bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparaison du niveau de développement d’enfants en crèche et en pouponnière et soumis à différents niveaux de défaillances parentales précoces
Authors: Castellani Charlotte , Ninoreille Karine , Berger Maurice , Perrin Anne
Published: May 2015

Cette recherche porte sur l’évaluation du Quotient de Développement (QD) de nourrissons ayant vécu des situations de défaillances parentales précoces, avec trois groupes différents et deux groupes contrôles. Le test utilisé, le Brunet-Lézine II, a été proposé à 30 nourrissons en pouponnière (groupe 4). Le groupe témoin était constitué de 30 enfants élevés dans des familles sans trouble apparent de la parentalité et accueillis en crèche au moins à mi-temps (groupe 5). Il n’y a pas de différence significative concernant le QD global (QDG) entre les deux groupes, mais davantage d’enfants de pouponnières présentent des QD partiels dysharmoniques. L’analyse des QD partiels montre que l’équivalence des QDG entre les groupes 4 et 5 est due à un QD postural supérieur souvent de 15 points dans le groupe 4. Une recherche parallèle a été effectuée en pouponnière. Onze enfants ont été testés à leur arrivée puis un mois après, afin d’être au plus près du vécu traumatique familial puis d’évaluer l’effet protecteur éventuel du séjour en pouponnière. Le QDG de chaque enfant a augmenté de manière significative entre les deux rencontres. Le test de développement du Brunet-Lézine est apparu comme un bon indicateur de la souffrance psychique du nourrisson. L’évaluation duelle en collectivité ferait resurgir des manifestations anxieuses chez certains enfants lorsqu’ils n’ont plus l’étayage groupal des pairs, ce qui entrave leurs compétences. En pouponnière, l’intériorisation d’un modèle groupal pourrait aussi influencer la capacité d’individuation de jeunes enfants.
Preceptor Skills and Characteristics: Considerations for Preceptor Education
Authors: Shinners Jean S. , Franqueiro Tammy
Published: May 2015

The onboarding and retention of new graduate RNs continues to be a critical focus for both nursing as a profession and for health care organizations. A comprehensive residency program, with preceptor engagement playing a key role, is essential to the success of these new nurses in transition. With a focus on preceptor education, this article provides an analysis of the preceptor experience from the perspective of new graduate RNs and how their feedback provided the foundation for preceptor education. The article outlines opinions and recommendations for preceptor development, provided by a convenience sample of new graduate nurses from a multisite, postresidency evaluation survey. The purpose of the analysis was two-fold: (a) to identify preceptor skills and characteristics for presentation at the 2nd annual American Academy for Preceptor Advancement conference and (b) to ensure that the identified skills and characteristics provide the foundation for preceptor education in a national residency program.

J Contin Nurs Educ.
2015;46(5):233–236.
Screening for Distress in Patients With Cancer
Authors: Redmond Margaret
Published: May 2015

Distress screening, using the Distress Thermometer for Patients, is a valid, evidence-based approach to assess and facilitate the identification of interventions for patients and families experiencing cancer-related distress. Nurses are in position to lead early implementation of screenings and identify interventions for illness-related distress.

J Contin Educ Nurs
. 2015;46(5):201–202.
A Data Mining Approach for Examining Predictors of Physical Activity Among Urban Older Adults
Authors: Yoon Sunmoo , Suero-Tejeda Niurka , Bakken Suzanne
Published: May 2015

The current study applied innovative data mining techniques to a community survey dataset to develop prediction models for two aspects of physical activity (i.e., active transport and screen time) in a sample of urban, primarily Hispanic, older adults (
N
= 2,514). Main predictors for active transport (accuracy = 69.29%, precision = 0.67, recall = 0.69) were immigrant status, high level of anxiety, having a place for physical activity, and willingness to make time for physical activity. The main predictors for screen time (accuracy = 63.13%, precision = 0.60, recall = 0.63) were willingness to make time for exercise, having a place for exercise, age, and availability of family support to access health information on the Internet. Data mining methods were useful to identify intervention targets and inform design of customized interventions. [
Journal of Gerontological Nursing, 41
(7), 14–20.]
Venous Thromboembolism Prophylaxis After Total Joint Arthroplasty
Authors: Flierl Michael A. , Messina Michael J. , Mitchell Justin J. , Hogan Craig , D’Ambrosia Robert
Published: May 2015

Educational Objectives

As a result of reading this article, physicians should be able to:

1.

Review current commonly used anticoagulant options after total joint arthroplasty.

2.

Analyze the current American Academy of Orthopaedic Surgeons, American College of Chest Physicians, and Surgical Care Improvement Project guidelines for perioperative venous thromboembolism (VTE) prophylaxis after total joint arthroplasty.

3.

Critically evaluate the history and most recent changes related to the current guidelines for VTE prophylaxis after total joint arthroplasty.

4.

Make an informed decision on which VTE prophylaxis to use based on patient-specific factors in daily practice.

Venous thromboembolism (VTE) prophylaxis after total joint arthroplasty is considered best practice. However, over the past 5 years, there has been considerable debate about the ideal prophylactic regimen or modality. The American Academy of Orthopaedic Surgeons and the American College of Chest Physicians published their most recent clinical practice guidelines about VTE prophylaxis in 2011 and 2012, respectively. In addition, the Surgical Care Improvement Project published their latest recommendations in 2014. In this review, commonly used VTE prophylaxis options and the latest clinical guidelines will be discussed. [
Orthopedics.
2015; 38(4):252–263.]
Online Reviews of Orthopedic Surgeons: An Emerging Trend
Authors: Frost Chelsea , Mesfin Addisu
Published: May 2015

Various websites are dedicated to rating physicians. The goals of this study were to: (1) evaluate the prevalence of orthopedic surgeon ratings on physician rating websites in the United States and (2) evaluate factors that may affect ratings, such as sex, practice sector (academic or private), years of practice, and geographic location. A total of 557 orthopedic surgeons selected from the 30 most populated US cities were enrolled. The study period was June 1 to July 31, 2013. Practice type (academic vs private), sex, geographic location, and years since completion of training were evaluated. For each orthopedic surgeon, numeric ratings from 7 physician rating websites were collected. The ratings were standardized on a scale of 0 to 100. Written reviews were also collected and categorized as positive or negative. Of the 557 orthopedic surgeons, 525 (94.3%) were rated at least once on 1 of the physician rating websites. The average rating was 71.4. The study included 39 female physicians (7.4%) and 486 male physicians (92.6%). There were 204 (38.9%) physicians in academic practice and 321 (61.1%) in private practice. The greatest number of physicians, 281 (50.4%), practiced in the South and Southeast, whereas 276 (49.6%) practiced in the West, Midwest, and Northeast. Those in academic practice had significantly higher ratings (74.4 vs 71.1;
P
<.007). No significant difference based on sex (72.5 male physicians vs 70.2 female physicians;
P
=.17) or geographic location (
P
=.11) were noted. Most comments (64.6%) were positive or extremely positive. Physicians who were in practice for 6 to 10 years had significantly higher ratings (76.9,
P
<.01) than those in practice for 0 to 5 years (70.5) or for 21 or more years (70.7). [
Orthopedics.
2015; 38(4):e257–e262.]
Reconstruction With Modular Megaprostheses for Sarcomas of the Lower Extremity
Authors: Tsagkozis Panagiotis , Brosjö Otte , Bauer Henrik C. F.
Published: May 2015

Limb-preserving surgery using modular megaprostheses for the reconstruction of large skeletal defects is currently the preferred treatment for sarcomas. The authors report the postoperative outcomes after skeletal resection for lower extremity sarcomas and the use of the METS cemented modular implant system (Stanmore Implants, Hertfordshire, United Kingdom) for reconstruction. They retrospectively studied 52 consecutive patients operated on from 2003 to 2012. There were 27 distal femur prostheses, 13 proximal femur, 11 proximal tibia, and 1 total femur implants. Patients were followed for a mean of 4.3 years. Overall patient survival, prosthesis survival, limb salvage rate, and secondary complications were documented. Five years postoperatively, prosthesis survival was 79%. Complications warranting implant revision surgery were documented in 15% of patients, whereas complications warranting surgery of any kind were observed in 27% of the patients. Nonmechanical complications, namely local relapse of the tumor and prosthetic infection, were the most common cause of prosthetic failure, accounting for 88% of major revision surgeries and 100% of amputations. Mechanical complications were rare, observed in only 6% of patients. No patients required secondary revision surgery. The limb salvage rate was 89%. Overall patient survival was 79% at 5 years and 71% at 10 years. The low risk for mechanical complications and the high limb salvage rate support the use of the METS modular megaprostheses for the reconstruction of skeletal defects following lower limb sarcoma surgery. [
Orthopedics.
2015; 38(5):e401–e406.]
Diversity of Nursing Student Views About Simulation Design: A Q-Methodological Study
Authors: Paige Jane B. , Morin Karen H.
Published: May 2015

Background:

Education of future nurses benefits from well-designed simulation activities. Skillful teaching with simulation requires educators to be constantly aware of how students experience learning and perceive educators’ actions. Because revision of simulation activities considers feedback elicited from students, it is crucial to understand the perspective from which students base their response.

Method:

In a Q-methodological approach, 45 nursing students rank-ordered 60 opinion statements about simulation design into a distribution grid.

Results:

Factor analysis revealed that nursing students hold five distinct and uniquely personal perspectives—Let Me Show You, Stand By Me, The Agony of Defeat, Let Me Think It Through, and I’m Engaging and So Should You.

Conclusion:

Results suggest that nurse educators need to reaffirm that students clearly understand the purpose of each simulation activity. Nurse educators should incorporate presimulation assignments to optimize learning and help allay anxiety. The five perspectives discovered in this study can serve as a tool to discern individual students’ learning needs. [
J Nurs Educ.
2015;54(5):249–260.]
First-Year Nursing Students—Developing Relational Caring Practice Through Inquiry
Authors: Spadoni Michelle , Doane Gweneth Hartrick , Sevean Patricia , Poole Karen
Published: May 2015

Background:

In the current chaotic health care milieu, it is a challenge to create learning environments that support students to become respectful and community-engaged practitioners who are able to care for self and others. Aesthetic and transformative learning approaches foster students to develop caring attributes.

Method:

Using relational inquiry and the general principles of transformative learning theory, an aesthetic curriculum project for first-year nursing students exploring the interrelatedness of self, other, and caring was developed and evaluated by nursing faculty.

Results:

Students’ in-the-moment experiences of transitioning into nursing school were enlisted to (a) open the space for deeper learning, (b) support the development of relational caring practice, and (c) foster personal and professional transformations.

Conclusion:

Aesthetic learning opportunities create experiential moments, where novice students can begin to explore the interconnectedness of self, other, and caring as it relates to their being and becoming a nurse. [
J Nurs Educ.
2015;54(5):270–275.]
Evaluating the Effectiveness of Real-Time Feedback on the Bedside Hand Hygiene Behaviors of Nursing Students
Authors: Ott Lora K. , Irani Vida R.
Published: May 2015

Background:

Traditional hand hygiene teaching methods lack long-term effectiveness.

Method:

A longitudinal, within-subject design explored the influence of real-time hand microbe feedback and a critical-thinking decision exercise on nursing student hand hygiene behaviors. In three community hospitals, the students’ (
n
= 68) hand swabs were tested for normal flora, methicillin-resistant S
taphylococcus aureus
(MRSA), and vancomycin-resistant
Enterococcus
at three time points. Students completed the Partnering to Heal (PTH) online exercise on hospital-acquired infection prevention decisions.

Results:

Normal flora colony counts decreased across the semester and MRSA-positive cultures increased in frequency and colony counts. MRSA-positive cultures were not associated with caring for patients in isolation precautions. Significantly higher colony counts were noted in the students who completed the PTH than those who did not complete the PTH.

Conclusion:

This study explores innovative pedagogy bringing the nonvisible microbial risk to the consciousness of nursing students in an attempt to change hand hygiene behaviors. [
J Nurs Educ.
2015;54(5):286–289.]
Establishment of a Short-Term Global Health Nursing Education Experience: Impact on Students’ Ways of Knowing
Authors: Wagner Linda D. , Christensen Stacy E.
Published: May 2015

Background:

The
Essentials of Baccalaureate Education for Professional Nursing
recognizes that with the increased globalization of health care, professional nurses have to be prepared to practice in multicultural environments and must possess the skills needed to provide culturally competent care.

Method:

Thirty-five baccalaureate nursing students participated in a short-term course abroad to Jamaica over a period of 3 years. The impact of such an experience on ways of knowing was assessed in 20 participants, using a visual analog scale.

Results:

Students believed that the short-term course abroad experience had a positive impact on their personal knowing and that they developed an understanding of a health care system different from their own, while reflecting on issues of social justice.

Conclusion:

Results provide evidence of the positive impact on short-term course abroad trips on students’ ways of knowing. Critical to establishment of these experiences is evaluation of their merit through documentation of student learning outcomes. [
J Nurs Educ.
2015;54(5):295–299.]
Information Systems to Support Surveillance for Malaria Elimination
Authors: Ohrt Colin , Roberts Kathryn W. , Sturrock Hugh J. W. , Wegbreit Jennifer , Lee Bruce Y. , Gosling Roly D.
Published: May 2015

Robust and responsive surveillance systems are critical for malaria elimination. The ideal information system that supports malaria elimination includes: rapid and complete case reporting, incorporation of related data, such as census or health survey information, central data storage and management, automated and expert data analysis, and customized outputs and feedback that lead to timely and targeted responses. Spatial information enhances such a system, ensuring cases are tracked and mapped over time. Data sharing and coordination across borders are vital and new technologies can improve data speed, accuracy, and quality. Parts of this ideal information system exist and are in use, but have yet to be linked together coherently. Malaria elimination programs should support the implementation and refinement of information systems to support surveillance and response and ensure political and financial commitment to maintain the systems and the human resources needed to run them. National malaria programs should strive to improve the access and utility of these information systems and establish cross-border data sharing mechanisms through the use of standard indicators for malaria surveillance. Ultimately, investment in the information technologies that support a timely and targeted surveillance and response system is essential for malaria elimination.
Case–Control Study of Posttreatment Regression of Urinary Tract Morbidity Among Adults in Schistosoma haematobium–Endemic Communities in Kwale County, Kenya
Authors: Magak Philip , Chang-Cojulun Alicia , Kadzo Hilda , Ireri Edmund , Muchiri Eric , Kitron Uriel , King Charles H.
Published: May 2015

Previous population-based studies have examined treatment impact on Schistosoma-associated urinary tract disease among children, but much less is known about longer-term treatment benefits for affected adult populations in areas where risk of recurrent infection is high. In communities in Msambweni, along the Kenya coast, we identified, using a portable ultrasound, 77 adults (aged 17–85) with moderate-to-severe obstructive uropathy or bladder disease due to Schistosoma haematobium. Treatment response was assessed by repeat ultrasound 1–2 years after praziquantel (PZQ) therapy and compared with interval changes among age- and sex-matched infected/treated control subjects who did not have urinary tract abnormalities at the time of initial examination. Of the 77 affected adults, 62 (81%) had improvement in bladder and/or kidney scores after treatment, 14 (18%) had no change, and one (1.3%) had progression of disease. Of the 77 controls, 75 (97%) remained disease free by ultrasound, while two (3%) had apparent progression with abnormal findings on follow-up examination. We conclude that PZQ therapy for S. haematobium is effective in significantly reducing urinary tract morbidity from urogenital schistosomiasis among adult age groups, and affected adults stand to benefit from inclusion in mass treatment campaigns.
Introduction of Monkeypox into a Community and Household: Risk Factors and Zoonotic Reservoirs in the Democratic Republic of the Congo
Authors: Nolen Leisha Diane , Osadebe Lynda , Katomba Jacques , Likofata Jacques , Mukadi Daniel , Monroe Benjamin , Doty Jeffrey , Kalemba Lem's , Malekani Jean , Kabamba Joelle , Bomponda Pierre Lokwa , Lokota Jules Inonga , Balilo Marcel Pie , Likafi Toutou , Lushima Robert Shongo , Tamfum Jean-Jacques Muyembe , Okitolonda Emile Wemakoy , McCollum Andrea M. , Reynolds Mary G.
Published: May 2015

An increased incidence of monkeypox (MPX) infections in the Democratic Republic of the Congo was noted by the regional surveillance system in October 2013. Little information exists regarding how MPX is introduced into the community and the factors associated with transmission within the household. Sixty-eight wild animals were collected and tested for Orthopoxvirus. Two of three rope squirrels (Funisciurus sp.) were positive for antibodies to Orthopoxviruses; however, no increased risk was associated with the consumption or preparation of rope squirrels. A retrospective cohort investigation and a case–control investigation were performed to identify risk factors affecting the introduction of monkeypox virus (MPXV) into the community and transmission within the home. School-age males were the individuals most frequently identified as the first person infected in the household and were the group most frequently affected overall. Risk factors of acquiring MPXV in a household included sleeping in the same room or bed, or using the same plate or cup as the primary case. There was no significant risk associated with eating or processing of wild animals. Activities associated with an increased risk of MPXV transmission all have potential for virus exposure to the mucosa.
Synergy of stereo cloud top height and ORAC optimal estimation cloud retrieval: evaluation and application to AATSR
Authors: Fisher D. , Poulsen C. A. , Thomas G. E. , Muller J.-P.
Published: May 2015

Abstract. In this paper we evaluate the retrievals of cloud top height when stereo derived heights are combined with the radiometric cloud top heights retrieved from the ORAC (Optimal Retrieval of Aerosol and Cloud) algorithm. This is performed in a mathematically rigorous way using the ORAC optimal estimation retrieval framework, which includes the facility to use independent a priori information. Key to the use of a priori information is a characterisation of their associated uncertainty. This paper demonstrates the improvements that are possible using this approach and also considers their impact on the microphysical cloud parameters retrieved. The AATSR instrument has two views and three thermal channels so is well placed to demonstrate the synergy of the two techniques. The stereo retrieval is able to improve the accuracy of the retrieved cloud top height when compared to collocated Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observations (CALIPSO), particularly in the presence of boundary layer inversions and high clouds. The impact on the microphysical properties of the cloud such as optical depth and effective radius was evaluated and found to be very small with the biggest differences occurring over bright land surfaces and for high clouds. Overall the cost of the retrievals increased indicating a poorer radiative fit of radiances to the cloud model, which currently uses a single layer cloud model. Best results and improved fit to the radiances may be obtained in the future if a multi-layer model is used.
BASIC GRADUATE CURRICULA OF GIS DESIGN IN BEIJING NORMAL UNIVERSITY, CHINA
Authors: Liu H.
Published: May 2015

Abstract. As the basic course of postgraduate programme in Beijing Normal University, the Introduction of GIS&T is selected by almost all the students of the GIS specialty and other related specialties like physical and human geography, ecology, environmental science and so on. The number of the students dropped in the course was over 100 each year in the past 5 years. The background of education and demands of the students were very different. How to design the course of Introduction of GIS&T to meet the demands of students is important. This paper include following parts: (1) The analysis of student’s difference and the structure design of the course, (2) Spatial thinking and the body of knowledge design, (3) The practice exercises design, and (4) Feedback and evaluating.
Development of young opera Audiences. Reflections on the role of the artistic program
Authors:   Deusto Business School, Departamento de Estrategia y Sistemas de Información, Hermanos Aguirre 2, 48014 Bilbao (España). macarena.cuenca@deusto.es, Cuenca Macarena
Published: May 2015

In recent years, audience development has become one of the most important issues and current affairs within the cultural sector. The specific case of opera is one of the most extreme examples, since it is the most expensive genre of all the performing arts and also has a minority and very aged audience. In this paper we reflect on the development of young opera audiences. Specifically, the aim is to identify what type of initiatives relating to the artistic content are pursuing European opera houses to reach children, teenagers and young people in general. The methodology is based on a review of the scientific literature on the topic under study and an empirical qualitative research, relying on two different techniques: content analysis and in-depth interviews. The study confirms that the reduction of the average age of the audience by incorporating younger audiences is a priority for opera houses as it is considered a key factor for their future sustainability. However, just as in the case of children the strategy to follow seems to be clear, this is not so evident in the case of youngsters.
Real estate mutual funds in Spain. Performance and persistence
Authors:   Departamento Economía Financiera y Contabilidad. Facultad CC. Económicas y Empresariales, Avda. do Burgo, s/n ,15782 Santiago de Compostela, A Coruña (España). josemanuel.maside@usc.es, Maside Sanfiz José Manuel , Iglesias Casal Ana ,   Departamento de Economía Cuantitativa. Facultad CC. Económicas y Empresariales, Avda. do Burgo, s/n ,15782 Santiago de Compostela, A Coruña (España). ana.iglesias.casal@usc.es, López Penabad Mª Celia ,   Departamento Economía Financiera y Contabilidad. Facultad CC. Económicas y Empresariales, Avda. do Burgo, s/n ,15782 Santiago de Compostela, A Coruña (España). celia.lopez@usc.es, López Andión Carmen ,   Departamento de Economía Cuantitativa. Facultad CC. Económicas y Empresariales, Avda. do Burgo, s/n ,15782 Santiago de Compostela, A Coruña (España). carmen.lopez.andion@usc.es
Published: May 2015

The purpose of the present paper is to study the performance and persistence of the returns of the spanish real estate mutual funds universe from the beginning of their activity, late 1994 until august 2012. We adopt the Jensen's alpha model, Sharpe's ratio and Carhart's (1997) methodology. In terms of efficiency, Sharpe's ratio shows negative values in the first three years of activity of each fund and very low or even negative values in the last three or four years. Jensen's indicator shows that the overall funds have underperformed the market, which has been approximated by the housing profitability and a half of the profitability of all real estate funds. Benchmarks portfolios that reflect the behavior of the bond or equity markets, did not turn out to be significant variables. There is evidence of persistence for one, two, three and four years, for the universe of funds. The evidence obtained in our work for the real estate funds in Spain, efficiency lower than that of the market and persistence in performance, allows us to confirm the difficult situation that has gone through and which continues to suffer this type of collective investment, highlighting the need and the urgency of driving measures to boost their activity.
Costs and Benefits of Foreign Direct Investment to Azerbaijan’s Economy: The Case of Oil Sector
Authors: COSKUN Ali , MAMMADOVA Gulkhanim
Published: May 2015

Azerbaijan is a young republic with a developing economy. Despite the efforts of government programs and development of non-oil sectors in recent years, the oil sector is still the most important sector of the economy. Improvement in the oil sector is the main source of the developments in Azerbaijan’s economy. In this study, we present the role of the oil sector in Azerbaijan’s economy, investigate the foreign direct investment in Azerbaijan oil sector and analyze the costs and benefits of foreign direct investment in oil industry to the Azerbaijan’s economy. After a broad literature review, it is found that foreign direct investment in Azerbaijan oil sector results in some minor costs to economy such as crowding out, negative wage spillover, profit repatriation and dual economy effect. On the other hand, foreign direct investment in Azerbaijan oil sector has great benefits for the economy, especially in terms of significant developments at macroeconomic indicators such as rapid increase in GDP. Adding to economic growth, human capital contribution, competition level, technology transfer and management and governance practices are some other benefits of foreign direct investment in Azerbaijan oil sector in Azerbaijan’s economy.
Strategies for Effective School Leadership
Authors: Nikolaros John
Published: May 2015

To many, effective leadership is continently appropriate as conscience. The paper identifies strategies that assists schools facilitate a warmer and healthier school environment. The author provides a review of delineated leadership strategies with a narrative for each type. Highlighting different cultures and assumptive impact on school culture and climate is offered.
O PROCESSO DE TRABALHO DE ENFERMEIROS EM NÚCLEOS HOSPITALARES DE EPIDEMIOLOGIA
Authors: Medeiros Adeli Regina Prizybicien , Larocca Liliana Müller , Chaves Maria Marta Nolasco , Peres Aida Maris
Published: May 2015

Estudo exploratório e qualitativo, com o objetivo de caracterizar o processo de trabalho de enfermeiros de Núcleos Hospitalares de Epidemiologia quanto aos agentes, finalidade, meios e instrumentos, objeto e produtos. Os dados foram coletados, entre março e maio de 2012, por meio de entrevista aberta com nove enfermeiros de cinco Núcleos Hospitalares de Epidemiologia existentes em Curitiba-PR, em conformidade com a Resolução 196/96. O estudo permitiu identificar os elementos constituintes do trabalho do enfermeiro em Vigilância Epidemiológica Hospitalar e evidenciou práticas ainda incipientes em algumas instituições. Depreendeu-se que a prática profissional, nos referidos núcleos, deve romper com o modelo de atuação centrado em tarefas, para um modelo articulado com serviços de referência e que contribua com a construção de Políticas Públicas alinhadas às necessidades em saúde da população.
PERFIL SOCIODEMOGRÁFICO E CLÍNICO DOS PACIENTES EM TRATAMENTO NA UNIDADE PSIQUIÁTRICA DE UM HOSPITAL GERAL
Authors: Da Silva Thaíse Liara , Maftum Mariluci Alves , Kalinke Luciana Puchalski , De Freitas Mathias Thais Aidar , Ferreira Aline Cristina Zerwes , Capistrano Fernanda Carolina
Published: May 2015

Pesquisa descritiva transversal realizada em uma Unidade Psiquiátrica de um hospital geral de Guarapuava, Paraná, com o objetivo de caracterizar o perfil sociodemográfico e clínico dos pacientes com transtorno mental, em tratamento em unidade de internação psiquiátrica de um hospital geral. Participaram da pesquisa 240 pacientes internados no primeiro semestre de 2011. Os dados foram analisados por frequências e percentuais e mostrados em tabelas. Os resultados apontam para um perfil de pessoas brancas, solteiras, em idade produtiva, com baixa escolaridade, com pelo menos um filho. Evidenciou-se prevalência do desenvolvimento dos transtornos mentais por mais de 20 anos, com início na adolescência, com destaque para o diagnóstico de transtornos mentais e comportamentais devidos ao uso substâncias psicoativas. Conclui-se que conhecer o perfil sociodemográfico e clínico dos pacientes possibilita o desenvolvimento de ações de saúde e o fortalecimento de relações multiprofissionais e intersetoriais.
PRONTUÁRIO ELETRÔNICO DO PACIENTE: AVALIAÇÃO DE USABILIDADE PELA EQUIPE DE ENFERMAGEM
Authors: Lahm Janaina Verônica , Carvalho Deborah Ribeiro
Published: May 2015

O objetivo deste trabalho foi avaliar a usabilidade e as dificuldades encontradas por 99 profissionais de enfermagem no manuseio de prontuário eletrônico do paciente. Pesquisa exploratória quantitativa a partir da coleta de dados no período de julho a novembro de 2013. Os resultados demostram que 71% dos auxiliares/técnicos e 70% dos enfermeiros não receberam treinamento específico; sendo que 56% da equipe, que respondeu não ter recebido treinamento, apresenta dificuldade no uso. Dentre as características avaliadas de usabilidade do prontuário eletrônico do paciente destacam-se positivamente a adequação à tarefa e negativamente à adequação ao aprendizado. Portanto, o sistema avaliado, apesar dos avanços advindos, ainda se apresenta complexo para o usuário que não recebeu treinamento, apesar de possuir interface consistente e interativa.
PERFIL SOCIODEMOGRÁFICO E CLÍNICO DE IDOSOS SUBMETIDOS À HEMODIÁLISE
Authors: Mendonça Ana Elza Oliveira de , Dantas Jessicleide Da Guia , De Andrade Débora Azevedo , Segato Camila Tedeschi , Torres Gilson De Vasconcelos
Published: May 2015

Pesquisa descritiva, transversal que visou caracterizar os pacientes idosos submetidos à terapia hemodialítica, quanto aos aspectos sociodemográficos e clínicos, em dois centros de nefrologia da cidade de Natal, nordeste do Brasil, no período de janeiro a março de 2014. Participaram do estudo 81 pacientes com idade igual ou superior a 60 anos. O projeto obteve aprovação de Comitê de Ética. Por meio de formulário estruturado identificou-se que a média de idade dos pacientes foi de 70,2 anos (± 7,4), 60,5% eram casados e 81,5% com ensino fundamental completo ou incompleto. A média de tempo em diálise foi de 3,5 anos (± 2,2), 48,1% eram hipertensos, 11,1% diabéticos e 34,6% apresentavam associação das duas comorbidades clínicas. O desenvolvimento de doença renal crônica e a dependência de tratamento hemodialítico em pacientes idosos representam desafios aos gestores de saúde, profissionais e familiares.
PACIENTES EM HEMODIÁLISE COM DIAGNÓSTICO DE ENFERMAGEM VOLUME DE LÍQUIDOS EXCESSIVO: ASPECTOS SOCIOECONÔMICOS E CLÍNICOS
Authors: Dias Fernandes Maria Isabel Da Conceição , De Andrade Silva Priscila Kaline , De Medeiros Dantas Anna Lívia , Mariano Nunes de Paiva Maria Graças , De Azevedo Araújo Marilia Gabriela , Brandão de Carvalho Lira Ana Luisa
Published: May 2015

Objetivou-se descrever aspectos socioeconômicos e clínicos de pacientes renais crônicos em hemodiálise com o diagnóstico de enfermagem Volume de líquidos excessivo. Estudo transversal, realizado em hospital universitário e clínica de hemodiálise do Nordeste do Brasil, com amostra de 100 pacientes. A coleta de dados em formulário abrangeu os dados clínicos e socioeconômicos, entre dezembro de 2012 a abril de 2013. A maioria dos pacientes com diagnóstico era do sexo feminino, raça parda, aposentado, possuíam companheiro, professavam religião, tinham média de idade de 50,4 anos, 6,5 anos de estudo e dois salários mínimos. Ainda, apresentava hipertensão, azotemia e hipercalemia, com mediana de 37 meses com doença renal e 33,5 meses em hemodiálise. Em terapia medicamentosa com cloridrato de sevelamer, ácido fólico, eritropoietina humana recombinante e anti-hipertensivos. Identificar aspectos socioeconômicos e clínicos contribuiu para o conhecimento da equipe de enfermagem acerca do contexto em que os pacientes renais crônicos estão inseridos.
ACIDENTES OCUPACIONAIS COM A EQUIPE DE ENFERMAGEM DA ATENÇÃO HOSPITALAR
Authors: Garbaccio Juliana Ladeira , Regis Wiliam César Bento , Silva Rogério Magalhães Coimbra , Estêvão Wilson Goulart
Published: May 2015

Este estudo objetivou descrever os acidentes ocupacionais com a equipe de enfermagem de dois hospitais públicos e suas notificações. Foi utilizada pesquisa transversal, realizada entre março e abril de 2012, na cidade de Arcos, no Centro-Oeste de Minas Gerais. Aplicou-se um questionário estruturado entre enfermeiros, técnicos e auxiliares de enfermagem. Os dados foram tabulados, analisados descritivamente e estatisticamente no programa Statistical Package for the Social Sciences, versão 13.0. O relato do índice de acidente de trabalho nas instituições, entre 2002 e 2011, foi de 59,6%, dos quais 90% de natureza biológica, 34% não notificaram o acidente de trabalho. A faixa etária mais jovem (20-29 anos/81,8%) e aqueles com menos tempo de experiência (≤5 anos/84,2%) relataram mais acidentes. Conclui-se que há pouca adesão pelos profissionais aos cuidados preconizados, verificando-se também a baixa porcentagem da Comunicação do Acidente do Trabalho, tornadose necessárias intervenções de educação e prevenção para minimizar os acidentes.
REDUÇÃO DE DANOS: UMA ALTERNATIVA AO FRACASSO NO COMBATE ÀS DROGAS
Authors: Maciel Marjorie Ester , Vargas Divane De
Published: May 2015

Esse artigo tem como objetivo realizar uma reflexão sobre o modelo de Redução de danos no uso de drogas em contraposição ao modelo de guerra às drogas. Através de análise de textos que versam sobre o assunto, verifica-se que a Redução de danos, embora tenha surgido no começo do século passado na Inglaterra, só se concretizou como estratégia de saúde para usuários de drogas com o advento da epidemia de HIV/AIDS no início da década de 80 do século passado, relacionada ao uso de drogas injetáveis, ficando suas ações focadas na troca de seringas. No entanto, nos dias atuais ela expandiu a sua perspectiva de minimização de danos em outras situações de uso de drogas, configurando-se como uma alternativa mais viável em face à confirmada falência do modelo hegemônico de guerra às drogas.
EXPERIÊNCIAS CONSTRUÍDAS NO PROCESSO DE VIVER COM A ÚLCERA VENOSA
Authors: Silva Dalva Cezar da , Budó Maria De Lourdes Denardin , Schimith Maria Denise , Ecco Liliane , Costa Isabelle Katherinne Fernandes , Torres Gilson De Vasconcelos
Published: May 2015

Objetivou-se identificar as experiências construídas pelas pessoas com úlcera venosa, no processo de conviver com esta condição crônica. Pesquisa qualitativa realizada entre janeiro e fevereiro de 2013. Utilizou-se a entrevistada semiestruturada na qual participaram 14 pessoas com úlcera venosa, atendidas em ambulatório de angiologia de um município do interior do Rio Grande do Sul. Os dados foram submetidos à análise de conteúdo. As três categorias submetidas à análise foram: Úlcera venosa e a sua repercussão no trabalho; Mudanças na rotina e limitações no viver com a úlcera venosa; e Conviver com a úlcera venosa e a necessidade de cuidado profissional e familiar. Conclui-se que a pessoa com úlcera venosa pode apresentar propensão a desenvolver problemas que colocam em risco a sua saúde física e emocional e que necessita de atenção integral dos profissionais da saúde.
PORTFÓLIO NA AVALIAÇÃO DO ESTUDANTE DE GRADUAÇÃO NA ÁREA DA SAÚDE: ESTUDO BIBLIOMÉTRICO
Authors: Bernardi Mariely Carmelina , Prado Marta Lenise do , Kempfer Silvana Silveira , Ribeiro Kátia Regina Barros , Oliveira Saionara Nunes de
Published: May 2015

Estudo bibliométrico com objetivo de caracterizar as publicações nacionais e internacionais sobre a utilização do portfólio na avaliação do estudante de graduação na área da saúde. Foram selecionados resumos de artigos em português, inglês e espanhol, sem uso de filtro para o ano, de quatro bases de dados e uma biblioteca virtual, em junho e julho de 2013. Como resultado, 167 artigos foram capturados, de 1992 e 2013, a maioria em inglês, oriundos de pesquisas originais, dos Estados Unidos, disponíveis na base de dados Medical Literature Analysis and Retrieval System Onlinee no periódico Nurse Education Today. A utilização do portfólio mostra-se como tema atual, que está sendo trabalhado de maneira contínua e crescente em diversos países e por pesquisadores de distintas categorias profissionais, fato relevante à transformação da educação na área da saúde e enfermagem.
RISCO DE QUEDAS EM PACIENTES NO PERÍODO PÓS-OPERATÓRIO
Authors: Vitor Allyne Fortes , Moura Laísla Alves , Fernandes Ana Paula Nunes de Lima , Botarelli Fabiane Rocha , Araújo Jéssica Naiara de Medeiros , Vitorino Ingrid Caroline da Costa
Published: May 2015

O estudo objetivou identificar o diagnóstico de enfermagem Risco de quedas em pacientes no período pós-operatório, internados em um hospital universitário e os principais fatores de risco nesta clientela. Tratase de um estudo descritivo e transversal de caráter quantitativo. Dados coletados de outubro a dezembro de 2012, por meio de roteiro estruturado para investigar os dados sociodemográficos e clínicos. Dos 80 pacientes investigados, 86,25% apresentaram o Diagnóstico de Enfermagem Risco de quedas. Os fatores de risco que mais se destacaram foram: história de quedas, condições pós-operatórias, uso de narcóticos e/ou opiáceos e uso de anti-hipertensivos. Diante da diversidade de fatores de risco, encontrados em pacientes no período pós-operatório, torna-se imperativo a identificação precoce desses por profissionais de saúde, a fim de propor ações preventivas e eficazes que suprimam ou minimizem tais riscos.
THE IMPORTANCE OF STATISTICS IN HEALTH RESEARCH
Authors: Coggon David
Published: May 2015

Editorial
PERCEPÇÃO DE DOCENTES SOBRE O PROCESSO DE APRENDIZADO EM ADMINISTRAÇÃO DE ENFERMAGEM
Authors: Caveião Cristiano , Zagonel Ivete Palmira Sanson , Coelho Izabel Cristina Meister , Peres Aida Maris , Montezeli Juliana Helena
Published: May 2015

Este estudo objetivou identificar o processo de aprendizado de Administração em Enfermagem no cotidiano de formação, na perspectiva de docentes dessa disciplina. Estudo exploratório- descritivo com abordagem qualitativa, realizado entre julho e setembro de 2012, com docentes de cinco Instituições de Ensino Superior, privadas e seis públicas do sul do Brasil. A análise de conteúdo das entrevistas de 25 docentes permitiu a emersão de duas categorias: processo de aprendizado no cotidiano de formação de Administração em Enfermagem e avaliação do processo de aprendizado de Administração em Enfermagem. Os resultados indicam que persistem currículos compartimentalizados, os cursos carecem de diversificação de cenários de prática e formação docente específica, aparece a utilização de estratégias/metodologias ativas. Indica recomendações às instituições de ensino e aos docentes para a melhoria das ações no processo de aprendizado em Administração em Enfermagem.
1759 metų Ziwato įvardžiuotiniai būdvardžiai
Authors: Vaičiakauskienė Sonata
Published: May 2015

Straipsnyje tiriami geriausio XVIII a. šiaurės žemaičių kretingiškių patarmės rašytinio šaltinio  –  1759  m. Ziwato – įvardžiuotiniai būdvardžiai (1). Darbe siekiama išanalizuoti ir pateikti sinchroninį 1759 m. Ziwato teksto įvardžiuotinių būdvardžių linksniavimą ir jų raidą. Tyrimo duomenys lyginami su šiaurės žemaičių kretingiškių patarmės duomenimis. Vidinės rekonstrukcijos ir lyginamasis metodai leido rekonstruoti XVIII  a. šiaurės žemaičių kretingiškių patarmės įvardžiuotinių būdvardžių linksniavimo paradigmą, išryškinti tiriamų formų morfologines ypatybes, kitimo tendencijas.
Būdvardžio kamienų kaitos tendencijos XIX a. raštuose rytų aukštaičių patarme
Authors: Rinkauskienė Regina
Published: May 2015

Straipsnyje gilinamasi į XIX  a. raštų, parašytų rytų aukštaičių patarme, morfologiją. Apžvelgiama keleto to meto raštijos atstovų  –  Mykolo Cerausko, Lauryno Bortkevičiaus, Henriko Balevičiaus, Mykolo Smolskio, Tado Lichodzejausko, Kazimiero Michnevičiaus-Mikėno, Antano Kitkevičiaus, Andriaus Benedikto Klungio – religinių tekstų kalba. Didžiausias dėmesys skiriamas būdvardžio morfologijai. Aptariamos tiek paprastųjų, tiek įvardžiuotinių būdvardžių kamienų kaitos tendencijos, apžvelgiamos archajiškos būdvardžių formos. Pastebėta, kad daugelis būdvardžių kamienų svyravimų būdingi ir šiandieninei rytų aukštaičių patarmei.
Petroleum geology characteristics and exploration targets of pre-salt formations in Santos Basin, Brazil
Authors: Changwu Wu
Published: May 2015

The Santos Basin in Brazil has experienced three tectonic evolution stages (rifting, transitional and passive continental) with three sequences deposited (pre-salt, salt and post-salt). Source rocks in the pre-salt formations in the lower rift were the most effective source rocks in the basin. Microbial limestones in the upper rift and depression, and coquina limestones in upper rift served as the main reservoirs for the pre-salt source rocks. The salt formations had strong capping capacity thanks to great thickness and continuous distribution in the deep water area. The basement horst belt helped the formation of various structural traps. All these advantageous geologic conditions provided a good basis for the generation of giant oil and gas pools in the pre-salt formations in the basin. The basement horst belt in the deep water area in the north of the basin was a favorable location for the pre-salt hydrocarbon accumulation, where the source rocks were moderately mature, and the thick, continuously distributed salt formations provided a good preservation environment. In the shallow water area formed by a basement horst, carbonate reservoirs were well-developed, and traps such as horsts, tilted fault blocks and drape anticlines were very common. Hydrocarbons generated in the surrounding grabens migrated to and accumulated in the horsts. The other pre-salt formations had poor accumulation conditions.
The pole tide and its effect on GRACE time‐variable gravity measurements: Implications for estimates of surface mass variations
Authors: Wahr John , Nerem R. Steven , Bettadpur Srinivas V.
Published: May 2015

Gravity Recovery and Climate Experiment (GRACE) provides monthly solutions for the Earth's gravity field in the form of spherical harmonic coefficients. These can be used to infer changes in mass at the Earth's surface. The pole tide (the response of the Earth and oceans to polar motion) causes gravity signals dominated by harmonics of degree 2, order 1. If the pole tide is not removed from GRACE data, it affects the coefficients of those harmonics (C21, S21) and introduces errors when using those coefficients to determine surface mass variations. The pole tide is partially removed by GRACE processing centers before solving for the gravity field. But long‐period pole tide signals are not usually included in the GRACE pole tide correction, and so those signals are still present in the GRACE coefficients. We discuss this issue from the standpoint of somebody who uses the GRACE gravity fields to infer changes in surface mass. We arrive at a recommendation for an optimal GRACE pole tide correction. We describe how to modify the C21, S21 coefficients provided by the processing centers, so that they conform with our recommendation. We discuss the size of the pole tide contributions to C21, S21, compared to those of the direct load‐induced contributions. As an example, we show how an incompletely removed pole tide can impact GRACE results for the trend in ocean mass. We consider the impact of mantle anelasticity on long‐period pole tide corrections and conclude that it is unlikely to affect those corrections by more than 20%.
Herpes Zoster Reactivation in Patients With Rheumatoid Arthritis: Analysis of Disease Characteristics and Disease‐Modifying Antirheumatic Drugs
Authors: Pappas Dimitrios A. , Hooper Michele M. , Kremer Joel M. , Reed George , Shan Ying , Wenkert Deborah , Greenberg Jeffrey D. , Curtis Jeffrey R.
Published: May 2015

Objective

To identify the rheumatoid arthritis (RA) characteristics associated with increased herpes zoster (HZ) risk in the Corrona registry RA patients, and to evaluate the risk in initiators of tumor necrosis factor inhibitors (TNFi) or non‐TNFi biologic agents or (among those who were currently on or had been previously treated with methotrexate [MTX]) conventional synthetic disease‐modifying antirheumatic drugs (csDMARDs) other than MTX.

Methods

Cox regression modeling estimated the association between first HZ incidence and selected RA characteristics, including disease activity. Medication‐related risk for HZ in RA patients taking current or past MTX (to exclude milder RA disease) were categorized by treatment initiation (TNFi versus non‐TNFi versus csDMARD). Hazard ratios (HRs) estimated HZ risk of each treatment initiation category after stratification on trimmed propensity score (PS) quintiles to control for potential confounders.

Results

A total of 28,852 patients contributed 95,287 person‐years. Seven hundred twenty‐nine observed HZ cases yielded a 7.7 (95% confidence interval [95% CI] 7.1–8.2) per 1,000 patient‐years crude incidence rate, lower than found in prior RA cohorts. However, consistent with prior studies, increasing age (HR 1.14, 95% CI 1.09–1.19 per 5 years) and prednisone therapy ≥7.5 mg/day (HR 1.81, 95% CI 1.23–2.67) were associated with a higher HZ risk. Referent to TNFi exposure, PS‐stratified analysis showed an HR for csDMARDs of 1.36 (95% CI 0.82–2.25) and for non‐TNFi of 0.83 (95% CI 0.51–1.38).

Conclusion

In the Corrona registry, the HZ risk in RA patients taking prior or current MTX increased with older age and higher prednisone dose. The HZ risk among these patients with RA was comparable after initiation of TNFi versus non‐TNFi versus csDMARDs.