bluuebunny/crossref_metadata_2025 huggingface dataset:
O RETROCESSO EMPURRA A PORTA: A LITERATURA INFANTIL E O PROGRAMA CONTA PRA MIM
Authors: Ramalhete Mariana Passos
Published: July 2024

Este trabalho problematiza o tratamento dispensado à literatura infantil no programa Conta pra mim, instituído pelo governo federal em 2020. A partir da análise de documentos desse programa, revela como a atual perspectiva oficial para a alfabetização nega a oferta de literatura infantil e suprime o acúmulo de conhecimentos historicamente elaborados sobre alfabetização, sobre educação literária e sobre literatura infantil. Discute como a defesa da educação familiar, em um contexto de crescimento do conservadorismo, relativiza o direito à educação básica. Afirma que a convivência social e a educação literária desaguam também no contexto da educação escolar, lócus que se sustenta não pelo afastamento e enclausuramento das famílias, mas, ao contrário, se ampara também na pluralidade delas e no diálogo com suas respectivas demandas. Conclui que a proposta de leitura para as crianças, nos moldes literacia familiar apresentados, nega o acesso à arte e está confinada a finalidades utilitaristas, imediatistas, moralizadoras, que não contribuem com transformação da sociedade, mas com a sua reprodução.
Exploring the knowledge and perceptions of viral load testing and low-level viremia among health-care workers in Uganda: A qualitative study
Authors: Nanyeenya Nicholus , Nakigozi Gertrude , Siu Godfrey , Kiwanuka Noah , Makumbi Fredrick , Nasuuna Esther , Nabadda Susan , Kiyaga Charles , Kibira Simon P. S. , Nakanjako Damalie
Published: July 2024

Provision of human immunodeficiency virus (HIV) care including viral load (VL) testing and management of low-level viremia (LLV) depends on the knowledge and perceptions of health-care workers. This qualitative study was conducted in Uganda and aimed to provide health-care worker perceptions and knowledge gaps that need to be addressed to improve VL testing and management of LLV. We conducted 15 key informant interviews with health-care workers (clinicians, nurses, laboratory staff, and counselors). Participants were purposively selected from 8 high-volume HIV clinics across Uganda. The clinics were purposively selected based on provision of VL services and having high numbers of people with LLV. All the interviews were audio-recorded and transcribed verbatim. Thematic analysis was used for data analysis, with the help of ATLAS.ti 6. We identified 7 main themes, and these included: understanding of VL testing, perceived benefits of VL testing, best practices in improving VL testing, challenges to VL testing, strengthening VL testing, understanding LLV, and implications of LLV. All the health-care workers were proficient in VL testing and its associated benefits. Different best practices like the use of linkage facilitators among others were reported to be useful in VL testing. The main challenges to VL testing were lack of transport, long waiting times at the clinics, delayed return of results, and HIV-related stigma. Health-care workers could not define the term, “low-level viremia.” However, most of them were aware that a VL range between 50 and 999 copies/ml was not desirable. LLV was perceived to be caused by suboptimal drug adherence. There is need for centralized VL testing to be complemented with point-of-care testing to reduce results turnaround time. Similarly, there is also an imminent need to establish comprehensive interventions to manage LLV such as targeted health education of health workers in Uganda.
Toolpath Generation on 3-Axes Milling Using Constant Volume Method
Authors: Hoang Van-Quy ,   Industrial University of Ho Chi Minh City
Published: July 2024

A new simple method to generate toolpaths when machining based on the fixed base of the residual metal portion left after each longitudinal (forward step) and transverse cutting step (stepover) is presented in this paper. After each longitudinal and transverse cutting step, there will be an unprocessed metal portion, which has the form of a cone with a quadrilateral base, and the lateral edges are curves created by the intersection of the sphere with the diameter of the toolpath. The height of this cone, Sc, is called the scallop height, and its projection on a cutting plane is called the cusp. However, the entire volume of this unprocessed metal portion was examined in the paper. From there, it was proposed to adjust the toolpath in such a way that the volume of this portion remains constant in each step of the tool, resulting in ensured machining quality on the entire surface. Unlike the previous studies where toolpath is generated using iso-scallop, iso-parametric, or iso-planar methods, a new method based on calculating the volume of uncut metal after each step of the toolpath horizontally and vertically is offered in this paper. This method is called constant volume. Compared to existing methods, this approach is superior because it makes possible to calculate the volume of remaining metal, thereby ensuring more uniform surface quality and more efficient toolpath. To ensure the correctness of the proposed method, a script used to generate a toolpath with a simple surface was implemented by Matlab2010a. The toolpath generated by the proposed method was compared with toolpath generated by the traditional method already available in CAD/CAM software. The results showed that the proposed method had good accuracy and fast toolpath generation time. This method can be extended to complex surfaces and is an option for application in CAD/CAM software as well as providing another toolpath generation solution for mechanical machining in general.
Communicating With Spanish-Speaking Families of Hospitalized Children With Medical Complexity
Authors: Luercio Marcella , Quiñones-Pérez Bianca , Castellanos Angela , Ngo Tiffany , Elder Brynn , Blaine Kevin , Haskell Helen , Lopez Kelleen , Luff Donna , Mallick Nandini , Mercer Alexandra N. , Williams David N. , Baird Jennifer D. , Khan Alisa
Published: July 2024

BACKGROUND AND OBJECTIVES

Hospitalized families who use languages other than English (LOE) for care encounter unique communication challenges, as do children with medical complexity (CMC). We sought to better understand communication challenges and opportunities to improve care of families who use LOE from the perspectives of hospital staff and Spanish-speaking parents of CMC.

METHODS

This qualitative project involved secondary analysis of transcripts from a study on family safety reporting at 2 quaternary care children’s hospitals and additional primary data collection (interviews) of staff and parents. Bilingual researchers conducted audio-recorded, semistructured interviews with staff and Spanish-speaking parents of CMC during/after hospitalization. We professionally transcribed and translated interviews and developed, iteratively refined, and validated a codebook. Three independent researchers coded interviews using qualitative descriptive methodology and identified emerging themes through thematic analysis.

RESULTS

We coded 49 interviews (13 parents, 11 physicians, 13 nurses, 6 allied health professionals, 6 leaders). Five themes emerged: (1) assumptions and bias regarding specific groups who use LOE for care, (2) importance of trust and relationships, (3) importance of language-concordant care, (4) workarounds to address communication challenges, and (5) the “double-edged” sword of technology. Participant-suggested strategies to improve communication included increasing interpreter access for parents and staff, optimizing technology use, and minimizing bias and assumptions through training.

CONCLUSIONS

Parents of CMC and staff identified challenges and opportunities related to communicating with hospitalized families who use LOE for care. Solutions to improve communication and safety for these families should be attuned to needs of all parties involved.
Race, Ethnicity, and Pediatric Postsurgical Mortality: Current Trends and Future Projections
Authors: Nafiu Olubukola O. , Mpody Christian , Aina Titilopemi A. , Ehie Odinakachukwu , Tobias Joseph D. , Best Ana F.
Published: July 2024

BACKGROUND

No study has contextualized the aggregate human costs attributable to disparities in pediatric postsurgical mortalities in the United States, a critical step needed to convey the scale of racial inequalities to clinicians, policymakers, and the public.

METHODS

We conducted a population-based study of 673 677 children from US hospitals undergoing intermediate to high-risk surgery between 2000 and 2019. We estimated the excess deaths that could be avoided if Black and Hispanic children had comparable mortality rates to white children. We estimated the mortality reduction required to eliminate disparities within the next decade. We finally evaluated the impact of policy changes targeting a modest annual 2.5% reduction in disparity-attributable mortality.

RESULTS

During 2000 to 2019, risk-adjusted postoperative mortality trended consistently higher for both Black (adjusted RR [aRR]: 1.42, 95% confidence interval [CI]: 1.36–1.49) and Hispanic children (aRR: 1.22, 95% CI: 1.17–1.27) than for white children. These disparity gaps were driven by higher mortality in Black and Hispanic children receiving surgery in nonteaching hospitals (Black versus white aRR: 1.63, 95% CI: 1.38–1.93; Hispanic versus white aRR: 1.50, 95% CI: 1.33–1.70). There were 4700 excess deaths among Black children and 5500 among Hispanic children, representing. 10 200 (average: 536 per year) excess deaths among minoritized children. Policy changes achieving an annual 2.5% reduction in postoperative mortality would prevent approximately 1100 deaths among Black children in the next decade.

CONCLUSIONS

By exploring the solution, and not just the problem, our study provides a framework to reduce disparities in pediatric postoperative mortality over the next decade.
Small talk as relational practice during assessment
Authors: De Malsche Fien , Tobback Els , Vandenbroucke Mieke
Published: July 2024

This paper explores small talk as relational practice in performance appraisal interviews between managers at the Belgian headquarters of a small-sized service-oriented company and their sales agents who work remotely around the world. On the basis of a dataset of 14 online video-recorded appraisal interviews and two follow-up interviews with the managers, we examine by using a turn-by-turn content analysis the occurrence and function of small talk as relational practice within the specific interactional context of performance appraisal interviews. The findings show that within this specific virtual workspace context, the communicative purpose of performance appraisal interviews transcends assessment, as the managers make use of small talk to fulfill the additional aim of instilling the company's corporate culture and personal approach in its employees. We reflect on the meaning of relational practice in the workplace and argue that the communicative purpose of such interactions is broadened so as to adapt to the globalized needs of modern companies.
Prevalence of Decay and Tooth Condition Changes Adjacent to Restored Dental Implants: A Retrospective Radiographic Study
Authors: Kutkut Ahmad , White Ryan , Awad Mohammad , Brown James , Sharab Lina , Hawk Gregory S. , Miller Craig S.
Published: July 2024

This study examined the association between a dental implant and changes in adjacent teeth over time. Electronic health records of 1818 patients who received a dental implant were retrospectively evaluated over 14 years (2005–2019) in a university setting. The status of the adjacent tooth and vertical and horizontal distance from the implant platform to adjacent teeth were determined using digital intraoral radiographs taken at baseline and the last follow-up visit (1–14 years, median 4 years). In total, 1085 dental implants were evaluated. There were 234 instances of a change in the adjacent tooth. Decay was observed in 83 (7.6%) of adjacent teeth; the mean time to development was 4 years (range 1–14 years). Approximately 9% of adjacent teeth received direct restorations, 4.8% received indirect restorations, 1% received endodontic root canal treatment, and 5.6% were extracted. The mean horizontal distance between the implant platform and the adjacent teeth was 3.56 mm; the mean vertical distance from the contact point to the alveolar crest on the tooth side was 6.2 mm at the first time of the reported decay on X ray. These distances did not significantly influence the occurrence of caries. The prevalence of interproximal contact loss was higher on the mesial of the implant crown at 63% compared with 20% on the distal side. This large retrospective analysis identified that teeth adjacent to a dental implant were at risk of decay and changes in their condition. In addition, the implant-to-tooth distance and inadequate emergence profile may contribute as caries risk factors in addition to hygiene and a high sugar level diet. These findings appear essential for clinicians when making treatment decisions and discussing outcomes with patients.
Analysis of the lymphoid tumor microenvironment (TILs) in breast cancer by flow cytometry
Authors: Zabotina T. N. , Borunova A. A. , Сhertkova A. I. , Shoua I. B. , Kadagidze Z. G.
Published: July 2024

Despite the success in early diagnosis and drug treatment of breast cancer patients, long-term treatment results are still unsatisfactory, and in this regard, the role of research aimed at studying various mechanisms of development of this disease is increasing. It has been established that the degree of tumor infiltration by immune cells and their composition are directly related to the development of the disease and the response to therapy. Multiparameter flow cytometry (PC) allows studies of the subpopulation composition of TILs. The aim of the work was to study the features of the lymphoid microenvironment (TILs) of tumors in patients with primary operable and locally advanced breast cancer by PC. The study included patients with primary operable breast cancer (group 1, n = 121) and locally advanced (group 2, n = 80) receiving treatment at the N. N. Blokhin NMRCO. The TILs of a tumor obtained intraoperatively or by a core-biopsy were examined. The patients were divided into 3 subgroups: 1 subgroup – the degree of infiltration up to 1%, 2 subgroup – the degree of infiltration from 1 to 10%, and 3 subgroup – the degree of infiltration over 10%. Patients of group 1 were characterized by high functional activity and concentration of effector cells with a low degree of tumor infiltration, and as the number of lymphocytes in the tumor increased, an increase in the pool of CD4+ cells and CD4 Treg was noted simultaneously with a decrease in the number and functional activity of effector TILs. In group 2 were no significant differences in the cellular composition of TILs in subgroups with a weak and moderate degree of infiltration, and a variant with infiltration of more than 10% was recorded in only one patient. The lack of association of the TILs subpopulation structure in subgroups with varying degrees of tumor infiltration indicates a similar nature of the local immune response in locally advanced breast cancer.

Thus, unlike patients with locally advanced breast cancer, patients with primary operable breast cancer show a change in the type of local immune response from effector to regulatory. A high degree of tumor infiltration is characterized by depletion of effector cell function.
Difference in serum cytokines between metastatic colorectal cancer patients with mutant and wild type RAS in response to targeted treatment with monoclonal antibodies
Authors: Zlatnik E. Yu. , Sagakyants A. B. , Vladimirova L. Yu. , Tishina A. V.
Published: July 2024

Cytokines and chemokines play dual – pro- and antioncogenic – roles in tumor progression. Targeted medications of monoclonal antibodies, anti-VEGF (bevacizumab) and anti-EGFR (cetuximab, panitumumab), are widely used in treatment of metastatic colorectal cancer (mCRC) and are prescribed in dependence upon presence or absence of mutations in the RAS gene. The aim of the study was to assess mCRC heterogeneity in the dependence upon presence or absence of mutation in RAS gene according to serum cytokine composition and its dynamics in the response to antitumor therapy using targeted medications of monoclonal antibodies. Levels of 20 cytokines were estimated by Multiplex analysis in serum of 50 patients with mCRC (25 KRAS+ and 25 KRAS- , who received anti-VEGF therapy, bevacizumab and anti EGFR therapy, cetuximab/ panitumumab respectively) before and after 4 courses of treatment. The results were analyzed separately in patients with complete, partial response and progression of the disease. The results showed that before the treatment in KRAS+ patients the levels of GM-CSF, IL-2, IL-5, IL-6, IL-7, IL-10, and IL-13 exceeded the ones in KRAS- patients; on the contrary, they had lower amounts of IL-8, IP-10, MIG, and MIP-1α. In patients who received anti-EGFR therapy and developed complete response, the increase of IL-15 and MIG along with a 2 to 3-fold decrease in GM-CSF, IL-2, IL-4, IL-6, IL-8, IL-17А, and МСР-1 was noted. Progression of the disease was observed in patients with initially low levels of the vast majority of the studied cytokines with dramatically elevation after non-effective anti-EGFR treatment. In patients having received anti-VEGF therapy, progression was followed by decrease in all of the studied cytokine and chemokine levels, while complete response resulted in decreases in IL-6, IL-5 and IL-10 (the last ones up to 0) and the increase of MIG. Thus, serum levels of cytokines in patients with mCRC were shown to be different in dependence of KRAS mutation; different response to targeted monoclonal antibodies may be reflected by the dynamics of serum cytokines` composition. Prevailing of many prooncogenic and proangiogenic cytokines in KRAS+ mCRC patients may be considered in terms of their unfavorable prognosis.
A CHARACTERIZATION OF MEIXNER ORTHOGONAL POLYNOMIALS VIA A CERTAIN TRANSFERT OPERATOR
Authors: Abassi Emna , Khériji Lotfi
Published: July 2024

Here we consider a certain transfert operator \(\mathrm{M}_{(c,\omega)}=I_{\mathcal{P}}-c \, \tau_{\omega},\) \(\omega\neq0,\) \({c \in \mathbb{R}-\{0,1\},}\) and we prove the following statement: up to an affine transformation, the only orthogonal sequence that remains orthogonal after application of this transfert operator is the Meixner polynomials of the first kind.
ARTINIAN \(\mathbf{M}\)-COMPLETE, \(\mathbf{M}\)-REDUCED, AND MINIMALLY \(\mathbf{M}\)-COMPLETE ASSOCIATIVE RINGS
Authors: Martynov Leonid M. , Pavlova Tatiana V.
Published: July 2024

In 1996, the first author defined analogs of the concepts of complete (divisible), reduced, and periodic abelian groups, well-known in the theory of abelian groups, for arbitrary varieties of algebras. In 2021, the first author proposed a modification of the concepts of completeness and reducibility, which is more natural in the case of associative rings. The paper studies the modification of these concepts for associative rings. Artinian \(\mathbf{M}\)-complete, \(\mathbf{M}\)-reduced rings, and minimally \(\mathbf{M}\)-complete associative nilpotent rings, simple rings with unity, and finite rings are characterized.
Trends in cesarean section rates in Brazil by Robson classification group, 2014-2020
Authors: Pereira Virginia Barbosa , Reis Síntia Nascimento dos , Araújo Fernanda Gontijo , Amorim Torcata , Martins Eunice Francisca , Felisbino-Mendes Mariana Santos
Published: July 2024

ABSTRACT Objectives: to evaluate the trends in cesarean sections from 2014 to 2020 across both public and private sectors, utilizing the Robson Classification. Methods: this time series study analyzed the proportion of women who underwent cesarean sections between 2014 and 2020, considering both the Robson classification and the type of healthcare service. Trend analysis was conducted using the Prais-Winsten regression. Results: higher proportions of cesarean sections were observed in all Robson groups within the private sector compared to the public sector. This was despite a decreasing trend in the private sector and an increasing trend in the public sector. Notably, elevated proportions of cesarean sections were recorded in groups that are typically favorable to normal childbirth (Robson 1, 4, and 5). Conclusions: although there was a decreasing trend in cesarean sections within the private sector, an increasing trend was observed in the public sector. Additionally, there was a high proportion of cesarean sections among women with conditions favorable to normal childbirth. It is crucial to continuously monitor these indicators to evaluate and implement interventions aimed at reducing unnecessary cesarean sections.
Profile of patients in private home care who developed ventilator-associated pneumonia
Authors: Cezar Fabiana Schimidt , Jacober Fabiana Camolesi , Gonçalves Heloísa Amaral Gaspar , Cantarini Katia Vanessa , Oliveira Claudio Flauzino de
Published: July 2024

ABSTRACT Objectives: to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data. Methods: this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded. Results: the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death. Conclusions: patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.
Recusa familiar de doação de pele para transplante: tendência e fatores associados
Authors: Souto Karoline de Oliveira Lins , Pimentel Rafael Rodrigo da Silva , Brito Ágata Nunes , Moraes Edvaldo Leal de , Santos Marcelo José dos
Published: July 2024

RESUMO Objetivos: analisar a tendência e os fatores associados à recusa familiar de doação de pele para transplante. Métodos: estudo transversal desenvolvido no Estado de São Paulo com os termos de autorização familiar firmados entre 2001 e 2020. As variáveis analisadas foram: ano, idade, sexo, causa do óbito e tipo da instituição. Os dados foram analisados por meio de regressão linear e logística múltipla, com o Odds Ratio estimado, adotando-se p<0,05 como significância estatística. Resultados: 1.355 indivíduos recusaram a doação de pele. A tendência de recusas foi decrescente (2001-2009) nas faixas etárias de 0-11 anos e de 12-19 anos e crescente na faixa de ≥60 anos. A tendência permaneceu decrescente (2010-2020) na faixa etária de 0-11 anos e crescente na de 20-40 anos. O sexo masculino e as faixas etárias de 20-40 anos, 41-59 anos e ≥60 anos apresentaram, respectivamente, 27%, 34%, 47% e 53% menores chances de recusa. Conclusões: é urgente a necessidade de medidas que visem atenuar o alto número de recusas associadas à doação de pele.
Lógica Fuzzy: vulnerabilidade de mulheres que fazem sexo com mulheres às infecções sexualmente transmissíveis
Authors: Andrade Juliane , Santos Kendra Yanne da Silva , Freitas Ana Paula Freneda de , Ignácio Mariana Alice Oliveira , Godinho Emmanuel Zullo , Duarte Marli Teresinha Cassamassimo
Published: July 2024

RESUMO Objetivo: descrever a possibilidade de aplicação da Lógica Fuzzy na análise da vulnerabilidade de Mulheres que fazem Sexo com Mulheres às Infecções Sexualmente Transmissíveis/HIV/aids. Métodos: Desenvolveu-se um sistema de Lógica Fuzzy com 17 variáveis de entrada e uma de saída, utilizando dados relacionados à vulnerabilidade em um município localizado no Centro-Oeste do Estado de São Paulo, Brasil. Resultados: O fator de maior impacto positivo foi a confirmação de que a baixa compreensão sobre Infecções Sexualmente Transmissíveis/HIV/aids está associada a uma maior vulnerabilidade. Por outro lado, a declaração “Não se expor para a profissional de saúde”, onde a pessoa não admite ter relações sexuais com mulheres, teve o menor impacto. Conclusões: A Lógica Fuzzy oportuniza a identificação da vulnerabilidade, expressa pela análise de interação entre as variáveis de cada dimensão. Isso a torna um método promissor para auxiliar na análise da vulnerabilidade de populações específicas.
Tecnologia educativa para a formação multiprofissional no gerenciamento de listas de espera de pacientes eletivos
Authors: Lisbôa Rosa Ladi , Furtado Kaihara de Freitas , Rosa Vitória Silva da , Evangelista Caroline Schacker , Paz Adriana Aparecida
Published: July 2024

RESUMO Objetivos: construir e avaliar uma tecnologia educativa de gerenciamento de listas de espera de pacientes para a formação multiprofissional. Métodos: estudo sustentado pelo Design Instrucional - modelo ADDIE, cujas etapas de construção da tecnologia educativa foram desenvolvidas na modalidade de curso de formação multiprofissional. Sua respectiva avaliação de conteúdo foi realizada por um comitê de especialistas de 2021 a 2022. A análise ocorreu pela proporção de adequação de conteúdo com Intervalo de Confiança de 95%. Resultados: elaboraram-se 17 produtos como objetos de aprendizagem da tecnologia educativa: cinco storyboards; quatro vídeos; três histórias em quadrinhos; dois planos de ação pedagógica; um mapa mental; e uma playlist do YouTube®. Nove especialistas avaliaram adequação de conteúdo, que atingiu 0,89. Conclusões: essa tecnologia educativa contribui na atuação dos profissionais que gerenciam listas de espera ao reduzir desigualdades, amenizar diferenças, além de promover equidade no atendimento e boa saúde ao paciente no Sistema Único de Saúde.
Sonolência diurna excessiva em técnicos de enfermagem: associação com qualidade do sono e memória
Authors: Silva Renato Canevari Dutra da , Ribeiro Ana Clara Barros , Alves Maryanna Freitas , Silva Gilson Gonçalves , Camargo Júnior Elton Brás
Published: July 2024

RESUMO Objetivo: investigar a prevalência de sonolência diurna excessiva entre técnicos de enfermagem e a associação com a qualidade do sono e memória. Métodos: estudo transversal, inferencial, realizado em uma unidade hospitalar no estado de Goiás entre dezembro de 2020 e janeiro de 2021. As avaliações foram realizadas por meio da Epworth Sleepiness Scale, do Pittsburgh Sleep Quality Index e da Prospective and Retrospective Memory Questionnaire, instrumentos validados para o contexto brasileiro. Foram realizadas análises de regressão logística bivariada e multivariada. Resultados: a amostra composta por 189 técnicos de enfermagem com prevalência de 40,9% de sonolência diurna excessiva. Em modelos multivariados, a sonolência diurna excessiva não associou com a qualidade do sono, no entanto houve associação significativa com falhas de memória geral. Conclusões: os resultados do estudo demonstram elevada ocorrência de sonolência diurna excessiva, associação com falhas de memória geral e a necessidade de intervenções psicossociais para técnicos de enfermagem.
Evidências de validade do Questionário da Automedicação de Risco focado no Letramento em Saúde
Authors: Barreto Márcio Adriano Fernandes , Negreiros Francisca Diana da Silva , Cestari Virna Ribeiro Feitosa , Sampaio Helena Alves de Carvalho , Moreira Thereza Maria Magalhães
Published: July 2024

RESUMO Objetivos: analisar as evidências de validade da estrutura interna do Questionário da Automedicação de Risco Focado no Letramento em Saúde. Métodos: estudo psicométrico, com 499 adultos. Avaliou-se a estrutura interna com análise fatorial exploratória e confirmatória para comprovar o ajuste. A consistência interna foi medida pela fidedignidade composta e pelo coeficiente ômega de McDonald (ω). Resultados: os parâmetros revelaram modelo de 35 itens distribuídos em quatro fatores, explicando 56% da variância total, com cargas fatoriais variando de 0,31 a 0,85 e comunalidades adequadas. Os indicadores precisão (0,79<ORION<0,98), representatividade (0,89<FDI<0,99), sensibilidade (1,92<SR<7,07), esperança do fator (88,3%<EPTD<97,9%), replicabilidade (0,82<H-Latente<H-observado<0,87) e confiabilidade (ω=0,87) foram adequados. A fidedignidade composta variou de 0,840 a 0,910. Além disso, alcançou-se bom ajuste do modelo (TLI = 0,99; CFI = 0,99; GFI = 0,95; RMSEA = 0,02; e RMSR = 0,05). Conclusões: obteve-se instrumento com boas evidências de validade de estrutura para mensuração da automedicação.
Sexual counseling for people with acute coronary syndrome: educational video development
Authors: Andrade Laura Rizardi dos Santos , Anjos Lanay Dourado dos , Aguiar Ana Paula Freitas , Lima Edvone Alves de , Abuchaim Erika de Sá Vieira , Lopes Juliana de Lima , Lopes Camila Tákao , Santos Vinicius Batista
Published: July 2024

ABSTRACT Objective: to assess validity evidence of an educational video on safe sexual activity after acute coronary syndrome. Method: study in three phases: video development; content validity analysis by 11 experts; and analysis of validity based on response processes by seven people with coronary disease. The content validity ratio (CVR) was calculated with critical values for the second phase of 0.63 and for the third of 1.0. Results: the video addressed the importance of resuming sexual activity and positions that consume less energy, clinical warning signs, the importance of adhering to treatment and a welcoming environment for sexual practice. A CVR above the critical value was obtained with a total of 4 minutes and 41 seconds. Conclusion: the educational video brings together adequate content validity evidence and can be used as a tool for patients after acute coronary syndrome.
Profile of scientific production on nursing technology construction, validity and application: a bibliometric study
Authors: Lima Fernando Conceição de , Sagica Taís dos Passos , Souza João Lucas Moraes , Prado Marta Lenise do , Santana Mary Elizabeth de , Peixoto Ivonete Vieira Pereira , Valois Rubenilson Caldas
Published: July 2024

ABSTRACT Objective: to analyze the profile of scientific production on nursing technology construction, validity and application. Methods: this is a bibliometric study, carried out in six databases, based on the Methodi Ordinatio application, arranged in nine stages. To represent the findings, the VOSviewer® software was used. Results: 346 studies were identified, obtained from BDENF, CINAHL, EMBASE, LILACS, PubMed/MEDLINE, Scopus and Web of Science. There was a predominance of the English language, and 20% of the authors hold more than 25% of studies. Only two journals account for 25% of studies in the period studied. Twenty-six studies were selected for the InOrdinatio classification. Nursing Process (23%) stood out among the studies. The most produced technology was software (27%), and 50% of works describe construction and validity. Conclusions: there is an emphasis on the creation of educational technologies, especially information technology. The data demonstrates opportunities for future research in the area.
Saúde mental de pais de crianças e adolescentes que necessitam de atenção especial à saúde
Authors: Nonose Eliana Roldão dos Santos , Silva Rosane Meire Munhak da , Neves Eliane Tatsch , Mello Débora Falleiros de , Zilly Adriana , Okido Aline Cristiane Cavicchioli , Lima Regina Aparecida Garcia de
Published: July 2024

RESUMO Objetivo: identificar as manifestações apresentadas pelos pais de crianças e adolescentes que necessitam de atenção especial à saúde e que podem impactar a sua saúde mental. Métodos: pesquisa exploratória, qualitativa, fundamentada no conceito de vulnerabilidade, com coleta de dados realizada por meio de entrevistas com 18 pais de crianças e adolescentes com necessidades de atenção especial, hospitalizadas em unidade pediátrica de um hospital do Paraná, entre maio/2017 e maio/2018. Dados analisados pela análise temática indutiva. Resultados: os pais experienciaram situações de vulnerabilidades para o exercício do cuidado no domicílio, com repercussões em sua saúde mental, expressas por manifestações de desproteção, ansiedade e depressão. Considerações finais: é relevante que profissionais de saúde busquem ampliar as ações para promover o cuidado e reduzir as situações que geram ameaças, inseguranças, preocupações e danos para a saúde dos pais, que podem impactar e fragilizar ainda mais o cuidado às crianças e adolescentes que necessitam de atenção especial à saúde.
Risco de binômio mãe-feto perturbado em gestantes de alto risco: Teoria de Médio Alcance
Authors: Mendes Ryanne Carolynne Marques Gomes , Silva Gabrielle Pessôa da , Perrelli Jaqueline Galdino Albuquerque , Pontes Cleide Maria , Pascoal Lívia Maia , Lira Ana Luisa Brandão de Carvalho , Lopes Marcos Venícios de Oliveira , Mangueira Suzana de Oliveira , Linhares Francisca Márcia Pereira
Published: July 2024

RESUMO Objetivos: desenvolver e avaliar a Teoria de Médio Alcance para o diagnóstico de enfermagem “Risco de binômio mãe-feto perturbado” em gestantes de alto risco. Métodos: estudo metodológico desenvolvido em duas etapas: desenvolvimento e avaliação da teoria. Para a fundamentação teórico-conceitual, utilizou-se o Modelo Geral de Enfermagem de Dorothea Orem. A avaliação foi realizada por meio do método Delphi com 7 juízes, e o consenso foi obtido quando o Índice de Validade de Conteúdo dos itens avaliados foi ≥ 0,80. Resultados: a teoria apresentou 20 elementos do diagnóstico de enfermagem “Risco de binômio mãe-feto perturbado” (10 fatores de risco, 4 populações em risco e 6 condições associadas), 14 proposições e 1 pictograma. Além disso, após duas rodadas de avaliação, a teoria foi considerada consistente, pois houve consenso em todos os itens avaliados, que obtiveram um Índice de Validade de Conteúdo ≥ 0,80. Conclusões: a Teoria de Médio Alcance incluiu os fatores biopsicossociais que explicam o fenômeno de enfermagem “Risco de binômio mãe-feto perturbado”, o que contribui para o raciocínio diagnóstico do enfermeiro.
Primary Health Care in transitional care of people with stroke
Authors: Magagnin Adriana Bitencourt , Silva Kenia Lara da , Melo Giane Zupellari dos Santos , Heidemann Ivonete Teresinha Schulter Buss
Published: July 2024

ABSTRACT Objectives: to understand the role of Primary Health Care teams in caring for people with stroke after hospital discharge. Methods: single case study, with integrated units of analysis, with a qualitative approach. Data triangulation occurred through interviews with professionals and family caregivers involved in transition of care, in addition to direct observations in rounds and document analysis. For the analyses, the analytical strategies of theoretical propositions and construction of explanations were used, with the help of ATLAS.ti®. Results: the importance of counter-referral, the role of community health workers and the multidisciplinary team, health promotion, secondary prevention, home visits as a visceral attribute and nurses as care managers are evident. Final Considerations: the high demand on teams and the Social Determinants of Health interfere with adequate continuity of care. Transitional care programs that enable continuity of care are recommended.
Reflections on theoretical framework use in nursing research
Authors: Lacerda Maria Ribeiro , Silva Rudval Souza da , Gomes Nadirlene Pereira , Souza Silvana Regina Rossi Kissula
Published: July 2024

ABSTRACT Objectives: to reflect on theoretical framework use in nursing research. Methods: a theoretical-reflexive study, based on concepts and constructs pertinent to using nursing theories and other sciences, considering issues of epistemology or philosophy of science. Results: we presented what it is and why to do nursing research and what a theoretical framework is and why to use it, in addition to some considerations regarding theoretical framework use in nursing research, essential for constructing disciplinary knowledge, which enables the materialization of researchers’ work and the presentation of propositions resulting from investigations in and for nursing as a discipline and science. Final Considerations: based on a reflection based on epistemological conceptions, it is possible to affirm that a theoretical framework is the core of researchers’ thinking, delimiting a problem to be investigated and, based on it, outlining methodological strategies to be followed, supporting nursing action and thinking as discipline and science.
Reflexões sobre o uso de referenciais teóricos nas pesquisas em enfermagem
Authors: Lacerda Maria Ribeiro , Silva Rudval Souza da , Gomes Nadirlene Pereira , Souza Silvana Regina Rossi Kissula
Published: July 2024

RESUMO Objetivos: refletir sobre o uso de referenciais teóricos nas pesquisas em enfermagem. Métodos: estudo teórico-reflexivo, fundamentado em conceitos e construtos pertinentes ao uso das teorias da enfermagem e outras ciências, considerando questões da epistemologia ou filosofia das ciências. Resultados: apresentamos o que é e por que fazer pesquisa em enfermagem, o que é o referencial teórico e por que utilizá-lo, além de ponderações concernentes ao uso de referenciais teóricos em enfermagem, essenciais para construção do conhecimento disciplinar, que possibilita a materialização do trabalho do pesquisador e a apresentação das proposições resultantes das investigações na e para a enfermagem enquanto ciência. Considerações Finais: a partir da reflexão pautada em concepções epistemológicas, é possível afirmar que o referencial teórico é o core do pensamento do pesquisador, ao delimitar um problema a ser investigado e, a partir dele, traçar estratégias metodológicas a serem seguidas, fundamentando o agir e pensar da enfermagem enquanto ciência.
Resiliência, Bem-Estar Subjetivo e Fatores de Risco e Proteção em Estudantes Universitários
Authors: Gianfelice Marcello Augusto , Murgo Camélia Santina , Souza Andressa Pereira de
Published: July 2024

Resumo Este estudo teve como objetivo verificar possíveis correlações entre fatores de risco e proteção, bem-estar subjetivo e resiliência em universitários. A amostra totalizou 412 estudantes. Foram aplicados: questionário sociodemográfico, a Escala de Bem-Estar Subjetivo Escolar (EBESE), a Escala de Resiliência de Wagnild e Young e a Escala de Fatores de Risco e Proteção no Ambiente Universitário. Como resultados, destacam-se correlações entre relacionamento com professores, satisfação com o curso e afetos positivos na universidade (r 2 = 0,34) e com satisfação com a universidade (r 2 = 0,25); resolução de ações e valores com afetos positivos na universidade (r 2 = 0,32) e satisfação com desempenho acadêmico e administração do tempo (r 2 = 0,27). Os achados sugerem que ações nas universidades que favoreçam a qualidade da relação entre docentes e discentes podem ser imprescindíveis para que os estudantes vivenciem níveis favoráveis de satisfação com o curso e vislumbrem perspectivas positivas de futuro profissional.
The Effects of a Psychological Flexibility Intervention on Well-Being at Work
Authors: Oliveira Angela Santos de , Mourão Luciana , Martins Leonardo Fernandes
Published: July 2024

Abstract Psychological flexibility is considered a relevant resource for dealing with change processes. This study aimed to investigate the effects of a psychological flexibility intervention on well-being at work, with groups of workers in contexts of organizational change. Initially, a pilot study (n=16) was performed to fine-tune the protocol. Then, the intervention was conducted with a different group (n=10), with three face-to-face sessions and an external observer. We applied the Affective Organizational Commitment Scale and the Work Engagement Scale, considered components of well-being. To analyze the effectiveness of the intervention, we used the Jacobson and Truax Method, which compares the participants’ scores before and after the intervention. The results showed that the intervention increased the perception of well-being at work. The study highlights promising psychological flexibility interventions in environments of organizational change, especially for increasing the involvement and commitment of workers.
Adesão ao tratamento medicamentoso do diabetes mellitus tipo 2 em idosos da Estratégia Saúde da Família de Ribeirão Preto, São Paulo: aspectos metodológicos
Authors: Oliveira Rinaldo Eduardo Machado de , Consoli Lívia Maria Ferrante Vizzotto , Santos Jair Licio Ferreira , Martinez Edson Zangiacomi , Ueta Julieta , Franco Laercio Joel
Published: July 2024

Resumo Introdução: A não adesão ao tratamento medicamentoso do diabetes mellitus tipo 2 é um problema que gera significativos danos clínicos, sanitários, econômicos e socais. Objetivo: Descrever os métodos da pesquisa sobre a adesão ao tratamento medicamentoso do diabetes mellitus tipo 2 em idosos da Estratégia Saúde da Família de Ribeirão Preto, São Paulo. Método: Trata-se de um estudo transversal, com amostragem aleatória por conglomerados, realizado no período de março a outubro de 2018. O instrumento de coleta de dados contou com variáveis sociodemográficas, cuidados com a saúde, acesso e utilização dos serviços, sofrimento emocional relacionado ao diabetes e uso de medicamentos, sendo a adesão estimada pelo Brief Medication Questionnarie. Resultados: Sortearam-se 16 conglomerados dentre os 45 agrupamentos. Em seguida, obteve-se 338 participantes proporcionalmente à frequência de idosos com diabetes. A maioria dos participantes pertencia ao sexo feminino (66,3%), com faixa etária entre 60 e 69 anos (49,4%), autorreferiram cor da pele/raça sendo branca (60,9%), estudaram de 4 a 11 anos (53,0%), possuíam companheiro (55,6%) e pertenciam à classe econômica C (51,8%). Conclusões: Os métodos empregados nesta pesquisa mostraram factíveis para o contexto da Atenção Primária à Saúde, pois o custo foi acessível e possibilitou investigar as variáveis que influenciavam na adesão ao tratamento.
Applicability of the Neuman Systems Model to the Gerontology Nursing practice: a scoping review
Authors: Oliveira Samara Gonçalves de , Caldas Célia Pereira , Nicoli Esther Mourão , Silva Frances Valéria Costa e , Cardoso Rosane Barreto , Lopes Fernanda Maria do Vale Martins
Published: July 2024

Objective: to map scientific productions on the application of the Neuman Systems Model to the Nursing practice focused on health care for aged people. Method: a scoping review based on the methodology proposed by the Joanna Briggs Institute. Seven electronic databases were consulted. Regarding the eligibility criteria, the following were considered: Population - Aged people; Concept - Application of the Neuman Systems Model in the Nursing practice; and Research Context - Health services. Results: a total of 14 studies made up the sample. The data were analyzed and summarized into two categories: implementation of the Neuman Systems Model in hospital, institutional and outpatient settings; and use of the Neuman Systems Model in community and home environments. Conclusion: the application of Neuman Systems approach to the Gerontology Nursing practice, in different care scenarios, proved to be promising, considering aged people as comprehensive individuals with multiple dimensions. This perspective has shown adaptability and effectiveness in meeting the diverse needs of older adults, resulting in an improvement in their quality of life in old age.
Spatial structure of phytoplankton metacommunities and their functional groups in a neotropical floodplain
Authors: Silva Leonardo Beserra da , Vieira Ludgero Cardoso Galli , Silva Thallia Santana , Gomes Leonardo Fernandes , Missias Ana Caroline de Alcantara , Camelo Flávio Roque Bernardes , Gonçalves Regina Célia
Published: July 2024

Abstract The spatial and temporal patterns and dynamics of biological community structure can be better understood through the lens of metacommunity theory, in which the effect of local (deterministic processes, ecological niche theory) and regional (stochastic processes, neutral theory) processes are evaluated as the main predictors of phytoplankton. The objective of this paper was to evaluate the effect of local environmental characteristics, spatial, and landscape predictors on the phytoplankton community in lakes of the Araguaia River floodplain. We evaluated the following questions: (i) What is the specific importance of physical and chemical water characteristics (local environmental predictors), dispersive processes (spatial predictors), and land use and occupancy (landscape predictors) in the phytoplankton metacommunity structure, both for taxonomic and functional groups? (ii) Does the buffer size used in land use and land cover measurement around the sampling units show differences in phytoplankton community prediction? All the predictors could explain the phytoplankton structure but the spatial were the most important. The buffers showed different predictive abilities, with taxonomic classification being related to larger sizes of buffers and functional groups the opposite. The great influence of spatial predictors can be explained by source-sink dynamics, where dispersal is so strong that it can diminish the effects of local predictors and guarantee a large flux of organisms to sink communities. In conclusion, dispersive processes have been shown to strongly influence the spatial structuring of the phytoplankton metacommunity and we highlight the need to consider buffers’ size when assessing the landscape’s effect on phytoplankton communities.
Influência da massa na geometria do espaço-tempo
Authors: Garms Marco A. , Grime Gabriel C. , Caldas Iberê L.
Published: July 2024

Na Relatividade Geral, em sistemas com uma massa dominante, a curvatura do espaço-tempo é descrita pela métrica de Schwarzschild. Contudo, obter seus coeficientes métricos do campo gravitacional desta massa exige, em geral, o uso de ferramentas matemáticas avançadas, como geometria diferencial e cálculo tensorial. Neste artigo, para obter tais coeficientes métricos, usamos o Teorema Egrégio de Gauss sobre curvatura espacial e a hipótese desses coeficientes coincidirem, no limite de massa nula, com os da métrica de Minkowski válida para a Relatividade Restrita. Com essa formulação, o artigo contém, de forma didática, uma primeira apresentação quantitativa da Teoria da Relatividade Geral, a partir de conhecimentos da Relatividade Restrita, usando ferramentas básicas do cálculo diferencial e integral, sem o uso de tensores. Ademais, disponibilizamos videoaulas que têm como base o material deste artigo.
Potosí y las nacientes del Agua Moderna. Sobre los orígenes del Capitaloceno hídrico
Authors: Aráoz Horacio Machado
Published: July 2024

Resumen Correlativamente a su carácter absolutamente imprescindible en los procesos biofísicos, geológicos y atmosféricos de gestación y sostenimiento de la vida en la Tierra, las aguas son entidades que, al atravesar lo humano, adquieren -junto a sus usos materiales específicos- una vasta complejidad de configuraciones semióticas, axiológicas, espirituales y religiosas. Una inconmensurable diversidad de valores y modos de uso, de sentidos y simbolismos, caracterizan a los diferentes sistemas sociohidrológicos histórico-concretos que fueran emergiendo, acompañando y delineando la trayectoria pluriversal de la aventura humana en la Tierra. Pese a semejante diversidad y complejidad, habitamos un tiempo geológico y antropológicamente signado por la gravosa hegemonía del Agua Moderna; un tiempo de crisis sistémica y de emergencia de la sintomatología más cruda de los trastornos geosociometabólicos del Capitaloceno. La actual crisis hídrica mundial es una resultante del ahogamiento de aquella vasta historia pluriversal de sistemas hidrosociales por cuenta y cargo del Agua Moderna. En este contexto, el presente texto ofrece una exploración genealógica sobre la emergencia del Agua Moderna. Apoyándonos en la historia ambiental latinoamericana y en los recursos de la ecología política del Sur, proponemos indagar el Cerro Rico del Potosí como la zona hidro-geopolítica donde tuviera lugar las nacientes de las aguas capitalocénicas que hoy inundan nuestro tiempo-espacio-de-crisis.