bluuebunny/crossref_metadata_2025 huggingface dataset:
A Randomized Controlled Trial of a Motivational Interviewing Intervention to Improve Whole-Person Lifestyle
Authors: Sawyer Amanda T. , Wheeler Jo , Jennelle Pamela , Pepe Julie , Robinson Patricia Stearnes
Published: May 2020

The purpose of this randomized controlled trial was to examine the effects of a motivational interviewing intervention to improve whole-person lifestyle and reduce cardiovascular disease risk profile. A sample of 111 adults with type 2 diabetes and/or hypertension was recruited from a primary care physician practice. The intervention was facilitated by a program specialist trained in motivational interviewing. Outcomes included body mass index, cholesterol, hemoglobin A1c, blood pressure, waist circumference, wellness scores, and substance use. Differences in the changes in body mass index and waist circumference existed between the intervention and control groups after 6 months. In the intervention group, the proportion of high wellness scores increased after the program. A whole-person lifestyle intervention with motivational interviewing for patients with metabolic syndrome can improve one’s health in terms of components in the cardiovascular disease risk profile, as well as overall wellness. Efforts to improve the health of these patients may incorporate motivational interviewing to guide goal setting and address mental and spiritual health in addition to physical health.
Self-Efficacy and Workplace Well-Being: Understanding the Role of Resilience in Manufacturing Organizations
Authors: Kumar Pradhan Rabindra , Prasad Panigrahy Nrusingh , Kesari Jena Lalatendu
Published: May 2020

Engaging in behavior that enhances the socio-psychological relations at the workplace provides a competitive advantage to organizations. Drawing from the emerging positive organizational behavior studies, the present research was designed to analyze the relationship between self-efficacy and resilience to promote workplace well-being. The main aim of the study was to examine the moderating role of resilience between self-efficacy and workplace well-being. About 527 full-time executives from the Indian public and private manufacturing industries participated in the study. Common method variance of the measure was carried out through one-factor test ( Podsakoff et al., 2003 ) using confirmatory factor analysis to understand the bias in responding to our questionnaire. Finally, we carried out a hierarchical regression analysis to test the interacting effect of resilience between self-efficacy and workplace well-being. The result of the study indicates a positive relationship between self-efficacy and workplace well-being. The moderation effect of resilience was also confirmed in the structural equation modeling output through LISREL. Results revealed that executives having higher self-efficacy and resilience will demonstrate a positive attitude toward workplace well-being. Self-efficacy and resilience are malleable in nature and get enriched through observation and learning. This study stands as one of the first few empirical works in positive organizational behavior studies that have been carried out on executives of manufacturing organizations in India. Hence, the findings of the study cannot be generalized beyond manufacturing organizations. The data are collected through random sampling method, hence due care need to be taken while generalizing the result in a larger population, so future research may be carried out on a large sample in diverse organizations and locations to have an appropriate comparison by addressing the effectiveness of resilience on other behavior constructs.
The Physical Compatibility of Clinically Used Concentrations of Diltiazem Hydrochloride With Heparin Sodium
Authors: Dobson Sydney R. , Mauro Vincent F. , Boddu Sai H. S. , Churchwell Mariann D.
Published: May 2020

Background: Acute treatment of atrial fibrillation often requires concomitant intravenous (IV) continuous infusions of unfractionated heparin and diltiazem. Concomitantly infusing these medications through the same IV line minimizes multiple IV sites. Diltiazem and heparin visual compatibility have been previously investigated but with limited drug dwell times and differing drug concentrations leading to inconsistent published results. Objective: To investigate the physical compatibility of diltiazem hydrochloride at concentrations of 5 and 1 mg/mL combined with an equal volume of heparin sodium 100 units/mL. Methods: Using a 0.22-µm filter, 15 mL of heparin sodium were placed into a polyvinyl chloride infusion bag followed by 15 mL of either diltiazem hydrochloride 5 or 1 mg/mL. Admixtures were prepared in triplicate. Each admixture was investigated for visual precipitation, spectrophotometric absorbance, and pH change at baseline and 1, 5, 8, and 24 hours after mixing. Physical incompatibility was determined by visual observation, increased spectrophotometric absorbance, and demonstrative pH changes. Results: Each diltiazem 5 mg/mL admixture exhibited a slight haze and enhanced absorbance readings indicating turbidity while none revealed a demonstrative pH change. None of the diltiazem 1 mg/mL assessments revealed visual precipitation or suggested turbidity. Only one pH reading at 5 hours revealed a demonstrative change from baseline. Conclusions: Our findings indicate that infusing diltiazem hydrochloride 5 mg/mL with heparin sodium 100 units/mL in the same IV line cannot be advocated. In contrast, our findings suggest that heparin sodium 100 units/mL infused with diltiazem hydrochloride 1 mg/mL is physically compatible but chemical stability was not assessed.
Effectivity of benzydamine hydrochloride gargle to reduce propofol consumption in endoscopic retrograde cholangiopancreatography procedure: a randomized controlled trial
Authors: Sugiarto Adhrie , Kapuangan Christopher , Tantri Aida Rosita , Chrisnata Vincent
Published: May 2020

Background

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a complex endoscopic procedure that requires moderate to deep sedation. Propofol is the sedative agent of choice for sedation in ERCP due to its fast distribution and fast elimination time without a cumulative effect after infusion, resulting in shorter recovery time. Benzydamine hydrochloride is a topical non-steroidal anti-inflammatory drug that has analgesic, local anesthetic, and anti-inflammatory effects that have been known to be effective in reducing postoperative sore throat. Combination of propofol and topical analgesic may provide adequate sedation and reduce propofol consumption. This study aimed to determine the effectivity of benzydamine hydrochloride gargling in reducing propofol consumption in the ERCP procedure.

Methods

This study was a single-blind randomized controlled trial for patients undergoing ERCP procedures at Cipto Mangunkusumo Hospital from August to September 2018. A total of 72 subjects were recruited consecutively and randomly assigned into two groups. The first group received 15 mL of 0.15% benzydamine hydrochloride mouthwash prior to the procedure, whereas the second group received 15 mL of water mouthwash. Additional propofol was administered when patient moved or Ramsay Sedation Scale rose above 4. Cumulative propofol consumption per kg body weight per minute and incidence of postoperative sore throat were recorded in each group. Incidence of desaturation, postoperative nausea vomitting, and dysphagia were also recorded. Data analysis was performed with Statistical Package for the Social Sciences.

Results

Cumulative propofol consumption per minute per kg body weight in the benzydamine hydrochloride group was 152.7 (91.9–238.8) mcg/kg/minute, while in the control group was 200.05 (114.4–380.2) mcg/kg/ minute (p = < 0.001). The incidence of sore throat on the 0th, 2nd, and 4th hour for the benzydamine hydrochloride group was 11.4, 11.4, and 5.7%, while in the control group was 50, 52.8, and 36.1% (p = < 0.001, < 0.001, 0.003). Desaturation was found in control group whereas none in benzydamine hydrochloride group. Complaints of nausea and vomiting were comparable in both groups.

Conclusion

Benzydamine hydrochloride gargling was effective in reducing cumulative propofol consumption in the ERCP procedure.

Trial registration

Study was registered retrospectively in ClinicalTrials.gov with NCT04167592 on November 8th 2019.
Tibiofemoral rotation alignment in the normal knee joints among Chinese adults: a CT analysis
Authors: Lu Yufeng , Ren Xiaoyu , Liu Benyin , Xu Peng , Hao Yangquan
Published: May 2020

Background

Consensus on tibial rotation in total knee arthroplasty (TKA) remains controversial. The present study aimed to investigate the closest anatomical reference to surgical epicondylar axis (SEA) among 10 tibial markers in Chinese adults.

Methods

This study included examination of 122 normal lower extremities. Briefly, 10 axes were drawn on the axial sections: transverse axis of tibia (TAT), axis of medial edge of patellar tendon (MEPT), axis of medial 1/3 of patellar tendon attachment (M1/3), Akagi line, Insall line, axis of medial border of tibial tubercle (MBTT), and axis of anterior border of the tibia 1–4 (ATC1–4). The mean angles between TAT and SEA and that between other axes and the line perpendicular to SEA were measured. Pairwise differences among the 10 tibial axes were examined by applying one-way analysis of variance (ANOVA) and paired t-test.

Results

In all the knees, the mean angles of M1/3, Akagi line, Insall line, MBTT, ATC1, ATC2, ATC3, and ATC4 axes were compared to the line perpendicular to the projected SEA and found to be 10.2 ± 5.1°, 1.4 ± 5.0°, 11.9 ± 5.4°, 3.6 ± 4.8°, 12.0 ± 6.9°, 7.2 ± 8.6°, 7.1 ± 10.4°, and 6.6 ± 13.5° external rotation, respectively, and the MEPT axis was 1.6 ± 4.5° internal rotation. The mean angle for TAT was 4.1 ± 5.3° external rotation. The M1/3 and Insall line were significantly more externally rotated than Akagi line, MEPT, MBTT, TAT, ATC2, ATC3, and ATC4 axes. No significant differences were noted between the TAT axis and the MBTT axis and among the ATC2, ATC3, and ATC4 axes.

Conclusion

The Akagi line, MBTT, and TAT showed good consistency with SEA in the axial femorotibial alignment with knee in extension. The middle segment of the anterior tibial crest also demonstrated good alignment consistency with SEA for the axial femorotibial alignment. Hence, these markers can be used as reliable references for rotational alignment of the tibial component in TKA.
Expression profiling of spinal cord dorsal horn in a rat model of complex regional pain syndrome type-I uncovers potential mechanisms mediating pain and neuroinflammation responses
Authors: Chen Ruixiang , Yin Chengyu , Hu Qimiao , Liu Boyu , Tai Yan , Zheng Xiaoli , Li Yuanyuan , Fang Jianqiao , Liu Boyi
Published: May 2020

Background

Complex regional pain syndrome type-I (CRPS-I) is a progressive and devastating pain condition. The mechanisms of CRPS-I still remain poorly understood. We aim to explore expression profiles of genes relevant to pain and neuroinflammation mechanisms involved in CRPS-I.

Methods

The rat chronic post-ischemic pain (CPIP) model that mimics human CRPS-I was established. RNA-sequencing (RNA-Seq), qPCR, Western blot, immunostaining, and pharmacological studies were used for profiling gene changes in ipsilateral spinal cord dorsal horn (SCDH) of CPIP model rat and further validation.

Results

CPIP rats developed persistent mechanical allodynia in bilateral hind paws, accompanied with obvious glial activation in SCDH. RNA-Seq identified a total of 435 differentially expressed genes (DEGs) in ipsilateral SCDH of CPIP rats. qPCR confirmed the expression of several representative genes. Functional analysis of DEGs identified that the most significantly enriched biological processes of upregulated genes include inflammatory and innate immune response. We further identified NLRP3 inflammasome expression to be significantly upregulated in SCDH of CPIP rats. Pharmacological blocking NLRP3 inflammasome reduced IL-1β overproduction, glial activation in SCDH as well as mechanical allodynia of CPIP rats.

Conclusion

Our study revealed that immune and inflammatory responses are predominant biological events in SCDH of CPIP rats. We further identified NLRP3 inflammasome in SCDH as a key contributor to the pain and inflammation responses in CPIP rats. Thus, our study provided putative novel targets that may help to develop effective therapeutics against CRPS-I.
Are Councils on Chiropractic Education expectations of chiropractic graduates changing for the better: a comparison of similarities and differences of the graduate competencies of the Chiropractic Council on Education-Australasia from 2009 to 2017
Authors: Innes Stanley I. , Kimpton Amanda
Published: May 2020

Background

The Council on Chiropractic Education Australasia (CCE-A) is tasked with assessment and accreditation of chiropractic programs (CPs) in the Australasian community. To achieve this process the CCE-A has developed educational standards and graduate competencies which include minimum expectations of graduates prior to entry into the workforce. We sought to explore if these are changing overtime, and if so are these changes for the better.

Method

The CCE-A 2009 and 2017 Competency Standards were located and downloaded. The competencies were placed into tables for a comparative analyses in a systematic manner to enable the identification of similarities and differences. In addition, word counts were conducted for the most commonly occurring words and this took place in December 2019.

Results

The 2017 competency standards were over three times smaller than the previous standards 2009 standards. More similarities than differences between the old and the new standards were found. There were 18 additions to the 2017 graduate competencies with many that were in unison with contemporary aspects of healthcare such as patient centred-care, respect for practitioner-patient boundaries and patient sexual orientation, transitioning patients to self-management, and consideration of improving lifestyle options. Some competencies were not bought forward to the new standards and included, among others, students being competent in screening for mental health conditions, an expectation to discuss cost of care, re-evaluating and monitoring patients at each visit, and knowing when to discharge patients. The competencies continued to be silent on known issues within the chiropractic profession of a lack of a definition for chiropractic that would inform scope of practice and the presence of vitalism within CPs.

Conclusion

There have been positive changes which reflect contemporary mainstream health care standards between CCE-A graduate competency revisions. The absence of a clear definition of chiropractic and its attendant scope of practice as well as continued silence on vitalism reflect known issues within the chiropractic profession. Recommendations are made for future accreditation standards to inform the required competencies and aid the integration of chiropractic into the broader health care community.
Correction to: Building houses and managing lawns could limit yard soil carbon for centuries
Authors: Peach Morgan E. , Ogden Laura A. , Mora Eleni A. , Friedland Andrew J.
Published: May 2020

An amendment to this paper has been published and can be accessed via the original article.
Efficacy of Liu-zi-jue in Patients with 2019 Novel Coronavirus Pneumonia (COVID-19): structured summary of a study protocol for a randomized controlled trial
Authors: Zhang Shuaipan , Lv Zhizhen , Zhu Qingguang , Sun Wuquan , Yao Fei , Fang Lei , Cheng Yanbin , Wu Zhiwei , Fang Min
Published: May 2020

Objectives

Efficacy of conventional treatment plus the complementary therapy Liu-zi-jue (a mind-body exercise) to treat patients with mild COVID-19.

Trial design

The study is a single-center 2 arm, randomized controlled trial with parallel-group design.
Supercapacitive performance of vanadium sulfide deposited on stainless steel mesh: effect of etching
Authors: Patil Swati J. , Pujari Rahul B. , Hou Tianfeng , Park Jongsung , Lee Dong-Weon
Published: May 2020

Vanadium sulfide (VS2) nanomaterials have been deposited on surface-modified stainless steel mesh (SMSSM) by facial hydrothermal method and subsequent effects of acidic etching on surface morphology and supercapacitive performance of the electrode were studied. The acid etching process improves the coupling interaction between the stainless steel mesh and active materials. The optimized 1% etched SMSSM with VS2 (1%/VS2) loaded electrode reveals the porous fine nanoparticles composed surface nanostructure. The prepared 1%/VS2 electrode exhibited an excellent areal capacitance of 45.83 mF/cm2, which is two times higher than that of a non-etched VS2 loaded electrode. These results showed that the acidic etching process significantly improved the surface nanostructure of the VS2 material that improved the capacitance of the SMSSM substrate.
Hematinic effects of Spondias mombin and its protective role against the spleenotoxic effect of phenylhydrazine
Authors: Innih Silvanus Olu , Omage Sylvia Oghogho , Omage Kingsley
Published: May 2020

Background

This study was aimed at evaluating the hematinic effect of Spondias mombin and its protective role against the spleenotoxic effect of Phenylhydrazine (PHZ).

Methods

Thirty Wistar rats were randomized into 6 groups. Group A (Control) animals were neither given the extract nor PHZ. Rats in groups B and C were administered 150 mg/kg body weight and 300 mg/kg body weight doses of the extract respectively. Anemia was induced in rats in groups D and E by oral administration of 40 mg/kg body weight of PHZ and concomitantly administered 150 mg/kg body weight and 300 mg/kg body weight doses of the extract respectively. Anemia was also induced in rats in group F by administration of 40 mg/kg body weight of PHZ but without administration of the extract.

Results

Histology of the spleen show moderate expansion of the red pulp and contraction of lymphoid follicles in group F and mild follicular activation and sinus histiocytosis in group D. There were significant (p < 0.05) increase in the weight of the spleen in group F and decrease in group C. Results also show significant (p < 0.05) decreases in the RBC count in group F and increases in the Mean Corpuscular Volume and Mean Corpuscular Haemoglobin in groups D and E. There was also a significant (P < 0.05) decrease in the Mean Corpuscular Haemoglobin Count in group D.

Conclusion

This study shows the hematinic effect of Spondias mombin and its possible use in ethno-medicine in managing anemic conditions, as well as its potential in protecting against the spleenotoxic effect of PHZ.
Identification of a 6-month-old baby with a combination of WAGR and Potocki-Shaffer contiguous deletion syndromes by SNP array testing
Authors: Meng Yan , Yang Jun , Tian Chan , Qiao Jie
Published: May 2020

WAGR 11p13 deletion syndrome is associated with abnormalities including (W) ilms tumor, (A) niridia, (G) enitourinary abnormalities, and growth and mental (R) etardation (WAGR). Potocki–Schaffer syndrome is a contiguous gene syndrome associated with deletions in 11p11.2, principal features of which are multiple exostoses, parietal foramina development delay, mental retardation, and facial dysmorphism. In some cases, males may have enlarged anterior fontanels and genital abnormalities. Each of these syndromes is very rare. Here we report a patient with both WAGR and Potocki–Shaffer syndromes who presented with aniridia, nystagmus, macular dysplasia, enlarged anterior fontanel, mental retardation, ptosis, low-set ears, micrognathia, and atrial septal defect at 6 months old. SNP array revealed a large (26.25 Mb)deletion: arr[hg19]11p15.1p11.2(18742043–44991839)× 1. Genetic testing allowed for diagnosis of this patient at a very young age. In addition to the postnatal phenotype of the patient, we found one prenatal symptom of these syndromes is oligohydramnios, which when present might indicate advanced prenatal diagnosis. This made the possibility of prenatal diagnosis for these syndromes.
UNIDADES DE PAISAGEM NO BAIRRO SANTA FELICIDADE, CURITIBA-PR: CONTRIBUIÇÃO PARA UMA CARTOGRAFIA DE SÍNTESE
Authors: Belem Anderson Luiz Godinho , Nucci João Carlos
Published: May 2020

Considerando os estudos da paisagem sob a perspectiva geossistêmica, o trabalho teve como objetivo a delimitação de unidades de paisagem e suas aplicações no planejamento do bairro Santa Felicidade (Curitiba-PR). Reuniram-se dados cartografados do meio físico-biológico e antrópico, oriundos de pesquisas desenvolvidas no bairro e que foram organizados em um Sistema de Informações Geográficas, para auxiliar no processo de síntese. Foram delimitadas unidades de paisagem originais, pretéritas à intensa ocupação do bairro e, com a inserção dos dados da ocupação antrópica atual encontraram-se quatro unidades de paisagem. O bairro apresenta grande diversidade de paisagens, porém com a tendência a homogeneização por meio do adensamento populacional e de edificações. A técnica de delimitação de unidades de paisagens proporcionou uma visão aplicada, constituindo em uma ferramenta útil para a cartografia de síntese e ao planejamento da paisagem. As características de cada unidade de paisagem permitiram a proposição de ações de planejamento, tais como programas de educação ambiental, restrições de uso e ocupação com base na legislação, criação de espaços livres de edificação, entre outras intervenções.
URBANIZAÇÃO E EXPANSÃO DO CIRCUITO INFERIOR DA ECONOMIA URBANA NO TERRITÓRIO POTIGUAR E NO EIXO RODOVIÁRIO NATAL-CAICÓ
Authors: Salvador Diego Salomão Candido de Oliveira
Published: May 2020

Neste artigo, analisamos a atual dinâmica econômica, a urbanização e a expansão do circuito inferior da economia urbana no Rio Grande do Norte e, especificamente, no eixo rodoviário Natal-Caicó. Adotamos esse eixo rodoviário como recorte de análise devido ao fato desse subsistema de movimentos do território potiguar interligar municípios do interior e do litoral do estado, se destacar pelos fluxos intermunicipais de passageiros e se caracterizar por cidades cujo centro econômico importante é a rodovia que as atravessa, sendo a rodovia margeada, sobretudo, por diversas atividades da economia não hegemônica. A análise que fazemos é fundamentada em reflexões teóricas sobre a dinâmica socioeconômica do território potiguar e na interpretação de dados estatísticos referentes à essa dinâmica e de dados primários decorrentes de pesquisa de campo realizada no eixo Natal-Caicó. Destarte, refletimos sobre a modernização econômica do território potiguar, atentando para o processo de urbanização desse território e do eixo rodoviário Natal-Caicó e apreendemos a contribuição da expansão da economia não hegemônica para o referido processo de urbanização. Concluímos considerando que as cidades e a economia crescem alicerçadas, sobretudo, em atividades econômicas mantenedoras da pobreza estrutural produzida pela modernização do território, situação essa característica do processo de precarização do trabalho. Como resposta sistêmica a essa situação, tem-se a segmentação da economia urbana, com o subsistema inferior cada vez mais dependente do superior, assim como mais permanente e receptor de trabalhadores diante da precarização das relações de trabalho e do desemprego, hoje, duradouro.
PREFERÊNCIA DA PAISAGEM NO CENTRO DE PANAMBI/RS: ESPAÇOS LIVRES DE LAZER E RECREAÇÃO
Authors: Simon Christmann Samara , Foleto Eliane Maria
Published: May 2020

Praças e parques são espaços livres essenciais para a estruturação e funcionalidade da vida urbana, que buscam promover a sociabilidade, construir uma identidade local, qualidade ambiental e de vida para a população. Deste modo, este trabalho teve como objetivo analisar os espaços livres de lazer e recreação de Panambi/RS, ou seja, as praças/parque, além de avaliá-los por meio da preferência da paisagem, com aplicação de questionários através da percepção e opinião da população, e por fim, contribuir com recomendações que subsidiem a gestão e planejamento territorial de futuras intervenções e manutenção. Considera-se então que a Preferência da Paisagem facilitou o cumprimento dos objetivos estabelecidos e se espera que as recomendações e sugestões ponderadas nas áreas de recreação e lazer do bairro Centro de Panambi sejam considerados pela gestão pública, para que cumpram a sua função na cidade e mantenham equilíbrio no meio urbano, com conforto e qualidade para os cidadãos.
TERRITÓRIO, DESENVOLVIMENTO E ASSOCIATIVISMO: UMA ANÁLISE SOBRE A REGIÃO DO DOURO, PORTUGAL
Authors: Manfio Vanessa , Medeiros Rosa Maria Vieira , Cristóvão Artur
Published: May 2020

O território é formado por um conjunto de elementos, iniciativas e relações que marcam a relação sociedade e natureza. Nesse sentido, existem diversos territórios, entre eles os territórios vitícolas, cuja vinha e vinho são os pontos centrais da articulação territorial. No território do Vinho do Douro, Região Demarcada do Douro, norte de Portugal, a vitivinicultura faz parte da história, paisagem, cultura e economia. Porém, para a manutenção do desenvolvimento local deste território são realizadas ações coletivas, que atuam na valorização local, no fortalecimento do turismo, especialmente ligado ao vinho, na inovação vitivinícola e na criação de novas oportunidades comerciais para os produtos locais. Assim sendo, este trabalhodiscorre sobre o território e o desenvolvimento rural,abordando especificamente o papel das associações atuantes no Território do Douro em busca do desenvolvimento local.
A DEMOGRAFIA NA AMAZÔNIA SUL-OCIDENTAL: O CASO DO ESTADO DO ACRE
Authors: Lobão Mário Sérgio Pedroza , Wenningkamp Keila Raquel , Rippel Ricardo
Published: May 2020

O objetivo deste estudo foi analisar as características demográficas do Estado do Acre. Em termos metodológicos, este trabalho se caracterizou por ser exploratório e descritivo, com abordagem qualitativa. Os principais resultados apontam para um crescimento da população acreana entre 2000 e 2010, mas a maioria de seus municípios ainda possui menos do que 50.000 habitantes. Em relação à comparação entre a população urbana e rural, percebeu-se que o maior percentual reside no meio urbano, mas concentrando-se na capital Rio Branco, uma vez que muitos municípios ainda possuem seu maior contingente populacional no meio rural. Comparando-se os sexos masculino e feminino, observou-se que a presença feminina é maior no meio urbano e os homens estão mais presentes no meio rural. Criando-se a pirâmide etária do Estado do Acre, foi possível visualizar uma tendência de encurtamento de sua base e alongamento do seu meio, emergindo uma janela de oportunidades. Todavia, essa característica da pirâmide etária do Acre é tardia se comparada ao Brasil como um todo.
OS DESAFIOS À CONSOLIDAÇÃO DE UMA REDE FEDERAL DE EDUCAÇÃO PROFISSIONAL, CIENTÍFICA E TECNOLÓGICA NO BRASIL
Authors: Lemos Linovaldo Miranda
Published: May 2020

A Rede Federal de Educação Profissional, Científica e Tecnológica (RFPCT) é constituída por um conjunto de 643 unidades de ensino federais distribuídas por todos os estados brasileiros. São instituições que vem assumindo uma relevância não só do ponto de vista educacional como também social em função de sua capilaridade no território, do conjunto de cursos em diferentes níveis e modalidades ofertados bem como devido ao seu papel na implementação de programas governamentais. Pela abrangência de seus objetivos e pela heterogeneidade das instituições que a compõem enfrenta desafios no que se refere ao equilíbrio entre forças de coesão e de dispersão no seu interior. Tais desafios serão abordados aqui com base na trajetória histórica de constituição da rede, da identificação de sua distribuição territorial bem como do papel daqueles cursos que têm assumido uma posição de destaque no cenário dos Institutos Federais: as licenciaturas.
GEOTURISMO E ROTEIROS TURÍSTICOS: PROPOSTAS PARA O PARQUE NACIONAL DE UBAJARA, CEARÁ, BRASIL
Authors: Alves Meira Suedio , Leite do Nascimento Marcos Antonio , Da Silva Edson Vicente
Published: May 2020

Nas últimas duas décadas o geoturismo tem se erguido enquanto uma atividade turística em escala global. Instrumentos de divulgação, comum às atividades consolidadas, estão sendo apropriados pelo trade turístico para a sua divulgação, dentre os quais os roteiros são um destaque. Dessa forma, o presente artigo objetiva erguer um diálogo entre o geoturismo e o processo de roteirização turística. Para tal foram realizados uma ampla discussão teórica e um estudo de caso, caracterizado pela construção de três roteiros geoturísticos para o Parque Nacional de Ubajara (PNU), Ceará. Nota-se a capacidade dos roteiros geoturístico em difundir conceitos e práticas inerentes à temática da Geoconservação, além de salientar a importância do geopatrimônio na conservação ambiental. Os roteiros propostos para o PNU demonstram a vocação geoturística, uma vez que quase a totalidade dos atrativos perpassam pela interação do geopatrimônio com a biodiversidade e a cultura local. A consolidação de roteiros geoturísticos ergue-se então enquanto uma possibilidade para a diversificação da oferta turística local. Por fim, é salientado que a metodologia adotada pode ser replicada em diferentes áreas, urbanas ou rurais, que apresentem potencial geoturístico.
Journal Scan
Authors: Welyczko Nikki
Published: May 2020

Nikki Welyczko, Associate Professor at the Faculty of Health and Life Sciences, De Montfort University, provides a brief overview of recently published nursing and health articles
Colorectal cancer surgery in the coronavirus (COVID-19) pandemic
Authors: Taylor Claire , Evans Samantha , Hardy Katy , Carvalho Filipe
Published: May 2020

How specialist nurses can help patients decide whether to go ahead with or defer surgery for colorectal cancer during the novel coronavirus (COVID-19) pandemic, as well as how to guide them through new pathways, address their concerns and provide pre-operative asssessment and support
Pelvic radiation disease (part 3): identification, investigations, findings and management
Authors: Ludlow Helen
Published: May 2020

Symptoms that develop following pelvic radiotherapy have become known as pelvic radiation disease (PRD). This article describes the common underlying gastrointestinal pathologies related to PRD and suggests ways to identify and investigate patients. Scoring systems available to support identification of people with possible PRD can be complex and time-consuming. The Assessment of Late Effects of Radiotherapy-Bowel (ALERT-B) tool, in which a positive answer triggers further enquiry, is simple and quick to use. A guideline document on the practical management of the gastrointestinal symptoms of PRD suggests a stepwise approach to both investigate and treat the symptoms.
Development of an adolescent biofeedback service to manage bowel dysfunction in younger patients
Authors: Knox Rebecca
Published: May 2020

Bowel dysfunction, including constipation and faecal incontinence, is common, debilitating and associated with psychological problems, exacerbated by social stigma. It can usually be managed effectively with thorough symptom assessment, followed by a personalised treatment plan of conservative, evidence-based and non-invasive interventions, including biofeedback therapy. St Mark's Hospital in Northwest London provides a dedicated biofeedback service with a multidisciplinary, multimodal and behavioural approach. Bowel dysfunction is common in paediatric patients, including adolescents, who were an increasing proportion of St Mark's patients. Adolescence is a period of intense physical, psychological and social development, as young people are faced with hormonal, emotional and sexual pressures. St Mark's established an adolescent biofeedback service to provide dedicated treatment, education and support. This considered the impact of peer pressure, eating disorders and school life, as well as encouraging long-term co-ordinated transition to adult care. Clinicians used comfortable and comprehensible language, with new adolescent-friendly literature based on stages of development. Parental involvement was carefully considered and encouraged where appropriate. This clinic should improve bowel function and quality of life in younger patients, as well as reduce relapse in later life.
Reactive oxygen species in an oleic matrix for healing deep and narrow wounds: a case series
Authors: Vidotto Giulia , Gaiani Teresita , Cazzarò Umberto , Lupi Sara Maria , Carmela Ognibene Lina , Gaetano De Angelis , Forma Ornella
Published: May 2020

Use of reactive oxygen species (ROS) involves continual introduction of molecular oxygen to a wound, activating the local immune system and inducing the development of hypochlorous acid, with beneficial antimicrobial effects. NOVOX is an ROS device that uses olive oil, over-oxidised through an ozone (O3), to create an oleic matrix, with film-forming and protective functions. By avoiding accumulation of exudate, it decreases bacterial proliferation. It is administered to the wound bed through a prefilled plastic syringe, without antimicrobials or chemical additives, for safe and easy self-treatment and painless dressing change. The oil's consistency allows for a homogenous spread, reaching all tunnelling tracts and promoting contact between wound bed and dressing. A case series was carried out of 34 patients with deep and narrow wounds, most in the leg or sternum and resulting from dehiscence (80%). ROS therapy was used in combination with a secondary dressing, such as negative pressure wound therapy or polyurethane foam. At baseline, average wound/fistula depth was 1.6cm, Wound Bed Score (WBS) was 11.8 and Numerical Rating Scale (NRS) for pain was 3.6. Average wound/fistula depth decreased by 43% at 2 weeks and 77% at 4 weeks. WBS increased by 11% at 2 weeks and by 27% at 4 weeks. NRS decreased by 60% at 2 weeks. Most wounds took 2–4 weeks to heal, and there were no episodes of intolerance or recurrence.
Factors influencing the incidence of peristomal skin complications: evidence from a multinational survey on living with a stoma
Authors: Voegeli David , Karlsmark Tonny , Eddes Eric Hans , Hansen Helle Doré , Zeeberg Rikke , Håkan-Bloch Jonas , Hedegaard Chris Juul
Published: May 2020

Leakage of stomal effluents underneath the baseplate or inappropriate removal of stoma appliances can cause peristomal skin complications (PSCs), which are known to have many negative implications for people with a stoma. While numerous studies have examined the causes of PSCs, less is known about what drives the risk of a PSC developing. To address this gap in knowledge, the largest multinational survey to date was conducted, including 4235 people with a stoma on four continents and in 13 countries. The survey revealed that, besides leakage, other factors, such as age, gender, time since surgery and type of stoma, also drive the risk of PSCs. The survey also revealed that having a PSC resulted in greater use of stoma accessories and more frequent contact with health professionals, increasing overall healthcare costs. Collectively, the survey results reveal a need for more awareness on the risk factors for PSCs, which subsequently could have a positive effect on healthcare spending.
Management of endocrine conditions at the end of life
Authors: de Bray Anne , Tomas Jon , Gittoes Neil , Hassan-Smith Zaki
Published: May 2020

An important facet to end-of-life care is deprescribing. This can be challenging when reviewing life-sustaining endocrine medications but, unlike for diabetes, there is no national guidance to support patients and clinicians faced with care planning. This article reviews the limited current evidence to highlight areas for further discussion and research with the aim of moving towards consensus opinion.

Discontinuation of certain endocrine medications, including corticosteroids, desmopressin and levothyroxine, is likely to precipitate an ‘endocrine-driven mechanism of death’, while it may be reasonable to discontinue other endocrine medications without the risk of hastening death or causing unnecessary symptoms. However, the over-arching theme should be that early discussion with patients regarding conversion or discontinuation of endocrine medications or monitoring is central to care planning.
Management of community-acquired pneumonia: essential tips for the physician on call
Authors: Avari Malcolm , Brown Jeremy S
Published: May 2020

Community-acquired pneumonia is a common clinical problem requiring admission to hospital, with a particularly high incidence in the elderly population and those with significant comorbidities. Diagnosis is made on the combination of a short history of respiratory symptoms and systemic ill-health with new examination and/or radiological features of consolidation. Multiple other infective and non-infective conditions can mimic community-acquired pneumonia, leading to misdiagnosis in 5–17% of cases. The CURB-65 score can identify patients with community-acquired pneumonia with a higher risk of mortality, but is insensitive at identifying patients requiring intensive care support and needs to be combined with clinical markers of potential severity. Both high admission levels of C-reactive protein and the failure of levels of C-reactive protein to decline by >50% by day 4 after admission are associated with higher risk of complications, need for ventilation or inotropic support, and mortality. Empirical antibiotic therapy for most patients admitted to hospital is combination of a ß-lactam and a macrolide. Short courses of antibiotics do not result in significantly different outcomes to longer courses unless the patient has developed complications such as a complex parapneumonic effusion. Implementation of a community-acquired pneumonia care bundle into clinical practice reduces mortality, and should be a high priority for all acute hospitals.
Troponin in critical care patients and outcomes
Authors: Cole Elizabeth M , Docherty Annemarie B
Published: May 2020

Myocardial infarction is common in the critically unwell population with pre-existing cardiovascular disease and is associated with a greater overall mortality. This article explores guidelines for diagnosing myocardial infarction, and research into the use of troponin as both a diagnostic and prognostic tool.

Currently, the majority of patients in the intensive care unit with acute myocardial infarction go unrecognised. The underlying cause is predominantly oxygen supply–demand imbalance, therefore identifying those at risk is important as there is the potential to modify elements of their care and reduce their overall mortality.
Time for a culture change: understanding and reducing risk, morbidity and mortality from COVID-19 in those of black and minority ethnicity
Authors: Singh Iqbal , Chand Kailash , Singh Arun , Kandadi Kondal R
Published: May 2020

Following a number of epidemics in the 21st century, including Ebola and Middle East respiratory syndrome, the SARS-COV-2 virus, causing COVID-19 disease, was declared a pandemic health emergency of international concern in January 2020.
What is the effect of COVID-19 on people with diabetes?
Authors: Morris David
Published: May 2020

David Morris explores the especial risk COVID-19 may pose to people with diabetes
Shielding people with COPD from COVID-19: what you need to know
Authors: Bostock Beverley
Published: May 2020

How to take care of patients with respiratory conditions during the pandemic. By Beverley Bostock
The culturalisation of ‘honour’-based violence and its impact on service provision in rural communities
Authors: Walker Samantha
Published: May 2020

The ‘culturalisation of violence’ – a process through which culture is credited as being the sole or principal cause of violence – has resulted in ‘honour’-based violence/abuse being commonly (mis)understood and (mis)interpreted as being an imported cultural practice unique to particular black, Asian and minority ethnic communities living in the West. Addressing a vital gap in the literature, this article considers the conceptual shortcomings of these culturalised narratives on honour and ‘honour’-based violence/abuse, as well as the impact that they have upon service provision in rural areas of England and Wales – areas often conceptualised as ‘white spaces’ lacking in ethnic diversity. This article draws upon semi-structured interviews with both victims/survivors and rural front-line service providers. It is argued that under culturalised narratives, not only does ethnicity remain a key indicator for ‘honour’-based violence/abuse cases, but, as such, and given their perceived lack of ethnic diversity, rural regions are also increasingly identified as ‘safe spaces’ to relocate black, Asian and minority ethnic victims/survivors away from the reach of their ‘problematic’ culture. Ultimately, the core contention of this article is that by founding policy, legislative and support responses on culturalised understandings of violence, service providers are destined to fail to meet the intersectional needs of black, Asian and minority ethnic victims/survivors.
Biblioteca Francesca Bonnemaison, la biblioteca feminista.
Authors: Muñoz Carrilero Raquel , Oriola Tarragó Maria
Published: May 2020

This article describes the work of the Francesca Bonnemaison library, linking it to the history of the building the library occupies, and explains how we apply a feminist perspective to the services we offer, our collections, and the activities we organize in connection with our specialization Women and Feminisms. We describe our library's project designed to foster the empowerment of women in the city of Barcelone.
Density-matrix formalism for modal coupling and dispersion in mode-division multiplexing communications systems
Authors: Yang Zhenshan , Zhang Xiaoguang , Zhang Bin , Zhang Xia , Zhang Zhentao , Meng Xiangguo , Bai Chenglin
Published: May 2020

Borrowing methodology from quantum mechanics, we propose and develop a density-matrix formalism for modal coupling and dispersion in mode-division multiplexing communications systems. The central concept in our formalism is the density matrix, from which all observable information of an optical field can be handily accessed. In the formalism, we derive fundamental evolution equations and concatenation rules for the key elements that characterize essential modal properties, and construct a statistical model ready for the numerical analysis of stochastic light propagation in randomly perturbed fibers. Unlike the Stokes-vector formalism that requires J2 − 1 auxiliary Gell-Mann matrices, the density-matrix formalism can be directly formulated for arbitrary modal‐space dimension J. Based on the density-matrix formalism, the statistical modal properties of a 4-mode fiber under random perturbation are numerically investigated, which raises an interesting possibility of optimizing the modal dispersion by manipulation of the random perturbation.
Collaboration of 3D technology and fashion innovations: A creative accessory development assessment
Authors: Davis LaPorchia C. , Tomlinson Joel , Khoza Lombuso , Jamaludeen Najma
Published: May 2020

Abstract In this study, we examined student experiences surrounding the utilization of 3D printing for accessory production by fashion merchandising students enrolled in an Apparel Construction and Evaluation course at a historically Black university. The students designed
and produced a sustainable 3D accessory prototype, and at the end of the course, completed a survey on their experiences surrounding drafting and the design-making process using computer-aided design (CAD). Faculty in the Apparel Construction and Evaluation course collaborated with Department
of Technology faculty to help advance students' design skills in mass manufacturing in the fashion industry. Each student completed a month of impactful technology experience by creating sustainable prototypes of 3D accessories for their end-of-year fashion showcase held annually in the department.
Results were compiled from student-completed surveys administered at the end of the course. This research was undertaken with the primary goal of assessing creative learning and was focused on three objectives: (1) to have students rethink and develop their own sustainable accessory line;
(2) to provide students with real-world fashion accessory applications and (3) to increase students' understanding of computer-aided methods of design through 3D modeling, shapes and figures.
Making-up on mobile: The pretty filters and ugly implications of Snapchat
Authors: Barker Jessica
Published: May 2020

Abstract What happens when the fashionable beauty ideal ‐ typically considered unattainable ‐ becomes instantly attainable for the masses with the mere tap of a touchscreen? As the widespread use of Snapchat's popular but problematic Lenses has shown, responses
are mixed and critiques abound. The social media platform Snapchat introduced Lenses ‐ commonly known as face filters ‐ in 2015. These filters apply virtual accessories and edit facial features, enabling users to incorporate augmented reality technology into their daily sartorial
practice. Through this 'digital adornment' users experiment with creativity and self-expression, as with cosmetics and clothing, while forging social connections. However, Snapchat's filters frequently spark controversy by slimming the jawlines and noses, enlarging the eyes and lips, and smoothing
and lightening the complexions of millions of users. These effects have caused users to consider the powers of self-fashioning and question the standard of beauty being presented. By examining the observations and opinions presented in the online fashion, tech and news media, this study explores
the problematic nature of Snapchat's beautifying filters. It traces users' dismay at how Snapchat, originally praised as a space for authentic, unfiltered self-presentation, became a force for aggressively perpetuating fashionable but exclusionary beauty ideals. It presents the range of reactions
to these face-perfecting filters, from satisfaction and guilt to insecurity and body dysmorphia. It also explores the connection between face filters, cosmetics and feminine beauty ideals in a celebrity-led, self-image-saturated culture, with reference to brand-sponsored filters.
The foundation of American women's fashion magazines
Authors: Morrin Danielle
Published: May 2020

Abstract This article traces the history of the first successful American women's fashion magazines, meaning publications that lasted longer than five years and with a national reach, which gained a foothold in the mid-1800s. The origin and growth of Godey's Lady's Book are
highlighted as a model for many future publications, and two of its contemporaries: Harper's Bazar and The Delineator. The catalyst for this achievement in the magazine industry is examined through changing cultural attitudes towards leisure reading for women, increased time for recreation
as made possible by modern technology and other technological advancements in publishing and distribution. In tandem with this development, career opportunities created for women within this growing industry and the continued cultivation of women's educational and vocational advancements are
discussed. The important foundations established during this period have led to recognizable formulas for success that are still appreciated and utilized in the magazine industry today.
Drive Student Success: Designing a MakerBus to Bring Standard-Based Making and Technology Activities into K-12 Schools
Authors: Jin Yi , Martin Leigh , Stephens Stephanee , Carrier Ann Marie
Published: May 2020

Designing a mobile makerspace, the MakerBus, originated from our goal of bringing maker education to all students in K-12, thus empowering students to believe they could create things and make social changes. This design case was guided by human-centered design principles and rapid prototyping instructional design model. In this paper, we elaborated on the process of designing the MakerBus, highlight major design decisions.