bluuebunny/crossref_metadata_2025 huggingface dataset:
Healthcare-associated infections in a newly opened pediatric intensive care unit in Turkey: Results of four-year surveillance
Authors: Atici Serkan , Soysal Ahmet , Kadayifci Eda Kepenekli , Karaaslan Ayşe , Akkoç Gülşen , Yakut Nurhayat , Demir Sevliya Öcal , Girgin Feyza İnceköy , Çulha Gülcan , Altınkanat Gülşen , Öztürk Nilüfer , Söyletir Güner , Bakır Mustafa
Published: March 2016

Introduction: Healthcare-associated infections (HAIs) are important causes of morbidity and mortality, especially in critically ill patients in intensive care units. The aim of this study was to assess the rate and distribution of HAIs, pathogens, and antimicrobial susceptibility patterns in a newly opened pediatric intensive care unit (PICU). Methodology: The infection control team detected and recorded HAI cases according to the Centers for Disease Control and Prevention’s criteria in the PICU of Marmara University Pendik Training and Research Hospital over a four-year period following its opening. Laboratory-based HAIs surveillance was performed prospectively from 1 January 2011 to 30 November 2014. Results: During the study period, 1,007 patients hospitalized in the PICU and 224 HAIs were identified. The overall HAI rate was 22.24%, and the incidence density was 20.71 per 1,000 patient-days. The most commonly observed HAIs were bloodstream infection (35.7%), pneumonia (21.4%), and urinary tract infection (20.5%), and the three most common HAI pathogens were Klebsiella spp. (19.4%), Pseudomonas aeruginosa (13.8%), and Acinetobacter baumanii (12%). Methicillin resistance was detected in 78% of coagulase-negative Staphylococcus. Presence of extended-spectrum beta-lactamases was determined in 45% and 54% of Klebsiella spp. strains and Escherichia coli isolates, respectively. Conclusions: Our rate of HAIs is higher than the mean rates reported in PICU studies from developed countries. Active surveillance studies of HAIs is an essential component of infection control, which may contribute to improving preventive strategies in developing countries.
TAM dans trois langues d’Indonésie : diathèse ou marqueurs préverbaux
Authors: Grangé Philippe
Published: March 2016

Résumé Cet article examine l’expression du temps, de l’aspect et du mode (TAM) dans trois langues malayo-polynésiennes parlées en Indonésie, l’essentiel de l’étude portant sur l’indonésien, langue nationale de ce pays. Le TAM en indonésien repose presque exclusivement sur des morphèmes libres : une quinzaine de marqueurs préverbaux. En bajo et en lamaholot, autres langues malayo-polynésiennes parmi les centaines qui sont parlées en Indonésie, on découvre un système aspectuel hybride recourant à des flexions verbales et à des marqueurs préverbaux. Pour ces trois langues, la plupart des flexions indiquant l’aspect relèvent de la diathèse. L’indonésien est frappant par l’intrication de l’aspect et du mode dans la plupart de ses marqueurs préverbaux, ce qui n’est pas sans rappeler la polysémie d’adverbes français comme encore et déjà . Le système des marqueurs d’aspect indonésiens est également modulaire, parce que ces morphèmes peuvent composer de nombreuses combinaisons, suivant des règles précises. L’éventail de nuances aspectuelles à la disposition des locuteurs d’indonésien s’avère donc aussi large que dans les langues où les flexions verbales de TAM sont obligatoires, comme le français.
Complementing Education via Virtual Labs: Implementation and Deployment of Remote Laboratories and Usage Analysis in South Indian Villages
Authors: Diwakar Shyam , Kumar Dhanush , Radhamani Rakhi , Sasidharakurup Hemalatha , Nizar Nijin , Achuthan Krishnashree , Nedungadi Prema , Raman Raghu , Nair Bipin
Published: March 2016

ICT-enabled virtual and remote labs have become a platform augmenting user engagement in blended education scenarios enhancing University education in rural India. A novel trend is the use of remote laboratories as learning and teaching tools in classrooms and elsewhere. This paper reports case studies based on our deployment of 20 web-based virtual labs with more than 170+ online experiments in Biotechnology and Biomedical engineering discipline with content for undergraduate and postgraduate education. Via hands-on workshops and direct feedback using questionnaires, we studied the role of remote lab experiments as learning and teaching tools. Although less reliable than direct feedback, we also included online feedback to perceive blended and remote learning styles among various users. Student and teacher user groups suggested significant usage adaptability of experimental process and indicated usage of remote labs as supplementary tools for complementing laboratory education. Usage analysis implicated the role of online labs as interactive textbooks augmenting student interaction and positive correlates to learning.
Global Consumer Behaviour in Luxury Goods Markets
Authors: Li Yuping
Published: March 2016

In this chapter, the author presents an overview on global consumer behaviour in luxury goods markets. The discussion is based on the classic theories of consumer decision-making process and the important factors affecting the decision-making process. As global consumer behaviour in luxury goods markets is greatly affected by cultural differences, Hofstede's cultural dimensions theory is used to explain the various consumption behaviours displayed by consumers from different parts of the world. Past research findings are summarised, examples of consumer behaviours and appropriate marketing strategies implemented by luxury brands are also presented to assist readers for a better understanding of the topic.
Conceptualizing and Measuring Content Marketing in Luxury Firms
Authors: Rancati Elisa , Gordini Niccolo , Capatina Alexandru
Published: March 2016

Luxury marketing has gone through some major changes over the past couple of decades. The power is moving away from luxury firms to luxury consumers, who are playing a more significant role than ever before. These challenges in global markets have sparked a growing interest by practitioners and academics in the content marketing and in the metrics to measure its impact on luxury firm performance. However, the literature is still fragmented. Trying to fill this gap, this chapter has two main objectives. Firstly, it reviews the existing literature on content marketing and the main metrics used. Secondly, it analyses the degree of use and effectiveness of content marketing strategies, tools and metrics on a sample of 218 luxury firms. The results of the study revealed that content marketing is seen by luxury firms as marketing communications strategy that provides valuable and helpful information to a clearly defined target audience with the aim to increase sales.
Old and New Distribution Channels in the Luxury Sector
Authors: Mosca Fabrizio , Giacosa Elisa
Published: March 2016

The focus of this chapter is to provide scientific evidence to luxury businesses for competing in a competitive global market, providing for further research opportunities of old and new distribution channels. Thanks to a qualitative method, it emerged that distribution strategies implemented by firms operating in luxury markets are typical and specific with respect to firms in other markets and represent a source of competitive advantage. Four phenomena have characterized distribution in this area in recent years: a growing investment by luxury brands in direct distribution activities; the integration between distribution and communication activities; the development of the digital channel in luxury markets; and lastly, the growing integration between User Generated Content and distribution channels. As the distribution variable influences the constitution of brand identity, old and new distribution channels have to be differently articulated according to the exclusivity of the brand.
Building Teaching Presence in Online Classes
Authors: Dreon Oliver
Published: March 2016

In their framework outlining educational experiences for online students, Garrison, Anderson, and Archer (2000) identify and explain the critical elements of a Community of Inquiry that support instruction and learning. The elements include: cognitive presence, social presence, and teaching presence. While an online educational experience is impacted by the interplay of all three presences, new online teachers may struggle with developing a teaching presence since their own educational experiences as students may be very different from the ones they encounter as online instructors (Lortie, 1975). In this book chapter, the importance of teaching presence will be discussed. Strategies for developing online teacher presence will be examined and technologies for fostering teacher presence will be outlined. The chapter concludes with broad design principles that apply to the construction of online learning environments that foster a strong teacher presence.
Simple Partial Status Epilepticus Manifested as Homonymous Hemianopsia: A Rare Intracranial Recording
Authors: Siatouni Anna , Gatzonis Stylianos , Alexopoulos Andreas , Georgakoulias Nikos , Papathanassiou Mathildi , Korfias Stefanos , Zisimopoulou Vaso , Sakas Damianos
Published: March 2016

A 30-year-old woman with intractable seizures evaluated as surgical candidate. During presurgical evaluation an invasive electroencephalogram was recommended to define the location and extent of epileptogenic zone and relationship to epileptogenic lesion. On third monitoring night the patient complained of persistent homonymous hemianopsia following a habitual seizure. Concurrently, persistent epileptic activity was evident in a small, restricted area around the right calcarine fissure. The ictal discharges persisted for the next 30 h despite high-dose administration of intravenous antiepileptic drugs, until patient was taken to operating room. Simple partial status epilepticus presenting with pure visual symptoms is rare and difficult to diagnose, even more so when presenting with negative visual phenomena. Epileptic etiology of unexplained, paroxysmal negative visual symptoms should be considered in the differential diagnosis in patients with pre-existing epilepsy, as well as patients with no prior history of epilepsy.
Неравенство для следа на унитальной $C^*$-алгебре
Authors: Bikchentaev Airat Midkhatovich
Published: March 2016

Установлено новое неравенство для следа на унитальной $C^*$-алгебре.
Показано, что полученное неравенство характеризует следы в классе
всех положительных функционалов на унитальной $C^*$-алгебре.
Доказан новый критерий коммутативности унитальных $C^*$-алгебр.
Библиография: 14 названий.
Геометрические и операторные меры вырожденности множества решений матричной проблемы моментов Стилтьеса
Authors: Dyukarev Yury Mikhailovich
Published: March 2016

Геометрической мерой вырожденности множества решений матричной проблемы
моментов Стилтьеса являются ранги предельных интервалов Вейля.
В этой статье впервые введена операторная мера вырожденности множества решений матричной проблемы моментов Стилтьеса
в терминах дефектных векторов пары ассоциированных положительных симметрических операторов. Установлена связь между геометрической
и операторной мерами вырожденности матричной проблемы моментов Стилтьеса.
Из этого результата получены некоторые следствия для матричной проблемы моментов Стилтьеса.
Библиография: 19 названий.
ESTIMATIVAS DE PARÁMETROS GENÉTICOS PARA LA SELECCIÓN DE CLONES DE EUCALYPTUS EN LA REGIÓN DE BOTUCATU, SP
Authors: Moraes Cristiano Bueno de , Honório Ana Beatriz Marques , Leal Suzanny Héllen Viana , Carvalho Edmar Vinícius de , Tambarussi Evandro Vagner , Abílio Fernanda Maria , Palamino Edwin Camacho , Zimback Léo , Mori Edson Seizo
Published: March 2016

Este trabajo trata del estudio de estimativas de parámetros genéticos cuantitativos en un ensayo clonal para la selección precoz de clones superiores de eucalipto e posterior plantío comercial. De esta forma, el objetivo de este estudio fue estimar la variabilidad genética y determinar las correlaciones genéticas entre edades de selección en un ensayo clonal en el municipio de Botucatu, SP. El experimento fue instalado en un diseño de bloques completos al azar, siendo 23 clones (21 tratamientos y 2 testigos), repetidas 4 veces. Las parcelas fueron formadas por 25 plantas con distanciamiento de 3,0 x 2,0 m. Las características silviculturales como altura de planta, diámetro a la altura del pecho – DAP y volumen de madera fueron evaluadas a los 24, 36, 48 e 60 meses después del plantío. El análisis de los parámetros genéticos fue realizado con el programa estadístico GENES. Diferencias significativas fueron observadas para todos los caracteres en el análisis. Correlaciones altas y significativas fueron observadas entre los caracteres, indicando que la selección precoz puede proporcionar ganancias genéticas de hasta 34%. Los clones 18, 20 e 22 presentaron las mayores estimativas para volumen de madeira, demostrando potencial para ser aprovechado en los programas de mejoramiento genético y en plantíos comerciales, proporcionando buenos niveles de productividad para la región de Botucatu, SP.
VOLUME DE MADEIRA DE Pinus taeda L. EM DIFERENTES ESPAÇOS VITAIS DE CRESCIMENTO
Authors: Lima Rodrigo , Machado Sebastião do Amaral , Figueiredo Filho Afonso , Inoue Mario Takao , Pacheco João Maurício
Published: March 2016

Pinus taeda L. é uma das espécies do gênero Pinus mais plantadas na região Sul do Brasil por apresentar excelente crescimento e ótima adaptação às condições climáticas e de solo. Essa espécie é utilizada em larga escala, principalmente para a produção de celulose, construção civil, laminação, produção de móveis, particulados e serraria. Objetivou-se avaliar a produção volumétrica de Pinus taeda L. em diferentes espaços vitais de crescimento (entre 1 m2 e 16 m2 por planta) propiciados por nove diferentes espaçamentos entre árvores de um ensaio em cinco blocos ao acaso. O trabalho baseou-se nas medidas de altura e DAP em 25 árvores internas da parcela, aos sete anos após plantio das mudas oriundas de pomar de sementes clonal. Valores estimados de volume por hectare foram inversamente proporcionais ao aumento do espaço vital, alcançando entre 74,2 e 274,8 m3 /ha. Os incrementos médios em volume atingiram entre 10,60 e 39,25 m3 /ha/ano. Concluiu-se que, se o objetivo é a produção volumétrica mesmo com diâmetros pequenos, deve-se optar por espaços vitais menores. Quando se deseja maiores diâmetros, a opção é por espaços maiores. No presente caso, o melhor compromisso entre produção volumétrica e diâmetros grandes pode estar nos espaços vitais intermediários, entre 5 e 8 m2 para cada árvore.
Paul’s ‘Spirit of Adoption’ in its Roman Imperial Context
Authors: Lewis Robert Brian
Published: March 2016

Robert Lewis examines Paul’s use of the phrase “Spirit of Adoption” in Romans 8:12-17 against the background of its Roman Imperial context in order to shed light on interpretation of Paul’s Letter to the Romans. Whereas other scholars have explored what Paul may have meant when he uses the term “adoption” Lewis instead explores the reasons behind Paul’s coupling of it with the term “spirit”.

Having examined theories for a possible Jewish antecedent for Paul’s use of this phrase, and found them less than persuasive, Lewis unlocks the data within the term’s Roman Imperial context that significantly clarifies what Paul means when he uses the phrase “Spirit of adoption”. Lewis shows that when Paul wrote his letter to the Romans, adoption had become a feature of Imperial succession. Roman religion gave a great deal of prominence to the Roman family spirit - the genius. The Emperor’s genius became identified as a deity in Roman religion and its veneration was widespread in Rome as well as the provinces. When Romans 8:12-17 is read against this background, a very different kind of exegetical picture emerges.
War and Peace in the Western Political Imagination
Authors: Manning Roger B.
Published: March 2016

The study of war in all periods of prehistory and recorded history has always commanded the attention of historians, dramatists, poets and artists. The study of peace has, however, not yet gained a comparable readership, and the subject is attracting an increasing amount of scholarly research.

This volume presents the first work of academic research to tackle this imbalance head on. It looks at war and peace through the ages, from the Classical world through to the eighteenth century. It considers the nature and advocacy of war and peace both from an historical perspective but also a philosophical one, particularly looking at how universal peace, which began as a personal philosophy, became over the centuries a political philosophy that underpins much of modern society’s attitudes towards warfare and militarism.

Roger Manning begins his journey through history by looking at the Greek martial ethos and philosophical concepts of peace and war in the ancient world; moving through the Roman empire’s military advances, he explores the concepts of war and peace in the medieval world and the Renaissance, with the writing of Machiavelli and Erasmus; finally, his account of the search for a science of peace in the seventeenth and eighteenth centuries brings the book to its conclusion.
Diurnal cycle and multi-decadal trend of formaldehyde in the remote atmosphere near 46° N
Authors: Franco Bruno , Marais Eloise A. , Bovy Benoît , Bader Whitney , Lejeune Bernard , Roland Ginette , Servais Christian , Mahieu Emmanuel
Published: March 2016

Abstract. Only very few long-term records of formaldehyde (HCHO) exist that are suitable for trend analysis. Furthermore, many uncertainties remain as to its diurnal cycle, representing a large short-term variability superimposed on seasonal and inter-annual variations that should be accounted for when comparing ground-based observations to, e.g., model results. In this study, we derive a multi-decadal time series (January 1988–June 2015) of HCHO total columns from ground-based high-resolution Fourier transform infrared (FTIR) solar spectra recorded at the high-altitude station of Jungfraujoch (Swiss Alps, 46.5° N, 8.0° E, 3580 m a. s. l. ), allowing for the characterization of the mid-latitudinal atmosphere for background conditions. First we investigate the HCHO diurnal variation, peaking around noontime and mainly driven by the intra-day insolation modulation and methane (CH4) oxidation. We also characterize quantitatively the diurnal cycles by adjusting a parametric model to the observations, which links the daytime to the HCHO columns according to the monthly intra-day regimes. It is then employed to scale all the individual FTIR measurements on a given daytime in order to remove the effect of the intra-day modulation for improving the trend determination and the comparison with HCHO columns simulated by the state-of-the-art GEOS-Chem v9-02 chemical transport model. Such a parametric model will be useful to scale the Jungfraujoch HCHO columns on satellite overpass times in the framework of future calibration/validation efforts of space-borne sensors. GEOS-Chem sensitivity tests suggest then that the seasonal and inter-annual HCHO column variations above Jungfraujoch are predominantly led by the atmospheric CH4 oxidation, with a maximum contribution of 25 % from the anthropogenic non-methane volatile organic compound precursors during wintertime. Finally, trend analysis of the so-scaled 27-year FTIR time series reveals a long-term evolution of the HCHO columns in the remote troposphere to be related to the atmospheric CH4 fluctuations and the short-term OH variability: +2.9 % year−1 between 1988 and 1995, −3.7 % year−1 over 1996–2002 and +0.8 % year−1 from 2003 onwards.
Terrigenous material supply to the Peruvian central continental shelf (Pisco, 14° S) during the last 1000 years: paleoclimatic implications
Authors: Briceño-Zuluaga Francisco Javier , Sifeddine Abdelfettah , Caquineau Sandrine , Cardich Jorge , Salvatteci Renato , Gutierrez Dimitri , Ortlieb Luc , Velazco Federico , Boucher Hugues , Machado Carine
Published: March 2016

Abstract. In the eastern Pacific, lithogenic input to the ocean responds to variations in the atmospheric and oceanic system and their teleconnections over different timescales. Atmospheric (e.g., wind fields), hydrological (e.g., fresh water plumes) and oceanic (e.g., currents) conditions determine the transport mode and the amount of lithogenic material transported from the continent to the continental shelf. Here, we present the grain size distribution of a composite record of two laminated sediment cores retrieved from the Peruvian continental shelf that record the last ∼ 1000 years at a sub-decadal to centennial time-series resolution. We propose novel grain size indicators of wind intensity and fluvial input that allow reconstructing the oceanic–atmospheric variability modulated by sub-decadal to centennial changes in climatic conditions. Four grain size modes were identified. Two are linked to aeolian inputs (M3: ∼ 54; M4: ∼ 91 µm on average), the third is interpreted as a marker of sediment discharge (M2: ∼ 10 µm on average), and the last is without an associated origin (M1: ∼ 3 µm). The coarsest components (M3 and M4) dominated during the Medieval Climate Anomaly (MCA) and the Current Warm Period (CWP) periods, suggesting that aeolian transport increased as a consequence of surface wind stress intensification. In contrast, M2 displays an opposite behavior, exhibiting an increase in fluvial terrigenous input during the Little Ice Age (LIA) in response to more humid conditions associated with El Niño-like conditions. Comparison with other South American paleoclimate records indicates that the observed changes are driven by interactions between meridional displacement of the Intertropical Convergence Zone (ITCZ), the South Pacific Subtropical High (SPSH) and Walker circulation at decadal and centennial timescales.
Volume and Direction of the Atlantic Slave Trade, 1650-1870: Estimates by Markov Chain Carlo Analysis
Authors: Manning Patrick , Zhang Yun , Yi Bowen
Published: March 2016

This article presents methods and results in the application of the Markov Chain Monte Carlo (MCMC) analysis to a problem in missing data. The data used here are from The Atlantic Slave Trade Database (TASTD), 2010 version, available online. Of the currently known 35,000 slaving voyages, original data on the size of the cargo of captives exist for some 25 percent of voyage embarkations in Africa and for about 50 percent of arrivals in the Americas. Previous efforts to estimate the missing data (and project the to- tal number of captives who made the transatlantic migration) have proceeded through eclectic projections of maximum likelihood estimates of captives per voyage, without error margins. This paper creates new estimates of total mi- grant flow through two methods: one is a formally frequentist set of multiple methods, and the other is through Markov Chain Monte Carlo methodology. Comparison of the three methods, all based on the same raw data, show that the results of the two new methods are fairly close to one another and they yield total flows of migrant captives of more than 20 percent higher than the previous estimates. Quantitative results, presented in simplified graphs and tables within the text and in detailed spreadsheets available online, provide a new estimate of the volume of African embarkations and American arrivals in the transatlantic slave trade for the period from 1650 to 1870, by decade, for eleven African regions of embarkation and seven American and European regions of arrival.
Instrumento instrucional do resultado NOC: conhecimento controle da doença cardíaca para portadores de insuficiência cardíaca
Authors: Alvarenga Samara Rodrigues de , Carneiro Camila de Souza , Santos Vinicius Batista , Moreira Rita Simone Lopes
Published: March 2016

A insuficiência cardíaca (IC) é uma doença que apresenta altos índices de re-hospitalizações, ocasionadas em algumas situações pelo conhecimento deficiente dos portadores quanto ao controle e autogestão desta doença. Esse trabalho teve como objetivo elaborar e validar o conteúdo de um instrumento instrucional de avaliação dos indicadores do resultado NOC Conhecimento da Doença Cardíaca para pacientes com insuficiência cardíaca. Foi realizado a validação de conteúdo pela análise de seis experts na área de Cardiologia, sendo avaliado a concordância dos mesmos pelo teste de Kappa. Obteve-se o nível de concordância Kappa superior a 98% em todos os critérios avaliados, portanto foi considerado o instrumento como validado no conteúdo. Este estudo é fundamental para a prática clínica dos enfermeiros, pois poderá nortear a avaliação do enfermeiro no conhecimento do paciente com IC.
Fatores que interferem no atributo longitudinalidade da atenção primária à saúde: revisão integrativa
Authors: Paula Cristiane Cardoso de , Silva Clarissa Bohrer da , Nazário Elisa Gomes , Ferreira Tamiris , Schimith Maria Denise , Padoin Stela Maris de Mello
Published: March 2016

Objetivou-se avaliar as evidências disponíveis na literatura acerca dos fatores que interferem no atributo longitudinalidade da Atenção Primária à Saúde. Trata-se de uma revisão integrativa, desenvolvida em maio de 2014, nas bases de dados eletrônicas: LILACS, PubMed e Scopus. Utilizaram-se os descritores "atenção primária à saúde" and “continuidade da assistência ao paciente”. Totalizaram 16 artigos analisados na íntegra. Os dados foram organizados segundo os aspectos da atenção do atributo longitudinalidade (estrutura e desempenho) e os fatores identificados foram divididos segundo a interferência no atributo (favorecendo ou desfavorecendo). As evidências oferecem subsídios para a composição de um panorama mundial dos fatores que interferem na prática do atributo longitudinalidade, reforçando a valorização das relações interpessoais e a minimização das lacunas na organização dos serviços de saúde. A prevalência de estudos descritivos sugere a necessidade de fortalecer a construção do conhecimento com estudos de maior nível de evidência.
Equipes e condições de trabalho nos serviços de atendimento pré-hospitalar móvel: revisão integrativa
Authors: Dal Pai Daiane , Lima Maria Alice Dias da Silva , Abreu Kelly Piacheski , Zucatti Paula Buchs , Lautert Liana
Published: March 2016

Estudo com objetivo de identificar, analisar e sintetizar os achados disponíveis na literatura sobre a composição das equipes e das condições de trabalho nos serviços de Atendimento Pré-Hospitalar (APH) móvel. Revisão integrativa com buscas na Base de Dados de Enfermagem (BDEnf), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), PubMed, SCOPUS, Web of Science e o portal de periódicos Scientific Eletronic Library Online (SciELO). Foram selecionados 18 artigos que atenderam aos critérios de inclusão. A composição das equipes dos serviços de APH é diversificada no cenário internacional, sendo retratado o acréscimo de responsabilidades assumidas por paramédicos, os benefícios da presença do enfermeiro e do médico especializado nas equipes, os quais são escassos em alguns países. As condições de trabalho revelam locais arriscados de atuação, demandas psicológicas intensas, sobrecarga de trabalho, insatisfação e recursos insuficientes na maioria dos serviços.
Registros de enfermagem acerca das ações educativas para pacientes submetidos à artroplastia de quadril
Authors: Silveira Laiana Lauser , Almeida Miriam de Abreu , Silva Marcos Barragan da , Nomura Aline Tsuma Gaedke
Published: March 2016

Estudo retrospectivo, descritivo, de abordagem quantitativa, cujo objetivo foi identificar os registros de enfermagem acerca das ações educativas realizadas para pacientes submetidos à artroplastia de quadril.  A investigação foi realizada em um hospital universitário do sul do Brasil, com uma amostra de 112 prontuários de pacientes internados. Os dados foram coletados por meio de um checklist, em junho de 2013, e analisados estatisticamente. O registro educativo esteve presente em 60 (53%) prontuários. Quanto ao conteúdo, foram prevalentes os cuidados pós-operatórios 36 (32%), mobilização 23 (20,5%) e saída do leito 21 (18,8%), encontrados em 56 (50%) do total de prontuários no documento Evolução de Enfermagem. Apesar de o registro de enfermagem apresentar aspectos relacionados à educação do paciente, melhores resultados poderiam ser obtidos com a operacionalização dessa intervenção, atrelada à educação permanente dos enfermeiros.
Avaliação da qualidade do atendimento ao paciente com síndrome coronariana aguda no serviço de emergência
Authors: Santos Felipe Gonçalves dos , Campanharo Cássia Regina Vancini , Lopes Maria Carolina Barbosa Teixeira , Okuno Meiry Fernanda Pinto , Batista Ruth Ester Assayag
Published: March 2016

Estudo com objetivo de avaliar indicadores de qualidade no atendimento aos pacientes com suspeita de síndrome coronariana aguda (SCA) e associá-los a alta, óbito e tempo de internação hospitalar. Pesquisa transversal, analítica de 84 prontuários de pacientes com suspeita de SCA no Serviço de Emergência. Foi estudada a associação entre os fatores de risco e indicadores de qualidade no atendimento à SCA com: tempo de internação, óbito, recorrência de eventos isquêmicos e revascularização do miocárdio por meio da correlação de Spearman. O tempo de internação foi significativamente menor para pacientes com infarto sem supradesnivelamento de ST que tiveram menor intervalo entre admissão e tratamento. Para pacientes com infarto com supradesnivelamento de ST, o tempo de internação foi significativamente menor quando o intervalo entre classificação de risco e tratamento foi menor. Não houve associação dos indicadores de qualidade com recorrência de eventos isquêmicos, revascularização do miocárdio, tempo de internação e óbito.
Avaliação das ações de detecção de casos de tuberculose na atenção primária
Authors: Cardozo-Gonzales Roxana Isabel , Palha Pedro Fredemir , Harter Jenifer , Alarcon Edith , Lima Lílian Moura de , Tomberg Jessica Oliveira
Published: March 2016

Objetivou-se avaliar as ações de detecção de casos de tuberculose nos serviços de atenção primária à saúde de um município do Sul do Brasil. Estudo exploratório, quantitativo, com 76 enfermeiros. Utilizou-se a análise de correspondência múltipla para identificar as associações entre ações para detecção de casos (busca de sintomáticos respiratórios, educação em saúde, discussões sobre tuberculose com lideranças comunitárias) e as características dos serviços (com ou sem estratégia de saúde da família), usando o software Statistica 12. As unidades com estratégia de saúde da família apresentaram melhor resultado para detecção de casos ao associarem-se com a realização regular das ações, enquanto as unidades em que não há equipes de saúde da família a realização da detecção associou-se à infrequência das ações. Conclui-se que existem diferenças entre ambos os serviços em relação ao desempenho das ações de detecção de casos.
Ocorrência de incidentes em um centro cirúrgico: estudo documental
Authors: Bezerra Willyara Rodrigues , Bezerra Ana Lúcia Queiroz , Paranaguá Thatianny Tanferri de Brito , Bernardes Milton Junio Cândido , Teixeira Cristiane Chagas
Published: March 2016

O objetivo do estudo foi estimar a prevalência dos incidentes ocorridos durante cirurgias em um centro cirúrgico e analisar os tipos e causas das ocorrências. Estudo transversal, retrospectivo, tendo como fonte de dados 300 prontuários de pacientes submetidos a procedimentos cirúrgicos no período de julho a dezembro de 2013, em um hospital de ensino da região Centro-Oeste do Brasil. Um total de 26 incidentes foi encontrado, estimando prevalência de 8,7%. Incidentes relacionados à suspensão de cirurgia, perfuração de luvas, acidentes com paciente por falhas técnicas no procedimento e falhas técnicas no gerenciamento do serviço foram atribuídos à distração da equipe, falha na prescrição, pouco conhecimento, sobrecarga de trabalho e falha de organização do serviço. O estudo evidenciou a característica sistêmica e multifatorial do incidente e levantou indicadores que indicam a necessidade de melhorias no processo de gestão de materiais e recursos humanos.
Experiences of being a former young carer: effects in the transition into adulthood and in the present life situation
Authors: Nagl-Cupal Martin , Metzing Sabine , Mayer Hanna
Published: March 2016

This qualitative study aims to describe the experiences of adults with caring responsibilities during their childhood. 16 semi-structured interviews with former young carers were conducted and analyzed using open and axial coding procedures and constant comparison techniques. Being responsible as a child in terms of caregiving has an impact on every person concerned. When entering adulthood, most former young carers maintain the responsibility for the ill person. They feel torn between the effort of trying to arrange their life in a different way and holding on to a life where responsibility is still a dominant concern. They remain silent about caregiving due to the fear of painful memories, or the inability to recognize themselves as former young carers. Knowledge of former young carers’ situation can improve the understanding of how caring shapes the transition into adulthood and can help to prevent an inappropriate caring role of actual caregiving children.
Qualidade de vida de pacientes internados submetidos ao transplante de células tronco hematopoiéticas
Authors: Rocha Vanessa da , Kalinke Luciana Puchalski , Felix Jorge Vinicius Cestari , Mantovani Maria de Fátima , Maftum Mariluci Alves , Guimarães Paulo Ricardo Bittencourt
Published: March 2016

O objetivo deste estudo foi avaliar a qualidade de vida e identificar os domínios alterados de pacientes adultos, com câncer hematológico submetidos ao transplante de células tronco hematopoiéticas durante o período de hospitalização. Estudo longitudinal, observacional e analítico, realizado em um hospital de referência em transplante de células tronco hematopoiéticas. A coleta de dados ocorreu entre setembro de 2013 a setembro de 2014 incluiu 25 pacientes com o uso dos questionários de caracterização sociodemográfica e clínica, QLQ-C30 e FACT-BMT. Demonstraram piora estatisticamente significativa (p<0,05) na qualidade de vida global, escalas funcionais, função física, social e familiar, desempenho pessoal, preocupações adicionais e sintomas, fadiga, náusea e vômito, dor, perda de apetite e diarreia. Há comprometimento da qualidade de vida dos participantes durante o período de hospitalização para o transplante. Este estudo poderá subsidiar o direcionamento das ações para o suporte adequado em todo o percurso terapêutico.
Trypanosoma cruzi VECTOR INFECTION RATE IS UNDERESTIMATED IN SOME LOCALITIES IN THE STATE OF BAHIA
Authors: Haidamak Juciliane , Shimada Márcia Kiyoe , do Rocio Klisiowicz Débora , Reifur Larissa
Published: March 2016

A Bahia foi o último estado brasileiro a ser declarado livre da transmissão da doença deChagas pelo Triatoma infestans em 2006. O programa designado para controle vetorial da transmissão da doença de Chagas está atualmente ativo, e os potenciais triatomíneos coletados por funcionários do Departamento da Saúde do Estado da Bahia são praticamente todos diagnosticados como negativos para Trypanosoma cruzi quando analisados pelo método parasitológico convencional direto. O objetivo deste estudo foi investigar se os triatomíneos da Bahia, de fato, não estão infectados por T. cruzi, utilizando-se, para isso, uma metodologia de diagnóstico mais sensível, como a reação em cadeia da polimerase do DNA do cinetoplasto (kDNA-PCR). Com a ajuda dos funcionários da área da saúde, foram analisados 51 triatomíneos provenientes de áreas do peridomicílio da região centro-norte do estado da Bahia.Dos insetos analisados, a maioria (60,8%) era Triatoma brasiliensis, 29,4% eram Triatoma pseudomaculata e 9,8% eram ninfas que não foram identificadas. Apenas um inseto, analisado pelo método parasitológico convencional direto, mostrou-se potencialmente positivo para T. cruzi e 31,4% foram positivos para T. cruzi pela kDNA-PCR. Quase a metade dos insetos infectados (41,9%) era constituída por T. brasiliensis, uma espécie com alto potencial para a transmissão de T. cruzi. Estes resultados demonstram que o número de triatomíneos infectados com elevado potencial de transmissão de T. cruzi pode ser maior do que o esperado em quatro localidades do estado da Bahia.
PREVALÊNCIA DE PARASITOSES EM TRABALHADORES DE RESTAURANTES DE CAXIAS DO SUL – RS
Authors: Pereira Porto Letícia , Inês Cavagnolli Natália , Dos Reis Daniel Silva , Kelly Wilmsen Dalla Santa Spada Patrícia , Dalpicolli Rodrigues Adriana
Published: March 2016

A qualidade higiênico-sanitária como fator de segurança alimentar tem sido amplamente estudada e discutida mundialmente. No Brasil, apesar da relevância e da atualidade do problema das contaminações dos alimentos e dos manipuladores por microorganismos, são poucas as pesquisas que avaliam a ocorrência de enteroparasitoses nesses trabalhadores. Alimentos consumidos que estejam contaminados por estruturas parasitárias do meio ambiente ou por manipuladores infectados formam a cadeia de transmissão dessas parasitoses, sendo este um dos mais importantes meios de disseminação. O objetivo deste estudo foi investigar a prevalência de parasitoses em trabalhadores de restaurantes de Caxias do Sul. Foram analisados laudos de exames parasitológicos de fezes (EPF) realizados entre 2011 e 2014 em um laboratório da cidade de Caxias do Sul. Dos 331 resultados de EPF avaliados, observou-se a presença de parasitos em 10,3%, sendo 44,1% de Endolimax nana, 32,4% de Entamoeba coli, 14,7% de Giardia duodenalis, 5,9% de Trichuris trichiura e 2,9% de Enterobius vermicularis. Ficou evidenciada, entre os manipuladores de alimentos, a existência de portadores e transmissores de parasitos, o que reforça a necessidade de medidas efetivas de saúde pública que controlem ou, ao menos, minimizem os riscos de infecção e contaminação, além de destacar a importância da realização de exames periódicos de fezes em trabalhadores envolvidos no manuseio de alimentos.
PREVALENCE OF ANEMIA IN NON-SEVERE MALARIA CASES IN MÂNCIO LIMA, ACRE
Authors: Silva Guimarães Maria Gabriela , Camargo Martins Antonio , Roberto Schlosser Andreus , Cardoso Débora Sara , Cristine Rodrigues Menezes Charlene , Dos Santos Malafronte Rosely , Silva Alison Lopes , De Arruda Eder Ferreira , De Jesus Pinto Wagner , Cavasini Carlos Eugênio , Fernandes Lícia Natal , Da Silva- Nunes Mônica
Published: March 2016

A malária é uma doença parasitária que constitui um grave problema de saúde pública. No Brasil, os casos estão concentrados principalmente na Amazônia Legal. As manifestações clínicas da malária dependem de vários fatores e a doença está relacionada com o desenvolvimento de anemia. Neste estudo, foi avaliada a prevalência de anemia em casos de malária e fatores associados. O estudo foi realizado em Mâncio Lima, no Acre. Os participantes foram escolhidos com base na detecção dos casos de malária pelos postos de saúde do município. Foi aplicado um questionário e amostras de sangue foram analisadas para a pesquisa de plasmódios e para a quantificação de hemoglobina. Valeu-se do SPSS 13.0, software para análise estatística. O estudo identificou 120 pessoas com o diagnóstico de malária, sendo 58,3% do sexo masculino e 41,7% do sexo feminino. A prevalência de anemia foi de 25%, associada com sexo feminino, tempo de sintomas superior a quatro dias e presença de cefaleia. A prevalência de anemia e os fatores associados a esses pacientes com diagnóstico de malária podem estar relacionados não somente à infecção, mas também à presença de doenças prévias ou sobrepostas.
How Mining Multinational Corporations Promote Women? Modus Operandi
Authors: Pimpa Nattavud , Moore Timothy , Phouxay Kabmanivanh , Douangphachanh Maliphone , Sanesathid Outhoumphone
Published: March 2016

The purpose of this study is to investigate approaches to the promotion of the involvement of women in the international mining industry. In order to identify approaches to promote women in international mining industry, the researchers adopted an exploratory, interpretive approach to work with mining MNCs in Lao PDR. We interviewed 10 key participants from two mining multinational corporations in Laos. Gender discourses were developed in order to comprehend ‘talk’ and ‘texts’ as social practices as well as the concepts of ‘women at workplace’ from the perspectives of both men and women. The results show that various approaches can be adopted to promote women. They include (1) encouragement of women, (2) promotion of equal opportunity, and (3) celebration of women and diversity. This study also confirms, in traditionally male-dominant industry such as international mining, management requires extra and specific gender-related expert support in order to effectively promote women’s participation in the workplace.
Effect of Maleic Anhydride Modification on the Mechanical Properties of a Highly Filled Glass Fibre Reinforced, Low-Viscosity Polypropylene for Injection Moulding
Authors: Troltzsch Jurgen , Stiller Jonas , Hase Katja , Roth Isabelle , Helbig Frank , Kroll Lothar
Published: March 2016

Short glass fibre reinforcement is one of the most important measures to improve the mechanical properties of injection moulded parts. The need for increasing performance leads to high fibre contents which is a critical fact due to the contrasting behaviour of strength, stiffness and impact properties. In this study a high-fluidity polypropylene (PP) is compounded with short glass fibres up to 70 weight percent and comparatively investigated with the adding of maleic anhydride (MAH) as compatibilizer. Due to the high fluidity of the PP, which ensures a good embedding of the fibres, the tensile modulus increases up to 65 weight percent, tensile strength up to 50 weight percent of glass fibre content. Adding the MAH increases strength and impact properties, while the tensile modulus only shows an improvement at high fibre content. The influence of the compatibilizer effect diminishes at higher fibre contents, especially for the impact strength which could so far not be clarified exactly. Reasons could be the reduction of fibre length at higher fibre contents and the increasing influence of the brittle fibre component. With the adding of MAH the contrasting behaviour of the impact properties in comparison to strength and stiffness can be reduced and the optimum over all mechanical properties can be shifted to higher fibre contents.
New SMA Short Fibers for Cement Composites Manufactured by Cold Drawing
Authors: Choi Eunsoo , Joo Kim Dong , Jeon Chanyeong , Gin Seungmin
Published: March 2016

This study suggests new shape memory alloy reinforcing fibers manufactured by cold drawing method. This study prepares NiTi shape memory alloy (SMA) wires with diameter of 1.0 mm. Then, the wires are elongated by cold drawing and, thus, the diameters are reduced to 0.93 or 0.965 mm, respectively. This procedure introduces prestrain into the wires. When elongated SMA wires are heated, the shape memory effect is activated; this process recovers the deformed length as well as the reduced diameter due to Poisson’s effect. Cold drawn wires with diameters of 0.93 and 0.965 mm recover diameters of 0.018 and 0.024 mm, respectively, with heating. The bulging of the SMA fiber in the radial direction inside cement composites induces confining pressure around the fiber and increases bond strength. When an SMA fiber is heated at the both ends, the heated parts bulge and the fiber shape looks like a dog-bone. Such a dog-bone shaped fiber can provide a geometrical anchoring action that also increases the bond resistance of the fiber. This study conducts pullout tests of SMA fibers to understand their pullout behavior and assess bond stress. The heated fibers and dog-bone shaped fibers increase pullout force compared to those of as-received and cold-drawn fibers. When dog-bone shaped fibers are heated, they show twice the pullout force of dog-bone shaped fibers without heating because geometric anchoring action as well as additional frictional resistance due to confining pressure are activated.
An Investigation into the Rule of Action in the Penal System
Authors: Zadnahal Sahar , Goldozian Iraj
Published: March 2016

According to definite jurisprudential principles and rules, when a person acts against himself and accepts the incurrence of damage, he will be deprived of all or some part of the claim for compensation. The rule of action constitutes the basis of this lack of benefit in Islamic and Iran’s law, while the principles of consent and participation in the fault underlie it in the common law. Studying research studies conducted in relation to the rule of action in Iran and Britain’s law it could be argued that the rule of action is among the cases discussed in criminal law and on the issue of causality in punishment. On the other hand, in criminal proceedings, in Iranian and British legal systems, this issue has been mostly discussed regarding the aspects of imposing damage and calculation of costs thereof. Therefore, if someone is acting to the detriment of himself and is causing damage to himself, in addition to the issue of liability removal, in which the accused may be acquitted from his responsibility, there is no need for the accused person to pay compensation to the injured person.
Adoption of On-Farm Plantation Forestry by Smallholder Farmers in Uganda
Authors: Kiyingi I. , Edriss A. , Phiri M. , Buyinza M. , Agaba H.
Published: March 2016

The study assessed the factors influencing adoption and intensity of adoption of on-farm plantation forestry by comparing results from a censored Tobit model and a Double-hurdle model. Analysis indicated that determinants of adoption and intensity of adoption of on-farm plantation forestry are different, thus indicating a double-hurdle process. Results from the double-hurdle model indicated that size of landholding, secondary school education,  forestry skills training, extension services and farmers’ perceptions significantly explain the variation in the decision to invest in on-farm plantation forestry. On the other hand, gender of household head and size of landholding  influenced the intensity of adoption. This study highlights some of the areas that should be considered in developing adoption strategies for on-farm plantation forestry. It also highlights the importance of farmers’ perceptions in influencing adoption of farm forestry. The study suggests that since the factors influencing adoption and intensity of farm forestry adoption are made separately, it is important that both stages are considered in developing adoption strategies for farm forestry.