bluuebunny/crossref_metadata_2025 huggingface dataset:
A centralidade do telejornal no ambiente midiático convergente: repensando como as interações entre produção e recepção atribuem sentidos aos Jogos Rio 2016
Authors: Becker Beatriz , Machado Heitor Leal , Waltz Igor , Tassinari Joana
Published: February 2019

Resumo O artigo propõe uma reflexão sobre a cobertura televisiva dos Jogos Rio 2016 e interações entre produção e recepção no ambiente midiático convergente. A partir das dimensões teórico-metodológicas da Análise Televisual e da Semiologia dos Discursos Sociais, este trabalho apresenta uma leitura crítica da cobertura do Jornal Nacional dos Jogos Rio 2016 e dos comentários na página do Facebook deste telejornal. O estudo revela que as interações nas plataformas digitais durante as transmissões ao vivo estão imbricadas em motivações emocionais, que podem deslocar o interesse do público do acontecimento em si para a Política. Observamos que as audiências tendem a construir significações distintas dos enquadramentos e sentidos propostos pelas enunciações telejornalísticas.
Sintomas depressivos em idosos do município de São Paulo, Brasil: prevalência e fatores associados (Estudo SABE)
Authors: Mendes-Chiloff Cristiane Lara , Lima Maria Cristina Pereira , Torres Albina Rodrigues , Santos Jair Lício Ferreira , Duarte Yeda Oliveira , Lebrão Maria Lúcia , Cerqueira Ana Teresa De Abreu Ramos
Published: February 2019

RESUMO: Objetivo: Estimar a prevalência de sintomas depressivos em idosos do município de São Paulo, Brasil (Estudo SABE), em 2006 e identificar fatores de risco associados a essa prevalência em 2006 e fatores de proteção entre os idosos que não apresentaram sintomas depressivos nas avaliações realizadas em 2000 e 2006. Métodos: Estudo transversal e longitudinal que utilizou a Escala de Depressão Geriátrica na inclusão da coorte em 2000 e em 2006. Resultados: A prevalência de sintomas depressivos em 2006 foi de 14,2% (IC95% 11,8 - 16,7) e 74,8% dos participantes não apresentaram sintomas depressivos em 2000 nem em 2006. Foram construídos modelos de regressão logística, tendo como exposição diferentes grupos de variáveis (sociodemográficas; condições e percepção de saúde e memória) ajustando-se para sexo e idade. No modelo final da regressão logística, associaram-se a sintomas depressivos: autoavaliação da visão, da saúde bucal, da memória e da saúde geral como ruins, dependência para atividades básicas de vida diária e disfunção familiar moderada ou grave. Os fatores de proteção para não ter apresentado sintomas depressivos nas fases de 2000 e 2006 foram: sexo masculino, não referir doença pulmonar e avaliar positivamente a saúde. Conclusão: Sintomas depressivos nos idosos estudados foram frequentes e se associaram com piores condições de saúde, dependência e disfunção familiar e tais fatores devem ser considerados no planejamento de políticas de saúde para prestação de cuidados a esses idosos.
Padrão do desempenho nas atividades de vida diária em idosos no município de São Paulo, nos anos 2000, 2006 e 2010
Authors: Nunes Daniella Pires , Brito Tábatta Renata Pereira de , Giacomin Karla Cristina , Duarte Yeda Aparecida de Oliveira , Lebrão Maria Lúcia
Published: February 2019

RESUMO: Introdução: A funcionalidade no envelhecimento está associada à autonomia e independência das pessoas idosas. Objetivo: Identificar e hierarquizar as dificuldades referidas no desempenho das atividades de vida diária de idosos. Método: Estudo transversal e descritivo, de base domiciliar, que utilizou a base de dados do Estudo SABE (Saúde, Bem-Estar e Envelhecimento) nos anos de 2000, 2006 e 2010. A funcionalidade foi avaliada por meio do relato de dificuldade no desempenho das atividades básicas (ABVD) e instrumentais de vida diária (AIVD). A hierarquização do comprometimento funcional foi avaliada pelo escalonamento de Guttman. Resultados: A prevalência de dificuldade referida no desempenho de uma ou mais AIVDs foi de 35,4; 45,8 e 41,0% e para as ABVDs foi de 16,3; 13,3 e 17,5%; respectivamente nos anos de 2000, 2006 e 2010. Em dez anos de acompanhamento observa-se, entre as mulheres, variabilidade na prevalência de 42,3 a 54,6% de comprometimento nas AIVDs e de 17,0 a 20,4% nas ABVDs e, entre os homens, de 25,6 a 33,1% em AIVDs e de 8,0 a 13,7% em ABVDs. Nas três ondas, as atividades com maior relato de dificuldade foram utilizar transporte, realizar tarefas pesadas e cuidar das finanças, enquanto o ato de comer foi a menos prevalente. Conclusão: Houve aumento na prevalência de comprometimento funcional no período de dez anos, com maior variabilidade entre as mulheres e com o avançar da idade. Esses resultados contribuem para o planejamento dos serviços e a distribuição adequada dos recursos existentes por desvelar as necessidades e os cuidados necessários.
ASSIMETRIAS SALARIAIS DE GÊNERO E A ABORDAGEM REGIONAL NO BRASIL: UMA ANÁLISE SEGUNDO A ADMISSÃO NO EMPREGO E SETORES DE ATIVIDADE
Authors: Gomes Magno Rogério , Souza Solange de Cassia Inforzato de
Published: February 2019

RESUMO Este artigo tem por objetivo analisar empiricamente as assimetrias salariais por gênero nas regiões Sul e Nordeste do Brasil, segundo a admissão no emprego formal e setores de atividade econômica. A partir da base de dados da RAIS 2016 (Relação Anual de Informações Sociais do Ministério do Trabalho e Emprego), aplicou-se uma adaptação do procedimento de Oaxaca-Blinder, cujos principais resultados confirmaram, nas duas regiões, (i) a discriminação de rendimentos contra as mulheres, (ii) as menores diferenças e discriminação salariais de gênero para os trabalhadores admitidos no primeiro emprego e no comércio e (iii) a dupla discriminação das mulheres na agricultura e na indústria, tanto na inserção ocupacional quanto nos rendimentos, intensificada na indústria. As evidências regionais são as de que o Nordeste tem menor discriminação salarial de sexo comparativamente à região Sul, o que indica maior homogeneidade salarial em região menos desenvolvida economicamente no Brasil.
NÚCLEO AMPLIADO DE SAÚDE DA FAMÍLIA E ATENÇÃO BÁSICA: ANÁLISE DO PROCESSO DE TRABALHO
Authors: Nascimento Arthur Grangeiro do , Cordeiro Joselma Cavalcanti
Published: February 2019

Resumo O artigo tem o objetivo de analisar o processo de trabalho de uma equipe do Núcleo Ampliado de Saúde da Família e Atenção Básica localizado em um município de Pernambuco. Trata-se de um estudo de caso com enfoque qualitativo, de caráter analítico-descritivo. As técnicas empregadas para a coleta de dados foram os grupos focais e mapas analíticos; para organização e análise, adotou-se a técnica do Discurso do Sujeito Coletivo. A análise do processo de trabalho revelou concepções no discurso da equipe de um ‘dever ser’ pautado no que é preconizado pelo Ministério da Saúde. Entretanto, foram identificados os seguintes aspectos: há pouco êxito em executar o apoio matricial; não há sucesso na construção de pactuações sobre o processo de trabalho; o trabalho é fragmentado e com foco assistencialista; não há utilização de tecnologias de análise e intervenção familiar e populacional. Observou-se, também, escassa prática de planejamento das ações. Isso revela uma atuação distante do que se concebe como adequada pela própria equipe. Fatores problemáticos, internos e externos à equipe foram identificados. Indica-se partir de uma análise do processo de trabalho realizada pela própria equipe, contribuindo para o alcance de maior resolutividade.
Oral health and the care of pregnant women: workshops as a strategy to problematize practices in basic health care in residents living in the peripheral areas of the hills in the city of Santos
Authors: NUNES NETO Ricardo Antonio , FRUTUOSO Maria Fernanda Petroli
Published: February 2019

ABSTRACT Objective: the aim of this study is to question Primary Health Care (PHC) concerning oral health during prenatal care in facilities of primary health care in the residents living in the hills peripheral areas of the city of Santos, São Paulo. Methods: Using a qualitative approach, workshops on PHC concerning oral health were held in three primary care units which present different forms of organization. The transcribed material was analyzed using thematic analysis. Results: the teams have been trying to organize dental agendas giving priority to pregnant women, however difficulties in monitoring attendance commitment have been found. Therefore the use of protocols and the approach to oral health theme during the educational groups have been used as strategies for improving treatment commitment. Regardless of the organization of the PHC unit, the teams have claimed the search for pregnant women care merely in acute painful situations as well as the fear of harming the fetus caused by dental treatment as the main cause of treatment dropout. Some professionals had doubts about the use of local anesthetics in pregnant women. Conclusions: The valorization of oral health care during prenatal care was not unanimous among the professionals and the use of the permanent education strategy applied in the services led the teams to carefully question their practice as well as search for practice integrality.
Image-based study of marginal bone loss in teeth restored with cast endodontic posts
Authors: FARIAS Sandro Luiz , SILVA Milena Bortolloto Felippe , CARDOSO Rielson José Alves , SPERANDIO Marcelo
Published: February 2019

ABSTRACT The aim of this study was to assess marginal bone loss in teeth restored with endodontic posts on all four aspects of the teeth using cone beam tomography. Bone loss was assessed via scores (0-5) in relation to root length and bone height. The results showed that the scores for the contralateral and restored sides, respectively, ranged from 0 to 3 and 0 to 5 buccally, 0 to 4 and 0 to 4 palatally, 0 to 3 and 0 and 4 mesially and 0 to 3 and 0 to 4 distally. A significant difference in bone loss was observed between the post-restored teeth and their contralaterals for the buccal, lingual/palatal and mesial aspects (p<0.05), with teeth bearing endodontic posts scoring highest. In conclusion, marginal bone loss was higher in teeth restored with intra-canal posts when compared to their sound contralaterals.
Autoeficácia na formação superior: seu papel preditivo na satisfação com a experiência acadêmica
Authors: SANTOS Acácia Aparecida Angeli dos , ZANON Cristian , ILHA Vanessa Domingues
Published: February 2019

Resumo Este estudo tem como objetivo avaliar se a autoeficácia na formação superior pode predizer a satisfação com a experiência acadêmica. Participaram do estudo 372 universitários (66,4% do sexo feminino) de uma instituição de ensino superior paulista, com idade entre 17 e 53 anos (M = 22,84; DP = 6,09). Os instrumentos utilizados foram as Escalas de Autoeficácia na Formação Superior e a Escala de Satisfação com a Experiência Acadêmica. Uma análise de regressão múltipla indicou que o conjunto das facetas da autoeficácia acadêmica explicou grande parte da variância da satisfação acadêmica total (aproximadamente 64%), sendo que a faceta interação social apresentou coeficiente de regressão elevado (β = 0,79; p < 0,001). Esses resultados indicam que a autoeficácia é uma importante preditora da satisfação acadêmica.
The role of creativity in graduate education according to students and professors
Authors: FLEITH Denise de Souza
Published: February 2019

Abstract The aim of this research was to examine the role of creativity in the context of graduate studies from the perspective of students and professors. Semi-structured interviews were held with six students and six postgraduate professors from both a private and a public university. The topics covered included relevance, conception, and characteristics of creativity, as well as educational practices that foster and inhibit creativity. Grounded Theory was used to analyze the data. Both students and professors considered creativity as fundamental for the development of graduate education, but both have indicated personal and institutional barriers for the promotion of creative thinking. Partnerships, teamwork, different teaching strategies and interdisciplinarity were pointed out as factors that enhance creativity. On the other hand, the participants mentioned the evaluation of postgraduate programs, repetitive classes and bureaucracy as barriers to creativity. Future studies, involving classroom observation, case studies, and psychometric measurements, are suggested.
Empreendi, e agora? Oportunidades no Setor de Alimentação Saudável
Authors: Massolino Beatriz Saggioro , Galina Simone , Gomes Erasmo José
Published: February 2019

Resumo Os casos Pé de Açaí, fundada em 1998, e da Livre & Leve, concebida em 2013, ambas de alimentação saudável, mostram as diferentes trajetórias e desafios trilhados pelas empresas e seus fundadores. O principal tema abordado nos casos está relacionado ao empreendedorismo e inovação, especificamente são apresentados: as vantagens e desvantagens de se empreender em momentos distintos da valorização de alimentos saudáveis no Brasil; as diferenças entre os empreendedores de ambos os negócios, considerando seus perfis, suas motivações, suas estratégia; e as inovações necessárias para os negócios iniciarem e se manterem.
Efeitos da Participação Orçamentária na Assimetria Informacional, Estresse Ocupacional e Desempenho Gerencial
Authors: Zonatto Vinicius Costa da Silva , Weber Aline , Nascimento Juliana Constâncio
Published: February 2019

Resumo A pesquisa investiga os efeitos da participação orçamentária na assimetria de informação, no estresse ocupacional e no desempenho gerencial junto a 121 gestores com responsabilidade orçamentária em organizações industriais brasileiras. Pesquisa descritiva, realizada por meio de levantamento, cuja abordagem é quantitativa. Os resultados evidenciam que na amostra observada os níveis de participação orçamentária diferem entre os gestores, assim como seu desempenho. A participação e o desempenho estão negativamente associados à ambiguidade de papéis e ao estresse no trabalho. Estes achados sugerem que maiores níveis de participação orçamentária contribuem para a redução da ambiguidade de papéis, dos níveis de estresse ocupacional e o alcance de melhor desempenho. As relações entre assimetria de informação e conflito de papéis com a participação e o desempenho não foram estatisticamente significativas. Estas evidências permitem concluir que a participação orçamentária influencia a ambiguidade de papéis, o estresse no trabalho e o desempenho gerencial, não sendo possível inferir conclusivamente sobre seus efeitos em relação à assimetria de informação e ao conflito de papéis. Fornece evidências de que os efeitos da participação no desempenho ocorrem de maneira direta e indireta, quando mediados pela variável de ambiguidade de papéis.
Política habitacional no Brasil: uma análise das coalizões de defesa do Sistema Nacional de Habitação de Interesse Social versus o Programa Minha Casa, Minha Vida
Authors: Ferreira Geniana Gazotto , Calmon Paulo , Fernandes Antônio Sérgio Araújo , Araújo Suely Mara Vaz Guimarães de
Published: February 2019

Resumo Este artigo analisa mudanças institucionais ocorridas na política de habitação no Brasil entre 1992 a 2014, a partir da análise de Advocacy Coalition Framework , que fornece subsídios para compreender quais são os valores e as ideias presentes na formulação e na alteração do Sistema Nacional de Habitação de Interesse Social (SNHIS) e do Programa Minha Casa, Minha Vida (PMCMV). A pesquisa utiliza dados coletados de leis, normas, atas do Conselho e das Conferências Nacionais das Cidades, notas de audiência pública e entrevistas. Por meio desses documentos, foi realizada análise da Lei nº 11.124/2005, que tramitou durante 13 anos no Congresso Nacional até ser aprovada. Essa Lei criou o SNHIS, estabeleceu o processo participativo de elaboração do Plano Nacional de Habitação e constituição de fundos articulados nos diferentes níveis da federação. Entretanto, o governo federal, em 2009, por Medida Provisória, adotou uma alternativa ao SNHIS com a criação do PMCMV, que tramitou em caráter de urgência e foi aprovada em menos de quatro meses, sendo convertida na Lei nº 11.977/2009. O estudo possibilitou entendimento crítico do processo de discussão e elaboração das leis, concluindo que as mudanças institucionais realizadas priorizaram mais os objetivos de mercado do que os objetivos de desenvolvimento urbano integrado.
Effectiveness of sucroferric oxyhydroxide in patients on on-line hemodiafiltration in real-world clinical practice: A retrospective study
Authors: Ferreira Aníbal , Pinto Bruno , Navarro David , Aniceto João , Neves Pedro L , Ponce Pedro
Published: February 2019

Abstract Introduction: Hyperphosphatemia is a serious consequence of chronic kidney disease and has been associated with an increased risk for cardiovascular disease. Controlling serum phosphorus levels in patients on dialysis is a challenge for the clinicians and implies, in most cases, the use of phosphate binders (PB). Part of the reason for this challenge is poor adherence to treatment because of the high pill burden in this patient group. Objective: To assess the real-world effectiveness of sucroferric oxyhydroxide (SO) in controlling serum phosphorus levels and determine the associated pill burden. Methods: A multicenter, quantitative, retrospective, before-after study was conducted with patients receiving online hemodiafiltration. Patients who switched to SO as a part of routine care were included in the study. PB treatment, number of pills, serum phosphorus levels, and intravenous iron medication and dosage were collected monthly during the six months of treatment with either PB or SO. Results: A total of 42 patients were included in the study. After switching from a PB to SO, the prescribed pills/day was reduced 67% from 6 pills/day to 2 pills/day (p < 0.001) and the frequency of pill intake was lowered from 3 times/day to 2 times/day (p < 0.001). During the treatment with SO, the proportion of patients with serum phosphorus ≤ 5.5 mg/dL increased from 33.3% at baseline to 45% after six months of treatment. Conclusion: During the six-month follow-up with SO, serum phosphorus levels were controlled with one third of the pills/day compared to other PB.
Clinical and microbiological effects of dialyzers reuse in hemodialysis patients
Authors: Ribeiro Isabella Carvalho , Roza Noemí Angelica Vieira , Duarte Diego Andreazzi , Guadagnini Dioze , Elias Rosilene Motta , Oliveira Rodrigo Bueno de
Published: February 2019

Abstract Introduction: Chronic kidney disease (CKD) has a high prevalence and is a worldwide public health problem. Reuse of dialyzers is a cost reduction strategy used in many countries. There is controversy over its effects on clinical parameters and microbiological safety. Methods: In this clinical crossover study, 10 patients performed consecutive hemodialysis (HD) sessions divided in two phases: "single use" sessions (N = 10 HD sessions) followed by "dialyzer reuse" sessions (N = 30 HD sessions). Clinical, laboratory, and microbiological parameters were collected in the following time points: "single use", 1st, 6th, and 12th sessions with reuse of dialyzers, including bacterial cultures, endotoxins quantification in serum and dialyzer blood chamber, and detection of hemoglobin and protein residues in dialyzers. Results: Mean age of the sample was 37 ± 16 years, 6 (60%) were men, and 5 (50%) were white. CKD and HD vintage were 169 ± 108 and 47 (23-111) months, respectively. Serum C-reactive protein (CRP) [4.9 (2.1) mg/mL], ferritin (454 ± 223 ng/mL), and endotoxin levels [0.76 (0.61-0.91) EU/mL] were high at baseline. Comparison of pre- and post-HD variations of serum levels of CRP and endotoxins in the "single use" versus "reuse" phases did not result in differences (p = 0.8 and 0.4, respectively). Samples of liquid in the dialyzer inner chamber were negative for the growth of bacteria or endotoxins. There was no significant clinical manifestation within and between the phases. Conclusion: Dialyzers reuse was safe from a clinical, microbiological, and inflammatory point of view. The dialyzer performance remained adequate until the 12th reuse.
Macrophage migration inhibitory factor antagonist (p425) ameliorates kidney histopathological and functional changes in diabetic rats
Authors: Khalilpour Jamal , Roshan-Milani Shiva , Gharalari Farzaneh Hosseini , Fard Amin Abdollahzade
Published: February 2019

Abstract Introduction: It is hypothesized that increased macrophage migration inhibitory factor (MIF) expression may contribute to diabetic nephropathy (DN) pathogenesis. The aim of the present study was to investigate the renal effects of MIF inhibition in a diabetic experimental model. Methods: Eighteen male Wistar rats (230 ± 20 g) were divided into three groups: 1) control, 2) diabetic (STZ, 50 mg/kg, dissolved in saline, ip), 3) diabetic + MIF antagonist (p425, 1 mg/kg per day, ip, on the 21th day, for 21 consecutive days). The treatment started since we founwd a significant increase in urine albumin excretion (UAE) rate in the diabetic rats in comparison with the control rats. The rats were kept individually in metabolic cages (8 AM-2 PM) and urine samples were collected in the 21 and 42th day. At the end, blood and tissue samples were collected for biochemical (BS, UPE, urine GAG, BUN, Cr, Na, and K) and histological analyses. Results: The results of this study showed that MIF antagonist (p425) significantly decreased urine protein and GAG excretion, urine protein/creatinine ratio, and serum BUN and Cr in the streptozotocin-induced DN in the rats. Pathological changes were significantly alleviated in the MIF antagonist (p425)-administered DN rats. Conclusion: Collectively, these data suggested that MIF antagonist (p425) was able to protect against functional and histopathological injury in the DN.
The maxillary incisor display at rest: analysis of the underlying components
Authors: Jeelani Waqar , Fida Mubassar , Shaikh Attiya
Published: February 2019

ABSTRACT Introduction: Maxillary incisal display is one of the most important attributes of smile esthetics. Objective: The aim of this study was to determine the relationship between maxillary incisal display at rest (MIDR) and various soft tissue, hard tissue and dental components. Methods: A cross-sectional study was conducted on 150 subjects (75 males, 75 females) aged 18-30 years. The MIDR was recorded from the pretreatment orthodontic records. The following parameters were assessed on lateral cephalograms: ANB angle, mandibular plane angle, palatal plane angle, lower anterior and total anterior facial heights, upper incisor inclination, upper anterior dentoalveolar height, and upper lip length, thickness and protrusion. The relationship between MIDR and various skeletal, dental and soft tissue components was assessed using linear regression analyses. Results: The mean MIDR was significantly greater in females than males (p = 0.011). A significant positive correlation was found between MIDR and ANB angle, mandibular plane angle and lower anterior facial height. A significant negative correlation was found between MIDR and upper lip length and thickness. Linear regression analysis showed that upper lip length was the strongest predictor of MIDR, explaining 29.7% of variance in MIDR. A multiple linear regression model based on mandibular plane angle, lower anterior facial height, upper lip length and upper lip thickness explained about 63.4% of variance in MIDR. Conclusions: Incisal display at rest was generally greater in females than males. Multiple factors play a role in determining MIDR, nevertheless upper lip length was found to be the strongest predictor of variations in MIDR.
Orthodontic treatment time: can it be shortened?
Authors: Moresca Ricardo
Published: February 2019

Abstract Introduction: In the literature, no consensus has been reached about orthodontic treatment time. Similarly, the determining factors of the latter have not yet been completely elucidated. Objective: The aim of the present article was to deepen the discussion on the major factors influencing orthodontic treatment time, as well as to present some strategies that have proven effective in controlling and shortening it. Method: Based on evidences found in the literature, the method focussed in providing the basis for clinical decision-making. Conclusions: Treatment time varies according to the type of malocclusion and treatment options. Orthodontist’s influence, patient’s characteristics and compliance are all decisive in determining treatment time, while the effects provided by orthodontic appliances and methods used to speed tooth movement up seem little effective.
Interdisciplinary planning as a landmark for treatment: Case report with a 2-years follow-up
Authors: Perasso Roberto , Imelio Monica , Alcidi Renato
Published: February 2019

Abstract Case report: young adult woman with esthetic complaints regarding her smile and frontal teeth aspect. At first glance, the problem seemed to be only the shape of the lateral upper incisors and a small diastema between the central incisors. The diagnosis shared between the orthodontist and the prosthetist led us to consider some other important aspects, such as the deep bite, the teeth inclination and the lips support. All these findings led us to consider that the right way to improve the esthetics of the patient’s smile was to plan an orthodontic treatment. This would serve not only for the distribution of the spaces, but mostly it would improve all other problems, before the restoration of the upper lateral teeth with two ceramic veneers. Results: the treatment plan achieved the right distribution of spaces for upper lateral incisors, significant correction of the incisors inclination with important reduction of overbite and better lip support, upper laterals restorations with ceramic feldspathic veneers, obtaining a good integration with natural teeth satisfying patient complaint. Conclusion: in cases which involve interdisciplinary approach, the fundamental step comes from the beginning, when only an initial diagnosis shared among the team of specialists can define the patient problems from different points of view. In this way, we can better understand the competency fields and plan the right treatment and time sequence.
Factors that affecting nursing students quality of interpersonal relationships
Authors: Pereira Thais Josgrilberg , Trentino Jéssica Pereira , Alves Francine da Costa , Puggina Ana Cláudia
Published: February 2019

ABSTRACT Aims: to evaluate gender, age, undergraduate year, and grades affecting the quality of their interpersonal relationships of nursing students. Method: Cross-sectional quantitative study. We used characterization questionnaire and the Interpersonal Relationships Inventory - friendly version. Results: The sample was of 184 nursing students with an average age of 23.4 years old (± 5.3). There was a statistically significant difference in the sex comparison with the Support factor (p-value = 0.01) and with the Depth factor (p-value = 0.02). Conclusions: Scholar grades affecting the choice of friendships since most of them were due to similarity and did not interfere in the quality of relationships. The year in undergraduate program did not affect the quality of relationships.
Stress in Parents of Newborns in a Neonatal Intensive Care Unit
Authors: Kegler Jaquiele Jaciara , Neves Eliane Tatsch , Silva Augusto Maciel da , Jantsch Leonardo Bigolin , Bertoldo Caren da Silva , Silva Júlia Heinz da
Published: February 2019

Abstract Objective: To identify the level of stress and the most stressful situations for the parents of newborns hospitalized in a Neonatal Intensive Care Unit. Methods: A descriptive study, with a quantitative approach, performed with parents of newborns admitted to the Neonatal Intensive Care Unit. For the data collection, the Brazilian version of the Parental Stress Scale: Neonatal Intensive Care Unit (PSS: NICU) was used. The analysis was performed using descriptive statistics. Results: The change in the role of mother/father was the subscale in which the highest level of stress was obtained (mean=3.49) and the items considered more stressful in this subscale were "Separated from my baby" (mean=4.00) and "Feeling helpless and unable to protect my baby from pain and painful procedures" (mean=3.78). Conclusion: Hospitalization of a child in a neonatal unit is a stressful experience for parents and there are situations that trigger higher levels of stress.
Street clinic: the care practices with users of alcohol and other drugs in Macapá
Authors: Bittencourt Marina Nolli , Pantoja Paulo Victor das Neves , Silva Júnior Paulo Cesar Beckman da , Pena José Luis da Cunha , Nemer Camila Rodrigues Barbosa , Moreira Rafael Pires
Published: February 2019

ABSTRACT Objective: To analyze the care practices of professionals from the Street Clinic team (SCt) about the care provided to users of alcohol and other drugs in Macapá, capital city of the state of Amapá. Method: Descriptive, qualitative study, carried out between April and June 2017. Ten SCt professionals participated. Five guiding questions were used for data collection, later analyzed through Bardin’s Thematic Content Analysis. Results: Facilitating care strategies involved harm reduction, teamwork, creating the link with users, team commitment and partnership with other members of the Psychosocial Care Network (PSCN). Of the factors that make care difficult, are the deficit of self-care, structural and human resources, and prejudice. Conclusion: Professionals are aware of the purpose and importance of SCt in strengthening PSCN. Conclusion: When conducting a practice based on public policies, care for the street population is facilitated.
Health promotion in the territory: strengths and challenges of local projects
Authors: Pinto Maria Benegelania , Silva Kênia Lara
Published: February 2019

ABSTRACT Objective: to analyze actions of health promotion of a territory, trying to respond as they reveal the fundamental values, principles and guidelines of the National Health Promotion Policy (in Portuguese, Política Nacional de Promoção da Saúde). Method: a qualitative study, whose data were obtained from interviews with 11 members of a community network and submitted to the Textually Oriented Discourse Analysis. Results: Health promotion actions, which approximate those foreseen in the guidelines of the National Health Promotion Policy (in Portuguese, Política Nacional de Promoção da Saúde), are mostly derived from the intersectoral work of the local community network; these harmonize with values, happiness, solidarity, as well as the principles of participation and territoriality. Conclusion: the restriction of the community’s integrated participation in actions weakens the process of social transformation. It is necessary to review points such as the dissemination of the work carried out in partnership with the Network, as well as greater openness to the participation of the population in all stages of the actions developed in the territory. Implications for the practice: the study contributes to reflection on the limits and possibilities of intersectoral actions in the development of local projects and conduction of broad Health Promotion actions capable of producing citizenship.
Anatomía foliar comparativa de tres especies de Furcraea (Asparagaceae: Agavoideae)
Authors: Murillo-Serna Jhon Steven , Rincón-Barón Edgar Javier , Alzate-Guarin Fernando
Published: February 2019

RESUMEN El género neotropical Furcraea Vent. es ampliamente cultivado para la production de fibras conocidas como Fique o Cabuya. Se realizó un análisis histológico de las hojas de tres especies cultivadas en Colombia, con la finalidad de realizar la description comparativa entre ellas. Diferentes secciones de hojas listas para su cosecha fueron procesadas utilizando técnicas histológicas convencionales. Las tres especies presentaron características anatómicas comparativamente muy homogéneas dentro de las que resaltan: epidermis monoestratificada, cutícula gruesa, estomas encriptados, mesófilo no diferenciado, presencia de cristales de oxalato de calcio, fibras esclerenquimáticas de tipo septado asociadas a los haces vasculares o formando cordones y braquiesclereidas asociadas al margen foliar. Estas últimas varían ligeramente entre las especies estudiadas en el lumen, la forma de las punteaduras y el grado de lignificación, lo cual parece estar correlacionado con la dureza del margen foliar. Aparte de las braquiesclereidas, no se advierten suficientes caracteres histológicos que permitan la diferenciación clara entre los cultivares estudiados. Se discute también la anatomía de estas plantas en función de su metabolismo fotosintético.
Phosphorus and thermotolerant coliforms’ loads in Brazilian watersheds with limited data: considerations on the integrated analysis of water quality and quantity
Authors: Marques Luis Otávio do Amaral , Taffarello Denise , Calijuri Maria do Carmo , Mendiondo Eduardo Mario , Ferreira Murilo de Souza , Cunha Davi Gasparini Fernandes
Published: February 2019

ABSTRACT Integrated analyses of the qualitative and quantitative aspects of aquatic ecosystems play an important role in decision making, which is linked to water resources management and promotion of ecosystem services. However, the possible advantages of such integration are still hampered by basic aspects, such as high uncertainties due to the partial and non-synchronized monitoring of discharges and observed concentrations of water quality variables. The lack of data has been limiting the adequate representation of a more accurate hydrological regime, which is in turn possibly affected by the potential effects of land use and size of drainage areas. The aim of this research was to discuss the advantages of the integrated analysis of qualitative and quantitative data from water bodies. Under different specific discharge regimes (L.s -1.km-2), we assessed the total phosphorus (TP, t.day-1 .km-2) and thermotolerant coliforms’ (TC, CFU.day-1.km -2) specific loads in rivers with different drainage areas (27-26,500 km 2) and land uses. We compared such loads with the admissible specific loads for these variables, which were estimated based on long-term average discharges and water quality guidelines (i.e., Brazilian environmental standards). Based on data from 2001-2013, we sought to contribute to the qualitative and quantitative analysis of surface waters, focusing on the discussion of the results on critical thresholds of duration and critical loads and discharges. The results showed the existence of significant time intervals with conflicts between the specific admissible and observed loads. This non-compliance varied between 10 and 100% of the duration of the regime for TP, and between 25 and 100% for TC, with a more critical situation observed in rivers with smaller drainage areas. The critical loads ranged from 1 10-4 to 8 10-3 t.day-1.km-2 (TP) and 1 10-2 to 1 10-1 CFU.day-1.km-2 (TC). Although a relatively limited dataset was considered (total N=1,402), the significant variations in discharges and critical loads highlighted the need for considering how these dynamics would affect the traditional methodology for estimating ecological flows, whose current approach is almost exclusively quantitative.
The More Doctors Program and the Curricular Guidelines for Medical courses: a comparative analysis among higher education institutions
Authors: Vargas Annabelle de Fátima Modesto , Vargas Diogo de Souza , Campos Mauro Macedo , Caetano Rodrigo da Costa
Published: February 2019

Abstract The article was constructed from an exploratory, documentary research and investigates the curricular matrices of the medicine courses of three higher education institutions, trying to identify the weight they give to a more humanistic education of their students, in accordance with what is recommended by the More Doctors Program (PMM). Two Brazilian institutions were examined, one public and one private, both in Rio de Janeiro, and also a third institution, located in Cuba. In the education of Cuban doctors, importance is given to disciplines categorized as "Public Health Education". Contrary to this design, the education of Brazilian doctors reflects the conflict between teaching and the reality of the country, visible in the difficulty in educating doctors to work in primary care and in retaining them in the most remote places of Brazil.
Brazilian More Doctors Program: assessing the implementation of the Education Axis from 2013 to 2015
Authors: Oliveira Felipe Proenço de , Pinto Hêider Aurélio , Figueiredo Alexandre Medeiros de , Cyrino Eliana Goldfarb , Oliveira Neto Aristides Vitorino de , Rocha Vinícius Ximenes Muricy da
Published: February 2019

Abstract The More Doctors Program (PMM) was created in 2013. Guided by social needs, it set a new regulatory framework for medical education and residency in Brazil. This study is based on public policies and their actions aimed at implementing changes in medical education in PMM, as well as their results until 2015, by analyzing documents from official sources and the literature. The following results were identified: decrease in regional inequalities in the distribution of undergraduate course seats; education internalization; increase in medical residency seats specialized in Family and Community Medicine; expansion of preceptorship qualification; and creation of the National Registration of Specialists. The challenges faced by PMM to effectively achieve its goals, the need for State commitment and the current threats to this vital dimension of the program (ensure the right to health) are pointed out.
When the Body Speaks (to) the Political: Feminist Activism in Latin America and the Quest for Alternative Democratic Futures
Authors: Souza Natália Maria Félix de
Published: February 2019

Abstract The article claims that the feminist movements emerging in the context of contemporary Latin American political struggles – such as Ni Una Menos – allow for a re-conceptualisation of the political, along with its subjects and objects. The uniqueness of these movements is predicated on the way they managed to link the ordinary killings of women’s bodies to the extraordinary alliances between different social movements. A closer inspection into these ongoing experiences that mobilise different, rhizomatic arenas of political entanglements – such as the internet and the streets – allows us to see how Latin American feminist attachments and movements can redefine democratic practices and build different forms of community. By resisting what is perceived as ‘a war against women in Latin America,’ these movements allow for understanding the operation of a gendered necropolitics, which ties women’s death with the ultimate functioning of modern politics and modern subjectivities. In doing so, they politicise not only the lives (and therefore voices) of women who are struggling in/for the political, but also the deaths (and therefore silences) on which the political has been built. Furthermore, by politicising the role of the body in the political and ethical arena, these movements open our political imaginaries to the possibilities of new attachments, filiations and articulations that are not subsumed under abstract universal categories and values, nor limited to identitarian and thus legalistic affirmations of the political. Following these arguments, I argue that contemporary feminist articulations in Latin America productively dispute the validity of the abstract, universal, modern ‘human’ to think alternative political futures. By politicising materiality and embodiment alongside language and discourse as productive of political ontologies, feminists open the space for reclaiming the political function of the female body.
A PRÁTICA DAS ESCARIFICAÇÕES EM MOÇAS: UMA ABORDAGEM PSICANALÍTICA DAS QUESTÕES COM A FEMINILIDADE
Authors: Miranda Ana Augusta Wanderley Rodrigues de , Protti Lucas Conforti
Published: February 2019

RESUMO: O trabalho articula, a partir da teoria psicanalítica, as possíveis questões implicadas na prática de escarificações realizada por três adolescentes do sexo feminino. Nesse sentido, dois aspectos serão norteadores: a relação mãe e filha, e questões relativas à sexualidade feminina. Além disso, serão feitas articulações da prática das escarificações com o conceito psicanalítico de “pulsão de morte”.
THE LACANIAN ACT AND PASSAGE À L’ACTE: A CASE HISTORY OF THE SUBJECTIVE EFFECTS OF CRIME ON THE CRIMINAL
Authors: IFFLI SANDIE , ANDRAUD CHRISTELLE , PETIT LAETITIA
Published: February 2019

ABSTRACT: In reference to the case history of an incarcerated man, this article explores the difference between the Lacanian concepts of the act and the passage à l’acte in reference to the position of the subject and questions around psychic structure (neurosis, psychosis). The authors seek to show how the criminal act can be viewed as an effort towards a structural reorganization of the subject.
Impact of thoracic radiotherapy on respiratory function and exercise capacity in patients with breast cancer
Authors: Suesada Milena Mako , Carvalho Heloisa de Andrade , Albuquerque André Luis Pereira de , Salge João Marcos , Stuart Silvia Radwanski , Takagaki Teresa Yae
Published: February 2019

ABSTRACT Objective: To evaluate the impact of thoracic radiotherapy on respiratory function and exercise capacity in patients with breast cancer. Methods: Breast cancer patients in whom thoracic radiotherapy was indicated after surgical treatment and chemotherapy were submitted to HRCT, respiratory evaluation, and exercise capacity evaluation before radiotherapy and at three months after treatment completion. Respiratory muscle strength testing, measurement of chest wall mobility, and complete pulmonary function testing were performed for respiratory evaluation; cardiopulmonary exercise testing was performed to evaluate exercise capacity. The total radiotherapy dose was 50.4 Gy (1.8 Gy/fraction) to the breast or chest wall, including supraclavicular lymph nodes (SCLN) or not. Dose-volume histograms were calculated for each patient with special attention to the ipsilateral lung volume receiving 25 Gy (V25), in absolute and relative values, and mean lung dose. Results: The study comprised 37 patients. After radiotherapy, significant decreases were observed in respiratory muscle strength, chest wall mobility, exercise capacity, and pulmonary function test results (p < 0.05). DLCO was unchanged. HRCT showed changes related to radiotherapy in 87% of the patients, which was more evident in the patients submitted to SCLN irradiation. V25% significantly correlated with radiation pneumonitis. Conclusions: In our sample of patients with breast cancer, thoracic radiotherapy seemed to have caused significant losses in respiratory and exercise capacity, probably due to chest wall restriction; SCLN irradiation represented an additional risk factor for the development of radiation pneumonitis.
Proportional weight loss in six months as a risk factor for mortality in stage IV non-small cell lung cancer
Authors: Watte Guilherme , Nunes Claudia Helena de Abreu , Sidney-Filho Luzielio Alves , Zanon Matheus , Altmayer Stephan Philip Leonhardt , Pacini Gabriel Sartori , Barros Marcelo , Moreira Ana Luiza Schneider , Alves Rafael José Vargas , Zelmanowicz Alice de Medeiros , Matata Bashir Mnene , Moreira Jose da Silva
Published: February 2019

ABSTRACT Objective: To evaluate different weight loss (WL) cut-off points as prognostic markers of 3-month survival after diagnosis of stage IV non-small cell lung cancer (NSCLC). Methods: This was a prospective study involving 104 patients with metastatic (stage IV) NSCLC who were admitted to a cancer treatment center in southern Brazil between January of 2014 and November of 2016. We evaluated total WL and WL per month, as well as WL and WL per month in the 6 months preceding the diagnosis. The patients were followed for 3 months after diagnosis. A Cox proportional hazards regression model and Kaplan-Meier curves were used in order to evaluate 3-month survival. Results: The median WL in the 6 months preceding the diagnosis was 6% (interquartile range, 0.0-12.9%). Patients with WL ≥ 5% had a median survival of 78 days, compared with 85 days for those with WL < 5% (p = 0.047). Survival at 3 months was 72% for the patients with WL ≥ 5% (p = 0.047), 61% for those with WL ≥ 10% (p < 0.001), and 45% for those with WL ≥ 15% (p < 0.001). In the multivariate analysis, the hazard ratio for risk of death was 4.51 (95% CI: 1.32-15.39) for the patients with WL ≥ 5%, 6.34 (95% CI: 2.31-17.40) for those with WL ≥ 10%, and 14.17 (95% CI: 5.06-39.65) for those with WL ≥ 15%. Conclusions: WL in the 6 months preceding the diagnosis of NSCLC is a relevant prognostic factor and appears to be directly proportional to the rate of survival at 3 months.
Palliative care need in patients with advanced heart failure hospitalized in a tertiary hospital
Authors: Orzechowski Roman , Galvão André Luiz , Nunes Thaise da Silva , Campos Luciana Silveira
Published: February 2019

ABSTRACT Objective: To evaluate the need for palliative care in patients with advanced Congestive Heart Failure (CHF) hospitalized in a cardiology ward. Method: Application of the World Health Organization Palliative Needs tool (NECPAL) with the assistant physician, patient and/or caregiver for evaluation of indication of Palliative Care (PC). Results: 82 patients with a diagnosis of class III/IV Heart Failure or ejection fraction less than or equal to 40% in echocardiography of the last 12 months were included: Mean age 68 ± 20 years, 51 male patients and 31 female patients. Forty-three patients (52.4%) were married or in consensual union and ten (12%) lived alone. The death of 46 patients (56.1%) in the subsequent 12 months would not surprise their physician, and forty-five patients (55%) had palliative care indication according to the NECPAL. Conclusion: About half of patients hospitalized for class III/IV Heart Failure would have an indication of Palliative Care for the relief of suffering caused by the disease.
An Approach to Neutrosophic Subrings
Authors: ÇETKİN Vildan , AYGÜN Halis
Published: February 2019

The purpose of this
paper is to observe some algebraic structures of a single valued neutrosophic
set. For this reason, we introduce a new notion which is called a neutrosophic
subring by combining the ring structure and neutrosophic sets. Then we
establish some fundamental properties and characterizations of the proposed
notion.
A Faith that Does Justice: The Public Testimony of Oliver Tambo
Authors: Jansen Jonathan D.
Published: February 2019

Throughout the 20th century, mission-educated black men rose to prominence in the African National Congress while simultaneously holding leadership positions in the church. Yet, less is written about the faith of these men, and more about their politics; even less studied is the spiritual life of political leaders, what Nelson Mandela, in reference to his struggle companion, Oliver Tambo, called 'the essence' of man. Drawing on the construct of inferiority, this article offers a re-assessment of public testimonies about the ANC's longest serving president, demonstrating how the internal workings of Tambo's faith came to be expressed in the external life and leadership of this devout Christian activist.
Can't Help Lovin': David Chidester's Pop Culture Colonialism
Authors: Lofton Kathryn
Published: February 2019

This article examines the likability of hip-hop star Kanye West and The Voice champion Jordan Smith to explain the colonial terms for our pop culture taste. The writings of David Chidester establish the tie between religion and colonialism as an axiomatic one; he also argues that popular culture is a rich site for formations of religion. West and Smith offer an opportunity to argue the connection between these two strands of scholarly observance, showing the fractal effects of colonialism in Africa on the preferences of pop culture consumption in America. The attraction to West's unlikability is the other side of the easy adoration for Jordan Smith: like those colonists who gave religion to those colonized subjects they dominated, pop consumers refuse to admit their intimate and needful connection to those idols who resist their control. Although organized by particular instances, this article seeks to encourage those in pop culture studies to see the erotic work of dislike; it seeks to encourage those in religious studies to see how pop subjects carry forward the classificatory imprints of colonial frontiers.