with all cases equally, legislation ends up harming companies that rely on these resources for their financing, thereby damaging their shareholders. This article brings new evidences, from an innovative approach, on factors affecting the availability of resources and its impact on the value of cash and on corporate investment in Brazil. We analyzed a sample of 1,654 dividend distributions from 2008 to 2015, using investment and firm value regressions. Our results indicate that companies paying just the minimum dividend have higher value attached to an extra unit of cash, corroborating our view that those companies will likely use these resources to fund future profitable investments. We also find that mandatory dividend has a negative impact on investment, but only for companies paying dividends above the minimum, contrary to our expectations. We argue that the marginal value of cash approach is a more effective way to test the impact of regulation on corporate financial decisions and this last evidence may be the result of endogeneity problems in investment regressions.
Behold the best and worst of me: the impostor phenomenon and academic behavior in the business area,
Authors: Meurer Alison Martins , Costa Flaviano
Published: March 2020

ABSTRACT The aim of this study was to analyze the relationship between the impostor phenomenon (IP) and the academic behavior of stricto sensu postgraduate students in business area courses. Discussing the relationship between psychological variables and student academic behavior is a topic of interest as empirical evidence indicates that these variables affect the environment in which scientific research is developed. It is important to look for elements that help in understanding the IP in order to reduce its impacts on the performance, behavior, and feelings of students. Postgraduate students enrolled in stricto sensu courses may be refusing opportunities to advance in their professional careers and adopting behaviors that are discordant with those desired by universities because they feel like impostors in terms of their abilities. Besides the relevance of the relationships analyzed, this research also uses the Meurer and Costa Scale of Academic Behaviors - Stricto Sensu (MCSAB-SS), which can measure academic behaviors displayed in Brazilian postgraduate courses, enabling the development of new investigations into the topic. The population includes postgraduates enrolled in 2018 in academic master’s, professional master’s, and academic doctorate courses in administration, accounting, and economics, known as the business area. The data collection was operationalized via a survey carried out online, which obtained 1,816 valid participations. The data were analyzed using descriptive statistics, exploratory factor analysis, and the Spearman’s correlation. Higher levels of impostor feelings are positively associated with displays of counterproductive academic behaviors and are mostly negatively associated with academic citizenship behaviors. After identifying the IP in students, actions to minimize these feelings can be implemented, given that postgraduate students with the IP may not be engaging in the activities that permeate stricto sensu, thus damaging the climate and culture of cooperation needed in academia.
Combination of the custom trays bleaching technique with the in-office bleaching and considerations for result maintenance
Authors: MONTEIRO Débora , VIEIRA Adriana , MAGALHÃES Cláudia , SILVA Nelson , ALBUQUERQUE Rodrigo
Published: March 2020

ABSTRACT This study goal is to present a case report of tooth bleaching treatment with the combination of the custom tray and in-office techniques, and to discuss about the considerations for result maintenance. A treatment approach was planned involving exogenous bleaching with custom trays with 7.5% hydrogen peroxide, and in-office bleaching with 35% hydrogen peroxide. The in-office bleaching agent was applied in two 15-minute applications, without led light. The patient was instructed to use the custom trays only a day after, with one drop of the bleaching agent for each tooth space. After the application of the bleaching agent, the patient used the trays for 1 hour per day, continuously for 30 days, 15 days for each arch. Considering the executed treatment approach, we may conclude that when correctly indicated, tooth bleaching with the combination of the in-office and custom trays techniques can be an acceptable choice of treatment, capable of enhancing the smile esthetics with a simple technique that preserves the sound dental structure. The patient should be instructed for the maximum color preservation and esthetic result maintenance, and should be advised that retreatments may become necessary depending on the oral hygiene and frequence of coloured food and drinks intake.
Interfaces entre Psicologia, Educação e Saúde - um relato de prática profissional
Authors: Souza Anna Carime
Published: March 2020

RESUMO Este é um relato de prática profissional do psicólogo escolar e educacional na área da saúde. Trata-se de um campo de atuação pouco divulgado ou reconhecido e este artigo visa colaborar para dar visibilidade a ele. O trabalho aqui apresentado é desenvolvido na Escola Municipal de Saúde Pública de Goiânia, no estado de Goiás, e se fundamenta na Educação Permanente em Saúde. O psicólogo escolar é o profissional que oferece contribuições dessa ciência para os processos de ensino aprendizagem e da educação como um todo. A Psicologia na saúde pública tem várias frentes de atuação e a educação na saúde é uma delas. O psicólogo escolar e educacional pode atuar nos processos educativos para profissionais de saúde, buscando como fim último aprimorar a qualidade do serviço prestado por eles. Além disso, pode colaborar com as instituições de ensino formais na formação de futuros profissionais. Enfim, o psicólogo escolar na saúde tem muito a contribuir na melhoria do atendimento à população e na busca por uma saúde de qualidade que atenda às necessidades reais do usuário.
Fatores de risco para mortalidade em pacientes com doença falciforme: uma revisão integrativa
Authors: Pompeo Carolina Mariano , Cardoso Andreia Insabralde de Queiroz , Souza Mercy da Costa , Ferraz Mayara Bontempo , Ferreira Júnior Marcos Antonio , Ivo Maria Lúcia
Published: March 2020

RESUMO Objetivo Sumarizar fatores de risco e indicadores de mortalidade em pacientes com doença falciforme. Método Revisão integrativa em periódicos indexados nas bases de dados CINAHL, PubMed/MEDLINE, Science Direct/SCOPUS, SciELO e Web of Science. A questão norteadora foi elaborada por meio da estratégia Population, variable, outcome (PVO). A busca ocorreu no portal de periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior entre outubro e novembro de 2018. Resultados Dos 19 artigos, 18 eram coorte e um ensaio clínico randomizado. A amostra foi constituída, em sua maioria, pelo sexo feminino e genótipo HbSS. Se repetiram mais a taxa de mortalidade cumulativa e a curva de mortalidade global. Sete estudos identificaram fatores de risco com associação estatisticamente significativa para morte. Os mais frequentes foram o baixo nível de hemoglobina, variáveis hepáticas (enzimas fosfatase alcalina e transaminase glutâmico oxalacética) e cardiovasculares (velocidade de regurgitação da válvula tricúspide ≥ 2,5m/s). Conclusão e implicações para a prática Indicadores de mortalidade constituem ferramentas de manejo de pacientes com doença falciforme e prevenção de riscos e complicações. Há necessidade de estudos sobre os fatores relacionados à mortalidade desses pacientes. A prevenção do óbito, certamente, promoverá uma melhoria na qualidade de vida e na sobrevida dessa população.
Análise do conceito de conforto: contribuições para o diagnóstico de Disposição para Conforto melhorado
Authors: Pereira Cristiane Soares Carius Nogueira , Mercês Claudia Angélica Mainenti Ferreira , Lopes Rafael Oliveira Pitta , Souza Jackeline Felix de , Souto Jaqueline da Silva Soares , Brandão Marcos Antônio Gomes
Published: March 2020

RESUMO Objetivos Analisar o conceito de conforto à luz do modelo de análise conceitual evolucionista de Rodgers e incorporar elementos da análise conceitual na estrutura do diagnóstico de enfermagem “Disposição para conforto melhorado” (00183). Métodos Estudo de análise de conceito com aplicação das sete etapas do modelo evolucionário de Rodgers, sendo orientado para a condução da fase 1 de validação do diagnóstico de enfermagem. O material para análise foi obtido com a estratégia de revisão integrativa da literatura. Resultados e discussão Apresenta-se perspectiva histórico-desenvolvimental do conceito de quatro períodos temporais. Evidencia atributos, antecedentes, consequentes, termos substitutos e definições conceituais obtidos da decomposição conceitual, utilizando-os para a atualização dos componentes da “Disposição para conforto melhorado” (00183). Conclusão e implicações para a prática A abordagem evolucionária de análise do conceito mostrou ser apropriada para clarificar o conceito de conforto, dela emergindo tanto uma perspectiva orientada para o bem-estar quanto para as alterações do desconforto. A análise do conceito de conforto no método evolucionário contribuiu para a atualização do diagnóstico de enfermagem em tela. Os resultados obtidos fornecem elementos para a realização de futuros estudos de validação diagnóstica por experts e de validação clínica o que impacta positivamente no uso da linguagem diagnóstica.
O JUIZ CONSTITUCIONAL ME REPRESENTA? O Supremo Tribunal Federal e a representação argumentativa
Authors: Miguel Luis Felipe , Bogéa Daniel
Published: March 2020

A ideia de representação argumentativa constitui resposta recente à objeção democrática ao papel político exercido por tribunais constitucionais. A tese defende que o juiz pode ser concebido como um representante popular, com legitimidade democrática tão sólida quanto os funcionários eleitos do Legislativo ou do Executivo. Cuida-se de movimento que participa do contexto teórico de expansão dos sentidos da representação para instâncias não-eleitorais, como instituições participativas da sociedade civil, conselhos ou movimentos sociais. Neste artigo, colocamos em escrutínio essa construção teórica, bem como apontamos os problemas associados à sua incorporação em votos e escritos de ministros do Supremo Tribunal Federal. Concluímos que o argumento padece de fragilidades insuperáveis associadas à crença exacerbada no potencial deliberativo de tribunais, à ausência de mecanismos de aproximação entre pretensos representantes e seus representados e à ausência de mecanismos efetivos de accountability. Além disso, indicamos como a tese pode ser manejada para fins de blindagem discursiva de decisões politicamente salientes e controversas. Reforçamos, assim, o caráter elitista dessa tentativa, que exacerba o isolamento da corte em relação a seus ditos representados e firma um distanciamento crescente do núcleo essencialmente democrático da soberania enquanto exercício popular do poder político.
Experimental study of effects of riverbed composition on the riverbank erosion process
Authors: Li Qiang , Wang Lu , Ma Xudong , Nie Ruihua
Published: March 2020

Riverbank erosion is a common natural river process that threatens the security of instream structures, as well as public and private property. In this study, two sets of tests were performed (direct shear tests and flume tests) to study the effects of riverbed soil composition on the stability of riverbanks. The results of the direct shear tests demonstrated that the riverbank material became increasingly cohesive with increasing clay content and decreasing water content. The internal friction angle decreased monotonically with increasing clay content, but increased towards a peak value, before decreasing thereafter, with increasing water content. The results of the flume tests showed that, for each riverbank material, an increase in bed mobility (non-cohesive bed material > cohesive bed material > fixed bed) increased the equilibrium channel width, riverbank erosion volume and bed degradation. In the first 25 min of the test, the temporal channel width was greater when the bed mobility was lower; after 45 min, the temporal channel was wider when the bed mobility was higher. For each bed material, the riverbank erosion volume and temporal channel width were greater with a non-cohesive bank than with a cohesive bank.
Burnout and Emotional Well-Being among Nephrology Fellows: A National Online Survey
Authors: Agrawal Varun , Plantinga Laura , Abdel-Kader Khaled , Pivert Kurtis , Provenzano Anthony , Soman Sandeep , Choi Michael J. , Jaar Bernard G.
Published: March 2020

Background

Physician burnout and emotional distress are associated with work dissatisfaction and provision of suboptimal patient care. Little is known about burnout among nephrology fellows.

Methods

Validated items on burnout, depressive symptoms, and well being were included in the American Society of Nephrology annual survey emailed to US nephrology fellows in May to June 2018. Burnout was defined as an affirmative response to two single-item questions of experiencing emotional exhaustion or depersonalization.

Results

Responses from 347 of 808 eligible first- and second-year adult nephrology fellows were examined (response rate=42.9%). Most fellows were aged 30–34 years (56.8%), male (62.0%), married or partnered (72.6%), international medical graduates (62.5%), and pursuing a clinical nephrology fellowship (87.0%). Emotional exhaustion and depersonalization were reported by 28.0% and 14.4% of the fellows, respectively, with an overall burnout prevalence of 30.0%. Most fellows indicated having strong program leadership (75.2%), positive work-life balance (69.2%), presence of social support (89.3%), and career satisfaction (73.2%); 44.7% reported a disruptive work environment and 35.4% reported depressive symptoms. Multivariable logistic regression revealed a statistically significant association between female gender (odds ratio [OR], 1.90; 95% confidence interval [95% CI], 1.09 to 3.32), poor work-life balance (OR, 3.97; 95% CI, 2.22 to 7.07), or a disruptive work environment (OR, 2.63; 95% CI, 1.48 to 4.66) and burnout.

Conclusions

About one third of US nephrology fellows surveyed reported experiencing burnout and depressive symptoms. Further exploration of burnout—especially that reported by female physicians, as well as burnout associated with poor work-life balance or a disruptive work environment—is warranted to develop targeted efforts that may enhance the educational experience and emotional well being of nephrology fellows.
Nutritional supplements use, cost, source of information, and practices by Johannesburg North gym goers
Authors: Gabriels Gary , Coopoo Yoga , Mc Creanor Xavier
Published: March 2020

Background: Nutritional supplements are defined as any dietary supplement manufactured product that is generally intended to supplement the diet when taken by mouth as a pill, capsule, tablet, or liquid. Currently, the use of nutritional supplements is on the increase worldwide, predominantly in Western countries but also more recently expanding to other parts of the world for what has become a multibillion-dollar global industry. As a result, consumer demand has caused the increase in the advertising and marketing of these products. This contributes to early exposure to nutritional supplements by potential consumers and is an influencing factor for the use of performance-enhancing and/or appearance substances by adolescents. For the nutritional supplement industry the container is thus the manifestation of innovative ideas for the enterprising business-minded mogul. For the consumer, body image and ideal body discrepancy, and social influences manifest in the belief that the perfection of body development cannot be achieved without the use of nutritional supplements. This makes the consumer a captive audience for the industry and a challenge for the health care provider when suggesting alternatives to nutritional supplements, based on cost- benefit, and risk assessment.

Objective: To determine the association between commercial gym goers and nutritional supplements, in particular the commencement of use, reasons and purpose for use, and the financial and risk implications of use.

Methods: A self-administered questionnaire based on a cross-sectional quantitative design and systematic convenience sampling was given to the 364 recruited males and female gym goers.

Results: This study’s finding shows that the main reasons why females attend gyms are for muscle gain (57%), weight loss (48%), staying healthy (47%), and a ‘spiritual motive’ (39%) In males, it is predominantly for muscle gain (54%). Protein supplements were the most popular products that were consumed (84%) followed by carbohydrates (72%) and vitamins (71%). It was found that the consumption of nutritional supplements often starts at high school age and continues into adulthood. The analysis shows that natural source protein products are better priced than nutritional supplement products.

Conclusion: The study shows the importance of educating gym goers, the general public, and the guardians of minors to make a behaviour change towards nutritional supplement consumption. The change should also incorporate a cost-benefit risk assessment which is practical for the consumer when comparing supplement use as alternative sources of protein.

Keywords: alternative protein, body image, cost, gender, spiritual motives
Mouse Whole Cell Tissue Processing for 10x Genomics Platform v2
Authors: Institute for Brain Science Allen
Published: March 2020

This protocol describes how to isolate tissue from various ROI’s of the mouse brain followed by preparation of a highly concentrated single cell suspension for transcriptomic profiling on 10x Genomics platform.
PERAN KONTEKSTUALITAS KAWASAN DALAM DESAIN TOURISM INFORMATION CENTER BOROBUDUR MAGELANG
Authors: Kirana Wibisono Adi , Pamungkas Luhur Sapto
Published: March 2020

Abstract: Magelang is a district in Central Java. Magelang has many tourist attractions, including natural and cultural tourism and temples. Therefore, many foreign and local tourists visit Magelang. The number of tourists coming to Magelang from 2013 to 2017 experienced a significant increase. One of the tourists’ favorite destinations was Borobudur Temple in 2017. Thus, tourists who visit need an information place to facilitate tourism information, give them new and broad insights, and provide them with up-to-date information. The Tourism Information Center itself is already available in Borobudur, Magelang, and has some rooms to support activities. However, some functions of the rooms have problems of inadequacy, so that visitors are reluctant to come there. The contextual architecture approach is used because the site area is near the tourist area of Borobudur Temple, so that the contextual architecture approach is very appropriate to apply. The concept of the mass composition which tells the composition of the Borobudur master stupa is applied and the materials identical to Borobudur Temple are also used as well. The landscape concept from the history of Borobudur Temple which used to be a lake is applied into several ponds, so that the Tourism Information Center has an identity in the area as a means of tourism information.Keywords: Borobudur, Contextual Architecture, Magelang, Redesign, Tourism Information Center. Abstrak: Magelang merupakan sebuah kabupaten di Jawa Tengah. Magelang mempunyai banyak tempat wisata, baik wisata alam, budaya, serta candi.  Sehingga banyak wisatawan asing maupun lokal yang berkunjung ke Magelang. Diagram wisatawan yang datang ke Magelang dari tahun 2013 sampai 2017 mengalami peningkatan yang signifikan. Salah satu tujuan favorit wisatawan yaitu Candi Borobudur. Pada tahun 2017.Dengan demikian wisatawan yang berkunjung memerlukan tempat informasi untuk mempermudah informasi wisatawan, memberi wawasan baru dan luas terhadap wisatawan, memberikan informasi up date kepada wisatawan. Tourism Information Center. Tourism Information Center sendiri sudah tersedia di Borobudur Magelang, dan mempunyai beberapa ruang untuk menunjang kegiatan. Namun dari beberapa fungsi ruang mempunyai permasalahan yang dianggap kurang layak, sehingga pengunjung enggan untuk datang ke sini. Pendekatan arsitektur kontekstual digunakan karena area site berada di dekat kawasan wisata Candi Borobudur, sehingga pendekatan arsitektur kontekstual sangat layak digunakan. Konsep gubahan masa yang menceritakan gubahan stupa induk borobudur diterapkan, material yang identik dengan Candi Borobudur juga digunakan pula. Pengambilan konsep lanskap dari sejarah Candi Borobudur yang dulunya danau diterapkan menjadi beberapa kolam. Sehingga Tourism Information Center ini mempunyai identitas pada kawasan sebagai sarana informasi turis.Kata Kunci: Arsitektur Kontekstual, Borobudur, Magelang, Redesain,  Tourism Information Center
REVITALISASI PASAR PRAWIROTAMAN MENJADI PASAR KREATIF DENGAN PENDEKATAN ARSITEKTUR KONTEKSTUAL SEBAGAI KONSEP DESAIN
Authors: Adhirya Kurn Adhirya Kurn , Kurniawan Muhammad Arief
Published: March 2020

Abstract: Revitalization of Prawirotaman Market through Contextual Architecture to Become a Creative Market is to redesign a building, which functions as a purchase and sale area with such commodities as basic needs, food, vegetables, glassware, and others. The redesign is motivated by a number of problems, such as the many inefficient and ineffective spaces, lack of sale areas, and minimum parking lots. In addition, it will improve the market status from a traditional market to a Class II market. The growing population and location of Prawirotaman market that is close to tourist accommodations and tourism village provide an opportunity for the market to operate 24 hours, particularly as a culinary market. To revitalize Prawirotaman Market, the author applies the concept of Contextual Architecture as a creative market. Such approach aims to create a new atmosphere, especially in Prawirotaman Village, to make it better known as a market with a contextual concept as a creative market. The revitalization of Prawirotaman Market to solve a number of problems is conducted by analyzing the problems, planning the design concept, and analyzing the results to obtain the proper concept and response.Keywords: Social relationship, Space Problem, Traditional Abstrak: Revitalisasi Pasar Prawirotaman Dengan Pendekatan Arsitektur Kontekstual Sebagai Pasar Kreatif adalah perancangan kembali sebuah bangunan yang berfungsi sebagai tempat jual beli dengan jenis barang dagang meliputi kebutuhan pokok, makanan, sayuran, barang pecah belah dan masih banyak lagi. Perencanaan ulang ini dilatar belakangi oleh beberapa permasalahan seperti banyak ruang yang tidak efisien dan efektif, kurangnya tempat berdagang, kurangnya lahan parkir, selain itu akan meningkatkan status pasar menjadi pasar tradisional menjadi tingkat kelas II. Pertumbuhan penduduk yang semakin bertambah dan lokasi Pasar Prawirotaman berdekatan dengan kampung turis atau kampung wisata yang mampu menjadi peluang untuk menjadikan pasar ini beroperasi selama 24 jam terutama di bidang kulinernya. Dalam merevitalisasi Pasar Prawirotaman penulis menerapkan konsep dengan “ Pendekatan Arsitektur Kontekstual sebagai pasar kreatif ” Pemilihan pendekatan ini bertujuan untuk menciptakan suasana baru khususnya di kampung prawirotaman supaya menjadi lebih dikenal lagi oleh masyarakat sebagai pasar yang memiliki konsep kontekstual sebagai pasar kreatif. Solusi yang diterapkan dalam Revitalisai Pasar Prawirotaman untuk mengatasi semua permasalahan yang timbul dengan cara menganalisa permasalahan kemudian membuat konsep perancangan yang setiap hasil analisisnya mendapatkan konsep dan responnya masing – masing.Kata Kuunci           : Hubungan dengan masyarakat, Permasalahan Ruang, Tradisional
Translating Metonymies of the Incarcerated Female Self in Pasos bajo el agua/Steps Under Water, by Argentine Writer Alicia Kozameh
Authors: Yañez Gabriela Luisa
Published: March 2020

Mediante un estudio de caso, este artículo aborda el potencial evocativo de la metonimia en la traducción para reposicionar las subjetividades femeninas en otra lengua y cultura desde una perspectiva transnacional de la traducción feminista. En el campo literario, la metonimia se define como una figura retórica mediante la cual un término se emplea para evocar una serie de asociaciones culturales que se encuentran íntimamente vinculadas a la experiencia. El artículo persigue dos objetivos: (1) analizar el rol de la metonimia en la traducción para observar la recreación y reconfiguración de la compleja red de relaciones de poder en el texto feminista; y (2) examinar aspectos geopolíticos de la traducción en torno a las relaciones de poder instauradas en la traducción de un texto argentino escrito en español al inglés. Para ello, se estudia la traducción de metonimias específicas que revelan la condición femenina encarcelada en Pasos bajo el agua (1987), un relato testimonial sobre la última dictadura militar argentina escrito por Alicia Kozameh. Los resultados muestran que los mecanismos evocativos de la metonimia contribuyen a revelar las relaciones de género y, por tanto, requieren especial consideración para la traducción de textos feministas desde una perspectiva transnacional.