bluuebunny/crossref_metadata_2025 huggingface dataset:
Involving the Family in Patient Care: A Culturally Tailored Communication Model
Authors: Jazieh Abdul Rahman , Volker Susan , Taher Saadi
Published: May 2019

Background: Family involvement is a critical component of patient-centered care that impacts the quality of care and patient outcome. Our aim was to develop a patient- and family-based communication model suitable for societies with extended families. Methods: A multidisciplinary team was formed to conduct a situational analysis and review the patterns of family involvement in our patient population. Patient complaints were reviewed also to identify gaps in communication with families. The team proposed a model to facilitate the involvement of the family in the patient's care through the improvement of communication. Results: A communication model was developed keeping the patient in the center of communication but involving the family through identifying the most responsible family member. To assure structured measurable contact, mandatory points of communication were defined. The model streamlines communication with the family but maintaining the patients' rights and autonomy. Conclusion: Our proposed model of communication takes into account the importance of communication with the family in a structured way. The team believes that it is going to be accepted by patients who will be explored in the pilot implementation stage as the next future step.
Metcalfe's law and log-period power laws in the cryptocurrencies market
Authors: Pele Daniel Traian , Mazurencu-Marinescu-Pele Miruna
Published: May 2019

In this paper the authors investigate the statistical properties of some cryptocurrencies by using three layers of analysis: alpha-stable distributions, Metcalfe’s law and the bubble behaviour through the LPPL modelling. The results show, in the medium to long-run, the validity of Metcalfe's law (the value of a network is proportional to the square of the number of connected users of the system) for the evaluation of cryptocurrencies; however, in the short-run, the validity of Metcalfe’s law for Bitcoin is questionable. According to the bidirectional causality between the price and the network size, the expected price increase is a driver for more investors to join the Bitcoin network, which may lead in the end to a super-exponential price growth, possibly due to a herding behaviour of investors. The authors then used LPPL models to capture the behaviour of cryptocurrencies exchange rates during an endogenous bubble and to predict the most probable time of the regime switching. The main conclusion of this paper is that Metcalfe’s law may be valid in the long-run, however in the short-run, on various data regimes, its validity is highly debatable.
Subclinical eating disorder symptoms and positive vs. negative affect in high school students: the mediating role of self-regulation
Authors: Blasczyk-Schiep Sybilla , Adamczewska Kaja , Sokoła Kaja Funez
Published: May 2019

Background

Subclinical symptoms of eating disorders (ED) appear early, and adolescents still represent a specific risk group. Are there strat-egies of self-regulation which can protect adolescents against severe symptoms? We investigated differential mediators between subclinical eating disorder symptoms and negative vs. positive affect in adolescents.

Participants and procedure

Data were collected twice. Adolescents (ages 17-18, N = 98) filled in the Eating Disorders Inventory (EDI-2), the Volitional Competences Questionnaire (VCQ), the Personality Style and Disorders Inventory (PSDI) and the Positive and Negative Affect Schedules (PANAS). We postulated two different serial multiple mediation models originating in eating disorders, one leading to negative affect (through depressive personality style and self-motivation) and the other leading to positive affect (through self-regulation competences: self-relaxation and self-motivation).

Results

The serial multiple mediation models were confirmed, with the postulated variables serving as mediators of positive and negative affect. In addition to body dissatisfaction, there were two additional predictors for positive affect (ineffectiveness and social insecurity) and five predictors for negative affect (drive for thinness, bulimia, perfectionism, interoceptive awareness, asceti-cism).

Conclusions

These experiences of eating disorders are associated with affect, through self-regulation of emotion (self-motivation), which along with depression or self-relaxation leads to either a decrease in the negative affect or an increase in the positive affect. Self-regulation is an important factor in preventing eating disorders and protecting the overall
emotional well-being in high school students.
The effects of change in the safety rope protocol, hold size, and rest period on psychophysiological responses in sport rock climbers
Authors: Magiera Artur , Łukasik Iwona , Roczniok Robert , Placek Oskar
Published: May 2019

Purpose

The aim of the study was to evaluate the effects of a decrease in hold size, change in the safety rope protocol, and rest period shortening on heart rate (HR), heart rate variability (HRV), pre-climb anxiety, and perceived workload in sport rock climbers under laboratory settings.

Methods

A total of 12 intermediate sport rock climbers were recruited. The participants completed 2 routes of different climbing difficulty. They repeated the difficult route with a short 5-minute rest period 3 times and repeated the same route with a change to lead climb. HR, HRV, anxiety level (Competitive State Anxiety Inventory-2 Revised), and climbing workload (NASAclimbing questionnaire) were measured.

Results and conclusions

It was lead climb that elicited the most noticeable psychophysical response in the intermediate climbers. Prior to the climb, the performers exhibited marked sympathetic activation and higher cognitive anxiety. Climbing HRpeak was correlated with physical workload, psychological demand, and increasing fatigue; hence, it can be considered
a variable that reflects the accumulative psychophysiological stress. NASAclimbing score effectively reflected differences in physical load (physical demand – strength and endurance) and psychological load (higher mental demand, temporal demand, and satisfaction level) during climbing.
Are mindfulness skills associated with reducing kinesiophobia, pain severity, pain catastrophizing and physical disability? Results of Iranian patients with chronic musculoskeletal pain
Authors: Rezaei Sajjad , Hassanzadeh Sedigheh
Published: May 2019

Background

Although the results obtained for mindfulness-based treatments are promising, there is limited information concerning the role of different dimensions of mindfulness in the undesirable outcomes related to chronic pain such as physical pain and catastrophizing, pain severity, kinesiophobia and disability. Therefore, the objective of this present research was to examine the relationship between facets of mindfulness and the mentioned outcomes in individuals with musculoskeletal pain (MSP), including an extensive population of patients.

Participants and procedure

In a cross-sectional research, 200 patients with chronic MSP were selected from northern Iran by the consecu-tive sampling method and were assessed through the Five Facet Mindfulness Questionnaire (FFMQ), Visual Analogue Scale (VAS), 24-item Roland Morris Disability Questionnaire (RMDQ-24), 17-item Tampa Scale of Kinesiophobia (TSK-17), and the Coping Strategies Questionnaire – Catastrophizing subscale (CSQ-CAT).

Results

Results were obtained via multivariate hierarchical regression analyses after adjusting for the effects of demo-graphic variables, revealing that higher scores in the Observing subscale can predict lower scores in the VAS. Moreover, higher scores in the Describing subscale predict higher scores in VAS, CSQ-CAT and TSK-17; higher scores in Acting with Awareness predict lower scores in VAS and CSQ-CAT; higher scores in Non-judging pre-dict lower scores in VAS, RMDQ-24 and TSK-17; finally, higher scores in Non-reactivity predict higher scores in RMDQ-24 and TSK-17.

Conclusions

All factors existing in mindfulness are associated to MSP after controlling for certain undesirable outcomes. It seems that mindfulness interventions can potentially result in clinical improvement of patients suffering from chronic musculoskeletal pain.
Endothelial dysfunction in patients with ankylosing spondylitis
Authors: Łosińska Katarzyna , Korkosz Mariusz , Kwaśny-Krochin Beata
Published: May 2019

Ankylosing spondylitis (AS) is associated with accelerated atherosclerosis and enhanced cardiovascular morbidity and mortality compared to the general population. The mechanisms and mediators of this phenomenon have not been fully explained, but an expanding body of evidence demonstrates that increased cardiovascular risk in AS is heralded by endothelial dysfunction. We performed a literature review using the PubMed database from the year 2006 up to 2018. In this article we review the epidemiology, current evidence for impaired endothelial function, potential mechanisms and markers controlling this dysfunction, and finally we summarize the data regarding the efficacy of pharmacotherapy in reducing endothelial dysfunction in patients suffering from AS.
Evaluation of hygroscopic cloud seeding in liquid-water clouds: a feasibility study
Authors: Wang Fei , Li Zhanqing , Jiang Qi , Wang Gaili , Jia Shuo , Duan Jing , Zhou Yuquan
Published: May 2019

Abstract. An airborne cloud seeding experiment was conducted over the eastern coast of Zhejiang, China, on 4 September 2016 during a major international event held in Hangzhou. In an attempt to reduce the likelihood of rainfall onset, a major airborne experiment for weather modification took place by seeding hygroscopic agents to warm clouds to reduce cloud droplet size. The effectiveness of seeding is examined, mainly for stratiform clouds with patchy small convective cells. A radar-domain-index algorithm (RDI) was proposed to analyze the seeding effect. The threshold strategy and the tracking radar echo by correlation (TREC) technique was applied in the domain selection. Factors analyzed include echo reflectivity parameters such as the mean and maximum echo intensity, the anomaly percentage of the grid number of effective echoes, the fractional contribution to the total reflectivities, and the vertically integrated liquid water content (VIL) during and after the seeding process. About 12 minutes after seeding ended, the composite reflectivity of seeded clouds decreased to a minimum (
Global NO and HONO emissions of biological soil crusts estimated by a process-based non-vascular vegetation model
Authors: Porada Philipp , Tamm Alexandra , Raggio Jose , Cheng Yafang , Kleidon Axel , Pöschl Ulrich , Weber Bettina
Published: May 2019

Abstract. The reactive trace gases nitric oxide (NO) and nitrous acid (HONO) are
crucial for chemical processes in the atmosphere, including the formation of
ozone and OH radicals, oxidation of pollutants, and atmospheric
self-cleaning. Recently, empirical studies have shown that biological soil
crusts are able to emit large amounts of NO and HONO, and they may therefore
play an important role in the global budget of these trace gases. However,
the upscaling of local estimates to the global scale is subject to large
uncertainties, due to unknown spatial distribution of crust types and their
dynamic metabolic activity. Here, we perform an alternative estimate of
global NO and HONO emissions by biological soil crusts, using a process-based
modelling approach to these organisms, combined with global data
sets of climate and land cover. We thereby consider that NO and HONO are
emitted in strongly different proportions, depending on the type of crust and
their dynamic activity, and we provide a first estimate of the global
distribution of four different crust types. Based on this, we estimate global
total values of 1.04 Tg yr−1 NO–N and 0.69 Tg yr−1 HONO–N
released by biological soil crusts. This corresponds to around 20 % of
global emissions of these trace gases from natural ecosystems. Due to the low
number of observations on NO and HONO emissions suitable to validate the
model, our estimates are still relatively uncertain. However, they are
consistent with the amount estimated by the empirical approach, which
confirms that biological soil crusts are likely to have a strong impact on
global atmospheric chemistry via emissions of NO and HONO.
Diapycnal dissolved organic matter supply into the upper Peruvian oxycline
Authors: Loginova Alexandra N. , Thomsen Sören , Dengler Marcus , Lüdke Jan , Engel Anja
Published: May 2019

Abstract. The eastern tropical South Pacific (ETSP) hosts the Peruvian upwelling
system, which represents one of the most productive areas in the world ocean.
High primary production followed by rapid heterotrophic utilization of
organic matter supports the formation of one of the most intense oxygen
minimum zones (OMZs) in the world ocean, where dissolved oxygen
(O2) concentrations reach less than 1 µmol kg−1.
The high productivity leads to an accumulation of dissolved organic matter
(DOM) in the surface layers that may serve as a substrate for heterotrophic
respiration. However, the importance of DOM utilization for O2
respiration in the Peruvian upwelling system in general and for shaping the
upper oxycline in particular remains unclear so far. This study reports the
first estimates of diapycnal fluxes and supply of O2, dissolved
organic carbon (DOC), dissolved organic nitrogen, dissolved hydrolysable
amino acids (DHAA) and dissolved combined carbohydrates (DCCHO) for the ETSP
off Peru. Diapycnal flux and supply estimates were obtained by combining
measured vertical diffusivities and solute concentration gradients. They were
analysed together with the molecular composition of DCCHO and DHAA to infer
the transport of labile DOM into the upper OMZ and the potential role of DOM
utilization for the attenuation of the diapycnal O2 flux that
ventilates the OMZ. The observed diapycnal O2 flux
(50 mmol O2 m−2 d−1 at maximum) was limited to the
upper 80 m of the water column; the O2 supply of ∼1 µmol kg−1 d−1 was comparable to previously published
O2 consumption rates for the North and South Pacific OMZs. The
diapycnal DOM flux (31 mmol C m−2 d−1 at maximum) was limited
to ∼30 m water depth, suggesting that the labile DOM is extensively
consumed within the upper part of the shallow oxycline off Peru. The analyses
of DCCHO and DHAA composition support this finding, suggesting that DOM
undergoes comprehensive remineralization within the upper part of the
oxycline, as the DOM within the core of the OMZ was found to be largely
altered. Estimated by a simple equation for carbon combustion, aerobic
respiration of DCCHO and DHAA, supplied by diapycnal mixing
(0.46 µmol kg−1 d−1 at maximum), could account for up
to 38 % of the diapycnal O2 supply in the upper oxycline, which
suggests that DOM utilization plays a significant role for shaping the upper
oxycline in the ETSP.
Sensitivity to species selection indicates the effect of nuisance variables on marine microfossil transfer functions
Authors: Jonkers Lukas , Kučera Michal
Published: May 2019

Abstract. The species composition of many groups of marine plankton appears well
predicted by sea surface temperature (SST). Consequently, fossil plankton
assemblages have been widely used to reconstruct past SST. Most applications
of this approach make use of the highest possible taxonomic resolution.
However, not all species are sensitive to temperature, and their distribution
may be governed by other parameters. There are thus reasons to question the
merit of including information about all species, both for transfer function
performance and for its effect on reconstructions. Here we investigate the effect of species selection on planktonic
foraminifera transfer functions. We assess species importance for transfer
function models using a random forest technique and evaluate the performance
of models with an increasing number of species. Irrespective of using models
that use the entire training set (weighted averaging) or models that use
only a subset of the training set (modern analogue technique), we find that
the majority of foraminifera species does not carry useful information for
temperature reconstruction. Less than one-third of the species in the
training set is required to provide a temperature estimate with a prediction
error comparable to a transfer function that uses all species in the
training set. However, species selection matters for paleotemperature
estimates. We find that transfer function models with a different number of
species but with the same error may yield different reconstructions of sea
surface temperature when applied to the same fossil assemblages. This
ambiguity in the reconstructions implies that fossil assemblage change
reflects a combination of temperature and other environmental factors. The
contribution of the additional factors is site and time specific, indicating
ecological and geological complexity in the formation of the sedimentary
assemblages. The possibility of obtaining multiple different reconstructions
from a single sediment record presents a previously unrecognized source of
uncertainty for sea surface temperature estimates based on planktonic
foraminifera assemblages. This uncertainty can be evaluated by determining
the sensitivity of the reconstructions to species pruning.
CO2 effects on diatoms: A Synthesis of more than a decade of ocean
acidification experiments with natural communities
Authors: Bach Lennart , Taucher Jan
Published: May 2019

Abstract. Diatoms account for 40 % of marine primary production and are considered to be key players in the biological carbon pump. Ocean acidification (OA) is expected to affect diatoms primarily by changing the availability of CO2 as a substrate for photosynthesis or through altered ecological interactions within the marine food web. Yet, there is little consensus how entire diatom communities will respond to increasing CO2. To address this question, we synthesized the literature from over a decade of OA-experiments with natural diatom communities to uncover: 1) if and how bulk diatom communities respond to elevated CO2; 2) if shifts within the diatom communities could be expected and how they are expressed with respect to taxonomic affiliation and size structure. We found that diatom communities responded to high CO2 in ~60 % of the experiments and in this case more often positively (56 %) than negatively (32 %; 12 % did not report the direction of change). Shifts among different diatom species were observed in 65 % of the experiments. Our synthesis supports the hypothesis that high CO2 particularly favors larger species as 12 out of 13 experiments which investigated cell size found a shift towards larger species. Unraveling winners and losers with respect to taxonomic affiliation was difficult due to a limited database, but there is evidence that the genus Pseudo-nitzschia could be among the losers. We conclude that OA-induced changes in diatom competitiveness and assemblage structure must be classified as a “risk for ecosystem services” due to the pivotal role diatoms play in trophic transfer and biogeochemical cycles.
Quantifying the snowmelt–albedo feedback at Neumayer Station, East Antarctica
Authors: Jakobs Constantijn L. , Reijmer Carleen H. , Kuipers Munneke Peter , König-Langlo Gert , van den Broeke Michiel R.
Published: May 2019

Abstract. We use 24 years (1992–2016) of high-quality meteorological observations at
Neumayer Station, East Antarctica, to force a surface energy balance model.
The modelled 24-year cumulative surface melt at Neumayer amounts to 1154 mm
water equivalent (w.e.), with only a small uncertainty (±3 mm w.e.)
from random measurement errors. Results are more sensitive to the chosen
value for the surface momentum roughness length and new snow density,
yielding a range of 900–1220 mm w.e. Melt at Neumayer occurs only in the
months November to February, with a summer average of 50 mm w.e. and large
interannual variability (σ=42 mm w.e.). This is a small value
compared to an annual average (1992–2016) accumulation of 415±86 mm w.e. Absorbed shortwave radiation is the dominant driver of temporal
melt variability at Neumayer. To assess the importance of the
snowmelt–albedo feedback we include and calibrate an albedo parameterisation
in the surface energy balance model. We show that, without the
snowmelt–albedo feedback, surface melt at Neumayer would be approximately
3 times weaker, demonstrating how important it is to correctly represent this
feedback in model simulations of surface melt in Antarctica.
Somatic cell count during first and second lactation in ewes
Authors: Tvarožková Kristí­na , Tančin Vladimí­r , Uhrinčať Michal , Mačuhová Lucia , Vršková Martina , Oravcová Marta
Published: May 2019

The aim of this study was to describe the frequency of distribution of ewes in SCC groups on the basis SCS (somatic cells score) per lactation and estimate changes of SCC from 1st lactation on 2nd lactation. The experiment was carried at seven farms in 1st observed period (2016 and 2017) and at eight farms in 2nd observed one (2017 and 2018). Within each of periods the same animals were sampled on their 1st and following 2nd lactation in next year of study, only. Totally 1199 milk samples from 159 ewes and 1653 milk samples from 219 ewes were collected during 1st period and 2nd period, respectively. Milk sampling were taken monthly from April to August in both periods. For evaluation only ewes with minimum three sampling per year (minimum six samples per animal) were included in the study within both periods. The ewes were divided into the five SCC groups on basis of their SCS per lactation: G1 = SCC <200 × 103 cells.mL-1, G2 = SCC ≥200 <400 × 103 cells.mL-1, G3 = SCC ≥400 <600 × 103 cells.mL-1, G4 = SCC ≥600 <1000 × 103 cells.mL-1 and G5 = SCC ≥1000 × 103 cells.mL-1. In total statistically significant impact of parity on SCC in 2nd period was detected (p <0.0001) only. From the farm point of view in 1st period only in two farms and in 2nd one in five farms significant effect of parity was found out. Thus in some farms no increase of SCC from first to second lactation was observed. When comparing the changes in SCC from the first to the second lactation in both first and second periods, 6.92% and 10.96%, respectively ewes moved from SCC group G1 to G5. The significant effect of farm management and parity on SCC was demonstrated.
The Impressment of Foreign-Born Soldiers in the Union Army
Authors: Douma Michael , Rasmussen Anders Bo , Faith Robert
Published: May 2019

In 1862–1863 well over one thousand foreign-born men living in the United States argued that they had been illegally drafted into Union military service. Fearing a diplomatic row, the Lincoln administration sought to clarify the rules of draft eligibility and its relation to citizenship. William Seward, secretary of state, determined to include in the pool of potential draftees men who had filed their declaration of intent to become American citizens and men who had voted in any election in the United States. Seward’s policy, already in action in 1862, partially codified in the Enrollment Act of March 3, 1863, and further enunciated in circulars from the Departments of State and War, broadened and redefined the nature of American citizenship. By highlighting the parallels to earlier forms of impressment, and breaking new ground with a quantitative analysis of the Department of State’s Case Files on Drafted Aliens, we argue that this history of forced military service for foreign-born soldiers during the American Civil War should be considered an example of impressment. With additional source material from archives in England, the Netherlands, and Denmark, we demonstrate the extent of Union impressment and its transnational character. Concerns about forced service were widespread and had significant consequences for Union foreign relations with European countries and for immigrant communities domestically. Official complaints about impressment represented a new kind of draft resistance, in which legal and political knowledge, as well as local and regional immigrant networks, were essential for securing freedom from military service.
The Role of Knowledge Management on Competitive Advantage in Jordan Manufacturing Companies from Employees Perspectives
Authors: Al- Nawafah Salameh , Nigresh Mohammad , Tawalbeh Ali. K.
Published: May 2019

The study aimed to investigate the role of knowledge management on competitive advantage in Jordan manufacturing companies from employee’s perspective. The research used the descriptive analytical methodology. In addition a self administrated questionnaire was developed according to research hypothesis and objectives for the purpose of achieve the study objectives. The research sample consisted of. 255 subjects. The self administrated questionnaires were distributed over 0 research sample, 240 questionnaire were collected, therefore the research sample is 240.. All gathered data were checked and coded then analyzed by using the social Packaging statistical System (SPSS). The study concluded that there is a relationship between knowledge management and competitive advantage in Jordanian industrial companies from the point of view of administrative employee perspectives. In addition the data also concluded that here is a relationship between knowledge generation and competitive advantage. Also there is a relationship between knowledge storage and competitive advantage and there is a relationship between knowledge sharing and competitive advantage in Jordanian industrial companies. The study revealed hat there is a relationship between knowledge application and competitive advantage.... The study recommended that Jordan manufacturing companies have to encourage knowledge management use and to notify their employees with the motives behind such use for obtaining their support.
Reprodutibilidade do método Cobb na medição da lordose lombar de crianças utilizando diferentes níveis vertebrais
Authors: Sedrez Juliana Adami , Marchetti Bárbara Vendramini , Raupp Eduardo Gonçalves , Rosa Bruna Nichele da , Ribeiro Rafael Paiva , Candotti Cláudia Tarragô
Published: May 2019

Introdução: A radiografia é o padrão ouro para avaliação da coluna vertebral. Contudo, apresenta uma variabilidade inerente ao exame e ao avaliador. Objetivos: (1) comparar os ângulos de lordose lombar utilizando diferentes níveis vertebrais de referência e (2) verificar a repetibilidade e a reprodutibilidade do método Cobb na avaliação da lordose lombar de crianças. Métodos: Participaram do estudo 50 crianças, idade de 11,5 ± 2,6 anos. Os exames foram avaliados de forma independente por três avaliadores utilizando os níveis vertebrais L1-L5 e L1-S1. Os dados foram analisados com ICC, SEM e MDC (a0,05). Resultados: Os ângulos Cobb, usando L1-L5, são de 11° a 13° menores que aqueles utilizando L1-S1. Os ICCs foram excelentes para repetibilidade e reprodutibilidade intra-avaliador, e de excelentes (L1-L5) a moderados (L1-S1), para a reprodutibilidade interavaliador. Conclusão: Ambas as metodologias são passíveis de serem utilizadas na avaliação da lordose lombar, pelo mesmo avaliador, de crianças e adolescentes. Ainda, é de fundamental importância que o avaliador saiba das diferenças entre os níveis de referência disponíveis.
Risco de quedas, força muscular periférica e capacidade funcional em idosos hospitalizados
Authors: Sutil Bruna , Carli Andréia De , Donato Alessandra Albuquerque , Vieira Cassandra Pértile , Fontana Tainara , Rockenbach Carla Wouters Franco , Wibelinger Lia Mara
Published: May 2019

Introdução: a longevidade vem acompanhada pelo declínio das capacidades funcionais, especialmente em idosos hospitalizados. Objetivo: avaliar o risco de queda, a força muscular periférica e a capacidade funcional em idosos hospitalizados. Métodos: participaram 100 voluntários que foram submetidos à avaliação fisioterapêutica, por meio da escala de Kendall, força de preensão palmar, teste Time UpGo, escala de Morse e escala de PS-ECOG. Resultados: em relação ao risco de queda, 46% dos indivíduos apresentaram risco moderado e 37% revelaram funcionalidade restrita para atividades exaustivas. Na realização do teste de força muscular periférica, o resultado teve média geral de 4,47kg/f, configurando força muscular moderada, para força de preensão palmar os indivíduos atingiram resultados insatisfatórios, apresentando no membro dominante média de 17,7Kg/f e no membro contralateral média de 17,3Kg/f. Na variável “Timed UpGo”, os indivíduos obtiveram um tempo de 12,25 segundos, no qual foram classificados como independentes. Conclusão: Os idosos hospitalizados apresentaram moderado risco de queda, capacidade funcional reduzida, embora sejam classificados como independentes.
Fatores de risco perinatais e avaliação neuropsicomotora em crianças pré-termo com e sem hemorragia peri-intraventricular
Authors: Rosário Maria Júlia Parcias do , Lorenzo Cláudia Maria de , Sonza Anelise , Parcias Silvia Rosane
Published: May 2019

Introdução: A hemorragia peri-intraventricular (HPIV) é multifatorial e pode causar sequelas no desenvolvimento neuropsicomotor (DNPM) da criança. Objetivo: Analisar fatores de risco perinatais e o DNPM de crianças de alto risco nascidas pré-termo com e sem HPIV. Método: Realizou-se um estudo observacional caso-controle, com uma coorte clínica de um ambulatório de seguimento de prematuros de alto risco, com e sem HPIV. Foram utilizados questionários e o teste Denver II. Realizou-se análise bivariada pelo teste de Fischer e regressão logística multivariada (p ≤0,05). Resultados: Foram avaliadas 47 crianças prematuras de alto risco, sendo 14 com HPIV, e 33 sem. Idade gestacional (OR=16,5; p0,001), peso ao nascer (OR=9,23; p0,01) e práticas neonatais (ventilação, intubação, etc.) (OR=6,68; p0,01) estão relacionados com a HPIV. Não foi encontrada alteração do DNPM em crianças com e sem HPIV. Conclusões: A baixa idade gestacional, baixo peso ao nascer e práticas neonatais estão associadas à ocorrência de HPIV. Não há associação entre HPIV e o DNPM em prematuros.
Efeito do exercício físico nas funções cognitivas em idosos depressivos: revisão sistemática
Authors: Braga Marisa Moreira , Soares Fernanda Cunha , Costa André Dos Santos , Deslandes Andrea Camaz , Hardman Carla Menêses
Published: May 2019

Introdução: O exercício físico é considerado uma estratégia eficaz para reduzir os sintomas da depressão e melhorar as funções cognitivas. Objetivo: Sumarizar o efeito do exercício físico nas funções cognitivas em idosos depressivos. Métodos: Efetuou-se revisão sistemática conduzida em sete bases de dados, utilizando 32 descritores na língua inglesa, organizados em quatro grupos comando. Resultados: Dois ensaios clínicos foram incluídos, um aplicando treinamento combinado, e outro utilizando Tai Chi Chih. O período de intervenção variou de 4 a 14 semanas. A sessão dos exercícios físicos durou de uma até duas horas. Verificou-se um efeito significativo no teste LPS-3 para o grupo que realizou exercício combinado (t (5) = -2,668; p = 0,044). Os idosos que praticaram Tai Chi Chih apresentaram melhor desempenho no teste de recordação tardia e diminuíram os erros no teste de trilha A (pré: 0,44 ± 0,72; pós: 0,19 ± 0,47). Conclusão: Verificou-se uma melhora nas funções cognitivas, especificamente nos domínios de atenção e função executiva.
Comparison of the Tinetti and Short Physical Performance Battery test specificities for detecting neuromotor pathologies
Authors: Lopes Kamilla Johnny Yoshii , Pin Alessandro Dos Santos , Miranda Rosangela Maria da Silva , Ghelfi Andrea
Published: May 2019

Introduction: Increasing elderly populations require specific and accurate health assessment tools. Purpose: To compare the specificities of the short physical performance battery (SPPB) and the Tinetti Index validated in Brazil in patients with and without neuromotor dysfunctions. Materials and methods: Thirty-nine individuals (19 healthy and 20 with neuromotor changes) of both sexes aged 60–75 years, living in Coari (Amazonas state in Brazil), underwent SPPB and Tinetti scale assessments on alternate dates. Results and discussion: We observed significant differences between the scales, where the distribution was very concentrated after the Tinetti assessment and more dispersed after the SPPB in healthy individuals. This demonstrated that SPPB can detect minimal differences in gait and balance between healthy individuals, while the Tinetti scale is better at discriminating between healthy and those affected by mobility disorders. Conclusion: SPPB was more specific than the Tinetti Index in detecting changes in gait and balance.
Guia ilustrado de orientações a cuidadores de crianças com deficiências neuromotoras
Authors: Souza Jenifer Silva de , Knobel Keila Alessandra Baraldi
Published: May 2019

Introdução: Limitações funcionais de crianças com deficiência neuromotora (CDN) as tornam dependentes de cuidados. Objetivo: Elaborar e avaliar um guia ilustrado de orientações para familiares de CDN a partir das necessidades dos cuidadores. Método: Estudo descritivo transversal prospectivo feito em famílias de CDN de sete a quarenta e dois meses de idade. Etapas: (1) entrevista com 15 famílias para investigar suas principais habilidades, dificuldades e dúvidas; (2) Elaboração de guia ilustrado; (3) 5 famílias usaram e avaliaram o guia; (4) Adequação do material. Os resultados foram ponderados por análise de conteúdo. Resultados: As principais dúvidas das famílias foram contempladas no guia que aborda: principais posicionamentos, e como posicionar as crianças, órteses, quarto, alimentação, banho, carregando seu filho, vestir, cuidados com quem cuida e, lazer, brinquedos e brincadeiras.  Conclusão: O guia foi considerado útil para facilitar o cotidiano das famílias, para reforçar orientações recebidas pelos profissionais de saúde e para levar novas informações sobre cuidados com essas crianças em casa.
Relação entre tempo de transplante renal e força muscular respiratória: série de casos
Authors: Maranhão Carla Cristina Braga , Rocha Lívia Gomes da , Souza Helga Cecília Muniz de , Marinho Patrícia Érika de Melo
Published: May 2019

Introdução: O paciente com Doença Renal Crônica (DRC) apresenta alterações respiratórias que persistem após o transplante e o restabelecimento da função renal. Objetivos: Avaliar a relação entre o tempo de transplante renal e sua influência sobre a força dos músculos respiratórios. Métodos: Foram avaliados voluntários adultos atendidos no Ambulatório de Pós-Transplante Renal do Hospital das Clínicas da Universidade Federal de Pernambuco, quanto à força muscular respiratória (manovacuometria), à função pulmonar (espirometria) e o nível de atividade física (Questionário Internacional de Atividade Física – IPAQ). Resultados: Foram avaliados 15 voluntários no total. No grupo 154 meses de transplante renal, 57,14% dos voluntários apresentaram fraqueza muscular inspiratória (FMI), 57,14% e 71,42% apresentaram, respectivamente, redução dos valores previstos de capacidade vital forçada (CVF%) e do volume expiratório forçado no primeiro segundo (VEF1%), e 100% foram considerados ativos. No grupo ≥154 meses de transplante renal, 50% deles apresentaram FMI, 37,5% mostraram valores de CVF% e VEF1% reduzidos e 62,5% foram classificados inativos. Todos os voluntários do estudo apresentaram fraqueza muscular expiratória. Conclusão: O grupo com menor tempo de transplante apresentou maior comprometimento da força muscular respiratória, sendo observado um nível de atividade física significativamente menor no grupo com maior tempo de realização do transplante. Não houve diferença em relação à função pulmonar entre os grupos.
Influence of retirement on health conditions and quality of life
Authors: Micali Pollyanna Natalia , Fukushima Raiana Lídice Mór , Carmo Elisângela Gisele do , Costa José Luiz Riani , Codogno Jamile Sanches
Published: May 2019

Introduction: Life expectancy is an important variable for retirement planning. The pension system and the importance of this period have lately been the focus of studies in Brazil. Objective: To evaluate the health conditions and quality of life (QoL) of retirees. Methods: Data collection was performed using the 36-item Short-Form Survey (SF-36), the Brazilian Economic Classification Criteria and a structured questionnaire. We verified the absence of normal data through the Shapiro-Wilk test, and then applied the Mann-Whitney U test in order to compare the groups (retirees who worked and those who did not). The significance level for the statistical tests was 5%. Results: Among the 205 retirees, we observed that the most prevalent diseases were hypertension (50.3%) and depression (37.0%). In addition, retirees who continued working after retirement had better health conditions and QoL. Conclusion: It is suggested that retirement planning may be an important alternative to minimize the development of psychosocial diseases and their aggravating factors.
Produção Técnica de Mestrados Profissionais em Administração: Análise da Divulgação de Relatos Técnicos entre os Anos de 2013 A 2017
Authors: Aquino Simone , Cortese Tatiana Tucunduva Philippi , Shibao Fábio Ytoshi
Published: May 2019

Objetivo do estudo: O objetivo do estudo foi analisar quais os eventos e periódicos de maior relevância na divulgação de relatos técnicos, bem como analisar as diferenças de diretrizes entre os tipos de produções técnicas, designados como relato técnico.Metodologia/abordagem: O estudo de abordagem qualitativa, exploratória, descritiva e explicativa foi baseado em levantamentos de chamadas de eventos e anais de publicações em encontros científicos da área de Administração, Ciências Contábeis e Turismo, que apresentaram regras específicas para relatos técnicos.Originalidade/Relevância: A relevância do estudo é demonstrar como a divulgação de relatos técnicos evoluiu ao longo dos anos, visto ser uma forma de divulgação de resultados práticos de uma intervenção em setores ou organizações, na qual o rigor metodológico segue a mesma base científica de linhas acadêmicas.Principais resultados: O total de produções somaram 159 publicações, entre os anos de 2013 a 2017, sendo que no ano de 2015 foi observado que o número de publicações de relatos técnicos triplicou, em relação ao ano de 2014.Contribuições teóricas/metodológicas:  estudo realizado foi possível determinar as formas de divulgação desta modalidade de produção técnica, com uma tendência crescente da produção, como observado no estudo entre os anos de 2016 e 2017.Conclusão: A modalidade de relato técnico surgiu como uma ferramenta importante para a divulgação de soluções direcionadas para as práticas em administração em organizações e empresas, bem como para a sociedade, visto que a busca por soluções ou intervenções propostas também são necessárias em setores públicos.
Análise do Espaço Público, por meio de Variáveis Climáticas, na Zona Central de Cidade do Norte do Rio Grande do Sul, Brasil
Authors: Salvia Amanda Lange , Sandoval Abby Daniela Ortega , Martínez Manuel Ricardo Galileo Ramírez , Kalil Rosa Maria Locatelli
Published: May 2019

Objetivo: Diagnosticar e analisar quatro variáveis principais da ambiência urbana na zona central de Passo Fundo, sendo elas temperatura, velocidade do vento, umidade e ruído ambiente. Metodologia: A metodologia consistiu, inicialmente, na definição de três áreas centrais da cidade (uma com vegetação e duas pavimentadas). A medição das variáveis foi realizada nos turnos da manhã e da tarde, com metade das amostragens, sendo feitas na sombra e a outra metade com exposição ao sol. Sobre cada área foram preenchidas fichas bioclimáticas para caracterização. Originalidade/Relevância: Além da análise apresentada ser uma proposta dentro da teoria bioclimática, a avaliação de espaços, como praças e vias permite que outros elementos da infraestrutura local complementem e gerem o conforto necessário para todos os habitantes. Principais resultados: Nas áreas pavimentadas existe maior concentração de calor e som, tanto no período da manhã, quanto no período da tarde. Além disso, a umidade é maior na área com vegetação e a medição do vento não apresentou um padrão como os demais itens avaliados. Contribuições teóricas/metodológicas: A pesquisa comprovou a importância das áreas verdes na cidade, tanto pelo equilíbrio climático, quanto pela existência de pontos com melhor ambiente urbano para a população. Conclusão: Considerando características de ambiência urbana no espaço público, sua importância para o conforto e também sua relação com o planejamento urbano, este trabalho avaliou o microclima existente em três locais pré-estabelecidos na cidade de Passo Fundo, localizada no norte do estado do Rio Grande do Sul, Brasil.
Análise Bibliométrica de Estudos Comparativos entre a Construção Convencional e a Pré-fabricada por meio da ACV
Authors: Ramos Valéria Mayumi Kushima , Santos Adriana De Paula Lacerda , Maceno Marcell Mariano Corrêa
Published: May 2019

Objetivo: O artigo tem como objetivo identificar e caracterizar estudos comparativos de Avaliação do Ciclo de Vida (ACV) entre sistemas construtivos convencionais e pré-fabricados.Metodologia: Foi realizada uma análise bibliométrica com as etapas de formulação da pergunta, definição de estratégia, seleção de estudos, coleta e análise de dados, resultados e conclusões.Relevância: A indústria da construção civil é responsável por consideráveis impactos ambientais desde a extração das matérias-primas até a demolição. Com o uso da ACV, é possível identificar os principais causadores e mitigar suas consequências ambientais.Resultados: Os estudos concentram-se na Europa e na Ásia, predominando avaliações de aquecimento global (emissões de CO2) e de consumo energético pré-operacionais da construção. Quanto aos maiores usos no desenvolvimento da ACV se destacaram: o software SimaPro, a base de dados Ecoinvent e os métodos IPCC, IMPACT 2002+ e TRACI. Verificou-se a vantagem da pré-fabricação, no entanto, não é possível generalizar devido à grande variabilidade entre os valores encontrados.Contribuições: Este artigo permitiu identificar lacunas de estudo a serem exploradas, o panorama atual de pesquisa na área e as principais definições relacionadas a estudos de ACV para construção civil (ex. software, base de dados, método).Conclusão: O termo “construção convencional” possui um significado diferente para cada país, portanto, cabe descrever detalhadamente a composição dos processos construtivos. Ainda, ressalta-se a importância de um escopo estruturado para estudos comparativos de ACV, com a declaração dos critérios adotados, a descrição do cenário em que está inserido e o uso de parâmetros consistentes para resultados confiáveis.
Comentário Editorial: Revista GeAS
Authors: Kniess Claudia Terezinha , Ruiz Mauro Silva , Silva Altieres De Oliveira
Published: May 2019

Neste editorial, temos o orgulho de iniciar esta edição com esta boa notícia: a partir de 2019 os artigos publicados pela Revista GeAS serão indexados na base de dados Scopus.  A base Scopus é a maior base de dados de resumos e citações da literatura revisada e avaliada por pares no mundo. A base Scopus contempla revistas científicas, livros e anais de conferências. No que diz respeito ao sistema Qualis-Periódicos  da CAPES, uma revista que esteja indexada na base Scopus poderá ser qualificada nos estratos superiores (rankings: A1, A2 e B1), principalmente, na área de Administração (Maccari, Hsu, Storopoli, & Silva, 2018; Martins, Maccari, Silva, & Todorov, 2014).
Gestão Hospitalar em Portugal: Resultados Comparados entre Hospitais com Gestão Pública e em Parceria Público-Privadas
Authors: Matos Andreia Afonso , Nunes Alexandre Morais
Published: May 2019

Em um mundo globalizado e em crescente competitividade, os hospitais têm que encontrar formas de melhorar continuamente em todos os setores: público, privado e social. Em Portugal, a prestação de cuidados de saúde nos hospitais públicos é globalmente realizada sob o regime jurídico de Entidade Pública Empresarial (hospital EPE) e em regime de Parceria Público-Privada (hospital PPP). O papel e a importância da inovação, em todos os processos, são reconhecidos internacionalmente como um dos principais motores do desenvolvimento e da sustentabilidade em várias áreas de atividade. O presente artigo trata de um estudo de caso que descreve os processos de inovação aplicados à gestão dos hospitais do setor público português e estabelece-se uma comparação entre os principais indicadores de acesso e qualidade entre os hospitais de gestão pública empresarial e os hospitais públicos com gestão em parceria com um parceiro privado, entre os anos 2013 e 2016. Como resultado da análise, verifica-se que a inovação já influenciou positivamente as organizações tanto no modelo EPE como no PPP, tornando-as mais competitivas. No entanto, ambos os modelos apresentam pontos fortes e fracos e por esse motivo ainda é necessário repensar os modelos para melhorar os seus resultados de acesso e qualidade.
Judicialização da Saúde: A Visão dos Graduandos Ingressantes do Curso de Gestão de Serviços de Saúde
Authors: Zevallos Lupehuara da Conceição Gomes de , Zocratto Keli Bahia Felicíssimo
Published: May 2019

A Constituição Federal de 1988 garante assistência à saúde universal e integral pelo Sistema Único de Saúde (SUS); no entanto, a efetivação dessa assistência, muitas vezes, se dá pela interferência do judiciário. Objetivou-se neste estudo descrever o conhecimento dos alunos ingressantes do curso de graduação em gestão de serviços de saúde de uma universidade pública do estado de Minas Gerais a respeito da judicialização da saúde no Brasil. Foi aplicado um questionário estruturado envolvendo questões sociodemográficas, de formação acadêmica e de conhecimento sobre judicialização da saúde. Selecionaram-se alunos de primeiro e segundo períodos do curso de Gestão de Serviços de Saúde (n=62). A análise estatística dos dados englobou medidas de distribuição de frequência, de tendência central e de variabilidade. A maioria dos participantes era do sexo feminino (67,7%) com idade média de 28,7 (±10,2) anos, exercia atividade laboral (56,5%) e estava na primeira graduação (54,8/%). Do total da amostra, 82,2% consideraram a participação popular efetiva para defesa de direito à saúde da população; entretanto, também referiram a judicialização da saúde como necessária, sendo uma estratégia formal para essa efetivação. Nesse sentido, discussões aprofundadas a respeito do tema, enfatizando sua importância e alcance, devem perpassar pela formação acadêmica do gestor de serviços de saúde no intuito de reforçar o seu papel considerando o cenário de um sistema de saúde universal, com recursos escassos e aumento expressivo das demandas judiciais em saúde.