bluuebunny/crossref_metadata_2025 huggingface dataset:
Adherence to Monitoring Guidelines of Amiodarone Adverse Reactions
Authors: Lavon Ophir , Goldman Ron
Published: April 2019

Background:

Amiodarone treatment frequently causes adverse reactions. Clinical guidelines warrant a comprehensive assessment prior to chronic treatment with amiodarone and repeated monitoring for the appearance of adverse reactions.

Objective:

To evaluate adherence to these guidelines.

Methods:

A retrospective chart review of electronic medical records of adult patients treated with oral amiodarone for at least 12 months.

Results:

One hundred patient records were analyzed; 97% of patients were evaluated for thyroid and liver functions prior to treatment. Liver functions were properly monitored every 6 months in 96% of patients and thyroid function in only 59%. Most (84%) patients completed a chest X-ray before treatment; only 2% completed a respiratory function test. None have performed a chest X-ray annually. Sixty-four percent of the patients were examined by an ophthalmologist prior to treatment; periodic ophthalmic surveillance was not consistent. Neurological and dermatological evaluations were not recorded for any of the patients, unless symptoms appeared. Only 50% were adherent to annual cardiac reassessment.

Conclusions:

Adherence to recommended clinical guidelines for monitoring amiodarone adverse reactions is poor. Interventions to improve compliance with these guidelines are needed.
Monoclonal immunoglobulin–associated C3 glomerulopathy and thrombotic microangiopathy: A real association?
Authors: Dinh Alex , Cuker Adam , Song Wen-Chao , Hogan Jonathan J
Published: April 2019

The monoclonal gammopathies of renal significance are hematologic disorders defined by monoclonal gammopathy-mediated kidney damage in patients who do not have systemic lymphoma or multiple myeloma. Diagnosis is usually made by a kidney biopsy showing direct paraprotein-mediated kidney damage on immunofluorescence microscopy. A specific challenge exists in patients with monoclonal gammopathies whose kidney biopsies exhibit patterns of injury without visualization of the monoclonal immunoglobulin. Case reports and case series have been published recently describing monoclonal gammopathy–associated C3 glomerulopathy and monoclonal gammopathy–associated thrombotic microangiopathy, with mechanistic hypotheses including paraprotein-mediated activation of the alternative complement pathway. Here, we evaluate the level of evidence supporting the hypothesis that the monoclonal gammopathy is in the causal pathway of monoclonal gammopathy–associated C3 glomerulopathy and monoclonal gammopathy–associated thrombotic microangiopathy and identify gaps in knowledge required to further support these diagnoses.
Treatment optimization and genomic outcomes in refractory severe aplastic anemia treated with eltrombopag
Authors: Winkler Thomas , Fan Xing , Cooper James , Desmond Ronan , Young David J. , Townsley Danielle M. , Scheinberg Phillip , Grasmeder Sophia , Larochelle Andre , Desierto Marie , Valdez Janet , Lotter Jennifer , Wu Colin , Shalhoub Ruba N. , Calvo Katherine R. , Young Neal S. , Dunbar Cynthia E.
Published: April 2019

Eltrombopag (EPAG) received approval from the US Food and Drug Administration for the treatment of refractory severe aplastic anemia (rSAA) based on treatment of 43 patients with doses escalating from 50 to 150 mg daily for 12 weeks. Response kinetics suggested that more prolonged administration of EPAG at a dose of 150 mg could speed and improve response rates. We enrolled 40 patients with rSAA in a study of EPAG 150 mg daily, with a primary end point of response at 24 weeks. Twenty (50%) of 40 patients responded at 24 weeks; 5 (25%) of 20 would have been deemed nonresponders at 12 weeks, the end point of the previous study. Fifteen of the 19 responding patients continuing on EPAG had drug discontinued for robust response; 5 of the 15 required EPAG re-initiation for relapse, with all recovering response. To analyze risk of clonal progression, we combined long-term data from the 83 patients with rSAA enrolled in both studies. Evolution to an abnormal karyotype occurred in 16 (19%), most within 6 months of EPAG initiation. Targeted deep sequencing/whole-exome sequencing was performed pre-EPAG and at primary response end point and/or time of clonal evolution or longest follow-up. Cytogenetic evolution did not correlate with mutational status, and overall mutated allele fractions of myeloid cancer genes did not increase on EPAG. In summary, extended administration of EPAG at a dose of 150 mg for 24 weeks rescued responses in some patients with rSAA not responding at 12 weeks. The temporal relationship between clonal evolution and drug exposure suggests that EPAG may promote expansion of dormant preexisting clones with an aberrant karyotype. The studies were registered at www.clinicaltrials.gov as #NCT00922883 and #NCT01891994.
Endobronchial valves for severe emphysema
Authors: Hartman Jorine E. , Vanfleteren Lowie E.G.W. , van Rikxoort Eva M. , Klooster Karin , Slebos Dirk-Jan
Published: April 2019

The results of the randomised controlled trials investigating the bronchoscopic lung volume reduction treatment using endobronchial valves (EBV) are promising, and have led to their inclusion in treatment guidelines, US Food and Drug Administration approval and inclusion in routine care in an increasing number of countries. The one-way valve treatment has advanced and is now a regular treatment option. However, this new phase will lead to new challenges in terms of implementation. We believe that key issues in future research concern advanced patient selection, improved methods for target lobe selection, increased knowledge on the predictive risk of a pneumothorax, positioning of pulmonary rehabilitation in conjunction with the EBV treatment, the positioning of lung volume reduction surgeryversusEBV treatment, and the long-term efficacy, adverse events, impact on exacerbations and hospitalisations, costs and survival. Hopefully, the increasing number of patients treated, the setup of (inter)national registries and future research efforts will further optimise all aspects of this treatment.
The time-controlled adaptive ventilation protocol: mechanistic approach to reducing ventilator-induced lung injury
Authors: Kollisch-Singule Michaela , Andrews Penny , Satalin Joshua , Gatto Louis A. , Nieman Gary F. , Habashi Nader M.
Published: April 2019

Airway pressure release ventilation (APRV) is a ventilator mode that has previously been considered a rescue mode, but has gained acceptance as a primary mode of ventilation. In clinical series and experimental animal models of extrapulmonary acute respiratory distress syndrome (ARDS), the early application of APRV was able to prevent the development of ARDS. Recent experimental evidence has suggested mechanisms by which APRV, using the time-controlled adaptive ventilation (TCAV) protocol, may reduce lung injury, including: 1) an improvement in alveolar recruitment and homogeneity; 2) reduction in alveolar and alveolar duct micro-strain and stress-risers; 3) reduction in alveolar tidal volumes; and 4) recruitment of the chest wall by combating increased intra-abdominal pressure. This review examines these studies and discusses our current understanding of the pleiotropic mechanisms by which TCAV protects the lung. APRV set according to the TCAV protocol has been misunderstood and this review serves to highlight the various protective physiological and mechanical effects it has on the lung, so that its clinical application may be broadened.
Use of the terms “overdiagnosis” and “misdiagnosis” in the COPD literature: a rapid review
Authors: Thomas Elizabeth T. , Glasziou Paul , Dobler Claudia C.
Published: April 2019

Challenges in the diagnostic process of chronic obstructive pulmonary disease (COPD) can result in diagnostic misclassifications, including overdiagnosis. The term “overdiagnosis” in general has been associated with variable definitions. In connection with efforts to reduce low-value care, “overdiagnosis” has been defined as a true positive diagnosis of a condition that is not associated with any harm in the diagnosed person. It is, however, unclear how the term “overdiagnosis” is used in the COPD literature. We conducted a rapid review of the literature to explore how the terms “overdiagnosis” and “misdiagnosis” are used in the context of COPD. Electronic searches of Medline were conducted from inception to October 2018, to identify primary studies that reported on over- and/or misdiagnosis of COPD using these terms. 28 articles were included in this review. Overdiagnosis and misdiagnosis in COPD were found to be used to describe five main concepts: 1) physician COPD diagnosis despite normal spirometry (14 studies); 2) discordant results for COPD diagnosis based on different spirometry-based definitions for airflow obstruction (10 studies); 3) COPD diagnosis based on pre-bronchodilator spirometry results (three studies); 4) comorbidities (e.g.heart failure or asthma) that affect spirometry and have clinical features which overlap with COPD (two studies); and 5) normalisation of abnormal (post-bronchodilator) spirometry at follow-up (one study). The terms “overdiagnosis” and “misdiagnosis” were often used interchangeably and almost always referred to a false positive diagnosis. Performing (technically correct) spirometry with correct interpretation of the results could probably reduce misdiagnosis in a large proportion of the misdiagnosed cases of COPD. In addition, guidelines need to provide a more acceptable consensus spirometric definition of airflow obstruction.

Key points

In the COPD literature, the terms “overdiagnosis” and “misdiagnosis” are often used interchangeably and almost always refer to a false positive diagnosis.

Use of spirometry with correct interpretation of the results can avoid a substantial proportion of cases of misdiagnosis of COPD.

Educational aims

To explore the use of the terms “overdiagnosis” and “misdiagnosis” in the COPD literature.

To identify the main sources of overdiagnosis and misdiagnosis in COPD.
A Construção da Identidade Discursiva dos Idosos da UnATI: Universidade Aberta da Terceira Idade - UERJ
Authors: Resende Simone Vieira
Published: April 2019

A construção de identidades no contexto de estudos sobre o envelhecimento tem sido foco de alguns estudos contemporâneos (GONÇALVES, 1999); (SOUSA, 2006); (PRADO E SAYD, 2004); (VERAS E CALDAS, 2004). Essas pesquisas destacam a importância do levantamento do perfil do idoso como elemento primordial para o desenvolvimento de políticas públicas especialmente direcionadas para essa parte da população. Entretanto, como esses estudos são muito generalizados, e na sua grande maioria de cunho quantitativo, as identidades projetadas discursivamente nos depoimentos e falas dos idosos, especialmente os idosos que frequentam a UnATI, Universidade Aberta da Terceira Idade da UERJ, não aparecem como objeto de estudo nesse contexto. O presente estudo corrobora o preenchimento dessa lacuna, investigando como os idosos, alunos da UnATI, constroem discursivamente suas identidades enquanto  frequentadores das oficinas e serviços oferecidos. A investigação é realizada com base nos estudos sócio-cognitivos, busca nas colocações lexicais, informação para identificar os Modelos Cognitivos Idealizados (MCIs – LAKOFF, 1987) projetados discursivamente pelos idosos. Os dados foram obtidos através da extração das falas e depoimentos dos idosos que aparecem na publicação de comemoração dos 15 anos de fundação da UnATI (VERAS, 2008) e analisados qualitativamente a partir dos estudos sobre os processos identitários no discurso (SCHIFFRIN, 2006; ROGERS, 2004) e dos MCIs (LAKOFF, 1987). Os resultados sinalizam que, discursivamente, as identidades projetadas pelos idosos que frequentam a UnATI, consolidam-se nos modelos cognitivos e culturais construídos a respeito desse idoso e corroboram o papel que a UnATI assume institucionalmente. Os dados também apontam que a rede de referências construída no discurso dos idosos sobre a UnATI, também revela informações sobre a identidade da UnATI como instituição. O levantamento da identidade discursiva dos alunos da UnATI também fornece dados que colaboram para o desenvolvimento de novas oficinas e cursos, que atendam essa parte da população.
DOCUMENTAÇÃO DO PORTUGUÊS FALADO EM COMUNIDADES RURAIS AFRO-BRASILEIRAS DE SERGIPE: PATRIMÔNIO E MEMÓRIA
Authors: Santana José Humberto Dos Santos , Araujo Silvana Silva de Farias , Freitag Raquel Meister Ko.
Published: April 2019

No cenário sociolinguístico brasileiro, a diversidade linguística é um tema que precisa ser discutido e aprofundado, antes que a padronização e a normatização das variedades linguísticas brasileiras, especialmente das que são faladas fora dos grandes centros e em grupos minoritários rurais, apaguem as principais características do vernáculo brasileiro popular. Urge, assim, que sejam realizadas pesquisas de documentação, descrição e análise do português falado nessas comunidades. Com este artigo, chamamos a atenção para a importância do mapeamento e documentação do português falado em comunidades rurais afro-brasileiras sergipanas, variedade linguística que ainda não foi alvo de estudos sistemáticos. Ao longo do texto, ressaltamos a importância da realização de pesquisas regionais com o desenvolvimento de métodos específicos para as regiões em foco.
LINGUÍSTICA DE CORPUS NA MÚSICA: ANÁLISE DE TEXTOS SOBRE IMPROVISAÇÃO MUSICAL EM PORTUGUÊS E ITALIANO
Authors: Calloni Tatiane Marques
Published: April 2019

Este trabalho pretende demonstrar como o campo musical pode representar uma rica fonte de pesquisas linguísticas e culturais. Também é nosso objetivo incentivar a tradução de material dedicado ao ensino e à teoria da música, visando expandir a quantidade de material especializado na área. Para tanto, realizamos uma pesquisa introdutória guiada pelo corpus, por meio da construção de dois corpora de especialidade em português e italiano sobre improvisação musical e analisamos os resultados com o auxílio do conjunto de programas WordSmith Tools. Obtivemos três resultados relevantes: 1) pouco material de fácil acesso, em português, na área de música; 2) relevante influência cultural de cada país na abordagem do tema; 3) interferência do inglês na língua italiana em áreas de conhecimento técnico. Esperamos que esses resultados preliminares possam incentivar futuras pesquisas linguísticas na área da música.
Evaluation of CisBio ELISA for Chromogranin A Measurement
Authors: Lim Maili , Erdman Patrick , Cho Sun , Mathew Anu , Fleisher Martin , Thoren Katie L
Published: April 2019

Background

Chromogranin A (CgA) is a nonspecific marker for the presence of neuroendocrine tumors and neuroendocrine differentiation. The objective of this study was to evaluate the performance of the CisBio CgA ELISA.

Methods

Precision, linearity, limit of blank, and recovery of the CisBio CgA ELISA were evaluated. Seventy waste serum samples obtained from the clinical laboratory at Memorial Sloan Kettering Cancer Center were analyzed by the CisBio CgA ELISA. Results were compared to those obtained from a reference laboratory that used a proprietary ELISA for serum CgA measurement. Paired waste plasma samples were also collected from 24 of these patients to assess possible differences between CgA in serum and plasma. Finally, a preliminary reference range study was performed with samples from healthy volunteers in serum (n = 60) and plasma (n = 60).

Results

Within-run and between-run precision ranged from 3.0% to 5.1% and 4.8% to 12.9%, respectively. The limit of blank was 2.4 ng/mL. Recovery ranged from 88% to 102%. A statistically significant bias was observed when the CisBio CgA assay results were compared to those of a reference laboratory. Comparison of the 2 assays yielded a slope of 9.05, intercept of −18.0, and a correlation coefficient of 0.955. CgA values in serum correlated well to values measured in plasma.

Conclusions

The analytical performance of the CisBio CgA ELISA was acceptable. However, CgA results are method-specific owing to lack of standardization and use of different antibodies. This lack of standardization results in several challenges for the clinical laboratory when evaluating a CgA assay.
El comportamiento de los verbos haber y ser en función de auxiliar de los tiempos compuestos (siglos XIII-XVII)
Authors: Idrisz Ágnes
Published: April 2019

In the old Spanish language the usage of the compound tenses formed with the auxiliary ’haber’ and the participle form shows several differences compared to today’s usage. It turns out from fragments from the XIII-XVII. centuries that the word order of the elements in the structure was not bound: on the one hand, the participle form could come before the auxiliary, on the other hand, other parts of the sentence could be inserted between the two elements of the structure. Furthermore, the participle form could possibly be reconciled with the direct object of the sentence. The above mentioned features can be found in the earliest fragments of the ’corpus’ on a larger scale, whereas by the XVII. century – due to the grammatical progress of the structure – these features had almost completely disappeared. Another peculiarity about the development of the structure haber + participio pasado is that the occurence of the above mentioned features depended largely on the genre of the text. There is a whole range of studies available which deal with the emergence and the forms of the compound tenses. Therefore, the purpose of the present study is to examine – based on the article of Concepción Company in 1983 – how much these compound tenses are present in the texts from different ages, as well as how much the frequency of their presence was influenced by the genre of the texts.
La desmemoria en la historia oficial : reflexiones sobre la memoria y el olvido en el exilio español
Authors: Mérida Donoso José Antonio
Published: April 2019

The concepts of (collective) memory and history are similar in that they both deal with the
notion of identity, yet diverge in their methods and dwell on the past events in different ways.
History has now started to be regarded as an objective - a doubtful, though desirable attribute -
"human" or "social" science, while memory remains the space of subjective experience. This
article presents a series of reflections on Spain's recent past, focusing on the role of literature in
preserving the collective memory and constructing a social identity.
"Semeja esti prado egual de paraíso" : Gonzalo de Berceo : Milagros de nuestra señora
Authors: Vasas László
Published: April 2019

The present article analyses some of the features that characterise Mariology. First of all, it
focuses on the history of this peculiar area of theology, as a literary and epistemological code.
The text itself, designated to illustrate the formation of a new literary and philosophical
discourse, is the well known compilation Miracles of Our Lady by Gonzalo de Berceo, with
special regard to the allegoric Introduction to the same work. Allegory was the most widespread
narrative figure of social cultural texture in the Middle Ages. The Marian cult was an
extraordinary literary revelation in the Europe of the 11-13th centuries. The chain of
metaphors defining the Introduction to the Miracles implies a universal theological allegory
concerning the role of the Virgin in the salvation of humanity. The interpretation of some
landscape elements means not only the polysemic allegory for the creation of a cultural home but
also signifies the conception of a new symbolical rational order and the combination of cultural
registers. What is meant is the embedding of Christian narrative and a serious attempt to
create a specific national and culturalpattern.
Cine de crítica social contra el franquismo con intervención (austro)húngara: Surcosy ¡Bienvendio, Mister Marshall!
Authors: Lénárt András
Published: April 2019

From the second half of the 1950s the Spanish society experienced some new phenomena. The inflexibility of the Franco regime started to slacken, the unsatisfied masses were not afraid to express their opinion occasionally. Besides university students, the members of the film industry finally dared to give voice to their disapproval in public. In accordance with the basic points of their doubts, anxieties and dissapointments (disseminated through newspaper articles and lectures), the most important filmmakers set out to shoot movies in order to criticize the Francoist society and the contradictions of the political system. Two gems of this cinematographic mission were Furrows (Surcos, José Antonio Nieves Conde, 1951) from a Hungarian film producer and Welcome Mr. Marshall! (¡Bienvenido, Mister Marshall!, Luis García Berlanga, 1953). In this paper I highlight those components of the two films that can be regarded as strong critiques of the Spanish dictatorship.
La imagen de Hungría en el cine franquista
Authors: Lénárt András
Published: April 2019

The complex relationship between film and history represents a thoughtprovoking interdisciplinary research field. The formation of a suitable film policy constituted a substantial assignment in all European dictatorships of the 20th century. Among them, the cinema of Francisco Franco's regime was one of the most interesting examples. The Spanish general considered that communism was the most dangerous and a genuinely diabolical enemy of the Christian civilization. In compliance with this obsession, the regime's film industry produced quite a few movies that backed the dictator's deep-rooted anticommunism. Hungary, a Central European country under communist rule, also belonged to this paradigm: Hungarian topics, events and individuals appeared every now and then in those films that discussed the drawbacks and horrors of being part of the Soviet block. In this paper I analyze three Spanish propaganda movies from the 1950's where Hungary and Hungarians played a central role.
El viaje como recusa cultural del franquismo: españoles en Portugal en 1974–1975
Authors: Luís Rita
Published: April 2019

Este artículo pretende examinar la presencia de españoles en Portugal durante el proceso revolucionario. Se dará particular atención a la idea del viaje y sus motivaciones, procurando integrarlos en experiencias distintas que incorporan fenómenos como el exilio, la movilización política o el turismo, con el propósito de concebir el “viaje” como una experiencia aún más transversal, común a una cultura política cuyo punto de unión sería el rechazo cultural del franquismo.
Cine en la transición, transición en el cine: los marcos de la formación de una política cinematográfica democrática en España
Authors: Lénárt András
Published: April 2019

Los escenarios de las transiciones democráticas se extienden desde las esferas de la política y la sociedad hasta las de la economía y la cultura. El cine ha sido siempre una de las artes más adecuadas para reflejar las opiniones, las inquietudes y las esperanzas de una nación. Por esta misma razón, la formación de una nueva política cinematográfica indica perfectamente hacia qué dirección se está evolucionando el sistema político de un país. En mi arctículo intento esbozar el aspecto cinematográfico de las transiciones democráticas, prestando atención especial al caso español, destacando los elementos más notables de esta tranformación cinematográfica en el contexto político de la época.
Amplitude Incremental Method: A Novel Approach to Capture Stable and Unstable Solutions of Harmonically Excited Vibration Response of Functionally Graded Beams under Large Amplitude Motion
Authors: Panigrahi B. , Pohit G.
Published: April 2019

An interesting phenomenon is observed while conducting numerical simulation of non-linear dynamic response of FGM (functionally graded material) beam having large amplitude motion under harmonic excitation. Instead of providing a frequency sweep (forward or backward), if amplitude is incremented and response frequency is searched for a particular amplitude of vibration, solution domain can be enhanced and stable as well as unstable solution can be obtained. In the present work, first non-linear differential equations of motion for large amplitude vibration of a beam, which are obtained using Timoshenko beam theory, are converted into a set of non-linear algebraic equations using harmonic balance method. Subsequently an amplitude incremental iterative technique is imposed in order to obtain steady-state solution in frequency amplitude plane. It is observed that the method not only shows very good agreement with the available research but the domain of applicability of the method is enhanced up to a considerable extent as the stable and unstable solution can be captured. Subsequently forced vibration response of FGM beams are analysed.
Context-Based Facilitation in Visual Word Recognition: Evidence for Visual and Lexical But Not Pre-Lexical Contributions
Authors: Eisenhauer Susanne , Fiebach Christian J. , Gagl Benjamin
Published: April 2019

Word familiarity and predictive context facilitate visual word processing, leading to faster recognition times and reduced neuronal responses. Previously, models with and without top-down connections, including lexical-semantic, pre-lexical (e.g., orthographic/phonological), and visual processing levels were successful in accounting for these facilitation effects. Here we systematically assessed context-based facilitation with a repetition priming task and explicitly dissociated pre-lexical and lexical processing levels using a pseudoword (PW) familiarization procedure. Experiment 1 investigated the temporal dynamics of neuronal facilitation effects with magnetoencephalography (MEG;N= 38 human participants), while experiment 2 assessed behavioral facilitation effects (N= 24 human participants). Across all stimulus conditions, MEG demonstrated context-based facilitation across multiple time windows starting at 100 ms, in occipital brain areas. This finding indicates context-based facilitation at an early visual processing level. In both experiments, we furthermore found an interaction of context and lexical familiarity, such that stimuli with associated meaning showed the strongest context-dependent facilitation in brain activation and behavior. Using MEG, this facilitation effect could be localized to the left anterior temporal lobe at around 400 ms, indicating within-level (i.e., exclusively lexical-semantic) facilitation but no top-down effects on earlier processing stages. Increased pre-lexical familiarity (in PWs familiarized utilizing training) did not enhance or reduce context effects significantly. We conclude that context-based facilitation is achieved within visual and lexical processing levels. Finally, by testing alternative hypotheses derived from mechanistic accounts of repetition suppression, we suggest that the facilitatory context effects found here are implemented using a predictive coding mechanism.
Evaluating the State of Health Care Institutions: The Case of Lithuanian Municipalities
Authors: Breimerytė Vaida , Kėdaitis Vytautas , Miškinis Algirdas , Trainavičius Kęstutis
Published: April 2019

[full article and abstract in English]
Huge differences between the territories that are divided into the city and district municipalities are found after examining theoretical and methodological literature, obtaining abundant statistical information on the status of health care institutions in Lithuania, disclosing the system of indicators describing that status, and taking into account the analysis of the data of all the statistic residents of the Territorial Health Insurance Funds (THIF) and those registered at the outpatient primary personal health care institutions (OPPHCI). The number of residents who have registered at the OPPHCI of city municipalities is different from the rates provided by the statistics. Therefore, in the calculation of health indicators, a meaningful selection of them will more accurately reflect the status of health care facilities. Of these indicators, it is important to select not only those that best describe the existing medical care level in the municipalities but those that are also informative. The system of indicators was selected on the basis of the Delphi method. This article analyzes the state of the health care institutions in Lithuania and the qualitative and quantitative indicators of health care and their evaluation at the municipal level. The authors of this article used multivariate statistical methods in evaluating the state of health care institutions. The reliability and the validity of the obtained results are verified by two models; thus, the stability and suitability of the models are tested in investigating the state of health care institutions in Lithuania. The final aim of the study is to evaluate the administrative units of different territories and, from the medical level perspective, identify the best performing and most lagging municipalities.
Images of alcohol in the adolescents’ life of one quilombola community
Authors: Moraes-Partelli Adriana Nunes , Cabral Ivone Evangelista
Published: April 2019

ABSTRACT Objective: To analyze the images of alcohol in the rite of passage of adolescents of a quilombola community. Method: Qualitative and participatory study was developed by Creative and Sensitive Method, and guided by generated questions: “In my house, alcohol is...”; “Near my house, I see alcohol in...” Ten adolescents who live in a quilombola community in the north of the state of Espírito Santo, Brazil, participated in the group dynamics. The material was submitted to a thematic analysis. Results: Images of alcohol are common in the daily life of adolescents and can be seen in bars drinks, in their homes or in soccer fields; in different moments within the community (weekend barbecues, church celebrations, after soccer); and also in rites of passage, where adolescents first sipped or tasted alcohol with friends or socially with adults. Final Consideration: Alcohol in quilombola communities is cultural, and socially accepted, which turns it into a challenge for health professionals to promote health education with these adolescents.
Contributions of the nurse’s clinical practice to Primary Care
Authors: Kahl Carolina , Meirelles Betina Horner Schlindwein , Cunha Kamylla Santos da , Bernardo Mariana da Silva , Erdmann Alacoque Lorenzini
Published: April 2019

ABSTRACT Objective: To understand the repercussions of the nurse’s clinical practice on Primary Health Care. Method: Qualitative research with the theoretical and methodological contribution of Grounded Theory. Data collection took place between May and October 2016 in Florianópolis’ Primary Care service. The theoretical sample was comprised of 18 nurses divided into two groups. Results: nurses’ clinical practice has repercussions on the consolidation of the trust bond between individuals, families and communities, by amplifying the problem-solving efficacy of the Primary Health Care professional’s clinical practice. This is due to the implementation of clinical nursing protocols, and also the use of the International Classification for Nursing Practice. Final considerations: Nurses’ clinical practice has positive repercussions on the health of Primary Health Care users.
The training and praxis of the nurse in the light of nursing theories
Authors: Santos Bruna Pegorer , Sá Flávia Mendes de , Pessan Jessica Eugenio , Criveralo Laudicéia Rodrigues , Bergamo Lívia Nogueira , Gimenez Viviane Cristina de Albuquerque , Fontes Cassiana Mendes Bertoncello , Plantier Gabriel Mendes
Published: April 2019

ABSTRACT Objective: to report the experience of the development of nursing knowledge from nursing theories and points of contact with the nurse’s praxis. Method: case report on the reflections on contents addressed in the discipline offered in the Graduate Program in Nursing in a federal public university. The students presented seminars approaching the main nursing theories, generating extensive discussion and correlating them with the nurse’s practice. Review and reflection on the contents addressed. Result: two themes were defined: the training of nursing undergraduate students and the development of knowledge in relation to the concepts of nursing theories; and care models and nurses’ critical reasoning about the applicability of nursing theories. Final Consideration: the reflections produced permeated the development and acquisition of knowledge and of representative meanings of healthcare practice from the assumptions and constructs of the theories.
O SISU NA BERLINDA: PRESENTE E UMA PROVOCAÇÃO PARA O FUTURO
Authors: VARGAS HUSTANA MARIA
Published: April 2019

RESUMO: Nossa “Palavra Aberta” sobre o Sistema de Seleção Unificada (SiSU) parte do seguinte ponto de vista: o sistema oferta e aloca de forma centralizada um bem extremamente valorizado: vagas em instituições públicas de educação superior1. Como tal, supunha-se que os objetivos contidos em suas normativas fossem atingíveis de forma relativamente segura. Decorridos oito anos de sua implantação, não é o que se verifica. Do ponto de vista sociológico, não se trata propriamente de uma novidade, conforme enunciam Boudon, Merton e Giddens. Seriam os “efeitos não intencionais de ações intencionais” (HIGGINS, 2011, p.258), o que torna bastante relevantes as investigações sobre os malogros e desafios do sistema. Assim sendo, examinamos aqui algumas restrições e conflitos que afetam os agentes envolvidos no processo, e arriscamos, ao final, uma sugestão mais radical para os desafios atualmente verificados na implementação do sistema. A perspectiva que embasa essas reflexões advém da busca pela democratização da educação superior, fundamentada em preceitos de justiça social.
PERIPHERAL VENIPUNCTURE: COMPREHENSION AND EVALUATION OF NURSING PRACTICES
Authors: Braga Luciene Muniz , Salgueiro-Oliveira Anabela de Sousa , Henriques Maria Adriana Pereira , Arreguy-Sena Cristina , Albergaria Virginia Mirian Pianetti , Parreira Pedro Miguel dos Santos Dinis
Published: April 2019

ABSTRACT Objective: to understand the nursing practices related to peripheral venipuncture and to analyze the incidence of complications in patients with venous catheters. Method: mixed design, involving: case study, sectional study, cohort study and focus group. The sample consisted of nurses and patients from a medical clinic in Portugal. Thematic analysis and descriptive statistics were performed. Results: stressors capable of influencing nursing practices were identified, including: the decisions of the medical team, the age and characteristics of the venous network of the patient, the availability of other catheters in the institution, the low level of knowledge of nurses regarding the care of patients in the insertion, maintenance and removal of the peripherally inserted central venous catheter. The following complications and their respective incidences were documented in patients with peripheral venous catheters: phlebitis (22.2%), obstruction (27.7%), fluid exiting through insertion site (36.1%), infiltration (38.8%) and accidental catheter removal (47.2%). Catheter obstruction with an incidence of 22.2% was only observed in those who used the peripherally inserted central venous catheter. The following benefits were observed with the use of the peripherally inserted central venous catheter: safe administration of drugs; pain reduction, number of venous punctures and complications. Conclusions: the peripherally inserted central venous catheter is presented as a valid and viable alternative that can improve the quality of nursing care and the safety and well-being of patients.
A didática e a formação do professor de Educação Física: uma análise a partir da avaliação de alunos concluintes
Authors: Cruz Giseli Barreto da , Castro Pedro Henrique Zubcich Caiado de
Published: April 2019

Resumo Estudo com aproximadamente 80 estudantes de um curso de licenciatura em Educação Física, com o objetivo de analisar a aprendizagem da docência construída no contexto da formação em didática. Constitui recorte de uma pesquisa envolvendo 14 cursos de licenciatura, orientada pelo seguinte questionamento: que contribuições o ensino de didática tem propiciado ao futuro professor visando à construção de sua própria prática profissional? Os dados foram obtidos mediante a aplicação de questionário e a realização de grupos de discussão. Teoricamente, se sustentou na compreensão de que o ato de ensinar envolve a ação especializada do professor para promover a aprendizagem de seus alunos, requerendo a mobilização de saberes específicos, reconhecidos como base de conhecimento profissional docente. As análises evidenciam que as contribuições do ensino de didática, ancoradas na perspectiva crítica, podem ser determinantes para a constituição dos saberes profissionais, visto que prevalece no curso, como um todo, a ênfase na formação técnica.
Níveis de ansiedade e depressão entre professores do Ensino Infantil e Fundamental
Authors: Ferreira-Costa Rodney Querino , Pedro-Silva Nelson
Published: April 2019

Resumo O magistério tem se constituído atualmente numa profissão produtora de adoecimento. Considerando esse aspecto, este artigo propõe verificar o nível de ansiedade e de depressão dos professores e a sua possível associação com o grau de satisfação no trabalho e os fatores factuais, como idade, escolaridade e religiosidade. Para tal, foram questionados 105 profissionais que ministravam aulas no Ensino Infantil e Fundamental públicos de uma cidade paulista. Por intermédio das Escalas Beck (depressão e ansiedade) e do questionário sobre dados factuais e satisfação com o trabalho, identificou-se que cerca de 50,0% dos sujeitos apresentaram níveis de ansiedade e/ou depressão prejudiciais ao ato educativo. Foi possível concluir, assim, que é necessária a criação de políticas educacionais que levem em consideração a saúde mental dos docentes.
‘Pegadas na areia’ de professores ‘caçadores de sonhos’: duas identidades profissionais em (des)construção
Authors: Carvalho Maria de Lurdes Dias de , Miranda Carla Patrícia Queirós , Correia Marta Alexandra da Silva
Published: April 2019

Resumo O texto trata de um processo investigativo de formação profissional concretizada na análise e na reflexão de uma abordagem (auto)biográfica, com duas estudantes, futuras professoras, estabelecendo-se um possível diálogo entre as narrativas elaboradas durante a Prática de Ensino Supervisionada do último semestre do curso de formação. Detalham-se e refletem-se o ser professor como caçador de sonhos em busca das melhores práticas (Marcelo, 2009b; Vaillant & Marcelo, 2015), algumas das pegadas na areia inscritas ao longo da formação inicial (Flores, 2012, 2015) e os trânsitos relacionais da e na docência, que constituem um dos fortes alicerces na formação e no desenvolvimento profissional (Day, 2001; Freitas & Galvão, 2007). Metodologicamente, o estudo assenta no paradigma qualitativo (Bogdan & Biklen, 1994), cujo objetivo principal se focaliza em compreender como é percebida a construção da identidade profissional ao longo da formação inicial de professores, tomando como referência de análise de conteúdo (Bardin, 2009) as narrativas das participantes.
Dramatização de contos filosóficos na formação do educador
Authors: Pereira Theda Cabrera Gonçalves
Published: April 2019

Resumo No presente artigo o foco é a utilização da dramatização de contos filosóficos com mitema iniciático no cultivo de mestria na formação inicial de educadores. A pesquisadora colocou em prática suas propostas na condução de vivências curriculares entre 2012 a 2016 com estudantes de Pedagogia e licenciandos. O âmbito de uma educação de sensibilidade – que nem por isso exclui a racionalidade, mas não se restringe à racionalidade ocidental de caráter aristotélico, cartesiano, iluminista e protestante – tem possibilitado uma leitura mais crítica (contra ideológica), reflexiva (constructos) e sensível (perceptos) dos participantes, levando-os a ter, como opção pessoal, a tarefa de assumir como projeto profissional e existencial a busca mais coerente de modulações do ser.
Políticas de formação de professores no Brasil: referenciais legais em foco
Authors: Oliveira Hosana Larissa Guimarães , Leiro Augusto César Rios
Published: April 2019

Resumo Este artigo buscou analisar as políticas de formação de professores da Educação Básica no Brasil por meio da produção legislativa instituída entre 2007 e 2014, a fim de apontar aspectos e contradições que caracterizam as políticas instituídas durante a 53ª e a 54ª Legislaturas do Congresso Nacional. Foi realizada pesquisa documental na base de dados do Senado Federal e da Câmara dos Deputados, a fim de identificar as cinco proposições que se tornaram lei, neste período, todas de autoria da Presidência da República. Os resultados sugerem o protagonismo do poder executivo federal como regulador das políticas de formação de professores da Educação Básica no País, indicam esforços para articular as ações numa perspectiva sistêmica e denotam grandes desafios para tornar realidade o proposto em lei.
A dessegregação de Little Rock a partir de Hannah Arendt
Authors: Briskievicz Danilo Arnaldo
Published: April 2019

Resumo Investigam-se neste texto os conflitos educacionais e políticos entre a escola e a questão negra norte-americana, presentificados na dessegregação de Little Rock, uma escola do Arkansas, no ano de 1957. O ensaio “Reflexões sobre Little Rock”, publicado em 1959, de autoria da filósofa Hannah Arendt, é analisado passo a passo, por conta de suas elucidações consideradas à época polêmicas e pouco avançadas para o contexto. Após 60 anos do evento que marca a dessegregação das escolas norte-americanas, avaliam-se o ensaio de Arendt e suas propostas para pensar a educação em tempos de crise. Usa-se a metodologia de pesquisa bibliográfica em fontes primárias da autora e fontes secundárias de comentadores do pensamento arendtiano, relacionadas à política e à educação. O resultado esperado é uma versão dos fatos que auxilie a pensar o papel da escola nos dias atuais.
Obtaining oil from macauba kernels by ultrasound-assisted extraction using ethyl acetate as the solvent
Authors: Rosa Ana Claudia Santos da , Stevanato Natália , Iwassa Isabela , Garcia Vitor Augusto dos Santos , Silva Camila da
Published: April 2019

Abstract The objective of this work was to evaluate the efficacy of ethyl acetate as a solvent in the extraction of macauba kernel oil (MKO) using ultrasonic-assisted extraction (UAE). It was shown that more MKO oil could be extracted with the use of larger amounts of solvent, higher temperatures and longer extraction times. Thus the maximum oil yield (40.61%) was obtained by UAE at 60 °C for 45 min, using a solvent to kernel ratio of 12 (mL g-1), obtaining a higher yield than that obtained with n-hexane under the same experimental conditions. UAE was favorable for this oil extraction (p < 0.05), presenting a yield close to that reported for classical extraction but with a shorter extraction time and smaller solvent volume. Lauric acid corresponded to ~44% of the MKO composition. The oils presented low free fatty acid contents (<0.80% wt), and the phytosterols, campesterol and β-sitosterol, were identified in the MKO with higher levels in the oil obtained by UAE.
Care for chidren and adolescents victims of violence: feelings of professionals from a psychosocial care center
Authors: Silva Manoella Souza da , Milbrath Viviane Marten , Freitag Vera Lucia , Gabatz Ruth Irmgard Bärtschi , Bazzan Jéssica Stragliotto , Maciel Karine Lemes
Published: April 2019

ABSTRACT Objective: to unveil the feelings experienced by health professionals working at a Child and Adolescent Psychosocial Care Center (Centro de Atenção Psicossocial Infanto-Juvenil) in the care for children and adolescents victims of violence. Methodology: qualitative, descriptive and exploratory research, carried out in a Child and Adolescent Psychosocial Care Center (Centro de Atenção Psicossocial Infanto-Juvenil). Data were collected through a semi-structured interview with ten professionals from the multidisciplinary team between May and June 2017. Data interpretation was based on the thematic analysis. Results: there were two themes: Contact with violence: feelings that emerge; and Between reason and emotion: contact with the perpetrator of violence. It was evidenced a multiplicity of feelings that affect the professionals involved in the care for children/adolescents victims. Conclusion and implications for practice: from the results, it is identified that professionals have difficulties in caring for children/adolescents victims of violence, with a need to devise strategies to deal with the range of feelings that emerge when performing this. In order to do so, it is believed that it is necessary to improve attention in the care network in order to reduce emotional levels overload and improve quality of life of victims and professionals, in order to solve problems for a healthier working process.
“MARÍTIMO DE PROFISSÃO”: AS MATRÍCULAS DE MARINHEIROS E A HISTÓRIA MARÍTIMA DE PORTUGAL E SEUS DOMÍNIOS NOS SÉCULOS XVIII E XIX
Authors: Rodrigues Jaime
Published: April 2019

Resumo Este estudo apresenta os registros de matrículas de navios mercantes que saíram de Lisboa entre a segunda metade do século XVIII e as primeiras décadas de século XIX. Destaco o potencial dessa fonte para estudos sobre circulação dos marítimos. Entre outros temas, a fonte permite: um inventário de cargos e funções a bordo; estabelecer o tempo de experiência e a idade dos indivíduos quando começavam nas profissões marítimas; relacionar tipos de embarcações, rotas, tamanho da tripulação e tempo de viagem; estabelecer as diferenças de naturalidade, condição social, idade, treinamento e experiência dos marinheiros.
PORTOS E CIDADES PORTUÁRIAS: ALGUMAS CONSIDERAÇÕES HISTORIOGRÁFICAS PORTS AND PORT CITIES: A FEW HISTORIOGRAPHIC CONSIDERATIONS
Authors: Honorato Cezar Teixeira
Published: April 2019

Resumo O presente artigo apresenta considerações acerca da historiografia relacionada à Reforma Pereira Passos e às obras do porto do Rio de Janeiro. Inicialmente apresenta os estudos que enfocaram as cidades portuárias brasileiras no período compreendido entre a segunda metade do século XIX e o início do XX. Na argumentação fundamental, fazemos uma crítica ao revisionismo presente nos trabalhos mais recentes sobre o tema.
ECONOMÍA Y ACTIVIDAD PESQUERA EN EL ATLÁNTICO SUR: EL CASO DE MOÇÂMEDES EN EL SIGLO XIX
Authors: Brichta Laila
Published: April 2019

Resumen Este trabajo tiene por objetivos analizar Moçâmedes durante el siglo XIX y su importancia para el desarrollo del sur de Angola y para el comercio con otros puertos en África y con Portugal. Se observa que las principales mercancías de exportación fueron aquellas derivadas de la pesca en las aguas frías de su litoral y no las derivadas de la agricultura, como parecía ser la intención primera de los colonos que allí llegaron y del estado portugués, que promovió la colonización. El comercio de alimentos, que incluyen el pescado, el ganado y diversos géneros de huerta, fue fundamental para el desarrollo de Moçâmedes, para los cambios económicos con distintos sitios y pueblos, tanto africanos como extranjeros, y para el proceso de ocupación que Portugal implementó en Angola.
NÃO DEIXAM DE SUSPIRAR PELA SUA LIBERDADE: MOTINS DE ÍNDIOS NO CEARÁ E A FORMAÇÃO DO ESTADO NO BRASIL
Authors: Costa João Paulo Peixoto
Published: April 2019

RESUMO A atuação dos índios inseridos na formação do Estado brasileiro era, muitas vezes, caracterizada pelos administradores como “tumultos”. Nesse clima de instabilidades, era assustador para as elites políticas das diversas regiões do Brasil o fato de novas ideias estarem sendo apropriadas pelas camadas subalternas. Indo além dos atos de nomear dos administradores, nosso objetivo é dar destaque aos possíveis significados daquela conjuntura para os indígenas nela envolvidos. Sua atuação nessa e em outras conjunturas girava em torno de sua liberdade e do combate à exploração de sua mão de obra.