bluuebunny/crossref_metadata_2025 huggingface dataset:
Burnout among pediatric residents and junior consultants working at a tertiary care hospital
Authors: Bari Attia , Kamran Rizwana , Haroon Farah , Bano Iqbal
Published: December 2018

Objective: To determine the burnout among postgraduate residents’ and junior consultants in a tertiary care hospital.

Methods: This cross-sectional study was conducted among the postgraduate residents (PGR) and junior consultants (JC) working at The Children’s Hospital Lahore in 2018. Participants were asked to complete Copenhagen Burnout Inventory questionnaire about burnout on 5 point Likert scale. ‘100 (always), 75 (often), 50 (sometimes), 25 (seldom) and 0 (never/almost never or according to intensity ranging from ‘a very low degree’ to ‘to a very high degree’. Data was analyzed using SPSS version 22. Three questions were added related to hospital factors but scored separately. Students t-test and chi square test were used to compare the burnout.

Results: A total of 227 participants including 177 PGR and 50 JC completed the questionnaire with a response rate of 84% and 86% respectively. There was a female predominance, 140 participants (61.7%) were female. Majority was from pediatric medicine 173 (76.2%). The mean personal and work related-burnout was high among PGRs as compared to JCs (18.68±5.01 vs 16.62±4.57) (p=0.008) and (21.14±5.57 vs. 18.56±5.52) (p=0.004) respectively. Similarly, there was significantly more burnout among pediatric medicine study participants as compared to surgery and diagnostic in all domains (personal BO; p=0.030, work-related BO; p=0.021, patient related BO; 0.033 and hospital related BO; 0.001). No difference was noted based on gender and year of training.

Conclusion: Tertiary care hospital postgraduate residents and junior consultants face moderate burnout. Postgraduate residents had significantly more burnout as compared to junior consultants and majority were from pediatric medicine.

How to cite this:Bari A, Kamran R, Haroon F, Bano I. Burnout among pediatric residents and junior consultants working at a tertiary care hospital. Pak J Med Sci. 2019;35(1):45-49. doi: https://doi.org/10.12669/pjms.35.1.43

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Fibroblastic and myofibroblastic tumors of children: new genetic entities and new ancillary testing
Authors: Parham David M
Published: December 2018

Fibroblastic and myofibroblastic tumors comprise a morphologically diverse and biologically variable group of neoplasms that affect a wide age range. Specific entities tend to occur most frequently in infants and young children. Recent years have witnessed a proliferation of information concerning the unique biology of these tumors. In this report, I will review recent findings that serve to further characterize this group of neoplasms. Included will be newer information on fibrous hamartoma of infancy, infantile myofibromatosis, lipofibromatosis, and infantile fibrosarcoma and tumors resembling it, including primitive myxoid mesenchymal tumor of infancy and new genetic entities. I will also discuss the differential diagnosis, which includes spindle cell rhabdomyosarcoma, dermatofibrosarcoma protuberans, and calcifying aponeurotic fibroma.
Accompaniment of Teaching and Research Activities of Younger Schoolchildren in the Conditions of Tourist and Local Lore Travel
Authors: Ильяшенко И. , Il'yashenko I.
Published: December 2018

The article reveals the content and principles of pedagogical support of teaching and research activities of younger schoolchildren in the course of tourist and local history travel. The specificity of designing an individual educational route for an elementary schoolchild is analyzed. The contribution of educational and research activities of tourist and local lore orientation to the achievement of the necessary learning results at the

subject, meta-subject and personal levels is considered.
Methodology of Studying the Problem of Underperformance of Children of Preschool and Primary School Age in Germany
Authors: Писарева Л. , Pisareva L.
Published: December 2018

Based on the study of K. Bart’s “Early Diagnostics of Underperformance in Schooling at Preschool and Primary School Age” involving similar works by other German specialists of different profiles, the article analyzes the reasons for academic failure, repetition, learning difficulties and adaptation of children to school in Germany. Special attention is paid to the methodology of studying this phenomenon and approaches to its elimination. The urgency of the problem of failure of schoolchildren is accentuated not only in relation to the educational system in Germany, but also in other countries, including Russia. The comments of experts in the field of international comparative studies of student performance

are given.
The Impact of Foreign Direct Investment on the Structure of Russia's Exports
Authors: Буневич К. , Bunevich K. , Иванова О. , Ivanova O.
Published: December 2018

One of the indicators of the country’s involvement in the global economy is the export of goods and its structure. The degree and nature of changes in export groups of goods may indicate changes in the structure of the economy under the influence of foreign direct investment, which makes it possible to evaluate the positive or negative effects of them. Recently, more and more countries are involved in the process of international capital movement, both as an exporter and as an importer. There are many reasons for the desire of domestic economic entities to export their capital abroad. The subject of this study is economic relations caused by the relationship of foreign direct investment with the structure of Russian exports. The article considers the dynamics of foreign direct investment in the domestic economy. The attractiveness of the Russian economy from the point of view of international ratings of countries is analyzed. An attempt is made to determine the relationship of foreign direct investment with the macroeconomic indicators of the Russian Federation, as well as the structure of foreign direct investment with the structure of Russian exports. The degree of influence of indicators of attracted foreign direct investment and payments for new technologies on changes in the structure of export is determined The impact of FDI on the host economy is different. On the one hand, FDI brings financial resources to the economy with the new technologies that the economy needs. On the other hand, a direct investor invests his money in those sectors of the economy that have a high rate of return, which in turn does not help to solve the problems of the economy and the uneven development of the country’s industries.
Legal Knowledge As an Institutional Factor of Market Economics Development in Russian Empire (Tula Entrepreneurs Activity in the Second Half of the 19th Century — the Beginning of 20th Century As an Example)
Authors: Краюшкина Елена , Krayushkina Elena , Секенова О. , Sekenova O.
Published: December 2018

New economic history is a modern stream in the economic theory research, which combines institutional and interdisciplinary approach and is based on economical, sociological and historical-anthropological research methods. Regional aspect of economic history research allows to analyze the problems of legal consciousness and legal culture among Russian entrepreneurs during the industrial revolution from the sight of micro historical approach. This research is focused on the ways of commercial conflicts solution, attitude towards the patent law, as well as competitive methods among the entrepreneurs in Tula as the representative aspects of market economy formation in regions during the modernization.
State Policy on the Development of Tourism and Hospitality in the Arab World (on the Example of UAE)
Authors: Алхаммуд М. , Alhammud M.
Published: December 2018

The article considers factors of tourism development in the United Arab Emirates (UAE). The role of strategy, planning and management of this process by the state is shown. It is argued that the state’s adjusted policy has played an equally important role in the development of tourism in the country than large petrodollar investments. The role of clusters and major projects in the transformation of the UAE into an important player in the world tourism market is analyzed.
Efficient Management System of the Organization: Definition of Error from the Object of Control
Authors: Гришина Светлана , Grishina Svetlana , Шишкин Андрей , Shishkin Andrey
Published: December 2018

The article shows that when designing an organizational control system, it is most natural to use a systematic integrated approach and well-developed methods of system theory. The article continues the series of works of one of the authors devoted to the adaptation of the methods of control theory to economic objects. This paper deals with the mathematical description of the control system error. The block diagram of the organization management system is given. The system playback error is represented as the difference of the output signals of the ideal and desired systems. An equivalent and calculated system schema for error determination is presented. The mean square of the random system error is determined.
Assessment of the Influence the Credit Cycle’s Phase on the Potential of the Inter-Regional Expansion of a Commercial Bank
Authors: Прокофьев И. , Prokof'ev I.
Published: December 2018

The full credit cycle of Russian economy was allocated by virtue of study of the indicators characterizing the state of the market of bank loans for the period 2000–2017. It was four phases in it: the phase of recovery (2000–2004), the boom phase (2005–2007), the depression phase (2008–2009) and the stagnation phase (2010–2011). The second cycle, which began in 2012, was interrupted by the actions of unfavorable foreign economic and political factors of 2014. The correlation between the indicators characterizing the credit cycle phase (the volume of loans granted to individuals and legal entities, the M2 monetary aggregate) and the macroeconomic indicator characterizing the total volume of production in the economy (GDP in constant prices of 2008) is revealed using correlation-regression analysis. The study also assesses the impact of the credit cycle phases on the potential of interregional expansion of a commercial bank.
SibNet — Siberian Global Navigation Satellite System Network: Current state
Authors: Ясюкевич Юрий , Yasyukevich Yury , Веснин Артем , Vesnin Artem , Перевалова Наталья , Perevalova Natalia
Published: December 2018

In 2011, ISTP SB RAS began to deploy a routinely operating network of receivers of global navigation satellite system signals. To date, eight permanent and one temporal sites in the Siberian region are operating on a regular basis. These nine sites are equipped with 12 receivers. We use nine multi-frequency multi-system receivers of Javad manufacturer, and three specialized receivers NovAtel GPStation-6 designed to measure ionospheric phase and amplitude scintillations. The deployed network allows a wide range of ionospheric studies as well as studies of the navigation system positioning quality under various heliogeophysical conditions. This article presents general information about the network, its technical characteristics, and current state, as well as the main research problems that can be solved using data from the network.
Association of depression and chronic
lower-back pain
Authors: Srivastava Sarandha , Yadav Prerak , Panchal Bharat , Vala Ashok , ratnani Imran , Khania Pushpa
Published: December 2018

Aims: To study the frequency of major depressive disorder, assess sleep quality, permanent functional disability and association of major depressive disorder with the permanent disability, quality of life and quality of sleep in patients of chronic low backache.
Materials and Methods: Hundred consecutive patients visiting orthopedic OPD with chronic low backache in a tertiary hospital were included, patients with a past history of psychiatric illness were excluded. The interview was taken for diagnosis of major depressive disorder using DSM 5 and assessed for severity of depression, health-related quality of life and sleep quality by Hamilton depression rating scale, SF 36 health questionnaire, Pittsburg Quality of Sleep Index respectively. The proportion was compared by using chi-square test, scores of scales were compared using Mann Whitney test and Kruskal-Wallis test followed by Dunn’s post-hoc multiple comparisons. Statistical data were analyzed by Graph Pad InStat version 3.06. (San Diego, California, US).A p value of <0.05 was considered statistically significant.
Results: The frequency of major depressive disorder, poor quality of sleep in patients of chronic low backache was 74 and 81 respectively. Patients having MDD had a poorer quality of sleep, quality of life and a higher functional disability.Severe functional disability due to a low backache had severe depressive symptoms, poorer quality of sleep and life. The severity of depression is positively correlated with functional disability.
Conclusions: patients with chronic low backache had a high frequency of depression, poor quality of sleep and life and higher functional disability.
Investigating defense interpretation depth using lag
sequential analysis
Authors: Petraglia Jonathan , Bhatia Maneet , De Roten Yves , Despland Jean-Nicolas , Drapeau Martin
Published: December 2018

Aim of the study

This study investigated the association between therapist interventions and patient defensive functioning in low-alliance and high-alliance sessions over the course of short-term dynamic psychotherapy (STDP) (n= 22).

Subject or material and methods

Lag sequential analysis was used to determine if there were predictable sequences of therapist interventions and patient defenses in low-alliance and high alliance sessions and whether these two sequences differ.

Results

The results of this study suggest that sequences between alliance session groups are different. Specifically, defense interpretation depth unfolds in a predictable fashion during a low-alliance session while supportive strategies appear more predictable during high-alliance sessions.

Discussion

The statistical trends obtained in this study are discussed in light of prior research studies in this area. Specifically, differences between low and high alliance sessions are discussed.

Conclusions

Defense interpretation depth is a clinical construct that warrants further study in psychotherapy research.
Comparison of the effectiveness of the transactional
analysis training and emotion regulation
on the improvement of love trauma syndrome:
Dealing with the problems caused by the separation
and love break up
Authors: rajabi soran , Nikpoor Neda
Published: December 2018

Aim of the study

This pilot study compare the effectiveness of the transactional analysis training and emotion regulation therapy on the reduction of love trauma syndrome (LTS).

Subject or material and methods

The present research was developed as pre-test and post-test. Randomly 44 participants were divided into three TA (N = 15; Mage = 23.01, SD = 3.02), ERT (N = 14; Mage = 22.78, SD = 3.33), and control groups (N = 15; Mage = 22.60, SD = 3.14).

Results

the results of one-way analysis of covariance demonstrated that there is a significant difference in LTS between two treatment groups and control group (P<0.001).

Discussion

However, no significant difference found between the treatments groups of TA and ERT. The present study indicated that both TA and ERT equally reduced the LTS.

Conclusions

Preliminary findings suggest that indicated that both TA and ERT equally reduced the LTS.
Improving the approach to future care planning in care homes
Authors: Kinley Julie , Denton Lilette , Levy Jean
Published: December 2018

Background:

There is international and national interest in the availability and provision of quality end-of-life care. In the UK this includes the promotion of advance care planning (ACP).

Aims:

To support care home staff to apply national policy on ACP in practice.

Methods:

A proactive document, the PErsonalised Advisory CarE (PEACE) plan, was created. An audit was undertaken of its implementation in practice in one care home.

Findings:

All of the residents with a PEACE plan who died (n=8) did so in their preferred place of care; only 50% of residents (3 out of 6) without a PEACE plan died in their preferred place of care. No family members declined the opportunity to have a PEACE plan conversation.

Conclusion:

Future care planning, rather than ACP, is required in nursing care homes. Research investigating the outcomes and cost-effectiveness of undertaking these conversations is required to further guide national recommendations.
Upholding an ideal image of palliative work in the face of obstacles
Authors: Beck Ingela , Pålsson Christina , Tops Anita Bengtsson
Published: December 2018

Objective:

Homecare workers play a pivotal role in palliative care, but research on their experiences is limited. The aim of this study was to describe how homecare workers in Sweden experience their work in palliative homecare.

Method:

This qualitative study used open-ended interviews with a purposive sample of 15 homecare workers. The data was analysed by means of qualitative content analysis.

Results:

One main theme emerged from the analysis: upholding an ideal image of palliative work. This had four subthemes: doing good; doing their best work; feeling work satisfaction; and facing difficulties.

Conclusion:

Palliative care performed by homecare workers is demanding. Homecare workers need more practical support and would benefit from a care model that involves working with registered nurses, as a team, to provide humanistic care to dying patients and their relatives.
Politics and palliative care: Botswana
Authors: Smyth Dion
Published: December 2018

Dion Smyth's review of palliative nursing on the internet
Exploring empathy levels among Canadian paramedic students
Authors: Kus Lucy , Gosling Cassidy , Wilson Taylor , Batt Alan M.
Published: December 2018

Background:

Empathy is an important factor in communication between healthcare provider and patient. Previous studies have shown that empathy benefits patient care in multiple ways. Empathy allows a space of decreased vulnerability and, as a result, builds trust in healthcare relationships. It fosters open communication that leads to improved patient care; improves patient satisfaction; and buffers healthcare provider burnout. This study aimed to determine the empathy levels demonstrated by paramedic students to patients with various medical conditions, and to compare these findings with those of previous studies.

Methods:

This study employed a cross-sectional design of a convenience sample of first and second year paramedic students in a community college programme in Ontario, Canada. The Medical Condition Regard Scale (MCRS) was used to measure empathy levels in these students across five medical conditions: physical disability, intellectual disability, suicide attempt, mental health emergency, and substance abuse.

Results:

A total of 43 students participated in the study; 27 males and 15 females (1 unknown). Males demonstrated a mean empathy score of 232.44 while females demonstrated a mean of 266.4. Across the five medical conditions, substance abuse had the lowest mean empathy score (42.88), followed by mental health emergency (49.58), suicide attempt (49.47), intellectual disability (50.42) and physical disability (53.0).

Conclusion:

Results from this study suggest that paramedic students demonstrated the lowest levels of empathy towards patients suffering from substance abuse issues, and the highest levels of empathy towards patients with a physical disability. Male paramedic students are less empathetic than their female peers, and second year paramedic students are less empathetic than their first year counterparts. These results provide an insight into paramedic student attitudes in Canada, and provide a foundation for further studies.
Developing transcultural awareness: student perspectives of a placement in Johannesburg South Africa
Authors: Gatenby Eloisa LH
Published: December 2018

Elective placements are a relatively new aspect of paramedic practice, with few opportunities for student paramedics to experience this internationally. This article shares reflections from a student's perspective gained from experience of a 3-week elective placement in Johannesburg, South Africa, working on a frontline ambulance and fast response vehicle. It explores international differences in paramedic practice, reviews two case studies and discusses the importance of scene management and how diagnostic overshadowing can influence care. Furthermore, the different scope of practice and approach to health care in South Africa as compared with the UK where the author is based is investigated, depicting how cultural differences can affect not only the treatment available, but also the impact on patient morbidity and mortality. A transcultural awareness of prehospital practice is beneficial for gaining new perspectives on the management of unique patients and varied situations in the prehospital setting, allowing for the ongoing development of future paramedic practice.
Paediatric supracondylar humeral fractures: The effect of the surgical specialty on the outcomes
Authors: Saarinen A. J. , Helenius I.
Published: December 2018

Purpose

The effect of surgical specialty on the outcomes of paediatric patients treated for displaced supracondylar humeral fractures remains unclear. The results of residents, paediatric surgeons and orthopaedic surgeons were compared.

Methods

A retrospective review of 108 children (0 to 16 years) treated for displaced humeral supracondylar fractures (Gartland II or III) requiring closed or open reduction under general anaesthesia were included. The patient charts and radiographs were evaluated to identify type, grade and neurovascular complications. Operative performance (operative time, quality of reduction, need for open reduction, complications) of residents, paediatric surgeons and orthopaedic surgeons were evaluated.

Results

Residents used a crossed pin configuration for patients in 25/25 (100%), paediatric surgeons in 25/32 (78%) and orthopaedic surgeons in 33/33 (100%) (p = 0.0011). Loss of reduction was present in one patient treated with crossed pins, in two with lateral pins and in two without Kirschner-wires (p = 0.0034). The risk ratio of an unacceptable reduction was 4.0 (95% confidence interval (CI) 0.90 to 18, p = 0.070) for residents and 6.6 (95% CI 1.6 to 27, p = 0.0082) for paediatric surgeons as compared with orthopaedic surgeons. Complications were present in 37% of patients (11/30) for residents, 55% (24/44) for paediatric surgeons and 15% (5/34) for orthopaedic surgeons (p = 0.0013).

Conclusion

We found statistically significant differences in the incidence of unacceptable reduction, complications and the usage of crossed pin configuration between the surgical specialties. Patients would benefit from the practice of assigning the operative treatment of displaced supracondylar fractures to orthopaedic surgeons.

Level of evidence

Level III
Performance anxiety among surgeons
Authors: Hotton MT , Miller R , Chan JKK
Published: December 2018

In the first of our psychology of surgery series, we look at surgeons’ performance anxiety from a psychological perspective.
Celebrating the surgical care team
Authors: Davis-Marin Ashley
Published: December 2018

The winners of our surgical care team photo competition, Royal Derby General Surgery team, tell us how they have embraced the wider team to improve surgical training and advance patient care.
Iraq Spring
Authors: Court Stephen
Published: December 2018

Bringing healthcare to thousands of underprivileged Iraqis
Slop and the benign headmaster
Authors: Slop Mr
Published: December 2018

Our resident scribe discusses the volume of suspensions among surgeons.
Strap up: motion analysis of surgical performance
Authors: Roberts P Garfjeld , Rees JL
Published: December 2018

How wearable tech is bringing much needed evidence to surgical simulation..
The use of lasers in decontamination of implant surfaces and the treatment of peri-implantitis
Authors: Hofauer Christine , Puryer James , Dorri Mojtaba
Published: December 2018

A literature review to determine the effectiveness of lasers for decontamination.
Jagged little pills
Authors: Simmons Gerald
Published: December 2018

Who’s to blame for the US’ drug problem?
Policy spotlight
Authors: Davies John
Published: December 2018

This regular feature aims to provide key political news in relation to dentistry and an update on the Faculty’s policy activities. You can find out more in the Government Relations and Media Centre sections of the FDS website.
Structural and sensual reflexivity in The Goodbye
Authors: Batori Anna
Published: December 2018

The article analyses the film’s mise en abyme structure, with special attention paid to the play of continuity and discontinuity between shots and the tableaux-like organization of images.
A small and silent revolution
Authors: Prout Ryan
Published: December 2018

Through explicitation of Roquet’s aesthetics – including echoes and reflections of Erice, Hammershøi and Martel – this article argues that The Goodbye harnesses intertextuality concisely to question how class, language, gender, servitude and race intersect. It addresses the role of grief in illuminating the indignities of deeply entrenched power relations.
The strength of stillness
Authors: Have Iben
Published: December 2018

The article discusses the strength of stillness both at a narrative level related to Rosana’s appearance and at an aesthetic level related to the soundtrack. The quiet sound design communicates intensity and meaning, as does Rosana, who is largely ignored by the family but is an eminently strong character.
Retrieving trauma, overcoming trauma: Erice’s cinematic poetics
Authors: Ramírez Gracia
Published: December 2018

This article examines Haunted Memory’s overall structure and how the voice-over commentary both caresses the images as treasured objects and inscribes new meaning. Thus, the video essay goes beyond paying homage to the celebrated film director and considers the universality of the experiences of trauma and cinema.
Contextos inter e transdisciplinares de ensino de geografia para a compreensão do território usado
Authors: De Paula Cristiano Quaresma , Rossato Maíra Suertegaray , Fontana Cleder
Published: December 2018

O artigo discute o papel ativo da geografia, com foco em possibilidades no ensino da disciplina, que promovem compreensões críticas e o protagonismo dos educandos em seu contexto socioespacial. Apresenta duas propostas de ensino/pesquisa desenvolvidas por pesquisadores vinculados ao Núcleo de Estudos Geografia e Ambiente da Universidade Federal do Rio Grande do Sul. Dentro do Projeto Amora do Colégio de Aplicação da referida instituição, a atividade “Que país é esse?” promove um contexto de ensino interdisciplinar, envolvendo diferentes componentes curriculares, onde o conceito de território ganha centralidade. A partir de pesquisa realizada na Floresta Nacional de Tefé, foram construídos materiais didáticos para as escolas dessa unidade de conservação. As discussões se dão no âmbito inter e transdisciplinar envolvendo turmas multisseriadas e integrando saberes tradicionais. Nesses contextos se observou que na discussão inter e transdisciplinar a Geografia se apresenta como articuladora entre o lugar, a formação socioespacial e mundo, através do conceito de território usado, que na perspectiva de Milton Santos é o próprio espaço geográfico.
Análise das referências bibliográficas das teses de doutoramento defendidas no Programa de Pós-Graduação em Turismo, Lazer e Cultura.
Authors: Fedrizzi Valéria Luiza Pereira , Santos Noberto Nuno Pinto dos
Published: December 2018

As teses de doutoramento resultantes, das investigações efetuadas no Programa de Doutoramento em Turismo, Lazer e Cultura e no Programa de Doutoramento em Geografia, com o tema de turismo, da Universidade de Coimbra (Portugal), foram o motivo para um estudo bibliométrico, tendo como foco a análise das referências bibliográficas utilizadas pelos diferentes autores. Analisou-se o conjunto de 20 teses de doutorado, sendo 16 teses da Faculdade de Letras, e 4 da Faculdade de Ciências do Desporto e Educação Física, estando essas indexadas no repositório digital da Universidade de Coimbra, Estudo Geral. Das 20 teses coletadas e analisadas, foram contabilizadas 8.546 referências bibliográficas que compos o universo de investigação, de onde foram extraídas 10% dessa população para compor o corpo amostral. Os resultados obtidos quanto ao tipo de fonte de informação citada indicaram a predominância de livros (33%), seguido de periódicos científicos (31%), outros documentos (19%), capítulos de livros (10%), publicações em eventos técnico-científicos (4%) e dissertações-teses (3%). A análise da produção acadêmica oriunda do Doutoramento em Turismo, Lazer e Cultura, representada pelas teses, contribui sobremaneira para a consolidação da área científica de Turismo em Portugal.
Turismo fluvial, lazeres em águas interiores e desenvolvimento local e regional
Authors: Oliveira Moreira Claudete
Published: December 2018

O presente artigo parte da investigação realizada no âmbito do turismo fluvial e dos lazeres em águas interiores em Portugal. Realça a importância do rio como atração turística e como património. A conceptualização do turismo fluvial é um dos seus contributos. Esta centra-se no stricto sensu do turismo fluvial, evidencia a sua amplitude, a sua acentuada ancoragem territorial e sua importância para o desenvolvimento local e regional. A análise retrospetiva da valorização dos rios em Portugal releva as potencialidades do território nacional e o caráter relativamente recente e pontual dos investimentos para valorizar as águas interiores para os lazeres e para o turismo. O rio Douro é um caso paradigmático do turismo fluvial em Portugal. Os dados evidenciam um crescimento muito acentuado dos passageiros na via navegável do Douro a partir de 2011, explicado, fundamentalmente, pelo aumento de passageiros que realizam um cruzeiro fluvial na mesma albufeira; uma importância desigual de passageiros nos cais de acostagem, destacando-se Régua, Sabrosa/Pinhão, Gaia e Barca d’Alva; uma expressiva sazonalidade dos cruzeiros fluviais; uma preponderância de portugueses nos cruzeiros fluviais de um dia e de turistas internacionais nos cruzeiros em barco-hotel. A investigação sugere a importância de se inventariarem as potencialidades do território nacional em termos de turismo fluvial e de lazeres em águas interiores e de se analisar e monitorizar a procura para melhor gerir a oferta.
História Social de um Arquivo de Família: o acervo arquivístico da Casa de Belmonte, séculos XV‑XIX
Authors: Da Câmara Maria João
Published: December 2018

Assumindo que os processos arquivísticos podem ser estudados, apresentamos o resultado de uma pesquisa feita no Arquivo da Casa de Belmonte. O nosso trabalho abordou a produção documental da família Figueiredo Cabral da Câmara entre 1460 e 1840. Sob os novos paradigmas da História e da Arquivística, foi feita uma abordagem multidisciplinar, cruzando estes dois saberes. Através da análise das práticas arquivísticas da linhagem – produção, preservação, transmissão e recuperação – explicaremos até que ponto o arquivo assegurou à família a posse das suas terras, morgados, rendimentos e estatuto social. Comparando registos de documentos recolhidos em diferentes locais e data, responderemos a algumas questões, tais como: até que ponto a trajetória da família influenciou a construção do Arquivo da Casa de Belmonte e, no sentido contrário até que ponto o arquivo está relacionado com a gestão do património e com a identidade familiar?
La movilización cognitiva y la dinámica de la participación política entre los migrantes intraeuropeos
Authors: Alaminos Antonio , Penalva Clemente , Raffini Luca , Santacreu Óscar
Published: December 2018

La participación política no convencional se ha extendido intensamente debido al cambio cultural y social, favoreciendo el proceso de desinstitucionalización de la política. Para comprobar si existe un vínculo entre esta difusión de la participación no convencional y la movilidad de los europeos que viven en otros países europeos, hemos explorado los datos recopilados por el proyecto europeo MOVEACT, incluyendo los datos sobre el comportamiento político de los "viejos europeos" (Británicos y alemanes), y de los "nuevos europeos” (polacos y rumanos), todos ellos residentes en Grecia, Francia, Italia y España. Nuestro análisis ha confirmado que hay una pluralidad de variables que intervienen en la relación entre las personas que experimentan esta movilidad internacional europea (“EU movers”) y la participación política no convencional. Existen tres dimensiones relevantes para explicar la participación política no convencional en esta movilidad interna europea: integración social, contexto situacional y características individuales. Por otro lado, se observa que el aspecto clave para entender la participación no convencional de estos “UE movers” es el grado de movilización política cognitiva. Junto a ésta aparecen otros factores como son la pertenencia a asociaciones, la socialización familiar, las expectativas de vivir en el país de residencia en el futuro o la cultura política en el país de origen.
From social movements to political parties. Barcelona en Comú’s electoral message, uses and limitations on Twitter during 2015 city council election
Authors: García-Carretero Lucía , Díaz-Noci Javier
Published: December 2018

Twitter as an electoral communication tool is determined by the objectives and the character of each political organization. This article analyses the communication strategies of the political organization Barcelona en Comú on Twitter for a better understanding of the way in which new political forces work in a digital environment. The case study is based on qualitative content analysis with several categories related to the message and the digital network possibilities. The amount of 1,840 tweets from two groups of Twitter accounts was analyzed. First, the tweets disseminated by the six parties that form the electoral coalition Barcelona en Comú. Second, the tweets disseminated by politicians and members of communication commission of the parties. The results allow us to conclude that one of the six parties centralised the communication of the confluence. Also, that the bidirectional communication process among parties and users took place in the second group of Twitter accounts.
Entre “Cáritas” y “trabajar demasiado”: etnia, género y religión en la experiencia migratoria de pueblos originarios ecuatorianos en España
Authors: Pérez Gañán Rocío
Published: December 2018

El presente artículo ha tratado de vincular tres espacios geográficos específicos: la sierra del austro ecuatoriano, la provincia de Madrid y el levante español, con un espacio compartido de significado: la afiliación y las prácticas religiosas; y un espacio identitario minoritario y heterogéneo: lo indígena. En estos lugares “intersituados”, los procesos migratorios han posibilitado el contacto y la circularidad de creencias y prácticas religiosas de las y los indígenas ecuatorianos a ambos lados del Atlántico, incidiendo, tanto en los territorios del país de destino como en sus lugares de origen a través de la constitución de familias –e incluso comunidades– transnacionales y de los procesos de movilidad circular que desarrollan. A partir del análisis de fuentes bibliográficas, información estadística y datos etnográficos, se ha profundizado en el estudio de la afiliación, las representaciones y prácticas religiosas de las personas indígenas migrantes en el país de destino (España) y en el proceso de integración en el retorno al país de origen (Ecuador) con la intencionalidad de conocer los procesos de redefinición de identidad religiosa que están teniendo lugar en los espacios personales, familiares y sociales de las personas indígenas migrantes y migrantes-retornadas del austro ecuatoriano dentro del ámbito específico de las circularidades migratorias Ecuador-España.
¿Influye la duración del turno de enfermería en el profesional y en el paciente?
Authors: Andreu Alarcón Estefanía , González Chordá Víctor Manuel
Published: December 2018

Objetivo: Conocer la influencia de la duración de los turnos de enfermería en el trabajo de los profesionales de enfermería y la seguridad del paciente. Método: Se realizó una búsqueda bibliográfica en las bases de datos PudMed, Scielo, CINAHL y La Biblioteca Cochrane Plus en febrero y marzo de 2018. Se incluyeron los estudios publicados entre 2008 y 2018 y en los idiomas inglés y español. Se empleó la plataforma 2.0 para la lectura crítica. Resultados: Se incluyeron un total de 7 artículos. De las publicaciones incluidas, los estudios transversales fueron los más predominantes seguidos de las revisiones integradoras. Conclusión: A pesar de la importancia de la duración del turno de enfermería en relación al impacto en los profesionales y la seguridad del paciente destaca la naturaleza limitada de la investigación sobre el tema y las grandes controversias. Se hace necesario potenciar la investigación sobre el tema.
A TEORIA DA PROPORCIONALIDADE DE ROBERT ALEXY COMO SOLUÇÃO PARA COLISÕES DE DIREITOS FUNDAMENTAIS
Authors: Baccin Lucas Covolan , Monteiro Kimberly Farias
Published: December 2018

Os direitos fundamentais são frutos de momentos históricos distintos, sendo responsáveis por assegurar direitos, bem como limitar a atuação do Estado face aos direitos dos indivíduos. Por vezes, esses direitos são colocados em xeque, ocasionando um conflito, sendo necessário encontrar a solução adequada para o caso. Assim, como instrumento de solução das colisões entre direitos fundamentais, tem-se a utilização das ferramentas de ponderação, que se instrumentaliza através do princípio da proporcionalidade. Desse modo, o objetivo central está em analisar se a máxima da proporcionalidade, descrita por Rober Alexy, pode ser utilizada para solucionar possíveis colisões entre direitos fundamentais. A hipótese verificada ao final é que a medida da proporcionalidade é método adequado para averiguar se a justificativa adotada para restringir um direito foi necessária e, consequentemente, o direito preterido através da proporcionalidade é o mais adequado. Assim, utilizar-se-á o método de abordagem dedutivo juntamente com a técnica de pesquisa bibliográfica.
Adoção de plataformas on-line de hospedagem compartilhada: um estudo do comportamento de uso do Airbnb
Authors: Christino Juliana Maria Magalhães , Silva Thaís Santos , Cardozo Érico Aurélio Abreu , Lopes Ana Gabrielle Ribeiro
Published: December 2018

A multiplicação de modelos de hospedagem compartilhada no turismo e o crescimento da plataforma Airbnb têm impactado a indústria de turismo. O objetivo desse artigo foi verificar, por meio do Modelo de Aceitação de Tecnologia Estendido (UTAUT2), os fatores envolvidos no processo de adoção e intenção de uso da plataforma Airbnb pelos usuários brasileiros. Caracteriza-se como uma pesquisa quantitativa do tipo survey, aplicada a 263 indivíduos que conheciam a plataforma. Como técnica de análise, utilizou-se a Modelagem de Equações Estruturais de Mínimos Quadrados Parciais (PLS-SEM). Os resultados apontam que os construtos expectativa de desempenho, expectativa de esforço, influência social e hábito, têm impacto sob a intenção de uso dos indivíduos. Ao ressaltar tais fatores, o estudo contribui para a identificação da motivação dos consumidores e da expansão do Airbnb no Brasil. Além disso, amplia o uso do modelo UTAUT2 para o contexto da economia compartilhada.
Telenovelas brasileiras criando imagens e imaginários turísticos: o caso do destino Rio Grande do Norte
Authors: Lima Adrielly Florêncio de , Silva Michel Jairo Vieira da
Published: December 2018

O uso de produções audiovisuais televisivas para promoção de destinos no Brasil tem sido uma ferramenta importante, principalmente pelo alcance ainda forte da TV. E quando se trata do uso de telenovelas (que tem tradição em criação e exportação), a aparição de destinos turísticos na trama se torna relevante na publicização e na criação de imaginários turísticos. Diante disso, o estudo buscou apresentar os elementos que compõem a imagem e o imaginário turístico do destino Rio Grande do Norte a partir das telenovelas da Rede Globo e do SBT (1986-2016). Metodologicamente, o trabalho faz uma abordagem qualitativa, desenvolvendo análise documental e de conteúdo fílmico de oito telenovelas gravadas no RN. Os resultados apontam para a construção de imaginário que nem sempre remete ao estado (apenas como cenário não identificado), já que algumas telenovelas não divulgam o nome do destino. E quando enfatizam se passar no estado, evidenciam um destino de motivação sol e praia, com poucos elementos culturais e históricos, com foco principalmente em casais em programação romântica, com pequenos elementos de aventura. Conclui-se que tal ferramenta se consolida como uma importante maneira de divulgação do destino RN, entretanto limita o imaginário do estado, que deveria diversificar a publicização de sua oferta.
A hospitalidade no destino turístico Rio de Janeiro: a percepção do turista intercambista da Universidade Federal Fluminense
Authors: Camara Isabela Lima Pinheiro da , Fonseca Filho Ari Da Silva
Published: December 2018

O Rio de Janeiro é conhecido como: cidade maravilhosa, cidade do carnaval e cidade hospitaleira. Nesse sentido, a proposta do presente artigo é a de compreender se o destino Rio de Janeiro é realmente hospitaleiro, por meio das categorias de hospitalidade na cidade (Grinover, 2006): acessibilidade, legibilidade e identidade. Assim, este trabalho tem como objetivo geral analisar a hospitalidade de alguns pontos turísticos da cidade do Rio de Janeiro pelo olhar do turista intercambista que estudou na Universidade Federal Fluminense (UFF). A metodologia para este estudo foi descritiva com uso de diferentes técnicas: uma pesquisa quantitativa por meio de questionário aplicado a 54 intercambistas, uma pesquisa qualitativa com entrevistas semiestruturadas aplicadas a seis intercambistas e a análise de dados qualitativamente de acordo com o estudo bibliográfico. Para os intercambistas da UFF, existem evidências de hospitalidade nos lugares turísticos do Rio de Janeiro, mas todas as categorias – acessibilidade, legibilidade e identidade – precisam ser melhoradas. Sobre as pessoas, o resultado da pesquisa indicou que os moradores locais se demonstraram receptivos com estrangeiros.
Bone Tissue Repair During Implantation of Titanium Nickelide Mesh: Scanning Electron Microscopy and X-Ray Electron Probe Microanalysis Observation
Authors: Irianov Yu.M. , Kiryanov N.A.
Published: December 2018

Purpose of Study:
To study reparative osteogenesis and tissue integration characteristics for implanting three-dimensional mesh structures of titanium nickelide into a bone cavitary defect.

Material and Methods:
The authors modeled cavitary defects of femoral metaphysis experimentally in Wistar rats divided into an experimental group and control one. The study duration was 60 days in total. The methods of radiography, those of light and electron microscopy, X-ray electron probe microanalysis used.

Results:
Under implantation the defect was filled with cancellous bone the volumetric density of which more than 1,5-fold exceeded control values (р < 0.001). The implant had biocompatibility, osteoconductive and osteoinductive properties, it stopped inflammatory processes. The membrane protective barrier which prevented connective tissue sprouting was formed on the implant surface in the defect periosteal zone. The osteointegrative junction was formed being persisted up to the end of the experiment. Reparative osteogenesis was performed by direct intramembranous and apposition type.

Conclusion:
The implant of three-dimensional mesh titanium-nickelide structures has marked osteoplastic properties, and it can be successfully used in orthopedic surgery.
Sustentabilidad del hábitat construido
Authors: De Schiller Dr. PhD Arq Silvia , Evans Dr. PhD Arq. John Martin
Published: December 2018

Nuevos desafíos plantean iniciativas de innovación en la formación universitaria ante la vulnerabilidad ambiental y la creciente emergencia energética en el marco del desarrollo sustentable y reducir el impacto ambiental del hábitat construido. Ello exige sensibilizar al productor de hábitat y fortalecer su capacitación para enfrentar nuevas demandas en el desempeño profesional e institucional y responder a la problemática ambiental en el contexto de riesgo social y económico. La integración de investigación en la formación académica, con prácticas metodológicas de experimentación, evaluación y calificación incorporadas integralmente en el desarrollo de proyectos de arquitectura y urbanismo, contribuye a la efectiva implementación de criterios y herramientas de sustentabilidad en arquitectura, urbanismo y construcción, favoreciendo su transferencia al campo social y económico en el marco del desarrollo sustentable.
La necesidad de implementación de la eficiencia energética en la edificación del nordeste de Argentina
Authors: Jacobo M.Sc. M.Ing. Arq. Guillermo José , Coronel Gareca Arq. Carlos Alberto
Published: December 2018

El crecimiento natural de la población requiere la concreción de nuevas edificaciones para diferentes usos (vivienda, trabajo, servicios, etc.), que deberían contemplar la problemática del siglo XXI: el uso eficiente de los recursos, como la ENERGÍA, que hace posible la vida y el desarrollo. El NEA depende de la Energía Eléctrica para el desarrollo de actividades en todos los sectores, no existe aún una red de distribución de gas natural que pueda complementar a la de energía eléctrica. La alta demanda de energía eléctrica de la Edificación se debe a la necesidad de satisfacer sus funciones básicas de habitabilidad. En los últimos 40 años tuvo lugar un proceso de urbanización acelerado, con crecimiento edilicio cuantitativo, no cualitativo. Argentina ha devenido en un país dependiente de la importación para producir energía: desde el 2003 se han exportado cerca de US$10 Mil Millones anuales para adquirir Gas Natural y Petróleo. 66% de la energía eléctrica generada proviene de fuentes fósiles. 32% tiene origen en nuclear e hidráulica. La oferta de energía “limpia” no cubre actualmente el 2% de la demanda total en Argentina y para el 2050 alcanzará solo el 10% de la demanda total. El NEA se beneficiaría con una política de estado regional que aliente la materialización de edificaciones energéticamente eficientes.-
La enseñanza proyectual
Authors: Bortolotto Esp. Arq. Leonardo Federico
Published: December 2018

Artículo de reflexión sobre resultados parciales de tesis doctoral en curso. Se propone revisar algunas afirmaciones a propósito de la proyectualidad como objeto de enseñanza, reparando en el pensamiento proyectual por ser una dimensión poco explorada de dicho objeto. Para esto, el artículo se centra en un caracter del pensamiento proyectual (innovación/creatividad) y propone con el mismo revisar algunos de los fundamentos de la proyectualidad en la enseñanza y su evaluación.
Hacia relacionismos integrales, la extensión entre la investigación
Authors: Contino Paula , Daneri Mariela
Published: December 2018

Para deliberar en términos relacionales, la palabra “entre” nos resulta cómoda para salir de ciertos trayectos señalizados. Esta preposición se ubica en medio de dos o más cosas o en relación con ellas. El “entre” es un concepto poroso, permeable, que nos aleja de las acciones disociadas de nuestra arquitectura institucional para imaginar ámbitos articulados o enlazados que hasta el momento han aparecido escindidos. En consecuencia, el texto alude a una reflexión teórica que permita la convergencia sinérgica entre dos funciones sustantivas de la universidad, la extensión y la investigación.