bluuebunny/crossref_metadata_2025 huggingface dataset:
Book review: Faces of Conflicts: Collection of Analyses and Case Studies. Under the edition of Jarosław J. Piątek and Renata Podgórzańska. Adam Marszałek Publishing House, Toruń 2008, pp. 330.
Authors: Ewelina Serwońska Sylwia
Published: May 2022

At the turn of the 20th and 21st centuries the notion of conflict took a new meaning. The issues of wars, terrorism and nationalism have created a new model of civilization, which is aggressive and imperialist towards others. Particular human populations are trying to take priority over others, using all accessible means to achieve that. In times when globalization is an inevitable factor, a conflict determines the existence and development of various cultures, nations and civilizations. We are a small turbine in this great machine. The multidimentional character of the above mentioned nations makes us contemplate and think them over. Paradoxically, a conflict and a war following it, is not less terrible than several dozen years ago. As Alvin Toffler wrote “If the war used to be a very important occupation left to generals, now it is too important to be dealt with by ignorants no matter if they wear a uniform or not. The issue of conflict used to be, is, and will be the nightmare of mankind. Will we win it, the time will only show”.
Cities, Transnational Law, and COVID-19
Authors:   Nicolaus Copernicus University (Poland), Szpak Agnieszka , Modrzyńska Joanna ,   Nicolaus Copernicus University (Poland)
Published: May 2022

This paper aims to point to the transition from international law to transnational law that, on the one hand, is caused, and on the other, is strengthened by the growing role of cities in the fight against COVID-19. Various interactions between cities and other international actors give rise to new trends and challenges on the international plane. One of such terms, transnational law, refers to developments beyond the nation-state and includes “all law which regulates actions or events that transcend national frontiers”. It is characterized by a plurality of overlapping normative systems and a growing role of new actors in the international arena, which are cities. The authors give examples of cities bypassing or complementing states with special emphasis on European cities (Polish including) as well as of cities’ transnational cooperation to fight COVID-19 pandemic, filling the gaps in inter-governmental multilateral cooperation.
Extraordinary Legal Measures and Their Application as a Response of States to the First Wave of the COVID-19 Pandemic
Authors:   Jan Długosz University in Częstochowa (Poland), Przywora Boguslaw Stanisław , Dobrzeniecki Karol ,   Nicolaus Copernicus University (Poland)
Published: May 2022

The topic of the present article is the response of states to the first wave of the COVID-19 pandemic by using extraordinary legal measures provided for in their constitutions and legislation. By reference to the research project's findings, the authors characterise the legal solutions in selected jurisdictions and attempt to demonstrate the relationship between the application of emergency measures and the specific political system of states. By doing so, the authors consider such factors as the territory, population, or type of political regime.
Multi-authorship and Research Analytics
Authors:   Institute for Scientific Information (ISI), Adams Jonathan , Potter Ross ,   Institute for Scientific Information (ISI), Pendlebury David ,   Institute for Scientific Information (ISI), Szomszor Martin ,   Institute for Scientific Information (ISI)
Published: May 2022

The Web of Science has identified a growing number of research articles with 1,000 or more unique authors across more than 100 different countries. The combination of many authors/many countries creates a complex authorship pattern that differs from more typical academic papers and drives elevated citation rates. In this report we describe two patterns linking complex authorship with effects that increase citation rates: a general increase associated with multi-authorship (more than 10 authors and more than five countries); and more perturbing outcomes of hyper-authorship (more than 100 authors spread across more than 30 countries).
ARCO DA PROBLEMATIZAÇÃO PARA PLANEJAMENTO EDUCATIVO EM SAÚDE NA PERCEPÇÃO DE ESTUDANTES DE ENFERMAGEM
Authors: DIAS GEYSE ALINE RODRIGUES , SANTOS JOYCE PETRINA MOURA , LOPES MÁRCIA MARIA BRAGANÇA
Published: May 2022

RESUMO: O estudo objetivou desvelar a percepção de acadêmicos de enfermagem frente à utilização do Arco da Problematização no ensino do planejamento educativo em saúde. Trata-se de um estudo descritivo, com abordagem qualitativa, realizado com 15 estudantes de graduação em enfermagem, desenvolvido em uma universidade pública da Região Norte do Brasil no período de abril a maio de 2019. A disciplina pesquisada faz parte do segundo ano do curso de enfermagem e tem como foco o desenvolvimento de educação em saúde. A coleta de dados ocorreu por meio de entrevista semiestruturada guiada por roteiro de questões norteadoras. Para a análise dos dados, utilizou-se a técnica de análise da Teoria Fundamentada nos Dados, separando, conceituando e interligando os dados entre si por meio das codificações aberta e axial. Esse processo foi desenvolvido com o auxílio da versão trial do programa Atlas TI®. Emergiram da análise três categorias: Compreensão sobre Metodologia Ativa e o Arco de Maguerez; Planejamento Educativo em Saúde: conhecimento e experiência; e Arco de Maguerez no ensino de planejamento educativo em saúde. Os estudantes compreendem e percebem o Arco de Maguerez como uma estratégia elegível ao planejamento educativo em saúde, pois admitem relação entre as ferramentas e consideram que o arco propõe relações democráticas de ensino-aprendizagem, valoriza conhecimentos prévios e dialoga com a realidade do público-alvo.
PROBLEMATIZATION ARCH FOR EDUCATIONAL HEALTH PLANNING IN NURSING STUDENTS’ PERCEPTION
Authors: DIAS GEYSE ALINE RODRIGUES , SANTOS JOYCE PETRINA MOURA , LOPES MÁRCIA MARIA BRAGANÇA
Published: May 2022

ABSTRACT: The study aimed to show the perception of Nursing students on the use of the Problematization Arch in the teaching of educational health planning. This is a descriptive qualitative study carried out with 15 undergraduate nursing students, developed at a public university in the Northern region of Brazil from April to May 2019. The researched subject is part of the second year of the Nursing degree and focuses on the development of health education. We collected data through a semi-structured interviews with guiding questions. We used the data analysis technique of Grounded Theory, separating, conceptualizing, and interconnecting the data with each other through open and axial coding. This process was developed with the help of the trial version of the program Atlas TI®. Three categories emerged from the analysis: Understanding of Active Methodology and the Arch of Maguerez; Educational Health Planning: knowledge and experience; and Arch of Maguerez in the teaching of educational health planning. Students understand and perceive the Arch of Maguerez as an eligible strategy for educational planning in health, as they ackowledge a relationship between the tools and consider that the arch proposes democratic teaching-learning relationships, values previous knowledge, and dialogues with the reality of the target audience.
POR QUE ESTUDAR (COM) AS MÍDIAS? COMUNICAÇÃO E EDUCAÇÃO COMO PRÁTICAS COMPREENSIVAS, REFLEXIVAS E EMANCIPATÓRIAS
Authors: BONSANTO ANDRÉ
Published: May 2022

RESUMO: Propomos, neste texto, apresentar breves reflexões sobre a importância de se estudar (com) as mídias, pensando-as como um conjunto de práticas e processos comunicacionais capazes de (re)configurar nossas experiências cotidianas, identidades e valores. Dotadas de um potencial compreensivo, reflexivo e emancipatório, as mídias nos fazem saber e sentir, criam vínculos e afetos, sendo palco também de ordenamentos, disciplinas, produtos do poder e da ideologia. Estar atento a estas particularidades é fundamental para que saibamos construir um olhar crítico na e para a educação, principalmente em um contexto onde prolifera-se sobremaneira uma onda desinformativa, oriunda de nossa chamada era da “pós-verdade”. Para se educar com as mídias é preciso que saibamos, sobretudo, nos educar para as mídias, perceber nuances, intencionalidades, captar e destrinchar sentidos de seus textos e contextos. Objetivamos, com isso, uma maior problematização sobre como nós professores/educadores /pesquisadores podemos pensar, analisar e utilizar as mais variadas narrativas midiáticas dentro do universo didático e pedagógico, mas também no cotidiano de nossas práticas sociais, comprometidas com uma formação cidadã, crítica e responsável.
O OLHAR DE GRADUANDOS SOBRE A PROCRASTINAÇÃO ACADÊMICA: CONHECENDO E INTERVINDO
Authors: PAULA YARA APARECIDA DE , PADOVANI RICARDO DA COSTA , BATISTA SYLVIA HELENA SOUZA DA SILVA
Published: May 2022

RESUMO: O artigo tem como objetivo analisar o olhar de graduandos da área da saúde em relação à procrastinação acadêmica e a sua percepção sobre um programa de intervenção voltado para a autogestão da experiência universitária como uma estratégia de enfrentamento. Como fundamentação teórica, adotou-se a Teoria Social Cognitiva de Bandura, especialmente os construtos de autorregulação da aprendizagem e autoeficácia. A pesquisa envolveu 299 estudantes dos cursos de Educação Física, Fisioterapia, Nutrição, Terapia Ocupacional, Psicologia e Serviço Social, sendo realizada em três etapas: 1) aplicação do questionário Escala de Procrastinação Acadêmica e uma ficha de identificação dos participantes; 2) intervenção em pequenos grupos no formato de oficinas a partir de rodas de conversa; e 3) intervenção individualizada. Concluiu-se que a procrastinação é um comportamento presente no cotidiano dos estudantes e que se torna importante criar espaços de reflexão e aprendizado para a experimentação de estratégias que facilitem o seu enfrentamento. A intervenção em grupo demonstrou potência, pois possibilitou a escuta e a troca de experiências. Nela, os participantes puderam analisar a procrastinação para além dos aspectos individuais.
UNIVERSITY STUDENTS' OPINIONS ABOUT ACADEMIC ROCRASTINATION: KNOWING AND INTERVENING
Authors: PAULA YARA APARECIDA DE , PADOVANI RICARDO DA COSTA , BATISTA SYLVIA HELENA SOUZA DA SILVA
Published: May 2022

ABSTRACT: This article aims to analyze the view of undergraduate health students concerning academic procrastination and how they perceived an intervention program aimed at self-management of the university experience as a coping strategy. It adopted Bandura's Cognitive Social Theory as its theoretical foundation, mainly the constructs of self-regulation of learning and self-efficacy. The research involved 299 students from the Physical Education, Physiotherapy, Nutrition, Occupational Therapy, Psychology, and Social Work courses being carried out in three stages: 1) Application of an Academic Procrastination Scale questionnaire and an identification form for the participants; 2) intervention in small groups in the form of workshops based on conversation circles; 3) individualized intervention. It was concluded that procrastination is a behavior present in the students' daily lives and that it becomes important to create spaces for reflection and learning to experiment with a strategy that facilitates coping. The group intervention showed potency, as it made it possible to listen and exchange experiences. In it, the participants were able to analyze procrastination beyond the individual aspects
ENSINO REMOTO PARA ESTUDANTES DO PÚBLICO-ALVO DA EDUCAÇÃO ESPECIAL NOS INSTITUTOS FEDERAIS
Authors: BUENO MELINA BRANDT , LEITE GRACILIANA GARCIA , VILARONGA ARLA ARIELA RIOS , MENDES ENICÉIA GONÇALVES
Published: May 2022

RESUMO: Em decorrência da pandemia da Covid-19 e das medidas de distanciamento social requeridas, as aulas presenciais foram suspensas no início de 2020. Diante desse novo contexto, o objetivo do estudo consistiu em analisar como ficou o ensino para os estudantes público-alvo da educação especial (PAEE) nos Institutos Federais de Educação, Ciência e Tecnologia (IFs). A abordagem exploratória e descritiva, do tipo pesquisa de levantamento, foi realizada junto a 156 docentes de diferentes campi dos IFs. A coleta de dados foi realizada por meio de questionário. Os dados obtidos foram sistematizados, organizados e analisados quantitativa e qualitativamente em categorias temáticas, acompanhando as variáveis do instrumento. Os resultados evidenciaram que os docentes buscaram diferentes alternativas no ensino remoto, tais como: planejar colaborativamente; adotar procedimentos diferenciados no planejamento específico; prever modificações na prática pedagógica; utilizar material didático e avaliações adaptadas etc. As tecnologias e o ambiente virtual foram considerados tanto em aspectos positivos quanto desafiadores. Conclui-se que a demanda para atender às necessidades educacionais dos estudantes PAEE no ensino remoto exigiu o replanejamento dos processos pedagógicos com diferentes ações que variaram a depender de cada instituto. Contudo, faltaram diretrizes para elaborar o plano de ensino individualizado, assim como maior articulação com os professores de educação especial, o que pode impactar a qualidade do ensino e a aprendizagem do PAEE. Sugere-se que outras pesquisas sejam desenvolvidas, buscando maior aprofundamento e a avaliação das experiências docentes durante o ensino remoto no contexto da pandemia.
THE DEMATERIALIZATION OF SCHOOL IN THE YET TO COME EDUCATION: AN ANALYSIS OF CONTEMPORARY DISCOURSES
Authors: FARIAS BRUNO DA MATA , CAZETTA VALÉRIA , LIMA ANA LAURA GODINHO
Published: May 2022

ABSTRACT: Our aim in this text is to analyze the effects of the reports on the dematerialization of school by Edgard Faure (1973) and by Jacques Delors (1998). This phenomenon has been accelerated by the COVID-19 pandemic. The agenda of both reports is centered around the encounter of education and Information and Communication Technologies, in close connection with audiovisual and internet resources. Our work hypothesis is that both the discourses around the learning society, one celebrating the use of new teaching techniques, and the other centered on the “demmuring”4 of childhood, converge as they operate the dematerialization of school, while the pandemic has created a context in which deterritorialization has become temporarily unavoidable. We highlight in our conclusion that, in the current urban context, informed by an idea of education in the sense that all artifacts are educational, learning has become the platform of the already “demmured” and dematerialized spaces-ambiances.
EPIDEMIOLOGY, CLASSIFICATION, AND TREATMENT OF BILATERAL FRACTURES OF THE DISTAL RADIUS
Authors: Alencar Neto Jonatas Brito de , Jales Caio da Silveira , Coelho José Victor de Vasconcelos , Souza Clodoaldo José Duarte de , Cavalcante Maria Luzete Costa
Published: May 2022

ABSTRACT Objective: To study epidemiology, fracture pattern, associated injuries, and treatment of individuals with bilateral distal radius fracture, in a tertiary hospital. Methods: Retrospective cross-sectional study developed based on patients with bilateral distal radius fracture from January 2012 to November 2017. Demographic data, trauma mechanism, radiological patterns, degree of deviation, associated injuries, classification of fractures according to the Association of Osteosynthesis (AO), the Salter-Harris (SH) and Frykman scales, and type of treatment used in each case. Results: 13 cases were included in the trial, 10 adults and three children. In infants, the mean age was 9.6 years (7-11 years), and low-energy trauma was described in all these cases. In total, 66.6% of the children presented the SHII classification . In adult patients, the mean age observed was 43.5 years (27-56 years), with high-energy trauma reported in four (40%) cases. The AO 23C.3 and 23B.2 classifications were the most prevalent in adults. Conclusion: In adult individuals, there was a higher incidence of open fractures, wrist joint involvement, ulna fracture, and concomitant injuries, with high-energy trauma observed only in this group, corresponding to half of the cases. Level of Evidence IV, Case Series.
EVALUATION OF SCAPULAR DYSKINESIA IN PATIENTS THAT UNDERWENT A LATARJET PROCEDURE
Authors: Sella Guilherme do Val , Silva Luciana Andrade da , Almeida Gabriel Ximenes , Santana Dinah Santos , Barela Ana Maria Forti , Miyazaki Alberto Naoki
Published: May 2022

ABSTRACT Objective: To quantitatively assess the scapular movement of patients who underwent Latarjet surgery and to identify if they present scapular dyskinesia (SD), as well as correlate with the clinic state and the elevation degree of the shoulder. Methods: A cross-sectional study was carried out at the Movement Analysis Laboratory (LAM), at the Institute of Physical Activity and Sport Sciences, that quantitatively evaluated, using spherical retroreflective markers, the scapular movements of the control group (10 volunteers) and 22 patients (23 operated shoulders) that had been submitted to Latarjet surgery, between 2011 and 2016, with at least one year postoperative. The results of the control group were used as a parameter of normality and compared to those of the operated group. Posterior inclination, superior rotation, and medial rotation of the scapula were evaluated at angles of 60°, 90°, and 120° of elevation, both in ascending and descending phases. The statistical analysis used was the multivariate variance (MANOVA), comparing the right and left sides of the control group and, subsequently, the control group with the postoperative group (p = 0.05 in all tests). Results: When comparing the mean of the results of the quantitative evaluation of the control group with the operated group, no statistically significant differences were found between the two groups and between the dominant and non-dominant sides of the control group. Conclusion: Latarjet surgery does not cause SD, although there are alterations in some plane of the scapular movements in the ascending and/or descending phase. Level of Evidence III, Retrospective Comparative Study.
Impact of COVID-19 on the surgical profile of vascular surgery patients at a tertiary hospital in Curitiba, Brazil
Authors: Guarinello Giovanna Golin , D’Amico Raissa Campos , Miranda Ariadne Natalia Mileo , Novack Jaqueline , Coral Francisco Eduardo
Published: May 2022

Abstract Background During the COVID-19 pandemic, healthcare services reduced the number of elective procedures performed. Vascular surgery patients are a group at risk of contracting severe forms of the infection, but are also susceptible to complications of their underlying diseases if they do not receive routine care. It is therefore necessary to understand the direct and indirect impacts and consequences of the pandemic on vascular patients. Objectives To assess the impact of 1 year of the pandemic on a vascular surgery service and changes to the profile of surgeries during the same period. Methods An analysis was conducted of the medical records of patients who underwent elective and emergency surgery from 2019 to 2021. A review of the literature was also conducted, using the search terms “vascular surgery”, “COVID-19”, and “amputations”. Data were analyzed with Stata/SE v.14.1 (StataCorpLP, United States). Results A total of 1,043 surgeries were identified during the study period, 51.6% conducted pre-pandemic and 48.4% performed during the pandemic. There was a reduction in the number of elective surgeries and an increase in the number of lower limb amputations and surgical debridements. Increases were also observed in the proportion of patients with peripheral arterial occlusive disease with advanced Rutherford classifications and in the number of cases of diabetic foot. Conclusions The reduction in elective care and patients’ reluctance to seek health services during the pandemic are the probable causes of increased severity of patient status, with greater need for lower limb amputation and surgical debridement and changes to the profile of the surgery performed at the service.
Cognitive assessment of Brazilian patients with multiple sclerosis: weighing the impact of disability and depressive symptoms
Authors: Andrade Patricia Semionato , Cerqueira Ana Cláudia Rodrigues de , Colodetti Ana Carolina , Schmidt Felipe da Rocha , Barreiros José Maurício Godoy , Teixeira Antônio Lúcio , Souza Leonardo Cruz de
Published: May 2022

ABSTRACT Multiple sclerosis (MS) is the most common demyelinating disease of the central nervous system. Cognition is not routinely assessed in patients with MS though they frequently have cognitive complaints or dysfunction. Objective: The aim of this study was to compare the cognitive status of patients with MS with age, sex, and schooling matched controls and to evaluate the potential influence of clinical parameters on cognition. Methods: A total of 35 patients with MS (mean±SD age 37.9 years±11.44, M/F: 12/23) and 33 healthy controls (mean±SD age 38.8 years±12.6, M/F: 12/21) were enrolled in this study. All subjects underwent a structured clinical assessment and the cognitive tools are as follows: Paced Auditory Serial Addition Test (PASAT), Symbol Digit Modalities Test (SDMT), Rey Auditory Verbal Learning Test (RAVLT), Digit Span, and Verbal Fluency Tests (letters F, A, and S and animal category). Psychopathology was assessed with the Mini International Neuropsychiatric Interview and the Beck Depression Inventory (BDI). The Expanded Disability Status Scale (EDSS) was used for patients. Results: Patients performed worse than controls in almost all tests, with approximately 70% of patients presenting cognitive impairment. The most affected cognitive domain was episodic memory (45.7%), followed by verbal fluency (42.8%) and information processing speed (22.8%). SDMT was inversely correlated with disease severity, as assessed by the EDSS. Depression did not influence cognitive performance in this cohort. Conclusions: Cognitive dysfunction is common among patients with MS. While motor impairment was associated with information processing speed, depression did not influence cognitive performance.
Dysphagia in Alzheimer’s disease: a systematic review
Authors: Mira Ana , Gonçalves Rita , Rodrigues Inês Tello
Published: May 2022

ABSTRACT Dysphagia is described as a highly relevant comorbidity of Alzheimer’s disease (AD). However, there is a scarcity of studies aiming at the characteristics and progression of dysphagia. Objective: The objective of this study was to identify the specific characteristics, progression, and prevalence of dysphagia in AD. Methods: Publications were searched in the PubMed (MEDLINE), EBSCO, ScienceDirect, and BASE databases. Critical appraisal and evidence-level analysis were conducted using the Joanna Briggs Institute and Effective Public Health Practice Project’s (EPHPP) tools. Results: A total of 26 studies were reviewed. Symptoms begin in the early stage of AD, as oral phase impairments, and progress to pharyngeal symptoms and swallowing apraxia in the later stages of AD. Dysphagia progresses, as AD, along a continuum, with severity depending on individual variability. There were no studies found on prevalence. Conclusions: Dysphagia is a complex and important comorbidity in AD that impacts the quality of life. No recent publications on prevalence may imply that is not being coded as a potential cause for pneumonia deaths in AD.
Therapeutic role of memantine for the prevention of cognitive decline in cancer patients with brain metastasis receiving whole-brain radiotherapy: a narrative review
Authors: Folloso Melmar Cerilo , Torres Mazelle , Ciocon Stephen Lowell , Ong Jed Noel , Flores Jerickson Abbie , Catindig Joseree-Ann
Published: May 2022

ABSTRACT. Brain metastases are the most common central nervous system tumors. The mainstay treatment for this tumor in low to middle income countries is whole brain radiation therapy. Irreversible cognitive decline is associated with the use of whole brain radiotherapy. Several pharmacologic and nonpharmacologic options have been employed in studies focusing on the prevention of cognitive decline following whole-brain radiation therapy. Memantine use has been shown to provide some benefit in reducing the rate of decline in cognitive function and time to cognitive failure. The objective of this review article is to provide a summary on available primary literature on the therapeutic role of memantine for the prevention of cognitive decline in cancer patients with brain metastasis receiving whole brain radiotherapy.
Can the choice reaction time be modified after COVID-19 diagnosis? A prospective cohort study
Authors: Luvizutto Gustavo José , Sisconetto Angélica Taciana , Appelt Pablo Andrei , Sucupira Kelly Savana Minaré Baldo , Moura Neto Eduardo de , Souza Luciane Aparecida Pascucci Sande de
Published: May 2022

ABSTRACT Assessment of cognitive processing speed through choice reaction time (CRT) can be an objective tool to assess cognitive functions after COVID-19 infection. Objective: This study aimed to assess CRT in individuals after acute COVID-19 infection over 1 year. Methods: We prospectively analyzed 30 individuals (male: 9, female: 21) with mild-moderate functional status after COVID-19 and 30 individuals (male: 8, female: 22) without COVID-19. Cognitive and neuropsychiatric symptoms were evaluated using the Montreal Cognitive Assessment (MoCA) and Hospital Anxiety and Depression Scale (HADS), respectively. CRT (milliseconds) was evaluated by finding the difference between the photodiode signal and the electromyographic (EMG) onset latency of anterior deltoid, brachial biceps, and triceps during the task of reaching a luminous target. CRT was evaluated three times over 1 year after COVID-19: baseline assessment (>4 weeks of COVID-19 diagnosis), between 3 and 6 months, and between 6 and 12 months. Results: The multiple comparison analysis shows CRT reduction of the anterior deltoid in the COVID-19 group at 3-6 (p=0.001) and 6-12 months (p<0.001) compared to the control group. We also observed CRT reduction of the triceps at 6-12 months (p=0.002) and brachial biceps at 0-3 (p<0.001), 3-6 (p<0.001), and 6-12 months (p<0.001) in the COVID-19 compared to the control group. Moderate correlations were observed between MoCA and CRT of the anterior deltoid (r=-0.63; p=0.002) and brachial biceps (r=-0.67; p=0.001) at 6–12 months in the COVID-19 group. Conclusions: There was a reduction in CRT after acute COVID-19 over 1 year. A negative correlation was also observed between MoCA and CRT only from 6 to 12 months after COVID-19 infection.
Reorganization of nursing work in an intensive care unit during the COVID-19 pandemic
Authors: Lazzari Daniele Delacanal , Galetto Sabrina Guterres da Silva , Perin Daniele Cristina , Santos Jose Luis Guedes dos , Becker Alex , Acosta Carina Martins
Published: May 2022

ABSTRACT Objective: To describe the reorganization of nursing work in an intensive care unit of a public hospital due to the COVID-19 pandemic. Method: Report of the experience from February to April 2020, about the reorganization of a unit. Results: The description of the experience was divided into four moments: Definition of the cohort isolation; Reorganization of the intensive care units as General and Respiratory; Health care teams and work shifts; and Wearing and removing protective clothing by the teams. Conclusion: The COVID -19 pandemic brought numerous challenges to the management of intensive care units. The socialization of management experiences can contribute to the definition of new strategies, including in the post-pandemic period.
Reorganização do trabalho da enfermagem em uma unidade de terapia intensiva durante a pandemia de Covid-19
Authors: Lazzari Daniele Delacanal , Galetto Sabrina Guterres da Silva , Perin Daniele Cristina , Santos Jose Luis Guedes dos , Becker Alex , Acosta Carina Martins
Published: May 2022

RESUMO Objetivo: Descrever a reorganização do trabalho da enfermagem de uma unidade de terapia intensiva de um hospital público em função da pandemia de Covid-19. Método: Relato da experiência vivenciada no período de fevereiro a abril de 2020, acerca da reorganização de uma unidade. Resultados: A descrição da experiência está dividida em quatro momentos: Definição do isolamento por coorte, Reorganização das unidades de terapia intensiva em Geral e Respiratória, Equipes assistenciais e escalas de serviço e Paramentação e desparamentação das equipes. Conclusão: A pandemia de Covid-19 trouxe inúmeros desafios para a gestão das unidades de terapia intensiva. Socializar as experiências de gestão pode contribuir para a definição de novas estratégias, inclusive no período pós-pandemia.
Fatores relacionados à qualidade de vida de mães de crianças com Síndrome Congênita do Zika Virus
Authors: Ortoni Gabriela Eiras , Rocha Andréa Souza , Veríssimo Thereza Cristina Rodrigues Abdalla , Moreira Mônica Izabella Chagas , Ribeiro Maysa Ferreira Martins , Prudente Cejane Oliveira Martins
Published: May 2022

RESUMO Objetivo: Relacionar aspectos sociodemográficos e clínicos com a qualidade de vida de mães de crianças com Síndrome Congênita do Zika Vírus. Método: Estudo transversal analítico, realizado em um centro de reabilitação de Goiânia, região central do Brasil. Foram utilizados um questionário de perfil sociodemográfico e clínico e o World Health Organization Quality of Life. A análise dos dados foi realizada por meio dos testes Mann-Whitney; Kruskal-Wallis, seguido do Post hoc de Dunnett e correlação de Spearman. Resultados: A amostra foi constituída de 30 mães de crianças com Síndrome Congênita do Zika Vírus, com média de idade de 30,57 ± 6,67 anos. As mães que tinham companheiro, atividade de lazer, que utilizavam carro como meio de transporte e que tinham filho com a síndrome congênita com microcefalia, tiveram melhor qualidade de vida (p<0,05). Conclusão: A qualidade de vida dessas mães teve relação com aspectos sociodemográficos e clínicos, o que sugere necessidade de mais políticas públicas específicas para esta população.
Elaboration and validation of a protocol for the care of patients with COVID-19 in hemodialysis centers
Authors: Knebel Graziela , Breitsameter Guilherme , Proença Maria Conceição da Costa , Breitsameter Renata de Mello Magdalena , Figueiredo Carolina Rossi de , Echer Isabel Cristina
Published: May 2022

ABSTRACT Objective: To describe the elaboration and validation of a protocol for the care of suspected patients with Coronavirus Disease-19 (COVID-19) undergoing hemodialysis. Method: A methodological study conducted from March to August 2020 at a hospital in southern Brazil. The study involved situational diagnosis, literature review, protocol elaboration and content validation (scope, clarity and relevance). Ten professionals from the multidisciplinary team with experience in caring for patients with kidney disease and an official Nursing supervisory body participated in the validation. 100% consensus was reached among the experts. Results: The following were elaborated: “Flow of patient care consisting of six stages” and “Management plan for dialysis centers”. The validation allowed improving and refining the content, complying with the precepts of health standards, safety and clinical guidelines. Final considerations: The elaboration and validation of the protocol can standardize and guide the clinical practice, promoting continuity and safety in care, and can be used in other centers.
Elaboração e validação de protocolo para atendimento de pacientes com COVID-19 em centros de hemodiálise
Authors: Knebel Graziela , Breitsameter Guilherme , Proença Maria Conceição da Costa , Breitsameter Renata de Mello Magdalena , Figueiredo Carolina Rossi de , Echer Isabel Cristina
Published: May 2022

RESUMO Objetivo: Descrever a elaboração e validação de um protocolo para atendimento de pacientes suspeitos ou com Coronavirus Disease-19 (COVID-19) em hemodiálise. Método: Estudo metodológico conduzido de março a agosto/2020 em hospital do sul do Brasil. O estudo envolveu diagnóstico situacional, revisão da literatura, elaboração do protocolo e validação de conteúdo (abrangência, clareza e pertinência). Participaram da validação dez profissionais da equipe multidisciplinar com experiência no atendimento de pacientes com doença renal e um órgão oficial fiscalizatório de enfermagem. Obteve-se 100% de consenso entre os especialistas. Resultados: Foram elaborados: “Fluxo de atendimento para pacientes constituído de seis “etapas” e “Plano gerencial para centros de diálise”. A validação permitiu aprimorar e refinar o conteúdo atendendo preceitos de normas sanitárias, segurança e diretrizes clínicas. Considerações finais: A elaboração e validação do protocolo podem padronizar e nortear a prática clínica, promovendo a continuidade e a segurança no cuidado, podendo ser utilizado em outros centros.
Complex care for children with chronic diseases from the perspective of care management
Authors: Collet Neusa , Silva Bruna Gabrielle de Araújo , Vieira Vanessa Lopes Dativo , Fernandes Leiliane Teixeira Bento , Batista Annanda Fernandes de Moura Bezerra , Vaz Elenice Maria Cecchetti
Published: May 2022

ABSTRACT Objective: To analyze the actions developed in hospitals for children with chronic diseases from the perspective of care management. Method: Qualitative research, conducted with 14 health professionals from pediatric units in two northeastern hospitals, between November 2018 and March 2019, through semi-structured interviews. The empirical material was interpreted by thematic inductive analysis considering the care management construct. Results: The actions of the multi-professional team are fragmented, making it challenging to prepare and involve the family in care and not always responding to the child's unique and complex demands. The insufficient number of professionals, lack of material resources and inadequate infrastructure of hospital services reflect in the care practice, generating work overload and inadequate actions. Final Considerations: Care management is an indispensable tool in coping with chronic childhood illnesses. The actions carried out by the multi-professional teams in hospitals must develop support to expand the care.
Atenção terciária à criança com doença crônica na perspectiva da gestão do cuidado
Authors: Collet Neusa , Silva Bruna Gabrielle de Araújo , Vieira Vanessa Lopes Dativo , Fernandes Leiliane Teixeira Bento , Batista Annanda Fernandes de Moura Bezerra , Vaz Elenice Maria Cecchetti
Published: May 2022

RESUMO Objetivo: Analisar as ações desenvolvidas na atenção terciária à criança com doença crônica na perspetiva da gestão do cuidado. Método: Pesquisa qualitativa realizada com 14 profissionais da saúde de unidades pediátricas de dois hospitais nordestinos, entre novembro de 2018 e março de 2019, por meio de entrevista semiestruturada. O material empírico foi interpretado por análise temática indutiva à luz da gestão do cuidado. Resultados: As ações das equipes multiprofissionais apresentam-se fragmentadas, dificultando o preparo e o envolvimento da família no cuidado e nem sempre respondendo às demandas singulares e complexas da criança. O número insuficiente de profissionais, falta de insumos e infraestruturas inadequadas dos serviços hospitalares refletem na prática assistencial gerando sobrecarga de trabalho e ações desarticuladas. Considerações finais: A gestão do cuidado contribui para a reestruturação dos processos de trabalho no hospital para que as ações da equipe atendam às demandas singulares e complexas dessa população.
Theoretical model of sexual and reproductive health care: subsidies for evaluative research
Authors: Paiva Carla Cardi Nepomuceno , Caetano Rosângela
Published: May 2022

ABSTRACT Objective: To elaborate a Theoretical Model of Sexual and Reproductive Health care offered in Primary Health Care. Method: Documentary research, with a qualitative approach. Government documents and evaluative studies constituted the data sources, collected between August 2018 and June 2019, and analyzed based on the health evaluation literature. Results: Promotion of Sexual and Reproductive Health and Clinical Care were two structural components of the theoretical model of sexual and reproductive health care in Primary Care. The model includes disease prevention activities, health promotion, treatments, and diagnoses related to sexual and reproductive health. Conclusion: The theoretical model developed in this study presents the theory that supports the operationalization of sexual and reproductive health care in primary care according to government regulations in Brazilian scenario and may be useful in future evaluative research on the subject.
Modelo teórico da atenção à saúde sexual e reprodutiva: subsídios para pesquisas avaliativas
Authors: Paiva Carla Cardi Nepomuceno , Caetano Rosângela
Published: May 2022

RESUMO Objetivo: Construir um Modelo Teórico da atenção à saúde sexual e reprodutiva ofertada na Atenção Primária à Saúde. Métodos: Pesquisa documental, com abordagem qualitativa. Documentos governamentais e estudos avaliativos constituíram as fontes de dados, coletadas entre agosto de 2018 e junho de 2019 e analisadas com base na literatura de avaliação em saúde. Resultados: A Promoção da Saúde Sexual e Reprodutiva e a Assistência Clínica foram os dois componentes estruturantes do modelo teórico da atenção à saúde sexual e reprodutiva na Atenção Primária. O modelo contempla atividades de prevenção de doenças, promoção da saúde, tratamentos e diagnósticos relacionados à saúde sexual e reprodutiva. Conclusão: O modelo teórico elaborado apresenta a teoria que subsidia a operacionalização da atenção à saúde sexual e reprodutiva na atenção primária, segundo as normativas governamentais no cenário brasileiro, e poderá ser útil em pesquisas avaliativas futuras sobre o tema.
Factors associated with post-abortion contraceptive discontinuation
Authors: Borges Ana Luiza Vilela , Ale Carolina Cavalcante da Silva , Chofakian Christiane Borges do Nascimento , Viana Osmara Alves , Divino Eveline do Amor , Fujimori Elizabeth
Published: May 2022

ABSTRACT Objectives: To assess factors associated with post-abortion contraceptive discontinuation. Method: This cross-sectional study addressed 111 women aged 18-49 attending Primary Health Care Facilities in São Paulo/SP, Aracaju/SE, and Cuiabá/MT, Brazil, who reported an abortion five years before the interview held in 2015-2017. Kaplan-Meier estimates and Cox Regression were used for data analysis. Results: Oral hormonal contraceptives, male condoms, and injectable contraceptives were the methods most frequently used. The contraceptive discontinuation rate was 41.8% in the 12 months after the abortion. The pill was the method most frequently abandoned (58.3%); male condoms were the method that failed the most (72.7%), and injectable contraceptives were the method most frequently switched (50.0%). Being up to 24 years old, having ten or more years of education, having three or more children, and a desire to wait longer before becoming pregnant again were associated with post-abortion contraceptive discontinuation. Conclusion: Short-acting contraceptive methods were predominant among post-abortion women. The type of discontinuation varied according to the type of method used. The factors associated with contraceptive discontinuation were age, education, parity, and reproductive intention.
Fatores associados à descontinuidade no uso de métodos contraceptivos após a vivência de um abortamento
Authors: Borges Ana Luiza Vilela , Ale Carolina Cavalcante da Silva , Chofakian Christiane Borges do Nascimento , Viana Osmara Alves , Divino Eveline do Amor , Fujimori Elizabeth
Published: May 2022

RESUMO Objetivos: Analisar os fatores associados à descontinuidade no uso de método contraceptivos após a vivência de um abortamento. Método: Estudo transversal, conduzido com 111 mulheres de 18-49 anos, usuárias de Unidades Básicas de Saúde de São Paulo/SP, Aracaju/SE e Cuiabá/MT, que relataram abortamento nos cinco anos anteriores às entrevistas realizadas entre 2015-2017. Utilizou-se Kaplan-Meier e regressão de Cox para análise dos dados. Resultados: Os métodos mais utilizados foram o contraceptivo hormonal oral, preservativo masculino e injetáveis. A taxa de descontinuidade contraceptiva foi 41,8% nos 12 meses. A pílula foi o método mais abandonado (58,3%); o preservativo masculino aquele que mais falhou (72,7%); e injetáveis os mais trocados (50,0%). Ter até 24 anos de idade, mais de 10 anos de escolaridade, três ou mais filhos e querer esperar mais para engravidar associaram-se a descontinuar o uso dos métodos contraceptivos após o abortamento. Conclusão: Após o abortamento, as mulheres usaram predominantemente métodos contraceptivos de curta duração. O tipo de descontinuidade, abandono, troca ou falha, variou conforme o método usado. Os fatores associados à descontinuidade contraceptiva foram a idade, a escolaridade, a paridade e a intenção reprodutiva.
Discourses on technologies in home care: contributions between innovating, inventing, and investing
Authors: Silva Kênia Lara da , Braga Patrícia Pinto , Silva Alexandre Ernesto , Lopes Lucas Frederico Luiz , Souza Thiago de Medeiros
Published: May 2022

ABSTRACT Objective: To analyze the discourses of health professionals about technologies in home care. Method: Qualitative research conducted in four public home care services in Minas Gerais. Data obtained from interviews with 52 professionals submitted to Critical Discourse Analysis. Results: The results indicate the functional and economic-financial discourse about the technologies. The economic discourse is dominant and reveals the contradiction between investing in high-cost equipment and the insufficiency of basic inputs for care. There is a tendency to reproduce hospital-centered logic with high technological density. The inventiveness and a process of adaptation at home are evidenced. Conclusion: The discourses of health professionals indicate that the circumstances of home care are determinants of the adaptations and improvisations that occur in this context and are due to the contradictions between innovating, inventing, and investing in technologies in home care.
Parents’ satisfaction with care in pediatric intensive care units
Authors: Cintra Cintia de Cassia , Garcia Pedro Celiny Ramos , Brandi Simone , Crestani Francielly , Lessa Alessandra Rodrigues Dias , Cunha Mariana Lucas da Rocha
Published: May 2022

ABSTRACT Objective: To verify the parents’ satisfaction in relation to the care provided to their child admitted to the pediatric intensive care unit and associated clinical factors. Method: Exploratory, cross-sectional study, with a total of 84 parents, in a private hospital in Sao Paulo, Brazil. Data collection took place from March 2019 to January 2020, in the post-discharge period. Data were analyzed using descriptive statistics and Spearman’s Correlation Coefficient. Results: Mean satisfaction was high (5.75) (SD=0.35). There was no correlation between parents’ satisfaction and length of hospital stay, severity and illness. Conclusion: Parents showed high levels of satisfaction with the care received in pediatric intensive care, regardless of disease classification, length of hospital stay or severity. Greater satisfaction was observed in the domains of professional attitude, care and cure, information and parents’ participation.
Satisfação dos pais em relação ao cuidado em unidade de terapia intensiva pediátrica
Authors: Cintra Cintia de Cassia , Garcia Pedro Celiny Ramos , Brandi Simone , Crestani Francielly , Lessa Alessandra Rodrigues Dias , Cunha Mariana Lucas da Rocha
Published: May 2022

RESUMO Objetivo: Verificar a satisfação dos pais em relação ao cuidado prestado ao filho internado na unidade de terapia intensiva pediátrica e fatores clínicos associados. Método: Pesquisa exploratória, transversal, com 84 pais, em hospital privado de São Paulo, Brasil. A coleta de dados ocorreu de março de 2019 a janeiro de 2020, no pós-alta. Os dados foram analisados por estatística descritiva e Coeficiente de Correlação de Spearman. Resultados: A média de satisfação foi alta (5,75) (DP=0,35). Não houve correlação da satisfação dos pais com tempo de internação, gravidade e doença. Conclusão: Os pais apresentaram altos níveis de satisfação com o cuidado recebido na terapia intensiva pediátrica, independentemente da classificação da doença, tempo de internação ou gravidade. Observou-se maior satisfação nos domínios atitude profissional, cuidado e cura, informação e participação dos pais.
Responsible hospital discharge: content validation of nurse’s activities
Authors: Zanetoni Tatiane Cristina , Cucolo Danielle Fabiana , Perroca Marcia Galan
Published: May 2022

ABSTRACT Objective: To develop and validate a list of activities to be performed by the nurse at the responsible hospital discharge. Method: Content validation study. The 14 generated items were organized on a Likert scale and submitted to judges’ appreciation, using the Delphi Technique. Relevance, explicitness in the statements and the sequential order of execution were evaluated. The consensus for the answers was pre-established at 0.80 and the content validity index was calculated. Results: Eight professionals participated in the validation of the created list. In Delphi 1, the content validity index ranged from 0.7 (post-discharge contact and home visit scheduling) to 1.0 and in Delphi 2, a range from 0.60 (post-discharge telephone contact) to 1.0. Conclusion: 13 of the 14 proposed activities were validated. The created list of activities can contribute to the safe discharge process, the continuity and comprehensiveness of care and, also, to the reduction of readmissions.
Nurses’ conceptions regarding patient safety during surgical positioning
Authors: Trevilato Denilse Damasceno , Costa Márcia Rosa da , Magalhães Ana Maria Müller de , Caregnato Rita Catalina Aquino
Published: May 2022

ABSTRACT Objective: To know the conceptions regarding patient safety during their surgical positioning from the perspective of nurses in a Surgical Center. Method: Qualitative descriptive exploratory study, with seven nurses from private hospital in southern Brazil in August 2018. Data generation using the Focus Group technique, with content analysis by Bardin. Results: From the data analysis, six categories emerged: “patient safety”, “surgical patient risks”, “nurses in the operating room”, “training”, “involvement of the interprofessional” team and application of the risk assessment scale. The development of injuries resulting from positioning was identified as the greatest risk for the surgical patient, highlighting the presence of the nurse in the operating room as essential for the prevention of this risk, through patient assessment and staff training. Final considerations: Nurses identified risk to patient safety in relation to surgical positioning and considered they presence in the operating room to be indispensable.
Concepções das enfermeiras em relação a segurança do paciente durante o posicionamento cirúrgico
Authors: Trevilato Denilse Damasceno , Costa Márcia Rosa da , Magalhães Ana Maria Müller de , Caregnato Rita Catalina Aquino
Published: May 2022

RESUMO Objetivo: Conhecer as concepções em relação à segurança do paciente durante seu posicionamento cirúrgico sob a ótica das enfermeiras de um Centro Cirúrgico. Método: Estudo exploratório descritivo qualitativo, com sete enfermeiras de hospital privado da região sul do Brasil, no mês de agosto de 2018. Geração de dados pela técnica de Grupo Focal, com análise de conteúdo de Bardin. Resultados: Da análise dos dados emergiram seis categorias: “segurança do paciente”, “riscos do paciente cirúrgico”, “enfermeiro em sala cirúrgica”, “capacitação”, “envolvimento da equipe interprofissional” e “implementação da escala de avaliação de risco”. Identificou-se como maior risco o desenvolvimento de lesões decorrentes do posicionamento, sendo a presença do enfermeiro em sala cirúrgica destacada como fundamental para prevenção deste risco, através da avaliação do paciente e capacitação da equipe. Considerações finais: As enfermeiras identificaram riscos à segurança do paciente em relação ao posicionamento cirúrgico, considerando indispensável a presença dos mesmos em sala cirúrgica.